Loading...
PRE 2010 DOCSBUILDING PERMIT N° % 351 Village of Fridley, Mmi n. Date MR/0.......... . ..................... Owner Builder ..a` .... ......... . Address ai�. `�' *'..i" " �" .... Address ...................... o .. LYi F BUILDING No. ` ..... .. Street ..� .... ............... Pmt of Lot.....11. . ,I Lot ...... ...... Block .../ ........... Addition. or Sub=Division/y/yyyJ • .. .. .......... a9R� f Corner Lot ............ Inside Lot ............ Setback s .. l ... Sideyard/49.f . • ! i! -` If DESCRIPTION OF BUILDING I' To be Used as: • le • • I • •.• ....•. y. .. Front .* .. Depth �P.. .Height � a.. Sq. Ft.. �u ...•...• . ` . ...... Front ig Z ..... Depth o22.... Height ' �''� .... Sq. Ft......... du. ........ Type of Construction � .... Est. Cost ..... ....... To be Completed A0. i� ... !III it II !I In consideration of the issuance to me of a permit to construct the building described above, !!I a ee to do the proposed work in accordance with the description above set forth and in compliance with ally pr visions of ordinances of the village of Fridley. 40 In consideration of thea ent of a fee of . %f .... permit is hereby • p Ym $ , A Y grane . ........ . to construct the building or addition as described above. This permit gr �. .. . ted upon ,; e express condition that the person to whom it is granted and his agents, employees and workmen, ' all work done in, around and upon said building, or any part thereof, shall conform in all respects to the Or Maof Fridley, Minnesota regarding location, construction, alteration, maintenance, repair and moving of buil gs with- in the village limits and this permit may be revoked at any time upon violation of any of the pro,:, of said ordinances. Building Inspector NOTICE, This permit does not cover the construction, installation or alteration for wiring, plumbing, gas h ating, '" sewer or water. Be sure to see the Building Inspector for separate permits for these Items. City of Fridley: Att n : Mr Clyde Moravi t z Engineering Dept. Dear Xr. Moravitz: Bert Slater 12$ River Edge Way Fridley IvIinn 55432 Sept 16- 1975 As per your request I hereby submit to you a letter for file, acknowledging your reponee to my prior letter, which was in essence, to notify the City of Fridley, and to have confirmed by a representative from the city, that two shrubs, out of a total of six which had been uprooted and transplanted at a very poor time of the year, did not survive, and would require replacement, as per the agreement made between the city and my family. Being this is the latter part of the season, and inventory of shrubs is very limited, plus the possibility of early frost and freese, whereby these shrubs might again be lost, I feel that we should wait until springtime to proceed accordingly. I do not believe we can set forth herewith any quotation of prices due t:b the economics of the times which are fluctating frequently. May I express my sincere thanks to you, and your assistant, for re#poedgvto my request, in a very courteous manner, and to the city management, for their attention to this matter also. Sincerely yours //Ila 4zbi�g_ e -I Bert slater SUBJECT PERMIT City of Fridley 13 8 8 AT THE TOP OF THE TWINS BUILDING PERMIT EC COMMUNITY DEVELOPMENT DIV. � �V _ PROTECTIVE INSPECTION SEC. L O _ , CITY HALL FRIDLEY 55432 NUMBER REV. DATE PAGE OF APPROVED BY I'J 612-571-3450 910-F15 6/9/92 JOB ADDRESS 128 River Edge Way NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 21 1 River Edge Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Bert/Olga Slater 128 River Edge Way NE 5714090 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Advance Home Products. 3770 W Broadway, Robbi,nsdale 521--9211 2332 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 � REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Reside Dwelling and add aluminum 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. ZONING SQ. 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 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 $5 800 $2.90 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- TRU 10 OR THEPE FO MANC OF CONSTRUCTION. $81,00 r PLAN CHECK FEE TOTALFEE d„- License SC $5.00 $94.70 (�AHEN ROP ;LY/AL AT THIS IS YOUR PERMIT SIGNATOR OF CO TRACTOR OR AUTHORIZED AGENT IDATEI LDG 'NSP GATE SiGNATURE OF OWNER OF OWNER BUILDERi IDATEI NEW [ ] ADDN [ ] ALTER [ j Construction Addre& Legal Description: Effective 3/1192 CITY OF FRIDLEY SINGLE FAMILY AND DUPLEXES R-1 AND R-2 Building Permit Application Owner Name & Address: ( — Contractor: a' un -4 Address: 7770- wt?;- a c-✓ Tel. # J 7/- 910 q'0 MN LICENSE # ja0-�33z Tel. # 5-.2 / 1ai/ 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 GARAGE AREA: Length Width Height DECK AREA: Length Width Hgt1Ground l .t T Corner Lot [ ] Inside Lot [ ] Ft. Yd Setback _ Type of Construction: 5 AA, � . � � , /� � Approx. Completion Date: % / 5'- �2 Sq. Ft. Sq. Ft. Sq. Ft. _ Side Yard Setbacks Estimated Cost: $ S�a0, 00 (Cost on Back) Driveway Curb Cut Width Needed: Ft. + b Ft = Ft x $ _ $ DATE: G- Ll APPLICANT: J Tel. # >�Z Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Park Fee $ a�-00 $ 6,60 $ $ ,DO Sewer Main Charge $ TOTAL STIPULATIONS: (CITY USE ONLY Fee Schedule on Reverse Side .001 of Permit Valuation (1/10di%) $.501$1,000 Valuation $700 per SAC Unit $5.00 (State Licensed Residential Contractors) Alt. "A" or Alt. "B" Above Fee Determined by Engineering Agreement Necessary [ ] Not Necessary [ ] SueJE& MIT NO': City of Fridley 29729` AT THE TOP OF THE TWINS BU I L D I N G PERMIT i � R � t • ____ COMMUNITY DW. -� PROTECTIVE INSPECTION SEC. 1 . . CITY HALL FRIDLEY 55432 NUMBER REV DATE PAGE OF APPROVED BY L 612-571-3450 910-F15 6/21/99 JOB ADDRESS 128 River d 1 LEGAL I LOT NO. BLOCK TRACTOR ADDITION SEE ATTACHED DESCR. 21 1 River Edge Addition SHEET 2 PROPERTY OWNER MAIL AQORES$ ZIP PHONE Bert Slater571-4090 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Advance H 521-9211 2332 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 )(R REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Reroof house and garage (24 S .Tear-off 9 CHANGE OF USE FROM TO STIPULATIONS Underlayment must comply with the State Building Code. SEPARATE PERMITS ARE REOUIRED 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 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 9E COMPLIED WITH WHETHER SPECIFIED HEREIN OR NOT THE GRANTING OF A PERMIT $2098 $1,05 OES OT PRES ME TO GIVE UTHORITV O VIOLATE OR CANCEL THE PERMIT FEE SAC CHARGE NY OTH R ATE OR AL LAW REGULATING CON-OR $83.25 E PERF NCE O NST UCTION )O�VNONOF Fire SC $2.10 ¢ PLAN CHECK FEE TOTAL FEE License SC $50 0 1$91.40 SSG ATUREOF N"RACTORORAUTI.OR4EDAGENT tDATE, WHEN PROPE VALIDATED THIS IS YO,4R PERMIT I Al-SA101d- A, iNSP 9 -- q�tE SIGNATURE OF OWNER iiF OWNER BWLOERi [DATE t NEW [ ] Effective 1/1/99 ADDN [ ] CITY OF FRIDLEY ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION /l ConstructionAddress: v e (�et Legal Description: Owner Name & Address: L11,4 V Tel. #_1 71— eO PC Contractor: TM747LICENSE # 33 Address: urR S 5��a 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: t ® f Ay Construction Type: Estimated Cost: $ o?, ®�� ®►y (Fee Schedule on Back) Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ = $ DATE: (0--1 Y f f APPLICANT: y7 -o. Ic Tel. # \5-;Z1—r49-41 CITY USE ONLY Permit Fee Fee Schedule on Reverse Side Fire Surcharge $ 2A410 .001 of Permit Valuation (1/10th%) State Surcharge $ 1.a 57-' $.50/$1,000 Valuation SAC Charge $ $1050 per SAC Unit License Surcharge $ S'.!D A $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 $ C1117i1�:4 SUBJECT PER NO. City of Fridley 3-2950 AT THE TOP OF THE TWINS BUILDING PERM1IT r ` RECEIPT NO. COMMUNITY DEVELOPMENT DIV. PROTECTIVE INSPECTION SEC. z/ p�� r NUMBER REV GATE PAGE OF APPROVED BY CITY HALL FRIDLEY 55432 763-571-3450 910-F15 7/31/02 JOB ADDRESS 128 River Edge Way NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 21 1 River Edge Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Burt Slaeter 128 River Edge Way NE 763-571-4090 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Window Concepts of MN Inc 8033 24 Ave S, Bloomingotn, MN 55425 952-883-0476 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 20163493 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO 6 USE OF BUILDING Residential 7 CLASS OF WORK O NEW ❑ ADDITION ❑ ALTERATION REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Replace windows within existing openings 9 CHANGE OF USE FROM TO STIPULATIONS Provide smoke detectors in all sleeping rooms and on all levels of the dwelling per Section 310.9.1.2 of the 1997 Uniform Building Code. permit ansoctlon Cards Will Be Marled T® Homeowner To Post 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 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 I STALLS I 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 $10,603 $5.30 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. Fire SC $10.60 STRUCTION OR THE PERFORMANCE OF CONSTRUCTION $195.25 1 PLAN CHECKIF, TOTA FEE Lic $5 216.15 SIGNATURE OFCON'RACTORORAUTHORIZED AGENT iDATEi E ROP JJJJpNNNNI ALIDATED HIS I$,fAsR.�i�EAJMI�� S,GNATURE OF OWNERoF OWNER BUiLOERi iDATE, BLD NSP C�� FROM : Window Concepts Of MN FAX NO. : 1 952 883 0513 Jul. 30 2002 02:10PM P2 JUS -JW -4.' Wd 1d*W5 I-HUII L, I U- hHIULLY !U 95:0dd.o51,i a.b,Vw;� NEW (J CITY OF FRIDLEY Effecdwe 111rM ADON (j $431 Unive" Ave NE, Fridley, MN 59432 (M) $72-38W Bldg InsP ALTER eSINGLE FAtil LY AND DUPLEXES R-1 AND R-3 /` BUILDING PERMITAPPLICA110N , N. RUN! Wit Attach to this application. a Cerftate of Survey of the K with the proposed c onsbvction drawn on It to sem. LIVING AREA: LetO Vm1m H t ,� Sq. Ft OARJ! CE /ill' -. Len$FI+ 1 ift „� Hp t ^— Sq. Ft OEM A1WJU Leralh Vitt+ HgdCround S4. Ft O' KOL— Construction Tye l�S Y�1�i Estimated Cost: S �lJl(,,,�'•)�, Dft may Curb Cut Wdih N®ed®d: Ft + a Ft Ft x S $ DATE; APPLiCA a TOL #c')oZ rf"t7p Catl $72 04 for Porn* Fees It mailing In sp leation or Fax to 70. $714287 IF using arWR card and we w91 `e11 riw for Band nunds►er. CITY USE ONLY - 'TOTAL $ &—e 7/33 4::: � /ot o-2, Permit Fee F88 SchWule OR Pomme We Fm Sumhmrge $ • C- .001 of Pem>Pt Vatuation (1110t %) Shote Surcharge S a $.6Q1S1,000 Valuation SAC Chage $ $1200 per SAC Unit Licerm 8uwhwp15 `, $5.00 (Staft Licensed Residential Contractors) Driveway Emaw $ AIL W or Alt. V Above Ervelon Conitoi $ $480.00 Conservation Pian Review Perk Fee $ . Fee Detemrined by't VirteeIng Sewer Main Charge $ Agreemnt Newry [ ] Not Necessary j 'TOTAL $ &—e 7/33 4::: � /ot o-2, From: unknown Page: 2/2 Date: 1/8/2009 4:22:02 PM Building PLUMBING Permit No.: 2 if) -OW -Imspections RESIDENTIAL APPLICATION Received By: 763572-3604 763-502-4977 FAX CITY -OF FRID.LEY Date„,I ' �� EF EC TME 1-1-08 DATE 1” YOUR, F -MATT, Ai r)RE4s StTa ADDRESS _t?, ' 9,Vf- Ux1 T141S APPLICANT IS: L7 OWNGR o0oNTRACTp PROPERTY NAME:. U h -e_, t z7v OWNER/ ADDRES.R; ' t . 2 CITY fr! tj STATHN11V ZIP ,2 TENANT ^�iV'� P14ONE: CONTRACTOR NAME: L,,! CM- ^r`y l's"J6 �°drw SUAMiT A COPY OF YOUR STATE STATE LICENSE # O 513aZ - P" _ EXP DATE ( cam -,3 (-O q LICENSE, BOND AND rr�� STATE BOND # _ i `5t) % � r��' � PX? QATr CERTIFICATE OF ADDRESS: 3 N 1 y �' jr^, L4e R,./- CiTY ]<'"'`'0_(*4 ' STATE 464"' ZIP ._� iNSIJRANCE _ PRONE iG Y 7 Z Q G,� FAK '76:3 'Y7.5 % 4S 66 PERMIT TYPE glITNGL F,. FAMiLY I] TWO FAMIi.Y 0 TOWNHOUSE TYPE OF WORK. © NEW 10 REPLACEMENT � p DETAILED DESCRIPTTON OF WORK ' -�- f � •T" ge (6t44 f-. GA"C� rp6af.,- PER MS 165.665 the permit fee is a utininturn of $15.00 or 5% ot the total cast up to $500.00, whichever is greater, for the improvement, installation or replaccmcr►t of residential fixture, excluding the fixtures. (This should reflect only the cost of labor) Labor cost under $300 = $15.00. Labor cost between $300 to $500 =cost of labor X.05 = plus .50 surcharge OR FOR PROJECTS WHERE LABOR EXCEEDS $500, FEES ARE BASED ON $10.00 PER FIXTURE, EXCEPT WHERE NOTED. FTX n.]RF,5; (INiaTCATE TOTAL. NUMBiER OF TEACH BFLOW), MLNTMUM FET' 515.50, I BATH SINK/LAV FLo0R DRAINS -TOWER. WATER PIPING _81 _ BATF"UB GAS PIPING (NEED CiTY LiC) SWIMMLNG POOL _ WATER SOfTNER ($35) —Cr.,(MIES WASHER _KITCHEN SiNK WATER CLOSET _BACKFLOW PREY. ($15) _ DT51IWASHER _ LAUNDRY TRAY _WATER HEATER ($35) FOR IRRIGATION WATER METER OTHER { . i, 'r NIIIk7' its rr.: liPill;Y; hz^I.N W �y i1101 1010RII,ti{ lrMg IJ fi t# isr, ` Permit Fee $ Number of fixtures @ $10,00 _ x $10.00 = $ r O, 0 Sureha a .50 Number of fixtures @ $15.00 x $15.00 = $._. OR 'Number of Mixtures @ $35.00 x $35.00 = $ TOTAL DUE $ _ State surcharge = $ .50 Mr TMUM $15.50 MUM 515.50 Total = $ THIS 15 AN APPLICATION FOR A PERMIT -NOT VALID UNTIL PROCT941331,! I hereby apply for a plumbing permit And I acknowled8c that the information above is complete and accurate; that the work will be in con1brmanee with the ordinances and codes of the City of Fridley and with the Minnesota Construction Codes; that T understand this is not a. permit but only an application for a. permit and work is not to start without a permit an site; that the work will be in accordance with the approved plait in the c e of all hyork which requites review and approval of plans. ce p SrCiNATURT3 OF APPLICANT �Jw..�_ PRiNT NAME , fsr", SO t a DATE cD" APPROVED BY DATE ;ii; . . � �•., . ,, s 1 .:, ,; • • ' • ' ' .'� ° 1�ii1�'.� ". ''.. °.a: E, . (RT' C1r"c'Lrdtt�l�lli�°':i�3�.: {. '•, t T�?iVGT:Ci�SCdf•t�Lilt7fi.•I. City of Fridley Building Inspections.Department 6431 University Avenue KE, Fridley, MN 55432 763-572-3604 FAX: 763.502-4977 E Building TOTAL JOB VAT DATION $ BUILDING OCCUPANCY TYPE Permit No Inspections . See Back Page for Pee Schtdule RESIDENrI'UL APPLICATION $ Received. =.- 7153-572-3G04 $ ,001 times the total job valuation Surcharge $ 763-502-4977 FAX CITY OF ��.+R -DLEY $ Date Rec'd SAC Charge S EFFEC I M i -t-09 Curb Cut Escrow $ DATE YOUR E-MATL ADDRMS i� le @ D7t2S !�D wa$Ms � ue+ s SITEADDRESS l ib��, F -DISE 4A -- $450 Conservation Plan Review THiS APPLICANT IS: ❑ OWNER NTRACTOR Fee Determined by Engineering PROPERTY OWNER/ NAME: Rc+t�fflJtr '.atv Agreement necessary ( ) Non Necessary ( ) TENANT ADDRESS: CITY t ` — S rAT51-tru 7..7P / .s NAME: :Jrgb ME�5 Mo% i'lefis S CONTRACTOR ADDRESS: 30f te. 1C•1LPkS- Q - W. m a_ CiTY Gy attJ%'i'4 STATE ZiP S.�`'f4 1 SUBMIT A COPi' OF PHONE �% � - 7 LI% -awls 1 � YOUR STATE LICENSESTATE FAX— LTCENSF. # 20 5 -7Z3 Y 1 fiXP DATE PROPERTY TYPiE SINGLE FAMILYfit13tN CONSTRUCTION SiZE 0 TWO FAMILYfi1FW CONSTRUCTION STORIES PERMIT TYPE ❑ ADi)MON 0 CARAawsHED 0 WINDOWS ❑ BASEMENT FTMSH 0 ROOF 0 DRAIN TILE 0 DECK ❑ SIDING JkV MER ❑ SWiMMING POOL TYPE OIr WORK: ❑ NEW HOME CONSTRUL'noN ❑ ADDITION ❑ MAiNTENANCEIREP'AiR MM -MODELING DESCRTBE WORK 13mwO DONE: 04e'D &1r Y Wl+ km}GL i• pat . Fbk Ab A ASE0 SME OF 1MPRf1VEMENT LENGTH • WIDTH HEiGHT SQ FT 13 HOUSE ONLY NUMBER OF SQUARE, D HOUSE 8: GARAGE 1�"EMPNT RT'MODT'LTNC SLiCi V�-t1T 1; Existing Floor Plafl GARAGES PROPOSED STTE: ❑ ATTACHED GARAGE ❑ DETACHED GARAGE 2. 3. Proposed floor plan List of structural memt,ers to be used PROPOSED HEiGHT: MG FOR NEW CONSTRUCTION INCLUDiNG DECKS, d Vinyl OSoft�Ibt,)ITIONS. & PORCF1133 5L1 ..M_ T- 0 Aluminum D Trim 1. Site 79antSurvey showing the cxfstirrg Struct.treS ❑ Other 0 Fascia and proposed project_ 2. Two sets of construction plans IN EXISTING OPENINGS ❑Yes ❑No LOCA77ON OF WINDOWS 3. Energy Calculations OR FOR NEW OPr-:NTNGS-DS, CRTBE SiZE OF OPSNi O CHANGES & TYPE OF WINDOW TO BE INSTALLED NUMRM OF WINDOWS AT I !veva AnnnAcr.n�*r •--••• • •••••• • ••••v •��VJPJP. vis .^a,ura I n#igr 11--livuinls 7 HE COST OF LABOR AND MATFRiALS: G�Hr 1997 UBC FEE SCREnin,C} TOTAL JOB VAT DATION $ OCCUPANCY TYPE Permit Fee $ . See Back Page for Pee Schtdule Plan Review $ (5"/0 of Building Permit Pee Fire Surcharge $ ,001 times the total job valuation Surcharge $ t { ( -.0005 x Permit Valuation Minimum $.50 License Surcharge $ . `i Q-0 $5.00 (State Licensed Residential Contractors) SAC Charge S $1825 Per SAC Unit (Plans to MWCC for detetrnination) Curb Cut Escrow $ ft +'6 ft = ft x $21 = $ Erosion Control $ $450 Conservation Plan Review Park Fee S Fee Determined by Engineering Sewer Mdin Charge $ Agreement necessary ( ) Non Necessary ( ) Total Due $ Make checks payable to: CRY of Fridley Attse THiS IS AN APPLICATiON FOR A PTRMiT--NOT wz) UNTiL PROCESSED i hereby apply for a building panni! and I acknowledge that the information shove Is eomplctc and accurate; that the wdrk will t,e in conformance with rhe ordinances and codes of the City of Fridley th the Minttasota Cnqtructjon Codes; tlm T understand this is not a pcnrlit but only an application For a permit and work is not to start without 9 permit on Site; that tilt workZA�J ' t he in aMo��d n in the case of all work Witch requi ravicw avid vaI f plans. STGNATURE OF APPLT A PR]NT NA,M13 �(, kms' qIi C DA T•G ) 2 Building i $ BUILDING Pennit No.!R00q_(b1 Q19 Plan Review $ '0_31 65% of Building Permit Fee Inspections $ RESIDENTIAL APPLICATION Received B 763-572-3604 $ CITY OF FRIDLEY Date �''�: F 200 763-502-4977 FAX $ 5'oo 5'o $5.00 (State Licensed Residential Contractors) SAC Charge $ EFFECTIVE 1-1-08 $1825 per SAC Unit (Plans to MWCC for determination) 2/2 5 gg���� ,,��^^ j ! r'`- k19 ~S NAAI'ti� f ) DATE 0,9 YOUR E-MAIL ADDRESS / SITE ADDRESS I ` y Rmf- 6'd C --)a4 $450 Conservation Plan Review THIS APPLICANT IS: ❑ OWNER iCONTRACTOR PROPERTY OWNER/ NAME: ". 64rr 1 ADDRESS: 56 9Z -W ,A, L`%.J CITY �t; A STATE ii ,ZIP TENANT $ PHONE: Agreement necessary ( ) Non Necessary ( ) NAME: 'I` ADDRESS: KY~.- ~.- CITY P I j!2!+i. STATE � #V ZIP SSY- CONTRACTOR SUBMIT A COPY OF PHONE %&3 _746 T181 FAX YOUR STATE LICENSE STATE LICENSE # Zy$ -7 Z 7!? Jr9 EXP DATE PROPERTY TYPE ❑ SINGLE FAMILY/NEW CONSTRUCTION SIZE ❑ TWO FAMILYINEW CONSTRUCTION STORIES PERMIT TYPE ❑ ADDITION ❑ GARAGEISHED ❑ WINDOWS ❑ BASEMENT FINISH ❑ ROOF ❑ DRAIN TILE ❑ DECK ❑ SIDING *OTHER ❑ SWIMMING POOL TYPE OF WORK: ❑ NEW HOME CONSTRUCTION ❑ ADDITION ❑ MAINTENANCE/REPAIR IP REMODELING DESCRIBE WORK BEING DONE: C tn,'t'J' 54.4 back til . 4 In ts wiq Fi a 4 t as h. heuolec SIZE OF IMPROVEMENT LENGTH WIDTH H T 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, DIN ❑Soffit ADDITIONS. & PORCHES SUBMIT: ❑ 1. Site Plan/Survey showing the existing structures ❑ 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: (USING THE 1997 UBC FEE SCHEDULE) TOTAL JOB VALUATION $ 400 OCCUPANCY TYPE Permit Fee $ �f�, 7. �r See Back Page for Fee Schedule Plan Review $ '0_31 65% of Building Permit Fee Fire Surcharge $ q,7— 0 —.00 1 times the total job valuation Surcharge $ 2, / .0005 x Permit Valuation Minimum $.50 License Surcharge $ 5'oo 5'o $5.00 (State Licensed Residential Contractors) SAC Charge $ $1825 per SAC Unit (Plans to MWCC for determination) Curb Cut Escrow $ 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 $ I qq e n 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 ith the Minneso onstruction 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 at th ork ill be in actor ce with th roved plan in the case of all work which requires review and approval of plans. SIGNATURE O A CANT PRINT NAME Take, PoR DATE Z&Vral InWRI110% E_