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PRE 2010 DOCSCity of Fridley, Minn. BUILDING PERMIT 4850 Date: ..... '..``"'._.._.__.._......_...____....__ Owner: Builder ...__......._......._..__ _.. __._.._.._.._.. _ ..____.___......___. �. Address '"' if_t,.,c _.____._ Address _..... _. ........._..._ ............. CATION OF ILDING No. f+ l '-..... Str .... ...... Pa,# Lot ........... _..... ......... . - ._......._......_..-. Lot ._aG� _.. Bl�k ._......:..--------.._.._.. Addition or Sub -Division ... -_. ---- ._.:: .. _ ::....4-��+ Corner Lot ...... ....... .......... Inside Lot ._.._._ ......... Setback _........... _..Sideyard .e' +.. ............................... Sewer Elevation Foundation Elevation DESCRIPTION OF BUILDING To.1 sed as • ' .. � b� . ,..' Front +' Depth �^...._.. Height— .. Sq. Ft. .......�A.. _ Cu. Ft.. .tr. :...... f....._ .............. Front _.. .. Depth ......p`��Height .../ Sq. Ft.. Cu. Ft. ......::.... 14 of Construction _ '&- ... Est. Cost ......_ gr4040..__:.......... To be Completed ..... BTHI IIPRR�I�'i c� AUTHORIZE VIOLAT- ION OF ANY PRIVATE LAND COVENANTS AND BUILDING RESTRICTIONS. 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. In consideration of the payment of a fee of $.1.,1V..................., permit is hereby granted to ..... .............. .......... ............................. _____._._........._...... .._.._._»....W....... 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 W� oii; said building, or any part thereof, shall conform in all respects to the ordinances of Fridley, Minnesota reading location, construction, alteration, maintenance, repair and moving of buildings within the city lima.' d this permit may be revoked at any time upon violation of any of the provisions of said ordinances. Building Inspector NOTICE: This permit does not cover the construction, installation fpr -;wiring, ,plumbing, gas heating, sewer or water. Be sure to see the Building Inspector for separate permits for these Items. APPLICATION FOR BUILDING PERMIT CITY OF FRIDLEY, MINNESOTA Owners Name _ Builder Address Address LOCATION OF BUILDING No. Street '��/� i �Part of Lot Lot a B1ock� Addition or Sub,Div.- Corner LotInside Lot Set Back Side -Yard_ _ /� off SEWER ELEVATION FOUNDATION ELEVATION Applicant attach to this form Certificate of Survey of Lot and proposed building location. DESCRIPTION OF BUILDING To be used as: Front Depth,.,_ 2: Height Sq. Ft. Cu. Ft. <2 Sq. Ft. Cu. Ft. Type of Constru To be ted Cost 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 representa- tions stated in this application are true and correct. DATE X,6.65)- - -- y /5;011611 -- (A Schedule of Fee costs can be found on the Reverse Side.) a, BUILDING PERMIT FEE SCHEDULE Section 2. The Inspector of Buildings shall, before issuing any permit for the erection of any building or structure, or for any addition to any existing building or structure, or for any alterations or repairs to any existing building or structure, upon application therefor, require the payment by the applicant for such permit of fees to the amount herein below set forth and in the manner herein provided to -wit: 2.1. For any such permit for the erection of any fire -proof building, other than a garage, warehouse, factory or grain elevator, or for the erection of any fireproof 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 fireproof garage, ware- house, factory or grain elevator, or for the erection of any fireproof addition, for similar occupancy, to any existing building shall be at the rate of $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 for each one thousand cubic feet or fraction thereof, in the cubical contents thereof with a minimum of $/.x.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 for each Five Hundred Dollar's ($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. Application for Power Plants and Heating. Cooling. Ventilation. Refrigeration and z 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 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 TONAL 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 $ �kLTERATIONS & REPAIRS TOTAL FEE $ REMARKS: Dept. of Bldgs. Phone SII 4-7470 City of Fridley: The undersigned hereby makes application for a permit for the work herein specified, agreeing to do all work in strict accordance with the City Ordinances and ruling of the Department of Buildings, and hereby declares that all the facts and representations stated in this applications true Owner T1 Kind of Building Used as To be completed about Estimated Estimated Cost, $ New. wilding Permit No. a- SI1� 195- 95_ 195- 195_ 195— 195— BEATING ° - } Warm Air—No- 11 POST 1M-12-58 Business Phan sign By No Trade Nam Size Capacity Sq. Ft. E.D.R �� O BTU H.P. Total Connected Load Kind of BURNER —Trade Nam Size No��JU� Capacity Sq. Ft. E.D. - a- r TU H.P. D•56 -9110o-79 HEAT LOSS CALCULATIONS DEPARTMENT OF BUILDINGS MINNEAPOLIS. MINN. Weatherstrips A.S.H.V.E. Construction No. Insulation Guide Windows I Doors Reference Out. Wall Int. Wall Ceiling RoofFloor Kind How. Applied Yes—No Yes—No 19— I Fl.V � ®or Room I Length 7.,, Width 'I- . Heiuht 9 II t Fl.l s ► Room i Length t tm,, Width �o Height 6 Windows andBoors—Crackage and Area Width Height No. of Lineal ft. Area No. of pane of pane lights of crack sq. ft. 9 9 f Width Height No. of No. of pane of pane lights Lineal f . Area of crack sq. ft. ® 1 4b Infiltration Btu Coe.f.1 Btu Infiltration Glassy I 3 Coef. Btu Infiltration SO 0 e_1 Exp. wall -4 13 Glass Net exp. wall Ceiling I G,)c 10 W Floor Exp. wall u Int. wall Net exp. wall C 2 Int. wall Ceiling 73* „ Ci + �� go 0 Floor Total Btu. I q `2_ A� Required sq. ft. E.D.R. or sq. ins. W.A. Leader area I FlA _,z Room I Length 2, -� Width t . Height Windows and Doors—Crackage and Area Width Height No. of Lineal ft. Area No. of pane of pane lights of crack sq. ft. 9 9 f Width Height No. of Lineal ft. Area No. of pane of pane llgghtts of crack sq. ft. Coef.1 Btu Infiltration Btu Coe.f.1 Btu Infiltration Glassy I 3 .2-, -.1. Glass b% SO 0 e_1 Exp. wall -4 o b Int. wall Net exp. wall Ceiling I G,)c 10 W Floor 0 4L Int. wall Ceiling�� C Floor Ceiling Total Btu. 1y, Required sq. ft. E.D.R. or sq. ins. W.A. Leader area I FlY_% �-,,, i– Room I Length 7 - L Width ` I - _ Height 02.. Windows and Doors—Crackage and Area Width Height No. of Lineal ft. Area No. of pane of pane lights of crack sq. ft. 9 9 f Coef.1 Btu Infiltration Btu Glass Exp. wall i (�CON 0 �® Net exp. wall Int. wall Glassy Ceiling C Floor Glass Total Btu. ft. E.D.R. or so. ins. W.A. Leader area Windows and Doors—Crackage and Area Width Height No. of Lineal ft. I 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. Coef. Btu Infiltration Btu �,0 0O Glassy f -;O 6 ,t fa t Exp. wall -2,t ` Glass Net exp. wall Int. wall Net exp. wall I b m Ci ® Q, Int. wall 7L Ceiling I G,)c 10 W Floor 0 4L Total Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area I FI_I Room 1 Lenath iA, Width i t Height S Windows and Doors--Crackage and Area Width Height No. of Lineal ft. I 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. Coef. Btu Infiltration Coef. Btu Infiltration .4,'X, f -;O 6 ,t fa Exp. wall _ 1 6(to Glass Net exp. wall Int. wall I kill r� ® Q, Exp. wall 2,S XR 7L Net exp. wall Int. wall Ceiling Floor Total Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area t FIJI I Lenath 73;� Width 6,-2, Height A Windows and Doors—Crackage and Area Width Height No. of Lineal ft. I Area No. of pane of pane lights of crack sq. ft. Z4 st 47— Coef. Btu Infiltration Glass 6 1k f -;O 6 ,t fa Exp. wall Net exp. wall Int. wall I kill 14-74 Ceiling 2jE, b Floor Total Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area RAU D•56 HEAT LOSS CALCULATIONS DEPARTMENT OF BUILDINGS MINNEAPOLIS, MINN. WeatherstripsA.S.uid e .E, Construction No. Insulation Guid Windows Doors Reference Out. Wall Int. Wall Ceiling Roof Floor Kind How. Applied Yes—No I Yes—No 19 '-P, Rl_I a. — I Rnnm Length i L Width Q Heisht P- II Fl. Room I Length 1(, Width I G Height v Windows and Doors—Crackage and Area I 1 b Width Height No. of Lineal ft. 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. Coef. Btu Infiltration Coef. Btu Infiltration -6 � v 7 so Glass� Exp. wall IS x `zx - 0 Exp. wall b k*. — i z 3 6 zs,- 1 Int. wall Int. wall Net exp. wall i; x I t p 14161 /A Int. wall Ceiling be Ceiling Floor Floor Total Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area Lnb i -xi0, Total Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area P) Fl.�`� ..� RoomlLength2,8 Width , Windows and Doors—Crackage and Area width Helght No. of Lineal ft. Area No. of pane of pane lights of crack eq. ft. . 1 1 ;L-5 I 1 b Width Height No. of Lineal ft. Area No. of pane of pane lights of crack sq. ft. Width I Height No. of Lineal ft. Area No. of pane of pane lights of crack sq. ft. Coef. Btu Infiltration Infiltration I Glass 3 Som` Exp. wall -11 Exp. wall IS x `zx - Net exp. wall 1 -3 3 Net exp. wall x Int. wall Int. wall Net exp. wall Int. wall Floor Floor Ceiling be Ceiling Floor Floor Total Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area bo ,—P. FLIT P • I d Room I Length --v t I Width --� t — 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 I Height No. of Lineal ft. Area No. of pane of pane lights of crack sq. ft. Coef. Btu Coef. Btu Infiltration Btu 3 Glass 3 c2 Exp. wall -11 Int. wall Net exp. wall Exp. wall I t Floor Int. wall Int. wall Net exp. wall Ceiling Floor Floor be Total Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area J Windows and Doors—Crackage and Area Width Height No. of Lineal ft. Area No. of pane of pane lights of crack sq. ft. Width I Height No. of Lineal ft. Area No. of pane of pane lights of crack sq. ft. Coef. Btu Infiltration Coef. Btu Infiltration Exp. wall 3 Net exp. wall Glass Int. wall C� Exp. wall I t Floor Int. wall Net exp. wall 5 Floor Int. wall Ceiling Floor i bo ® 6 Total Btu. 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. Lineal ft. Area of crack sq. ft. Coef. Btu Infiltration Glass Exp. wall Infiltration 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 No. of pane of pane lights Lineal ft. Area 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 City of Fridley Appkaftn for Pho6ing and Sm M169 Pwmk Dept. of Bldgs. Phone 980-3450 DESCRIPTION OF WORK Number, Kind and Location of Fixtures Futuro Connection Openings I `'ems °"M Sewer * New Fixitm. Old Openings Cesspool ❑ PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: NO. RATE TOTAL Number Fixtures ................ x $2.00 $ Future Fixture Opening ............ x $1.50 $-- New _New Fixture Old Opening .......... x $1.50 $ Catch Basin .................... x $3.25 $ Water Heater ;Up to 99,000 BTU) .... x $3.00 $ New Ground Run Old Bldg. ........ x $3.25 $ Electric Water Beater ............. s $2.00 $ GAS FITTING FEES: NO. RATE TOTAL ist 3 Fixtures x $2.00 $ Additional Fixtures .................. x $ .75 $ Gas Range to 199,000 BTU.. , ......... x $5.00 $ REPAIRS & ALTERATIONS—Rater to Code Description ........................ , ....:................ $ TOTAL FEE $ 31 ✓�� r City of Fridley: The .undersigned hereby Weekes 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 alb the fact and representations stated in this application are true and correct Fridley, Minn Owner Kind of Building �-� Used as To be completed about ' --1 eLf 21 Estimated Cost, $ Old—New. Building Permit No. Permit No. ' 5;�q9 Signed By Business Phone No ROUGH FINAL �- oZ ��gq F t? i Zrz 8=}i.0 y3Z ` g t zZ 7 ► N WATER MTR. GAS ELEC. Base 1st / 2nd 3rd 4th Futuro Connection Openings I `'ems °"M Sewer * New Fixitm. Old Openings Cesspool ❑ PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: NO. RATE TOTAL Number Fixtures ................ x $2.00 $ Future Fixture Opening ............ x $1.50 $-- New _New Fixture Old Opening .......... x $1.50 $ Catch Basin .................... x $3.25 $ Water Heater ;Up to 99,000 BTU) .... x $3.00 $ New Ground Run Old Bldg. ........ x $3.25 $ Electric Water Beater ............. s $2.00 $ GAS FITTING FEES: NO. RATE TOTAL ist 3 Fixtures x $2.00 $ Additional Fixtures .................. x $ .75 $ Gas Range to 199,000 BTU.. , ......... x $5.00 $ REPAIRS & ALTERATIONS—Rater to Code Description ........................ , ....:................ $ TOTAL FEE $ 31 ✓�� r City of Fridley: The .undersigned hereby Weekes 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 alb the fact and representations stated in this application are true and correct Fridley, Minn Owner Kind of Building �-� Used as To be completed about ' --1 eLf 21 Estimated Cost, $ Old—New. Building Permit No. Permit No. ' 5;�q9 Signed By Business Phone No ROUGH FINAL �- oZ F7 r CI YOF FRIDLEY CIVIC CENTER • 6431 UNIVERSITY AVE. N.E. FRIDLEY. MINNESOTA 55432 • PHONE (612) 571-345() June 13, 1985 Current Resident 1470 Trollhagen Drive N.E. Fridley, MN 55432 RE: Excessive parking and overcrowding Dear Resident: The residents of your area have become concerned about the excessive number of cars and people at this address. The Fridley City Codes only permit one family to reside in a single fanny residence, or five unrelated individuals. If there is a rental situation occuring at this site, please contact the City of Fridley to apply for a rental license. If you have any questions regarding this matter, or I can be of assistance to you, please contact me at the Fridley Civic Center, 571-3450. Sincerely yours, Philip S. Dormer Planning Assistant C-85-147 CITY OF FRIDLEY INSPECTION DIViSION 6431 University Ave NE Fridley, MN 55432 APPLICATION FOR POWER PLANTS AND. HEATING, COOLING, VENTILATION, 572.3604 REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES RATE SCHEDULE Residential Furnace Shell and Duct Work, Burner - Also Replacement Furnace (Side Vent Fill Out Back) Gas Piping (Needed with new furnace, but not replacement) Gas Range Gas Dryer *Air Conditioning - All Sizes All Others/Repairs & Alterations (LIST ON BACK) 11y. of Value of Appliance or Work Commercial/Industrial 1.25% of Value of Appliance or Work Rate $ 30.00 $ 10.00 $ 10.00 $ 10.00 $ 25.00 State Surcharge TOTAL FEE MINIMUM FEE FOR ANY HEATING/COOLING/VENTILATION REFRIGERATION/AIR CONDITIONING PERMIT IS $25.00 PLUS THE $50 STATE SURCHARGE REINSPECTION FEE $47.00/Hr *Air Conditioners can not be placed in a side yard without written permission from adjoining property owner. Effective On January 1, 2000 JOB ADDRESS /1/70 -TWd4i_HA6 o7�J D oz, OWNER TOTAL BUILDING USED AS a-i,A"' e ESTIMATED COST S PERMIT NO. DESCRIPTION OF FURNACE AND OR BURNER No. of Heatingnits 1 , Circle One (Steam) (Hot,Water) arm Ai $ Trade Name ku, Size No. 6 R, A- 92 Qf HP EDR $ Fuel /'-)'Vl-- Total Connected Load Burner Trade Name Size No. $ BTU HP EDR $ The undersigned hereby makes application for a permit for the work herein specified agreeing to do all work in strict accordance with the -City Codes an $ .50 rulings of the Building Division, and hereby declares that all the facts and representations stated in this application are true and correct. 6121 4W AVBWE G'RYSTAL, MN a= HEATING CO Signed TEL # Approved By Rough -In Date Final Date L� COMMON VENT, VENT CONNECTOR AND COMBUSTION AIR VERIFICATION When replacina an existing furance, the undersigned hereby verifies that the venting has been examined and is free from rust, deterioration, obstructions, and is securely supported and firestopped where required. Yes () No (� The venting system is plastic/PVC and meets all current codes and manufacturer specifications including sizing, length, number of elbows and termination. Yes K) No ( ) The undersigned also verifies that the replacement unit is a listed assembly and meets the current codes and manufacturer's specifications. This does include AGA-GAMA Category I Central Furnace Venting Tables for fan assisted and natural draft appliances. Yes (,,f No ( ) The existing combustion air is sized and installed to meet the current codes and manufacturer's specifications. Yes () No (� When required to install a new combustion air, it will be sized and installed To meet the current codes and manufacturer's specifications. . Yes (rj No ( ) When installing a new venting system, the undersigned hereby verifies that it is a listed assembly and meets the current codes and manufacturer's specifications. This does include AGA-GAMA Category I Central Furnace Venting Tables for fan assisted and natural draft appliances. Yes �-) No Is the common vent and vent connectors sized and installed correctly after an appliance has been removed from the common vent and vented separately as per current codes. Yes �4No ( ) Appliance Type and Size/Common Vent and Vent Connector Information Appliance #1 Type l BTU Input �,gc Fan Assisted o at Appliance #2 Type BTU Input Fan Assisted or Nat Appliance #3 Type BTU Input Fan Assisted or Nat Total Appliances Total Btu Input Common Vent Type Gent Height Jam' Diameter inches Appliance #1 Vent Connector Height ft Length ft Diameter in Type Appliance #2 Vent Connector Height ft Length ft Diameter in Type Appliance #3 Vent Connector Height ft Length ft Diameter in Type ALTERATIONS: (Describe) cj -) 5-/- Gam/ T-* ,, HEATING CO: GRYMAL, MM 55= Signed Date -77 Building BUILDING Permit No. ® _ 6 Inspections RESIDENTIAL APPLICATION Received By: -r->q 763-572-3604 CITY OF FRIDLEY nate Rec'd:'9111 I'D 6 DATE 7// YO E-MAIL ADDRESS SITE ADDRESS aX THIS APPLICANT IS: ❑ OWNER bdONTRACTOR PROPERTY OWNER/ NAME: -IbAn e -- ADDRESS: ee�- CITY STATE 11ZIP=LS*a J TENANT PHONE: G 7-9 CONTRACTOR NAME: STATE LICENSE # 0 4 z Q EXP DATE 173 C7 7 SUBMIT A COPY OF YOUR STATE LICENSE ADDRESS- " Q ie, S I S CA STAT IN'_ Joe 1 - WITH APPLICATION m9n f6s'- Oa FAX 65 G Y,-- O 7 o PROPERTY TYPE TYSINGLE FAMILY/NEW CONSTRUCTION SIZE ❑ TWO FAMILY/NEW CONSTRUCTION STORIES PERMIT TYPE ❑ ADDITION ❑ GARAGE/SHED ❑ WINDOWS ❑ BASEMENT FINISH `-M ROOF ❑ DRAIN TILE ❑ DECK ❑ SIDING ❑ OTHER ❑ SWIMMING POOL TYPE OF WORK: ❑ NEW ❑ ADDITION ❑ MAINTENANCE/REPAIR ❑ REMODELIBNG DESCRIBE WORK BEING DONE: e SIZE OF IMPROVEMENT LENGTH WIDTH HEIGHT Sq. Ft. ROOFING El HOUSE ONLY NUMBER OF SQUARES USE & GARAGE BASEMENT REMODELING SUBMIT: 7AT77ACHED GARAGES GARAGE 1. Existing Floor Plan 2. Proposed floor plan PROPOSED SIZE: ❑ DETACHED GARAGE 3. List of structural members to be used PROPOSED HEIGHT: SIDING FOR NEW CONSTRUCTION INCLUDING DECKS, ❑ Vinyl []Soffit ADDITIONS & PORCHES SUBMIT: ❑ Aluminum ❑ Trim 1. Site Plan/Survey showing the existing structures ❑ Other ❑ Fascia and proposed project. 2. Two sets of construction plans WINDOWS 3. Energy Calculations IN IN EXISTING OPENINGS ❑Yes ❑No LOCATION OF WINDOWS OR FOR NEW OPENINGS -DESCRIBE SIZE OF OPENING CHANGES & TYPE OF WINDOW TO BE INSTALLED NUMBER OF WINDOWS ALL FEES ARE BASED ON VALUATION, INCLUDING THE COST OF LABOR AND MATERIALS: (USING THE 1997 U.B.0 FEE SCHEDULE) TOTAL JOB VALUATION $ 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 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 savable to: City of Fridley Attac THIS IS AN APPLICATION FOR A PERMIT -NOT VALID UNTIL PROCESSED I hereby apply for a building permit and I acknowledge that the information above is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Fridley and with the Minnesota Construction Codes; that I understand this is not a permit but only an application for a permit and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of all work which requir review and approval of plans. ` SIGNATURE OF APPLIC PRINT