AF - 47382�
City of Fridley, Minn.
BUII.DING PERMIT
Date: . . . . . /. .`. . . !. . . . . ��. . . . . . . . . .
Owner.......................................
Address......................................
Builder
Address
�
�
.. �:i. .�-o�
N° 3339
... ........ .....
.,� �6.�...
+� LOCATIO�N OF BUILDING"
�
No. . �3 �d . s�et . . ��.�.. . . .�%. : . . . . . . �� of . . . . . . . . .
Lot . . .�. . . . . . . BYock . . . �. . . .. . . . Addition or Sub-Division . . .. . . . . . . . . . . . . . . . . . . . . . . .
Corner Lot . . . . . . . . . . . . Inside Lot . . . .�. . . . . Setback . �e�=�. y Sideyard . . . . � Li : � � . .y . . . . . . . . . .
DESCRIPTION OF BUILDING
To Used as •
. . . .... Front •.�. � . Depth ..°�.Y Height ..//... Sq. Ft. � !..!� Cu. F���.7yi�
.................... Front ........ Depth Height ........ Sq. �p...... G�. Ft. ........
Type of Construction .j!Ql/q!!'�: !�. . . . He� Cad .��.5�.�.o2.QQ .�. �--�.�. . . . To be leted . ........... ..... ..
In consideration of �he issuuance to me of a permit to construct the
�e proposed work in accordance with the descrlption above set forth
ordinances of the city of Fridley. �
g desribed above, I agi�ee to do
compliance wfth all provSsions of
:��..� ..........C.
In cansideration of the payment of a fee o�$. �� � �w. , permit is hereby granted to . . . . . . . . . . . . . . . . . . .
......................... to construct the building or addition as described above. This permit is granted upon
the express condition that the person to whoai it is �ranted and I�is agents, employeee and worl�en, in all work
done in, around and upon said building, or any part thereof, shall conform in all respects to the ordinances of
J �idley, Minnesota regarding location, construction, alteration, maintenance, repair and moving of buildings with-
in the city limits and this permit may be revoked at any time upon violation o y of the provisions of said
ordinances.
......... Builcling Inapecb�r
NOTICE:
This permit does not cover the construction, installation or alteration for wiriny, plumbiny, pas heatinp,
sewer or water. Be su�e to sea the Buildiny Inspeator for separate permits for these (tema
C�
•
City of Fridley, Minn.
BUILDING PERMIT N°• 3 7 4 8
Date: ....�..`.�. u ....��........
��Z'���
Owncr....................................... Builder �.�............................
Address...................................... Address .............................................
LOCAT[O�N OF BUILD[NG
No. �. � l. .Q. . Street . . . . .;�.rW . . r�!r'•. . . . Part of t . . . . . . . . . . . .
Lot . . . � . . . . . Biock . . . . . . . . . . . . . . . . . Addition or Sub-Dfvision . . . . . . . . . . . . . . . . . .
. %� . . . . . . . . Setback '3�'a .� . Sideyard � � —� ~
Corner I,ot ............ Inside Lot .. ... ...................
DESCRIPTION OF' BUILDING
To used `
. .. � ... �t �!�-v �� a.��� H��t �9..�" �. �. ..9..G.: o �,. ��'�.Y.a�
............. ..... Front ........ Depth ..... Heig��. .. Sq. Ft. ........ G�. Ft. ........
Type of Construction ................... E�t. Co�t.�l.�� ...... To be Completed ...................
In consideration of tihe issuance to me of a permit to construct the buil g dearibed above, I a�ee to do
the proposed work in acc�rdance with the descr3ption above set forth in compliance with all provisions of
ordinances of the dty of Fridley. `�
� .. .. ...... ..C� ..................`
.
In consideration of the payment of a fee of ..!.��., permit is hereby granted to ...................
. . . .. . . .. .. .. .. . . . .. .. ... to construct the building or addition as described above. This permit is granted upon
the express condition that the person to whom ft i$ gi�anted and tris agents, employees and worlunen, in all work
done in, around and upon said building, or any par� thereof, shall conform in all respects to the ordinances of
Fridley, Minnesota regarding location, construction, alteration, maintenance, repair and moving of buildings with-
in the city limits and this permit may be revoked at ar►y time upon violation of any of the provisions of said
ordinances. % , �—
�•'[�.,(�/�j/,J.��. . . . . . ,% Builcling Inapecl.nr
NOTICE:
This permit does not cove� the construction, installation or alteration fo� wiriny, plumbinp, gas heatinp,
sewer or water. Be sure to see the Bulldln� Inspector tor separate permib for these itema
/
APPLICATION FOR BUILDING PERMIT
CITY OF FR.IDLEY, MZNNESOTA
�
,
Owner� P,�mP" _�_�z?�r-� Builder . .
�g . �.�.
�
�ddress ,�.Li�.l' " t�sr.� �_ Address _,,, .
LOCATION.OF BUILDING �
No,�O �yD Street � _ _.�.,..`.._._ Part nf Lot _ ___ � .
�
Lot ..,�'._._ Blo;;k .". �� t�d.dition or 5ub, Dive ����Z��..� :
Corner Lot .�...,�:,.:_�nsi�� Lot �.�._� Set Back � �
�.pplicant attach to this form C�rt,ificate of Survey of Lot and proposed.��
building location, � �
DESC�.IP'�ION �r BUILDING .
.,..
.,„ , , .
... l ... . .: i . . , . . .
To '�e use as '
�
__._._.. _�. _ P`t�ont . �..�_.,... .G'epth �Height ._.��_._:.. �..
S(� t F�i a ...rG�..��� ', �• • Cl�° r t+�° .�..,,,,.........�.r� ' . � '. ' . . • ..
_.�. _._. ,�... �ont Depth � eight
5� � F`#;h �._�.. G�.i.: F`to ...:�.�__..._,..:.� , , � � , .
�.�,... _ ._ ,� �.,, .. � ' , .�; �., � ' ��� s.�.,+„� ro�+, _.,.,,...,,,__
'� a.JlYl�. � �w.� .�...«.: .-..._....� �.�. .' , .
Tv be coir.ple �ed .....�..(,1.�, !�� � .� .. .
a'he izndersigned hereby nakes application for a permit for the work � �
hcrc�n spe�.:�fi�dy �,greeing ;to .do a].l w.ork in strict �zccordance wi.th the
vi;;y Ord�.nan�le�s .and ruling of 'the ��?epart.�ient of Biaildings! and hereby
devlares tha-� al?�the f���s`und representatior�s stated in this a�plieation-
. �.
e,re true, �.n �orrect � . � . � �
� � °' �ign�.tare_
..•
1?ate� w .�� .,.�._.�..-�....Y,. �-, .._.,��.� � � '
(�. Schedule of Fea Costs �a.r� �� found.on the Reverse Side) ,
. . � � y
�
City of Fridley, Minn.
BUILDING PERMIT N� 6 2 9 2�
Date•. �'r""' � "r"..i�� _..._.
i
Owner: . , Builder .__�:.. � ..._���-I�--
. ..._.�.._..___ Address _��_....__..........._.._._ _...._._____._
Address ....._.._..�..._._._........... ._....�....__.�_...____._. ._.._.._____�.._._
LO TION O� It G
No. �..� ��. Street ___ _ ���;��,�Fart ot Lot _...._.�.._. �_.�_____.
� .: ..: , _
Lot ..._ ._.. ____. Bl �._.._.. �::_._...__. Addition or Sub- �___.
� ' _'__ ✓,.. , � , .
Corner Lot ...___.__._.___ Inside Lot __. ,._,_...._.___..._.__ �etbac _ . idrysrd ...... .-.
Sewer Elevatian �.______ _..�.._.. ___.._..___.. F dation IIevation _...__ �
DESCRIPTI�N OF �BUILDING -�
T U d s: . ,
����"T'm' . ...._ Front ; .�..�� Depth :�..._ Height � Sq. F't �� Cu. Fti �
_._.,.._ ...�.._..._.....__ F�'on _......._.. Depth ��.. eight .- Sq. FL _..� Cu. F�
� ,�
'I�pe of�Constructio�!��r!�',�.�....,. Est � ,�y �":::. To be Canpleted _ � .,
, "71�'�`�'�
In cansideration of the issuance to me of a permit to construct the building described above, I agree to do
the proPosed work in accordance with the d�scription above set forth and in compliance with all pravisions of
vrdinances of the city of Fridley.
�
Ea cansideratiaai of the payment of a fee of �_�""'� - .., permit is hereby granted to—
to cAnstruct the building or addition as described above. This permit is granted upon
the �express condition that the person to whom ft is granted and his agents, employees and worlunen, in all work
done in, around and upon said building, or any part thereof, shall conform in all respects to the ordinancea of
Fridley, Minnesota regarding location, construction, alteration, maintenance, repair and moving of buildings
within the dty limits and this permit may be revoked at aqy time upoa� violation of ax�y of the provisio�s of said
ordinances. .•-� _ � ,--�'-1
I� T����� �1 �' 1'
�
NOTICE:
?hk p�if dea net eov�r fh� eonsteuelioe. ��h11�Nen for wirta�, 'hneWno, �as IMaNe�, s�w�� er wN�r. !� wn to s»
th� duildiog Intp�eMr for s�p�nt� p�neils fer fha� ihms.
,�._. , y .r
�
..�-- `-'�
�
APPLiCATION FOR BUILDING HERMIT
CITY OF FRIDLEY, MINNESOTA
OWN�R' S �iAME $UILDER
ADDRESS ADDRESS
LOCATION OF BUILDING
No. Street Psrt of Lot
Lot Block Ad.dition.or Subdivisian
Corner Lot Inside Lot Setback Side-Yard
SEW!?R ELEVATION FOtJ1QDATION ELEVATION
Applicant attach to this�form Two Cgr�ificates of Survey of Lot and proposed,build-
ing location drawn on these Certificates.
To be used as;
DESCRIPTION OF BUILDING
Front- Depth Seight
Sq. Ft: Cu. Ft.
Front Depth Height •
Sq. Ft. Cu. Ft.
Type of Construction Estimated Cost
To be Comp�.eted
The undersigned 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 of Buildings, and:hereby declares that all the facts and
representations stated in Chis application are true aad correct.
DATE
(schedule of Fee Costs cen be
p ♦ s r
�
S icNartrr� ��,.�' � d
�C.1 �y���:�,
iound on the Reverse Side). 0
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r,?�t-G� ADDR�SS �'_,�/�/Q �./�7�/r'scen ..1,.%� .•� F VI,I�tJhTION �7�,�'J
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sue�ecr PERMI O.
City of Fridley 27 08 6,
AT THE TOP OF TME TWINS g � I L D I N G P E R M I T
r
� � RECEIPT NO.
� ; L_�����_ COMMUN�TY OEVELOPMENT DIV. ����
� � PROTECTIVE INSPECTION SEC.
� _ �
� �'��\ � CITV HALL FRIDLEV SS4.�S2 NUMBER REY OATE PAGE OF AGPROYEO BY
�'""� � ,�� 612-571-3450 910-F15 8/10/98 � �
JOB ADDRESS 6340 Jackson $t NE
t LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACMED
DESCR. (F g Christie Addition SHEET
2 PROPERTV OWNER MAIL ADORESS ZIP PMONE
Patty Bunkowske -
3 CONTRACTOR MAIL ADDRESS Z�P PHONE �ICENSE NO.
Tabor & Sons Inc 3716 St Francis 8-
4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE IICENSE NO.
5 ENGINEER MAILADORESS ZIP PHONE IICENSENO.
6 USE OF BUILOING
Residential
7 CLASS OF WORK
O NEW O ADDITiON ❑ ALTERATION � REPAIR O MOVE O FiEMOVE
e DESCRIBE WORK
Reroof house and garage (25 Sq) Tear-off
8 CHANGE OF USE FROM TO
STIPULATIONS
Underlayment must comply with State Building Code.
TYPE OF CONST. OGCUPANCY GROUP OCCUPANCY LOAD
SEPARATE PERMITS ARE RE�UIRED FOR ELECTRICAL, PLUMBING. HEATING,
VENTII.ATING OR AIR CONDITIONING. .
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTtON ZpNING SQ. fT. CU. FT.
AUTHORI2ED IS NOT COMMENCED WITHIN 6Q OAYS, OR IF CONSTpUCT10N
OR WORK IS SUSPENOED OR ABANDONED FOf; A PERIOD OF 120 OAYS AT
ANY TIME AF7ER WORK IS COMMENCED. NO. DWLG. UNITS OFFSTREET PARKING
I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION STALLS GAFAGES
AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF �AWS VALUATION SURTAX
AND ORpINANCES GOVERNING THIS TYPE OF WOfiK WIIL BE COMPLIED
WITH WHETHER SPECIFIEQ HEREIN OR NOT. TME GRAN'fING OF A PERMIT �I.OSS 1.OG
DOES NOT PRESUME TO GIVE AUTHORITV TO VIOLATE OR CANCEL THE pEpMIT FEE SAC CMARGE
PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGUTATING CON-
S RUCTION OR THE PERFORMANCE OF CONSTqUCTION. �]�F. �IS Fire SC Z.OH
��`�''/ '_— PLAN CHECK FEE TOTAL F E
License SC .00 8 .87
SIGNATURE OF CON'RACTOR OR AULMORIZEO AGENT IDATE� RO IDATE 1S IS V ��T
t .+ r
SiGNATUAE OF OWNEA ��� OWNEA BU4DER� � IOATEi g� .QtTE
NEW
ADDN
ALTER
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Ll
ConstructionAddress
Legal Description:
CITY OF FRIDLEY
SINGLE FAMII.Y AND DUPLEXES R-1 AND R-2
BUILDING PERMIT APPLICATION
,�
Effective 1 / 1 /98
�� o
������
�
Owner Name & Address: ��� , �5,.,����� � � �a ��Lr,�-L Tel. # 5 �j– �} � f
—� {
Contractor: �'_��� .�,,, ., ��«. d MN LICENSE #
Address: -;3 9%G _� fic ��,.�,,-� �.3.�.� ��� �it� Tel. # � � � l �'o �. -
Attach to this application, a Certificate of Survey of the
lot, with the proposed construction drawn on it to scale.
� DESCRIPTION OF IlVIPROVEMENT
LIVING AREA: Length ' Width Height
GARAGE AREA: Length Width Height
DECK AREA: Length Width Hgt/Ground
OTHER:
Sq. Ft.
Sq. Ft.
Sq. Ft.
Construction Type: , - Estunated Cost: $ . �� —""�" � (,�-
�– f (Fee Schedule, on Back)
Driveway Giirb Cut Width Needed: Ft. + 6 Ft = Ft x$ _$•
DATE: `° lU �- j` �APPLICANT: C����� /�y�-- _ Tel. # ��� - /r� �.
Permit Fee
Fire Surcharge
State Surcharge
SAC Charge
License Surcharge
Driveway Escrow
Erosion Control
Park Fee
Sewer Main Charge
TOTAL
STIPULATIONS:
CITY USE ONLY
$ .� Fee Schedule on Reverse Side
$ � Ov .001 of Permit Valuation (1/lOth%)
$ l U � $.50/$1,000 Valuation �
$ $1000 per SAC Unit
$ ��-CJ� $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 [ ]
$ � ��
. .
�
. .i:
. /�
0
� �� t t� f��a�i C'�dU"!� ��' �'Z`% � P�2 y�G /'�.,I.i�, D2 �`,��n� 7rf}-6��'
, ,� � � % i — ��� <�-
� /�j "�L��, l�(l�,CLcl2�D , �
�ITY OF FRIDLEY INSPECTION DIViSION ,� ��`�o ��� Effective On January 1, 2001
i4�1 University Ave NE ,
=ridley, MN 55432 APPUCATION FOR POWER PLANTS AND NEATING, COOLING, VENTiLATiON,
763•572•3604 REFRIGERaTION AND AIR CONDITIONING SYSTEMS AND DEVICES
RATE SCHEDULE
Residential
Furnace Sheil and Duct Work, Burner -
Aiso Replacement Furnace
(Side Vent • Fill Out Back)
Gas Piping (Needed with new furnace,
but not rePfacement)
Gas Range
Gas Dryer
�Air Conditioning - All Sizes
All Others/Repairs & Alterations (LIST ON BACK)
1% of Value of Appliance or Work
Commercial/Industrial
1.25% of Value of Appliance or Work
Rate TOTAL
$ 30.00 $ J� Q , �
$ 10.00
$ 10.00
$ 10.00
$ 25.00
State Surcharge
TOTAL FEE
MINIMUM FEE FOR ANY 1iEATING/COOLING/VENTILATION
REFRIGERATION/AIR CONDITIONING PERMIT IS $25.00
PLUS THE $.50 STATE SURCHARGE
REINSPECTION FEE $47.00/Hr
*Air Conditioners can no# be placed in a side yard without
written permission from adjoining property owner.
JOB ADDRESS �%c3� O ( � C�-GI�1S�"7 � � - /�� €- -
OWNER PCL�V�'I C(G� �l.Li�l ��QV� 1�2.� �
BUILDING USED AS �`� � d��'h� `
ESTIMATED COS7 `"' ������ PERMIT N0. ___�������
$
DESCRIPTION OF FURNACE AND OR BURNER
$
No. of Heating Units � Circle One (Steam) (Hot Water) arm Air)'�
$ Trade Name ��/�D{''� Size No��I�C)�
BTU �Si UG HP EDR
$ Fuel Total Connected Load
$
$
$ .50
$ 'v0 ��O
Burner firade Name Size No._
BTU _ HP __ _ ED
The undersigned hereby makes application for a permit for the work herein
specified agreeing to do all work in strict accordance with the City Codes an
rulings of the Building Division, and hereby declares that all the facts and
representations stated in this application are true and correct.
HEATING CO
DATE %���Jd �
AOVANTA6E AIR INC
Rough•In Date Final Date
_
_
CITYOF
FRIDLEY
FRIDLEY MUNICIPAL CENTER • 6431 UIVIVERSITY AVE. N.E. FRIDLEY, M1Y 55432 •(763) 571-3450 • FAX (763) 571-1287
February 14, 2003
Ms. Patricia Bunkowske
6340 Jackson St NE ,
Fridley, MN 55432
Re: Final Inspection at 6340 Jackson Street NE
Contractor: Advantage Air Inc.
Dear Ms. Bunkowske:
A mechanical pernut was issued on October 18, 2001 to install a furnace at your address.
Accvrding to the 1991 Uniform Mechanical Code a final inspection shall be conducted on
the work authorized by this pernut. A final inspection was conducted on October 26, 2001,
which noted the following correction:
Size vent connectors per manufacturer's instructions or GAMA tables. B-vent
required.
The pernut fee that was paid covers the inspection to make sure the work was completed
according to the Codes. Please contact us within 30 days to reinspect this correction.
To set up the inspection or to have any questions answered, please contact the Building
Inspection Division at (763) 572-3604.
DJ/mh
Building
Inspections
763-572-3604
SITE ADDRESS � �;Z
THLS APPLICANT IS:
PROPERTY OWNER/
TENANT
SUBMIT A COPY OF
YOUR STATE LICENSE
WITH APPLICATTON
PROPERTY TYPE
PERMIT TYPE
TYPE OF WORK:
BUILDING Permit No.: �.., I�
RESIDENTIAL APPLICATI�N Received By:
CITY OF FRIDLEY Date x��
YOUR E-MAIL ADDRESS
O OWNER
PHONE:
S7'ATE LICFNSE #
O TWO FAMlLY/NEW CONSTRUCTION
❑ ADDI'I70N ❑ GACtAG
Cl BASEMENT FRJISH '�ROOF
Q DECK O SIDING
0
DESCRIBE WORK BEING DC
SIZE OF IMPROVEMENT
ROOFIIVG �1 �
NUMBER OF SQUARES ���
GARAGES
PROPOSED SIZE:
PROPOSED HEIGHT:
�
O Vinyl
0 Aluminum
❑ Other
WiNDOWS
IN EXISTING OPENQIGS �Yes ONo
OR FOR NEW OPENINGS-DFSCRIBE 51ZE OF
OPENING CHANGES 8c
TYPE OF WINDOW TO BE R�ESTALLID
�='
L GTH
� HOUSE ONLY
❑ I�30USE 8c GARAGE
Q A7TACHED GARAGE
Q DETACHED GARAGE
OSoffit
O Trim
❑ Fescia
LACA7'ION OF WDJDOWS
ATE_ZIP
EXP DATE
) ✓Lf CITY STA7'S_ZIP
❑ DRAIN TTLE
O OTHER
'l.:i�.��ll�i
BASEMENT REMODELING SIIBMIT:
1. Existing Floor P1�
2. Propoaed floor plan
3. List of smwwral members w be used
FORNEW CONSTRUCTION MCLUDING DECKS,
�DDITIONS. �. PORCHE,� �$MiC:
1. Site Plar✓Survey showing Uu existing structura
end proposed project.
2. Two xts ofco�tn�etion plsns
3. Energy Calculatans
ALL FEES ARE BASED ON VAi.UATION, INCLUDING THE COST OF LABOR AiVD MATERIALS:
(USING THE 1997 LF.B.0 FEE SCHEDULE)
TOTAL JOB YALUATION S 3G %/ OCCUPA1VCY TYPE
Permit Fee
Plan Review
Fire Surcharge
Surcharge
License Sutcharge
SAC Charge
Curb Cut Escrow
Emsion Control
Park Fee
Sewer Main Charge
$ �•% .,��j See Back Page for Fee Scheciule
e
$ 65% of Building Permit Fee
$ 7,, C1'T .001 times the totat job valuation
$ �. ZF .0005 x Permit Valuation Minimum $.50
$ 5,�/�j $5.00 (State Liccnsed Residentiai Contractors)
$ 51550 per SAC Unit (Pians to MWCC for deteimination)
$ ft+6ft= ftx$21=$
$ �450 Conservation Plan Review
$ Fee Determined by Engincering
$ Agreement necessary ( ) Non Necessary ( )
$ �� � / a Make checks oavable to: Citv o! Fridley Attac
THIS IS AN APPLICATION FOR A PERM[T-NOT VALID UNTIL PROCESSED
���D �� ,
. V -
/��
'O�
I hereby apply for a bu" ' and [ aclmow ge that the inforrnation above is complete and aecurate; that the work will be in
confomtiarce with the codes of the Ci of Fridley and with the Minnesota Consmiction Codes; that I euiderstand this is not a
pem�it but only an p' tion for a 't an is not to start without a permit; that the work will be in accordance with the appTOVed
plan in the case of a11 wor ich requires view and approv,�l of plans. /�
SIGNATURE OF APP C NT �/ PRINf NAME "��� �� r� �_� DATE �` ���^v �
Buildillg BUILDING Permit No.: -
Inspections RESIDENTIAL APPLiCATION Received By:
763-572-3604 CITY OF FRIDLEY Dat�: J U L 5 20 �
DATE YOUR E-MAIL ADDRESS
S17�.4DDRESS CQ � � QGI�('J�l �
THLS APPLICANT IS: O OWNER NTRACfOR
PROPERTY UWNER! NAME: �
TENANT pDDRESS: ITY STATE_ZIP
PHONE:
CONTRACTOR H�: V
SUBMiT A COPY OF S7'ATE LICENSE # EXP DATE
YOUR STATE LICENSE ADDRESS: CITY S"CATE ZIP
W1TH APPLiCATTON PHONE FAX
PROPERTY TYPE O SDVGLE FAMII.Y/AIEW CONSTRUCTfON SIZE
O TWO FAMILYlNEW CONSTRUCITON STORIES
PERMI7' TYPE O ADD[770N ❑ GARAGFJSHED ❑ WD+TDOWS
O BASEMBNT F[NISH ❑ ROOF ❑ DRAW TILE
O DECK �[DING D OTHER
0 SWIMMING POOL
TYPE OF WORK: ❑ NEW ❑ ADDITIOAt
�VTENANCEIREPAIR ❑ REMODELRJG
DESCRIBE WORK BEING DONE: \ �� �
SiZE OF IMPROVEMENT LENG WIDTH HEIGHT . Ft.
ROOFING O HOUSE ONLY
NUMBEEt OF SQUARES ❑ HWSE & GARAGE BASEMENT REMODELING SUBMIT:
�ARAGES Q ATTACHED GARAGE �• ���8 Floor Plan
PROPOSED SIZE: ❑ DETACHED GARAGE 2' ��O°� P�'
PROPOSED HEIGHT: 3. List of strucpnal membe�s to be used
SIDING FOR NEW CONSTRUCfION INCLUDING DECKS,
O Vinyl OSo�t ADDITIONS. � PORC#IFS SUBMIT:
O Aluminum O Trim �- 5i� Plan/Survcy showirtg the exiating slructures
Q Other O Fascia and proposed project.
WIND(?WS 2• TwosNaofcoe�truaionplans
IN EX[STING OPENaVGS OYes flNo LOCA770N OF WINDOWS 3. EnecgyCalculatioro
OR FOR T[EW OPENIlVGS-DESCRIBE SIZE OF
OPENING CHANGES 8c
TYPE OF WWDOVI+TO BE INSTALLED NUMSER OF WINDOWS
ALL FEES ARE BASED �N VALUATTON, IIYCGUDING THE COST �F LABOR AIVD MATElt1AL5:
(USING THE 199'7 U.B.0 FEE SCHEDULE)
JOB V
Permit Fee
Plan Review
Fire Sureharge
Surcharge
License Surcharge
SAC Charge
Curb Cut Escrow
Erosion Control
Park Fee
Sewer Main Charge
Total Due
!�! /7 �l
$/� 3, �� See Back Page for Fee Schedule
� 65% of Building Permit Fee
$ .00I times the total job valuation
$ �. � .0005 x Pernrit Valuation Minimum $.50
$ 5:(I� 55.00 (State Licensed Residential Contractors)
$ S 1550 per SAC Unit (Pians to MWCC for determinati�)
$ ft+bft= ftx$21=5
$ $45a Conservation Plan Review
$ Fee Determined by Engineering
$ Agreement necessary ( ) Non Necessary ( )
$ /�l -.h. Make checks aavable to: Citv of Fridlev Attac
THIS IS AN APPLICATION FOR A PERMIT-NOT VALtD UNTIL PROCESSED
I hereby apply for a building petmit and [ ac3mowledge that the information above is complete and accurate; that the work will be in
conforn�ance with the ordin ces and codes of the City of Fridley and with the Minnesota Consttuction Codes; that I understand this is not a
permit but only an appl' or 't ork is not to start without a permit; that the work will be in accordance with the approved
plan in the case of all ich requi and ap ov 1 of plans. ��� �����
SIGNATURE OF APPLIC PRDdT NAME G1 DATE