The URL can be used to link to this page

PRE 2010 DOCSOctober 30, 1961 Mr. Calvin G. Brown City Engineer City of Fridley 6431 University Ave. N. E. Minneapolis 21, Minnesota Dear Mr. Brown: I, Don L. Anderson, agree not to hook up Sewer for occupancy on the following addresses until such time as the City will give me an okay, or until it has been inspected and ready for use; 7430 Van Buren St. N. E. 7440 Van Buren St. N. E. 7460 Van Buren St. N. E. 7470 Van Buren St. N. E. Very truly yours, D. L. ANDERSON Application for Power Plants and Heating. Cooling. Ventilation, Refrigeration and J Air Conditioning Systems and Devices PARTIAL RATE SCHEDULE Dept. of Bldgs. Phone SII 4-7470 GRAVITY WARM AIR: RATE TOTAL Furnace Shell & Duct Work .......................... 8.00 $ Replacement of Furnace ............................. 5.00 $ Repairs & Alterations—up to $500.00 .................. 5.00 $ Repairs & Alterations each add. $500.00 ............... 2.50 $ MECH. WARM AIR Furnace Shell & Duct Work to 124,000 BTU ............ 8.00 each add. 60,000 BTU ....................... 2.00 $ Replacement of Furnace ............................. 5.00 $ Repairs & Alterations—up to $500.00 ................. 5.00 $ Repairs & Alterations each add. $500.00 .............. 2.50 $ STEAM or HOT WATER SYSTEM Furnace Shell & Lines—to 400 sq. ft. EDR Steam .... 8.00 $ $' Furnace Shell & Line—to 640 sq. ft. EDR Hot Water ... 8.00 $ Each add. 200 sq. ft. EDR Steam ...................... 2.50 $ a Each add. 320 sq. ft. EDR Hot Water .................. 2.50 $ OIL BURNER—to 3 gal. per hour ................. ...... 5.00 $ over 3 gal. per hour—See Fee Schedule GAS BURNER (up to 400,000 BTU) ....................... 5.00 $�— GAS FITTING FEES: NO RATE TOTAL 1st -3 Fixtures ...................... x $1.50 $T� Additional Fixtures ................ x .50 $ Gas Range to 200,000 BTU ........... x 2.00 $ AIR CONDITIONING FAN HEATING SYSTEM VENTILATING SYSTEM ALTERATIONS & REPAIRS ROUGH FINAL See Fee Schedule TOTAL FEE $ C City of Fridley: The undersigned hereby makes application for a permit for the work herein specified, agreeing to do all work in strict accordance with the City Ordinances and ruling of the Department of Buildings, and hereby declares that all the facts and representations stated in this application are true and correct. Fridley, Owner— '&_ Kind of Building Used as To be completed about w6l' v Estimated Cost, $ Old— 1gi. Building Permit No. Permit No. (� DESCRIPTION OF WORK HEATING or POWER team, Hot Water, Warm Air—No� Trade Name— r Size No- ') Capacity Sq. Ft. E.D.Rz�/�ai� BTU H.P. Total Connected Load Kind of Fuel BURNER — Trade Nam ' Size No - Capacity— Sq. Ft. E.D.R.BTU H.P. (REMARKS—OVER) w az 2M Business Phone HEAT LOSS CALCULATIONS DEPARTMENT OF BUILDINGS FRIDLEY, MINN. Weatherstrips A.S.H.V., Construction No. Insulation Guide Windows Doors Reference Out. Wall jInt.WalI I Ceiling I Roof Floor I Kin How Applied — ` Fl.1 e,�z,�, Room I Lenstth-7Width /fir Height � II Fl.� Room Length / idth Heigh Windows arid Doors—Crackage and Area WidthHeight No. of Lineal ft. Area No. of pane of pane lights of crack sq. ft. Width Height No. of Lineal f . Area No. of pane of pane lights of crack sq. ft. e� Net exp. wall Coef. Btu Infiltration Coef. Btu Infiltration D( ?i 7,eP Glass Glass Exp. wall te Exp. wall Net exp. wall < Int. wall — Ceiling Int. wall !� Floor Ceiling 1 otal 13tu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area y Fl. oom Length ( Width / Height Windows and Doors--Crackage and Area Width Height No. o[ Lineal ft. Area No. o[ pane of pane lights of crack eq. ft. `�i L/� f 7.2-, L I /sem Btu Infiltration Glass �. Exp. wall Net exp. wall ,� Z40 Int. wall Ceiling vo Floor Total Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area S FI.W.IA441 L. I Length ./ 3 ( Wirith -7e M.;.ht GP'/ Windows and Doors—Crackage and Area WidthHeight No. of Lineal ft. Area No. of pane of pane lights of crack sq. ft. 'e Exp. wall Net exp. wall Coef. Btu Infiltration Coef.1 Btu Infiltration D( ?i Exp. wall �;w I�D Glass Int. wall te Exp. wall V Windows and Doors—Crackage and Area Net exp, wall — /U Int. wall Ceiling 171 Floor Total Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area Endows and Doors—Crackage and Area Width Height No. of Lineal ft. Area No of pane of pane lights of crack sq, f �� Exp. wall Net exp. wall Coef. Btu Infiltration Glass X 21-401c) Exp. wall Net exp. wall Int. wall te Ceiling Floor V Total Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area Fl.l Room ( Length 3 / Width Windows and Doors—Crackage and Area Width Height No. o! Lineal ft. Area No. of pane of pane lights of crack . sq. ft, Fm r. Infiltration 1,.Z e Glass < �� Exp. wall Net exp. wall -1,5-7Y Int. wall Ceiling 13.0 /0 21-401c) Floor Total Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area te Room I LengthJy(' Width Qe' Height Windows and Doors—Crackage and Area Width Height No. of Lineal !t. Ares No. o jp.Qn of pane Jigh/ts of crack eq. it. -t /�1l � 3✓ / I IPV 1-2, Btu Infiltration Glass , Exp. wall 72, Net exp. wall Int. wall Ceiling D �� Floor Total Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area --1—A City of Fridley, Alinn. BUILDING PERMIT N°5 6 5 s Date: .. �`' t�'-1�=----.•• f P Owner: Builder Address Address _—-------.---. - — L TION Of 7LDING No. � Street Z..._.... Part of , Lot __ Block_ _ Addition or Sub -Division .� Corner Lot Inside Lot _. Setback _ _ _ Side _ _ — Sewer Elevation _ _ _ _ Foundation Elevation DESCRIPTION OF BUILDING Front Depth - Height Sq. Fi.Cu. Ft. Frnnt Depth Height _ Ft. , Cu. Ft. ate. e✓' . �� . Type of~ nstruction _ Est. Cost 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 all provisions of ordinances oP the city of Fridley. In consideration of the payment of a fee of $ , 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 time upon violation of any of the provisions of said ordinances. - ...9. Building Inspector VPW NOTICE: This permit does not cover the construction, installation for wiring; plumbing, gas heating, sewer or water. Be sure to we the Building Inspector for separate permits for these itenm 4 APPLICATION FOR :I M J M •�4• 1 CITY • M/ XMWOTA Owner a NameQe�- ��Builder �� &� Address Lop ION OF BUILDING No. Street Part of Lot Lot Block Addition or Subdivision/ J-/0 Corner Lot Inside Lot i, Setback Side -Yard Z—/ _ SEWER ELEVATION FOUNDATION ELEVATION Applicant attach to this form Certificate of Survey of Lot and proposed building location. To be used as: DESCRIPTION OF BUILDING FrontDepth Neight Sq. Ft. Cu. Ft. Front Depth Height Sq. Ft. Cu. Ft. Type of Construction Estimated Cost To be Completed The undersigned hereby makes application for a permit for the work herein specified, agreeing to do all work in strict accordance with the City Ordinances and ruling of the Department of Buildings, and hereby declares that all the facts and representations stated in this application are true and correct. /-1 /7 X--1 17 (A Schedule of Fee Costs can be found on the Reverse Side.) Section as The Inspector of Buildings shall, before issuing any permit for the erection of any building or structure, or for any addition to any existing build- ing 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 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 $1.10 for each one thousand cubic feet, or fraction thereof, in such cubical contents. 2.2. For any such permit for the erection of any fireproof garage, warehouse, factory or grain elevator, or for the erection of any fireproof 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. 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 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 -fireproof addition, for similar occupancy, to any existing building or for each such building or addition. Ninety Cents 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 for 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. City of Fridley Application for Plumbing and Gas Fitting Permit Dept. of Bldgs. Phone SII 4-747 DESCRIPTION OF WORK % Z�'& Number, Kind and Location of Fixtures Location L � 40 �( o PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: NO. RATE TOTAL Number Fixtures d d ...................... x $1.50 $� Future Fixture Opening ................ x 1.20 $ New Fixture Old Opening .............. x 1.00 $ Catch Basin ...... ..................... x 3.25 $ Water Heater (Up to 200,000 BTU) ......� x 2.00 $ New Ground Run Old Bldg . ............ x 3.25 $ GAS FITTING FEES: NO. RATE TOTAL 1st 3 Fixtures .......................... x $1.50 Additional Fixtures .................... x .50 $ Gas Range to 200,000 BTU .............. x 2.00 $ REPAIRS & ALTERATIONS—Refer to Code Description ................................................$ TOTAL FEE $� d City of Fridley: The undersigned hereby .makes application for a permit for the work herei specified, agreeing to do all work-in strict accordance with the City Ordinance and ruling of the Department of Buildings, and hereby declares that all the fact and representations stated in this applicatio are true and correct. n Fridley, NIinn- 41 Z.� d , 19 k I Owner Kind of Building Used as , To be completed about Estimated Cost, $ Old New. uilding Permit No Signe By Business Phone No ROUGH ®/'' 9 `&l FINAL az 2M NU Q�Oyjji 6• Z_ t Z Z WATER HTR. �0 R N GAS ELEG m Base 1st 2nd 3rd 4th Future Connection Openings Connected with Sewer New Fixture, Old Openings Cesspool PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: NO. RATE TOTAL Number Fixtures d d ...................... x $1.50 $� Future Fixture Opening ................ x 1.20 $ New Fixture Old Opening .............. x 1.00 $ Catch Basin ...... ..................... x 3.25 $ Water Heater (Up to 200,000 BTU) ......� x 2.00 $ New Ground Run Old Bldg . ............ x 3.25 $ GAS FITTING FEES: NO. RATE TOTAL 1st 3 Fixtures .......................... x $1.50 Additional Fixtures .................... x .50 $ Gas Range to 200,000 BTU .............. x 2.00 $ REPAIRS & ALTERATIONS—Refer to Code Description ................................................$ TOTAL FEE $� d City of Fridley: The undersigned hereby .makes application for a permit for the work herei specified, agreeing to do all work-in strict accordance with the City Ordinance and ruling of the Department of Buildings, and hereby declares that all the fact and representations stated in this applicatio are true and correct. n Fridley, NIinn- 41 Z.� d , 19 k I Owner Kind of Building Used as , To be completed about Estimated Cost, $ Old New. uilding Permit No Signe By Business Phone No ROUGH ®/'' 9 `&l FINAL az 2M Rec. 47324 City of Fridley, Minn.. No 10250 BUILDING PERMIT Owner: M Phil Hankins Builder Same LOCATION OF BUILDING No. _ _744.Q— Street I.an Birren __ — Part of Lot Lot _._.._Q ___ Block ` Addition or Sub -Division ShafferI s Subdivision #1 Corner Lot .- Inside Lot — -X- Setback 3 6 . ¢____ Sideyard - Sewer Elevation Foundation Elevation DESCRIPTION OF BUILDING To be Used as: A a d ; +; ap Front -L-I" Depth 24.._..._.. Height ._.10 — Sq. Ft. --1-58 4 cu. Ft. 1584 _ Front Depth Height Sq. Ft. Cu. Ft. Type of Construction F-XaM-g Est. Cost __... OCL...00 _ _ To be Completed June 30, 1969 In consideration of the issuance to me of a permit to construct the building descri ed above, I agree to do the proposed work in accordance with the description above set forth Z,,Inrm ce with a�ovi�diono of the city of Fridley. 6EJ In consideration of the payment of a fee of $ 5., permit is hereby granted to Phil Hanks 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 time upon violation of any of the provisions of saa�id ordinances. A� /t Building Inspector BANK MUNICH -Building Official NOTICE: This pemeit does not cover the construction, inshilution for WhIng, plumbing, gas hosting, sewer or water. Be sure to we the Building Inspector for separate permits for thus items. APPLICATION FOR BUILDING PERMIT CITY OF FR LEY, SOTA OWNER'S NAME BUILDER 1/, ADDRESS �,,�� i�/�' S "� � ADORES LOCATION'OF BUILDING NO. STREET o e,,, - LOT BLOCK�� ADDITION OR SUBDIVISION r CORNER.•. LOT INSIDE LOT SETBACK - SIDETARD SEWER EWATIOA TOP OF FOOTING Applicant.attaoh to this form Two Certificates of Survey of Lot and proposed buildiW location drawn on these Certificates. DESCRIPTION OF BUILDING To Be Used As:., . �:•e ont Depth Height ZO Square feet Z � �� Cubic Feet .� ��.., Front Depth Height Square feet Cubic Feet Type of Construction Estimated Cost 3 �® To Be Completed U 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 deolarss that all the facts and represnta ions stAtea n �• this applicatio3L are true and correct. ' � /� P%7, 7 ry, S1% p 6 .(Schedule oi Fee Cdsts can be found on the Reverse Side.) d BUIILDING PERMIT FEE SCHEDULE SECTION 2. The Inspector of Buildings shall, before issuing permits for the erection of any building or structure; or for any addition to any - existing structureor building, or.for any alteration 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: Uniform Building Code: Type 1, 2, & 4 - $1.75 for each one thousand cubic feet, or fraction thereof, in such cubical contents: Type 3 & 5.- $1.50 for each one thousand cubic feet. For the purpose of computing fees for building permits, the cubical aontents _of--zm7"bull7diaig`or additi-oYi-t a uniform he tes th gi%oi t -bY- _ . _ multiplying the ground area covered from a point six (6) inches.below the floor line of the basement or the cellar to the average height of the upper surface or to the average height of the roof surface of the main gable of a pitched roof. For repairs or alterations to an existing structure, the fee shall be at the rate of $3.00 per each five hundred dollars ($500.00 or fraction thereof in the cost of all proposed work. In no case shall the fee charged for any permit as set forth in Section 2 be less than $5.00. NSSSD Connection Charges based on location - Area 1 or 2. consents liDUI-001 WJ-t'I1 a minimum Or 04-00. For the purpose of cc, sting fees for building permit.- 'je cubical contents of any building or addition a uniform height throughout by Atiplying 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. ;A 2.5. For repairs or alterations to an existing ting structureP the fee shall be at the rate of $3.00 for each Five Hundred Dollars ($500-00), or fraction thereof in the cost of all proposed work. d7 r 9WAA J/7S% giclaul Sul AIJUXUAG ID�11AYnily -9 3 �9-; N A 6i!r15.?L spq� is SUIARA-ny p", !iqfu",OUMD7 SUBJECT ER City of Fridley 14'791 AT THE. TOP OF THE TWINS BUILDING PERMIT Irp,CEIPT N COMMUNITY DEVELOPMENT DIV. PROTECTIVE INSPECTION C? A�� r SEC. 1 i � CITY HALL FRIDLEY 55432 NUMBER REV. DATE PAGE OF APPROVED BY 612-680-3450 910-F15 6/30/78 JOB ADDRESS 7440 Van Buren Street N.E. 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 4 5 Shaffer's Sub. #1 SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Earl McCabe 7440 Van Buren Street N.E. 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Jack McCabe 3910 - 2nd Street N.E. 786-7373 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 E� ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Construct a 6.51 x 24' Garage Addition 9 CHANGE OF USE FROM TO STIPULATIONS Provide section through drawing showing roof pitch and rafter dimensions and spacing by July 15, 1978. WARI NG Before digging call local utinties SEP A71 PERMITS REQUIRED FOR WIR, .M Q TELEPHONE . ELECTRIC - GAS Etc.. mEONG, Pi.umem AND SIGN& REQUIRED BY LAW TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, VENTILATING OR AIR CONDITIONING. Wood Frame 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 R-1 156 1560 ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS OFFSTREET PARKING I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION 1 ISTALLS 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. $1,800 $.90 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- $12.00 STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. PLAN CHECK FEE TOTALFEE $12.90 SIGNATURE OF CONTRACTOR O AUTHORIZED AGENT (DATE) WH N PRO E THIS IS YOUR PERMIT ,�.i) IC�[.[ g�0 WLAT , BLDG )NSP DATE SI ATURE OF OWNER IIF OWNER BUIL R) (DATE) CITY OF FRIDLEY APPLICA'(•IOt! FOR RESIDENTIAL BUILDING PERMITS (NEW, ALTERATIONS, ADDITIONS, OR REPAIRS) OWNER: �GLG L�� BUILDER:" d"- Address: �/ U,q�7 AplZelJ %t Address: %/D No. ® Street: Tel. No.: ZFelz - LOT: BIACY.: -5— ADDITION: Su" P, CORNER LOT: INSIDE IAT: SETBACK: SIDEYARDS: Applicant attach 'to this form T<ao Certificates of Survey of Lot and proposed building location drawn on these Certificates. DESCRIPTION OF BUILDING To Be Used As: ®� y � Front: epth: -?-L/ Height: �Q / Square Feet: Cubic Feet: ®�S Front: Depth: Height: Square Feet: Cubic Feet: Type of Construction: C'fg Estimated Cost: $ /rlDd To Be Completed: Alt. A Alt. B Proposed Driveway Width If New Opening Is Desired $ $ (SEE REVERSE SIDE OF SHEET) 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. See reverse side for additional information. DATE: -p- ;?'r— SIGNATURE: c Stipulations: >s cow o.?. Qv BUILDING PERMIT FEE SCHEDULE SECTION 2. The Inspector of Buildings shall, before issuing permits for the erection of any building or structure, or for any addition to any existing building or structure, or.for any alteration 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: NEW CONSTRUCTION: Single Family Homes and Garages:$4.00/1,000 cubic feet. PLAN CHECK: 25 percent of building permit fee. DRIVEWAY DEPRESSION: (Concrete Curb Streets Only) Alternate A: Removal and replacement of concrete curb and gutter only; Driveway width plus 6 feet x $14.50 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 $17.20 11 w%'R • 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 six (6) 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 Fier each five hundred dollars ($500.00) or fraction thereof in the cost of. all proposed work. In no case shall the fee charged for any permit as set forth in Section 2 be less than $7.50 plus $.50 state surcharge. VERIFICATION OF FOUNDATION NOTE: 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. CERTIFICATE OF OCCUPANCY Application for a Certificate of Occupancy shall be made ten (10) days prior to the use or occupancy of any structure for which a building permit has been issued; and said structure shall not be used or occupied until a Certificate of Occupancy has been issued. CYT,', C; ; Rp ;E -V r?''' L, I C1, T u'DNl i -U , 1 7:- E A-,-, 7 .. AND C`A` . i4Q,, UCO -Li L_ O VENT IT LA I ACixI R 11 R1GERt;T1 ON AND . ''IR CONDa, SYST EMIS AN --D GV AT CEE� C'A,--Y it A` yi � ,��„ _ ;: •'J. GRAVITY 1 ARMY Ai:. RTE _A_ Uo'o Address Furnace Shell c, Duct work $12.00 $ rr.eplac1^ent or Furnace %<00 $ . Repairn Al-uu to $500.00 7.00 $ Department of Bui1•'?irgs ism & Pltara':ions each acd. 5500.00 4.00 S City of Fridle; Tel. #371-3450 ME i^:v` Ali:?: hereby The undersigned bench makes application £or z. ¢' g p permit for the work herein Fainace She>l & Du^t ?or?; to 100,000 BTU $l2.•00 $ spscified agreeing to de all Mork in strict accordar_ce with the City Codes-ach 3 add, 50,00.0 BTU 4.00 $ and rulings of the Department of Buildings, and hereby declares that all t1:e Y,-la.cement o€ rurnace 7. C0 $ O facts and repr6senta'-ions stated in this application are trua and correct. Repairs S: Alt-atiors-up to $500.00 7.00 Fri'ley, Minn. Repair., s T1 e' a':io. each add. $50C.CO 00 S-tSai�i OR �iOT ;'.!'T'-; ox, TEM: OTv NER 3oi? e_ « .._. Li. , o to 1_00.,C00 BTL'. $ 00 $ KIND Or BUILDING�`_r1/j/i each adds. 50,000 BTU 4.00 $ Boiler only „p t-) 1g0,CC^• BTU 7.00 $ USED P,S each. a:dd^ _ 50,0100 BTU 6.00 --- $ 3y "i0 BE CO:''_PLEmBD ABOUT -- OIL Bi.T'i= E11 - to 3 g .. per hour $ .. . saes ado.. algal. n_,. hour IQ. 0U $ ESTIMATED COT GAS 1,i;PNER- from 2.00,,0 BT_ to 194,999 BSj $10. co $�� O.�D - NT'ti BUILDING PEWIT NO. - -- PERMIT NO. � _ (over 199,999 BTU seeFeeSchedule) $ . 3.30 3 300 est 3 F4..,: turcs „i li$.-C.R'_'.PTwON OF FURNACE/BURNER FzYtures x � .5 ..AJC $ _— Gas Pa*_-,ga '_c '99,;,00 BTU 0.00 $—, HEATING or POWER PLAumS, Steam, 'lot Water, Warm, A"ir- Na. / AIR C'JND`I7TONINrte �l '�`SeeFaeOchef $ / lef 6,4 L�!®d' e�Q7S-7,57 0 _�C� Trae-e :tame rya- ize r0. Fad HEATING SYS a---- V L_, T I L_i1.iNG Si•. ,lei v r� C.2p1c_'ty �G/ sq. Ft. ED -a BTU ALT T'1 ONs C7 ii _ J ) — J C4vCi?arCf--: j`�5rj/�1`Al YJ Total Conner. eC Load nd of Fuel-- T(:jTAL FEY $Q�C) — GUF:T^R - Trade Name £i'le No. ROUGH iyS_. Date (S11.00i FINAL IN"n. -� 7 � Date / r4 -N rOD A117 HEATING PE- iT ;:S ''7." 0 urs5=?Ta SUR_ G? Capacity _. Sq. Ft. =7 BTU HP CITY OF FRIDLEY APPLICATION FOR PLUMBING ARID GAS FIT"'ING PERUT PARTIAL RATE SCHEDULE PLUNSING FIXTURE - RATES: 1\10. RATE TOTAL N' =;per Fi t.:res N Cr $ ri x $2.00 $ Na*w Fixture, Old Opening x $2.00 Water Cate: Basin x $5.00 $ Kater -eater - to 99,000 BTU '4 r -C n u O N 4J�, ro s+ W w x $7.00 Heater -.�ti U x $5.00 $ Electric Water Heater x .Ci > O 1st 3 fixtures x $3.00 S Additional Fixtures x .t p :.� G -:+ s+ •.a N 1 C v •.+ O O U •C-1 is U .0 U U $2.00 $ State Surcharge S .50 N :4 U W r-. 3 t7 TOTAL FEE C7 O aS 1eC 3 rd :z.I A� (R) = Future Connection Opening Connected with Sewer (*i = Naw Fixture, Old Opening Water PARTIAL RATE SCHEDULE PLUNSING FIXTURE - RATES: 1\10. RATE TOTAL N' =;per Fi t.:res x $3.00 $ tiz re F:.xt..re Cpening x $2.00 $ Na*w Fixture, Old Opening x $2.00 $ Cate: Basin x $5.00 $ Kater -eater - to 99,000 BTU x $5.00 $ _ iCv,OCO B=J to 199,000 BTU x $10.00 $ Hater Softener x $7.00 $ New Ground .^,sn Old Building x $5.00 $ Electric Water Heater x ;5.00 $ GAS FITTING FEES: 1st 3 fixtures x $3.00 S Additional Fixtures x $1.00 $ Gas F.z.ge to 199,000 BTU x $10.00 $ REPAIRS $ ALTERATIONS First $100.00 $5.00 $ earn add..$100.00 or fraction $2.00 $ State Surcharge S .50 VO TOTAL FEE S T=NEPEC ION FEE Job Address -9g40 V t'v" 8 Department of Buildings City of Fridley Tel. #571-3450 The undersigned hereby makes application for a permit for the work herein specified agreeing to do all work in strict accordance with the City Codes and rulings of the Department of Buildings, and hereby declares that all thrq.facts and representations stated in this application are true and correct Fridley, Mn. 194® OWNER gj-'a-� Aj�"I —jo 9.1n. RIND OF BUILDING ® J 1 �- USED AS TO BE COMPLETED ABOUT `` 61-3040 ESTIMATED COST OLD - NEW BUILDING PERv.IT NO. PERMIT NO.� Company 0 Signed By �7 / �1 Tel. No. /�7 ,93 ® ® ROUGH INSP. r Date FINAL INSP. % 7 - � 2 - Date APPROVAL FOR PEP.MIT zaN:rMUM FEE FOR ANY PLUMBING PERMIT IS $7.50 pLlyq $.50 STATE SURCHARGE L I I I Ur ta�-;LtY — APPLICATION FDR PLIJHBING AND SAS FITTING PEWIT. %-%TE SCHr'DUL E PLUMBING FIXTURE RATES: NO. RATE TOTAL New Fixtures S 5.00 $ Future Fixtures, ; 3.50 $ _ Old Opening, Now Fixture S 1.50 ; -' Beer Dispenser _ — - $ a u S . x u 5.00 Mater Catch Basin .- ; 5.00 S Rain Mstar Laade=' 3 5.00 $ Hydraulic valve 5 ..a..' - - Sump or Receiving Tank _ $ 5.00 S kaksr Treating Appliance _ S 7.00 S Hot Mater Rester, n C1 u -t. J. 1. C --- Heater r 4 O s C A �Y Y C. a 4. L A; E < -- qq Y 4 -.. S . 50 1515.001 TOTAL FEE v m O c. tJ 0. N s .+ 6 u Y N J i1 W ■ L q0 1eC N � U m 2 V tJ O .d5 -1st e 2nd - 3rd 3rd --- -- 4th - (R) - Future Connection Openi--g Connected with Sewer. (1) - New Fixture, Old Openi--q - Mates %-%TE SCHr'DUL E PLUMBING FIXTURE RATES: NO. RATE TOTAL New Fixtures S 5.00 $ Future Fixtures, ; 3.50 $ _ Old Opening, Now Fixture S 1.50 ; -' Beer Dispenser _ — - $ 4.00 S . Blow Off Basin ; 5.00 ; Catch Basin .- ; 5.00 S Rain Mstar Laade=' 3 5.00 $ Hydraulic valve 5 5.00 S - Sump or Receiving Tank _ $ 5.00 S kaksr Treating Appliance _ S 7.00 S Hot Mater Rester, ; 5.00 S Gas Range S 10.00 g Gas Dryer S 10.00 s ALL OTHERS ANO/OR REPAIRS A-40 ALTERATIONS Ie of Value of Fixture or Appliance -- p�y .1 - Reinspection Fee ; State Surcharge S . 50 1515.001 TOTAL FEE S '� Job Address / Department of Buiiatngs City of Fridley Tel. 9571-3450 The undersigned hereby makes application for a permit for the work herein specified agreeing to do all work in st.ict accordance with the City Codes and rulings of the Department of Buildings, and hereby declares that all the facts and representations stated in this -application are true and correct Fridley, Mn., " I % . 19 OWNER yaf C A KIND OP BUILDING USED AS TO BE COMPLETED ABCL."r ESTI'k---D COST Jay OLD - NEW BUILDING PERMIT NO. PERXIT NO. 4 CJ o a Company , - Signed By Tel. No. iiCL .H INSP. _ Datc FINAL INSP. Date A4-PROVAI. FOR PEWMI T !11:4[1!114 FEE FOR ANY PLUMIiINC. PERMIT IS $10.00 PLUS THE $.50 STATE SURLHAK E . SUBJECT PE City of Fridley 2797 5 AT THE TOP OF THE TWINS BUILDING PERMIT r ` RECEIPT NO. � `� COMMUNITY DEVELQPMENT DIV. ______ r PROTECTIVE INSPECTION SEC. NUMBERTREY DATE PAGE OF APPROVED BY ``� CITY HALL FRIDLEY 55432 612-571-3450 910F159/25/98 108 ADDRESS 7440 Van Buren Street I LEGAL LOT NO. BLOCK ; TRACTOR ADDITION SEE ATTACHED DESCR. 4 2 Shaffer's SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Dave Hofschulte784-1474 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Stock Roofing Inc. 289 Li - 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LI ENSE NO 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO 6 USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW ❑ ADDITION ❑ ALTERATION ERx REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Reroof house and garage (28 Sq) Tear -off 9 CHANGE OF USE FROM TO STIPULATIONS Underlayment must comply with the State Building Code. 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 S0. 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 4 ANY TIME AFTER WORK IS COMMENCED. I 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 $2399 $1.20 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- S TION OR THE PEFIf ORMANCE OF CONSTRUCTION $74.75 irA SC $2.40 ' PLAN CHECK FEE TO A FEE Licens 5.0 .35 - SIGNATURE OF CO TRACTOR OR AUTHORIZED AGENT IDATEI HE PR P VALID 609' INSo THISIII E T , MATE ~ S-GNATURE OF OWNER. -F OWNER BUILOERI IDATE, O 01 NEW T ] -, a -70I J!S' Effective 1/1/98 ADDN [ ] CITY OF FRIDLEY ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION ConstructionAddress: uv it . Legal Description: Owner Name & Address: �.v _ c� Sc�� Tel. # 'Y�eq Contractor: c�� ; �r,�� MN LICENSE # \ a Address: Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF IMPROVEMENT Tel. # 'I SG- 1 LIVING AREA: Length Width Height Sq. Ft. GARAGE AREA: Length Width Height Sq. Ft. DECK AREA: Length Width Hgt/Ground Sq. Ft. OTHER: COS 0 7,:_' aY - G� Construction Type: Estimated Cost: $ =2 37?60� (Fee Schedule on Back) Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ _ $ DATE: 9 --Q �- APPLICANT: Tel. Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge $ Driveway Escrow $ Erosion Control $ Park Fee $ Sewer Main Charge $ TOTAL STIPULATIONS: r"A CITY USE ONLY Fee Schedule on Reverse Side .001 of Permit Valuation (1/10th%) $.50/$1,000 Valuation $1000 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 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 $21 (Minimum Fee is $21 plus surcharge) $501 to $2,000 $21 for first $500 plus $2.75 for each additional $100 or fraction thereof, to and including $2,000 $2,001 to $25,000 $62.25 for first $2,000 plus $12.50 for each additional $1,000 or fraction thereof, to and including $25,000 $25,001 to $50,000 $349.75 for first $25,000 plus $9.00 for each additional $1,000 or fraction thereof, to and including $50,000 $50,001 to $100,000 $574.75 for first $50,000 plus $6.25 for each additional $1,000 or fraction thereof, to and including $100,000 $100,001 to $500,000 $887.25 for first $100,000 plus $5.00 for each additional $1,000 or fraction thereof, to and including $500,000 $500,001 to $1,000,000 $2887.25 for the first $500,000 plus $4.25 for each additional $1,000 or fraction thereof, to and including $1,000,000 $1,000,001 and up $5012.25 for the first $1,000,000 plus $2.75 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. CIlYOF FRIDLEY FRIDLEY MUNICIPAL CENTER • 6431 UNIVERSITY AVE. N.E. FRIDLEY, MN 55432 • (612) 571-3450 • FAX (612) 571-1287 June 14, 1990 GMAC Leann Skillings Flood Insurance Dept. P.O. Box 780 Waterloo, IA 50704 Subject: 7440 Van Buren Street N.E. To Whom It May Concern: The above -referenced property is located in zone C of the flood insurance rate map, which is considered to be areas of minimal flooding. The community panel map number is 270013 0001 B, effective March 2, 1981. If you have any further questions, please feel free to contact me. Sincerely, Barbara Dacy Planning Coordinator BD/dn cc: Linda Hofschulte C-90-350 SUBJECT P City of Fridley 21838 AT THE TOP OF THE TWINS U I L ®I NPERMIT BUILDING r LJJ RECEIPT NO. COMMUNITY DEVELOPMENT DIV. � •t1l Q _ L PROTECTIVE INSPECTION SEC. 14 NUMBER REV. DATE PAGE OF APPROVED BY CITY HALL FRIDLEY 55432 612-571-3450 910-F15 5/7/93 JOB ADDRESS 7440 Van Buren Street NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 4 2 Shaffer's Subdivision #1 SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Stock Roofing Inc, 289 Liberty Street NE, Fridley, MN 55432 780-3561 3112 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 Ej REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Reroof Dwelling (20 S(juares) 9 CHANGE OF USE FROM TO STIPULATIONS Roofing can be 2nd layer but not 3rd. If a tear -off, underlayment must comply with the State Building Code. 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 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 $� OBQ $' S4 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT IF 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- $27,00 Fire SC $1,08 STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. PLAN CHECK FEE TOTALFEE License SC $5,00 $33,62 SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT (DATE) -+w HEN RQ LY ALI ED THIS IS PERMIT [YOUR LDG )NSP DATE SIGNATURE OF OWNER OF OWNER BUILDER) (DATE) NEW [ ] Effective 1/1/93 ADDN [ ] CITY OF FRIDLEY ALTER[ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 Building Permit Application Construction Address: Legal Description: Owner Name & Address: Contractor:�� Address: Tel. # MN LICENSE # Tel. # -.;;� I 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: Corner Lot [ ] Inside Lot [ ] Type of Construction: Approx. Completion Date: Driveway Curb Cut Width Needed: a0 s. Ft. Yd Setback Side Yard Setbacks Estimated Cost: $ . (Cost on Back) Ft. + 6 Ft = Ft x $ = $®� DATE: fJ�APPLICANT: G Tel. # CITY USE ONLY Permit Fee $ 2 0, 0 0 Fee Schedule on Reverse Side Fire Surcharge $ ® 6 .001 of Permit Valuation (1/10th%) State Surcharge $ $.50/$1,000 Valuation SAC Charge $ - $750 per SAC Unit License Surcharge $_e ® 0 $5.00 (State Licensed Residential Contractors) Driveway Escrow $ --e- Alt. "A" or Alt. "B" Above Park Fee $ Fee Determined by Engineering Sewer Main Charge $ Agreement Necessary [ ] Not Necessary [ ] TOTAL STIPULATIONS: $: Q(01 2- BUILDING PERMIT FEE SCHEDULE The Chief Building Official shall, before issuimgpermits 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 blow 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 $24000 $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 $11,000 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 $1,00,000 $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. )) &, Q D V `/ Building PLUMBING Permit No.: Inspections RESIDENTIAL APPLICATION Received By: 763-572-3604CITY OF FRIDLEY Date Rec'd:�W_ DATE /W.0 YOUR E-MAIL ADDRESS SITE ADDRESS Sdu»t- aS Ocu•tit✓ THIS APPLICANT IS: DOWNER *ONTRACTOR Linda Hofschulte PROPERTY NAME: 7440 Van Buren Street OWNER/ ADDRESS: Northeas f ' STATE ZIP TENANT PHONE: Fridley, MN 55432 CONTRACTOR NAME: % ' SUBMIT A COPY OF STATE LICENSE #_ SL7G EXP DATE IZ 11Co CSTATE/N ZPrsYOUR STATE Y ADDREs : LICENSE WITH PHONE Z 7_ O FAX APPLICATION - PERMIT TYPE SINGLE FAMILY 0 TWO FAMILY - 0 TOWNHOUSE TYPE OF WORK: 0 NEW REPLACEMENT DETAILED DESCRIPTION OF WORK Re -01c i t, 41,11k/ lJtarle� PER MS 1613.665 the permit fee is a minimum of $15.00 or 5% of the total cost up to $500.00,: whichever is greater, for the improvement, installation or replacement of a residential fixture, excluding the fixtures. CMis.should:reflect only the cost of labor ) Labor cost under $300 = $15.00. Labor cost between $300 to $500 = cost of labor x.05 = FO%PROJECTS WHERE LABOR EXCEEDS$500;FEFS ARE BASED ON $10.00 PER FIXTURE, EXCEPT<W-BEREN1}3ED—:FIX1 r.. INDICATE TOTAL NUMBER OF EACH BELOW) SDWwq AV DRAINS _ SHOWER _ WATER PIPING —BATH _FL)OR GAS PIPING (AEE cnyLrcmak) _ SWIMMING POOL _ WATER SOFTNER ($35) —BATHTUB _ CLOTHES WASHER_ KITCHEN SINK _ WATER CLOSET _ BACKFLOW PREV. ($15) _ DISHWASHER LAUNDRY TRAY s! WATER HEATER ($35) FOR IRRIGATION WATER METER _ OTHER 4eZ EN -�' Number of fixtures @ $10.00 x $10.00 = $ Permit Fee $ 3.:r'_.00 Surcharge .50 Number of fixtures @ $15.00 x $15.00 = $ Number of fth res @ $35.00 x $35.60 = $ TOTAL DUE $ 50 State Surcharge = $ .50 Total = $ 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 owork w 'ch requires review and approval of plans. j�11 jvc �i IO V1*l DATE S �� SIGNATURE OF APPLICANT PRINT NAME City of Fridley Building Inspections Department 6431 University Avenue NE, Fridley, MN 55432 763-572-3604 FAX: 763-502-4977 s