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PRE 2010 DOCSCity of Fridley, lion.. BUILDING PERMIT Date:`..+' _ J" Owner: _ Builder Address __ __ _ __ Address LO ATB N, O BUILDING � No. 31W -Street Part of Taf._ Lot Block Addition or Sub -Division Corner Lot ---- Inside Lot _. � Setback Sewer Elevation __ ___ Foundation Elevation DESCRIPTION OF BUILDING To U Used �r ¢ Front Depth Height,, Sq. Ft. 4�6 cu. Ft t Depth eight T!�—ToSq. Ft..— Cu. Ft. Type of Construction t._� 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. r1 Building Inspector NOTICE: This permit does not cover the construction, Installation for wiring, plumbing, gas beefing, sewer or water. Be sure to see the Building Inspector for separate permits for these hens. APPLICATION FOR BUILDING PERMIT CITY OF FRIDLEY, MINNESOTA owner's Name Builder Address Address .YYI/Yl�Ii��Y fl 1.1 �.��IMII�� LOCATION OF BUILDING No Street l�' , Part of Lot Lot_. ,Block Addition or Subdivision • 1" Corner Lot inside Lot Setback .3,;'Side-Yard / a ` 4- tj^ ' SEWER ELEVATION FOUNDATION ELEVATION Applicant attach to this form Certificate of Survey of Lot and proposed building location. DESCRIPTION OF BUILDING To be used ass G aa- zy -r' v1 Front; Depth Height Sq. Ft. Cu. Ft. FrontDepth_.Height Sq. Ft. Cu. Ft. Type of Construction Estimated Cost To be Completed The undersigned hereby makes application for a permit for the work herein specified, agreeing to do all work in strict accordance with the City 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 ( C 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 wit: 2.1. For any such permit for the erection of any fire -proof building, other than a garage, warehouse,._factory or grain elevator, or for the erection of any fire -proof addition, for similar occupancy, to any existing building shall be at the rate of $1.40 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 arty 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 ing other than a garage, warehouse, factory or non -fireproof addition, for similar occupancy, Permit $1.00 for each one thousand cubic feet. GARAGES any non -fireproof build - grain elevator, or any to any existing building 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 additions 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 average height of the upper surface or to the average height of the roof surface of the main gable of a pitched roof. 2.5. For repairs or alterations to an existing structure, the fee shall be at the rate of $3.00 per each Five Hundred Dollars ($500.00) or fraction`thereof in the cost of all proposed work. 2.6. In no case shall the fee charged for any permit as set .forth in Section 2 be less t' z $4.00. ...,. City of Fridley Appiication for Plumbing and Gas Fitting Permit DESCRIPTION OF WORK Number, Kind and Location of Fixtures y Glu� i Fg Z` N Z ' Zrz nh N pZ N W W Ute' O R N WATER HTR. GAS ELEC. Base 1st 2nd 3rd 4th • Future Connection Openings I New .Fixture, Old Openings Connected with Sewer � Cesspool PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: NO. RATE TOTAL Number Fixtures x $1.50 $ 9�G Future Fixture Opening ................ x 1.20 $ New Fixture Old Opening .............. x 1.00 $ Catch Basin ............................ x 3.25 $ Water Heater (Up to 200,000 BTU) ...... x 2.00 $ New Ground Run Old Bldg. ............ x 3.25 $ GAS FITTING FEES: NO. RATE TOTAL 1st 3 Fixtures .......................... x $1.50 $ S �' Additional Fixtures .................... x .50 $ Gas Range to 200,000 BTU .............. x 2.00 $ REPAIRS & ALTERATIONS—Refer to Code Description ........... $ TOTAL FEE $ Dept. of Bldgs. Phone SU 4.7470 Location 0(—C!F1 A City of Fridley: The undersigned hereby makes application for a permit for the work heren 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 faci and representations stated in this application are true and correct. rJ Fridley, Mnn y :e=19� Owner Kind of Building Used as To be completed about���Y' `- Estimated Cost, $ �� Newuilding Permit No-- / Permit No. Signe By Business Phone No ROUGH 2 ` V.3 a I FINAL O APPRcation for Power Plants and Heating, Cooling, Ventilation,. on 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 x.00 $ Repairs & Alterations—up to $500.00 ................. 5.00 $ Repairs & Alterations each add. $500.00 .......:...... 2.50 $ SrTEAM or HOT WATER SYSTEM I 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 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: 1st 3 Fixtures ...................... Additional Fixtures ................. Gas Range to 200,000 BTU ........... AIR CONDITIONING FAN HEATING SYSTEM VENTILATING SYSTEM ALTERATIONS & REPAIRS 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. Fridley, T finn. / 19� Owner Kind of Building U� Used as C-d-zd2= r_ To be completed about S Estimated Cost, $ 5 Old—New. Building Permit No. Permit No. -At-__3 $ DESCRIPTION OF WORK $ - HEATING or POWER PLANTS—Steam, Hot Water, Warm Air—No—,/ ----­ Trade Name, ✓�Size No 7 $ ` Capacity Sq. Ft. E.D.R �v BTU H.P. NO RATE TOTAL _ x $1.50 $�y-� y Total Connected Load 4 Kind of Fuel �� 3 _ x .50 $ BURNER — Trade Name Size No _ x 2.00 $ Capacity Sq. Ft. E.D.R BTU H.P. See Fee Schedule TOTAL FEE $�— (REMARKS—OVER) D-56 OM -/ s HEAT LOSS CALCULATIONS /7//4 �OJ� DEPARTMENT OF BUILDINGS . MINN. Weatherstrips A.S.H.V.E. Construction No. Insulation Guide and ws I oo s Reference Out. Wall Int. Wall Ceiling Roof I Floor Kind How. Applied NesN.e Yes o 19— 7 F1. .lRoom I Length Width Height II 7 F1.1 Room I Length / —Width f Height Win ows aboors—Crackage and Area F1.1 Width Height No. of Lineal f . Area No. of pane of pane lights of crack sq. ft. Windows and Doors—Crackage and Area .0 -/ k ;E No. of pane of pan lights of crack sq. ft. / / , Coef. I Btu Infiltration AF d Glass % Glass Exp. wallNet Exp. wall r leg I / /Q Int. wall Exp. wall Net exp. wall Ceiling if Ceiling/, Net exp. wall � Floor /® (� Int. wall Floor Ceiling Floor 1 otal Btu. RequireA R. or sq. ins. W.A. Leader area F1.1 m ( Length Width Height Windows and Doors—Crackage and Area Width Height No. of Lineal ft. Area No. of pane of pan lights of crack sq. ft. Coef.1 Btu Infiltration % AF d —IVARMIVA Net exp. wall fes' In� %�/ Requir d sq .D . or sq. ins. W.A. Leader area Fl.1 A Room I Length 47 Width /� HeiQh� Windows and Doors—Crackag and Area Width Height No. of Lineal ft. Area No. of pane pane lights of crack sq. ft. Width Height No. of Lineal ft. Area No. of pane offJpane lights of crack sq. ft. Coef.1 Btu Coef. Btu Coef.1 Btu Infiltration % AF d Glass % Exp. wallNet Exp. wall r leg I / /Q Int. wall exp. wall Int. wall Net exp. wall Ceiling Ceiling/, Int, wall � Floor Ceiling j Floor Total Btu. ' Required sq. ft. E.D.R. or sq. ins. W.A. Leader area Windows and Doors—Crackage and Area Width Height No. of Lineal ft. Area No. of pane pane lights of crack sq. ft. --of 45 . ® Coef.1 Btu Coef. Btu Coef. Btu Infiltration Glass AF Glass Exp. wall Int. wall Exp. wallNet leg I / /Q Int. wall exp. wall Int. wall Ceiling Ceiling/, Floor � Floor Total Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area F1.1 Room ( Length Width Height Windows and Doors—Crackage and Area Width Height No. of Lineal ft. Area No. of pane of pane lights of crack sq. ft. all. Coef.1 Btu Coef. Btu Infiltration11-711 Glass J10 Glass ! Net exp. wa Exp. wall Int. wall Net exp. wall leg I / /Q Int. wall Ceiling o o Floor /® Af Total Btu. (® Required sq. ft. E.D.R. or sq. iris. W.A. Leader area FI_I Rmm I Length Widt / Heiah i 09 Windows and Doors—Crackage and Area Width Height No. of Lineal ft. Area No. of pane of pane lights of crack sq, ft. all. Coef.1 Btu Infiltration Glass J10 Exp. wall -047 Net exp. wa /0 Int. wall Ceiling Floor Total Btu. t; Required sq. ft. E.D.R. or sq. ins. W.A. Leader area City of Fridley, Minn. MUDING PEPMT Date: AUGUST 3, 1965 DOUGLAS LUNGSTROM Builder Address 5 824 Washington S t . N. E. Address Fridley 21, Minnesota LOCATION OF BUILDING No. 5824 Street Washington St. N. E. part of Lot Lot 7 _ Block 2 Addition or Sub-Div9si0n . Lyndale Bldrs ., 7th Addition Corner Lot . Inside Lot Setback Sideyard Sewer Elevation Foundation Elevation N® 8307 DESCRIPTION OF BUILDING To be Used as: Det. Garage Front 24 Depth 24 Height 10 Sq. Ft. 576 CU. Ft. 53,760 Front Depth Height Sq. Ft. Cu. Ft. Type of Construction Et, Cost_ $1,800.00 To be Completed In consideration of the issuance to me of a permit to construct the building described above I agree to do tine proposed work in accordance with the description abov forth and in compliance with ZI provisions of ordinano� of the city of Fridley. In consideration of the payment of a fee of 6 ®00 , permit is hereby granted to DOUGLAS LUNGSTROM 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 location, construction, alteration, maintenance, repair and moving of buildings within city limits and this permit may be revoked at any time upon violation of any of the provisions of said ALLEN G. JENSEN Building Inspector NOTICE ills permit den net ever the const vWw, hwhdhdlon for vdrh+g. phmd&& Bn hasft, .ewer or water. Be .on is sae the Bufiding bqm tar for asparm pw-Ift for these kens. APPLICATION FOR BUILDING PERMIT CITY OF FRIDLEY, MINNESOTA OWNER'S NAMEL)cg e,- XA-; UILDER AA -7 ADDRESS S &D ADDRESS LOCATION OF BUILDING N0, STREET PART LOT LOT BLOCK ADDITION OR SUBDIVISION CORNER LOT INSIDE LOT SETBACK SIDE YARD SEWER ELEVATION FOUNDATION ELEVATION Applicant attach to this form Two Certificates of Survey of Lot and proposed building location drawn on these Certificates. DESCRIPTION OF BUILDING E Q To be used as; �� DE--/4e-&&7Z —/ 1-" Front M4 Depth Height Sq. Ft., 7 Cu. Ft7 e, C) Front Depth Height Sq. Ft. Cu. Ft. Type of Construction Fie" Estimated Cost To be completed ��► ���i a,� 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 C�, SIGNATURE Z? 2 (Schedule of Fee Costs can be found on the Reverse Side). r f 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 structures or for any alterations 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; 2.1. -For any such permit for the erection of any fireproof 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 fireproof addition, for similar occupancy, to any existing building shall be at the rate of $1.25 for each one thousand cubic feet, classified as "fireproof01 by Section 502 of the Minneapolis Building Code. HOUSES 2_3_ For any such permit, for>the erection of any non -fireproof building, other than a garage, warehouse, factory or grain elevator, or any non -fireproof addition, for similar occupancy, to any existing building - permit $1.00 for each one thousand cubic feet. GARAGES 2.4. For.any such permit for the erection of any non -fireproof garage, warehouse, factory or grain.elevator, or for -the erection of any non -fire -proof addition, for similar occupancy, to any existing building or for each such building or addition - ninety cents ($0.90) for each one thousand cubic feet or fraction thereof, in the cubical contents, thereof with the minimum of $4,00. For the purpose of computing fees for building permits, the cubical contents of any building or addition to a uniform height throughout by'multiplying,the ground area covered from a point six (6) inches below the floor 'line of the basement or cellar to the average height of the upper surface or to the average height of the roof surface of the main gable of a pitched roof. 2= 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. 2.6. In no case shall the fee charged for any permit as set forth in Section 2 be less than $4.00. STORM REPAIR DAMAGE FEES: Residential; Estimated Cost of work up to $500.00 - $5.00 Estimated Cost of work over $500.00 - $10.00 Commercial; Estimat ' Cost of work up 1.6 $54)0.00 - $-- 00 ' Estimat Cost of work over $500.00 - $ ,00 City of Fridley Application for Plug and G= Ruing Permit Dept. of Milos. Phone 960-3 DESCRIPTION OF WORK_ _ Number. Iliad and Location of Fixtures Location -5 '� PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: NO. RATE TOTAL Number Fixtures ................ x $2.00 $ 0� x $1.50 $ i � 5Q gg yy Water Heater (Up to 99,000 BTU) .... • • WATER 6rm.W_ GAS EL °'' i S` .� GAS FITTING FEES: a 3 .• d 3 3 ci Base 1st 2nd 3rd 44th • future Connection Openings Coaaectsd with * New Fixture. Old Openings PARTIAL RATE SCHEDULE 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 $3.26 $ 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 it ALTERATIONS—Refer to Code Description ................................................1R— �' ri TOTAL FEE $�� City of Fridley: The .undersigned hereby makes application for a permit for the- aeork 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 aR the fact and representations stated in this application are true and correct Fridley, Minn iiP� �✓ 19. 5 Owner Kind of Building Used as To be completed about Estimated Cost, $ OlNew. Building Permit No. Permit No. �07 ROUGH NJ FF-1 -a!leflllwlg 1 .1. ;. Wil. 4 1 .401 �I c O SUBJECT PERMIT NO. City of Fridley 14299 AT THE TOP OF THE TWINS PERM r BUILDING RECEIPT NO. COMMUNITY DEVELOPMENT DIV. PROTECTIVE INSPECTION r SEC. O� CITY HALL FRIDLEY 55432 L---- ,'� NUMBER REV. DATE PAGE OF APPROVED BY 612-560-3450 910-F15 8/19/77 JOB ADDRESS 5824 Washington Street NE 1 LEGAL LOT NO, BLOCK TRACTOR ADDITION SEE ATTACHED DESCR. 7 2 Lyndale Builders 7th SHEET 2 PROPERTY OWNER MAILADDRESS ZIP PHONE Douglas R. Lungstrom 5824 Washin on Street NE Fridle MN' 5717974 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO. 6 USE OF BUILDING 7 CLASS OF WORK ❑ NEW ❑ ADDITION ❑ ALTERATION 13X REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK re-si 9 CHANGE OF USE FROM TO STIPULATIONS WARMUA More bilging cd t,N utilities LIQ'REt7RiC. W Etc. 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 $1 0.00. GO .50 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- $7.50 STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. PLAN CHECK FEE TOTALFEE $8.00 �SIGNATUF}E,)OFCONTRACTO E.. PROPERLY VALIDATED THIS IS YOUR PERMIT 0 AUTHORIZ DAGENT (DATE)Vy, �DTE SIG `ATURE OF OWNER IIF OWNER 'I.LDERI 0 BLDG INSP DATE T CITY OF FRIDLEY APPLICATION FOR RESIDENTIAL BUILDING PERMITS (NEW, ALTERATIONS, ADDITIONS, OR REPAIRS) OWNER: Address: BUILDER: Address: Tel. No. No.: ��/Street: LOT: BLOCK: ADDITION: /�iK' CORNER LOT: INSIDE LOT: SETBACK: SIDEYARDS: Applicant attach to this form Two Certificates of Survey of Lot and proposed building location drawn on these Certificates. DESCRIPTION OF BUILDING To Be Used As: Front:. Depth: Height: Square Feet: Cubic Feet: Front: Square Feet: Type of Construction: Depth: Height: Cubic Feet: Y� Estimated Cost: $ To Be Completed: Alt. A Alt. B Proposed Driveway Width If New Opening Is Desired $ 1 $ (SEE REVERSE SIDE OF SHEET) The undersigned hereby makes application for a permit for the work herein specified, agreeing to do all work in strict accordance with the City of Fridley Ordinances and rulings of the Department of Buildings, and hereby declares that all the facts and representations stated in this application are true and correct. See reverse sid f9 r addit'gnal info Ation. • �� �/� r, .cam-'�-� ,a�x--�---------.... DATE: '9SIGNATURE: Stipulations: ,�- 0 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 $11.75 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 $15.40 ADDITIONAL INFORMATION. For the purpose of computing fees for building permits, the cubical contents of any building or addition, is determined by multiplying the ground area covered from a point six (6) inches below the floor line of the basement or the cellar to the average heights of the upper surface or to the average height of the roof surface of the main gable of 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. VERIFICATION OF FOUNDATION NOTE: Permits for construction will be issued a minimum of 24 hours from the time of application to allow for proper review of the proposed structure and of the construction site. A Certificate of Survey of the lot, showing the location of the foundation once it has been constructed will be required before proceeding with the framing. CERTIFICATE OF OCCUPANCY Application for a Certificate of Occupancy shall be made ten (10) days prior to the use or occupancy of any structure for which a buildJng permit has been issued; and said structure shall not be used or occupied until a Certificate of Occupancy has been issued. SUBJECT City of Fridley 19 3 9 6AT THE TOP OF THE TWINS BUILDING P E R M I T fRECEIPT NO. ______ COMMUNITY DEVELOPMENT DIV. L PROTECTIVE INSPECTION SEC. 1 � � CITY HALL FRIDLEY 55432 NUMBER REV. DATE PAGE OF APPROVED BY 612-571-3450 910-F15 4/18/88 JOB ADDRESS 5824 Washington Street N.E. 1 LEGALLOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 7 2 Lyndale Builders 7th Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Lun.gstrom 5824 Washington Street N.E. 571-7974 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. D & D Home Improvement Inc. 7401 Central Avenue N.E., Fridley 784-7543 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 Q. REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Install aluminum soffit & facia (House & Garage) 9 CHANGE OF USE FROM TO STIPULATIONS SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD VENTILATING OR AIR CONDITIONING. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING 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 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 $1,896 $.95 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 ROVI IONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- $3l, OQ R TION OR THE PERFORMANCE OF CONSTRUCTION. PLAN CHECK FEE TOTALFEE 4-11 '1 1 $31.95 �. SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT (DATE)k ' WHEN PROPERLY ALIDATED THIS IS YOUR ERMIT BLDG INSP D TE SIGNATURE OF OWNER IIF OWNER BUILDERI (DATE) NEW [ ] City of Fridley Effective 4/1/8c ADDN. I ] R-1 AND R-2 j ALTER. I Building Permit Application Construction Address: `6 `()-LI W -r5 /11 ? tic', +e A S -I- /t/ L - Legal Description: Tel. ! f %ZI Owner Name 6 Address: Tel. Contractor: VJ/-75 Address: qoj tie, Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF IMPROVEMENT LIVING AREA: Length Width Height ____ __ Sq. Ft. GARAGE AREA: Length Width Height _ Sq. Ft. DECK AREA: Length Width Hgt/Ground Sq. Ft. OTHER: Corner Lot [ ] Inside Lot [� Ft. Yd. Setback _ Side Yard Setback. j] Type of Construction: U7/A ��"fi h®u5ed-g4RjEstimated Cost: O L'Y �£ Approx. Completion Date: Alt. A Alt P Proposed Driveway Width If New Opening Is Desired: _ $ $ See Back Page for Explanation DATE: APPLICANT: Tel. Permit Fee Plan Check State Surcharge SAC Charge Park Fee Sewer Main Charge TOTAL STIPULATIONS: CITY USE ONLY Fee Schedule on Reverse Side 25% of Building Permit Fee $.50/$1,000 Valuation $475 per SAC Unit Fee Determined by Engineering Agreement Necessary I ] Not Necessary [ ] BUILDING PERMIT FEE SCHEDULE The Chief Building Official shall, before issuing permits for the erection of any building or structure, or for any addition to any existing building or structure, or for any alteration or repair to any existing building or structure, upon application therefore, require the payment by the applicant for such permit of fees to the amount herein below set forth and in the manner herein provided to -wit: ' Total Valuation Fees $1.00 to $500.00 $10.00 (Minimum Fee is $15.00) $501.00 to $2,000.00 $10.00 for the first $500 plus $1.50 for each additional $100 or fraction thereof, to and includin.E $2,000. 12,001.00 to $25,000.00 $32.50 for the first $2,000 plus $6.00 for each additional $1,000 or fraction thereof, to and including $25,000. $25,001.00 to $50,000.00 $170.50 for the first $25,000 plus $4.50 for each additional $1,000 or fraction thereof, to and including $50,000. $50,001.00 to $100,000.00 $263.00 for the first $50,000 plus $3.00 for each additional $1,000 or fraction thereof, to and including $100,000. $100,001.00 and up. $433.00 for the first $100,000 plus $2.50 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 "E": Removal and replacecent of curb and gutter and install a 3 foot Wide approach with 6 inch depth - Driveway width plus 6 feet times $1.75 VERIFICATION OF FOUNDATION Pernits for construction will be issued a minimum of 24 hours froc the time cf application to allow for proper review of the proposed structure and of the construction site. A Certificate of S:rvey of the lot, showing the location of the foundation once it has been -constructed will be required before proceeding Witt the framing. M CITY OF FRIDLEY INSPECTION DIV. 6431 University Ave NE Fridley, MN 55432 572-3604 APPLICATION FOR PLUMBING AND GAS FITTING PERMIT MARK NUMBER OF FIXTURES TO BE INSTALLED ON EACH FLOOR fh Wash Ortr�k Ftoor&>�0h s Auto. Urinal Ttrl' Shower Srn.l . s Tra Drain " c Y haurl� laa)tt... Washer PLUMBING FIXTURE RATES: NO. RATE TOTAL New Fixtures $ 7.00 Old Opening, New Fixture $ 4,00 Beer Dispenser $ 5.00 Slow Off Basin $ 7.00 Catch Basin " $7.00 Rain Water Leader $7.00 Sump/Receiving Tank $ 7.00 Water Treating Appliance $10.00 Water Heater —Electric $ 7.00 Water Heater — Gas** $10.00 Gas Range" $10.00 Gas Dryer** $10.00 Back Flow Preventer Required ( )Yes () No Type $15.00 Effective On March 1, 1996 d a Q Gas N1gc Water Beater Range Mixt;Gas �Elec JOB ADDRESS IT C2�15' The undersigned hereby makes application for a permit for the work herein specified agreeing to do all work in strict accordance with the city codes and rulings of the Building Division, and hereby declares that all the facts and representations stated in this apprication are true and correct. Owner 11996 7Ss 797`'/ ,v Building Used As s Estimated Cost PERMIT NO. PLUMBING COMPANY ,Z7 Reinspection Fee $42,00/Hr SIGNED BY 1 ALL OTHERS AND/OR REPAIRS AND ALTERATIONS 1.6% of Value of Fixture or Appliance ?z State Surcharge $ .50 Approved By MINIMUMF TOTAL FEE $ PLUS THE i'r'lww� TEL NO.� ��v S 33 _K3S % Rough—rn Date Final Date *"COMBUSTION AIR SHALL BE PROVIDED PEA UMC SECTION 504(A) AND TABLE 6—A. MINIMUM SIZE 9 80 INCHES. SUBJECT PE City ®f Fridley 2 5 5 3 9 AT THE TOP OF THE TWINS BUILDING PERMIT r � CEIPT NO. COMMUNITY DEVELOPMENT DIV. COMMUNITY -_ -_-�, 1 L PROTECTIVE INSPECTION SEC. r ; � NUMBER REV DATE PAGE OF APPROVED BY I CITY HALL FRIDLEY 55432 �---- �'' 612-571-3450 910-F15 9/24/97 JOB ADDRESS 5824 Washington Street NE I LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 7 2 Lyndale Builders 7th Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Douglas Lungstrom 5824 Washington St NE 571-7974 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. 8 USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW ❑ ADDITION ❑ ALTERATION )7 REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Reroof House & Garage (22 Sq) Tear-off 9 CHANGE OF USE FROM TO STIPULATIONS Underlayment must comply with the State Building Code. TYPE OF CONST. OCCUPANCY GROUP OCCUPANCYLOAD 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 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 $1834 $.92 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. $59.50 F e SC $1.83 STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. PLAN CHECK FEE TO AL FEE $62.25 1 IGNATURE OF CONTRACTOR O AUTHORIZED GENT IDATEI HE P Y VALID THIS IS Y P�FRMI•T-, �� &L 6' INSP / / )/ 1 4ATE SNA REOF OW NER nF OWNER DERi IDATEI NEW [ J Effective 1/ 1/97 ADDN [ ] CITY OF FRIDLEY ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION ConstructionAddress: � Legal Description: !% L /—„1�dJeLc 4 Owner Name & Address: ,De;-;e(641y 5 F4,065; Tel. # Contractor: MN LICENSE # Address: Tel. # 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: Construction Type: [( Driveway Curb Cut Width Needed: DATE: APPLICANT: Estimated Cost: $��`� IfC��o `f9 (Fee Schedule on Back) Ft. + 6 Ft = Ft x $ _ $�Jj y z'® Tel. # CITY USE ONLY Permit Fee $ ' Fee Schedule on Reverse Side Fire Surcharge $L, a — .001 of Permit Valuation (1/10th%) State Surcharge $9 AL 3 $.50/$1,000 Valuation SAC Charge $ $950 per SAC Unit License Surcharge $ $5.00 (State Licensed Residential Contractors) Driveway Escrow $ Alt. "A” or Alt. "B" Above Erosion Control $ -$450.00 Conservation Plan Review Park Fee $ Newer Main Charge TOTAL �'rIPULATIONS: LL Fee Determined by Engineering Agreement Necessary [ ] Not Necessary [ ] BUILDING PERMIT FEE SCHEDULF 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 fust $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 construct+ -:_1 required botore p, ivltll the frarning_ SUBJECT City of Fridley 21149 AT THE TOP OF THE TWINS BUILDING PERMIT f ECEIPT � COMMUNITY DEVELOPMENT DIV. 1; ------ r PROTECTIVE INSPECTION SEC. �' 3 0—CITY HALL FRIDLEY 55432 NUMBER REV. DATE PAGE OF APPROVED BY 612-571-3450 910-F15 11/14/91 / / JOB ADDRESS 5824 Washington Street NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 7 2 Lyndale Builders 7th. Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Douglas Lungstrom 5824 Washington Street NE 571-7974 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 Ek ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 6 DESCRIBE WORK Install replacement windows 9 CHANGE OF USE FROM TO STIPULATIONS SEPARATE PERMITS REQUIRED FOR WIRING, HEATING, PLUMBING AND SIGNS. TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, VENTILATING OR AIR CONDITIONING. ZONING S0. FT. CU. FT. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT NO. DWLG. UNITS OFFSTREET PARKING ANY TIME AFTER WORK IS COMMENCED. I HEREBY CERTIFY THAT 1 HAVE READ AND EXAMINED THIS APPLICATION 1 STALLS GARAGES VALUATION SURTAX AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED $7 000 $3.50 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT P PERMIT FEE SAC CHARGE DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- $a0l 00 Fire SC $7.00 STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. PLAN CHECK FEE TOTAL FEE $100,50 SIGN URE OF CONTRACTOR OR AUTHORIZED AGENT (DATE) WHEN PPVPERLY VAR D S IS YOUR PERMIT BLDG INSP BATE SIGNATURE OF OWNER IIF OWNER BUILDER) IDATEI V,3 ly (IN -An ADDN (] CITY OF FRIDLEY ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 Building Permit Application Construction Address: 6 Al Legal Description: Owner Name & Address: Contractor:u Address: 10825 GREENBRIER ROAD Effective 1/1/91 _ Tel. # v`-� / — 7 97� Tel. # Attach to this application, a CestificaE of Survey of the K with the proposed construction drawn on it to scale. DESCRIPTION OF IMPROV. EMEI4T LIVING AREA: Length Width Height Sq. Ft. GARAGE AREA: Length Width Height Sq. Ft. DECK AREA: Length Width Hgt/Ground Sq. Ft. OTHER:/�G' ✓ �_�..���,� ��' Corner Lot [ ] Inside Lot [ j Ft. Yd Setback Side Yard Setbacks Type of Construction: Estimated Cost: $ "7 0 0 U,, G C% Approx. Completion Date: MW a set) Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ = $, DATE: / % — / V - i APPLICANT: Permit Fee Fire Surcharge State Surcharge $ qb oy $ i Vo $ 3 s --D SAC Charge $ Driveway Escrow $ Park Fee $ Sewer Main Charge $ TOTAL STIPULATIONS: Tel. # 5- �f,6 — Fled e Fee Schedule on Reverse Side .001 of Permit Valuation (1/10th%) $.50/$1,000 Valuation $650 per SAC Unit Alt. "A" or Alt. "B" Above Fee Determined by Engineering Agreement Necessary [ ] Not Necessary [ j $ 16 00. -5,e) 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 drerefore, 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 $15 (Minimum Fee is $15 plus surcharge) $501 to $2,000 $15 for first $500 plus $2 for each additional $100 or fraction thereof, to and including $2,000 $2,001 to $25,000 $45 for first $2,000 plus $9 for each sdditioval $1,000 or fraction thereof, to and including $25,000 $25,001 to $50,000 $252 for first $25,000 plus $6.50 for each additional $1,000 or fraction thereof, to and including $50,000 $50,001 to $100,000 $414.50 for first $50,000 plus $4.50 for each additional $1,000 or fraction thereof, to and including $100,000 $100,001 to $500,000 $639.50 for first $100,000 plus $3.50 for each additional $1,000 or fraction thereof, to and including $500,000 $500,001 to $1,000,003 $2039.50 for the first $500,000 plus $3 for each additional $1,000 or fraction thereof, to and including $1,000,000 $1,000,001 and up $3539.50 for the first $1,000,000 plus $2 for each additional $1,000 or fraction thereof 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. Building , $ BUILDING See Back Page for Fee Schedule Permit No.: Inspections , S / RESIDENTIAL APPLICATION Surcharge Received By: 763-572-3604 (.0005) times the total job valuation -Minimum $.50 CITY OF FRIDLEY $ Date Rec'd: DATE 3.105 YOUR E-MAIL ADDRESS IY'Z/ ed" J SITE ADDR,SS I ff lri�L�.i X11 iiQ //3'1 �'�iL g +L /� - ���f�(/J /k J THIS APPLICANT IS: ❑ OWNER CONTRACTOR $ PROPERTY OWNER/ NAME: Curb Cut Escrow TENANT /2 d s a ADDRESS: ,Q � Z//�e/k-,sd � K, CITY t -e_ STATEL41P Erosion Control PHONE:°?&'5 ^ JI `91 > CONTRACTOR NAJARWALernl i'is (,tt&''e DRAG a $ STATE LICENSE # oZ 1 &Fd 1 EXP DATE 3 1 0y(o Fee Determined by Engineering SUBMIT A COPY OF YOUR STATE LICENSE ADDRESS % *,yyiC r7 -0 /�J CITY�T� (�%Gi I �7 STATL�!I�l?IP.'S L & WITH APPLICATION PHONE SJ ) - 9.10• FAX QCO- Q-_2 ® $ PROPERTY TYPE SINGLE FAMILY/NEW CONSTRUCTION SIZE ❑ TWO FAMILY/NEW CONSTRUCTION STORIES PERMIT TYPE ❑ ADDITION GARAGE/ Penh ❑ WINDOWS ❑ BASEMENT FINISH ❑ ROOF ❑ DRAIN TILE ❑ DECK ❑SIDING ❑OTHER 13S POOL TYPE OF WORK: NEW ❑ ADDITION ❑ MAINTENANCE/REPAIR ❑ REMODELING DESCRIBE WORK BEING DONE: 'Remore- re- old Ce a A41(i C 7 4- Afeu) , �p SIZE OF IMPROVEMENT ' LENGTH �� ➢ WIDTH ®o( (f1T FA Sq. Ft. ROOFING ❑ HOUSE ONLY NUMBER OF SQUARES ❑ HOUSE & GARAGE BASEMENT REMODELING SUBMIT: GARAGES ❑ ATTACHED GARAGE PROPOSED SIZE: it °� I DETACHED GARAGE 1. 2• Existing Floor Plan Proposed floor plan PROPOSED HEIGHT:old Q 1 3. List of structural members to be used CONSTRUCTION DECKS, FOR NEW INCLUDING ❑ Vinyl ❑ Aluminum 1 �SOffit �C'-' 10 Trim a ADDITIONS. & PORCHES SUBMIT: 1. Site Plan/Survey showing the existing structures Other EtFascia lsta6 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: 2l./' �qD . -7_ (USIN 1997 U.B.0 FEE SCHEDULE) TOTAL JOB VALUATION $ OCCUPANCY TYPE Permit Fee $ 3q/1 CQ -6- See Back Page for Fee Schedule Plan Review $ , S / 65% of Building Permit Fee Surcharge $ jam, g 7,714 (.0005) times the total job valuation -Minimum $.50 Fire Surcharge $ 05 'Cly .001 x Permit Valuation (1/10%) License Surcharge $,� ®e2� $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 $ -,X55- Agreement necessary ( ) Non Necessary { ) Total Due $ 79 23R 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 and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of all work w Inch requies �r"eview \and approval of plans. I / J ,, SIGNATURE OF APPLICANT l=1 (Kft r4_ 1 PRINTNAME ��PQ�� /� DATE 9l /.�5 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 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 0 $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 1g $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 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 w L �.� Land Plonniny 6875 RlOhvy ;cS uE. Land Surveying Minneq a/s V, Sods Tesfii7y ENGINEERING, INC. Minncsola Civil f, kfunicipal SUmef 46066 �er-f4 Engineers Surveyon5 c ertl,f scate of surve7r For H S M PF V E L (--'F r E N TC. 1;'f./to i I �^ f I 4 �n 'r% i -1- fJ L07- 0L0CK 2) 1 �1j m lh&Tby cerfiry fhaf 6b is o flue and eorrecf refx'esedafkn o� a survey o'* boundories .e,('* abore Aser�bed land, and o�' /ocvt,iw Mall tru 67ys , /hereon, and all risible efla cbmeds , !`any, fnVn or ars toid /and. As survey ed f y me flus _ day A.D. OW.. SUBURBAN ENGINEERING, INC. t 9� s E- Sur�rreyors uT tpao; 400 se 4TIV=ed 11th -70; pabzcetP Go;atm ttE�g sago ou U3: •• 9`• ZZ --s -- . ^ -%Qr,., Bairt urr xoa=eua UOT:Pe,z:-! ao V GARAGE SPECIALISTS SINCE 1949 STATE LICENSE # 20316811 WESTERN 4301 MN 7, SuttF 115 MINNFAI'( )I Iti',, , MN 55416-5807 FAX: 952.920.1 172 :.,us: 952.920.8888 ROOF: GABLE REVERSE GABLE V�J� �GL EAVE OVERHANG 12 � RAKE OVERHANG a EAL DOWN SHINGLES WITH PLYW OD r Roof Sheathing WAFERBOARD ROOF SHEATIN A F E EE - USS G Et pl L , U i�tb-BF Seat Down Shingles f�VA ©L 0 THE J 8 ., ,� � ( �� AOR TH ISA G I P C T ION `= IN 2" X 4" Double Top Plate /-,44,4 -?&. 47& NOTE: Roof approved by Minnesto Building Dept. as meeting Minnesota State Code Requirements o ot w load. 2 Hip roofs consist of 2" x 6" rafters 16" O.C., 2" x 6" cross ties 48" O.C., 2" x 8" hip rafters. 24' spans and greater are trussed. RAFTERS: Trusses @ 24" O.C. Roc` Ditch STUDS: 2" X 4" @ 16" O.C. VVa!I Height C� ' VVALLSHEATHING: /ROOF SIDING: -77-11 OVERHEAD DOOR OVERHEAD DOORHEADER. Double 2" x 12" or Micro Lams x 2"x e" studs x T \ Treated Bottom Plate Plate Sill Seater 1 Row 6" Concrete Blocks Stao on grade construction approved per Minnesota State Code Refer to State Building Code Le /% Al Sub Fascia ��e?C Fascia Soft 3/4" Cove 2' x 4" Studs s ^rD REVIEWED FOR CODE C? LIANCE 4� pectc 1/2' x 7' Anchor 2" 4" Treated Bottom PI Above Grade $ Grade i City Address Customer r C Phone?�1157l ?T;> w: Salesman WESTERN- - ... 4.301 Highway Seven, Mpls. MN 55416 Phone: 952- 920-8888 Fax: 952-920-1172 State License #20316811 Lot Type: Comer, Reverse(ln-Side Lot Size &5 K J-� J GmWirei x x (� 1/2" Rods Conduit 4000#, 6 Sag Mix, 4% Air Entrained ABU L Front R Front L Rear -Q-40 R Rear Driveway: Cement Asphalt Sidewalk Block: 1 Row 6x8 6 2+ Rows 8x8x16 Left ear Right Front Damp Proofl Backfill: Western / Owner Overhead Door Size /&Y-� —7_ Offset L Centered Offset R ways Use A 1613" RO Service Door 32" 36' 1 Row RO 2'8" = 34" 3'0 = 38" 2+Rows RO 2'8" = 37" 3'0 = 41" 'A"Anchor Bolts Located Not More Than 6o -c. And Within 12" Of Each End Piece. Both Side Wails Will Start With A 12' Bottom Plate From The Front. 46--� L V