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PRE 2010 DOCSCity of Fridley, Minn. BUILDING PERMIT N0 4212 Date: ._._..-3nt®mb�r._1Q,.�1_�5. �__..._--------------_. _. Owner: ....... Builder ---------- 949 t - INC. _...._..........._.___. ___ _ __ Address .... ......... ............... ............. ........ _..___...._._._.___..._ __.._.._ Address .......... 250.0....2,�...�YeAIa Minneapolis 18, Minnesota LOCATION OF BUILDING No. ...... M .......... ..... street _..- .._.... 68th Avenue _-N_..._Be..................... ........ _..... Part of Lot .. ... -.................... ........................... Lot ..... ........ 7 .................... Block ............. ........... 5........................ Addition or Sub-Division....._.Br.ookvieW_...Te=..ae.e,_..2nd......__..._.__ Corner Lot .................................... Inside Lot .............. g.................... setback .............. .......... Sideyard...--7'Q_...................-----------------......_..._...... Sewer Elevation ................................... _............. _..................................................... Foundation Elevation DESCRIPTION OF BUILDING To be Used as: I).welling............. _.............. Front ....._..fit... Depth ...25 t'6 Height . -.._19...t. Sq. Ft. -l.>cM-- Cu. Ft. 1.9j.5a— GvAge........... .......................... Front ..._._.� ��t... Depth ..22.t._...... Height ..........10.t.. Sq. Ft. ........ 264.. Cu. Ft. -2sW Type of Construction ......._FY'&trib Est Cost $13 ".9.............._ ........ To 1e Completed .............6..MO?lth9........ 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 % and in c�ce with all provisions of ordinances of the city of Fridley. / In consideration of the payment yment of a fee of $...fit! ...........:. t is hereby ted 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 within the city limits and this permit may be revoked at any time upon violation ofarlY-eprovisions of said ordinances. / '9 r / 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 items. Application for power Plants and Heating. Cooling, Ventilation. Refrigeration and UCS / Air Conditioning Systems and Devices PARTIAL RATE SCHEDULE DePL of Bldgs. Phone SII 4-7470 GRAVITY WARM AIR: RATE TOTAL Location / �' r (� ( ^ - Furnace Shell & Duct Work .......................... 8.00 $ City of Fridley: ' Replacement of Furnace ............................. 5.00 $ Repairs &Alterations—up to $500.00 5.00 $ 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 Repairs &Alterations each add. $500.00 ............... 2.50 $ and rulingof the Department of Buildings, and hereby declares that all the facts and representations stated in this application are true and correct. MECH. WARM Affi Furnace Shell & Duct Work to 120,000 BTU ............ 8.00 ✓ j Fridley, 11Ri*�*+- 1857_ Owner `^ �'�l ��' 185— each add. 60,000 BTU ....................... 2.00 $ Replacement of Furnace ............................. 5.00 $ Kind of Building 185— Repairs & Alterations—up to $500.00 ................. 5.00 $ Repairs & Alterations each add. $500.00 2.50 $ Used a3 -' f --- STEAM or HOT WATER SYSTEM Furnace Shell & Lines—to 400 sq. ft. IDR Steam ...... 8.00 $ Furnace Shell & Line—to 640 sq. ft. IDR Hot Water ... 8.00 $ Each add. 200 sq. ft. IDR Steam ...................... 2.50 $ Each add. 320 sq. ft. EDR Hot Water .................. 2.50 $ 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 PIPING (Up to 3 fixtures) .......................... 1.50 it t (Add 50c each over 3) AIR CONDITIONING FAN HEATING SYSTEM VENTILATING SYSTEM ALTERATIONS & REPAIRS REMARKS: See Fee Schedule TOTAL FEE $ To be completed about -'1-``A:�-' f Estimated Cost, $ l a Old—oTe Building Permit No. DESCRIPTION OF WORK HEATING orPLANTS--S , Hot Wa Warm Air No Trade Name-ZyA' _A A=:e Size No Capacity Sq. Ft. E.D.R SGS_ BTU H.P. Total Connected Load c,3_94 °� Kind of BURNER — Trade Name Size No Capacity Sq. Ft. E.D.R BTU H.P. RAY N. WELTER HEATING CO S--------4637 CHICAGO AVE. By. MINNEAPOLIM 7, M1NNr-sATa-- 11 POST IM -8-S8 Business Phone No `i ✓ l `�� - d e ip HEAT LOSS CALCULATIONS DEPARTMENT OF BUILDINGS MINN-' Weatherstrips ASHVE Construction No. Insulation Guide Windows I Doors Reference Out. Wall Int. Wall Ceiling Roof Floor Kind How Applied No a No 19_ J rl I e-7 ._,:.r . n-_— t --_.6 ®,_ 1. 1tr..l.L s_, GJ u_: -t. .W X� u A cq I . o--- 1 i __,..1. .a.., OF \ .4h o _,. t.14.;.ht v7 ..i 41 -. i .......6.., .50" ...6... w Windows ana Doors—Crackage and Area Width Height No. of Lineal f . Area Nov or Danyye�� of/panne lights of crack sir. ft. ) Coef. Btu Infiltration Glass Ezp. waU . #`„wr zt— Coef. Btu Infiltration Ceiling k zo, Floor Net exp. wall Glass' Exp. wall Net exp. wall !& 41 Int. wall Ceiling'. Ceiling ��,;e /c_ Floor Floor Total Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area F1.1 Room I Length 2 4 Width '' w Windows and Doors--Crackage and Area f No. 1 of nane I of Dane I llrhts 1 of crack 1 sir. ft. 1 q 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.Room JLengthO4,2Width Windows and Doom--Crackage and Area Width Height No. of Lineal ft. Area No. of pane of pane lights of crack so. ft. Btu Infiltration Glass ' Exp. wall Net exp. wall Int. wall 6. 1 i Windows and Doors—Crackage and Area - Width Height No. of Lineal ft. Area No. of pane of pane lights of crack sq. ft. 4: d Coef. Btu Coef. Btu Infiltration Glass Ezp. waU . #`„wr zt— Glass Exp. wall"`116 /0 Ceiling k zo, Floor Net exp. wall !& Int. wall Ceiling'. .f11 Floor ,. Total Btu. AZ M!2 Required sq. ft. E.D.R. or sq. ins. W.A. Leader area r F1 -I _- : -4+ Ream I Lenath ", _ a Width a e' ..� Heiaht o -to Windows and Doors—Crackage and Area Width Height No. of Lineal ft. Area No. of pane of pane lights of crack sq. ft. Pte ` fd a Coef. Btu Coef. Btu Infiltration Glass Ezp. waU . #`„wr zt— Glass Exp. wall /0 Ceiling k zo, Floor Net ezp. wall !& Int. wall Ceiling .f11 Floor ,. Total Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area I %i I r.:. W �w• 0.......11....&L J,/ ids Q/tAth Hetvht � �I Windows and Doors—Cracge and Area Width Height No. of Lineal ft. Area No. of pane of -pane lights of crack sq. tt. Coef. Btu Infiltration Glass Ezp. waU . #`„wr �. Net MM. wall Int. wall /0 Ceiling k zo, Floor Tbtal Btu. Total Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area 11 Required sq. ft. E.D.R. or sq. ins. W.A. Leader area . i (3Y " � , City of Fridley, Minn..-" N° 7582 BUILDING PERMIT Date: May 27.# '1965 owner: Nathon Shaw Builder Thomas S. Silvis Address 925 68th Ave. N. E. Address 6020 ]ty 2=d Roams LOCATION OF BUILDING No. 925 Street 68th. Ave. N, E. . _ ____ Part of Lot Lot 7 Block 5 Addition or Sub -Division Bkookview Te=aae.fid. Adrition Corner Lot — Inside Lot Setback Sideyard Sewer Elevation Foundation Elevation To be Used as: DESCRIPTION OF BUILDING Front Depth Height Sq. Ft. Front Depth Height Sq. Ft. Type of Construction Fst. cost 6 -3 -.75n -nn _ _ To be Completed • Storm Damage Repair i ca. Ft. Cu. Ft. In consideration of the issuance to me of a permit to construct the ding described above I agree to do the proposed work in accordance with the description above set forthin comp a'll ons of ordinances of the city of Fridley. In consideration of the payment of a fee of 10,00 , permit is hereby granted to MUM" SQV" to construct the building or addition as described above. This permit is granted upon the express c�ndit%a that the person to whom it is granted add his agents, employees and workmen, in all work L ,ound and uponnnesota r�: city limits and NOTICE: Me permit don not corer tbo construction, hufailadon for wbhM phnnbing, gn bating, wwor or water. Be soca to we the Building M*oetor for wparaM pownhs top those ihn. City of Fridley, Minn. N° 7731 • BUILDING PERMIT "2q-152-- Date: 2q-152--Date: June has 1965 Owner: Nathan Shor Builder Thomas S • Silvis Address 925 68th Avenue N. E. Address 6020 WymwoocI Rd. • LOCATION OF BUILDING No. 925 Street 68th Avenue N. E. Part of Lot Lot 7 _ Block 5 Addition or Sub -Division Brookview Terrace, 2nd Addition Corner Lot _ Inside Lot Setback Sideyard Sewer Elevation To be Used as: Foundation Elevation DESCRIPTION OF BUILDING FrontDepth Height Sq. Ft. Cu. Ft. Front Depth Height Sq. Ft. Cu. Ft. Type of Construction FF -Rt. Cost — 5009 — To be Completed Storm damage repair In consideration of the issuance to me of a permit to construct j1fe building described above I agree to do the proposed work in accordance with the description above set f and in compliance with aft provisions of ordinances of the city of Fridley. In consideration of the payment of a fee of $10_Ot) , permit is hereby granted t=am S Silvis T. S. Silvis 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 pert thereof, shall conform in all respects to the ordinances of Fridley, Minnesota regarding location, constructCon, alteration, maintenance, repair and moving of buildings wiorthinno�ee city limits and this permit may be revoked at any time upon violation of any of the provisions of said Allen Jensen Biding motor • NOTICE: Ub permb den set aowr the a wdruefin, hMallation for Wh1ff& phmrbiea, an hwft, anter or water. Be sun to we the Wddug r for aperata peraft for these hems. OWNER'S APPLICATION FOR BUILDING PERMIT CITY OF FRIDLEY, MINNESOTA ' ;�/d i— _ ADDRESS LOCATION OF BUILDING y� No._'` Street �%_ Part of Lot LOTS BLOCK ADDITION OR SUBDIVISION C3ajA"j moi(' Corner Lot -.Inside L „_„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 Certificated. To be used ns: DESCRIPTION OF BUILDING Front Depth Height Sq. Ft. Cu. Ft. Front Depth Height Sq, Ft. Cu. Ft. Type of Construction Estimated Cost 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 rulings of"the Department of Building's, and hereby declares that all the facts and represent tions) tated in thiel application are, rue and correct. DATE _ SIGNATURE r / _/., '5 (Schedule of Fee Costs can be found on the Reverse Side). 1� 1z hopotal "M Itafts 6.7SLIVIS P1 No. Claim Show No. 6020 k7muilood Road IVIB. # Idm. 55= 5"-3919 FnVaW SubmMW To Work To Be Performed At Street same tahL-- Date of Architect 6ftb — cvy— M414W Sftm_ Telephone Nbu We hereby propose to famish all the materials and perform all the labor necessary for the completion of Roof: Remove front. repair sheeting, replace roofing Popair roofina on rear half of structure. Famove and repUce all exterior siding. Repair or reRIaR2 all cornice work, Replace all brokon gla g and -acreen. ' Replace all broken window frames. Majil all loogg sheet rock, rs*&jj& retape and repaint. &21ace garage or. Repair SaMe door- frame, v%#%49%+ looso bjog�-- -- : All material Is guaranteed to be as sp�, and the above work to be perionsed in accordance with the drawiays and specificationssu Itt d r I rk and completed in a substantial workmanlike manner for Me SM of Three thousa JIVItlwy and no/100 - - - - - - - - - - - Dollars IS with payments to be made as follows: Total amount ft on comipletilm, Any alteration or deviation from above specifications ifivolving extra cash, will be executed only upon written orders, and will became an extra charge over and above the estimate. All agreements contingent upon strikes, accidents or delays beyond our central. Owner to carry Are, tornado and other necessary insurance upon above work. Workmen's Compensation and Public UabMty Insurance on above work to be taken out by CAaLtmetar Respectfully submitted 1101, Per Note 1% proposal may be wNt lit as if not accepted within five days ACCE"ANCE 'OF PROPOSAL The above prices, specifications and conditions are satisfactory and are hereby accepted. You are authorized to do Na work as specifled. Payment will he made as outlined above. ,—.-FrIdley- Date "I L -A LIT" 111- U. 6. A. City of Fridley SUBJECT P 15 7 3 4 AT THE TOP OF THE TWINS BUILDING PERMIT ' ' R • ______ COMMUNITY DEVELOPMENT DIV. L r PROTECTIVE INSPECTION SEC. 1 . � `.-_- ��'���,•� CITY HALL FRIDLEY 55432 L J\ NUMBER REV. DATE PAGE OF APPROVED BY 612-571-3450 910-F15 5/20/80 JOB ADDRESS 925 - 68t1i Avenue N.E. 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 7 5 Brookview Terrace 2nd Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Nathan K. Shaw 925 - 68th Avenue N.E. 571-5726 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Same 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO. 8 USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE X 8 DESCRIBE WORK Construct a 16' x 36' Garage Addition 9 CHANGE OF USE FROM TO STIPULATIONS SEPERATE PERMITS REQUIRED tOR WIRI HEATING, PLUMBING AND SIGNS, WARNING BOOM digging call Will 061100§ TELEPHONE - ELECTRIC - N his REQUIRED BY LAW TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, VENTILATING OR AIR CONDITIONING. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING SO. FT. CU. FT. AUTHORIZED IS NOT COMMENCED WITHIN 80 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS OFFSTREET PARKING I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION 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 $4,200 $2.10 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- $27.00 .5TRUCTION OR THE PERFORMANCE OF CONSTRUCTION. PLAN CHECK FEE TOTAL FEE $29.10 SIGNATURE OF CONTRACTOR OR AUTHORIZED��A %%EEoNT (DATE) WHEN PROPERLY VALIDATED THIS IS YOUR PERMIT IM.I ff'1I (TO A-1 VdQ0 BLDG )NSP ATE rSIGH NATURE OF OWNER IIF OWNER BUILDER) IDATEI ar_V VT?MPMTV I, 4L, owner of the property located at�� 1p t --h , have no objection to the City allowing the construction of a r6L. to be located at �-h without the required certificate of survey that the City ordinarily requires for all new construction. Address Date "..X � . �� �, .�; ' 'iii: .a $ I } s }}) S f i t a �._:. ., r � i a r � j — �. r a ' $ I } s }}) S f i t a CITY OF FRIDLEY APPLICATION FOR RESIDENTIAL BUILDING PERMITS (New, Alterations, Additions, or Repairs) OWNER: Nafhan Q.ui ADDRESS: !o(d Al, CC • 6 Eth �tIJP� TEL NO: 7�' J�- S CL (0 BUILDER: - ADDRESS: TEL NO: '5 QM (02- Construction Location STREET NO: a STREET: (� t� A LOT: BLOCK: ADDITION: Corner Lot: Inside Lot: ✓ Setback: Sideyards: Applicant attach to this form tyro Certificates of Survey of lot and proposed building location drawn on certificates to scale. (n DESCRIPTION OF CONSTRUCTION 0y9R �f- 40P Front: Depth: Height: Squane Feet:Cubic Feet: Front: Square -Feet: Type of Construction: Depth: Height: Cubic Feet: - q,2ov Estimated Cost: $ To 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 and correct. DATE: SIGNATURE: Stipulations: P'0� J_ oo I FROM :Ci�y of Fridley Building Inspections 763-512-3604 DATE��' SITE AMESS 'l'7•IIS APPLICANT B., OWNEW TENAW FAX No. :7635711287 Nov. 18 2005 02:30PM P4 .. P8TII11C �A•����6 � � � MECHANICAL RESIDENTIAL APPLICATION Received By: CITY Off' FRMLEY Date Rec'd:��-� YOUR EMAIL ADORP.$$ O OWN t CVN"ixAa.s-wA COMPANY SUBMIT A COPY OF CONTACT PERSON: YOUR STATE STATE LICENSE g,�rd UCIDW WITH ADDRESS: jv APPLICATION PHONE G I IPETO TYPIC GLE FAMILY D TWO FAMILY [ITTYP$F woRK: D New t�LACEMENT VA I - DETAILED DESCRnMON OF WORK Crry AMS. FAX ;1 JW -,5"' 7 t7 TOWNHOUSE PERMS 168.665 the par alt fee is a minimum of $15.00 or 5% of tho total cost op to SSoo oo, whiebever is Flaw , for the improvment, installation or raplacement of a residential fixture, exciudinoe fixturas. (This should rifled only the oost of labor) Labor cat under 5300 = SI 5.00. Labor cost between $300 to $500 - cost of labor.,,,,,,_ FOR PROJECTS W LABOR BXCUM $00, FLIES Alm 1"M ON 530.00 TER FI? nm& >s?CCBP1 WI NO! �• : (>r1p1CAT8 TOTAL NLIMBUR OF EACH BEAM 1 v MOD1;L: L_ )09 1 Bgoipmron howled & AW ss, TU MODEL. r , �— MFG:-----T- -- MOs` OAS RANGWOYEN SlOADD --AIC S25-00 FIREPLACE (GAS) S1S.00 NBW GAS ORW- $10.00 ,.11RTOA1R SXCHANGEERSI3 FIREPLACE (WOOD) 53S.00 =POOL UMT HTRSI0.00 E0=10 E 535.00 HEATER.0 11 Y LINR1t S1o.00 RYL�R s10 _oo w V814ii11►TOR SIS.OD !Permit Fee E �.. Nutrob9r of fixtures ® $10.00 X $Io-uo a a Surcharge 50 Number of fixtures ® $15.00 X $15.00 7 TAI; D11L' S �_. a� Number of fix -tures $25.00 x .� _ $� ;I Number of flxtmos $35.00 X $35.00 = $ State Surcharge $--.LSO Total INS IS AN APPUCAMON FOR A PERMIT NOT VALID UNTIL kOOVED I hereby apply for a building permit and I aclalowledge that the information above is eotnplete and accurate; tbat the work will be in confbr a6 c with this ordinances - f the City of Fridley and with the Minnesota �ConstrUW0n Codc$; that I understand this is nota permit but only art APPS, . n � a � it �44ork is not to start withh O"161rtnit; that the work will be in accordance with the approved plan in the ease of all ork J� �— SXNATURE OF APPLICANT d�DATE " City of Fridley Building inspections Department 6431 University Avenue NE, FridIey, MN 55432 763-572-3604 VAX- 761.107.4977 K Coy "-�3 30ding ;nspections 763-572-3604 irrE ADDRESS 'li1.S APPLICANT IS: PROPERTY O'% TENANT CITY OF FRIDLEY BUILDING RESIDENTIAL APPLICATION CITY OF FIIIAUEY O YOUR E -MA& AADRFSS qa5 /aj'��' A-0, ;y � O OWNER )(aWntAC[OR Fen uit No.i Received By: Date Ree'd: ADDRESS: CITY STAi"E��P PHONE: CONTRACTOR I NAA+IIr:-W-!97! SUBMIT A COPY OF STATE LICENSE YOUR STATE LICENSE ADDR£SS:� WrM APPLICA'T'ION PHONE PROPERTY TYPE I _ s>N=- _ Me PERNIIT TYPE u esuuxiiVri 0 BASEWNT FINISH o DECK TYPE OF wOiitlC: ©IM MAIN ENANCEIRE DESCRIBE WORK BEING DONIS= 'P 'roe SIZE OF WROVEMENT R00JWQ N NGEROFSQUARES ' 26MGES PROPOSED SIZE -- PROPOSED TIEIGfiT= LIDING p Vinyl 0 Aluminum RQOF SIDWO 0 HOUSE & GARAGE 0 ATTACfW GARAGE O DETACHED GARAGE elSOM 0 Trim 0 Fascia O DRAIN TILE O OTHF.It WYNDOFPS IN fi7QST 1G OPENINGS OYes ONO LOCATION OF WU-MOWS OR FOR NEW OrM4INGS-DESCRME SIZE OF OPENING CHANGES & TYPE OF WINDOW TO BE INSTALLED NUMBER OF VIZMOWS ALL FEES ARE BASED ON VALUATION, INCLUDING TM COSI' OF (USING THE 199? U..,B.0 FEE SCREDULE) Plan Review Surcharge Fire Surcharge License Surcharge SAC Charge Curb Cut Escrow Erosion Control Park Fee Sewer Main Charge Pt n a SEMENT R12viO12ELlIVG Sti8tyI1T: 1. Egg Hoer Plan 2 Prapmsed Boor plan 3. Li cs� of amoftw l members to be used FOR NEW CGNmuCMN INCLUDING DECKS. AQDMON& 1. SiPIx%Mwvy lag showth tee Wdsdng shUCft res and proposed project. 2. T" scis of c ftWUct ot► Plans 3. Foesgy Calculations AND JOB VALUATION $ 2-`1— VUX;Ur sok x A AFAW $ ,, a 5'' See Back Page for Fee Schedule S 65% of Building Permit Fee $ (.0005) time$ the total job valuation – Minivamn S.50 _ $ .001 x Permit Valuation (1/100/) S 1:;1 . $5.00 (State Licensed Residential Contractors) $ $1450 per SAC Unit (Plans to MWCC for det6minati0n) S fi+68= 6x$20=$ $ $450 Conservation Plan Review $ Fee Determined by Engineering $ Agreement necessary ( ) Non Necessary+ ( ) $ Inn _ 2113 Make checks paMble to: Ck of Fri Attar THIS IS AN APPLICATION FOR A PERMIT NOT VALID UNTIL PROMSS>3D I hereby apply for a building permit and I acknowledge that the information above is complete and acuate; that the work will be in conformance with the ordiwaaces 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 appmvai of plans. SIGNATURE OF APPLICANT r �� �� i�/�� e _PRINT NAME "� Building K3.25— BUILDING Permit No.: Inspections $ RESIDENTIAL APPLICATION $ Received By: 763-572-3604 CITY OF FRIDLEY Date Rec'd: DATE ® 3 V D L YOUR E-MAIL ADDRESS 44, NI .E .SITE ADDRESS THIS APPLICANT IS: ❑ OWNER CONTRACTOR PROPERTY OWNER/ NAME; W, (1 A TENANT ADDRESS: 6' b CITY friellivSTAT�nZIP S S 4 3? PHONE: T2 ('3) S -11 CONTRACTOR NAME:_ RENEWAL BY ANDERSEN STATE LICE 1920 COUNTY RD. "C" WEST SUBMIT A COPY OF YOUR STATE LICENSE ADDRESS:- ROSEVILLE, MN 55113 CITY STATE ZIP WITH APPLICATION PHOS 651-2644777 GLE F LICENSE #20130983 PROPERTY TYPE ❑ TWO FAN. .DRIES PERMIT TYPE QADDITION ❑ GARAGE/SHEDWINDOWS &= ❑ BASEMENT FINISH 13 ROOF TILE ❑ DECK ❑ SIDING ❑ OTHER ❑ SWIMMING POOL TYPE OF WORK: ❑ NEW 11') 0 EMDMON ODELING mA REMODELING DESCRIBE WORK BEING DONE: (,do tj 6 11 1 d) S / of (,XI sr/ -4C. e6yvi rt6 5• SIZE OF IMPROVEMENT LENGTH WIDTH HEIGHT Sq. Ft. ROOFING ❑ HOUSE ONLY NUMBER OF SQUARES ❑ HOUSE & GARAGE BASEMENT REMODELING SUBMIT: GARAGES ❑ ATTACHED GARAGE 1, 2. Existing Floor Plan 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: D Aluminum ❑ Trim 1. Site Plan/Survey showing the existing structures ❑ Other ❑ Fascia and proposed project. 2. Two sets of construction plans WINDOWS IN EXISTING OPENINGS`OYes ❑No LOCATION OF WINDOWS L I atrtj 1-00 in 3. Energy Calculations 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 TUE 1997 U.B.0 FEE SCHEDULE) TOTAL JOB VALUATION $ 2 6 O 0 OCCUPANCY TYPE Permit Fee Plan Review Surcharge Fire Surcharge License Surcharge SAC Charge Curb Cut Escrow Erosion Control Park Fee Sewer Main Charge Total Due $ K3.25— $ 1.36 $ a. $ (Jp See Back Page for Fee Schedule 65% of Building Permit Fee (.0005) times the total job valuation — Minimum $.50 .001 x Permit Valuation (1/10%) $5.00 (State Licensed Residential Contractors) $1450 per SAC Unit (Plans to MWCC for determination) ft+6ft= ftx$20=$ $450 Conservation Plan Review Fee Determined by Engineering Agreement necessary ( ) Non Necessary ( ) Make checks navable 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 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 r! .uires leview and approval of plans. _ SI�NATURE OF APPLICANT 2A__ PRINT NAME S G (—, k --V4 k DATE IQ --g(