Loading...
P - 48198Building Inspections 763-572-3604 763-502-4977 FAX DA� ! /S/1 Z SITE ADDRESS � 9 Z� THIS APPLICANT IS: PROPERTY OWNER/ TENANT CONTRACTOR SUBMIT A COPY OF YOUR STATE LICENSE AND CERTIFICATE OF INSURANCE PROPERTY TYPE PERMIT TYPE OF WORK: DESCRIBE WORK BEING $OOFING NUMBER OF SQUARES _ GARAGES PROPOSED SIZE: PROPOSED HEIGHT: SIDING ❑ Vinyl ❑ Aluminum ❑ Other BUILDING RESIDENTIAL APPLICATION CITY OF FRIDLEY 0 STATE LICENSE ADDRESS: j Permit No.. Received 0 EFFECTIVE 1-1-2012 � v YOUR �E+-MAIL ADDRESS �'T0.-VICD✓I C�Y�0.✓l G Q YtiO�t 1� CO� � li'.l�,�..��n� / � I�CONTRACTOR PHONE (91 L Le loY 7Y�CP' L 6� SINGLE FAMILY/NEW CONSTRUCTION ❑ TWO FAMILY/NEW CONSTRUCITON � BASEMENT FITiISH ❑ ROOF O DECK ❑ SIDING ❑ SWIMM ❑ NEW HOME CONSTRUCTION O ADDTITON [8 MAINTENANCE/REPAIR O REMODELING :: (�•e,�ui u�l o a�e,�' Pi���9 LENGTH WIDTH ❑ HOUSE ONLY _ ❑ HOUSE & GARAGE � ATTACHED GARAGE ❑ DETACHED GARAGE CERT N[JMBER EXP: CITY �'Y1� STATE/�'�LIP��2 ❑ DRAIN TILE ❑ OTHER BASEMENT REMODELING SUBMIT: 1. Existing Floor Plan 2. Proposed floor plan 3. List of sVuctural membcrs to be used FOR NEW CONSTRUCTION INCLUDING DECKS, ❑Soffit SIDING/SOFFTT/FASCIA �DITIONS_ & PORCHES SUBMTi: 0 Trim REMOVED? 0 YES O NO 1. Site Plan/Survey showing the existing structures ❑ Fascia and proposed project. 2. Two sets of construction plans WINDOWS 3. Energy Calculations IN EXISTING OPENINGS ❑Yes ONo LOCATION OF WINDOWS FOR WINDOWS — 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: (USING THE 1997 U.B.0 FEE SCHEDULE) TOTAL JOB VALUATION $ Zd00 OCCUPANCY TYPE Permit Fee Plan Review Fire Surcharge Surcharge License Surcharge SAC Charge Curb Cut Escrow Erosion Control Park Fee Sewer Main Charge Total Due $ ��J •�5 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 (State Licensed Residential Contractors) $ � $2365 per SAC Unit (Plans to MWCC for determination) $ ft+68= ftx$25=$ $ $450 Conservation Plan Review $ Fee Determined by Engineering $ Agreement necessary ( ) Non Necessary ( ) _$ (a Make checks pavable to: Citv of Fridlev Attach Stii 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 code�of the i of Fridley and with the Minnesota Construction Codes; that I understand this is not a permit but only an application for a permit aud or is not to start without a permit on site; that the work will be in accordance with the approved plan in the case of a work which req . res eview and approval of plans. i�' l l/ SIGNATURE OF APPLICANT PRINT NAME G r� o, f"7�1 �'1 DATE S I 2. APPROVAL INSPECTOR SIGNATURE �S � � ar � � _ � �. ,� .. � ���e � � ��� . � � � ���� � ,„ r S�C...�C., � . � �� ; � ,� `.� �,t;, �',,� ` §k� � � ��` ` ��5.�... �N�,� �C'� � 2� � ��, � � ��- �c a � � }- � � ��t�..�-�,.�..',,��.�✓�' `� � �� ��`� °"�':� �`�' *: `f ����v> •��v�''tC... �. ���r•k`�.^�"b r.,! �.,t t� ���r-�G'V,wr;�� �� . � 4 � , � _ , t �� � " � `� i`"� �`'� �s �`. �' �, +� �' , } f �' ,,� e�lS� i�",�t.� t c�~, � : €x ; �� �� � �c������ �� ��� � � � _. .__.. _.. , � E ;_ ` � _._.w.�..�..y...-- � � � , �`����D FOR � -_ �� � � � R ..... � � - -- ....,,� � � } � � � � � , � � � .4 , � ��� � � ���tC�.�t4��'~ .�.. �.�-� ��f't,�'�t�i'�'c�� � � ��"t��:.� ,.._ . , _e � . �. � � h � ,,. ,, �_,.w. . . , ,. *.:: . :.�,....�,.. ..� a . � C.�" � � `�" � � c_.� t , l.-4`G. � t�, "'� �. �" � �, . , ,. , . , :., �; _. ,. , .�.,_.�. ..� ...... . ...... � .._...�,. _ �,ti: _ 'y_, f > ,� �; �c;+, i � M` ,t �,r,�,. �k,��._....t �+.._ 1 ,� , } ° ,� *...... . , � � ., �. �� :�- �� � � _ ,.. ... _� .`� 2t �J -'� r' � � . � �.�..=:���� � ��'�� ��� , _, � _. _.. ; _ _ ..� __ i � � -+ 1 k � ; �,;�`"�: � �-�. u. � � « . .. .....- � � �,,.� . , ..� . � . i �,; � c. ,-�t-�c=� � __ `��-�' ft� t� ,� � � - + ; � p , , � ��� �., �. � ��� � � � e �Js ��r�,�f � c �-� �� : �k . ,� t � � . k . .. . - � � :' � �. �,.. . . . . a � �-- ""t � ° ; , � . . . � .1 .��� x-:� x,�.Y� �E"�" ;�E�.fi'� <a �`a.!�^� e ` ,�, ._._.�_�._.. _.,. . ��s;,� � . .>� � _�.----' , ; . � �. . � � �-�� �� .. - ��..� ,., -..,d ,.� .., «'� � a� .... ._ ., _ ,��.___�.�.,:� 4 j' _ �,•^�,,�, ^ �������. � , � �, € ���t�., �,.� G �' I�,�,, ��� � ; � � � � � ' �IIV4�L C. �-t ltt�t,+i�l`�`i�..."0 , , ���, 4 -�� °,. ��,�. � ���� � ,�.:. � w�'���,� e F e,+,�.- �-�-�s i�'=?�_ 1 . � . . .. . . . . .. . . . . . .... . . �`. _ . . ....�_. _ �L ��'�.Q � � •► _ .�- a �i t � .�� , �"��_. .r` . �" x`'"� :,�s,_ �, �,�, _ '� < �' , . �. ; � , �,.. �R : :�,. ��,,. „� x � �. � . �..�:i .. i , / w �►, . ....�`":.€: r � , 'Fi � y�+r+� �"r'�w4L .�� � G �4 L�W � a� _ _ �. �..� ��� � �� ���� ��� � � C�� S�De `�' _� � �, �� . ; �:,,"� 'k'�`+vr .: .,. j� ��q�. �`:,.;�.. � �, i�� ti� � ici v u ��' �ml:� i � . . . . � k � fr'�" ='. �— 1 �' � � � �+ ' � � f _ f� _..� � � � ' s � � � �``r ��i."� �� �v� tr�;� 4 � `� -"` ��iC:�� c� + �•� — py.,�4^ `�*y • _ . . . . . . . .... 5 .. � . . . ... i ..� ...w,i�"y�!4�'.� t �f� t �54*l..� ��.,.� �.. . r��:.:-. i � [ L ^*.. . ' �. . . .. . . � '� ...�+ .. . . . . ._ .._. .. . . ..... �,r°''.. . ... .... . . _. -., . . . . .. t ._ . . ... . .. ... . r . � i y�,,.. . . ....... .... . . ��' ��%��.,� _.. ... . . ... _... :.... .. .... ._ . .. . �. .. . . ..... . , � . � � � ��i°� ��y . +. p .. . . . ... ..r. . . . . . . . . . .. . ... . ... .. . _. . . � � ` . .,{ . � ... r�r � �.�. � , v , .� � . .�. ,r !,� _ . ._�. _ : ���.b _ _ � ��G� . . ; _ � , �. x ��.. . ��� ��-�°- ��� �, ��=E.:- t � 1 ; ��, ;: ( '.�„ t 1� �C.�"' _ ��d�� �l _ �Z _ _ N� ,_ `- _ � r� _ _ ��� � � � _ f� __ _ , .. . _.._� _.�_ �___� _ _ _ _v . . _. , _ . , ��___. _ ,� � . , __ _ _ .. . . _ . �.� ._.J._ _�a___.._ __._ . , ._ . ... .� . .� � _ . �����,� -- �'�(�� �l`L� a+�1 _ . �J��� S1 E _ . . . . . k � `�. ' � . � . �. . . . . '� ��.�; ;,..� ; „,, �m& . r ; C'� .. � �� '�' 1 , ` ,, , . � � � � � ��/,�, '� '� c� ,af s....'�'_ c.�. i .-- _ � � r . . �� , ��, t � ���� , , W , , ., �,,�. j �., _ �._��: � ��� , ,. . . _ , , , . " �, c ,� ,.�..,�,Ct��' � �� °.s � � .� _ �4 � C�.� ' _ � � � �` � �:t���4 c�.�~ .> � .,� �:��1 �.,:' ��; °` �' r _ �`ry'+C°' f� �, l '"�`� ����``i� ' � , �� � , _ I. . - w ��' � s . `� � � � .������ � � � ��� � x 4 � �.� � t � ��.� ;�` �. � �-.. ' �� ..='' t ` �,�t�, � �i t p � ., �, F �y„ ,t"�,� : -�!�ti..✓ti.-i6G,,, 7�°«�'� � � "�a�. `p `°`�`.��. 4 �'.`� . . . - ]! ��'� ° � __ ,. � �� I' ` � _. P � t � ( ; k` G` �:� - I � ; � ` a ` � ,_. , � �.. . .. t , _ _ �' <i � C y i?::°"• �". � _ c /� 1`-� , � -L�, � �l��b� s�ac� . . , � YY1�s�- �,� ((� � Za� � i� �Oc3C,_ a � �� � � � � �� � ��id't'�:.. � ���.�.^�`ti w� � . ° ��� �`i���"��.r�.�. .� . � 1 b" ' �� k1'"4��y4.� � f?�' `,C"_ ft ° � �„�"� � � } � � �� � . � , a � �` � �`��� �� �.. .��. � � � � t � � � � �,� �. ��.�-�- ���r���� � c-�; � n � �� �'r°��t. Yt t�'-�. _. _ �*...�,.`,�'.:= ,�' _ . .. .:_� t� �.- +``� j �' �..1 t t 1..� �' � t,�, " iY�,^�-�"'. t � _._ �. .L...�.,�� . . . .;.,> ...� � �.. . . . ,.:�. .. , . ..._- ..;.. ........ . , _. _,:. , .�,,.,--.-...,...`-....-., �.,....�_.. ° �, . ,_ ,......�......�.....w.��.,.-�>. 'A.` � ,�.3-'r� > . . . f � .. � ���(� `' ��� .. .� _ . T � 1 _ `„�,,, � (� t �'`�� - �.,:�•M` c' � �vYI; � 7�, � _._. _._ �a...� 2l IJ "'�'� � `z ��:..�.`:�.�� ��!!� °�.�..�:-��„�. �.� � �w-- Y� f;'r I! �� ; ���'_ _'�` _ � ' i �.t +� # � r 1,�,A;,k,"�'�'��r'!�"�M*`�`��'"iP �4���"tif..��:����.�'��,. . , . „ z'�r_r � _ . (���,i�� �s ����� ��� � � ��� � Y��► �� , � � �� � � �z Ca�� �,��� �� �_ . � � � ,�...� , . , .. � : . � �J�- . ,-��{� _�� �,-`-,� r��:�..�., ���� �-��,�e � } , r p t ��� � � {'" , # � � «�,, -�y '�,,,� � �p; � � �P�+'f^'� � C „�^.c�•�F L '`�y-.�y` �`�,`"y � q 1'�—,`�„�: L�t ��,.+" J � � �s � ; k ,�, , .. . g * e , � , , , , � ! ��.. . 4- `' � . a � C C.�e ��``�"Z,�� � ` : ' _ � " �iR. „' 4"a . e � n . . .: ------- "1 � i i � � , r � � � � � � .•�°'..r�# '.�.`'t�t^� ��""� �� ��_� ��� �`k� ��Q � � . . ��. . �. . . .. . .. . . . ........ . . . .. .......