Loading...
PRE 2010 DOCSCity of Fridley, Minn. 6431 University Ave. N.E., Minneapolis, Minn. 55432 BUILDING PERMI Date: - July 29 1971 Owner: - Vernon Rutherford Builder Sa*ae Address 1661775th Avenue N E Address _ Same LOCATION OF BUILDING No. 1655 __ Street 7 5th Ave --nue N.R. Part of Lot Lot Pt _ _..Qf._2 _ Block __ 1 _ __ __ Addition or Sub -Division Spring T.akp dark Lakeside Corner Lot ___..X.... — _ Inside Lot _ Setback ____ Sideyard Sewer Elevation ___ Foundation Elevation DESCRIPTION OF BUILDING To be Used as: DWelli ng _Saar. Front 501 _ Depth 241, Height 201 Sq. It. 12161 Cu. Ft. 74,190t __ Front Depth Height Sq. Ft. Cu. Ft. Type of construction _ _Frame Est, cost .,,_"094.56 _ To be Completed Den- 1. 1971 Stipulations: Verifying survey required before proceeding with framing. Provide a hard surface drive. 8911.9.7 SEWER LOCATION: 83` East of Manhole. Wye Elev. 891.87 Top of Footing: Mk;e7 Approx. WATER LOCATION: 95.5 t East of Manhole, 12.5' East of Sewer Sefvice. In consideration of the issuance to me of a permit to construct the building described above, I agree tp 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. Z._� In consideration of the payment of a fee of $ 45- Q0 —, permit is hereby granted to "Terror Rutberford 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 b didin- within the city limits and this permit may be revoked at any time upon violation of any of the provisions of &aid NOTICE: This permit does not cover the construction, installation for wiring, plumbing, gas beating, sewer or water. Be sure to we the Building Inspector for separate permits for these Items. 3 APPLICATION FOR RESIDENTIAL, ALTERATION, OR ADDITION BUILDING PERMIT CITY OF FRIDLEY, MINNESOTA OWNER'S NAM. BUILDER: ADDRESS': ADDRESS: NO: . / S S�_ STRUT: 'J' We ST- 10 jr F 7,A- (7 0 (-- LOT: OBLOCK, _ADDITION :J -W CORNER LOT: INSIDE LOT: SETBACK:,SIDEYARD: Applicant attach to this form Two Certificates of Survn of Lot and proposed building location drawn on these Certificates. DESCRIPTION OF BUILDING To Be Used As: C Front: Depth: ;2 Height: Square Feet:-,/ Cubic Feet: _'2 -Front: —Depth: Height: Square Feet; Cubic Feet: Type of Construction: Estimated Cost: ..tee Ow To Be Completed: The undersigned hereby makes application for a permit for the work herein specified, agreeing to do all work in ottict accordance with the City of Fridley Ordinances and rulings of the Department of Buildings, and hereby declares that all the facto and representations stated in this application are true and correct. DAIGNATURE: a Reverse �Side For Additional Information.) /h- 7`•* 7 -IF Ir / C) T -A t Al ty A) v v ,5Ett),Cle I lar T//V 6 F3 S- ly 33 APPS f'eww Phoft and Htathig. Cooling, Y�etilO�ioe. R rollon and Air sydem m 44vkm PARTIAL RATE SCHEDULE GRAYI7T WARN AIRS MATE TOTAL. Furnace shell & Duct Work ... ................ ..$1000 $ Replacement of Furnace ......... .... .. 8.00 $.-- Repairs & Alterations.—up to $500.00 ... &00 $ Repairs & Alterations each add. $500.00 ... 3.00 $_ _ l EOL WAM AIA Furnace Shell & Duct Work to 190,000 BTU ........ ..$10.00 $ each add. 60,000 BTU .................... .. &W = Replacement of Furnace .. .. ....... I ..... 800 $ Repairs & Alterations --amp to $500.00 8.00 a Repairs & Alterations each add. $500.00 .... .. ..... 3.00 $ STEAM or HOT WATER SYSTEM Furnace Shell & Lines—to 400 sq. ft. EDIT Steam $10.00 $ Furnace Shell & Line—to 640 sq. ft. IDR Hot Water 10.00 Each add. 200 sq. ft. EDR Steam 3.00 Each add. 320 sq. ft. VDR Hot Water 3,00 $ OIL BURNER --to 3 gal. per hour 6.00 $ — over 3 gal. per hour—See Fee Schedule GAS BURNER (up to 199.000 BTU) . ... ......... 600 over 189.000 BTU See F» Schedule GAS FITTING FEES: NO RATE TOTAL 1st 3 Fixtures x$ 200 $ • e)o Additional Fixtures x `74 $ � Gas Range to 199,000 .. ..... z$ &00 $ D@VL et Md9.. PhOne 9604= City of Fddley: The undersigned hereby makes application for a permit for the work :bereft specified, agreeing to do all work in strict accordance with the City Ordibancee and ruling of the Department of Buildings, and hereby declares that an the facts and representations stated in this application are true and erect. y/ Fridley. Minn Owner C Rind of Building Used as To be completed about_si -7— '-x� e 1 Estimated Cost, Old—New. Building Permit No. Pesmit No. DTICZEPTION OF WOH>t BEATING or POWER PLANTS—steam,Water arm Air—No- ,/_ �f . Trade Name o) - L 2 Zd- � Sim - w� - -1V6 Capacity Sq. Ft. E,.D-R- BTU ". Total Connected Lead Rind of F=L 22e92 BURNER — Trade Na+�► size lou_ AM CONDiIONING $ Capadty Sq. Ft. E.D R- BTU HOP FAN HEATING SYSTM See Fee Scbedule /D 0/ goo d 7-u AXe - v rM ATING SYSTne $ / al "0a % /y-�-j 00 tl,67 4& ALTERATIONS & REPAIRS TOTAL FEE ' au : Aa j -116'e) 0 C1 lel-4e we 1 - ROUGH (SUp,C11pjp,GE- _ 5D) BuWr wss Pbane FINAL " ��- %S P / (REMARKS -OVER) 01 SUBJECT MIT NO. City of Fridley ('31420 AT THE TOP OF THE TWINS BUILDING PERMIT COMMUNITY DEVELOPMENT DIV. RECStr __�___ r PROTECTIVE INSPECTION SEC. o 1 IL�'j CITY HALL FRIDLEY 55432 NUM9ER REV DATE PAGE OF APPROVED By ----�; 1 612-571-3450 910-F159/22/00 JOB ADDRESS 1655 75 Avenue NE LEGAL LOT NO. BLOCK TRACTOR ADDITION SEE ATTACHED DESCR. Pt 9 1 Spring Lake Park Lakeside SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Tim/Tania Krueger 1655 75 Avenue NE 763-786-1893 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 Ck NEW O ADDITION O ALTERATION O REPAIR O MOVE O REMOVE 8 DESCRIBE WORK Construct a 12' x 16' Deck 9 CHANGE OF USE FROM TO STIPULATIONS See notations on plan. WAR1411VG SEPARATE PERMITS Before digging call for REQUIRED FOR: all " locations WIRING HEATING P111MBINd AND SIGNS 454 454-0002 REQl11RE® BY LAW SEPARATE PERMITS ARE REQUIRED 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 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 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT $2,112 $1.05 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 $.83.25 Fire SC $2.10 PLAN CHECK F TOTAL EE /// 1 $ .40 5� ruaE OF CQ TRACTOR On AUTHORIZED AGENT (DATE- LT 112. EN ROPE ALIDAT D T IS IS M r S. N T qE OF ail WNEa BWIDEai iDA BLO iNSa QAtE 01 NEW [ ] Effective 1/1/2000 ADDN [ ] CITY OF FRIDLEY (763) 572-3604 Bldg Insp ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION � oz Construction AddrE Legal Description: Owner Name & Address: Tel. # /S(,-jyg3 T. -0 ��/ � ► �l�,. ul IiL,�,�MN LICENSE # Address:- M3232K 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 1 Z' Width UP 1 Hgt/Ground /-)WSq. Ft OTHER: Construction Type:r Estimated Cost: $ / 6djv-kwo .1 Driveway Curb Cut Width Needed: Ft + 6 Ft = Ft x $ _ $ DATE: %APPL ANT' Tel. # 7(e)z2&4i-2T23 CITY USE ONLY - Call (763) 572-3604 for Permit Fees if mailing in application Permit Fee $ �-� Fee Schedule on Reverse Side Fire Surcharge .001 of Permit Valuation (1/10th%) State Surcharge $.50/$1,000 Valuation SAC Charge $ $1100 per SAC Unit License Surcharge $ $5.00 (State Licensed Residential Contractors) Driveway Escrow $ Alt. "A" or Alt. T" Above Erosion Control $ $450.00 Conservation Plan Review Park Fee $ Fee Determined by Engineering Sewer Main Charge $ Agreement Necessary [ ] Not Necessary [ ] TOTAL $ 56c, 0 STIPULATIONS: —Fall Golph�k S42 -FE �lLLlllLl,,,�/ �QOUI�� �4A�ROUf ci Nnu�E Lik( ",v z '. d cye- - lw OTF!,L,p�t---Slj ©`1"ER t=.l..L SED sfaZ„� ►�a.0 AeA4rl I uil psa-3ei ©N %E,&N p n I W QOd&t ��oo l bS C �� Dov z spiri�ll<s Z �vJAY a oueeW C AVAILABLE ON THE JOS gITF FOR THF FR.AIUIN', will be S-'ov► PLAN APPROVED ` SUBJECT TO FIELD INSPEC ION INSPECTOR Jut land ►lonwing Land Siawying soils Nesting • Civil lagineering Municipal Engineering T Mortgage v ,.r 6675 MigMvap No. 65 N. I. ' Minneapolis, n��neph�► , nii• Minn. 33432 Telephone 794.-6066 Engineers. & Surveyors Area Code 611' Loans Survey for Y ERN RUT1jF-- FORD --- 105.0 --- -1� 24.0 S15,95 Concrete Block �' Basement �n�y 49 lu 1 � LJ� ,0O 25 r -00,`, I r-^ � E. cP -fit o Co 4 I CD o cs. I • +- Z a :i N ; CO Y 1 1 --- 105.0 --- -1� 24.0 S15,95 Concrete Block �' Basement �n�y 49 lu M U Stc�ie i,nC,.30reW 80.O 1 ---►05.0--- - —+c Tµ AvF—wuE N- --he We4- ,.105 t eel o+ LoV , X310& 1 ySpri•►�. Lal t Park LaWsici� y Anoka Coin , innesoia as measures cxlon •Fie North aknd Sou�� 1►nes �inereo* • Su6`eci -{'o an ease.men�- '-'tir roaoi ur doses over }he �rles� rL5nee� 4hereon �. r P P t t This is a true and correct representation of a survey of the boundaries of the land above described and of the location of all buildings, if any, thereon, and all visible encroachments, if any, from or on said land. This survey is made only in connection with a mortgage ban now being placed on the property and no liability is assumed except to the holder of such mortgage or any other interest acquired by the reason of such mortgage. It ii understood and agreed n menuntents ho a been laced }or the purpose of establishing lot liras or boundary corners. Dated this I Li� day of Auqu'� A. D. 19,T. SUBURBAN ENGINEERING, INC. ' Engines fj Suter% r i t a by A fiT t..�.. -- 1 � LJ� ,0O 1 N � -fit o Co 4 I � �J � l O o�- M U Stc�ie i,nC,.30reW 80.O 1 ---►05.0--- - —+c Tµ AvF—wuE N- --he We4- ,.105 t eel o+ LoV , X310& 1 ySpri•►�. Lal t Park LaWsici� y Anoka Coin , innesoia as measures cxlon •Fie North aknd Sou�� 1►nes �inereo* • Su6`eci -{'o an ease.men�- '-'tir roaoi ur doses over }he �rles� rL5nee� 4hereon �. r P P t t This is a true and correct representation of a survey of the boundaries of the land above described and of the location of all buildings, if any, thereon, and all visible encroachments, if any, from or on said land. This survey is made only in connection with a mortgage ban now being placed on the property and no liability is assumed except to the holder of such mortgage or any other interest acquired by the reason of such mortgage. It ii understood and agreed n menuntents ho a been laced }or the purpose of establishing lot liras or boundary corners. Dated this I Li� day of Auqu'� A. D. 19,T. SUBURBAN ENGINEERING, INC. ' Engines fj Suter% r i t a by A fiT t..�.. -- CITY OF FRIDLEY 6431 UNIVERSITY AVENUE NE FRIDLEY, MN 55432 5/L-3bU4 1+ Ax: 1 %631 571-1L57 ADDRESS : 1655 75TH AVE NE PIN : 123024110044 LEGAL DESC : UNAVAILABLE : LOT BLOCK PERMIT TYPE : ELECTRICAL PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ADDITION/ALTERATION PERMIT NO.: 2004-00761 �(,/� dbs' DATE ISSUED: 05/21/2004 VALUATION NOTE: ELECTRICAL PERMIT BECOMES VOID 12 MONTHS AFTER PERMIT ISSUE DATE. ADD CENTRAL AIR CONDITIONING. # INSPECTIONS 1 APPLICANT K & M ELECTRIC INC 2208 LOIS DR MOUNDS VIEW, MN 55112-1263 OWNER KRUEGER TIMOTHY P & TANIA L 1655 75TH AVE 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 wort 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 the performance of construction. Applicant Date Bldg Insp Date ELEC PERMIT FEE - MIN (RESI) 20.00 STATE SURCHARGE, ELEC FLAT 0.50 TOTAL 20.50 PAID WITH CHECK # 3741 SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. CITY OF FRIDLEY 6431 UNIVERSITY AVENUE NE FRIDLEY, MN 55432 572-36U4 YAX: (763)571-1287 ADDRESS 1655 75TH AVE NE PIN 123024110044 LEGAL DESC UNAVAILABLE LOT BLOCK PERMIT TYPE HEATING PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ADDITION/ALTERATION PERMIT N .: 2004-00717 DATE ISSUED: 05/17/2004 VALUATION : $ 5,000.00 NOTE: AIR CONDITIONERS CAN NOT BE PLACED IN A SIDE YARD WITHOUT WRITTEN PERMISSION FROM ADJOINING PROPERTY OWNER. COMBUSTION AIR SHALL BE PROVIDED PER UMC SECTION 504(A) AND TABLE 6-A. INSTALL AIR HANDLER AND DUCT WORK IN ATTIC FOR AIR CONDITIONING. # A/C UNITS 1 # FURNACES 0 # GAS DRYERS 0 # GAS RANGES 0 APPLICANT ST MARIE SHEET METAL INC 7940 SPRING LAKE PAR SPRING LAKE PARK, MN 55432-2253 (763)784-5241 OWNER KRUEGER TIMOTHY P & TANIA L 1655 75TH AVE 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 wort 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 regulatingconstructian or the performance of construction. C Bldg HEATING PERMIT MINIMUM FEE 0.00 FURNACE SHELL/DUCT WORK 0.00 GAS RANGE FEE 0.00 GAS DRYER FEE 0.00 AIR CONDITIONING FEE 25.00 STATE SURCHARGE, MECH FLAT 0.50 TOTAL 25.50 PAID WITH CHECK # 44079 CITY OF FRIDLEY BUILDING INSPECTION 6431 University Ave NE Fridley, MN 55432 763-572-3604 FAX 763-571-1287 RATE SCHEDULE Residential Furnace Shell and Duct Work, Burner & also Replacement Furnace Gas Piping (New Furnace, Fireplace, Insert) Gas Range Gas Dryer *Air Conditioning - All Sizes All Other Repairs or Alterations (List on Back) 1% of Value of Appliance or Work Minimum Fee $15.00 for Residential or 5% of cost of Improvement whichever is greater Commercial/Industrial/Institutional 2 ea -76o Effective 4/1/2004 APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES JOB ADDRESS 1462; - Fee ' 462; Fee Total Owner �� ffij 2),*j tCG� $35.00 $ Building Used As �C 61E $10.00 $ ESTIMATED COSTC3��oC' PERMIT NO '_�o® $10.00 $ $10.00 $ $25.00 $�, 1.25% of Value of Appliance or Work (List on Back) $ Minimum Fee $35.00 for Commercial/IndustriaVInstitutional State Surcharge $ 01 .r® TOTAL FEE $ S REINSPECTION FEE $50.00/HOUR *Air Conditioners can not be placed in side yard without written approval from adjoining property owner - copy to City FILL OUT BACK SIDE FOR STACK VERIFICATION ON REPLACEMENT FURNACE DESCRIPTION OF FURNACE AND BURNER # of Heating Units Circle One (Steam) (Hot Water) (Warm Air) Trade Name Size No. BTU HP EDR Fuel Total Connected Load Burner Trade Name BTU HP Size No. EDR The undersigned hereby makes application for a permit for the work herein specified agreeing to do all work in strict accordance with the City Codes and rulings of the Building Division, and hereby declares that all the facts and representations stated in this application are true and correct. HEATING FAX # 7 3:7 S Approved by Rough -in Date Final Date a � 9 DESCRIPTION OF FURNACE AND BURNER # of Heating Units Circle One (Steam) (Hot Water) (Warm Air) Trade Name Size No. BTU HP EDR Fuel Total Connected Load Burner Trade Name BTU HP Size No. EDR The undersigned hereby makes application for a permit for the work herein specified agreeing to do all work in strict accordance with the City Codes and rulings of the Building Division, and hereby declares that all the facts and representations stated in this application are true and correct. HEATING FAX # 7 3:7 S Approved by Rough -in Date Final Date FILL IN COMPLETELY FOR REPLACEMENT FUEL BURNING APPLIANCE PERMITS COMMON VENT. VENT CONNECTOR AND COMBUSTION AIR VERIFICATION When replacing an existing furnace, the undersigned hereby verifies that the venting has been examined and is free from rust, deterioration, obstructions, and is securely supported and firestopped where required. Yes () No( ) The venting system is plastic/PVC and meets all current codes and manufacturer specifications including sizing, length, number of elbows and termination. Yes () No( ) The undersigned also verifies that the replacement unit is a listed assembly and meets the current codes and manufacturer's specifications. This does include AGA-GAMA Category I Central Furnace Venting Tables for fan assisted and natural draft appliances. Yes () No( ) The existing combustion air is sized and installed to meet the current codes and manufacturer's specifications. Yes () No( ) When required to install a new combustion air, it will be sized and installed to meet the current codes and manufacturer's specifications. Yes () No ( ) When installing a new venting system, the undersigned hereby verifies that it is a listed assembly and meets the current codes and manufacturer's specifications. This does include AGA-GAMA Category I Central Furnace Venting Tables for fan assisted and natural draft appliances. Yes () No ( ) Is the common vent and vent connectors sized and installed correctly after an appliance has been removed from the common vent and vented separately as per current codes. Yes () No ( ) Appliance Type and Size/Common Vent and Vent Connector Information Appliance #1 Type BTU Input Fan Assisted or Nat Appliance #2 Type BTU Input Fan Assisted or Nat Appliance #3 Type BTU Input Fan Assisted or Nat Total Appliances Total Btu Input Common Vent Type Vent Height Diameter inches Appliance #1 Vent Connector Height ft Length ft Diameter in Type Appliance #2 Vent Connector Height ft Length ft Diameter in Type Appliance #3 Vent Connector Height ft Length ft Diameter in Type ALTERATIONS: (Describe) LL -tR k')b E7 -C 06 RK- //J #M N_ wiz A-61� HEATING CO: Signed By: Date : Building BUILDING Permit No.: Inspections RESIDENTIAL APPLICATION Received B . 763-572-3604 CITY OF FRIDLEY xQ DATE 01/14/10 YOUR E-MAIL, ADDRESS es therdeprobui 1 tam. com sIIEADDREss 1655 75th Ave THIS APPLICANT IS: 0 OWNER OCONTRACTOR PROPERTY OWNER! NAME: Saeed Alkulaidi TENANT SAC Charge $ ADDRESS: same as site CITY STATE ZIP Curb Cut Escrow PHONE: CONTRACTOR NAME: ProBuilt America SUBMPT A COPY OF STATEIICENSE# BC -20356847 EXP DATE 03/10 221 51 Aveve YOUR STATE LICENSE ADDRESS: 11t E CITY North St® STATE ZIP lR9 WPIHAPPLICATION FHoNE 651-770-9315 FAX 651-770-0495 PROPERTY TYPE 0 SINGLE FA—M-1LYftWW CONSTRUCTION SIZE Total Dee 0 TWO FAMILYMEW CONSTRUCTION STORIES PERMIT TYPE O ADDITION 0 GARAGWIIED OMIINDOWS 0 BASEdNl> W FINISH 0 ROOF D DRAW THE 0 DECK 0 SIDING 0 OTHER 0 SWUM4I NG POOL TYPE OF WORK: O NEW O ADDITION 0 MAWTFNANCEIREPAM 0 REMODEUNG DESCRIBE WORK BEING DONE: Replacing 2 window, SIZE OF IMPROVEMENT LENGTH WIDTH HEIGHT Sq. Ft RSG 0 HOUSE ONLY NUNMM OF SQUARES 0 HOUSE & GARAGE BASEh1ENT REMODELING SUBMIT: GARAGES 0 ATTACHED GARAGE 1. E Floor Plan 2. floor p1m PROPOSED SIZE: 0 DETACHED GARAGE 3. List of structural members to be used PROPOSED HEIGHT: SMI :C FOR NEW CONSTRUCTION INCLUDING DECKS, 0 vinyl Dsoftit ADDITIONS. & PORCHES SUBMIT: C Aluminum a Trim 1. site Pkwsmway shvwing tale ads D Other D Fascia andpwposedpmimt 2. Two sets of construction plans WE',MW5 IN EXISTING OPENINGS DYes 11�+to - LOCATION OF WINDOWS 3. Enegy cat adatiom OR FOR NEW OPENINGS -DESCRIBE SIZE OF OPENINGCHANGE5 & 2 TYPE OF WINDOW TO BE INSTALLED NUMBER OF WINDOWS ALL FEES ARE BASED ON VALUATION, INCLUDING THE COST OF LABOR AND MATERIALS: (USING THE 117 UJLC FEE SCHEDULE) ILK 111I! or i1);119 ra C�iK 11J AW16i Permit Fee $ M i3 See Back Page for Fee Schedule Plan Review $ 65% of Building Pemit Fee Fire Suircharge $ .001 times the total jab vale Surcharge $ .0005 x Permit Valuation Minimum $SO License Surcharge $ $5.00 (State Licensed Residential Contractors) SAC Charge $ $1675 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 n ( ) Non Necessary ( ) Total Dee $ Make checks oavable to: City of Fridlev Attach Sttaulatioes 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 accordance with the approved plan in the cam of all work which. and approval of plans. SIGNATURE OF APPLICANT PRINT NAT+ Esther Dahl DATE 01/14/10