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PRE 2010 DOCSVeil age of M4neyg Minn. BUILDING PERM" Office of INSPEMB OF BUILDINGS wner, Fridley, Minn. — l� LOCATION OF BUILDING 0 :N Street -.Part Of Lot Lot Block— Addition or Sub -Division :z_ DESCRIPTION OF BUILDING 001 Front='_ Depth height Stories Manner of Construction TO be used as r-, To be completed"Estimated Cost Permit is hereby I muted to.,,+_ to. the building- ii described in the above statement. This permit is granted upon the express condition that the person to whom it is granted, and his agents, employees and workmen, in all the work done in, around and upon said building, or any part thereof, shall conform in all respects to the ordi- nances of Fridley, Minn., 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. --Inspector of Buildings. 6 In considers the above perm: above set forth sworn, I hereby true as therein i AGREEMENT AND SWORN STATEMENT of the issue and delivery to me by the Inspector of Buildings of Fridley of hereby agree to do the proposed work in accordance with the description according to the provisions of the ordinances of Fridley, and, being first duly e and say that the facts stated by me and contained in the above permit are Subscribed and sworn to before me at Fridley, daY .—A.D. 19- E Minnesota, i§X___ E r 5yahkan @7W Devica PAS g CAL S H"MML RMA7M WAW MR: R&W Shell & Duct �orh ... ..... .. $10.00 $i Wamment of YW=ee &00 Repairs & Alterations ---up to 03x00.00 6.00 -- -- - 'Repairs & Altersua ns each ate. W00.00 . S.Go Shell A Duct Work to 190,06 BTU .. .. ..Slow $— each add. 0101000 .... 3.0t) R Replaoment of Furnace '.00 Repairs A Alterations --up to $M.00 3.00 Rqmhs & Alterations each add. $M.00 3.00 105WIZAM or HOT WATER BYSTEM .2trnace Shell & Lines -to 400 say. ft. 1DR Stun $10.00 $ -- Furnace Shell do Line -to 640 sq. ft. EDR Hot Water 10.00 $_ Each add. 200 sq. ft. EDR Steam annEach add. 320 sq. ft. EDR Hot Water 3.00 $-- OIL BURNER -to 3 gal. per hour 6.00 $ _ over 3 gal. per hour -fie Fee Schedule GAS BURNER sup to 199,000 BTU) &00 oyer 199,000 UM ase Fee Schadule GAS SING FEES: NO RATE TOTAL 1st 3 Fixtures x$ 7.00 g -7 " Additional Fixtures x ,75 = Gas Range to 19%M =$ &00 $ AIR COIIDI'f°liON11f0 FAN HEATING STSTIRM VEN 2JLTMM STSTEM ALTERATIONS ! REPAnM ROIIOH mw& 9- 2.7-7 e S"Fee ' TOTAL. FEE$� i M, i /.' City of rddley; The undersigned hereby makes application for a permit for the work bereft specified, agreeing to do all work in strict Apordance with inle City Ordiaaucw- ammd ruling of the Department of Buildings, aid hereby decflwen that aB Qe fa d and representations stated in this application are true aM owye L Fridle l� = 7— --„ 7Y Owner __�. � Kind of Building Used as tabout To be complei-�_ 751 -^ Estimated Cost, /l -Neer. Building Permit NO. Permit No. � V Total Connected Load Kind of Fuel BURNER - Trade size Nb Capacity Sq. FR F..D STIJ Mr. teur.:as-oacsl SUBJECT RMIT NO. City of Fridley o15 9.8 8 AT THE TOP OF THE TWINS BUILDING PERMIT _ r REC . `L _ COMMUNITY DEVELOPMENT DIV. INSPECTION SEC. �� r PROTECTIVE CITY HALL FRIDLEY 55432 NUMBER REV. DATE PAGE OF APPROVED BY 612-571-3450 910-F15 10/30/80 JOB ADDRESS 5530 - 6th Street N.E. 1 LEGALLOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 4,5 7 Hamilton's Addn. to Mechanicsville SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Gerald Kangas 5530 - 6th Street N.E. 571-9741 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Landgraff Construction -'- 521 - 53rd Avenue N.E. 560-5827 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 ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Construct a 12' x 26' Addition to House 9 CHANGE OF USE FROM TO STIPULATIONS Provide proper escape window in upstairs bedroom. WARNIAftj BOOM call jG,,, digging TELEPHONE ELECTRIC.;IG�jj`;�,': a L'[C SEPERATE PERM ITS REQUIRED Fop L�°i�9 I� REQUIR r E® �� L,4 HEATING, PLI.�M13rNG AND SIGNS, TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, Wood Frame 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 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 $11,600 $5.80 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- $72.00 NONE. TRUCTION OR THE PERFORMANCE OF CONSTRUCTION. PLAN CHECK FEE TOTAL FEE 4WWOUZ4 /�z& 1�� P $95.80 SIG TUR FCONTRACTORORAUTH ZEDA T (DATE)ROPERLY VALIDATED THIS IS YOUR PERMIT =-\WHEN 0 i� � oSIGNATURE I DPT OF OWNER IIF OWNER BUILDER) )DATEI CITY OF FRIDLEY APPLICATION FOR RI7SIDENTIAi_ BUILDIItG I'EM41TS Ocv, Alterations, Add—itiuns, or Repairs) OtdttER:. DUI LDER : ADDRESS:,L 3 e G / ADDRESS: TEL NO: — TEL NO: 30 Construction Location STRM:T NO: STREET: LO`!': BLOCK: ADDITION: G�%�Z�aGG oL�'. //T 1 t Corner Lot: Inside Lot: Setback: Sideyards: Applicant attach to this form two Certificates of Survey of lot and proposed building location drawn on certificates to scale. DESCRIPTION OF CONSTRUCTION Front: r Depth: Height: Square. Feet: �` Cubic Feet: Front: Depth: Height: Square -Feet: Cubic Feet: ' %`ype of Construction: Estimated Cost: $ IMO&ftywlir 7U 3e Cbmpleted:/ZZ 00. o` Alt. A Alt. B Proposed Driveway.Width If New Opening Is Desired: $ $ SEE FEVERSE SIDE OF SHEET The undersigned hereby makes application for a permit for the %.;ork* herein specified, agreeing to do.all work in strict accordance with the City of Fridley Ordinances and rulings of the Department of Buildings, and hereby declares that all the facts and representaticns stated in this application are true and correct. DATE: 6��" 7z_' SIGNATURE: PTU FF: Stiiaulations: Ar qrqA� rr ;�► a► V 49 sr / '°N��i 431 qb9&".j d it 11� * fmv- . . I, El I` 1 L c, ;/,.44 __ ... '� _ 1�' ,- - -r -- , - T• -- L27/0- �- City of Fridley AT THE TOP OF THE TWINS SUBJECT BUILDING PERMIT ER P_ 18161 r • COMMUNITY DEVELOPMENT DIV. r � � PROTECTIVE INSPECTION SEC. 1 i � CITY HALL FRIDLEY 55432 j 612-571-3450 RE NUMBER 910-F15 REV. DATE 8/15/85 PAGE OF APPROVED BY JOB ADDRESS 5530 - 6th Street N.E. 1 LEGAL DESCR. LOT NO. 4,5 BLOCK 7 TRACT OR ADDITION SEE ATTACHED Hamilton's Addition to Mechanicsville SHEET 2 PROPERTY OWNER MAILADDRESS ZIP PHONE Gerald Kangas 5530 - 6th Street N.E. 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Viking Home Improvement Co. 4832 - 231 Street N.E., Mpls., MN 55421 572-1820 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 [I ALTERATION 0 REPAIR 0 MOVE ❑ REMOVE 8 DESCRIBE WORK Reroof House 9 CHANGE OF USE FROM TO STIPULATIONS Roof can be second layer but not 3rd. Install ridged galvanized valleys. 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 AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION ZONING SO. FT. CU. FT. 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 AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT VALUATION $1,000 SURTAX $.50 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. P AN CHECK FEE TOTAI6EEoO ,� SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT (DATEI WHEN PROPERLY YALIDATED THIS IS YOUR PERMIT Z 0AT SIGNATURE OF OWNER OF OWNER BUILDER) (DATE) NEW [ ] ADDN. [ ] ALTER. [ ] Construction Address: Legal Description City of Fridley �R-1 AND R-2 Building Permit Application -30 S e Effective 4/1/84 Owner Name & Address: �� a �iTel. # Contractor: �% t %V f A.-9 wow e yt_/J!?dye.cra. Tel. # s✓Z-1��0 Address:�� 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 GARAGE AREA: Length Width DECK AREA: Length Width OTHER: e.44 ¢ � Height Height Hgt/Ground Sq. Ft. Sq. Ft. Sq. Ft. Corner Lot [ ] Inside Lot [ ] Ft. Yd. Setback Side Yard Setback Type of Construction: F Estimated Cost: $ j 4b� Approx. Completion Date: Alt. A Alt B Proposed Driveway Width If New Opening Is Desired: $ $ See Back Page for Explanation Z, DATE: 744 APPLICANT: Tel. CITY USE ONLY Permit Fee Plan Check State Surcharge SAC Charge Park Fee Sewer Main Charge TOTAL STIPULATIONS: 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 [ ] 0 A 0 V O LL m M .L m 0 z CITY OF FRIDLEY INSPECTION DWISIONrl-- 643 f Urftrsly Ave NE Fridlep, MN X432 APPLICATION FOR POWER PUINTSAND HEATING, COOLING, On ,Jarna;ry 1'. 1998 NG, VENTILATION 572-3604 REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES , RATE SCHEDULE JOB ADDRESS n E Residential Rae TOTAL The undersigned hereby makes application for a permll forthe work herein Fumace Shell and DuctWolk r — 8�� agreeing to do aI work In strict accordance with the City Codes and Also Replacement Fuma $ 3D.00 $ DD rulings of the Bulldmg DW=r , and hereby declares the all the facts and (Side Vent — Fill Out Oack) , — epresentatlons stated m this application are true and correct, Gas P11*9 (Needed with new Nmace) $10m Gas Range $10.00 $ OWNER n Gas Oryer 1Q0D $$ BUILDING USED AS *Air —ASizes $25.00 ESTIMATED COST PERNTNO. Ali Othemgtepairs$Allemom(UST ON BACK) DESCRIPTION OF FURNACE AND OR BURNER 1%ot VWue of Appilanoeor Work $ No. of Heating Units Cirde One OVUM Ai Commercial/irufinstrial Trade Name Size,_��� q4 BTU ��''EDS 1,25% of Value of Apprrance or Work $ Fuel��`� l�t�-i'atal Connected Load -- State Surcharge LM Burner Trade Name Size No, TOTAL FEE BTU HP EDR MINIMUM FEE FOR ANY HEATIN {:OOUNG VENTILam REFPoGERATION AIRCONDITIONING PERMIT IS 25.00 RWS THE Sm STATE SUACHAROE REINSPECTION IEE $42.Ooft *MCondk!oners can not be placed In a side yard wftlwut wrftn Psm*sfon from adjoining properly owner. FILL OUT BACK WE FOR REPLAC MENT FURNACE Rough—in Date Final Datq STACK VERIFICATION ON A rz F 1 a60P_ NOV-18-1998 13-'40 FROM CITY OF FRIDLEY TO 4248651 P.02i02 CIM M AND STACK VERYY�TCATION The undersigned hereby vermes that the existing chimney or stack: 1. Has been carefully examined Yes &j)/No ( ) 2. Is fkee from rust or deterioration Yes (VKNo ( ) 3. Has no foreign objects lodged within Yes (} No (0 4. Is securely supported , Yes (\,.-*/No ( ) 5. Meets all current Code requirements for size and total BTU's connected Yes V NG ( ) 6 Has Notal heating BTU's of All other BTU's TOTAL BTU's a003 7. Has a liner been provided for water heater Yes ( ) No ( ) 8. Has combustion air been provided for water heater Yes ( ) No ( ) Remarks:. List AL'lMATIONS einem HEATING CO: Signed By: Date: oss HEAT LOSS CALCULATION9 DEPARTMENT OF INSPECTION Door, 11 Rufomso a-4% 19 Room I Lausib Wladowt and Doon--Crao6so and Aro , N. oof 1 404Al a 14�- M-�t Ca4 Btu Iofiltralioo Glass iron Exp. wall FPA Net gap. wall Int. wall YL2r)II'�� c,Iling Floor HWAt 0 L iron FPA YL2r)II'�� i r 0 4, HOUSE HEATING TEST RECORD ADDRESS\js C , APT. FLOOR CITY "i i SUBURB _ OCCUPANT o +' �. _\- r' � i' C: OWNER HEAT LOSS DATE HTG. INST. SOLD BY INSTALLED BY Ele%ctrical Work' By Gas Line By TYPE OF HEAT GA FA V, HW STEAM SPACE HTR. UNIT HTR. OTHER GAS DESIGN MAKE 1 1,` _i MAKE OF BURNER CONVERSION Model WN ? q t \ .+ ► Model -I ` 4- t" 5 i Sial � � �-� �i" Max. BTU Rating INPUT a o i:-) MAKE OF FURNACE Model CONTROLS THERMCITAT W. Heat Plug• Vent Size j� Volvo �f -1' '1 A, U KIND OF LINER � _� 512E NONE Limit Draft Hood Regularor Limit Setting ` - © Filters Size umber Fan Setting Chimney Location Inside- Outside Pilot Type Chimney Construction Pilot Make Pilot Model _ Pilot Timing L.W. Cut Off Smoke Bomb r Wiring Draft -'l 7, � 1 r` Test Tog ®� Door Pressure L fighting Inst. Pressure - +y Percent CO2 , Date Tested �° v a ./ Input CFH __Percent 02 Company Testing ! _- - -.1. e d ; to Stack Temp. ��? Percent CO Name of Tester y Form 235 SUBJECT P City of Fridley 29826 AT THE TOP OF THE TWINS BUILDING PERMIT r 1 , T NO. COMMUNITY DEVELOPMENT DIV. r PROTECTIVE INSPECTION SEC. 1 1 NUMBER REV DATE PAGE OF APPROVED BY 1 /"'1 CITY HALL FRIDLEY 55432 612-571-3450 910415 7/6/99 ,OB ADDRESS 5530 6th Street -NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. (� 5 7 lHamilton's—Addn. SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Jerry Kangas571-9741 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Right Way Roofing 1405597-A67A -4q99 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 O NEW ❑ ADDITION ❑ ALTERATION XR REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Reroof house 14 S Tear -off 9 CHANGEOFUSEFROM TO STIPULATIONS Underlayment must comply with the State Building Code. Permit Inspection Cards Will Be Mailed To Homeowner To Post SEPARATE PERMITS ARE REOUIRED FOR ELECTRICAL, PLUMBING, HEATING, TYPE OF CONST. OCCUPANCY GROUP OCCUPANCYLOAD 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 OFFSTREET PARKING I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION ISTALLS 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 1224 .61 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 $47.90 Fire SC $1.22 PLAN CHECK FEE TOTALFEE L nse SC S5.0073 SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT IOATEi WHE PR PERLY V LIDATED THI§ IS YOUR PERMIT S-GNATURE Of OWNER,IF OWNER BUILDER, -DATE, BLDG -NS TATE NEW [ ] Effective 1/1/99 ADDN [ ] CITY OF FRIDLEY ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION ConstructionAddress: 65 5(�) �Qfn St N . e Legal Description: Owner Name & Address: Jef-y- u -fes: as S S E"In (Q {-h SV, N . C. Tel. #_ 5 -71- 9 -7 L/ 1 Contractor. 08�f MN LICENSE # �9 q Address: o't �cj 0 Tel. # SS i 8(p �� 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 Height Sq. Ft. Length Width Height Sq. Ft. Length Width T Hgt/Ground Sq_ Ft. Construction Type: re irC)C)r Estimated Cost: $ `� 1.2-2 Schedule on Back) Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ = $ DATE: �Q " `�� �� APPLICANT: :Emn K lchr6 Tel. #56-7- 6(D -7 B Permit Fee $ -4/9 / 0 Fire Surcharge $ �. State Surcharge $ 1 SAC Charge $ License Surcharge $ D Driveway Escrow $ Erosion Control $ Park Fee $ Sewer Main Charge $ TOTAL $ Sq- 7 STIPULATIONS: CITY USE ONLY Fee Schedule on Reverse Side .001 of Permit Valuation (1/10th%) $.50/$1,000 Valuation $1050 per SAC Unit $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 [ ] Building ? BUILDING $ Permit No.: Inspections $ RESIDENTIAL APPLICATION Received By: V 763-572-3604 -CITY OF FRIDLEY - Date , • � 763-502-4977 FAX EFFECTIVE I-1-09 DATE ?d7t;.'7�0q YOURE-MAI DRESS \ MI a SITE ADDRESS Al THIS APPLICANT IS: ❑ OWNER CONTRACTOR PROPERTY OWNER/ NAME: ADDRESS: ' CITY STATEZIP TENANT C PHONE: - 57/ - -741 CONTRACTOR NAME: Linda SUBMIT A COPY OF STATE LICENSE # EXP DATE OLOO YOUR STATE LICENSE D AND CERTIFICATE OF ADDRESS Iq CITY STATEZIP INSURANCE PHONE "' FAX O PROPERTY TYPE m SINGLE FAMILY/NEW CONSTRUCTION SIZE ❑ TWO FAMILY/NEW CONSTRUCTION STORIES PERMIT TYPE ❑ ADDITION ❑ GARAGEISHED WINDOWS ❑ BASEMENT FINISH ❑ ROOF ❑ DRAIN TILE ❑ DECK ❑ SIDING ❑ OTHER ❑ SWIMMING POOL TYPE OF WORK: ❑ NEW HOME CONSTRUCTION ❑ ADDITION K1v[AINTENANCE/REPAIR ❑ REMODELING DESCRIBE WORK BEING DONE: SIZE OF IMPROVEMENT ENGTH 0 WIDTH HEIGHT SQ FT ROOFING ❑ 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 ADDITIONS. & PORCHES SUBMIT: ❑ Vinyl ❑Soffit 1. Site Plan/Survey showing the existing structures ❑ Aluminum ❑ Trim and proposed project. ❑ Other ❑ Fascia 2. Two sets of construction plans WINDOWS 3. Energy Calculations IN EXISTING OPENINGS ,Yes ❑No LOCATION OF WIN OWS OR FOR NEW OPENINGS -DESCRIBE SIZE OF BV i ✓1A Onrn 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 $ 37-3-1.06— _ OCCUPANCY TYPE Permit Fee Plan Review Fire Surcharge Surcharge License Surcharge SAC Charge Curb Cut Escrow Erosion Control Park Fee Sewer Main Charge Total Due $ ? $ $ 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) $2000 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 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 applic Io for a per 't work is not to start without a permit on site; that the work will be in accordance with the approved plan in the cas of all ork wh' r ices a iew and approval of pl s. SIGNATURE OF APPLICAN C PRINT NAME a0 y d J i TIC.- DATE V PLEASE NOTE: SEPARATEVERNtTQLM REQUIRED FOR PLUMBING, ELECTRICAL AND MECHANICAL WORK