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PRE 2010 DOCSRec. No. 45699 City of Fridley, Minn. No 10085 BUILDING PERMIT .W' K=Qel S. Brzen= Builder Same ... �...,. AddrAddress ess - No. X60 _— Street Stonayhrook 1pj _ _ Part of Lot Lot ._._5______.__ Block R Addition or Sub -Division Pearsons Crary 2nd add._ Corner Lot ._ Inside Lot —X Setback Sideyard 2-61 & 121 Sewer Elevation —$36.14 Im 131MINK MWMn, 839.1 Top of footing DESCRIPTION OF BUILDING To be Used as: Dwelling Front 481 _ _ Depth 27 t Height 2O f Sq. Ft 1296 Cu. Ft 25.92 Front 22! Depth 247 Height _ 1 Q___ Sq. Ft 52$_ _ Cu. Ft 5280 Type of Construction _ _Frame Est Cost u,SIQ,IQO _ To be Completed ,May 1969 SEWER LOCATION: 2161 N.E. of Manhole in Alden Way WATER ]LOCATION: 220E N.E. of Manhole 101 N.E. of Sewer 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 abov . set forth and in compliance with all provisions of ordinances of the city of Fridley. „ ® A,-) In consideration of the payment of a fee of $--32—�00. ____ , permit is hereby granted to Marcel Brenn 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 uponviolation of the provisions of said ordinances. CE BELISLE NOTICE: This penult does not Cover the ConstreCtioe, installation for wiring, plumbing, gas heating, sewer or water. Be sure to see the Building Inspector for separate permits for these items. ys��✓ APPLICATION FOR BUILDING PERMIT ITY OF FRIDLEY, MINNESOTA SEWER ELEVATION % TOP OF FOOTING - Applicant attach to this form. Two Certificates of Survey of Lot and proposed building location, drag on theso Certificates. DESCR.ITT_iON OF BUILDING. To Be Used As I a/ a Front IIS Depth �% - U Height--� - ` square feet fa% Cubic Feet�� Front 2 1 - 0 Depth 2 L ,- Height Z - Square feet�� Cubic Feat �-2 1 G Type of Construction 1' Estimated Cost To Be Completed / The undersigned hereby makes application for a permit for the work herein specified, agreeing to do all work in strict accordance with the City of Fridley Ordinances and rulings of the Department of Buildings, and hereby declares that all the facts and representations stated in this application are true and correct. c DATESIGNATURE�L�� (Schedule of Fee Costs can be found on the Reverse Side.) A f I BUILDING PERMIT FEE SCIMULE SECTION 2. The Inspector of Buildings shall, before issuing permits for the erection of any building or structure, or for any addition to any existing structure or building, or for any alteration 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 manner herein provided to -wit - Uniform Building Code: Type 1, 2, & 4 ® $1.75 for each one thousand cubic feet, or fraction thereof, in such cubical contents. Type 3 & 5 $1.50 for each one thousand cubic feet. 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 the 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. For repairs or alterations to an existing structure, the fee shall be at the rate of $3.00 per each five hundred dollars ($500.00) or fraction thereof in the cost of all proposed work. In no case shall the fee charged for any permit as set forth in Section 2 be less than $50000 NSSSD Connection Charges based on location - Area 1 or 2. 1_. Application toower plants and Heating. Cooling, Ventilation, ReFrigeration and - Air Conditioning Systems and Devices PARTIAL RATE SC RULE Dept. of Bldgs. Phone 560-3450 GRAVITY WARM AIR: RATE TOTAL Furnace Shell & Duct Work ................. .........$10.00 $ Replacement of Furnace ................... ......... 6.00 $ Repairs & Alterations—up to $500.00 ........ ......... 6.00 $ Repairs & Alterations each add. $500.00 ..\ .. ......... 3.00 $ MECH. WARM AIR Furnace Shell & Duct Work to 120,000 B4U .. ......... $10.00 $ each add. 60,000 BTU ............. ......... 3.00 $ Replacement of Furnace ................... ......... 6.00 $ Repairs & Alterations—up to $500.00 ................. 6.00 $ Repairs & Alterations each add. $500.00 .............. 3.00 $ STEAM or HOT WATER SYSTEM Furnace Shell & Lines—to 400 sq. ft. EDR Steam ...... $10.00 $ Furnace Shell & Line—to 640 sq. ft. EDR Hot Water ... 10.00 $ Each add. 200 sq. ft. EDR Steam ...................... 3.00 $ Each add. 320 sq. ft. EDR Hot Water .................. 3.00 $ OIL BURNER—to 3 gal, per hour 6.00 $ over 3 gal. per hour—See Fee Schedule GAS BURNER (up to 199,000 BTU) ....................... 5.00 $ over 199,000 BTU See Fee Schedule GAS FITTING FEES: NO RATE TL 1st 3 Fixtures ...................... x$ 2.00 $ Additional Fixtures ................. x .75 $ Gas Range to 199,000 ........... x$ 5.00 $ AIR CONDITIONING FAN HEATING SYSTEM VENTILATING SYSTEM ALTERATIONS & REPAIRS ROUGH FINAL WIP $ See Fee Schedule TOTAL FEE $ City of Fridley: The undersigned hereby makes application for a permit for the work hereir. 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. .AA Fridjq, Minn 1 Owner Kind of Building Used as To be completed about a Estimated Cost, $ Zle�- a Old ew. Building Permit No. T' 9 7 Permit No. 10, ®� $ DESCRIPTION OF WORN HEATING or POWER PIJUM-Steam, Hot Water Warm Air No Trade Name 4A�' Size No - Capacity Sq. Ft. E.D.ft .��d, IZ7BTU H.P. Total Connected Load ----- Kind of Fuel - BURNER — Trade Name- Size No Capacity. Sq. Ft. E.D.R e��&4BTU H.P. Y N. WELTER HEATING CD 4637 CHICAGO AVE. 306110 7- Mi"IENOTA 4E Business Phone No--� (REMARKS—OVER) HOUSE EATING TEST RECORD ADDRESS ® ® APT. 01 OOR d Cl SUBURB OCCUPANT OWNER HEAT LOSS ;DATE HTG. INST. GAS CO. METER BADG SOLD BY INSTALLED BY ZZ Electrical Work By Gas Line By TYPE OF HEAT GA FA HW STEAM SPACE HTR. UNIT HTR. OTHER GAS SIG CONVERSION MAKE MAKE OF BURNER Model Model Serial � '"' S Max. BTU Rating INPUT - MAKE OF FURNACE Model CONTROLS THERMOSTAT �at Plug Vent Size Valve — KIND OF LINER ZE NONE Limit— Draft HoodRegularor �Numb Limit Setting Filters Size or Fan Setting / j?,q =.Z'0s- Chimney Location Inside Outside Pilot Type �- Chimney Construction Pilot Make , Pilot Model a- Smoke Bomb Wiring Pilot Timing Draft „P'V Test Tag L.W. Cut Off AP 0 AD r Pressure Lighting Inst. Pressure 2— P C ®Date Tested s s ent Input CFH r �An_ a soynpany Testing Stack Temp. Percent CO 40 dO Name of Tester Form 235 Room I Length Windows and Doors— Crackago andArea No. 08 le of Vs.. 16ghte Of crack sq. CL Calif. Btu Infiltration CUSS FAp. wall kW Net exp. wall Int. wall Ceiling --777 -77 Floor Required sq. ft. E.D.R. or sq. ins. VJL Leader am Total Btu. Windows an ra Se and Area Required sq. ft. E.D.R. or sq. ins. VA Leader --- N, a. Y, F1.1 4 Room WidthJug Heiaht d Windo and Doom—Craekage and Area wlath Height No. of Lined M Area No. of ptne Of PAnO lights of craek a®• ft 0.0. 218 I; CO*f. Btu Glass Exp. wan Net exp!, Wan kW Int. wan Floor Total Btu.— Required sq. ft. E.D.R. or sq. ins. VJL Leader am SIP" I 0 Hi� 1 F1.1 4' Room JLenI V111M Windows an ra Se and Area --- N, a. width e 14 t pane eight No. of of pane lights Mama CL Ansa 89 Crack on. ft. V7, —Fnfi-i-t COCE Btu lation Ew',' wan Net exp. wan Int.;wan —CeilingFloor Total Btu Required sq. ft. E.DJ.t or sq. ins. W.A. Leader area 0.0. 218 I; LOSS CALCULATIONS �,.LNo 11 19 A., Rnn DEPARTMMT OF BUILDINGS 417 Construction No. Insulation Out. Wall Int. Wall Ceiling Roof Floor Kind How Ir_7-7, F' -Width W44,6ht RR 0- 1 dr -Fl R.. I I en.th It 'Width Windows and Doors--Crackige and Area Height 9 of pane O's Width Height No. of pane < of pane No, Width Height No. of Lineal ft. Area of pane of pane lights of crack sq. ft. No. of Lineal It. lights of crack eo mm D4 214, V L j Coef. Btu Infiltration Btu Infiltration. Glass 3? Glass Glass Btu Coef. 4P FAp. wall Glass K Glass Net exp. wall Int. wall Net exp. wall Int. wall _77, Glass Ceiling.. Int. wall Ceiling Floor Ceiling Exp. wall Floor, Total. Btu. Floor Required sq. ft. E.D.R., or sq. ins. W.A. Leader area Required sq. ft. E.D.R. or sq. ins. W.A. Leader aria -I otal Btu. 140 &Y TV Required sq. ft. E.D.R. or sq. ' s. W.A. Leader area 'FII , , J> Room I Length A � Width 11 IV '='Heiaht R Windows and Doom—Crackage and Area Height 9 of pane O's Width Height No. of pane < of pane No. ofl, Lineal ft. lights;; of crack Area sq. ft. No. of Lineal It. lights of crack Area eq. ft mm V j Btu Infiltration Coef. Btu Infiltration. Glass 3? o Glass Btu Coef. Btu Exp. wall Glass K Glass Net exp. wall Int. wall Exp. wall ",7 Net exp. wall _77, Glass Ceiling.. Int. wall Floor Ceiling Exp. wall 1Y, Total. Btu. Floor Required sq. ft. E.D.R., or sq. ins. W.A. Leader area Required sq. ft. E.D.R. or sq. ins. W.A. Leader aria / hl I E;� "',' ' fll Rom I Lenitth,/b ' Width .7 � Heiaht X ''- Width N 0. of pane Height 9 of pane O's Lineal ft. ofcrack Area, sq. ft. Width Height of ane of pane No. of Lineal It. lights of crack Area eq. ft mm V j Btu Infiltration Glass Coef. Btu Infiltration it Btu Coef. Btu Infiltration Glass K Glass Exp. wall ",7 Net exp. wall Glass Int. wall Ceiling Exp. wall 1Y, Floor Int. wall Required sq. ft. E.D.R. or sq. ins. W.A. Leader aria Net exp. wall Total Btu. Required sq. ft. E.D.R. or, sq.{�ins. W.A. Leader area -V ,Z',' r; R14eiaht 2'� Windows and Dbors—Crackage and Area -A ..A Axp� Area -sq. ft. No. Width Height of ane of pane No. of Lineal It. lights of crack Area eq. ft V Coef. Btu Infiltration Glass Coef. Btu Coef. Btu Infiltration Net exp. wall K Glass Int.� I wal Glass Exp. wall Ceiling Net expe wall Exp. wall 1Y, Total Btu. Int. wall Required sq. ft. E.D.R. or sq. ins. W.A. Leader aria Net exp. wall Ceiling Int. wall Ceiling 1-177 (7 Floor7 Total Btu. 4 Required sq. ft. E.D.R. or sq. ins. W.A. Leader area I Fl.1 A?14- -,4 Room I Length 16, `Width/Height Windows and Doors—Zrackage and Area -A ..A Axp� Area -sq. ft. Width N No. of pane Height No. of Ofpmne lights Lineal ft. of crack Area' sq . ft. V Coef. Btu Infiltration Glass Coef. Btu Infiltration Net exp. wall K Glass Int.� I wal Exp. wall Ceiling Net expe wall :2 Total Btu. Int. wall Required sq. ft. E.D.R. or sq. ins. W.A. Leader aria Ceiling Floor 1-177 (7 Total Btu. . J -r 4� Required sq. ft. ED.R. or sq. ins. W.A. Leader area FL1 7 Room I Lenstth ]? Width — HeightPF� -A ..A Axp� Area -sq. ft. No. Width Right No f Lineal ft. of pane Of Pans 11W of crank Coef. Btu Infiltration Glass Exp. wall Net exp. wall Int.� I wal Ceiling Floor :2 Total Btu. Ili 1;V Required sq. ft. E.D.R. or sq. ins. W.A. Leader aria Original PERMIT for Power P ants and Heafing, Cool- ing, Ventilation, Refrigeration and /fir Conditioning Systems and Devices DESCRIPTION OF WORK No. of__ Heating Plants to be(anstalle tered—repaired Make Oil fired ; Coal fired ; Gas fired 'f::j ; Gas Authorization No. Remarks J 1a:e Approved QL- Final Inspection Date , 19_ Inspector Permit N9 4397 Fee Office of the Inspector of Buildings City of Fridley City of Fridley, Minn. oil , 19 -4 -7 - Owner GAO Location �y Kind of Building. - How Occupied�� Work to be Commenced 19-4 To be Completed &" A ® ,19LI Estimated Cost, $ % 6V • �, Old -New, Building Permit No. 1_C) 9 TA Permission is hereby granted to `- ' o to install—erect—use the material and devices described in the above statement. This permit is granted upon the express condition thaf the person to whom it is granted, and his agents, employees and workmen, in all the work done and materials used under this permit, and in the operation of the devices herein mentioned shall conform in all respects to the ordinances of the City of Fridley relating to or governing the work to be done and the operation of the devices herein named, and to the speci&ations set forth in the approved application for this permit on file in the office of the Inspector of Buildings. ��e4� .., , Inspector of Buildings Original Permit for FEUMBING AND GAS FITTING � zr N.B. When work covered by this permit is ready, the Plumbing Ordinance requires that request for Permit inspection shall be phoned in to the plumbing Inspector, 560-3150 giving number of this permit., Feed e -o DESCRIPTION OF WORK Number, Kind and Location of Fixtures City of Fridley' ,19 z. .�tOTle3 W W F 6 Z .. .. •_wx F M 2 IO Y T O G Q X F' z w O K Z i Z F Tv Z M N d W WATER HTR. GAS ELEC. O Q J R' Q 7 N 6 Z Q K - 7 M O T 0 Q J K W Q Q Q 0 % W '¢ 4 W 2 Q Q U 7 O F m N 3 H 0 4. N LL O U m X J $ LL 0 Q t9 W Basement I 1st 2nd 3rd 4th Connected with Sewer -Cesspool Gas Piping for ' Openings Permission is hereby granted T to do the plumbing and gas fitting in the building described in the statement hereA attached, upon the express condition that the person to whom this permit is granted, and his agents, employees and workmen, in the plumbing or gas fitting of said building shall conform in all respects to ordinances of the City of Fridley, and this permit may be revoked at any time upon the violation of any of the provisions of said ordinances. By Order Of The Inspector Of Buildings Roughing in Inspection Date Inspector. Final Inspection Date Inspector. Owner 7� Location .3(", Z 1 Kind of Building Used as To be Completed ��L--� ® , 19_" Estimated Cost Old -New. Building Permit No. _ � 0 Ca 97 Inspector of Buildings. M/ SUBJECT PE City of Fridley a 15 4 0 5 AT THE TOP OF THE TWINS B U I L D I N G P E RMIT �. EIPT N L ....... COMMUNITY DEVELOPMENT DIV. a -lf"7 1 PROTECTIVE INSPECTION SEC. (o 1 i NUMBER REV. DATE PAGE OF APPROVED BY = "1 CITY HALL FRIDLEY 55432 612-571-3450 910-F15 8 20/79 JOB ADDRESS 260 Stonybrook Way N. E. 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 5 8 1 Pearson's . Craigway Estates 2nd SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Marcel Brenny 260 Stonybrook Way N.E. 571-0154 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 x 8 DESCRIBE WORK Construct a 121 x 23'6"aadd''-on-to -on-to Garage 9 CHANGE OF USE FROM TO STIPULATIONS Provide a hard surface.driveway. sEPERATE PERMITS REQUIRED FOR WIRMiG. HEATING, PLUMBING AND SIGNS, low, Bet" d1gong Cal 4tt% • "' TELEPHOE - ELEClRIC W 0r-QujRLi.d 5.0 TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, VENTILATING OR AIR CONDITIONING. Wood Frame THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING SQ. FT. CU. FT. AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT 282 2820 ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS OFFSTREET PARKING I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION ] 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 $2,360 $1.18 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT 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- STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. PLAN CHECK FEE TOTAL FEE $12.46 SIGNATUREOFC TRAC AUTH ORIZED AGENT (DATE) . iNHEN PROPERLY VALIDATED THIP IS YOUR PERMIT /Z 4914 BLDG INSP DAT S14NATURF OF OWNER IIF OWNER BUILDER) (DATE) M/ OWNER: ADDRESS TEL NO :-- CITY OF FRIDLEY APPLICATION FOR RESIDENTIAL BUILDING PERMITS (New, Alterations, Additions, or Repairs) - BUILDER: ADDRESS: TEL NO: Construction Location • STREET NO: 6 STREET: LOT: BLOCK: ADDI ION: Corner Lot: Inside Lot: k_� Setback: Sideyards: Applicant attach to this form two Certificates of Survey of lot and proposed building location drawn on certificates to scale. DESCRIPTION OF CONSTRUCTION ads�e Depth: ;'� �.r ,Height: Front: Square. Feet ----910 ____ Cubic Feet: �� J Front: Square -Feet: Depth: Height: Cubic Feet: Type of Construction: To Be onmpleted: 0. Estimated Cost: $ Alt. A Alt. B Proposed Driveway Width If New Opening Is Desired: _ - $ $' SEE REVERSE SIDE OF SHEET The undersigned hereby makes application for a permit for the work herein specified, agreeing to do all work in strict accordance with the City of Fridley Ordinances and rulings of the Department of Buildings, and hereby declares that all the facts and representations stated in this applic,P&ion are�true and correct. j 11-1 DATE : _ -a-2-7- SIGNATURE: Stipulations: BUILDI14G PER141T FEE SCHEDULE - SECTION 2. The Inspector of i3uildings 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 repairs 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: NEW CONSTRUCTION: Single lamily.Homes and Garages: $4.00/11000 cubic feet. PLAN CHECK: 25 percent of building permit fee. DRIVEWAY DEPRESSION: (Concrete•Curb Streets Only) • Alternate A: Removal and replacement of concrete curb and gutter only; Driveway width plus 6 feet x $15.75 Alternate B: Removal and replacement of concrete curb and gutter and install a 3 foot wide approach with 6 inch depth; Driveway width plus 6 feet x $17.85 _ADDITIONAL INFORMATION For the purpose of computing fees for building permits, the cubical contents of any building or addition, is determined by multiplying the ground area covered from a point six (6) inches below the floor line of the basement or the cellar to the average heights of the upper surface or to the average height of the roof surface of the main gable of a pitched roof. ° For repairs or alterations to an existing structure, the fee shall be at the rate of $3.00 per each five hundred dollars -($500.00) or fraction thereof in the cost of all proposed work. In -no case shall the fee charged for any permit as set forth in Section 2 be less than $7.50 plus $.50 state surcharge. NOTE: Permits for construction will be issjued 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 been constructed will be required before proceeding with the framing. Application for a Certificate of Occupancy shall be made ten (10) days prior to the , use or occupancy of any structure for which a building permit has been issued; and said structure shall not be used or occupied until a Certificate of Occupancy has been issued. Building BUILDING Permit No.: Inspections RESIDENTIAL APPLICATION Received By. 763-572-3604 CITY OF FRIDLEY Dat 'd: IIIa'LUU8 763-502-4977 FAX EFFECTIVE 1-1-08 DATE—/ -- YOU E-MAIL ADDRESS SITE ADDRESS THIS APPLICANT IS: E03 OWNER ONTRACTOR PROPERTY OWNER/ NAME: ADDRESS: J 4 ® CIT STATE ZIP TENANT PHONE:�74,°� NAME: ez ADDRESS: CITY STATE ZIP CONTRACTOR SUBMIT A COPY OF PHONE FAX YOUR STATE LICENSE STATE LICENSE # EXP DATE PROPERTY TYPE SINGLE FAMILYMW CONSTRUCTION SIZE TWO FAMILYINEW CONSTRUCTION STORIES PERMIT TYPE ❑ ADDITION ❑ GARAGE/SHED ❑ WINDOWS FINISH ❑ ROOF ❑ DRAIN TILE _-013ASEMENT DECK ❑ SIDING ❑ OTHER ❑ SWIMMING POOL TYPE OF WORK: ❑ NEW HOME CONSTRUCTION ❑ ADDITION MAINTENANCE/REPAIR � ❑ REMODELING DESCRIBE WORK BEING DONE: SIZE OF IMPROVEMENT LENGTH r� WIDTH �� r� HEIGHT SOFT ROOFING ❑ HOUSE ONLY BASEMENT REMODELING SUBMIT: NUMBER OF SQUARES ❑ HOUSE & GARAGE 1. Existing Floor Plan GARAGES ❑ ATTACHED GARAGE 2. Proposed floor plan PROPOSED SIZE: ❑ DETACHED GARAGE 3. List of structural members to be used PROPOSED HEIGHT: FOR NEW CONSTRUCTION INCLUDING DECKS, SIDING ADDITIONS & PORCHES SUBMIT: ❑ Vinyl ❑Soffit 1. Site Plan/Survey showing the existing structures ❑ Aluminum ❑ Trim and proposed project. ❑ Other ❑ Fascia 2. Two sets of construction plans WINDOWS 3. Energy Calculations IN EXISTING OPENINGS ❑Yes ONo LOCATION OF WINDOWS OR FOR NEW OPENINGS -DESCRIBE SIZE OF OPENING CHANGES & TYPE OF WINDOW TO BE INSTALLED NUMBER OF WINDOWS ALL FEES ARE BASED ON VALUATION, INCLUDING THE COST OF LABOR AND MATERIALS: SING HE 1997 UBC FEE SCHEDULE) TOTAL JOB VALUATION $ Z2 3 J4 9 f OCCUPANCY TYPE Permit Fee Plan Review Fire Surcharge Surcharge License Surcharge SAC Charge Curb Cut Escrow Erosion Control Park Fee Sewer Main Charge Total Due $ See Back Page for Fee Schedule $ 65% of Building Permit Fee $ 2 - -D 4 .001 times the total job valuation $ )_ s .0005 x Permit Valuation Minimum $.50 $ $5.00 (State Licensed Residential Contractors) $ $1825 per SAC Unit (Plans to MWCC for determination) $ ft+6ft= ftx$21=$ $ $450 Conservation Plan Review $ Fee Determined by Engineering $ Agreement necessary ( ) Non Necessary ( ) $$ H Make checks payable to: City of Fridley Attach THIS IS AN APPLICATION FOR A PERMIT -NOT VALID UNTIL PROCESSED I hereby apply for a building permit and I acknowledge that the information above is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Fridley and with the Minnesota Construction Codes; that I understand this is not a permit but only an application for a permit and work is not to start without a permit on site; that the will be in a&fdarRe with the approved plan in the case of all work which requires review and approval of plans. o � SIGNATURE OF NAME DA' Page 2 - Building Residential Application BUILDING PERMIT FEE SCHEDULE The Chief Building Official shall, before issuing permits for the erection of any building or structure, or for any addition to any existing building or structure, or for any alteration or repair to any existing building or structure, upon application therefore, require the payment by the applicant for such permit of fees to the amount herein below set forth and in the manner herein provided to -wit: TOTAL VALUE FEES $1 to $500 $23.50 (Minimum Fee is $23.50 plus surcharge) $501 to $2,000 $23,50 for 1' $500 plus $3.05 for each additional $100 or fraction, to and including $2,000 $2,001 to $25,000 $69.25 for 1' $2,000 plus $14 for each additional $1,000 or fraction, to and including $$25,000 $25,001 to $50,000 $391.25 for 1' $25,000 plus $10.10 for each additional $1,000 or fraction, to and including $50,000 $50,001 to $100,000 $643.75 for 1" $50,000 plus $7 for each additional $1,000 or fraction to and including $100,000 $100,001 to $500,000 $993.75 for I' $100,000 plus $5.60 for each additional $1,000 or fraction to and including $500,000 $500,001 to $1,000,000 $3,233.75 for the 1' $500,000 plus $4.75 for each additional $1,000 or fraction to and including $1,000,000 $1,000,001 and up $5,608.75 for the I' $1,000,000 plus $3.15 for each additional $1,000 or fraction 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 proposed structure and of the construction site. A Certificate of Survey of the lot, showing the location of the existing foundation will be required before proceeding with the framing. New Houses Only City of Fridley Building Inspections Department 6431 University Avenue NE Fridley, MN 55432 763-572-3604 Fax: 763-502-4977 poll':- �,f _ , ... .� Qwn OWN lk WM ..... ... ... ✓ J ft.u•"'� 'fir � . AN 0 a d t t�R t �J `"bQireF SOILS TES-tI G 8 i8,, xk. AV NUE N. 4iMMEA-POL14 °fit., MINN. ,.: KSVIC !' z 9'fP li+ hiC AtP fEd v. i +4y Z i \ - �°a, Ey I y � y '�`� ,WWI vrFI � �I S � ! t !"� m1mr Alfa / R mT J A 16 .n. , t1 Y 1. .!r• �: ,. 1 wool] J p ! fL 4; k n v � t MA �y N y <h4 b yi � % } 8 'E5TAT h�VLi / •6 T Rte' �� 1. 66nkk�� j! . "�rb�`t n atYc a°"'• I�'�',�t,, }} '�Yt f �{ I 1 t ! � t %Avt +l 05 14 tbum � Owl, f i 5'wr�� +l�" • a 'f�iii&Kfi �7 i�Y.i 11�r9�!}u�`:�4}i ti is O oldbs v j^('� DWI �imki . 4k �f' 'W� - 1\.�11�.V.' :: "�1+'Vf ::1 (, '• i a h k I 1 �• Y 3 \ f sR :.i w t a r&J �W r '• Mfr! � �/ v '� !:, sl •�r.,'e N'" S"�.+µ^'s�`k4 3R f -o $ ;�''ti !�t � r�`s.� ti;----�, � �' � ��1+>�'l �`�' k% � � ; „�'' !Tr a �ya� ��'t aw psi 3�a }� � a ��a,; , �.� .� '��s� �� a. e•• � �• :,� � � � � �., .�.,Fz�Y .,, �. �i,;c�, ,a�df� .. : �Ir �� `,.vc � ry,.u�'�. .. fa`� .u� f �)sS•., �.,