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PRE 2010 DOCSf Fridley, Mmm PERMITBUILDING s1; Date:.'. Owner: Builderooe--- — Address _ . Address L .ION OF No. Street art of Lot_ aC Block ____ _ Addition or Su on Corner Lot -_ __ Inside Lot back Sideyar Sewer IIevatian_ __ _ _ roiftZiation Elevation DESCRIPTION OF BUILDING +�� � A Front. Depth' Height Sq. Ft. ,y Cu. Depth freight Sq. Ft. Cu. Ft. Type of Construction P Est. C�t 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 forth and in compliance with a'il provisions of ordinances of the city of Fridley. In consideration of the payment of a fee of $ fpr. _ , permit is hereby granted to to construct the building or addition as described above. This permit is granted upon the express condition that the person to whom it is granted and his agents, employees and workmen, in all work done in, around and upon said building, or any part thereof, shall conform in all respects to the ordinances of Fridley, Minnesota regarding location, construction, alteration, maintenance, repair and moving of buildings within the city limits and this permit may be revoked at any upon viola o> of any of the provisions of said ordinances. � �1 NOTICE: 11b per n t does not cover the construction, installation for wiring, plus"g, on heathig, sewer or water. Be sure to see the Building Inspector for separate poroaita for these items. APPLICATION FOR BUILDING PERMIT CITY OF FRIDLEY, MINNESOTA Owner's NameBuild Address Address No.StreetY`'� Lot �� Block _Addition or Subdivis Corner Lot Inside Lot sotback SEWER ELEVATION of -Yard ,I Applicant attach to this form Two Certificates of Survey of Lot and proposed building location drawn on these Certificates. DESCRIPTION OF BUILDING Tob sed s: / Front Depth4/Height Sq. Ft. Cu. Ft. Front Depth Height Sq, Ft. Cu. Ft. 41 Type of Construct a Estimated Co -,To be Completed -71 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. 01 DATE , SIGNATURE (Schedule of Fee Costs can be found on the Reverse Side). 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 anysuch permit for the erection of any fire -proof garage, warehouse, factory or grain elevator, or for the erection of any fire -proof addition, for similar occupancy, to any existing building shall be at the rate of $1.25 for each one thousand cubic feet, classified as "fireproof" by Section,502 of the Minneapolis Building Code,. HOUSES 2.3. For any such permit for the erection of any non -fireproof building other than a garage, warehouse, factory or grain elevator, or any non -fireproof addition, for similar occupancy, to any existing building -.permit $1.00 for each oae.thousand cubic feet. GARAGES 2.4. For any such permit for the erection of any non -fireproof garage, warehouse, factory or grain elevator, or for the erection of any non -fireproof addition, for similar occupancy, to any existing building or for each such building or addition - ninety cents ($0.90) for each one thousand cubic feet or fraction thereof, in the cubical contents thereof with a minimum of $4.00. For the purpose of computing fees for building permits, the cubical contents of any building or addition to a uniform height throughout by multiplying the ground area covered from a point six (6) inches below the floor line of the basement or cellar to the average height of the upper surface or to the average height of the roof surface of the main gable of a pitched roof. 2.5. For repairs or alterations to an existing structure, the fee shall be at the rate of $3.00 per each Five Hundred Dollars ($500.00) or fraction thereof in the cost of all proposed work. 2.6. In no case shall the fee charged for any permit as set forth in Section 2 be less than $4.00. -51L City ®f Fridley, Minn. N° 8335 BURDING PERIMT Date: XX August 9. 1965 Owner: Mr. Gayle W. Olson Builder Same Address 7301 Van Buren St. N.E. Address Fridley, Minnesota LOCATION OF BUILDING No. 7301 Street VAN BUREN N. E. Part of Lot Lot 16 _ Block 4 Corner Lot _ Inside Lot Addition or Sub -Division .—. Setback Shaffer's Subdividion #1 Sideyard Sewer Elevation _ __ Foundation Elevation To be Used as: Front Front Type of Construction • Depth height Sq. Ft. Cu. Ft. Depth Leight Sq. Ft. Cu. Ft. ___.. F&t Cost 700.00 To be Completed Repairs - Due to storm damage 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 adl provisions of ordinances of the city of Fridley. V ate,_' In consideration of the payment of a fee of S_ 10 - 0 0 , permit is hereby granted to, GAYLE W. OLSON to construct the building or addition as described above. This permit is granted upon the express Pd ition that the person to whom it is granted and hfs agents, employees and workmen, in all work. done in, aroand upon said building, or any Bart thereof. shall conform in all respects to the ordinances of Fridley, Minta location, oonsixuchon, alteration, maintenance, repair and movhzg of buildings within the cinmits� permit may be revoked at aqy time upon violation of any of the provisions of said ordinances;. Allen G. Jensen Building Inspector NOTICE: This permt does net emm the sant mMen, hoftWon for Wiring, plumbing, ga hw&& sewer or water. Be sure to we the Bulh&s h>spKttor for soperate permits for these Roma. A . -h ADDRESS `� � P�ee�� ,�� r�f/� ADDRESS LOCATION OF BUILDING N0. STREET PART OF LOT LOT BLOCK ADDITION OR SUBDIVISION �/ Tim CORNER LOT �✓ INS.IDE LOT SETBACK SIDE -YARD SEWER ELEVATION FOUNDATION ELEVATION Applicant.,attach to.this form Two Certificates of Survey of Lot and proposed building location drawn on these Certi icates. DESCRIPTION OF:BUILDING To be used as; Front Depth � Height Sq. Ft.. Cu. Ft. Front Depth�.,__Height Sq. Ft. Cu. Ft. Type of Construe tion-,)Xe5/ j f LJ Estimated Cost -$71 -Ile 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 (Schedule of Fee Costs can be found on the Reverse Side). BUILDING PERMIT FEE SCHEDULE SECTION 2, The Inspector of Buildings shall, before issuing any permit for the erection of any building or structure., or-f_or:any addition to any existing building or structure, or for any alterations or repairs to any existing building or structure, upon application therefore, require the payment by the applicant for such permit of fees to the amount herein below set forth and in the manner herein provided to -wit: 2.1. 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 fire -proof addition, for similar occupancy, to any existing building, shall be at the rate of $1.40 for each one thousand cubic feet, or fraction thereof, in such cubical contents. 2.2 For any such permit for the erection of any fire -proof garage, warehouse, factory or grain elevator, or for the erection of any fire -proof addition, for similar occupancy, to any existing building shall be at the rate of $1.25 for each one thousand cubic feet, classified as "fireproof" by Section 502 of the. Minneapolis Building Code. . HOUSES 2.3. For any such permit for the erection of any non -fireproof building,.. other.thau 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 -fire -proof 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.thereaf, in the cubical contents thereof with the minimum of $4.00. For the purpose of computing fees for building permits, the cubical contents of any building or addition to a uniform height throughout by multiplying the ground area covered from a point six (6) inches below the floor line of the basement or cellar to the average height of the upper surface or to the average height of the roof surface of the main gable of a pitched roof. 2_5. For repairs or alterations to an -existing structure, the fee shall be at the rate of $3.00 per each Five Hundred Dollars ($500.00) or fraction. thereof in the cost of all proposed work. 2.6. In no case shall the fee charged for any permit as set forth in Section 2 be less than $4.00. 4 STORM REPAIR DAMAGE FEES; Residential; Estimated Cost of work up to $500.00 - $5.00 Estimated Cost of work over $500.00 - $10.00 Commefeiai; Estimates )st of work up to $500.00 - $1r 1 Estimates most of work over $500.00 - $2L i A"Ikvflon for Peww Ptaft and HoehiS CoaingR Yens ninks and /Air C®ndMoning Sptem and Devices PARTIAL RATE SCHEDULE Dept. of Bldg Phom W-3= GRAVY- ff WARM AIA: RATz TOTAL Furnace Shell & Duct Work .. $10.00 $ Replacement of Furnace .. 6.00 y Repairs & Alterations --up to $500.00 ... 6.00 $ Repairs & Alterations each add. $500.00 3.00 $—_-_- MEC*. WARM AIR Furnace Shell & Duct Work to 120,000 BTU ........ ..$10.00 $ each add. 60,000 BTU .................... .. 3.W = 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 23.00 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 BUR (u to M.0W BTU) ... 6.00 p .. $ over 199,000 BTU see Fee Schwaie GAS FITTING NO • RATE `DOTAL 1st 3 Fixtures x$ 200 $ y° Additional Fixtures x .96 $ Gas Range to 199, . s$ $ f5.00 ps �ii 6s > p M Ommo FAN HEATINGS Sae VENTILATING SYSTEM ALTERATIONS & REPAIRS - iVTAI. FEEV ROUGH FINAL /D' 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 Ordinance_ and ruling of the Department of Buildings, and hereby declares that all the facts and representations stated in this application are true and correct. Fridley, G10"ITM Kind of Building .� UsedTo be completed about __ -' / J - je Estimated Cost, $-. Building Permit No. Permit No. DESCRIPTION OF WORK 1e — HEATING or POWER team, Hot Water, Warm Air-No— Trade ir NoTrade Name_ ( to-` Size N® R .h Capacity— Sq. Ft. E D.R (o 4 i ®® 0 BTUA 'im Total Connected Load 3 Fr, (J 0 ft Kind of FueL-,?!dL BURNER - Trade Na Size No Capacity Sq. Ft. E.D.R BTU . (REMARKS—OVER) new Phome N %- _ 6 9- ,r 441 L 7.3 V 1 HEAT LOSS CALCULATIONS PARTMENT OF 1NSPEC Weatherstrips A.S.H.V.E. I nstruction No. Insulation ' Guide , How Applied f' Windows ours Reference I Out. Wall Int. Wall Ceiling Roof Floor 11,111C pp o I No 19� . , . . .. .® Width Height CLl Room I LXrIgm •vwu, ,,..a... Windows and oors—Crackage and Area Coef. Btu Width Height No. of Lineal ft. No. of pane of pane lights of crack Area eq. ft. "® V Net exp. wall Glass Int. wall Exp. wall Infiltration s Glass z ®O Exp. wall C% Required sq. ft. E.D.R. or sq. ins. W.A. Leader area Net exp. wall b Fl. Room I Length Width Cl Int. wall FM Room I LengthWidth Height Icoef.1 Ceding Width Height No. of pane of pane 9( of Lineal ft. Area lights of crack sq• ft. Floor i Total Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area oom Length Width Height Windows and Doors—Crackage and Area ��~! Na of rat e I neIUhl -, Lineal Area [ Dane lighta of crack Tsq. ft.- Coef. Btu Infiltration r Glass ra Exp. wall Net exp. wall Glass Int. wall Exp. wall Ceiling Net exp. wall Floor Int. wall Total Btu. Ceiling Required sq. ft. E.D.R. or sq. ins. W.A. Leader area Floors;. Fl. Room I Length Width Height Windows and Doors--Crackage and Area Wldlh Height No. of Lineal ft. Area No. of pane of Dane lights of crack eq. ft. FM Room I LengthWidth Height Icoef.1 Btu Infiltration I Glass Exp. wall Net ezp. wall Int. wall Ceiling Floor Total Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area Windows and Doors—Crackage and Area , Width Height No. of Lineal ft. Area No. of pane of pane lights of crack sq. ft. r ra Btu Infiltration Glass Exp. wall Net exp. wall Int. wall Ceiling Floors;. Btu. _Total Required sq. ft. E_D.R_or sq. ins. W.A. Leader area FM Room I LengthWidth Height Windows and Doors—Crackage and Area Width Height No. of pane of pane 9( of Lineal ft. Area lights of crack sq• ft. to Infiltration Glass Exp. wall Net exp. wall Int. wall Ceiling Floor Total Btu. Required sq. ft. E.D.R. or sq. iAs. W.A. Leader area F1.1 Room 1 Length Width Height Windows and Doors---Crackage and Area Width Height No. of Lineal ft. Area No. of pane of pane lights of crack sq. ft. Coef.1 Btu Infiltration Glass Exp. wall Net exp. wall Int. wall Ceiling Floor Total Btu. Required sq. ft. E.D.R. or sq. ins. WA. Leader area City of Fridley SUBJECT PE O. a 11161 AT THE TOP OF THE TWINS BUILDING PERMIT i � i `L _ COMMUNITY DEVELOPMENT DIV. r PROTECTIVE INSPECTION SEC. "1 CITY HALL FRIDLEY 55432 �.j 612-571-3450 NUMBER 910-F15 REV. DATE 110/6/80 PAGE OF / / APPROVED BY 10B ADDRESS 7301 Van Buren Street N.K. 1 LEGAL DESCR. LOT NO. 16 BLOCK $ 4 TRACT OR ADDITION SEE ATTACHED Shaffer's Sub. #1 SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Marion D. McKenzie 7301 Van Buren Street N.E. 786-8368 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. 6 USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW ❑ ADDITION 1 ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE S DESCRIBE WORK Install Preway Fireplace 9 CHANGE OF USE FROM TO STIPULATIONS SEPERATE PERMITS REQUIRED FOR WIRING HEATING, PLUMBING AND SIGGtj& 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 SQ. FT. CU. FT. AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FORA 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 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 $1,000 $.50 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. $7.50 PLAN CHECK FEE TOTALFEE $8.00 SIGN TUREOF ONT ACTOR A6tNT (DATE) WHEN PROPERLY VALIDATED THIS IS YOUR PERMIT RAUTHORIZE iG ATU O OWN R I F OW E U LDE I (DATE) BLDG INSP TE CITY OF FRIDLEY - APPLICATION FOR RESIDENTIAL BUILDING. PER141TS (New, !Alterations, Additions, or Repairs) OWNER: ADDRESS: D /�� ✓r_ .�, TEL NO: 2 9,„ BUILDER: _ ADDRESS: TEL 1.10: Construction Location STRTMT NO: STREET: LOT: / ,,� BLOCK: ADDITION: Corner Lot: Inside Lot: Setback.:. Sideyards: Applicant attach to this form two Certificates of Survey of lot and proposed building location drawn on certificates to scale. DESCRIPTION OF CONSTRUCTION Front: Depth: Height: quare. Feet: Cubic Feet: Front: Depth: Height: Square -Feet: Cubic Feet: Type of Construction; ' _�J-may` Estimated Cost: $ To Be Completed: Alt. A Alt. B Proposed Driveway Width If New Opening Is Desired: $ $ SEE P3VERSE SIDE OF SHEET . 7.'he 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: Stipulations : �s ®0D • BUIUANG nmirr FEE SCHEDULE \•. :ilIt'xx01'i 2.'1'ht! 7n•.:pcctor. of 13u6.1dinrJ : ::hnl.l, hcforc: i.r.uiT«J penniLs for the erection' of al)y buileling or .;truct:ure, or for any addition Lo t:►:y cri:;ti.iug l,ttildi.ng or stz I c ture., 6r for any, alteration or repairs to -any e.:i::ting hui.l.di.hyJ or structure, upon appli:cat i.on therefore, require Oic payment by the applicant for such permit of fees to the arnount horei.n below set forth and iai the manner herein providcxl to -wit: NEt•J CONF:`1'RUC'.CION: Single F61nily IIoIGer; and Garac{es; ;:4.00/1,000 cubic feet, I.'I..t-01 CHECK: 25 percent: of building per,nit fee. o DIUVEWAY DI:PRESS70Id: (Concrete Curb Streets. Only) Alternate A: Kemoval and replacement of concrete curb and gutter only; Driveway width plus 6 feet x x:1,;,75 Alternate B: Removal and replacement of concrete curb and gutter and install a 3 foot wide approach with 6 inch depth; Driveway width plus 6 feet x $17.85 ITIONAI INFORMATIO For the purpose of computing fees for building permits,. the cubical contents of any building or addition, is determined by multiplying the ground area covered from "a point sig. (G) inches below the: floor line of the basement or the cellar to the average 'heights of the -upper surface or to the average height of the roof surface of the main gable of a pitched roof. For repairs or alterations to an existing structure, the fee shall: be at the rate of $3.00 tier 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 pemnit u5 set forth in Section 2 be .cess than $7.50 plus $.50 state surcharge. VERIFICATION! OF FOUMATION NOTE: Permits for construction will be issued a minima 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, shooing the location of the foundation once it has been constructed will be required before proceeding with the framing. .SRT I FI CATE OF OCCUPALICY Application fora Certificate of Occupancy shall be ma&, ten (10) days prior to the Ilse or occupancy of any structure for which a building permit has been issued; and .said stLuct.ure shall_ not be used or occupied until a" ce tificate oi- Occuphncy has been issued. City of Fridley SUBJECT PERM . 3986 AT THE TOP OF THE TWINS BUILDING PERMIT ` RECEIPT NO. COMMUNITY DEVELOPMENT DIV. �� r PROTECTIVE INSPECTION SEC. �/ NUMBER REV DATE WAGE OF APPROVED BY " I CITY HALL FRIDLEY 55432 763-571-3450 910415 10/21/03 10B ADDRESS 7301 Van Buren Street NE 1 LEGAL LOT NO. BLOCK TRACTOR ADDITION SEE ATTACHED DESCR. 16 4 Shaffer's Subdivision #1 SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Lawrence Sloma 7301 Van Buren Street NE 763-795-9945 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 6 USE OF BUILDING Residential 7 CLASS OF WORK Q �p O NEW X ADDITION O ALTERATION X REPAIR O MOVE O REMOVE X 6 DESCRIBE WORK Construct a 7' x 8' Portico; Reroof house & garage (17 Sq) Tear -off 9 CHANGE OF USE FROM TO STIPULATIONS See notations on plan. Underlayment must comply with the State Building Code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ire SC $2.57 STRUCTION OR THE PERFORMANCE OF CONSTRUCTION PLAN CHECK FEE TOTALFEE $87.10 OF CONTRACTOR OR AUTHORI O A ENT IOATEI EN PROPERLY VALIDATED THIS IS YO R PER IT ?S,.6ATURE 0 Z.0 ® ".r. INSF' s f�Ai , SF DER, IDAT A FA NEW [ ] CITY OF FRIDLEY Effective 1/1/2003 ADDN [ j 6431 University Ave NE, Fridley, MN 55432 (763) 572=3604 Bldg Insp ALTER [ J SINGLE FAMILY AND DUPLEXES R-1 AND R-2 (763) 5714287 Fax BUILDING PERMIT APPLICATION pit( Construction Address: � V40 7ut-C-0 '�Z:m� Legal Description: 7 Owner Name & Addr LW �° Tel # /7 Contractor. La,�o�� MN LICENSE # Address: 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: GARAGE AREA: DECK AREA: Length - Width Height Sq. Ft. Length Width Height __ Sq. Ft. Length OTHER: C.6iSTSOCI-L ' IV -_m !Ia R -17M S 96- 0 F 4 w 17 Sd Construction Type: 2 x f;lR-4r A t J to Estimated. Cost: 3s; `era'2 S t41; -A 4LVS Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x ra DATE: -2 ®- APPLICANT: %•AW 1tfi )CS C� Lo "-tA Tel. # O 9 Call (763) 572-3604 for Permit Fees if mailing in application. Fax to 763-571-1287 if using credit card and we will call you for card number. CITY USE ONLY - Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Curb Cut Escrow Erosion Control Park Fee Sewer Main Charge TOTAL $. Fee Schedule on Reverse Side $ „ -6-7 _ 001 of Permit Valuation (1/10th°I°) $ / . 23 $.50/$1,000 Valuation $ $1275 per SAC Unit $ $5.00 (State Licensed Residential Contractors) $ Alt. "A" or Alt. "B" Above $ $450.00 Conservation Plan Review $. Fee Determined by Engineering $ Agreement Necessary [ ] Not Necessary [ ] BUILDING PERNUT 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 $501 to $2,000 $23.50 for first $500 plus $3.05 for each additional $100 or fraction thereof, to and including $2,000 $2,001 to $25,000 $69.25 for first $2,000 plus $14.00 for each additional $1,000 or fraction thereof, to and including $25,000 $25,001 to $50,000 $391.25 for first $25,000 plus $10.10 for each additional $1,000 or fraction thereof, to and including $50,000 $50,001 to $100,000 $643.75 for fust $50,000 plus $7.00 for each additional $1,000 or fraction thereof, to and including $100,000 $100,001 to $500,000 $993.75 for first $100,000 plus $5.60 for each additional $1,000 or fraction thereof, to and including $500,000 $500,001 to $1,000,000 $3,233.75 for the first $500,000 plus $4.75 for each additional $1,000 or fraction thereof, to and including $1,000,000 $1,000,001 and up $5,608.75 for the first $1,000,000 plus $3.15 for each additional $1,000 or fraction thereof CURB CUT ESCROW (Concrete Curb Streets Only) Removal and replacement of curb and gutter only - driveway width plus 6 feet, times the annually determined rate. Permits for construction will be issued a minimum of 24 hours from the time of application to allow for proper review of the proposed structure and of the construction site. VERIFICATION OF FOUNDATION A Certificate of Survey of the lot, showing the location of the existing foundation will be required before proceeding with the framing. New Houses Only D v v ka �44--.---- /' GEMEiJ-f Gi4 P p } 1 Tz+ It 1 REVIEWED. �EE—F -Roo wA � � FOR t)E �0 2 C P AN CE ,A—M 2 �.,E. LD 1 s �l /0? T w CTl (�l � N' kp 11/04/2005 10:24 6103416212 CERTAINTEED CoMdYed CorporAw Hoofing ProdwIm Group Tfxhnm serviets Deparhnent 1-100 Union M0911no Board • PO. Rnr.1100 Biue Befl. PA 1IW4 Tel-. {800) 34$114S - Fay.; (6191 :341-0212 Ww termintc worn 1MTOVembei 4, 2005 Larry Monza 7301 Van Buren St NE Fridley, MN 55437 Re: Ex=ftg shingles with an averblang Dear W. sloma: Thwk you for using CertainTwWs Asphalt Roofing ShinOes. PAGE 01 73d CeftinT"dM CertainTeed offers one of the strongest up $rant warranties in the kidustry with Sure Start protection providing 100% nnn-pmrated protection for the first 5 years. CertainTeed Limited Asphalt shingle wtumaty is against defects in the shingles quality and composition. hw llation is the sole responsibility of the conlractw/buiR Wr- CcrWnTeed recommended apphcauon instructions arc provided on each shingle wrapper and availablc through CcrtsinTeed website WMMOrta!89f 22M.. Any deviation faam the recrlmmended application instructions of the product would not affect or void the manufacturers warranty; bowever, it could affect the performance a>ud durability of the shingles. Y hope this information is helpful. sincerely, Ri hnical Depanme�rt Roofing Products Group $0':0�12°rTE1 A 161448 INSPECTION REPORT CITY OF FRIDLEY MINNESOTA (763) 572-3604 ADDRESS OWNER BUILDER DATE 11-8 .v,S— TIME DESCRIPTION �- I//_-2; JA -, INSPECTION REPORT DATE REPORT - - - • laf we a you ao not call for the proper inspections and make corrections as called for.