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AF - 44314� (aity of Fridley, Minn. �� BUII�DING PERIVIIT No s s o 4 �� . . ._ Da�: ��. f � �.�, .� , �� °2 � , � �: B,� Addreas Addrese �� , TION - 1�NG No. �' � Stceet � � � Part Ie�t Lot __ Slock l Addil3on or Sub-Division _ � y Coraer Lot _ Insfde Lot �� Setback __� �� Sideyard �� r� o Sewer IIevation — Foundation IIevation DESCRIPTION OF BUILDING To Used A �t ��,� �P� �� Height � Scl. Ft � Cu. Ft�� F t Depth �Teight ____� Sq. F't. Cu. F`t. Type of Conatruction � Faat. C'� ,��-�� To be Completed Ea cansideration oP the issuance to me of a permit to construct the building described above I agree to do the proposed work fn accordance with the deacripiion above set Porth and in compliance with afl pmvlsions of c�rrlinances oE the dtq oP FridleY• . r� A • � In ca�deration of the payment oP a fee of $1�_� , pernzit ia hereby granted to to conatruct the buflding or addition as d�cribed above. Thts��ui t is granted upon the expresa candition that the peraon to whom it fs granted and his agents, employees an� worl�en, in all work done in, around and u�n safd building, or anypart thereof, shall conform in all reapects to the ordinance� of Frldley, Minnesota regardi�g lpcation, conatruct�Ton, altera.tion, a►aintenance, repair and moving of bufld9ngs witbin the dty ]imits and thia perrmit may be revoked at ar�► time upon viol� of aay of the P�viaiona of said or�dinaacea /"'a e� e� 0 I Bullding Inspector ^ NOTIC� 7W pwmh dess eo1 cowr fhs eoe�trustioe, Im�aQafion }e� �rhin�, plum6tee, eas 6�atiee, ww�� er wafsr. B� wre to ss� tha Buildio� lnsp�etor foe aparala p�rmtfs Por fh�a ttxes. APPLICATIQN 1�01t BUILDING PERMIT CITY OF F�TDI,EY, MINNESOTA ati+N;�i' S NAME ��p.�ss 4`� �9 � � ` �C Aun�ss LOCATION OF BUILDING No. Street part of Lot Lot � B1ock AddiCion dr Subdiviaion �� ' � Cor�er Lot Inaide Lot i� Setback 3��_ Side Yard �. � 4� SBWLI� ELE�'ATION FOUNDATION E�,E'VATI0�1 APplicant, attach to tbia form Two CerCificates of Survey of LoC and proposed ruild- ing location drawn on theae Certificates. D�SCRIFiON OF $VILDZNG To be used as; � ` Fraat 3� Depth �, � Height � C� Sq. Ft. �1 I`� Cu. Ft. Front Depth Aeight Sq. Ft. Cu. Ft. Type of Construction � Eatimated Coat 1`� ,� � Q To be Completed The undexsigaed hereby makes application for a permiC for the worr herein specifi.ed, agree�ng to do all work in strict accordauce with the City of Fr3dley Ordinsnces �nd rulings of the De�axtment of Buildings, and hereby declares that aZ1 the facta a�3 representatioas atRted in thia application are true and correct. DA�'E_P� �(° , `3 SIGNATURE (�chedule of Fer� CosCs can be found on ehe Reverse Side). ��> . . y �' � /�'`} .. ., , .. ; .. . � . . ,.q� r BUTLDiNG PEItMIT FEE S(�EDULE Section 2. The Snspector of Buildings shall, before iasuiag �ny persnit f�ar the erect�ton of any,building or struceure, or for any addition ro any exist- ing building or atrucCure, or for mny alterations or repa3rs to any e�iating building or atcructure, upon application therefor, require the pay�a►ent b� the appl3cant for auch permit of fees ta the �mount herein below aet forth and in the manner here3n provided to-wit: Z.1. l�or any such permit for the ere�tion a.f t�a�r fire-proof buildin�, othe4 than a garagei �arehouse, iactory or �rain e�evator, or for the esectfon of any fire-proof addiCion. for similar occulpaacy, to any exiating building shall be at tt�e rate of $�,.40 for each one thousand cubic feet, or fract�.oa �hereof, in such cubical contenta. 2.2. For any such permit for the erection of any ffre-proof �arage� warehouse, £actory or graia elevator, or for the erectibn of aay fire-proof edd�.CiQa, for sis�ilar accupancy, to any exist3n� tiuilding aha11 be at the rate of �1.25 for euch one thousand cubic feet, clasaified as "fireproof" by Section 502 of tt►e Minneapolia Building Coda. � - - Si}USES 2.3. For any auch permit for the erectioa of any non-fireproof buildiag other than a garage, warehousc:, factory or �rain eleva�or, or any aon-fireproo� addition, for similar occupanc�, to any enistiag buildiag - permit $1.00 fox each one thoueand cubic feet. GARAGES 2.�5. For any such permit for the erection of any non-fireproo� garage, w�rehouse, factory or grain elevator, or for the erection of any non-fire�� .ddit3.�s, €or saimilar oceupancy, to any esisting building or for each e+�ch bujid3ng or additloa - ninetq cent}a ($0.90) for each oae thouaand cubic feet or fraction thereof, ia the cubical conteats thereof with a minim� of $4.40. For the purpose of computiag feea for building perm3,ta, the cubical contents of.any bui�.ding or additian to a uniform height throughout by multiplying �he ground area covered from a point six (6) inches below the flooa line of the b�sement_or cellar to the average height of the upper surface or to the average height of the roof eurface of �he main gable of a pftched roof. 2.5. For repairs or alterat�.ons to an existiag structure, the fee aha.11 be at the rate of $3.00 per each Five Hundred Dollass ($500.00) or frsction thereof 3n the cost of all proposed work. 2.6. 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O � . , � O ' ' O � . . � � . . � b ',� • +c� at o ' a e'�3 � � � � � O � '�' �!J w w �° �~°�a 4 ai p � �� g�� o � .� 5 � a a a � v � � z � a _� V � o � z � � a �� o � U d N �. o � � � z q 'd � � O � 5 E+ W � � . � � � °o °o °o °o �°n 00 N W W N f� � � � o° o : ' ° $ � • 6 , O N � � : � � � : ,� � �o °' a� � � � O � � ,d � � TJ � � � O � � v� �i °' �1 � �� a a a � r�aa� � � w 0 � a � Q � � � � 0 0 0 0 0 0 �n �n 00 CO N N � � � � � F P; � 9 i �1V ` W q � � �'�a � � � � ' ��: 3 � � � !/1 G a�; I � � m .�.�.� o : : i . • i , . � . . : � i , � � � � � i V� �", � W G� � � � 3 � q � O O � N M � �� x .a � � � � w w _ �� z � � QI 0 � � � � a F� rZi � E � �. ti � � 0 0 �[J � . � V . � . y W �, � � � o `" .� � 0 F ^� a � a � � M � � ir a o a a ca a O � 0 0 �f! � 0 0 0 0 0 � 0 � w a � � � (� � � z o�o o� bC � � � w � � � � �� z � b � � v I R � U � '; .. � U E O�0 4 E+ H � � � � a�"+ ��rs �°n °o .� N V} Q � � � z � � � : : � 0 : � o 0 0 � � N i W '� W Y ��aa � ° r� � N�� w � � l! Y Z di C 0 ,u u Z � Z 0 f- u W � �= W � � �o � � � m � O u N � I� � ..��.o. a �� z � �'� � � � o �p � a '� � a a z zw F 4 w > 4 � x � a Id � � � a � � z � P � > O I Y Y Q � , y y�, 19� (�� '�� • �o +�-I�AT LQSS CALCULATIONS �//DEPARTMENT OF INSPECTION �� MINNEAPOLIS. NIINN. Weatherstrips A.S.H.V.E, Construction No. Insulation Guide Windows Doors Reference Out. Wall Int. Wall Ceiling Roof Floor Kind How Applied Yes—No Yes—No 19_ Room � Length Width Height .� Room Length `� Width Height� Windows oors—Crackage and Area Windows and Doors—Crackage and Area �Vtdt Height No. of Lineal ft. Area Wldth Helght No. ot Llneal tt. Area No. ot pane ot pane lighta ot crack eq. ft. No. of pane of Dgne llghta ot crack eq. tt. � 9-7 � ('o f 5� �' 2 Z.S'� s / � � .P /L � Coef.l Beu Glass Q � Exp. wall S' Net exp. wall �� p a Int. wall Ceiling � � Floor Total Btu. Required sq. ft. E.D.R. or sq. ias. W.A. Leader area F7.) Room � Length � Width /( Height � Windows and Doors—Crackage and Area Wtdth Hefght No. of Lineal tt. Area No. o[ pane of pane llghte ot crack eci. tt. � Infiitration Glasa Eap. wall Net egp. wall Int. wall Ceiling Floor Total Btu. � � � ft. E.D.R. or sq. ins. W.A. Leader area ,�1.� j�� Room ( Length 6�., Width Windows and Doora—Crackage and Area Wldth Aelght No. oL Llneal it. Area No. o[ pane ot pane ]lghte oL crack eq. ft. Coef. Btu ( Infiltration e �� Infiltration . / �a� 3 ,� � Glaas �, Exp. wall Exp. wall Net exp. wall / f O G� Net eap. wall Int. wall Int. wall Ceiling � / � Ceiling Floor � _ _ Eloor �� . Total Btu. Total Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area Required sq. ft. E.D.R. or sq. ins. W.A. Leader area . Room ( Length Width � Height ��1, � Room I Length i Width Windows and Doors—Crackage and Area Windows and Doors—Crackage and Area Wldth Helght No. ot L1nea1 ft. Area Wldth Hefght No. ot Llneal tt. Area No. of psne ot Dane Ilghte o[ crack aq. ft. No. ot pane o[ pane lighte of crack eQ. tt. Infiltration Glass Exp. wall Net exp. wall Int. wall Ceiling Floor Total Btu. �� Coef. Btu " ' � ( yU Infiltration � ° o'�..� Glass � . Exp. wall � ° ,� Net exp. wall �� Int, wall Ceiling r-- �—� Floor � ,�Total Btu. Required sq. ft. E.D.R. or sq. ins. W.A. L.eader area ft. E.D.R. or aq. ins. W.A. Leader area ef. Btu 6 �-� Q �� T�] Btu /9�� °' �,; � ±�,: ;�; _� •'� . . . � � �•,_ ._x � _ _. . . , . «, . - - __ , ,,� '�. - = Permit Fea. � .. _ �:_ - i : .,, _-_;_� , -�. ,. _ -_ . ..>.. �.... �,... - - APPU�:ATItlN` EOR f �MECHAIVICAL �VI�ARM AIR �IEATINl� _ PERMIT - � : ` -� ' `= � - _ �� Ns�. P_... . _ ......_ - „ , . ........ .� . : � _ , ._ ._ ,. _ , _ _ _ . ,: �_ , _ ,: . . _ ' _ � . � 'Dute of issir�ar�e .. ... . .. . -,,196.. L�a,ti,o�z - _ -- - -- ; . �� " _ �� , . � , �� -�<: 1 ML�rteacpoti�, Mi�►.n., .. .. ..,.395.. Insge�tor of Buildin�s - ` . ' ° ' T�,e_,uruter$ig»R.d,kerehb makee ppLusca,tiosL for a permit for the inst�LT�tim�, c�tt$t°ation o� repai,T .o�' . _ _ ct heatin�%, �ir r,orulitionin�s or venti .-�% sy`s%m, device ar equipmesct,_as herein speci$�ci, cc�►resi��% to rZo . u,lt s�tcch u+ark in strict a,eeo� dcancE wit� ihe Ciiy 4rd inunces arul ruZing$ o� tlie �e�rtshent of .�r�peotiotcs - -, a�rt the speci�ation�s set fcrth in thi� a�pLic�ttios� as �APr'oved c�nd �'til��:i�c��tlie Depr�rtrrcerct of �'ns7deetior�s: , .. . . .n , _ _ � . � _. ,. � > , . . , -_� � �_ ,� :� . � ............ ....:...:... .•-•-------�c�re� -n�;. Otaner.. �.4, � -- •• •�. - � �� _ ... ::_ ,, - '� 4� �ancZ-of " �3uilt�ing.. .- • -- ---• .8o�u �cuni�d.: `` �^ --• - .. - ` Wo�°k-to�b� startecl . ---- --, 1�6.. . 'F�'�i�c to be co�p�e�-�---='�`.. �"� -- ---- -.-,f1 �6 . - - � Esiimccted �'ost �`•• -- ..._. ...... .,. ..OZd --- J1!`eut,.�`zcit�,i,r�g �Pern.�it JV'o. .� _... ..... � - . _ � � - DESCRIPTION OP WORK , ,�_ ,�: . ,. � . m . . ,. „ ,. .-. , .. 'a "` � t�totei l�roert the word insiaU, add, niter, repai�. caoaidie9 to �i�i trfo be done. Unde�_'ltamarks;` iremize renroveils, if a�ry� and ' , .: _ _ _ _ - ,--,_ aQerottom to aqaipment. : _ � � .:. _ .�.. . . ..._.liilechnnieal a_ ren Air Hee�ting Pla�ts-�yrnae�, . .. .�. �-,, x _ Y . _ -� ' ,. ' ' •'s � �' � .Hl[Lke.. . .... �. ...... _._..�..� _ . . .�... - ...SixB . - - ° Conneaf�erZ %aut.. � .... ---- . .....- .Capa,ait� _ - t Air Condit�nin� S�em: Summer Wiszter - �iL Year,- - � . _ . _ � _. � .s ,., �= � � � � ��- � � . , �� - a'�`aTcB.. .. ....... - -CaP�� -- . _.�f m. ._ . _ _:`�'. � '. - _ "' ��_ y ----- � - - ----._. � .....,�.,�,.---------•r . -• • ; Yentit��3�stem: �o,ke..... . � . � ..CapaciLy.._ . 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BUILDING PERMIT Da�: Aug. 3, 1967 �o �3�� 9384 Owaer: g .��h M�. i_ch�� y.'lri swuder ��rn SarageC _ �,d� 6655 Arthur St. N.E. Ad� 3017 Lyndale Ave. South LOCATION OP BUILDING No. 6655 � S�t Arthur St . N.E. p� op �t Lot 5 __ Block 1 Addition or Sub-Division __._ �-ce Creek Addn. Coraer Lot _ Ine�tde Lot Sewer IIevatfan Setback �.._ Sideyard Foundation IIevation DESCRIPTION OF BUILDING To t� v�a �: Garag�e Front __� �__ Depth �.� Height ._._.�_ Sq. Ft. �.�-� Cu. F't � Front Depth I�eight Sq. F't. Cu. Ft �pe of Conatruct4on � Frame �� __��1200 _ __ To be Completed 10-3-67 Ea cons�tderation of the isauance to me of a permit to construct the bwllding described above I gree to the proposed work in accordance with the description above set forth and� complfance wi� a� �ona ordinaaces of the dty of FridleY• 1'� � / l� / In consfderatton of the payment of a fee of $ 7' 06 ��t �� Western Garages to construct the buflding or addition as described above. Thispermi t is grant�ed upon the express condition that thepereon to whom it ia granted and hia ageats, employees an� workmen, in all work. doae in, around aad u�n said building, or any part thereof, shall conform in all reapects tfl the ordinaac� of FridleY� Minnesota regaiaaiag loc�tion, c�nstruction� alteration, maintenance, repafr and mrn►iug oP buildtngs within the dty ]imits and ttiia permit anay be revoked at any time upon violat[on of any of the provisions oP ea�d ordinanc�. CT.ARFN'CE BELISLE g�� Nonce� lbis permit dea nw eo�sr 16s eon��wedee, te�apalloe tor rrWne, plumbtu8, Ba 6uftno, ssw�e ee w�tar. B� wn to a� t6a BuiWing le�p�eto� foe apant� p�rmih Por t6as thw. . , ._ � j� l� ' - - � ` � `�`'r�^�- ��-r',-u�� G�-�_ '�v�,�c� �'� � :� � � , A.°£"'�.,1CC�?a.f�:�I ! +;it 3tJ�'I.D;;PIG °� s �T OWNER'S NAME ADDRESS � Ci'.�i: 0�' r�:+:iJ:s�� ri!:1��i�SC)iA LOCA�ZON QF BUII�AI:aG N0. STREET PART 0� LOT LOT a BLOCK f AD�iTION OR SUBD�VISgOYd �_ 1�('_� \�� .�..�'�--�, COR2dER LOT INSIDE LaT SETBACK SIDE-YARD SEWER �EVA'FION FOiJNDATIOY �LEVATION Apgiicaait �ttach Co this f�rm Two Certificates of Survey of Lot and proposed building loc�tian drawn on these Certificates. DESCRIgTIm�T OF BUILDIAIG To Be Used A� : • , �- _ . a�j °� Front �� Depth ��— Height ,� � Sq. Ft. om� . ' � �� Cu. Ft. �-1 "� �7�� Frant - Depth Height . - Sq. Ft. � Cu. Ft. Type of Constru�tion ��c` �`� �Estimated Cost � � �� ~ To Be Completed �� •' � `^ �� The undersigned hereby mak�s appiication for a permit far the work herein specified, agreeing to do all work in strict accordance with the City of Frid?ey Ordinancea and rulings of the Department of Suiidiags, an3 hereby declares that alI the f�c� and representations st2ted in this app:.icatior► are true and correct. q � DATE � °� ��, ° � � � SIGNATURE (Schedule of Fee Costs can be fou�nd on the Revers� Sic3e�. �� ^ e ' ' � / / \ � a BUILDING PEP�'iIT FEE SCHEDULE SECTION 2. The Inspector of Buildings shall, before issuing permi�s for the erection of any building of structure, or for any addition to any existing building:or structure, or for any alteration or repairs to any existing building or structure, upon applic'ation therefore, require the payment by the applicant � for such permit of fees to the amount herein belo�.� set forth and in the manner herein provided to-wit: Ur..iform Building Code: Type 1,2, & 4- $1.75 for each one thousand cubic feet, or fraction thereof, in such cubical contents. Type 3& 5-$1.50 for each one thousand cubic feet. �,: � For the purpose of computing fees-�for building permits, the cubical contents of any building or addition to a uniform height throughout by multipluing the ground area covered from a point six (6) inches below the floor line of the basement or cellar to the average height of the upper surface or to the average height of the roof surface of the main gable of a pitched roof. . For repairs or alterations to an existing structure, the fee shall be at the , rate of $3.00 per each Five Hundred Dollars ($500.00) or fract:ion thereof� in the cost of all proposed work. ° In no case shall the fee charged for any�permit as set forth in Section 2 be less than $5.00. � NSSSD Connection Charges based on location- Area 1 or 2. 0 , T � � / \ ^ ` e e , . _ /_ -.. -�. - � a sue�ecT PERM City of Fridley _ 18 7 6 8 AT THE TOP OF THE TWINS g U I L D I N G P E R M I T � � � EIPT N � `y __��_ COMMUNITY DEVELOPMENT DIV. r � � PROTECTIVE INSPECTION SEC. �� / (�� 1 .t , / s � 1 /"'1 � CITY HALL FFIDLE� 55432 NUMBER REV. UATE PAGE OF APPROVED BY �'"'"� � ,�� 612-571-3450 910-F15 12/18/86 / / JOB ADDRESS 6655 Arthux Stxeet N. E. t LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. ( 1 Rice Creek School Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Bob Nickolski 6655 Arthur Street N.E. 3 CONTRACTOR MAILADDRESS ZIP PHONE LICENSENO. W. J: Preislex l�iofing & Siding 3865 White Bear Avenue, White Bea.r Lake 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 55110 429-1802 5 ENGINEER MAIIADDRESS ZIP PHONE LICENSENO. 8 USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW ❑ ADDITION C� ALTERATION ❑ REPAIR ❑ MOVE O REMOVE 8 DESCRIBE WORK Reside Dwelling 9 CHANGE OF USE FROM TO STIPULATIONS SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, TMPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD VENTILATING OR AIR CONDITIONING. A.LL1nilA17IIL THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONIN(3 S0. 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 ANV TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS OfFSTREET PARKING I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION �- 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 S3 �800 �`1.90 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- ST UCTION OR THE PERFORMANCE OF CONSTRUCTION. $44. SO r � /%�� PLAN CHECK FEE 70TAL FEE � ,, lt�.�'°�-'�"'� �- � (� $46.40 SIGNATU oF otvTRACTORORAUTHORI2EDAGENT �D E� WHEN PROPERLV V IDATED THIS IS VOUR PERMIT N• �i �/ � �� SiGNATURE OF OWNER iIF OWNER BUILDERi IDATEI BLDG iNSP M1TE NEW [ ] ADDN. [ ] E►L,TER. [ ] Construetion Addre Legal Deseription: City of Fridley Effeetive 4/1/86 �R-1 AND R-2 Building Permit Application . - _��, - • .. - i sl/'�/��11!1�,I1'i��%1�1«�/�.��:-��v� �. . - i !� , � �.�� '. - 1 - 1 :�� . . -- . , � �- � � .. -- � �'�� /� �' �� ,��- � r Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to seale. DESCRIPTION OF IMPROVEMENT LIYING AREA: Length Width Height Sq. Ft. GARAGE AREA: Length Width Height Sq. Ft. � DECH AREA: Length Width Hgt/Ground Sq. Ft. OTHER: Corner Lot (] Inside Lot [] Ft. Yd. Setbaek Side Yard Setback � � o0 Type of Construction• Estimated Cost: $ ��00 — Approx. Completion Date: Alt. A Alt B Proposed Driveway Width If New Opening Is Desired: $ $ See Back Page for Explanation DATE : !l ��,LJ�� Permit Fee Plan Cheek State Surcharge SAC Charge Park Fee Sewer Main Charge TOTAL STIPULATIONS: a APPLICANT: �� e i Tel. � y�%'�%��°.�+t CITY IISE ONLY $ �`i'� �� Fee Schedule on Reverse Side $ 25� of Building Permit Fee $ ��9Gf $.50/$1,000 Valuation $ $475 per SAC Unit $ Fee Determined by Engineering � � /, � Agreement Necessary [ ] Not Necessary [ ] $ � �' S� �, � , �6 � BIIILDING PERMIT FEE SCHBDIILE 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 strueture, or for any alteration or repair to any existing building or strueture, upon applicatio n 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 Valuation $1.00 to $500.00 �501.00 to $2,000.00 $2,001.00 to $25,000.00 $25,001.00 to $50,000.00 Fees $10.00 (Minimum Fee is $15.00) $10.00 for the first $500 plus $1.50 for each additional $100 or fraction thereof, to and including $2,000. �32•50 for the first $2,000 plus $6.00 for each additional $1,000 or fraetion thereof, to and ineluding $25,000. $170.50 for the first $25,000 plus $4.50 for eaeh additional $1,000 or fraction thereof, to and ineluding $50,000. $50,001.00 to $100,000.00 $283.00 for the first $50,000 plus $3.00 for each additional $1,000 or fraetion thereof, to and including $100,000. $100,001.00 and up $�33•00 for the first $100,000 plus $2.50 for each additional $1,000 or fraetion thereof. DRIVEBAY DEPRBSSION 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": Removal and replaeement of curb and gutter and install a 3 foot wide approaeh With 6 inch depth - Driveway width plus 6 feet times $15.75 � YERIFICATION OF FOUNDATION Permits for construetion Will be issued a minimum of 24 hours from the time of application to allow for proper review of the proposed strueture and of the construction site. A Certificate of Survey of the lot, showing the loeation of the foundation onee it has been constructed will be required before proceeding with the framing. SUBJECT , City of Fridley � 1._ s �', BU ILDING PERMIT � �'� � �� o AT THE TOP OF THE TWINS r � � RECEIPT NO. � • COMMUNITY DEVEIOPMENT DIV � LV ��, r � � PROTECTIVE INSPECTION SEC �^� � � i � �7 � 1 /"'1 � CITY HALL FRIDLE� SS432 NUMBER REV �DATE PAGE Of APPROVED BV �'.---� • •', 612-571-3450 9t0-F15 5/22/96 / / 108 ADDRESS 6655 Arthur Street NE t LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. (j 1 Rice Creek School Addition SHEET 2 PROPEFTY OWNER MAIL ADDRESS 21P PHONE Bob Michalski 6655 Arthur Street NE 3 CONTRACTOR MAIL ADORESS ZIP PHONE LICENSE NO L J Roofing 10151 Fole Blvd, Coon Ra ids MN 55448 767-1587 9036 4 ARCHITECT OR DESIGNER MAIL ADORESS 21P PHONE LICENSE NO. 5 ENGINEER MAILADDRESS ZIP PHONE IICENSENO. 6 USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW � ADDITION ❑ ALTERATION � REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Reroof (23 SQ) Tear-off 9 CHANGE OF USE FROM TO STIPULATIONS Underlayment must comply with the State Building Code. SEPARATE PERMITS ARE REQUIRED FOR ELECTHICAL, PLUMBING, HEATING, TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD VENTILATING OF1 AIR CONDITIONING. THIS PERMI7 BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING SQ. FT. CU. FT AUTHORI2ED 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 CERTIFV THAT I HAVE READ AND EXAMINED THIS APPLICATION 1 STALLS GAHAGES AND KNOW THE SAME TO BE TRUE ANO CORRECT. ALL PROVISIONS OF LAWS ypLUATION SURTAX AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED @ @ WITH WHETHEH SPECIFIED HEREIN OFi NOT. THE GRANTtNG OF A PERMIT `V1sH�FO �p.9L 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- @ ST UCTION OR 7HE PERFORMANCE OF CONSTRUCTION. �p.r79 ..rJO Fire 5'�', � 1. 8�F ;� PLAN CHECK FEE TOTAL FEE � � � License SC $5.00 $67.26 SIGNATUAEO oN�RACTOAORAUTHOAIZEDAGENT IDATEi WHEN PFiOP LY VALIDATED THIS IS YOUR PERMIT �.�- - �= -q� SiGNATURE OF OWNEA iiF OWNER BUILDERi IDATE� � 8 G �NSP r�pTE NEw ADDN ALTER C] [l �) CITY OF FRIDLEY SINGLE FAMILY AND DUPLEXES R-1 AND R-2 Building Permit Application Effective 3/1/96 �� 1 i ConstructionAddress: _� � �L� ,�f �� v ; S ,¢-- ,� .� Lega1 Description: Owner Name & Address: �01� �n,,, � � �, I s (c � Tel. # Contractor: _ �.-� ��'�-�^� _ MN LICENSE# � � � � Address: % D I .S�l �' ,.�1 � ( '<%�. �� Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF IMPROVEMENT LIVING AREA: Length Width Height GARAGE AREA: Length Width Height DECB AREA: Length Width HgtJGround OTHER: �� Tel.#_ `7�?��'�'% �� -�� Sq. Ft. Sq. Ft. Sq. Ft. Corner Lot [] Inside Lot [] Ft. Yd Setback Side Yard Setbacks Type of Construction: �� o�; � ��,� �� Approx. Completion Date: (Cost on Back) Driveway G�rb Ciit Width Needed: Ft. + 6 Ft = Ft x$ —$ DATE: �� G� APPLICANT: �.o✓� �°' �' Tel. # 7� `1—lf �� 1 Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee Sewer Main Charge TOTAL STIPULATIONS: $ �l 1�� $ /. �'-� � � $ � �.L''�� $ $ $ $ $ � o�� CITY USE ONLY Fee Schedule on Reverse Side .001 of Permit Valuaxion (1/lOth%) $.50/$1,(�0 Valuai�on $9(� per SAC Unit $5.00 (State Licensed Residenrial Contractors) Alt. "A" or Alt. "B" Above $450.00 Conservation Plan Review Fee Determined by Engineering Agreement Necessary [ ] Not Necessary [ ] BUII.DING PERMIT FEE SCHEDULE The Chief Building Official shall, before issuing permits for the erecrion of any building or siructure, 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 �rmit 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 $1,000,000 $1,000,001 and up FEFS $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,(�0 $62.25 for first $2,� plus $12.50 for each additional$1,0(30 or fraction thereof, to and including $25,000 $349.75 for first $25,0(10 plus $9.� for each additional $1,000 or fraction thereof, to and including $50,000 $574.75 for first $50,� plus $b.25 for each additional $1,000 or fracrion thereof, to and including $1�,000 $887.25 for first $100,000 plus $5.00 for each additional $1,D00 or fraction thereof, to and including $500,000 $2887.25 for the firsg $500,000 plus $4.25 for each additional $1,000 or fraction thereof, to and including $1,000, 000 $5012.25 for the firs� $1,000,000 plus $2.75 for each addition�l $1,000 or fraction thereof DRIVEWAY DEPRESSION ESCROW (Concrete Curb Streets Only) Alterna.te "A" : Removal and replacement of curb and gutter only - Driveway width plus 6 feet times $13.50. Alternate "B": Removal 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 constntction site. A Certificaxe of Survey of the lot, showing the location of the foundation once it has it has bsen constructed will be required before proceeding with the framing. SUBJECT , City of Fridley 2 5 9 2 5 AT THE TOP OF THE TWINS g U I L D I N G P E R M I T r ; � EIPT NO. � `y _._��_ COMMUNITY DEVELOPMENT DIV. /�� r � � PROTECTIVE INSPECTION SEC. 1 i � � �"'1 � CITY HALL FRIDLE� 55432 NUMBEF REV DATE PAGE OF APPqOVEO BY �""� � �'� 612-571-3450 g10-F15 4/10/98 / / J08 ADDRESS 6655 Arthur Street NE t LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACNED DESCR. 6 1 Rice Creek School Addition SFiEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PNONE Robert Michalski 6655 Arthur Street NE 571-4534 3 CONTqACTOR MAIL ADDRESS ZIP PMONE LICENSE NO. Renewal B Andersen 350 73 Ave NE Fridle MN 55432 502-4777 A ARCHITECT OR DESIGNER MAIL ADDFiESS ZIP PMONE LICENSE NO. 20040630 5 ENGINEER MAII ADDRESS ZIP PMONE IICENSE NO. 8 USE OF BUILDING Residential 7 CLASS OF WORK O NEW ❑ ADDITION O ALTERATION q� REPAIR O MOVE O REMOVE 2i 8 DESCRIBE WORK Re lace 10 windows within existin o enin s 9 CHANOE OF USE FqOM TO STIPULATIONS Install smoke detectors to meet the State Building Code - in each hallway leading to sleeping rooms and in each sleeping room and on all levels of house. SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATINQ, TYPE OF CONST. OCCUPANCV CiROUP OCCUPANCY LOAD VENTILATING OF AIR CONDITtONING. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION 20N�NG SQ. FT. CU. FT. AUTHORI2ED IS NOT COMMENCED WITHIN 80 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONEO FOR A PERIOD OF /20 DAVS AT ANY TIME AFTER WOfiK IS COMMENCED. NO. DWLG. UNITS OFFSTREET PARKING I NEREBY CERTIFY TMAT I MAVE fiEAD AND EXAMINED THIS APPLICATION 1 STALLS GARAGES AND KNOW THE SAME TO BE TqUE AND CORRECT. ALL PROVISIONS OF LAWS VALUATION SURTAX AND ORDINANCES GOVERNING THIS TVPE OF WORK WILL BE COMPLIEO l i� OOO �S . SO WITH WHETHER SPECIFIED HEREIN OR NOT. THE GFiANTING 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 REGULATINCa CON- �174.75 F SC �I.1.S6 STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. PLAN CFIECK FEE T TA� FEE Lice S $5. $196.81 SIGNATUREOFCONTHACTOFORAUTNOHIZEDAGENT IOATEI �� EN R P VALI ' D THIS IS i UR PERMI SiGNATURE OF OWNER iiF OWNER BWLDER� IDATEi BL !NSP /� E / ._ e r ITY OF FRIDLEY . 1�W �[] AnnN �.� �AL1'L�R TEL: 612-571-1287 Mar 20.96 � CITY OF FRYDLFY . . SI111GLE FAMILY: A1Vn DUrT.i�XES R-1 AND R Z Building. Permil Application � � . 9:48 No.001 P.:01i02 Effective 3/1/9b � �� . Cpr+stnictionAddress: IQ�,Q�� r�,'�-��'� �� • � � . � .. �. � � . Lega1 DescriPtion: � � . . . . . . � � Owner Name & Addrnss: ��i�,�.. 11�\ C � � �.,5�.� � . Tel. ��-7 � • �{ S 3�i - _ Contracwr. �'E��11� �'�. `�� (P'S1��`_�5�� MN I�ICTNSE # ; � Addc�ss: � � • �l �`��-- i�1%rc�. '�TZ�� 1.�� q ��% � . , Tei. # S'C�Z• �-4.'�l`�g� ,�.. . Atta�h.to d�is application, a Certificate of Survcy of the �`��p •° lo� with tbc pr+o�sed construcflan drawn on it to scale. DL.SCR�'t'ION OF IIVIPROVEIMENT L1VIl�TG AREA: : Len,gth Width �.` Height Sq. P't. GARAGF A►REA: Length � Width , Hei,ght Sq. F� - DECK ARFA: L�rtgth � Widdt _�_ HgtlGmunad Sq. Ft. OTHTR: �N�rt'�1N �I. �S"'C 1�� c�PC��NGS Corncr I.ot [] Inside Lot j] Ft. Yd Selback � Sidc Yard Setbacks � � Typa of Conctrucuon: . . . _ � Estimated Cast: $ � - - - - _ . APrrox. Completion Date: � • 1 S • o j �j . . � � � � �. . � - ��/ �j p� . O� . . - fCos�, on. Back1 . . � Driveway Curb Cut Width Ne�dcd: . F'� + .6 Ft = � Ft x � $ � � � - $ � � � � � �� i3ATE: y : q �. 9 � • . APPLiCANT: � . .� , � Ci7`i� USLr . �ri1LY , � P�a�ir Fcc I �%/�:�%� �` i�� . � . Fire Surcharge %�o�$ ,� Stale Surchazge �-�$_ SAC Chargc � $ . � i.icense Surcilargc .$_ �'> � � Driveway T:scrow . $_ � Frosion CpntroL $ � P�� r� �� . $ � � � SeWCF Main Gharge $ i�ri�rs • - ----.._. __. _ ___ .._ ��; � f �;7, , �- STTPULAI'IONS: ,� � Tel. �.� �SZ-F. ��.�_ . F�c Schetiule on R+eversc Sicte .. . :001 �of Pcrmi� Valualion (1/lOth%) . � � . $.50/$1,�0 VaCuauon � � � � � $900 per SAC Unit� � � $S.OU (State Licensed R�eside�tial .Contxactors) . . Ah..`A° or AI� 'B"-�►bovc . . .. � $450.��Conservatiou Plan l�cvicw � . � � . � . Fe� Determinc�l by Engrncxriqg . . . . �greemcnt Necessary [ I Not Ncc,�.sary [ ] . . � ., ' � S� e: �: . N� . ., . .. sua�ecr MIT NO. City of Fridley 2 715 9 AT THE TOP OF THE TWINS g U I L D i N G P E R M I T r ; � R NO. � • COMMUNITY DEVELOPMENT DIV. �/�� Vy �� r � � PROTECTIVE INSPECTION SEC. � . , ( � /"'1 � CITY HALL FFiIDLE� 55432 NUb1BER REV DATE PAGE OF AVPROVED BY �'.._.�' '•' 612-571-3460 910-Ft5 8/12/98 / / JOB ADDRESS 6655 Arthur St NE 1 LEGAL �OT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 6 1 Rice Creek School Addition SHEET 2 PROPERTY OWNER MAIL ADDRES$ ZIP PHONE Mr. Michalski 571-4535 3 CONTRACTOR MAIL ADDRESS ZIP PMONE LICENSE NO. e al d - 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAIL ADDRESS IIP PNONE LICENSE NO. 8 USE OF BUILDING 7 CLASS OF WORK ❑ NEW ❑ ADDITION ❑ ALTERATION � REPAIR ❑ MOVE O REMOVE 8 DESCRIBE WORK Re lace 3 windows in home with new com letes in existin o enin s. 9 CHAN(iE OF USE FROM TO STIPULATIONS Install smoke detectors in each sleeping room and on each level of home. SEPARATE PERMITS ARE REQUIqED POR ELECTRICAL, PLUMBIN(i, HEATING, �PE OF CONST. OCCUPANCV GROUP OCCUPANCV LOAD VENTILATING OFi AIR CONDITIONING. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION 20NIN0 SC. FT. CU. FT. AUTHORIZED IS NOT COMMENCED WITHIN 80 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDEO OR ABANDONED FOF A PERI00 OF 120 DAYS AT ANY TIME AFTEfi WORK IS COMMENCED. NO. DWIG. UNITS OFFSTREET PARKING I HEREBY CERTIFV THAT I HAVE READ AND EXAMINED THIS APPLICATION STALLS GARAGES ANO KNOW TNE SAME TO BE TFUE AND CORRECT. ALL PROVISIONS Of LAWS yALUATION SURTAX AND ORDINANCES GOVEHNING THIS TYPE OF WORK WILL BE COMP�IEO WI7H WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT 3440 1.%G DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE pEf;MIT FEE SAC CHARGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- STRUCTION OR THE PERFORMANCE OF CONSTRUCTION $ 2 Fire SC 3. �FO PLAN CHECK FEE TOTAL FEE 97.41 SIGNATUREOFCONTRACTORORAUTMORIIEOAGENT IDATEi WHEN PROPERLY VALIDATED THIS IS VOUR PERMIT S�GNATURE OF OWNER�iF OWNER BUILDERi IDATEI BLDG �NSP f�pTE rrEw ADDN ALTER [] [] �IsY CITY OF FRIDLEY SINGLE FAMII,Y AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION ' Effective 1/1/98 `��/ . _ ��. �"� � �.' ~��.��-- ConstructionAddress: _ (� �. j �,��/ j��,�i �JS � i��-��– � � - � � . . � � . . . Legal Description: ��_�e��; - - Owner Name & Address: L�,� �A,L�� p�J ��A Tel. #��=�� Contractor: MN LICENSE # ��1��(� Address: — �� Tel. # ��.`L%77 % LIVING AREA: GARAGE AREA: DECK AREA: OTHER: Attach to this application, a Certificate oi�Survey of the lot, with the proposed construcdon drawn on it to scale. DES+�R�TI�N �'Il�'R� i � �ng� Width Height .'^ �ng� Width Height Length Width -, . � • � Sq. Ft. � Sq. Ft. Sq. Ft. , � - Construction Type: Estimated Cost: $ .3, ��Q: � (Fee Schedule on Back) Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x$ —$ DATE: � APPLICANT: . Tel. #_�`"�� CITY USE ONLY Permit Fee Fue Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee Sewer Main Charge TOTAL STIPULATIONS: $ v� °2S Fee Schedule on Reverse Side $ J� `� .O(}1 of Perrmit Valuation (1%lOth%) $ % � % $.50/$1,000 Valuation $ $1000 per SAC Unit $ � c�C� $5.00 (State Licensed Residential Contractors) $ Alt. "A" or Alt. "B" Above $ $450.00 Conservadon Plan Review $ . Fee Determined by Engineering $ Agreement Necessary. [ ] Not _Necessary [ ] $ � '1 ` �, BLT�DING 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 $�S,Q(10 $25,001 to $50,000 $50,001 to $100,000 $100,001 to $500,000 $500,001 to $1,000,000 $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,Q00 � $62.25 for fust $2,000 p�us $12.50 for each ad�itional $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 first $100,000 plus $5.00 for each additional $1,000 or fraction thereof, to and including $500,000 $2887.25 for the first $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 $1,040 or fraction thereof DRIVEWAY DEPRESSION ESCIZOW (Concrete Curb Streets Only) Alternate "A" : Removal and replacement of curb and gutter only - Driveway width plus 6 feet times $13.50. Alternate "B" : Removal 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 Certificate 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 framing. ADDRES5 PIN LEGAL DESC PERMIT TYPE PROPERTY TYPE CONSTRUCTION TYPE �.,_ CITY OF FRIDLEY PERMIT N.: 2004-00655 �. 6431 ITNIVERSITY AVENUE NE FRIDLEY, MN 55432 DATE ISSUED: 05/06/2004 ►631572-3604 FAX: (7631571-1287 : 6655 ARTHiJR ST NE : 133024140120 : RICE CREEK SCHOOL ADD : LOT 6 BLOCK 1 : BUII..DING : RESIDENTIAL : ADDITION/ALTERATION VALUATION : $ 2,600.00 NOTE: PROVIDE SMOKE DETECTORS IN ALL SLEEPING ROOMS AND ON ALL LEVELS OF THE DWELLING PER R317 OF TI� 2000 INTERNATIONAL RESIDENTIAL CODE. REMOVE AND REPLACE MASONRY CI-IIIIVINEY LINER APPLICANT PIXI,EY JACK SWEEPS INC (20183369) 4179 149 AVE NW ANDOVER, MN 55304 OWNER MICHALSKI ROBERT G& P R 6655 ARTHUR 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 l�ow the same to be true and correct. All provisions of laws and ordinances governing this type of war� 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. Auulic� % Date . Bldg Insp BUII.,DING PERNIIT FEE FIRE SURCHARGE STATESURCHARGE,VALUE TOTAL PAID WITH CHECK # 15735 SEPARATE PERNIITS REQUIItED FOR WORK OTI�R THAN DESCRIBED ABOVE. 83.25 2.60 130 87.15 NEW ADDN ALTER �� [] CITY OF FRIDLEY Effective 4/1/2004 [] 6431 University Ave NE, Fridley, MN 55432 (763) 572-3604 Bldg Insp [] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 (763) 571-1287 Fax �,.,j �- BUILDING PERMIT APPLICATION / a� �� -� co Construction Address: �� .5 e°�-�- ��- s►� /ll� � : Legal Description: Owner Name 8� Address: Contractor. � �� v� ` �(" C� �C LMNG AREA: GARAGE AREA: DECK AREA: OTHER: ..�.-- �/°°� ,�� . � �.J Tel. # ? C cSc.s ' � "'I�YIN LICENSE # :l O / �',3 3 � � � � y �J ��✓� �.5 �3�Yel. # 76 �3 y 2 � � �f�/ � Attach to this application, a Cert�cate of Sutvey of the �►;SO �-,�• [ /� lot, with the proposed cmnstruction drawn on it to scale. �� l. ��SCRIPTION OF IMPROVEMENT � , � S � �L � �S � �--�-e.r �.-�� /o� � v� f�D z,.,r � �� s �s iU �/c� S� G� i hJ � c'a-7"' �4, v o�.F7 c..�r �ar r' cti/ S s.s !�� r-�c,r �� 1 J �c! r.qJ '� i J �' � Length Width Height Sq. Ft Length Width Height Sq. Ft Length Width Hgt/Ground Sq. Ft Construc,tion Type: C� - .-�.J � �� Estimated Cost: $ -%� � �o Driveway Curb Cut Width Needed: Ft + 6 Ft = Ft x$ _$ � DATE:s�— �o — � � APPLICANT: � Tel. #�412 Z2 / -j^6�'j� Call (763) 572-3604 for Permit Fees if mailing in application. Fax to 763-571-1287 if using credit card and we will you for card number. Permit Fee Plan Review Fire Surcharge State Surcharge SAC Charge License Surcharge Curb Cut Escrow Erosion Control Park Fee Sewer Main Charge TOTAL CITY USE ONLY - $ �- �� Fee Schedule on Reverse Side $ 65% of Permit Fee $ � � .001 of Permit Valuation (1/10th%) , $ l, �O $.50/$1,000 Valuation �. $ $1350 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 [ ] � l�� g ` , STIPULATIONS: �`>� � � \, � 4 � �v S� � ,. �� ~ � � �.,� �. Z �f�� . � � BUII.DING PERIVIIT FEE SCHEDULE The Cluef 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,�1 to $25,0� $25,001 to $50,000 $50,001 to $100,� $100,001 to $5�,000 $500,�1 to $1,000,0� $1,�0,001 and up FEES $23.50 $23.50 for first $5�? plus $3.05 for each additional$100 or fraction thereof, to and including $2,0� $69.25 for first $2,�0 plus $14.00 for each additional $1, 000 or fraction thereof, to and including $25,000 $391.25 for first $25,(�0 plus $10.10 for each additional $1,000 or fraction thereof, to and including $50,000 $643.75 for first $50,000 plus $7.00 for each additional $1,�0 or fraction thereof, to and including $100, 000 $993.75 for first $100,000 plus $5.60 for each additional $1,�0 or fraction thereof, to and including $500,000 $3,233.75 for the first $5�,�0 plus $4.75 for each additional $1,000 or fraction thereof, to and including $1,�,000 $5,608.75 for the first $1,(�00,000 plus $3.15 for each additional $1,000 or fra.ction thereof CURB CUT ESCROW (Concrete Curb Streets Only) Removal and replacement of curb and gutter only - driveway width plus 6 feet, times the annually determined rate 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. VERIFICATION OF FOUNDATION A Certificate of S�uvey of the lot, showing the location of the existing foundation will be required before proceeding with the framing. New Houses Onlv � '" � �1 , � � � � � � � � .= �� O �! . � H� � C ... _ � � '� � V i � a � � . 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