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PRE 2010 DOCSCity of Fridley, N[inn. WELDING PERMIT N? Date: AA .142r—goo'Z Owner:,. 2!t Builder' -- -- Address Address -- 100 7;CATIO ;� P 61DING Ara No. ' Street rt of Lo ;,� �Aw nil Z�" Lot% Block ___ Addition or Sub-]Xvision Corner Lot Inside Lot __ Setback "` Sideyard Sewer Elevation Foundation Elevation DESCRIPTION".01' BUILDING o Used: Front Depth eight Sq. Ft. _� o►t Depth eight _ Sq. Ft. Cu. Ft. Type of nstruction Est. Cost w- 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 all provisions of ,== of the city of Fridley. 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 part thereof, shall conform in all respects to the ordinances of Fridley, Minnesota regarding location, construction, alteration, maintenance, repair and moving of buildings within the city limits and this permit may be revoked at any time upon violation of any of the provisions of said ordinances." '1 w 111 v Building Inspector NOTICE: This permit does not cover the construction, installation for wiring, plumbing, gas beating, sewer or water. Be sure to see the Building Inspector for separate permits for these hems. r APPLICATION FOR BUILDING PERMIT CITY OF FRIDLEY, xnwSOTA Owner I s Name Csf /L/ X19 $ ,ae►.• �'/ - Address" ,Address 6 � o , LOCATION OF BUILDING No. X C14"'e-) street ter_ i ..— Part of Lot .. Lot Blocker _p Addition or Subdivision2Z22Z.4 / Corner Lot Inside Lots ✓ Setback Side --Yard SWMR ELEVATION FOUbMATION ELEVATION Applicant attach to this form ,proposed building location. Certificate of Survey of Lot and To be used as by 4e, DESCRIPTION OF BUILDING Front weight' sq a Ft. � e? .._ _Cu . Front - -D epth eight sq. Ft. Cu. Ft. Tyle of Constructions � Estimated Cos ,+ To be Completed The undersigned hereby makes application for a permit for the work 'herein specified, agreeing to do all work in strict accordance with the City of Fridley Ordinances and ruling of the Department of Build- ing'so and hereby declares that all the facts and representations stated in this application are true and correct. - DATE (Schedule of Fee Costs can be found an the Reverse Side). � I , O 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 existing 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 sees 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 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..40 for each once thousand cubic feet, or fraction thereof, in such cubical contents. 2.2. For any such permit for the erection of any Eire -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 build- ing 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.' AGES 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, for similar occupancy, to any existing building or for each such building or addition. Ninety Cents for each one thousand cubic feet or fraction thereof, in the cubical contents thereof with a minimum o� $4.00. For the purpose of computing fees for building permits the cubical Con- tents of any building or addition to a uniform height.throughout'by multiplying the ground areacovered 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 therate of $3.00 per each Five Hundred Dollars ($500.00) or fraction thereof in the cost of all proposed work. 2_.6: in no case shall the fee Charged for any permit as set forth in Section 2 be less V 1 $4.00. l X APPLICATION FOR HEATING OR POWER PLANT AND SPECIAL DEVICk PERMIT CL PARTIAL RATE SCHEDULE nep GRAVITY WARM AIR: RATE TOTAL Furnace Shell & Duct Work ......................... 8.00 $ Replacement of Furnace ......... 4.00 $ Repairs & Alterations -up to $500.00 ................. 4.00 $ _ Repairs & Alterations each add. $500.00 ............... 2.00 $ MECH. WARM AIR Furnace Shell & Duct Work to 120,000 BTU ........... 8.00 $ each add. 60,000 BTU ........................ 1.00 $ Replacement of Furnace 4.00 $ Repairs & Alterations -up to $500.00 ................. 4.00 $ Repairs & Alterations each add. $500.00 .............. 2.00 $-- STEAM_ STEAM or HOT WATER SYSTEM Furnace Shell & Tains-to 400 sq. ft. EDR Steam ...... 8.00 $ Furnace Shell & Line -to 646 sq. ft. EDR Hot Water ... 8.00 $ Each add. 200 sq. ft. EDR Steam ...................... 2.00 $ Each add. 320 sq. ft. EDR Hot Water .................. 2.00 $ _ OIL BURNER to 3 gal. per hour ..................... _ .. 4.00 $ over 3 gal. per hours -See Fee Schedule GAS BURNER..........................................�+€ GAS PIPING (Up to 5 Fixtures) .......................... $1 AIR CONDITIONING FAN HEATING SYSTEM See Fee Schedule VENTILATING SYSTEM $ TOTAL FEE REMARKS: The undersigned hereby makesCat c (onfora permit for work herein specified, agreeing to do all work in cordance with the V' ge Ordinances and ruling of the Department of Builnd hereby declares that all the facts and representations stated in this appare true and correct. LO-w-ner AP inn 9- L ��'s-�-� �� _ ' 195_._. Kind of Building Used as To be completed about Estimated Cost, $__ s 195____ Building Permit No. _ DESCRIPTION OF WORK HEATING o POWER PLANTS-Ste=4 Hot Water, Warm Air -No Trade Nam Size - e® Capacity ® C Sq. Ft. E.D.1 ,✓' R'�`r� , H. P. Total Connected Loa Kind of Fuel BURNER - Trade Size No _— -_ Capacity Sq. Ft. E.D.R - BTU H. P. Sign �— By 1 1 2M-5-58 Business Phone N t TEAT LOSS CALCULATIONS DEPARTMENT OF BUILDINGS � ROSEVI i.E, wINN. ei thr rips A S`R v : Construction No. Insulation Guide Wlndoves`I Doors Reference Out. Wall Int. Wall Ceiling Roof Floor Kind How Applied Yes—No Yes—No 19. Fl.1 Room I Length a f Width Height / dth "' Lx - Windows, ' h an Doors-Crackage and Area Width Height No. of Lineal ft. Area No. of pane - of pane lights of crack sq. ft. Coef. Btu Infiltration Glass 0 Exp. wall Net exp. wall Int. wall Ceiling .Floor Total Btu. Required sq. ft. E.D.R. or sq. iris. W.A. Leade Fl.I J' Room Length WI Windows and Doors--Crackage and Area lg t Windows and Doors—Crackage and Area Glass Width Height No. of Ltneal It Area No. of pane of pane lights of crack sq. ft.: Exp. wall Net exp. wall Coef, Btu Infiltration Glass Exp. wall Net exp. wall Coef. Btu Infiltration ` Ceiling Floor 7 P1 39 &44" Glass Exp. wall Net exp. wall rYl, Int. wall Ceiling° Floor Total -Btu. area Required sq. ft. E.D.R. or sq. ins. W.A. Leader area H.1 M j Room I Length Z Width Height Windows and Doors--Crackage and Area Width Height No. of Lineal ft. Area No. of pane of pane lights of crack est. ft. Glass -� Exp. wall Net exp. wall Coef, Btu Infiltration Glass Exp. wall Net exp. wall Int. wall Ceiling Floor 7 P1 LO 7 A, Total Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader k FI.1, L' , oom I Length .fes Width Windows and Doors---Crackage and Area Width sleight No. of Lineal ft. Area No. of pane of pane lights of crack sq. ft. Infiltration G1a33 Exp. wall Net exp. wall Int. wall Ceiling t Floor ; e t Total Btu. Required Sq, ft. E.I3.R. or sq. ins. W.A. Leader area RTI(2060)-124y FI.I boom ( Length c9 id /I Windows an Doors—Crackage and Area Width I Heigho.t. No. of Lineal ft. Area No. 08 pane of paryItghts of crack. eq. ft. Toni! Btu. Required sq eft. E.D.R. or sq. iris. W.A. Leader area F1.1 mllength 1,',XWidth Windo, Crackage and Area Width Height No. of Lineal ft. Area No.. of pane of pane tights of crack sq.. ft. & 9 g6 1 f. Btu Infiltration Glass , Exp. wall Net exp.. wall Int. wall (� Ceiling Floor Required. sq. ft. E.D.R. or sq. ins. W.A. Leader area . r Infiltration Glass -� Exp. wall Net exp. wall / Int. wall Ceiling Floor Toni! Btu. Required sq eft. E.D.R. or sq. iris. W.A. Leader area F1.1 mllength 1,',XWidth Windo, Crackage and Area Width Height No. of Lineal ft. Area No.. of pane of pane tights of crack sq.. ft. & 9 g6 1 f. Btu Infiltration Glass , Exp. wall Net exp.. wall Int. wall (� Ceiling Floor Required. sq. ft. E.D.R. or sq. ins. W.A. Leader area 0 suB iEtr NO. City of Fridley 27954 AT THE TOP OF THE TWINS BUILDING PERMI RECEIPT NO. • _____ COMMUNITY DEVELOPMENT DIV. INSPECTION SEC. 6937 r PROTECTIVE 1 • • CITY HALL FRIDLEY 55432 �""""�� •�� NUMBER 11Ev DATE PAGE OF APPROVED BY 612-571-3450 910415 9/24/98 JOB ADDRESS 6450 Ta for St NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. j of 6 1 Moore Lake Highlands SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Doris Seekon 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Northland Siding & Insulation 2158 Main St NW Coon Rapids 55448-2504 757-7170 4158 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 0 ADDITION O ALTERATION C$ REPAIR O MOVE 0 REMOVE 8 DESCRIBE WORK Reroof house & garage (24SQ) 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 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 HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION I 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 $2,056.00 $1.03 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- $74.75 Fir SC $2.06 STRUCTION OR THE P>11FORMANCE OF CONSTRUCTION PLAN CHECK FEE TOTA E -.Z - Lice SC $5 0 $82.84 sir,NA TUFIEOE-CON 'RACTOAORALIT HOp12ED_AGE NT IDATEI NOP ALIDAT HIS ISFR P M Ti BLD NSP � DA E S-GN4TURE OF Dyy NE R,ii OWNER BUILDER) IDATEI 0 NEW [ ] Effective 1/1/98 ADDN [ J CITY OF FRIDLEY ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 �1 BUILDING PERMIT APPLICATION ConstructionAddress: i� �( Legal Description: / Owner Name & Address: ��® C ����� A/ Tel. # Contractor: �y�2 �/ J� MN LICENSE # Address:sto� d�,~ 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 �—� Width Hgt/Ground S5. Ft. OTHER: o{ �/ -� - 71 -Ale ` 6/� e 6 L" .2a&-6 Construction Type: J�� ©� Estimated Cost: $� (Fee Schedule on Back) Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ = $ DATE: Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee Sewer Main Charge TOTAL STIPULATIONS: APPLICANT: Tel. # CITY USE ONLY Fee Schedule on Reverse Side .001 of Permit Valuation (1/10th%) $.50/$1,000 Valuation $1000 per SAC Unit $5.00 (State Licensed Residential Contractors) Alt. "A" or Alt. "B" Above $450.00 Conservation Plan Review Fee Determined by Engineering Agreement Necessary [ ] Not Necessary [ ] BUILDING PERMIT FEE SCHEDULE The Chief Building Official shall, before issuing permits for the erection of any building or structure, or for any addition to any existing building or structure, or for any alteration or repair to any existing building or structure, upon application therefore, require the payment by the applicant for such permit of fees to the amount herein below set forth and in the manner herein provided to -wit: TOTAL VALUE FEES $1 to $500 $21 (Minimum Fee is $21 plus surcharge) $501 to $2,000 $21 for first $500 plus $2.75 for each additional $100 or fraction thereof, to and including $2,000 $2,001 to $25,000 $62.25 for first $2,000 plus $12.50 for each additional $1,000 or fraction thereof, to and including $25,000 $25,001 to $50,000 $349.75 for first $25,000 plus $9.00 for each additional $1,000 or fraction thereof, to and including $50,000 $50,001 to $100,000 $574.75 for first $50,000 plus $6.25 for each additional $1,000 or fraction thereof, to and including $100,000 $100,001 to $500,000 $887.25 for first $100,000 plus $5.00 for each additional $1,000 or fraction thereof, to and including $500,000 $500,001 to $1,000,000 $2887.25 for the first $500,000 plus $4.25 for each additional $1,000 or fraction thereof, to and including $1,000,000 $1,000,001 and up $5012.25 for the first $1,000,000 plus $2.75 for each additional $1,000 or fraction thereof DRIVEWAY DEPRESSION ESCROW (Concrete Curb Streets Only) Alternate "A": Removal and replacement of curb and gutter only - Driveway width plus 6 feet times $13.50. Alternate "B": Removal and replacement of curb and gutter and install a 3 foot wide approach with 6 inch depth - Driveway width plus 6 feet times $15.75. VERIFICATION OF FOUNDATION Permits for construction will be issued a minimum of 24 hours from the time of application to allow for proper review of the proposed structure and of the construction site. A Certificate of Survey of the lot, showing the location of the foundation once it has it has been constructed will be required before proceeding with the framing. ?009 !/ COVo City of Fridley 6431 University Ave NE Fridley MN 55432 (763) 572-3602 or Fax (763) 502-4977 Water and Sewer Permit Application ❑ New Connection ❑Utility LineRepair/Relocation JOEExisting ,Skater and Sewer Connection Date: ZT/-,?—C>S Job Address` � '7-/5 ® `��✓/yy �5' Name of Applicant (Plumber): Name of Property Owner: Existing Structure Permit # Permit Type: Sewer Fee: Water Fee: Meter Fee: Repair Feer Relocation: State Surcharge: SAC Charge: Special Assessment Fee: Total: $ Applicant Signature: Inspector approval: Water Meter Repair — Weekend & Holidays $125/hour Water Connections Permit $50 Sewer Connections Permit $50 Inspection Fee for Water/Sewer Line Repair $40 Special Assessments See Engineering Cost of Water Meter See Utility Billing SAC Charge $1450 State Surchar e $ .50 Water Tap See En ' eerjnjz 04/04/05 (200 - Uz �Zs Building MECHANICAL Permit NO.: Inspections RESIDENTIAL APPLICATION Received By: 763-572-3604 CITY OF FRIDLEY ' c 763-502-4977 FAX EFFECTIVE 1-1-2010 ? � (-) DATE YOUR E-MAIL A DRESS SITE ADDRESS . THIS APPLICANT IS: 0 OWNER ONTRACTOR PROPERTY NAME: Q ADDRESS: CITY STAT&1�GIP OWNER/ TENANT PHONE: e 1 q�� 4 CONTRACTOR COMPANY NAME: CONTACT PERSON: L- e Arra na_ SUBMIT A COPY OF YOUR STATE STATE LICENSE # EXP DATE LICENSE WITH ADDRESS: 1 l ��c. CITY o b'e STATI � ZIP ` �� APPLICATION PHONE ��� { $ FAX PERMIT TYPE SINGLE FAMILY ❑ TWO FAMILY ❑ TOWNHOUSE TYPE OF WORK: A<EW 0 REPLACEMENT ❑ ALTERATION/REMODEL DETAILED DESCRIPTION OF WORK �a= a Z' FEES ARE BASED ON $10.00 PER FIXTURE, EXCEPT WHERE NOTED. FIXTURES: (INDICATE TOTAL NUMBER OF EACH BELOW) PROVIDE HEAT LOSS CALC'S PER MANUAL J 2006 ASHRAE HANDBOOK. Equipment Installed MFG: MODEL: SIZE/BTU MFG: MODEL: '7 SIZE/BTU ! '7 5( c o c) MFG: MODEL: SIZE/BTU $25.00 (GAS) $15.00 _GAS RANGE/OVEN $10.00 _A/C _FIREPLACE TO AIR EXCHANGEER $15 (WOOD) $35.00 _NEW GAS GRILL $10.00 _AIR _FIREPLACE $35.00 _' FURNACE $35.00 _GAS UNIT HTR $10.00 _BOILER _CHIMNEY LINER $10.00 _GAS DRYER $10.00 _POOL HEATER $35.00 _DUCT WORK $10.00 _GAS PIPING $10.00 $15.00 _VENTILATOR Number of fixtures @ $10.00 x $10.00 = Number of fixtures @ $15.00 x $1.5.00= $ Number of fixtures @ $25.00 x $25.00 = $ Number of fixtures @ $35.00 x $35.00 = $ State Surcharge= $ L0 u MINIMUM FEE $35,50 Total = $ THIS IS AN APPLICATION FOR A PERMIT -NOT VALID UNTIL PROCESSED I hereby apply for a building permit and I acknowledge that the information above is complete and accurate; that the work will be in conformance with the ordinances and codes.9f the City of Fridley and with the Minnesota Construction Codes; that I understand this is not a permit but only an application fora t 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 w r fires review and approval of plans. j� SIGNATURE OF APPLICANT PRINT NAME %IJ APPROVAL INSPECTORS SIGNATU DATE PLEASE NOTE: SERAgATD+EFA4ITSjWREQUIRED FOR BUILDING, EWjBjCAAAND MECHANICAL WORK N' City of Fridley wilding Inspections Department 6431 University Avenue NE, Fridley, MN 55432 763-572-3604 FAX: 763-502-4977 M