Loading...
The URL can be used to link to this page
Your browser does not support the video tag.
P - 37474
���% . `� _��.�..�ki�� Bu�iding BUILDING permit 1vo.:_ Inspections RESIDENTIAL APPLICATION Received sy: ' '763-572-3604 CITY OF FRIDLEY Date Rec'd: C�—1 ��� 763-502-4977 FAX EFFECTIVE 7-1-2010 DATE I I'" "' I� YOUR E-MAIL ADDRESS m� S�V +'\ i' °�`''� ��m C�c� ^� s��ann�ss `�a o-c �,��.nn C,�� N� Fr;c�.i�. !+1 s'S�l THIS APPLICAI3T IS: �OWNER �CONTRACTOR � PROPERTY OWNER/ NA�: on� �� �,, �� TENANT ADDRESS: ��' �"� ��r^ ar`� � . � y � CITY r: � � C' `4 STATE � 'LIp SSN 3� PHONE: �'� � � � 3i' - a3 �. CONTRACTOR N,,�: SUSMTT A COPY OF YOUR STATE LICENSE STATE LICENSE # EXP DATE AND CERTIFICATE OF ADDRESS: CITY STATE ZIP INSURANCE pHONE FAX PROPERTY TYYE SINGLE FAMILY/NEW CONSTRUCTION SIlE �� �� �'' I.S� ° r � "" .�i� ❑ TWO FAMILY/NEW CONSTRUCTION STORTES�_ PERMIT TYPE ��DITION ❑ GARAGE/SHED ❑ WINDOWS ❑ BASEMINT FIIJISH [7 ROOF ❑ DRAIN TILE ,�DECK ❑ SIDING ❑ OTHER ❑ SWIMMING POOL TYPE OF WORK: ❑ NEW HOME COIISTRUCTION DITIOI3 ❑ MAINTENANCE/REPAIR ❑ REMODELING DESCRIBE WORK BEING DONE: J t � n cr. i. C� A�'� � �i v.C.I�� ;r,� y� nJ.S�Q S1ZE dF IMPROVEMENI' 1��C. �� ZIo.� LENGTH 3 WIDTH � 7 �i��rr `� `�, �� s FT �-�'� ROOFING ❑ HOUSE ONLY BASEMENT REMODELING SUBMIT: NUMBER OF SQUARES ❑ HOUSE & GARAGE 1. Existing Floor Plan GARAGES ❑ ATTACHED GARAGE 2. Proposed floor pian PROPOSED SIZE: ❑ DETACHED GARAGE ,�r���� 3. List of siructural members to be used PROPOSED HEIGHT: V / SIDING !p �' i�l �� f,iJ /i,� FOR NEW CONSTRUCTION INCLUDING DECK5, � Vinyl ❑Soffit �� 1Tj �k ADDITfONS. & PORCHES SCJBMIT: ❑ Aluminum ❑ T� 1• Site PIan/Survey showing the existing structures ❑ Other ❑ Fascia and pmposed project. 2. Two seu of consuuction plans WINDOWS 3. Energy Calculations IN EXISTING OPEATINGS OYes ONo LOCATION OF WINDOWS FOR WINDOWS — PROVIDE (J-VALUE AND OR FOR NEW OPENINGS-DESCRIBE SIZE OF MANUF'ACT[JRE STICKER ON WINDOW. OPENING CHANGES & TYPE OF WINDOW TO BE INSTALLED NUMBER OF WINDOWS ALL r'L�'L�'� AKr; BASL+'ll UN VALUA"1'IUN, llV(;LUD1N(T 1"tix: CUST UF LABOR AND MATERIALS: JOB VALUATION $ a. qr�, �SING T3HF �9�7 U.B.0 FEE SCHEDULE) �1 L(� OCCUPANCY TYPE Permit Fee Plan Review Fire Surcharge Surchazge License Surcharge SAC Chazge Curb Cut Escrow Erosion Control Park Fee Sewer Main Charge Total Due $ $ $ $ $ See Baek 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) $2100 per SAC Unit (Plans to MWCC for determination) ft+6$= ftx$24=$ $450 Conservation Plan Review Fee Determined by Engineering Agreement necessary ( ) Non Necessary ( ) Make checks navabie to: Citv of Fridlev Attac THIS IS AN APPLICATION FOR A PERMIT-NOT VALID UNTIL PROCESSED I hereby apply for a building permit and I acknowledge that the information above is compiete and accurate; that the work will be in conformance with the ordinances and codes of the City of Fridtey and with the Minnesota Canslruction Codes; that I understand this is not a permit but only an appiication for a permit and work is not to start without a permit on site; that the work will be in accordance with the appmved plan in the case of 1 wo whic equires review and approval of plans. SIGNAT[JRE OF APPLICANT Ir� �-�/'�. PRINT NAME ����-� �1�*� S�°'�zl DATE ��� ��� PLEASE NOTE: SEPARA'I'E PERMITS ARE I� �� AND MECHANICAL WORK ; _ _. _ ;; , , • ` : � ° , ,��, , , �".' , � , . � . .. � . . � .' . .. . � 4 � � � t `: � . � : . ' . � �. � . .. $ . . • . . _,.�. r ? � � � D t'� _ >_ r � °� � _ _ : {� f � o �` � � , ; .., � ,� ; : i . � ...�ln �. r17 . ,;, . .. . . . . . . .. .. . � : . ..�. '•..✓�-� � m � � c� �n � �� � '� � .,��E � � .. r� : �� � � -o � ; � � � � � , . � � � .� � _ .�—�.. . ;. ,. _ . � �. __.�. �_ ,. . _. �_ . .._ _ .. �� P � J 4�: � � � 1 ; ��� � � - � � � � � � . .. �... � a . � . � .....� � � ������ � � . . . � . . � i ; ; � � . ` / � g � } � . . � .. � . �_ i. � . G . ; .:. �j. . . . . � . .. . .. , :. k:,,,,,_ .� ,,.. .. �....... � f �.. _ _. ��'j V ' � � x ,. } � � : � ,- �'" �__.�.. ...v�. __ . ,. _..__�..... � _� �..,. d ,.�< ._.. .._ :_ r_... .,,�_._ � .. . . . .. . .. ... ._ _. ... __....._ „ • � � �p � f _ � � � � � /� i� � � ' � ....t�' ; �' � l.Q---- z �� _ � -��' M �� �t H� ��,.�.�.�. .,.. . ��..� . t��..��.�_��...�.�. �`�"� ' �, � , - -��� t _ �' � � d ��:� � � . . s 4 n . �� .. - �. . ...... �-., _N .................�.,.:....�,., ,.,.. a_�.�... ,._�-__...,.,"�.....�.......,w..,....._,..n....�_.��,...-,....n..,..,..,E..�.-w.....,...._-.......�. .. . . .. �` �..w,.wy...-.Y: ... � � . > �� w �""+� � � �� '.�} a. . � _"!� """'� .. I . _ . . .. � . L � � , �� ; � - � M .� ,� � � � � � . ��.. � � � � . n,� � _�,__ ._�_�.�.��,2 ,.. _wa�, ,.w.� ��.4 �,_�, . .� ... . _,� ._._.,��.� �- . .. ��, �,t..� � � � � _ .� �.�, l � - � � � � . �, �� � �- � .-�.�'�- '�.�,r;� _ . � � �. �._�:._.�.��._W .�.�_�. ._�,�n_�� � � � � � � % � �= �. �� ,� � � ; � , � � � '� � ; � -. ��.... �__-�----� ar-_-- � C � _ � � � � �I �, ` ; �,,,' � � . � � ; �,-° ,�` a" � - � '�"� ; � � � �.�� ..�:.n��.�� ���.�._ _..}. � �..�.. 1" � � �..., . ..� �,_. �_,.. ,.�.:_.� , . �. � � � � .- � �. ; � � � , , � , ��� . � ,� � rx � , - ; o � � .� � - _ . ,.�����._.�.N._r��.�...: ��p.�.y_ � �_._�._ � .. _ _ ._� - � � �`' _ � � � ,.� , u_ ._ � �: � �� � � _ .� � _ ��..�..��,m��� � �... � �«r..�. � � . �� _ w� _ �. ,. � n�_������..� � �,.� 1 � ' eS � ` �,3 � ^ •.-_ _ • � : . � . _ �': k ^ �t _ � i � ti+. : � _._.�I.___,._.�_..�__,____._�... �� __ __ .��_._,�..�.____,._ �- ' , ___�.�.�� �__:�._. � �i l) �; . �: � �n� , . � � ^ : � x � � _�.�_�...�...�.�_��.� .. ,r� .,_.�� _ . x. ,� ; � � � ` _ , � � � � �.a_ � � � �� � .� " ' m..�..�...�..�.. �` "�` �"`� � � �. �Y ..�:�.w_ :� :� �. _ ...._.__ _ ,. � : , c---- �. � � + � � ,'� � .__..�. �_� A ' ��° � � � � � � � � ; ; � �U � �� _, � � _ ____� .� A__�:__w �__�____._� �� � � ° �� � c. C � lN .� � �� -'` � �i � � � � � � � . t � � ,.,..�._ �t__w_.�..�.y.. ��_._�� __. . � ._..._�.:::..�._ �,. �" . � '� _`p"'�G> � � � � �� � �. - �" � � � � -� � �4 _ � � : w . ,� . ,�, � 4 '" ; �,r� •�. . �� . _ _ �.a,.ti�.m.�y�w,�....�,...� » _ .... ._...�,_.. . � � � � ;p�. . .. . � � ; _ � ... ..��/���, . � .. . i�� � . � . . '� � . . � � � � _ .*� n � mf _ - _ ,. �� � �� � .�...,. x,_ ,�� . . � �.. _�,. _�<�..�„�_� � � �- r �a° � � � w �,,� �: � r.r �: _ , ».�,M,_n.��..,..W..�_ "°--�..�.�.,,� �� , 3, s � � t-.. . . : ...., . . .'�� � . .:. . . . . � . ,�r • .... �. . `4 �. � � .. � . F-, � . � . . . � � .. . � ,'•. �. . . . . � . � ��'�..f . j _ �i°' _. � ' __ _.:_. ".� � *n _ _ _ _. � �� i �� � . . j � _ � ,, . , . . - � � : +p�i �`� _ . f � � � { • , �". � # ,,,�,a � � s ,.�` ,. i � � _ ��'. "^�..,.�, : � _ _. , . : . � . � _ �� ._ - � � _ .. �-�-�-a° � �� _ - � _ � , _. . _ �_ . �,�� � : �'!�.-�, � � ,. _ �,,, ; . � . . � �` �� � �'°``� �' � -„��„�: � _ . �. � ,, _ � � `�' � �.� :. . � ._.v.`� � ..� r�► : : .� �"`,R, � . �` s` �"� ° ��� . r� �, � � � ,� � __ - ,� � - � , � � 1+"► '. ''��' . _. i � � �, � z : _ . � �� ,,�.. , , _. - ��;.�:! +0+ r' . � # � � � � � � � � � ''.s' � � t ""� � �.� ¢ % �» � ,,. u►=�,,. �. � _ _ �' � �,°` � �. _� ` . :_ � � �.; ��� ,� _ . 1 � �r� � , . : . � :� .. �- . _ A � . _ .a : �'� �-- � � .� °� � . ,; . ,� .��. . _ � � . � �,,. � _ _ � �^ � - a � ,� , :� °� �� ' _ _ � �- . � � �- � � ? ' v �� � � � � �� ��- , �, � �*,�� �, � � � .�� w: � , � � � � � � � � � °�� . � � � � ��. � � . � �` c' _ . `� �,,-'�' � � a � _ � � �_ ,,,�� _ . , � __ � _ _ . _ ; �v . .�^' ; �. �, , _�` . _ _ . � ,. . . ._ � �,n � � o : ;� � � � _ __ �"� - _ �, �' . - :. - � �.�- : .. _ � - ) _ _ _ _ _ � . . .�; _ � � � . � �-.�. � �� � ���, � �� � �- _��� ,�,� � � � . a �` � � - . r .. � - _. ��� .. -� ,�.�� ,� ,y. .• 7 n � . �,� g � � ['_ ., , � �. _ . ; . . , :: ,�; � . . < . �r ; <. _ � _ ` �t�� .�.� ':. `.. ,.'�`r . . w.y CAt $'! � ��.�. '� � _ _ � � , � T. �. � , � _ � � �� _� -�, �,. � '�� _ `� ,z. � �� . -� , ,�� e.�, .::... _ � � . ;_ . � � . � � �:. � � . _ � . , �;� Y�, rer_ _ � � � � �, . *..�...r'` � - ,.,�, ,.. _ 7�' ° � .� � � _ �: � � ... f _ _ „ , �n — ` ,� . . _ �. .. � �:�s� ; �,. w�.,.. .-� �;, ,.. � ,r� � �_ �- . - -.. .� � G n"' ;•: . � . r � 'M . , , ,, � . .. ..._ ..._ . ...,_ _.. _ _ . . , _. . . . ... . . . . .. . - � , . . .. , . . � r e � yy .. �_'.AK, yv;,k � �.. ... ..� ...... . ._. . , . .."... � 3��� . .+ { � ,. _ . _ _ . . �"a`+ +�-' �''` . , . ,.. x + � � `_ _ _. _ __ . �� ''"� _ ; " . . � _ _ � � �.o- . _ �� __. _ . � `-� ❑ ,.�---2.' �: , ., �: � : � ,��^'-�, -''°`` � � , r �µ , ... ,, � , „ �° .� " � .�..�.. � ,�, �! ..�....__.._�..�.,,�..�.��..�,..�..�,�.�..��.�,���. ��,_.,�..�.w,.�.,.�..�..�� ,r, � ' , ca _ _ � . . , .«t. � a � . ,� ,�,. � . . �, � � � �� .: _ ,� ` u- c�'� _ � _ � . . �,, � , � � _� _ _ +� , "� � � ` ,�' � .,,�_ : �` .� . i� �,,: . _ .�' _ � _� � � � � _ � � d _ � `�` _ � '� c� � � _ _ � � : �� � � � ° � � �' _ _ : � . � °" : `''`' � � �,,�Y �. ; .� . � ''� . _ ,�"' " �_ � � �. .�„ � ,p ��t'` � , ��,j.,} � � � � a «.� � �.�� �, � - . �' .�._,_ `'t�_ �-�� ._ , °�. . � _ _ _ . _ _ .� _ - � . � _ _ _ . � u�.,. - � ; .�.. _ �. � � .� �. ��„_ �' _ --�— .�,�,-, �� _ _ _ _ � .. _ _ � � � � � - �� � : _ _. _ � _ v -� _ _ ... � ;� _ _ _, ..�...�...e �' ..,� �: � �' _ c� .� _. _ � ; _ , r _, _ , � . __ _