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PRE 2010 DOCSCity Fridley, of Fy, Minn. i e BUILDING PERMIT N° 4427 Date:....._.....:...1_........ 0.--......_...- ..... ... .............. Owner: ..-- . ----- / ---'•`•.r[.° ---------------- Builder ..........&g!::t ..-............_.._........._........ _._.... Address V/ ( (.................................P r .._..... ....... .. _.�..,........ Address....._...................... I. ............ _-------------._......._......._...----_...---.. .----L . Q -•---.TION OF BUILDING No. Street .- .mss ---.... ---A.................................... Part of Lot ....._........................ -------•---------q---------.._.. ........... _ Lot ........f ................... Block ....................................... Addition or Sub -Division �F 107 Corner Lot .._.__ .......................... Inssi Lot .......... ..... Setback .. .................. Si eyard .._...._/ 4��.............---.........................------.... Sewer Elevation ..........-.---?----.-.----7�............. ................ ................... -..-- Foundation Elevation -- 47.677,- DESCRIPTION OF BUILDING To be Used e _.. ............_..._ Front _./_......... Depth ..... Height-.�.... Sq. Ft.9 Cu. Ft./FO _.._.._........................_........................ Front .................... Depth . _... ........... _.. Height ...._._....._ Sq. Ft. ....................._. Cu. Ft......................... : � ... Type of Construction......................... ........... ...... Est. Cost ... �.. 11- .. -... To be Completed In consideration of the issuance to me of a permit to construct the building described above, I agree tty do the proposed work in accordance with the description above set foi h compliance wl 'pr W 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 viola of any of theprovisions of said ordinances. Oil Inspector 1 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. 4 APPLICATION FOR BUILDING PERMIT CITY OF FRIDLEY, MINNESOTA Owners Name Budder _ Address!. Address / LOCATION OF BUILDING No. /�® Street '-9�J , �� Part of ,Lot Lot zz Block Addition or Sub.Div. Corner Lot. Inside LotSet Back. tea- Side-Yard_�� �» �y♦ � SEWER ELEVATION FOUNDATION ELEVATION21� / cS s ;� - Applicant attach to this form Certificate of Survey of Lot and.proposed building locatioU Sa Y5647 DESCRIPTION OF BUILDING •_ __.•,-_ To be used as: Front Depth G Height Sq. Ft. Z� ® Cu. Ft. Front Depth 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 Ordinances and ruling of the Department of Buildings, and hereby declares that a�-the facts and representa- tions 'stated' in his application :are true and corre'` o �. (A.Sehedul.e of Fee costs can be found on the Reverse Side.). . a0 40 c� City of Fridley Application for Plumbing and Gas Fitting Permit Dept. of Bldgs. Phone SII 4-7470 DESCRIPTION OF WORK Location Number, Sind and Location of Fixtures • Future Connection OpeningsI uonnecien witn New Fixture, Old Openings Sewer E] cesspool rl PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: NO. RATE TOTAL Number Fixtures ...................... x $1.50 Future Fixture Opening ................ x 120 New Fixture Old Opening .............. x 1.00 $ Catch Basin ............................ x 3.25 Water Heater (Up to 200,000 BTT) ...... Z x 2.00 4O New Ground Run Old Bldg . ............ x 3.25 $ GAS FITTING FEES: NO. RATE TOTAL 1st 3 Fixtures .......................... x $1.50 $ e2 Additional Fixtures .................... x .50 $ Gas Range to 200,000 BTU .............. x 2.00 $ REPAIRS & ALTERATIONS—Refer to Code Description................................................$ TOTAL FEE • •5�2 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,. 1990 a Owner % �tic1 19 Kind of Building - 19 Usedas �X o To be completed about Estimated Cost, $ Old—New. Building Permit No 5` 47 Sign Business o Connection Permit No . ....................................................... Water v FEB 19 1960 ��� Sewer Meter Deposit V9 i l 1 -8-58 WATER HTR. VI S U1 o� LLo U $m �a �i F N GAS ELEG a a3 t�4c (90 Base / 1st 2nd 3rd 4th • Future Connection OpeningsI uonnecien witn New Fixture, Old Openings Sewer E] cesspool rl PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: NO. RATE TOTAL Number Fixtures ...................... x $1.50 Future Fixture Opening ................ x 120 New Fixture Old Opening .............. x 1.00 $ Catch Basin ............................ x 3.25 Water Heater (Up to 200,000 BTT) ...... Z x 2.00 4O New Ground Run Old Bldg . ............ x 3.25 $ GAS FITTING FEES: NO. RATE TOTAL 1st 3 Fixtures .......................... x $1.50 $ e2 Additional Fixtures .................... x .50 $ Gas Range to 200,000 BTU .............. x 2.00 $ REPAIRS & ALTERATIONS—Refer to Code Description................................................$ TOTAL FEE • •5�2 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,. 1990 a Owner % �tic1 19 Kind of Building - 19 Usedas �X o To be completed about Estimated Cost, $ Old—New. Building Permit No 5` 47 Sign Business o Connection Permit No . ....................................................... Water v FEB 19 1960 ��� Sewer Meter Deposit V9 i l 1 -8-58 op - Application for Power Pimts and Heating, Ging, Ventilation, Refrigeration and Air Conditioning Systems and Devices PARTIAL RATE SCHEDULE GRAVITY WARM AIR: RATE TOTAL Furnace Shell & Duct Work .......................... 8.00 $ Replacement of Furnace ............................. 5.00 $ Repairs & Alterations—up to $500.00 .................. 5.00 $ Repairs & Alterations each add. $500.00 ............... 2.50 $ MECH. WARM AIR Furnace Shell & Duct Work to 120,000 BTU ............ 8.00 $ FS el C� each add. 60,000 BTU ....................... 2.00 $ Replacement of Furnace ............................. 5.00 $ Repairs & Alterations—up to $500.00 ................. 5.00 $ Repairs & Alterations each add. $500.00 .............. 2.50 $ AM 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 $— 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 $ Dept. of Bldgs. Phone SII 4-7470 �Q Lneafinn 6 / &6 — 6 ` �`- 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. 'dley, 19� LZOwner _s _��`�z�_� 1� 195_ Kind of Building �� �l a' A 195— Used as ✓ ?r��=_ To be completed about Estimated Cost, $ Old—New. Building Permit No. i DESCRIPTION OF WORK HEATING or POWER PLANTS --Steam, Hot Water, Warm Air—No r � Trade Name— Size No Capacity S f-" Sq. Ft. E.D.R� BTU H.P. Total Connected LoadKind of Fuel e BURNER — Trade Name Size No Capacity. REMARKS: 11 POST IM -12-58 Sq. Ft. E.D.R BTU H.P. Sign ` By Business Phone No Y Ali ,..�►.. `_ DEAT LOSS CALCULATI .. PIPARTM T 0 B3� ILPQNGS Weatherstrips .. Conamction No. S Cc 1i S -T �_;D. Plato .lym MINN. Insulation s s Reference Out. Wall Int. Wall t ening Ron¢ F1�r i Ibaw 3E box FI. Room Length 9 S Width I-Z�! height RS F1.0 L>,Eb Roomt LA l- ®VkM Windows and yrs----Crackage and Area _ Windows and Door-Crotkap and Arta Width NiTg6t No. of lasal f Arno ®Vldth Height No. oQ peal t. firms t, of pane of pane Ilghte of crock oc9 ft. Ne. of pane of pane llghtc eQcrt,ok rL Z. 3z zz PA ?, - -24 1 ?L. 1 -3 Z� I Z 2. Total Btu. I 9 Required sq. ft. E.D.R. or sq. ios. W.A. Uader area Fl.I War. h a -i Room I Length 1 � - Width I 19- I-6ihtA- Wgfdows and Doom--Crackage and Area 1 1 '- VIUV Hell ht No. of Lineal ft. Aron No. of pane of pane lights of crack eq. ft. t Height No. of No. of pane of pane Ilghte Z 4 o L 3�► z 4- d za z0 •L, 14 19 2 Coef, Btu 19 I ratios 2000 Infiltration Glass 601.50 3,050 Glass Exp. wall 4"W'w Not exp. was Int. wall i�sj 1910 Nd exp. was I Int. was Ceiling 1 Floor Ceiling ZZ 10 Z ZU Floor Lzz I 1 1 15.3(. Total Btu. I 9 Required sq. ft. E.D.R. or sq. ios. W.A. Uader area Fl.I War. h a -i Room I Length 1 � - Width I 19- I-6ihtA- Wgfdows and Doom--Crackage and Area =- Height eS 14 1 '- VIUV Hell ht No. of Lineal ft. Aron No. of pane of pane lights of crack eq. ft. t Height No. of No. of pane of pane Ilghte Z 4 o L 3�► z 4- d za z0 •L, 14 1 Aq Infiltration a 19 Glass Z Coif. Btca In1hration Glace ln6ltratsonI IP 401 5-0 OT 0 0 Q Nist exp. wall Int. wall Ceiling 19 V50 loils. to 1500 lat. wail Ceiling 143 Floor 1 143110,01 Tatal Btu. I Required sq. ft. E.D.R. or sq. ins. W.A. L:ta&r area M.1 VMD tCoomt I Length x- W fth =- Height eS 14 Women and Doors—Crackage and Area ; t Height No. of No. of pane of pane Ilghte Llnoal ft. Area of crack sq. It. z 4- d za z0 •L, 14 1 Aq Infiltration a �. Glass Z 1 ®® Exp. wall Coef-F. Btst ln6ltratsonI IP 401 Glass OT 0 Earp. wan Net exp. wan Int. wall Ceiling I p c Floor Total Btu. 0--i•-A -.- ft. E.D.R. or sq. ins. W.A. Leaakr area MEE O Total Btu. Width Required sq. ft. E.D.R. or sq. ins. W.A. L&&&r area ; FU Roosm I Length 111L Width 'WIL q. Windows and Doors--Crackage and Area 14th Helght No. of Lineal ft. Atm No. of pane of pane lights of crack sq. ft. -24 -z4 IL 5 Z d za z0 •L, 14 1 Aq Infiltration a �. Glass Z 1 ®® Exp. wall Net exp. wall Int. wall 1 i Ceiling q8 10 Ago Floor Total Btu. Rewired sq. ft. E.D.R. or sq. ins. Wk LYaa&r arm F1.1 bAlg Room I Length Z;V Width Windows and Doors---Crackage and Area _ dt a kt o. of Ineal Aron N^. of ee OQ M. II 0!e of Crack eg• !4 d za z0 •L, 14 1 Aq Infiltration Glass Esp. wall Not exp. wall Int. well Ceiling Floor Total &u. Required s% f4. EDA or sq. ins. W.A. Leader arsa City of Fridley, Minn. BUILDING PERMIT N°s o 5 3 Date: .�7F �. Owner: Builder -- Address Address LO TION OF BUILDING No. Street --% rPJ� =.q.r Part of Lot Lot __ Block Addition or Sub -Division Z-1 01 ff Corner Lot _ Inside Lot Wb ack Si yard , -t Sewer Elevation Ation Elevation DESCRIPTION OF BUILDING To as: ., � � ,, Front Depth JZ -1— Sq. Ft. 10XCu. Ft Ar Front DepthHeight Sq. Ft. Cu. Ft Est. Es. - 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 onmplianae with 21 provisions of ordinances of the city of Fridley. wit 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 bu IM— within the city limits and this permit may be revoked at any time upon viola, any of the Provisions of said ordinances. Building Inspector NOTICE ihia permh don not cover the censtruedon, hwaWan for whiny, phnubiny, yn heathi% ower or water. Be sun to sa the BuNiey Inspector for separate permits for thea fines. u APPLICATION FOR BUILDING PERMIT CITY OF FRIDLEY' MINNESOTA Owner's Name ,r P' 1 Builder. A Address /� �� _A�.<r 'LOCATION OF BUILDING No. Z6 Street _ l J s part of Lot Lot Block_ -Addition or Subdivision Corner Lot Inside Lot L- Setback 6dA&j® Side -Yard s 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 To be7, s d as: ,�7 ,* Front / Berth Height j Sq. Ft, Cu. Ft. Front Depth Height Sq. Ft. Cu. Ft. Type of ConstructionEstimated Coat / y 0 j,--' To be Completed A4 0 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 - — G SIGNATURE ` (Schedule of Fee Costs can be found on the Reverse Side). s --- --� 16 x 2-2-- B I cd'o ku .ADDRESS VALUATIOU TYPE 7 -Izf 4 � o ................................................... .................. .... ..... . ............. . .. ........ ............................................ . ................... ................ I ......... . . ...... ......... ... �V- f4 r .............. ................ . ........ . ............................... . ............. . .. I ........ .. . .......................................................................................................................... . ......................... . .................. • City of Fridley, Minn. BUILDING PERMIT Date: Na 271 1965 Owner: Edwin F. Dudley Bider The Nelson Co. Address 6180 6th. Street N. E. Address 2509 Rasa Take Rd. � ewl 61/ N° '7593 LOCATION OF BUILDING No. 63-80 Street 6th. Street N. E. Part of Lot Lot 11 __ Block 2 Addition or Sub -Division Uplands, 2nd. Addition Corner Lot Inside Lot Setback Sideyard Sewer Elevation ____ Foundation Elevation DESCRIPTION OF BUILDING To be Used as: Front Depth Height Sq. Ft. Cu. Ft. Front Depth Height Sq. Ft. Cu. Ft. Type of Construction Est. Cost 16,0CL— _ To be Completed Storm Damage Repair In consideration of the issuance to me of a permit to construct the building�ce ve I to do the proposed work in accordance with the description above set forth and afl ons of ordinances of the city of Fridley. In consideration of the payment of a fee of $ 5.00 , permit is hereby granted toTh® Nal gon Go_ to construct the building or addition as described above. This peermit 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, Minnesotag location, construction, alteration, maintenance, repair and moving of buildings within the city limits andtthis permit may be revoked at any time upon violation of any of the provisions of said ordinances NOTICE: M pumb des not effm the cendmdlve, Wandlon for wbin& phmible0, ea bath, www w wdtw. Be sono to res the Bedding Inspector for eepeMa p mnift for thew Nems. APPLICATION. -FOR BUILDING PERMIT CITY OF FRIDLEY, MINNESOTA OWNER'S NAME RZ J; , r LOCATION,OF BUILDING No.- Street Part of Lot LOTS " BLOCK _ADDITION OR SUBDIVISION a 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 QF BUILDING To be used as: Front Depth - Height Sq. Ft, Cu. Ft. Front Depth Height Sq. Ft. Cu. M.. Type of Construction — Estimated Coo 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.Ordimances and rulings of the Department of Buildings, and hereby declares that all the facts an& representations stated in this application are true and correct. DATE SIGNATURE (Schedule(rFee Costs can be found on the Reverse Side). suBJEcr PER City of Fridley 20249 AT THE TOP OF THE TWINS BUILDING PERMIT ECEIPT . • COMMUNITY DEVELOPMENT DIV. r � � PROTECTIVE INSPECTION SEC. 1 � � CITY HALL FRIDLEY 55432 (, NUMBER REV. DATE PAGE OF APPROVED BY .--.� fir'-',•J 612-571-3450 910-F15 2/26/90 JOB ADDRESS 6180 - 6th Street N.E. 1 LEGAL LOT NO. BLOCK TRACTOR ADDITION SEE ATTACHED DESCR. 11 2 Uplands 2nd Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Edwin Dudley 6180- 6th.Street N.E. 571-3835 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Amre 3700 Annapolis Lane, Plymouth., MN 55447 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 j] ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Soffit/Facia 9 CHANGEOFUSEFROM 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 1 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 $2,300' $1.15 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- $54.00 STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. PLAN CHECK FEE TOTAL FEE $55.15 SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT (DATE) w WHEN PROPERL HIS IS YOUR PERMIT SP -_�_ nATE SIGNATURE OF OWNER IIF OWNER BUILDER) IDATEI NLW [ ] Effective 5/1/88 ADCN [ ] R-1 AND R-2 Building Permit Application Construction Address: U/�® Wp rl Legal Description.- Owner escription:owner Name & Address: le TeX Tel. # �/• �3�" , Contractor:. �a� KJP7 Attach to this application, a Certificate of Survey of the lot, with the proposed constriction drawn on it to scale. LYYING AM: length Width Height Sq. Ft. GRRACE AIM: Ipxrjt}, Width Height Sq. Ft. DECK AREA: Length Width Hgt/Graud Sq. Ft. 07HER: Corner Lot [ ] Inside Lot [ ] Ft. Yd Setback Side Yard Cf�cks Type of Coi V O;f �C�ia Estimated Cost: $ Approx. CMnpletion Date: %' ® •Ro Proposed Driveway Width If New Opening Is Desired: Ft. $ $ �• �� .I�' Width + 6 ° See Bach Page DATE:I�' APPLI Tel. # Permit Fee $ CEJ%"� State Surdorge $__117 SAC Charge $ Driveway Escrow $ Park Fee $ Sewer Main Charge $ T�� 1' STIPULATIONS: C=Y USE Di�II.Y Fee Schedule on Reverse Side $.50/$1,000 valuation $575 per SAC Unit Alt. "A" or Alt. "B" Above Fee Determined by; rw�ari Nary [ ] Not Necessary [ ] `i SUBJECT PERMIT NO. City of Fridley 0 5 S 2 AT THE TOP OF THE TWINS BUILDING PERMIT r 1 1 COMMUNITY DEVELOPMENT DIV. 1 V PROTECTIVE INSPECTION SEC. 1 , 1 CITY HALL FRIDLEY 55432 NUMBER GATE PAGE Of APPROVED BY 612-571-3450 910-F15-179/20/90 JOB ADDRESS 6180 -- 6th Street N.E. 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 11 2 Uplands: 2nd Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Edwin Dudley 6180 - 6th-Street N.E. 571-3835 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 ❑X ADDITION ❑ ALTERATION ❑ REPAIR O MOVE ❑ REMOVE 8 DESCRIBE WORK Construct a 16' x 121 Three Season Porch with_ lass: 9 CHANGEOFUSEFROM TO STIPULATIONS See notations on plan. On all new roofs or tear-offs and replacement roofs, that 2 layers of 15 lb. felt, State Code requires be installed to a point 24 inches mopped together, �'�Iizo up from exterior wall line, or the use of other Before digging call for approved underlayment membrane. all utility locations 454-0002 REQUIRED BY LAW 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 80 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. n1 I HEREBY CERTIFY THAT I 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 $4,200 $2,10 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT 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- $72.100 STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. PL N CHECK FEE TOTAL FEE F' e. SC $4.20 -$78.30 IG AtUREOFCONT RORAUTI IED AGENT (DATEi�j WHEN PROPERLY VAL T D THIS IS YOUR PERMIT SIGNATURE OF OWIUEROF OWNER BUILDE r (DATEi SLOG WSP ATE `i NEW [ ] Effective 8/16/90 ADEN 1-1 AND R-2 ALTER [ ] Building Permit Application Constriction Address: / gD — 6 � �P, V L� Legal Description: owner Name & Address: 4F 1 61j I A,) (� a `% s as Cc ke7lel.. # 7 Contractor: J 2 g • Y1,t e, S Tel. # Z 0L4 .dress:, art-aPte- Gcz�,e 5�3 6!5 Attach to this application, a Certificate of Survey of the lot, with the proposed construc- cn drawn on it to scale. LIVING AREA: Length Width Height Sq. Ft. GARAGE AREA: Length Width Height Sq. Ft. DBM ARM oma. �A Length Widtlyx/ I� t�►. sq c'l lye Corner lot [ ] Inside Lot [� Ft. Yd Setback Side Yard Setbacks Type of Construction: Estimated Cost: Approx. Completion Date: %0— Proposed ca Proposed Driveway Width If New Opening Is Desired: �Ft. $ $ � Width + 6' See Back Page nATE • - /�- % APPLICANT: J r A� e i Tel .# S-71- 3 l S Permit Fee $ �„ Fire Surcharge $ y.L® State Surcharge SAC Charge $ Driveway Escrow $ Park Fee $ Sewer Main Marge $ CITY USE QTLY Fee Schedule on Reverse Side .001 x Permit Valuation (1/10th �) $.50/$1,000 Valuation $600 per SAC Unit Alt. "A" or Alt. "B" Above Fee Determined by Engineering Agreement Necessary [ ) Not Necessary [ ] 4tOd Widu 3 �c S✓ 072 CL 9' W. i N3K 3 S V3 C ;�1 3 1 - M s 3 ---I On all ne400fs or Inar-offs and replacement roofs, State Code requ'res rF,,.: 2 l'3}ers of 15 Ib. felt, mopped together, 1-e ins'a;'Ied to a point 24 inches up from exter7or dw: ! Eine, or the use of other approved 6nderlayment membrane. /ate✓���% z� 6 Vow S eV e o A)Vl6L Q o s �.c ,• Q?' c Pope. /0� p i x 61 � 11 pet, �- I bi Cl • 9 SUBJECT P MIT NO. City of Fridley 26649 AT THE TOP OF THE TWINS BUILDING PERMIT r No COMMUNITY DEVELOPMENT DIV. L _ PROTECTIVE INSPECTION SEC. 9 NUMBER REV DATE PAGE OF APPROVED By CITY HALL FRIDLEY 55432 612-571-3450 910-F15 7/16/98 JOB ADDRESS 6180 6th St. NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 11 2 1UPlands, 2nd Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Ed Dudley - 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Midwest Siding & Roofing - 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 20010277 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO. 8 USE OF BUILDING Residential 7 CLASS OF WORK O NEW D ADDITION O ALTERATION � REPAIR O MOVE O REMOVE 8 DESCRIBE WORK Reroof house and garage (26 Sq) Tear -off 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 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 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT $2168 11.08 DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PERMIT FEE SACCHARGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- ST OR THE PERFORMANCE OF CONSTRUCTION. $74.75 Fire SC $2.17 PLAN CHECK FEE TOT FEE / icense S $5.00 $ .00 SIGNATURE OF CONT RACTOR OR AUTHORIZED AGENT (DATE) N ROP VALIDATW THIS IS YOUR PERM ] G )NSP 1 + Q 'If ' GATE G/!l SIGNATURE OF OWNER OF OWNER BUILDER) IDATEI NEW [ ] Effective 1/1/98 ADDN [ ] CITT OF FRIDLEY ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION 0 ConstructionAddress: &/90 f---4 -5i /- /bLE_ - Legal Description: Owner Name & Address/: 5^d 6 V d l z - "t Tel. # S 7/ - 3 9 3_5 Contractor: 64 ewes h � � F 1Zc) L h g MN LICENSE # ;�OoI6; 7 ) Address: jgg7 q C� la e s `�1�� z121L �e Tel. # V/6 -51ka Y 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: A'Se &- (Pe:�-'k4 ir Construction Type: Z_c xc,, fezf -o Estimated Cost: $ % �^ r (Fee Schedule, on Back) Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ _ $ DATE: 2 - APPLICANT: Tel. # Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge 7riveway 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 [ ] a CITY OF FRIDLEY INSPECTION DIViSION 6431 University Ave NE Fridley, MN 55432 APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION, 572-3604 REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES RATE SCHEDULE 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 Effective On May 10, 1999 JOB ADDRESS UI<3® Lo 71L OWNER E Rate TOTAL BUILDING USED AS I CA $30.00 $ 30.00 $ -30M ®`ti l ESTIMATED COST PERMIT N0. / �y�� $ 10.00 $ DESCRIPTION OF FURNACE AND OR BURNER $ 10.00 $ No. of Heating Units Circle One (Steam) (Hot Water) rm A $ 10.00 $ Trade Named alM �- Size No. 333 @�14V0 lP-0 �o BTU UO HP EDR $ 25.00 $ Fuel KL . Cs • Total Connected Load 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. 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 $ .50 rulings of the Building Division, and hereby declares that all the facts* and representations stated in this application are'true and correct. BLAINE HTG. A,C ELECT., INC. {� 13562 CENTRAL AVE. N.E. HEATING _� 11 &NOKA, FIN 55304 CEMWNEY AND STACK VERIFICATION The undersigned hereby verifies that the existing chimney or stack: 1. Has been carefully examined Yes V) No ( ) 2. Is free from rust or deterioration Yes No ( ) 3. Has no foreign objects lodged within Yes (7C) No ( ) 4. Is securely supported Yes No ( ) 5. Meets all current Code requirements for size and total BTU's connected Yes V-) No ( ) 6 Has total heating BTU's of (A All other BTU's 0 TOTAL BTU's (? t 7. Has a liner been provided for water heater Yes () No (X� 8. Has combustion air been provided for water heater Yes ( No ( ) Remarks: List ALTERATIONS Being Done: HEATING CO: Signed By: Date: BLAME HTG. A,C ELECT., INC. 103562 CENTRAkAVE. N.E. HEATING AIR CONDITIONING AND ELECTRIC, INC. s�_ ADDRESS_ OCCUPANT HEAT LOSS DATE HTG. INST. 7 —/ L— -7 7 SOLD BY Electrical Work By -1 SIM Ar TYPE OF HEAT GA_ FA_X HW STEAM SPACE HTR. GAS DESIGN MAKE Model OLD Serial INPUT HOUSE HEATING TEST RECORD APT. FLOOR CITY IUBURB OWNER &—d INSTALLED BY Gas Line By _, u.�ti:u.f■I�•7::I a.l 16_�•7a'14.i9161"I Vent Size !® 7 KIND OF LINER % SIZE T NONE DraftHood Regulator Filters Size Number Chimney Location Inside 14 Outside Chimney Construction Smoke Bomb Widng Draft Test Tag Door Pressure Lighting Inst. Date Tested Company Testing Name of Tester _ Pressure Percent CO2 Input CFH Percent 02 Stack Temp. Percent CO CONTROLS THERMOSTAT = Heat Plug Value Limi Limit Seta Vow Fan Setd-na0 l� Pllot Type Pilot Make Pilot Model 1 :1 PIIo1 Timing WK_ SrfC , L.W. Cut Pressure Percent CO2 2 Input CFH 00OL&A> Percent O2 Stack Temp. Percent CO HOUSE HEATING TEST RECORD APT. FLOOR CITY IUBURB OWNER &—d INSTALLED BY Gas Line By _, u.�ti:u.f■I�•7::I a.l 16_�•7a'14.i9161"I Vent Size !® 7 KIND OF LINER % SIZE T NONE DraftHood Regulator Filters Size Number Chimney Location Inside 14 Outside Chimney Construction Smoke Bomb Widng Draft Test Tag Door Pressure Lighting Inst. Date Tested Company Testing Name of Tester _ Pressure Percent CO2 Input CFH Percent 02 Stack Temp. Percent CO SUBJECTER I -NO.- ---:: City of Fridley 3 i 95 AT THE TOP OF THE TWINS BUILDING PERMIT r ____ _ COMMUNITY DEVELOPMENT DIV. - v 572-3604 RECEIPT NO. v r PROTECTIVE INSPECTION SEC. (/J NUMBER - REV DATE PAGE Of APPROVED By CITY HALL FRIDLEY 55432 612-571-3450 910415 7/5/01 1013 ADDRESS 6180 6 Street NE I LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DES CR. 11 2 Uplands 2nd Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Edwin Dudley 6180 6 Street NE 763-571-3835 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO M J Construction 8071 Rancher's Rd, Fridley, MN 55432 763-785-8851 20233970 d 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 O NEW O ADDITION 0 ALTERATION k7 REPAIR 0 MOVE 0 REMOVE B DESCRIBE WORK Install bay window 9 CHANGE OF USE FROM 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. Caulk and flash all exterior openings. SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING. HEATING. TYPE OFCONST. OCCUPANCY GROUP OCCUPANCYLOAD 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 $4 233 $2.11 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• 111.25 Fire SC $4.23 STRUCTI OR THE PERFORMANCE OF CONSTRUCTION '— PLAN CHECK FEET AL FEE 6]rj J SC $5122.59 Licen . SIGNATURE Of CON. ACT AORAUTMOR"ZED AGENT I iEI VAED THI IS OUR PERMIT WPRQAWLIDY pi�S,GNATURE OA TE Oa OWNEAo60WNER BUILDERIIOATEI NEW [ ] Effective 1/1/2001 ADDN [ ] CITY OF FRIDLEY (763) 572-3604 Bldg Insp ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION Construction Address: 0 Y-1 &+ IV i , Legal Description: Owner Name & Address: _ �; r"1 DUA U -LA Tel. #-7Lo',_ s7-71 - 3 Contractor: M,[ C c tnsfr( i-C.bu!:� MN LICENSE # Address: RL -"l I '(�C�'1C'�L4__rS ` Y�C��9--��, Tel. # 1OS" -�R S- LIVING AREA: GARAGE 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 Width Length Width Height Sq. Ft. Hgt/Ground Sq. Ft. Construction Type: n `pl &L-li j stimated Cost: $ Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ _ $ -7/DATE: 01 APPLICANT: N l Ci)U aCS2nQxCXS`i-rUdk o Tel. # CITY USE ONLY - Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Call (763) 572-3604 for Permit Fees if mailing in application $ 2-`5 Fee Schedule on Reverse Side $ t-1 b Z;7 -p .001 of Permit Valuation (1/10th%) $ $.50/$1,000 Valuation $ $1150 per SAC Unit $ $5.00 (State Licensed Residential Contractors) $ Alt. "A" or Alt. "B" Above $ $450.00 Conservation Plan Review Park Fee $ Fee Determined by Engineering Sewer Main Charge $ Agreement Necessary [ ] Not Necessary [ ] TOTAL STIPULATIONS: Building BUILDING Permit No.: Uv D IT S7 Inspections RESIDENTIAL APPLICATION Received By: 763-572-3604' CITY OF FRIDLEY GAUL - i'2007 DATE A YOUR E-MAIL ADDRESS LJf_->aMd 91FDf-Dile0C, Cary-% SITE ADDRESS no . THIS APPLICANT IS: ❑ OWNER WONTRACTOR PROPERTY OWNER/ NAME: TENANT ADDRESS: Y CITY - STATE -ZIP -PHONE- 10 NAME: Renewal By Andersen CONTRACTOR SUBMIT A COPY OF STATE LICENSE # 1920 County Road "C" West YOUR STATE LICENSE ADDRESS: Roseville, MN 55113 STATE ZIP WITH APPLICATION PHONE License #20130983 13SINGLE FAMILY/NEI PROPERTY TYPE ❑ TWO FAMILY/NEW G 651-264'-4777 ❑ ADDITION ❑ GARAGE/SHED ❑ WINDOWS PERMIT TYPE ❑ BASEMENT FINISH ❑ ROOF ❑ DRAIN TILE ❑ DECK ❑ SIDING ❑ OTHER ❑ SWIMMING POOL TYPE OF WORK: ❑ NEW ❑ ADDITION ❑ MAINTENANCE/REPAIR ❑ REMODELING DESCRIBE WORK BEING DONE:Cii,�S SIZE OF IMPROVEMENT LENGTH WIDTH HEIGHT Sq. Ft. ROOFING ❑ HOUSE ONLY NUMBER OF SQUARES ❑ HOUSE & GARAGE BASEMENT REMODELING SUBMIT: GARAGES ❑ ATTACHED GARAGE 1. Existing Floor Plan PROPOSED SIZE: ❑ DETACHED GARAGE 2. Proposed floor plan PROPOSED HEIGHT: 3. List of structural members to be used SIDING ❑ Vinyl ❑Soffit FOR NEW CONSTRUCTION INCLUDING DECKS, ❑ Aluminum ❑ Trim ADDITIONS. 1. & PORCHES SUBMIT: Site Plan/Survey showing the existing structure ❑ Other ❑ Fascia and proposed project. WINDOWS 2. Two sets of construction plans IN EXISTING OPENINGS ❑Yes ❑No LOCATIOF WINDOWS 3. Energy Calculations OR FOR NEW OPENINGS -DESCRIBE SIZE OF X 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 S t0, AM (Wrl IPANrY TVPF. Permit Fee Plan Review Fire Surcharge Surcharge License Surcharge SAC Charge Curb Cut Escrow Erosion Control Park Fee Sewer Main Charge Total Due $ s,, $ ID • (1) $ :3 (00 $ 15,00 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$21=$ $450 Conservation Plan Review Fee Determined by Engineering Agreement necessary ( ) Non Necessary ( ) Make checks payable to: City of Fridlev Attac 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 ben conformance with the ordinances d codes of the City of Fridley and with the Minnesota Construction Codes; that I understand this is not. permit but only an application f a permit and o k is not to start without a permit; that the work will be in accordance with the approvec plan in the case of all work whic uires revie d approval of plans. �l _ ,, °p Q SIGNATURE OF APPLICANT I `�A �4_i11 ► `! DATE Building BUILDING Permit No.:�4X3 Inspections RESIDENTIAL APPLICATION Received By: 763-572-3604 CITY OF FRIDLEY Dated' _ 07 DATE �' -` 'd YOUR E-MAIL ADDRESS AA44yscLi- uno . CO/1A SITE ADDRESS % ! CO S''� .0005 x Permit Valuation Minimum $.50 THIS APPLICANT IS: . ❑ OWNER t EONTRACTOR $ PROPERTY OWNER/ NAME: IEJIIIJ I"... SAC Charge TENANT ADDRESS: I J fk S ?e CITY Q. S-rAT> IP9�4;4132,,, Curb Cut Escrow PHONE: 5Z t —38$5 CONTRACTOR''� NAME: C Ran • r-• $ SUBMIT A COPY OF STATE LICENSE # O ZR 1045 EXP DATE O Park Fee YOUR STATE LICENSE j-,4- CITY ADDRESS: 2 D UJ 1rIJ4,;w STATLIP Si* -o WITH APPLICATION PHONE(a51 ''Z�.�{�S?2.1 FAX 4r5 -3$e -4(.(v l — PROPERTY TYPE ❑ SINGLE FAMILY/NEW CONSTRUCTION SIZE $ ,;j .z1v1. ❑ TWO FAMILY/NEW CONSTRUCTION STORIES PERMIT TYPE ❑ ADDITION ❑GE/SHED 13WINDOWS ❑ BASEMENT FINISH OOF ❑ DRAIN TILE ❑ DECK ❑ SIDING ❑ OTHER ❑ SWIMMING POOL TYPE OF WORK: NEW 11ADDITION ANCEIREPAIR ❑ REMODELING DESCRIBE WORK BEING DONE: SIZE OF IMPROVEMENT LENGTH WIDTH HEIGHT Sq. Ft. ROOFING ❑ HOUSE ONLY NUMBER OF SQUARES— MOUSE & GARAGE BASEMENT REMODELING SUBMIT: GARAGES ❑ ATTACHED GARAGE 1. Existing Floor Plan PROPOSED SIZE: ❑ DETACHED GARAGE 2. 3. Proposed floor plan List of structural members to be used PROPOSED HEIGHT: SIDING FOR NEW CONSTRUCTION INCLUDING DECKS, ❑ Vinyl ❑Soffit ADDITIONS. & PORCHES SUBMIT: ❑ Aluminum ❑ Trim 1. Site Plan/Survey showing the existing structures' ❑ Other ❑ Fascia 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: (USING 1997 U.B.0 FEE SCHEDULE) TOTAL JOB VALUATION $ OCCUPANCY TYPE Permit Fee $ See Back Page for Fee Schedule Plan. Review $ 65% of Building Permit Fee Fire Surcharge $ .001 times the total job valuation Surcharge $ Z .0005 x Permit Valuation Minimum $.50 License Surcharge $ �i ; M $5.00 (State Licensed Residential Contractors) SAC Charge $ $1675 per SAC Unit (Plans to MWCC for determination) Curb Cut Escrow $ ft + 6 ft = ft x $21 =$ Erosion Control $ $450 Conservation Plan Review Park Fee $ Fee Determined by Engineering Sewer Main Charge $ Agreement necessary ( ) Non Necessary ( ) Total Due $ ,;j .z1v1. 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 wh' h requires review a d approval of plans. JJ ✓ry SIGNATURE OF APPLICANT PRINT NAME Kay� (n . r4441 -! DATE ( J