The URL can be used to link to this page

AF - 37925� Date: . OiVIIBP /'.'� �, City of Fridle�, Minn. BUILDING PERMIT �� i N° '7452 � ��' � �'- � . ��°"�-�'��' � �' � ��'�`�% � `l., gl$1dET � �� s' �.�i'�iP�,r �- � f A�IaT@SS Adaress � LO TIO,� OF BU�I.DING NO. ^ '� '�� Str+eet � �li! �t�'T _��' �'��; -�'� Per.�'��,. �'�� Of Lot � � �,1� � �" �� 6 � (�' �-----�-- Lot ._.._ _ Slock �- Addition or Sub-Division .�,lF..�: ' ', " '��=�'�� ' Corner Lot — Ine�ide Lot �� _ Setback •-�� Sideyard 9 "� � Sewer IIevation �� _ _ /,�1�(�$�tion �� :�� i�. ai� _.1_�-�t°� _ .s.J.c- 6^�. DESCRIPTION OF BUILDING � To� U " - , , � �.� " FYant �� Depth ..�°�.� Height .��',..�"_' Sq. Ft. .f��'a " Cu. P'��"'�"�`",��f��",? 6 �; , , ' � .� nePrh a` , `� � �a�t % ', ,_ gq. Ft, `,�'� (�, �; , � Type o ��Construction , �,".�' °" F�tt.�C'o� ��`� � � ��To be Completed In considerat[on of the issuance to me of a permft to c the wilding described e I to do the P�P�� work ffi accordance with the description above se o in th afl ons of oniinanc,ea oP the dty of Fridley. �� In conaideratton of the payment oP a fee of $� � , permit is hereby granted to to construct the buflding or addition as descrYbed above. Thispe rmit ia granted upon the egpress c�ndition that theperson to whom it ia granted and his agents, employees and worl�en, in all work doae in, around end u�n said build4ng, or anypart thereof. shall oonform fn all respects to the ordinanc� of FrlcIIey, M3nnesota regardi=g location, canatruction, alteral3on, maiatgnance, repair aad moving of buildings within the dty limfts and this permit may be revoked at aRy tizne upon violatfon of any of the P�v9sioas of said ordinaac�s. � „ � � BuildinB Inapector � Nonc� 'I� peem@ doss not eeru tla cemlrueHoe, t�talldion he Mr�, P��& 6a 6uNea, m�ra er waN� B� wra h n� tia &riWing le:p�de� fe� s�p�raM p�em6s fer 1ka� Il�tn. � ` - ? ` _. ., . _ � . . . . APP`�I�.4TION FOR: BUZLDING,�PERMiT -�°r , , ,: ,: :..,, ,:: , . �..: .._ _ . . _ , � CI'1°�i QF FRIDLEY� �MINNESQTA e , . ' . , :. _ .. : _ j; . :.... � - s 1, �. ; �� Y . �— OW1�R' S NAI+� BUILDER � : s .. AD�?RES3,,� , . .,ADDRESS �� ^��, - . �. . . . , � . . . LOCATION OF' : StTILDZNG . � � �" r �,�' �-0��,, � �/� No. ��'.�� , .P , Stxee ��r'�,�...,.=`.�"�'-�>�", �art�: of Lot Lot_ � � . � Blpck � ,� , , . � Addition, .�r Subdiv,ision �'�','� .-_��,��-`� �� i . . � �� . , ,. - `.� - � Coraer Lot /�Inaide Lot _Setback �,�_ —�' .: Side Yaral �� .---� � SEWER ELEVATION FOUNDATION E�.E9AZTON ' ApplieanG attacb to°:this foria.'rwo, Cert,i..f3�,c�tes, o� 3�3ivep .of _LQt �nd .prn}�osed� build- ing,,looation dr�wa,oti these. .Certificatem., ,;,, .:,.. , , ..:� - _ . r ? I ° .. . . .. , . . _ , . . . . .. .-. , . . . , �� • riESCRamrioi�t o� �tt�t.b�tc . . , . � To be ec] ae : _ . � . .��i�'��L�� -� :-% ��.,%/�Front � � �,� ��' Dept �� ! Hei�ht� �'� � � . _ _ � 3q,. Ft�. � ,��_��,� -��_�Cu., Ft.', � =� _ ` � . , , � j: . � Front .�,,2 T Depth �� Height ��,� . . ' `Sq. Ft . � �1 � �u .., Ft .Y 7 . y . e of :.Coristruction � -��- . � . I Estimated Cost��'��' � _. Typ . �-��'�'-�� -_, � -.=_ �- , , . To be Completed �� _ . - . . � . ,• , � ._ , �,;.; ;,. .. The undersigne$ hereby makea�applicat3on for a,�4rm�tt fa� the�work her�ia.s�ecified, agreeir�g to do all work in strict accordaace wi.th the City of Fridley Ordinances aud rulings of the� Deparxment, qf.,Bu�,ldia$s; and :#ereby declares that A3,1 the �g�Ce and representations etated in Chis applicatioa are t�c�ue and coxrect. � i� DATE � a � SIGNATURE � � -�.�i�� Schedule of Fee Gosts caa be found o� th� Reverae Side). �.: . � � r'�1 . =---__; - . � / a BUH.D�NG PERMIT FEE SCi�DULE ... Section 2. The Iaspector o�� Buildings �shall, "�before iseuia,g any pert�it far , the erection of any building or structure, or for any addition to aay exist- . ia�.building or structure, or for any alterations or repa3�Ca to any esisting building or s�ructur�,:.upon application therefor, require the payment bq the . applicant•.for �uth petmit vf feea ta the �nnount hgreia below s�t forth and in the manner herein prowided Co-wie: 2.1. For aay such permit for �he erectioa o.f anq fire-proof building, other than a garage� warehouse, factory or graia elevator, or £or the erectioa of any fire-proof additioa� for aimilar occupaacy, to any �xiating building sha11 be 8t the rate of $1.40 for each one thousand cubic feet. or fractioa thereof, in such cubical coatents. 2.2'. For anq such permit for the ereeCion of anq #ire-proof g�rage, warehause,_. f�ctory or grain elevator, or for the erection of any fire-proof eddition, for simiiar occupancq, to any existing buildin,g shall be aC the rate of $1.25 for each one thousand cubic feet, claseified as "fireproof" bq Section 502 of the MinneapoTie�Building Code, AOUSES 2.3. For any such permit for the erection of �nq aon-fireproof buildiag other than a.garage,.w�rehouee, fa�ctorq or grain elevator, or aay noa-firepraof additioa, for similar occupancq, to any eacistiag building - permit $1.00 for each one thousand cubic feet. �S 2= For anq such permit for the erectioa of any aoa-fireproof garage, � warehouae,' factorp ar grain elevator, or for�the erection of any non-£ireproof additioa, €or--similar occupancy, to aay existing buildiag or for each such . __..- -build3ng or addition - aiaeCy cents ($0.90) for each one thoueand cubic feet or fraetioa thereof, in [he cubical contents thereof with a minismmn of $4.00.- For the purpoae of computiag fees for building permits, the c�abical corrtents of eny building or addition to a uniform heigbt throughout by multiplying the ground area covered fram a point siz (6) iachea below the floor liae of rhe basement or cellar to the average he3ght of the upper surface or to the average height of the rpof surface of the maim gable o£ a pitched roof. 2.5. For repaira or alterations to an eaciating structu�ce, the fee ahall be et the rate of $3.00 per each Five Sundred Dollars ($500.�0) or Fraction ther�of ia the cost of all progosed work. 2.6. •`In rio case ahe11 Che` :�ee,__charged #or.any-perm{� .� eet �forth in Section 2 be less.than $4.Dp. �- �.- „ �, � �-,, ` - . - — � q � , p„ [ond Plonnrn9 larxl Surve�iix� Sor/5 Teslrii9 Crwl fi A�imic,piol ' En��i�eerm� 68iS N�hnor� f65 A/E. � Minr�eo�c�,�is �l, � EN G I NEE R I I�t G, I N C. ,1�innrsvf� su,,,�t a-cv� � En9ineers � Sur vecJors cetts��cate o� sut�e Fos - E� M DEYELOPMF.NT C0. T 'NoTE �- � . 1. Elevo�ions Stiewh or¢ Propes¢d � a,4.� w � v cJ � � � V I�� Q�5 ` � 0�1 o��. �e� \? � L ''t 2 .ytiy T z�.D �� . p �` �✓�i� � _ 2.. C'i�ti} fr�eor sl. 2.9 �Y, obw¢ 9r�.zn� Q heus¢ corn¢e-S ei, e-�s.a �� I � I '.',�4e7, D� q t ovat � � .•]o'�vC �;.�?('ne,�S �7�0.� el. �, q �e 4 �.3g° A t�'E'NU�' N E" �. $l3•�5 O �E.NoTES IRON `vENoTE5 D'RAINAGE � UTILITY EASEMENT LO T� BLO CK � z MELODY MANOR 2'''—n ADD I T I O,N ��noko Coun}� — Minrt¢so�-a� '/ h�neby cerfr�'y ��1iis �s a frue and mr�zcf �eprr�sentof�ian o�'a sr�rvetj �'ll�t 6iovndories �i'f� a�ba� �sr.ryf6�sd lard, arrd c�'lf�lt �araian o�'al1 buildm95 , ff,r�an , ad d/ risib/e ax�ooriimtnfs , i!'�, �'in,n ar n ssid /and. As surrryed 6tJ, nx ll�s -°i� �(' Ap r � � A-o ��' SUB URBAN ENG/NEE21NG , INC. L-n i eeTS -fr' - S�'+'�r�-- --- — - C � �{ -- --- =--- �JC/�LG ��- 3�� L� _i. ��-�,.a's- ��f 'i.,r... . �\ '�f �.... �. �! � w s =' h .� . . � � T 3 s � x 0 � 0 � x 8 N � � I m � � 6 F � � m y e � N � r t�� '�'-' M H x � �o ° r � o � � 0 F~1 ~ ~ � � � o AP � � Z �y�� A � � � � � 0 � m � ° 1 .y N � CN] �� ,,,� N H � m � v � � � F� � . O O � m � � � � � � � c� O Z 0 _-� c� � � � .;r �' �" � y �n � � y a f�/1 ¢ � ~ ¢W� �'� �� .- t9 o � ��", y � � y O C o �,� . O � • � . �:: � y � � � ro O IP O 0 O O O b7 � � � � x . �a � �e o _� N r en o 'er � �I o O O O � � � � � � O H � r n b W `a � � � � � � � � a � � � 0 O � i� m � �. b A1 r � � � � � � � ,.o r i� a�yo �f � � � I w OQ W �� h3 M � y � o � H � V� y � A �. �: �. � � �� y a � � � 0 en 0 O � � � ►�! O � � 0 � � � � � 0 w w a � ,aR'. a 00 �3 �C � � � � x� �� M ' � � � p � M � x �' y � � � �� t- � P � O �j O � � a�-r� � � � N � � � 0 0 °o °o � � � � � �i a °x M � � �O � a �: � � m � a � � � � � �� '��. c C z � O ! m � z 0 � . � � � ro � � � � � � � � � � � � � � ��'�� ► p� � � lD y p p � � �o� !� Q � fr' � C � �'r �s : pd �' a � � ° a�� ' : O g O : : O .° � : : � w en cn n� po o °o 0 0 °o � � � � o G O �s i � � '! � O � � � � b � G�. ¢ �• w I g rb m � � m � � � b � b � S �y� � � � � � � � � � �a�� ° 0 0 � � � � �� ro � � a � � � ar�'. cn . . C�i � : : O � . . p . . P . . . N � � � � ea o 0 0 q O O P � � a Hy t" � �,y A i�+ a. ��.. � � � �ro"� M � �� p �� a w � M �d o � "a'� �d��. �b � °:� a�' �.�� pp�`C � �� 0 � ��ti � ��b P1�F'`rlb o�� p��o � �a,�p iy ri, � �f�D GLy � ��W� � a �D �� f�pH �� o � � � ►+ � � � � � � � �k 5' n D _1 r � � m y _ m v m G b M � `� oror � a � � V O � -�. � � � 7 � � �� `• �0 � O � � � _ � � �� 3 � h 0 � 0.� A A �. � � �Q 3'. 0 � 70 � � �• � � d * E q ro� " n� � �z � O � N � ro � � �� o � o K7 � � � y t�+'J o � K �� ro �� M � n m y � t�t O � '� o fD � � � rn wro � t��]N w a ,� ,� w czi a � ro �, � � t�7 ro � � �� r � rt c�o � . n � � N M � �^" R {y► � �• � v' � � o _° � � cr co � w � m H tn ~ � ro a a � • � ( Ul ( V : '� ❑ w w �t � i � .� � m � � M 0 x � Q+ b7 o �� o rn f'h Oq .�'� � ro n , � � � C I-' ."7' � � � � b ro ro � G w rt .� w/ rt � � o � � A n � a a �O M rt O x N I � w O M C C Ir � � �, �� Fi tx�1 a � fD x c� m t°t ro � z � � , • �' y �rr 9 . � 0 � � a c� M �W „ � � � � � � � � I 0 z � � . �A ro m O 0 � � � N � � � 0 0 � N rt w rt � � y � n .'�' W � tn tn ui cn O � � � � C N � � � H O � � H O � \ �v l � � �eY� e� M ('�) C � F � � � d °, ai ro � ro r � � � k 0 n X n � O H � � o o � O E9 N �H 0 � � u, 0 O � 0 y M o �d � � �o a � ~ N � nlm � � I-~+ ►~i . �N N TO Uwi G hG'S C mrt o d �b ro � � � �r• M� H w a' � �e � ro m H Ct�u R � � �,q �x r a� w r� o o� cGe �o w �' h ~ � i°-n n `° tµ,,.* w w ro� � � �o � rw M Mrt w w � � � N �O c�om m v wx �°t rt � . o� �"t N :. t/f tn tn {o �n 0 0 0 0 0 � 0 0 0 0 o ty�1 0 0 0 0 0 �vs � tn tn t� r� 0 o � O Hf]� M W N � r°r ryQ'� c�Di a`� ~�c a � y C M� �k O f�1' w rw � u,rng a� a a N�� r�o �w m a�'o � � M � � � � � � � � � ,� a r x �, ~ ��io � Y+ �� M~� W � r m a a�°-nn w � r xro w � � W � w M � � w 0�0} rai� rwr � N � M F�. '< w w o . ro � � � � � �a a o w� n rt t_:� n a o z � O � p, � ��L'+7 N � p� � g, ti] m << m f� n � �rt N W M f' G � � � � fD m �x � �� a'�x� � u�+ 8rt�x N � r� a � x Ipo .c�r � rao m � y ,�� ' O a w n � N m v � � r m c� D � � m� Z � � m z° O � m � a� � z c--� � o cn G D �- z -� ty o s Z D GZi .�r Z N � -G � y � n i O N � d � m m < �f� m � � � 0 z � m T 79 � m � n -i O z � z C c'� -��G O T T � C r � m fi -h m n � < (D a r`�o 3 'G � � � . E > N y. w � n � W 0 � � � � m� a ►� 0 0 ti � � o p R o. g �r ,e �� w �• � �O m � w h m m $. � G n 0 c r► Q � � G m O � � r Oi n F N r. M a O � O 7 � � °�a� e �q 6 � � 7 �' ` A � � N .i N ►zj 1~i� C . � o� R7 [�+1 tA O� H b M � N � �� 0 H M\ n N r �z � � � M y M L� b M �e° M H W W r � Z 01 o � � = �.. '� e 'O � � �a � M p � O r ? ~ o�n � O � � M • � � �. e O l v r• a w � � � � � �� a � �� a� 'o % W ',: � i .� w 0 9 A N a M M � I �� n w 0 �C � m � � o. m O. � R � a 0 � N w : s 7 � a m °� � � � r hf N z � 0 ti � 'p �0 � N R � � a W M 6 V h i g � M Z N b M n H N z � M � w 0 O 0 N � � � n H � h9 �(] � C � � N R � � m � N G n � � � tp N " O � � � M m � � y � O � c � � � � N � Z � O � y H O � � � O �- o + � r r F+ M �n �o n r �°w � a C G fD � � ��° a � a�i M M � m � � Q ~ a ~ w � w �m� m � �y ... �a K 0 M � (p � o O O � y N � r � �� ' N v � O � ro m e � �i �I \ � � � � G� G� C� Iq �0 Vf 0� W�O W M M C�q r�j W a� K� y .� � �a� �� s O h+ a M ~ a � �� ! g „, R � � 7 q � n � M v � � N tN t/1 N 0 0 0 0 � 0 0 0 o t+i O o 0 0 N N N N � !" rn 0� w �� d r w�p � O�� O. � � A m �°c m n►cn � �o � � � °� R 'D O � � M O � m g ��y 7 r !c' C R � w aMX'a0 r• m b � G t'• r' 1+• 7 W ts'am m �+• w rt tr � �G W O 'WO :p � 7 � e m o M '.! fp� �'f N7��'t � ��° � r� m �r s a � � �r�� s o N �,r � � � � °�w8 8r�x ~ Q ►~+� M � A m ``�^` � � J� N � � IyE G ►r w ►• za O � N N rnn O ft A O 7 d G O� A W r ] �. ID M � r� n � e � � h7 M � r � � � N A W N 0 � � m m � � � r .. m � N � 1= 2 � o � O � m a a S70 Z �� N z °— z -� C7 O S ? a � � z < :' N 3 O v� r 2 � v � m m � � f'1 m S H � � O 2 J � � m T � � G1 \ m !a D � O z , D � Z C7 �"f � 0 T T .� d m -c P' M M � 0 K � v a � � 4 d a G a M � r r � �o r CHIMtJEY AND STACK VERIFICATION The undersigned hereby verifies that the exis ting chimney or s tack; 1. Has been carefully examined Yes (,) 2. Is free from rust or deteri�oration Yes () 3. Has no foreign objects lodged within Yes () 4. Is securely supported Yes () 5. Meets all current Code requirements for size and total BTU connected 6. Has Total hea ti ng BTU' s of All other BTU's TOTAL Rema rk s Com pa ny Signed By Da te No ( ) No ( ) No ( ) No ( ) Yes ( ) No ( ) SUBJECT • City of Fridley 2 0 715 AT THE TOP OF THE TWINS g U I L D I N G P E R M I T r � � ECEIPT NO. � • COMMUNITY DEVELOPMENT DIV. � ^�� , �4 ___._', 7 r � � PROTECTIVE INSPECTION SEC. � _ � � /'�'1 � CITY HALL FRIDLE� 55432 NUMBER REV. DATE PAGE OF APPHOVEO BY �""'� � �'� 612-571-3450 910-F15 2/12/91 / / JOB ADDRESS �301 Concerto CuYVe N.E. t IEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED oesca. 9 2 Melody Ma,nor 2nd Addition SHEET 2 PHOPEFiTY OWNER MAIL ADDRESS 21P PHONE Ron Killian 7301 Concerto Curve N,E. 780-8853 3 CONTRACTOR MAIL ADDRESS Z�P PHONE LICENSE NO. same 4 AFCHITECT OR OESIGNER MAIL ADORESS ZIP PMONE LICENSE NO. 5 ENGINEER MAILADDRESS 2�P PNONE LICENSENO 8 USE OF BUILDING Residential 7 CLASS OF WORK O NEW ❑ ADDITION � ALTERATION ❑ REPAIR ❑ MOVE O HEMOVE 8 DESCRIBE WORK Finish one room in basement 9 CHANGEQFUSEFROM TO STIPULATIONS �royide com,Y�ustion a�..r ��r �urnace, Pa:o�ide power vent in finish.ed space. SEPARATE PER!�ITS REQ�JIR�D F0� t�,,�o�.r, I-l�,�^,�'i��, �L��6ifVG �iPeD �IG�lS. TYPE OF CONST. OCCUPANCY GROUP OCCUPANCV LOAD SEPARATE PERMITS ARE REQUINED FOR ELECTRICAL, PLUMBING, HEATING, VENTILATING OR AIR CONDITIONING. TH1S PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING SO. FT. CU. FT. AUTHORIZEO IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OH ABANDONED FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COMMENCED. NO. OWLG. 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 VAI.UATION SUF;TAX AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED $5Q(� tiS` e rjO W1TH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITV TO VIOLATE OR CANCEL THE pERM1T FEE SAC CHARGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- $1 .rJ, OOp Fire SC $, 5Q $TRUCTION OR THE PERFORMANCE OF CONSTRUCTION. PLAN CHECK FEE TOTAL FE/E� $1V e�� SI URE OF C N'�R O A M I D AGENT IDATEi _—� EN PR PE LY A I� D TMIS IS YOUF PERMIT'y J /'° I�� I � 1 E.� SiGNATUREOFOWNER�iFOWNERBUIL0ER1 IDA EI BLDG �NSP rll.TE �ia � ..: �+- �•�a R-1 AND 1�2 Huildirig Permit Applicatia� oonst�wct3ca�► Address: ��'�� 9�� '� @�� , /�d� �• Effective 1/1/91 I,�gal Descr'iP'tiaa�: orai�ex xa�e & �-:-�. �: �� '�' � Tel. # �� m �'c`� �° �, Qoaztrac�to,r. � � � Tel . # l�d.re�.s: _ ��Asl�" �g s��0� Attach to thi.s applicatiaa�, a Cerkificate of S�vey of the lvt, with tive piroposed �ioai drawn aai it to scale. ., � L1YIIaG ARF.�i: ?es�gth Width Heic�t Sq. F't. � Q�RAGE ARF�i: IP1'�1 Width iieight Sq. Ft. D�CK ARF.�i: Iet�gth Width iigt/Gro�md Sq. Ft. a�: t�e�a �� .�� .,� ��;��r�..:�' �� Cornes I�t [] Insi�e Ir.�t� Ft. Yd Setback Side Yard Setbacks z�pe of co�nstructian: �� Estimatea cost: S 5� s� � Approx. �letion Date: Proposed Driveway Width If New Opening Is Desir+�d: Ft. $ $ + 6' See Back,Page n�: �I� �r�c.�ar: �� z�ei. # �Ca --��"J �tF� $ IS,Ov Fire SurdlaYge $ q � State SumhaYge $ , � � SAC (�arge $ Drive�ay Escr�w $ Park Fee $ Sewer Main Q�atige $ . v �` , c,r�r veE a��r Fee Sc�,edule a� Reverse Side .00l x P�utt valuatian (1/loth �) $.5o/Si,000 valuatio� $650 per SAC Unit Alt. °A° CY' Alt. �B�� AbOVe Fee Detezmined by �; *+�r; r� � N�rY [ J � N��iY [ ] S"I'IPCTI�TICI�LS: . ° +� C�' (JC. �� g�� `� �C�Oc�o +��., ��1.�`a�V`� �� . u � o�� I � "' - � ��u � S � ��"�'� � i ; :�� c {:�;�Y�y :y:�� : w:i:��_�1 : Zhe Chief Huildirig Official shall, before issui� peYmits for the erectioaz of ariy �,; i dirig or etn�n�e, ar for atzy additian to any e�dstinq buildir�g or structure, or for ariy altetatiaaz cr repaix' to anY ��4 �d�4 �' �. � aPPlication therefore, rec�, i*�+P the payme� by the applicarrt for su+c2i permit of fees to the �t herein be1Cw set forth aT1d iiz t�Le �ar�rwr �iri providecl to-wit: �II�,L �TAIDE $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 M �+�+�-� $15 (Minimnn Fee is $15 plus �aYge) $15 for fixst $500 plus $2 for e+ac�i additional $100 or fractiaa� th,ereof, to ar�d includit�g $2, 000 $45 for first $2,000 plus $9 for each additional $1,000 ar' frdctiaai thereof, to aTid inCluding $25, 000 $252 for fiYSt $25,000 plus $6.50 for each additional $1,000 or fraCtiCai th�reof, to al�d includirig $50, 000 $414.50 for first $50,000 plus $4.50 for eac� additional $l, 000 oZ' $dCtiC�1 tim�eof, to and iricluding $100, 000 $639.50 for fixst $100,000 plus $3.50 for each additional $1, 000 ar' frdGtiCa� t2�reof, to arrl inCluding $500, 000 $500,001 to $1,000,000 $2039.50 for the first $500,000 plus $3 for each additional $1, 000 or fractia�n th�reof, to arid ir�cluding $1, 000, 000 $1,000,001 ar�d up $3539.50 for the fi.rst $1,000,000 plus $2 for each additional $1, 000 or fsaCtiaa'i t�ereof D�2IVE�lY �P�BI�T ffiCI�W (C�rete Curb Streets A�lY) Alternate nAn : Removal ar�d replaomr�nt of c�rb arxi gutter only - Driveway width plus 6 feet times $13.50. Alternate "B" : Remaval ar�d repla�ent of ca�b ar�d gutter ar�d install a 3 foot wide ap�oach with 6 irxii depth - D�iveway width plus 6 feet times $15.75. 1'/�; �� ': M •:� •l' ��_�l�n : k ��I Piermits for �t.iaai will be issued a m;ni,�.nn of 24 haus fi� the time of applicatiaai to allvw far� prcper review of the pra�ased stru+c4ire arid of the oomstruructia� site. A Certificate of S�vey of the lvt, shcwir�g the locatic�► of tl�e faux7ation onoe it has it has be�n ooa�stYUCt.ed will be required before pYOOeedirig with the fzaming. x y � M �r � y � o � � _ � � � z � 2 � � o � L'�1 M Q � N � W M� '�p O It � O G � � r1 M A 70 N O ti ,� v N b T� n r r 0� w y rt 6 M � � n tn �e y � � 2 b ? N r r . � `7 �O r7 H n � H N N � N o \ � o � ro3 c� N � �� tn I*! • m � O '*7 r3 � HI �: � c t�- :a c � ti n� �� r � ro [7 � H M N N r N 0 O � Q� �ii �ii = � �i �: �i ii � � 0 �i C m O O b 0� Or O r F� m �+ E � f1 • r f� R R � M• R� fd O' � x rC�7 � M M M\�1� ? M hp � � N�C 7 S S H O m(0 �� w C� O IC �0 la O M Q fr Oi M M� R .� E M IC O O 1p fp IE �o �►� G �.,, h ►ol r�'1 w W C" �� p.� � �t � -� � � ��,o� �h x � � � m n d � �o a K �° M W fD 'G 9 ,,,� f� r 7s' �.. t� � M a x y r► C f� tIry ' ' �y M � a �° m .. N <"f � _ I � I I I I I I I I I � o m I I I V/ � N N f/1 N N N N N N N N N z «• F• f• �. a N� � O O O .1 O .1 �t .I J V� ► �1 ,j O O O O O O O O O O O O O � O O O O O O O O O O O O O o u � n e a a� ¢ e�� H H V/ N N N N N N N N H N y . y � +��/ 9 ►M+ O q � � r� ., � b o • . x � b t� � � � � H � � � v� v f � �• � °� 7 � � � • ip 4 � ° ''' '� r Stories � . : �e � a n °�° / � � � Closets m �y ur�nals � � � 8ath 11ibs �3 ` R easins O a � Sinks � � � Itash Trays � a Drinking �o Fountains Showers � .�, Floor Drai Gtch � Basins Autanatic � Washer � Gas Appl. Misc. Fixt �C Gas Range' � � Other m �� r tp ti M ° �' � � :: � � � �' o � M S � ' � � o � � M y � , � C «+ Cz'f � R1 � pf � � � a z � � O d � a, � � H O .� � v \ - �a�� tyoc n � r• 6 C � � r � «.►-c a ��aa o5� m�m� �° � �o �. N H K v� � A M w 1'D ,1 'O M � ,°o a W �D O� f� O fY � f� � 0 � P w � �a aa' � m � o � �;�x < Y � . N E � O 0 Oi M 7C 'O tiJ O� f"D C r� r ~ a w � W r .� .. n ��o � 5 ... 7 N n 7 ~ v " .w 3 r G 7(G1 ti Z N �°'oa �' ". ~: 9 p, s •C n h m � � b n Q � e � p � � r O s n n o lz*1 ti r S M A ti A A . \� m o � e� nns r 6 m K �t �� n � � � :% o 0 � r a � n � � � R 0 Q � � � N \ � � � r A � �i O Z � 0 � "C E" � s � 00 � O T a z p T 7C G'> � D C7 N r �TI T � � -"'�.. z � � m � n M r 1: R "c� � c � R n � G G d •s � r r � e r n * �a � n � o �' � Q- � � y O N � O y � o � 3 � a� o � �a � � v a o � �� N � m �� a � 0 c .. � � D r O nc -� Zn --� � �� z r" ao n� m -�i n � < m � � C7 -D-I O z O Z � m z � � n � Z � m m � 0 c 0 � � \\ � 0 c � � i � v � m � � � v � � � tG � a \ � -o ,� �� - w� � o� �°� z 0 � j � o ,� " °• m <� c � m � � C � �a � 0 � 0 O � � D � r m �a—�----- m � m m ...L � �O 0 �. 3 m -, � � � � 0. A� � y � p° � m �' � o ? �� R r � Z D c� 3 1 a n 0 � o. � O � m a � � � r�v_.+�>..uvwr �.arua.iura wq�HtadXP�71gUd1iyi,;l,W.ussa.:�uu.atyl24. YI N v m 1 LJ f�A � � m � YJ y � 'v_ � � Z � � �. a � � � c m m .� a�� 0 3 a �°- � � � N �3 m m � � a 17 � m �' � o � m c 3 m � � � � � � 0 0 0 0 o ap m °o 0 0° °o °o m � � � � � � � � O D � r _ � Z G) � o� �� o �a a J G � p � �= N �� a � i' � n� � �a . �. d � � C � � O Cj � Cp.' m � °-.. -I ' z = a � � m �� m Z , c � ' � � y � O Z _ _ � � � O � m � -n m C \ / � � � n � � m � � �Z m � � � � o � m � � � Q�Z� � v ao •° o 00 � ,.., C � Z � � � � � D 0 � _i a --� m v n � � � m 7D � � Z O �I � � � C v Z � c � m v O " 'L�' �? ? "-� G � .�i � � m m ��'o�� n.»mNn �m�-$m � m � � c � � c � a � ? n��m '� .."'i � `� � ?� y m o � � c °. m 0 �Q�� o � � �� oa �� , Q o y � � � -� � � � O � Q�� 3m "' c p' p=� .+� � � � 0 = � � � � c� g 'r►s' � � � � - m t�n � O m � � co � � m ci s � � V�d`r� Nn�� ai � C O ��<-� Z m � � y � � r N m � Z Z m� � n -� O Z v m� c � r �� -Di z zp a� z� vo Dm �� C� .� O� z v �N o� zZ zo � � _ � � p � Z m �� z� v � vmz � < < nm � Z -� � -�I Z � m m � � � � c � � m cfl j Q e c CHI1�iEY AND BTACK VSRIFICATION The undersigned hereby verifies that the existing chimney or stack: 1. Has been carefully examined Yes�� No () 2. Is free from rust or deterioration Yes � No () 3. Has no foreign objects lodged within Yes � No () 4. Is securely supported Yes � No () 5. Meets a�.i c�rent Cocie requiremernts £or size and total BTtT's conne ted Yes � No () � ��1 6. Has total heating BT[J's of I Al1 other BTIT � s / TOTAL BTU's O - Remarks List Alterations Beinq Done: � � � 0 HEATING COMPANY y�� j �� f' ��`�� .�chmnncl 9y �cns t��c., ��, ..� S1CJfled Bj� � G�Iclen Valfe}� � R, F.ir Cti. C 1t,-.. -F` � r r ',,��TO'S.7"•��J �l%�� Date i I' C.rystal, P"�tv 5542'7 �1iA��G= �i�f;U sue�ecr PE -'�. City of Fridley _ � �� 9 ' AT THE TOP OF THE TWINS g U I L D I N G P E R M I T r� � � RECEIPT NO. � • COMMUNITY DEVELOPMENT OIV. ' ; L �"�� , �� r � � PROTECTIVE INSPECTION SEC. � � 1 � �'��1 � CITY HALL FRIDLEv SSO32 NUMBER AEV DATE PAGE OF APPROVED BV ��""'�" �'� 612-571-3450 9�aF�5 10/28/94 / / 10B ADDRESS �301 Concerto Curve NE 1 LEGAL �OT NO. BLOCK TRACT OR ADDITION SEE ATTACHED oesca. 9 2 Melody Manor 2nd Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Ron Rillian 7301 COncerto Curve NE 3 CON7RACTOR MAI� ADDRESS Z�P PHONE LICENSE NO Westphal Roofing 8232 Greenwood Dr, Mounds View MN 786-7000 3937 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAILADDFiESS ZIP pHONE LICENSENO 6 USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW ❑ ADDITION O ALTERATION C� REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Rer.00f House & Garage (23 Sq) Tear-off 9 CHANGE OF USE FROM TO STIPULATIONS Underlayment must comply with the State Building Code. TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD SEPARATE PERMITS ARE REOUIRED FOR ELECTRICAL, PLUMBING, HEATING, VENTIIATING OR AIR CONDITIONING. THIS PEFMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING SQ. FT. CU. FT. AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OFi 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 CERTIFV THAT I HAVE READ AND EXAMINED THIS APPLICATION ], STALLS GARAGES AND KNOW THE SAME TO BE TRUE AND CORHECT. ALl PROVISIONS OF LAWS yp�UATION SUfiTAX AND ORDINANCES GOVERNING THIS TVPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT �1�%ZS �.BC DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE pEfiMIT FEE SAC CHARGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- STRUCTION OR THE PERFORMANCE OF CONSTRUCTI N. ��FI..00 Fire SC �1.%3 PLAN CHECK FEE TOTAL FEE License SC $S.00 $48.59 SG n ua C - a OAOHAUTM z o GENr IDATE� WNEN PAOPERLY LIDATED THIS IS VOUR PERMIT q �s')r Z� i � l0 SiGNATURE OF OWNEF7 ��F OWNER BUILDEAI IDATEI BLD �NSP DFTE r � `• _ NEW ADDN ALTER [a [l [J CITY OF FRIDLEY SINGLE FAMILY AND DUPLEXES R-1 AND R-2 Building Permit Application Effe�dve 1/1/94 1 I v► � 1 � ` 1 � :.1, � Ir I ' � ' 1 _ � :, , � , , � �'�J.�Jl�T.I.��.1t�'i�, � - , _ �� i• ,n-.� ��i:,. ��. - . �i�, � � L : L ( / � � � �. . .�. - ,� � � � i 1' .r . . s � � LIVING AREA: GARAGE AREA: DECK AREA; OTHER: Atta.ch to this application, a Certificate of Survey of the lot, with the prc�pased coastcucti� drawn on it to scale. DESCRIPTION OF IIVIPROVEMENT �� — �� — �� Width Height Sq. Ft. Width Height Sq. Ft. Width HgtlGround Sq. Ft. �� .- �f�.� s � � � � �� e �� , !��%,��,��r�� Corner Lot [] Tnside Lot [] Ft. Yd Setback Sick Yard S�tbacks 'l�rpe of Con�txvctian: Est�at�ed Co�t: $��.� %�, _Approx. Completion Date: (Cost oa �3ack j = z� . Driveway Curb Cnt Wiclth Needed: Ft. + 6 Ft = Ft x$ _$ DA1'E: 1� � o"� � APPLICANT: � w.e� �� hi � j Tel. # ��% °- %Da � Permit Fee Fire Surcharge State Surcharge SAC Charge License Sarcharge Driveway Escrow Erosion Controt Park Fee Sewer Main Charge TOTAL STIPULATIONS: ��: -`t-- � !- - $ �, 0�� Fee Schedule on Reverse Side $ / � 7.� ..001 of Permit Valuation (111{hh%) $ � � �D $.50/$1,000 �aluation $ $800 per SAC Unit $ � � �G� $5.� {State Licensed R�dentiai Contiactors) $ Alt. "A° or Alt "B" A�ve $ $ $ � �� $450.00 Conservation Ptan Revie�v Fee Determin� by E�gineering Agreement N�y [ l Not Necess�y I l _.�r I3U[LD[NG PERMiT FEE SCHEDUGE 1'hc CUicf [3uilding Officia! shall, t�efore issuing �ennits for the erection of any building or structure, or for any addition to any existing huitding or structure, or for any alteraiion or repair to any existing building or structure, upon a�lication thercfore, require the �ayment by thc applicant for such permit of fces to the amount hercin below set� forth and in the manaer herein �covided to-wit: TOTAL VALUC $ ! to $500 $SOl to $2,000 $2,001 to $?.5,000 $25;001 to $50,000 $50,4Q1 to $100,000 $100,001 to $SOO,OQO FGES $15 (Minimum Fee is $15 pius surcharge) �15 for fust $500 pius $2 for each additional $100 or fraction thereof, to and including $2,000 � .$45 for ficst $2,OQ0 plus $9 for �each additionai $1;000 . or fi�iction thexeof, to aad iIIClu�ding $25,000 � . $252 �for C�rst $25,00p plas $6_SO far each addi6onal $1;OOQ or fradion dieareof, to. aad inclnding $50,000 -- $414.50 for first $S0,(i00 plus $4S0 fa� each additional $1,U00 or fracxion thereof, Co .and iaduding $100,000 -$639.50 for �st -$100,aQ0 p1us� $3.50 for each acidifional- - $i,000 or . �radion �eo� ta aad induding $SQO,UQO �. . - �soo,001 to ,$I,000,�o ,.:; ., �9so.;�r;:.�e: s�_ssoo,000 �t� � �o� � :$aamo�t $1,000 or : fradion th�eof, to and iaciudiag $1,000,000 $1,000,001 and up __ . .$353950 -for t#�e first $I,OQ(?,000 plus $2 for each additional $1,OOU or fradioa t�exeof - _ .. �__- , DRIVEWAY ' DEPRESSION ESCROW {Coaccete G�ifi ` Stireets Only) Alternate "A": Removal and replacement of curb and �gut� only - Driveway width plus 6 feet times � $13 _SO_ .� 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 $1S_75_ VERiFICATiON OF FO(JNDAT[ON Permits For constiuction will be issued a muumum of 24 hours from the time of application to a([ow for proper review of the proposed structure and of the construction site_ , � A Certi6cate of Survey of the lot, showing the location of the founciation once it h�s it has been constructcxi will be reyuireci before proceeding with lhe Craming. �.-� . _ sue�ecr " 1�N0. c�ty of Fridley 25 94 5 AT THE TOP OF THE TWINS g U I L D I N G P E R M I T � ; � RECEIPT NO. � 1 y_____ COMMUNITY DEVELOPMENT DIV. r � � PROTECTIVE INSPECTION SEC. �� i � . , � _ �"'1 � CITY HALL FRIDLEv $$432 NUMBER REV DATE PAGE OF AVPROVED BY �""�� ,'� 612-571-34b0 9t0-F15 4/17/98 / / JOB ADDRESS 7301 Concerto Curve NE t LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACNED DESCF. 9 2 Melody Ma.nor 2nd SNEET 2 PROPERTY OWNER MAIL AODRESS ZIP PHONE Ron/Rerri Rillian 7301 Concerto Curve NE 780-8853 3 CONTRACTOR MAIL ADDRESS 21P PHONE LICENSE NO. Moe-Osum Construction Co 12800 Country View Ln, Burnsville, MN 55337 4 ARCHITECT OR DESIGNER MAIL ADORESS 21P PHONE LICENSE NO. 871-6682 20063787 6 ENGINEER MAIL ADDRESS ZIP PHONE IICENSE NO. 8 USE OF BUILDING Residential 7 CLASS OF WORK O NEW O ADDITION ❑ ALTERATION �] REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WOHK Fire repair in kitchen 9 CHAN(iE OF USE FROM TO STIPULATIONS Install smoke detectors in all sleeping rooms and on all levels of dwelling per Secti�m 310.9.1.4, 1994 UBC. SEPARATE PERMITS ARE REOUIRED FOR ELECTRICAL. PLUMBING, HEATING, �PE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD VENTILATING OR AIR CONDITIONING. THIS PERMIT BECOMES NULL AND VOID If WOFiK OF CONSTRUCTION ZONING SQ. fT. CU. FT. AUTHORI2ED IS NOT COMMENCED WITHIN 8D DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR 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 1 STALLS GARAGES AND KNOW THE SAME TO BE TRUE ANp CORHEC7. ALL PROVISIONS OF �AWS VAI.UATION SURTAX AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT �3a2OO �1.60 DOES NOT PRESUME TO G E AUTHORITV TO VIOLATE Of; CANCEL THE pERMIT FEE SAC CHARGE PROVISIONS OF ANY OT STAT OR LOCAL LAW REGULATING CON- �87 � 2S Fire SC �3. LO STRUCTION OR THE PE MANC F CONSTRUCTION. PLAN CHECK FEE TOTAL FEE � '1�° . � License SC $5.00 $97.05 SIGNAiUAEOFCONiRA TQqORAUTFIORIZEDAGENT IDATEI WHEN PROPERIY LIDATED TNIS IS VOUR PERMIT - ' ��/�� SiGNATUREOFOWNER�iiOWNERBUILDEiii IOATEi BLDG NSp � �TE � �1�:�V [ ] Effective 1/1/98 ADDN [ ] CITY OF FRIDLEY / s�I,TER �jC ] SINGLE FAMII.Y AND DUPLEXES R-1 AND R-2 �,�`� � BUII.DING PERMIT APPLICATION �,� �� (:onstructionAddress: - - �� ` C� ��✓%�� / v L %�� `� Legal Description: Owner Name & Address: �+_� �'E,Q,�/ �/��;�?� Tel. # %�CS � �� Contractor: �� /��'�� r o�s��c Ti�� (� 0, MN LICENSE # a D� 6 37�7 E1�dress• %��'DO �0�/l'l�/ ��'f f/ l.�DU� Tel. # . �.IVING AREA: �ARAGE AREA: Attach to this application, a Certificate of Survey of the lot, with the proposed constnaction drawn on it to scale. DESCRIPTION OF IlVIPROVEMENT Length Width Height Sq. Ft. Ixngth - Width � Height . Sq. Ft. DECK AREA: I.ength Width HgilGround Sq. Ft. o�R: �/ �� ,�¢r D fi� . �T�i�=� S�o.C�� •�d�"i'�/�'1 ��-�" Construction Type: �`�S(' ��il�T�L Estimated Cost: $ ,��UUZ� (Fee Schedule on Back) Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x$ _$ DATE: �—�b ` APPLICANT: � �1� Tel. � � �! '— �,6�z CITY USE ONLY Permit Fee $ �� Fee Schedule on Reverse Side �ire Surcharge $ �20 .001 of Permit Valuation (1/lOth%) State Surcharge $ �, G,D $.50/$1,000 Valuation 5AC Charge $..�� $1000 per SAC Unit �.icense Surcharge $� j�j $5.00 (State Licensed Residential Contractors) Driveway Escrow $ Alt. "A" or Alt. "B" Above �rosion Control �ark Fee �ewer Main Charge TOTAL �TIP ONS: � �� $ $ $ $450.00 Conservation Plan Review Fee Determined by Engineering Agreement Necessary [] Not Necessary [ J � ' �;�j) � f---� $ / �, �. .�- �'�10/l�.c ��"�"�� /.r< � �� - �.� .��-- �y�� .. � _ _ . �� LE�"�/�l�— � �', �3/a•`. �, � .$ 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 baa�iding 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 $5� $501 to $2,000 $2,001 to $25,000 $25,001 to $50,000 $50,001 to $100,OQ0 $100,001 to $5�,000 $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 oi 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 tir fraction thereof, to and including $100,000 $887.25 for first $100,000 plus $5.00 for each addirional $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) Alternate "A": Removal and replacement of curb and gutter only - Driveway 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. � 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. � Building Inspections 763-572-3604 763-502-4977 FAX �ii� srrE AnnxESS /�U/ 1TIIS APPLICANT IS: PROPERTY OWNER/ TENANT CONTI7AC°I�OR SUBNIIT A COPY OF YOUR STAT'E LICENSE PROPERTY TYPE PERMIT TYpE BUILDING RESIDENTIAL APPLICATION CITY OF FRIDLEY � YOUR E-MAIL ADDRESS t.k.►,� Y�I `'c. • ■ •� �� .«� �. , �- i%._� �i�ii �••• �./� • �• � � ; �� i' �%/�.iv�w.. l� .��.. � .; ,� «) , ' � ��' , , srn� �tcExsE # _ / 7� 8'SINaLE FAMII.Y N � TWO FAMII,Y/NEW CONSTRUCITON o sns�rrr r-nvrsx .PJxooF ❑ DECK O SIDII�T(� TYPE OF WORK: � ❑ DESCRIBE WORK BEINQ DONE: � SIZS OF Il�ROVEA�NT �� N�U�MB� OF SQUARFS �_ G��S PROPOSEIJ� SIZE: PROPOSED i�I(3HT: SIDING ❑ Vinyl � Aluminum O Other CONSTRUCTION O ADDTITON ��„ . , O REMODEL; ❑ I�OUSB ONLY �iOUSE 6t GARAC3E ❑ ATTACIiL�D (}ARApE O DETACI� CiARACiE �Soffit ❑ Trim 0 Fascia �a� �y Permit No.: Received By� Date R�t�: U � � cr�'�/ a �� 11�9� sTn'r�'yi�? z�SSd / FAX PJ� DATE ' � o'S-D l D WIIVDOW3-- --- — W E7QSTINQ OPENINQS OYes ONo LOCAITON OF WINDOWS OR FOR NEW OPENIIV(iS-DESCRIDE SIZE OF OPEMNCi CHAN(3ES bt TYPE OF. WIIIDOW TO BE IIJSTALLED NUMBER OF WII�IDOW3 . ALL FEES ARE BASED ON VALUATION,INQ,IIDING THE COST OF �[73Il�TG'1� 1997IIBC FEE 3CSEDUI,E) TOTAL JOB VALUATION � S� %7 0C� .°° ,,,,,.. Plan Review Fire Surcharge Siucharge License Surcharge SAC Charge Curb Gtit �Escrow Erosion Control Park Fee Sewer Main Charge Total Due ■ �' I 1 J ■ . i:�• BASEME;NT REMODELINQ UB� 1. Faiatmg Floor Plaa . 2. Proposad fl�r plaa 3. Liat of etrucdual aiem}�rs to be u�d FOR NEW CANSTRUCI'ION INCLUDINC} DECKS, ADDTfIONS_ & PORC�RRg �g�• 1. Site Plan/Swvey ahowing the exisHng etructwes and propoaed proje�ct -- 2._ _ Two sets of ooaetcucNon nlana 3. Energy Caiculations . _ TYPE � "f �'1 �� See Back Page for Fee Schedule $ ' 65% of Bw7ding Pemrit Fee $ .001 times the total job valuation $ .OU05 x Permit Valuation M'mir�nm $,50 $ �$�.00 (State Licensed Residential Conlractors) �$ $1825 per SAC Unit (Plans to MWCC for deternrination) $ ft+6ft= ftx$21=$ $ $450 Conservation Plaa Review $ Fee Determined by Engineering . $ Agreement necessa3y ( ) Non Necessary ( ) • $ I , Make checks r,ayableto• City of Fridley • Attach 1�IIS IS AN APPLICAITON FOR A PERMIT NOT VALID UNTII, pROCESSED I hereby apply for a build'mg permit end I aclmoy,dedge that the mfc of the City of Frtdley and with die �j�ia Conahucdtoa Codes; permie on aioe; Wat the work w�71 be II��CwrdAnce_wiih die aaorovea SIGNATURE OF ion above is complete and acc�ate; that the work will be in oonformance with the ord�ances and codes I�de�stand this ie not a permit but only an applic�tioa for a permit and work ia not to start widyout a 4 m tha t�se of all work which req�ires�' ew�`d °f` �of plana. % � PRINTNAME_ �J(.t-Cd L1 ��%� u�1�j DATE ��g/D i APPROVED BY v v DATE