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PRE 2010 DOCSCity of Fridley, Minm BURDING PERMIT NO. 6237 Date: : • ,,�+► Owner: fi Builder Address Address No. treePart Lot LY .._ -- Block Addition or Sub -Division ' . Corner Lot . Inside Lot _. Setback ideyard Sewer Elevation — Foundation Elevation I DESCRIPTION OF BUILDING T Used Front Depth Height _ Sq. Cu. Ftc' t Depth Leight Sq. rt. Cu. Ft. Type of nstructi + Feat. "" 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 ail provisions 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 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 reg location, construction, alteration, maintenance, repair and moving of buildings within the city limits and permit may be revoked at any time upon violation of any of the provisions of said ordinances. %Al) Building Inspector NOTICE: This pemdt dose net cover, the construction, installation for whing, ph robing, gar hsot1a& swwr or wafer. Be sore to we the Betldhng inspector for separate parmhs for than hems. APPLICATION FOR BUILDING PERMIT CITY OF FRIDLEY, MINNESOTA Owner's Name m J Builder S Address Address , LOCATION OF BUILDING No. 0 ,Street V_,�v 2 Part of Lot Lot Block Addition or Subdivision -1/_ Corner Lot Inside Lot setback els /Side -Yard SEWER ELEVATION FOUNDATION ELEVATION Applicant attach to this form Certificate of Survey of Lot and proposed building locations To be used as: DESCRIPTION OF BUILDING Front --_4 f Depth Height Sq. Ft. o0o Cu. Ft.. Front i -Depth i Height Sq. Ft. Cu. Ft. Type of Construction ��ti��_� 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 ruling of the Department of Build- ings, and hereby declares that all the facts and representations stated in this application are true and correct. DATE SIGNATURE (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 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 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 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 gram 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. 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, 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 of $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 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. 245. 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. 2.6. in no case shall the fee charged for any permit as set forth in Section 2 be less a $4.00. City of Fridley Application for Plumbing and Gas Fitting Perndt Dept. of Bldgs. Phone SII 4-7470 DESCRIPTION OF WORE �� ® �� ce Number, Find and Location of Fixtures Location PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: NO. RATE TOTAL Number Fixtures & x $1.50 $ 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) ...... Z x 2.00 $ ' New Ground Run Old Bldg. x 3.25 $ 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 $ REPAIRS & ALTERATIONS—Refer to Code Description ................................................$ TOTAL FEE $ City of Fridley: 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 correct. Fridley, Minna v 1 196 19— Owner IC1/4 /' e. "r Kind of Building Used as D To be completed about 211-19 Estimated Cost, $ Old—New. Building Permit No a' Permit No._� . s Signe = -J, J, By Business Phone No ROUGH FINAL 42 2M 12�^ Zrz �a iTa}Z �jO 41 (7 z 0O t R t N WATER HTR. GAS ELEG Base 1st 2nd 3rd 4th _ ° Future Connection Openings +x New Fixture, Old Openings Connected with Sewer E] Cesspool PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: NO. RATE TOTAL Number Fixtures & x $1.50 $ 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) ...... Z x 2.00 $ ' New Ground Run Old Bldg. x 3.25 $ 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 $ REPAIRS & ALTERATIONS—Refer to Code Description ................................................$ TOTAL FEE $ City of Fridley: 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 correct. Fridley, Minna v 1 196 19— Owner IC1/4 /' e. "r Kind of Building Used as D To be completed about 211-19 Estimated Cost, $ Old—New. Building Permit No a' Permit No._� . s Signe = -J, J, By Business Phone No ROUGH FINAL 42 2M Application for Power Plants and Heating. Cooling, Ventilation, Refrigeration and Air Conditioning Systems and Devices PARTIAL RATE SCHEDULE u. GRAVITY WARM AIR: Furnace Shell & Duct Work ....................... Replacement of Furnace ............................. Repairs & Alterations—up to $500.00 .................. Repairs & Alterations each add. $500.00 ............. MECH. WARM AIR Furnace Shell & Duct Work to 120,000 BTU ............ each add. 60,000 BTU ...................... Replacement of Furnace ............................ Repairs & Alterations—up to $500.00 ................ Repairs & Alterations each add. $500.00 ............. RATE Warm Air—No.� TOTAL 8.00 $. $ 5.00 $ $ 5.00 $ $ 2.50 $ $ 8.00 $ 42 2M 2.00 $ 5.00 $ 5.00 $ 2.50 $ STEAM or HOT WATER SYSTEM Warm Air—No.� Trade Namee, 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 TO L 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 FEE $ '� Dept. of Bldgs. Phone SU 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. 0 Owner Kind of Building Used as To be completed about N 2 9 1963 Estimated Cost, $ '5r_69 —7 Qhr-ew. uilding Permit No. L9 Permit No. =0 -- 19 _ HEATING Warm Air—No.� Trade Namee, ) Size Capacity Sq. Ft. E.D.R-- BTU H.P. Total Connected Load I 9 �F - Kind of Fue BURNER — Trade Nam a Size No- !e=� Capacity Sq. Ft. E.D. OJIi �' TU H.P. GE0. SEDC O/ 6K i -ITS & AR-C®b4D. CC) 1001 Xenia AV. S. Minneapolis 16, Minn. Signe 42 2M Business Phot No (REMARKS -OVER) HEAT LOSS CALCULATIONSDEPARTMENT OF BUILDINGS MINNEAPOLIS. MINN. Weatherstrips A.S.H.V.E, Construction No. Insulation Guide Windows Doors Reference Out. Wall Int. Wall I Ceiling I RoofFloor Kind How. Applied Yes—No I Yes— 0 19— FI.1 „ r d , f �J Room Length§ , � �6 Width Height ' Fl.l A Room Length Width Height Windows and Doors—Crackage and Area Width Height No. of Lineal f . Area Infiltration No. of pane of pane lights of crack sq. ft. Glass Q� Btu Infiltration Exp. wall Infiltration3' Required sq. ft. E.D.R. or sq. ins. W.A. Leader area FII , r—,i Room I Length h 3''r' Width i Height F` Windows and Doors--Crackage and Area JCoef.j Btu Infiltration Glass Q� Btu Infiltration Exp. wall Infiltration3' Glass Net exp. wall r` r Exp. wall Int. wall Net exp. wall Ceiling -� Exp. wall$ Int. wall Floor Net exp. wall Ceiling Total Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area FII , r—,i Room I Length h 3''r' Width i Height F` Windows and Doors--Crackage and Area Width Height No. of Lineal ft. Area No. of pane of pane lights of crack sq. ft. v�V^l Coef.1 Btu Infiltration Btu Infiltration3' Glass n r` r Exp. wall x e :' Net exp. wall ` ,. Exp. wall$ Int. wall j Net exp. wall Ceiling Floors r Int. wall a r <r Total Btu. ' 3 a -4 Required sq. ft. E.D.R. or sq. ins. W.A. Leader area Fl ,X'I "IR Room I Length i a Width r Height Windows and Doors—Crackage and Area Width Height No. of Lineal ft. Area No. of pane of pane lights of crack sq. ft. v�V^l Coef. Btu Coef.1 Btu Infiltration3' Glass'` r` r Glass:' x e :' L1 ` ,. Exp. wall$ Int. wall j Net exp. wall Net exp. wall Floor M r Int. wall ; Ceiling . Ceiling Floor Floor Total Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area Windows and Doors—Crackage and Area Width Height No. of Lineal ft. Area No. of pane of pane lights of crack sq. ft. v�V^l Coef. Btu Infiltration e Infiltration Glass'` r` r Exp. wall x e :' Net exp. wall ` ,. Exp. wall Int. wall Net exp. wall Ceiling .: Floor M r ; Total Btu. e F Required sq. ft. E.D.R. or sq. ins. W.A. Leader (area f f r t.<'1 ! m a w e:'��.. P-- I i -th P �k V W;Ath �.r �� 1'7p;aht e.� Windows and Doors—Crackage and Area Width Height No. of Lineal ft. Area No. of pane of pane lights of crack sq. ft. v�V^l Coef. Btu Infiltration Btu Infiltration Glass r` r Exp. wall �2, x e :' Net exp. wall ` ,. Exp. wall Int. wall Net exp. wall Ceiling Floor ; 3 ,e c i` ,IL a ; Total Btu. Required sq. ft. E.D.R. or sq. his. W.A. Leader area ,6 •• a—I i ;..th a A S WrIth n 1 4 14piaht e'd Windows and Doors—Crackage and Area Width Height No. of Lineal ft. Area No. of pane of pane lights of crack sq. ft. v�V^l Coef. Btu Infiltration :; N 1.1. 2 Glass f Exp. wall Net exp. wall Int. wall Ceiling . Floor �5s. i �,� g' 74 Total Btu. I P'e, '.i, Required sq. ft. E.D.R. or sq. ins. W.A. Leader area I — "�— SUBJECT PER City of Fridley15 2 - AT THE TOP OF THE TWINS BUILDING PERMIT r RECEIPT NO. COMMUNITY DEVELOPMENT DIV. r PROTECTIVE INSPECTION SEC. t � � CITY HALL FRIDLEY 55432 NUMBER REV. DATE PAGE OFOVED BY 612-571-3450 - 910-F15 I 5/22/79 JOB ADDRESS 7350 Tempo Terrace N.E. 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 8 3 1 Melody Manor SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE David Tucker 7350 Tempo Terrace N.E. 3 CONTRACTOR MAILADDRESS ZIP PHONE LICENSE NO. Same 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO. 6 USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW ❑ ADDITION �E] ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Construct masonry fireplace 9 CHANGE OF USE FROM TO STIPULATIONS SEPERATE PERMITS REOU REI) FpR HEATING► PLUMBING � AND SjG� S. WARMNS 11�'! utilities lftftOi �� CTMC .GAS Et REQUIRED By LAW 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 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 1 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 $2 000 $1.00 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PERMITFEE SACCHARGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. PLAN CHECK FEE TOTAL FEE $13.00 SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT (DATE) WHEN PROPERLY VA ATED THIS IS YOUR P RMIT SIGNATURE OF OWNER11F OWNER BUILDER) (DATE) BLDG INSP DATE CITY OF FRIDLEY APPLICATION FOR RESIDENTIAL BUILDING PO MITS (NEW,-ALTERATIn s, ADDITI0I45, OR REPAIRS) OWtVrR: a ��n i e D. �e �Prr BUiLD13R. Address: Tee Address: -Tel. No.: No.:, 7360 --- ' Street: o Terr- TOOT: � 8 BLOCK: �_ ADDITION: CORNER LOT: INSIDE LOT: SETBACK. SIDEYARDS: Applicant attach 'to this form IiVo Certificates of Survey of Lot and proposed building location drawn on these Certificates. DESCRIPTION OF BUILDING To Be Used As: EB r�6,1` Front: Square Feet: Depth: Height: Cubic 'Feet: 'Front: Depth: Height: Squame Feet: Cubic Feet: Type of Construction: Estimated Cost: -4,Q00.00 To Be Completed: 5-- 30 -- 77q Alt. A Alt. B Proposed Driveway Width If Neil 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: 5-2-2- -7c7 SIGNATURE: A Stipulations: J P -3 ®o 11 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: 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 $15075 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 Maier 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. VERIFICATION QF 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 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. 492MIM.111IM010 l ':► 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. Building BUILDING Permit No.:. C "0v�' Inspections RESIDENTIAL APPLICATION Received By: 763-572-3604 CITY OF FRIDLEY Date Rec'd: DATE 11-1 SITE ADDRESS _f. YOUR E-MAIL ADDRESS THIS APPLICANT IS: t ❑ OWNER 'CONTRACTOR PROPERTY OWNER/ NAME: ADDRESS: CITY STATE ZIP TENANT PHONE: CONTRACTOR NAMEA 1 W& ( S e SUBMIT A COPY OF STATE LICENSE # ;?d 392-10 t 'JX - Jle' kF EXP DATE CITY , I1F±LA STAT&ZIP % �2 YOUR STATE LICENSE ADDRESS: TJ' ° WITH APPLICATION PHONE V -70(.- 01914 FAX SGLOa PROPERTY TYPE N SINGLE FAMILY/NEW CONSTRUCTION SIZE ❑ TWO FAMILY/NEW CONSTRUCTION STORIES PERMIT TYPE ❑ ADDITION ❑ GARAGE/SHED ❑ WINDOWS ❑ BASEMENT FINISH DiFROOF ❑ DRAIN TILE ❑ DECK If SIDING ❑ OTHER ❑ SWIMMING POOL TYPE OF WORK: 13NEW ❑ ADDITION ❑ MAINTENANCEIREPAIR REMODELING o �� ra DESCRIBE WORK BEING DONE: V_ raj.�a • ` S ickt q e^ 47 ei Za" p s°ffL wic 44� A SIZE OF IMPROVEMENT NUMBER OF SQUARES °�1n/ ❑ HOUSE & GARAGE GARAGES �p��u"- � ❑ATTACHED GARAGE PROPOSED SIZE: ❑ DETACHED GARAGE PROPOSED HEIGHT: SIDING ! yy ❑ Vinyl ❑Soffit %� ! f' ❑ Trim ❑ Aluminum ❑ Other ❑ Fascia WINDOWS IN EXISTING OPENINGS ❑Yes ONO OR FOR NEW OPENINGS -DESCRIBE SIZE OF OPENING CHANGES & TYPE OF WINDOW TO BE INSTALLED ALL FEES ARE BASED ON VALUATION, INCLUDING THE COST OF LABOR AND MATERIALS: (USING THE 1997 U.B.0 FEE SCHEDULE) TOTAL JOB VALUATION $ OCCUPANCY TYPE LOCATION OF WINDOWS NUMBER OF HEIGHT Sq. Ft. BASEMENT REMODELING SUBMIT: 1. Existing Floor Plan 2. Proposed floor plan 3. List of structural members to be used FOR NEW CONSTRUCTION INCLUDING DECKS, ADDITIONS, & PORCHES SUBMIT: 1. Site Plan/Survey showing the existing structures and proposed project 2. Two sets of construction plans 3. Energy Calculations Permit Fee $ See Back Page for Fee Schedule Plan Review $ 65% of Building Permit Fee Surcharge $ 2, 4 (.0005) times the total job valuation - Minimum $.50 Fire Surcharge $ Z i%> ` .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 $ :: it 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 wo i not to start without a permit; that the work will be in accordance with the approved plan in the case of all work hic equir s view d pproval of plans. SIGNATURE OF APPLICANT � Cr PRINT NAME DATE -ij 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 I ' $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 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 lg` $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 3uilding $ BUILDING Permit NO.:� 5'- Plan Review $ �G�,`-'� 65% of Building Permit Fee rnspections $ RESIDENTIAL APPLICATION Received By: 763-572-'3604 `' $ CITY OF FRIDLEY c-(— rDate Reed: ' )ATE 7 - CC YOUR E-MAIL ADDRESS Fin o k z 2P -. ,01 C iG.4" • Co n-i ;ITE ADDRESS 736'0 Wry Cl Yde, i HIS APPLICANT IS: 6 OWNER &CONTRACTOR PROPERTY OWNER/ NAME:y- d ) t ADDRESS: CITY STATE ZIP TENANT PHONE: 763- 7q5_ QQ-;L . CONTRACTOR NAME: 40 S STATE LICENSE # X: t3 P Quell EXP DATE-3-31-07 p�, ADDRESS: 936 L �G�e. �tl ar CITY L &-1A TATE=ZIP SUBMIT A COPY OF YOUR STATE LICENSE WITH APPLICATION PHONE 1,63-1&-9914 FAX %163-21'•'L `1W PROPERTY TYPE W SINGLE FAMILY/NEW CONSTRUCTION SIZE Sewer Main Charge 0 TWO FAMILY/NEW CONSTRUCTION STORIES PERMIT TYPE grADDITION 0 GARAGE/SHED 0 WINDOWS Total Due 0 BASEMENT FINISH O ROOF O DRAIN TILE e3 0 DECK 13 SIDING ❑ OTHER 3— Si% [] SWIMMING POOL wt TYPE OF WORK: 0 NEW ADDITION ❑ MAINTENANCE/REPAIR 0 REMODELING DESCRIBE WORK BEING DONE: 3 - s-din ,av u/ SIZE OF IMPROVEMENT LENGTH 1S'-d WIDTH 1 HEIGHT 9 51V Sq. Ft. ROOFING 0 HOUSE ONLY NUMBER OF SQUARES 0 HOUSE & GARAGE BASEMENT REMODELING SUBMIT: GARAGES 0 ATTACHED GARAGE 1 • Existing Floor Plan 2. Proposed floor plan PROPOSED SIZE: 0 DETACHED GARAGE 3. List of structural members to be used PROPOSED HEIGHT: SIDING FOR NEW CONSTRUCTION INCLUDING DECKS, ray Vinyl 0 Aluminum []Soffit /, / % E3 Trim `7Si ADDITIONS & PORCHES SUBMIT: 1. Site Plan/Survey showing the existing structures ❑ Other 0 Fascia and proposed project. 2. Two sets of construction plans WINDOWS IN EXISTING OPENINGS DYes 1INo LOCATION OF WINDOWS 3. Energy Calculations OR FOR NEW OPENINGS-DESCRIBE SIZE OF OPENING CHANGES &`7 TYPE OF WINDOW TO BE INSTALLED 2 j'arQ coNUMBER OF wmowS ff ALL FEES ARE BASED ON VALUATION, INCLUDING THE COST OF LABOR AND MATERIALS: (USING THE 1997 U.B.0 FEE SCHEDULE) TOTAL JOB VALUATIONS S Q d -1 d 6i OCCUPANCY TYPE Permit Fee $ 1V `? . -2 5 See Back Page for Fee Schedule Plan Review $ 102.11 1 65% of Building Permit Fee Fire Surcharge $ ?. 1� 21 .001 times the total job valuation Surcharge $ Lf . ( 1 .0005 x Permit Valuation Minimum $.50 License Surcharge $ c-00 $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 $ e3 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 whir equires view d approval of plans. SIGNATURE OF APPLICANT PRINT NAME G ✓l a DATE > d 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 $39125 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 I' $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 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 r PACE 02 - r. --L. i, .--! r� ENGLEHART HOME FRIDLEY, MN FRONT ELEVATION 0 :5- r- ri TE DRAWN. 31/06 t'7 (9 to 12 f -on 61 a _ EXISTING HOME - • r, Vmi FT IdIR w HD S FL LA kT J � 1 � 1 F 01 tc®r ® U CUT BE" poCKET pTo � EYJST. WALL TO RECEW ; CUT B Poi mm .Isrs.--- ®LIST. WALL TO NBNJST& GouBLE t!P WSTUN,M ` `_RkPLACE E7tlST. iO4d1 OOU9lE t1P 1-J3T iN+I1ai�R EACH SIM WALL —_\ NEWDOOR EACH SIS MKI EXISTING HOME - Al • r, Al I PAGE 05 LI) ry -7.00 ' I � LEFT �10 .{ �gSIDE ELEVATION SCALE.�yW= A 1 4' LU LU � LEFT �10 .{ �gSIDE ELEVATION SCALE.�yW= A 1 4' r - r 26 YR. SHINGLES TO MATCH EXIST., 2 ROWS ICE & WATER PROTECTION, 16 # FELT, 15W OSS ROOF SHEATHING, 2x4 ENG. VAULTED TRUSSES 24" O.C. R-30 I SUL., 4 IMIL. POLY, W*x6 NOTTY PINE T&G 12 61 �Y� ALUM SOFFIT 6 FASCIA VINYL SIDING, TO MATCH ExIST., HOUSEV RAP, 71160 OSB SHEATHING, 2W STUDS SPF 16" O.C., R49 FWRQLASs INSUL., 4 MIL. POLY, 5W)C T&G PINE NEW FLOOR To MATCH E)(1S7 FLOOR HT. - Q.C. CONNECTED W METAL HANGERS -- HANGERSi . 64 GREEN TREATEL) POST -' y 18" POST FTG. VATH RARED SUTTOM �f BUILDING SECTION SCALE' 1!4"=9'-U" __ r k g1 2 0 W r-" R-30 IN NUL. & 4 ML POLY BEr EN 9-Irz I-isTs. HOUSEMAID & 1d2" GRN. TREATED 0 PLYWOOD AT 130TT OF 3 SiB. .j _ 3 � _ a) 5 • 09/06/2006 09:30 9524405885 RICk. ERNSTE PAGE 02 I rn a) ;rn r 16 z R & J DESIGN ATE DRAWN: ENGLEHART SAVAGE, MN 31106 A7HOME FRIDLEY, MN ATE REVISED: ows no..a..in•• �•aa.nwmnatmo man 105106 FLOOR PLAN Building PLUMBING Permit No.&O ections RESIDENTIAL APPLICATION Received By: 72-3604 CITY OF FEY DqncgFC 23 20 763-5012-4977 FAX EFnCTrvE 1-1-M DATE ® v '— YOUR E-MAIL ADDRESS SITE ADDRESS THIS APPLICANT IS: ❑ OWNER 96ONTRACTOR PROPERTY NAME: ADDRESS: CITY STATE ZIP OWNER/ TENANT PHONE: CONTRACTOR NAME: of STATE LICENSE # 6 3 -'.S" P� EXP DATE SUBMIT A COPY OF YOUR STATE LICENSE, BOND AND STATE BOND # 7 O If u'` EXP DATE a 3./' a CERTIFICATE OF ADDRESS: �� S ' 1 Ve `' �- ��' CITY1NG'W �,b�}�^ STATES ZIP ,SS'il z INSURANCE PHONE 651 6-3 66562 g FAX .TYPE SINGLE FAMILY O TWO FAMILY O TOWNHOUSE PERMIT REPLACEMENT TYPE OF WORK: ❑ NEW DETAIL&D DESCRIPTION OF WORK Remce U'alvas &y The '�e ylac e awV-4v-p tc.c t3 PER MS 16B.665 the permit fee is a minimum of $15.00 or 5% of the total cost up to $500.00, whichever is greater, for the improvement, installation or replacement of a residential fixture, excluding the fixtures. (This should reflect only the cost of labor ) Labor cost under $300 = $15.00. Labor cost between $300 to $500 = cost of labor x.05 = plus .50 surcharge OR FOR PROJECTS WHERE LABOR EXCEEDS $500, FEES ARE BASED ON $10..00 PER FIXTURE, EXCEPT WHERE NOTED. FIXTURES: (INDICATE TOTAL NUMBER OF EACH BELOW). MINIMUM FEE $15.50. BATH SINKILAV DRAINS — WATER PIPING —FLOOR —SHOWER — —BATHTUB _ GAS PIPING (NEED CITY LIC) _ SWIMMING POOL WATER CLOSET — WATER SOFTNER {$35) PREV. {$IS) _CLOTHES WASHER _ KITCHEN SINK _ DISHWASHER �_ LAUNDRY TRAY —WATER HEATER ($35) —BACKFLOW FOR IRRIGATION ` OTHER — WATER METER Permit Fee $ Number of fixtures @ $10.00 x $10.00 = $ Surcharge .50 Number of fixtures @ $15.00 x $15.00 = $ TOTAL DUE $ `� . OR Number of fixtures @ $35.00 x $35.00 = $ State Surcharge = $ .50 VRJM $15.50) (MINIMUM $15.50) Total = $ THIS IS AN APPLICATION FOR A PERMIT -NOT VALID UNTIL PROCESSED I hereby apply for a plumbing 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 ofall work which requires review and approval of plans. J SIGNATURE OF APPLICANT 94'- (J�"`�'� PRINT NAME LIA `^° S �vl�l��t DATEE!�—�`� APPROVED BY City of Fridley Building Inspections Department 6431 University Avenue NE, Fridley, MN 55432 763-572-3604 FAX: 763-502-4977 DATE