P - 46504B W �I�lilg
Inspections
763-572-3b�04
763-502-�4977 FAx
From: 763 7571357
Page: 1/1 Date: 11l10I2011 7:43:32 AM
B►UII.�ING
RESIDENTIAL APpLICATIUIv
CITY UF FRIDLEY
��crtvE �.�-zoi i
DAre 09-30-2011 �aURE-tYtAlGannxFSS
S17E.4DDRk�S 1332 Skywood Ct. Fridlev
77�US ApPLlCAIV7' I5;
PROPERTY (?1�V'lYiEg/
TENANT
SUSMIT A CpPY OF
YpUR STATE 1,�CENSE
ANB C'�RT1FiCATE OF
INSLlRANCE
PROPE1tTY TYpE
PERMIT
Ti'PE
� DWNER
Permit No.: �--(y ` �/Uss�i �
Received By: J
I}ate Rec'd: _ _
nnnxFSS: 1332 k wood Ct crrv Fridle -
P�ort�: lb3-J71-7O9$ STATE MN��P 5�4?2
tvwntl�: Associated Exteriors Inc.
srArE ue�xs� � 26340I4 LEAD CECiT NF.J�yg� NA -
nuarz�ss: 937 117th UN NW �t� Cocrn Ra ids ' M 55448
PHOt�'E 7F, Z � STATE NLlP
— - 7�-�010_ z.., ��., .,�� ..,.._
c � rAMILYJMEW C4NSYRLIGTICH3
FA1M11.1'INEU� CONSTRUC[TON
O BASEMEh'T F7NISIi
D DECK
� r��w Ho�vrE coNS�rxuc�oN
O MAYNTF�iAN�F1liEPA[R
❑ StDfNG
DLSCR�iEwpRKgE2NGppNiE. Re-roofex�s�ing ouse an attac e�arage �
S�E Oc IMPROVEI4IENT r ,,,�..,,.._
$OUFIN�
NUMBER OF SQUAR�S _ 2�`
GA�AGBS
PftOPOSED SIZE:
PROPpSEA FfE[GHT:
SIDWG
C] Vinyl
❑ Aluroinum
� Othed
W�NUOWS
IN EMSTAIG OPENINGS OYcs �1Vo
OR FOR N�' pp}�pyGSDESCRIBE S3ZE OF
UPENiNG CHpNGES &
a�.i, �E�sA�
Perrnit Fee -
Plan Review
�ire Surcbarg�
Su�harge
License Surchazge
SAC Chazge
Curb Cut Escrow
Erosia� Contrat
Park Fee
Sewer Main Charge
❑ HOUS� ONLY
�IiOUSE dc GqRqGE
O ATTACHED GAILAG6
❑ DEI'ACHET) GARAGE
fJSofiirt
❑ Trim
❑ Fascia
LOCATfpN Ok WINDpWS
.... ....a..,� �.�.�.,,:��;,�,��R�vG �e� cosx oF
�IT$CNG TRE 1997 i7.B.0 �'E� SCAEDULE}
7,341.0U � __---
❑ 17RAIN TILE
Ct QTFIER
BASEMENI' R FTlffl .� 7 t1.tr� eT roi i i
J. E�cisting Floor Plan
2. ptoposed floor plan
3. List ofsauct�al members �p pe usad
FOR NEW CpnS-[RUCTfOV I}�lCLUDING D�ICS,
ADTNTION� ►�g (° 5�1814j�'%
]. Site Plan/Survey shoyving the e�ieg structures
� DrOPosed Pm.IeCC
2. Two acts of Coastructian ptmis
3. Energ,y Calcuiatimas
FOR ZVIVDOt�i+g _p�OV1DE U-VALUE AND
N1Ai3[IFACTUi2E ST1eKER ON WINDOW.
See $ack Page for Fee Schedute ---
65%af Building permit Fee
.001 times the tot�l job valuation
.0005 x Pertr�it Va(uation Minimum �S,Op
$5.00 (State Licensed Residetrt:ia! C�ntractors)
$2230 per SAC Unit (Plans to ]y[VyCC for determinatian)
ft+6ft= ftx$25=$
$45a Conservation Plan Review
Fee Determined by Engineering
Agreement necessary ( ) Non Necessary ( }
' _"'_�"..va� �++4NYL3
THIS IS AN APi►[;�TCATIOIJ FQR A PERMiT NOT VALID ilP1TIL PRpGESSED
��bY aPP�Y for a buetding permit a�td I acl�awledge t t tl�e inforu�arion above is complete and aceu:rate; that the work will be ia
eonf'ormance with the a�di�nces and des af the C�ty. oi , dley and with the Mir�a�sota Conshsaction C
�it but only an application for a� it wo ss ot to start wilhout a permit on sit� tkiat the wo�#c r�'ll be in aeco danve with the
approved Plan in the case of ali wo ich uir ew �nd approval of pl ns. �
sr�N��rvx� oF nPpucAnre � ':�' " p�ttx'r N� �tephen Kanoff
APPROVAL CNSP�CTOR SiGNA RE DAiE 09-30-2011
PI.F d CF Nr'1��. eicv . n . .r.. ,.,,... �..... - - - -
PLUMBING,
[.