Loading...
PRE 2010 DOCSL SUBJECT PERMIT NO. City of Fridley 32359 AT THE TOP OF THE TWINS BUILDING PERMIT � RECEIPT NO. • COMMUNITY DEVELOPMENT DIV. _____ - INSPECTION SEC. AMP�v- r E PROTECTIVE ----I CITY HALL FRIDLEY 55432 i A NUMBER REV DATE PAGE OF APPROVED BY ---- L J` 612-571-3450 910415 12/13/01 JOB ADDRESS 1307 53rd Avenue NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 3 1 Skywood Manor SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Nedegaard Construction inc., 4200 Central Ave NE, Columbia Heights MN 55421 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Nedegaard Construction Inc. (same address) 763-757-2926 2068 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO 6 USE OF BUILDING Dwelling 7 CLASS OF WORK Cj NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE B DESCRIBE WORK Construct new house and garage (36' X 30' HOUSE AND A 24' X 24' GARAGE) 9 CHANGE OF USE FROM TO STIPULATIONS Provide a hard surface driveway. Provide sod in the front and side yards Provide City with copy of verifying survey before capping. Paid $1,500 Park Fee. See notations on plans. Install silt fence to control dirt getting onto street. Before dieing Call for all utility locations SEPARATE PERMITS 4.0002 REQUIRED FOR: REQUIRED Y LAW WIRING HEATING 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 C014STRUCTION ZONING SO. FT CU FT. AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS. OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COMMENCED. " NO DWLG. UNITS OFFSTREET PARKING I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION 1 STALLS GARAGES AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS VALUATION SURTAX AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT $150,177.87 $75.08 DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PERMIT FEE License $5.00 SAC CHARGE $1,150.00 PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- STRUCTION OR THE PERFORMAN CONSTRUCTION $1,,279..35 /� v �� _ D� PLAN CHEC E T TAL FEE (J/� _//C-//J� $1,5 .0 Par Fee $4,159.61 GNATURE OF CONTRACTOR OR AUTHORIZED AGENT iDATEi H N P RLV V LI 'TED THIS II %OUR PER1041 S-GNATURE OF OWNEROF OWNER SUiLDER1 IDAT i jrLbG IN 1ATE L NEW [ ] Effective 1/1/2001 ADDN [ J CITY OF FRIDLEY (763) 572-3604 Bldg Insp ALTER (] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION Construction Address: Legal Description: 3 k>© e4" - Owner Name & Address: I -f /_b '4 L Tel. # 7l� f 7S7 J 9z Contractor. cd � s4r- 4.0 ti _Oa- e MN LICENSE # 20 Address: 59..20® Tel. # 7'4i 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. v? 3 GARAGE AREA: Length Width Height Sq. Ft. S� Se f!P / / 9s a DECK AREA: Length Width Hgt/Ground Sq. Ft. OTHER: Construction Type: �� �/ �" ` S e- Estimated Cost: $ 2 ��ay 0 0 Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ —=$ DATE: �/' �� -� APPLICANT: t� 4 .� �P /�ra "^ Tel. # CITY USE ONLY - Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee Sewer Main Charge TOTAL STIPULATIONS: Call (763) 572-3604 for Permit Fees if mailing in application $ /a 7 %, 3SFee Schedule on Reverse Side $ /s®, I .001 of Permit Valuation (1/10th%) $ F)5,Q8 $.50/$1,000 Valuation $ ®® $1150 per SAC Unit $, 00 $5.00 (State Licensed Residential Contractors) $ Alt. "A" or Alt. "B" Above $ $450.00 Conservation Plan Review $ 5"200, O® Fee Determined by Engineering c5/ Agreement Necessary [ ] Not Necessary [ ] $ % 't; , C,a/ NEW [ J Effective 1/1/2001 ADDN (J CITY OF FRIDLEY .(763)572-3604 Bldg Insp ALTER [ ] SINGLE FAMILY AND DUPLEXES R4 AND R-2 BUILDING PERMIT APPLICATION �G Construction Address: Legal Description: ail - Owner Name & Address: n� �� c►.p� `� /e..r�. �� Tel. # 7d 3 ' 7f 7 -' Z 92 Z- -Contractor MN LICENSE # ,2019 Address: -Y-2D0 Tel. # ZZ- i " 75-7-212-d Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF IMPROVEMENT Ft. 0 1)3 `i /% 7 (O6 3. LIVING AREA: Length Width Height Sq. ,? Sq. Ft. Sn fo / / 98 12, a. GARAGE AREA: Length Width Height /S, Sq. Ft. X7`7 I ' C9 -C DECK AREA: Length Width Hgt/Ground OTHER: �� `" s e Estimated Cost: $ 2 �/�, 0_ Construction Type: //� Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ _ $ DATE: APPLICANT: J L�C llr ? "" Tel. # CITY USE ONLY - Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee Sewer Main Charge TOTAL STIPULATIONS: Call (763) 572-3604 for Permit Fees if mailing in application $ /a 7 �%, 3sFee Schedule on Reverse Side $ 160,19 .001 of Permit Valuation (1/10th%) $ r S',08 $.50/$1,000 Valuation $_L / S0 . 40 $1150 per SAC Unit $ S-, 00 $5.00 (State Licensed Residential Contractors) $ Alt. "A" or Alt. "B" Above $ $450.00 Conservation Plan Review $ L- &22-,22-."lay�s Fee Determined by Engineering-- IJ00,00 P' $ii1g/ia/o/ Agreement Necessary [ ] Not Necessary [ ] �Pd $ 11/16/2001 FRI 15:24 FAX 763 757 0649 NEDEGAARD CONTSTRUCTION 12002/002 r FOR NEDEGAARD CONSTRUCTION PROPOSED 9UILDM RMAWpNS TOP OF FOUNDA77ON J41.vFRONT OF HOUSE 4?44,0 GARAGE FLOOR _ 996 . S - REAR OF HousE LOXEST FLOOR ___ ?I S', o WALKOUT ti�6 Le oht�v rb..i ;c IP2/LJwe$TrLoottx.9e, $tool)N 0F` X6 VA/ PA T/ONe VA-n„v = 996.8 A �,9� 9'0 q°►�� '1s- .0 SKYWOOD A-910181001, �' R=10.00.. f �V P►�� L. 94 EAST 7;9 1 i” g z / - 14 74 s r I 1 � 31 I $; po I PROPO,SEp DRIVEWAY i 15 I � � I n 1 116.9-- 1 1 32.0 I I 1 m ti I � PROPOSED GARAGE 4o Q• I w i N a0 I, o ;; P� h \ 1 I ♦ � 1� 1� 4C �� IS �--� — -4L J 223t - 41__TT 1 O Lmmyy O DE9NOW SET IRON PIPE R.I.S AM 2MO7 0 OSVOMV MOND /AM PIPE ® DENOTES SET IRON PIPE FOR BML Or SET P B90 DE7N01ES PROPOvW E7.EVAAON E 890 DENOTES EVVIAG EL£VAVC N -- DEWONFS DRAINAGE & unury EASEMENT WICHMAW.• 7WAA e- S.' Q41i4D PF ai6A/wcf � S.Eya/oe0 jwamTERm PROFItSs 0ML LAND 9DlIFL"YOR9 1671 HIGHWAY 10 NORTHEAST SPR/NG LAKE PARD MINNESOTA ( PH 2'910-4100 ) JOB NO.; E1-35 1 SGALh't l ' = 3o iRi7r.n EAST 8274 4 a� g 94 Oe s r I LOT 1, BLOCK 1, S1fYOWD MANOR, ACCORDIW 7t7 Mr PLAT OF RECORD 7NEREOF ANOIG4 COUNTY MIMAIISOTA. l HEREBY CfR7)FY THAT 7705 SURVEY WAS PREPARRW BY ME OR UNDER MY DIRECT SUPER WSfd k AND 7HAr / AN A DULY RMSIMO LAND SURWyOR UNDER 7H£ LVirSTATE OF OTA DA701 /D � MARK F AfA'S7ROWCh MN U . NO Z5i87 AS -BUILT SURVEY FOR NEDEGAARD CONSTRUCTION AS -BUILT BUILDING ELEVATIONS TOP OF FOUNDATION 1022.2.___ LOWEST FLOOR 1013.4 (TOP OF 4" BLOCK) i i i* ._' EAST 77.00 o ; o 5 � 5 I A 3 AMERICAN OIL COMPANY EASEMENT PER DOC. NO. 259323 - 36.33 �n EX/STING HOUSE 11.0 1 35.33 t I PORCH T — WEST T/B/C 1020.4 0 5.6N 23.67 \ EXIS77NG "� I GARAGE N 1 24.67 0 0 DRIVE WA Y 77.00 T/B/CT/B/C 1019.6 1019.5 53RD A VENUE • DENOTES FOUND IRON PIPE A 890 DENOTES AS -BUILT GRADING ELEVA77ON — — DENOTES DRAINAGE & UTILITY EASEMENT T/B/C DENOTES TOP BACK OF CURB ELEVA77ON NOTE BENCHMARK.• T.N.H. AT S.E. QUADRANT OF FILLMORE STREET N.E. & SKYWOOD LANE. ELEVATION = 997.98 IMAL DE5CRIPTIDN LOT 3, BLOCK 1, SKYWOOD MANOR, ACCORDING TO THE PLAT OF RECORD THEREOF ANOKA COUNTY, MINNESOTA. / %! CERTUMATION I HEREBY CER77FY 774AT 7HIS SURVEY WAS PREPARED BY ME OR UNDER MY DIRECT SUPERVISION, AND THAT 1 AM A DULY REGISTERED LAND SURVEYOR UNDER 7HE LAWS 7HE STA7E OF MINN SOTA. PASSE ENGINEERING_ INC REGISTERED PROFESSIONAL LAND SURVEYORS 1611 HIGHWAY 10 NORTHEAST DATED. 1Z 1ZO f' SPRING LAKE PARK, MINNESOTA ( PH 780-4100) MARK F. MA/S7ROVICH, MN LIC. NO 2 287 JOB NO.: 21-35 SCALE.- 1 " = 30'1 FIELD BOOK: 192 PAGE- 57 1 DRAWN BY: MFM I 2135CERT.DWG MECcheck Compliance Report 1999 Minnesota Energy Code MECcheck Software Version 3.2 Release 1 TITLE: 201409 COUNTY: Anoka STATE: Minnesota ZONE: 2 CONSTRUCTION TYPE: Single Family DATE: 10/30/01 DATE OF PLANS: 10/24/01 PROJECT INFORMATION: L04 @ 53RD & FILLMORE ST., FRIDLEY COMPANY INFORMATION: NEDEGAARD CONSTRUCTION COMPLIANCE: Passes Maximum UA = 407 Your Home = 320 21.4% Better Than Code Ceiling 1: Raised or Energy Truss Wall 1: Wood Frame, 16" o.c. Window 1: Above Grade, Vinyl Frame, Double Pane with Low -E Door 1: Solid Door 2: Glass Basement Wall 1: Solid Concrete or Masonry, 9.0' ht/8.5' bg/9.0' insul Basement Wall 8: Solid Concrete or Masonry, 4.0' ht/3.5' bg/4.0' insul Furnace 1: Forced Hot Air, 90 AFUE Proposed and Maximum U -Factor Averages Above -Grade Windows and Glass Doors Includes Foundation Windows > 5.6 ft2 Permit Number Checked By/Date Gross Glazing Area or Cavity Cont. or Door Perimeter R -Value R -Value U -Factor UA 1080 44.0 0.0 24 2256 19.0 0.0 108 325 0.320 104 54 0.140 8 48 0.320 15 1152 13.0 0.0 59 24 13.0 0.0 2 Proposed Maximum Average U -Factor Allowed U Factor 0.320 0.370 COMPLIANCE STATEMENT: The proposed building design described here is consistent with the building plans, specifications, and other calculations submitted with the permit application. The proposed building has been designed to meet the 1999 Minnesota Energy Code requirements in MECcheck Version 3.2 Release 1. Builder/Designer Date :ITY OF FRIDLEY INSPEC 11UN DI\$# 1431 University Ave NE =ridley; MN 55432 ►63-572-3604 APPLICATION FOR PLUMBING AND GAS FITTING PERMIT Effective On Jars 1, 2001 MARK NUMBER OF FIXTURES TO BE IN51ALLtu UN tAt;" I-LUcm - - -}:Y:1 ._.J•.i?:eC� J.•'•:;�.,e.:.i;. Wash ..._z:::=:�<: Floor :: {f-3 _T:L. Auto.: -- Gas,f;} fv{. yv:::. r .Water Heater Sstories U : Shower Da zn;-:>le;i: Drain Washe ' Ra Gas Exec }:.-.-L"'j+L.rr r•. .: T):v{:{._:K=Wiv� >n`•iYt::ri.S "i-rt.: :$•Y;.-Y-:a::tL'` :tJvT}^'i?Gs•:Yv•:rJ Brjasement v:I..->.:..:.::.:...~n ?• : Fkaor V T Floor 4 EWR PLUMBING FIXTURE RATES: NO, RATE TOTAL .JOB ADDRESS I3 o-7 — 5-3J A vt New Fixtures Old Opening, New Fixture Beer Dispenser Blow Off Basin Catch Basin Rain Water Leader Sump/Rewiving Tank Water Treating Appliance Water Neater -Electric Water Heater - Gas" � Gas Range" Gas Dryer" Back Flow Preventer Required ( )Yes () No Type $ 7.00 $ 4.00 $ 5.00 $ 7.00 $ 7.00 $ 7.00 $ 7.00 $10.00 $ 7.00 $10.00 $10.00 $10.00 $15.00 Reinspection Fee $47,00/Hr ALL OTHERS AND/OR REPAIRS AND ALTERATIONS 1.5% of Value of Fixhlre or Appliance `d 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 and rulings of the Building Division, and hereby declares that all the facts and representations stated in this application are true and correct. Z, D-3 200-1 Owner ��g ly� C� ® Building Used As Estirnated Cost PERMIT NO. /3 3 6 State Surcharge S _50 TOTAL FEE $ /o/. 0 PLUMBING COMPANY SIGNED BY Approved ! Rough -In Date ff// _ TEL N0. � > ' ? 573 -3,7 7'.? Final Date COMBUSTION AIR SHALL BE PROVIDED PER UMC SECTION 504(A) AND TABLE 6-A. COMMON VENT INFO ON BACK SIDE 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 Rate $ 30.00 $ 10.00 $ 10.00 $ 10.00 $ 25.00 State Surcharge TOTAL FEE MINIMUM FEE FOR ANY HEATING/COOLING/VENTILATION REFRIGERATION/AIR CONDITIONING PERMIT IS $25.00 PLUS THE $.50 STATE SURCHARGE REINSPECTION FEE $47.00/Hr *Air Conditioners can not be placed in a side yard without written permission from adjoining property owner. Effective On January 1, 2000 JOB ADDRESS OWNER l VIII l� l STY UIIs� 1 TOTAL do BUILDING USED AS $� U CU $_11 Y96 V ESTIMATED COST 5DO f PERMIT NO. � $ D �� DESCRIPTION OF FURNACE AND OR BURNER VV No. of Heating Units-1—Circle One Steam $ g(Steam) (Hot Water) arm�Air)) _ I I) Trade Uame Size No. U/ BTU HP EDR $ ��. Fuel Total Connected Load Burner Trade Name Size No. $ BTU HP EDR $ The undersigned hereby makes application for a permit for the work herein specified agreeing to do all work in strict accordance with the City Codes an $ .50 rulings of the Building Division, and hereby declares that all the facts and representations stated in this application are true and correct. DATE �� `2-02— HEATING 2H TING CO e 5A-111Z— SLned D�JTEL 4 D Approved ByZ6 Rough -In DateFinal Date 0 0 0 COMMON VENT, VENT CONNECTOR AND COMBUSTION AIR VERIFICATION When replacing an existing furance, the undersigned hereby verifies that the venting has been examined and is free from rust, deterioration, obstructions, and is securely supported and firestopped where required. Yes () No ( ) The venting system is plastic/PVC and meets all current codes and manufacturer BTU Input Fan Assisted or Nat specifications including sizing, length, number of elbows and termination. Yes No ( ) The undersigned also verifies that the replacement unit is a listed assembly BTU Input Fan Assisted or Nat and meets the current codes and manufacturer's specifications. This does Total Btu Input include AGA-GAMA Category I Central Furnace Venting Tables for fan assisted and natural draft appliances. Yes () No ( ) The existing combustion air is sized and installed to meet the current codes and manufacturer's specifications. Yes () No ( ) When required to instail a new combustion air, it will be sized and installed To meet the current codes and manufacturer's specifications. Yes No ( ) When installing a new venting system, the undersigned hereby verifies that it is a listed assembly and meets the current codes and manufacturer's specifications. This does include AGA-GAMA Category I Central Furnace Venting Tables for fan assisted and natural draft appliances. Yes No( ) Is the common vent and vent connectors sized and installed correctly after an appliance has been removed from the common vent and vented separately as per current codes. Yes No ( ) Appliance #1 Type BTU Input Fan Assisted or Nat Appliance #2 Type BTU Input Fan Assisted or Nat Appliance #3 Type BTU Input Fan Assisted or Nat Total Appliances Total Btu Input Common Vent Type Vent Height Diameter inches Appliance #1 Vent Connector Height ft Length ft [diameter in Type Appliance #2 Vent Connector Height ft Length ft Diameter in Type Appliance #3 Vent Connector Height ft Length ft Diameter in Type ALTERATIONS: (Describe) HEATING CO: Signed By: Date : U • CITY OF FRIDLEY PERMIT NO.: 2004-01252 6431 UNIVERSITY AVENUE NE FRIDLEY, MN 55432 DATE ISSUED: 08/03/2004 572-3604 FAX: (763) 571-1287 ADDRESS 1307 53 AVE NE PIN T000051 LEGAL DESC SKYWOOD MANOR LOT 3 BLOCK 1 PERMIT TYPE ELECTRICAL PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ADDITION/ALTERATION VALUATION NOTE: ELECTRICAL PERMIT BECOMES VOID 12 MONTHS AFTER PERMIT ISSUE DATE. # INSPECTIONS 1 APPLICANT ARCTIC ELECTRIC INC 2632 8 AVE N ANOKA, MN 55303 OWNER NEDEGAARD CONSTRUCTION 1307 53 AVE NE FRIDLEY, MN 55421 - AGREEMENT AND SWORN STATEMENT This permit becomes null and void if work or construction authorized is not commenced witin 60 days or if construction or work is suspended or abandoned for a period of 120 days at any time after work is commenced. I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any other state or local law regulating construction or the performance of construction. Applicant Date Bldg Insp Date ELEC PERMIT FEE - MIN (RESI) 20.00 STATE SURCHARGE, ELEC FLAT 0.50 TOTAL 20.50 PAID WITH CHECK # 27648 SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. G7YOF FRIDLEY FRIDLEY MUNICIPAL CENTER • 6431 UNIVERSITY AVE. N.E. FRIDLEY, MN 55432 (763) 571-3450 • FAX (763) 571-1287 • TTD/TTY (763) 572-3534 May 12, 2005 Nedegaard Construction inc 4200 Central Ave. NE Columbia Heights, MN 55421 Re: Lot 3, Block 1, Skywood Manor Dear Sirs: A final inspection was conducted on 3-22-05 for the completion of the dwelling at the above address. The inspection noted that the construction was completed according to the approved plan. If you have any questions concerning this matter, please feel free to contact me at 763- 572-3602. Sincerely, RON JULKOVYSKI Building Officyal DJ/mh CITY OF FRIDLEY 6431 UNIVERSITY AVENUE NE FRIDLEY, MN 55432 572-36U4 YAX: ADDRESS 15171 WAY NE PIN 103024420078 LEGAL DESC RIVERWOOD PARK LOT 6 BLOCK 3 PERMIT TYPE PLUMBING PROPERTY TYPE RESIDENTIAL CONSTRUCTION TYPE ALTERATION VALUATION # GAS WATER HEATERS 1 APPLICANT NORTHWOODS MECHANICAL 10670 LINCOLN ST CHISAGO CITY, MN 55013- (651)257-4925 OWNER SEBASTIAN ROBERT & DONNA S 15171 ST WAY NE FRIDLEY, MN 55432 AGREEMENT AND SWORN STATEMENT This permit becomes null and void if work or construction authorized is not commenced witin 60 days or if construction or work is suspended or abandoned for a period of 120 days at any time after work is commenced. I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this type of wort will be complied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any other state or local law regulating construction or the performance of construction. Applicant Date Bldg Insp. Date 571-12Ii7 PERMIT NO.: 2005-00694 DATE ISSUED: 05/12/2005 WATER HEATER - GAS 35.00 STATE SURCHARGE, PLBG FLAT 0.50 TOTAL 35.50 PAID WITH CHECK # 6554 SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. ?.a s Building $ BUILDING Plan Review Pernrit No;`1- 65% of Building Permit Fee Fire Surcharge $ CI .001 times the total job valuation Surcharge Inspections .0005 x Permit Valuation Minimum $.50 RESIDENTIAL APPLICATION $ Received By: 763-572-3604CITY $ OF FRIDLEY Curb Cut Escrow Date Rec'd: ft + 6 ft = fl x $21 =$ Erosion Control ^ ' DATE YOUR E-MAIL ADDRESSO ic • SITE ADDRESS Sewer Main Charge $ THIS APPLICANT IS: R'6X\NER OC ONTRAC TOR $ PROPERTY OWNER/ NAIIIE: TENANT ADDRES :—i "c -- CITY STATE ZIP PHONE: CONTRACTOR NAME: STATE LICENSE # EXP DATE SUBMIT A COPY OF YOUR STATE LICENSE ADDRESS: CITY STATE—ZIP WITH APPLICATION PHONE FAX PROPERTY TYPE PKINGLE F_NIILY NEW C ONSTRIT(MON SIZE cS°8 O TWO FAMILY/NEW CONSTRUCTION STORMS PERNM TYPE ❑ ADDITION [3GARAGE SHED ❑ \\TNDC)\\'S aSEMENT FINISH ❑ R(x:)F ❑ DRaIN TILE O DECK O SIDING O OTHER O S)A-H\% NGP(K)L TYPE OF WORK: ❑ NEW 11rADDITION , O NIAINTEN. CE REPAIR ❑ REMODELING DESCRIBE WORK BEING DONE" C� SIZE OF HV1PR0VEMENT LENGTH WII)TH HEIGHT S . Ft. ROOFING ❑ HOUSE ONLY NUMBER OF SQ)LTARES ❑ HOUSE & GARAGE BASEMENT REMODELING SUBMIT 1• Printing Floor Plan GAP,AGES O ATTACHED G. ILAGE 2. Proposed floor plan PROPOSED SIZE: C3 DETACHED GARAGE 3. List of structural members to be used PROPOSED HEIGHT: SIDING FOR NEW CONSTRUCTION INCLUDING DECKS, ❑ Vinyl ❑Soffit ADDITIONS & PORCHES SUBMIT DAN ino O Trim 1. Site Plan Sun-ey showing the eusting structures O Other O Fascia and proposed prom 2. Two sets of construction plans WINDOWS 3. Energy Calculations IN E..WTING OPENINGS Ol es ONo LOCATION OF WINDOWS OR FOR NEW OPENINGS -DESCRIBE SIZE OF OPENING CHANGES & TYPE OF \KININ)\\" TO BE INSTALLED NUMBER OF \\'INIXAVS ALL FEES ARE BASED ON VALUATION, INCLUDING THE COST OF LABOR AND MATS K ASS: (USING TSE 1?9,7,U.B C FEE SCHEDULE) TOTAL JOB VALUA' Permit Fee $ See Back Page for Fee Schedule Plan Review $ _ 65% of Building Permit Fee Fire Surcharge $ CI .001 times the total job valuation Surcharge $ 5 .0005 x Permit Valuation Minimum $.50 License Surcharge $ $5.00 (State Licensed Residential Contractors) SAC Charge $ $1675 per SAC Unit (Plans to MWCC for determination) Curb Cut Escrow $ ft + 6 ft = fl x $21 =$ Erosion Control $ $450 Conservation Plan Review Park Fee $ Fee Determined by Engineering Sewer Main Charge $ Agreement necessary ( ) Non Necessary ( ) Total Due $ Make checks Davable to: City of Fridley Attach Sti ulations THIS IS AN APPLICATION FOR APERM[T-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 M imesota Construction Codes; that I understand this is not a permit but only an application for a permit not to start without a permit; that thework ll be in accordance with the approved plan in the case of all work which recce ew and roval of plans. � z e7 SIGNATURE OF APPLICANT 17,11 --'s It AVA!L'A,6LC T S i T E F 0 fRI M. F AND FINAL -1K �� i ,� �� dv�is- a 1 * REVIEWED F CODE izi SU REVI,,E ED W F CODE LIANCE L G— Ins ec r f 1 Building Inspections 763-572-3604 DATE/ F J SITE ADDRESS THIS APPLICANT IS: PROPERTY OWNER/ TENANT CONTRACTOR PLUMBING RESIDENTIAL APPLICATION CITY OF FRIDLEY YOUR E-MAIL ADDRESS ❑ OWNER AONTRACTOR o Permit No.: Received By: l� Date Rec'd:% z5 -t%&A E PIL& ...6-vy ® Co..�ec� s i-,1Je--�- ADDRESS: CITY STATE ZIP PHONE: SUBMIT A COPY OF STATE LICENSE # 6(p l y PIM EXP DATE 1 107 YOUR STATE ADDRESS: g?D 294-1- LN ME CITY STATE IP_&2S2j1?y LICENSE WITH PHONE 76 3 -A6'9 - ?q I FAX 763 APPLICATION PERMIT TYPE TYPE OF WORK: SINGLE FAMILY )(NEW DESCRIPTION OF WORK ❑ TWO FAMILY ❑ TOWNHOUSE ❑ REPLACEMENT 3 PER MS 1613.665 the permit fee is a minimum of $15.00 or 5% of the total cost up to $500.00, whichever is greater, for the improvement, installation or replacement of a residential fixture, excluding the fixtures. (This should reflect only the cost of labor ) Labor cost under $300 = $15.00. Labor cost between $300 to $500 = cost of labor X.05 = FOR PROJECTS WHERE LABOR EXCEEDS $500. FEES ARE BASED ON $10.00 PER FIXTURE, EXCEPT WHERE NOTED. FIXTURES: (INDICATE TOTAL NUMBER OF EACH BELOW) Permit Fee $ Number of fixtures @ $10.00 x $10.00 = $ Surcharge .50 2 BATH SINK/LAV _FLOOR DRAINS _ SHOWER _ WATER PIPING BATHTUB I GAS PIPING W -J -J) t'177'L/(7:NSA) _ SWIMMING POOL _ WATER SOFTNER ($35) —CLOTHES WASHER _ KITCHEN SINK I WATER CLOSET _ BACKFLOW PREY. ($15) _ DISHWASHER _ LAUNDRY TRAY _WATER HEATER ($35) FOR IRRIGATION WATER METER OTHER THIS IS AN APPLICATION FOR A PERMIT -NOT VALID UNTIL PROCESSED I hereby apply for a building permit and 1 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 NAME DATE City of Fridley Building Inspections Department 6431 University Avenue NE, Fridley, MN 55432 763-572-3604 FAX: 763-502-4977 Permit Fee $ Number of fixtures @ $10.00 x $10.00 = $ Surcharge .50 Number of fixtures @ $15.00 x $15.00 = $ Number of fixtures @ $35.00 x $35.00 = $ TOTAL DUE $ State Surcharge = $L Total = $ wl SC THIS IS AN APPLICATION FOR A PERMIT -NOT VALID UNTIL PROCESSED I hereby apply for a building permit and 1 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 NAME DATE City of Fridley Building Inspections Department 6431 University Avenue NE, Fridley, MN 55432 763-572-3604 FAX: 763-502-4977 Building MECHANICAL Permit No.• Inspections RESIDENTIAL APPLICATION Received By: 763-572-3604 CITY OF FRIDLEY DATE YOUR EMAIL ADDRESSy SITE ADDRESS �'�C�% 53ff' /l' S /a THIS APPLICANT IS: ❑ OWNER CONTRACTOR PROPERTY NAME: ADDRESS: CTTY STATE ZIP OWNER/ TENANT PHONE: CONTRACTOR COMPANY NAME: 0,0;4117 CONTACT PERSON: �o SUBMIT A COPY OF YOUR STATE STATE LICENSE #N/� EXP DATE NIZ S STATE 2IPSS3 �O LICENSE WITH ADDRESS:2',/ l�ln , GPIej CITY APPLICATION PHONE 7 '� - S(o S , 2 / Z 1 FAX 7Cr,3 PERMIT TYPE [SINGLE FAMILY ❑ TWO FAMILY ❑ TOWNHOUSE TYPE OF WORK: 0 NEW ❑ REPLACEMENT j�ALTERATION/REMODEL / \ DETAILED DESCRrIPTION OF WORK QGi �- S.� ' �`/ S 'as m& t PER MS 1613.665 the permit fee is a minimum of $15.00 or 5% of the total cost up to $500.00, whichever is greater, for the improvement, installation or replacement of a residential fixture, excluding the fixtures. (This should reflect only the cost of labor ) Labor cost under $300 = $15.00. Labor cost between $300 to $500 = cost of labor x.05 = FOR PROJECTS WHERE LABOR EXCEEDS $500, FEES ARE BASED ON $10.00 PER FIXTURE, EXCEPT WHERE NOTED. FIXTURES: (INDICATE TOTAL NUMBER OF EACH BELOW) Equipment Installed MFG: MODEL: SIZE/BTU MFG: MODEL: SIZE/BTU MFG: MODEL: SIZEBTU A/C $25.00 FIREPLACE (GAS) $15.00 GAS RANGEIOVEN $10.00 TO AIR EXCHANGEER $15 FIREPLACE (WOOD) $35.00 NEW GAS GRILL $10.00 _AIR $35.00 FURNACE $35.00 GAS UNIT HTR $10.00 _BOILER CHIMNEY LINER $10.00 GAS DRYER $10.00 POOL HEATER $35.00 DUCT WORK $10.00 GAS PIPING $10.00 VENTILATOR $15.00 PE FEE PROJECTS FOR UNDER $500 PERMIT FEE FOR PROJECTS OVER $500 Permit Fee $ 1-43- . Number of fixtures @ $10.00 x $10.00 = $ Surcharge $ .50 Number of fixtures @ $15.00 x $15.00 = $ TOTAL DUE $-T- 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 qM work whi u revi and approval of plans. l 1 SIGNATURE OF APPLICANT PRINT NAMEE 2I DATE I S PLEASE NOTE: SEPARATE PERMITS ARE REQUIRED FOR BUILDING, ELECTRICAL AND MECHANICAL WORK City of Fridley Budding Inspections Department 6431 University Avenue NE, Fridley, MN 55432 763-572-3604 FAX: 763-502-4977