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PRE 2010 DOCSW_ BUILDING PERMIT Village of Fridley, Minn. N? 2908 Date. ... ...v / �....... Owner Builder .. ....................L.... . ...... Address 41.6. ... ...... ....... ... Address ......9A... ... LOCATION QF BUILDING No.Y �fe�/` .... Stree ? ..................... Part of Lot.. ... ....... Lot ,�/:: f ? Block ... f ......... lion or Sub -Division Corner Lot ............ Inside Lot ............ Setback.... Sideyard ..� o.. ........! DESCRIPTION OF BUILDING To be Used as: F .. Front .e7.�... Depth 2 ...... height ......... Sq. Ft. ..../. Cu. Ft. ........ Front ........ Depth ........Height Sq. Ft......... Cu. Ft. Type of Construction.......... Est. Cost .....%.Ari. ®.5?..... 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 and in 'compliance with all provislons of ordinances of the village of Fridley. ... . ..... .. ..... .r . .. ..... ......... ....................... 4V 1.V11a LL U1:4 u1C UUUU1.119 Ur aU UMUi1 WS aescrlpea apove. tms permn is-gramea 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 with- in the village limits and this permit may be revoked at any time upon violation of any of the provisions of said ordinances. ---I - I . if•s..: ; x�uu jnspec NOTICE: This permit does not cover the construction, Installation or alteration for wiring., Ing, gas heating, sewer or water. Be sure to see the Building Inspector for separate permits for these tems. 52-84-591 5.51 City of Fridley Application for Plumbing and Cas Fitting Pennit Dept. of Bldgs. Phone 560-3430 DESCRIPTION OF WORK 5916 2nd s t Number, Kind and Location of Fixtures Location PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: NO. RATE TOTAL Number Fixtures ....... .............. x $2.00 $ Future Fixture Opening ................ x $1.50 N 3 1- �e O LL _Z Z g 6 u"S IL C U w o5 Q 3 Ci % w o Ci z z C� O • t WATER HTR. x $3.25 $ Base a $2,00 $ GAS FITTING FEES: NO. RATE TOTAL 1st 3 Fixtures .......................... I ns G s I k-yE r $ Gas Range to 199,000 BTU .............. x $5.00 $ Gas Dryer 1 5,00 1st Description ................................................$ 2nd 3rd 4th • Future Connection Openings e New Fixture, Old Openings Connected with Sewer Cesspool PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: NO. RATE TOTAL Number Fixtures ....... .............. x $2.00 $ Future Fixture Opening ................ x $1.50 $ New Fixture Old Opening .............. x $1.50 $ Catch Basin ...... .................. .. x $3.25 $ Water Heater (Up to 99,000 BTL) ...... x $3.00 $ New Ground Run Old Bldg . ............ x $3.25 $ Electric Water heater a $2,00 $ GAS FITTING FEES: NO. RATE TOTAL 1st 3 Fixtures .......................... x $2.00 $ Additional Fixtures .................... x $ .75 $ Gas Range to 199,000 BTU .............. x $5.00 $ Gas Dryer 1 5,00 REPAIRS & ALTERATIONS—Refer to Code Description ................................................$ TOTAL FEE $ 5000 City of Fridley: The undersigned hereby makes application for a permit for the work herei 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 facl and representations stated in this application are true and correct. Fridley, Minn 9-20-68 19_ Owner C Garness Kind of Building frame Used as res To be completed about 9-25-68 Estimated Cost, $ -.v®yy Old—New. Building Permit N Celot No. o B WKEWIS GAS GOO Business Phone No ROUGH FINAL 3 r �� d2 SUBJECT P MIT NOS%d City of Fridley � g AT THE TOP OF THE TWINS BUILDING PERMIT t RECEI I? � • COMMUNITY DEVELOPMENT DIV. PROTECTIVE INSPECTION SEC._[ �� f "1 CITY HALL FRIDLEY 55432 �►"'" NUMBER REY. DATE PAGE OF APPROVED BY j 612-571-3450 910-F15 I® JOB ADDRESS 5916 2nd Street N.E•, Fridley, MN 55432 1 LEGAL BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. ILOTNO. 11 & 1 9 1 Hyde Park Addition SHEET _T PROPERTY OWNER MAIL ADDRESS ZIP PHONE Robert A. Walrod 5916 2nd Street N.E., Fridley, MN 55432 574-9174 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO. 6 USE OF BUILDING 7 CLASS OF WORK ❑ NEW ❑ ADDITION IX ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Windows Door Sidin 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. 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 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 P 1_00 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT �. DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PERMIT FEE SACCHARGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. PLAN CHECK FEE TOTALFEE 33.50 SIGs TU OF ON R OR AUTHORIZEDAGENT ATEI LYT THIS IS YOUR PERMIT WW=Z 4� /b.� INS GATE SIG ATURE OF OWNER OF OWNER ftILDERi (DATE) NEW [ ] City of Fridley Effective 4/1/84 ADDN. [ ] R-1 AND R-2 ALTER. [ ) Building Permit Application c�r Construction Address: l l.e topp- 1,6 Lr -s4 ^ ltd Legal Description: Owner Name & Address: Contractor: Address: 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 Width Length Width Length Width h q� LI%1JA®�� Ub&P—eSSAi4-•! Height Height Hgt/Ground Tel. # el. # Sq. Ft. Sq. Ft. Sq. Ft. Corner Lot [ ] Inside Lot [ ) Ft. Yd. Setback Side Yard Setback Type of Construction: Approx. Completion Date: 1jj2 f1f&s Proposed Driveway Width If New Opening Is Desired: Estimated Cost: $ oOOO 1 ® a Alt. A Alt B See Back Page for Explanation QDATE: lb 4$ it 55 APPLICANT:Q,�,`� Tel . #63 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 [ ] ,s CITY OF FRIDLEY INSPECTION DIV. 6431 University Ave NE Fridley, MN 55432 572-3604 RAIE SCHEDULE Residential APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION, REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES Furnace Shell and Duct Work, Burner — Also Replacement Furnace (Side Vent — Fill Out Back) Gas Piping (Needed with new furnace) Gas Range Gas Dryer *Air Conditioning — All Sizes All Others/Repairs & Alterations (LIST ON BACK 1% of Value of Appliance or Work Com mercialli ndustrial I% of Value of Appliance or Work Effective On January 1, 1993 JOB ADDRESS 591 (e 2Ai'� , i_C . State Surcharge .50 Burner Trade Name Size No. r 6 BTU HP EDR TOTAL FEE MINIMUM FEE FOR ANY HEATINGICOOLINGIVENTILATiON REFRIGERATION/AIR CONDITIONING PERMIT IS $15.00 PLUS THE $.50 STATE SURCHARGE REINSPECTION FEE $30.00 *Air Conditioners can not be placed in a side yard without written permission from adjoining property owner. HEATING COMPANY �@tl14% &4Y, Signed By Tel No.,�(� Approved y Rough—in Date Final Date FILL OUT BACK SIDE FOR STACK VERIFICATION ON REPLACEMENT FURNACE The undersigned hereby makes application for a permit for the work herein Rate TOTAL specified agreeing to do all work in strict accordance with the City Codes and A 00 rulings of the Building Division, and hereby declares that all the facts and $ 20.00 $ &1�10 representations stated in this application are true and correct. $10.00 $ t�'.G� OWNER M14 1!4 YL -_ (Ae V 1210 $ 10.00 $ _99 BUILDING USED AS ®lA-iC $ 10.00 1119. ��� ESTIMATED COST PERMIT NO. $10.00 $ DESCRIPTION OF FURNACE AND OR BURNER $ No. of Heating Units Circle One (Steam) (Hot Water (Warn Air) Trade Name Bv�a �20�(�-+� 1 Size No. BTU R Q, ao ® HP EDR $ Fuel LI'a`r Total Connected Load State Surcharge .50 Burner Trade Name Size No. r 6 BTU HP EDR TOTAL FEE MINIMUM FEE FOR ANY HEATINGICOOLINGIVENTILATiON REFRIGERATION/AIR CONDITIONING PERMIT IS $15.00 PLUS THE $.50 STATE SURCHARGE REINSPECTION FEE $30.00 *Air Conditioners can not be placed in a side yard without written permission from adjoining property owner. HEATING COMPANY �@tl14% &4Y, Signed By Tel No.,�(� Approved y Rough—in Date Final Date FILL OUT BACK SIDE FOR STACK VERIFICATION ON REPLACEMENT FURNACE NOTE: NF1 through #8 required when using a side vent furnace. CHIMNEY AND STACK VEIRIFICATION The undersigned hereby verifies that the existing chimney or stack: I . Has been carefully examined Yes (#� No { ) 2. is free from rust or deterioration Yes(,/) No ( } 3. Has no foreign objects lodged within Yes (-J No { } 4. is securely supported Yes (d ) No { ) 5. Meets all current Code requirements for size and total BTU's connected Yes (j/) No ( } 6 Has total heating BTU's of All other BTU's 560 TOTAL BTU's 6-0 7. Has a liner been provided for water heater Yes (+tNo (� �trr ►dr �- 60!(V Z� ti be-u,&-.�,6----cS je try 8. Has combustion air been provided for water heater Yes (P) No ( ) Remarks: � ei'�.,� L �.� .A a ►'�t i r.�.t � �� rr �✓ +�--5 °� � a �4�.�+ car e ei Lit ALTERATIONS BeingDoe- HEATING CO: Signed By: Date: U-& 1,. V ei. - t--7 ` q y 0610m- \' u1.PAtt7�tF. ��i—"` = --- NZ• OF 1NSrEC7'ION coastructl0n No. J� ( 7r, } �� �I R1cQcrcnce li tel. \Nall Int. Wall Ceilin Roo/ Floor Kit Dorn , Le ll to 7 Z. ' ._._. 1•'i:nciow, .ln �� ZSIViclth t$.✓� Height - _ f" --Cracks e A.ca •�a..... Fi.� 1 Nicj rioone 9 and n)�hWindows and D4,614.4 3� .(j "Z8 � k•. •/ oar e% t:�i r•nc^ ral:on I Coe(. Btu Ca11 _:,•:. L ^a': 5 I�Z.S �� 1~ap. wall t -z t \ -1S s Nct ttp. wall o _ Z Int. wall •. r.l.l _ (_ 12.Z°7 K l't;',�a..� Ctllltl :��,:.�: •, •Z2,4.t, _- =----- -••-.. Floor .--- _�±�. ar ,y. ins. 1V.A. Leader'... •=r.Fl. Total Btu. area 2.6 _ u �, nom -=n�=h \V dlh e' hle;�ht Rrquired sq. !<i. L.D.R. or sq. ins. 't :---�c+4rr-('rntkage and Arta 4-7,71; . ••-,:�.4. �:1 .._+. p _ "_^•�---j�°•_...?..°„•!..,..i t � -- •_ or tt.�. ., Ji Windom sad Doom-.t'...L-- W1 gra N.lel►/ •f Pear , AMNNEajV .S. MINIV. lasulatioa How ADnl;..t t+-enela iz. z� Width :rackalt sad Alta IL P7 - °v S st ~r lntltratioa call FF.xp. wall X Q. Net txp, wall 35 . Ccilinj !; r •� _Floor S X 7 1-01al Btu. R,9.4,.d sq. It. E.D f Windows and lao a. t • / 1 ZZ -./.....� . 2 • S lnfilttation CJall Exp. wall Net exp. wall -2-L(53 Int• wall Ceiling Floor tz. s k t�, Totsl Btu.. .ott. Diu Y0 cv,s<y 7 l { Zt Ludo area l 14 6 i" Hsiallt ' Area ra tl alr •f st •tY� Af 4 tl. wfN Y N• 11. .._ .cl will _ t `� •"""'..... 1 ..t .'• 7gi.. �. I i _ �lY Clot( Btu ` o ye orin, W.A. L,.der arca dth 1 d. 4 Widti• `�'•> Hc. = _ _ L—CratVcae� and Arca L', Iii., Jr.��l�--•���r , 7-7 IL 25,0 d D D c ` ..... r;. f• �J ;t. A` /\. .trn r lntltratioa call FF.xp. wall X Q. Net txp, wall 35 . Ccilinj !; r •� _Floor S X 7 1-01al Btu. R,9.4,.d sq. It. E.D f Windows and lao a. t • / 1 ZZ -./.....� . 2 • S lnfilttation CJall Exp. wall Net exp. wall -2-L(53 Int• wall Ceiling Floor tz. s k t�, Totsl Btu.. .ott. Diu Y0 cv,s<y 7 l { Zt Ludo area l 14 6 i" Hsiallt ' Area ra tl alr •f st •tY� Af 4 tl. wfN Y N• 11. i�1.S 1Y_� ct 3.5r _ �lY � 10 3S0 7 2ys .R. or i .i r+�• liq. las. �/.A. Lich, 7 arta Room I Le h Z_5 'Q/idtb r .. Hs• h1 r' or—Ctaeka t and Ana ra tl alr •f st •tY� Af 4 t� �t4�j ty ZZ1 '�'� `sro.are.1••�'� i�1.S 1Y_� 01a f �, Clot( Btu ` o ye ltt�ultetl 64. lt. EO.Ix. Oe 0 51•ts o z3 14 Vi 1. Zs 71 i b 1 l3 a W ,k 1 a••tl.s rite FRIDLEY MUNICIPAL CENTER - 6431 UNIVERSITY AVE. N.E. FRIDLEY, MN 55432 • (612) 571-3450 • FAX (612) 571-1287 March 31, 1995 Janet Taylor 5916 - 2nd Street N.E. Fridley, MN 55432 RE: Written Notice of a Hazardous Tree Located at 5916 - 2nd Street N.E. Dear Ms. Taylor: A recent inspection by the City Forester has revealed an extremely hazardous tree located at your address. For your safety and the safety of others, you must make arrangements to remove the dead elm tree on the north side of your property immediately. Please be advised that Fridley City Code requires any tree that endangers the safety or health of the public, to be removed within thirty days of receiving written notice. this letter will serve as written notice. The City Code also provides three options for private property tree removal. They are: 1. Property owner can remove the tree within thirty days from the date of notice, and be entirely responsible for the cost. 2. The property owner can request the City to remove the tree. The property owner is then billed, and required to pay the full amount within thirty days of receipt of the billing. 3. The property owner can request the City to remove the tree, and assess the cost plus interest, and a $25 administrative charge to the property. This special assessment will be spread over a five year period. Included with this letter is a copy of the City of Fridley tree ordinance and a reply form. Please respond as soon as possible using the diseased tree reply form. If you have any questions, or need further clarification on this issue, please call me at 572-3595. Sincerely, Kurt Schneider Code Enforcement Officer Enc. KS:da CE -95-56 1 SUBJECT - - City of Fridley =82�8! AT THE TOP OF THE TWINS BUILDING PERMIT COMMUNITY DEVELOPMENT DIV. ~ r PROTECTIVE INSPECTION SEC. 0 u + NUMBER REV DATE PAGE OF APPROVED Br = CITY HALL FRIDLEY 55432 612-571-3450 910-F15 10/16/98 JOB ADDRESS 5916 2nd Street NE I LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCA. 11, 12 9 1Hyde Park SHEET 2 PROPERTY OWNER MAIL ADORES$ ZIP PHONE Janet Taylor 5 432 572-9366 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Owner 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 0 NEW O ADDITION 0 ALTERATION is REPAIR O MOVE 0 REMOVE B DESCRIBE WORK Reroof house and garage (15 S Tear-off 9 CHANGE OF USE FROM TO STIPULATIONS Underlayment must comply with the State Buildng Code. 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 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 1285 .64 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 $43.00 Fire SC $1.28 PLAN CHECK FEE TOTAL FEE Z SIGNATURE OFCON'RCTORD AUTHORiIEDAGENT (DATEr WHEN PROPERL ALIDATED THIS IS YOUR PERMIT Si N TURF OF OWN R.6 NER BUILDER. IOATEi BLO IN SP Oa E 1 NEW [ ] Effective 1/1/98 ADDN [ ] CITY OF FRIDLEY ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION 8� ConstructionAddress:�- Legal Description: Owner Name & Address: " 1,!, SS Tel. # 5.� J( Contractor: F -� (7 MN LICENSE # Address: LIVING AREA: GARAGE AREA: DECK AREA: XOTHER: Construction Type: Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF EMPROVEMENT Length Width Height Length Width Height Length Width Hgt/Ground Estimated Cost: $ Tel. # Sq. Ft. Sq. Ft. Sq. Ft. (Fee Schedule on Back) Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ = $ �DATE:Z-41�Ls / 9 APPLICANT: U � / y/', 'r Tel. # TOTAL STIPULATIONS: CITY USE ONLY Permit Fee $ � 00 Fee Schedule on Reverse Side Fire Surcharge $ /,.28 .001 of Permit Valuation (1/10th%) State Surcharge $_ $.50/$1,000 Valuation SAC Charge $ $1000 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 [ ] Not Necessary [ ] TOTAL STIPULATIONS: Building BUILDING Permit No.: Z 6 C0 "7 1 Inspections RESIDENTIAL APPLICATION Received By: n 763-572-3604 CITY OF FRIDLEY Da ' r P 2 0 MG 763-502-4977 FAX $ 156 .001 times the total job valuation EFFECTIVE 1-1-2010 $ DATE O 100x_0®® YOUR E-MAIL ADDRESS ®°j�C �® "X� ^ �''17 SITE ADDRESS le — 'z --r-: License Surcharge $ THIS APPLICANT IS: ,OWNER ❑CONTRACTOR SAC Charge PROPERTY OWNER/ NAME: ApAle"_' $2100 per SAC Unit (Plans to MWCC for determination) ADDRESS: 5�'A� X"-% '5� �' °�• CITY � 'sT j� STATfi�9�ZIP � TENANT ft + 6 ft = ft x $24 = $ PHONE: $ CONTRACTOR NAME: Park Fee STATE LICENSE # EXP DATE SUBMIT A COPY OF YOUR STATE LICENSE AND CERTIFICATE OF ADDRESS: CITY STATE ZIP INSURANCE PHONE FAX $ PROPERTY TYPE SINGLE FAMILY/NEW CONSTRUCTION SIZE ?J1__--'° ❑ TWO FAMILY/NEW CONSTRUCTION STORIES I PERMIT TYPE ❑ ADDITION fil-GARAGIVSHEW ❑ WINDOWS ❑ BASEMENT FINISH ❑ ROOF ❑ DRAIN TILE ❑ DECK ❑ SIDING ❑ OTHER ❑ SWIMMING POOL TYPE OF WORK: $-NEW RIvl£ CONSTRUCTION ❑ ADDITION ❑ MAINTENANCE/REPAIR ❑ REMODELING DESCRIBE WORK BEING DONE: �u'®� ��"Olf ,r SIZE OF IMPROVEMENT LENGTH WIDTH HEIGHT / SQ FT S ROOFING Q HOUSE ONLY BASEMENT REMODELING SUBMIT: NUMBER OF SQUARES 13 ❑ 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, SWING [3 Vinyl ❑Soffit ADDITIONS & PORCHES SUBMIT: 1. Site Plan/Survey showing the existing structures ❑ Aluminum [3 Trim Other �— d� �����A�` [3 Fascia and proposed project. 2. Two sets of construction plans WINDOWS 3. Energy Calculations IN EXISTING OPENINGS ❑Yesfi[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 $ /X OCCUPANCY TYPE if, Pennit Fee $ See Back Page for Fee Schedule Plan Review $ 65% of Building Permit Fee Fire Surcharge $ 156 .001 times the total job valuation Surcharge $ -7 G .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 $ j Ic c Make checks payable to: City of Fridley 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 on site; that the work will be in accordance with the approved plan in the case of all work which p6hires review and approval of plans. �. SIGNATURE OF APPLICANTC!���`s - PRINT NAME /�G �/������ DATE Pop ftll� Y- 1,5 f, 7-4- t 24-- 1 24-- Z+ Z4- zgy #Tog MIN. rn t4l z "oorfoe 1"92/0 � e N v