P - 45715Building $U.�I�DING Permit N'�._ /� ` ;�-�
Iuspe��ions j�+ �'ijDENTIAL A.PPLICATIUN Received By:��
763-572-3604 CITY 4F FRIDLEY D ' �' `►�'
763-502-4977 FAX ��=� ����--� �
�errv� �-t zo�t
nA� 1 Q-27-2011 Youit �a,�rc Ann�ss ____ kauoff@att.blackberry.net
strE annxESS 1452 Danube Road Fridley MN 55432 �
"A�IIS APPLICANT IS: ❑ OWNER L-7eONi'RACTOR
PROPERTY dWNER/ ��:�r���,� Tnhn ,qr Rri�et
TE1�iANT ���: }452 Danube Road CTTY Fridley -• 5'iATE MHLIP 55432
PxorrE_ 612-272-3118 '
��T��R xa,a�� Associated Eacteriors Inc:
SUBM[T A CO�Y OF STATE LIGENSE # BC634014 �,� �� N��� NAT —11 4-
YOUR STATE LIC'ENSE A��
AND CERTIFTCA'CE OF AnDx�ss:__937 127th LN NW c�-rY Coon IZapids STATE ��uZIP 55448
Ii�SURANCE PHp� _ �nx ?63-757-1357
PROPERTY TYPE ES}SRVGLE FAMILYIN�W f�iSTRUCZTON s�
t�''i'WO FAMIl YlNSRT CONSTRUCTI0I3 STQRIE.S
PERM[T TYP� ❑ �►nDE'rtOx ❑ Gn1tAGFaStjID ❑ wn�nOws
❑ BASENiENT FiNiSH [�ROOF LI DRAiId TII,E
fl DECR L7 SIDIl1G L7 oTEIER
Q SWIMMIl�TG POOL
TYPE OF WQRK: D IVEW HOME CONSTRUGTiON [7 ADDI7TON
Q MAiNTENAI ICFIREPAIR I�KEMODELIhtG
n�scxrsE wottx srtr� noNS: Re-side existing house an attac e garage
SIZE OF IMPRQVEMENT LENCrl'H WIDTH IT�IGHT }-j'
RO(}FATG C7 HQUSE tiNL'Y B�4E�NT I��'n,qnnE?-�NG S M[f•
idI3MBER OF SQUARES O HOUSE 8t GARA(3E 1. Bxisting FloorPtan
GrAitAGE5 C3 A1Tt#C� GARAGB Z. Ptnppsed f.ioor p18n
PROriOSSD STLE: ❑ DETACI�I? GARAGE 3_ List of�ucdual membas to be used
PRQPUSEA HfiIGH'F_
FOR NEVY C�N3TRLTCTION INCLUDIMG DECKS,
tj�Vmyl I�Soffit
A�i DTTIONC .@PdRCFiES c[ 1gMiT•
Ci Alumimmi � Trim l- Siu P�vey showing tl►e exisdng shuctv�es
D Otlus CI Fascia 2. Two � o�f consRt�ctioq plsns
R'INDOWS 3. Fateag}• Calculedots
IN EIQSTING OPENINGS QYes �1Vo LOCATTON O� WIND4W5 FUR WINDC)WS —PiZQV1DE U-VALUE AND
OR FOR NEW OPFNiNGS-DESCRISB S3ZE fJF MANUFACTURE STICKER ON WINDpW.
OPENiNG CHANGES &
TYPEOF WIIVDUW TOBEINSTALGID NTJMREROF W[ND(}WS
ALL FEES ARE $ASED UN VALUATTON, INCLUDING TH� C()ST UR LABOg AND MATERTALS:
COTAL JOB YALL
Permit Fee
1'kari Review
Fire Surchazge
Surct�ge
Lic�,se Surcharge
SAC C[�arge
C�rb Cut Escxaw
Erosion Conhal
P�ic Fee
Sewer Main Charge
�
Tohal Dne
USING THE 1937 LI.B.0 FEE SCHEDDLE)
I.00 nrrrrn,
$ I`'7 5. �S See Back Page for Pee Scl�e�le —
$ 65%. of Building Permit Fee
$ .001 times the totai jab valt�tion
$ .Qfl05 x Permit Vaivation Mioimmn $S.ClO
$ $S.OU (State Licensed ResidetriYat Cfontcactors}
$ $223Q per SAC Umt (Plans ta MWCC for d�termination)
$ ftfbf�= 8x$25=$
$ $450 �onservauan Plan Reviev�r
$ Fee Detexmiged bY Engimeering
S ^, a r�,..�� Agr�eauentt�cessary (} Non Ne�sary i)
THIS LS AN APPLiCAT10N FOR A PERMIT NOi VALIA UNTIL Pi2�DCESSED
[ hereby a�ly for a buiiding permit and I�lrnowledge that the infflrmstion above is cou�plete and accurate; thak ti�e work wii[ be in
co�orsn�ae vvith the ordinances and codes of the City a€ Pridlcy and with the Mirn�esata Conspruction Cades; tha� I undersf�d tt�is 'ss not a
peimit but only an applica#ion for a 't and work 'ts not to start withoui a pe�mit on site; #bai ttte wa�k � be in acacordance widi the
approved pian in the case of a11 wo ich �view and approval of ptans.
S[GNA7URE OF APPLFCAN£ �tu�r x.� Stephen Kanoff �A� 1 U-27-2011
APPROVAT. INSPECTOR SiGNA
PLEASE N�TE: SEPARATE PERMTI'S ,AR� REOU[RED FOR PLUMBING_ ELECTitrrAL ANn t�,rF['_�rAtvrt�Ar . wnRu