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PRE 2010 DOCSVillage of Fridley, Minn. i! BUIMING P IIT N° 83 Office of INSPECTOR OF BU LDINGS I� �,,, Owner-�s�+c- �,.� E� Architect- Fridley, Minn., " - 18 =' Builder LOCATION OF BUILDING No.. Street �_ * �®� Part of 'Lot s:� , Lot" "` " Block : Addition or Sub -Division DESCRIPTION OF BUILDING Front-2--n—Dept3 , k Height Stories Manner of Construction -L- To be used as To be completed a " Estimated Cole'" , r. Permit is hereby the building described in the above' statement. This permit is granted upon the express conclition that the person to whom it is granted, and his agents, employees and workmen, in all the work done in, aound and upon said building, or any part thereof, shall conform in all respects to the ordi- nances of Fridley, *inn., regarding the 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. �'.,. �, ' r, , r � inspector of Buildings. AGREEMENT AND SWORN STATEMENT In consideration of the issue and delivery to me by the Inspector of Buildings of Fridley of the above permit" I hereby agree to do the proposed work in accordance with the description above set forth and according to the provisions of the ordinances of Fridley, and, being first duly sworn, I hereby state and say that the facts stated by me and contained in the above permit are true as therein stated. Subscribed andl*worn to before me at Fridley, Minnesota, this-- � day of �'"' f A.D. 19 2 P-. City of Fridley, Minn. 64311 University Ave. N. E'., Minneapolis, Minn. 55432 '' Date: June 12, 1972 Owner: __Neil Robinette Builder Same Address __4839 - 2nd Street N.E. . address Same P C3 No. 4839 Street . ___. 2nd Street K.,.& Part of Lot ]Lot 2223 _ Block 3 �_.._.._. Addition or Sub -Division ._._..Plymouth Addition Corner Lot _.____ _ ___ Inside Lot __ Setback Sideyard Sewer Elevation Foundation Elevation - ........... DESCRIPTION OF BUILDING To be Used as: Garage Front 24' Depth 28' Height 10' Sq. Ft. 672' Cu. Ft. 6720' Front -- Depth Height Sq. Ft. Cu. Ft. Type of Construction _Wood Frame Est. Cost —_,53.x_044 To be Completed Oct. 1272 Stipulations: Provide frost footings under garage and provide a hard surface driveway. 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. r 1.52 State Surcharbe In consideration of the payment of a fee of $12JQ_, permit is hereby granted to Neil R ob i n e t t e to construct the building or addition as described above. This permit is granted upon the express condition that the person to whom it is granted and his agents, employees and workmen, in all Work done in, around and upon said building, or any part thereof, shall conform in all respects -to the ordinances of Fridley, Minnesota regarding location, construction, alteration, maintenance, repair and moving of buildings vpithin the city limits and this permit may be revoked at any time upon violation of any of the provisions of said ordinances. a CLARENCE BELISLE NOTICE: This permit does not cover the construction, installation for wiring, plumbing, gas heating, sewer or water. Be sure to we the Building inspector for separate permits for these items. APPLICATION FOR RESIDENTIAL, ALTERATION, OR ADDITION BUILDING PERMIT CITY OF FRIDLEY, MINNESOTA I OWNER'S NAME: J YC-' 1 / c� �, vP /' BUILDER: �,�9 ADDRESS:, JV o� ��Vl ADDRESS: NO:.. 'f 17 1 STREET: �� .d. LOT: 2R -,?O BLOCK: ADDITION: do CORNER LOT: INSIDE LOT: SETBACK: SIDEYARD: Applicant attach to this form Two Certificates of Survey of Lot and proposed building location drawn on these Certificates. DESCRIPTION OF BUILDING To Be Used As: f r+ Front:- Y Depth: g Height r s Square Feet: cubic Feet: Front: Depth: Height: Square Feet; Cubic Feet: Type of Construction: P Estimated Cost: To Be Completed:�/ The undersigned hereby makes application for a permit for the work herein specified, agreeing to do all work in st$ict accordance with the City 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 Info7tion.) I-) f 01 SUBJECT PE774' City of Fridley AT THE TOP OF THE TWINS PERMIT BUILDING RE COMMUNITY DEVELOPMENT DIV. r � � PROTECTIVE INSPECTION SEC. t . � CITY HALL FRIDLEY 55432 NUMBER REV. DATE PAGE OF APPROVED BY 612-560-3450 910-F15 7/8/74 JOB ADDRESS 4839 - 2nd Street N.E. 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 22,233 Plymouth Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Neil Robinette 4839 - 2nd Street N.E. 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Same 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAILADDRESS ZIP PHONE LICENSE NO. 6 USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW CX ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Construct a 14' x 12' Addition onto back of dwelling 9 CHANGE QF USE FROM TO STIPULATIONS i�ERAi'kti'�s`i :�E+.�iFc�.:[► *-utt cviftlit, HEATING, PLUMBING AND SIGNS.,, TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD SEPARATE PER ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, VENTILATING OR AIR CONDITIONING. Wood Frame 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. $3,000 1.50 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- $18.00 STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. PLAN CHECK FEE TOTALFEE --�.y $19.50 fGR—ATLfRE OF CONTRAITcTRORAUTHORIZEDAGENT (DATE) WHEN PROPERLY VALIDATED THIS IS YOUR PERMIT BLDG. INSP JATE SIGNATURE OF OWNER (IF OWNER BUILDER) (DATE) 01 APPLICATION FOR RESIDENTIAL, ALTERATION, OR ADDITION BUILDING PERMIT CITY OF FRIDLEY, MINNESOTA C7�'ng'Q� ` 1 OWNER'S NAME: \ �� BUILDER: �\ Jine1Ate- ADDRESS : n I al- sT ADDRESS: IAM /VC - NO :. q%bl STREET: t`� a S� A), LOT : as -Aal —BLOCK: ADDITION: 0,z m bf p A"Z iO CORNER LOT: INSIDE LOT: iC SETBACK: SIDEYARD: Applicant attach to this form Two Certificates of Survey of Lot and proposed building location drawn on these Certificates. DESCRIPTION OF BUILDING To Be Used As: -%Oy\ Front: /4 Depth • % al � T Height: Square Feet: Cubic Feet: Front: Depth: Height: Square Feet; Cubic Feet: 00 Type of Construction: (A-c�)ram a Estimated Cost: $ woo To Be Completed: The undersigned hereby makes application for a permit for the work herein specified, agreeing to do all work in stxict 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: l - - S IGNATURE .-JI)A d k 0J Rrr&Yl� (See Reverse Side For Additional Information.) Ont. Fri c X a.00! SOX -� z 1•' SUBJECT P City ®f Fridley 2 1 3 4 �. AT THE TOP OF THE TWINS BUILDING PERMIT RECEIPT NO -------COMMUNITY DEVELOPMENT DIV. PROTECTIVE INSPECTION SEC. 2 C� CITY HALL FRIDLEY 55432 NUMBER REV, DATE PAGE OF APPROVED BY 612-571-3450 910-F15 5/18/92 JOB ADDRESS 4839 2nd Street NIE 1 LEGAL LOT NO. BLOCK TRACTOR ADDITION SEE ATTACHED 22r23 3 Plymouth Addition SHEET DESCR. 2 PROPERTY OWNER MAIL ADDRESS ZIP 572 PHONE939 Neil Robinette 4839 2nd Street NE 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Viking Home Izaprovelment Co, 4832 2N Street NE 5721820 4772 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 �7 REPAIR ❑ MOVE O REMOVE 8 DESCRIBE WORK Rerooi: Dwelling (,14 Stjuaress ) Tear -off 9 CHANGE OF USE FROM TO STIPULATIONS Underlayment must comply with State. Building Code, 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 60 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 $72Q $150 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 ATE OR LOCAL LAW REGULATING CON- $21,00 1 Fire SC $.72 STRUC NOR THE PE O ANYOFCSTRUCTION.p PLAN CHECK FEE License SC $5, M TOTALFEE $27,22 �� ®� SIGNA URE OFCONTR TOR ORAUTHORI DAGENT tDATEI WHEN PRO RLY V LI TED THIS IS YOUR PERMIT � SIGNATURE OF OWNER OF OWNER BUILDER, (DATE) BLDG ISP f1ATE NEW [ J ADDN [ J CITY OF FRIDLEY ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 Building Permit Application Construction Address: Z73 Legal Description: Owner Name & Address: le j Contractor: I lldG% o 'W ��✓ Address: q r3—*V Effective 3/1/92 otlpwl �" / 4:f' o Tel. # �6 72 -7 3 g MN LICENSE # �-/ 772 Tel. # <�--72 - /f-2-6 Attach to this application, a Certificate of Survey of the K 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 Hgt/Ground OTHER: ea c>-- Corner, Lot [ J Inside Lot [ ] Ft. Yd Setback Type of Construction: Approx. Completion Date: Sq. Ft. Sq. Ft. Sq. Ft. Side Yard Setbacks Estimated Cost: $ / �6 (Cost on Back) Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ _ $ DATE: APPLICANT: ILI CITY USE ONLY Permit Fee $ l 0, 0 Fee Schedule on Reverse Side Fire Surcharge $ , 92- .001 of Permit Valuation (1/10th%) State Surcharge $ , J&V $.50/$1,000 Valuation SAC Charge $ _ 00 per SAC Unit License Surcharge $ $5.00 (State Licensed Residential Contractors) Driveway Escrow $ Alt. "A" or Alt. "B" Above Park Fee $ Fee Determined by Engineering Sewer Main Charge $ Agreement Necessary [ ] Not Necessary [ ] TOTAL STIPULATIONS: Building BUILDING Permit NO.: Q➢ Inspections RESIDENTIAL APPLICATION Received BY: 763-572-3604 CITY OF FRIDLEY Date Rec'd: / v DATE YOUR E-MAIL ADDRESS SITE ADDRESS .-5C( ;211 �fAJ 9� tZ LEE THIS APPLICANT IS: _P�bWNER ❑CONTRACTOR PROPERTY OWNER/ NAME: xa- -4 i r�S TENANT / ADDRESS: 4K -:5q ®2 rt d S t NE_ CITY STA _ZIP PHONE:7�— CONTRACTOR NAME: { Zl S 4- STATE LICENSE p#- EXP DATE SUBMIT A COPY OF YOUR STATE LICENSE ADDRESS: CITY STATE—ZIP WITH APPLICATION PHONE FAX PROPERTY TYPE ,.EnINGLE FAMILY/NEW CONSTRUCTION SIZE ❑ TWO FAMILY/NEW CONSTRUCTION STORIES PERMIT TYPE ❑ ADDITION ❑ GARAGE/SHED AYWINDOWS ❑ BASEMENT FINISH ❑ ROOF ❑ DRAIN TILE ❑ DECK ❑ SIDING ❑ OTHER ❑ SWIMMING POOL TYPE OF WORK: ❑ NEW ❑ ADDITION ❑ MAINTENANCE/REPAIR MODELING DESCRIBE WORK BEING DONE:_ G) (r �fzS l` til ®LJ 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 PROPOSED SIZE: ❑ DETACHED GARAGE 2• Proposed floor plan PROPOSED HEIGHT: 3. List of structural members to be used 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 0Bi1 LOCTION OF WINDOWS 3. Energy Calculations OR FOR NEW OPENINGS -DESCRIBE SIZE OFj 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 THE00 97 U.)3.0 FEE U TAL JOB VALUATION $�OCCUPANCY TYPE Permit Fee $ See Back Page for Fee Schedule Plan Review $ 65% of Building Permit Fee Fire Surcharge $ O .001 times the total job valuation Surcharge $ .0005 x Permit Valuation Minimum $.50 License Surcharge $ $5.00 (State Licensed Residential Contractors) SAC Charge $ $1550 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 $ ®. 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 fona permit and ork is not to start without a permit; that the work will be in accordance ith the approved plan in the case of all wor=re v' and approval of plans. / // � �� SIGNATURE OF APPLICANT PRINT NAME / �� "1 L- A4p4 DATE Building $ BUILDING $ d , Permit No.: _ , ` d Inspections Surcharge RESIDENTIAL APPLICATION License Surcharge Received By: 763; 572=3604Date $ CITY OF FRIDLEY $ Recd: DATE 7-1q— 06 Y UR E-MAIL AD SS $ SIADDRESS 3 � �P A S TE 7r THIS APPLICANT IS: 010VNER ❑CONTRACTOR PROPERTY OWNER/ NAME: ► 01% ADDRESS: . AJC CITY STA °'L �•/ TENANT PHONE:7 b3'.6-71f -'? `7Lf t> ,v' to I Z °- 2 2. I — ®® r.,Z CONTRACTOR Nom: STATE LICENSE # EXP DATE SUBMIT A COPY OF YOUR STATE LICENSE ADDRESS: CITY STATE ZIP WITH APPLICATION PHONE FAX PROPERTY TYPE MISTINGLE FAMILY/NEW CONSTRUCTION SIZE ❑ TWO FAMILY/NEW CONSTRUCTION STORIES PERMIT TYPE ❑ ADDITION ❑ GARAGE/SHED ❑ WINDOWS ❑ BASEMENT FINISH ❑ ROOF ❑ DRAM TILE UPDECK ❑ SID G ❑ OTHER Vl, GIMMMMG POOL TYPE OF WORK: ffqW ❑ ADDITION 01GfkNTENANCE/REPAIR ❑ REMODELING DESCRIBE WORK BEING DONE: de c. L o® SIZE OF IMPROVEMENT 19l rOo LENGTH WIDTH HEIGHT Sq. Ft. ROOFING ❑ HOUSE ONLY NUMBER OF SQUARES ❑ HOUSE & GARAGE BASEMENT REMODELING SUBMIT: GARAGES ❑ ATTACHED GARAGE I. 2. Existing Floor Plan Proposed floor plan PROPOSED SIZE: 13 DETACHED GARAGE 3. List of structural members to be used PROPOSED HEIGHT: SIDING l ';6a c FOR NEW CONSTRUCTION INCLUDING DECKS, ❑ Vinyl ❑Soffit _fes ADDITIONS. & PORCHES SUBMIT: ❑ Aluminum ❑ Trim ("s�J 1. Site Plan/Survey showing the existing structures ❑ Other ❑ Fascia cC l and proposed project 2. Two sets of construction plans WINDOWS h �{ �V 3. Energy Calculations IN EXISTING OPENINGS ❑Yes ❑No LOCATION OF WINDOWS ! V 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 U.B.0 FEE SCHEDULE) TOTAL JOB VALUATION $ C), Co 0 OCCUPANCY TYPE Permit Fee $ Plan Review $ d , Fire Surcharge $ Surcharge $ License Surcharge $ SAC Charge $ Curb Cut Escrow $ Erosion Control $ Park Fee $ Sewer Main Charge $ Total Due $ ;2 f a See Back Page for Fee Schedule 65% of Building Permit Fee .001 times the total job valuation .0005 x Permit Valuation Minimum $.50 $5.00 (State Licensed Residential Contractors) $1550 per SAC Unit (Plans to MWCC for determination) ft+6ft= ftx$21=$ $450 Conservation Plan Review Fee Determined by Engineering Agreement necessary ( ) Non Necessary ( ) Make checks savable to: Citv of Fridlev 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 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 accordancewith approved plan in the case of all work e w and approval of plans. SIGNATURE OF APPLICANT B ' PRINT NAME__ r%'''6"''��%�� DATE APPLICATION # 07- W (CC CITY OF FRIDLEY 2007 LOAD LL%HT MODIFICATION PERMIT ,s .� tic � z o JOE ADDRESS: SATE MATERIAL TO BE HAULED: C c c1 BEING HAULED BY: PERMIT REQUESTED BY: EyAluS DATES OF DELIVERY: /-//2-0 b (Up To 3 Days) THIS PERMIT IS ISSUED TO ALLOW AN INCREASE OF AXLE WEIGHT FROM FOUR (4) TONS PER AXLE TO FIVE (5) TONS PER AXLE OVER TBEFOLLOWING DESIGNATED ROUTE: NOTICE: This permit is valid only for vehicles enroute to construction address during the hours of 8:00 am to 5:00 pm. See Resolution # 01-2004 and State Statute Section 169.87 RECD APR 2 0 2007 PERMIT FEE: $25.00 RECEIPT # ISSUED BY: Copies Given To Police [ ] & Engineering [ ] Sign ture of Applicant Building BUILDING Permit No.: ' Inspections RESIDENTIAL APPLICATION Received By: 763-572-3604 CITY OF FRIDLEY Date - . II II 2 9 20 763-502-4977 FAX EFFECTIVE 1-1-2010 DATE _! ` '?, f 0 YOUR E-MAIL ADDRESS p— SITEADDRESS 46'30 J� THIS APPLICANT IS: M,,8WNER ❑CONTRACTOR PROPERTY OWNER/ NAME: eDi r �1 TENANT ADDRESS: 2,J9E E Alm CITY STATE.A74 ZIP JrS <Z PHONE:0e) h -2- CONTRACTOR 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 WSTNGLE FAMILYMEW CONSTRUCTION SIZE ❑ TWO FAMILY/NEW CONSTRUCTION STORIES PERMIT TYPE ❑ ADDITION ❑ GARAGEISHED ❑ WINDOWS ❑ BASEMENT FINISH PROOF ❑ DRAIN TILE ❑ DECK ❑ SIDING ❑ OTHER ❑ SWIMMING POOL TYPE OF WORK: ❑ NEW HOME CONSTRUCTION ❑ ADDITION G3'IGIAINTENANCE/REPAIR 13REMODELING DESCRIBE WORK BEING DONE: �{ ,,!�- ,,,aR`7'g6 SIZE OF IMPROVEMENT LENGTH WIDTH HEIGHT SQ FT ROOFING Q HOUSE ONLY NUMBER OF SQUARES M-FCOUSE & 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, ❑ Vinyl ❑Soffit 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 ❑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: (USING THE 1997 U.B.0 FEE SCHEDULE) TOTAL JOB VALUATION $ OCCUPANCY TYPE Permit Fee $ 127:� See Back Page for Fee Schedule Plan Review $ 65% of Building Permit Fee Fire Surcharge $ t 6 .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 $ h(t I C4 Make checks Davable 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 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 o k ch requires review and approval of PIRS. SIGNATURE OF APPLICANT PRINT NAME C"'� �� DATE 7 �4q' J � q_