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PRE 2010 DOCSCity of Fridley, Minn. Address Address ® CATION F BU LDING No. Street art o t Lot _ _ ______ Block Addition or Sub -Division . ® Corner Lot _ Iradde Lot Setback g 5 .__ Mdeyard Sewer Elevation --3 -4-1. 510 T g � "ToP o r- �csc�-r'a�cA C DESCRIPTION OF BUILDING To U A op Front Depth Depth Height Ine Sq. Ft. �L� Cu. Ft. Front Depth Height Sq. Ft. Cu. Ft. Type of natruction - Est. To be Completed In consideration of the issuance to me of a permit to construct the building described above I agree to do the proposed work in accordance with the description above set forth and in compliance with ;h provisions of ordinances of the city of Fridley. � A�' ��,V, 4T�ez ,. f 9 y -a. p�,a F GALL In consideration of the payment of a fee of $ '� , permit is hereby granted to to construct the building or addition as described above. This permit is granted upon the express condition that the person to whom it is granted and his agents, employees and workmen, in all work .done in, around and upon said building, or any Bart thereof, shall conform in all respects to the ordinances of Fridley, Minnesota regarding location, construct►on, alteration, maintenance, repair and moving of buildings within the city limits and thus permit may be revoked at aqy time upon violation of any of the provisions of said ordinan:8. —_Ir_,VT-tM rj=gM NOTICE: Ale permit don not corer the construction, installation for whb& plumbing, gas bedin& sewer or ardor. Be sore to see the Building inspector for separate permits for them hems. APPLICATION FOR $UTT_n?NG PERMIT CITY OF FRIDLEY, 111DWESOTA g1;ftm'? it. ` S ALANIE ADDREMS ADDPXSS ' d/ ei i e e LOCATION OF B"n., ,DIX No. Street Part of Lot fl Lot Block Addition or Subdivision Corner Lot Inside Lot /—Setback Side Yard SEWER ELEVATION F070ATION ELEVATION Applicant attach to this form -Two Certificates of Survey of Lot and proposed build- ing location drawn on these Certificates. DESCRIPTION OF BUILDING To be used as; z � Front Depth Height sq. Ft. % 'j cu. Ft. r Front Depth Height % L� Sq. Ft. Cu. Ft. r /� Type of Construction Z�t�eC47 Estimated Cost To be Completed �' e The undersigned hereby makes application for a permit for the work herein specified, agreeing to do all work in strict accordance with the City of Fridley Ordinances and rulings of the Department of Buildings, and hereby declares that all the facts and representations stated in this application are true and correct. DATE ` P ?i_3 ' (Schedule of Fee Costs can be found on the Reverse Side. BUILDING PERMIT FEE SCHEDULE Section 2. The Inspector of Buildings shall, before issuing any permit for the erection of any building.or structure, or for any addition to any exist- ing building or structure, or for any alterations or repairs to any existing building or structure, upon application therefor, require the payment by the applicant for such permit of fees to the amount herein below set forth and in the manner herein provided to -wit: 2.1. For any such permit for the erection of any fire -proof building, other than a garage$ warehouse, factory of grain elevator, or for the erection of any fire -proof addition, for similar occupancy, to any existing building shall be at the rate of $1.40 for each one thousand cubic feet, or fraction thereof, in such cubical contents. 2.2. For any such permit for the erection of any fire -proof garage, warehouse, factory.or grain elevator, or for the erection of any fire -proof addition, for similar occupancy,- to any existing building shall be at the rate of $1.25 for each one thousand cubic feet, classified as "fireproof" by Section 502 of the Minneapolis Building Code. HOUSES 2.3. For any such permit for the erection of any non -fireproof building other than a garage, warehouse, factory or grain elevator, or any non -fireproof addition, for similar occupancy, to any existing building - permit $1.00 for each one thousand cubic feet. GARAGES 2.4. For any such permit for the erection.of any non -fireproof garage, warehouse, factory or grain elevator, or for the erection of any non -fireproof addition, forsimilar occupancy, to any existing building or for each such L,u3],ding.or addition - ninety cents ($0.90) for each one thousand cubic feet or fraction thereof, in the cubical contents.thereof with a minimum of $4*00..- For the purpose of computing fees for building permits, the cubical contents of any building or addition to a uniform height throughout by multiplying the ground area covered from a point six (6) inches below the floor line of the basement or cellar to the average height of the upper surface or to the average height of the roof surface of the main gable of a pitched roof. 2.5. For repairs or alterations to an existing structure, the fee shall be at the rate of $3.00 per each Five Hundred Dollars ($5013.00) or fraction thereof in the cost of all proposed work. 2.6. In no case shall the fep,chargad for any permit as set forth in Section 2 be less then $4_00. 11 1 City of Fridley Application for Plumbing and Gas Fitting Pentut Dept. of Bldgs. Phone SII 4 - DESCRIPTION OF WORK Number, Kind and Location of Fixtures Locatio PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: NO. RATE TOTAL Number Fixtures, ...................... x $1.50 $ , 00 Future Fixture Opening ................ x 1.20 $ New Fixture Old Opening .............. x 1.00 $ Catch Basin ...... x 3.25 $ Water Heater (Up- to 200,000 BTU) ...... x 2.00 $ New Ground Run -Old Bldg . ............ x 3.25 $ GAS FITTING FEES: NO. RATE TOTAL Ist 3 Fixtures .......................... x $1.50 $ 41onal Fixtures .................... x .50 $ .a to 200,000 BTU .............. x 2.00 $ QTS—Refer to Code TOTAL FEE F " City of Fridley: r 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 orrect. Fridley, M.n 19_ Owner Kind of Building Used as To be completed about APAIm Estimated Cost, $ Old New. uilding Permit ROUGH 13 FINAL 01 ro By Business Phone Z 8O ? • R y N WATER HTR. GAS EIEC. 3 y� O� S3 <1 (�9°d �1 90 Base 1st 2nd 3rd 4th • Future Connection Openings Connected with a New Fixture, Old Openings I Sewer Cesspool PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: NO. RATE TOTAL Number Fixtures, ...................... x $1.50 $ , 00 Future Fixture Opening ................ x 1.20 $ New Fixture Old Opening .............. x 1.00 $ Catch Basin ...... x 3.25 $ Water Heater (Up- to 200,000 BTU) ...... x 2.00 $ New Ground Run -Old Bldg . ............ x 3.25 $ GAS FITTING FEES: NO. RATE TOTAL Ist 3 Fixtures .......................... x $1.50 $ 41onal Fixtures .................... x .50 $ .a to 200,000 BTU .............. x 2.00 $ QTS—Refer to Code TOTAL FEE F " City of Fridley: r 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 orrect. Fridley, M.n 19_ Owner Kind of Building Used as To be completed about APAIm Estimated Cost, $ Old New. uilding Permit ROUGH 13 FINAL 01 ro By Business Phone City of Fridley sueJEcr PERMIT NO. ®13483 AT THE TOP OF THE TWINS PERMIT r i. BUILDING RECEIPT NO. COMMUNITY DEVELOPMENT DIV.ru�� r i PROTECTIVE INSPECTION SEC. 1 � � NUMBER REV. DATE PAGE OF APPROVED BY CITY HALL FRIDLEY 55432 612-560-3450 910-F15 JOB ADDRESS 250 'Sylvan Lane 1 LEGAL DESCR. LOT NO. 5 BLOCK 3 TRACT OR ADDITION SEE ATTACHED Sylvan Hills Plat #4 SHEET 2 PROPERTY OWNERMAILADDRESS ZIP PHONE Jerry Nurlin 250 Sylvan Lane , Fridley Minn. 55432 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. SIM Golden Construction 952 89th Avenue N.W. 786-7487 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO. 6 USE OF BUILDING Patio Deck 7 CLASS OF WORK ❑ NEW Ej( ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRJBE WORK Patio Deck 9 CHANGE OF USE FROM TO STIPULATIONS Provide 42 inch frost footings for the pillars FOR ,� mG, R )RED PERIW-rS N� SE SIGNS•. SEPERAA a p`U"SjV4( Wf.A�1 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 140 OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT _ ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS OFFSTREET PARKING I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION ISTALLS GARAGES AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS VALUATION SURTAX AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED. 800.00 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT .5O DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OW CANCEL THE PERMIT FEE SAC CHARGE PROVIS 1VS DF ANY O R STATE OR LOCAL LAW REGULATING CON- $ 6.00 STRU ION OR THE P F RMAN E F CONSTRUCTION. PLAN CHECK FEE TOTALFEE 6.50 • SIG TUREOFCONTRACTORORAUTHORIZEDAGENT (DAT) WJVEN PROPERLY VA DAT THIS IS YOUR PERMIT. BLDG. IN5P DATE 5IG ATURE OF OWNER (IF OWNER BUILDER) )DATE) APPLICATION FOR RESIDENTIAL, ALTERA'T'ION, OR ADDITION BUILDING PERMIT CITY OF FRIDLEY, MINNESOTA 1 OWNER'S NAME: i BUILDER: ADDRESS: ADDRESS: NO:. ,-) -) STREET: LOT: BLOCK: — ADDITION: CORNER LOT: INSIDE LOT: SETBACK: SIDEYARD: Applicant attach to this form 'ltao Certificat:s of Survey of Lot and proposed building location drawn on these Certificates. DESCRIPTION OF BUILDING To Be Used As: Front: Depth: �d Height: � Square Feet: Cubic Feet: Front: Depth: Square Feet; Cubic Feet: Type of Construction: To Be Completed: ` Height: Estimated Cost: $ koe'vo� The undersigned hereby makes application for a permit for the work herein specified, agreeing to do all work in sttict 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: SIGNA (See Reverse Side For Additional Information.) -57MA, 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 averagee 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. CbM 1110MY *C5 Afc, iGadPlinniny Land Survlry Soli s Te 5 h!* 7 q ENGINEERING, INC. AAmsola -flicipa/ SUnset4' 60&6I En sneers Surveyors certificate of sweve 1-7 T, 7 st F�t _ _ i,�rrn j '` e, C 0 I A 17ervby cerArfV fthjl.5 is o hue and ca -red rerieseniahon ord surVey 4'16e bwd*:fes qP * e abor described d lwd, and 1e 16Cq�jpfl blee Ca, y, fvn or As surveyed by me ffi� day .4. r7 1.9 SUt3U28AAJ LWONEE2IM6, INC: Lriqmeers 6-iU, CD ' CITY OF FRIDLEY Effective Date May 1, 1988 APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION, REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES RATE SCHEDULE RESIDENTIAL ` RATE TOTAL Job Address Sli Furnace Shell and Duct Work, Burner (Also replacement furnace) $ 20.00 $'b. 4D Department of Buildings, 6431 University Ave. N.E., Fridley, MN 55432 City of Fridley Gas Piping $ 10.00 $ Tel. #571-3450 (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. • ir� oning (all sizes) S 10.00 $ /t? • ®.0 j Fridley, Minn. Ila- 19 All Others/Repairs and Alterations OWNER � &':� It of Value of Appliance or Work S KIND OF BUILDING COMMERCIAL/INDUSTRIAL USED AS f. �1�✓�1�� It of Value of Appliance or Work S To BE COMPLETED ABOUT ESTIMATED COST 11 -7S - /-7S-State State Surcharge $ .50 /� 46 S® OLD - NEW BUILDING PERMIT NO. PERMIT NO. //6' G TOTAL FEE $ • heinspection Fee ($15.00) $ DESCRIPTION OF FURNACE/BURNER Rough Insp. HEATING or POWER PLANTS, Steam, Not Water, Warm Air- No. % Date �--� Final Insp. �-� /I� r�� % 4:rw c Trade Name �� Size No. e6 Date r! Capacity Sq. Ft. EDR BTU ! - HP Approval for Permit Total Connected Load Kind of Fuel BURNER - Trade Name Size No. Capacity Sq. Ft. EDR BTU MINIMUM FEE FOR ANY. HEATING PERMIT IS $15.00 • Company UELTImr, & AIR QQNDR PLUS $.50 STATE SURCHARGE91D WE6J 1�AtO -' Signed By Tel. No. o �� *Air Conditioners can not be placed in side yard without written permission from adjoining neighbor. Fill out back side for stack verification on replacement furnaces SEDGWICK HEATING & AIR CONDITIONING CO.Y^ HOUSE HEATING TEST RECORD _ y? �/21 -jr— 1 "a i d 46 ` ADDRESS 3aX �" Ztf' �� "'" CITY < OCCUPANT OWNER fm Aim' lyy HEAT LOSS DAT HTG. INST. f SOLD—BY INSTALLED INSTALLED BY Via'+ Electrical Work By �`°+ `� Kg _Gas Line By b " •�°^�' TYPE OF HEAT GA_ FA_ HW_ STEAM SPACE HTR. " UNIT HTR. OTHER GAS DESIGN CONVERSION MAKE — r 'mays MAKE OF BURNER Model Model Serial ` sw 2 Max. BTU Rating INPUT MAKE OF FURNACE Model CONTROLS a+0 THERMOSTATS r (:40ICk Heat Plug Vent Size Valve - , < �� vI KIND OF LINER SIZE NONE Limit-.� -� Draft HoodE�pa Regulator .Limit Setting s?, Filters Size Number Fan Setting �� Chimney Location ' Inside' Outside' Pilot Type Chimney Construction Pilot Make "Pilot Model Smoke Bomb Wiring Pilot Timing ..STA A Draft Test Tag L.W. Cut Off Door Pressure Lighting Inst. �0 ! , �► ,+ Percent CO Pressure. 9 Date Tested/` Input CFH I -` Percent 02 Company Testing 4J A!,1a 1 e, Stack Temp. Percent CO i t Name of Tester ' ��µ Form 235 SUBJECT City ®f Fridley 20581. AT THE TOP OF THE TWINS BUILDING PERMIT ECEIPT 1 L'__-_-�; COMMUNITY DEVELOPMENT DIV. PROTECTIVE INSPECTION SEC. 7719 / r NUMBER REV. GATE PAGE OF APPROVED BY CITY HALL FRIDLEY 55432 612-571-3450 910-F15 9/19/90 JOB ADDRESS 250 Sylvan Lane N.E. 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 5 3 Sylvan Hills Plat 4 SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Barbara McNurlin 250 Sylvan Lane N.E. 571--0874 3 CONTRACTOR MAIL ADDRESS 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 O NEW ❑ ADDITION ❑ ALTERATION [R REPAIR ❑ MOVE ❑ REMOVE B DESCRIBE WORK Reroof Dwelling/Garage (15 Squares.) 9 CHANGE OF USE FROM TO STIPULATIONS Roof can be 2nd layer but not 3rd, on allnew roofs or tear-offs and replacement roofs, State Code requires that 2 layers cf 15 Ib. felt, mopped together, be installed to a point 24 inched up from exterior wall line, or the use of other approved underlayment membrane. TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, VENTILATING OR AIR CONDITIONING. ZONING SO. 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 I 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 $750 $.550 WITH WHETHER SPECIFIED HEREIN OR NOT, THE GRANTING OF A PERMIT PERMIT FEE SAC CHARGE DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHERSTATE OR LOCAL LAW REGULATING CON- $21.0.0 STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. AN CHECK FEE TOTAL FEE Fe SC $.75 $22.,25 SIGNATURE OF CONTRACTOR OR AUTHORIZE GENT IDATEI HEN PROPERLY VAL TED THIS I$ YOUR PERMIT s®il BLDG INSP ATE i ATUr OF OWNER OF OVIANER B I DERI IDATEI NEW [ ] ADDN [ ] ALTER [ ] Construction Address: Legal Description: In t, L Owner Name & Address: Contractor: Address:, Effective 8/16/90 R-1 AND R-2 Building Permit Application Tel. Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCR=C N OF Il�VF�+�TP LIVM AREA: Length Width Height Sq. Ft. AREA: length Width Height Sq. Ft. DECK AREA: Length Width Hgt/Gr=id -- Sq. Ft. OMER: ��. R n b-�P- n r 6 P_ I( IV is-- //-9 S ) Corner Lot [ ] Inside Lot [ ] Ft. Yd Setback Side Yard Setbacks 'ape of Construction: - l' (l -A IZ Estimated Cost: $ °lr0 C Approx. impletion Date: Proposed Driveway Width If New Opening Is Desired: Ft. $ $ Wi + 6' See Back Page DATE:�� APPLzauu: 1( e rg Tel. #�� Permit Fee $ Fine Surcharge State Surcharge SAC Charge $ Driveway Escrow $ Park Fee $ Sewer Main Marge $ TOTAL $ d , STIPULATIONS: CITY USE ONLY Fee Schedule on Reverse Side .001 x Permit Valuation (1/10th �) $.50/$1,000 Valuation $600 per SAC Unit Alt. "A" or Alt. "B" Above Fee Determined by Engineering Agreement Necessary [ ] Not Necessary [ ] 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: $1 to $500 $15 (Minimnn Fee is $15 plus surdk arge) $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 $500,001 to $1,000,000 $2039.50 for the first $500,000 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 DEPRESSICIN ESC.3mW (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 E 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. SUBJECT PERMIT NO. City of Fridley 28462 AT THE TOP OF THE TWINS BUILDING PERMIT r RECEIPT NO. 16. — ______ COMMUNITY DEVELOPMENT DIV. INSPECTION SEC. 793 j PROTECTIVE 1 � e CITY HALL FRIDLEY 55432 NUMBER REV DATEP AGE OF APPROVED BY 612-571-3450 910415 10/28/98 !OB ADDRESS 250 Sylvan Lane 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 5 3 Sylvan Hills Plat 4 SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Doug McNurlin 571-2043 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Four Seasons Roofing & Rem, LLC 7930 Univ. A-ve DIE Fridley 55432 795-9410 20138780 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 0 NEW 0 ADDITION O ALTERATION Jk REPAIR 0 MOVE 0 REMOVE 8 DESCRIBE WORK Reroof house and garage (25 S Tear-off 9 CHANGE OF USE FROM TO STIPULATIONS Underlayment must comply with the State Building Code. SEPARATE PERMITS ARE REOUIREO 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 2142 $1.07 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- STR C 10 ORTFiFiPEF RMANCE OF CONSTRUCTION $74.75 Fire SC $2.14 4 PLAN CHECK FEE TOTAL FEE 'cons 5.0 8.96 SIGNATURE OF CON ACTOR AUTHORIZED AGENT iDATEi MENROPRVALIDATED IS IS YOUR PER IT parE SIGNATURE OF OVVNER,IF OWNER BU0.DERi IDATEi • -[ ] Effective 1/1/98. [ ] .CITY OF FRIDLEY [ ] SINGLE FAMILY -AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION r3 _.-:r-uctionAddress ^� Narne & Address: ,L or -11r] Tel. �o,•;�d � (_C C MN LICENSE #_ s s : ! �y�� -�K (a 0,^"14 441e"F�r � d (-rte Tel. # -7q5— e7<11 %Attacli�o thi5`'application, a Certificate of Survey of the lot, withthe�propgsed construction drawn on it to scale. 17 Ae:.K ? Estimated Cost: t (Fee Schedule on Back) f Curb Cut Width'Needed�7`6 Ft = Ft x $ _ $ t..'. k Tel. # f APPY.XCANTt`�a' ' CITY USE ONLY Fee Schedule on Reverse Side �i-wl of Permit Valuation (1/10th%) Surcharge $x,'$:50/$1,000 Valuation rN $ p1'000aper SAC Unit �:... Charge 1 zw �a'r � ,ase Surcharge 00 (State Licensed Residential Contractors) #�H rc way Escrow or Alt. I3 Above c 4 sivn Control 00 z' ,$450.00 Conservation Plan Review .. FeeDetermined by Engineering iviairi Charge' $ '_ P '`' K�r`A�Treement Necessary [ ] Not Necessary [ ] T, Qt. TOTAL $ ,t � � �Jv ::'f1jULATIONS a MIN ,} {C t. DESCRIPTION OF IMPROVEMENT y N ARE A:Length ' Width Height Sq. Ft. E A LEA: Length Width Height Sq. Ft. y2i,: AREA: Lend Width Hgt/Ground Sq. Ft. 17 Ae:.K ? Estimated Cost: t (Fee Schedule on Back) f Curb Cut Width'Needed�7`6 Ft = Ft x $ _ $ t..'. k Tel. # f APPY.XCANTt`�a' ' CITY USE ONLY Fee Schedule on Reverse Side �i-wl of Permit Valuation (1/10th%) Surcharge $x,'$:50/$1,000 Valuation rN $ p1'000aper SAC Unit �:... Charge 1 zw �a'r � ,ase Surcharge 00 (State Licensed Residential Contractors) #�H rc way Escrow or Alt. I3 Above c 4 sivn Control 00 z' ,$450.00 Conservation Plan Review .. FeeDetermined by Engineering iviairi Charge' $ '_ P '`' K�r`A�Treement Necessary [ ] Not Necessary [ ] T, Qt. TOTAL $ ,t � � �Jv ::'f1jULATIONS a MIN ,} {C t. A Building $ BUILDING See Back Page for Fee Schedule Permit No.: � Inspections l a, ;b 1 RESIDENTIAL APPLICATION Fire Surcharge Received B 763=72-3604CITY .001 times the total job valuation OF FRIDLEY $ Date Recd: .0005 x Permit Valuation Minimum $.50 ye DATE C� ! ®� YOUR E-MAIL ADDRESS t7 G I I e SITE ADDRESS�J" THIS APPLICANT IS: r�ruwrvER ❑CONTRACTOR $1550 per SAC Unit (Plans to MWCC for determination) PROPERTY OWNER/ NAME: G%LC d'►� e N r log ADDRESS t, ► �`� CITY STATE ZIP TENANT pis PHONE: 'tel S' it -20' 2 3 Park Fee CONTRACTOR NAME: Fee Determined by Engineering STATE LICENSE # EXP DATE $ SUBMIT A COPY OF YOUR STATE LICENSE ADDRESS: CITY STATE—ZIP— TATEZIPWITH WITHAPPLICATION PHO FAX PROPERTY TYPE INGLE FAMILYNEW CONSTRUCTION SIZE ❑ TWO FAMILYNEW CONSTRUCTION STORIES PERMIT TYPE ❑ ADDITION ❑ GARAGE/SHED ❑ WINDOWS B MENT FINISH ❑ ROOF ❑ DRAIN TILE ACK M❑ ❑ SIDING ❑ OTHER ❑ SWIMMING POOL TYPE OF WORK: PNEW ❑ ADDITION ❑ MAINTENANCEIREPAIR ❑ REMODELING DESCRIBE WORK BEING DONE: d. k aE Lkl vhe SIZE OF IMPROVEMENT LENGTH WIDTH ► HEIGHT 3nA S . Ft. ROOFING ❑ HOUSE ONLY NUMBER OF SQUARES ❑ HOUSE & GARAGE BASEMENT REMODELING SUBMIT: 1. Existing Floor Plan GARAGES ❑ ATTACHED GARAGE 2. Proposed floor plan PROPOSED SIZE: ❑ DETACHED GARAGE 3. List of structural members to be used PROPOSED HEIGHT: SIDING FOR NEW CONSTRUCTION INCLUDING DECKS, ❑ Vinyl ❑Soffit ADDITIONS & PORCHES SUBMIT: ❑ Aluminum ❑ Trim 1. Site Plan/Survey showing the existing structures ❑ Other ❑ Fascia and proposed project. 2. Two sets of construction plans WINDOWS 3. Energy Calculations IN EXISTING OPENINGS ❑Yes ❑No LOCATION OF WINDOWS OR FOR NEW OPENINGS -DESCRIBE SIZE OF OPENING CHANGES & TYPE OF WINDOW TO BE INSTALLED NUMBER OF WINDOWS ALL FEES ARE BASED ON VALUATION, INCLUDING THE COST OF LABOR AND MATERIALS: (USING THE 1997 U.B.0 FEE SCHEDULE) TOTAL JOB VALUATION $ dj® 5-& . 36 OCCUPANCY TYPE Permit Fee $ 111.45 See Back Page for Fee Schedule Plan Review $ l a, ;b 1 65% of Building Permit Fee Fire Surcharge $ 0(, .001 times the total job valuation Surcharge $ 9,0'3 .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 $ 1'R 0 1. C Make checks payable to: City of Fridley Attach Stipulations 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 w h requires revie and approval of plans. SIGNATURE OF APPLICANU PRINT NAME Z T � LU, P- Ir V1 DATE�Q 1 LTJ 0 cz, 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'a $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 1- $50,000 plus $7 for each additional $1,000 or fraction to and including $100,000 $100,001 to $500,000 $993.75 for 1 $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 V $500,000 plus $4.75 for each additional $1,000 or fraction to and including $1,000,000 $1,000,001 and up $5,608.75 for the I- $1,000,000 plus $3.15 for each additional $1,000 or fraction VERIFICATION OF FOUNDATION Permits for construction will be issued a minimum of 24 hours from the time of application to allow for proper review of proposed structure and of the construction site. A Certificate of Survey of the lot, showing the location of the existing foundation will be required before proceeding with the framing. New Houses Only City of Fridley Building Inspections Department 6431 University Avenue NE Fridley, MN 55432 763-572-3604 Fax: 763-502-4977 &"'Is -RIONvir otC5 #E. tonJ SurlAhwwvM&32 ltYr,ly ENGINEERING9 INC. L I w! ;r .4 A.1171 Vl Enyineers Surveyors certificate of suvvear-foz 2c 1harebu- cerb Aq thai h,,,5 is o hwe a,7d corned repremnlcflan pro SLrveq 4"6e ol! * , ' /a d. As 5urveyed by -me or si'ay ,*Fron 0, 17 SUB UR BAiV -ENGINEERING , /jVC.* The Home Depot # 2802 5650 MAIN ST, NE, FRIDLEY, MN 55432 (763) 571-9600 Tue Jun 20 12:17:50 2006 The materials for this project will cost $1370.66 DOUG MCNURLIN 22X14 DECK 179746 3D View :� 1 �Ioc �x zi as The Home Depot # 2802 5650 -MAIN ST, NE, FRIDLEY, MN 55432 (763) 571-9600 Tue Jun 20.12:17:50 2006 The materials for this project will cost $1376.66 DOUG MCNURLIN 22X14 DECK 179746 Deck Layout W-� —;0(1 �ra The Home Depot # 2802 5650 MAIN ST, NE, FRIDLEY, MN 55432 (763) 571-9600 Tue Jun 20 12:17:50 2006 The materials for this project will cc t $1376.66 DOUG MCNURLIN 22X14 DECK 179746 Deck Dimensions for Deck 1 I C- '876-104 8� 6A M"VI I(it% Joist;Spacing = 16 in. o.c. Baluster Spacing = 3 3/4" Toe Spacing = 3 3/4" Railing Height = 36" op 0® The Home Depot # 2802 5650 MAIN ST, NE, FRIDLEY, MN 55422 (76.3) 571-9600 Tue Jun 20 12:18:05 2006 DOUG MCNURLIN 22X14 DECK 179746 Construction Specifications deck 1: Construction Method = Beam on Top of Post Footing Type = Pier In -Ground Live Load = 80 Dead Load = 10 Decking Spacing = 0 1/4" Joist Spacing = 16" Beam Spacing = 72" Post Spacing = 60" Decking = 5/4X6 Thick Deck Ponde-osa Pine Select Beams = 2X8 Treated Red F in e No. 2 Joists = 2X8 Treated Red Pine No. 2 Posts = 6X6 Treated Southern Pine No. 2 Deck Height = 24" Diagonal Bracing = Yes Deck Skirt = No Joist Overhang = 12" Beam Overhang = 12" Decking Deflection Factor = 360 Joist Deflection Factor = 360 Beam Deflection Factor =3°O Pref Decking Size = ".1L 57^? Pref Joist Size = 2x8 Pref Beam Size = 2x8 Pref Post Size = 6x6 Diag Brace Height 1 = 24" in Diag Brace Height 2 = 24" in The Home Depot # 2802 5650 MAIN ST, NE, FRIDLEY, MN 5;,4:,2 (763)571-9600 6/20/2006 DOUG MCNURLIN 22X14 DECK 179746 ' Materials for Deck: Qty UOM SKU U:. Description 16 EA 128372 _scum _ 2X8-8 NO 2 PRIME PTS 1 EA 346073 Decking 1 6' -8' PT THICK DECK 56 EA 347391 Decking —T3r L' 6"-12' PT THICK DECK 16 EA 128340 Joist -16 NO 2 PRIME PT 2 EA 127713e:: er ^2X=- NO 2 PRIME PT 1 EA 601021 ' c: t 6X6-8 #2.60 2 EA 127713 ?i n ,'dist 2X8-12 NO 2 PRIME PT 2 EA 128340 2X8-16 NO 2 PRIME PT Standard Deck Materials 17 EA 865858 10 EA 209715 10 EA 669AM9 10 EA 206450 50 EA 169765 3 EA 258132 1 EA 454141 3 EA 439^3? 2 PK 4622"' 1 EA 454 ? ' 17 EA 538981 17 EA 923607 Decking: Default 15 EA 73^1)20 !-Dist Hanger 4x-+ Post Foot Brkt Post Foot Brkt ,inchorBoltw/NSC Coi c,Oierin-Ground 01:3 E,rac Joist Dial—Llrac Joist Nail �:nshir:g C^.r "fails 2X8 r zs ging Nails :jolt Washer _'r -Bolt r''.'-k'Rail Scrw Gm The total cost of in stork materials is S' "?-(.;;�_. plus tax. This estimate was cre .:r Ion 6L0/2011-, d —,`d for 3 business days. Parameters from UBC.a',,d parameter Parameters used for E 1k 1: 80 -f IivE :3 inch footing depth. ZMAX 2X8 JOIST HANGER-JLQ 30OPCS POST BASE 4X4 Z -MAX 6X6 ADJ POST BASE ZMAX 1/21NX81N ANCHOR BOLT,NUT W/WASHER 80LB. QUIKRETE CONCRETE MIX 4X4-12 #2 PT 16D 3-1/2" HOT GALV BOX 5 LB DECK LEDGER FLASHING BRN GALV 8FT 10D JOIST HANGER NAILS 16D 3-1/2" HOT GALV BOX 5 LB FLAT CUT WASHER GALV 1/2 LAG SCREW GALV 1/2 X 6 GREEN 1LB 3 IN DECKMATE DECK SCREW WARNING: THIS IS NOT A FINAL DESIGN PL 'J 1. VARIATIONS IN BUILDING CODES, SPECIFIC ARCHITECTURAL CONSIDERATIONS, OR SITE CONDI ')^JS MAY REQUIRE CHANGES TO THIS DESIGN. YOU ARE RESPONSIBLE FOR THE FINAL STS" ''„ !.1! r. _..- =i: !C4710N, MATERIAL USAGE, AND STRUCTURAL SAFETY OF THIS DESIGN. BE SURE T -'F-11 DESIGN WITH YOUR LOCAL ARCHITECT AND BUILDING INSPECTOR. THE COMPANY A�, 7!Y.1''^ -E!_Y I ' D RESPONSIBILITY FOR THE CORRECT USE OF THIS PROGRAM. ALL OUTPUT SHO'_`L'') 3E E. = QIC ;LIFTED PROFESSIONAL TO DETERMINE IF THEY ARE REASONABLE AND ACCURA , _. CI"IYOF FRIDLEY FRIDLEY MUNICIPAL CENTER • 6431 UNIVERSITY AVE. N.E. FRIDLEY, MN 55432 • (763) 571-3450 • FAX (763) 571-1287 BUILDING PERMIT APPLICANT: PROPERTY OWNER I, ! Jo U k V� , understand that the State of Minnesota requires that all residential building contractors, remodelers and roofers obtain a state license unless they qualify for a specific exemption from the licensing requirements. As the owner of the property at 50 0\1 UG ✓I 6 (, _ Fridley, am exempt from the state licensing requirement only if I am not building or improving this property for purposes of resale. By signing this document, I attest to the fact that I am improving this house for my own use and do not intend to sell it. I hereby claim to be exempt from the state licensing requirements because I am not in the business of building or remodeling on speculation or for resale and that the house for which I am applying for this permit, isl the first residential structure I have built or improved in the past 24 months. I also acknowledge that because I do not have a state license, I forfeit any mechanic's lien rights to which I may otherwise have been entitled under Minn. Stat. 514.01. Furthermore, I acknowledge that I may be hiring independent contractors to perform certain aspects of the construction or improvement of this house and I understand that some of these contractors may be required to be licensed by the State of Minnesota. I understand that unlicensed residential contracting, remodeling, and/or roofing activity is a misdemeanor under Minnesota law, and that I would forfeit my rights to reimbursement from the Contractor's Recovery Fund in the event that any contractors I hire are unlicensed. I have also been informed and acknowledge that by listing myself as the contractor for this project, I alone will be responsible to the City of Fridley for compliance with all applicable building codes and city ordinances in connection with the work being performed on this property. Nam Date