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PRE 2010 DOCS• u C City -of Fridley, Minn. BUILDING PERMIT Date: _ July 3, 1967 owner: _Ray Scherer Bider Address 6541 tad Street N. E. Address Same Same LOCATION OF BUILDING No.. __L9 0 ____ Street _ 6 2nd Way NN . E . _ Part of Lot Lot ._.__2 Block 1 Addition or Sub -Division ._._potasAIs 39' 15' .P -3 ,P® N9 9344 Addn. Corner Lot — Inside Lot ____ X Setback Sideyard Sewer Elevation -- 822.25 825.25 Top of Footing DESCRIPTION OF BUILDING To be Used as: Dwelling Front 26' Depth 42 Height 20 Sq. Ft. 1092_ Cu. Ft. Garage Front Depth _ _ Height 10' Sq. Ft. Cu. Ft. Type of Construction Frame Est. Cost _ $162500 __ To be Completed Jan. 1, 1968 SEWER LOCATION - 21' East of Manhole on Riverview Terrace WATER LOCATION - 55' East of Manhole on Riverview Terrace 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 inm li with ah provisions of ordinances of the city of Fridley. $100.00 Seder ComUction Charge In consideration of the payment of a fee of $ 3 7- 00__, permit is hereby granted to ROY SCHERER to construct the building or addition as described above. This permit is granted upon the express condition that the person to whom it is granted and his agents, employees and workmen, in all work done in, around and upon said building, or any part thereof, shall conform in all respects to the ordinances of Fridley, Minnesota regarding location, construction, alteration, maintenance, repair and moving of buildings within the city limits and this permit may be revoked at any time upon violation of any of the provisions of d ordinances. CLARENCE BELISLE Building Inspector NOTICE: This permit does not cover the construction, instatlallon for wiring, ph"UhIng, gas heating, sewer or water. Be sum to see the Building Inspector for separate permits for thea Items. A1vr 1C 1V_'1rX3 MR B?IILDING M- r IT Mill OF i�.1 *X4Ei, MMIiESOTA OWNER'S NAME _`_/1.�..t -DER y ADDRESS j� S l 1Y p_ LOCATION OF BUILDING , N0. d STREET ND PART OF LOT LOT BLOCK ONE ADDITION OR- n S, -'S" CORNER LOT INSIDE LOTSETBACK 39 SIDE -YARD SEWER ELEVATION ?;P� � � -FOUNDATION ELEVATION Applicant attach to this t3 cafes, o Survey of Lot and proposed building location 4rawn on thes Cert DESCRIPTION OF BUILDING- To UILDING To Be Used Ad: d- Front Depth % Height Sq. Ft. lo7c4 Cu. Ft. Front Depth Height Sq. Ft. -Cu. Ft. Type of Construction Estimated Cost /6, S_0 G To Be Completed / ST 1 9/ 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 J U Lf 3 0_ SIGNATURE (Schedule of Fee Coats can be found on the Reverse Side). -:.. U• Application for Povaer Pianin and Nocalbig. 21mg. ven0avion, R 0g, amNan. Grad Air Conditioning Systoms ®nd Devi= PARTIAL RATE SCHEDULE Dept of Bldgs. Phone 560-3450 GRAVITY WARM AIR: Furnace Shell & Duct Work .......................... Replacement of Furnace ............................. Repairs & Alterations—up to $500.00 .................. Repairs & Alterations each add. $500.00 ............... MECH. WARM AIR Furnace Shell & Duct Work to 120,000 BTU ..:......... each add. 60,000 BTU ....................... Replacement of Furnace ............................. Repairs & Alterations—up to $500.00 ................. Repairs & Alterations each add. $500.00 .............. STEAM or HOT WATER SYSTEM RATE TOTAL $ LocaYioR $10.0a Each add. 200 sq. ft. EDR Steam ...................... ` $ 6000 City of Fridley: kdac $ 6000 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 over 3 gal. per hour --Pee Fee Schedule $ 3.00 and ruling of the Department of Buildings, and hereby declares that all the facts and representations stated in this application are true and correct. $ ®. � $10.00 Fridley, Minn �� 19 $ GAS FITTING fig: 199-1000 BTU 3.00 Owner 14 $ 6.00 Kind of Building C94__4 �� k4a $ 6.00 2.00 .......... x $ 3.00 Used as Com/ To be completed about. Furnace Shell & Lines—to 400 sq. ft. EDR Steam ...... fft $ Furnace Shell & Line—to 640 sq. ft. EDR Hot Water ... $ Each add. 200 sq. ft. EDR Steam ...................... Each add. 320 sq. ft. EDR Hot Water . ................ 9$ OIL BURNER—to 3 gal. per hour ................ ....... J $ over 3 gal. per hour --Pee Fee Schedule 99 GAS BURNER 1 BTU) � (tip to . ... ................. 5.00 $ GAS FITTING fig: 199-1000 BTU NO RATE TOTAL 1st 3 Fixtures ...................... _ x $ Additional Fixtuures..... , . x Gas Range to 2.00 .......... x $ AIR CONDITIONING g FAN HEATING SYSTEM See Fee Schedule VENTILATING SYSTEM $ ALTERATIONS & REPAIRS TOTAL FEE $ ROUGH J FIN $10.00 Estimated Cost, $ 76 ® _ 10.00 Old New. wilding Permit No. __�/t_3"6/ Pmmit No. 3.00 _ 3.00 DESCRIPTION OF WORic 6.00 HEATING or POWER PLANTS—Steam, Hot Water, <rm Air 0— Trade Name 4e ''-2 07 e if Size No. Q�V.2 " %/ Capacity Sq. Ft. E.D.R O O 0 ® BTU H.P. $2000 Total Connected Load 'Cil . % Kind of Fuel • 75 BURNER —Trade NameSize No. $5.00 Capacity Sq. Ft. E.D.R BTU H.P. (REMARKS -OVER) eaV Signed TIPl6 Auwn eiR CONDITIONIM By 4U0 }tC61S101t BLVD. MINK 14-42 Business Phone No A CR NSTROMS HTG. & AIR COND., INC. „lob Nam Ps 5evn D 76 4410 Excelsior Boulevard, Minneapolis 16, Minn. s•`e�'4t - / Sj� Vs ze NEAT LOSS CALCULATIONS Zi fires' (� G�/ Weatherstrips A.S.H. Guide .E. Construction No. I Insulation Windows Doors Reference Out. Wall Int. Wall Ceiling Roof FloorI Find How Applied Yes—No Yes—No 19— FQ ,..P W Room Length / 2 -Width // 2. Height Fl I Room I LengthWidth Height Windows and Doors—Crackage and Area ,+. Windows and Doors—Crackage and Area Width Height No. of ineal f . Area / Width Height No. of Lineal ft Ares No. of pane of pane lights of crack sq. ft. No. of pane of pane lights of crack sq. ft. Infiltration Glass Exp. wall Net exp. wall Int. wall Ceiling Floor Total Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area -99 F1.1 Room ( Length Width Windows and Doors—Crackage and Area I No. 1 of Btu Coef.l Btu Infiltration 14 2 Glass Exp. wall Net exp. wall Inc. wall Ceiling Floor Total Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area Fl.1 I Room I Length Ir Width Windows and Doors—Crackage and Area width Helght No. of Llneal ft. Area No. of pane of Dane lights of crack ea. ft. Infiltration f® Glass �. _ Exp: wall Net exp. wall _ Int. wall Ceiling r Floor Total Btu. rol Infiltration Glass Exp. wall Net exp. wall c1 Int. wall Ceiling 72 0 Floor Tbtal Btu. Required sq. ft. ED R. or sq. ins. WA. Leader area Btu Required sq. ft. E.D.R. or sq. ins. W.A. Leader area T *F F1.1 V. ��.��Room I Length / Width / V Height P- Windows an oors—Crackage and Area Width HeightNo. of Lineal ft. Ares No. of pane of pane lights of crack aq. ft. 4 Width Height No. of Lineal ft. Area No. of pane of pane lights of crack sq. ft. Coef. Btu Infiltration Glasskcv Exp. wall Net exp, wall 4/o 6 (� Coef. Btu Infiltration 0 Glass / U aExp. wall J Net exp. wall e) 1,7 9 C) Int. wall Ceiling Floor - CJ Total Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area l Fl.li eii .� Aloom I L.enath 4' / Width 17– Height Windows andboors—Crackage and Area Width HeightNo. of Lineal ft. Ares No. of pane of pane lights of crack aq. ft. 4 Coef. Btu Infiltration Glasskcv Exp. wall Net exp, wall 4/o 6 (� Int. wall Ceiling Floor Total -Btu. ft. E.D.R. or sq. ins. W.A. Leader area CRONWROMS HTG. & AIR COND., INC. Job Names , 5ekoeeye- D-5k 4410 Excelsior Boulevard, Minneapolis 16, Minn. 149--a t9! 26 HEAT LOSS CALCULATIONS Job Address Weatherstrips _ A.GHd • Construction No. WindowsI Doors Reference Out. Wall Int. Wall Ceiling Roof Floor I Kind How Applied Yes—No Yes—No 19— F1.1 A& rj wRoom I Length 11 Width .40 HeightV II FI.I Room I Length Width Height Windows and oors—Crackage and Area Width Heig t No. of Lineal f . Area No. of pane of p e lights of crack sq. ft. 10 J� Coef. Btu Infiltration Glass .267 Exp. wall *I e, vu ® O .22- Net exp. wall 67 Int. wall Ceiling Floor Total Btu. 1 Required sq. ft. E.D.R. or sq. ins. W.A. Leader area F1.1 Room I Length Width Windows and Doors—Crackage and Area Width Height No. of Lineal ft Area No. of vane of pane llghts of crack 84 . ft. Coef.1 Btu Infiltration Glass Exp. wall Net exp. wall Int. wall Ceiling Floor Total Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area F1.1 Room I Length Width Windows and Doors—Crackage and Area Width Height No. of Lfaeal ft. Area No. of pane of Dane llghts of crack on. ft. Btu Infiltration 1 Glass Exp. wall Net exp. wall Int. wall Ceiling Floor Tbtal Btu. Required sq. ft. E.D.R. orsq. ins. WA. Leader area Windows and Doors—Crackage and Area Width Height No. of Lineal ft. Area No. of pane of pane lights of crack sq. ft. Coef. Btu Infiltration Glass Exp. wall Net exp. wall Int. wall Ceiling -1 Floor Total Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area Fl.l Room I Length Width Height Windows and Doors—Crackage and Area Width Height No. of Lineal ft. Area No. of pane of pane lights of crack sq. ft. Coef. Btu Infiltration Glass Exp. wall Net exp. wall Int. wall Ceiling Floor Total Btu. Required sq. ft. E.D.R. or sq. ins. WA. Leader area F1.1 Room I Length Width Height Windows and Doors—Crackage and Area Width I Height No. of Lineal ft. Area No. of pane of ;ane lights of crack sq. ft. Coef. Btu Infiltration Glass Ezp. wall Net exp. wall Int. wall Ceiling Floor Total Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area • Date: • 0 City of Fridley, Minn. BUILDING PERMIT 10/5/67 N9 9486 Owner: _ Drew Scherer Bider A, R- Co. Address 6525 2nd St. N. E. Address — 1308 Main St. N.E . LOCATION OF BUILDING No. 190 Street 62nd Waw_ part of Lot Lot ___ Block Corner Lot —_ Inside Lot Addition or Sub -Division ._— — Setback — . - Sideyard Sewer Elevation -- Foundation Elevation DESCRIPTION OF BUILDING To be Used as: Front _ _ Depth Height — Sq. Ft. Cu. Ft Front Depth Height Sq. Ft _ Cu. Ft Type of ConstructionAsphalt Drive Fit cost "_...i3 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 �t forth and in compliance with a'll provisions of ordinances of the city of Fridley. // In consideration of the payment of a fee of $ 5 , permit is hereby granted to A.B. C. Blacktop Co. to construct the building or addition as described above. This permit is granted upon the express condition that the person to whom it is granted and his agents, employees and workmen, in all work done in, around and upon said building, or any part thereof, shall conform in all respects to the ordinances of Fridley, Minnesota regarding location, construction, alteration, maintenance, repair and moving of buildings within the city limits and this permit may be revoked at any time upon violation of any of the Provisions of said ordinances. CLARENCE BELISLE Building Inspector NOTICE: This penult does not cover the construction, Installation for whbg, plumhing, gas heating, sewer or water. Be sure to no the Building Inspector for separate permits for these Mme. APPLICATION FOR BUILDING PERMIT CITY OF FRIDLEY, MINNESOTA OWNER'S NA UILDER 0 ADDRESS l9 52 S-_ �%, 11i > ADDRESS LOCATION OF BUILDING NO. �7 Q STREET__r c W,4a- PART OF LOT LOT BLOCK ADDITION OR SUBDIVISION CORNER LOT INSIDE LOT SETBACK SIDE -YARD SEWER ELEVATION TOP OF FOOTING Applicant attach to this form two certificates of survey of lot and proposed building location drawn on these two certificates. To be -Used as: DESCRIPTION OF BUILDING Front Depth Sq. Ft. Cu. Ft. Front Sq. Ft, Depth Cu. Ft. Height Height Type of Construction ASP/ ,9L7" D.,Vi aa- Estimated Cost 1(� To Be Completed -a 0 4' Z 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 Buildings, and hereby declares that all the facts and representations stated in this application are true and correct. DATE C% SIGNATURE (Schedule of Fee Costs can be found on the Reverse Side). CITY OF FRIDLEY INSPECTION DIV. 6431 University Ave NE Fridley, MN 55432 572-3604 Effective On January 1, 1991 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 I "1 U u0c, /`1-0 Ukj�I Y-1, U, New Fixtures $ 7.00 The undersigned hereby makes application for a permit for the work herein Old Opening, New Fixture 1 $ 4.00 specified agreeing to do all work in strict accordance with the city codes Beer Dispenser $ 5.00 and rulings of the Building Division, and hereby declares that all the facts Blow Off Basin $ 7.00 and representations stated in this application are true and correct. Catch Basin Rain Water Leader $ 7.00 $ 7.00 11991 Sump/Receiving Tank $ 7.00 Water Treating Appliance $10.00 Owner Water Heater -Electric $ 7.00 Water Heater - Gas $10.00 Building Used As Gas Range $10.00 — Gas Dryer$10.00 Estimated Cost -PERMIT NO. Back Flow Preventer Required ( )Yes () No 'A Type $5.00 PLUMBING COMPANY C Reinspection Fee $30.00 SIGNED BY TEL N0. k4t2 l-qq V3 ALL OTHERS AND/OR REPAIRS AND ALTERATIONS 1 % of Value of Fixture or Appliance ., i Final Date --�� Approved By Rough -In Date State Surcharge .50 MINIMUM FEE FOR ANY PLUMBING/GAS PERMIT IS $15.00 TOTAL FEE $ PLUS THE $.50 STATE SURCHARGE I 0 -D'D c `tj SUBJECT P City of Fridley 21415 1 AT THE TOP OF THE TWINS B U I L D I N G PERMIT Ir E2 IPT 1 __ COMMUNITY DEVELOPMENT DIV. -___; L �� �/ r PROTECTIVE INSPECTION SEC. o CITY HALL FRIDLEY 55432 NUMBER REV GATE PAGE OF APPROVED BY 612-571-3450 910415 6/23/92 JOB ADDRESS 190 - 62nd Way NE 1 LEGALLOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 2 1 Potasek's Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Marleen Gibson 190 - 62nd Way NE 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Custom Repair Co„ Inc. 6726 5th Street N, Brooklyn Center 560-2755 PENDING 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 Ek REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Install new kitchen cabinets and countertops 9 CHANGE OF USE FROM TO STIPULATIONS See notations on plan TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, VENTILATING OR AIR CONDITIONING. ZONING SQ. 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 $5, 500 $2.75 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- $81,00 Fire SC $5.50 STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. PLAN CHECK FEE TOTALFEE License SC $5.00 $94.25 SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT IDATEIENP PqLY, )WAALI12ATX0THIS IS YOUR PERMIT -1 6-2-3 LIZ, DG I SP gA7E SIGNATURE OF OWNER 0F OWNER BUILDERI IDATEI NEW [ ] Effective 3/1/92 ADDN [ ] CITY OF FRIDLEY ALTER [) SINGLE FAMILY AND DUPLEXES R-1 AND R-2 Building Permit Application Construction Address: /20 6 2 tid l& C Legal Description: Owner Name & Address: Tel. # Contractor: �0!5 74 aY2 l e.0 A i e C Z — MN LICENSE # Address: ,.%� S� t)� �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: 1 � V - Corner Lot [ ] Inside Lot [ ] Type of Construction: Approx. Completion Date: Ft. Yd Setback Side Yard Setbacks Estimated Cost: $5� (Cost on Back) Driveway Curb Cut Width Needed: Ft. + b Ft = Ft x $ _ $ c DATE: ( t 1�- S APPLICANT: Tel. CITY USE ONLY Permit Fee $ C> %r a ® Fee Schedule on Reverse Side Fire Surcharge $ off® .001 of Permit Valuation (1/10th%) State Surcharge $ e ��® $.50/$1,000 Valuation SAC Charge $ $700 per SAC Unit License Surcharge $ $5.00 (State Licensed Residential Contractors) Driveway Escrow $ Alt. "A" or Alt. "B" Above Park Fee $ Fee Determined by Engineering Sewer Main Charge $ Agreement Necessary [ ] Not Necessary [ ] TOTAL $ STIPULATIONS: L4) 12t w y o O SUBJECT PERMIT NO. City of Fridley 28433 72®D4 THE TWINS BUILDING PERMIT RECEIPT NO. COMMUNITY DEVELOPMENT DIV. ` J r PROTECTIVE INSPECTION SEC. �� `% NUMBER REV DATE PAGE OF ApvROVED Br CITY HALL FRIDLEY 55432 L J` 612-571-3450 910-F15 10/27/98 JOB ADDRESS 190 62nd Way NE I LEGAL LOT NO. BLOCK TRACTOR ADDITION SEE ATTACHED DESCR. 2 1 Potasek's Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Marlene Gibson574-0309 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Right Way Roofing 1200 EA53-0049 14999 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 O ADDITION O ALTERATION §Ek REPAIR ❑ MOVE O REMOVE B DESCRIBE WORK Reroof house and garage 25 S 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 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 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 $2142 $1.07 DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PERMIT FEE SAC CHARGE THER STATE OR LOCAL LAW REGULATING CON- CON- NCONSTRUCTION]4,]5 Fire .S Ci 2.14 ZTMT PLAN CHECK FEE TOTAL FEE '1 ��� License SC 5.0 82.96 S�GNATU CON'AACTOR OR AUTHORIZEO AGENT IOATEI WHEN PROPERYVJVALIDATED THIS IS YOUR PERMIT BLD INSP FIAYE S-GNATURE OF OWNER SIF OWNER BUILDERI IDATE, NEW ~ [ I Effective 1/1/98 ADDN [ ] CITY OF FRIDLEY ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION ConstructionAddress: Im Legal Description: Owner Name & Address: MCL(k , &I l Tel. # S74tj-y` t Contractor: IZIgVU wCU'] Roo��:vMN LICENSE # ( fAcjq Address: 17-00 E . "� C� j-. Tel. # S-�)-WQC4 Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF AWROVEMENT 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 Driveway Curb Cut Width Needed: Estimated Cost: $ (Fee Schedule on Back) Ft. + 6 Ft = Ft x $ mg? DATE: 101ZLOM, APPLICANT: Tel. # Permit Fee $ 76 Fire Surcharge $ State Surcharge $ SAC Charge $ .� License Surcharge $ Driveway Escrow $ Erosion Control $ Park Fee $ Sewer Main Charge $ TOTAL $-f ( STIPULATIONS: CITY USE ONLY Fee Schedule on Reverse Side .001 of Permit Valuation (1/10th%) $.50/$1,000 Valuation $1000 per SAC Unit $5.00 (State Licensed Residential Contractors) Alt. "A" or Alt. "B" Above $450.00 Conservation Plan Review Fee Determined by Engineering Agreemeftt Necessary [ ] Not Necessary [ ] Building BUILDING Permit No.: -i- 44.1 Inspections RESIDENTIAL APPLICATION Received By: 763-5,,72-5604 CITY OF FRIDLEY Date a 'd: DATE ��00 YOUR E -MAI DRE I iri I it SSU-- r U S C U C U YYl SITE ADDRESS Curb Cut Escrow, $ THIS APPLICANT IS: C NTRACTOR Park Fee PROPERTY OWNER/ NAME: $ TENANT ADDRESS: CITY STATE ZIP PHONE: CONTRACTOR NAME. SUBMIT A COPY OF STATE LICENSE # !73 EXP DATE 3TA/0 YOUR STATE LICENSE L�-e- 55313 ADDRESS: 515.73 . CITY �Y)t,�-a- STAT� WITH APPLICATION PHONE 9S2 • 935 !po g FAX 452 - 9.3.5 ' 95Vq PROPERTY TYPE ❑ SINGLE FAMILY/NEW CONSTRUCTION SIZE ❑ TWO FAMILY/NEW CONSTRUCTION STORIES PERMIT TYPE Q ADDITION ❑ GARAGEISHED ROWS ❑ BASEMENT FINISH ❑ ROOF DRAIN TILE ❑ DECK ❑ SIDING ❑ OTHER ❑ SWIMKING POOL TYPE OF WORK:❑ w 13 ADDITION ANCE/REPAIR ❑ REMODELING DESCRIBE WORK BEING DONE• 0 I 0 off- 1. S SIZE OF IMPROVEMENT LENGTH WIDTH HEIGHT d ROOFING ❑ HOUSE ONLY NUMBER OF SQUARES ❑ HOUSE & GARAGE BASEMENT REMODELING SUBMIT: GARAGES ❑ ATTACHED GARAGE 1. 2. Existing Floor Plan Proposed floor plan PROPOSED SIZE: PROPOSED HEIGHT: ❑ DETACHED GARAGE 3. List of structural members to be used SIDING / G FOR NEW CONSTRUCTION INCLUDING DECKS, ❑ Vinyl ❑Soffit %� ADDITIONS. & PORCHES SUBMIT: ❑ Aluminum ❑ Trim 1. Site Plan/Survey showing the existing structures ❑ Other ❑ Fascia 3 pwn i and proposed project WINDOWS 2. 2. Two sets of construction plans 3. Energy Calculations IN EXISTING OPENINGSA Yes [No ATION OF WINDOWS 0 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: TOTAL JOB VALUATION S (USING . X1 -00 .B.0 FEE SCHEDULE)OOCCUPANCY TYPE Permit Fee $1i 31i. �S Plan Review $ Fire Surcharge $ Surcharge $ ! P - %O License Surcharge $ SAC Charge $ Curb Cut Escrow, $ Erosion Control $ Park Fee $ • Sewer Main Charge $ Total Due $ See Back Page for Fee Schedule 65% of Building Permit Fee .001 times the total job valuation .0005 x Permit Valuation Minimum $.50 $5.00 (State Licensed Residential Contractors) $1550 per SAC Unit (Plans to MWCC for determination) ft+6ft= ftx$21=$ $450 Conservation Plan Review Fee Determined by Engineering Agreement necessary ( ) Non Necessary ( ) Make checks payable to: City of Fridley Attach THIS IS AN APPLICATION FOR A PERMIT -NOT VALID UNTIL PROCESSED I hereby apply for a building permit and I acknowledge that the information above is complete and accurate; that the work will be in conformance with the ordinances and 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 rmit 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 uii es r ' w and ap roval of plans. SIGNATURE OF APPLICANT PRINT NAME / ( VO4ATE