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PRE 2010 DOCSC,Ity of Fridley Permit No. AT TELE TOP Ail Taff~ TWIN* j� Heating/Power Plants2 �. ..$10.00 HEATING PERMIT APPLICATION d - , ®�a�u�rTY DEVELOPMENT SEAT alb. Steam Hot Water Warm A' Replacement of Furnace 6.00 9 ° i (ROTECTIVQ IN:r"ICTION DZP`t. 'Repairs & Altercations --asp to $500.00 6.00 1 CITY MALE. FRIDLEY @p,43 Trade Name Repairs & Alterations each add. $500.00 3.00 MIX14ZER Size No. "'"' ®AYE PARE A PROVEO ®Y Capacity Sq. Ft. Furnace Shell & Duct Work to 129,000 BTU ...... 910-F17A ` ��® P � 0 2/15/73 1 1 800 Jab Address r Total Connected Load Replacement of Furnace . .. .... 6.00 Owner� Address Pone Cont actor ® 1 zi A r s ° Pone Kind of Building 3.00 Use Burner Completion Datestimatte cru / STEAM or HOT WATER SYSTEM Furnace Shell & Lines—to 400 sq. ft. ZDIR Steam $10.00 Furnace Shell & Line --to 640 sq. ft. EDR Kot Water 10.00 Each add. 200 sq. ft. EDR Steam 3.00 Each add. 320 sq. ft. EDR Hot Water 3.00 Trade Name e_ Size. No. - -- Capacity Sq.Ft' $ EDR BTU Ton. OIL BURNER—to 3 gal, per hour 6.OD � over 3 ,gal, per hour—See Fee Schedule ate,/ `�� ql GAS BURNER (tip to IS -3,000 BTU) 6.011 Darer l 59,000 BTU See Foo Schedule GAS FITTIfaG rEES: no RATE TOTAL 1st 3 Fixtures x 200 Additional Fixtures x .75 Gas Range to 193,0 x &00 $ AIR CO! DITX01;3VG FAN HEATING SYUTE'211 VEnT ILATING IiYS M`4 ALTERATIONS FA REPAIRS ROUGH 50 State Surcharge Isee Fee schr5dVIO TOT&I.. 1 ;-- '` -Qa. turban Air C otiditioning Cz_ 84 V9 Center Drive Mirineapoti!;, Minnesota 55432 r7NAL_ A9.� 7% — ignature ` t ` RA7rZ TOTAL Heating/Power Plants2 Furnace Shell do Duct Work ................ ..$10.00 Steam Hot Water Warm A' Replacement of Furnace 6.00 - 'Repairs & Altercations --asp to $500.00 6.00 Trade Name Repairs & Alterations each add. $500.00 3.00 Size No. &MCM WAM4 AM Capacity Sq. Ft. Furnace Shell & Duct Work to 129,000 BTU ...... $10.� ` ��® P � EDR 1-" TU Ton. each add. 60,000 BTU .................... .. 3.011 Total Connected Load Replacement of Furnace . .. .... 6.00 Repairs & Alterations --up to 35oo.00 6.00 g Kind of Fuel Repairs & Alterations each add. $500.00 3.00 Burner STEAM or HOT WATER SYSTEM Furnace Shell & Lines—to 400 sq. ft. ZDIR Steam $10.00 Furnace Shell & Line --to 640 sq. ft. EDR Kot Water 10.00 Each add. 200 sq. ft. EDR Steam 3.00 Each add. 320 sq. ft. EDR Hot Water 3.00 Trade Name e_ Size. No. - -- Capacity Sq.Ft' $ EDR BTU Ton. OIL BURNER—to 3 gal, per hour 6.OD � over 3 ,gal, per hour—See Fee Schedule ate,/ `�� ql GAS BURNER (tip to IS -3,000 BTU) 6.011 Darer l 59,000 BTU See Foo Schedule GAS FITTIfaG rEES: no RATE TOTAL 1st 3 Fixtures x 200 Additional Fixtures x .75 Gas Range to 193,0 x &00 $ AIR CO! DITX01;3VG FAN HEATING SYUTE'211 VEnT ILATING IiYS M`4 ALTERATIONS FA REPAIRS ROUGH 50 State Surcharge Isee Fee schr5dVIO TOT&I.. 1 ;-- '` -Qa. turban Air C otiditioning Cz_ 84 V9 Center Drive Mirineapoti!;, Minnesota 55432 r7NAL_ A9.� 7% — ignature ` t ` 1 SUBJECT PERMIT City of Fridley 12631 AT THE TOP OF THE TWINS BUILDING PERMIT e • COMMUNITY DEVELOPMENT DIV. i 1 L �•.��•, /® e r PROTECTIVE INSPECTION SEC. NUMBER REV. DATE PAGE OF APPROVED BY �"•1 CITY HALL FRIDLEY 55432 t---•�'� �'� 612-560-3450 910-F15 /15/74 JOB ADDRESS 6470 Squire Drive N.E. 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 3 4 1 Harris Lake Estates SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Gordon Dahl 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Erco, Inc. 3231 Central 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO. 6 USE OF BUILDING dwelling & garage 7 CLASS OF WORK C NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK 40 x 27'4" house and 20 x 24 garage 9 CHANGE OF USE FROM TO STIPULATIONS 1. Provide a verification survey. 2. Provide a hard surface drive 3. Set north & South house lines parallel to side lotXXN lines. ,%V�RATE PERMITS REQUIRED FOR WIRING, PLUMB't.G : SIGNS. e 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 ZONING1V�PZ °�11;'84O AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT 480 4,800 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. 4,138.30 12.07 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- 50,00 300.00 STRUC N O PERFORMANCE OF CONSTRUCTION. PLAN CHECK FEE TOTALFEE r r 362.07 SIATU EO ONTRACTORORAUY OAIZEDAGENT (DATEI GN E PROPS LY VA D THIS YOUR PERMIT BLDG. INSP. DATE SIGNATURE OF OWNER IIF OWNER BUILDER) (DATE) 1 APPLICATION FOR RESIDENTIAL, ALTERATION, OR ADDITION BUILDING PERMIT CITY OF FRIDLEY, MINNESOTA e� OWNER'S NAME (—BUILDER: --- C" ADDRESS • ADDRESS: `Z%tea C NO • . / � / ® STREET: u f ' LOT: BLOCK: • ADDITION: ► S �-.c' ��-y� CORNER LOT: INSIDE LOT: SETBACK: SIDEYARD: S7 Applicant attach to this form Two Certificates of Survey of Lot and proposed building location drawn on these Certificates. DESCRIPTION OF BUILDING Lo Be Used As: 0 Front: AD Depth Height: Square Feet: Cubic Feet:"a Front: ?- Depth ; �—�t- Height : '- Square Feet; `; Cubic Feet: Type of Construction: Estimated Cost: $ h 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. DATE: Cl 7 SICNATU (See Reverse Side For Additional Information.) a� . B ' ti k, h 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: UNIFORM BUILDING CODE: Type 1, 2 & 4 - $2.15 for each one thousand cubic feet, or fraction thereof, in such cubical contents. Type 3 & 5 - $1.85 for each one thousand cubic feet. 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 $5.00. 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 Certified 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. City of Fridley Dept. of BlAgs, Phone SM -3490 DESCRIPTION OF WORK Number, Kind and Location of Fixtures {p NO. RATE TOTAL Number Fixtures ................. _, x $2.00 $ /!V-, I Future Fixture Opening ............ x $1.50 $. `t S e` New Fixture Old Opening .....:.... x $1.50 $__ Catch Basin .................... x $3.25 $ N ® x $3.00 w WATER MR. 7G.SELIC. $ Basin s $2.00 S .AS FITTING FEES: NO. RATE TOTAL 1st 3 Fixtures • • • • • • • • • • • • • • • • __._ x $2.00 $ V! `'L Additional Fixtures ...............:.. x $ .75 $ Gas Range to 199,000 BTU....... ,...... x $5.00 $ 1st 2nd 3rd 4th • -Futuro Coun•atloe Openings * New Fixture, Old Openings Conaoct®d with seWOY ❑ Cesspool ❑ PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: NO. RATE TOTAL Number Fixtures ................. _, x $2.00 $ /!V-, I Future Fixture Opening ............ x $1.50 $. `t S e` New Fixture Old Opening .....:.... x $1.50 $__ Catch Basin .................... x $3.25 $ Water Heater 'Up to 99,000 BTU) .... ® x $3.00 $ b` 4' New Ground Run Old Bldg. ..... x $3.25 $ Electric Water Heater ...... ........ s $2.00 S .AS FITTING FEES: NO. RATE TOTAL 1st 3 Fixtures • • • • • • • • • • • • • • • • __._ x $2.00 $ V! `'L Additional Fixtures ...............:.. x $ .75 $ Gas Range to 199,000 BTU....... ,...... x $5.00 $ City of Fridley: The undersigned hereby makes application for a permit for the work herei specified, agreeing to do all work in strict accordance with the City Ordinance and ruling of the Department of Buildings, and hereby declares that all the fact and representations stated in this application are true and correct' Fridley, Minn— -7 19 Owner Kind of Building Used as To be completed about Estimated Cost, $ Old—New. Building Permit Signed ROUGH REPAIRS & ALTERATIONS—Rotor to Code .50 State Surcharge Description .. ► .......... • .................. ► ....... $ � 5 �� TOTAL FEE I Business Permit If City of Fridley- SUBJECT 1504 AT THE TOP OF THE TWINS BUILDING PERMIT r � R COMMUNITY DEVELOPMENT DIV. r PROTECTIVE INSPECTION SEC. 1 CITY HALL FRIDLEY 55432 NUMBER REV. DATE PAGE OF APPROVED BY 612-560-3450 910-F15 12/19/78 JOB ADDRESS 6470 Squire Drive N. E. 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 3 4 Harris Lake Estates SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Dr. Gerald. Jensen 6470 Squire Drive N.E. 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Erco, Inc. 3231 Central Avenue, Mpls. 789-8878 4 ARCHITECT OR DESIGNER MAILADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAILADDRESS ZIP PHONE LICENSE NO. 6 USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Construct a 22' x 16' Addition to Dwelling 9 CHANGE OF USE FROM TO STIPULATIONS Before digging cal local utilitie TELEPHONE - ELECTRIC - GAS Etc. SEPERATEREQUIRED BY LA HEATING, PERIV�IT$ RE P�UNQtiIRED EOR ►6If G A WIRING SIGNg, 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 352 7040 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. $10,800 $5.40 WITH WHETHER S IFIED HEREIN OR NOT. THE.GRANTING OF A PERMIT DOES NOT PRE M TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PERMIT FEE SAC CHARGE PROVISI S O _A Y OTHER STATE OR LOCAL LAW REGULATING CON - NONE STR 0 ERFORMANCE OF CONSTRUCTION. $28.16 PLAN CHECK FEE TOTAL FEE $ 7.04 $40.60 SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT (DATE) WHEN PROPERLY VALIDATED THIS IS YOUR PERMIT BLDG. INSP fa- l -DATE SIGNATURE OF OWNER (IF OWNER BUILDER) (DATE) % CITY OF FRIDLEY APPLICATION FOR RESIDENTIAL BIJILDIPIG PEfiMITS (NEW, ALTERATIONS, ADDITFONS, OR REPAIRS) OWNER: "�' �- � �-- BUILDER: Address: C 4-7 r� P Address: Tel. No.: ?� i No.: (i _. Street: u ¢' le h t t UE JOT: BLOCK:`o! ADDITION: CORNER LOT: INSIDE IAT: SETBACK: SIDEXARDS: C� Applicant attach to this form Tvao Certificates of Survey of Lot and proposed building location drawn on these Certificates. 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 representati ns stated in this application are true and correct. See reverse side forrclditional information. DATE: I L I 5 �= -_ SIGNATURE: Stipulations: 4 r).64' PL*#j 036 vcJ//o 9%M i V _X • VIa v d - SAG Tf m DESCRI PTI ON OF BUILDING i To Be Used*JAs : Front:`L Depth: l lra Height: Square Feet: Cubic Feet: O®qO Front: • Depth: Height: • Square Feet: Cubic Feet: Type of Construction: �— Estimated Cost: $ tO,Vb® To Be Completed: `Z -- t i1 Alt. A Alt. B Proposed Driveway Width If Near 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 representati ns stated in this application are true and correct. See reverse side forrclditional information. DATE: I L I 5 �= -_ SIGNATURE: Stipulations: 4 r).64' PL*#j 036 vcJ//o 9%M i V _X • VIa v d - SAG Tf m I T BUILDING ­PERMIT FEE SCHEDULE SECTION 2. The Inspector.of Buildings -3hall, before issuing permits for the erection of any building or structure, or for an'y addition to any existing building or structure, or for any alteration or repairs to an), 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 $14.50 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 $17.20 ITIONINFORMATIO 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. ok • • • ►1� •l 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. 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. — � �0-- I,mt Three (3), Block Four (4), Harris Lake EaLatca TA 3213 JENSLN 0 • EXTERIOR ENVPLOPT: AVERAdE "U" COMPUTATION OWNER: ko* SITE ADDRESS: CONTRACTOR: DATE - Z PHONE: Determine working square footage of each 1. Total exposed wall area ....... i sq. ft. x .17 2. Toal roof/ceiling area ...... y sq. ft. x .05 Total exposed wall area above floor a. Total wall window area ................................. b. Total door area ....................................... c. Total sliding glass door area ......................... d. Total fireplace wall area ............................. e. Total wall framing area (average 10%) ................ f. Total rim joist area .................................. a _ g. wall area above floor .......................... h. wall area above floor .......................... i. wall area above floor .......................... j. wall area above floor .......................... Total exposed foundation area k. Total foundation window area ........................... 1. Total net foundation area above grade ................. Determine "U" value of each wall segment (e.g. window, door, each separate wall section) a. - '-L+'X "U" _ -iU b. X "U" d. X Nun = X "U" 0 � 9- ISNIVI X "U" W,96 h. X `°U" �. X «U" _ je X NUN = ky o ^/' I X NUN 2.e • "� ` X "Up 3o e .................. o e o e b o 4 e e e Total � If item #3 is the same as or less than item #1, you have met the intent of SSC 6006 (c) 2. ' Exterior Envelope .overage "U" Computation Page 2of4 Total exposed roof/ceiling area , m. Total skylight area ............................ n. Total roof/ceiling framing area (average 10%)... o. Total net insulated roof/ceiling area........... Determine "U" value for each roof/ceiling segment M. X "U" _ n. X "U" • 0 I . 0. X "v" . 0% 4........o .................. Total if total of #4 is the same as, or less than #2, you have met the intent of SBC 6006 (c) 1. Alternate Building Envelope Design To utilize the total envelope system method, the values established by the sum of items #3 and #4 shall not be greater than the sum of items #1 and #2. 1. + 2. 3. + 4. . ' --2OOF/CEILING 5� O Vented cleat fl ow up FIG. A5 -rage •4 ox 4 Cons ruction RiVTT�y/ Iv � ,y.: 1. I terior air film 2. \406yi°I✓ ../0.61 3. glow �j 4. Exterior air film (still) 0.61 Total e? 1. Interior air film 0.61 (�✓ 2. 9 Lb W 0 *• �> 3. . 4. Exterior air film (still) 0.61 Total Hent flogs up e ; vented .. � SIG. �6 •..... � � _ - see •a �, . e Heat To -4 up • ' . 'PXG. 07 1. Inside air film 0.61 2, 3. 4. S. Outside air film 0.17 Total Note: Use additional sheets if more space is needed for details and calculations • WALL SECTIONS NO1`)o Use 10% of opaque wall area for frame construction FRWM VALL v ° ° MSG. 43 � 6 ............ Construction R -Value 1. Interior air film 0.68 2. e It -v --. I C Ce. o w ` 0 Ob1/n /g 1 4. 7i� o b 1��� 5. J :5 Q IN (f' 6. Exterior air film 0.17 • Total 1. Interior air film 0.68 INSU 4. 1 5. s 6. Exterior air film 0.17 Total -o3 1. Interior air film 0.68 �2° 5. 6. Exterior air film 0.17 Total U �3 (oma w • s . reg e � • - -- l � Fid.#4lft ec ® o_- lit ® > /tt y x ll< • A!� d It( lit NOTB: Indicate type, °'*t'° value, depth and Placement of insulation. v a S 1. Interior air film 0.68 3. 4. � Al S. c 6. Exterior air film 0.1 Total gl u (oma w • s . reg e � • - -- l � Fid.#4lft ec ® o_- lit ® > /tt y x ll< • A!� d It( lit NOTB: Indicate type, °'*t'° value, depth and Placement of insulation. v a CITY OF FRIDLEY 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 $12.00 $ Replacement of Furnace 7.00 $ Repairs & Alterations -up to $500.00 7.00 $ Repairs & Alterations each add. $500.00 4.00 $ MECHANICAL WARM AIR: x $ 3.00 $ Furnace Shell & Duct Work to 100,000 BTU $12.00 $ each add. 50,000 BTU 4.00 $ Replacement of Furnace 7.00 $ Repairs & Alterations -up to $500.00 7.00 $�_ Repairs & Alterations each add. $500.00 4.00 $ STEAM OR HOT WATER SYSTEM: Boiler & Lines up to 100,000 BTU each addn. 50,000 BTU Boiler only up to 100,000 BTU each addn. 50,000 BTU OIL BURNER- to 3 gal. per hour each add. 3 gal. per hour GAS BURNER- from 100,000 BTU to 199,999 BTU (over 199,999 BTU see Fee Schedule) GAS FITTING FEES: lst 3 Fixtures Additional Fixtures Gas Range to 199,000 BTU AIR CONDITIONING FAN HEATING SYSTEMS See Fee Schedule VENTILATING SYSTEMS ALTERATIONS $ REPAIRS ROUGH INSP. FINAL INSP. :e/11�2( APPROVAL FOR PERM $12.00 $ 4.00 $ 7.00 $ 6.00 $ $10.00 $ 10.00 $ $10.00 $ x $ 3.00 $ x $ 1.00 $ x $10.00 $ State Surcharge TOTAL FEE REINSPECTION FEE ($10.00) MINIMUM FEE FOR ANY HEATING PERMIT IS $7.50 PLUS $.50 STATE SURCHARGE Job Address U Y�L) i jale Department of Buildings City of Fridley Tel. #571-3450 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 Department of Buildings, and hereby declares that all the facts and representations stated in this application 'ar1e, true and correct. �J � Fridley, Minn. y — O , 14 L OWNER KIND OF BUILDING USED A TO BE COMPLETED ABOUT ESTIMATED COST OLD - 14EW BUILDING PERMIT NO. PERMIT NO. !� DESCRIPTION OF FURNACE/BURNER BEATING or POWER PLANTS, Steam, Hot Water, Warm Air- No. Trade Name Size No. Capacity Sq. Ft. EDR BTU HP Total Connected Load Kind of Fuel BURNER - Trade Name Size No. Capacity Sq. Ft. EDR B HP Company Signed By , Tel. No. (Z Jy (sv %l 12 - SUBJECT PEB.M IT City of Fridley ®_ - 1536 AT THE TOP OF THE TWINS g U I L D I N G P E R M I T r ` RECEIPT NO COMMUNITY DEVELOPMENT DIV. y INSPECTION SEC. s� r PROTECTIVE 3 NUMBER REV. DATE PAGE OF APPROVED BY CITY HALL FRIDLEY 55432 ,.j 612-571-3450 910-F15 8/3/79 JOB ADDRESS 6470 Squire Drive N.E. 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 3 4 Harrii"',I dke Estates SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Gerald D. Jensen 6470'Sc4re Drive N.E. 571-6116 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 Enlarge present deck and add lower deck 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. 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 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 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 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT $2,000 $1.00 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. $12.00 PLAN CHECK FEE TOTALFEE $13. GO SI NATURE OF CONTRACTOR OR AUTHORIZED AGENT (DATEI WHEN PROPERLY VALIDATED THIS IS YOUR PERMIT G9 /��1 .� BLDG ,NSP 11A7 SIGNATURE OF OW NER IIF NER BUILDER, (DATE) CITY OF FRIDLE�Y APPLICATION FOR RESIDENTIAL BUILDING PERMITS (New, Alterations, Additions, or Repairs) OWNER: S F—N___ S En�.., BUILDER: ene— ADDRESS:�i 70 e_ - d��• ADDRESS: TEL NO: 7 1 -fv 1 TEL NO: Construction Location STREET NO: =4 70 STREET: es A, —A - r h, re oV LOT: ° 3 BLOCK: ei ADDITION: �� r ®iS L �.� � V S s Corner Lot: inside Lot: �^ 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 c�G Front:^TDepth: 13 Height: Square. Feet: Cubic Feet: Front: Depth: %® Height: Square- Feet: Cubic . Feet: _ Type of Construction: �� ccr ®�c Estimated Cost: 4.b 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. DATE: 3 / 7 SIGNATURE: A±4_�_a - Stipulations: BUILDI14G 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, . ar 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 thb 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 $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 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. AMIRIM"411Wr� �1 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. 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. W/o � U k tegie UZ... . � izb31 4 � LoT3.' 13LOCKk HAvis, LAAE Esm This iso true and correct representation of v survey of the boundaries of the land above described and of the location of all buildings, if any, thereon, and oil visible encroachments, if any, from or on said land. This survey is made only in connection with a mortgage loon now being placed on the property and no liability is assumed except to the holder of such mortgage or any other interest acquired by the reason *+.such mortgage, it is understood and agreed no -'monuments have been placed for the purpose of establishing lot lines or boundary corners. Doted this 315 doy ofTTA. O. 19j&. 76Z j SUBURBAN ENGINEERING, INC. (��� a+ Denotes C ramaj2 dilil ¢Q5vwdr, Engine _,� // � scale: i eta' +I ! I 1, ` �C7/� Tit -t W , 2 619 - s 6S Land planning Land Surveying�� fbf i lie J1 • • ���j��,f/�����30�, 6875 Highway No. N. 9. (J Minneapolis, ' Saila Testing 4! 0//�0�� (f Minn. 55452 Civil Engineering Telephone 784-6066 Municipal EngineeringEn Engineers & Survey0rS Area .Code OT2 Mortgage Loan Survey for ERC* INC. ;. T' 135.04 . 34.4I �� '� 2l•36 >z� G 11 F _j LP- 03 ' IV(-- ' ?J 135.E W/o � U k tegie UZ... . � izb31 4 � LoT3.' 13LOCKk HAvis, LAAE Esm This iso true and correct representation of v survey of the boundaries of the land above described and of the location of all buildings, if any, thereon, and oil visible encroachments, if any, from or on said land. This survey is made only in connection with a mortgage loon now being placed on the property and no liability is assumed except to the holder of such mortgage or any other interest acquired by the reason *+.such mortgage, it is understood and agreed no -'monuments have been placed for the purpose of establishing lot lines or boundary corners. Doted this 315 doy ofTTA. O. 19j&. 76Z j SUBURBAN ENGINEERING, INC. (��� a+ Denotes C ramaj2 dilil ¢Q5vwdr, Engine _,� // � scale: i eta' +I ! I 1, ` �C7/� Tit -t W , 2 619 Wayne Kwatera who resides Fridley, MN has my permission, at 6460 Squire Drive, Fridley, to the lot line that seperates AUGUST 30th, 1992 at 6470 Squire Drive, Jerry Winslow who resides MN to extend his driveway our two properties. 34110 J Jrry W'nslow Wayne Kwatera Mary Kwatera suejEcr IT NO. =, City of Fridley � 4 7 7 7 24777 AT THE TOP OF THE TWINS BUILDING PERMIT RECEIPT NO. Ir • COMMUNITY DEVELOPMENT DIV. _ v PROTECTIVE INSPECTION SEC. r CITY HALL FRIDLEY 55432 NUMBER REY DATE PAGE OF APPROVED BY 612-571-3450 9t0-F15 11/14/96 JOB ADDRESS 6470 Squire Drive NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 3 4 Harris Lake Estates SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Wayne Kwatera 6470 Squire Drive NE 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Accessible Modifying Service 202 Mayfair Rd Vadnais Heights MN 55127 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO 486-9999 7600 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO 6 USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE A 8 DESCRIBE WORK Widen two doors 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 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 $3,500 $1.75 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- . @ Fire SC $3.50 STRUCTION OR THE PERFORM"CE OF CONSTRUCTION$87.25 PLAN CHECK FEE TOTAL FEE c License SC 5.0 97.50 SIGN TUREOFCONTRA TOR OR AUTHORIZED AGENT IDArEI WHEN PROPERLY LIDATED THIS IS YOUR PERMIT BDG IN R DATE SIGNATUREOF OWNERpF OWNER BUILDERI IDATEI NEW [ ] Effective 3/1/96 ADDN [ ] CITY OF FRIDLEY ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 Building Permit Application ConstructionAddress: Legal Description: Owner Name & Address: Tel. # Contractor: MN LICENSE# 0(30 7,./,00 �� s#q(9,6- o`( q � Address: �/ � � i ps �,�. /02 Tel. # `7 Attach to this application, a eertificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF IlKPROVEMENT LIVING AREA: Length Width Height Sq. Ft. GARAGE AREA: Length Width Height Sq: Ft. DECK AREA: Length Width Hgt/Ground Sq. Ft. OTHER: 0 \//� J 3 Q Comer Lot [ ] Ft. Yd Setback [ ] '> Inside Lot Side Yard Setbapks Type of Construction: Estimated Cost: $ Approx. Completion Date: . (Coston Back) Driveway Curb Cut Width Needed: F + 6 Ft = Ft x $ _ $ DATE: %f / APPLICANT: Tel. #� — CITY USE- ONLY Permit Fee�- $ Fee Schedule on Reverse Side Fire Surcharge $ .001 of Permit Valuation (1/10th%) State Surcharge $ $.50/$1,000 Valuation SAC Charge $ $900 per SAC Unit License Surcharge $ $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 STIPULATIONS: $ , cju 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 $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 - :$2501 t6.$50,000 ' . $349.75 f6r:1rst.$25,000•iilus $9.D0 for each.additioiral $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 $5.00,000 $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, the . 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. CITY OF FRIDLEY INSPECTION DIV. 6431 University Ave NE . Fridley, MN 55432 572-3604 Stories Basement n Floor 1 Floor 2 Floor 3 Floor 4 PLUMBING FIXTURE RATES: Effective On March 1, 1996 APPLICATION FOR PLUMBING AND GAS FITTING PERMIT MARK NUMBER OF FIXTURES TO BE INSTALLED ON EACH FLOOR Wash >p: • n: ;:<::::::> Flo ..�f ..kr or Get Gas Wate rH eater Urinal T.. .....:.::::..;S howe r f•...:.:.,.Tra Y ....Drain Washer ...:::....`..:.�.�.Range ....:.:...:.:.�.:::.::.>.:..;. Gas Alec NO. RATE TOTAL New Fixtures Old Opening, New Fixture Beer Dispenser Blow Off Basin Catch Basin Rain Water Leader Sump/Receiving Tank_ Water Treating Appliance Water Heater -Electric Water Heater - Gas** Gas Range** Gas Dryer** Back Flow Preventer Required ( )Yes () No Type $ 7.00 $ 4.00 $ 5.00 $ 7.00 $ 7.00 $ 7.00 $ 7.00 $10.00 $ 7.00 $10.00 $10.00 $10.00 $15.00 Reinspection Fee $42.00/Hr ALL OTHERS AND/OR REPAIRS AND ALTERATIONS 1.5% of Value of Fixture or Appliance State Surcharge TOTAL FEE 50 JOB ADDRESS 44f 70 �5'0"�tq_ L� 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 Bullding Division, and hereby declares that all the facts and representations stated In this application are true and correct, ll- D, - /6 '1996 Owner Building Used As e sz r`cQ Estimated Cost PERMIT NO. PLUMBING COMPANY_ SIGNED BY TEL NO. � Approved By Rough—In Date Final Date MINIMUM FEE FOR ANY PLUMBING/GAS PERMIT IS $20.00 PLUS THE $.50 STATE SURCHARGE **COMBUSTION AIR SHALL BE PROVIDED PER UMC SECTION 504(A) AND TABLE 6—A. MINIMUM SIZE 9 80 INCHES. 0 SUBJECT PE City of Fridley 2 9 655 AT THE TOP OF THE TWINS BUILDING PERMIT 9- NO.NO. . COMMUNITY DEVELOPMENT DIV. v -_--_ J7d r PROTECTIVE INSPECTION SEC, 2 1 . � CITY HALL FRIDLEY 55432 �'""'� �•� NUMBER REV DATE PAGE OF APPROVED BY 612-571-3450 910.F15 6/10/99 10B ADDRESS 6470 Scadre Dr' 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 3 4 Harris Lake SHEET Fstatims 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Wayne Kwateraq7l-g 626q 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Gary jansick4574-9679 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO 8 USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW ❑ ADDITION X® ALTERATION ❑ REPAIR ❑ MOVE REMOVE 8 DESCRIBE WORK Remove existing 13' x 1 4' deck 9 CHANGE OF USE FROM TO STIPULATIONS See stipulations on plan. Before digging call"far all utility locations PA'ATL PL 1V! 454.0002 Rir��P + ��� �rrRFD FSR W81UG.Ajy0 REQUIRED BY L AW SIGN, 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 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 $1710.80 • 85 DOES NOT PRE ME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PERMIT FEE SAC CHARGE PROVISIONS O NY OTHER STAT OR LOCAL LAW REGULATING CON• STRUCTI d NE PERFORMANCE CONSTRUCTION 63.15Fire-SC $1.71 PLAN CHECK FEE TOTAL E SIG i E F CON'RACTOR OR AUTHORIZED AG T tDATEP HE PROP LVA IDAT I$ 4��. SjGNATURE OF OWNERof OWNER BWLDERI iDATEi DG INSP 0 NEW [ l ADDN [ l ALTER [ ConstructionAddress: Legal Description: Owner Name & Address: Contractor: �a Address: CITY OF FRIDLEY SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION .71 LIVING AREA: GARAGE AREA: DECK AREA: OTHER: Effective 1/1/99 Tel. # MN LICENSE # Tel. # S' 44 96 % 9 Attac% to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF E%IPROVEMENT Length Width Height Sq. Ft. Length Width Height Sq. Ft. Len 1 Width /� ' Hgt/Groupn�d &-7 'Sq. Ft. Construction Type: Estimated Cost: $OQ� (Fee Schedule on Back) Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ = $ DATE: (P - APPLICANT: Tel. # �% G Permit Fee $ Fire Surcharge $ State Surcharge $ SAC Charge $ License Surcharge $ Driveway Escrow $ Erosion Control $ 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 $1050 per SAC Unit $5.00 (State Licensed Residential Contractors) Alt. "A" or Alt. "B" Above $450.00 Conservation Plan Review 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 stracture, 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 $15.75. VERIFICATION OF FOUNDATION Permits for construction will be issued a minimum of 24 hours from the time of application to allow for proper review of the proposed structure and of the construction site. A Certificate of Survey of the lot, showing the location of the foundation once it has it has been constructed will be required before proceeding with the framing. JUN -07-1999 16:38 FROM CITY OF FRIDLEY TO 5741330 P.01ni tv •�+��'a�Ne���N�ow� NY*sn�ns '�� A a0 Naafi Iq 0ilV•tiVo 0a0d•nat •l'O Y1�i0 AM' y��at�N.`M+i•0•%IrM • as •o0M�a0ar awes "6 • od PoftN 04" 0,644 14wowaww•w P0- Ir+pOai•iiy ! 4 100 w0•o0� oya A% Pwfaboo aa0•a4wl •0VM Am A as"I 0w VAN /o •oppM '�W 6�•ayar P0W1a•sa "4afM6i6►tt — Pam Asaos 4w4l •Va wo Popaq• 4wlp w,w "" ooe&" w • yatw► 00"•.ww• 6M sloita�l s! �awam "VS 'P.ml Pl+a so as woa/'Awe It 4+w*wq%*4w*oo o►Vlsu. lie w• F'wwo4o 6400 it %6"" !lo #0 Mi49 00 p P4 PO4!•�044P �fo'�6►1 a M wuwt ••••op"eq aq1 a0 AOaw. 0 /0 welNwde& #666 w .90 p 00+► 0 91 RMl oypor 5,71 V19 39bl stuzftfH,'','' 1 �� poi$ � �� �• i try . 1 - riLLJ i oil e 0 b c� - i�•b� - 00.5 1 i 0:)NI 0:)d3 .to= AoA.t nr u worl L!V Welk r•a0 lr.oO/C�Ai1l� 0' ls.lAgtit}'�it,'� 0904•fi0t o�'!d•101 t n MIT • owlw •JIr • �I11!%I, /1l�/!!I!// � a r.ss:rt •tR�,t�4,h� i•�p.... r. �.; :.•tea.;, � +ti .e ; i. ®®II II®I® �t -36" MIN MAX RISE 811 -01-MMIIX-Ml 4 X 6 RADIUS EDGED CEDAR DECKING JOIST HANGERS BOTH ENDS 2X10 RIM & GRIPPABLE RAIL --'1 WHERE NE-CE-SSi4RY r/r LEDGER LAC- 6X6 CEDAR POSTS 2X10 TREATED BEAM 2x6 TOP RAIL HOUSE FLASHING EXT TO 2X 10TREATED JOISTS 2X10 RIM 161, O/C 5/4X6 DECKING CEDAR 2X2 BALUSTERS low 2X6 TOP RAIL Ox 7 8"X42" DEEP FOOTING FLARED AT BOTTOM 2X10 TREATED JOIST TO 6X6 CEDAR POSTS 2X10 TREATED BEAM 2x6 TOP RAIL HOUSE FLASHING EXT TO 2X 10TREATED JOISTS 2X10 RIM 161, O/C 5/4X6 DECKING CEDAR 2X2 BALUSTERS low 2X6 TOP RAIL Ox 7 8"X42" DEEP FOOTING FLARED AT BOTTOM CITY OF FRIDLEY PERMIT NO.: 2004-02123 6431 UNIVERSITY AVENUE NE FRIDLEY, MN 55432 DATE ISSUED: 11/18/2004 ' (763) 572-3604 FAX: (763) 571-1287 ADDRESS : 6470 SQUIRE DR NE 6 07 PIN : 133024410057 LEGAL DESC : HARRIS LAKE ESTATES : LOT 3 BLOCK 4 PERMIT TYPE : HEATING PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ADDITION/ALTERATION VALUATION NOTE: AIR CONDITIONERS CAN NOT BE PLACED IN A SIDE YARD WITHOUT WRITTEN PERMISSION FROM ADJOINING PROPERTY OWNER. COMBUSTION AIR SHALL BE PROVIDED PER UMC SECTION 504(A) AND TABLE 6-A. # A/C UNITS 0 VALUE OF APPL OR WORK 0 # FURNACES 1 # GAS DRYERS 0 # GAS RANGES 0 VALUE (FOR MINIMUM CALC) 300 APPLICANT HEATING PERMIT MINIMUM FEE FURNACE SHELL/DUCT WORK 0.00 35.00 AUTOMATIC GARAGE DOOR & FIREPLACES 8900 109 AVE N STE 1000 GAS RANGE FEE 0.00 CHAMPLIN, MN 55316 GAS DRYER FEE 0.00 AIR CONDITIONING FEE 0.00 HEATING REPAIRS/ALTERATIONS 0.00 STATE SURCHARGE, MECH FLAT GAS PIPING FEE TOTAL 0.50 10.00 45.50 OWNER TERI STORLEIN 6470 SQUIRE DR NE PAID WITH CHECK # 9850 FRIDLEY, MN 55432 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 work 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 f any other state or local law regulating construction or the erform a of construction. Applicant Date Bldg Ins 6 J Dater// SEPARATE PERMITS REQUIIIED FOR WORK OTHER THAN DESCRIBED ABOVE. CITY OF FRIDLEY BUILDING INSPECTION 6431 University Ave NE Fridley, MN 55432 763-572-3604 FAX 763-571-1287 RATE SCHEDULE Residential Furnace Shell and Duct Work, Burner & also Replacement Furnace Gas Piping (New Furnace, Fireplace, Insert) Gas Range Gas Dryer *Air Conditioning - All Sizes Effective 4/1/?004 APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES JOB ADDRESS L4 9 O sJ DA Fee Total Owner TRA - >,L .®n -a 00 f \ a $10.00 $10.00 All Other Repairs or Alterations (List on Back) 1% of Value of Appliance or Work Minimum Fee $15.00 for Residential or 5% of cost of Improvement whichever is greater $25.00 $ Commercial/Industrial/Institutional 1.25% of Value of Appliance or Work (List on Back) Minimum Fee $35.00 for Commercial/Industrial/Institutional State Surcharge TOTAL FEE REINSPECTION FEE $50.00/HOUR Building Used As ZYA ESTIMATED COST' PERMIT NO DESCRIPTION OF FURNACE AND BURNER AS` # of HeatingUnits Circle One (Steam) (Hot Water (Warm Air) Trade Name Size No. BTU HP EDR Fuel Total Connected Load Burner Trade Name BTU HP Size No. EDR 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. $ -.SO HEATING CO $_Lts a(!> Signe�� Tel #7Q FAX # �i 3 -•S%(4 %Q c? c ' Date *Air Conditioners can not be placed in side yard without written approval from adjoining property owner - copy to City FILL OUT BACK SIDE FOR STACK VERIFICATION ON REPLACEMENT FURNACE Approved by Rough -in Date Final Date FILL IN COMPLETELY FOR REPLACEMENT FUEL BURNING APPLIANCE PERMITS COMMON VENT. VENT CONNECTOR AND COMBUSTION AIR VERIFICATION When replacing an existing furnace, the undersigned hereby verifies that the venting has been examined and is free from rust, deterioration, obstructions, and is securely supported and firestopped where required. Yes () No( ) The venting system is plastic/PVC and meets all current codes and manufacturer specifications including sizing, length, number of elbows and termination. Yes () No( ) The undersigned also verifies that the replacement unit is a listed assembly and meets the current codes and manufacturer's specifications. This does include AGA-GAMA Category I Central Furnace Venting Tables for fan assisted and natural draft appliances. Yes () No ( ) The existing combustion air is sized and installed to meet the current codes and manufacturer's specifications. Yes () No( ) When required to install a new combustion air, it will be sized and installed to meet the current codes and manufacturer's specifications. Yes () No( ) When installing a new venting system, the undersigned hereby verifies that it is a listed assembly and meets the current codes and manufacturer's specifications. This does include AGA-GAMA Category I Central Furnace Venting Tables for fan assisted and natural draft appliances. Yes () No( ) Is the common vent and vent connectors sized and installed correctly after an appliance has been removed from the common vent and vented separately as per current codes. Yes () No( ) Appliance Type and Size/Common Vent and Vent Connector Information Appliance #1 Type BTU Input Fan Assisted or Nat Appliance #2 Type BTU Input Fan Assisted or Nat Appliance #3 Type BTU Input Fan Assisted or Nat Total Appliances Total Btu Input Common Vent Type Vent Height Diameter inches Appliance #1 Vent Connector Height ft Length ft Diameter in Type Appliance #2 Vent Connector Height ft Length ft Diameter in Type Appliance #3 Vent Connector Height ft Length ft Diameter in Type ALTERATIONS: (Describe) HEATING CO: . Signed By: Date : CITY OF FRIDLEY BUILDING INSPECTION 6431 University Ave NE Fridley, MN 55432 763-572-36'04 FAX 763-571-1287 RATE SCHEDULE Residential Furnace Shell and Duct Work, Burner & also Replacement Furnace Gas Piping (New Furnace, Fireplace, Insert) Gas Range Gas Dryer *Air Conditioning - All Sizes Effective 4/1/2004 APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION REFRIGERATION AND.AIR CONDITIONING SYSTEMS AND DEVICES JOB ADDRESS Fee To al....�� � Owner l�14L/ S'°tl�G 7( deL) $35.00 $3506 Building Used As ©6e s- a,/ - $10.00 $ ESTIMATED COST _�j?�G.; PERMIT NO $10.00 $ $10.00 $ $25.00 $ All Other Repairs or Alterations (List on Back) 1% of Value of Appliance or Work Minimum Fee $15.00 for Residential or 5% of cost of Improvement whichever is greater. on work less than $500.00 Commercial/Industrial/Institutional 1.25% of Value of Appliance or Work (List on Back) Minimum Fee $35.00 for Commercial/Industrial/Institutional State Surcharge TOTAL FEE REINSPECTION FEE $50.00/HOUR DESCRIPTION OF FURNACE AND BURNER # of Heating Units--/-- Circle One (Steam) (Hot Water) arm Air Trade Name L �vsuG X Size No. �i�1) BTU 2G X00 HP EDR Fuel 4)dF_(_ Total Connected Load Burner Trade Name BTU HP Size No. EDR 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. $ .50 HEATING CO�67�� $ Signed6l4C14-2 -e__ Tel # 7U -4V -d lm FAX # 763- 4 y Date-�� f � r *Air Conditioners can not be placed in side yard without written approval from adjoining property owner - copy to City FILL OUT BACK SIDE FOR STACK VERIFICATION ON REPLACEMENT FURNACE Approved by Rough -in Date Final Date FILL IN COMPLETELY FOR REPLACEMENT FUEL BURNING APPLIANCE PERMITS COMMQN VENT, VENT CONNECTOR AND COMBUSTION AIR VERIFICATION When replacing an existing furnace, the undersigned hereby verifies that the venting has been examined and is free from rust, deterioration, obstructions, and is securely supported and firestopped where required. Yes () No`X: The venting system is plastic/PVC and meets all current codes and manufacturer specifications including sizing, length, number of elbows and termination. Yes No( ) The undersigned also verifies that the replacement unit is a listed assembly and meets the current codes and manufacturer's specifications. This does include AGA-GAMA Category I Central Furnace Venting Tables for fan assisted and natural draft appliances. Yes () No��< The existing combustion air is sized and installed to meet the current codes and manufacturer's specifications. Yes () N94/ When required to install a new combustion air, it will be sized and installed the manufacturer's specifications. Yes' No( ) to meet current codes and When installing a new venting .system, the undersigned hereby verifies that it is a listed assembly and meets the current codes and manufacturer's specifications. This does include AGA-GAMA Category I Central Furnace Venting Tables for fan assisted and natural draft appliances. Yes No( ) Is the common vent and vent connectors sized and installed correctly after an appliance has been removed from the common vent and vented separately as per current codes. Yes () N Appliance Type and Size/Common Vent and Vent Connector Information Appliance #1 Type� BTU InputFan Assisted or Nat Appliance #2 Type BTU Input Fan Assisted or Nat Appliance #3 Type BTU Input Fan Assisted or Nat Total Appliances Total Btu Input 0�?� Common Vent Type Vent Height Diameter inches Appliance #1 Vent Connector Height ft Length ft Diameter in Type Appliance #2 Vent Connector Height ft Length ft Diameter in Type Appliance #3 Vent Connector Height ft Length ft Diameter in Type _ALTERATIONS: (Describe) HEATING CO: Signed By: --:es- Building PLUMBING Permit NO.: Inspections RESIDENTIAL APPLICATION Received By: 763-572-3604 CITY OF FRIDLEY Date Ree'd: DATE pg6Q6M (SM 2 -?— 1100S YOUR E-MAIL ADDRESS SITE ADDRESS kp' Z '5 e f e "t= THIS APPLICANT IS: 0 OWNER l'IRACTOR PROPERTY NAME: ADDRESS: CITY STATE ZIP OWNER/ TENANT PHONE: CONTRACTOR NAME: STATE LICENSE # � J(A P rY1 EXP DATE a�i/lI,,, p ADDRESS: q IM � � SIR M-5- CITY STATEY��I%ZIP SUBMIT A COPY OF YOUR STATE LICENSE WITH PHONil(63 ^1 g'1' 'TIC. 2- FAX 163) APPLICATION PERMIT TYPE 919GLE FAMILY 0 TWO FAMILY 0 TOWNHOUSE W16LACEMENT TYPE OF WORK: 0 NEW DETAILED DESCRIPTION OF WORK PER MS 1613.665 the permit fee is a minimum of $15.00 or 5% of the total cost Up to $500.00, whichever is greater, for the improvement, installation or replacement of a residential fixture, excluding the fixtures. (This should reflect only the cost of labor ) Labor cost under $300 = $15.00. Labor cost between $300 to $500 = cost of labor X.05 = FOR PROJECTS WHERE LABOR EXCEEDS $500, FEES ARE BASED ON $10.00 PER FIXTURE, EXCEPT WHERE NOTED. FIXTURES: (rNDICATE TOTAL NUMBER OF EACH BELOW) SINKILAV DRAINS _ SHOWER _WATER PIPING —BATH _FLOOR BATHTUB GAS PIPING aaw Cm'ucFrrs) _ SWRAMING POOL _ WATER SOFTNER ($35) _ _ _ CLOTHES WASHER _ KITCHEN SINK _ CLOSET _BACKFLOW PREV. ($15) DISHWASHER LAUNDRY TRAY ATER HEATER ($35) FOR IRRIGATION _ WATER METER —OTHER 77 -,tN,...;urfS Permit Fee $ Number of fixtures @ $10.00 x $10.00 $ Surcharge .50 Number of fixtures @ $15.00 x $15.00 = $ TOTAL DUE $ '- Number of fixtures @ $35.00 x $35.00 = $ State Surcharge = $___1L0 Total = $ 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 ll ryw^or^k_whi req ires review and approval of plans. �Q l SIGNATURE OF APPLICANT \� = J J PRINT NAME B �� DATE - `I`.�;t'� IN", .. �..�„ City of Fridley Building Inspections Department 6431 University Avenue NE, Fridley, MN 55432 763-572-3604 FAX: 763-502-4977 Building BUILDING Plan Review Permit No.: %Yd Inspections Fire Surcharge RESIDENTIAL APPLICATION .001 times the total job valuation Received By: t�! 763-572-3604 .0005 x Permit Valuation Minimum $.50 CITY OF FRIDLEY $ _ Date Recd:c DATE %�3/Cj YOUR E-MAIL ADDRESS /n 41 $1550 per SAC Unit (Plans to MWCC for determination) SITE ADDRESS �� Lz .� ! e— ft + 6 ft = ft x $21 =$ THIS APPLICANT IS: e❑ OWNER �NTRACTOR $450 Conservation Plan Review PROPERTY OWNER/ NAME: I r i _'� i- /i C � Fee Determined by Engineering TENANT ADDRESS:_ & 4170 0 S C, J��t� CITY_ —r i C 1--1 STATE ZIP Agreement necessary ( ) Non Necessary ( ) PHONE:7 6 :3 g2�22-- $ CONTRACTOR NAME: .:mac -C Ur,— a_, � CJY✓ � �� �- e LIZ 04 , SUBMIT A COPY OF YOUR STATE LICENSE STATE LICENSE # S�5" 1-7 7 / EXP DATE ADDRESS: � 9 0 (-( L. "— i.-� CITYLt%.z �J c) zle r STATAIZIP '®L -f WITH APPLICATION PHONE—?(e3 ?-3q !2,7-2,0 FAX PROPERTY TYPE ❑ SINGLE FAMILY/NEW CONSTRUCTION SIZE ❑ TWO FAMILY/NEW CONSTRUCTION STORIES PERMIT TYPE ❑ ADDITION ❑ GARAGE/SHED ❑ WINDOWS ❑ BASEMENT FINISH ❑ ROOF❑ D TILE ❑ DECK 13 SIDING THER ❑ SWIMMING POOL TYPE OF WORK: ❑l N,EAIN E3 ADDITION TENANCE/REPAIR ❑ REMODELING DESCRIBE WORK BEING DONE: „ 14- X1) ` c� SIZE OF IMPROVEMENT LENGTH,2 WIDTH HEIGHT r Sq. Ft.SL) ROOFING ❑ HOUSE ONLY NUMBER OF SQUARES ❑ HOUSE & GARAGE BASEMENT REMODELING SUBMIT: GARAGES ❑ ATTACHED GARAGE 1. Existing Floor Plan PROPOSED SIZE: ❑ DETACHED GARAGE 2. Proposed floor plan PROPOSED HEIGHT: 3. List of structural members to be used 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. WINDOWS 2. Two sets of construction plans IN EXISTING OPENINGS ❑Yes ❑No LOCATION OF WINDOWS 3. Energy Calculations 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 $ � (z) OCCUPANCY TYPE Permit Fee See Back Page for Fee Schedule Plan Review $ 65% of Building Permit Fee Fire Surcharge $ .001 times the total job valuation Surcharge $ ® .0005 x Permit Valuation Minimum $.50 License Surcharge $ _ $5.00 (State Licensed Residential Contractors) SAC Charge $ $1550 per SAC Unit (Plans to MWCC for determination) Curb Cut Escrow $ ft + 6 ft = ft x $21 =$ Erosion Control $ $450 Conservation Plan Review Park Fee $ Fee Determined by Engineering Sewer Main Charge $ Agreement necessary ( ) Non Necessary ( ) Total Due $ Make checks. uavable to: Citv of Fridlev Attach Stiaulations 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 which requires review and approval of plans. SIGNATURE OF APPLICANT AZA- �`-- PRINT NAME DATE n 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 1s` $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 1s` $50,000 plus $7 for each additional $1,000 or fraction to and including $100,000 $100,001 to $500,000 $993.75 for 1s` $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 1' $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