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AF - 45847�, ^ City of Fridley, Minn. BiJI�ING PEI�MIT /� /3 - - -� Date: ._..�1.._......._.----••--------._........---•----•....._._.. N° 4358 Owner: ..--•-�-••------------��--�---��----------•----.._..........._.._.._..._..---•-----------•----._.... Builder �,��Y� :..-•-•----____... ._.�._. .._..__.._._....�_... Addresa....._ .............--•-•----••-.__.._...._.._..._...._....____.._.._..___..._....._......... Address OCATIO OF BUILDING �/ . ,. No. .... .....�.�..,.1.. Street .---- -•- -- - --------•� ----_...._.. .. . .. -.lk� ............... Part o Lot .--�--�---........................�_..........�,_.... _-- Lot ....._..._��-----.. Block ----._.....-�---,........- ............... Addition or Sub-Division ...��-r-�---....-•�------------•-----••----_._-------• Corner Lot ....--- .............._... -._. Inside Lot ..--X- ................... Setback ._.��.�_..-P��--.. Sideyard .. .f_..C:9_-'.�...�-----------.._............----- Sewer Elevation To be Used as: ,cVbc-.*..�--......- --•--�--- Type of Construction Founda.tion Elevation DESCRIPTION OF BUILDING Front .l--� �P--�°-'.. F/ Depth ..�.C?1.'`� Height �. ��.. .:P � �Sq. F� ��. �� Cu. Ft � � �../ � Front ��-• -�. Depth .�._:.7....... � Height ��_'.-�' S9. F� .'�!.rf...�! Cu. F� ..I�.l...� � � .................................................... Est. Cost..........�,�~��.�..."'�.Co be Completed ......----��--•--...---..........._...............-- � In considera.tion of the issuance to me of a pernut to construct the building described above, I agree to do the progosed wark in accordance with the description above set f h and in compliance provisions of ordinances of the dty of Fridley. ��' � n � %� ��i In consideration of the payment of a fee of $..� . ..................... permit is hereby granted _..._._.____._.........._....._._-----.------..._... to construct the building or addition as described above. This permit is granted upon the express cottdition that the person to whom it is granted and his agents, employees and workmen, in all work done in, around and upon said building, or any part thereof, shall conform in all respects to the ordinances of Fridley, Minnesota regarding location, construction, alteration, maintenance, repa.ir and moving of buildings within the city limits and this permit may be revoked at any time upon violation of a�}y of the provisions of said ordinances. / BUll[ZIIIg L13�CtOP NOTICE: This perntif does not cover the eonsfruetion, installetion for wiring, plumbing, gas heating, sewer or waler. Be sure fo aee the Buiiding Inapeetor for separafe permils fo� these hems. �. � X .� y.�.., ,�a�Q p�y � •:. ' _ vi`'k#,��.. "' ::��+i�i-.i• , R°�'hN � i� �'ypT'�J i ti, , � ...,,.A � . .'Fj'K : . i t' ... .. ' . ` �• � . , +y .' . . :..�-, �r':_ .. - r, . .�: Y' . �#�.:a k � ..-.... . . . . , , . ; �_, . 5�i .. .. . ,. � _ ' � ia /y �� v�i'��# �e� �. / ' �r/��+ �5 1k01►iT1�.,�4 ' �V � � • �i: , � 3Y(? ,t�. �, �`- Ri .� '', �� 11i1NSN . . . . , . � � . . , , LAND Sii�RVEYQtR � °` ' errr w+� � �•. ?IFMMOMIIA�C �fAlrtxs REali7BREG U#fi6R LAYI�Y QR fTATK Cf MtNNEfOTd1 �1�'ru�t,.�<; _;; - � , .� � � � LICiNfEO��Y_ORbINANCLf��CITYfif��/F�ffNLAFO<Iw� 3300 LYJ�iDr!►LE a41/E. 50. MlI�iN�At+QLiS 8. M1N1+1. ' TAYLOR 4-O�TO . �RUZ�at�'� It�attt� � q `- . " . . . �� . . � � . � � . .. � .. . . . . . � . . �� ' . �. . . � �� . . . . . . �� -� ��. � . . . . � � �� ' . � .. . � � � ' �' . � . /.'�t tri A�rl�l � .3 .1 i�� ` � 1 . � � � . i; �' � �. ' � , � �►- /0 � ; ° �V � � L� , �� ► +� � �? : , � � , �' � �. a � � � � _ro �� ,� � , � iai �s �� l l� � � � � �t� V .z � ;: , : : z 3�ra�ixy c±�r�tif� tb�� t2u 1� is a true an��i c�rrs+�t pl�at a� a��,��s �� _:, 3.1at T�n i l�i , S�.+ack �r�e (1) . OSTKAD't' s TiilRt� �3T'Zt� �ka C�tat�,. - ;E� . �1nn� 4�t�► . ,� LL�; . �,_� ; . . :��"�;:. . ,� � A�s: s�a� 3,� � ti�t 19th day �i Ja�ary 1957 � R. D, ,, ' � , . . � _ . ; r . . , � , :`� � � � . . . . . . � . . �Jr�%�� - � y� �, �. � � - . . .. . . .. - . . �1�L�sY�.`��+1►�t �F �~°..� � �;� . , . . . . �r"': " r,ru � � . � ' � . . . - � ��. ♦ � . � � � � � � � � � 5 � ��c �� i �� ' > "'� . � � . � � . . . . � , � . . , � > �'"w . '�� _ . , �. � : . . . � �, }? � .. , _ . � . . � . . . . � ' � `. �.� �,.-� .x� , y.. , A, r � 4 � -�� '�' � , �� h, J � S � : � � . f� �AAF�' � . ... L'� � A� . � -f .1 ' . � . . � 3 ` .«' �k ,C � � � ' � - . �� . � J Y �� ",�yv '� � .�... .:`.. . .'.. . _ m.. - � . . . .. .. �.. . . , . � �� . . � .. � . . � .. ..' -... . . : . . ` ' . . . " • �. ,- , , � �.-� � r-� , . � , - - .,.�,� . _ . _ . .: . . . . . . � - . . . _ . � . . ,. "� « p, .x�3.'+a. .::. _. ., i� _ � a . . � � � � O � p � : w : °x :� . m . M ; o � a . m � ' � � � • � � N � � � e�i r !"� ra � � � � � � � � O � � � O • o � o : o.: � � : � � k � � � � O O O � � O H � � � � - l. �,�� , , 4� � . ^ � �� tp" � � � � m � � z�. � � � � � �j R�, � � � � @ „ � o � � m � � � � � �d � : O � � � ¢ ,� � �° ��: ��.: � W r°oo : �' : 0.8 � � . . . � : . . . : � : ' : : � � Pd pQ y: C4 >C i! ea t� W ►� r � � C�7� p C�i� O O� O � {fl {� {fl HJ i-A ffl . y 0 � O c[i x �.. n � � � -- � 0 D � r � � m N n _ m C r rn � • aa ca N ►� tp � G. R, � � x� e � @ .... � � � � p � � I �� . a � ❑ � a � � a� a. a. A � � � O y � � 8 � °� � � o � �' � � � �' � � � �, �.- — � - - - � ? WATER CLOSETS URINlLLS nnrH rues BNSINS SINKS W�+ �� DRINK. FOUNT. sr+was. FLOOR o�� BASINS nuro w�n GAS' MPL RANGE GAS OPENINGS � • 2 • �y in D A m � A aa.� � � �� ° ~ �� aa � o� � � � o�� b -�- � �-o � - �� ' � � `� � ��° � � 'ii � � � � R7 � � � � � � � O � p � o �aop �� H �'�.� m � � � �. � � �� ti �� o .. ��:x � �� m p ►�i � � � � �d �A �ro a0 �x �x �°n p � w. � �n w � � � � �i � � C �: � � � � � T r d p. �- � t�" tl� � � ° �M � � V �'_ � � � � A � �. A V O 0 . `� � �' C_.:�c-�. `�� SUBJECT P City of Fridley 16 4 5 5 ATTHETOPOFTHETWINS gUILDING PERMIT r � �� RECEIPT NO� � `L _____ COMMUNITY DEVELOPMENT DIV. r j � PROTECTIVE INSPECTION SEC. 1 ` � � /"'1 � CITY HALL FRIDLE� 55432 NUMBER REV. DATE PAGE OF APPROVED BY �'"'"� � �� 612-571-3450 910-F15 / / 11 3 81 10B ADDRESS 7OZ% H1C�{OY'j% D11Ve N.E. 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. l� ], �S'�dII �S Third Addition SHEET 2 PROPERTYOWNER MAILADDRESS 21P PHONE Doroth� Berry 7027 Hickory Drive N.E. 57Z-1105 3 CONTRACTOR MAILADDRESS ZIP PHONE LICENSENO. Presi�ige Huilders 10455 Jefferson Street N.E. 784-9755 17979 4 ARCHITECTORDESIGNER MAILADDRESS ZIP PHONE LICENSENO. 5 ENGINEER MAILADDRESS 21P PHONE LICENSENO. 8 USE OF BUILDING R�Sl�ri't].d�. 7 CLASS OF WORK ❑ NEW ❑ ADDITION � ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Reroof hous.e and atta.ched ara e 9 CHANGE OF USE FROM TO STIPULATIONS Roof can be 2nd but not 3rd roof. Insta.11 galvanized valleys. SEPARATE PERMITS ARE REQUIRED POR ELECTRICAL, PLUMBING, HEATING, TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD VENTILATING OR AIR CONDITIONING. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING SQ. FT. CU. FT. AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OFi IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS OFFSTREET PARKING I HEREBY CERTIFY THAT I HAVE AEAD AND EXAMINED THIS APPLICATION �. STALLS GARAGES AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS VALUATION SURTAX AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT $2,415 yS]..2]. DOES NOT PRESUME TO GIVE AUTHORITV TO VIOLATE OR CANCEL THE pEiiMIT FEE SAC CHARGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- STRUCT OR THE PERPORMANCE OF CONSTRUCTION. yti`3$. �jO PLAN CHECK FEE TOTAL FEE �' � -� ^ �j / $39. 71 SIGNATUREOFCONTRACTORORAUTHORIZEDAGENT �DnTEt �'=' WHEN PROPERLY VALIDATED THIS IS YOUR PERMIT i�� SIGNATUREOFOWNER�IfOWNERBUILDERI IDATEI BLDG iNSP ATE CITY �F FRIDLCY Effective Aug. 1, 1981 APPLICATI�;J FOf� RESIDL�JTI/li_ [iU1LDIi1G PERt�iITS (tde�i, Alteratians, AddiLions, or Repairs) F Q1JI�ER: ADDRESS : "��, `� D � . � , TEL nf0: �� , r/,� � • STRITyT NO: �r�� % STItEET: QUILDER: 1tDDRCSS: TEL f�0: Construction Location ,� . _ � �°��i � � LOT: / � BI,OCK: / ADAITION: -?�� Corner Lot: Insicle Lot: SetbacY.: Sideyards: Ap�licant attach to tliis form two Certificates af Stiirvey of lot and proposed building location drawn on certificates to scale. DESCRIPTIOI� OF COt�STP.UCTIOP� Front: Depth : Height: Square.Feet: Qibic Fcet: . Front: Depth: Height: Square• FePt: A�bic I'eet: Rj�pe of Cor,struction: � , � ��Estimated Cost: $ ��/�� T--- � Zb Be Onr.�pleted: �� ! � Alt. A Alt. B Proposed Drive�•ray Width If New Opening Is Desired: $' $ . , SE� REVERSE SIDE OF SHEET �'iie undersigned hereby ma};e� application for a permit for the �:vrk� herein specified, aqreeing to do ,all work ir� strict accordance ��ith the City of Fridley Ordinances �azd ruling� of the Departm�t of IIuildings, and hereby declares that all the fact� and representations stated in this application are true and correct. D.'�T�: � � � C, SIGNATUF�E : Stipulations: Y� �� • s� /.�l � � �. '7 I BiTILDING PERMIT FEE SCHEDULE The Inspector of buildings shall, before issuing permits ior the erection of any building or structure, or for any addition to any bxisting building or structure, or for any alteration or�repairs to any existinq buildinq or structure, upon application therefore, require the payment by the applicant f or such permit of fees to the amount herein below set f orth and in the manner herein provided to-wit: TO'PAL VALUATION $1.00 tc $500.00 S501 to $2,000 52�001 to $250000 $25,001 to $50,000 $50,001 to $100,000 FEES $10.00 Minuaum Fee $15.00 plus surcharge $10.00 for the first $500 plus $1.50 for each additional $100 or fraction thereof, to and including $2,000 $32.50 for tlze first $2,000 plus $6.00 for each additional $�,000 or fraction thereof, to and including $25,000 $170.50 for the first $25,000 plus $4.50 for each additional $1,000 or fraction thereof, to and including $50,000 $283. 00 for the first $50, 000 plus $3. 00 for each additional $1,000 or fraction thereof, to and including $100.000 $100,001 and up _ $443.00 for the first $100,000 plus $2.50 for each additional $1,000 or fraction th.ereof PLAN C.HECK: 25 perc�t of building perinit fee DRIVE�IAY DEPRESSION ESQtOW: Concrete Curb Streets Only Alternate "A": Removeal and replacetnent of curb and gutter only Driveway width plus 6 feet x$13.50 Alternate "B": Renoval and replacement of curb and gutter and install a 3 foot wide approach with 6 inch depth Driveway width plus 6 f eet x$15. 75 VERIFICATION OF FOUNDATI�ON Permits for construction will be issued a minimwn of 24 hours from the tune 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 been constructed will be required before proceeding with.the framing. sue�ecr PERMIT . c�ty of Fridley 20009 � AT THE TOP OF THE TWINS g U I L D I�J G P E R M I T ; � CEIPT . � • COMMUNITY DEVELOPMENT DIV. � �� Ly ��-� r � � PROTECTIVE INSPECTION SEC. 1 i i � �"�� CITY HALL FRIDLEY 55432 NUMBER REV. DATE -d PAGE OF APPROVED BV �.---� • •'� 612-571-3450 910-F15 7/19/89 � � JOB ADDRESS �027 Hickory Drive N,E. r 1 LEGAL �OT NO. BLOCK TRACT OR ADDITION SEE ATTACHED oESCR. 10 1 Ostman's 3rd Add:i.tion l SHEET �.. 2 PROPERTYOWNER MAILADDRESS -' ZIP PHONE Dorothy Bovy 7027 Hickory Drive N.E. 571-1109 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Minnesota Exterior Inc. 2�5 Highway #55, Hamel, MN 55340 578-6001 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAILADDRESS ZIP PHONE LICENSENO. 8 USE OF BUILDINO Residential 7 CLASS OF WORK O NEW ❑ ADDITION ❑ ALTERATION �7 REPAIR � MOVE O REMOVE 8 DESCRIBE WOfiK �,nsta.11 so�fit/facia 9 CHANOE OF USE FROM TO STIPULATION9 TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD SEPARATE PERMITS ARE RE�UIRED FOR ELECTRICAL, PLUMBING, HEATING, VENTILATING OR AIR CONDITIONING. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING SO. FT. CU. FT. AUTHORIZED IS NOT COMMENCED WITHIN 80 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER WOHK IS COMMENCED. NO. OWLG. WNITS OFFSTREET PARKING I HEREBY CERTIFY THAT I HAVE READ AWD EXAMINED THIS APPLICATION 1 STALLS GARAGES AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS VALUATION SURTAX AND,ORDINANCES GOVERNING THIS TYPE OF WORK WIIL BE COMPLIED $998 $.SO WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE pERMITFEE SACCHARGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- $2 -rj , OO STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. PLAN CHECK FEE TOTAL FEE ,`� $25. 50 SIGNATUREOFCONiRACTORORAUTHORIZEDAGENT IDATEI WHEN PHOPERLY VA ATED THIS IS VOUR PERMIT G � SiGNAT OFOWNEH�IFO RBUILDERi �DATE� BLDG 1NSP aTE � [] ADDN [ ] �T� [ ) Construction Addres� Legal Descriptia¢�: Effective 5/1/88 R-1 AND R-2 Builaing Permit Application Owner Name &='�. �: � d P-- Te1. #.S' %( li�' contractor: �f �zr�,z1 + ��1-► � Te1. # y7�' ��Q'l �: 2 3'� .�.� O Attach to this applicatio�►, a Certificate of S�vey of the lot, with the propo�ed oonstYUCtion drawn on it to scale. .:s. «- ��M .� .�� Yi�;��l��?±�y LI�iINi' ARF.�: IP�gtl'1 W1Cit�1 HelC�lt $C�. Ft. C�R� AREA: L�gth Width Height Sq. Ft. DECR ARF.�,: Lerx�t-h Width Hgt/Ground Sq. Ft. O�li�:R: Z'�1 ew .�.T � �F+�ao o/ _ Corner Iot [] Inside Iot [] Fk. Yd Setback . Side YaYd SetbacJcs Zj�pe of C�struction: Estimated Cost: $ �� . Approx. cbmpletion Date: Praposed Drivecwray Width If New Opening Is Desired: Ft. $ $ Width + 6' See Back Page DATE: APPLIC1�11�ir: �� Tel. # Penni.t Fee $ oZS O O �ttate S�ur.harcle S �?) SAC Charge $ . Driveway Escz,aw $ Park Fee $ Sewer Main Qlarge $ � �•�. sr�cr�zz�rs : $ �� . S� CLTY IISE �II,Y Fee Sc3�edule on Rever�.�e Side $.50/$l,00o valuation $575 per SAC Unit Alt. °A�� Or' Alt. "B" �OVe Fee Determined by �;,�r;* ; ��YY [ l Not N�ssarY L l � �d= ° - a f:_�� , c ::�:�„�4 :�+r- r�.:�:��_�� - The Qiief Buildirg Offici.al s1�a11, before 3�inq �*�+; ts for the erection of any building or stn�, or for ariy additian to any existiryg building or structure, or for any alteratiaal or repair to any existiryg buildirig or stnicture, upcm applicati� therefore, �,; � t�e payment by t��e applic�nt for such permit of fees to the airoq,uit herelTl beloW set fort'h aTld lI1 th+e �*+npr herelll pYWided to-Wit• ZIDTAL VAIIJE $1 to $500 $501 to $2,000 � �. $15 (Minimmn Fee is $15 plus su�rharge) $15 for first $500 plus $2 for each additional $100 or fractiCn ther+eof, to ar�d i�clt�diuyg $2, 000 $2,001 to $25,000 $45 foY' first $2,000 plus $9 for each aciditional $1,000 or fracticn tilereof, to and includirig $25, 000 ,` $25,001 to $50,000 $252 for fiYSt 25 000 lus 6.50 f ' � $, p $ or each addi.tional $1, 0�0, or fractioaz thereof, to and including $50, 000 � $50,001 to $100,000 $100,001 to $500,OD0 $414.50 for fixst $50,000 plus $4.50 for each additional $1, 000 or fraction ther+eof, to and includirig $100, 000 $639.50 for first $100,000 plus $3.50 for each additional $1,000 or fraction thereof, to arid including $500,000 $500,001 to $1,000,000 $2039.50 for the first $500,000 plus $3 for earh additional $1, 000 or fractiora thereof, to arid includir�g $1, 000, 000 $1,000,001 and up $3539.50 for the f�st $1,000,000 plus $2 for each additionai $1, 000 or fractiora thereof �IVE�Il�IY �I�T FSCPO�W (Doncr�ete Q�rb St�ets On1Y) A1tQrnate ��A�� ; Rem�aval at�d re�la�oent of c�rb at�d a gutter �l.y - Drivearay width plus 6 feet time� $13.50. Alternate nB�� ; Reooval and replace�oent of curb ar�d gutter ar�d install a 3 foot wide aPP�� with 6 itxfi deptii - Driveway width plus 6 feet times $15.75. �Y�; ■a+ �+; M •:� •l� ��;�i�i� � u •�, Permits for o�nstructian wi11 be issu�ed a m;r;�n of 24 tm�s fr+oaa the time of application to allaw for pz�aper review of the P� � and of the oanstruction site. A C�ertificate of S�nvey of the lot, showing the location of the fwr�dation �nce it has it has been c�onstructed will. be raqu.ired before pra�eeding with the fzaaiing. �� Sue�EGT Cit of Fridley �� TME TWINS g � I L D I N G P E R M I T „ , � � ; v __��_ COMMUNITY DEVELOPMENT DIV. f � � PROTECTIVE INSPECTION SEC. � . � i.-_.�� "" �'� CITY NALL FRIDLEv SS132 NUMBEP t 612-571-3450 910-Ft 5 J08 ADDRESS 7027 Hickor Drive N t LEGAL ��T NO. BLOCK TRACT OR ADOITION DESCR. lO 1 Ostman's Tr 2 PROPEfiTY OWNER MAIL ADDRES$ Ben Schleiss 3 CONTRACTOR MAILADDRESS Wm Woods Const Co Inc 7728 gnollwood nr 4 AFCHITECT OR OESIGNER MAIL AODRESS 5 ENGINEER MAIL AODRESS 8 USE OF BUILDING Residential 7 CLASS OF WORK N8V 1 DATE r: •, ? ��(?� PAGE Oi APPROVED BY � / SEE ATTACNED SMEET IIP PMONE ZIP PMONE IICENSE NO 1 1 � ]R(=�371 R7R� 21P PMONE LICENSE NO. ZIP PHONE LICENSE NO O NEW ❑ AODITION ❑ ALTERATION � fiEPAIR O MOVE ❑ REMOVE 8 DESCRIBE WORK Reroof house and garaee (24 Sa) Tear-off 9 CHANGE OF USE FROM STIPULATIONS TO Underlayment must comply with the State Building Code. SEPARATE PERMITS ARE REOUIREO FOR ELECTRICAL, PLUMBING. HEATIN(i, VENTILATING Ofi AIR CONDITIONING, THIS PEfiM1T BECOMES NULL ANO VOID IF WORK OR CONSTRUCTION 20NING SO. fT AUTMORIZEO IS NOT COMMENCEO WITHIN 80 OAYS, Op IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COMMENCEO. NO DWLG. UNITS I HEREBY CERTIFV THAT I NAVE READ AND EXAMINEO THIS APPLICA710N STALLS AND KNOW THE SAME TO BE TRUE AND CORRECT. ALl PROVISIONS OF �AWS VALUATION AND ORDINANCES GOVERNING THIS TVPE OF WORK WILL BE COMPLIED WITM WHETMER SPECIFIED HEREIN Ofi NOT. TME GRANTING OF A PERMIT $2056 DOES NOT PRESUME TO GIVE AUTMOiiITY TO VIOIATE OR CANCEL TME pEpMIT FEE PROVISIONS OF ANY OTHEfi STATE OR LOCAL LAW REGULATING CON- STRUCTION OR THE PERFO ANCE OF CONST CTION ]L}. ]S PIAN CNECK FEE s � Licens 5.00 �GNa UpE OF CO • ACTOA OA AUTMOA�2ED OGENi iO�iE� P OPER Y A S�GN4TUAEO�OWNEAii�OWNEABU4DEAi �DAfE� iii� INSD � LOAD CU FT OFFSTREET PARNING IGARAGES TpTA�FEE 8 84 T IS IS VOy1R � MyT � '' 3 ripTf NEW [ ] �DN I l �-� [ l ConstructionAddress: Legal Description: Owner Name & Address: Contractor: Address: � �%� �' �;� LIVING AREA: GARAGE AREA: DECK AREA: OTHER: CITY OF FRIDLEY SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION � � Effective 1/1/98 �hC`�. ��- �� ',�� Tel. # MN LICENSE # � %,� Z ��Tel.#�l?�� a�,�o�f Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF IlVIPROVEMENT Length Width Height Sq. Ft. Length Width Height Sq. Ft. Length Width Hgt/Ground Sq. Ft. �� / Construction Type: timated Cost: $ ��S �° �� / ��% � a' • .� � Fee Schedule on Back) Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x$ _$ DATE: Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee Sewer Main Charge TOTAL STIPULATIONS: . � � . , � � � ♦ � 1 . J%'� �i /�� t��'� L I � /1 �i � CITY USE ONLY $ �/`y. �S Fee Schedule on Reverse Side $ � (� � .001 of Permit Valuation (1/lOth%) $ /, (� .� $.50/$1,000 Valuation $ $lOW per SAC Unit $ � � C�O $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 [ ] $ �c 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 e�cisting 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,Q00,000 $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 $50,0(?0 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) Alternate "A": Removal and replacement of curb and gutter only - Driveway width plus 6 feet times $13.50. Alternate "B": Removal and replacement of curb and gutter and install a 3 foot wide approach with 6 inch depth - Driveway width plus 6 feet times $15.75. VERIFICATION OF FOUNDATION Permits for construction will be issued a minimum of 24 hours from the time of application to allow for proper review of the proposed structure and of the construction site. � A Certificate of Survey of the lot, showing the location of the foundation once it has it has been constructed will be required before proceeding with the framing. �