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AF - 35892Village of Fridley, 11ollinn. �UILDING PE�MIT N° 211 Offnce of INSPECTOR O� �UILDINGS Owner v`�'.�..lC,�_.-�`�.,.� y"��,-��.��.:r./``� �� l Architect Frid'ey, �Iinn., � J� , 19.�T ! Builder �`�-t.:.nrvvl LOCATION OF BUILDING No. /� °2 � Street �_� Part of Lot 1 .� - ,� f Lot Block Addition or Sub-Division `�' �° '�+�`�"�- �� l � ^ � /'�, - { Front� Depth '3 r• -.. To be used as N � _., � G .-r� D�SCP,.IFTION OF ELT�LDING Height� Stories__� Manner of Construction r't.0�°Y�I�it ��(�' s � . -ir.. < . . •°N I� � �. : � SG,i� To be cornpleted_ �' . �-' . _ .� . �. Estimated , ,�„ Permit is hereby granted to`V';^-Cxf�%yt'1ti t" .�?�"-�vcJ'•.#s""t to 'Li� .''• :� _ . � . .• �.. . � v+r the building_�, j "t.�.t�'...�__� described in the above statement. This permit is granted upon the express condition that the p on to whom it is granted, and his agents, employees and workmen, in all the work done in, around and upon saict building, or any part thereof, shall conform in all respects to the ordi- nances of Fridley, Minn., regarding the canstruction, alteration, maintenance, repair and moving of buildings within the city limits, and this permit may be revoked at any time upon violation of any of the provisions of said ordinances. i� , �`7, V �� t�v'V�L1�ZInspector of Buildings. AGREEMENT AND SWORN STATEPJIENT Fn consideration of the issue and delivery to �r.e by the In^�ector af Builc?ings cf Fridley of the above permit, I hereby agree to do the pronosed wor� in accor�.ance with the cleucription above set forth and according to the provisions of �b.e o� dinar.ces of Fi idl2y, �r_d, being first duly sworn, I hereby state and say that the facts stated by z�e and contained in the �,bove germit are true as therein stated. � 4� �, �?,-C � �,,.h'.�/�1 '� �'"�-�' r1�..��- Subscribed and sworn to before me at Fridley, nZinnesota, this �- day of `-� .D. 19 "> � ° � . _ `i ,�., , � �..,� � n • City of Fridley, Minn. BUILDING PERMIT Date: .... �"~_:...2�-/�-�.." ................._............._................. � � � Owner: - - ��..�?�!(--- - ; .. ....._..7ftil�.-��ii' Builder .....:._...... � ,�y��r Address . ......�-....��.�.. .� . ....�:.�:1t.,r��H s!`..,�.... Address , --. N° ��44 LOC TI N OF BUILDING No. _...j.�.'�� .. Street ...��_�..--..-., :.... t__....�.�� ..............._...... Part of _/__'_.........._._...... ........................ .......... Lot . ' � . ' __.._ ��' ..____........ Block ...........J...._ -..__....._......._. Addition or Sub-Division .._.--��` �''�f�.�!L- -- �.Z„�i,,,l............_.... _.�;Y:�. .... Corner Lot _........_ ... __.._......._ Inside Lot __..�''''�__ ..__ Setback ... _ ............._................_...... Sideyard _......... - .................................. Sewer Elevation .._........_........_.._...........__._..._..........__ ........................................ Foundation Elevation ..............._ ..................... - __._...._.._ ....._.......... DESCRIPTION OF BUILDING To e U s: ' ...�,�./...._... Front � �... Depth p�. ,�Y _. Height ... . . .- -- Sq. Ft. . .__ Cu. Ft. .r.... ... � � �<:d- � 1 (�rtf./ _ _ _ .. � _ _ ....._. .._.. .. Front _....__ .... Depth _ . eight _ . Sq. Ft. .._. _ ._ Cu. Ft. ..... .. �,/�u Type of Construction .. ��!�,/yL�,i� .. Est. Cost _� ,%� Q _.. _...... To be Completed .. �h...;.,e•.e. V.,,_ �T ��5 �i l THIS PER;'�Ai��" C)`;---:°-�--'-------- - -.; �.,;:� � ��' I-�ORIZE V�OL:4T- ION OF F�NY i�F;!!;'F,i��LAi�:D �UILDfI`dG RE�1°F7�CT�pNS, `'�VEN�,NTS AND . In consideratian of the issuance to me of a permit to construct the building described above, I agree to do the proposed wark in accordance with the description above set forth and in compliance with all provisions of ordinances of the city of Fridley. /� .........................._.................. ....................................._........................................................... G u In consideration of the payment of a fee of $�..._..........._._, permit is hereby granted to ..............................................___...__... ....._ .................................................................... to construct the building or addition as described above. This permit is granted upon the express condition that the person to whom it is granted and his agents, employees and workmen, in all work done in, around and upon said building, or any part thereof, shall conform in all respects to the ordinances of Fridley, Minnesota regarding location, construction, alteration, maintenance, repair and moving of buildings within the city limits and this permit may be revoked at any time u� � iolation b�f any of the p�visions of said ordinances. � 1 ------,- � , ' ....._....._........ uilding Inspector � ...... . ..:Ua._....<,�..... ..,. . . NOTICE: This permit does no� eover the wnsfruefion, installafion for wiring, plumbing, gas heating, sewer or wafer. Be sure to see the Building inapector for separafe permits for these ifema. . , - � 4 � APPLICATION FOR BUILDING PERMIT CITY OF FRIDLEY, MINNESOTA - y_ , ; � Owners Name � ��t/ �f'- ��- Builder � - � ..� Address S ? �'� Address �y � ______.__.: r LOCATION OF BUILDING No. �� .2 �� Street �i�� Paxt of Lot i,ot 1�� Block �� Addition or S�b.Div„_2r��r-. -��-�• _._.__ Corner Lot Inside Lot�_Set S�"WFR ELEVATION FOUNDATION ELEVATION Applicant attach to this form Certificate of 5urvey of Lot and proposed building 1oca.tion. DESCRIPTIOIv OF BUZLDII3G To be used as: � _ . � � ��u:./ r ��'/'' L � Front ` ` Depth � Height / � Sq. Ft. , .2 Cu. Ft. - ;� o Frant Depth Height ______ r, Sq. Ft. Cu. Ft. � Type of Construction �.iLa�2,� Estimated Cost /�� . .�`�' To be compl The undersigned hereby makes applica.tion for a permit for the work herein specified, agreei.ng to do all work in strict accordance with the City Ordinances and ruling of the Department of Buildings, and hereby declaxes that all the facts and representa- tions stated in this application axe true and correct. , � ,- ; � DATE �� ,z- �� SIGNATURE � �� — ! (A 5c edule of Fee costa can be found on the Reverse Sidq.),, � � � • i L�C- " i' �' � z�Y� /U � i� BIIILDING PERMIT FEE SCHEDULE Section 2. The Inspector of Buildings sha.11, before issuing any permit for the erection of any building or structure, or for any addition to any existing building or structure, or for any alterations or repa.irs to any existing building or structure, upon applica.tion therefor� require the payment by the applicant for such permit o£ fees to the amount herein below set forth and in the manner herein provided to-wit: 2.1. For any such permit for the erection of any fire-proof building� other than a gaxage, warehouse, factory or grain elevator, or for the erection of any fireproof addition, for similar occupancy, to a�y existing building shall be at the rate of �1./�.0 for each one thousand cubic feet� or fraction thereof, in such cubica,l contents. 2.2. For any such permit for the erection of any fireproof gaxage, waxe- house, factory or grain elevator, or for the erection of any fireproof addition, for similar occupancy, to any existing building shall be at the rate of �1.25 for each one thousand cubic feet, classified as "fireproof" by Section 502 of the Minneapolis Building Code. HOUSES 2.3. For any such permit for the erection of any non-fireproof building other than a garage, warehouse, factory or grain elevator, or any non- fireproof addition, for similax occupancy, to any existing building. Permit $1.00 for each one thousand cubic feet. GARAGES 2.4. For any such permit for the erection of any non-fireproof garage, warehouse, factory or grain elevator, or for the erection of any non- fireproof addition, for similar occupancy, to any existing building er for each such building or addition. Ninety Cents for each one thousand cubic feet or fraction thereof, in the cubical contents thereof with a minimum of �L�..00. For the purpose of computing fees for building permits the cubical contents of any building or addition to a uniform height throughout by multiplying the ground area covered from a point six (6) inches below the floor line of the basement or cellar to the average height of the upper aurface or to the average height of the roof surface of the main gable of a pitched roof. 2.5. For repa.irs or alterations to an existing structure, the fee shall be at the rate of �3.00 for each Five Hundred Dollars (�500.00), or fraction thereof in the cosi of all proposed work. 2.6. In no case sha.11 the fee charged for any permi.t as set forth in Section 2 be less than �4.00. � • � . - u . Appiication for Power Plants and Heating, Cooling. Ventilation. Refrigeration and Air Conditioning Systems and Devices PARTIAL RATE SCHEDULE GAAVITY WARM AIR: RATE Furnace Shell & Duct Work . . . . . . . . . . . . . . . . . . . . . . . . . $10.00 Replacement of Furnace ............................. 6.00 Repairs & Alterations—up to $500.00 . . . . . . . . . . . . . . . . 6.00 Repairs & Alterations each add. $500.00 . . . . . . . . . . . . . . . 3.00 MECH. WARM AIR Furnace Shell & Duct Work to 120,Q00 BT[J . . . . . . . . . . . . $10.00 each add. 60,Q00 BTU ....................... 3.00 Replacement of Furnace . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6.00 Repairs & Alterations—up to $500.00 . . . . . . . . . . . . . . . . . 6.00 Repairs & Alterations each add. $500.00 . . . . . . . . . . . . . . 3.00 TOTAL $ � $ $ � $� $ $ 3TEAM or HOT WATER SY3TEM F�rnace Shell & Lines—ta 400 sq. ft. EDR Steam ... $10.00 $ Furnace Shell & Line—to 640 sq. ft. EDR Hot Water .. 10.00 $ Each add. 200 sq. ft. EDR Steam . . . . . . . . . . . . . . . . . . . . 3.00 $ Each add. 320 sq. ft. EDR Hot Water . . . . . . . . . . . . . . . . . 3.00 $ OIL BURNER—to 3 gal, per hour . . . . . . . . . . . . 6.00 $ over 3 gal. per hour—See Fee Schedule GAS BURNER (up to 199,000 BTU) . . . . . . . . . ... . . . . . . . . . 5.00 $ �'� over 199,000 BTU See Fee Schedule GAS FITTING FEES: NO RATE qTOTAL lst 3 F�xtures . . . . . . .. . . . . x$ 2.00 $ °�'�� Additional Fixtures x ,75 $ Gas Range to 199,000 x$ 5.00 $ AIR CONDITIONING � I�.00 FAN HEATING SY3TEM See Fee Schedule VENTILATING SYSTEM $ ALTERATIONS & REPAIRS TOTAL FEE �� ROUGH FIN �_►ss7� Dept. of Bldgs. Phone 560-3450 � LocBtion 7 �oKJ �,.�C3C� ��+�L�1l�T 1 1 � �. � City of Fridley: The undersigned hereby makes application for a permit for the work hereir. specified, agreeing to do all work in strict accordance with the City Ordinance: and ruling of the Department of Buildings, and hereby deciares that all the facts and representations stated in this application are true and correc F�idley, Minn. �II � , 19 �D Owner > � � ` � � � - �i�oL I � - Q�D�i.YI -oZ-�� Kind of Building 0 Used as To be completed about � �� 68 Estimated Cost, $ .X�� Building Permit No. Permit No. L�� T—. DESCRIPTION OF WORK HEATING or POWER P'LANTS�team, Hot Water arm Ai No. � � /� � � Trade IVame � � Q11:� �L�Ir��1/ Size No. �� - � 0 Capacity Sq. Ft. E.D.R. � �� BTLT H,P. Total Connected Load��7 � Kinri Of FUe BURNER — Trade Name Size No. Capacity Sq. Ft. E.D.R. BTLT H.p. (REMARKS-OVER) 42 Signe By C�. . . .". ; ! � :�. � ^.;,.-�'OND. Cd, Business Phone No ne �a . . M:nneapolis 16, Minn. LI. 5-1611 µ„�,y r . �., . fl o. CO1f 32RIICTIOP ? ,' x'; �r. . � . !�' ' ' WBATHERSTRIPS INSIILATION _ '�1�i _ Wtado�vs D roo n I! Out. Wall_II_ �+ - e Ro ~- e No ^ Width� Hei�6t � � �� Room Length �_____ y Widte Hei�ht _- F� Room Length _ � — Width Heigbt � .. . p� Room Length '�h � Windo�v� and Doors-Cnckage and Aror Ia�tslled � ' ft. E.D.R. or n�. in•. � ' WidtL HeiRht :��. �,f l.ineal ft. Area tt , �iRhu ot crecic eq. (t. ,� No. of v�ne oE pane � � W. A. La�der a�w � � �- ��- �� --�-�- -�-� _ �, � -L-- �- � _�?�.�- '� �- �- --�--�- z -.�'�— °� ` _� --�--- �' j' ,� -.�'-�- � - 2 -� _�-- ,; �., y . . .. �. �� __— T . [. ",?I�+ rk Q�''✓.we�: - � ,,.{t� F � � �...:^ .e. � . na � � ',*,Y. Fd �.: - . '"'� � �. .' y � . . �,.• . 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' � .. �: �L• . � � �� I �. a �'; r5ew.� _* , �r' � ��. , � , �ry { � .. . . • I`m ,a` s � � r +��4 fiff _ - . . _ � _ .qH b . `;KsFb � � 5'' .. . , . � �. . . . . ?' �c �. ^ , . , , "' ' � ..�- . . .. � .. .L .KO� � � ' .� ...� ,. . . .. .' s , � . :. ;.F 5� '� . . �,�. � a � na . . . . � � .. � , � � , �{e� �{ r�: `:� , �t ' k f ":.� r' , F 6 dC � Pv � ' '' , � � � .?�" � - � �Y '" �'";. ' r w �� i £#g ' _ . ' _•�" ,� � . '" 1 p ., . , : , : . ,< . w , �. .., . ,, . �.. < �� tl � ��r ' .. ' ' . . .. ;� . a � 5 ��y _ - . ,�! . . , , , .. . . . . . . . � � r�. . , , . j , ,yyr4rF� ., . . �_ , . . .. . . �,:, '_ ..� .. . � a . A� g��+ �,�.:�, . . . ' �.., . . . � ' . . .. �ey yT .�, . . . � .. ,. Af/ � . . � � , . � _ i . , ' " � . ��..i f ♦ . � � � , „ � � r -� � � ; . y� , . . � . . . � W. - ' . � .,- �� .�i ^_ #� g. . M . . . . . . . ' . ; .� v , �' . . ; . . . . .. t t r;,,k �T � a� �` ,� . ' . . ' .. .. ., ., .. � , � .. �. '`t . ..+ ' � +� � �'o: + .� i�;.'.< `�N(u! r bv�'�'+k�ew ..,�,., , _ , et )�" _ . ,.. �„�..air w�� iry�j►»�'NW�'"�YM� SUBJECT PERMI�.A}0- City of Fridley 4040 AT THE TOP OF THE TWINS g U I L D I N G P E R M I T • r ; � RECEIPT NO. � • COMMUNITY DEVELOPMENT DIV. � � ti __��'� r � � PROTECTIVE INSPECTION SEC. , � � �► � /��1 � CITY HALL FRIDLEv SS432 NUMBER REV. DATE PAGE OF APPROVED BV `.��ii �.J 612-560-3450 g10-F15 5�2�'7'7 � � JOB ADDRESS �520 Able Street N. E. 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. Fj 3 Schaffer's Sub. #1 SHEET 2 PROPERTYOWNER MAILADORESS ZIP PHONE $everly Sellers 7520 Able Street N.E. 3 CONTRACTOR MAILADDRESS ZIP PHONE LICENSENO. Richard Hastin s Co. 6331 Riverview Terrace N.E., Fridley 560-2610 4 ARCHITECTORDESIGNER MAILADDRESS ZIP PHONE LICENSENO. 5 ENGINEER MAII ADDRESS ZIP PHONE LICENSE NO. 6 USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE X 8 DESCRIBE WORK Reside house 9 CHANGE QF USE FROM TO STIPULATIONS TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY IOAD SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, VENTILATING OR AIR CONDITIONING. �13ITL1T1UI11 THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING SQ. F7. CU. FT. AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION OH WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT R-1 ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS OFFSTREET PARKING I HEFEBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION 1 STALLS GARAGES AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS VALUATION SURTAX AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT S2rOOO �A'S� y��..00 DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE pERMIT FEE SAC CHARGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- 12.00 STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. $ \; � PLAN CHECK FEE TOTA� FEE � ! x � �� - � � �� i $13.00 � �i. , �_ SIGNATUREOFCONTRACTOFlORAUTHOFlIZ DAGENT �Dn7e�"� WHEN PROPERLY VALIDATED THIS IS YOUR PERMIT �� ( f. ..�. � ��- � \ ) , � � )�� ( ( � _ �' j.: SiGNATUREOFOWNERiIFOWNERBUILDER� IDATEI BLDG WSP DATE '� CITY OF FkIDLEY APPLICATION FQR RESIllENTIAI. BUILDING PERMITS �NEW, ALTERATIOhS, ADDITIONS, OR REPAIRS) OWNER: �� J �<< L�/ S� L L!_ ,�S BUILDER: � t C, I� 1! Z� ��) S�� l�/G S Address: �SZ O l-�bGti S�. Address: G 33 � �, ��i2 V�� ✓ �L�; Tel. No.: 5�0 2�/O No. : 7 S � v Street: /�1 6 L� LOT: �o BLOCK: � ADDITION: ��Z � � �� CORNER LOT: INSIDE LOT: SiTBACK: SIDEYARDS: Applicant attach to this form Ztao Certificates of Survey of Lot and proposed building location drawn on these Certificates. DESCRIPTION OF BUILDING To Be Used As: �C.k /�i �, �c.,�-�ront: Square Feet: Fron t : Depth: Height: Cubic Feet: Depth: Height: Square Feet: Cubic Feet: Type of Construction: f-�L,,� nn . S i d,' ��G Estimated Cost: $ Z vc�a, c� c� To Be Completed: G�iS��'� Alt. A Alt. B Proposed Driveway Width If New Opening Is Desired $ $ (SEE P.EVERSE SIDE OF SHEET) The undersigned hereby makes application for a permit for the work herein specified, agreeing to do all worl� in strict accordance wi'��h the City of Fridley Ordinances and rulings of the Department of Buildings, and hereby declares that all the facts and representations stated in this application are true and correct. See reverse side for additional information. DATE: ;s%2-/j 7 SIGNATURE: ^ /�;��c-�-=5� Stipulations: /� �' � / �I U /� - � , � (� � � 1 �� BUILDING PERt�1IT FEt SCHEDULE SECTION 2. The Inspector of Buildings shall, before issuing permits for the erection of any building or structure, or for any addition ta any existing building or structure, or for any alteration or repairs 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: NEW CONSTRUCTION: Single Family Homes and Garages: $4.00/1,000 cubic feet.. PLAN CHECK: 25 percent of building permit fee. DRIVEWAY DEPRESSION: (Concrete Curb Streets Only) Alternate A: Removal and replacement of concrete curb and gutter only; Driveway width plus 6 feet x$11.75 Alternate B: Removal and replacement of concrete curb and gutter and install a 3 foot wide approach with 6 inch depth; Driveway width plus 6 feet x$15.40 ADDITIONAL INFORMATION For the purpose of computing fees for building permits, the cubical contents of any building or addition, is determined by multiplying the ground area covered from a point six (6) inches below the floor line of the basement or th� cellar to the average heights of the upper surface or to the average height of the roof surface of the main gable of a pitched roof. For repairs or alterations to an existing structure, the fee shall be at the rate of $3.00 per each five hundred dollars ($500.00) or fraction thereof in the cost of all proposed work. In no case shall the fee charged for any permit as set forth in Section 2 be less thari $7.50 plus $.50 state surcharge. _�IER I F I CAT I 0N OF FOUNDAT I OfV NOTE: Permits �or construction will be issued a minimum of 24 hours from the time of application to allow for proper review of the proposed structure and of the construction site. A Certificate of Survey of the lot, showing the location of the foundation once it has been constructed will be required before proceedir.g with the framing. CCRTIFICATE OF OCCUPANCY Application for a Certificate of Occupancy shall be made ten (10) days prior to the use or occupancy of any structure for which a building pe nnit has been issued; and said structure shall not be used or occupied until a Certificate of Occupancy has been issued. �� s�e�ec* N . City of Fridley 29433 AT THE TOP OF THE TWINS g U I L D I N G P E R M I T f i � i � • � • COMMUNITY OEVELOPMENT OIV. �� ' ; V'�"�� , ✓ r � � PROTECTIVE INSPECTION SEC. 1 � � � �'��1 � CITV NALL FFi1DLE� SS�3Z NUMBEp REV DATE OAGE OF APGqOVED BY �'""�'� �'' 612-571-3450 910-F15 5/10/99 / / JOB ADDRESS �520 Able Street NE 1 LEGAL LOT NO. BLOCK TRACT Oi± AOD1710N SEE ATTACNED DESCR. (� 3 Schaffer's Subdivision ��1 SHEET 2 PROPERTY OWNER MAI� ADDRES$ ZIP PHONE Lynn Foss 785-9570 3 CONTFACTOR MAIL AODFESS ZIP PHONE IICENSE NO Owner � ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PMONE UCENSE NO 5 ENGINEER MAIL ADDfiESS 21P PHONE LICENSE NO 6 USE Of BUILDING Residential 7 CIASS OF WORK ❑ NEW ❑ ADDITION ❑ ALTERATION � REPAIR O MOVE O REMOVE 8 DESCRIBE WORK Reroof house and garage (18 Sq) Tear-off 9 CHANGE OF USE fROM TO STIPULATIONS Underlayment must comply with the State BuildinQ Code. TVPEOFCONST OCCUPANCVGROUP OCCUPANCVLOAO SEPARATE PERMITS ARE REOUIREO FOR ELECTRICAL. PLUMBING, MEATING, VENTII.ATING OA AIR CONDITIONING TMIS PERMIT BECOMES NUL.L AND VOID IF WORK Oii CONSTRUCTION ZONING SO fT CU fT AUTHORIZED IS NOT COMMENCED WITHIN 60 OAYS. OR IF CONSTqUCTION OR WORK IS SUSPENDED OR ABANOONED FOR A PERIOD Of 120 DAYS AT ANV TIME AFTER WOFK IS COMMENCED. NO DWIG. UNITS OFFSTFiEET PARKING I HEfiEBY CEFTIFY THAT I MAVE READ ANO EXAMINEO TMIS APPLICATION STA��S GARAGES ANO KNOW TME SAME TO BE TRUE AND COFRECT ALl PROVISIONS Of LAWS VALUATION SURTAX AND ORDINANCES GOVERNING THIS TYPE OF WORK WIL� BE COMPLIED W17H WHETNER SPECIFIEO HEREIN OR NOT THE GRANTiNG OF A PERMIT $1542 y�. %% DOES NOT PAESUME TO GIVE AUTMORITY TO VIOLATE OR CANCEL THE pEqM1T fEE SAC CMARGE PROVISIONS OF ANY OTMEfi STATE OR LOCAL LAW REGUTATING CON- $TRUCTION OR T1iE PEFiFOfiMANCE OF CONSTRUCTION y�5% . �5 Fire SC. $L ..ri�F PLAN CHECKFEE TOTA�FEE $59.36 S�GNATUAE �QACTOAOpAVTMOA�ZED�GENT iO�iE� WMEN PROPER VALI ATED THIS IS `/OUR PERMIT S�GaaTU ��OWNEA��cOwNE Bu��DEAi �O�TE� �� g� u.gp' �arE NEW [ ] Effective 5/10/99 ADDN [ ] CITY OF FRIDLEY �� ALTER [�] 5INGLE FAMII�Y AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION �i� �j a' �1 � Construction Address: ��') 5' Z o A 6 t� �'r r' F � Legal Description: Owner Name & Address: Contractor: N >> � � Address: �'1 � Z d Aa �-6 LIVING AREA: GARAGE AREA: DECK AREA: OTHER: Construction Type: � r�'' L�or S �r � F- Tel. # —1 k-� - � fi '� � MN LICENSE # Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIP'TION OF IlVIPROVEMENT Length Width Length Width �,ength idth -(�v o � �r Driveway Curb Cut Width Needed Tel.# ��s 9s'�� Height Sq. Ft. Height Sq. Ft. Hgt/Ground Sq. Ft. � v l�7 � Estimated Cost: $ 5'� Ft. + 6 Ft = Ft x$ _$ DATE: 5' .- t o - � � APPLICANT: Tel. # � � � —�' � � � Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee Sewer Main Charge TOTAL STIPULATIONS: $ S"'7 D.� $ � .s'i $ $ $ $ $ $ $ $ �%% � ld CITY USE ONLY Fee Schedule on Reverse Side .001 of Pernut Valuation (1/lOth%) $.50/$1,000 Valuation $1050 per SAC Unit $5.00 (State Licensed Residential Contractors) Alt. "A" or Alt. "B" Above $450.00 Conservation Plan Review Fee Determined by Engineering Agreement Necessary [ ] Not Necessary [ ] BUII.,DING PERMIT FEE SCHEDULE The Chief Building Official shall, before issuing pernuts 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 $1 to $500 $501 to $2,000 $2,001 to $25,000 $25,001 to $50,000 $50,001 to $100,000 $100,001 to $500,000 $500,001 to $1,000,000 $1,000,001 and up FEES $23.50 $23.50 for first $500 plus $3.05 for each additional $100 or fraction thereof, to and including $2,000 $69.25 for iust $2,000 plus $14.00 for each additional $1,000 or fraction thereof, to and including $25,000 $391.25 for first $25,000 plus $10.10 for each additional $1,000 or fraction thereof, to and including $50,000 $643.75 for first $50,000 plus $7.00 for each additional $1,000 or fraction thereof, to and including $100,000 $993.75 for first $100,000 plus $5.60 for each additional $1,000 or fraction thereof, to and including $500,000 $3,233.75 for the first $500,000 plus $4.75 for each additional $1,000 or fraction thereof, to and including $1,000,000 $5,608.75 for the first $1,000,000 plus $3.15 for each additional $1,000 or fraction thereof DRIVEWAY DEPRESSION ESCROW (Concrete Curb Streets Only) Alternate "A": Removal and replacement of curb and gutter only - Driveway width plus 6 feet times $15.50. Alternate "B": Removal and replacement of curb and gutter and install a 3 foot wide approach with 6 inch depth - Driveway width plus 6 feet times $23.25. 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 the proposed structure and of the construction site. A Certificate of Survey of the lot, showing the location of the foundation once it has it has been constructed will be required before proceeding with the framing. � CITY OF FRIDLEY 6431 University Ave NE Fridley MN 55432 (763)572-3604 FAX (763)571-1287 MOVING [ EM ] PERMIT AYPLIC:A"1'lUN _ c�i�-�_ �� Job Address: %'� Zj% ��L� ��T �v� Legal Description: Owner & Address : j��,y� �.,, ,l�L�nnZ , '7�—�p �� S'`�- �� Tel . #763��"'�3 Contractor : S J��S �2 CQ� � Tel . # � ��a.�3) Add r e s s:�-�'�'� ��g�.TJcs�� j�-►4�l2 S t a t e L i c e n s e # �.�� HOUSE: Length � Width � GARAGE:Length � Width �� OTHER: Length Width Estimated Cost $ j O� Height Sq. Ft. Cu. Ft. Height � Sq. Ft. �%�Cu. Ft. Height Sq. Ft. Cu. Ft. Approx. Completion Date CALL GOPHER STATE ONE AT 651-454-0002 FOR UTILITY LOCATIONS. CAI�L ALL UTILITIES FOR DISCONNECTS BEFORE WRECKING MOVING STRUCTURE. Moving Route: APPROVAL(S) REQUIRED PRIOR TO ISSUANCE: MPCA: NOTIFICATION OF INTENT TO PERFORM A DEMOLITION () YES () NO ❑ Water Bill Paid: Yes[ ] or Collect[$ ❑ Bldg Official Conditions ❑ Engineering Conditions ❑ Fire Marshal Conditions ]Signature The undersigned hereby makes application for a pernut to wreck/move the building described above, agreeing to do all work in strict accordance with the City Ordinances and rulings of the Building Division, and the State Code which requires any water well on the property to be sealed by a State licensed water well driller, and hereby declares that all facts and representations stated in this application are true and conect. ALL DEMOLTTON DEBRIS, INCLUDING FOiINDATION & SLAB, SHALL BE REMOVED FROM SITE. �� Date Si�nature , Moving Principle building into Fridley . . . . $300.00 Accessory building into Fridley ...$ 42.00 Through or within the City ......$ 20.00 Move a building out of City ......$ 20.00 Wrecking For each 1,000 cubic feet or fraction.. ....$1.25 For structures which would be impractical to cube, the fee shall be based on the total cost of wrecking at the rate of $6.00 for each $500.00 or fraction. PERMIT FEE: .-�U �� MINIMUM $20.00 Office Use Only: SAC-D form completed Effective 4/21/09 �• i.. �j� 7a � Building BUILDING Pe�it Ivo : �� 4�' Inspections RESIDENTIAL APPLICATION Received By: 763-572-3604 CITY OF FRIDLEY va�' '�.�' �d�� 763-502-4977 FAX EFFECTIVE 1-1-09 . DATE / Z,� / C� / YOUR E-MAIL ADDRESS ��ISL�'�.T�,��j) �'_� �� ,( ��1 SITEADDRESS %S�-O g�� "f" �� THIS APPLICANT IS: ❑ OWNER �JCONTRACTOR PROPERTY OWNER/ NAME: (�/� .� �}� J<'�� z TENANT p,DDRESS: 7 -�iT�� J� �� CITY ��'.1 �_��__STATE.�C�IP_2� PHONE: ��.�-�- ��j- �3-��,� p CONTRACTOR NAME:__Z� ��'� ��-� SUBMIT A COPY OF STATE UCENSE #,p �� EXP DATE 3 � YOUR STATE LICENSE �,��/� ,I J ,f '��J� AND CERTIFICATE OF ADDRESS:I��_�'�-�-��G��'?--� J�� CITY �7''�l.{L STATE��IP INSURANCE PHONE '�% � �'� ��% FAX � � � c�'S'7 PROPERTY TYPE ,�"SINGLE FAMILY/NEW CONSTRUCTION SIZE ❑ TWO FAMILY/NEW CONSTRUCTION STORIES PERMIT TYPE � �DIT10N GARAGE/SHED ❑ WINDOWS ❑ BASEMENT FINISH ❑ ROOF ❑ DRAIN TILE ❑ DECK ❑ SIDING ❑ OTHER ❑ SWIMMING POOL TYPE OF WORK: ❑ NEW HOME CONSTRUCTION ❑ ADDITION ❑ MAINTENANCE/REPAIR ❑ REMODELING DESCRIBE WORK BEING DONE: D� �p ' PG ��LS g w�-�-�ys SIZE OF IMPROVEMENT LENGTH � WIDTH � � HEIGHT �� r SQ FT ROOFING ❑ HOUSE ONLY' 2 BASEMENT REMODELING SUBMIT: C,Q�a NUMBER OF SQUARES � � GARAGE 1. Existing Floor Plan GARAGES . ❑ ATTACHED GARAGE 2. Proposed floor plan PROPOSED SIZE. ?( ��, � DETACHED GARAGE 3. List of structutal membeis to be used PROPOSED HEIGH�_I � L SIDING FOR NEW CONSTRUCTION INCLUDING DECKS, ❑ Vinyl ❑Soffit ADDITIONS. & PORCHES SUBMIT• ❑ Aluminum ❑ Trim 1. Site Plao/Survey showing the existing structures � Other �� _ ❑ Fascia 2. T os ets of constru tion plans WINDOWS 3. Encrgy Calculations IN EXISTING OPENINGS ❑Yes ❑No LOCATI N OF WINDOWS OR FOR NEW OPENINGS-DESCRIBE SIZE OF �Ci j�} � OPENING CHANGES & TYPE OF WINDOW TO BE INSTALLED NUMBER OF WINDOWS ALL FEES ARE BASED ON VALUATION, INCLUDING THE COST OF LABOR AND MATERIALS: US,I� Gn THE 1997 U.B.0 FEE SCHEDiILE) TOTAL JOB VALUATION $ �,�t S_ ,�CO OCCUPANCY TYPE Permit Fee Plan Review Fire Surcharge Surcharge License Surcharge SAC Charge Curb Cut Escrow Erosion Control Park Fee Sewer Main Charge Total Due $ 'J�� .a5 $ ,� � �►, .� $ � �t :, 5 $ � .� i ��- $ $ $ $ $ $ $ i.k 9 I � `� See Back Page for Fee Schedule 65% of Building Permit Fee .001 times the total job valuation .0005 x Permit Valuation Minimum $.50 $5.00 (State Licensed Residential Contractors) $2000 per SAC Unit (Plans to MWCC for determination) ft+6ft= ftx$21=$ $450 Conservation Plan Review Fee Determined by Engineering Agreement necessary ( ) Non Necessary ( ) Make checks payable to: City of Fridle.y Attach THIS IS AN APPLICATION FOR A PERMIT-NOT VALID UN7'IL 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 wo • c which re uires re 'ew and approval of plans. SIGNA'I'URE OF APPUCANT ,.�y PRINT NAME �� L�DATE �/�� PLEASE NOTE: SEPARATE PERMITS ARE REQUIRED FOR PLIJMBING, ELECTRICAL AND MECHANICAL WORK s ' From: unknown Page: 2/3 Date: 9/24/2009 3:19:46 PM P�or p�.a►n, {�._: .� 'w ,--_,_ _ .-�—.,.��,._;•�---T---^x----�••r----- ;-_' ..�—.,'- .. ._-� _' _: � _��T. �._� ,.... .... � _ ' ' � • ,. ,1 ... ...... � . � —� � � - . , , , . i "' -j° � ,---i—' , . . � . . � � . � . � . � . � � � . " � i � � _ 1 . • . � . � ,._...... . ."" � ,. � . . ... � :•'•"'_ ' "" �_"' '""""__ . '— . ' ' . . ' � ., , . . , . 1' . � � , . , • . � . � , . � . . b /� � ! \ . . \ .""'_", ._:....�. ,...."""' __"".. , , . . ' . ' ."'_ • 'r ". . '_'— , ..._�' _, . - =_' � � , � ; . ; � " ,t - ' ".. �. ...' .. . , ... . ..: 6 1 • " . � i _ ' .._ _ . . . . . � . . : , _ e ■ a r ■ -...--. '% _"' . . . . . . - � > _.�.........�— �. . �y ��y . , . � . ��f�ii�M��OM , : .._. .. "" � ' ' ' . . _' . . .... � . � "' � ; � ! � � _'"' . � ) ; ' . 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' � : , .. � � ' � ; - ----- � ' � � ._�_.__ � � .� ,�...�--:- ~ ��. , � ---., ,.. . . _ l ; ; -- ' i � _ �_..._ _._._a,.� .._..._..._�.i.._...`_..•_.'�:......:��.::r__.._.-------__ `...`......_. --..-s.._ ._.._... _ � � �� REVERSE GABI,E HIP - . ��"�o,, I�OOF 11ViID-POINT HEIGHT ___�' J� '� � �—��'�" �z6�'E 7 ��'-,-� �--�� j � J% 12 �`� �.—�-c�'-�2:�3�H��LE��.'�"'_�°.�"- � ��^ � ''�l Y7� FELT WI'i'I3 2 CRS. ICE & W�-1T�R �-+ , , _, ��S �� -�-�C �v�n 2tit � _� �'s" GYPSiTM ON FIREWALLS . k �,�o : i�ir� � - u �� SR� � � r `l �C� �zl�_ , � a.3�� x r-y � o ' � --_..._.�.=n._n=u=' IL=��,_ MANTTFACTUR�D i%VOOD TIZUSSES .,.nnn -EXTEND �g".GYP. SH�ATHIlVGTO ROOFJ PLYWOOD ON FIREWALLS xX6 � A�7A ALIJI�L[ � D SOFFIT �N�3 FACIA EAUE:f��( R�: � �. OHD �IEADER: (2) 2Xi2'S x 3�a " _ _L.'S ��1 � �-� SIDING �/i6" OSB SHF.ATI�ING 5/8" GYP. SHTG. BOTl=i SIDES ON WALI„S CLOSER THAN �' TO PROPERTY LINE & NO OPENIlVGS WIT�IIN 3' O� PROPERTY LINE 2X4 STUDS 16" O.C. , , �� IM�N A�� S� (� � 2X5 TRF_ATED SILL PLATE �/�" X 10" ANCHQR BOLTS 6` O_C_ AND Y2" FROM SPILICES A.NiD LNDS 6" X 8" CO�TCRETE BLO�CK 1�2" X 1�„ REBAR P1NS 400o PSI COI�TCRETE NO. 3 R:EBA.R 3' O.C. E_W. OR 6X6X10 W.W.M. COMPACTED BASE . Overhead Door Meets 2006 IRC R301.2.1.1 Using Test Standard ASTNi E300 Design and Test Loacls are labeled on Installed Overhead Doors �> � � z � �SUSSEI, CORI'ORATION� NOTE:tHISSECTI0NISNOTTOSCiLE. TH(S -- � � � c-��E w�z:,-sE��xorr� � �'� j 654 r�-`SF1:R RD i6B ��ONDR��YITTG IS TD BE IISED A GIIIDE TO Tf� m ��, � - ST. P�.U'L, lIN 5�� ONSIRIICTIOih OF`ADST9Ci�D Gd1tAGE, o_ Z� , ; PH T GSi-�45-o33i � , � m � � i � � Job Name: SUSSEL / CT&SW STD HRG X-LOC REACT SIZE REQ'D 1 0- 2-12 1Al2 5.50" 2.21" 2 23- 9- d 1412 5.50" 2.21" BRG REQUIREMENTS ehown ata baeed ONLY on tha truae matarial at oach bearinq TC FOACE AXL BND CSI 1-2 -2869 0.18 0.57 0.75 2-3 -2467 0.08 0.53 0.61 3-4 -2467 O.OB 0.53 0.61 4-5 -2869 0.18 0.57 0.75 HC FORCE AXL BND CSI 6-7 2658 0.59 0.26 O.BS 7-B 1805 O.CO 0.20 0.60 s-9 ieos o.ao o.zo o.so 9-30 2658 0.59 0.26 0.85 WEB FORCE CSI AEB FORCE CSI 2-7 -548 0.22 3-9 709 0.43 3-7 709 0.43 A-9 -548 0.22 Truss ID: 24CT TC 2x4 SPF #1/N2-CAN BC 2x4 SPF N1/#2-CAN WEB 2x3 SPF STUD-CAN Thia design does not account for long term time dependent loading (creep). Building Deaiqner must account for thie. THIS DESIGN IS TAE COMPOSITE RESULT OF MCTLTIPLE IAAD CASES. Loaded for 10 PSF non-concurrent BCLL. 20 psf bottom chord live load NOT raquired on this truss, per IBC/IRC requirements for attics with limited storage. 10 Designed per ANSI/TPI 1-2002 Platinq is based on quality control factors Cq = 1.25 for wide face and Cq = 1.25 for narrow £ace. Any alterationa to this are shown for individual jointe on the Joint Report. Refer to Joint QC Detail Sheet for Maximum Rotational Tolerance used IRC/IBC trusa plata values are based on testing and approval as required by IBC 1703 and ANSI/TPI and are reported in available docwnents as ER-1607 and ESR-1118. 6-7-4 � 6-4-12� 5-4-12 � 6-7_� 6-7-4 12-0-0 17-4-12 24-0-0 12-0-0 i 12-0-0 � 1 2 3 4 5' 4.00 -4.00 UPLIFT REACTION(S) : Support Main Wind Non-Wind 1 -103 lb 2 -103 lb This truss is deaigned ueinq the ASCE7-OS Wind Specification Bldg Enclosed = Yes, Importance Factor = 1.00 Truss Location = Not End 2one Hurricane/Ocean Line = No , Exp Category = B Bldg Length = 99.99 ft, Bldg Width = 50.00 ft Maan roof height = 22.16 ft, mph = 90 ASCE7 II Standard Occupancy, Dead Load = 10.2 Desiqned as Main Wind Force Resistinq System - Low-rise and Componenta and Cladding Tributary Area = 48 sqft SXS Tzx4 zX4 T 4-3-13 4-7-11 1 3X8 3X8 �SHIP =0-3-13 Sp_3_� 3X4 S=3X4 3X4 1 � 24-0-0 1 � 6 7 8 9 10 � 8-8-1� 6-6-12 8-8-� 8-8-10 15J-6 24-0-0 All connector plates are Truswal 20 ga. unless preceded by "W" for Wave 20 ga., "HS" for HS 20 ga., "S" for SS 18 ga. from Alpine; or preceded by "MX" for TWMX 20 ga. or "H" for 16 ga. from Truswal, positfoned per Joint Detall Reports available from Truswal software, unless noted. VILLAUME 2926 Lone Oak Clrcie, St. Paul, MN 55121 PH; 657-4543610 FAX; 651-464-0765 WARNING Read all notes on this sheet and give a copy of it to the Erecting Contractor. This design is for an individual building component nol truss systam. It has been basad on specificalions provided hy the component manutacturor and dona in accordenca wi[h tha currenl versions of TPI and AFPA deslgn standerds. No responsibiliry is assumed for dimensional eccuracy. Dimensions are to be veri(led by the component manulacturer and/or bullding designer prior to fab�ication. The builAing designer must ascertain that the loads utllized on ihis deslgn meat or excead ihe laading Imposed by the local building coda and ihe particular application. The deslgn assumea that the top chord is latsrally bnced by the roof or floor chealhing and [he hottom chord is laterally bracad by a rigid sheathing matarial di�ectly attachad, unless otherwise notad. B�acing shown is for latenl support ot componanis membars only to reduca 6uckling length. This component shall not ba placad in any environment that will cause the molslura cantent of th� woad to excead 19•/. and/or cause connector plate conosion. Fabrica�e, handle, install and brace Ihis Iluss In accordance with [he following stantlards:'Joln� and Cutling Detail Reports' avallable as output from Truswal sof[ware, 'ANSIITPI t','WfCA 1' - Wood Truss Council of America Standaitl Deslgn Responsibilities,'BUILDING COMPONENT SAFETY INFORMATION' - �BC91) and'BC31 SUMMARV SHEETS' by VJTCA and TPI. The Truss Plate Inztitute (TPI) Is located at 218 N. Lee 9ireet Suita J12, Alexandria, VA i1714. The American Foresl and Paper Association (AFPA) is located at 1117 191h Straet, NW, Ste 800, Washingtan, DC 200J6. Wght: 95 Chk: Dsgnr: TC Live 35.00 psf TC Dead 7.00 psf BC Live 0.00 psf BC Dead 10.00 psf TOTAL 52.00 psf MA7C DEFLECTZON (span) : L/999 MEM 3-4 (LIVE) LC 1 L= -0.24" D= -0.09" T= -0. __= Joint Locations -- 1 0- 0- 0 6 0- 0 0 2 6- 7- 4 7 8- 8-10 3 12- 0- 0 8 12- 0- 0 4 17- 4-12 9 15- 3- 6 5 24- 0- 0 10 24- 0- 0 4/16/2009 Scale: 5lJ2" = 1' WORK ORDER: Q601384 CUST:LAMPERT YARDS AV- DUE DATE: M03/2008 DurFacs L=1.16 P=1.15 DeFl. 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TF3� WHALER rvrus�� covEii �,L wL�s �rx��z� EXCEED THAT H�IGHT. f1.N ANGTJLA7t BR�1CI: MUST BE ATTACIIED TO THE ti1�-IALER AND RUN UP T� TH� FFAK AT AN ANGLE BETWEEN 40° & 50° AND N�liLLD INTO BT.�'rrrrtn 0�, 0 a �; � x � � � 7 w�� , --�, w��c� s.' r� 12 � � GAB LE END B RACING P.NR'iRUSWAI,L ENGINLERING RTGID SiiLATI�IING " 27i6 BLO ANGLL�DRACE TRUSSL�S @ 2q" OC #1 DETAIL � � G-2r � c�.� �S � � �Ina(` �� w��, qC� w► p� j�- �� I.a d�� i2C r,�:� .� ._... .� . _. �. ._. .._. ;MI�V HEADER 3�� X i1.25�� ..............:..... � T ' . � 6'-18' FINISHED WIDTH — �;I I•I. FA.STEN TOP PLATE TO H�ADER WITH 2 ;I I•I. ROWS OF 16D SINKER�S AT 3" O.C. 'I I•I: i000LB. H�ADER STRAP OPPOSITE SIDE OF •I I.I' SHEATHING A� SHOWN � MIN (2) 2X,q TYP. FASTEN SH�ATHING TO HEAD�R WITH 8D COMMNQN NAILS IN A 3" GRID PATT�RN AS SHOWN AND 3" O.C. IN ALL rRAMING (STUDS AND SILLS TYP. 16" NIIN FOR 8' HEIGHT 18" MIN FOR 9' HEIGHT 20" MIN FOR lo' HEIGHT i/2" DIA. ANCHOR BOLT WITH �" EMBEDDMENTAND 2" X2" X 3/16" . PLAT� WASHER, TYP. APA I�TARROW WALL DI�.GRAM 1 SIDE � FROT4 'f1tUSSES C 45° hSAX. 2q" OC � � 2Yq STIPFLNER W/ioD @ 8"OC 2%3 6AII I,� LND FVEB PELIC # 2 DETAIL SHEATHING FILLER IF NEEDED �6D SINI�RS NAILS IN 2 ROWS i6" O.C. i000 LB. HEA.DER STRAP 3/8" STRUCTURAL iHEATHING MII�. �11�E � ��3 Building BUII,DIN(i Permit No.: -oj�5� Inspections RESIDENTIAL APPLICATION Received By: 763-572-3604 CITY OF FRIDLEY Date Rec'd: �—%5-U� 763-502-4977 FAX EFFECTIVE 1-1-09 DATE YOUR E-MAIL ADDRESS SITE ADDRESS � — �J �L'� � THIS APPLICANT IS: ❑ OWNER �ONTRACTOR PROPERTY OWNER/ NAME: �'✓/ N L- � TENANT ADDRESS: %��} W/�C� j �CITY �.�` �,�sP� � / STATE�/�ZIP PHONE: �%�f7j7� �`l �9 , CONTRACTOR NAME: � �, C SUBMIT A COPY OF STATE LICENSE # �� EXP DATE �d- YOUR STATE LICENSE �v3 AND CERTIFICATE OF ADDRESS�p�c` '�.�''�/`j�_ �� /�fj/j CITYJ D�qy`t STATE�i�CLIP I INSURANCE PHONE �G ��— c� �r—� �C�� I FAX PROPERTY TYPE �iNGLE FAMILY/NEW CONSTRUCTION SIZE TWO FAMILY/NEW CONSTRUCTION STORIES PERMIT TYPE ❑ ADDITION ❑ GARAGE/SHED ❑ WINDOWS ❑ BASEMENT FINISH ❑ ROOF ❑ DRAIN TILE ❑ DECK �iDING ❑ OTHER ❑ SWIMMING POOL TYPE OF WORK: ❑ NEW HOME CONSTRUCTION ❑ ADDITION �'1vIAINTENANCE/REPAIR ❑ REMODELING DESCR[BE WORK BEING DONE:��j//�� 'll�j��rj �/�� = SIZE OF [MPROVEMENT LENGTH WIDTH HEIGHT S FT ROOFI'.VG �IOUSE ONLY BASEMENT REMODELING SUBMIT: NUMBER OF SQUARES ❑ HOUSE & GARAGE �. 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, ❑ Viny1 �'y2 �e ❑Soffit ADDITIONS & PORCHES SUBMIT ❑ Aluminum/ ❑ Trim �� 1. Site Plan/Survey showing the existing structures �Other �/�j�(� °'�/Q//71�7J ❑ Fascia � and proposed project. 2. Two sets of construction plans WINDOWS 3. Energy Calculations IN EXISTING OPENINGS ❑Yes ❑No LOCATION OF WINDOWS OR FOR NEW OPENWGS-DESCRIBE SIZE OF OPENING CHANGF,S & TYPE OF WINDOW TO BE INSTALLED NUMBER OF WINDOWS ALL r EN.J AKE ISAIr:ll UIV VALUA 17U1V� livCLUllINC: l'HE CUS7' UF LABUR ANll MATERIALS: (USING THE 1997 U.B.0 FEE SCHEDULE) TOTAL JOB VALUATION $._�p� �i OCCUPANCY TYPE �� Permit Fee Plan Review Fire Surcharge Surcharge License Surcharge SAC Charge Curb Cut Escrow Erosion Control Park Fee Sewer Main Charge Total Due $ �d5 �?g See Back Page for Fee Schedule $ 65% of Building Permit Fee $ .001 times the total job valuation $ 3, D� .0005 x Permit Valuation Minimum $.50 $ �;6%� $5.00 (State Licensed Residential Contractors) $ $2000 per SAC Unit (Plans to MWCC for determination) $ ft+6ft= ftx$21=$ $ $450 Conservation Plan Review $ Fee Determined by Engineering $ Agreement necessary ( ) Non Necessary ( ) $ ,` 5 Make checks aavable to: Citv of Fridlev Attach THIS IS AN APPLICATION FOR A PERMIT-NOT VALID UNTIL PROCESSED ons I hereby apply far a building permit and I acknowledge that the information above is complete and accurate; that the work will be in conformance with the ordinance and c s of the C� f Fridley and with the Minnesota Construction Codes; that I understand this is not a permit but only an ap ' ation r a p ' and wo i not to start without a permit on site; that the work will be in accordance with the approved plan in the ase o ll ork ic require rev' w and approval of plans. SIGNATURE OF APPLI NT � PRINT NAME � Y)�K� VY 1/� DATE � f PLEASE NOT SE ARATE PERMITS ARE REQUIRED FOR PLUMBING, ELECTWCAL AND MECHANICAL WORK