Loading...
The URL can be used to link to this page
Your browser does not support the video tag.
P - 48272
BuilditZg � BUILDING Permit Ivo.:� � � Inspections RESIDENTIAL APPLICATION Received By: 763-572-3604 CITY OF FRIDLEY Date Re��c�'D ��% .- 2 763-502-4977 FAX EFFECTIVE 1-1-2011 DATE �\ C�; C �\ YOUR E-MAIL ADDRESS `Ct� 'N� � S 3 '�. , CtY� SITE ADDRESS � � �'� C. �`c.N� �,�� �v � � � , THIS APPLICANT IS: PROPERTY OWNER/ TENANT CONTRACTOR SUBMIT A COPY OF YOUR STATE LICENSE AND CERTIFICATE OF INSURANCE PROPERTY TYPE ❑ OWNER NAME: �r\ 0. cR�� ��� S��C X 1� C� ADDRESS: S� y"'� CF �E��►�.. AV � CITY PHONE: 'ATE�ZIP, NAME: \`1\V�.'R�"�L.A'V H�'a'�'h��"N �'�l '� STATE LICENSE #�O �� �"1 �'Z Q LEAD CERT NUMBER ADDRESS: � O� 'Z ti� ST� S•� CITY�(�a�'`� STATE�ZIP �� PHONE �o � 2 ^ �3 �.. L — �' .A � (`� F A X ���-ra�c --r.,-.r .�_ �.- ..� . . , t� c� tc� h � � ❑ SINGLE FAMILY/NEW CONSTR[3CTION SIZE ❑ TWO FAMILY/NEW CONSTRUCTION STORiES PERMIT TYPE ❑ �DITION �GARAGE/SHED ❑ WINDOWS ❑ BASEMENT FINISH ❑ ROOF ❑ DRAM TILE ❑ DECK ❑ SID[NG � OTHER ❑ SWIMMING POOL TYPE OF WORK: ❑ NEW HOME CONSTRUCTION ❑ ADDITION ❑ MAINTENANCE/REPAIR ❑ REMODELING (e - DESCRIBE WORK BEING DONE: bV�\ L.'� �1 �� .,��'���-� SIZE OF IMPROVEMENT �"� �-� C� b� LENGTH e'�'� � WIDTH c`�O � HEIGHT � 2,� ��� SO FT ROOFING NUMBER OF SQUARES GARAGES PROPOSED SIZE: PROPOSED HEIGHT: _ SIDING ❑ Vinyl ❑ Aluminum ❑ Other x WINDOWS IN EXISTING OPENINGS �Yes ❑No OR FOR NEW OPENINGS-DESCRIBE SIZE OF OPENMG CHANGES & TYPE OF WMDOW TO BE INSTALLED ❑ HOUSE ONLY ❑ HOUSE & GARAGE � ATTACHED GARAGE � DETACHED GARA E �IA�Ci� 3�.04 � ❑Soffit ❑ Trim ❑ Fascia LOCATION OF WTNDOWS NUMBER OF WMDOWS BASEMENT REMODELING SUBMIT• I. Existing Floor Plan 2. Proposed floor plan 3. List of structural members to be used FOR NEW CONSTRUCTION INCLUDING DECKS, ADDITIONS. & PORCHES SUBMIT: 1. Site Plan/Survey showing the existing sWctures and proposed project. 2. Two sets of construction plans 3. Energy Calculazions FOR WINDOWS - PROVIDE U-VALUE AND MANUFACTURE ST[CKER ON WINDOW. ALL FEES ARE BAS�D ON VALUATION, INCLUDING THE COST OF LABOR AND MATERIALS: (USING THE 199j �1 B.0 FEE SCHEDULE) TOTAL JOB VALUATION ���U,O , o� 1 lQ ��I (QQ 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 $ $ $ $ $ See Back Page for Fee Schedule 65% of Building Permit Fee .001 times the total job valuation .0005 x Permit Valuation Minimum $5.00 $5.00 (State Licensed Residential Contractors) $2230 per SAC Unit (Plans to MWCC for determination) ft+6ft= ftx$25=$ $450 Conservation Plan Review Fee Determined by Engineering Agreement necessary ( ) Non Necessary ( ) Make checks pavable to: Citv of Fridlev Attach 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 ork is n to start without a permit on site; that the work will be in accordance with the approved plan in the cas 1�-work w' requires evi and approval of plans. � SIGNATURE OF APPLIC T MT NAME�'0 'V� � DATE �( � APPROVAL INSPECTOR SIGNATUR •� — _ r � � O � �— ��'+ �• � O � 0 � � Q n � �` � � � r-F- cn � `c� � .� o � rn� c�n IV :. �, o•`�~' p O r-+: �, � � � � '�4 � d rn y 4 � r''" p � Q a � � a: � -`.Q • �, O Q � Q � �3C �� � 4p C � � Z cD r'' � � �` 1 � O � � `� � � o tib_� � N ,�� � ��., � � � O Q � �° � �" � � �1 j � � w �' '`+� Q b � � �a � o � _�� Q � p i i' o � -.. O � Q � v �i � -s � i � ; j rn c� � w i'QD p � � v � � � 3 . � J �' tD � 0 g p�� � L � : y � � � n� � cD Q a O � � � fl W � a a v� 3 � Ul 3 � � ��.� � ` � �. .. C� 4��v� � Q � o. �p c� � ��n=. Q z � o :� y p Q Q .. a��� � o a�� � � � � c,n Z �'2, � v � �f77 y (" xp'�Z cn � �� � t/"� d'' � � � � � � Z � � � � � � W N �� �� � � (+ � v b � � z D �� � � � � � - -Q _ Q � `�- ' �l'3 � 0 � � � � � / � � �� If, � il� � X � � � 00 a� N c�'n 0�0 '� � � .o � io.3 � r � o� zI D F � I I � ,`<<,tt,�,,,��� ,• ._� �� '�^ � ���2" �. •' c.. ,' , � _ o� � i � j A : � � ��; � �,o`� ��= ..�o m m : y „ .. • ; �, � � �'. , � � `. . � , , . :`�'�� '•------' � �'; ., ,, \ C� \ _ . ������`�,. ,91: � � � �9 LF � �� NG�S' I�a oo _ \ • 3�3-�A! ` � � �l,I� �� �r � � \ . 1� �'''� °�'ry ' n - �. _ . � � . -! ,:- n -. .m : . . ��c C � �`. � # �'• �'�� �� � � �� -o � � � % � � m � I �,`" -� � v \; �i �� �w '``� b. _ . � � � 39.2 � .v \ \ ` �: a � N � � �� . x � � P _ \ - zx \ ♦ �� �' -P" o � � � � x� 1 ' 57.1 ti ' � 1 E.a r �D � v' .� Q� o � 10 � - �W� � � � i��.p� � �\\ � � \� � � \ \ � \ \ W \ � o �'3� j)6 � � Ii �6. 3 \ � 3.s �AfaJA� � \ � \ \� � i � � A V � � v � z � � i I � r Z � Q ��}��: V� 1V � 2' . � _ O � s n w , -..__� rn �� � i L` Cs� � � � � 1� '� .�,,.' e�' � � � � .�- � � � 4.� � I/+^y� ' V � Z ",� 1 .� _ . fi' N � � �£ m � � �' � � � � < ,� � o � 2 � � � � � J : !� � _ « � ":� � n� � � s .� . � � � � � � � � V• I � � ��^�y+ .�+ V �• � ✓ � V �`� N �� r- • I V � � ��. � � � M � � - -� .. ; � � �- s--�` - �^ � �� � � � �, � �� . - . �� �,,, �, r r � � � v'� � �g ..y� , ._, : E:.�,. _, '`` °.s-_ � t i...� f_: i.�.:� `� w i ��� _--� � _ �,-, .:� -.�. � .: �:� �;_. :� ..;; ,-- r � i"r `� I � � -� -�� � �_ � [°� ' �= -t' `�► -� C� 1 ��' n�: E2�0� ���CTI � � � � �r,� �n�- �--M � � �, � a--�> . � � .� � � c . � � ��--_ ,, , :� �, ... '�� i -�a �. r-- fi�i�. � ��' £ ' ..- � � 4r3 ';_,r � G� �,,.x � , G) � �rr ;'r'1 `M � �. � '. ,. C? � � r' ?+ . . �.�' . - ■ 1 � -od� � � � � �� �, N �� O � � � 6° � . r-�v "f� L v 1� ._ � r� �i '� V '� � � � � � �M ' � � � i (� . � N , � � �. �`� �G � ` � �� � a � � � � �� d° � � ,� f o �, �..` a �, �� �' �. � ��6 t��AC� �, 0 � � ;,�`� � � � � 1 tJ � � � � � � a ;�r `�.. _ � a �- � � n � ��� � � � 9�1 `�d � � J� l� � � -- - � ,� � • � � nF � � � � �� � � � � . � �„ a '.� cE! f,� � O � � � � .�. � - ;u.y L� 0 0 N� S� � �-- ���� �' � � L, ., . � , �- ._..._ _�,. �._ _ . _. � 2 � .�.�.__. ___ --� _ � � � � � z �� � � � ` L� � � � QJ t;.� ,� :�-. . ,� ' � --- _� ��-�. ��� _.n� __ � � M /� • r � � �� � � ' �M � � (�--_ � ' c/i �. - -''- ., � � _" ' ' -.r--=—� M .�G s � �: . �( � �Q �: 6' �� � x' � �� �' �� � � f' � 3 0 � �• � ��,� tF � � � m _ -� � � F � � � Z' � X ���� � _�o�a� � � � � � � rf � � � � . � �` r s� �� �� � N ,� ' r � p ,� m �� � � � �o � � �i � � �� h �w'�''� .� t� ' N� � � s • � . - _ `-�'� . � . � . � ��'r1 � % i►. , � �./_' , � � � ' p � � � � � �f a � �' f � � ��� � 0 �� � m �'� � r `� �� � � � - . ..-� _""""���. �� . 0 2N � �� Q���� ��- 2`�� p ���� �r np r� y � � ' s � ' 2 . �. � N � � !�" � iG � � 'o� � [� , � � � � � � � � � � � � � � i @�_ !• � � � 0 � � � i =" � � ���� � �r�-� ��T�r.� .T � C .�"'7" �] � --i j D�c,� � :� c� '�"� � .; . Z � ::�_ ;;�- , G'� � a'' v'� t't'S � t.f7 � c�n �-- _'� � ..� o � r-�z 2 r-n sF'a . c,� � �� � � `.� � � �