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PRE02010 DOCSMage of Fridley, Minn. BUHA31NG PERAM Office of 1NSPFkV0B OF BUILDINGS Fridley, 19 to, Permit Is hereby the building... described in the above statement. This permit Is granted upon the express condition that the person to whom It is granted, and his agents, employees and workmen, in an the work done In, around and upon said building, or any part thereof, shall conform in all respects to the ordi- riances of Fridley, Minn., regarding the 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. ----TnWctor of Buildings. AGREEMENT AND SWORN STATEMENT In consideration of the issue and delivery to me by the Inspector of Buildings of Fridley of the above permit, I hereby agree to do the proposed work in accordance with the description above set forth and according to the provisions of the ordinances of Fridley, and, being first duly sworn, I hereby �''�sta;te and say that the facts stated by me and contained in the above permit are true as therein stated. Subscribed and sworn to before me at Fridley, Minnesota, thin 4t' day of— ----A.D. 19 LOCATION OF BUILDING No. c-" H street Part Of Lot Lot u. Block Addition or Sub -Division DESCRIPTION OF BUILDING Pront- Depth- Height- Stories manner of Construction To, be used as, J taffl To be completed Estimated Clost-2, �11-1 r' to, Permit Is hereby the building... described in the above statement. This permit Is granted upon the express condition that the person to whom It is granted, and his agents, employees and workmen, in an the work done In, around and upon said building, or any part thereof, shall conform in all respects to the ordi- riances of Fridley, Minn., regarding the 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. ----TnWctor of Buildings. AGREEMENT AND SWORN STATEMENT In consideration of the issue and delivery to me by the Inspector of Buildings of Fridley of the above permit, I hereby agree to do the proposed work in accordance with the description above set forth and according to the provisions of the ordinances of Fridley, and, being first duly sworn, I hereby �''�sta;te and say that the facts stated by me and contained in the above permit are true as therein stated. Subscribed and sworn to before me at Fridley, Minnesota, thin 4t' day of— ----A.D. 19 Application for Power Plants and Heating. Cooling. Ventilation. Refrigeration 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 $ MECK. WARM AIR Furnace Shell & Duct Work to 120,000 BTU ............ 8.00 $ each add. 60,000 BTU ....................... 2.00 $ Replacement of Furnace ............................. 5.00 $ Repairs & Alterations—up to $500.00 ................. 5.00 $ Repairs & Alterations each add. $500.00 .............. 2.50 $ STEAM or HOT WATER SYSTEM Furnace Shell & Lines—to 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: 1st 3 Fixtures ...................... Additional Fixtures . ............... Gas Range to 200,000 BTU ........... AIR CONDITIONING FAN HEATING SYSTEM VENTILATING SYSTEM ALTERATIONS & REPAIRS ROUGH FINAL NO RATE TOTAL _ x $1.50 $ x .50 $ _ x 2.00 $ See Fee Schedule TOTAL FEE . 9" Dept. of Bldgs. Phone SU 4-7470 Location f 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. Fridley, Minn \71, e! /1 19 — n Owner cJ Kind of Building AJi . o Used as To be completed about 1_/ L�L Le/ Af — / 574 �d Estimated Cost, $ ��� 01d New. Building Permit No. Permit No. DESCRIPTION OF WORK HEATING or POWER PLANTS --Steam, Hot Water, Warm Air—No Trade Name Size No Capacity Sq. Ft. E.D.R BTU H.P. Total Connected Loaf] Kind of Fuel BURNER — Trade Name Size No Capacity Sq. Ft. E.D.R BTU H.P. (REMARKS—OVER) az 2M SUBJECT P City ®f Fridley 2 6 8 8 2 AT THE TOP OF THE TWINS BUILDING P � , RECEIPT NO. � d _ COMMUNITY DEVELOPMENT DIV. ~ ' ®�6 r ; ; PROTECTIVE INSPECTION SEC. 1/L� 1 NUMBER REV DATE PAGE OF APPROVED BY s CITY HALL FRIDLEY 55432 ,'j 612-571-3450 910415 7/29/98 JOB ADDRESS 6211 Sunrise Dr 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 4 1 1 Sylvan Hills 1 SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE John Ranger 571-1583 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Four Seasons Roofing & Remodeling - 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE.,. LICENSE NO. 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO. 6 USE OFIBUILDING Residential 7 CLASS OF WORK ❑ NEW ❑ ADDITION ❑ ALTERATION N REPAIR ❑ MOVE ❑ REMOVE B DESCRIBE WORK R roof house and garage 22 S Tar -off 9 CHANGE OF USE FROM TO STIPULATIONS Underlayment must comply with State Building Code. 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 SO. 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 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT 183 $.92 DOES NOT PR UME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PERMIT FEE - SAC CHARGE PROVISIONS ANY OT E OR LOCAL LAW REGULATING CON- STRUCTION R THE RMA E OF CONSTRUCTION. $59.50 Fire SC $1.83 PLAN CHECK FEE TOTAL FEE License -SC 5.0 .25 SIGNATURE OF CONTRACT OR AUTHORIZED AGENT (DATEI P OPE 11 BLD16 INSP Y LIDATED T IS IS YOUR PER IT VriATE S,r� SIGNATURE OF OWNER OF OWNER BUILDER) IDATEI NEW [ ] Effective 1/1/98 ADDN [ ] :.Ciflk..OF FRIDLEY ALTER [ ] SINGLE FAMILY,, AND DUPLEXES R=1 AND R-2 BUILDING �'ERMIT APPLICATION c s` Oda � I ConstructionAddress: J)_1166- 'tom S81d Dw Legal Description: Owner Name & Address: Tel Contractor: f5o U ( eA!td ef ho oJeL MN LICENSE # Address: �%Gl 3 6 L! trt t U earl �-u A u e dU E1 Fr- � cl I �a Tel. # qQ6 Attach to this •application; a Certificate of.Survey of the lot, with'theproposedreon'struction drawn on it,to scale. DESCRWr' 4?N, OF -IMPROVEMENT LIVING AREA: Length Width Height Sq. Ft. GARAGE AREA: Length- Width . Height Sq. Ft. DECK AREA: ngth " Width Hgt/Ground Sq. Ft. OTHER: Construction Type - Estimated Cost: $ (Fee Schedule, on Back). Driveway Curb Cut Width Needed: Ft.` + 6 Ft = Ft x $ _ $ DATE:. APPLICANT: Tel: `# CITY ` `UE .ONLY ! Permit Fee $ - '-Fee Schedule. on Reverse Side Fire Surcharge $_ , � v:001'of,Permit`Valuation (1/10th%) State Surcharge $ 1 ' $.501$1000'Valuation SAC Charge ;.. $ $1400 per SAC Unit g pty a , � hib4C License Surcharge $ C, $5:00 (State Licensed Residential Contxaet,�Yrs�� s �.f,.s Q Driveway Escrow $ "" Alt:. "B". Above., 4°Alf;A°:or Erosion Control $ WJ $45.04 C6Rerv4ti09 P1anaRleview. Park Fee $ :.Fee Determined by Engineering Sewer Main Charge $ Agrecment.Necessary [.] _Not.Necess".If'�; TOTAL... $ 4 � } STIPULATIONS:'..'.'..' .... .1.i b BUILDING PERMIT :FEE SCHEDULE The Chief Building Official shall, be' ore issuing permits for`there`rection'of any building or structure,. or for any addition to. any existing buildwg,'or structure, or, for any alteration or repair 'to': any. existing building or structure, upon application therefore,, r'' 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 v , fraction thereof, to and including $2,000. $2,001 to $25,000 $62:25 for first $2,000 plus $12.$0 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"fust $50,000 plus $6.25 for each additional $1,000 or fraction thereof, to and including $100,600 $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 $1000,000 $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 feetl 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 issueeda minimum. of 24 hours from the time of applicati n to �� �-, or proper review of the proposed structureand° of the construction site. A Certificate of Survey of the lot,showing the location of the foundation once i has.:it; has been .constructed will be required before proceeding with;the framing.