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PRE 2010 DOCSCity ®f Fridley, Address - - U Address LCATI N 0411t ING No� Street art of Lot Lot __ Block Addition or Sub -Division Corner Lot _ Inside Lot _ _ Se Setback _ Sideyard Sewer Elevation Foundation Elevation DESCRIPTION OF BUILDING TylSOMas: LAW 41:0A Front Depth Height Sq. Ft. cu. Ft Fro Depth Height Sq. Ft Cu. Ft Type of ConstructionFst a To be Completed 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 with all provisions of ordinances of the city of Fridley. In consideration of the payment of a fee of YJ permit is hereby granted 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 tie u�, viol-ati�i of any of the provisions of said ordinances. f pfd ,f9 .�' Building Inspector NOTICE M poratt does not cover the construction, dnstalWon for wiring, phrmbing, gas heatheg, sewer or water. Be sure to see the Building hupeetor for separate psrnft for those hams. APPLICATION FOR BUILDING PERMIT CITY OF FRIDLEY, MINNESOTA OWNER ° S NAME 2Z 0 ��! S C1 d9 BUILDER S �'d yl=' ADDRESS _/-V2 5- <,C-' G&9,_A DDRESS LOCATION OF BUILDING No. Street�(����' Part of Lot` Lot Block Addition or Subdividion__X t/,0 7- e Corner Lot Inside Lot Setback 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 2 2 / Height Sq. Ft. Iz .9-Z Cu. Ft. % ! 3 ze, Front Depth Height Sq. Ft. Cu. Ft. ay Type of Construction_ Al - Estimated Cost 3 15�1 0 0 To be Completed 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 /'� �•- _RtGNATi1RE �� (Schedule of Fee Costs can be found on the Reverse Side). d iti: � - r � - - y �'� �� S � ' �) ��� r.y Y rt F �h i k - City of Fridley SUBJECT P ®- 134�9� AT THE TOP OF THE TWINS BUILDING PER r I L.L _ COMMUNITY DEVELOPMENT DIV. /�� r PROTECTIVE INSPECTION SEC. I . � rMqBE- REV. DATE 13/31/76 PAGE OF APPROVED BY CITY HALL FRIDLEY 55432 612-560-3450 10-F15 JOB ADDRESS 1425 Rice Creek Road N.E. r 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 8 2 1 Spring Valley Addition SHEET 2 PROPERTY OWNER MAILADDRESS ZIP PHONE Floyd Paulson 1425 Rice Creek Road N.E. 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. C & M Builders 4536 Jefferson Street N.E. Columbia Heights 560-7714 4 ARCHITECT OR DESIGNER MAILADDRESS ZIP PHONE LICENSE NO. SAME 5 ENGINEER MAILADDRESS ZIP PHONE LICENSE NO. 6 USE OF BUILDING residential 7 CLASS OF WORK ❑ NEWl ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK family room 25' x 14' 9 CHANGE OF USE FROM TO STIPULATIONS 1. Provide truss design 2. Insulate Ceiling with 9" batt or equivalent R-27. SEP ERAXE PERMITS REQUIRED FOR IRI 01 it SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, TYPE OF CONST. frame OCCUPANCY GROUP OCCUPANCY LOAD 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 350 2800 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, 63,000 3.00 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME T GIVE AUTHORITY TO VIOLATE OR CANCEL THE PERMIT FEE SAC CHARGE PROVISIONS OF AN O HER STATE OR LOCAL LAW REGULATING CON- $36.00 ST TION OR TH F RMA C OF CONSTRUCTION. PLAN CHECK E TOTAL FEE $#tX;l 39.00 SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT (DATE) EN PROP RL VAL4t, ED THIS IS YO R PERMI`" f AT BLDINSP E G. SIGNATURE OF OWNER (IF OWNER BUILDER). (DATE) ' -APPLICATION FOR RESIDENTIAL, ALTERATION, OR ADDITION -BUILDING PERMIT CITY OF FRIDLEY, MINNESOTA . o.4aER S NMIE AJ ti BUILDER : ADDRESS • -t �� ��� CJ Y\-� ADDRESS:. M. NO STREET: LOT: BLOCK: ADDITION : COMER LOT: INSIDE LOT: SETBACK: SIDEYARD:____ Applicant attach ;:o this fora Tt,Yo Certificates. ,f.Surveg.of Lot and.groposed building location di -Awn on these Certificates. DESCRIPTION*OF BUILDING To Be Used As `nr/ �Y4 Front: Z Depth: Height: • • Square Feet:- 5�0' Cubic . Feet :- d 0 Front:- Depth: Height: Square Feet; Cubic Feet: Type of Construction: "��'✓� Estimated Cost: T6. Be Completed: . The undersigned hereby makes application- for a permit for the -.,York 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: • (See reverse Side For Additional Information.)' rA� 9mk% (;r ` /- ® e SUBJECT O. City of Fridley 1.6 3 1 AT THE TOP OF THE TWINS BUILDING PERMIT r R I PT N • _ COMMUNITY DEVELOPMENT DIV. r � � PROTECTIVE INSPECTION SEC. CITY HALL FRIDLEY 55432 NUMBER REV. DATE PAGE OF APPROVED BY 612-571-3450 910-F15 9/8/81 JOB ADDRESS D 1425 Rice Creek Road 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 8 2 1 Spring Valley Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Marian Paulson 1425 Rice Creek Road 571-8645 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. D & D Nome Improvement 1670 Camelot Lane 574-1398 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 XJ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Vinyl siding, Aluminum window trim 9 CHANGE OF USE FROM TO STIPULATIONS TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, VENTILATING OR AIR CONDITIONING. Vinyl & Al im 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 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 3.990-00 1.99 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- 44.50 STRUC OR THE PERFORM NCE OF CONSTRUCTION. PLAN CHECK FEE TOTAL FEE46.49 6 49 �/q (IN Q9 kAm R AQ AA (N.4'j'A/ 'Y SIGNATUREOFCONTRAC OR OR AU ORI DA EN (DATE) WHEN ROPER(Y ID11,IS YOUR PERMIT SIGNATURE OF OWNER LIF OWNER BUILDER) (DATE) IN P DATE CITY OF FRIDLEY Effective Aug. 1, 1981 APPLICATION FOR RESIDENTIAL BUILDING PERVITS (New, Alterations, Additions, or Repairs) ® f f OW14ER: ADDRESS: TEL NO: BUILDER: 4me_Z;41_)xxm&naa- ADDRESS: &Z-0 6"ee&7—Z_� TEL NO: Construction Location STREET NO: I `� STREET: %I . LOT: BLOCK: z ADDITION: P'tl;ji U C® ep �* Corner Lot: Inside Lot: L,0000' Setback.: Sideyards: Applicant attach to this form two Certificates of Survey of lot and proposed building location drawn on certificates to scale. DESCRIPTIOIN OF CONSTRUCTION Front: Depth: Height: Square -Feet: Cubic Feet: Front: Depth: Height: Square -Feet: Cubic Feet: Type of Construction: V / /?% Estimated Cost: $ 3, 1o" 00 wTWd,6*7kfn 4b Be Oorapleted: Qc ®b z Alt. A Alt. B Proposed Driveway Width If New Opening Is Desired: $ $ SEE REVERSE SIDE OF SHEET 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: 1 SIGNATURE: Stipulations: 044a TV V City of Fridley SUBJECT - 17 615 AT THE TOP OF THE TWINS BUILDING PERMIT _ t CEIPT N • COMMUNITY DEVELOPMENT DIV. PROTECTIVE INSPECTION SEC. � r = ' I -CITY HALL FRIDLEY 55432 NUMBER REV. DATE PAGE OF APPROVED BY 612-571-3450 910-F15 7/17/84 JOB ADDRESS 1425 Rice Creek Road N.E. 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 8 2 Spring Valley Addition SHEET 2 PROPERTY OWNER - MAILADDRESS ZIP PHONE Marian P. Paulson 1425 Rice Creek Road N.E. 571-8645 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Bob Dierkhicin 557=6781 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO. 6 USE OF BUILDING storage ! 7 CLASS OF WORK C NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK 339 construct a 12' x 12' wooden shed 9 CHANGE OF USE FROM TO STIPULATIONS 1. Shed must be 3' from side and back property lines. 2/ Must be 1UHN anchored down. TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, frame VENTILATING OR AIR CONDITIONING. wood 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 WORK WILL BE COMPLIED $500. 00 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT .50 DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PERMIT F SAC CHARGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- 15, 00 STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. PLAN CHECK FEE TOTAL FEE 15.50 ' SIGNATURE OFC�ONCTRA�C�TOR U 12EDAGENT (DATE) N PROPERLY VALI TED THIS IS YQ,�R PERMIT BLDG INSP DATE SIGNATURE OF OWNER IIF OWNER BUILDER) (DATE) RM d NEW City of Fridley Effective 4/1/84 ADDN. [ ] FR -1 AND R-2 ALTER. [ ] Building Permit Application Construction Address Legal Description: ���"V. �.c Owner Name & Address: Tel. # wn Contractor: Tel. # Address: Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF IMPROVEMENT LIVING A EA: Length Width Height Sq. Ft. EA: Length Width ?/ Height Sq. Ft. DECK AREA: Length Width Hgt/Ground Sq. Ft. OTHER: Corner Lot [ ] Inside Lot [ ] Ft. Yd. Setback _ Side Yard Setback Type of Construction: �� � '�� - Estimated Cost: $ 601f, Approx. Completion Date: Alt. A Alt B Proposed Driveway Width If New Opening Is Desired: � k Page See Bac a for Explanation DATE: �"" �'' APPLICANT, c el . # Permit Fee Plan Check State Surcharge SAC Charge Park Fee Sewer Main Charge TOTAL STIPULATIONS: CITY USE ONLY Fee Schedule on Reverse Side 25% of Building Permit Fee $.50/$1,000 Valuation $425 per SAC Unit ' Fee Determined by Engineering Agreement Necessary [ ] Not Necessary [ ] FRIDLEY MUNICIPAL CENTER • 6431 UNIVERSITY AVE. N.E. FRIDLEY. MN 55432 • (612) 571-3450 • FAX (612) 571-1287 CITY COUNCIL ACTION TAKEN NOTICE May 8, 1991 Yoava Klucsar 1337 Hillcrest Drive N.E. Fridley, MN 55432 Dear Mr. Klucsar: On May 6, 1991 the Fridley City Council officially approved your request for a special use permit, SP #91-06, to allow accessory buildings, other than the first accessory building, over 240 square feet, on Lot 30, Block 2, Irvington Addition, and Lot 14, except the south 390 feet, Auditor's Subdivision No. 22, generally located at 1420 Rice Creek Road N.E., with the following stipulations: 1. One curb cut shall be maintained from Rice Creek Road. (24';. The x shall provide a ardsurface driveway by °j ovember 1, 1991. 0.V, If you have any questions regarding the above action, please call the Planning Department at 571-3450. Sincerely, Barbara Dacy Community Development Director BD/dn Please review the above, sign the statement below and return one copy to the City of Fridley Planning Department by May 22, 1991. Concur with action taken SUBJECT City of Fridley 23430 AT THE TOP OF THE TWINS BUILDING PERMIT r IP_TN O. � • ______ COMMUNITY DEVELOPMENT DIV. L I PROTECTIVE INSPECTION SEC. r NUMBER REV DATE PAGE OF APPROVED BY CITY HALL FRIDLEY 55432 "'' 612-571-3450 910415 6/2/95 JOB ADDRESS 1425 Rice Creek Road NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR, 8 2 1 Spring Valley Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Marian Paulson 1425 Rice Creek Rd NE 571-8645 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 X 8 DESCRIBE WORK Reroof House & Garage (20 Sq) Tear -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 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 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 $1,500 @ $.75 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 $35.00 Fire SC $1.50 PLAN. CHECK FEE TOTAL FEE _1 $37.25 CON'�R/A�CTO R O IZEDAG NT DAT WHEN PROPS LY VALIDATED THIS IS YOUR PERMIT MSGREEO,FF ' 8 DG INSP j UATE SIGNATURE OF OWNER IIF OWNER BUILDER) (DATE) NEW [ ] ADDN [ ] CITY OF FRIDLEY ALTER [ J SINGLE FAMILY AND DUPLEXES R-1 AND R-2 Building Permit Application Construction Address: Legal Description: !�' e!5— 6;fz---� Effective 1/ 1/95 Owner Name& Address: /�1� /V I��I",G Say Tel. # S %1`46 Contractor: MN LICENSE # Address: Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF IMPROVEMENT Tel. # LIVING AREA: Length Width Height Sq. Ft. _ GARAGE AREA: Length Width Height Sq. Ft. DECK AREA: Length Width H Ground Sq. Ft. OTHER: C' GT Corner Lot [ ] Inside Lot [�7Ft. Yesetback Side Yard Setbacks Type of Construction: _ Estimated Cost: $ Approx. Completion Date: (Cost on Back) Driveway C t Width Needed: Ft. + b Ft = C-- x = $ DATE: APPLICANT: Tel. # CITY USE ONLY Permit Fee $ D Fee Schedule on Reverse Side Fire Surcharge $ /. U .001 of Permit Valuation ( 1 / 10th %) State Surcharge $ `7�� $.50/$1,000 Valuation SAC Charge $ $850 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 [ J Not Necessary [ ] TOTAL $� STIPULATIONS: q CITYOF FRIDLEY FRIDLEX MUgU NjCC AL,�IyNTER • 6431 UNIVERSITY AVE. N.E. FRIDLEY. MN 55432 • (612) 571-3450 • FAX (612) 571-1287 Marian Paulson 1425 Rice Creek Road Fridley, MN 55432 RE: First Notice of Noncompliance at 1425 Rice Creek Road N.E. Dear Ms. Paulson: 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 1426 Rice Creek Road 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. Fridley City Code requires that all solid waste must be kept in secured containers stored in the side yard, rear yard, or garage. I observed a refuse container placed improperly at the curb. On the day of collection, refuse haulers are required to retrieve containers from a location adjacent to the home/garage. 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 shortly after September 6, 1996, to determine compliance. If you have questions or would like to discuss this violation, please contact me at 572- 3595. Thank you for your cooperation! Sincerely, Kurt Jensen -Schneider Code Enforcement Officer KJS:ls CE -96-294 Building Permit Fee BUILDING See Back Page for Fee Schedule Permit No.: L v ' Inspections 65% of Building Permit Fee RESIDENTIAL APPLICATION Received By: At 763-572-3604 Surcharge CITY OF FRIDLEY .0005 x Permit Valuation Minimum $.50 KMAR 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 1-1-2010 ft + 6 ft = ft x $24 = $ Erosion Control DATE UR E-MAIL DDRES Park Fee $ITE ADDRESS a �, ��r o ►, Sewer Main Charge THIS APPLICANT IS: OWNER ❑CONTRACTOR Total Due PROPERTY OWNER/ NAME: IvarGadp TENANT ADDRESS:CITY STATE IP PHONE: 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 NSINGLE FAMILY/NEW CONSTRUCTION SIZE ❑ TWO FAMILY/NEW CONSTRUCTION STORIES PERMIT TYPE ❑ ADDITION ❑ GARAGE/SHED ❑ WINDOWS ❑ BASEMENT FINISH ROOF ❑ DRAIN TILE ❑ DECK ❑ SIDING ❑ OTHER ❑ SWIMMING POOL TYPE OF WORK: ❑ tqEW HOME CONSTRUCTION ❑ ADDITION )fMAINTENANCEIREPAIR ❑ REMODELING DESCRIBE WORK BEING DONE: SIZE OF IMPROVEMENT LENGTH WIDTH HEIGHT SQ FT ROOFING . Q HOUSE ONLY BASEMENT REMODELING SUBMIT: NUMBER OF SQUA - SHOUSE & 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: SIDING FOR NEW CONSTRUCTION INCLUDING DECKS, ❑ Vinyl []Soffit ADDITIONS, & PORCHES SUBMIT: ❑ Aluminum ❑ Trim I. 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 ❑Yes ❑No 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: S G THE 1997 U.B.0 FEE SCHEDULE) TOTAL JOB VALUATION $ 5 OCCUPANCY TYPE Permit Fee $ See Back Page for Fee Schedule Plan Review $ 65% of Building Permit Fee Fire Surcharge $ -7 .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 $ Make checks savable to: Citv of Fridlev 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 art 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 al ork which req qpNview nd approval of plans. SIGNATURE OF APPLICAN� G' RINT NAME DATE