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PRE 2010 DOCSCity ®f Fridley, L CATION O ILDING No.Street &�4Part of Lot Lot Block Addition or Sub -Division r.__ Corner Lot Inside Lot Setback Sideyard Sewer Elevation ___ — Foundation Elevation DESCRIPTION OF BUILDING T SM as: Front Depth Height !_AQ Sq. Ft. Cu. Ft. Fr0jK Depth 06CHeight _r Sq. Ft. cu. Ft. Type of Construction °L Est. 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 W compliance with a'll provisions of ordinanc�a of the city of Fridley. A - /' // 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 start 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 previsions of said ordinance. .11% NOTICE: Ub perndt does not Corer the construction, installation hr WMh& plumbing, on heating, sewer or water. Be sore to see the Building Inspector for separate pwwdbs for these Nona. 6 oe T APPLICATION FOR -BUILDING PERMIT nrmts nrs Taf1TTT z+ef uT�ntnnnme No. Street ( efei Fart- of Lot Lot Y B�.ock, Addition. or Subdivision Corner Lot . Inside Lot—Y—Setback Side Yard , SEWER ELEVATION FOUNDATION ELEVATION Applicant attach..to.,this form Two.Gerttficates of Survey.of Lot and proposed build- ing location drawn .on.these Certificates. DESCRIPTION OF BUILDING To be used as: Depth .Height Sq., Ft.. Cu. Ft.., Z Front Depth Height Sq. Ft. Cu..-. Ft. Type of Cons'tructTan Estimated CostR. To be Completed The undersigned hereby makes application for a permit for the work herein:s.pecified, agreeing to do all work in strict accordance with the City of Fridley Ordinances and rulings of,the Department_of Buildings,y acts and and hereby declares that all. the f representations stated in this application are true and.correct: DATE �_l – I � S jSchedule 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 £or any addition to any exist- ing 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. icor any such permit for the erection of: any fire -proof building, other than a-ga.raget 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,pr grain elevator, or for the erection of any fire -proof -addition, . for similar occupancy, to hny existing building shall be at the rate of $1.25 for .each one thousand cubic feet, classified as "fireproof" by Section 502 of he 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 -fireproof additi;ony-f-or-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 a 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).inchea below the floor line of.rhe basement or cellar to the average height of the Tupper 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 feQ:.charged.£o=.-any-permitt_.as set forth in Section 2 be less. than $4.00. Application for Powertants and Heating, Cooling, Ventilation, Refrigeration and lir Conditioning Systems and Devices PARTIAL RATE SCHEDULE Dept. of Bldga. Phone SM -3450 GRAVITY WARM AIR: ITE TOTAL Location X13 021 M z s d \ Furnace Shell & Duct Work .......................... . 10.00 $ R City of Fridley: 0 e'L Replacement of Furnace ............................. 6.00 $ Repairs & Alterations—up to $500.00 6.00 $ specified, The undersigned hereby makes application for a permit for the work herein. • • • • • • • • • • • • • . • •agreeing to do all work in strict accordance with the City Ordinances Repairs &Alterations each add. $500.00 ....... ....... 3and ruling of the Department of Buildings, and hereby declares that all the facts .00 $ nd rt ti t ted ' thi li ti t d 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 $ C7 0 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 $ b 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 TOTAL 1st 3 Fixtures x$ 200 $ Additional Fixtures x .75 $ Gas Range to 199,000 ........... x$ 5.00 $ AIR CONDITIONING FAN HEATING SYSTEM VENTILATING SYSTEM ALTERATIONS & REPAIRS ROUGH FINAL See Fee Schedule $ TOTAL FEE $�� a epresen a ons s a in s app ca on are rue an correct. AFridley, Minn 19 Owner i N ( i'l Kind of Building Used as To be completed about -5 (a`4 w Estimated Cost, $ czC2 TC% bid ) --New. Building Permit No. Permit No. -�e'xq? DESCRIPTION OF WORK HEATING or PO PLANTS -Steam, Hot Water, Warm Air—No- Trade Nam Size No - f– ®e) Capacity110SCQ Q q. Ft. E.D.R BTU H,P, Total Connected Load Kind of Fue BURNER — Trade Name Size No Capacity Sq. Ft. E.D.R BTU H.P. (REMARKS—OVER) 11,74 Signed 'n By CQD.42 Business Phone T& Oris PERMIT for Power Plants and Ideating. Cool- ing. ventilation. Refrigeration and Air Conditioning Systems and Devices DESCRIPTION OF WORK No. of a Heating Plants `71L - ) to benstalled;laltered—repaired Make `7� , Size - d Oil fired—, Coad fired � � ; Gas fired— Gas Authorization No. Remarks 1 \ ,&:��,rx_ ��- -� Q� •�-��i'�-1 -�� Approved Final Inspection Date , 19____ , Inspector Permit N° 4499 Fees �. Office of the Inspector of Buildings - City of Fridley City of71161- ey, Minn. , 19%� Owner L�J Location .5-30 Kind of Building h -e' -=� How Occupied Work to be Commenced �n,19-Lq To be Completed- - ,19." Estimated Cost, $ .2 .0 Old -New, Building Permit No. Permission is hereby granted to (,"�L&7-te iz; to install—erect—use the material and devices described in the above statement. This permit is granted upon the express condition that the 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 file in the office of the Inspector of Buildings. v � , ; , Inspector of Buildings .012[0.42 2MIT-67V sueJEcr � PER O.-� City of Fridley 27 4 8 5 AT THE TOP OF THE TWINS BUILDING PE MIT ` RECEIPT NO. COMMUNITY DEVELOPMENT DIV. L r I PROTECTIVE INSPECTION SEC. j Z NUMBER REV DATE PAGE OF APPROVED BY CITY HALL FRIDLEY 55432 612-571-3450 910-F15 8/31/98 JOB ADDRESS 330 Oso n 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. lPnrcel - SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Todd & Christine - 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Owner 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 Reroof house and garage 19 SO 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 S0. 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 STALLS GARAGES AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS VALUATION SURTAX AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT $1584 $.79 DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PERMIT FEE SAC CHARGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. $54.00 Fire SC 1.58 PLAN CHECK FEE76.37 FEE INATURE OF CONI ACTOR OR AUTHO .QED AGE,rT IDATEI HEN ROP VALI D THIS IS R PEPERM G INSP OATS S,GNATURE OF OWNER OF OW ER BUILDERI IDATEI NEW [ ] Effective 1/1/98 ADDN [ ] CITY OF FRIDLEY ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION ConstructionAddress: Legal Description: Owner Name & Address: O U�L� /ZLS %'Z,��A��/Z 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 EMPROVEIVIENT LIVING AREA: Length Width Height Sq. Ft. f 1 GARAGE AREA: Length Width Height Sq. Ft DECK AREA: Length` Width Hgt/Ground Sq. Ft. OTHER: Z a l� �r Type: Estimated Cost: $ Construction (Fee Schedule on Back) Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ _ $ DATE: j" 3 `— 9BAPPLICANT: At ju_' 1L- Tel. # Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee $ Sewer Main Charge $ TOTAL STIPULATIONS: $� 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 [ ] . 9. 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. Building $ BUILDING Permit No. bb - (v Inspections Fire Surcharge RESIDENTIAL APPLICATION Received I y:� 703-572=3604 .0005 x Permit Valuation Minimum $.50 CITY OF FRIDLEY DaLe �'D MAY 3120 DATE _.... YOUR F. -MAIL ADDRESS [� ' __... SI'JE ADDRESS Sbe��a lr nr� S_I Ti a r • -- ~ $_ft THI'S APPLICANT IS: O OWNER CONTRACTOR " $ PROPERTY OWNER/ TENANT NAM; �/�1 t'LQ cl ►� �I s nT P Fee Determined by Engineering ADDRESS: Jt� _ Agreement necessary ( ) Non Necessary ( ) PHONE: $ .__ CONTRACTOR NAME:. 0 l- $U13MIT ADOPY OF _ STATE LICEI S q CJI.) EXP DATE �� GITY YYliVI STA P, O� YOUR STATE LICENSE ADDRESS; _ l WITH APPLICaTI01V — FAX PROPERTY TYPE fONE GLCFAMILY SIZEO FAMILY/NEW CONSTROCTION STORIES PERMIT TYPE 13 AUDITION ❑ GARAGE/SHED G WINI)OWS 0 BASEMENT• FINISH Q ROOF 0 DRAIN TILE ❑ DECK XSIDINCI 0 OTI•IER TYPE OR WORK:I 0 NEW 0 MAD DESCRIBE WORK BEING DONI SIZE OF IMPROVEMENT___ W' SQUARES t:ARAG PROPOSED SIZE:,— PROPOSEIa HEIGHT: G vinyl O Aluminutn ❑ GUM . WINDOW' IN EXISTING OPENINGS GYcs ONo OR FOR NEW OPENINGS -DESCRIBE SIZE OF OPENING CRANGE.S & 'I'YPE OF WINDOW TO BE INSTALLED 1111111F.�mw ❑ HOLISE ONLY 0 HOUSE & GARAGE Cl ATTACHED GARAGV ❑ DETACHEDGARAGE F�Sotiit I] Trim 0 Fascia LOCATION OF WINDOWS ALL FEES ARE BASED ON VALVA (USING TOTAL JOB VALUA I. Existing rlcio4 Plan 2. Proposed Suo plan 3, List of strut nd members to be used FOR NEW I, Site Plawst and Propose 2, Two sets of 3. Encrgy Cult 1, INCLUDING THE COST OF LABOR AND MA 1997 U.B.0 FEE SCHEDULE) Ubb OCCUPANCY TYPE Permit Fee $ See Back Page for Fee Schedule . Plan Review $ 65% of Building Permit Fee Fire Surcharge $ :2, 0C) .001 times the total job valuation Surcharge $�O _ .0005 x Permit Valuation Minimum $.50 License Surcharge $ , $5.00 (State Licensed Residential Contractors) SAC Charge $ $1675 per SAC Unit (Plans to MWCC for deterrr Curb Cut Escrow $_ft + 6 ft = . R x $21 = $ Erosion Control $ $450 Conservation Plan Review Park Fee $ Fee Determined by Engineering Sewer Main Charge $ Agreement necessary ( ) Non Necessary ( ) Total Due $ .__ Make checks Relable to: Ci!y of Fridley Ti-iis IS AN APPLICATION FOR A PFRMIT NOT VALID UNTIL PROCESSI ) I hereby apply for a building permit and 1 acknowledge that the information above is complete and aeeur, conformance with the ordinances and codes of the City of Fridley and with the Minnesota Construction Codes; permit but only an application for a permit and work is not to start without a permit; that the work will be in 1 plan in the case of all work whit re uires review and approval of plans. pai-icyc"3, SIGNATURE OF APPLICANT -,_I RINT NAME_• INCLUDING DCyCKS, the existing structute6 plans r that the work will be in I understand this is not a rdance with the approved Td W217:80 L00Z ZZ 'hew L8ZZZLS29Z: 'ON XdJ halp!JA 30 h'110: W08A