AF - 37095�
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City of Fridley, M�rm..
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No. Street �/� ��' '�_; f���°�e Part Lot
I�ot _ Block � Addition or Sub-Divi/�f`o�n � �
Coraer Lot — Inaide Lot —. � Setback '7��"—"—_� Sideyard ��
Sewer IIevation .� Foundation IIevation
A DESCRIPTION OF BUILDING
T v�a �
Front . Depth .�' � Height �� Sq. Ft �� / Cu, F't °��.�—„` �"
Depth �� eight � Sq. Ft �����- Cu. Ft. ����'��
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T Y E� C o n s tr u c t ion � F�� � o be Completed
In consideration of the issuance to me of a permft to construct the building described above I agree to do
th� proposed work ffi acc�rdance with the d+escription above set forth and in crompliance with a�l proviaiona oP
orrlinsnc�s of the dty of Frfdiey.
�
In cons4deration oP the payment of a fee of $ �, perautt is hereby granted to
to construct the buflding or addition as described above. This t is granted upaai
the express condition that the pereon to whom ft is granted aad his agents, employees an worlQnen, in all work
dane fn, around and upon said building, or anypar� thereof, shall oonform in all respecta to the ordinanceg of
Frld1eY� Minnesota regardtng location, conatruction, alteration, maintenaice pair and mov3ng of buil�n�
ordinan�cea dty limits and this permit may be revoked at �/�u /� vi ti n of any of the Provisiona of sa�d
Buildin� Inspector
n Nonc�
T�s peemtt doa not �orer ths coestrncHoe, leshllallan ter �rirteg, phrmbiee, ea 6�aMeg, sw�� er wabr. B� wro �o a�
fh� BviWtuO letp�ctoe hr aparal� p�rm6a foe �h�a i�ms.
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City of Fridley, Minn. N° '7698
BUILDING PERMIT
Date: dune 3s 1965
owner; Got�C�y S'�reasoa su4lder Sam�
Adrlrea,a .�. Chan��el Rr�ad N_ E. �,da�ss 6�9 ChanAel Road N. E.
LOCATION OF BUILDING
No 6� Str+eet ��� �8d 1�. E. Part of Lot
I.ot 1''3 Bl�k �' Addition or Sub-Div3sfan �'°O�� ��-t3on
Corner Lot _ Inaide Lot 8etback � Sideyard
Se�ver IIevatian
Foundation IIevation
DESCRIPTION OF BUILDING
To be vsed as:
Ftnnt DePth Height Scl. Ft Cu. Ft
Front Depth ITeight Scl. F� Cu. F'�
Zj►pe of Construction F�t. Cost .�.1„'200.OQ To be Completed
� Storm Damage Repair: 8ebuild Garage.
,�
In censideratfon oP the isauance to me of a permft to construct the building described a�ve I agr�e to do
the proposed work in accordance with the d�scription above set forth and in c�mpliance 'th a�lll provisions oP
orrlinanc�a oP the dtq oP Fridley. .r � c�� ^
f�`
In ca�safderation of the payment of a Pee of 1$ �!� �, permitt is hereby granted to �� ��Q�.
��r to c�natruct the building or addition as described above. This�� t is grant� u�n
the enpress c�ndition that the person to whom ft is graated and his ageuts, employees anc� worl�en� 9n all work
doae in, asaund and upon said building, or anypart thereof, shall conPorm in aII respects to the ordinance� of
Fridley, M9nnesota g location, construction, alteration, maintenance, repair and moving of bufldinge
within the dty liaaits��an�thia perazit may be revoked at aay time upon violation oY an3► of the provia�tona of eaid
ordinances.
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16b p�red! dea e� eewr ths �estruedee, �Stallatim br �rWnO. P�m9. o� b��. awu er watsr. B� suro to sM
Na Buildte8 Inp�ctar ior apval� p�em6a fo� t6a� h�.
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APPLICAZ"ION FOR Bi1�ING PERMIT
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. . CITY OF FRID�.�Yy �NNESOTA �
4 �OC�Z�ttON OF ��DING _
No. ° Sti��e . �,
�art of Lot .
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Lot_ J� Block Additioa� or Subd�.Visien O�_. -� y.����.
Corn�r Lot Inside i,ot _.,��e�lssck Side-Yard
SEWER E�.EVATIQN FOUNDATION EL�V'�!'1'ION �
Appli�ant ateach to thi�� farm,�wo Certificates af,Survey of Lot aad prgpased buil.d�
ing location ,d��wtn ot� these (;��tificates . � , � � �
Tm b u�ed ga:i^o \
OF B�TII,DIIdG
��
� Height
. Ft. Cu. FC.
Front Depth Aeight
: �q. Ft. Cu. Ft.
� Type af Constructfon Es�imaCed, Cost ,�,���
— . �.
_.xt�--he �omp].eted `- �
The undersignect hereby makes applieation for a pexmit for the work herein specified,
agreei�g Cm �o al,l work ii� strict accorda.nce w-ith the City of Fridley Ordinances and
rulings �� tl�e Department' of Buildings, and hereby declares tfiat all the f�cts aad
repres.entations stated in this application are true and correct.
�'Sc��eck�le e.f Fee Gosts caa be found on the Reverse Side).
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a, $ •'�1� •
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Se�tion 2. The Inspector of Buildin�s�s�ali, be�orw is�iv,i� aay permit for
, tt� erection of any buildiag or atr��t„ure, �or � for agy add,iti�, ts any exiet-
. iag building or structure, or for, any a�,teratt4��nr':repat� t� an� esisting
buildimg or strwcture, upon applicat�:oni �Qr,efor, �eq�ire the pay�ea� by �he
applicant for such permit of feea •�tD �ii� amount •her�ip�� below eet 'forth•. e�d
� � in the maaae= herein provided to-W�.t: ��,• `? �°
. _ . - _ . ... . _ . .� � ..
.•.r —.,2.1. Fer any quch permit �or the c���e�,�iori�o�' angr fire�pr+�� bu�l.d�pg� o�her �..
'•.��,,-t�ea. a gar�ge� war•ehouse, factor�► ox•� g��i.�t' @"��ev��';, .� �or- the ex�e�t�ida of _'"
+.' anq fire-�r.�of addi�ion, fo�c� ai�6�ar�°o�1�P�q� �a a�,q Qxis��i�ig bu�ld4a� ���:; �:'• - a
�hall �e at the rate �i �,.4Q for w+.��b..p� _thou��ad �e�,bia feet. or�Fr�f�on
. �r-� .. ; thereof. im such cubical conten�s . � �. ; � �'`: � . . . . � � ' . • �
� . .
��'` 2.2. For-'anq auch permit fa�:,..��� eraction a# anq fireMproaE g�ra¢e..��-��-�^�.:,�,
�torq �r graia elevator, ar f��the �rectian �f a�y� �,�i��mof : •.�
. fas aimilar occu anc to an �imt# ���.
P Y. y t� �a�ldla�g. 'sh�1�,• �be et t'�e .
•.•�'fo�''�aeh one .th�usand cubic .feat;'..c�Yassi.�ied a,s.."firep��" by S�
the �Mf.naeap��.is�-Su�iding Cadi3,. ��e�c�=r- , . � . .
.' �'�y HOUSES � . . . .
. . 2,��, Fc�� eny �ueh pes�mi,t fdr �he erc�etiaa af eay noa-�irep�f b'uildir�g .
; _ . - -----r- ad:h�,
�"' 'than a�arsge, wareho�,ise, factory or. grain elevaCor, or any ooa-fitepr�Af "�
Qddit34►u' For simi�dr ocCUp�'�Cp� ta an,y e�is�ti�g'iruigdiag - pesmit $�.�00 for .. ~
each �one thou�ain2� �ctbi�, feet . .
GAR�,GES • , , � � . ,�
2` 4.,, For any such pes�it f�r the erectioa of any noa-firepreaf ga�age�, .
warehouse, factorq� or graia elevator, o9r for the erectioa of anq noa-fire�sr+oao� "
addit3.aa, -€ori-a3mila��occupancq, to aia� exieting buildiag dr for eac� such '
���,, i.,_-°bailding ox addit�on - ainety ceata ($0.90j for ea�� one thousand ceibic feet .
or f�attian thereof, in the cubical�contenta thereof with a minimum of $4.OQ.-�
, ..
For the purpoae of compuCiag fees for building permita, th� cubical cot�t�e�ts�� �
of any buflding or eddi�ion to -a uni�orm height thraughol�t �'by muLtip�yirsg �li�_�- '
gro�snd areg eovered .fsom a�point aix (6) inch�� b�ldr� Ehe �loar line of .,�be-:. � f�
ba�ement or cell�r°�o the average height o£ the ugper sus�face or to the
average height of the rpo£ �eirface of the maim gable of a.��,tched roai. . �
�.5. �.� For repaiss or alteratioas to an existiri$ sCructupr�.y �e £ee s�l .be•.:�'�`;: .
.. a he rate of $3.00 pe; each Five FYuadred Do11ar,,s .($gOb'aQ$�� os�. �racti�' . �
,� therebf in �he ca�L of� �il, propi�sed work a . ' . � . . � � .
. , , � . • . . . . . 's' .
2.6 0` . In no �caee shali �he - � . . . � : , ' � .:. '� . •. � , _�
. .. S �Ct1 ..2 be lea�.�han--�4.�00; .. "aap-P�rmit-C.-�!: se� fts�'Ch in �.. ' � .a��.
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suerecr pE
City of Fridley �
AT THE TOP OF THE TdVINS g U I L D I N G P E R M I T
r
� � R EIPT NO.
� Ly � �'�
COMMUNITY DEVELOPMENT DIV.
r � � � PROTECTIVE INSPECTION SEC.
1 ` �
�' �"��l � CITY HALL FRIDLEY 55432 NUMBER REV. DATE PAGE OF APPROVED BV
""� � ,�� 612-580-3450
910-F15 6/28/77 � �
JOB ADDRESS 6889 Channel Road N.E.
1 LEGAL LOT NO. BLOCK TRACT OR ADDITION
DESCR. ],3 1 Brookview Addition SHE T�ACHED
2 PROPERTYOWNER MAILADDRESS 21P PHONE
Gordon G. Swensen 6889 Channel Road N.E.
3 CONTRACTOR MAIL ADDRESS 21P PHONE LICENSE NO.
Camper City No. 9890 Hi.ghway #65 N.E.
4 ARCHITECTORDESIGNER MAILADDRESS ZIP PHONE LICENSENO.
5 ENGINEER MAILADDRESS ZIP PHONE LICENSENO.
6 USE OF BUILDING
Residential
7 CLASS OF WORK
O� NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE
8 DESCRIBE WORK
Construct a 28' Diameter above ground pool
9 CHANGE QF USE FROM TO
STIPULATIONS See stipulations in letter dated June 28, 1977 from Environmental Officer
�� ERMITS REQUIRED F�?'R iNIR11�(�n` ��1��� it+es
SEPER�t� P 8� d�g�ng eaillo�� �
NEATIt+1C�, �-UM81NG ANa SIGNS. .E�.ECtRiC•G�Etc.
TE�E�N�E
REC��IIRED B� 1.�°►�IV
S�PARATE PERMITS ARE RE�UIRED FOR ELECTRICAL, PLUMBING, HEATIN(3, TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD
VENTILATING OR AIR CONDITIONING.
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING SQ. FT. CU. FT.
AUTHORIZED IS NOT COMMENCED WITHIN 80 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 ], STALLS GARAGES
AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS VALUATION SURTAX
WI H WHETHER SPECIF ED ER INIOR NOTOTHE GRANTING OF AO ERMIDT $�-i29S $�05
DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE pERMIT FEE SAC CHARGE
PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON-
STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. � �`9.00
PLAN CHECK FEE TOTAL FEE
$9.65
SIGNATUREOFCONTRACTORORAUTHORIZEDAGENT (DATEI ��dy pROP LY VALIDATE THIS IS YOUR PERMIT
� � D v��L1J'P�Y/� �n°" o�?�'^^f°�) G, 4 _ -�"j
SI NATUREOFOWNERIIFOWNERBWLDERI IDATEI �� BLDG INSP DATE
,
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.'a=�aS�,�<<°� n� MinneuPu4s31.
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SUB URBAN, E/VGlNEE2/tV� , /NC.
L-��neus _ E Su�veyors A
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CITY OF FRIllLEY
Af�NLICl�TIOPJ FOR RESIDENTI/�L BUILDING PERI�IITS
�NEW, ALTERATIONS, ADDITIONS, OR REPAIRS)
OWI�I:R:. � o re.�c� ��' �i t a, ��� o a� I3UILT�ER: �,� r� fa@ � y' c� �% % r�
Address: (���� � 1� � y"�� Address: ._�g'�� jf,�y _�� -Y3 eg
! ' ��%� - r� �U �' °' .
�. 7�� �- lo % �-ea Te ]. . No . : 3 C�
No.: Strcet:
LOT : BIACY.: ADDITIOtJ :
CORN�R LOT: INSIDE TAT: S,^:TBACK: SIDEYARDS:
Applicant attach to this form Two Certificates of Survey of Lot and proposed
building location drawn on th�se Certificates.
DESCRI PTION OF �� � [„
To Be Used As:
�O� � Froni: Depth: [� r- � � Heigh�:
S �' � � �� � �-Q.�S�zare Feet: � � � Cubic Feet:
Front: Depth: • ileight:
Square Feet: • Cubic Feet:
Type of Construction: � f �� � �� �l ��A �, Estimated Cost: $ / °Z �,��°—°°
To Be Completed:
Alt. A Alt. B
Proposed Driveway Width If New Opening Is Desired $ $
(SEE REVERSE SIDE OF SHEET)
The undersigned hereb1� makes application for a permit for the work herein
speciiied, agreeing to do all work in strict accordance with the City of
Fridley Ordinances and rulings of the Department of Buildings, and hereby
declares that all the facts and representations stated in tliis application
are true and correct. See reverse side for additional information.
DATE: fv �- �?;� _ -� -, SIGNATURE: n
_ �cr'� dC�-� �� C.v �e r) � C1 i"1
Stipulations:
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BUILDI(vG PERt�1IT FE% SCi��DULE
5ECTTON ?.: '.�hc Ins�,�er.t�r of Buildings :;hal]., before issuing gcr.mii.;s for tihc erecL-ion
of any bui.ldiiig or strueL-ure, or fc�r any acldition t�o •ar,y existi_»g l��iilc�ing �r stiructure,
or for any alteration or rer�airs t•o any er.istiny buildi.nq or structurc, upon al�pli.caL-ion
thcref�re, require ttie j�ayment by i-hc applicant for such permit of Lces to t}ie �.urtount
herein below set forCh and in the manner herein providcd L-U-wit:
NEW CONSTRUCTION: Sin31e Pamily Homes and Ga'rages: $4.00/1,000 cubic feet..
PI.AN CIiLCK: 25 percent of building �ermit Lec.
DRIV�WAY DLPRESSTON: (Concrete Curb Strcets Unly)
AlL-ernate l�: Removal and repJ.acement of concrete curb and
gutL-er only; Driveway width plus 6 f�et x v11.75
Alternate B: ltemoval and replacement of concrete curb and
gutter.and insi.all a 3 foot wide appr.oach with
6 inch depth; Driveway width plus 6 f_eet x$15.4U
AADITIONAL INFQRMATION
For the purpose of computing fees for building p°rmits, the.cubical contents of any
building or addi�ion, is determined by multiplying the ground area covered from a
roint six (6) inches below the iloor line of the base�nent or tha cellar to the
a�rerage heights of the upper surface or to the average height of thE raof surtace
af fihe nain gable of a piL-ched roof_.
For repairs or alterations to an existing structure, the fee shall be at the rate
of $3.00 �er each five hundred dollars ($50U.00) or fraction thereof i_n the cost
�of all proposed work. °
In no case shall the �ee charaed for any pezmit as set farth in Section 2 be less
than 57.50 plus 5.50 state surcharge.
,�IERIFICATIOU OF FQUNDATIafV
NOZ'E: Permits �or construction will be issuPd �. minimum of 24 hours from the time
of application to.allow for proper review of the proposed structure and of the
construction site.
A Certi�icate of Survey of the lot, showing the location of the foundation once it
has been constructed �a?11 be required before proceedir.g with the framing.
CCRTIFICATE OF OCCUPANCY
Application for a Certificate of Occupancy shall be made ten (1G) days prior tQ the
use ar �ccupancy of any structure for which a building pe nnit has been issued;. ar.d
said structure shall noi: be used or o,ccupied until a Ceri;ificate of Occupancy has
been issued.
. .
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June 28, 1977
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6431 UNIVEASITY AVENUE PI.E., FRIDLEY, PAIPIIVESOTA 55432
Mr, Gordon Ge Swenson
6889 Channel Road N.E.
Fridley, Mn. 55432
TELEPHONE ( 612)571-3450
Re; Swimr.ning Pool Construction at 6883 Channel Road N.E.
Dear Nlr. Swenson:
This letter is to make clear this departanents requirements for the swimming
pool construction at the above address.
1. As indicated, one (1) skimmer approved by the National Sanitation
Foundation will be provided.
2. As indicated, two (2) inlets of approved design for fresh and/or
repurified water will be provided.
3. The filter and pump shall be approved by the N.S.F. and be of
sufficient capacity to provide a minim� turnover of at least two (2)
ti.mes in 24 hourse This department reco�ends a turnover rate of
6-8 hours.
4. A deck of at least three (3) feet wide, measured from the pool water's
edge, shall be provided which extends completely around all private
residential pools. Above ground private residential pools may be
provided with decking of a:minimum size of 4 feet by 4 feet at pool
entry points and provided that such decking has the approval of the
City.
5. Fencing or other effective means including but not limited to walls
or buildings, acceptable to the City, shall be provided to positively
control all access to public and private residential swiu¢ning pools.
Fencing shall meet the following criteria:
(a) 2'he fencing shall prevent the entrance of children and be without
hand or foot holds that would enable a person to climb over it.
(b) The fencing shall be at least 6 feet high and entrances sha11. be
equipped with self-closing and self-latching gates capable of
being locked.
(c) Self-closing and self-latching devices sha7:l be placed at the top
of the gate or otherwise inaccessible to small children.
(d) The opening between the bottom of the fence. and the ground or
other surface shall be not more than four inches.
6. An automatic chlorinator should be provided with a suitable test kit.
7. All electrical and plumbing installations shall be inspected and
approved by the City Inspection Departmen�k..�
Mr. Gordon G. Swenson
6889 Channel Road N.E.
June 28, 1977
Page 2
8. All electrical lines must be 10-20 feet or more away from the pool
surface .
9. The paol fill spout must be air gapped or protected by a vacuum
breaker.
10. Suitable safety equipment to include but no t limited to a ring buoy
and rope that is 1� times the pool diameter, and shepherds crook pole-
must be provided and maintained with the pool at all times.
Furthe�ore, these and any other requir�ents must meet the provisions of
the Fridley City Code, Section 115, Swiffining Pools. The building permit
is approved contingent on. final inspections and approval by the City.
If any questions or problems arise from this letter, please feel free to
contact me at 571-3450, ext. 170e
Sincerely,
STEVEN J. OLSON
Environmental Officer
SJO/mh
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SUBJECT
City of Fridley _ 18 2 6 6
AT THE TOP OF THE TWINS g U I L D I N G P E R M I T
r
� � ECEIPT NO.
r ; L���_ C O M M U N I T Y D EV EL O P MENT DIV. �
� PROTECTIVE INSPECTION SEC.
i ,
i1 i ,
__-_� ��'��,,� CITY HALL FRIDLEV 58432 NUMBER REV. DATE PAGE OF APPROVED BV
i 612-571-3450 910-F15 10/25/85 / /
JOB ADDRESS 6889 Ghannel R�ad N.E.
t LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED
DESCR. 13 $Y'f}(,1J{V1CW Addition SHEET
2 PROPERTYOWNER MAILADDRES$ 21P PHONE
Chuck Kline 6889 Channel R�a,d N.E. 571a3377
3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO.
D& D Home Improveutent 74Q1 CentraT Avenue N.E. 784-7543
4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PMONE LICENSE NO.
5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO.
8 USE OF BUILDIN(3
Residential
7 CLASS OF WORK
❑ NEW � ADDITION �7 ALTERATION ❑ REPAIR � MOVE ❑ REMOVE
8 DESCRIBE WOFiK
Reroa� HAUS,e & Garag e
9 CHAN(iE QF USE FROM TO
STI PU LATIONS
Roo� can l�e the 2nd layex but not the 3zd. Install ridged galvanized
valleys.
SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, TYPE OF CONST. OCCUPANCY (3ROUP OCCUPANCY LOAD
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 ABANDONEO 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 STALLS GARAGES
AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS VALUATION SURTAX
WI H WHETHER SP CIF EDN EREIN'OR NOTOTHE GRANTING OF AO ERMIDT $�-�6 5•74
DOES NOT PRESUME TO GIVE AUTHORITY TO VIOIATE OR CANCEL THE pERMIT FEE SAC CHARGE
PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON-
STRUC O OR THE PERFORMANCE OF CONSTRUCTION. yti`ZS.O�
� LAN CHECK FEE TOTAL FEE
�'�i°l��i �`I ✓ `� �1�� �7'�-' .S� �^5 $25.74
SIGNATUREOFCONiRACTOROAAUTHOAIZEDAGENT io TEi WHEN PROPERLY DATED TH S IS YOUR PERMIT
SIGNATURE OF OWNERIIP OWNER BUILDERi IDATEI LDG INSP � DATE
NEW [] City of Fridley Effective �/1/84
ADDN. [ ] R-1 A�D R-2 �
pLTER. [ ] Building Permit Applieation
Construction Address: � ��� ( �%��1��/ �"t V
Legal Deseription:
Owner Name & Address : - �! ���� ���� Tel . # �' �� ��
Contractor:�`�� ���F ��-�����'��:'t'�,i,_,�� Tel. � �g�i�-���%�
Address: ���/ ���%�i� /��E 6�� �'�jv�
LIVING AREA:
GARAGE AREA:
DECH AREA•
OTHER:
Attach to this application, a Certificate of Survey of the
lot, With the proposed construction drawn on it to seale.
Length
Length
Length
DESCRIPTIOH OF IMPROVEMENT
Width Height Sq. Ft.
Width Height Sq. Ft.
Width Hgt/Ground Sq. Ft.
Corner Lot [] Inside Lot [] Ft. Yd. Setback Side Yard Setback
/� f/ol�I.s�E �f- �/
Type of Construction: -/r��� Gf+�9�tr�e ���P� Estimated Cost: $�`�' �� '�'
Approx. Completion Date: ��� / ��
Alt. A Alt B
Proposed Driveway Width If Ne�a Opening Is Desired: $ $
See Back Page for Explanation
DATE: o G� � APPLICANT: �Z Tel .�%�SS� ',���
Permit Fee
Plan Check
State Surcharge
SAC Charge
Park Fee
SeWer Main Charge
����
STIPULATIONS:
CITY IISE ONLY
� �.� o0
�
$ _ �%
$
�
�
$ � 5 P7
Fee Schedule on Reverse Side
25� of Building Permit Fee
$.50/$1,000 Valuation
$425 per SAC Unit �
Fee Determined by Engineering
Agreement Necessary [ ] Not Necessary [ ]
. 3 t -
PERMIT FEE SCHEDIILE
The Chief Building Official shall, before issuing permits for the erection of any
building or strueture,-or for any dition to any existing building or structure, or
for any alteration or repair to an existing building or structure, upon application
therefore, require the payment by e applicant for sueh permit of fees to the amount
herein belo� set forth�and in the � nner herein provided to-Kit:
Total Valuation
�1.00 to $500.00
$501.00 to $2,000.00
$Z,001.00 to $25,000.00
$25,001.00 to $50,000.00
$50,001.00 to $100,000.00
$100,001.00 and up
i
Alternate "A": Removal and re
6 feet times $13.50
Fees
$11���00 (Minimum Fee is $15.00)
$1 00 for the first $500 plus $1.50 for each
ad tional �100 or fraction thereof, to and including
�Zr, 00.
�3� 50 for the first $2,000 plus $6.00 for each
ad tional $1,000 or fraction thereof, to and
in uding $25,000.
$17 .50 for the first $25,000 plus $4.50 for each
ad tional $1,000 or frac�ion thereof, to and
inc; uding $50,000.
$28 .00 for the first $50,000 plus $3.00 for eaeh
ad tional $1,000 or fraction thereof, to and
inc uding $100,000.
$�3��00 for the first $100,000 plus $2.50 for each
add ional $1,000 or fraction thereof.
Alternate "B": Removal and repla
approaeh xith 6 ineh depth - Driv
AY DEPRESSION ESCROY
te Curb Streets Only)
nt of curb and gutter only - Driveway width plus
nt of curb and gutter and install a 3 foot wide
width plus 6 feet times $15.75
OF FOONDATION
Permits for construction Will be is ed a minimum of 24 hours from the time of
application to allow for proper viex of the proposed structure and of the
construction site.
A Certificate of Survey of the lot, hoWing the location of the foundation once it
has been eonstrueted will be requir before proceeding With the framing.
_
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- City of Fridley
AT THE TOP OF THE TWINS
r
i �
� �y __��__ COMMUNITV OEVELOPMENT DIV.
r j � PROTECTIVE INSPECTION SEC.
, , ,
, ,
���_�� f""�'� CITY HALL FRIDLE� 55432
612-571-3450
J08 ADDRESS 6889 �annel Road NE
1 LEGAL �OT NO.
DESCR. P't. 13
2 PROPERTYOWNER
Chuck Kline
3 CONTRACTOR
Home Enharicers
4 ARCHITECT OR DESIGNER
5 ENGINEER
8 USE OF BUILDING
Residential
7 CLASS OF WORK
SuBJECT
BUILDING PERMIT
NUMBER REV. DATE PAGE OF
910-F15 12/18/91 � �
iACT OR ADDITION
Brookview Addition
6889 Channel Road NE `�r
MAIL ADDRESS Z�F
8609 Lyndale Ave S, #115, Bloomington
MAIL ADORESS Z�P
MAIL
ZIP
PER J-T�
21175
RECEIPT NO.
�-( ��R�
APPROVED BV
SEEATTACHED
SHEET
PHONE
571�3377
PHONE LICENSE NO.
884-6109
PHONE LICENSE NO.
PHONE LICENSE NO.
O NEW C� ADDITION ❑ ALTEFiATION ❑ REPAIR O MOVE ❑ REMOVE
8 DESCRIBE WORK
Construct a 6� x 20.� Addition to Dwelling
9 CHAN(3E OF USE FqOM TO
STIPULATIONS
See notations on pla,n,
SEPARATE PERMITS ARE REOUIRED FOR ELECTRICAL, PLUMBING, HEATING, �PE OF CONST.
VENTILATING OR AIR CONDITIONING.
THIS PERMIT BECOMES NULL AND VOID IF WpRK OR CONSTRUCTION ZONING
AUTHORI2ED IS NOT COMMENCED WITHIN 80 DAYS, OR IF CONSTRUCTION
�R WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 OAYS AT
ANY TIME AFTEH WORK IS COMMENCED.
NO. DWLG. UNITS
I HEREBY CERTIFV THAT I HAVE READ AND EXAMINED THIS APPLICATION �-
AND KNOW THE SAME TO BE TRUE AIVD CORRECT. ALL PROVISIONS OF LAWS VALUATION
AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED
WITH WHETNER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT S6�3OQ
DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE pERM1T FEE
PROVISI NS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON-
SJf'RUC ON OFi PEvRFOR NCE OF CO TRUCTION. $%2 . OO
�O ���, P FEE
SIGNATURE OF CON i PACTOR OR AUTMORIZED AGENT (DATEI
WH
iDATEi
SO.
CU. FT.
OFFSTREET PARKING
STALLS GARAGES
SURTAX
�3 e 15
SAC CHARGE
Fire SC $6.3Q
TOTALFEE
^„ _ $81.45
M
LOA D
�W � � .
ADDN ( ]
ALTER I �
�ti1 .,� �•� �.��:,;�
Z.C� �OII:
Add�s: _ �� � l.c lC � c v� � � Tel. * �7 l r .�3 �%
�-e_ � �-..� �+-d n_e -Pr�9 Tel. # �� �% �l � %
�.:�� :_��.�
.,, � � _��
e
Effec�ive 1/1/91
CITY OF FRIDLEY
SINGLE FANIILY AND DUPLEXBS R-1 AND R-2
Building Permit Application
,n�.ti.e�L (� .
� � � �� .—. , <.— � �
►
LIVING AREA:
GARAGE AREA:
DECK AREA:
OTHER:
�- � �_ � ��.� i'� !, � i � Z►., o.
Atzach to this apptication, a Certificate of Survey of the
bt, with ffie proposed ooflstrudion drawn on it to scale.
DESCRIPTION OF DKPROVF.MENT
Length _ � Cv Width � � Height
L�gth Width Height
Lengdi Width Hgt/Ground
Sq. Ft l �
Sq. Ft.
Sq. Ft.
1 Z��c �`Z�.G'� � 3 a I,� e�
Corner Lot [] Inside Lot [] t. Yd S�tback Side Yard Setbacks
T�►pe of Conshvction: �.e� ��x�� �� �m a Esbimated Cost: S ��'
Approx. Completion Date: • � c� �' � , /_ � v
l�
ca� a �c�
Driveway C�rb C�t Width Needed: Ft. + 6 Ft = Ft x S = a
�
DAT'E: � � � � � APPLICANT: 2J Tel. � � � Y` �'�� � ,
�.
�
Permit Fee $ �� �
Fire Surcbarge S . _
State Surcharge S� '
SAC Charge �
Driveway Escrow S
Park Fee S
Sewer Main Cbarge S
TOTAL S S
yrr �,
Fee Schedule on Reverse Side
.001 of Penmit Valuation (1/lOth96)
5.50/�1,000 Valuation
5650 per SAC Unit
Ah. •A' or Alt. "B" Above
Fee Dexermined by Engineering
Agreement Nec.�sar�► I l Not Necessar}► I)
S'fIPULATIONS:
,�---� �,... . °�.��
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a —
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g,�,� �t�
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BUII.DING PERMIT FEE SCI�DULE .
The Chief Building Official shall, before issuing permits for die erec,Kion of any building or structure,
or for any addition to aay existing bailding or structure, ar for any alteration or r�pair to any eaisdng
building or strucd�re, upon applicatioa t6erefore, require the payment by the applicant for such permit
of fees to the amount henein below set forth and 'm the manner herein provided to-wit: �
TOTAL VALUE
Sl to 5500
5501 to 52,000
52,001 to 525,000
525,001 to $50,000
550,001 tn 5100,000
sioo,00i �o ssoo,000
ssoo,00i � ai,000,000
51,000,001 and up
��
S 15 (Minimum Fee is S 15 plus snrcbarge)
S 1 S for first 5500 plus S2 for each additional a 100 or
fraction thereof, to and including 52,000
S45 for first 52,000 plus $9 for each additional 51,000
or fractiion thereof, to and including 525,000
5252 for 5rst 525,000 plus 56.50 for each additional 51,000
or fraction thereof, to and including 550,000
5414:50 for first SS0,000 plus 54.50 for each additional
51,000 or fraction thereof, tn and including a100,000
5639.50 for fvst 5100,000 plus 53.50 for each additional
51,000 or fiaction thereof, to and including SS00,000
52039.50 for the first 5500,000 plus S3 for each additional
51,000 or fraction thereof, to and 'mcluding 51,000,000
53539.50 for the fust 51,000,000 plus S2 for each additional
51,000 or fraction thereof
DRIYER/AY DEPRESSION ESCROW
�con� c� s�� on�y)
Alternate 'A': Removal and replacemem of an�b and gutter only - Driveway wi�h plus 6 feet times
513.50.
Alternate 'B" : Removal and replacement of c�n�b and guVer and install a 3 foot wide
spproach with 6 inch depth - Driveway width plus 6 feet times 515.75.
VERIFICATION OF FOUNDATION
Permits for construction will be issued a minimum of 24 hours from the time of application t,o allow
for praper review of t�e 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.
.
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SuBJECT
City of Fridley
AT THE TOP OF THE TWINS g U I L D I N G P E R M I T
f
� �
� � COMMUNITY DEVELOPMENT DIV.
� •
� � �: ------
r � � PROTECTIVE INSPECTION SEC.
i . �
� _ �"'� � CITY HALL FRIDLE� 55432 Nu�eER AEv
�""'�' ,'' 612-571-3450 910-F15
JOB ADDRESS 6889 Channel Road NE
1 LEGAL LOT NO. BLOCK TRACT OR ADDITION
DESCR. 13 Brookview Addition
2 PROPERTY OWNER MAIL ADDRESS
Charles/Pat Kline 6889 Channel Road NE
3 CONTRACTOR MAILADDRESS
Thornton & Associates Inc 18920 Wynnfield Rd,
4 ARCHITECT OR DESIGNER MAIL ADDRESS
5 ENGINEER
6 USE OF BUILDING
Residential
7 CLASS OF WORK
❑ NEW
8 DESCRIBE WORK
Alterations to fi
9 CHANGE OF USE FROM
MAIL ADDRESS
❑ ADDITION
basement
p ALTEHATION
a
STIPULATIONS
See notations on plan.
ro
TYPE OF
SEPARATE PERMITS ARE REDUIRED FOR ELECTRICAL, PLUMBING. HEATING,
VENTILATING OH AIR CONDITIONING.
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION 20NING
AUTHORIZED IS NOT COMMENCED WITHIN 80 DAYS, OR IF CONSTRUCTION
OR WORK IS SUSPENDED OR ABANDONED fOR A PERIOD OF 120 DAYS AT
ANY TIME AFTER WORK IS COMMENCED. NO. DN
I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION
AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS ypLUAT
OATE
4/15/96
ZIP
I�
PAGE OF
/ /
��.�i�9
RECEIPT NO.
� y�������i�
APPROVED BV
SEE ATTACHED
SHEET
PHONE
571-3377
PHONE LICENSE NO
MN 55347 8904
PHONE LICENSE NO.
•9-0566
PHONE IICENSE NO.
O REPAIR ❑ MOVE ❑ REMOVE
SO.
3. UNITS
1 STALLS
GROUP IOCCUPANCVLOAD
AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL 8E COMPLIED � i8 � OOO
WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT
DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE pERMIT FEE
PROVISIONS OF ANY OTNER STATE OR LOCAL LAW REGULATING CON- �262.25
STRUCTION OR THE�R� OF CONSTRUCTION
PLAN CHECK FEE
� �'S/ � License SC $5.00
� 51GNATUREOFCON'RA ORORAUTHOR12EDAGENT IDAT � �1JHEN PiiOPERLY IDAl
./ /'
CU.FT.
OFFSTREET PARKING
IGARAGES
SURTAX
$9.00
SAC CHARGE
Fire SC $18.00
TOTALFEE
$294.25
D THIS IS YOUR PERMIT
iDATE� I BLDG SP _ W OFTE
r�w
ADDN
AL1'ER
Cl
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ConstructionAddress:
CITY OF FRIDLEY
SINGLE FAMII,Y AND DUPLEXES R-1 AND R-2
Building Permit Application
�� ��
Effective 3/1/96
w� �
�`��i
.�' . a
Legal Description:
Owner Name & Address:����es -r-�� '� l'vI� Tel. �# S'��/°' �3 ?7
Contracto�,�r /z<- dc �' -.�� �ie . NIN LICENSE # `� �l' a �
Add�ess: � � GI �� ,,.(.U� /2�/� � /cf � T �K %��c�-r�Z GG%t Tel. # � g ��— �.5�(0 �
Atfach to this application, a Certificaxe of Survey of the �� r�
lot, with the proposed construction drawn on it to scale.
DESCRIPTION OF IlV�ROVEMENT
LIVING AREA: Length Width Height
GARAGE AREA: Length Width Height
DECg AREA: Length Width Hgt/Ground
OTHER: � (�c.�. � 6�?�c� �g G�S�� � � �G�S� !�
7�(�--50� �
Sq. Ft.
5q. Ft.
Sq. Ft.
�Z � /vt {�K�v s��vi�2
j,� . =(-� ���� �� ���- _
Comer Lot [] Inside Lot [] Ft. Yd Setback Side Yard Setbacks
Type of Construction: ���4� Estimated Cost: $ l�� Q�� ^
Approx. Completion Date:
(Cost on Back)
Driveway b t Width Needed: Ft. + t= Ft $ _$
DATE: Z� APPLICANT: � ��c�� Tel. # � �i('— ���o
Permit Fee
Fire Surcharge
Sta.te Surcharge
SAC Charge
License Surcharge
Driveway Escrow
Erosion Control
Pazk Fee
Sewer Main Gharge
TOTAL
STIPULATIONS:
$ :�r'�-� � ��
$ /c � C� �"
$ � G'C?
$
� � ����
$
$
$
$
�
$ �i��
CITY USE ONLY
Fee Schedule on Reverse Side
.001 of Permit Valuation (1/lOth%)
$.50/$1,000 Valuation �
$9ty0 per SAC Unit
$5.00 (State Licensed Residential Contractors)
Alt. "A" or Alt. "B" Above
$450.00 Conservation Plan Review
Fee Determined by Engineeiing
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 �rmit of fees to the amount
herein below set forth and in the manner herein provided to-wit:
TOTAL VALUE
$i to $500
$501 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,OU0,001 and up
FEES
$21 (Minimum Fee is $21 plus surcharge)
$21 for first $500 plus $2.75 for each additional $100 or
fraction thereof, to and including $2,0�
$62.25 for first $2,000 plus $12.50 for each additional $1,000
or fiaction thereof, to and including $25,(�0
$349.75 for first $25,OQ0 plus $9.� for each additional$1,000
or fraction thereof, to and including $50,000
$574.75 for first $50,000 plus $6.25 for each additional
$1,OD0 or fraction thereof, to and including $100,000
$887.25 for first $100,000 plus $5.00 for each additional
$1,D00 or fracdon thereof, to and including $500,000
$2887.25 for the first $500,000 plus $4.25 for each additional
$1,000 or fraction thereof, to and including $1,(J00,000
$5012.25 for the first $1,000,000 plus $2.75 for each additional
$1,000 or fraction thereof
DRIVEWAY DEPRESSION ESCROW
(Concrete Cbrb Streets Only�
Alternate "A" : Removal and replacement of curb and gutter only - Driveway width plus 6 feet times $13.50.
Alterna.te "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.
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.
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SUBJECT
City of Fridley 2 7 3 3 3
AT THE TOP OF THE TWINS g U I L D I N G P E R M I T
r
; � O.
� • COMMUNITY DEVEIOPMENT DIV.
� ��: ------�
f � � PROTECTIVE INSPECTION SEC. a� ���
� �
� ,1 , aJ
i.--.� r"'1'J CITY NALL FRIDLE� 85432 NUAABEii REV DATE PAGE OF APPROVED BY
t ' � 612-571-3460 910-F15 8/21/98 � /
JOB ADORESS
6889 Channel Road NE
t LEGAL LOT NO. 6LOCK TRACT OR ADDITION • SEE ATTACHED
oESCR. 13 610 Brookview d t SHEET
2 PROPERTY OWNER MAIL ADDRESS ZIP PNONE
Chuck Rline
3 CONTRACTOR MAIL ADDRESS 21P PMONE LICENSE NO.
Ja son Lindsa Roof n -
4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PMONE LICENSE NO.
5 ENGINEER MAII ADDRESS ZIP PHONE LICENSE NO.
8 USE OF BUILDING
Residential
7 CLASS OF WORK
O NEW O ADDITtON � ALTERATION � REPAIR � MOVE ❑ REMOVE
8 DESCRIBE WORK
Reroof house and ara e(29 S) Tear-off
9 CHANOE Of USE FROM TO
STIPULATIONS
Underlayment must comply with the State Buiding Code.
SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, �PE OF CONST. OCCUPANCV GROUP OCCUPANCV LOAD
VENTI�ATING OR AIR CONDITIONING.
THIS PERMIT BECOMES NULL AND VOID IF WORK OF CONSTRUCTION ZONINO SO. FT. CU. FT.
AUTHORIZED IS NOT COMMENCED WITHIN 80 DAYS. OFi IF CONSTRUCTION
OR WORK IS SUSPENDED OR ABANDONED FOfi A PERIOD OF 120 OAYS AT
ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS OFFSTREET PARKING
I HEREBY CERTIFV THAT I HAVE READ AND EXAMINED THIS APPLICATION STAILS GAiiAGES
AND KNOW TME SAME TO BE TRUE AND CORREC7. ALL PROVISIONS OF IAWS VALUATION SURTAX
AND ORDINANCES GOVEFiNING THIS TYPE OF WORK WILL BE COMPLIED
WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT �Z�FI.H �I.LI
DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OF; CANCEL THE pERMIT FEE SAC CMARGE
PROVISIONS OF ANY OTHER S E OR LOCAL LAW REGULATING CON-
STRUCT ON OR THE PERFOR N E OF CONSTRUCTION �%4. ]S F re SC �L. �FL
PLAN CHECK FEE TOT FEE
�^ �f �� Lice 5.0 .38
SIGNAT EOFCON�A CTOAOFlAU NOA�ZEDA ENT IDATE� EN R P VALID T TNIS I�R PERMIT
r
S�GNATURE OF OWNEp�IF OWNER BUILDERI � IDATEI B G iN$P �1aTE
NEw .�
ADDN
ALTER
�]
[l
[l
ConstructionAddress:
Legal Description:
Owner Name &
Contractor: d
Address: � �
CITY OF FRIDLEY
SINGLE FAMII.Y AND DUPLEXES R-1 AND R-2
BUILDING PERMIT APPLICATION
�;
Effective 1/1/98
���
2� ��� �
�
;L��°y /
� — - � - �
�--_.-.�.� i� .
� � / � -. � � �l : r� �_
. � � ��J� ,�� ' / . � � :
Attach to this application, a Certificate of Survey of the
lot, with the proposed construction drawn on it to scale.
DESCRIPTION OF IlVIPROVEMENT
LIVING AREA: Length Width Height
GARAGE AREA: Length Width Height
DECK AREA: Length Width Hgt/Ground
OTHER: '�
Sq. Ft.
Sq. Ft.
Sq. Ft.
Construction Type: �.� e�� Estimated Cost: $�,�� �`-�/ �
,
(Fee Schedule on Back)
Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x� _$
DATE: �j ° � I r 9�
Permit Fee
Fire Surcharge
State Surcharge
SAC Charge
License Surcharge
Driveway Escrow
Erosion Control
Park Fee
Sewer Main Charge
TOTAL
STIPULATIONS:
Tel. �{ '�R � f� 5"7
CITY USE ONLY
$ /'7� �%�� Fee Schedule on Reverse Side
$ � . �� .001 of Permit Valuation (1/lOth%)
$ i. � ( $.50/$1,000 Valuation
$ $1000 per SAC Unit
$ �. OD $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 [ ]
$ �����
.-,. - �.,
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
$2,001 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,Ot�,001 and up
FEES
$21 (Minimum Fee is $21 plus surcharge)
$21 for first $500 plus $2.75 for each additional $100 or
fraction thereof, to and including $2,000
$62.25 for first $2,000 plus $12.50 for each additional $1,000
or fraction thereof, to and including $25,000
$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 $50,000 plus $6.25 for each additional
$1,000 or fraction thereof, to and including $100,000
$887.25 for first $1(?0,000 plus $5.00 for each additional
$1,000 or fraction thereof, to and including $500,000
$2887.25 for the first $500,000 plus $4.25 for each additional
$1,000 or fraction thereof, to and including $1,000,000
$5012.25 for the first $1,000,000 plus $2.75 for each additional
$1, 000 or fraction thereof
DRIVEWAY DEPRESSION ESCROW
(Concrete Curb Streets Only)
Altemate "A" : Removal and replacement of curb � and gutter only - Driveway width plus 6 feet times $13.50.
Altemate "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.
VERIFICATION OF FOUNDATION
Pemuts for construction will be issued a minunum 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.