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PRE 2010 DOCSDate: Owner Address 97 -8h-879001 CITY OF FRIDLEY APPLICATION FOR PLUMBING AND GAS FITTING PEr'2MIT PARTIAL RATE SCHEDULE q PLUMBING FIXTURE RATES: N0. >. N TOTAL q x v $ Y 0 $2.00 water e m t W $2.00 $ Catch Basin 54 C .Ci N Q x 41 b sr �--a w � $10.00 Heater o u M 0 .� fj $7.00 r. C M H ." .1C .'.l 0 H 4 C .c. 0 W U i J O U 1 0 C Ci J c ttl v U 'A O G 47 C! C -1 3 7 0 :s. O to O W 4, 7 U W tj N s N a N N 0 J.. O a5 leC i • c ryd i nd rd 4 to 1 = Future Connection Opening Connected with Sewer L(Bl (*} = New Fixture, Old Opening Water PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: N0. RATE TOTAL steer Futures x $3.00 $ r^sttxe Fixture Opening x $2.00 $ New =fixture, Old Opening x $2.00 $ Catch Basin x $5.00 $ Nater Heater - to 99,000 BTU x $5.00 $ 100,OG0 B:J to 199,000 BTU x $10.00 $ Hater Softener x $7.00 $ New Ground Rua Old Building x $5.00 $ Electric hater Heater ___ __ x $5.00 $ GAS PITTING FEES: 1st 3 fixtares x . $3.00 $ Additional Fixtures . x $1.00 $ Cas Range to 199,003 BTU x 40.00 S REPAIRS & ALTERATI0\S First $100.00 $5.00 $ ea.t% add. $100.00 or fraction $2.00 $ State Surcharge $ .50 TOTAL FEE $ 8.00 REINSPECTION FEE (1110.00) Job Address 7305 NE Van Buren Department of Buildings City of Fridley Tel. #571-3450 The undersigned,hereby Lukes 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 ecrrect Fridley, Mn. 10-29-80 , 19 O'ANER PROCHNIAK KIND OF BUILDING _ frame USED AS res TO BE COLLETED ABOUT 114 -80 ESTIMATED COST 50-00 OLD - NEW BUILDING PER+.IT NO. PERMIT NO. C Company Signed By Tel. No. ROUGH INSP. Date FINAL INSP. �����r✓ Date APPROVAL FOR PERMIT .4,0-1s- REPAIRS a0 MINIMUM FEE FOR ANY PLUMBING PERMIT IS $7.50 PLUS $.50 STATE SURCc1ARr,E City of Fridley SUBJECT ® 18262 AT THE TOP OF THE TWINS BUILDING PERMIT r REC r ______ COMMUNITY DEVELOPMENT DIV. L PROTECTIVE INSPECTION SEC. i J S CITY HALL FRIDLEY 55432 NUMBER REV. DATE PAGE OF APPROVED BY j 612-571-3450 910-F15 10/23/85 JOB ADDRESS 7305 Van Buren Street N.E. 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 17 4 1 Schaffer's Subdivision Nol SHEET 2 PROPERTY OWNER MAILADDRESS ZIP PHONE Wavne Prochniak 7305 Van Buren -Street N.E. 784-2656 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Ariel Remodeling 'c 5744 West Moore Lake Drive 571-9531 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO. 6 USE OF BUILDING 7 CLASS OF WORK ❑ NEW ❑ ADDITION ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Remodel basement 9 CHANGE OF USE FROM TO STIPULATIONS 1. Gombustion.air for furnace. 2. Fire alarm. SEPARATE REQUIRED QP�ERMITS jj���� AND WIRING, HEATING, PLUMBING AIV® SIGNS. 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 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 $7,000 $3.50 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- STRUCT) N OR THE PERFORMAN E OF CONSTRUCTION.$62.50 07 J®®,/� l s PLAN CHECK FEE TOTAL FEE $66.00 SIGNATURE OFC TRACTOR OR AUTHORIZED AGENT tDATE) WH N PROPER Y A I AT D HIS IS YOUR PERMIT BLDG )NSP �•A DATE SIGNATURE OF OWNER OF OWNER BUILDER) IDATEi NEW [ ] Length City of Fridley Effective 4/1/84 ADDN. [ ] Ft. R-1 AND R-2 Length ALTER. [ 7 Height Building Permit Application Ft. DECK AREA: OTHER: Lengtj� Width eata p� " �a� '-" ``r'�� `� �e /v'� Construction Address: 1-11 itc `5 Legal Description: l� J� �� ` Owner Name & Add�ess : 1/ ti /'!ted c h r�i i o 4�Z G S� �jrh %�c��� tiTel. #�/ Contractor: �'i4i e �Q�--o YTje`-i-(`c Tel. # s�/- SSS/ Address: Gee �oeo e a. Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF IMPROVEMENT LIVING AREA: Length Width Height Sq. Ft. GARAGE AREA: Length Width Height Sq. Ft. DECK AREA: OTHER: Lengtj� Width eata Hgt/Ground Sq. Ft. Corner Lot [ ] Inside Lot [ ] Ft. Yd. Setback Side Yard Setback Type of Construction: �St� eN� Estimated Cost: $ -21-000 OOPS _ Approx. Completion Date: v 5 Alt. A Alt B Proposed Driveway Width If New Opening Is Desired: $ $ See Back Page for Explanation DATE: '0123/ r3 - Permit Fee Plan Check State Surcharge SAC Charge Park Fee Sewer Main Charge Fly STIPULATIONS: APPLICANT. Tel. # CITY USE ONLY 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 therefore, require any existing building or structure, upon application the payment herein below set forth and in by the applicant for such permit of fees to the amount the manner herein provided to -Wit: Total Valuation Fees $1.00 to $500.00 $10.00 (Minimum Fee is $15.00) $501.00 to $2,000.00 $10.00 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. a �(C) & c, - `�A . -SV SUBJECT City ®f Fridley 214 '50 AT THE TOP OF THE TWINS BUILDING PERMIT Ir? ECEIPT N _ COMMUNITY DEVELOPMENT DIV. INSPECTION SEC.l/�7_ `PROTECTIVE As i, � --"''1 CITY HALL FRIDLEY 55432 NUMBER REV. DATE PAGE OF APPROVED BY "`, 612-571-3450 1910-F15 7/20/92 / / JOB ADDRESS 7305 Van Buren Street NE I LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 17 4 Schaffer's Sub. #1 SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Wayne/Pam Prochniak 7305 Van Buren Street NE 784.2656 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Ken Bangsund Construction 8805 Davern Ave NE, Monticello MN 295-5937 7408 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 fgl REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Reroof House & Garage (21 Squares) Tear-off 9 CHANGE OF USE FROM TO STIPULATIONS Underlayment must comply with State Building Code. TYPE OF CONST. OCCUPANCY GROUP OCCUPANCYLOAD 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 60 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT NO. DWLG. UNITS OFFSTREET PARKING ANY TIME AFTER WORK IS COMMENCED. I HEREBY CERTIFY THAT 1 HAVE READ AND EXAMINED THIS APPLICATION STALLS GARAGES VALUATION SURTAX AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED $l, 113 $.56 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- $29.00 Fire SC $1.11. STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. PLAN CHECK FEE TOTALFEE License SC $5.00 $35.67 SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT IDATEIEND P ERLYY V/AI.,f-SATED THIS IS YOUR PERMIT INSP nA7E SIGNATURE OF OWNER IIF OWNER BUILDER) IDATEI NEW [ l ADDN [ ] ALTER [ ] Construction Address: CITY OF FRIDLEY SINGLE FAMILY AND DUPLEXES R-1 AND R-2 Building Permit Application --2306— �laS4, 1-I Effective 3/1/92 Legal Description: L r7- /2' Owner Name & Address: �� �, t �� A Q c 4 tn ; Tel. # Contractor: Jl e 0 t I- x o h MN LICENSE # ?e -%c5 Address: r '4 {'PV"'y<<� /, _ �.� Tel. # 2qs-s'727 Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF IMPROVEMENT LIVING AREA: Length Width Height Sq. Ft. GARAGE AREA: Length Width Height Sq. Ft. DECK AREA: Length Width Hgt/Ground Sq. Ft. OTHER: 'f e�� e d va f Gi o 4st 12 21 Comer Lot [ ] Inside Lot [ ] Ft. Yd Setback Side Yard Setbacks Type of Construction: Estimated Cost: $ ;- `= ✓ , Approx. Completion Date: 7/ 2 F/ f z Driveway Curb Cut Width Needed: DATE: Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Park Fee Ft. + 6 Ft = (Cost on Back) Ft x $ APPLICANT: IL.. Tel. # Sewer Main Charge $ TOTAL $ a STIPULATIONS: CLTY USE ONLY Fee Schedule on Reverse Side .001 of Permit Valuation (1/10th%) $.50/$1,000 Valuation $700 per SAC Unit $5.00 (State Licensed Residential Contractors) Alt. "A" or Alt. "B" Above Fee Determined by Engineering Agreement Necessary [ ] Not Necessary [ ] 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 $15 (Minimum Fee is $15 plus surcharge) $501 to $2,000 $15 for first $500 plus $2 for each additional $100 or fraction thereof, to and including $2,000 $2,001 to $25,000 $45 for first $2,000 plus $9 for each additional $1,000 or fraction thereof, to and including $25,000 $25,001 to $50,000 $252 for first $25,000 plus $6.50 for each additional $1,000 or fraction thereof, to and including $50,000 $50,001 to $100,000 $414.50 for first $50,000 plus $4.50 for each additional $1,000 or fraction thereof, to and including $100,000 $100,001 to $500,000 $639.50 for first $100,000 plus $3.50 for each additional $1,000 or fraction thereof, to and including $500,000 $500,001 to $1,000,000 $2039.50 for the first $500,000 plus $3 for each additional $1,000 or fraction thereof, to and including $1,000,000 $1,000,001 and up $3539.50 for the first $1,000,000 plus $2 for each additional $1,000 or fraction thereof DRIVEWAY DEPRESSION ESCROW (Concrete Curb Streets Only) Alternate "A": Removal and replacement of curb and gutter only - Driveway width plus 6 feet times $13.50. Alternate "B": Removal and replacement of curb and gutter and install a 3 foot wide approach with 6 inch depth - Driveway width plus 6 feet times $15.75. VERIFICATION OF FOUNDATION Permits for construction will be issued a minimum of 24 hours from the time of application to allow for proper review of the proposed structure and of the construction site. A Certificate of Survey of the lot, showing the location of the foundation once it has it .has been constructed will be required before proceeding with the framing. l SUBJECT P City of Fridley 3 0 6 0 2 AT THE TOP OF THE TWINS BUILDING PERMIT RECEIPT NO. � COMMUNITY DEVELOPMENT DIV. ; r PROTECTIVE INSPECTION SEC. �� NUMBER REV OTE PAGE OF APPROVED BY CITY HALL FRIDLEY 55432 L 612-571-3450 910-F15 12/27/99 JOB ADDRESS 7305 Van Buren St NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 17 4 1 Schaffer's Subdivision #1 SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Steve Martens 7305 Van Buren St NE 783-9163 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Panelcraft of MN Inc 3118 Snelling Ave S, M ls., MN 55406 721-6628 2179 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO B USE OF BUILDING Reside House; Soffit/Fascia 7 CLASS OF WORK 0 NEW O ADDITION 0 ALTERATION 0 REPAIR 0 MOVE 0 REMOVE 8 DESCRIBE WORK 8 CHANGEOFUSEFROM TO STIPULATIONS Call for building wrap inspection before covering. Install soffit ventilation to meet the State Building Code. Permit inspection cards Will ®e Mailed TO Halmeowner To Post SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL. PLUMBING. HEATING, TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD VENTILATING OR AIR CONDITIONING. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING SO. FT CU FT. AUTHORIZED IS NOT COMMENCED WITHIN 80 DAYS. OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS OFFSTREET PARKING I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION ] 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 $2.80 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT $5,600 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- $125..25 F SC $5.20 STRUCTION OR THE PERFORMANCE OF CONSTRUCTION PLAN CHECK FE TOT/L FEE Lic S $5.0 $138.25 SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT IDATEI HEN RO VALIDA IS IS YOUR ERMIT � n I - aLO INSP ' pAi S.GNATURE OF OWNEPOF OWNER BUILDER, (DATE, l NEW[ l Effective 5/10/99 ADDN [ ] CITY OF FRIDLEY ALTER [v]� SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION ,-onstruction Address: 7.3 05- �G1 � � (,! r e- h Legal Description: Owner Name & Address: ✓ 71'e, n 5 73yS 6 or- ee n Tel. # 7 Y 3 -17111'4y3 Contractor: RA� r MN LICENSE # .217 9 Address: 3// 8 5.,e/ll,aq �fye . /j%o�s /�'1 /(� S S q o fo Tel. # 7 -2/- (p % a 8' el Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF IlUPROVEMENT LIVING AREA: • Length Width Height Sq. Ft. GARAGE AREA: Length Width Height Sq. Ft. DECK AREA: Length Width Hgt/Ground Sq. Ft. OTHER: Construction Type: SlY50F 45-e /a -Estimated Cost: $ "5-6 © y .veway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ ME DATE: l 02 —17 ` q�% APPLICANT: Tel. # ?c2Af 0 $40 .001 of Permit Valuation 1/10th% ���� it J� $ 0 $.50/$1,000 Valuation flcl � � �•' $ $1050 per SAC Unit $ 65�, 0 0 $5.00 (State Licensed Residential Contractors) $ Alt. A or Alt. B Above n ,� $ $4450.00 Conservation Plan Review l� $ Fee Determined by Engineering $ Agreement Necessary [ ] Not Necessary [ ] $ 1391,62.-15" Permit Fee O, ; Fire Surcharge P). State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee Sewer Main Charge TOTAL STIPULATIONS: CITY USE ONLY $ /-a v6-- oR.�>Fee Schedule on Reverse Side L BUILDING PERNIIT 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 stru upon application therefore, require the payment by the applicant for such permit of fees to the amount.,ll___In 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 first $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 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 w;» be required before proceeding with the framing. Building $ BUILDING Plan Review Permit No.: Inspections Fire Surcharge RESIDENTIAL APPLICATION .001 times the total job valuation Received By: 763-572-3604 .0005 x Permit Valuation Minimum $.50 CITY OF FRIDLEY $ Date Rec'd: 6'P Lok DATE I/ 06 YOUR E-MAIL ADDRESS $1550 per SAC Unit (Plans to MWCC for determination) SITE AD��-73a3 j V11M gyef,) 5TR_b r k' - $ THIS APPLICANT IS: ®'OWNER ❑CONTRACTOR $ PROPERTY OWNER/ NAME: $ TENANT ADDRESS: ��J ��IOa/ 9ak iv 5'/ %l"e, CITY STATE&JtIP �5 � Agreement necessary ( ) Non Necessary { ) PHONE: r743) 793- 9163 — CONTRACTOR Nom: ----- STATE LICENSE # EXP DATE SUBMIT A COPY OF YOUR STATE LICENSE ADDRESS: CITY STATE -ZIP WITH APPLICATION PHONE FAX PROPERTY TYPE InINGLE FAMILY/NEW CONSTRUCTION SIZE KfItnAtC9 ❑ TWO FAMILY/NEW CONSTRUCTION STORIES PERMIT TYPE ❑ ADDITION ❑ GARAGE/SHED ❑ WINDOWS ❑ BASEMENT FINISH ®-'ROOF ❑ DRAIN TILE ❑ DECK ❑ SIDING ❑ OTHER ❑ SWIMMING POOL TYPE OF WORK: ❑ NEW ❑ ADDITION ❑ MAINTENANCE/REPAIR ❑ REMODELING DESCRIBE WORK BEING DONE: ,'6z -3/2 SIZE OF IMPROVEMENT LENGTH -/ZWIDTH r - / _J/?';HEIGHT Sq. Ft. ROOFING � 3. &0? OUSE 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 $ 111aI — OCCUPANCY TYPE Permit Fee $ See Back Page for Fee Schedule Plan Review $ 65% of Building Permit Fee Fire Surcharge $ I. .001 times the total job valuation Surcharge $ .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 $ D 5.'7 Make checks payable to: City of Fridley Attach Stipulations THIS IS AN APPLICATION FOR A PERMIT -NOT VALID UNTIL PROCESSED I hereby apply for a building permit and I acknowledge that the information above is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Fridley and with the Minnesota Construction Codes; that I understand this is not a permit but only an application for a permit and 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 w ' equire rev'e�dval of plans. SIGNATURE OF APPLICANT PRINT NAME ,' f- & N V L� DATE Cal 06 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 1' $500 plus $3.05 for each additional $100 or fraction, to and including $2,000 $2,001 to $25,000 $69.25 for 1' $2,000 plus $14 for each additional $1,000 or fraction, to and including $$25,000 $25,001 to $50,000 $391.25 for F" $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 V $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 R $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 1- $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 I' $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