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P - 48557Buildin� BUILDING Permit No.• 6 � Inspections RESIDENTIAL APPLICATION Received By: 763-572-3604 CITY OF FRIDLEY Date xec'd: L � 763-502-4977 FAX EFFECTIVE 1-1-20ll na� 9-1-2011 YouxE-Mn�LADD�ss msample@hwconstruction.com siTEtwv�ss 5851 6th Street NE THIS APPLICANT IS: ❑ OWNER QICONIRACTOR PROPERTY OWNER/ Nn�: Richard Ruesenberg TENANT ADD�ss: 5851 6th Street ci-rv Fridley sTn� MNz�r 55432 Pxor�: 612.812.9695 coN�r�►c�rox N�: o an eber onstrucfion SUBMTI' A COPY OF STATE LICENSE �! '�'0�32�JO LEAD CERT NUMBER YOUR STATE LICENSE AND CERTIFICATE OF anD�ss: 7932 University Ave. NE crrY Fridley sTn� M� 55432 nvsu�cE pgp� 763.3�.65542 F� PROPERTY TYPE Il SINGLE FAMILYlNEW CONSTRUCTION SIZE ❑ TWO FAMILY/NEW CONSTRUCTION STORIES PERMIT TYPE ❑ ADDITION [YGARAGFJSHED ❑ WINDOWS ❑ BASEMF.NT FINISH � ROOF ❑ DRAIN TILE ❑ DECK ❑ SIDINCr ❑ O'I�R Q SVYAiMING POOL TYPE OF WORK: ❑ NEW HOME CONSTRUCTION ❑ ADDIT'ION � MAIN'lENANCFJREFAIR � REMODELING DESCx�Ewo�ucBEnvG, - Tear down garage and rebuild, complete roof on house StZE OF IMPROVIIMENT i,�rrG� 22' wm� 16' �c�rr 10' s�r 352 � ROOFING ❑ HOUSE ONLY NUMBER OF SQUARE 22 �• .�� � j� HOUSE & GARAGE BASEMENf REMODE[.,ING SUBMIT: I. Existing Floor Ptan GARAGES C �f ATTACFIED GARAGE 2. Proposed floor p(an PROPOSED SIZE: ZZX� G �'��/ (❑ DETACHED GARAGE 3. Lis[ of structival membets to be �ed PROPOSED HEIG�� k'C� � SIDING ' ,1 g "' ��V,c� FOR AiEW CONSTRUCTiON INCLUDING DECKS, ❑ Vinyl ��v �� ` ❑Soffit ADDITIONS_ & PORCHES SUBMIT: �� 1. Site PlardSurvey showing t(�e existittg slructures ❑ Aluminum � O Trim �-1 0 ou�� � • o F� �.:� 3� d 5 ��� �.i�- 2. Two set� of ca�truction plans �'VINDOyUS ,_ 3. Energy Calculations IN EXIS1'ING OPENINGS OYes E7No LOCAITON OF WINDOWS �� ���� T� FOR WiNDDWS — PROVIDE U-VALUE AND OR FOR NEW OPENINGS-DESCRIBE SIZE OF �` MANUFACTURE STICKER ON WINDOW. OPENING CHANGES & . TYPE OF WINDOW TO BE INSTALLED NUMBER QF WINDOWS ALL FLES AKL�' KASI�'.11 UN VALUA"1'lU1V, i1VC:LUllI1V(� ItIL+' I:VJl Vr LASVli A1VU 1vlAlEIUALJ: (USING TAE 1997 U.B.0 FEE SCHEDULE) TOTAL JOB VALUATION $ OCCUPANCY TYPE Permit Fee Plan Review Fire Surcharge Surcharge License Surcharge SAC Charge Curb Cut Escrow Erosion Control Park Fee � Sewer Main Charge $ $ $ $ See Back Page for Fee Schedule 65% of Building P�nit Fee .001 times the total job vatuation .0005 x Permit Valuation Minimum $5.00 $5.0(T (State Licensad Resid+ential Contractors) $2230 per SAC Unit (Plans to MWCC for t�termination) ft+6ft= ftx$25=$ $450 Conserva�on Plan Review F� Determined by Engine�ing Agreement necessary ( ) Non Necessary ( ) Make checks pavable to: Citv of Fridley Attac 'i'HIS 1S AN APPLICATION FOR A PERMIT-NOT VALID UNTIL PROCESSED I hereby apply for a building permit and I aclmowledge that the information above is complc�e 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 undeishand 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 appmved plan in tfie c�se o ork 'ch requires review and approval of p� SIGNA'TURE OF APPLICANT ��t��� PRINT NAME i e Sam�le vA� 9-1-2011 APPROVAL INSPECTOR SIGN Pi:FA!CF. N(YTF• CF.PARATF. PRRMi'f'S A�tF. RF.(7i TiRF1? Ff3R PLtJMBING_ ET.ECTR�CAI.. AND M1�.CHANTC� W`�?1%K � �� � t r � ��� . a � _ � � � � � M �� � �► - -� _���' S" � ' ,�.-._ � � t�-" - M � � , . ,..I� � � �1 ' G � � � � �. � r . a..- �,. � s >' � j( � � �� i i I i � � � � i � xC" ; Q � °�� � � -��.��..��-.��.__-.--�.� ---_____ .. ---_______------- . _ -. _ ___._ ____.. ____ � •-� �Q ��� � � � r ,� �� t��v� „� � .� � � , � �,�► � .��� � Y'�(�1 v �� ,� � C�► '1M �.,. -� c'y � 3 �� � �..... � � 1 '��� �� ������ ` - _������ z-�� ��, �I�� ,�. � �_ / . / .. � � M E '� � ... f _""'" _/ // . f'����� . ... r , ,✓" . . . , .. . . � . . y eJ i ._ ._�.:�.._ �_:...____.�:. __ --- __..__� __ .:__ \ —_--- ---�--- - -__. _.___.. _ _ __- -- � 'e11,vC�0 ��� ...-...�, , _a _ _ ,�._ ",,,�j % _�+ ,� . .A � _ '`� � � __ _ _ 1 _ 1J _ _ I _._. � _ � _. " 1' _ _ _. . . _.. , . � _ _ . _. � _ . _ _. . � ,_. , , ; � � , � , �.�-� f /� � � ,�� � : �, � � �� _ , � _ ,. r � __ , _ __ � _ 1�// / _ ; ; .� • t..� . . . I . . � � . .. ./.... . . .. . . .. . .... � ........ . ... �� .. � � �! _� r� _ -�- � ;� _ � �- _ _ , �-�. _ � ____ ,; � �_ _ , , �_ , � __ , �� _ : 1 , � , _ _ _ _, �. , �_--. �.. ��8 �►� �c?.�..__._... .�.. `� � � . ._.� .�- --- _.__. . �. __ __ _ _ _ __ _ �_� � .� � � v : � � ./ � � �� � � � � � � ��j`� t � r� V �`� V vJ � `` � � M F — J � � 4_ � ` ` � \� � � � �- � �� � � �: �I 1 �� V i � O � � \ � \ v ,,� � , �. � :� � � � � � � V. � R ea.�«..�r. °W+avo-*+,'�sew�+e�.�.� � . � /� - —� _ ,. �. ___��.e._._._ ..�sy..��.... �. i � � . _ � � � � �