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AF - 38020� � � 9 City of Fridley, Minn. BUILDING PERMIT Date: J�e 7, 1967 pwaer: Roger 6ema.n ��, Clemron Inc . � �� -� No 9293 Address Address 701 Columbia Blvd. LOCATION OF BUILDING Na ��3 Street Concerto Curve � _ p� of Lot Lot .� 4 _ Block 3 Addition or Sub-Divis4on _ Melody Ma.nos 3rd Addm/ Corner Lot _ Inside Lot X - Setback 35 � �_ sideyard _ 10' & 5' Sewer IIevation .-880.64 ^ 883 .64 Top of Footiug DESCRIPTION OF BUILDING To be Used as: Dwelling � � Front ._._.26 Depth 42 Height ....._. Sq. F�. .._.__]..OR2 Cu. Ft .2? ., 840 Garage �nt 27 � Depth 22 � i�Teight gq, �, 594 �� 5940 � og �� Frame �, �� 25 400 __ To be Completed Jan. 1968 SEWER LOCATION - 120' E, of West Manhole or 158.5' W, of the east Manhole WATER LOCATION - 10' East of Sewer In consideratton of the isauance to me of a germit to c the building descri abo I agree ta do the proposed work in accrordance with the descriptaton above t f and in ��p ce wi ell provisions of ordinanc�ea oP the dty of Frldley. � $100.00 NSSSD Ea consfderation of the payment of a fee oP $ 4'2 •�� pernvtt is hereby granted to Clemron, inc . to construct the building or addition as described above. Tt�is �ermit is granted upon the express conditlon that the person to whom it is graated and his agents, employees and worl�en� in all work done in, around and u�n said building, or anypart thereof, shall coffiorm in all reapects to tt►e ordinaacea of Fridley� Minnesota regarding location, constructtfTon, alteration, maintenance, repair and moving oE bufl�ings within the dty ]imfts and this perrmit may be revoked at any time upon violation oP any of the P�� of ea�d ordinances. CLARENCE B�ISLE g�� NOTIC� 16b psemtt do� aet eovsr �6s eomtroeHee, inslallafiee ier �1ee, plumbte8, en he�tieg, sswer ee waM�. 8� wro to a� t6o BniWluB lespa�e� fer mparab p�armNs hr thas It�ms. r � APPLIGATION FOR BUILDING PERMIT CITY OF FRIDLEY, I�AI�SOTA OWNER'S ADDRESS ' ADDRBSS LOCATION 0�' NO��//�� STREET ��/��l'�..��./I_.�/�'� PART OF LOT LOT�„�BLOCR ADDITION OR SIIBDIVISION �`G=�� , / CORNER LOT INSiDE LOT SETBACR ,� 5�� SIDE-YARI� ,/,/� ;!� �- �� WE ELEVATION �� • I' FOU1�D TI011T� El�EVA'Cd�I�14 �� R� ;.�, � �*�l-1d2� /%a °' ` � � � i/�j �� ' ��`�4�,�� ' � � �P�� Applicant attach to fthis for� o Certificatea of �rvey of Lot and propoaed building loca ion drawn on hese Certificates. u� > � � ` ��r;�� „i�-c-�-�L .,. � DESCRIPTION bF BUILDING To be used as; �� . �x � i Front Depth�Height _ Sq. Ft. �� Cu. Ft. � ��` °�` `� , � . � Front � � —� Depth�;rHeight s° St�• Ft�� Cu• Ft• �� F°� �/ (� .�� c f� Type of Construction ,/,7�� Estimated Cost ,� �� i � � � - a To be completed The undersigned hereby makee application for a permit for the work hereia specified, agreeing to do all work in strict accordance with the City of Fridley Ordinanaes and rulinga of the Degartment of Buildings, and hereby declares that all the facts and represeatations stated in this application are true and correct, DATE_ � �� SIGNATORE � (Sch� le of Fee Coste can be found on the eversa Side). ,% ;�� h =/' � �_ �= <� �!�'`' , � �� { �' _�' ! 1 a.r. •.- ` � , E� BIIILDING,PERMIT FEE SCHEDULB SECTIOP 2. The Inspec�or of Buildings shall, before isauing any permit for the erection of anq building or structure; or for any addit3on to any esisting building or structure, or for any alterations or repairs to� any existing building or structure, upon application therefore, require the payment by the applicant for aucY► permit of feea to the �ount.harein belot�re�t forth and in the manner herein provided to•wit: 2.1. For any euc�i permit for the erection of any fire•proof building, othei than a gar�ge, warehouse, factory or grain elevator, or for the erection of any fire-proof addition, for sf�milar pccupancy, to any existing building, shall be at the rate of $1.40 for each one thousand cubic feet, or fraction thereof, in such cubica�, contents. � 2.2 For any such permit for the erection of any fire-proof ,gara�e, warehouse, factory or grain elevator, or for the erection of any fire»proof addition, for similar occupancy, to any_egisting building shall be at the rate of $1.25 �or each one thousand cubic feet, classified as "fireproof" bq Sectioa 502.of the Minneapo],is Buildiag Code. HOIISES 2.3. For any auch permit for.the erectioa of anq non-fireproof building, other than a garage, warehouse, factory or grain elevator, or anq noa»fireproof addition, for s�tmilar occupancy, to any existing building - permit $1.00 for each one thousand cubic feet. GARAGLS 2.4. For any such permit for the erection of any non-fireproof garage, warehouse, factory or grain ele�tator, or for the erection of any non-fire-proof additioB, for similar oecupancy, to any� esisting building or. for each auch building or addition - ninety cents (�0.90) for each one thous.and cubic feet or fraction thereof, in the cubical contents thereof with the miaimum of $4.00. For the purpose of computin� feea for buildiug permits, the cubical contents of any building or addition to a uniform height throughout by multiplying the, ground area covered fram a point six (6) inches below the fl�oor line of the basement or cellar to the average h�a�ght of tha upper aurface or to the average height of the roof aurface of tt�e main gable.of a pitched roo.f. 2.5. For repairs or alt.erations to an.existing sCructure, the fee shall be at the rate of $3.00�per each Five�Hundred Dollare ($500.00) or frac�icn � thereof in the cost of all proposed work. 2.6. In no case sha11 the fee charged for any permit as aet forth in Section 2 be less than $4.00. ' � STORM REPAIR DAMAGE FEES: Residential; Eatimated Cost of work up to 5��;�.�� - S,en� Estimated Cost of work c-�e:: f: �•t :.:: �:.�� m Ya ;,�.0 Co�ercial; EstimatQ''1Coat of zo��•;. u�� tc� ^�;^�,, L�J ��J'�ti� �_ Estimat�._ Cost o= a�;o�� ovcr �.�a.i_�.;)�j -$�__.�,;0 .,. ._.�. , , `-.f. , � , . : r, 1 , �:mF4 ,�ta"�„ " ",ik� ^k$� � �;+�, �"':' -t-�.+ a Y � :>,.: . . _ 4 � ' s.�,,, �. ,;�?�`'. � �,'�:� vY ' ¢ �: � �,+°t,� , . tend Abnrx� ;� � -�'� `'ii�'�"'°��i "aE �` .�u�ry� � . � �3?, � .s�s �� . Ei'�1 � � fi�1EE R 1111'�►, � �'�i �.. �"�'� ` � � �l F,.�� b � .A�b�rrfl�76KC : � �� .. ---� En�ineers � Sur�se�vrs ---. . : s� {� �. c�!'t��! !,� �„ �r�►� ��s � � � ` � - �� / . � � Iir�r ` �: ��£ � . . ,.: � � � � . . . ' �.1 , � � �.� -�t-.: . ' ,M . � . , . � . .. `:.: R��,..:. . . . . -..'d_._'.__ .. �� L ^ , � � � . � , . . � �� CONCE;R� 0 , � CURWE ° , ' ` ,., !; �� , . � , {> — ��. -' , , y�� ' .�ra ,;:�� ;�� - , � �r�� , « o . . ; �� , . ��. o,�� _ �or � � �` Q .. t� s�_-------- .—,, _ � � - 46.49 � 30 ,� 2,.;� :�� `=;' � . � � � . - . . : '.9;..'. `._ . : ,...'-� .s�': t. t� � �t.. � DENATE� IRON �DENOT�S DRAINA►GE Al1D U1'iltTY tAi�1�NT ��4„� • LOT 4:- Bl4tK__3:_._M61.00Y MANOR �RO�001� 10M - s�.�Q., / Aa►�riy url�'y dMrt �rs � � A�w �►,d mrrs� nr�or�rsa�firhim �('o �rwy �'Nit ��ilfe �re. riie++iM� Irw/,wa/ � �("Ak �r�in �('riM br�lofia�s , �irv� , rd d1 rrsilMr a�urois , r�'�/. � .r rn�rel dw�a� As s�il /y �At i�1t..�.�. �f � `° ,�l' .,Au; �.a att�. � � � � stld u�ZBAJ�I �NCt��tZ4�IQ , �ri. � • � -- � � y� .� � ��r -..J � :.1� �f`IIII 1�II�l5�ii` i� �r �S�'��'y^` �?" �' : .. _._ - .�1��. s�, � � . "�..! � . R' .. .. f �� RF� 3 s3. i v_. 4 ." lT� . � i�yi� . � . e � . . � c � ..2?�-d . > � :f �. . . : s -- ... �. 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BTU Rating INPUT ,�� MAKE OF FURNACE Modsl �.�.��C�ONTROLS y THERMOSTAT _G��'-° CHeot Plug V�nt Size Valve �t�� KIND OF LINER ZE�NONF Limit �� '�-�� Draft Hood Regulamr Limit S�fTing �� Filters Size Num r Fa� Setting �� Chimnsy Loeation Inside Outaide Pilot Ty� ' Chimnsy Construetion Pilot Make Pilot Model �� '' Smoke Bomb Wlring � Pilot Timing =�� Draft � Test Tag L.W. Cut Off Door Pressure Lighting Inst. � �--7f� �- y � 1� Preasure �- � �re nt CQ ' Data Tested —�` Input CFH ��'� ➢'ef�nt?`� � ��Company Testing � Staek Temp. � �� Pereent CO � t�� Name of Tsster Form 235 � A m �� z � O -�p 3 m � � � O O N fp Z � � r� �' � m o � 3 � �' a �. N O � O 3 "� � �Q Q � -a fl. � � m � � �� Q � 3 0 � � � � r O D m� � m D < Q. � � W -n tn ,� �v z i'" n rn � � � � � S � � "1'f 3 n � � � � Z � z � 7 N � .�-. � � � � � � � � 3 o � � n � � = � a °. c � _ � � m O � 0 G 0 x O � A � � � c m s � cQ � j D �o 0. � m � � � °, m �� A � � � o � � q! 0 x � -i O Z . � n 3 � � � Cjj o � n = a�u �o m c �� O�D � � � �� / Z � � • � � � N Z 0 �✓ 1 �r � � � �m N = Z'� 8 n r �, <� mn �'�' In � � _ � N m z 0 rn � � �°�°�o _ Q � � � � �, � � � � � cfl � � � N � _ � � c� � A � n Q o , � m � � � L]. (n Q1 O � � � m aoa-- � - 2 �O � � � 3 D � � n 0 � n. . 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Z m � � � � � �` m < -< N � Zz m� m � O Z v < m� �r mn a � �O oZ Z O Z � v -� D O � � nm � v� _' Z z� Z D f;l Z � � _ ma � � � vn � O m� �� < m z � � z � � � � 7 � � n � 0 co rn � � a S :a�EQ :/�g �II�TS �� JNIL�3H :auoQ maS SNOI.L�'2IS.L'Id �i'I . :sx�zag �� D�j (� Sa� lalL'2ij 12jEM IO� P2PTAO.Id II2aCt .I[E IIOqSiICiiQO� SEj-i () orI �)�� j�'1�q ja�em .ao3 PapTnoid uaaq iauR � sEg ()ori()�� ()ori()�� S�n.tg �soi S�nsg zau�o m� ao S�nsg $��u t�� pa��a�o� s�I1ZS I�o� � azis io� s�uatuaambai apo� �uaim� � siaaLlI Pa�oddns ,�iam�as si � 'L � 'S .,� () ol�i ()�� IItqlu� PaSpoi s�afqo u�iaio3 ou seH •£ () ori ()�� IIOqP,IOi.I�Bp IO lSi1.I iIIOI� a2$ SI 'Z ( ) ol�i (_ ) �� pa�m�xa �i�an� uaaq seH ' I :��s io �fau�q� �uqs�xa a� � sagrian �iqaia� pau�is.iapun a� uoLt��i.�x�n g��is ax� a�� r .� . :,�- �':k.: 6��,�� aa eoNOmoNi�� 9i0U�E tiE�4�I�Gi T��T �ECOFiD AND ELECTRIG INC. ADDR�33 ��.� YX �,a�C� ��JY✓•�,. �% l.�W COTY ✓ SUBURB OCCiJPANT OM/tdER HEAT LOSS DATE HTa. INST. %�-°�iB SOLD BY BN�iALLED ��f Electrical Work By ��e �4�� Y TYPE OF HEAT GA FA HW 9TEAhl� SPACE BiTR. � l&�9i�' i�'i6J,� �BFd�R �DESE6�N C�NNE�SI�bd MAKE �`�� fM,ll�?.� �� 6.1Z��_ — Model �� '��' Sertal @9ax. � a �� ta&B�� INPUT %a b �� YfA1rt� OF �&8��1�9�E �!�o��U � OMPR06S � � � THERMOSTAT �Y�'' �� a H�g P9up �'a� �Og� Vaive 6�NFlD �� @�I{�IEC� g0� NONE Limft C��t FBo�� GC Ragul�4�e lim�t Seriing �fiB��s� �B� ��-SX 1 �� Fan SetUng �-h.6r�e�afi� �.a�ats�ae 1e��6d� �uteld� Pilct Type _ ?�'k�9s��n�g C-:ti�ug3eaa�tl�ru Pllot Meke - --- Pilot Model 9`: daN�4� �i��„a€� �,_ VVlrin� �/ PilotTlming ---� _��,_-__� R�r"��a..�_.,� - --. '��41'a� 1 � / L. W. Cut Off -- -m �� r E�rey�7��e __ �� 8�htlea� Bna�d. Preasure Pevc�nt GO$ _ __-�,_ i�ca2� d��ca� __%� Input CFH Peeeesnt Ae ��.c=,�� %��,�p��e,ea;, °`�:�dlro� StaekTamp. C�° Paresre8 CO .,� ��a�ade, c<8'�`��dtc Form 235 � . � SUBJECT PEAN(Tffife?,,� City of Fridley �� 2 � 6 2 8? AT THE TOP OF TNE TWINS g � I L D I N G P E R M I T � r -' ; � RE��f�' T NO. � `v _ COMMUNITV OEVELOPMENT DIV. " r � � PROTECTIVE INSPECTION SEC. �� 1 .1 � � 1 �"'1 � CITY HALL FRIDLEV $S43P NUMBER REV DATE PAGE OF APPROVED B� �----� • •�� 612-571-3450 910-F15 9/9/98 � � JOB ADDRESS � 7443 Concerto Curve 1 LEGAL �OT NO. BLOCK TRACT OR ADDITION SEE ATTACNED DESCR. /+ 3 Melod Manor 3rd Addt. SHEET 2 PROPERTY OWNER MAIL ADORES$ ZIP PMONE Ro er Goma.n 7443 Concerto Curve - 3 CONTRACTOR MAIL ADDRESS Z�P PHONE LICENSE NO. Richard Eastman 14 - 4 AFCHITECT OR DESIGNER MAIL ADDRESS 21P PMONE LICENSE NO. 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO. 8 USE OF BUILDING Residential 7 CLASSOFWORK 0 N� ❑ ADDITION O ALTERATION �] REPAIR O MOVE O REMOVE 8 DESCRIBE WORK Reroof house & garage (24SQ) Tear-off 9 CHANOE OF USE FROM TO STIPULATIONS Underlayment must comply with the State Building Code. TYPE OF CONST. OCCUPANCY GROUP OCCUPANCV IOAD SEPARATE PERMITS ARE REOUIRED FOR ELECTRICAL, PIUMBING, HEATING, VENTII.ATING OR AIR CONDITIONING. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION 20NING SQ. FT. CU. FT. AUTHORIZED IS NOT COMMENCED WITHIN 80 DAYS, OR IF CONSTRUCFION OR WOi;K IS SUSPENDED OR ABANDONED FOR A PERIOD OF /20 DAYS AT ANY TIME AFTER WORK IS COMMENCED. NO. OWLG. UNITS OFFSTREET PARKING I HEREBY CERTIFV THAT I HAVE READ AND EXAMINED THIS APPLICAFION STALLS GARAGES AND KNOW THE SAME TO 8E TRUE AND CORRECT. ALL PROVISIONS Of �AWS VALUATION SURTAX AND ORDINANCES GOVERNING THIS TYPE OF WORK WIIL BE COMPLIED $2,056.00 �I.O3 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING Of A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE pEpMIT FEE SAC CHARGE PROVISIONS OF ANY OTMER STATE OR LOCAL LAW REGULATING CON- �]/{. JS Fire SC �Z.OG ST UCTION ORj�HE PE�fORMANCE OF�ONS�#iUCTION •J �i"" s, PLAN CHECK fEE TOTAL F •�' � s� -.C'' �/� � Licen $5.00 82.84 .'Z�- SIGNATURE OF CON'RACTO OR AU � ORIZED AGENT OATE� N P PERL IDATE S IS R PERMIT y! � SiGNATURE OF OWNER�iF OWNER BUILDER� IDATEi BLO �NSp �/�TE r, rrEw [ ] ADDN I l ALTER [ ] ConstructionAddress: Legal Description: _ CITY OF FRIDLEY SINGLE FAN�.Y AND DUPLEXES R=1 AND R-2 BUILDING PERMIT APPLICATION -� Effective 1/1/98 Owner Name & Address: Tel. # r��(o -° �)� Contractor: ° " MN LICENSE #�(�(,� 9'�j (�o �h Address: ��%� f—��-�,�y�C�!l � ,,� ,v�_ Tel. # !��-�i-e,�1'�.�� Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. LIVING AREA: GARAGE AREA: DECK AREA: OTHER: DESCRIPTION OF IMPROVEMENT Length Width Height �_ Length Width Height Length Width Hgt/Ground i �,-� �� =�= ��- a� �� - Sq. Ft. �� Sq. Ft. Sq. Ft. �_ Construction Type: p,Qp� �C�IJ�L Estimated Cost: $ �� =�C-�S � (Fee Schedule on Back) Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x$ _$ DATE: � APPLICANT: Tel. # —J��l� Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee Sewer Main Charge TOTAL STIPULATIONS: � $ ��'1s $ �?c�� $ /- D..� $ $ � G,� $ $ $ $ $ e; � c��. c��/ CITY USE ONLY Fee Schedule on Reverse Side .001 of Permit Valuation (1/lOth%) $.50/$1,000 Valuation $1000 per SAC Unit $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 $1,000,001 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 $1,000 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 $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 $1,000,000 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. 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. � CITY OF FRIDLEY 6431 UNIVERSITY AVENUE NE FRIDLEY, MN 55432 PERMIT O.: 2004-01251 ��; DATE IS5UED: 08/03/2004 (763) 572-3604 FAX: (763) 571-1287 ADDRESS : 7443 CONCERTO CRV NE PIN : 113024140030 LEGAL DESC : MELODY MANOR 3RD ADD : LOT 4 BLOCK 3 PERMIT TYPE : BUII.,DING PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : DECK VALUATION : $ 1,788.00 NOTE: SEE NOTATIONS ON PLAN. CALL GOPHER STATE ONE AT 651-454-0002 FOR UTILITY LOCATIONS. REMOVE EXISTING DECK; CONSTRUCT A 12' X 12' DECK. APPLICANT BUII.,DING PERNIIT FEE 63.15 GOMAN ROGER D& SANDRA A PLAN CHECK FEE 41.05 7443 CONCERTO CRV NE FIltE SURCHARGE 1.79 FRIDLEY, MN 55432 STATE SURCHARGE, VALUE 0.89 TOTAL 106.88 PAID WITH CHECK # 7242 OWNER GOMAN ROGER D& SANDRA A 7443 CONCERTO CRV NE FRIDLEY, MN 55432 AGREEMENT AND SWORN STATEMENT This permit becomes null and void if work or construction authorized is not commenced witin 60 days or if construction or work is suspended or abandoned for a period of 120 days at any time after work is commenced. I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this type of work will be complied with whether specified herein or not. The granting of a pernut does not presume to give authority to violate or cancel the provisions of any other state or local law re a mg ;�, truction or performance of constru tio}� . App�tieant 'h �� Date �� / Bldg Ins ? D ! � ?` SEPARATE PERMITS REQUIRED FOR WORK OTI�R THAN DESCRIBED ABOVE. NEW ADDN ALTER [ ] CITY OF FRIDLEY � [] 6431 University Ave NE, Fridley, MN 55432 [] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION �� g Effective 4/1 /2004 (763) 572-3604 Bldg Insp (763) 571-1287 Fax �I ��.�� /�� Construction Address: "I y � � �A � �' � � ��+ � � � � � �' r 1 � � � � Legal Description: Owner Name & Address: � � �3 g� � � �� Tel. # 1 � � ° 1�� ° �d I "� � Contractor. � �� `� MN LICENSE # Address: '1 �$ �A � c �� r� �� ' a� r � �. Te�. # 1 � � �� '� � � � °�� Attach to this application, a Certificate of Survey of the bt, with the proposed construction drawn on it to scale. DESCRIPTION OF IMPROVEMENT LMNG AREA: Length Width Height Sq. Ft., � ' GARAGE AREA: Length Width Height Sq: Ft�, �— e � . . . - , DECK AREA: Length �� Width �'� Hgt/Ground P� Sq. FL' •`` OTHER• �� . ,�� a-r �.� �'�«.� a°� �_ �� .�.� ��:.�` ��c- Construction Type: A � � �' �j�SA � � �� a ��t Estimated Cost: $ � � � � a � c b . , Driveway Curb Cut Width Needed: Ft + 6 Ft = Ft x� _$ DATE: � I �� -� � y APPLICANT: �`""�fi" � �� Tel. # 1 � �" � � � '� °�( 1 `7 % Call (763) 572-3604 for Permit Fees if mailing in application. Fax to 763-571-1287 if using credit card and we will call you for card number. CITY USE ONLY - Permit Fee Plan Review Fire Surcharge State Surcharge SAC Charge License Surcharge Curb Cut Escrow €rosion Control Park Fee Sewer Main Charge TOTAL $ al J $ ��— $ $ $ $ $ $ $ $ � � �� Fee Schedule on Reverse Side 65% of Permit Fee .001 of Permit Valuation (1/10th%) $.50/$1,000 Valuation $1350 per SAC Unit $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 [ ] STIPULATIONS: .�� BUILDING 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 $1,000,001 and up FEES $23.50 $23.50 for first $500 plus $3.05 for each additional $100 or fraction thereof, to and including $2,0(� $69.25 for first $2,000 plus $14.00 for each addidonal$1,000 or fraction thereof, to and including $25,000 � $391.25 for first $25,000 plus $10.10 for each additional$1,000 or fraction thereof, to and including $50,000 $643.75 for first $50,000 plus $7.00 for each additional $1,0� or fracdon thereof, to and including $100,000 $993.75 for first $1�,000 plus $5.60 for each additional $1,000 or fraction thereof, to and including $500,000 $3,233.75 for the first $500,000 plus $4.75 for each additional $1,000 or fraction thereof, to and including $1,000,000 $5,608.75 for the first $1,0�,000 plus $3.15 for each additional $1,000 or fraction thereof CURB CUT ESCROW (Concrete Curb Streets Only) Removal and replacement of curb and gutter only - driveway width plus 6 feet, times the annually determined rate 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. VERIFICATION OF FOUNDATION A Certificate of Survey of � the lot, showing the location of the existing foundadon will be required before proceeding with the framing. N�� Houses Onlv ,z- s� �r; :': �> ' '� �:"" m,��° E . "�' ��a<x�'- �" � $ �� ;:�� ' � '• - , , _� _ � ;,x �< _ � � �� r� ' ; ; _ ,, _ , ; ,,. _ M1 _,� ��i' T,. _ �, � _ - ° � - �: � , � J , . _ ��,/' . : . , _ �:��.� ��,� , � - �- _ _ _ - , __ _ _ - _ _ � _ _ ��i�� = _� . _ � � � � ; � .� � � � - �� - � � _� ; : - a - � _ � . . . -� , � _ _ �� _ � � . �� : �. _. . � i �. _ , =-. - � ; . =. , � . _ - .� ,, �__ . _.; — _ _ . � _ �, ,_ � � � : ��_ . � _: � � _. _ � - _ _ . : ... _ _ t_ � _. - - - � �c �:�n� � _ � _ �� , ; : � : � � � - �� .. � _ � - �� - � :j _ , ' _ '{- ' � ..:� _ . •� � _ c . _ � �. � . ,. i . � _. . '�: ' . . ;. _ :'t " .' , �` ,.."��. " . �... . :, :�.- ",_ ' �... .r=`_. . .: � . � - ' ,.-� ._I�I :ir�r'�'�� j __ � _ _ �_. �. �. : _ .- � � _ »�� - _ �.. _ - :- a ;; �,. :; _ ::. , ; ., ;:_ � ,- :�' ,_. _ - � ,_ .. . :, , -; ;I � . _ . . _ .�- t- �--.._..�...a� ` - _ -` `=". - � - :-�C��!:�� 'i _ _ ,�,.�, �� ` _ - -_ - �c4�. _ - . , � � __ . � �� ;�� - �� ; � �_ . _ � �� - � � � . �, t � � _ �- �=�� ""':.�: _ - : , , ��I � _ _�. _. �� - � s . , , : . ; � ��_ � � � � �. _ �� _,� � _ � � � _ � t.�� - � �� - � � s � s " � - � _ , � ._ _ _ ___ . . , �;, . � _ . _ ,� . -: � °�, , ,. , , ,,v , Beam layout for Your Deck The Saale is 1/4° :1' Design#:79297 Mark length Description p 12' 2-2x8 Green treated Illustration may dg�ict optians not included. ��, � v � -� °- o � w -� o c -� � . a� m � � m � W g �N .` � � ! W � � O � ap O C �3 � s m a� � q m .•- c m F" � -° � m a a �`v m � °'' c O� � � o c � y °� '� ot m °�3� � L � a �Q Q � � � W v �.1. � (� ` �• �7 n W ? Ol W t m m ve�� 3� E~ o -3 � � ° m +�. _ � � � � b� 4. L C W � q m � •m � m O � � S� � � � � W .�., p� O .� � O W � m m C � � � C � 7 O W Qj q .� ? .� q � O � �O C � y. � m ao �Oj •�.. � {Y1 � � � � W C � m � � W � A a B C Joist layout for Your Deck The 5aale is 1/4" :1' Design#:79297 B A A �l A l� A A A B 11'9" � 2x8 Green Treated 11'9" 2x,,, 8 (3reen Treated 11'10-i/2" 2x,, 8 Creen Treated 12' ?�c8 6reen Treated �Joists to be on 16" centers. > oi�ts to e ung from the ledger with joist hangers. Joists to be toe-nailed to beama with 2-1/2° (8d) gelvenized nails. Rim joists to be face-naifed to joists &� ledgers with 3-1/2" (16d) galvanized nails. Bloaking and bridging is not shown, but may be required by your looa( aode. Illustration may depict options not included. Usage �018� Ledger Rim joist Rim joist � N � �n �� o � v -� � �� q �, '� � c � �� = � m .�� We m a � � � � 3 �r m d� � q � C m � � � � = O Wp � � C O ,y,� ' m �O C O yC. � � L O � � � . m ?�,, a � � a�� o �-v c O L � W � � v t" � � Ol W o E "+° m � °'a°q � � q m � �- � v o.— ,,,. � � m E q � -� m �m �Wm� q E=� W�mo �� o W E m s � ''. � � � Wo p = f/1 �� o= � �_ >= W W � •� E �► a� + �o � E m c -o m � � � Design #: 79297 � � � � g��20�4 �� Take this sheet to the Building Materials desk to purchase your materials, �� You have selected a 12' x 12' deck 6' off the round. . ---� -- � �-�--- �-------- � 9 Below is a section of the railing style and Pressure Treated framing Material options you have selected for your deck. Norizontal Decking . � Post an Beam Dimension Sheet �esi n#:79297 9 1917 8912 �� „ � I Please bring these plans to "� 1'� I the �shier to rchase. ' � � � � J �' ' ` ./ � J J � _ ..,1 r , � ,� ��, , � � �, � , �„� . , � :�►' •� � '� " �� ,�� ' i , ��,� J � �_ �. �� ,,%,� � . �,,:�.'�/I 0 .-� ` . � �� ` l I � h�� N .\ ` �, � � � �� .�ots� � �o� �� , � � � ��. o � p "O O � q C � � � � � �� Q � m L � �C � � G m � � Vl �1 C .3 m � m d� g m � .� � c m � � � 0 � � °� c c CD 61 °c o m � c n'� a� m 'L �� Q �-a �Q � V � C v � .� m v � ° `- w � •m � r m a� -- m s�IIS E � W 3� E� o � o � .��w ` a � _ W '°" � _ � v 0. � L �' W G q � � -` q m O � � � � �_� � I,/'�J f � � 'a' m d �X ! �� .d � O �� p�c. � � � . /'` _,. ai c s. %7 �/ �. .`v o _ � q � N � T + V1 � O '- � �— a= W � � -� � m �� W m� �° w �S , ��-� C��<�ss ��sd � /��d �� o- Denotes railing pos#s and are plaaed at a 48° maximum post spacing. Illustration may depict options not included. � „ 8 �R� Design #: 79297 g/�/2o04 �� Take this sheet to the Building Materials desk to purchase your materials. �� You have selected a 12' X 12' deck 6' off the ground. _ ---Below is a section of the railing style and Pressure Treated Framing Material options you have selected for your deck. Norizontal Decking 5/4" x 6" Pressure Treated Deck 6oards ` 36" Spindle Railing - - - - -- 2"x2"x42" Pressure Treated Spindles, Beveled 1 End �� 4"x4"x48" Pressure Treated Utop Notched Railing Posts u�� 2"xb" Pressure Treated Nand Rail -- �-\ � � Poured footings 8" Tu6e 4' deep , � Premium Green Combo Drive Screws ` --------� --- dt ,jl Galvanized Framin Fasteners � � 9 . . ...:::::::.::.::: . � �� c � 2 Jo is . � � x 8 �� B "":`:'::::::::::::::::::��::��::::::::::':':':::.:::::::::':�::::::::��::::::::�:`��::;::;:::::� :::::::::::::`:��::��::::::::::::::::::::::��:�:��:��:::::::::;::::�'�: / . 2 X 8 e ::..:.:.::�.::::::::::::::>.::::.:::::.:::.::::.:::.::::::::>:.:.:::.:.>::.::::.::::.::::.::::::::::::::::::>::>::>:::::.:>:.::::::::::.:::.::.:::.::.::>::::. .::>: ._._ � k � � � � � � � � � ..::::::::. �t ��d � ::::: :: :�:::::::: � ::::::::::: :::::::::::::: ::::::::::::::::::: ::::::::::::::::::::::::::::::::::::::� :::� ::::::::::::::::::::::� :::::::::::::::: � 1 40 S F De ; �::.�;:��.::�.o ::::::::::::::::.:..::.::.::::.:::.:::.:::.::::.::.:::.::.:::::.::.::.::::::.::.::.::::.:::::::::::::. :..:..::.:::. . ..... . .. .... . ............:..:::: :::::::.:.. ........... .......................................::..:::::: �� — :� ::::::��::::::::::::: . . ::: : : : : ::: :::::: �::::::::::::::::�::: � �:: : ::::::::: : �� ::::::::::::::::�::�� :��:::::::;�::::;::;::.:::.:;:::::::::::::::�:::::�::::� � ��:::::::::::::�� :: ��... ....... cl e : ::::::::::::��::::::::�::: :::::.:. . :: .: .::::.. . :: :.� �:::�� : : �:: :::�� . . not in ud d :: :: ::::::::::::::�;��t��:�::::::��: ::::::�.::: :::�::::::.:::.:.....: ..:... .......ns : :: :: :::: :: :: ::::::::::::::::::: :: :::::: :::::::::::::::::::: :::::::::::::::::::: :::::::::::..:..::::::::::::: ::: : ....:.:::� ::.: ......... . ::::::: ::: ; ; :::::::: :::::.::::: .:.:: :.::; :::;; :::::.::.:.: ::: :::.:::.:... :. : ....:.:::: .: ... . .... . � :::::::::::::::::::::: :::� :��:::;��:::: .::��:::::. ��. :::::��:...: . . .: i .... tions. � ::::::::::: :::��:::::::::::::::::: ::::.::::::.::::::::.::::.:.:.::.:::::::::.::::::::::::::::::::::::: .: :: � � : :........: 1 .:::::.::: : :: ::::::�:::.::.:::::.:::.::.:� .:::.::::: ::.::: ::::::::: :.:::: : : : : :::: � :::::..::::.:::::.:::.:::::.::..�.�:::......... �:::::::r::::::::::::::::::::::::.::::::: :::::::..:::::::::: :::.:::::.:::.:::: ::::::::::.::::. : : :.. �::�:::::::.::.:....:... : :::::�:::::.:: ::::::::::::::::.:::::::::�:::::::::: ::::::::::::: ::.:::::::.::.:::::::::::::::::::::::::: :: :: ::::. ::::::::::::::::::::::::::::::::::�::::::::::::::::.::.::::::::.::.:::::.: :: :: ::: :'•:.ii:3:ii?i•r.':iii:?i;i:::.::^:•:•::::��%;iii::�iii;:i:;;i:i:::::::::>�<:;;::;;:;:::::::i:i:i:::;:::::::i ::::::;:;::r:::f::::;::::::::;::: :: �: :: � .;.; � ' . ��.J�Ga�' � � >::::::�::>::>:<:::>::>:.::::��,:.:;::�>�;.:�:�::>::::><::»:«<::>;:;:>::>::>::>:::::>:>::>::><><:><::;;::<:::>::>::»::>:::>::>::;:.....:..::: .. . .:....:> ... � :�,�,;.;;.... :.:..>�.. >:: .�;:::;»::>::>:>:;:::.:: � . ::.�:.; .. :. �. �:>::�<:«:;:<:>::>::::::.::>:: �:: .:. . ..;�.::.:>:::«::::::;::>::::>;::>:<>:»>:«:;<:::> :.. .......... ... .. . . ;:: � .:::::::.... : : :;> . � ` ::>;;�:�° . :�:;::s:::>:>::::><�«:::>::;:;::�::;::;:;::: <> .;:.;;;<.;.;:.;; ::.:.; : .. . ._ :.;;:... , . . �. , :. .::::::..::. ::: . :..: ... . .. ::. ;. . . . . . .. ., , ,. ; . 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' ' ��:.:: "iF11� JoB r�vai��E �17E FO �cJU FIN : Y' • ' " :.: ..{LIi1Tf: •" , / ` <�r�,.t; � - f'` � +��„` ,, :�;.f::: ::,.::::'' .I !<, �, �r �� r :..:;;->:.: e�, ;�.' , A � � d�� I � . :;<:: : � �. .. ;, _ __ �___ �� -� :.'i�; � ^, y .y';:.�..� �_" � � ' ��,��,' �� r :.: :Y� r �d, �� „_+ ! ` C��T�if� � ; y2 �,lN � 1 -.�'I,J �12W1�.�£Q . . � � �� 5 _ �_.__. � , �- � ,� , ,�� aIEWED Stair Widths : none �� - For Building Material's use only :1441440720102020603050004048130200000001 Today's cost for matsrials sstimated in this dssi9n with Base pnce may include: 40 PSF deck live load, horizantal decking, Zx6 pressure heated deck �ards, pre 36' 2x4 railing, pressure treated railing pos�, and galvanaed 6ox nails. � 11 CODE I�� > i �� Nl � ing materia , no �airs, (� ��:�`�21.71 Building BUILDING P�it �vo.:`�o ,d �Pe�� RESIDENTIAL APPLICATION R�I�� By:`�g 763-572=3604 CITY OF FRIDLEY v�te Rec'c1:� �� 763-502-4977 FAX ��,-,-0s DATE 9/29/2008 YOUR E-MAIL ADDRESS S '.cam SITE ADDRESS 7443 Comerto Curve THIS APPLICANT IS: ❑ OWNER X CONTRACTOR PROPERTY OWNER/ NAME: M�ce and Nina Guswiier 1'ENANT ADDRESS: 7443 CONCERTO CURVE CITY FRIDLEY STATE_MN Z[P_55432 PHONE: NAME: STARK CUSTOM HOMES CONTRACTOR ADDRFSS: 1550 91� AVENUE NE CITY BLAINE STATE MN ZIP 55449 SUB1vIlT A COPY OF �� 61a-3�-iaz6 FAx YOUR STATE LICENSE — STATE LICENSE # 20628791 EX!' DATE 3/30/09 PROPERTY TYPE �O SINGLE FANIdYlNEW CONSTRUCTION s� O TWO FAMII,YR�W CONSTRUCfION STORIES PERNIIT TYPE � nnnrrtox ❑ c,atce�aF/s�n 0 wnunows p BASENffi�T FINLSH ❑ ROQF ❑ DRAIN TII,E �0 DECK ❑ SIDING � OTHER 0 SWIlVA�IING POOL TYPE OF WORK: � NEW HOME COPTSTRUC'I'ION O ADDTI'ION 0 MAINTENANCE/REPAIIt XO REMODELING DESCRIBE WORK BEING DONE _DECK (REPLACING 12 X 12) SiZE OF IMPROVEIVVIEIVVT 12 X 24 LENGTH 12 WIDTH 24 HQGHT Ff 288 ❑ HOUSE ONLY BASF.MIIIVT REMODEI.ING SUBMIT: N�U�MB�ERGOF SQUARES ❑ HOUSE & GARAGE 1 �ng �� P� GARAGES ❑ ATTACi�D GARAGE Z. Proposed floor plan PROPOSED SIZE: � DETACEIED GARAGE 3. List of strucWcal membe�s to be used PROPOSED HIIGHT: FOR NEW CONSTRUCTION INCLUDING DECKS, p� �Soffit ADDITIONS. 8c PORCHES SUBMTf: I. Site Plan/$utvey showing Ute existiag smtctures O Aluminum ❑ Trim ami P�Po� P�.i�• ��t � F�� 2. Two sets of comchvction plans VVIl�IDOWS 3. Energy Calculations IN EX[STING OPENINGS QYes �To LOCATION OF WINDOWS OR FOR NEW OPININGS-BFSCRTBE SIZE OF OPENING CHANGFS & TYPE OF WINDOW TO BE INSTALLID NUMBIIi OF W@IDOWS ALL FEES ARE BASED ON VALUATION, INCLUDING THE COST OF LABOR AND MATERiALS: . Permit Fee Plan Review Fire Surcharge Sw�c6arge License Surcharge SAC Charge Curb Cut Escrow Erosion Control Park Fee Sewer Main Charge Total Dae I h�eby eppiy for a buildrog pe�it avd I of tlre City � Fridley and wid� tl� M'mm pemit on site: timt tl� work witl be in atx SIGNATURE OF PL �T , APPROYED BY PLEASE 1997 iJBC F�E SCHEDULE) $ '� 1.� S See Back Page for Fe,e Schedute $ �� 65% of BuildiQg Petmit F� $ � .�1 times �e tatal job valuation $ O .�5 x Permit Va1�ti� M'iuimum $.SO $ ;� � c�0 $5.� (State Licensed Residential Contaactors) $ $1825 per SAC Unit (Plans to MWCC for determination} $ ft+6ft= ftx$21=$ $ $450 Conservation Pl� Review $ Fee Determined bi' Eng'm�ring $ A�eat necessary ( ) Non Necessary ( ) THIS IS AN APPLICATTON FOR A PERNIIT NOT VALID UNTII. PROCFSSID t� infommtion lete and �; t�t �e work will be in camformaa�x with the ord� a� codes Codes,Y •� un, �is i� � a pelmit but only an ap�ica2ian fa� a peamit a� wo� is �t to start withwu a Lg 1�ro ��anjiry' of aIl work wh� ieqair� nwiew a� approval of plaffi. ARE REOUIRED FOR NAME CHUCK STARK DATE 9�29Hj� _ DATE � AND MECHAI�TICAL WORK � �d l?%rinr� ��(l�7�0' .�(e1;�,S ��U7(� � c;v>> � a��T�� i�rl�� 5 �r�c7��Ri�i�.7, rr��. � ��`�� ° �r��ir�ee rs � Sur vecJors --- ��a��"�+��'+�.�! ��' �`►�,�►'� �'o: � � M ��:� � - � L y ' ` COt�4C�RT 0 O� G� � �d� �Qr CU�VE � { � ,: 30 i �♦ o-�G / . � a o R� � �- ��,. `:�� OI a r�►! _ ._. � _.__ � � .� :� — 46.49 � i WO i r � �;:'t ��,� ;;' , ��:� �;�; � �� 1 �iv � /bJfi��l�ai�''� ,' u �� '�'� ,`;:, ,;; ca ,�� , �; ;r ,;; � �';`' � ,f �' ;,,.: ±s; � �:;. . � �, f, fi rvi � ro �,.'} �? �', ?.? � r;. � C�'��5 1'-�'��1 ,�.=.,r�.aENOTES DR�lt�A6E AND Ut'tLtTY EA��ETT+r!!�'�i =..�1"'�'-��''�^.:_.�1:�ltK 3., MEL.00Y I1AAN4Q 3RO A{7D►TiCt+i �`�`d� _� �i t� a ir� a��1 r�cf � A#t4K A Ctakf�tY tk � �+��; � ita�r' r��e.s�err�� '� .s�r�►,y �('AIAt �i�s � o��r,afi �4rad'�� "�� l"'�� bi��s, ��'+, er��1 re�>� a�ine�}s , r�"aa�. �rrri ar- a.a�i�! f�d. lls .srrrre ' , d� , :; ` ' ' A.� t�., ,�'� �¢ r� 1�.��.,:, �r . ��..�.... .SiiB�r11�� E��l��J�!'+�, ��. ; , ' ' � , .. . ., ..:_�;..7 ?t�t3V ��J.��iy�.r-. $� � jg��4ap.�s�� . Ut�' '.� m�,;,.:-,- ,." ^. dn x�oM 30 �BO� pa�� il�tc;� - Gii'u:i�a °� Q y.I�id� 1+�O�LS : S�:�I3 �� Building Inspections 763-572-3604 763-502-4977 FAX DATE L�1 �✓ � SITE ADD S � � THIS APPLICANT IS: PROPERTY OWNER/ TENANT CONTRACTOR SUBNIIT A COPY OF YOUR STATE LICENSE PROPERTY TYPE PERMIT TYPE TYPE OF WORK: DESCRIBE WORK BEING DC SIZE OF IMPROVEMENT ROOFING NUMBER OF SQUARES _ GARAGES PROPOSED SIZE: PROPOSED HEIGHT: ING Vinyl ❑ Aluminum O Other BUILDING RESIDENTIAL APPLICATION CITY OF FRIDLEY EFFECTIVE 1-1-08 YOUR E-MAIL ADDRESS OWNER �CONTRACTOR Permit No.: (�'UI Received By: Da��IdNOV 5 �i f�P4M %/1 2 6 pl/llL� : ADDRESS: CITY STATE ZIP PHONE STATE LICENSE CdSINGLE FAMII.Y/NEW CONSTRUCTION ❑ TWO FAMILY/NEW CONSTRUCTION ❑ ADDITION ❑ GARAGF/SHED ❑ BASEMENT FR�TISH �OOF ❑ DECK SIDING ❑ SWIMMING PO( ❑ NEW HOME CONSTRUCTION ❑ MAINTENANCFJREPAIR ❑ HOUSE ONLY ❑ HOUSE & GARAGE ❑ ATTACHED GARAGE ❑ DETACHED GARAGE C�Soffit �ascia WINDOWS IN EXISTING OPENINGS OYes ONo LOCATION OF WINDOWS OR FOR NEW OPENINGS-DESCRIBE SIZE OF OPENING CHANGES & TYPE OF WINDOW TO BE INSTALI.ED Ni TMRRR nF V ALL FEES ARE BASED TOTAL JOB VALL Permit Fee Plan Review Fire Surcharge Swchazge License Surcharge SAC Chazge Curb Cut Escrow Erosion Control Park Fee Sewer Main Charge Total Due FAX EXP DATE _ SIZE STORIES ❑ WINBOWS ❑ DRAIN TILE ❑ OTF�R G �� H HEIGHT FI' BASEMENT REMODELING SUBMIT: 1. Existing Floor Plan 2. Proposed floor plan 3. List of sguctural members to be used FOR NEW CONSTRUCTION INCLUDING DECKS, ADDITIONS. & PORCHES SUBMIT: 1. Site P1aNSurvey showing the existing structures and proposed project. 2. Two sets of construction plans 3. Energy Calculations �ALUATION, INCLUDING THE COST OF LABOR AND MATERIALS: (U� G TI� 1997 UBC FEE SCHEDULE) OCCUPANCY TYPE d �� See Back Page for Fee Schedule $ 65% of Building Permit Fee $ /•C�l� .001 times the total job valuation $ � �°�`� .0005 x Permit Valuation Minimum $.50 $ $5.00 (State Licensed Residential Contractors) $ $1825 per SAC Unit (Plans to MWCC for determination) $ $+6ft= ftx$21=$ $ $450 Conservation Plan Review $ Fee Determined by Engineering $ Agreement necessary ( ) Non Necessary ( ) $ /, Make checks payable to: City of Fridley Attach THIS IS AN APPLICATION FOR A PERMIT-NOT VALID UNTIL PROCESSED I hereby apply for a building permit and I acknowledge that the information above is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Fridley and with the Minnesota onstruction Codes; that I understand this is not a permit but only an application for a permit and work is not to start without a permit on site; that the work will be in r an ap d.�a� i e of all work which requires review and a proval of plans. SIGNATURE OF APPLICAN PRINT NAME�� /��Q„ I-t��j�j�p�- DA'I'E l� S APPROVED BY DATE