The URL can be used to link to this page

PRE 2010 DOCSof Fridley SUBJECT E 2 4 1 4 6 AT THE TOP OF THE TWINS BUILDING PERMIT Ir?City N- _____ COMMUNITY DEVELOPMENT DIV ' ; ~ _ PROTECTIVE INSPECTION SEC. r � l1 i �� -'1�•� CITY HALL FRIDLEY 55432 NUMBER REV DATE OF APPROVED BY •---� l 612-571-3450 910-F15 5/7/96 FPAGE / / JOB ADDRESS 1423 Ro al Oak Court NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 6 1 1 Totino Grace Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Imperial Homes 4196 Lexington Ave Shoreview MN 55126 483-5518 20014230 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 Construct a 50' x ' Dwellin a 40' x 26' Gara e• and a 10' x 12' Deck TH'Ec CITY OF M', D! 'y r.-N"— _:•_:A LANT'EE THE 490 Q r , %, ' . A, `i D ELEVATIONS. 9 CHANGE OF USE FROM ITIS IJ l.;i'`. E ';� ''' lt.."'_), I i'il" POSES ONLYy� DATA A4 STIPULATIONS VERIFY IT �t'd "11 r 'L•I�1 See notations on plan. Provide City with copy of verifying survey before capping. Provide a hard surface driveway. Provide sod in the front and side yards. Paid Park Fee of $1,500.00 SEWER/WATER LOCATIONS: See City Engineering Dept. 'Before digging call far all utility location' SEPARATE PERMITS REQUIRED FOR WIRING, HEATING, PLUMBING AND SIGN, �tEWUIRED By LAW, 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 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 1 1STALLS 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 $233,028 $101.51 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 PROVISI S OF ANY OTHER S TE OR LOCAL LAW REGULATING CON- $1,407.25 Fire SC $203.03 STR 10 OR THE PERFO A E OF CONSTRUCTION PLAN CHECK FEE TOTALFEE 7 96 License SC $5.00 $2,616.79 + PF IGNATURE OF CONTRACT R OR UTHORIZED AGENT IDAT I WHEN PROP Y VALIDATED THIS IS YOUR PERM;T . ^ q, BL G INSP GATE SIGNATURE OF OWNER IIF OWNER BUILDER) IDATEI NEW [ ] ADDN [ ] CITY OF, FRIDLEY ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 Building Permit Application Effective 3/1/96 ConstructionAddress: I y Z 3 FOYA L, OSS kl-- C -o -►i-7- Legal Description: L L> j i® L-A. 4 a&C ,p q gyp' Ll Owner Name & Address: T_ E p, e q. L_ e: S Tel. # �5 3 " .5.5 13 Contractor: 'X M p iEK t AL_ L--�s , MN LICENSE #; o 01 3 D Address: A V E .5-/ E V/c Nd S- cj;t CTel. # V83 s-5-15 Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. *14T DESCRIPTION OF Il"ROVEMENT .. 2ey =l6'7 3��za LIVING AREA: Length 50 Width 3d Height a® Sq. Ft. a Sd, G GARAGE AREA: I S � " . Length �D Width a Height Sq. Ft. G 8 a o j� ley°x �� DECK AREA: Length /Q Width / �L Hgt/Ground 9 Sq. Ft. X /ate '�7 - Z o�y OTHER: _ � , 7 Comer Lot [ ] Inside Lot (] Ft. Yd Setback 36' Side Yard Setbacks S 14// Type of Construction: ESI D 6W 714-x„ eo-SrauEstimated Cost: $ a 6 ®. ®m ® �3, d', /Y Approx. Completion Dater (Cost on Back) Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft.x $ _ $ DATE: APPLICANT: Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee Sewer Main Charge TOTAL STIPULATIONS: $ Ayy7,2 " $�2�3, ®3 CITY USE ONLY Fee Schedule on Reverse Side .001 of Permit Valuation (1/10th%) $ fol. 5�l $.50/$1,000 Valuation $ '760, c _ $900 per SAC Unit $ cv $5.00 (State Licensed Residential Contractors) $ Alt. "A" or Alt. "B" Above $ $450.00 Conservation Plan Review $ 15M.00 Fee Determined by Engineering $ Agreement Necessary [ ] ` Not Necessary a'qq Tel. # CITY OF FRIDLEY INSPECTION DIV. 6431 University Ave NE Fridley, MN 55432 572-3604 APPLICATION FOR PLUMBING AND GAS FITTING PERMIT MARK NUMBER OF FIXTURES TO BE INSTALLED ON EACH FLOOR Effective On March 1, 1996 PLUMBING FIXTURE RATES: NO, RATE TOTAL New Fixtures AP Old Opening, New Fixture Beer Dispenser Blow Off Basin Catch Basin Rain Water Leader Sump/Receiving Tank Water Treating Appliance Water Heater —Electric Water Heater — Gas** Gas Range** Gas Dryer** Back Flow Preventer Required ( )Yes () No Type $ 7.00 $ 4.00 $ 5.00 $ 7.00 $ 7.00 $ 7.00 $ 7.00 $10.00 $ 7.00 $10.00 $10.00 $10.00 $15.00 Reinspection Fee $42.00/Hr ALL OTHERS AND/OR REPAIRS AND ALTERATIONS 1.5% of Value of Fixture or Appliance a'06 JOBADDRESS'7'3 y*/ 64y¢ The undersigned hereby makes application fora perm it for the work herein specified agreeing to do all work in strict accordance with the city codes and rulings of the Building Division, and hereby declares that all the facts and representations stated in this application are true and correct. 11996 Owner _ ��-P't Building Used As Estimated Cost - 2666 •G PERMIT NO. / 9� PLUMBING COMPANY J r« SIGNED BY TEL No. 7 State Surcharge $ .50 Approved By Rough—In Date Final Date 11-36 � MINIMUM FEE FOR ANY PLUMBING/GAS PERMIT IS $20.001 TOTAL FEE $ /Z? PLUS THE $.50 STATE SURCHARGE "COMBUSTION AIR SHALL BE PROVIDED PER UMC SECTION 504(A) AND TABLE 6—A. MINIMUM SIZE 9 80 INCHES. 0 SuBjECT T N City of Fridley 24474 AT THE TOP OF THE TWINS BUILDING PERMIT f REC NO. • _ COMMUNITY DEVELOPMENT DIV r PROTECTIVE INSPECTION SEC ��^ / NUMBER REV DATE PAGE OF APPROVED BY CITY HALL FRIDLEY 55432 612-571-3450 910-F15 8/20/96 JOB ADDRESS 1423 Royal Oak Court NE I LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 6 1 1 Totino Grace Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Imperial Homes 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Fireside Corner 2700 N Fairview Ave Roseville MN 55113 633-2561 1068 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 ElNEW� 8 DESCRIBE WORK Install Heat N Glo Fireplace 9 CHANGE OF USE FROM TO STIPULATIONS Install per manufacturer's specifications. 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 @ 100 $.55 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT $1a 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- $37.50 Fire SC $1.10 STRUCTION OR THE PERFORMANCE OF CONSTRUCTION PLAN CHECK FEE TOTAL FEE Licen S 5.00/)_ $44.15 SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT (DATEI EN -d�? BLDG SP �I 9 ERLY V DATED THIS IS Y UR PERMIT G✓ GATE SIGNATURE OF OWNER OF OWNER BUILDER) IDATEI' 0 NEW I ( Effective 8/1/95 ADDN (( CITY OF FRIDLEY r-- -- -- ALTER (] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 Building Permit Application JJ -2 7g 1 Construction Address: I - ::5 'P,Cgtc _ Legal Description: _ Owner Name & Address: HC5y �) Tel. # - �5 5 Contractor: ;��('��- _ MN LICENSE # S�) Address: a-+ CO I\� 'VC_U rV � Ike, G D I N � � Ila Tel. # -� 3 Attach to this application, - a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF IMPROVEMENT LIVING AREA: Length Wic th Height Sq. Ft. GARAGE AREA: Length Width Height Sq. Ft. DECK AREA: Length Wk th Hgt/Ground Sq. Ft. OTHER: 2.0co Comer Lot [ ] Inside Lot [ ] Type of Construction: Approx. Completion Date: _ Ft. Yd Setback (Cost Driveway Curb Cut Width Needed: Ft. + 6 Ft DATE: - [G -q APPLICANT: 4$�jd . Side Yard Setbacks Estimated Cost: $O� 0M _ Back) Ft x $ S1Qma Q,-16oAiv1 nn RPvt-rep Ci[iP Fire Surcharge $ %• / D .001 of Permit Valuation (1/10th%) State Surcharge $ $.501$1,000 Valuation SAC Charge $ $850 per SAC Unit License Surcharge $ 06 $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 STIPULATIONS: CITY OF FRIDLEY INSPECTION DIV. Effective On March 1, 1996 6431 University Ave NE Fridley, MN 55432 APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION, 572-3604 REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES JOB ADDRESS RATE SCHEDULE The undersigned hereby makes application for a permit for the work herein Residential Rate TOTAL specified agreeing to do all work in strict accordance with the City Codes and Furnace Shell and Duct Work, Burner - rulings of the Building Division, and hereby declares that all the facts and Also Replacement Furnace $ 30.00 $ � co representations stated in this application are true and correct. (Side Vent - Fill Out Back) _ - - Gas Piping (Needed with new furnace) $10.00 $ OWNER -4M�Y 0:NL - Gas Range $ 10.00 $ USED AS '!Sl� - Gas Dryer $ 10.00 $ ,�® cc:,BUILDING ESTIMATED COST (01C)CX-) PERMIT N0. *Air Conditioning - All Sizes $ 25.00 $ DESCRIPTION OF FURNACE AND OR BURNER All Others/Repairs & Alterations (LIST ON BACK) I% of Value of Appliance or Work $ No. of Heating Units Circle One (Steam) (Hot Water) arm Air) Trade Name_ Size No. 12S,�o Commercial/Industrial BTU VZSLeoc> HP r -J 'V,� EDR 1.25% of Value of Appliance or Work $ Total Connected Load 5;deo` State Surcharge .50 Burner Trade Name Size No. TOTAL FEE S BTU HP EDR HEATING COMPANY E .L k. � 5 �-- MINIMUM FEE FOR ANY HEATING COOLING/VENTILATION REFRIGERATION/AIR CONDITIONING PERMIT IS $25.00 Signed By PLUS THE $.50 STATE SURCHARGE REINSPECTION FEE $42.00/Hr Approved By R'y-0.C,ITW' Tel No. -S Rough -in Date Final Date/ -A1-97 *Air Conditioners can not be placed in a side yard without FILL OUT BACK SIDE il:6R STACK VERIFICATION ON written permission from adjoining property owner. REPLACEMENT FURNACE 01 SUBJECT TO. City of Fridley 721 75517N)5 AT THE TOP OF THE TWINS BUILDING PE MIT f R TO. � COMMUNITY DEVELOPMENT DIV. 1 v e INSPECTION SEC. r PROTECTIVE 1 � 1 � 1 CITY HALL FRIDLEY 55432 NUMBER REV DATE 9/15/97 PAGE OF APPROVED BY 612-571-3450 910-F15 JOB ADDRESS 1423 Royal Oak Court NE t LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 6 1 Totino Grace Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Imperial Homes Inc 4196 Lexington Ave, Shoreview MN 55126 483-5518 20014230 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 ❑ ADDITION ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Finish 6601 of basement area; install gas fireplace; construct a main floor shower base 9 CHANGE OF USE FROM TO STIPULATIONS See notations on plan. 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 BO 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 1 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 $ 12,000 $6.00 WITH WHETH SPECIFIED HEREIN OR N THE GRANTING OF A PERMIT DOES NO RE UME TO GIVE AUTHO Y TO VIOLATE OR CANCEL THE PERMIT FEE SAC CHARGE AN PROVI NS ANY OTHER STAT OR OCAL LAW REGULATING CON- ON- @ 25 $187 Fire/C $12.00 STR TION R THE PERF MAN E F CONSTRUCTION. d A • PLAN CHECK FEE TOTAL E Li $5. $210.25 IGNATURE 6FCONTRACTOROR YJTH RIZEDAGENT (DAA1 N P P �, BLD INSP LIDAIEC)TJNIS IS Y PERMIT ♦ ^"' A, SIGNATURE OF OWNEROF OWNER BUILDERI IDATEI 01 NEW [ Effective 1/1/97 ADDN [ J CITY OF FRIDLEY ALTER ( ] SINGLE FAMILY AND DUPLEXES R -I AND R-2 BUILDING PERMIT APPLICATION ConstructionAddress: I 013 RoYQL OAK e_6Lt1Zr Legal Description: I oT (o BLoge- 1 71011 WD J?Ad pDD'JJ Owner Name & Address: Z PA PEM I A L 1 S I N L Tel. # Contractor: IT M PEi21 A L 1► e MN LICENSE # 3 d Address: y/ ? (a L 62y /V j 7'0 N A 16 S�b12EV/A/ Tel. # `�� 3 -- ys-/e LIVING AREA: GARAGE AREA: DECK AREA: OTHER: Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF IMPROVEMENT Length d O Width 30 Height L Sq. Ft. .o 6 0 Length Width Lente ---�� Width Construction Type: &14 T - V/, //59 Driveway Curb Cut . Width Needed: ®Ft. + 6 Ft = Height Sq. Ft. Hgt/Ground Sq. Ft. Estimated Cost: $ *_ 42, D d0 � j (Fee Schedule on Back) x!= i<✓ _Ft x $ _ $ DATE: SEpl l®l 17APPLICANT: /1g40 /4?/6-11e-'esinTel. # ;'1'I1't1I.ATIONS: CITY USE ONLY .Permit Fee$ 2� Fee Schedule on Reverse Side Fire Surcharge $ / O .001 of Permit Valuation (1/10th%) State Surcharge $ e $.50/$1,000 Valuation SAC Charge $ $950 per SAC Unit License Surcharge- $ . �� $5.00 (State Licensed Residential Contractors) ')riveway 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 j ) TOTAL ;'1'I1't1I.ATIONS: CITY OF FRIDLEY INSPECTION DIV. Effective On January 1, 1997 6431 University Ave NE Fridley, MN 55432 APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION, 572-3604 REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES RATE SCHEDULE Residential Rate Furnace Shell and Duct Work, Burner - Also Replacement Furnace $ 30.00 (Side Vent - Fill Out Back) Gas Piping (Needed with new furnace) $ 10.00 Gas Range $10.00 Gas Dryer $10.00 *Air Conditioning - All Sizes $ 25.00 All Others/Repairs & Alterations (LIST ON BACK 1 % of Value of Appliance or Work. SEL- 8iAe- V__ Commercial/1 ndustrial 1.25% of Value of Appliance or Work State Surcharge TOTAL FEE MINIMUM FEE FOR ANY HEATING/COOLIt REFRIGERATION/AIR CONDITIONING PER PLUS THE $.50 STATE SURCHARGE , REINSPECTION FEE $42.00/Hr *Air Conditioners can not be placed in a side yard without written permission from adjoining property owner. TOTAL JOB ADDRESS 4 '2--a5 'l�pyr � 0(-�ole_ - The undersigned hereby makes application for a permit for the work herein specified agreeing to do all work in strict accordance with the City Codes and rulings of the. Building Division, and hereby declares that all the facts and representations stated in this application are true and correct. ISE - ,Pt KZ 1997. OWNER ,A_VY%02 BUILDING USED AS ESTIMATED COST * SSU PERMIT N0., DESCRIPTION OF FURNACE AND OR BURNER $ No. of Heating Units Circle One (Steam) (Hot Water) (Warm Air) Trade Name Size No, BTU HP EDR $ J . 7-s- Fuel Total Connected Load $ .50 Burner Trade Name Size No. BTU HP EDR HEATING COMPANY Signed BY Tel No.3;Z5-'Li1 Approved By Rough -In Date Final Date FILL OUT BACK SIDE R STACK VERIFICATION ON REPLACEMENT FURNACE CEUNMY AND STACK VERIFICATION The undersigned hereby verifies that the existing chimney or stack: 1. Has been carefully examined 2. Is free from rust or deterioration 3. Has no foreign objects lodged within 4. Is securely supported 5. Meets all current Cale requirements for size and total BTU's connected 6 Has total heating BTU's of All other BTU's TOTAL BTU's 7. Has a liner been provided for water heater 8. Has combustion air been provided for water heater Remarks: . Yes ( ') No ( ) Yes ( ) No ( ) Yes ( ) No ( ) Yes ()No() Yes ( ) No ( ) Yes ONoO Yes ()No() List ALTERATIONS Being Done - `Z n�� LA C�,2 P, 44 HEATING CO:�, Signed By: Date: CINOF FRIDLEY FRIDLEY MUNICIPAL CENTER - 6431 UNIVERSITY AVE. N.E. FRIDLEY, MN 55432 - (612) 571-3450 - FAX (612) 571-1287 October 30, 1997 Mr. Richard Riemersma Imperial Homes Inc. 4196 Lexington Ave Shoreview, MN 55126 Re: Final Reinspection at 1423 Royal Oak Court NE, Fridley Dear Mr. Riemersma: A final reinspection was conducted on October 30, 1997 of the above address and the structure was approved and finaled as completed. If you have any questions on this matter, please feel free to contact me at 572-3603. Sincerely, 4-16te4 r BARRY . RIESCH Building Inspector BWR/mh .A BuiWing% $ BUILDING Plan Review Permit No.: Inspections Surcharge RESIDENTIAL APPLICATION Received By: 763-572-3604 $ CITY OF FRIDLEY Date Rec'd: DATE / - ':5 - YOUR E-MAIL ADDRESS $5.00 (State Licensed Residential Contractors) SITE ADDRESS d �,a1 �C �' 1 a L- 61,l A C ! Q $1450 per SAC Unit (Plans to MWCC for determination) THIS APPLICANT IS: ❑ OWNER CONTRACTOR ft + 6 ft = ft x $20 = $ PROPERTY OWNER/ NAME: jo r y C - $450 Conservation Plan Review ADDRESS: / 7 �i 3 oC,a,4,a f�+f ke e- P CITY Wi r x STATEO/ZIP SS TENANT Sewer Main Charge PHONE: Agreement necessary ( ) Non Necessary ( ) CONTRACTOR Nom: Xy/e, 'Se /,6 e v Make checks payable to: City of Fridley Attach Stipulations STATE LICENSE # ,B6 c EXP DATE SUBMIT A COPY OF YOUR STATE LICENSE ADDRESS: CITY , : / ,, f; STATE ,41leIP WITH APPLICATION PHONE FAX PROPERTY TYPE SINGLE FAMILY/NEW CONSTRUCTION SIZE ❑ TWO FAMILY/NEW CONSTRUCTION STORIES PERMIT TYPE ❑ ADDITION ❑ GARAGE/SHED ❑ WINDOWS ❑ BASEMENT FINISH ❑ ROOF ❑ DRAIN TILE fikDECK ❑ SIDING ❑ OTHER ❑ SWIMMING POOL TYPE OF WORK: ❑ NEW Q7ADDITION ❑ MAINTENANCE/REPAIR ❑ REMODELING DESCRIBE WORK BEING DONE: i`cs o e exlS p� - ecl SIZE OF IMPROVEMENT LENGTH WIDTH HEIGHT Sq. Ft. ROOFING ❑ HOUSE ONLY NUMBER OF SQUARES ❑ HOUSE & GARAGE BASEMENT REMODELING SUBMIT: GARAGES ❑ ATTACHED GARAGE 1. Existing Floor Plan 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 1. Site Plan/Survey showing the existing structures ❑ Other ❑ Fascia and proposed project. WINDOWS 2. Two sets of construction plans IN EXISTING OPENINGS ❑Yes ❑No LOCATION OF WINDOWS 3. Energy Calculations 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: TOTAL OB VALUATION (USING 7ty' OC THEU.B.0 FEE ICUPANCY TYPE Permit Fee $ (Oq, a��" See Back Page for Fee Schedule Plan Review $ , ® 65% of Building Permit Fee Surcharge $ yz (.0005) times the total job valuation — Minimum $.50 Fire Surcharge $ .001 x Permit Valuation (1/10%) License Surcharge $ $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 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 rpqui es re, apAApproval of plans. SIGNATURE OF APPLICANT z J, 1LOr For:' imperial Homes e 8c t}tility Easement r praina� S��p3 �, 4,A"w 0 y r P 99 8D \ i Ln CP l� 1 1 51i y <�,0-Aoo�e¢gta S . f u� Se �01\yptaG 106 ° 0_ o 35.3 3 51 10 133.89 S81026'38"Fl 39.42 _� .r Lot 6, Block 1, Totino Grace Addition, Anoka County, Minnesota ScaleI - O Denotes iron Mon. Book: XXX Page: XXX I Job No. 96 Q2H Dw .b BO 10iskC4 We hereby certify that this is a true and correct representation of I. CS. quo 4 SONS, INC a survey of the boundaries of the above described land and of the LANG 1 3"YOOR& location of all buildings, if any, thereon, and all visible encroachments, $190 WMINGTON AV& NO. if any, from or on said land. E. t3.C. C:ll tC IA lel ,1'' INNNWA 8y: 2LS 4d•362D TEL 196-5 Doted this�day of s�rr`I0� 1996 Minnesota Lic. No. Mgf_ 11