Loading...
P - 42839Building Inspecti�ns 763' S72-3604 763-502-4977 FAX DATE SITE ADDRESS � THIS APPLICANT IS: PROPERTY OWNER/ N; TEI�TANT . , CONTRACTOR SUBMIT A COPY OF YOUR STATE LICENSE AND CERTIFICATE OF INSURANCE PROPERTY TYPE PERMIT TYPE TYPE OF WORK: DESCRIBE WORK BEING SIZE OF [MPROVEMENT ROOFING NUMBER OF SQUARES _ GARAGE3 PROPOSED SIZE: PROPOSED HEIGHT: ' SIDING ❑ Vinyl ❑ Aluminum ❑ Other BUILDING RESIDENTIAL APPLICATION CITY OF FRIDLEY EFFECTIVE 1-1-2011 � YOUji �ILADDftESS � Nr t �OWNER ❑CONTRACTOR E: �/�i'� l'�:C... �o �� �ESS: ���✓ � � A ,� crTv .rF� t'7l„ �^�-�='�'i'%;?- .�,r2f�3 � Permit No.:°�U� ��; v�� �� Received By: , ;,M � Date 1���''� �� T o 7 AT�N ZIP� S ' STATE LICENSE # LEAD CERT NUMBER ADDRESS: CITY STATE ZIP PHONE FAX �4'SINGLE FAMILY/NEW CONSTRUCTION 0 TWO FAMILYMEW CONSTRUCTION ❑ ADDITION ❑ GARAGElSH£D �'.'BASEMENT FINiSH ❑ ROOF C5 DECK ❑ SIDING ❑ SWIMMiNG POOL ❑ NEW HOME CONSTRUCTION ❑ ADDIT ❑ MAINTENANCE/REPAIR � � -�,i i c1 � �6REMQE �'HOUSE ONLY ❑ HOUSE & GARAGE ❑ ATTACHED GARAGE ❑ DETACHED GARAGE ❑Soffit ❑ Trim ❑ Fascia WINDOWS IN EXISTING OPENINC,S �Yes �No LOCATION OF WINDOWS OR FOR NEW OPENINGS-DESCRIBE SIZE OF OPENING CHANGES & ❑ DRAIN TILE ❑ OTHER /X �d r HEIGHT ^% � BASEMENT REMODELING SUBMIT: 1. Existing Floor Pian 2. Proposed floor plan 3. List of structural members to be used FOR NEW CONSTRUCTION fNCLUDiNG DECKS, ADDITIONS. & PORCHES SUBMIT: 1. Site Plan/Survey showing the existing structures and proposed project. 2. Two sets of construction plans 3. Energy Calculations FOR WINDOWS — PROVIDE U-VALUE AND . MANUFACTURE STICKER ON WINDOW. TYPE OF WINDOW TO BE INSTALLED NUMBER OF WINDOWS � ALL FEES ARE BASED ON VALUATION, INCLUDING THE COST OF LABOR AND MATERIALS: S�1�G THE 1997 U.B.0 FEE SCHEDULE) TOTAL JOB VALUATION $ ,.� OCCUPANCY TYPE Permit Fee $ �� See Back Page for Fee Schedule Plan Review $ �. IT 65% of Building Permit Fee Fire Surcharge $ a1, .001 times the total job valuation Surcharge $ .0005 x Permit Valuation Minimum $5.00 License Surcharge $ $5.00 (State Licensed Residential Gontractors) SAC Charge $ $2230 per SAC Unit (Plans to MWCC for determination) Curb Cut Escrow $ ft+ 6 ft= ft x$25= $ Erosion Control $ $450 Conservation Plan Review Park Fee $ Fee Determined by Engineering Sewer Main Charge $ Agreement necessary O Non Necessary O Total Due $ , Make checks a able to: Cit of Fridle Attach Sti ulations THIS IS AN APPLICATION FOR A PERMIT-NOT VALID UNT[L 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 pe it a wor 's not to start without a permit on site; that the work will be in accordance with the approved plan in the case car1 i °�ew and approval of p ns. SIGNATURE OF APPLICANT PRINT NAME Pf�L� ��)7Q- DATE APPROVAL INSPECTOR S NATUR v, s /_ , ; ,. �, , ... _ ; ; ,. , � ; � ,� 5C� F;o n� ;� ; , , , ; � , _. _. !: � a? � �1� o� `� ' /1�G�5u/l�"1 �F�I/7'� �- ' �I 5 �-/J� � /b �'� �% ... ; ';. ;. ; � L� � 5 � � b � � ��n . .. � � : , � , -. ; , . � C � �� � - ; � ` � , _ _ `�t Z'� `-�-- � t' ; � ; � N, � : __ __ _ � : ,, _� ; Sh , � -- - __ � ' , _ _ _ _ , , _ . � __... . T�(3 . ��.,. , _ � , , , _ . _ ..� ' _ , , , , � _ _ _- � ` , _... . , ;_ , ; ,_ ,.. _.. __ _, a ' ' � ; _ ;.. .. : , , . , _. _ _. ; ; ; . , ; ; : , � ;_ � 1 � '; . , , ; ; ' ; ' i . : .�..� .�.. A . .... , � - . � I ; ', i + � 1 �� ' ' �. � . � i ....._. . � ...._....,... . .. .. � i � �: ' + ( . . .,��i,� , _ _ ; , � _�_. ____ ..___ . � _ �! . , ; _ i , i � , , , � ' � r � , ......_ ,. .. _ � , � � '. , ..... . '. .. , . _ . .�.. .; _"_.... � ......}_...... �. . . _.. . ,_.. ,.. �.. ...� ......,. � r ( ! i �; 1 �. '�' � . . .. ... ._ . . . �... , . � : � .. . ., � i ! �. . � � ' I � ! '. 1 . ! . I .... . ., .. . .. . ' � � �� � f ,. ... ... . ... � .... • ' � � � � . . , ...... .... . .... . . . ' � :'. : ' � i . ' � [ 1 _ ; � ... .. . ... ... .. ... � � � � ...... , i.. . � _ . � . . . . i �, � ` .. . . � . ... I 1 � , ` y�, � �', � i' � � i I { ' _ f i� (,�Q. �� , t � i� ��— _` _ , _ � ' � ; � . ' ; ; , , , � , , � . , , �r,� � ; r , : .. . . .. , � v./� , � __ . � ; I ` � _ , , , , , . i � , , , ' 1 t . � � ! O � . . , . _.._ � . ; , . _ .� . . ,.._ ,. _ i \� � , . G. � , , � �I .. . ; .: . , I �.: ; �i :- ��.._ .,.�f.. _...._,. _ .. _ . � . . . . � � U/ � . � � i : , i � i � :., .... . .., .. . . . i. . . . ... � ..., ' .' . ' 1 ; _. ; , r . . _ � . . � . % ' ' i . • . . - :. x I � : .�.�. . ... ... ' ! j , I � , . � � . r � . ; ,. _ _ r � ; ._ , , r ` , _ _. . , , , � , � � , . < , -_i '-- � � ° �_ � ; _ � _ '""� _. _ : I. _`'. � � _ 1 _ _ , ; . , � �� ` ��'� , . .. � I � � , , , r � ' __ .� _ _... � i � ; � _.. ��` ' - � .. i � � , , ; , . , , . .. _.. � � i � ; i , � � i _ . .;. � � f , , , _ , � _.. � � ; � .. , - �i-��.. � . __ , __ ._ : � , K�R� ; , , _� , ; : , . . ; , , _ . _ _. ; �, , ,_�1 � , �, . , _.. � � , � _ _ _� . _,,. � , , - � � � , , . . . , ; , ; .__ _ ._-_ � • - _. .__ . ; _ � : _ . _. : - -- .. , ,� � , ; , ,. , , __. _ . . _. _ .__ , __ _ __:_ .._ , , _ : � __� �. .:,, _ , .�-� ,, __ _ ____ _ . . , � � � � �: -� ; __ . � . . , -- ._ .__ � � .-� __ _ ., c ;� _. , ;;, _ . _ _ �'� _r�°�tI . � � ' �� 'd� � � � ;, , . __ . _. . : --,- �� '���� ��,`�. .:.. .;� rt _ , , _ ; _ � , . , . ; , ; , ' � . 1 t ; ; ' i . � ! • ' , i � ,.e, § I . .. .t_.:.... , . . : : . : ��. . i : i � � .._. , � a i i I i , , i � , ; i . . , y � . . ff i i_.4 _-_, ,.�...�.. ,,,.�..;,,� '' R Ep FOR ` ' : ' � _._ , , � ; � � � i i � ; . — i -— - .. ; , ; ... _ _... ...__ ; 1 I . ; � t _._ . :------� , � , _ f ,__. ,. _ � � t � � � i � r � - — -- - — �obTi S . , . : . (�',,j � ; , . f.i �! � , �" T�o � ' , ; ; , , _.. _ s; �... ....f...._. ........�. _ . �..y -�` � . L ��t �. ���r . ..�_ . _ _ ,__ __. , . I ' i � .� .. . . i. i _ ..... "'_ '. " ry .. . .._. .:.._.. _ . - ' ..1 ' ' A . .Q C h , Vrt _ _; � !. �-! �� � , � � � N 17Y L��NT � ,� � � v� � � ._., _ _ __._, --��- . -�—__..� _ _.. ._ .. .. � � _ �i { , `� � C�. � I�c�T i , _,, .�_ r--- _� _ _ ...__ - - -; ` , __. � � � �I2 ! � ; .�t� k � f-U e, T � , ; D�te ; . ; ._;_._. _;__ ,. _....__.r _.._r---- -___.., t.. , f�. ; .�_._. _ __ _.I .t E � �- _ � _ , � � � � +� �,/ ; _._. ; I� .;� � ��,. . .!�.� li �� � � � L,/�(t.c�1V (�, � � `"' (�� 1��, F�/ � � , _. � . , �tf ! ' , ; �� ; r a �;� ; � iTt��3�5�0���2 � �'�Io42 L`�f���/�J ` i , � ! ,� ; ! �D;�2 i nS / �/�iN 7� ! rl►;FcH,�.�J � tZ r+i, n.7 ; � ' ����g' .2'''° � .1�1. ,L� . I �5��