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PRE 2010 DOCS/9V5- `76 3 Y"� City of Fridley, Minn. N° 10115 BUILDING FERMI Date: March 3, 1969 Owner: 5Mjth & An arson Builder Sgme Address 912 40th Ave. N. E. Address Same LOCATION OF BUILDING No. 5770 Stmt ,,,_ Washington St. N. E. part of Lot Lot _ 5 &6 _Block 2 Addition or Sub -Division ____Adams SL, Addn Corner Lot _ Inside Lot x Setback 35' Sideyard 10' 6' Sewer Elevation _ 857.60 Top of Footing DESCRIPTION OF BUILDING To be Used as: Dwelling Front 44 Depth 24' Height 20' Sq. Ft. 1o56Cu. Ft. 21..UD Garage Front 20' Depth 22' Height _.. 0' Sq. Ft. _ _ �AQ Cu. rt. 4400� Type of Construction Rx== Frame Est, Cost_ $15, 000 __ To be Completed SEWER LOCATION - 231' South of Manhole WATER LOCATION - To be Tapped- Main located 20' from property line. 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 orth and in compliance with afl provisions of ordinances of the city of Fridley. 5100.00 Sewer. Connection Charge In consideration of the payment of a fee of $__A4 .00 , pmt is hereby granted to Smith &Anderson to construct the building or addition as described above. This permit is granted upon tLhressgnd�tion thatd, ardnd uFMisota regwthe limitsoces. � �. _ -rBuilding Inspector ence Belisle Aer.,A-e-d NOTICE: " permit does not cover the construddon, Instillation for whing, plumbing, gas boding, sewer or water. Be sure to see the BulWing hm pedtar for separate permits for these hems. APPLICATION FOR BUILDING PERMIT CITY OF FRIDLEY, MINNESOTA ONM 'S NAME ' r/K / BUILDER 5, '- '-, __' A lf%T%10 M10 Q AnDMS J U, UBDIVISION CT Id-' SIDEYARD ./,!�7- :::-- TING a of Survey of Lot and tificates. NG Height o Feet ';_7/ Height a Feet 03 nated Cost permit for the work strict accordancewiththe - = Department of Buildings, iresentations stated in DATE SIGNATURE (Schedule of Fee Costs can be found on the Reverse Side.) C . "000, A 4.10t51:tan u 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 -wits Uniform Building Codes 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 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 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 traction 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 leas than $5.00. NSSSD Connection Charges based on location - Area 1 or 2. 11 March 3, 1969 City of Fridley 6431 University Ave. N.E. Fridley, Minnesota 55421 Dear Sir; 1, Carl Sorenson request Street Improvements for the one block. Situated between Fifty-seventh (57) end Fifty-ei-th (",8) on Wa-zhin-ton St. X.E. Respectfully Carl Sorenson Y ' Application for Power Plants and He ' App acing, Cooling. Ventilation, Refrigeration and Air Conditioning Systems and Devices PARTIAL RATE SCHEDULE GRAVITY WARM AIR: 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 $ MECH. WARM AIR Furnace Shell & Duct Work to 120,000 BTU ............ $10.00 $ 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 & Lines—to 400 sq. ft. EDR Steam ...... $10.00 $ Furnace Shell & Line—to 640 sq. ft. EDR Hot Water ... 10.00 $ Each add. 200 sq. ft. EDR Steam ... .................. 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 199,000 BTU) ....................... 5.00 $ over 199,000 BTU See Fee Schedule GAS FITTING FEES: NO RATE TO AL 1st 3 Fixtures ...................... x$ 2.00 $ Additional Fixtures ................. x .75 $ Gas Range to 199,000 .......... x$ 5.00 $ AIR CONDITIONING FAN HEATING SYSTEM VENTILATING SYSTEM ALTERATIONS & REPAIRS ROUGH FINAL s $ See Fee Schedule $ TOTAL FEE $ m Dept. of Bldgs. Phone 560-3450 City of Fridley: 0 �'WIP�A The undersigned herbby makes application for a permit for the work hereir. 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 apd_ correct. Fridley, l Owner Kind of Building 1/61; ?1� Used as���� 19 e-0 Tobe completed about Estimated Cost, $ Old— e. Building Perlit No. Permit No. HEATING or PO team, Hot Water, Oarm Air No— Trade Name-,�Snize No.�l Capacity. Sq. Ft. E.D.R — &- d � BTU H.P. Total Connected Loader Kind of Fuelza BURNER — Trade Name p Size No ----44Z Capacity Sq. Ft. E.D.R. ZZ' BTU H.P. (REMARKS— ER Sl � N. WELTER HEATING 00 4637 CHICAGO AVE. By ax Business Phone No — ® y No. Make Original • PERMIT for Power Rants and cleating. Cool- ing. ventilation. Refrigeration and Air Conditioning Systems and Devices DESCRIPTION OF WORK Plants to be 'natal —altered—repaired Oil fired ; Coal fired—, Gas fired ; Gas Authorization Remarks��'�' Approved by Final Inspection Date , 19._ Inspector Pmt Na Fee 4422 $ I�• Office of the Inspector of Buildings City of Fridley City of Fridley, Minn.,/Z ® , 19 Location '5 7 %V 'Ye//- i', e Kind of Buildi"��–�� — How Occupied Work to be Commenced,7/&,,_,Z , I9_�4 To be Completed ,19 Estimated Cost, Old -New, Building Permit No. Permission is hereby granted to �'� ��' I� ''� ' `�`°� to install—erect—use the material and devices described in the above statement. This permit is granted upon the express condition that Die person 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 to the specifications set forth in the approved application for this permit on fale in the office of the Inspector of Buildings. AiIL , Inspector of Buildings 42 2M 11-67 N City of Fridley Application for Plumbing and Gas F'�tting Permit Dept. of Bldgs. Phone 560-3450 DESCRIPTION OF WORK –7763– Number, Kind and Location of Fixtures Location PLUMBING FIXTURE RATES: 3 7 �� Yl ?�o� x $1.50 $ Y Z New Fixture Old Opening .............. K Z g�sa3���o Z up=f x $3.25 $ w ? • R • NGAs WATER HTR. x $3.25 $ ELEC Base s $2,00 $ GAS FITTING FEES: 9 TOTAL 1st 3 Fixtures .......................... x $2.00 $ �— Additional Fixtures .................... x $ .75 $ Gas Range to 199,000 BTU .............. x $5.00 $ 1st 2nd _ 3rd 4th ° Future Connection Openings New Fixture, Old Openings I Connected with Sewer Cesspool [] PLUMBING FIXTURE RATES: NO. RATE TOTAL Number Fixtures ....... .............. x $2.00 $ Future Fixture Opening ................ x $1.50 $ New Fixture Old Opening .............. x $1.50 $ Catch Basin ............................ x $3.25 $ Water Heater (Up to 99,000 BTU) ......—� x $3.00 $ New Ground Run Old Bldg. ............ x $3.25 $ Electric Water Heater s $2,00 $ GAS FITTING FEES: NO. RATE TOTAL 1st 3 Fixtures .......................... x $2.00 $ �— Additional Fixtures .................... x $ .75 $ Gas Range to 199,000 BTU .............. x $5.00 $ REPAIRS & ALTERATIONS—Refer to Code Description ................................................$ TOTAL FEE $ 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. Fridley, Minn- �19 Owner ,6t Kind of Building Used as To be completed about Estimated Cost, $ Oldew. , uilding Permit No �r / /6 Permit No. "7 Signe By Business Phone No ROUGH FINAL ---5 �� ' 0 N° 4875 Origin Permit for FLUMBING AND GAS FMING�l .�L N.B. When work covered by this permit is ready, the Plumbing Ordinance requires that request for Permit 0 inspection shall be phoned in to the plumbing Inspector, 560-3450 giving number of this permit., Fee $ DESCRIPTION OF WORK Number, Bind and Location. of Fixtures City of Fridley W Stories M r w Q J 3 U z a t m F m d M m I- Z m d 07 Y 2 W I r to d 3 F z a E O ❑ LL 3 o Y (p o Z o a J K LL❑ U Z r m d d U M 2 U M Q O J U U % °e IL J U a d o. U' Q n U z Q d O a WATER HTR. GAS ELEC. Basement j 0 1st 1 f 1 2nd 3rd 4th Connected with Sewer -Cesspool Gas Piping for Openings Permission is hereby granted V to do the plumbing and gas fitting in the building described in the statement h6Ato 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 Date Inspector. OwnerOM�ryyt � ,. Location Kind of Building -sem Used as To be Completed ,19_ Estimated Cost Old -blew. Building Permit No.10 1 S Date Inspector of Buildings. V SUBJECT PERMIT City of Fridley ® 5000 AT THE TOP OF THE TWINS BUILDING PERMIT r RECEIP COMMUNITY DEVELOPMENT DIV. PROTECTIVE INSPECTION SEC. �y g 7�p 1` ---n CITY HALL FRIDLEY 55432 NUMBER REV. DATE PAGE OF APPROVED BY %.j 612-560-3450 910-F15 11/1/78 JOB ADDRESS 5770 Washington Street N.E. 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 5,6 2 Adams Street SHEET 2 PROPERTY OWNER MAILADDRESS ZIP PHONE John C. Hansen Jr. 5770 Washington Street N.E. 571-0203 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 ❑ NEW ( ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Construct a 201 x 28' Addition to back of dwelling 9 CHANGE OF USE FROM TO STIPULATIONS Insulate block wall above grade; or insulate ceiling to R-30 SEPERATE PERMITS REQUIRED FOR WI HEATING, PLUMBING ABVD SIGNS.R111�GF Before digging call local utilities TELEPHONE - ELECTRIC - GAS Etr— REQUCRED BY LAS' TYPE OF CONST. OCCUPANCY GROUP OCCUPANCYLOAD 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 ANY TIME AFTER WORK IS COMMENCED, NO. DWLG. UNITS OFFSTREET PARKING I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION 1 STALLS I GARAGES AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS VALUATION SURTAX AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED. $ 16x86.2 $8.43 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- $44.80 NONE STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. PLAN CHECK FEE TOTALFEE $ 11.20 $64.43 NATU o f4) ACTOR ORAUTHORI AGE (DATE)WHEN PROPE RLYVALIDATED THIS IS YOUR PERMIT SANATqXE_OrtWNEA0F OWNER BUILDER( (DATE) BLDG. INSP O TE V CITY OF FRIllLEY , APPLICATION FOR RESIDENTIAL BUILDING PERMITS (NEW, ALTERATIONS, ADDITIONS, OR REPAIRS) 0W11ER & BUILDER: f Address: 6_�7V� 5%zJ� Address:� • Teel. No.: No.: -5-:7a0 - Street: LOT: BLOCK: ADDITION: CORNER LOT: INSIDE IAT: SETBACK: 2•b_ ` SIDEYARDS: Applicant attach 'to this form Tyro Certificatep of Survey of Lot and proposed building location drawn on these Certificates. e j DESCRIPTION OF BUILDING , To Be Used As: Front: 7-,o ® Depth: 40' ;)-fV Square Feet:® / Cubic Feet: //, C__ Front: Depth: Height: Square Feet: Cubic Feet: Type of Construction:�` f`=r Estimated Cost: $ A• ® m� To Be Completed: Alt. A lt. B Proposed Driveway Width If New Opening Is Desired $ $ (SEE REVERSE SIDE OF SHEET) 2, 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 iij this application are true and correct. See reverse side or ad4tional i ormation. DATE: 2M -1�76 SIGNATURE Stipulations: r% ,rSOXJt®ZG�J d6® 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 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 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 $7.50 plus $.50 state surcharge. W14 -312W.1% am, W611j"111111` 1l� 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. i 1=01414111W11► 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. PIJAN[Jiliu ;,,r,.: a DETARPMENT CITY OF FRIDLEY, MINNESO'T'A T11is supplement is provided to assist the applicant in computing EXTERIOR ENVELOPE AVER2kGL "U" FACTOR INFOP14ATION. This information is required so the BUILDING OFFICIAL can -determine that -submitted plans comply'with the ENERGY CONSERVATION DESIGN CRITERIA of the STATE BUILDING CODE (Section 6000). It is the APPLICANT'S responsibility to accurately compute the data; reflect the proper DESIGN CRITERIA in the plans; submit product specifications, if needed to support the "R" and "U/° factor.; used; and to assure construction is per approved plans. JOB. LOCATION: �t � NER,/CONTRACTOR: _ )DTSS : PHONE: A. Determine the Total Exposed Wall Area as follows: 1. Total wall window areal° 3•rx3.S 3�.Z�� 2. Total door aren 3. Total sliding glass door area le, &x& _tet, ��� 0: 4. Total fireplace wall area 5. Total wall framing area (average 74 ll:&.a° (, /7- .10%) ®® t 6. Total net wall area above floor(average 90%) T'41. am en 7. Total rim joist area 'I (, LF e ey-) S '14.00 / 640 Subtotal: Total exposed wall area above floor 8. Total foundation window area 3 �,1 L ® . 9. Total net foundation area above grade-?(. �� Subtotal: Total exposed foundation area GRAND TOTAL EXPOSED WALL AREA B. Multiply the GRAND TOTAL EXPOSED WALL AREA X .17 = Item I C. Determine the Total Exposed Roof/Ceiling Area as follows: 10. Total skylight area 11. Total roof/ceiling framing area (10%) S75- jr 12. Total net insulated roof/ceiling area GRAND TO'T'AL EXPOSED ROOF/CEILING AREA D. Multiply the GRAND TOTAL EXPOSED ROOF/CEILING AREA X .05 = 9 �y Item II G.' If Item III is the same as, or less than Item•I, you have met the intent of State Building Code 6006 (c) 2. H. If Item IV is the same as, or less than Item II, you have met the intent of State Building Code 6006 (c) 1. I. Add Item I + Item II, - J. Add Item III + Item IV = K. If the sum of Items III and IV are less than. Items I and II, you have met 'the intent of the Code for total envelope system. The undersigned, as applicant for a building permit, hereby affirms the above information has been prepared and submitted.by himself or under his direction, hereby acknowledges the information to be correct and accurate; and hereby presents the information with required plans in support of the building permit application. By: DATE: Lili- U Jati.l,;i_ 01• UcACO jwk.1 I.J-), _y' 1JZ —1U, iAEOO eAs -.'follows: V 1 A V • 2. x $full _ 3. x (lull - /1 . 't x 11 U.11 !. lJ _ 5. x 11X ff - 7. x fluff = 8 x fl Tiff lJ 9. x fluff ADD 1-9 ,FOR TOTAL WALL SEGMENTS = ITEM III F. Determine the "U° value of each segment (10-12) and multiply by the area as follows: 10. x 'full = 11. x fluff = 12. x fluff = ADD 10-12 FOR TOTAL ROOF/CEILING SEGMENTS = ITEM IV G.' If Item III is the same as, or less than Item•I, you have met the intent of State Building Code 6006 (c) 2. H. If Item IV is the same as, or less than Item II, you have met the intent of State Building Code 6006 (c) 1. I. Add Item I + Item II, - J. Add Item III + Item IV = K. If the sum of Items III and IV are less than. Items I and II, you have met 'the intent of the Code for total envelope system. The undersigned, as applicant for a building permit, hereby affirms the above information has been prepared and submitted.by himself or under his direction, hereby acknowledges the information to be correct and accurate; and hereby presents the information with required plans in support of the building permit application. By: DATE: CITY DFRRIOLEYINSPECTION DIV. 6431Un�� ��'Ave NE Effective OnMarch 1 1996 ' Fridley, MN 55482 APPLICATION FOR PLUMBING AND GAS FITTING PERMIT 57O-3604 .MARK NUMBER OFFIXTURES TOBEINSTALLED ONEACH FLOOR x Floor Auto. Gas Water Heater Stories Uri Tra j_" Washer ge Ran Basement Floor I _3 Floor 2 Floor Floor A PLUMBING FIXTURE RATES: NO. RATE TOTAL JOB ADDRESS S-7^76 ")'*S o 1k. New Fixtures $7.00 The undersigned hereby makes application for mperm it for the work herein Old Opening, New Fixture *4.00 �� wpecifiadmgree|ngtmdnmUwprk|nsk|ctmcmprdanmwwbhthacbycodmw Beer Dispenser *5.00 and rulings ofthe Building Division, and hereby declares that all the facts Blow Off Basin $7.00 and representations stated |nthis application are true and conact Catch Basin ----- � �.oV ' Rain Water Leader �7.�� ------- } `,���' � 8ump/RocoIv|ngTanh ---- $7.00 ------- 1996 Water Treating Appliance *10.08 C>wnmv JOE 0&A�L� VYmtwr Heater —Electric *7.00 VVote,Heotwr— Goo** / *10.00 11v" Building Used As A Gas Range" --' *1�.�P Gas Dryer** ryer *10.00 ---- mv�� / Estimated Cost 6q1,00 PERMIT NO. //�z~"� Back Flow P,evontarRequined( )Yes ( )No . Type^ *15.00 PLUMBING CON1PAN Reinspection Fee *42.00yHr SIGNED' ALLOTHERS AND/OR REPAIRS AND ALTERATIONS' 1.5q�ofValue ofFhdurwo,Appliance ��o�m ' — Approved B Rough—In Date Final Date State Surcharge ' '�-MINIMUM FEE FOR ANY PLUMBING/GAS PERMIT IS $20.00TOTAL FEE $ PLUS THE $.So STATE SURCHARGE "COMBUSTION AIR SHALL BE PROVIDED PER UMC SECTION 504(A) AND TABLE 6—A. MINIMUM SIZE 9 SQ INCHES, °« SUBJECT 4kEWM IT NO. '• City of Fridley K 2 6 5 0 AT THE TOP OF THE TWINS BUILDING P E R M I T r RECEIPT NO. COMMUNITY DEVELOPMENT DIV. r PROTECTIVE INSPECTION SEC. q00 NUMBERDATE PAGE OF APPROVED BY i '-'I CITY HALL FRIDLEY 55432 ---- 1 J` 612-571-3450 910-F15=7/8/98 JOB ADDRESS 5770 Washington Street NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 5,6 2 Adams Street Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Joe Oberle 5770 Washington Street NE 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Midwest Siding & Roofing 18979 Gladstone Blvd, Maple Grove MN 55311 416-4804 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 20010277 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO. 6 USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW ❑ ADDITION ❑ ALTERATION j] REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Reroof House & Garage (32 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 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 1 STALLS GARAGES AND KNOW THE SAM TO B TRUE AND CORRECT. ALL PROVISIONS OF LAWS VALUATION SURTAX AND ORDINA CES V N NG IS TYPE OF WORK WILL BE COMPLIED $2,668 $1.33 WITH WHET R CI ED ER IN OR NOT. THE GRANTING OF A PERMIT DOES NO P TO IV AUTHORITY TO VIOLATE OR CANCEL THE PERMIT FEE SAC CHARGE PROVISI NS AN OT E TATE OR LOCAL LAW REGULATING CON- $74.75 Fire SC $2.66 STRUC ION H F CE OF CONSTRUCTION. PLAN CHECK FEEL FEE �- License $5.9f SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT IDATEI N ROP VALI T THIS U R I SIGNATURE OF OWNER IIF OWNER BUILDERI IDATEI IN$P 11A NEW [ ] ADDN [ ] ALTER [ ] ConstructionAddress: : CITY , OF FRl DLEY - , . SINGLE FAMILY (AND DUPLEXES ' R 1 AND R-2 BUILDING PERMIT APPLICATION Effective 1/1/98 Legal Description: Owner Name & Address: -De obe,,- �� n Tel: t Contractor. l d. v) e S r'd �� MN LICENSE # f `/ Address: < / 6 f "4 Tel. # Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. LIVING AREA: GARAGE AREA: DECK AREA: OTHER: DESCRIPTION OF IMPROVEMENT Length Width Height Length Width Height Length Width Hgt/Ground Ci'. Sq. Ft. Sq. F S . Ft../� Construction Type: �f �06 � iLt�-� ��s Estimated Cost: $ ;26 (Fee Schedule, on Back) Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ _ $ DATE: -7-3-73 'APPLICANT: Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee Sewer Main Charge TOTAL STIPULATIONS: Tel. # 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 [ ] r ' 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 r $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. CINOF FRIDLEY FRIDLEY MUNICIPAL CENTER - 6431 UNIVERSITY AVE. N.E. FRIDLEY, MN 55432 - (612) 571-3450 - FAX (612) 571-1287 December 30, 1998 Joe Oberle 5770 Washington St NE Fridley, MN 55432 Re: Construction Without Obtaining a Building Permit (Soffit/Fascia at 5770 Washington St NE) Dear Mr. Oberle: According to Section 106.1 of the 1994 Uniform Building Code as adopted by the City of Fridley, no building or structure regulated by this Code shall be erected, constructed, enlarged, altered, repaired, moved, improved, removed, converted, or demolished unless a separate permit for each building or structure has first been obtained from the Building Official. You have been notified of your need to obtain a building permit and have failed to comply as of today's date. As a result, a special investigation fee will now be added to the permit, equal to the permit fee. The City of Fridley will give you 30 days in which to comply before turning this matter over to the City Attorney for his legal consideration. Please contact me at 572-3603 if you have any questions on this matter. Sincerely, A' -4U4 ale, BARRY RIIESCH Building Inspector BR/bk CRYOF FRIDLEY FRIDLEY MUNICIPAL CENTER - 6431 UNIVERSITY "E. N.E. FRIDLEY, MN 55432 - (612) 571-3450 - FAX (612) 571-1287 January 7, 1999 Midwest Siding & Roofing 18979 Gladstone Blvd Maple Grove, MN 55311 Re: Construction Without Obtaining a Building Permit (Soffit/Fascia at 5770 Washington St NE) Dear Sirs: According to Section 106.1 of the 1994 Uniform Building Code as adopted by the City of Fridley, no building or structure regulated by this Code shall be erected, constructed, enlarged, altered, repaired, moved, improved, removed, converted, or demolished unless a separate permit for each building or structure has first been obtained from the Building Official. You have been notified of your need to obtain a building permit and have failed to comply as of today's date. As a result, a special investigation fee will now be added to the permit, equal to the permit fee. The City of Fridley will give you 30 days in which to comply before turning this matter over to the City Attorney for his legal consideration. Please contact me at 572-3603 if you have any questions on this matter. Sincerely, BARRY RIESCH Building Inspector BR/bk SUBJECT City of Fridley 2=8 AT THE TOP OF THE TWINS BUILDING PERMIT r ` RECEIPT NO. `L __-__ COMMUNITY DEVELOPMENT O. INSPECTION SEC. � 7 r � � PROTECTIVE 1 NUMBERnEv DATE PAGE OF APPROVED er CITY HALL FRIDLEY 55432 612-571-3450 910-F15 2/17/99 JOB ADDRESS 5770 Washington Street NE I LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 5,6 2 Adams Street Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Joe Oberle 5770 Washington Street NE 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Midwest Siding & Roofing 18979 Gladstone Blvd, Maple Grove, MN 55311 416-4804 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO 20010277 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO 6 USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW Q ADDITION O ALTERATION K@ REPAIR O MOVE O REMOVE 6 DESCRIBE WORK Replace soffit & fascia 9 CHANGE OF USE FROM TO STIPULATIONS Install soffit ventilation to meet the State Building Code. Permit issued after completion of work. 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 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 1 HAVE READ AND EXAMINED THIS APPLICATION 1 STALLS GARAGES AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS VALUATION SURTAX AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED $2,000 $1.00 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 COW $62.25 Fire SC $2.00 STRUCTION OR THE PERFORMANCE OF CONSTRUCTION PLAN CHECK FEE TOTAL FEE License SC $5.,90 $70.25 SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT IDATEi WHEN PROPER VALIDATED THIS IS Y ILIR PERMIT r47 S-GNATURE OF OWNEROF OWNER BUILDER, IDATEI BL ,NSP - OAtE NEW [ ] ADDN [ ] CITY OF FRIDLEY ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION ConstructionAddress: Legal Description: _ Owner Name & Contractor: 1 Address: 1899 Effective 1/1/99 LIVING AREA: GARAGE AREA: DECK AREA: OTHER: Construction Type: MNLICENSE# /� t,I Tel. # • ' �l� � ��d G� 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. Length Width Hgt/Ground Sq. Ft. It- �-s Estimated Cost: $ 6v • 49,0 (Fee Schedule on Back) Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ _ $ DATE: Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee Sewer Main Charge TOTAL STIPULATIONS: APPLICANT: Cq e e� Tel. # _7/o/ Z940�l CITY USE ONLY $ .-vim Fee Schedule on Reverse Side $ 00 .001 of Permit Valuation (1/1( $ DU $.50/$1,000 Valuation $ $1050 per SAC Unit 5 $ �3(� $5.00 (State Licensed Resident s i/e $ Alt. "A" or Alt. "B" Above w4 f $ $450.00 Conservation Plan Re' $ Fee Determined by Engineering t $ Agreement Necessary [ ] Not 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-wib 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 pfoposed 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. .1 SUBJE61 IT NO. City of Fridley 3222 1 AT THE TOP OF THE TWINS BUILDING PERMIT • RECEIPT NO. _ COMMUNITY DEVELOPMENT DIY. ®� r � � PROTECTIVE INSPECTION SEC. 1 � NUMBER REV DATE PAGE OF AOPROVED BY ; CITY HALL FRIDLEY 55432 ' 612-571-3450 910-F15 10/4/01 JOB ADDRESS 5770 Washington Street NE 1 LEGAL LOT N0. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 5,6 2 Adams Street Addn SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Joe Oberle 5770 Washington Street NE 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Precision Concrete Cutters Inc 5932 53 Ave S, Fargo, ND 58104 701-280-7038 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO 20194830 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO 8 USE OF BUILDING Residential 7 CLASS OF WORK !] NEW 0 ADDITION 0 ALTERATION Cj REPAIR 0 MOVE 0 REMOVE 8 DESCRIBE WORK Install two windows in basement 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. Caulk and flash all exterior openings. SEPARATE PERMITS ARE REOUIREO FOR ELECTRICAL. PLUMBING, HEATING. TYPE OFC NST. 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 BO DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS OFFSTREET PARKING I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION 1 STALLS GARAGES AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS VALUATION SURTAX AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED $7 r,OQ � $3 75 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- Fire SC $7.50 TRUCTION 0 THE PERFORMANCE OF CONSTRUCTION TION PLAN CHECK FEE TOTAL FEE 10 —v License $5.0'/$169.50 SIGNATURE OF CON• ACTORORAUT MORIZEO AGENT 10 TEI HE PRO Y VALIDAT D THIS IS YOUR �PERMIT / SL G INSP DATE SIGNATURE OF OWNER,iF OWNER SUILOERI IDATEI .1 NEW (] Effective 1/1/2001 ADDN [ J CITY OF FRIDLEY (763) 572-3604 Bldg Insp ALTER [ J SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION Construction Address: S-2-7(3 S I -t k jcrT-Z) J Legal Description: Owner Name & Address: 3j E 012i2L f Tel. # Contractor. -p2 cc C Is i '09 l _v nlc c cer S Coty-yr A N LICENSE # Tel.# 76+—y1©- ?(A3?- 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: 3A0 A4S-" Construction Type: W �� J �s `� Estimated Cost: $ Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $, -7'S-J3, DATE: 16 ' 3- s 1 APPLICANT: T om' -I �� Tel.# CITY USE ONLY - Call (763) 572-3604 for Permit Fees if mailing in application Permit Fee $� °� Fee Schedule on Reverse Side Fire Surcharge $ '% S� .001 of Permit Valuation (1/10th%) State Surcharge $ 3. 7 $.50/$1,000 Valuation SAC Charge $ $1150 per SAC Unit License Surcharge $ .5.00 $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 [ J Not Necessary [ ] TOTAL $ S-® STIPULATIONS: BUILDING PERMIT FEE SCHEDULE The Chief Building Oficial 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 "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 INSPECTION DI'ViSION Effective On January 1, 2001 6431 University Ave NE Fridley, MN 55432 APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION, 763-572-3604 REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES ���i> �i�S/1//I��/(J ,ST RATE SCHEDULE JOB ADDRESS -- - - OWNER Residential Rate TOTAL Furnace Shell and Duct Work, Burner • BUILDING USED AS Also Replacement Furnace $ 30.00 $ •a' (Side Vent • Fill Out Back)" COST�;'s�o,� PERMIT N0. Gas Piping (Needed with new furnace, $ 10.00 $ but not replacement) DESCRIPTION OF FURNACE AND OR BURNER Gas Range $ 10.00 $ No. of Heating Units / Circle One (Steam) (Hot Water) arm Ai Gas Dryer $ 10.00 $ Trade Name /2 Size No OZ BTU. -4000 HP EDR Air Conditioning All Sizes $ 25.00 $ 2,•�U Fuel ' L/! f �.4- S 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 $ .50 , rulings of the Building Division, and hereby declares that all the facts and representations stated in this application are true and, correct. TOTAL FEE $ �� s DATE D / MINIMUM FEE FOR ANY HEATING/COOLING/VENTILATION REFRIGERATION/AIR CONDITIONING PERMIT IS $25.00 PLUS THE $.50 STATE SURCHARGE REINSPECTION FEE $47.00/Hr "Air Conditioners can not be placed in a side yard without written permission from adjoining property owner. HEATING C� _-�DrUG�s ��'� Signed TEL #ifl� Approv7ByRough-In Date Final Date BACK SIDE MUSI BE FILLED IN ON VENT SIZE, VENT CONNECTORS AND COMBUSTION AIR VERIFICATION .r, N X 0 3 �c n d r M COMMON VENT, VENT CONNECTOR AND COMBUSTION Alit VERIFICATION When replacin_q an existing furance, 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 oNo ( ) The venting system is plastictPVC and meets all current codes and manufacturer specifications including sizing, length, number of elbows and termination. Yes O�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 manufacturers 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 .(fNo ( ) 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 ( ) Apace Type and Size/Common Vent and Vent Connector Information Appliance #1 Type lNEW f'0/%r te BTU Input /40,61W 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 re—a"00.9 - Common Vent Type Vent Height Diameter inches Appliance #1 Vent Connector Height ft Length ft Diameter in Type Appliance 42 Vent Connector Height ft Length ft Diameter in Type Appliance #3 Vent Connector Height ft Length ft Diameter --in Type ALTERATIONS; (Describe) HEATING CO: � Sr2C-- Signed Signed By: l?.�-�_ Date: SUBJECT PERMIT NO. City of Fridley 32349), AT THE TOP OF THE TWINS BUILDING PERMIT ` EIPT N COMMUNITY DEVELOPMENT DIV. r PROTECTIVE INSPECTION SEC. t � NUMBER REV DATE PAGE OF APPROVED BY A � CITY HALL FRIDLEY 55432 ---- L „ 612-571-3450 910415 12/7/01 JOB ADDRESS 5770 Washington St NE I LEGALLOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 5-6 2 Adams Street Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS zip PHONE Joe & Lora Oberle, 5770 Washington St, Fridley, MN 55432 763-572-8432 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Joe & Lora Oberle (same address) 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO 8 USE OF BUILDING Dwelling 7 CLASS OF WORK O NEW O ADDITION] ALTERATION O REPAIR O MOVE O REMOVE 8 DESCRIBE WORK Basement finish 9 CHANGEOFUSEFROM TO STIPULATIONS See notations on plans. SEPARATE PERMITS REWIRED FOR: WIRING HEATING PLIC GINd AND SIG . 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 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 1 HAVE READ AND EXAMINEO THIS APPLICATION ISTALLS GARAGES AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWSy L}�ATIQN SURTAX AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL QE COMPLIED �81'G Q•00 $4.00 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- $153.25 $8.00 Fire SC STRUCTION OR THE PERFORMANCE OF CONSTRUCTION PLAN CHECK FEE T00AL FEE 165.25 AGN RE OF TRACT RAUT ORiLE GENT - SOA EN ROP VALI T/0 THIS I$ YOUR PERMIT ev BLO NSP +ASE S ATURE OW ERBF OWNER DERi +DA + ,I NEW [] ADDN [ ] CITY OF FRIDLEY ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION Construction Address: iN Effective 1/1/20 1 (763) 572-3694 Bldl p 3 019 Legal Description: J i Owner Name & Address: (iC. Q L t L ()Lrk - Tel. # ``���- 612 _R 3 Z, Contractor: 50-1- MN LICENSE # Address: S770 Woi5bt y, 4px S� , P r Tel. # 7Z63-577--'?'132- Attach Z(3 5%Z--x'132- 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�— SS Ft. OTHER: 7�--3z Construction Type: 21sey►d Estimated Cost: $ $g 006 Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ _ $ DATE: �- 310) APPLICANT:IYJTel. # '713. 525`OFud , JQOr CITY USE ONLY - Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee Sewer Main Charge TOTAL STIPULATIONS: Call (763) 572-3604 for Permit Fees if mailing in application $ /53o a�S Fee Schedule on Reverse Side - - $ " r00 .001 of Permit Valuation (1/10th%) $ /e (YQ $.50/$1,000 Valuation $ $1150 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 t6�*# TOTAL VALUE FEES $1 to $500 $23.50 $501 to $2,000 $23.50 for first $500 plus $3.05 for each additional $100 or fraction thereof, to and including $2,000 $2,001 to $25,000 $69.25 for first $2,000 plus $14.00 for each additional $1,000 or fraction thereof, to and including $25,000 $25,001 to $50,000 $391.25 for first $25,000 plus $10.10 for each additional $1,000 or fraction thereof, to and including $50,000 $50,001 to $100,000 $643.75 for first $50,000 plus $7.00 for each additional $1,000 or fraction thereof, to and including $100,000 $100,001 to $500,000 $993.75 for first $100,000 plus $5.60 for each additional $1,000 or fraction thereof, to and including $500,000 $500,001 to $1,000,000 $3,233.75 for the first $500,000 plus $4.75 for each additional $1,000 or fraction thereof, to and including $1,000,00 $1,000,001 and up $5,608.75 for the first $1,000,000 plus $3.15 for each additional $1,000 or fraction thereof DRIVEWAY DEPRESSION ESCROW (Concrete Curb Streets Only) Alternate "A": Removal and replacement of curb and gutter only - Driveway width plus 6 feet times $15.50. Alternate "B": Removal and replacement of curb and gutter and install a 3 foot wide approach with 6 inch depth - Driveway width plus 6 feet times $23.25. VERIFICATION OF FOUNDATION Permits for construction will be issued a minimum of 24 hours from the time of application to allow for proper review of the proposed structure and of the construction site. A Certificate of Survey of the lot, showing the location of the foundation once it has it has been constructed will be required before proceeding with the framing. New Houses 0nly . I Alev pe TV i k(2 C,\6 d -w �Q- C`V�A Ck/y-% JY� �� CITY OF FRIDLEY INSPECTION DIViSION 6431 University Ave NE Fridley, MN 55432 APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION, (763) 572-3604 REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES RATE SCHEDULE j -3 Sri�p l,),eS *33 Residential vu�vt5 Rate TOTAL Furnace Shell an Duct Work urner Also Replacement $ 30.00 $ (Side Vent . Fill Out Back) Gas Piping (Needed with new furnace, $ 10.00 $ but not replacement) Gas Range � $ 10.00 $ Gas Dryer JBACK) 10.00 $ *Air Conditioning - All Sizes 25.00 $ All Others/Repairs & Alterations (LIST 1% of Value of Appliance or Work $ Commercial/Industrial 1.25% of Value of Appliance or Work $ State Surcharge $ .50 TOTAL FEE $ ; � S?) MINIMUM FEE FOR ANY HEATING/COOLING/VENTILATION REFRIGERATION/AIR CONDITIONING PERMIT IS $25.00 PLUS THE $.50 STATE SURCHARGE REINSPECTION FEE $47.00/Hr *Air Conditioners can not be placed in a side yard without written permission from adjoining property owner. 7 Effective On January 1, 2002 -�ro n St- t� F OWNER 30 Loot, ® L4jL- BUILDING USED AS 00 90ESTIMATED COST C6 PERMITNO.. % `F DESCRIPTION OF FURNACE AND OR BURNER No. of Heating Units, --Circle One (Steam) (Hot Water) (Warm Air) Trade Name Size No. BTU HP EDR Fuel Total Connected Load Burner Trade Name BTU HP Size No. EDR 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 rulings of the Building Division, and hereby declares that all the facts and representations stated in this application are true and correct. DATE Z TEL # A 3Lt?s THE BELOW MUST BE FILLED IN WHEN REPLACING FUEL BURNING APPLIANCES OR THE APPLICATION WILL BE RETURNED When •p�(an axesfing 'ran _ , 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 plastiGPVC 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 exon ing comhtistinn air is sized and installed to meet the current codes and manufacturer's specifications. Yes( ) No( ) When required to inetaii a now _nmb sfnn airs it will be sized and installed to meet the current codes and manufacturer's specifications. Yes( ) No( ) When jpstaljina a now venting ¢ stam, 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 #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 HEATING CO: Signed By: Date: 3utlding BUILDING Permit No.: " I a nspectionsRESIDENTIAL APPLICATION Received By: 763-572-3604 CITY OF FRIDLEY Da'd: SATE 7 YOUR E-MA1IL ADDRESS ,k0 s a� e 1(ip r �.01us c o ITE ADDRESS 5? Z o W R g f n 'HIS APPLICANT IS: ❑ OWNER •CONTRACTOR OROt ERTY OWNER/ NAME: o e ® bei A TENANT ADDRESS: 11 w (Ig / n n CITY Tr 0111 STATE_ZIP PHONE:_ -1 d 3 S? 6455 Windows & Doors ®� Nom— ® �idir o/u S CONTRACTORPella 15300- 25th Avenue N.- Suite 100 S2 3115 - 16 V 7 SUBMIT A COPY OF STATE LIC Plymouth, MN 55447 Y,QUR STATE LICENSE ADDRESS: CITY 763/ 745-1400 STATE—ZIP WITH APPLICATION PHONE PROPERTY TYPE License# 20165884 ' E ❑ TWO FA _ .ORIES PERMIT TYPE [J ADDITION ❑ GARAGE(SHED U WINDOWS ❑ BASEMENT FINISH ❑ ROOF ❑ DRAIN TILE ❑ DECK ❑ SIDING ❑ OTHER ❑ SWIMMING POOL TYPE OF WORK: ❑ NEW ❑ ADDITION MAINTENANCE/REPAIR 11 REMODELING )ESCRIBE WORK BEING DONE: wipdota IZE OF IMPROVEMENT LENGTH WIDTH HEIGHT Sq. Ft. .00FING ❑ HOUSE ONLY UMBER OF SQUARES O HOUSE & GARAGE BASEMENT REMODELING SUBMIT: ;ARAGES ❑ ATTACHED GARAGE 1. . Existing Floor Plan Proposed floor plan iZOPOSED SIZE: ❑ DETACHED GARAGE 3. 3 List of structural members to be used ROPOSED HEIGHT: [DING FOR NEW CONSTRUCTION INCLUDING DECKS, 1 Vinyl ❑Soffit ADDITIONS. & PORCHES SUBMIT: I Aluminum ❑ Trim 1. Site Plan/Survey showing the existing structures I Other ❑ Fascia and proposed project 2. Two sets of construction plans 'D�'DOWS d EXISTING OPENINGS Yes ❑No LOCATION OF WINDOWS `l ue " I 3. Energy Calculations R FOR NEW OPENINGS -DESCRIBE SIZE OF .'ENING CHANGES & 3 YPE 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 $ 14'5* G a OCCUPANCY TYPE -rmit Fee an Review .;rcharge re Surcharge :cense Surcharge 4C Charge jxb Cut Escrow •osion Control Irk Fee >wer Main Charge )tal Due $ $ i. $ $ $ S. o $ See Back Page for Fee Schedule 65% of Building Permit Fee (.0005) times the total job valuation — Minimum $.50 .001 x Permit Valuation (1/10%) $5.00 (State Licensed Residential Contractors) $1450 per SAC Unit (Plans to MWCC for determination) ft+6ft= ftx$20=$ $450 Conservation Plan Review Fee Determined by Engineering Agreement necessary ( ) Non Necessary ( ) Make checks navable to: City of Fridley Attach THIS IS AN APPLICATION FOR A PERMIT -NOT VALID UNTIL PROCESSED hereby apply for a building permit and I acknowledge that the information above is complete and accurate; that the work will be in nformance with the ordinances and codes of the City of Fridley and with the Minnesota Construction Codes; that I understand this is not a .rmit but only an application for a permit d work is not to start without a permit; that the work will be in accordance with the approved an in the case of all work which requires r i and approval of plans. —/'; % 'j % �j 3NATURE OF APPLICANT PRINT NAME l ! %� L� 0 n !C DATE ` 1 a t 1 O D Building BUILDING Permit No.: Inspections $ RESIDENTIAL APPLICATION Received By: 763-572-3604 CITY OF FRIDLEY Date Rec'dC �� 763-502-4977 FAX EFFECTIVE I -I-08 DATEr� _7 YOUR E-MAIL ADDRESS SITE ADD ESS :! 77Q 1\3t7—.e�— THIS APPLICANT IS: ❑ OWNER @CONTRACTOR PROPERTY OWNER/ NAME: ADDRESS:S �� % G �dprS i h h1CzT( F' ` %' • NL CITY Ff-L DL--(: y STATE VU /OZIP TENANT PHONE: NAME: ( 1$1T4F 0P'4(` C'kDj-S Tie-ULTZO. ADDRESS:; �f C� C'z�'c �r aL C 11} rU ii CITY i/et5J3TATEgJ fi fZIP CONTRACTOR SUBMIT A COPY OF PHONE 3 _ 4 E, FAX YOUR STATE LICENSE STATE LICENSE # a-7 � y EXP DATE �� /� (3 C) r C7 C,-�— PROPERTY TYPE INGLE FAMILY/NEW CONSTRUCTION SIZE ❑ TWO FAMILY/NEW CONSTRUCTION STORIES PERMIT TYPE ❑ ADDITION ❑ GARAGE/SHED ❑ WINDOWS ❑ BASEMENT FINISH ❑ ROOF ❑ DRAIN TILE 2(DECK ❑ SIDING ❑ OTHER ❑ SWIMMING POOL TYPE OF WORK: ❑ NEW HOME CONSTRUCTION LKADDITION ❑ MAINTENANCE/REPAIR 0REMODELING DESCRIBE WORK BEING DONE: P rK � Cs {' d� (� la� t) G -L r SIZE OF IMPROVEMENT l A a LENGTH WIDTH HEIGHT'SQ FT a9 5 ROOFING ❑ HOUSE ONLY BASEMENT REMODELING SUBMIT: NUMBER OF SQUARES ❑ HOUSE & GARAGE I. Existing Floor Plan GARAGES ❑ ATTACHED GARAGE 2. Proposed floor plan PROPOSED SIZE: ❑ DETACHED GARAGE 3. List of structural members to be used PROPOSED HEIGHT: FOR NEW CONSTRUCTION INCLUDING DECKS, SIDING ADDITIONS & PORCHES SUBMIT• ❑ Vinyl ❑Soffit 1. Site Plan/Survey showing the existing structures � ❑ Aluminum ❑Trim and proposed project. ❑ Other ❑ Fascia 2. Two sets of construction plans WINDOWS 3. Energy Calculations IN EXISTING OPENINGS ❑Yes ❑No LOCATION OF WINDOWS � OR FOR NEW OPENINGS -DESCRIBE SIZE OFX OPENING CHANGES & TYPE OF WINDOW TO BE INSTALLED NUMBER OF WINDOWS ALL FEES ARE BASED ON VALUATION, INCLUDING THE COST OF LABOR AND MATERIALS: ���(UU5ING� THE 1997 UBC FEE SCHEDULE) TOTAL JOB VALUATION $ OCCUPANCY TYPE Permit Fee Plan Review Fire Surcharge Surcharge License Surcharge SAC Charge Curb Cut Escrow Erosion Control Park Fee Sewer Main Charge Total Due �'?/S, & See Back Page for Fee Schedule 65% of Building Permit Fee .001 times the total job valuation .0005 x Permit Valuation Minimum $.50 $5.00 (State Licensed Residential Contractors) $1825 per SAC Unit (Plans to MWCC for determination) ft+6ft= ftx$21=$ $450 Conservation Plan Review Fee Determined by Engineering Agreement necessary ( ) Non Necessary ( ) Make checks Davable to: City of Fridley 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 onsite; that the work will be in accordance with a lan in the cas of all work which requires review and approval of plans. SIGNATURE OF APPLICA�[ �/ ^��� PRINT NAME It -K '1364C-z�a-'O DATE � 0�7 ®„ $ $ 3 cY �'?/S, & See Back Page for Fee Schedule 65% of Building Permit Fee .001 times the total job valuation .0005 x Permit Valuation Minimum $.50 $5.00 (State Licensed Residential Contractors) $1825 per SAC Unit (Plans to MWCC for determination) ft+6ft= ftx$21=$ $450 Conservation Plan Review Fee Determined by Engineering Agreement necessary ( ) Non Necessary ( ) Make checks Davable to: City of Fridley 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 onsite; that the work will be in accordance with a lan in the cas of all work which requires review and approval of plans. SIGNATURE OF APPLICA�[ �/ ^��� PRINT NAME It -K '1364C-z�a-'O DATE � 0�7 ®„ Page 2 - Building Residential Application BUILDING PERMIT FEE SCHEDULE The Chief Building Official shall, before issuing permits for the erection of any building or structure, or for any addition to any existing building or structure, or for any alteration or repair to any existing building or structure, upon application therefore, require the payment by the applicant for such permit of fees to the amount herein below set forth and in the manner herein provided to -wit: TOTAL VALUE FEES $1 to $500 $23.50 (Minimum Fee is $23.50 plus surcharge) $501 to $2,000 $23,50 for 1" $500 plus $3.05 for each additional $100 or fraction, to and including $2,000 $2,001 to $25,000 $69.25 for Ig $2,000 plus $14 for each additional $1,000 or fraction, to and including $$25,000 $25,001 to $50,000 $391.25 for I' $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 ff $50,000 plus $7 for each additional $1,000 or fraction to and including $100,000 $100,001 to $500,000 $993.75 for I' $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 Fag: 763-502-4977 3uilding BUILDING See Back Page for Fee Schedule Permit No.:A6001) nspections RESIDENTIAL APPLICATION Received By: ! 763-572-3604 (.0005) times the total job valuation — Minimum $.50 CITY OF FRIDLEY ' to arra .001.x Permit Valuation (1/10%) ATE YOUR E-MAIL ADDRESS 5. a U ,ITE ADDRESS o Wo s h i n d fo a 5-�- IV C $ -HIS APPLICANT IS: 0 OWNER CONTRACTOR .irb Cut Escrow PROPERTY OWNER/ NAME: J tz e .g ft + 6 ft = ft x $20 = $ TENANT '' `` .ADDRESS:_ ��'�( 6 W n j_h_/n� Cl i�_ CITY r, cll u —STATE—ZIP—'55't/ 3a $450 Conservation Plan Review PHONE:_ 16131 S.�_a _$ q 3 $ Pella Windows &Doors A r Cl i2/ S CONTRACTOR NAME:_ 15300- 25th Avenue N.- Suite 100 q 1;1 13y G, G 0 k 1 SUBMIT A COPY OF STATE LIC Plymouth, MN 55447 Make checks payable to: City of Fridley Attach Stipulations Y,QUR STATE LICENSE ADDRESS: 745-1400 CITY STATE ZIP WITH APPLICATION763/ PROPERTY TYPE SINGLE License# 20165884 ' "E 0 TWO FA -.DRIES PERMIT TYPE ErADDITION 0 GARAGE/SHED VCWINDOWS O BASEMENT FINISH 0 ROOF ❑ DRAIN TILE 0 DECK 0 SIDING 0 OTHER 0 SWIMMING POOL TYPE OF WORK: i.Sk-MA-INTENANCE(REPAIR 0 NEW 0 0 REMODELING >ESCRIBE WORK BEING DONE: -7 Wt IV OU) rephi time In ev(.Se � IZE OF PROVEMENT LENGTH IM WIDTH HE GHT Sq. Ft. .00FING 0 HOUSE ONLY UMBER OF SQUARES O HOUSE & GARAGE BASEMENT REMODELING SUBMIT: '..RAGES 0 ATTACHED GARAGE 1. Existing Floor Plan 2. Proposed floor plan ROPOSED SIZE: 0 DETACHED GARAGE 3. List of structural members to be used ROPOSED HEIGHT: CDING FOR NEW CONSTRUCTION INCLUDING DECKS, ) vinyl OSoffit ADDITIONS. & PORCHES SUBMIT: I Aluminum 0 Trim 1. Site Plan/Survey showing the existing structures I Other O Fascia and proposed project. 2. Two sets of construction plans 'INAOWS 3. Energy Calculations 1 EXISTING OPENINGS Wes ONo LO TON OF �OWS R FOR NEW OPENINGS -DESCRIBE SIZE OF fit Mtn , OI !%rba fr) PENING CHANGES & u RE OF WINDOW TO BE INSTALLED NUMBER OF WINDOWS 7 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( 8 a L OCCUPANCY TYPE -rmit Fee$ j % /. S See Back Page for Fee Schedule 'an Review $ 65% of Building Permit Fee .rrcharge $ 2. k 1, (.0005) times the total job valuation — Minimum $.50 .re Surcharge $ (4.83 .001.x Permit Valuation (1/10%) ;cense Surcharge $ 5. a U $5.00 (State Licensed Residential Contractors) 4C Charge $ $1450 per SAC Unit (Plans to MWCC for determination) .irb Cut Escrow $ ft + 6 ft = ft x $20 = $ -osion Control $ $450 Conservation Plan Review irk Fee $ Fee Determined by Engineering >wer Main Charge $ Agreement necessary ( )Non Necessary ( ) )tal Due $ 3 . V Qi Make checks payable to: City of Fridley Attach Stipulations THIS IS AN APPLICATION FOR A PERMIT -NOT VALID UNTIL PROCESSED hereby apply for a building permit and I acknowledge that the information above is complete and accurate; that the work will be in nformance with the ordinances and codes of the City of Fridley and with the Minnesota Construction Codes; that I understand this is not a rmit 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 an in the case of all work which requires evi w and approval of plans. - ;� j� 3NATURE OF APPLICANT% / PRINT NAME (1 m �< < 1 C ry l� DATE