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PRE 2010 DOCSCity of Fridley, Minn.. PERMITBUILDING 1 (: 2 ; 1 Date:...." ZOwner: Builder Addr Address - .: --- CA►, O�F B I� ING Lot Block ^Addition or Sub -D i NO. RPart of t ___— on Corner Lot _ _ Inside Lot Setback Sideyard Sewer Elevation Foundation Elevation ____ — DESCRIPTION OF BUILDING ToP Used. as: ontDepth Height Sq. Ft."Cu. Fid' Front -� Depth Height Sq. Ft.. Cu. Fi. _` Type o nstruction Est.To be Completed In consideration of the issuance to me of a permit to construct the building described above, I agree to do the proposed work in accordance with the description above set forth and in compliance with all provisions of ordinances of the city of Fridley. , In consideration of the payment of a fee of permit is hereby granted to to construct the building or addition as described above. This permit is granted upon the express condition that the person to whom it is granted and his agents, employees and workmen, in all work done in, around and upon said building, or any part thereof, shall conform in all respects to the ordinances of Fridley, Minnesota regarding location, construction, alteration, maintenance, repair and moving of buildings within the city limits and this permit may be revoked at any time upon vio of any of the provisions of said ordinances. — ... — ,.. NOTICE: This permit does not cover the construction, Installation for wiring, plumbing, gas heating, sewer or water. Be sure to see the Building Inspector for separate permits for these hems. a APPLICATION FOR BUILDING PERM CITY OF FRIDLEY, MINNESOTA Is ®�j J. Owner s Name �- Builder. , g � Address 1 / 7 — � sT' � fddress -7/12 — 6--c-st LOCATION OF BUILDING No. ZZ Stree� A f-00 C ��T Part of Lot 55 �-- -A, Lot 12 Block Seve.,Aj Addition or Subdivision 0 Corner Lot Inside Lot `�� Setback 35' Side -Yard SEWER. ELEVATION FOUNDATION ELEVATION Applicant attach to this form Certificate of Survey of Lot and proposed building location. DESCRIPTION OF BUILDING To be -used as: Front_ ;Depth Height Sq. Ft. Cu. Ft. B P Front Depth 2` Height �� Sq. Ft. Cu. Ft._ _„_ Type of ConstructionEstimated Cost'__®� To be Completed 4� / The undersigned hereby makes application for a permit for the work herein specified, agreeing to do all work in strict accordance with the City Ordinances and ruling of the Department of Buildings, and hereby declares th the facts and re resentations stated in this application are true and correct. DATE b / 6f SIGNATURE �1® (A Schedule of Fee Costs can be found on the Reverse de.) BUILDING PERMIT FEE SCHODUIE Section 2. The Inspector of Buildings shall, before issuing any permit for the erection of any building or structure, or for any addition to any existing build- ing or structure, or for any alterations or repairs to any existing building or structure, upon application therefor, require the payment by the applicant for such permit of fees to the amount herein below set forth and in the z=er herein provided to -wit: 2.1. For any such permit for the erection of any fire -proof building, other than a garage, warehouse, factory or grain elevator, or for the erection of any fire- proof addition, for similar occupancy, to any existing building shall be at the rate of $1.40 for each one thousand cubic feet, or fraction thereof, in such "cubical contents. 2.2. For any such permit for the erection of any fireproof garage, warehouse, factory or grain elevator, or for the erection of any fireproof addition, for similar occupancy, to any existing building shall be at the rate of $1.25 for each one thousand cubic feet, classified as "fireproof" by Section 502 of the Minneapolis Building Code. HOUSES 2.3. For any such permit for the erection of any non -fireproof building other than a garage, warehouse, factory or grain elevator, or any non -fireproof addition, for similar occupancy; to any existing building. Permit $1.00 for each one thousand cubic feet. GARAGES 2.4. For any such permit for the erection of any non -fireproof garage, warehouse, factory or grain elevator, or for the erection of any non -fireproof addition, for similar occupancy, to any existing building or for each such building or addition. Ninety Cents for each one thousand cubic feet or fraction thereof, in the cubical contents thereof with a minimum of $4.00. For the purpose of computing fees for building permits the cubical contents of any building or addition to a uniform height throughout by multiplying the ground area covered from a point six (6) inches below the floor line of the basement or cellar to the average height of the upper surface or to the average height of the roof surface of the main gable of a pitched roof. 2.5. For repairs or alterations to an existing structure, the fee shall be at the rate of $3,00 for each Five Hundred Dollars ($500.00)2 or fraction thereof in the cost of all proposed"work. 2.6. In no case shall the fee charged for any permit as set forth in Section 2 be less than $4.00. City of Fridley Application for Plumbing and Gas Fitting Penn it Dept. of Bldgs. Phone SA41 DESCRIPTION OF WORK Number, Kind and Location of Fixtures PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: NO. RATE TOTAL Number Fixtures ...................... Z/ x $1.50 Future Fixture Opening ................ x 1.20 $ New Fixture Old Opening .............. x 1.00 $ Catch Basin ............................ x 3.25 $ Water Heater (Up to 200,000 BTU) ...... x 2.00 $ New Ground Run Old Bldg. ............ x 3.25 $ GAS FITTING FEES: NO. RATE TOTAL 1st 3 Fixtures .......................... x $1.50 $ ° Additional Fixtures .................... x .50 $ Gas Range to 200,000 BTU .............. x 2.00 $ REPAIRS & ALTERATIONS—Refer to Code Description ................................................$ TOTAL FEE $ City of Fridley: The undersigned hereby makes application for a permit for the work herein specified, agreeing to do all work in strict accordance with the City Ordinances and ruling of the Department of Buildings, and hereby declares that all the facts and representations stated in this application are true and correct. TO De completea aoouz Estimated Cost, $ Old A�Building Permit No.6-3 a,9 Permit 1 '-1 _ ROUGH 6 - 2 fl G FINAL 4 z 2M 7-S9 Business Phone z } Z w Z leocoo Z ~ O m a_ W te Z Z aff F N WATER HTR. GAS ELEC. 3'40i3 ti 3� o° Base 1st % Y 2nd _ 3rd 4th IT TT_ • Future Connection Openings Connected with Sewer � New Fixture, Old Openings Cesspool Ej PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: NO. RATE TOTAL Number Fixtures ...................... Z/ x $1.50 Future Fixture Opening ................ x 1.20 $ New Fixture Old Opening .............. x 1.00 $ Catch Basin ............................ x 3.25 $ Water Heater (Up to 200,000 BTU) ...... x 2.00 $ New Ground Run Old Bldg. ............ x 3.25 $ GAS FITTING FEES: NO. RATE TOTAL 1st 3 Fixtures .......................... x $1.50 $ ° Additional Fixtures .................... x .50 $ Gas Range to 200,000 BTU .............. x 2.00 $ REPAIRS & ALTERATIONS—Refer to Code Description ................................................$ TOTAL FEE $ City of Fridley: The undersigned hereby makes application for a permit for the work herein specified, agreeing to do all work in strict accordance with the City Ordinances and ruling of the Department of Buildings, and hereby declares that all the facts and representations stated in this application are true and correct. TO De completea aoouz Estimated Cost, $ Old A�Building Permit No.6-3 a,9 Permit 1 '-1 _ ROUGH 6 - 2 fl G FINAL 4 z 2M 7-S9 Business Phone Appiicaim for Power Plants and Heating. Cuing, Ventilat on..Ref geration and Air Conditioning Systems and Devices PARTIAL RATE SCHEDULE GRAVITY WARM AIR: RATE TOTAL, Furnace Shell & Duct Work .......................... 8.00 $ Replacement of Furnace ............................. 5.00 $ Repairs & Alterations—up to $500.00 .................. 5.00 $ Repairs & Alterations each add. $500.00 ............... 2.50 $ MECH. WARM AIR Furnace Shell & Duct Work to 120,000 BTU ............ 8.00 $ , r each add. 60,000 BTU ..... . .................. 2.00 $ _ Replacement of Furnace ............................. §.00 $ Repairs & Alterations—up to $500.00 ...:............ 5.00 $ Repairs & Alterations each add. $500.00 ............... 2.50 $ STEAM or HOT WATER SYSTEM c, Furnace Shell & Lines—ta 400 sq. ft. EDR Steam..... . 8.00 $ Furnace Shell & Line—to 640 sq. ft. EDR Hot Water ... 8.00 $ Each add. 200 sq. ft. EDR Steam ...................... 2.50 $ Each add. 320 sq. ft. EDR Hot Water .................. 2.50 $ OIL BURNER—to 3 gal. per hour ........................ 5.00 $ over 3 gal. per hour—See Fee Schedule GAS BURNER (up to 400,000 BTU) ....................... 5.00 $ ~� GAS FITTING FEES: NO RATE TOTAL 1st 3 Fixtures ...................... x $1.50 $ Additional Fixtures ................. x .50 $ Gas Range to 200,000 BTU ........... x 2.00 $ AIR CONDITIONING $ FAN HEATING SYSTEM See Fee Schedule VENTILATING SYSTEM ALTERATIONS & REPAIRS TOTAL FFE $ ROUGH FINAL Dept. of Bldgs. Phone SU. 4-7470 Locatinn / �� ' 2'i C ✓ �/' City of Fridley: The undersigned hereby makes application for a permit for the work herein specified, agreeing to do all work in strict accordance with the City Ordinances and ruling of the Department of Buildings, and hereby declares that all the facts and representations stated in this application are true and correct. Fr/ifel Minn '' + � 19 Permit No_ -,,&/ 0 DESCRIPTION OF WORK HEATING or P,9WER PLANTS—Sleam, Hot W ,Warm Air o Trade Name_'&,Q r Size No Capacity Sq. Ft. E.D.R." BTU H.P. r Total Connected Load .2 —Kind of Fue BURNER — Trade Name Size No. Capacity Sq. Ft. E.D.R BTU H.P. (REMARKS—OVER) Signed-RAY A Y 1 EAT T. e, r1 ` j� r�i Ai-�'� ■l By 4637 CHICAGO AVE. MINNEAPOLIS 7, MINNESOTA 4 z 2M 7-59 Business Phone No ei.7-Z� Required sq. ft. E.D.R. or sq. ins. W.A. Leader area F1.11 F0 oom Lenstth "Width ,,§ 1 1"' Height –R Windows and Doors—Crackage and Area Width Height No. of Lineal ft. Area No. of pane of pane lights of crack sq. ft. Width Height I No of Lineal ft. Area No. of pane of pane lights of crack sq. ft. Fn Coef. Btu Infiltration Coef. Btu Infiltration Net exp. wall Int. wall Glass Ceiling Floor Exp. wall Net exp. wall Int. wall Ceiling e, Floor Total Btu. ke, 11, � , -d� Required sq. ft. E.D.R. or sq. ins. W.A. Leader area Required sq. ft. E.D.R. or Aq. ins., W.A. Leader area 11 F1 I Rnnm I Lenath i " Width Heiaht Windows an—d'50--ors—Crackage and Area Width Height No. of Lineal ft. Area No. of pane of pane lights of crack sq. ft. oi ry to Coef. Btu Infiltration Glass Exp. wall Net exp. wall Int. wall Ceiling Floor Total Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area f -Ir X56 9 HEAT LOSS CALCULATIONS DEPARTMENT OF BUILDINGS Weatherstrips, A.$6!�V.E. Construction No. Gide Windows I Doors Reference Out. Wall Int. Wall Ceiling Roof Floc A6s-m,--No Yes,—,No 9— F1.1 Room iLength �-,"Width z Height 11 x F1.1 Windows and Doors—Crackage and Area Width Height No. of Lineal ft. No. of pane of pane lights of crack Area sq. ft. t a Coef. Btu Infiltration Coef. Btu Coef. Btu Infiltration Coef. 1 Btu Coef. Btu Infiltration Int. wall Glass Glass Glass Glass Exp. wall Exp. wall _4 Net exp. wall Net exp. wall Net exp. wall. Net exp. wall Int. wall Ceiling Int. wall Ceiling Floor Ceiling Floor Ceiling Floor Floor Total Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area F1.1 �-!, Room I Length s,; Width 10 s z Height Windows and Doom—Crackage and Area Width Height No. of pane of pane Width Height No of Lineal ft. Area No. of pane Of pane lights of crack sq. IM t a Coef. Btu Infiltration Coef. Btu Coef. Btu Infiltration Coef. 1 Btu Infiltration Int. wall Glass Glass Glass Floor Exp. wall Exp. wall Net exp. wall Net exp. wall Int. wall Net exp. wall Int. wall Ceiling Ceiling Floor Floor Ceiling Total Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area 41.1 0 Room I Length 1", 4- Width I t Height Windows and Doors—Crackage 'and Area Width Height No. of pane of pane No f Lineal ft. Area lights of crack sq. ft. t a Coef. Btu Infiltration Coef. Btu Glass Coef. Btu Coef. 1 Btu Infiltration Int. wall zud Glass Glass Floor Exp. wall Exp. wall Net exp. wall Int. wall Net exp. wall Ceiling Int. wall Floor Total Btu. 4' -Tv L21 MINNEAPOLIS. MINN. Insulation Kind- How. Applied D__— I t ---.L , -� ��' VU.A#.L , ; - P.;o,ht Windows and Doors--Crackage and Area Width Height No. of Lineal ft. Area No. of pane or pane lights of crack sq. ft. Width Height No. of Lineal ft. Area No. of pane of pane lights of crack sq. ft. e a Coef. Btu Infiltration Coef. Btu Glass Coef. Btu Infiltration Net exp. wall Int. wall Ceiling Glass Floor Net exp. wall Exp. wall Int. wall Ceiling Net exp. wall Floor Int. wall Ceiling Floor Total Btu. I - '11` 'r Required sq. ft. E.D.R. or sq. ins. W.A. Leader area j M - 1 J;� Room I Length Width i/ Heisthtf,, Windows and Doors—Crackage and Area Width Height No. of Lineal ft. Area No. of pane or pane lights of crack sq. ft. Coef. Btu Infiltration Coef. Btu Glass Exp. wall Z/ Net exp. wall Int. wall Ceiling Floor Total Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area T R.1T-...th./,-., Width Height Windows and Doors—Crackage and Area Width Height No. ofLineal ft. Area No. of pane of pane lights of crack sq. ft. Coef. Btu Infiltration Glass Exp.wa,' Net exp. wall Int. wall Ceiling Floor Total Btu. I- 1� V—II Required sq. ft. ED.R. or sq. ins. W.A. Leader area V Required sq. ft. E.D.R. or sq. ins. W.A. Leader area (JTY OF FRIDLV INSPECTION DIV. 6431 University'fe NE Fridley, MN 554 '2-3604 Effective On January 1, 1991 APPU T r FOR PLU ING AND GAS FITTING PERMIT MARK NUMBER OF FIXTURES TO BE INSTALLED OWEACH FLOOR PLUMBING FIXTURE RATES: NO. RATE TOTAJL New Fixtures $ 7.00 Old Opening, New Fixture $ 4.00 Beer Dispenser $ 5.00 Blow Off Basin $ 7.00 Catch Basin $ 7.00 Rain Water Leader $ 7.00 Sump/Receiving Tank $ 7.00 Water Treating Appliance $10.00 Water Heater -Electric $ 7.00 Water Heater - Gas i $10.00 Gas Range $10.00 Gas Dryer $10.00 Back Flow Preventer Required ( )Yes () No Type $5.00 Reinspection Fee $30.00 ALL OTHERS AND/OR REPAIRS AND ALTERATIONS 1 % of Value of Fixture or Appliance State Surcharge $ .50 JOB ADDRESS The undersigned hereby makes application for a permit for the work herein specified agreeing to do all work in strict accordance with the city codes and rulings of the Building Division, and hereby declares that all the facts and representations stated in this application are true and correct. '1991 Owner Building Used As Estimated Cost m45D PERMIT NO. '/ PLUMBING COMPANY 2-)/-&• Z4 -z-- g`5 SIGNED BY EL N0. Approved By (W Rough -In Oate Final Date Z/ i _ 91"1 MINIMUM FEE FOR ANY PLUMBING/GAS PERMIT IS $15.00 TOTAL FEE $ QED PLUS THE $.50 STATE SURCHARGE dl- /S"S� CITY OF FRIDLEY INSPECTION DIV. Effective On January 1, 1991 6431 University Ave NE Fridley, MN 55432 APPLICATION FOR POWER PLANTS AND HEATING,, COOLING, VENTILATION, 572-3604 REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES RATE SCHEDULE Residential Rate TOTAL Furnace Shell and Duct Work, Burner - a Also Replacement Furnace $ 20.40 $ �D, Gas Piping (Nbeded with new furnace) $ 10.00 $ JOB ADD The under _ herein specified agreeing to do all work in strict accordance with the city codes and ruling of the Building Division, and hereby declares that all the facts and representations stated in this application are true and correct. Gas Range $10.00 $ BUILDING USED AS Gas Dryer $10.00 $ ESTIMATED COST PERMIT NO. "Air Conditioning - All Sizes $10.00 $16160 DESCRIPTION OF FURNACE AND OR BURNER All Others/Repairs & Alterations (LIST ON BACK) 1 % of Value of Appliance or Work $ No. of Heating ts--L Circle One (Steam) (Hot Walr arm Air) Trade me Size No. Commercial/Industrial BTU HP > EDR 1 % of Value of Appliance or Work $ Fuel Total Connected Load State Surcharge $ .50— Burner Trade Name Size No. BTU HP EDR TOTAL FEE $ ;,hmona CIA Sans Elec., Inc. dba. HEATING COMPANY n / A I I Golden Valley Htg. & Air Cd. MINIMUM FEE FOR ANY HEATING/COOLING/VENTILATION REFRIGERATION/AIR CONDITIONING PERMIT IS $15.00 PLUS THE $.50 STATE SURCHARGE REINSPECTION FEE $30.00 "Air Conditioners can not be placed in a side yard without written permission from adjoining property owner. Crystal, MN 55429 Signed By phare 0on Approved By Rough -In Date Final Date*_(t_ 1 '��_ % Z FILL OUT BACK SIDE FOR STACK VERIFICATION ON REPLACEMENT FURNACE CHIMNEY AND STACK VERIFICATION The undersigned hereby verifies that the existing chimney or stack: 1. Has been carefully examined Yes No ( ) 2. Is free from rust or deterioration Yes��)No ( ) 3. Has no foreign objects lodged within 4. Is securely supported 5. Meets all current Code requirements for size and total BTU's connecteA ��-,�U 6. Has total heating BTU's of,Fd, J All other BTU's TOTAL BTU's v �j Remarks List Alterations Being Done: Sons Elec., RIP a,�a Richmond HEATING COMPANY olden VaUe`l @{fig r 518Z 55'29 Signed By r Crystal' MH 000 Date Yes Vr No ( ) 'Yes J --r, No ( ) Yes +No ( ) SUBJECT P City of Fridley 21298 AT THE TOP OF THE TWINS BUILDING PERMIT RECEIPT NO. 6 COMMUNITY DEVELOPMENT DIV. r i PROTECTIVE INSPECTION SEC. e CITY HALL FRIDLEY 55432 NUMBER REV DATE PAGE OF APPROVED BY 612-571-3450 910-F15 4/23/92 JOB ADDRESS 187 Stonybrook Way NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED 13 7 Pearsonls Craigway Estates 2nd Addn SHEET DESCR. 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Harold/Elna Petersen. 187 Stonybrook.tfay NE 5741073 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Same 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO. 6 USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW ❑ ADDITION ❑ ALTERATION REPAIR ❑ MOVE ❑ REMOVE B DESCRIBE WORK Reroof Dwelling (28 Squares) Teak -off 9 CHANGE OF USE FROM TO STIPULATIONS Underlayment must comply with_St4Te Building Cade, TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, VENTILATING OR AIR CONDITIONING. ZONING SQ. FT. CU. FT. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT NO. DWLG. UNITS OFFSTREET PARKING ANY TIME AFTER WORK IS COMMENCED. I HEREBY CERTIFY THAT 1 HAVE READ AND EXAMINED THIS APPLICATION 1 STALLS GARAGES VALUATION SURTAX AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED $� 484 $,74 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT r PERMIT FEE SAC CHARGE DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- ,Fire SC $1,48 STRUCTION OR THE PERFORMANCE OF CONSTRUCTION, PLAN CHECK FEE TOTAL FEE $37, 22. . V� 51 NATUR OF CON TRACTOAUTHORIZEDAGENT (DATE) 1 HEN PRO RLY VA ID ED THIS IS .7R PERMIT DG INSP r)ATE SIGNATURE OF OWNER IIF OWNER BUILDERI IDATEI NEW (] Effective 3/1/92 ADDN [ ] CITY OF FRIDLEY ALTER[ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 Building Permit Application Construction Address: �0 r► c O a lz y /V E Legal Description: L 9 Owner Name & Address: ya ro I ie -1 n Rt_ Tel. # 45 2y-lv -7-3 Contractor: f) a MN LICENSE # -- Address: 1, Tel. # Attach to this application, a Certificate of Survey of the K with the proposed construction drawn on it to scale. DESCRIPTION OF IMPROVEMENT LIVING AREA: Length Width Height Sq. Ft. GARAGE AREA: Length Width Height Sq. Ft. DECK AREA: Length Width Hgt/Ground Sq. Ft. OTHER: r-� - F -®a �' l u r e — �-� c� . 0-P4 Corner Lot [ . ] Inside Lot [ ] Ft. Yd . Setback _ Type Of Construction: as d2h Q I L Approx. Completion Date: Driveway, Curb Cut Width Needed: Ft. + 6 Ft = Side Yard Setbacks Estimated Cost: $ e1�8 v Ft x $ (Cost on Back) = $ � � �� DATE: y - �- APPLICANT: �� Tel. # —5 93 Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge $ Driveway Escrow $ Park Fee $ Sewer Main Charge $ TOTAL STIPULATIONS: CITY USE ONLY Fee Schedule on Reverse Side .001 of Permit Valuation (1/10th%) $.50/$1,000 Valuation $700 per SAC Unit $5.00. (State Licensed Residential Contractors) Alt. "A" or Alt. "B" Above Fee Determined by Engineering Agreement Necessary [ ] Not Necessary ( ] BUILDING PERMIT FEE SCHEDULE The Chief Building Official shall, before issuing permits for the erection of any building or structure, or for any addition to any existing building or structure, or for any alteration or repair to any existing building or structure, upon application therefore, require the payment by the applicant for such permit of fees to the amount herein below set forth and in the manner herein provided to -wit: TOTAL VALUE FEES $1 to $500 $15 (Minimum Fee is $15 plus surcharge) $501 to $2,000 $15 for fust $500 plus $2 for each additional $100 or fraction thereof, to and including $2,000 $2,001 to $25,000 $45 for first $2,000 plus $9 for each additional $1,000 or fraction thereof, to and - including $25,000 $25,001 to $50,000 $252 for first $25,000 plus $0.50for each additional $1;000 or fraction thereof, to and including $50,000 $50,001 to $100,000 $414.50 for first $50,00 plus $4.50 for each additional $1,000 or fraction thereof, to and including $100,000 $100,001 to $500,000 .$639.50 for first $100,000 plus $3.50 for each additional $1,000 or fraction thereof, to and including $500,000 $500,001 to $1,000,000 $2039.50 for the first $500,000 plus $3 for each additional $1,000 or fraction thereof, to and including $1,000,000 $19000,001- and- up - -.-$3539.50- for the first $1,000,000 plus $2 for each additional $1,000 or fraction thereof DRIVEWAY DEPRESSION ESCROW (Concrete Curb Streets Only) Alternate "A": Removal and replacement of curb and gutter only - Driveway width plus 6 feet times $13.50. Alternate "B": Removal and replacement of curb and gutter and install a 3 foot wide approach with 6 inch depth - Driveway width plus 6 feet times $15.75. VERIFICATION OF FOUNDATION Permits for construction will be issued a minimum of 24 hours from the time of application to allow for proper review of the proposed structure and of the construction site. A Certificate of Survey of the lot, showing the location of the foundation once it has it has been constructed will be required before proceeding with the framing. SEP -20-2005 1010? CITY OF FRIDLEY P. n .. _ W0S v,'7vo-I P Building BUILDING Permit No.N..— Inspections RESIDENTIAL APPLICATION Receit.ea B763-572-3604 Surcharge CITY CII+' F=LEY Date Recd DATE Q YOUR E-MAIL ADDRESS C5 .001 x Permit Valuation (1110"/0) SITE ADDRESS 8't i'UUK. t6NX $5,00 (State Licensed Residential Contractors) THIS APPLICANT IS: O OWNER '1 0MRACTOR $1450 per SAC Unit (Plans to MWCC for determination) PROPERTY OWNER/ NAME: 0o _ __ft + 6 ft - ft x $20 = $ TENANT iTY L 0Z55 (34 Park Fee ADDP.ESS: /� V -v ___STA Sewer Main Charge $ Agreement necessary.( ) Non Necessary ( ) CONTRACTOR NAMH: n Q K Make checks Aayable to: City of rridley Attach Stipulations STATE LICENSE N O `i Sta(o EXP DATE ( �IP S`� 3 SUBMIT A COPY OF YOUR STATE LICENSE ADDR SS' Sir) 3 � Ci r/`E' Ili (iV GtTY STA WITH APPLICATION p p Q FAX (o PROPERTY TYPE _aSINGIX AMnY CONSTRUC77ON S O TWO FAMILYA-MW 5pNSTRUCTION STORIES PERMIT TYPE 0 ADDITION ARA11WSHED O WINDOWS O BASEMENT FINISH OOF 0 DRAIN TILE 0 DECK O SIDiNO O OTHER ❑ SWA4MING POOL TYPE OF WORK: 0 NEW Q � �I n o ' jkMaMANCEIREPAIR O REMODELING T� 2i DESCRIBE WORK BEING DONE: O A SIZE OF IMPROVEMENT 3J SQ LENGTH WIDTH HEIGHT Sq. Ft. Roo O USE ONLY NUMBER OF SQUARES _� a OUSE & GARAGE �TTACHED a SBm 1. NT RPA40DELING$UU3Wr: Existing Floor Plan GARAGES GARAGE 2, Proposed floor plan PROPOSED SIZE: ❑ DfiTACHBD GARAGb 3. Lest of awcneral members to be used PROPOSED HEIGHT: SIDING FOR NEW CONSTRUCTION INCLUDING DECKS, * Vinyl ❑ Aluminum OSotilt O Trim A Dry 1TION$ 1. & PORCHES SUR IL Site Pl USurvey showing the existing structures ❑ Other ❑ fascia and proposed proica, 2. Two sets of construction plans WINDOWS IN EXISTING OPENINGS OYes ONo LOCATION OF WINDOWS 3. Energy Calculations OR FOR NEW OPENINGS -DESCRIBE SIT.>; OF OPENING CHANOFS & TYPE OF WINDOW TO BE INSTALLED NIAvMER OF WINDOWS ALLIED E BASED ON VALUATION, INCLUDING THE COST OF LABOR AND MATERIALS; (USING THE 1997 U &C FEE SCHEDULE) TOTAL JOB VALUATION S Cn_ 17 ACS. w OCCUPANCY TYPE Permit Fee $��S See Back Page for Fee Schedule Plan Review $ 65% of Building Permit Fee Surcharge $ (.0005) times the total Job valuation - Minimum $.50 Fire Surcharge $ .001 x Permit Valuation (1110"/0) License Surcharge $ , 00 $5,00 (State Licensed Residential Contractors) SAC Charge S $1450 per SAC Unit (Plans to MWCC for determination) Curb Cut Escrow $ _ __ft + 6 ft - ft x $20 = $ Erosion Control $ $450 Conservation Plan Review Park Fee $ Fee Determined by Engineering Sewer Main Charge $ Agreement necessary.( ) Non Necessary ( ) Total Due h /087/21 /y._ Make checks Aayable to: City of rridley Attach Stipulations THIS IS AN APPLICATION FOR A PERMIT -NOT VALID UNTIL PROCESSED I hereby apply for a building permit and I acknowledge that the information above is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Fridley and with the Minnesota Construction Codes; that I understand this is not a permit but only an application for a permit and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of all work wbi re uires review and a Val of plans. /� ��.} Ol SIGNATURE OF APPLICANT 1�/� PRINTNAME U' 0j_V `� W +/1 SkkDATE ,tom � .�i.✓iw��.�eitir..r 9Z99£6VC9L XVA 90:TT 9002/OZ/60 CITY OF FRIDLEY PERMIT NO.: 2004-00611 6431 UNIVERSITY AVENUE NE FRIDLEY, MN 55432 DATE ISSUED: 05/12/2004 572-3604 FAX: ( 763) 571-1287 ADDRESS : 187 STONYBROOK WAY NE PIN : 033024430038 LEGAL DESC : PEARSONS CRAIGWAY ESTATES 2 : LOT 13 BLOCK 7 PERMIT TYPE : ELECTRICAL PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ADDITION/ALTERATION VALUATION NOTE: ELECTRICAL PERMIT BECOMES VOID 12 MONTHS AFTER PERMIT ISSUE DATE. BURY ELECTRICAL LINE APPLICANT DELP KIRSTIN A & DONALD R JR 187 STONYBROOK WAY NE FRIDLEY, MN 55432 C41=I D1:7 DELP KIRSTIN A & DONALD R JR 187 STONYBROOK WAY NE FRIDLEY, MN 55432 ELECTRIC FORM FEE ELEC AMP SERVICE FEE STATE SURCHARGE, ELEC FLAT TOTAL AGREEMENT AND SWORN STATEMENT This permit becomes null and void if work or construction authorized is not commenced witin 60 days or if construction or work is suspended or abandoned for a period of 120 days at any time after work is commenced. I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this type of worl will be complied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any other state or local law regulating construction or the performance of construction. Applicant Date Bldg Insp. Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. 1.00 30.00 0.50 31.50