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AF - 46692� � ��t,� � ,�d.V.�—`` � ��/`�°� ` /��J,�f,-��j-�. ��.� ,Y� �!�"C?� � /�� Village of Fridley, Minn. BUILDING PERMIT �T° 1193 ,� . � �. �- Date: . . . `�y� . f :� . .��. . . � '". .�:. . . . . . . . . . . . Owner . �;'�',! r,/,�. .�' '` �! : . , � '�: �? �`` . . . . . Builder . . . . . . �i�. �r. � . . . . . . . . . . . . . . . . . . . . . . . . . . . . . � . . .� Address , �! ��r� � ?'� . . . . !��:""�,�':. �'�� . . . . . Address . . . . . . . . . . . . . . . . . . . . . . . . . . . . . I.,OCAT[O OF BUILDING � �'�'`� � '�`� �� '�� t� �'� � No . . . . . . . . . . . . . . Street . . . a'�. :�'r�� : � . . �d: �` .��.�`�. . . . . . . . . . � Part of Lot . . . . . . . . . . . . . . . . . . . . . . . . . . . . . , f,�r 'r Lot ............., Block .....,..........,. Addition or Sub-Division ...................-...,................ Corner Lot ........... Inside Lot ... �.... Setback ......... Sideyard ............................. DESCR[PTION OP BUILDING To be Used as: . �i ��r .� . . . I . . . . . . Front . � f � . Depth . r�:. . �:Y. Height �. .":� : : �'� Sq. F't. !. !�3.�. . Cu. Ft. . . . .. . . . ....°......'.......... Type of Construction Front . .. Depth ..... Height � .. ` �� . . � rt .�'.'". .��. :' . . ES� CoSt . . ��`^� '.".'. . . ."�. . . . . . . Sq. F't. ..... Cu. Ft ... To be Completed .................. In consider�iion of the issuance to me of a permit to construct the building described above, I agr� to c�o the proposed work in accordance with the description above set forth and in compliance with all provisions of ordinances af the village of Fridley. . ..tt':�: :'.;��`` .� �.�: �`�' �"?.� �,.s"'�e'•''; �'�•=''��'�i� ' ' ,s , � ,� s.r,.:.� 7n co�sideration of the payment of a fee of $ . r`: �` . ., permit is hereby granted to . .. . . . . .. . . .. .. .. .. . . . . . . .. .. .. .. . . . . . . . . . . to construct the building or addition as described above. This permit is granted upon the express condition that the person to whom it fs gia.nted and his agents, employees and worlune.n, in all work done in, around and upon said building, or any part thereof, shall conform in all aespects to the ordinances of �'ridley, Minnesota regarding loc�tion, conslxuction, alteration, maintenance, repafr and moving of buildings wlth- in the village limits and this permit may be revoked at any time upon violation of any di the provisions of sa.ic3 ordinances. � � � � .:�,' °•��` ' `^:: '� . . . . . . . . . : Bu1d'mg Inspector ' . �,�:`' ' '�' ' !� NATICE: 7his permit does not coVer the construci•ion, Installatlon or alteration for wi�ing, plumbtng, gas heating, sewer or water. Be sure to see t�Bullding Inspector for separate permits for�sa items. - = I City of Fridley, Minn_ BUILDING PERMIT N� 5 2 4 Date: '... «..,. �i� , Owner: �� ° Btnlder _ Addresa Address '' LO TIOW OF BUILDONG .��'� Street � `��.��.�--_-_- Part of Lot �_ Block �� Addition or Sub-Divisi ._._.._._ — � � _�� . � ..,� Coraer Lot _ Insfde Lot Setback *�=�---___. Sideyard � Sewer IIeva�on ..._ Foundation IIevation DESCRIPTION OF BUILDING To Used as; � +�.. Front �c-- DeP� _�=•�—. Height .,��.. Sq. F� �:�s� Gu. F't,�c.,r�r�..� ,� t. ..�-."�G�. Depfih �..'�iL Height „� Sq. F�� Cu. Fk �� .4P� f ..�A PM of C�s�t�ction �%�' F�St Cos��_��,�.� To be Completed In consideration oP the issuance to me of a permit to construct the building described above I agree to do the proposed work in accordance with the description above set forth and in compliance with a�l provlsions oP ordinanoes oP the dty of Fridley. � In cona�tderai3on of the payment of a fee of $ , perinit is hereby granted to to construct the building or addition as described above. Thispe rmit is granted upon �he express condition that the person to whom it ia granted and his agents, employees and worl�nen, in. all work done fn, around and upon said building, or any part thereof, shall conform in all respecta to the ordinancea of Fridley� Minnesota regarding la�.tion, construction, altera.l3on, maintenance, repair and moving of buildings ��th�e citY limits and this permit may be revoked at any time upon� olation of any of the provlsiona oE said Building Inspector NOTICE: ffits paneH do� aof eover fhs eoastrueNee, imtallalton tor wttine. plumbteg. gas 6eating, sswer or water. Bs sure te aes 1bs Boildiag lesp�tor for mpuate parmhs for t6ae ttsms, � �.� �,q ,,•s - _.� _ - -� '` '� �, � f APPI,ICATTO�T �Ol@ HUCi►DTNG PERMST C3TY OF I'RIDLEY, Ntll�]NNESOTA Owne�c's N3me ��G�.�i�G��`"�- Address /��° / �oG� `�. /o a "zc � � Adclres No._/`�° / LOCATIOIY OF BUIT�DING � ` �'G � �� 3�art of Lot Lo�c Block Addition or Subdivision — Co�cner Lot inside Lot �� Setback��Side-Yard SEtrTER ELEVPiTION I'OUNDATION ELEVATYOUT Applicant a��ach to �this �orm Certiricate of Survey oiE Lot and propose� bui7.cling loeation. io be used ass 3�ype o� Construct To be DE�CRIPTZON OF BUYLDTI�G / / �ront_.�� ___D�pth � � Height �� s�. �t. � � � cu. �t. i � v � �roat �„ep•�h � �— iieight � , , Sq. Ft. �� Cu. Ft. 3�2-°� imated Cos� The undersigned he�eloy makes application for a permit for the work herei� speci�cied, agree�.ng to do all work in stric� accordance with the City o�E Fridloy Ordinances and ruling o� the Depar�tment ofc 8uilc7- ings, and hereby declares that all the,facts arid represen�a�ions s�ated in this apg�lication are true and correct. , Q DE1TE � � � � 1 � / SIC�VATURE� l (Schedule of Fee Costs caa� be �ound on the Reverse Side). �"", � '_� � f� u. s� �UYLD�NG PERP+[IT �'EE SCI�DULE Sec��.on 2. The Inspector o� Buildinc�s shall, begore issuing any pernnl•c ior the erec•�3on o� any �u�.ldirag or struc�ure, or for any addi�ion to any` ox�at�ng build3ng or s�c�cuc�ure, or for �arsy alterations or re�Oa�rs �o any�oxisting building or struc�u�e, upon appl3ca�tion i:h��-es�or, �equire �che pay�nent by �the applicant �or such peranit of fees to the amount herein below set fcorth arad in the manner herein pgov�ded to-vvito � 2.1. �'or any such pe��nit �or the erect3on o�E any �ire-p�oo�` building, ofi.her than a gaicago, wa�ehouse, �aetory or grain elevator, o� �Eor the erec�ion ofc any �:�re-p�oo� addition, for sim�.lar occupancy, to any ex�Ls�c �ir�g building sha11 be at the rate of $1.�0 for ea�h ono thousazid cu'�ic ieet, or �ra�ction thereo�, in such cubical contents. 2 e 2. For a.ny auch p��cnni� �t ior the erection o� any fire-p�coo£ garage, wa�cehouse, �ac�ory or grain elevator� or �or the e=ection or ar�y sire� proo� addition, �or sim�.lar occupaacy, �co any ex�.sting bu�tld�.ng shall be at the ra�ce or $1.25 �or each one thousand cubic feet, classi�ied as '°ii�epro0i" by �eCi:ioii 502 oi the MiI1:3eapol3.� Bu31di11g COde. I�OUSES 2.3. For any such permit for the e�ec�ion o� any non-fi�eproo� bu31a1- ing o�her �than a gaxage, warehouse, fac�ory or grain elevatcort, or any �on-rireproo�E add3.��on, �or similar occupancy, to any exis�3.ng building Perm�.t $1.00 �oic each ono thousas�d cubic feet. Gt'�tZAGES � 2 s�. �or any such permi�t for the erect3on of- any non--firep�oof garage, vvarehous�� ractory or,grain eleva�or, or for the erect3.on of any aon-fireproo� additio�, ior �im�i..�.ar occuparicy, to ang existing buildiag or �o� each such building or additione Nia�ty Cen�ts fcog each one �housand cubic �ee�t or fraction �chereo�, in the cubical contents � thereof wi�h a mini�nunn o� $4000 0 � For �he purpose o�c compu�ti.ng fees �Eor bu3lding permits the cubical con- ten�s o� any building or addition �to a unifo�m height throughoui; by � multiply3.ng the g��oun� area covered �rom a point aix (6j 3nches below �he floor line or t11e basament or c�e�lar to the averag� he3ght o� the upper susface or �o che average heigh� of the roof sur:Eace ot the ma�.n gable oi a pitched roo�. 2e5. For repairs or alterations to an existing structwce, the see shall be at the ra�e of $3,00 per each Five Hundred Dollars ($500.00j o�c :�xaction thereo:c in �he co�� og all proposed wor]c. � 2 e 6 0 �n no case shall �he fcee chargecl 1or a�y perm5tt as set forth in Sec,tion 2 be less tY�n $4.00 , r� _ _. � � _ � City of Fridley, Minn. BUILDING PERMIT i� Date: � `� �, `� � Ovvaer: Buflder Adcireas Address ^ �� -d NA '7290 c�r� � . LO TION OF BUILDING No. �� Stceet ��_____��a� Part o t Lot .�..�...._._.__ Block �� Addition or Sub-Divisfon _.j�� .... e� T Corner Lot _ Inside Lot � Setback � Sideyard Sewer IIevation Fo�mdaatiton IIevation DESCRIPTION OF BUILDI G v�a o � , � � � Depth Height — Sq. FL Cu. FL t Depth � Height � Sq. Ft Cu. Ft Type oP Consiauct4on F�t. Cost ,��..-.._..-�'To be Completed In consideratlon of the 3ssuance to me of a permft to construct the buil d bed above I agree to do th� proposed work in accardance witt► the description above and ce �� _�'i ,�rovisions of ordinan� of the dty of Fridley. �'--�' _� In consfderation of the payment of a fee of $ �, permit 3s hereby granted to to construct the building or addition as d�crYbed above. Thispermi t is granted upon the express c�ndition that the peraon to whom it is granted and hia agents, employees an� worinnen, in all work done fn, around and upon satd building, or any part thereo� shall �nform in all respects to the ordinaac� of FridleY� Minnesota regardia� lacation, conatruction, alteration, maintenance, repair and moving of bufldiugs wlthin the dtY ]imits and ttus permit may be revoked at any tune upon violation of any of the provisions of said ordinanc�s. �,. ,. � � Nonc� ^ 7hb permtt doa aet eewr ths eonstruadee, IestallaNae fo� 'rlefa5. P��+�e. 9+� b�e. �w�r or wate�. B� avee to aes Nn Bnildtu8 lesp�etor to� s�parab p��hs fer f6as h�ns. �j}� M b,b ,� � ` ,�;► SUBJECT PE City of Fridley -17Q63 AT THE TOP OF THE TWINS g U I L D I N G P E R M I T � r � � � � � �,� _.____ COMMUNITY DEVELOPMENT DIV. (�. O r j � PROTECTIVE INSPECTION SEC. o O X S � � ' i ' ( /��1 � CITY HALL FRIDLE� 55432 NUMBER REV. DATE PAGE OF APPROVED BY �'"'""� � �`� 612-571-3450 910-F15 7/21/83 � � JOB ADDRESS 1355 H:i.11 NTind Road N.E. 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 6 1 Lakeland I%ights SHEET 2 PROPERTYOWNER MAILADDRESS 21P PHONE Donald Stiller 1355 Hill Wind Road N. E. 571-7180 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. �S dIll@ 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAILADDRESS ZIP PHONE LICENSENO. 6 USE OF BUILDING Residenti.al 7 CLASS OF WORK ❑ NEW � ADDITION � ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Reside Dwellirn,� 9 CHANGE OF USE FROM TO STI PU LATION S SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD VENTILATING OR AIR CONDITIONING. V].I1y�. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONiNG SQ. 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 WORK IS COMMENCED. NO. DWLG. UNITS OFFSTREET PARKING I HEREBY CERTIFY THAT I HAVE READ AN� 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 WILL BE COMPLIED y�`3�000 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTINd OF A PERMIT $1.SO DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE pERMITFEE SACCHARGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. yS3S. �JO PLAN CHECKFEE TOTALFEE $40.00 SIGNATUREOFCONTRACTORORAUTHORIZEDAGENT IDATEI �p� ,� WHEN PROPERLY VALIDATED THIS IS YOUR PERMIT � SIGNATUREOFOWNERiIFOWNERBUILDER� IDATEI � BLDG �NSP TE � CITY OF FRI�LCY : Effective Aug. l, 1981 APPLIC�TIO:� FOft RCSIDLiJTI%� [3UILQIf�G PC�i�iITS . (��e►v, A1ter.zLions, Additions, or Rcpairs) � • OtJNER: ,,..��-D �� [3UILDER: �� - �DDRESS: l 3 �s�'S-17� �.,� �P� °�% � 11DDRCSS: TEL A0: � 7 / - % / � TEL �20: • STJtITsT NO: sT�FT: L07': � BLOCK: � ADDITION: f7._v_.e�hh.�'i, Corner Lot: Insicie Lot: SetbacY.: Sideyards : Construction Location Ap�licant attach to tliis form twa Certificates of S�rvey of lot and p=opvsed building location drawn on,certificates to scale. DESCRIPTIO►d OF COFJSTF:�JCTIOtJ ,2 ` p �� Front: Depth: Height: Squarc Feets Ctibic Fcet: 4. Front: Depth: Height: Squar.e Feet: Cvbic I'eet: _ Rype of Con,truction : �/,�,,.. �� Rb Be Cbr.�pleted: Estimated Cost: $ �� DB D Alt. A Alt. B Proposed Driver�ay ir'idth If New Opening Is Desared: $ $ . , S�� P.EVERSE SIDE OF SFIEET . 9iie undessigned hereb�► ma);c� application for a permit fcr the �:ork herein specified, agreeing to do .aII work ii� strict accordance 4�ith the City of I'ridley Ordii�ances and rulin�s of tlie Delk�rttinei�t of Builc3ings, and heseby declares that all tl�e facts and repr�sesititiQns stated in this application are true and correct. D1:'1'E: �.i.�v d�� %��`i SIGNATUF.c.: �n�c�-r•�aJGZt' � �..�:.Y.,lGl�cz �'--�ci'�-- Stipulations: �� .� � �' ' �,� � ,. /� C� �`" G� �� . - �' �.P-� � � r �1-- ' � � a y" -c ' � c' .. ' The ChieP Building Official shall, bePore issuing permits Por the erection of anq building or structure, or for any addition to any egisting building or structure or for any alteration or repairs to any existing building or structure� upon application therePore, require the payment bq the appliaant Por such permit of fees to the amount herein belaw set forth and in the manner herein provided to-�rit: Tota? Valuation �t.00 to S5oo.o0 �501 to �2,000.00 Fees �10.00 (Minimum �15.00) �10.00 for the first $500 plus $1.50 Por each additional $100 or fraction thereof, to and ineluding $2,000 $2,001 to �25,000 $32•50 Por the first $2,000 plus $6.00 for each additional $1,000 or Praetion thereof, to and iacluding $25,000 �25,001 to �50,000 $170.50 for the first $25, 000 plus �4.50 for each additional $1,000 or fraction thereof, to and including $50,000 $50,001 to $100,000 $283.00 for the Pirst $50,000 plus $3.00 for each additional $1,000 or fraetion thereof, to and including �100,000 �100,001 and up $�33.00 for the first $100,000 plus $2.50 for each additional $1,000 or fraction thereof Plaa Check: 25 percent of building permit fee. DriveWay Depression Escrow: Conerete eurb streets only. Alternate °A": Removal and replaeement of curb and gutter only - DriveWaq width p�.�s� b��e� times $13 . 50 Alternate "B": Removal and replaQement of curb and gutter and install a 3 foot wide approach With 6 ineh depth - Driveway width plus 6 feet times $15.75 9erifieation Of Foundation Permits for oonstruction will be issued a minimum of 24 hours from the time oP application to allow for proger review of the proposed strueture aad of the construetion site. A Certificate of Survey of the lot, ��wing the location of the foundation once it has been constructed Will be required before nroceedina with the framing. I ��_. City of Fridley S�B�E�T o 1922'9 BU ILDING PERMIT - AT THE TOP OF THE TWINS - f � � R . � `L ____ COMMUNITY DEVELOPMENT DIV. r � � PqOTECTIVE INSPECTION SEC. � ��-f/ � ` � `.-_-� ��'��,'� CITY HALL FRIDLEY 55432 NUMBER REV. DATE PAGE OF APPNOVEO BV i 612-571-3450 910-F15 10/7/87 / / JOB ADDRESS �55 Hillwind Road N.E. 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. ( 1 Lakeland Heights SHEET 2 PROPERTY OWNER MAII ADDRESS 21P PHONE Don Stillex 1355 Hillwind Road N.E. 571-7180 3 CONTRACTOR MAILADDRESS Z�P PHONE LICENSENO. Same 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENtiINEER MAIL ADDRESS ZIP PHONE LICENSE NO. 8 USE OF BUILDING �S 1C�2L1 t].d.l 7 CLASS OF WORK � NEW ❑ ADDITION O ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Const�cuct a 16' x 12' Shed 9 CHANOE QF USE FROM TO STIPULATIONS Shed must be located in the rear yard; at least 3 feet from the side or rear lot line or the widtlz oi any easement; must be tied do�,an with ties or placed on a peratanent slab. SEPARATE PERMITS ARE REOUIRED FOR ELECTRICAL, PLUMBING, HEATIN(3, TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD VENTILATING OR AIR CONDITIONING. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTFiUCTION ZONING SO. FT. CU. FT. AUTHORI2ED IS NOT COMMENCED WITHIN 60 DAYS, OR IP 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 1 HAVE READ AND 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 WILL BE COMPLIED $�jOO $.SO WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OF CANCEL THE pERMITFEE SACCHARGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. S1S.00 PLAN CWECKFEE TOTALFEE $15.50 IGNATUREOF � N� c'ro OfiAUTMORI EDAGEN7 1DATE1 � ._1rbHEN PROPERLY /y?�'LIDATED TAHIS IS YOUR PERMIT , � �� '�, \ �t �V! s � Jo_�- 8%y f� SiGNATURE OF O NER iIF O NE BUIIDERI IDATEI BLDG INSP /•TE N� [] City of Fridley Effeetive �/1/86 ADDN. [ ] �R-1 AND R-2 ALTER. [ ] Building Permit Applieation Construction Address s Legal Description: Owner Name & Address : ��a��-.J��//�Id ` / 9�s �" /�. //�� °non �1! � ,1/. I_ Tel . ,� �' � Q Contractor: s �� F Tel . � Address • il�M � Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to seale. DESCRIPTION OF IMPROVEMENT LIVING AREA: Length %� � Width �� _ Height 1 y� Sq. Ft. � GARAGE AREA: Len�th Width Height Sq. Ft. DECg AREA: Length Width Hgt/Ground Sq. Ft. OTHER: �5�� W6ST' Corner Lot [] Inside Lot [�(] Ft. Yd. Setback 9d � Side Yard Setback � o� Type of Construction: W o o�J • Approx. Completion Date: Estimated Cost: $ �D �o � Alt. A Alt B Proposed Driveway Width If New Opening Is Desired: $ $ See Baek Page for Explanation DATE: �G � 7-/9 fI� APPLICANT: nYJ -� � �� y-�-� Tel .�.S 7_/-%/ �Z� Permit Fee Plan Check State Surcharge SAC Charge Park Fee Sewer Main Charge TOTAI. STIPULATIONS: CITY IISE ONLY $ I� D � $ $ �Z� $ $ $ $ �.a . �� Fee Schedule on Reverse Side 25� of Building Permit Fee $.50/$1,000 Valuation $ 525 per SAC Unit Fee Determined by Engineering Agreement Necessary [] Not Necessary [ l ��a BIIII.DIAG PERMIT FEE SCHEDIILE The Chief Building Official shall, before issuing permits for the erection of any building or strueture, or for any addition to any existing buildin� or structure, or for any alteration or repair to any existing building or structure, ugon 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 9aluation $1.00 to $500.00 Fees $10.00 (Minimum Fee is $15.00) $501.00 to $2,000.00 $10.00 for the first $500 plus $1.50 for each additional $100 or fraction thereof, to and ineluding $2,000. $2,001.00 to $25,000.00 $32•50 for the first $2,000 plus $6.00 for each additional $1,000 or fraction thereof, to and including $25,000. $25,001.00 to $50,0OO.Od $170.50 for the first $25,000 plus $�4.50 for each additional $1,000 or fraetion thereof, to and ineluding $50,000. $50,001.00 to $100,000.00 $283.00 for the first $50,000 plus $3.00 for each additional $1,000 or fraction thereof, to and ineluding $100,000. $100,001.00 and up $433.00 for the first $100,000 plus $2.50 for each additional $1,000 or fraction thereof. DRIVEiIAY DEPRBSSION ESCROfi (Concrete Curb Streets Only) Alternate "A": Removal and replacement of curb and gutter only - Driveway width plus 6 feet times $13•50 i Alternate "B": Removal and replacement of curb and gutter and install a 3 foot wide approaeh with 6 ineh depth - Driveway width plus 6 feet times $15.75 VERIFICATION OF FOONDATION Permits for construction will be issued a minimum of 24 hours from the time of application to allow for proper review of the proposed strueture and of the construetion site. A Certificate of Survey of the lot, showing the location of the foundation once it has been eottstructed will be required before proceeding with the framing. ��.,.. ��.� Building Inspections 763-572-3604 DATE � SI1'E ADDRESS / � .� THIS APPLICANT IS: PROPERTY OWNER/ TENANT CONTRACTOR SUBMIT A COPY OF YOUR STATE LICENSE WITH APPLICATION PROPERTY TYPE PERMTT TYPE �E oF wox�c: BUILDING RESIDENTIAL APPLICATION CITY OF FRIDLEY ' //�� OUR E-MAIL ADDRESS �° i L � P �� 'a ❑ OWNER OCONTRACTOR Ess: 4 3 s^ -� � rrY E� 7/ �_,S 7/ �- 7/ A� NAME: STATE LICENSE # EXP DATE Pernut No.: Received By: Date Rec'd: � Ss� �- � ADDRESS: CITY STATE ZIP TWO FAMILY/NEW CONSTRUCTION ❑ BASEMENT FINISH ❑ ROOF 0 DECK O SIDING ❑ SWfMM � DESCRIBE RTORK BEING DONE: SIZE OF IlvIPROVEMENT ROOFING NUMBER OF SQUARES �� GARAGES PROPOSED SIZE: PROPOSED HEIGHT: SIDING ❑ Vinyl ❑ Aluminum O Other ❑ REMODELING LENGTH ❑ HOUSE ONLY �HOUSE & GARAGE ❑ ATTACHED GARAGE ❑ DETACF�D GARAGE OSoffrt O Trim ❑ Fascia VVINDOWS IN EXISTING OPENINGS OYes �No LOCATION OF WII�IDOWS OR FOR NEW OPENINGS-DESCRIBE SIZE OF OPENWG CHANGES & TYPE OF WINDOW TO BE INSTALLED NUMBER OF � SIZ.E ❑ DRAIN TILE ❑ OTf�R HEIGHT BASEMENT REMODELING SUBMTf: 1. Existing Floor Plaz► 2. Proposed floor plan 3. List of sizuctnral members to be used Ft. FOR NEW CONSTRUCTION INCLUDING DECKS, ,ADDITIONS. & PORCHES SUBNIIT: 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 $ OCCUPANCY TYPE Permit Fee Plan Review Surcharge Fire Surcharge License Surcharge SAC Charge Curb Cut Escrow Erosion Control Park Fee Sewer Main Charge Total Due_ $ e , _ � •L.� $ /° �� $ $ $ $ $ ,� � . , ,� See Back Page for Fee Schedule 65% of Building Permit Fee (.0005) times the total job valuation — Minimum $.50 .001 x Permit Valuation (1/10%) $5.00 (State Licensed Residential Contractors) $1450 per SAC Unit (Plans to MWCC for determination) ft+6ft= ftx$20=$ , $450 Conservation Plan Review Fee Determined by Engineering Agreement necessary ( ) Non Necessary ( Make checks payable to: City of Fridtey THIS IS AN APPLICATION FOR A PERMIT-NOT VALID UNTIL PROCESSED Attach 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 ordinances and codes of the City of Fridley and with the Minnesota Construction Codes; that I understand this is not a pemut 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/w�hich re u' es/�review and a proval of plans. U/.,Yh�V`��'), `� .� SIGNATURE OF APPLICANT PRINT NAME U 6 N�1. %% .L ,.S`IJ// �� DATE /T �%l` a`Z �/ �� Page 2- Building Residential Application BUILDING PERNIIT FEE SCHEDULE The Chief Building Official sha11, before issuing permits for the erection of any building or structvre, or for any addition to a.ny existing building or structure, or for any alteration or repair to any existing building or structure, upon applica.tion 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 fracrion, to and includin $2,000 $2,001 to $25,000 $69.25 for 1�` $2,000 plus $14 for each additional $1,000 or fraction, to and includin $$25,000 $25,001 to $50,000 $391.25 for 1�` $25,000 plus $10.10 for each additional $1,000 or fraction, to and includin $50,000 $50,001 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 ea.ch additional $1,000 or fraction to and includin $500,000 $500,001 to $1,000,000 $3,233.75 for the 1�` $500,000 plus $4.75 for ea.ch additional $1,000 or fraction to and including $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 founda.tion will be required. before proceeding with the fraaning. New Houses Onlv City of Fridley Building Inspections Deparhnent 6431 University Avenue NE Frid.ley, MN 55432 763-572-3604 Fax: 763-502-4977 � , � � r �%/� �% /� �" _ � ,� ,� �-=�. . ��1 ��./' �.�� QS�: !� / � �. � � �r .L- � �.��•-+- . �^ _ -Z.,Ir� ��r� �idrt/6d'/t.T 5�� ...� � �- 7� �