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PRE 2010 DOCSDate Owner Address it BUILDING PERMIT j Village of Fridley, Minn. 1; N? 2114 ..... Builder.. ................ Address 4V —40--9 4 LOCATION OF BUILDING No. ...�... Street .. •" +,!• • • • ........................ Part of Lot ....................... Lot ...... APBlock .... ......... Addition or Sub -Division.. . -,;/ • , Corner Lot ........ ... Inside Lot ............ Setback ............ Sideya$rd ......... I. ................ II DESCRIPTION OF BUILDINGTo be U"d, as: .� Front Depth . .. lfeight Sq ... Cu. Ft. ..ap g �I Front • Depth ' . Hei ht ........ S 1 Type of Constructio �,.,.,,,�.. Est Cost' °:.. , , , .. , ..... To be Id .,feted Rolti ISI , II i' In consideration of the issuance to me of a permit *to construct the building described above, I agree to do the proposed work Ii accordance with the description above set forth and In compliance with all provisions of ordinances of the age of Fridley. • • ........................... .: . . • .. • .. +. In consideration f the payment of a fee of,$c.. + . , permit is herebi granted toj .. ,�+�� .: to construct the buildb addition as described above' This mid is g ated upon I n tion that the person to whom it is granted and his ,agents, emplo ees and workmen, In all work done In, around and pon said building, or any part- thereof, shall conform in all ects to the ordinances of Fridley, Minnesota r g location, construction, alteration, maintenance, rep and moving of buildings with- in'the v�fllage limits d permit may be revoked at any time upon violation 00 any of the provisions of said ordinances. ' -Building Inspector NOTICE: This permit It oes not cover the construction, Installation or alteration :for v 1jrfng, plumbing, gas heating, sewer or water. a 'sure to see the Building inspector for separate pecrrlli, .tcr mese Items. II I CIlYOF FRIDLEY FRIDLEY MUNICIPAL CENTER • 6431 UNIVERSITY AVE. N.E. FRIDLEY, MN 55432 • (612) 571-3450 • FAX (612) 571-1287 March 28, 1991 Mr. Mark Lukey 6030 - 3rd Street NE Fridley, MN 55432 RE: Three Season Porch at 6030 - 3rd Street NE, Fridley Dear Mr. Lukey: In response to your letter to Ms Dacy dated 3-25-91, we offer the following comments. First, as to the June 1, 1991 compliance date, we feel the time given is appropriate and can be met if your desire to comply is sincere. We are willing to work with you as far as responding to your plans when you submit them. In order to respond to your question about the fiberglass roof, we first must have you determine what manufacturers product it is and then obtain the bulletins that pertain to how it is to be installed. We have one technical manual distributed by "Filon", on their system, that you are welcome to look at if you desire. We picked it up from API located on about 53rd & Main Street. Your proposal to engineer a beam to be installed, as you indicate on your sketch, under the roof framing would solve all the other structural problems with the roof since it will remove all the load from the facia of the original house. The live load for snow in Minnesota is 40 lbs per square foot. The Building Code for structural design for single family house framing has not changed in the last 8 years, however you are welcome to. look at our older copies if you desire. Please feel free to call me if you have any other questions. Sincerely, D EL G. CLARK Chief Building Official 4-30-9) DGC/mh CC: Ms. Barbara Dacy Scr.. jr"it, -'p ��• ltilo 46 �4 �o AAO d Jt&w,.o r .aisl 84 `030 3,� St t c ale 4�f4� 7 )A4#%t " f4,d,, �O,,,tn.,�a.�,7� �" ,�09s.+�y `�,..,,,, /�Ie,,, T� dL�t�►Q..,ua ir �r.,.. �o►,� --- .o...�e�;a 60., �.,2*-�► �.-te ie �e aia-apt 6A" )r4 llad JIOI-"c .6. .a.wa.o wnd,Q.w.a�.-nim 1� -"P-4-f r�.•-r.ta�..ar�-�-d %i'�. UAAL-�st%vt b� 3 st�9l 4r o is '06 VA �rs- * red r.,. _Ltko � a/-*, ser, F�I-l"j Oc (I I ) a llv�� r�� &A" 0-n 04 1"-I;t '06� t"g-V �* 1; Ift" lice ),ft 1p -nod 0 ow ,e,e,�,n�-�.�, t't"'Yee ,,D�,�p U 'ICA 44o 1 4.0, 4-:- '2,1' 13 1 V.- I AIM k4"" 1 31 ,3 A�. 4t, X 51 PJ,,ldi �at..�.�.. ve /�i�y "J 011 SUBJECT P City of Fridley 2 0 7 5 3 AT THE TOP OF THE TWINS BUILDING PERMIT � RECEIPT rr COMMUNITY DEVELOPMENT DIV. 7N�0. 1i PROTECTIVE INSPECTION SEC. r NUMBER REV PAGE OF APPROVED BY CITY HALL FRIDLEY 55432 612-571-3450 9t0 -F15 r4/9,191ATE JOB ADDRESS 6030 - 3rd Street NE i LEGALLOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 9,10 6 SHEET Hyde Park 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE 572-0791 Mark Lukey 6030 - 3rd Street NE 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 11 REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Alterations to Back Porch. Roof to Bring Up To Code 9 CHANGE OF USE FROM TO STIPULATIONS Before digging call for all utility locations 454-0002 REQUIRED BY LAW n 1"— - L(- Zzo n 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 ISTALLS 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 $500 $,50 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 STATE OR LOCAL LAW REGULATING CON- $15.00 Fire SC $.50 STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. PLAN CHECK FEE TOTAL FEE 6.00 SIG FC TRAC R OR AUTHORIZED AGENT IDATEI n WHEN PROPERLY �TT YOUR P RMJ„T iNSP MATE NAT O O NER0FOW IDA' "J 011 NEW ATT [ ] R-1 AND R-2 ALTER [ J Building Permit Application Construction Address: ( o C) --S b I- St- L9-A.ZA Effective 1/1/91 legal Description: owner Name & Address: Tel. Contractor: ��, _ Tel. # Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DtIPPION OF IIuih-VEHM LIVIM AREA: Length Width Height Sq. Ft. t�iRAGE AREA: length Width Height Sq. Ft. DECK AREA: length Width Hgt/Ground Sq. Ft. Corner Lot [ ] Inside Lot [)C] Ft. Yd Setback Side Yard Setbacks Type of Construction: Estimated Cost: $ Approx. Completion Date: Proposed Driveway Width If New Opening Is Desired: Ft. $ $ Width + 6' See Back Page DA'Ph• APPLICANT- Tel. CITY BSS D�II,Y Permit Fee $ %'e' �D Fire Surcharge $ State Surcharge SAC Charge $ Driveway Escrow $ Park Fee $ Sewer Main Charge $ TOM $ A0, C)K) STIPUTATIMS: Fee Schedule on Reverse Side .001 x Permit Valuation (1/10th $) $.50/$1,000 Valuation $650 per SAC Unit Alt. "A" or Alt. "B" Above Fee Determined by Engineering Agreement Necessary [ ] Not Necessary [ ] M �YOc-e- 'pa b � aj,) (n UTZ / �/w�- (� Rl Q, 312 Z 4�5� U-) - Ax fa W -� J7 lent = 2q)( WL 2 3 SZg , M= 7 �—�2$xIL= s 25,42,C) S= A - S2gZ.x 12 � I G76 v- Q- i ri-5 O< , Ste 2x2 31.E Mtn SddT4cti PN c 't.. UD t 2't +C 18 " ecu � x �ti _ s TECHNICAL..- 9242".1., - P.O. Box 360530, Cleveland, OM 44136 BULLETIN JailUa ry_ suc as recommended eye protection and cover nose and throat with filter mask when cutting. Panels 40 not.intended to support the undistributed; f weight .... corkers. DO NOT WALK ON PANELS. ,: ; w ,::... , Roofing ladders or planks should be used during Installation or roof maintenance. Observe simple fire precautions. Similar to wood of equal thickness, fiberglass panels can be flesh - ignited at approximately 700°F. Proper precautions must be used during storage, construction, and _ after installation. STORE PANELS PROPERLY. While a single panel easily withstands exposure to sunlight and the elements, a stack of fiberglass panels will trap heat and moisture, causing internal clouding in the panels. To avoid this irreversible effect, panels should be stored in a dry, shaded, well -ventilated area. Store panels on edge or on and. Skids should be elevated at one end with wood spacers: . , '. •: Inspect panels and report any defects immediately. Do not install panels of unacceptable quality. Sequentia will not be responsible for installation or removal costs of unacceptable panels F 4.2, Carl. . aat.: `-'i.°; Box. . 72_ .. _ Or so. 1'7' Corr, 5 OZ. _ OF .. 31•- 6OZ. 40" 34' 28'. - 25' Notes: 1. 'Table is based on section properties or, actual load tests (available on request).: _ -- 2. design loads are governed by local' s building codes. Consult code authorities for specific . load and stress requirements. 3. The above information is provided as preliminary data fordesigners. It should be checked and verified and its use determined by a duly licensed engineer or architect. Z - Ptevadng WW _ „ SM'wdth RECOMMENDED OVERLAP. 2'W'x 14" Corrugation (Prevailing Wind/Overlaps) Note: Overlaps shown will provide best protection against leakage and air.i.nflitration. Vinyl lap seal and/or'mastic must alsv.be used to achieve,, effective seal.`.': A b INSTALLATION INSTRUCTIONS'�-'_.CORRUGATED_ PANELS-_�F";`;7- ALSYNITE/STRUCT.OGLAS is a translucent glass MAXIMUM ALLOWABLE SPANS FOR UNIFORM fiber laminate'conslsting of a uniform mat of high _: LQADING. The fo11o_ wing table shows "maximum strength glass fibers imbedded In an organic ." allowable spans for uniformly distributed loads on resin. The compound structure cures under heat "- corrugated panels 'when fastened as recommended, and pressure to a solid material which Is lightweight, --"-' based on two or more continuous spans (three or'�.- ;► j�;. strong, shatter -resistant, and with excellent tight more,purlins), including a safety factor of 2.$;;_ For' " ".'�"` ' - diffusion characteristics. Colors are compounded - vertical applications, many building codes'aAow tt,�-3' into the resin before cure, thus making the colors 20% Increase in the span. in heavy snow areas, 1 an Integral part of the composite material. nominal 5 oz./sf panels are recommended and ALSYNiT'Ir:/STRUCYOGI.AS Installs easily with closer. spacing of.puriins should be considered. ordinary carpenter tools and may be drilled, sawed, While panels may not fail under heavy snow loads, punched or Waited without damage. The material Is strain at fastening points can cause slight cracking. . _. durable, rot -proof, waterproof, and is not harmed by or crazing., J der b onditions�sho�rl s -ter-- -- -. ordinary cleaning solutions. ALSYNITE/STRUCTO- Hallowed#osuRpot►ersor;irrreg GLAS panels install much like corrugated metal; The information Is provided as preliminary data for exhibit similar structural qualities; and provide the designers. It should be checked and verified and added benefit of fight transmission. Its use determined by a duly licensed engineer or architect. GENERAL INFORMATION: These Instructions are NOMINAL m-�•MAXIMUM intended as guidelines for proper installation AECOMMENDEDROOFSPANS SHAPE WEIGHT procedures. in the use of tools, fasteners, sealants ot.PR. so.r r. 1sp.e.i. 20p•s•1. :iPp•i•I. 40na1: 6 and adhesives, follow manufacturer's recommended fr �gy 40Z., 45• 42' 3r 32' Box.. 44' .... 4e' 42• 35' procedures for best results, rte• "" 54•55 W. 4B• IMPORTANT: READ ALL INSTRUCTIONS CARE- sr - 7M FULLY BEFORE BEGINNING INSTALLATION. USE2.8rGorr., so:. , sa• -- s4•� eOZ. ., 63" e+0'. .-. 54•. 48' APPROPRIATE SAPS v EG?UIPMENT h _ ...... SOL ° 7Q,._.•. %as,..._ -, SV .. 54--"* _. suc as recommended eye protection and cover nose and throat with filter mask when cutting. Panels 40 not.intended to support the undistributed; f weight .... corkers. DO NOT WALK ON PANELS. ,: ; w ,::... , Roofing ladders or planks should be used during Installation or roof maintenance. Observe simple fire precautions. Similar to wood of equal thickness, fiberglass panels can be flesh - ignited at approximately 700°F. Proper precautions must be used during storage, construction, and _ after installation. STORE PANELS PROPERLY. While a single panel easily withstands exposure to sunlight and the elements, a stack of fiberglass panels will trap heat and moisture, causing internal clouding in the panels. To avoid this irreversible effect, panels should be stored in a dry, shaded, well -ventilated area. Store panels on edge or on and. Skids should be elevated at one end with wood spacers: . , '. •: Inspect panels and report any defects immediately. Do not install panels of unacceptable quality. Sequentia will not be responsible for installation or removal costs of unacceptable panels F 4.2, Carl. . aat.: `-'i.°; Box. . 72_ .. _ Or so. 1'7' Corr, 5 OZ. _ OF .. 31•- 6OZ. 40" 34' 28'. - 25' Notes: 1. 'Table is based on section properties or, actual load tests (available on request).: _ -- 2. design loads are governed by local' s building codes. Consult code authorities for specific . load and stress requirements. 3. The above information is provided as preliminary data fordesigners. It should be checked and verified and its use determined by a duly licensed engineer or architect. Z - Ptevadng WW _ „ SM'wdth RECOMMENDED OVERLAP. 2'W'x 14" Corrugation (Prevailing Wind/Overlaps) Note: Overlaps shown will provide best protection against leakage and air.i.nflitration. Vinyl lap seal and/or'mastic must alsv.be used to achieve,, effective seal.`.': A b ujj Apck &,y 14 x p--,� ?CC 6",<42" Z)C4 I MI- colo"I A ice 2 -AY.& all C—vx er lZil DE f.,p 1w ,c- =q 000 461'tA l h CE's 1.1b #-� )w %,o- X-C ID�'ca.att�'siNk. ?r r z JVI cnI k ,-C i V9 31& 21 LZ L 7 y4T4-:V� "r] q- vreg"'56, --,raw �•v+rr� Z �.-r b p- Z �sE 595 �� W*4-4 S5-1 oz ss - �t oc , /ilfgl J=� 44)(7,s -2,6) ry - rc .9-50 CA 1 fin, 83 160 `z LkAjL 12 IN su6JEGT P City of Fridley � 2 9 215 AT THE TOP OF THE TWINS BUILDING PERMIT 1-1 �� R tr -------COMMUNITY DEVELOPMENT DIV.®� PROTECTIVE INSPECTION SEC. �J r t (/ NUMBER REV DATE PAGE OF APPROVED By CITY HALL FRIDLEY 55432 612-571-3450 910-F15 4/14/99 JOB ADDRESS 6030 3 Street NE I LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 9 10 6 H de Park SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Steve Wraneschetz 6030 3 Street NE 572-9349 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Gates Roofing 4640 Ximines Lane, Plymouth, MN 55442 550-0043 6793 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 o O NEW O ADDITION O ALTERATION X REPAIR O MOVE O REMOVE X 8 DESCRIBE WORK Reroof House & Garage 23 S Tear -off 9 CHANGE OF USE FROM TO STIPULATIONS Underlayment must comply with the State Building Code. CONSTRUCTION WORK HOURS: 7:00 am to 9:00 pm, Monday thru Friday; 9:00 am to 9:00 pm on Saturday; No work on Sunday. 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 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 $.98 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT $1,971 DOES NOT PRESUME TO GIVE UTHORITY TO VIOLATE OR CANCEL THE PERMIT FEE SAC CHARGE PROVISIO OF ANY OTHER ATE OR LOCAL LAW REGULATING CON- ST ION R TME PERFORM NCd✓ STRUCTION PLAN CHECK FEE TOTAL Lice s $ 0.20 IGNATUREO�RACTOR R AUTHORIZED AGENT 'oAtblN O A I S I$ Y BLO --N SP YP�E rJATE S.GNATURE OF OWNER„F OWNER BUILDER, IOATEI IN NEW ADDN ALTER ConstructionAddress : ---� Legal Description: Owner Name & Address: Contractor: Address: fl LIVING AREA: GARAGE AREA: DECK AREA: OTHER: CITY OF FRIDLEY SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION Zl'*",Q N z FA -S-K C-u " Tn/ --5 04 c `f -'? Effective l/ 1/99 Tel. # �-7 2 r- 'l -? Y'% MN LICENSE # (P ,,Tel. #� 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 Height Sq. Ft. Length Width Height Sq. Ft. Length Width Hgt/Ground Sq. Ft. Construction Type: i ated Cost: $ (Fee Schedule on Back) Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ _ $ DATE: c `� APPLICANT: Tel. # 7 r Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee Sewer Main Charge TOTAL STIPULATIONS: CITY USE ONLY $_ S7 Fee Schedule on Reverse Side .001 of Permit Valuation (1/10th%) $ $.50/$1,000 Valuation $ $1050 per SAC Unit $ d $5.00 (State Licensed Residential Contractors) $ Alt. "A" or Alt. "B" Above $ $450.00 Conservation Plan Review $ Fee Determined by Engineering $ Agreement Necessary [ ] Not Necessary [ ] $ f)o.'.?v CITY OF FRIDLEY 6431 UNIVERSITY AVENUE NE FRIDLEY, MN 55432 763) 572-3604 FAX: (763) 571-1287 REPRINTED ON 11/17/2004 ADDRESS : 6030 3 ST NE PIN : 233024220022 LEGAL DESC : UNAVAILABLE : LOT 10 BLOCK 6 PERMIT TYPE : BUILDING PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : WINDOW/DOOR REPL PERMIT NO.: 2004-02097 DATE ISSUED: 11/17/2004 VALUATION : $ 500.00 NOTE: PROVIDE SMOKE DETECTORS IN ALL SLEEPING ROOMS AND ON ALL LEVELS OF THE DWELLING PER R317 OF THE 2000 INTERNATIONAL RESIDENTIAL CODE. CAULK AND FLASH ALL EXTERIOR OPENINGS. APPLICANT TODD HENDRIKSON 6030 3RD ST NE FRIDLEY, MN 55432 (612) 202-3529 OWNER TODD HENDRIKSON 6030 3RD ST NE FRIDLEY, MN 55432 AGREEMENT AND SWORN STATEMENT This permit becomes null and void if work or construction authorized is not commenced witin 60 days or if construction or work is suspended or abandoned for a period of 120 days at any time after work is commenced. I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any other state or local law regulating construction or thermance of construction. Applicant r / Date / j is �. � ��_,_' -� . -�• BUILDING PERMIT FEE 23.50 FIRE SURCHARGE 0.50 STATE SURCHARGE, VALUE 0.50 TOTAL 24.50 PAID WITH CHECK # 2019 SEPARATE PERMITS REOUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. NEW [ j CITY OF FRIDLEY Effective 4/1/2004 ADDN [ ] 6431 University Ave NE, Fridley, MN 55432 (763) 572-3604 Bldg Insp ALTER1 ,[ij' SINGLE FAMILY AND DUPLEXES R-1 AND R-2 (763) 571-1287 Fax BUILDING PERMIT APPLICATION � � d- e7 i7 Construction Address: 0 v �L/ %� r Legal Description: re S It,�✓ , +-+� �� 5; �c t Owner Name & Address: Tel. #� Contractor. MN LICENSE # Address: 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: Construction Type: ti srPs 5 lir Estimated Cost: $ Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ —=$ ' 3s—Zi cct j DATE: APPLICANT: o au 4eclj; son Tel. 6 t , z�z 35" - S Call (763) 572-3604 for Permit Fees if mailing in application. Fax to 763-571-1287 if using credit card and we will call you for card number. CITY USE ONLY - Permit Fee $ Fee Schedule on Reverse Side Plan Review $ 65% of Permit Fee Fire Surcharge $ .001 of Permit Valuation (1/10th%) State Surcharge $ t�;o $.50/$1,000 Valuation SAC Charge $ $1350 per SAC Unit License Surcharge .$ $5.00 (State Licensed Residential Contractors) Curb Cut 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: . W� Window Todd Hendrikson 6030 3rd Ground level Basement floor Drawing 2"x10" Ground Level Buck frame 2"x12" 3 � "'floor to window sill Building Inspections 763-572-3604 BUILDING RESIDENTIAL APPLICATION CITY OF FRIDLEY DATE `� 0 I7��--yyam� YOUR E-MAIL ADDRESS SITE ADDRESS THIS APPLICANT IS: VOWNER ❑CONTRACTOR PROPERTY OWNER/ TENANT CONTRACTOR SUBMIT A COPY OF YOUR STATE LICENSE WITH APPLICATION ADDRESS�39 Ll� - �- CITY PHONE:r 6 j -Si4- I1145- Permit No. Received By: ,�p Date Rec'd: `1 TBMIU IP STATE LICENSE # EXP DATE ADDRESS: CITY STATE ZIP PROPERTY TYPE PERMIT TYPE TYPE OF WORK: DESCRIBE WORK BEING SIZE OF EvIPROVEMENT, NUMBER OF SQUARES GARAGES PROPOSED SIZE: PROPOSED HEIGHT: SIDING vinyl ❑ Aluminum ❑ Other I SINGLE FAMILY/NEW ❑ TWO FAMILY/NEW CC ❑ BASEMENT FINISHQJ ROOF El DECK % SIDING ❑ SWIMMING sI LENGTH ❑ HOUSE ONLY I HOUSE & GARAGE ❑ ATTACHED GARAGE ❑ DETACHED GARAGE TnmtI��oP'!� Fascia SIZE STORIES WINDOWS ❑ DRAIN TILE ❑ OTHER �.122 5VA c,a/QAP a - WIDTH HEIGHT 01e Ft. BASEMENT REMODELING SUBMIT: 1. Existing Floor Plan 2. Proposed floor plan 3. List of structural members to be used 0 FOR NEW CONSTRUCTION INCLUDING DECKS, ADDITIONS & PORCHES SUBMIT: 1. Site Plan/Survey showing the existing structures and proposed project. 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 U.B.0 FEE SCHEDULE) TOTAL JOB VALUATION $ `0, OCCUPANCY TYPE Permit Fee $ d, 0 See Back Page for Fee Schedule Plan Review $ -- 65% of Building Permit Fee Fire Surcharge $ o 06 .001 times the total job valuation Surcharge $ Fjo Ct, .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 $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 TION 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 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 w e ' e re 'ew and approval of plans. SIGNATURE OF APPLICANT PRINT NAME --V--