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PRE 2010 DOCSCity of Fridley, Minn. BUILDING PERMIT Date: December 14. 1970 oar: Rodney G. Dejong Builder Amber Construction Inc. Address 7180 Silver Lake Road Address 6070 Stinson Blvd. LOCATION OF BUILDING No. 6065 Sit McKinley Street N.E. part of Lot Lot .___ Block 1 Addition or Sub -Division __ Amber Oaks Corner Lot _X_ Inside Lot — Setback 35' — Sideyard 0' - 20' Sewer Elevation To be Used as: Foundation Elevation DESCRIPTION OF BUILDING sLl3pl N�° 10917 R P c i d Pn c p- Front 321 _ Depth 3.61 _ Height ..._20 _ Sq. Ft 1 .404 Cu. Ft 28, 08.0 Garage Front 22f Depth 241 Height IQ. _ Sq. Ft. 528 Cu. Ft. 5.28 Type of Construction Frame Fqt Cost A37, 000. _ To be Completed 8!371 Hard surface drive required. 18" minimum - 48" maximum above center line of street. Drain to street. Certified survey verifying location of basement before capping basement. "Y" 65 ft. so. of Iuanhole on 61st "Y" Elev. 929.85 Top Footing 932.85 Water 10' South of Sewer In consideration of the issuance to me of a peri the proposed work in accordance with the descriptio ordinances of the city of Fridley. In consideration of the payment of a fee of $32–ML—, permit is hereby granted to Amber Const . Inc . to construct the building or addition as described above. This permit is granted upon the express condition that the person to whom it is granted and his agents, employees and workmen, in all work done in, around and upon said building, or any part thereof, shall conform in all respects to the ordinances of Fridley, Minnesota regarding location, construction, alteration, maintenance, repair andmoving of buildings within the city limits and this permit may be revoked at any time upon violation of any of the provisions of said ordinances. V4:2 4 Building Inspector HANK MUHICH NOTICE: We permit does not cover the construction, installation for wiring, plumbing, gra boding, sewer or wafer. Be sure to on the Building inspector for separate permits for these items. APLICATION FOR RESIDENTIAL, ALTERATION, OR ADDITION BUILDING PERMIT CITY OF FRIDLEY, MINNESOTA OWNER' S NAME :o d nf,e v 6. P eJ e m 4 BUILDER: A m 6 e iP e0 x s t, lw C, ADDRESS: /SO 00Cv- LIQ 'ADDRESS• 417d z�lNssN 61il J 78ly-5'�111/ T 7s/ -15 2� NO • . G 6 � 5- STREET: M P `�t l e S 1 Al, . LOT: % —BLOCK:— / ADDITION: M d e V- Ll d Ir S CORNER LOT: -e S INSIDE LOT: SETBACK: 3 SIDEYARD• 20-20 Applicant attach to this form Two Certificates of Survey of Lot and proposed building location drawn on these Certificates. DESCRIPTION OF BUILDING To Be Used As: e5(jeikCe- Front: 32 Depth: 3 Co Height: Square Feet: Cubic Feet:--- $ 0 $ Z 8 a ca c� oc v Front • 2 ZDepth • L -(Height: / D G Square Feet; Cubic Feet: S $ d a & Type of Construction: WOLI el Fv-0kpu f— Estimated Cost: $ 3 �% 6 0 61 G To Be Completed: /� u ,3/ /f 7/ % 3 3 o 07 The undersigned hereby makes application for a permit for the work herein specified, agreeing to do all work in stiict accordance with the City of Fridley Ordinances and rulings of the Department of Buildings, and hereby declares that all the facts and representations stated in this application are true and correct. DATE:' `(/ / 9 % 0 SIGNATURE (See Reverse Side For Additional Information.) Y M � ! �... � / �{ it ,� a � t!D � _�� � f"' � 1 �J- b^i,)r ✓j e � k- �`f..t .' �`t N'� 4�r` �r. �GERA405�TIICCOA NE VE 5 LOT SURVEYS COMPANY G9'�ONOHO AVE RAS'CN GGLL)EN VALLEY, NiINN LAND S-URVEYORS BROOKLYN i=ARK, MINN REGISTERED IINDER LAWS of STATE or AnNNESoTA LICENSED BY ORDINANCE of CITY of ffimm"ous 6917 Idaho Ave. N. 533-9922 Minneapolis, Minnesota 55428 1NGu5TRIAL - JUDICIAL� :.:.;a"61N.NG 'ACRc THA�� 30 YFARS OF CC:",:r,1ERC1A! T•�POGRAPHICAL Ourbepor� certificate 4',� _URVL,'NG I7 PEP'E°JCF IN THF CITY LOTS - PLATTING AREA AMBER CONSTRUCTION COMPANY Invoice # 3093 F.B. 121-63 ® Denotes Iron Scale ill = 301 06 'IT Z) �n f N _ v, a l y 155. 01' — Lot 7. Block 1, AMBER OAKS J..! . We hereby certify that this is a true and correct represents. tion of a,survey of the boundaries of the above described Signed land 'and the location of all buildings and visible encroach- LOT SURVEYS COAIPANY ments. if any, from or on said land. Surveyed by us this 2—j&tday of _LW -f 1967 Tod W 14- ?'G= t� / o' -r /Y a t- GERALD Y. COYNE LOT SURVEYS COMPANY R69h10iDAHO AVE '.CO eKUtJS1h'ICF: AVE 5 GULCEN VALLEY, MINN LAND SURVEYORS BROOKLYN PARK, MINN REGISTERED UNDER LAWS OF STATE Or MINNESOTA LICENSED BY ORDINANCE Or CITY OF MINNEA"LIS 6917 Idaho Ave. N. 533-9922 Minneapolis, Minneaola 55428 NPUSTRIAL jU'CICIAL G;)'1ZINING MORE THAN 3C YEARS OF _.^.,mERrIA! r0P0GRAPHICALUrbeporg Certificate [ANI SURVEYING EXPERIENCE IN THF CITYLOT' - PLATTING METROPOLITAN AREA AMBER CONSTRUCTION COMPANY Invoice,# 3093 F.B. 121-63 v Denotes Iron 3ce.1e 1'r = 301 E I �T A v1_0 Q A Fl o w cn Z� v 0 Lot 7. Block 1, AMBER OAKS P -M6 WL hereby certify that this is a true and correct representa- tion of a survey of the boundaries of the above described SiOed land and *he location of all buildings and visible encroach- LAT SURVEYS COMPANY runts, if any, from or on said land. Surveyed by as this 2_1_ - day of (let. _ 196- ' • L' - JApplicaftm for Power Phuft and H Cooling, Ve .Bladon. Reffigerolon and Air CandItiming Syst•nts and Devices PARTIAL RATE SCHEDULE Dept. of Ridge. Phone W-3480 GRAVITY WARM AIR: RATE TOTAL Furnace Shell & Duct Work ...........................$10.00 Replacement of Furnace ............................. 6.00 $ Repairs & Alterations—up to $500.00 ................ 6.00 $ Repairs & Alterations each add. $500.00 ............... 3.00 $ M, CIL WARM AIR Furnace Shell & Duct Work to 120,000 BTU ............$10.00 $ each add. 60,000 BTU ....................... 3.00 $ Replacement of Furnace ............................. 6.00 $ Repairs & Alterations—up to $500.00 ................. 6.00 $ Repairs & Alterations each add. $500.00 .............. 3.00 $ STEAM or HOT WATER SYSTEM Furnace Shell & lines—to 400 sq. ft. EDR Steam .. .$10.00 $ Furnace Shell & Line—to 640 sq. ft. IDR Hot Water .. 10.00 $ Each add. 200 sq. ft. EDR Steam ...................... 3.00- $ Each add. 320 sq. ft. EDR. Hot Water .. 3.00 $ OIL BURNER—to 3 gal. per hour ... .. ... ... ..... 6.00 $ over 3 gal. per hour --See Fee Schedule GAS BURNER (up to 199,000 BTU) ....................... 6.00 $ over 199,000 BTU See. Fee Schedule GAS FITTING FEES: NO RATE TOTAL 1st 3 Fixtures .... ................ x$ 100 $ c� Additional Fixtures x .76 $ Gas Range to 199,000 ........... lit 6" $ AIR CONDITIONING FAN HEATING SYSTEM VENTILATING SYSTEM ALTERATIONS & REPAIRS ROU©H FINA411 /moi t See Fee Sehednte TOTAL rim City of Fridley: The undersigned hereby makes application for a permit for the work hereir specified, agreeing to do all work in strict accordance with the City Ordinance. and ruling of the Department of Buildings, and hereby declares that all the facts and representations stated in this application are true and correct. n Fridley, Minn — 19 Owner Kind of Building Used as To be completed about Estimated Cost, $ Old ew. Building Permit No. Permit No. DESCRIPTION OF WORK HEATING or POWER team, Hot Water, Warm Air—No Trade Nam Size NoL 2 /zo Capacity Sq. Ft. E.D.R BTU ZZ®H.P. Total Connected Loa Z Rind of Fuel- BURNER — Trade Name Size No Capacity Sq. Ft. ZM-R BTU H.P: (REMARKS-OYERI SUBURBAN AIR CONDITIONING :CO, sig 8413 CENT€ ^ By' IHII1ItyEAPOLI , MINN-MTA 55433 Business Phone No 53 -8h -s-915.51 Cite of Priclloy fQ pIU,_ribtiiv^' .- '%;a N >+:� �c''.i:a i Dap't. of Bldgs. Phone M-3450 DESCRIPTION O? V1011 Wb5 N. E. Mc Kenley Street Nuin'xr, Y.iad and Locr-tion of Fixtures I'OCa � w t7 S� NO. RATE TOTAL Number Fixtures ................ F N Z 0 3rizt $ _. N g= uZ ' gal p 2 asin.................. Catch Basin.. * ................ x $3.25 wAi[a MTR. water Heater 'Up to 99.000 BTUs. • • • x $3.04 Eatr :r'ew Ground Run Old Bldg......... .,—, x $3.25 S El*ctrie Plater Hsatar............. x $2.00 S ZAS FITTING FEES: NO. R;+TE TOTAL Ist 3 Fixtures ............ • . x $2.00 $ , Additional Fixtures .............. x $ •T5 $ 1st x $5.00 6 sal Gas it 3:d t:h • Futuzo Coo :a:t.:a O7ocir4s t Xsa Fluturv, Old Opaain ra PARTIAL. RATE SCHEDULE Saerar Cceapool PLUMBING FIXTURE RATES: NO. RATE TOTAL Number Fixtures ................ r x $2.00 $.—_.—.. Future Fixture Opening ........... x $1.50 $ _. New Fixture Old Opening.......... x $1.50 $___ asin.................. Catch Basin.. * ................ x $3.25 $ water Heater 'Up to 99.000 BTUs. • • • x $3.04 $ :r'ew Ground Run Old Bldg......... .,—, x $3.25 S El*ctrie Plater Hsatar............. x $2.00 S ZAS FITTING FEES: NO. R;+TE TOTAL Ist 3 Fixtures ............ • . x $2.00 $ , Additional Fixtures .............. x $ •T5 $ Gas Range to 199.000 BTU ........... x $5.00 6 City of Fridley: s The undersigned hereby makes application for a permit for the work herei specified, ag.recing to do all work in strict accordance with the C:%7 C dirance and ruling of the Department of Build.'ngs, and hereby declares that all the tact and representations stated in this app'lcatioo are true and correct Fridley, YJ= 7-22-75 19. Owner _ Ralph E. Stouffler Kind of Building Frame Used as Res. To be completed about 7-29-75 - Estimated Cast, $ 10.00 Old—XM=Building Permit No. pG . Signed MINNEGASCO ROUGH FINAL P.EPAIRS.a ALTERATIONS—Refer to Code .50 State Surcharge Description....Ii3��ia1.�...03.x'3a1.................. 5.00 TOTAL FEE $ 5.50 Mass "'R"Surcharge .50¢ By - Business Phone . - I SUBJECTMIT City of Fridley �nrlqou AT THE TOP OF THE TWINS BUILDING PERMIT r REC L'_ COMMUNITY DEVELOPMENT DIV. r PROTECTIVE INSPECTION SEC. ,S// �� CITY HALL FRIDLEY 55432 NUMBER REV. DATEPAGE OF APPROVED BY 612-571-3450 910-F15 6/10/87 JOB ADDRESS 6065 McKinley Street N.E. 1 LEGAL LOT NO. BLOCK TRACTOR ADDITION SEE ATTACHED DESCR. 7 1 Amber Oaks Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Stouffer 6065 McKinley Street N.E. 571--1735 3 CONTRACTOR IMAIL ADDRESS ZIP PHONE LICENSE NO. Tomco Company 10649. Terrace Road N.E., Blaine, MN 55434 755-8064 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO, B USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW jJ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Construct a 13' x 19' Porch Addition 9 CHANGEOFUSEFROM TO STIPULATIONS See notations on plan 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 SO. 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 STALLS 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 $3,450 $1.73 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PERMIT FEE SAC CHARGE PROVISIONS FANY OTHER STATE OR LOCAL LAW coN- $44.50 RUCTON ORTHE PERFORMANCE OF CONSTRUCTION. ONEGULATING PLAN CHECK FEE $11.13 TOTAL FEE $57.36 SIGN TUREOFCONT FACTOR ORAUTHORIZED AGENT LIDATEDTHIS IS YOUR PERMIT �WHENLY naT SIGNATURE OF OWNER IIF OWNER BUILDERI +DATEI I NEW [ ] City of Fridley Effective 14/1/86 ADDN.] R-1 AND R-2 ALTER. [ ] Building Permit Application Construction Address:��� Legal Description: �df � 1°G� � ®��S t ;-7/ - l 7-3 Owner Name &Address: c�Tel. - � Tel. # '715-60119 Contractor•n Address:_ /Okq9 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 A: Length _ Width _ Hgt/Ground Sq. Ft. nn l� OTHER: �7 X atin % -%.)(4 %�-� Corner Lot [1 Inside Lot [ ] Ft. Yd. Setback _ Side Yard Setback �Cf rWti Estimated Cost: $ T— Type of Construction: �o - Approx. Completion Date: Alt. A Alt B Proposed Driveway Width If New Opening Is Desired: See Back Page For Explanation -/73,— .J DATE: APPLICANT: q/ Tel. # Permit Fee Plan Check State Surcharge SAC Charge Park Fee Sewer Main Charge TOTAL STIPULATIONS: CITY USE ONLY L(q 'S $� Fee Schedule on Reverse Side $ 25% of Building Permit Fee $7 $.50/$1,000 Valuation $ $ 525 per SAC Unit $ Fee Determined by Engineering $ •eement Necessary [ ] Not Necessary L ] I . (, 43 I r i G ' !9 #iJKL 1 �Tyy ti f .` 'r v��r, t�� (; 9AVMOWD A ¢4tA5 l 1 tl „' ,il `aFt1`� �R�PAN A'aF •r S !` ANW,oKOKS t BFp{?K1.9'N rAt+e <,SIP�W � jJ fi T+A�Y}il ar �V* 'Op, M1NNii80'L�A j F a': 1}.y �i3,i- iiiit..� , 1 Milln!upoli" f7.0," INIPV('a -.40Ri f tIA,'+ aL '`'> , F4�'I t`t,Mal 'r ..,4,rw� ,'* '+ �+'ri�+ i'eh'�s �� t -,.' d vild � � i• �` awl t hVl'Ru^1Cr FXPFa::eQo-il.i YN riii h slit hit bF i '� . AaZFA hty'sl5 ua �; •"���^ �h I £�{tir:. I � r� jpl 4. ;ka,('1�1(��tr'r.H r a<',�iy?�k ��� E;i;. r�}, i�l. c 1£'�1'9,��,{,4 d � r a y� r�.y�J�t ,: •r.,, k:r;i r. ,�" tY. r, u;t 6 �.NftL :�9hfi}fta';e. ;ta'_I '�ra� ira� r y�`' �;Irvr f' Q!}.� n,®� ,ITQ�!ii P ;t"'rrr��� anal 411 p1$i�° j & �f �q q ,q S0����� y� AIJs i',�Ia'Y l i J dam.. q+ xr , h � f �yt a l� r � ,I FP ,.�2; � ih 7 � s v � I � ' 1 � 1 �dY( a rr r 1 o• • k," F - x >� � r 7 i rr F t F i S Ir ��I1q�l ���l���i1 r 3 r d aye 4 f d- e� I�r! r i1r�',•i ,Pr"��i ��la ��d' V 1 u�k 1 r. I I _ .. ff r 1 ! I •� a• n v y,i "r�, i yr i �o,.; a+ �i��i,I,j�l � i�. „� .� i"+.�i d^i, �; I � � � i M Lot 7• Block 1, I+:I i t I� i Aiv19,3Z, ,QAC: i ; ;c �f i., r A I-aeto shot �ptlndat i,un cTanua r vR'• 5 1.9 % 1 a wq IfV�A.� certify Thai iters to a taus and coireet ropreaenta• NI 1itrn 4f A, su*.ey of the boµraleriaa of the alcove described S{ {t# !fed firo'leco3on 401 ei buiWirga and aiaiblrr encroach- IA1' SUAVEY5 COiitlPtK11TY , �a 1mR?tft. FF any PaoRl�; �Y so,� 1 end•.f R' � rre t bye, �'ws ter s ; d4io 49 w , kI I , a AI � Iii H. • . ,. �g"`tl usf I A.a r a6,_i ; o� � f _ , . � ;tr ,. � ..Gn�� J`i I i "y �a� r��..h�1`did(. N'W SUBJECT P City of Fridley 2171�14 7 AT THE TOP OF THE TWINS BUILDING PERMIT i � EIPT N _ COMMUNITY DEVELOPMENT DIV. r � PROTECTIVE INSPECTION SEC. I I NUMBER REV. DATE PAGE OF APPROVED By CITY HALL FRIDLEY 55432 612-571-3450 910-F15 1 111/13/91 JOB ADDRESS 6065 McKinley Street NE I LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 7 1 Amber Oaks. SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Ralph Stouffer 60.65 McKinley Street NE 571-1735 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. D & D Home Improvement 7401 Central Avenue NE, Fridley 784-M 7543 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 Reroof Dwelling (22 Squares) Tear -off 9 CHANGE OF USE FROM TO STIPULATIONS Underlayment must comply with. State Building Code, TYPE OF CONST. OCCUPANCY GROUP OCCUPANCYLOAD SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, VENTILATING OR AIR CONDITIONING. ZONING SO. FT. CU. FT. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT NO. DWLG. UNITS OFFSTREET PARKING ANY TIME AFTER WORK IS COMMENCED. I HEREBY CERTIFY THAT 1 HAVE READ AND EXAMINED THIS APPLICATION 1 STALLS I 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 $l, i44 $. 57 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT PERMIT FEE SACCHARGE DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- $29,00 Fire. SC $1.14 STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. PLAN CHECK FEE TOTAL FEE $3071 SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT (DATEI WHEN OPERLY A D HI YOUR PERMIT - _ T SIGNATURE OF OWNER OF OWNER BUILDER) IDATEI BLDG INSP OATEN Oak I• • • r . i .-� • � %� ill �.�, - _ / Attach to this application, a Oertificate of Survey of the lot, with the prgpceed rlcxm muction drawn as it to scale. FROM Pt'IIM CW IIMIMEMM LZvnr. Am: leri ith Width Height Sq. Ft. QRF4M AM: length Width Height Sq. Ft. n= AM: Length Width Hgt/Ground Sq. Ft. 07M: QnMer Lot [ ] Inside;?� ] Ft. Yd Setback Side Yard Setbacks Type of Ca ns�truction: , — leAk oz9, - Estimated Oust: Approx. Ompletion Date: Prq=ed Driveway Width If New opening Is Desired: I Ft. $ $ Width + 6' See Hack Page DUE: AMZCAM. Tel. Permit Fee $ c2 I, Fire Surduirge State Surcharge SAC urge $ Driveway Es=uw $ Park Fee $ Sewer Main Charge S 0. Pee Schedule cn Fav+erse Side .001 x Permit Valuation (1/10th $) $.50/$1,000 Valuatian $650 per SAC Unit Alt. "A" or Alt. "B" Above Fee Determined by AgreMEnt Necessary [ ] Not Necessary [ ] Building, BUILDING Permit No.: Inspections RESIDENTIAL APPLICATION Received By 763-572-3604 CITY OF FRIDLEY Dat ' :--�.-200 C DATE eJ O� YOUR E-MAIL ADDRESS 1 CYC �1 ii eS V r Ll S C U C v m SITE ADDRESS License Surcharge $ THIS APPLICANT IS: ❑ OWNER CONTRACTOR $ PROPERTY OWNER/ NAME: $ TENANT ADDRESS: `` ` CITY STATE—ZIP $450 Conservation Plan Review PHONE: $ CONTRACTOR NAME $ SUBMIT A COPY OF STATE LICENSE # A173 EXP DATE 37-9/47 t U YOUR STATE LICENSE ADDRESS: 515-0 -L%t CITY STATE ziI,55813 WITH APPLICATION PHONE 9S2 . 935 . 4lote9 FAX a5Z - 935. gsyy PROPERTY TYPE ❑ SINGLE FAMILY/NEW CONSTRUCTION SIZE 17 TWO FAMILY/NEW CONSTRUCTION STORIES PERMIT TYPE Q ADDITION ❑ GARAGE/SHED DOWS ❑ BASEMENT FINISH ❑ ROOF ❑ DRAIN TILE ❑ DECK ❑ SIDING ❑ OTHER ❑ SWIMMING POOL TYPE OF WORK: ❑ NEW❑ DITION UMANTEWCE/REPAIR [9�REMODELING DESCRIBE WORK BEING DO U -2f OMS SIZE OF IMPROVEMENT WIDTH HEIGHT Ft ROOFING ❑ HOUSB ONLY NUMBER OF SQUARES ❑ HOUSE & GARAGE BASEMENT REMODELING SUBMIT: GARAGES ❑ ATTACHED GARAGE 1. 2. Existing Floor Plan Proposed floor plan PROPOSED SIZE: ❑ DETACHED GARAGE 3. List of structural members to be used PROPOSED HEIGHT: SIDING j `/ room FOR NEW CONSTRUCTION INCLUDING DECKS, ❑Soffit Z — 11 Y & PORCHES SUBMIT: ❑ Vinyl ❑ Aluminum M c ADDITIONS. ❑ Trim p (,j� Q D t v 1. Site Plan/Survey showing the existing structures ❑ Other ❑ Fascia 1.� —' .1 2. and proposed project. Two WINDOWS ' 1 sets of construction plans IN EXISTING OPENINGS es o LOCATION OF WINDt?WS 3. Energy Calculations OR FOR NEW OPENINGS -DESCRIBE SIZE OF OPENING CHANGES & 8 TYPE OF WINDOW TO BE INSTALLED C&AgASNUNMER OF WINDOWS ALL FEES ARE BASED ON VALUATION, INCLUDING THE COST OF LABOR AND MATERIALS: (USING THE 9 TOTAL JOB VALUATION /(Q (9a0II.B.0 FEE SCHEDULE) OCCUPANCY TYPE Permit Fee $ J ri Cl • 114 See Back Page for Fee Schedule Plan Review $ 65% of Building Permit Fee Fire Surcharge $ .001 times the total job valuation Surcharge _ $ ` .0005 x Permit Valuation Minimum $.50 License Surcharge $ $5.00 (State Licensed Residential Contractors) SAC Charge $ $1550 per SAC Unit (Plans to MWCC for determination) Curb Cut Escrow ;z $ ft + 6 ft = ft x $21= $ Erosion Control $ $450 Conservation Plan Review Park Fee $ Fee Determined by Engineering Sewer Main Charge $ Agreement necessary ( ) Non Necessary ( ) Total Due $ Make checks payable to: City of Fridley_ Attach Stipulations 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; that the work will be in accordance with the approved plan in the case of all work which qubes vi w a p val of plans. + e SIGNATURE OF APPLICANTAk PRINT NAME V DATE_2[/ �O