PRE 2010 DOCSApplication for Power Pmts and. Heating, Goofing, Ventilation, .Refrigeration and
Air Conditioning Systems and Devices
PARTIAL RATE SCHEDULE
GRAVITY WARM AIR: RATE TOTAL,
Furnace Shell & Duct Work .......................... 8.00 $
Replacement of Furnace 5.00 $
Repairs & Alterations—up to $500.00 ................:. 5.00 $
Repairs & Alterations each add. $500.00 ............... 2.50 $
MECH. WARM AIR
Furnace Shell & Duct Work to 120,000 BTU ...........
8.00
$
,r
.each add. 60,000 BTU .......................
2.00
$
Replacement of Furnace ..............................
§.00
$
Repairs & Alterations—up to $500.00 ... ............
5.00
$
Repairs & Alterations each add. $500.00 ...............
2.50
$
STEAM or HOT WATER SYSTEM
Furnace Shell & Lines—to 400 sq. ft. EDR Steam.......
8.00
$
Furnace Shell & Line—to 640 sq. ft. EDR Hot Water ...
8.00
$
Each add. 200 sq. ft. EDR Steam ......................
2.50
$
Each add. 320 sq. ft. EDR Hot Water ..................
2.50
$
OIL BURNER—to 3 gal. per hour 5.00 $
over 3 gal. per hour—See Fee Schedule
�
GAS BURNER (up to 400,000 BTU) ...... . ................ 5.00 $
GAS FITTING FEES: NO RATE TOTAL
1st 3 Fixtures x $1.50 $
Additional Fixtures ................. x .50 $
Gas Range to 200,000 BTU ........... x 2.00 $
AIR CONDITIONING
FAN HEATING SYSTEM
VENTILATING SYSTEM
ALTERATIONS & REPAIRS
ROUGH
FINAL,
$
See Fee Schedule
TOTAL FFE $--�
Dept. of Bldgs. Phone SU. 4-7470
City of Fridley:
6�
The undersigned hereby makes application for a permit for the work herein
specified, agreeing to do all work in strict accordance with the City Ordinances
and ruling of the Department of Buildings, and hereby declares that all the facts
and representations stated in this application are true„ and correct.
19
Owner�,'�
Kind of Building
Used as
To be completed about
Estimated Cost, $
01VNew. Building Permit No. Permit No. a�
DESCRIPTION OF WORK
HEATING or PO R steam, Hot Water, Warm Air—No _
Trade Nam � �, `�� Size No.
Capacity Sq. Ft. E.D.R BTU �H.P.
Total Connected Load Kind of Fuer
BURNER — Trade Name Size No
Capacity Sq. Ft. E.D.R BTU H.P.
(REMARKS—OVER)
az ZM 7-59
SUBJECT
City of Fridley
F.175 160.
AT THE TOP OF THE TWINS
BUILDING PERMIT
r
EIPT N
COMMUNITY DEVELOPMENT DIV.
r i � PROTECTIVE INSPECTION SEC.
NUMBER
REV.
DATE
PAGE OF
APPROVED BY
CITY HALL FRIDLEY 55432
IL'---
�.J 612-560-3450
910-F15
5/1/79
JOB ADDRESS 6447 Taylor Street N.E.
1 LEGAL
LOT NO.
BLOCK
TRACTOR ADDITION SEE ATTACHED
DESCR.
11,12
Aud. Sub. #88 SHEET
2 PROPERTY OWNER MAILADDRESS ZIP PHONE.
H. R. Oberg 6447 Taylor Street N.E.
3 CONTRACTOR MAILADDRESS ZIP PHONE LICENSE NO.
Brothers Construction 3531 - 170th Lane N.W. 753-1778
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
8 DESCRIBE WORK
Reroof structure
9 CHANGE OF USE FROM TO
STIPULATIONS
Roof can be second but not third roof. Install ridged galvanized
valleys.
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
$1,400
$.7o
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 PERF R CE OF CONSTRUCTION.
$9.00
PLAN CHECK FEE
TOTAL FEE
7 �
_
1 $9.70
SI NATO EOF ONT ACT A HORIZEDAGENT ATE)
WHEN PROPERL�VALIDATED THIS IS YOUR PERMIT
BLDG. INSP DATE
SIGNATURE OF OWNER IIF OWNER BUILDER) (DATE)
CITY OF FRIDLEY
APPLICATION FOR RESIDENTIAL BUILDING PERMITS
(NEtJ, ALTERATIONS., ADDITIONS,, OR REPAIRS)
owl
iER: m !PJ i i2 F3UILDER:
Address: Address: S % — % 7®�.✓ • s✓�'°
• Tel. No.: % D—j_� %
No.: Street:
LOT: 1 BIodn ADDITION: �S O
CORNER LOT: INSIDE IAT: 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 De Used As:
Front: Depth: Height:
Square Feet: Cubic Feet:
Front: Depth: Height:
Square Feet: Cubic Feet:
Type of Construction: 6 d i tee. Estimated Cost: $ IV6®, &--o
iv ue L;ompaeLeu: Alt. A Alt. B
Frdposed 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 additional information.
DATE: 5 7 SIGNATURE: on
Stipulations:
�� ✓ - . r7 0
.
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,
6r 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 $A5075
Alternate B: Removal and replacement of concrete curb and
gutter and install a 3 foot wide approach with
6 inch depth; Driveway width plus 6 feet x $17.85
For the purpose of computing fees for building permits, the cubical contents -of any
building or addition, is determined by multiplying the ground area covered from a
point six (6) inches below the floor line of the basement or the cellar to the
average heights of the upper surface or to the average height of the roof surface
of the main gable of a pitched roof.
For repairs or alterations to an existing structure, the fee shall be at the rate
of $3.00 Per each five hundred dollars -($500.00) or fraction thereof in the cost
of all proposed work.
In -no case shall the fee charged for any permit as set forth in Section 2 be less
than $7.50 plus $.50 state surcharge.
RL
►1'
NOTE: Permits for construction will be issued a minimum of 24 hours from the time
of application to allow for proper review of the proposed structure and of the
construction site.
A Certificate of Survey of the lot, showing the location of the foundation once it
has been constructed will be required before proceeding with the framing.
WOLP474"MM.M.-•.Z WM
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.
l
SU9JE6T
P
City of Fridley
3 0 6 8 9
AT THE TOP OF THE TWINS
BUILDING PERMIT
�
E
REC
�v _��___ COMMUNITY DEVELOPMENT DIV.
r : PROTECTIVE INSPECTION SEC.
1
' ".—I CITY HALL FRIDLEY 55432
NUMCER
REV
DATE
AVPROVED By
' 612-571-3450
910-F15
2/25/00
=.A—
JOBADDRESS 6447 Taylor Street NE
I LEGAL
LOT NO.
BLOCK
TRACT OR ADDITION SEE ATTACHED
DESCR.
12
Auditor's Subdivision #88 SHEET
2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE
Wayne Johnson 6447 Taylor Street NE
3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO
Best Built Construction 2308 Main St NW, Coon Rapids, MN 55432 757-5340
4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO.
20069845
5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO
6 USE OF BUILDING
Residential
7 CLASS OF WORK
O NEW O ADDITION] ALTERATION O REPAIR O MOVE O REMOVE
8 DESCRIBE WORK
Change roof line from flat to pitched over 10' x 24' Porch Addition
9 CHANGE OF USE FROM TO
STIPULATIONS
See notations on plan.
Provide smoke detectors in all sleeping rooms and on all levels of the
dwelling per Section 310.9.1.2 of the 1997 Uniform Building Code.
SEPARATE PERMITS
REQUIRED EOR:.
PLUMBINd AND SIGNS
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 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
@
$1.10
WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT
$2,200
DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATEOR CANCEL THE
PERMIT FEE
SAC CHARGE
PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON-
F SC $2.20
STRUCTION OR THE PERFORMANCE OF CONSTRUCTION
$83.25 A
e
PLAN CHECK FTAL
T FEE
Li e C $5 0
$91.55
SIGNATURE OF CONTRACTOROR AUTHORIZED AGENT iOATEi
HEN PR Y A I AAr D THIS IS YOUR PERMIT
_[/ " �V • iA��r/i/ /.
EIL �NSr BATE
S-GNATURE OF OwNER,ic OWNER BU4 DERi TEi
l
NEW [ ] Effective 1/1/2000
ADDN [ ] CITY OF FRIDLEY (763) 572-3604 Bldg Insp
ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2
BUILDING PERMIT APPLICATION P 60
Construction Address: 6 4 `O
Legal Description: 09
Owner Name & Address: Tel. #
Contractor: r MN LICENSE # -2.& 6
Address: e" `s Tel.# 7,r %•3� d
Attach to this application, a Certificate of Survey of the
lot, with the proposed construction drawn on it to scale.
DESCRFT� OF 9,0pEMEN
LIVING AREA: Lei" LK-�` � FV�tl�` 7 �"® t Sq. Ft.
GARAGE AREA: Length Width Height Sq. Ft
DECK AREA: Length Width Hgt(Ground Sq. Ft
OTHER: `
.-0
Construction Type: Estimated Cost: $ 0,0
Driveway Curb Cut Width Needed: Ft. + 6 Ft= Ft x $ = $
DATE: APPLICANT: 9(A.QVk> &,4,M Tel. # %ur7-L��4cD
CITY USE ONLY -
Permit Fee
Fire Surcharge
State Surcharge
SAC Charge
License Surcharge
Driveway Escrow
Erosion Control
Park Fee
Sewer Main Charge
TOTAL
STIPULATIONS:
Call (763) 572-3604 for Permit Fees if mailing in application
$ r�- Fee Schedule on Reverse Side
$ .001 of Permit Valuation (1/10th%)
$ Z' /D $.50/$1,000 Valuation
$ $1100 per SAC Unit
$ 09 $5.00 (State Licensed Residential Contractors)
$ Alt. "A" or Alt. "B" Above
$ $450.00 Conservation Plan Review
$ Fee Determined by Engineering
$ Agreement Necessary [ ] Not Necessary [ ]
$ ®-
BUILDING 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 r
$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 $100,00 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
CLASS YEAR BUILT CLA55
DET BASM*T FRONT L- SIDE BACK
DN FLOOR OPEN SCREENED GLAZED
rFOUNDATION FLOOR
EXTERIOR
ROOF
INTERIOR
RS
Y
>,
BREEZE,yAY YARD;IMPROYEMENTS
T CLASS DRIVEWAY
iON FLOOR OD
NSIONS 3
L`caVA
,tT r' yYiftGrl
x A = ,S%b x = x = �Ers Mry s E
x - x - CCDst � to
I = =
x x y w,/.
x = x = x
x
PORCHES x =
=
x x
= _ 'v
x = x = x
x = x = x Gt9
19. 19_£Sp
9
loo .
1
• F ' 1 .. - i .i.. ._ 1
t
v
I
01
sue 1kT
YT O.
City of Fridley
0 8
AT THE TOP OF THE TWINS
BUILDING PERMIT
i t
COMMUNITY DEVELOPMENT DIV.
'
r PROTECTIVE INSPECTION SEC.
'
ffi
NUMBER
REY
GATE
PAGE OF
APPROVED BV
if
1 __j CITY HALL FRIDLEY 55432
"''
612-571-3450
910-F15
3/2/00
JOB ADDRESS 6447 Ta for Street NE
1 LEGAL
LOT NO.
BLOCK
TRACT OR ADDITION
SEE ATTACHED
DESCR.
12
1
1 Auditor's Sub. #88
SHEET
2 PROPERTY OWNER MAIL ADDRESS ZIP
PHONE
Wayne Johnson 5834 N Oxford, Shoreview MN 55126
3 CONTRACTOR MAIL ADDRESS ZIP
PHONE LICENSE NO
M J Moser Construction 847 19 Ave N S St Paul MN 55075
386-0993
4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP
PHONE LICENSE NO.
5 ENGINEER MAIL ADDRESS ZIP
PHONE LICENSE NO
8 USE OF BUILDING
Residential
7 CLASS OF WORK ❑
❑ NEW ❑ ADDITION ❑ ALTERATION X REPAIR
X
❑ MOVE ❑ REMOVE
8 DESCRIBE WORK
Reroof House & Garage (24 Sq) Tear -off
9 CHANGE OF USE FROM 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
I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION
1
STALLS
GARAGES
AND KNOW THE SAME TO BE TRUE AND CORRECT, ALL PROVISIONS OF LAWS
VALUATION
SURTAX
AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED
WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT
$2,098
$1.05
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 PERFORMANCE OF CONSTRUCTION
$83.25
Fire SC $2.10
PLAN CHECK F
TOTAL FEE
e C $5.
y $91.40
S -G TURE OF CONTRACTOR OR AUTHORIZED AGENT iDATEo
HE r PR P VALIDATED
THIS IS YOUR PERMIT
SIGNATURE OF OWNEROF OWNER SURDERI iDATEi
Bl G iNSP
taAq
I
01
NEW [ l Effective 1/1/2000
ADDN [ ] CITY OF FRIDLEY (763) 572-3604 Bldg Insp
ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2
BUILDING PERMIT APPLICATION
n
Construction Address: rV/2 D/�' ST /✓a /� r `o
Legal Description:
Owner Name & Address: L1
Contractor:—M dS;
Address: fit/ i / '� I
V, C v,✓
6 7-5,
6 Tel.#
MN LICENSE # 6 b
Tel. #
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
26eot;,I
Width
Hgt/GroundSq.
)6" %�
Ft.
OTHER: o,#
$$1100
t N6wl
7,ys�-
Construction TypeO i2 fi
$
Estimated Cost:
926�9
Driveway Curb Cut Width Needed: Ft. + 6 Ft= Ft x $,
DATE: ?_ 0 ' 0 a
APPLICANT: I(A^
CITY USE ONLY - Call (763) 572-3604 for Permit Fees if mailing in application
Permit Fee
$
�S�
Fee Schedule on Reverse Side
Fire Surcharge
.001 of Permit Valuation (1/10th%)
State Surcharge
$
$.50/$1,000 Valuation
SAC Charge
$$1100
per SAC Unit
License Surcharge
$
,S ,O(
$5.00 (State Licensed Residential Contractors)
Driveway Escrow
$
Alt. "A" or Alt. "B" Above
Erosion Control
$
$450.00 Conservation Plan Review
Park Fee
$
Fee Determined by Engineering
Sewer Main Charge
$
Agreement Necessary [ ] Not Necessary [ ]
TOTAL
$_
STIPULATIONS:
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
$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