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AF - 41126�_ _ � sue�ecr PER City of Fridley ' AT THE TOP OF THE TWINS g U I L D I N G P E R M I T 213 3 3 � i � ' � � COMMUNITY DEVEIOPMENT DIV. � � � �� ' �y_��-� r � � PROTECTIVE INSPECTION SEC. 1 = � � �"'1 � CITV HALL FRIOLE� SS43P NUbiBER REV. DATE PAGE OF APPROVED BV �""� � ,�� 612-571-3450 910-F15 5/13/92 � / JOB ADDRESS g020 East Rivex. Road NE t LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED oesca. 26, 27, 28, 9 8 Spxing Brook Park Addition SHEET 2 PROPERTYOWNER MAILADDRESS 21P PNONE Gill Hummel. 465 Liberty Street NE 786-2101 3 CONTpACTOR MAIL ADDRESS 21P PHONE LICENSE NO. Gill Hvmmel. S.ame 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PNONE LICENSE NO. 5 ENGINEER MAII ADORESS ZIP PMONE LICENSE NO. 8 USE OF BUILDING Residential 7 CLASS OF WORK �J NEW ❑ ADDiTION ❑ ALTERATION O REPAIR ❑ MOVE O REMOVE 8 DESCRIBE WORK Construct a 36� x 30t Dwelling and a, 22� x 22� Ga,rage; a 6` x 8' Deck 9 CHANGEOFUSEFROM TO STIPULATIONS ��ovi;de Ci.ty Htith. co,py of yexi.�Xing s.uxye.y..be�ore capping. Provide a ha,rd sur��,ce c1r�:,yevza.y�, Proyide sod in the �ront a,nd side yaxds, See notations on plan. Speci:al Asses.-s�ent Agxeeinent �igned. by� owner: Tf sewex� &�aa,tex connections require digging in East Riyer Road, a se�arate Anoka County pex'mit is required « along with. a Ci'tg. o� k'ridley Pexini:ts �� Befote diggin� call fot ali utility tocations 454-OUO2 REQUIRED �Y LAVV SEP�R�ITE PERNtITS REQi11RED FOR • yV!IFING� HEATING, PLU(!�BlNG AIVD SiGNS. SEPARATE PERMITS ARE REOUIRED FOR ELECTRICAL, PLUMBING, HEATING, TMPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD VENTILATING OR AIR CONDITIONING. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONIN(i SO. FT. CU. FT. AUTHOHIZED IS NOT COMMENCED WITHIN 80 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER WOHK IS COMMENCED. NO. DWLG. UNITS OFFSTREET PARKING I HEREBY CERTIFY THAT I HAVE READ AND EXAMINEO THIS APPLICATION �- STALLS GARAGES AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS VALUATION SURTAX AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED $�2 � O16 $46. O1 WITH WHETHER SPECIfiED HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE pERMIT FEE SAC CHARGE Fire SC PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- $6OS.00 $%OO.00 STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. PLAN CHECK FEE TOTAL FEE $1,446.03 SIGNATUREOFCONiRACTORORAUTMOHI2EDAGENT IDATEI HE P ERLY V D THIS IS YOUfi PERMIT ��%.`° �^/�' SiGNATURE OF OWNEP ��F OWNER BUILDERI �DATE� P` LOG �NSP �ATE m - SPECIAL ASSESSM ENT PAYME�VT AGREEMENT 0 nna �-n June 13, 1991 DATE �, Gi 11 Hummel the owner of the following described property Lots 26, 27, 28 & 29, Block 8, Spring Brook Park Pin No. 03-30-24-31-0091 Water and Sewer Laterals Hereby agree to pay in cash $ 3,672.13 * to the city of Fridley to cover my proportionate share of the uti{ity system, or in lieu tfiereof agree to have the City levy an assessment against the property described above to cover the cost of my proportionate share of the utility system as provided in Section 2 of Ordinance No.113, passed by the Council of the City of Fridley on December 11, 1958. OWNER'S SIGNATURE Tapping Permit No. * Credit will be allowed against this assessment in the amount which the property owner will have to pay to bring water line fror� street to property line, h � E, � � [ ] ADLN � � �'i'� [ ] OoaLSt�wctian 1��: � ��: _ A�l AND i�2 Q «�, � Building Permit Applicatian � �c� � � .f � � .'�-�� l�' '�. �w�, �'- `�� 3 C. � ��Q� � � .��;,,� Effective l,/1/91 a� r� & Aaa�: G; �� t1�r,�.� L�/6,� L: L��` �. ��G a`o � oo�racta�: C� : r c ,�/�9 �., ,� ,� L �e.t. # � �G dv � Aaar�s: y6 r L.,'��,, . Attach to this applicatian, a Oeztificate of S1,uvey of �he • lat, with the ptroQoF,ed oorst��ct'.ian drawn an it to scale. D�C�PTIC�T GfF II�l�7VH�lJ� ��►�,: Ie�gth � G• .? � wiatri .� o xeic�t sq. Ft. � 3 3 � 3` `/D � �: �th � a w�atn � �e,i�t sq. Ft. � � `; � r n� �: r�r�tn wiatn _� xyt/c�u�a sq. r�. � o►a�: Dorner Iat [] Inside Lot [] Ft Yd Setback Sic�e Yard Setbacks Type of �t.ian: � " _,e�.c� F�timated C7cst: $ ��=�`� �� prox. Oca�letiaa�► Date: • �j� 1��' � �� / �� ., Proposed DriveGray Width If New Openi.ng Is Desireci: Ft. $ $ � Width + 6' See Back Page n�: � 3 �'� �c�r: �. # � � 6 0 6O°� s��° �� ,.. P+ermit Fee $ �� ? �, �'� Fire ��„�,a,� $ � r� � State S�arge $ � sAC c�zarge $ � � K� n��i� D►riveway ��vw $ � Park Fee $ � seyaer r�lain Ct�arqe S � $ �� GI'!'Y D� �Y � �ee Sd�edule an Reveis�e Side .001 x Pezmit Valuaticrl (1/lOth $) $.50/$1,000 Valuatiaai $650 per SAC Unit Alt. pAn Ot Alt. MB" 1,bOVE ��' n��. p��, Fee Detr2r'mlTled by �*; rwpr; t�ci -� , -� Ag��t Neo�saYY C„ rTot NeoessaYY L] �: �z�: � � , r � i ,' ��? �. �M t`,i n � � . �'� � i (��p I � I�� ^,� �, 1 � � . 2 . � . (�• b' c� � �� A��. ra-�; t� � � o v...►'� n . __ " �c� . � � .9 u_ - .�I � �z ��C � � �� ,-. �/�-� �..� �° °{� 7 � � ,� 6'' .� :�� f ' _ti'. 1 ' �a: :-•.I �� 11 : �e �ief Buildirr.� Official shall, befa�e issuirrg permits for the erectio� of a� buildir�q or stn�Cbure, a�t fos any addit3an to any existit�g buildit�g a� s�re, or for any alteration a� re�aiY' to anY ��4 �d�l ar' �. �1 ePPlicatio� th+erefore, require the paya�Yt by the applicant fos sudl p�xmit of fees to t��e amnount herein belcw set foYth aild 3t1 the �ar�rpr hereill prwicled to-w3t: Za►rAL VAIIJE $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 � a. $15 (Minim�n Fee is $15 plus eu�arc�e) $15 far first $500 plus $2 for each additianal $100 or fractian thereof, to at�d irraludir�g $2, Q00 $45 far fixst $2, 000 plus $9 far eac3z additional $1, 000 C�Y' fY'dctiC�li theYeDf, to afld itlClud.iflg $25, 000 $252 for first $25, �0 plus $6.50 for eac�'t ac3ditianal $1, 000 or fraatian th�erecf, to ard it'�cludirg S50, 000 $414.50 fa�r first $50,000 plus $4.50 for each additio�al $1, 000 or fractian thereof, to ard includit�g $100, 000 $639.50 for first $100,000 plus $3.50 for each �dditional $l, 000 ox' fractian th�L�BOf, to arici inCltidir�g $500, 000 $500,001 to $1,OOO,Q00 $2039.50 for the first $500,Q00 plus $3 for each additiorial $1, 000 ar' fractioa'1 thereof, to ancl includir�g $1, 000, 000 $1, 000, 001 arYi up $3539. 50 for the fiist $1, 000, 000 plus $2 for each additional $1, 000 or fractiaci thereof �tIV�IY �:P�88I�T F�JW (Ooa�creete Qirb Streets �lY) Alt�rnate "A�� : Rem�val ani re�laoe�esrt of airb ar�d gutter cnly - Drive�ray width plus 6 feet times $13.50. Alternate "B" : Re�oval ar�d re�lao�ent of a�rb and gutter ar�d irLStall a 3 foot wide approach with 6 it�di de�th -� iveway width plus 6 feet times S15 . 75 . [:,��.��i,�. ; y� .�, PieYmits foY' �iCa1 w111 be 3SSUed S�irim,�n of 24 h�DUrS fra�t the time of applicatian to allvw far� p�+cper review of the praposed stn�c4ire arxi of the co�ctian site. A Oertificate of S�rvey of the lot, st�owir�q the locatics► of fihe faurlatioai a�oe it has it has been voaLStrv�cted wi11 be required before prooeedir�g with the framing. JUhd-13-19�1 1�� 12 FROM 0 Kurth �urueying TL� � cE�-r�Fsc�a-rE� o� Ft}R .Sa.L�—l-. t�U1�1Nt GL... IMEREBYCERTtFTTHAT7HISSURYEY�P�AM,ORREpORT•W pRgpAREp BY ME OR UNOER M IREC SNPEpVISION ANO THA7 1 Aht A OtlLY LQiS7E AN $U V UNDEq THE �AWS OF TIfE STAtE .OF MINNESpTA. NNE OTA REOISTRATf�N� NO.�pZZp I '�IS ts tvoTA souNDA�ri► ��RV�r_ . , 0 �3G� i.P��-r� /' 'PJ� . i0 .'�'. �GOehPJT�D� —. i�3o �� `$35.�� _.. _.,.. !. ��_ ; .�, � � � ._.____ ..� c�j %" � ,.� � � /'` �- a v � Cn f ii . �D„�� 4� i ^ , . r��.�; L/� . c� . 0 oi /fc1�� 3b.33 7 � � p ��pY}'i. � CdUhJSELOR P . 01 Su�vEY KURTH SURVEYING INC. � ` 4b02 JEFFERSON STREET K.£. CO�iJM91A HEIGHTS MINNESOTA 3S42t 612- 79A-9769 � oare .�:� RoP.osEO SCALE 1°.3�� i3RADES ��IRON MONUMENt �D �EARINGS ARE Ot�! AH '^"— ASSUMEO OATLihI �ARAGE 8LAB • ,�S U �+ QO 0$PIKE 8ET TOP OR ��OCK• � •� �-�' $�`OT E{.EVATION 6ASEMEliT FLOORs � � j• PROP08E0 ELEV. � � �--1 • ORAtNAOE AtiitOY NVT�:30�N�A�Y pt''�1G1�1S1�1dS ERO�'� � SJ�.Yt3`! �+`( S�o�t M�RP�y� GvMbTec,k'. �'�Av�g,,NC., A+V.E? �,"pd ,Pr-R'T oF'`5PiU1.iG� gR,p��.�• \� � ` � ' F \�' -� � 1� � .f. '�. � . .� � , � , � ,, �� / s ,��,,� � ��.g � �� i� ,,.-, � aA � " 9 �� 3� ��/ . � • � Y} y,��'� . \r� \ Q � �' i�y� '�� e � �� l.v� _ �° {�`�,1•oi J � , r; +• y � "' ,� �. � o r m I �� ' . O � � � Vti ` C � ~ •�V 2�J.iO�i Q fP o� �-'�= � ` � ti 'J � i • � .� I � _ '�� ° 2Z, to'! r.� � tyQ,p..,` �f:p� i � �`� ' ,K '�- �� H�L�y 1�(oToN �,,,1N 1 I�c�tp��T� -- i y � � ` 8�? 4r R iL. �SS�4 � � o '�� ---^�J' ' �-�� cv.=fi�' �. �.�oq �� g - Z �. . �� /+ �,�� q, t �,. ,� �con�JT'Gp� .�.- �� 4 j �'"` � �'.,{ � � ��`--' � 5 l: t--�=�-��L. � t= �aC..l'�t�i'tC�lr-� 1_c� i 5 2�, Z% ZS �: Zq � P�L, ot�t!� 8� �FQ-1 �lC1 • t3kOOK �4Q-l'*.� A�KoI�A CDVt�T`� � 1�� Kr•(G�pTig. �\ . � � �\ � � \ \ \\ . � � Jx' �. �� , a+ p�� .��a � I1� ' , , �� i, � Z3. 3� k`g � x �'.S � �� n 6 -�3 -�� _ �¢l 9, �'�f � �� b '7 X !�`� 7/ � ��- ��C� =��3 x�� /g X 3 � = �� Z.x��S�' �-1� 1 � s�Z�, 6� - _ �1� �G�' �� /-�k/� = ZSZ �(�3,�� 1 Z �C 2�� Z �8 ��ox��.�� a� ,: � , � = �-8� x /S 7� .- - . ._�� I • "� ' ___ _, _ r _� � t + £,� % � � __ � . � . �, �� ., � ' ► ��8�<� '� 3�8 , �`�- � = ��/��,�1 z � dSB��d � ��/��/� � ��-� � 2n��° � , � � ` . . �• PiINCiESOTA STAT� E:J�RGY �:ODE r.ALCULATtONS � . BASED OV CfippT�R GF THE MO vER.r,.y Cq�� _ ly EDtTiON Adopttu� Ef•ftctivr. 1/1/84 �3Z�3 Otimer ' � . . � Jur Phone t+a rp ► � Site Address � � � � � Contractor ��((_� ��jM M� L' � • �hone Building Classification: Type A1 (Single Fa:ni�ly 8 O�.,plex) k• Type AZ (Residential�__� . , � (3 stories or� � • (fl�Er) � � (Over 3 stories) GENERAI, INFORMATION 1. Building Perimeter 42 D ft. . ' �� 2. � Wall height (ground to eave) 5 (o S3ft. •� , Z 3. 1. x 2. (above) .gross �w�ill �rg� ( � ft. . � . �k 4. Building dimensions (L) : x(�1) ��v1 33 ft.Z roof S floor area ,. . . S. Square fcot area�of rim�joist - Floor joi:t si:e (2 x .� ?r_) � � �� x Periatieter = Rim joist area = �q.5� ft2 _ 6 • Joors - Area 3 � . . ' � � , v � 5,� �r�o �s . . Thickness n. U factor � � � Type of Construct on . . Perimeter � ft.�� Manufacturer 1. Total door's perimeter ft � • �� 8. Windows: Manufacturer � State approved � ` U factor_ , �Z : TYPE S� lD�12 I! Il C� �. T ' fl SIZE i . . � �� _��: ' . AQ�R (f�.2) FACH � . �]b � � I l,, ,� — �n�� S,UD "iu,MeER 0� UNITS � I ( �--_. Z TO?AL FE�T 2� i ' .� . ♦► . �. _ _ � . ?�a . . • . „ ., a �., g, Total ft.2 G1ass `l�.lQ 10� Fireplace area: Width x heiaht = x — = Ft.2 i i. Exposed faundation: Height x Perimeter�l X �2 : 2�'�g Z Ft.2 :OPIPLETION OF THIS FORM IS R�QUIRE�7 FOR ALL NEI� COPlSTRUCTIiJtJ, MAJOR REt�00ELIN6 AIvO BUILOiNGS BE tOV:D '�INERE E�ERGY. OTHER THI�V THE MINIMAL CQOE ALLO'�IANCE, IS USEO. 0 e . ' : : t 2. F.•;uni ng area ■ l Ox ot gross �ral l aree. � 13. Gross Nal l area=� i5', 3� tt.2 �� Wi ndow area A� ��o , � D f t.2 U Ni ndows •. 5 Z U x A•� Rim joist area A= �, S!o ft.2 Ooor area A . 3i��d it.2 p/�Tlo �R. AREA � il�,dp �},2 pmztUM DR. p►REA — f�2 Fireplace area A — ft.2 Exposed foundation A 29•� � tt.2 Framing area a j_�� 53 tt.2 Net wall area A �355, S7 ft. �-- u rim joist •'. �4'�_ u x A■ �•4` � 'U dcci�aarea�y�� ,:• ,a U x A= 2,�� U'PA�io b2. • U x A� _� U AT K.IUM v2. ,i U X A= — U fireplace ■ :- U x A� � _� U foundation •� U x A.■ �', ( U framing area �• . 0 � U x A• ($.2� � U�ral l= � 44' � U X A' S$�� . . (138 ) 70TA1 �. . . . . . . . . . . U x A =�� 14. 6ross wa11 area x 0.11 (A-1 sirtgle famlly a duplex ■ allowable U x A/Code (]3. above) . � x 0.23 (A-2 other residential) x .23 (Other buildings) . x .28 (Over 3 stories) . �BTUH Must be targer�I A � ��• 3� x U Cgd�. . � � = 2( b �o �. 136 above _� 15. Ceiling framing area (A�) equals lOx of ceiling area � or the same as j ISA. Gross ceiTing area �(L) x iY) � ?i tt.2 15B Jo i st area (Af) • 10� cei l i ng area *_�� , 3d � ft.2 iSC. Net ceil ing area (A�) (15A - 158) � $ 3%,'7o fL.2 U ceiling x A �s $39.7b x .dzl __ �%�� U framing x A� q3,34 x .�Z�f. • 2,24 _— 15D. TOTAL U x A ........................................ �`I.�� , -- 16. Ceiling area (15A) x 0.026 (A-1 single family b duplex - code allowable U x A . � x 0.033 (A-2 other residential) , � x 0.06 (other� A(15A) 933 , x_ (code)= . 2�-.2� BaFH M(orbthe rsame has � 50 (abov� � � , a� ' . NOTE: Use U and A values obtained from pps 1, 3 and 4. � �� `� �X(o =�uNb. a_�� A' p .,.�s, d: � ,A'a '•A . � . . ,. , , ..a. ,. . , '.A r e' .° - '� :a•-a. � �q � '4 ' A� .•�n� ONSTRUCTION RAMING SECTION: 1 Inte�io� atr f11m 2 0 GL 3 (nches so t 4 H �.A N 5 SI�IN �+ Exter or a r m WALL SECTION (INSULATEO) --(1 Interlo� alr fllm ---{2 � . � '—'�3 UL /0 —{4 ( —{ 5 S I�1N Ca ----(� Exterlor etr ilm R V_ ALUE �:� � „ TOTAL R � 10�3 U • 1/R � ,OqS 68 .,.,, TOTAL R � 23, D3 u- 1/R-� �, RIM JOIST SECTION: 1 interlor aTr fiim 0.68 2 S L / _ '3 c �S So 00 —�4 .� 5 bING � � Exterior air f11m p,�� ' TOTAL R � Z , (o FOUNDATION INSULATION REQUIRED: • Min. R-5 on entire wall OR U� 1/R �� Min. R-10 down to frost depth FOUNDATION SECTION: 1 Interlor atr film 0.68 2 0 5, 0 0 _ 3 �oUNVA-T�oN �,ZR 4 Exterlor a r ilm q,�� (5 � (� TQTAL R � �.13 � U� 1/R�� SLAR ON GRADE Unheated Slabs: Minimum R = 6.2 # • ,• .- . , ��- ' : ,, �•.• •Q • Q ; ,, � v . Q , •. �. ., : . i � : �;• ' Q � . � d` ��'.�d ► � �,, .• � . � � ' _ � • 1• ��• �� w � � 1 �• . � �� M --0 a � 1 q i � � H � F VENTED CONSTRUCTION Il VALUC' . __. �EILING SECTION (INSULATED): 1 Inte�lo� ai � f 11�n 0.61 2 IL � � t 3 i oo � a Exterlor atr filn� stlll p. 1 ► TOTAL R � ��g U � 1/R • �p2� CEILING FRAMING SECTION: 1 Inte�lor alr ftlm 0.61 2 CEl Ll�l1C� �y P. f3D. .5� 3 _iN��AT�oN � 3�.a 4 Interlor ai� m st'i 1 0. I S__ � Inches so t woo�1 4.3' TOTAL R � 4 �� u - t/R - , 024 u CEILING SECTION (INSULATED): 1' Interior air fil�n n,F� 2 3 4 f.xte�lor a r m st 11 �. ,1 T TAL R � U• 1/R• CEILINr, FRAr�INr. 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Meets all current Code requirements for size and total BTU's connected Yes () No () 6. Has total heating BTiT's of Al1 other BTU�s TOTAL BTU's , Remarks List Alterations Beinq Done: HEATING COMPANY Signed By Date � 0: � � O � � a � r � � m m � \ 0 � � � o j r m o � 5 Oy � 0 <_� �' m o � � � � � Z m -n v r�, � O ua � � o c° �p °o o � D y '� -a 70 w � �a g z v a � m � z � a 'd a 0 m a � �� r� 0 c m � 1 7 v w � � a� v � � 1 w s � � � Z m v —I m, r Z 0 � V � � d � � � �� m �� m �-I C� N N �-�i .�-. � � 7 n � � � � � �D� � m m.n ��Ov_-o ,n � m co �� co m m�� c �r.r.�m-•�w��m � m�� r v, �, v, c � � co � w 5 m Z � m �my a c� � � y n � � � � � � � ci � � c � m � C � m a � � � ( z I I I\I I�I I I I( I 1� 0 � �� O O O y O V V V V w:P V � O C O O p O C O C O O O 0 0 0 0 0 0 0 0 0 0 0 0 0 � a � � � � � � n v r C � � z � 0 'D � Z .� H 3 � � d O � � � '� m � � _� Z � � � � � o. � 3 m � C m �. � 0 �. � � � _\ � � � > >� s nc.� m cu2�� m�Qm lA y pl N �, ,,,0,� m �Q .* 3 � � O m 3 C' � y � O � �a�� . � o .c am�� v s� � u�i ° � R � ' � � � � � � � -��'� � � � � � � o 0 w p, � ��p "' A �D � � � y � � �. -" o �'• m � m � A m � � A � � Q- ? N y � s � r c � � z � � � C � m � � m � z 0 � � m -� O n r � � W �' � �� r V � � � N G, W � m rn��0 °�Zm � � ,� v N C � m Z Z m� � m n _i O z v '< � m .n+ m O � � � `Z � co � � _ _ C� I 1 OF FRI DLEY FRIDLEY MUNICIPAL CENTER • 6431 UNIVERSITY AVE. N.E. FRIDLEY, MN 55432 •(612) 571-3450 • FAX (612) 571-1287 March 31, 1993 Mr. Gill Hummel 465 Liberty Street NE Fridley, MN 55432 Re: Final Inspection at 8020 East River Road NE, Fridley Dear Mr. Hummel: A final inspecdon was conducted on March 30, 1993 of the above address and the following items were noted wttich must be completed before the structure can be fin.aled: 1. Provide sod in the front and side yards by May 13, 1993. 2. Provide the City with a copy of the verifying survey. We will expect these items to be completed by the scheduled date and a reinspection called for. . If you have any q�estions on this matter, please feel free to contact me at 571-3450. Sincerely, � �� t CL DE E. WILEY Building Inspector CEW/mh Building Inspections 763-572-3604 BUILDING RESIDENTIAL APPLICATION CITY OF FRIDLEY DATE �D — 2 O- p Y� YOUR E-MAIL ADDRESS SITE ADDRESS ��. � �� i✓�d�L Q G� THIS APPLICANT IS: ❑ OWNER �60NTRACTOR PROPERTY OWNER/ TENANT ��IIM�_� � : SUBMIT A COPY OF YOUR STATE LICENSE WITH APPLICATION PROPERTY TYPE PERMIT TYPE �rE oF wo�: /'h r /C � !/O Permit No.: '�/1�7C- Received By: Date Rec'd: aDDxESS: �� '�-s s- /l �.� c.� � crrY �� STAT�Il'�7 � PHONE: %�O 3 � � (o ' �% �P � '�RI�I��TYii01AE REIAODEI.ING, INC. N�: 10 c.a�ealA,�nue NE STATE LICENSE # EXP DATE � �� _� � �----- -- — ADDRESS: CITY. PHONE FAX '76 � S`7 Z• Z j" a Y B-SINGLE FAIvIILY/NEW CONSTRUCTION ❑ TWO FANIILY/NEW CONSTRUCTION ❑ ADDITION ❑ GARAG O BASEMENT FINISH J�,°ROOF ❑ DECK ❑ SIDING DESCRIBE WORK BEING DONE:. f-P�a.t �- SiZE OF IlVIPROVEMENT ROOFING Z Z NUMBER OF SQUARES GARAGES PROPOSED SIZE: PROPOSED I�IGHT: SIDING ❑ Vinyl O Aluminum ❑ Othet WINDOWS IN EXISTING OPENINGS ❑Yes ❑No OR FOR NEW OPENINGS-DESCRIBE SIZE OF OPENWG CHANGES & TYPE OF WINDOW TO BE INSTALLED ❑ SWIIvIlVIIl�IG PC ❑ ADDTfION 0 REMODELING LENGTH ❑ HOUSE ONLY �IOUSE & GARAGE ❑ ATTACHED GARAGE ❑ DETACI-IED GARAGE ❑Soffit � Trim ❑ Fascia LOCATION OF WINDOWS NUMBER OF WIl�IL ❑ DRAIN TILE ❑ OTEIER HEIGHT ATE ZIP, BASEMENT REMODELING SUBMIT: 1. Existing Floor Plen 2. Proposed floor plan 3. List of structwal members to be used Ft. FOR NEW CONSTRUCTION Il�ICLUDING DECKS, ADDITIONS. & PORCHES SUBMIT• 1. Site Plan/Survey showing the existing swctures and proposed projecL 2. Two sets of construction plans 3. Energy Calculations ALL FEES ARE BASED ON VALUATION, INCLUDING THE COST OF LABOR AND MATERIALS: (USING THE 1997 U.B.0 FEE SCHEDULE) TOTAL JOB VALUATION $ OCCUPANCY TYPE Pemut Fee Plan Review Surcharge Fire Surcharge License Surcharge SAC Chazge Curb Cut Escrow Erosion Control Park Fee Sewer Main Charge Total Due $ •�� See Back Page for Fee Schedule $ 65% of Building Permit Fee $ • 3 Sr (.0005) times the total job valuation — Minimum $.50 $ 2-?a .001 xPermit Valuation(1/10%) $ $5.00 (State Licensed Residential Contractors) $ �'� $1450 per SAC Unit (Plans to MWCC for determination) $ ft+6ft= ftx$20=$ $ $450 Conservation Plan Review $ Fee Determined by Engineering $ Agreement necessary ( ) Non Necessary ( ) $ �. �, 9 Make checks payable to: City of Fridlev Attach THIS IS AN APPLICATION FOR A PERNIIT-NOT VALID UNTIL PROCESSED I hereby apply for a building permit and I aclaiowledge 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; that the work will be in accordance with the approved plan in the case of all work which requires review and approval of plans. SIGNATURE OF APPLICANT PRINT NAME �, BN�C..�J iLfJLf�OvDATE ,�J� �(j� 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 altera.tion or repair to any e�cisting 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 Pernuts for construction will be issued a minunum of 24 hours from the time of application to allow for proper review of proposed structure and of the conshuction 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 — — -- �i�y o-��e3� — -- — — -- — — - - Building Inspections Department 6431 University Avenue NE Fridley, MN 55432 763-572-3604 Fax: 763-502-4977