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PRE 2010 DOCSCity of Fridley, Minn. BUILDING PERMIT N° C5744� Date: Owner: Builder-- / Address _ _ ._ _ Address LOCAT1 OF BUILDING No. �' Street L "� _._�.� Part of :t Lot _ _..__ Block _ Addition or Sub -Division V Corner Lot __ _w___ Inside Lot _ _ �_ _ Setback _.,5 ,' _ _ S eyard Sewer Elevation _ _ Foundation Elevation DESCRIPTION OF BUILDING To ut; Front Depth Height AQ -L Sq. `t Cu. Ft. _ y«w�7 Front _ Depth eight _ Sq. Ft. _ __ Cu. Ft. ____ _.- Type of Construction Est. Cost f_.._.... To be Completed In consideration of the issuance to me of a permit to construct the building described above, I agree to do the proposed work in accordance with the description above set forth and in compliance with all provisions of ordinances of the city of Fridley. In consideration of the payment of a fee of �"'., permit is hereby granted to..._.. to construct the building or addition as described above. This permit is granted upon the express condition that the person to whom it is granted and his agents, employees and workmen, in all work done in, around and upon said building, or any part thereof, shall conform in all respects to the ordinances of Fridley, Minnesota regarding location, construction, alteration, maintenance, repair and moving of buildings within the city limits and this permit may be revoked at any time upon violation of any of the provisions of said ordinances. NOTICE: This permit does not cover the construction, installation for wiring, plumbing, gas heating, sewer or water. Be sure to we the Building Inspector for separate permits- for these items. 4 APPLICATION FOR BUILDING PERMIT CITY OF FRIDLEY', MINNESOTA 7 / Owner's Name Builder % y Q `� Aj Address Address��ri0�'���`"``�� LOCATION OF BUILDING No. S' I -)o Street Us Part of Lot Lot J Block Addition or Subdivision s4d-1 , Corner Lot Inside Lot !� Setback -S9' Side -Yard � ®� EWER ELEVATION FOUNDATION ELEVATION Applicant attach to this form Certificate of Survey of Lot and proposed building location. DESCRIPTION OF BUILDING To be used as: &-_J�' #_- Front Depth Height Sq. Ft. CU. Ft • Front Depth = eight sq. Ft. CU. Ft. Type of Construction Estimated Cost To be Completed The undersigned hereby makes application for a permit for the work herein specified, agreeing to do all work in strict accordance with the City of Fridley Ordinances and ruling of the Department of Build- ings, and hereby declares that all the facts and representations stated in this application are true and correct. DATE 2- ` 13 ` G SIGNATURE ✓ ° �� (Schedule of Fee Costs can be found on the Reverse Side). BUILDING PERMIT FEE SCHEDULE Section 2. The inspector of Buildings shall, before issuing any .permit for the erection of any building or structure, or for any addition to any existing building or structure, or for any alterations or repairs to any existing building or structure, upon application therefor, require the payment by the applicant for such permit of fees to the amount herein below set forth and in the manner herein provided to -wits 2.1. For any such permit for the erection of any fire -proof building, other than a garage, warehouse, factory or grain elevator, or for the erection of any fire -proof addition, for similar occupancy, to. any existing building shall be at the rate of $1.40 for each one thousand cubic feet, or fraction thereof, in such cubical contents. 2.2. For any such permit for the erection of any fire -proof garage, warehouse, factory or grain elevator, or for the erection of any fire- proof addition, for similar occupancy, to any existing building shall be at the rate of $1.25 -for each one thousand cubic feet, classified as "fireproof" by Section 502 of the Minneapolis Building Code. HOUSES 2.3. For any such permit for the erection of any non -fireproof build- ing other than a garage, warehouse, factory or grain elevator, or any non -fireproof -addition, for similar occupancy, to any existing building. Permit $1.00 for each one thousand cubic feet. GARAGES 2.4. For any such permit for the erection of any non -fireproof garage, warehouse, factory or grain elevator, or for the erection of any non -fireproof addition, for similar occupancy, to any existing, building or for each such building or addition. Ninety Cents for each one thousand cubic feet or fraction thereof, in the cubical contents thereof with.a minimum of $4.00. For the purpose of computing fees for building permits the cubical con-. tents of any building or addition to a uniform height throughout by multiplying the ground area covered from a point six (6) inches below the floor line of the basement or -cellar to the aveage height of the upper surface or to the average height of the -roof's . urface of.the main gable of a pitched roof. 2.5. For repairs or alterations to an existing structure, the fee shall be at the rate of $3.00 per.each Five Hundred Dollars ($500.00) or fraction thereof in the cost of all proposed work. 22.6. 3n no case shall the fee charged for any permit as set forth in Section 2 be less t - , $4.00. Application for Power Plants and Heating, Cooling, Ventilation, .Refrigeration and Air Conditioning Systems and Devices PARTIAL RATE SCHEDULE GRAVITY WARM AIR: RATE TOTAL. Furnace Shell & Duct Work .......................... 8.00 $ Replacement of Furnace 5.00 $ Repairs &Alterations—up to $500.00 .................. 5.00 $ Repairs & Alterations each add. $500.00 ............... 2.50 $ MECH. WARM AIR Furnace Shell & Duct Work to 120,000 BTU ............ 8.00 $ each add. 60,000 BTU .... . .................. 2.00 $ _ Replacement of Furnace 5.00 $ Repairs & Alterations -up to $500.00 5.00 $ Repairs & Alterations each add. $500.00 .............. 2.50 $ STEAM or HOT WATER SYSTEM Furnace Shell & Lines—to 400 sq. ft. EDR Steam- ...... 8.00 $ Furnace Shell & Line—to 640 sq. ft. EDR Hot Water ... 8.00 $ Each add. 200 sq. ft. EDR Steam ...................... 2.50 $ b Each add. 320 sq. ft. EDR Hot Water .................. 2.50 $ OIL BURNER—to 3 gal. per hour ........................ 5.00 $ over 3 gal. per hour—See Fee Schedule GAS BURNER (up to 400,000 BTU) ....................... 5.00 $ GAS FITTING FEES: NO RATE TOTAL 1st 3 Fixtures ...................... x $1.50 $_— Additional Fixtures ................. x .50 $ Gas Range to.200,000 BTU ........... x 2.00 $ AIR CONDITIONING $ FAN HEATING SYSTEM See Fee Schedule VENTILATING SYSTEM $ ALTERATIONS & REPAIRS TOTAL FEE $ ROUGH FINAL Dept. of Bldgs. Phone SU. 4-7470 City of Fridley: The undersigned hereby makes application for a permit for the work herein specified, agreeing to do all work in strict accordance with the City Ordinances and ruling of the Department of Buildings, and hereby declares that all the facts and representations stated in this application are true and correct. A FridleeA Minn- 19 �- Owner Kind of Building Used as To be completed about '—�— Estimated Cost, $ Old—New. Building Permit No.� O Permit No. DESCRIPTION OF WORK -`` -BEATING or POWER PLANTS—Steam, Hot W ar:Yl x Trade Nam Size No 6'#/00 Capacity Sq. Ft. EM.ft AQ 0- Z2 BTU H.P. Total Connected Load `�'• 7 Kind of Fuel 6 BURNER — Trade Name Size No - I Capacity Sq. Ft. E.D.R BTU H.P. (REMARKS—OVER) ByisT '(=N1-0-1'(=N1-0-1-11L-X-'1(✓f0� 42 2M 7-59 Business `Phone No �"2—/ Ds6 9 HEAT -LOSS CALCULATIONS ,/I DEPARTMENT OF BUILDINGS Weatherstrips A.S.H.V.E, Construction No. Guide n ws I �.o Out. Wall Int. Wall Ceiling Roof Floor s No Yes No 19— FIJZZA-,�44 Room I Leneth.—P/7 Width Height II ./ F1.1 01 Windows nd Doors—Crackage and Area Coef. Btu Width Height No. of Lineal ft, Area No. of of p lights of crack sq. ft. gpane ,�1a 49 jb :d e 17',f 9, Infiltration Glass Coef. Btu + ' � "° Glass Int. wall Glass Ceiling Floor Exp. wall Net exp. wall Net exp. wall Int. wall Int. wall Ceiling Floor Ceiling ` Floor Total Btu. I/V., Require orq. ins. W.A. Leader area F11"hi#101 Room I Length ' "' Width " Height Windows and Doors—Crackage and A Width Height No. of pa of panp No. of Lineal ft. Area lights of crack eq. ft. ZAP Coef. Btu Infiltration Glass Coef. Btu Infiltration Net exp. wall Int. wall Glass Ceiling Floor Exp. wall Net exp. wall Int. wall Ceiling ` Floor Total Btu. Required *Lt. E.D.R. or sq. ins. W.A. Leader area Fl.VrjO Qoom I Length' Widt HeightX/ Windows hd Doors—Crackage and Area Width Height No. of L neai ft. Area No. of Dane of pane 1lghte of crack so. ft. Coef. I Btu Infiltration Glass Exp. wall Net exp. walf CZ d, 16P Int. wall Ceiling Floor Total Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area MINNEAPOLIS, MINN. Insulation Kind How. Applied Room I Length Width Height Windows and Doors--Crackage and Area Width Height No. of Lineal ft. Area Na. of pane of pane lights of crack eq. ft. Btu Infiltration 1 Glass Exp. wall Net exp. wall Int. wall Ceiling 1 Floor Total Btu. Required s&. E.D.R. or sq. ins. W.A. Leader area FIT WITY 1% Room I Length . /" Width Heigh / Windows and Doors—Crackage and Area Width Height No. of Lineal ft. " Area No. of pane of pane lights of crack eq. ft. J Coef. Btu Infiltration Glass Exp. wall Net exp. wall Int. wall Ceiling Floor Total Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area F1.1 Room I Length Width -10B Windows and Doors—Crackage and Area Width Height No. of Lineal ft. Area No. Of DBnB Of i)lights of crack eq. ft. Coefil Btu Infiltration Glass F Aa r' Exp. wall 7,1, Net exp. wail. Int. wall ` Ceiling , Floor Total Btu. Required sq. ft. E.D.R. or so. ins. W.A. Leader area City of Fridley Application for Plumbing and Gas Fitting Permit Dept. of Bldgs. Phone SII 4-7470 r DESCRIPTION OF WORK���1� Number, Kind and Location of Fixtures Location PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: NO. RATE TOTAL Number Fixtures ...................... Q/ x $1.50 $ Future Fixture Opening ................ x 1.20 $ New Fixture Old Opening .............. x 1.00 $ Catch Basin ............................ x 3.25 $ Water Heater (Up to 200,000 BTU) ...... Z x 2.00 $ =2? , 0 New Ground Run Old Bldg . ............ QQ $ �}' GAS FITTING FEES: NO. RATE T�OTAL.S_� 1st 3 Fixtures ........................../— x $1.50 $�" � y pQ ;1S x .50 6 Q �U' w 9U' 4a z 99 O s F • N WAIR HTR. GAS ELEG Ad �. fj � ; O LLG ii 3 d Base 1st 2nd 3rd 4th • Future Connection Openings Conn®cted with Sewer New Fixture, Old Openings Cesspool PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: NO. RATE TOTAL Number Fixtures ...................... Q/ x $1.50 $ Future Fixture Opening ................ x 1.20 $ New Fixture Old Opening .............. x 1.00 $ Catch Basin ............................ x 3.25 $ Water Heater (Up to 200,000 BTU) ...... Z x 2.00 $ =2? , 0 New Ground Run Old Bldg . ............ x 3.25 $ GAS FITTING FEES: NO. RATE T�OTAL.S_� 1st 3 Fixtures ........................../— x $1.50 $�" Additional Fixtures .................... x .50 $ Gas Range to 200,000 BTU .............. x 2.00 $ REPAIRS & ALTERATIONS—Refer to Code Description ................................................$ TOTAL FEE $ City of Fridley: The undersigned hereby makes application for a permit for the work herek 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 facl and representations stated in this application are true and correct. Fridley, iVlinn- Owner��— Kind of Building Used as To be completed about Estimated Cast, $ o;"�e2e New Old uilding Permit No Permit No. � = G ROUGH FINAL d2 2M r Business Phone No 16 00 City ®f Fridley, Minn.. Corner Lot - Inside Lot _ _ Setback Sideyard Sewer Elevation Foundation Elevation DESCRIPTION OF BUILDING In consideration of the issuance to me of a permit to c the proposed work in accordance with the description above ordinancxs of the city of Fridley. In consideration of the payment of a fee of permit 9, #breby granted to to to construct the building or addition as described above. This permit is granted upon the express condition that the person to whom it is granted and his agents, employees and workmen, in all work done in, around and upon said building, or anypart thereof, shall conform in all respects to the ordinances of Fridley, Minnesota regarding location, construction, alteration, maintenance, repair and moving of buildings within the city limits and this permit may be revoked at any �tiolati ordordinances.f1� oaf any of the provisions of said .� Building Inspector NOTICE: Ale porn* does not Cover the eonstrucooe, hwtallmon for Wig, phanhtug, on heating, surerr vrater. Be sere to we the Building hupeetor for aparate permits for these *ens. Class WAS' Surcharge .50f eMM Cd Fh41qS-. 6 fft�. h � Soo o Q t� Nowt hand sift ad to do 0 wwt gn Mkt wmdw= wM the Q1W 1. ® a tMt a% va In t ll Gas Glilldatedw% 6-8-73owuw and e ; is ® Eugene Frank m Kmd of BvMdbg Frame ®amw ® vw Res. ® To W evaWkied abMt 6-15-73 PARTIAL RATES E EgimaWd Cook 10.00 / Oft MATZ TOTAL. w................ . -42 NM Fbame ame e ..... e . a GASSr ...®,>............... -nom W89M Mwer up to "Am RM Neu G ......... • Umbft _^ .e............ a�/� 7� GAB g AL q�� utg q� 3 Mxftm................. O E, {p® ,------------ ....... ► • �1 Amy p� @�g� ,�.g�®m e.® W iso ........... ♦ x so - State Stabe �{� • $ .50 aSu f .Y - Install Gas Grillvowlydon 5.00 see ►a .. a.. a sa• • . t..w•. ►. ••..e.ea... s•..: TOTAL YM 6 5.50 Class WAS' Surcharge .50f SUBJECT City of Fridley AT THE TOP OF THE TWINS BUILDING PERMIT 28716 72-V6®� RECEi/�T N/O. COMMUNITY DEVELOPMENT DIV. PROTECTIVE INSPECTION SEC. I . , NUMBER REV DATE PAGE OF APPROVED BY I "'1 CITY HALL FRIDLEY 55432 612-571-3450 910-F15 12/4/98 JOB ADDRESS 9812 TATa4hinorton gtret-t- NF 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 8 SHEET 2 PROPERTY OWNER MAIL AODRES$ ZIP PHONE 3 CONTRACTOR MAIL ADDRESS ZIP Walker Roofing 2701 lftb Ave 9 NpIs 99406 729-2129 PHONE LICENSE NO 4229 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO 8 USE OF BUILDING 7 CLASS OF WORK O NEW ❑ ADDITION ❑ ALTERATION 2�F REPAIR ❑ MOVE O REMOVE 8 DESCRIBE WORK Reroof house and garage 23 S) 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 ISTALLS GARAGES AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS 'VALUATION SURTAX AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT S1971 $ •98 DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PERMIT FEE SAC CHARGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- STRUCTION OR THE PERFORMANCE OF CONSTRUCTION 862.25 Fire SI,.' $1.97 PLAN CHECK FEE TOTAL FEE T4--nje SC S5,00 70.20 SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT IDATEI HEN PROPERLY LIDATED THIS IS YOUR PERMIT SIGNATURE OF OWNERIIF OWNER&ALDERI IDATE, BLDG -Ss DATE NEW [ ] ADDN [ ] ALTER [ ] ConstructionAddress: Legal Description: CITY OF FRIDLEY SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION 2 Effective 1/1/98 �v��� `\ K2- Owner Name & Address: 1 S Tel. # Contract Address: Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. ENSE # Tel. # qA -og 6 0� 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: 1j v C-1)� Construction Type: re�� Estimated Cost: $ (Fee Schedule on Back) Driveway Curb Cut Width Needed: Ft. + b Ft = Ft x $ = $ 4 DATE: 12. - APPLICANT: 0 Tel. # 904 Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee Sewer Main Charge TOTAL STIPULATIONS: $ 99 $ cgoo $ 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 [ ] ��.�► '.' +� f BUILDING PERMIT FEE SCHEDULE The Chief Building Official shall, before issuing permits for the erection of any building or structure, or for any addition to any existing building or structure, or for any alteration or repair to any existing building or structure, upon application therefore, require the payment by the applicant for such permit of fees to the amount herein below set forth and in the manner herein provided to -wit: . TOTAL VALUE FEES $1 to $500 $21 (Minimum Fee is $21 plus surcharge) $501 to $2,000 $21 for first $500 plus $2.75 for each additional $100 or fraction thereof, to and including $2,000 $2,001 to $25,000 $62.25 for first $2,000 plus $12.50 for each additional $1,000 or fraction thereof, to and including $25,000 $25,001 to $50,000 $349.75 for first $25,000 plus $9.00 for each additional $1,000 or fraction thereof, to and including $50,000 $50,001 to $100,000 $574.75 for first $50,000 plus $6.25 for each additional $1,000 or fraction thereof, to and including $100,000 $100,001 to $500,000 $887.25 for first $100,000 plus $5.00 for each additional $1,000 or fraction thereof, to and including $500,000 $500,001 to $1,000,000 $2887.25 for the first $500,000 plus $4.25 for each additional $1,000 or fraction thereof, to and including $1,000,000 $1,000,001 and up $5012.25 for the first $1,000,000 plus $2.75 for each additional $1,000 or fraction thereof DRIVEWAY DEPRESSION ESCROW (Concrete Curb Streets Only) Alternate "A": Removal and replacement of curb and gutter only - Driveway width plus 6 feet times $13.50. Alternate "B": Removal and replacement of curb and gutter and install a 3 foot wide approach with 6 inch depth - Driveway width plus 6 feet times $15.75. VERIFICATION OF FOUNDATION Permits for construction will be issued a minimum of 24 hours from the time of application to allow for proper review of the proposed structure and of the construction site. A Certificate of Survey of the lot, showing the location of the foundation once it has it has been constructed will be required before proceeding with the framing.