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AF - 35133� ' f .a suerecT PER NO. City of Fridley o 18223 , ` AT THE TOP OF THE TWINS g U I L D I N G P E R M I T RECE r COMMUNITY DEVELOPMENT DIV. � �/�,� �y� r �� PROTECTIVE INSPECTION SEC. D v ' i ' � �'��1 � CITY HALL FRIDLE� 55432 NUb1BER REV. OATE PAGE OF APPROVED BY �._"� � '`' 612-571-3a50 s� aF� 5 9 27/85 / / JOB ADDRESS �547 Arthur 5tree.t N.E. t LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 19 2 B�.OIqb@YYJ ES'td"t2S SHEET 2 PROPERTY OWNER MAII ADDRES$ ZIP PHONE Garjac Tnc. 481 - 206th Avenue N.E., Cedar, NIl�T 55011 434-7096 � 3 CONTRACTOR MAIL AODRESS ZIP PHONE LICENSE NO. $3111@ 4 ARCFIITECT OR DESIONER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENaIWEER MAIL ADDRE33 ZIP PHONE LICENSE NO. 8 USE OF BUILDINO • xesiaentia� 1NIRI�IG, HE//�T9flIG, PLlJMB1NG �►Nf� S1GNS� 7 CLASS OF WORK � NEW ❑ ADDITION ❑ ALTERATION � R�PAIR p MOVE O REMOVE 8 OESCRIBE WORK Co�stxuct a 38' x 24` �velling and a 25� x 2�' Garage wi.th an 8' x lU� Deck 9 CHANOE QF USE FROM TO 3TIPULATIONS provicle sod in the front and side yards. Prostide. Ci.ty.with a copy of th verifying survey before cappinga �arovide a hard sur�$ce driveway. SEWER LO�ATION: (Approx. 11' Deep in Street) 59` N. of M.H. (Tnv. 888.75) � TdYE ELEVc 889.00 7'OP �E' F�TNG: 892.50 Minimtun WATER IACATION: P�pprox. 10` N. of Sewer 5ervice DRIVEi�IAY` DEPRESSION COST: N/A � g[,}p' � r,aq. �.^�. F r:. s� �; G�°J D�Hei'.�1"C�izi .. s��'✓� H� THE CITY OF FR�DLEY DOES NOT GUARANTEE THE Before tliggin� c�l1 Ic:;�°,i ��:;�'.i:. ACCURACY OF UTILIT�Y LQC� + IONS A^�D ELEVATIONS, TEL�WHd�� ELECT�� -{:��:: �. . THIS DATA IS FOR INFORiiqAi{ON PURPOSES ONLY, AND PERSONS USING THIS (NFORMATION SHOULD, RE��J{�� ;'�' �'",�� VERtFY IT ON THE SITE. SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUM�IN(3, HEATING, �PE OF CONST. OCCUPANCY (iROUP OCCUPANCY LOAD VENTILATING OH AIR CONDITIONING. jryjOpd F'r�lg THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZpNIN(i SQ. FT. CU. FT. AUTHORIZED IS NOT COMMENCED WITHIN 80 DAYS, OR IF CONSTRUCTION OR WORK 4S SUSPENDED OR�-A$ANDONED FOR A PERIOD OF 120 DAYS AT 1�Z ANY TIME AFTER WORK IS COMMENCED. • NO. DWLO. UNITS OFFSTREET PARKING I HEREBY CERTIFY THAT I HAVE READ'AND EXAMINED THIS APPLICATION �- STALLS GARAGES AND KNOW THE SAME TO BE TRUE AND C RECT. ALL PROVI310NS OF LAWS yALUATION SURTAX WN H WHETHER SPECIF ED EREIN'OR�TOTHE GRANTING OF AOPERMIT 557�'4OQ �`ZS,%O DOES NOT PRESUME TO GIVE AUT ORITY TO VIOLATE OR CANCEL THE pERM1T FEE SAC CHARGE PROV IONS OF ANY OTHER STA R LOCAL LAW REGULATING CON- STRU ON OR THE PEGFORMA F CONSTRUCTION. �`3O% .QO $425.00 2� �/ PLAN CNECK FEE TOTAL FEE s $ 76.75 $837.45 SIGNATUREOF ONTRACTOROR TMORIZEDAGENT IDAT � WHEN PROPERLY VALIDATED THIS IS YOUR PERMIT ' � ql z �l s� SiGNATUREOF OWNER�IF OWNER BUILDERI IDATEI BLD �NSP nATE � � � xEw [ 7 ADDN. L � pLTER. [ ] City of Fridley �R-1 AND R-2 � Building Permit Applieation Effective 4/1/84 Construction Address: � � �� fi� �v � Legal Deseription: �° � 1 % � /� � .0.�1(x.Q.� �,� ��.Q e Owner Name & Address: Tel. � Contractor:�/'��.�C- /.'�'°�-- Tel. � `� 3 `/^ B%(' Address: �'iY � oZ � � °�- %� � L'� ee.�i.9 �P /Yl � S�.S� � / LIVING AREA: GARAGE AREA: DECR AREA: OTHER: Attach to this application, a Certificate of Survey of the lot, with the proposed construetion draWn on it to scale. DESCaIPTIOH OF IMPROFEMENT Length �� Width � i Height � t Length � r Width �-� Height � Length � Width +�� Hgt/Ground �� Sq. Ft. �� Sq. Ft. Sq. Ft. � �' Corner Lot [] Inside Lot [� Ft. Yd. Setback .�-� _ Side Yard Setback �� `�-? Type of Construction: �/Q/�/� Approx. Completion Date: �� % Estimated Cost: $ �� s�� Alt. A Alt B Proposed DriveWay Width If NeW Opening Is Desired: $ $ See Back Page for Explanation DATE: � ^ � � '� � � Permit Fee Plan Cheek State Surcharge SAC Charge Park Fee _/i SeWer Main Charge ��W ,� STIPULATIONS: ,� , y �. APPLICANT: Tel . $ ��3 L� -�j p� ,� CITY IISE ONLY , $� oV�% Fee Schedule on Reverse Side � $ ��s �� 25� of Building Permit Fee $ �'�A �� $.50/$1,000 Yaluation $ � � �► � � $425 per SAC Unit $ `�' Fee Determined by Engineering � � ,� � ��, Agreement Necessary [ ] Not Neeessary [ ] •v . ., � e • � � r 0 . r .. . � . . � � a BIIII.DIAG PERMIT FSE SCHEDIILE 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 structure, or for any alteration or repair to any existing building or structure, upon applicatio n therefore, require the payment by the applieant for sueh permit of fees to the amount herein beloW set Porth�and in the manner herein provided to-wi�: Total Valuation a1.00 to $500.00 �501.00 to $2,000.00 $2,001.00 to $25,000.00 Fees $10.00 (Minimum Fee is $15.00) $10.00 for the first $500 plus $1.50 for eaeh additional $100 or fraction thereof, to and includin� $2,000. $32.50 for the first $2,000 plus $6.00 for each additional $1,000 or fraction thereof, to and including $25,000. $25,001.00 to $50,000.00 $170.50 for the first $25�OQ0 plus $�.50 for each additional $1,000 or fraction thereof, to and including $50,000. � $50,001.00 to $100,000.00 $283.00 for the first $g0,000 plus $3.00 for each ' additional $1,000 or f raction thereof� to and including $100,000. $100,001.00 and up $�33.00 for the first $100,000 plus $2.50 for each additional $1,000 or fraction thereof. DRIYEfiAY DEPRESSION ESCROiiT (Conerete Curb Streets Only) Alternate "A": Removal and replacement of curb and gutter only - Driveway width plus 6 feet times $13•50 Alternate "B": Removal and replacement of curb and gutter and install a 3 foot wide :.- approaeh With 6 ineh depth - Drive�ay Width plus 6 feet times $15.75 ,- -� VERIFICATION OF FOUNDATION Permits for construetion Will be issued a minim�� of 2� hours from the time of application to allow for proper revieW of the proposed structure and of the construetion site. A CertiPicate of Survey of the lot, showing the location of the foundation onee it has been oonstrueted Will be required before proeeeding With the framing. ��e �� e �Y� �� i, _I.,I`�:.�1 �' I� 2 �� °6�. �� V°�+eOB/� ��1d �o� q�� fed�'Vi� L 1�-1��6`1TeI� r''"l��i�lVA9� � � � �'� . � o. 7,r s = ��o� a ►�ZV = � zu 3�� 4��t�t 1Z, �� 4 S,i,�.�� Z' '+� � a �� j�� Ob �. , P . �� . COMST� & DAVIS, II�IC. Consuitin� fiagineets a�d Land Sutveyora 1�46 County Road j, Mint�eapolis, MN 55432, (S12) 7849346 SURi�EY FOp.: B & G Investments 961 Hillwind Road Fridley, ?�tinnesota 55432 o • ■ � G 63 ��. � 8�s tt9� S��iA% ^' 93i.30' � �. 6 . � y � � . ( yy �° t � � 3 � �` � �►o�� L 0 T 19 � I W a � �a y �. I � o ( . 0 � � o � . �' � � �I � O ��; , � �I„� O .. _ � � i J � � t.'' .. � ; �" �3, � Af 88° .t9' S.3 " W ^r 13T.30' � ; . ,-. ''� ' : � 4.. - ( DESCRIPTION Lot 19, Block 2, Blor.�berg Estates, City of �ridley, Anoka County, Minnesota. SCAI.E: 1" = 40 � . Q Denotes 1/2" diarseter iron pine r�onunent set and capned No. I0832. •� i � �� .� � 0 I hereby certify that this survey, plaie or report was prepared by me or un�er my direct supervision and that I am a duly Registered Land Surveyor undsr the laws of the State of 1�Iinnesota. ,� � • . , 10332 Nov. 17. 1980 �E273 9 . Reg. Na ,,��te � Job Na. Book laTo. �'��/� � . � • • � � ' r � ,��, j l �D�� -��- � � � , �- �, a�S � � � �. � �� . �, � � . � � �� o ��'- �a . ��-�' �� _ - �� ,,�i�� S v � , �� - � /� 1 ' _ � � � �cJe r ��ic � � �-� � � /U . �F � �sSi�� s f �� _. �_� �� `�1 �a / ' ` " ' Surv or's �Certi �te �.s�� ,�� s�: � � COMS'I'OQC dt DAVIS, INC. Conadoag Eagiete�s ,ad La�ud S�o�s _ 1446 County► dtoad J, lyiaaeapclis, MN 33432, (612) 784-9346 SURVEY FOR: Gar-Jac Construction 481 206th Avenue NE. Cedar, Minnesota 55011 W Z tf^— v./ � � _ f-- � Q 'i i : . �.: 63' N 98' �sq' �s'J" W ... �� ti ' I, a�.��_� � 'F -- � �: .Ow` 3 �" N � _ I � �•gg 26.OZ y �o, i � -- g ;a. � . O � y Lw.O ..r • � y Lot� l4 O I � 63" .- . � = t37.30' �l+,.oc.s ce.�q� I h uo q voRRas u � � e W �I: '� � 3 i0' y �' � � st �I Q t r � � I ,A � w ' �. Z �i_ N 88' St ' S3 " W � 13T .30' : DESCRIPTION Lot 19, $lock 2, 31or.�ber� Estates, City of �'ridley, Anoka County, Minnesota. SCALE:. 1" = 4Q Q� Denotes 1/�" dianeter iron nine monuaent set and capned No. 10832. �.Sy4,f�' IN F��+AT �OF PJMOM6CR'O E,STATC4 � NOT FO. Tl1l'a SVE�VQ�(. I hereby certify that this survey, plan or nport was prepared by me or under my direct supervision and that I am a duiy Registered Land Surveyor under the laws of the State of Minnesota. � 1A33? oc.-r. 2t, tR�s 4�30 90 Reg. Na IIate Job Na Book Na �— _ s s O O � � � O z � � N _ r r W m -o O < v m v v m � c � � � m c� � O z � 0 � .8 n Z v n � W � m a� I D �.-° � z 3 �� (zs m e� `° � 0 Z � � _ � � C�"7 � � � O � T m m � � c � � � w c 1 A n.= � (� � � � 0 a �a 'a < m a W � 0 c � � � � v °: m � 3 � v � m � � n � m O z �� m �°�° v�,i N m d. � c m w� o� a m o O y � 'o .;i 0 �) � m m � � � � v 0 � � � O v � _�� N � fD fD �' tD N+ � � M fD xi C m o �� m °'. �'. � m� y w�� m A+ �� N o*,*F m m� z. �� w� cc w m D�� I I m m a �� Z T � � � � � � m � � p s -. * � - � T � m o � * � � � c � o -o = � � � a v � � Z � � � N � � �� I � I �I I I I I I I I I I -� .. Z� s� ��n��nu►�a��n�►t� � �71 O O O V p V V V�I (71 A V °o °o °o °o o °o °o °o °o °o °o °o o° o� � a e c � c � � Z v � v r C � 00 Z � n O � � D Z � We � �-, � , 7 �\ � r � �i'•� 3 m a n 0 ;n, U �\ � � � m � � --I Z O ` _. � �� .. m � Q. � tn � c w `° v a N � I < q I�i � � � J � (� � � � � v v r C � � Z � � � � , m � m � a a �m � c'o c �6 c � �° � a Q. m � � � � o. � c° °.; ? � m O m ,��: � p_ w W .' m �IS � � m � � p � � a � m � 3 s � � m % 7C y Qi � 7 '�p � g � � �• � ci a c,�' m � � � o � p � n 3 � m n -w � � O O 1. �� m °. w °' �1 � co � v � � m � � � �,� � (�' � -. � � ., o N O ,•�+ m ? � � � m .`� m '� o � �� 7 � � m 0 � O � v v � � � � _l � g � C �1 � � sua�ecT PERMIT NO. c��y of Fridley 2 � 0 9 8 AT THE TOP OF TNE TWINS g U I L D I N G P E R M I T i � � t � `L � COMMUNITY OEVELOPMENT OIV. r � ; PROTECTIVE INSPECTION SEC. l.-�_� ��"' �� CITY NALL FRIDLEY Sb432 NUMBER i 612-571-3460 9�aF�s 10B ADORESS 7547 Arthur Street NE 1 LEGAL �OT NO. BLOCK TtiACT OR ADDITION DESCR. 19 2 R1 nml�ars 1 4 ARCHITECT OR DESIONER 5 ENGINEER 8 USE OF BUILDINO Residenti.al 7 CLASS OF WORK O NEW B OESCRIBE WORK Reroof house (26 Sa) ' 9 CHANdE Of USE FROM STIPULATIONS MAIL ADDRESS �i 11� MAIL ADORESS MAII ADDRESS REV DATE 8/11/98 ZIP 21P RECEIPT NO. �� PAGE OF APPRpVEO BY / / PMONE 8EEATTACHED SNEET LICENSE NO. 8902 LICENSE NO. LICENSE NO. ❑ ADDITION � ALTERATION � REPAIR ❑ MOVE O REMOVE TO Underlayment must comply with State Building Code. SEPARATE PERMITS ARE REOUIRED FOR ELECTRICAL, PLUMBINCi, HEATING. �PE OF C.� , YENTILATING OR AIR CONOITIONING. ` THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION 20NIN(i AUTHORIZED IS NOT COMMENCED WITHIN 80 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONEO FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COMMENCED. NO. DWLG I HEREBY GERTIFY THAT 1 HAVE IiEAO AND EXAMINED TFIIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWg yq�UATIOt� AND OkIDINANCES GOVERNING THIS TYPE OF WOfiK WILL BE COMPLIED WITH WHETHER SPECIFIED NEREIN OR NOT. THE GRANTING OF A PERMIT 2].G$ DOES NOT PRESUME TO GIVE AUTHORITV TO VIOIATE OR CANCEL TME pERM1T FEI PROVISIONS Of ANY OTHER STATE OH LOCAL LAW REOULATING CON- STqUCTION OR THE PERFORMANCE OF CONSTRUCTION. �]/{.7S SIG RE Oi CONTRACTOR OR AUTMORIZED A6ENT ID TE� L1� � ` �l ��S � � S� NATURE OF OWNER ��i OWNER BUILDERi �DATE� � d q . p�t .f.se OROU CU. UNITS OFFSTREET PAqKIN( _ STALLS IGARAGES $1.08 AC CHARGE Fire SC $2.16 OTAL F E $ ��.99 IS I UR P RMf :; �-� ' t rypTE D NEW ADDN ALTER [l [l [] CITY OF FRIDLEY SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION Effective 1/1l98 ��'�-7oy� ConstructionAddress: �.�� T/f vl �2 Si /Z C� � il'/ L': �/2l e��. �'/' Legal Description: Owner Name & Address: �-%Jv�/3 ,s� 1�/ � 1-� Tel. �# � ��3-11 a z Contractor: �/3��5 � f� �f u l2 S�Cl MN LICENSE # O I��- Address: 1�.3 � g ,�' 1 LL D �. �"�2 i � /V �r/ �'Jv %J U✓��? N1 /lsTel. # S�-� � Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF IMPROVEMENT LIVING AREA: Length Width Height Sq. Ft. GARAGE AREA: Length Width Height Sq. Ft. DECK AREA: Length Width Hgt/Ground Sq. Ft. o�R: �� 2G �r' I��m � `��r� v�� .� s� � �� Construction Type: ��"�o G F�l-�.� �"� Estnnated Cost: $ oC /(� %� L1, � r� �S7 �'2 �'y` ��' � � C(Fee Schedul e on Ba ck} Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x$ _$ � i DATE: � �� APPLICANT: Q��►✓G� Tel. � G/z ? �,3- /1 Z L Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee Sewer -Main Charge TOTAL STIl'ULATIONS: $ � 7�_ $ �. /(P $ /. C1 � $ $ �. C� C) $ $ $ $ �� CITY USE ONLY Fee Schedule on Reverse Side .001 of Permit Valuation (1/lOth%) $.50/$1,�0 Valuation $1000 per SAC Unit $5.00 (State Licensed Residential Contractors) Alt. "A" or Alt. °B" Above $450.00 Conservation Plan Review Fee Detemuned by Engineering Agreement Necessary [ ] Not Necessary [ ] . � ...., BUII.DING PERMIT FEE SCHEDULE The Chief Building O�cia1 shall, before� issuing permits 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 applicarion 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: TO�`�AL VALUE $1 to $5� $501 to $2,000 $2,�1 to $25,000 � $25,�1 to $SO,OQO $50,�1 to $100,000 $100,t�1 to $500,000 $5�,001 to $1,�0,000 $1,000,�1 and up i�x� $21 (Minimum Fee is $21 plus surcharge) $21 for first $500 plus $2.75 for each additional $1� or fraction thereof, to and including $2,0(m $62.25 for first $2,000 plus $12.50 for each additional $1,0� or fraction thereof, to and including $25,000 $349.75 for first $25,�0 plus $9.W for each additional $1,000 or fraction thereof, to and including $50,000 $574.75 for first $SO,OW plus $6.25 for each additional $1,000 or fraction thereof, to and including $1�,�0 $887.25 for first $1�,0� plus $5.� for each additional $1,� or fraction thereof, to and including $500,000 $2887.25 for the first $5�,000 plus $4.25 for each additional $1,000 or fraction thereof, to and including $1,000,� $5012.25 for the first $1,000,000 plus $2.75 for each additional $1, 0� 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 $13.50. _ 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 $15.75. 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. .� . � m � �c �.� - ` _. � �� C� " G �, a� o �� • �-^ � � Q � � w-V « Vv , A \ v i'a °i G � b � � w \ � � � 0 T' �. ' e. � � 7�. A � N L]. W � �p '� � �1 A z� �I 1 � _�, � � . s ' T y G� � � � � � � � i n � .j D `� : �;�! � � � . .. _, ' � I -:' m GO '0 . �� =^ � ! o ;� � � Z . . ._�___ Q . ;: ; ,< "1 � � _ � . � � . . C . . �, , _ f� _; ._ � �, :L - `7 .: • �- r . � � ' a� � i �_.. �:� ,� �� I� i a . J' . -..1 � x °� t �� - ..a . c° _� � x — � � � � � .. , � a . �; ' `^ � �' Ca � � 9, ` ; : � . . � ; � i- 1 ,:� C � �:, � �-; � � -�_ � �:' Sii �l ;.i � + � � . ','t ; -',�-r. :ti �; � M1�r :, ^ � � � � / ti � +� � � U t Q Ld , � -' �' m ;, � `: ;7i rtl : LA . � '��ie . "� __ � _, � ! � , _�, �,; ..: ��; . z. . .� ..�_--- - � ; � � . . ..r. �N �m _. .. _4 �. � �I --;-�; m � ; � _ .�. i i� � � �uilding °Inspections �763-572-3604 � �A� 12 �v �ITE ADDRESS �_' i �'HIS APPLICANT IS: c �tPROPERTY OWNEF ,. TENANT ; SUBMIT A COPY OF �YOUR STATE LICENSE � WITH APPLICATION � ��a��.� 1�' ri�rM.. PERMIT OF BUILDING RESIDENTIAL APPLICATION CITY OF FRIDLEY Permif No.�j� _ I� - - -. : �►�, + .. •,'��.�''=;�.� YOUR E-MAIL ADDRESS ,�Pi?,�5dv. d. e- kc.»�to �., f4 C-�oPY �� r cci-.c�o w• O OWNER �OMRACTOR ,.,,,v�i:. v�. Kii.�l 3�r1 � U L G. — w� (� I� nnnx�ss: �syn A�-�M.ce.r S} A%� CITY C"P't�1Le�-1 ' STATFM�iP_�Z PHONE:�� (D 31 '? $3 � 1l ZZ. � STATE UCENSE N_ ZQ��'I�ib'�iZ. EXP DATE 03 %12.. _ ADDRESS: . W IIJ CITY A1Q�D�T�pT�{I�IP•SSyZ$ PH�IJRI�f(��15'TV�?�1t'U c.v/�i_7\��ftl..�w�t�f O BASF.Iv�NT FINiSH ❑ R�QF O D&CK ❑ SI!?A1Q oF wo�: o O tE WORI� BE1NG I :�iUta�ER OF SQUARES �' AGES 'ROPOSED SIZE: ^'ROPOSID HEIGHT: ;'�IDING ;7 V'myd >7 Aluminum ' � Other • ' %1 BXISTlNO OPEtJIIJQS L'�Yes C]No :+R FOR NEW OPENINOS-DESCRIBE SIZE OF :�P�nrra cx�,�ac�s � a. «. '�YPE OF WIlJDOW TO BE 1NSTat_t.�n w. � �enmit Fee �lan Review 3ire Surcharga 4�rcharge :.icense Surcharge >�AC Charge ;�rb Cut Escrow :rosion Control 'ark F� ;awer Main Charge ARE BASED JOB S�, ❑ HOUSE 8c GARAGE � ATTACHED C3AR.AGE �. DETACFiED t3ARAC:E 17Soffit � Trim O Fascia � DR�AI7TLE CI OTF�R LOCATION OF WINDOWS iv��c �. �eu�er �,�,6� �r- ��L4 ,-� -- r�tn��tt oF'wn�rnows 5 F� AASEMENT t��OD -�(i ct rg�• 1- F.�cisting Flo� Plan - 2. Proposed flpor qlaa 3. List of struc�ual manbas to be �«I FOR NEW CONSTRUCTION INCLUDMG DECKS, A,RDITIONS. & �RE�It _ �turrr• 1. Site P1aN$�uvay showing die acisting structvres and ProPosed Pmject. Z. Two scts of construdion plans 3, Energy Calculaaons VALUATION,.INCLUDING THE COST OF LABOR AND (USING THE 1997 U.B.0 FEE SCI€EDULE) TERIALS: See Back pa�e for Fee Schedule 65% of Building Permit Fee .001 times the totaf job valuation .dQ05 x P�r,nnit Valuation Minimum $.50 $5.00 (State Licensed Residential Contractors) $1675 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 asvable to: Citv of Fridlev AttA� THIS [S AN APPLICATtON FOR A PERMIT NOT VALID UNTIL PROCESSED : hereby apply for a building permit and I acknowledge that the information above is complete and accurate; that the work will be in �ttformance with the ordinances and codes of the City of Fridley and with the Minnesota Construction Codes; that I understand this is not a ":rmit but only an application for a permit and work is not to start without a permit; that the work will be in accordance with the approved lan in tha case of al] wnrk i h requir review and approval of plans. qGNATURE OF APPLICANT PRINT NAME_ JtC `i`� �1 �6 � DATE � , LL6t�-ZOS-£9G ��3 � �1�09€-�LS-£9L �� r�r ♦TtwT ��ia1'TfiT T_ - __ _- ----�- -- - — ----- � —�-- J lv a .a . ..r . � �nuany ��s.�anNfl t £�b9 �uatu�edaQ suc�aoadsuI ��?PImS ,�ajpu33o �i� ju sasn H MaK •�u�� a� �u� ��oad a�o3a9 � � II?b IIO�Pnmo� �uqs�ta a� �o uoa��o� aq� 8uzn�oqs `�oi a�i 30 �ianms �o a��a'J d ,s: �, •a�is uot��tuisao� ai�3o pma axn�3cu�s Pasodoxd�o n�au�az xadoxd Yo3 k►one ��-< o� aocl�a�dd� �a auni aq� tuo�3 s�Oil �bZ �o urnur�nrcur � pansst aq � uo�i�n�sao� io3 s�mu�d �oLt�aNno�t �ao uoYid��n. :}�-o� �p�o�a ataiaq �auaeux a� ui pue q�o3 �as nnojaq utaiac� �unou� a� oi saa� 30 ��ad ��ns .zo� �� aq� �Cq luam�id ac� a.nnbai `�ia�atatg uoq�tjdd� uodn `am��nr�s Yo �utpjmq �ur�sixa �ue o� .�dai io uor��a�ie 3 Pi. q �Sue io io `aml�uis �ue .�o �o `amlonaqs .�o �ut m �uqsixa �ius o� uoAlp'p'e 3 io �uipjmq �Sue �o uou�a�za aq� �03 s}�ad �umsst azo3aq `i�qs T�t��p ��Fimg 3a�I� �L �rtnQ�s �� s�x�a �.ruaruns uoi��Tjdd� �r�uapisag �urpjmg - Z a�d