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PRE 2010 DOCSA v- - Pwv .- m� a,; -,I . awe ja-g, �RQggg& a cad Air -flIng 31%mms Q- GRAVM WARM AIR: RATE TOTAL Furnace Shell & Duct Work ... ... X10.00 � Replacement of Furnace 6.00 Repairs & Alterations --up to $500.00 6.00 $ Repairs & Alterations each add. $500.00 3011 $ (�*;4"-' :ay+r ,tet A .: � A.1 Furnace S 1 & Duct Work to 120,000 BTU ..$1000 $- /each add. 60,000 BTU 3.Uu Replacement of Furnace 6.00 $ Repairs & Alterations—up to $500.0; 6.00 $ Repairs & Alterations each add. $300.00 3.00 $ STEAM or HOT WATER SYSTEM Furnace Shell & Lines—to 400 sq. ft. FZR Steam $10.00 $ Furnace Shell & Line—to 640 sq. ft. EDR Hot Water 20.00 $. Each add 200 sq. ft. EDR Steam 3.011 $ ,Each add. 320 sq. ft. EDR Hot Water 3.00 $ OIL BURNER—to 3 gaL per hour 6.00 $_ over 3 gal. per hour—See Fee Schedule OS`2 ✓� GAS BURNER (up to W,000 Ii7'LT) V over 1059,000 IBJ S" Fee Schoduls GAS FITT2NC FEES: NO RATiE TOTAL 1st 3 fixtures x$ ZOO $ Additional Futures $ .75 $_ Gas Range to IW,0W X8 5.00, $ AIR COMMOMMO State Surcharge .50 rAN HMTMG STST= Fee schodab G Z ALTZRA IOND & REPAMS TOTAL FMQ i Dept. of M-lem. Ph* ars 310-M , m--. tT A City of I1idley: The undersigned hereby makes application for a permit for the work herds. specified. agreeing to do all work in strict accordance with the City Ordinancer and ruling of the Department of Buildings, and hereby declares that all the facts= and representations stated in this application are true and correct. Fridley, ?Mnn- — 197 ,,caner - �X !� i`� o f Zg, J Kind of Building Used as % To he completed about, / Estimated Cast, $ Old ew. Building Permit No. _Formitno. 1,77m," 717,73=M71 H A77NG or POWER FLAN''iS---Stream, Not Water, Warm Air—No Trade Name Sitz NO Capacity—___-_ _ Sq. Ft. E..D.R BTU Total Connected Lmd Kind of >l BURNER — Trade Name Siam Nn Capacity Sq. �. E.D- BTU ��� SUBJECT PERMIT City of Fridley ®3153 AT THE TOP OF THE TWINS BUILDING PERMIT RECEIPT NO. COMMUNITY DEVELOPMENT DIV. INSPECTION ����� r PROTECTIVE SEC. 1 i = CITY HALL FRIDLEY 55432 NUMBER REV. DATE PAGE OF APPROVED BY 612-560-3450 910-F15 8-26-75 JOB ADDRESS 7 137 TALMADaR 1 LEGAL LOT BLOCK TRACTOR ADDITION SEE ATTACHED DESCR. SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE RONALD ELLIS 3 CONTRACTOR MAILADDRESS ZIP PHONE LICENSE NO. WYMAN BUILDERS, INC. 15629 OAK RIDGE ROAD HOPKINS MINNESOTA 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO. 6 USE OF BUILDING RESIDENCE 7 CLASS OF WORK ❑ NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR 91 MOVE ❑ REMOVE 6 DESCRIBE WORK MOVE GARAGE 9 CHANGE OF USE FROM TO STIPULATIONS SIEPERATE PERMITS REQUIRED FOR WIRMG, HEATING. PLUM13ING Ali SIGNS. TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, VENTILATING OR AIR CONDITIONING. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING SO. FT. CU. FT. AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS OFFSTREET PARKING I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION 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 XM .50 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 PER RMANCE OF CONSTRUCTION. $10.00 PLAN CHECK FEE TOTAL FEE _ ®2dZ�'%J 10.50 SIGNATURE OF CO 11F OR OR AUTHORIZED AGENT (DATE) WHEN PROPERLYOVALIDATED THIS IS YOUR PERMIT 8-26-75 BLDG INSP ZDATE SIGNATURE OF OWNER (IF OWNER BUILDER) (DATE) ��� f a0 • jo , SUBJECT ERMII b City of Fridley 5 AT THE TOP OF THE TWINS BUILDING PERMIT r RECEIPT NO. • COMMUNITY DEVELOPMENT DIV. r PROTECTIVE INSPECTION SEC. 6 CITY HALL FRIDLEY 55432 NUMBER REV. DATE PAGE OF -AFP-ROVED B 612-560-3450 910-F15 JOB ADDRESS, 137 TA'LMADGE WAY N.E. 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 4 1 ELWELL'S RIVER HEIGHTS SHEET 2 PROPERTYOWNER MAILADDRESS ZIP PHONE RONALD ELLIS 3 CONTRACTOR MAILADDRESS ZIP PHONE LICENSE NO. WYMAN BUILDERS INC. 15629 OAK RTDGE 4 ARCHITECT OR DESIGNER MAILADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAILADDRESS ZIP PHONE LICENSE NO. 6 USE OF BUILDING RESIDENCE 7 CLASS OF WORK ❑ NEW XXX ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK ATTACH BREEZEWAY & GARAGE 9 CHANGE QF USE FROM TO STIPULATIONS PROVIDE HARD SURFACED DRIVEWAY SEPERIATE'PERMITS -RE UIRED FOR WIRING, HEATINC4 PLUMBING AND SIGNS. WARMS utilities - BetoT TELEpH®NEELECT,,, - GAS Etc W TYPE MC15ftAJ 5 bMUPK-NdY GROUP OCCUPANCY LOAD SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, VENTILATING OR AIR CONDITIONING. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING SO. FT. CU. FT. AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS OFFSTREET PARKING I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION 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 $6,500 $1.00 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 PER RMANCE OF CONSTRUCTION. $12.00 PLAN CHECK FEE TOTALFEE / ✓�'����°� 13...00 SIGNATURE OF CO R TOR OR AUTHORIZED AGENT (DATE) WHEN PROPERLY VALIDATE THIS IS YOUR PERMIT ;1A A. -e 1'-/-%® 8-26-75 BLDG INSP '` ' • MATE SIGNATURE OF OWNER (IF OWNER BUILDER) (DATE) f a0 • jo , APPLICATION FOR RESI-DENTIAL:, ALTERATION, • OR ADDITION.BUILDING PERMIT CITY OF FRIDLEY, MINNESOTA • OWNER'S ME: i� A)ABUILDER:X�. ADDRESS: /� % ��L/% ��r 0/fY ADDRESS : 014-e f%� � IM NO • %? 7 STREET • TA L A Dd-E LOT: BLOCK: ADDITION: ZE:;� CORNER LOT: INSIDE LOT: SETBAGK:_��• SIDE -YARD: Applicant .attach to this form Tcao Certificates -)f Survey.of Lot and.proposed building location c:,:awn on -these Certificates. .DESCRIPTION OF BUILDING To BeUsed As-.* �2. Front : Z 2— r Depth : e� Height • Square Feet: Cubic.Feet: 57. 1,-5— Front: Depth• Height: Square Feet; Cubic Feet: �® Type of :Construction: Estimated Cost: $ , _ -wrt lgx To Be Completed: ®d;7 Z.!6 The undersigned hereby makes application fora permit for the work herein specified, agreeing to do all work in, stiict 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 f are true and correct. DATE: SIGNATURE:0 cam% See Reverse Side For Additional Informat on.)'too ' '��� � d� ted � . 0�• �� : . p s ° ' BUILDINC L'LsRMI'L' I^EL SUII.LVULD . SECTION 2. The•Inspector of Buildings shall, before issuing permits for the erection of any building or structure, or for any addition to any existing , • building or structure, or for any alteration or repairs to any existing building or structure, upon.application therefore, require the payment by -the applicant for such permit of fees to the amount herein below set forth and in the manner herein provided to -wit: UNIFORM BUILDING CODE: Type 1, 2 & 4 - $2.15 for each one thousand cubic feet- or fraction thereof, in such cubical contents. Type 3 & 5 - $1.85 for each one thousand cubic feet. ADDITIONAL INFORMATION 'For the purpose of computing fees for building permits, the cubical contents of any building or addition, is determined by multiplying. the ground area . covered from a point six.(6) inches below the floor line of the basement or the cellar to - the average heights of .the upper surface or to the average.. height of the roof surface of the main gable of a pitched roof. • For repairs or alterations to an existing structure, the fee shall be at the rate of $3.00 per each five hundred dollars.*($500.00) or fraction thereof in the cost of all proposed work. ° In no case shall the fee charged for any permit- as set forth in Section.2 be less than $5.00. 1lERIFICATION 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 aiiy structure for which a building permit has been issued; and said structure shall not be used or occupied until a Certificate of Occupancy has been issued.. AGREEMENT owner of the property located at / !Lz m1drT,9 have no objection to the Cit allowing the constructio�f a• to be located at f UL' L without the required certificate of survey that the City ordinarily requires for all new constructi ign ure Addrr6sss Date Witness CITY OF FRIDLEY APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION, REFRIGERATION AND The undersigned hereby makes application for a permit for the work herein .AIR CONDITIONING SYSTEMS AND DEVICES PARTIAL RATE SCHEDULE specified agreeing to do all work in strict accordance with the City Codes each add. 50,000 BTU 4.00 GRAVITY WARM AIR: RATE TOTAL Job Address 1�'7 i toHAL E WA -e ' Furnace Shell & Duct Work $12.00 $ 7.00 4.00 Replacement of Furnace 7.00 $ FAN HEATING SYSTEMS Repairs & Alterations -up to $500.00 7.00 $ Department of Buildings Repairs & Alterations each add. $500.00 4.00 $ City of Fridley $ KIND OF BUILDING fpm a each addn. 50,000 BTU Tel. #571-3450 MECHANICAL WARM AIR: GAS FITTING FEES: lst 3 Fixtures x $ 3.00 $ The undersigned hereby makes application for a permit for the work herein Furnace Shell & Duct Work to 100,000 BTU $12.00 $ specified agreeing to do all work in strict accordance with the City Codes each add. 50,000 BTU 4.00 $ and rulings of the Department of Buildings, and hereby declares that all the Replacement of Furnace 7.00 $ facts and representations stated in this application are true and correct. Repairs & Alterations -up to $500.00 7.00 4.00 $ �` J Repairs & Alterations each add. $500.00 FAN HEATING SYSTEMS $ Fridley, Minn. c7 , 19 STEAM OR HOT WATER SYSTEM: Size No. OWNER R& ?-3 A L. ® L. L'5 Boiler & Lines up to 100,000 BTU $12.00 $ KIND OF BUILDING fpm a each addn. 50,000 BTU 4.00 $ $ Boiler only up to 100,000 BTU 7.00 $ USED AS �C-5 f ®a &a c iL each addn. 50,000 BTU 6.00 $ i /)�``T- Kind of Fuel TOTAL FEE TO BE COMPLETED ABOUT OIL BURNER- to 3 gal. per hour $10.00 $ each add. 3 gal. per hour 10.00 $ ESTIMATED COST Size No. ROUGH INSP. REINSPECTION FEE GAS BURNER- from 100,000 BTU to 199,999 BTU $10.00 $ OLD - NEW BUILDING PERMIT NO. PERMIT N0. (over 199,999 BTU see Fee Schedule) $ Company GAS FITTING FEES: 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 PLANTS, Steam, Hot Water, Warm Aik- No. AIR CONDITIONING $ ®•E3f FAN HEATING SYSTEMS $ Trade Name Size No. See VENTILATING SYSTEMS Fee Schedule $ ALTERATIONS & REPAIRS $ Capacity Sq. Ft. EDR BTU HP State Surcharge $ .50 Total Connected Load Kind of Fuel TOTAL FEE BURNER - Trade Name Size No. ROUGH INSP. REINSPECTION FEE Capacity Sq. Ft. EDR BTU HP Date ($10.00) Company / l FINAL INSP. Date Signed By JJyyqq APPROVAL FOR PERMIT G l �' Tel. No.� MINIMUM FEE FOR ANY HEATING PERMIT IS $7.50 PLUS $.50 STATE SURCHARGE 16 Building $ �, A BUILDING Permit No.:TC��z Inspections $ l k 4 RESIDENTIAL APPLICATION Received B763-572-3604763-502-3604 License Surcharge $ CITY OF FRIDLEY Date Rec'd: FAX $ Erosion Control $ Park Fee EFFECTIVE 1-I-09 Sewer Main Charge DATE YOUR E-MAIL ADDRESS .4 r a G 1® cl CPL. C 4, NM SITE ADDRESS (iL.1 a t9' THIS APPLICANT IS: OWNER ❑CONTRACTO PROPERTY OWNER/ NAME: AguoLb ' TENANT ADDRESS:7 �� L.� C` CITY ��(f STA ZIP PHONE: CONTRACTOR NAME: SUBMIT A COPY OF YOUR STATE LICENSE STATE LICENSE # EXP DATE AND CERTIFICATE OF ADDRESS: CITY STATE ZIP INSURANCE PHONE FAX PROPERTY TYPE 0 SINGLE FAMILY/NEW CONSTRUCTION SIZE 1.'L®® ❑ TWO FAMILY/NEW CONSTRUCTION STORIES PERMIT TYPE ❑ ADDITION ❑ GARAGE/SHED ❑ WINDOWS ❑ BASEMENT FINISH *ROOF ❑ DRAIN TILE ❑ DECK ❑ SIDING ❑ OTHER ❑ SWIMMING POOL TYPE OF WORK: ❑ NEW HOME CONSTRUCTION ❑ ADDITION ❑ MAINTENANCE/REPAIR ❑ REMODELING DESCRIBE WORK BEING DONE: SIZE OF IMPROVEMENT LENGTH WIDTH HEIGHT SQ FT ROOFING &HOUSE ONLY NUMBER OF SQUARES r� 40 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: FO_R_NEW CONSTRUCTION INCLUDING DECKS, SIDING-- - - — - - — - -- _ __ __ ___ __ _ _ _ ADDITIONS. & PORCHES SUBMIT: ❑ Vinyl ❑Soffit l . Site Plan/Survey showing the existing structures ❑ Aluminum ❑ Trim and proposed project. ❑ Other ❑ Fascia 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 $ 2 4l S OCCUPANCY TYPE Permit Fee $ �, A Plan Review $ _ �1 0 Fire Surcharge $ l k 4 Surcharge $ License Surcharge $ SAC Charge $ Curb Cut Escrow $ Erosion Control $ Park Fee $ Sewer Main Charge $ Total Due $ F See Back Page for Fee Schedule 65% of Building Permit Fee .001 times the total job valuation .0005 x Permit Valuation Minimum $.50 $5.00 (State Licensed Residential Contractors) $2000 per SAC Unit (Plans to MWCC for determination) ft+6ft= ftx$22=$ $450 Conservation Plan Review Fee Determined by Engineering Agreement necessary ( ) Non Necessary ( ) Make checks savable to: Citv of Fridley Attach 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 on site; that the work will be in accordance with the approved plan in the case of all work which re 'res review and approval• of plans. SIGNATURE OF APPLICANT ��� RINT NAME 01 A I 4t hATE 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 g $2,000 plus $14 for each additional $1,000 or fraction, to and 4ricluding $$25,000 $25,001 to $50,000 $391.25 for 1' $25,000 plus $10.10 for each additional $1,000 or fraction, to and including $50,000 $50,001 to $100,000 $643.75 for 1' $50,000 plus $7 for each additional $1,000 or fraction to and including $100,000 $100,001 to $500,000 $993.75 for I' $100,000 plus $5.60 for each additional $1,000 or fraction to and including $500,000 $500,001 to $1,000,000 $3,233.75 for the 1' $500,000 plus $4.75 for each additional $1,000 or fraction to and including $1,000,000 $1,000,001 and up $5,608.75 for the 1" $1,000,000 plus $3,.,15 for each additional $1,000 or fraction VERIFICATION OF FOUNDATION Permits for construction will be issued a minimum of 24 hours from the time of application to allow for proper review of proposed structure and of the construction site. A Certificate of Survey of the lot, showing the location of the existing foundation will be required before proceeding with the framing. New Houses Only City of Fridley Building Inspections Department 6431 University Avenue NE Fridley, MN 55432 763-572-3604 Fax: 763-502-4977