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AF - 35254sua�etr �' c�ty of Fridley 29635 AT TME TOP OF THE TWINS g � I L. D I N G P E R M I T � � � RECEIPT NO. � �• COMMUNITY DEVELOPMENT OIV. � r ��' � PiiOTECTIVE INSPECTION SEC. 3��`� � � � � �"'1 � CITV MALL FFIDIE� 55132 NuMBER NEV DATE PAGE OF •PVROvED 9� �---'�'� �'' 612-571-3450 9t0-F�5 6/7/99 � � lOB ADORESS 6359 Baker Avenue NE t LEGAL LOT NO. BLOCK TfiACT OR AODITION SEE ATTACMED DESCR. 6 2 Moore Lake Hi hlands 2nd SNEET 2 PROPEiiTY OWNER MAII. AODRESS 2�P PMONE Stephen Yurich & Kathy Feene 571-1415 3 CONTRACTOR MAIL ADDRESS ZIP PMONE LICENSE NO Midwest Restoration 6319 Hw 65 NE Fridle MN 55432 50 -108 7 � ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE UCENSE NO 5 ENGINEER MAIL ADDRESS ZIP PMONE IICENSE NO 6 USE OF BUILDING Residential 7 CLASS OF WORK O NEW O ADDITION � ALTERATION %� REPAIR O MOVE O REMOVE 8 OESCRIBE WOAK Reroof house and gara e(25 S) Tear-off 9 CNANGE OF USE PROM TO STIPUTATIONS Underlayment must comply with the State Building Code. TYPEOFCONST OCCUPANCYGROUP OCCUPANCVLOAD SEPARATE PEfiMITS ARE FEQUIRED fOR EIECTfi1CAL, PLUMBING, HEATING, VENTILATING OR AIR CONDITIONING. TMIS PERMIT BECOMES NULI ANO VOID If WORK OR CONSTRUCTION ZpNING SQ. fT CU FT AUTMORIZED IS NOT COMMENCEO WITHIN 60 OAYS. OR IF CONSTHUCTION OR WORK IS SUSPENDED OR ABANDONEO POR A PERIOD Of 120 DAYS AT ANV TIME AfTER WOfiK IS COMMENCED NO DWLG. UNITS OFPSTqEET PARKING I HEREBV CERTIfV THAT I HAVE REAO AND E%AMINED THIS APPLICATION STA�LS GARAGES AND KNOW THE SAME TO BE TRUE AND CORRECT ALL PROVISIONS OF LAWS VALUATION SURTAX AND ORDINANCES GOVERNING THIS TVPE OF WORK WIIL BE COMPLIED WITH WHETHEA SPECIFIED HEREIN Ofi NOT. TME GRANTING OF A PEFMIT �21�5 1.O9 OOES NOT PRESUME TO GIVE AUTMORITV TO VIOIATE OR CANCEL TNE pERMIT FEE SAC CHARGE PROV�SIONS O: ANY OTHER STATE OR LOCAL LAW REGULATING CON• p STRUCTION OR TNE PERfOiiMANCE OF CONSTqUCT10N �p3, 25 Fi re SC Z. 19 PLAN CNECK FEE TpTAL FEE License SC 5 00 91 53 S�GNATUQEOFCON��7AC1OpOAAUTMOA�ZEOOGENI iOATEi WHEN PROPERL ALIDATED TMIS IS VOUQ ERMIT ✓ V � ,� r S�GN4TU�7EOFOWNEA�icpwtiEaBU��OEQi IOATEi �DG �NS� ��E NEW [ ] ADDN [ ] ALTER [ ] ; ConstructionAddress: � Legal Description: Owner Name & Addi�s� Contractor: '� � Address: ��:,,�� ia:� LIVING AREA: GARAGE AREA: DECK AREA: OTHER: CITY OF FRIDLEY SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION Effective 1 / 1 /99 �� , �� r � r� � �' ��fel. # -h'7 1 � j� ►� MN LICENSE # �,�.�� 7 Tel. # �� - I /> � Z Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF Il�IPRO�EMENT Length Width Height Sq. Ft. Length Width Height Sq. Ft. Length Width HgtlGround Sq. Ft. , �C� ? S�', i ' � ��1 .�` � � � � � � � , _ � ,� r' .:, , Construction Type: �� - ��;� Estimated Cost: $ � �=�� (Fee Schedule on Back) Driveway C�rb Cut Width Needed: Ft. + 6 Ft = Ft x$ _$ DATE: �� ,� Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee Sewer Main Charge TOTAL STIPULATIONS: APPLICANT: CITY USE ONLY Tel. # $ Fee Schedule on Reverse Side .1 / _ 7 � - � r -r ,�C'.►1 �i Petmit `Jai�at��s (�; Z0�%) $ ' '�'�' $.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 [ J ` � �f ' � �� r j.� ' C--�L G- �l % C) � $ _ if� � ` � � �..a�� -� , , 4 J � BUILDING 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 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 $25,041 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 $21 (Minimum Fee is $21 plus s�srcharge) $21 for first $500 plus $2.75 for each additional $100 or fraction thereof, to and including $2,000 $62. 25 for first $2, 000 plus $12. 50 for each additional $1, 000 or fraction thereof, to and including $25,�00 $349.75 for first $25,000 plus $9.00 for each additional $1,000 or fraction thereof, to and including $50,000 $574.75 for first $50,000 plus $6.25 for each additional $1, 000 or fraction thereof, to and including $100, 000 $887.25 for first $100,000 plus $5.00 for each additional $1,000 or fraction thereof, to and including $500,000 $2887.25 for the first $500,000 plus $4.25 for each additional $1, 000 or fraction thereof, to and including $1, 000, 000 $5012.25 for the first $1,000,000 plus $2.75 for each additional $1, 000 or fraction thereof DRIVEWAY DEPRESSION ESCROW �i �r�cre�� C�utb Stre�i� (3niy j Alternate "A": Removal and replacement of curb and gutter only - Driveway width plus 6 feet times $13.50. Altemate "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 c�f 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. � SUBJECT . � P I . City of Fridley 30590 AT THE TOP OF THE TWINS g� I L D I N G P E R M I T r � � RECEIPT NO. � • COMMUNITV OEVELOPMENT DIV. ' j V'�'�� , . �f r � � PROTECTIVE INSPECTION SEC. � � � 1 � � � �"'1 � CITY MALL FRIDIE� 55�32 NUMBER REV D�iE o�GE O� �CVAOVED Br �"'"'�'� �'� 612-571-3450 9�0-Ft5 12/16/99 / / JOB ADDRE55 6359 Baker Avenue NE t LEGAL LOT N0. BLOCK TRACT Oii ADOITION SEE ATTACHED oesca. 6 2 Moore Lake Highlands 2nd SNEET 2 PfiOPERTV OWNER MAII ADDRESS ZIP PHONE Anthony Yurick 6359 Baker Avenue NE 571-1415 3 CONTiiACTOR MAIL ADORESS 21P PHONE LICENSE NO Minnesota Rusco Inc 9901 Smetana Dr, Minnetonka,MN 55343 935-9669 2173 e ARCHITECT OR OESIGNER MAIL AODRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAIL ADDRESS 2�P PNONE IICENSE NO 6 USE OF BUILDING Residential 7 CLASS OF WORK O NEW ❑ ADDITION ❑ ALTERATION CX7 REPAIR ❑ MOVE O FiEMOVE 8 DESCR�BE WORK Replace one bow window 9 CHANGEOFUSEFROM TO STIPULATIONS Provide smoke detectors in all sleeping rooms and on all levels of the dwelling per Section 310.9.1.2 of the 1997 Uniform Building Code. �er�it �n�p�c�� ~�� l� �� To No�� SEPARATE PERMITS ARE REOUIRED FOR ELECTRICAI, PLUMBING. MEAT�NG, TVPE OF CONST OCCUPANCV GROUP OCCUPANCY LOAD VENTILATING OR AIR CONDITIONING THIS PERMIT BECOMES NULL AND VOIO IF WORK OR CONSTFUCTION ZONING SO. fT CU FT AUTHORiZE� IS NOT COMMENCED WITHIN 60 OAYS. OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONE� FOR A PERIOD OF 120 DAVS AT ANV TIME AFTER WOFK IS COMMENCED NO DWLG. UNITS OFFSTREET PARKING I HEREBY CERTIFV THAT I HAVE READ ANO E%AMINEO TMIS APPLICATION 1 STA�LS GARAGES AND KNOW THE SAME TO BE TRUE AND CORRECI. ALL PROVISIONS Of LAWS VALUATION SURTAX AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL 8E COMPUED $3,557 � $1•78 WITH WHETMEf: SPECIFIED HEREIN OR NOT. TME GRANTING OF A PERMIT � DOES NOT PRESUME TO GIVE AUTMOAITV TO VIOLATE OR CANCEL THE pEqMIT FEE SAC CHARGE PfiOVISIONS OF ANY OTHER STATE OR IOCAL LAW REGUTATING CON- STRUCTiON OR THE PERFORMANCE OF CONSTqUCTION �9�.ZS Fire SC �3.56 PLAN CHECKFEE TOTALfEE Licens $5. 107.59 S�GNATUAEOFCON"PA(;TOQOQAUTNOQ�ZEOAGENT iO�iEi EN i± P .VALID THIS IS VOU,R PERMIT S�GNnTUaE O� OwtiEa��F OWtiEA Bw�OER� iD�TE� Bl0 �ti5� �� ""±�� NEW ADDN ALTER .� � � �.. � �/` Effective 1/1/2001 � � CITY OF FRIDLEY �� (763j 572-3604 Bidg Insp �) SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION Construction Address: � � � /?:�� / , ��i�� Legal Description: Owner Name & Address: ; �T. ; i c_ � r� i lJL �=_ Tel.# j_.%l`/y/�_ Contractor: _ %��^,l^ = �; MN LICENSE # Address: Tel. # Attach to this appiication, 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 ,fi �� Wdth ��% Hgt/Ground �' r Sq. Ft. 3 OTHER: �r r,;�r7�JF c xlSii�-� .• %��c ��DX� o ( � �1�`�' � �� C-'oK: � i; if iL °-G �:1� ��1� Construction Type: ��,a?j; s;uc�; �nf✓ So,t��a,- Estimated Cost: $ 1� �(�% Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x$_ -$ :j t/// . " �, �.. � . DATE: S`� IS � G' � � � � � � APPLICANT: � ,' � - G�� Tei. # ,�' % l - / y/S `� J-1 `/` `7 / � � S �,� 7 - u--' CiTY USE ONLY - Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee Sewer Main Charge TOTAL STIPULATIONS: Call (763) 572-3604 for Permit Fees if mailing in application $ l ��, a 5 Fee Schedule on Reverse Side $ �%.�_ .001 of Permit Valuation (1/10th%) $ �, 1'� $.50/$1,000 Valuation $ $1150 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 [ ] $_ l/�7,�� BUII�DING PERMIT FEE SCHEDULE The Chief Building O�cial 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 .OS for each additional $100 or fraction thereof, to and including $2,000 $69.25 for first $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 iirst $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 DRNEWAY 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 Certiiicate 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. New Houses Oniv _ ...NE�V[ ] ADDN ALTER Effective 5/10/99 L � CI'TY OF FRIDLEY [] S�iGLE FAi�,Y A1�1D DUPLEXES R-1 AND R-2 (,'�� BUII.DING PERMIT APPLICATION � � . � � � Construction Address: 6��i �u:�' � � ` Legal Description: Owner Name & Address: -.,�,,�„ `l�vZtP.�/-/,��y ��e2�(.Zc� • y% �, Tel. # (o/a-��/% - /<f/� Contractor: � ��,,, �� r; ' � , MN LICENSE # �/7� Address: LIVING AREA: GARAGE AREA: DECK AREA: OTHER: Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. Length Length I.ength UE�+CRIP'� ION �F Il1��IPROVEMEr;'I' Width Width Width Tel. # �/ ' J�,�"-I�G -�1 Height Sq. Ft. Height Sq. Ft. HgtlGround Sq. Ft. �. , Construction Type: , % ��c,Y',�,��d�2e��v,��,o�',,,,Estimated Cost: $ ��'y p�C.'�,`"�' �' Driveway C�rb Cut Width Needed: Ft. + 6 Ft = Ft x$ _$ � DATE: / _ c �;�"�-- �i�°�' -_ a��/� ��! APPLICA��1T: �, Tel. #� -�I�� q�� j Pernut Fee F:re Surcr,arg� State Surcharge SAC Charge License Surcharge Driveway Fscrow Erosion Control Park Fee Sewer Main Charge TOTAL $ �� $ �. � �., $ ro $ $ �:dn $ $ $ $ $ •�� CITY USE ONLY Fee Schedule on Reverse Side .c'�1 of Femut Valuatiun (ii i0th roj $.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 [ ] STIPULATIONS: !i/�� `'1 a'�� t./��— t e�� '`�� 1�� SL�'�P-�ii�i �-1.S �'uo o.Zl .�G� � �.0 ��/E" �� C, 3�La. � l! � �� % � �,- C., BUII,DING PERA�IIT 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,(KJO $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 first $2,0()(� plus $14.00 for each additional $1,C()Q 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 I)RNEV�A�' DEPRESSF�DN ESCP.�VY (C�ncrete Ciirb S� ��ts 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 Pernuts 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. t '+ � p' SuB�ECT c�ty of Fridley AT TME TOP Of TME TWINS g � � L D I N� P E R M I T r � . � � � • COMMUNITY OEVELOPMENT pIV. ��p��''�� r � v �� PROTECTIVE INSPECTION SEC �� i � � � � �"'1 � CITY HALL FRID�E� SSIJ2 NUMBER REV O�TE P�GE O: �""�"� �'' 612-571-3450 9t 0-Ft 5 6/ 11 /O 1 / � JOB ADDRESS 6359 Baker Avenue NE 1 LEGAL ��T NO. BIOCK TRACT OR AODITION DESCR ( 2 Moore Lake 2 PROPERTV OWNER MAIL ADDRESS Anthony Yurick 6359 Baker Avenue NE 3 CONTRACTOii MAIL ADORESS 5 8Il12 � ARCHITECT OR DESIGNER MAIL ADORESS 5 ENGINEER 6 USE OF BUILDING Residential 7 CIASS OF WORK D NEW % 8 DESCRIBE WORK hAA1L ADDFESS lands 2nd ZI P ZIP ZIP ZIP Eannir r,o. 3i�92 APPROVED SEEATTACHED SHEET PHONE -571-1415 VHONE �ICENSE NO PMONE UCENSENO PHONE LICENSE NO O ADDITION ❑ ALTERATION ❑ REPAIR O MOVE X REMOVE Remove existin� 6' x 6' Deck; Construct a 23' x 17' Deck 9 CHANGE OF USE FROM STIPULATIONS See notations on plan. SEPARATE PERMITS REQUIRED �OR: WIRING, HEATING, PLUMBING A(dD SIGNS TO �� efore ri�g�ong call fo� all uti0ity iocation� 454-QQ02 REQUIR�� X L�VV� TYPE OF CONST. SEPARATE PERMITS ARE REOUIRED FOR EIECTRICAL. PLUMBING, HEATING, VENTILATING OR AIR CONDITIONING. � THIS PERMIT BECOMES NULL ANO VOIO IF WORK OR CONSTfiUCTION ZONING AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS. OR IF CONSTFUCTION OR WORK IS SUSPENOED OR ABANDONEO FOFi A PERIOD OF 120 DAYS AT ANV TIME AFTER WORK IS COMMENCED NO DWLG. UNITS I HEREBY CERTIfV THAT I HAVE READ AND EXAMINEO THIS APPLICATION 1 AND KNOW THE SAME TO BE TRUE ANO CORRECi. ALl PROVISIONS Of LAWS VALUATION nND OROINANCES GOVERNING THIS TVPE OF WORK WILI BE COMPIIED �[�,301 WITH WHETHER SPECIFIEO HEREIN OR NOT. TNE GRANTING OF A PERMIT OOES NOT PRESUME TO GIVE AUTMOiiITY TO VIOIATE OR CANCEL THE pEqMIT FEE PfiOVISIONS OF ANY OTHEF STATE OR LOCAI LAW REGUTATING CON- �111.LS STRUCTION OR TME PERFOi:MANCE OP CONSTRUCTION � � P�AN CHECK fEE N4TUQ�QFCQN'P No AuTH �ZED eGENt iDeTEi � G //-Ca 9u�� ea� �o�rE� A SQ.FT OCCUPANCVLOAD CU fT OFfSTREET PARKING STA�LS GAFAGES SURTAX $2.15 SAC CHARGE Fire SC $4.30 TOTAL E $ 7.70 qyry ALIDATED �S IS vOUR PERMiT ,/ l ,-/Z •D� . r,crc -- C!�/1 h�,e � � ��. 1C��% - y�t ��v - ��,� 3D View of Your Deck 57�� /�� o�P Q� � � 5/ L�a - caoo� � ' /��l �� -, �a�� L�rl , ��'��'"� � � � .� ; � ` �I r I _ � .�_,y�� i �� ,�p'�(�om, �� , �° �a� s �,� S�c7 � , �00,3, 3, G ��' U(3G ,tr,�� c�ra� � �� , ,�,��.� co,�,�� " PLAN APPROVED SUBIECT TO FIELD � 1�ECTICN � �, ,�.��;;,� j r� �t �!L �� "��? �r;� � c -3 1 ( k I �DL�- i ��-i�!� Top View of Your Deck The Scale is 1/8" : 1' / _` � �g � � � 'r�r. .rr' s ' T ' xs� ��/ L,► � !�'ti C� / "/ �/Y � � /� �� _ �� 3 �� _ �/% �� . � . ,.�.�� v'.•J�.■ � 1�U� ?�v,6 /�VS�l��2 � � t,v�%T1 �,�Fo t�i�f ,�ddl, , �, �� ,�� q _ � � _� � � �,� ,�a`z�s w �vps � J, %��4 �'-� I � ( �I �J�% � �� t � / �� y � eZ� � � ,�,r G `-' � ,, -f �%�x� �, S �J � , � ,� �� `' � —�`�`s �� x /'o`' � ou�� a�vq �� M�� a�, �� _, e� � 5 �� _ ��/Z S/�� --�_ , n ,� _,_o;s; �3�D /bs � �r " �°r 2 ;� �r�� 3c �, a� . ��c.,�CQ � � �? ii��'�a ��- - S`�y x G �� AK �� (�i5f �, 7�s.r _ �� i6 °�- �� 7'S� � / J t' c M - � � lD _----. � = o� `� l'fj`S ,/ ` Z' � �� a x sx sv s ��;1� �. s� ir �t-� /� UvtR,�� - .�'t u r� ��-- _ S'r ��D -�PSr h�o �s� �- �';c Os ��aw� �G'�7In`� S - i�� l �, ��; �� n� � - a, �k �3� �� / 3�� lbS �K �.«� �nt�-�� ^ 3D View of Your Deck ,�5� ��f�� ✓ � �_� � n�: CY _ � � , . -- , S , � �ac�oy , ; , - , , � f� �, __� �y:�,L-� - _ � � �; � -� ��" � - �;� , �� T� �� f �,� � ��s � , __ ; �-�; �b, , � , �c"G�' r- r�•. � �L'G�v_._: �,��, 1� � .__._- ,�`( (��/��/ /u� � p � �'� -_` , - 7__ ^-1-�____�C� _.' Building Inspections 763-572-3604 763-502-4977 FAX DATE Fr / SITE ADDRESS � THIS APPLICANT IS: PROPERTY OWNER/ TENANT CONTRACTOR SUBMIT A COPY OF YOUR STATE LICENSE AND CERTIFICATE OF INSURANCE PROPERTY TYPE PERMIT TYPE TYPE OF WORK: BUILDING RESIDENTIAL APPLICATION CITY OF FRIDLEY EFFECTIVE I-1-2010 E-MAIL ADDRESS � ❑ OWNER CONTRAC : • "T'f � 1�t N �-�CG�" i ADD�ss: � � 5``� � rs� «�,- �� PHONE: 7 C� �"- �� I — I�-( I�7 NAME �C�Y`��'i��'1 � /t-f%LzC- STATELICENSE# '-�C`� � �{�+ 3 �/`i ADDRESS: � J � �'{t'�'�LGC;�' �� PHONE 7(P ' 3- G 3�(- (rjl�,�-�'- ❑ SINGLE FAMILY/NEW CONSTRUCTION ❑ TWO FAMILY/NEW CONSTRUCTION ❑ ADDITION ❑ GARAGE/SHF �� FAX � SIZE ❑ BASEMENT FINISH ❑ ROOF ❑ DECK ❑ SIDING ❑ SWIMMING POOL ❑ NEW HOME CONSTRUCTION ❑ ADDITION �MAINTENANCE/REPAIR O REMODELING r Permit No.: Received By: Date Rec'd: ATEZ�ZIP �j�3 '2' EXP DATE .3I3 /� � � CITY �� STATE��'(ZIP� -. 7J' � �-- ❑ DRAIN TILE ❑ OTHER DESCRIBE WORK BEING DONE: ( '"L"'��-t -�''t-�Fi w��-'viL�G' K.// // V V v-'�/�'K'"U�''''ti'-T "" "" _`ti,�"'. � SIZE OF IMPROVEMENT LENGTH ' WIDTH HEIGHT SQ FT ROOFING O HOUSE ONLY BASEMENT REMODELING SUBMIT: NUMBER OF SQUARES ❑ HOUSE & GARAGE 1. Existing Floor Plan GARAGES ❑ ATTACHED GARAGE 2. Proposed floor plan PROPOSED SIZE: ❑ DETACHED GARAGE 3. List of structural members to be used PROPOSED HEIGHT: FOR NEW CONSTRUCTION INCLUDING DECKS, SIDING ADDITIONS. & PORCHES SUBMIT: ❑ Vinyl ❑Soffit I. Site Plan/Survey showing the existing structures ❑ Aluminum � T��m and proposed project. ❑ Other ❑ Fascia 2. Two sets of construction plans WINDOWS 3. Energy Calculations IN EXISTING OPENINGS �Yes ❑No LOCATION OF WI 1 OWS FOR WINDOWS - PROVIDE U-VALUE AND OR FOR NEW OPENINGS- SCRIBE SIZE OF �/��P/i �� MANUFACTURE STICKER ON WINDOW. OPENING CHANGES & C '�� ° TYPE OF WINDOW TO BE INSTALLED `N�l NUMBER OF WINDOWS ALL FEES ARE BASED ON VALUATION, INCLUDING THE COST OF LABOR AND MATERIALS: ��(Y (USING THE 1997 U.B.0 FEE SCHEDULE) TOTAL JOB VALUATION $ J'� �� OCCUPANCY TYPE Permit Fee $ ; o�� ,�� See Back Page for Fee Schedule Plan Review $ 65% of Building Permit Fee Fire Surcharge $ ,' .001 times the total job valuation Surcharge $ '; .0005 x Permit Valuation Minimum $.50 License Surcharge $ �� C! $5.00 (State Licensed Residential Contractors) SAC Charge $ $2100 per SAC Unit (Plans to MWCC for determination) Curb Cut Escrow $ ft+ 6 ft= ft x$24 =$ Erosion Control $ $450 Conservation Plan Review Park Fee $ Fee Determined by Engineering Sewer Main Charge $ Agreement necessary O Non Necessary O Total Due $ � Make checks payable to: City of Fridley Attach Stipulations THIS IS AN APPLICATION FOR A PERMIT-NOT VALID UNTIL 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 al ork which re �res review and approval of pla . � � SIGNATURE OF APPLICANT � ``t/'f .��_ PRINT NAME � (� � / � �Q � DATE I `�' c} % � � Page 2- Building Residential Application BUILDING 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 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: 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 proposed structure and of the construction site. A Certificate of Survey of the lot, showing the location of the existing foundation will be required before proceeding with the framing. New Houses Onlv City of Fridley Building Inspections Department 6431 University Avenue NE Fridley, MN 55432 763-572-3604 Fax: 763-502-4977