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PRE 2010 DOCSDate �•,��".• n /.:I Owner 4 .a 1_* BUILDING PERMIT Village of Fridley, Minn. N° 2382 ........... Builder ..f ..................... Addressi ... si'.-�e' Address ......................................... LOCATION OF BUILDING No. .Q.f,4...... Street 'si'.✓ e. ................... Part of Lot ....................... {........... Lot ... ! ....... Block . Addition or Sub -Division r.. ........ Corner Lot ........ � Inside Lot ..4600K ..... 1 Setback ''� Sideyard............ DESCRIPTI ' N OF BUILDING To be Used as: .G% ... Front .J.. Depth..Height Sq. Ft......... Cu. Ft. ........ ............ ... .... Front ........ Depth .., ..... Height ......... Sq. Ft......... Cu. Ft........ . Type of Construction ,., y,�,,,,,�. Est. Cosy:_! .. I ................ To be Completed y ..mow^04• 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 village of Fridley. ........ ............................................ •hereb ,to• consideration o the payment of a fee of permit is to ... ........ P Yrn $ � P y granted •. . . .. to construct the buildd addition as described above. Y�ted upon e express con 'on t the person to whom it is'i 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 with- in the village limits d this permit may be revoked at any time upon violation o any of the provisions of said ordinances. r iulding Inspector NOTICE: This permit do not cover the construction, !IlnstaIlation or alteration for wiring, plumbing, gas heating, sewer or water. Besure to see the Building Inspector for separate permits for these items. City of Fridley, Minn. BU LDING PERMIT N® 3366 - Date:366 -Date: ............................... ... Owner .. Y �.� ... Builder ..... ............................... Address Address ............................................. LL0CAATIIOON OF BUILDING A-4. 16 ­0No. .� . Street �...tv ..`:. ! ' ... �!.. ........ Part of .... .............. . ....... . .. { o T ............ Block ...... Addition or Sub Won . .... ..... .. .. . . ................. AorQ5 S o z Corner Lot ............ Inside Lot ..A....... Setback ............ Sgeyard ........................... AoTQ Y DESCRIPTION OF BUILDING NbeAA.C�. Used as: rr( �, f •r Front . y(..1, .',(Depth Aa? _ P Height ../ ®.. Sq. Ft. `� 0.U. Cu. 1-V. VkP .................... Front ........ Depth ........ Height ........ Sq. Ft. ......... Cu. Ft. ........ Type of Construction ................... Elst. Cost.... 72.43j.CLe ..... To be Completed ................... 5 TU J3 s /G " 6 <_b_ 6PA `r -k -A 5 a Y" Or Q -3 G az Cr s S ) r 60AA re -A /JCd 0?ao4' J3 ACjVe%_ In consideration of the issuance to me of a permit to construct the building desribed 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. IV p—V-V �I/ 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 with- in 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 or alteration for wiring, plumbli sewer or water. Be sure to see the Building Inspector for separate permits for these Items. • PLUMBING. FIXTURE RATES; NO, RATE 1.4 -.bey FLxeutas � —K Al N.ure !'!.•dura 6poning •• —_- $1,00 New Fixture, old Opening x $2.00 Hator X $5,00 A •�• X $5..00 a o; c M Water Softener ,n -A A N .i 4 o. Llac ric Hater Neater - Hooter $5,00 2 lac 3 fixtures X X y _ Mditicnal nxtures �� x 44 b '� u 0F01vRS E ' . o J o. Al 'H 'c� ''� H c a 6 8 N x &J N N N li 5 u' in '.ee A w li (x 0 as lac 'rc tnge 2nd ,- (A) - N tune Connection Opening Connected with Sewor (•) - Nov Fixture, Old Opening Hatay PARTIAL. RATE ,SCHEDULE �ILTE PLUMBING. FIXTURE RATES; NO, RATE 1.4 -.bey FLxeutas � —K 53,00 N.ure !'!.•dura 6poning •• —_- $1,00 New Fixture, old Opening x $2.00 Cstch Basin • ...__ X $5,00 %.water Neater - to 99,000 BTU, X $5..00 ^�- 100;C00 7>TU to 199,000 BTU x $10.00 Water Softener ' New Ground PUn Old Building X $5,00 Llac ric Hater Neater - X $5,00 .CAS FITTING FEES; ' lac 3 fixtures X 33,00 _ Mditicnal nxtures �� x 11.00 Cls Ra1198 LO 199,000 BTU K 110.00 0F01vRS E ' RATIONS rirsc 1100.00 each acd. 5100.00 or fraction Stato Surcharge TOTAL, FEE TOTAL 97-8U-879001 ' Job Address 6035 2t Street ATE Department of Buildinga City of Fridley I Tal. 1571-3450 , Tito undersigned hereby makes application for permit for the 4m opeeified agrooing•to do all work in strict accordance with the C and rulings of tho Department of BuildLngs, and hereby declares t the !acts and raprnaentations stated in this application are tale Fridley, M.•1, 12-27-77 OWNER KELLER KIND OF BUILDING frame _ USED AS res. TO BE C014PLETED ABOUT 12'31'77 ESTIMATED COST 20,00 OLD - NEW BUILDIIIG PERMIT NO, pLrPIT 110. Com � M N �y ,.� AAINNEG/1S�I `CASCO • , Signed Dy ' Tole No. ROUGII INSP. Date FINPIL iNSP. I -t 7,-17 $ Data i APPROVAL fOR PERMIT l $2.00 S .:0 MIIIIMUM PEC FOR 1JIY PLUMBING PERMIT 15 17,50 SUBJECT P77;'3 City of Fridley 3 AT THE TOP OF THE TWINS BUILDING PERMIT r RECEIPT NO. COMMUNITY DEVELOPMENT DIV. ------; ,. PROTECTIVE INSPECTION SEC. r Cg2 � � 1 . � NUMBER REV DATE PAGE OF APPROVED BY I = o - n CITY HALL FRIDLEY 55432 �', 612-571-3450 910415 8 / 13/98 JOB ADDRESS 6035 2 1/2 St 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. Pt22, 23 Pt 4 6 1 Hyde Park SHEET 2 PROPERTYOWNER MAIL ADDRESS ZIP PHONE Robbie Packer 572-1781 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. New Haven Const 4208 83 Ave N 566-5225 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 20077950 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO, 5 USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW ❑ ADDITION ❑ ALTERATION 1X REPAIR ❑ MOVE ❑ REMOVE B DESCRIBE WORK Reroof house and garage 20 2/3 SO Tear -off 9 CHANGEOFUSEFROM TO STIPULATIONS Underlayment must comply with 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 50 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 1 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 .88 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. S96.75 Fire SC $1.69 PLAN CHECK FEE TOTAL F .32 SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT IDATEt N P OP VALIDAT D SIS UR PERMIT BLD INSP ATE SIGNATURE OF OWNER OF OWNER BUILDERI IDATEi -Flag 11 98 10:45a Kerri 566-7183 p.4 Effective 1/1/98 NEW [ I CITY OF FRIDLEY ADDN [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-" ALTER [ l BUILDING PERMIT APPLICATION -/ -ee ConstructionAddress: p� �- Z �Z Legal Description: Tel. Df� c Owner Name & Address: �SMN LICENSE # .,7_.a6 7711-0 �st lel► Contractor: c°G� Tel. #.5�� Address: Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF IMPROVEMENT Width Height Sq. Ft. LIVING AREA: Length 4• . S Ft Length ' Width Height -- GARAGE AREA Width ^_� Hgt/Ground Sq- Ft. DECK AREA: Lenges OTHER: .Estimated Cost: $ o Construction Type:�- (Fee Schedule on Back) Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ — $ Ox/,,0L- Tel. DATE: ',f APPLICANT: -,,57,f Permit Fee Fire Surcharge State Surcharge SAC Charge $ $ . License Surcharge 5 - Drive 2V Driveway Escrow $ Erosion Control Park Fee Sewer Main Charge CITY USE ONLY Fee Schedule on Reverse Side .001 of Permit Valuation (1/10th%) $.50/$I,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 [ I Not Necessary [ ] TOTAL $ _4=4� 64--1. ja . STIPULATIONS: 6,1",e "04 s4 -IA SUBJECT P City of Fridley 31640 AT THE TOP OF THE TWINS BUILDING PERMIT r RECEIPT NO. `� _ - COMMUNITY DEVELOPMENT DIV. INSPECTION SEC. f � PROTECTIVE 1 Z i CITY HALL FRIOLEY 55132 NUMBER REV GATE PAGE OF APPROVED 811 612-571-3450 910-F15 2/2/01 JOB ADDRESS 6035 2 1/2 Street NE 1 LEGALLOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 22-24 6 Hyde Park SHEET 2 PROPERTY OWNER MAIL ADORES$ ZIP PHONE James/Jill Warner 6035 2 1/2 Street NE 763-572-0958 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO ABC Seamless 355 21 St, Newport, MN 55055 651-458-0844 1780 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 O NEW O ADDITION O ALTERATION fj7 REPAIR O MOVE O REMOVE 8 DESCRIBE WORK Replace windows within existing openings 9 CHANGEOFUSEFROM 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. Permit lns eCtIOR Cards `oii Be 011e To Homeowner To post SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD VENTILATING OR AIR CONDITIONING THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING SO. FT CU FT. AUTHORIZED IS NOT COMMENCED WITHIN 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 1STALLS 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 $ 12,258 $6.14 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- $223.25 Fire SC $12.29 STRUCTION OR THE PERFORMANCE OF CONSTRUCTION PLAN CHECK F TOTAL F Licen S $5.0 $2 .68 SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT IDATEI EN RWRV 'LIGATE IS Y�R�RA IT SIGNATURE OF OW NER,6 OWNER BWLGE RI IDATEi CST/JI rG//'J( B� IN QATE NEW (] Effecflve 1/1J=1 A00% j ] CITY OF FRIDLEY (7631672-3044 Bldg tRep ALTER j j SINGLE FAINXY AND DUPLE M R-1 AND R-2 BUILDING PERMIT APPLICATION Construction .. r 12 i� LegalDescription: Owner Name 914W-1110 .1 Tel, MNUCENSEk Address:i _ - � _ice -- �._c��..�:!1 - --Tel/0 LIVING AREA: C%AMGE AREA: DECK AREA: OTHER: 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 Wdth Height Sq. Ft Width Con-sbuction Estimated Cost' $, Sq. Ft_ Driveway Curb Cut Wcdth Needed: Ft + 6 Ft = Ft x DATE: !9--/-®� APPLICANT: /�'%�I L[ _ ��1.7'T J iYC Tel. # - CITY USE ONLY - Gall (763) 672-3604 for Permit Fees If mailing In application Permit Fee $__A61. Fee Schedule on Reverse Side Fire Surcharge $ 1 t , Pct .001 of Permit Valuation (1/1Oth%) State Surcharge $ Ce - i !f $.50/$1,000 Valuation SAC Charge. $ $1150 per SAC Unit Lim Swcharge $ T,00 $5.0D ('State Licensed Residential Contractors) Ddveway Escrow $ Alt. "A" or Alt. "W Above Erosion Control $ $450.00 Conservation Plan Review Park Fee$ Fee Determined by Engineering Sewer Main Charge $ Agreement Necessary (] Not Necessary I J TOTAL $ snauwnows: �f11��- M/TO"d S98T8SI9TS9 01 A31aI�:U d0 Al I9 WOE ET:t�T T00Z-TZ-N1Jf CITY OF FRIDLEY INSPECTION 6431 University Ave NE Fridley, MN 55432 572.3604 RATE SCHEDULE DIViSION APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION, REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES Residential Furnace Shell and Duct Work, Burner - Also Replacement Furnace (Side Vent - Fill Out Back) Gas Piping (Needed with new furnace, but not replacement) Gas Range Gas Dryer *Air Conditioning - All Sizes All Others/Repairs & Alterations (LIST ON BACK) 1% of Value of Appliance or Work Commercial/Industrial 1.25% of Value of Appliance or Work Rate $ 30.00 $ 10.00 $ 10.00 $ 10.00 $ 25.00 State Surcharge TOTAL FEE 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. Effective On May 10, 1999 JOB ADDRESS S — a a Si tj E OWNER i m / i 11 LJA 1UCJ 12 TOTAL BUILDING USED AS 10 ESTIMATED COST Liam. ©O PERMIT N0. DESCRIPTION OF FURNACE AND OR BURNER No. of Heating Units I Circle One (Steam) (Hot Water) arm �KI'05 $ Trade Name dZUAi� Size No. BTU_199_, 0b HP EDR Fuel 0.47r.645 Total Connected Load Burner Trade Name Size No. $ BTU HP 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 $ .5Q rulings of the Building Division, and hereby declares that all the facts and representations stated in this ap lication are *true and correct. $ ,�,�; �p River City Sheet Metal, Inc. 9925 Bluebird St. N.W. Coon Rapids, MN 55433 HEATING CO Signed/7' DATE Approved By Rough -In Date Final Date 1-41-6V Remarks: List ALTERATIONS Being Done: HEATING CO: Signed By: Date: CHIMNEY AND STACK VERIFICATION The undersigned hereby verifies that the existing chimney or stack: - 1. Has been carefully examined Yes () No ( ) 2. Is free from rust or deterioration Yes () No ( ) 3. Has no foreign objects lodged within Yes () No ( ) 4. Is securely supported Yes () No ( ) 5. Meets all current Code requirements for size and total BTU's connected Yes () No ( ) 6 Has total heating BTU's of All other BTU's TOTAL BTU's 7. Has a liner been provided for water heater Yes () No ( ) 8. Has combustion air been provided for water heater Yes () No ( ) Remarks: List ALTERATIONS Being Done: HEATING CO: Signed By: Date: CIiYOF FRIDLEY FRIDLEY MUNICIPAL CENTER - 6431 UNIVERSITY AVE. N.E. FRIDLEY, MN 55432 - (763) 571-3450 - FAX (763) 571-1287 January 18, 2001 Jim & Jill Warner 6035 2 1/2 St NE Fridley, MN 55432 Re: Final Inspection at 6035 2 1/2 Street NE Contractor: River City Sheet Metal Inc Dear Jim & Jill Warner: A mechanical permit was issued on November 16, 1999 for the above noted address to install a replacement furnace and an air conditioner. According to Section 305(a) of the 1991 Uniform Mechanical Code a final inspection shall be performed on the mechanical permit. As of this date no inspection has been called for. The permit fee that was paid covers the inspector's time to check to make sure the furnace and air conditioner were installed correctly, that the State Mechanical Code has been complied with for installation of combustion air for fuel burning appliances and that the vent has been sized correctly with the correct vent connectors. You will be given thirty (30) days from receipt of this notice to respond. If we do not hear from you, your permit will expire and any inspections on this installation will require a new permit. Any questions can be addressed to myself at (763) 572-3603. Sincerely, 4".-Vl Z&OtENSEN Buil i Inspector DJ/mh Building Inspections 763-572-3604 SM ADDRESS I THIS APPLICANT IS: PROPERTY Ovna J TENANT CONTRACTOR SUBMIT A COPY OF YOUR STATE LICENSE WIT Il APPLICATION PERMff TYPE TYPE OF WORE: From: unknown Page: 2/2 Date: 8/22/200611:31:06 AM From: City of Fridley To: 5183832 Foga:'a1'G Late: GMAUuw 11.1-t.v1 nR. PLUNGING Pit No.:4 RESIDENTIAL APPLICATION Receivrd By: CITY OF FRIDLEY Dat° Rev'd:_ PHONE: STATS LICENSE f! ADDREss: l 4 PHOM_ (a+_&. 4LBWOI,E FAMILY O NEW YOUR E•MAM ADDRESS C� EXP DATE IR O TOWNHOUSE xMMO! m, J5 -6-W-7 DETAILED DESCIt1PTION OF WORK MR M8168.665 the permit fee is a minimum of $15.00 or 5% of the total cost up to 5504.00, whichever is greater, for the improvement, installation or replacement of a residential frxhao. oxcluding the fixtures. (This should reflect only the coat of labor) Labor coag. under $300 - $15.00. Labor cost between $300 to $500 = cost of labor'(�•X.05 = -7 9. 043 FOR PROJECTS WJE LABOR EXCEEDS $500. IES ARE BASED ON $10.00 PER FIXTURE, EXCEPT WME NOTED. FIXTUM: (DIDICATE TOTAL NUMBEROF RACH BELOW) _ BATH SiNWLAV pLOORDRAWs SHOWER _ WAThR PIRINa _ $ATEiTUH _ OAS PIPING PMD 0771900)__ SwAdMMG POOL WATER SOFTNER ($35) CLOTHES WASM _ MC�t SDK WATER CLOSET _ BACKFLOW PREY. (1;15) 7-DISHWASUER LAUNDRY TRAY WATER BEATER. ($35)FOR EMIGATION WATER NVMM _ 0TMR e Number of furfures @ $10.00 _ x $10. _ .50 Number of fumes $15.00 _ x $15.00 = $ go-- Number of fixtures $35.00 _ u $35.00 = $ State surcharge = $__,M Total = S TM I3 AN APPLICATION FOR A PMWT NOT VAUD UNTIL PROCESSED I hereby apply for a building permit end I aolmowledge that the information above is complete and aoaurato; that the work will be in aodormance with the ordinances and codes of the City of FdMoy and with the Minnesota Constivction Codon; that I twderstend this is not a Vomit but only an opplioaticn for a permit and work is not to start without a permit; that We work will be is awordanoo with the approved plan in the one of all work whirequires review and approval of platy. SIGNATURE OFAPPLICANT �. M1TrNAME RJ+rd 7. DATE City of Fridley Building Inspections Depertnment 6431 University Avenue NE, Fridley, MN 55432 763-572-3604 FAX: 763-502-4977 31 Building BUILDING Permit No.: U0qAb 4H Inspections RESIDENTIAL APPLICATION Received By: 763-572-3604 CITY OF FRIDLEY DkUOR 2A 2999 763-502-4977 FAX EFFECTIVE I-1-09 DATE / .c G��G YOURE-MAI�ADDRESS SITE ADDRESS THIS APPLICANT IS: ❑ OWNER CONTRACTOR PROPERTY OWNER/ NAME: e f (/ vI &-- / _W ADDRESS: D SGS CITY STATEtA ZIP S3� TENANT PHONE: CONTRACTOR NAME: STATE LICENSE # EXP DATE 3 pZOI� SUBMIT A COPY OF YOUR STATE LICENSEAND ^^ 5'0� 10C CITY n� CC STAT�ZIP CERTIFICATE OF ADDRESS/ INSURANCE PHONE j Q FAX % e l PROPERTY TYPE EfSINGLE FAMILY/NEW CONSTRUCTION SIZE ❑ TWO FAMILY/NEW CONSTRUCTION STORIES PERMIT TYPE ❑ ADDITION ❑ GARAGE/SHED ❑ WINDOWS ❑ BASEMENT FINISH AROOF ❑ DRAIN TILE ❑ DECK ❑ SIDING ❑ OTHER ❑ SWIMMING POOL TYPE OF WORK: ❑ NEW HOME CONSTRUCTION ❑ ADDITION ZMAINTEMAN PAIR ❑ REMODELING DESCRIBE WORK BEING DONE: SIZE OF IMPROVEMENT LENGTH WIDTH HEIGHT SQ FT ROOFING NUMBER OF SQUARES A HOUSE ONLY SHOUSE & GARAGE BASEMENT REMODELING SUBMIT: �— 1. Existing Floor Plan GARAGES ❑ ATTACHED GARAGE 2. Proposed floor plan PROPOSED SIZE: XbETACHED GARAGE 3. List of structural members to be used PROPOSED HEIGHT: FOR NEW CONSTRUCTION INCLUDING DECKS, SIDING ADDITIONS. & PORCHES SUBMIT: ❑ vinyl ❑Soffit I. Site Plan/Survey showing the existing structures ❑ Aluminum ❑ Trim and proposed project. ❑ Other ZR Fascia 2. Two sets of construction plans WINDOWS 3. Energy Calculations IN EXISTING OPENINGS ❑Yes ONo LOCATION OF WINDOWS OR FOR NEW OPENINGS -DESCRIBE SIZE OF OPENING CHANGES & TYPE OF WINDOW TO BE INSTALLED NUMBER OF WINDOWS ALL FEES ARE BASED ON VALUATION, INCLUDING THE COST OF LABOR AND MATERIALS: (USING THE 1997 U.B.0 FEE SCHEDULE) TOTAL JOB VALUATION $ � `,!:�A OCCUPANCY TYPE Permit Fee $ 91 a 5 See Back Page for Fee Schedule Plan Review $ 65% of Building Permit Fee Fire Surcharge $ 31 .001 times the total job valuation Surcharge $ k .0005 x Permit Valuation Minimum $.50 License Surcharge $ 5" 1j D $5.00 (State Licensed Residential Contractors) SAC Charge $ $2000 per SAC Unit (Plans to MWCC for determination) Curb Cut Escrow $ ft + 6 ft = ft x $22 = $ Erosion Control $ $450 Conservation Plan Review Park Fee $ Fee Determined by Engineering Sewer Main Charge $ Agreement necessary ( ) Non Necessary ( ) Total Due $ 1 n I n .qQ 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 on site; that the work will be in accordance with the approved plan in the case ll work whi re u es review and approval of p SIGNATURE OF APPLICANT�/JIi(-P.CI PRINT NANF6, iLr►>xg �GIN'Cti1 DATE ��O