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AF - 48025� ri1 � City of Fridley, Minn. BUILDING PERMIT �ugust 16, 1967 Date: p��• Allen E Pederson g�� Same Addresa ,S$3 Lafavette N. E. E+,d�� Same � �� N� 9397 LOCATION OF BUILDING No. 583 Street - Lafayette p� of Lot Lot �.,5.��.__ Block � Addiiion or Sub-Divisian ��verview $eights 12.5 of 17 Coraer Lot — Inaide Lot — Setback � Sideyard Sewer IIevation � � Founda.tion IIevation DESCRIPTION OF BUILDING To be vsea as: � , Garage �nt 10 �p� 12 Height Sq. FL Cu. Ft FY�ont Depth ITeight Sc1. Ft. Cu. F't. Type of Construction _._..Frame �� $200.00 __ To be Completed in consideratfon of the �tsauance to me oP a permft to conatruct the buflding described above I agree to do the proposed work in accordance with the description above set forth and in ce with afl provisiona oP or8inances of the dty oP Fridley. � � � In comafderation of the payment of a Pee oP $ 5. 00 ��{t � hereby granted to Allen E. Peders on ta �� e building or addition as described above. This t fs grant�ed upon the express c�ndition that theperson to whom it is grented and 1�is agenta, emPloyees an worlrnnen, in all work done in, around and upon said building, or anypart thereof, ahall conPorm in all reapecta to the ordinanc�e oE Fridley, B�innesota location, construction, alteration, maintenence, repatr and muviul; of buildiugs within the dty ]imits� permft may be revoked at any tirne upon violation of any of the provlsions of eslld ordinanc�s. C�ARENCE BELISLE g�ii�ing Inepector NOTICE: '19ds peimh don aot eovsr ths eoa�trneHoe, hatallaHoe hr wirtee, P��9. an 6utieo, s�w�r ee vrah�. B� son to a� tM Bnitdiae InspKtor for aparatr p�rmhs hr t6a� (tu�, a A.�?�, xc.�_�.��:a �cz �11=;�n �r�c :°� s �� c�.� o� ;��, r��;�scT� OWIdEB' S NANIE m..- 8�;:�t •�ER ADDi�ESS � A?J�?.ESS ' AIO. � � � LOCA��:dN QI' BIITLDI��G PART OT� I,UT ' � s LOT�/� �'% BLOCK �� AD 3T3tON OR Sta�BD�.VISION l /d.-� �'�' . CORIVER LQT INSIDE LOT SET�ACK SIDE-YARD 0 SEWElt EiEVATION �'dUNDATION EL�VAT�ON ApplicanC attach ta this fo�m Two Certificates of Sunvey �� Lot and proposed bu3.lding location drawn on these Certificat�s. � . DESCRI�'TION OF BUILI�ING To Be IIsed Ae : � . _ _ Front Depth Height Sq. Ft. Cu. Ft. Frant � Degth Height . _ Sq. Ft. � Cu. Ft . Type of Construction .� � Estimated Cost �. �� To Be CompleCed The esndersigned hereby makes appiicatiori for a permit for the work herein specifiad, agreefng to do all work in stricC accordance with the City of Frid?ey Ordina�aces and ru9.ings of the Department of Euildings, and hereby declares that ali the facts and repxesentations st�.ted in this appiication are true snd correct. DATE SIGNATURE (Schedule of Fee Costs can be found on the Reverse Side�, � � ° ; '� ,-� � �'� �,� �� .� ,.,�� v�r� � . �� • • ' ' ^ ._-_ � � BUILDING PEPSZIT FEE SCHEDULE SECTION 2. The Inspector of Buildings shall, before issuing permits for the erection of any building �f structure, or for any addition to any existing buildi.ng:or structure, or for any alteration or repairs to any existing building or structure, upon agpli.caeion 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: � Uniform Building Code: Type 1;2, & 4- $1.75 for each one thousand cubic feet, or fraction thezeof, in such cubica? contents. Type 3& 5-$1.50 for each one thousand cubic feet. For the purpose of computing fees��for building permits, the cubical contents of any building �r addition to a uniform height throughout by multipluing the ground area covered from a point six (6) inches beloe� the floor line of the basement ar cellar to the average height of the upper surface or to the average height of the roof surface of the main gable of a pitched roof. . For repairs or alterations to an existing structure, the fee shall be at the rate of $3.00 per each Five Hundred Dollars ($500.00) or fraction thereof in the cost of all proposed work. In no case shaZl the fee charged for any�permit as set forth in Section 2 he less than $5.00. � . NSSSD Connection Charges based on location- Area 1 or 2. . ^ ' ` � � �`'� ,_ _ s�_ _� �. . � , n . � D �� O v � m °: � � �• � � � N. � O N � n � � O � � 0 Q � `o_ �"� �• n� � � m � � O � �� N � a o fD � � c� Q . � � 0 c .+ � � '� O < N a � � O c 0� � � � 01 � � m Z � '0 m � O Z '7'I m m '� � V 0 0 � 2 � �� Oq � � � �. .� � i �\ 1 �� -� � m r � � � � � � �� o jV m � �.a.:t, 4i ,�, � (�,' \ � � o � � � � o � oi � � m Q. C o � D � � � fl1� � � m 0 � O � � � o �* ll1 D � r N -n c m � m � � � oa m {�9 f�f � � l� � �o _ � Z � n O �� / V � � �� m � � � �� kl � "'� N fD C -p � � j• A (D N � (D � � O p. � o� ,_,. � �, o m � W � � N c � a .`�+ ' ov � �: .+ m � � O � a � n, o- ��oo� �.<�� N� - � C1 �• � y a e� �- n� �. Q N• � � � � �. � � � h � � n � ma�-* � � ° o � a e� m �' � � m � � y (�p � a?� 3 � o °+�o � �' � -. � -�,+ ��m �- � �� o N O � � a � fD � � -. Q y fD � �. � D � - � Q o, � < fD � � N � c � m cp a O � D �� 'O Qo o>' D N � o .� � o � � � �- t�— � � 0 z � D C� � �69 C � � (D -� � Q.. m z � m 2 � m v � � N� m z D C7 0 � a � 0 � 7 Oq D � N m � � � N � m � G� G� D-n� � d �, c u► � � � '� n � � -°•cnm m = m � m � Cn d � o- � < � m � � � � � Q . � o�T.+a � � = C � � � � � � � � � � < � � � � o � � � � � � v � �. � � � � N � � � � � o 0 0 0 °o t� � 0 0 0 � w 0 o d o � � � Efl 4fl ffl �� O Q D • r � � ao�z � —I p� O — C � o Z = � � � �' � �� q oq Q � � � �� N � 2 �0 � � n � n n � � � W � � � � � a v_� m r rv' °1 � mZ� a p �o,� 9� 0 Q �', C� m � � D v m � � D --i m 0 C� O � � � �. ^� ` � m � � z 0 � �� -y a � C r � Z G) C � m � � � ro � 1 m N n _ m v C � m �i \ � . , � � � � '�C V� ��^ W�'W� 1--� V c.1i =� C � W N��•� � � WZC� %� � 0 � h � ~ � �� r W < � N � � V z � rnm �-i O Z 0 � a � � z � r �� O L� Z m� �O �� O �� Z� Z� G .� a� � Z C� -� ON vz . .� v o= z � z� v N� R�'I � A n m p � yZ �Z -� �rn � °z ��t'� N O Z � �� . �' _..J � � � � rn rn m � rt c � c. � a m n � � N O O W THE BELOW MUST BE FILLED IN WHEN REPLACING FUEL BURNiNG APPLIANCES OR THE APPLICATION WILL BE RETURNED �`pIL"ti" R l�l`Trt��T CAI`I�EGT�R 41`� �IL"BIISTI�I` r41R VERIFICATIDflI �e� o�..��„� n e�0 �,rance, the undersigned hereby verifies that the venting has been examined and is free from rust, deterioration, obstructions, and is securely supported and firestopped where required. Yes ( i No () The venting system is plastiGPVC and meets all current codes and manufacturer speafications including sizing� length, number of elbows and termination. Yes ( 1 No () The undersigned also verifies that the replacement unit is a listed assembly and meets the current codes and manufacturers specifications. This does include AGA-GAMA Category I Central Fumace Venting Tables for fan assisted and natural draft appliances. The �Y �t�a �eme�,��n s,�r is sized and installed to meet the current codes and manufacturer's specfications. Wh811 �Bt�Ulr@d t0 i��tall a n_w cemh�_eiien_air it will be si�ed and installed to meet the current codes and manufacturer's specifications. Yes( ) No( ) Yes ( ) No ( ) Yes ( ) No ( ) �� a� new ventinpyystem, the undersigned hereby verifies that it is a listed assembly and meets the current codes and manufacturer's specifications. This does include AGA-GAMA Category I Central Fumace Venting Tables for fan assisted and natural draft appliances. Yes () No () Is the common vent and vent connectors sized and installed correctly after an appliance has been removed from the common vent and vented separately as per current codes. Yes () No () �.. .� .- .�. .��.� -� .�. -� .��- . � ..��.�.� AppUance #1 Type BTU Input Fan Assisted or Nat Appliance #2 Type BTU Input Fan Assisted or Nat qpppance #3 Type BTU Input Fan Assisted or Nat Total Appliances Total Btu Input Common Vent Type Vent Height Diameter inches Appliance #1 Vent Connedor Height ft Length ft Diameter in Type Appliance #2 Vent Connector Height ft Length ft Diameter in Type Appliance #3 Vent Connector Height ft Length ft Diameter in Type M r r•► •- ..- HEATING CO: Signed By: Date : lO Mar 03 03:53p PIERCE REFRIGERFlTION 7634213209 . I•tAR-06-200 3 13� 25 FR01'1 C 1 T'r' OF FR 1 ULE'i TO d2132FJ9 THE BEIA�N Ml�$i BE FILLE011V WM�N R�P�Cq�IG FUEL BURNINO APPIIAN�ES OR THE APPI.tCA'f t01V NQLL BE REi1JRNED � Wherr�epl�io4 -� ��;�..3,*'"�� the unde�si�t�ed hereby verifies tha� the venting has treer, examined artd is free trom rust, detetbralion. obsUuctions, Yes �1 No t) and is securefy s 1p�writed and �estopped where required. � o The ventfn9 sysU�tn is p12�stirlPV�C � umber of el� ai�id ter►n�natio��r Y�s ( 1 No � specifccaaons inc.htding sizing, n9 The wtdersignecl a�so veri�es that Ihe �R�aceme�t unit is a Ifsted asserttbly end meets the ament codes and marwfactur�rs s�s. This does in�ude AGA-GAMA Cabeg�y � Cgntral Furnace Ven�ng Tab{es for fan Y�� No () a�si�s�ed and natural d�ati appiiar�ces. � :� The �cistlop.aa�••''••'�ttie Air is sized �nd �nSlal�ed l0 Teet Eh@ GdFt�enl COdeS arnl manuiadun:�s speci�cations. Wit9n raquined 10 '� wiN be 9ixed and i�staAed to n� the curr�:nt codes and merwfat�urets speafications. Yes� No ( ) /� Yes � No ( ) /� y� �� th4, undersiened hereby ve��s fhat i� is'a fistad assE�mbty and meet� the cu�nt codes and manufaclurers Sp��ons, 'rhis does inrJude AGA-GAMA Categary I Central �umace Yes Q() No () Ventin� Tables for fare assisted and natural dra(t appliances. �\ Is ihe conrtmon vent and vent conrtech�rs s'rzz� and (n5t�e� c°mediy after an appliance h`S I�en removed 1rom Ihe common vent arn! vented Yes �j No () sepa�tety as p��r cureent r�des. p�� P.03.'�', Awwli A T� �jrnd cP BTt! Input 6� ° Fan assislai or Na� �i1%i'cQ Appllance#1 Trpe _ 87U Input_____ Fan Assisted or Nat APP�� T�e • Fan Assisted or Nat _,__._ Appliance #3 Type 6TU mpr�t TolalAppli�mc�s�_ 1'otal Blu Input ri Corrtmon Vent Type / r! •�• . VentNeighi,.�_ Diameter__ y____ ��e5 Z tt Diamelet y m TYPe � Vent AFP�� 14'ent Connedor Hei�ht ? it length ft Di�neter �in 7YPA ______ qppl�atroe �2 L'e�t Connector Height R Length Appl'isnc,� �131�'ent Conrtector Height � Lenglh (t Diameter in Type -- �'r�P P� HEATING CO 519rt�i BY= R�P 1`u��qr� 'P� a� � caMd�lf�oh ar�. � Date � . 3 —/ � — � � ,-- TOTAL P.03 ADDRESS PIN LEGAL DESC PERMIT TYPE CITY OF FRIDLEY 6431 UNIVERSITY AVENUE NE FRIDLEY, MN 55432 572-36U4 r'AX: : 583 LAFAYETTE ST NE : 033024220071 : RIVERVIEW HEIGHTS : LOT 15 BLOCK C e PROPERTY TYPE . CONSTRUCTION TYPE . BUILDING RESIDENTIAL RESIDING 571-1Z87 PERMIT 1�. � 04-016061 DATE ISSUED: 09/15/2004 VALUATION : $ 2,088.00 NOTE: PER R703, 2000 INTERNATIONAL RESIDENTIAL CODE, REQUIltES THAT A WEATI�R RESISTIVE BARRIER BE PLACED OVER EXTERIOR SHEATHING TO PROTECT TI� INTERIOR WALL COVERING. EXCEPTIONS FOR THI5 PROVISION WOULD BE IF SHEATHING IS AN APPROVED WEATI�RPROOF PANEL OR WHEN TI� SIDING IS AN APPROVED WEATI�R BARRIER. VINYL SIDING IS NOT A WEATf�RPROOF COVERING UNLESS TI� MANLJFACTURER STATES THIS IN THEIR APPLICATION GUIDELINES. CALL FOR INSPECTION OF WRAP BEFORE COVERING OR TAKE PICTURES. RESIDE HOUSE. APPLICANT ROLF ELLIS 583 LAFAYETTB ST NE FRIDLEY, MN 55432 OWNER ROLF ELLIS 583 LAFAYETTE ST NE FRIDLEY, MN 55432 AGREEMENT AND SWORN STATEMENT This permit becomes null and void if work or construction authorized is not commenced witin 60 days or if construction or work is suspended or abandoned for a period of 120 days at any time after work is commenced. I hereby certify that I have read and examined this applicarion and l�ow the same to be true and correct. All provisions of laws and ordinances governing this type of wor� will be complied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any other state or local law regulat' ons�crion ,j• the performance of construction. Appl cant � �� Date '�� Bldg Insp Date � �� BUII..DING PERNIIT FEE FIRE SURCHARGE STATESURCHARGE,VALUE TOTAL SEPARATE PERMITS REQUIRED FOR �JV�RKbTI�R THAN DESCRIBED ABOVE. 83.25 2.09 1.04 8638 NEW ADDN ALTER [ ] CITY OF FRIDLEY�'��'�'R � �"' [] 6431 University Ave NE, Fridiey, MN 55432 � ' SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION Construction Address: a S � ��ef� � /l✓� Legal Description: Effective 4/1/2004 (763) 5T2-3604 Bldg Insp (763) 571-1287 Fax ��o �• �l�D � Owner Name & Address: /��f ,�ll� s".�� L.a�vet�e �� Te�. # �-�� Contractor. � �`� MN LICENSE ✓� � � Address:�� '-��c-�/2 � � Tel. # 3 .'��°3�� LMNG AREA: GARAGE AREA: DECK AREA: OTHER: Construction Attach to this application, a Certificate of Survey of the bt, with the proposed construction drawn on it to scale. DESCRIPTION OF IMPROVEMENT Length Width Height Sq. Ft. Length Width Height �-�a Width l HgUGround Sq. Ft Sq. Ft Estimated Cost: $ 2, o�-�o � Driveway Curb Cut Width Needed: Ft + 6 Ft = Ft x$ _$ DATE: °1- l S -o � APPLICANT: '%�a /� �l�nS Tel. # X 3 �� Call (763) 57Z-3604 for Permit Fees if mailing in application. Fax to 763-571-1287 if using credit card and we will call you for card number. CITY USE ONLY - Permit Fee Plan Review Fire Surcharge State Surcharge SAC Charge License Surcharge Curb Cut Escrow Erosion Control Park Fee Sewer Main Charge TOTAL $ �.3.�5-� � � $ •� � l� o� $ .$ $ $ $ $ �► i� � r Fee Schedule on Reverse Side 65% of Permit Fee .001 of Permit Valuation (1/10th%) $.50/$1,000 Valuation $1350 per SAC Unit . $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 [ STIPULATIONS: BUII.DING 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 alteration or repair to any existing building or sttucture, 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: TOTAL VALUE $1 to $500 $501 to $2,0� $2,Q01 to $25,000 $25,001 to $50,000 $50,001 to $100,000 $100,001 to $500,000 $500,�1 to $1,000,000 $1,000,001 and up FEES $23.50 $23.50 for first $500 plus $3.05 for each additional $1� or fraction thereof, to and including $2,000 $69.25 for first $2,000 plus $14.00 for each additional $1,000 or fraction thereof, to and including $25,� $391.25 for first $25,000 plus $10.10 for each additional $1,000 or fraction thereof, to and including $50,000 $643.75 for first $50,000 plus $7.00 for each additional $1,�0 or fraction thereof, to and including $100,000 $993.75 for first $100,0(� plus $5.60 for each additional $1,000 or fraction thereof, to and including $500,000 $3,233.75 for the fust $500,000 plus $4.75 for each additional $1,000 or fraction thereof, to and including $1,(�10,000 $5,608.75 for the first $1,000,000 plus $3.15 for each additional $1,000 or fraction thereof CURB CUT ESCROW (Concrete Curb Streets Only) Removal and replacement of curb and gutter only - driveway width plus 6 feet, times the annually determined rate Permits for construction will be issued a minimum of 24 hours from the time of application to allow for proper review of the proposed structure and of the construcdon site. VERIFICATION OF FOUNDATION A Certificate of Survey of the lot, showing the location of the existing foundation will be required before proceeding with the_fr�ning. New Houses Onlv e- . � Building Inspections 763-572-3604 763-502-4977 FAX DATE �' -� SI1'E 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 SIZE OF IlvIPROVEMENT BUILDING RESIDENTIAL APPLICATION CITY OF FRIDLEY EFFECTIVE 1-1-2010 Permit No. Received By: /1^ V YOUR E-MAIL ADDRESS �D/ t 7C� ISQ�Lr?d� T?�OWNER ❑CONTRACTOR STATE LICENSE # ADDRESS: �� PHONE � d ' %�,�' � 'U Y� �SINGLE FAMII.Y/NTEW CONSTRUCTION ❑ TWO FAMII.YMEW CONSTRUCI'ION ❑ BASEMENT FDVISH ❑ ROOF ❑ DECK � ❑ SIDING ❑ SWIMM ❑ NEW HOME CONSTRUCTION ❑ MAINTENANCF./REPAIR ROOFING NUMBER OF SQUARES GARAGES PROPOSED SIZE: �S� X �D � PROPOSED HEIG��_ SIDING ❑ Vinyl O Aluminum 0 Other %o �s � .�-!�c EXP DATE .� �Ef4' CITY FAX SIZE STORIES E/SHED ❑ WINDOWS ❑ DRAIN TILE ❑ OTHER QdG POOL ❑ ADDITION �0 REMODELWG ❑ HOUSE ONLY ❑ HOUSE & GARAGE ❑ ATTACHED GARAGE I�DETACHED GARAGE TE�/ zIP 3s�3� FI' BASEIvIENT REMODELIAiG SUBMTf: 1. Existing Floor Plan 2. Proposed floor plan 3. List of strucwral members to be used � ,. FOR NEW CONSTRUCTION INCLUDING DECKS, p��t ADDITIONS. & PORCHES SUBNIlT• p T� 1. Site Plan/Survey showing the existing strucdues O Fascia and proposed proje,�;t 2. Two sets of construction plans WINDOR'S 3. Energy Calculations IN EXISTWG OPENINGS ❑Yes ONo LOCATION OF WINDOWS FOR WMDOWS — PROVIDE U-VALUE AND OR FOR NEW OPENINGS-DESCRIBE SIZE OF MANUFACTURE STICKER ON WINDOW. OPENING CHANGES & TYPE OF WINDOW TO BE INSTALLED NUMBER OF WINDOWS ALL FEES ARE BASED ON VALUATION, INCLUDING THE COST OF LABOR AND MATERIALS: (LTSING THE 1997 U.B.0 FEE SCHEDULE) TOTAL JOB VALUATION $ SODa l)�I OCCUpqNCy TypE Permit Fee Plan Review Fire Sutcharge Surcharge License Surcharge SAC Chazge Curb Cut Escrow Erosion Control Park Fee Sewer Main Charge Total Due $ ' $ , , .� $ $ $ $ $ $ $ .;7 �i �`li� See Back Page for Fee Schedule 65% of Building Permit Fee .001 times the total job valuation .0005 x Permit Valuation Minimum $.50 $5.00 (State Licensed Residential Contractors) $2100 per SAC Unit (Plans to MWCC for determination) ft+6ft= ftx$24=$ $450 Conservarion Plan Review � Fee Determined by Engineering Agreement necessary ( ) Non Necessary ( ) Make checks payable to: Citv of Fridlev Attach THIS IS AN APPLICATION FOR A PERMIT-NOT VALID UNTII. PROCESSED I hereby apply for a building permit and I aclrnowledge 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 Construcrion Codes; that I understand this is not a permit but only an application for a perinit and work 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 work which��yquires review and approval of plans. SIGNAT�RE O� �I� T�� _�� PRINT NAME�O I� �I!/S DATE 7�� /� /illP/ /� � Page 2- Building Residential Application BUILDING PERNIIT 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 alteration or repair to any existing 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: TOTAL VALUE FEES $1 to $500 $23.50 (Minimum Fee is $23.50 plus surcharge) $501 to $2,000 $23,50 for 1�` $500 plus $3.05 for each additional $100 or fraction, to and includin $2,000 $2,001 to $25,000 $69.25 for 1�` $2,000 plus $14 for ea.ch additional $1,000 or fraction, to and includin $$25,000 $25,001 to $50,000 $391.25 for 1�` $25,000 plus $10.10 for each additional $1,000 or fraction, to and includin $50,000 �50,001 to $100,000 $643.75 for 1� $50,000 plus $7 for each additional $1,000 or fraction to and includin $100,000 $100,001 to $500,000 $993.75 for 1�` $100,000 plus $5.60 for each additional $1,000 or fraction to and includin $500,000 $500,001 to $1,000,000 . $3,233.75 for the 1�` $500,000 plus $4.75 for each additional $1,000 or fraction to and includin $1,000,000 $1,000,001 and up $5,608.75 for the 1�` $1,000,000 plus $3.15 for each additional$1,000 or fraction VERIFICATION OF FOUNDATION Permits for construction will be issued a minimum of 24 hours from the time of application to a11ow for proper review of proposed structure and of the construction site. A Certificate of Survey of the lot, showing the location of the existing foundation will be required before proceeding with the framing. New Houses Onlv City of Fridley Building Inspections Department 6431 University Avenue NE Fridley, MN 55432 763-572-3604 Fax: 763-502-4977 J _r �ilding BLTILDING l�nspections ��- . RESIDENTIAL APPLICATION 763-s�2-3604 CITY OF FRIDLEY 763-502-4977 FAX �c�« 1-1-,01�� n-�� lt 1LTR E-AL�II, _ai>DRESS O ��/�' e SITE _�I)I)RESS � Q �/ C E THIS _aF'YI.IC_aNT IS: ,�c.)\INER OCC)NTR�t'TC7R PROPERTY OWNER/ N_��: 0 % r TENANT .-��ttESS: � d e e iTTr � t run�• �i�a� ��1r., , 7 / � ., _ ii i I CONTRACTOR i SUBMIT A COPY OF YOiJP. STATE LICENSE AND CERTIFICATE UF I INSURANCE PROPERTY TYPE PERNIIT TYPE TYPE OF WORK: _'__'-' Y� . I' y ' ST.�TE LIc`ENS = .$�� E_\T' I)_�TE _-1DI)RESS: � !� 90� L�' CTfl� PHc )NE O �� F -1.� �/' � �� SINGLE FAMILYa`mn� nnwro.nnrrnmr�r� $�E ❑ T�VO FAMII.Y/NEW CONSTRUCTION STORIES ❑ .u>nrri�:,N �(ct�ai:E s�� ❑ �t�x�t�-s ❑ B:ISEAIENT FINISH ❑ Ri x:)F O bR�IlV TILE ❑ UEC'Ii ❑ SII)INC. ❑ t7'ITiER O SR�II�IINGP(H:�L ❑ NE\1 HC�nlE Cf�NSTRLTCTIt>AI p �I)I)ITif�N ❑ ALaIN1'EN_aATCE REP.aIR �,i2EAic)L)ELING Pernut No.: �� Recei�c-ed B�-:� Dat��d � ST_�TE�ZIP-*�� ST_a /�ZIF_� �� DESCRIBE WORK BIING DONE: �/�E'a '�_� � ' " �f�%I� ✓Y C � � t�-%�I12 �� 2. O � SIZE �>F IAIPRi ��NT LENGTH c \\II)TH E�IGHT S � Fi' S � � ❑ Hc:iITSE l>NLT NLTAIE;ER t7F S��L�S ❑ H[:�IISE � U aR�uE B�E1�NT RF.MaDEI-ING SUBNIIT• 1. Existing Floor Plan G�RaGES � � ❑_�TT �Cf�I) U�R�IiE 2. Propose3 floor plan PRUPOSEI) SIZE: ��3�� I)ET_a�R�I) li_�RaUE 3. Liat of st�uctural membefa w be used PROPOSED HEIGHT--��[ a�-- 8 SIDING FOR NE�V CONSTRUCTION INCLUDING DECKS, ❑ �"ia�-1 ❑Soffit ADDTfIONS�& PORCHES SUBMIT• � aluminum ❑ Trioi l. Sit� Flan Sun�ac shon-inv tht eti.ating shvcturc� 0(Nher ❑ Fascia and ProPosecl pron,jed. . 2. Two sets of co��udion pla� WINDOWS 3. Energy Calculations 1N E_lTSTING i�PENINGS OTes ONo LOCATION OF \VINDOWS FOR WINDOq7S - PROVIDE U-VALUE AND OR FOR NE W OPENIlVGS-DESCRIBE SIZE OF MANUFACTURE STICKER ON NINDOW. OPENING CHANGES 8c TI"PE t:�F \i�INIx:��3" TU BE INST-1I.LED NiTAlBER c:�F �ilrlIx7\\ :S ALL FEES ARE BASED ON VALUATION, INCLUDING THE COST OF LABOR AND A�ATERIALS: COTAL JOB VAL[7ATION $ �OO��G � 1997 U.B.0 FEE SCHEDULE) OCCUPANCY TYPE P°� F� $ �' � Back Page for Fee �cheduie P�II R��`' $ 65% of B�ulding Permit Fee Fir+e S�chazge $ �1 l� .001 times the tatal job ealuation Surcharge $ ,� ��'p .0005 x Pemut Val�tion Minimum $.Sp License S�charge $ $5.00 (State Licensed Residential Contcactors) SAC Charge • $ $2100 ger SAC Unit (Plans to MWCC for determination) Ctub Cut Eserow $ ft + 6 fl= ft x$22 =$ Erosion Conlrol $ $450 Consecvation plan Review Pazk Fce $ Fee l�termined bY Engmeering Sewer Main Chatge $ Agneement n�}' () Non Necessa�y () Total Dne $ J� b]p Make d�ecks payabte to• City of Fridtey AUach Stipnlations THIS IS AN APPLICATION FOR A PERMIT-NOT VALID UNTII, PROCESSED I hereb�- appl}- Yi�r a huilJing pennit aud I acl�uo��-leJge th�t the iuti�rmation ��tui�-e is c��mplete �uid accivate; that the «-ork �cill be in confi�rmsnce ��-ith the ordinwces and co�es of the Cih• of FriJle�- an� r�-ith the Mainesota Gon�tniction C�xles; tllat I understwJ tlii.� is ni�t a penuit hut uul�- an application for a pernut aud «-ork i, not to start ��-ithout a penuit on site: that the `�-ork ��-ill be in nccorJwce ��-ith the approved plan in the case of all work ' h � s review and approval of plans. SIt.N_�TCTRE c>F _�PPLIC.�NT �: 5 PRINT N_-1R �� Il �� S I)_�TE �' � I—�� PLEASE NOTE: SEPARA , QLTIltII) FOR PLIIMBING_ II,ECTRICAL ANI) MECHANICAL WOItk �r��G9�� v � �� 1 e yb i� � ME��IFZV�: � � ' ' � � � U�S1�(7-ii" � -��.- �-: ... Items Selected: - Ga�eroora�AF12p�,s�df�7 o.c. iin� f�n l�fia� I� Ood�, 56�1 �4W�IFr��ltl� 94'VY�eX�'peepXB'F�h ' V'uryi Doub� 4'tapSl�g '� �I 11x' OSB Wall She�j Go� Wrap 1�'�H2°�veoar�gs 9l1° OSB R� Sh�fhing �0 yt. (�ic, Qny�tt gl�kg6higl� W�Alum�nSoGi6Fa� Wt�eR�unt RodEdge �� ,� THIS JOB COPY �}t.q�L �� AvAttAQ! �� :. ` � ��. ,toa .SiTE FQi� i �.. � . '.r'�r{Ni7 ANO Ftha� ::, : , �. ;� �; ; �NS . �Vt�� Qpt�ons Selec�ed: 1be op�ns poo hare s�eded are: 15LBRoof� 2 Itaa� I�adar loe b IN�r Barriet • � . h/lc�l 1� I'Vl tll� . � ��d� � �� i � �� _ �' ��v� �j _�� .� , �U�. o� 1'aday's esfimate ' e: $3,938.�4 � !f purchhased today, yau save: $364.3� � l�� —� � �a e 1 af Z 101ZO�Q � �c�� ` � � � ��_" ra`', ' �'Cgx.��$ _ hnlfil , .. — 8adc ift�n 1►— i� _, �� ii ;�..��, - ��rn ,��ir� • � , �uts-�C�� `��UL�,� "7�L. f l� Mi1� ' �J, � . -g -- � c..�,,.��,,,a�vr - ��-�� i�.l -�. , YV�,1t� :� � ` . �� c�� '`.�`t �� +� �s �Q � 1 R� onthly BIG C�at� payment: $88.15 w�� t 2� Today's �stim�cl�6�se rice: �` .71 ` �, 7/18�8 6�dudes: 0" E8ir�10" �I80Ve F(aming M�, g os �Oasr�,��r.F�m�c �'�,x P(ne F�ci�, (�hta�ed�i�� p�i�dge, . u�na� nryot�� Take this sheet to dln �a#erlals a7a�or�elmanEbrorm,o�ere�s►p►Ice,nae6eenpro�dedpy�armYer�s�,�te�e� �b Men�VA��ilO INODDA9,'rF�RBII�� qFP[tESE�`MAt�l+p fli+1�T��qTlIWLOtI�il�FBR8P1lil�T) Z$L-3 Z�0/L00d fiES—,L �r66EZLSE9L, Wd LL�£S�Z6 OLOZ/US �al�Q cvun�v pur�n�e �tour m�erials.'� ��mfise�h�d�m9 l�mt6�odbq�gdi�smardqv�Stj, Pkawe�nineQds Wr9lWl�AI�ffilfiABt.ElaRAN1rPURPOSE�Q�BIf1i�G1lEb7. BE�AIfSEQf'f!� Q�ft00C6R�vfg saFTddn.spiq8'G�£a.�n�s—W� 8�.ET 0L,-0L—E0 til£ �a6�d unnou�un :wa� � . � De�i n # ��TT1 � _ . � �� He�e are �e wall configur�tions for your desi n. � I�a�n�r Not b�p�A� � G�eF�i�r N°•�� yl PaeZo�Z 3 �012010 �1��►►� 0 -- +crn;t,,� (�'` ,m ��LfLJI�l,l00 ��a�� , � �� i P'-6° I 9'xT - - �� ,. ., � �.�r �1�. �h� S c�s�v� �. sl d � (i}-�ClWFaTE IV�UISI [�AlSED Pt�. EXTSP �d6RST M�N �<< „� �2w�� Su�1 � M�IN � a. t�—t _ �.� �� T� � � EareB�dcv�w � �1J-�.4 s,PIW�I.ST�ElQ00RPF�XB�LH OB � ��,� �•• �i�''• �'�L� � � C.2�+�v�t'�.s Cte�[�� .� , �' � �-�n'� �C t� ��.i � �, �s� `�, �� ,��.<<� � � �S� sr�� .� �-fc� �� o��- �a�� R � � � � �� o � h �w , ��d _ _ � �¢dn�l a� �a� g�aicar�ru andh�re�caicu�ted �n�udbn s� r��, allfr�l pia��mat��n� t� v� �t � �� Bec�se a�ilre w�e t►�le � codes and f �� a� �� II�tAs�a�pplier� �c�rlshUd�l lt�t�l8 a�ttl do� flo4 Aes�rrr�e �i�y��, ��Iq�lg �81e ptoar�led. eles�i�1, pl�ea�d g� %S �bt bB ��1�b� Rla�arefi b u�sa�elyeqdppie�d6�jd�tn�c8 ��gl�and pro�B�d+A�g�tlo�+e Z81,-3 Z00/Z00d fii�:5-.L ��FTI.G},y�. sarrddnsrrrr��rASasois_r.mua ati:or ar _or_�o, Wd BI.�£SZ6 OLOZ/US �e;eQ y/ti :a6ed w�nou�un :wa,� , � �. � � � `6' � .� � � � �� .�- _ .�- ._: `�� ;'�`''�`r ��-� � ��y��` J� : A� , /V �jf� �� iV1� N � -�' � _. � - � 1 � - �� . � �'r ou�� il � � � a) a� � I�� l/ �' � � � � �� h�V �r�v'a � �� '�� . �d�Q.��a� � � I � A J i �t /'� �i�17t Y' ��nsto (� j�%�. . � �s� �1 �.z.�t �'�ir d. � ��d�� r� �� itla r � y �l y � . � 1 � �q��y��` �. �. �jor�t QJ�y a�� r I��i� � ��, � �� 06-08-'10 14:34 Desi n # 9409� 9 F�30M-store3018bldsupplies 7635713994 -. I � e . . � Items Selectetl: , , Ga�le rooiv� 4112 p�ch, �ndard i� 2' O.C. Tn� Design Lm��onZ�pCotle; �43`t 2�4Wa0 Frami�g Mate�al 9� Wide X 34' DeepX 8' High Vinyl Dauble�° I�p Sidbtg -Fine 1I� �ss wau Sh��g Gor�haW�p � 12° g�blut� eave ouerh�angs 1�' OSB Roof Sheatimtg• 35 yr. B➢Unore, Wealherorood Shfigles VVh�eAlumb�um So�tB� Fassc��a Wlt�e Premium Roai Edge VUh�elimyl Overhe�d Daor Jsmb a � � �.. Options: Sele�ted: � m�o��: 15 LB Roof Fe� 2 Rows Granuiartc� 8� W�erBartier N�lA/ �eR,cV ��' ��4� : �`f�s - jl ��l(�etr�� S�a�" / � '' �� 9� ��„�� -� j� � a� s�� ar �d �� I �� . � sl o b `� u�' �� 9 o� t�f 6`� ��o`K �� ,�� s�a h s/��'� il D�e�� % � ��. �) �� ,�/��xs ��f � ��v �v d e�e s/o�'�= . Today's es�mated base price: �2,092.77 � rne basepdca Include�: 0° Ea�aO" Gable Ouerh�ngs, Freming Meterralls, o� m r 7N6 QSB Ra�f Sh�alhing, 20yr. Fibergla� Glasslc - 0� Bla� Shh�gles, Puie Fasda, Ga�ed Regular RoofEdge, 'e 8° TexhaedUerqal Hard�rd 5(�ng, Na Senrice Doa�, No �e�ead �o�, No Wmdows, ar Am► afher IOp�ons. a Today's es If purchased Manthly BIG BackUiew T-231 P001/007 F-8�0 Pa e1 otZ � � SILO� � ��-- --_� �: �� i� � Mti I f I�'1;�!r_� '� ��;;�� _ ��, �� red price: $�,850,07 , you save: $132.89 paymen#: $108.12 �. �' Take this sheet to the Buildinq�Maierials cour�er t purchase your materials. � Ap in�me6on m� �fstoim. 09,� tl�n p�ica nas been provtaed by gu� end ��aa [e notre�,on ��ny�tn e�e hdortna9ml on �,lndud6�g hut notumtted 6� quanoty� cHn,en�on � qus�y. Please �nuire 6��s o m, es�nate reretul�. ldENAR05 AdAf�9 NO REPRESENTATIONS, ORAI,V�Ii1EN OROTF�t�SE, TNATTf� EEATEI�A1.3 UST� I� TABLE F'ORANY Pi1RPOSE 64NG C6NSIDERm 61f TF� OUEST. BECAUSE Of WU}E VARIATI01�,51N CflDES, T�iEAR� � REPRESOVfATI�OP�'fHAT7HE 6GATERIACS LI5TED F�N �EETYOI�t C0� ftEG EN1's. . �� - 06-08-'10 14:34 FBO�-store3018bldsupplies 7635713994 ��esi n # 94091 - � g � "�� Here are t�e wall configurations for your desi n, I�ustratian May kat Qep9ct�ill Op ns Sel tec ❑ ❑ ❑ ❑ �m;�,�,�«� ��:>�,a&�, awukuaa�na tKS+5�o:t2ea< ❑ ❑ � a a¢aot@�iP�Ai•a �<+7�i�Y ww'rr+ o-�a..:..:e.r�aW� bIWYN@W^•Ik�� a��iGf918�t69 � � � � R.atta.�M�9.:n h t6Ftd•.plj�l 41��?yt�16E•dG1 tiq61�>IMi�� fQMIY.t�NINMI � Q � ❑ M•a:.N�t./i4¢181 .YR£�:UPOtwy+ .Y'.SIi:Q.3. @{� ' t�iwa,�.A�x.fi ��•%<wi...��..w � X T �-6° Gable�ro��ew (1) -9X7 WfiITE INSt1L RAISEDPNLE�ZSETfORSN M4SV T-231 P002/007 F-800 'a � e�,Z of Z 6� 812010 �X6� EaveFmntVew (1) -E-9 frPANELSTEEl D00� PH36X8Q LH DB � Bu�6ing Size:16 f��deX30 fe� long X 8 f�t high Appronirrrate Peak Heigh� 19 feet Ofich� (132 inc�es) N � ��Y �� v � � � �� -��. a��, � ,��s EaveBackVl�r � ; � �� Q� . �c� d�� ; ��a � ,�' ► / � � � c� _ Menards�provid��t�e n'aI estimatesare Uittend� es a g�ter�l �nsi�ctioe aidat►d have b� �Icu�t�l usln� irl cons�an methods. Because oithewideva�aWe a� �es and s�e r�i�o�, ail afin I p�esand n�tenal lis� mustbever�ed w�hYour loalzanmg o�c�,a�fi�.arnilar.�erforbidl d�1gn and i�ode compGance. Me�ardss isasupplieraf d� a r�nstiu�ion m��iais and does n�assume6abil�fad�ign, eng�ee�ng arth�e c�mpiet�� d� �s��nd�s�htaned�h� Pr �n dh�e, constnict�ion lohe�sure lo�ated and marked 6efcreyow�btdl�ng plansare ed.Rememberto us� �afet�+� 9 �9 . a �s�re bu�d'mg exp�rienr�. .