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AF - 35524Cit of Fridle , 1�Iin�.. � i� 6� Y Y 6431 Univeraity Ave. N. E., Minneapolis, Minn. 5543 BUILDING PERMIT Date: - .T,�, y�„�2 , , a �� Ow�mer: - Llcnald C ��ile�r _.__ . Builder _Sacue-_...�.._..._.___._._....__._....r..._......._.._.:. Address .�ZS.4 Ab�,�.S�?'�e N •. Address .��._.��.._...___.._.._.__...._..___..._._.._._._� , LOCATION OF BUILDING Na 6260 S�t _ Able StreetMNti E�--_��.___----_____....__...__: Part of t.ot __ Lot - �� 8iack _._.__1.r.�....___w Addition or Sub-Division __..�horewo��.� ; ti nn ._.�__�__�____. Corner Lot X Tnside Lot ____�_..._..__ Setback _____.....__...._�:_.. Sideyard __._....__.�_ ......_.. � 8ewer IIevatian .�_...� Foundation IIevation _._..._.._..-•.-----..__..:_ ...�....._..._.._ �_� , DESCRIPTION OF BUILDING To be vsed as: r'' �� Front 24� DePth 24' _ Height _..10�_.__ Sq. Ft. ----576! Cu. Ft ..5760' Convert Gar. to Fam�jn�'oom �p� Height _.._._..___.. Sq. Ft. ....__...__...__ Cu. Ft. _._..._...._... Type of Construction .,.�d.Qtz.d Fi�tme. Es� Cost ..�2.�Q9..?.�... G.�.x To be Completed ._.._.]..:_y.ea�—�--. 4,000.00 Conversion Stipulations: Provide a hard surface driveway t� new garage. Tear up existing har d surface drive. In con�deration of the issuance to me of a permit to construct the building described the proposed work in accordance with the description above set forth and in compliance C4'dinances of the city of Fridley. �1,C1 „.. �, /I 3.30 State I agree to do provisiona �.' In con�ideration of the payment of a fee oP $ 35..- �� _.•_:._.:, pexmit is hereby granted to.__..� _.. ld B8i r� to construct the building or addition as described above. This permit is granted upoai ' 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 confoxm in all respects •to the ordinances oi Fridley, Minnesota regarding location, construction, alteration, maintenance, repair and moving of buildiIIgB ��cee� ci.ty limits and tYus permit ma.y be revoked at any time upon violation of any of the provisions of Said ' � ��..:��.��- �� C RF.NCE BELISLE � NOTICE: This permif does not eover the construetion, insfallafion fo� wiring, piumbi�rg, gas heating, sewe� or watsr. Bs sun fo sN th� BuiWing Inspeofor for separate permifs for these items. � � 4 ♦ AP��CATION POR R�SIDENTIAL, ��T��ATIQN, QR AllDIT�ON BUILD�NG P��Nj�T CITY QF FRIULEY, MINN�SO�� (JWNER, � S NAME t ��(.jlU�i�-l) � . �i�C / �- � �BUILDER : anrn�ss :��d o��B�E" Si /V r� An�ss • N0 :,_ � .�--� 4 STREET • � � � � ,- , x+OT : BLOCK : / ADDITION i �e� Il �W O�.� CORNER LOT : � INS IDE LOT : SETBA�CK: SIDEXA,R�T?? g .,.�.......�....,.. App].icant attach to this form Ztao Certificates of Survey of Lot at�d pxopo�9e�d building location drawn on these Certificates. BESCRIPTION OF BUILDING To Be Used As: . ` � / �.�r �A�ir� Front : Depth : � Height : �d s \ Square Feet: � Cubic Feet: �% 6 0 �v�u v�`�.=' E�tt. G�� ,. � ,.., �'��M(�Y �a�M ' Front ; Depth : Height : Square Feet; Cubic Feet: , pe of Construction: ��0� �/Q�9� Estimated Cost: �9, o� � Nv�2c�o�/ �' � �a l3e Completed: � ��"i�._ The undereigned hereby makes applicativn for a pertait for tiFe .wR�1� '�� spec�f�.ed, agreeing to do all work in attict accordance witi� the C�ty A� F�i,dley Ordinaaces and rulings of the Department of Buildiags, amd t�e�eby d��la�es that all the facts aad representatioas staked in thie ap�1��t��,�, .afie true and correct. QAT� ; S� / 97 LSIGNATURE : � - � ($ee R se e For AdditionaY Information.) �� °�° (' � � �,3 p S u 2� h�2� �s ��—� � a�,� � �` -�� -1 vo S�i2C% 3 �, 3 B � ��-f 72 a � (d✓-/S . � s BUILDING PERMIT F�°E SCHE��1�E ��CT�ON 2. The Tnspector of Buildings shall, before issuing permits fox th� erection of any building or structure, or for any addition �o any existi,ng buildin� or structure, or for any alteration or repairs zo any eacisCi,ng building or structure, upon application therefore, require the payme�� by the applicant for such permit of fees to the amount herein below set fo�Ch at�d i�i fihe manner herein prwided to-wit: 1JNIFORM BUILDING CODE: T`ype 1, 2& 4-$2.15 for each one thousand cubi,c ��t� ox fraction thexeof, in such cubical contents. Zype 3& 5-$1.$S �`Qr each one thousand cubic feet. ADDITIONAL INFORMATION For the purpose of computiag fees for building permits, the cubical conterits of any building or additiaa, is determined by multiplying the ground area covered from a point six (6) inches below the floor line of the basement ot the cellar to the average heights of the upper surface or to the averageA height of the roof surface of the msin gable of a pitched roof. �'pr xepairs or alteratione to an existing structure, the fee shall be at the rate of $3.00 per each five hundred dollars ($500.00) or fraction the�eof in th�a cost of all proposed work. , T.� no case shall the fee charged for any permit as set forth in Sec�3�an � b�ei less than $5.00. VBRIFICATION OF FOUNDATION � NpTE; Permits for eonstruction will be issued a minimum of 24 haur�s f�cam th� �i�se of application, to allow for proper review of the propased structure at�d o£ the conatruction site. A Ce�tified Survey of the lot, ohawing the location of the founda��on►� p#�c�� hs�1 been constructed, will be required befo�e proceeding aith the f7caming, CERTIFICATE OF OCCUPANCY � Application for a Certificate. of Occupaacy ehall be made ten (10) day�s p�C�,A� tp Che use or occupancy of any structure for which a building pextniC haa �qsA iseued; and said structure shall not be used or occupied until a CextifiGa,ts of Occupancy has been issued. �- ..._...__ �TYPICAL SLAB DETAIL � � 2�, v v v v v v v 6 v 1 y� v v � v t7 � � C — X 10 � _� ;�, ;,o wire mesh Grode : 2- 4 Re�- Bars c • .� � � :m ip s 45° _,a 12" Mi�t 8�� M�n. • ' The above is a substitute design for frost footings, ha�aever, it is not yet accepted by the State as an amendment to the Uniform Building Code, Section 2905,a. Therefore upon using this method of construction, I agree to hold the City of Fridley harmless of any possible claim for foundation failure or structural damage caused by foundation failure. . � v , � Witn Property Owner �s�' �9 �--- 0 '��C te Address of Property /I,egal Desc. , . - r . . � , � � Appiicatio�� or Ra►war ![a� osd l�q, Coolii� Y�ntitotioe, R�td�io� a�d Air Cont�t%n�q S� a�d D�vic� P�IR�i�1L tt�4TE S�EDULE c��r�r �ruuc �n: wt� �co�rx�.. � sr� � no� wo�t . . . . . . . sio.oa s ReFTacemerrt of Fttrnace ' 6.Od � Repairs dr Atteratians--np ta �.00 6.OQ =- _. __ . -- R�irs d� Alteratlons �ch add. f50Q.00 . 3 0t1 �- . __. _ �DCH. Wll►R�t iUt 11u�r►sce Shell � D�ct WorTc ta 190,000 BTU eaes �aa. eo,eoo grv . . . . . _ . . . � of P1�rnace Repafrs dc Atterations--ttp to ;.500.06 Iiepairs ds Altecatiooa each add. =SOO.AO .a�ooa � 3.Ut1 i s.00 s 6.OQ �_ 3.00 � _. _ STEA�[ o: HOT WATER SY3TE�[ i�rnace She2I dc Lines—to 40Q sq. ft. F.DR Steam �IO.�JO �---- - ilu�nace Sheit d: Lane�—to 640 sq. ft. EDR fiot Water 20.00 S- _--._ Eacii add. EO�J aq. ft. EDR Steam �.Of) __ _ Each add. 3E0 sq. ft. EDR iiot Water 3,00 t— — QIL SURMEA—ta 3 ga1 per hour over 3�aI. pes hour—See iee Scheduk Gl1$ EIIR1fEA tup to 189,OOQ BTLT} vvee 199,OOD B'I'U 8�e FM seMdal� G118 �I1TIlfG PEES: Ist 3 F1�cturts _ Add'etiouai Tl:ttures _ Gas Ran�e ta 39�,004 _ � �.. ,� �,, �, :, , . ,, , � � _ �� .. ,. � :• � t�: F�i'. /0-//- % � B.AO 5.-- �a = �� N� RATE TO?AL 9�— _ x� ZOU t - � _--- - x .76 i-- _ _ � 6.00� i f-.—_ P�s ie�ids � � 'r0?�L !'�i �� s a�. � �a�. r�+�.�. eeo-�a � �, ,� �_ � / d r' (�n ` . ` � GI. City o� �idley: The undersigned hereby makes application for a permit for the work hereir : specified, a�reeing to do aq work in strict accordance with the City Ordi�sanceg� and ru)ing of the Departmr•rtt of Buildinas� and hereby deelues t2wt aIl ths fx!€ and rn�resrntations statcd in this applieation are true and correct. il�idley, M3an_s42� • -Z �P ______�,14 %�� ----.�1��..�- Kind of Building .._ �Jse� a� -- - �it�t_ti�� / — -- — Ta be compiet ed about ---- � -_ a�_' 7. � ae Estimated Cast, S._ O? � �� _. -- ----.- --- Uld—Neyv. Building Permit No. __ P�tmit No. :5�� DACNPTlOI� OF �IOltt HEATING or POWEA PLAN'1S�tr�rn, Hot Water, Warm Air—ATo �! . Trade Name �--2��c`�? %J 1!' ?.v�ax.t" ��IXvL. Sixe No CapacitY—�L��-�-�� E.D.R BTU H.P Tota} Eonnected I.wd_�_ � Q° lUnd ot �1�t BURNER — Ttade Na.n� g{� pp c�P�ti s�4 i% a.ii-R -- B'1'a $� � � /.- i - , . .�� ' , -� .. , ,.�i / i ,� , SUBJECT M 1 I IV V."� c�ty of Fridley 25485 AT THE TOP OF THE TWINS g U I L D I N G P E R M I T f � ` IPT NO. COMMUNITY OEVELOPMENT DIV. r � � � PROTECTIVE INSPECTION SEC. // i � �.� � � � ' /�"L � CITY HALI FRIDIE� 55432 NUMBER REV DATE PAGE OF AVPROVED BY �'°'�'� ,'' 612-571-3450 910-Ft5 9/10/97 � � J08 ADDRESS 6260 Able Street NE 1 LEGAL �OT NO. BLOCK TRACT OR ADDITION SEE ATTACHEO DESCR. 4 1 Shorewood Addition SHEET 2 PHOPERTY OWNER MAIL ADDRESS 21P PHONE Don Bailey 6260 Able Street NE " 571-2168 3 CONTRACTOR MAIL ADDRESS ZIP PHONE UCENSE NO. Steven R Lee Contr 9465 Irving Ave, Brooklyn Park, MN 55444 424-1198 5758 4 AFCHITECT OR DESIGNER MAIL AOORESS ZIP PMONE LICENSE NO. 5 ENGINEER 6 USE OF BUIlO1NG Residential 7 CLASS OF WORK O NEW MAIL ZIP PMONE LICENSE NO. O ADDITION O ALTERATION C� REPAIR ❑ MOVE O REMOVE 8 DESCRIBE WORK �Reroof House (22 Sq) Tear-off 9 CHANGE OF USE FROM TO ISTIPULATIONS Underlayment must comply with th� State Building Code. TYPE Of CONST. SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, VENTILATING OR AIH CONDITIONING. THIS PERMIT BECOMES NULL AND VOIO If WORK OR CONSTRUCTION ZONING AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONEO FOR A PERIOD OF 120 OAYS AT ANV TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS I NEREBY CERTIFV TNAT 1 HAVE READ ANO EXAMINED THIS APPLICATION 1 AND KNOW THE SAME 70 BE 7RUE ANO CORRECT. ALL PROVISIONS OF LAWS ypLUATION ANO ORDINANCES GOVERNING THIS TYPE OF WORK WI�L BE COMPLIED 834 WITH WNETMEF SPECIFIED HEREIN OF NOT. THE GfiANTtNG OF A PERMIT �l� DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE pERMIT FEE PROVISIONS OF ANV OTHER STATE OR IOCAL LAW REGULATING coN- �59..r}O RUCTION OR THE PERFORMANCE OF CONSTRUCTION. PLAN CNECK FEE � �l � � � % Lic n SI UAEOfCONTRACTOAORAUTMORIZEDAGENT IDATEI � �u � R BU�IDER� � � IDATE� FT STALLS $5. OCCUPANCVIOAD CU. OFFSTqEET PARKING IGARAGES $.92 iAC CMARGE Fire SC $1.83 'O L FEE $67.25 THIS IS UR PERMIT / � I s fi4TF i I�IL-'�'V ADDN ALTER ( 1 I1 � ] ' CITY OF FRIDLEP � SfNGLE FAMILY AND DUPI.E�iES R-1 AND R-2 BUILDING PERMIT APPLICA`CION ConstructionAddress: :L � .G � Legal Description: .�J Cffcctive ll ]J97 �15��5 � ��s� Owner Name & Address: _ ,�� r� c`, ; �.�,� Tel. # -S %% �. / 10� Contractor: ��-c��, y� � � MN LICENSE # ,s`-7 �� Address: �f y .6 � �' � v� �'�.� r �, �'"�. •�� 'el. # ��.�'— // 9� LIVING R:REA,< GARAGE AREA: DECK AREA: OTHER: Attach to this application, a Certificate of Survey of the lot, with the proposed constniction drawn on it to scale. DESCRIPTION OF IMPROVEI�ZE\'T �� VJidth Height Length Width Hei�ht Length W idth Hgt/Ground Sq. Ft. Sq. Ft. Sq. Ft. � � S� Construction Type: �� o �� - Y-�. � �,� Estimated Cost: $ - — /� � ��`''r�" b 4� lFee Schedule on Back) Driveway C�irb C�xt .Width Needed: �Ft. + 6 Ft = Ft x$ _$ DATE: % " l '� -% %APPLICANT: _ c:�%—��.� � _.� � Tel. # yoZ; y �� 9� Permit Fee �ire Surcharge State Surcharge SAC Charge License Surcharge� ?�riveway Escrow �,rosion Control Yark Fee Sewer Main Charge TOTAL ��C[PU(_A"C[ONS: CITY USE ONLY $ � 9 SO Fee Schedule on Reverse Side � �- �� .001 of Permit Valuation (1/lOth%) �_ � �'/a $.50/$1,000 Vaivation $ $950 per SAC Unit $ �. Qa $5.00 (State Licensed Residential Contractors) � Alt. "A" or Alt_ "B" Above $ �$450.00 Conservation Plan Review $ Fee Deter�nined by Engineering $ Agreement Necessary [] Not Necessacy [ � $ , �� t s ^ ' [�UIi,D1i�rG f'f�'.IZ�1['(' FEE SCHEDL,'t,t�: �l�he Cliief I3uilding Of(-icial si�all, belore issuing pern�its f�r ttle ere:ctio�� ol� any building or struciure, or t�ir any addition to any existing building or stnicture, or for an}� aiteration or re�air to a�iy existinn building or struccure, upon application therefore, require the payment by the applicant #or such permit of fees to the amount herein below set forth and in the manner herein provided to-�vit: TOTAL VALUE $1 to $500 $501 to $2,000 $2,001 to $2�,000 FEES $21 (Minimum Fee is $21 plus surcliarge) $21 for first $500 plus $2_75 for each additiona( $100 or fraction thereof, to and including $2,000 Sb2.25 for first S2,000 plus $12.50 for each additional �i,000 or fractioz thereof, to and including �25,000 $25,001 to $50,000 $349.75 for first $25,000 plus $9.00 for each additional �1,000 or fraction thereof, to and including ��0,000 �50,001 to $100,000 . $1Q4,001 to $500,000 $SOO,OOI to $1,000,000 � $1,000,001 and�up �574J5 for first $SO,a00 plus $6.25 for each additional �1,000 or fraction thereof, to and inciuding $1�,000 .$$&7.25 for first $100,000 plus $5.00 for each additionai $1,000 or fractioq tiiereof, .to .and including $500,000 _ $2887.25 for the first $500,000 pius $4:25 for each .addifionai : . �; $1,OQ0 or:fraction thereof, to and inciuding $.1,000,000 :�' - ` � $5012.25 for the first $1,000,000 plus $2.75 for each additional $1,000 or fraction thereof DRIVEWAY DEPRESSION �ESCRO�'V (Concrete C�irb Streets Only) Alternate "A"�: Removal and replacement of curb and gutter only - Dri�etvay width plus 6 feet times $13_50. � Atternate "B": Removal and replacement of curb and gutter and install a 3 foot wide approach with b inch depth - Driveway width plus 6 feet tiiiies $15.7�_ VERIFICATION OF FOUIVDATION f'crntits for cocistruction will be issued a minimum of 24 hours from the timc of application to a11ow for �rop�r. rcview ot tlie pro�osed stiucture and of the constn�ction site_ >i C:e:rtificate of Survey c�f the 1�t, sh�win�, the focation of� the foundatio:� ��nce it }�as it has he;�n c�nstr-uc=c�? ,:_.;;; i�,, rc:c�uir�,:cl t��lore I�r1�:=��•dir�� iti� ihc framin�. t_ .�.+ ' sue�ecr P IT NO. c�ty of Fridley 2 619 AT THE TOP OF THE TWINS g U i L D i N G P E R M I T � � RECEIPT NO. � �• COMMUNITY OEVELOPMENT DIV. r � V � PROTECTIVE INSPECTION SEC. �/ rs � � � � � /"'1 � CITV MALL FRIDLE� 55�32 NUMBER REV. DATE PAGE OF APPtiOVED BV �""�' �'� 612-571-3450 9�0-F15 6/10/98 / / JOB ADDRESS 6260 Able Street NE 1 IEGAI ��T NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCF. �F 1 Shorewood Addition s►+EET 2 PROPERTV OWNER MAIL ADORESS 21P PHONE Donald Bailey 6260 Able Street NE 571-2168 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 UCENSE NO. 6 USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW ❑ ADDITION O ALTERATION G� REPAIR O MOVE O REMOVE 8 �ESCRIBE WORK Install soffit & fascia 9 CHANGE OF USE FROM TO ( STIPULATIONS Install soffit ventilation to meet the State Building Code. TYPE OF CONST. OCCUPANCV GROUP OCCUPANCV LOAD SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, VENTILATING OR AIH CONDITIONING. THIS PERMIT BECOMES NULI AND VOID IF WORK OR CONSTRUCTION ZONING SQ. FT. CU. fT. AUTHORI2ED IS NOT COMMENCED WITHIN BO OAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDEO OR ABANDONEO FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS OFFSTREET PARKING I HEREBY CERTIFV THAT I HAVE READ ANO EXAMINED THIS APPLICATION 1 STALIS 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 , WITM WHETHER SPECIFIED HEREIN OFi NOT. THE GFiANTING OF A PERMIT �1 �590 $.8O DOES NOT PRESUME TO GIVE AUTHOR�TV TO VIOLATE OR CANCEL THE pERM1T FEE SAC CMARGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW FEGULATING CON- STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. �51.25 Fire SC �1.59 PLAN CHECK FEE TOTAL FEE $53.64 �Si ATUfiE OF CONTRACTOR R AUTMO D nGEN �OATEi WHEN PROPERLY VALIDATED THIS IS VOUR PERMIT �%`iY��4� � � � �� / � �, S�GNn1UAEOFOWNEAi�FOWNEFBUiLDERi OATEi ��7{,39 parE NEW [ ] Effective 1 / 1 /98 ADDN [ ] CITY OF FRIDLEY ALTER [] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION �a` �j �� ConstructionAddress: �,� � C� � �L � Sj � �� ' Legal Description: ,�v'T !-� , �LG� � � , Owner Name & Address: Contractor: Address: LIVING AREA: GARAGE AREA: DECK AREA: OTHER: � C�, Tel . # �7 / ��/ � � MN LICENSE # 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 __ Length Width Height Length Width Hgt/Ground Tel. # _ Sq. Ft. _ Sq. Ft. _ Sq. Ft. Construction Type: rjQ�/T/��SC� �� Estimated Cost: $�� oG (Fee Schedule on Back) Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x$ _$ 1 DATE: � � ��' %� APPLICANT: v'"�� -- Tel. # ��1�� / �� CITY USE ONLY Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee Sewer Main Charge TOTAL STIPULATIONS: $ ,�1, �� $ /< � $ , $ $ $ $ $ $ $ �� Fee Schedule on Reverse Side .001 of Permit Valuation (1/lOth%) $.50/$1,000 Valuation $1000 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 PERMIT FEE SCHEDULE The Chief Building Official shall, before issuing permits for the erection of any building or structure, or for any addition to any existing building or structure, or for any alteration or repair to any existing building or structure, upon application therefore, require the payment by the applicant for such permit of fees to the amount herein below set forth and in the manner herein provided to-wit: TOTAL VALUE $1 to $500 $501 to $2,000 $2,001 to $25,000 $25,001 to $50,000 $50,001 to $100,000 $100,001 to $500,000 $500,001 to $1,U00,000 $1,000,001 and up FEES $21 (Minimum Fee is $21 plus surcharge) $21 for first $500 plus $2.75 for each additional $100 or fraction thereof, to and including $2,000 $62.25 for first $2,000 plus $12.50 for each additional $1,000 or fraction thereof, to and including $25,000 $349.75 for first $25,000 plus $9.00 for each additional $1,000 or fraction thereof, to and _including $50,000 $574.75 for first $50,000 plus $6.25 for each additional $1,000 or fraction thereof, to and including $100,000 $887.25 for �rst $100,000 plus $5.00 for each additional $1,000 or fraction thereof, to and including $500,000 $2887.25 for the �rst $500,000 plus $4.25 for each additional $1,000 or fraction thereof, to and including $1,000,000 $5012.25 for the first $1,000,000 plus $2.75 for each additional $1, 000 or fraction thereof ' DRIVEWAY DEPRESSION ESCROW (Concrete Curb Streets Only) Alternate "A": Removal and replacement of curb and gutter only - Driveway width plus 6 feet times $13.50. Alternate "B": Remo3a2 and replacement of curb and gutter and install a 3 foot wide approach with 6 inch depth - Driveway width plus 6 feet times $15 .75. VERIFICATION OF FOUNDATION Permits for construction will be issued a minimum of 24 hours from the time of application to allow for proper review of the proposed structure and of the construction site. A Certifcate of Survey of the lot, showing the location of the foundation once it has it has been constructed will be required before proceeding with the frarning. /►' ---� Building �nspeciions 763-572-36U4 �A� q- iy � � >ITE ADDRESS �O Z lo ►HIS APPLICANT IS: PROPERTY_OWNER/ TENANT CONTRACTOR SUBMIT A COPY OF YOUR STATE LICENSE WITH APPLICATION PROPERTY TYPE PERMIT TYPE TYPE OF WORK: BUILDING Permit No.: a,C�d7- 7o I RESIDENTIAL APPLICATION Received By: CITY OF FRIDLEY �[�� ,nn� YOUR E-MAIL ADDRESS ❑ OWNER ADDRESS: l� �o(J �161 t � ciTY �i �%C t,/ STATE!%/%�P PHONE: 7 �o �i — S'7 / — Z / � S — . STATE LICENSE �_ DZ ��FS % l ai LP p�►v' EXP DATE �— 31— O� ADDRESS: i��o�iU �`3�.�.��S,rd 4�., NI.J CITY Coa�•� �� STAT�'ZIP Ss�i?� ❑ ADDITION ❑ GARAG ❑ BASENIENT F[N1SH �'ROOF ❑ DECK ❑ SIDING ❑ SWIMM ❑ MAINTENANCE/REPAIR O REMODELING DESCRIBE WORK BEING SIZE OF NUMBER OF SQUARES 2. t'i GARAGES PROPOSED SIZE: PROPOSED I�IGHT: SIDIIV ❑ Vinyl ❑ Aleuninum ' ❑ Other . wn�rnows iN EXISTING OPETIJNGS DYes �No OR FOR NEW OPENINGS-DESCRIBE SIZE OF OPENWG CHANGES & TYPE OF WINDOW TO BE IIJSTALLED G HOUSE & GAR.AGE ❑ ATTACHED GARAGE O DETACHED GARAGE ❑Soffit ❑ Trim ❑ Fascia IACATION OF WINDOWS NUMBER OF SIZE � WINDOWS ❑ DRAIN'fILE ❑ OTHER HEIGHT BASEMENT REMODELING SUBMIT: I . Existing Floor Plan 2. Proposed floor ptan 3. List of strucwral munbers to be used Ft. FOR NEW CONSTRUCT(ON 1NCLUDING DECKS, ADDITIONS. & PORCI�S SUBMIT: 1. Site P1an/Survry showing the existing swctures and proposcd project 2. Two sets of construction plans 3. Enwgy Calcutations ALL FEES ARE BASED ON VALUATION, INCLUDING THE COST OF LABOR AND MATERIALS: (USING TuF � qo� 1 i R_r_ FEE SCHEDULE) TOTAL JOB VALUATION $_�9'� � OCCUPANCY TYPE Pernut Fee Plan Review Fire Surcharge S�rcharge License Surcharge SAC Charge Curb Cut Escrow Erosion Control Park Fee Sewer Main Charge Total Due $ $ �-�1S � /- �7 $ ��; UT� $ $ $ $ $ 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 (Staxe LicensedResidential Contractors) $1675 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 pemut and I aclrnowledge 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 whi requires review and approval of plans. SiGNATURE OF APPLICANT �`G'----- PRiNT NAME ��77 4' T v� rl DATE 7��L� D� � _.. . — Page 2- Building Residentiai Application BUILDING PERMIT FEE SCHEDULE The Chief Building Official shall, before issuing permifs for the erection of any building or structure, or for any addition to any existing building or structure, or for any alteration or repair to any existing building or structure, upon application therefore, require the payment by the applicant for such pernlit of fees to the amount herein below set forth and in the manner herein provided to-wit: TOTAL VALUE FEES $1 to 5500 $23.50 (Minimum Fee is $23.50 plus surcharge) $501 to $2,000 $23,50 for 1�` $500 plus $3.05 for each additional $100 or fracrion, W and includin $2,000 $2,001 to 525,000 $69.25 for 1�` $2,000 plus $14 for each additional $1,000 or fraction, to and � includin $$25,000 ' $25,001 to $SU,000 $39125 for 1�` $25,000 pltis $10.10 for each additional $1,000 or fraction, to and i.ncludin $50,000 $50,001 to $100,000 $643.75 for 1�` $50,000 plus $7 for each additional 51,000 or fraction to and includin $100,000 $100,001 to $500,000 $993.75 for 1�` $100,000 plus $5.60 for each additional $1,000 or fraction to and includin $500,000 $500,001 to $1,000,000 $3,233.75 for the 1� $500,000 plus $4.75 for each additional $1,000 or fracrion to and includin $1,000,000 $1,000,001 and up $5,608.75 for the 1� $1,000,000 pius $3.15 for each additaonal $1,000 or fraction VERIFICATION OF FOUNDATION Permits for construction will be issued a minimum of 24 hours from the time of application to a11ow for proper review of proposed structure and of the constructian site. A Certificaxe of Survey of the lot, shawing the location of the existing foundation will be required before proceed.ing with the framing. New Houses Onlv City of Fridley Building Inspections Department 6431 University Avenue NE Fridley, NIN 55432 763-572-3604 Fax: 763-502-4977