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AF - 37015^'a.' ':,k � , 9.hk.+ _ . - '3 F°'4�� 2k; " ; �'� ?'ra: .. -. .� � . �� . ... . ... . � � . .. . . �'i�i�� ei �Y, �. s�i�DING F� N° 945. _ , c� � n+�c3i�� cx� su�uxt� -, . . , � � _ �i < �r �e� - � �-��. � .:��..._._ : � ��_ ��eq, �. �� S�ilder � t.�cA�or� o� �Dn� r• � ` __-�. � � No,�,� � '� . B�j��' �+a�d � p� � �.vt . �t Addition ar. Sub-Divlsi�t " : _ DESCftTPTION OF BUTLDIIVC .,, . t R'ront,� �' Deptb� H�gh�,..__ Storlea �[a�na�r o! Co�etiuEtio�t..y, -� ��.�,., ,�..._ _ . To be ueed ��f �k° .�.. _ To be c�ingleted�+�' f �,�„ss �ed Csat �_..,_ ; _` . • `y�:.�- . -�: . . . �„ . �� }� �; .. � Permit is hereh9 8s�t►tsd � "` ' � � *Q..�t�'��r....�_� %� _+�"�.�� •'�""� '' : deacribed ia the abava atat�i. T�e permit is �aB�Ged upon the espress eaaatition �hst the � to w��om it ie graated, sad l�ia s8'et�t�e, employeee and �orkd�, #n al}. Ehe work dwne 1n. aroumd s�u! ttpon asid bu#1Bln8. or anY P�trt thereo�. a�s�l ct�uo�ar� ffi 811 `raRt�ecta to 't"� mMt- ria�+ces oi 8's^i�li,+ar, a�#aak � tt�a �o�s, a�terstion, nastntea,�ce, repatr sad �'mB ot �qitdi�ge �aitieta t�e dt,y.1lmi'te. a,nd t�3s permtt maq be revaked aL aa,q time upoa viWa�c oi ;awy of tlse p�ovisic�ns of said � � �. �� ,�� '' - �. �.�...=- ;�q� ot �gs. A:��+TT Al�: �WO�T STAT�T In c€�n�d�rstio�t of �i►e is�ue aaad delivery to me by the i�e�or of;,B'u'rld�gs c�f I�7ri� of the abo�*eperm �t, I a� to d� the proposed work in accordsuce with the dass�i�'con, abo�ve set farth � ae�i��g #o �he p�ovisic� of the ordi�c�a of F+�idleq, s�► be�g 8�r�°d�iy s�a�orn, I h�reby ��sad �g fihat ttie faets �ts�taed by me aud co�� in t3� abo�� p�rmit sre �tue a� �in �ate�d. � , Subrae�ibed a�d �nvorn tn before me ai , Mina�crta, , ��*� �. � n fF�ir�r �..� '�� -��.�,� . � � - , .•; ,�w � � ; �ty . 2�:�. � f,� r""� �,,,� < " � `"'"'�"�-�~ _ , < ;-_ ;� - . 5. y,. - _ . , _ .� � ,� _ � _ � � �.; Caty of Fridley, inn BUILDING PE1�T N� 5 s o 5' Date: /��` " �� ".".» , Owner'!�` + � �" �'� -°�' Builder ,'L� • Address �. Address LOCATIO ILDIIdG No. ��:�.. Street ��'��A _ � .�:_ P I.ot Lot �_ Block Addition or Sub-Di on �' -�..�-->-�-_�� -, � � corner I.ot _ Ins�tae I.ot _._. �"--"�� a[l�back sfae3►ara �"''� Sewer IIevatfon Foundation IIevation ESCRIPTION OF BUILDING To v ae: � ,�� l�..�`-�G�✓' � t� Depth �;�i�+�� Height F�. � Cu. F't �. -,f-�*� • � Stl• � t Depth ight Sq. Ft. .— Cu. F't ' Type of Construction �� F,�sk Cost ."i:��- To be Completed In consideration of the issuance to me of a permit to construct the building described above, I agree to do ihe proposed work in accordance witYi the description above set forth and in compliance with all provisions of ordinaaces oP the dty of Fridley. � In consideral3on of the paymeat of a fee of $ "�~�, permit is hereby granted to.._._ to construct tYie building or adc3ition as described above. Thia permit is granted upon the express condition that the person to whom it ia granted. and his agents, employees and worl�en, in all work done in, around and upon ffisid buflding, or any part thereof, shall conform fn all respects to the ordinances of FricIIey, Niinnesota regarding location, construction, alteration, maintenance, repafr and moving of buildinga witk�in the dty limits and thia permit may be revoked at any u�n vi b�'�P aay oE the provis�tona of said ardinanc�s. � ,� ,+?'� }' BuilBing Inspector NOTIC� Thb pem�h does eof eover the eoectrueNon, WstaWtion fo� �vir6i9. Plumbtag, gea 6eadng, �ewer or wah�. Bs ars to ses t6s Bntldln8 Inspseto� for separate pemitts fa� thea ttemi. �' °�°4 �'`\ — - -�-...,. ,� — -�� - ,� _ � N�y, Ownelc's Name.�,� .%!� Addres� ,/ �'�� S� APPI�ICATiORT FOR SUI3�DING PERMIT CITY 0� . FIt2DLEY, NtiLQNES�,'A �.ader�.�d�-�---° LOCATION 0�' $UI�DING No v � � � � �"' Stree�. � � .� Part of Lot Lo ,_, � �,+,_ Block Addition or Subdivision�.�!'_„�.a► Corner Lot inside Lo�c ��,Setback_____ Side-Yard _,�. _�,____ SEfrlEit ELEVATION " FOUNDAT�ON ELEVATYODT Ap�alieant attach to tlsi�+ �orra Certificate oi� Survey o�' Zot anol �roposea buiLcl.ing location. To be uaed asa DESCRTPTION OF BUII�DiNG / w��t7� / t�� I ��2 LL � , e��s �'t• �..Sl�'0 �• Ft• Fxont_._____� Dep•�h &3eight Sc,� . Ft e Cu a Ft . Type o� Construc�ion ��C.�,. Est�nated Cos•� �'�� o�' To be Comgl The undersigned hereloy makea application �or a permit �or �he woac]c horei� $peci�ied, agree�.ng to do all work 3.n stric"t accordance with the C�ty , of Fri�ley Orc3inances and ruling o� the Depag�cn►er�t o� Hu31d- ings, ancl he�eloy� declaros that all the facts arid �epreseni:a��ons sicated in this appllcation ase true an;d corroct. � e�.. n�s� ��% ,�' L/,� G d si�TUr� .� ► . ____ (Schedule ot Fee Costs ca�► be found oa the Reverae �aLde) . � � � � �_�. `� � BUYLD�IVG PERI►��T FEE �CF�DULE Secicion 2. The Inspector o� Building�s shall, be�ore iasuing an� pe�3nii: ror the erec�ion o� any Iou�.lding or strucicure, or for any addiic3on to any oxis�ing building or s�ruc�ulce, or for any a�.terations or repairs ico any e�cisic�.ng building o�c s�r�c�u�e, upon application �hore�or, �cequire f�e pay�ent by �the a�paicant for such permit of fees �to the amount heYei.n below se�t �orth aaad in the manne�r herein pxov�.ded to wi� o 2.1 e For any such pegmit �Eor the erection ofc any fire-p�coo:� bu3lding, o�`he� than a garag�, warehouse, �acto�cy or gra3.n eleva�tor, o�c for �he erec�ion of.any :cire-p�oo� adclition,.for similar occupancy, �o any exis��ng buildi�� sna�l be at the ra�e o� $1.40 for each on� thousand cu�.�.c �eet, or frac�tion ichereof, in such cub3cal contents. 2 e 2. For any such p��ni�t �or ti�e erec�ion o� any fire-pscoo� garage, wa�ehouse, fac�ory or grain elevator, or for the erection or ar�y iire- prooa� ad�i�ion, �og sim�l.la�c occupancy, �co any existing build�.ng shall �e at the ra�te o� $1.25 �or each one thousand cubic feet, classi�ied as '°�iseproo�" Iay Seci:ion 502 of the t�R.i,nneapalis Building Code. I30tTSE S 2.3. For any such pern�i� for �the erec��on o£ any non-f3.�ceproo� build- i.ng other �han a garage, warehouse, �ac�ory or gra�.n elevafibr, or any non-fireproo� add3.�:�on, for simi�sr occupancy, to any exis�ing buildingo Permi� $1.00 for each one thousand cubic feet. �2AGES 2sa. For any auch �err�i�t for the e�cec�io� of any non�fireproo� ga:�ag�, warehouse, �a�to�y or grain e].eva�o�c, or for the erection of ar�y non�fireproox addi�c3.on, �or simila:e� occupancy, to any exist3ng bui].d�.ng or �or each such buiZding o� add�.t3one N3nety Cen�ts �or each one �housand cubic �ee�t or fcraction ichereo:, in the cu't�ical contents the�eof wi�h a min�.mum o� $4,00. ' For fihe purpose o� conapu�c3.ng �ees for building permi�ts the cubical con- ten�s o� any buil�in� or addit3on �to a uniform height throughout by multiplying �the ground area covered �roYn a point six (6) inches %elow � the �1oor line of t�ie basement or cellar ,to t.Ke average height o�E the upper sur�ace or �o 'che average heigi�'� o� tYie roof surface of the �aaia gable of a p�.tched roo�. 2.5. For repairs o�c alterations to an ex3sting structure, the fee shall be at �the ra�e o� $3.00 per each Five Hundred Doilars ($500.00) or �raction �hereor in �th.e cos�t o� all proposed worko 2a6a Yn no case shall tho �'ee chargecl for any permit as s�t forth in 3ection 2 be less t?� $4.00. � :�� -� �.. ,,. sue�ecT PE . CitY of Fridle "��j � AT THE TOP OF THE TWINS� i V�� BU ILDING PERMIT ; � RECEIPT NO. � • COMMUNITY DEVELOPMENT DIV. � � a: ^--- � r � � PROTECTIVE INSPECTION SEC �� 1 . � � ' /�'�1 � CITV HALL FRIDLE� 55432 NUMBER REV DATE PAGE OF APPROVED BY �---"�' �'' 612-571-3450 910-F15 9/26/94 / / JOB AODRESS 6805 Channel Road NE t LEGAL LOT NO. BIOCK TRACT OR ADDITION SEE ATTACHED DESCR. Pt 8 Brookview Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS 21P PHONE Frank Shaffer 6805 Channel Road NE 3 CONTHACTOR MAIL ADDRESS ZIP PHONE LICENSE NO D& D Home Im rovement Inc 7401 Central A - 4 ARCHITECT OR DESIGNER MAIL ADORESS ZIP PMONE LICENSE NO. 5 ENGINEER MAILADDRESS ZIP PHONE LICENSENO 6 USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW ❑ ADDITION ❑ ALTERATION � REPAIR � MOVE O REMOVE B DESCRIBE WOFiK Reroof House (23 S uares) Tear-off 9 CHANGE OF USE FROM TO STIPULATIONS Underlaym.ent must � comply with the State Building Code. TYPE OF CONST. OCCUPANCY GROUP OCCUPANCV LOAO SEPARATE PERMITS ARE REOUIRED FOF ELECTRICAL, PLUMBING, HEATING, VENTILATING OR AIR CONDITIONING. THIS PERMIT 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 ABANDONED FOR A PEFIIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COMMENCED. NO DWLG. UNITS OFFSTREET PARKING I HEREBY CERTIFV THAT I HAVE READ AND EXAMINED THIS APPLICATION 1 STALLS GARAGES AND KNOW THE SAME TO BE 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 W 1 s 723 W. H6 DOES NOT PRESUME TO GIVE AUTHORITV TO VIOLATE OR CANCEL THF pERMITFEE SACCHARGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- STRUCT OR THE PERFO MANCE OF CONSTRUCTION ��F1.00 Fire SC �1.%2 PLAN CHECK FEE TOTAL FEE � �� License SC $5.00 $48.58 SIGNATUpEOF N'AACTOAORAU ORIZEDAGENT IDATEi HEN PiiOPERLY V DATED THIS IS VOUR PERM T� �- � - �-��' SiGNATUFIE OF OWNEP�IF OWNEA BUILDEAI iDATEi BLDG � SP ��tiTE NEW [ ] ADDN [ ] At.�R II Effective S/26/93 CITY OF FRIDLEY SINQrI.� FAMILY AND DUPLEXES R-1 AND R-2 �3� �'� Buitding Permit AppGcation � � � �� :� :. �.� ��. � .�; � f;, Legal Description: Owner Name 8t Address: Tel. � �, -� �� Coutractor': D& D Home Imoro�rement Inc. __ __ __ _____ MN LICENSE � 4840 pddress; 7401 Central Avenue N.E., Fridley, MN 55432 Tel. # 784-7543 Attac6 to this application, a Certificate of Snrvey of the lot, with the proposed construction drawn on it to scale. LIV�NG AREA: Length DESCRIPTION OF IMPROVEMENT Width Height Sq. Ft. Q�ARAGE AREA: Length Width Height Sq. Ft. DECK AREA: Length Width Hgt/Gramd Sq. Ft. OTHER: Cori�er Lot [] Iaside Lot [] Ft. Yd Settiack Side Yard Setbacks � Type of Consauctian: �� 9� �'��,f� Fstimated Cost: $ ��%�a �� --�--�- - Approx. Completion Date: � .�,�8 /9� � e�� (Cost on Back) Driveway (�rb (;ut Width Needed: Ft. + 6 Ft = Ft x� _$ DATE: � , APPLICANT: Tel. # Permit Fee Fire Surcharge State Surcharge SAC Charge License 5urcharge Df1VCWSj► ESCfOW Erosion Control Park �ee Sewer Maia Charge TOTAL � �.U� � l•r1.�2 � �°� S $ �.Cc? . � $ S $ � � -�� Lc °`�'�� II ' � .� _ Fee Schalule on Reverse Side .001 of Permit valuation (i/lOth9�) $.50/$1,000 Valuation $750 per SAC Unit 55.00 (Stat�e Licensed Resideutial Conh�actors) �11t. wA� or Alt. �B� i�WV(�i Conservadon Plan Review $450.00 Fee Det,ermined by Engineering Agreement Necessacy I l Not Necessary I l STIPULATIONS: s = _ � su9�ECr City of Fridley 3 0 012 AT TFIE TOP OF THE TWINS g U I L D I N G P E R M I T f i � �. � `v �_�� COMMUNITY DEVEIOPMENT OIV. ,% f � � PROTEC7IVE INSPECTION SEC. L.� �� ' A 1 . � � j �"'1 � CITY NALL ff110LE� S.SIJ2 NUMBEN 11EV O�iE v�GE Oi �PVROVED Br �----�' �•' 612-571-3450 9t0-Ft8 8/5/99 / / �oe nooaess 6$05 Channel Road NE t LEGAL �OT NO. BLOCK TRACT OR AODITION SEE ATTACMEO DESCR. Pt.8 (420) Brookview Addition SHEET 2 PROPERTY OWNEH MAIL ADORE3S 21P PHONE Helen Shaffer 574-9676 3 CONTRACTOR MAIL ADDRESS ZIP PMONE LICENSE NO Amek Construction 140 W 98th St #103 Bloomi.n on 55420 941-7844 20164402 4 ARCMITECT OR DESIGNER MAIL ADORESS ZIP PMONE LICENSE NO. 5 ENGINEER MAII ADDiiESS 21P PHONE IICENSE NO 8 USE OF BUILOING Residential 7 CLASS OF WORK � NEW O ADDITION O ALTERATION � REPAIR ❑ MOVE O REMOVE B DESCRIBE WORK Reroof (24 Sq) Tear-off 9 CHAN(iE OF USE FROM TO STIPULATIONS Underlayment must comply with the State Building Code. TYPEOFCbNST. OCCUPANCYGROUP OCCUPANCYLOAD SEPARATE PERMITS ARE REOUIRED fOR EIECTRICAI, PLUMBING, MEATIN(3, VENTILATING OR AIR CONDITIONING THIS PERMIT BECOMES NULL AND VOID IF WORK Oq CONSTRUCTION ZONING SO. FT CU FT. AUTMORIZED IS NOT COMMENCED WITMIN 80 DAYS, OR IF CONSTtiUCTION OR WORK IS SUSPENDED OR ABANDONEO POp A PERI00 OF 120 DAYS AT ANY TIME AFTER WORK IS COMMENCED. NO OWIG. UNITS OFFSTREET PARKING I HEREBV CERTIFY THAT I MAVE READ ANO El(AMINEO TNIS APPLICATION STAIIS GApAGES AND KNOW THE SAME TO BE TRUE AND CORREC7. ALl PROVISIONS OF LAWS VAI.UATION SURTAX AND OROINANCES GOVERNING TMIS TVPE OF WORK WI�� BE COMP�IE� WI7H WHETHER SPECIFIEO MEREIN Ofl NOT. TNE GRANTING OF A PERMIT .�ZO9S �..OS DOES NOT PRESUME TO GIVE AUTMORI7Y TO VIOLATE OR CANCEL TNE pEqMl7 FEE SAC CMARGE PpOVISIONS Of ANY OTMER STATE OR LOCAL LAW REGULATING CON• STRUCTIpN OR 7ME PERFORMANCE OF CONSTRUCTION 83.25 Fire Z. �.O P�AN CMECK F TOTA F E Lic S 5 9 .4p S�GN4TUAEOFCON'AACTOAOpAU1MOp12E0oGENT tO�iEi WNEN ALIDAT HIS IS Y R PEAMIT S�GNATUAEOFOWNEQ��OWNEABWIDER� iD�iE� B� G �NSP r��tE ��_�� ADDN ALTER Effective 5/10/99 [ l CITY OF FRIDLEY [] SINGLE FAMII,Y AND DUPLEXES R-1 AND R-2 BUII,DING PERNIIT APPLICATIOTV Construction Address: Legal Description: � �� 5 � �r o� �� v �� a 3 � Owner Name & Address: /�fl�� /�( �/? /pfi'f�"7 L�ha,��o�/ Tel. # J�`� �%� 7ia Contractor: T d ��- ��-S�t(�'�-C�4� MN LICENSE # c`� �LP cF�i�c`�— Address: r �-� �' �� Tel. #� � °� �� ^ `1�� `'� �� q�Attacfi to this pplication; a C ificate of Su vey of the lot, with the proposed construction drawn on it :to scale. DFSCRIPTION OF IlVIFIZOVEIl�IENT LIVING AREA: Length Width Height GARAGE AREA: Length Width 1Fieight DECK AREA: Length Width Hg#/Ground OTHER: v� � � 0 Construction Type: � � �,�� timated Cost: $ Driveway Curb C�t Width Needed: Ft. + 6 Ft = Ft x$ Sq. Ft. Sq. Ft. Sq. Ft. _$ �oq� �y �� DATE: `�,�` G APPLICANT: a�b in ��I �.Qe � Tel. # g�f f� 2� 1{�' Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Pazk Fee Sewer Main Charge TOTAL STIPULATIONS: � �3. ��^ $ � , /U � l C 05 $ $ So 0 $ $ $ $ � `�l� yd CITY USE ONLY Fee Schedule on Reverse Side .(�1 of Permit Valuadon (1/lOth%) $.50/$1,000 Valuadon $1050 per SAC Unit $5.00 (State Licensed Residen�ial Contractors) Alt. "A" or Alt. "B" Above $450.00 Conservation Plan Review Fee Determined by Engineering Agreement Necessary [ ] Not Necessary [ ] 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,OOU $2,001 to $25,000 $25,001 to $50,000 $50,001 to $100,000 $1�,001 to $500,000 $500,�1 to $1,000,000 $1,(�0,001 and up FEES $23.50 $23 .50 for first $500 plus $3 .OS 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 &action thereof, to and including $25,000 $391.25 for first $25,� plus $10.10 for each additional $1,0� 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,U00 $993.75 for first $100,IXit� 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,� plus $3.15 for each additional $1,000 or fraction thereof DRIVEWAY DEPRESSION ESCROW (Concrete Curb Streets Only) Alterna.te "A": Removal and replacement of curb and gutter only - Driveway width plus 6 feet times $15.50. Alternate 'B": Removal and replacement of cu�b and gutter and install a 3. foot wide� approach with 6 inch depth - Driveway width plus 6 feet times $23.25: VERIFICATION OF FOUNDATION Permits for construction will be issued a minimum of 24 hours from the time of application to allow for proper review of the proposed structure and of the construction site. A Certificate of Survey of the lot, showing the location of the foundation once it has it has been constructed will be required before proceeding with the framing. sue�eer P c�ty of Fridley 30799 AT TME TOP OF THE TWINS � � � L D I N G P E R M I T r � � � � • � • COMMUNITY OEVEIOPMENT DIV. �� e � LV ��.�� I r � � PFIOTECTIVE INSPECTION SEC. � . � � _ �"'1 � CITY NALL FFIDLE� 33�32 NUMBEi1 NEV O�TE v�GE OF �vvROVED Br �'""'�" �'' 612-571-3450 91a-F15 4/7/00 / / JOB ADDRESS 6805 Channel Road NE 1 IEGAL �OT NO. BLOCK TRACT Oii ADDITION SEE ATTACHED DESCR. Pt 8 Brookview Addition SHEET 2 PiiOPERTY OWNEFi MAIL ADDRES$ 21P PMONE 9 CONTRACTOR MAIL ADORESS ZIP PMONE LICENSE NO Super Siders of America 3900 Jackson St NE, Columbia Heights, MN 55421 4 ARCHITECT OR DESIGNER MA1 AODRESS ZIP PMONE LICENSE NO. 20205146 781-2311 5 ENGINEER MAII ADDRESS Z�P PHONE LICENSE NO 8 USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW O ADDITION � ALTERATION �] REPAIR ❑ MOVE O REMOVE 8 DESCRIBE WORK Install soffit & fascia 9 CHANGE OF USE FROM T� STIPULATIONS Install soffit ventilation to meet the State Building Code. TYPE OF CONST. OCCUPANCY GROUP OCCUPANCV LOAD SEPARATE PEFiMITS ARE RE�UIREO FOR ELECTRICAI. PLUMBING, FIEATIN(3, VENTILATING OR AIR CONDITIONING THIS PEiiM1T BECOMES NULL AND VOIO If WORK Oii CONSTRUCTION 20NING SO. fT CU FT AUTHORIZED IS NOT COMMENCED V�!ITHIN 80 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONEO fOR A PERIOD OF 120 OAYS AT ANV TIME AF7ER WORK IS COMMENCED NO. DWIG. UNI7S OFFSTREET PARKING I HEREBY CERTIfY 7NAT I HAVE FEAO ANO EXAMINED TMIS APPLICA710N 1 STA�LS GARAGES AND KNOW TME SAME TO BE TRUE AND CORNECT. ALL PROVISIONS Of LAWS yALUATION SURTAX AND ORDINANCES GOVERNING THIS TYPE OF WOFK WILL BE COMP�IEO @ r @ WITM WMETHER SPECIFIE� MEREIN Oii NOT. TNE GRANTING OF A PERMIT `V3�OOO y�1.SO DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE pEqMIT FEE SAC CHARGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING GON- STRUCTION OF TNE PERFORMANCE OF CONSTRUCTION �83.25 Fire SC �3.00 PLAN CNECK fEE TOTA� FEE nse S $5.00 $92.75 S�GNOTUAEOFCON'WACTOpOp4UTMOA�2E0AGENT IOATE� NE OPERL`I VALIOATED TMIS IS VOU PEpMI / / S�GN4TUAE O� OWNEA��f OWNER BU�LO@fi� �b�iE� B �NSP ' �if NE1N [ ] ADDN [] ALTER [ ] Construction Address: CITY OF FRIDLEY SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION Effective 1/1/2000 (763) 572-3604 Bldg Insp ?�T� .��' �� l Legal Description: Owner Name & Address: Tel. # Contractor: � , C� �� i11� a��'o' MN UCENSE #��c�� i��Q Address: ��C'(�y ; _ �f� f�' _ ` -S cl �-� J � l� � f 1 _ � . �°, � Tel. # �/�� ✓� � ��Z/�/ Attach to this application, a Certificate of Suniey of the lot, with the proposed construction drawn on it to scale. LMNG AREA: GARAGE AREA: DECK AREA: OTHER: DESCRIPTION OF IMPROVEMENT Length Width Height Sq. Ft Length Width Height Sq. Ft Length Hgt/Ground Sq. Ft Construction Type: Estimated Cost: $ ��• � Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x$ _$ DATE: '�/ ` (��°��L� APPLICANT: Tel. # �i�%�-��3 /� CITY USE ONLY - Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee Sewer Main Charge TOTAL STIPULATIONS: Cali (763) 572-3604 for Permit Fees if mailing in application $ �� Fee Schedule on Reverse Side $ � �� .001 of Permit Valuation (1/10th%) $ / �`S� $.50/$1,000 Valuation � $1100 per SAC Unit $ �• (� $5.00 (State Licensed Residential Contractors) $ Alt. "A" or Alt. "B" Above $ $450.00 Consenration Plan Review $ Fee Determined by Engineering $ Agreement Necessary [ ] Not Necessary [ ] ;i, �, • �y v - BUII.DING 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 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 $25,001 to $50,000 $50,(}O1 to $100,0{l0 $100,001 to $500,000 $500,001 to $1,(�0,000 $1,000,001 and up FEES $23.50 $23 .50 for first $500 plus $3 .OS 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 $25,000 $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.Q0 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 $1,000,000 $5,608.75 for the first $1,(�0,000 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 "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 location of the foundation once it has it has been constructed will be required before proceeding with the framing. New Houses Onlv