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PRE 2010 DOCSCity of Fridley, Minn. 6431 University Ave. N(E�., Mihnneapolis, Minn. 55432 B INN PERMIT Date: necamber -14� 1971 Owner Vi_ -wrnn Ln_r-_nr= prat-erl Builder Gama ,Address 5901 _Brooklyn Boulevard address Same LOCATION OF BUILDING Nom Street Waldeck .roc in Part of Lot Lot - -3 Block - 4 Addition or Sub -Division -Innsbruck North Townhouse; -S,i to Corner Lot Inside Lot X Setback Sideyard Sewer Elevation Foundation Elevation DESCRIPTION OF BUILDING To be Used as: 748 Unit Tawnbntjsa Front 24.' Depth _3_ Height 218' Sq. Ft. _._ 1496 Cu. Ft. X44' Garage Front 20' Depth 22' height 10' Sq. Ft. 440' Cu. Ft. 4,40 Type Of Construction Wood Frame Est. Cost 438.00 _ To be Completed March, 1972 Stipulation: owner and Contractor to be responsible for elevatinns and drainage for all structures. City shall be J9.14 held blameless. In consideration of the issuance to me of a permit to constru builftde'scribedabove, I agree to do fhe proposed work in accordance with the description above set and -liance wi all provisions of ordinances of the city of Fridley. 12-72 Grata G„rr_hargP_ In consideration of the payment of a fee of $_41,0_, permit is hereby granted to Viewcon Inc 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 Prldley, Minnesota regarding location, construction, alteration, maintenance, repair and moving of buildings vyitbin the city limits and this permit may be revoked at any time upon violation of any of the -provisions of said ordinances. Building Inspector NOTICE: This permit does not cover the construction, installation for wiring, plumbing, gas heating, sewer or water. Be sure to see the wilding Inspector for separate permits for these items. APPLICATION FOR RESIDENTIAL, ALTERATION, OR ADDITION BUILDING PERMIT CITY OF FRIDLEY, MINNESOTA OWNER'S NAME : 9 �E60,q Z"G BUILDER: V1Jf,1-)C,1'P1V . ADDRESS: a 9®/ ��®®,� yam/ /3Z v,P ADDRES S : S C?0/ NO:. °� STREET : k)A IL Of G '� � 5"IAJ G - LOT: BLOCK: ADDITION:�Pff�iw; CORNER LOT: INSIDE LOT: X SETBACK: SIDEYARD: Applicant attach to this form Two Certificates of Survey of Lot and proposed building location drawn on these Certificates. DESCRIPTION OF BUILDING To Be Used As: r Front: Depth: .1/ Height: Soo Square Feet:_,,17/,4, 14(-F9 Cubic Feet: gyp � �� Front: Depth: Height: Square Feet;_ 4, c'--> Cubic Feet:_ ° Type of Construction: �000,� F - A,0 S' Estimated Cost: $ �- To Be Completed: The undersigned hereby makes application for a permit for the work herein specified, agreeing to do all work in stfict accordance with the City of Fridley Ordinances and rulings of the Department of Buildings, and hereby declares that all the facts and representations stated in this application are true and correct. DATE: SIGNATURE:_ ,fq (See Reverse Side For Additional Information.) >. 7C L r + 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 she applicant for such permit of fees to the amount erein below set forth and in the manner herein provided to -wit: UNIFORM BUILDING CODE: Type 1, 2 & 4 - $2.15 for each one thousand cubic feet, or fraction thereof, in such cubical contents. Type 3 & 5 - $1.55 for each one thousand cubic feet. ADDITIONAL INFORMATION 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 �R 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. 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 Certified 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. City of Fridley AppOcaflon for Phunbbq cmd Gas Whig Penmit Dept. of Bldg& Phone SW -3M DESCRIPTION OF WORK j 617:1551 _ Number, Kind and Location of Fixture% imp ffi " wATP "M z a e • I� 3 013 t c9i P a cns nEt Base 1st Ind 3rd ■ ■ . . . . . . . ...... ..... PARTIAL RATE SCHEDULE PLVMHING FIXTURE RATES: CCNO. RATE TOTAL Number Fixtures ................ x $2.00 $—/<9 © O Future Fixture Opening .......... • . �' x $1.50 $ CU O New Fixture Old Opening.......... x $1.50 $ Catch Basin .................... x $3.25 =- Water Heater 'Up to 99.000 BTU' x $3.00 $ O New Ground Run Old Bldg......... x $3.25 $ Electric Water Heater .............. a $2.00 $ GAS FITTING FEES: NO. RATE TOTAL lot 3 Fixtures r x $2.00 ; �' 2 d Additional Fixtures ................ x $ .75 $ Gas Range to 199.000 BTU .. e......... x $5.00 R State Surcharge $ .50 REPAIRS k ALTERATIONS—Rater to Codd _ Description 0.000.0 OOO...d OO O.• OA..• ....... s....O • O� TOTAL FM 6�� City of l-ridley: The undersigned hereby makes application for a permit for the work hemi.: specified, agreeing to do all work in strict accordance with the MY ordinance and ruling of the Department of Buildings. and hereby declares that all the fact and representations stated in this application are true and correct Owner Kind of Building- rN Used as To be completed about Estimated Cost. $ Old New uilding Permit No. Permit No. Signed By��_ Business Phone No L­:::� .5---1- ROUGH FINAL V) Z1. "1 !I ;i it i � �� cj 01 ty 11 t I:L 8 9 � s CR E GC 4J rv_ is 7-, tt9 ep V) ho VIA V) Z1. "1 !I ;i it i � �� cj 01 ty V) I 01 8 9 � s CR E GC 4J rv_ is 7-, tt9 ep V) VIA uj kA ca Vk It o tr. -IL 14 P4 C4 Q 69 I PLUMBING FIXTURE RATES. NO. RATE TOTAL Number Fixtures ................ °L x $2.00 - Future Fixture Opening .... i ...... x $1.50 i New Fixture Old Opening .......... x $1.50 $ Catch Basin .................... x $3.26 $ Water Heater 'Up to 99,000 BTU) .... � X $3.00 $ 160 New Ground Bun Old Bldg......... x $3.25 $ Elecbfc Wates Rmter.......... m ... : $2.00 $ GAS FITTING TEESs NO. RATE TOTAL lot 3t8Fixtures • .mea .......... m . � x $'100 AdMfAonal . • . . . m .... e s m o '. x $ .76 $ Slag Range to 199,000 BTU ............ x $5.00 6— State-Surcharge State Surcharge RE RAE= A AL TIO fer to Cdo _ Ducription .............................................� TCYrAL City of Fridley: The undersigned hereby snakes application for a permit for the work herei-. specified. agreeing to do all work in strict accordance with the Qty Ordinance and nlaing of the Department of Buildings. and hereby declares that all the fact and representations stated in this application are true and correct 1 Fridley, Minn � 19.E f Owner Kind of Building To be completed about Estimated Cost, $ Old—New. Building Permit No. P.smit No. Signed By - o Business Phu a No lvgg ROUGH FINAL SUBJECT ER City of Fridley 20888_ AT THE TOP OF THE TWINS BUILDING PERMIT r ' •COMMUNITY DEVELOPMENT DIV. r PROTECTIVE INSPECTION SEC. —Al�(f��✓ , e CITY HALL FRIDLEY 55432 NUMBER REV. DATE PAGE OF APPROVED BY 612-571-3450 910-F15 6/18/91 JOB ADDRESS 5563 Waldeck IM Crossing NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 3 4 Innsbruck North Townhouse SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Delores Sullivan 5563.waldeck Crossing NE 786-2461 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 Ek NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Construct a, 241 x 141 Deck 9 CHANGEOFUSEFROM TO STIPULATIONS See notations onlan, Approved pproved by -Ann Furlong of Townhouse Board. wTT Before digging call for all utility locations 454-0002 REQUIRED EY LAIN TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, VENTILATING OR AIR CONDITIONING. ZONING SQ. FT. CU. FT. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 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 $2, 000 $1,00 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- $45.00 Fire SC $2.00 STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. FLAN CHECK FEE TOTAL FEE $48,00 S GNATU�07F NTRACTOR OR AUTHORIZED AGENT ®J_ �IA/DATEI HEN PROPERLY VA A D THI IS YOUJ/RSP RM IIT SIGN U E ER OF OWNER BUILDER) IDATEI BLDG )NSP DATE NEW [ ] ADM [ ] ATS [ ] R-1 AND R-2 Building Permit Application Effective 1/1/91 l Construction Address: k - Owner dame & Address: � e.\ogG v,,1\Nyom _Tel. # CMItractor• Tel # Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. IP17T OF II�Tr LIMG AREA: length Width Height Sq. Ft. CRS AREA: Length Width Height Sq. Ft. DECK AREA: length ' Width Hgt/am nd &I" Sq. Ft. 07MM: Corner lot [ ] Inside lcrt� Ft. Yd Setback Side Yazd Setbacks Type of Option: Estimated Cost: $ Approx. Conpleticn. Date: '7Z1.1 q% Proposed Driveway Width If New Opening Is Desired: Ft. $ $ Width + 6' See Back Page DATE: A/ 1-7 J APPLIQM: �b-v- 1-1 C- e- �,� 1--) 0V) Tel. # 7 g& L A *14 l Permit Fee $ J; C.' u Fire Surcharge $ a 1 00 State Surge $ d b v SAC Qzarge $ Driveway Escrow $ Park Fee $ SI'IPUTAMC NS: t. QTY USE OILY Fee SdmOule on Reverse Side .001 x Permit Valuation (1/10th $) $.50/$1,000 Valuation $650 per SAC Unit Alt. "A" or Alt. "B" Above Fee Determined by Etgineering Agreement Necessary [ ] Not Necessary [ ] The Chief Building Official shall, before issuing permits for the erection of arty building or structure, or for any addition to any existing building or structure, or for any alteration or repair to any existing building or structure, upon application therefore, require the payment by the applicant for such permit of fees to the amount herein below set forth and in the manner herein provided to -wit: $1 to $500 $15 (Minisum Fee is $15 plus suxnd Y ) $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 ERIVERPlY DPlIESSIC H ESCROW (Omarete Curb Streets Only) Alternate ''A'1: 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. Permits for cor trwcticn will be issued a minimum of 24 hairs from the time of application to allow for proper review of the proposed structure and of the vonstruction site. A certificate of Survey of the lot, showing the location of the faamdaticn once it has it has been constructed will be required before proceeding with the framing. I d 1 TI d t .tel 6 _ --� City of Fridley AT THE TOP OF THE TWINS ? SUBJECT BUILDING PERMIT P O�. 22866,2 26 Ir ' • _ COMMUNITY DEVELOPMENT DIV r ~ PROTECTIVE INSPECTION SEC. CITY HALL FRIDLEY 55432 612-571-3450 'REGE+PT44,ff_ c� JCS NUMBER 910-F15 REV DATE 9/1/94 PAGE OF APPROVED BY JOB ADDRESS 5563 Waldeck Crossing NE 1 LEGAL DESCR. LOT NO. 3 BLOCK 4 TRACT OR ADDITION 1 Innsbruck North Townhouse SEE ATTACHED SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Tabor & Sons Inc 3716 St Francis Blvd, Anoka, MN 55303 789-1902 20014248 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO. 6 USE OF BUILDING Residential Townhouse 7 CLASS OF WORK ❑ NEW ❑ ADDITION ❑ ALTERATION D REPAIR X ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Reroofing & Gutters 9 CHANGE OF USE FROM TO STIPULATIONS 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 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 ] I 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 $2,318 @ $1.16 DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PERMIT FEE SAC CHARGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. $54.00 Fire SC $2.32 PLAN CHECK FEE License SC $5.00 TOTALFEE 62.48 e-17 1-9- Gl !/ SIGNATURE OF 6ONTRACTOR OR AUTHORIZED AGENT (DATEI ' WHEN A�LI DATED THIS IS YOURR PERMIT �P�R/OPERLY t BLD INSP BATE _ SIGNATUREOF OWNERUF OWNER BUILDERI IDATEI NEW (] Effective 1 / l /94 ADDN . t.], CITY OF FRIDLEY ALTER (] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 Building Permit Application3 Construction Address: 5563 - Valdek Crossing, Fridley Legal Description: Owner Name & Address: Tel. # Contractor.: Tabor and Sons, INc: MNLICENSE#' pending Address: 3.716.- St. Fran.ci..a Blvd., Aupka 5,5303% Tel. # 78.9-1902:._ 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 [ ] Ft. Yd Setback Type of Construction: roofing/gutters Approx. Completion Date: Side Yard Setbacks Estimated Cost: $ 2318.00 (Cost on Back) Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ = $ DATE: 9/1194 APPLICANT: Tabor and Sons, I N c. Tel. # 789-19b2 CITY USE ONLY Permit Fee $ Fee Schedule on Reverse Side Fire Surcharge $ .001 of Permit Valuation (1/10th%) State Surcharge $ $.50/$1,000 Valuation SAC Charge $ $800 per SAC Unit License Surcharge $ -5-06 $5.00 (State Licensed Residential Contractors) Driveway Escrow $ Alt. "A" Or Alt. "B" Above Erosion Control $ $450.00 Conservation Plan Review Park Fee $ Fee Determined by Engineering Sewer Main Charge $ Agreement Necessary [ ] Not Necessary ( ] TOTAL $ STIPULATIONS: BUILDING PERMIT FEE SCHEDULE The Chief Building Official shall, before issuing permits for the erection of any building or structure, or firr 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- ices to lire amount herein helbw set t<rrilr 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 $2,1300 plus $9 for each additional $1;000 or fraction thereof, to and including $25,000 $25,001 to $50,000 $252 for fust -$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 $1001001 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 fractidn 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 tine proposal 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. CITY OF FRIDLEY INSPECTION DIViSIO N Effective On May 10, 1999 631 University Ave NE � f� Fridley, MN 55432 APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION, 572.3604 REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES JOB ADD13ESS_ ,�r(o<3 C�=4�[:7���� �� 0�>,✓� KATIE SCHEDULE OWNER ,��G®Qe_S J V to/UA-tJ Residential Rate TOTAL Furnace Shell and Duct Work, Burner - BUILDING USED AS (:)L d Q_L1 Also Replacement Furnace $ 30.00 $ (9b (Side Vent - Fill Out Back) ESTIMATED COST PERMIT NO. Gas Piping (Needed with new furnace, $ 10.00 $ but not replacement) DESCRIPTION OF FURNACE AND OR BURNED Gas Range $ 10.00 $ No. of Heating Units Circle One (Steam) (Hot Water) (Warm Air) Gas Dryer $ 10.00 $ Trade Name dAOA;c� Size No. 6y U t'f✓n Fr� BTU —F0, ® HP EDR *Air Conditioning - All Sizes $ 25.00 $AE 6P Fuel Total Connected Load All Others/Repairs & Alterations (LIST ON BACK) Burner Trade Name Size No. 1%, of Value of Appliance or Work $ BTU HP EDR Commercial/Industrial 1.25% of Value of Appliance or Work $ 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 an State Surcharge x._.50 rulings of the Building Division, and hereby declares that all the facts'and TOTAL FEE $_ representations stated in this application are•true and correct. •� SUPERIOR CONTRArTCr 6121 42nd Avonue No. Crystal, PJln 5E422 MINIMUM FEE FOR ANY HEATING/COOLING/VENTILATION HEATIN REFRIGERATION/AIR—CONDITIONING PERMIT IS $25.00 PLUS THE $.50 STATE SURCHARGE Signed DATE�� REINSPECTION FEE $47.00/Hr *Air Conditioners can not be placed in a side yard without Approved By Rough -In Date Final Date � 3' written permission from adjoining property owner. CHni ENEY AND STACK YERMCATION The undersigned hereby verifies that the existing chimney or stack: 1. Has been carefully examined Yes (11""No ( ) 2. Is free from rust or deterioration Yes (,J'No ( ) 3. Has no foreign objects lodged within Yes( 11""No ( } 4. Is securely supported Yes (,�'No ( } S. Meets all current, Code requirements for size and total BTU's connected Yes (---))No ( } 6 Has total heating BTU's of All other BTU's TOTAL BTU's 7. Has a liner been provided for water heater Yes (� No ( ) 8. Has combustion air been provided for water heater Yes No ( ) Remarks: F --L) R tJA-e.65 +- AA- k 6A, A C! 6r -e VxjT— i jo l; 1 -IST/ ,,J6 @ - s s- & jr:�Ltj 6 List ALTERATIONS Being Done: HEATING CO: Signed By: Date: ,UPERIOR COMTRACTORS ING 6121 42nd Avenue No. CtysW, Mn ::422 Cf�6 HOUSE HEATING TEST RECORD ti ,5��6� ���� ADDRESS APT.—FLOOR- OCCUPANT PT. FLOOR_OCCUPANT may° OWNER HEAT LOSS DATE HTG. INST. SOLD BY G INSTALLED BY Electrical Work By Gas Line By _ TYPE OF HEAT GA FA W STEAM SPACE HTR. UNIT HTR. OTHER CITY AAA 11 RB fr GAS DESIGN CONVERSION MAKE Cff&Lf MAKE OF BURNER Model 6-* 4( & ®-- / � //d Model Serial 0 200.4,01af9 Max. BTU Rating INPUT &O, &%� MAKE OF FURNACE Model CONTROLS THERMOSTAT R"2 Heat Plug '$ Vent Size y Valva 4vv_ KIND OF LINER SIZE NONE Limit 11.14& Draft Hood Regularor Limit Setting Filters Size ®GtJAit —Number Fan Setting Chimney Location Inside it Outside Pilot Ty ps Chimney Construction Pilot Make s Pilot Model Smoke B7b Z Wiring Pilot Timing/ -— Draft D Test Tag L.W. Cut Off Door Pressure Lighting Inst. Pressure S Percent CO2 Date Tested _ot Input CFH® ® Percent 02 Company Testing c Stack Temp. 3a/ Percent CO 10, Name of Tester Form 235 SUBJECT 'City of Fridley 31036 AT THE TOP OF THE TWINS BUILDING PERMIT i � R COMMUNITY DEVELOPMENT DIV. _ tr PROTECTIVE INSPECTION SEC. ✓15 NUMBER REV DATE PAGE OF APPROVED BY -'-1 CITY HALL FRIDLEY 55432 612-571-3450 910415 6/8/00 10B ADDRESS .,5551 55,59,65.67.71 WALDECK CROSSING NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 1-6 4 Innsbruck North Townhouse Site SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE "Innsbruck Towrlhome Association 651-224-5482 3 CONTRACTOR MAIL. ADDRESS ZIP PHONE LICENSE NO Garlock -French Roofiniz Corp. 2301 E25t St. Mpls., MN 55406 612-722-7129 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 00001423 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO 8 USE OF BUILDING CLASS OF WORK ❑ NEW ❑ ADDITION O ALTERATION fRl REPAIR O MOVE O REMOVE 8 DESCRIBE WORK -Reroof Townhouse Buildinjz 9 CHANGEOFUSEFROM TO LL STIPULATIONS Underlayment must comply with the State Building Code. Permit Inspection Wds Will Be Mailed. To Home®wnof TO Post TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD SEPARATE PERMITS ARE REOUIREO FOR ELECTRICAL, PLUMBING. HEATING, 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 Dj(VLG. UNITS OFFSTREET PARKING 1 HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION (7� 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 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- $223.25 Fire SC $12.54 STRUCTION OR THE PERFORMANCE OF CONSTRUCTION PLAN CHECK FEE TOTAL FEE -..-I / 242.06 SIGNATURE OF CONTRACTOR Op AUTMORI2E0 AGENT IOATEi E PROP VALID9 D THIS IS OUR/�RMIT�� �ff BL OAT( S,GNATURE OF OWNEROF OWNER BUILDER, IDATEI SUBJECT P �` City of Fridley 3 1563 AT THE TOP OF THE TWINS BUILDING PERMIT 0 COMMUNITY DEVELOPMENT DIV. PROTECTIVE r � � INSPECTION SEC. 1 �•••I CITY HALL FRIDLEY 55432 NUMBER REV DATEPAGE OF- APPROVED BY 612-571-3450 910-F15 11/14/00 JOB ADDRESS 5551, 5555, 5559, 5563, 5567, 5571 Waldeck Crossing Inc I LEGALLOT NO. BLOCK TRACTOR ADDITION SEE ATTACHED DESCR. 1-6 4 Innsbruck North Townhouse SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Innsbruck North Townhomes 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Columbus Exteriors Inc 2131 111 Lane NW, Coon Rapids, MN 55433 763-757-7530 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO 8 USE OF BUILDING 6 Unit Townhome Building 7 CLASS OF WORK ❑ NEW O ADDITION ❑ ALTERATION REPAIR O MOVE O REMOVE 8 DESCRIBE WORK Reside:.Building; Install trim 9 CHANGE OF USE FROM TO STIPULATIONS Per Section 1402, 1997 Uniform Building Code, requires that a weather resistive barrier be placed over exterior sheathing to protect the interior wall covering. Exceptions for this provision would be if sheathing is an approved weatherproof panel or when the siding is an approved weather barrier. Vinyl siding is not a weatherproof covering unless the manufacturer states this in their application guidelines. Call for inspection of wrap before covering. 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 S0. 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 6 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 $42, 700 $21 .35 WITH WHETHER SPECIF-110 HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PERMIT FEE SACCHARGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- $573.05 Fire SC $42.70 STRUCTION OR THE PERFORMANCE OF CONSTRUCTION - / PLAN CHECK F E TOTAL FEE 637.10 SIGN URE OF CON TRACfOROR AUTHORIZED AGENT iDATEa EN VALIQ#T100 THIS IS O R P r � BLD INSP BATE SIGNATURE 00 OVVNERIIF OWNER BUILDERI IDATEI 1 SUBJECT c P City of Fridley 3114 0 AT THE TOP OF THE TWINS ? BUILDING PERMIT f - RE `L COMMUNITY DEVELOPMENT DIV. __.00 r43" PROTECTIVE INSPECTION SEC. �� 1 � NUMBER REV DATE 7/7/00 PAGE OF APPROVED By � CITY HALL FRIDLEY 55432 613-571-3450 910-F15 JOB ADDRESS 5563 Waldeck Crossing 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DEscR. 3 4 Innsbruck North Townhouse Site SHEET 2 PROPERTY OWNER MAIL ADORES$ ZIP PHONE Dolores Sullivan 5563 Waldeck Crossing 3 CONTRACTOR - "' M�ArPG - ZIP PHONE LICENSE NO Y •� .. 3 xMwdjjk i AtWelfingtohlrindow $ Door Co., 3938 Meadowbrook Rd., a ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. St. Louis Park, MN 55426 952-933-6300 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO 8 USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW ❑ ADDITION ❑ ALTERATION 13 REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Window Replacement 9 CHANGE OF USE FROM TO STIPULATIONS Provide Smoke Detectors in all sleeping rooms and on all levels of the dwelling per Section 310.9.1.2 of the 1997 Uniform Building Code. Pormit Inspection Cards Will Be Mailed 11o,Homeowner To 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 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 1 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 $2 616.00 $1.31 WITH WHETHER SPECIFIED HEREIN OR NOT, THE GRANTING OF A PERMIT 7 DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PERMIT FEE SAC CHARGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- STRUCTION OR THE PERFORMANCE OF CONSTRUCTION PLAN CHECK FEE TOT FEE 87.18 SIGNATURE OF CON TRACTOR OR AUTHORIZED AGENT (DATE- HE PROP I VALID E THIS IS YOUR P RMIT qly $P gAtE S,GNATURE OF OWNER OF OWNER BUILDER, IDATEI&ZIn 1 NEW [ ] ADDN [ j CITY OF FRIDLEY ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION Construction Address: Effective 1/1/2000 (763) 572-3604 Bldg Insp Legal Description: Owner Name Address: 0 5 SIT # 5-7 �' 0X-7 CQ Contractor:- 1r, in I MN LICENSE # Address:lC �, sl�Gi� C✓ �d TeI. # T? - %,33 6 ,h&z It 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 A Hgt/Ground Sq. Ft. OTHER: / I ill /1'r' I Pn /)),/ zo /'n ® / T Construction Type: )) Estimated Cost: $ J�lb' Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft $ _ $ DATE: - — (TO APPLICANT: Tel. #M �3L-� U17 T— CITY USE ONLY - Call (763) 572-3604 for Permit Fees if mailing In application Permit Fee $ , d15 Fee Schedule on Reverse Side Fire Surcharge $ (V , .001 of Permit Valuation (1/10th%) State Surcharge $ $.50/$1,000 Valuation SAC Charge $ $1100 per SAC Unit License Surcharge $ _ $5:00-(-State-L-icansed-Residential Contractors) Driveway Escrow $ Alt. "A" or Alt. "B" Above Erosion Control $ $450.00 Conservation Plan Review Park Fee $ Fee Determined by Engineering Sewer Main Charge $ Agreement Necessary [ ] Not Necessary [ ] J TOTAL $ i:�t i- I IPULATIONS: �i.►0jf-�, s ,vim. ,Belo 9./. �Z- -'O 9y -G 4T591Q BUILDING PERMIT. FEE S EHEDULE 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 $509001 to $100,000 $100,001 to $500,000 $500,001 to $1,000,000 $1,000,001 and up FEES $23.50 $23.50 for fust $500 plus $3.05 for each additional $100 or fraction thereof, to and including $2,000 $69.25 for first $2,000 plus $14.00 for each additional $1,000 or fraction thereof, to and including $25,000 $391.25 for first $25,000 plus $10.10 for each additional $1,000 or fraction thereof, to and including $50,000 $643.75 for first $50,000 plus $7.00 for each additional $1,000 or fraction thereof, to and including $100,000 $993.75 for first $100,000 plus $5.60 for each additional $1,000 or fraction thereof, to and including $500,000 $3,233.75 for the first $500,000 plus $4.75 for each additional $1,000 or fraction thereof, to and including $1,000,000 $5,608.75 for the first $1,000,000 plus $3.15 for each additional $1,000 or fraction thereof DRIVEWAY DEPRESSION ESCROW (Concrete Curb Streets Only) Alternate "A": Removal and replacement of curb and gutter only - Driveway width plus 6 feet times $15.50. Alternate "B": Removal and replacement of curb and gutter and install a 3 foot wide approach with 6 inch depth - Driveway width plus 6 feet times $23.25. VERIFICATION OF FOUNDATION Permits for construction will be issued a minimum of 24 hours from the time of application to allow for proper review of the proposed structure and of the construction site. A Certificate of Survey of the lot, showing the location of the foundation once it has it has been constructed will be required before proceeding with the framing. New Houses Only CITY OF FRIDLEY 6431 UNIVERSITY AVENUE NE FRIDLEY, MN 55432 572-3604 FAX: (763) 571-1287 ADDRESS : 5563 WALDECK XING NE PIN : 243024410018 LEGAL DESC : INNSBRUCK NOT H 1 ST ADD : LOT 3 BLOCK 4 PERMIT TYPE : HEATING PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ADDITION/ALTERATION PERM O.: 2004-01188 DATE ISSUED: 07/28/2004 VALUATION NOTE: AIR CONDITIONERS CAN NOT BE PLACED IN A SIDE YARD WITHOUT WRITTEN PERMISSION FROM ADJOINING PROPERTY OWNER. COMBUSTION AIR SHALL BE PROVIDED PER UMC SECTION 504(A) AND TABLE 6-A. INSTALL A FIREPLACE INSERT. VALUE OF APPL OR WORK 0 # GAS DRYERS 0 # GAS RANGES 0 VALUE (FOR MINIMUM CALL) 300 APPLICANT FIRESIDE HEARTH & HOME 2700 N FAIRVIEW AVE ROSEVILLE, MN 55113 x/ ' SULLIVAN DOLORES M 5563 WALDECK XING NE FRIDLEY, MN 55432 AGREEMENT AND SWORN STATEMENT This permit becomes null and void if work or construction authorized is not commenced witin 60 days or if construction or work is suspended or abandoned for a period of 120 days at any time after work is commenced. I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel tine provisions of any other state or local law regulating co on or the performance of construction. Applicant Date Bldg HEATING PERMIT MINIMUM FEE 15.00 GAS RANGE FEE 0.00 GAS DRYER FEE 0.00 HEATING REPAIRS/ALTERATIONS 0.00 STATE SURCHARGE, MECH FLAT 0.50 TOTAL 15.50 PAID WITH CHECK # 607455 SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. CITY OF FRIDLEY BUILDING INSPECTION 6431 University Ave NE Fridley, MN 55432 763-572-3604 FAX 763-5711287 RATE SCHEDULE Residential Furnace Shell and Duct Work, Burner & also Replacement Furnace Gas Piping (New Furnace, Fireplace, Insert) Gas Range Gas Dryer *Air Conditioning - All Sizes All Other Repairs or Alterations (List on Back) 1% of Value of Appliance or Work Minimum Fee $15.00 for Residential or 5% of cost of Improvement whichever is greater %=5 Effective 4/1/2004 APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES JOB ADDRESS_5563- lex Ie�eC-K Croa5i, Fee Total Owner 1�—s o t or e� S, c.. v-, $35.00 $ Building Used As tee S, =-eeNc&— $10.00 $ ESTIMATED COST 7�-- 60PERMIT NO $10.00 $ DESCRIPTION OF FURNACE AND BURNER $10.00 $ # of Heating Units Circle One (Steam) (Hot Water) (Warm Air) Trade Name rAuAcc- P. r°e— Size No. $25.00 $ BTU _30_ Lrz-� HP EDR /l Fuel Total Connected Load Burner Trade Name Size No. BTU HP EDR Commercial/Industrial/Institutional 1.25% of Value of Appliance or Work (List on Back) Minimum Fee $35.00 for Commercial/Industrial/Institutional State Surcharge TOTAL FEE REINSPECTION FEE $50.00/HOUR 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 Building Division, and hereby declares that all the facts and representations stated in this application are true and correct. $ ®�y HEATING CO MW FkaSWO}a-ft EMOM /�. �Sb2M it $ Signe F 55� 3 Tel # 651/833-258' FAX # Date *Air Conditioners can not be placed in side yard without written approval from adjoining property owner - copy to City FILL OUT BACK SIDE FOR STACK VERIFICATION ON REPLACEMENT FURNACE ® SS v Gam• Approved b ?2!1Rough-in Date Final FILL IN COMPLETELY FOR REPLACEMENT FUEL BURNING APPLIANCE PERMITS COMMON VENT, VENT CONNECTOR AND COMBUSTION AIR VERIFICATION When replacing an existina furnace, the undersigned hereby verifies that the venting has been examined and is free from rust, deterioration, obstructions, and is securely supported and firestopped where required. . Yes( No( ) The venting system is plastic/PVC and meets all current codes and manufacturer specifications including sizing, length, number of elbows and termination. Yes () No( ) The undersigned also verifies that the replacement unit is a listed assembly and meets the current codes and manufacturer's specifications. This does include AGA-GAMA Category I Central Furnace Venting Tables for fan assisted and natural draft appliances. Yes () No( ) The existing combustion air is sized and installed to meet the current codes and manufacturer's specifications. Yes () No( ) When required to install a new combustion air, it will be sized and installed to meet the current codes and manufacturer's specifications. Yes () No( ) When installing a new venting system, the undersigned hereby verifies that it is a listed assembly and meets the current codes and manufacturer's specifications. This does include AGA-GAMA Category I Central Furnace Venting Tables for fan assisted and natural draft appliances. Yes () No ( ) Is the common vent and vent connectors sized and installed correctly after an appliance has been removed from the common vent and vented separately as per current codes. Yes () No ( ) Appliance Type and Size/Common Vent and Vent Connector Information Appliance #1 Type BTU Input Fan Assisted or Nat Appliance #2 Type BTU Input Fan Assisted or Nat Appliance #3 Type BTU Input Fan Assisted or Nat Total Appliances Total Btu Input Common Vent Type Vent Height Diameter inches Appliance #1 Vent Connector Height ft Length ft Diameter in Type Appliance #2 Vent Connector Height ft Length ft Diameter in Type Appliance #3 Vent Connector Height ft Length ft Diameter in Type ALTERATIONS: (Describe) .`mss � ) � 6'r- S )C',' -e a /A Le ;"-Se - k ARW Reside HEATING CO: dba Ftreslde tin & ►tee 11 ' Signed By: Date �7�°y Z70DN''"AVe.. ansoft.MN65113 651=332581 PLUMBING RESIDENTIAL APPLICATION City of Fridley NOTE: IF PROPERTY IS NOT OWNER/OCCUPIED- A LICENSED CONTRACTOR MUST OBTAIN THE PERMIT. DATE YOUR E-MAIL ADDRESS SITE ADDRESS , A��'� THE APPLICANT IS: (CIRCLE ONE) OWNER a_ ONTTQR, NAME PROPERTY OWNER/ ADDRESS a TENANT CITY r ,q� � a i ATE 4j2i _? ZIP PHONE #. -57 2(,, NAME k/ 24 �j�e' �i �� ar-g �..� j LICENSE # ADDRESS CONTRACTOR CITY J `' u°> $ STATE -Z2 ZIP PHONE # - FAX# &-V � —Z --Z d j_Z PERMIT TYPE —ZLSINGLE FAMILY TWO FAMILY TOWNHOUSE TYPE OF WORK ❑ NEW REPLACEMENT DETAILED DESCRIPTION OF WORK � ®� Lt d F_ _4 i FEES ARE BASED ON $10.00 PER FDCTURE, EXCEPT WHERE NOTED FIXTURES: (INDICATE TOTAL NUMBER OF EACH) BATH SINK/LAV FLOOR DRAINS SHOWER WATER PIPING BATHTUB GAS PIPING (Need City License) SWIMMING POOL WATER SOFTENER ($35) CLOTHES WASHER KITCHEN SINK WATER CLOSET BACKFLOW PREY. ($15) DISHWASHER LAUNDRY TRAY WATER HTR ($35) FOR IRRIGATION WATER METER OTHER Permit Fee $ MINIMUM: $15.00 or 5% of cost of the Improvement -whichever is Plan Review $ greater on work less than $300 Surcharge $ .50 TOTAL DUE $ �k Make checks payable to: City of Fridley THIS IS AN APPLICATION FOR A PERMIT — NOT VALID UNTIL PROCESSED I hereby apply for a plumbing 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 which requires review and approval of plans. NAME OF APPLICANT DATE ,,/2-,22z/'�-� Please type or print SIGNATURE OFAPPLICANT U CITY OF FRIDLEY COMMUNITY DEVELOPMENT DEPARTMENT 6431 UNIVESITY AVENUE NE, FRIDLEY, MN 55432 (763)572-3604 Building BUILDING /T -7-_:3,� Permit No.: "g -:Q 1.49 1-0 Inspections RESIDENTIAL APPLICATION Received By: 763-572-3604 CITY OF FRIDLEY Date Rec'd: 7,311 1 C. 0 DATE YOUR E-MAIL�ADDRESS SITE ADDRESS ��/!t� ao 6-/-05 �s� ` THIS APPLICANT IS: ❑ OWNER CONTRACTOR PROPERTY OWNER/ NAME: l ��//7 TENANT ADDRESS: / (Ou CITY STA 3!5;V Z PHONE: -'0/o— CONTRACTOR NAME: STATE LICENSE # EXP DATE Q� �^ ADDRESS: �� CITY J STA4V �ZIP-��� SUBNHT A COPY OF YOUR STATE LICENSE WITH APPLICATION pljONE j ® FAX PROPERTY TYPESINGLE FAMILY/NEW CONSTRUCTION SIZE ❑ TWO FAMILY/NEW CONSTRUCTION SMERI— PERMIT TYPE ❑ ADDITION ❑ GARAGEISHED INDOWS ❑ BASEMENT FINISH ❑ ROOF ❑ DRAIN TILE ❑ DECK ❑ SIDING ❑ OTHER ❑ SWIMMING POOL TYPE OF WORK: 1 ❑ NEW ❑ ADDITION ❑ MAM-ENANCE/REPAIR ❑ REMODELING DESCRIBE WORK BEING DONE: /W SIZE OF IMPROVEMENT LENGTH WIDTH HEIGHT 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 ❑ Other O Fascia and proposed project WINDOWS 2. Two sets of construction plans IN EXISTING OPENINGS Yes ONo LOC ICCS� F }�VINDO S 3. Energy Calculations OR FOR NEW OPENING - ESCRIBE SIZE OF 6-'7_7_ a OPENING CHANGES & . _0 TYPE OF WINDOW TO BE INSTALLED R&g &ZK NUMBER OF WINDOWS ALL FEES ARE BASED uN VALUATION, INCLUDING THE COST OF LABOR AND MATERIALS: TOTAL JOB VALUATION $ y � G THE 17d0 OCCUPANCY C FEE SC E TYPE Permit Fee Plan Review Fire Surcharge Surcharge License Surcharge SAC Charge Curb Cut Escrow Erosion Control Park Fee Sewer Main Charge Total Due _$ See Back Page for Fee Schedule $ 65% of Building Permit Fee $ .001 times the total job valuation $ _ .0005 x Permit Valuation Minimum $.50 $ t�' $5.00 (State Licensed Residential Contractors) $ $1550 per SAC Unit (Plans to MWCC for determination) $ ft+6ft= ftx$21=$ $ $450 Conservation Plan Review $ Fee Determined by Engineering $ Agreement necessary ( ) Non Necessary ( ) $ < , t-0 Make checks payable to: City of Fridlev Attach 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 which requires review and approval of plans. SIGNATURE OF APPLICANT PRINT NAME�G//,��/%DATE 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 V$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 1a $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 1- $50,000 plus $7 for each additional $1,000 or fraction to and including $100,000 $100,001 to $500,000 $993.75 for l- $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'n $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 1' $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, NW 55432 763-572-3604 Fax: 763-502-4977