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AF - 43903.fi � r-. r'. �`'i /�, � Village of Fridley, Minn. , BUILDING PERMIT ��°• 1? 6 0 � � Date: . ...... ..� �.s.. � .�.�............ . B . . �� Z2�`�' � �/�� Owner...................................... tulder .. .............. ....................... Address . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Address . . . .`.��. � �. . . .�j� . . . . . . . . . . . . . . � �'j CATION OF BUILDWG No. .�7..�.�,. Street ...... ...........�............. Part of Lot ..... ..................... Lot . . . .�. �. . . . Block . . . . � . . . . . . . Addition or Sub-Division . . .� . . . . . . . . . . . . .��.��.''."��. . . i��/ Corner Lot . . . . . . . . . . . Inside Lot . . �. . . . Setback . . �� . . . Sideyard . . . ��. . . .! ".'.! . � . . . . . . . . . . DESCRIPTION OF BUILDING To be tised � . . . . . . . . . . . . Front .� � . . Depth .� 0 . . . xeight .�. . °S . . sq. F t. ,l. 2- � � cu. Ft. . . . . . . . . ..................... Front ........ Depth ... Height . .... Sq. Ft. ........ Cu. Ft ....,.... � me�A�- Type oT Construction . .�.�G�'{'.�. . . . . . Est. Cost . . �. `s . . . . . . . . . . . . . To be Completed . . . . . . . . . . . . . . . . . . In consideration of the issuance to me of a permit to construct the building described above, I agree to do the pmposed work in accordance with the description above set forth and in compliance with all provisions of ordinances of the village of Fridley. ..................................................... 0 �' Tn consideration of the payment of a fee of $. �!�! .� permit is hereby granted to � , r f . . . . . . . . . . . . . . . . . . . . . . . . . to construct the building or addition as described above. This permit is granted. upon the express condition that the person to whom it is granted and his agents, employ�es and worlmzen, in all work done in, around and upon said building, or any part t�ereof, shall conform in all respects to the ordinances of F'ridley, Minnesota. regarding location, construction,; alteration, maintenance, repair and moving of buildings with- in the village limits and this permit may be revo�ed at any time upon violation of any of the provisions of said ordinances. ....�.�• .. . ..............Building Inspector NOTICE: "�` ThPs permit does not cover the construction, installation or alteration for w(ring, plumbing, gas heating, sewer o� water. Be sure to see the Building Inspector for separate Aermits for these items. -"'��,�,��,,,,tr..� , �NDYlTQI�t � �':� �Na�s � �w•.M�e wsraMs ;R" W z � Q � d � �-- z w � PARKVIEW' MAHIIR r y'�#:� .°, � ��;��, . _. . . � .. . . � ;.- . . . . , � . � ►LATTW6 . � C. E. C O U� T E R r�My suRVCrs LAND SURVSYOR � : �wKCSHORa - REGIfT[RtD UND[R LAWf OF fTATE OF MINNtl07A �uoicu� UC[Nt[O �l� OROINANC[ 01 CI'Ir 0I MIMMtArOLli - . . 7]00 LYNDALE AVE. SO. MINNEArOI.is �. MINN. LOCU8T 0�70 � S CALE: I ��= ��%r I i3urrur�u!'s �triii�rait ; � 1rnn `� �' _ , . �+ -. , --- --- _._•----- --��` � � i � L ; � It Iron r iron�I - i I bF►1^eby certify that the �bove is a tniE and carrect plat ad' H survey of: Lot Z1,rel�ty-four t2l;), Block Four (y), P�+'IE'r: 2•:.kNCR, �noka County. Hiinnesota. As surveyed by me this 3rd dey � January 195 6 A. D. � Sip;ned 4r � ��tGC.�•''�*�.,• ; 2�nnAsota Re�}�traLivn No. 1�8l� , 40 � < ___ ARV�o E. Ca��saN � Sor�� Irv�. ! 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E., Miuneapolis, Minn. 55432 BUILDING PERMIT �.1- �� • p�ex; _ G. D. McKitterick B�a� D. W. Harstad Address �' 7R7 C_n r 1 Avenue N�E. _._._. Address 7101 Highwsy �65 N.E. �5= - �7�; �11�17 LOCATION OF BUILDING No. 5787 —... Street — Central Avenue N.E . p� og �� Lot ._..._...24.—�_ Block Corner Lot Sewer IIevation Addition or Sub-Division ^�^� or Znd �ddita�axa Inside Lot Setback Sideyard Foundation IIevation DESCRIPTION OF BUILDING To � v�a �: Re s fl i r F o n t i ng� _,___ Front DeP� Height Sq. Fk Cu. Fti. ..._�....._______ Front .— Depth Height Sq. F� Cu. Fk Type of Construction 1Kas�.�� Est. Cost ..�2.s 000. 00 To be Completed A. S.A.P . In con�deration of the issuance to me of a permit to construci the building $escribed above, I agree to do �he praposed work in accordance with the descxiption above t fo �/ and i� c pliance with aII provisions a� Ordineac�ea of the city of Fridley. �L¢l� �i��`� °� �. In cansideration of the payment of a fee of $�� , permit is hereby granted to D. W_ Harstad to construct the building or addition as described above. This perm3t is granted u�n the express condition that the person to whom it is granted and his agents, employees and workmen, in all Work done in, around and upon said building, or any part thereof, shall conform in all respecta5 •to the ordinanCes oi Fridley, Minnesota. regarding location, construction, alteration, maintenance, repair and moving of buIIdlags vpithin the city ]imits and this permit may be revoked at any time upon violation of any of the provisiona oE 88id ofidfnances. � ,�,�,G�',l p ,[� p.�.�e 1� s .PuBs�ai� tnspecfor CLARENCE BELISLE NOTICE: This permit doea not eover the eoesfruetion, inatallalloe foe wPrine, plumbing, ges heatiug, sev�rer ot �erater. Be wro fo ses t6s Building laspeeror for ae�oarate parmits for these items. AP.PLICATION FOR RESIDENTIAL, ALTERATION, OR ADDITiON BUILDING PERMIT CITY OF FRIDLEY, MINNESOTA QWNER' $ NAM� :�s • 0.%h% �, �i,�f C, 2 ic/� BUILDER: �� L:..� C� ,� S�� annxa�s s: s' 7 8 7 CE�vt�c �t �Ava .✓. ci,' Ann� s: �i a! �� G�f' �� NO:; � O � �_. STREET: � ..f .�-0 �� a � LO'�; BLOCK: ADDITION• CORNER LOT: INSIDE LOT: SETBACK: SIDEYARD;_,_,�„� Applicaat att�ach to this form Zwio Certificates of Survey of �,ot and proposed '�uildi�� loeatioa� dxawa oa these Certificates. HESCRIP�'ION OF BUILDING To Be Ueed As: ��%2�'/� �� i/�ul: $FxonC: Depth: Height: ( Square Feet: Cubic Feet: Fronts Depth: HeighC: Squa�e Feet; Cubic Feet; �ipe o� Cona�ruction: �� 0� `'� Estimsted Cost: $ �. �'� �o Be Completedq ' The uada�eigaed hereby makea applicatina for a�ermit for the work hereiu epec�iied, agreeing to do a11 wo�k in sttict accordaacs with the C��y oi �'zidley Ozdiosncee aud rulinge of the Department of Buildin�e, aad bersby decl.asee that all the Eacto aad sepresentations stated in this appiication are tsue 8ad correct. �, �� n�►�: 3o s�cru�$: !Z � (Ses Revesee Side For Additional Infos�aation.� � �a, �--� � ��. a � ,S' �, p� c % e r � ...� /�`'[�s - _ _ � _ � , �---� � t t � J �. l 3' � 4� .a BUILDING PERMIT FEE SCHEDULE SECTION 2. The Inspector of Buildings shall, before issuing per.mits for �fie erection of any building or structure, or for any addition to any existing building or structure, or for aay alteration or repairs to any exiating building or atructure, upon application therefore, require the payment by the appl�.cant for such pennit of fees to the amount herein below set forth and in the maaaer herein pravided to-wifi: UNIFORM BUILDING CODE: 1�►pe 1, 2� 4-$2.15 for. each one thousand cubic fee�, or fraction thereof, in such cubical contents. Type 3� 5-�1.85 for each one thousand cubic feet. ADDITIONAL INFORMATION Foz the purpose of computing fees for building permita, the cubical contents of a�ny building or addition, ie determined by multiplying the ground area covsred from a point six (6) inches below the floor line of the basement or �1�e cellar to the average heights of the upper surface or to the average.� 1�ei$t�,t of the roof surface of the main gable of a pitched roof. For sepaix� ox alterations to an exiating structure, the fee shall be at the rate of �3,00 per each five hundred dollars ($500.00) or fractiou thereof in the cost of all proposed work. Ia no case ehal� the fee charged for any pexmit as set forth in Section 2 be 1@88 �1An $,5 s 00. V�RIFICATION OF FOUNDATION NOTE: $ezm�ts for eoaetruction will be issued a minimum of 24 houzs fram the �i�e of applicatioa, to allow.for proper review of the psoposed structure a�nd of the eoastsuction site. A Ce7Cti�isd Survey of the lot, showi=tg the location of the foundation, once it baa beeu coastructed, will be required before vraceed ng with the framitig. CERTIFICATE OF OCCUPANCy Applicativa for a Certificate of Occup�.ncy shali be made ten (10) d$y� prior to the uee or occupancy of aay structure for which a buildimg pe�nit has beea issued; and eaid etructure shall not be used or occupted uatii a Certificate of Occupaacy has beea ieaued. City of Fridle�, �i�rtn- 6431 University Ave. I�. E., Mmneapolis, Minn. 55432 BUILDING PERMIT ��; —Se�ember 2 _ l� pyyn�; McK; tteri �k . g��r Potvin Sa].�s C�m�anv ��g 5787 Cen firal �°�venue N..E _ �,d� 7341 Co�erce T.an - N.E . � �' ' ': ' LOCATION OF BUiLDI1dG No - 5787 Street Central Avenue N.E. part of Lot Lofi 2l� 81ock .�_ Addition or Sub-Division P.art�Tipw �,nQx Znd Add3+-inn Corner Lot Inside Lot Setback �. Sideyard Sewer IIevatian Fowndation IIevation DESCRIPTION OF BUILDING To be vsed as: Rp�c i de Awn i ng Front Depth Height ._._. Sq. F� Ct1. F't. Front Depth Height Sq. Ft Cu. Ft. •ryp@ og Construction A7+,min�m _ F�� Cost .� �556. QO To be Completed Nov. 19Z2 � - In consideration of the issuance to me of a permii to construct 'the building described above, I agree #o do thg praposed work in accordance with the desc�3pt3an above set fo and in com liance with all provisions oE ol�ances of the dty of Fridley. .50 State Su charge - Ia consideration of the payment of a fee of $ 6. 00 , p�t is hereby granted to D�*t, �� e�� o. to construct the building or addition as described above. This permit is granted upon the express condition that the person to whom 3t is granted and his agents, employees and workmen, in all work done in, around and upon said building, or any part thereof, shall conform in all respects •io the ordinances oE Fridley, Minnesota. regarding location, construction, alteration, maintenance, repair and moving of builclitig8 �� dty limits and this permit may be revoked at any time upon viola.tion oE any of the provisions of Said S �r � �X CI,AItENCE BE ISLE NOTICE: ihis permlt doea not eover the construetion, iostalletion fo� wirine, plumbing, 8es heating, sawer or water. Be mre to see t6s Byjiding Inapeeta� fo� aepareta permits for theae items. _ - ,�; _a AP.P�ICA�ION �OR RESIDENTIAL, ALT�RATION, OR Allll��iON BUILD�NG p��jIT CITY OF FRIA�EY, MINN�SOTA OW1�T� � S �TAME t ��i� /�� BUILDER : ADDRESS : �� `�-�� "/ � ADD�RFSS : ��/'• �-�i a�-�t � �j l�rV , . r �to :,:„ � � s�r : � • I,OT ; � � BLOCK : � ADDITION s ��!�'`� CORNER LOT: INSIDE LOT: SETBACR: SIDEX�R.Ds� ppp].icaat attach to this form 1t�o Certificates of Survey of Lot and pro�pse�d building location drawn oa these Certificates. HESCRIPTION OF BUILDING �o �e Used As: . � �e c�e� 2 ' Front • '� g' Depth : 3 r. Height : 1� Square Feet :('17�°� G Cubic Feet : ' Front: Depth: Height: Square Feet; Cubic Feet: � �� ° � �rpe of Conatructioa: �� d�r.��,_Estimated Coet: $ ,,,�,¢A�, . �a �e Completed: %� �� r � % 7 � The undersigaed hereby mskes application for a per�mit for ti�e .wQxl� ��7C�� pecif�,ed, agreeing to do all work in attict accordance wiW the C�t� 9� Fl��.d�.ey 0=dinances and sulirige of the Department of Buildings, and '�e�cebT d��la�es that all the facts and repreeentativns etated ia this ap��,��C�,� �7re txue and conect. ��;: SIGNA : � (Se� Aaverse Side For Additioaal Information.) , �_ U o _ � . �?� �� ' � A I e � , '' ., $UILDING PERM�T F�E SCHEDULE $ECTION 2. The Inspector of Buildings shall, before issuing permit� fox the exection of any building or atructure, or for any addition �o any existin$ building or structure, or for any alteration or repairs to any existing building or structure, upoa application therefore, require the payme�� by th� �ppl�cant for auch pe�it of fees to the amount herein below set faxti� and �.ii the ma�nner herein pravided to-wit: iJNIFORM BUILDING CODE: T�pe 1, 2� 4-$2.15 for each one thousand cubi,c �eet, o� fraction thereof, in euch cubical contents. Type 3� 5-$1.85 f4z each one thousand cubic feet. ADDITIONAL INFORMATION For �i►e purpoae of computiag fees for building permita, the cubical conteata of any buildis�g or additiaa, ie determined by �ltiplying the ground area covered fsom a point six (6) inches below the floor line of the basea�er�t o= the cellar to the average heighte of the upper surface or to the average� height of the roof surface of the main gable of a pitched roof. �'or repaire or alterations to an existing structure, the fee ahall be at the rate of $3.00 per each five hundred dollars ($500.00) or fractian thereof in the cost of all propoaed work. Ta no case ahall the fee charged for any pesmit as set forth in SectiaA � be lesa thaa $S.Op. VBRIFICATION OF FOUNDATION NpT�; Permits for eonatsuction will be iesued a minimnm of 24 houss f=om th6� �ime of applicatioa, to allow for proper review of the proposed structuxe aad of the construction eite. A Ce�ctified Susvey of the lot, ehowing the location of the foundat�0�,� q�tt�� ha� been constsvcted, will be required befo�e aroceedinpt witi� the fxami,ngs CERTIFICATE OF OCCUPANCY Application for a Certificate of Occupaacy ahall be made ten (10) days px1c�� C� the use or`occupancy of any structure for which a building pesmit �as b��A iaeued; and eaid structure shall not be used or occupied until a Certificate� o� Occupancy has been issued. � sue�etr P . City of Fridley 3 0 3 0 9 AT TNE TOP OF TNE TWINS � � I L D I N G P E R M I T - r �� ; � R CEIPT NO. � ; v _��_� COMMUNITY OEVELOPMENT DIV. � r � � PpOTECTIVE INSPECTION SEC. �� .1 , ' 1 ��°� � CITY MALL FRIDIE� SSIa2 NuM�E.. pEV DATE PAGE Oi APPROVEO BY �� '' 612-57�-3450 s�aF�S 9�28�99 / / J08 ADDRESS 5787 Central Avenue NE 1 IEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 2Q. 4 Parkview Manor SFIEET 2 PiiOPERTY OWNEFi MAIL ADOR�,S$ ZIP PMONE Tracie Ripley 560-3955 3 CONTRACTOF MAIL ADORESS ZIP PMONE LICENSE NO Owner 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PMONE LICENSE NO. 5 ENGINEER MAII ADDFiESS 21P PMONE LICENSE NO 8 USE OF BUILDING Residential 7 CLASS OF WOFiK ❑ NEW � ADDITION ❑ ALTERATION 7Q� REPAIR p MOVE ❑ REMOVE 8 OESCRIBE WOqK Reside hous.e• Re lace windows an s 8 CHANOE OF USE FROM TO STIPULATIONS Call for bui.lding wrap inspection before covering. Provide smoke detectors in all sleeping rooms and on all levels of the dwelling. TYPf OF CONST. OCCUPANCY GROUP OCCUPANCV LOAO SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL. PLUMBING, HEATING. VENTILATING OR AIR CONDITIONING TMIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTFUCTION ZONING SO. FT CU fT. AUTHORIZED IS NOT COMMENCED Vj!ITHIN 80 DAYS. Oii IF CONSTRUCTION OR WORK IS SUSPENOED OR ABANDONEO fOFi A PERIOD OF 120 DAYS A7 ANY TIME AF7ER WORK IS COMMENCED NO DWLG. UNITS OFFSTFEET PARKING I MEREBY CERTIfY THAT I HAVE pEAD AND EXAMIN�O THIS APPLICA710N S7A�L5 GARAGES AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS VALUATION SURTAX AND ORDINANCES GOVERNING TMIS TYPE OF WOAK WILL BE COMPIIED WITM WHETHER SPECIFIEO HEREIN Oii NOT. TNE GRANTING OF A PERMIT $2445 .�1:22 DOES NOT PRESUME TO GIVE AUTMORITV TO VIOLATE Ofi CANCEL THE pEqMIT FEE SAC CHARGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGUTATING CON- STRUCTION OR 7NE PERFORMANCE OF CONSTRUC7ION �%G. ZS F� e SC �Z .4S PLAN CHECK FEE T T L FEE 9.92 S�GNOTUiiE O� CON'fiACTOA OR AUTNOi11ZE0 OGENT �DATE� M pq . Y VA 0 D THIS IS UR PERMIT OC � S�GNniUaE O� OwaEp�� OwNEA Bw�DEp� �b� E� DG �N r��rE � rr�w � � .: ADDN ALTER Effective 5/10/99 I l CrrY OF FRIDLEY [] SINGLE FAMII.Y AND DUPLEXES R 1 AND R 2 BUII,DING PERNIIT APPLICATION / � �. .�- � r y �� Construcdon Address: �� c�r c�;Q fi� �-- Legal Description: $� �t q/e �'�-�-• o/y ti o-�-�-tie Owner Name & Address :�r k c 1� 2„� 1 e y S � g � Ce�r� � Tel. #�� Z s� U'-�i�� Contractor: S e�.� MN LICENSE # Address: LIVING AREA: GARAGE AREA: Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF IMPROVEMENT Length Width Length Width DECK AREA: Length Width OTHER: Tel. # Height Sq. Ft. Height Sq. Ft. Hgt/Ground Sq. Ft. S � cQ ► n a� fi�% i v� cQ ouJS �l' � o o rS Construction Type: �� Estimaxed Cost: $�L/ y� OC7 Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x$ _$ � DATE: APPLICANT: Tel. # CITY USE ONLY Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Conirol Park Fee Sewer Main Charge TOTAL STIPULATIONS: $ 7l0• �S $ $ ��2 $ $ $ Fee Schedule on Reverse Side .001 of Permit Valuation (1/lOth%) $.so/$1,000 valuadon $1050 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 [ ] $ r •� _.� 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 $501 to $2,000 $2,�1 to $25,000 $25,001 to $50,000 $50,001 to $100,000 $100,�1 to $500,000 $SOO,QOl to $1,OQ0,000 $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,Q00 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 additional $1,000 or fracrion thereof, to and including $50,0(?0 $643.75 for first $50,000 plus $7.00 for each additional $1,000 or fraction thereof, to and including $100,�0 $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 $1,0OO,OQO $5,608.75 for the first $1,OOO,Q00 plus $3.15 for each addidonal $1,000 or fraction thereof DRIVEWAY DEPRESSION ESCROW (Concrete Curb Streets Only) E1lternate "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 consiruction 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. sue�Etr � PE . c�ty of Fridley o60� � AT TNE TOP OF TNE TWINS � � I L D I N G P E R M I T ; ` RECEIPT NO. � • COMMUNITY DEVEIOPMENT O1V. �� i i L ��'•�'� . r � � PROTECTIVE INSPECTION SEC. � .1 � � 1 /'�'1 � CITY NALL FRIDLE� SS1$2 NUMQEN HEV DATE PAGE OF AVPROVED BY �""�' �'� 612-571-3450 91Q-F15 12/28/99 / / JOB ADpRESS 5787 Central Avenue NE t LEGAL ��T N0. BLOCK TRACT OR ADDITION SEE ATTACHED DESCFi. 24 4 Parkview Manor S11EET 2 PROPEHTY OWNER MAIL ADORES$ ZIP PHONE Stewart & Tracie Ripley 5787 Central Ave NE 571-8392 � CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Window Lite Home Improvements 8400 89 Ave N, Brooklyn Park, MN 55445 20039258 4 ARCHITECT OR DESIGNER MAIL AODRESS ZIP PMONE LICENSE NO 425-2227 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO 8 USE OF BUILDING Residential 7 CLASS OF WORK p NEW O ADOITION � ALTERATION C,� REPAIR O MOVE O REMOVE 8 DESCRIBE WORK Replace bay window 9 CHANOE 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. Permit I�spection Cards �lili Q� �Nailed To Homeo�ner To Post TYPE Of CONST, OCCUPANCY GROUP OCCUPANCV LOAD SEPARATE PERMITS ARE RE�UIRED FOR ELECTRICAI, PLUMBING, FIEATING, VENTILATING OR AIR CONDITIONING THIS PERMIT BECOMES NULL AND VOIO If WORK OR CONSTRUCTION ZONING SG. FT CU FT AUTHORIZED IS NOT COMMENCED V�(ITHIN 80 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERI00 OF 120 pAYS AT ANV 71ME AFTER WORK IS COMMENCED. NO OWIG. UNITS OFfSTREET PARKING I HEREBY CERTIFY TMAT I HAVE READ AND EXAMINEO THIS APPLICATION ]. STALLS GARAGES AND KNOW THE SAME TO BE TFiUE ANO CORRECT. ALL PROVISIONS Oi LAWS VALUATION SUFTAX AND ORDINANCES GOVERNING TMIS TVPE OF WORK WI�L BE COMP�IED , WITH WHE7HER SPECIFIEO HEREIN OR NOT. TME GRANTING OF A PERMIT ��F�SH3 �2.4'4 DOES NOT PRESUME TO GIVE AUTMORITV TO VIOLATE OR CANCEL TME pEqMIT fEE SAC CNARGE PROVISIONS OF ANY OTNER STATE OR IOCAI LAW REGUTATING CON- @ STRUCTION OR THE PERFORMANCE OF CONSTRUCTION �I11.ZS Fire SC y+�F.sB PLAN CNEGKFEE TOTA f E � ce se SC .0 123.57 S�GNSTUaE Oi CON'aACTOA Op 1UTMOp12ED eGENT IDATE� EN ROP Y A�IO E TMIS IS VOUR PE IT � S�GNATUAE 0� OWNEAi�i QWNEA BU4DEpi iDATE� �D iNSo ' q�1E �[ ] ADDN ALTER [l �� Construcdon Address: Legal Description: _ Owner Name & Address: �� c � Contractor• Address: /3 �/�- ��- �i1D. Effective 5/10/99 C� CITY OF F'RIDLEY "� p l�p � SI�i iGLE FAl�.Y AND DUPLEXES R 1 AND R-2 BUII.DING PERNIIT APPLICATION LIVING AREA: GARAGE AREA: DECK AREA: ♦ � � i i !� � _ \ �.^,e i, /;.''�.i ' � i // y! . , �, ,iI � �(� � _ ,- ,., Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. �. ; • ,�:� , . �: - .�: ;� .�:. .. ;�, ; �, . � Length Width Height Sq. Ft. Length Width Height Sq. Ft. Length Width HgtlGround Sq. Ft. OTI�R: �.p1 _ Construction Type: ° Estimated Cost: $ ��, �� Driveway C�ub Cut Width Needed: Ft. + 6 Ft = Ft x$ �� DATE: I oP-T' � APPLICAI�IT. ` � "' I,� i n��,�;�. Tel. ,# �! I— 0�� f ` Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Pazk Fee Sewer Main Charge TOTAL $ . �S'" $ $ $ $ � !lD $ $ $ $ � �3•�'7 CITY USE ONLY Fee Schedule on Reverse Side .001 of Permit Valuation (1/lOth%) $.50/$1,000 Valuation $1050 per SAC Unit $5.00 (State Licensed Residential Contractors) Alt. "A" or Alt. °B" Above $450.00 Conservation Plan Review �ee Determined by Engineering Agreement Necessary [ ] Not Necessary [ ) e� ��- `� � � 1��y�� m�,��= ��'�� STIPULATIONS: Q � s��'�"4'/-�� '�l�J' P�.,c� �G"�- .��`-�/�'G� �� /�� %��- ��c . 3��, 9� /Y �- � �� l� /�, c . BUII.DING PER1tiIIT FEE SCHEDULE The Chief Building Official shall, before issuing germ.its for the erection of any building or structure, or for any addition to any existing building or structure, or for any alteradon 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 hereir_• below set forth and in the manner herein provided to-wit: TOTAL VALUE $1 to $500 $501 to $2,000 $2,00� tc� $25,�00 $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 �23.50 $23.50 for first $500 plus $3.05 for each additional $100 or fraction thereof, to and including $2,000 $59.2� for f�st $2,4�D0 plus $14.00 for eac� a�itianai $1,t�0 or fraction thereof, to and including $25,000 $391.25 for first $25,000 plus $10.10 for each addidonal $1,000 or fraction thereof, to and including $50,000 $643.75 for first $50,000 plus $7.00 for each addidonal $1,000 or fraction thereof, to and including $100,000 $993.75 for first $100,000 plus $5.60 for each addidonal $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 $1,000,000 $5,608.75 for the first $1,000,000 plus $3.15 for each addidonal $1,000 or fraction thereof DRIVEWAY DEPRESSION ESCROW (Conc�te C;urb Streets C�niy) 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 Certificate of Survey of the lot, showing the locadon of the foundation once it has it has been constructed will be required before proceeding with the framing. �