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PRE 2010 DOCSDate: Feb. 23, XM 1968 Owner: Vern Linder Bider Address _ _ _ Address Peter Weikleenget N9 9616 ,z Ile) S` 1601 127th Ave. N. R. W. Anoka, Minnesota LOCATION OF BUILDING No. 1495 Street _ Trollhagen -- Part of Lot Lot 6 _ Block 2 Addition or Sub -Division ._ Innsbruck 2nd Addn . Corner Lot Inside Lot _ __ X Setback _ __ _ Sideyard Sewer Elevation ____ 976.12 979.12 Top of Footing DESCRIPTION OF BUILDING To be Used as: Dwelling Front 70' Depth 41 Height 20' Sq. Ft. 1704 Ft. 34080 Garage Front 221 Depth 22'3" Height 10' Sq. Ft. 490 Cu. Ft. 4900 Type of Construction Frame Fast. Cost — $26, 000--- To be Completed N 15, 1968 WATER LOCATION - XIM 164' West of Manhole SEWER LOCATION - 153' West of Manhole In consideration of the issuance to me of a permit to construct the building described above I agree to do the proposed work in accordance with the description above set forth and in compliance with ail provisions of ordinances of the city of Fridley. '-� I _ , , n /1 _4 Sewer Connection In consideration of the payment of a fee of $-8.00 , permit is hereby granted to Peter Weikleenget 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 thereofy shall conform in all respects to the ordinances of within , Minnesotaregarding location, construction, alteration, maintenance, repair and mo of buildin ordi nthe city and this permit may be revoked at any time upon vio j -of any of %e91 ll rovisions of said Official` and NOTICE: This pennh does not cover the construction, W talledon for wiring, plumbing, gas heating, sower or water. Be sure to M the Building Inspector for separate permits for these home. APPLICATION FOR BUILDING PERMIT CITY OF FRIDLEY, MINNESOTA s OWNER'S RAM BL71DER DRESS _ -P �1DDRESS��.. S?7 LOCATION OF BUILDING A10 ko. No •L STREET; LOT ,ADDITION. OR SUBDIVISION COPIER . ,;_ INSIDE LOT SETBACK SIDEY SEWER ELEVATION TOP OF FOOTING Applicant attach to this form Two Certificates of Survey of Lot and proposed building location drawn on these. Certificates.. DESCRIPTI0M .0F BUILDING, —To Be Used As z Front. 76 Depth ':fldight Square feet 'Cubic Feeta.`� i) G- E Front_ ;Z Depth S. ®� seight l � Square :feet Cubic Feet Type of Construction Estimated Cost°` t To Be Completed P 0 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 corn ct. DATE _ SIGNATURE (Schedule of Fee Costs can be found on the Reverse Side). .d - P F� Irt4 N BUILDING PERMIT FEE SCHEDULE' SECTION 2. The Inspector -of Buildings shall, before issuing permits for the erection of any building or structure, or for any addition to any existing structure or building, or for any alto-,ation or repairs to any existing building or structure, upon application therefore, require the the payment by the applicant for such permit of fees to the amount herein below set forth and in the manner herin provided to -wit: Uniform Building Code Type 1, 2, & 4- $1.75 for each one .thousand cubic feet, or fraction thereof, in such cubical contents. Type 3 & 5- $1.50 for each one thousand cubic feet. For the'purpose of diumputing'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 (b) inches below the floc line of the basement or -the 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. For repairs or alterations to an existing structure, the fee shall be at the rate of $3.00 per each five hundred dollars ($500.00) or fraction thereof in the cost of all proposed work. In no case shall the fee charged for any permit as set forth in.Section 2 be less than $5.00. NSSSD Connection Charges based on location- Area 1 or 2. W,% dA, Application for Power Plants and Heating, Cooling, Ventilation, Refrigeration and Air Conditioning Systems and Devices PARTIAL RATE SCHEDULE Dept. of Bldgs. Phone 560-3450 GRAVITY WARM AIR: RATE TOTAL Furnace Shell & Duct Work ..........................$10.00 $ 1 Replacement of Furnace ............................. 6.00 $ Repairs & Alterations—up to $500.00 .................. 6.00 $ Repairs & Alterations each add. $500.00 .......... .... 3.00 $ NECK. WARM AIR % Furnace Shell & Duct Work to 120,000 BTU ............ $10.00 $ each add. 60,000 BTU ....................... 3.00 $ Replacement of Furnace ............................. 6.00 $ Repairs & Alterations—up to $500.00 6.00 $ Repairs & Alterations each add. $500.00 .............. 3.00 $ STEAM or HOT WATER SYSTEM Furnace Shell & Lines—to 400 sq. ft. EDR Steam . ....$10.00 $ Furnace Shell & Line—to 640 sq. ft. EDR Hot Water ... 10.00 $ Each add. 200 sq. ft. EDR Steam ..... ................ 3.00 $ Each add. 320 sq. ft. EDR Hot Water .................. 3.00 $ OIL BURNER—to 3 gal. per hour ........................ 6.00 $ over 3 gal. per hour—See Fee Schedule GAS BURNER (up to 199,000 BTU) ....................... 5.00 $ –5 U U over 199,000 BTU See Fee Schedule GAS FITTING FEES: _ NO BATE TOTAL 1st 3 Fixtures x$ 2.00 $ ® U Additional Fixtures ................. x .75 $ Gas Range to 199,000 ........... x$ 5.00 $ AIR CONDITIONING FAN HEATING SYSTEM VENTILATING SYSTEM ALTERATIONS & REPAIRS ROUGH FINAL See Fee Schedule / TOTAL FEE $�� , City of Fridley: The undersigned hereby makes application for a permit for the work hereir 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 o. Used a: To be completed about Estimated Cost, $� 1)a • Old New. uilding Permit No. 06,16 Permit No. 4/43 DESCRIPTION OF WORN HEATING or POWER PLANTS—Steam, Hot Wate Warm Air o Trade Name Size No- l-3 7 Capacity Sq.. Ft. E.D.R BTU H.P. Total Connected Load g �%�� Kind of Fuel BURNER — Trade Name Size No Capacity Sq. Ft. E.D.R BTU H.P. (REMARKS -OVERT Signed $UBURBAN AIR 6NDjTj0,1 tN1g By B419 CENTER nR1VE BusinesMINN MINNEAPOLIS, MINNESOTA 55432 s ,/AM City of Fridley,NUmm.° 9798 Date: June 17, 1968 owner: Vern Linder Builder Peter Weikleenget Address 1495 Tr of lhagen Address 1601 127th Ave. N. W. Anoka, Minnesota LOCATION OF BUILDING No. 14.25Street_ Trollhagen _ part of Lot Lot L-6_ __ Block 2 Addition or Sub -Division _lxxm&Innsbruck 2nd Corner Lot —_ Inside Lot Sewer Elevation Setback --- Sideyard Foundation Elevation DESCRIPTION OF BUILDING To be Used as: Redwood Deck Front 81 Depth 26' Height Sq. Ft. Cu. Ft. Front Depth Height _ Sq. Ft. Cu. Ft. Type of Construction Est. Cost _ 350.00 — To be Completed In consideration of the issuance to me of a permit to construct the building described above I agree to do the proposed work in accordance with the description above set f rth and in complian with afl provisions of ordinances of the city of Fridley. In consideration of the payment of a fee of $ 5.00 permit is hereby granted to Peter 0. Weokleenget 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 rgoving of buildings within the city limits and this permit may be revoked at any =vidlatuionthe provisions of said ordinances. Clarence Belisle NOTICE: This permit does not cover the Construction, Instaliation for wiring, phnihing, gas heating, sewer or water. Be sure to see the Building Inspector for separate permits for them hems. APPLICATION FOR BUILDING PERN,IT CITY OF MDLE-Y-*i" 4f =SOTA h OWWR'S WA BUILDEK4a2 ADDRESS Z ADDRESS 10 y LOCATI.wOF BUILDING NO. STREET j/ /►. LOTS BLOCK ADDITION,' bg%DIVISIODI, CORTMR LOT INSIDE LOT,..SETBACR STeEYARD , SEWER ELEVATION TOP OF FOOTING Applicant attach to, this •ferur.Two• Certificatei:'of`94iv'�f-of .Lot and proposed, building location -drawn on these'Certificates: .. r DESCRIPTION OF B'Ik�' To Be Used As: 7'0 •. It-, Front--,.*. Square feet Cubic Feet R'" -j F2:' e --J- /-�- - Front 'Y !X- P4. #* Depth - Square feet Cubic Feet 00 Type of Construction Estimated Cost�- To Be Completed The undersigned hereby makes application for a permit for the work herein specified, agreeing to do all work in strict accordance with the City of Fridley Ordinances and rulings of the Department of Buildings, and hereby declares that all the facts and representations stated in this application are true and correct. DATE ��_ _SIGNATURE _ &L� (Schedule of Fee Costs can be found on the Reverse Side). BUILDING -PERMIT FEE SCHEDULE ~ SECTION 2. The Inspector of Buildings shall,before.issuing permits for the erection of any building or structure, or for any additicKi to any existing structure or butlding,: 'art for ate %al;O&Ation or repairs to any existing building or"siiiucturej hpdn application therefore, require the the payment by the applicant for'such permit '.df fees to the amount herein below set forth and in 'the manner herin provided to -wit: Uniform building Code; "Type 1, 2, 4- $lJ5 foreach one thousand cubic feet, or fraction .thereof, in such cubical contents . Type "3' & 5= $1.50 £or - each .one theusafid cubic feet For thepurpose of computing fees for building permits, the cubical contents of •any build3,ng.,•q� addition to - :a unifora► height„throughout by multiplyidg'the ground area covered fir4m a point six (6) inches below the flop: line ofthebasement or the.cellar t0.the-average height''of'the upper surface or to•^the erage -height of the roof surface of the main gable of a pitched roof. For repairs or alterations =x,o an . existing structure,• .'the fee_ 'shell be at the - rate o£ $3.00'per 'eiak Ive hundred ;401lars • $.5QOt 00) bar firaction thereof in the cost of all.prdposed work. In no case shall th'f�e charged for any permit as set forth in Section 2 be less than $5.60. �:.. NSS SD Connection Chgriges based on location- Area l.or 2. City of Fridley Application for Plumbing and Gas Fitting Permit Dept. of Bldgs. Phone 560-3450 DESCRIPTION OF WORK ; , /'-, . i P' /, Number, Kind and Location of Fixtures PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: NO. RATE ireZ Number Fixtures ...................... x $2.00 $ Future Fixture Opening ................ x $1.50 $ New Fixture Old Opening .............. x $1.50 $ O �O F N WATER HTR. GAS ELEG Base New Ground Run Old Bldg. ............ x $3.25 $ Electric Water Heater z $2.00 $ GAS FITTING FEES: NO. RATE TOTAL 1st 3 Fixtures ............... ........... x $200 $ Additional Fixtures ................----x$-75 1st Gas Range to 199,000 BTU .............. x $5.00 $ 2nd 3rd 4th • Future Connection Openings New Fixture, Old Openings I Connected with Sewer Cesspool PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: NO. RATE TOTAL Number Fixtures ...................... x $2.00 $ Future Fixture Opening ................ x $1.50 $ 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 Heater z $2.00 $ GAS FITTING FEES: NO. RATE TOTAL 1st 3 Fixtures ............... ........... x $200 $ Additional Fixtures ................----x$-75 $ Gas Range to 199,000 BTU .............. x $5.00 $ REPAIRS & ALTERATIONS—Refer to Code Description...................$ ............................. TOTAL FTE $ 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 rue and correct. Fridley, Minn - Owner Kind of Building Used as To be completed about _ Estimated Cost, $ Old ew Building Permit Z� Permit No. Signe ` B L Business Phone No-�- ROUGH '' FINAL d2 CITY OF FRIDLEY APPLICATION FOR PLUMBING AND GAS FITTING PERMIT RATE SCHEDULE PLUMBING FIXTURE RATES: N0. RATE TOTAL New Fixturew $ 5.00 g Future Fixtures $ 3.50 $ old opening, New Fixture $ 1.50 $ Beer Dispenser $ 4.00 S Blow Off Basin $ 5.00 g Catch Basin $ 5.00 g Rain Water Leader $ 5.00 $ Hydraulic Valve $ 5.00 $ Sump or Receiving Tank S 5.00 S Water Treating Appliance g 7.00 g Hot Water Heater $ 5.00 $ Gas Range $ 10.00 $ Gas Dryer $ 10.00 $ ALL OTHERS AND/OR REPAIRS AND ALTERATIONS It of value of Fixture or Appliance $ Reinspection Fee $ State Surcharge $ .50 ($15.00) TOTAL FEE $ /0' —';D Job Address a Department of Buildings City of Fridley Tel. #571-3450 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 and rulings of the Department of Buildings, and hereby declares that all the facts and representations stated in this application are true and correct Fridley,`": OWNER KIND OF BUILDING USED AS TO BE COLLETED ABOUT ESTIMATED (AST OLD - NEW BUILDING PERMIT NO. PERMIT NO. a Company_>. Signed By Tel. No. ROUGH INSP. Date FINAL INSP. 10 ` b' � Date APPROVAL FOR PERMIT MINIMUM FEE FOR ANY PLUMBING PERMIT IS $10.00 PLUS THE $.50 STATE SURCHARGE u o Water o► o m 04 w Heater M ij 3 aw w tia�3 o lec y o o� ani m lot 2nd 3rd 4th (R) - Future Connection Opening Connected with Sewer (*) s New Fixture, Old Opening Water RATE SCHEDULE PLUMBING FIXTURE RATES: N0. RATE TOTAL New Fixturew $ 5.00 g Future Fixtures $ 3.50 $ old opening, New Fixture $ 1.50 $ Beer Dispenser $ 4.00 S Blow Off Basin $ 5.00 g Catch Basin $ 5.00 g Rain Water Leader $ 5.00 $ Hydraulic Valve $ 5.00 $ Sump or Receiving Tank S 5.00 S Water Treating Appliance g 7.00 g Hot Water Heater $ 5.00 $ Gas Range $ 10.00 $ Gas Dryer $ 10.00 $ ALL OTHERS AND/OR REPAIRS AND ALTERATIONS It of value of Fixture or Appliance $ Reinspection Fee $ State Surcharge $ .50 ($15.00) TOTAL FEE $ /0' —';D Job Address a Department of Buildings City of Fridley Tel. #571-3450 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 and rulings of the Department of Buildings, and hereby declares that all the facts and representations stated in this application are true and correct Fridley,`": OWNER KIND OF BUILDING USED AS TO BE COLLETED ABOUT ESTIMATED (AST OLD - NEW BUILDING PERMIT NO. PERMIT NO. a Company_>. Signed By Tel. No. ROUGH INSP. Date FINAL INSP. 10 ` b' � Date APPROVAL FOR PERMIT MINIMUM FEE FOR ANY PLUMBING PERMIT IS $10.00 PLUS THE $.50 STATE SURCHARGE SUBJECT PERM City ®f Fridley y 9 7 5 6 4 AT THE TOP OF THE TWINS BUILDING PERMIT r � RECEIPT NO. • ___ COMMUNITY DEVELOPMENT DIV. w - -- r PROTECTIVE INSPECTION SEC. f � � O /---1 CITY HALL FRIDLEY 55432 ,.4 NUMBER REV. DATE PAGE OF APPROVED BY 612-571-3450 910-F15 16/20/84 JOB ADDRESS 1495 Trollhagen Drive N.E. 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION 2nd SEE ATTACHED DESCR. 6 2 Innsbruck PYJX Addition SHEET 2 PROPERTYOWNER MAIL ADDRESS ZIP PHONE Vern Linder 1495 Trollhagen Drive N.E. 3 CONTRACTOR MAILADDRESS ZIP PHONE LICENSE NO. The Carpenter John F. %Stougut 351 - 97th Lane N.W., Coon Rapids 786-3096 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 X 8 DESCRIBE WORK Construct a 15' x 141. Addition to Dwelling 9 CHANGE QF USE FROM TO STIPULATIONS AU SEP� �i i 33 SEPERATE PERMITS REQUIRED FOR WIRING, ""'y0-3I&031J-3N0Hd3131 "EATING. PLUMBING AND SIGNS. samflin'jeaol Ile3 811p a�o�ag ONINNIFM TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, VENTILATING OR AIR CONDITIONING. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING SQ. FT. CU. FT. AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS OFFSTREET PARKING I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION 1 1 STALLS GARAGES AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS VALUATION SURTAX AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED $4.98 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT $9,950 DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PERMIT FEE SAC CHARGE PROVISIONS,1OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- STR TIO OR THE PERFORMANCE OF CONST R CTION. $80.50 None PLAN CHECK FEE TOTALFEE $20.13 $105.61 SIGNATURE OF C0 TRACTOR OR AU>14ZEDAGENT (DAT PROPS Y VALIDA ED THIS IS YOUR ERM T ;WHEN DG INSP TE SIGNATUREOF OWNER(IF OWNER BUILDER) (DATE) NEW [ ] City of Fridley Effective 4/1/84 ADDN. [ ] �R-1 AND R-2 ALTER. I ] Building Permit Application Construction Address: C/< ®® Z' #d - Legal Description: Owner Name & Address: Contractor Tel. # Tel. # ' Address: Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF IMPROVEMENT AREA: LengthT IA/LIVING o �� Width Height Sq. Ft. GARAGE AREA: Length Width Height Sq. Ft. DECK AREA: Length Width _ Hgt/Ground Sq. Ft. OTHER: � 9 , , ; Corner Lot [ ] Ins de Lot [ ] Ft. Yd. Setback Side Yard Setback Type of Construction: L-PLI (�a`"Ni% Estimated Cost: $ 73 Ao "'1, 9 - Approx. Completion Date: O'Urfu Alt. A Alt B Proposed Driveway Width If New Opening Is Desired: $ $ See Back Page for Explanation DATE: APPLICANT: Permit Fee Plan Check State Surcharge SAC Charge Park Fee Sewer Main Charge TOTAL STIPULATIONS: CITY USE ONLY Tel. . Fee Schedule on Reverse Side 25$ of Building Permit Fee $.50/$1,000 Valuation $425 per SAC Unit 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 Valuation Fees a. $1.00 to $500.00 $10.00 (Minimum Fee is $15.00) ! $501.00 to $2,000.00 $1.0.00 for the first $500 plus $1.50 for each additional $100 or fraction thereof, to and including $2,000. $2,001.00 to $25,000.00 $32.50 for the first. $2,000 plus $6.00 for each additional $1,000 or fraction thereof, to and including $25,000. $25,001.00 to $50,000.00 $170.50 for the first $25,000 plus $4.50 for each additional $1,000 or fraction thereof, to and including $50,000. $50,001.00 to $100,000.00 $283.00 for the first $50,000 plus $3.00 for each additional $1,000 or fraction thereof, to and including $100,000. $100,001.00 and up $433.00 for the first $100,000 plus $2.50 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 been constructed will be required before proceeding with the framing. r 'C 7 n ez /if 0 i I lh o i 14 i I m --'777777 LxP S(dI% To rndr� F1-1s,l)"Po vsv A// 9 Ham+- sh o rTi ► yAPG� (��Riellle �i111/Gl-�d�/ s� eeT �a �y Sir L SriTL- Z'" �T,�g 1 CITY OF FRIDLEY INSPECTION DIV, Effective On January 1, 1993 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 SCIJEJOULE JOB ADDRESS 1995 I hol i haugcn Dr- r.®ATESCIJEtiULE The undersigned hereby makes application for a permit for the work herein Residential Rate TOTAL specified agreeing to do all work in strict accordance with the City Codes and Furnace Shell and Duct Work, Burner — 60 rulings of the Building Division, and hereby declares that all the facts and Also Replacement Furnace $ 20.00 $ ,�'� representations stated in this application are true and correct. �' ,1993 Gas Piping Needed with new furnace) 1 p g ( n ) $ 0.00 $- D ' `, OWNER /E �a'l ' L—L t' dcr Gas Range $10.00 $ BUILDING USED AS Gas Dryer $ 10.00 $ w ESTIMATED COST 1J�� , PERMIT NO. *Air Conditioning — All Sizes $10.00 $ All Others/Repalm & Alterations (LIST ON BACK) DE8CR PTIDN OF FURNACE AND OR BURNER 1% of Value of Appliance or Work $ No, of Heating Units , Circle One (Steam) (Hot Water) (Warm Air) Trade Name teltinaxl Size No. Commerciallindustrial BTU HP EDR 1% of Value of Appliance or Work $ Fuel Wat eCtS Total Connected Load State Surcharge $ .50 Burner Trade NameSize No. BTU HP EDR TOTALFEE HEATING COMPANY / V kf:i MINIMUM FEE FOR ANY HEATING/COOLINGNENTILATION Signed By REFRIGERATION/AIR CONDITIONING PERMIT IS $15.00 PLUS THE x.50 STATE SURCHARGE REINSPECTION FEE $30.00 Approved By iW Rough—in Date Final Date *Air Conditioners can not be placed in a side yard without written permission from adjoining property owner. FILL OUT BACK SIDE FOR STACK VERIFICATION ON REPLACEMENT FURNACE CHIMNEY AND STACK VERIFICATION The undersigned hereby verifies that the existing chimney or stack: 1. Has been carefully examined Yes No ( ) 2. Is free from rust or deterioration Yes K) No ( ) 3. Has no foreign objects lodged within Yes No ( ) 4. Is securely supported Yes C>4 No ( ) 5. Meets all current Code requirements for size and total BTU's connected Yes No ( ) 6. Has total heating BTU's of All other BTU's �5d TOTAL BTU's tooa Remarks List Alterations Being Done: HEATING COMPANY le, Yl-, h(p q c Signed ByOg/q1,3— Date LQ Building $ .a2,57 BUILDING Plan Review Permit No.: 2UcLo49,Y Inspections Fire Surcharge RESIDENTIAL APPLICATION .001 times the total job valuation Received By: 763-5-72-3604 .0005 x Permit Valuation Minimum $.50 CITY OF FRIDLEY $ Date Rec'd: L; SAC Charge $ $1550 per SAC Unit (Plans to MWCC for determination) Curb Cut Escrow $ DATE ' � ' �% Erosion Control $ __& V YOUR E-M4IL ADDRESS $ d SITE ADDRESS/ Sewer Main Charge THIS APPLICANT IS: DOWNER ❑CONTRACTOR Total Due PROPERTY OWNER/ NAME: Z- 6 e-�— TENANT ADDRESS: /yq J 'M / { jl—a C;,� % CITY G� C STATI I IP S S� Z PHONE: %( 5-7 r - 3 5 % CONTRACTOR NAME: STATE LICENSE # EXP DATE SUBMIT A COPY OF YOUR STATE LICENSE ADDRESS: CITY —STATE—ZIP WITH APPLICATION PHONE FAX PROPERTY TYPE RSINGLE FAMILY/NEW CONSTRUCTION SIZE ❑ TWO FAMILY/NEW CONSTRUCTION STORIES PERMIT TYPE ❑ ADDITION ❑ GARAGE/SHED ❑ WINDOWS ❑ BASEMENT FINISH IOOF ❑ DRAIN TILE ❑ DECK ❑ SIDING ❑ OTHER ❑ SWIMMING POOL TYPE OF WORK: ❑ NEW ❑ ADDITION ITUIAINTENANCE/REPAIR ❑ REMODELING DESCRIBE WORK BEING DONE: SIZE OF IMPROVEMENT LENGTH WIDTH HEIGHT Sq. Ft. ROOFING°� 3 E3 HOUSE ONLY NUMBER OF SQUARES ❑ HOUSE & GARAGE BASEMENT REMODELING SUBMIT: GARAGES ❑ ATTACHED GARAGE 1. Existing Floor Plan PROPOSED SIZE: ❑ DETACHED GARAGE 2• Proposed floor plan PROPOSED HEIGHT: 3. List of structural members to be used 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 WINDOWS 2. Two sets of construction plans IN EXISTING OPENINGS ❑Yes ❑No LOCATION OF WINDOWS 3. Energy Calculations OR FOR NEW OPENINGS -DESCRIBE SIZE OF OPENING CHANGES & TYPE OF WINDOW TO BE INSTALLED NUMBER OF WINDOWS ALL FEES ARE BASED ON VALUATION, INCLUDING THE COST OF LABOR AND MATERIALS: (USING THE 1997 U.B.0 FEE SCHEDULE) _TOTAL JOB VALUATION $�5� — OCCUPANCY TYPE Permit Fee $ .a2,57 See Back Page for Fee Schedule Plan Review $ 65% of Building Permit Fee Fire Surcharge $ _ ®! 5'- .001 times the total job valuation Surcharge $ 2.63 .0005 x Permit Valuation Minimum $.50 License Surcharge $ $5.00 (State Licensed Residential Contractors) SAC Charge $ $1550 per SAC Unit (Plans to MWCC for determination) Curb Cut Escrow $ ft + 6 ft = ft x $21 = $ Erosion Control $ $450 Conservation Plan Review Park Fee $ Fee Determined by Engineering Sewer Main Charge $ Agreement necessary ( ) Non Necessary ( ) Total Due $ F:7� Make checks Davable to: Citv of Fridlev Attach Stiaulations 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 h' h re - es review and at proval of plans. SIGNATURE OF APPLIC � f J"\a " PRINT NAME DATE &' oz 9 -6 to Page 2 - Building Residential Application BUILDING PERMIT FEE SCHEDULE The Chief Building Official shall, before issuing permits for the erection of any building or structure, or for any addition to any existing building or structure, or for any alteration or repair to any existing building or structure, upon application therefore, require the payment by the applicant for such permit of fees to the amount herein below set forth and in the manner herein provided to -wit: TOTAL VALUE FEES $1 to $500 $23.50 (Minimum Fee is $23.50 plus surcharge) $501 to $2,000 $23,50 for I' $500 plus $3.05 for each additional $100 or fraction, to and including $2,000 $2,001 to $25,000 $69.25 for 1' $2,000 plus $14 for each additional $1,000 or fraction, to and including $$25,000 $25,001 to $50,000 $391.25 for IR $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 1ff` $500,000 plus $4.75 for each additional $1,000 or fraction to and including $1,000,000 $1,000,001 and up $5,608.75 for the 1' $1,000,000 plus $3.15 for each additional $1,000 or fraction VERIFICATION OF FOUNDATION Permits for construction will be issued a minimum of 24 hours from the time of application to allow for proper review of proposed structure and of the construction site. A Certificate of Survey of the lot, showing the location of the existing foundation will be required before proceeding with the framing. New Houses Only City of Fridley Building Inspections Department 6431 University Avenue NE Fridley, MN 55432 763-572-3604 Fax: 763-502-4977 0, FRIDLEY MUNICIPAL CENTER • 6431 UNIVERSITY AVE. N.E. FRIDLEY, MN 55432 • (763) 571-3450 • FAX (763) 571-1287 BUILDING PERMIT APPLICANT: PROPERTY OWNER I, tA V e -'ti e- t4 n dey . understand that the State of Minnesota requires that all residential building contractors, remodelers and roofers obtain a state license unless they qualify for a specific exemption from the licensing requirements. As the owner of the property at 9 L/g'S T",/Aa-1ee, A AI Fridley, I am exempt from the state licensing requirement only if I am not building or improving this property for purposes of resale. By signing this document, I attest to the fact that I am improving this house for my own use and do not intend to sell it. I hereby claim to be exempt from the state licensing requirements because I am not in the business of building or remodeling on speculation or for resale and that the house for which I am applying for this permit, isl the first residential structure I have built or improved in the past 24 months. I also acknowledge that because I do not have a state license, I forfeit any mechanic's lien rights to which I may otherwise have been entitled under Minn. Stat. 514.01. Furthermore, I acknowledge that I may be hiring independent contractors to perform certain aspects of the construction or improvement of this house and I understand that some of these contractors may be required to be licensed by the State of Minnesota. I understand that unlicensed residential contracting, remodeling, and/or roofing activity is a misdemeanor under Minnesota law, and that I would forfeit my rights to reimbursement from the Contractor's Recovery Fund in the event that any contractors I hire are unlicensed. I have also been informed and acknowledge that by listing myself as the contractor for this project, I alone will be responsible to the City of Fridley for compliance with all applicable building codes and city ordinances in connection with the work being performed on this property. Name Date (0 �9-0 G Building Inspections 713-572,3604 >yATV. -Z!&- it 6 77i13 A"LIC:AINI' I.S; From: 6517860555 Paqe_2/2 __ Date: 6128120061:47_54 PM __ _ WELDING Permit Na.:_C RESIDENTIAL APPLI+Cpi'1'I+iDN Received BT: CITY OF FR DLEY Date P-.oc'd:_ Cl OWNER )URC -MAIL ADJOHNS.9 _ - TRiY AiVT r+.r)1?ItF.S.S:� Ptio-,im -• =1401. Y Ct)1V MACTOR ]NAMC:..` - SURMITA COPY OF STATE, L1CL"1NSE # C 13XP DATE _ YOUR STATE LICENSE ADDRMS 8,9 '2� '%TTi#APE'C.lCAli(3N PFi[SVF. 691.-17912-U558 VAY 6,C;1— ftQi,—M=CZt: ❑ SAMMArf1* FINISH 10 VOC K DESCRIBE WORK BEING DU1►1h3: ��,p� SWAIM I IZH: k'Ii�f�iF6iIMAD 4lRiQ ITI. C "y) G A11at MUM O Omer fit A. IMO OPENINOA OYCs Diva OR FOR NEW OPENMCE-DEWRME MM OP OMNINQ CHANG13% & ALL FEES ARE RAUD ON Q ROOF a SIDNO Q 14OUS8 & GAKAejE O Al"fA(,H6I)Q..AMGE 17 DtITACM— OARAaII aeon O Trim Q Fascia LOCATION OF WINDOWS FEE SCHEDULE) AabIEhMREMODELING gU14b.�; 1. Exidit Fluor Plan z fttPMW floor RIM 3, 1. ncfsM-Mfa1 umzbsrs labs used r0k NEW CONSTRVLi` ON INCLUDI Nd DU00, 1, siteYlstsJunwshowing tiroodiftstrnomm ff ptuiter M r i Z Twasatsaf©3n9dvorinnph= 3. &=a Caloulpsans .AND IMRA Pawl: roe S Sao Back Paso fbr Fee Schedule - Plan Raview 65% of building Permit Fee 3rzrcbe�rga ap C�� ,. � ��`% " .(><11 times the xcrcai job valuation 3 ` .0005 x Permit VaivatioN Minimums $30 Limma Surcharge }-��' _ $5.D0 (State LimmW Residential Ctnrtraocrs) SAC Charge ell, ` $1550 per SAC Unit (Plansto MWCC fbr d tettriiriation) Owl) Girt hast l+Rw Erasion Control 50 Comwvadon Platy Review bark Fee ` Foo Determined by Ungineedrig Sewer Main ChargeA men, arcom" ( ) Non Necessary P ( ? Total Due *kfi checks naveble to: Citv of Feidlev Attach Stlotalatlona TIM IS AN APPUCA"(1 PIN FOR A PERMIT -T. Dr VALtb UNTIL PROCM21) I herby apply fir it building permit and I acknowledge that the infnrmmion above Is MMPlotc: and accurate; that the vrork will be in cors bfmanoe vault the orcfitanaos ad ctsiles of the city of Frjldiay and with tilt Minnesota Donau umlon Codes: that 1 tmderstend this is not a permit but only an application for a permit antt work is not to sort without a permit; that the work will bo in accordance with tho ammved phaco in the case of all work which requirm re lew and approval of!plans.�y- Bi01N,AX'UR,Lt OP AFPLiCA r _ _Pti1NT NAME 1yl1 . YillGi� 1+ yLDAT It3 '� CITY OF FRIDLEY / /2004 6431 University Ave NE R-3/COMMERCIAL/INDUSTRIAL/PUBLIC/INSTITUTIONAL Fndl ;VIN 55432 BUILDING PERMIT APPLICATION / (7572-3604 FAX (763) 571-1287 CONSTRUCTION ADDRESS � W95 �lROLl.LV� Eh�� � �I Zoning Legal Owner & Addres rr Tel# (M5) Srl►- '5GR CONTRACTOR & ADDRESS RITE—WAY WATERPROOFING Tel# (6,51_) 7gfi—nrilin 448 LILAC STREET, LINO LAKES MN 55014 Architect Reg.# Engineer Reg.# BUILDING CONSTRUCTION TYPE OF WORK [] New [] Addition [JI Alteration -Describe INSTALL AN INTERIOR BASEMENT DRAIN TILE SYSTEM OFC. AREA: Length Width WHSE AREA: Length Width OTHER AREA: Length .Width Height Sq. Ft. Height Sq. Ft. Height Sq. Ft. APPLICANT MARYA L.ENZMEIER Tel # 6{51-786-0550 Date (Q�Z��� ..,,.x°,� �.�....�'".,_. u�.m ..,,cA. '�lt,�'s... x.lzl C.#;R;%.: Yi 3., a, _. _ .e• ,. 1/..1�i�1�AT�1fON r._.�., ...:E°... ? ���4 ,ot, 3'..y\. .. ���. ...'. fS�`Y1. �}?a 1 Ft = Sq. Ft. x $ Cost/Sq. Ft. _ Sq. Ft. x $ Cost/Sq. Ft. _ Building Use Air Conditioning []Yes []No Performance Bond Amount $_ Permit Fee $ Plan Check $ Fire Surcharge $ State Surcharge $ SAC Charge $ Erosion Control $ Park Fee $ Spec. Assessments $ Curb Cut Escrow $ va I Ud,L1 un Val uati on $ ) _ $ �� In 01 ' Valuation $ ) TOTAL VALUE Construction Type FxTSTTNG Occupancy Group Fire Protection Provided []Yes []No See Reverse for Schedule Received []Yes PERMIT FEES TOTAL $ 15 e i5_ []No See Fee Schedule on Reverse Side 65% of Building Permit Fee .001 x Permit Valuation (1/10th %) $.50/$1,000 Valuation (See Sched. for > $1 Million) $1350per SAC Unit (Plans to MWCC for determination) $450.00 Conservation Plan Review Fee Determined By Engineering Agreement Necessary [] Not Necessary [] feet x /foot ATTACH STIPULATIONS BUILDING PERMIT FEE SCHEDULE $1 to $500 $23.50 (Minimum Fee is $23.50 plus surcharge) $501 to $2,000 $23.50 for 1st $500 plus $3.05 for each addn'l $100 or fraction, to and including $2,000 $2,001 to $25,000 $6.25 for 1st $2,000 plus $14.00 for each addn'l $1,000 or fraction, to and including $25,000 $25,001 to $50,000 $391.25 for 1st $25,000 plus $10.10 for each addn'l-$1,000 or fraction, to and including $50,000 $50,001 • to $100,000 $643.75 for 1st $50,000 plus $7.00 for each addn'l $1,000 or fraction, to and including $100,000 $100,001 to $500,000 $993.75 for 1st $100,000 plus $5.60 for each addn'l $1,000 or fraction, to and including $500,000 $500,001 to $1,000,000 $3,233.75 for the 1st $500,000 plus $4.75 for each addn'l $1,000 or fraction, to and including $1,000,000 $1,000,001 and up $5,608.75 for the 1st $1,000,000 plus $3.15 for each addn'l $1,000 or fraction PREPAID PLAN CHECK FEE SCHEDULE Per Minnesota Building Code - 65 % of building permit fee. PERFORMANCE BOND POLICIES 'When a building permit is issued for a commercial, industrial or a multiple dwelling residential project which requires outside improvements, a Performance Bond or a Letter of Credit shall be submitted to the City. The bond will cover all outside improvements, including but not limited to landscaping, irrigation, curbing, blacktopping, screening fences, lighting, water & sanitary sewer services, and storm drainage systems. Calculation of bond amounts will be determined by the building permit values. The bond amount will be 3 % of the building permit value up to a 2 million dollar project or a $60,000 bond. Actual amounts will be rounded to the nearest $100. The City reserves the right to require greater or lesser bond amounts based on unusual circumstances. Projects with no outside improvements, generally will not require a bond. Bonds must remain open until the project is fully completed. Reproducible "as -built" drawings of all exterior underground utilities must be submitted to the City Engineering Dept before the project is considered complete and the bond released. All bonds will be held over one winter and through the next growing season to insure the survival of all landscape installations. The City will then inspect these properties in August, of the year following the initial planting. Bonds may then be released in October of that year if all improvements are satisfactorily completed. 0