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AF - 45485� �'< / �i City of Fridley, l�inn. BU.Q.DING PERMIT N� 3 2 3 5 nate: .. �.'....�..`:...:�..'�.- ................... ��`�� . � Owner ....................................... Builder ��.�.:.:...".................................... �, Addr�s ...................................... Address ............................................. LC�CATI�V OF BUILDINC3 �, ,., ,/�, � � .� �' �� . �. No : . � � . Street � '� " . . : . . h : . . . . . . . . . . : �. . . Part.�� Lot . . � . . ., . � `� �'� ��"'� �.f � `' � ,�� ,•�_ ,.. Lot . ...... .. .. . Black .. :.. .. ......... Addition or Sub-Diviaion .. �.. ..... :.. - . .. ..::�: - �-� �;� _ , , �� . . � . Corner Lot . . . Inside I.ot . . . . :: . . . . . . Setback �. ,. : ,� =. . . Sideyarfl . . : : . . . . r ' �� ......... ......... ......... DESCRIPTION O� BUILDING To b� Used as: . � -� -`, . i / �g _, C . � R � ./'"�'°'C%_ F , , v�, Front .� : ..'.. . Depth �:.', :. .. . Height �'� Sq �► �` / r � t� ; .. . .............. ........ Ft. ..'�..... G�.i. Fk ::..... . . . . . . . . . . . . . . . . . . �+'ront . . . .Degth . .. He�Tght � .� Sq. F't. . . . . . . . . �u. F't. ...... .. � � � of ConstrucN3on� " ^< '�,"' a .:...... To be Completed � , � Ty►pe ..� :..:......... �at. Cost......w... . . ............... l.' / �r +.� r'� .� A � '��. ; � � � , � � Q� ,,•-� � , ;. � ,F��► . ._ . jl: i' � , m _� , T . „ ,+ r , _.,, _ ,. _. _ ,�_ . . : ° ,� �. - - _ _, ;, ; In consideration of �he 3ssuance to me of a permit to con�truct the buildfug de�ribed above. I agree to do the proposed work in accordanc� with the descrlptilon above set forth and in compliance with all provisiona of ordinances of the dty of Fridley. ' � .................................................... <^ � / A I • In consideration of the payment of a fee oP $: .....:.., permit fs hereby granted to ,.: :` ' `�^ . . . . . . . . . . . . . . . . . . . . . . . . . to construct the building or addition as described above. This permit ia graated upon the express condition. that the person to whom it 9s �a,nted and his agents, employees and worl�nen, in all work done in, around and upon said building, or any part thereof, shall conform in all resgects to the ordinances of Fridley, Minnesota regarding location, constructaton, alteration, maintenance, repair and moving of bu3ldings with- fn the city limits and this permit may be revoked at any time upon violation of any of the provisions of said ordinances. � � �� r . s � P l •�°^ � /�� "/ � BII�C�IIg�1II8�12C'�OT �... .P:... .... .......�, NOTICE: This permlt does not cova� fi.he construotlon, installai;ion or alteratlon for wl�ing, p sewer o� water. Be sure to sea the Bullding Inepector fo� saparate permlts fo� thess v . gaa heating, , BLOG/� .3' PA�PI�I//EW yE/6f1TS �lDO/T/ON � .. �. INDUBTRIAL � '. V ` t PLA7TIN0 C. E. COULTER BUBINE88 FARbI6URVEY6 a�rr �o�rs LAND SURVEYOR uKeeMOae 'roP06RAPHIC MAPPtroO IiEG18TERED UNDER LAWS OF STATE OF MINNESOTA �uDICIAI. LtCENBfiD BY ORCINANC6 OP CITY OF MINNEAPOLIB 3300 LYNDALE AVE. 50. MINNEAPOLIS 8. MINN. TAYLOR 4-0370 _ SURVEY fG'!�' BE/VSON L'ONST�UCT/ON ' �urargur'� �rrt�tr Se'�� / �� :30 / G� G� /�A T/-/'.A l�r� Y, L A�� . , ^ --76' - = — — � - o � , �0 � . � � � � � M / . - - j8=- -_ � �Q, - �-, � �- .; � P�o�as�d �i � � /�eside�ce . � � ''�"1 � .. . i � _. . � , ' , � �,� \ , _ � � -� � ��G� ��'c'�`.° , o . o , �, � � �_�� . \� D�'g%naye � Ut�/,fy E�semanf �� I -- -- --76=- i - I I hereby certify that th� above is a true and correct plat of a survey of : Lot Four (4), Block Three (3)� PARKVIEUV HEIGNTS ADDITION, Anoka County, M4nnesota. As surveyed by me this 6th day of August 1958 A. �. � �� 9igned a - �,�.�� innesota Registration I�o. 2584 �pproved by �uilding Ins ect r P or ; _ _ :, ��, � +-�- _ sz�� F S� � i � � � ��` � c� q,. . � �� O 3 � '� � `'�, (n � � � � � » �k" � y �" x� � o �� o �� w� � � � H � � � � � � � e��- "R � � � � � ;c � �� o = c� � � � a -� � - {^�' fTJ � ?.� :�3' L, �� _ - : x b � M M x � � ,� o �- � �, m � �: � O F� r � � � � � o a a �I b� � o 0 � � o�� a o ,� � � � o ��, � � � � �� o� . � : � � . � . � : . � . � . : � : : : : �p' ' : : � � � � � � �F+j' Y� � M � D� � � M � � � � y t� t� � � � � � �� '�� °� �. � � � � o o � � � o � � � g � � �. b ; � �. �� $ o � p'�_ • � ea ,°c : : �' s� � $ : : � O � q O i � ° : : : � '�d � : : : � il P ' ' . . ' � � � � � � � O O O O O O O � � � � �/� � v+ `Q � � � � I � �' Z w � y ` � ;n � � � � �� G� � � w � °N, byd o � G � ;�i � ,�., �° ,� � � � � � � G� 0 � � � �� z �� o � ,� � � x M 0 � � 0 � � � � � b �b � S �'�� , �� ° � � ° � � � � �� D � � � � � ��: � � .� � � : : r" � . . �: �•°: : � 0 p � . . � � � ' : : y ��,�� N��,�� O O O O O O O O O {� t!� 0 � � � Q VG! � � � � � a � � � g �� 1 � � M M � � `�; �`�s ��' "'i,�' ,� � F},: � . 5� �� v �, .. R� i � L � � �a � � � � °H, ��p � �o qg c+. � y�p?'� H � � fD �+•� � oa °t� d��. m � ° ,��p � p N C' � ��a � �� '� m��'�(� �� 0 y e�'f m Cip��,et —I ��-,a.op �°' �q �y �� o�� j � fRD M �*�� '.� � � o � � m � �� ' w�� _ T C m n M M � � � ` o � g C � � a l, y o � � 7 � � '� — � o ♦•, � Q 0. � y�' � �7 � � � ; �y� � � � �� A � <� ,,y,� � � p = � � � �p 3. � O. I I I I �� I � City of Fridley, Minn. BUILDING PERMIT ��: S� PT�iB�B 6 , 1967 Owaer: ROSERT E. BL,�'CI�BUBN g�� S: T+IC �,d� 1�iC1 �'>37�'.W'�Y L�"°,NE N. �. Address FRIi1L�Y, MII+A�SUT.. 55421 �T� 9�36 LOCATION OF BUILDING No. 106� Street &°.THAlf+i1'�Y I.�' NE N. E. Part of Lot Lot �' _ Block � Addition or Sub-Divisian P�.RKVIEW HEIGHTS Corner Lot � Inside Lot — X Setback Sideyard Sewer Elevation Foundation IIevation DESCRIPTION OF BUILDING To be Used as: D�T. G'�R^�GE �t 24 �p,� 24 H��t 10 Sq. � 576 �� ac� 5,760 Front Depth �Teight Sq. Ft Gti. Ft Type of Construction E'S;`�T�SE F�t. Cost �. � 1, 000 �..__ To be Completed In c�aideration of the isauance to me of a permit to conatruct the bufldiug described above I agree to do the proposed work ffi accordance with the d�escription above set forth and in compliauce wlth afl provisions oP ordinances oP the dty oP Fridley. In conaideration oP the payment of a fee of ��' �'`� � permit fs hereby graated to RQBLRT E. BI.6>CKBUBN to cronstruct the building or addition as �described above. Thispe rmit is granted upon the express eondition that the peison to whom it is granted and his agents, employees and workmen, ffi all wark dane in, around end upon said building, or any part thereof� at�all conPorm in all respects to the ordinance� of Frldley, Minnesota regarding location, conatruction, alteration, maiatenance, repair aad moviag of buildinga within the dty ]imits and thfs permit may be revoked at any time upon violation of any oE the prcviaiona of said ordinancea �I..F.El"CE BELISLE Buildins' Inspector NOTICE: '�his ps�mh doa eot cova t6s eoesfrueH�, In�taONfon �e� wiriao, plumbteo, oa huNea, nwu e� mahr. B� aon to sM 1M BuiWiee Imp�etor te� apuaM p�emNs Por f6�a itunt. �, �:%� :�,,, �,�r , ;� -a � �a� : � OWNER' S Nt�ME "% P.� ,,.� u� � A:'�?'�daJ�.�+':i.'!'�.iJ:� ?� 1;it ,�TI?��rD ��xC, p.TS' s�'' Li C.� a i o�' Fw�:il:�� , ri � 1�'�;�st2'�A '� � G/� �7�1'' t�� `l�'l. ( Y, , ADBP.ESS ' LOCA��ON OF IIUI�Di�+G _ _ N0. r/ O� O STREET �� a Gtr o��PART 0'_�' I,OT LOT J BLO�K ?j AD�IZ"�ON dR Si3E�D�.�IiISTON �,P�, , e.P �.� ��' CORNER LOT INSZDE I�OT SETSACK � SIIlE-YARD �_._._.._ SEWER ELEVATION FOLINDATIOPI ELE�ATZON �pplicant attach to t�is form Two Ce�tificates of Survey of Lot �nd p�oposed building location drawn on these Certificates. To �e U�ed As: UESCI2IPTI0.1 OF BUILDING , . �-. � . Depth � fleight � � 5q. Ft . �`/ / � Cu. Ft . � 7 � � Frant • Depth �ieight - . _ - .. Sq. Ft. � Cu. �t. Type of Construction Estimated Cost ��/, �, �s � ___ To Be Completed �� ./ l L/�� The undersigaed hereby makes a�piication for a germit for the work herein specified, agreeing to do alI work in strict acevrdance wiCh tha City of Frid?ey Ordinances and rulings o£ the Department of Euildiags, and hereby declares that all the facts and representations st�ted in this app:ication are true and correct. � /G � ' - � ��7 � . �� DATE / �� SIGNA ��Z� (Schedule of Fee Cos�s can be found on the Reverse Side). � �� =� '-- t a � � � s. � 0 0 BUILDING PERMIT FEE SCHEDULE SECTION 2. The Inspector of Buildings shall, before issuing permits for the erection of any building of structure, or for any addition to any e:�istino . building:or structure, or for any alteration or repairs to any existing building or structure, upon applicaL-ion therefore, require the payment by tne applicant for such permit of fees to the amount herein below s•et forth and in the manner herein provided to-wit: � Ur.iform Buildin� Code: Typz 1,2, & 4- $1.75 for each one thousand cubic fzet, or fraction thereof, in such cubical contents. Type 3 b:5 -$1.50 for each one thousand cubic feet, -- � For the purpose of computing fees��for building permits, th� cubical contents of any building vr addi,tion to a uniform height throughout by multipluing the ground area covered from a point six (6) inches below the floor line of the basement or cellar to the average height of the t�.pper surface or to the average height of the roof surface of the main gable of a pitched roof. . �'or repairs or alterations to an existing structnre, the fee shall be at the rate of $3.00 per each Five Hundred Dollars ($500.00) or fraction thereof 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 $5.00. � NSSSD Connection Charges based on location- Area 1�r 2. � � - , . � � - r+?1 �+'" � ' ' '`. - � SUBJECT City of Fridley AT THE TOP OF TNE TWINS g � I L D I N G P E R M I T r � � COMMUNITY DEVELOPMENT DIV. L PROTECTIVE INSPECTION SEC. i ♦ .�� r ; ' '; l•---� �"',.� CITY HALL FRIDLEv 55432 NUMBER L 612-571-3450 910-F15 JOB ADDRESS 1060 Hathawa Lane NE t LEGAL LOT NO. BLOCK TRACT OF ADDITION DESCR. 4 3 Parkview He 2 PHOPERTY OWNER MAIL ADDRES$ Gregory & Melinda Roth 3 CONTRACTOR MAIL ADDRESS Owner 4 ARCHITECT OR DESIGNER MAIL ADDRESS 5 ENGINEER MAIL ADDRESS 8 USE OF BUILDING Residential NEV DATE PAGE OP 8/18/98 / / 27276 O. � c�(S O AVPROVEO BY SEE ATTACHED SNEET ZIP PMONE LICENSE NO. ZIP PHONE LICENSE NO. ZIP PHONE LICENSE NO. 7 CLASSOFWORK � NEW ❑ ADDITION O ALTERATION � REPAIR O MOVE O REMOVE 8 DESCRIBE WORK Reroof house and �arage (20 Sq) Tear-off 9 CHAN(3E OF USE FROM TO STIPULATIONS Underlayment must comply with the State Building Code. TYPE OF SEPARATE PERMITS ARE RE�UIRED FOR ELECTRICAL, PLUMBING, NEATING, VENTILATING OR AIR CONDITIONING. THIS PERMIT BECOMES NULL AND VOID IF WORK OIi CONSTRUCTION ZONING AUTHORIZED IS NOT COMMENCED WITHIN 80 DAYS. OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF /20 DAYS AT ANY TIME AFTER WORK IS COMMENCE0. NO. DN I NEREBY CERTIFV TNAT I HAVE READ AND EXAMINEO THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS VALUAT AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT 1661 DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE pERMIT PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGUTATING CON- STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. S�F.I SIGNATURE Of CONiRACTOR OR AUTIiOp12ED AGENT IDATE� l �� UNITS SQ. STALLS OCCUPANCVLOAD CU. fT. REET PARKING IGARAGES , E r�w .- ADDN ALTER .� ] [l [l CITY OF FRIDLEY SINGLE FAMII.Y AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION � ConstructionAddress: ��Q� ��gC�y L�►�e. �,� . Legal Description: Effective 1 / 1 /98 ��6 � �( Owner Name & Address: � � ��^ �q � �� n.� '�C7't �l Tel. # �j� � "�j� �Q � �( Contractor: � � g� �� MN LICENSE #� Address: LIVING AREA: GARAGE AREA: DECK AREA: � OTHER: Construction Type: Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. Length Length Length DESCRIPTION OF IMPROVEMENT Width Width Width Height Height Hgt/Ground Tel. # Sq. Ft. Sq. Ft. Sq. Ft. Estimated Cost: $ (Fee Schedule on Back) Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x$ � � DATE: � � � � � �� APPLICANT: � �``�"�(1 Tel. �� '�Jy- �p3 Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee Sewer Main Charge TOTAL STIPULATIONS: � S� �� $ �- �n % $ �.� $ $ $ $ $ $ $ ��- �� CITY USE ONLY Fee Schedule on Reverse Side .001 of Permit Valuation (1/lOth%) $.50/$1,000 Valuation $1Q00 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,(}00 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. Altemate "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 DATE � (� STfE ADDRESS _ 1'HIS APPLICANT IS: PROPERTY OWNER/ TENANT CONTRACTOR SUBMIT A COPY OF YOUR STATE LICENSE WITH APPLICATION BUILDING RESIDENTIAL APPLICATION CITY OF FRIDLEY � �'..�7 i ■ � YOUR E-MAIL ADDRESS �� `� � N f �ONTRACTOR �.� ld� STATE LICENSE # 20 ° aDD�ss: 2�L�15 GY S, PHONE ��- L(p � -�v S O`Z— PROPERTY TYPE I,� SINGLE PAMII.,Y/NEW CONSTRUCTIi ❑ TWO FAMII,Y/NEW CONSTRUCTION PERMIT TYPE � �DTIION ❑ BASEMENT FINISH ❑ DECK �rE oF woxx: I o �W ❑ MAINTENA DESCRIBE WORK BEING DONE:_ SIZE OF IlVIPROVEMENT ROOFING , tj NUMBER OF SQUARES � GARAGES PROPOSED SIZE: PROPOSED HEIGHT: SIDING ❑ Vinyl O Aluminum ❑ Other WINDOWS IN EXISTING OPENINGS DYes �No OR FOR NEW OPENINGS-DESCRIBE SIZE OF OPENING CHANGES & TYPE OF WINDOW TO BE INSTALLED � � ��I i � V f1 FAX N J� crr�r Pernut No.: Received By: Date Rec'd: a�¢� SS'F �' DATE J 3 I �� 1' c �A �� STA�IP S��v3 °� � 3 1.5 °'� � 9 5'13 ❑ ROOF ❑ SIDING ❑ SWIMNIING POOL 0 ADDTfION PAIIt � REMODELING , .c� i� — �� o LENGTH WII O HOUSE ONLY ❑ HOUSE & GARAGE ❑ ATTACI�D GARAGE ❑ DETACHED GARAGE ❑Soffit ❑ Trim ❑ Fascia LOCATION OF WINDOWS NUMBER ❑ DRAIN TILE ❑ OTf�R HEIGHT Ft. BASEMENT REMODELING SUBMIT: 1. Existing Floor Plan 2. Proposed floor plan 3. List of structural members to be used FOR NEW CONSTRUCTION INCLUDING DECKS, ,ADDTfIONS & PORCHES SUBMIT: 1. Site Plan/Survey showing the existing structures and proposed project 2. Two sets of construction plans 3. Energy Calculations ALL FEES ARE BASED ON VALUATION, INCLUDING THE COST OF LABOR AND MATERIALS: (USING THE 1997 U.B.0 FEE SCHEDULE) TOTAL JOB VALUATION $ I1 �°� �_o � OCCUPANCY TYPE __ Permit Fee $ (�,5, /� See Back Page for Fee Schedule I Plan Review $ 65% of Building Permit Fee Surcharge $ (.0005) times the total job valuation — Minimum $.50 Fire Surcharge $ f �°� .001 x Permit Valuation (1/10%) License Surcharge $ .� $5.00 (Staxe Licensed Residential Contractors) SAC Charge $ $1450 per SAC Unit (Plans to MWCC for determination) Curb Cut Escrow $ ft+ 6 fi = ft x$20 =$ Erosion Control $ $450 Conservation Plan Review Park Fee $ Fee Determined by Engineering Sewer Main Chazge $ Agreement necessary () Non Necessary () Total Due $ �. Make checks payable to: City of Fridley Attach Stipulations THIS IS AN APPLICATION FOR A PERMIT-NOT VALID UNfIL PROCESSED I hereby apply for a building permit and I aclrnowledge that the information above is complete and accurate; that the work will be in conformance with the ordinance d codes of the City of Fridley and with the Minnesota Construction Codes; that I understand this is not a permit but only an application or pernut and wor is not to start without a permit; that the work will be in accordance with the approved plan in the case of all work w'ch quires r i approval of plans. SIGNATURE OF APPLICANT ^ PRINT NAME �� DATE 1 � � � �� Page 2- Building Residential Application BUILDING PERMIT FEE SCHEDULE The Chief Building Official shall, before issuing pemuts for the erection of any building or structure, or for any addition to any e�usting building or stntcture, 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: VERIFICATION OF FOUNDATION Permits for construction will be issued a minimum of 24 hours from the time of application to a11ow for proper review of proposed structure and of the construction site. A Certifica.te of Survey of the lot, showing the location of the existing foundation will be required before proceeding with the framing. New Houses Onlv City of Fridley Building Inspections Department 6431 University Avenue NE Fridley, MN 55432 763-572-3604 Fax: 763-502-4977 Building Inspections 763-572-3604 SITE ADDRESS I l��l.) THIS APPLICANT IS: PROPERTY OWNER/ TENANT CONTRACTOR SUBMIT A COPY OF YOUR STATE LICENSE WITH APPLICATION PROPERTY TYPE PERMIT TYPE TYPE OF WORK: BUILDING RESIDENTIAL APPLICATION CITY OF FRIDLEY YOUR E-MAIL ADDRESS � �OWNER �CONTRACTOR 0 NAME: STATE LICENSE # EXP DATE ADDRESS: CITY PHONE FAX O ADDITION O GARAGElSi-�D ❑ WINDOWS ❑ BASEMENT FINISH 0 ROOF � DRAM TILE ❑ DECK ❑ SIDING ❑ OTF�R O SWIMMING POOL ■ � +r ■ -�� •� ■ u, i��.:_ �1:_ •�r ■ • a� . � r DESCRIBE WORK BEING DONE: SIZE OF IlVIPROVEMENT NUMBER OF SQUARES _ GARAGES PROPOSID SIZE: PROPOSED HEIGHT: SIDING v�,yt ❑ Aluminum ❑ Other WINDOWS Il�l EXISTING OPENINGS �'es ONo OR FOR NEW OPENIldGS-DESCRIBE SIZE OF OPENWG CHANGES & TYPE OF WINDOW TO BE 1NSTALLED ❑ HOUSE & GARAGE ❑ ATTACHED GARAGE � DETACHED GARAGE OSoffit � Trim O Fascia LOCATION OF WINDOWS Permit Received By: Date Rec' .TE ZIP ATE ZIP HEIGHT BASEMENT REMODELING SUBNIIT: 1. Existing Floor Plan 2. Proposed floor plan 3. List of structural members to be used Ft. FOR NEW CANSTRUCTION MCLUDING DECKS, ADDITIONS. & PORCI3ES SUBNIIT: l. Site P1anJSurvey showing ihe existing structures end proposed project 2. Two sets of conswction plans 3. Energy Calculations ALL FEES ARE BASED ON VALUATION, INCLUDING THE COST OF LABOR AND MATERIALS: TOTAL JOB VALUATION $IN�'THE 1997 U.B.0 FEE SO �D �E� �E Permit Fee Plan Review Fire Swcharge Surcharge License Surcharge SAC Charge G�rb Cut Escrow Erosion Control Park Fee Sewer Main Chazge Due $ �' ,.� � See Back Page for Fee Schedule $ T 65% of Building Permit Fee $ L�.� .001 times the total job valuation $ � e� .0005 x Permit Valuation Minimum $.50 $ $5.00 (State Licensed Residential Contractors) $ $1550 per SAC Unit (Plans to MWCC for determination) $ ft+6ft= 8x$21=$ $ $450 Conservation Plan Review $ Fee Determined by Engineering $ Agreement necessary ( ) Non Necessary ( ) $ ��(� �� Make checks aavable to: Citv of Fridlev Attach THIS IS AN APPLICATION FOR A PERMIT-NOT VALID UNTIL PROCESSED I hereby apply for a building permit and I aclaiowledge that the information above is complete and accw�ate; that the work will be in conformance with the ordinances and codes of the City of Fridley and with the Minnesota Construction 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; that the work will be in accordance with the approved plan in the case of all work which requires review and approval of plans. SIGNATURE OF APPLICANI'��Q Q�� C>�� PRINT NAME��c�� 1�� DATE I O l� 1�� Page 2- Building Residential Applica.tion BUILDING PERNIIT 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 FEES $1 to $500 $23.50 (Minimum Fee is $23.50 plus surcharge) $501 to $2,000 $23,50 for 1� $500 plus $3.05 for each additional $100 or fraction, to and includin $2,000 $2,001 to $25,000 $6925 for 1$2,000 plus $14 for each additional $1,000 or fraction, to and including $$25,d00 $25,001 to $50,000 $391.25 for 1� $25,000 plus $10.10 for each additional $1,000 or fraction, to and including $50,000 $SO,Q01 to $100,000 $643.75 for 1�` $50,000 plus $7 for each additional $1,000 or fraction to and includin $100,000 $100,001 to $500,000 $993.75 for 1�$100,000 plus $5.60 for each additional $1,000 or fraction to and including $500,000 $500,001 to $1,000,000 $3,233.75 for the 1�` $500,000 plus $4.75 for each additional $1,000 or fraction to and includin $1,000,000 $1,000,001 and up $5,608.75 for the 1�` $1,000,000 plus $3.15 for each additional $1,000 or fraction VERIFICATION OF FOUNDATION Permits for construction will be issued a minimum of 24 hours from the time of applica.tion to allow for proper review of proposed structure and of the construction site. A Certificate of Survey of the lot, showing the location of the existing foundation will be required before proceeding with the fra.ming. New Houses Onlv City of Fridley Building Inspections Department 6431 University Avenue NE Fridley, MN 55432 763-572-3604 Fax: 763-502-4977