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PRE 2010 DOCSLaity of Fridley, Mian.. BUILDING PERMIT Date: May 2, 1969 Owner: m Smith & Anderson Builder Same Address NES 912 40th Ave. N E Address Sammi 5750 LOCATION OF BUILDING No 10211 No. mom Street -___ xxx _ wastLIZIgtgn st_..1�T ._E . _ Part of Lot Lot Tract B _ Block Addition or Sub -Division . Adams St. A_ddn. �$ tr Land Corner Lot . Inside Lot .—. x Setback 35' —_ Sideyard 10' ZQ urvyy Sewer Elevation ____ 859.17 / 858.37 — 862.17 R61 37 Top of Footing DESCRIPTION OF BUILDING To be Used as: Dwelling Front 44' Depth 26' Height 20' Sq. Ft. 1144 cu. Ft. 2288 Garage Front 2 Q' _. Depth 221 . Height 101 Sq. Ft. _ 140 Cu. Ft. 440.0 _ Type of Construction _ _ Frame Est. Cost �20, 000. 00 _ To be Completed SEWER LOCATION - 74' South of Manhole 154' South of Manhole WATER LOCATION 6" c. I. P. 7' N in depth Tap Necessary 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 abovZse orth and in compliance with all provisions of ordinances of the city of Fridley. $100.00 SCME Cnnn nti nn ('. OX912 In consideration of the payment of a fee of $___41, 09 ._.., permit is hereby granted to Smith * An A Pson 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 dace in, around and upon said building, or any girt thereof, shall conform in all respects to the ordinances of Fridley, Minnesota regardiup location, construction, alteration, maintenance, repair and moving of buildings within the city limits and this permit may be revoked at any tune upon violation of any of the provisions oP said ordinances. Official Henry F. Muhihch NOTICE: We permit does not corer the construction, installation for wiring, plumbing, gas heating, sewer or water. Be ams to we the Building Inspector for separate permits for these home. A,PPLICA.TION FOR BUILDING PERMIT CITY OF FRIDLEY, MINNESOTA OWNER 'S NAME�;' ,-a ' fid-{, .� / BUILDER ADDRESST f— G�� 1y /�� ADDRESS ST. LOCATION OF BUILDING NO, , 1–c-TSSOCK'�M= LOT -0/1 L �/ '`D ADDITION OR SUBDIVISION CORNER. -LOT INSIDE LOT /--�SETBACK J L SI])EYA D /d ,2 SEWER ELEVATION TOP OF FOOTING Applicant attach to this form Two Certificates of Survey of Lot and proposed building .location drawn on these Certificates. DESCRIPTION OF BUILDING To Be .Uped As c . _Front Depth Height � Square ,feet Cubic Feet .� Front 2g Depth 2,;2— Height 19 Square feet 4q /j Cubic Feet Type of Construction Estimated Cost To Be Completed �P' The undersigned hereby makes application for a permit for the work herein specified, agreeing to do all work in strict accordance with the City of Fridley Ordinances and rulings of the Department of Buildings, and hereby declares that all the facts and representations stated in this application are true and correct. DATE / r y� _ 2 SIGNATURE .(Schedule of Fee Costs can be found on the Reverse Side.) �} t Jed, � 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 structure or 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 cantents: Type 3 & 5 - $1.50 for each one thousand cubic feet. For the purpose of computing fees for buildingpermits, the cubical contents of any -buil-dirig-o`—additioA to - -a uniform height' thraughoi t 'by ' multiplying the ground area covered from a point six (6) inches be -low 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 asset forth in Section 2 be less than $5.00. NSSSD Connection Charges based on location - Area 1 or 2. A Original Permit r k-LUMBING AND GAS FITTING N.B. When work covered by this permit is ready, the Plumbing Ordinance requires that request for FPr$ t inspection shall be phoned in to the plumbing Inspector, 560-3450 giving number of this permit., Fee DESCRIPTION OF WORT; Plumber, Rand and Location of Fixtures / Stories W W F O Q J U q Z O N �N Q 7 M H Z m 6 m O Y Z N = U O d Q P Y Z Z O a 0 ❑ LL w O Z Ui C Z 0 6 J LL O 2 Z F t0 4 Q U M 3 z K Q❑ a J m X g LL m pJ Q 6 tl Q W m 2 Q Q 0 K WATER HTR. GAS ELEC. Basement 1st �, I 2nd 3rd 4th Connected with Sewer -Cesspool Gas Piping for !; Openings Permission is hereby granted Lv` to do the plumbing and gas fetting in the building described in the statement iAereto attached, upon the express condition that the person to whom this permit is granted, and his agents, employees and workmen, in the plumbing or gas fitting of said building shall conform in all respects to ordinances of the City of Fridley, and this permit may be revoked at any time upon the violation of any of the provisions of said ordinances. By Order Of The Inspector Of Buildings Roughing in Inspection Date Inspector. Final Inspection Inspector. Used as To be Completed ,19— Estimated Cost Old -New. Building Permit No. 101 ®i / i Date Inspector of Buildings. orighw PERMIT for Power ants and Heating. Cool. ing. Ventilation, Refrigeration and Air Conditioning Systems and Devices DESCRIPTION OF WORK No. of Heati Plan ts�� to be nstalled ltered—repaired Make ' ' ,Size °� �/ ; Oil fired ; Coal fired—, Gas fired _; Gas Authorization No. Remarks Approved by Final Inspection Date , 19_ Inspector Permit N° 4502 Fee $ % LtA Office of the Inspector of Buildings City of Fridley City of Fridley, Minn., , 19 Owner: Location Kind of Building�r How Occupied 1/7 Work to be Commenced ,19_ To be Completed ,19 L 9 Estimated Cost, $ "670 Old -New, Building Permit No. ! Q, -2 11 Permission is hereby granted &LfA d • L-0 - to install—erect—use the material and devices described in the above statement. This permit is granted upon the express condition that the son to whom it is granted, and his agents, employees and workmen, in all the work done and materials used under this permit, and in the operation of the devices herein mentioned shall conform in all respects to the ordinances of the City of Fridley relating to or governing the work to be done and the operation of the devices herein named, and oto the specifications set forth in the approved application for this permit on file in the office of the Inspector of Buildings. Inspector of Buildings 42 2M11 -VV Power Veavftffion. suffma and. , Air C® Inas S"em -ant t"v%s PARTIAL RATE SCHEDULE GRAVITY WARM AHK: RATE TOTAL Furnace Shell & Duct Work ........................... $10.00 $ Replacement of Furnace .......................... 6.00 $ Repairs & Alterations—up to $500.00 ................ 6.00 $ Repairs & Alterations each add. $500.00 ............... 3.00 $ CII. WARM AIR OIL BURNER—to 3 gal. per hour ..... ' ....... ... ..... 6.00 Furnace Shell & Duct Worst to 120,000 BTU ............$10.00 over 3 gal. per hour—See Fee Schedule $ each add. 60,000 BTU ....................... 3.00 $ Replacement of Furnace ............................. 6.00 $ Repairs & Alterations—up to $500.00 ................. 6.00 $ Repairs & Alterations each add. $500.00 .............. 3.00 $ STEAM or HOT WATER SYSTEM Furnace Shell & Eines-to 400 sq. ft. EDR Steam .$10.00 $ Furnace Shell & Line—to 640 sq. ft. IDR Hot Water .. 10.00 $ Each add. 200 sq. ft. BDR Steam .... ...... I—: ...... 3.00 $ Each add. 320 sq. ft. EDR Hot Water . ... ............ 3.00 $ OIL BURNER—to 3 gal. per hour ..... ' ....... ... ..... 6.00 $ over 3 gal. per hour—See Fee Schedule GAS BURNER (up to 1.x,000 BTT) ........................ &00 $� over 199,000 BTU See. Fee Schedule GAS FITTING FEES: NO RATE TONAL 1st 3 Fixtures ..... ................ x$ 100 $ Additional Fixtures .................. x .75 $ Gas Range to 199,000 ........... is 500 $ AIR CONDITZONII�G FAN HEATING SYSTEM VENTILATING SYSTEM ALTERATIONS & REPAIRS FINAL — $ See Fee Schedule TOTAL "M 0 (REMARKS— Dept. of Swiss. Phone City of Fridley: The undersigned hereby makes application for a permit for tate 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. j Fridley, Owner Kind of Building Used as To be completed about Estimated Cost, $ ' Old— ew.' ding Permit No. I - f 1 Permit No.� DESCRIPTION Or WORN. HKATING or POW PLANTS—Steam, Hot Water,arm Air No Trade Name -4e Size No Capacity. Sq. Ft. E.D.R BTU — H.P. Total Connected Loa159"Bind of Fue opv BURNER — Trade N �Size Capacity Sq. Ft. F.D.R.-� �cr"BT'U RAY N. WELTER HEATING C®, Signed 4637. CHICAGO AVE. Mf11NHEAPOLIS 7. MINNESOTA By Business Phone PARTIAL RATE SCHEDULE PLM421NG FIXTURE RATES: NO. RATE TOTAL Number Fixtures ...... ..... I ...... f4 x $200 n $ Future Fixture Opening ......... ...... x $1.50 $ New Fixture Old Opening ....... .... x $1.50 $ Catch Basin ... . I ............... x $3.25 $ Water Beater (Up to 89,000 BTU) ...... T x $3,00 $ New Ground Run Old Bldg. ... x $3.25 $ Electric Water Heater ■ $ GAB FITTING FEES: NO. RATE TOTAL 1st 3 Fixtures ....... ...................— x $2.00 $ 4 C. Additional Fixtures . ................... —x$.75 $ Chas Range to 199,000 BTU .............. x $5.00 $ PARTIAL RATE SCHEDULE PLM421NG FIXTURE RATES: NO. RATE TOTAL Number Fixtures ...... ..... I ...... f4 x $200 n $ Future Fixture Opening ......... ...... x $1.50 $ New Fixture Old Opening ....... .... x $1.50 $ Catch Basin ... . I ............... x $3.25 $ Water Beater (Up to 89,000 BTU) ...... T x $3,00 $ New Ground Run Old Bldg. ... x $3.25 $ Electric Water Heater z $2.00 $ GAB FITTING FEES: NO. RATE TOTAL 1st 3 Fixtures ....... ...................— x $2.00 $ 4 C. Additional Fixtures . ................... —x$.75 $ Chas Range to 199,000 BTU .............. x $5.00 $ REPAIRS & ALTERATIONS—Refer to Code Description TOTAL FF3•; 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 application are true and correct Owner Kind of Building Used as To be completed about Estimated Cost, $ Old NVuilding Permit No. F� �// Permit No. `�95/(0 / Signe By �' Business Phone No ROUGH FINAL P a✓ µ r �� $ e a ° { r '.9k. i w x � mm ows-Maw na 4 4 nil `5.", `y a x ro r � G 9 -� � r ' ✓ d � fir.. .. � s John Rannikko March 28, 1971 5750 Washington Street X.E. Fridley 14innesota 55432 City of Fridley 6431 University j%venue Fridley Minnesota Attention**. Building Inspector. Dear it The purpose of this letter is to confirm our telephone convers- ation. On March ist, 1971, 1 called you about the leak we had had through the roof into our living room and kitchen because of melted snow and ice a few days earlier. Two; days later we had the pleasure of having one of your inspectors witness the stain still visible on the ceiling after. the leak haddried e I'Iater.also had leaked into the dining area along the lamp which could cause a short and a. fire and could be dangerous* On the 10th day of March I calledyou again. to find out what you had discovered. You told me that you had sent the builder a notice urging them to investigate the leak. For your information, nobody has been here to investigate the leak. Last year I also called you about the small garage door that is of less than good quality and should.be repaired or replaced. The builder took it then for the purpose of repairing it and kept it for over a weed:., It does not look -rziany better now. As I understand it, the one year guarantee will be over pretty soon and I appreciate it very much if you could influence the builder to take appropriate action to got these deficiencies corrected as soon as -possible. Very truly yours 9 � I No. 14865 Building Job Report ADDRESS R OWNER BUILDER 7'/ - /L j -rte!' DATE TYPE ,s PERMIT NO. DESCRIPTION A,Z INSPECTION RECORD DATE REPORT 'Ax DATE i i i i .I j ,i TO 2-1 Poor Cs. a.:r: CcmWainv 'aawxv <y ag s7sot1. .r, .„ , e... t.a.. FOLD — Enclosed you will find COPles Of MIX records for the above- address. Mm Perv&t vas taken r a i Y ♦'. _ R ') Y w .. ,i.' "za Y E. � ". �._:.� _ r. �a.. _ �.� T. if < ^!. r: r C ,.Y w ! .. MITI, _ �ti ly, _ y`C J; Rl... l' it �::a_ .e ,= . [o<i' ^ �Y..'- and 1 .;. ' mv :. door on 'f: ,y _Y_S'r g;. y � :y;. 0 ' ta: --m wheat action wecan take, if any,, to got this corrected. PLEASE REPLY TO b SIGNED DATE SIGNED SEND WHITE AND PINK COPIES WITH CARBON INTACT PINTS COPY IS RETURNED WITH REPLY. DETACH THIS COPY - RETAIN FOR ANSWER SUBJECT ERMIT NO. City of Fridley '� 30157 AT THE TOP OF THE TWINS BUILDING PERMIT fr __ COMMUNITY DEVELOPMENT DIV. PROTECTIVE INSPECTION SEC. CITY HALL FRIDLEY 5$432 NUMBER REV DATE PAGE OF APPROVED BY ' L J` 612-571-3450 910-F/5 9/1/99 JOB ADDRESS 5750 Washington Street NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION #14 SEE ATTACHED DESCR. Tract B I Adams St. Addn.(Regaistered land survey) SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Dennis Starkweather 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Sumco Inc. 7700 McCall Dr. Savage MN 55378 894-9166 4305 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO 8 USE OF BUILDING Residential 7 CLASS OF WORK D NEW p ADDITION p ALTERATION 2 REPAIR p MOVE p REMOVE 8 DESCRIBE WORK Reroof house and garage (20 S) Tear -off 9 CHANGE OF USE FROM TO STIPULATIONS Underlayment must comply with the State Building Code. SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING. HEATING, TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD VENTILATING OR AIR CONDITIONING. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING SO. FT CU FT. AUTHORIZED IS NOT COMMENCED WITHIN 80 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS OFFSTREET PARKING I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION STALLS GARAGES AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS VALUATION SURTAX AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT $1748 $.87 DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PERMIT FEE SAC CHARGE PROVISIONS OF ANY THE TATE OR LOCAL LAW REGULATING CON- TIO R THE RF ANCE OF CONSTRUCTION $63.15 Fixe SC $1.75 X�!-S..NA PLAN CHECK F TOTA EE Licen SC $5. 0 // .77 TUREOF CO,TOR OR AUTHORIZED AGENT (DATE) N ALIDAT T IS V UR MI SIGNATURE OF OWNEROF OWNER BUILDER) )DATE) 1h NEW[ ] Effective 5/10/99 ADDN [ ] CITY OF FRIDLEY ALTER [ ] SINGLE FAlV11LY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION Construction Address: 25-7-5-0 (/V Legal Description: Owner Name & Contractor: Address: LIVING AREA: GARAGE AREA: DECD AREA. OTHER: Construction Type: Tel. # MN LICENSE # 13 0,5 Tel. # E2 (K / 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 Sq. Ft. Length Width Height Sq. Ft. Le idth Hgt/Ground Sq. Ft. i Estimated. Cost: $ / Driveway curb Cut Width Needed: Ft. + 6 Ft = Ft x $ _ $ DATE: / APPLICANT: Tel. AF—Y' C CITY USE ONLY ~ Permit Fee $ �. �� Fee Schedule on Reverse Side Fire Surcharge $ / %S^ .001 of Permit Valuation (1/10th%) State Surcharge $ CJ $.50/$1,000 Valuation SAC Charge $ $1050 per SAC Unit License Surcharge $ 0 ® $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 $ "70- STIPULATIONS: 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 $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 $1,000,001 and up 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 $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 Removal and replacement of curb and gutter and -install a 3.4bot 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. Building $ BUILDING Plan Review Permit No.: - Inspections Surcharge RESIDENTIAL APPLICATION (.0005) times the total job valuation - Minimum $.50 Received By: 763-572-3604 .�/ °�� .001 x Permit Valuation (1/10%) CITY OF FRIDLEY $ Date Rec'd: DATE � - acb D`S YOUR E-MAIL ADDRESS �U�%Y1� �C�� U�� a1 L,. "y�<5 c'e-s^o 9_eqz�"9 . e-,oM SITEADDRESS Curb Cut Escrow THIS APPLICANT IS: ❑ OWNER *ONTRACTOR Erosion Control PROPERTY OWNER/ a-CG� Sk der Park Fee TENANT ADDRESS: Sy � �' �a � S�- CITY STATE_ZIP S5451L $ PHONE: r16 3" rl S 6 a 3 Ll Total Due CONTRACTOR NAME: To Cl 0-�eS Zec�ocQll�c�,. �s�C . STATE LICENSE # �U3 yq�D3 EXP DATE 3 0 - o(' SUBMIT A COPY OF YOUR STATE LICENSE ADDRESS:�� `Jc)C e7 u �voCQ ®� CITY V�� g kt-,- STATeZIP !E�1 a l WITH APPLICATION PHONE 6�1 c jo,0 FAX 651- 49n -R7 9.i. - PROPERTY TYPE c9SINGLE FAMILY/NEW CONSTRUCTION SIZE ❑ TWO FAMILY/NEW CONSTRUCTION STORIES PERMIT TYPE ❑ ADDITION ❑ GARAGE/SHED ❑ WINDOWS ❑ BASEMENT FINISH ❑ ROOF [, PRAIN TILE ❑ DECK ❑ SIDING THER ❑ SWIMMING POOL TYPE OF WORK: ❑ NEW ❑ ADDITION DgMAINTENANCEtREPAIR ❑ REMODELING DESCRIBE WORK BEING DONE: v W ")CQz 't' l04-2 l G�r� e 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. 3. Two sets of construction plans Energy Calculations IN EXISTING OPENINGS l§es ON, LOCATION OF WINDOWS 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 $ 'L/'50 • 0 U OCCUPANCY TYPE Permit Fee $ z;(6-56 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) 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 $ o Make checks vavable to: Citv of Fridlev 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 worwhich requires review and approval of plans. SIGNATURE OF APPLICANT�0_1.1' G PRINT NAMEZ>O-On C W� DATE 51 'a% "U 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 I' $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 1' $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 1a $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 , ' �`j-- IBiUILDIN(� Permit No.: �7 vG / $ 65% of Building Permit Fee Fire Surcharge Inspections RESIDENTLA.L APPLICATION Received By: 763-572-3604 ' , 00 CITY OF FRIDLEY Date d: 0 DATE J" 02.2i%� YOUR E-MAIL ADDRESS VL O t; $5.00 (State Licensed Residential Contractors) SITE ADDRESS .;-736 f 4 as k t✓1f� , — - ( IE - THIS APPLICANT IS: OWNER ❑CONTRACTOR $ PROPERTY OWNER/ NAME: 4 Erosion Control TENANT ADDRESS: S S`[� _c�in��rA CITY Fr 1 STA ZIP S ��3� Park Fee PHONE: CONTRACTOR NAME: $ STATE LICENSE # EXP DATE Agreement necessary ( ) Non Necessary ( ) SUBMIT A COPY OF YOUR STATE LICENSE ADDRESS: CITY STATE ZIP WITH APPLICATION PHONE FAX PROPERTY TYPE qSINGLE FAMILY/NEW CONSTRUCTION SIZE ❑ TWO FAMILY/NEW CONSTRUCTION STORIES PERMIT TYPE ❑ ADDITION XGARAGEISHED ❑ WINDOWS ❑ BASEMENT FINISH ❑ ROOF ❑ DRAIN TILE ❑ DECK ❑ SIDING ❑ OTHER ❑ SWIMMING POOL TYPE OF WORK: NEW ❑ ADDITION ❑ MA94MANCEIREPAIR ❑ REMODELING DESCRIBE WORK BEING DONE:C. SIZE OF IMPROVEMENT I a LENGTH WIDTH a HEIGHT G sq. Ft. 1 c3 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 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 °A ❑ Fascia and proposed project WINDOWS 2. Two sets of construction plans IN EXISTING OPENINGS ❑Yes ❑No LOCATION OF WINDOWS 3. Energy Calculations OR FOR NEW OPENINGS -DESCRIBE SIZE OF OPENING CHANGES & TYPE OF WINDOW TO BE INSTALLED NUMBER OF•WINDOWS ALL FEES ARE BASED ON VALUATION, INCLUDING THE COST OF LABOR AND MATERIALS: (USING THE 1997 U.B.0 FEE SCHEDULE) TOTAL JOB VALUATION $ a6 (>d "_' OCCUPANCY TYPE Permit Fee , ' �`j-- See Back Page for Fee Schedule Plan Review $ 65% of Building Permit Fee Fire Surcharge $ .001 times the total job valuation Surcharge $ ' , 00 .0005 x Permit Valuation Minimum $.50 License Surcharge $ $5.00 (State Licensed Residential Contractors) SAC Charge $ $1675 per SAC Unit (Plans to MWCC for determination) Curb Cut Escrow $ ft + 6 ft = ft x $21 =$ Erosion Control $ $450 Conservation Plan Review Park Fee $ Fee Determined by Engineering Sewer Main Charge $ Agreement necessary ( ) Non Necessary ( ) Total Due $ 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 ork is not to start without a permit; that the wor ill be in accordance with the approved plan in the case of all work whJ0 require review d approval of plans. SIGNATURE OF APPLICANT Y �_� PRINT NAME L..d1.., I l A4.- DATE c}J! � J � 7 Page 2 -Building Residential Application BUILDING PERART FEE SCHEDULE The Chief Building Official shall, before issuing permits for the erection of any building or structure, or for any addition to any existing building or structure, or for any alteration or repair to any existing building or structure, upon application therefore, require the payment by the applicant for such permit of fees to the amount herein below set forth and in the manner herein provided to -wit: TOTAL VALUE FEES $1 to $500 $23.50 (Minimum Fee is $23.50 plus surcharge) $501 to $2,000 $23,50 for 1" $500 plus $3.05 for each additional $100 or fraction, to and including $2,000 $2,001 to $25,000 $69.25 for 1' $2,000 plus $14 for each additional $1,000 or fraction, to and includinjg $$25,000 $25,001 to $50,000 $391.25 for 1- $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- $500,000 plus $4.75 for each additional $1,000 or fiaction to and including $1,000,000 $1,000,001 and up $5,608.75 for the 1s` $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 M I W cy IZ--