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P - 481760 Building Inspections 763-572-3604 763-502-4977 FAX DATE_,.��/ ( I " / SITE ADDRESS � THIS APPLICANT IS: PROPERTY OWNER/ TENANT CONTRACTOR SUBMIT A COPY OF YOUR STATE LICENSE AND CERTIFICATE OF INSURANCE PROPERTY TYPE BUILDING RESIDENTIAL APPLICATION CITY OF FRIDLEY YOUR E-MAIL ADDRESS % � j� � �l" ❑ OWNER �NTRACTOR .. ��!� 1 S �. IZ U M�, Permit No.: Gu UU�, Received By: �� Date Rec'd: � ��'' i ,_� ADDRESS: CITY STATE ZIP PHONE: NAME:� STATE LICENSE # PHONE 11.0 7 �cf� I "` �, ACSiNGLE FAMILY/NEW CONSTRUCTION O TWO FAMILY/NEW CONSTRUCTION LEAD CERT NUMBERNA r�� w� �<� I/3 f IJ�fL f�.�T�I' ! l�P STATE _:� �I FAX SIZE STORIES Z PERMIT TYPE �ADDITION ❑ GARAGE/SHED ❑ BASEMENT FINISH O ROOF ❑ DECK �SIDING ❑ SWIMMING POOL TYPE OF WORK: ❑ NEW HOME CONSTRUCTION DDI'!TC ❑ MAINTENANCElREPAIR MODE DESCRIBE WORK BEING DONE: Y� p �rJ 1 �1G � n SIZE OF IMPROVEMENT CQ aC�c LENGTH Vi �tOOF G O HOUSE ONLY NUMBER OF SQUARES 1 � ❑ HOUSE & GARAGE CARAGES ❑ ATTACHED GARAGE PROPOSED SIZE: ❑ DETACHED GARAGE PROPOSED HEIGHT: ❑ DRAIN TILE 0 OTHER 1 HEIGHT BASEMENT REMODELING SUBMIT: 1. Existing Floor Plan 2. Proposcd floor plan 3. List of struct�usl members to be used SIDING FOR NEW CONSTRUCTION INCLUDING DECKS, �uryl ❑Soffit SIDIlVG/SOFFTf/FASCIA ADDITiONS_ & PORCHES SUBMIT: ❑ Aluminum ❑ Trim REMOVED? � YES ❑ NO 1. Site Plan/Survey showing the existing structures and proposed project. ❑ Other ❑ Fascia 2. Two sets of construction plans WINDOWS 3. Energy Caiculations 1N EXISTING OPENINGS ❑Yes �iTo LOCATION OF WINDOWS_/� FOR WINDOWS — PROVIDE U-VALUE AND OR FOR NEW OPEIVINGS-DESCRIBE SIZE OF �b -r�� P, YCX MANUFACIURE STICKER ON WINDOW. OPENING CHANGES 8c TYPE OF WINDOW TO BE INSTALLED NUMBER OF WINDOWS ALL FEES ARE $ASED ON VALUATION, INCLUDING THE COST OF LABOR AND MATERIALS: 'OTAL JOB VALUATION $(�`j� � ING THE 1997 U.B.0 FEE SCHO CUPANCY TYPE Permit Fee Plan Review Fire Surcharge Surcharge License Surcharge SAC Charge Curb Cut Escrow Erosion Control Park Fee Sewer Main Charge $ 5 I.� S See Back Page for Fee Schedule $ ,� 65% of Building Permit Fee $ � .001 times the total job valuation $ .0005 x Permit Valuation Minimum or .50 $ $5.00 (State Licensed Residential Contractors) $ $2365 per SAC Unit (Plans to MWCC for determination) $ ft+6ft= ftx$25=$ $ $450 Conservation Plan Review $ Fee Determined by Engineering $ Agreement necessary ( ) Non Necessary ( ) $ r� D Make checks payable to: City of Fridley Attach St THIS IS AN APPLICATION FOR A PERMIT-NOT VALID UNTIL PROCESSED I hereby apply for a building permit and I acknowl e that 'nformarion above is complete and accurate; that the work will be in conformance with the ordinances and codes of the City o ridl d with the Minnesota Construction Codes; that I understand this is not a permit but only an application f it and w k' s without a permit on site; that the work will be in accordance with the approved plan in the case al ___ ir s rev' d pproval ofN�� n SIGNATURE OF APPLICANT _ �I�A�IF,� l' �✓�["�J ��s�,�,✓�DATE �-- / D— j Z � � u -�__ .... '� -,. . � . �__ Second Floor Bath Addition _._..� 120 62nd W a N E, F rid le��M N � _.__...�.�---..�'� Prospect I��ace LLC 999 SOth Ave NE St Anthony Village, MN 55421 Phone: (763) 227-9737 Becklin & Whitney Consulting Engineers, Inc. 444 -18''H AVE SW P. O. BOX 471 CAMBRIDGE, MN 55008 �oNE (612) 598-4993 FAx (763) 552-5631 r��---iw I HEREBY CERT[FY THAT THIS PLAN, SPECIFICATION, OR REPORT WAS PREPARED BY ME OR UNDER MY�DIRECT SUPERVISION AND THAT I AM A DULY REGISTERED PROFESSIONAL ENGINEER UNDER TFIE LAWS OF THE STATE OF M INNESOTA. � DOUGLAS K. WHITNF}�.1�, P. E. DATE: JANUARY 9, 2012! : REG. NO. 15910 ; C �� , \ � �� ,s�� . � Irt��F ..� 120 62nd Way NE, Fridley, MN Prospect Place LLC Page 2 of 8 pages January 9, 2012 � EXISTING SECOND FLOOR PLAN � � � � � � � � � � � � � � � � J Wk C� � ,; ' � �ti t�� . �� 120 62nd Way NE, Fridley, MN Page 3 of 8 pages I � .� NEW SECOND FLOOR PLAN ) 2x6 SPF #2 Header over the new window Prospect Place LLC January 9, 2012 � -�-�b �.�s -� St� -� � ` �� w�� r� �c�t3 , -z.r�� l �C � � ci.� '� �� Q �`�� cS • ■ 120 62nd Way NE, Fridley, MN Page 4 of 8 pages -.. � , , � ,� _ -�•�- ; - � � � .,� Prospect Place LLC January 9, 2012 � �lT� - ��'�'��` ��It�'�1 L�3�Cl 1�`� � �T�N �-,hl.i ��' s ��c�, a�,rcrt �� '�� r�� , � � ,�� a.e. � � � �� ,�� r� c�� ra� � �:� �� c��r . B�TH �� a��. �a..� �� s uw�� E�TEV� � �r+�il.�. � X41 �t� sTUG�S fisT 9.�i "' AA�'i'CH 1 t�" t?SB SHE�7F�f`J!� �'aC? E#t3�? ca�hl4�r H �'i�ST f�.t�R � ��.m,_ �it,�G� �"�' 1�. :��T�� i�T � �I� FL+C��Qf� .��"H' � 120 62nd Way NE, Fridley, MN Page 5 of 8 pages Prospect Place LLC January 9, 2012 EXISTING SIDE ELEVATION 120 62nd Way NE, Fridley, MN Page 6 of 8 pages � Prospect Place LLC January 9, 2012 NEW SIDE ELEVATION , t a� 120 62nd Way NE, Fridley, MN Page 7 of 8 pages Prospect Place LLC January 9, 2012 EXISTING REAR ELEVATION 120 62nd Way NE, Fridley, MN Page 8 of 8 pages l/:Cata 1�IJ��:G^R !'i/A/1C A�11 �rf.G� A��:i YLtG Gi/[AT1.►.IX� Prospect Place LLC January 9, 2012 NEW REAR ELEVATION