Loading...
PRE 2010 DOCSCity of Fridley, Minn. BUILDING PERMIT N°5 0 31 Date: Ito - Ld Owner: Build — Address Address CATJOhl OF BUILDING No. StreetPart of Lot Lot Block _ _ _ Addition or Sub-Divisio" .WN Corner Lot _-__ Inside Lot — `� Setback1. f YaI'd -- Sewer Elevation Foundation Elevation DESCRIPTION OF BUILDING To V / Front - Depth Height _., Sq. Ft. G Cu. Ft. Fro Depth • Leight Sq. Ft. Cu. Ft. Type of Construction '1 Est cost ar` — _ 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, repay and moving of buildings v � city limits and this permit may be revoked at any time.,, onvl lati=of any of the provisions of said ordinan Building Inspector NOTICE: This permit does not cover the construction, installation for whing, plumbing, gas beating, sawer or water. Be sure to sea the Building Inspector for separate permits for these hems. APPLICATION FOR BUILDING PEST CITY OF FRIDLEY, MINNESOTA Owners Name Builder � r A /I n Address eOCATION OF BUILDING No. - Streets Part of Lot Lot Block . Addition or _ Side -Yard /d Corner Lot Inside Lot_�e,�Set Back . SEWER ELEVATION /0,0 FOUNDATION ELEVATION Z!® Applicant attach to this form Certificate of Survey of Lot and proposed building location. DESCRIPTION OF BUILDING To be used as: -3 7 Depth � / Front Sq. Ft. 1A, Cu. Ft. / o V % 7 - Sq. Sq. Ft. Cu. Ft. Type of Construction �__ Fstimated 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 Ordinances and ruling of the Department of Buildings, and hereby declares that all the facts and representa- tions stated int s application are true and correct. NATE SIGNATIIRE (A Schedule of Fee costs can be found on the Reverse Side.) .. 0 10 MINDERF-.AwGINEF-,niNc7Co,,.,][Nc. ENGINEERS AND SURVEYORS LAND SURVEYING SOILS TESTING CIVIL & MUNICIPAL ENDINEEQING LAND PLANNING 6418 -SGT" AVENUE N. MINNEAPOLIS 2Z, MILAN. KE 7- BG37 C o 8p -i a l i cls -4 4p 11PIF SURVEY FOR 'TUM SILVIS LL1 IPC ry '`. ---- - _ - 142 10 II r i I a, sj IT,1 16 SCALE 71 rn `i I T z ' Lnt' I -- - 144=i1 i I LOT of HL K. �' UPL4f lD 2'`�D WE HEREBY CERTIFY THAT THIS 15 A TRUE AND CORRECT REPRESENTATION OF A SURVEY OF THE BOUNDARIES OF THE LAND ABOVE DESCRIBED AND OF THE LOCATION OF ALL BUILDINGS, IF MY, THEREON , AND All VISIBLE ENCROACHMENTS, IF ANY, FROM OR ON SAID LAND. MINDER EN G I N EE R I N O CO., I N C . DATED TMIS DNYM w0\/. A.0.1'35 ENGIIJHERy' AND SIaRV>:]tiORS_ I " Application for Power Plants and. Healing, Cooling, Ventilation, .Rehigeral'ion tind Air Conditioning Systems and Devices PARTIAL RATE SCHEDULE Dept. of Bldgs. Phone SU, 4-7470 GRAVITY WARM AIR: RATE TOTAL, 1. 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 $ MECIL WARM AIR Furnace Shell & Duct Work to 120,000 BTU ............ 8.00 $� each add. 60,000 BTU ... — .................. 2.00 $ _ Replacement of Furnace ............................. P.00 $ Repairs & Alterations—up to $500.00 ...:e ............ 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 $ 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 $ `J • 0 Q 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 — Location ! o L % 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, Minn GL)m be— j I , 18L(J Owner j (� U !�S—��� Df'4 _0 ell X11 Kind of Building Used as 2e S! CYo. To be completed about Estimated Cost, $ Old— eN w. Building Permit No. '-V �� Permit No. I DESCRIPTION OF WORK HEATING or POWER PLANTS --Steam, Hot Water, Wk1T`1ir—No Trade Name Mo. Size No- �` Capacity 'AnJp Sq. Ft. E.D.R BTU H.P. Total Connected Load �� G O Kind of Fuel BURNER —Trade Name Size No Capacity Sq. Ft. E.D.R BTU H.P. (REMARKS-OVER) Sign By-- .,*_Q'-42 z 2M 7-59 Business Phone No— HEAT LOSS CALCULATIONS DEPARTMENT OF BUILDINGS r l i MINN. Weatherstrips A.S.H.V. . Construction No. Insulation Guide WindowsI Doors Reference Out. Wall Int. Wall Ceiling Roof Floor Kind How Applied Yes—No Yes—No 1 19— F1.1 %Room I Length a I Width Height j Windows an'A Doors—Crackage and Area W= Height No. of Lineal ft. Area No. of Dane o[ vane Iighte of crack eq: ft. 11 N Btu Infiltration 5 a Glass b Ear: wall lb -MnI Windows and Doors—Crackage and Area Net exp. wall 1 CA 91 Int. wall 1 Sl I T Ceiling a Floor Total Btu. Coef. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area 1 FI.1 <1 n Room I Length a � Width Windows and Doors--Crackage and Area Wldth Helght No. o[ Lineal [t. No. o[ pane of pane lights of crack Area rq. tt. a- 1 0 T a 'BD, I �)-o \ ID JIL 16 16 r 1 V I Coef. Btu Infiltration p Glass 45 a5o - EMP.-wagI Ci10Q es Net exp. wall a I Int. wall Ceiling `off I 'a G Floor a5& 9 a a LO Total Btu. j ►>� Required sq. ft, E.D.R. or sq. ins. W.A. Leader area \ Fl. M sk r 16apgoom I Length I Width I 1 Height Windows and Doors—Crackage and Area Wldlh Height No. of Llneal tt. Area No. o[ Dane of pane Ilghts of crack sq. ft. Coef.1 Btu Infiltration -4:a 111 HaRn Glass OLA Exp. wall Net exp. wallUl 16nrlri Int. wall Ceiling 1 1 IM G Floor Total Btu. I g y aa Required sq. ft. E.D.R. or sq. ins. W.A. Leader area RT -(2000)-12-67 F1.–V�df- Room Length IIg, Width, 10 Height Windows and Doors—Crackage and Area Coef. Btu Width Height No. of Lineal ft. Area No. of pane o[ Dane Ilghts of crack sq. [t. 1 Sl I T aS a� 1 O Exp. wall Net exp. wall 567110 Coef. Btu Infiltration Ceiling SO 1i 0 d Glass ) 60 q Q Exp. wall Net exp. wall I Q 1 5 Int. wall Ceiling 16 a Floor I ao 9 1 ? Total Btu. Required sq. ft. E.D.R. or so. ins. W.A. Leader area 1 M-1 'ice r,. +i,. Room I Length 9 Width 10 Height Windows and Doors—Crackage and Area Width Height No. of Lineal ft. Area No. of pane of pane lights of crack sq. ft* a- aoQL 15 q Coef. Btu Infiltration 15 6 6 O Glass O Exp. wall Net exp. wall 567110 Int. wall Ceiling Q Floor 11016 Total Btu. I & Required sq. ft. E:D.R. or sq. ins. W.A. Leader area P1 Ranrn I Irnoth 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. Coef.1 Btu Infiltration Glass Exp. wall Net exp.. wall Int. wall Ceiling Floor Total Btu. IIRequired sq. ft. E.D.R. or sq. ins. W.A. Leader area 0 -+CL City of Fridley Application for Plumbing and Gas Fitting Perndt - Dept. of Bldgs. Phone SU 4-7470 DESCRIPTION OF WORK!„ Number, Kind and Location of Fixtures Location 00 NO. RATE SF is Number Fixtures ....... .............. �- x $1.50 Z = ' dr N 8Z VI bZ x 1.20 J W U' 0 Z z x 1.00 + WATER HTR. / x 3.25 x 2.00 $ 3 New Ground Run Old Bldg . ............ x 3.25 Z 4a 22 8o S 3 �, �9 gO F N GAS ELEc En x 2.00 $ 3 o , Base 1 I 1st 1 2nd . _ 3rd — 4th • Future Connection Openings Connected with I sewer ❑ New Fixture, Old Openings Cesspool ❑ PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: NO. RATE TOTAL Number Fixtures ....... .............. �- x $1.50 � $--a Future Fixture Opening ................ x 1.20 $ New Fixture Old Opening .............. x 1.00 $ Catch Basin ............................ Water Heater (Up to 200,000 BTU) ...... / x 3.25 x 2.00 $ �5 $ New Ground Run Old Bldg . ............ x 3.25 $ GAS FITTING FEES: NO. RATE TOTAL 1st 3 Fixtures ..........................Z 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 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, Minn a Kind of Building% Used as To be completed about we Estimated Cost, $ Old—New. Building Permit No Permit No.� Signed Ved, ROUGH /°Z -1 2- 4'0 FINAL as 2M 7-59 Business Phone Nom City of Fridley, Mi BUILDING PERMIT N°5 5 7 9 Date:____'" 1 Owner: Builder Address if Address LO IC 0 BUILDING No. Street Part of Lot Lot Block Ze Addition or Sub-DivifIdpm — Corner Lot Inside Lot _ �""�=Mack 71 Sewer Elevation _ . _ _ _ _ Fo dation Elevation DESCRIPTION OF BUILDING v'Front Depth rr4{t Height Sq. Ft. Cu. Ft. 9 Depth -STAIght Sq. Ft. Cu. Ft. Type of Construction`' Est. Cost- 9,__-_.__ 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. J� 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 violationofany of the provisions of said ordinances. ` _ Building Inspector NOTICE: This permit does not cover the construction, installation for wiring, plumbing, gas heating, sewer or water. Be sure to see the Building Inspector for separate permits for these Items. 0 4 APPLICATION FOR BUILDING PERMIT CITY OF FRIDLEY, MINNESOTA !� owner Is Name_40a__�__ Builder Address- Address LOCATION OF BUILDING ii No. / ti Street �> � art of Lot Lot 6S lock Addition or subdivision :;aAV Corner Lot Inside Lot Setback Side -Yard SEWER ELEVATION FOUNDATION ELEVATION Applicant attach to this form Certificate of Survey of Lot and proposed building location. DESCRIPTION OF BUILDING To be used as: th o" Height lam,___,__,_ Sq. Ft 5 / ;�— Cu. Ft . 5 % ?J FrontDepth Height Sq. Ft. Cu. Ft. Type of 2Z,,& ,Estimated Cost �/ d - -d 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 SIGNATURE (Schedule of Fee Costs can be found on the Reverse Side). :7 n LJ City of Fridley, Minn. BUILDING PERMIT Date: May 22, 1965 Richard Subinski Owner: Address 6181 5th St. N.E. Builder John P. Sappa� Address 1919 4th St. N.E. LOCATION OF BUILDING N° 7499 No. 6181 Street 5th S t . N .B . _____ Part of Lot Lot 28 __ Block 2 --Addition or Sub -Division Uplands 2nd addition Corner Lot . _ Inside Lot _ Setback ___ Sideyard Sewer Elevation To be Used as: Foundation Elevation DESCRIPTION OF BUILDING Front — Depth Height Sq. Ft. Cu. Ft. Front Depth __H ht Sq. Ft. Cu. Ft. 1800.00 Type of Construction Est. Cost _ _ _ To be Completed Storm damage repair. Garage rebuilt on same slab. 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 f and in compli th all provisions of ordinances of the city of Fridley.. �w�/ , In consideration of the payment of a fee of $ 10.00 permit is hereby granted to John P. Sappa 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, 3n all work done in, around and upon said building, or any part thereof, shall coffiorm in all respects to the ordinances of Fridley, Minnesota regarding location, construction, abteration, maintenance, repair and moving of buildings within the dty limits and this permit may be revoked at any time upon violation of any of the provisions of said ordinaaces. Inspector • NOTICE: This pennh does not cover the eonstwsdon, tesmWen for wiring, plumbing, gm heating, sewer or water. Be sums to me the Building Impeder for mparNe permits for them home. v APPLICATION FOR BU41NG PERMIT a CITY OF FRIDLTYi. NNESOTA OWNER Is MM LOTION OF BIDING Nom street Part of Lot. Lot d�- g Block_ _ Addition or SubdivisionAE4-r-Aw �tJQ Corner Lot Inside Lot_�Setlsatk Side :Yard SEWER ELEVATION FOUNDATION ELEVATION Applicant attach to this form, Two Certificates of. Survey of Lot and proposed build ing location drAwn on these Cattificates. DESCRIPTION OF BtMDING I;* be used as: PronC Depth Height Sq. Ft. CU. Ft.. Front Depth Height Std. Ft. Cu. Ft.. av Type of Construction Estimated Costs 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. .of Fee Costs can be found on the Reverse Side). Date: May 22, 1965 City of Fridley, Minn. BUILDING PERMIT Owners Richard Subinski Builder John P. Sappa Address 6181 5th St. N.E. Address 1919 4th St. N.E. LOCATION OF BUILDING N® '7500 NO. 6181 — Street 5th S t . N . E . ,_,_ - Part of Lot Lot 28 __ Block 2 Addition or Sub -Division . Uplands 2nd Additicna. Corner Lot Inside Lot _ _ Setback --- Sideyard -- Sewer Elevation — Foundation Elevation To be Used as: Type of Construction DESCRIPTION OF BUILDING Front — Depth Height Sq. Ft. Cu. Ft. Front Depth Height _ _ Sq. Ft. Cu. Ft. Fit. cost — — ______ __ 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: Ibis ponnh does not corer the cendrucden, hutdiatien for whing, phmrbing, gas heating, ewer or water. Be sure to we the Building Inspeder for separNe porwhs for these hems. SUBJECT City of Fridley 26522-, AT THE TOP OF THE TWINS BUILDING PERMIT ` RECEIPT NO. `L COMMUNITY DEVELOPMENT DIV. ------ r PROTECTIVE INSPECTION SEC. NUMBER REVDATE PAGE OF APPROVED BY i CITY HALL FRIDLEY 55432 612-571-3450 910-F15 7-9-98 f' JOB ADDRESS 6 181 5TH ST NE 1 LEGAL LOT NO. BLOCK TRACTOR ADDITION SEE ATTACHED DESCR. 28 2 Uplands 2nd Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Don Mahr 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. 20029530 Kastle Roofing & Remodling, 809 E 48th St M _3090, 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 1I REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Re-roof -tPar-nff 9 CHANGE OF USE FROM 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 60 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS OFFSTREET PARKING I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION 1 STALLS GARAGES AND KNOW THE 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 $2,001 $1.00 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. PLAN CHECK FEE TOTAL FEE ! License SC $5.0 $82.75 uREOFCONT. RACTORORAUTHORIZED AGENT (DATEI WHEN PROPERLY BLDG INSP VALIDATED THIS IS YOUR PERMIT GATE S)GNATUREOF OWNEROF OWNER BUILDER) rDATEi NEW [ ] Effective 1/1/98 ADDN [ ] CITY OF FRIDLEY ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION P/ 7A ConstructionAddress: 6e'l Legal Description: Owner Name & Address: Tel. # Contractor: j/�� MN LICENSE #©c� vZ� SAO Address:%2�2' IF yr -A 7 P1':; d S,j l % Tel. # Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. LIVING AREA: GARAGE AREA: DECK AREA: OTHER: DESCRIPTION OF IMPROVEMENT Length Width Height Length Width Height Le°n Width H G Sq. Ft. Sq. Ft. So. Ft. Construction Type: Estimated Cost: $ T' M (Fee Schedule on Back) Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ _ $ DATE:4q,APPLICANT: Tel. # STIPULATIONS: CITY USE ONLY Permit Fee $ L , S Fee Schedule on Reverse Side Fire Surcharge $ .001 of Permit Valuation (1/10th%) State Surcharge $-/()o $.50/$1,000 Valuation SAC Charge $ $1000 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 $ Fee Determined by Engineering Sewer Main Charge $ Agreement Necessary [ ] Not Necessary [ ] TOTAL $ STIPULATIONS: Building Inspections 763-572-3604 DATE___l —I r�C SITE ADDRESS THIS APPLICANT IS: BUILDING RESIDENTIAL APPLICATION CITY OF FRIDLEY _ YOUR E-MAIL ADDRESS 1-i e_ ❑ OWNER CONTRACTOR Permit Received By: Date Rec'd: 6 ' 1 PROPERTY OWNER/ NAME: 4-14 mi ADDRESS: 4IV 1/ J- 5'0C -1 -'JZ CITY TENANT id 3 / — 97 PHONE: Lr7 CONTRACTOR NAME; STATE LICENSE # DATE SUBMIT A COPY OF �� CITY STATE ZIP YOUR STATE LICENSE ADDRESS: WITH APPLICATION HONE au PROPERTY TYPE INGLE FAMILY/NEW CO SIZE ❑ TWO FAMILY/NEW CONSTRUCTION STORIES PERMIT TYPE ❑ ADDITION ❑ GARAGE/SHED WINDOWS ❑ DRAIN TILE ❑ BASEMENT FINISH ❑ ROOF ❑ DECK IDING ❑ OTHER 0 SWIMMING POOL TYPE OF WORK: ❑ NEW ❑ ADDITION MAINTENANCE/REPAIR ❑ REMODELING �v ��-� `F <2�G �'�/ �'� `�✓�d w/3 DESCRIBE WORK BEING DONE: SIZE OF IMPROVEMENT NUMBER OF SQUARES GARAGES PROPOSED SIZE: PROPOSED HEIGHT: SIDING Vinyl ❑ Aluminum ❑ Other WINDOWS IN EXISTING OPENINGS Ayes ❑No OR FOR NEW OPENINGS -DESCRIBE SIZE OF OPENING CHANGES & Trv= nF WINDOW TO BE INSTALLED a! ALL FEES ARE BASED ON VALUATION, INCLUDING THE COST OF LABOR AND MATERIALS: (USING THE� 1! 97 U.B.0 FEE SCHEDULE) 'M'rAT. TnR VAT.TTATTnN S /.�F1 OCCUPANCY TYPE LENGTH ❑ HOUSE ONLY ❑ HOUSE & GARAGE ❑ ATTACHED GARAGE ❑ DETACHED GARAGE []Soffit ❑ Trim ❑ Fascia LOCATI/o'dl WIND Af5AP '� % NUMBER OF HEIGHT BASEMENT REMODELING SUBMIT: 1. Existing Floor Plan 2. Proposed floor plan 3. List of structural members to be used Ft. FOR NEW CONSTRUCTION INCLUDING DECKS, ADDITIONS & PORCHES SUBMIT: 1. Site Plan/Survey showing the existing structures and proposed project. 2. Two sets of construction plans 3. Energy Calculations Permit Fee Plan Review Fire Surcharge Surcharge License Surcharge SAC Charge Curb Cut Escrow Erosion Control Park Fee Sewer Main Charge Total Due $ CO 5 $ $ $ 10U See Back Page for Fee Schedule 65% of Building Permit Fee .001 times the total job valuation .0005 x Permit Valuation Minimum $.50 $5.00 (State Licensed Residential Contractors) $1550 per SAC Unit (Plans to MWCC for determination) ft+6ft= ftx$20=$ $450 Conservation Plan Review Fee Determined by Engineering Agreement necessary ( ) Non Necessary ( ) Make checks payable to: City of Fridley Attach THIS IS AN APPLICATION FOR A PERMIT -NOT VALID UNTIL PROCESSED I hereby apply for a building permit and I acknowledge that the information above is complete and accurate; that the work will be in conformance with the ordinances and codesthe City of Fridley and with the Minnesota Construction Codes; that I understand this is not a permit but only an application f e d 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 e and approval of plans. SIGNATURE OF APPLICANT PRINT NAME aN� �V��40rdk) DATE ©J� Building PLUMBING Permit No.: Inspections RESIDENTIAL APPLICATION Received BW�Af"_� 763-572-3604 CITY OF FRIDLEY Date Rec'd: DATE – ` Cl -b YOUR E-MAIL ADDRESS SITE ADDRESS Z,?/dS—T 7 THIS APPLICANT IS: ❑ OWNER CONTRACTOR PROPERTY NAME: OWNER/ TENANT ADDRESS: CITY STATE ZIP PHONE: CONTRACTOR NAME: STATE LICENSE #��� ��G �/!�I EXP DATE ADDRESS: 35�/�Y S �i6"L� /!/ CiTY /L�k /�il��► ciC STATF/h,��c� SUBMIT A COPY OF YOUR STATE LICENSE WITH PHONE 49 57 ` gg,' 2�il Seo FAX APPLICATION PERMIT TYPE >SWGLE FAMILY ❑ TWO FAMILY O TOWNHOUSE TYPE OF WORK: El NEW REPLACEMENT DETAILED DESCRIPTION OF WORK PER MS 1613.665 the permit fee is a minimum of $15.00 or 5% of the total cost up to $500.00, whichever is greater, for the improvement, installation or replacement of a residential fixture, excluding the fixtures. (This should reflect only the cost of labor ) Labor cost under $300 = $15.00. Labor cost between $300 to $500 = cost of labor x .05 = FOR PROJECTS WHERE LABOR EXCEEDS $500, FEES ARE BASED ON $10.00 PER FIXTURE, EXCEPT WHERE NOTED. FIXTURES: (INDICATE TOTAL NUMBER OF EACH BELOW) _ BATH SINK/LAV _FLOOR DRAINS I SHOWER _ WATER PIPING —GAS PIPING axED cmttCVrA SWIMMING POOL SOFTNER ($35) —BATHTUB —WATER —CLOTHES WASHER _ KITCHEN SINK WATER CLOSET _BACKFLOW PREV. ($15) _ DISHWASHER _ LAUNDRY TRAY _WATER HEATER ($35) FOR IRRIGATION WATER METER OTHER g$-vV Permit Fee . $ O Number of fixtures @ $10.00 x $10.00 = $ Surcharge .50 Number of fixtures @ $15.00 x $15.00 = $ TOTAL DUE $ �cj .'Q0 Number of fixtures @ $35.00 x $35.00 = $ State Surcharge = $ .50 Total = $ THIS 1S 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 pe airiaund 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 ' require view and approval of plans.. / J SIGNATURE OF APPLICANT PRINT NAME `` Gy DATE b City of Fridley Building Inspections Department 6431 University Avenue NE, Fridley, MN 55432 763-572-3604 FAX: 763-502-4977 Building Inspections• 763-572-3604 DATE—Z- gf- O SITE ADDRESS �QL THIS APPLICANT IS: PROPERTY OWNER/ TENANT CONTRACTOR BUILDING RESIDENTIAL APPLICATION CITY OF FRIDLEY YOUR E-MAIL ADDRESS 5de- ❑ OWNER XtONTRACTOR NAME: ADDRESS: S' St A..2- CITY, PHONE: 7&3 5-71-75/5' Pelnlit No.: Received By: Date Rec'd: STATT"��Yy 7— SUBMIT A COPY OF SUBMIT STATE LICENSE n STATE YOUR STATE LICENSE ADDRESS: CITY _ZIP WITH APPLICATION PHONE y• V Vol 11Z PROPERTY TYPEINGLE FAMILY SIZE ' Fire Surcharge ❑ TWO FAMILY/NEW CONSTRUCTION STORIES PERMIT TYPE ❑ ADDITION ❑ GARAGE/SHED ❑ WINDOWS Surcharge ❑ BASEMENT FINISH ❑ ROOF ❑ DRAIN TILE FL "0 V ❑ DECK ❑ SIDING OTHER License Surcharge ❑ SWIMMING POOL TYPE OF WORK: ❑ NEW ❑ ADDITION SAC Charge MAINTENANCEMEPAIR ❑ REMODELING DESCRIBE WORK BEING DONE: Me SIZE OF IMPROVEMENT NUMBER OF SQUARES GARAGES PROPOSED SIZE: PROPOSED HEIGHT: SIDING ❑ Vinyl ❑ Aluminum ❑ Other WINDOWS IN EXISTING OPENINGS ❑Yes ❑No OR FOR NEW OPENINGS -DESCRIBE SIZE OF OPENING CHANGES & -rvpF nP'ArmMOW TO BE INSTALLED ALL FEES ARE BASED ON VALUATION, INCLUDING THE COST OF LABOR AND MATERIALS: (USING THE 1997 U.B.0 FEE SCHEDULE) TOTAL JOB VALUATION $ (OOOD OCCUPANCY TYPE LENGTH WIDTH HEIGHT Sq. Ft. ❑ HOUSE ONLY ❑ HOUSE & GARAGE ❑ ATTACHED GARAGE ❑ DETACHED GARAGE ❑Soffit ❑ Trim ❑ Fascia LOCATION OF WINDOWS NUMBER OF BASEMENT REMODELING SUBMIT: 1. Existing Floor Plan 2. Proposed floor plan 3. List of structural members to be used FOR NEW CONSTRUCTION INCLUDING DECKS, ADDITIONS & PORCHES SUBMIT: 1. Site Plan/Survey showing the existing structures and proposed project. 2. Two sets of construction plans 3. Energy Calculations Permit Fee $ '.24 See Back Page for Fee Schedule Plan Review $ /. 65% of Building Permit Fee Fire Surcharge $ .001 times the total job valuation Surcharge FL "0 V .0005 x Permit Valuation Minimum $.50 License Surcharge _$ $ d b $5.00 (State Licensed Residential Contractors) SAC Charge $ $1550 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 $ Agreement necessary ( ) Non Necessary ( ) Total Due $ ®• 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 cod!s4t the City of Fridley and with the Minnesota Construction Codes; that I understand this is not a permit but only an application f pe d wo 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 ' irAevii d approval of plans. SIGNATURE OF APPLICANT Gov RINT NAME DATE nn, -A-1 2 91 f N e- rsY3Z TWIN CITY HOLE REMODELING, INC. 7710 Cw*W AVWA NE Aft Lake Park, IIS! 55432 Y (rq 5724M ININUm- 20615958 N w Building PLUMBING Permit No.: Inspections RESIDENTIAL APPLICATION Received By: 763-572-3604 CITY OF FRIDLEY bate Rec'd: 1 �- DATE . YOUR E-MAIL ADDRESS SITE ADDRESS l Sil Sr5 THIS APPLICANT IS: ❑ OWNER AkONTRACTOR PROPERTY NAME:�i,� OWNER/ ADDRESS: ��Sl/ S– h � CITY r STATI�941P TENANT PHONE: _ 5-7 I , ! 3/5 CONTRACTOR NAME STATE LICENSE #—_C3 3 S( 4620 EXP DATE ADDRESS: 2 `t�U S?_ cz % /ULA CITY STATE�IP=O-/ SUBMIT A COPY OF YOUR STATE LICENSE WITH PHONE `l Z - ��(. % . 70 k`7 FAX % 3 - / - �// 21 APPLICATION PERMIT TYPE �INGLE FAMILY 13 TWO FAMILY ❑ TOWNHOUSE TYPE OF WORK: ❑ NEW PLACEMENT DETAILED DE CRIPTION OF WORK i }z, f A- /t a -L✓ ,5 z' � ` s C :;Lv; /d f— S'Z PER MS 1613.665 the permit fee is a minimum of $15.00 or 5% of the total cost up to $500.00, whichever is greater, for the improvement, installation or replacement of a residential fixture, excluding the fixtures. (This should reflect only the cost of labor Labor cost under $300 = $15.00. Labor cost between $300 to $500 = cost of labor x.05 = FOR PROJECTS WHERE-1AHOR= S-&5 ES ARE BASED ON $10.OD PER FIXTURE EXCEPT WHERE NOTED. FIXTURES: (INDICATE-TOTA NUMBER OF EACH BELOW) BATH SINK/LAV DRAINS L SHOWER _ WATER PIPING _FLOOR —BATHTUB _ GAS PIPING (vFLD cnrucEnt) SWIMMING POOL _ WATER SOFTNER ($35) _ _ CLOTHES WASHER _ KITCHEN SINK WATER CLOSET _ BACKFLOW PREV. ($15) —DISHWASHER _ LAUNDRY TRAY _WATER HEATER ($35) FOR IRRIGATION WATER METER OTHER yy+ Permit Fee $ Number of fixtures @ $10.00 x $10.00 = $ C� Surcharge .50 Number of fixtures @ $15.00 x $15.00 = $ Number of fixtures @ $35.00 x $35.00 = $ TOTAL DUE $ State Surcharge = $ .50 Total = $ 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 which rreq es review and approval of plans. h1142 7 -ZS ;O'SIGNATURE OF APPLICAN r��,/ //� PRINT NAMEQ ICI4t DATE �_ .F, City of Fridley Building Inspections Department 6431 University Avenue NE, Fridley, MN 55432 763-572-3604 FAX: 763-502-4977