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�zdYex, ��?e�si'ka xegarc't�i� lo�#��� �etion, �te��, �i�ert
.�, ,; �ixt the;village;�� and ihiS Pez�ni't�maY be revoked �� any tixn.e_ a�t3u:
-_ � Pcrrdintitrces - ` � � �
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tit�n fbr, ing: PYur�bE+
emiis � � t#�rris.:'
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Ca.ty of Fridley, Minn-
BUILDING PERMIT
Da�: ��.�.�_.__
p�r; Harr�r J. Messick g�� Same
Ad�s C�.206 Caro1 Drive N.E. ,4d�� Same
� �-� /0 3
_ -=�,,
N° 1096
LOCATION OF BUILDING
No. h20h Street .r.�.'r.c�..l 1?rive N_F._ Part of Lot
Lot �.___._7 ___ Block ?_....�. Addition or Sub-Division ��, $� .E�o Q� i i nn
Corner Lot _ Inside Lot R Setback —�_ Sideyard
Sewer Elevatian ___._, ...._ Founda.tion IIevation
DESCRIPTION OF BUILDING
To be Used as:
A 1 t pra t i nn c Ii`ppnt _. Depth Height _..._ Sq. F't. Cu. Ft
Front Depth ITeight Sq. Ft. Gu. F't.
Z'ype of Construction FramP ��, �`.�$.p.Q,,.Q.Q.._.___ To be Completed �*+ri 1 1 A71
In consideration of the issuance to me of a permit to construct the building d�cribed above, Y agree to do
the proposed work in accordance with the description above set forth and in compliance with all provisions of
ordinances oE the dty of FrYdley. - –:` �` i�!/�_,�d�� a
�
In conafderation of the payment of a fee of $_�.�� , p�mit is hereby granted to �Sirv Me�ick
#o construct the buflding or addition as described above. This �rmit 3a granted upon
the express condition that the person to whom it is granted and his agettta, ernployees and worl�en, fn all work.
dane in, around and u�n said building, or any part thereof, sYxall conform in all reapects to the ordinances of
Fridley, A2innesota regarding lucation, construction, alteration, maiatenance, repair and moving of bufldinge
��� dty ]imits aad th�ts permit may be revoked at any time u�n violation of any of the provisions of eafd
.
�� � %%��� � L� � Building Inapector
HANK MUHICH
NOTIC�
Tl� peemM d� not wrer t6s eoestroctfoe, inshllaMoa ier wtrieg, plumbtaa, ga heN►ng, sswee o� waM�. B� wra to iss
the BnQdiae In:peeto� to� sspants permtfs for fhs�s i»an.
�� ��
.. _
.,
APLICATION FOR RESIDENTIAL, ALTERATION,
OR AllllITiON $UILDING PERMIT
CITY OF FRIDLEY, MINNESOTA
OWNER' S NAME : /�/6�/1/�21� �I � %�C-S,S/C�, BUILDER ;- - , ,�
--- ;•- �
anDx��S : �ao� �r 4�_____.���z. , anDxESS • �� , �
NO•.Go20G' STREET: �ijZ(/L ,�/Z �
LOT : BLOCK : � � ADDITION : �/2G O � e •
CORNER LOT: IATSIDE LOT:� SETBACK: SIDEYARD:
AppliGant attach to this form �ao Certificates of Survev of Lot and proposed
building locati�n drawn on these Certificates.
�ESCRIPTION OF BUILDING
To Be Used As•
�/ T62A%/U/U j Front : Depth : Height :
Square Feet• Cubic Feet:
Front: Depth: Height•
Square Feet; Cubic Feet:
�pe of Constructioa: �,q�� Estimated Cost: $ .S �`OQ, (�0
To Be Completed: _ �ifi,�. �pni � � ?j � ��� � � / `
(
The undersigned hereby makes applicativn for a permit for the work herein
specified, agreeing to do all work in stfict accordance with the City of
Fridley Qrdina.nces and rulings of the Department of Buildings, and hereby
declares that all the facts asid representationa stated ia thia application
are true and corxect.
D�ATE : t!��j��ZG/� �i �%c%� „_, S IGNATURE : ,��.
(5ee Reverse Side For Additiona,l Inf,r��nation
�°' -� � �� ���
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BUILDING PERMIT FEE SCHEDULE
SECTION 2. The Inspector of Buildings 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 repairs to any exiating
building or structure, upon application therefore, require the payment by the
apglicant for such permit of fees to the amount herein below set forth and in
the manner herein provided to-wit:
UNIFORM BUILDING CODE: �pe 1, 2� 4-$2.15 for each one thousaad cubic
feet, or fxaction thereof, in such cubical contents. Type 3� 5-$1.85 for
each one thousand cubic feet.
ADDITIONAL INFORMATION
For the purpose of computing fees for building permits, the cubical contents
of any building or addition, is determined by multiplying the ground area
covered from a point six (6) inches below the floor line of the basement
or the cellar to the average heights of the upper surface or to the average�
height of the roof surface of the ma,in gable of a pitched roof.
For repairs or alte�rations to an existing stxucture, the fee shall be at the
rate o£ $3.00 per each five hundred dollars ($500.00) or fraction 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
lesa than $5.00.
VERIFICATION OF FOUNDATION
NOTE: Percnits for construction will be issued a mini�m of 24 hours from the
time of applidation, to allow for proper review of the proposed structure and
of the construction site.
A Certified Survey of the lot, showing the location of the foundation, once it
has been constructed, will be required before proceeding with the framing.
CERTIFICATE.OF OCCUPANCY
Application for a Certificate of Occupancy shall be made ten (10) days prior
to the use or occupancy qf any structure for which a building pennit has been
issued; and said structure shall not be used or occupied until a Certificate
of Occupancy has been issued. •
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CITYOF
FRIDLEY
FRIDLEY MUNICIPAL CENTER • 6431 UNIVERSITY AVE. N.E. FRIDLEY, MN 55432 •(612) 571-3450 • FAX (612) 571-1287
Jtme 19, 1991
I�'. S`t�'i Wa�sto�.'
6206 Carol Drive 1�
Fr.idley, NA�T 55432
Re: Letter Approving Side Yard Instal.latiari of Air CX�ndi.tio�r at
6206 Ca�l Drive NE
Dear Mr. Triforrtror:
Tn� have r�ort to this date received tY�e letter frrx�n yoa�' nei.ghbors aPp�'oviricJ '�e
ir�tal.lati� of the air oo�diticaler in ycnar sicle ya.rd. Secti� 124.05 of fi�e
Fridley City Code requa�xes that w� receive this lett�r before the iristallatioaz of
the tmit car► be ap�aved.
Please have your r�ic�bors sic�n the farm at tY� bott�ni of this le�tt.er and ret�n
i.� ��. �p�. y� y,�,l �p�t thi � fio be c�mple'tsd }�y July 3, 1991.
���e �y q�ti.� oa� this �tra,tt;er, please crorrtact me at 572-3603.
Sinoez'ely,
`�i/'�'' � � 1 .�, ;
� %+ �
. .. �« �.- .
M_ �
I�.� ��� Q{yi,a� ����sovv ��� of � Carol C� N.E., have
--�
rio objecti� t�o an air oorrc�iti�r beitlg i�ta].led in tx.tr adjoinir�g' si.t1e yard with
6206 Ca�l Drive by N1�'. S�en Tn�ntor-
. -� `����91
� y
' SUBJECT � ,
City of Fridley 2 5� 91
AT THE TOP OF THE TWINS g U I L D I N G P E R M I T
r
S � RECEIPT NO.
� `y __�__ COMMUNITY DEVELOPMENT DIV. /� q�
r � ; PROTECTIVE INSPECTION SEC. Z
i.--• A �r"';•� CITY HALL FRIOLE� 55432 NUMBER REV DATE PAGE OF APPROVED 8Y
i �� 612-571-3450 9t0-F15
4/1/98 / /
J08 ADDRESS 6206 Carol Drive NE
t LEGAL LOT NO. BLOCK YRACT OR ADDITION SEE ATTACHEO
DESCR. � 2 Shorewood SHEET
2 PqOPERTY OWNER MAIL ADDRES$ ZIP PHONE
Steve Wonton 6206 Carol Drive NE
3 CONTRACTOR MAILADDRESS ZIP PHONE LICENSENO.
To Gun Inc 5014 Parrish Ave NE Ro ers MN 3
4 ARCHITECT OR DESIGNER MAIL ADORESS ZIP PHONE LICENSE NO.
5 ENGINEER MAIL ADDRESS ZIP PHQNE LICENSE NO.
6 USE OF BUILDING
Residential
7 CLASS OF WORK
❑ NEW � ADDITION � ALTERATION � REPAIR O MOVE O REMOVE
8 DESCRIBE WOfiK
Reroof House 21 S Tear-off
9 CHAN(iE 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 OCCUPANCV �OAO
VENTILATING OR AIR CONDITIONING.
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZpNING SO. FT. CU. FT.
AUTHORIZED IS NOT COMMENCED WITHIN 80 DAYS, OR IF CONSTRUCTION
OR WORK IS SUSPENDED OR ABANDONEO FOR A PERIOO OF 120 pAyS AT
ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS OFFSTFiEET PARKING
I HEREBY CERTIFV THAT I HAVE READ AND EXAMINED THIS APPLICATION i STALLS GARAGES
AND KNOW TNE SAME TO BE TRUE AND CORRECT. ALL PqOVIS10NS 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 �1�751 �,$$
�OES NOT PRESUME TO GIVE AUTHORITV TO VIOLATE OR GANCEL THE pERMIT FEE SAC CHARGE
PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- @
STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. �pSC).7S Fire SC �1. %S
PLAN CNECK FEE TOTAL FEE
License SC $5.Q0 $64.38
SIGNATUREOFCONiRACTORORAUTNORI2EDAGENT IDATEi WHEN PROPERLY LIDATED THIS IS VOU�R/ PE�RJMIT
- /"" / ` �
SiGNATURE OF OWNEF UF OWNER BUILDERi IDATE� BLD �NSP qFTE
NEW ll
ADDN II
ALTER (�i
ConstructionAddress:
CITY OF FRIDLEY
SINGLE FAMILY AND DUPLEXES R-1 AND R-2
Building Permit Application
�
Effective 8/ 1 /95�
�ae
�� ���
j
Legal De.ccription: � � � �� •
` Owner Name & Address: � �"� (�-� � �'n t=.n..Crl�Q a-�-° �� Tel. # •
Contractor: TC� �� U� c� � C U MN LICENSE #�3?� �f �
Aaa��: 5� I � I ����.�1� � t� �.�-. b�9��, � �a�, � . E'�1►'1 � 3i � Tel. # u.� � - �F � �S q
�
Attach to this application, a Certificate of Survey of the
lot, with the proposed consbrucrion drawn on it to scale.
DESCRIPTION OF IMPROV�MENT
LI�ING AREA: LengCh� . � Width � Height . . . Sq. Ft.� � . . .
GARAGE AREA: Length Width Height Sq. Ft.
DECK AREA: Length Widtt► ,^ Hgt/Ground Sq. Ft.
OTHER:
e
Corner Lot [] Inside Lot [] Ft. Yd Setback Side Yazd Setbacks ��/
Type of Construction: (�- �2-o a� � Fstimated Cost: $ � ._
Approx. Completion Date:
(Cost on Back)
Driveway Curb C�t Width Needed: Ft. + 6 Ft =� Ft x� _�
�����
DATE: ° 3 � � _ �'PLICANT: � �� ` � Tel. #_��u`��
�ITY USE ONLY'
Permit Fee
Fire Surcharge
State Surcharg
SAC Charge
�v��%� — --. — - -
l. ?�$
e � �g $
$
License Surcharge $ � `'�
Driveway Escrow $
Erosion Control $
Park Fee $
Sewer Main Charge $
TOTAL
$ ��.3�
_ _ --- -- -- —
Fee Schedule on Reverse Side
.001 of Permit Valuation (1llOth%)
$.50!$1,000 Valuation
$850 per SAC Unit
$5.00 (State Licensed Residential Contractors)
Alt. "A" or Alt. "B" Above
$450.� Conservation Plan Review
Fee Determined by EngineerinS
Agreement Necessary I l Not Necessary []
STIPULATION5: ._ y r
!!R
SuBJEGT
c�ty of Fridley
AT THE TOP OF THE TWINS g U I L D I N G P E R M I T
i �
� �
� �V _ COMMUNITY DEVELOPMENT OIV.
I j � PFOTECTIVE INSPECTION SEC.
l.__-� ��"' �'� CITY HALL FRIDLE� SSIJ2 NUMBER
L 612-571-3450
s�aF�s
�oe nooRess 6206 Carol Drive NE
t LEGAL �OT NO. BLOCK TRACT OR ADDITION
oescR. 7 2 Shorewood
2 PROPERTY OWNER MAIL ADORESS
Steve Wontor
3 CONTRACTOR MAIL ADDRESS
Four Seasons Roofing � Rem. 2107 1/2 Bur
d ARCHITECT OR DESIGNEfi MAIL ADDRESS
5 ENGINEER MAIL ADDFiESS
8 USE OF BUILDING
Residential
7 CIASS OF WORK
� '
� ��:
����
REY DATE PAGE OF APPqOVED BY
8/19/99 / /
SEE ATTACHED
SHEET
ZIP PMONE
Z�P 37 PHONE LICENSE NO
r�s�ille 890-1ttA9 2013878
ZIP PMONE LICENSE NO.
Z�P PHONE LICENSE NO
� NEW O ADDITION � ALTERATION � REPAIR O MOVE O REMOVE
8 DESCF118E WORK
� a� �x���A Reroof house (19 Sq) Tear-off
9 CHANGE OF USE FROM
TO
STIPULATIONS "
Underlayment must comply with the State Building Code.
���C�x��x ���„�,�xld�'��"�. �1��8'���Rk�����Y�¢�ava�ti�a�.
SEPARATE PERMITS AqE REOUIREO FOR ELECTRICAI, PLUMBING, HEATING, TYPE OF CONST.
VENTILATING OR AIR CONOITIONING.
THIS PERMIT BECOMES NULL AND VOID IF WOfiK OR CONSTRUCTION IONING
AUTHORI2ED 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. OWLG. UNI
� MEREBY CERTIFY THAT I MAVE READ ANO EXAMINED THIS APPLICATION
AND KNOW TNE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF L,AWS yq�UATION
AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIEO
WITH WME7MER SPECIFIED HEREIN OR NOT. TNE GRANTING OF A PERMIT $1661
DOES NOT pRESUME TO GIVE AUTHOR�TY TO VIOLATE OR CANCEL THE pEqMl7 FEE
PROVISIONS OF ANY OTHER STATE OR �OCAL LAW REGULATING CON-
STRUCTION OR TME PERfO NCE OF CONSTRUCTION r.�C)O,. ZO
/ ` � PLAN CHECK FEI
Licens
S�GNA liEOFCON"RACTOQOpAUTFIOA�2EDAGENT 1DATE� HEN P
S�GN4TUAE O� OWNEA dF OWNEA BWlOERi �,�� � e — C
_ D E , _ ...
T
STALLS
�
�qOUP OCCUPANCVLOAO
CU FT.
OfFSTREE7 PAqKiNG
IGARAGES
SURTAX
.� . 83
SAC CMARGE
Fire SC $1.66
TOTALFEE
,�67.59
r� `
� �
NEW [ ] Effective 5/10/99 �
ADDN [ ] CITY OF �'RIDLEY
ALTER [] SINGLE FAIVIILY AND DUPLEXES R-1 AND R-2 � .�
BUII.DING PERMIT APPLICATION o (�j
� �
Construction Address: ��%,� �p��� �,Q.
Lega1 Description:
Owner Name & Address: ����j� _ �7��� Tel. #
Contractor: � rzrQ �e��� � �? MN LICENSE # �� �` ,�g�B'C�
Address: � � v � /� .�� �i� rT_n�,��v� /f� ��. Tel. # /�— ��� - l �' ��
Attach to this application, a Certificat�'of:Su�ve� of t�re .
lot, with the proposed constcuction:.dra��on��r:t���cale _..
LIVING AREA:
GARAGE AREA:
DECK AREA:
OTHER:
Construction Type:
Length
Length
Length
DESCRIPTION O�' IlYIPRO�EMENT ,
Width Height
Width Height '
Width Hgt/Ground
Sq. Ft.
Sq. Ft.
Sq. Ft.
Estunated Cost:
Driveway C�rb Cut Width Needed:
Ft. + 6 Ft = Ft x$
_$
DATE: �— — APPLICANT: � Tel. �` �� � �D ' ��'�
Permit Fee
Fire Surcharge
State Surcharge
5AC Charge
License Surcharge
Driveway Escrow
Erosion Control
Pazk Fee
Sewer Main Charge
TOTAL
STIPULATIONS:
� �c.l�
� 1.��
$ L�� �
$
$ �~ � �
$
$
$
$
� �; , ��
CITY USE ONLY
Fee Schedule on Reverse Side
.�1 of Permit Valuation (1/lOtt
$.50/$1,000 Valua.tion
$1050 per SAC Unit
$5.00 (State;:Li�ensed Residential
Alt. "A" or Alt. "B" Above
$450.00 Conservation Plan Revie�
Fee Determined by Engineering
Agreement Necessary [ ] not Ne
BUILDING PERNIIT 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.#herefore, require the payment by the applieant 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
$541 to $2,0� _
$2,001 to $25,�0
$25,�1 to $50,000
$50,�1 to $100,000
$100,001 to $5(�,OOU
$500,001 to $1,000,000
$1,0�0,001 and up
FEES
$23.50
$23.50 for first $SQO plus $3.05 for each additional $If�: or :
fraction thereof, to and including $2,000
$69.25 for first $2,000 plus $14.00 for each additional $1,000
or fraction thereof, to and including $25,000
$391.25 for first $25,000 plus $10.10 for each addirional $1,000
or fracrion thereof, to and including $50,000
$643.75 for first $50,000 plus $7.00 for each additional
$1,000 or fraction thereof, to and including $100,000
$993.75 for first $100,000 plus $5.60- for each additional
$1,000 or fraction thereof, to and including $500,0(�0
$3,233.75 for the first $500,000 plus $4.75 for each additional
$1,000 or fraction thereof, to and including $1,000,0�
$5,608.75 for the first $1,000,000 plus $3.15 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 $15.50.
Alternate �"H" : Removai� � replacement of curb and gutter and install a 3 footi �vide
approach with 6 inch depth - Driveway width plus 6 feet times $23.25.
VERIFICATION OF FOUNDATION
Permits for construction will be issued a minimum of 24 hours from the time of application to allow for proper
review of the proposed structure and of the construction site.
A Certificate of Survey of the lot, showing the location of the foundation once it has it has been constructed will
be required before proceeding with the frami.ng.
*
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City of Fridley � 0 7 7 4
�
AT THE TOP Of THE TWINS � � I L D i N G P E R M I T
„
, �, .
� ; v _�___ COMMUNITY DEVELOPMENT DIY. / ���
r � � PROTECTIVE INSPECTION SEC.
1 = �
� /"'1 � CITY NALL FRIOLE� SS1� NUM�ER pEV DATE VAGE OF A�PROVED BY
�----� • •'� 612-571-3450 910-F15 3/29/00 / /
JOB ADORESS 6206 Carol Drive NE
t LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED
DESCR. � 2 Shorewood S►iEET
2 PROPERTY OWNER MAIL ADDR�S$ IIP PMONE
Stephen & Jean Wontor 6206 Carol Drive NE 574-9326
3 CONTqACTOR MAIL ADDRESS 21P PHONE LICENSE NO
Central Contracting 10609 Meadow Lane, Brooklyn Park, MN 55443 427-2287
4 ARCHITECT OR OESIGNER MA1 ADOfiESS ZIP PMONE LICENSE NO.
5163
5 ENGINEER MAILADDfiESS 21P PNONE LICENSENO
8 USE OF BUILDING
Residential
7 CIASS OF WORK
❑ NEW
8 OESCRIBE WORK
Reside House; trim
8 CHANf3E OF USE FROM
❑ ADDITION O ALTERATION
TO
� REPAIR
STIPULATIONS
Call for building wrap inspection before covering.
TYPE OF CONST. OCCUPA
SEPARATE PERMITS ARE FiEOUIRED FOp ELECTRICAL, PLUMBING, HEATING,
VENTILATING OR AIR CONDITIONING
THIS PEFMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION 20NING SO. FT
AUTNORIZED IS NOT COMMENCED Vt(ITHIN 80 DAYS, OR IF CONSTHUCTION
OR WORK IS SUSPENDED OR ABANOONED FOR A PER100 OF 120 DAYS AT
ANY TIME AFTER WORK IS COMMENCED. NO OWLG. UNITS
I HEREBY CERTIFY THAT I HAVE READ AND EXAM�NEO THIS APPLICATION 1 S7ALLS
AND KNOW THE SAME TO BE TRUE AND CORRECT. ALl PROVISIONS Of LAWS VALUATION
AND OiiDINANCES GOVERNING THIS TYPE OF WOiiK WILL BE COMP�IED @
WITH WHETMEF SPECIfIED HEREIN OFi NOT. TNE GRANTING OF A PEFiM1T W6�SOO
DOES N07 PqESUME TO GIVE AUTMORITY TO VIOLATE OR CANCEL TH& pERMIT FEE
PRO ISIONS OF ANY OTHER STATE OR LOCAL LAW REGULA7ING CON•
�TR�jCTION QR TME PERFORMANCE OF CONSTRUCTION $139 . ZS
S�GNAiURE O� CON'FACTOA OR vUTNORIjEO AGENT IDATEr
�DAT��
.3 , '
$5.00
O MOVE O REMOVE
OCCUPANCYLOAD
CU
OFFSTREET PARKING
IGARAGES
` $3.25
SAC CHARGE
Fire �G $6.50
54.00
IS IS YOUR PE
I-�-, n .
T
N �/ � � Effective 1 /1 /2000
ADDN [ j CITY OF FRIDLEY 612-b72-3604 Bidg Insp
ALTER [v}� SINGLE FAMILY AND DUPLEXES R-1 AND R-2
BUILDING PERMITAPPLICATION
Construction Address: �JaD �p e-�'CO l D r.
Legal Description:
Owner Name & Address: s-� e.j�71�.e,v�. a �r� l..�n w�s�(" Tel. # 6�� S�y -?,3-2 6
Contractor: C2rL�4-ra.l ��n.ar-r�►.�i.►.� MN LICENSE # �'I b 3
Address: l D 6o Y>'Yle..�.a�.� ��e. l��dot�[v.t ParifC Tel. #. ��a -�a � ��, t�
f�►�/I: C�L•l.�y��
Attach to this application, a Certificate of Survey of the
lot, with the proposed constrvction drawn on it to scale.
DESCi�iPTION OF IP1�11PROiiE�fEPIT
Length Width Height Sq. Ft
GARAGE AREA: Length Width Height Sq. Ft
DECK AREA:
C��:[�
Length Width Hgt/Ground Sq. Ft
�� s���e �n� C'�v�e.l�..[ 1 '�"'f' in•�
Construction Type: Estimated Cost: $ �7 �� �
Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x� _$
DATE: 3�'Z`I "D a APPLICANT: /�N� ��� Tel. # � � "�'ar��
CITY USE ONLY - Call (612) 572�604 for Permit Fees if mailing in application
Permit Fee $ /� ��``- �� Fee Schedule on Reverse Side
Fire Surcharge $ �-- �� .001 of Permit �ia0�afior� (1f r Oth%)
State Surcharge $ � �� � $.50/$1,000 Valuation
SAC Charge
License Surcharge
Driveway Escrow
Erosion Control
Park Fee
$
$1100 per SAC Unit
$ ,� _ �� C� $5.00 (State Licensed Residential Contractors)
$ Alt. "A" or Alt. "B" Above
$ $450.00 Conservation Plan Review
$ Fee Determined by Engineering
Sewer Main Charge $ Agreement Necessary [] Not Necessary []
TOTAL
STIPULATIONS:
$ �� �'��
�-_ �-
BUII..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 a�plicant 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 $2,0�
.pGy V V 1 t0 .p25 �l/:J1/
$25,001 to $50,(�0
$50,001 to $100,0(?0
$100,Q01 to $5�,000
$SOO,p01 to $1,000,0�
$1,000,001 and up
FEES
$23.50
$23.50 for first $500 plus $3.05 for each additional$100 or
fraction thereof, to and including $2,000
$69.25 for first $2,0� plus $14.00 f�r each additional$1,000
or fraction thereof, to and including $25,000
$391.25 for first $25,000 plus $10.10 for each additional $1,�0
or fraction thereof, to and including $SO,OQO
$643.75 for first $50,�0 plus $7.00 for each additional
$1,(�0 or fraction thereof, to and including $100,000
$993.75 for first $100,0(?0 plus $5.60 for each additional
$1,000 or fraction thereof, to and including $500,�0
$3,233.75 for the first $500,000 plus $4.75 for each additional
$1,000 or fraction thereof, to and including $1,0OO,OQO
$5,608.75 for the first $1,000,000 plus $3.15 for each additional
$1,000 or fraction thereof
DRIVEWAY I)EPRESSION ESCROW
(Concrete G�rb Streets Only)
Alternate "A" : Removal and replacement of curb and gutter only - Driveway width plus 6 feet times $15.50.
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 $23.25.
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 Certifica.te 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. New Houses Onlv