AF - 44169SuBJECT PERMIT NO.
City of Fridley
AT THE TOP OF THE TWINS g U I L D I N G P E R M I T ��� tl�
f
� � R
� `y �__��_ COMMUNITY DEVELOPMENT DIV. ��
r � � PROTEC7IVE INSPECTION SEC.
� I /"'1 � CITV HALL FRIDLEV 55432 NUMBER REV OATE PAGE Of APPROVED BV
�"'"'�" ��' 612-571-3450 970-F15
10/17/95 � /
J08 ADDRESS 6350 Arthur Street NE
t LEGAL �OT NO. BLOCK TRACT OR ADDITION SEE ATTACHED
DESCR. 1 2 Spring Valley SHEET
2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE
Strong Built Homes 7090 107 Ave, CLear Lake MN 55319 743-4617 4122
3 CONTRACTOR MAIL ADDFiESS Z�P PHONE UCENSE NO
Same
4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO.
5 fNGINEER MAIL ADDRESS ZIP PHONE LICENSE NO.
6 USE OF BUILDING
XXXX Residential
7 CLASS OF WORK
CX NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR O MOVE ❑ REMOVE
8 DESCRIBE WORK
Construct a 40' x 24' Dwellin and a 22' x 22' Garage
9 CHANGE OF USE FROM TO
STIPULATIONS
See notations on plan. Provide City with copy of verifying survey
before capping. Provide sod in the front and side yards. Provide a hard surface
driveway. Paid $750.00 Park Fee.
SEWER & WATER LOCATIONS: See City Engineering Dept.
DRIVEWAY ESCROW: 22' x $13.50 = �297.00
�'�R���� SEPARATE PERMITS REQUlt�ED FOR
Before digg��g �tl for
atl utili WIRING, HEATIi�G, PLUM�ING A[�1D $IGNS.
ty locations
R�Q�IRED g
Y L,,q�y
TYPE OF CONST. OCCUPANCY GROUP OCCUPANCV LOAD
SEPARATE PERMiTS ARE REOUIRED FOfI ELECTRICAL, PLUMBING, HEATING.
VENTILATING OR AIR CONDITIONING.
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING SQ. FT CU. FT
AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION
OR WORK IS SUSPENDED OR ABANOONED FOR A PERIOD OF 120 OAYS AT
ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS OFFSTREET PARKING
I HEREBY CERTIFV 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 Fire SC
AND ORDINANCES GOVERNING THIS TYPE OF WOHK WILL BE COMPLIED
WITH WHETHER SPECIFIED MEREIN OR NOT. THE GRANTING OF A PERMIT $131,912 �C)S.9C) �131.gI.
DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE pERM1T FEE SAC CMARGE
PROVIStONS OF ANY OTHER OR LOCAL LAW REGUTATING CON-
TI� T PERF ANC �LIC.UON. �1a04'7.25 $85�.��
PLAN CHECK FEE T07AL FEE
�
~/% License SC $5.00 $2,100.12 + PF, DW
GNATUH F CO RACTOF O UTHOR12E&A NT 1DATEi
a, �' WHEN PqOPERL ALIDATED THIS IS YOUR PERMIT
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S�GNnTUAEOCOWNEAUFOWNERBURDERi iDATE� - BL �NSv " ��qaiE
_ � �
NEW ,�
ADDN [ ]
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CITY OF FRIDLEY
SINGLE FAMILY AND DUPLEXES R-1 AND R-2
Building Permit App6cation
Effecdve S/1/95
:���
Construction Address: [D�p �i,-`+�,v r' �- _
Lega1 Description:
Owner Name & Address: I i H ��%. �� �e�✓ (�--. Tel. #(p I Z- -'7��� I�-
Contractor: ��e� MN LICENSE # �i?�?�
Address:
LIVING AREA:
GARAGE AREA:
�ECg AREA:
OTHER:
Tel. #
Attach to this application, a Certificate of Survey of the
lot, with the proposed construction drawn on it to scale.
DESCRIPTION OF IMPRO NT . . : �1, �' J �� � �'
���,r �` ,�.� ����c�.����� x fil�� �y���'� 3/
��I��c;-�U � 3'`Ix S7��fd� = i q
,Ayl1,.� -c. Length � Width v� � S Height ��� Sq. Ft. �% 0�� �/
Length ��— Width ��-- Height �' C% Sq. Ft. �� I%�Z �
Length Width HgtlGround Sq. Ft. S��' �`�
Corner Lot [] Inside Lot [] Ft. Yd Setback Side Yard Setbacks
Type of Construction: Estinoated Cost: $�o Oc� � ��/ � 2.� `%
.
Approx. Completion Date: = � � �j / Gj
(Cost on Back)
Driveway Curb Cut Width Ne,eded: j�Ft. + 6 Ft =�2 Z Ft x$�-�7 I 3, ;� $ �����
DATE: APPLICANT: Tel. #
Permit Fee
Fire Surcharge
State surcharge
SAC Charge
License Surcharge
Driveway Escrow
Erosion Control
Park Fee
Sewer Main Charge
TOTAL
STIPULATIONS:
� a� , ��
$ e.��` 1r
$ �5, ��
� ��C1, ��
� � A r�
$ 29��
$
�ITY USE OAiLY
Fee Schedule on Reverse Side
.(�1 of Permit Valuation (1/lOth%)
$.50/$1,000 Valuation
$850 per SAC Unit
$5.� (State Licensed Re�sidential Contractors)
Alt. "A" or Al� "B" Above
$450.� Conservadon Plan Review
$__ ��'�r'`'d Fee Determined by Engineering
$
$ �' l 7. �
Agreement Necessary [ J Not Necessary []
,
, - �
�UILDING PERMIT FEE SCHEDULE
The Chief Building Official shall, before issuing permits for the erection of any building or structurE, or for
any addition to any existing building or stiucture, or for any alteration or repaiur 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 $5(�
$501 to $2,000
$2,�1 to $25,000
$25,(ml to $50,000
$50,001 to $1�,Q00
$100,001 to $500,000
$500,001 to $1,0�,�
$1,000,001 and up
FEES
$21 (Minimum Fee is $21 plus surcharge)
$21 for first $5� plus $2.75 for each additional $100 or
fraction ther�f, to and including $2,(300
$62.25 for first $2,000 pins $i2.50 for each additional $1,000
or fraction thereof, to and including $25,�0
$349.75 for first $25,000 plus $9.� for each additional$1,000
or fraction thereof, to and including $50,000 .
$574.75 far first $508000 plus $6.25 for each additional
$1,000 or fraction ther�f, to and including $i00,000
$887.25 for first $100,000 plus $5.00 for each additional
$1,000 or fraction ther�f, to and including $500,0�
$2887.25 for the first $500,(�0 plus $4.25 for each additional
$1,000 or fraction th�reof, to and including $1,000,000
$5012.25 for the first $1,000,(m0 plus $2.75 for each additional
$1,000 or fraction thereof
DRIVEWAY DEPRESSION ESCROW
(Concrete Curb Streets Only)
Alternate "A" : Removal and replacement of curb and gutt� only - Driveway width plus 6 feet times $13.�3.
Alternate "B" : Removal and replacement of curb and gutter and install a 3 faot wide
approach with 6 inch depth - Driveway width plus 6 feet times $15.75.
VERIFICATION OF FOUNDATION
Permits for construction will � issued a minimum of ?� 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, showieg the location of the foundation once it has it has be�n constructed
will be required before proceeding with the framing.
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First Choi�e Rtumbing Inc.
'`� `. 29948 Highway 47 N.W.
{santi, M!V 55040
MOUSE HE�4TiNG TE�T RECORD
(t)rsatt Testy
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Occupant Owner
Heat Loss Daie Heating Insistted ,�l '�o�- o°' ���
Sold By � r � Instailsd By � , �
Electrical Work By Gas Line By
Type of Heat GA FA ,� HW Steam SpaCe Htr. Unit Htr. Other
GAS DEStGN
Make
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p S
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0 /
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Pitot Make
Pilot Madel Smoke Bamb Wiring
Pilot Timing �?�t Draft Test Tag
L. W. Cui Of# � floor Pressure Ughting Mst.
Pressure 3� S� l�ercent CO2 � 0 Date Tested
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CHIMNEY AND STACK VERIFICATION
The undersigned hereby v�ifies that t�e existing clumney or stack:
1. Has been carefiilly examined Yes () No ()
2. Is fr� from n�st or deterioration Yes () No ()
3. Has no foreign objectc lodged within . Yes () No ()
4. Is securely supported = � Yes ()� No ()
5. Meets all cutrent Code requirements for size �-
and total BTIJ's conn� Y� () No ()
fi Has total heating BTIJ's of
- All other BTU's � . - -
TOTAL BTU's
7. Fias a liner been provided for water heater Yes i) Na ()
8. Has combustion air been provided for water heater Yes () No i)
Remarks:
0
List ALTERATIONS Being Done:
HEATING CO:
Signed By:
Date:
�
�
�
GIYOF
FRIDLEY
FRIDLEY MUNIC[PAL CENTER • b�31 UNIVERSITI' AVE. N.E. FRIDLEY, MN 55432 •(612) 571-3450 • FAX (61?) 571-1287
February 22, 1996
Strong Built Homes
709C1 107 Avenue
Cleaz Lake, MN 55319
Re: Final Inspection at 6530 Arthur Street NE, Fridley
Dear Sirs:
A final inspection was conducted on �ebruary 21, 1996 of the above address and the following
items were noted whieh must be completed before the structure can be fina,led:
1. Finish the final grading and provide sod in the front and side yards by June 15, 1996
2. Provide a hard surface driveway by June 15, 1996.
3. Provide City with a copy of the verifying survey by June 15, 199f .
4. Provide a front step by June at, 1996.
5. Finish the brick veneer by June 15, 1996.
We will expect this item to be completed by the scheduled date and a reinspection called for.
The structure is approved for occupancy. If you have any questions on this matter, please feel
free to contact me at 572-3603.
Sincerely,
.
_ - � � ' � GU� � � ��
BARR�i' RIESCH
Building Inspector
I:• �
SUBJEC7
City of Fridley � �, � � 1
AT THE TOP OF THE TWINS g U I L D I N G P E R M I T
f
1 7
� � RECEIPT NO.
� ; L ___.__ COMMUNITY DEVELOPMENT DIV
r � � PROTECTIVE INSPECTION SEC ��
� �
i
' � ����1 � CITY HALL FRIDLEv 55432 NUMBER REV DATE PAGE OF APPROVED BV
�----�: `.' 612-571-3450 910-F15 2/22/96 / /
JOB ADDRESS
6350 Arthur Street NE
t IEGAL LOT NO. BLOCK TqACT OR ADDITION SEE ATTACHED
DESCR. 1 2 S rin Valle Addition SHEET
2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE
Stron Built Homes 7090 107 Avenue Clear Lake MN 55319 743-4617 4122
3 CONTRACTOR MAIL ADDRESS 21P PHONE LICENSE NO.
e
A ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO.
5 ENGINEER MAII AODRESS ZIP pHONE UCENSE NO.
8 USE OF BUILDING
7 CLASS OF WORK
O NEW ❑ ADDITION g ALTERATION O REPAIR O MOVE ❑ REMOVE
8 DESCRIBE WOHK
b sem t
9 CHANGE OF USE FROM TO
STIPULATIONS
See notations on plan.
SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL. PLUMBING, HEATING, TYPE OF CONST. OCCUPANCY GROUP OCCUPANCV LOAD
VENTILATING OR AIR CONDITIONING.
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING SO. FT CU. FT.
AUTHORI2E0 IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION
OR WOFK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 OAYS AT
ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS OFFSTREET PARKING
I HEREBY 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 SUHTAX
AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED
WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT �9s6OO ��F.BO
DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE pEHMIT FEE SAC CHARGE
PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON-
4T10 RfsTHE P AN OF CONSTRUCTION. �149.7.5 Fire .5�.' �9.6�
`��. PLAN CHECK FEE TOTAL FEE
, � Z'`� � ' ��'°' License SC $5.00 $169.15
`a � r ,v � i
SIGNATUR F N�RACTOROAAUTWQRI2E aGErvt IDATEi WHEN PHOPER VALIDATED THIS IS YOUR PERMIT
�
- ' " 0?'-22 y�
S�GNATUREOfOWNEFUFOWNERBUILDERi IDATEI Bl �NSP qpTE
I LY-'�ki-•=!'r". ,LJEL� 6:71 :« P�•1 _,T I P7►9TH't' STF:k F�G n 1 � 743 � i'�c: F'. !� 1
�a��� � ) cfk��;f�ve �� ���s
�►�f�t� ( � CITX OF FR����?Y
ALT�I� [] 5I1`��iI.13 ��11V[��..Y ANI� .I3UPI..EXE� Tt�l. ANI7► R-2 �-�� �1
Buildio� P�cmiL A.p�licatio� ' /
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�?�rner �Tam� � Addr�,ss: �`� f r�- +� t�-�# �-� �� c� r { ,�__ �tr''�"-�,.�� _T 'Y'e�. #�1 �-�7 ��� - 4'!� t �
�c3�trac:tc�r° I -f �.� �i,4 ��-a�� �_ MN LIC��VSE �i � = � � �—�-�
_�, .�
.�dc�re:s�: t_� � � �'� (�' �`i-�-4-t,� t�_�. �'��. #
AtCacl� tu this ap�licat.�on, a��rtific;at�e �� Surv+�y vf the
le�t, w�th the �ro�osed conshvctic�n dr.aw� on i# tc� scai�.
�..�viN� .t��.; ��ez�g�h.
�FSC�.i�'1'�Oi+i t3F �MPROIJ��MENT
W��.th .��. kieight 5y, �t.
� CYE A: I�ength w��tb. ��Y_ x�ight Sc�. �t. __.r��.
T�►I�t��. -��1e Le�gi;� _._ Width Hgt/C�round Sc�. Ft.
t)�H�� : ��-��-.�.�� ��C� -�-�,�� y� ���) - ��, C.� sc � � _
v �—
{�°���er I�� [� In�i�� i�c�t [] �t. Yd Setba,�k Srde Ysrd Setb�.cks
�� c�f Cc��ts�i�tic��: _ �'� J �� ____ �st�.mated C:�st. $�;� t t� c'�
���rc�x. (:o���Ietiu� l�:�t�:
(+Cast t�ti Back j
Li�rive�j�y �`urb �t Wi�th Nec-�r�d: _ �'t. -t- 6 Ft � �t x $ _ $
I�_r�.TE. -------- — ��'"�'I.It'.ANT: � 4.QN Tel. #
�o� `� --------�-- �
� ��-' TY
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�'�'rtt ��� ���� F� Schedule on Reve� Side
�ir� ��r�.��rgc �_�(� .�1 af i��ermit Valuatiun (1llOtt��)
�Gst� ����.��.r�e $ `i,� $.50/$1,t�Q0 V�t.u��[�n
��.� �°���g� � $8St) per 5A�C Un�t
L.i�.�:r�se Surc�a�c�e
�r�.v�way �scro��
�r4��ic�� �;.c�n�rt�t.
I��i� ��
s�.�arer 1��Iai� C:t�arge
Tt�T�L
� �, � __ $5.d0 {St�te Licens+er� Residentiat Cnntr�ctoxsj
�
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A�t. xA„ Or �i�c. �*BM A.bOVe
$4St}.00 Conservat�on Fia.n �taview
� . __ ��e I)etermined by En,���eeri�g
�_. ._ A��ree�nt Ne�ssary [ } 1Vat Nec;ess�ry ( �
$� �
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SUBJECT
c�ty of Fridley l '
AT THE TOP OF TNE TWINS g U I L D I N G P E R M I T �� ��g �
�
� �
� � RECEIPT NO
� • COMMUNITY DEVELOPMENT DIV.
� ; V ������, ����
r � � PROTECTIVE INSPECTION SEC.
i �
i
� � /"�1 � CITY HALL FRIDLE� 55432 NUMBER REV DATE PAGE OF APPROVED BV
�""'�" �'' 612-571-3450 910-F15 8/27/96
� /
JOB ADDRESS 6350 Arthur Street NE
t LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED
oesca. 1 2 Spring Valley SHEET
2 PROPEHTY OWNER MAIL ADDRESS 21P PHONE
Strong Built Homes 7090 107 Ave, Clear Lake MN 55319 743-4617 4122
3 CONTRACTOR MAIL ADDRESS tIP PHONE LICENSE NO
Sam.e
0 ARCHITECT OR DESIGNER MAIL ADORESS ZIP PHONE LICENSE NO.
5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO.
6 USE OF BUILDING
Residential
7 CLASS OF WORK
❑ NEW XO ADDITION O ALTERATION ❑ REPAIR p MOVE ❑ REMOVE
8 DESCRIBE WORK
Construct a 12' x 14' Deck in Rear Yard
9 CHANGE OF USE FROM TO
STIPULATIONS
Deck built before permit issued.
SEPARATE PERMITS ARE REOUIRED FOR EIECTRICAL, PLUMBING, HEATING, TYPE OF CONST. OCCUPANCV GHOUP OCCUPANCV LOAD
VENTI�ATING OR AIR CONDITIONING.
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING SO. FT. CU. FT
AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION
OR WORK IS SUSPENDED OR ABANDONED FOF A PERIOD OF 1pp DAYS AT
ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS OFFSTREET PARKING
I HEREBY CERTIFV 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 W1,498 �.]�
DOES NOT PRESUME TO GIVE AUTHORITV TO VIOLATE OR CANCEL 7HE pERM1T FEE SAC CHARGE
PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULA7ING CON-
STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. ��F8.50 Fire .5�.' �1.�l9
PLAN CHECK FEE 7 A� FEE
Licens SC $ .00 $55.74
SIGNATUAEOFCON7RACTOROAAUTHORIZEDAGEN7 �DATEI PN V VA IDA THIS IS ��� R PERMIT
� ' ♦
SiGNATU�7EOFpWNE�7i�F OWNEABU�LDERI IDA - 1 • OG �NSP ri�iE '
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ADDRESS
PIN
LEGAL DESC
PERMIT TYPE
PROPERTY TYPE
CONSTRUCTION TYPE
CITY OF FRIDLEY PERMIT NO.: 200401756 ,��i l
6431 UPTIVERSITY AVENUE NE '�
FRIDLEY, MN 55432 DATE ISSUED: 10/05/2004
�63) 572-3604 FAX: (7631571-1287
: 6350 ARTHLTR ST NE
: 133024420060
: UNAVAII.,ABLE
: LOT 0 BLOCK 0
: ELECTRICAL
: RESIDENT'IAL
: ADDITION/ALTERATION
VALUATION .
NOTE: ELECTRICAL PERNIIT BECOMES VOID 12 MONTHS AFTER PERNIIT I5SUE DATE. INSTALL A SAVERS SWITCH.
# INSPECTIONS 1
APPLICANT
HUNT ELECTRIC CORPORATION
2300 TERRITORIAL RD
ST PAUL, MN 55114-
OWNER
ROSSEN NII�OLOV
6350 ARTHUR ST NE
FRIDLEY, MN 55432
AGREEMENT AND SWORN STATEMENT
This permit becomes null and void if work or construction
authorized is not commenced witin 60 days or if construcrion
or work is suspended or aba.ndoned for a period of 120 days
at any time after work is commenced.
I hereby certify that I have read and examined this
application and laiow the same to be true and correct. All
provisions of laws and ordinances governing this type of wor�
will be complied with whether specified herein or not. The
granting of a permit does not presume to give authority to
violate or cancel the provisions of any other state or local law
regulating construction or the performance of construction.
Applicant Date
Bldg Insp Date
ELEC PERNIIT FEE -1VIIN (RESI)
STATE SURCHARGE, ELEC FLAT
TOTAL
PAID WITH CHECK # 118132
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE.
20.00
0.50
20.50
Building BUII..DING Pemnit No.. ':. �
Inspections RESIDENTIAL APPLICATION R�eiv� By:
763-572-3604 CITY OF FRIDLEY D� ��'a:
DATE �� " � � ' � � YOLTR E-MAIL DRESS
srrE,�nn�ss � 3�'t' R°� �i uR S�'R• jV, iF • �1� I��� i� M$Sef3 2
THIS .1PPLIC.�N'T IS: �OWNER aCOIdTRACTOR
PROPERTY OWNERJ N�: ��+(��
TENANT .aDDRESS: ��✓'�!i' P'I�1 S R• �� CITY � I STA1'R��ZIP��
PHONE: �li� �'3�/3"� ��%�
CONTRACTOR N,�:
SUBMTf A COPY OF �T`�� ��� # �.YP Da� E
YOUR STATE LICENSE ADDRESS: GTTY STATE ZIl�
WITH APPLICATION pHONE F.a.�
PROPERTY 7'YPE O SINGLE FAMII.Y NE� CONSTRLJCTION SIZE
� TWO FAMILY NEW CONSTRLTCTION STORIES
pEgMIT ZypE ❑ r1DDI1TQN Q G.�R.4QE SHED Q WINDOWS
O B.aSEMENT FINISH �:R�F O DRr1IN TII..E
❑ DECI: O SIDING O OTHER
0 SWIlVIlVIlIVGPOOL
TYPE OF WORK: � �w O .aDDITION
O MAINTEN,aNCE REP.� O REMODELINti
DESCRIBE WURK BEING J30NE: ��'J �'
3IZE UF IMPROVEMIIV'P LENGTH WIDTH HEIGHT S. Ft.
ROOFING O HOiT3E ONLY
NLiMBER OF SQLT,�IRES � Z �HOLTSE & GARA(iE B.1Sk�NT REMODELING SUBMIT:
GARAGF� ❑ ATTACHED (�.�R.�1(iE 1. Esistiug Floor Plan
PROFOSED SIZE: O DETACHID G.aR�1GE Z' �S� �� p�°
PROPOSED FIEIGHT: 3. List of atrucmral mnmb�xs W be ueal
SIDING FOR NEW CONSTRLTCPION INCLLJDING DECBS,
O Vinti-1 O5o8it .�DD1TiON5. & PORCAE3 SLTBMIT:
❑:11m�nm O Trim 1. Sitn Plan S� shawing �C esisting e�ulurr�
❑ OB��7 O Fascia and progoecd proj�t
�,,,�0�5 2. Two scia of construction plans
IN E_YI3TIN(i OPENING3 OYr.a ❑No LOCAIION OF WINDOWS 3' E°� Cal�ulati°na
OR FOR NEW OPFIVINGS-DESCRiBE SIZE OF
OPINING CH�NG'ES &
TYPE OF WINDQW TO BE INSTAI,LED NUMBER OF WINDOWS
ALL 1�'LLPS AKLf BASL+'U UlV VALUATIUIV. llVCLUllllVG'1'HE CoST oli' LABOR A1Vll 1VIATERIAloS:
([TSING THE 15►97 U.B.0 FEE 5CHEDiTLE)
TOTAL JOB VALUATION $ OCCUPANCY TYPE
Permit F�
Pl� Review
Fire Surcharge
Surcharge
License St�rcharge
SAC Chazge
Curb Cut Escrow
Erosion Control
Park Fee
Sewer Main Charge
Tutal Das
$ �,�, ��' See Back Page for Fee Schalule
$ GS% of Building Petmit Fee
$ .001 times the totai job valuation
$ , .0005 x Permit Valuation Minimum $.50
$ $5.00 (State License.d Residential Conhactars)
$ $I 550 per SAC Unit (Plans to MWCC for determination)
$ 1}+6ft= ttx$21=$
$ $450 Conservation Plan Review
$ Fee Determined by Engineering
$ Agre,ement nece�ar} ( ) Non Necessar}' ( )
$ i. 3C7 Make checks navable to: Citv of Fridlev Attac
1HIS IS .aN r1PPLiCATION FOR A PERMTf-NOT Vr1LID iTNTII. PROCESSED
I hereby apply for a building permit and I acknowledge that the infarmation abnve is complete and accurate; that Yhe work will be ia
conformance with the ordinances and codes of the Cit� of Fridley and with the Minnesota Conslruction Cales; tt�t I understansi this is not a
permit but unl}- an application for a permit and wurk i� not to �tart withuut a��` SS ��that the work will be in accordance with the approved
plan in the case of all work w' h reqwr • review arni approval of plans.
SIG'N:ITURE OF r1PPLIC.aN'P `� �.\. PRINT NAME ����I � 1 � � Iti:�i' j—li � DATE 1 �` '� � � ^ ��