PRE 2010 DOCSV&
City of Fridley, Minn.
BUILDING PERMIT
Owner: (Af-4z Builder
Address Address
N® 7077
® -�LC?CATI� OTB G
No. Street P of Lot
Lot Block ��- --- Addition or Sub -Division _
Corner Lot Inside Lot _ . Setback I- ___ Sideyard _r� 1®
Sewer Elevation • Feton Elevation �� l • S
0azrz ) C_
DESCRIPTION OF BUILDING
To Used
Front Depth ,�y _ Height Q Sq. Ft./&vCu. n-a�
Fro t Depth Height Sq. Ft. -4— Cu. FL
Type of ctioa Fst. Co To be Completed
In consideration of the issuance to me of a permit to c
the proposed work in accordance with the description above
ordinances of the city of Fridley.
1�1 I,`
In consideration of the payment of a fee of $ — ,
is hereby granted to
I agree to do
provisions of
to construct the building or addition as described above. This permit is granted upon
7:the express condition that the person to whom it is granted and his agents, employees and workmen, is all work
done in, around and upon said building, or any part thereof shall conform in all respects to the ordinances of
Fridley, Minnesota reg int location, construction, alteration, maintenance repair and moving of buildings
whin the dty limits and tb�s permit may be revoked at any time upon va n oY any of the provisions of said
. � _ I►
Building Inspector
NOTICE:
Ihb psrmh does not corer the constrocdon, lestaMoe for w1rhm phmbing, gn heating, ewer or wafer. Be an to ate
the Building Inspector for separate permits for those tions.
01"
APPLICATION FOR BUILDING PERMIT
CITY OF FRIDIEY, MINNESOTA
Owner's Nam ABuild,
10,
Address Addre
LOCATION F BUILDING
Nor, -'-r-5;0 Street4" 1--,"
Part of Lot
Lot Block Addition or Subdivisio%�"21�-2��Aftoy
Corner Lot Inside Lot -Setback Side -Yard
SEWER ELEVATION FOUNDATION ELEVATION
Applicant attach to this form Certificate of Survey of Lot and proposed building
location.
To be uAed as:
Type of
To be Completed
DESCRIPTION OF BUILDING
f
Sq. Ft. ,/%-3 0 Cu. Ft.
Sq. Ft.Cu. Ft.
The undersigned hereby makes application for a permit for the work herein specified,
agreeing to do all work in strict accordance with the City Ordinances and ruling of
the Department of Buildings, and hereby declares that all the facts and representations
stated in this applicagn are ,true and correct.
DATE 4 SIGNATURE
(A Schedule of Fee Costs can be found on the Reverse Side.)
City of Fridley
Application for Plumbing and Gas Fitting Perndt
Dept. of Bldgs. Phone SII 4-7470
DESCRIPTION OF WORK
Number, Kind and Location of Fixtures
i
_>
Z�
y
p Z
O
= h
FZ
�6
W
�G
�9
?
�d
coo
F
N
WATER HTR.
GAS
ELEG
Base
!
1st
2nd
_
3rd
_
4th
• Future Connection Openings I
New Fixture, Old Openings
Coaaected with
Sower
Cesspool El
PARTIAL RATE SCHEDULE
PLUMBING FIXTURE RATES: NO. RATE TOTAL
Number Fixtures...................... x $1.50 $�—
(o
Future Fixture Opening ................ — �-3 x 1.20 $—
New Fixture Old Opening .............. x 1.00 $
Catch Basin ............................ x 3.25 $
Water Heater (Up to 200,000 BTL) ...... ---� - x 2.00 $
New Ground Run Old Bldg . ............ x 3.25 $
GAS FITTING FEES: NO. RATE �TOTAL
�
1st 3 Fixtures ..........................—� x $1.50
Additional Fixtures .................... x .50 $
Gas Range to 200,000 BTU .............. x 2.00 $
REPAIRS & ALTERATIONS—Refer to Code
Description ................................................$
TOTAL FEE
P
City of Fridley:
The undersigned hereby makes application for a permit for the work herein
specified, agreeing to do 411 work in strict accordance with the City Ordinances
and ruling of the Department of Buildings, and hereby declares that all the facts
and representations stated in this application are trye and correct.
Fridley,
Owner
Kind of Building
Used as - Q
To be completed about —
Estimated ost, $
Oldoew.uilding Permit
ROUGH
FINAL
42 2M 7.59
SUBJECT
PERMIT NO.
City of Fridley
18 0
AT THE TOP OF THE TWINS
BUILDING
PERMIT
r
O
� • COMMUNITY DEVELOPMENT DIV.
w -----_
`
r I I PROTECTIVE INSPECTION SEC.
11
CITY HALL FRIDLEY 55432
NUMBER
REV
GATE
14/20/93
PAGE OF
APPROVED BY
612-571-3450
910-F15
JOB ADDRESS 7390 Lyric Lane NE
1 LEGAL
LOT NO.
BLOCK
TRACT OR ADDITION
SEE ATTACHED
DESCR.
2
4
Melody Manor
SHEET
2 PROPERTY OWNER MAIL ADDRESS
ZIP PHONE
Robert Eicher 7390 Lyric Lane NE
785-1926
3 CONTRACTOR MAIL ADDRESS
ZIP PHONE LICENSE NO.
Same
4 ARCHITECT OR DESIGNER MAIL ADDRESS
ZIP PHONE LICENSE NO.
5 ENGINEER MAIL ADDRESS
ZIP PHONE LICENSE NO.
6 USE OF BUILDING
Residential
7 CLASS OF WORK
❑ NEW ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE
8 DESCRIBE WORK
Construct a W x 161' Deck.
9 CHANGE OF USE FROM TO
STIPULATIONS
See notations on plan.
rni
WAR1
Before digging rail for
SEPARATE PERMITS REQUIRED FOR
all utility locations
WIRING, HEATING, PLUMBING AND SIGNS.
D
REQUIRED BY LAW
TYPE OF CONST.
OCCUPANCY GROUP
OCCUPANCY LOAD
SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING,
VENTILATING OR AIR CONDITIONING.
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION
ZONING
SQ. FT.
CU. FT.
AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION
OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT
ANY TIME AFTER WORK IS COMMENCED.
NO. DWLG. UNITS
OFFSTREET PARKING
I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION
1
STALLS GARAGES
VALUATION
SURTAX
AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS
AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED
$1 738
$' 87
WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT
r
PERMIT FEE
SAC CHARGE
DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE
PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON-
$41,00
$
Fire SC $1.74
STRUCTION OR THE PERFORMANCE OF CONSTRUCTION.
PLAN CHECK FEE
TOTAL FEE
SIGNATURE OF CON' RACTOR OR AUTHORIZED AGENT iDATE,
WHEN PR
ERLY LID TED THIS IS YOUR PERMIT
s
BLDG )NSR
DATE
_
S,GNATLIRF OF r)WNFA ..)F OWNER BUILDER) IDATEI
NEW [ ] Effective 1/1/93
ADDN [ ] CITY OF FRIDLEY
ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2
Building Permit Application
Construction Address: -S � 0 C. 1�
Legal Description:
Owner Name & Address:
c
C (Z
Tel. #
Contractor: MN LICENSE #
Address: Tel. #
Attach to this application, a Certificate of , Survey of the
lot, with the proposed construction drawn on it to scale.
DESCRIPTION OF IMPROVEMENT
LIVING AREA: Length Width Height Sq. Ft.
GARAGE AREA: Length Width Height Sq. Ft.
DECK AREA: Length \ �e z -A Width 1( Ve . Hgt/Ground e Sq. Ft.
OTHER:
Corner Lot [ ] Inside Lot [xj Ft. Yd Setback
Type of Construction:
Approx. Completion Date: �(1c�,y C C
Driveway Curb Cut Width Needed: Ft. + 6 Ft =
DATE: 'A - 19 -of 3
Side Yard Setbacks
Estimated Cost: $
/ 17 63
(Cost on Back)
Ft x $ = $
APPLICANT: . j,�,�,�_ Tel. # `1 <� S 1'� Q
Permit Fee $_�� ®�
Fire Surcharge $ / e
State Surcharge $
SAC Charge $—
License Surcharge $
Driveway Escrow $ 7&
Park Fee $
Sewer Main Charge $
TOTAL
STIPULATIONS:
CITY USE ONLY
Fee Schedule on Reverse Side
.001 of Permit Valuation (1/10th%)
$.50/$1,000 Valuation
$750 per SAC Unit
$5.00 (State Licensed Residential Contractors)
Alt. "A" or Alt. "B" Above
Fee Determined by Engineering
Agreement Necessary [ ] Not Necessary [ ]
�3
I
SUBJECT
City of Fridley
$ 8
AT THE TOP OF THE TWINS
BUILDING
PERMIT
7..
RECEIPT NO.
� • COMMUNITY DEVELOPMENT DIV.
______
r ti PROTECTIVE INSPECTION SEC
� �
v
NUMBER
REV
DATE
PAGE OF
APPROVED BY
CITY HALL FRIDLEY 55432
'.j 612-571-3450
910415
9/9/94
10B ADDRESSXXRKKKKPX 7390 Lyric Lane NE
1 LEGAL
LOT NO.
BLOCK
TRACT OR ADDITION
SEE ATTACHED
DESCR.
2
4
Melody Manor
SHEET
2 PROPERTY OWNER MAIL ADDRESS
ZIP PHONE
Robert/Kelly Pickarski 7390 Lyric Lane NE
780-5705
3 CONTRACTOR MAIL ADDRESS
ZIP PHONE LICENSE NO.
Same
4 ARCHITECT OR DESIGNER MAIL ADDRESS
ZIP PHONE LICENSE NO.
5 ENGINEER MAIL ADDRESS
ZIP PHONE LICENSE NO.
6 USE OF BUILDING
Residential
7 CLASS OF WORK
❑ NEW ❑ ADDITION ❑ ALTERATION ❑_ REPAIR ❑ MOVE ❑ REMOVE
R
8 DESCRIBE WORK
Reroof House (22 Squares) 2nd layer
9 CHANGEOFUSEFROM TO
STIPULATIONS
Roofing can be the 2nd layer but not the 3rd.
TYPE OF CONST.
OCCUPANCY GROUP
OCCUPANCY LOAD
SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING,
VENTILATING OR AIR CONDITIONING.
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION
ZONING
SQ. FT.
CU. FT
AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION
OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT
ANY TIME AFTER WORK IS COMMENCED,
NO. DWLG. UNITS
OFFSTREET PARKING
I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION
1 ISTALLS
GARAGES
AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS
VALUATION
SURTAX
AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED
WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT
$1,210
.61
DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE
PERMIT FEE
SAC CHARGE
PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON-
STRUCTION OR THE PERFORMANCE OF CONSTRUCTION
$31.00
Fire SC $1.21
PLAN CHECK FEE
TOTAL FEE
$32.82
Si N RE Of CONTRALTO ORA �NORIZEDAGENT IDATEI
WI{E ROPE LY V IDATED THIS IS YOJ& PERMIT
BLDG INSP
`r'!/iyG/BATE
oi�SIGNATURE OF e ;0F OWNER BUILDERI IDATEI
�3
I
NEW (] Effective 1/ 1/94
ADDN (] CITY OF FRIDLEY
ALTER (] SINGLE FAMILY AND DUPLEXES R-1 AND R-2
Building Permit Application?J�
ConstructionAddress:
Legal Description: A& A14�
a
Owner Name &
Contractor:
Tel. # 7&1)
MN LICENSE #
Address: Tel. #
Attach to this application, a Certificate of Survey of the
lot, with the proposed construction drawn on it to scale.
DESCRIPTION OF IMPROVEMENT
LIVING AREA: Length Width Height Sq. Ft.
GARAGE AREA: Length Width Height . Sq. Ft.
DECK AREA: Length Width Hgt/Ground Sq. Ft.
OTHER:;
`�,
Corner Lot [ ] Inside Lot [ ] Ft. Yd Setback \ Side Yazd Setbacks
Type of Construction: 12ev Estimated Cost: $
Approx. Completion Date: V
(Cost on Back)
Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ = $
DATE: APPLICANT: Tel. #
CITY USE ONLY
Permit Fee $ 3/, Fee Schedule on Reverse Side
Fire Surcharge $ .001 of Permit Valuation (1 / 10th %)
State Surcharge $ $.50/$1,000 Valuation
SAC Charge $ $800 per SAC Unit
License Surcharge $ $5.00 (State Licensed Residential Contractors)
Driveway Escrow $ Alt. "A" or Alt. "B" Above
Erosion Control $ $450.00 Conservation Plan Review
Park Fee $ Fee Determined by Engineering
Sewer Main Charge $ Agreement Necessary (] Not Necessary [ ]
TOTAL i
STIPULATIONS:
CITY OF FRIDLEY PE NO.: 2004-01229'
6431 UNIVERSITY AVENUE NE
FRIDLEY, MN 55432 DATE ISSUED: 07/30/2004
572-3604 VAX: (763)571-1287
ADDRESS
: 7390 LYRIC LN NE
PIN
: 113024240051
LEGAL DESC
: MELODY MANOR
: LOT 2 BLOCK 4
PERMIT TYPE
: BUILDING
PROPERTY TYPE
: RESIDENTIAL
CONSTRUCTION TYPE
: ROOFING
VALUATION
: $ 2,315.00
NOTE: UNDERLAYMENT AS PER STATE BUILDING CODE. REROOF HOUSE & GARAGE (20 SQ) TEAR -OFF
APPLICANT
KELLY & FRED BENNETT
7390 LYRIC LN NE
FRIDLEY, MN 55432
OWNER
KELLY & FRED BENNETT
7390 LYRIC LN NE
FRIDLEY, MN 55432
AGREEMENT AND SWORN STATEMENT
This permit becomes null and void if work or construction
authorized is not commenced witin 60 days or if construction
or work is suspended or abandoned for a period of 120 days
at any time after work is commenced.
I hereby certify that I have read and examined this
application and know the same to be true and correct. All
provisions of laws and ordinances governing this type of worl
will be complied with whether specified herein or not. The
granting of a permit does not presume to give authority to
violate or cancel the provisions of any other state or local law
regu atm nstruction or the performance of construction.
Applicant "A Date -1-'x- �l
Bldg Insp
SEPARATE PERMITS
BUILDING PERMIT FEE
FIRE SURCHARGE
STATE SURCHARGE, VALUE
TOTAL
PAID WITH CHECK # 6251
FOR WORK OTHER THAN DESCRIBED ABOVE.
83.25
2.32
1.16
86.73
NEW []
CITY OF FRIDLEY ', 413;2- Effective 4/1/2004
ADDN [ ] 6431 University Ave NE, Fridley, MN 55432 (763) 572-3604 Bldg Insp
ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 (763) 571-1287 Fax
BUILDING PERMIT APPLICATION
Construction Address:
Legal Description:
Owner Name & Address: e �� Y,P �c, r Tel. # `� LQ 80 r S"7 0'
Contractor. MN LICENSE #
Address: Tel. #
Attach to this application, a Certificate of Survey of the
lot, with the proposed construction drawn on it to scale.
DESCRIPTION OF IMPROVEMENT
LIVINGAREA:
Length
Width
Height
Sq. Ft.
GARAGE AREA:
Length
Width
Height
Sq. Ft.
DECK AREA:
Length
Width
Hgt/Ground
Sq. Ft
OTHER:
e -rOo
�Se
q 2
C9 �c.t�dieS
Construction Type:
- S vl enc
r e v Qoy Estimated Cost: $-
Driveway Curb Cut Width Needed:
Ft + 6 Ft = Ft x $
—=$
DATE: `) -81'1- C' � APPLICANT: 4 e � � �-n Q Q \D Tel. # ')(v3 -7100 ` S7 0 S -
Call (763) 572-3604 for Permit Fees if mailing In application. Fax to 763-571-1287 if using credit card and we will call
you for card number.
CITY USE ONLY -
Permit Fee
Plan Review
Fire Surcharge
State Surcharge
SAC Charge
License Surcharge
Curb Cut Escrow
Erosion Control
Park Fee
Sewer Main Charge
TOTAL
Fee Schedule on Reverse Side
$ 65% of Permit Fee
$ a�, .001 of Permit Valuation (1/10th%)
$ $.50/$1,000 Valuation
$ $1350 per SAC Unit
$ $5.00 (State Licensed Residential Contractors)
$ Alt. "A" or Alt. "B" Above
$ $450.00 Conservation Plan Review
$ Fee Determined by Engineering
$ Agreement Necessary [ ] Not Necessary [ ]
$ 3 STIPULATIONS:
CITY OF FRIDLEY
6431 UNIVERSITY AVENUE NE
FRIDLEY, MN 55432
F63) 572-3604 FAX: (763) 571-1287
ADDRESS : 7390 LYRIC LN NE
PIN : 113024240051
LEGAL DESC : MELODY MANOR
: LOT 2 BLOCK 4
PERMIT TYPE : BUILDING
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : WINDOW/DOOR REPL
11
PE NO.:2004-0166
DATE ISSUED: 09/23/2004
VALUATION : $ 8,000.00
NOTE: PROVIDE SMOKE DETECTORS IN ALL SLEEPING ROOMS AND ON ALL LEVELS OF THE DWELLING PER 8317
OF THE 2000 INTERNATIONAL RESIDENTIAL CODE. CAULK AND FLASH ALL EXTERIOR OPENINGS.
INSTALL REPLACEMENT WINDOWS WITHIN EXISTING OPENINGS (ADD ONE EGRESS WINDOW).
STATE LICENSED CONTRACTOR 1
APPLICANT
ADVANCED EXTERIORS INC (20133214)
7000 57 AVE N
CRYSTAL, MN 55428 -
OWNER
KELLY & FRED BENNETT
7390 LYRIC LN NE
FRIDLEY, MN 55432
AGREEMENT AND SWORN STATEMENT
This permit becomes null and void if work or construction
authorized is not commenced witin 60 days or if construction
or work is suspended or abandoned for a period of 120 days
at any time after work is commenced.
I hereby certify that I have read and examined this
application and know the same to be true and correct. All
provisions of laws and ordinances governing this type of work
will be complied with whether specified herein or not. The
granting of a it d . s no r ume to give authority to
violate or an 1 e ro isi any other state or local law
re t' g con i r pe' ormance of consppction.
Applic Date 7c'-�
Bldg Insp Date
BUILDING PERMIT FEE 153.25
FIRE SURCHARGE 8.00
STATE SURCHARGE, VALUE 4.00
LICENSE SURCHARGE 5.00
TOTAL 170.25
PAID WITH CHECK # 8944
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE.
NEW [ ] CITY OF FRIDLEY Effective 4/1/2004
ADDN [ ] 6431 University Ave NE, Fridley, MN 55432 (763) 572-3604 Bldg Insp
ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 (763) 571-1287 Fax
BUILDING PERMIT APPLICATION
Construction Address: l 30tO Lj r, L ✓�l
Legal Description:
Owner Name & A1ddress: �-6e-
e cQ o r, e- -tom Tel. #
Contractor. �riU�+ P �Q X r e yr s MN LICENSE # 1 3 3 a I
Address: -70 A c ✓ / or 5 -le, t Tel. # S�7
Attach to this application, a Certificate of Survey of the
lot, with the proposed construction drawn on it to scale.
DESCRIPTION OF IMPROVEMENT
LIVING AREA: Length Width Height Sq. Ft.
GARAGE AREA: Length Width Height Sq. Ft.
DECK AREA: Length Width Hgt/Ground Sq. Ft.
OTHER:
Construction Type: �p ��'��^``� ��''�'? Estimated Cost: $ t 00
Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ _ $
DATE: ZZ -o APPLICANT: Tel. # 7603 --53 7'S 1-7
Call (763) 572-3604 for Permit Fees if mailing in application. Fax to 763-571-1287 if using credit card and we will call
you for card number. r /_
CITY USE ONLY -
Permit Fee
Plan Review
Fire Surcharge
State Surcharge
SAC Charge
License Surcharge
Curb Cut Escrow
Erosion Control
Park Fee
Sewer Main Charge
Fee Schedule on Reverse Side
65% of Permit Fee
.001 of Permit Valuation (1/10th%)
$.50/$1,000 Valuation
$1350 per SAC Unit
$5.00 (State Licensed Residential Contractors)
Alt. "A" or Alt. "B" Above
$450.00 Conservation Plan Review
Fee Determined by Engineering
Agreement Necessary [ ] Not Necessary [ ]
TOTAL $ 'z— STIPULATIONS:
Building
`See Back Page for Fee Schedule
BUILDING
65% of Building Permit Fee
Permit NO.. '
InspeciLotisRESIDENTIAL
_
$ �2- !7 0
APPLICATION
Received By:�
763-572-3604
$
CITY OF FRIDLEY
$
Date Rec'd:
763-502-4977 FAX
$450 Conservation Plan Review
$
Fee Determined by Engineering
$
Agreement necessary ( ) Non Necessary ( )
EFFECTIVE 1-1-08
Make checks Davable to: City of Fridley Attach
DATE t � A �
�,a
aYOUR E-MAIL ADDRESS \� �1 U�CX Y�Y�e� 03
�V
q e `f
SITE ADDRESS °1 �O
�� L La n�
THIS APPLICANT IS: OWNER ❑CONTRACTOR
PROPERTY OWNER/
NAME: Q\ k F r4 a
ADDRESS: TI -340 Va'r i L L Qrle CITYV—_.r k
jn
STATEmL\, ZIP
TENANT
PHONE: `l U 3 — 9b (D — 5-) 0
NAME: !r `► rr
ADDRESS: r r CITY
�ISTATEA Ll1'jT" A
CONTRACTOR
SUBMIT A COPY OF
PHONFf<�2.. �ij"' 9 �s",�, ? FAX �%C;•
7�
• o ��
YOUR STATE LICENSE
STATE LICENSE # EXP DATE
PROPERTY TYPE
INGLE FAMILY/NEW CONSTRUCTION SIZE
❑ TWO FAMILYNEW CONSTRUCTION STORIES
PERMIT TYPE
❑ ADDITION ❑ GARAGE/SHED ❑ WINDOWS
❑ BASEMENT FINISH ❑ ROOF ❑ DRAIN TILE
❑ DECK ZIDING ❑ OTHER
❑ SWIMMING POOL
TYPE OF WORK:
❑ NEW HOME CONSTRUCTION ❑ ADDITION
lj��AINTENANCE/REPAIR ❑ REMODELING
DESCRIBE WORK BEING DONE: b"N'_Y A W O'u �Ap �)ZUtSQ_ �
SIZE OF IMPROVEMENT
LENGTH WIDTH
HEIGHT SQ FT
ROOFING
❑ HOUSE ONLY
BASEMENT REMODELING SUBMIT:
NUMBER OF SQUARES
❑ HOUSE & GARAGE
1.
Existing Floor Plan
GARAGES
❑ ATTACHED GARAGE
2.
Proposed floor plan
PROPOSED SIZE:
❑ DETACHED GARAGE
3.
List of structural members to be used.
PROPOSED HEIGHT:
FOR NEW CONSTRUCTION INCLUDING DECKS,
SIDING
ADDITIONS. & PORCHES SUBMIT:
❑ Vinyl
❑Soffit
1.
Site Plan/Survey showing the existing structures
11 Aluminum
❑Trim
and proposed project.
❑ Other
❑ Fascia
2.
Two sets of construction plans
WINDOWS
3.
Energy Calculations
IN EXISTING OPENINGS []Yes ❑No LOCATION OF WINDOWS
OR FOR NEW OPENINGS -DESCRIBE SIZE OF
OPENING CHANGES &
TYPE OF WINDOW TO BE INSTALLED NUMBER OF WINDOWS
ALL FEES ARE BASED ON VALUATION, INCLUDING THE COST OF LABOR AND MATERIALS:
ING THE 1997 UBC FEE SCHEDULE)
TOTAL JOB VALUATION $ _ S'.(�— D 0. A-- `CCUPANCY TYPE_
Permit Fee
Plan Review
Fire Surcharge
Surcharge
License Surcharge
SAC Charge
Curb Cut Escrow
Erosion Control
Park Fee
Sewer Main Charge
Total Due
$
`See Back Page for Fee Schedule
$
65% of Building Permit Fee
$
.001 times the total job valuation
_
$ �2- !7 0
.0005 x Permit Valuation Minimum $.50
$
$5.00 (State Licensed Residential Contractors)
$
$1825 per SAC Unit (Plans to MWCC for determination)
$
ft+6ft= ftx$21=$
$
$450 Conservation Plan Review
$
Fee Determined by Engineering
$
Agreement necessary ( ) Non Necessary ( )
$ B
Make checks Davable 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 information ab ve 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 d ; that nd rstand this is not a permit but only an application for a permit and work is not to start wi ut a
permit on site; that the work will be in actor ce wi ved p in a cas of all work which req r yv and appr I of plan
SIGNATURE OF APo,e[�= 1T PRINT NAME T �i �C t✓oo DATE d'
LIZ
SC"T
BRK =,C', LCCK —
ALLCVv' 1 /4 SPACE —
(MIN.) FOR
E.I.F.S. SYSTEM
DRAINAGE
AIR
SPACE
TYVEK
BRICK TIES 1 I Z
EMBEDDED IN -TC
MORTAR BED
SPACING: 24` ', -;7 CAL,
24° HORIZON 4L
BRICK WAINSCOT 3"-1'-o^ 117
FACE BRICK f V
i
I
AlR SPACE
TYVEK, LAP OVER 1
FLASHING
i
j s
GALV. METAL
FLASHING OVER
ANGLE
WEEP HOLES: 33"0.C.
MAX., 3/16° DIA.,
1 st COURSE ABOVE /
GROUND LEVEL. /
i
L4x6xl EOR SlUPPORT OF
BRICK,9 -&*` ' — r --'A LAG f ,
BRICKWAM