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AF - 46394� � Citp of Fridley, Minn. : �_i �� ' �� : 3.�.. 3.a ....��.......... � N° 3752 �� Ownec ........... ...... .. .... ................ Bullder �.'/iY.!/.Y�P.41.. � 4�`F!�!^ ��'�':! . `�: ��, AddrESS...................................... Addresa ............................................. LOCATION OF BUILDING No. 1..� .J�. . !. . . Street . . („(rl3.Q.�L. . .� . ./tt!!{':�, . . . . . .. . . . Part of I,ot . . . . . . . . . . . �p j. �... ... .... Lat . .!� .ti�.... . BY«k ... '�. . .. . Addition ar SubDivi�on �At?S!+it�. . �l�F!�4 . . . .. . . y.... ... G�orner Lot ............ Inside Lot ...�[!�....... Setback . w�.�..._: ,�.��BifleYard ..l�i! ��.�..° ............... DESCRFPTION OF BUILDING � U.� : .. �,t s%:a`'��A`H�t �9.�� S4. �.ir..�a. �. �.�ry�� ..�,c�... .�1.....: . . �,t .�y.4.` �,� .a.i.�� /9Hn�ry� �o..� �. �. �.9.s! � �.��yA Type oi Cone . . . ��!!!'.^."'�r�,�.�t Cast. �I•t .� •I. l. � "'. . To be CuraPleted ... .... . ..... . .. . . . Ia consideration of the isaua�e W me a�[ a pe�mit W co�truct the buildinB desribed above. I agree to do the propoeed work in acaordence with the desslption abwe set forth and Sn caQnpliance with all pirovie�s of ordinancee M ihe dty of Fridley. � ................................................. w—� In rnn�deration of the payment of a fee of =.�`�.�. Permit is LerebY �ted to ................... ......................... to coastruct the buudln8 or addit.ton as descxibed above. Thia paaut is S+'�ted uPOn the exPress coadition that the Pereon W wham it ia granted and tda agenffi. emP7oYees aad worlvnen. ia all work done in,- around and upon said building, or a�y part theiea�f, shall oonform in all resperts to the ordinances of Frldley, Minnesata. regarding location, cronsfructf�, alteration, maintenaace, repair and moving of buIldinp with- In the city lienits snd this� perniit may be revoked at �y time upon vSolatlon of any of the provisions ot said ordinances. . i /_� _. . �://. � .f �:y,��!. ....,g�... Buildin� In,pector NOTICE: This permit do� not oover the conatruotion, Imtallatlon o� alteratton fo� wiAnp, plumhiey, pu hea4inp,. sewer or mtan Be wro to xe the Buildinp fmpeafor for uparate pe�mlb tor thare kema � "''e1r �� 0 �� , �� u r __ 4. � � P � m, � a � � A � J � � W H W � J Q � a �� `� �w v x v � ��Y �M � w d.�i.� � �b�� \ T N W ��. �. .. � d ��°� uum"� a.� m � N q � g a �, .S �; m �Fro yy .wi � °a°� b �� A '�1 F4y� °w' aysd ��Q� � d ��o� k� � � � �d w o F � ,�, v ,`�, N w'O'6 r" u W9� � N F w � o o °o n � W Y� b N g S $ � ti »� .�e � A 0 4 u B E � v � o,a � � o " ��y � N A �i i "�� S�� ' a a ,� axce" v I gl � � 8 m m � � � y a � $ � E U�p o y o m � m 'd 'O R �` t�. D F W I I N S a 8 0 ° CO N XiC LL'J N , � $o g � : $ tl g » R • : � � s�:s4 B � � � u d �� °° � � � �� °�� a� �' � �C �m• � �, a� a� ��. � ,� � .� Z W � W fi a � O z � �� >S O O � A sn .x1 q w �3' $o 0 0 O b KK1 W �O N N � : : � � �x �9 RI � . . W � E g ��o g��x a � �, w w �a;�axa $ � a3 m m 0 0 F � d N M �� d � ro b o ; � �a m pg u o � tH W W � Iw x � � r . . � � o B � . I G � �_ � � d �i U N W vv� � �, F o v � LL y a � A m � y m I � w ° z � � a 0 '�O � � Q N ° � S 0 0 ° R w o�c D w 4 v d � .5a. w m U � w G U .�Q. F a x 1^ i � z° � � � � . \� a v A � � � � � � ` W z v � W � - a � � � � 00 U �Q O� F �„ w rr aa a ° ° S ui � N N p x x x z � � � � a a%i °o �o y � N W � `1 Y w�o� � •N c� w m 'C m F � � � w 4 tl � �. � o F m W � �� a � � a � � � z��"" F � z o � a � F 4 ,e O V F W R w � � O O 0 a � a � m {n n � � w a 0 � < F i �� r > � Y � � � � � � � W � i N � � < � d � R � � � � �a� �� g�A �� °� m �� C • y ��$ 'a a s �s�� O s � Y� �iy g ��C � ��g I I f M K g 8 g � � .d e ee g �g� �$ s�� 8 � �°�<� �� 0 � . .. = � l•] `i � a� � y �� 6 ��y I 0 4 04 � g ��', 8 g g � a� d d ei M �Q $ � �. � s� s� � �$ � �� i! .11 s� �� a �, � � 1 B � 4 E I I i Y s 7 f� � �"1 � � z � � z a , r .1 i: 4 I t I � � 1 K I g g �', g c o ee ai $ M � � . '� a e �� $ses ��x �118� � � � x z 1 .f! :i $ $ � �� g�� W � .� � � �� 3� 3 M � O op0 � 0 °� � � � � � z � !+ � U � 0 � � � � � � U � t N , � « w w R � � a �� $tl. 6 �p 3 �w �R M � tl O 8 i° � M N M I I � �� s ��Wpe M .^ � �� , � � � � � � � . � � � A .�.%�.... o�� ,� �� s O � L7 1 , G i O � r r � � sue�ecr � � � �PERMIT N City of Fridley � 4346 ATTHETOPOFTHETWINS gUlLQIN.G PERMIT r � i � � � � . � � ECEIPT NO. � � � ; Y COMMUNITV DEVELOPMENT DIV. . . . .�1 � � �� PROTECTIVEJNSPEC110N SEQ . � � � � �` � �'�'1 � CITV HALL PRIDLE� SS�32 HUMBEH � BEY. WTE P�GE OF APPROVED BY `•��•�� ,•� 612-5903a50 / l � 910-F15 8 �� 108 ADDRESS �,024 Hacl4nann Ciscle N,E. � i LEG0.l LO1N0, BLOCK TRACTORAODITION SEEATTACNED � DESCR. � Z3 2 Parkview Heights sHeer �� .Z PROPERTYOWNER MAILA�ORESS ' ZIP PMONE Dennis Bechard 1024 Hacl�ann Circle N.E. 3 CANTAACTOR MAILADDRE55 Z�P PHONE LICENSENO. S�e 4 ARCHITECTORUESIGNER MAILADDRE6S 21P PHONE UCENSENO. 5 ENGINEEP MAILADORESS ZIP PHONE LICENSENO. 8 USEOFBUILDING 12ESl.d@I!t].3�. � 7 CLASS OF WOHK � ❑ NEW ❑ ADDITION � ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE � e DESCRIBE WOqK Reroof House 9� CHAN6EOFUSEFROM � 70 � b+T�PULATIONS . Install riflged galvanized valleys. New roof can he 2nd but not 3rd roof. TYPEOFCONST. OCCUPANCVGflOUP OCCUPANCYLOAD SEPARATE PEPMITS ARE PEOUIRED POR EIECTRICAL, PLUMBING, HEATING, -VENTILATING OR AlR GON�ITIONIN6. THIS�PEAMIT BECOMES NULL AN� VOID IF WORK OR CONSTRUCTION ZONING SO.FT. CU.FT. AUTHORIZED IS NOT COMMENCED WITHIN 80 DAVS, OR IP CONSTRUCTION � OR WORK IS SUSPENDED OR ABANDONED POR A PERIOD OF 120 OAVS AT .ANV YIME AFTEP WOPK IS COMMEMCED. NO. DW�G.�UNITS OFFSTREET PARNING I MEREBV CERTIPY THAT 1 HAVE READ AND EXAMINED THIS APPLICATION STALLS GAPAGES AND$NOWTME6AMETOBETHllEANDCORRECT.ALLPROVISIONSOFLAWS ypLWTION SURTA% AND ORDINANCES GOVEFlNING THIS TVPE OF WORK WILL BE COMPLIED WITH WNETHER SPECIFIED HEREIN OH NOT. THE GRANTING OF A PERMIT SSOO S• SO DpES NOT PRESUME TO GIV£ AUTMORITY TO VIOLATE OA CANCEL THE pERMITFEE SACCHARGE �. PAOVISIONS OP ANV OTHER STATE OR LOCAL lAW REGULATING CON. � STRUCTION OR TXE PERFORMANCE OF CONSTRUCTION. �7.SO PLAN CHECKFEE TOTAIFEE $a.�� ` I SIGN flEOFCONTRRCTORORRJTHORIZEORGENT IDhTE) WHEN PROPERLY VALIDATED THIS IS VOUR PEFMIT � l�yy[�� - '� (((f////,,JJ�� 9-�9 " SIGNiA'UF�OPOWNE �OWN WLOERI IDAT I ' ��BLW iNS� nATE / CITY OF FRIDLEY APPLICATION FOR RESIDENTIAL BUI4DING PEFtM1TS iNEW, ALTERATIONS, ADDITIONS, OR REPAIRS) -OWtiER: � IC.f�-� {`jl S ��C-H�1� BUILD�R: �t.JNf�/l.. Address: �OZ4 . � R�-i�✓v1A�J� �12-- Address: " , � ��. �.: ��9-�s �j No. :�Z--"S Street: �( 1 /� � {NLAri11� � t � .LpT; Z� BLOCK: � ADDITION: �{�CR-KV�� l�L(Gt'FTS CORNER LOT: INSIDE IAT: SiTBACK: � SIDEYARDS: Applicant attach to this form Ztvo Certificates of Survey of Lot and proposed building location drawn on these Certificates. 7b Be Used As: DESCRIPTION OF BUILDING Front: Depth: Heiqht: Sq.qam_Feet: Cubic Feet: Front: Depth: Height: � Square Peet: Cubic Feet: Type of Construction: {--Ji-{u-�OF l,.)//csPN+A�i Estimated Cost: $ �00 5�+��«S Zb Be Completed: Proposed Driveway Width If New Opening Is Desired Alt. A Alt. B $ $ (SEE REVERSE SIDE OF SHEET) The undersiqned hereby makes application for a permit for the work herein specified, agreeing to do all work in strict accordance with the City of Fridley Ordinances and rulings of the Department oi Buildings, and hereby declares that all the facts and representations stated in this application are true and correct. See reverse side for additional information. �- `� � � ��,�.�..-. ]�p�; SIGNATURE: Stipulations: � ��7, , SV � I � �� ...�; � SUBJECT . � P c�ty of Fridley ° 151ss AT THE� TOP OF THE TWWS �� BUILDIN� PERMf�f - ECEIPT NO. � `� � _ COMMtfNISV OEYEIOPMENT DIV. . � ��C�/ f � � � PFOTECTIVE'JNSPECTION SEC. � � . � J 1 . : i� � �"'1 : CITY kALL �� FRIDLEV 55�32 rureEn � �� Rev. o�r¢ P�GE or �apqoveo er ---�' ''� siz-5ea3a5n � . - . 910-P45 � � 5/2/79 j � � � l08 ADORESS 1024 8aalanan Circle N.E. .7 LEGAL �OTNO. BLOCK TRACTOHADD�TION - SEEATTACHED DESCR. 23 2 Parkview Heights SHEET 2 �PflOPERTVOWNER � MAILADDHESS ZIP GHONE Dennis Be�hasd 1024 Haclrman Circle N.E. 574-0511 3 CONTRAGTOfl �� MAIL ADORESS � Z�P PHONE UCENSE NO. Same 4 ARCHITECTOPOESIGNEH MAILAD�RESS ZIP PHONE LIGENSENO. 5 ENGINEER MAILAOUflESS 21P PHONE IIGENSENO. B USE OF BUI�OING � Residential 7 CLASS Oi WOflK � . . - ❑ NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOYE X e DESCRIBEWOflK ' Construct a 16' x 20' Addition to HH�use 9 CHANGEQFUSEFROM TO � . STtPULATION5 provi.de oombusti.on ais to existing furnace. Pmvide fire alarm. SEP6RATE PfRMiTS REQIi�RED FOR W��• ,� HEAi'tNG� PLllMBfl�tG AIYD SIGdS Befinew� ��u6�itias 1ElEPHONE-EIECTRiC -GAS Etc. RFQViR�� aY �aw �� TYPEOFCONST. OCCUPANCYGROUP OCCUPANCYLOAD SEPAAAT� PEfiMiTS ARE HE�U�RED fOR EIECTRICAL,. PLUMBINCa; HEATING. � VENfl�ATIN� OR AIR CONDITIONINCa. . � � �DOd Pi"d1R@ TM1S PERM{7 BECOMES NULL AND VOID IF WOPK OR-CONSTRUCTION ZONING � SQ.FT. C0. FT. AU7NORIZED IS NOT COMMENCED WITHIN 80 DAYS. OR IF eqN97RUCTION � OR WORK IS SUSPENDEO OR ABANDONED FOR A�p�RIOD OF i2B DAYSAT � 3ZO � GQOO � ANY TIME AFTER WORK IS COMMENCED. � . NO. DWLG. UNITS> �. OFFSTREET PARKING I HEREBV CERTIFY THAT I HAVE REAO AND EXAMINED THIS APPLiGAT10N S. STALLS � GARAGES ANDKNOWTMESAMfTOBETRUEANDCORRECT.ALIPROVISIONSOFLAWS yALUATION � SUR7AX AND ONOINANGES GOVERNING THIS TVPE��OF WOPK WI�L BE COMPLIED � � � WITH WNETHER SPECIFIED HEREiN OR NOT. THE GRANTING OF A PERMIT S1O� OOO� ��S.00 .. DOES NOT VRESUME TO GWE AUTHOHITV TO VIOLATE OR CANCEL THE pERMITFEE � � ..� � SA�CNpRfiE � PROVISIONS OF ANY OTHER STATE OR IOCPL LAW ftEGUTATING CON- $60.00 � ' �� N(�NE . STRUCTION OR THE PERFORMANCE Of CONSTRUCTION. � � - � . PUiNCHECKfEE �' � �� -" TdTkIFEE _ $15.00' 580.00 X�.S�G TV�+EOFCp=iNACTaqoR�A-gTHOfltZEOnG�' � 106iE1 WHEH PROPERLY V LIDATED THIS IS �OUR PERMIT // ♦ r .% 1Lfif K SIC+NATIINEOfOWNEROFOWNEflBNCDEP)—�.� �- - 1_-� BLDG.INSP DATE .___. . . . � • • CITY OF FftID�EY APPLICATiOi� FOR RES1llCNTI/1L BUiI_DING PERt'IIiS ��IE{J, �ILTERATIONS, ADDITIONS,� OR REPAIRS) OWtiER: �/��! S k�J C�Hf+�-� SUILDER: .� 1'� � �' � Address: �OZ`I-. l�fJL�/�'j9y-�jJ �i,e Address: SfIY�/2 Tel. tvo. : S% 4–O j/�. . No.: ��Z`t- Street: �� C� l�lfin�i�-� Cl�. 7AT: 2� BIACY.: �� ADDITION: Jfi�K[�/EcJ /TZ/G!"%-5 COItNER LOT: INSIDE IAT: SETBACK: SIDEYARGS: Applica'r,t attach 'to this forni 7WO Certificates of Survey of Lot and proposed building location drawn on these Certificates. DESCRIPTTON OF BUILDING � To Be Used As: � . � � � 1�% i� tJ Front: �_ Depth: �� ' Height: " Square Feet: � LUbic Feet: � �y_T� Front: Square Feet: Depth: CUbic Feet: Height: zyPe of Construction: �U�r� f�l)� / i/�� Estimated Cost: S� — Rb Be Compieted: �" 3 D � � / % % � U� �� • Alt. A Alt. B Proposed Driveway Width If New Opening Zs Desired $ $ . (SEE REVERSE SIDE OF SHEET) The undersigned herek,y makes application for a permit for the work herein specified, agreeing to do a12 work i.n strict accordance with the City of Fridley Ordinances and rulings of the DeQartment of Ruildings, and hereby declares that•all the facts and representations stated in this application are true and correct. See reverse side io additional information. DATE: –Z�–/ SIGNATURE: �0�, ,.;,_ Y�=L'�CGc��sY V Stipulations: ��µ `r a�L�. .Y.��: 32.� s 1(i�U��.�' � LO�OO� P� Sno �'j pM1OU�o6 C�w{lusr�•� Tx ' � � � �'1 �1 �i E+✓�i?1K1 F••n•wAewO � �w,,�- 574-oS�( . m Pr,.s�„�E F,.�c ��ie.r.u�. w��k 3¢x-381► _ G 0. trv IJ.OD S. a � 8"� "'�°�T��"� C. E. C O U L T E F� nusness �alvi.ors tAND SURVEYOR TtiTOGRAPHICIAAPPINU RE^u:STcRER UNDEFt�LAWSO� STATC CF V,�:�tig50TA LICENS'c� BY OR'JI VA�'O'_' O? C:?'! C° RiflqEpppL�S °3�0 LYNDALE AVE. 50. MINNcA°OLIS 8. MINN. TAYLOR 4-0370 � / �`«' y� 1 C. ` '` �- i-� (rOn � ��a N�G n �J � � � �'![PGP�1[iC�S C�:PTilftAiF r�n.�� " �_f_' ' i�YOr. _-- _-7 5-- �� M � �,. iRGPUS�`'� � N � s<<_,;;:E�,�� .. Ib I ,i - � t C" O N �o � 1� .I . � (`^. � � 1IUi'5��;�; .. Grai��.:9-' Eat<�no -.�, . _ — c __�__,� _.�_... "7✓,CT.. _ 3�bCIC z N :ks { �: /�� I vurnnc IARM SVHV£Y$ LAKfSMOBE JU71CIA1. 1'�� 30 I hereby cvrtify tn�t the <cove is a tru� and �o-=:°act �ila'� o= a survc-y oz: Lot Tv�F2r:tiy-three (23 , �loc!: Two (2}, °a_kvie�.�: :_eic:hts :'�:J��-;iticn, :=.noka Coun��, ?�:irnesota, � �,s sut�v�.yeo by ;ne this 13t}�. d�y oi �'eti�ruary 1:�� . _., / . . i r.,-. Sianed !.�. �� :-> - , <-% � . .,:in��sota �.�.^,.i:=:t'a�i�n i:.. 2534 � � { " -IIiERGY CONSERVAT201� SUPPLEMENT.TO BUILDING PE�NIT APPLICAZ'ION pLANNING 11ND INSPECTION DEYART.'�NT CITY Or PRIllLEY, MINNESOTA This supplement is provided to assist the applicant in computing EXTERIVk ENVEIAPE AVER7IGE "U" FACTOR INPORMHTIQN. This information is required so the BUILUING OFFICIAL can determine that submitted plans canply with the ENERGY CONSBFn:ATION DESIGN CRITERIA of the STATE 13UILDING CODE (Section 6000). It is the flPPLTCANT'S responsibility to accurately compute the data; reflect the proper D�SIG:+ CRTPERIA in the plans; submit product specifications, if r.eeded to supnor.t tlie "R" and "U" factors used; and to assure construction is per approved plans. JOB 7ACATION: /� Z`f" f��<}GI</✓%^�N C/K � . OWNER/CONTRACTOR: JJENIJ � S � C/-iA�� ADDRESS: / D Z¢-- ri�R�C��M�� 2 PHONE: ��T �O S� A. Determine the Total EScposed Wall Asea as follows: 1. Total wall window area 2. Total door area 3. Total sliding glass door area 4. Total fireplace wall area 5. lbtal wall framing area(av.erage 10"e) 5. Zbtal net wall area above floor(average 90$) 7. Total rim joist area Subtotal: 7bta1 e3cposed wall area above floor 8. �tal.foundation windcw asea 9. 7bLa1 net fourdation area above grade Subtotal: 7btal exposed foundation area GRAND TOTAL EXPOS�D WALL AREA �---- � � � 47. � . s8 � :1 �7�— B. Multiply the GRAND TOTAL EXPOSEU WALL F,REA X.17 = C. Determine trte Total Exposed Roof/Ceiling Area as follows: 10. Total skylight area � 11. Total roof/ceiling framing area (10$) .3 Z- 12. Dotal net insulated roof/ceiling area _ Z 0 GRAND TOTAL �XPOSED ROOF/CEIL2NG ARFA z a D. Multiply the GRAND TOTAL EXPOSED ROOF/CEILI:IG ARF.A X.05 = r t �9 __.___ O 0 Item I �y� Item II J_ /f0 J E. Detezmine Lbe "U" value of each segment (1-9) and multiply by the area as follows: 1. X ��U�� . S�v � = Z�, O T 2. Q_., X .��U�� ._ _ "--- _ _ 3. ..—t2�__ X "U" S(o � _ �O: ��a 4. C� g ,�U�� — _ ^ �� ----O----� �_—._�._ 5. �7 (a r`+'-' X uUn . �_?_�_Q__..-- � �IS�L_�- � �?__ 6. _��c% x ��U�� .__�C�_�O ._._ ° Z O � � �i _ 7. _ J G _ g ��U�� _0�_._ - _�.�� -- ' 8. O g �.U�� .�. _ _--. 9. �C� g �.�« _ _._. �1 � %� _.�,_Z_Z-_- AUD 1-9 FCR TOTAL iPALL SEGMENTS = ITEM�LII (/!C�✓� F. Determine the "U" value of each segment (10-12) and multiply by the area as follows: 10. _� �i. 3 Z iz. Z �'�' X "U" �_ X ��U„ __LZ�p . X „U„ , oz S ADD 10-12 FOR TOTAL ROOP/CEILING SEGMENTS _ � _ ; 7, 3c� = 7 Zo ITEM IV �O G. If Item III is�the sasne as, or less than Ite�n I, you have met the intent of State Building Co3e 6006 (c) 2_ H. If Iten IV is the same as,.or less than Item I2, you have met the intent of State Building Code 6006 (c) 1. 2. Add Ttetn I J. Add xt� azz � � lo •� + Item II + Item IV /� � _ � �� = iQ K. If the sum of Items III and IV are less than Items I and II, you have met the intent of th e Code for total envelope system. The undersiqned, as applicant for a building yermit, hereby affirms the above infozmation has been prepared and submitted by himsel£ or under his direction, hereby acRnowledges the information to be correct and accurate; and hereby presents tlie information with required plans in support of the building permit application. BY: h/,Piw.�-.. V��'` -"'f"„\ DATE: T�2 � `� t i Q � � �, � �� , . Ex;srv.v. /-k,�>c.. �- r � F�y,� JoisS /b� o�. q� � f•if.JG f�Ji E I%P�-E F`� eF � �/ Ex�S��r� ✓ F"�"'Y'*�•.� $C��e =� , I�'u„ / � � s�� s� �N s AiPfia�c �2 SnC� f 1 C � (�l� j �S . i�� a. ��' q 4�� i t 5, d � ry �o N 1 1� � �4 � �{ai �) ,.�.,_, I��i zP�v�,,,.� swf.m�.,.,b. �` l _ _ _� , , :� r / 1 %�.�iJ. ` i�' )� . ��, Sk�r-��-� WH,r,t k, s,...� .gya�dr-a[5 z,a rM1�ir€r L? � oC, .i- ,„,� P°`1 ��.� . / � SUBJECT � '�City of Fridley 1560 ATTHETOPOFTHETWINS BUILDING �PERMIT - � o. � � � COMMUNITY DEVELOPMENT D�V_ � O f � � � PROTECTIVE INSPECTION SEC. � � � � i---_� �"9�'� qTY HALL FRIDLEV SS432 NUMBER nEV. DATE cnGE OF APPROVEO BY y 612-571-3450 910-F15 1/16/80 � � � JOB ADDRE55 1024 Haclanann Circle N.E. . 1 LEGAL �OTNO. BLOCK TRACTORADOITION SEEATTACHE� DESCR. 23 2 Parkview Hei hts SHEET 2 PROPERTYOWNEfl MAILAODRESS ZIP PHONE Dennis/Barbara Bechard 1024 Hac3�ann Circle N.E. 574-0511 3 CONTRACTOR MAILAODRESS ZIP PHONE LICENSENO. Same < ARCHITECTORDESIGNER MAILADDRESS ZIP GHONE LICENSENO. 5 ENGINEER MAILAODRESS ZIP PHONE LICENSENO. 6 USEOFBUILDING Residential 7 CLASSOF WORK ❑ NEW ❑ ADDITION � ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE B DESCRIBE WORK Install drain tile 9 CHANGEOFUSEFROM � TO STIPULATIONS Electrical extension corcis cannot be used as part of the power source to th.e pwnp. SEP�RATE PER�It i 5 KE(�t}iKEU F�R YVlR1(VG HEATING, PLUMBiNG AND SIGNS. TYPEOFCONST. OCCUPANCYGROUP OCCUPANCVLOAD SEPARATE PERMITS ARE HE�UIREO FOR ELECTRICAL, PLUM8ING. HEATING. VENTILATING OR AIR CONDITIONING. � THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONIMG SO.FT. CU.FT. AUTHORIZED IS NOT COMMENCED WITHIN 60 DAVS, OR IF CqNSTRUCTION OR WORK IS SUSPENDEO OR ABANDONfD FOR A GERIOD OF 120 DAVS AT �� ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS OFFSTREET PqRKING I MEREBV CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION SiALLS GARAGES ANDKNOWTMESAMETOBETRl1EANDCORRECT.ALLPROVISIONSOFLAWS ypLUATIDN SURTAX AND ORDINANCES GOVERNING THIS TYGE OF WORK WILI BE COMPLIED WITH WHETMER SPECIFIE� HEREIN OR NOT. THE GRANTING Of A 7ERMIT �375 $. SO DOES NOT PRESUME TO GIVE AUTHOfiITY TO VIOLATE OR CANCEL TNE pERMITFEE SACCHARGE PROVISIONS Of ANV OTHER STATE OR LOCAL LAW REGULATING CON� STRUCTION OH THE PERFORMANCE OF CONSTRUCTION. . $%. SO � PLANCHECKFEE . TOTALFEE � . . � .. . � �8.�0 SiGrvATUREOFCOr+iPnCrOaoRA�rHOa¢EDnGErvi �DaTEi � W1{EN PROAERLY VRLI�ATEO TH{S IS YOUR PERMeIT� � /—/L'� � �C7 . �UREOFO'�`INERtl[OWNERBU�LOE i �DAiEi BIOG �NSV �FiE CITY OF FRIDLEY APPLICATION FOR RESIDLPJTIAL QUILDIR�G PERMITS (fJew, Alterations, Additions, or Repairs) OWtiER: ' � , , ' � w ��b�_� t�� _ � � � ADDR[SS: ( o�.�,��}- �a � � C' ' � BUILDGR: - ADDRCSS: TEL ND: 5 ��/ - c9 $/! _ TEL I��Q: _ Construction Location STRJ�T NO: '�l f'.�� STRE�T: .�-r� ��-� ,>•� n.. C_ �,-. j,p7!: ,�` � BLO(xC: �• ADDITION: , � / �=.i � c w %� c �� S . _ Coxner Lot: Inside Lot: Setb ack: Sideyards: Applicant attach to this form two Certi£icates of Survey of lot and proposed building location.drawn on certificates to scale. DESCRIPTIOfd Of CONSTRUCTION � � �� ; .� / �, -� Front: Squane Feet: Front: Square Feet: Type of Construction: 7b Be O�mpleted: Depth: Qibic Feet: Depth: Cubic Feet: H eight: Height: Estimated Cost: $ � % � v o Alt. A Alt. B Proposed Driveway Width If New Opening Is Desired: $ $ SEE REVERSE SIDE OF SHEET 7iie undersigned hereby makes application for a permit for the worK herein specified, agreeing to cb all work in strict accordance with the City of T'ridley Ordinances and rulings of the nepartmei:t of Buildings, an3 hereby declares that all the facts and representatiais stated in this application are true and correct. DATE: � � ��' b �% SIGS.�ATSSRE: Stipulations: � � Sv � o� ,. ��.r�S _ .... we�ec. . City of Fridley ATTHETOPOFTHETWINS gUILDING PERMIT r � . � � COMMUNITY DEVELOPMENT DIV. r ��V PROTECTIYE INSPECTION SEC. � � i_-..� �"'�.� CITY HALL FRIDLEY 55632 NUwBFR AE� i 612-571-3450 970-F15 IOBADDRE55 1024 Hackmann.Circle N.E. 1 LEGAL �aTNO. BLOCK TRACiORADDITION DESCR. Z3 2 Parkview Heights 2 PROPERTYOWNER MAILADDRESS Dennis Bechard 1024 Hacluqann Circle N.E. 3 CONTRACTOR MAILADDRESS Same d ARCHITECTORDESIGNEH MAILADDRESS ENGINEER MAIL ADDRE55 �TE v�GE Of 7/3/90 % � " 20458 PECEIPT NO. SEEATTACMED SHEET PHONE 574-0511 VHONE LICENSENO. PHONE LICENSE NO. PHONE B � USE OF BUILDING ltesidential i CLASSOiWORK � NEW L� ADDITION ❑ ALTERATION Q REPAIR O MOVE ❑ REMOVE B OESCRIB6WORK Construct a 23� x 3-.5` Deck on Front of Dwelling 9 CHANGE OF USE FROM STIPULATIONS See notations on plan. �� Before digging call for all utility locations 454-0002 REQUIRED BY LAW SEPARATE PERMITSAqE RE�UIRED FOR ELECTflICAL, VLUMBING, XEATINCa. - VENTILATING OP AIR CONDITIONING. THIS PEPMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING AUTHORIZED IS NOT COMMENCED W�TNIN 80 DAYS. OR IF CONSTRUCTION OR WORK IS SUSPENOEO OR ABANDONED FOR A PERIOD OF 120 DAVS AT ANY TIME AFTER WORK IS COMMENCE�. � � NO. OWLG. UNf 1 HEREBY CERTIFY TNAT I HAVE REpD AND E%AMINED THIS APPLICATION 1 ANDKNOWTHESAMETOBETRUEANDCORRECT.ALLPROVISIONSOGLAWS yp�UATION AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED $(OO WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PENMIT DDES NOT PRESUME TO GIVE AUTMORITY TO VIOLATE OR CANCEL TNE pEqµ{TFEE PflOVISIONS OF ANY OTMER STATE OR LOCAL LAW REGULP.TING CON- � $l�.00� STRULTION OR THE PEFFORMANCE OF CONSTRUCTION. �-.s-�r�l ! STAlLS Gnnwcat SURTA% $.rJ� SACCHARGE TOTALFEE 17,$� ;q HIS I$ (v�OUR PE i, . ' /, 2, �'1 [ ) Effective 1/1/90 ADLN [ ] R-1 AND R-2 AL'I'FL'�t �J Buildinq F�etmit ApQlicati�t (brLStYllCtiaRl Addro_sa: I Q�� f'r�(�YV1�� ( 2. LEg'dl D�SCY'1�1W3: owner Name & Addz+ass: QE-N!J IS �tJ � C,{-1�1,IL-� Te1. cxxi,tm�: S� z+�.. .., � . .,r tl Y. H Ji�• .��«� ..,,,. . � �:,�• � S�4-o� I� # Attach to this application, a Certificate of Survey of the lot, with the pxq.�osed oonstrvction drawn � it to scale. �IPPICd�I O�F II�AOVE�NP i�ength Width iieic�t Sq. F't. LP.TXj�'Yl Width Heic�t Sq. Ft. Iergth 23 Width .3-S Hgt/Gxanrl �x Sq. Ft. ��• S tf�v 1� 1•Oi / Z J�' j�`� Corner Iot [] Inside 7�t [�CJ Ft. Yd Setback Side Yazd Sethacks�- Zype of O�.structi�: ��OO Fstimated Oost: $ 6reo ��p �% � Approx. Oa�letion Date: �- 1- i o Propoezd Driveway Width If New Opening Is Desired: Ft. $ $ Width + 6' See Back Page �: �-3-io ��: Q��s �� . # s � �-os rl CI'1'Y USS �II,Y F�rmit Fee State S1ind�atge sAC a�ar�e Driveway ��crow Park Fee Sewer Main C2�atge � Y•\ $� S S $ $ .Jv Fee Schedule � Revetse Side S.SO/Sl,000 vai�tio�► $600 per SAC Unit Alt. "A" or Alt. "B" Above Fee Determit�ed bY �4��9 �m �rY I] Not Ne�ssazY I 7 a �pQ U � ��— I� (x�-%- r� I� \ � � , _ . . --- -- -- -- --- ---- �- � � _ _ _ _-- _---- --- -- --- - - � - - - -------------�--�--- �� Ib � _ _ � � ,� � - � � ------. -�A� _ - -----�--- �—^ -�--- �� —+� — ---e�----� ,� � �_--� - Z . -a, - - -- _ -� � -- -� �= -- ��-` - --- °�� -- - - � �---�' -� � M � - -a� ---- ---- ---- � nl �, P � —� _-� - J �- - ` __�__ 3 -- -- -- -- q = � -- - — — --„� --- --� ---k? — -� —�— � J w __ � - � --- - - � _ - �— ___— � _ —o -- --- - - p-=--- � �_ � � � � - - - -- — - -_. _ �- --_ �''— 0 -- o-- - -- - � ------ ----� -. _ __ --- ,� -�-- — --�-- - ----� — � - -q --i — `� � � __ �,,. _i ----_ ----- ---- - 3 _ ------- - _ _-____� � � .. , _ . �� - _ -- -� �- / -- _-- Z------ - �- — -�� - - - -- . �'° � J - � --- - - - --- , -- - --- -= - - �. _ — --- .:- _ c �I � � � , ,� � `i� �ii ' ,� p .1 \ -- -0_—�,� � - � - � � _ o ---� � - _ � _ �- ---�—� � ---��- a. ��._ � � - -�- x � �� i -- -�— �, q y oo � � � � ---�- -�---------,� --�—_� � N ,� -Z � o t _ r � � - J � ----�D� - � '' � -- :i--- _- _�.�: — _ __ ., .,-_- - -- ---- -- ----�T--�� v � --� � � `� , �_� _�z � � � � � ► � � � � ` � Z � �. ( � � �� -; � 2 ., ., `�� _ _ -; :-- _ - --- —179✓ti�� C c �i.k. i_ _ _ ----- - -- -- - _ _- - - — ;. -- �--- _ . --- - - ---- - -- - --- --- --- - -- - - - - ---�--- - - ------------- --- - - -- - - ;; �. -- - _- ;— _ --- - - -_ - -- �i --- _.-_ � -- - --- -- -- ----- ---- - --- -- _ � �� --- - �� - _ _ _- - -- - - __ --- -- -_ _ -- ------ _ � . _ - - �i'�' - - - - - � � � G --_ _ _. - - - _ _ _ _ ��NO � � _ -- -__ - -- _ fi � �' / � 24- __ _ . _v � � � _ _ �� - - _ -S L * �� --- - - _ _-�__ _- -�� _ p� � t/��_._ _ _ -- -- - - - - ---- --- - �� .._ _`__ � - - -- ------ - � _ - - - _ _ - - - - ---- ---� ---- -- - ----- - ---------- _ _ _J1-'WfC�9-y___ __ -_�, � - -- - -- - - -- _ -- - . m ---,--- - ---- SuB�EQ City of Fridley A77HETOPOFTHETWINS gUILDING PERM i • � �' L COMMUNITY DEVELOPMENT DIV. � r � � � PROTELTNEINSPECTION SEC. � �...-� --',.J CITV HALL FflIDLEV $51J2 wUUBEn PEV O�TE 612-571-3450 9�0-Ft5 5/2/91 J06 AODRESS 1024 Hac]¢nann Circle NE 1 LEGAL �OTNO. BLOCK. TRACTOAADDITION DESCR. 23 2. Parkview.Heighis Addition 2 PPOPERTYOWNER MAILADDRES$ Z�P Dennis Bechard 1024 Haclaqann Circle NE 3 CONTPACTOR MAILADDRESS Z�P Kirchner Construction 26955 Sylvan Lake Rd, Rogers, MN 5 a ARCMITECT �R �ESIfiNER M1�1Ul A�ORESS Z�P VRGE OF / / 1 • � y�oyy PPROVED Bv SEEATTACHED SHEET PHONE 574-0511 PHONE LICENSE NO. 425-4480 VNONE LICENSE NO. 5 ENGINEER MAIIADORESS ZIP PHONE LICENSENO. 6 USE OF BUILDING Residential 7 CLASSOFWORK ❑ NEW ❑ ADpITION O ALTERATION �1 REPAIR ❑ MOVE ❑ REMOVE Reroof Aouse & Gdrage (33 Squaresj 9 CHANGE OF USE STIPULATIONS Un all new roofs or tear-affs azd �epfacemen! ;oofs, Siate Code requ�res that 1 layers af 15 Ib. +eit, mopped together, be insialted fo a point 2� incbes u►� irom exterior waR line, or the use of other aPDroved underlay�aent r�rane, SEPARATE PERMITSARE REOUIRED FOR ELECTHICAL. PLUMBING, MEATING, VENTIIATING OR Alfl CONDITIONING. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZpNING AUTHOPIZED IS NOT COMMENCEO WITNIN 80 DAVS. OR IF CONSTRUCTION OR WORK IS SUSPENDED ON ABANOONED FOA A PER100 OF 120 DAY$ AT ANV TIME AFTER WORK IS COMMENCED. - NO. OWIG. UNITS I MEFEBV CERiIFY TNAT 1 HAVE REAO AND E%AMINEO THIS APPUCATION 1 ANDKNOWTHESAMETOBETHUEANDCORHECT.ALLPROVISIONSOFLAW$ yq�UATION AND ORDINANCES GOVERNING THIS TYFE OF WOpK WILL BE COMPL�ED $1 716 WITH WHETNEH SPECIFIED HEREIN OR NOT. TFIE GNANTING OF q PERMIT � DOES NOT PRESUME TO GIVE AUTMORITV TO VIOLATE OR CANCEL TME PERMITFEE PROVISIONS OF ANV OTMER STATE OR LOCAL LAW REGULATING CON-� 41�QO STRUCTtON OP iHE PE ORMANCE OF CONSTRUCiION. $ e PLAN CNECK FEE �C�G�n- - f�_ 5' l— �!/ � S�GN4lU0.EOFCON'0.ACT00.pqAUTMOR�ZEO<GENT IOAT& � WHEN PP( Gif.Nn�i�C[!lCl1WU[O�Ifl1WNGR8111LOEFl IOATEI XIlIf.INSG CU. STALLS GARAGES SUFTAX $.86 SAC CMARGE Fire SC $1.72 TOTALFEE $43.SS � I l � � ) ra+Tm [ ) Omstsuctim llddt+ess: Ieqal Descriptian: � .-_, It-1 At�ID I�2 Huildirig Permit Applicatim � .� C�i`fG ��2 Effective 1,/1/91 �/V- Owner Ne�e & *.aa._...... O�►trac.'t.o�': . � 15 ��✓'� Yl � v' C��.JSi • qp1. r��-�--: a'��i�� S�./ur�K �k, f�� o�Q.s _� vi■, . ;�r: (�RAL�E ]1RS1�: YiM' !J/- .1�:��• ; -' �-i -�� i r � �/�2�-�/`�&o %l� s� 3�v Attac3� to this applicatim, a Oertificate of Sluvey of the lot, with the p�zvposed oanst,n�c.tian �a�wn m it to scale. � �:.�• .• . .: Width Heic�t � Width Heic�lt _ Width Hgt/GYaa�d Sq. Ft. Sq. Ft. Sq. Ft. a s� Coz�nes I�t [] Inside iot [] Ft. Yd Setl�ack Side Yazd Setbacks - Type of OorLStsuCtiori: /`oo`�r`�C Estimated C1ost: $ 'r''� __ /%/lo, ro Approx. �letion oaate: � �U �k � Prq�osed D�iveway Width If New Opening Is DesiLed: Ft. $ S -y� �l�dth + 6' See Ba/c/k PCaqe /� IY�,TE: � '- � ^ �� APP'LICANf • ��7C�...P/in�, Tel . � �`a 0 " �% a (� Pexmit Fee $ � ,i5 � Fire svxi3�arye $ 1,'1� State S13i�ge $ c°( SAC Q�azge $ Driveway Fsc.zvw S Park Fee $ Sewer Main Q�azqe S TClPAL S J �-' 8 �S %S.�a � «�,� � _, . � � Fee S�erZule m Revexse Side .001 x Pesmit Vslu3tia� (1/lOth $) $. 50/Sl, 000 Valu3t,im $650 per SAC Unit- lilt. "A° Ga' Alt. °B" AbOVe �'�2 C�SAr�nit�+r9 � �inoori 'r ��=Y [ ] ��Y [ ] ti A �1 � Y O 7 C 4 7 � 0 L > N Y U d � > J LS C W u. 0 } � u C 2 < \ _ 0 � Q Q W � a W C 2 0 f 5 "' W i i i o 0 z a J N O P O ul u �- H . r U' N _ �� W 2 x o 2 ~ < _ H O F V 2 K O� Q K W 0 d � LL O O S �- N U W J Q o OC � C� • s � $ n � s N � � .a M Y � Z � � � J . a M i C � .+ � > w O C O - U O V b d � y 1 �� M 1fl C O M 'E �o � . .+ .� mF • �` -�j • h�l V L �.� U P O M � M C 9 L Y Y aM O Y Y � O � <' i � Y M • Y L ti � V�1 p/�� Y � 9 Y V � � T • E�m�M Y / 4 y Y G w � Y U C ~ W , ' y Y y C : N . � y C • < • 9 G U� � Y : i M q4;s n �..�3 9 + i o � 6 � � O y� O Y O � :�5: c m a w 4 O 6 Y q� � M � i ~ � e � • w' s � • � i e i 0 q w �� `�lll � N N N N �IR rvl .�I �I �I N h N M y C � � M 2 V w a V y V U� � � gy � .� � o-t N � C � • 4 .� . o.g€ r � �� 0.:a o H 7 � 4 6 • • � e. m c� o � � � 0 � g Y < °u � O � O \ Q � � ��, � � w F � � S h � > I I Z F � 6 : M 0 � x 0 al N �1 � NI al al �I _I ol O O .�1 b Y ns w j.� C O � M .,1Y y yV 90 � `• � � w 4 9 • -� �N 6 Y1,�4 \M O •�a3 Y ,a�,�i�� a > a�eo u o� N � t < y � • � +� C S o ° M 7 a i < � .. �$ O 8 • u � O P .4' M � � N O F] a � m � O O 0 � u°1i d O .. F hi a N z s 6 3 � bz »E 6 � G i � N s Y V � . Q E � I a 3 ` • � M r a • Y a o u Y � � 7 � ✓ � rQi � � V � � 9 ;�[�' p 9 hal ` 9 a u 1 O Y C O o T u � u 3 ° a 9 x � c� � � Y \ Y Y o � n "e ` m d M � 6 w • • M M d i s .. o o� e r � 3� °a � � � II S m ■ � ; 2 o° •„ f I Y � a�t m O 41 .: � T u y � � m a a c � P N F �a � C Z r+ WC�7 Za V = � V 8� y �N �a F 4�0 N S N YZ � 4 9 F O m � � � � o, o 0 � N s -. Z ~ ti y �� € F u C � Y Y U G � O c 0 v � ` N V � N � a 0 Y V 9 Q 0 � ✓ Q7 a �y M N m y o Q .� C P ti � �g ao A � M �e � u c O � i o � c E : w � �� 3y : Y- Y • ' CHIMI�EY AND STACK YERIFICATION The undersig�ed hereby verifies that the existing chimney or stack; 1. Has been carefully examined Yes ('� 2. Is free from rust or deterioration Yes (j� 3. Has no foreign objects lodged within Yes ()cj 4. Is securely supported Yes � 5. Meets atl current Code requirements for size and total BTU connected _ +�� o00 - 6. Has Total heating BTU's of All other BTU's '3 , O o o _ TOTAL %��, d� Rema rk S No ( ) No ( ) No ( ) No ( ) Yes (� No ( ) Canpany �yi�i� � Signed By ��---- �, ---� Da te �" �d '—" �� NEW [ ] CITY OF FRIDLEY ADDN [] 6431 University Ave NE, Fridley, MN 55432 ALTER [] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 - BUILOING PERMIT APPLICATION Construction Address _ Legal Description: � Owner Name & Address: � Contractor: � Address:�5q � tr' �s �� Effective 1/1/2003 (763) 572-3604 Bldg Insp (76�)571-4287 Fax � I2�.�.� ' S -- Tel. # ��Q3 �7— QJ�� ,M,`N LICENSE # ��oZ 0 S�/ � lV Tei. # �Q�J � � o7��J '�� 79 ss�a� Attach to this application, a Certificate of Survey of the lot, wilh tfie proposed construction drawn on it to sca{e. DESCRIPTION OF IMPROVEMENT UV�NG AREA; Length Width Height Sq. Ft. GARAGE AREA: DECK AREA: Length Width Height Sq. Ft. Length Width HgUGround Sq. Ft. OTHER: I ns�uli ► 212e,�� Construction Type: V I N.0 � Estimated Cost: $� J �/1 IM Driveway Curb Cut Width Need'ed: _Ft. + s Ft =_Ft x S = 8 DATE: °[ (30 APPLICANT: �1/ln�, 7lD� ��#' �DI �l . Cali (763) 572-3604 for Pertnit Fees if mailing in application. Fax to 763�71-1287 if using credit card and we will call you for card number. CITY USE ONLY - Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Curb Cut Escrow Erosion Control Park Fee Sewer Main Charge $ %l/ � Fee Schedule on Reverse Side $ o?� SU .001 of Pertnit Valuation (1/10th°�) $ �. DO $.50!$1,000 Valuation $ $1275 per SAC Unit $ �•D0 $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 [ J TOTAC. $ �d�/. /S STIP 1 ATIONG. Building Inspections 763-572-3604 FAX iNIS APPLICANT IS: TENANT COIYTRACTOR SUBMIT A COPY OF YOUR STATE LICENSE AND CERTIFICATE OF INSURANCE PROPERTY TYPE DESCRIBE WORK BEMG BUILDING RESIDENTIAL APPLICATION CITY OF FRIDLEY YOUR E-MAIL ADDRE55 C; r ❑ OWNER r STATE $INGLE FAMILYMEW CONS7RUClli 11P0 FAMILYMEW CONS7RUC770N ❑ BASEMENT FINISH O ROOF O DECK "4CSIDIN ❑ NEW HOME CONS7RUCTION ❑ ADD1770N ❑ MAINTENANC&REPAIR �REMODEL ROOFING NUMBER OF SQUARES GARAGFS PROPOSED SIZE: PROPOSED HEIGHT: SIDIN ❑ v��yi ❑ Alwninum ❑ O[her WINDOWS INIXISTINGOPENINGS OYes ONo OR FOR NEW OPENINGS-DESCRIBE SIZE OF OPENING CHANGES & ❑ HOUSE ONLY ❑ HOUSE & GARAGE ❑ ATTACHED GARAGE ❑ DETACHED GARAGE �6offit ❑ Trim �Fascia LOCATfON OF WINDOWS ❑ DRAIN TILE ❑ OTHER Permit No.: Received By: 1V"�II D�$'��lOV 10 2009 BASEMENT REMODELING SUBMIT: I. Ezis[ing Flaor Plan 2. Proposed flaor plan 3. List of structural members to be used FOR NEW CONSTRUCI70N INCLUDING DECKS, ADDITTONS. & PORCHES SUBMIT: 1. Si4 PIaNSurvey showing the existing structures aiM propoud project. 2. Two sets of consiruction plans 3. Energy Calculatias FOR WINDO WS — PROVIDE U-VALUE AND MANUFACTURES77CKERON WINDOW. ALL FEES ARE BASED ON VALUATION, INCLODING THE COST OF LABOR AND MATERIALS: ,_(LiSING THE 1997 U.B.0 FEE SCHEDULE) Pertnit Fee Plan Review Fire Surcharge Surcharge License Surchazge SAC Charge Curb Cut Escrow Erosion Control Park Fee Sewer Main Charge $ �� ,/�`-� See Back Page for Fee Schedule $ 65% of Suilding Permit Fee $ .001 times [he total job valuation S .0005 x Permit Valuation Minimum $.50 S S5.00 (State Licensed Residen[ial Contractors) S 52000 per SAC Uni[ (Plans to MWCC for de[ermination) S ft+6ft= ftxS22=$ $ 5450 Conservation Ptan Review $ Fee Determined by Engineering $ � Agreemen[ necessary ( ) Non Necessary ( ) checks oavableto: THIS �5 AN APPLICATION FOR A PERMIT-N07� VALID UNTIL PROCESSED Attach I hereby apply for a building pertni[ and I acknowledge tha[ the informatian a6ove is complete and accurzte; that the work wilt be in conformance with the ordinances and codes of the City of Fridley and with the Minnesota Cons[ruction Codes; that I understand [his is no[ a pertnit bu[ only an application for a permit and work is not to start withou[ a permit on site; that the work will be i� ac f rdance with the approved plan in the o a work 'ch req ires evi and approval of p s. n , n SIGNATURE OF APPLICANTI_ ��- � ww YRIM NAME 1Ln III V` S