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AF - 42931� * � � * PIONEEA �-,,� LAND SURVEYORS • CIVIL�ENGINEERS �� ii" , , . 't � l� 2422 Enterprise Drive I Mendoto Heights, MN 55120 (612) 681-1914 FAX:681-9488 � Bnglii�8i��i79 LAND PLANNERS • lANDSCAPE ARCHITECTS 625 HighwOy 10 N.E. .�. Bloine, MN 55434 � * � (612) 783-1880 FAX:783-1883 Certifica te of Survey for: THE RO TTL UND COMPANY. House Address: 6422 Christenson I,Bne ' House Model: Halston � � MISSISSIpp1 ST � '�� 262 � (�� 6206 � /\ ��'°�`°' y0a s R�� o\s. i ^ 6205 � 0 yc� Q �%3 � / ^ �� O��\ / / 244 � \ �o,h QQ��OS�y O G. s � • , y3 �s•\ ?s� �� 37 � ��F � TOP OF BLOCK= /� / � i / � G�' � P % GQ'� � / ,� , � �O� • st � �c�, , '�� 39 ��C� 271 �( TOP OF BLOCK= � \�„ 272� `' ♦ ` -a.) .yv� � �y � � a � h�X ,�pc. �( o ,�. 2s� � �rp s2oa N � `a �� r� \ \ � i v/ Y `� � � CHRISTENSON LANE . �.--- / K 900.0 +Denotes Existing Elevotion SLAB ON GRADE "� Denote� Proposed Elevatton PROPOSED BUILDING ELEVATIONS —�- Denotes Dratnoge Flow Direction -- Denotes Drafnage & Utility Easement Goroge Slab Efevation: $Sg.7 (at doo�) —� Denotes Monument NOTE: Proposed bu�ding site groding is in oeeordonee with the grading plons approved by the city engineer. �- Denotes Offset Iron Bearings shown are OSSUT@d NOTE: Controetor musl veri(y oll dimensions dc drivewoy design, LOT 38 , BLOCK 1 CHRIS7"ENSON CROSSING ANOKA COUNTY, MINNESOTA We hereby certify thot this survey, plon or report wos prepored by me or under my direct supervision ond thot I o duly licensed Land Surveyor under the lows of the State of Minnesotc. Doted this doy of A.D. 19_ Signed: PIONEER ENGINEERING, P.A. Seale. 1 inch = 30feet BY Robert B. Sikich, L.S. Reg. No. 14891 or 16190.43 TRB Terrence E. Ro�henbocher, L.S. Reg. Mo. 20595 � ' � � SUBJBCT . ' City of Fridley AT THE TOP af THE TW�NS g�J i L D i I� G P E R M I T ;, . �, � ; y �__�_ COMMUNITY DEVELOPM�NT DIV. f � � PROTECTIVE INSPECTION SEC 1 . � `_--_� ��"' �.� CITY NALL FRIOLE� 53��2 NUMBER L 61Z-571-3a50 s�aF�s JOB ADDRESS 6422 Christenson Lane 1 LEGAL �OT N0. 9LOCK TRACT OR ADDITION DESCR. 3H 1 Christenson 2 PROPERTY OWNEii MAIL AODR�S$ The Rottlund Co. Inc. J CONTRACTOfi MAII ADDRESS The Rottlund Co.Inc. 2681 Zont� Lake Rd R� 4 ARCHITECT OR DESIGNER MAIL AODiiESS 5 ENGINEER MAIIADDRE$S 8 USE OF BUILOING Residential NEV 1 OATfi P IIP 28713 � �� PAGE Oi APVROVED B� / / SEE ATTACMED SFIEET PMONE 638-0500 PHONE LICENSE NO 1335 PMONE LICENSE NO. PHONE LICENSE NO 7 CLASS OF WORK � NEW O ADDITION ❑ ALTERATIpN O REPAIR p MOVE O REM�OVE 8 DESCRIBE WORK Construct townhome and garage (Townhome 42.67 g 25� (Garaee 17 67 x 20) 9 CHANGE Of USE FROM STIPULATIONS See notations on plan. [Z•� SEPARATE PERMITS ARE REOUIqEO FOR EIECTRICAL, PLUM8ING, HEATtNG, VENTILATING OR AIR CONDITIONING THIS PEfiM1T BECOMES NULL AND VOID IF WORK OF CONSTiiUCT10�1 20NING AUTHOAl2ED IS NOT COMMENCED V�IITHIN 80 DAYS. OR IF CONSTpUCTION OR WOiiK IS SUSPENDED OR ABANQONEO FOR A PERIOD OF 120 DAYS A7 ` ANV TIME AFTER WORK IS COMMENCED ' NO DN I HEAEBY CERTIFY THAT I NAVE REA� AND EXAMIN�O THIS APPLICA710N ANO KNOW TME SAME TO BE TRUE AND COFiREC7. ALL PROVISIONS OF LAWS VALUAT ANO OROINANCES GOVERNING THIS TYPE Of WORK WILL BE COMPLIED WITH WHETMEFI SPECIFIED MEREIN OR T. THE GRANTING OF A PERMIT $�j ! DO PRESUi^�Mf�l'Q GI�TMOR Y TO V� OR CAMCEL TME PERMIT ov�sio oF �1' �MER S TE LOCA REGULATING CON- STRUCTIO OR HE�'ER M N OF CON RUCTIO ] 9, Paid Park Fee of $375.00 T UNITS S7A�LS � � /� .�..�....�....�� Lic se SC 5.00 S�GNA UAE OF CON"AACTOp OA UTMOA�2ED GENT IDATEi WHEN PROPERLV L�O) � v,i�" � _ i�GNA1l1AE O� OWNEA�ic OWNEpBW�DERi iD�TE� � ' B G�NS� OCCUPANCV�OAO CU fT. fREET PARKING IGAFAGES AX ?.74 ;MARGE �lyOOO re SC $85.47 L FEE a32.96 + PF S IS VOUR PERMIT _ � ppfF NEW [ ] Effective 1/1/97 A=Dr'N • �� CITY OF FRIDLEY � c� ALTER [� ] SINGLE FAMILY AND DUPLEXES R-1 AND R- �'�,_ n, BUILDING PERMIT APPLICATION \�j . �� ConstructionAddress: � CN j,�T�� jp� � �qN� '� �� Legal Description: f _1-07� �b' %�LD[lG � 1 !�`aa �`,�r.�--A ��..,. � ��r��,. ��m Owner Name & Address: '� NE �j��t, w�� ( N�„ Tel. #�n�g—(�r�pp Contractor: Sp� m� MN LICENSE # 13� Address: ,'��o'� �� _ -�y�� v� L�E , Nt I�i 511 Tel. # �$ � d JOp LIVING AREA: GARAGE �iREA: DECB AREA: OTHER: Attach to this application, a Certificate of Survey of the I"�,� �;� _�y(j �,�,� � lot, with the proposed construction drawn on it to scale. �/L. y� =/3, �UZ. � �J�� l� , ��a2 . C3��,,��,,, DESCRIPTION OF IlVIPROVEMENT � Sx C 2. 3> � x �� `� : 3�y . L��'7�,L3 �SS _ , _ _ �73 �� Length Width Height . . Sq. Ft. Length Width Height Sq. Ft. �29 ��c i7 � Length Width HgtlGround Sq. Ft. -�C� � y 3 . . - � y7�, ,�� Construction Type: ��j�-n�kL � �A� Estimated Cost: $ (�p� , � ( -�'j_ (��; (Fee Schedule on Back) � Driveway C�ub G�t Width Needed: Ft. + 6 Ft = Ft x$ _$ f DATE: — APPLICANT: Tel. #_� � �—�� Permit Fee Fire Surcharge �tate Surcharge SAC Charge License Surcharge Driveway Fscrow �rosion Control Park Fee Sewer Main Charge TOTAL .iTIPULATIONS: �9'� �� $ /� $ `� . $ ��Z. 7� � / �, � CITY USE ONLY Fee Schedule on Reverse Side .001 of Permit Valuation (1/lOth%) $.50/$1,000 Valuation $950 per SAC Unit /�-30 � � -,��-�� -�� $ 31, "� $5.00 (State Licensed Residential Contractors) � $ $ _�7.'�. �O � $ � � � � �� Alt. "A" or Alt. °B" Above •$450.00 Conservation Plan Review Fee Determined by Engineering � Agreement Necessary [ ] Not Necessary [ ] i3UII.DI�\'G PE[tivllT FEE SCHEDIJ[,F: 1'he Chief Building Official shall, before issuing perniits for the erectiori of any building or structure, or fi�r an}• addition to any existing building or structure,� or for any alteration or repair to any existing building or s[ructure, 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 S 1 to $500 $�01 to $2,000 S?,001 to $25,000 525,001 to $50,000 � �50,001 to $100,000 �100,001 to $500,000 � �500,001 to $1,000,000 S 1,000,001 and up FEES $21 {Minimum Fee is $21 plus surcharge) $21 for first $S00 plus $2.75 for each additional $100 or fracdon thereof, to and including $2,000 $62.25 for first $2,000 plus $12.50 for each additional $1,000 ar fraction thereof, to an�i including $25,000 � � . $349.75 for first $25,000 plus $9.00 for each addidonal $1,U00, 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 $ipp,OQO $887.25 for first $100,OQ0 plus $5.00 for each additional $1,OOU�or fraction thereof,.to and including $SQ0,000 $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 DRNEWAY DEPRESSION ESCROW (Concrete Curb Streets Only) A1 ternate "A": Removal and replacement of curb and gutter only - Drivec�vay width plus 6 feet times $13.50. Alternate "B": Removal and replacement of curb and gutt�r and install a 3 foot wide approach with 6 inch depth - Driveway width plus 6 feet times $15.75. . . VERIFICATION OF FOUNDATION . Pci7nits for construction will be issued a minimum of 24 hours from the time of application to allow for pro��r �-c:t•ie��• of the proposed structure and of the construction site. �� .:��tilicate of Survey of tlie lot, showinJ the location �f the foundatio�� nce it has it has been canstruct�•::! .��i.; t�� r�quired h�fc�re �r��cccdin� �vith d�e fraining. � ti � �a� Z` `�1 ) `° I ' �� 7 � C � �� Z � t-- 5 w > L7 � z L J V O � Oo � C7 Z Z Q C1� H � L�J M� � � Z � <� �Z �z Z� �� a ° �o � U � G tC Z O < � Z � � � U� � � w ¢ s > � Z O � � � �� Z �?.- � N d � J �� 'y � L�L y z Q ti •� � O O � �• c-`� ��N� U ca �i � i- " <o � ��_ � � w � � < m � � J � � W � U � H ¢ � '� � c � � t � � ^ Y V � � � � �, � m . � ��_� � Z � �� 3 ._eQC � d v y c 4 c d � ti � � � � � � � V .a = m O � � ta U � � � a► a y � �R ��_= y�� 3 o y � � � t .� � O � a m o � m 'Q C � N � m � m o •y l4 '_ .t ( _ � y � 1 � 'v � ai m �, 5 � � 1� N � i . � �� .� o � �� a� `� $ o � �,o� o 6�3 �3 t,,,� � � c � � � m X � � � � ��_ � � � � E O � � � � o a � � � C c� � � m c=i Z � � � � C c � aai�'c m �a��a � � � � a � Q � � u � � ¢ � w � � � Z 0 � � m � � � Z 1-- � LL :I � � � � � O V � � � r- 1LJ � � �' � � $ � � _ c cC N 4 � y 0 0 0 bii � O � C� g N � y � � ¢ 1 O� 0 � c 0 ¢ . Q � € ' � i �' 01 O "`� � = Z W � � � � J d � 01 � V r... � m � G = o � m � U a � 2 �� ,.,.,a y � �9 � � � � •� � = Z 'o � C R � � Z�-m.�. 1 ,� t�s � � 0 Z O tn � Y v � C � o � O � m � � < � � � H C t6 � � � ►y.. � a� L O o� �'-- 't s � O d C� t� Q N Q � O C 0� _ � � ? . V m o E � E c�v. U ^ w 0 Z N � i n� Z � � � C m m o�� S � .� o� v � 5 � � � d � ti � O � _� � l� } � 8 � Z � 2 \ � � d Z � H 1l1 _ � a� � � w r- [U� � � , � m <Q O � c k % Q � m � � U � � T � �, > � Y Q U � � w �O �L � G m � � > C Ll.l o � g �L � Lt1 � �s � �, . �= 0 3 � - � � � �• } � ° � � � � c � 0 � c 0.1 � e�6 C T � a '� o +? O CV � �b'Q � � i � � O � U � � � 2 a� •u, � C N � _O � c � o � ? V = � ¢ 3 Client: Address: City: Phone: Fax: Comment: Rotqund Homes 2681 Long Lake Road Raseville. Minnesota 55113 638-0500 638-Q501 YOUR BUILDER FOR LIFE Project Name: Halston Reference Ciiy: mneap Daily Temperature Range: Medium Latitude: 44 Degrees Eleva�on: 834 Feet Winter: Summer: Outdoor Outdoor � Bulb Wet Bulb -20 N/A 95 75 Total Building Supply CFM: 664 Square feet of room area: 2.054 Company: Representative: Address: Ciiy: Phone: Fax: Camment: �� Minnesata tndoor fndoor Grains g@�,j�� Bulb Difference wa �2 N/A 50% 75 36 n��a i U IV Flare Heating & Air conditioning, Inc. Randy 9303 Plymouth Ave. N. Golden Valley� Minnesota 55427 542-1166 542-31 Q1 YOU CAN FEEL THE DIFFERENCE CFM per square foot: 0.323 Square feet per ton: 1,197.276 Total heating required with outside air: 41.498 Btuh 41.498 MBH Total sensible gain: " 14�608 Btuh 74 % Total latent gain: 5.147 Btuh 26 % Total cooling required with outside air: 19,755 Btuh 1.646 Tons (based on sensible + latent) • � � 1.71 F Tons (based an 75% sensibie capacity) Calcuiations are based an 7th edition of ACCA Manual J. All computed results are estimates as building use and weather may vary. Be sure to select a unit that meets both sensible and latent ioads. � Component Area Sen. Lat. Sen. Total Descriptlon Quan Loss Gain Gain Gai_n_ 4A Window Double Pane & Storm Clear Glass Waod Frame 189 5.929 0 5.389 5.389 11 C Door Metal Polystyrene Core 40 1,730 0 444 444 121 Wall R-19 + 1/2" Asphlt Baard(R-1.3) 1,495 7�564 0 1,940 1�940 158 Wall 2-5' Below Grade 8/12° BIk+R-5 530 3,608 0 0 0 16H Ceiling R-38 Insulatian 1,027 2.457 0 1.175 1.175 21 A Basemt Floor 2' or More Below Grade 1.027 2,268 0 0 0 Subtotals for structure: 4,308 23.556 0 8,948 8.946 Active People: 4 0 920 1,200 2,120 Inactive People: 0 0 0 0 0 Appliances: 0 0 600 1,200 1.800 Lighting: 0 0 0 Duciwork: 0 0 0 0 0 Inffitra�on: dVinter CFM: 87.3. Summer CFM: 582 229 8,834 1.424 1,280 2.704 Ventilatlon• Winter CFM� 90.0� Summer CFM: 90.0 0 9�1Q8 2,203 1,980 4,183_ Sensible Gain Totat: 14�608 Temperature Swing Multiplier• X1.00 _ Buildfn� Load Totals• 41,498 5,147 14,608 19,755 x�.1a �: � �^'C'S''c:\.r::��,' .:.,�, . ..�:C `. 'va ' >x��; e,�.� `.e,..\�:i �+ `1::1:. . .�a�;X�>>'�:'�5'* ..,-' ".6 '� '\' \: 1:.,�;�K',.C� '?��:'%; ':`�., .*,. �"� .c.��. .�,��. i .�\�.� ' `i�;�..\. ''\�i:�: � : �+. :2;� �i �+i• �:� `.��': � . �.\:,`�, , o. . �? � a,>�,`?�'��•�, � : �. w +:��`. . '1,. u. ` , s'�Ua�. , c�,\ � �'�e� �, y .'�.. ��j,.. �.��.; \ �<��+.,, > '.�'' ;'ti�•'��.,,: � s':�?.�'�, .3`:�,��; ° �.:'-t��c�:, ;, �• r ; �,.�, \„,\�.: r� � `? � : �• b�•..... , vi\\... \1 �,� : ��'„ :�t�2. t. � `�, �,,,� �, . �,��`�,` . _\.. , t �a�?� . ��,,., � �ti:r.. ,.<,. ;.<,i. �_;i�`,�"<'�,4.,:.-��-,....; \.�¢�}�`.�...\....a'� ,��a�}. `8a��•;."\`C".��.h:,�a.,+�. �.,'��_,��,:*.�')t'�`��.�,3,., `��u. ,':� A,„?, .�.��;4,v\b. a�,,.t�.,a. .,�,�v,�'\;.�. � _ " �� \�`� \c �c,��?{,a�o�;..��;�s t � , \.. � '�.'.� . t1�1 3\.,, �.ti �: ,� >}. �' @:'�.'. ` ::c�.�*.�:,+ ��'�.\`,\.�: �\,. � .c_.�;\, .��.��`�,�:, �. . ,�,�. `? ''.\, . `� C��,e.,.�� £ ,�;,;, �� , ' �'+�.�. � � �i' '2�?��.c.�� '��¢�\ '�-.2.;•,>.<:\'.+:�?.:;c:>..•w....,1.'�'�3::.,,�::1:�;3::�:�,.�.1.\:.`k�\�aa•>.,\�R:\�.,.�'?�?.��.a.a.�4.��`.v".��.��`c•a'�?�a_.\\.�'+.e��?ie�A',tAti'�\'.�,.-.ti"t�.`e�:�'X��r�...?��7:t� �i:�`.�'.��:.a�:a\o.;.. �� ,;?�`?.:,..�. .fotal Building Supply CFM: 664 Square�feet of room area: 2.054 CFM per square foot: 0.323 Square feet per ton: 1,197.276 Total heating required with outside air: 41.498 Btuh 41.498 MBH Total sensible gain: 14.608 Btuh 74 % Total latent gain: 5.147 B�h 26 % Total cooling required with outside air: 19,755 Btuh 1.646 Tans �based on sensible + latent) 1.716 Tans (based on 75% sensible capacity� ,� ..,� , :`4 �.,:;.�,�,.�. + �++:,. ^y,�;�, i .\,� ti "�s-54��iKC;�Y;��. �:��'•. �:�`+'�g��;3:t' �c"c?:��`Z''. :,>:,;?<fie=,�=�'s.•.'.. '';C.�>:;� �� ,ti.. ;�:�5.\`,'+rC?c:,\�•�?�; h'� �..:2?�.''•` ,:':�'�'``C,�A', e��';�;: ,�� ,,. �:.. �;.a. '��L`v�' ''.. \��.:��<h.:��.Y.�,`.;�.,`�,'.��c�.�..ti,"�','�...�`��cw�:^:�`��;�..r „��`,.;��.l�g.:.. . .�..,,.,. „4' '�'..�:, '•. �: V`l• .� a,..�. �or4�V;G\;C�: •�\t,.��i`t �..3., ..;�.�\ ., ,., , s.�,.?� a.,\.� \� �,q� �,} `y �-'ti"`�� nti �..�JX�� '. �� l � . i_� ',.S{.� '�' t,w.�,`:2, ^� :' �� ''i'`�\ � i.. '��;�� ;cY "Cu�'\ �`�ti,'�<'��, . ;�.:. ?,". E'� `,� ��'� a� '�\•. �„ b 't o"� `�.� . � - : •� ��. :' �\�:•. � tiC R c,,. �3u � �� :+'i ��. . . \�\� �>,n� �. U. •<..`��. i�. .,\ ; :y1.: �.x�v��3�'��'i`` `J��,�,�. � 2 �"^+. . a. �,.\. �� . . �r� �r�\.��\�:�� ;\.��aC��\�\::+.\ :.1.2��:,.+as`.1��\ .,� \\.��.�.��...�a��;3�,�� .��n,�l.�.-�,x�.V��,:. �.�rT �\:....�k��:ur.l��` Calculations are based on 7th edi�on of ACCA Manual J. AU computed results are estimates as building use and weather may vary. Be sure to select a unit that meets both sensible and latent loads. _.-. �.. ,�. . .�.,�� .�. � ; HOUSE HEATING TEST RECORD „''_~ � �� <� , ,f f sADDR�S �� d��°'�( Ia��'A �'� �� APT. FLOOR CITY SUBURB ��,- 1 , . OCNPANT � +' ,- 1 � OWNER HEAT LOSS DATE HTG. INST. " SOLD BY INSTALLER BY Eleetricol Work Bp Ges Lins Br TYPE OF HEAT GA FA '� HW STEAM SPACE HTR. UNIT HTR. OTHER �, , 1 GAS DESIGN s w; CONVERSION MAKE � +` � MAKE OF BURNER 9.. . �' ; � � � Mod�l _ _�a_,� f` `� , !L� r`(.: � - Mods) Seriol _ _ � ��---+� `a' f:� ; ;"�{{� `j �'; '� Max. BTU Rafing — � INPU7 � � � '' "' MAKE OF FURNACE � � Model CONTROLS THERMOSTAT,�_ Heaf PIu9 Vsnt Sizs `` Valve ''_`� ��- KIND OF LINER SIZE NONE Limit ��•-°-f �+� � Droft Hood Reguleror� Limit SbHing �`--��°� Filters Size Number''� Fcn Setting 't '�' �` Chimnsy Locotion Inside Outside f. Pilot Type �:� G� �:,� Chimney Construcfion d Pilot Moke � r' '+' Pilot Model � ' Smoks Bomb Wiring Pilot Timing -' ��` `- D►aft Tesf Tag L.W. Cut Off Door Pressure Lighting (nst. - , r ,� � fl .' �,._ - _r � ;, Pressure ' r� Pereent C0� �' _ Dote Tested fid `t-- �*' I�ut CFH Peresnt 0 �y `� wmpany Testing ""��N,(a:�=-�' , f; -°' �• Z �� 1�-�-°°. Stoek Temp. °-� �� Peresnt CO � Name of 7ester ti' �_ j � ' t.�:_ _. . 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N.E. FRIDLEY, MN 55432 •(612) 571-3450 • FAX (612) 571- I 287 Mazch 24, 1999 Rottlund Homes 2681 Long Lake Rd Roseville, NIN 55113 Re: Fina1 Inspection at 6422 Christenson Lane NE, Fridley, MN Dear Sirs: A final inspection was conducted on Mazch 23, 1999 for the above noted townhouse. We found that the construction of the building complies, to the best of our knowledge and belief, with all the requirements of the building codes of the City and the State of Minnesota relating thereto, and permission is hereby given for the occupancy of said building. If you have any questions on this matter, please feel free to contact me at 572-3603. Sincerely, ��,.; � � - . . , . � . : � i� i �- � BR/IDh �• � �3 � � �-�� 5s �3� Building Inspections 763-572-3604 763-502-4977 FAX DATE � � SI1'E ADDRESS %n `,/� O, �� l�l' 1( d THIS APPLICANT IS: O OWNER PROPERTY OWNER/ NAME: TENANT.,,.,s��, BUILDING RESIDENTIAL APPLICATION CITY OF FRIDLEY �CONTRACTOR CONTRACTOR Ewnx�ss:�0 �y " SUBMIT A COPY OF pHONE � �-0 YOUR STATE LICENSE STATE LICENSE # a�S� PROPERTY TYPE PERMIT TYPE E-MAIL ADDRESS SINGLE FAMII. TWO FAMILY/NEW CONSTRUCTION ❑ BASEMENT FINISH °��B4i40F ❑ DECK 0 SIDING TYPE OF WORKt ❑ NEW HOME CONSTRUCTION O ADDITTON ❑ MAINTENANCF/REPAIR O REM EL] DESCRIBE WORK BEING DONE: � � �� SIZE OF IMPROVIIVIENT �CTTH � ❑ HOUSE ONLY N�[J�MBE OF SQUARES ,�i 0 HOUSE 8c GARAGE GARAGES PROPOSED SIZE: PROPOSED HEIGHT: SIDING ❑ Vinyl O Aluminum O Other � ATTACHED GARAGE O DEfACF�D GARAGE OSoffrt 0 Trim ❑ Fascia wnvnows IN EXISTING OPENINGS �Yes �No LOCA110N OF WINDOWS OR FOR NEW OPENINGS-DESCRIBE SIZE OF OPENING CHANGES & �wF nF w1NDOW TO BE IlVSTALLED NUNIBER OF � AI.L TOTAL JOB VALU Permit Fee Plan Review Fire Surchazge Surcharge License Surcharge SAC Ct►arge Curb Cut Escrow Erosion Control Park Fe,e Sewer Main Chazge Permit No.: �i�-�' �� Received Byi Dat�� CI1'y � STATE ZIP Fnx ' � ' 0 EXP DATE '� — � ❑ DRAIN TILE ❑ OTHER Ff BASEMENT REMODELING SUBMTf: 1. Existing Floor Plen 2. Proposed floor plan 3. List of structural members to be used FOR NEW CONSTRUCTION INCLUDING DECKS, ADDITIONS 8c PORCHES SUBNIIT: 1. Site Plan/Survey showing the existing structures and proposed pro,jact. 2. Two sets of construcdon plans 3. Energy Calculations BASED ON VALUATION, INCLUDING THE COST OF LABOR ��O(U �ING THE 1997 UBC FEE SEHE n�, rnAN[� A�IA' $ �� e See Back Page for Fee Schedule $ 65% of Building Permit Fe,e �, �'�_ .001 times the total job valuation $ � �-,' � .0005 x Perniit Valuation Minimum $.50 $ �� $S.QO (State Licensed Residential Contractors) $ $1825 per SAC Unit (Plans to MWCC for determination) $ ft+6ft= ftx$21=$ ' $ $450 Conservation Elan Review $ Fee Determined by Engineering $ Agreement necessary ( ) Non Necessary ( ) � n�„ 1� Malcn ehe�k.c nevable to: City of Fridley Attac I hereby apply for a building pertnit and I of the City of Fridley and with the Minn� permit on site; that the work will be in SIGNAT OF AP,PL A� APPROVED BY Ig AN APPLICATION FOR A PERNIIT-NOT VALID UNTIL PROCESSED ion above is complete and accurate; that the work w�ll be in confortaance with the orditmnces and code.s I understand this is not a permit but only an applicadon for a permit and work is not to start witt►� a i in the cese of all work which requires review and appro I of p ans. � �_PRINT NAME e �c� DATE �r � DAT ��I� `�� that with the