The URL can be used to link to this page

P - 44235Building Inspec�ons 76�-572-3604 763-502-4977 FAX DATE �--% — I � SITE ADDRESS �`'2 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 IMPROVEMENT ROOFING NUMBER OF SQUARES GARAGES PROPOSED SIZE: PROPOSED HEIGHT: SIDING ❑ Viny( ❑ Aluminum ❑ Other BUILDING RESIDENTIAL APPLICATION CITY OF FRIDLEY EFFECTIVE 7-1-2010 YOURE-�IL,QDDRESS I�a.+.N�rSA,� l[_� ► �-dL ❑ OWNER �CONTRACTOR n CITY Permit No.: Received By: ':�� i ' �� 1 ATE�'�,ZIP. Na,ivi�:� ,;.� i e � L o n S j`r V LI'1 b I� STATE LICENSE # o EXP DA� ADDRESS: �t7 � 3 ��, V t° _ CITY G F STAT IP= �> .�b� PHONE �aa yq� �aa7 F� �3 �6� y3� / ❑ SINGLE FAMTLY/NEW CONSTRUCTION SIZE ❑ TWO FAMILY/NEW CONSTRUCTION STORtES ❑ ADDITION � GARAGE/SHED ❑ WINDOWS ❑ BASEMENT FINISH ❑ ROOF ❑ DRAIN TILE 0 DECK ❑ SIDING � OTHER ❑ SWIMMING POOL �� Q,,� �E+ � � � � ❑ NEW HOME CONSTRUCTION ❑ ADDITION ❑ MAINTENANCE/REPAIR ❑ REMODELING WINDOWS IN EXISTING OPENINGS ❑Yes ONo OR FOR NEW OPENINGS-DESCRIBE SIZE OF OPENING CHANGES & TYPE OF WINDOW TO BE INSTALLED � ❑ HOUSE ONLY ❑ HOUSE & GARAGE ❑ ATTACHED GARAGE ❑ DETACHED GARAGE ❑Soffit ❑ Trim ❑ Fascia LOCATION OF WINDOWS NUMBER OF �r HEIGHT � BASEMENT REMODELING SUBMIT: 1. Existing Floor Plan 2. Proposed floor plan 3. List of structural members to be used FOR NEW CONSTRUCTION INCLUDING DECKS, ADDITIONS. & PORCHES SUBMIT: 1. Site Plan/Survey showing the existing structures � and proposed project ' r�j 2. Two sets of construction plans 3. Energy Calculations FOR WINDOWS — PROVIDE U-VALUE AND MANUFACTURE STICKER ON WINDOW. ALL FEES ARE BASED ON VALUATION, INCLUDING TIiE COST OF LABOR AND MATERIALS: TOTAL JOB VALUATION $� �S 3 S� E 1997 U.B.0 FEE SC OCCUPANCY TYPE — — -_ Permit Fee Plan Review Fire Surcharge Surchazge License Surcharge SAC Charge Curb Cut Escrow Erosion Control Park Fee I Sewer Main Charge � Total Due $ � $ $ $ $ $ $ $ $ l�,6 ��I See Back Page for Fee Schedule 65% of Building Permit Fee .001 times the total job valuation .0005 x Permit Valuation Minimum $5.00 $5.00 (State Licensed Residential Contractors) $2100 per SAC Unit (Plans to MWCC for determination) ft+6ft= ftx$24=$ $450 Conservation Plan Review Fee Determined by Engineering Agreement necessary ( ) Non Necessary ( ) Make checks payable to: City of Fridley 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 permit 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 alY�'or�fj whic eq1 J'�'es review and approval of pl s. / r '/ �►7 SIGNATURE OF APPLICANT �t.� / PRINT NAME a�., d y SR�l�((C ✓' DATE (`% ~�d APPROVAL INSPECTOR SIGNA��` '� ..�. � �. .. _� � . � ... � . . .. . . . .. _... I. . . . . . . . . . . . . . .. . � i. .. ..... .. _.. .. . _I - . . . _ ��.'� . . �� . ` ` . �� . . . . .. . � � .... _ _ _. _. . . ._. . _ _ . � i � 3 - �� . . � . ` 3 � � � _ .. _ _ _. .. � . . _ � . _ . UwL -�--�,� _ _ .... ._.__. _. _. ._.... . .. _ �_.:�_. � — .d �, "�' ; . . � � � z _ .� �iFJG� , - ��I�. `t�[ ' _ . .... _ . _..._. . .....: ...,.._' � � � �. . . _ . . . . _.. _ __ .. ._ ...., .._ : .... „ . _ . _ . � . _� � l� .> » � ��J� �. � �'�WL - �lA�� - .. _.:. ._ .--.._ ...... .. � ,� ,p � _ . � .. r— ;. � d � G�� . lt►� __. .. � .. _... ..--- ---- ... ._._.. .._._ .__ .._ _ .�. . _ . . .. _ � _ . . _... . ._ __ .. . _. . . _ . : . . . _ . — . � _ � � _�...�- -. -..: - _. .. _...._ . � � ., . . . . . _ . . . . _ . , _. y .� �b''�N__._ _._.._._.- . �� .. . ; . . _ . _ `_--- .... _._ ._ __. _. ._ ,...._ ... _ ...._... . . . . .. . .. . . .. _ . _ . _.. _.. ,. .. __.........._._......_...- -- - -- - . __.___.._ .�. .. _._...,. ,, � . -. .... . . _.: .... , � . � �,..7.... . . . . .,""'_. � .. . . . ��A.K- . . .. . , _... __ t � � _ _ _... ..... . . _.. .. _ ..._ . . . . '�C � R .. _ .- - -- � ..._.. _..._.. --- -._...., __... . ..�. .., __ ... ' i `` � ` ' �. . . ..._ _..._ . �� . .._ .._ . _ _ .' _ . . _ . . . . � � � m ��. . . . _u� _. _ _ ... _. __. . _ ._ � . � �� 1 � ��' . . ... .. .. _ _ . .... ... . ._ _ �- 0 tM+N • .. _ _ . _ . _ � .. . _. ..__ _ . ... �, ._ .. --. . , � . ��t - . � ._ .- --- -_..__..._._ _. _. _ ., ..T .. .. . . \ _ , �_ _. _K _.. ..... _._ --_: . ... . ... . . _. . .. � J � . . _ � � . . . ...... .. . ._. .. ._.. _.....,._ .. .._ .._ ... _. . . � WNado,,,� —.__._... .. �` . -- __ ._ .. '.-----_.. . ... .. . ._...... .. . ...... , . . ._ .. . _ . _ � � . ._... y .�.-. '- - . . .... _. . . .. . . . . _ ,! . . . . _ . . .. . ._. .. _ __ ._. . .� . . p _ - . _._ ._.. __ . . . . �t. �a,�a'i'i ...... . =_._. .. _._ . .. . _ _. _` ..._. ..�. _ . . ._._.. .... . _.. ._ . ... ._ . . .. . . �. . _ .... .._ .. __ . . . __. . _. _ ti ._ . ... .._ .. . _ .. ._. . � . . . .. _ .. . .. . _. . _.. _ _ .. . . . . _ _ --.. . .. .. . .. . � �p .. _. . . . _ _ . ..... _ _. . _.. . . .. . . .._ . . .�__..... _ � ___ _. .__... _._ _. � ._... _._.. . ... . _ _.. ., . ' . .. . . . • . . _.. . _ . . , ��.i ' , ... _ .. . .. � ._. . . _ .. _. . _ . _ . ._ .. _ �.. ..._., �,,r•.''. - -. .. .. . _ . ..._.. . ._ . ._. . . . _ . .._ . _. ._... _ _.� � � a�,,� � _ _ _. . _. . . _ . _ . .._ �� 's�l�� ' .