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PRE 2010 DOCSCity ®f Fridley, Mium BUILDING PERMIT N? Date: Builder 19 --sc G -,. C I'll Address LOZ�A NO. :A110N OF BWLDING A 190 M W - X, tree owl 4,9&e -W-4 I of Lot. Lot ock "I Addition or Sub -Division Corner Lot -- Inside Lot Setback *f S'ideyard W'WW 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 and In compliance with all provisions of ordinances of the city of Fridley. A In consideration of the payment of a fee of $Aq" , permit Is hereby granted to._._.. toconstruct 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 withine city 8 and permit may be revoked at any of any of the provisions of said Building Inspector NOTICE: This permit does not corer tho condruction, haftMon for whhks, 'Phn►blnv" on hoadn& swat or WntW. so Baro to me tho SWIdlis hupeoer for sopor to permift for than home. Owner's Name Address APPLICATION FOR BUILDING PERMIT CITY OF FRIDLEY, MINNESOTA Builder. i x ' . 0,4 Address-ts�e.a'�� D'; LOCATION OF BUILDING Street %D`e�,pl,�art of Lot Lot Block�Addition or Subdivision /�!eq NZ&O1� Corner Lot Inside Lot---4--Setback �' Side -Yard SEWER ELEVATION FOUNDATION ELEVATION Applicant attach to this form Two Certificates of Survey of Trot and proposed building location drawn on these Certificates. DESCRIPTION OF BUILDING To rsed Q Front` `2 1 Depth %iLVHeight 2k Sq. Ft.' Cu. Ft. b � Front & Depth i Height Sq. Ft. 3 2. Cu. Ft. Type of Construction F41,n— _ Estimated Cost_______ c?® 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. DATECP t- SIGNATURE (Schedule of Fee Costs can be found on the Reverse Side). 4 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 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"8'fireproof4° 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 s.ix (6) inches below the .floor line of the basement or cellar to the averages 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. City of Fridley Application for Plumbing and Cas F'kting Permit Dept. of Bldgs. Phone SII 4-7 DESCRIPTION OF WORK Number. Kind and Location of Fixtures PARTIAL RATE SCHEDULE 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. Fridlev. Mann 1��� / 1 19 Owner ®` Kind of Building ® Used as To be completed about PLUMBING FIXTURE RATES: NO. RATE TPTAL Number Fixtures ...................... x $1.50 $ 6,,�_ Future Fixture Opening ..... x 1.20 //0 $ New Fixture Old Opening .............. x 1.00 $ Catch Basin ........................ I — x 3.25 $ Water Heater (Up to 200,000 BTU) ...... W ? • . *A—NTR. GAS ELEG Base Additional Fixtures .................... x .50 $ Gas Range to 200,000 BTU .............. x 2.00 $ Ist j 2nd 3rd 4th • Futnre Connection Openings New Fixture, ON Openings Connected with Sewer Cesspool PARTIAL RATE SCHEDULE 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. Fridlev. Mann 1��� / 1 19 Owner ®` Kind of Building ® Used as To be completed about PLUMBING FIXTURE RATES: NO. RATE TPTAL Number Fixtures ...................... x $1.50 $ 6,,�_ Future Fixture Opening ..... x 1.20 //0 $ New Fixture Old Opening .............. x 1.00 $ Catch Basin ........................ I — x 3.25 $ Water Heater (Up to 200,000 BTU) ...... ,Z x 2.00 $ Cf New Ground Run Old Bldg . ............ x 3.25 $ GAS FITTING FEES: 1st 3 Fixtures .......................... NO. RATE TOTAL x $1.50 Additional Fixtures .................... x .50 $ Gas Range to 200,000 BTU .............. x 2.00 $ � REPAIRS & ALTERATIONS—Refer to Code Description ................................................$ TOTAL FEE Estimated Cost, $ Old—New. Building Permit No Permit Signe By —42�� Business Phone No- ROUGH FINAL az 2M Application for Power Plants and Heating. Cooling, Ventilation. Refrigeration and Air Conditioning Systems and Devices PARTIAL RATE SCHEDULE GRAVITY WARM AIR: RATE TOTAL Furnace Shell & Duct Work 8.00 $ Replacement of Furnace ............................. 5.00 $ Repairs & Alterations—up to $500.00 .................. 5.00 $ Repairs & Alterations each add. $500.00 ............... 2.50 $ MECH. WARM AIR ✓ Furnace Shell & Duct Work to 120,000 BTU ............ 8.00 $ 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 NO RATE TOTAL 1st 3 Fixtures ...................... Furnace Shell & Lines—to 400 sq. ft. EDR Steam ..... 8.00 $ Furnace Shell & Line—to 640 sq. ft. EDR Hot Water ... 8.00 $ Each add. 200 sq. ft. EDR Steam ...................... 2.50 $ Each add. 320 sq. ft. EDR Hot Water .................. 2.50 $ OIL BURNER—to 3 gal. per hour ........................ 5.00 $ over 3 gal. per hour—See Fee Schedule GAS BURNER (up to 400,000 BTU) ..... ................. 5.00 $ GAS FITTING FEES: NO RATE TOTAL 1st 3 Fixtures ...................... x $1.50 $ Additional Fixtures ....:.......... x .50 $ Gas Range to 200,000 BTU ........... x 2.00 $ AIR CONDITIONING $ FAN HEATING SYSTEM See Fee Schedule VENTILATING SYSTEM $ ALTERATIONS & REPAIRS TOTAL FEE $� ROUGH FINAL Dept: of Bldgs. Phone SU 4-7470 1-9-11 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. Owner Kind of Used a: To be c Estimai '6 Permit Old New wilding Permit No. M9 DESCRIPTION OF WORK HEATING or te , Hot ter, Warm Air= Trade Nam= -,Size No� ' &-7) Capacity. Capacity Sq. Ft. E.D.R BTU H.P. Total Connected Load �e Kind of Fuel /✓Y C�� BURNER.— Trade Name Size No Capacity (REMARKS—OVER) 42 2M Sq. Ft. E.D.R BTU H.P. RAY N. WELTER HEATING C®. Signe 4637 C By MINNSEAROL-15 7. -MINNESOTA Business Phone No 4 AI, 7 CITY OF FRIDLEY INSPECTION DIV. Effective On January 1, 1991 6431 University Ave NE Fridley, MN 55432 APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION, 572-3604 REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES JOB ADDRESS�� RATE SCHEDULE The undersigned hereby makes application for a permit for the work Residential Rete TOTAL herein specified agreeing to do all work in strict accordance with the Furnace Shell and Duct Work, Burner - city codes and ruling of the Building Division, and hereby declares Also Replacement Furnace $ 20.00 $ that all the facts and representations stated in this application are • true and correct. , �' ,1991 Gas Piping (Needed with new furnace) $ 10.00 $ OWNER Gas Range $10.00 $ BUILDING USED AS5��i� Gas Dryer $ 10.00 $ ESTIMATED COST > PERMIT NO. 'Air Conditioning - All Sizes $ 10.00 $ .,; All Others/Repairs & Alterations ( 7K)1 % of Value of Appliance or Wor$ _ Commercial/Industrial 1 % of Value of Appliance or Work $ State Surcharge TOTAL FEE $ .50 $ MINIMUM FEE FOR ANY HEATING/COOLINGNENTILATION REFRIGERATION/AIR CONDITIONING PERMIT REFRIGERATION/AIR CONDITIONING PERMIT IS $15.00 PLUS THE $.50 STATE SURCHARGE REINSPECTION FEE $30.00 "Air Conditioners can not be placed in a side yard without written permission from adjoining property owner. DESCRIPTION OF FURNACE AND OR BURNER No. of Heating Units Circle One (Steam) (Hot Water) (Warm Air) Trade Name ZAeV,,l,o a Size No. BTU HP EDR Fuel Total Connected Load Burner Trade NameSize No. BTU HP EDR HEATING COMPANY Signed By r / �� Tel No.���G��% Approved ByRough-In Date Final Date iL�- f FILL OUT BACK SIDE FOR STACK VERIFICATION ON REPLACEMENT FURNACE SUBJECT PT N City ®f Fridley 574 AT THE TOP OF THE TWINS �y2.1 BUIL ®I PERMIT' �+ RECEIPT NO. _ COMMUNITY DEVELOPMENT DIV. / L// �7-,-2, r PROTECTIVE INSPECTION SEC. CITY HALL FRIDLEY 55432 NUMBER REV. DATE PAGE OF APPROVED BY 612-571-3450 910-F15 9/28/92 JOB ADDRESS 7398 Tempo Terrace 1 LEGALLOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 3 3 Melody Manor SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Donna McBrian 7398 Tempo Terrace NE 784-6612 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Jansick 6480 Squire Drive NE Fridlg.=y 55432 574-9679 2034 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 ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Construct a 141,x 161 Addition to Dwelling 9 CHANGE OF USE FROM TO STIPULATIONS See notations on plan. Add smoke detectors unless they are already installed. TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, VENTILATING OR AIR CONDITIONING. ZONING S0. FT. CU. FT. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT NO. DWLG. UNITS OFFSTREET PARKING ANY TIME AFTER WORK IS COMMENCED. I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION STALLS GARAGES VALUATION SURTAX AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED $11 982 $5.99 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT r PERMIT FEE SAC CHARGE DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- $ 135.00 Fire SC $11.9.8 STFILl)�CCTION OR THE PERFORMANCE OF CONSTRUCTION. PLAN CHECK FEE TOTAL FEE v r License SC $5.00 $157.97 SIGNATURE OF TRACTOR OR AUTHORIZED AGENT IDATEI HEN RO LY VA IDA D THIS IS YOUR PERMIT BLDG )NSP DATE SIGNATURE OF OWNER IIF OWNER BUILDER) IDATEI NEW [ ] Effective 3/1/92 ADDN [ ] CITY OF FRIDLEY ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 Building Permit Application Construction Address: 7.3 7-e- ow ?ter ra rcp• Legal Description: Owner Name & Address: ,QoAWA I% XRli9N Tel. # 78 t1- 6L12. Contractor: J"50 < (4fRk 00-105/r�- MN LICENSE # o? o3 Address: Z 11W SQutor _.04_ , f•Qidt�f- l�lw Tel. # 579-9"2 Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF IMPROVEMENT -`_,C` LIVING AREA. Length ,/y ` Width J le— Height Sq. Ft. 2 Zy GARAGE AREA: Length Width Height Sq. Ft. DECK AREA: Length Width Hgt/Ground Sq. Ft. OTHER: _ �2,�Al X - p 5.3 Comer Lot { ] Inside Lot (] Ft. Yd Setback Side Yard Setbacks Type of Construction:OW,1040 Estimated Cost: $ , Approx. Completion Date: Nov, -P 2 9 (Cost on Back) Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ = $ DATE: APPLICANT: Tel. # 57 9- ?-e 7.9 Permit Fee $'� Fire Surcharge $ State Surcharge $ SAC Charge $ License Surcharge $ Driveway Escrow $ Park Fee $ -� Sewer Main Charge $ TOTAL CITY USE ONLY Fee Schedule on Reverse Side .001 of Permit Valuation (1/10th%) $.50/$1,000 Valuation $700 per SAC Unit $5.00 (State Licensed Residential Contractors) Alt. "A" or Alt. "B" Above Fee Determined by Engineering Agreement Necessary [ ] Not Necessary [ ] STIPULATIONS: '"a4 BUILDING PERMIT FEE SCHEDULE The Chief Building Official shall, before issuing permits for the erection of any, building orstructure, 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 Jo .$500 $15 (Minimum Fee is $15 plus surcharge) $501 to $2,000 $15 for first $500 plus $2 for each additional $100 or fraction thereof, to and including $2,000 $2,001 to $25,000 $45. for first $2,000 plus $9 for each additional $1,000 or fraction thereof, to and including $25,000 $25,001 to $50,000 $252 for first $25,000 plus $6.50 for each additional $1,000 or fraction thereof, to and including $50,000 $50,001 to $100,000 $414.50 for first $50,000 plus $4.50 for each additional $1,000 or fraction thereof, to and including $100,000 $100,001 to $500,000 $639.50 for first $100,000 plus $3.50 for each additional $1,000 or fraction thereof, to . and including $500,000 $500,001 to $1,000,000 $2039.50 for the first $500,000 plus $3 for each additional $1,000 or fraction thereof, to and including $1,000,000 $1,000,001 and up $3539.50 for the first $1,000,000 plus $2 for each additional $1,000 or fraction thereof DRIVEWAY DEPRESSION ESCROW (Concrete Curb Streets Only) Alternate "A": Removal and replacement of curb and gutter only - Driveway width plus 6 feet times $13.50. Alternate "B": Removal and replacement of curb and gutter and install a 3 foot wide approach with 6 inch depth - Driveway width plus 6 feet times $15.75.. VERIFICATION OF FOUNDATION Permits for construction will be issued a minimum of 24 hours from the time of application to allow for proper review of the proposed structure and of the construction site. A Certificate of Survey of the lot, showing the location of the foundation once it has it has been constructed will be required before proceeding with the framing. L r., ENERGY CONSERVATION SUPPLEMENT TO BUILDING PERMITAPPLICATION'•� J PLANNING AND INSPECTION DEPARTMENT ._ JOB LOCATION p �'"Prj %erra� : �R%O 4 iFy 1 66 13-Z OWNER(S) !Oy4 ec RR1. A) PHONE_ CONTRACTOR* PHONE'..09 A. Determine The Total Exposed Wall Area As Follows: 1. Total wall window area (A) C79-,4-¢/4ew/ 2. Total door area (B1 + B2) 3. Total patio door area (C) '— 4. Total fireplace wall area (D) 5. Total wall framing area (avg. 10%) (E) 6. Total net wall area above floor (F) /Drl Z , Ze5 7. Total rim joist area (Z) 17 Subtotal: Total exposed wall area 'above-floor (X) �InOZ 8. Total foundation.window area.(A) 9. Total door area (81 + B2) 10. Total patio door area (C) 11. Total foundation framing area (avg. 10%)(D) 12. Total net foundation area above,grade,(Y} Subtotal:. Total exposed foundation area (Y) GRAND TOTAL EXPOSED WALL AREA (W) B. Multiply The Grand Total Exposed Wall Area x . 11= 171p . 2Z Item I C. Determine The Total Exposed Roof/Ceiling Area As Follows: 13. Total skylight area (B) 14. Total roof/ceiling framing area (A) 15. Total net-insulated roof/ceiling area-(U) /3En GRAND TOTAL EXPOSED ROOF/CEILING AREA (V) D. Multiply The Grand Total Exposed Roof/Cei 1 i ng Area x.02-6= , Item Ii G. If Item No. III is the same as, or less than Item No. 1, you have met the intent of State Building Code 6006 (c)2. H. If Item No. IV is the same as, or less than Item No. II,.you have met the intent of State Building Code 6006(c)l. I.' Add Item No. I l 7 � �' + Item No. 11 35.4-ZI 5, C 8 J. Add Item No. III y P�-•C33 + Item No. IV " K. If the sum of Items III and IV are less than Items'1 and II, you have met the intent _ -__ . of -the code for total enVelope system: ---_.. __.. - ... __....- _ _..,_:— .. _.___ ___ - ., -- -_. Signature Date GI Z4 4Z J "U" -E. Determine The Value Of Each Segment (1-12) And Multiply By The Area As Follx ows nun. 1 3. x stuff 4 _ _-- x "u" 5.. 1J�v�� 2� . x ��u�� 4/0 "? 6: %15u1 -Us $ X ��n u o o4-4- _ l 7. 178 x OU11 .04 j Z Z1 8. - -- x "U" 9. --_. x „u„ �--^ _ 10. x "u" IS 12. x "u" Add 1-12 For Total Wall Segments /5 , 63 Item III 15;f" 9 J F. Determine The "U" Value Of Each Segment (13-15) And Multiply By The Area As Follows: 13. x "u" 14. A nun 03 4170 '_ 15. l 3010 , 2 x "U" . f�ZG✓ _ ��-� 1 Add 13-15 For Total Roof/Ceiling Segments W�=�-Nry Item IV �8 G. If Item No. III is the same as, or less than Item No. 1, you have met the intent of State Building Code 6006 (c)2. H. If Item No. IV is the same as, or less than Item No. II,.you have met the intent of State Building Code 6006(c)l. I.' Add Item No. I l 7 � �' + Item No. 11 35.4-ZI 5, C 8 J. Add Item No. III y P�-•C33 + Item No. IV " K. If the sum of Items III and IV are less than Items'1 and II, you have met the intent _ -__ . of -the code for total enVelope system: ---_.. __.. - ... __....- _ _..,_:— .. _.___ ___ - ., -- -_. Signature Date GI Z4 4Z J CUSTOMER NAME JA°ial UPPER WALL WINDOVAREAS Glass No. No. Sq. Sq.Ft. A. Size Lites Windows Inch Glass O XX X + _ 144 a X X l X Z +144a � X 410 X ^'�� X -_L._ + 144 = X X + 144 = , X X_ _X 2- +144= A - Total _ B. Steel Door Area SQ.Ft. ¢ 2- ( &# X ? _ X i ,X a B1 -Notal 33,3¢ B2. Wood Door Area Sgc�t, ( X a _X X mal C. Patio Door AreaSg•Ft. �X__ X = X X C - Total FOUNDATION WALL WINDOW AREAS A. Glass No. No. Sq. Sq. Ft. Size Lites Windows Inch Glass X X +144= X X X + 144 = X X X + 144 -- A A - Total B1. Steel Door Area X Sq•Ft• X X = 81 --Total B2. Wood Door Area X X a X X a BZ - Vital C.' Patio Door Area Sq• t• X a X X a C - Total Total Exposed Wall Areas (X + Y + Z) a 0Z ,0 W Total Insulated Ceiling Area 11.E fA Y Minus: A. Ceiling.Framing Area (10% of Ceiling Area) B. Skylight Area A + T� otalal Net Insulated Ceiling Area,' _ /,3 , Z Q U t DATE ! 17/27 ZEXPOSED WALL AREAS ' Tota Peer a Area X A. Min Min s• Upper Wall Window Area 2 j B1. Upper Wall Steel Door Area S 31 a IF, 62, Upper Wa11:Wood Door Area C. Upper Wall'Patio Door Area D. Fireplace WhI l Area r.-- otal - Zrl�•3�0 Adjusted Upper Wall Area = 1 3. Minus: E. Upper Wal :jaminq Area (10% of Adj. Wall Area) — , F. Net Insul.;;gd Wall Area Above The Floor Total Expose FQndation Wall Area --'—' y is t ,r Minus: A. Foundation Well Window Area 81. Foundation.W,11 Steel Door Area B2. Foundation W411 Wood Door Area C. Foundation Will Patio Door Area Tonal — Adjusted Foundation Wall Area = Minus: 0. Foundation Wall Framing Area (10% of Adj.. Wall Area) E. Net Insulated Wall Area Above The Floor + a Total Exposed Rim Joist Area /76 Z Minus: A. Rim Joist Framing Area (10% of Rim Joist Area) B. Net Insulated Rim Joist Area a / 7), ZO Total Exposed Wall Areas (X + Y + Z) a 0Z ,0 W Total Insulated Ceiling Area 11.E fA Y Minus: A. Ceiling.Framing Area (10% of Ceiling Area) B. Skylight Area A + T� otalal Net Insulated Ceiling Area,' _ /,3 , Z Q U �':':'!i•:!�:: iii:{':'�':' :��•:::! :''.. ::fff EXTERIOR AIR FILM .17 ' /7 6" FIBERGLASS INSULATION 19.00 12" FIBERGLASS INSULATION 38.00 18" FIBERGLASS INSULATION 57.00 5/8" GYPSUM BOARD .56 INTERIOR AIR FILM :61 l 34- __ m. 1/R s--U--MoQ�" -L - CEILING FRAMING AREA EXTERIOR AIR FILM .17 -/7 3-1/2" WOOD 4.38 5-1/2" WOOD 6.88 7-174" WOO' 9.06 9-1/4" WOOD 11.56 5/8" GYPSUM .56 INTERIOR.AIR FILM - .61 • �/ R Z.62 1/RaU .031 INTERIOR AIR FILM .68 ®L' R-� 1/R=U o�2 RIM .JOIST AREA cJ N•O<-e, uS4, 170 EXTERIOR AIR FILM .17 '17 1/2" HARDBOARD SIDING .67 47 25/32" SHEATHING 2.06 �' U l" STYROFOAM SHEATHING 5.01 1-1/2" WOOD 1.88 3-1/2" FIBERGLASS INSULATION 11.00 3-5/8" FIBERGLASS INSULATION 13.00 6" FIBERGLASS INSULATION 19.00 INTERIOR AIR FILM 1/R = U .68 awiiiii'L e•...: . 1/2" -HARDBOARD SIDING .67 25/32" SHEATHING 'U'VALUE BREAKDOWN SHEET 1" STYROFOAM SHEATHING 5.01 1-1/2" WOOD 1.88 MFrJ 11.00 WOOD iIIIALL. (FRAMING) AREA.. ­.`,*......,✓/R_/ ///� F 19.00 /� ., EXTERIOR AIR FILM .17 ' 1/2" HARDBOARD SIDING, -'.67 e /o 25/32" SHEATHING 2.06 d lv 1" STYROFOAM SHEATHING 5.01 3-1/2" WOOD 4.38 5-1/2" WOOD 6.88 6•�� 1/2" GYPSUM BOARD .45 a INTERIOR AIR FILM 1/R = U ®� RIM JOIST AREA .68 e2 R lD EXTERIOR AIR FILM .17 1/2" -HARDBOARD SIDING .67 25/32" SHEATHING 2.06 1" STYROFOAM SHEATHING 5.01 1-1/2" WOOD 1.88 3-1/2" FIBERGLASS INSULATION 11.00 3-5/8" FIBERGLASS INSULATION 13.00 6" FIBERGLASS INSULATION 19.00 INTERIOR AIR FILM .68 R 1/R=U EXTERIOR AIR FILM .17 17 HARDBOARD SIDING .67 25/32" SHEATHING 2.06 1" STYROFOAM SHEATHING 5.01. 3h" FIBERGLASS INSULATION 11.00 3 5/8" FIBERGLASS INSULATION 13.00 � 6" FIBERGLASS INSULATION 19.00 GYPSUM BOARD _ .45 44S INTERIOR AIR FILM .68 R l7 U -a5� EXTERIOR AIR FILM .17 1'll" STYROFOAM 6.00 8 "BLOCK 1.11 12" BLOCK 1.28 GONCFEIE PER NCH M-HCIC i INTERIOR AIR FILM .68 R 1 R = U EXTERIOR AIR FILM .17 (� HARDBOARD SIDING .67 7 25/32" SHEATHING 2.06 Z� 1" STYROFOAM SHEATHING 5.01. 3;g" FIBERGLASS INSULATION 11.00 3 5/8" FIBERGLASS INSULATION 13.00 6" FIBERGLASS INSULATION 19.00 " GYPSUM BOARD _ .45 INTERIOR AIR FILM .68 ' R Z �® R EXTERIOR AIR FILM .17 111" STYROFOAM 6.00 8"BLOCK 1.11 12" BLOCK 1.28 CAWGAEiE- PER Npi -THC:K { S INTERIOR AIR FILM .68 • i R I R II a SUBJEt;T Pg. City of Fridley 2539 AT THE TOP OF THE TWINS BUILDING P E R MI I T P � -RECEIPT NO. a: ------COMMUNITY DEVELOPMENT DIV. INSPECTION SEC. r 1 PROTECTIVE 1 . , _ II CITY HALL FRIDLEY 55432 '•� NUMBER REV DATE PAGE OF APPROVED BY 612-571-3450 910-F15 4/25/02 r JOB ADDRESS 7398 Tempo Terrace NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 3 3 Melody Manor SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE McBrian 7398 Tempo Terrace NE 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Gates Roofing & Signs Inc 4640 Ximines Lane N, Plymouth, MN 55442 6793 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO 763-550-0043 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO 8 USE OF BUILDING Residential 7 CLASS OF WORK 0 NEW 0 ADDITION 0 ALTERATION REPAIR 0 MOVE 0 REMOVE 8 DESCRIBE WORK Reroof House & Garage (26 Sq) Tear -off 9 CHANGE OF USE FROM TO STIPULATIONS Underlayment must comply with the State Building Code. permit Inspection Cams WillBe vaile TO Hameownor d T s Pool SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD VENTILATING OR AIR CONDITIONING. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING SO. FT CU FT AUTHORIZED IS NOT COMMENCED WITHIN 80 DAYS. OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COMMENCED. - NO. DWLG. UNITS OFFSTREET PARKING I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION 1 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 @ $2,787 $1'39 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 TOTALFEE License 5.00 $9W.43 SIGNATURE OF CON'RACTOR OR AUTHORIZED AGENT iOATE, N=PLIOAT IS IS Y UPKPERMIT2 BLOZINSP T1ATE S.GNATURE OF OWNERdF OWNER BUILDERI tDATEI NEW t a CITY OF FRIDLEY Effective In12002 AOIDN 6431 University Ave NE, Fridley, MN 55432 1763167?'. "BdB Inap ALTER (] SINGLE FAMILY AND DUPLEXES RA AND R.2 BUILDING PERMIIT APPLICATION Construction Address: Legal Description: Owner Name & Address: c �.��°�/ h'3 r �'' 7'•caw�p 7E.��.¢ct .c. Tel tl: Contractor. G,y�r.S ��uf`��%� i S�Gi.�s .:..•.c• MNLICENSE 6%3 Addres.& XG Vy >e i �w r C./ti. ni f lyrT, , �+•y Tel. it 74;r Attach to this application, a Certificate of Survey of the ee/f C6iz, 36. i - 706 y lot, with the proposed construction drawn on it to scale. Driveway Curb Cut VAdth Needed: FL ; 6 Ft Ft x S = S DATE: APPLICANT-.• L Tel. .z' lir - 706 y' Call (763) Sn,3=4 for punnit Rees if mailing in application or Fax to 76357/4287 if using credit card and we will call you for card number, cITY USE ONLY- Permit NlY- Permit Fee Fire Surchwge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee Sewer Main Charge TOTAL. 0 Fee Schedule on Reverse Side .001 of Permit Valuation (1110th%) $.501$1,000 Valuation $1200 per SAC Unit $5.00 (State Licensed Rewdentwl Contractors) Alt W or Alt. -W Above $450.00 Conservation Plan Review Fee Determined by'E.ngineer+ng Agreement Necessary C ] Not Necessary [ j �:Y( L)� $MPUTATIONS: 9 Z. V3 '- �doom ,.,,. .. ... .��.•�o .u'1 1 19'1 LtfHJ� TT -7T 701017-.G7—AAW dZS:Zi ZO SZ �dy z•d 2902-9b9-e9L �iatl4o>1 etawed ®ESCIRIMON OF IMPROVEMENT LAnNG AREA: length Wkdth Height Sq. R. GARAGE AREA: Length Width Height_.,,,._ Sy. Ft DECKAREA: Lengthij Wb -�-- HgVGround Sq. PL OTHLiR: 9 ConstrucUon Type: lt-d'or''r` i Estimated Cost S Driveway Curb Cut VAdth Needed: FL ; 6 Ft Ft x S = S DATE: APPLICANT-.• L Tel. .z' lir - 706 y' Call (763) Sn,3=4 for punnit Rees if mailing in application or Fax to 76357/4287 if using credit card and we will call you for card number, cITY USE ONLY- Permit NlY- Permit Fee Fire Surchwge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee Sewer Main Charge TOTAL. 0 Fee Schedule on Reverse Side .001 of Permit Valuation (1110th%) $.501$1,000 Valuation $1200 per SAC Unit $5.00 (State Licensed Rewdentwl Contractors) Alt W or Alt. -W Above $450.00 Conservation Plan Review Fee Determined by'E.ngineer+ng Agreement Necessary C ] Not Necessary [ j �:Y( L)� $MPUTATIONS: 9 Z. V3 '- �doom ,.,,. .. ... .��.•�o .u'1 1 19'1 LtfHJ� TT -7T 701017-.G7—AAW dZS:Zi ZO SZ �dy z•d 2902-9b9-e9L �iatl4o>1 etawed Gates Roofing, Inc 4640 XminwesLanw Plyrno�, MN 55442 Office. (763)55"043 Fax: (763) 545-2062 FAX COVER SHEET ~�~J ��4/x � ���-7� '/ ~�_ ��� � /� u mw m � �l�1/��r �^� . '/~. / �/�� SEND TO FROM Aftn6on Dam [� [� �� ��u�� UF� Reply ASAP Please comment review F-1 your Infomnatim � ����m����m�� ---------`--` ^'~^^'~^^^-~^`^-`----^--------------'~~--------- .......... ........... ......................................... ~.,. ^ ^ _.......... _--�'---'--'_---_---.---_-'-^~.-~'..~.~^.--.--_--.... ---f ..................... 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COMMUNITY DEVELOPMENT DIY. INSPECTION SEC. r PROTECTIVE 1 CITY MALL FRIDLEV 35432 NUMBER REV DATE PAGE Of APPROVED BY 763-571-3450 910415 6/16/03 JOB ADDRESS 7398 Tempo Terrace NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 3 3 Melody Manor SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Donna McBrian 7398 Tempo Terrace NE 763-784-6612 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Minnesota Exterior Inc 8100 Jefferson Wy PO Box 266, Osseo, MN 55369-0266 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 763-391-5514 2877 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO 6 USE OF BUILDING Residential 7 CLASS OF WORK a ❑ NEW ❑ ADDITION ❑ ALTERATION x REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Reside house &.garage; soffit & fascia 9 CHANGEOFUSEFROM TO STIPULATIONS Per Section 1402, 1997 Uniform Building Code, requires that a weather resistive barrier be placed over exterior sheathing to protect the interior wall.covering. Exceptions for this provision would be if sheathing is an approved weatherproof panel or when the siding is an approved weather barrier. Vinyl siding is not a weatherproof covering unless the manufacturer states this in their application. guidelines. Call for inspection of wrap before covering or take pictures. Caulk and flash all exterior openings. Install soffit ventilation to meet the State Building Code. Permit inspection ands ill Be Mailed To HoMeownes'Nu Past 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 OWLG. 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 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT $14,365 $7.18 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- Fire SC $14.36 STRUCTION OR THE PERFORMANCE OF CONSTRUCTION $251.25 PLAN CHECK FEE TOTAL FEE Licen e SC $5.00 1 $277.79 SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT (DATE, EN PROPERLY VALIDATED THIS IS YO, R PE IT S,GNATURE OF OWNER„; OWNER BUILDER, ,DATE, tl �_ V�\_ f, it, BL ,N o r,At NEW [ ] CITY OF FRIDLEY Effective 1/1/2002 ADDN [ ] 6431 University Ave NE, Fridley, MN 55432 (763) 572-3604 Bldg Insp ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION Construction Address: Legal Description: Owner Name & Address:Tel. # Contractor. MN LICENSE # /,YC d&7 i Address: J Tel. Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF IMPROVEMENT LIVING AREA: Length Width Height Sq. Ft. GARAGE AREA: Length Width Height Sq. Ft. DECK AREA: Length Width Hgt/Ground Sq. Ft. OTHER: Construction Type:_/� QG� ��� ' Estimated Cost: $ Driveway Cu Cut Width Needed: Ft. + 6 Ft = Ft x $ _ $ DATE: // APPLICANT: Tel. # Call (763) 572-3604 for Permit Fees if mailing in application or 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 Driveway Escrow Erosion Control Park Fee Sewer Main Charge TOTAL CITY USE ONLY - $d77 -19 Fee Schedule on Reverse Side .001 of Permit Valuation (1/10th%) $.50/$1,000 Valuation $1200 per SAC Unit \ $5.00 (State Licensed Residential Contractors) J Alt. "A" or Alt. "B" Above $450.00 Conservation Plan Review Fee Determined by Engineering Agreement Necessary [ ] Not Necessary [ ] 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 MOMM $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 ADDRESS PIN LEGAL DESC PERMIT TYPE PROPERTY TYPE CONSTRUCTION TYPE CITY OF FRIDLEY 6431 UNIVERSITY AVENUE NE FRIDLEY, NIN 55432 572-36U4 FAX: (763) 571-12N7 : 7398 TEMPO TER NE : 113024240023 : MELODY MANOR : LOT 3 BLOCK 3 ELECTRICAL RESIDENTIAL ADDITION/ALTERATION PERMIT NO.: 2004-01403 i24 DATE ISSUED: 08/23/2004 VALUATION NOTE: ELECTRICAL PERMIT BECOMES VOID 12 MONTHS AFTER PERMIT ISSUE DATE. CHANGE SERVICE AND ADD FOUR RECEPTABLES. 1;1 # 0-100 AMP CIRCUITS 4 APPLICANT SUPER ELECTRIC INC 333 COLBORNE ST ST PAUL, MN 55102 OWNER MCBRIAN DONNA J 7398 TEMPO TER NE FRIDLEY, MN 55432 AGREEMENT AND SWORN STATEMENT This permit becomes null and void if work or construction authorized is not commenced witin 60 days or if construction or work is suspended or abandoned for a period of 120 days at any time after work is commenced. I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any other state or local law regulating construction or the performance of construction. Applicant Date Bldg Insp Date ELEC AMP SERVICE FEE 30.00 ELEC CIRCUIT FEE (0-100 AMPS) 24.00 STATE SURCHARGE, ELEC FLAT 0.50 TOTAL 54.50 PAID WITH CHECK # 6063 SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. -- A Building $ BUILDING See Back Page for Fee Schedule Permit No.: $ 65% of Building Permit Fee Surcharge $ Inspections (.0005) tunes the total job valuation – Minimum $.50 RESIDENTIAL APPLICATION $ Received By: 763-572-3604 License Surcharge $ 5 00 Date Rec'd: �- SAC Charge $ CITY OF FRIDLEY $1450 per SAC Unit (Plans to MWCC for determination) Curb Cut Escrow DATE ® & YOUR E-MAIL ADDRESS 2 M -15� e,01 &i� 1D AAF S, d2,A,-7 SITE ADDRESS -73 -7 g � All PO Tie -f- %d✓e/�- $ THIS APPLICANT IS: ❑ OWNEReONTRACTOR Park Fee PROPERTY OWNER/ NAME: k -A— 4- %i®!I/n/'/� Fee Determined by Engineering TENANT ADDRESS: /TT.-- CITY L _ _ _ �� _ STATE ZIP ✓`'j� j Agreement necessary ( ) Non Necessary ( ) PHONE: -✓— CONTRACTOR NAME:_ RENEWAL BY ANDERSEN IuBWT A COPY OF STATE LICE 1920 COUNTY RD. "C" WEST YouR STATE LICENSE ADDRESS:_ ROSEVILLE, MN 55113 CITY STATE ZIP WITH APPLICATION PH0 651-264-4777 1k'6'-,E,'LICENSE #20130983 PROPERTY TYPE -)RIES PERMIT TYPE ❑ADDITION ❑ GARAGE/SHED WS ❑ BASEMENT FINISH ❑ ROOF ❑ DRAIN TILE ❑ DECK ❑ SIDING ❑ OTHER ❑ SWIMMING POOL TYPE OF WORK: ❑ NEW ❑ ADDTIION AN PAIR ❑ REMODELING Q DESCRIBE WORK BEING DONE: ?✓!%� SIZE OF IMPROVEMENT LENGTH WIDTH HEIGHT Sq. Ft. ROOFING ❑ HOUSE ONLY NUMBER OF SQUARES ❑ HOUSE & GARAGE BASEMENT REMODELING SUBMIT: GARAGES ❑ ATTACHED GARAGE 1. 2. Existing Floor Plan 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 1. Site Plan/Survey showing the existing structures ❑ Other ❑ Fascia and proposed project WINDOWS2. Two sets of construction plans IN EXISTING OPENINGS ®Yes ❑No LQCATION OF WINDOWS OR FOR W OPENINGS -DESCRIBE SIZE OF 3. Energy Calculations O OPENING & -NUMB! TYPE OF WINDOW TO BE INSTALLED ER 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 $ 11,690,— OCCUPANCY TYPE Permit Fee $ c:?-® �p See Back Page for Fee Schedule Plan Review $ 65% of Building Permit Fee Surcharge $ (.0005) tunes the total job valuation – Minimum $.50 Fire Surcharge $ .001 x Permit Valuation (1/10%) License Surcharge $ 5 00 $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 $ "'?, I ..10 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 worX is not to start without a permit; that the work will be in accordance with the approved plan in the case of all work whi h requires r view approval of plans. ^-� SIGNATURE OF APPLICANT � PRINT NAME / I/� Page 2 - Building Residential Application BUII.DING PERAUT 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 $23.5.0 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 $10A0 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 10 $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 P" $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 1 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 $ BUILDING Plan Review Permit No.:O� Inspections Fire Surcharge RESIDENTIAL APPLICATION .001 times the total job valuation Received By: 763-572-3604CITY .0005 x Permit Valuation Minimum $.50 OF FRIDLEY $ C$5.00 DaiMdAimWt� 763-502-4977 FAX $ $1825 per SAC Unit (Plans to MWCC for determination) Curb Cut Escrow $ ft + 6 ft = ft x $21 =$ Erosion Control EFFECTIVE 1-1-08 $450 Conservation Plan Review Park Fee DATE t -- -L— s'�® 8' YOUR E-MAIL ADDRESS Fee Determined by Engineering SITE ADDRESS 235e TMPCI 12 g 6 b Agreement necessary ( ) Non Necessary ( ) Total Due $ [ .) °;) Make checks payable to: City of Fridley Attach Stipulations THIS APPLICANT IS: ❑ OWNER CONTRACTOR PROPERTY OWNER/ NAME: 7W TENANT ADDRESS: `I 3 d T� e or 4,L.�iJY� �C�Y � STATE.Aw ZIP PHONE: 2.2 -- 774tl� a 50 Cat z— NAME: e ' C a M .>i CONTRACTOR ADDRESS: 3 %i ( ®rte CITY _ u STAT SUBMIT A COPY OF PHONE 'Zo ® -21 F- - FAX YOUR STATE LICENSE STATE LICENSE EXP DATE PROPERTY TYPE 03INGLE FAMILY/NEW CONSTRUCTION SIZE ❑ TWO FAMILY/NEW CONSTRUCTION STORIES PERMIT TYPE ❑ ADDITION ❑ GARAGE/SHED ><WINDOWS ❑ BASEMENT FINISH ❑ ROOF ❑ DRAIN TILE ❑ DECK ❑ SIDING ❑ OTHER ❑ SWIMMING POOL TYPE OF WORK: ❑ NEW HOME CONSTRUCTION ❑ ADDITION ❑ MAINTENANCE/REPAIR REMODELING DESCRIBE WORK BEING DONE: C 1 tM v 0-- &J' A-1» AIJ ' -� SIZE OF IMPROVEMENT LENGTH WIDTH HEIGHT SQ FT ROOFING ❑ HOUSE ONLY BASEMENT REMODELING SUBMIT: NUMBER OF SQUARES ❑ HOUSE & GARAGE 1. Existing Floor Plan GARAGES ❑ ATTACHED GARAGE 2. Proposed floor plan PROPOSED SIZE: ❑ DETACHED GARAGE 3. List of structural members to be used, PROPOSED HEIGHT: FOR NEW CONSTRUCTION INCLUDING DECKS, SIDING /ADDITIONS & PORCHES SUBMIT: ❑ Vinyl ❑Soffit 1. Site Plan/Survey showing the existing structures ❑ Aluminum ❑ Trim and proposed project. ❑ Other ❑ Fascia 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 UBC FEE SCHEDULE) TOTAL JOB VALUATION $ 0� _OCCUPANCY TYPE Permit Fee $ See Back Page for Fee Schedule Plan Review $ 65% of Building Permit Fee Fire Surcharge $ .001 times the total job valuation Surcharge $_ .0005 x Permit Valuation Minimum $.50 License Surcharge $ C$5.00 (State Licensed Residential Contractors) SAC Charge $ $1825 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 $ [ .) °;) 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 Minnes Constructio odes; 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 rdance with a roved plan in the case of all work which requires review and approval of plans. SIGNATURE OF APPLICANV PRINT NAME JA � - DAT APPROVED BY Q DATE Page 2 - Building Residential Application BUILDING PERMIT FEE SCHEDULE The Chief Building Oficial 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 15` $500 plus $3.05 for each additional $100 or fraction, to and including $2,000 $2,001 to $25,000 $69.25 for 151$2,000 plus $14 for each additional $1,000 or fraction, to and including $$25,000 $25,001 to $50,000 $391.25 for I' $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 151$50,000 plus $7 for each additional $1,000 or fraction to and including $100,000 $100,001 to $500,000 $993.75 for l- $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 1S1$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 15` $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 Fag: 763-502-4977 ermit No. 01 Building BUILDING Inspections RESIDENTIAL APPLICATION rReceived'ly763-572-3604 d.DATE CITY OF FRIDLEY Z©C �` O 1 _ YOUR E-MAIL ADDRESS WSQ ��'C . �—CSITEADDRESS '-emeku N�THIS APPLICANT IS: ❑ OWNER ,CONTRACTOR PROPERTY OWNER/ NAME: �n�(1(�oaTENANT ADDRESS:p��r-CITY STATE ZIPPHONE: T10r�'7" Cala19CONTRACTOR NAME: Renewal By Andersen A COPY OF STATE LICENSE #SUBMIT 1920 County Road "C" est YOUR STATE LICENSE ADDRESS: Roseville, MN 55113 r STATEZIPWITH APPLICATION PHONE License #20130983 ❑ SINGLE FAMILY/NEIC51-264-4777 PROPERTY TYPE ❑ TWO FAMILY/NEW G ❑ ADDITION ❑ GARAGE/SHED WINDOWS PERMIT TYPE ❑ BASEMENT FINISH ❑ ROOF ❑ DRAIN TILE ❑ DECK ❑ SIDING ❑ OTHER ❑ SWIMMING POOL TYPE OF WORK: ❑NEW ❑ ADDITION MAINTENANCE/REPAIR ❑ REMODELING WORK BEING DONE �,�e S Lt_AVIA��S ��--' r ellDESCRIBE � �fi nP':SIZE OF IMPROVEMENT LENGTH WIDTH HEIGHT S . Ft. R OF ❑ HOUSE ONLY BASEMENT FMODELINGSUBMIT NUUMBENR SQUARES ❑ HOUSE & GARAGE Floor Plan GARAGES ❑ ATTACHED GARAGE 2. Pro'ppoosed floor plan PROPOSED SIZE: ❑ DETACHED GARAGE 3. List of structural members to be used PROPOSED HEIGHT: SIDING FOR NEW CONSTRUCTION INCLUDING DECKS, ❑ Vinyl Aluminum ❑Soffit ❑ Trim ADDITIONS 1. & PORCHESSUBMLT:❑ Site Plan/Survey showing the existing structure ❑ 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 OFLABORANDMATERIALS. (USING THE 1997 U.B.0 FEE SCHEDULE) TOTAL JOB VALUATION $ a'1 C1 V '-' OCCUPANCY TYPE Permit Fee Plan Review Fire Surcharge Surcharge License Surcharge SAC Charge Curb Cut Escrow Erosion Control Park Fee Sewer Main Charge Total Due $ 4.99 $ 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 conformance with the ordinances and codes of the City of Fridley and with the Minnesota Construction Codes; that I understand this is not 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 approve plan in the case of all work ich requires review and approval of plans. SIGNATURE OF APPLICANT PRINT NAME A�^ a _v�So tf�`� DATE (� �__