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PRE 2010 DOCSCity of Fridley, Alhm. LO OFMBUDING No. Stree P of Lot Lot Bloch Addition or Sub-Divisioi . Corner Lot _ Inside Lot Setback - L�2 aT_ Sideyard Sewer Elevation — --- Foundation Elevation • �' 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 in pliance with all p ovisions of ordinances of the city of Fridley. ,I A a, 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. Building NOTICE.- This OTICE:This permit does not cover the construction, installation for whine, plumbing, gas heating, sewer or water. Be sore to we the Building Inspeetor for separate permits for than Items. Owner's Address APPLICATION FOP, 13UILDING PERMIT CITY OF FRIDLEY, MINNESOTA LOCATION OF BUILDING No. _7 Street ��.yo o ��� Part of Lot Lot / BlockAddition or Subdivision �A Y Corner Lot inside Lot i---`Setback 'T C®t� Side -Yard SEWER ELEVATION FOUNDATION ELEVATION Applicant attach to this form Two Certificates of Survey of Lot and proposed building location drawn on these Certificates. DESCRIPTION OF BUILDING To be used as: ��,. Front�� O Depth ) O Height ►— Sq. Ft, Cu. Ft. Ua-- Front ' Depth ?:�E' Height Sq. Ft. Cu. Ft. Type of Construction To be Completed Estimated Cost®® vD The und.ersignedhereby males appliVation 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 DATLO (Schedule of Fee Costs can be found on the Reverse Side). . 14,. P. 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 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'emount herein below set forth and in the manner herein* .provided to -wits 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.$1A0 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 building 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 ($0.90) 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 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 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 than $4.00. -4 , City of Fridley Apprication for Plumbing and Gas Fitting Permit DESCRIPTION OF WORK Number, Kind and Location of Fixtures PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: V B1 fb N _, 3 F- Y Z G LL v� oQQ,, Z ZZ w x 1.00 w p • R y N WATER HTR. GAS ELEC. Base x 3.25 $ 1st 2nd 3rd 4th Future Connection Openings New Fixture, Old Openings Connected with Sewer E] Cesspool 0 PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: NO. RATE TO��-TAlL,, Number Fixtures ...................... x $1.50 $�_a' Future Fixture Opening ................ x 1.20 $ New Fixture Old Opening .............. x 1.00 $ Catch Basin ...... ..................... x 3.25 $ Water Heater (Up to 200,000 BTM ...... x 2.00 $ Z• vla New Ground Run Old Bldg . ............ x 3.25 $ GAS FITTING FEES: NO. 1st 3 Fixtures .......................... Additional Fixtures .................... Gas Range to 200,000 BTU .............. REPAIRS & ALTERATIONS—Refer to Code RATE TOTAL x $1.50 $ x .50 $ x 2.00 $ Description ................................................ TOTAL FEE Dept. of Bldgs. Phone SU 4-7470 Location 2g / �A7,Ro '%ie!,& 4 C City of Fridley: The undersigned hereby .makes application for a permit for the work here! 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 aid correct. Fridley, .Minn FEB 11 19— Owner / L G r / %Y /,3G '0/. Kind of Building (` 2 Used asy ev. To be completed about 6® /- 6 3 Estimated Cost, $ Old Ne . Building Permit No ` Permit No. cQ signed®dye PLS ,i SING G0: By Business Phone No ROUGH 3 FINAL 42 2M Application for Power Plants and Healing, Cooling, Ventilation, Refrigeration. and Air Conditioning Systems and Devices PARTIAL RATE SCHEDULE GRAVITY WARM AIR: RATE TOTAL Furnace Shell & Duct Work ......................... 8.00 9+ Replacement of Furnace ............................. 5.00 $ i 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 $ each add. 60,000 BTU ....................... 2.00 $ Replacement of Furnace ............................. 5.00 $ 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 $ A Gas Range to 200,000 BTU ........... x 2.00 $ AIR CONDITIONING a $ FAN HEATING SYSTEM See Fee Schedule VENTILATING SYSTEM $ ALTERATIONS & REPAIRS TOTAL FEE $_- ROUGH FINAL Dept. of Bldgs. Phone SU 4-7470 Location 7,4V 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, F E B 12 1 93 19 _ Owner d?�,s�� /0�.2�1 L Kind of Building Used as To be completed about hpfi ®o Estimated Cost, $ ®4 " ew uilding Permit No. 613 Permit No. �� DESCRIPTION OF WORK HEATING ea�4*w ::'arm Air—No :�KTrade Nam Size No 2/e/ 2 6® 7 Capacity Sq. Ft. E.D.R ®®® BTU H.P. Total Connected Loa O` Kind of Fue BURNER — Trade Nam Size No Capacity Sq. Ft. E.D. �SEMCK H.P. pj GE .. AAIP.-COND. CO 1001 Xenia Av. S. Minneapolis 16, Minn. Signe B, r , - 42 2M Business Phone o (REMARKS -OVER) A XI -91 AT LOSS CALCULATIONS DEPARTMENT OF BUILDINGS :atherstrips A.S.H.V.E, Construction No. Guide s Doors Reference Out. Wall Int. Wall I Ceiling Roof Floor Yes—No— es 1�Io 19— o oi.,Pl Room I Length /A / Width / �P Height II Windows and Doors—Crackage and Area Width 1 Width Height No. of Lineal f . Area No. of pane of pane lights of crack sq. ft. Width Height No. of Lineal ft. Area No. of pane of pane lights of crack sq. ft. 6 Coef. Btu Infiltration JJL .2 eo Glass Btu Exp. wall 3 23 k Z Net exp. wall j'0 f Int. wall Glass Ceiling Glass Floor M%tj f Total Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area I Fl -1 0 1 pho—J Room I Length / II Width /A Height 9 Windows and Doors—Crackage and Area Width 1 Width Height No. of Lineal ft. Area No. of pane of pane lights of crack sq. ft. 6 Width Height No. of Lineal ft. Area No. of pane of panelights of crack sq. ft. 2T, Btu Coef. Btu Infiltration Z 3� Infiltration Exp. wall '7 Glass / Glass 6 Q in Exp. wall !®� VV Ceiling / Net exp. wall Floor joy 7 ,r 7, 5 Int. wall Floor Ceiling Floor IJ26 ItbAl J 2(0® Total Btu. > --Y,& Required j, - Required sq. ft. E.D.R. or sq. ins. W.A. Leader area Windows and Doors—Crackage and Area Width 1 Width Height No. of L heal ft. Area No. of pane of pane lights of crack sq. ft. Windows and Doors—Crackage and Area Width Height No. of Lineal ft. Area No. of pane of panelights of crack sq. ft. 2T, Btu JCoef.j Btu Infiltration Coef. 3� Infiltration Exp. wall '7 Glass / Glass �. 6 Q in Exp. wall :22 VV Ceiling / Net exp. wall Floor joy 7 ,r 7, Ceiling Int. wall Floor Ceiling Floor ItbAl 19-0-6 Total Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area 4-Vf- MINNEAPOLIS. MINN. Insulation Kind I How. Applied Room I Length I J' Width 1 Height Windows and Doors—Crackage and Area Width Height No. of Lineal ft. Area No. of pane of panelights of crack sq. ft. 2T, Btu Infiltration Infiltration zy Coef. Btu Infiltration Exp. wall '7 - / Glass �. Int. wall Exp. wall J(6 Ceiling / Net exp. wall Int. wall Floor joy 7 7, Ceiling Floor Total Btu. / Co Required sq. ft. E.D.R. or sq. ins. W.A. Leader area I F7_I PA Room I Length IM Width '-7 Height � Windows and Doors—Crackage and Area Width Height No. of Lineal ft. Area No. of pane of pane lights of crack sq. ft. l rrJk— Coef. Btu Infiltration Infiltration zy Glass Glass Exp. wall '7 Net exp. wall �. Int. wall Net exp. wall Ceiling / Int. wall Floor joy 7 Total Btu. �! Required sq. ft. E.D.R. or sq. ins. W.A. Leader area f F1.1 k..: ,./;sn Rnnm l Length #A Width 6 Height Windows and 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 ,P 5-7376 Exp. wall �. Net exp. wall / Int. wall Ceiling Floor a Total Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area HEAT ,LOSS CALCULATIONS DEPARTMENT OF BUILDINGS MINNEAPOLIS. MINN. Weatherstrips A.S.H.V.E. Construction No. Insulation Guide Windows Doors Reference Out. Wall Int. Wall Ceiling Roof Floor Kind How. Applied Yes—No ( Yes—No 19— f, F1.I Vo :L Room I Lenath ) 1 Width j Height II 1~I_I Rnom I Length Width Height Windows and Doors—Crackage and Area Width Height No. of Lineal ft. Area No. of pane of pane lights of crack sq. ft. Width Height No. of Lineal f . Area No. of pane of pane lights of crack sq. ft. 14 32 e Coef. Btu Infiltration Coef. Btu Infiltration Net exp. wall f' Int. wall Ceiling Glass Net exp. wall 2-7 So / .3 n Exp. wall Ceiling Net exp. wall Total Btu. Int. wall Ceiling Floor 1J3 16 14 17 Total Btu. 2 Required sq. ft. E.D.R. or sq. ins. W.A. Leader area F1.1 Room I Length Width Height Windows and 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 Glass Net exp. wall Exp. wall Int. wall Ceiling Net exp. wall Floor Int. wall Ceiling Floor Total Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area FU Room I Lenath Width Heiaht Windows and Doors—Crackage and Area Width Height No. of Lineal ft. Area No. of pane of pane lights of crack I sq. ft. Coef. Btu Infiltration Glass Exp. wall Net exp. wall Int. wall Ceiling 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. Coef. Btu Infiltration Glass Exp. wall Net exp. wall Int. wall Ceiling Floor Total Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area FI.I Room I Length Width Height Windows and 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 Exp. wall Net exp. wall Int. wall Ceiling Floor Total Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area I F1.1 Room I Length Width Height Windows and Doors—Crackage and Area Width Height No. of Lineal ft. Area No. of pane of pane lights of crack eq. ft. Coef. Btu Infiltration Glass Exp. wall Net exp. wall Int. wall Ceiling Floor Total Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area City of ]Fridley, Minn. N? 8568 BURDING PERMIT Address — 7391 Temno Terrace Address 5213 W-eat.61st Stre • LOCATION OF BUILDING No. 7391 street Tempo Terrajaa X -E- Part of Lot Lot _ _15 ___ Block Addition or Sub -Division Melosy Manor 2nd A -61i +i on corner Lot Inside Lot X, Setback -- Sideyard Sewer Elevation Foundation Elevation DESCRIPTION OF BUILDING To be Used as: Rep. Front — Depth height Sq. Ft. Cu. Ft. Front Depth Height Sq. Ft.` Cu. Ft. Type of Construction Frame Est, cost S9,, 000.00 To be completed 2-1-66 Storm Damage - repair & rebuilding 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 orth and in comp ce with a'll provisions of ordinances of the city of Fridley. set / ,+ In consideration of the payment of a fee of $ 10.00 _.., pehAt is hereby grandee to I,« +-Un-cra" Construction Go. 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 ana workmen, in all work. done in, around and upon said building, or any pert thereof, shall conform in all respects to the ordinances of dt Fridley, A?innesota reg gg 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. NOTICE: Yhb pormh doer not cover the cendmd1on, hutaHdba for Wkb& p1 mbins, on hadho awar Or Wrier. B• are to sw the Buf ft Fader for aparato pam bs for then hoot. APPLICATION FOR BUILDING PERMIT CITY OF FRIDLEY, MINNESOTA OWNER'S NAME ti.° .� �� �;_��� �, �� ��� BUILDER L • ��I IiMT� i !fY IIII�Y.. ADDRESS�%__ :3 �/ 1 mom+ c v r c ADDRESS / m LOCATION OF BUILDING r Street,.,1,, ti a Part of Lots LOT K If ADDITION OR SUBDIVISION ' curl '4 r� �► a.�;�` Corner Lot Inside LOT ? Setback Side -Yard ...SEWER ELEVATION FOUNDATION ELEVATION Applicant attach to this form Two Certificates of Survey of Lot and proposed building location drawn on these Certificates. To be used as: DESCRIPkIOM OF BUILDING Front Depth Leight Sq. Ft. Cu. Ft. Front Depth Height Sq. Ft. Cu. Ft. Type of Construction Fy Estimated Costor('), vim: To be completed_ The undersigned hereby makes application for a permit for the `cork 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. DA SIG111ATURE i` 4 - A - (Schedule of Fee Costs can be found on the Reverse Side). P BUILD M PMMT 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 build- ing or structure, or for any alterations 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; 2#1P 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 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 building, 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 ($0.90) for each one thousand cubic feet or fraction thereof, in the cubical contents thereof with the minimum of $4.00. 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 per each Five Hundred Dollars ($500.00) or fraction thereof in -the cast 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. L/ SUBJECT City of Fridley r!'- 15 - 3 4 AT THE TOP OF THE TWINS BUILDING PER . r RECEIPT NO. ' COMMUNITY DEVELOPMENT DIV. r t PROTECTIVE INSPECTION SEC. t � CITY HALL FRIDLEY 55432 NUMBER REV. DATE PAGE OF APPROVED BY 612-571-3450 910-F15 8/15/80 JOB ADDRESS 7391 Tempo Terrace 1 LEGAL LOT NO.BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 15 4 TemO Terrace SHEET 2 PROPERTY OWNER MAILADDRESS ZIP PHONE John S. ut 7391 Tempo Terrace Fridley 55432 784-2601 3 CONTRACTOR MAIL ADDRESS Owner 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 j1 ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Add on a 22' X 20' addi.tioh to the garage. 9 CHANGE QF USE FROM TO STIPULATIONS TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, wood Frame 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 R-1 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. $3,876.40 $1.94 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- $17.60 STRUCTION OR THE PERFORMANCEF CONSTRUCTION. PLAN CHECK FEE TOTALFEE "- $19.54 GNATUR OF NT C O o urHORIZE AGENT (DAT f - WHEN PRO ERLY A IDAT O THIS IS YOUR PERMIT $I- URE OF O IF N ERI ?-DATE) 9LDG INSP DATE L/ ,4" Land Plonnmr� C875.,qyhw,0y ",5 ta%f Surwyny kfffvvqw1,s z/. Sods Tesh;y .ENGINEERINO, INC.- Clwl 6- A-funiclW/ Rbot 44066 Engineers Sur veyor5 c T laro. f aw E, m � WOT F--,- �MLL (.,Ty Bldir-s V v claim Lj� fill c4 emz 0 DENOTES IRON M140'rES DRPLIMPLGF. 4 UTILITY 'EAVEIVIERT LOT. 19 15LOC K 4- MELODY MANOR 2.42 ADDITION 'q #W #16 is a bw and wn-edrepresent h67 ofe swvey &wnds,4es qrh�r 46@)r Ascryhed lmd, wad #)%e As -wveyed by nv April SUB URBAN LEPIC71NEERIN6, INC. rk ci 57' CITY OF FRIDLEY APPLICATION! FOR RESIDENTIAL BUILDING PERMITS (New, Alterations, Additions, or Repairs) OWNER: r ADDRESS TEL NO: BUILDER- ADDRESS: UILDER-ADDRESS: TEL NO: Construction Location STREET NO: STREET: LOT: BLOCK: ADDITION: 'Clexe, Corner Lot: Inside Lot: Setback: Sideyards: Applicant attach to this form two Certificates of Survey of lot and proposed building location dra7an on certificates to scale. DESCRIPTIO14 OF CONSTRUCTION Front: Depth: _ Height: �G! Squaue feet: Cubic Feet: Front : Depth: Height: Square -Feet: Cubic feet: R Type of Construction: Estimated Cost: $ '1b Be Completed: _o /- jeo Alt. A Alt. B Proposed Driveway Width If New Opening Is Desired: _ $ $ SEE REVERSE SIDE OF SHErT 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 ::clings of the Department of Buildings, and hereby declares that all the facts and representations stated in this application arc true and correct. DATB: Stipulations: X60 SIGNe7`3.'URE : nxNFh 1)U1 I-V JHU 1'LMA l I F1_:4: :a 1.111: 1JtjL-I- SJaC;TIOII 2. The Xji c;pcctor. of Ilui.l(1i.11,*t:/ t.hn).1., I,e.foro issuing permits for, the erection of any bui.l.cl:i.n�I or ,Aruc:t-alY:e, ox: for. any acldi.ti(A" to ;illy exi::ting I.;uilclilir1 or structure, cir' f.037 Mny altcratiojl or repairs to •ar:y cxi_stinq bui.ldioq or sty:ucturc, upon application 'thc:reiore, r.cr. n.ire. 01e paymelit by thc_ applic=ant 1_or, such permit of fees to t•11b amount hercAn below sct: forth and in the manner hgrei.n pl:ovided to -wit: 1�1.W COIISTPUC`_ 1011: Sia-igle Family Homes and Gaxage:,: $4.00/1,000 cubic feet. Pj,7,21 on." Ka 2.5 percent of building permit fc:e. 1)Ii1VL1;l�Y DLPRI�SSZON: (4oncrnte. Curb Streets Only) h1ternate A: Removal and xeplaccmc:nt of concrete curb and gutter only; Driveway width plus 6 feet x Y15075 hlterJlatc 13: Removal and replacement of concrete curb and gutter and install. a 3 foot.wide approach with 6 inch depth; Drivcway width plus 6 feet x $17.£35 ._ARD- T r C) f� 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) i=nches 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. VER IFICATI01" FFQtlNi�,`kTI01 NOTE: Permits for construction will be issued a minimum of 24 hours from the time of . pp icati.on to allow for proper review of the proposed structure and of the construction site. 11 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. CE (3 I C A T F QE-MUPJ�AC_i._.° Application for a Certificate of Occupancy shall be made ten (10) days prior to the use or occupancy of any structure for whicl] a building permit has been issued; and said structure shall not be used or occupied ulnt:il a Certificate of Occupancy has been issued. E112 SUBJECT P City of Fridley 3 0446 AT THE TOP OF THE TWINS BUILDING PERMIT Fr ` RECEIPT NO. 1 >r ....... COMMUNITY DEVELOPMENT DIV. INSPECTION SEC O -7bA r E PROTECTIVE 6/(��✓ e � � NUMBERREv ol�/27/99 PAGE OF APPROVED BY CITY HALL FRIDLEY 55432 612-571-3450 910415 JOB ADDRESS 7391 Tempo Terrace NE 1 LEGAL LOT NO. BLOCK [TRACT OR ADDITION SEE ATTACHED DESCR. 15 4 Melody Manor 2nd Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Nina Anderson 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Stock Roofing Inc. 289 Liberty St. Fridley 55432 780-3561 3112 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 Q ADDITION ❑ ALTERATION 9K REPAIR ❑ MOVE ❑ REMOVE B DESCRIBE WORK Reroof house and garage (28 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 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 $2447 $1.22 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- STRUCTION OR THE PERFORMANCE OF CONSTRUCTION PLAN CHECK FEE, TOTA F E License $5.00 $ .92 SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT IOATEI HE FPR VALIDA D HIS IS YOUR P RMIT • /V SIGNATURE OF OW NER,6 OWNER BUILDERI IDATEI Bl. G INSP pAtE E112 NEW[ ] Effective 5/10/99 ADDN [ ] CITY OF FRIDLEYv ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION Construction Address: f .3 ,Fl" T e' AytV v Legal Description: Owner Name & Address: /Zll ZIA 1,�weleaso J Tel. # Contractor: S°1°c-`e- 'eoo/ t C, MN LICENSE # 3��z Address: 2,6 7 /fo i � � ede74 cS°-4 Tel. # Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. LIVING AREA: Length GARAGE AREA: Length DECK AREA: Length DESCRIPTION OF IMPROVEMENT Width Height Width Height Width Hgt/Ground Sq. Ft. Sq. Ft. Sq. Ft. OTHER: Construction Type: 2Y Estimated Cost: $ �S Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $, DATE: /� 2 APPLICANT• Tel.# � =$ c�,q/1% Permit Fee $ - V16 - 1Fire Fire Surcharge $ . q,5 State Surcharge $ /- SAC Charge $ License Surcharge $ ,5'06 Driveway Escrow $ Erosion Control $ Park Fee $ Sewer Main Charge $ TOTAL $ 91'%g STIPULATIONS: CITY USE ONLY Fee Schedule on Reverse Side .001 of Permit Valuation (1/10th%) $.50/$1,000 Valuation $1050 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 $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 fust $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. l SUBJECT _ City of Fridley 3340 6 AT THE TOP OF THE TWINS BUILDING PERMIT r ` T NO. RECEIP P • COMMUNITY DEVELOPMENT DIV. PROTECTIVE INSPECTION SEC. r E � 1 i NUMBER REV DATE PAGE OF APPROVED BY = CITY HALL FRIDLEY 55432 763-571-3450 1 910-F15 4/4/03 JOB ADDRESS 7391 Tempo Terrace NE 1 LEGAL L07 NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 15 4 Melody Manor 2nd Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Glenn/Neva Anderson 7391 Tempo Terrace NE 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Becker's Bldg & Remodeling Inc 51 North Rd, Circle Pines, MN 55014 651-783-5791 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. City License 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO 6 USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW ❑ ADDITION C ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE B DESCRIBE WORK Install egress window in basement 9 CHANGE OF USE FROM TO STIPULATIONS Window to meet the State Egress Code. 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. Caulk and flash all exterior openings. 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 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT $2,000 •00 DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE O CANCEL THE PERMIT FEE SAC CHARGE PROVISIONS O ANY OTHER TATE OR L L LAW LATING CON - 69.25 Fire SC $2.00 TR CTION THE PERFO ANCE OF TRUCTI PLAN CHECK F TOT FEE j/2.25 SIGNATURE OF CONTA CTO OR 4 RiZED AGENT iDATEi f MEN PRO R VALIDATE THIS IS V R P MIT S-GNATURE OF OWNEROF OWNER BUILDER. IDATEi BL G.NSF' T7A t l NEW [ ] CITY OF FRIDLEY Effective 1/1/2003 ADDN [ J 6431 University Ave NE, Fridley, MN 55432 (763) 572-3604 Bldg Insp ALTER r '1 SINGLE FAMILY AND DUPLEXES R4 AND R-2 (763) 571-1287 Fax BUILDING PERMIT APPLICATION Construction Address: Legal Description: Owner N 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 Sq. Ft. 1� OTHER: , ECS I-,,< c V7�a e Q YIN Construction Type. ra w. - Estimated Cost: $*A9_00 Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ _ $ DATE: ° - APPLI ANT Tel. 4 y /` �n --. 57 'l Call (763) 572-3604 for Permit Fees if mailing in application. Fax to 763-571-1287 if using credit card and we will call you for card number. Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Curb Cut Escrow Erosion Control Park Fee Sewer Main Charge TOTAL $ IV. d�' CITY USE ONLY - Fee Schedule on Reverse Side .001 of Permit Valuation (1/10th%) $.50/$1,000 Valuation $1275 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 [ ] BUR DING 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 11 11 • 111 111 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 $1,000,001 and up $5,608.75 for the first $1,000,000 plus $3.15 for each additional $1,000 or fraction thereof CURB CUT ESCROW (Concrete Curb Streets Only) Removal and replacement of curb and gutter only - driveway width plus 6 feet times $17.00. 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. VERIFICATION OF FOUNDATION 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 3uilding Inspections 763-572-3604 )ATE I If .ITE ADDRESS T 11 C .HIS APPLICANT IS: PROPERTY OWNER/ TENANT CONTRACTOR SUBMIT A COPY OF YOUR STATE LICENSE WITH APPLICATION PROPERTY TYPE PERMIT TYPE TYPE OF WORK: BUILDING RESIDENTIAL APPLICATION CITY OF FRIDLEY YOUR E-MAIL ADDRESS ❑ OWNER . ❑CONTRACTOR STATE Ll ADDRESI PHONE e ER SINGL ❑ TWO F ADDn- ❑ ASE? ❑ DECK ❑ NEW ❑ MAIN' EXP DATE - I!Tf- 3 3 FAX 74 vIILY/NEW CONSTRUCTION ,Y/NEW CONSTRUCTION ❑ GARAGE/SHED 'FINISH ❑ ROOF ❑ SIDING ❑ SWIMMING POOL ❑ ADDITION NCFlRF_PAIR ❑ REMODELING Permit No.:, Received By: Date Rec' d: .5 ❑ DRAIN TILE ❑ OTHER DESCRIBE WORK BEING DONE: /% PR I N6 X T fe'r/V O_L < W t H A )TWE 6 ex ?/C� SIZE OF IMPROVEMENT LENGTH 2 7!0 WIDTH S Z® HEIGHT l y ' to ei Sq. Ft. 702 NUMBER OF SQUARES GARAGES PROPOSED SIZE: PROPOSED HEIGHT: SIDING ❑ Vinyl ❑ Aluminum ❑ Other /V o A; ❑ HOUSE ONLY ❑ HOUSE & GARAGE ❑ ATTACHED GARAGE ❑ DETACHED GARAGE In'.fru ❑ Trim BASEMENT REMODELING SUBMIT: 1. Existing Floor Plan 2. Proposed floor plan 3. List of structural members to be used FOR NEW CONSTRUCTION INCLUDING DECKS, ADDMONS & PORCHES SUBMIT: 1. Site Plan/Survey showing the existing structures and proposed project WINDOWS 2. Two sets of construction plans 3. Energy Calculations IN EXISTING OPENINGS 14Yes ❑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: , j65�5-7, --16 (USIN THE 1997 U.B.0 FEE SCHEDULE) TOTAL JOB VALUATION $ OCCUPANCY TYPE Permit Fee $ 13 0/. 2 S' See Back Page for Fee Schedule Plan Review $ 65% of Building Permit Fee Fire Surcharge $ {® .001 times the total job valuation Surcharge $ a P .0005 x Permit Valuation Minimum $.50 License Surcharge $ j $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 $20 = $ Erosion Control $ $450 Conservation Plan Review Park Fee $ Fee Determined by Engineering Sewer Main Charge $ Agreement necessary ( ) Non Necessary ( ) Total Due $ Lf 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 w rk is not to start without a permit; that the work will be in accordance with the approved plan in the case of all wo - ch req ' s d approval of plans. SIGNATURE OF APPLIC PRINT NAME a X1.4 ® DATE- 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 11 $500 plus $3.05 for each additional $100 or fraction, to and including $2,000 $2,001 to $25,000 $69.25 for l' $2,000 plus $14 for each additional $1,000 or fraction, to and including $$25,000 $25,001 to $50,000 $391.25 for ls'$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- $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 a4�\ City of Fridley Lg Inspections Department University Avenue NE 'ridley, MN 55432 763-572-3604 ,ax: 763-502-4977 TO From: 6517841191 G//X 14 7. rZ" Al,. Page: 1/2 Date: 5/18/200612:52:43 PM _5"joy 0 v /Oxl 414 0 gv _N( It) Pd9___ PA VE C 46e5/2t- rR0odf z6x.av' rc)� 2C)r)C YA/.i. FOo' 7311 TeHRO TeRRAc.'r jaCc, / s's© IATA W17 -H Pa &c �� -Pal yrs From: 6517841191 Page: 212 Date: 5/18/2006 12:52:44 PM On .L » ;' ��i���kT/;Lrfjn. ;S"; ,..L i ; :.. �:.r » .. � ..`i • •`r .. AW•��' ''ti•." ,�.�i�'•�`�. 't',�' ''��• ''" 'i, t :7, a .p is .. �• '.i �� iG},:; :;. , �'� i +ils.3 siui9 ,G,' .Ja.''EM .-M. 1fs4m ofrt S60 -A ppq tTeX.vai9o*ss Si+*w� •wro''(+�ae:i': ' &.41bNae car a, to ,S°44 RooF-ov R 4 W& Z, P E 27 • .. /:r . yyy+ ••,,** •L, C} ^��a.� � y�+ wr.1� �+ {�� /� 7 A y� * t�+y� * �*•�. ^y yam, w, �+7 • �r $ Q,'-.0ZiIC-0 T'r'.° til 044' �� .'• NOTE E 5 LSSi'1Y AIG � V L U- 4 i. L h' Vd i' i .. MELODY � � •�:�•, .,�.:r !err#� �j'd surw�t� �' �'. �� �''tim�fx�d Ar rt.sxid /ted ' As sceyad hy nwa .SUMIR N -Mc ll�iE f llklG , lam. ' R�Al i .g !� ii. 0 x /3//s-` ing $ BUILDING Plan Review Pelt rto.: 5q r,ecfi©ns Fire Surcharge RESIDENTL ,L APPLICATION 001 times the total job valuation Received BY 63-572-3604 4 -4 LA .0005 x Permit Valuation Minimum $.50 CITY OF FR.IDLEY $ Date Rec' '763-502-4977 FAX $ $2000 per SAC Unit (Plans to MWCC for determination) Curb Cut Escrow $ ft + b ft = ft x $21 =$ Erosion Control EFFECTIVE 1-1-09 $450 Conservation Plan Review Park Fee DATE - E MAIL ADDRESS �/'"ta*Y.gS'• iysiAedS� 1%H �mos�M . �csa�+ SITE ADDRESS T% _YOUR I diI? s/'�G►(r�L Cf'- Total Ilse _- THIS APPLICANT IS: ❑ OWNER t dOM-RA® CTOR PROPERTY OWNER/ NAME: /'%.a�n/'ya ,r�ss �si►!i' doh TENANT ADDRESS:7345,/ Ar?RCG CITY ��4 / STATd�,07 ZIP���� ¢� PHONE: 7& S - 7hp - kc CONTRACTOR NAME: .-`/"'! �� ' -e IC SUBMIT A COPY OF YOUR STATE LICENSE STATE LICENSE # ®Sr- EXPD3�ATE AND CERTIFICATE OF � ADDRESS �i�% � 444. C1 t `vre.A 4i0,4* -S STATR f" q INSURANCE PHONE !- `t CG " 79G4 1 FAXe,.6-/- PROPERTY TYPE MI&GLE FAMILYINEW CONSTRUCTION SIZE ❑ TWO FAMILY/NEW CONSTRUCTION STORIES PERrWT TYPE ❑ ADDITION ❑ GARAGEISHED ❑ WINDOWS ❑ BASEMENT FINISH SKK& ❑ DRAIN TILE ❑ DECK ❑ SIDING ❑ OTS ❑ SWIM1wffiNG POOL TYPE OF WORK: ❑ HOME COINSTRUCTION ❑ADDITION ANCElREPAIR ❑ REMODELING DESCRIBE WORK BEING DONE: /ArFPFAK SIZE OF IMPROVEMENT LENGTH WIDTH HEIGHT SQ FT lbUSE ONLY NUMBER OF SQUARES Id E O. GARAGE BASEMENT 1. REMODELING SUBMIT: EMistiqg FkwT Plan 9ARAGES TTACHED GARAGE 2. Proposed floor plan PROPOSED SIZE: ❑ DETACHED GARAGE 3. List of structural members to be used PROPOSED HEIGHT: Imm FOR NEW CONSTRUCTION INCLUDING DECKS, O Vinyl ❑ Ahrmi n= DSofF,t ❑ Trim ADDITION& 1, & PORCHES SURM[T: Site Plfm/Survey slaouri ilte eaaistitrg structures ❑ Odw ❑ Fascia and proposed project. 2, Two sets of plans yiumowS 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: ' USll� JMUJLC FEE SCHEDULE) Permit Fee $ l , Sire Back Page for Fee Schedule Plan Review S 65°f of Building Permit Fee Fire Surcharge $ 001 times the total job valuation Surcharge $ 4 -4 LA .0005 x Permit Valuation Minimum $.50 Liceme Surcharge $ $5.00 (State Licensed Residential Contractors) SAC Charge $ $2000 per SAC Unit (Plans to MWCC for determination) Curb Cut Escrow $ ft + b ft = ft x $21 =$ Erosion Control $ $450 Conservation Plan Review Park Fee $ Fee Determined by Engineering, Sewer Main Charge $ Agreement necessary ( ) Non Necessary ( ) Total Ilse _- $ Make checks oayahle to: City of Fridley Attack Stkmlatkms THIS IS AN APPLICATION FOR A PERMIT -NOT VALID UNTIL PROCESSED I hereby apply for a building permit and I acknowledge that the information above is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Fridley and with the Minnesota Construction Codes; that I understand this is not a permit but only an application for a permit and work is not to start without a permit on site; that the work will be in accordance with the approved plan in the case of all wor ch requires review and approval of plans. l c �+ SIGNATURE OF APPLICANTN s /,7.+sl�''%G ,� DATE cJ `� 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 includin $$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 inclu&g $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 JjQuses Only City of Fridley Building bspections Department 6431 University Avenue NE Fridley, MN 55432 763-572-3604 Fax: 763-502-4977