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AF - 43494SUBJECT .� R City of Fridley � �$ 6 � AT THE TOP OF THE TWINS g U I L D I N G P E R M I T f ; ', 1 PT ' • COMMUNITY DEVELOPMENT DIV. r � ~ � PROTECTIVE INSPECTION SEC. /�' �� , i 1 � /'�'1 � CITY HALL FRIDLEY 55432 NUMBER REV. DATE PAGE OF APPROVED BV � ----� . ..� • 612-571-3450 910-F15 3/8/85 / / �oe n�oaess '7 551 Brigadoon Place N. E. 1 LEGAL �OT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. ].2 1� Blo�berg Estates SHEET 2 PROPERTYOWNER MAILADDRESS ZIP PHONE Garjac Inc. 481 - 206th Avenue N.E., Cedar, MN 434-7096 3 CONTqACTOR MAIL ADORESS Z�P PHONE LICENSE NO. Same � � � 4 ARCHITECT OR DESIGNER MAIL ADDRESS � ��.� Z�P ��. ��b UCENSE NO. 1 d S 5 ENGINEER MAIL ADDRESS � p�EY' � w, ��z f� ��_� LICENSE NO. �V J `t 6 USE OF BUILDING Residential 7 CLASS OF WORK �7 NEW O ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRiBE WORK Constxuct a 34� 10" x 36" Dwelling a � F2�R1��'JFS N�7 GU��t�!`JTE� i f�' �?CCl1RRCY OF UT1�_;TY �_C�r: � :^,!�;S A�:D �L.�VA; !0;�:::, c 'c �f�� 'fyi G�<1��tA?�! N P � 9 CHANGE QF USE FROM ,�� pERSONS USING THiS INFORMATION SHOULD STIPULATIONS prQyide a hard s.urface driveway. Provide sod in the front and side yard , Provide City with copy o� veri�ying survey. SEWER LOCATION; (,6' Deep in Street) 65' E. of M.H. (Inv. 8�5.39( IIdRT��X Wye Elev: 895.65 TOP OF FOOTING: Expose Wye prior to establishing footing elevation. WATER LOCATION: 69' ENE of N.H. 91' WNW of N.H. 95' S.E. of Hydrant DRIVEWAY DEPRESSION COST: 16' -h 6` = 22' x 13.50 =$297.00 �� °-'� • ��E � ska ar i �f?�((}Ce 4�dn�{j�<: C' r � . SE��RATF F�R�1l1TS �EQUI�;Ei� FO�; ��tE�HO,`�F ��` : , A� � t.(.ts�f, Ts� ` _ �,, 4�1�`iliV�i �`�t:.� 1 _ ��.:t ��. A�i�"r`�i7 �''!`'y� �`;,- " '��dE� , � i'•_ 2 �t t�"t1 r , .: : x_, , . '^ 8 d"�, k � �ry' ? �� .� ;+� y• +•�R 'b �`'g'" SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD VENTI�ATING OR AIR CONDITIONING. WOOC�{ FY3IClA THIS PEFMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING SQ. FT. CU. FT. AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONEO FOR A PERIOD OF 12p DAYS AT ANY 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 CORFECT. ALL PROVISIONS OF LAWS VALUATION SURTAX AND ORDINANCES GOVERNING THIS TYPE OF WORK WI�L BE COMPLIED WITH WHETHEF SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT $65, 550 532. 78 DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE pERMITFEE SACCHARGE PROVISIO OF ANY OTHER STATE OR LOCAL LAW REGULATING coN- 331.00 $425.00 S CTIO R THE PERFORMANC OF CONSTRUCTION. � i, LAN CHECK FEE TOTAL FEE $ 82.75 $871.53 sicNnTUREOFCONra Cioaoanur 2 DAGENT IDATE� WHEN PROPERIY V L DATED T S IS VOUFt PERMIT • ( �- 8 - SiGNATUREOFOWNEAIIFOWNERBUILDEAi IDATEI DG �NSP �1N � N�r I�1 ADDN. [ ] AI,TER. [ ] City of Fridley �R-1 AAD R-2 Building Permit Application Construction Address: �� Q � � ��J�� 'L �c� Legal Description• � D% � 2. �j �o�K � � �.od ��eQ� �S ��TP� Effective 4/1/84 Owner Name & Address: Tel. # Contractor: ��3 �J'_i9G- /!� � Tel. � `!3�'"70 �'6 Addreas: y 8 � � o� � i% �� NG C-� O��P _i✓!.✓ LIVIHG AREA: GARAGE AREA: DECB 11AEA : OTHER: Attach to this application, a Certificate of Survey of the lot, With the proposed construction draWn on it 'to scale. DESCRIPTI01� OF INPROYEMENT r �, �� i Length 3`%� iiidth ' o Height `�� - Ss�. ,F't. � Length 2o Yidth a 0 Height �_ Sq. Ft. �'o B Length � Hidth Hgt/Ground Sq. Ft. Corner Lot �] Inside Lot [] Ft. Yd. Setback 3S� Side Yard Setbaek �-�� O Type of Construction: ��'A M�J Estimated Cost: � ��_ __ � Approx. Completion Date: rn� % ab �` �` '�� Proposed Drivexay Width If NeW DATE: J � � � � � Permit Fee Plan Check State Surcharge SAC Cbarge 2.�-- Alt. A Alt B � Opening Is Desired: � � a��•� � See Back Page for Explanation Z.,Zyc �-?,,SU � 257 APPLICANT: � Tel . # �'3y �° 9-l' CITY IISE OI�LY � 3�I,�t� S g �2 .') � a 3�.,'�� a l.�2,�S,UO Park Fee � Se�+er Nain Charge a "— ?OTAL � �il , �3 STIPULATIONS: '(�lL, lr.� 9"'► Z'�� Uu �� $ . �3 Fee Schedule on Reverse Side 25x of Building Permit Fee =.50/�1,000 Yaluation �425 per SAC Unit Fee Determined by Engineering Agreement Necessary [ ] Not Necessary [ ] BUII.DING PERMIT FEE SCHBDIILE The Chief Building Official shall, before issuing permits for the erection of any building or structure, or Por any addition to any existing building or structure� or for any alteratian or repair Lo any existing bui2ding 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 9aluatioa =1.00 to =500.00 Feea �10.00 (Minimum Fee is a15.00) �501.00 to �2,000.00 =10.00 for Lhe first a500 plus �1.50 for each additional �100 or fraction thereof, to and including a2,000. �2,001.00 to �25,000.00 �32.50 for the first �2,000 plus �6.00 for each � additional �1,000 or fractfon thereof, to and including �25,000. �25,001.00 to �50,000.00 �50,001.00 to �100,000.00 i� ! �' �� 100,001.00 and up 3Z � � ,�. �z � Z � 2 � �- � � 7� ,G 2 � �1- � G�. a170.50 for the first �25,000 plus �4.50 for each additional �1,000 or fraction thereof, to and ineluding �50,000. �283.00 for the first a50,000 plus �3.00 for each additional �1,000 or fraction thereof� to and including �100,000. �u33.00 for the first �100,000 plus �2.50 for each additional �1,000 or fraction thereof. DRIVEWAY DEPRESSION ESCROii (Concrete Curb Streets Only) � Alternate "A": Removal and replacement of curb and gutter only - Drive�aay Width plus 6 feet times �13.50 Alternate "B": Removal and replacement of curb and gutter and install a 3 foot wide approaeh With 6 ineh depth - Drivexay Width plus 6 feet times �15.75 VERIFICATION OF FOUNDATION Permits for construction �ill be issued a minimum of 24 hours from the time of application to al1oW for proper reviex of the proposed strueture and of the construction site. A Certificate of Survey of the loL, shoWing the location of the foundation onee it has been eoastructed Will be required before proceeding With the framing. `��= " ' 3L� : � (� �`, t-; � ', r � ,'�� • � � � ,^� �-�. � V � ..� a ,.. �°' '1' � X � (° " V'? �° ► ' 3 3�i��1 �'3 �o- 4�� 6U C�� 0� c�4i - � - . . �t� ��s F t,�i y v q�91 (��$�P. �g s� ,bc�u = 2 8 3. 1 �vZo r�ZV �, � t,�3.o2� ? I b.l 3 �8. t�4 'pX3� - 2�0 !o K � 2� • �.,2?� � � ,�'")"'�,a p 111 OX UV.1�1 = � �,4�iS.�� , ` -� �oJ � Sl-i�I��$ �i�-- �"tr��`t.�, —yc�o x �Z.��j �,��(�. �u � S�r��yo�s Certif�ee�te COMST�CK & DAVIS, IN�C. Consulrsng Engineers arid Land Surveyors 1�s co��y Roaa J, l�ix�neapolis, MN 55432, (612} 784-9346 SURVEY FOR: B & G Investments 961 Hillwind Road Fridley, Minnesota � � � 4 a 55432 �,s • h � f 3 h 1� � iNE C'�"'f OF F(;IDLEY CCES NOi G(7APANTE� iFB� p (`f �;�C%i�V S,,r I i�-I� �'T�� 1..`t�:�r�:Y�r�!�iJ t�+.��!� �,i..v�h�ld�J. /-:�. Ll . ._ ! ' . 13+ [ c (''n� �/ fI�1:9 Uf1:.�i iJ I ii�i :I`•I ('� „�;�ril'�iV rl�Il�l.��J�J VIV�..1� H�� l�;�r.,c; �;�;�I�ra Ti�{IS INFORMATIOIV SHOULD 'YE�1F'! IT_ QN �Ht SI'TE. � rf i � 8l •31 ' 89' 09' 09" � 0 � ti 1 w 0� 1� . _. . S . _� _. . . � ' , :- , .: , i �'SY.�n.f i .'b0.. S'� �' . b' e�..� �`'� i °� ; �� " =t:� �=��Vdf?;� ' k . �: A Y�(' r �' � ��:, $ b• r F: � .. �` :i i ��.., . �` �?r i. . � � �t ;<� + x-:,, ; �"(.� , �_�2.,� , ::: � �`c� �� ` ., ..�'�� i •s ��: �� o � M �� O� O � ` s f� �.� 4 e � Z.S' N I � y g � �*' �` % 6� � y"� �'i d --�-- !.. � 4 .b>' � e �� j � � R=3o.o0' 1 Q Ty ��,��t r� �t �.st� : i�i ��'��` - . . �"'� � � � c� �,_r '� l �� - � h 1 -- — —'— Z ` � � ",i � � � �� _ �; � ��.i��, `ir 1 S 89° ot' 49" E < �S'1.73 ` I zs � � bR36ADooN P�AC� DESCRIPTION �,` '�_ _ _ ,...,»_ Lot 12, Block 1, Blomberg Estates, City of Fridley, Anoka County, Minnesota. SCALE: 1" = 40 p Denotes 1/2" diameter iron pipe �onument set and canped No. 10832. I hereby certify that this survey, plan or report was prepared by me or under my direct supervision and that I am a duly Registered Land Surveyor under the laws of the State of Minn�sota. , � - � 1�832 N�v. 17 �194Q 4278 9 Reg. No. Date Job lYo. Book Na � �� i r ,� �t � ,�.,� �� - ' r ° ��r v �I-S- � � � � � � � ; � , �L � �' �`%�� ' S �v�'Z 5 ,. > �� . �G ,�Cr - � ls� ��f � � � � U.S/�/�� O�'� �-d �/ �,.S�f1�3 � c� - �Q,� r� %^� � > — ,,� -, � //C� _, � C: �� ; �� >> ��. �� ' �� . �� . � cj J � �,1 � � /�, �f� ,' � � � /�� /, � �G, .; .. �,: � 1W'j,%�) � �c� ,Q��S'i�� U� L _ .-- ,� ., � �� _�'c � � c � _ UTYOF FRIDLEY CIVIC CENTEFi • 6431 UNIVERSITY AVE. N.E.. FRIDLEY, MINNESOTA 55432 � PHONE (6121 571-3450 May 24, 1985 Garjac, Inc. 481 - 206th Avenue N.E. Cedar, NIIJ 55011 Re: Final Inspection at 7551 Brigadoon Place N.E., Fridley Dear Sirs: An inspection was conducted on May 21, 1985 of the above address tq final out the construction. It was noted that the following items must be completed before the s tructure can be finaled: 1. Provide handrails on the stair fram the garage to the basesnent. 2. Provide a handrail f ran the foyer to the basement. 3. Provide sod in the front and side yards. 4. Provide a hard surface driveway. 5. Provide the City with a copy of the verifying survey. We will expect the above items to be co�npleted by June 17, 1985 at which time a reinspection will be conducted to determine compliance. If you have any questions on these items, please feel free to contact me at 571-3450. Sincerely, C�_ ' DARREL G. CLARK Chief Building Official DGC/mh :_ UTYOF FRI DLEY CIVIC CENTER • 6431 UNIVERSITY AVE N E. FRIDLEY. MINNESOTA 55432 • PHONE (6121 571-3450 June 18, 1985 Mr. Gary D'Aigle Garjac, Inc. 481 - 206th Avenue N.E. Cedar, Mtd 55011 Re: Final Inspec tions at 7531 & 7551 Brigadoon and 7600 Lakeside Road Dear Mr. D'Aigle: Reinspections were made on June 17, 1985 of the above addresses and the following ite�ns were noted which must be completed before the structures can be finaled out: 7531 Brigadoon Place N.E. (Unable to gain entrance to structure) 1. Provide sod in the front and side yards. 2. Provide a handrail on the garage steps. 3. Provide insulation in the base�nent utility rooQn. 7551 Brigadoon Place N.E. 1. Provide sod in the front and side yards. 2. Provide City with a copy of the verifying survey. 7600 Brigadoon Place N.E. Provide City with a copy of the verifying survey. We will expect the above items to be cor.�pleted by July 15, 1985 when reinspections will again be conducted to determine compliance. If you have any ques tions on these items, please feel free to contact me at 571-3450. 5incerely, DA L . Chief Building Official DGC/mh i STATE OF MINNESOTA DEPARTMENT OF HUMAN SERVICES 444 LAFAYETTE ROAO �j - ` � � � "� ST. PAUL. MINNESOTA SS101 Date . �, oni Authority C� �-t � 1 �._ I� � c treet Address t n- � � � S � 3 �— City �State Zip Code RE: ZONING NOTIFICATION OF APPLICATION FOR LICENSURE Subject: (2� Q, , Name of Day Care Home Applicant � Ss� � Q�_ Street Address � �� Q�(1 � . 5 S �t � � City State Zip Code �� L �� DHS-2722 (9-85) PZ-02722-02 � � 9�� Type of License: Family Day Care Group Family Day Care � Licensed Capacity � ° ,� Phone No. `1 $��-�i1�1 � This is to inform you that we are in receipt licensure under Minnesota Rules, parts 9502.0300 Rule 2), Family Day Care and Group Family Day Care this license is subject to compliance with the Statutes, Sections 245.781 to 245.812 and 252.28, the Public Welfare Licensing Act and the rules of Services. of an application for to 9502.0445 (formerly Standards. Issuance of provisions of Minnesota subdivision 2, known as the Department of Human You should note that under Minnesota Statutes, Section 245.812, Subvision 3, a licensed day care facility serving 12 or fewer persons shall be considered a permitted single family residential use of property for the purposes of zoning. Subdivision 4 of the same section indicates that a licensed day care facility serving from 13 through 16 persons shall be considered a permitted multi-family residential use of property for purposes of zoning. If we do not hear from you within will consider the above-mentioned your local zoning code. Sincerely, Licensing W rker � Street Address 30 days after receipt of this letter, we day care home to be in compliance with COMMUNITY N�P,LiH & SCCiAL SERV!CES DEPI�RTMENT COUNTY OF ANOKA COURTHOUSE, FOURTH FLOOR ANOKA, MINNESOTA 55303 Name of Agency/Organization City State Zip Code ��--�-� � ' �� AN EQUAL OPPORTUNITY EMPLOYER H � SUBJECT City of Fridley AT THE TOP OF THE TW�NS g U I L D I N G P E R M I T r � . � � � ; y ___�_ COMMUNITY DEVELOPMENT OIV. r � � PROTECTIVE INSPECTION SEC. `--_-�; �"' ,.� CITV HALL FRIDLE� 55432 NuMeER i 612--571-3450 9�0-F15 JOB ADDRESS 7551 Brigadoon Place 1 LEGAL �OT NO. BLOCK TRACT OR ADDITION DESCR. 12 1 Blomberg Est 2 PROPERTY OWNER MAIL ADDRESS Stan Radosevick 3 CONIRACTOR MAILADDRESS Right Way Roofing Tn_. 1 00 ._ 79rh St_ 4 ARCHITECT OR DESIGNER MAIL AOOFiESS 5 ENGINEEH MAI� ADDRESS 6 USE OF BUILDING Resi ential 7 CLASS OF WOF;K REV DATE PI �Y8/18/98 � � �vv. 2725 9 O. �� OF ACOROVED BY / SEE ATTACHED SHEET PHONE PMONE LICENSE NO. RQ9Q LICENSE NO. UCENSE NO ❑ NEW ❑ ADDITION ❑ ALTERATION � REPAIR O MOVE O REMOVE 8 OESCRIBE WORK Reroof house and Qarage (18 Sq) Tear-off 9 CHANGE OF USE FROM TO STIPULATIONS Underlayment must comply with the State Building Code. TYPE OF CONST SEPARATE PERM�TS ARE REOUIRED FOR ELECTRICAL, PLUMBING, NEATING, VENTILATING OR AIR CONDITIONING. THIS PERMIT BECOMES NULI AND VOID IF WORK OR CONSTRUCTION 20NING AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OFI IF CONSTHUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UN I HEREBY CERTIFV THAT I HAVE READ AND EXAMINEO THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF IAWS VALUATION AND ORDINANCES GOVERNING THIS TVPE OF WORK WiLI BE COMPIIED WITH WHETHER SPECIFIED HEREIN OH NOT. THE GfiANTING Of A PERMIT �ISOI DOES NOT PRESUME TO GIVE AUTHORITV TO VIOIATE OR CANCEL THE pEFM1T FEE PROVISIONS OF ANV OTHER STATE OR �OCAL LAW REGULATING CON- STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. �SI.ZS PLAN CHECK FE - �-' t,��%�- a Licens SiGNATUREOFCON'RACTOROAAUTMOA�ZEDAGENT IDATE N SiGNATURE OF OWNEA UF OWNEP BUILDEHI IDATEi Al , DCCUPANCVGROUP OCCUPANCVLOAD SQ. FT. CU. FT. OFFSTREET PARKING STALLS GARAGES SURTAX .75 SAC CMARGE Fire SC $1.50 TOTALFEE i.0 5 .50 IDAT HIS IS YpUR BdAIT _ NE� - [ l ADDN [ ] ALTER [ ] CITY OF FRIDLEY SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION Effective 1 / 1 /98 � �� ConstructionAddress: �5 � (?�r � q�� dpy� p j� . Legal Description: Owner Name & Address: �� (Zr� ('js l )1 _�C Tel. # � (p - Gj ►GZ Contractor: Z(,C��,�- 1A9(�� [g��,,�,v�, MN LICENSE# D('7�?�C% Address: (?Q(� � ,�-CL� ��j-. Tel. # �3�UUG Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. LIVING AREA: GARAGE AREA: DECK AREA: OTHER: Construction Type: Length Length Length Driveway Curb Cut Width N�eded: DESCRIPTION OF IMPROVEMENT 1:��1 Width Width Height Height 0 Sq. Ft. Sq. Ft. Sq. Ft. -� y� Estimated Cost: $ �,�a�' �SD � (Fee Schedule on Back) Ft. + 6 Ft = Ft x$ _$ DATE: � APPLICANT: � Ql,�� 1�-t,tJJ h Tel. # Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee Sewer Main Charge TOTAL STIPULATIONS: $ � $ $ $ $ $ $ $ .S/ �S� /, S� %S^ S`�C1� � �,�� . S Z� CITY USE ONLY Fee Schedule on Reverse Side .001 of Permit Valuation (1 / l Oth %) $.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 BUILDING Permit Ivo.�l (i �� '' Inspections RESIDENTIAL APPLICATION Received By�L''�.. 763-572-3604 CITY OF FRIDLEY vat � 763-502-4977 FAX EFFECTNE 1-1-09 ��. DATE �—�— � Q YOUR E-MAIL ADDRESS C�nI�.�.,lJV � �� SITE ADDRESS 7c5 ( �1 ��1 �`, n l_ THIS APPLICANT IS: � OWNER L,�CONTRACTOR PROPERTY OWNER/ NpME: TENANT ADDRESS:��S I CcJ � �^�'1 �� PZ _i �,CITY �I'� 1 CLlO 1�_STATE�ZIP � PHONE: 7(G,",r�Ci�C —� ��-i CONTRACTOR NAME: SUBMIT A COPY OF STATE LICENSE #� C� �� EXP DATE �(�J I � Z YOUR STATE LICENSE c�'_�� `�" � AND CERTIFICATE OF ADDRESS: C�IC�C )C� -� ��`,�1 l_,��1 CITY t� STATE i�iZIP��nG1 INSURANCE pHONE -7�3 -3� I-551 t� � FAX PROPERTY TYPE SINGLE FAMILY/NEW CONSTRUCTION SIZE ❑ TWO FAMILY/NEW CONSTRUCTION STOffiES 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 C�REMODELING DESCRIBE WORK BEING DONE: � Z� U.� 1 ViCIG�-��J� ��L �-�C ( j'� l ��1r11-�"V� SIZE OF IMPROVEMENT LENGTH WIDTH HEIGHT SQ FT ROOFING ❑ HOUSE ONLY BASEMENT REMODELING SUBMIT: NUMBER OF SQUARES ❑ HOUSE & GARAGE 1. Existing Floor Plan GARAGES ❑ ATTACHED GARAGE 2. Proposed floor plan PROPOSED SIZE: ❑ DETACHED GARAGE 3. List of structural members to be used PROPOSED HEIGHT: SIDING FOR NEW CONSTRUCTION INCLUDING DECKS, ❑ Vinyl ❑Soffit ADDITIONS. & PORCHES SUBMIT: ❑ Aluminum ❑ Trim 1. Site Plan/Survey showing the existing structures ❑ Other ❑ Fascia and proposed project. 2. Two sets of construction plans WINDOWS 3. Energy Calculations IN EXISTING OPENINGS @�Yes ❑No LOCATION OF WINDOWS OR FOR NEW OPENINGS-DESCR i8E SIZE OF OPENINGCHANGES& r/�� ,��j,�1;L,,�� TYPE OF WINDOW TO BE INSTALLh� Ci: �' Wzuk � NUMBER OF WINDOWS ALL FEES ARE BASED ON VALUATION, INCLUDING THE COST OF LABOR AND MATERIALS: USIN THE 1997 U.B.0 FEE SCHEDULE) TOTAL JOB VALUATION $ yj ;[�(�}� a� _ OCCDPANCY _ TYPE Permit Fee Plan Review Fire Surcharge Surcharge License Surcharge SAC Charge Curb Cut Escrow Erosion Control Park Fee Sewer Main Charge Total Due $ (' G� �„j (� �j See Back Page for Fee Schedule $ 65% of Building Permit Fee $ .001 times the total job valuation $ � " � .0005 x Permit Valuation Minimum $.50 $ $5.00 (State Licensed Residential Contractars) $ $2000 per SAC Unit (Plans to MWCC for determination) $ ft+6ft= ftx$21=$ $ $450 Conservation Plan Review $ Fee Determined by Engineering $ Agreement necessary ( ) Non Necessary ( ) $ � Make checks navable to: Citv of Fridlev Attach THIS IS AN APPLICATION FOR A PERMIT-NOT VALID UNTIL PROCESSED I hereby apply for a building permit and I acknowledge that the information above is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Fridley and with the Minnesota Construction Codes; that I understand this is not a permit but only an application for a 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 of all work which requires review and approval of plar}�. , \ SIGNATURE OF APPLICANT �,�-/��NT NAME \ �'L�� llA1�E ( J—� � �J �t'