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AF - 38016� � �� City of Fridley, Minn.. BUILDING PERMIT Date: _ April �,0, 1967 �r: B.ay Kohler AdBr�ss B��, Clemron Inc . �_ Address 701 Columnbia Blvd. �o LOCATION OF BUILDING No. �439 s�t Concerto Curve � p� of Lot Lot 5 �__ Block 3 Addition or Sub-Division .�_ �lody Manors 3rd x Coraer Lot � Insfde Lot ___. Setback 36 ��_ Sideyard 10 �& 5 m Sewer Eievation 884.23 _ 887 .23 ToU of Fnnting DESCRIPTION OF BUILDING � ����� 9184 To t� v�a as: Dwelling , �•ront 44' �p� 25' Height $� Sq. Ft, 1100 � r.t, Attached Garage �nt 20 � Depth 24 � i-�eight _.._ gq, �, 480 �� � op ����� Frame �� �$25, 000.00 _ To be Completed October 1967 SEWER LOC�TION 38' East of Ma.nhole WATER LOCATION 51' East of Ma.nhole Ea cansideratlon of the issuance to me of a permit to co building descrl a e, I agree to do the proposed work in accordance with the description above fo and ffi co p ce all provisions oP or8inancea oP the dty of Fr1[dley. �. �� / NSSSD $100.00 In conafderaiion of the payaient of a fee of $ 28' �� , permit 9s hereby granted to �lemron, Inc . to construct the buflding or addition as described above. This �rmit is granted upon the express condition that theperson to whom 3t is granted and hia agents, employees and workmen, ffi all work. done in, around and upon said building, or anypart thereof, shall conform in all reapects to the ordinances of Fridley, Minnesota regardiug location, construct��on, alteration, maintenance, repair and moving of bufl�ng� within the dty ]im�its and this permit may be revoked at a�y tlme upan violation of aay of the proviaions of sa�d ordinancea G'LARENCE BELISLE B�� �r NOTICE: Thb penait d� eoi eover ths eonstrnetioe, IesHllallee hr rrtrlea, plumbteg, ea 6saHn�, sew�r er watsr. B� mn to a� tiro BuiWioe Inspeetor for aparat� �rm� Po� �hess It�mi. APPLICAI'ION FOR BVILDING PERI�IIT CITY OF FRIDLEif, MINNESOTA v/ ,���� � ` OWNER' S NAME � �,_ .�� BOILDER .��'',�'.:.�!!'?��!� i � 9 ADDRESS , ADDRESS � '` � , � `� 3 % � LOCA7,'ION OF BOII.D.ING ATO. �°��,, %��� STREET ,!��,�-�T� ,_-!� .+� PART OF LOT T,1oT_ . � BLOGR � � ADDIT�ON nR CORNLR LOT INSIDE LO'� �BTBACK _,� .�- � SIDE-YAitD �,/�" /� � �� � ' SEWER ELEVATION � FOUNDATION ELEVATIOft /� /� Applica�i�" a�ac,h�G th� ron ��ert3ficaCes of Survey of Lot and prapoaed buildin locatio drawn on these Certificates. • �� � � �. .,. ` �� � � �' D�SCRIPTIOft OF BUILDIIQG To be uaed as; �,/ ���/�i� � / i , i�� �h s Front l�/-O DepCh. ,,.�.�,5 =0 Height g'-p , Tppe of Construceion To be compteted Sq. Ft. �/„/,/,.J � Cu. Ft. ; i � Front „�Q �r Depth 6 �" � Height Sq. Ft. �,�',(� Cu. Ft. timated Cost ,�, � a 1/ rr6./e // " 7,'he undersigned hereby makes application for a germit for the work herein specified, agreeing to do all work in strict accordance with the City of Fridley Ordinances and.ru}.ings of the Department of Bui,ldinga,. and hereby declares that all tlie facts and representations atated in this app7.ication are true and correct. DATE � � % S (Schedule of Fee Costs can be found on the Reverse Side). l�'� _ ` . ._ � ,.��_ ��y== - �.: _ . .� � � �� �"' ; � �t; t� r �. � `) ti a� � � � n � BIIILDING PERMTT FEE SG'HEDtJLE SECTION 2. The Inapector of Buildin�s �ha11, before issuing any permit for the erection of any building or structt�re, or for any addition to any existing building or etructure, or for any alterationa or repaira�to any enisting building or etructure, upon tipplication therefpre, require the payment by the applicant.for_such p�rmit� of fees to ths.amrntnt herein below set forth and in the manner herein provided to-wit; 2.1. For any such per-mit for the erection of any fire•proof building, othei Chan a garage, warehouse, factory or grain elevator, or for the erection of any fire-proof_addition, for sim3lar occupancy, to any existing building, ahall�be at tha rate o� $1.40 #or each one thousand cubic feet, or fraction thereof, in such cubical contents. 2.2 For any such permit for the erection of auy f3re-proof garage, raarehouse, factory or grain elevstor; or for the erection of any fire•proof addition, for �imilar occupancp, to��any,.}e$iating buildiag shall be at the rate of-$1.25 for each one Ehousand cubic ieet, clasaified ae "fireproof" by Section 502 of the Minneapol�s Buildiag.Code. , HOIISES 2.3. For any such permit for the erection_of any non-fireproof buildin$, other than a garage, warehouse, factory or grain elevator, or any non-fireproof addition, for similar occupancy, to aay esisting bui�.ding - permit $1.00 for each one thousand cubic feet. GARAGES -- � � �� 2.4. For any such permft for the erection of aay non-fireproof garage, warehouse, factory or graia elevator, or for t�e erection of any noa-fire-proof addition, for simflar occupancy, to any egis'ting buiiding or for each such building or addition - niaety centa ($0.90) for each one thous.and cubic feet or fract3on thereof,-in the cubical contents thereof with the minimum of $4.00. For �he pu�pose of computing fees for buildiag�pernlits, the cubical contents of any building or addition to a uniform height throughout by.multiplying the grouad area covered fram a��point six-(6) incl�es below the floor line of the basement or cellar to the average.h�3ght of tha upper aurface or to the average height of the roof suzface of the main gable of a pitched roof.. 2.5. For rep.airs or alterations to an existing strucCure, the fe� shall be at the rate of $3.00 per each Five $nndred Dollars ($500.00) ox frac�3�n thereof in the cost of all proposed work.. 2.6. In no case shall the fee charged for any permit as aet forth in Section 2 be less than $4.00. STORM REPAIR DAMAGE FEES: Residential: Co�ercial; Estimated Cost of work up to ��rn,�� -$S,�J Estimated Coat of wor�.�•.�� ;:�•, .....�.:;� � Y,;. ,�-0 Estimated�st Of �'i��•;+. Y1.;• �r ";!,•'"'�%oi''� � 7�4c� Estimated ,et ox �;u�� orer �:.�+:i:oi1�1 - y�t).,,� , . . � - � ^� , .--" .,:._- -. _e�._ _ _ .- _ -g� . - ' ; _�� ltvi ��� - _ _ — � � _-, _ , -: _ _ _ . _ ._. . �����.� �±����c;_ ��• _ _ �ii.� ���.`+�.�. �V�� N.- �r• " - i�ian�t�p�pi`��, ����e y ��t= ���s - - = _ � � �+��� ���: �.�f�i�;�tt���� �� �,�i��`�a� � �� aQ � � _ �►P����:-�� �+��t�ta e�tti��. � �e ��=`"74�$:"�+0��� G� _ - �.8 ���� � �` ��e�.�� l���� �� ���� �## ��= m�� _�� �e� a�� - ���s�+�'. �f�►��ti,� 3���iw���l� �-����Q, s�1 �� i���r ������ �� t��tt _ ��.s� �qui�� ' ��� ���g ��� �+� �l�e �i� a� �e�e���= - t � '� ��,� �r�t _ �� -no�#.��+�d � t�� �'�� . �� �t� ; i�a�e� : � �'�� ��ve ��� �cs� �3� �► �i��e �h�a� �ac�� �� eqn��� �ee� �-: ������ ��r c�� e - _ � _ _ = : � � - �i �� ��m�� �itul� �i,�► 1�"1 �p► ����s faa :� $a��re. : y _:: . � _. .. ��' �� a�� � ���e� �i� _��� i�e�s ��s r��a�� .� 'he�� L .� : � : �s�4t0 ��d ��1.� �� �. �e �i0•��} ���ts�t� �. : :° , _ . � - - - �a�'i� v�: t�af��� � � . . . : �r, . �. -= . -. _ ;� . � - : �� ���� - _ _ 8�a�e�����. _ ��tt���+�� � ,. . ;, - 4��r, � -��#1�xy ` - _ - - _ L�� - -� , - _ ��: - a � y .� i`1 i.- .� -�.� lu� P/orrnirr9 6�i3' =fl�S,ra� *r�, aE. La�d 5�,:,� M1nv�pn.�rs 32, .�,'S�s`� ENGIME�RINC� INC. ���° ��� � ���� s�h.�t ��t� . E����� — E�9ineers � Survet�ors -- � ces�ts�'i�ate o� $�,s�e �a: 1 C.ONCER� 0 90.2� �• � � . � v� s. �sno� � � m a�v�c.o��n� � Na�w CURV E � � i , � �� v . �, g . os � e � Qr S 16' _ , t_.... --_–.- — � q . o�. .._,� � OENOTES lR4N_DENOT�S ORAtNAGE AMD t)TILITY i'tASEM�t�1T LOT�B�O�K ;MELOOY MAN4R 3RD ADDITCON AN014A C NT Y / li�i�by cp3yF'y f�rof fh,s �s o lrt� and aa�rrrat �epres�at�arr o�'o surret� �'1l�e 6ar�ri�s ftr aobo�r d�brd Pae�, dnr� �/fis /cw�n q/'ol1 bvikl�s , /l�r�ran , �ati risr6le �xr�imcnf,t , ��'o y, �nrn �w nsa�d �'. As s�e�ed b�r m� � " _ d� 9` � �� ��� ��' . SllB URBAN ENG/NEF..�i/A/G . !AlC. �'�"�� �r s�-'� �- Scc►Ie:Itl�40 �y� �.�,�' r:� :�" ��<�- ��.; � °� ��G ��,,_ - -- -- � � . . �_ _ �:�c-- - ..-�=� � --,:�, . - . � , o , �. r l� � %� /1 � 7/` r� T� /� i 7�1'� . I f . � t • a land Plornin� i°"ss�.,�y�'9 ��� Cfr�l b A�p� �� � � GB73 •/I,�,o�'+� ,�cE. M�ksi?, ENGINEERING� INC. �°� �f..� , • � — En9ineers � Su�ve�/ors — cest��iczte o� s�us�re �o: �� 111 ��V�,LOP�Y1�n1' � , I�R'�N �, `ON�ERT 0 tURVE � �. e ° -�� � � ��� S� �� �� �� �� ���i dS a'�1� �� ���� �,. � � 1� � ` �p �� � ' � ��i/101� �d� � _ v� � a;S � °� �►ey e � �,E e �,,:; L �T S u _-------- �.. __ �. �_ � �ENOTES IRpN"---pENpTES ORAINAGE AND UTILt?Y EAS[MfN? LoT�,��ocrc =ME�oov MAN� 3afl Aoo�T�oH I ra�! fJ�ai r9ns �s o bw o�d aorrrr3 sarfof,ion, o sertir �+"oxw c tr �f�Ontdy �'y 9n n�rt �(' t, �'Ak br+md�►+rs !�r �is e(w•bd l�d, �d �lAvAion �('�9 ednfd+�s , fhnrn , a�d r/ rrsid►� axro�o�I�aris ,�'w/. �a�►i �r n�rd lrid. 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Fixt g vi Gas Range fl� � ft � �° K other N (�p pi r t`�o r�s °n � va, H ° �S�ro mi=� o �b � � �an� �`�w � zy ror�ww ro � ui�i � n r w G u�+ r�n � m�aw r��a m m c � f°w � �ao `0 �i 1 °'►°+��m om" M fD � "C Cf � r m �� .7' O~r � N d � m � �'�O � N W w •�'s o �e °0 �, ; y � � �x � mR � i � � �,�°nm 1 �a ��x� � �� r� aw� �~'' . :� raa m � � r ir rt � x�ny � , K � � � W b f�f M I '�O a O Pi mM�,� � � � � o��� ac1Dino n� rx M � � � � • . w �,* r 'o � �i n � re I�'1 a rn°,n ,d � � n '� '0 r � A A � � z � � � r� C � 3 - t�o --� � C T; n z ty -�-,. z � � a � �n r-- m 'ri -< �-�i � � -v m • � -- i City of Fridley AT THE TOP OF THE TWINS r � � � `L ______ COMMUNITY DEVELOPMENT DIV. r j � PROTECTIVE INSPECTION SEC. � _ �"'1 � CITY HALL FRIDLEV 55432 �'""'� � ��� 612-571-3450 L SUBJECT BU ILDING PERMIT NUMBER REV. DATE �AGE OF 910-F15 5/25/84 � � JOB ADDRESS �439 Concerto Curve N. E. 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION DESCR. �J 3 Melody Marior 3rdAddition 2 PROPERTY OWNER MAIL ADDRESS ZIP Barb Sigurdson/Janet Vaughan ?439 Concerto Curve N.E. 3 CONTRACTOR MAIL ADDRESS ZIP Statewide Exteriors 1841 E. Lake 5treet, Mpls. 721- 4 ARCHITECT OR DESIGNER MAIL ADDRESS Z�P 5 ENGINEER MAIL ADDRESS B USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW X ADDITION 8 DESCRIBE WORK Construct a 14' x 12 �. Additi,on t Reside Iiouse, Replace Winclaws 8 CHANGEOFUSEFROM S7'IPULATIONS PERMI .- O. _ ��� 510 RECEIPT NO. J�� �� APPROVED BV SEE ATTACHED SHEET 786-3536 PHONE LICENSE NO. NE LICENSE NO. ZIP PHONE LICENSE NO. ❑ ALTERATION ❑ REPAIR ❑ MOVE O REMOVE � v i�� TO Stake known lot line for side yard check. ����� �t�1�%es �p �a1, �0�a p�, Et�• ge�otQ a����n �������� - �`A� �. i ��LEeH�� ���p � ���� �EPERATE pERM►TS REp�1rRED F �'��,ATIN�, P��1+��IN�a �1N� St�G� �� w�Rf��. SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, TYPE OF CONST. VENTILATING OR AIR CONDITIONING. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS VALUATION AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT $22�QOO DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE pERM1T FEE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- �TION OR THE PERFORMANCE OF CONSTRUCTION. $�-SZ . SO � � PLAN CHECK FEE � S � $18.69 (i � SIG A UHE OF CON7 " TOR OR AUTMOR12ED AGENT IDAT 1 WHEN.PRf SIGNATURE OF OWNERUF OWNEF BUILDERI IDATEI wi nctwca OCCUPANCY GROUP � OCCUPANCY LOAD SQ. STALLS � CU. FT. OFFSTREET PARKING IGARAGES �` �. �. . � SAC CHARGE , None TOTALFEE $182.19 D THIS IS YOUR PERMIT xEw L ] ADDN. [� pLTER. [ � e City of Fridley �R-1 AHD R-2 Building Permit AppliQation Effective 4/1/8�! Constructioa Address: �4-3� ��,L��-� o C 2U � -- Legal Desaription: �...o� � �C�c��. 3 /���t��/ 1�1/� 1oCL �_� �,1DQ�t��e Owner N�e & Address:�A`�f� �IC�f�Y�Pi��1�J � �/f�E�1C::.� �AVfaly-/� ' Tel. # 7o�^�as� Cotttraetor: �<�.%� l,l� l 11�C2 C_kiGCZo1� �S � Tel. # ZZ/—�� �� Address: i� i-i C% �K-� S� ���'� ' LIOING AREA: QARAGE AREA: DECB AREA: OTHER: Corner Lot [ ] Attach to this application, a Certificate of Survey of the lot, With the proposed eonstruetion drawn on it to scale. DESCRIPTIOH OF II�1Px0YEMENT r ' Length �..� _ Width � 2-' Hei•ght � Sq. Ft. ��� Length Width � Height Sq. Ft. _ Length � x I'7 Width � K Z`� Hgt/Ground � Sq. Ft. 2-2� �CL �C�o � � USG� � � sl (.� l-� o VS T �C��C/�-C.� \,1,�11t1 �U�•t<S � � Inside Lot � Ft. Yd. Setback 3 S Side Yard Setback 1S - Type of Construction: �21� � � Approx. Completion Date: � v�-�� � a Estimated Cost: $ �� ° °� ���X 44ie�O ��� �`(�,�Q �` Alt. A Alt B Proposed Drivewaq Width If New Opening Is Desired: � �- $ ° See Back Page for Explanation ��% D� _ / /�����: ��� Tel. � �2/� �� �� DATE: � � APPLICANT: - - CITY IISE ONLY Permit Fee $ ��' `� ��°o�''�'ee Schedule on Reverse Side Plan Cheek $ s� d 25� of Building Permit Fee �r,� � State Surcharge $ ��� � � $.50/$1,000 Valuation SAC Charge $ �� $425 per SAC Unit Park Fee $ � Fee Determined bq Engineering S�er Main Charge $ �°= - , � Agreement Necessary [ ] Not Neeessary [ ] TOTAL $ A STIPULATIONS: , � � , � � � . � � BIIII.DIAG PERMIT FEE SCHBDIILE 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 alter�ation or repair to any existing building or atructure, upon applicatio n therefore, require the payment by the applieant for such permit of fees to the amount herein beloFr set forth and in the manner herein provided to-wit: Total Valuation �1.00 to �500.00 Fees $10.00 (Minimum Fee is �15.00) � i' �501.00 to �2,000.00 $10.00 for the first $500 plus $1.50 for each additional �100 or fraction thereof, to and ineluding $2,000. �2,001.00 to $25,000.00 �32•50 for the first $2,000 plus $6.00 for each additional $1,000 or fraetion thereof, to and ineluding $25,000. $25,001.00 to $50,000.00 $170.50 for the first $25,000 plus $4.50 for each additional $1,000 or fraction thereof, to and ineluding $50,000. $50,001.00 to $100,000.00 �283.00 for the first $50,000 plus $3.00 for each additional $1,000 or fraction thereoP, to and including $10p,000. $100,001.00 and up $433.00 for the first $100,000 plus $2.50 for each additional $1,000 or fraction thereof. DRIVEiiAY DEPaESSIOH ESCR�iI (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 replaeement of curb and gutter and install a 3 Poot wide approaQh with 6 inch depth - DriveWay width plus 6 Peet times $15.75 VBRIFICATION OF FOIINDATION Permits for construction Will be issued a minimum oP 24 hours from the time of application to alloW for proper review of the proposed structure and of the coastruction site. A Certificate of Survey of the lot, showing the location of the foundation onee it has been aonstrueted will be required before proceeding with the Praming. 220, a�e� ���---�,�, � �o� C� � � l�� � � t �p3 Uv . �a � � `� 2� �'Z/ `��o � �o_ � � s �� . � I , AGREEMENT ,�,� / • I, ���/-N-� ��Z� C_ �! �'-/� ., owner of the property located at %`� 3 3 ��,c�/Z� ��'� , have no objection to the City allowinq the construction of a/� iC �� Jce-,c1 %20�Gt,�. to � located at 7�� � C_'v fJC'L�2� ��v'i without the required certificate of survey that the City ordinarily requires for all new �,. construction. • � ' • 9 ��� '� Q r Signature % �� � C��� c�c7�C!ur2 �L A�c. dress�� �e � � �� J r � �-�° � �l�� � • Date L ' . itness r ' ' � � � � �� �3-�� __-----�°--. I � ; � . . ; ._ — -- ---, _-- ---_------ . _ tz..o. s_'�S'ax q-�5/s` � sz848 S�ioc--� W ius:*�a.5 � ! 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I !.� I . . � W�t �px�� u� J' � � C,�.P � g� -�� �r%A�� �T ����`��� . �R r�=�s � , s-� JI �• �.�{ D � d . �ua � � � �� j� �y y@= .. d p _� `� � � 3° `9 nt � � � �i ,� \ �` , � .- � �G Ea z� Q: � "��- �c7 �X �: � . � Qr �� � , .�.-..� . +F� �•� - � :i . . . , . . . . � . . t�Q n �f1 �"�+ ➢� ���„� �, ' s �� ,�, � � j �n � r��.��r,�� y��S�'x • e� r w �. � �' i p !"i �� SJ�t . -`�� � 1� y.r' �'` i� fl r� z s��- Q 3 N' f* N '�. ya� �� i $ �' ��� P��? �t r�Qy� � �`� ��� ��N W , u ��r 1(1 L l� �za ''���{�� �r `� °y . �'�����` � ��. �� ��.� r�� ��� 4�� r �f4f �K'^ H. . r ( � r7 Z �g�+ -1$ � idp -II ��� `� '� �� .� p �1.5�. �.{ . �x- Z . !o} � ,� � s �! ` +� ib �, fi � z X =� ' � ti.� . _ _ � '� �z• P�. . . y'�... � ��_ � � - �" � - ° � . . ,�, � �' -�c � , � L �� .�: _ _ �' e . ,: . . ._:. - . - .r __ , ,. . . :.. .... ...,. � .. . � . ._ . �..� .� -.. . - �'. ..- .. : . . �. . .._.":' . �.3..�': ��_: Aug 01 05 11:43a The Gopher Company �,��� ��`�C�'/ 612-331-7725 JUL—�J—�4�b� 11�= .Sld C: I 1 Y OF Fli 1 UL� Y `� Buil�ing B�LDING inspecti�ns �E�a�]Ell1T.�A.L. .1�►a']PI.►Y�.�4►�'IO�T � 763-572-3604 ��Ty pF F.RID�EX p--� ., �. _ ._- DA S1'f'E ADDFiESS �,�' THI5 APPL[CFNT :S: PROP�RTY OWNER/ '['�1YAIYT CONTRA,CTOIt SUBMIT A �OPY OF YOUR S7'ATE LlCENSE WiTli ApPLICr1TlON YROk'EFtTY �XPE P�R11�I1' 7'YPE OF p,2 A %� Pernut No.. Received Sy:i_ Date Rec'd: YO[1R �-MAIL �►DDItESS ���=" �M �i � � q� �� �it . ,�,�- - r�� ��e� � �i� O OWNER �ONTAACTOR NAME� OI..YI �f'eYl ADDRFl5: � C -e C7N �1�1 , STA'�1�IP��Z our��rr '71 Z1 �iCc/\ .. _ ^7Gi'� S?A7E LI�s � d iXy— J-7 � E,Xp ,�Dr�ss: �d—1 3�0— vC . S � YtiO '� p � JZ iNGL F Y CONS7RUGrlON O T'w0 FnM1Ly/NEVV Cp1•iSTRUCTlON a nvDrrioN ❑ cAxa�st�n O BAS�lEM' F1N]SH �tOOF D DECK ❑ SIDING ❑ SWA9�lRVG POOC O N�w p .�nmaN ID DESCRIDE WORK BEING L SJZE OF AZPROVEIV,TENT SQUAR�.S °� C,�► GES `� �� Jv' PROPOSEU SIZE; P9tOP05ED HLIGHT: 1'1[liiNG O V;nyl � Numinua� O O�l�er __� wiiYD_OyVS 1N FXISTING OPENtNC�S L]yes DNo Oi2 FOR NELt' OPII�fINGS,D�SCRlB� 577� OF OPENIIdG CfiANOE$ g� TYF`E OF WQ�ffUOW TO AP rwcrar T eri �9 HpUSE t� CqItAGE ❑ AT!'AC�fED GARpGE 0 DEI'ACKEp GARAGE OSv�rt ❑ Tr;m � Fay�i� i.00aT1oN OF WiNpqwS ALL FEES ARE BASEp pN Y�,U (iJSX.iX '�'(�TAL J41B Vr�I.Ue�TYOtV � L Permit �ee Pian Re v;ew Surcbarg� Fire Succharge Licar�$e Surci�a�e SAC Charge Curb Cut �scTOw Erosioa Control Park Fee Jew� Ma� Charge Tocal p�ue 33► - �ION, INCLrTpLNG 7A� COST O� THE 1997 U.B.0 FEE SCi�DUI.E) � �� C � , � �c-'rt'rt►e wT�� O DRAEi�I 7fLE Q OTFY� ATE%►L'�IP��Vt Ft �RF��10DF1.IN U$M17� �. �xisling �laor PI� 2. ProAoscd H000 plaa 3. List of vwcwral memhers te bc uscd FOR NEP✓ C:ONS7RUCi701V WG1.UDflVO DECK$, �[ONS P R c �g�y�: 1, Siie Alanl�uryey show�ng tl,e e�ostings�rvrn �d pro�d projee� 2• Tw�O Sca adcenstruatan plmr� 3. F.netgy Calwletians �A' a See BaCk Page for Fee Scbedute � — 6S% of BuiLd�g p�it Fee � (.0005) times the totat job vaIuation —7viinimum �.50 � .00i x permit valuasion (irl0%) _ $ $5.00 {St,3te 1.,icet�ed Itesiden�ial Contractors) $ 5�450 per SAC Unit (PIa� to lV,(WCC for determinanon) $ #tf6ft= �ix�lO=S � 5450 Conservation Plan Review �^ $ �ee Determined by E�giiueering $ �A.greement uecessarY ( ) Non NecessarY ( ) $ 1Vlske chec[cs a sble to: C' oi Fridle Attach TH15 IS p� �pp���ON FOR A PERM7T-1VpT yqi,T�j �'IL PROCESSED s I hereby apply for a building permic and I aclacowledge that the informadoe above is eomplete and accurate; cha[ the work will be confor�uance witt� the ordi�nances and codes �f, the C9ry of Fridaey and wi�h the Minnesota Construcdon Codes; that I understar�d this is p�t permit 6ut only an apptication for a perm�it and wvrk is noc to scart w;thout e permit; that the work wili be in accordance with t6e approve plan in [be case of all work w�c� requues review aad app�oval of plans. _ � SIGNATL'RE OF APPLICIWT .i� � .