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P - 83519Building Inspections 763-572-3604 763-502-4977 FAX DA� '-�f � I W " SITE ADDRESS �� THIS APPLICANT IS: PROPERTY OWNER/ TENANT CONTRACTOR SUBMIT A COPY OF YOUR STATE LICENSE AND CERTIFICATE OF INSURANCE PROPERTY TYPE BUILDING RESIDENTIAL APPLICATION CITY OF FRIDLEY EFFECTIVE 1-1-2012 YOUR E-MAIL ❑CONTRACTOR � � � •»�.� Permit No. ��1 �� Received By: Date Rec'd: A STATE LICENSE # LEAD CERT NUMBER EXP: ADDRESS: CITY STATE ZIP $INGLE FAMILY/NEW CONSTRUCTTON TWO FAMILY/NEW CONSTRUCTION PERMIT TYPE O ADDITTON ❑ GARAGE/SHED � WINDOWS ❑ BASEMENT FIATISH ❑ ROOF ❑ DRAIN TILE �ECK � SIDING ❑ OTHER ❑ SWIMMING POOL TYPE OF WORK: � NEW HOME CONSTRUCTION ❑ ADDITION ❑ MAINTENANCE/REPAIR ❑ REMODELING DESCRIBE WORK BEING SIZE OF IMPROVEMENT ROOFING NUMBER OF SQUARES _ GARAGES PROPOSED SIZE: PROPOSED HEIGHT: ❑ HOUSE ONLY ❑ HOUSE & GARAGE ❑ ATTACHED GARAGE ❑ DETACHED GARy�GE �iu.��:i FT 2 BASEMENT REMODELING SUBMIT: 1. Existing Floor Plan 2. Proposed floor plan 3. List of structural members to be used SIDING FOR NEW CONSTRUCI'ION INCLUDING DECKS, ❑ Vinyl ❑Soffit SIDING/SOFFIT/FASCIA ADDITIONS_ & PORCHES SUBMIT: ❑ Aluminum ❑ Trim REMOVED? ❑ YES � NO 1. Site Plan/Survey showing the existing structures and proposed project. ❑ Other ❑ Fascia 2. Two sets of construction plans WINDOWS 3. Energy Calculations IN EXISTING OPENINGS OYes ❑No LOCATION OF WINDOWS , FOR WINDOWS — PROVIDE U-VALUE AND OR FOR NEW OPENINGS-DESCRIBE SIZE OF MANUFACTURE STICKER ON WINDOW. OPENRJG CHANGES & TYPE OF WINDOW TO BE INSTALLED NUMBER OF WINDOWS ALL FEES ARE BASED ON VALUATION, INCLUDING THE COST OF LABOR AND MATERIALS: USING THE 1997 U.B.0 FEE SCHEDULE) TOTAL JOB VALUATION $ 3� 4 OCCUPANCY TYPE Permit Fee Plan Review Fire Surchazge Surcharge License Surcharge SAC Charge Curb Cut Escrow Erosion Control Park Fee Sewer Main Charge Total Due $ '" , G5 See Back Page for Fee Schedule $ �-�- 65% of Building Permit Fee $ �-/ - _.001 times the total job valuation $ .0005 x Permit Valuation Minimum or .50 $ $5.00 (Sta.te Licensed Residential Contractors) $ $2365 per SAC Unit (Plans to MWCC for determination) $ ft+6ft= ftx$25=$ $ $450 Conservation Plan Review $ Fee Determined by Engineering $ Agreement necessary ( ) Non Necessary ( ) $ � Make checks payable to: City of Fridlev Attach 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 complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Fridley and with the Minnesota Construction Codes; that I understand this is not a permit but only an application for a}� rmit and work is not to start without a permit on site; that the work will be in accordance with the approved plan in the cas of r1 w�' '� ires r� �' w and approval of p a s. � j J l�l� SIGNATURE OF APPLICANT PRINT NAME � � DATE -y� ennnnvei n.tcn�r�rnn err_�r � �. w� i ��-- --� �� i ��n:nuiva vaNy� x �uv� =.5�50�MAIN;ST; NE� FRIDLEY, MN 55432 :C163�:5? .96,00��=> ,. • . Mon�Jul�26�11:20:49 2004 � - � � ��,.� f�G � �The`materials�for this project will cost $2731.20 t�► �. ..; � ,��;-�V`�'' : :: NANCY= BUERKLE -� � . . . DECKDESIGN 1 " ` • 1� ;14739.1�'. ,. ;'� �'' l 2u'Z ( W►TI ��V ( � �5..�� � 3D�Vfew " � � . , ����� r `~` � � s� � � s ` � � '� • � . , � � � �1� �� ��'�,� c � ` � ��� , � . .,� � _ � ��._� � � ���� s ��. .� . y � V �� u. n. ���'.,�. _ r^"�_� ��1 .:� , -F�� , l ; � � .. _ , ,,.. . :r: ;�, r. i� . ,. �%'r�,. ��w �: � , .� ... , �'�- ��f�l � ,.. _ ,-_ ✓; l _ � .• ,, s � �� �Zg �� � � . � -Zy l� ��^'� �- L� �.. —.� � $'� �.�''1s -�i'. 1' ♦ _._..,-- �� � . ^/V + � • I \ � i � / �ir r �� � �q +�,�� r� �� � � i��. �; � �-� � z�4� C�S�1l.: S �..--- �� � �M�k `� 3�.. �1� �i1�1 � tv t�` � C�1 t� _---. i � �. � IS ,�p , � Cdw�� S s h �S � a�► � �� �.'��'S650;MAIN`ST;"�NE,;FRIDLEY, MN 55432 . ; (763)'S7�1-9600�. � ` ` " �.Mon�Ju126�1;1 20 49 2004 ' � '.The'materials forathis project will cost $2731.20 ' t � �w.7+,,�'.�y Y �; ..�ar �,n�,.: r.�` � . ; .- v�'sb''..1-`i.S?i�'' .. ,� �. r.., . ��:NANCY BUERKLE � .� ':;DECK`DESIGN 1. ; '; :;147391 ��,w; : ; , � Deck Dlmensions�for Deck 1 � a!k'i. . ' � . 7�,.'� ., . , . ' . , ' � .l' Y s � ,,� y+ ?i `�y- � 'r �'r§���'"f �+� ;r" l �..�ci:-.:: �_ :;:.: , � � _ t w .van* #; : �:F=,s�r`.,.�'�',�?,.�-. . . . . . . . . ��.::.}Ji � . .. '{ <,. . �'i"�.::^�_:.�.,..�' . . ,: ., . Deck 1 � _�6� q��` :��Jo'ist`=;Spacing = 1 i Baluster Spacing , 3 -Toe��:,-�Spacing � 3_3�9" ";Rai`ling; Height 6" 1 �� � � � �--I g i � r;:�► he home uepot � �uuc ''�5650`,MAIN ST� _NE; FRIDLEY, MN 55432 >`(76�)�571-�600- � Mon'Jul 2611:20:49 2004 ''The.'materials;for this project wiil cost $2731.20 � , � i..rZ Lvsf4: . � .. ,.. . r. , NANCY BUERKLE ; DECK DESIGN..1. :147391 �� ::��,� :�,.::.fi=; . DeckrDimens�ons for Deck 3 ���: :;�,�,::� � . } . .;,�;, '���t^ �W b . , � .�_:..X",y . . �C ..�_ , -: , ;; /� cr � �` _ �- �^ ., � �; �,. � . .:,� C x ..•..� � . •_ ♦�.i_ . „ � ' 1 '' d ' Y•35. Y, i ' ' ,:y?..`R�+ ...��. '� l-Y J�� ��:. • .tii 3 ;:a .i,�.� . . : � ;'' + 4 . � ', �v Ji _:. ' Ji? �j'p1 t �'Yr^'r . . 'v� :�5t xY �:� �r:�; ��:. , �� ,_ . x . ,, . �-3 , -� � t� ,.� Joi t''S acin = ��,i�., o.c. Baluster Spacing = 3 3/4" Toe"Spacing = 3 3/9" Railing Height = 36" ue �' 0 6' 6' I � Y � C��''� � r. ^ �./\ X/ �` � � �� �.-�� �P �,� � � �\� i, D , l�'. � l� _ �� � � �� _ 3 b`� a�. S ,.p,�a.�nv �:�v�nv vvrtva*r.�.+..r- 5650iMAiN`.ST, NE, FRIDLEY, MN 55432 ` (763�6571 9600 x " - . , ;Mon.;Jul 26"1:1.:20:49 2004 � � � . , >They,�matenals for this project will cost $2731.20 . �:'t�'..','a�L_;'t�i�,5� � i�} 3•TrY ,- .. , - . °�: NANC,YBUERKLE ` � :�DECK,DESIGN�1 `- • � 147391 t �� ;,,,, �-h � �Deck Layout, ;,; � ,� � � � . r _ . , -•-..._.___.._�_ � , . �. _�.— - -- - .�. : , _ . _ ,C ���__(�- e-,� ► �r . _ ._ :�, _ . r�ect_ . , �- ___._za� �,2 { .. . . � �� ��1���-`�C� � �-- � �a' w, �,. ��v�� � � � � ,� , ���; � �: �. � � j J��ir� �j�r �nC' e �' '�� �� `��.' �� % � .� � -�, ' �, , �-� `�i 5—e. J" ���i� �� , . 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