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Home My WebLink AboutApplication Building BUILDING Permit No.: Inspections RESIDENTIAL APPLICATION Received By: 763-572-3604 CITY OF FRIDLEY Date Rec'd: 763-502-4977 FAX EFFECTIVE 04/I7/2018 DATE 11/02/2023 YOUR E-MAIL ADDRESS solarpermits@solcius.com SITE ADDRESS 5960 4th St NE,Fridley,MN 55432 THIS APPLICANT IS: ❑OWNER VCONTRACTOR PROPERTY NAME: Scott Leifermann PHONE: (651)252-9002 OWNER/ ADDRESS: 5960 4th St NE CITY Fridley STATE MN ZIP 55432 + TENANT - CONTRACTOR NAME: Solcius,LLC _ SUBMIT A COPY OF BC768551 3/31/2024 YOUR STATE LICENSE STATE LICENSE# EXP DATE AND CERTIFICATE OF ADDRESS: 1555 N Freedom Blvd CITY Provo STATEUT ZIP 84604 INSURANCE PHONE (844)357-2258 FAX PROPERTY TYPE V SINGLE FAMILY/NEW CONSTRUCTION SIZE ❑TWO FAMILY/NEW CONSTRUCTION STORIES PERMIT TYPE VrADDITION ❑GARAGE/SHED ❑WINDOWS ❑BASEMENT FINISH ❑ROOF ❑DRAIN TILE ❑DECK ❑SIDING ❑OTHER ❑SWIMMING POOL TYPE OF WORK: ❑NEW HOME CONSTRUCTION VADDITION ❑MAINTENANCE/REPAIR ❑REMODELING DESCRIBE WORK BEING DONE: Installation of Roof Mounted Solar PV System(10 panels,5 inverter/s)-4.10 kW SIZE OF IMPROVEMENT LENGTH WIDTH HEIGHT SQ FT 210.44 ROOFING ❑HOUSE ONLY BASEMENT REMODELING SUBMIT: NUMBER OF SQUARES ❑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: 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 4. Letter of Structural Engineering for imposed loads OR FOR NEW OPENINGS-DESCRIBE SIZE OF on existing foundations. OPENING CHANGES& FOR WINDOWS—PROVIDE U-VALUE AND TYPE OF WINDOW TO BE INSTALLED NUMBER OF WINDOWS MANUFACTURE STICKER ON WINDOW. ALL FEES ARE BASED ON VALUATION,INCLUDING THE COST OF LABOR AND MATERIALS: (USING THE 1997 U.B.0 FEE SCHEDULE) TOTAL JOB VALUATION$ OCCUPANCY TYPE _ Permit Fee $ See Back Page for Fee Schedule Plan Review $ 65%of Building Permit Fee Fire Surcharge $ .001 times the total job valuation Surcharge $ .0005 x Permit Valuation Minimum$.50 License Surcharge $ $5.00(State Licensed Residential Contractors) SAC Charge $ $2485 per SAC Unit(Plans to MWCC for determination) Curb Cut Escrow $ ft+6 ft= ft x$36=$ 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 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 all work which requires review and approval of plans. SIGNATURE OF APPLICANT Ct-ta- kid-u 14 ! PRINT NAME Camila Rodriguez DATE 11/02/2023 APPROVAL INSPECTOR SIGNATURE DATE PLEASE NOTE: SEPARATE PERMITS ARE REQUIRED FOR PLUMBING,ELECTRICAL AND MECHANICAL WORK Page 2 -Building Residential Application BUILDING PERMIT FEE SCHEDULE The Chief Building Official shall, before issuing permits for the erection of any building or structure, or for any addition to any existing building or structure, or for any alteration or repair to any existing building or structure, upon application therefore, require the payment by the applicant for such permit of fees to the amount herein below set forth and in the manner herein provided to-wit: TOTAL VALUE FEES $1 to$500 $23.50(Minimum Fee is$23.50 plus surcharge) $501 to$2,000 $23,50 for 1"$500 plus$3.05 for each additional$100 or fraction,to and including$2,000 $2,001 to$25,000 $69.25 for 1"$2,000 plus$14 for each additional$1,000 or fraction,to and including$$25,000 $25,001 to$50,000 $391.25 for V$25,000 plus$10.10 for each additional$1,000 or fraction, to and including$50,000 $50,001 to$100,000 $643.75 for V$50,000 plus$7 for each additional$1,000 or fraction to and including$100,000 $100,001 to$500,000 $993.75 for V$100,000 plus$5.60 for each additional$1,000 or fraction to and including$500,000 $500,001 to$1,000,000 $3,233.75 for the 1"$500,000 plus$4.75 for each additional$1,000 or fraction to and including$1,000,000 $1,000,001 and up $5,608.75 for the I"$1,000,000 plus$3.15 for each additional$1,000 or fraction VERIFICATION OF FOUNDATION Permits for construction will be issued a minimum of 24 hours from the time of application to allow for proper review of proposed structure and of the construction site. A Certificate of Survey of the lot, showing the location of the existing foundation will be required before proceeding with the framing. New Houses Only City of Fridley Building Inspections Department 7071 University Avenue NE Fridley, MN 55432 763-572-3604 Fax: 763-502-4977 For Office Use Only Amount of Check: Check Number: PermitTRAK Number: MINNESOTA DEPARTMENT OF ELE tLABOR & INDUSTRY Adakk Request for Electrical Inspection (REI) (permit) 443 Lafayette Road North St. Paul, MN 55155-4342 One- and Two-Family Dwellings Phone: (651)284-5026 www.dii.mn.gov Fields marked with an asterisk * are required (as applicable). *TODAY'S DATE Incomplete, inaccurate, or illegible forms may be returned to the submitter. 11/02/2023 * Check One Box: ❑ New Bldg or 'L/ Existing Bldg * Project Location (number& street name) * Project County 5960 4th St NE Anoka * Project Township: (Please enter only the township name * Project City: * Project Zip or the city name,not both) Fridley 55432 •Owner Name Owner Phone Owner Cell Owner E-mail Scott Leifermann (651)252-9002 lbbrooks2@gmail.com * Company Type (check one box) -,e Electrical Contractor ❑ Technology System Contractor * Company License Number ' Company Name EA765731 Solcius,LLC * Company Address ' City ' State 'Zip Code 1555 N Freedom Blvd Provo UT 84604 * Company Phone Company Cell ' Company E-mail Contact Person and Phone Number (844) 357-2258 solarpermits@solcius.com Camila Rodriguez (844)357-2258 * Project Description (Scope of work, service size, quantity of *Single Inspection 'Rough-in Inspection feeders and circuits,job numbers, or other vital information to Other than Rough-in? Required? help the electrical inspector make timely inspection service) ❑ Ready Now or ❑ Yes or ❑ No ❑ Will Schedule Installation of Roof Mounted Solar PV System(10 panels,5 Directions to Project Site inverter/s)-4.10 kW 5960 4th St NE,Fridley,MN 55432 Project Site (Contact Person and Phone Number) Scott Leifermann (651)252-9002 Electrical Utility Xcel Energy-Minnesota TOTAL INSPECTION FEE from REI fee worksheet, or$35 multiplied Enter Inspection Fee Here >> by the number of required inspection trips, whichever is greater. A surcharge of$1 is imposed on every permit effective 7/1/15 Surcharge Fee >> $ 1.00 as per M.S. §326B.148, in addition to the inspection fee. * * Grand Total (Inspection Fee plus Surcharge Fee) Requests for Electrical Inspection(REI)with a fee of$250 or less expire 12 months from the filing date.The installer must have the work completed within the 12 month period or submit another REI that includes the inspection fee for the uncompleted work.Inspection fees do not carry over from an expired REI to a new REI. A service charge of$30 will be added for all dishonored checks. This material can be made available in different forms,such as large print,Braille or on a tape. To request,call 1-800-342-5354(DIAL-DLI)Voice or TDD(651)297-4198. Please submit REI forms together with the applicable fees to: City of Fridley, 7071 University Avenue NE, Fridley, MN 55432 REI 16(7/15) RE116_OneAndTwoFamily(Contractor)(Revised 10/13/15) Request for Electrical NNESOTA DEPARTMENT OF Inspection REI (permit) t)A�ft -�BOR & INDUSTRY I� l lI� 443 Lafayette Road North St. Paul,MN 55155-4342 Phone: (651)284-5026 Inspection Fee Worksheet www.dii.mn.gov Item Description Quantity Fee Total*** 0 to 400 Amp Power Source $35/source 401 -800 Amp Power Source $60/source Over 800 Amp Power Source $ 100/source 0 to 200 Amp Circuit or Feeder V $6/feeder or circuit Over 200 Amp Circuit or Feeder $ 15/feeder or circuit New One- or Two-Family Dwelling u to 30 circuits and feeders per unit) $ 100/dwelling unit New One- or Two-Family Dwelling additional circuits over 30 per unit) $6/feeder or circuit Existing One- or Two-Family Dwelling (where 15 or more feeders or circuits $ 100/dwelling unit are installed or extended per unit Existing One- or Two-Family Dwelling (where less than 15 feeders or circuits $6/feeder or circuit are installed or extended per unit Reconnected Existing Circuit or Feeder (for panelboard replacements) $2/feeder or circuit Separate bonding inspection $35/inspection Inspection of concrete-encased grounding electrode $ 35/inspection Technology circuits &circuits less than 50 volts 750/device or apparatus Additional inspection trip(s) $35/inspection trip Investigative Fee (enter values in the Quantity and Fee columns) Other... Other... Other... Other... TOTAL INSPECTION FEE is the fee calculated above, or $35 multiplied by the number of required inspection trips, whichever is greater. Enter Inspection Fee Here & on REI >> REI 16(7/15) RE116_OneAndTwoFamily(Contractor)(Revised 10/13/15)