Loading...
The URL can be used to link to this page
Your browser does not support the video tag.
PRE 2010 DOCS
City of Fridley SUBJECT RM IT , 13399 AT THE TOP OF THE TWINS BUILDING PERMIT r EIPT N `L ______ COMMUNITY DEVELOPMENT DIV. r, J r PROTECTIVE INSPECTION SEC. CITY HALL FRIDLEY 55432 L•""�'� ,�� NUMBER REV. DATE PAGE OF APPROVED BY 612-560-3450 910-F15 12/20/76 JOB ADDRESS 6490 Squire Drive N.E. 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 1 4 Harris Lake Estates SHEET 2 PROPERTY OWNER MAILADDRESS ZIP PHONE Erco, Incorporated 3231 Central Avenue, Mpls. 789-8878 3 CONTRACTOR MAILADDRESS ZIP PHONE LICENSE NO. Same 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 ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE X 6 DESCRIBE WORK Construct a 42' x 27' Dwelling and a 201 x 22' Garage N `nFY THE FRIDLEY E DIVJSION REGARDING OVAL AND REPLACE 9 CHANGE OF USE FROM TO AT DRIVEWAY OPENI KAT11+fG PLUMBING AND SIGNS. STIPULATIONS Provide 2" x 8" rafters 16" on center. Provide pilaster midsection of both walls in basement. Provide vapor barrier on ceiling. Provide a hard surface driveway. Provide a verifying survey before capping. Provide sod in the front and side yards. X SEWER LOCATION: (Approx. 9' Deep) 72' South of Manhole (S. Inv. 878.44) io WYE ELEV: 878.73 TOP OF FOOTING: 881.98 Minimum SERVICES OFF SQUIRE DRIVE WATER LOCATION: 10' North of Sewer service. I THE CRY OF FRIDLEY DOES ''NOT (NARANI'tt TNI: � A U T � fl N ACCURACY OF UTILITY LOCATXMS AND ELEVATIONS. to r'R THIS DATA IS FOR INFORMATION PURPOSES ONLY AN.; -VISION SAFETY CONTROL IONS" PERSONS USM R SHOULD VERIFY THE INFORMATION 00 NOT PLANT OR PLACE ANY- ON THE Ste, THING IN THIS AREA WITHOUT AP- PROVAL OF THE CITY OF FRIDLEY. TYPE OF CONST. OCCUPANCY GROUP OCCUPAN O SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, Wood Frame 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 R-1 1423+440 30,980 Total 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 ORDINANCE O ERNING THIS TYPE OF WORK WILL BE COMPLIED. $42,305 $21.15 WITH WHETHER PE FIED HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT PR SUM TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PERMIT FEE - SAC CHARGE PROYI 'S, OTHER STATE OR LOCAL LAW REGULATING CON- $123.92 $350.00 STR TIO O PERF RMANCE OF CONSTRUCTION. I' PLAN CHECK FEE _ TOTAL FEE $30. ') V $526.05 SIGNAT R OF CONTRACTOR OR AUTHORIZED AGENT DATEI W EN PROP RLY VA ID IS IS YOUR PERMIT BLDG. INSP - DATE SIGNATURE OF OWNER (IF OWNERBUILDER) (DATE) JGR. JRB IAENT as. I a 1. 1, SAFETY Stlod PNpdLACEfNPROL ZO. DO N r. THING IN THIS AE'EA WITHOU1 _ PnVAL OF THE PITY OF FRIL !� r, `' �-" A N ! T OU A Before digging call local utilities 1�® -ELECTRIC e S Etc. � ���t,� �®Es ��®N�: � , E - TELEPHONE v ELEC � ® ELEV �IiY `®��ONs � �� REQUIRED BY LAM Wj% OtA IS IOP INFOR"T*N pUP.PHE INFORMATIOW ONLY W USINO if WOULD %11RI1 fik SITE,p /Vorpy 111 'IV I- R� €� An URE3 CARDING C Q� WAY SGS NT C'J OC:c c C:c�'✓. L_. _. � _. ._ uijL.� _,mac .-,-�[..� .;.a J:i� o�; �c�'�/o .. �. � _ �._� - � I 1-2 v CITY OF FRIDLEY APPLICATION FOR -RESIDENTIAL BUILDING PERMITS (NEW, ALTERATIONS, ADDITIONS, OR REPAIRS) OWNER'S NAME: BUILDER: (! /z C�C-- /� 1 ADDRESS: ADDRESS: %SEL. NO.: NO:. 0 q 9 6 STREET: LOT: BLOCK: _ U ADDITION: CORNER LOT: INSIDE LOT: SETBACK: SIMARD:/G Applicant attach to this form Two Certificates of Survey of Lot and proposed building location drawn on these Certificates. To Be Used As: DESCRIPTION OF BUILDING Front: Depth: 2 i Square Feet: Cubic Feet: Front: ° Depth: Height Height: Square eet; Cubic Feet: �- 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 stfict accordance with the City of Fridley ordinances and rulings of the Department of Buildings, and hereby declares that all the facts and representationZstat inthis application are true and correct. DATE: _ —7 SIGNATURE: A (See Reverse Side For Additional Information.) • 2-/; 67 .y t ( C- r gym? , P � C =' C-- f 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: IVEW CONSTRUCTION: Single Family Homes and Garages: $4.00/1000 cubic feet PLAN CHECK: 25 percent of building permit fee. 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.e height of the roof surface of the main gable of a pitched roof. h 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 $7.50. VERIFICATION OF FOUNDATION NOTE: Permits for construction will be issued a minimum of 24 hours -from the time of application, to allow for proper review of the proposed structure and bf the construction site. A Certified Survey of the lot, showing the location of the foundation, once it has been constructed, will be required before proceeding with the framing. CERTIFICATE OF OCCUPANCY Application for a Certificate of Occupancy shall be made -ten (10) days prior to the use or occupancy of any structure for which a building permit has been issued; and said structure shall not be used or occupied until a Certificate of Occupancy has been issued. a Ya.:j C .1. V L 4 EXTERIOR ENVELOPE AVERAGE "U" COMPUTATION OWNER: DATE i [t SITE ADDRES4 M 7✓� , ��ti PHONE: CONTRACTOR: V& Determine working square footage of each c, 1. Total exposed wall area...... 1 ' sq. ft. x .17 2. Toal roof/ceilingarea ...... s . ft, x .05 — 7c) aim � S Total exposed wall area above floor = a. Total wall window area ................................. b. Total door area ............................... :....... c. Total Total sliding glass door area ......................... d. Total fireplace wall area .............................' e. Total wall framing arra (average .100) .................. D f. Total rim joist area .................................. g. wall area above floor ..........................® IP 6 . h. wall area above floor .......................... • i. wall area above floor ........................... j. wall area above floor .......................... Total exposed foundation area `V(, k. Total foundation window area ........................... 1. Total net foundation area above grade ................. ". ( Determine,"U" value of each wall segment (e.g. window, door, each separate wall section) a. X IIU11 X 11{711 t '(G X flute X tiute = th,q x ,lull e _ a h. X 11U" i. X IIUII = j• k. / X X flues "ul$ _ ISD 1. ,V" x IIUll .3 . ............................. Total = 177 If item #3 is the same as, or less than item #1, you have met the intent of SBC 6006 (c) 2. Exterior Envelope Average "U" Computation Total exposed roof/ceiling area — m. Total skylight area ............................ n. Total roof/ceiling framing area (average 10%)... 4 �� o. Total net insulated roof/ceiling area........... Determine "U" value for each roof/ceiling segment M. X "U" n. X fluff 0. X fluff 4 ........................... Total = Page 2 of 4 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. 0,5 W q �1 r�� + 2. WALL SECTIONS NOTE: Use 10% of opaque wall area for frame construction BASIC WALL Page 3 of 4 Construction R -Value 1. interior air film 0.68 2. I 3•. -� 4.Do 5. aw 6. Exterior air f ' m 0.1 FIG. #1 TOPVIEW OF FRAME WALL 1. Interior air film 0.68 2. ,f. 3. 1 �� 4•_ FIG. #2 5. , 6. Exterior air film 0.1 —� Total Interior air film 0.68 -F 4. •� fl c'. - 5. • 3� 6. Exterior air film -0.17 i .c'T tal , G • ' �=.-�C � 1. I 'terior it film 0.68 3. 4. 5. 6. Exterior air film 0.17 Total %1 r • -may • � �` t C. t 6 � Irl FSG. #3 FIG. #4 Ill t� Op /,/ 66. • . NOTE: Indicate type, "?Z" 'value, depth and �"' .d placement of insulation. ROOF/CEILING Vented FIG. 95 Heat flora up Heat flow up .-vented J 4 5 ,. � ;4�,i�, ' `,�"� a•W�-:`ice ;.�`: . —�-�'' r Page •4 of 4 Construction -R-Value 1. Interior air film 0.61• 0 all 2. 4-- 3.A5 c' 4. Exterior air film (s ill) 0.61 Total 1. Interior air film 0.6 2. PP1 b `� 3. V 4. Exterior air film ( i l) 0.61 Total 1. Inside air film 0.61 + 2. �+ 3. ® 4. 1, S. Outside air film 0.17 Total Note: Use additional sheets if more space is 2 needed for details and calculations • NUS?--VEIBTF..D . ' . ' . .. , hent £low up PIG. �7 MY OF FRIDLEY APPLICATION FOR PUJMBING AND GAS FITTING PERMIT PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: NO. RATE TOTAL Y.ier Fixtures 2 x $3.00 $ d 7 vd U �� x L Y, d Now Fixture, Old Opening Water $2.00 $ Catch Basin 11 $5.00 $ Water Heater - to 99,C00 BTU �_ x $5.00 $ 100,C00 BTU to 199,000 STU y p, .11 water Softener x Heater u New Ground it r. Old Building x $5.00 $ Electric :cater Heater x $5.00 u 1+�i r 1st 3 fixtures x u $ 3• Additional Fixtures x $1.00 $ Gas Range to 199,000 BTU x $10.00 ff R ---?AIRS $ ALTERATIO`S First S1CO.00 Ci $5.00 ci each add. 5100.00 or fraction $2.00 $ State Surcharge $ .50 1. TOTAL FEE $ REI:;S?ECTiON FEE ($10.00) a3 3r3; 1 -Future Connection Opening rc Connected with Sewer _ .ew Fixture, Old Opening Water PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: NO. RATE TOTAL Y.ier Fixtures 2 x $3.00 $ d 7 vd rsture Fixture Cpaning �� x $2.00 $ 'oo Now Fixture, Old Opening x $2.00 $ Catch Basin x $5.00 $ Water Heater - to 99,C00 BTU �_ x $5.00 $ 100,C00 BTU to 199,000 STU r, $10.00 $ water Softener x $7.00 $ New Ground it r. Old Building x $5.00 $ Electric :cater Heater x $5.00 $. GAS FITTING FEES: 1st 3 fixtures x $3.00 $ 3• Additional Fixtures x $1.00 $ Gas Range to 199,000 BTU x $10.00 $ R ---?AIRS $ ALTERATIO`S First S1CO.00 $5.00 $ each add. 5100.00 or fraction $2.00 $ State Surcharge $ .50 1. TOTAL FEE $ REI:;S?ECTiON FEE ($10.00) Job Address Departmont of Buildings City of Fridley Tel. #571-3450 The undersigned hereby makes application for a permit for the wok herein specified agreeing to do all work in strict accordance with the City�Codes and rulingn of the Department of Buildings, and hereby declares that all the facts and representations stated in this applicati a are true and correct Fridley, yet. d . �0 047iVER r��ea KIND OF BUILDING USED AS TO BE COy3LETED ABOUT r- - ESTIMATED COST OLD - NEW BUILDING PERMIT NO. PER IT NO. 903 a Company Signed By Tel. No. ROUGH INSP. Date FINAL INSP. Zs - F - 7 7 Date APPROVAL FOR PERKIT MINIMUM FEE FOR ANY PLUMBING PERMIT IS $7.50 CITY OF FRIDLEY APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION, REFRIGERATION AND VC:;1A AIR CONDITIONING SYSTEMS AND DEVICES PARTIAL RATE SCHEDULE GRAVITY WARM AIR: RATE TOTAL Job Address 1Ci' Furnace Shell & Duct Work $12.00 $ Replacement of Furnace 7.00 7.00 $ $ Department of Buildings Repairs &,Alterations -up to $500.00 City of Fridley Repairs & Alterations each add. $500.00 4.00 $ Tel. #571-3450 DiECHANICAL WARM AIR: The undersigned hereby makes application for a permit for the work herein $12.00 $ � specified agreeing to do all work in strict accordance with the City Codes Furnace Shell & Duct Work to 100,000 BTU of the Department of Buildings, and hereby declares that all the each add. 50,000 BTU 4.00 7.00 $ $ and rulings facts and representations stated in this application are trueand correct. Replacement of Furnace 7. $ ( © Repairs & Alterations -up to $500.00 4.00 4.00 $ Fridley, Minn. 19 Repairs & Alterations each add. $500.00 OWNER STUM OR HOT WATER SYSTEM: Boiler & Lines up to 100,000 BTU $12.00 $ KIND OF BUILDING each addn. 50,000 BTU 4.00 7.00 $ $ USED AS 2? Boiler only up to 100,000 BTU each addn. 50,000 BTU 6.00 $ TO BE COMPLETED ABOU OIL BURNER- to 3 gal. per hour $10.00 $ % t each add. 3 gal. per hour 10.00 $ ESTIMATED COST %� /� to G) OLD - NEW BUILDING PERMIT N0. PERMIT NO. y�U GAS BURNER- from 100,000 BTU to 199,999 BTU $10.00 $ (over 199,999 BTU see Fee Schedule) $ GAS FITTING FEES: a G lst 3 Fixtures x $ 3.00 $ / , DESCRIPTION OF FURNACE/BURNER Additional Fixtures x $ 1.00 $ Gas Range to 199,000 BTU x $10.00 $ HEATING or POWER LANTS, Steam, Hot Wate , Warm A'r- o.% AIR CONDITIONING �� $ Trade Name Size No. FAN HEATI\G SYSTEMSSee {- Fee Schedule �t� lip � YSTE.IS VENTILATING SYSTEMS $ Ft. EDR / — Capacity Sq. — f— ALTERATIONS y REPAIRS $ State Surcharge $ .50 Total Connected Load Kind of Fuel TOTAL FEE BURNER - Trade Name Size No. OUGH 2:SP. Da.e :';SP. VC:;1A Daze APPeL%71_ REINSPECTION FEE ($10.00) M:';=:?U?i FEE FOR ANY HEATING PEP14IT IS $7.50 Capacity Sq. Ft. EDR BTU HP , 3ubur-ban /=mar Conditioning Co.. Company 8419 Venter ®riv- h� a; inneapbiis, Minnesota 55432 • �J ` I Signed By Tel. No. 607 i� G P CITY OF FRIDLEY 6431 UNIVERSITY AVENUE N.E., FRIDLEY, MINNESOTA 55432 TELEPHONE ( 612)571.3450 Erco, Incorporated 3231 Central Avenue N.E. Minneapolis, Mn. 55418 Re: Final Inspection at 6490 Squire Drive N.E. Dear Sirs: A final inspection was made on September 16, 1977 of the above property and the following items were noted which must be completed before the structure can be finaled out; 1. Provide sod in the front and side yards by October 27, 1977. 2. Provide one step between house and garage by October 27, 1977. 3. Provide 42 inch minimum frost cover on south and west sides by October 27, 1977. 4. Provide house numbers on structure by October 27, 1977. 5. Completely grout interior of fireplace to close off all non -vented spaces and conceal all insulation by October 27, 1977. We will expect the above items to be completed by the scheduled date when a reinspection will be conducted to determine canpliance. If you have any questions on these items, please feel free to contact me at 571-3450. Sincerely, RON HOLDEN Building Inspector RH/mh CC: Mr. David Skirka 6490 Squire Drive N.E. City of Fridley SUBJECT P 1 AT THE TOP OF THE TWINS PERMIT BUILDING RECEIP COMMUNITY DEVELOPMENT DIV./�/- r PROTECTIVE INSPECTION SEC. Gp 1 = � CITY HALL FRIDLEY 55432 NUMBER REV. DATE PAGE OF APPROVED BY ,-J 612-560-3450 910-F15 4/5/78 JOB ADDRESS 6490 Squire Drive N.E. 1 LEGAL LOT NO. BLOCK TRACTOR ADDITION SEE ATTACHED DESCR. 1 4 Harris Lake Estates SHEET 2 PROPERTY OWNER MAILADDRESS ZIP PHONE David S. Skirka 6490 Squire Drive N.E. 571-4284 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE N.O. 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 6 DESCRIBE WORK Construct a 14' x 14' deck 9 CHANGE OF USE FROM TO STIPULATIONS SEw'ERATE PERMITS REQUIRED FOR WIRING HEATiN , PLUMBING AND -SIGNS. IN 4011at util rhes d ong Call Behx -GAS , ��CC�6�iC t��.EQwoti� - LAM 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 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 $400 $.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- 1$7.50 STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. PLAN CHECK FEE TOTAL FEE $8.00 GNATUREO 00NTRACT R H0R EDAGENT ID,T 1 WW�HEN PR PE/RLY VALIDATED THIS IS YOUR P(ER,M�"IITT�y� n ��9 lav, ll ` �!y !CJ S ATURE O R BUIL ERl DATEI - BLDG. fNSP. DATE CITY OF FRIDLEY APPLICATION FOR RESIDENTIAL BUILDING PERMITS (NEW, ALTERATIONS, ADDITIONS, OR REPAIRS) OWNER: .dJc� i C' I /` Kd - BUILDER: Address: �Sz �_ Address: Tel. No . No.: Street: AFJZ LOT: BLOCY.:_ ADDITION: CORNER LOT: I11SIDE 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: . 1� -Height: Square Feet: Cubic Feet: Front: Depth: Height:. Square Feet: Cubic Feet: Type of Construction: co 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 additioi al iryfox a -ion DATE:SIGNATURE Stipulations: s 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 $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 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. i 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. •, W6181"1111 Oda a • 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 shallnot be used or occupied until a Certificate of occupancy has been issued. L • PARTIAL, RATE SCHEDULE PMMING, FIXTURE RATES; N0, RAT@ tti:.b�e.t FLxturas •• K SJ,Ob Nzura P!.xtura Opaning _^~ �i $2,00 Xcw Fixture, O1d'Oponing x 52,00 CAtch Baa in • x $5,00 I Watar Nosyer to 99,000 BT1J, x $5.1100 100;Coo ATV to 199,000 BTU x $10,00 Water Softaner Itev Grour•d• lain Old Building x 15.00 Lioc ulc Wstor Nectar - x $5,00 CAIS FITTING FEES: isc 1 fixtures , x 51,00 lJd1tica.1 rixtures x 11,00 *-Al MA9 a CO 199s000 BTU x 110.00 REPAIRS 4 ALTERATIONS ' first :100.00 $5.00 each ►c1, $100,00 or traction 51,00 State Surcharga TOTAL FEE TOTAL S $ S 110 7 8.00 Job Addraea 97-84-416051 6k9O $aUir _Lane r Department of Uuildings ' City of Fridley I Tot, 9571-3450 Tlla undersigned hereby makes application for A pacalt for the v apoaified agruoing•to do all work in strict accordance with the C and rulings of the Oopartmant of Buildings, and hereby dsclaros t the tactu and rolirgountations stated in this appliCktion are true • Fridley, MA, 4-26.-78 c OWNER SKIRKA ' • KIIID OF LUILDIIIG ! frames i USiED AS res.' TO OC COMPLETED ABOUT 5-3-78 ' £STIMATUD COST 20.00 , OLD - UCH UUILDING PERMIT NO, PC:IT 110. cY Company ASCO Signed By' Tal, No, ROUGII INSP, ' Dnto , 1,1114. INSP, cl -G ® 7 Data ' APPROVAL FOR PERMIT MINIMUM VE4 FOR AIN PLUKRING PERMIT 15 17.50 '� u � uC Hater �.' • A w p' F' - Ilea or .+ u .•r M c w h U �e .+ N u H M r 41 I u ,i •� 0 �+ •N N •.1 s D S N J N 4 V+ N o; ra s cl w , a us • loo s , ' Ir s'ta I • ri1 n rd' (A) - Nt.uro CoMeCtlon Opening Connectad with tdwdC (•I a flaw Fixture, Old Opaning Hat�sr • PARTIAL, RATE SCHEDULE PMMING, FIXTURE RATES; N0, RAT@ tti:.b�e.t FLxturas •• K SJ,Ob Nzura P!.xtura Opaning _^~ �i $2,00 Xcw Fixture, O1d'Oponing x 52,00 CAtch Baa in • x $5,00 I Watar Nosyer to 99,000 BT1J, x $5.1100 100;Coo ATV to 199,000 BTU x $10,00 Water Softaner Itev Grour•d• lain Old Building x 15.00 Lioc ulc Wstor Nectar - x $5,00 CAIS FITTING FEES: isc 1 fixtures , x 51,00 lJd1tica.1 rixtures x 11,00 *-Al MA9 a CO 199s000 BTU x 110.00 REPAIRS 4 ALTERATIONS ' first :100.00 $5.00 each ►c1, $100,00 or traction 51,00 State Surcharga TOTAL FEE TOTAL S $ S 110 7 8.00 Job Addraea 97-84-416051 6k9O $aUir _Lane r Department of Uuildings ' City of Fridley I Tot, 9571-3450 Tlla undersigned hereby makes application for A pacalt for the v apoaified agruoing•to do all work in strict accordance with the C and rulings of the Oopartmant of Buildings, and hereby dsclaros t the tactu and rolirgountations stated in this appliCktion are true • Fridley, MA, 4-26.-78 c OWNER SKIRKA ' • KIIID OF LUILDIIIG ! frames i USiED AS res.' TO OC COMPLETED ABOUT 5-3-78 ' £STIMATUD COST 20.00 , OLD - UCH UUILDING PERMIT NO, PC:IT 110. cY Company ASCO Signed By' Tal, No, ROUGII INSP, ' Dnto , 1,1114. INSP, cl -G ® 7 Data ' APPROVAL FOR PERMIT MINIMUM VE4 FOR AIN PLUKRING PERMIT 15 17.50 CITY OF FRIDLEY APPLICATION FOR PLUMBING AND GAS FITTING PERMIT PARTIAL RATE SCHEDULE • m PLUMBING FIXTURE RATES: NO. >. N Number Fixtures N $3.00 U Future Fixture Opening X N $ Water x $2.00 $ Catch Basin x $5.00 sbi C x $5.00 $ 4 W W $ Water Softener Heater a7 m m x $5.00 $ Electric Water Heater »c+ 0 m $ W ro $441 a 1st 3 fixtures x $3.00 $ 54 x $1.00 $ Gas Range to 199,000 BTU x $10.00 $ REPAIRS & ALTERATIONS First $100.00 $5, 0Q $ each add. $100.00 or fraction $2.00 $ State Surcharge $ - .50 TOTAL FEE $ m a A W 9 a . M o as lec 12 wo to c"'i c c SasJ 1st 2nd 3rd IR 4 th (R) = Future Connection Opening Connected th Sewer (;) = New Fixture, Old Opening Water PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: NO. RATE TOTAL Number Fixtures x $3.00 $ Future Fixture Opening x $2.00 $ New Fixture, Old Opening x $2.00 $ Catch Basin x $5.00 $ Water Heater - to 99,000 BTU x $5.00 $ 100,000 BTU to 199,000 BTU x $10.00 $ Water Softener x $7.00 $ New Ground Run Old Building x $5.00 $ Electric Water Heater x $5.00 $ GAS FITTING FEES: 1st 3 fixtures x $3.00 $ Additional Fixtures x $1.00 $ Gas Range to 199,000 BTU x $10.00 $ REPAIRS & ALTERATIONS First $100.00 $5, 0Q $ each add. $100.00 or fraction $2.00 $ State Surcharge $ - .50 TOTAL FEE $ �q /�� .h n Job Address [� ( V 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 roprosentations stated in this application are true and correct n�Fridley, Mn. 7 , 19-212� OWNER KIND OF BUILDING USED AS TO BE COMPLETED ABOUT ESTIMATED COST 9 OLD - NEW BUILDIN^ PERMIT NO. PERMIT N0. + 3 9 Company Signed By Tel. No. ROUGH INSP. Date FINAL INSP. Date APPROVAL FOR PERMIT MINIMUM FEE FOR ANY PLUMBING PERMIT IS $7,50 PLUS $.50 STATE SURCHARGE REINSPECTION FEE p ($10.00) SUBJECT PE City ®f Fridley�16_ + AT THE TOP OF THE TWINS BUILDING I� I %� D [ D AAI T .170331 P D 'Vv rLR'v, I `L ------- COMMUNITY DEVELOPMENT DIV. r PROTECTIVE INSPECTION SEC. CITY HALL FRIDLEY 55432 NUMBER REV. DATE PAGE OF APPROVED BY 612-571-3450 910-F15 U 7%$183 JOB ADDRESS 6490 Squire Drive N.E. 1 LEGAL LOT NO. 8 1 BLOCK 4 TR ACT OR ADDITION SEE ATTACHED Harris Lake Estates DESCR. SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE David S. Skirka 6490 Squire Drive N.E. 571-4284 3 CONTRACTOR MAILSR SS ZIP PHONE LICENSE NO. Jansiak aU 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 IR ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK . - ..,new addition 24 x 14 9 CHANGE OF USE FROM TO STIPULATIONS FORVIEA pERMI S REQUIRED �EpEstA RNA 'Vivid. PLUMB TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, wood frame 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 336 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 13,300 6.65 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PERMIT FEE SRC CHARGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- STRUCTION104.50 OR THE PERFORMANCE OF CONSTRUCTION. PLAN CHECK FEETOTALFEE 13 IA 137.28 SIGNATURE OaNTRA ORO A.TEDAGENT (DATE) W N PROJERIfY THIS iS YOUR PERMIT E SIGNATURE OF OWNER (I OWNER BUILDER) (DATE) G NSP FM CITY OF FRIDLEY APPLICATIM FOR RESIDENTIAL BUILDINIG PERilITS (Nero, Alterations, Additions, or Repairs) OWNER: OQUI cl z S kt,y a ADDRESS: 301al ` v r - TEL NO: Effective Aug. 1, 1981 BUI LDER : a yvs 9' ADDRESS: TEL NO: ��� % 7 Construction Location STREET NO: STREET: LOT: / BLOCK: 41 ADDITION: Corner Lot: Cf�Q� - 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 Front: 1 Depth: 1 y Height: Square Feet: Cubic Feet: Front: Depth: Height: Square Fent: Cubic Feet: _ Type of Construction: Estimated Cost: $ Zb Be Wripleted: 6Lo f cr Alt. A Alt. B Proposed Driveway Width If New Opening Is Desired: $ $ SEE nVF.RS E SIDE OF SHEET Riie undersigned hereby makes application for a permit for the %.nrk 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 applicat� are true and correct. UWE: �l � SIGNATUF��-. Stipulations: 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 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: $1.00 to $500.00 $10.00 (Minimum $15.00) $501 to $29000.00 $10.00 for the first $500 plus $1.50 for each additional $100 or fraction thereof, to and including $2,000 $2,001 to $25,000 $32.50 for the first $2,000 plus $6.00 for each additional $1,000 or fraction thereof, to and including $25,000 $25,001 to $50,000 $170.50 for the first $25,000 plus $4.50 for each additional $1,000 or fraction thereof, to and including $50,000 $50,001 to $100,000 $283.00 for the first $50,000 plus $3.00 for each additional $1,000 or fraction thereof, to and including $100,000 $100,001 and up $443.00 for the first $100,000 plus $2.50 for each additional $1,000 or fraction thereof Plan Check: 25 percent of building permit fee. 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 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. t � o, qj?'K Ae 61, 161 JLvot Lia Jt� E iL IN6 .i•t S.F, r ll p?rl it Fw'1 , Vii. DSS /N,SuIy4 TlQh1 V Bull ,OE.e - �(' jf'.PY eT.vS'l�iC" SC.�L ' •• / MINIMUM FEE FOR ANY HEATING PERMIT IS $10.00 Company ids' PLUS $.50 STATE SURCHARGE Signed B Attach stack verification foe with replacement furnace permitsS Tel. No. *kir Conditioners can not be placed in hide yard without written pvrnission from adjoining neighbor. Effective Aug. 1, 1981 CITY OF FRIDLEY APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION, REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES RATE SCHEDULE RESIDENTIAL RATE TOTAL JobAddress �* ® o Furnace Shell and Duct Work, Burner (Also rsplaceeent furnace) $ 20.00 $ Department of Buildings, 6431 University Ave. N.E.. Fridley, MN S5432 City of Fridley Gas Piping $ 10.00 $ Tel. 0571-3450 (piping needed with new furnace) Gas Range $ 10.00 $ 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 Gas Dryer $ 10.00 $ and rulings of the Department of Buildings, and hereby declares that all the facts and representations stated in this application are true and correct. e Air Conditioning (all sizes) $ 10.00 $ Fridley. Minn. 19 $3 Da 0' A S S, kL,-V-Z All Others/Repairs and Alterations OWNER It of Value of Appliance or Work $ �a KING OF BUILDING lu ®Ci /J-(i� 8{'—e-- COMMERCIAL/INDUSTRIAL USED AS ��� e ���+=� It of Value of Appliance or Work Sd2+-�^ TD BE COMPLETED ABOUT ESTIMATED COST State Surcharge $ .50 PEE $ CLIA - NEW BUILDING PERMIT N0. PERMIT H0. TOTAL Reinspection Fes ($15.00) $ v� DESCRIPTION OF FURNACWBUWZR Rough Insp. HEATING or POWER PLANTS, Steam. Not water, warm Air- No. Date Trade Name Size No. Final Insp. ' ?---3r �J Date Capacity Sq. Ft. FAR BTU HP j Approval for Permit 'lT" Total Connected load Kind of Fuel BURNER - Trade Name Size No. Capacity Sq. Ft. EDR BTU NP MINIMUM FEE FOR ANY HEATING PERMIT IS $10.00 Company ids' PLUS $.50 STATE SURCHARGE Signed B Attach stack verification foe with replacement furnace permitsS Tel. No. *kir Conditioners can not be placed in hide yard without written pvrnission from adjoining neighbor. 01 SUBJECT I PER O. City of Fridley 18069 AT THE TOP OF THE TWINS BUILDING PERMIT r RE 11 • COMMUNITY DEVELOPMENT DIV. �y------- Cs r i � PROTECTIVE INSPECTION SEC. 1 ` "'1,•� CITY HALL FRIDLEY 55432 NUMBER REV. DATE PAGE OF APPROVED BY ----� L 612-571-3450 910-F15 6/18/85 JOB ADDRESS 6490 Squire Drive N.E. 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 1 4 Harris. Lake ES,tateS. SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE David Skirka 6490 Squire Drive N.E. 571-4284 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Gary J'ansick Contractor 6480 Squire Drive N.E. 574-9679 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO. 6 USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW X] ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Construct a 14' x 12' . Porch. Addi tion 9 CHANGE OF USE FROM TO STIPULATIONS WARNING SEPARATE PERMITS 8ef0ra digging call local utilities RE FOR WIRING, HEATING, RL UIRNG TELEPHONE -ELECTRIC -GA$ Etc. PL D SIGN&, 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 1 1 HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION STALLS IGARAGES 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 $2,1Q0 $1`05 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PERMIT FEE SACCHARGE P OVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- $38.50 TION OR THE PERFORMA OF CONSTRUCTION. >X- PLAN CHECK FEE TOTAL FEE � o /� $ 9.63 1 $.49.18 IGH URE OFCONTRACTO UTHORIZEDA(:iENT tDATE) WHEN PROPERLY BLDG iNSP ALIDATED THIS IS YOUR PERMIT 01TE SIGNATURE OF OWNER TIF OWNER BUILDER) IDATEI 01 NEW [ ] City of Fridley Effective 4/1/84 ADDN. [k] R-1 AND R-2 1 ALTER. [ ] Building Permit Application Construction Address . /U& Legal Description: Owner Name & Address: ��� : d S-kt r- IC _ Tel. # Contractor • Ca'rC4 Tel. # Address: 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 f Width /a i GARAGE AREA: Length Width DECK AREA: Length "I Width OTHER: ��� L4 x i / CC g x0 L .- a6, a 15?, q0 Corner Lot [x] Inside Lot [ ] Ft. Yd. Setback _ Type of Construction: Approx. Completion Date: 7u 1u ,- Fps Proposed Driveway Width If New Opening Is Desired: Height Height Hgt/Ground II,Ra, Sq. Ft. Sq. Ft. Sq. Ft. Side Yard Setback Estimated Cost: $ Alt. A Alt B $ $ See Back Page for Explanation DATE: �J-u v►..e / %, TS APPLICANT: ��� r ., as r !i Tel. 6--7V-,V67- CITY �7 V- ,V6 7 - CITY USE ONLY Permit Fee Plan Check State Surcharge SAC Charge Park Fee Sewer Main Charge TOTAL STIPULATIONS: Fee Schedule on Reverse Side 25% of Building Permit Fee $.50/$1,000 Valuation $425 per SAC Unit Fee Determined by Engineering Agreement Necessary [ ] Not Necessary [ ] BUILDING PERMIT FEE SCHEDULE The Chief Building Official shall, before issuing permits for the erection of any building or structure, or for any addition to any existing building or structure, or for any alteration or repair to any existing building or structure, upon application therefore, require the payment by the applicant for such permit of fees to the amount herein below set forth and in the manner herein provided to -wit: Total Valuation Fees $1.00 to $500.00 $10.00 (Minimum Fee is $15.00) $501.00 to $2,000.00 $10.00 for the first $500 plus $1.50 for each additional $100 or fraction thereof, to and including $2,000. $2,001.00 to $25,000.00 $32.50 for the first $2,000 plus $6.00 for each additional $1,000 or fraction thereof, to and including $25,000. $25,001.00 to $50,000.00 $170.50 for the first $25,000 plus $4.50 for each additional $1,000 or fraction thereof, to and including $50,000. $50,001.00 to $100,000.00 $283.00 for the first $50,000 plus $3.00 for each additional $1,000 or fraction thereof, to and including $100,000. $100,001.00 and up $433.00 for the first $100,000 plus $2.50 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 been constructed will be required before proceeding with the framing. SUBJECT PE City of Fridley _ 19562` AT THE TOP OF THE TWINS BUILDING PERMIT _ r _ RECEl r i Y______ COMMUNITY DEVELOPMENT DIV. PROTECTIVE INSPECTION'SEC. 1 � ; CITY HALL FRIDLEY 55432 NUMBER REV. DATE F;AGE OF APPROVED By 612-571-3450 910-F15 6/27/88 JOB ADDRESS 6490 Squire Drive N.E. 1 LEGAL LOT NO. BLOCK TRACTOR ADDITION SEE ATTACHED DESCR. 1 4 Harris Lake Estates SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP . PHONE David Skirka 6490 Squire Drive N.E. 571-4284 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Ament Pools. 2239 Roosevelt Road, Suite #3, St. Cloud, MN 56301 252-0130 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 -❑ X NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Construct a 32' x 16' In -ground Swimming Pool (16,000 gallons) 9 CHANGE of USE FROM TO STIPULATIONS See stipulations on letter dated 6/27/88 Call IoCal utjmes SEPARATE PERMITS REQUIRED FOR Sefare 4409 GAS E�tc• TEL�PHOME-ELECiRiC- PLUMBING AND S��Glii HEATING, SIGNS, BY LAW REQUIRED 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 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 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 $10,000 $5.00 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- $117.00 STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. LAN CHECK FEE TOTAL FEE 7 $122.50 IGN TUREOFR�RUTHEDAGENT iDATEI RLY LIDATIS YOUR PERMITHEN PROPE o, BLDG INSP DAT SIGNATURE OF OWNER (IF OWNER BUILDERI IDATEI MW ] City of Fridley EEfective 5/1/88 AMN [ R-1 AMID R-2 AMER ] Building Permit Application Construction Address: ", 0 / ' Legal Description:_ Avner Nave & Address ODntractor: # Address: � 3 `/ okyo S ���.du Attach to this applications, a Certificate of Survey of the lot, with the proposoed construction drawn on it to scale. EESCRIPrION {O' IMPROVEMW Length Width Height Sg. Ft. :F AARFA GPA • Length Widt t Height --- ---- gh St3. It. DF!( ARFA: Length Width Hgt /C,round S g. Pt. nczL- P60LL--&)1L L, - Cbrner Lot [ ] Inside Lot [K] Ft. Yd Setback Side Yard Setbacks Type of Construction: 9 rcg0f-Ga Estimated Cost: S =� A Approx. Completion Date: Proposed Driveway Width If New Opening Is Desired:Alt. A Alt. B' $ Width +" 6',f " yK• See Back Page DATE p� � APPLI � � c i'' c�• Tel. "-21 CITY USE COY 1� Permit Ppe Fee Schedule on irereSide State Surcharge _ - QQ 8.50/51,000 Valuatibn. SAC Charge 8 $550 per SAC Unit :: }i, `'•sry. Driveway Escrow 8 Alt. "A" or Alt. "B" Above Park Fee $ Pee Determined by Engineering Sewer Main Charge $ Agreement Necessary [ ] Not Necessary [ ] TOTAL $ I7 -CL SrIPULMIM: �V�f� OIL e17 ��1 41 P i\j The Chief Building Official shall, before issuing permits for the erection of any building or structure, or for any addition to any existing building or structure, or for any alteration or repair to any existing building or structure, upon application therefore, require the payment by the applicant for such permit of fees to the amount herein below set forth and in the manner herein provided to -wit: TOTAL VALUE FEES $1 to $500 $15 Minimum Fee is $15 plus surcharge) $501 to $2,000 $15 for first $500 plus $2 for each additional $100 or fraction thereof, to and including $2,000 $2,001 to $25,000 $45 for first $2,000 plus $9 for each additional $1,000 or fraction thereof, to and including $25,000 $25,001 to $50,000 $252 for first $25,000 plus $6.50 for each additional $1,000 or fraction thereof, to and including $50,000 $50,001 to $100,000 $414.50 for first $50,000 plus $4.50 for each additional $1,,000 or fraction thereof, to and including $100,000 $100,001 to $500,000 $639.50 for first $100,000 plus $3.50 for each additional. $1,000 or fraction thereof, to and including $500,000 a:Z0,001 to $1,000,000 $2039.50 for the first $500000 plus $3 for each additional $1,000 or fraction thereof, to and including $1,000,000 $1,000,001 and up $3539.50 for the first $1,000,000 plus $2 for each additional $1,000 or fraction thereof DRIVEWAY DEPRESSION Eg['acw (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. 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. d CIIYOF FRIDLEY CIVIC CENTER • 6431 UNIVERSITY AVE. N.E. FRIDLEY, MINNESOTA 55432 • PHONE (612) 571-3450 June 27, 1988 W. David Skirka 6490 Squire Drive N.E. Fridley, MN 55432 Re: SwImUng Pool C struction at 6490 Squire Drive N.E., Fridley Dear Mr. Skirka: This letter is to make clear this department's requirements for the swimming pool construction at the above address. 1. As indicated, two (2) skimmers approved by the National. Sanitation Foundation will be provided. 2. As indicated, three (3) inlets of approved design for fresh and/or repurified water will be provided. 3. The filter and pump shall be approved by the N. S.F. and be of suf f icient capacity to provide a minimum turnover of at least two (2) times in 24 hours. This department reconnends a turnover rate of 6 - 8 hours. 4. As indicated, a main drain of approved constructicm will be provided. 5. A deck of at least three (3) feet wide, measured from the pool waters edge, shall be provided which extends ompletely around all private residential pools. Above ground private residential pools may be provided with decking of a minimum size of 4 feet by 4 feet at pool entry points and provided that such decking has the approval of the City. 6. 7he diving area will be acceptable provided there is no overhead obstruction. 7. Fencing or other effective means including but not limited to walls or buildings, acceptable to the City, shall be provided to positively control all access to public and private residential swimming pools. Fencing shall meet the following criteria: (a) The fencing shall prevent the entrance of children and be without hand or foot holds that would enable a person to climb over it. (b) The fencing shall be at least 6 feet high and entrances shall be equipped with self-closing and self -latching gates capable of being locked. (c) Self-closing and self -latching devices small be placed at the top of the gate or otherwise inaccessible to small children. (d) The opening between the bottom of the fence and the ground or other surface shall be not more than four inches. June 27, 1988 Mr. David Skirka Re: 6490 Squire Drive N.E. Page 2 8. An automatic chlorinator should be provided with a suitable test kit. 9. All electrical and plumbing installations shall be inspected and approved by the City Inspection Department. 10. All overhead electrical lines must be a minixmn of 10 feet horizontally from the pool surface, and 18 feet straight line distance from the waters edge. An alternative is to bury said lines. 11. The pool fill spout must be protected by a vacuum breaker cr air -gapped. 12. Suitable safety equipment to include but not limited to a ring buoy and rope that is 1-1/2 times the pool diameter and shepherds crook pole must be provided and maintained with the pool at all times. Furthermore, these and any other requirements must meet the provisions of the Fridley City Code, Section 115, Swimming Pools. The building permit is approved contingent on final inspections and approval of the City. If any questicns cr problems arise fraL this letter, please feel free to contact me at 571-3450. Sincerely, DARREL G. CLQ Chief Building official DGC/mh 14! —�1rz! ! i I I 11 i I _ I I } i e `I 1 71 CA if I- I I I - ooa'r � I I I I ' U46 I' I N t Srt- I P f-4 llp! I I I N I I I i I Effective Date May 1, 1988 CITY OF FRIDLEY APPLICATION FOR PLUMBING AND GAS FITTING PERMIT RATE SCHEDULE W PLUMBING FIXTURE RATES: NO. I M m New Fixtures ro U Future Fixtures k m $ Water $ 1.50 $ p Ei $ 4.00 H Blow Off Basin sa q q H $ [, bl Rain Water Leader Heater 5.00 y.� Hydraulic Valve $ 5.00 o Sump or Receiving Tank H .0 a g a) iJ Q U Hot Water Heater sa al 5.00 $ Gas Range $ O N $ Gas Dryer m 10.00 N ,i O U +i ,C ( ) Type $ m y $ as vi S a w oa a 9 , 44 as lec mou W$ 1st 2nd 3rd 4th (R) = Future Connection Opening Connected with Sewer (*) = New Fixture, Old Opening Water RATE SCHEDULE PLUMBING FIXTURE RATES: NO. RATE TOTAL New Fixtures $-5.00 $ Future Fixtures $ 3.50 $ Old Opening, New Fixture $ 1.50 $ Beer Dispenser $ 4.00 $ Blow Off Basin $ 5.00 $ Catch Basin $ 5.00 $ Rain Water Leader $ 5.00 $ Hydraulic Valve $ 5.00 $ Sump or Receiving Tank $ 5.00 $ Water Treating Appliance $ 7.00 $ Hot Water Heater $ 5.00 $ Gas Range $ 10.00 $ Gas Dryer $ 10.00 $ Fa L HCAI-IFA Back Flow Preventer Required. . . Yes ( ) No ( ) Type $ 5.00 $ ALL OTHERS AND/OR REPAIRS AND ALTERATIONS 1% of Value of Fixture or Appliance $ Reinspection Fee $ State Surcharge $ .50 ($15.00) TOTAL FEE $ Q Job Address -0 ` 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 are true and correct Fridley, Mn. '7 P , 19��' OWNER d/ al. -� KIND OF BUILDING _ 0 USED AS N .IL4.tA1 TO BE COMPLETEPOG �jt.c1�Q - 5' S ESTIMATED COST 1�a D j OLD - NEW BUILDING PERMIT NO. PERMIT NO. ROUGH INSP. FINAL INSP. Company Signed By Tel. No. Date Date APPROVAL FOR PERMIT MINIMUM FEE FOR ANY PLUMBING PET IS $15.00 PLUS THE $.50 STATE SURCHARGE SUBJECT PER TNO.- City of Fridley 3'19 5 2 AT THE TOP OF THE TWINS BUILDING P E R M I T �• !E C EIP_TN O. � COMMUNITY DEVELOPMENT DIV. L PROTECTIVE INSPECTION SEC. ��gf 572® //� 44 r NUMBER REV DATE PAGE OF APPROVED By 1 I CITY HALL FRIDLEY 55432 612-571-3450 910-F15 7/2/01 JOB ADDRESS 6490 Squire Drive NE 1 LEGAL LOT NO. BLOCK - TRACT OR ADDITION SEE ATTACHED DEscR. 1 4 Harris Lake Estates SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE David Skirka 6490 Squire Drive NE 763-571-4284 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 B USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW ❑ ADDITION ❑ ALTERATION Cj REPAIR O MOVE O REMOVE 8 DESCRIBE WORK Reroof House & Garage (41 Sq) Tear-off 9 CHANGEOFUSEFROM TO STIPULATIONS Underlayment must comply with 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 1 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 @ $4,193 $2.10 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 $111.25 Fire SC $4.19 PLAN CHECK FEE TOTAL FEE - / V $117.54 GNATURE OF 'RAC ROR u MOR1ZE AGENT iDATEi HEPPRO VALI ED THIS IS YOUR PERMIT DATE &GNA TURF OF ' WNERd OWNER BUILDER. NEW [] ADDN [ ] ALTER [ ] Construction Address: Legal Description: Owner Name & Address: Contractor. Address: 11alo 64�0 Effective 1/1/2001 CITY OF FRIDLEY (763) 572-3604 Bldg Insp SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION Tel. # 76 3 5-7/ MN LICENSE # 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: • or Construction Type: 2Estimated Cost: $ � tj Alp Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ =$ DATE: 2 APPLICAN Tel. # CITY USE ONLY - Call (763) 572-3604 for Permit Fees if mailing in application r Permit Fee $ Fee Schedule on Reverse Side Fire Surcharge $ i 1 .001 of Permit Valuation (1/10th%) State Surcharge $ , 10 $.50/$1,000 Valuation SAC Charge $ $1150 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 $ ® s 54 STIPULATIONS: BUILDING PERAM 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 $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 $23.50 $23.50 for first $500 plus $3.05 for each additional $100 or fraction thereof, to and including $2,000 $69.25 for first $2,000 plus $14.00 for each additional $1,000 or fraction thereof, to and including $25,000 $391.25 for first $25,000 plus $10.10 for each additional $1,000 or fraction thereof, to and including $50,000 $643.75 for first $50,000 plus $7.00 for each additional $1,000 or fraction thereof, to and including $100,000 $993.75 for first $100,000 plus $5.60 for each additional $1,000 or fraction thereof, to and including $500,000 $3,233.75 for the first $500,000 plus $4.75 for each additional $1,000 or fraction thereof, to and including $1,000,000 $5,608.75 for the first $1,000,000 plus $3.15 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 $15.50. 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 $23.25. 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. New Houses Only CITY OF FRIDLEY INSPECTION DIVISION 6431 University Ave NE Fridley, MN 55432 APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION, 763.572.3604 REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES RATE SCHEDULE Residential Furnace Shell and Duct Work, Burner - Also Replacement Furnace (Side Vent - Fill Out Back) Gas Piping (Needed with new furnace, but not replacement) Gas Range Gas Dryer *Air Conditioning - All Sizes All Others/Repairs & Alterations (LIST ON BACK) 1% of Value of Appliance or Work Commercial/Industrial 1.25% of Value of Appliance or Work Effective On January 1, 2001 State Surcharge TOTAL FEE MINIMUM FEE FOR ANY HEATING/COOLING/VENTILATION REFRIGERATION/AIR CONDITIONING PERMIT IS $25.00 PLUS THE $.50 STATE SURCHARGE REINSPECTION FEE $47.00/Hr $ .50 $ ` �3d *Air Conditioners can not be placed in a side yard without written permission from adjoining property owner. ems. Ad. tji A) 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 an rulings of the Building Division, and hereby declares that all the facts and representations stated in this application are true and correct. DATE 14?` HEATING CO I' / ,P Signed TEL # (57_ —C -,1Y Approved By,-6—Rough-In Date Final Date IAND COMBUSTISCC�NN AIR VERIDFICA�IONENT SIZE, VENT CONNECTORS I JOB ADDRESS `71G�'�:- OWNER k Rate TOTAL ;�,e.3 BUILDING USED AS $ 30.00 $ ESTIMATED COST ®. a4&0` L9� PERMIT N0. f $ 10.00 $ DESCRIPTION OF FURNACE AND OR BURNER $ 10.00 $ No. of Heating Units Circle One (S eam) (Hot Water) (Warm Air) $ 10.00 $ Trade Name dam u rs Gig Size No. �Sc9� BTU ��; HP EDR $ 25.00 $ Fuel Total Connected Load Burner Trade Name Size No. $ BTU HP EDR State Surcharge TOTAL FEE MINIMUM FEE FOR ANY HEATING/COOLING/VENTILATION REFRIGERATION/AIR CONDITIONING PERMIT IS $25.00 PLUS THE $.50 STATE SURCHARGE REINSPECTION FEE $47.00/Hr $ .50 $ ` �3d *Air Conditioners can not be placed in a side yard without written permission from adjoining property owner. ems. Ad. tji A) 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 an rulings of the Building Division, and hereby declares that all the facts and representations stated in this application are true and correct. DATE 14?` HEATING CO I' / ,P Signed TEL # (57_ —C -,1Y Approved By,-6—Rough-In Date Final Date IAND COMBUSTISCC�NN AIR VERIDFICA�IONENT SIZE, VENT CONNECTORS I COMMON VENT, VENT CONNECTOR AND COMBUSTION AIR VERIFICATION When replacing an existing furance, 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 -LAMA 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 PERMIT NO.: 2004-02064 6431 UNIVERSITY AVENUE NE FRIDLEY, MN 55432 DATE ISSUED: 11/16/2004 (763) 572-3604 FAX: (763) 571-1287 ADDRESS : 6490 SQUIRE DR NE PIN : 133024410055 g LEGAL DESC : HARRIS LAKE ESTATES `� LOT 1 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 1 VALUE OF APPL OR WORK 0 # FURNACES 1 # GAS DRYERS 0 # GAS RANGES 0 VALUE (FOR MINIMUM CALC) 300 APPLICANT ROYALTON HEATING & COOLING 4120 85 AVE N BROOKLYN PARK, MN 55443 (763) 424-8333 l�Ji1i/\� V7„ SKIRKA DAVID S & P J 6490 SQUIRE DR NE 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 worl will be complied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any other state or local law regulating c n tructio`or the performance of construction. Applicant] Date Bldg Insp. HEATING PERMIT MINIMUM FEE 0.00 FURNACE SHELL/DUCT WORK 35.00 GAS RANGE FEE 0.00 GAS DRYER FEE 0.00 AIR CONDITIONING FEE 25.00 HEATING REPAIRS/ALTERATIONS 0.00 STATE SURCHARGE, MECH FLAT 0.50 TOTAL 60.50 PAID WITH CHECK # 40514 SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. CITY OF FRIDLEY 6431 UNIVERSITY AVENUE NE FRIDLEY, MN 55432 (763) 572-3604 1"AX: (763) 571-1L8'1 ADDRESS 6490 SQUIRE DR NE PIN 133024410055 LEGAL DESC HARRIS LAKE ESTATES LOT 1 BLOCK 4 PERMIT NO.: 2004-02065 DATE ISSUED: 11/16/2004 PERMIT TYPE ELECTRICAL PROPERTY TYPE RESIDENTIAL CONSTRUCTION TYPE ADDITION/ALTERATION VALUATION NOTE: ELECTRICAL PERMIT BECOMES VOID 12 MONTHS AFTER PERMIT ISSUE DATE. APPLICANT ROYALTON HEATING & COOLING 4120 85 AVE N BROOKLYN PARK, MN 55443 (763) 424-8333 OWNER SKIRKA DAVID S & P J 6490 SQUIRE DR NE 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 of any other state or local law regulating construction or the performance of construction. Applicant Date Bldg Insp Date STATE SURCHARGE, ELEC FLAT TOTAL PAID WITH CHECK # 40514 SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN 1)hNUX1tit✓1J Atsuvt. 20.50 20.50 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 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 Effective 4/1/2004 APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES JOB ADDRESS & &o d�r I� _AJE. .Fee Total Owner tdz/d /Fi�Ko $35.00 $ 8 Building Used As�J'ntl $10.00 $ ESTIMATED COST PERMIT NO $10.00 $ DESCRIPTION OF FURNACE AND BURNER $10.00 $ # of Heating Units Circle One (Steam) (Hot Water)( ( m IF Trade Name Size No. $25.00 $ BTU HP EDR 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 Fuel Total Connected Load $ Burner Trade Name Size No. BTU HP 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. $ L-50 HEATING CO ROYALTON HE-, -,.7"-°C, 9 (30OLING AN 55443 $ ®� Signed Tel # FAX I 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 E),5 - 0 0 9'7 9- CITY OF FRIDLEY IDDN 6431 University Ave NE, Fridley, MN 55432 (763) 572-3604 Bldg Insp ITER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 (763) 571-1287 Fax BUILDING PERMIT APPLICATION Construction Address: Legal Description: Owner Name & dress- i +` �� Tel. #06 "� l s Contractor. l �- MN LICENSE # Address - 0 3 ®C, ,0 , Tel. # Attach to this application, a Certificate of Surrey 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: tOTHER: Construction Type: g�s� (�/ +® tj Estimated Cost: $ Driveway Curb Cut Width Needed: Ft + 6 Ft = Ft x $ _ $ DATE: � "ld �- ® APPLICANT: Tel. # �r-3b 3' lel Call (763) 572-3604 for Permit Fees if mailing in application. Fax to 763-571-1287 if using credit card and we will call you for card number. CITY USE ONLY - Permit Fee Plan Review $ Fire Surcharge $ l R State Surcharge $� 3 SAC Charge $ License Surcharge $ 5 • 06 Curb Cut Escrow $ Erosion Control $ - Park Fee $ Sewer Main Charge $ TOTAL $ a4-7 " q3 Fee Schedule on Reverse Side 65% of Permit Fee .001 of Permit Valuation (1/10th%) $.50/$1,000 Valuation $1450 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 [ ] STIPULATIONS: 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 $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 $1,000,001 and up FEES $23.50 $23.50 for first $500 plus $3.05 for each additional $100 or fraction thereof, to and including $2,000 $69.25 for first $2,000 plus $14.00 for each additional $1,000 or fraction thereof, to and including $25,000 $391.25 for first $25,000 plus $10.10 for each additional $1,000 or fraction thereof, to and including $50,000 $643.75 for first $50,000 plus $7.00 for each additional $1,000 or fraction thereof, to and including $100,000 $993.75 for first $100,000 plus $5.60 for each additional $1,000 or fraction thereof, to and including $500,000 $3,233.75 for the first $500,000 plus $4.75 for each additional $1,000 or fraction thereof, to and including $1,000,000 $5,608.75 for the first $1,000,000 plus $3.15 for each additional $1,000 or fraction thereof DRIVEWAY DEPRESSION ESCROW (Concrete Curb Streets Only) Removal and replacement of curb and gutter only - driveway width plus 6 feet times $20.00. 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 existing foundation will be required before proceeding with the framing. New Houses 0nly