P - 36793Building
Inspec�ions
763-572-3604
763-502-4977 FAX
DATE ?,,,,t �' / ` /
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:
DESCRIBE WORK BEING
ROOFING
NUMBER OF SQUARES _
GARAGES
PROPOSED SIZE:
PROPOSED HEIGHT:
SIDING
❑ Vinyl
❑ Aluminum
❑ Other
BUILDING
RESIDENTIAL APPLICATION
CITY OF FRIDLEY
EFFECTIVE 1-1-2011
OUR E-M IL ADDRESS
lC(,�, �-s,�s
❑ OWNER ❑CONTRACTOR
ADDRESS:��,'b.S- CGSt- /SC�I/1!�"!G''� yGSS CiTY
PHONE: (�13 -za 6'" bZl SS �
Permit No.:�C �
Received By: �
Date ���:�
ctsm
STATE LICENSE #.?� �"�%b LEAD CERT NUMBEFG��
ADDRESS: Zd�-/I � 01�'��n�►� _�'J� � CITYC ,c�-
PHONE i Z-° 3.�. O._. I D 1 S+ FAX �l 6"' Li � 3��$� O
❑ SINGLE FAMILY/NEW CONSTRUCTION . SIZE
❑ TWO FAMILYfNEW CONSTRUCTION STORIES
❑ ADDITION ❑ GARAGE/SHED ❑ WINDOWS
❑ BASEMENT F[NISH ❑ ROOF ❑ DRAIN TILE
�ECK ❑ SIDING ❑ OTHER
❑ SWIMMING POOL
� NEW HOME CONSTRUCTION ❑ ADDITION
❑ MAINTENANCE/REPAIR ❑ REMODELING
WINDOWS
IN EXISTING OPENINGS ❑Yes �No
OR FOR NEW OPENINGS-DESCRIBE SIZE OF
OPENING CHANGES &
TYPE OF WINDOW TO BE INSTALLED
❑ HOUSE ONLY
❑ HOUSE & GARAGE
❑ ATTACHED GARAGE
❑ DETACHED GARAGE
❑Soffit
❑ Trim
O Fascia
LOCATION OF WINDOWS
NUMBER OF
WIDTH
A
A
FT /1(/ C�
BASEMENT REMODELMG SUBMIT:
1. Existing Floor Plan
2. Proposed floor plan
3. List of structural members to be used
�
FOR NEW CONSTRUCTION INCLUDING DECKS,
ADDITIONS. & PORCHES SUBMIT:
l. Site Plan/Survey showing the existing structures
and proposed project.
2. Two sets of construction plans
3. Energy Caiculations
FOR WINDOWS - PROVIDE U-VALUE AND
MANUFACTURE STICKER ON WINDOW.
ALL FEES ARE BASED ON VALUATION, INCLUDING THE COST OF LABOR AND MATERIALS:
(USING TH 1997 U.B.0 FEE SCHEDULE)
TOTAL JOB VALUATION $—�"��D-� �'"1 SOI 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 pa_yable to: City of Fridlev Attach
THIS [S AN APPLICATION FOR A PERM[T-NOT VALID UNTIL PROCESSED
I hereby apply for a building permit and I acknowtedge ihat the information above is complete and accurate; that the work will be in
conformance with the ordinances and des 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 e it an o k is not to start without a permit on site; that the work will be in accordance with the
approved plan in the case of all � s review and approval of nl,�:..� '/, „1� � l
SLGNATURE OF APPLICANT PRINT NAME / c�i'►� />/ -G�- DATE� �-'� / I
APPROVAL INSPECTOR SIGNATURE
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r=1t;g U3 �fJl.1 F3: 1%FlM hll-! �=RIL�L.EY 763-574-•7�iEli p^_�_._.___..--
I�a.ty 13, 2�►11
1�. f��th and 90� Inber�
55US E;;ast Ba�-ar�an Pass
f�ricilev, Mn. 55432
l�ear Mr. and Mrs. ingtx�rg,
This letter is in respnnse tu vour request far action dated 7/13l201 l requesting appruva!
to add a new patio onto your home at the pati� daor and fiFie installa�ion of new path fram
vc�ur patio entrance to the pathw��v leading from th.e garage area ant� neighbars st�ps.
PAT'HWAY AUDITItJN: The pathway was approved at the is�.st laoard meeting. t ha.ve
talked to biacktop cornpa.ny acad inaoraned them that the path is appraved but that rve ueed
tca wait until you have your patio built. T have also asked them to reass�ss the path to
rnake iY a more direct raute ta your patio. I will get the results of this re•estim�.te by ne�.�t
w�k: lt is in�tunt�nt or� you to �et your patio done as soan as possibie so that �ave can
get the blacktap work c�nne wl�ile are have nice weather. Piease give rne a coinpletian
date as soc�n as you can. "Tlxanks.
PATIO ADDITt�O�i:
I have review�d your patio plans and yo�r prc�ject �s approv�d wlth the fnllowing
conditions.
1. All work mu..�t.be done by a liccaseci �ntractor. It appes�rs that yuu wiii hav� a
Mr. Tarn Hild�n �a this work.
2. 1'�1ake sure that your bid inetudes remaval af all ald mat�rials. All old materials
m�xst i�e rem�v�d from INTA properties by the cr�mpietion af the project.
�. P''�i� Boards should be of high grade green treated wood or oth�r campn�ite
materials. Cedar is not recommended for patio floors a�s ii gets fuli �f sp�int�rs
over tirne. G� rai lings are fine.
4. At%r patio bc��xds l�av� seasoned they m�ast be paintadlstain to m�tch the others in
your building cgmpiex. Pl�e subrnit t.�e color to this offic:e pri.nr to the paint�n�
phase af your prc�ject.
S. All work should be complet,ed within 60 days from the st�rt of the project weather
P�tting. .
_. .... __.. .. Ys�ti can use your use y�ur eactenn� m�inf,enan�e funds tQ pay for �aur projects. You can
Pay yout contractors and then sut�mir th� bills tv Bailcy Enterprises, inc. f�r
r+eirnbursernent. if'yc�u dfo nt�t have eaaugh in your fu�xd to pay for the entire project
Bailey Enterprises, Inc. will reimburse you �p t� the amaunt you have in your fund and
the r�zn�nder vv�ti v�ecf io b� paid out of yaw pocket.
lf you have an� q�.cstions on the above please get baak to me during my aormai weekly
business hours.
Re�p�c ily Oft _...
G� ilt'
�
Wa��ne �VI calf Cc: Scott Bailey --13ailey Enlerprises, Ixzc.
Actioa Gauxdi�atur Jack Lindstrom — DV'iA Boar�� Presfde:�t
8ailey E�terprises, inc. .