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AF - 43337�� y -- . , -- - � ---�,,-- � ,. - _ . _. �. _. � �t.�nv� Co. I�tc. _<. 1�INDEI� ��.1�TGINE ., ; ENGtNEER� AND SURV�YORS 90149 7ESTINO I.AND BVRVe.Y1iH� �,qp�' ¢WI.NNINO CfVlL d. MtJn11G1DAt,. ENBINBEI�1NCi 6418-56Ttl A1/ENUE N• MINNEAPOL�S 'it. MINN. KE ?- 363T _� 1C � �'� e � N ��'�i.+� 4 I� � t� �`I1! ��'' `a�. �� .� ,, �> �5 Fl 4 ;.� reY. ,A_.r " •� �`'� � h�°. Q � � � � � `�� . ,�� f�� , ��,/ S` ,r ^��%� a,�. / ,,.*% .�yH� `;;� � a. y , � � ,% � ( �'�r� ` \ J � . -� a * � � � � v >�' i � `�' '�°�.� � _ � ; i j ; , �� : � , � , ; , „� „`� � ; � � I �! � �') 0 °� � i �rpC�'% i`'� � � t �1 \ �, � �l. R� � �";° �%� �Y ; , ` J � �� ., � '� I ` ' __ � �� } � � , d �ti �� i -0 � \ � . �. �� -�� '� ,� , ; � , ._ �� ^ ,� � � - � �. �� . . � �� . � � _ � � � �� ,�� ,� , � �� ,�r'��!—�' � � , � � ' , O � � i 'I. � ` �J�'' � �,� �'l � _ k\'ti`t' � ' .�-� ; ��-- � yp - .�� ' �p� � �� . � \ � � ' �jl . 4��'-,�� - __�;.�� _ � ;� � � � , � � �a � � ` : _ _ t - ��: �o��'s C��w�,� �.�a{r�� .� � �� . Lo�r��L�� s. WE .t1EREBY CER7tFY TtIP1T TNtS IS A TitUE AN[�. CORItEGT REPRES6N7A7►flA4 OF A 5�)6LYEY OF TH£ B�UNDARIES �f 'FNE �.RNp ABO�tE DE5GRl8ED �O OF TNE LOCATl01+t aF ALL 8�111.D1t�#GS, � PJ�1'�f', 'fNf.R�4t�i ,. AN� �=- �Slbl6 ENtRflACMMENTS, �, i�::�,rR FRO� o�.o� s�a u�,NU. M1�tQEtZ Et�G1�t�.Ei�SNG C�., iNC. _ �^' S� P��=i1C1�f3`€`� ,� _--„�� F:O.t959 E136tN'ff ANC 5 v8Y S ORTfiD 'n►►5 !»`Y oF � +,1--d'--.��.1 ,. , : - _ i �. } r ..� x� � �y . , �, . . " � . � ' � � ' ., y,. _ - qy��J.�->> ` - - - - ---- _ . . .. � � '�.,�y,df-- i.- - r '� — > . �� . _ _�—� _- - ---�� 1 . � _ -- �— , - "�. _ �- � .- .__- ..- � -,� i -N � -1;.,. � � _ .. ,M _ � _ .. :: - - . � . . � . .. - � � � ._ .. � .. � - ' � . . r � .� � � . . . � a.. -. �, :.� .. ,.. . , , � .. , ., ,. _ - . . . m. .__.. .. � . �. _ _ _ " _z. _- - - - � -- �,,� � �:�`. City,. of Fridley, Minn. BUILDING PEI�MIT Date: � '�' "--- �� OWner: - � Builder � Address - Address ��:�� 4- � � � �A _s�77 � �p f No. .��.�� Street Lot ._._' � B1ock ' A Addition or Lot � � Corner Lot —� 7nside Lot S.etback --_ Sideyard Sewer Elevatian _ Fotmdal3on IIevation DESCRIPTION OF BUILDING , � i i � � �� , ,. �/� � � ,. � �..�:�. i. � . . , , �. . , � , � ,r ,. - � . ` �� • - /� ,., . �, �; �_ � ��`� � � �:/� � - . � - � � �` � 1 � fi r/ � 'c� � � �� ■ � �ll � � � � �...,-li. � � • � • . n �• In canaideration oP the fssuance to me of a permit to construct the building described above I agree to do th� proposed work in acc;ordance with the descript3on above set forth and in compliance with a'll proviaions of or�3inances of the dty of Fridley. ,�7��..��,. �� , - �.�.�.�-� In conafderation of the payment of a Pee of $�'� , permit ia hereby granted to to construct the bufldia�g or addition as described above. Thiape rmit ia granted uPon the exAress condition that theperson to whom ft is gi�anted and his agenta, employees and worlanen, in all work done in, around and upon eaid building, or anyp�t thereof, shall �nform in all reapects t� the ordinanc2s of Fridley, Minnesota regardiag location, conatruction� alteration, maintenance, repair aad mov7ng of buil�3ings within the dty limits and this permit may be revoked at any time upon viola�aa-OP any of the proviaiona of said ordinancea. _ .� / 1 Builaing Iaspector NOTICEa 'lids peneit doss rto� eorsr t6s comlincHen, �ae /er 'rirle9. P��+�9. 6+� 6adn9� awne er wds�. B� atro fo � da Buildt�g-Pesp�etoe foe mparafr � fer f6a� N�ms, 4�� ° S ADI3I3ESS ,. .. Cs�''� < APPLICATION FOR BUILDI1dG PERMIT CITY OF FRIDLEY, MII�NESOTA LOCATION OP' $UILbiATG No. SCreat Pa�ct of Lot i Lot� 'Block Addition or Subdivieio /i � � Coraer Lot � Inside Lot Setback (� _Side Yard � s� SEWLR F�LEVATION FOUI�IIDATIOIQ EL�EVATION Applicant attach to this form Two Certificatee of Surney of LoC and proposed build- ing location drawn on these Certificates. DESCRIPTION OF BUQ,DING To b� used as a Front � Depth��Height � � 6 �l� � � _ Sq. Ft. �Cu. Ft. � � � Front� Depth Aeight ,�� Sq. Ft . �� Cu . FC ,�� .� . � Type of Coaseructioa ��^��Zf� Estimated Co�_�/�� To be Completed The underaigaed hereby makea application for a pexmit for the work herein spec�fied, agreeing to do al]. work in strict accordaaca with the CiCq of Fridley Ordinances and rulings of rhe Degartment of Buildinga, and hereby declares that.,all the facts a�d repreaentations stated in this application are true aad correct. 1�A7:'F' �� `°° U9'.,,:J SIGNATUIiE (Schedule of Fee Costs can be found on � t �� / 1 �r• � r %� ' - / _ ` � � '� � a S�a j�� .. _, � e BUILDZNG PERMIT FEE SCHEDULE Section 2. The Inspector o£ Buildin�e sha11, before iasuimg anq permit f�r ehe erect�.oa of any building or structure, or for any addition to any exise- iag building os atructu�te, cr for any alterations or repairs Co any exioting building or s�ructure, upon application therefor, require the payment by the applican� for such permit of fees to the amount herein below set £orth �nd in the manner here3n provided to-wit; Z.1. For eay such permit for the erection o� anq fire-proof building, othe� than a garage� warehouse, factory or graia elevator, or tar the erection of any fire-prc+of addition, for aian3lar occupancy, to any esisting building shall be at the rare of $1.40 for each one thousand cubic feet, or fraction �hereof, in such cubical conCenta. 2.2. For any such permit for �he erect3on of any fire-proof g�rage, warehouse, f�ac�ory or grain elevator, or for the erection of aaq fire-proof edditioa, �ob similas oceupaacy,'to any existing build3ng shall he at the r�te of $1.25 �or each one thousand cubic feeC, claeaified as °1fireproof" by Sectian 502 of t�e Minneapo].is Ifuilding Code. HOUSES 2.3. Eor any such permit for the erection of auy non-fireproof buildiag other than a garage, warehouse, factorq or graia elevator, or any non-fireproof addie3on, for similar cccupancy, to any existing building - permit $1.00 for each one thousand cubic feet. GAI�AGES 2.[}. For any such permit for the erect3an of any non-fireproog gasage, warehouse, factory or grain elevator, or for Che erection of any non-f�.re�ro�fi addit�.�s,. �or similar occupanty, to aay existfng building or for each auch � ��.lding or adslition - aiaety cents ($0.90) for each one �hou�and cubic feet or fraction thereof, in the cubical contentg thereof with a minimum of $4.(?0. For the purpose of cvmput2ag feea for building permits, the cubical coatents of any building or addition to a uniform height throughout by muLtiplyiag the ground area covered fram a point eix (6) inches below the.floos line of the b�semetit or cellar to the average he3ght of the upper surface or to the average height of t1�e roof surface of the main gable of a p3.Cched roof. 2.5. For repaire or alterations to aa existiag structure, the fee ahall be at the rate of $3.00 per each Fiv� flundred Dollass ($500.00) or fraction thereof in the coet of �11 progoaed work. 2.6 . In. no case shall the fPe, chargAd sFor anp peraQ,t t�s set forth 3n Sectioa 2 be lesa� than $4:00. � R • `! � _ �_ .. .?' . . • r J - s � � "� �� .a �i � � C a � � 0 .i �` a � � A � 6L � O C � � U � � C �� a m �� O o 30 � � oa � �a W � a� z � � 0 � � �� , � w � o�� 3 � a+ �� U�� .�� 1 u ,a d � � � � �� a�� a „o �� a �� a .� � � � �"�� 00 ��.� � �� '� a � O '� r+ � ��y� a� � � o y � � �i � � � a�i � � � � � J � W 6 3 � • z � o � � � � � Z B ° � q�� U • 1� I � SJNIN3d0 ! sv� a�NVa ;� �� 'Idd1/ SY�J � � U3HSVM a.m SNISr9 � FD1Y� SNIV2IO aoo� �$flA'1F1$ •yvno� •�Niaa sxvnl .�, � � HSVM q 571N�S �. � a p� 00 sHisie �- � a sen,. � O ►uva � � rnNian � � m� aatve► ' y� �$ a �Ts�S w �i � 'd ta 9G PO .., c.i cn a • 'x� . .� Y � � � � �b � °�-'' �' `� � U 'b t� � � a� d `� � �� H° r� O W J 0 W U � W � J H � � � � z a � � .� a � C9 O a � � � f`/� Q O_ ` • E , eta �a �r v�s r� v> � � N O N O N N r-� .-1 P7 N i�J � �s iC :a iC iS x O z : � � . � : Qp . 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" W 2 • � � Q.. o�o o �' � F— w � o ° � � �F C � � � � N � x � � � pa. �.-i aa � o � w ty pm, o � �u ro. •• ai °o Ea+ � j � o''d-+ +g C�C W ��t m °� o° H. �Ol 4J O 1� Lf � N W 0�1 +1 "'� E+ O O H +�► � oi d o aGr � � C� a h' � a ° v�r w ��~� A o w b 3 x ai .� o xw1� e� � °4 x °o � �i ►�i H � .,°�+ a y � + � � a! ►� W ,C M.-r N t9 ai ►.� wl a� � Rti N E9. u s u,°�u ; ° w .. m �e � � G'. z ci � ,��, ` i� •�• % t� °�'� w a�°r a � �' 0 � � � � � ��i N H w � �i G ;• WN ` a ADDRESS PIN LEGAL DESC PERNIIT TYPE PROPERTY TYPE CONSTRUCTION TYPE CITY OF FRIDLEY PERMIT NO.: 2004-00422 1�� 6431 UNIVERSII'Y AVENUE NE � FRIDLEY, MN 55432 DATE ISSUED: 04/02/2004 163) 572-3604 FAX: (763) 571-1287 : 165 CRAIGBROOK WAY NE : 033024430025 : PEARSONS CRAIGWAY ESTATES 2 : LOT 13 BLOCK 6 : ELECTRICAL : RESIDENTIAL : ADDITION/ALTERATION VALUATION . NOTE: ELECTRICAL PERNIIT BECOMES VOID 12 MONTHS AFTER PERNIIT ISSUE DATE. INSTALL 30 CIRCLTIT 100 AMP PANEL APPLICANT DEPENDABLE ELECTRIC INC 2619 COON RAPIDS BLV COON RAPIDS, MN 55433 (763) 757-5090 C�I:•I�I �1:7 PROKOP DEI�TNIS R 165 CRAIGBROOK WAY 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 construction or work is suspended or abandoned 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 l�ow the same to be true and correct. All provisions of laws and ordinances governing this type of worb 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. STATE SURCHARGE, ELEC FLAT ELEC AMP SERVICE FEE TOTAL PAID WITH CHECK # 28319 SEPARATE PERNIITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. 0.50 30.00 30.50 CITY OF FRIDLEY 6431 UNIVERSITY AVENUE NE FRIDLEY,IVIN 55432 ,� � _ =---�.�-. _� PERNIIT��O.: 2004-00461 , ' DATE ISSi�JED: 04/ 270 004 f J`� � (763) 572-3604 FAX: (763) 571-1287 r" ADDRESS : 165 CRAIGBROOK WAY NE PIN : 033024430025 LEGAL DESC : PEARSONS CRAIGWAY ESTATES 2 : LOT 13 BLOCK 6 PERMIT TYPE : BUII..DING PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ADDITION/ALTERATION VALUATION : $ 4,621.00 NOTE: SEE NOTATIONS ON PLAN. CALL GOPHER STAT'E ONE AT 651-454-0002 FOR UTILITY LOCATIONS. PROVIDE SMOKE DETECTORS IN ALL SLEEPING ROOMS AND ON ALL LEVEL5 OF THE DWELLING PER R317 OF TI� 2000 INTERNATIONAL RESIDENTIAL CODE. REROOF 1/2 HOUSE (14 SQ) TEAR-OFF; INSTALL TWO BASEMENT EGRESS WINDOWS; BASEMENT SHEETROCK & INSULATION STATE LICENSED CONTRACTOR 1 APPLICANT BUII.,DING PERMIT FEE 111.25 TARGET REMODELING FIRE SURCHARGE 4.62 13570 GROVE DR #193 STATE SURCHARGE, VALUE 2.31 MAPLE GROVE, MN 55311 LICENSE SURCHARGE 5.00 TOTAL 123.18 OWNER „ SEI HOLDINGS I LLC , AGREEMENT AND SWORN STATEMENT This permit becomes null and void if work or construction authorized is not commenced witin 60 days or if construction or work is suspended or abandoned 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 I�ow the same to be true and correct. All provisions of laws and ordinances governing this type of work will be complied with whether specified herein or not. The granting of a ermit does not presume to give authority to violate or c 1 the provisions o y other state or local law regulatin o rf ce of cons ction�Yl Applic ' Date - �� Bldg Insp Da� 1 �� - .� SEPARATE PERNIITS REQUIltED FOR WO�RK OTI�R THAN DESCRIBED ABOVE. N� Il ADDN [] ALTER [ ] CITY OF FRIDLEY 6431 University Ave NE, Fridley, MN 55432 SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION Construetion Address: l V S �� Legal Description: � Owner Name & Address: Contractor. � Address: 1� � �� LMNG AREA: GARAGE AREA: (� � ��.I � � � � V� '� �� M� o G�'?'it,-c E� �� Effective 4/1/2004 (763) 572-3604 Bldg Insp (763) 571-1287 Fax �c��-�� -re�. # 76_� -5?�0 —dv � � MN LICENSE # �-�Z �/ /[�� S3! / Tel. # 7� 3� S�xr —��'7 "Z Attach to this application, a Cert�cate of Survey of the bt, with the proposed construction drawn on � to scale. DESCRI RT ON OF IM ROVE NT � � a �.-� �. 1y" 1 �� %� � � Length Width Height Sq. Ft. Length Width Height Sq. Ft DECK AREA: Length OTHER: Width HgUGround � Sq. Ft �`��; �-�� cs� �.� 2 �� Constniction Type.� r�.s Qa�C Estimatcd Cost: �—�- , � (D� � Driveway Curb Cut Width Needed: Ft� Ft = Ft x$ _$ I a DATE: Lr � � APPLICANT• , Tel. # �6'r.S�C) —QO 7 � Call (763) 572-3604 for Permit Fees if mailing in application. Fax to 763-571-1287 if using credit card and we will call you for card number. Permit Fee Plan Review Fire Surcharge State Surcharge SAC Charge License Surcharge Curb Cut Escrow Erosion Control Park Fee Sewer Main Charge TOTAL � rlt.as� $ � $ � 2 $ � ..� � $ $ -�f'� $ $ $ $ $ �� • � CITY USE ONLY - Fee Schedule on Reverse Side 65% of Permit Fee .001 of Permit Valuation (1/10th%) $.50/$1,000 Valuation $1350 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 [ ] � . d STIPULATIONS: BUII.DING PERMIT FEE SCHEDULE The Cluef 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,� $2,�1 to $25,0� $25,001 to $50,0� $50,001 to $100,000 $1�,001 to $500,000 $500,001 to $1,0�,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 includi.ng $25,�0 $391.25 for first $25,0� plus $10.10 for each additional $1,000 or fraction thereof, to and including $50,000 $643.75 for first $50,�?0 plus $7.00 for each additional $1,000 or fraction thereof, to and including $1�,000 $993.75 for first $1�,000 plus $5.60 for each additional $1,000 or fraction thereof, to and including $5�,0(}0 $3,233.75 for the first $500,�0 plus $4.75 for each additional $1,000 or fraction thereof, to and including $1,0�,000 $5,608.75 for the first $1,(�0,000 plus $3.15 for each additional $1,�0 or fracdon thereof CURB CUT ESCROW (Concrete G�rb Streets Only) Removal and replacement of curb and gutter only - driveway width plus 6 feet, times the annually determined rate Permits for construction will be issued a minimum of 24 hours from the time of applica.tion to allow for proper review of the proposed structure and of the construction site. VERIFICATION OF FOUNDATION A Certificate of Siirvey of the lot, showing the location of the existing foundation will be required before proceeding with the framing. New Houses Onlv .. O o c� � � � � > � APR�QB^2'Q�4 �6 � 3B FFtUPI b 1 I 7 ur r i� t u�r � t� � O � �� 3 � � • � �u W � 'D� �o� � Q � 7 -' z `�' h � d • ��w�� z� V � �� az \ � ¢z � � � `� v , g� � < c a� � c W ¢ A G !� q o O � oa ~ �� a W � � � a� ¢a � U lil d Z c� ; z � p � m � (it z 'd�` G ¢ � �� a�gN �� h C� c`�o ti � _� ti .�/ � -� 0 cn� � m � � � � �� ! � 7 � � � � � i e � 3 � Z C � N � � � w � � C � � C - � �a tg x � m? . �' � 7 � � ;, � J � � �`� � r� � � e c �� + r � W � � � � y�jl � � °� � z $ r m � � I � ' � � � � � � cj O � � a � � � � N � � �� s m � � m s � �� a � E � �a � � � �� m �- �� m � � � �� m � .� m ,. $ � « � .� �.. �m��s ��W� � � � � � U 'CJ � � � � � : C � � � i � � C �� ` � � � ..a � �- p��m � �� ^��3 � � � � a 1� � � � s � � � � � � � a �o � m `°1 � :�`w'� z �n�u. � � � � � ^� 0 � m _ ,�►-.,'' m � � � / � �� `� � � � � � _�� o€� � Q�� -J v u �v � �� i � � � � � � N � � � ^ � � � 4� 0 2's �' � � � s b � a� � p N C � � � � � 8 $ � � � �� o R � rg C � �� z � � �� _ ° S0 3�Jkld �IId QNd 91H O�Id�lItl L596biLT99 9E �LZ � � � � . � n c � � � , � � '� 0 c. 5 � � � � � � � � a 0 � � � � w � � e b00Z/80/b0 0 04/08/2004 17:35 6517149657 AIRPRO HTG AND AIR PAGE � TO 6517149652 P,05i05 qp�2-0g�-2004 16 � 39 FROM C I T' OF FR S DLEY , i F1LL IN CON� PLETELY FOR IREPLAC�MENT FUEL �6URNING APPLIANCE PE "! C MMON NT VE ��Q NECTO D COM STIO AI IFIC O ��e ��, the undersigned hereby ver�ies th�R the 1Nhen r,g act� a�xl- -- deteriaratian, o�trudions, venting ha� tieen e�►m� and is f�E a wh re� reGuired. � Yes (�) �nd i� secur+e�l s�PR�rt� and fir�stopF� The ver�tiing system 9s piastic/PVC and m�ets ali cuRent codes �nd manufiacture� r n numlo�r of eibows and terrnination• Spe 'c,�P'icatlons Includin9 5¢�J. length, The undersigned al$o verifies that th� rep�acemerrt unit is a I�sted es�amtsly and meeRS the cu� �od�s and m�ufa�tuner's speciflr.afi"ons. This does Inc�ude AOA-GAMA �a�ft � ry��tra9 Fumac� Ver�tfig Tables for fan assisted and natural dr� pP rne •Y:��n m�aus�tion ' is si�d and inst�lled to meet the cu�rent cadEs and m�nufac�uners specitications. uired to inst�! s1 n��. r^,•"�•"tinn ��t. lt will be sized anc! install�d When req ��— to meet ttte Curr'errt oodes 8nd rtlanufactu�rs speci�catlons. When i Ili �r nti , th� undersign�d herebY ve�es that ;{ � a llsted as�emb�Y and meets the aum�nt c��e9 ry � ��I Fum�ce Specifie�tio �� far fan 9as�nsted a�ttd afi al�dr� aPPlianoes. Ve�tg �8 Is the cammon vent artd v�e�t �� e comm vler�t and vented y�r an appltaRce h� �irer�t oodes. �eparately as pe __ . �___-_J APP�ianc� #1 iype �./�� TU lnput � o°" A�plianoe #I2 Type ,��,,�f - �i'U Input .s a°� yp BTU Inpcti4�_ Applianae �'K3 iyp� T� � Input , Toia1 I�P�ianoes _ Vettt Height � Di�met�r �o irtches �es(•) Yes (�) Yes ('� Yes (� Y�s (�) Yes �( ) 8n A��IS d oT F� s gted oK Fan Assistedl or Common Vent TYP@ �' "r� "� Applianoe #1 Veertitt Cannec�or' H�ight ,. � Appliance #a der� Conne�Cor Height ,_� Appliar►ce #3 V�rrt C�nnector Height ...,_ � Length _,� Length � Len�th _.� No No( No ( ) a e No , � � No ( Dlam�t�r' in Type Di2�meter _� � TYp� Diame#er � n 7ype , � i , � �i`S /%c6zA�✓r cd� �' vI ca � HEJ4TING CO: � Date : D!� Sigrted BY � . , � AL 04/08/2004 17:35 6517149657 AIRPRO HTG AND AIR PAGE 01 - � � � �� '� i�li CIrU�ICAL SERVICES 0 132 �, a��u� •��, WI 54023 Ph ne: (715) 749-3409 or (651) 7146494 Fdx: (651) 7�.4�9657 t�S �o..� � � /'VIA� �o �1 G��- To: Comp�ny: �' �� c9'� �'�• c1 Fa�c #: 7 �o� .5 7I /Z 7 - RF� �� , i "" �- � c w.,. C� ■ I MESSAGE... From: , /� I'"'` i7 �,S 0 n� Company: ROIBERTS MECHANxCAL SERV�CES Numbe� of Pag�s. ,. � (inc�udir,� co�) Date: � �� ,�, � � � � 2 � � c� �.� � � aa T��- `�''""' � t-�-" s. A � � , Cy� � � 1�. �sQ W � _T.'° �� bR ��.� � � �,,,,_�Q r �".r� s . I � �1.,..� � � r� 5 !�q � �,c„�� -r -� , � _ ,,�,,� � �, �.� oF � �' ` s R�� ` C w`\ `r�..�. � �` 5 ,a; � � ` � � � Q -- ,� . �� (,�;L% � �9 � t� �j �ao � �� ° i ,... � � cA � %'� � � f" �1 „` �A�� C �A� �� o µ- nyt � ,J S6 . S w , ��- - 1�,,� �,9., � � �� I � � �.� A ��' � � i d' /Y y ��,e S � ��s� �.¢ �n� � r � Q. �� i �Ati � .�' . � � � d�Z ��E �o� � lS � j�i �r� � /— �/o,✓ /�� Tfrank rou! ADDRESS PIN LEGAL DE5C PERNIIT TYPE PROPERTY TYPE CONSTRUCTION TYPE CITY OF FRIDLEY 6431 iTNIVERSITY AVENUE NE FRIDLEY, MN 5543Z 57"1-36U4 l+'AX: : 165 CRAIGBROOK WAY NE : 033024430025 : PEARSONS CRAIGWAY ESTATES 2 : LOT 13 BLOCK 6 : HEATING : RESIDENTIAL : ADDITION/ALTERATION 571-1"li3 % PERM N0.:2004-00473 ° �__� . DATE ISSUED: 04/09/2004 VALUATION : $ 4,200.00 NOTE: AIR CONDITIONERS CAN NOT BE PLACED IN A SIDE YARD WITHOUT WRITTEN PERMISSION FROM ADJOINING PROPERTY OWNERCOMBUSTION AIR SHALL BE PROVIDED PER UMC SECTION 504(A) AND TABLE 6-A. REPLACE BOILER # A/C LINITS # GAS DRYERS APPLICANT ROBERTS MECHANICAL SERVICES 1132 60 AVE ROBERTS, WI 54023- OWNER „ SEI HOLDINGS I LLC � 0 # FURNACES 0 # GAS RANGES HEATING PERNIIT 11�IlNIMiJM FEE FURNACE SHELL/DUCT WORK GAS RANGE FEE GAS DRYER FEE AIIZ CONDITIONING FEE STATE SURCHARGE, MECH FLAT TOTAL AGREEMENT AND SWORN STATEMENT This permit becomes null and void if work or construction authorized is not commenced witin 60 days or if construction or work is suspended or abandoned 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 lmow the same to be true and conect. All provisions of laws and ordinances governing this type of worl� will be complied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or can el the provisions of any other state or local law regul�cor�struction or the performance of construction. Bldg '1� SEPARATE PERNIITS REQUIltED FOR WORK OTHER THAN DESCRIBED ABOVE. 1 0 0.00 35.00 0.00 0.00 0.00 0.50 35.50 CITY OF FRIDLEY , 6431 IJNIVERSITY AVENUE NE FRIDLEY, MN 55432 572-36U4 r'AX: 17631571-1'Lii7 PERMIT N .: 2004-0069�� DATE ISSUED: 05/12/2004 ADDRESS : 165 CRAIGBROOK WAY NE PIN : 033024430025 LEGAL DESC : PEARSONS CRAIGWAY ESTATES 2 : LOT 13 BLOCK 6 PERMIT TYPE : PLUMBING PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ADDITION/ALTERATION VALUATION : $ 500.00 A NOTE: COMBUSTION AIR SHALL BE PROVIDED PER UMC CHAPTER 6 AND TABLE 6-A. INSTALL A GAS WATER HEATER # ELEC WATER HEATERS 0 # NEW FIXTURES (EXIST OPENINGS) 0 # GAS WATER HEATERS 1 # GAS DRYERS 0 # GAS RANGES 0 # OF NEW FIXTURES 0 # WATER TRMT APPLIANCES 0 APPLICANT MARTIN PLUMBING INC 10929 32 ST N LAKE ELMO, MN 55042 OWNER „ SEI HOLDINGS I LLC � AGREEMENT AND SWORN STATEMENT This permit becomes null and void if work or construction authorized is not commenced witin 60 days or if construction or work is suspended or abandoned 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 goveming 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 constr,q►ction or the performance of construction. Bldg Insp� PLBG FIXTURES (NEW OPENINGS) PLBG FIXTLTRES (EXIST OPENINGS) WATER TREATMENT APPLIANCE WATER HEATER - ELEC WATER HEATER - GAS GAS RANGE FEE GAS DRYER FEE STATE SURCHARGE, PLBG FLAT TOTAL PAID WITH CHECK # 9716 ��Q,� u R�^'- ' SF,PARATF, PF.RMITS RF.nIliRF.l� FnR WnRK nTFTF,R THAN DF_SCRTRF,D AROVE 0.00 0.00 0.00 0.00 35.00 0.00 0.00 0.50 35.50 0 ADDRESS PIN LEGAL DE5C PERMIT TYPE PROPERTY TYPE CITY OF FRIDLEY PERMIT NO.: 2004-00690 6431 UNIVERSITY AVENUE NE FRIDLEY, MN 55432 DATE ISSUED: 05/12/2004 (763) 572-3604 FAX: (763) 571-1287 : 165 CRAIGBROOK WAY NE PERMIT APPLICANT: : 033024430025 : PEARSONS CRAIGWAY ESTATES 2 : LOT 13 BLOCK 6 : PLUMBING : RESIDENTIAL MARTIN PLUMBING INC 10929 32 ST N LAKE ELMO, MN 55042 CONSTRUCTION TYPE : ADDITION/ALTERATION VALUATION: $500.00 CALL FOR FINAL INSPECTION WITHIN 10 DAYS OF WORK COMPLETION. INSTALL A GAS WATER HEATER. INSPECTION TYPE PLUMBING FINAL INSPECTION COMIV��NTS: BUILDING INSPECTION RECORD 24 HOUR NOTICE REQUIRED FOR ALL INSPECTIONS. CALL FOR INSPECTIONS WEEI�AYS: 8 AM TO 5 PM DATE INSPECTOR INSPECTION TYPE DATE INSPECTOR IN ACCORDANCE WITH CITY ORDINANCE, NEW OR SUBSTANTIALLY REMODELED BUII.DINGS SHALL NOT BE OCCUPIED UNTIL ALL WORK HAS BEEN APPROVED, AND A CERTIFICATE OF OCCUPANCY HAS BEEN ISSUED BY Tf-IE BUII..DING DEPARTMENT. THIS CARD MUST BE POSTED AND VI5IBLE AT ALL TIlVIES UNTIL WORK IS COMPLETE. i � � � � � � � � � ; � �W d. � � � � � th ffi � d � � � � o'Q'. � � � Q � w � � � �. � � w G�� b � ��z� o� �� M��U' c� u`_ �8/t9'd Z0 3Jtld '�5961�TL�S9 �� ,� � � �� .�� €�� l9l � � � .��''� o�m� �� a n � �' � � � �\'� � o � �� m � o�� ,��m� � �� a� � �� ffi ° ., � � ' a � � � � � �A�� "U '\ � � � � � z 9 � ��,��: � °z � 4 0 � � � � w � v � a � � d � � ,� � � � � B ¢ :' $+ � � �� u o��o3�a��g ° � a�000�au��ri oo ° r� 19► b� � Fi '� g � � � Ibis��3�y�y�j,�g'� � � � ��li�� 1I�1I I � � �i �- a � � � " �a � � � � 'I = � � � � � = � � "s �i �, w � ��fs ' � � b w � � p qej � � � ��,� �� m�#'` �� om a�r�� wa � � m o r� �� o� 4 t�0 �m ��C $�r�r� �~ �� Ol "' .l�'UY�s.�a �r, i , .-. , �.... . _ aI� QNt� 91H OZIdZIItl L596bLLi59 � � � e � � �' � � : � � � w � � o d � � � �� . � � � � .� � � � ZE�SZ � W a W � a a � � m a � � a � � � � b90Z/90/50 0 a...�. �.�aai►�! Inspections 7fi3-572-3644 763—Sfl2-4977 FA3� 17AIE srrE a��ss� TIiIS Al�P1.ICAWT iS: a.vrr.�ax r M��; OWNER/ �� TE11tANT 1.1��1'�L.11Li,i\ iLt'f.l� RESIIfE�TTIAL APPLICA,�'I�1N �I�'� OF �'�D�.�Y COtv1PAhTY Recei�ed By:r n ' ��E� �-;� �-- YWRE•1NAlLAODRESS_.�G��'�r��►�SeSca�w+s.r eo�,1 �_ f"�D Qa7K VJ�_��..i OWi�ER �CONT'RACT�R � - �..—. �-. rE�l+f z¢+� SUBMI� w CUPY OF Cc11�tTACT P�RSaN; f°w, YOLJR SxATE STATE L10EhlSE N:�C7 � 7�,a $� BXP DATE 3- 3!-• � D�9 � "' LlCE1`7S� WIT�f qpp�ES5: "' tr L4+�i e, CITY �.�� or� v�e�✓ •a,P1,°a.�CATiON PH4NE fe •`71- 7 �7 - fXc �r7 ' ' SrATE,/_v(�(„2tP„�i�t_2� F�uc �151- i �7 - � S6 � PE�i� r1rPE � 51NCil.� FAMIl.Y fl Ywo fnM�.r iXt'� O�' WQXtK; � �w �1 REru►CEMENf )ETAILED DESCR�LPTTON O� WORKSits}'R1I �e� ►J.�.11 ..�_�__.� . . �_ t _ , D TpwNHOUSE O ALTERAi[CJN11lEMOnEL , PER MS i 6B.645 the perrnit fee is a mieimum ot31�04 or 5°h of the fol�l cost ep ta �Op.04�, whichev�r is grea�ttr, foc sire iropcovomerrr, ins�alia�bon or reptaeerr�c� of a residencial fixeure, exctuding ifie tixcuces. (Th;a sNoutd reflect only she cost af labor ) l.abur oost u�e� �300 � t15.��. Labar wst loetween b300 co $500� m cost af' labor x AS � fOR PROJEC7S WHERE 1�IgOR EXCEBDS:St10. F�S ARE BASEDOAI tf 0.00 PER FUlTURE. EXCE�T WHSRE NCrTED. FIXf'lf�,S: {m1pICATE TOI'Ai. N111��R OF EACFi BE�.Ow) o ��, t Faquipmemtm�ti�d MlG: � e� MQDFd.: 91�TU Y�qoa �QrfeS l�tEG: ��_ MQDEL: • 5i7.F18'fU � I� MFfi: MODEL: SI7.F18i13 �Al�S'l5.00 EIRBPL.ACE (GA5) EIS.00 G/LS RANGFIOVEN SIO.OD Arie TO Atit EXCHqNG�ER St5 �FiREPLnGE (wCOp) S3S.08 �NEtv GA�,i �itt1,L S10.Ob �801L$R S3S.4C FIJRNAC$ i35.00 ,,,,y6%S UNR HiR SlO.OQ ,.._CHIMIV�Y L[I+IEER i10.00 _GAS URYti7L f 19 00 ,�„tDOL EiEA7ER 533,0p ,�IKT WORlC f1�.Q0 GAS P1pING St0,p0 �YEMtt,AxpR 335_im S�harge TO�'AL DUE � Nurnber of itxtures {� $1 A.OQ x S 10 �� $ .� -Sa Nurnber af fixtares � S I 5.00 x Sl S.flO 4 E � Number of fixtwes � S25.Oa x�t4.00 � x N'umber of fixtures ��35.� �►,,,, x$35.t1� a S~'� ." 5tate 5urci�arge � S '��.5 � rorec � s� TW1S IS Ai� 11PPLiCATlOt�f FpA A�RM{T-NOT vALtD uN1't�. FRO�ESSED 1 h�eby appty fnr a bnilding permit aa�d I acknawl�l�e that the iniarma�tiaa above is comptete a�r�d mxurate; tt�ac tbe work wi13 be in c,anforma�oee wrth the ordinamcss and cades of th� Ciry of Fridley aafd with tha Min»esota Cansttiuction �odes; tf�at I unt�etstand Chis is not a permit but ontiy an appficatio� for a permit and work is not to smrt withv�t $ permit; that the work wiil be in accord�nce witb ibe �a•�ed plan in tha cz�se of alt vinottc whkh requir+es review and approtira! of Qians. S,�►A�� ''��,.��,��T�� i °�. �'o��s, �� .�� a�i �ity o£ �'r�idley Bu�lding �nspectioas XI►epariemeat - 5431 U�ivea�si�y A.�enne NF.., Frid)ey, MN 5543� 763-572-3604 E�K:763-502-4477 -w. � . .� � , , °��°�'�G�� ,%'�"l�� ;;"`c��l . � � 1 �' � +'�" � r��'�'�C��J � �G`��c��'��. �¢��5 6��c,1 �� r�.J�,�'� ��,�! fi � � ��i � � Bui�ing BUILDING Permit No.� v 5" Inspections RESIDENTIAL APPLICATION Received By: 763-572-3604 CITY OF FRIDLEY Date Rec'd: --- =� 763-502-4977 FAX EFFECTIVE 1-1-09 DATE '� �/ pZ �/ 0� YOUR E-MAII. ADDRESS C�e. Y r�. ,� � b t'� y� � �/ Q.IIS F pr c, O. C c��pc_j SITE ADDRESS I6 � CYt].\ Cp� Y o� � rV � 1( —L_V'( / THIS APPLICANT IS: �OWNER ❑CONTRACI'OR PROPERTY OWNER/ NpME; G� � r,� r n �N� ann�ss: 1 b� C, 1� .�r-Cc�, �{E crrx Fr�� 110 � STATEiY1j� ZIP �� rc..c h roa PHONE: � o� O- oa S- Ll �(7 a 3 � CONTRACTOR N�: SUBMIT A COPY OF YOUR STATE LICENSE STATE LICENSE # EXP DATE AND CERT�ICATE OF ADDRESS: CITY STATE ZIP INSURANCE PHONE FAX PROPERTY TYPE ❑ SINGLE FAMILY/NEW CONSTRUCTION SIZE O TWO FAMII,Y/NEW CONSTRUCTION STORIES PERNIIT TYPE ❑ A�DTl'ION ❑ GARAGE/SHED ❑ WINDOWS ❑ BASEMENT FINISH ❑ ROOF ❑ DRAIN TILE ❑ DECK ❑ SIDING ❑ OTf�R ❑ SWIMMING POOL TYPE OF WORK: ❑ NEW HOME CONSTRUCTION ❑ ADDTfION ❑ MAINTENANCE/REPAIR O REMODELING DESCRIBE WORK BEING DONE:�� `� �� e,.�a d�r k. °� SIZE OF IMPROVEMENT ( rc p- Lo� xs, LENGTH oZ .n WIDTH a I HEIGHT C�a, S Ff �/ O ROOFING ❑ HOUSE ONLY �� c� �� NUMBER OF SQUARES 0 HOUSE & GARAGE BASEMENT REMODELING UB 1. Existing Floor Plan GARAGES ❑ ATTACHED GARAGE 2. Proposed floor plan PROPOSED SIZE: ❑ DETACHED GARAGE 3. List of slructural members to be used PROPOSED HEIGHT: SIDING FOR NEW CONSTRUCTION INCLUDING DECKS, ❑ Vinyl ❑Soffit ADDITIONS. & PORCHES SUBMIT: ❑ Aluminum ❑ Trim 1. Site Plaa/Survey showing the existing structures ❑ Other ❑ Fascia and proposed proj�t 2. Two sets of consuucdon plans WINDOWS 3. Energy Calculations IN EXISTIlVG OPENINGS OYes ❑No LQCAITON OF WINDOWS OR FOR NEW OPENINGS-DESCRIBE SIZE OF OPENING CHANGES & TYPE OF WIAiDOW TO BE INSTALLED NUMBER OF WINDOWS ALL FEES ARE BASED ON VALUATION. INCLUDING THE COST OF LABOR AND MATERIALS: TOTAL JOB VALUATION Plan Review Fire Surchazge Surchazge License Swchazge SAC Chazge Curb Cut Escrow Erosion Control Pazk Fee Sewer Main Chazge Total Due $ $ $ $ . THE 1997 U.B.0 FEE SCHEDULE) )� `7� OCCUPANCY See Back Page for Fee Schedule 65% of Building Permit Fee .001 times the total job valuation .0005 x Permit Valuation Minimum $.50 $5.00 (State Licensed Residential Contractors) $2000 per SAC Unit (Plans to MWCC for determination) $+6ft= ftx$21=$ $450 Conservation Plan Review Fee Determined by Engineering Agreement necessary ( ) Non Necessary ( ) Make checks payable to: City of Fridley Attach THIS IS AN APPLICATION FOR A PERMIT-NOT VALID UNTIL PROCESSED I hereby apply for a building permit and I aclmowledge that the information above is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Fridley and with the Minnesota Construction Codes; that I understand this is not a permit but only an application. for a permit and work is not to start without a permit on site; that the work will be in accordance with the approved plan in the case e� 1 rk which uires review and approval of plans. SIGNATURE OF APPLICANf , PRINT NAME �e'Y`�'Y � ri$� DATE C7 � oZ � . . SUPPLEMENT TO DECK PERNIIT APPLICATION Plans and all of the following information are required with deck permit applications. A. Size and depth of footing: �� „�no-� r., q y� c�� B. Size and spacing of posts: ��'�l \� �' �' i y.��}-�,� r��.1 �t�� , v,� C. Type oflumber: Q�� 1L.w� ��✓' tr� ,�� {`�� r,c�n�'� ��.�i��a� '�,r,� U.� 14�4; a-)-b.a r ..r'. : t .d�`'r-� �� ` �ewa� c� ; �°rraa�'� t� � D. Size of beams: ` - � - � G��a C�+.e tl �J CG v�� o�}' � 1, �` � �� E. Size and spacing of joists: � . X � �� e �Y6�'�-�f" , — � � �C.� ` F. Type of floorboards: �`�Y�, �� c��,.. �,vS�'� � �`� �»ow 1 T— � �� x. ' j$ " _ - G. Height of deck off ground: _� �� c� i-1 crv,J�s�- � r�\\ � H. Height and design of guardrail: �"a,,, �1 �,,�- � 3�� -� ov„�,� r�, ,1 1 ,� vS! y�ca V 1'r'r6�C�eCk YY�OC�4v��Uls ^��r�d�S ��ACL� � dta C�'f � � [� (j� 1. Size of deck: �� O 1°��jr4 Yf/ UJ 1 0.� o••• a 1 �V� ov� !'n5 � � a�-. �n r. Distance to property lines: Side 1 3(� � Side 2 � 3 � R� 3 � � Other �---- � �Cf� �� I ��,�� ov� � Deck Construction Additional Notes Lumber- All lumber will be purchased from Menards and will be the AC2 treated yellow pine. Hot Tub- The hot tub will not be sitting on the deck but will be sunk in and will be resting on the ground level on a constructed base that will allow for rain drainage and prevent settling. I plan on digging an 7.5'x7.5'x8" square pit, outlining it along the edges with a 2x8 square frame, filling with crushed limestone, leveling and compacting. On top of that I will make a constructed pedestal of 7'x7'x6" from 2x6 treated lumber and top that with 3/4" treated plywood and cover that pedestal with rubber roofing material. The hot tub will rest on that pedestal. The height if the hot tub above the level of the decking will not be more than 6". All electrical work for the hot tub will be done by a licensed electrician. Power Lines- There are no power lines above any portion of the deck or hot tub at any point. The nearest distance is 8' from the east edge of the deck. Footin�s- As this is a replacement of the deck materials and an extension to accommodate the hot tub, I will be re-using the 5 existing footings from the previous deck. (The 5 that are approximately 10' from the house) I will be digging and pouring the 4 additional footings as shown to 12' wide by 4' deep �:��" iii% ;Rn� � .��.�� a �:�� •� , � ., 3�►��c��t. ��.rn�+G Co. Ixc. ` �NGI NEERS AND SURVEYORS � . LAW�D suc�v�.�riwo SOtL9 tEBTlNQ CIVIL A�, MUNiGIDAL HNOtNpEti1N3 l.AMO RI.ANNINp 6418-rv�T� AVENVE td. MINNEAPOUS 'Zi', M4t�1N. KE T- 3G37 ��'�'�i��'�'r� 4� � ��`If��/ �:;F F � .++...�. F N '9: �i�yC °p 2 .. �,1 ;. . _ . �? .. .,c,,y �, : .., I" , , , �. � �h .�`e�-�` ° t\ �� ...� ` �'" C �.{� .t.• . 1�l.d'� . L�� .''\ / ci�`��r �; <<'`E `,� / i� �R• J//'' Ayr�:svr`� i . � � (j ��`V� / ✓`� V / �� ` � �, �!+'� �A � r� � � C� t � J � � . �l ,' � a \ K \ �{ `d . (� �� .,V� f � � \�\ V�'i' \ � w �� ``,`'.:. � -- y�L ;y � .� r� `� (' 6 1-^.—^ ` T. ''' \ �` �l J ,, o. � . ► � � � a y� \ w �l. �'-., r� �� r � �i e � :� , �'S C _ �.r. � .� i.�{. .�. r� �, '� `� ,�'P,,✓; ''�' � •a •� ., �, �.�; �� f .t ,y,� , � �•' ' � � . F�� 'L,~ . r��J' r"'1 . + �,.�`'t�``,t''•. . �`�� -. �A � `�.. L � �r- � � � �..' � C� � � � �� '� C �� v�;�� E-: � �-;�� : � "� �' � ,� c� �f `�� . 1�1E FIEiLEg�l CER"fIFY l'4�F17' THiS 1$ A TRUE ATt{� C4RRECT R�PRESENThT10N OF A$L3RYEY OF THE BOU110ARlES �F THE t�At�� A$�1�t� OE�taEp ANO OFTFI� Lt1GATI0t3 OF ALL BUiL01N�S, I� P�3Y, TNEREON , ANp Atl Y1516LE ENCROACHM�NTS,. (� A�1�', �Rt�'AA1 'QR ON SAtD tAt�1D. �� ° �� '�-� �`� �A.«s9 MIND�R ENGINE�RING CO., iNC. DA'F�D TR18�.,,_ Q�K DF �.=� {�� E t�1 G � N E E R/Er a,W D 5 v'E Y 5 � �y '� .A!-c'�� ,' � j°`i ,.,��t--�r,ti-�,;,✓,�'` ` � .. % r 1 ` - — - i�..� ,� ....-'ti. �: <. Building Inspections 763-572-3604 763-502-4977 FAX STTE ADDRESS i THIS APPLICANT IS: PROPERTY OV4 TENANT CONTRACTOR �UBMIT A �''APY C� YOUR STATE LICETTSE PROPERTY TYpE PERNIIT TYpE TYPE OF WORK: DESCRIBE WORK BEINQ DI SIZB OF IMPROVEMat�rr ROOFING . NUMBER OF SQUARE+S ' GARAGES PROPOSED SIZE: PROPOSED HEIC�HT: . � ■ • � ;�� BUILDING RESIDENTIAL APpLICATION. CITY OF F.RIDLEY � PYiol�� STATE LICINSE 6SWGLEFAMIIY�G N ❑ TWO FANIII.Y/1VEW CANSTRUCITON � �'�T �H O ROOF Q DECK 0 SIDINQ a r�w xo� corrsrxucriox Fnx_ (`(�S�) i � EXP bATE SIZk: STORIES RJSHED � O DRAW TlLE ❑ OTf�R �1Q POOL O ADDTITON ❑ REMODELWGi — �hl � � 1 /� ❑ HOUSB ONLY O IiOUSE 8c (3ARA(�E 0 ATTACH�D «ARAQB ❑ DETACHP.D QqRp(�g SIDING . • O V'myl 03offrt • . � Alinninwn ❑ Trim O Other O Fasoia � s a _ {� II�1 �Q OPEN1rTQS OYes �No LOCATiON OF WIIVDp B�FflR 5'�EOF---_ �� h,yV1, OPENIN(� CHAN(}ES & TYPB OP�WII�iDOt W TO BE INSTALLED NUMBER OF'WIl�IDOws � ARE B�SED ON roTaL aos vai,� P�ic F� Plan Review Fire Siucharge S�charge License S�trcharge SAC Charge Giub Cut �Escrow Erosion Control Park Fee Sewer Main Charge � � vsc � sa�vr� � �� -ro Permit No. a�;� li � Received By: Date �eoid: � � AASP.MENT ODET 7t�rr� SrTBM1T 1. F.xis4�g Floor Plan . 2. Proposed floor plan 3. List oPatntotuial membera to be used FOR NEW CONSTRUCPION II�TCLUDINC� DECKS, ADDiTIONS &PORCAEc cr�gT� 1. Site Plan�Siuvey showing the axisting shvcha�as 2. T�m sets of�con�uction plaas -- 3. Bnergy Calcalations — — See Back Page for Fe,e Schedule — 65% of Bwlding permit Fee .001 time,s the total job valuation .OU05 x Perr�rit Valuation M'mimnm $.50 •$�.00 (State Licensed Residential Conh�actors) $1825 per SAC Unit (Plaas to MWCC for determination) ft+6ft= �ftx$21=$ $450 Conse�vation Plazi Review Fee Determined by Engineering ' Agreement nece,ssaiy i) Non NecessaiY i) � iVlake checks paysble.to: Clty of Fridley • p�� THIS T5 AN APPLICATION FORA PE1iMIT NOT VALID UNTII, pRpCgSSED I hereby apply for a bm7d'mg permit end I aclmoyiledga that tha infornmtion above is oompTete aad ��t dre work wID be in aonfommnce with the ord�anc� and codes of tha City of Fridley aad with the Minn ta CoustiucHon Codes; I tmders�ad this ie not a pennit but only aa applic�lion for a peru►it oa site; that tha work be m ce wit� the eppro plan in tho casa of all work which P�t end work is not to start without a �9� ew aad o p , SIGNATURE OF APF PRINT NA1V� '� !�'j DA ,� � I L APPROVED BY � d`6� „ . ,. DA