Loading...
AF - 40773City of Fridley, inn 6431 University Ave. N. E., Miuneagolis, Minn. 55432 BUILDING PERMIT Date: May 25 , 1972 p��.; Viewcon, Inc . B�� Same Address _ 5901 Brookl�n Blvd. � Ad��s Same ��/�.3,.3 �1469 LOCATIOiV OF BUILDING No. __5573� s�t � East Oberlin Circle p� og �� Lot 6—��.._ Block �..._. 1 �_.._..__ Addition or Sub-Division Innsbruck North Townhouses lst Corner Lot __�.__.— Inside Lot Setback Sideyard Sewer IIevatfon _.._._—..�_ � Foundation Elevation _._._.._ DESCRIPTION OP BUILDING To be Used as: Town.house �� �nti 20' �p� 31' Height 20' sq. � 1,240 �� 12,400 Garage �� �n� 20' �p� 22' geight 10' gq, r-t, 440 �, �, 4 00 Z.y,� op ����� Wood Frame �.� � 19,700.40 To be Completed 12/1/72 Stipulations: 1.They will see that fire protection is provided to the construction area, water is available through the hydrants and good access provided to the construction site. H 2. It is the responsibility of Suburban Engineering an,d Viewcon to see that the grade elevations of the units is satisfactory to connect to the utilites, 3. Occupancy of these units will not be made until all utilites have been checked and approved by the City. Ea consideration of the �tssuance to me of a permit to construct the building described above I a.gree tp do � proposed work � accordany with the description abov�ae�prth and in compliance with provisYons � Ordinances oE the ci of Fridle . � ) In consideration of the payment of a fee of $ 32.00 � p�t fs hereby gra.nted to� e.�,� to construct the building or addition as described above. This permit is granted upon the express condition that the person to whom it is granted and his agents, employees a.nd worl�nen, 3n. aII Work done in, around and upon sa.id building, or any part thereoP, shall conform. 3n all respects •to the ordinenCes oP Fridley, Minnesota. regazding location, construction, alteration, maintenance, repair and moving of bu'IIdiIIgs pyithin the city limits and this permit may be revoked a t any time upon violation of any�of the provisions oi said ordinances. � �� CLARENCE BELIS NOTICE: This permPt does not eover the eonsfruetion, inslallatioe for eriring, plumbing, gas heating, �wer or watar. Be mra to �e ths Buildine Inspeetar fo� seperate permits for 4heae itetds. _ � .� - APPLICATION FOR RESIDENTIAL, ALTERATION, OR AllDITiON BUILDING PERMIT CITY OF FRIDLEY, MINNESOTA OWNER' S NAME : / W N '� i� BUILDER :_~•�'�� �w ADDRESS :!!,','���`� ADDRESS : I NO•. STREET LOT: � BL�K: ---------, � --�-+ CORNER LOT: iNSIDE LOT: SETBACK: SIDEYARD: ---�--�� Applicant attach to this form �tao Certificates of Survey of Lot and proposed building location drawn on these Certificates. DESCRIPTION UF BUILDING To Be Used As: � 1 l �t /7 �o`J-�O � Front: Depth: Height. Square Feet : -�d �� Cubic Feet : /a2 S�(� O � � lt�' . l� 99� •� � M"°'1 � Front : , Dep'th : � Height : �� �-��- . Square Feet; Cubic Feet: 1�rpe of Construction: (�(��g.�, �Ji�rylQ�. Estimated Cost:_$ /9p �pO • y0 ,� To Be Completed: The undersigned hereby makes applicativn for a permit for the work hexein specified, agreeing to do all work in stfict accordance with the City of Fridley Ordina.nces and rulings of the Department of Buildings, and hexeby declares that all the facts and representations stated in this application are true and correct. DATE : • S IGNAT[JRE • � (See Reverae Side For Additiona.l Inforn�ation.) ��a.00 g,�s � � . .r 1 yj. � S , � � � BUILDING PERMIT FEE SCHEDULE SECTION 2. The Inspector of Buildings shall, before issuing permits for ��e erection of any building or structure, or for any addition to �ny existi�g building or structure, or for any alteration or repairs to any �xisting building or structure, upon application therefore, require ��� pa���� �;f +=�c applicant for such permit of fees to the almount h�rein b�l�� �e� �����k� �.�s.�. : tthe manner herein prwided to-wit: UNIFORM BUILDING CODE: �pe 1, 2& 4-$2.15 for each one ich,ousa,nd cubic feet, or fraction thereof, in such cubical contentso �rpe �& 5�$le�� ��rc ��.ch one �housand ��,b�.c £eet. ADDITIONAL INFORMATION For the purpose of computing fees for building permits, the cubical conte��s of any building or addition, is determined by multiplying the ground area covered from a point six (6) inches below the floor linc of the basem��nt o� �he cellar to the avex�gg heights of the upper surface or to the aver�.�e h�ight of the s°oof suxface of the main gable of � pitched roof. For repairs or alterati�ns to an existing st�ucture, the fee shall be aL the rate of $3.00 per each five hundred dollars ($500.00) or fraction the�eof in the cost of all proposed work. In no case shall the fee charged for any permit as set forth in Section 2 be less than $5.00. VERIFICATION OF FOUNDAI'ION NOTE: 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 Certified Survey of the lot, showing the location of the foundation, once it has been constructed, will be required before proceeding with the framing. CERTIFICATE OF OCCUPANCY •Application for a Certificate of Occupancy shall be znade ten (10) da.ys prior to the use or occupancy of any structure for which a building peYmit has been issued; and said structure shall not be used or occupied until a Certificate of Occupancy has been issued. f ► !� / �. . r'' �� �< � i �. , � 7 i� I 1 �, i �, �� I N `� �� �� + I r� C? r I � N � c� I r� Ji �,� � ---- , --- ^ I � - ---_.. _ . `� ��, � -CCL--� �,.- - J _ -_. �__�_� , . ,. �� � �� ' � N -,' '�c�,J��,,�,_ . �� �� '' j. �s�, , � � � -' L � �,, ' � � '', -�t, ' % � � C) f;' f� �t^,���.J?'��� ;�� Cl U 1..��;��v� � � ,. Cl / / �, -- _ �J I� : rj � � �/ ,% � -�---O-r--------- -.__.---- _t. -------- �- , �,.�� � . u r'- , � � _ , , �' , - �' _ ,: �.� � �. �•- `�� ���. � , > � r Fr � �� � �� �., �, • - •� �t� ` �• � �� !7_S�.r�t_1.'�'�%t �3 �� . :" � �� �,.,.y� . � " . � I^ :'`/1 j, � i i __-_- -------=---- •b� � '. tr ; •- h -- - - - - �- - - •- - - - - - �- -� ---- � �"� ' ;d�'' \� �� '� �' , {� . ,� �— � � � . '�r��.���,°�'�lj,'�,�,,�� wJ 1` ���7 . � l.� . � 7�T�'�^.. (Jt� �J � � /'' .� �J `` ` ` y�.,/ � � . . _ � � � � ! /�`. � � y JJ -� `i ''��'C�. P /; ' ;• ,, ; ' / ,\ • �. `� `� j� � v ' ; . �: j /'� 1 , � . � �.l ( i � ,� � � Y ' � . • ---�_._. � � � �� N l. J �. I . _ . _. __ , ^ . . �` ��_`:—//ir.-G�///=__ -----�\`--� _� �-7��=__%_ � �*�' � 3>,^.:�ri(\,1"�l.' j'� ,,, � \� � " 39�-�� �; . � a. � r 7 .j `..- � �.1 ?j _-i : ' ��,��� � � - � O i i �J ,;,,',� j / � � j�.��. � ,a � •z , �y- i�;" /'' �'IF ,'•'/ �,i _ --- - � ' / : / /' �i b� �--:--�.--,Q.IG------- - - -__-- _•----.._.-- ------ - � , / , - : i ., b � - ---- - - �__ j�! / ' �' /� F' " (1'77 `�` r.� ' . �S c� n 4-i N ?,J� �' ; , �, ,., �l �.��� ,� /;�� j� (.. � � j j � c� � � ^.. ��1 �?J,.� ' �"�j �' _ , ' / o m � f � ��i: �' � �� � i ,/ ' �� p ',% " : •�% Q� ' -� �' / �.�' /�� • � � � / �..�'1V � �• p ,�,- ' %' o �- -------------- y� ��'� ', !� - �: . � ' //� �1% �-� ,'//��YY,'/ /% � /�; . /. _- _ -_____-_- � � �'r % �,?; _�y-7Z i�, � G� � %� '; ,^ '�k� /%. : ` %� . � � • , :��':��noHtv .�a � " �� i /'; " -� �, ' , y �-��y*� <' �, �` �/i'' i � .i� �� Q � C J � i :.y� �+�VI " t� /.' ,• / , I /', N �1 '�;' �:�' / ;- �/ C� 'j�'���3`�'U?ft� /;' �� , �� , J% � �^ / , �� ; t' , . .t} ,�� / . � :. %l, �% j/ ,- � i :./� ; � � ' � jf� �� -, .� �',��y� .�r�v c � . .. -- �i iv^� �1 \�j� r = - .� / ' a ,; ` f � J r� i r-- ''_� � � i r, _, ��� 1 / -�v -'1 1 ;,� r-- �_i ---a � 1. : r-- � ,-. ---+ ��� bZ r-- / - -1 JV� +�`�l� �� w,n � v v a e� % ti 7'"° �d � h \r' l� ��- � �. �4 , O ��� V �� r J � . � •- � �c��a�'��� N t> (� ' N � n ' / -- `` � c-, � N n C• i �� � �� i `I1 U I _ �� ���.� � � � � �� � � � �/�(i�]�pp7 -�� . 1 �3 i� 4Y �� 4l� , . �. _� � � a � � � � d �� `� .�' � � � � � � � d ^, �� a N ��� � � �� � $� ��;�w �� � �� a �, ��t� . o � � ° " � ���� A d ma:�� ffi�"i0 " 1 '�o,� : 9~� � � ,� � $ � ��� �+a�� � ��o� � � � ��� � �� � �� • ; � �, •� � �. ,_� -,.�E, 1�� � o{p . � � � o� �� O o `� � � a �� r% � � e8 � ss�w�w�o svo r�avo 4vo '1orV � IIaMf@7Aa �� �� �wavro � .� 'YNBiB sAw� � �M �a� �� � � �� s�aa.n � .� ��� i ° I r m ° � m � z � � � a , a` $ M � � � .� � � a U 3 q d �° � � � E I ������ � 1�...� '.�� ��. � ;i ; ,;, � ; � , �'� -- _.__ i 1�'��:�=;, �1;�; � � � �•-�■a• ; � ����'�' ; W � � W !,/ t�9 iii 1�- � � � �C � � � Z N W z � � z ��z ¢�`� � � � � ^ N lt'1 L� h O d' �^o. ��� � N Z n � � � W � 0 � � � �,�. � o � �° I � �� � � N� ° I � H� � � N I y M M M N M V} I � iA ri N��� il► � i4 N�IT • 1� . .. .+ • � � K x �e �� k M N M K :� � � �. Z � : C1 . . . • � . 00 • . . . . . . . : M� a o . . . e . o 0 a e a • • . • • • �+ � . a : � � . : • • 6% e . . F+ a . at o . o � � : � m � . � � . . : � � ° . w o � � ° '—�° a ' � v� e � o � � � � 0 4� o � � � � a� O m � � � a � �' o �� � � ° m ��� � � � ; � �:w � � � � � � � �;�� w � � � g 9 � � � � � � � � Y � � � 3 � S � � � x � � z � � � a� � � � a v � _�� �� � O � � r 0 � � � � i0 �'� � �r� t � � � � � � �� � 0 � � � � H W � J � � � �. ��� M � d � � � W � ��� �3b� � ��w d M � � a '� � o ,� � c� u '� ., a� � `��'aa iS,��q W �3o�c ���'� 'a'o a� � a Q q mRa+O 'v���� � � �mo� � � v � ��^v ���.. -��• �,�0 a � �9� I 1 � , ( � I � � � �sgg� �o .o cc M � : : 8 . . g � � 'O dl w W � � ' a .���� w� ����� ��"�a � � � � � � q � � �� � a a � � �+ � rl � b � � ,� � � ` , � I � o e � � � � � N N gsgss o md m �d eri � a�a � � � � � � � � ; N � � •Q � ta � � � � � � �o � ��� �� � � '� o�� ��~�a � � � � � S a � '� �� �a� � i � � � � � �° � I .� � I � E w M a° zl �i a � I � I z� b 0 I I I I 1 Iv+ � w w gg�g 0 o e� c� � M � � � �' � � �, �� a °� d � � �� � � m � � � � � x a� � �� 0 N M '� � � € '� w r� O w O O V� � 1 z � � z �� � � S 0 � � � W v � � z d � � 0� 0�0 � � �' y� V � �p 0 0 �. ( � O � F � en '�,,,'� � rs a 8 8 oc $ � 8, o � � N � � • ,� � : �X � : w � � d � � � � � O ~ � � 0 �' � � � � m � � �. � ; ��•;�s � ".� M � " � R q � O �� M � � � "��� � � � a o � � A � � � � w . � _ � � �� ���� ir � � o ���� �' a� � w � � � � � e-9.I d+J � � _ � � _ � � � n � � � > 0 � » Y t t � W � � Ln ui � rn � � � � i c+� � � � w � � � � � � � � � �• � o � � � V � • . m � � � � � � � �� � ��� � .;�, � ��, � � �� �� � ���� �� � � � � �, � 1 � � � � � � � � A � � � �� � ���� � � ,� � � �� i . ' �� � ' s 'r .� � i,`' � , ti� � • u1 w � � � �� �� lo � g � � � � � t��� � �� � � N a � � � .� � � �� � � � � � �q� o � � � ��� � � � � � .., � W � � W � s � � � L�i n � � , . . . � I I � � � � � � tn u� h � � y f/Y �� � � � � � p��������»� ; M k M M � � � � � • , r-1 , ' : • . • • . . . . • . , . • 4 i o i e ! � � • • • • s • � • i � • ♦ � • i • 0 0 � • • a • • • � � . . a . . . . . . . s • a � � • • • � ♦ • �! • •� Y • � j r � � 0 0 D • � • � � � � , s • e • a a a o � e . a m � , • • !�y A�ff � e o o • i � � M � s � � � . ► c • � • • a � • � � . � � . . . tA . � . � � � � � � . � � � � . � . • . . . . � ������ $ • � � � �% � � E i �����x � � � a � � �'i � 'Q s � � � � M � � � � � � � � � � � � � , � � � � a 9 ��� �� � �� � � .� � � � �� a � '� ��-= a ����� �� �� �y « � ���� � Q� ��� � ����� �O« � � �� � ���� � � �'� � I � � ; ' N .i ���g� � . � � � � �� � �� .� �� � � ���� � � d �� � `p� � a a � a .� � d � I Q a : a I � � � � 'I ; I ' � j « I . ; �� � ; o,, ;I � � � ml ,�, � , � � ~ � � 'O � b � � � � � !f i � E � �;� M � � �I �o m � z ' $ � o � "° li aG ."�. E� Ga O i � I � d geg8g �.���� � � � � � $ � R � � � S � � � �� s� � �� � ��� � ��� ��� .�� � � � + i � ; � � � f� � � I ' ' � w a a► R 8 $ 8 O� M R e9 � � � � � � °� a � � ~ ' �t � � � � � � ��x ����� �� ��� ��•� ��' � d i�� x� ��� � �W� � 0 � � � � � s p� � V � � � i � � � � � � � r� �� �� � � sw �� � $ � � � » � � � � � � ,I � I M � Rg�g 1� M FI � o p .� � ( � I : w � °� �� � ' � �.. � w����� Q~ �� '� � � ��� a� � � � a r � � � 0 � . � . � SuB�ECT ^ City of Fridley AT TNE TOP OF TNE TWINS r � � � `v � COMMUNIri OEVELOPMENT OIV. r � � PROTECTIVE INSPECTION SEC. 1 � � BU ILDING PERMIT ✓29611 IECEIPT NO. �� � j �"�1 � CITY NALL FRIDLE� SSI�2 NUMB[N REV DATH PA6F OF APVROV80 BY �""� � �'' 612-57�-3450 910-F13 6/3/99 / / JOBADDRESS ��XJ��C,���C��,F��,•5�3�3j�5577,5581,5585,5589,5593 E. Oberlin Circle � ��QA� LOT NO. BLOCK •TRACT OR AODITION SEE ATTACMEO oESCp. �' S 1 Innsbruck North Townhouses lst SNEET 2 PAOPERTY OWNEii MAIL AODRES$ 21P PMONE Maxine�bammen � 572,8241 RiCk's Roofi S ENGINEER MAIL ADORESS & Siding Inc. 18 q MAIL AODRESS � MAtI ADORESS �Residential 7 ClA83OF WORK O NEW 8 OEBCRIBE WOAK Rerroof ?Townhouse 9 CNANGE OF USE FROM STIPUUITIONS G O ADDITION 11 Z PNONE LICENSE NO 0 21P LICENSE NO. NO 0 ALTERATION XX REPAIR O MOVE O REMOVE Underlayment must comply with the State Building Code. SEPARATE.PERMITS ARE REOUIRED FOR ELECTRICAL, PLUMBING, MEATIN3, YENTILATING OR,"AIR CONDITIONINCi. TMIS PERMIT BECOMES NULL ANO VOIO IF WORK OR CONSTRUCTION AUTMOR12ED IS NOT COMMENCED WITHIN 80 DAYS. OR IF CONSTIiUCT10N OR WORK IS SUSPENDED OR ABANDONED FOq A PERIOO OF 120 DAYS AT ANY TIME AFTER: WOi1K IS EOMMENCED. I MEiiEBY CERTifY THAT 1 MAVE READ AND EXAMINEO TNIS APP�ICATION AND KNOW TME SAME TO BE TRUE ANO CORRECT. ALL PROVISIONS Of �AW$ ANO OROINANCES GOVERNING TMIS TYPE OF WORK WILL BE COMP�IEO WITM WMETMER SPECIfIED MEREIN Of1 NOT. TME GRANTING OF A pERM1T DOES NOT PRESUME TO GIVE AUTMOii1TV TO VIOLATE OR CANCEI TNE PHOVISIONS OF ANY OTNER STATE OR LOCAI LAW REGULATIN(i CON- STRUCTION OR TNE PERFOFiMANCE Of CONSTRUCTION S�GN�1Ui1EO�CON:RACTOp011�UTMOp12ED�G�Nf �DATE� � S7ALLS UATION 198 MIT FEE 53.25 OFfSTREET PARKINC IGARAGES E �ILi�I���1�I�! ��`� : !7 �aza LOAO r . 1M9Y-26-1999 N�W l 1 ADDN � [ ] �°►�'�'� [ l ;. .,.,.� . .�- . 14�09 FROM CITY OF FRIDLEY TO 65163�6491 P.0z1�3 EffeCtiV@ $/1�/99 rn � w GTrY OF FRIDLEY �]� � ly � SII�IGLE FANIILY AND DUPLE7�S �t X ANU R-2 (J` . . . . BUILDINQ PERMTT APPLICA'x'�ON �, ��� . , � . �, .�, , , � � �.�1��I1�.�'i�/. �'*' �� ' �' �� .�.� • • �. :��� � �� �� / , _ �� .r ' 1, �� l�__. s / s_ �,� 1: � 1 . � . : .� . � � ��ir LS ` I _� / 1 � / � , � ' ' 1 ■ � � ..AI ! � �L , � l� /�1C".Z � � ' Y.YY'VVII�T1�'ir AREA:. . _ GARAG� AREA: DECK`AREA: Attach to this appL'cation, a Certificat� o� Survey of the � lOt, wlth t$e p�pOSed CO1�St[1lCtt4A drawri OA it t0 scale. � D�SCI�'TYUN QF IlVII'ROVEMEN'� : I.ength ,_ Width Height Sq. Ft. c�� Lemgtb� _�_ Width H�ight Sq. Ft, �� _ Lcngth Widtb� Hgt/Grround Sq. Ft. �� � :�:�� l�lL��itiC�:.: i� � � I .��. ��� �_ �a i � � : �7.1�. ��: �. � � � / r ��� � � � -��� . - /I I i � / � i, ,,,L � i'/l�.�l� �/L �.� � t/ � r ' � / �-� ' � �-- � �� __¢ F'ue Surcharge Statc SurGharge SAC Cbarge License S�u�charge Driveway Escrow &osion Comrol P'ark Fa Sewer Main Cb�arge TOTAL STIP[JLATIONS: s 153�as $ %' o�� $ . �� $ � •O� S $ $ $ $ •� :G � .q � l ,` � � Fa Schedule on Reverse Side .001 of Permit Valuation (1/lOthgo) $.SO/$1,000 Valuation $iQ50 per SAC Unit $5.00 (S�te Lic�nsed Residential Co�tractors) Al� "A" o�r Alt. "B ° AbovC $450.00 (:onsarvation i'lan keview Fa Deternainod by Engin�xri� Agrcemer�t Necessary [ ] Not Necessary [ ] c�ty of Fridley AT TNE TOP OF TNE TWINS � � I L D I N G P E R M I T ;, ,� � ; y __��� COMMUNITY OEVELOPMENT DIV. r � � PqOTECTIVE INSPECTION SEC. � . . i----� �/'�'�'� CITY MALL ffiIOLEV SS132 NUM9@p REV OATE PAGE OF � 612-571-3450 s�aF�S 4/18/00 / / 108 ADDRESS 5573 East Oberlin Circle NE. �#fMIT NO. 30842 � �v `'r � . �vqpvED Br t LEGAL �OT NO. BIOCK TFACT Oq AOOITION SEE ATTACHED DESCR. ( 1 Innshruck North Townhouses lst SNEET 2 PFOPERTY OWNER MAIL ADORESS 21P PHONE Kim Zam.or 5573 East Oberlin Circle NE (763) 571-7914 3 CONTRACTOR MAIL ADORESS ZIP PHONE LICENSE NO Wellington Window & Door Co 3938 Meadowbrook Rd, St Louis Park, MN (612) 933-6300 a ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAIL ADORESS ZIP PHONE LICENSE NO 8 Residential CLASS OF WOFiK O NEW 8 DESCRIBE WORK Renlace windows 9 CHANGE OF USE FROM O ADDITION � ALTERATION � REPAIR TO O MOVE O REMOVE STIPULATIONS Provide smoke detectors in all sleeping rooms and on all levels of the dwelling per Section 310.9.1.2 of the 1997 Uniform Building Code. TYPE OF CONST. SEPARATE PEfiMITS ARE REOUIRED FOR ELECTRICAL, PLUMBING. MEATING, VENTI�ATING OR Alfi CONDITIONING 7MIS PEFiMIT BECOMES NULL AND VOIO IF WOAK OR CONSTRUCTION IONING AUTHORIZED IS NOT COMMENCED V!!ITHIN 80 OAYS. OR IF CONSTRUCTION OR WORK IS SUSPENDED Of; ABANDONED POR A PERI00 OP 120 OAYS AT ANY TIME AFTER WOiiK IS COMMENCED. NO. DWLG. UNITS I NEREBV CERTIFY TMAT I HAVE READ AND EXAMINED TNIS APPLICA710N 1 AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS Of LAWS yALUATION ANO OROINANGES GOVERNING THIS TVPE OF WORK WIIL BE COMP�IED WITH WHETMER SPECIFIED MEREIN OR NOT. THE GRANTING OF A PERMIT �2,491 DOES NOT PRESUME TO GIVE AUTMORITY TO VIOLATE OR CANCEL THE pEqM1T FEE PROVISIONS OF ANV 07HER STATE OR LOCAL LAW REGULATING CON- @ STRUCTION OR TME PERFOFMANCE OF CONSTRUCTION �pS3.2S S�GN4TUNEO�CON•AACTOpOp4UTMOA�2EDAGENT IOAfE� S�GN4IUAE O� OWNEA ��F OWNEp BU�IDEAi � � > PANCY STALLS OCCUPANCVLOAD OffSTpEET PARKING IGARAGES �1�25 SAC CHARGE F re SC $2.49 T � FEE ��z��� �s6.99 rr�w � , ADDN I ] �.I.�R [ l Construction Address: Legal Description: _ Effective 5/10/99 CITY OF FRIDLEY SLITGLE FAivIII,Y A��iD DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION 0 � ., l ' � '��a -3 �� rn �, �� c�� �`I31 Un.'�'�� J��' '� '� � 'N� � ��p s�i�a .. n Owner Name & Address: ' Tel. # %lo �j � r"J°7 % - � � I y '� Contractor �v-� ( l� ; � MN LICENSE # � Address • p( � I. �' � ,SS d� Tel. l� ����- �.��� � Attach to this applicadon, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. LIVING AREA: GARAGE AREA: DECK AREA: OTI�R: DE�GItI,P'�ION OF Il1�II'R�VFI�ATT Length Width Height Sq. Ft. Length � Width Height Sq. Ft. �n� Width Hgt/Ground Sq. Ft. � Constru.ction Type: � 1�� (IU 1.�� Driveway C�rb Cut Width Needed: DATE: -' "� APPLICA��1T: Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Frosion Control Fark Fee Se �er Main Charge TOTAL � � Estimated Cost: $ � "( G �s � Ft. + 6 Ft� = Ft x CITY USE ONLY —$ . Tel. # a7 , =�'�(/ V � -_ - $ �� � �'` �ee Schedule on Reverse Side $_�, �% � .001 of Permit Valuation (1/lOth%) $ �� �.�� $.50/$1,000 Valuation $ $1050 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 [ ] �'p � �'�,�,� - $ ��� � �� ���,.� . STIPIILATIONS:c�oY��j� G� � ��LG ��"�/.�1�- �*��-�- .�t �t� �� �� ��1��r�o �' T�.�� ����� � , - �- s��. � ��` � / � / ( �/ 7 L/�/Ji � � � � BUII,DI�i iG PERII�IIT FEE SCHEDULE The Chief Building Official shall, before issuing permits for the erection of any building or structure,.or for an3 addition to any existing building or structure, or for any �lteration or repair to any existing building or structure, upon application therefore, require che payment by the applicant for such permit of fees to the amount hereu 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 $1Q0,001 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 $2,000 $69.25 for first $2,Q00 plus $14.00 for each additional $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 fust $50,000 plus $7.00 for each additional $1,000 or fraction thereof, to and including $100,000 $993.75 for first $100,000 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 $1,000,000 plus $3.15 for each additional $1,000 or fraction thereof DRIYEWAY DEPRESSION ESCROW (�'oncrete C�rb Streets Only) Alternate "A": Removal and replacement of curb and gutter only - Driveway width plus 6 feet times $15.50. 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 $23.25. 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. /'rS . - a - - �. . _F �