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PRE 2010 DOCSCity of Fridley r AT THE TOP OF THE TWIN$ P14 rL-------COMMUNITY 0Ev[L.0/11[11IT OiV, I i PQOT[CTIv[ WtftCTI0N NW, COY MALL. F111I91.4Y $Mi Job Aaaresss 7 ®. PLUMBING PERMIT APPLICATION A - --- Aaaress Phone _ � ! g �t�5 Contra tofress ,9 Pone in of ilding Use rcomplatio-n Date Estimated ost Plumbing Fixture Rates: NO. RATE TOTAL — ---' I! Number Fixtures x $2.00 I 1-4, I � Future Fixtures �_ x $1.50 8fl8Yfll • New Fixture -Old Open. x $1.50 Catch Basin x $3.25 l I BYO � f Water Heater -99,000 BTU_ x $3.00 '�81N Ground Run Old Bldg. x $3.25 j •�nNtval I I I + m I — I Elec. Water Heater x $2.00 IMIZ HOMBNIBYB w Gas Fitting Fees: — A o sNtva 3 .� 1st 3 Fixtures x $2.00 °v IeaaMOHg I I I I I �o.$ Additional Fixtures x$ .75 -,03 %Lwnw ( I I >tNtao Gas Range -199,000 BTU x $5.00 Repairs & Alterations See j 9XNlei I � I I Description: Code I .Ntov.l � I I I S tate Surcharge .50 TOTAL FEE $ r73' 'he undersigned hereby makes application for a permit .or the work herein specified, agreeing to do all work .n strict accordance with the City Ordinances and Tulin, if the Department of Buildings, and hereby declare that 11,-tkp facts and repr4entations stated in this ppl.ication are true/alnd correct. Signature pate r M NO. 2202 SUBJECT M City of Fridley i AT THE TOP OF THE TWINS BU IL DING PERMIT r RE 1 �v ______ COMMUNITY DEVELOPMENT DIV. r PROTECTIVE INSPECTION SEC. NUMBER REV. DATE PAGE OF APPROVED BY CITY HALL FRIDLEY 55432 j 612-560-3450 910-F15 6/27/73 JOB ADDRESS 5752 - 7th Street N.E. 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 1 & 2 32 Hyde Park Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Earl &Donna Steffe 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Castle Homes 7613 Central Avenue N.E., Fridley, Minn -786-0360 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 Ek NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Construct 26' x 40' Dwelling and 26' x 24' Garage 9 CHANGE OF USE FROM TO STIPULATIONS Provide a verifying survey before capping. Provide a hard surface driveway. Survey to be in by July 2, 1973. SEWER SERVICE (Lot 1) Served from Manhole. M.H. Inv. 851.26 Top of Footing: 854.50 Minimum WATER SERVICE (Lot 2) 12.9 feet N. of Sewer Service. 36.5' from M.H. SEWER SERVICE (lot 2) 58' South of Manhole (Inv. 851.26) Wye Elev. 850.94 Top of Footing: 854.00 Minimum WATER SERVICE (Lot 2) 11.8' North of Sewer Service SEPERATE PERMITS REQUIRED FOR WIRING, HEATING, PLUMBING AND SIGNS. SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD VENTILATING OR AIR CONDITIONING. Wood Frame 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 1132 27,560 OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT R-1 Total 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 $21 554.00 10.78 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- STRUCT OR THE PZERFORMANCE OF CONSTRUCTION. $51.00 $275.00 PLAN CHECK FEE TOTAL FEE Az - $336.78 SIGNA J E FCONTRACTOR O UTHORIZEDAGENT (DAT15) HEN R0 ER LY VALIDATE 0 IS Y UR P RVIT '� 9 « .0 SIGNATURE OF OWNER (IF OWNER BUILDER) (DATE) BLDG )NSP DATE NO. 2202 4g. APPLICATION FOR RESIDENTIAL, ALTERATION, OR ADDITION BUILDING PERMIT CITY OF FRIDLEY, MINNESOTA OWNER'SNAME:_��,-� y�%7onn� S c��re� BUILDER:_0-& s4 I e Warne s ADDRESS: ADDRESS :---7 (e /a n /d Oe n lrt/ ll ✓£ NO:. STREET: f LOT: J BLOCK: Z ADDITION: r ?� CORNER LOT: INSIDE LOT:—X_SETBACK: �5SIDEYARD: 7 Applicant attach to this form Two Certificates of Survey of Lot and proposed building location drawn on these Certificates. DESCRIPTION OF BUILDING To Be Used As: i- eUUse ­Front:—'C (v Depth: d (b Height: Zo Square Feet: 11.30 Cubic Feet: J Front • 02 De th : i Height • ) a S Square Feet; ( Cb Cubic Feet: Type of Construction: ZE EYP �►n c I cH )N�stimated Cost: $ 1 S o To Be Completed: The undersigned hereby makes application for a permit for the work herein specified, agreeing to do all work in sttict 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. L DATE: _ o ` S = `7_ SIGNATURE 1.d1' e"4­� (See Reverse Side For Additional I f 7 n ormation.) f �� . BUILDING PERMIT FEE SCHEDULE • SECTION 2. The Inspector of Buildings shall, before issuing permits for the erection of any building or structure, or for any addition to any existing building or structure, or for any alteration or repairs to any existing building or structure, upon application therefore, require the payment by the applicant for such permit of fees to the amount herein below set forth and in the manner herein T1--,AAeA /1 I' Pn �vt5 I � z (4k �c�2 V irk UNIFORM BUILD feet, or frac I/T)01-en each one thou 1 I Vor the purpoi * of any buildii covered from or the cellar height of the For repairs ox rate of $3.00 the cost of al In no case sha less than $5.0 NOTE; Permits time of applice of the construe Lousand cubic & 5 - $1.85 for ubical contents ground area he basement 3 to the average r7 f. klk shall be at the :ion thereof in D.n Section 2 be I hours from the d structure and A Certified Survey of the lot, showing the location of the foundation, once it has been constructed, will be required before proceeding with the framing. CERTIFICATE OF OCCUPANCY Application for a Certificate of Occupancy shall be made ten (10) days prior to the use or occupancy of any structure for Which a building permit has been issued; and said structure shall not be used or occupied until a Certificate of Occupancy has been issued. . g d Application for Power Plants aed Heating, Cooling. Ven latons Ref6probn and Air Conditioning Systeeis and Devices PARTIAL RATE SCHEDULE GRAVITY WARM AIR: "TZ TOTAL. Furnace Shell & Duct Work ................ .. $10.00 i Replacement of Furnace ... . ..... . ..... .. 6.00 $ Repairs & Alterations—up to $500.00 6.00 Repairs & Alterations each add. $500.00 3.00 MECH. WARM AIA ��� Furnace Shell & Duct Work to 120,000 BTU ...... . .. $10.00 each add. 60,000 BTU .................... .. 3.00 i Replacement of Furnace 6.00 $ 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 $ — over 3 gal, per hour—See Fee Schedule GAS BURNER (up to 199,000 BTU) 8.00 $ over 199,000 BTU See Fee Schedule GAS FITTING FEES: NO RATE TOTAL 1st 3 Fixtures —x$2.00 $ Additional Fixtures x .78 $ Gas Range to 199,000 a$ 6A0 $ $AIR COIQDITietm[a J40 ,� ""���„��►► * 104M FAN HEATING SYSTEM Seo Fee Schedule VENTILATIIfG SYSTEM ALTERATIONS & REPAIRS TOTAL FEE ROUGH p '/ (SURCHARGE $ _.5®) FINu: 11—/a - 7T Dept. of Bldgs. Phone 560.3480 - -- xxiZ.z.1 ,Lam. LE. 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 an the facts and representations stated in this application are true and correct ley. Minn 18 Owner �Axp 7tkVIA Kind of Building Used as ..----.-.-.—_-.-- To be completed about Estimated Cost, Old New Building Permit No. Permit No. _ (� DESCRIPTION OF WORK HEATING or PO team, ! i Hot Water, arm No�L� Trade Name_ Size N CapacityS%Ft. E.D.R BTU-452114Hp ff Total Connected Loa Hind of Fuel. --LOW BURNER — Trade Name Size No Capacit3' Sq. Ft,. E.D.R BTU NP. (REMARKS—OVER) HEAT LOSS CALCULATIONS 14q&l HEATING& AIR CONDITIONING CO. °AINNEAPOLIS, MINN% Weatherstrips A.S.H.V.E. Guide Reference 19 Construction. No. )nSUiaLOn Kind "ow Applied — ----- Windows Doors Out. Wall Int. Wall Ceiling ( Roof Floor Yes No Yes --No Room Length Width/ Height Fl f�.5 aL[ ) Room Lenytti Wrdt^, / Height Windows and Doors-Crackage and Area l4'i dth Hr_rght No. of Lineal ft. Area No' of p.i n.o of pane lights of crack sq. ft. Windows and Doors- Crackage and Area Nh dth Hr'iyht N"' of pane of p.tne No. of Linral if Arne lights of cr,o,k sq• ft Coef 8 u Coefj Btu Infiltration 1j !jamz&i F 0 0 Infiltration Glass 37 Glass !Q Exp. wall C/t} Exp. wall Net exp. wall fn p� o g o Net exp. waII p / Int. wall Int. wall Ceiling /,3 L2 qp Ceiling / ¢� Floor Floor 1 -0,[ e / Total Btu. 119i7 Total Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area Required sq. ft. E.D.R. or sq. ins. W.A. Leader area I. 1T Room I Length % Width HeightFI. ��� Room Length Width Height Windows and Doors-Crackage and Area Windows and Doors-Crackage and Area Width Height No. of Lineal ft. Area No. of pa a of pa lights of crack sq. ft. Width Height NO' of pane of pane No. of Lineal ft. Area lights of crack sq. ft. 9 3 Z 5/ a 2 .29 1 Jr Coef Btu Coef Btu Infiltration f 19Infiltration Glass C) C) Glass FCC, Exp. wall 2140 Exp. wa1 l / Net exp. wall o Net exp. wall Int. wall Int. wall Ceiling RC1 n Ceiling/ -7X9 Floor / Floor 7 % Total Btu. / s.3 Total Btu. 3 Required sq. ft. E.D.R. or sq. ins. W.A. Leader area Required sq. ft. E.D.R. or sq. ins. W.A. LeaZr area FILength / Width "7 Height Fl./rp /1(9 Room I Length Widt�, Height Windows and Doors--Crackage and Area Vilin ows and Doors--Crackage and Area Liar; nil ft. / o} crack 57 '� ---- Coef B to W�dtn Height No. of Leal ft. No. of p7n.; of Pane lights of crack Area sq. ft. Width Heiyht NO' of p e of Uri Nor, of lights —� ' Coef Btu Infiltration - - _ 1---� j Glass -- — Ex wall Net ex wall ! 1 - (f//� -" � Infr'tration --- Glass------�-� Exp. wa11-4 �, Net exp. wall _ — a l Int. 'Nall Ceiling F!oor - - - - - -L�v �) _ - -- ---- ✓7? "���)-� 7 r rlj S� Cl —� I -j 1 Gj 51 - -- /�/ IL,�j l�_- 1 — _ � ' �!� � �-'(SC� --- — - - - r � (� — -- Im ---- Int. wall /� X Ceiling Floor G�i O Total Btu, 3 Total Btu. Cl Required sq. ft. F.D.R. or sq. W.A. Leader a -e=_ � ��� Required sq. ft. E.D.R. or sq. ins. W.A. Leader area I Cl7YOF F[tIDLEY CIVIC CENTER • 6431 UNIVERSITY AVE. N.E. FRIDLEY. MINNESOTA 55432 • PHONE (612) 571-3450 August 11, 1986 Minneapolis Post Office Superintendent of Delivery 1st & Marquette Avenue Minneapolis, ZAN 55402 Re: Change of Address in the City of Fridley - Effective September 1, 1986 Dear Sirs: We are listing the following change of address in the City of Fridley: NAME: Mr. & Mrs. Earl Steffen FROM: 5752 - 7th Street N.E., Fridley, MN 55432 M0: 5792 - 7th Street N.E., Fridley, MN 55432 LEGAL: Lots 1 & 2, Block 32, Hyde Park Addition We have notified the occupant of this change and we would appreciate you changing your records accordingly and notifying the Fridley Post Office branch. Sincerely, DARREL G. CLARK Chief Building Official DGC/mh CC: Mr. & Mrs. Earl Steffen SUBJECT PER City of Fridley 20827 AT THE TOP OF THE TWINS BUILDING PERMIT r ' , O COMMUNITY DEVELOPMENT DIV. I t _ r - PROTECTIVE INSPECTION SEC. - . CITY HALL FRIDLEY 55432 NUMBER REV DATE PAGE OF APPROVED BY 612-571-3450 910-F15 15/17/91 JOB ADDRESS 5792 - 7th. Street NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE .Norma Falink 5792 - 7th Street NE 574-9407 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. American Remodeling 3700 Annapolis Lane, Plymouth 55447 553-0020 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO. 8 USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW ❑ ADDITION �7 ALTERATION ❑ REPAIR ❑ MOVE D REMOVE 8 DESCRIBE WORK Reside Dwelling 9 CHANGE OF USE FROM TO STIPULATIONS TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, VENTILATING OR AIR CONDITIONING. ZONING SO. 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. 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 $2,90G $1.45 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- $ 54.00 Fire SC $2.90 STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. PLAN CHECK FEE TOTAL FEE $58.35 SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT IOATE W N PROPE LY A E HIS IS YOUR PERMIT : A BLDG INSP r)ATE SIGNATURE OF OWNER IIF OWNER BUILDERI IDATEI NEW Effective 1/1/91 ADEV [ R-1 AND R-2 ALTER [ Bl; t ding Permit��Application Construction Address ��� - /� '��� Legal Description: Owner Name & Addzvss: LIVIM AREA: GARAGE AREA: DECK AREA: off: Tel. #��9 7 _ T►el. Attach to this application, a Certificate of Survey of the lot, with the proposed constniction drawn on it to scale. Length Width height Sq. Ft. Length Width Height Sq. Ft. length Width Hgt/Gr o u d Sq. Ft. Corner Lit [ ] Inside Lot [ ] Type of Construction: Approx. Completion Date: Ft. Yd Setback Side Yazd Se cJcs Estimated Cost: $ Proposed Driveway Width If New Opening Is Desired: Ft. $ $ idth + 6' See Ba Page 9/ APPLI Teel. #®O Permit Fee Fire Surcharge State Surcharge SAC Charge Driveway Escrow Park Fee Sewer Main Charge CITY USE �Y Fee Schedule an Reverse Side $ . .001 x Permit Valuation (1/10th �) $ $.50/$1,000 Valuation $ $650 per SAC Unit $ Alt. "A" or Alt. "B" Above $ Fee Determined by Engineering Agreement Necessary [ ] Not Necessary [ ] X53, 0 S- ( q -oil 4 A-0 Q1 -j-"T PURCHASE ORDER THIS DOCUMENT GOOD FOR PURCHASES UNDER $1,000.00 ONLY F 22375 THIS NUMBER MUST APPEAR ON ALL CORRESPONDENCE SENT TO US SUPPLIER &e-JbCAA) _ ADDRESS '71),r) / SIJ ADDU s / -PL! U/)PL!/`7V /��,dl ���'�%�IPJ / CITY OF FRI D LEY PHONE NO. 6431 UNIV. AVE. N.E. FINDLEY, MN 55432 384 CONTACT SU L I — 612-571-3450 -f[ PAYMENT VOUCHER BY SIGNING THIS DOCUMENT BELOW I HEREDO AUTHORIZE PAYMENT AND THAT THE GOODS AND SERVICES HAVE BEEN RECEIVED OR RENDERED AND ALL CITY GUIDELINES HAVE BEEN FOLLOWED IN THE PROCUREMkNT OF THE BELOW STATED ITEMS. DATE RECE RIZED BY ACCOUNT OTY. UNIT PLEASE ENTER OUR ORDER FOR THE FOLLOWING UNIT PRICE AMOUNT �o�oZl® /IV �•D� -- 1.00 ®® J`� t 11-2 1490 Z- i A , LZ., &)& AMA/7c-� a a /5, 2Q /C ov-- x-., TOTAL . 39' THIS AGENCY HAS AGREED NOT TO DISCRIMINATE IN HIRING PRACTICES ON THE BASIS OF RACE, SEX, COLOR, CREED, MARITAL STATUS, RELIGION, OR NATIONAL ORIGIN AND HAS AGREED TO TAKE AFFIRMATIVE ACTION TO RECRUIT MINORITIES AND WOMEN INTO EMPLOYMENT. IT ENCOURAGES FIRMS AND OTHER AGENCIES WITH WHOM IT PURCHASES PRODUCTS OR SERVICES TO DO LIKEWISE. EXEMPT FROM SALES TAX AS A POLITICAL SUBDIVISON OF THE STATE OF MINNESOTA CITY OF FRIDLEY NO. 8030301 WHITE, VENDOR — YELLOW, PURCHASING — PINK, ACCOUNTING — GOLDEN ROD, DEPT. HD. AMRE ( AMERICAN REMCIDELIM INC) 3700 ANNAPOIIS LANE PLYMOUTH, MN 55447 612-553-0020 ' Di rvy, I Iw a I a1• • Ni z 15 WE HAVE PULLED A.' PERMIT AMID WITi'1:N A CNS ON THE FOIWWIlW3 JOB(S), BUT W-10960RAO W, I m D. ON r:I •' I al' : al •,' I i• / i• / • ' a+ y i�:IDM' it `I al 1 ai I/ I I• I -• a I/ • ra • :• I I • ati W• • "Ve af7w.1 z i•' z kv •a' i I ON ra I' • 1 m 10"' • 11• I DR JOB NAME: JOB ADDRESS DATE OF CHECK Your' s .8 worm and a whole lot mom Siding Sue M. Kraatz Production Coordinator A SEARS AUTHORIZED REMODELING, IN G, I OR61553-0020 NC -MN,ND,SD, W 1800-233-4042 SINCERELY, SUE M. lWM G� f cio� C f -fa 7, j0d SUBJECT P City of Fridley 2 2 T11 AT THE TOP OF THE TWINS BUILDING PERMIT i RE IPT NO. 16COMMUNITY DEVELOPMENT DIV. PROTECTIVE INSPECTION SEC. '/ r � � 7 i CITY HALL FRIDLEY 55432 NUMBER REV DATE PAGE OF APPROVED BY 612-571-3450 910-F15 11/21/91 JOB ADDRESS 5792 - 7th Street NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 1,2 32 Hyde Park Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Norma J Falink 5792 - 7th. Street NE 574-9407 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Twin City Exteriors 9060 Zachery Lane, Ma le Grove425-4737 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO. 8 USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Reside Dwelling & Garage 9 CHANGEOFUSEFROM TO STIPULATIONS TYPE OF CONST. OCCUPANCY GROUP OCCUPANCYLOAD SEPARATE PERMITS ARE REOUIRED FOR ELECTRICAL, PLUMBING, HEATING, VENTILATING OR AIR CONDITIONING. Steel ZONING SO. 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. 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 $6,000 $3.00 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT PERMIT FEE SAC CHARGE DOES NOT PRE ME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS O NY OTHER STATE OR LOCAL LAW REGULATING CON- $8,1.00 Fire SC $6.00 HE PERF E CONSTRUCTION. PLAN CHECK FEE TOTALFEE ol VSTRUCT;ION :OFF $90.00 GNATURE OF CON, ACTOR OR AUTHORIZED AGENT TEI W PROPERLY V D S YOUR PERMIT /17 M BLDG INS OATS SIGNATURE OF OWNER IIF OWNER BUILDER) (DATE) NEW [ l ADDN [ ] CITY OF FRIDLEY ALTER [ J SINGLE FAMILY AND DUPLEXES R-1 AND R-2 Building Permit Application Construction Address: z Y P � ._I� Legal Description: 'e5�) L ""' Owner Name Xfi = Effective 1/1/91 _ Tel. # 4 yy Tel. # 42L S— 7— 7 7 Attach to this' application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF DdPROVEMENT LIVING AREA: Length Width Height GARAGE AREA: Length Width Height DECK AREA: Length Width Hgt/Ground R OTHER: ;%��. ,�C' e,— Sq. Ft. Sq. Ft. Sq. Ft. Corner Lot [ ] Inside Lot (] Ft. Yd Setback Side Yard Setbacks Type of Construction: Estimated Cost: $ Approx. Completion Date: Driveway Curb Cut Width Needed: Ft. + 6 = Ft x $ = $ DATE: Z/ APPLICANT: Tel. #_��`' r CITY USE ONLY Permit Fee $ t� 1. o o Fire Surcharge $ 6-'00 State Surcharge $_ c o SAC Charge $ Driveway Escrow $ Park Fee $ Sewer Main Charge $ TOTAL STIPULATIONS: 5 70, 0o Fee Schedule on Reverse Side .001 of Permit Valuation (1/10th%) $.50/$1,000 Valuation $650 per SAC Unit Alt. .A. or Alt. *B" Above Fee Determined by Engineering Agreement Necessary [ ] Not Necessary [ ] • o- 01 SUBJECT •='"" PERMIT NO. City of Fridley X 2 5 7 9 8 AT THE TOP OF THE TWINS BUILDING PERMIT - r RECEIPT NO. COMMUNITY DEVELOPMENT DIV. I ~ PROTECTIVE INSPECTION SEC.) J r 1 � NUMBER REV DATE PAGE OF APPROVED BY � CITY HALL FRIDLEY 55432 L 612-571-3450 910-F15 2/11/98 JOB ADDRESS 5792 7 Street NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 1,Z 32 Hyde Park Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Norma Jean Falink 5792 7 Street NE 574-9407 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Wellington Windows 3938 Meadowbrook Rd, St Louis Park MN 55426 933-6300 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO. 8 USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW ❑ ADDITION O ALTERATION CX REPAIR O MOVE O REMOVE 8 DESCRIBE WORK Replace windows, existing openings 9 CHANGE OF USE FROM TO STIPULATIONS SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD VENTILATING OR AIR CONDITIONING. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING 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 ISTALLS GARAGES AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS VALUATION SURTAX AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT $12,000 $6.00 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- $12.00 STRUCTION OR THE PERFORMANC OF CONSTRUCTION. $187.25 Fire SC PLAN CHECK FEE TOTAL FEE $205.25 GNATURE OF ONTRACTOR OR AUTHORIZED AGENT (DATEI WHEN PROPERLYAALIDATED THIS IS YOUR PERMIT ' BLD 1NSv �' GATE S)GNATURE OF OWNER) IF OWNER BUILDER) IDATEI 01 NEW [ ) Effective 1/1/97 ADDN [ ) CITY OF FRIDLEY ALTER [) SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION ConstructionAddress: 5 7 9 -i Legal Description: so rro,- Owner Name & Address: jai c� r,r.,g Z Tel. # 5 -7 W q y) Contractor: We 11('!2a , W , ;, � � �s MN LICENSE # Address: Tel. # `( 33 -b3oo Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF E%IPROVEMENT LIVING AREA: Length Width Height Sq. Ft. GARAGE AREA: Length Width Height Sq. Ft. DECK AREA: Length Width Hgt/Ground Sq. Ft. OTHER: Construction Type: W'%net o j f� jzg a c Crr%%a Estimated Cost: $ ) 0 ©cD cy(Fee Schedule on Back) Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ - = $ DATE: 2 - 9-9 $ APPLICANT: (Qg Sciz �/,����� �Tel. # 9 Permit Fee $ Fire Surcharge $ /?. OD State Surcharge SAC Charge $ License Surcharge $ , dd Driveway Escrow $ Erosion Control $ Park Fee $ Sewer Main Charge $ TOTAL $�:,j STIPULATIONS: CITY USE ONLY Fee Schedule on Reverse Side .001 of Permit Valuation (1/10th%) $.50/$1,000 Valuation $950 per SAC Unit $5.00 (State Licensed Residential Contractors) Alt. "A" or Alt. "B" Above $450.00 Conservation Plan Review Fee Determined by Engineering Agreement Necessary [ ] Not Necessary [ ] SUBJECT - P City of Fridley - 2 8 7 7 9 j.TSC604THE TWINS BUILDING PERMIT, RECEIP T 57 V V ----�_ COMMUNITY DEVELOPMENT DIV. ` r � � PROTECTIVE INSPECTION SEC. 1 1 CITY HALL FRIDLEY 55432 NUMBER REV DATE PAGE OF APPROVED BY 612-571-3450 910-F15 12/28/98 JOB ADDRESS 5792 7th Street NE I LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 1 2 32 1Hvde Park Addition SHEET 2 PROPERTY OWNER MAIL ADORES$ ZIP PHONE Norma Jean Falink 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Exterior Design Service 6391 Monroe St NE Fridley 55432 971-3220 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 O ALTERATION j5c REPAIR O MOVE O REMOVE 8 DESCRIBE WORK Reroof house and garage (23 Sq) Tear -off 9 CHANGE OF USE FROM TO STIPULATIONS Underlayment must comply with the State Building Code. SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, TYPE OF CONST. 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 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 $1971 $.98 DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL TME PERMIT FEE SAC CHARGE PR ISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- S RU TION OR TME PER RMANCE OF CONSTRUCTION $62,25 Fire .5'C $1.97 PLAN CHECK FEE TOTA EE L 5.0 $ .20 SIG A RE OF CO RA . R OR AUTrIORIZED AGENT IDATEI EN ROPE Y ALIDAT D IS ISYOURPERMIT 01 S-GNA RE OF OWNE �.F OWNER BUILDER IDAiEI Bl I N S P PATE NEW _ [ ] Effective 1/1/98 ADDN [ ] CITY OF FRIDLEY ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION ConstructionAddress: tr_7 Q'a — 7 1:1� S,/'" /t%.6', �:d/� y, /Lj,.� . `/.�' Z Legal Description. Owner Name & Address:. Ao�r'asd -AGd"r i Tel. #_ Contractor: L:' x %trr !e O&S %c W a M W . MN LICENSE # Address: 6,J Q 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 GARAGE AREA: Length Width Height DECK AREA: Length Width Hgt/Ground OTHER: Tel. # Sq. Ft. Sq. Ft. Sq. Ft. Construction Type: a 3 Estimated Cost: $ 19'7/ Ir (Fee Schedule on Back) Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ = $ DATE: --Ar—f F' APPLICANT: '� Y4= Tel. # ol—/ 3 A� CITY ISE ONLY STIPULATIONS: Permit Fee $ �f Fee Schedule on Reverse Side Fire Surcharge $ ,% .001 of Permit Valuation (1/10th%) State Surcharge $ $.50/$1,000 Valuation SAC Charge $ $1000 per SAC Unit License Surcharge $ S-00 $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: 01 SUBJECT PER City of Fridley AT THE TOP OF THE TWINS ? BUILDING PERMIT 2 8 9 2 6 R O. : `y ___��_ COMMUNITY DEVELOPMENT DIV. SEC. 1 / d r PROTECTIVE INSPECTION 1 � = CITY HALL FRIDLEY 55432 NUMBER REV DATE PAGE OF APPROVED By 612-571-3450 910415 8/99 2/ 18/99 JOB ADDRESS 5792 7 Street NE 1 LEGALLOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 1,2 32 Hyde Park Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE N. Falink 5792 7 Street NE 574-9407 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Iain City Exteriors Co 9060 Zachary Ln N #108, Maple Grove, MN 55369 2595 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO (612) 425-4737 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO 6 USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW ❑ ADDITION ❑ ALTERATION l� REPAIR ❑ MOVE ❑ REMOVE B DESCRIBE WORK Repair Siding 9 CHANGE OF USE FROM TO STIPULATIONS Call for building wrap inspection before covering. SEPARATE PERMITS ARE REOUIREO 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 ISTALLS GARAGES AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS VALUATION SURTAX AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT $3,000 $1.50 DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PERMIT FEE SAC CHARGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- STRUCTION OR THE PERFORMANCE OF CONSTRUCTION $74.75 Fire SC $3.00 PLAN CHECK FEE TOTAL FEE License SC $5.00 $84.25 SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT IDATEI WHEN PROPE L VALIDATED THIS IS OUR PERMIT s SIGNATURE OF OWNER ,IF OWNER BUILOERi MATE,Bl INSP IT)A tE 01 NEW [ J ADDN [ ] CITY OF FRIDLEY ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R -Z BUILDING PERMIT APPLICATION ConstructionAddress: Legal Description: r7 �c � Effective 1/1/97 Owner Name & Address: &O AI.117 ��A� !—fIL i hi/� Tel. #_ Sr/ y-� j(p Contractor: � MN LICENSE #_p?�� Address: 1 p Tel. # 6/a M�.y� J Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF IMPROVEMENT LIVING AREA:' Length Width Height Sq. Ft. GARAGE AREA: Length Width Height Sq. Ft. DECK AREA: Length Width Hgt/Ground Sq. Ft. OTHER: Construction Type: �'f��JJ�� Estimated Cost: $^j® �—` (Fee Schedule on Back) Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ _ $ DATE: ? e' APPLICANT:1 2�z— 2 Tel. # Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee Sewer Main Charge TOTAL STIPULATIONS: $ rm, $ �, on CITY USE ONLY Fee Schedule on Reverse Side .001 of Permit Valuation (1/10th%) $.50/$1,000 Valuation $950 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 [ ] SUBJECT P City of Fridley 29379 AT THE TOP OF THE TWINS BUILDING PERMIT i ` ' RECEIPT N • _ COMMUNITY DEVELOPMENT DIV. SEC f PROTECTIVE INSPECTION 1 "'\ CITY HALL FRIDLEY 55432 �.__.11•' '•� NUMBER REV DATE PAGE OF APPROVED By 612-571-3450 910415 5/3/99 % JOB ADDRESS 5792 7 Street NE 1 LEGALLOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 1,2 32 Hyde Park Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Norma Jean Falink 5792 7 Street NE 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Meland Construction Inc 5230 Red Oak Dr, Mounds View, MN 55112 784-6993 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO 4980 S ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO 8 USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW jJ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Construct a 16' x 14' Three Season Porch; Construct a 10' x 10' Deck 8 CHANGE OF USE FROM TO STIPULATIONS See notations on plan. CONSTRUCTION WORK HOURS: 7:00 am to 9:00 pm, Monday thru Friday; 9:00 am to 9:00 pm on Saturday; No work on Sunday. k� WARDING Before digging call for all utility locations SEPARATE PERMITS REQUIRED FOR 454-0002, WIRING, HEATING, PLUMBING AND SIGN. �iE( IJIRE{) Y LAVj 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 ISTALLS GARAGES AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS VALUATION SURTAX AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED $22,000 $11.00 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 PROVISI OF ANY OTHERS ATE OR LO L LAW REGULATING CON- $312.25 Fire SCi $22.00 STRUC O OR THE PERFORM NCE F C S RUCTION �►- PLAN CHECK FEE TOTAL/#E -� xz- Lice SC $5. 0.25 'sAcAATURE I D AGENT (DATE, MEN ROPE ALIDAT T SCIS PERMIy.� SIGNATURE OF OWNERI,F OWNER BUILDER, DATE-- ,-� BLO NSP I QAfE NEW [ ] Effective 1/l/99 ADDN [ ] CITY OF FRIDLEY ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 M BUILDING PERMIT APPLICATIONI J'L /� a ConstructionAddress: Gl �- /� �� 7771 Legal Description: ccaner Name & Address: Ivor m-7 S` �,� a L; 11 — 5`�9 e Tel. # ontractor: MN LICENSE # LZ �l Address: A) h�u �!� �.. rh aSt' mel. # -a Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF MIPROVEMENT IVING AREA: Length Width Height 5 Sq. Ft. / GARAGE AREA: Length Width Height Sq. Ft. DECK AREA: Length lo Width C o Hgt/Ground Sq. Ft. l� boa OTHER: 75 5 eel S ,-a io e 1-1-1-d G1'. � y Construction Type: Estimated Cost: $ ;- 2 1 f9� (Fee Schedule on Back) .Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ _ $ DATE: L ' ✓l'-� APPLICANT: ' Tel. # 61)- c /2c ci f— / /% e- 4 &,, 4 CITY USE ONLY Permit Fee $ 4 /�, �� Fee Schedule on Reverse Side Fire Surcharge $ .001 of Permit Valuation (1/10th%) State Surcharge $ $.50/$1,000 Valuation SAC Charge $ $1050 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 $ Sz5-aS STIPULATIONS: Gr a��iS" 6� e- Va.e t Co o- S T'. Pre. I / )N fe , 'eX 1zr1 4d r Fi ti r 54 tO b c 54 4s Y,ijse Opc F �E,r k.1A STQ<<ij� �-Z�V v �Gvtnn. 60r-r"T ,f r -?,-Il I AMLCA +.6.E. ,, ���• icy C co s c.,rc Icl I^+Su a X y 1"ir'ir i STtel- 2 'r Fl-rcafed (7j II ►NSvL� oX� ShLT. 57' c s:� X, Z �'Zi o t� r Q y Z �'Zi o Z a r/ -� i' P %7 cT � � W GA N 2 t n a t i' P %7 CITY OF FRIDLEY INSPECTION DIV. Effective On March 1, 1996 6431 University Ave NE Fridley, MN 55432 APPLICATION: FOR POWER PLANTS AND HEATING, COOLING, VENTILATION, 572-3604 REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES State Surcharge .50 TOTAL FEE . D MINIMUM FEE FOR ANY HEATING/COOLINGNENTILATION REFRIGERATION/AIR CONDITIONING PERMIT IS $25.00 PLUS THE $.50 STATE SURCHARGE REINSPECTION FEE $42.00/Hr Burner rade Name Size No. BT A loo • CEJ HP EDR RICCAR HEATING & AIR 2387 COMMERCIAL BLVD. NW HEATING COMPANY ANDOVER. MN 55304 754-4000 Signed By Tel No. Approved By Rough—In Date "Air Conditioners can not be placed in a side yard without FILL OUT BACK. SIDE FCR STACK VERIFICATION ON written permission from adjoining property owner, REPLACEMENT FURNACE 2� /l��� Final Date JOB ADDRESS , RATE SCHEDULE The undersigned hereby makes application for a permit for the work herein Residential Rate TOTAL specified agreeing to do all work in strict accordance with the City Codes and Furnace Shell and Duct Work, Burner — rulings of the Building Division, and hereby declares that all the facts and Also Replacement Furnace $ 30.00 $ 3C9 representations stated in this application are true and correct. (Side Vent — Fill Out Back) � Gas Piping (Needed with new furnace) $ 10.00 $/ - 199? OWNER /r%�i/`L�/c�✓1 Gas Range $ 10.00 $ BUILDING USED AS Gas Dryer $ 10.00 $ I ESTIMATED COST PERMIT NO. l 6B9 *Air Conditioning — All Sizes $ 25.00 $ DESCRIPTION OF FURNACE AND OR BURNER— All Others/Repairs &Alterations (LIST ON BACK) 1 % of Value of Appliance or Work $ No. of Heating U its f Circle One (Steam) (Hot Water) (Warm Air) Trade Name Size No. Commercial/Industrial BTU_ HP EDR 1.25% of Value of Appliance or Work $ _ Fuel Total Connected Load State Surcharge .50 TOTAL FEE . D MINIMUM FEE FOR ANY HEATING/COOLINGNENTILATION REFRIGERATION/AIR CONDITIONING PERMIT IS $25.00 PLUS THE $.50 STATE SURCHARGE REINSPECTION FEE $42.00/Hr Burner rade Name Size No. BT A loo • CEJ HP EDR RICCAR HEATING & AIR 2387 COMMERCIAL BLVD. NW HEATING COMPANY ANDOVER. MN 55304 754-4000 Signed By Tel No. Approved By Rough—In Date "Air Conditioners can not be placed in a side yard without FILL OUT BACK. SIDE FCR STACK VERIFICATION ON written permission from adjoining property owner, REPLACEMENT FURNACE 2� /l��� Final Date 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 a 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: CITY OF FRIDLEY INSPECTION DIV. Effective On January 1, 1997 6431 University;Ave NE Fridley, MN 5532 APPLICATION FOR POWER PLANTS AND HEATWG, COOLING, VENTILATION, 572-3604 REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES JOB ADDRESS 51 9 �;i- ��- RATE SCHEDULE The undersigned hereby makes application for a permit for the work herein Residential Rate TOTAL specified agreeing to do all work in strict accordance with the City Codes and Furnace Shell and Duct Work, Burner - rulings of the Building Division, and hereby declares that all the facts and Also Replacement Furnace $ 30.00 $ representations stated in this application are true and correct. (Side Vent - Fill Out Back) ,1997 Gas Piping (Needed with new furnace) s _ $10.00 $ �t t OWNER Gas Gas Range P 1J $10.-0., $ BUILOING USED AS Gas Dryer $10.04 $ ESTIMATED COST L U(� • PERMIT NO. *Air Conditioning - All Sizes $ 25.00 $ DESCRIPTION OF FURNACE AND OR BURNER ANOthers/Repairs &Aiterations (LIST ON BACK) 1% of Value of Appliance or Work $ No. of Heating Units � Cirde One (Steam) (Hot Water) (Warm Air) Trade Name N [ate Size No. SL ---)5072-. CommercialJl ndustrial STU 25, o c3 a HP EDR 1.25% of Value of Appliance or Work $ Fuel N Chair , Vcs,--> Total Connected toad State Surcharge TOTAL FEE $ •5GGQ'',, ��J MINIMUM FEE FOR ANY HEATIVGI000LINGIVENTILATION REFRIGERATION/AIR CONDITIONING PERMIT IS $25.00 PLUS THE $.50 STATE SURCHARGE REINSPECTION FEE $42.00/Hr Burner Trade Name Size No. BTU HP EDR HEATINGMPANY TI recj dk" G&-wye- Signed B Tel No. t S 1- 653 Approved By Rough -In Date Final Date *Air Conditioners can not be placed in a side yard without FILL OUT BACK SIDE FOR STACK VERIFICATION ON written permission from adjoining property owner. REPLACEMENT FURNACE SUBJECT City of Fridley 33847 AT THE TOP OF THE TWINS BUILDING PERMIT r F o ______ COMMUNITY DEVELOPMENT DIV. v r PROTECTIVE INSPECTION SEC. NUMBER REV DATE PAGE OF APPROVED 8V `---- A ��"',•� CITY HALL FRIDLEY 55432 L „ 763-571-3450 910415 9/3/03 10B ADDRESS 5792 7 Street NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DEscR. 1,2 32 H de Park Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Norma Jean Falink 5792 7 Street NE 763-574-9407 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 Q. ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Construct a 26' x 17' Deck 9 CHANGEOFUSEFROM TO STIPULATIONS See notations on plan. WARNING Before digging call fot all utility locations 4540002 REQUIRED BY LAW 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 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 $5,489 $2.74 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 TOTALFEE $133.48 E ON' ACTOR ORGENTQ iD TE. WIN PROPERLY VALIDATED THIS IS YOU PERM B G NSR f,Ai St NATUR OF OVVNEROF OWNER BUILDER. (DATE, NEW [ ] CITY OF FRIDLEY ADDN 6431 University Ave NE, Fridley, MN 55432 ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 �� I �/7BUILDINERMIT �PLICATION ' P Construction Address: Effective 1/1/2003 (763) 572-3604 Rldh Insp (763) 5714287 Legal Description: Owner Name & Address: 1v'ocewo, 3-g'e-' c ►,a /e-- Tel. # 70 3 Contractor. MN LICENSE # Address: Tel. # Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF IMPROVEMENT LIVING AREA: Length Width Height Sq. Ft. GARAGE AREA: Length Width Height Sq. Ft. DECK AREA: Length Width / Hgt/Ground _& Sq. Ft. OTHER: Construction Type: Estimated Cost: . 0 Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ =$ DATE:� � APPLICANT: Tel. # �103�? y 9 916/ Call (763) 572-3604'for Permit Fees if mailing in a#plication. Fax to 763-571-1287 if using credit card and we will call you for card number. CITY USE ONLY - Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Curb Cut Escrow Erosion Control Park Fee Sewer Main Charge $ $- TOTAL $ l '�q 1 Fee Schedule on Reverse Side .001 of Permit Valuation (1/10th%) $.50/$1,000 Valuation $1275 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 [ ] The Home Depot # 2802 5650 MAIN ST, NE, FRIDLEY, MN 55432 (763) 571-9600 Thu Aug 28 09:18:35 2003 NORMA FALINK DECK 1 129573 Construction Specifications deck 1: Construction Method = Beam on Jop of Post Footing Type 4Wb Live Load = 60 Dead Load = 10 Decking Spacing = 0 1/8" Joist Spacing = 16" -Bee Post Spacing Decking = 5/4X6 - Western Cedars No. 2 Raame = nv.An An Trpnfiarl Rnutham Pinar 7 .2i1 Posts = 6X6.60 Treated Southern Pine No. 2 Deck Height = 72" Diagonal Bracing = No Deck Skirt = No Joist Overhang = 12" Beam Overhang =12" Decking Deflection Factor = 360 Joist Deflection Factor = 360 Beam Deflection Factor = 360 Pref Decking Size Pref Joist Size = 2x8 Pref Beam Size .2*1 • _J_S 0' Pref Post Size = 6x6 Rakg1: Ra t - 36" Baluster pac = 3 3/4" aCX� Rai li 2: Rai ht - 36" Baluste pa ' = 3 3/4" Rail g 4: R ' 'ng rmqght = 36" Balu r S ing = 3 3/4" Stair 1: Step Width = 36" Step Height = 72" Step Rise = 6 13/32" Step Run = 11" Stringers = 2X10 .40 Treated Southern Pine No. 2 Risers = 5/4X6 Treated Southern Pine Standard Treads = 5/4X6 Treated Southern Pine Standard Raili Rai NsQeight = 36" Balus acing = 3 3/4" RAij 0: P 4cs J_ T_ Ilk Te - .1 (Tio � � ! E-17--Ftoll im � � ! im Building MECHANICAL Permit No.: uU Inspections RESIDENTIAL APPLICATION Received By: 763-572-3604 CITY OF FRIDLEY Date Rec'd: b DATE_ Z 62 YOUR E-MAIL ADDRESS SITE ADDRESS —2222 7 S4 THIS APPLICANT IS: ❑ OWNER -CONTRACTOR PROPERTY ADDRESS: d6z CITY STATE ZIP d OWNER/ TENANT q::Ea '_1' g'i07 PHONE: CONTRACTOR COMPANY: '' SUBMTT A COPY OF CONTACT P=0N:2d-,e&-Al . YOUR STATE STATE LICENSE # EXP DATE LICENSE WITH ADDRESS: Z�''-) ei4f -PITY-624--STATE— ZIP APPLICATION PHONE -� � FAX PERMIT TYPE U8196LE FAMILY ❑ TWO FAMILY ❑ TOWNHOUSE TYPE OF WORK: 13NEW 13 REPLACEMENT TERATION/REMODEL DETAILED DESCRIPTION OF WORK �c 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 labore':0.3 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) Equipment Installed MFG: MODEL: SIZE/BTU MFG: MODEL: SIZE/BTU MFG: MODEL: SIZEIBTU A/C $25.00 (GAS) $15.00 _GAS RANGE/OVEN $10.00 _FIREPLACE TO AIR EXCHANGEER $15 (WOOD) $35.00 NEW GAS GRILL $10.00 _AIR _FIREPLACE $35.00 $35.00 _GAS UNIT HTR $10.00 _BOILER _FURNACE LINER $10.00 DRYER $10.00 _POOL HEATER $35.00 _CHIMNEY _GAS DUCT WORK $10.00 GAS PIPING $10.00 _VENTILATOR $15.00 I KR:��v�ftoa_M$"F�D�1 ,�,5A0 1' Permit Fee $ / Number of fixtures @ $10.00 x $10.00 = $ Surcharge $5 Number of fixtures @ $15.00 x $15.00 = $ TOTAL DUE $ �_ .2 Number of fixtures @ $25.00 x $25.00 = $ Number of fixtures @ $35.00 x $35.00 = $ 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 ich requ's review and approval of plans., /. / �(�' SIGNATURE OF APPLICANT PRINT NAME C/ DATE �� LA:SE �1'Cy,'T�'.,SE�AR9A`�'F�FPERMIT��ARE, RE. LiIREDFOTZ;B�IIL` DINGr��£� CTI�CA%Q�.ND, M1yC..... G��Rr : ., :fir' City of Fridley Building Inspections Department 6431 University Avenue NE, Fridley, MN 55432 763-572-3604 FAX: 763-502-4977 REQUIRED INFORMATION NEEDED TO PROCESS PERMIT RESIDENTIAL PERMIT APPLICATION HVAC ❑ NEW HOMESIADDITIONS ❑ EXISTING HOME ❑ MAKE-UP AIR REQUIRED FOR NEWIEXISTING HOMES 1. Combustion Air (See note below) a. Oil or solid fuel IMC Chapter 7 with MN Amendments b. Natural Gas or PropaneUGC Chapter 3 with MN Amendments 2. Make-up Air (See note below) a. IMC Chapter 5 with MN Amendments 3. Venting a. Gas appliances IFGC Chapter 5 with MN Amendments b. Fuel other than gas IMC Chapter 8 with MN Amendments REQUIRED FOR NEW HOMES 4. Heat loss & cooling load per room a. Required on new construction IMC 1346.0312 5. Ventilation . a. Per MN Energy Code 7670 or 7672 6. Duct Design Per IMC 1346.0603.2 a. ACCA Manual D NOTE: Centerpoint Energy Mechanical Code Guidelines software may be used for combustion and make up air calculations Building PLUMBING Permit No.: -6057 Inspections RESIDENTIAL APPLICATION Received By: W� JUN 11 2 ( 763-572-3604CITY OF FRIDLEY Date DATE 61-110-7 YOUR E-MAIL ADDRESS SITE ADDRESS 5--7 9 -7 oyl S T THIS APPLICANT IS: I FbWNER []CONTRACTOR PROPERTY NAME: Akie-M AT F A a1 FA L , .J /C- LOWNER/ OWNER/ ADDRESS: 6'-7 9 Z ' I r CITY fA ) t 61 STATEP*')ZIP TS `f3 2 TENANT PHONE: ? 6 3 '51 N Y ®'I CONTRACTOR NAM Terry Overacker Plbg Inc SATE SUBMIT A COPY OF STAT 1628 County Hwy 10 CTTy STATE ZIP YOUR STATE ADD/ — Spring Lake Park, MN 55432 LICENSE WITH PHOT APPLICATION (763) 572-8880 WINGLE FAMILY 0 TWO FAMILY ❑ TOWNHOUSE PERIMT TYPE TYPE OF WORK: E3 NEW REPLACEMENT DETAILED DESCRIPTION OF WORK PER MS 16B.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 DRAINS _ SHOWER _WATER PIPING _ _FLOOR PIPING a&w cm'umNsE) _ SWIMMING POOL —WATER SOFTNER ($35) —BATHTUB —GAS CLOTHES WASHER KITCHEN SINK _ WATER CLOSET _ BACKFLOW PREV. ($15) _ _ DISHWASHER LAUNDRY TRAY _WATER HEATER ($35) FOR IRRIGATION _ WATER METER —OTHER .,. �, Permit Fee $ S .0 o Number of fixtures @ $10.00 x $10.00 = $ Surcharge .50 Number of fixtures @ $15.00 x $15.00 = $ TOTAL DUE $ I tr 5-o Number of fixtures @ $35.00 x $35.00 = $ 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 requires review and approval of plans. SIGNATURE OF APPLICANT _14 G k E IC A PRINT NAME DATE 1► kt. l I rz�. `a c. `ATF I I R A� R ifltjmf% OR : "' "' IN.'. City of Fridley Building Inspections Department 6431 University Avenue NE, Fridley, MN 55432 763-572-3604 FAX: 763-502-4977 17 Building PLUMBING Permit No.:Z� Inspections RESIDENTIAL APPLICATION Received By: 763-572-3604 CITY OF FRIDLEY Da 'd►:J U L 6 20 763-502-4977 FAX EFFECTIVE 2-19-09 DATE C YOUR E-MAIL ADDRESS SITE ADDRESS 9 hl) THIS APPLICANT IS: ❑ OWNER CONTRACTOR PROPERTY NAME: 5s L-?eAer it 1:164 -11hr` ADDRESS: CITY STATE ZIP OWNER/ TENANT PHONE: CONTRACTOR NAME: SUBMIT A COPY OF YOUR STAT STATE LICENSE # Okaorl EXP DATE 01 LICENSE, BOND AND STATE BOND # EXP DATE CERTIFICATE OF ADDRESS: JaIl09 Zi nI'M live- CITYe` range– STATE MA ZIP INSURANCE PHONE q,<j Z-gq!j -�?(o®o FAX 064 -j g'3'4- PERMIT TYPE SINGLE FAMILY ❑ TWO FAMILY ❑ TOWNHOUSE TYPE OF WORK: ❑ NEW REPLACEMENT DETAILED DESCRIPTION OF WORK a FEES ARE BASED ON $10.00 PER FIXTURE, EXCEPT WHERE NOTED. FIXTURES: (INDICATE TOTAL NUMBER OF EACH BELOW). MINIMUM FEE $35.50. BATH SINK/LAV FLOOR DRAINS SHOWER PIPING _ _ —WATER BATHTUB GAS PIPING (NEED CITY LIC) SWIMMING POOL WATER SOFTNER ($35) _ _ _ CLOTHES WASHER KITCHEN SINK _ WATER CLOSET _ BACKFLOW PREV. ($15) _ DISHWASHER LAUNDRY TRAY HEATER ($35) FOR IRRIGATION _ _WATER _ WATER METER —OTHER Number of fixtures'@ $0:00 S ';x $10.001=1,S Number of fixtures @ $15.00 x $15.00 = $ Number of fixtures @ $35:00 x $35.00 State Surcharge $ ` .50 r IN $35:50 Total = $ ` THIS IS AN APPLICATION FOR A PERMIT-NOT VALID UNTIL PROCESSED I hereby apply for a plumbing 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 of all wor� ich requires review and approval of plans. n SIGNATURE OF APPLICANT Ids PRINT NAME _ ()C,t,IQ tn5e U DATE _PLEASENOTE: SEPARATE PERMITS VIRED'F01t BU]I,DINC,, ELEC, CA . ANA;IVIECHANICAL 'WORK "Building Inspections Department 6431 University Avenue NE, Fridley, MN 55432 763-572-3604 FAX: 763-502-4977 Building $ BUILDING Plan Review Permit No9tw- Inspections Fire Surcharge RESIDENTIAL APPLICATION Received By: 763-572-3604 $ CITY OF FRIDLEY License Surcharge Date Rec'd: % 763-502-4977 FAX I $ $2000 per SAC Unit (Plans to MWCC for determination) Curb Cut Escrow $ EFFECTIVE 1-1-09 Erosion Control $ DATE YOUR E-MAIL ADDRESS Park Fee SITE ADDRESS �S`7�Z A), 4 Sewer Main Charge THIS APPLICANT IS: ❑ OWNER P<ONTRACTOR Total Due PROPERTY OWNER/ NAME:%u©.e flo CYC�y �'�Li�/� TENANT ADDRESS: 77A 57—/l -i--- CITY ���Z%�STATE-?%!!�IP PHONE: CONTRACTOR NAME: 0 X�941— SUBMIT A COPY OF STATE LICENSE # o24:)6 d� EXP DATE YOUR STATE LICENSE AND CERTIFICATE OF ADDRESS:%GD /i�%d 2�i5 Nth _ _ CITY % ., STATE IP INSURANCE PHONE � FAX—� — PROPERTY TYPE INGLE FAMILY/NEW CONSTRUCTION SIZE ❑ TWO FAMILY/NEW CONSTRUCTION STORIES PERMIT TYPE ❑ ADDITION ❑ GARAGEISHED ❑ WINDOWS ❑ BASEMENT FINISH ❑ ROOF ❑ PRAIN TILE ❑ DECK ❑ SIDING -MGWER ❑ SWIMMING POOL TYPE OF WORK: ❑NEW HOME CONSTRUCTION ❑ DITION ❑ MAINTENANCEIREPAIR REMODELING DESCRIBE WORK BEING DONE: SIZE OF IMPROVEMENT LENGTH WIDTH HEIGHT SQ FT ROOFING ❑ HOUSE ONLY BASEMENT REMODELING SUBMIT: NUMBER OF SQUARES ❑ HOUSE & GARAGE 1. Existing Floor Plan GARAGES ❑ ATTACHED GARAGE 2. Proposed floor plan PROPOSED SIZE: ❑ DETACHED GARAGE 3. List of structural members to be used PROPOSED HEIGHT: SIDING— — — — - - -- - -- - -- -- - FOR NEW CONSTRUCTION INCLUDING DECKS, ❑ Vinyl []Soffit ADDITIONS. -,i PORCHES SUBMIT: ❑ Aluminum ❑ Trim I . Site Plan/Survey showing the existing structures ❑ Other ❑ Fascia and proposed project. 2. Two sets of construction plans WINDOWS 3. Energy Calculations IN EXISTING OPENINGS ❑Yes ❑No 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: _ THE 1997 U.B.0 FEE SCHEDULE) TOTAL JOB VALUATION $ �a( 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 $ .0005 x Permit Valuation Minimum $.50 License Surcharge $ 5'15 $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 $ 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 of all kw 1ch. rres review and approval of plans. /ate SIGNATURE OF APPLICANT, PRINT NAME �����/����+ DATE _7 `0