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AF - 439017~ 0 � Village of Fridley, Minn. � I; BUILDTNG PERMIT �°• 1761 '�` . . .f. � �' �' � �� Date: ... ......... .................. Owner ....................................... Builder .. ..... ....`...�..�/�� ....... Address...................................... Address ....t?•ar.� �.....�IZ�r.�........... L TION OF BUILDING No. 1?� 7. .� ./. . . Streei . . . . . . . . .. . .. . . .L%'l!lf:`� . . . . . . . .. .. . Part of Lot . . . . . . . . . . . . . . . . . . . . . . . Lot . . . . 4—.�. t�. . . . . Block . . . . .'r'�. . . . . . . . . . . . Addition or Sub-Division . ✓.� . . . . . . . . . . . . . . . �i.�� . . . � Corner Lot . . . . . . . . . . . Inside Lot .� . . . . . Setback . . ��. . . . Sideyard . . . . /. �. . . . .�'. .�. • • • • • • DESCRIPT[ON OF BU[LDING To be Used as • ,�a�, . . . . . ' . . . Front . ��. Depth t� �. . Height . �. .°.s . Sq. Ft. ��.�. � Cu. Ft. . . . . . . . . ..................... Front ........ Depth ........ Height ... . Sq. Ft. ........ Cu. Ft ........ e� Type of Construction . . �!'�'� . • • • • Est. Cost . . �. .`S' •� �� • • • • • To be Completed . . . . . . . . . . . . . . . . . . �' ,. 0 ��,� In consideration of the issuance tn me of a permit to construct the building described above, I agree to do the proposed work in accordance with the description above set forth and in compliance with all provisions of ordinances of the village of Fridley. ..................................................... � .��°:'� .. . Tn consideration of the payment of a fee of $..� �--: ....., pernut is hereby granted to ••••••• ....................... to construct the building or addition as described above. This permit is granted upon the elcpress condition that the person to whom it is ;granted and his agents, employees and worlmaen, in all work done in, around and upon said building, or any pa,�t thereof, shall conform in all respects to the ordinances of Fridley, Minnesota regarding location, construct.��in, alteration, maintenance, repair and moving of buildings with- in the village limitss and this permit may be re�oked at any time upon violation of any of the provisions of said ordinances. /v .. s` .... �� . .��... ..... .... .... ding Inspector .. .�. NOTICE: This permit does not cover the construction, instailation or alteration fo� wtring, plumbing, gas heattng, sewer or water. Be su�e to see the Building Inspector for separate Aermits for these items. �MOVS�eu� � e�n � s_ a � NIIC M�►IIM{ ; ; w � L w ; � '� �C �' r J Q t�_' }--- 2 w U � , � w�., ,PaRe�:v�Ew'a ��a�� f��.ocK 4 - � - C. E. C O U L T E R �� TY�,.o rwww suRVars ` LAND 3URV�1fOR ��KSSMO�i. REGIfTFRED UN�R LAWf OF fTATE OF MIN1�lOTA ��o�Gt�� . LIClNf[D fr OROINANC[ OI CIT�' CF MlffMt�rOLl� - 9300 LYNDALE AVE. SQ. MINNEAPOLIS 8. MINN. � LOCUST 0��0 s� A�.E: � ��= zo' �►t�Dt•� �� ►r„�,, , . .� � . r �o v2 ; � � � ri .' Z hereby certify that the above i s a true nad correct �l�t of a survey of s Lot T`,renty-�hree (23}� IIlack Fcur (J�}, PAitI�:VIi?`�n T°.ANCR� Anoka County, P"innesota. ' As surveye8 by me this 3rd day of 7�nuary 19�6 A. D. �iEned ��.c�c-��:�•c. _..�..�:.�_ 1✓ir.�PSOta Rebf�trrticn No, �K81� 1. ,, 4Q61 ARVIO E. :�ARLSOli � SoHS �:i. 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' . O � . . �j � � � GQ W ' � � . p '� . . � E ' °' g' '''' ++ • � � O � : � � � ; � �� ' � b � � � � ,� � � � � ,� d � d � � ti � � � � � � � � � � x � � � � .� � 8 .a M z� z �� zq �� c5e c?� < � : � . � : E bQ • U ; w : m • � • Z ; � ' o� � � o � a � � �i A W sue��Cr RMIT NO. City of Fridley 3 0355 AT THE TOP OF TNE TWINS g � I L D 1 N� P E R M I T r � � COMMUNITY OEVELOPMENT DIV. RECEIPT NO. ; :� _ (� �3 r � � PROTECTIVE INSPECTION SEC. 1 i � � /'�'1 � CITY MALL FRIOLE� SSd3Z NUMBEP REV OATE PAGE Oi AVPROVBD BY �""'�' �'' 612-571-3450 910-F15 10/6/99 / / JOB ADDRESS 5779 Central Avenue NE t LEGAL �OT NO. BLOCK TiiACT OR ADDITION SEE ATTACNED DESCR. 23 4 Parkview Manor SMEET 2 PROPERTY OWNER MAIL ADDii�S$ ZIP PMONE Daniel Benson 586-0814 3 CONTRACTOR MAIL ADORESS ZIP PNONE IICENSE NO Aztec Roofing 11583 R Drive Burnsville 55337 895-0040 20139140 4 ARCNITECT OR OESIGNER MAIL AODRESS ZIP PNONE IICENSE NO. 5 ENGINEER MAII ADDRESS ZIP pHONE LICENSE NO 8 USE OF BUILDING Residential 7 CLASS OF WORK O NEW 0 ADDITION O ALTERATIQN � REPAIR � MOVE O REMOVE B DESCRIBE WOFK Reroof house 18 S Tear-off 9 CHANCiE OF USE FROM TO STIPULATIONS Underlayment must comply with the State Building Code. Permit Inspectio�a C�r�s . dllill �� ailed Ta Hom�own�r To P�� TYPE OF CONST. OCCUPANCY GROUP OCCUPANCV LOAD SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, FIEATING, VENTILATING OR AIR CONOITIONING TMIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION 20NING SO. FT CU FT, AUTHOiiIZED IS NOT COMMENCEO WITHIN 80 OAYS. OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANOONED POR A PERIOD Of 120 DAYS AT ANY TIME AFTER WORK IS COMMENCED. NO DWLG. UNITS OFFSTREET PARK�NG I MEREBV CERTIfV THAT I HAVE REAO ANO QXAMINED THIS APPIICATION STALLS GAf1AGES AND KNOW THE SAME TO BE TRUE AND COppECT. ALL PROVISIONS OF LAWS VAlUAT10N SUR7AX AND ORDINANCES GOVERNING TNIS TVPE OF WQFK WILL �E COMP�IED � WITH WHETMER SPECIFIED MEREIN OR NOT. TNE GRANTING OF A PERMIT $1573 �. %9 DOES NOT PRESUME TO GIVE AUTMORITV TO VIOIATE OR CANCEL THE pEqMIT FEE SAC CHARGE PROVISIONS OF ANY OTMER STATE OR LOCAL LAW REGULATIN(3 CON- STRUCTION OR THE PERfOFiMANCE OF CONSTRUCTION .�S%. US Fire SC �.. S% P�AN CNECK fEE OTAL FEE License 5.00 64. S�GN4iUpE0FCON'AACTOpOAAUTNOp�2EDeGENT iD�TE� N P PER V IDATED T 1 IS VOUR PERMIT �� i S�GNATUAE 0� OWNEA�� OWNENBU�LOEAi � ATE� Bl h5p ' ��t ° • � JUN-c4-1998 v�w � � �DDN ( J �LTER [ J �onscructionAddress: :.egal Description: 11�48 FR0f1 CITY OF FRlDLEY TO 8959962 �P)�855(�4� �...�...... a�r �� CIT'Y UF F�tIDLEY SIlYGI.� FAMIiY AND DUPLEXES R-1 AND R-�lTY OF FRf D LEY BUILDING PERMI'Y' APPLICATION 6431 UNIVERSITY AVE. N.E. �� FRIDLEY, MN 55432-4 �4� � � • � 1 �1 �.�� v N� _�_�� wner Name & Address: �p� �1y1� 57� C� �_� N� Tel. #(o f Z ��l0 0�1 � �ontractor: �y�QC j�mB�r'�_ MN I.ICENSE �U� � �/ �� Address� I I Sf�� ?�.ao t�� r�1sV�'I �. V��V �337 Tel. n�r2 �q��c�c� - s Attach to this applicadon, a Certificate of Survey of the lat, with the proposcd construction drawn on it to scale. DESCRIP'TYON OF IMPRO'VEMENT LIYING A.REA: Length __ width Hcight �ARAGE AREA: Length ` Width Height Sq. Ft. Sq. Ft. DECK AREA: Length Width HgUGround Sq. Ft. OTHER: _ - ' ;- :onsnvccion Type:_ ' . �Estimated Cost: $ „ I �� s ��— � (Fee Schedule on Back) )riveway G�rb Cut Width Needed: Ft. + 6 Ft � Ft x$ _$ )ATE: a" � ° � APPLICANT: Tel. N �� J' � 'ermit Fee �ire Surcharge �tate Surcharge �AC Charge .icense Surcharge )riveway Escrow ;rosion Control g ,�� $ �� $ , � �1 $ S O c� $ � � CITY U5E ONLX Fee Schedule on Rcverse Side .001 of Permit V�uation (1/lOth°b) $. S0/$1.000 Valuation $1000 per SAC Unit $5.00 (State Licensed Residential Contractors) Alt. "Au or Alt. "B" Above $450.00 Conservation Plan Revicw 'ark Fee $ Fee Determined by Fngineering �ewer Main Charge $ ` Agrcement Necessary () Not Necessary [] TOTAL �TIPULAI'IONS: $ L�, � I � sue,,ecr PERMIT NO. City of Fridley 33994 AT THE TOP OF THE TWINS g � I L D I N G P E R M I T r � ` RECEIPT NO. • COMMUNITY DEVEIOPMENT DIV. � ; V �� r � � PROTECTIVE INSPECTION SEC. 1 . � � _ �"'1 � CITY NALL FRIDLE� SS��2 NUMBEA pEV D�TE v�GE Oi • pOVED Br ��""'�" �'� 763-571-3450 s�aF�s 10/24/03 / / JOB ADDRESS 5779 Central Avenue NE 1 LEGAL L07 NO. BLOCK TRACT OF ADDITION SEE ATTACMED DESCR. 23 4 Parkview Manor SNEET 2 PROPERTY OWNER MAIL ADORES$ ZIP PMONE Daniel Benson 5779 Central Avenue NE 763-586-0814 3 CONTRACTOR MAIL ADORESS 21P PHONE IICENSE NO Windows America 559 Shoreview Park Rd Shoreview MN 55126 651-20 -01 20248265 A ARCHITECT OR OESIGNEfi MAIL AODFiESS ZIP PMONE LICENSE NO. 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO 8 USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW O ADDITION O ALTERATION g REPAIR D MOVE O REMOVE 8 DESCRIBE WORK Replace 14 windows within existin o enin s 9 CHAN(3E Of USE FROM TO STIPULATIONS Provide smoke detectors in all sleeping rooms and on all levels of the dwelling per Section 310.9.1.2 of the 1997 Uniform Building Code. Caulk and flash all exterior openings. �,��.=rirj�Cli�L'Ei�'1 ��is A=.aGA�� '�'��fimC� ��I� �� 9�� a�� TYPE OF CONST. OCCUPANC� GROUP OCCUPANCY LOAO SEPARATE PERMITS ARE REOUIREO FOR ELECTiiICAL. PLUMBING. MEATING, VENTILATING Oii AIR CONDITIONING THIS PERMIT BECOMES NULL AND VOIO IF WORK OR CONSTRUCTION ZpNIN(3 S�. fT CU FT AUTHORIZEO IS NOT COMMENCED WITHIN BO OAYS. OR If CONSTiiUCTION OR WORK IS SUSPENDE� Oii ABANDONEO FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COMMENCED. NO DW�G. UNITS OfFSTREET PARKING I MEREBY CERTIfV TMAT I MAVE READ AND EXAMINED THIS APPLICATION 1 STA�LS GARAGES AND KNOW TNE SAME TO BE TRUE AND CORRECT. ALl PROVISIONS OF LAWS yqLUATION SURTAX ANO OROINANCES GOVERNING THIS TYPE Of WORK WIIL BE COMPLIED @ WITH WMETNER SPECIFIEO MEpE1N ON NOT. TME GRANTING OF A PERMIT W6sSOO �3.ZS DOES NOT PRESUME TO GIVE AUTNORITV TO VIOIATE OR CANCEL TN� pEqMIT FEE SAC CMARGE PROVISIONS OF ANV OTHEfi STATE Oii LOCAL LAW REGULATING CON- STRUCTION OR THE PEFfORMANCE OF CONSTRUCTION $139.2.5 Fire .SC �6..r7� PIAN CMECK FEE TOTAL FEE ens SC $5.00 $154.00 S�GNATUpE O� CON'AACTOp Op oUTNOp�ZED oGENT �O�TE� N PROPERIV VALIDATED TMIS IS VOU PERM T �3 $�GNO7UAE O� OWNEp �� OWNEp BU�LOEp� 1DAff� BL G�N � �� E 7 NEW I l ADDN [ J ALTER [ ] � � /�1.�2 L✓ � `�j'�?�C?�"�r/w. � CITY OF FRIDLEY Effective 1/1/2003 6431 University Ave NE, Fridley, MN 55432 (763) 572-3604 Bldg Insp SINGLE FAMILY AND DUPLEXES R-1 AND R-2 (763) 571-4287 Fax BUILDING PERMIT APPLICATION Construction Address: � �7� �� `��G� Legal Description: _ �, _ _ - - - �. . Owner Name 8� Address: Contractor. LIVING AREA: GARAGE AREA: DECK AREA: OTHER: n_ >U�4�lil � Gi S 0�� Tel. MN LICENSE # �-O� � g�� =2 v� �riU �1Z(� Tel. # C.�� ff3 ' fl >�/�'I gl Attach to this application, a Certificate of Survey of the Iot, with the proposed construction drawn on it to scale. DESCRIPTION OF IMPROVEMENT Length �dth Height Sq. Ft. Length Width Height Sq. Ft. Length Width _ HgUGround Sq. Ft. Construction Type: �� 1"1 f�/f'� �'i � Estimated Cost: $��•� _ - M. ,�-�� C�G��r�. �li��1 �" � ut Width Need'ed: Ft. + 6 Ft = Ft x$ _$ e a Curb � Dnvwy DATE: ( � 3 �3 APPLICANT: ��# �� 1� ` Call (763) 572-3604 for Permit Fees if mailing in application. Fax to 763-571-1287 if using credit card and we will cali you for card number. CITY USE ONLY - �Permit Fee Fire Surcharge � State Surcharge SAC Charge License Surcharge Curb Cut Escrow Erosion Control Park Fee Sewer Main Charge � $ �c3� o�i Fee Schedule on Reverse Side $ � (� .001 of PermitValuation.(1/10th%) � � $ �_ ,�S $.50/$1,000 Valuation $ �-,�275 per SAC Unit $ �, p�$ 00 (State Licensed Residential Contractors) $ AI� "A" or Alt. "B" Above $ $450.00 Conservation Plan Review $ �' Fee Determined by Engineering $ Agreement Necessary [ ] Not Necessary [ ] r�- TOTAL ... . _. _... $ . - �TIP� ATIONS� . ....... . ...... .. . ,... .. ... ..:.., . . . /�s'�y�a . . . � 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 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 $541 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 FEES - _ _. ---....�. ... «.� $ . ',�; -- -- --- — _ . . , _ � , . ..sr�. $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 $2,000 plus $14.00 for each additional $1,000 or fraction thereof, to and including $25,()00 $391.25 for first $25,000 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 $1,000 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 $500,000 $3,233.75 for the first $500,000 plus $4.75 for each additional $1,000 or fraction thereof, to and including $1,Q00,000 $5,608.75 for the first $1,Q00,000 plus $3.15 for each additional $1,000 or fraction thereof cuxB cv�r EscFCOw (Concrete Curb Streets Only) Removal and replacement of curb and gutter only - driveway width plus 6 feet times $17.00. Permi�s or consfruction wiIrbe1issued a minunum of-'Z4 hours from the tirrie o� application to allow for proper review of the proposed structure and of the construction site. VERIFICATION OF FOUNDATION A Certificate of Survey of the lot, showing the location of the existing foundation will be required before proceeding with the framing. New Houses Onlv . Building [nspections 763-572=3604 �A� � iITE ADD S � ifiIS APPLICANT IS: PROPERTY OWNER/ TENANT CONTRACTOR BUILDING RESIDENTIAL APPLICATION � • I _i SUBMIT A COPY OF �A� YOUR STATE LICENSE �D� WITH APPLICATION p�p� CITY OF FRIDLEY YOUR E-MAII. PROPERTY TYPE �GLE FAMII,Y/NEW CONSTRUCII( � TWO FAA�ID.Y/NEW CONSTRUCTION PERNIIT TYPE TYYE OF WORK: ❑ BASEMENT FINISH �dtOOF � DECK ❑ SID1NG ❑ SWIIvIIVI DESCRIBE WORK BEING SIZE OF FAX Pemni�t No.: (� % 73�' R��a BY: ,/ ��..P 1� 9 007 crrY ��t r � ( -e- '� STATE z� E}� DATE c� C� f�cL STA7'B'•� �ZIP� � ❑ DRA1N TILE ❑ OTl�R WIDTH - HEIGHT Ft RO�FING �Ip.P+vuoc viva. i NUI�ER OF SQUARES � ❑ HOUSE & GARAGE BASEMENT REMODELWG SUBMIT: ❑ ATTACI-�D GAR.AGE 1. ��g �� Plan GAttAGES 2. Proposed floor plan PROPOSID STZE: ❑ DETACHED GARAGE 3. List of struch�ral members to be used PROPOSED HEIGHT: SIDIIVG , FOR NEW CONSTRUCCfON INCLUDING DECKS, ❑ Vinyl OSoffit - ADDTfIONS. 8c PORCI�S SUBMIT: p,r,�� • O Trim 1. Site Plan/Survey showing the existing strucuues ❑ Otlter . • ❑ Fascia �d PiOF°� PrO.I� Z. Two sets of con�truction plans WINDOR'S 3. Energy Calculetions 1N EXISTWG OPENINGS OY�s ONo IACA170N OF WD�IDOWS OR FOR NEW OPENINGS-DESCRIBE SIZE OF OPENWG CHANGES & TYPE OF WII�iDOW TO BE WSTALLED AiUMBER OF�WINDOWS ALL FEES ARE BASED ON VALUATION, INCLUDING TFiE COST OF LABOR AND MATERIALS: (USING TIiE 1997 U.B.0 FEE SCHEDULE) TOTAL JOB VALUATION S I gL�.S �C�� TYPE Permit Fee - - _ _ - Plan Review F� s,�n� Surcharge License Surcharge SAC Gharge G�rb Cut Escrow Erosion Control Pazk Fee Sewer Main Charge Due $ $ /9 2 $ .`1� $ ,��',�� $ $ $ $ $ See Back Page tor ree 5chenwe 65% of Building Permit Fee .001 times the total job valuation .0005 x Permit Valuation Minimum $.50 $5.00 (State Licensed Residential Contractors) $1675 per SAC Unit (Plans to MWCC for determination) ft+6ft= Sx$21=$ $450 Conservation Plan Review Fee Determined by Engineering Agreement necessary ( ) Non Necessary ( ) Make checks payable to: City of Fridley Attach THIS IS AN APPLICATIOtd FOR A PERMIT NOT VALID UNTIL PROCESSED I hereby apply for a building permit and I aclmowledge 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 to start without a permit; that the work will be in accorclance with the approved plan in the case of all wo ' iew and a roval of plans. SIGNATURE OF A�L,�CANT PRINT NAMET t; '�r'n�l DATE �� ,a�_ Pa.ge 2- Bui.ldi.ng Residential Application BUILDING PERMIT FEE SCHEDULE The Chief Building Official shall, before issuing permits for the erection of any building or sixucture, or for any ad.dition to an.y existing building or structure, or for any alteration or repai.r to any existing building or strucivre, upon applica.tion therefore, require the payment by the applicani for such permit of fees to the amount herei.n below set forth and in the manner herein provided to-wit: VERIFICATION OF FOUNDATION Permits for consiruction will be issued a min;mum of 24 hours from the �ime of application to allaw for proper review of proposed structtire and of the construction site. A Cer(ificaxe of Survey of t�ie lot, showing the loca.tion of the existing foundation will be required before proceeding with the framing, New Houses Onlv City of Fridley Buildi.ng Inspections Deparlment 6431 University Avenue NE Fridley, MN 55432 763-572-3604 Fax: 763-502-4977 Building Inspections 763-572-3604 763-502-4977 FAX BUILDING Permit No.;� �� `+ RESIDENTIAL APPLICATION xeceivecl By: r`� CITY OF FRIDLEY Date Rec'd: Ge— °'t —�'1 EFFECTIVE 1-I-09 YOUR E-MA11, ADDRESS 7WlP WpC't��Grt�.�.� E�� c� E'A MAo �- •� N� SITE ADDRESS � %% °� C6r1'�21'C� THIS APPLICANT IS: ❑ OWNER PROPERTY OWNER/ TENANT CONTRACTOR SUBMIT A COPY OF YOUR STATE LICENSE AND CERTIFICATE OF INSURANCE ADDRESS: SZ%� C��6..�'N�C.. A�'Ufa. CITY '�tOc.CrY STATE M� Z1P PHONE: 1�o$. �~ S�a.- o S i�i STATE LICENSE # ZO(p' Gi?.(o EXP DATE �S/ $//lo ,�wDxESS: 6 3 9 9( D�� ► S F• crrY A�r9� d 6�+-- STATE�J ZIP S S 3�0 P�IONE �o �2 "l363 — Z�% FAX 7F+S `�i� �' �E8`%�I --- -- -- — - PROPERTY TYPE GLE FAMILYMEW CONSTRUCTION SIZE t O TWO FAMILYMEW CONSTRUCTION STORIES 1 PERMIT TYPE ❑ BASEMENT FINISH ❑ ROOF ❑ DECK 'F�YSIDIN TYPE OF WORK: I❑ NEW HOME CONSTRUCTION ❑ MAINTENANCE/REPAIR ❑ DRAIN TILE ❑ OTHER DESCRIBE WORK BEING DONE: R� 10 4 ITDN1 G SIZE OF IMI'ROVEMENT LENGTH W1DTH Z HEIGHT S Ff � Z.O� ROOFIlVG 0 HOUSE ONLY BASEMENT REMODELING SUBMIT: NLTMBER 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: IDING myl Aluminum ❑ Other WIIVDOWS IN EXISTING OPENINGS ❑Yes ❑No OR FOR NEW OPENINGS-DESCRIBE SIZE OF OPENING CHANGES & TYPE OF WW�W TO BE IIVSTALLED FOR NEW CONSTRUCI'ION INCLUDING DECKS, ❑Soffit ADDITIONS. & PORCHES SUBMIT: � Trim 1. Site Plan/Survey showing the existing swctures ❑ Fascia and praposed project 2. Two sets of construction plans 3. Energy Calculations LOCATION OF WINDOWS NUMBER OF ALL FEES ARE BASED ON VALUATION, INCLUDING THE COST OF LABOR AND MATERIALS: (USING THE 1997 U.B.0 FEE SCHEDULE) TOTAL JOB VALUATION $ 350p � OCCUPANCY TYPE Permit Fee Plan Review Fire Surcharge Surcharge License Surcharge SAC Charge Curb Cut Escrow Erosion Control Park Fee Sewer Main Chazge Total Due $ $ .�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 Contractors) $2000 per SAC Unit (Plans to MWCC for determination) ft+6ft= ftx$22=$ $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 permit and I aclaiowledge 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 applicatio r a irt an rk is not to start without a permit on site; that the work will be in accordance with the approved plan in the case of 1 wo w� 'ch requires review and approval of plans. SIGNATURE OF APPLICANT PRINT NAME TDC �S 1f�.R. DATE p �' O Page 2- Building Residential Application BUILDING PERMIT FEE SCHEDULE The Chief Building Official shall, before issuing permits for the erection of any buildimg or � structure, or for any addition to any existing building or structure, or for a.�y alterati�n_or repair to any existing building or structure, upon application therefore, require the payment by the applica:nt for such permit of fees to the amount herein below set forth and in the manner herein provided to-wit: . _ � ' • ' ' VERIFICATION OF FOUNDATION Pemuts 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 construction site. A Certificate of Survey of the lot, showing the location of the existing foundation will be required before proceeding with the framing. New Houses Onlv City of Fridley Building Inspections Department 6431 University Avenue NE Fridley, MN 55432 763-572-3604 Fax: 763-502-4977