The URL can be used to link to this page

P - 42838Building Inspections 763-572-3604 763-502-4977 FAX DATE SITE ADDRESS THIS APPLICANT IS: BUILDING RESIDEN'�'IAL APPLICATION CITY OF FRIDLEY EFFECTIVE 1-I-2011 YOUR E-I�I,r�IL ADDRESS ❑ OWNER }�CONTRACTOR PROPERTY OWNER/ NAME:� TENANT ADDRESS: PHONE: CONTRACTOR SUBMIT A COPY OF YOUR STATE LICENSE AND CERTIFICATE OF INSURANCE PROPERTY TYPE PERMIT TYPE OF WORK: DESCRIBE WORK BEING SIZE OF [MPROVEMENT_ STATE LICENSE #�� ADDRESS: � � � �-3 ', PHONE � .� �- �SINGLE FAMILY/NE � U _ TWO FAMILY/NEW CONSTRUCTION ❑ ADDITION Q GARAG �BASEMENT FINISH ❑ ROOF DECK ❑ SIDING ❑ SWIMM ❑ NEW HOME CONSTRUCTION ❑ MAINTENANCE/REPAIR ROOFING NUMBER OF SQUARES GARAGES PROPOSED SIZE: PROPOSED HEIGHT: SIDING ❑ Vinyl O Aluminum ❑ Other WINDOWS IN EXISTiNG OPENINGS ❑Yes DNo OR FOR NEW OPENINGS-DESCRIBE SIZE OF OPENING CHANGES & TYPE OF WINDOW TO BE INSTALLED ❑ HOUSE ONLY ❑ HOUSE & GARAGE ❑ ATTACI-IED GARAGE ❑ DETACHED GARAGE ❑Soffit ❑ Trim ❑ Fascia LOCATION OF WINDOWS NUMBER OF C[TY Permit No.: Received Byii�=� Date Rec'd:�� l �,�; :.i� .. �A�` STORIES� 2 HED L7 WINDOWS ❑ DRAIN TILE ❑ OTHER iPOOL ADDITION `/ REMODELING [�J�G ATE ZIP ; v`�' - BASEMENT REMODELING SUBMIT: 1. Existing Floor Plan 2. Proposed floor plan 3. List of structural members to be used FOR NEW CONSTRUCTION TNCLUDING DECKS, ADDITIONS. & PORCHES SUBMIT. I. Site Plan/Survey showing the existing structures and proposed project. 2. Two sets of consuuction pians 3. Energy Calculations FOR WINDOWS - PROVIDE U-VALUE AND MANUFACTURE STICKER ON WINDOW. ALL FEES ARE BASED ON VALUATION, INCLUDING THE COST OF LABOR AND MATERIALS: TOTAL JOB VALUATION $ �� 1997�J.B.0 FEE SCHEDULE) OCCUPANCY TYPE Permit Fee Plan Review Fire Surcharge Surcharge License Surcharge SAC Chazge Curb Cut Escrow Erosion Control Park Fee Sewer Main Charge Total Due $ $ $ $ $ $ See Back Page for Fee Schedule 65% of Building Permit Fee .001 times the total job valuation .0005 x Permit Valuation Minimum $5.00 $5.00 (State Licensed Residential Contractors) $2230 per SAC Unit (Plans to MWCC for determination) ft+6ft= ftx$25=$ $450 Conservation Plan Review Fee Determined by Engineering Agreement necessary ( ) Non Necessary ( ) Make checks pavable to: Citv of Fridlev Attach THIS IS AN APPLICATION FOR A PERMIT-NOT VAL[D UNTIL PROCESSED I hereby apply for a building permit and I aclrnowledge 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 t 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 re uires rev' �v and a oval of plans. / SIGNATURE OF APPLICANT INT NAME DATE / APPROVAL INSPECTOR SIGNATURE vAqs � /'JO � w !i L � � �� « X � � �n. .�, \�.\'�. . �v-� v �� , � `\� � ~ � � � . � _� .Y...... :��. ..__ � �,� J[�. � � 1� � c�(J , .. � � � � � � � �� : �� '' ,��' � � ��.�+ �� y� � �. . �r ,�, �; :� �;. s: ` 'l ` �� M. ��I�� Ai T � � � �. *� i �� r, This handout is written as a gnide to common questions and problems. It is not intend� nor shatl it be considered a complete set of requirements. �j � r �� T � ....�- � �� :� ,� � �� :. � � �. �• 9y "�` . z, �: �: �» � �: � ��, � � �� ;� � � �� Mirt. � �� '�q ' �° i� � � t ' �. �c� % ,? " ^ �. '.�, c 1: � y .. ��y �"� ��_ �� - �� ,� . �� i�� «-� �� '• � ' � � � 1 . . r,�� ' y . . �i � . � � '� � ��, : � �� ' �� .� �Y ;: �:�: :� `� t, : .� ;� k� � .°� . !I �l� t! • � �:1 . ; ,.... . � j . ,: �. : �� . e;h �' ii � ii � � � � � . j � � � � ---- _ �� F Ja�# 3Fea . � .� 9 � ��. . � �� _ � . 900� �,iT �� .� � � � ,�. � , . � .� r �� J i ! i F � � � i �Y ,� � ` y�� , � ��; ``� , . ,.....- f�� w r�� i. � �� ,� �� `� ��„ `';