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PRE 2010 DOCS• 0 City of Fridley, Minn.. BUILDING PERMIT Date: Sept. 18, 1967 Owner: Robert Wachsmith Builder Address 185 49th Ave. N. E. Address Same i3z(n N9 9457 LOCATION OF BUILDING No. 185 Street — 49th Ave. -- Part of Lot Lot — 1 __ Block 1 Addition or Sub -Division —_ Carlson ' s Summit Manor Corner Lot . Inside Lot _ _ Setback _____ Sideyard Sewer Elevation To be Used as: Foundation Elevation DESCRIPTION OF BUILDING Front Depth Height Sq. Ft. Cu. Ft. Front Depth Height — Sq. Ft. Cu. Ft. Type of ConstructionReshIn9l a Roof Est Cost __ _. $9= --4= To be Completed May 1 1968 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 descriptions e t forth and in compliance with of 1 provisions of ordinances of the city of Fridley. h l�� In consideration of the payment of a fee of $ 5.00 , permit is hereby granted to Robert the �Tachsmith to construct the building or addition as described above. This permit is granted upon express oondition that the pennon to whom it is granted and his agents, employees and workmen, Ia all work done in, around and upon said building, or any part thereof, shall conform is all respects to the ordinances oP Fridley, Bsinnesota regardin location, construction, alteration, maintenance, repair and moving of buildings within the sty limits and tt� permit may be revoked at aqy time upon violation of any of the provisions of said ordinances. CLARENCE BELISLE Bkd1ding Inspector NOTICE. TMs permit does not corer the construction, hutaiiaffon for whing, plumbing, gas hoodeg, sewer or water. Be sun to see the BulkUng Im gmftr for separate permhs for thea items. A?1r,L C.V M-.1 FOR B111-LDING ! T' : tT C!'-:'" OF Fit+:J: EYE MINNESCTA OWNER'S NAME ADDRESS U r AIJDP.ESS LOCATION OF BUILDING N0. i _STREET � v G' i PART OF LOT LOT BLOCK ADDITION OR SUBDIVISION 1Sp N S CORNER LOT XI -INSIDE LOT SETBACK SIDE -YARD SEWER ELEVATION FOUNDATION ELEVIMON Applicant attach to this form Two Certificates of Survey of Lot and proposed building location draxm on these Certificates. To Be Used Ad: Type of Constru To Be Completed DESCRIPTION Or BUILDING' Front Depth Height Sq. Ft. Cu. Ft. Front Depth Height Ft. Cu. Ft The undersigned hereby makes application for a permit for the work 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 andentations stated in this applic _ true and correct. DAT :7",* - 1(9 , -1 h> / SIGNATURE c - (Schedule of Fee Costs can be found on the Reverse Side). 0 SCALE- 1"-50' PILOTAVENUE * % 55 V ZR 100 112 75 ;t 124 75 136 75 7S P 'Nit 172 ft ro AJ. t O•-14 S O40.7 CA 40.2 JIJA 41 z 9 10 12 �,; Drfimo5s end U6 74 13 14 15 'ties 1016mint _j Lti,�j 16 177P- C_ I.- _7 R41 IZZ 111.2 Gol 1,A111- A0.2 d4 L,12� 32.2 _ -XI 40.2 401 wl C, 16; *0 149 173 ILI ... Co lot V 71 49th. AVENUE N.E. I hez.aby th.-st ti, mb,,ve is a survey -of ljAm t.Me tarnc-11;inteen Bloc.". 'Oud M..:LT VZO AM.11TILVI knova County. Mince. nota, sbQwiag tic: location of the house3 On ALid lOtO- /.a surveyed by we this 25tb day of march 1954 A. D. RC-lristrZDeu hot25_1311 . a SUBJECT PERMIT NO. City of Fridley o 1.5.5.12 AT THE TOP OF THE TWINS B U I L D I N G P E R M I T _ r ______ COMMUNITY DEVELOPMENT DIV. L INSPECTION cy/ 7 r PROTECTIVE SEC. � i1 = A A �� -I CITY HALL FRIDLEY 55432 NUMBER REV. DATE PAGE OF APPROVED BY .--_ L 612-571-3450 910-F15 10/9/79 JOB ADDRESS 185 49th Ave. N.E. 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 1 ] CarlsonI S Sunnit Manor South SHEET 2 PROPERTY OWNER MAILADDRESS ZIP PHONE Kenneth E. Sloat 185 49th Ave. N.E. Fridley 55432 566-5512 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 Residential 7 CLASS OF WORK ❑ NEW 7 ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Addition to garage and remodeling of breezeway. 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. Wood Frame 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 R-1 ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS OFFSTREET PARKING I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION STALLS I 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 $1.48 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT $2950.00 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. $16.56 PLAN CHECK FEE TOTALFEE A 11A $18.04 IG TUREOFCONTRA TOR ORA(UTH IZED AGE T WHErNROPE(ILY IS YOURPERMIT j(DATE) Q�` _1 A�THIS NATURE OF OWNER I IF OWNER BUIL` ERI IDA DG INSP r)ATE CITY OF FRIDLEY APPLICATION FOR RESIDENTIAL BUILDING PERMITS : (New, Alterations, Additions; or Repairs) • �; S� �°� OWNER: --r✓� BUILDER: ADDRESS: 0 — 7 lam% ADDRESS: TEL NO:- �� — SSl -Y TEL N0: ' • Construction Location "1 ' Acv -e STREET: �S7'►t r -' ' - STRERT NO: Gt l LOT: j BLOCK: ADDITION : 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 crC%f4ront: Depth: - 0'� 9- Height: Square. Feet: (o`� Cubic Feet: Front: Depth: Height: - Square - Feet: Cubic Feet: Type of Construction: Estimated Cost: $ Tb Be Completed: Alt. A Alt. B Proposed Driveway Width If New Opening Is Desired: $ $ SEE REVERSE SIDE OF SHEET .7he undersigned hereby makes application for a permit for the work 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 representations stated in this application a true and correct. SIC�ATUE: �,DATE:• f6 -1— 74oZ C - Stipulations: 1 �� • 160.E � •)c J Y )V,0ga SUBJECT City of Fridley 3 =220 AT THE TOP OF THE TWINS P, BUILDING P E R M I T r 1 COMMUNITY DEVELOPMENT DIV. ~ PROTECTIVE INSPECTION SEC. a47 r � , CITY HALL FRIDLEY 55432 NUMBER REV DATE PAGE OF APPROVED BY 612-571-3450 910-F15 8/3/93 JOB ADDRESS 185 49th Avenue NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 1 1 Carlson Ps Summit Manor South Addn„ SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Shirley Sloat 185 49th Avenue NE 571a-0404 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Viking Home Improvement Co. 4832 22 Street NE 572-182Q 4772 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 ❑ NEW ❑ ADDITION ❑ ALTERATION ❑x REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Reroof House (Tear -off) 9 CHANGE OF USE FROM TO STIPULATIONS Underlayment must comply wlth.the State Building Code, Provide adequate attic ventilation. Provide smoke detectors as per USC 1.210 adjacent to all sleeping areas and in basement. TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD SEPARATE PERMITS ARE REQUIRED 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 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 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 $2,000 $1. QQ 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- $45.00 Fire SC $2 OQ STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. a PLAN CHECK FEE TOTALFEE License SC $5.00 $53,00 SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT IDATEI WHEN OPERLY ALIDATED THIS IS YOUR PERMIT 9-- IL 0 L G Iv P QATE SiGNATURE OF OWNER OF OWNER BUILDERi IDATEI NEW [ ] Effective 5126193 ADDN [ ] CITY OF FRIDLEY ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 Building Permit Application Construction Address: 1 �5`— `t 9-z - 4-v W�— Legal Description: Owner Name & Address: 0 41 IZ I'ZTel. # Jr %l -a51a y Contractor: j r �11yef / O t4 ,2- yl P /b 0 tic -P-7- COt MN LICENSE #— Address: �`�� ZT o� �� S 7- Tel. # L 7Z `ArZO Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. LIVING AREA: Length GARAGE AREA: Length DECK AREA: Length OTHER: DESCRIPTION OF IMPROVEMENT Width Height Sq. Ft. Width Height Sq. Ft. Width HgtlGround Sq. Ft. Corner Lot [ ] Inside Lot [ ] Ft. Yd Setback Side Yard Setbacks Type of Construction: 'fieA-z Am l?..e h')2 0 us -C Q,, IIy Estimated Cost: $ �2-Q G 4 � Approx. Completion Date: / Driveway Curb Cut Width Needed: Ft. + 6 Ft = DATE: 4�� APPLICANT• (Cost on Back) Ft x $ = $ Permit Fee $ 0 CITY USE ONLY Fee Schedule on Reverse Side Fire Surcharge $ a 0 0 .001 of Permit Valuation (1110th`) State Surcharge $ /,00 $.501$1,000 Valuation SAC Charge $ $750 per SAC Unit License Surcharge $ $5.00 (State Licensed Residential Contractors) Driveway Escrow $ Alt. "A" or Alt. "B" Above Erosion Control $ Conservation Plan Review $450.00 Park Fee $ Fee Determined by Engineering Sewer Main Charge $ Agreement Necessary [ ] Not Necessary ( j TOTAL $' rJ O STIPULATIONS: Tel. # S%2"/ef ZD SUBJF& City of Fridley 31486 AT THE TOP OF THE TWINS BUILDING PERMIT r ` RECEIPT NO. 1; COMMUNITY DEVELOPMENT DIV. v------ INSPECTION SEC. /vpy r PROTECTIVE 1 r NUMBER REV GATE PAGE OF APPROVED BY CITY HALL FRIDLEY 55432 612-571-3450 910-F15 10/16/00 JOB ADDRESS 185 49 Avenue NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 1 1 Carlson's Summit Manor South Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Shirley Sloat 185 49 Avenue NE 763-571-0404 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 8 USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW ❑ ADDITION ❑ ALTERATION REPAIR O MOVE ❑ REMOVE 8 DESCRIBE WORK Reroof House & Garage (24 Sq) Tear -off 9 CHANGE OF USE FROM TO STIPULATIONS Underlayment must comply with the State Building 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 1 HAVE READ AND EXAMINED THIS APPLICATION 1 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 $2,454 $1.23 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- $83.25 Fire SC $2.45 STRUCTION OR THE PERFORMANCE OF CONSTRUCTION PLAN CHECK FEE TOTAL F E $8,$.93 SIGNA RE OF CONTRACTOR ORAUTHORiZEDAGENT iDATEi MEN ROP ALIOATED IS YOUR PERMIT /0-/6 -a ® gip SMgv /4 r gA1E SGNATUREd w RiF OWNER BWLDERATEA NEW [ l Effective 1/1/2000 ADDN [) CITY OF FRIDLEY (763) 672-3604 Bldg Insp ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION Construction Address: 9 d, 6 Legal Description: Owner Name & Address: Si / e- V 1* 7- Tel. # 7 6 s" y/ - 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: zymf / Construction Type: Estimated Cost: $ cl?9V Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ _ $ DATE: le —1.6 - u u APPLICANT: �� y o '< Tel. # -74& CITY USE ONLY - Call (763) 672-3604 for Permit Fees If mailing In application Permit Fee $ .�� Fee Schedule on Reverse Side Fire Surcharge .001 of Permit Valuation (1/10th%) State Surcharge $ 1,d3 $.50/$1,000 Valuation SAC Charge $ $1100 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 $ B (o J2 STIPULATIONS: Building Pk. tbs MECHANICAL Permit NoX- Inspections RESIDENTIAL APPLICATION Received 763-572-3604 CITY OF FRIDLEY c' DATE S O o YOUR E-MAIL ADDRESS SITE ADDRESS k1s V e M V--- THIS APPLICANT IS: ❑ OWNER VCONTRACTOR PROPERTY NAME: ` U M OWNER/ ` ADDRESS: %9%U AV a \v IG CITY STATEJY&IPS TENANT PHONE: —1 la 3 - SC)of • 1-6 la T CONTRACTOR COMPANY NAME: CENTERPOINT ENERGY SUBMIT A COPY OF CONTACT PERSON: JOANN Z INKEN STATE LICENSE # EXP DATE YOUR STATE LICENSE WITH ADDRESS: 9320 EVERGREEN BLVD STE BITY "COON'""RAP.IDS sTATEMN zIP55433 APPLICATION PHONE-763 — 757 -- 6202 FAX 763--757--6701 PERMIT TYPE INGLE FAMILY ❑ TWO FAMILY ❑ TOWNHOUSE TYPE OF WORK. ❑ NEW °[REPLACEMENT ❑ ALTERATION/REMODEL DETAILED DESCRIPTION OF WORK PER MS 1613.665 the permit fee is a minimum of $15.00 or 5% of the total cost up to $500.00, whichever is greater, for the improvement, installation or replacement of a residential fixture, excluding the fixtures. (This should reflect only the cost of labor ) Labor cost under $300 = $15.00. Labor cost between $300 to $500 = cost of labor x.05 = FOR PROJECTS WHERE LABOR EXCEEDS $500, FEES ARE BASED ON $10.00 PER FIXTURE, EXCEPT WHERE NOTED. FIXTURES: (INDICATE TOTAL NUMBER OF EACH BELOW) SIZETU (-,C> DOCS Equipment Installed MFG: r r-i.e_- MODEL: '5$ (M V (5 b(o0 B r:6 MFG: v-,MODEL: O a SIZE/BTU a v% S MFG: MODEL: SIZE/BTU l A/C $25.00 FIREPLACE (GAS) $15.00 _GAS RANGEIOVEN $10.00 _—AIR TO AIR EXCHANGEER $15 _FIREPLACE (WOOD) $35.00 NEW GAS GRILL $10.00 _ BOILER $35.00 1FURNACE $35.00 UNrr HTR $10.00 _GAS _CHIMNEY LINER $10.00 _GAS DRYER $10.00 _POOL HEATER $35.00 DUCTWORK $10.00 GAS PIPING $10.00 $15.00 3 _VENTILATOR Number of fixtures @ $10.00 x $10.00 = $ -Permit Fee $ Surcharge $ .50 Number of fixtures @ $15.00 x $15.00 = $ TOTAL DUE $ Number of fixtures @ $25.00 x $25.00 = $ 5 ,C6 Number of fixtures @ $35.00 x $35.00 = $ 3S ,00 State Surcharge = $ .50 Total = $ (ed ,SD THIS IS AN APPLICATION FOR A PERMrr-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 accordance with the approved plan in the case of all work which requires review and approval of plans. SIGNATURE OF APPLICANT �• NAME ROGER HOFFHEIN DATE 5 D City of Fridley Building Inspections' Department 6431 University Avenue NE, Fridley, MN 55432 763-572-3604 FAX: 763-502-4977 City of Fridley Residential Mechanical Application Page 2 REQUIRED INFORMATION NEEDED TO PROCESS PERMIT RESIDENTIAL PERMIT APPLICATION HVAC ❑ NEW HOMES/ADDITIONS EXISTING HOME 0 MAKE-UP AIR REQUIRED FOR NEW/EXISTING HOMES 1. Combustion Air (See note below) a. Oil or solid fuel IMC Chapter 7 with MN Amendments b. Natural Gas or Propane/IFGC Chapter 3 with MN Amendments 2. Make-up Air (See note below) a. IMC Chapter 5 with MN Amendments 3. Venting a. Gas appliances IFGC Chapter 5 with MN Amendments b. Fuel other than gas IMC Chapter 8 with MN Amendments REQUIRED FOR NEW HOMES 4. Heat loss & cooling load per room a. Required on new construction IMC 1346.0312 5. Ventilation a. Per MN Energy Code 7670 or 7672 6. Duct Design Per IMC 1346.0603.2 a. ACCA Manual D NOTE: Centerpoint Energy Mechanical Code Guidelines software may be used for combustion and make-up air calculations. 80oz a Z N n r W1 Building BUILDING Permit No.: 1 Inspections RESIDENTIAL APPLICATION Received By: 763-572-3604 CITY OF FRIDLEY 0 6 2- 763-502-4977 FAX .001 times the total job valuation Surcharge EFFECTIVE 8-19-09 .0005 x Permit Valuation Minimum $.50 DATE \\-C)' O7) YOUR E-MAIL ADDRESS �O(� o� Co SITE ADDRESS lobs t4°I 1"l A J F , NF $ THIS APPLICANT IS: ❑ OWNER 4CONTRACTOR $ PROPERTY OWNER/ NAME: L-TF4GJ P \IES $ TENANT ADDRESS: j% > LW''l` AyF , N�,- CITY STATE LA / ZIP ) Fee Determined by Engineering PHONE: X - 13(A $ CONTRACTOR NAME: Pjo2 L�ivG Fx fC-2�idLs $ SUBMIT A COPY OF YOUR STATE LICENSE STATE LICENSE # a 8 09 <0 8 D EXP DATE AND CERTIFICATE OF , ADDRESS: �"1)1 W A� ly F CITY F2?OL�7 STATEMDJ ZIP_ INSURANCE PHONE Cda - 51q- .�394 FAX PROPERTY TYPE ,0 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 11 REMODELING t' DESCRIBE WORK BEING DONE: R.00F �j, / f�, kRzt- 4pA::�fz SIZE OF IMPROVEMENT LENGTH WIDTH HEIGHT SQ FT ROOFING LD ❑ 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: SIDING FOR NEW CONSTRUCTION INCLUDING DECKS, ❑ Vinyl ❑Soffit ADDITIONS. & PORCHES SUBMIT: ❑ Aluminum I ❑ Trim 1. Site Plan/Survey showing the existing structures I�1OtherS?fE L ❑ 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: (IJ ING THE 1997 U.B.0 FEE SCHEDULE) TOTAL JOB VALUATION $ �� 1 1 (a OCCUPANCY TYPE Permit Fee $ See Back Page for Fee Schedule Plan Review $ 65% of Building Permit Fee Fire Surcharge $ .001 times the total job valuation Surcharge $ .0005 x Permit Valuation Minimum $.50 License Surcharge $ $5.00 (State Licensed Residential Contractors) SAC Charge $ $2000 per SAC Unit (Plans to MWCC for determination) Curb Cut Escrow $ ft + 6 ft = ft x $22 = $ 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 ordi ces 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 .0- o fora 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 o 1 work whi quires review and approval of plans. (� SIGNATURE OF APPLICA PRINT NAME? NLL��DATE to v