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PRE 2010 DOCSCity of Fridley, Minn.. BUILDING PERMIT Date: ..... - -'- --_-... _...--......................... Owner: ..... .. •--...... -- - Address..... .......................................... _......__.._...._._.._......._.._......._..........._.... N° 4491 Builder ....._. Address .J ..G...�".,�.._.�� �..C�._... .... l LO TIO OF BUILDING No. ...... Street ..- ls!-��:%d..-�r=� .............................. Part of Lot ...... ............... .. ; - Lot ........... ................. Block ..... ........ .J ' ----------------------------- Addition or Sub -Division ...- a �: ✓ .... _.....r Corner Lot .................................... Inside Lot ......._/x,----'---�'............... Setback .... .. F .............. Sideyard ....._ .._�.............. ............. _........................ Sewer Elevation..--............._...-----.............-----------........................_....................... Foundation Elevation ---.............. DESCRIPTION OF BUILDING To Used as: L..L �L L ...... Front ....7. of-..... Depth ,........ Height .�_.... Sq. Ft. ...... Cu. Ft..%.d.... 1 /'d .. . c _.._._..... .0 SX p r7� t g / q .. a........... Front �!.. Depth Height � S Ft. �. �.�.. Cu. Ft ...... _................. � - , c, n ..-- Type Construction ......... /i _.. Est. Cost � .",_9-..&:_....._....-..-.. To be Completed .._._ ............. ................ -....... ........ C721U T � 0 In consideration of the issuance to me of a permit to constryef the b Iding descri e I a to do the proposed work in accordance with the description above se forth d in compii a all a ions of ordinances of the city of Fridley. In consideration of the payment of a fee of $11-��..... permit is hereby gran to...._...__......_...__....._. ........ ....... ._........................ ...._............._........ 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 and moving 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. A Building Inspector NOTICE: This permit does not cover the construction, installation for wiring, plumbing, gas heating, sewer or water. Be sure to see the Building Inspector for separate permits for these items. a 4 APPLICATION FOR BUILDING PERMIT CITY OF FRIDLEY, MINNESOTA C -E ®N, INC, Owners Namea-,%oe Builder GE 2500 22nd Ave. 14. E, Address _ Address —Minnba®� LOCATION OF BUILDING No. StreePart of Let _-- Lot af. Biook ;,Addition or Sub, Div. Corner Lot Inside Lot Set Back Applicant attach oto this -form Certificate of Survey of Lot and proposed building locatign. DESCRIPTION OF BUILDING To be use :.as, Depth,'Height Sq. Ft. Cu. F't. -- Front Depth ight...__. Sq. Ft. Cu. Ft.._. Type efCQnstructioh fir.. Estimated To be completed The undsrs�gn'ii'hereby makes application for a permit for the'work herein spec f ed agreeing to do. all work in strict accordance with the City Or dinances-and'rtxling of.the Department of Buildings and hereby declares that all the facts and representations stated in this. are true and' CO• E3C Date (A Schedule of Fee Costs can Signa be found on the Reverse a , r • ' 53-84-879001 CHY 04 r7idl-y Applic;a�ian for Plurf s 3 t .,Q.G' }�fi;'IS �CTF:'Sis - .. • Dopt. oI 13ldas. Phono &M-3450 DBSCS IPTIOH 0: '47011f. LOCaL, 850 'Ovtrton ]Drive. 1:uz�Sss. Y.izd a.�d LocrJlea of Flxturas �, I M • City of 11rId1cy; ` is WAtt. MT1. 8�jz,•q_� ° j '7 7gz r ►t 7GASILIC 0 1< r �Olvd tfV V•�V v Bs:r I . 1� I Co ec d Std cc- r", d. �1Ys • Fur" -6 (] t }fav Sixturo. Old O1;4 is:ss cc=2001 [] PARTIAL RATE SCHEDULE F UMMIG rlXTU?E RATES: N0. RATE TOTAL X v.. S Number Fixtures . • .... ......... • �--.�- Ftiture Fixture Opening . • • • • • • • • • • -- x 51.50 $.r--. 1'ew Fixture Old Opening • ••• • • •' • • • • x $1.50 i.. -.:»-•— x $3.25 $ Catch Basin ............ N%12 ter llelter 'Up to fr9.000 BTUs • .. • --- x $3 00 $ . tiewGround Run 013 Bldg....:... •-.---•--- x $1.25 S - voctrita water vuatar. a $2.00 sw NO. AAT: TOTAL 1AS FITTING FEES: 5 -- . 1st3Fixtures ••••••••••••••••••------XS2.G0 x C .75 $ Ad-1.1tJonal Fixtures ............... ---- Gs R:ato 199.000 BTU ........... ----r---- +^r x $5.00 5-------- The undersigned hereby :takes appllcatson for a permit ter the- work he speciiied, aCr acing to do all work Instrict acco:Ca.^.ce with the Cit? O:'d:r.: And ruling of the Depar trnent of IIuil : zrs, and hereby declares that alI '-he f • and representations stated to =".is appUcation are true and correct' 6-28-76 19 Fridley, Minn Owner yonald 14elson Kind of Building frame res. Used as To be completed about 7-5-76 Estirrated Cost. S C P•toit l.a. OId--SM 1uilding Permit Na. • Siped c By IftPw'��n,`;CO Busimms Phone No . ROUGH FINAL,••j' :�.•�'?.1:a3 k ALTERATIONS•—P.sfor to Code , .50 State Surcha`5e `7 f,j TOTAL F*:.F• S SUBJECT PE City of Fridley 2 7 4 AT THE TOP OF THE TWINS (12 BUILDING PERMIT -CE NO. _ COMMUNITY DEVELOPMENT DIV. tr PROTECTIVE INSPECTION SEC. r � �;.J CITY HALL FRIDLEY 55432 NUMBER REV DATE PAGE OF APPROVED BY .... L 612-571-3450 910-F15 7/21/94 JOB ADDRESS 850 Overton Drive NE 1 LEGALLOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 2 6 Brookview Terrace 3rd SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Donald/Shirley Nelson 850 Overton Drive NE571-8613 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. 8 USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW f7 ADDITION. ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 1Xi 8 DESCRIBE WORK Construct a 21' x 11'6" Garage Addition 9 CHANGE OF USE FROM TO STIPULATIONS See notations on plan. Provide a hard surface driveway. Provide smoke detectors adjacent to all sleeping areas and in the basement. Before digging call for SII utility locations 454-0002 REQUIRED BY LAW TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD 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 80 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 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 3,864 $1.93 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT 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- $63.00 Fire SC $3.86 STRUCTIO OR THE PERFORMA CE OF CONSTRUCTION. PLAN CHECK FEE TOTAL FEE � $68.79 IZED GENT (DAW) iG TUR OF CON-RACTORORAUTHO W HEN PROPERLY V IDATED THIS IS YOUR PERMIT %% �Jljf� BLDG 1N P DATE .-NATUREOF( ER) IDATEI NEW [ ] Effective 1/ 1/94 ADDN [ ] CITY' OF FRIDLEY ALTER (] SINGLE FAMILY AND DUPLEXES R-1 AND R -2a Building Permit Application Construction Address: F� J - Q//�/272�,e� j Legal Description: Owner Name & Address: c>.Uf�GJ� ¢S //7� � �S��TeI. # Contractor: j A/I MN LICENSE #- '- •Address:$ ?% 6Tel:.# 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 o� l Width / (` (c �` Height Sq. Ft. DECK AREA: Length Width Hgt/Ground Sq. Ft. OTHER: Corner Lot [ ) Inside Lot [) Ft. Yd Setback Side Yard Setbacks Type of Construction: Estimated Cost: $ Approx. Completion Date: (Cost on Back) Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ = $ DATE: Permit Fee Fere Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee Sewer Main Charge TOTAL .. 1011 �i Fee Schedule on Reverse Side .001 of Permit Valuation (1 / 10th %) $.50/$1,000 Valuation $800 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 [ ) STIPULATIONS: r C� ✓ .AGREEMENT_ owner of the property located at ®UCLA +\ by /J have no objection to the City allowing the construction of a/an (4*V6L .k �cAI_e, to be located at 3 -so without the required certificate of survey that the City ordinarily requires for all new construction. Wi tness SUBJECT City of Fridley 2=2 AT THE TOP OF THE TWINS BUILDING PERM If� f RE COMMUNITY DEVELOPMENT DIV r I PROTECTIVE INSPECTION SEC. ' /'--1 CITY HALL FRIDLEY 55432 NUMBER REV DATE PAGE OF APPROVED BY 612-571-3450 910-F15 9/30/94 JOB ADDRESS 850 Overton Drive NE 1 LEGAL LOT NO. BLOCK T RACT OR ADDITION SEE ATTACHED DESCR. 2 6 Brookview Terrace 3rd SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Don Nelson 850 Overton Drive NE 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO D & D Home Improvement Inc. 7401 Central Ave NE Fridley MN 55432 784-7543 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 R 8 DESCRIBE WORK Reroof House (16 Squares) Tear -off 9 CHANGE OF USE FROM TO STIPULATIONS The 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 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 1 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 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT $1,200 .60 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- STRUCT R THE PERFORMANCE OF CONSTRUCTION $29.00 Fire SC $1.20 PLAN CHECK FEE TOTAL FEE License SC $5,00 $35.80 SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT IDA EI f WHEN PROPERLY LI DATED THIS IS YOUR PERMIT �/a BLDG INSP 10 -2 -*Y DATE _ SIGNATURE OF OWNERIIF OWNER BUILDER) IDATEI NEW [ J Effective 5/26/93 ADDN [ J CITY OF FRIDLEY ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 Building Permit Application A004 Construction Address:�V&��✓�� Legal Description: Owner Name & Address: �®/,/ /tl6e��8xl- Te1. # S7/J Contractor: D & D Home Improvement, Inc MN LICENSE # 4840 Address: 7401 Central Avenue N.E., Fridley, MN 55432 Tel. # 784-7543 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 Yard Setbacks _ ® 7G q- ) Type of Construction: �-�� — ��Estimated Cost: $ / 06 � Approx. Completion Date: �e �'v9`C i/0 A&ir (Cost on Back) Driveway Curb Cut Width Needed: Ft. + 6 Ft = Rx $ = $ DATE: APPLICANT: ��12— Tel. # CITY USE ONLY Permit Fee $ � ('C Fee Schedule on Reverse Side Fire Surcharge $ .001 of Permit Valuation (1 / 10th %) State Surcharge $ $.50/$1,000 Valuation SAC Charge $ $750 per SAC Unit License Surcharge $ D G' $5.00 (State Licensed Residential Contractors) Driveway Escrow $ Alt. "A" or Alt. "B" Above Erosion Control $ Conservation Plan Review $450.00 Park Fee $ Fee Determined by Engineering Sewer Main Charge $ Agreement Necessary [ ] Not Necessary [ ] TOTAL $ �'� " �'�� STIPULATIONS: SUBJECTIT�NO. City of Fridley - 29600 AT THE TOP OF THE TWINS BUILDING PERMIT r � IPT NO. ` COMMUNITY DEVELOPMENT DIV. v------ SEC. �� r PROTECTIVE INSPECTION �3 1 "'I.� CITY HALL FRIDLEY 55432 NUMBER REV DATE PAGE OF APPROVED BY L 612-571-3450 910-F15 6/2/99 ,OB ADDRESS 850 Overton Drive NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 2 6 1 Braokview Terrace3rd SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Don Nelson 571-8613 3 CONTRACTOR MAIL ADDRESS Lk. ZIP PHONE LICENSE NO Northern Crest, 8792-9364 2(inc)9419 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 1131 REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Install aluminum soffit and fascia on house and garage 9 CHANGE OF USE FROM TO STIPULATIONS Install soffit ventilation to meet the State Building Code. SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING. TYPE OF CONST OCCUPANCY GROUP OCCUPANCY LOAD 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 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 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT $1400 $.70 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 PERFORM OF CONSTRUCTION PLAN CHECK FEE TOTEE Li c $5s// SiGPAATUREOFCON:RA gpgAUTHOgi2E0AGENT (OATEi EN OUR P �OPEALITHISI S,GNATUAE OF OWNEROF OWNER BURDERi iDATEi G �NSp OAfE NEW [ ] Effective 1/1/99 ADDN [ ] CITY OF FRMLEY r\ ALTER [ ] SINGLE FAMII.Y AND DUPLEXES R-1 AND R-2 �b / BUILDING PERMIT APPLICATION ConstruddonAddress: 850 Overton Dr. ZegafDescription: Owner Name & Address: Don Ne 1 s onTel. # 571-8613 Contractor:Northern Crest, Inc. MNLICENSE#20098415 Address: 8245 Polk St. NE Spring Lake Park, MN 55432- Tel.# 792-9364 - LIVING AREA: GARAGE AREA: DECK AREA: OTHER: , Construction Type: Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF IMPROVEMENT Length Width Height Sq. Ft. Length Width Height Sq. Ft. Length Width Hgt/Ground Sq. Ft. Aluminum soffit and fascia house and garage Estimated Cost: $ 1 , 4 0 0.0 0 (Fee Schedule on Back) Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ _ $ I)ATE: 6-2-99 APPLICANT: Bill Olson Tel. # 792-9364 P CITY USE Permit Fee $ �S - 7.3 ` Fee Schedule on Reverse Side Fire Surcharge $ .001 of Permit Valuation (1/10th%) State Surcharge $ d $.50/$1,000 Valuation' SAC Charge $ $1050 per SAC Unit License Surcharge RFS $ $5.00 (State Licensed Residential Contractors) Dfiveway Escrow $ Alt. "A" or Alt. "B" Above Erosion Control $. $450.00 Conservation plan Review Park Fee $" Fee Determined by Engineering Sewer Maid Charge $ Agreement Necessary t ] Not Necessary [ ] TOTAL STIPULATIONS: 06/23/2009 TUB 11151 FAX 612 822 5408 A1'a Master Plumbimq 0002/002 Building PLUMBING Permit No. inspections RESIDENTIAL APPLICATION Rece• 2 _ 763-572-3604 CITY OF FRIDLEY Date Reed: 763-5024977 FAX FFFEC TIVE 2-49-09 DATE 0 -.;L 3 —0 1 YOUR E-MAIL ADDRESS TL.Rx-t�F - • i+r���1 �' �'+ SITE, ADDRESS FS -0 ©Ir.���•�. �r, /ti�Eyrrljt_kL^ tv�w+•%�� UD►'v� THIS APPLICANT IS: M UwNER ONl'RACI'Ok PROPERTY Nppy;•eg t� v r-e� ti(Y\, It r� L j a.VY�•5 OWNER/ ADDRESS: StSZy CVJ_,-,/kw'. '1 Jk- (•TTY STA 7.rn�' 3 TENANT PHONE 1 4 3- S--1 l- I °i O Lr CONTRACTOR NAMIE �^w .�cr .e Satinem !t c>�tir. �P�wtib� r• SUBMIT A COPY OF STATE LICENSE t► 0" lA¢ l — Exr DATE 1J• — ? i -P9 YOUR STATE LICENSE, BOND AND STATE,BOND 8_1XPtlATL CERTIFICATE OF ADDRESS: t A.-1 :�• `sf . °� rtilo•�0. S • TY STATP.LiP INSURANCE PIIONE ti? k1- to %Lk 'Cti.S >Z ( er 1r { FAX , :a. i a + aL ^ OY . -- PERMIT TYPE WSINGLE FAMILY ❑ TWO FAMILY ❑ TOWNHOUSE TYPE OF WORK. ❑ NEW C�FMLACBdENT DETAILED DFZCRIPTTON OF WORK FEFs ARE BASED ON $10.00 PER FIXTURE, EXCEPT T WHL•'RL NOTI FIXTURES: (INDICATE TOTAL NUMBER OF EACH 136LOW). MINIMUM FFE 535.5 0. BATH SINK/I.AV DRAINS _ &HOWER _ WATER PIPING _FLOOR BATHTi lB _ GA_q PIPING (NF.F 3 CITY LIC.') _ SWIMMING POOL � WATER SOI' PNER ($35) _ WASUER KITCHEN SINK WA 11'.R CLOSCT _ BACK!"LOW P1tCV. ($15) _CLOTHES _ DISIIWASIIER LAUNDRY TRAY WKI-ER HUA'1'L"•R (535) FOR IRRIGA'110N _ _ WATER MTI EA OTHER �'o;'':;•.,g+,.,.;,:iu;`s,�•r;✓, ',•,,'s:y ,�"�;t:> .,';'*•�_ �3y:., 1•'.��•,�•fli .LLT, •a1 'a •. by ' • :•:\- -.. • S.yr� 11 .L 1.; t . ; 1 f:4 i ,ii•.:.: •:: :;•i,;. i '•+i:.•.. �: ;:. •+` .a. ._, .r; a:22: yr,{: N. a:z+ -Xi- .AX > , •'^may:.' •'f-::' ••• •{•{71 1':� •• • >• rpi AT�. t d!� }. t LY.� a�. 1L, •�{r�. ,f15 n1 tt �' �. err- : '�i 3 sa I.:•� {'' ::• • 3•.: �:•.y • n ..,�s,•!. •esti •.�y'� ,::•: +: rLs.•:.:. F_,, �•;, ,: a .. i�r `r' f f •. i•'+'i r':�a•:: ! — a a ' u'n'9 •}' 4:- 'ply.'.:'r r THIS IS AN APPLICATION FOR A PL12MIT-NOT VALID UNTIL PR0005M I hereby apply for a plumbing permit and i acknowledge that the information above is complete and aoeurate; 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 appmv he case of all work which requires review and approval of plans. l} SIGNATURE NAME {-%i �+-�• OATF�Z r a. City of Fridley Building Inspections Department 6431 University Avenue NE, Fridley, MN 55432 763-572-3604 FAX: 763-502-4977 2009 Building Permit Fee BUILDING See Back Page for Fee Schedule Permit No.: gibuRA Inspections 65% of Building Permit Fee RESIDENTIAL APPLICATION Received By: 763-572-3604 Surcharge CITY OF FRIDLEY .0005 x Permit Valuation Minimum $.50 va 763-502-4977 FAX $5.00 (State Licensed Residential Contractors) SAC Charge $ $2100 per SAC Unit (Plans to MWCC for determination) Curb Cut Escrow EFFECTIVE 1-]-2010 ft + 6 ft = ft x $24 = $ Erosion Control �"� DATE I )L —01N . D:1 YOUR E-MAIL ADDRESS t4lt Park Fee SITE ADDRESS TkQ � O\f ft:P4 4 b k NL'y- Sewer Main Charge THIS APPLICANT IS: DOWNER ❑CONTRACTOR Total Due PROPERTY OWNER/ NAME: iM 14 LAAVr "OtUW\- TENANTADDRESS: eQ CX&Jf�. 1A Off CITY. STATE �ZIPyo PHONE: 7 — -'/1 — 7730(e CONTRACTOR NAME: SUBMIT A COPY OF YOUR STATE LICENSE STATE LICENSE # EXP DATE AND CERTIFICATE OF ADDRESS: CITY STATE ZIP INSURANCE PHONE FAX PROPERTY TYPE DINGLE FAMILY/NEW CONSTRUCTION SIZE ❑ TWO FAMILY/NEW CONSTRUCTION STORIES PERMIT TYPE ❑ ADDITION ❑ GARAGE/SHED DOWS JCAAgA JAW(P OL -I: ❑ BASEMENT FINISH ❑ ROOF ❑ DRAIN TILE ❑ DECK 0 SIDING ❑ OTHER 0 SWIMMING POOL TYPE OF WORK: ❑ NEW HOME CONSTRUCTION 'ON XD ❑ MAINTENANCEIREPAIR 'REMODELING DESCRIBE WORK BEING DONE: 1����- 3�`Mi =i�uli a(IleZ( W t "GW LAt&aJ,.. SIZE OF IMPROVEMENT LENGTH WIDTH HEIGHT SQ FT ROOFING p HOUSE ONLY NUMBER OF SQUARES ❑ HOUSE & GARAGE BASEMENT REMODELING SUBMIT: 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: SIDING FOR NEW CONSTRUCTION INCLUDING DECKS, 0 Vinyl OSoffit ADDITIONS. & PORCHES SUBMIT: ❑ Aluminum ❑ Trim 1. Site Plan/Survey showing the existing structures ❑ Other ❑ Fascia and proposed project. 2. Two sets of construction plans WINDOWS 3. Energy Calculations IN EXISTING OPENINGS 2(yes ❑No LOCATION OF WINDOWS FOR WINDOWS - PROVIDE U -VALUE AND OR FOR NEW OPENINGS -DESCRIBE SIZE OF W14-" LGa(T" $`P ®L �� MANUFACTURE STICKER ON WINDOW. OPENING CHANGES & �0%,iqLx p&4t56 ,e4U.OA TYPE OF WINDOW TO BE INSTALLED V1b--d 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 $ (0 11 a ® OCCUPANCY TYPE Permit Fee $ 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 $ $2100 per SAC Unit (Plans to MWCC for determination) Curb Cut Escrow $ ft + 6 ft = ft x $24 = $ Erosion Control $ $450 Conservation Plan Review Park Fee $ Fee Determined by Engineering Sewer Main Charge $Agreement necessary ( ) Non Necessary ( ) Total Due $ k I6 Make checks Pavable to: Citv of Fridlev Attach Stiaulations 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 all work which requires review and approval of plans. SIGNATURE OF APPLICANT /�K/!✓r �' PRINT NAME / v `ICA8-- N DaJ^- DATE -1 '30- ZO Ib CA rA EGRESS WINDOW PROJECT PLAN 1. DRAWING/PLAN — Use handout and this document. — Complete 2. Obtain Permit 3. Remove soil outside window for well and workspace 4. Cut foundation blocks — remove. 5. Fill voids with concrete mix. 6. Install Frame for rough in — Treated Lumber 7. Anchor frame 8. Install window using stainless hardware — sealants/caulk, tape, etc. 9. Finish and trim outside. 10. Install Window well -with cover. 11. Inspection. 12. Interior Jambs weather barrier