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PRE 2010 DOCS4" #�.L /'2 P-) City ®f Fridley, Munn.. BUR DING PERMIT N® 7048 Date: &�� LOwner:4V,4Builder Address Address I LO OF UILDING No.Stree - Q01 0' Part of Lot Lot _ __ Block Addition or Sub-'Divisio Corner Lot _ Inside Lot �� Setback Sideyard Sewer Elevation z evation-- DESCRIPTION OF BUILDING To t Used Front Depth Height Sq. Ft./I9 Cu. :445226 Front Deptheight Sq. Ft. Cu. Type of ction Est. Cost �� To be Completed In consideration of the issuance to me of a permit to consitrucUbe building described above I a do the proposed work in accordance with the description above set in h ons of ordinances 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 p�aon to whom it is granted and his agents, employees and workmen, in all work done in, around and upon said building, or anypart thereof, shall conform in all respects to the ordinances of Fridley, Minnesota regarding location, construction, alteration, maintenance, repair and moving of building - within the city limits and this permit may be revoked at any time upon violati_o�.gf any of the protons of said ordinances. " A "-- g NOTICE: This permit does not cover the coed. cdom, lestalladen for wiring, plumbing, Un heating, sewer or water. Be aro is we the Building Inspector for Separate permhs for these Bonn. APPLICATION FOR BUILDING PFT CITY OF FRIDIEY, MINNESOTA Owner's Namegde 440, Builder CLEMRON, INC. Address Address $619 Benjamin St N. E Minneapolis its, M1011. LOCATION OF BUILDING No. 4�r"® Street Pant of Lot Lot Block Addition or Subdivision, Corner Lot Inside Lot 4,--i Setback f Side -Yard SEWER ELEVATION FOUNDATION ELEVATION Applicant attach to this form Certificate of Survey of Lot and proposed building location. DESCRIPTION OF BUILDING To be used as: Type of To be Completed ted Cost Z2,°".'"` 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 pre true and correct. -11-,.-" DATE SIGNATURE (A Schedule of Fee Costs can be found on the Reverse Side.) __ _...... BUILDING PESIT M. SOMUIE Sect,2n �. The Inspector of Buildings shall, before.issuing any permit for the erection o`£W7--building'or structure, or for any addition to any existing build- ing..or_atructure, or for any alterations or.repairs to; any existing building or structure, bpan••applicat;.on • therefor, require the paymlent by ..the applicant for such. permit of: fees_ to the amount' herein below set forth and in the nniiiar herein provided �•,o=��t's- .. '":. _.. .....�. ... , .. . 2.1. For *say""such permit for the erection of any fire-proof-baldUg, other than a garage, warehouse, factory or grain elevator, or for the erection of SAY -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 thereofs in such cubical contents. 2.2. For any such permit for the erection of any fireproof garage, warehouse! factory or grain elevator, or for the erection of any fireproof addition, for similar occupancy, to any existing building shall be at the rate of 01825 for each one thousand cubic feet, classified as "fireproof" by Section 502 of,the. Minneapofis' Building Code. :& 2.3. For any -such permit for the erection of any non -fireproof building other than.a garage, warehouse, factory or grainielevAtor, or any nor•fireproof addition, for similar' --occupancy, to any existing building. Permit ft,600 for each one thousand cubic feet. 2.4. :For any such permit for the erection.of any n= -fireproof garage, warehouse, factory.,_.or grain elevator,..-or.for the erection of any nen-fireproof addition, for similar .:occupancy; td.-.�ahy;existi.ng ,building or for each such building or addition. Ninety Cents for,eachone thousand:, cubic feet., or fraction thereof, in the cubical contents thereof with.a minimum of $4.00:' ;ra 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 for 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 than $4.00. City ®f Fridley, Minn. N? 7711 BURDING PERAHT Date: June 4, 1965 Owner: Daniel Phifer Budder Clemron, Ino. Address 7310 Tempo Drive N. E. Address 701 Coltuabia Blvd. LOCATION OF BUILDING No. 7310 Street To=Drivim- x- P.0 Part of Lot Lot 12 Block 3 Addition or Sub -Division Melody Dior Corner Lot ._ Inside Lot Setback Sideyard Sewer Elevation — Foundation Mevation To be Used as: DESCRIPTION OF BUILDING Front Depth Height Sq. Ft. Cu. Ft Front Depth Height Sq. Ft. Cu. Ft Type of Construction Est, Cost 1! To be Completed Storm damage repair: Rebuild on existing foundation In consideration of the issuance to me of a permit to co building des bed a I agree to do the proposed work in accordance with the description above fo and ce provisions of ordinances of the city of Fridley. In consideration of the payment of a fee of $ 10,Q0 , permit is hereby granted to Umr8n, Thn _ to construct the building or addition as described above. This permit is granted upon the expressgta n thatthedone in,rand upon saidFridley, Miieas.mis permit may be revoked at any time upon violation of any of the provisions of said Allen Jensen Building Inspector NOTICE: Ibb pormh don a* .ever the sondmcgon, bdaWas for wkb & phimbine, gas heatieg, sewer w wafer. Bo sure to as the eniidino %qWd r for spm" permhs for dw" hems. APPLICATION FOR BUILDING FEp,-?IT CITY OF FRIDLEY, MIKNE SOTA LOCATION OF BUILDING No. Street Fart of Lot Lot Block Addition or .Subdivision ---- Corner Lot Inside Lot Setback Side Yard SEWER ELEVATION FOUNDATION ELEVATION Applicant attach to this form Two Certificates of Survey of Lot and proposed build- ing location drawn on these Certificates. DESCRIPTION F BUILDING !r To be used as: Front r- t Height Sq. Ft. Cu. Ft. Front Depth Height Sq. Ft. .Cu. Ft.. 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 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.. ,(Schedule of Fee Costs can be found on the Reverse Side). 11 BUILDING PE=T 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 garages 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 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 buildinh other Eau a garage, warehouse, factory or grain elevator, or any non-firepreof 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 exert' cr in.­�-o .� no, fs= ��.�f garage, warehouse, factory or grain elevator, c-� f0z 01,7, o.M guy none fireprcof addition, -for-similar occupancy, to iT. r,_ : � <a �::�x�.: �;a :..F,� ;�; or for each such -building or addition - ninety cena r U*1* 90,1 enkh one thousand cubic feet or fraction thereof, in the cubLeal cola:. Za t'.Aars--or with a minimum of $4.00., - For the purpose of computing fees fLrats'a.;3aZcT, pprr+s:s, the cubical contents of any building or addition to a unifc; = he-lLrlst tilrou,hout 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 Sable of a patched 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 ($500.00) or fraction thereof in the cost of all proposed work. 22.6. In no case shall the feea_chargei for.:,any permit .ag set forth in .Section 2 be less.than $4.00. City of Fridley Application for Plumbing and Gas Fitting Permit DESCRIPTION OF WORK Number, Kind and Location of Fixtures Dept. of Bldgs. Phone SII 4-7470 City of Fridley: 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. Fridley, Owner Kind of Building' a A� elm Used as J. 0 To be completed about PARTIAL RATE SCHEDULE Estimated Cost, $ Y Old—New. Building Permit No PLUMBING FIXTURE RATES: Number Fixtures ...................... NO. RATE TOTAL x $1.50 $ �8ZQjz Future Fixture Opening ................ O , (9 z F 9 N WATER HTR. GAS ELEC. x 3.25 $ ROUGHNew FINAL GAS FITTING FEES: 1st 3 Fixtures ..........................---- o0�O Additional Fixtures .................... x .50 $ Gas Range to 200,000 BTU .............. x 2.00 $ Base 1 1 1st l ! 2nd _ 3rd — 4th • Future Connection Openings Connected withI Sewer � New .Fixture, Old Openings Cesspool Dept. of Bldgs. Phone SII 4-7470 City of Fridley: 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. Fridley, Owner Kind of Building' a A� elm Used as J. 0 To be completed about PARTIAL RATE SCHEDULE Estimated Cost, $ Y Old—New. Building Permit No PLUMBING FIXTURE RATES: Number Fixtures ...................... NO. RATE TOTAL x $1.50 $ Sii Future Fixture Opening ................ x 1.20 $-- New Fixture Old Opening .............. x 1.00 $ Catch Basin ...... ..................... Water Heater (Up to 200,000 BTL) ...... x 3.25 $ 4� (� x 2.00 $ Ground Run Old Bldg . ............ x 3.25 $ ROUGHNew FINAL GAS FITTING FEES: 1st 3 Fixtures ..........................---- NO. RATE TOTAL x $1.50 $1 Additional Fixtures .................... x .50 $ Gas Range to 200,000 BTU .............. x 2.00 $ REPAIRS & ALTERATIONS --Refer to Code Description .............................................. $ TOTAL FEE as 2M 7-59 Phone 19AY No1,3 -"— �? 6 A Ji SUBJECT P City of Fridley121'75 AT THE TOP OF THE TWINS BUILDING PERMIT r RE PT NO. COMMUNITY DEVELOPMENT DIV. r PROTECTIVE INSPECTION SEC.` y "1 CITY HALL FRIDLEY 55432 NUMBER REV. DATE PAGE OF APPROVED BY 612-560-3450 910-F15 I 6/1173 I I JOB ADDRESS 7310 Tem o Terrace N.E. 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 12 3 1 Melody Manor SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE 7310 TpuM Terrace 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO. 6 USE OF BUILDING 7 CLASS OF WORK ❑ NEW ❑ ADDITION ❑ ALTERATION ❑X REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK 9 CHANGE OF USE FROM TO STIPULATIONS TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, VENTILATING OR AIR CONDITIONING. aluminum 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 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.$900. ,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- 6.00 STRUCTION OR THE PERFORM NCE OF CONSTRUCTION. PLAN CHECK FEE TOTALFEE _ 6.50 ' --SIGNATUREOFCON CTORORAUTHORIZEDAGENT (DATE) WHEN PROPERLY VALIDATED THIS IS YOUR PERMIT' BLDG IMP DA SIGNATURE OF OWNER (IF OWNER BUILDER) (DATE) a APLICATION FOR RESIDENTIAL, ALTERATION, OR ADDITION BUILDING PERMIT CITY OF FRIDLEY, MINNESOTA s-- OWNER'S NAME: \J t �` /Y1 A 4E�!_ BUILDER : i L e ..) _ 10 rl ,�u -S o,l°- ADDRESS :_-7 16 - �d I E 20t A-e_A ADDRESS • -:IS-/ 3 L NO • . lo STREET: I P .0 C &f ^ LOT:_ BLOCK: 3 ADDITION: / CORNER LOT: INSIDE LOT: SETBACK: SIDEYARD: Appligant 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: Height: Square Feet: Cubic Feet: Front: Depth: Height: Square Feet; Cubic Feet: Type of Construction:01 S i Estimated Cost: $ ® e ®� To Be Completed: 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. r DATE : ' _� - /� - �--� ' SIGNATURE (See Reverse Side For Additional Informs. Py'� 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 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. 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 Odcupancy has been issued. CITY OF FRIDLEY INSPECTION DIV. 6431 University Ave NE Fridley, MN 55432 572-3604 RATE SCHEDULE Residential APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION, REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES Furnace Shell and Duct Work, Burner — Also Replacement Furnace (Side Vent — Fill Out Back) Gas Piping (Needed with new furnace) 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 Rate $ 30.00 $ '10.00 $10.00 $ 10.00 $ 25.00 State Surcharge TOTAL FEE Effective On August 1, 1995 JOB ADDRESS The undersigned hereby makes application for a permit for the work herein TOTAL specified agreeing to do all work in strict accordance with the City Codes and L ®0 rulings of the Building Division, and hereby declares that all the facts and $ representations stated in this: applicati re true and orr�ect ,e d. ,1995 $ .50 v a MINIMUM FEE FOR ANY HEATING/COOLINGNENTILATION REFRIGERATION/AIR CONDITIONING PERMIT IS $25.00 PLUS THE $.50 STATE SURCHARGE REINSPECTION FEE $42.00/Hr ESTIMATED COST 7,E-2tgL; ; QU PERMIT NO. �[ D9SCRIPTION OF FURNACE AND OR BURNER No. of Heating Units Circle One (Steam) (Hot Water) arm Air) Trade Name �( wi �yo I Size No. /J BTU .'7 5 . HP EDR Fuel .�) R + ! Ks' Total Connected Load Z. Burner Trade Name Size No. BTU - HP EDR *Air Conditioners can not be placed in a side yard without FILL OUT BACK SIDE FOR STACK VERIFICATION`ON written permission from adjoining property owner. REPLACEMENT FURNACE CHIMNEY AND STACK VERIFICATION The undersigned hereby verifies that the existing chimney or stack: 1. Has been carefully examined Yes (�No ( ) 2. Is free from rust or deterioration Yes ( No ( ) 3. Has .no foreign objects lodged within Yes No ( ) 4. Is securely supported Yes ( O 5. Meets all current Code reWjirements for size and total BTU's connected Yes (z_y`No ( ) 6 Has total heating BTU's of All other BTU's TOTAL BTU's 7. Has a liner been provided for water heater Yes(---) No ( ) 8. Has combustion air been provided for water heater Yes (�-Tf No ( ) Remarks: List ALTERATIONS Being Done: HEATING CO: Signed By: Date: N SUBJECT PER City ®f Fridley 00� AT THE TOP OF THE TWINS BUILDING PERMIT 16. RECEIPT NO. COMMUNITY DEVELOPMENT DIV. INSPECTION SEC,7(� i r PROTECTIVE L "'�•� CITY HALL FRIDLEY 55432 NUMBER REV DATE PAGE OF APPROVED BY _--- L 612-571-3450 910415 6/1/00 JOB ADDRESS 7310 Tempo Terrace NE I LEGAL LOT NO. BLOCK TRA CT OR ADDITION SEE ATTACHED DESCR. 12 3 Melody Manor SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Stock Roofing Inc 3840 205 Lane, Anoka, MN 55303 763-213-1455 3112 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 j7 REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Reroof House & Garage (22 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 1 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 $.96 WITH WHETHER SPECIFIED HEREIN O NOT. THE GRANTING OF A PERMIT $1,923 DOES NOT PRESUME TO GIVE AUT ORITY TO VIOLATE OR CANCEL THE PERMIT FEE SAC CHA GE PROVISIONS OF ANY OTHER ST E OR LOCAL LAW REGULATING CON- Fir SC $1.92 TR CTION OR TH RF NCE OF CONSTRUCTION $69.25 PLAN CHECK F F E T7$77.13 Lice S $-y .00 SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT IOATEI HEN OPE BLO INSP AL DAffD ISIS YOUR PERMIT rIA tE S,GNATURE OF OWNER.IF OWNER BUILDERI IDA TEI 7wi ADDN [ ] CITY OF FRIDLEY ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION Construction Address: ✓ �� "� o �'�� Effective 1/1/2000 (763) 572.3604 Bldg Insp Legal Description: Owner Name & Address: 731(:)' P,o d �P�� . Tel. # Contractor. MN LICENSE # 3 �l Z Address: .3 � fb z o S 6cle,4 SS -36-3 Tel. # -7c 3 - 7-13 - LIVING AREA: GARAGE AREA: DECK AREA: OTHER: Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF IMPROVEMENT Length Width Height Sq. Ft Length Width Height Sq. Ft Length Width Hgt/Ground Sq. Ft Construction Type: 10 o 1/ a Estimated Cost: $ 19d Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ —=$ DATE: '6 - / O G APPLICANT: Tel. # Z /-'`3 - may- � CITY USE ONLY - Call (7633) 572-3604 for Permit Fees if mailing in application Permit Fee $ 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 $ $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--22, 13 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 04/02/2004 FRI 13:21 FAX ELDER JONES um NEW I l CITY OF FRIDLEY ADDN [ ] 6431 University Ave NE, Fridley, MN 55432 ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION Construction Address: _ _+_ 310 vT-c,�'a cam® X1001/001 Effective 4/1/2004 (763) 572-3604 Bldg Insp (783) 571-1287 Fax Legal Description: G Owner Name & Address: : ; M � i hr�v� � TeL #}(p3 - $r?p► oma! 8l Contractor. MN LICENSE # 0201309$3 Address: RENEWAL BY ANDERSEN Tel. #_(.051- c. (p4 - q 4-4 1920 COUNTY ROAD C WEST ROSEV AX, NIN 55113 icate of Survey of the i drawn on it to scale. LPAN© AREA: GARAGE AREA: DECK AREA: DESCRIPTION OF IMPROVEMENT Length Width Height Sq. Ft Length Width Height Sq. Ft Length Width HgVGround Sq. Ft OTHER: ` l'1 0 Cl [ A nV-\,(\Aiz, T Construction Type: Estimated Cost $ tp.ow— Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ —=$ DATE: of l NNe ®S APPLICANT: Tela a � a ' 3 • (gOK Call (763) 672-3604 for Permit Fmm if ma�Ting in application. Fax to 763-571-1287 if using credit card and we will call you for card number. Permit Fee Plan Review Fire Surcharge State Surcharge SAC Charge License Surcharge Curb Cut Escrow Erosion Control Park Fee Sewer Main Charge $ _Fo?=-)•`QCJ CITY USE ONLY - Fee Schedule on Reverse Side 65% of Permit Fee .001 of Permit Valuation (Ill Oth%) $.50/$1,000 Valuation $1350 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 [ ] TOTAL $ 13q. a S STIPULATIONS: Building $ e BUILDING PermitNo.: Inspections 65% of Building Permit Fee RESIDENTIAL APPLICATION Received. By: 763-572-3604 Fire Surcharge CITY OF FRIDLEY Date Rec'd: DATE 11-3 YOUR E-MAIL ADDRESS $5.00 (State Licensed Residential Contractors) SITE ADDRESS —2 / % Cil f l% 161/ /.-- $1450 per SAC Unit (Plans to MWCC for determination) THIS APPLICANT IS: ❑ OWNER ❑CONTRACTOR ft + 6 ft = ft x $20 = $ PROPERTY OWNER/ NAME: , 1�e/ G77J $450 Conservation Plan Review ADDRESS: "2 3 / ® 90 CITY STATE—ZIP TENANT Sewer Main Charge PHONE: Agreement necessary (, ) Non Necessary ( ) CONTRACTOR NAME: 14UeZ aem Make checks savable to: Citv of Fridley Attach STATE LICENSE # 2- EXP DATE ® D Ca Zr-?5 % SUBMIT A COPY OF YOUR STATE LICENSE ADDRESS: /jat ° �Gc@%�� CITY�Lf/d�� STATE`�ZIP WITH APPLICATION pH0 — FAX PROPERTY TYPE ❑ SINGLE FAMILY/NEW CONSTRUCTION SIZE ❑ TWO FAMILY/NEW CONSTRUCTION STORIES PERMIT TYPE ❑ ADDITION ❑ GARAGE/SHED ❑ WINDOWS ❑ BASEMENT FINISH OOF ❑ DRAIN THE ❑ DECK ❑ SIDING ❑ OTHER ❑ SWIMMING POOL TYPE OF WORK: ❑ NEW ❑ ADDITION ❑ MAINTENANCEIREPAIR ❑ REMODELING DESCRIBE WORK BEING DONE: �/ 1b SIZE OF IMPROVEMENT LENGTH WIDTH HEIGHT 00 Sq. Ft. ROOFING �,k ❑ HOUSE ONLY ��+ ❑ HOUSE & GARAGE BASEMENT REMODELING SUBMIT: NUMBER OF SQUARES GARAGES f e, °fi❑ATTACHED GARAGE 1. Existing Floor Plan 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 I. 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 $ 2 O -0 0 OCCUPANCY TYPE Permit Fee $ e See Back Page for Fee Schedule Plan Review $ ' 65% of Building Permit Fee Surcharge $ a (.0005) times the total job valuation — Minimum $.50 Fire Surcharge $ / .001 x Permit Valuation (1/10%) License Surcharge $ _ $5.00 (State Licensed Residential Contractors) SAC Charge $ $1450 per SAC Unit (Plans to MWCC for determination) Curb Cut Escrow $ ft + 6 ft = ft x $20 = $ Erosion Control $ $450 Conservation Plan Review Park Fee $ Fee Determined by Engineering Sewer Main Charge $ Agreement necessary (, ) Non Necessary ( ) Total Due $ G 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 permit anwork 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 ires ew a pproval of plans. d-14-C411-1 SIGNATURE OF APPLICANT PRINTNAME Li 6DATE '9I 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" $2,000 plus $14 for each additional $1,000 or fraction, to and including $$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 1't $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 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 Building Inspections 763-572-3604 DATE I ^ �� �•}- - SITE ADDRESS THIS APPLICANT IS: PROPERTY OWNER/ TENANT CONTRACTOR SUBMIT A COPY OF YOUR STATE LICENSE WITH APPLICATION PROPERTY TYPE PERMIT TYPE BUILDING Permit No.;, RESIDENTIAL APPLICATION Received By: CITY OF FRIDLEY e%F1P YOUR E-MAIL ADDRESS T -e i (61CA ❑ OWNER . s1GONTRACTOR ADDRESS: ) g pCITY_ PHONE:_ NAME' Renewal By Andersen STATE LICENSE tt_ 1920 County Road "C" West ADDRESS: Roseville, MN 55113 PHONE License #20130983 ❑ SINGLE FAMILY/NEI ❑ TWO FAMILY/NEW C_ 651-264-4777 O BASEMENT FINISH O ROOF ❑ DRAIN TILE O DECK O SIDING Q OTHER O SWIMMING POOL TYPE OF WORK: ❑ NEW ❑ ADDITION ❑ MAINTENANCE/REPAIR ❑ REMODELING DESCRIBE WORK BEING SIZE OF IMPROVFMRIVT SQUARES GARAGES PROPOSED SIZE: PROPOSED HEIGHT: u U HOUSE ONLY O HOUSE & GARAGE O ATTACHED GARAGE ❑ DETACHED GARAGE WIDTH M ATE ZIP. ATE ZIP. BASEMENT REMODELING ct IBMIT• I . Existing Floor Plan 2. Proposed floor plan 3. List of structural members to be used Ft. OSI Vinyl OSoffit FOR NEW CONSTRUCTION INCLUDING DECKS, O Aluminum ADDITIONS & PORCHES SUBMIT: O Other ADDITIONS. I. Site Plan/Survey showing the existing structure ❑ Fascia and proposed project. WINDOWS 2. Two sets of construction plans IN EXISTING OPENINGS ❑Yes ONo LOCATION OF WINDOWS 3. Energy Calculations 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: (USINTHE 1997 U.B.0 FEE SCHEDULE) TOTAL JOB VALUATinN e q IV — Permit Fee Plan Review Fire Surcharge Surcharge License Surcharge SAC Charge Curb Cut Escrow Erosion Control Park Fee Sewer Main Charge 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) $1550 per SAC Unit (Plans to MWCC for determination) ft+6ft= ftx$21=$ $450 Conservation Plan Review Fee Determined by Engineering Agreement necessary ( ) Non Necessary ( ) Make checks payable to: City 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 ii conformance with the ordman and codes of the City of Fridley and with the Minnesota Construction Codes; that I understand this is not permit but only an application r a permit work is not to start without a ermit; that the work will be in accordance with the approve( plan in the case of all work w h it work and approval o S. SIGNATURE OF APPLICANT P A (Q {7S (0 i DATE