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PRE 2010 DOCSVillage of Fridley, Minn. BUILDING PERMIT N? 1812 Date: ... ..��.d..................... Owner Builder ..... . � ......::. . Address...................................... Address ............................................. ® ��LO�TION O BUILDING No. ...�. ... Street ................... ......... Part of Lot ........... Lot ..... I ...... Block ..... e............ Addition or Sub -Division . 40 .. ... . ...� � Corner Lot ...�' -.. Inside Lot ........... Setback .t ... Sideyard.. /............ ............ DESCRIPTION OF BUILDING To be Used as: �.... Front (5... Depth Height 1. 'r... Sq. Ft. ........ Cu. Ft. ........ ..................... Front ........ Depth ........ Height ........ Sq. Ft. ........ Cu. Ft. ........ Type of Construction ..... Est. Cost .. �3.. ®�®...... To be Completed .................. In consideration of the issuance to me of a permit to construct the building described above, I agree to do the proposed work in accordance with the description above set forth and in compliance with all provisions of ordinances of the village of Fridley. ..................................................... d® In consideration of the payment of a fee of $ . , permit is hereby granted to ... ... . ......................... to construct the building or addition as described above. This permit is granted upon the express condition that the person to whom it is granted and his agents, employees and workmen, in all work done in, around and upon said building, or any part thereof, shall conform in all respects to the ordinances of Fridley, Minnesota regarding location, construction, alteration, maintenance, repair and moving of buildings with- in the village limits and this permit may be revoked at any time upon , violation of any of the provisions of said ordinances. ............ ............ Building Inspector NOTICE: This permit does not cover the construction, installation or alteration for wiring, plumbing, gas heating, sewer or water. Be sure to see the Building Inspector for separate permits for these items. City of Fridley, YHnn. BUILDING PERMIT N° =555i Date: 6z j i Owner: Builder -2 Address Address �,,41IN F BUILDING No. Street + Part onot Lot Block—_ Addition or Sub -Division ' -- Comer Lot _ Inside Lot Setback Sideyard Sewer Elevation Foundation Elevation DESCRIPTION OF BUILDING Depth Height Sq. Ft. M Cu. Ft. Fr Depth Height Sq. Ft. Cu. Ft. Type of Construction Est. c _ To be Completed In consideration of the issuance to me of a permit to construct the building described above, I agree to do the proposed work in accordance with the description above set forth and in compliance with all provisions of ordinances of the city of Fridley. In consideration of the payment of a fee of $ , permit is hereby granted to to construct the building or addition as described above. This permit is granted upon the express condition that the person to whom it is granted and his agents, employees and workmen, in all work done in, around and upon said building, or any part thereof, shall conform 3n 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 vI on of any of the provisions of said ordinances. Building Inspector NOTICE: This permit does not cover the construction, installation for wiring, plumbing, gas heating, sewer or water. Be sure to see the Building Inspector for separate permits for these Item. APPLICATION FOR BUILDING PERMIT CITY OF FRIDLEY, MINNESOTA Owner's Name Builder Address Address LOCATION OF BUILDING I /i - t No of Lot Lot Block Addition or Subdivision Corner Lot Inside Lot Setback Side -Yard SEWER ELEVATION FOUNDATION ELEVATION Applicant attach to this form Certificate of Survey of Lot and proposed building location. DESCRIPTION OF BUILDING To be use aso Front91 �_Depth Height sq. Ft.— ��CU. Ft. FrontDepth Height Ft. Cu. Ft. --.) Type of Construction Estimated Cost25 40 To be Completed The undersigned hereby makes application for a permit for the work. herein specified, agreeing to do all work in strict accordance with the City of Fridley Ordinances and ruling of the Department of Build- ings, and hereby declares that all the facts and representations stated in this application are true and correct. DATE yA= , / L �D . .__S I GNAT Pj (Schedule of Fee Costs can be found on the ;verse Side). 9 City of Fridley, Minn. • BUILDING PERMIT Date: MAY 23, 1966 n LJ ROGER W. SWANSON Builder SUSSEL GARAGE Address 620 - 58th Avenue N. E. Address 1850 Como Avenue Fridley, Minnesota 55421 St. Paul, Minnesota, LOCATION OF BUILDING 1q? 8846 No. 620 Street 58th Avenue N. E. part of Lot Lot_ 7 Block 7 Addition or Sub -Division Donnay's Lakeview Manor Corner Lot _ Imide Lot — % Setback — Sideyard 17'6" Sewer Elevation _ . Foundation Elevation DESCRIPTION OF BUILDING To be Used as: Det. Garage Front 24 Depth 30 Height 10 Sq. Ft. 720 Cu. Ft. 7,200 Front Depth Freight Sq. Ft. Cu. Ft. Type of Construction Frame Est. Cost _ $ 2, 05 0 _ _ To be Completed In consideration of the issuance to me of a permit to constru the buil des bed e I agree to do the proposed work in accordance with the description above set f rth and ce a'll provisions Of ordinances of the city of Fridley.Ay In consideration of the payment of a fee of S 7.00 permit is hereby granted S10SEL GARAGE 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, Minmesota regarding location, construction, alteration, maintenance, repair and moving of buildiaga within the city limits and this permit may be revoked at any time upon violation of any of the provisions ofordinanse3d WILLIAM H. SANDIN Building Inspector NOTIC& fhb pumb don not eoar the conatrectim, hahMathm far wirlm &mbinB, oa huftq, ewer or water. Be wre to an the Bniidhm hugnator for operate pwa to for thea bmw APPLICATION FOR BUILDING PERMIT CITY OF FRIDLEY, MINNESOTA OWNER'S BUILDER ADDRESS ®A �� ADDRESS �s�� e9� ,,� LOCATION.OF BUILDING N0,STREET-�� PART OF LOT LOTCK B 7 ADDITION OR SUBDIVISION CORNER LOT INSIDE OT 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. To be used as; Type of Construction To be completed DESCRIPTION OF BUILDING Front:Depth 3 0 Height", Sq. Ft. Cu. Ft. 7 Q Front Dept h Height Sq. Ft. Cu. Ft. Estimated Cost C)5 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 `5'- -Z 6 - 6 C SIGNATURE P (Schedule of Fee Costs can be found on the Reverse Side. w y.ry U �1 SE \\X\\\ 79 w*V - 3d Al V38V -N,OOV �O G O� y� ni - an-iVA SSBUGOV woo -is L 6 \ 3215 3WVN 10'1 j/1-=L-V-Ia City of Fridley Application for Plumbing and Gay Rnkg Pamir Dept. of Bldgs. Phone 980-3490 DESCRIPTION OF WORK Number, Kind and Location of Fixtures • Future Connection Openings I waaecsea wren • New Fixture, Old OpeningsCsseP001 El Sewn ❑ PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: NO. RATE TOTAL Number Fixtures ................ x $200 $ Future Fixture Opening ........... _ x $1.50 $ New Fixture Old Opening .......... x $1.50 $ Catch Basin .................... x $3.25 $ Water Heater ;Up to 99,000 BTU) • • • • x $3.00 0 MEMM. New Ground Run Old Bldg......... x $3.25 $ Electric Water heater .............. MM $ GAS FITTING FEES: NO. RATE TOTAL 1st 3 Fixtures .... • ....... • .. 1 x 3200 $ 2.00 11 x $ .75 $ Gas Range to 199,000 BTU ............... x $5.00 $ install (1) gas grill 3.00 REPAIRS & ALTERATIONS—Refer to Code ................ • Future Connection Openings I waaecsea wren • New Fixture, Old OpeningsCsseP001 El Sewn ❑ PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: NO. RATE TOTAL Number Fixtures ................ x $200 $ Future Fixture Opening ........... _ x $1.50 $ New Fixture Old Opening .......... x $1.50 $ Catch Basin .................... x $3.25 $ Water Heater ;Up to 99,000 BTU) • • • • x $3.00 $ New Ground Run Old Bldg......... x $3.25 $ Electric Water heater .............. s $2.00 $ GAS FITTING FEES: NO. RATE TOTAL 1st 3 Fixtures .... • ....... • .. 1 x 3200 $ 2.00 Additional Fixtures .................. x $ .75 $ Gas Range to 199,000 BTU ............... x $5.00 $ install (1) gas grill 3.00 REPAIRS & ALTERATIONS—Refer to Code Description ............................-............... $ TOTAL FIS s 5. 00 City of Fridley: 53-84-s915.51 The .undersigned hereby makes application for a permit for the- work herei specified, agreeing to do all work in strict accordance with the City Ordinance and ruling of the Department of Buildings, and hereby declares that all the fact and representations stated in this application are true and correct Fridley, Minn Maki 17. 1279 , 19_ s Kind of Building fr-ane Used as _rp3idAnnn To be completed about May 22, 1972 Estimated Cost, $ 10.00 Old New. Building Permit No. Permit No. rY Signe PW By n�ncrn Business Phone No ROUGH FINAL GMSs'A" Surcharge .Eo3 SUBJECT PE N City of Fridley 1613 5 AT THE TOP OF THE TWINS BUILDING PERMIT RECEI NO. • COMMUNITY DEVELOPMENT DIV. r PROTECTIVE INSPECTION SEC. 1 i CITY HALL FRIDLEY 55432 NUMBER REV. DATE PAGE OF APPROVED BY 612-571-3450 910-F15 4/27/81 JOB ADDRESS 620 - 58th. Avenue N.E. 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 7 7 Donnay's Lakeview Manor SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Roder Swanson 620 - 58th Avenue N.E. 571-7547 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Milton L. Johnson Oo. 2513 Central Avenue N.E. 781-9548 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO. 6 USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW ❑ ADDITION ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Reroof dwelling 9 CHANGE OF USE FROM TO STIPULATIONS Roof can be 2nd but not 3rd roof. Install ridged galvanized valleys. 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 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 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 $1,000 $.50 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- STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. $7.50 PLAN CHECK FEE TOTAL FEE y$8.00 L SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT (DATE) THIS IS YOUR PERMIT N WHEN PROPERL/y]' r ��VALLIIDb�AT/E//((JJD � ` C-k'�-1149 -,/-.),g `o SIGNATURE OF OWNER 0F OWNER BUILDERI (DATE) BLDG INSP DATE CITY OF FRIDLEY APPLICATIM FOR RESIDE. NTIAL BUILDING PEP14ITS (New, Alterations, Additions, or Repairs) 01114ER: O�m cs 2 -gGy s e ni ADDRESS: 521, - J cf . /�J ff" TEL NO: �j� BUILDER: •� � /� • V a/Y'ou _S ADDRESS: ds_/3 2,Lt-AJ7-x4c_'A6f . TEL NO: Construction Location ' • STREET NO: � 07'(2). STREET: _S_ LOT: � , BLOCK: ADDITION: _Ar) WAI A '-s Z4xl Ewiq ,d 4ia.J4,1,7 Corner Lot: Inside Lot: Setback.: Sideyards: Applicant attach to this form two Certificates of Survey of lot and • proposed building location drawn on certificates to scale. DESCRIPTIO►, OF CONSTRUCTION Front: Depth: Height: Square.Feet: Cubic Feet: Front: Depth: Height: Square - Feet: Cubic Feet: Type of Construction: l` @p Estimated Cost: $$ D , To Be Completed: Alt. A Alt. B Proposed Driveway Width If New Opening Is•Desired: $ $ SEE REVERSE SIDE OF SHEET Mie 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 co re DATE: ' �% + � � SIGNATUM: Stimulations; SUBJECT P -- City of Fridley AT THE TOP OF THE TWINS ? BUILDING PERMIT 22572 1 RECEIPT NO. _ COMMUNITY DEVELOPMENT DIV. Tr PROTECTIVE INSPECTION SEC. �o � /V� r ; CITY HALL FRIDLEY 55432 NUMBER REVr5/27/94 ATE PAGE OF APPROVED By 612-571-3450 910415 JOB ADDRESS 620 58 Avenue NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 7 7 1 Donna t s Lakeview Manor SHEET 2 PROPERTYOWNER MAILADORES$ ZIP PHONE Roger Swanson 620 58 Avenue NE971-7947 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. B & B Roofing Service 6760 MadisonStreet NE, - 4 ARCHITECT OR DESIGNER MAIL ADDRESS P PHONE LICENSE NO. 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO. 6 USE OF BUILDING Residential 7 CLASS OF WORK O ❑ NEW ❑ ADDITION ❑ ALTERATION X REPAIR ❑ MOVE ❑ REMOVE X 8 DESCRIBE WORK Reroof Garage (9 Sq) Tear-off 9 CHANGEOFUSEFROM 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 60 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 WITH W ER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT $675 .50 PERMIT FEE SAC CHARGE DOES OT RESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE ANY OTHER ATE OR LOCAL LAW REGULATING CON- $19.00 Fire SC $.68 R THE PERFO NCE OF CO STRU TION. PLAN CHECK FEE TOTALFEE XPROVt4IONOF License SC $5.00 $25.18 SGURE VCCN. ACTOR ORAUTNORIZEDAGENT IDATEI EROPE Y V LIDATED THIS IS YOUR PERMIT BLDG )NSP r�ATE SIGNATURE OF OWNERUF OWNER BUILDER) IDATEI NEW (( Effective 1 / l /94 ADDN (( CITY OF FRIDLEY ALTER [ ( SINGLE FAMILY AND DUPLEXES R-1 AND R-2 Building Permit Application Construction Address::��_ _/1 C /�L�_/ ---- _-----------------_---- ------ Legal Description: 1116 4!!�dZIft-�_--- Owner Name & Address: Tel. # -S 7/ -- 75- i l Contractor: MN LICENSE # Address: Tel. # -D 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 GARAGE AREA: Length DECK AREA: OTHER:�o r Corner Lot [ ] Inside Lot [ ) Ft. Yd Setback Type of Construction: ` E P -.a �- Approx. Completion Date: Width Height Sq. Ft. Width Height Sq. Ft. Width. Hgt/Ground Sq. Ft. Side Yard Setbacks Estimated Cost- $ % .5a u"), 2 C Cost on Back) Driveway Curb Cut Width Needed:t. + 6 Ft = t x $ ' _ $ DATE: ?7 APPLICANT: Tel. #--5 7/- Z �E CITY USE ONLY Permit Fee $ 1900 Fee Schedule on Reverse Side Fire Surcharge $ .001 of Permit Valuation (1/10th%) State Surcharge $ Ste' $.50/$1,000 Valuation SAC Charge $ $800 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 [ J Not Necessary [ ] TOTAL $ % STIPULATIONS: - SUBJECT City of Fridley 26109 AT THE TOP OF THE TWINS BUILDING PERMIT i ` RECEIPT NO. COMMUNITY DEVELOPMENT DIV. PROTECTIVE INSPECTION SEC. r 1 . � NUMBER REV DATE PAGE OF APPROVED BY CITY HALL FRIDLEY 55432 612-571-3450 910-F15 6/1/98 JOB ADDRESS 620 58 Avenue NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 7 7 Donnay's Lakeview Manor SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Roger Swanson 620 58 Avenue NE 571-7547 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Midwest Siding & Roofing 18979 Gladstone Blvd, Maple Grove, MN 55311 416-4804 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 20010277 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO. 6 USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW ❑ ADDITION ❑ ALTERATION [j REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Reroof House (17 Sq) Tear-off 9 CHANGE OF USE FROM TO STIPULATIONS Underlayment must comply with the State Building Code. TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING. VENTILATING OR AIR CONDITIONING. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING SO. FT. CU. FT. AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS OFFSTREET PARKING I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION 1 STALLS GARAGES AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS VALUATION SURTAX AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED $1,417 $.71 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- $48.50 Fire SC $1.42 ST ON OR THE PERFORMANCE,01' CONSTRUCTION. 95;-$55.63 PLAN CHECK FEE TOTALFEE License SC $5.00 SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT IDATEI WHEN PROPE e BL INS VALI ATED THIS IS Y UR PERMI 4ATE SIGNATURE OF OWNER) IF OWNER BUILDER) IDATEI NEW [ ] Effective 1/1/98 ADDN [ ] CITY OF FRIDLEY ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION ConstructionAddress: (od' c z4 Legal Description: Owner Name & Address: 1QC* £.2 5WWsoAv Tel. # .3 71 - Contractor: llk 1-Contractor:% lalwcs I • 5 �'dr)1(9 d ew c f)l & MN LICENSE # d 00/0 7% Address:/392 6laGf'cs are ��%y� �je lar�ie, %!�% 5S 3// Tel. # 1-116 -�eo 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: I ass — 4C,5- c - Construction Type: 7� o �� et - k4'42: /r Estimated Cost: $ S (Fee Schedule on Back) Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ _ $ DATE: APPLICANT: -- Tel. # TOTAL STIPULATIONS: CITY USE ONLY Permit Fee $ C? � 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 $ $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: city of Fridley THE TWINS SUBJECT BUILDING PERMIT(RECEIPT RMIT NO. � 28645 E ` 579T-SUG - -------COMMUNITY DEVELOPMENT DIV. r PROTECTIVE INSPECTION SEC. 1 � CITY HALL FRIDLEY 55432 AL ---- A,i 612-571-3450 q NUMBER 9t0 -F15 REV DATE 11/24/98 PAGE OF APPROVED BY JOB ADDRESS 620 58th Avenue NE 1 LEGAL DESCR. LOT NO. BLOCK 7 7 TRACT OR ADDITION Donn SEE ATTACHED SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Roger Swanson- 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO JRS Construction 2355 - 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LIENS N0. 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO 6 USE OF BUILDING Residential 7 CLASS OF WORK O NEW 0 ADDITION JEk ALTERATION 0 REPAIR O MOVE O REMOVE 8 DESCRIBE WORK Remodel garage(workshop) 9 CHANGE OF USE FROM TO STIPULATIONS See notations on plan. SEPARATE PERMITS ARE REOUIREO FOR ELECTRICAL, PLUMBING. HEATING, TYPE OF CONST. OCCUPANCY GROUP OCCUPANCYLOAD VENTILATING OR AIR CONDITIONING THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS. OR IF CONSTRUCTION ZONING SO. FT CU FT 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 AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT VALUATION $4000 SURTAX $2.00 DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PERMIT FEE SAC CHARGE PROVISI S OF ANY OTHERTATE OR LOCAL LAW REGULATING CON. STR C OR THE PERFORM NCE OF CONS ION $87.25 Fire SC .00 1 C� PLAN CHECK FEE TOTAL FE e Li S 5.00 98. GNATURE OF CON TFIACTOR OR AUTHORIZED AGENT iOATE, ENP OPE LI TUED YO R PERMIT s S-GNATURE OF OWNEROF OWNER BU4DER1 iDATE, BLOGfXSP pAtE I NEW Effective 1/1/98 ADDN [ ] CITY OF FRIDLEY ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 D�A BUILDING PERMIT APPLICATION 0 ConstructionAddress: (p D � �141 AUe moi, Legal Description: Owner Name & Address:, R (fie r S wA tiS e � Tel. # Contractor: Co rV _S 7-1? Uc-7-®,f MN LICENSE # d2 o O 9 Address: S's'S' /�7o�i�Ge S� 4 e�s t ,L'--&f/,xe , Tel. # s— 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: fCQ 01 oEstimated Cost: $ (Fee Schedule on Back) Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ _ $ DATE: / ` �� APPLICANT: Tel. #3% STIPULATIONS: CITY USE ONLY Permit Fee $ �� Fee Schedule on Reverse Side Fire Surcharge $ 00 .001 of Permit Valuation (1/10th%) State Surcharge $ DU $.50/$1,000 Valuation SAC Charge $ $1000 per SAC Unit License Surcharge $ 57A9 $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: g>1INDER ENGD EERINGr COwIPINCI,,�.,,�_,- ENGINEERS AND SURVEYORS LAND eUavevlNo got Le TESTING CIVIL &. MUNICIPAL ENGINEERING LAND:PI.ANNINb 6418 -86TH AVENUE N. ; MINNEAPOLIS 22,MINN. OR T- 4,014 IC � r� � � � ��► �� u � !i � Nov*if -............... %j r -;w--- L/'®� rF J{�,'; 1 'A I .i ' �i � � � �� f � � �1 � �....` 1 o+f�':'r♦ h:. r $ y ,. 7;Wff Ail k4_s Q ff, is f M voo as 9 1 '- IP UI ? �1ei�1✓i f 1 7 /rf9rJ /- rieJ� L �10so E. A.RATHBUN - RE0ISTEREO l_ANO SURVEYOR - MINNESOTA. REGISTRATION NO 3'106 CITY OF FRIDLEY INSPECTION 6431 University Ave NE Fridley, MN 55432 572-3604 RATE SCHEDULE DIViSION APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION, REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES Residential Rate Furnace Shell and Duct Work, Burner - Also Replacement Furnace $ 30.00 (Side Vent - Fill Out Back) Gas Piping (Needed with new furnace, $ 10.00 but not replacement) Gas Range $ 10.00 Gas Dryer $ 10.00 *Air Conditioning - All Sizes $ 25.00 �. �s& /SOa A I Others/Reps s &Alterations (LIST ON BACK) 1% of Value of Appliance or Work Commercial/Industrial 1.25% of Value of Appliance or Work State Surcharge TOTAL FEE MINIMUM FEE FOR ANY HEATING/COOLING/VENTILATION REFRIGERATION/AIR CONDITIONING PERMIT IS $25.00 PLUS THE $.50 STATE SURCHARGE REINSPECTION FEE $47.00/Hr *Air Conditioners can not be placed in a side yard without written permission from adjoining property owner. Effective On May 10, 1999 JOB ADDRESS -6 20 5?4 64r4- k,)E OWNER T:!L-r26k- BUILDINGUSEDAS _��a�� ESTIMATED COST SO'2� PERMIT N0. � �„Z DESCRIPTION OF FURNACE AND OR BURNER No. of Heating Units ---L— Circle One (Steam) (Hot Water) (Warm Air Trade Name 0kY,4AJ7- Size No. 6!2J066 BTu60,06o HP EDR Fuel kRr !�A-S Total Connected Load /2D, ®y0 Burner Trade Na BTU__ Size No. 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 rulings of the Building Division, and hereby declares that all the facts'and representations stated in this application are*true and correct. HEATING CO �L)arC hinl� ��G �wG - ^ - CHIMNEY AND STACK VERIFICATION The undersigned hereby verifies that the existing chimney or stack: 1. Has been carefully examined Yes (4 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 (V� No ( ) 6 Has total heating BTU's of S, O d 0 All other BTU's 0 --- TOTAL BTU's S, O Gy 7. Has a liner been provided for water heater Yes (V) No ( ) 8. Has combustion air been provided for water heater Yes (V/) No ( ) Remarks: List ALTERATIONS Being Done: HEATING CO: Signed By: Date: 9- At FA SUBJECT City of Fridley 30228 AT THE TOP OF THE TWINS BUILDING PERMIT i � COMMUNITY DEVELOPMENT DIV. INSPECTION SEC. f PROTECTIVE I CITY HALL FRIDLEY 55432 NUMBER REV DATE PAGE OF APPROVED BY 612-571-3450 910-F15 9/16/99 JOB ADDRESS 620 58th Avenue NE 1 LEGALLOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 7 7 1 Donna 's Lakeview Manor SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Roger Swansen 571-7547 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Renewal by Andersen 350 73rd Ave NE Fridley 55432 502-4777 20130983 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO B USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW ❑ ADDITION ❑ ALTERATION ®x REPAIR ❑ MOVE ❑ REMOVE B DESCRIBE WORK Replace 14 full frame windows in home within existing openings 9 CHANGEOFUSEFROM TO STIPULATIONS Provide smoke detectors in all sleeping rooms and on all levels of the dwelling. Permit Inspection Cards Will Be Mailed To Homeowner To.Post SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD VENTILATING OR AIR CONDITIONING. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING SO. FT CU FT. AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS. OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COMMENCED. NO DWLG. UNITS OFFSTREET PARKING I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION 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 $10,711 $5.35 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 $195.25 1 Pire SC $10.71 PLAN CHECK FEE TAL FEE Lice 'eC $ 0 $216.31 OF CON'RACTOR OR AUTMORi2E0 AGENT iDATEi P LY VA ATED THIS U ZRMIISiGNATUBE 77r A9,,.04SP SIGNATURE OF OWNEROF OWNER BUILDER, 1 AATEi TIATE FA NEWT ] Effective 5/10/99 ADDN [ ] CITY OF FRIDLEY ALTER [� SINGLE FAMILY AND DUPLEXES R-1 AND R-2 'u - BUILDING PERMIT APPLICATION Construction Address: (0 �R() • S g +-'-% 'AUj. tU. tel, - Legal Description: Owner Name & Address: {�,pq�Y' c�� Tel. # (p oZ • �� }S�•J� Contractor: MN LICENSE # RENEWAL BY ANDERSEN Address: 350 -73RD AVE. NE FRIDLEY. MN 55432 ( 612) 502-4777 _ Survey of the LICENSE #2m 3f19Ri i on it to scale. " t I. 1 1�I1' t f Cly' LIVING AREA: Length Width Height GARAGE AREA: Length Width Height DECK AREA: Length Width Hgt/Ground OTHER: P1IDIaCp�-,0 . l,,a;vin Q ( .-� 1 r\ Am , Construction Type: Driveway Curb Cut Width Needed: Ft. + 6 Ft = Tel. # Sq. Ft. Sq. Ft. Sq. Ft`.,� ^ ' -1 .� 1 1 M Y\ a 1 „Q uo;46 oa Estimated Cost: $ Ft x $ DATE: • f c� • -(� APPLICANT: Tel. #IQ Cn?. g�94 • o2x5q Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee Sewer Main Charge TOTAL STIPULATIONS: $ 19 ! �§ CITY USE ONLY Fee Schedule on Reverse Side .001 of Permit Valuation (1/10th%) $.50/$1,000 Valuation $1050 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 [ ] i CITY OF FRI15LEY INSPECTION DIV. 6431 University Ave NE Fridley, MN 55432 572-3604 APPLICATION FOR PLUMBING AND GAS FITTING PERMIT MARK NUMBER OF FIXTURES TO BE INSTALLED ON EACH FLOOR Effective On Jan 1, 2000 PLUMBING FIXTURE RATES: New Fixtures Old Opening, New Fixture Beer Dispenser Blow Off Basin Catch Basin Rain Water Leader Sump/Receiving Tank Water Treating Appliance Water Heater -Electric Water Heater - Gas** Gas Range** NO. RATE Gas Dryer** _ Back Flow Preventer Required ryes () No Type eu i Z .ew;S_sj,*)6 tL $ 7.00 $ 4.00 $ 5.00 $ 7.00 $ 7.00 $ 7.00 $ 7.00 $10.00 $ 7.00 $10.00 $10.00 $10.00 TOTAL JOB ADDRESS % D 5--0" $15.00 /.5-v 6 Reinspection Fee $47.00/Hr ALL OTHERS AND/OR REPAIRS AND ALTERATIONS 1.5% of Value of Fixture or Appliance State Surcharge $ _50 TOTAL FEE $-5o 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. 20 B C� Owner g Building Used As is d v Estimated Cost ®EPERMIT NO. / —)��L/ PLUMBING COMPANY /-9-R-`9 '061444CK 64. ?4164 SIGNED BY TEL N0. %17-1 Approved By Rough -in Date Final Date 6/1 00 COMBUSTION AIR SHALL BE PROVIDED PER UMC SECTION 504(A) AND TABLE 6-A. COMMON VENT INFO ON BACK SIDE 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 specifications including sizing, length, number of elbows and termination. Yes () No ( ) The undersigned also verifies that the replacement unit 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 ( ) The existing combustion air is sized and installed to meet the current codes and manufacturer's specifications. Yes () No ( ) When required to install 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 Type and Size/Common Vent and Vent Connector Information 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: CITY OF FRIDLEY 6431 UNIVERSITY AVENUE NE FRIDLEY, MN 55432 r63) 572-3604 FAX: (763) 571-1287 ADDRESS : 620 58 AVE NE PIN : 233024130051 LEGAL DESC : DONNAYS LAKEVIEW MANOR ADD : LOT 7 BLOCK 7 PERMIT TYPE : PLUMBING PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ADDITION/ALTERATION PE O.:200401115 ' DATE ISSUED: 07/14/2004 VALUATION : $ 5,300.00 NOTE: COMBUSTION AIR SHALL BE PROVIDED PER UMC CHAPTER 6 AND TABLE 6-A. INSTALL TWO FIXTURES. # ELEC WATER HEATERS 0 VALUE OF FIXTURE/APPLIANCE 0 # NEW FIXTURES (EXIST OPENINGS) 0 # GAS WATER HEATERS # GAS DRYERS 0 # GAS RANGES # OF NEW FIXTURES 2 VALUE (FOR MINIMUM CALC) # WATER TRMT APPLIANCES 0 APPLICANT OVERACKER TERRY PLUMBING 1630 CO RD 10 SPRING LAKE PARK, MN 55432- (763)572-8880 OWNER SWANSON ROGER W & EVELYN M 620 58TH AVE 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 worl 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 conitruction or the performance of constructican. ADDIicRT---� h Date 1 I Bldg Insp k�� Date PLBG PERMIT MINIMUM FEE PLBG FIXTURES (NEW OPENINGS) PLBG FIXTURES (EXIST OPENINGS) WATER TREATMENT APPLIANCE WATER HEATER - ELEC WATER HEATER - GAS GAS RANGE FEE GAS DRYER FEE PLBG REPAIR/ALTERATIONS STATE SURCHARGE, PLBG FLAT TOTAL PAID WITH CHECK # 7118 SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. 0 0 5300 0.00 20.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.50 20.50 CITY OF FRIDLEY INSPECTION DIV. 6431 University Ave NE Fridley, MN 65432 (763) 572-3604, FAX (763) 571-1287 Effective April 1, 2004 APPLICATION FOR PLUMBING AND GAS FITTING PERMIT MARK NUMBER OF FIXTURES TO BE INSTALLED ON EACH FLOOR PLUMBING FIXTURE RATES: NO. RATE TOTAL JOB ADDRESS New Fixtures $10.00 The undersigned hereby makes application for a permit for the work herein Old Opening, New Fixture $10.00 specified agreeing to do all work in strict accordance with the city codes Beer Dispenser $10.00 and rulings of the Building Division, and hereby declares that all the facts Blow Off Basin $10.00 and representations stated in this application are true and correct. Catch Basin $10.00 Rain Water Leader $10.00 DATE: .200 Y Sump/Receiving Tank $10.00 2 Water Treating Appliance $35.00 OWNER Water Heater -Electric $35.00 Water Heater - Gas** $35.00 BUILDING USED AS ° �1 Gas Range" $10.00 3 ®` Gas Dryer** $10.00 ESTIMATED COST PERMIT NO. Back Flow Preventer Required ( )Yes () No _ Type $15.00 PLUMBING COMPANY i�G� �'°`� �`�� Reinspection Fee $50.00/Hr SIGNED BYTEL N0. ALL OTHERS AND/OR REPAIRS AND ALTERATIONS 1.25% of Value of Fixture or Appliance Approved By Rough -In Date Final Date State Surcharge $0 U MINIMUM FEE FOR ANY PLUMBING/GAS PERMIT IS $15.00 or 5% OF COST TOTAL FEE $10,6 OF THE IMPROVEMENT WHICHEVER IS GREATER PLUS THE SURCHARGE. COMBUSTION AIR SHALL BE PROVIDED PER UMC SECTION 504(A) AND TABLE 6-A. "PROVIDE COMMON VENT INFO ON BACK SIDE FILL IN COMPLETELY FOR REPLACEMENT FUEL BURNING APPLIANCE PERMITS COMMON VENT, VENT CONNECTOR AND COMBUSTION AIR VERIFICATION When replacing an existing furnace, 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 specifications including sizing, length, number of elbows and termination. Yes ( ) No( ) The undersigned also verifies that the replacement unit 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( ) The existing combustion air is sized and installed to meet the current codes and manufacturer's specifications. Yes () No( ) When required to install a new combustion air, it will be sized and installed to meet the current codes and manufacturer's specifications. Yes () No ( ) When installina a new venting system, the undersigned hereby verges 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 Type and Size/Common Vent and Vent Connector Information 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 : Building $ 0 BUILDING Permit No.: . Inspections 65% of Building Permit Fee RESIDENTIAL APPLICATION Received By: 763-572-3604CITY Surcharge OF FRIDLEY Date Rec'd: DATE G b YOUR E-MAIL ADDRESS SITE ADDREs4 620 � Ay E- /✓ Z THIS APPLICANT IS: ❑ OWNER CONTRACTOR PROPERTY OWNER/ NAME: a Sc.✓.o-�✓S TENANT ADDRESS: 5 A -v E N - CITY 4 , h �- STAMP $ PHONE: z 3 "Sit = 'r47 1 CONTRACTOR NAME: I_S_t . ,f--.. STATE LICENSE # 2A 3 l t -i EXP DATE tl ly SUBMIT A COPY OF YOUR STATE LICENSE ADDRESS: .13 Z 52f- A -L E- `r, CITY • STAT1i!fZlp T e d WITH APPLICATION PHONE -k (2 ' 'L L _,r4rL FAX PROPERTY TYPE SINGLE FAMILYINEW CONSTRUCTION SIZE ❑ TWO FAMILY/NEW CONSTRUCTION STORIES PERMIT TYPE ❑ ADDITION ❑ GARAGE/SHED ❑ WINDOWS ❑ BASEMENT FINISH ❑ ROOF ❑ DRAIN TILE ❑ DECK ❑ SIDING -- QTHF-R ❑ SWIMMING POOL TYPE OF WORK: ❑ NEW DITION ❑ MAINTENANCE/REPAIR ❑ REMODELING DESCRIBE WORK BEING DONE: :r, - 1 h -L•A 9-, ter, :S e 2 u ubrJ f ISL- r 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 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, & PORCHES SUBMIT: ❑ Aluminum ❑ Trim 1. 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: (USING TEX1997 U.B.0 FEE SCHEDULE) TOTAL JOB VALUATION $ 1, . J 6 d, , OCCUPANCY TYPE Permit Fee $ 0 See Back Page for Fee Schedule Plan Review $ — 65% of Building Permit Fee Fire Surcharge $ .001 times the total job valuation Surcharge $ j .0005 x Permit Valuation Minimum $.50 License Surcharge $ dZ-1 $5.00 (State Licensed Residential Contractors) SAC Charge $ $1550 per SAC Unit (Plans to MWCC for determination) Curb Cut Escrow $ ft + 6 ft = ft x $21= $ Erosion Control $ $450 Conservation Plan Review Park Fee $ Fee Determined by Engineering Sewer Main Charge $ Agreement necessary ( ) Non Necessary ( ) Total Due $ gyp. 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 code 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 p it 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 whic quires review and approval of plans. �4y �7 SIGNATURE OF APPLICANT ll�7 PRINT NAM J &1" / DATE_2 I ��