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AF - 42883�* � * PION�6A * ene naer * * * � LAND SURVEYORS • CIVIL UND PLANNERS . LANDSCAFE ARCHIlECTS Certificate of Survey for: House Address: �,7 1' % House Model: J � 2422 Enterprise Orive Mendota Helghte, MN 55120 (612) 881-1914 FAX:881-9488 825 Highway 10 N.E. Blafne, MN 55434 (612) 783-1880 FAX:783-1883 TH�' RO �°TL UND COMPANY Christianson Court Ashton \\ \ \ \ \ — --� � .�b � ��d� �_� � �6 .� . ��� \ ♦ ♦ \ ♦ ��\ t, O � �o � s�` . �,� �O �, �\ 5 �' `� ' 55 ` � � osFp��\ �� oQoS� Q��ov'h �.\ �Q�`r�� to�'� \ �\ O ,��G. � e�. , �� ,�� � � \ ' +� Oa � �� � ��. \`� �� �`�� ��� 0� � �� � �� ��. � O� \� .�o� \ � \ `g��► \ \ \1 � � .� \ \ / GP�P� � s � ` q � \ �� � �� � $ 2,� �� � � \� . ��,.'�/ ��► O� � i \ � � • 1 "$� ��° do o•o � - s ' ,�� 855 S ��g'C'!.''� CH RI STI AN SON � - �R. - - _ --' S��e¢� „`` COURT x eoo.o �enot� Eutst[ng Elevctlon � Denotes Propoaed Elevnt►on =�— D�otea Drofnoge Flow Dlrectlon — Denotes Dralnoge dc Utility Ecsement —�o-- Denotes Monument —� Denotes OHset Hub Beartngs shown are assumed P_�Q.POSID BUILDDITG L�7.EV�TIONS , Garcge Slcb Elevation: � �� Z N01E: Propot�d buUdkig site gmd6+g te in accordanes �rtth !he 9►odM9 Pla�s approved by the dty enqhroar. NOTE: Cantraetor muat valfy aB dimenelons k drtvsway deaign. LOT 55 , BLOCK 1 CHR�l'STIAN50.N CROSSING ANOKA COUNTY, MINNESOTA We hereby certify that thts survey, plcn or report was prepared by me or under my direct superviaton cmd that 1 am duly Itcenced Land Surveyor under the laws ot the State of Minnesota. Dated this %Tu day of JunQ A.D. 19`«. Signed: PIONEER ENGINEERI G. P.A. Scale: 1�= 30 eet . 4 eY - '" ° Robert B. Sikich, L.S. Reg. No. 14891 or � 16190.02 Terrence E. Rothenbacher, LS. Reg. No. 20595 sue�ecr PE City of Fridley ~ ' BU ILDING PERMIT � � � � 1 AT THE TOP OF THE TWINS r � � RECEIPT NO. � � • COMMUNITY DEVELOPMENT DIV ' j a: --_._-, � r � � PROTECTIVE INSPECTION SEC. � � � ' /'�'1 � CITY HALL FRIDLEV 55432 NUMBER REV DATE PAGE OP AVPROVED Bv �----�; �.' 612-571-3450 910-F�5 6/20/96 / / JOB ADDRESS 151 Christenson Court NE 1 LEGAL �OT NO. BLOCK TRACT OF ADDITION SEE ATTACHED DESCR. S9 1 Christenson Crossing SHEET 2 PROPERTY OWNER MAIL AODRESS ZIP PHONE The Rottlund Co Inc 2681 Long Lake Rd, Roseville MN 55113 638-0500 1335 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Same 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAIIADDRESS ZIP pHONE LICENSENO 6 USE OF BUILDING Residential 7 CLASS OF WORK a NEW ❑ ADDITION ❑ ALTERATION O REPAIR O MOVE O REMOVE x 8 DESCRIBE WORK Construct a 48` x 25' Townhouse & a 20' x 21' Garage 9 CHANGE OF USE FROM TO STIPULATIONS See notations on plan. Paid Park Fee of $375.00. SEPARATE PERMITS ARE FEOUIRED FOR ELECTRICAL, PLUMBING. HEATING, TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAO 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 PERIOD OF 120 DAYS AT ANV TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS OFFSTREET PARKING I HEREBY CERTIFV THAT I HAVE READ AND EXAMINEO THIS APPLICATION 1 STA��S GARAGES AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS VALUATION SURTAX Fire SC AND ORDINANCES GOVERNING THIS TVPE OF WORK WILL BE COMPLIED @ WITH WHETHER SPECIFIED FiEREIN OR NOT. THE GRANTING OF A PERMIT W79,574 �39.79 '�9.57 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- $762.25 �900.00 STRUCTI N R THE PERFORM NCE OF CONSTRUCTION. � PLAN CHECK FEE TOTAL FEE � °l� Lic nse C$5. $ 86.61 + PF SIGNATUA OFCON� ACTOA RAUTHORIZEDAGEN7 IDATE� PHOPE L ALIDATED IS IS YpUR PERMIT S�GNaTUAE OF OWNEA i�F OWNER BU�LDER� �DAiE�� r U � I�•�� OG iN50 pa7E � � NEw I l Effective 3/1/ 6 ADDN [ ] CITY OF FRIDLEY ALTER [] SINGLE FAMII.Y AND DUPLEXES R-1 AND R-2 ���� Building Permit Application ��''"' I_ . G° ConstructionAddress: ��� Vl��t �CMSo�n �G�� S �� Legal Description: �.c�' �, �l.c�c.K- � ���ri�'GeMS�,�.. � v'o���; Owner Name & Address: �}� ���,b � , , � �,, Tel. # �P�jR • (j Contractor: cj,�l� ��p�� _ n MN LICENSE # 1�j�� Address: LIVING AREA: GARAGE AREA: DECK AREA: OTHER: lot, with the proposed construction drawn on it to scale. Tel. # DESCRIPTION OF IlVIPROVEMENT � �� i Length � Width �� Height � Length �D � Width �_ Height q � Length Width Hgt/Ground sq. Ft. 1 �'Lc�uS9.�r r��, Sq. Ft. � s . Ft. '� ' ? � �9Y y q i Comer Lot j� Inside Lot [] Ft. Yd Setback Side Yard Setbacks Type of Construction: •� Estimated Cost: $ �� �� �°= jI. Y� Approx. Completion Date: (p . (Cost on Back) Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x$ _$ DATE: !p APPLICANT �� ry�d��. Tel. #(p3$ • C�C`,� CITY USE ONLY Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control � Z. Z� $- -7q� � 7 $ 39 �� � , ob � .s; �U $ $ Fee Schedule on Reverse Side .001 of Permit Valuation (1/lOth%) $.so/$1,000 valuation � $900 per SAC Unit $5.00 (State Licensed Residential Contractors) Alt. "A ° or Alt. "B" Above $450.00 Conservation Plan Review Park Fee $�%j� OZ� Fee Determined by Engineering Sewer Main Charge $ Agreement Necessary [] Not Necessary [] I r ��� � I TOTAL � ,�_ �� � - STIPiJLATIONS: BUII.DING PERMTI' FEE SCHEDULE The Chief Building Official shall, before issuing �rmits 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 $500,0{TO $500,001 to $1,000,000 $1,000,001 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 $1,0� or fraction thereof, to and including $25,000 $349.75 for first $25,000 plus $9.00 for each additional $1,Q00 or fraction thereof, to and including $50,0� $574.75 for first $50,000 plus $6.25 for each additional $1,000 or fraction thereof, to aad including $100,�0 $887.25 for first $100,000 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 $1,00O,OOfl plus $2.75 for each additional $1, 000 or fraction thereof DRiVEWAY DEPRESSION ESCROW (Concrete C�rb Streets Only) Alternate "A" : Removal and replacement of curb and gutter only - Driveway width plus 6 feet times $13.50. Alternaxe °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 Certificaxe of Survey of the lot, showing the locarion of the foundation once it has it has been constructed will be required before proceeding with the framing. ,�� :Kx� �� ��,�� : � � FRIDLEY MiJNICIPAL CENTER • 6431 UNIVERSTI'Y AVE. N.E. FRIDLEY, MN 55432 •(612) 571-3450 • FAX (612) 571-1287 August 26, 1998 Rottlund Homes 2681 Long Lake Rd Roseville, MN 55113 Re: Final Ins�ction at 151 Christenson Court NE, Fridley, MN Dear Sirs: A final inspection was conducted on August 26, 1998 for the above noted townhouse. We found that the construction of the building complies, to the best of our knowledge and belief, with all the requirements of the building codes of the City and the State of Minnesota relating thereto, and permission is hereby given for the occupancy of said building. If you have any questions on ttus matter, please feel free to contact me at 572-3602. Sincerely, RON JU Building RJ/mh LIEN GUARANTY CORPORATION 529 South Seventh Street • Suite 421 Minneapolis, MN 55415-1805 Tel. (612) 338-3706 Fax. (612) 338-3529 NOTICE VIA CERTIFIED MAIL August 26, 1996 THIS IS NEITHER A BILL NOR A I.IEN Fridley Housing and Redevelopment Authority 6431 University Avenue NE Fridley, MN 55432-0000 RE: Property at 151 Christenson Court (Lot 55, Block 1, Christenson Crossing). Dear Sir or Madam: This NOTICE is to advise you of your respective rights in connection with tl�e improvement to your property located at 151 Christenson Court, in Fridley, MN. Any person or company supplying labor or materials for th�s improvement may file a lien agaiast your property if that person or company is not paid for the contributions. The purpose of this letter is to provide you witl� nohce as required by Minnesota law. Minn. Sta� §514.011 (1994). Timberland Lumber Company, Inc. at 1101 Glenwood Avenue North, Minneapolis, NIN 55405 have been hired by your contractor, The Rottlund Co, Inc, to provide for this improvement. To the best of our knowledge, we estimate the charges will be Sig Thousand Nine Hundred Fifty Dollars ($6,950.00) plus any egtras. If Timberland Lumber Company. Inc. is not paid by your contractor, they can fde a claim agaiast your property for the price of the labor and materiaL You have the right to pay Timberland Lumber Company. Inc. directly and deduct this amount from the contract price, or withhold the amount due Timberland Lumber Company. Inc. from your contractor until 120 days after completion of the improvement unless your contractor gives you a lien waiver signed by Timberland Lumber Compan .y Inc.. Timberland Lumber Company, Inc. may not file a lien if you paid your contractor in full be%re recefving this noticee This is neither a Bill nor a Lien, and no further action is requu�ed on your part. We thank you for using Timberland Lumber Company, Inc.. S' cerely yours, .�.� �.�.1C,�� Peggy Kerkhove Lien Guaranty Corporation as agent for Timberland Lumber Company, Inc. /347.0008 m rn rn � � � � c O m � � W i" � Q w a (9 Z r LL Q (7 � Z Q � Z m � � J a Q 0 � Z O a U J a a Q i 0 Z � � W a W � z Z � �j Q cN v � � � � � � o LL c � O � � c� � � � ^ U <o u. �n V � � � � � Y J � � W Q 0 � m O � c� � � � �, m m � t � � Y V � � 3 �' '"—�' �'i � U � � � Y � � � � ` �'C.. t U ° .c " 'a � 3 m � � m U U 7� co � � m � � ` ` � C U � O O � t � � � � � � c a a � � a a c � �o � Y O �A Y � > � t0 3 Q � E � m a � o � Y m�°�—°� L � m � � c m o m m � � � m w � O � y � y � a m � Q � w- � m m m�-a � � � � � � � � � ,� m c 3 0 �\ � � n",� � � � `� � � O \ Z � H ` A W !\ a �� \ � � 1 � � 0 Z w � � � � \� ` � e m � ,., e � � C F u`. � C u C G s � c 0 0 c _ � "o � � I }� Z Q a N � m O (� � j � ('3 m m c � m � > g W o a � � � Q m' w a v� ¢ ( 1 � � � O � 0 0 0 0 0 0 0 0 0 0 0 0 0 w, o 0 0 0 0 0 o a o 0 0 0 0 F, r: v ui i: �: �•; i: o�: o 0 0 �ri � � � � � � � � � � � � � � z�I i I I I I I I I�I I I z 1 � W � W Q X � (7 z m � J a W } � m � m m � c � � * Q I.L � a � N m � `N �" n- m (7 C Z � w m c� � c� I I � m � m� m m c�'m � r m*m # a � � ��m ����`-__ _� o � Q-0 �c Z� m p �,c � n, ��� Q p Q �- 3 V C N N m Y �. 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CHIIVIlVEY AND STACB VERIFICATION The undersigned hereby verifies that �he elcisting chimney or stack: 1. Has been carefiilly examined Yes () No () 2. Is free from nist or deterioration 3. 4. 5. 6 Has no foreign objects laiged within Is securely suppo�ed Meeis all current Code requirements for size and total BTU's conne�ted Has totai heating BTU's of All other BTLJ's TOTAL BTU's 7. Has a liner l�en provided for water heater 8. Has combustion air been provided for water heater Remarks: . List ALTERATIONS Being Done: HEATING CO: Signed By: Date: Yes()No() Yes ( ) No ( ) Yes()No() Yes ( ) No ( ) Yes()No() Yes(}No () :: ::-:,�;� -� >. : . � :>. <.> :..:::::.:::::::::...:::::::::..:..:..:.�..�::.�.;�.::::::::::�::. . .. �.a s.c s. �•: :.:::::.� ::::::..:::::::.;::::•::.:.:�.::::::.;:..�: :::.�::::::.::.�.:::::::........ . . .�. ..?E... :.: ...: .............:::::.... ................. .:...: :••:;�::•::•::.::;.. ::�<:�•::.:,:.;..::::: 1^:v'�: '+t•�h4•:.v:��:•�:': `ti'•\}.`: {'r,C�:�:'ti•:}::�:•'r'�:•%'r,'•:C:•i:'i:i�::•:•:•::::::: �i'•:ti4:•iiiii:i�ii:i:•:::�i:;::•:•'�:•i:•:'•;}•i:i�.•.�:•.•:;:;:i:iiiik:•i::•$:•:tii:•iii:�:�::�:•: �:•1::� _ „"', ....... .. . ..y ............:::::.•:::x:: :.; ........ :. :-__,-�.. t ::::::::::.•::.•x::.•.:.•.:.�::.....vv.• :::::..........v:::•::., t•ui:•.ti:•L:�• . : .w� .� t... . ...4.......nx:::x:.:::: ...�:x:::x::..: •.•n .......::::::.:�v.v\•:::.:•, ;....v...........v.w: ••.•x.. . \ ..�\. . .. ♦...... ......... v:xC•tii.:::•: :�:.�.... �... .� ♦......�.�....:.•x:.:8.v: �::?•i:•i::::.•.•:.:. •.v.•:::i:.;.;::.:�.r:.i:+i.i��v:•:�•::•:�:•\yY.••}tit:�?.i::.}•::..•...•.�.•:::.::�.......tia:;::::•':•:i:4{L�::{:v,'•,:;:; Client: Address: City: Phone: Fax: Comment: Rottlund Homes 2681 Long Lake Road Roseville, Minnesota 55113 638-0500 638-0501 YOUR BUILDER FOR LIFE Project Name: Reference Ciiy: Daily Temperature Range: Latitude: Elevation: Winter: Summer: Outdoor � Bulb -20 95 Company: Representative: Address: City: Phone: Fax: Comment: Ashton Minneapolis, Minnesota Medium 44 Degrees 834 Feet Outdoor Indoor Indoor Grains Wet Bulb H�LHW�. � Bulb Difference N/A NIA 72 N/A 75 50% 75 36 Total Building Supply CFM: 556 Square feet of room area: 1,200 Flare Heating 8� Air conditioning, Inc. Randy 9303 Plymouth Ave. N. Goiden Valley, Minnesota 55427 542-1166 542-3101 YOU CAN FEEL THE DIFFERENCE CFM per square foot: 0.463 Square feet per ton: 836.493 Total heating required with outside air: 42,595 Btuh 42.595 MBH Total sensible gain: 12,231 Btuh 74 % Totai latent gain: 4.304 Btuh 26 % Total cooling required with outside air: 16,535 Btuh 1.378 Tons (based on sensible + latent) 1.435 Tons (based on 75°/a sensible capacity) Caiculations are based on 7th edition of ACCA Manual J. All computed results are esfimates as building use and weather may vary. Be sure to select a unit that meets both sensible and latent loads. Component Area Sen. Lat. Sen. Total Descripfion Quan Loss Gain Gain Gain �+N �'dinduw D�ub1e Pane & S[orm Ciear Giass 1rVood Frame 123 3,�55 0 2,836 2,836 8M Glass Door poubie Clear Glass Wood Frame 40 2,028 0 1,200 1,200 11 C Door Metal Polystyrene Core 38 1,643 0 422 422 121 Wall R-19 + 1/2" Asphlt Board(R-1.3) 960 4,857 0 1,246 1,246 131 Part R-19 + 1/2" Asphlt Board(R-1.3) 171 433 0 141 141 161 Ceiling R-44 Insulation 1,200 2,539 0 1,214 1,214 23D Slab/Warm Duct 2" Edqe Insulation(R-11) 148 12,663 0 0 0 Subtotals for structure: 2,680 28,022 0 7,059 7,059 Active People: 4 0 920 1,200 2,120 Inactive People: 0 0 0 0 0 Appiiances: 0 0 300 1,200 1,500 Lighting: 0 0 � Ductwork: 0 0 0 0 0 Infiltration: �nter CFM: 54.0, Summer CFM: 36.0 201 5,465 881 792 1,673 Ventilafion: Winter CFM: 90.0, Summer CFM: 90.0 0 9,108 2 203 1,980 4,183 Sensible Gain Total: 12,231 Temperature Swing Multiplier: X1 00 Buiiding Load Totals: 42,595 4.304 12 231 16,535 Total Buiiding Supply CFM: 556 Square feet of room area: 1,200 CFM per square foot: 0.463 Square feet per ton: 836.493 Total heating required with outside air: 42,595 Btuh 42.595 MBH Total sensible gain: 12,231 Btuh 74 % Total latent gain: 4,304 Btuh 26 % Totai cooling required with outside air: 16,535 Btuh 1.378 Tons (based on sensible + latent) 1.435 Tons (based on 75°/a sensible capacity) Calculations are based on 7th edition of ACCA Manual J. All comruted results are estimates as bu?!�ing use an� :�reath�°,! Taj( �rar,�. Be sure to select a unit that meets both sensible and latent loads. M � � � � � � � �l d:o :o L � � U � � N S� ' � Q � t?o m > � m w � �� ,,�' _� � ' -� � �. F- � Q W a (�3 Z M� Q � 0 Z Q � Z m � � J a Q � LL Z O Q U J �.,� a a �a °�, � � � \� � � � � Z O U W � W Z Z } m Ljp Q rNJ v � � � � � � o u. �c � 0 � � c0 � M "O N U (O Ll_. t^ i I 1 i i . t ( [ L < F a e U � � U. LL Q F h LL LL C m � � Z Y ¢ Q � l� � a v � V' � � o� V v � � � W Q � Q m O 7 � m �, mm� L '(7 � � U m 3 �' � � y U qI m at-+ m " O � .� t U � != � C � 3 � � � Gl U U 7 a c m ; � as a m a �, � `o o` -n `° w- � m c c v m o O � t � Gf � 'a U a � 1° n Q- c c ca � O u� � Y Y � > Y � 3 0 c ���,a �,o cr m � a � m o � � t p� m C v c m o m m � � rn � '� c in � � m � � � � � m c � � = � m m m -a v I--� N 11f � � � � � � 1 �' (� � �I 2 • J � � a L� � m ai . � m c c � O m � -, � -�J � V� � l\ � � ^v �� o � z � f- � � ` W � a � L"�. . �.. 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N � m � � � � O �1 = F' W � LL � � � u.i � a Q C7 m � � r Z 0 m � c � I � � J �, a 1 oQC Z m 0 w Z � � � Z: -� �..0 H � � � �i a m �Z � Q - m °- � Q a Q � w O e,, � N` � � X N � O m Z ¢ m � o Q `� — W � V = O � O ° C � � Q •-- m �a m 0 � Q Q 0 � � m � � t ° � � m N � �1 � � w w � � O W _ U z v � � W N � � � Z � Q I � w J m Fa- 0 Z Q v O lp Z 0 F W � U � � � w a 0 w � > O � a w m � J Q _ � Q Q Z � F � m � U � Building Inspections 763-572-3604 763-502-4977 FAX BUILDING RESIDENTIAL APPLICATION CITY OF FRIDLEY DATE YOUR E-MAIL ADDRESS SITE ADDRESS THIS APPLICANT IS: ❑ OWNER OCONTRACTOR PROPERTY OWNER/ NAME: � °l.V � O � 'I`ENANT ------- t r—t nl_._. � n.., �s, L CONTRACTOR nnnxFSS: SUBMTf A COPY OF pHONE ` o� —o YOUR STATE LICENSE STATE LICENSE # ��P � Fnx ���'S ' EXP DATE PROPERTY TYPE ❑ SINGLE FAMILY/NEW CONSTRUCTION SIZE O TWO FAMILY/NEW CONSTRUCTION STORIES PERMIT TYPE � �DITION ❑ GARAGF/SHED ❑ WINDOWS 0 BASEMENT FINISH 0 ROOF ❑ DRAIN TILE ❑ DECK O SIDING ❑ OTHER O SWIIVIlVIING POOL TYPE OF WORK: O NEW HOME CONSTRUCTION O ADDITION O MAINTENANCF/REPAIR O REMODELING Permit No.: Re�y� � I.IJ Date Rec'd: STATE�_ZIP� % 0 STATE ZIP b � � G . �'�3%—O DESCRIBE WORK BEING DONE: SIZE OF IMPROVEMENT LENGTH WIDTH HEIGHT S Ff ROOFING �% � � HOUSE ONLY BASEMENT REMODELING SUBMIT: NUMBER OF SQUARES �� HOUSE 8c GARAGE � 1. Existuig Floor Plan GARAGES �ATTACHED GARAGE 2. Proposed floor plan PROPOSED SIZE: O DETACHED GARAGE 3. List of structural members to be used PROPOSED HEIGHT: �IDING FOR NEW CONSTRUCTION INCLUDING DECKS, ❑ Vinyl ❑Soffrt ADDTfiONS. 8c PORCHES SUBMIT: O Aluminum O Trim I. Site Plao/Survey showing the existing structures ❑ Other ❑ Fascia �d �°p°� P�O��' 2. Two sets of construction plans WIlYDOWS 3. Energy Calculations IN EXISTING OPENINGS OYe.s DNo LOCATION OF WINDOWS ' OR FOR NEW OPENINGS-DESCRIBE SIZE OF OPENING CHANGES 8c TYPE OF WINDOW TO BE INSTALLED NUMBER OF WINDOWS ALL FEES ARE BASED ON VALUATION, INCLUDING 'I'HE COST OF LABOR AND MATERIALS: (USING THE 1497 UBC FEE SCIIEDULE) TOTAL JOB VALUATION $ OCCUPANCY TYPE Permit Fee $ See Back Page for Fee Schedule Plan Review $ 65% of Building Permit Fee Fire Surcharge $ '�c� .001 times the total job valuation Surcharge $ .0005 x Permit Valuation Minimum $.50 License Surcharge $ $5.00 (State Licensed Residential Contractors) SAC Charge $ $1825 per SAC Unit (Plans to MWCC for determination) Curb Cut Escrow $ ft+ 6 ft= ft x$21 =$ Erosion Control $ � $450 Conservation Elan Review Park Fee $ Fee Determined by Engineering Sewer Main Charge $ Agreement necessary () Non Necessary () Total Dne $ f J��1 6 _ Make checks payable to: City of Fridley Att�ch Stipalations S IS AN APPLICATION FOR A PERMIT-NOT VALID UNTIL PROCESSED I hereby apply for a building permit artd I ac wledge that th ' rn�ation abova is complete and accurate; that tha work will be in confom�ance with the ordinances and codes of the Ciry of Fridley and with the Minn ' that I understand this is not a pe�mit but nly an application for a permit and work is not to start wi out a permit on site; that the work will be in �ith the lan in the case of all work which req ' review and a val plans. (1 SIGNATURE APPL ANT PRINT NAME � �[ G� �V DATE �� f���� A . APPROVED BY DATE