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PRE 2010 DOCSCity of Fridley SUBJECT G_ 18511 AT THE TOP OF THE TWINS BUILDING P E R M I T Ir RECEI . COMMUNITY DEVELOPMENT DIV. r PROTECTIVE INSPECTION SEC. �// Vv 1 � ER REV. DATE PAGE OF APPROVED BY i CITY HALL FRIDLEY 55432r910-F15 612-571-3450 6/19/86 JOB ADDRESS 151 - 71st Way N.E. 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 6 3 Riverwood Park SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE McMullan/Moselle & Assoc., Inc. 430 Industrial Blvd 378-3981 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 8 DESCRIBE WORK Construct a 26' x 42' Dwelling and a 24' x 241. Garage SEPARATE PERMITS REQUIRED FOR 9 CHANGE OF USE FROM WIRUNG,HEATING, SIGNS.NG AND STIPULATIONS Provide a hard surface driveway. Provide sod in the front and side yards. Provide City with copy of verifying survey. Submit energy calculations by 7/1/86. Paid Park Fee of $1,500.00 SEWER LOCATION: "Y" is 50' East of M.H. ZMATER LOCATION: In same trench as sewer. INV. ELEC: 845.21 'IOP OF FOOTING: 848.21 Minimum THE CITY OF FRIDLEY DOES NOT GUARANTEE THE WARNING ACCURACY, OF UTILITY LOCATIONS AND ELEVATIONS. Before di � iF THIS DATA IS FOR INFORMATION PURPOSES ONLY,, rocaI t tiiities TELEP E AND PERSONS USING THIS INi�ORMATION SHOULQ 4I;.MTRIC-GAS Ric- VERIFY IT ON THE SITE, REQUIRED By LAW SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD 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 BO 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 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT $80,800 $40.40 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- STIJUPTION OR TH ERFORC F CONSTRUCTION. $3 School Credit PLAN CHECKECK FEE TOTAL FEE — 94. 00 $510.40 + PF SIGN TUREO ONTRACTORORAUTHORIZEDAGENT (DATE) WHEN PROPERLY ALIDATED THIS IS YOUR PERMIT BLDG NSP o/ 1. r1p E SIGNATURE OF OWNER IIF OWNER BUILDER) IDATEI 0 0 NEW City of Fridley Effective 4/1/86 ADDN. [ J �R-1 AND R-2 ALTER. [ ] Building Permit Application Construction Address: - Legal Description:s,., Owner Name & Address: S, �'044 Tel. # 3'Z 8 - ;k9 9B Contractor: -S,4 ,a Tel. # Address: 'q -$o 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 WidthHeight Sq. Ft. UV GARAGE AREA: Length 2-14_ Width Height Sq. Ft. DECK AREA: Length Width Hgt/Ground Sq. Ft. OTHER: Corner Lot [ ] Inside Lot [A]— Ft. Yd. Setback Side Yard Setback Type of Construction: �Ew �� -'`' Estimated Cost: $ U Approx. Completion Date:+ r Alt. A Alt B Proposed Driveway Width If New Opening Is Desired: $ $ See Back Page for Explanation DATE: 647Lec APPLICANT:—= 7 Tel. # 378-32_8! Permit Fee Plan Check State Surcharge SAC Charge Park Fee Sewer Main Charge I?4`4 CITY USE ONLY $ Fee Schedule on Reverse Side $ W()025$ of Building Permit Fee $ gaqo$.50/$1,000 Valuation $ Cna�,�a.�l $475 per SAC Unit $ 3 . k1 0 Fee Determined by Engineering Agreement Necessary [ ] Not Necessary [ ] TOTAL $ STIPULATIONS0. - � d CERTIFICATE OF SURVEY KUR'TH SURVEYING, INC. *M JAR*NMor ST. N. f . COLUIMIA WgiG64TS 55421 1 71*970 1 walwN gowNlti TAT TNIe sYRVMT. RAM. On wspOwT W&A MRAMQ Mr Ms on YNOsw My OIwMaT sup wvlewft AMS 1UYT 1 " A 011`T wMO1MTMING LAAO N►W4aT: UMMIN TNM LAW@ OI TMs GTATM OF WINN690TA DATE ISu�a.� SCALE 10- 30' r MINNESOTA REGI ION NO. u.%%, 0 = IRON MONUMENT 0153 IN L °y EXTERIOR ENVELOPE AVERAGE "U" COMPUTATION )WNER S A rU � S T /o ;ITE ADDRESS: 'ONTRACTOR: / I c / / v t� Nose -11 DATE: /�-L PHONE: 3 �' -�'%Jl/ DETE?(MINE WORKING SQUARE FOOTAGE OF EACH: • TOTAL EXPOSED WALL AREA...... . sq ft x "U" _ 3S• 3 • TOTAL ROOF/CEILING AREA ..... /_3S sq ft x "U" _ • TOTAL EXPOSED WALL AREA CALCULATIONS: Total exposed wall area above floor ........ �, sq,ft a) Total wall window area: glazed ......... l isq ft. x "U" ; sem,' a 2n glazed ......... sq ft x "U" _ b) Total door area ........ y �. sq ft x "U" c) Total sliding glass door area: glazed ........ -y(o sq ft x "U" , glazed ........ sq ft..x "U" d) Total fireplace wall area sq ft x "U" (0 e) Total wall framing area (Average 10%) ......... lsq ft x "U" f) Total net wall area above floor (insulated) ...... /--Seiei sq ft x "U" g) Total rim joist area .... sq ft x "U" Total foundation area (exposed) ......... (7) sq ft h) Total foundation window area ........... _(7-)_ sq ft. x 'U" _• i.) Total net foundation area above grade sq ft. x "U" .. TOTAL a1 thru 1) ............. ^,��,• If Item #3 is the same as, or less than Item #1t you have met the intent of S.B.C. Section 6006 (c) 2. r i TOTAL EXPOSED ROOF/CEILING CALCULATIONS% Total exposed roof/ceiling area..... t3S� sq ft J) Total skylight area ... /-Z _ sq ft. x "U" " '" ', �' •` k) Total roof/--eiling framing area (Average 10%) ,� sq £t. x 1) Total net insulated roof/ceiling area .... 0%,1, sq ft. x "U"' o IZ_ �/• TOTAL j) thru 1) ....... 3 `i• S If total of #4 is the same as, or less than #2, you have met the intent of S.B.C. Section 6606 (c) I. ALTERNATE BUILDING ENVELOPE DESIGN To utilize the total envelope system method, the values established by the sum of Items #3 and #4 shall not be greater than the sum of Items #1 and #2. + 2. 3S • L 3 : `� ��s� � •mss = �S•� ��•� C E R T I I'C A'T I'0 N I hereby certify that I have calculated the "U" factors and "R" values herein and that the building here described meets or exceeds the State of Minnesota Energy Conservation Act. (Signature) .. �g 3 s .�Q tee`' _ •°� s /1.3 C E R T I I'C A'T I'0 N I hereby certify that I have calculated the "U" factors and "R" values herein and that the building here described meets or exceeds the State of Minnesota Energy Conservation Act. (Signature) CITY OF FRIDLEY APPLICATION FOR PLUMBING AND GAS FITTING PERMIT PLUMBING FIXTURE RATES: RATE SCHEDULE NO. New Fixtures 1A Future Fixtures Old Opening, New Fixture Beer Dispenser Blow Off Basin Catch Basin Rain water Leader Hydraulic Valve Sump or Receiving Tank Water Treating Appliance Hot Water Heater Gas Range Gas Dryer RATE $ 5.00 $ 3.50 S 1.50 S 4.00 $ 5.00 $ 5.00 S 5.00 S 5.00 S 5.00 $ 7.00 $ 5.00 $ 10.00 $ 10.00 TOTAL S (O— 0 S ALL OTHERS AND/OR REPAIRS AND ALTERATIONS It of Value of Fixture or Appliance $ Reinspection Fee $ State Surcharge $ .50 ($15.00) TOTAL FEE $ j Sb Effective Aug. 1, i9di Job Address 1� 7 -11 o V (l, 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 a�re� true and correct Fridley. Mn.y J% k l /' 19 KIND OF BUILDING V v USED AS D A/ TO BE COMPLETED ABOUT J�� ESTIMATED COST L',1 0 V t OLD - NEW BUILDING PERMIT NO. ROUGH INSP. Date company � f um -� L Signed By Tel. No. "J L; V q FINAL INSP. f— t —5 +6 Date APPROVAL FOR PERMIT MINIMUM FEE FOR ANY PLUMBING PERMIT IS $10.00 PLUS THE $.50 STATE SURCHARGE N 0 b U . f�f m Water o i s m N 14110,1 g e w a w °' Heater om t� Yy Y a! 8 c 0 sig, qC q q�C .V1 q a0' m u D ai ai 3 G WW 0 U YD 3 t7 E l7 s lec lot 2 M 1 3rd 4th (R) a Future Connection Opening Connected with Sewer (*) - New Fixture, Old Opening Water PLUMBING FIXTURE RATES: RATE SCHEDULE NO. New Fixtures 1A Future Fixtures Old Opening, New Fixture Beer Dispenser Blow Off Basin Catch Basin Rain water Leader Hydraulic Valve Sump or Receiving Tank Water Treating Appliance Hot Water Heater Gas Range Gas Dryer RATE $ 5.00 $ 3.50 S 1.50 S 4.00 $ 5.00 $ 5.00 S 5.00 S 5.00 S 5.00 $ 7.00 $ 5.00 $ 10.00 $ 10.00 TOTAL S (O— 0 S ALL OTHERS AND/OR REPAIRS AND ALTERATIONS It of Value of Fixture or Appliance $ Reinspection Fee $ State Surcharge $ .50 ($15.00) TOTAL FEE $ j Sb Effective Aug. 1, i9di Job Address 1� 7 -11 o V (l, 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 a�re� true and correct Fridley. Mn.y J% k l /' 19 KIND OF BUILDING V v USED AS D A/ TO BE COMPLETED ABOUT J�� ESTIMATED COST L',1 0 V t OLD - NEW BUILDING PERMIT NO. ROUGH INSP. Date company � f um -� L Signed By Tel. No. "J L; V q FINAL INSP. f— t —5 +6 Date APPROVAL FOR PERMIT MINIMUM FEE FOR ANY PLUMBING PERMIT IS $10.00 PLUS THE $.50 STATE SURCHARGE P CITY OF FRIDLEY APPLICATION FOR POWER PUNTS AND HEATING, COOLING. VENTILATION, REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES RATE KKDULE USIDIINTIAL Furnace Shell and Duct Work, Burner (Also replacement furnace) Gas Piping - (piping needed with neer furnace) Gas Range Gas Dryer RATE TOTAL s 20.00 s C'7® e $ 10.00 s/_ s 10.00 $ 11 10.00 $ • Air Conditioning (all sizes) $ 10.00 All Others/Repairs and Alterations 1t of Value of Appliance or Mork CONNERCIALIINDUSTRIAL It of Value of Appliance or Work s s State Surcharge $ .SO 10AL !EE $ 1410 S Reinspection Fee (1115.00) S Rough Inep. Date Final Inep. Date Approval for hrwit' MINIMUM FEE FOR ANY HEATING PERMIT IS $10.00 PLUS $.50 STATE SURCHARGE Attach stack verification form with replacisent furnace permits *Air Conditionerq can -nest la• placed in eidr yard without written livrmission trete adinininq mighlxlr. Effective Aug. 1. Igsl Job Address Department of Buildings 6111 University Ave. N.L.. Fridley, NN SS112 City of Fridley Tel. 6571-11So The undersigned hereby naked application for a permit for the work heroin specified agreelnq 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. Minn. OWER We ZZ& RIND OF BUILDING��/�.e USED AS TO BE COMPLETED ABOUT ESTIMATED COST QLD - NEM-BUILDIING FEAMIT ND. PERMIT No. (91303 DEscRlpr1cm of FUWxcVBURNrR NZATING or POWER PLANTS, steam. Not Nater, Nara Air- Ib. d Trade Neve �1 f' / / sire No. Capacity sq. Ft. ED1l BTU Total Connected load �� Rind of Pial ✓��`1� BURNER - Trade Name size Na. Capacity Sq. Ft. CDR BTU Coiepany 5ignrd Ry ! / FR�IDL�EY CIVIC CENTER • 6431 UNIVERSITY AVE. N.E. FRIDLEY. MINNESOTA 55432 • PHONE (612) 571-3450 August 1, 1986 McMullan/Moselle & Associates Inc. 430 Industrial Boulevard Minneapolis, M 55413 Re. Final Inspection at 151 T 71st Way N.E., Fridley Dear Sirs: A final inspection was conducted on August 1, 1986 of the above address and the following item -was noted which must be completed before the structure can be f inaled out: Submit a copy of the verifying survey to the City by August 15, 1986. We will expect the above item to be completed by the scheduled date. The structure is approved for occupancy. If you have anyquestions on this matter, please feel free to contact me at 571-3450.. r G. CLARK Chief Building Official DGC/mh ' SUBJECT - P City of Fridley 1 2 8 542 PERM, < ,572-T1�FTHETWINS Irp364IBUILDING COMMUNITY DEVELOPMENT DIV. r PROTECTIVE INSPECTION SEC. 7 I NUMBER REV DATE PAGE OF APPROVED BY CITY HALL FRIDLEY 55432 k' L 612-571-3450 910-F15 11/6/98 JOB ADDRESS 151 71st Way NE I LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 6 3 lRiverwood Park SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Excellent roofing MN 1967 Banyan St Arden Hills 55112 697-9265 20146256 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 5k REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Reroof house and garage (30 Sq) 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 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 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 2571 $1,29 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 $74.75 Fire SC $2.57 rr ,--,A G C'l G-C 01, WC.0 C0 (o C/0 PLAN CHECK FEE TOTALFEE 78.61 SIGNATURE OFCON'RACTORORAUTHORIZEDAGENT IDATEI WHEN PROPERLY IDA T D THIS IS YOUR PERMIT S,GNATURE OF OWNER,IF OWNER BUILDER, IDATEI BLDG I SP DATE 7 NEW [ ] Length Width Height Effective 1/1/98 ADDN [ ] Length Width CITY OF FRIDLEY Sq. Ft. ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 6 b Sq. Ft. BUILDING PERMIT APPLICATION CC' cct " 0 30 S6 ConstructionAddress: 15 WC4u Legal Description: Owner Name & Address:, S I S� W G Y Tel. # Contractor: XC P e U o� I r\ Yi tO MN LICENSE # a o) y 6 .2 5 b Address: I CIG I Q CAh� C1 r% S k- . A-rbi, W l k- m N 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: erf ro of hou s Q � CC' cct " 0 30 S6 O„r off I I V] y -(r Construction Type: Estimated Cost: $ (Fee Schedule on Back) Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $, DATE: Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee Sewer Main Charge TOTAL STIPULATIONS: APPLICANT: CQ�Ac4 4. W ck> Tel. # 7 - cl `Z 6 s 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 Agreement Necessary [ ] Not Necessary [ ] %?F FRIDLEY INSPECTION DIV. versity Ave NE rid . , DAV 55432 763 572-3604. FAX (763) 571-1287 L coos - O©)q -/ Effective April 1, 2004 APPLICATION FOR PLUMBING AND GAS FITTING PERMIT MARK NUMBER OF FIXTURES TO BE INSTAi LEQ oN EAr" FI nnR 'LUMBING FIXTURE RATES NO. RATE TOTAL JOB ADDRESS ZS /- 7/ /•r�J�A:-— lew Fixtures $10.00 The undersigned hereby makes application for a ppJ permit for the work herein lld Opening. New Fixture $10.00 specified agreeing to do aN work in strict accordance with the city codes ;eer Dispenser $10.00 and rulings of the Building Division, and hereby declares that aU the fads pour Off Basin $10.00 and representations stated in this application are true and correct -atch Basin $10.00 Win Water Leader $10.00 c DATE: 7 - �p 20� a;umplReceiving Tank $10.00 Voter Trea" Appliance $35-00 J/,�,r�C OWNER ��PY� .�eSJ1<e�z1 +later Heater-Bectrfc $35.00 _-- Vater Heater -Gas" $35.00 BUILDING USED = 3as Range" $10.00 Sas Dryer" $10.00 ESTIMATED COST ��_ PERNhT NO_ lack Flow Preventer Required { )Yes (1 No Type $15.00 a PLUMBING COMPANY /cam � leinspeciion Fee $50.MHr SIGNED BY TEL NO- /QV/-aYZ--e/;67 +LL OTHERS ANDIOR REPAIRS AND ALTERATIONS 1.25% of Value of Fixture or Appliance Approved By Rough -In Date Final Date -- 9 State Surcharge $ .50 A MMMUM FEE FOR ANY PLUMBllYt'a1GAS PERMIT IS 15. or 6% OF COST i� TOTAL FEE OF THE IMPROVEMftE WHICHEVER M GREATER ON WORK LESS THAN u J) 'OMBUSTION AIR SHALL BE PROVIDED L PER UMC SECTION 504(A) AND TABLE 6-A. "PROVIDE COMMON VENT INFO ON BACK SIDE Building BUILDING Permit No.: 01030 Inspections RESIDENTIAL APPLICATION Received B�1� t 763-572-3604 CITY OF FRIDLEY D %'QCT 19 20 9 763-502-4977 FAX Plan Review $ EFFECTIVE 1-1-09 Fire Surcharge q L f3 0 1p -® Q. yvt S ° G o Yh DATE - O 1 YOUR E-MAIL ADDRESSV 11 'j1D .0005 x Permit Valuation Minimum $.50 SITE ADDRESS I 1 ^ vI 13i Vrdtv ',,� � t( 3S`! 3�k- $5.00 (State Licensed Residential Contractors) SAC Charge $ $2000 per SAC Unit (Plans to MWCC for determination) THIS APPLICANT IS: ❑ OWNER CONTRACTOR ft + 6 ft = ft x $21 = $ PROPERTY OWNER/ NAME: S 1 eZZ $450 Conservation Plan Review TENANT ADDRESS: 11 S 1,5f ` -11.%4 W CITY FciA li-y STATE ! ZIPS5 Fee Determined by Engineering PHONE: $ CONTRACTOR NAME: L a w IC -CA C LQ Tkcv, sA q L L- L. STATE LICENSE # QL O J 19 a DATE a i . _ _ Make checks payable to: City of Fridley Attach Stipulations SUBMIT A COPY OF YOUR STATE LICENSE AND CERTIFICATE OF ADDRESS: Q $ S o�A u 1, L txIh ,E, clTY L t% STATE ZIP 5 Std ( y INSURANCE PHONE S"1-1 I® ® FAX PROPERTY TYPE ❑ SINGLE FAMILY/NEW CONSTRUCTION SIZE ❑ TWO FAMILY/NEW CONSTRUCTION STORIES PERMIT TYPE ❑ ADDITION ❑ GARAGE/SHED ❑ WINDOWS ❑ BASEMENT FINISH ❑ ROOF ❑ DRAIN TILE ❑ DECK JKSIDING ❑ OTHER ❑ SWIMMING POOL TYPE OF WORK: ❑ NEW HOME CONSTRUCTION ❑ ADDITION XMAINTENANCE/REPAIR ❑ REMODELING DESCRIBE WORK BEING DONE: a e. `S +G SIZE OF IMPROVEMENT LENGTH WIDTH HEIGHT SQ FT BEG ❑ HOUSE ONLY BASEMENT REMODELING SUBMIT: NUMBEROFSQUARES ❑ HOUSE & GARAGE 1. Existing Floor plan GARAGES ❑ ATTACHED GARAGE 2. Proposed floor plan PROPOSED SIZE: ❑ DETACHED GARAGE 3. List of structural members to be used PROPOSED HEIGHT: FOR NEW CONSTRUCTION INCLUDING DECKS, SIDING ADDITIONS. & PORCHES SUBMIT: Vinyl ❑Soffit 1. Site Plan/Survey showing the existing structures Aluminum ❑ Trim and proposed project. ❑ Other ❑ Fascia 2. Two sets of construction plans ViEliDOWS 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: a0JJSING THE 1997 U.B.0 FEE SCHEDULE) TOTAL JOB VALUATION $ t +i �� — OCCUPANCY TYPE Permit Fee $ See Back Page for Fee Schedule Plan Review $ 1 ' l` 65% of Building Permit Fee Fire Surcharge $ .001 times the total job valuation Surcharge $ 'j1D .0005 x Permit Valuation Minimum $.50 License Surcharge $ $5.00 (State Licensed Residential Contractors) SAC Charge $ $2000 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 ( ) Tntal Mia $ a i . _ _ 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 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 on site; that the work will be in accordance with the approved plan in the case of&U work which r�ui rs`e(ixw� ,and approval of lans. c _ SIGNATURE OF APPLICA_ - _ &LMAOt 1 [ fl N SeW PRINT NA:M� '� `eC� Cre �U� DATE PLEASE NOTE: SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, ELECTRICAL AND MECHANICAL WORK