PRE 2010 DOCSry;�gpic n f,Power FlmhmAd � . lmgq t'� and �® 1 M and
Air ccra�waag zrAmms and POS
PARTIAL RATE SCHEDULE
GRATM WARM AM:
MATZ 'Ton.L.
Furnace Shell & Due Worts .. ...
.810.00
Replacement of Furnace
6.00 �---
Repairs & Alterations—up to $500.00
600 $
Repairs & Alterations each add. $500.00
3W g
i C*I. WA U AI's
Furnace Shell & Duct Work to 130,000 BTU
each add. 60,000 BTU . .. ......
Replacement of Furnace
Revairs & Alterations --up to $500.00
Repairs & Alterations each add. $300.00
ffi'I'I:AM os HOT WATER SYSTEM
. • $10 00 $ e (/
3.00 i
6.00 $
6.00 $L.
3.00 $
Furnace Shell & Lines—to 400 sq. it. F.DR Steam $10.00 $.
Furnace Shell & Line—to 640 sq. ft. EDR Hot Water 10.00 $,
Each add 200 sq. ft. KDR Steam
Each add. 320 sq. ft. EDR Hot Water 3.00 $
OIL BURNLE—to 3 gal. per hour 6.00 $_
over 3 gal. per hour.—See Fee Schedule
COAs BURT (up to M'000 BTW
over 199,000 BTU See Fee Schedule
GAS FITTING Fes: NO RATE 'T'O'TAL
Ist 3 Fixtures x8 200 $ ' "
Additional Fixtures x .96 $_— _
Gas Range to 199,000 585.00 $
AM MOMUG State Surcharge .50
FAN MATUTG 13TSFie scheamb
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AL TIOPX a RZPAM 'SAI.
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31sT r, _..
Dopt. of Wag&
City of Adley:
The undersigned hereby makes application for a permit for the worts here
specified. agreeing to do all work in strict accordance with the City ncer-
and ruling of the Depaitment of Buildings, and hereby declares that -an the factw
and representations slated in this application are true and correct.
Fridley, i0 nn- 3 /12— o g'7V
Owner
Kind of Building
Used as
To be completed about_ /7v
m®
Estimated Cosa $ 4zo®
Oid New. Building Permit No. __ Permit No.
HEATING orW PI°is--Sham' Not Water, W rm Air No
Trade Name -'4 .tel she �o t�✓��3
Capacity!' G`�`Z'_ Sq. P8. E.D.R � Bw 1�
Total Connected Lmd �e)Xfnd of Int �/ u✓�
BURNM —Trade Nasize1�,
Capacity —sq. F. ED BM
S ,&,kI
a
0'/�' / 6)
/"L
�� ��
SUBJECT
P ,
City of Fridley
20881
AT THE TOP OF THE TWINS
BUILDING PERMIT
r
RECEIPT N
_ COMMUNITY DEVELOPMENT DIV.
tr PROTECTIVE INSPECTION SEC.
//
lr�
r
CITY HALL FRIDLEY 55432
NUMBER
REV.
DATE
PAGE OF
APPROVED BY
612-571-3450
910-F15
6/18/91
JOB ADDRESS 6471 Van Buren Street NE
1 LEGAL
LOT NO.
BLOCK
TRACTOR ADDITION SEE ATTACHED
pescR.
26,27
3
Florence Park Addn, TO Fridley SHEET
I
2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE
Edna Welch 6471 Van Buren Street NE 571-2899
3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO.
Same
4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO.
5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO.
8 USE OF BUILDING
Res ident ial
7 CLASS OF WORK
❑ NEW ❑ ADDITION ❑ ALTERATION REPAIR ❑ MOVE ❑ REMOVE
8 DESCRIBE WORK
Reroof House (17 Squares) Tear-off
9 CHANGE OF USE FROM TO
STIPULATIONS
On all new roofs or tear-offs and replacement roofs,
State Code requires that 2 layers of 15 lb, felt,
mopped together, be installed to a point 24 inches
up from exterior wall line, or the use of other
approved underlayment membrane.
TYPE OF CONST.
OCCUPANCY GROUP
OCCUPANCY LOAD
SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING,
VENTILATING OR AIR CONDITIONING.
ZONING
SQ. FT.
CU. FT.
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION
AUTHORIZED IS NOT COMMENCED WITHIN 80 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
1
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
$900
$ .50
WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT
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-
$23.00
Fire SC $.90
STRUCTION OR THE PERFORMANCE OF CONSTRUCTION.
PLANCHECK
TOTALFEE
$24,40
SIGNAT E0 CONTRACTOR OR AUTHORIZED AGENT 1DATE)
WHE ,PROPERL V A ED IS IS YOUR PERMIT
G iN$P F1ATE
SiGNATURE OF OWNERdF OWNER BUILDER) IDAT )
NEW [ ] Effective 1/1/91
ADDN [ ] 1-1 AND i-2
ALTER [ ] Building Permit Applicaticn
Construction Address: rf/J L®ems Z/
legal on:
owner -name & Address:c 2Ls Tel. # .,S-- 7/-a S-7 °d
Oontr�ctor: '� • #
Attach to this application, a Certificate of Survey of the
lot, with the proposed canstructicn drawn cn it to scale.
IBTION OF AMEMVEIr�iP
LIVn G AREA: IPngth Width Height Sq. Ft.
CNRAM AREA: length Width Height Sq. Ft.
DECK AREA: Length Wia Hgt/Ground Sq. Ft.
OMM: ��� - f� 'S C3L 2 MAS
MO S"Llt-
C=ner lot [ ] Inside Int tv j Pt Yd�Setback Side Yard Setbacks
Type of Construction: Ea 0 %' Estimated Cost: $ 2e) (7/
Approx. ompleticn Date:
Proposed Driveway Width If New Opening Is Desired: Ft. $ $
Width + 6' See Back Page
DATE: APPISCANT: Tel. #
Permit Fee $ r W
Fire Surcharge $
State Surcharge $ 15;6
SAC Charge $
Driveway Escrow $
Park Fee $
Sewer Main Charge $
s-rI MIATICKS:
t.
CITY DB$ coLy
Fee Schedule cn Reverse Side
.001 x Permit Valuation (1/10th $)
$.50/$1,000 Valuation
$650 per SAC Unit
Alt. "A" or Alt. "B" Above
Fee Determined by Engineering
Agreement Necessary [ ] Not Necessary [ ]
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:
$1 to $500 $15 (Minimtmm 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 arra 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
VPJVEIY DEMMMIM F.80Wff
(Concrete Curb Streets Only)
Alternate IW": Removal and replacement of carob 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.
Permits for construction will be issued a minimmm 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.
SUBJECT
P IT NO.
City of Fridley
'9915
AT THE TOP OF THE TWINS
BUILDING
PERMIT
f
COMMUNITY DEVELOPMENT DIV.
r PROTECTIVE INSPECTION SEC.
I . �
CITY HALL FRIDLEY 55432
NUMBERREv
DATE
PAGE OF
APPROVED By
L 612-571-3450
s�aF1s
7/21/99
J08 ADDRESS
6471 Van Buren Street NE
1 LEGAL
LOT NO.
BLOCK
TRACT OR ADDITION
SEE ATTACHED
DESCR.
26 27
3
Florence Park Addn. to Fridley SHEET
2 PROPERTY OWNER MAIL ADDRESS
ZIP PHONE
Edna Welch
571-2899
3 CONTRACTOR MAIL ADDRESS
till-
ZIP PHONE LICENSE NO
Steven R. Lee Const. 9465 Irvin Ave.
4 ARCHITECT OR DESIGNER MAIL ADDRESS
ZIP PHONE LICENSE NO
5 ENGINEER MAIL ADDRESS
ZIP PHONE LICENSE NO
8 USE OF BUILDING
Residential
7 CLASS OF WORK
O NEW O ADDITION O ALTERATION X REPAIR ❑ MOVE O REMOVE
8 DESCRIBE WORK
Reroof house and garage (21 Sq) Tear-off
9 CHANGE OF USE FROM TO
STIPULATIONS
Underlayment must comply with the State Building Code.
SEPARATE PERMITS ARE REOUIREO 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
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
WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT
1835
S.92
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
� q
PLAN CHECK FEE
TOTAL FE
/
Lice C
5.0
73.
SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT iDATE.
ovWN P P
BLDG
LIDATED IS Y UR P
ar �
OA1E
SIGNATURE OF OWNER of OWNER BUILDER, iDATE,
4
NEW [ ] Effective 5/10/99
ADDN [ ] CITY OF FRIDLEY �\
ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2
BUILDING PERMIT APPLICATION
Construction Address: G 2,22
Legal Description:
Owner Name & Address:, ,, (1-1 141, L^/c Tel. # 7 9
Contractor:�'% % _ ,2 t-- ` MN LICENSE #
Address: �% �' �v , �-�� �,i,�/yam .?%Tel. #
Attach to this application, a Certificate of Survey of the 3`5 (4L'q
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: 1 -rcm t r � /AM
Construction Type: -t 4- Estimated Cost: $
Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $
DATE: 7 /' P%APPLICANT: Tel. # 5�%— )/ 9,t�'
STIPULATIONS:
CITY USE ONLY
Permit Fee
$
Fee Schedule on Reverse Side
Fire Surcharge
$ %
.001 of Permit Valuation (1/10th%)
State Surcharge
$
$.50/$1,000 Valuation
SAC Charge
$
$1050 per SAC Unit
License Surcharge
$ S-.60
$5.00 (State Licensed Residential Contractors)
Driveway Escrow
$
Alt. "A" or Alt. "B" Above
Erosion Control
$
$450.00 Conservation Plan Review
Park Fee
$
Fee Determined by Engineering
Sewer Main Charge
$
Agreement Necessary [ ] Not Necessary [ ]
TOTAL
$ 9394
STIPULATIONS:
P.
BUILDING PEMM FEE SCHEDULE
The Chief Building Official shall, before issuing permits for the erection of any building or structure, or for any
addition to any existing building or structure, or for any alteration or repair to any existing building or structure,
upon application therefore, require the payment by the applicant for such permit of fees to the amount herein
below set forth and in the manner herein provided to -wit:
TOTAL VALUE
$1 to $500
$501 to $2,000
$2,001 to $25,000
$25,001 to $50,000
$50,001 to $100,000
$100,001 to $500,000
$500,001 to $1,000,000
$1,000,001 and up
FEES
$23.50
$23.50 for first $500 plus $3.05 for each additional $100 or
fraction thereof, to and including $2,000
$69.25 for first $2,000 plus $14.00 for each additional $1,000
or fraction thereof, to and including $25,000
$391.25 for first $25,000 plus $10.10 for each additional $1,000
or fraction thereof, to and including $50,000
$643.75 for first $50,000 plus $7.00 for each additional
$1,000 or fraction thereof, to and including $100,000
$993.75 for first $100,000 plus $5.60 for each additional
$1,000 or fraction thereof, to and including $500,000
$3,233.75 for the first $500,000 plus $4.75 for each additional
$1,000 or fraction thereof, to and including $1,000,000
$5,608.75 for the 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.