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G � � � W Fµ+ \ �b�'M � �o om�.� m � 7 M � � � � � W '� �r h ~E 1� ►' 1�N GM� � � ...� � � c � ►�°�-- K �r r � m � O��o 7 M 1�► � � � � .� � � < � � ro►' W m 0 �-�nK 'C K � $ � �n�i � �� , 6 `�C � N M ��~'o m C m � M � � m ? � � pr m m m p�Sw� tNi� . M f'► '� 7MP 1W 1D Q F+ p. M I R � m � O 0 o� � � � m m ! 1 � � � � m N S � T � r n a � O z � O 70 O � m � a� � Z �� N Z o Za -I C7 ? a �� Z �� N 3 O N ^ o �' m m < � A m � N '-1 a. 0 z � m T � G') m � a -� 0 2 a z d c-� � T 'T7 � t� � I+t � � ff 2 < ro � d � �O � W � CHIMt�EY AND STACK VERIFICATION The undersi.gned hereby veri.fies thaL the existing chimney or stacfic; �� 1. 'Has� .been_ carefu 11y . exami ned � Ye s(,� No () 2. Is .free from�rust or deterioration � Yes ,('� No () 3. Has no foreign objects lodged within �Yes (r) No (✓� 4. Is securely supported � . Yes (.� No () 5. Meets all current Code requiremen,ts for size and � Yes.(� No O total BTU connected - _� �� 6. Has Total hea ting BTU's of � � All other BTU's o TOTAL �� Rema rk s � �- Campany _ Signed By B� te � � �� /' � x�� . � _--- -- a� HEAT LOSS CAL.CULA°f��1VS DEPARTMEIVT OF INSPEGTION Weatheratrips Coa�truetion IVo. Guide Windowa Doors Reference Out. WaU IaG Wall Ceilmg Roof Floor 1Cind Ye�o I Ye�—� 19— Fl.� Room Length Wideh HriBbt Fl.� Room � 1 Wiadows and Doors—Crackage and Ana Window+s and Doora—Cr� Wldtb Ha1�At No \Vldth Ha1�At No. ot Llmal t Are� rpe, et pana . ot p�a� U� Ne. et pan� o ooM 11sha ot eraet �o• « � � � �i � i�' X �, ��i � . _ . _ . Glass Exp, waU , N�t �:P. �Au Inc. wali Ceiling Floor 'Total &u. Required aq, ft. E.D.R. or �q. inf. Q/A. Leadu sraa Fl.� Room Lensth Width Windows aad Doors---Cracka6e aad Area Ne. GIW Esp. wall Net e:p. waU ln� waU . Ceiling • Eloor Total Btu. ' Required sq. fG ED.R. or aq. ins. WA l.eader nrea Fl, Room � Lengtl� Width W�ndows and poors--Crackage and ATea In6ltration �__ � Wet exp. w let. wall Ceiling �. � loor Tota� Bta. Requind i ot w. iw. QIA. Lea&r area Qtu _ � �tr � N�c �►. �aU � InG wau � Ceiling ___.� Floor Beu .. . ___... .__.�.. _ ... . ..... � �,�. � lnaulatioa How Apglia Rlidth ' I and Atea ft. E.D.R. or aq. ina. WA i,�-- Room I I.aagth and Qoors—�Craekage and area jO�iiS�lOf1 �� E�cp. wei� Nee ezp. rw�9fl lat. we� Geiling Floor 7ote�1 Bcu. Reqairee� �cl, ft. E.D.R. or aq. ins. WA. Leadtr a� F7, �m i Leagth QVidth Windowa �e��9 �n--Cracicage and �+ree weaen t�ae�s6e tva o[ s.�ns�1 ta wre. ,.�_ _o _,.u� ..e se... neai� et enek �a. tL �- Infitt:aeioa C+Iw. �sp. wati DVet ezry. �ws� Ia� wall or sa. ins. WA L.eadee aeea �[Y . �' / SU9JECT P City of Fridley 2 2 7 g g AT THE TOP OF THE TWINS g U I L D I N G P E R M I T i � , � O. � ; y ___� COMMUNITY DEVELOPMENT DIV. � � �� ", f � � PROTECTIVE INSPECTION SEC. 1 = i � /""1 � CITY HALL FRIDLEY 55432 NUMBER REV. DATE PAGE OP APPROVED BV �""'� � �'' 612-571-3450 910-F15 8/15/94 � � JOB ADDRESS 5811 Central Avenue NE t IEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 27 4 Parkview M n SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PNONE Marlene DeGardner 5811 Central Avenue NE 3 CONTRACTOR MAIL AODRESS ZIP PHONE LICENSE NO. The Cities Home Improvement 6148 Olson H Go - 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PMONE LICENSE NO. 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO. 8 USE OF BUILDING Residential 7 CLASS OF WORK O NEW ❑ ADDITtON ❑ ALTERATION ❑ REPAIR ❑ MOVE � REMOVE X 8 DESCRIBE WORK Soffit/Fascia 9 CHANOEQFUSEFROM TO STIPULATIONS Ventilation must comply with the State Building Code. SEPARATE PERMITS ARE REQUIFED FOR ELECTRICAL, PLUMBING, HEATiNG, �PE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD VENTILATING OR AIR CONDITIONING. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZpNIN(i SQ. FT. CU. FT. AUTHORIZED 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 CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION 1 STALLS GARAGES AND KNOW THE SAME TO 8E 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 �2�290 �1. 1S DOES NOT PRES E TO GIVE TH ITY TO VIOLATE OR CANCEL THE pERM1T FEE SAC CHARGE PROVISIONS OF ANY OTHER T R LOCAL LAW REGULATING CON- UCTION O PE NC F CONSTRUCTION. �54. �� Fire SC $2. 29 C^%/� - ^ � �r �� PLAN CHECK FEE TOTAL FEE �r° � License SC $5.00 $62.44 P � SIGNATURE OF CON i RACTOR OR AUTMORIZED AGENT IDATEI H PER VALIDATED THIS IS YOUR PERMIT �� SiGNATUREOFOWNERtIFOWNEfiBUILDERi �DATE� BIDG � Sp �ATE � rtEw ADDN ALTER il [] [J CITY OF FRIDLEY SINGLE FAMILY AND DUPLEXES R-1 AND R-2 Building Permit Application ConstructionAddress: ��1� � C�� Legal Description: Owner Name 8t �. Contractor:';� LIVII�TG AREA: GARAGE AREA: DECK AREA: QTHER: Effective 1/i/94 Tel. �# �%,� C�� MN LICENSE # Attach"to this �pplication, a Certificate of Survey of the lot, with the proposed consitvction drawn on it to scale. DESCRIP'TION OF TMPROVEME1�iT Length Width � Height Sq. Ft. Length Width Heig�tt Sq. F� Length Width Hgt/Ground Sq. Ft. Corner Lot [] Inside Lot [] Ft. Yd Setback Side Yard Setbacks Type of Construction: � � � Estimated Cost: $ o� Approx. Completion Date: �-r'— � � (Cost on Back) Driveway Curb C�t Width Ne�ed: t. + 6 F= Ft x DATE: — �— APPLIC Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee Sewer Main Charge TOTAL STIPULATIONS: $ v ��-�`� �;__ �,. $ �-;' ��A $ ��° �' -�� $ $ � -, L ` � ; $ $ $ $ � �f $ .�" � '% �; �!!� � !_ . =� Tel. # —� �- Fee Schedule on Reverse Side .001 of Permit Valuation (1/lOth%) $.50t$1,�0 Valuation $$� per SAC Unit $5.� (State Licensed Residential Contractors) Alt. "A" or Alt. °B" Above $450.00 Consezvation Plan Review Fe� Determined by Engineering Agreemem N� [ ] Not Na;.essazy [ ] � I3UiLDING PERMIT FEE SCHEDULE "i'he Chiet� i3uildirig Ufticial shall, t�efore issuing permits for the erection of any building or struclure, or for any addition to any exisling building or structure, or for any alteraLion or repair to any existin� building or s�ructure, u�n application therefore, reqeire the payment by the applicant for such permit of fu:s to ihc acnount hcrcin t�clow sct tc�rtl� a�d in thc manner herein providcd to-wit: "l'OTAL VALUL $1 to $500 $501 to $2,000 $2,001 to $25,OQ0 $25;001 to $50,000 $50,001 to $100,000 $100,001 to $500,000 $SOO,OOi to $I,OOO,t�O $i,00(3,001 and up FCES $15 (Minimum Fee is $15 plus surcharge) �15 for first $SQp plus $2 for each additional $100 or fraction thereof, to and including $2,000 - .$45 for first $2,ppp plus $9 for each additianal $1;000 - or fraction theroof, to and including $25,000 • _ $252 for first� $25,000 pl�s $6.50 far �ch additional $1;000 or fraction th�eof, �o. and including $50,000 " �$414.50 for fitst $50,000 plus $q..50 for e�ach additional .$1,U00 or frac6on thereof, tA .and including $100,000 $63950 for f�rst '$100,000 plus- $3.50 for each additional. $1,000 or fradioa thaeo� to and including $500,000 $2039.50 for tfie first $500,000 pias $3 for each $dditional $1,000 or fradion t-hereof, to and including $1,000,000 $3539.50 for the 5rst $l,p(yp,ppp plus $� for each addition,al $1,OU0 or fradiou i�ereof - DRIYEWAY DEPRESSION ESCROW (Concrete Ctiurb Stireets Ouly) Alternate "A": Remova! and replacemeat of cur� and gutter only - Dciveway width plus 6 feet times $13_50_ Alternate "B": Removat and replacement of curb and gutte,r and install a 3 foot wide. approach with 6 inch depth - Driveway width plus 6 feet times $IS_75_ VERIFICATION OF FOUNDAT[ON Permits for construction will be issued a muiimum of 24 hours from the time of application to allow for proper review of the pro�osed structure and of the construction site_ A Certificate of Survey of the lot, showing the location of the founciation once it has it has been constructeci wil( be rc;yuirect i�efore proceeding with tfie fcam[ng_ . sue�ecr MIT NO. � c�ty of Fridley � �. � �� AT THE TOP OF THE TWINS g U I L D I N G P E R M I T � r � ' RECEIP�T I�LO � � COMMUNITY DEVELOPMENT DIV. �J �� r � L � PROTECTIVE INSPECTION SEC. 7� L� � ' V � � /'��1 � CITY NALL FRIDLE� 55432 NUMBER REV DATE PAGE OF APPROVED BV �"""�'� �'J 612-571-3450 910-Ft5 4/24/97 � � 10B ADDRESS 5811 Central Avenue NE t LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 2] 4 Parkview Manor SHEET 2 PROPERTY OWNER MAIL ADDHESS ZIP PHONE Marlene DeGardner 5811 Central A enue 3 CONTRACTOR MAIL ADDRESS ZIP PHONE UCENSE NO. Phalen Sidin & Trim Inc 731-2092 6216 4 ARCHITECT OR DESIGNER MAIL ADORESS 21P PHONE LICENSE NO. 5 ENGINEER MAILADDRESS ZIP PHONE LICENSENO. 6 USE OF BUILDING Residential 7 CLASS OF WOHK ❑ NEW ❑ ADDITION O ALTERATION O REPAIR ❑ MOVE O REMOVE 8 DESCRIBE WORK Reside Dwellin 9 CHANGE OF USE FROM TO STIPULATIONS Install building wrap and have inspection of same unless manufacturer' specifications state it is not required. TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD SEPARATE PERMITS ARE REOUIRED FOR ELECTRICAL. PLUMBING, HEATING, VENTILATING OF AIR CONDITIONING. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTHUCTION ZONING SQ. FT CU. FT AUTHORI2ED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONEO FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COMMENCED. NO. DWIG. UNITS OFFSTREET PARKING I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION 1 STALLS GARAGES AND KNOW THE SAME TO BE TRUE AND CORRECT. ALI. PROVISIONS OF LAWS VALUATION SUHTAX aND OHDINANCES GOVERNING 7HIS TYPE OF WORK WILI BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PEHMIT �$3980 �1.99 DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE pERMIT FEE SAC CHARGE PROVISIONS OF ANY OTHER STA R LOCAL LAW REGULATING CON- STRUCTION OR PERFORM CE OF COMSTRUCTION. �8%.25 Fire .S�', �3.98 ��,_ � PLAN CHECK FEE TOTAL FEE License S $5.00 8.22 GN U�7EOF •RACT R0�7AUTNOA�ZED EN7 IDATEI H P OPERLY IIDATED HIS IS YO PERMIT � �� S�GNnTURE O: OWnIEA i�F OWNER BUiIDER� �DAT6 BL �NSP ��'TE NEW ADDN ALTER [l [] [l CITY OF FRIDLEY SINGLE FAMII.Y AND DUPI.EXES R 1 AND R 2 _ BUILDING PERI�IIT APPLICATION ConstructionAddress: �� °'� �'�1 � Effective 1/1/97 � � ► Legal Descriptivn: Owner Name & Address: ��- �""��'`"4� Tel. # " Contractor: �%��.'-�-c�v � ° oL �i-� �'-- 2'�-- � MN I�CENSE # � � � �i Address: �,�� .� �'� � � /9v Tel. # � �/'--.�G �/ 7 - Attach to this application, a Certificate of Survey of the lot, with the proposed construction dra.wn on it to scale. DESCRIPTION OF IlVIPROVEMENT LIVING AREA: Length �Vidth Height GARAGE AREA: Length Width Height DECK AREA: Length Width Hgt/Ground _ _ , �� a OTHER: Sq. Ft. Sq. Ft. Sq. Ft. Construction Type: Estimated Cost: $ � ! �� (Fee Schedule on Back) Driveway G�rb Cut Width Needed: Ft. + 6 Ft = Ft x$ _� � f % /�- � DATE : �—� � APPLICANT• �. . Te1. � :� � !c' 2� Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee Sewer Main Charge TOTAL STIPULATIONS: � vi.��' � �_.9� $ �� g' $ $ �D� $ $ $ $ � �. �a CITY USE ONLY Fee Schedule on Reverse Side .001 of Permit Valuation (1/10th%) $.50/$1,0� Valuation $950 per SAC Unit $5.� (State Licensed Residential Cantractors) Alt. "A" or Alt. "B" Above $450.00 Conservation Pian Review Fee I�etermined by Engineering Agre�ment Necessary [] Not Necessary [ l BUILDING PERMIT FEE SCHEDULE The Chief Building O�cial 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 paymern by the applicant for such p�rmit of fees to the amount herein below set forth and in the manner herein provided to-wit: � TOTAL VALUE � $1 to $500 $SO1 to $2,000 $2,001 to $25,000 $25,001 to $50,000 $50,001 to $100,000 $100,001 to $SOU,000 $500,001 to $1;0OO,OQO $1,000,001 and up FEES $21 (Minimum Fee is $21 plus surcharge) $21 for first $5� plus $2.75 for each additional $1� or fraction thereof, to and including $2,000 $62.25 for first $2,� plus $12.50 for each additional $1,000 or fraction thereof, to and including $25,�0 $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 $30,000 plus $6.25 for each additional $1,� or fraction thereof, to and including $1QO;�UO $887.25.for first $1�,000 plus $5.00 for each additional $1,0� or. fraction thereof,..to and including. $500,0�, . �: u -, $2887.25 for:the first $SOO;IX?0 plus $4.�5 for each additional �9. _ . .. . .�. �: . . .. � � -: $l,� or fraction;thereof, to and includmg'$1,0OO;OQO , . , � : � �= . $5012.25 for the fust $1,000,(�0 plus $2.75 for each. additional $1,0� or fraction thereof DRIVE�VAY DEPRESSION ESCROW {Concrete G�.irb Streets Only) Alternate "A" : Removal and replacement of curb and gutter only - Drieeway 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 $15.75. � VERI�'ICATION OF FOUNDATION Permits for construction will be issued a minimum of 24 hours from the time of application to allow for proper review of the proposed structure and of the constxuction site. A Certificate of Survey of the lot, showing the location of the foundation once it has it has been constructed will be required before proceeding with the framing. � � ' � � � SUBJHCT . r , _ City of Fridle�► , 325 °12 AT TME TOP OF THE 7WINS g� � L D I N� P E R M I T r ; � ' RECEIPT NO. � ` .��_ COMMUNITY DEVElOPN1ENT OIV. �. r � y � PpOTEC7IVE INSPECTION SEC. /�"�� f i = � � �'�'1 � CITY NALL FRIOLE� 6S�.�P NUMB@R � pEV DATE PA6E OR AVPROVEO BY ��'�" �'� 612-57�-3a50 9�aF�5 4/16/02 / � lOB AOORESS 5811 Central Avenue NE � 1 LEGAL LOT NO. BLOCK TFACT OF ADDITION SEE ATTACMEO DESCR. 2] 4 Parkview Manor SNEET 2 PROPERTY OWNER MAIL ADDRES$ ZIP PMONE Marlene Degardner 5811 Central Avenue NE 763-571-4�30 3 CONTRACTOR MAIL ADDRESS tIP PHONE LICENSE NO MN Rusco Inc 5558 Smetana Dr, Minnetonka, MN 55343 952-935-9669 2173 4 ARCHITECT OR OESIGNER MAIL AODRESS ' ZIP PMONE LICENSE NO 5 ENGINEER MAII 8 USE OF BUILDING Residential 7 CIASS OF WORK O NEW O ADDITION O ALTERATION �7 REPAIR 8 DESCRIBE WORK Replace two w�.ndows into existing openings 9 CHAN(iE OF USE FROM TO E LICENSE NO O MOVE O REMOVE 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 Inspec�ion Cards VU��1 �� ailed To Hom�o�n�� To Post TYPE GF CC SEPARATE PERMITS AqE REOUIRED FOR ELECTRICAL, PLUMBING, liEATING. VENTILATING OR AIR CONDITIONING THIS PEpM1T BECOMES NULL ANO VOID IF WQRK OR CQNSTRUCTIOM 20NING AUTMORIZED IS NOT COMMENCED V�IITHIN 80 DAYS, OR IF CONSTqUCTION ; OR WORK IS SUSPENOED OR ABANQON�O FOR A PER100 OF 12Q DAYS A7 ' ANV 71ME AFTER WORK IS COMMENCED. ' NO DWLG I HEFEBY CERTIFV TNAT I MAVE READ ANO EXAMINEO THIS APP�,ICA710N 1 ANO KNOW TME SAME TO BE TAUE AND CORRECT. ALL PROVISIQNS OF LAW$ VALUATION AND ORDINANCES GOVERNING TMIS TVPE OF WpRK WI�I, �� COMP4IED Z� 688 WITH WHETHEq SPECIFIED HEREIN OR NOT. TME GRANTING OF A PERMIT � DOES NOT PRESUME TO GIVE AUTMOqITY TO VIOIATE OF CAMCEL TME pERM17fEE PROVISION$ OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- STRUCTION OR TME PERFORMANCE Of CONSTRUCTION �83.25 Pt,AN CNEC Licer�s S�GNATUpE OF CON"aACTQR OR nUTMOr+iZED eGENT IO�TE� i OCCUPANCY GROUP OCCUPANCY �pAp SO. FT CU FT OFFSTREET PARKING STA�LS GARAGES SURTAX $1.34 SAC CMARGE ire SG $2.69 TOTA�FEE $5.00� $92 28 '�RL IDATE IS IS V U ERMI � , i � � , r rt ryGYY � ADDN ALTER � J Il �� Construction Address: Legal Description: _ Owner Name & Addre Contractor. LMNG AREA: CITY OF FRIDLEY 6431 University Ave NE, Fridley, MN 55432 SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION .( jjj� ryp p/_' l��P'GJ l�� N''. l� ��IIII��,_ ,r Effective 1 /1 /2002 (763) 572-3604 Bldg Insp i/ '!�. ��:� _� % ' � .�,l� f , " - � ' '. I. �y. � , r' /� /�L�� ' . J / _ � � y , � Attach to this application, a Certficate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF IMPROVEMENT Length Width Height - Sq. Ft ' GARAGE AREA: Length DECK AREA: OTHER: Con` structio�n Width Height Sq. Ft Hgt/Ground Sq. Ft ,.i _ —�. 'r�1R� �T'l� ' ''� ` ; � . - . . � / �:� � Driveway Curb Cut Width Needed: Ft + 6 t= Ft x$ _$ DATE: � % APPLICANT: � Tel. # I � Z' / �� `�� Call (763) 572-3604 for Permit Fees if mailing in appiication or Fax to 763-571-1287 if using credit card and we will call you for card number. Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee Sewer Main Charge $ �3°�� $ �� / •, y � $ .�� $ $ $_ CITY USE ONLY - Fee Schedule on Reverse Side .001 of Permit Valuation (1/10th%) $.50/$1,000 Valuation $1200 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 [ ] TOTAL $ �'�J � � STIPULATIONS: � �r �� . m 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 e�sting 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 $25,000 $25,�1 to $50,000 $50,001 to $100,000 $100,001 to $500,000 $500,001 to $1,000,000 $1,000,001 and up '�, � Alternate "A" : ��1'Tia�C °B ° : 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 $2,000 plus $14.00 for each addirional$1,000 or fraction therevf, to and incluc�i�g $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 $1Q0,0(� 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 $1,000,000 $5,608.75 for the first $1,000,000 plus $3.15 fur each additional $1,000 or fraction thereof DRIVEWAY DEPRESSION ESCROW (Concrete �urb Steeets Oaly) - - Removal and replacement of curb and gutter only - Driveway width plus 6 feet times $15.50. 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 issuerl 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. New Houses Onlv � S�Y� �olo�lo c `�c�' C��'��? N� � l CITY OF FRIDLEY Effective 4/1/2004 ADDN [ j 6431 University Ave NE, Fridley, MN 55432 (763) 572-3604 Bldg Insp ALTER [] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 (763) 571-1287 Fax BUILDING PERMITAPPLICATION Constru�tion Address: 5� I I �� r 1 I r�` �� e I�% � Legal Description: Owner Name � Address: �r Ierle D�C�►��LQ � ��m� � Tel. # 7Coj � -S % � - �1 �C� Contractor. ,%�i Co�lS�C"'�lOh MN LICENSE# ZO Z 3�� % O Address: g0% � �CtllCi'1�1('S �' t� I eu YYl �i �v '�J� �v � Te�. # �(r�3 - � �J - S �l LMNG AREA: GARAGE AREA: DECK AREA: OTHER: Attach to this application, a Cert�cate of Survey of the lot, with the proposed canstruction drawn on it to scale. DESCRIPTION OF IMPROVEMENT Length �dth Height Sq. Ft. Length �dth Height Sq. Ft LengtFj�� Width Hgt/Ground Sq. Ft Construction Type: S l Cl I Fl�i �� ►� Estimated Cost: $ oZ i7S�{ , 3(p Driveway Curb Cut Width Needed: Ft + 6 Ft = Ft x� _$ DATE: ( I Z� f� APPLICANT: Tel. #%�UJ - 7c��'�c'�SI Cail (763) 572-3604 for Permit Fees if ma ng in application. Fa�c to 763-571-1287 if using creclit card and we will call 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 $ v�� $ � �?, r�S $ % - l�.� � ��9� $ $ $ � $ � -� CITY USE ONLY - Fee Schedule on Reverse Side 65% of Permit Fee .001 of Permit Val�afiion (1/10th%) $.50/$1,000 Valuation $1350 per SAC Unit $5.00 (State Licensed Residential Contractors) Alt. "A" or A(t. "B" Above $450.00 Consenration Plan Review Fee Determined by Engineering Agreement Necessary [ ] Not Necessary [ ] STIPULATIONS: