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PRE 2010 DOCSCity of Fridley, Minn. BUILDING PERMIT Date: dtme93; '1965 Bomedale Builders' N° '7992 Address Address 3017 Igmdale Ave. So. LOCATION OF BUILDING No. 7485 Street Melody Drive N. E. � Part of Lot Lot _ Block 5 Addition or Sub -Division Melody Manor Corner Lot .. Inside Lot Setback Side-Awd Sewer Mevation Foundation Elevation DESCRIPTION OF BUILDING To be Used as: Dualling Front Depth Height Sq. Ft. Cu. Ft Front Depth Height Sq. Ft. Cu. Ft Type of Construction Frame Est. Cost $26s000•00 To be Completed Dwelling In consideration of the issuance to me of a permit to et the building described above I agree to do the proposed work in accordance with the description abov forth and Tian th 11 ons of ordinances of the city of Fridley. In consideration of the payment of a fee of $27*00 , permit is hereby granted to Homedale Bldt rig. 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, b3inaesotang location, construction, alteration, maintenance, repair and moving of buildings within the city limit vus permit may be revoked at any time upon violation of any of the provisions of said ordinances. Allen Jensen Building Inspector NOTICE: iMs psrmh doss set sever d w ceestrodlwl, IeoaWtim for WkhM phmhln9. Oa tfsathm WWW er watsf. Be an to as do Beier r for aparaft psrmhs for flea ins. APPLICATION FOR BUILDING PERMIT CITY :OF'FRIDLEY, MINNESOTA_ OWNER'S NAME BUILDER ADDRESS ADDRESS LOCATION OF.BUILDING No. Street art of -Lot Lot. Block Addition or Subdivision Corner Lot Inside Lot-Z-0-pSetback Side -Yard SEWER ELEVATION FOUNDATION ELEVATION Applicant, attach to this form Two,Certificates.of Survey of Lot -.and proposed build- ing location drawn on these Certificates. DESCRIPTION OF BUILDING To be used as: Front Depth Height / Sq.; Ft. 64 fw Cu. Ft. Front Depth Height Sq.,Ft, - +Cu. Ft. Type of. Construction, f Estimated Cost . zz To be Completed 1 . /99� a5 The undersigned hereby makes applicationfora permit.for.the work herein specified, agreeing to do all work in strict 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., /01 (Schedule of Fee Costs can be found on the V.2V/a City of Fridley, Minn.. N9 9753 BUILDING PERMIT Date: May 21 ,6` 68 Owner: George Green Bider Western Construction Address — 7485 Mel-Ody r . — _ Address 3Q17 Tj= a.l P Ave, So- LOCATION So_ LOCATION OF BUILDING No. _7485.._ _ Street — Me1cdy 1i'riz7.e_ _ Part of Lot Lot -- 4—______ Block _ _ _ __ -- Addition or Sub -Division _ Mel ndy Hemor. a -h Corner Lot — Inside Lot _ X Setback --- Sideyard -- Sewer Elevation Foundation Elevation DESCRIPTION OF BUILDING To be Used as: Garage Front 2Q t Depth 241 _ Height _ 10' _.._ Sq. Ft. 4 _ cu. Ft. 4800 Front Depth Height Sq. Ft. — Cu. Ft. Type of Construction Frame t Cost __.2 , 000.00 __ To be Completed 60 days In consideration of the issuance to me of a permit to construct the building described above I agree to do the proposed work in accordance with the description above set forth and in compliance wi afl provisions of ordinances of the city of Fridley. �Z In consideration of the payment of a fee of $7 . DO ., permit is hereby granted to—Western to construct the building or addition as described above. This permit is granted upon the express condition that the person to whom it is granted and his agents, employees ani workmen, in all work done in, around and upon said building, or any part thereof, shall conform in all respects to the ordinances of Fridley, Minnesota regarding location, construction, alteration, maintenance, repair and moving of buildings within the city limits and this permit may be revoked at any tune upon violation of any of the provisions of said ordinances. CLARENNCE BELISLE`-. NOTICE: Ibis permit does not cover the construction, Installation for wiring, plumbing, gas heating, sower or water. Be sure to see the Building Inspector for separate permits for these items. 4 APPLICATION FOR BUILDING PERMIT CITY OF FRIDLEY, Mt MEsOTA OWNER'S Mbl_Clo ;:� BUILDER— ADDRESS�1DDRESS��®1 LOCATION BUILDING No 7� S STR$ET ' 'rr; --�-- �— LOT _ BLOCK_•_ a . ADDI ON .OR SUBDIVISION Z ----"'.'-SETBACK / -- - COMER LOT INSIDE LOT SETBACK SIDEYARDr SE14ER ETMATION •AOR OF ' FOOTING Applicant attach to this form Two Certificates" of `but" Vey of Lot and --proposed building location drawn on these Certificates. F DESCUPT_W,9 OF , BUTLpING .. _ To Be Used 0 5o' • Height / v Square feet Cubic Feet 4/ d ;$rpn_ Depth~ Height': Square feet Cubic Feet 04 Type of Construction ��Estimated Cost 0 d c� r To Be Completedb" CP..�, : 7. �. The undersigned hereby makes application for a permit for the work herein specified, agreeing to do all work in strict accordance with the City of Fridley Ordinances and rulings of the Department of Buildings, and hereby declares that all the facts and representations stated in this application are true and correct. DATE �%� SIGNATURE !oma (Schedule Fee Costs can be found on the Reverse Side). CIVIC CENTER • 6431 UNIVERSITY AVE. N.E. FRIDLEY, MINNESOTA 55432 • PHONE (612) 571-3450 May 8, 1989 Joyce Green 7485 Melody Lane N.E. Fridley, MN 55432 RE: First Notice of Noncompliance at 7485 Melody Lane N.E. Dear Ms. Green: The City of Fridley has established a City Code for the purpose of promoting a pleasant and attractive suburban environment. A recent inspection of the property at 7485 Melody Lane N.E. revealed that not all Code requirements are presently being met. Listed below is an item which does not comply with the City Code: 1. Observed vehicle (license 762-BYH) parked on grass beside driveway. Fridley Zoning Code requires that all vehicles be kept on a hard surface parking area or in a garage, as parking on lawns is prohibited when such vehicles are visible from any public right-of-way. Your prompt attention in correcting this situation would greatly assist us in helping make Fridley a better place to live. An inspection will be conducted on or about May 22, 1989, to determine compliance. If you have questions or would like to discuss this, please contact me at 572-3595. Thank you for your cooperation! Sincerely, Steven Barg Code Enforcement Officer SB:ls C-89-237 Arp 9 . .'�$yi,:'��`��.���� 'e�:K`��'`��'U,�fr .a.� ,iii ' v'�9t'.€`tr �r m� o+� ► `. ;h..r.� .... r^a. � a,�4- �• `D'r :: �,a7�'�g..•J4,'h Custom 474 Apollo Drive Mr. Wk. CRI Remodelers, Inc.Uno Lakes, MN 55014 Mrs. Wk. (612) 784-2646. 1-800-240-3038 STATE LIC. #0001748 Fax (612) 783-9050 ADDENDUM TO SALES CONTRACT Addendum # Sold To yC if :;Oes-sly? Address N 8S 14e Date f3-- ! S- 9A City die I N-ei State Mit Zip_Telephone No. Original Sales Contract_ Number ; dated Buyer agrees to purchase the following described goods and services which are to be furnished as a part of the Contract referred to above, OR, Buyer requests that Seller make the following changes In such contract, previously executed by the parties hereto, subject to all the terms and conditions contained therein, except as otherwise stated herein: TO Mo-[..F-:�e_s NC�_a tw71 Pro ', r, r-- a -z7K-r,,,-m L AinW TkM I LAM (�IIA kl T-/ 0AjS:JV M 911 A& N -241CD Py U 1 hJV L S I ®t N G-- T'O (t-F-FQLG F461SF. 4±2 D AT-rA-T CJ -49:L q B�Cr<�NGr Q�A,eAQ -T ©r -r- 4Lam'rNutA P �3f� (iK)Z E bAM6�T" `Ropre ts . ALL s6rr-i T F. )=ASL'iA PonUQr--& r F-M-1-AtLE-s VG—NTE OAlegE [)PEf'1IN6-'S &-y1ST. Cawle Or= / �. .► �/ itL I2 ■ _ v �.. sem.' i a to r ( ��• (�• NU I K;t 1. DO NOT SIGN THIS ADDENDUM BEFORE READING IT. TO THE 2. YOU ARE ENTITLED TO AN EXACT COPY OF THE ADDENDUM YOU SIGN, COMPLETELY SIGNED. 3. EACH OF THE UNDERSIGNED BUYER(S) ACKNOWLEDGES THAT SUCH BUYER RECEIVED AT THE BUYER TIME OF THE EXECUTION OF THIS ADDENDUM AN EXACT COPY HEREOF COMPLETELY FILLED IN. Custom Remodelers, Inc. Signe�y .. 12L. S4 e 2 Au"d Representative ° Do ow Signed CC -BUYER ��08 "fa BE ®oNE 0 r", 0 cov�p� on sueJEcr PER �O-.-_.� City of Fridley 27579 AT THE TOP OF THE TWINS ?` BUILDING PERMIT : RECEIPT NO. i COMMUNITY DEVELOPMENT DIV. n� _ L PROTECTIVE INSPECTION SEC. r i 1 . � NUMBER REV DATE PAGE OF APPROVED BY CITY HALL FRIDLEY 55432 �-"- %.j 612-571-3450 910-F15 9/4/98 JOB ADDRESS 7485 Melody Drive NE I LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 4 5 IMelodvManor, 4th Addn. SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Joyce Green 784-6410 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Ea leview Const INC 2793-9469 20076041 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO. 8 USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW ❑ ADDITION ❑ ALTERATION jj REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Reroof house and izarage 26 SO Tar-off 9 CHANGE OF USE FROM TO STIPULATIONS Underlayment must comply with the State Building Code. 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 80 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 1 HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION 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 $2228 DQES 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. $74.75 Fire SC $2.23 ®PLAN CHECK FEE TOTAL FEE —a,4 License SC $5.00 $83.09 SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT IDATEI WHEN LIDAT D THIS IS YOUR PERMIT �PPR®OPERLY BL G INSP GATE SIGNATURE OF OWNER OF OWNER BUILOERI IDATEI NEW [ ] ADDN [ ] CITY OF FRIDLEY ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION ConstructionAddress: % � �-S /' z Legal Description: P(- Effective 1/1/98 Owner Name & Address: _ o y C C r- f.<el Tel. # 70- 01 Contractor: ,�,A y�� �' �� n ryLq , ,� MN LICENSE # ;�00 6 93 Address: M,3 % 17 `� a N A 1'-er- Mn 5-3-50Y Tel. # wl- � Attach to this application, a Certificate of Survey of the 5-3- 5W 9 lot, with the proposed construction drawn on it to scale. LIVING AREA: GARAGE AREA: DECK AREA: OTHER: DESCRIPTION OF L%IPROVEMENT Length Width Height Length Width Height Length Width Hgt/Ground Sq. Ft. Sq. Ft. Sq. Ft. ea Construction Type: (^� ^�oo — Estimated Cost: $ --" 0 6 (Fee Schedule on Back) Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ = $ DATE: el, APPLICANT: Pe V1 ^.-S Tel. # CITY USE ONLY Permit Fee $ L . % Fee Schedule on Reverse Side Fire Surcharge $ �� .001 of Permit Valuation (1/10th%) State Surcharge $ f . l l $.50/$1,000 Valuation SAC Charge $ $1000 per SAC Unit License Surcharge $ 00 $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 $ v j �� STIPULATIONS: I V SUBJECT NO. City of Fridley 27976 AT THE TOP OF THE TWINS BUILDING PERMIT r RECEIPT NO. T • COMMUNITY DEVELOPMENT DIV. / _ r PROTECTIVE INSPECTION SEC. 1 • � NUMBER pEV DATE PAGE OF APPROVED BY i A'0' "'4 CITY HALL FRIDLEY 55432 L 612-571-3450 910 -FIS 9/25/98 JOB ADDRESS 7485 Melody Drive N 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 4, 5 Melod SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Joyce Green_ 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Custom Remodelers Inc. 474 Apollo Dr. Lino Lake784-2646 1748 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO 8 USE OF BUILDING Residential 7 CLASS OF WORK O NEW O ADDITION O ALTERATION )a REPAIR O MOVE O REMOVE 8 DESCRIBE WORK Reside kmm house and garage; soffit and fascia (Vinyl) 9 CHANGEOFUSEFROM TO STIPULATIONS Call for building wrap inspection before covering. 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 STALLS GARAGES AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS VALUATION SURTAX AND ORDINANCES GOVERNING THIS TYPE OF WQRK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT $10,000 $5.00 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 PER ANCE OF CONSTRUCTION 162 2 FiY SC $10.00 l 25'1 q [c S) PLAN CHECK FEE TO L EE 2 SIGN TORE OF CON TRACTOR OR AUTHORIZE 0AGE NT IDATEI EN ROP BI,0G INSo VALID TNI$ I$ QURC T r PATE S-GNATURE OF OWNEA,1F OWNER BUILDERI IDATEI NEW r[ ] Effective 1/1/98 ADDN [ ] CITY OF FRIDLEY ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATIONdy 11J& �ConstructionAddress: -7 ff 05— /Vl e, f ®F, Legal Description: Owner Name & Address: S a miff C r, ---e- r� Tel. # 7� Contractor: CSS io-vn ~ d'0MN LICENSE # Address: 7q I Po Gc,L4er--YL YO( Tel. # �;6 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 --�-4 Width Hgt/Ground Sq. t. OTHER: (i4ty' _.S E e, CD frit AC' F — —'�6 )cp r * ViNyL Construction Type: R & S; Jf Estimated Cost: $ /0 Gcs� (Fee Schedule on Back) Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ = $ DATE: q ._ 2-5 -'?'9 APPLICANT: Tel. # CITY USE ONLY Permit Fee $ 1602 0? r Fee Schedule on Reverse Side Fire Surcharge $ la oo State Surcharge $ 00 SAC Charge $ License Surcharge $ S. U (� Driveway Escrow $ Erosion Control $ Park Fee $ Sewer Main Charge $ TOTAL STIPULATIONS: .001 of Permit Valuation (1/10th%) $.50/$1,000 Valuation $1000 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 [ ] Building $ BUILDING See Back Page for Fee Schedule Permit No.: � Inspections RESIDENTIAL APPLICATION Received By: 763-572-3604 i . Pj CITY OF FRIDLEY Date Rec'd: l/ DATE Id I Y I C> l- YOUR E-MAIL ADDRESS P17 e l el Q rJDA-9S J®n7 SITE ADDRESS l Ll FJ 6- P% e C l� L1 r 1 y e N i" $ THIS APPLICANT IS: 0 OWNER CONTRACTOR AC Charge PROPERTY OWNER/ NAME: D C h f 4 A f BJ1 & $1450 per SAC Unit (Plans to MWCC for determination) TENANT ADDRESS:_ -14b5 N R t u el q D r IV _ / CITY a 1 d 1 Q V STATE—ZIP 5- 5'q 3 ft + 6 ft = ft x $20 = $ PHONE: Q L 3) 1 bs b- t) 4 S� $ CONTRACTOR NAME:_ The Home Depot A.H.S. Inc. ark Fee SUBMIT A COPY OF STATE LIC 3200 Cobb Galleria Pkwy. Fee Determined by Engineering YOUR STATE LICENSE ADDRESS: Atlanta, GA 30339 CITY STATE ZIP WITH APPLICATION PHONE 763-542-8826 [] License #20268257 $ PROPERTY TYPE Make checks payable to: City of Fridley Attach Stipulations Two FA ,ORIEs PERMIT TYPE QADDITION 0 GARAGE/SHED 1 DOWS 0 BASEMENT FINISH 0 ROOF 0 DRAIN TILE 0 DECK 0 SIDING 0 OTHER 0 SWIMMING POOL TYPE OF WORK: 0 NEW 0 ADDITION 0 MAIN73NANC:E/REPAIR ELREMODELING s / DESCRIBE WORK BEING DONE: 7 i W I0`C Ow reptnaineLh >IZE OF IMPROVEMENT LENGTH WIDTH IGHT Sq. Ft. LOOFING 0 HOUSE ONLY JCJMBER OF SQUARES O HOUSE & GARAGE BASEMENT REMODELING SUBMIT: 'ARAGES0 ATTACHED GARAGE 1. Existing Floor Plan 'ROPOSED SIZE: 0 DETACHED GARAGE 2. Proposed floor plan 3. List of structural members to be used 'ROPOSED HEIGHT: TIDING FOR NEW CONSTRUCTION INCLUDING DECKS, 3 Vinyl OSoffit ADDITIONS. & PORCHES SUBMIT: 3 Aluminum 0 Trim 1. Site Plan/Survey showing the existing structures ] Other 0 Fascia and proposed project 5'I9DOWS 2. Two sets of construction plans EXISTING OPENINGS C9sfes ❑NoLOCATION OF WINDOWS t d P b o !fl 3. Energy Calculations )R FOR NEW OPENINGS -DESCRIBE SIZE OF )PENING CHANGES & i'PE 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 $ A 5 t( OCCUPANCY TYPE 'ermit Fee $ 4{ 3_ a See Back Page for Fee Schedule 'Ian Review $ 65% of Building Permit Fee surcharge $ i . Pj (.0005) times the total job valuation — Minimum $.50 'ire Surcharge $$ a �5 .001 x Permit Valuation (1/10%) ,icense Surcharge $ $5.00 (State Licensed Residential Contractors) AC Charge $ $1450 per SAC Unit (Plans to MWCC for determination) :urb Cut Escrow $ ft + 6 ft = ft x $20 = $ :rosion Control $ $450 Conservation Plan Review ark Fee $ Fee Determined by Engineering ewer Main Charge $ Agreement necessary ( ) Non Necessary ( ) Iotal Due $ 012,01) Make checks payable to: City of Fridley Attach Stipulations THIS IS AN APPLICATION FOR A PERMIT -NOT VALID UNTIL PROCESSED hereby apply for a building permit and I acknowledge that the information above is complete and accurate; that the work will be in onformance with the ordinances and codes of the City of Fridley and with the Minnesota Construction Codes; that I understand this is not a ermit 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 Ian in the case of all work which requiresMew ew and approval of plans. [dN}YTURE OF APPLICANT �- PRINT NAME 8 1 fk% DATE t Q 6 Building $ BUILDING See Back Page for Fee Schedule Permit No. - 30 Inspections RESIDENTIAL APPLICATION Surcharge Received By: 763-572-3604 (.0005) times the total job valuation — Minimum $.50 CITY OF FRIDLEY $ DatffDdOC - 4 2007 DATE 1 � 6 YOUR E- L ADDRESS �'o di s 4D e I do r Aon.es _ r v� ITE ADDRESS l five SAC Charge $ $1450 per SAC Unit (Plans to MWCC for determination) THIS APPLICANT IS: 0 OWNER HCOORACTOR PROPERTY OWNER/ NAME: Q bpa $ II�� ADDRESS: I CI CITY 'f"P l t L (/ STATLaGIP_J-Sq3a TENANT Park Fee PHONE: Z 43 1 0. 6 42 NAME: THD At -Home Services, Inc. d/b/a 6 ®nL _'� CONTRACTOR Sewer Main Charge STATE LICE The Home Depot At -Home Services 3 S — >D Y -7 SUBMIT A COPY OF 3200 Cobb Galleria -Suite 200 $ YOUR STATE LICENSE ADDRESS:_ CITY STATE ZIP WITH APPLICATION PHONE Atlanta, GA 30339 I _gNGLE F Lic# 20268257 Ph. 763/542-8826 PROPERTY TYPE ❑ TWO FAN ----- _—..__-_-___ _)RIES PERMIT TYPE QADDITION 0 GARAGE/SHED MAVNIDOWS O BASEMENT FINISH 0 ROOF 0 DRAIN TILE 0 DECK 0 SIDING 0 OTHER 0 SWIMMING POOL TYPE OF WORK: 01 NEW O ADDITION o MAINTENANCE/REPAIR &AEMBB9WNG tY P & LA DESCRIBE WORK BEING DONE: W .(X C) SIZE OF RAPROVEMENT LENGTH WIDTH AEIGHT Sq. Ft. ROOFING 0 HOUSE ONLY NUMBER OF SQUARES ❑ HOUSE & GARAGE BASEMENT REMODELING SUBMIT: GARAGES 0 ATTACHED GARAGE 1. 2• Existing Floor Plan Proposed floor plan PROPOSED SIZE: 0 DETACHED GARAGE 3. List of structural members to be used PROPOSED HEIGHT: SIDING FOR NEW CONSTRUCTION INCLUDING DECKS, ❑ Vinyl ESoffit ADDITIONS. & PORCHES SUBMIT: O Aluminum 0 Trim 1. Site Plan/Survey showing the existing structures ❑ Other 0 Fascia and proposed project. WINDOWS 2. Two sets of construction plans IN EXISTING OPENINGS 9 -Yd 13No LOCATION OF WINDOWS 3. Energy Calculations OR FOR NEW OPENINGS -DESCRIBE SIZE OF l 1y,,A n MOM OPENING CHANGES & nTE OF WINDOW TO BE INSTALLED AIL NUMBER OF WINDOWS ALL FEES ARE BASED ON VALUATION, INCLUDING THE COST OF LABOR AND MATERIALS: (USINGyZE 1997 U.B.0 FEE SCHEDULE) TOTAL JOB VALUATION $ (a B ;? OCCUPANCY TYPE Permit Fee $ G 0.1 D, See Back Page for Fee Schedule Plan Review $ 65% of Building Permit Fee Surcharge $ t5q (.0005) times the total job valuation — Minimum $.50 Fire Surcharge $ 1.10% .001 x Permit Valuation (1/10%) License Surcharge $ 19.00 $5.00 (State Licensed Residential Contractors) SAC Charge $ $1450 per SAC Unit (Plans to MWCC for determination) Curb Cut Escrow $ ft + 6 ft = ft x $20 = $ Erosion Control $ $450 Conservation Plan Review Park Fee $ Fee Determined by Engineering Sewer Main Charge $ Agreement necessary ( ) Non Necessary ( ) Total Due $ (p 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 wh��M d approval of plans. �n SIGNATURE OF APPLICANT PRINT NAME arm Sc h�Il 1L DATE �6��/�i7