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PRE 2010 DOCSApplication for Power Plants and Heating, Cooling. Ventilation. Reh igercand Air Conditioning Systems and Devices PARTIAL RATE SCHEDULE GRAVITY WARM AIR: RATE TOTAL Furnace Shell & Duct Work .......................... 8.00 $ Replacement of Furnace ............................. 5.00 $ Repairs & Alterations—up to $500.00 .................. 5.00 $ Repairs & Alterations each add. $500.00 ............... 2.50 $ NECH. WARM AIR Furnace Shell & Duct Work to 120,000 BTU ............ 8.00 $ each add. 60,000 BTU ....................... 9.00 ¢ Replacement of Furnace ............................. 5.00 $ Repairs & Alterations—up to $500.00 5.00 $ Repairs & Alterations each add. $500.00 .............. 2.50 $ STEAM or HOT WATER SYSTEM Furnace Shell & Lines—to 400 sq. ft. EDR Steam ...... 8.00 $ Furnace Shell & Line—to 640 sq. ft. EDR Hot Water ... 8.00 $ Each add. 200 sq. ft. EDR Steam ...................... 2.50 $ Each add. 320 sq. ft. EDR Hot Water .................. 2.50 $ AO OIL BURNER—to 3 gal. Per hour ........................ 5.00 $ over 3 gal. per hour—See Fee Schedule GAS BURNER (up to 400,000 BTU) ....................... 5.00 $ GAS FITTING FEES: NO RATE TOTAL 1st 3 Fixtures ...................... x $1.50 $ 2. Additional Fixtures ................. x .50 $ Gas Range to 200,000 BTU ........... x 2.00 $ i A14 CONDITIONING $ FAN HEATING SYSTEM See Fee Schedule VENTILATING SYSTEM ALTERATIONS & REPAIRS TOTAL FEE REMARKS: Dept. of Bldgs. Phone SII 4-7470 y '1�7 re Locallo City of Fridley: The undersigned hereby makes application for a permit for the work herein specified, agreeing to do all work in strict accordance with the City Ordinances and ruling of the Department of Buildings, and hereby declares that all the facts and representations stated in this application are true and correct. Fridley, �11?3nn. 1951— Owner vv 19510 V — Kind of Building e Used as To be completed about 195— DESCRIPTION OF WORK HEATING or POWER PLANTS—Steam, Hot Water —No Trade Name/ �_ Ari Size No� ' Capacity ��►� Sq. Ft. E.D.R BTU H.P. Total Connected Load j v Kind of Fuel BURNER — Trade Name Size No A4 " 1 Capacity 7V /1 Sq. Ft. E.D.R BTU H.P. FRANK'S HEATING AND SHEET METAL Sign By 6' 11 POST IM -12-58 Business Phone No- gm/. s-1® fjjes, PA r� w�LltUP D•56 r v 61a -f e, /G. t° v ex 1U. HEAT LOSS CALCULATIONS fZ ?,;E I., DEPARTMENT OF BUILDINGS WeatherstripsA.S.H. .E, Construction No. Guide Windows Doors Reference Out. Wall Int. Wall Ceiling Roof I Floor Kind Yes— Ye 19— F1.1 9_Fl 1 Py, Room I Length Width/ 4 H ight 4PRoom I I Windows and Doors--Crackage and Area Windows and Doors -Cry Total Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area / F1.1 r Room I Length A otVidth 9 Height S/ Windows and Doors—Crackage and Area Width Height No. of Lineal ft. Area No. of Dane Of.pane lights of crack sq. ft. Width Height No. o Lineal ft. Area No. of pane of pane lijkht. of crack sq. ft. Width Height No. of Lineal ft. Area No. of pane of pane lig is of,crack sq. ft. Coef. Btu Infiltration Coef. Btu Coef. Btu Infiltration A , AY e 3 3e-lr4 Glass ?! ® Z4 Z73 Exp. wall ZL may/ Zo 4L ,X Net exp. wall Int. wall 6o d Ceiling Floor ,y e ® O / Total Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area / F1.1 r Room I Length A otVidth 9 Height S/ Windows and Doors—Crackage and Area Width Height No. of Lineal ft. Area No. of Dane Of.pane lights of crack sq. ft. Width Height No. o Lineal ft. Area No. of pane of pane lijkht. of crack sq. ft. Coef. Btu Infiltration Coef. Btu InfiltrationOji . A , AY e //SS (e 0 Glass ?! Glass Glass Ceiling Exp. wall Zo 4L ,X Exp. wall J� Net exp. wall 1-1")Ol a. 0 Int. wall OQ Od Q D Ceiling f( j ® O Floor t ® :7 71 Total Btu.' Required sq. ft. E.D.R. or sq. ins. W.A. Leader area / F1.1 n 10 Room I Length // Width ®/ Height ,P - Windows Tnd Doors—Crackage and Area Width Height No. of Lineal ft. Area No. of Dane Of.pane lights of crack sq. ft. Width Height No. of Lineal ft. Area No. of pane of pane lights of crack sq. ft. Coef. Btu Infiltration Coef. Coef. Btu Infiltration A , AY e //SS (e 0 Exp. wall If 9 1. - Glass Glass Ceiling Net exp. wall IVA Exp. wall J� Int. wall Net exp. wall OQ Od Q D Int. wall Ceiling axZ jo,/v Floor a Total Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area No. 1 of Insulation How Applied Width Height e and Area Lineal ft. Area of crack sq. ft. ®J. Coef.1 Btu Infiltration ® • 3 lax Ar Glass ?• d 320 Exp. wall Net exp. wall -430 Int. wall Ceiling X oe® 1,4 'oeQ0 Floor oeo �© Total Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area Fl.l Room I Lenffth //I ` Width O�Height A' f 11 Windows and Doors—Crackage and Area Width Height No. of Lineal ft. Area No. of Dane Of.pane lights of crack sq. ft. Width Height No. of Lineal ft. Area No. of pane of pane lights of crack sq. ft. Coef. Btu Infiltration Coef. Btu Infiltration A Glass jws //SS (e 0 Exp. wall Add Ceiling Net exp. wall IVA Int. wall Ceiling ®i x 9 itG Floor OQ Od Q D Total Btu. 3 Required sq. ft. E.D.R. or sq. ifis. W.A. Leader area F1.1 Room I Lenath Width ' Height Windows and Doors—Crackage and Area Width Height No. of Lineal ft. Area No. of Dane 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. W.A. Leader area y qU/ lJ Aie City of Fridley Ji Application for Plumbing and Gas Fitting Permit Dept. of Bldgs. Phone 560-3450 DESCRIPTION OF WORK Number, Kind and Location of Fixtures Location 'e ye w7i1, RATE TOTAL Number Fixtures ...................... ti F $1.50 Z W Z • • WATER HTR. N GAS ELEC. 1.20 $ New Fixture Old Opening .............. x 1.00 $ Catch Basin.... ....................... x 3.25 $ va x 2.00 $� New Ground Run Old Bldg. ............ x Base $ GAS FITTING FEES: NO. RATE TOTAL 1st 3 Fixtures .......................... x $1.50 $ Additional Fixtures .................... x 1st $ Gas Range to 200,000 BTU .............. x 2.00 $ 2nd 3rd 4th • Future Connection Openings Connected with I Sewer E] New Fixture, Old Openings Cesspool PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: NO. RATE TOTAL Number Fixtures ...................... x $1.50 $ Future Fixture Opening ................ x 1.20 $ New Fixture Old Opening .............. x 1.00 $ Catch Basin.... ....................... x 3.25 $ Water Heater (Up to 200,000 BTU) ...... x 2.00 $� New Ground Run Old Bldg. ............ x 3.25 $ GAS FITTING FEES: NO. RATE TOTAL 1st 3 Fixtures .......................... x $1.50 $ Additional Fixtures .................... x .50 $ Gas Range to 200,000 BTU .............. x 2.00 $ REPAIRS & ALTERATIONS—Refer to Code Description ................................................$ TOTAL FEE $� City of Fridley: 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, Owner Kind of Building Used as To be completed about Estimated Cost, $ jd—New. Building Permit ROUGH FINAL lL - sE 6 d2 l9 -k2 f1b 10 SUBJECT P City of Fridley 12900 AT THE TOP OF THE TWINS BUILDING PERMIT R IPT • �_' COMMUNITY DEVELOPMENT DIV. 19537Vr PROTECTIVE INSPECTION SEC. 1 � = CITY HALL FRIDLEY 55432 NUMBER REV. DATE PAGE OF APPROVED BY 612-580-3450 910-F15 4/11/75 JOB ADDRESS 141 - 64-� Way N.E. 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 12 Auditor's Sub. #23 SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Larry Gilmer 141-642� Way N.E. 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. 6 USE OF BUILDING Residential —T -CLASS OF WORK ❑ NEW Ij ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Construct a 20' x 24' Addition to dwelling plus a 20' x 24' Garage 9 CHANGE OF USE FROM TO STIPULATIONS Provide a hard surface driveway. SEPERATE PERMITS REQUIRE® FOR WIRING, HEATING, PLUMBING AND SIGNS. TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, 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 OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT R-1 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 I S TYPE OF WORK WILL BE COMPLIED. $11,112 5.56 EIN H WHETHER SPECIFIED R WITH NOT. THE GRANTING OFA 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- $39.26 STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. PLAN CHECK FEE TOTAL FEE $44.82 SIGNATURE OF CONTRACTOR OR AUTH RI ED AGPLT IDATEI WHEN PROPERLY VALIDATED .THIS IS YOUR PERMIT BLDG INSP DATE SIGN AT OF OWNERIIF OW ER UILDERI IDATEI' OIC -7 APPLICATION FOR RESIDENTIAL, ALTERATION, OR ADDITION BUILDING PERMIT CITY OF FRIDLEY, MINNESOTA OWNER'S NAME: BUILDER: ,2 ADDRESS: ADDRESS: NO:.�L STREET: LOT: vL BLOCK •_ �i 33-1- 15- 6C'-6-0 ADDITION : AtAL _?to F_S 'S U CORNER LOT: INSIDE LOT: V SETBACK: SIDEYARD: 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: Cert 261 5E Front: ) Depth: 7 Height: Square Feet: Cubic Feet: - Front• r_Depth• Height: -/ 0 Square Feet; Cubic Feet: Go Type of Construction: Estimated Cost: $ $ 352 To Be Completed: / Gke� 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: c �®`-/9%5 SIGNATURE• (See Reverse Side For Additional Information.) i940 •- 3 39"t4 mil M co Ive- vi -pro �r -P Odf I' V\ U 1,A Tic 6,% To ofS P-otxv4)e.�IOV'*- wl,-tk roz,it&�'Jro-j^ A, - Oro I -It V."atep /6""w,'Je (' 6-10 r. k dcP Y7-,, 'o ei 410 `>� Z;/-' iek 0 Om Z0 )( V — Cm- I. *- q P. Z6 v Cl LA CA M co Ive- vi -pro �r -P Odf I' V\ U 1,A Tic 6,% To ofS P-otxv4)e.�IOV'*- wl,-tk roz,it&�'Jro-j^ A, - Oro I -It V."atep /6""w,'Je (' 6-10 r. k dcP Y7-,, 'o ei 410 `>� Z;/-' iek 0 Om Z0 )( V — Cm- I. *- q P. Z6 v 6 �/� 0 '0/7 lot i I E I. X -t as 0/"A;!� im 0 T SUBJECT IT N City of Fridley NA27 AT THE TOP OF THE TWINS PERMIT ` ' ` BUILDING CEIPT NO. COMMUNITY DEVELOPMENT DIV. r PROTECTIVE INSPECTION SEC. "1 CITY HALL FRIDLEY 55432 NUMBER REV. DATE PAGE OF APPROVED BY 612-560-3450 910-F15 2/18/77 JOB ADDRESS 141 - 641 Way N.E. 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 12 Aud. Sub. #23 SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Larry Earl Gilmer 141 - 64h Way N.E. 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. 6 USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW ❑ ADDITION ❑ ALTERATION QA REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Fire Repair 9 CHANGE OF USE FROM TO STIPULATIONS Install steps to garage. Replace basement stairway. Insulate under bathroom tub. Call for final inspection under old permit #12,900 by June 1, 19 SEppATE PIERMITS -REQUIRED -FOii WONG NEATINC, PLUMBING AND SIGNS. TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, VENTILATING OR AIR CONDITIONING. Wood Frame 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 R-1 ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS OFFSTREET PARKING I HEREBY CERTIFY THAT 1 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, $1,000 $'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- $7.50 STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. PLAN CHECK FEE TOTALFEE $8.00 OF CONTRACTOR AUS FAZED AGENT (DATE) WHEN P OPERLY VALIDATED THIS IS YOUR PERMIT xSIGNATURE BLDG INSP DATE SIGNATU F OWNE IIF 0 N 'R BUILDERI (DATE) CITY OF FRIDLEY APPLICATION FOR RESIDENTIAL BUILDING PERMITS (NEW, ALTERATIONS, ADDITIONS, OR REPAIRS) OWNER: Address: / rZ/ - 1. No.: /4/ Street: BUILDER: Address: Tel. No.: LOT: /.)- BLOCK: ADDITION: /7 CORNER LOT: INSIDE IAT: SETBACK: SIDEYARDS: 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: Fire L IeLt 6 /� Front: Depth: Height: Square Feet: Cubic Feet: Front: Depth: Height: Square Feet: Cubic Feet: Type of Construction: lot. a) /) &_ Estimated Cost: $ /� — Th Be Completed: /Alt. A Alt. B Proposed Driveway Width If New Opening Is Desired $ $ (SEE REVERSE SIDE OF SHEET) • 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 andcorrect. See reverse side for additional information. DATE: ,� 2 SIGNATURE: Stipulations: ecrive Aug. 1, 19UI "3-8)1-879001 CITY OF FRIDLEY APPLICATION FOR PLUMBING AND GAS FITTING PERMIT RATE SCHEDULE PLUMBING FIXTURE RATES: NO. RATE New Fixtures- $ 5.00 Future Fixtures $ 3.50 Old Opening, New Fixture $ 1.50 Beer Dispenser $ 4.00 Blow Off Basin $ 5.00 Catch Basin Water 5.00 Rain Water Leader $ 5.00 Hydraulic Valve $ Ne r Wq 5.00 Water Treating Appliance ai p, W $ 5.00 Heater $ 10.00 Gas Dryer $ 10.00 ALL OTHERS AND/OR REPAIRS AND ALTERATIONS 43E 1% of Value of Fixture or Appliance State Surcharge Amo ($15.00) TOTAL FEE aQa5 romp M 8 B w 4, � .m1 Wm lec V1 9U D N 3 [] W fA W U fA 3 t7 S t7 O let 2nd 3rd 4th (R) = Future Connection Opening Connected with Sewer (*) = New Fixture, Old Opening Water RATE SCHEDULE PLUMBING FIXTURE RATES: NO. RATE New Fixtures- $ 5.00 Future Fixtures $ 3.50 Old Opening, New Fixture $ 1.50 Beer Dispenser $ 4.00 Blow Off Basin $ 5.00 Catch Basin $ 5.00 Rain Water Leader $ 5.00 Hydraulic Valve $ 5.00 Sump or Receiving Tank $ 5.00 Water Treating Appliance $ 7.00 Hot Water Heater $ 5.00 Gas Range $ 10.00 Gas Dryer $ 10.00 ALL OTHERS AND/OR REPAIRS AND ALTERATIONS 1% of Value of Fixture or Appliance State Surcharge Reinspection Fee $ ($15.00) TOTAL FEE TOTAL S S $ .50 $ lo.5o Job Address 1L1 NE _612 Way Department of Buildings City of Fridley Tel. #571-3450 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 Department of Buildings, and hereby declares that all the facts and representations stated in this application are true and correct Fridley, Mn. 10-11-;31 , 19 OWNER nkTTJSHNK KIND OF BUILDING frame USED AS res. TO BE COMPLETED ABOUT 100.00 ESTIMATED COST OLD - NEW BUILDING PERMIT NO. PERMIT NO. (3'22[Q moo.. Com Signed By MINNEGAS(O Tel. No. ROUGH INSP. Date FINAL INSP. 14 - c/-" Date APPROVAL FOR PERMIT WfOa MINIMUM FEE FOR ANY PLUMBING PERMIT IS $10.00 PLUS THE $.50 STATE SURCHARGE I 01 SUBJECT M) City of Fridley 28671 AT THE TOP OF THE TWINS BUILDING PERMIT 572-3VANITY DEVELOPMENT DIV. /SPROTECTIVE (� INSPECTION SEC. 1 � = CITY HALL FRIDLEY 55432 NUMBER REV DATE PAGE OF APPROVED BY 612-571-3450 910 -FIS 11/30/98 JOB ADDRESS 141 64 1/2 Wav_NR 1 LEGAL LOT NO. BLOCK TRACTOR ADDITION SEE ATTACHED DESCR. Par. 2060 SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Bernadin Matushak 571-8647 3 CONTRACTOR MAIL ADDRESS 707-6959 ZIP PHONE LICENSE NO American Bld .Contractors Inc. 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE N0, 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO 6 USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW ❑ ADDITION O ALTERATION gx REPAIR O MOVE O REMOVE 8 DESCRIBE WORK Reroof house and garage (25 SQ) Tear -off; RPRjdP houge and garage; Construct a 10' x 6' deck 9 CHANGEOFUSEFROM TO STIPULATIONS Underlayment must comply with the State Building Code. 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 OWLG. 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 2695 1.35 DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PERMIT FEE SAC GE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- STRUCTION OR THE PERFORMANCE OF CONSTRUCTION $74.75 Fir77C$2.69 PLAN CHECK FEE TO AL F. E Lic 3.79 NATURE O� AR Op AUT CTOHORIZED AGENT IOATEI EN OP A ID THIS IS YOUq PERMIT BL INSO MATE SIGNATURE O� OW NER,it OWNER BUILDER, IDATEi 01 NEW ' [ ] Eftective 1/1/98 ADDN [ ] CITY OF FRIDLEY ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION�0� ConstructionAddress: �'"/ G �( �`' L,,A Legal Description: Owner Name & Address: , k 4 S NA Tel. # S 7 / - �► � `� � Contractor: M wr L-•— A V. �J �--ti C ®,: t r m -�o 0 MN LICENSE # Address: L -L ' j 3 N Q C. 0 L t- 4 S ® Tel. # ( % T� 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 / o Width Hgt/Ground /y �( Sq. Ft. OTHER: I1 Construction Type: ® Estimated Cost: $ / Driveway Curb Cut Width Needed: DATE: APPLICANT: (Fee Schedule on Back Ft. + 6 Ft = Ft x $ = $ Tel. # TOTAL STIPULATIONS: CITY USE ONLY � Permit Fee $ 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 $ Ov $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: The Home Depot #2502, 5650 MAIN ST., N.E., FRIDLEY, MN 55432, Sat Nov 28 16:23:34 1998 File saved as: c:�cgdesign\decks\7864432b.DEK Deck Dimensions fcr Deck 1 r I l � ' 7r' - De( 1 ' I X�l 772W Joist Spacing = 16 in. o.c ". X Railpost Spacing 96 iii, c., ;.n., Toe Spacirna = ? i_.. Ra-liny Height = Sta.i.r 1: Rise = 6 in., Ru = II i.n. f0Q Hew 3c�'� iTt* o" rq e I Z/O I � i 0 F� -Feoct it ROO ' IS Building F SQUARES BUILDING Permit No.: Inspections GARAGES RESIDENTIAL APPLICATION. 'Received By-� (� 763-572-3604 PROPOSED SIZE: 17 DETACHED GARAGE • 2. Proposed floor plan CITY OF FRIDLEY .0005 x Permit Valuation Minimgm $.50 763-502-4977 FAX List of stnwtu:al members to be used SIDING ❑ Vinyl Date Pff et FOR NEW CONSTRUCTION INCLUDING DECKS, $1825 per SAC Unit (Plans to MWCC for determination) EFFEcrIVE l -I -os _MAk_o_p �y DATE �l P L/ YOURS-MALADDRESS ❑ Trim SITE ADDRESS Site Plan/Survey showing the existing structures $ THIS APPLICANT IS: ❑ OWNER YNTRACTOR/ and proposed project, ' PROPERTY OWNER/ NAME: 2• TENANT ADDRESS: �S�/ l04� Ya �1, 7'I z✓ cITY STAne N•ZIP 3. PHONE: 7/� OR FOR NEW OPENINGS -DESCRIBE SIZE OF– CONTRACTOR SUBMIT A COPY OF NAME: ADDRESS. PHONE 4o STAT�'IZIP Ul YOUR STATE LICENSE FAX �p st 7 —O STATE LICENSE # % EXP DATE Wr numIM nv v,.,..,,.,-- J PROPERTY TYPE INGLE FAMILY N SIZE ❑ TWO FAMILY/NEW CONSTRUCTION STOi PERNTr TYPE ❑ ADDITION ❑ GARAGEISHED WS ❑ BASEMENT FINISH ❑ ROOF ❑ DRAIN TILE ❑ DECK ❑ SIDING ❑ OTHER TYPE OF WORK: ❑ G POOL ❑ NEW HOME CONSTRUCTION ❑ ADDITION -BUAINTENANICPIREPAIR ❑ REMODELING DESCRIBE WORK BEING DONE: SIZE OF IMPROVEMENT LENGTH u ROO 13 HOUSE ONLYNUMBER SING 1997 - -- + F SQUARES ❑ HOUSE & GARAGE Permit Fee ENT REMODELING SUBMIT: GARAGES ❑ ATTACHED GARAGE 1 • Existing Floor Plan PROPOSED SIZE: 17 DETACHED GARAGE • 2. Proposed floor plan PROPOSED HEIGHT: .0005 x Permit Valuation Minimgm $.50 3. List of stnwtu:al members to be used SIDING ❑ Vinyl SAC Charge FOR NEW CONSTRUCTION INCLUDING DECKS, $1825 per SAC Unit (Plans to MWCC for determination) ❑Sofrit ADDITIONS & Pclg H cI BWT ❑ Aluminum ❑ Other ❑ Trim 1. Site Plan/Survey showing the existing structures $ ❑ Fascia Sewer Main Charge and proposed project, ' WOWS Total Due 2• Two sets of construction plans IN EXISTING OPENINGS ❑Yes ❑No NDOWS 3. Energy Calculations OR FOR NEW OPENINGS -DESCRIBE SIZE OF– OPENING CHANGES & TYPE OF. WINDOW TO BE INSTALLED Wr numIM nv v,.,..,,.,-- J ALL FEES ARE BASED ON VALUATION, INCLUDING THE COST OF LABOR AND MATERIALS: SING 1997 UBC FEE SCHEDULE) TOTAL JOB VALUATION $ O . OCCUPANCY TYPE Permit Fee $ See Back Page for Fere Schedule Plan Review $ 65% of Building Permit Fee Fire Surcharge $ , fp O .001 times the total job valuation Surcharge $ /-30 .0005 x Permit Valuation Minimgm $.50 License Surcharge $ - OD •$5.00 (State Licensed Residential Contiactors) SAC Charge $ $1825 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 $ Make checks payable.to• City of Fridley Attach Si3onlattons THIS IS AN APPLICATION FOR A PERMIT NOT VALID UNTIL PROCESSED I hereby apply for a building permit and I acknowledge that the infonnaflon above is complcw and a xxte; that the work will be in conformance with the ordinances and codes of the City of Fridley and with the Minnesota Codes; that I d this is not a panni t but only an application for permit and work is not to start without a pamit on site; that the work will be in acro cc a approved p the case of all work which requires ew an p SIGNATURM APPLI PRINTNAME � DATE -A LI -1 APPROVED BY DATE` 11