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PRE 2010 DOCSVMage of FrIdleyq IN MUM e �y�yy 4 Permit is hereby 'i ted to I a the building r k �" ' described in the above statement. This permit is granted upon the express c edition that e person, to whom it is granted, and iiis agents, employees and workmen, in all the work, done in, around and upon said building, or any part thereof, shad conform in all respects to the ordi- nances of Fridley, Minn., regarding the construction, alteration, maintenance, repair and moving of buildings within the city ts, and this permit may be revoked at any time upon violation of any of the provisions of said ordinances.41' ---Inspector of Buildings, AGREEMMM .AND SWORN STATEMENT In conside tion of the issue and delivery to me by the Inspector of Buildings of Fridley of the above pe 't I hereby agree to do the proposed work in accordance with the description above set fort and according to the provisions of the ordinances of Fridley, and, being first duly. sworn, I hereb' state and say that <the facts stated by me and contained in the above permit are true as therein tated. Subscribed d sworn to before me at Fridley, Miimesota, t A a� day o .D.'19 I y x'vB SUBJECT R PER City of F Fridley _ �.� 1�8 AT THE TOP OF THE TWINS BUILDING PERMIT r ' ' RECEIPT COMMUNITY DEVELOPMENT DIV. v PROTECTIVE INSPECTION SEC. NUMBER REV DATE PAGE OF APPROVED BY CITY HALL FRIDLEY 55432 612-571-3450 910-F15 4/25/95 JOB ADDRESS 7345 Van Buren Street NE I LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 19 4 Shaffer's Subdivision #1 SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Jonathan/Suzanne Lindquist 7345 Van Buren Street NE 786-8818 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 C NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Construct a 24' x 22' Detached Garage 9 CHANGE OF USE FROM TO STIPULATIONS Provide a hard surface driveway. See notations on plan. WARNING Before digging call for all utility locations 454-0002 REW I RED DY LAIN 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 ISTALLS I 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 @ $9,981 $4.99 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT 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- $117.00 Fire SC $9.98 STRUCTIO OR THE PERFORMANCE OF CONSTRUCTION PLAN CHECK FEE TOTAL FEE -¢ .W—q $131.97 51 ATUREOFCONTRAC OR TH RIZED AGENT IDATEI WHEN PROPERLY LIDATED THIS IS YOUR PERMIT 000 9 S.GNATURE OF OWNERUF OWNER BUILDERI IDATEI ? BLDG NSP �iaTe NEW p(] Effective 1/ 1/95 ADDN J] =CITY. OF FRIDLEY ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 Building Permit Application ConsiructionAddress: �l+i34Rt 1?i' Legal Description: GpipapG Owner 'Narrie &.Addresso�T Q S4zANNE %- i �DQZI T0.4 Contractor: SArri E - MN LICENSE # Address: LIVING AREA: GARAGE AREA: DECK AREA: OTHER: Tel. # Attach -to this: application, a Certificate of Survey of the lot,, with the proposed construction- drawn on it to scale. DESCRIPTION OF IMPROVEMENT Length Width Height Length 2A Width 22- Height _ Length Width Hgt/Grciund ' Sq. Ft. Sq. Ft. 5c2— Sq. c 2Sq. Ft. Comer Lot [ ] Inside Lot [ j Ft. Yd Setback 7D Side Yard Setbacks "7 Type of Construction: Estimated Cost: Approx. Completion Date: JL4 NE -1 , PAS %Z (Cost on Back) Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ DATE: Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee Sewer Main Charge TOTAL APPLICANT: Tel. # CITY USE ONLY Fee Schedule on Reverse Side .001 of Permit Valuation (1/10th%) $.50/$1,000 Valuation $850 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 [ ] STIPULATIONS: , BUILDING PERMIT FEL? SCHEDULE The Chlet- Building Official shall, before issuing permits for the erection of•any building or structure, or- tier 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 suchpermit . Of fees to the; ,arrrtiunt herein below-, set - forth.. and -.in- the '.manner herein.:provitsizs to lO"1'AL VAl_I1E. FEIN . E ..• ' to $500 .$15 5 (Minimums. Fee: is $15plus surcharge) $501 - to • .. $200 $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 $1S. for first M plus $2 for each additional $100 or fraction thereof, to and including $2,000 - .$45 for first $2,000 plus $9 for each additional $1;000 or fraction thereof, to and including $25,000 $252 for first $25,000 plus $6.50 for each additional $1;000 or fraction thereof, to. and including $50,000 $414.50 for first $50,000 plus $450 for. each additional .$4000 or fraction thereof, to and. including. $100,000. $63950 for first -$100,000 ,plus- $3.50 for each additional. $1,000 or fraction thereof, to and including -$500,000 $2039.50 for the first $500,000 plus $3 for each additional $1,000 or fraction thereof, to and including $1,000,000 $3539.50 for the fust $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 513.50. 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 constructers will be required before proceeding with the framing - 9 SUBJECT City of Fridley 3=1 AT THE TOP OF THE TWINS BUILDING PERMIT r ` RECEIPT NO. -------COMMUNITY DEVELOPMENT DIV. PROTECTIVE INSPECTION SEC.�� ���_�� 04 r c NUMBER REV DATE 7/16/01 PAGE OF APPROVED BY i CITY HALL FRIDLEY 55432 612-571-3450 910-F15 10B ADDRESS 7345 Van Buren Street NE I LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 19 4 Shaffer's Subdivision #1 SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Jonathan/Susan Lindquist 7345 Van Buren Street NE 763-786-8818 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Walker Roofing Co Inc 270136 Ave S, Minneapolis, MN 55407 612-729-2325 4229 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 O ADDITION O ALTERATION REPAIR ❑ MOVE ❑ REMOVE 6 DESCRIBE WORK Reroof House (12 Sq) Tear-off 9 CHANGE OF USE FROM TO STIPULATIONS Underlayment must comply with the State Building Code. AMR inspection dards Will Be Malle-A �, ® "Omeowner T® Post SEPARATE PERMITS ARE REOUIRED 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 CLL 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 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 $1,222 $.61 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- $1.23 STRUCTION OR THE PERFORMANCE OF CONSTRUCTION $47.90 Firp SC PLAN CHECK FEE TOT FEE Lice e SC $ $54.74 SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT tDATEr HE PRO'VALI THIS I YOUR PERMI S,GNATURE OF OWNERoF OWNER BWLD.ERi tOATEi INSP - MATE NEW [ ] ADDN ALTER Effective 5/10/99 [ ] CITY OF FRIDLEY [ l SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION c Construction Address: �H E - Legal Description: Owner Name & Address: (i �-, �' � ; �r�c n Tel. #-7(2 -?ff4- t818 Contractor: W64u- 46s1 %, MN LICENSE # Address: -27blc�Lox' �� g4eCS �561fC--? Tel. # Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF 11M PROVEivMN'T LIVING AREA: Length Width Height Sq. Ft. GARAGE AREA: Length Width Height Sq. Ft. DECK AREA: Length Width Hgt/Ground Sq. Ft. OTHER: Construction TypejamC M- C,&& mo h �.�.e. Estimated Cost:$ 00 Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ n = $ DATE: 7 r 4o n Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee Sewer Main Charge TOTAL STIPULATIONS: l► l qb CITY USE ONLY $ 't Fee Schedule on Reverse Side $ a3 .001 of Permit Valuation (1/10th%) $ ,�_ $.50/$1,000 Valuation $ $1050 per SAC Unit $ Tel. # 6 (o2rll 3 $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 PERINUT 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 $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 will be required before proceeding with the framing. 04/02/2004 FRI 13:21 FAX iii ELDER JONES NEW [ ] CITY OF FRIDLEY ADDN [ ] 6431 University Ave NE, Fridley, MN 55432 ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION X1001/001 Effective 4/1/2004 (763) 572-3604 Bldg Insp (763) 571-1287 Fax Construction Address: Legal Description: Owner Name & Address• p �, e u "f\\A txi , Tel. # Contractor. MN LICENSE # o�� �Qt t�3 Address: RENEWAL BY ANDERSEN Tel. #(pS l' oR(-t' � ��� 1920 COUNTY ROAD "C" WEST ROSEVI LLE, MN 55113 !cats of Survey of the .i drawn on it to scale. DESCRIPTION OF IMPROVEMENT LIVING AREA: Length � Width -� Height Sq. Ft GARAGE AREA: Length Width Height Sq. Ft DECKAREA: Length Width Hgt/Ground Sq. Ft OTHER:, 5)nX'm N)0&JE::. N AMs4b Construction Type- Estimated Cost: $ a 1, 170 Driveway Curb Cut Width Needed: Ft + 6 Ft = Ft x DATE: .. APPLICANT:Lj7 k&—Tel.# �G'aa3L4 , •� Call (763) 6724604 for Permit Fees if mailing In application. Fax to 763-571-1287 If using credit card and we will call you for card number. Permit Fee Plan Review Fire Surcharge State Surcharge SAC Charge License Surcharge Curb Cut Escrow Erosion Control Park Fee Sewer Main Charge TOTAL CITY USE ONLY - Fee Schedule on Reverse Side 65% of Permit Fee .001 of Permit Valuation (1/10th%) $.50/$1,000 Valuation $1350 per SAC Unit $5.00 (State Licensed Residential Contradtors) Alt. "A" or Alt. "B" Above $450.00 Conservation Plan Review Fee Determined by Engineering Agreement Necessary[ ] Not Necessary[ ] STIPULATIONS: NEW [ ] CITY OF FRIDLEY ADDN [ ] 6431 University Ave NE, Fridley, MN 55432 (763) 5723604 Bldg Insp ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 (763) 571-1287 Fax BUILDING PERMIT APPLICATION Construction Address: :Z -3 Ll 5�- Legal Description: Owner Name & Address: t'yi� S� Az At el. # Contractor: 7F* c) S&'Af4a°lal-vs 0 f MAI MN LICENSE # 10 3 'A l8 f 7 Address: I C1 �'3 S (eiLiL pl rex C-,, t-4 1 S-/I✓l �z2 Tel. # Gas( 7 761 " 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: Construction Type: " S l Estimated Cost: $ `ter Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x DATE: APPLICANT: T J 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. Permit Fee Plan Review Fire Surcharge State Surcharge SAC Charge License Surcharge Curb Cut Escrow Erosion Control Park Fee Sewer Main Charge TOTAL CITY USE ONLY - $ � d , a2�° Fee Schedule on Reverse Side 65% of Permit Fee .001 of Permit Valuation (1/10th%) $.50/$1,000 Valuation $1450 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 [ ] STIPULATIONS: BUILDING PERAM 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 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 $1,000,001 and up $5,608.75 for the first $1,000,000 plus $3.15 for each additional $1,()00 or fraction thereof DRIVEWAY DEPRESSION ESCROW (Concrete Curb Streets Only) Removal and replacement of curb and gutter only - Driveway width plus 6 feet times $17.00. 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. New Houses Only Building $ BUILDING Plan Review Permit No.: 06S-® 01#1a Inspections RESIDENTIAL APPLICATION $ Received By: 763-572-3604 $ CITY OF FRIDLEY License Surcharge Date Rec'd: DATE j YOUR E-MAIL DRESS I Zc�iYl Yl C C! u l ',-1� SITE ADDRESS 5 Van Curb Cut Escrow THIS APPLICANT IS: OWNER ❑CONTRACTOR �rasiros� n o PROPERTY OWNER/ NAME: Park Fee $ ADDRESS: 1, � � crrY 1) STATE IP� TENANT Total Due PHONE: fIOBO Make checks payable to: City of Fridley Attach Stipulations CONTRACTOR NAME: STATE LICENSE # EXP DATE SUBMIT A COPY OF YOUR STATE LICENSE ADDRESS: CITY STATE ZIP WITH APPLICATION PHONE FAX PROPERTY TYPE ❑ SINGLE FAMILY/NEW CONSTRUCTION SIZE ❑ 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: SIZE OF IMPROVEMENT LENGTH WIDTH HEIGHT Sq. Ft. ROOFING ❑ HOUSE ONLY NUMBER OF SQUARES ❑ HOUSE & GARAGE BASEMENT REMODELING SUBMIT: GARAGES ❑ ATTACHED GARAGE 1. 2. Existing Floor Plan Proposed floor plan PROPOSED SIZE: ❑ DETACHED GARAGE 3. List of structural members to be used PROPOSED HEIGHT: SIDING FOR NEW CONSTRUCTION INCLUDING DECKS. ❑ Vinyl []Soffit ADDITIONS. & PORCHES SUBMIT: ❑ Aluminum ❑ Trim 1. Site Plan/Survey showing the existing structures ❑ Other ❑ Fascia and proposed project. WINDOWS 2. Two sets of construction plans IN EXISTING OPENINGS ❑Yes CINo 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 $ OCCUPANCY TYPE Permit Fee $ See Back Page for Fee Schedule Plan Review $ 65% of Building Permit Fee Surcharge $ (.0005) times the total job valuation — Minimum $.50 Fire Surcharge $ .001 x Permit Valuation (1/10%) License Surcharge $ $5.00 (State Licensed Residential Contractors) SAh $ $1450 per SAC Unit (Plans to MWCC for d e in cit) U Curb Cut Escrow $ + 6 ft = ?—?—_ ft x $20 = $ �rasiros� n o $ _Lejt $450 Conservation Plan Review Park Fee $ Fee Determined by Engineering Sewer Main Charge $ Agreement necessary ( ) Non Necessary ( ) Total Due $ 6 / a i 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 }���'icA�h requires review and appro 1 of plans. �.� p /jy�6 SIGNATURE OF APPLICANT�C'P�� a.P PRINT NAME�a[�cbtuzl�G �.�tiV= DATE 6�l'L,/ 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 1s` $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 1s` $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 la $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 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 Building AND MATERIALS: BUILDING Permit No.: on ' 61,Y/q Inspections W04 T TAL JOB RESIDENTIAL APPLICATION Received By: 763-572-3604 $ Q 67 CITY OF FRIDLEY Date Recd: DATE C.7 ^ d y OBJ YOUR -MAIL ADD J i U Ao � t 1 e /K&Kt. �': SITE ADDRESS 7 3 q .5 V IA N G{ (' c`1V % E THIS APPLICANT IS: ❑ OWNER CONTRACTOR PROPERTY OWNER/ NAME: 417 e— u/ 57" TENANT ADDRESS: GLl CITY &J0 STAN IP 551/j2 - $ �, PHONE: S ^ & ^'asIA? CONTRACTOR NAME: jE: X tQl tors STATE LICENSE # ZOZ 2OL 96' EXP DATE 3 SUBMIT A COPY OF YOUR STATE LICENSE ADDRESS: %3 S( klir k"2100d CITY V"E'•-STATE_"ZIP $53 6? WITH APPLICATION PHONE -&3 % n AX PROPERTY TYPE INGLE FAMILY/NEW CONSTRUCTION SIZE $ ❑ TWO FAMILY/NEW CONSTRUCTION STORIES PERMIT TYPE ❑ ADDITION ❑ GARAGE/SHED ❑ WINDOWS Total Due ❑ BASEMENT FINISH ❑ ROOF ❑ DRAIN TILE Make checks payable to: City of Fridley Attach Stipulations ❑ DECK ❑ SIDING `fd OTHER �J / ❑ SWIMMING POOL s s $ fit/C. TYPE OF WORK: ❑ NEWDITION ❑ MAINTENANCE/REPAIR ❑ REMODELING C DESCRIBE WORK BEING DONE: � 5Tr vt GT a S S FA4!0_ 5C LP C SIZE OF R PROVEMENT ' ) " '?J LENGTH ( (P WIDTH Z HEIGHT Z / � Sq. Ft. ROOFING ❑ 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 kOther ❑ 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 nES ARE BASED ON VALUATION, INCLUDING THE COST OF LABOR AND MATERIALS: 1p 77 C60 (USING THE 1997 U.B.0 FEE SCHEDULE) W04 T TAL JOB VALUATION $ ;E9. y3 - oG OCCUPANCY TYPE Permit Fee $ Q 67 See Back Page for Fee Schedule Plan Review $ 65% of Building Permit Fee Surcharge $R (.0005) times the total job valuation — Minimum $.50 Fire Surcharge $ .001 x Permit Valuation (1/10%) License Surcharge $ �, $5.00 (State Licensed Residential Contractors) SAC Charge $ $1450 per SAC Unit (Plans to MWCC for determination) Curb Cut Escrow $ ft + 6 ft = ft x $20 = $ Erosion Control $ $450 Conservation Plan Review Park Fee $ Fee Determined by Engineering Sewer Main Charge $ Agreement necessary ( ) Non Necessary ( ) Total Due $ 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 cod o the City of Fridley and with the Minnesota Construction Codes; that I understand this is not a permit but only an applic ° or a e 't d work is not to start without a permit; that the work will be in accordance with the approved plan in the case of all w rk whic a eview and approval of plans. SIGNATURE OF APPLIC PRINT NAME J06 /JA� DATE 05 �Jo A) +T�fo�V W Sum -4 V6 Zj,TDCpuLqm Z. q w. '� �i��Sr � �.,.±=5 x'F' ,,.mss,. Y'k gi^�.mY,f�t�':liVF•�,�r ���W, �� -sa (9A.AGE q w. '� �i��Sr � �.,.±=5 x'F' ,,.mss,. Y'k gi^�.mY,f�t�':liVF•�,�r ���W, �� -sa i �i CHs � �cl 4 �snoH . Str�L .r AWAiN W ' 3 • N ..t'33N1s N-9-Mn9 NV/\ Si¢ -rt' L w 44- v) �s�hbDN 7vu-�� .0 5 Building —L'S 1 0 BUILDING Permit Fee Permit No.:�bl Inspections Plan Review RESIDENTIAL APPLICATION Received By: 763-572-3604 $ CITY OF FRIDLEY Surcharge Date R 763-502-4977 FAX License Surcharge $ $5.00 (State Licensed Residential Contractors) SAC Charge $ EFFECTIVE 7-1-2010 Curb Cut Escrow $ DATE 16 (41 0 YOUR E-MAIL ADDRESS ®e f: i J SITE ADDRESS 134 5 __qA_01J 1&0 S Z AJCI $450 Conservation Plan Review THIS APPLICANT IS: ❑ OWNER *ONTRA.CCT-OR Fee Determined by Engineering PROPERTY OWNER/ NAME: v,,,,J l-! Lilii Agreement necessary ( ) Non Necessary ( ) ADDRESS: :713�- VAIJ SUFL l 5 i6TY f�I D1. °° STATEA ZIP 1432 TENANT PHONE: r 0 3 - 6 86' 6®16 -CONTRACTOR NAME: , f� SUBMIT A COPY OF YOUR STATE LICENSE STATE LICENSE # EXP DATE -3"-51 AND CERTIFICATE OF ADDRESS: Z � 7ff "WP fi CITY 'S'(, ?PdIL STATEV1^.&lP_5�r rz4 INSURANCE PHONE i -Z t - p W FAX PROPERTY TYPESINGLE FAMILY/NEW CONSTRUCTION SIZE E3TWO FAMILY/NEW CONSTRUCTION STORIES PERMIT TYPE ❑ ADDITION ❑ GARAGE/SHED ❑ WINDOWS ❑ BASEMENT FINISH ROOF ❑ DRAIN TILE ❑ DECK ❑ SIDING ❑ OTHER ❑ SWIMMING POOL TYPE OF WORK: ❑ NEW HOME CONSTRUCTION ❑ 1'191MAINTENANCE/REPAIR ❑ REMODELING DESCRIBE WORK BEING DONE: ?454 6,r 0 Ir CJA&VG C C',VL-Y96MQ-" SIZE OF IMPROVEMENT LENGTH WIDTH HEIGHT SQ FT ROOFING y ❑ HOUSE ONLY BASEMENT REMODELING SUBMIT: NUMBER OF SQUARES.��2� ❑ HOUSE & GARAGE 1. Existing Floor Plan GARAGES ❑ ATTACHED GARAGE 2. Proposed floor plan PROPOSED SIZE: ❑'DETACHED GARAGE 3. List of structural members to be used PROPOSED HEIGHT: SIDING FOR NEW CONSTRUCTION INCLUDING DECKS. ❑ Vinyl ❑Soffit ADDITIONS. & PORCHES SUBMIT: ❑ Aluminum ❑ Trim l . Site Plan/Survey showing the existing structures ❑ Other 11 Fascia and proposed project. 2. Two sets of construction plans WINDOWS 3. Energy Calculations IN EXISTING OPENINGS ❑Yes ❑No LOCATION OF WINDOWS FOR WINDOWS - PROVIDE U -VALUE AND OR FOR NEW OPENINGS -DESCRIBE SIZE OF MANUFACTURE STICKER ON WINDOW. 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 $ —L'S 1 0 OCCUPANCY TYPE Permit Fee $ See Back Page for Fee Schedule Plan Review $ 65% of Building Permit Fee Fire Surcharge $ .001 times the total job valuation Surcharge $ .0005 x Permit Valuation Minimum $5.00 License Surcharge $ $5.00 (State Licensed Residential Contractors) SAC Charge $ $2100 per SAC Unit (Plans to MWCC for determination) Curb Cut Escrow $ ft + 6 ft = ft x $24 = $ Erosion Control $ $450 Conservation Plan Review Park Fee $ Fee Determined by Engineering Sewer Main Charge $ Agreement necessary ( ) Non Necessary ( ) Total Due $ eU .. 17LI Make checks savable to: Citv 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 on site; that the work will be in accordance with the approved plan in the case of all or whi r uires review and approval of plans./��, SIGNATURE OF APPLICANT PRINT NAME Atyi p I _DATE C APPROVAL INSPECTOR SIGNATURE I1 PLEASE NOTE: SEPARATE PERMInARE REQUIRED FOR PLUMBING, ELECTRICAL AND MECHANICAL WORK From: 7635354379 Page: 2/2 Date: 2/1/2011 1:17:48 PM Veftfi �f Shin71 "7 777 W :: b aheet:.: ck Step 1 P'ro os vent size : Equivalent Feet Step 2 Termination kit catalo umber Proper Draft? Combustion Gas Tested (high fire and low fire)? 405 alC42 ©'CO Vent pipe equivalency va from table 5: External Static Pressure? - Step 3 Total number of 90° elbows re ired (Indo and outdoors) X 5 = equivalent fe of e Step 4 Total number of 450 elbows requirg*fihdoors and outdoors) X 2.5 = equivalepOeet of p Step 5 Linear feet of straight pipe quired : _ Step B Add equivalent feet of ent pipe listed in TOTAL steps 2 through 5. If the total is equal to, or !0188 , the allowable maximum given in table 6, the proposed pi size Is acceptable. If the total exceeds the maximum owed vent pipe length, repeat the process above using the next or diameter pipe until an acceptable total is ac ved. NOTE - In Direct venpgysterns, total the equivalent length of o4her the exhaust OR intake piping run, depending upon which w/11 be WNGE•R. Intake and exhaust pipe diameter must be the same size and must be terminated in the same pressure zone. Intake and exhaust pipe should be roughly the some length. .77P : • Ilmanc ... Ili Job Name Job No. OpwY:� Date / Job Location 73Y -f' t1AW r"WE,- 6! 5City rk4pe-,EY State Au", Installer Q69LU' City State Unit Model No. Cj(PIInPV3ta13-07i Technician A'Ir. Serial No. !�'qfo WqV SA Heating Section Electrical Connections Tight? [ Line Voltage t zo Blower Motor Amps Blower Motor H.P. 1,,' A -- Gas Piping Connections Tight & Leak -Tested? Fuel Type: Natural Gas? [' LP/Propane Gas? ❑ Fumace Btu Input (High fire) 62(0 4WP _ Line Pressure Low Fire Manifold Pressure / 7 w.c. - Nat,: w.c, - LP/Propane High Fire Manifold Pressure ,Z_ w.c. - Nat.: --w.c. - LP/Propane Flue Connections Tight? Proper Draft? Combustion Gas Tested (high fire and low fire)? 405 alC42 ©'CO Slower ON delay confirmed? 4,105 External Static Pressure? - (45 Seconds Fixed On) (0.5 maximum) Blower OFF Delay Setting (60&>1,20 or 180)? 90 Temperature Rise yd Filter Clean & Secure? Thermostat Heat Anticipator Setting? .X Page 65 Thermostat Level?