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PRE 2010 DOCSVl�age of 'M' lle , Minn. i ��7IGDING P]F� 8 I e ®fee of INSPEOMB Or, 9UIIMMOS i owner 6'9,, 4^ �*�` � it Architect 'T'rid?ey, Minn.; Builder �^ LOCATION OF BUILDING No. Street' -Part , of Lot Lot Block Addition or Sub-Division ri DESCRIPTION OF BUILDING i[ Front—Y-0 Dept Height Stories Manner of Cons d40 To be used as To be completed Estimated Coag> r e'222 I. Permit is herebyted to G, to the building described in the above statement. This permit is granted upon the express co dition that the person to whom it is 'granted, and his agents, ,employees and workmen, in all the work done in, and and upon said building, or any part thereof, shall cordbrm in all respects to the ordi- nances of Fridley, regarding the construction, alteration, maintenance, repair and moving of buildings within the city ],mit d this permit may be revoked at any time upon violation,, of any of the provisions of said ordinances. Ago Tn pector of Buildings. AGREEMENT AND SWORN `STATEMENT In considera on of the issue and delivery to me by the gnspector of Buildings of Fridley of the above permit I hereby agree to do the proposed work in accordance with the description above set forth d according to the provisions of the ordinances of Findley, and, being first duly sworn, I hereby s to and say that the facts stated by me and contained in the above permit are true as therein s ted. j Subscribed and orn to before me at Fridley, Minnesota, this '.D. 19 day o t" - -�, City of Fridley, Minn. BUILDING PERMIT N?5 �. 8 9 Date: _ ...» Owner: r " Builder - _- �•--.-••• Address _ __.— Address _ --- - --- - LOCATION OF,BUILDING NO- -�14,1-14a Street , �a ._. _Parf of Ant. Lot _. , _ Block-_ Addition or Sub -Division --- Corner Lot . ._...�.. Inside Lot . _ _ 19ftback�* ideyard Sewer Elevation __ _ Fo",tion Elevation DESCRIPTION OF BUILDING To be Used as: At! ..__ Front ___:. °Depth Height -- Sq. Ft. 4Cu. Ft ......... ............. ..... Front Depth Height Sq. Ft. Cu. Ft Type of Construction Fit - 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. f In consideration of the payment of a fee of $4__� "� 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 violation of any of the provisions of said ordinances. NOTICE: This permit does not cover the construction, installation for wiring, plumbing, ,gas beating, sewer or water. Be sure to see the Building Inspector for separate permits for these hems. 4 APPLICATION FOR BUILDING PERMIT CITY OF FRIDLEY, MINNESOTA LOCATION OF BUILDING e No. Street ,�,��-� is�:_,._. Part of Lot Lot Block Addition or Subdivision Corner Lot Inside Lot j,� Setback Side -Yard SEWER ELEVATION FOUNDATION ELEVATION. Applicant attach to this form Certificate of Survey of Lot and proposed building location. To be used as: DESCRIPTION OF BUILDING DeAth Z Heiaht l Sq. Ft. Cu. Ft. G� FrontDepth Height Sq. Ft. Gu. Ft. Type of Construction 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 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. DATE SIGNATURE (A Schedule of Fee Costs can be found on the Reverse Side.) --Paf'�e A ' 931'"? W®���/� BUIIDING PERMIT FEE SCHEDULE 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 manner 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 01.00 for each one thousand cubic feet. WUM 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 04.00. 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 (0500.00), 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 04.00. Bik)CK ADDR&SSVALUATICU' �i� ADD. TYPE . .... ..... . ... .. .. .... .... ........ ...... ........... .. ........ ....... ............. .... ...... . ........ ......................... ..... ...................................................... �j C . .......... . ....... . ..... ....................... . ..................... ............ . ..... ...7- ............ .......... ....... ..... . ....... .................. . ........ .......... 11 r City ®f Fridley r 4T TIM, TOP QI TNt TWl"S tt.-------- COMMt1NiTY DEVEl.OP1M£NT OIY. I i PRQTtCTIVt Wig tCYMM 90T. CM "LL FRMST 0002 1.._0..� .! Na-d�A-sss0 53-81, -915.51 su9Jtcr PLUMBING PERMIT APPLICATION JOD Aaaress 6110 N. E. Sunrise Drive ner Address Michael Malinak Phone Contractor M9NNEGASCO Address Phone 7.13 MARQUETTE AVENUE Kind of Building Use Frame Res, Completion Date -'EstimatedCost '.77`` 3-5—IJ 0 10.000 Plumbing Fixture Rates: NO. — RATE TOTAL W I I Number Fixtures x $2.00 II_ Future Fixtures x $1.50 8flSvflal i I New Fixture -Old Open. x $1.50 •,ddVl I i '^ I 0 j Catch Basin x $3.25 SYfl I i Water Heater -99,000 BTU x $3.00 'D81N 1 Ground Run Old Bldg. x $3.25 saa� i—II 'N+Ntval I I m— I Elec. Water Heater x $2.00 w SNISYS N p w _Gas Fitting Fees: IOON V IYa o I ( I I 3 o .w bu a°0' 0l .� a 1st 3 Fixtures x $2.00 I Z,3 saa�eoHg I I I I I I Additional Fixtures x$ .75 10 iNnoil �INIaq I I I I Gas Range -199, 000 BTU 1 x 5.00 5.00 VA q - HSYMI I I I Repairs & Alterations See SMN181 I I I I Description: Code 1:NI8YYl I I I I a� State Surcharge 1 �sss �`".��" :Burcharge..50¢ 'Class sora I I TOTAL FEE $ 5.50 Ntve I I !The undersigned hereby makes application for a permit L97YNlanl I I I I for the work herein specified' agreeing to do all work •aaso,� in strict accordance with the City Ordinances and ruling a71VIA of the Department of Buildings„ and hereby declare that all'the facts and representations stated in this application are true and correct. vc 'Signature Date 7d5 SUBJECT PERMIT NO. City of Fridley -04 1401 AT THE TOP OF THE TWINS PERMIT BUILDING RECEIPT NO. `______ COMMUNITY DEVELOPMENT DIV. L INSPECTION r PROTECTIVE SEC. 1 . � NUMBER DATE PA OF APPROVED BY CITY HALL FRIDLEY 55432 612-560-3450 T. 910-F15 4/21/77 JOB ADDRESS 6110 Sunrise Drive N.E. 1 LEGAL LOT NO. BLOCK TRACTOR ADDITION SEE ATTACHED DESCR. 19 2 Sylvan Hills SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Michael Malinak 6110 Sunrise Drive N.E. 3 CONTRACTOR MAILADDRESS 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 a x NEW ❑ ADDITION Ek ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Construct a 22' x 22' Garage and reside house and install soffits 9 CHANGE OF USE FROM TO STIPULATIONS Release signed from neighbor for "No Survey"- provide a hard surface driveway. SEPERATE PERMITS REQUIRED FOR WIRIN—G, HEATiIaIG, PLUMBING AND SIGNS. 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 ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS OFFSTREET PARKING I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION ISTALLS GARAGES AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS VALUATION SURTAX AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED. $1,400+3,581 $3.29 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PERMIT FEE SAC CHARGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- $28.36 NONE STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. PLAN CHECK FEE TOTALFEE $31.65 SIGNATURE OF. CONTRACTOR OR AUTHORIZED AGENT. (DATE) ♦ n WHEN PR PERLY VALI ATED THIS IS YOUR PERMIT / 4l -a ! - 7 7 dt�►� -`e BLDG. INSP DATE gIlNATU RE OF OWN FR(IF OWNER BUILDERI (DATE) ,,% CITY OF FRIDLEY APPLICATION FOR RESIDENTIAL BUILDING PERMITS (NEW, ALTERATIONS, ADDITIONS, OR REPAIRS) OWNER:` -2-- e ` � _ BUILDER: Address: ,a,Address: Tel. No. F 519 No.: Street:✓1.., LOT: BLOCK: o�L ADDITION: CORNER LOT: INSIDE LOT: L--- SETBACK: SIDEYARDS: Applicant attach to this form Two Certificates of Survey of Lot and proposed building location drawn on these Certificates. DESCRIPTION OF BUILDING To Be Be Used As: Front: Depth: Height: � D Square Feet: Cubic Feet: Front: Depth: Height: Square Feet: Cubic Feet: / 2W.00 Gd..2 t"i Type of Construction: fe�� Estimated Cost: $ ��a�'8l.loo C�J To Be Completed: Q' � Alt. A Alt. B rT 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 application are true and correct. See reverse side for additional information. DATE: y °"©" I SIGNATURE: Stipulations: 31 % %. 3G /. j BUILDING PERMIT FEE SCHEDULE 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 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 Family Homes and Garages: $4.00/1,000 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 $11.75 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 $15.40 _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. VERIFICATION OF FOUNDATION NOTE: 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 been constructed will be required before proceeding with the framing. CERTIFICATE OF OCCUPANCY 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. AGREEMENT Ie located at owner of the.property p , have no objection to the City allowing the construction of a ,�` to be located at � �L� w� without the required certificate of survey that the City ordinarily requires for all new construction. Signature 1/5 Address � 172 Date �� . . W' ess SUBJECT Cit of Fridley Y Y ® 1434 AT THE TOP OF THE TWINS PERM l r BUILDING RECEIPT NO. ______ COMMUNITY DEVELOPMENT DIV. L r . PROTECTIVE INSPECTION SEC. 1 � � NUMBER REV. DATE PAGE OF APPROVED BY CITY HALL FRIDLEY 55432 612-560-3450 910—F15 9/2/77 JOB ADDRESS 6110 Sunrise Drive N.E. 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 19 2 Sylvan Hills SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Mike Malinak 6110 Sunrise Drive N.E. 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Same 4 ARCHITECT OR DESIGNER MAILADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO. 6 USE OF BUILDING 7 CLASS OF WORK ❑ NEW ❑ ADDITION 1 ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK keroof dwelling 9 CHANGE OF USE FROM TO STIPULATIONS Install ridged Galvanized valleys. New roof can be 2nd but not 3rd roof. SEPER,ATE PERMITS REQUIRED --F WIRM, HEATING, PLl}OING AND''SIGN& e TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, VENTILATING OR AIR CONDITIONING. Asphalt 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 ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS OFFSTREET PARKING I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION 1 ISTALLS GARAGES AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS VALUATION SURTAX AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED. $5OO $.5O WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PERMIT FEE SAC CHARGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- 7.'JO STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. PLAN CHECK FEE TOTAL FEE $8.00 SIGNATUREOF CONTRACTOROR AUTHORIZEDAAGENT (DATE) WHEN PROPERLY VALIDATED THIS IS YOUR PERMIT ��- !firs �d K' YQAJ-NSJ BLDG. )NSP 7'�� DAT SIGNATURE OF OWNER (IF OWNER BUILDER) (DATE) I CITY OF FRIDLEY APPLICATION FOR RESIDENTIAL BUILDING PERMITS (NEW, ALTERATIONS, ADDITIONS, OR REPAIRS) OWNER c , ��f3���a�� BUILDER: rs .psi Address: /l0 zn.,-n p �.� Address: Tel. No.: No.: . LOT: t BLOCK: ADDITION:4d'L=0—� ✓h-' �� CORNER LOT: INSIDE LOT: 2_ SETBACK: ' SIDEYARDS: Applicant attach 'to this form Two Certificates of Survey of Lot and proposed building location drawn on these Certificates. DESCRIPTION OF BUILDING Be Used As - Front: Depth: Height: Square Feet: Cubic Feet: Front: Depth: Height: Square Feet: Cubic Feet: Type of Construction: �"xl Estimated Cost: $ '5ZO To Be Completed: 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 application are true and correct. See reverse side for additional information. DATE: SIGNATURE: ."' Stipulations: BUILDING PERMIT FEE SCHEDULE 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 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 Family homes and Garages: $4.00/1,000 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 $11.75 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 r. $15_.40 WIN 001 ! ►• • 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. VERIFICATION OF FOUNDATION NOTE: 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 been constructed will be required before proceeding with the framing. CERTIFICATE OF OCCUPANCY_ 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. SUBJECT PERMI City of Fridley (6.143d AT THE TOP OF THE TWINS BUILDING PERMIT r RECEIPT NO Y____ COMMUNITY DEVELOPMENT DIV. INSPECTION t PROTECTIVE SEC. t � = CITY HALL FRIDLEY 55432 NUMBER REV. DATE PAGE OF APPROVED BY J 612-560-3450 910-F15 9/2/77 JOB ADDRESS 6110 Sunrise Drive N.E. 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 19 2 Sylvan H] US SHEET 2 PROPERTY OWNER MAILADDRESS ZIP PHONE Mike Malinak 6110 Sunrise Drive N.E. 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Peterson & Assoc. 1052 Osborne Road, Fridley 784-1240 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 31 ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Install fixmpmlrm fireplace 9 CHANGE OF USE FROM TO STIPULATIONS SEPERAT"E PERMITS REQUIRED FOR— MIRING, HEATING. PLUMBING AND SIGNS. WARNING Before digging call local utilities TELEPHONE -ELECTRIC -GAS Etc: REQUIRED BY LAW TYPE OF CONST, OCCUPANCY GROUP OCCUPANCY LOAD SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, VENTILATING OR AIR CONDITIONING. 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 ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS OFFSTREET PARKING I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION 1 STALLS GARAGES AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS VALUATION SURTAX AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED. $1,500 $.75 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO VE AUTHORITY TO VIOLATE OR CANCEL THE PERMIT FEE SAC CHARGE PROVISIONS OF ANY OT E STATE OR LOCAL LAW REGULATING CON- $15,00 Double Fee STRUCTI OR THE P F MANCE OF CONSTRUCTION. PLAN CHECK FEE TOTALFEE $18.75 IGNATUR CONTRACTOR OR AUTHORIZED AGENT (DATE) HEN P OPL LDG INSP D TE HIS IS OU PERMIT DAT SIGNATURE OF OWNER (IF OWNER BUILDER) (DATE) I CITY OF FRIDLEY APPLICATION FOR RESIDENTIAL BUILDING PE141TS (NEW, ALTERATIONS, ADDITIONS, OR REPAIRS) 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. See reverse side for additional information. DATE: ` SIGNATURE: ✓ Stipulations: I IF OWNER: j �`� f�1ALI 0A � �_ BUILDER: Address: �I e�. �C���� �1�. Address: Tel. No. No.: /� street:(� (Z l /C I — ZQ L U . LOT: BLOCK: ADDITION: CORNER LOT: INSIDE LOT: SETBACK: SIDEYARDS: Applicant attach 'to this form Two Certificates of Survey of Lot and proposed building location drawn on these Certificates. DESCRIPTION OF BUILDING To Be Used As: Front: Depth: Height: Square Feet: Cubic Feet: Front: Depth: Height: Square Feet: Cubic Feet: �o' $ �S Type of Construction: Estimated Cost: To Be Completed: 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 application are true and correct. See reverse side for additional information. DATE: ` SIGNATURE: ✓ Stipulations: I IF BUILDING PER14IT FEE SCHEDULE 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 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 Family Homes and Garages: $4.00/1,000 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 r. $11.75 Alternate B: Removal and replacement of concrete curb and T gutter and install a 3 foot wide approach with 6 inch depth; Driveway width plus 6 feet x$15.40 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 1jer 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. 9wi VERIFICATION OF FOUNDATION NOTE: 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 been constructed will be required before proceeding with the framing. CERTIFICATE OF OCCUPANCY 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. SUBJECT PERM City of Fridley .14408 AT THE TOP OF THE TWINS D I III ®I N G BUILDING ®[ D A A I T PERMIT r I CiEIPT COMMUNITY DEVELOPMENT DIV. % r � � PROTECTIVE INSPECTION SEC. CITY HALL FRIDLEY 55432 IL"" NUMBER REV. DATE10/11/7 PAGE OF APPROVED BY 612-560-3450 910-F15 XNXRXR � � JOB ADDRESS 6110 Sunrise Drive N.E. 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 19 2 1 Sylvan Hills SHEET 2 PROPERTY OWNER MAILADDRESS ZIP PHONE 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Lakeland IN Brick & Stone 147 Craigway N.E. 571-8464 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAILADDRESS ZIP PHONE LICENSE NO. 6 USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW ❑ ADDITION CX ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Construct freestanding fireplace (Masonry with heatilator) 9 CHANGE OF USE FROM TO STIPULATIONS TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, VENTILATING OR AIR CONDITIONING. 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 ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS OFFSTREET PARKING I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION STALLS GARAGES AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL'PROVISIONS OF LAWS VALUATION SURTAX AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED. $1,700 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT .85 DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PERMIT FEE SAC CHARGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- $12.00 STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. PLAN CHECK FEE TOTAL FEE !/- 77 $12.85 SIGNATURE OF CONTRACTOR ORA" ORIZEDA EN IRATE) ' HEN PROP LY VALIDATED THIS IS YOUR PERMIT BLDG INSP DATE - SIGNATUREOF OWNERIIF OWNER BUILDERI (DATE) CITY OF FRIDLEY APPLICATION FOR RESIDENTIAL BUILDING PERMITS (NEW, ALTERATIONS, ADDITIONS, OR REPAIRS) OWNER; Address: 611, /' No.. 6! �0 LOT: I % CORNER LOT: BUILDER: �ci�� 7 "I / / "'Vec:__ /2,-i Address: �� �� ��� �5-5","_' -z- Tel. zTel. No. / - �.ie L/, Street: SC_n 1S6__ BLOCK: - ADDITION: � �A110/1 AY11" INSIDE IAT: SETBACK: SIDEYARDS: Applicant attach to this form Two Certificates of Survey of Lot and proposed building location drawn on these Certificates. DESCRIPTION OF BUILDING To Be Used As: y ,1 C� c� 0 4 reEt�- Front: Depth: Height: u ,�%c� Square Feet: Cubic Feet: Front: Depth: Square Feet: Type of Construction: To Be Completed: G f L?_" /� 7 Height: Cubic Feet: Estimated Cost: Z /?=0 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 application are true and correct. See reverse side for additional information. DATE: �j�� ��%�� SIGNATURE:" d Stipulations: & Z;_5 915— Height: 1 BUILDING PERMIT FEE SCHEDULE 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 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 Family Homes and Garages: $4.00/1,000 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 $11.75 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 $15.40 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. VERIFICATION OF FOUNDATION NOTE: 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 been constructed will be required before proceeding with the framing. _i • UMM10104M 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. CITY OF FRIDLEY INSPECTION DIV, 8431 University Ave NE Fridley, MN 55432 572-3804 APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION, REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES Residential Furnace Shell and Duct Work, Sumer - Also Replacement Furnace Gas Piping (Needed with new furnace) Gas Range Gas Dryer *Air Conditioning — Ali Sizes All Others/Repairs & Alterations (LIST ON. BACK) 1% of Value of Appliance or Work Commercial/Industrial 1 % of Value of Appliance or Work Effective On January 1; 1993 JOB ADDRESS &110 AA!�r, The undersigned hereby makes application for a permit Ifor the work herein Rate TOTAL 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 $ 20.00 $ representations stated in this application are true and correct. Ad V $ 10.00 $ - - ,1993 OWNER L4 A j1 16 $ 10.00 $ / BUILDING USED AS $ 10.00 ESTIMATED COSTF drop, PERMIT NO. $10.00 $ O, ate' r DESCRIPTION QF FUR NAC ND OR BURNER $ 3- No. of Heating Units / Circle One (Steam) (Hot Water) (Warm Air) Trade Name Cg22t.1-1b#t i;;W(Ca Size No.0 le# BTU_ CnO, ono HP EDR $ Fuel_ t+,.�/� ,rs Total Connected Load_,IA,op State Surcharge $ .50 TOTAL FEE�}� Burner Trade Name Size No. BTU HP EDR HEATING COMPANY FRIC3ERATIONIAIR CONDITIONING PERMIT IS $1500 „_.Signed PLUS THE S.SQ STATE SURCHARGE Lr�' REINSPECTION FEE $30.00 *Air Conditioners can not be placed in a side yard without written permission from adjoining property owner. Tel No.__�&- 215 La Approved By ff� Rough -In Date d� ' .LL. g ' Final Date I` FILL OUT BACK SIDE FOR STACK VERIFICATION ON REPLACEMENT FURNACE CHIMNEY AND STACK VERIFICATION The undersigned hereby verifies that the existing. -chimney or, stack: I. Has been carefully examined Yes No ( j Z. Is free from rust or deterioration Yes No ( ) 3. Has no foreign objects lodged within Yes` No ( ) 4. Is securely supported Yes 11j No ( ) S. Meets all current Code requirements for size -and -total BTU's connected Yes No ( ) 6. Has total heating BTUs. of All other BTU's TOTAL 1 BTU's 3 Remarks List Alterations -Being Done: HEATING COMPANY signed By. Date PERMIT N 25591 SUBJECT City ®i Fridley AT THE TOP OF THE TWINS BUILDING PERMIT(( r ` CEIPT NO COMMUNITY DEVELOPMENT DIV. r PROTECTIVE INSPECTION SEC. NUMBER REV GATE PAGE OF APPROVED BY CITY HALL FRIDLEY 55432 612-571-3450 910-F15 10/13/97 JOB ADDRESS 6110 Sunrise Drive NE 1 LEGAL LOT NO. BLOCK TRACTOR ADDITION SEE ATTACHED DESCR. 19 2 Sylvan Hills SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Mike Milinek 6110 Sunrise Drive NE 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Greg Wills Exteriors 4246 Royce St NE, Mpls., MN 55421 788-0529 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 20037840 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO. 8 USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW ❑ ADDITION ❑ ALTERATION 5j REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Soffit & Fascia 9 CHANGE OF USE FROM TO STIPULATIONS Soffit ventilation to meet the State Building Code. SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL. PLUMBING, HEATING, TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD VENTILATING OR AIR CONDITIONING. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING SO. FT. CU. FT. AUTHORIZED IS NOT COMMENCED WITHIN 80 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS OFFSTREET PARKING I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION 1 STALLS GARAGES AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS VALUATION SURTAX AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED $980 $''50 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PERMIT FEE SAC CHARGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. PLAN CHECK FEE TOTAL FEE License SC $5.00 $41.23 SIGNAT OF CONTRACTOR OR AUTHORIZED AGENT IDATEI WHEN PROPERLY ALIDATED THIS IS YOUR PERMIT BL INSP r I I DATE SIGNATURE OF OWNER IIF OWNER SUILDERI IDATEI PERMIT N 25591 NEW [ ] Effective 1/1/97 ADDN [ J CITY OF FRIDLEY ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION ConstructionAddress: ! L k, -V A -'—P f S Legal Description: Owner Name & Address: �/f 1 ` �` ��� Tel. # Contractor: c2 ` �' �C- C5pe e ` /25 MN LICENSE # -Z®(� _� -7 Address: � �D�CCC��/i/� -zpne�jj� Tel. # —7�� Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. LIVING AREA: GARAGE AREA: DECK AREA: OTHER: Construction Type: Length Length Length DESCRIPTION OF IMPROVEMENT Widti Height Sq. Ft. Width Height Sq. Ft. Width H.WGround Sq. Ft. Driveway Curb Cut .Width Needed: Ft. + 6 Ft = i Estimated Cost: 4 C� (Fee Schedule on Back) Ft x $ _ $ DATE: 0-F APPLICANT: Tel. i'[JPULA"[ IONS: T CITY USE ONLY Permit Fee $ �`. ' �� Fee Schedule on Reverse Side Fire Surcharge $ Vii' .001 of Permit Valuation (1/10th%) State Surcharge $ $.50/$1,000 Valuation SAC Charge $ $950 per SAC Unit License Surcharge _ $ C) $5.00 (State Licensed Residential Contractors) Driveway Escrow $ Alt. "A" or Alt. "B" Above rosion Control $ -$450.00 Conservation Plan Review Park Fee $ Fee Determined by. Engineering Sewer Main Charge $ Agreement Necessary [ ] Not Necessary [ ] TOTAL $ L7 , i'[JPULA"[ IONS: T BUILDING PEIZIMIT FEE SCHEDL!LE' 'I'lre 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 $1 to $500 $501 to $2,000 $2,001 to $25,000 $25,001 to $50,000 $50,001 to $100,000 $100,001 to $500,000 $500,001 to $1,000,000 $1,000,001 and -up FEES $21 (Minimum Fee is $21 plus surcharge) $21 for first $500 plus $2.75 for each additional $100 or fraction thereof, to and including $2,000 562.25 for first S2,000 plus $12.50 for each additional $1,000 or fraction thereof, to and including $25,000 $349.75 for first $25,000 plus $9.00 for each additional $1,000 or fraction thereof, to and including $50,000 $574.75 for first $50,000 plus $6.25 for each. additional $1,000 or fraction thereof, to and including $1()0,000 .$887.25 for fust $100,000 plus $5.00. for each additional $1,000 or fraction thereof,.to and including $500,000 $2887.25 for .the fust$500,000'plus $4'25 far .each .additional $1,000 or -fraction thereof, to and including $-1,000,000 $5012.25 for the first $1,00010.00 plus $2.75 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 'omits 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. 'i � ertiticate of Surve}= of the lot, sliowinn the Location of the foundation once it has it has been constructi::i .'' h:- rcquirccl hefi>r'e hr()_:ec•dtng with the ttamirif,. 0 �i 01 SUBJECT -PERMIT NO. City ®f Fridley 26005 AT THE TOP OF THE TWINS BUILDING PERMIT Ir � , RECEIPT NO. COMMUNITY DEVELOPMENT DIV. •by ��m�e�� PROTECTIVE INSPECTION SEC. r/ rI a , NUMBER REV DATE PAGE OF APPROVED BY i CITY HALL FRIDLEV 55432 612-571-3450 910-F15 4130198 o i JOB ADDRESS 6110 Sunrise Drive NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 19 2 1 Sylvan Hills SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. New Haven Construction 4208 83 Ave N, Brooklyn Park MN 55443 566-5225 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 20077950 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO. B USE OF BUILDING Residential 7 CLASS OF WORK O NEW ❑ ADDITION O ALTERATION � REPAIR O MOVE ❑ REMOVE B DESCRIBE WORK Reroof House & Garage (20 Sq) Tear—off 9 CHANGE OF USE FROM TO STIPULATIONS Underlayment must comply with the State Building Code. TYPE OF CONST. OCCUPANCY GROUP OCCUPANCYLOAD SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, VENTILATING OR AIR CONDITIONING. 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 ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS OFFSTREET PARKING I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION 1 STALLS GARAGES AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS VALUATION SURTAX AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED $.83 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT $1,668 DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR ANCEL THE PERMIT FEE SAC CHARGE PROVISIONS OF ANY O ER STATE OR LOCAL LAW REGU ATING CON - Fire SC $1.67 STRU ION OR THE P ORMANCE OF CONSTRUCTION. $54.00 $54.00IF PLAN CHECK FEE TOTAL FEE 5t)4( License SC $5.00 1 $115.50 I NATUR F TO AUTHORIZED AGENT ATEI WHENN PROPEPOY VALI ATED THIS IS'YOUR BG INSP �PERMIT DATE SiGNAT RE OF OWNER pF OWNER BUILDERI IDATEI 01 NEW [ ] Effective 1/1/98 ADDN [ ] CITY OF FRIDLEY ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION ConstructionAddress: L) �fs Legal Description: Owner Name ,,V &/Address: Tel. # A Contractor: 2c't/ kccue vl �,®i/� �S�', MN LICENSE # ,00 7 Address: 6L'�o /l) , Tel. #�— Attach to this application, a Certificate of Survey of the lot, 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�L 0 S-� Construction Type: Estimated Cost: $ (Fee Schedule on Back) Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ _ $ DATE: �%�� �� APPLICANT: G� �/�----- Tel. L / f CITY USE ONLY Permit Fee $ 7j` ®( Fee Schedule on Reverse Side Fire Surcharge $ .001 of Permit Valuation (1/10th%) State Surcharge $ c $.50/$1,000 Valuation SAC Charge $ $1000 per SAC Unit License Surcharge $ �� d® $5.00 (State Licensed Residential Contractors) Driveway Escrow $ Alt. "A" or Alt. "B" Above Erosion Control $ $450.00 Conservation Plan Review Park Fee $ Fee Determined by Engineering Sewer Main Charge $ Agreement Necessary [ ] Not Necessary [ ] TOTAL $ / SLIJ STIPULATIONS: BUILDING PERMIT FEE SCHEDULE The Chief Building Oficial 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 $21 (Minimum Fee is $21 plus surcharge) $501 to $2,000 $21 for first $500 plus $2.75 for each additional $100 or fraction thereof, to and including $2,000 $2,001 to $25,000 $62.25 for first $2,000 plus $12.50 for each additional $1,000 or fraction thereof, to and including $25,000 $25,001 to $50,000 $349.75 for first $25,000 plus $9.00 for each additional $1,000 or fraction thereof, to and including $50,000 $50,001 to $100,000 $574.75 for first $50,000 plus $6.25 for each additional $1,000 or fraction thereof, to and including $100,000 $100,001 to $500,000 $887.25 for first $100,000 plus $5.00 for each additional $1,000 or fraction thereof, to and including $500,000 $500,001 to $1,000,000 $2887.25 for the first $500,000 plus $4.25 for each additional $1,000 or fraction thereof, to and including $1,000,000 $1,000,001 and up $5012.25 for the first $1,000,000 plus $2.75 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. Building $ BUILDING Permit No.: -062 74 Inspections $ RESIDENTIAL APPLICATION Received B . 763-572-3604 $0 CITY OF FRIDLEY Date Recd: 6 zJ 0)1--1 DATE Q YOUR E-MAIL ADDRESS e SITE ADDRESS 4.402 S4( �! /7 t Y $ 00 $5.00 (State Licensed Residential Contractors) SAC Charge THIS APPLICANT IS: ❑ OWNER IkCONTRACTOR $1450 per SAC Unit (Plans to MWCC for determination) PROPERTY OWNER/ NAME: ai A ADDRESS: 9/1 S'4 CITY IZ((ci 4c~ / STATI�/�ZIP TENANT $ PHONE: ,l') 1 $450 Conservation Plan Review CONTRACTOR NAME: R C11 A -R c7 a AL SUBMIT A COPY OF STATE LICENSE STATE LICENSE # _meq XI"C / EXP DATE -. o ADDRESS: CITY STAT1 iWIP_ST-kJ i F; LYOUR WITH APPLICATION PHONE 5 ? — . FAX ❑ SINGLE FAMILY/NEW CONSTRUCTION SIZE Agreement necessary( ) Non Necessary ( ) PROPERTY TYPE $ ❑ TWO FAMILYINEW CONSTRUCTION STORIES Make checks payable to: City of Fridley Attach Stipulations PERMIT TYPE ❑ ADDITION ❑ GARAGE/SHED ❑ WINDOWS ❑ BASEMENT FINISH AROOF ❑ DRAIN TILE ❑ DECK ❑ SIDING ❑ OTHER ❑ SWIMMING POOL TYPE OF WORK: ❑ NEW ❑ ADDITION ❑ MAINTENANCE/REPAIR ❑ REMODELING DESCRIBE WORK BEING DONE: `�i �l r- I= �- 12� ole f (- SIZE OF IMPROVEMENT 13 S' LENGTH WIDTH HEI HT Sq. Ft. ROOFIN W❑ HOUSE ONLY NUMBER OF SQUARES -3— ❑ HOUSE & GARAGE BASEMENT REMODELING SUBMIT: GARAGES a ❑ATTACHED GARAGE 1. Existing Floor Plan ed floor floor 2. Proposed plan PROPOSED SIZE: ❑ DETACHED GARAGE 3. List ofmembers to be used PROPOSED HEIGHT: SIDING FOR NEW CONSTRUCTION INCLUDING DECKS, ❑ Vinyl ❑Soffit ADDITIONS. & PORCHES SUBMIT: ❑ Aluminum ❑ Trim 1. Site Plan/Survey showing the existing structures ❑ Other ❑ Fascia and proposed project. 2. Two sets of construction plans WINDOWS 3. Energy Calculations ❑ IN EXISTING OPENINGS ❑Yes No 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: (USING THE 1997 U.B.0 FEE SCHEDULE) TOTAL JOB VALUATION $ OCCUPANCY TYPE Permit Fee $ See Back Page for Fee Schedule Plan Review $ 65% of Building Permit Fee Surcharge $0 e /C D (.0005) times the total job valuation — Minimum $.50 Fire Surcharge $ e .001 x Permit Valuation (1/10%) License Surcharge $ 00 $5.00 (State Licensed Residential Contractors) SAC Charge $ $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 $ Make checks payable to: City of Fridley Attach Stipulations 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 which re u. es review and approval of plans. SIGNATURE OF APPLICAN� PRINTNAME TE 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