PRE 2010 DOCSCity of Fridley, Minn.. 660
6431 University Ave. N. E., Minneapolis, Minn. 55432
BUIMING PERMIT
Date: Re mber { ` . 1 272
Owner: Viewcon, Inc. Builder Same
,Address 5901 Brooklyn Blvd. Address Same
No 1552 Street South Oberlin Circle part of Lot
Ut 4 . Block 7 Addition or Sub -Division Innsbruck. N. Townhouse 2nd
Corner Lot Inside Lot x Setback Sideyard
Sewer Elevation . Foundation Elevation
,p°
Wo be Used as: 1240
Townhouse Front 20° Depth 31, Height 28° Sq. Ft. _620 Cu. Ft,17,360
..Gxaga Front 1-41 Depth _ 22' Height 1.01 Sq. Ft. 308 cu, Ft, _3, 080
Type of Construction Wood Frame Est. Cost -20S819.84 To be Completed 311173
STIPULATIONS:
Owner and contractor to be responsible for ations and for drainage for all
structure and the City shall be held blaineless.
Construction must comply with U.B.C; 505 Cl, C2 & C3. See attached sheets - use
figures 5, 9, or 10.
In consideration of the issuance to me of a permit to construct the building described above, I agree tq do
the proposed work in accordance with the description above set forth and in compliancewith�ll provisions of
Ordinances of the city of Fridley. �� ,� i/
in consideration of the payment of a fee of $_51,0_0__, permit is hereby granted to Viewcon, Inc.
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
city limits and this permit may be revoked at any time upon violation of any of the provisions of said
)QZJ�
wilding Inspector
DA -UM CLARK
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 hems.
v0
APPLICATION FOR RESIDENTIAL, ALTERATION,
OR ADDITION BUILDING PERMIT
CITY OF FRIDLEY, MINNESOTA
OWNER I S NAM: yllle4•/eo" -r.V e. BUILDER:
ADDRESS: ",0/ ei00 A IP"It /t/t✓d ADDRESS: 'S'aaoi e—
ATO:. ASS.Z STREET: V &W-/ Ofle'a"`! 60selt
LOT: -4 BLOCK: 7 'ADDITION: Wolf; T�
CORNER LOT: INSIDE LOT: � SETBACK: SIDEYAIWi
Applicant attach to this form Two Certificates of Survey of Lot and proposed
building location drawn on these Certificates.
To Be Used As:
DESCRIPTION OF BUILDING
Front: Z 0 Depth: Ir/ Height: Z 8
/2410
Square Feet: AWA -19) Cubic Feet: /736 O
S 6e!� e' Front: /4 Depth: 7-2.. Height; /0 -
Square Feet; .30f? Cubic Feet: 3080
Type of Construction: 10ool Estimated Cost:
To Be Completed: 7.3 J0,C9/ . 841
The undersigned hereby makes application for a permit for the .work herein
specified, agreeing to do all work in st#ict accordance with the city gf
Fridley O?dinances and rulings of the Department- of Buildings, and hereby
declares that all the facts and representations stated in this applicatign
are true and correct.
uqz: 9 to — 7z SIGNATURE
(See reverse Side For Additional Information.)
,08.00S r`.
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71
Pr DFQs P- 3
PropD'A
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7-7-
17 )4
QD
City of Fridley �° _10 _?
d .
Dept. of Bldpa. Phone 5W-3490
DESCRIPTION OF WORK
Number, Kind and LocaSlon of Fixtufte
PARTIAL RATE SCHEDULE
PLUMBING FIXTURE RATES:
NO. RATE TOTAL
Number Fixtures . e ..............
� sq1
�
i tea„
a
x $1.50
$
New Fixture Old Opening ..........
Il
$
Catch Basin ....................
�`
$
Water Heater (Up to 99,000 BTU) . a ..
Q
IV.
OI ®
p
GAS
[IEC.
Electric Water Heater. . ........
a $2.00
$
GAS FITTING FEES: ,
NO. RATE TOTAL
tat 3 Fixtures ............ • • • ...
O
$ Z1.66-
1.dAdditional
AdditionalFixtures ...............
x $ .75
$
Base
x $5.00
$
Stage Surcharge
$ .50
REPAIRS i ALTERATIO ter to Code
Description
1st
NW
3rd
4th
Furore Coma�llon ninps
OP-
vi*
8aaru ❑
s Nov Fixlura, Olaf opentup
cesspow❑
PARTIAL RATE SCHEDULE
PLUMBING FIXTURE RATES:
NO. RATE TOTAL
Number Fixtures . e ..............
x $2.00
i
Future Fixture Opening .... 1 ......
x $1.50
$
New Fixture Old Opening ..........
x $1.50
$
Catch Basin ....................
x $3.25
$
Water Heater (Up to 99,000 BTU) . a ..
x $3.00
$
New Ground Run Old Bldg.........
x $3.25
$
Electric Water Heater. . ........
a $2.00
$
GAS FITTING FEES: ,
NO. RATE TOTAL
tat 3 Fixtures ............ • • • ...
P x $2.00
$ Z1.66-
1.dAdditional
AdditionalFixtures ...............
x $ .75
$
Gas Range to 199.000 BTU ............
x $5.00
$
Stage Surcharge
$ .50
REPAIRS i ALTERATIO ter to Code
Description
City of Fridley:
The undersigned hereby makes application for a permit for the worts here!,
specified, agreeing to do all work in strict accordance with the City Ordinance
and ruling of the Department of Buildings. and hereby declares that all the fact
and representations stated in this application are true and correct
Fridley, Minn /'0
Owner -:/9
Kind of Building'r`f'Used as -
To be completed about ✓ �,` _ �'
Estimated Cost, $
Old—New. Building Permit No. Peratt No.��
ROUGH
FINAL ��
Signed
By � -
Businesa Phone
53-84-s-915.51
PARTIAL A° RAT SCHEDULE
Pt-iTMING nXTMM R&TES. NO. RATE TOT)
Number FixtuRes ................ x Mo $
Pluture lilxturce opening .... o ...... x $1.50 $---
New
..New 71xture Old Opening .......... x $1.50 $
Catch Basin .................... x $3.25 g
Water Heater ,Up to 99,000 BTUD .... x $3.00 E
New Ground Bun old Bldg.... m .... x $3.25
Eton Wates Hm&w .............. a $2.00 =
GAS FITT9MG FEM NO. RATE TOTAL
lot 3 Fixtures • .. • • ........ • • , • • z $2.00 $
Addit6onal Mitum .a...........o.'o x$.75
Gas Range to Ift000 BTU .. ........ 1 x 85.ou $ 5.00
State Surcharge $ .50
Dweription .m.m.mm •m. o.em.o ... o.....• •.ma..o... ...••.....�
TOTAL. yn $ 5.50
city of r ridtey:
7%e undersigned hereby makes application for a permit for the work herein
speciffied. agreeing to do all work in strict accordance with the CLT Ordinance
and ring of the Department of Buildings. and hereby declares that all the fact
and representations stated in this application are true and correct
Fridley, Mnn 6/1/73 ,19_
Darrel Farr Dev.
Kind of Building Framp
Used as Res.
To be completed about 6/5/73
Estimated Cost, $ 10.00
Old—NewXBuilding Permit No. Pormit No. �� o
Signed ce, '
By �IINIGASCQ
Business Phune No
ROUGH
�GB&ss "A"
Ab @@RA-ftahS Sync= ad Dwlkw
PAR AL E S HMULA Dept. of Mdv& "Mme MM
9"TM WAM AM- MATE TOTAL Lamm—
men a Duct %7wh ....... .810.00 0
Replacementaffrunlace 6.00 City of Trbsky:
Repairs & Alterations—segs to $M.00The undersiMed hereby makes a apnea fear a t the work .
specified, agreeing to do all work in strkt.§pmdame with the duty Ckthm=ft
Repairs & Alterations each add. $M.60 3.00 and ruling of the Department of Buildina, eFad hereby deckwm that an tjo fecLw
and representations stated in this application are trate and owyeeL
Shell & t:. !=,MC, 1' V .$10.00 s—
Replaeanant o8 Affnew 6.00
Rapain & Alterations, --up to AO 3.00
Repairs Be Alterations each add. $M.00 3.00 $
WITZAM of NOT WATER SYSTM
Fury Shell & Lines—to 400 sq. ft. 1DR Steep $10.00$. Furnace Shell & Line—to $40 sq. ft. EDR Hot Rater 10.00
Each add. 200 sq. ft. )SDR Steam &00 $-• _ -_.
Each add. 330 sq. ft. EDR Piot Water 3.00
OM 211MNER—to 3 gal. per hour
over 3 gal. per hour -fie Peke Schedule
GAS B (up to IftM BTU) 0.00 $
over 190,000 Fru see Pee zdwduk
CAB G FEE& NO RATE TOTAL
1st 3 Fixtures x$ zoo $_
Additional P9xtures x .75 =
Gas Range to 199,0M x$ 604 $
Fridley, _-
Owner —- 'y n.- ✓��s� ...P.AJ� �...� ®rte 10... 14622-s
Kind of Buildings. _
Used as
Tobe completed
Estimated Cost,_---
Olds—New. BuikWM Pnmft No. permit No.
capacity sq. Ft, Mr.
800 Pee"7��
l
TOTAL. Izz$ _01)
S;
. L
f
(srwAaa�—ovu¢i
SUBJECT
MIT NO.
City ®f Fridley
2 2 6 66
AT THE TOP OF THE TWINS
BUILDING PERMIT(-
i
RECEIPT NO.
COMMUNITY DEVELOPMENT DIV.
r t. PROTECTIVE INSPECTION SEC.
1
NUMBER
REV.
GATE
PAGE OF
APPROVED BY
1 ✓""{ CITY HALL FRIDLEY 55432
612-571-3450
910-F15
7/13/94
JOB ADDRESS 1552 South Oberlin Circle NE
1 LEGAL
LOT NO.
BLOCK
TRACT OR ADDITION SEE ATTACHED
DESCR.
4
7
Innsbruck North Townhouse 2nd SHEET
2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE
3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO.
Dicks Fire & Storm 864 19 Ave SE, Minneapolis, MN 55414 781-6170 2481
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 ❑x REPAIR ❑ MOVE ❑ REMOVE
B DESCRIBE WORK
Reroof House & Garage (Tear-off); gutters
9 CHANGEOFUSEFROM TO
STIPULATIONS Underlayment must comply with the State Building Code. Inform owners to
install smoke detectors as per State Building Code, adjacent to all sleeping areas
and in basement.
TYPE OF CONST.
OCCUPANCY GROUP
OCCUPANCY LOAD
SEPARATE PERMITS ARE REOUIRED 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 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 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
@
$1.02
WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT
$ 2,026.00
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-
Fire SC $2.03
STRUCTION OR THE PERFORMANCE OF CONSTRUCTION.
$54.00
PLAN CHECK FEE
TOTAL FEE
License SC 15.00
162.05
W ENP LY V LID ATED THIS IS YOUR PERMIT
BLDG INSP GATE
SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT IOATEI
r,
SIGNATURE OF OWNER OF OWNER, BUILDER] IDATEI
NEW () Effective 1/ 1/94
ADDN { ( CITY OF FRIDLEY
ALTER (( SINGLE FAMILY AND DUPLEXES R-1 AND R-2� S
Building Permit Application
Construction Address: 1552 South Oberlin. Circle, Fridley, Mn.
Legal Description:
Owner Name & Address: Tel. #
Contractor: R.J. Williams General Contractor MNLICENSE# 2481
Address: 864.- 19th AVe. S.E., Mols., Mn. 55414 Tel. # 781-6170
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 [ l Inside Lot [ ] Ft. Yd Setback Side Yard Setbacks
Type of Construction: house & garage roofs , Estimated Cost: $ 2,026.00
Approx. Completion Date: gutters
Driveway Curb Cut Width Needed: _
DATE: 7/13/94 APPLICANT:
(Cost on Back)
Ft. + 6 Ft = Ft x $ _ $
R.J. Williams Gen. Contractor Tel.#
CITY USE ONLY
Permit Fee $ Fee Schedule on Reverse Side
Fire Surcharge $ .001 of Permit Valuation (1 / 10th %)
State Surcharge $ $.50/$1,000 Valuation
SAC Charge $ $800 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 ( j
TOTAL $.
STIPULATIONS:
781-6170
l
F
10
SUBJECT
IT NO.
City of Fridley
31044
TREMEWT-No.
AT THE TOP OF THE TWINS
B U
I L ®I N G P E R M I T
I
`
►y _ COMMUNITY DEVELOPMENT DIV.
PROTECTIVE INSPECTION SEC.
r
✓�(
1 • r
CITY HALL FRIDLEY 55432NUMBER
REV
DATE
PAGE Of
APPROVED ON
612-571-3450
910415
6/8/00
JOBADDRESS1536, 40, 44, 48, 52, 56, 60, 64 South Oberlin Circle NE
1 LEGAL
LOT NO.
BLOCK
TRACT OR ADDITION
SEE ATTACHED
DESCR.
1-8
7
Innsbruck North Townhouse 2nd SHEET
2 PROPERTY OWNER MAIL ADORES$
ZIP PHONE
Innsbruck Townhome Association
651-224-5482
3 CONTRACTOR MAIL ADDRESS
ZIP PHONE LICENSE NO
Garlock -French Roofing Corp 2301 East 25 St, Minneapolis, MN 55406 612-722-7129
4 ARCHITECT OR DESIGNER MAIL ADDRESS
ZIP PHONE LICENSE NO.
1423
5 ENGINEER MAIL ADDRESS
ZIP PHONE LICENSE NO
8 USE OF BUILDING
'-Residential Townhomes
7- -CLASS OF WORK
- O NEW O ADDITION O ALTERATION Ij REPAIR O MOVE Q REMOVE
8- DESCRIBE WORK
Reroof Building
8 ,.CHANGE OF USE FROM
TO
STIPULATIONS
Underlayment must comply with the State Building
Code.
i
Permit Inspection Cards
Permit Inspection Cards
Will Be Mailed
Will Be Mailed
To Homeowner To Post
To HOMeawner To Poli
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 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
I
OFFSTREET PARKING
I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION
8
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
$16,613
$8.30
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
PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON-
$279.25
Fire SC $16.61
STRUCTION OR THE PERFORMANCE OF CONSTRUCTION
PLAN CHECK FEE
TOFEE
—A /
1 $,104. 16 `
SIGNATURE OFCONTRACTOR ORAUTHORIZED AGENT IDATEo
E PROP THIS IS YOUR PERMIT
/VALIDATE
BLQA INSo �7� ry6rt
SGNATu EOFOWNEROFOWNERBUILDER.
l
F
10
City
of Fridley
SUBJECT
PHONE LICENSE NO
U.
2131 111 Ave NW, Coon Rapids, MN
55433
763-757-7530
a ARCHITECT OR DESIGNER
372180
AT THE TOP OF THE TWINS
BUILDING
PERMIT
NO DWLG. U
i •
v ......�
COMMUNITY DEVELOPMENT DIV.
x -a
F
? 3
RECEIPT NO.
f
PROTECTIVE INSPECTION SEC.
$56,000
DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE
l ��'�' �'�
L
CITY HALL FRIDLEY 55432
STRUAION� PERFORMANCE OF CONSTRUCTION
$685.75
NUMBER
REV OATE
PAGE OF
APPROVED BY
_-�•�
612-571-3450
910-F15
9/19/01I
/---- /
10B ADDRESS 1536, 1540, 1544, 1548, 1,552, 1556, 1560, 1564
South Oberlin Circle NE
1 LEGAL
I LOT N0.
BLOCK
TRACT OR ADDITION
SEE ATTACHED
DEscR.
1 -
8
7
Innsbruck North Townhouse
2nd Addn SHEET
2 PROPERTY OWNER
MAIL AODRES$
ZIP PHONE
Various
J GUNiHACTOR
MAIL ADDRESS
ZIP
PHONE LICENSE NO
Columbus Exteriors
2131 111 Ave NW, Coon Rapids, MN
55433
763-757-7530
a ARCHITECT OR DESIGNER
MAIL ADDRESS
ZIP
PHONE LICENSE NO.
NO DWLG. U
I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION
8
5 ENGINEER
MAIL ADDRESS
ZIP
PHONE LICENSE NO
6 USE OF BUILDING
8 Unit Townhouse
7 CLASS OF WORK
O NEW O ADDITION O ALTERATION ( REPAIR O MOVE O REMOVE
8 DESCRIBE WORK
Reside Building; Soffit/Fascia/ Window Wrav
9 CHANGE OF USE FROM
TO
STIPULATIONS
Per Section 1402, 1997 Uniform Building Code, requires that a weather
resistive barrier be placed over exteriorsheathing to protect the interior
wall covering. Exceptions for this provision would be if sheathing is an
approved weatherproof panel or when the siding is an approved weather
barrier. Vinyl siding isnot a weatherproof covering unless the manufacturer
states this in their application guidelines. Call for Anspection of wrap
before covering.
SEPARATE PERMITS ARE REOUIREO FOR ELECTRICAL. PLUMBING. HEATING.
TYPE OF CON;
VENTILATING OR AIR CONDITIONING
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION
AUTHORIZED IS NOT COMMENCED WITHIN BO DAYS. OR IF CONSTRUCTION
ZONING
OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT
ANY TIME AFTER WORK IS COMMENCED.
NO DWLG. U
I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION
8
AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS
VALUATION
AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED
WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT
$56,000
DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE
PERMIT FEE
PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON.
STRUAION� PERFORMANCE OF CONSTRUCTION
$685.75
s
PLAN CHECK F
SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT IOATE,
....�..
IOATEI r T=om
V"'UrANG•UHOUP OCCUPANCYLOAD
SO. FT CU FT.
OFFSTREET PARKING
STALLS GARAGES
SURTAX
$28.00
SAC CHARGE
Fire SC $56.00
T 0 T ArFIIE E
V69.75
Y ALIOAT THIS IS UR PERMIT
Aza C.
-l'-D1
Building
BUILDING
Permit Ivo.: 96 iG 6 I `
Inspections
RESIDENTIAL APPLICATION Received By -
763 -572-3604
CITY OF FRIDLEY
Date : 0 C T I'l 20
763-502-4977 FAX
i .001 times the total job valuation
Surcharge
EFFECTIVE 1-1-2010
.0005 x Permit Valuation Minimum $.50
DATE ?'/"./0_1o/0 YOUR E-MAIL ADDRESS
'V'4�po o zlemon
SITE ADDRESS S�
roXe,41,
THIS APPLICANT IS:
❑ OWNER ><CONTRACTOR
Curb Cut Escrow
PROPERTY OWNER/
NAME:
ADDRESS: / S—S� S d�i,c/ ✓. sv L�srC�C CITY rs STATE&l ZIP
TENANT
$450 Conservation Plan Review
PHONE:
$
CONTRACTOR
NAME: 6e. - io // le -G,.07 o o/
$
SUBMIT A COPY OF
YOUR STATE LICENSE
STATE LICENSE #_ CYO a ; S S EXP DATE more h P/ Q011
AND CERTIFICATE OF
ADDRESS: /ns -3p li w a %n.d Qd CITY_ am STATE_M_A_/_ZIP EQI:' P
INSURANCE
PHONE &/2 /P° ®ti FAX
THIS IS AN APPLICATION FOR A PERMIT -NOT VALID UNTIL PROCESSED
PROPERTY TYPE
❑ SINGLE 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:
❑ NEW HOME CONSTRUCTION ❑ ADDITION
❑ MAINTENANCE/REPAIR ❑ REMODELING
DESCRIBE WORK BEING DONE "&e_ ✓tP ,/i n r u� G%.GG Ic.
SIZE OF IMPROVEMENT
LENGTH WIDTH
HEIGHT 1e9 sQ FT 2,7/
ROOFING
p 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,
SIDING
❑ Vinyl
❑Soffit
ADDITIONS. & PORCHES SUBMIT:
❑ Aluminum
❑ Trim
1. Site Plan/Survey showing the existing structures
❑ Other
❑ Fascia
and proposed projecL
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:
A -USING T1997 U.B.0 FEE SCHEDULE)
TOTAL JOB VALUATION $ / .��• OCCUPANCY TYPE
Permit Fee
$
t4 I See Back Page for Fee Schedule
Plan Review
$
a 65% of Building Permit Fee
Fire Surcharge
$
i .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 payable to: City of Fridle Attach
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 theof Fridley and with the Minnesota Construction Codes; that I understand this is not a
permit but only an application for a permit rk 'm 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 w ' v' d approval of plans.
SIGNATURE OF APPLICANT PRINT NAME �i0.rie'te Ci d�ly DATE
I -1 Fte
project
page
5 S dJJ-jj ®,^r, ( ; tOMA
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