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AF - 46234� � City of Fridley, Minn. BUILDING PERMIT _ �/' � Date: ---.._......_.._._..�. �...._ _��f —.._.�._..------- Owner: ---�- �'l�.cle.'-*��I.r...-�_.....�....�._...�.._ ��fol�'..�.--...... Builder Address.._.._...---•-••-._.---_.__._..........._--•-•-•--.__.__._.__.�.�._.._..__........_ Address LO,CATI. N OF BUILDING No. ......I..._YJ'-...�.... Street --- • ...�... . -• -- -- ----.C��s�............_......._..... Part of Lot L.ot ..---- ................._.__...----. Block .....------.. ------....... ..._.---....----- Addition or Sub-Divisioa --..._.......---..._.._.. Corner Lot .........................._........ Inside Lot Sewer IIevation To � u�a �: �� �`�/� Type. of Constrttetion Setback ....._ ............................_........ Sideyard ............ Foundatiott IIevation .................. DESCRIPTION O� �UILDING N° 4089 Front /.....�..� �. N Depth �....'� Height �. �.^..�.� Sq. F� �� Cu. F't. el�� � Front....---..... ---..._.. Depth ...................._.. Height ..........--�--......... 5q. F� ....._.....---...._.. Cu. F� � � ................_....-�---...------........._........ Est. Cost.... . f�.,,�.....5.�..._.°�... To be Completed ....._........_-�---�--� In consideration of the issuance to me of a permit to construct the building described above, I agree to do the proposed work in accordan�e with the description above set forth and i�complianse�wi�tr all provisions of ordinances of the city of Fridley. )��, 0��'��'�%Y'— . . . • r?��4U�"'v"""`i `ti.._..._,�...C�a.. cl�..tl-.. -Ad�•�1-�-•V.._ In consideration of the payment of a fee of $....__..��...._�......, 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 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 res�ets to the ordinances of Fridley, Minnesota regarding location, construction, alteration, maintenance, repair and moving of buildings within the dty limits and this permit may be revoked at any time upon violation qf any of the provisions of said ordinances. � O� Building Inspector PIOTICE: Th(s permit does nof eove� the construetion, installaHon fo� wiring, plumbing, eas heafing, sewer or water. Bs sure fo eee the Building Inspector for separete permits for these hema. � ° 4= � �.. � _ _. . . . .,,�. I.�Z: .....: ..ee _�. -�-_�.. ..............................................._........... .�. �> „ '; L.',I'ry'��� J/.�?' ..} ; � .;. �+-�r7Tt . � �. •� l,i�.�NYl�.[3i V � P aJ.d6J PJ �� �!' �R�i J ,`.�_.' �' �A s' �� , F ��� ,iTi�i U�'il ZCN � � '� � ;�.._,. ,._ � S ' _..�.. .� " 2'YPL ,.���"�, ...................... .................................. .........................._.............. ................................_._......._......___...._....._................._.... Y� o�e�±� t�- I,i�ie v � � �� � � a '� „ Fr. ant . Property� L�n.e ����� . . ; . ��..._._.___. _. �.�..� ..... . ........ ....... ....... ...................,;;z.. .. � - L , _ '� �' �' � � ���� � �� � � °�;_`� �!`�:� ,�� � � �, � �, � � � � � � r"`� '��1r=_ - s �.;!'�^. , m � p � 1 � v � i � SUBJECT . City of Fridley � 16 7 8 AT THE TOP OF THE TWINS g U I L D I N G P E R M I T � r ; � PT NO. • COMMUNITY DEVELOPMENT DIV. � �.: - - `.� (� � S r � � PROTECTIVE INSPECTION SEC. i1 i � _-_.� � ���;,, CITV HALL FRIDLEY 55432 NUMBER REV. DATE PAGE OF APPROVED BY i 612-571-3450 g� 0-F15 9/27/82 � / JOB ADDRESS 160 Horizon Ci.rcle N.E. LOT NO. BLOCK TRACT OR ADDITION 1 LEGAL SEE ATTACHED DESCR. ],4 3 Carlson's Sununit Manor North Addition SHEET 2 PROPERTYOWNER MAILADDRESS ZIP PHONE Wallace Ewer 160 Horizon Circle N.E. 572-1020 3 CONTRACTOR MAI�ADDRESS Z�P PHONE LICENSENO. Mi.lton L. Johnson Co. 2513 Central Avenue N.E. 781-9548 4 ARCHITECTORDESIGNER MAILADDRESS ZIP PHONE �ICENSENO. 5 ENGINEER MAILADDRESS ZIP PHONE LICENSENO. 6 USE OF BUILDIN(3 RESlt3.@ri't.ldl 7 CLASS OF WORK ❑ NEW ❑ ADDITION ❑ ALTERATION � REPAIR ❑ MOVE ❑ REMOVE % 8 DESCRIBE WORNc IriS't3�.�. SZCIl & 'tllIIl 9 CHANGE qF USE FROM TO STIPULATIONS TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD SEPARATE PEFiMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, VENTILATING OR AIR CONDITIONING. 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 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 $3 � OOO $�.. SO WITH WHETHEF; SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE pERM1T FEE SAC CHARGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- �•38.50 S CTION OR THE PER RM CE OF CONSTRUCTION. PLAN CHECK FEE TOTAL FEE � -z7-� �/ $40.00 SIGNATURE FCONTRA T R RAUTMORIZEDAGENT IDATEI WHEN PROPERLY VALIDATED THIS IS VOUR PERMIT o� � SIGNATUREOFOWNER�IfOWNERBUILDERI IDATEI rr::�- BLDG WSP TE � CITY (1F FRIpLCY • , APPLICII°I'Ia.d FO�t (;L"SIULFITI/li.. QUIL�It�G rCf��iITS ' (tde��r, A1l:er.�i:i�ns, 11ddiLions, or Repairs) � Ot1tdER: Y V/�- f ��,�,� ���� ADDRESS: � 6� � �' /d-0� 1� On� C_ i 12. TCL �f0: _ s ��- / o �a STRF••ET NO : � �o O � . � �y [3UI LDER : . l'% �7a,� ,l _ Jo�/,� sd .v � . � nndRCSS: �sr� �� ,� ��,�- �- %� �� ��, T�L td0: � �/— y'�� � Construction Location ' STREF.T: /d(-B� �� d'� �i ot C? /� e.e • , . LOT: . � BLOCK: ADI�ITION: . Corne� Lo�: Inside Lat: SetbacY.: Sideyards: Ap�licant attach to tliis form two Certi£icates of Survey of lot and . proposed building location drawn on certificates to scale. � . � DESCRIP7IOtt OF COFJSTRUCTIOPd - � I�ront: � Depth: Height: Squane. �'eet: Cubic Feet: _ Front : Depth : � H eight: � Square� Feet: � C11bic I'eet: Type of Construction : �` � � �1-/" � � /�,�i � � . .T � Esi:imated Cost: $ �� � 7b Be Oor,�pleted: ` , . � Alt. A Alt. B Yroposed Driveway Width If New Opening Is• Desired: $' $ . ., S�E R�VER5E SIDE OF SHEET . �.qie undexsigned hereb}� makes application �or a permit for the t:�ork� herein specified, agreeing to c� ,all wor}; in str�ct accordance �•�ith the City of I'ridley Ordinances and rulings ot ilie Depaitment of Buildings, and hercby declares that all tlie facts and ze�resentations stated in this applicatian are true an cor ect. � n.�Tr: �, �°� sxc�vr�xur�:: . Sti��ulltions : �G �� � , .s� � � � �[� ° . .. • BlilL1)IhlG I'[:f�t11T �E:�: :�C►If:I�Ut_C�'� . . S):C'',t'x01�� 2. • 7.'1�� 7n�.:��ectc�r. of 13u5.1c?iiu� :::hril.l, }-�cfai:c: S.;r.ui�ic� ��ennits tor t:he crr.cti.on of :�.»y )�u:i.l.ci:in�J or :�t�•uct:uLC, or. fa�: �u��� .xdQi.t:i��n l:o a�►y cr.i:;L-i.�►� }�uilclincJ nl :stxucLur.c, , cir i`c>z t�riy ill,tr.�r�►L•i�,n or. r.el���ir.:; �o •any c;:a..l:i.»cJ l�ui.l.di.ri<J or st•�:ucturc, u��c►�i ar����.i.cat•a.o» 't}ier.�tor.c, r.cqu.i.LC iJ�� ��aymcnL l�y tlic aZ�p].i.car�t: for. such y�cr.roS.L• or r��:, to t•l�e arnount I1CXlSlI1 beJ.c�t•� sr.� �ar.tli and 5.�i tlie manner. heLCin ��roviclacl L•o-a:a.t: - . )71.1•� COiJS'I7;UC'rIO2�: Sinc�7.e Famil.y ]loir.es and Gar.ac{es: $4.00/),000 cul�xc teat. . ' 1'7.h�1 CiIl:C1;: 2.5 I��xcerit: aL' 2�ui.lcli.»cJ J�e�-�nit fee. URXVEI:11�' llL•'L'P1:SSIOI•:: (CqncreLc GZirb SLrcets Only) � �' ' Al.i:cri�at.e A; ]tc:moval and re��l��xccment of conezete cur.b and guttcr only; llriveway �•ridth p].us 6�eet r. $13. �0 1►].tern�te II: }t�moval and replacem�•nt of concrete curb and. •� gutter and inst�l.l a 3 fooL- ��S.c3e approach t��ith -' � .• 6 inch c�epth; Driveway �•�idth �plus G feei: x$15., 75 • � .1�1�DIilO��l�L Ih�Of,�'�1lITIO(� For the purl�se of compuL-i.ng tees for building permits,. L-he cubicaJ. contents of any bui.I.di.ng or addition, 5.s detcrmi.ned by rnultip.Lying !he ground area covcred iro:�t a �oi.nt sir. (G) inches belo�,v the floor line oi i:he bas�ment or ths cellar to 'thc average heiqhts of the •upper surface or to the average heiqht af f:he roof. surface oi i:he main gable of a pitched rooi. ' For re�aixs or aJ.terations to an existing stYUCture, the fee shall be at f_he xate of $3.00 �icx each £ive hundred dollars °($500.00) or fracL-a.on iherc:of in the cost oi all proposed wor.k. . in� •no aase sha�.l the fe� cliarged fcsr any ppxmit as set iox�h xn 5ectian 2 be less � than $?.50 plus $.50 state surcharge. • . • I F I C�TI �� OF F�u�tn11�� I O(d NOTE: Permits �or constructi.on will be issued a minimum oi 24 hours from tlie ti.Yae df �pPlicatian to a].low for proper rc�iew of ihe proposed structurc and oi the constn�ction si�e. - � � A Certificate � of 5urvey of the lot, sho�,�ing the location o� the foundation once i.t has been cons�nicted �a3.11 be required bef.ore pr.ocecdiizg �•�ith the iraminq. . .�RT I F I CATE F t�C�UPA[��CY ' ' ' I►rp�.ication �'or a Cer�ifa,cate oi' Oceupaney shall be madn ien (10) days prior to ttre use o�^ occugancy oi any stzucture for �ahich a builcling perni.it has bGen issu�d; and s.-�acl struct_ure siiall. iiot be used ox occupied L;titil a Ccri:i.iicate of Occui�ancy h�s bcen xssued. � . - �.� � � � J�� _ sus�ecr PE . City of Fridley 16 9 91 AT THE TOP OF THE TWINS ' - r ; � R TN � `L __�__ COMMUNITY DEVELOPMENT DIV. � �' � r � � PROTECTIVE INSPECTION SEC. WRECKING PERMIT 1 � i � /�"1 � CITY HALL FRIDLE� 55432 NUMBER REV. DgT�26�83 PAGE OF APPROVED BV �'"""� � ��� 612-571-3450 910-F15 ��� / / JOB ADDRESS 160 Hori zon Ci rcl e � 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. �4 1 Carlson's Summit Manor North SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Wallace Ewer 160 Horizon Circle N.E. 572-1020 3 CONTRACTOR MAIL ADDRESS Z�P PHONE LICENSE NO. 4 ARCHITECTORDESIGNER MAILADDRESS ZIP PHONE LICENSENO. 5 ENGINEER MAILADORESS ZIP PHONE LICENSENO. 8 USE OF BUILDING ga rage 7 CLASS OF WORK ❑ NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE � REMOVE 8 DESCRIBE WORK 8 CHANGE qF USE PROM TO STIPULATIONS TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD SEPARATE PERMITS ARE RE�UIRED FOR ELECTRICAL, PLUMBING, HEATING, VENTILATING OR AIR CONDITIONING. THIS PERMIT BECOMES NULI AND VOID IF WORK OR CONSTRUCTION ZONING SO. FT. CU. �T��y� AUTHORIZED IS NOT COMMENCED WITHIN 80 DAYS, OR IF CONSTRUCTION v �(1' OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT 352 �f O ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS OFFSTREET PARKING I HEREBY CERTIFY THAT 1 HAVE READ 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 DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE pERM1T FEE SAC CHARGE PROVISIONS OF ANY OTHER STATE OR LOCA� LAW REGULATING CON- STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. �'rJ.00 PLAN CHECK FEE TOTAL FEE 15.00 SIG i � RE OF CONTRACTOR OR AUTHORIZED AGENT IDATE) EN PROP LY LI TED THIS IS V ERM�� �> ! /.�%�'Q ii' � -� � � �f � ��i SIGNATURE Of OWNERIIF OWNER BUILDER� IDATEI BLDG iNSP �pTE City of Fridley .T r� Ta a rMc .wwu . rv------� COMYNMIT� aY[LO�MiMT OIV. � � 1MOTLCTIVL N!�[CT101� Opt. � �'-'` � pTr IYLL 111tOL�r iMa (t.� .J W' NO' iM0 Effective Aug. 1, 1981 WRECKING PERMIT APPLICATIO�� Job �ddrese �!_� ���,��� el Gl.� �v ��al Lot Np. Block No. Tra t or Addition . Contractor Description Front of Bldg. No, of 3 �, � `� � w �� Address ' Address �pZ Z... �e�hs� � Dwelling Units Taxes Paid Estimated Cost of Wrecking �To Be Completed ..�t�,, J� � Pe=mit ho. Receipt No. Phone Phone � �v I3o. Otilities to be Notified and c7ate Sezvices Discorn:ected i�pis. Gas O�. N.S.P. Norti�restsrn Bell R�el. Co. Bnqr. Dept. Cust. Hus. Ofc. Hus. Ofc. 3 72-4850 33 o- 5540 33 2-4112 Date Date D�ate � 1Treckisaq Fees: 51.25 for each 1000 cubic feet or fract3,on For structures vd�►3ch �ould be i.mpractical to cube, the fee shall be Sased on tbe total cost of wrecking such structure at the rate of $6.00 !or each $500.00 or fraction. !lII�TIMLII�! FF.E: $15.00 No State charge on Wrecking Permits. /-� • 0 � Approved By Water � Sewer Department: Al1 Bills Are Paid Services Are Disconnected The undersigned hereby makes application for a permit to wreck the building described above, agreeing to do all work in strict accordance with the C ity Ordinances and rulings of the Department of Buildings, and hereby declares that all facte and representations etated in this application are txue and correct. Contractor Date sue�ecr R MI City of Fridley ��- 9 6 9 9 2 AT THE TOP OF THE TWINS g U I L D I N G P E R M I T r ; � RECEI . � ; L _____ COMMUNITY DEVELOPMENT DIV. /J r � � PROTECTIVE INSPECTION SEC. `�/ a� � I .1 , � � 1 /'��1 � CITY HALL FRIDLEY 55432 NUMBER REV. DATE PAGE OF APPROVED BV �""'� � ,�� 612-571-3450 s�o-F�s 4/26/83 / / JOB ADDRESS '16O HOY��ZOiI Ci rcle N. E. 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. � 4 3 Carl son' s Summi t Manor North SHEET 2 PROPERTYOWNER MAILADDRESS ZIP PHONE Wallace C. Ewer 160 Horizon Circle,N.C. 572-1020 3 CONTRACTOR MAILADDRESS ZIP PHONE LICENSENO. Sussel Garages 1850 Como Avenue 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAILADDRESS ZIP PHONE LICENSENO. 8 USE OF BUILDING garage 7 CLASS OF WORK C�l NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR � MOVE � REMOVE 8 DESCRIBE WORK construction of a new 30' x 28' detached garage 8 CHANGE OF USE FROM TO STIPULATIONS 1. Issue Wrecking permit 2. Garage must be town down before 30 days after completion of new garage TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD SEPARATE PERMITS ARE RE�UIRED FOR ELECTRICAL, PLUMBING, HEATING, r VENTILATING OR AIR CONDITIONING. WOOd 1 ralT� THIS PERMIT BECOMES NULI AND VOID IF WORK OR CONSTRUCTION ZONING SO. FT. CU. FT. AUTHORI�ED IS NOT COMMENCED WITHIN 80 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT 84O S4OO ANY TIME AFTER WORK IS COMMENCEO. NO. DWLG. UNITS OFFSTREET PARKING I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION STALLS GARAGES AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS VALUATION SUHTAX AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR NOT. THE GFANTING OF A PERMIT 8�9�I� .�LO �i. 49 DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE pERMIT FEE SAC CHARGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- p STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. 7�Fs�O PLAN CHECKFEE TOTALFEE 78.99 GNATURE FCONTRACTORORAUTHORIZEDAGENT IDATEI WHEN PRbP RLY�IS IS Y��6 � / � :� y� � � ° l� _ i � � �� A � SIGNATUREOFOWNEAIIFOWNEABUIL�EAI IOATEI BLOG �NSP �ATE CITY Of fRIDLCY Effective �ug. 1, 1981 APPLIC11T1�� FO(i RESIDCNTIfl� BUlLD1i�G PL•RNIITS (Nc�, A1 terations. Addi Lions, or Rep� irs ) OWNER: II��,,,/�. flAc� C•�••.• �r BUILOER: � t� � s��_ Cr �e�A�es ADDP.ESS: l�� f1��ez��• �°tr � l,� AODRCSS: l�.�� c'� �',� ��°'� TEL M0: ' .� 7 �— � � �� " TEL N0: . szr�r No: l � Construction Location 6TREET: '�'� �il o�� z v�+ � I P� I� . LOTs I�i 8LOL7ta � 11DAITION a �� �a�`�°S" ��,±��t�i i d a ��,►n��' ,{'� . Corner Lot: ______ Insicle Lot: 6etback: Sideyards: Appiicant attach tc tl�is iosm bwo Certificates of Slirvey of lot anc] pzop�sed building location drawn on certificates to scale. � OESCRIPTIOi� OF COh1STP.UCTIO�� .�,J , � � �, � °� ���;r�2 - .��_+�;��..,Fsont: ��� � Deptha � Feiqht: s'� Squa�ee Fc3eta � ^,�� Qibic Feet: � �i!Z�� Front: Depth: Neight: Square Fepta Q�bic reet: lype of Corstructian a G-� � a G� Rb Be Cbr.�pleted: /4PPo1e� � � � ' �'� � ���1/� � �� Estimated Costa S � � � �� !►lt. A A1 t. 8 Propesed Drivc��ay i�idth If New Openfng Is Desireda S� S � , � SE� Rs.VERSE SIDz OF SHEET � ��e un8ersigned hereby mal;e� application for a penait icz the �,ork hereiss specified, agreeiag to cb .all vork ir, strict accordsnce wfth the City of Frialey Ozclinances t»d ruli»g� of the Departa+e�t of Duildir�gs, and hereby declares that all tl�e f�cts and zepreser�tations stated 3� this application are tzue and cozrect. ar�TEa P"{ ` � � — �,� SIGNATU� : 71 ��.�P� �' Stipulations: � ��. !.� � � �� �� � / ��;a �� � �-- �n-��`��� ���9�...� •u� �-�k-Q. � � � l C' �p� ° � .�.E'�'�'� t [� � ���'f�-1 r i �- i ��F�-r`°�� :°�,�i°� � _ � ,r`� p�Jt. �- �9 a`� �` � �'. -f� �. /��l.e=�.�" r, `� „�r, ���� �� �� ���1,� ��� �l��� cs� ���-� =�Z �,� � � 1 ���� ���-i���� � BUILDING PERMIT FEE SCAEDULE The Iaspectoz oi builainqs shall, before issuinq permits for the �z�etion of any buildinq os stzuctvze, oz for any addition to any •xisting buildinq oz structuse, os for any alteration os sepairs to any •:istinq buildinq or stzuctnze, npon application therefore, r�quize tbe payment by the appl�cant tor such permit of i'ees to the •aouat b�seia below set icsth ana in the �annez hezein provided to-vits '1'OTI�L V7ILUATIQd =l. 0o to SSOO. o0 SSO1 m �2.000 52,001 to 525,OG0 lEES i20.00 �linim� Fee S15.00 plus surcharqe 510.00 for the first S500 plus 51.50 for each •8ditional 5100 oz fraction thereof, Lo and � incladir�g 52,000 532.50 foz the firrt $2,000 plus S6.00 for each additional S1.000 or fraction thpseof, tc and fr�cluding 525.000 525,OG1 to 550,000 5170.50 for the first $25,000 plus S4.50 foz each additional 51,000 or fraction thPS eof, to and includiag 550,000 550, 001 t� S100,000 t283.00 toz the iizst 850, 000 plus each additional s1,000 oz fracticn and includinq 5100,000 5100, 001 and up 5443.00 for the fizst 5100, 000 plus each adaitional 51,000 or fraction PLAN p�tECK: 25 perces�t of building permit fee 53. 00 foz thezecf, to S2. 50 for thereof DRIVD4AY DEPRESSION ES(StOW: Concrete Q�rb Str eets �ly 111tezna�te •A": Remov�al ar�d replaceloent of curb ar�d gutter only •-. Driveway width plus 6 feet Y�13.50 � J1lterr►ate •B": Renoval ar�d zeplace�nent cf cuzb arid qutter and install a 3 foot wi8e appzoach with 6 inch depth Drivevay widtti plus 6 feet x$15.75 VERIFICATION OF FOUNDATION Penn�its foz construction vill be issued a min un�n of 24 hours from the time of application to allow foz proper review+ of the proposed structure and of the constru ction s3te. A Cert3ficate of Snrvey of the lot, shaoing the location of the four�dation once 3t has been oonstructed �riil be required before procee« d_ ir�r with the frami,r�g. Y y aE�,.._, ���� A DIVISION OF THE SUSSEL CO., iNC. NAM 1850 COMO AVE, ST. PAUL Permit by Legal Description— Lot_ Blk Add'n Value Type Const. SLAB: ❑ By SUSSE L ❑ By Owner Approx. ❑ In 2-STARTING POINTS ONLY S. P. L. S.S.P.L. R.P. L. Alley House F. Street Other ❑Square With _ ❑ Sod Rem. - By ❑ A.B.U. ❑ � Grade Point ❑ Blocks: LIBy Owner LJBy Sussel ❑ Wtr,proof: OBy Own. ❑By, Sus. ❑ Backfill: ❑By Own. ❑By Sussel ❑ Maintain 8' Total Wall Height Including Blocks OR ❑ Maintain 8' Wall Height on Top of Blocks Block Size ITop course) ❑ 8" � 6'" � ��� ------ 1Nell Fieight other than 8 ❑ Frame with full wall height sold OR O Cut studs as required for OHD clearance ❑ O.H. Dr Offset ❑ S.D. Location ❑ Windows O Att Gar Roof Tie-in Drawn on attached pictures Existing garage: No ❑ ❑ Detached ❑ Attached Yes ❑ Size of existing: x Existing garage will be: O Left as is ❑ Converted to L.S. - By owner CJ Removed By: Owner ❑ Sussel ❑ Junk Must Be Removed By Owner ❑ Specify removals by Sussel or Owner - trees, bushes, etc. ❑ Show approx. dist. garage to house and all prop. lines Stakes visible - ❑ Yes ❑ No Survey available - O Yes ❑ No ❑ Special instructions from owner: Slab ABU Sod Removal Sand FiII WORK ORDER � � JOB ADDRESS � �" � � �'� �' BLDG CODE AREA ���� �` ��� SALESMAN °�'� �'� CON� , HOME PHONE:'�`��° ���'� "� BUS. PHONE: a►� � / �'i' ��� ACT DATE �� � �f �SIZE '" � � � � FOR OFFICE USE ONLY Blocks Blks. Delivery Waterproof Back Fill Other , ��� , ��, . '�... ��fi �, ,,, . .... '�. � _ _ r....•u....�."..'"� D.W. S.W. Ftg. Re-bar TOTAL � _ j �+ - b ' .. O�' . .... � _. r ` u n ' � ��r , .��- -_ , : _', _ . � � ' : _ .' � , - , i S w ' '_ � i __ �_ , ', _�_ : _ ; _ _ . , � _._, � t — ,--. a - , :., _ � � _ �_ _ � `� � _ __ � i — � � -�. e� _ , -, , , . , : ! i -, _ _ � � , , _ �_ � I__ _ _ ._ _ . � __ . ; - _�- ; �� � � , �u � _ , , � , �� - �� - � ���� _ = s �,. �. _ m ��.. t„_ , _ k . __ - �;� (,_ _ , . _ i , ,: � _ _ � _ �� ,_ ' __ _- i �. , '- - � - � d � i � _ - . + �, � � � .e , � . - - � �� '- , fi _ � _ - , � � �. _ � � _. _ _': ,f � � ! � k. _ . — � � . ��._= _ _ - _-- __� � . . _ � . . ; ��� : `� ' � - EI Poe�r ' ; , � , '' _ : r k- = ', � , i ` h ' '� ' _ .. .,_ _ ' PURCHASER'S INITIALS: ___ _..,�,, �;� , �_ ; , ,; , - --�� .._:�� � _ ; .;._. a , . _ —,, = - _� -: - • , _� . � � �-'- r- - , i , � -�--; ' ' _. . ,_ .� _ � ; , , � � . , �� b- -� w T '� _-.,� r�,-� , _ � �� � _ � _ � "� _ , �_ . � �.� _ : . _ ( �, _ _�, � I L rrn It�k - � � �: ,, , � � � � _.--� _ '; �, � °" � �..� � � _ _ , � _. �. e . . � . � _ _ _ f_ � _ � _ ,, -_ � , �� • - . � _ . , _. � �� � ,_-- _ � � � � . ,. , � ��� __ � - . - �� - - � _ r. � � � � -_ . � , - i-�y. r _ ' _.. � , ,w ''�. , . - � _,�. � �, _ �'_ . �� ` _ �� l� � _, � � � . , -I� pi : � �� �� i '_�:�_�_� — _ — _. _. DIRECTION �5�� A DMSION OF THE SUSSEL CO., INC. 1850 COMO AVE, ST. PAUL 1" x 8" Ridgeboard � � 2.,X s, Ra ft�rs � � — --� 1" x 6" W-Bracing — when applicable per Minn. State Code NOTE: ROOF: GABLE ERSE GABL EAVE OVERHANG:�' RAKE OVERHANG: _�� t� SEAL DOWN SHINGLES WITH PLYWOOD OR ASPENITE ROOF SHEATHIIVG AIVD 15 LB. FELT Roof Sheathing Seal Down Shingles � 2" x 6" 3/8" Plywood _ Cross Ties Gussets 2" x 4" Double Top Plate 1) Roof approved by Minn. State Building Dept. as meeting Minn. State Code Requirements of 30# snow load. Refer to State Building Code Letfer Number 35. 21 �i Trusses set 48" O.C. (Gusset - 3/8" Plywood). Intermediate rafters are 2" x 6" 's braced with 2" x 6" collar ties. 4) On 18' and narrower garages, eliminate the W-bracing and collar ties. 5) Hip roofs consist of 2" x 6" rafters, 2" x 6" cross ties 48" O.C., 2" x 8" hip rafters and no plywood gussets are used. �0��6'-0'` and greater will be constructed with trusses manufactured by state certified plant No.150. RAFTERS: Z" x 6" 16" O.C. 24" O.C. STUDS: 2" x 4 ' 6" 0. 24" O.C. WALL SHEAT ING: � � • ��. SIDING: (�(, ✓v� � OVERHEAD DOOR HEADER: Double 2" x 72" or Gluelam beam� x �. Slab on grade construction approved per Minnesota State Code. Refer to State Building Code Letter Number 11. SLAB: 4" WITH MESH 6" x 6" # 10 Gauge _ _ _ � _\�� 'v > � 45° � �' � 4" � � � HIP Trim Fascia 1" x 4'` Sub Fascia Soffit 3/4" Cove 2" x 4" Studs Siding Yz" x 7" Anchor Bolt per U.B.C. 2" x 4" Treated Bottom Plate Grade Line ��. � ��������� ����� �YDIN[i� em wn TOrOOMPNIC MA�TINO T CAR�SON'S SUPin11T MANOR NORiN R,K- 3 . '�. ��� ..1 C. E. COULTER - LAND �SIdRVEYOR REGI6TERED UNDER lAW6 OF STATE OF MINNE60TA . UC[MiED �t ORDINANC[ O� CITY OP MINN[A/OLIi 5300 LYNDALE AVE. SO. MINNEAPOLIS 6. MINN. TAYLOR 40370 Suntequr'a �'in�titicatr . � PLATTINO lANY �YIIV[rf LAKtEMOR[ JYDICIAL `_ . � �C� : t � �� _ �/' - � �� ` Iron � __�' L�.�. .� � , ��._„'�, , . -� _ _ _ . � ..�..r�_ _.-- - - --- -- - -- <- � � � , , � ���y �O `/` � \ �\ �- / � � , , �O / , ' �' �� ��e � � - �� e. / , '�ti ��, � . i „ , � "� Iron ` ', Q��"��'�o� .o . . �1' - " ���-�'�'\�P�!' �J' .' � l� ��' �� Q �ti ,1 �\ �1 , �Q,'y ` \ i�' \ �7 � � �,\r � � y O, � � ./`�� � .�,, , • O � t , '� . Q , � � ;: , �j 1 � . y � � � � � lron �\1�`' � ��l� ,� �': � , / ; .�! \ "J � / � � \ \ �/�r \ i / �6 � �. \� ,- _ ,1'011 � i' - — � f � ' '+ I hereby certify that the above is a true end carrect plet of a eur�ey aS: Lot ?aurteen (11� ). Block Three ( 3) � CA.�Cd3'S Si�'Q�.IT �',J1NGR NCR�i ADDITI QJ. Anoko Couaty, �4inneaote. ♦a eur�eyed by me thia 2nd 8ay of April 19�7 A. D. Signed ' � � • - � Ndnneeota Registrntion No. 2581� AR.�'',� � ���_�"�;� �t �:►;` �n�! .. sus�ecr PER NO. City of Fridley o� 1 � � g AT THE TOP OF THE TWINS B U I L D I N G P E R M I T � t ; � RECEI • COMMUNITY DEVELOPMENT DIV. � � � �1: ------� r j � PROTECTIVE INSPECTION SEC. � � ` � � �'�'1 � CITY HALL FRIDLEY 55432 NUMBER REV. DATE PAGE OF APPROVED BY �'"'"� � ,�' 612-571-3450 910-F15 6/6/83 � � 10B ADDRESS 160 Iiorizon Circle N. E. 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. ]_t� 3 C3Y'].SO11�S Summit Manor North Additi.on SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Wa�.ter Ewer 160 Horizon Circle N.E. 572-1020 3 CONTRACTOR MAIL ADDRESS Z�P PHONE LICENSE NO. Mi.lton L. Johnson Co. 2513 Central Avenue N.E. 7g1-9548 4 ARCHITECTORDESIGNER MAILADDRESS ZIP PHONE LICENSENO. 5 ENGINEER MAILADDRESS ZIP PHONE LICENSENO. B USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE X 8 DESCRIBE WORK Reroof Dwelli 9 CHAN(iE OF USE PROM TO STI PU LATIONS Roof can be 2nd layer but not 3rd. Install ridged galvanized valleys. SEPARATE PERMITS ARE REOUIRED FOR ELECTRICAL, PLUMBING, HEATING, TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD VENTILATING OR AIR CONDITIONING. THIS PEFiM1T BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING SQ. FT. CU. FT. AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOH A PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS OFFSTREET PARKING I HEfiEBY CERTIFY THAT I HAVE READ AND EXAMINEO THIS APPLICATION ], STALLS GARAGES AND KNOW THE SAME TO BE TRUE AND CORHECT. ALL PROVISIONS OF LAWS VALUATION SURTAX AND OROINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED �`]_iOOO �`.SO WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE pERMIT FEE SAC CHARGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- STRUCTION OR THE P RMA CE OF CONSTRUCTION. $�-7. 5O PLAN CHECK FEE TOTAL FEE � . � � S � �18.00 SIGNATUfiEOFCONTR � TORORAUTHOR12EDAGENT 1 ATEI Wk;1EN PROPERLY LIDATED THIS IS YOUR PERMIT . -., ��� SiGNATUPEOFOWNERIIFOWNERBUILDERi IDATEI BLDG INSP TE CITY OF FRIDLCY Effective Auq. 1, 19s1 APPLIC11Tl��l FOfi RESIDCNTIfI� BUlLD1i�G PL-RFIITS (Nc��, A1 terations. Addi tions. or Repa irs ) Owr1�R: V Y A-1.7L ��N/ �' le ADDf'.ESS: ,� �o D'°�-Oj� i ZGN �f 2C�e' TEL M0: '� 7 oZ "/ 0 a d � BUI LOER: �i � `r0�1 � . VD f� n�sd.J (..d . ADDRCSS: ��/3 G Cm' N 7/LA c�d P./l�E'' � f�o: ���� -ysy d Construction Location . • STRI�T N0: � 6TREET: � d�� Z d� i it C' ��" .- LOT t �7 BLOIX a ��IDDITION :�_� A�,�. t� �� i� Corner Lot: Insic]e Ipt: 6etback: Sideyards: .-_ Applicant attach to tl�is fcsm bwo Certificates of SLzvey of lot arid pzcposed building locatian drawn on certificates to scale. OESCRIPTIOi�t OF C01•�STP.UCTION $ Front: Depth: Height: Square Feets Qibic Feet: Froat: Depti�: Hefght: Squnre FeeL: Q�bic �eet: ' � d`!. Rype of Oorstructian: �A a� Estimated Costa $�, �4�0 . 9b Be mr.�plcted: , � � G`�'�7'�+ � � • I►lt. A Alt. 8 pzoposed Dzivc�+�ay hiath If New Opening Zs Desireds S� S , SE� RF.VER;E SIDz OF SHEET _ Ziie uridessigned hereby ma1;e� application for a pez�nit foz the �aork herein specified, agreeing to cb ,all Work ir, strict accozda�r�ce Nith the City of Fridley OrBinances tnd rulings of the Del��rtmes�t of Duildings, and hereby dec2are� that all t]�e facts and zepreser�tr�tieas stated in this �pplication are true an co- ect. �,��_ 6 G 8s S ��n�� : " � Stipulatior�: � !�'�/ �0 J � ��` � BUILDING PERMIT FEE SCHEDIILE The Inspectos ot Duildings shall, befoze issuing permits for the •r�ctfon of any building oz structnze, oz fos any addition to any •xisting buildiaq oz structure, os ior any altezation�os repairs to any •sistir9 buildinq or structure, npon application therefose, s�quize the payment by the applicant foz such pezmit o� �'ees to the •aount e�rein belov set iozth and in the �annez hezeia pzovidea to-vit: TOTl1L V1►LU11T2CN i1.00 ta i5oo.o0 SSO1 b� =2,000 52,001 b� ;25,000 525,001 to 550.000 SS0,001 t� S1�0,000 5100,001 and up lt�S i10.00 !Ylinimam Fee �15.00 plus ,surcharge 510. 00 for the first S500 plus Sl. SO for each additional 5100 oz fraction thereof, to anci ir�cludinq $2,000 532.50 ioz t?�e firtt SZ.000 plus S6.00 for each additional S1.000 or fraction thpseof, to and 3.acluding 525, 000 5170.50 for the fizst S25,000 plus 54.50 for each adc7itional 51,000 oz fzaction theseof, tc ar�d including 550, 000 t?83.00 for thc fizst 550, 000 plus S3. 0� for each additional 51,000 oz fraction thezeof, to ar�d includinq 5100, 000 5443.00 for the fizst S100, 000 plus S2. 50 for each additionel 51,000 or fraction thereof PI.At�1 C�IEClC: 25 perce�t of building pezmit fee DRIVfl�AY DEPRESSION ESQtOW: Concrete G1irb Staeets Only !►lteznate "A": R�nov�al and zeplac�n�t of cuzb arrd gutter only Driveway vidth plus 6 feet s$13. SO � 111ternate "8"= Renoval aad replace�ner►t of cuzb and quttez and install a 3 foot � wide �ppzosch with 6 �ach 8epth Driveway vidth plus 6 feet x 515.�5 VERIFICATION OF FOUNDATION Permits for constructio� vill be issued a minim�an of 24 hours from the time of application to allow foz proper zeview+ of the pro,posea structure and of the const�cvction site. A Certificate of �nrey of the lot, ehowinq the location of the founda tion once it has been oonstsvcted rill be required before procee._ dir�r Wfth the framir�g, -- o .a� — � � � � n 0 �� � 0 N (�G � � o � 3 � a �' `o' � 7 'C � � �� �: ,.i N � � � W : a e� � o ' ..� � m z � 'o m � O Z m � 3 1 �F S � .g � A � � �. � W• � , • Q � � a � � �° �m �m � . � � c � � z � � � � n � � � O Z Z � Z 31 \� � � v \ � _ � � O � Q . � � � c m � cQ � 0 � � n O � � � � � _ `D a -�i� C N � m � � O 0 � �n � � o � w � m ,m�� �, su � � � � A � � �, o ? tA �� � Z � D 3 * n 0 c��'. 0 � � � t v_ � � N � � � � �i: � � � a � cn c� T ��p N p -� "" -o��� � �°• Q. -`°a '° a Z � � � � � � � � � � � Q a?�� �v gc�m " � W$ � � n �' v W � �. � 1 �� I � � n 2 m v c I71 � � � � � • c^'i► o 0 0 �6' � . �. .$ .g ° �. ��..� ' � . � d► tn � '1 � m w -n oo'-+ z � �� 1D �.a� . � �� ., . �� �--� � �m � � �, 3 � m �i3 � � �� a � . � -i � c� � , � � m n O > > � � � m � � a � a� z � � 3 m� a'oo = v 7D ' �. � ^ � � �� �'m �I , � �� � � .��i rn .� � .� v � � � �' d 'D m � � Z O � � � � � 6 .z . � ' c m v � 0 � � m �. � � \ � O � � � ?� � � � ���� � °� �' ° ���� N C � � � � a�°�. � � o .e g�' =a3i -�o'�N � � S'a��� d: � � � � � � � �' '< °' � � � o 0 � � � � 1 � � a � � o A;�� r�?'�° \,`` ? '° � � n °� � � � � ; � � � Qs. N � � �. a � .g rn _�i 0 va�'� �; � c o � � � Z W � �� � < N � z rnrn � z v ? � � m� � ZO z �.. , �'O � v -v � O O � v� � Z y ��Z �v 2 � � N Z � �� : � O �� < rn � � Z � � � � � � O � c � j � �}; --� , e *. _ �L. .\ � � � � �` -- �. �_ The undersi�ned hereby verifies that the existing chimney or stack: '. 1• Has been carefully examined Yes C�) No ( ) 2. K� Is free &om nist ar deterioration Has no foreign objects iodged within 4. Is securely suppurteci �, 5. Meets all current Code requirements for size and total BTU's connected �6 Has total heating BTU's of c • � .:� All other BTU's � � i��' � ' . TOTAL BTU's � � ���' � . 7. 8: Has a line�' been provided for water heater Has combustioa air been provided for water heater Remarks: 0 Yes (�Q No i ) Yes � ) No ( ) Yes QC )� No ( ) `��t���() Yes � No ( ) Yes (y� ) No ( ) / d . . .., , �� - -� c /��_:S/,9Il1! s �...,� � a - _ _ � . y : - y :. ; • ► :_- � � �.� � . HEATING CO: Signed By: Date: 0 > , sue�ecr P . _; O.. City of Fridley 2 9 0 2� AT THE TOP OF TNE TWINS g � I L D i N G P E R M I T i � � �`y ____� COMMUNITY DEVELOPMENT DIV. / IPT NO. ! j � PROTECTIVE INSPECTION SEC. � �� �d ' i ' L_--. `�'��,'� CITY FIALL FRIOLEr SS13Z NUMBEN REV DATE PAGE OF 1GPqOVED BY i �� 61Z-571-3450 9to-Ft5 3/18/99 / / J08 ADDRESS 160 Horizon Circle NE 1 LEGAL �OT NO. BLOCK TRACT OR ADDITION SEE ATTACNED DESCii. 1LF 3 Carlson's Summit Manor North Addition SHEET 2 PFOPERTY OWNER MAIL AODRES$ 21P PHONE Wallace Ewer 160 Horizon Circle NE 572-1020 3 CONTRACTOR MAIL ADDRESS 21P PHONE LICENSE NO Milton Johnson Co. 525 Lowr Ave NE, M ls., MN 55418 781-9548 2083 a ARCHITECT OR DESiGNER MAIL ADDRESS ZIP PMONE LICENSE NO. 5 ENGINEER MAII ADDRESS 21P PNONE LICENSE NO B USE OF BUILDING Residential 7 CLASS OF WORK O NEW O ADDITION O ALTERATION C� REPAIR O MOVE O REMOVE B DESCRIBE WOFiK Reroof House & Garage (20 Sq) Tear-off; Siding Repair 9 CHANOE OF USE FROM TO ' STIPULATIONS Underlayment must comply with the State Building Code. Call for building wrap inspection before covering. CONSTRUCTION WORK liOURS: 7:00 am to 9:00 pm, Monday thru Friday; 9:00 am to 9:00 pm on Saturday; No work on Sunday. SEPARATE PERMITS ARE REOUIRED FOR ELECTiiICAL, PLUMBING, MEATING, TYPE OF CONST. OCCUPANCY GROUP OCCUPANCV LOAD VENTILATING OR AIR CONDITIONING. TNIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION LONING SQ. FT CU FT AUTHORIIED IS NOT COMMENCED WITHIN 60 DAYS. OR IF CONSTRUCTION OR WORK IS SUSPENOED OR ABANDONED FOR A PEFiIOD OF 120 DAYS AT ANY TIME AfTEF WORK IS COMMENCED. N0. DWLG. UNITS OFFSTREET PARKING I MEREBY CERTIFY 7NAT I MAVE READ AND EXAMINEO TMIS APPLICATION 1 STA��S GAiiAGES AND KNOW TME SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF �AWS yp�UATION SURTAX AND ORDINANCES GOVERNING TMIS TYPE OF WORK WILI BE COMPLIED WITM WMETHER SPECIfIEO MEREIN OR NOT. TME GRANTING OF A PERMIT �4'�214' �2.11 DOES NOT PAESUME TO GIVE AUTNORITV TO VIOIATE OR CANCEL TNE pEfiMIT FEE SAC CMARGE PROVISIONS OF OTHER STATE OR �OCAL lAW REGULATING CON- @ STRUCTION TN ERFORMANCE OF NSTRUCTION W99.7r3 Fire S�.' ��F.21 PLAN CNECK fEE TOTA� FEE z—= License SC $5.00 $111.07 Si E OF CON�AA ,TO OR A MOA�ZED AGENT �D4TEi WHEN PROPER VALIDATED THIS IS VOUR PERMIT — ' � `�/�---9� S�GN4TUAE O� OWNEaii� OWNEpBU�IDEAi iD�iE� B�p �NSP qarE N 1:�V ADDN ALTL'R �� [ 1 I. ] ' C[TY OF FRIDLEl' S[NGLE FAMILy pND DUPLEJ�FS R-1 AND R-2 BUILDING PERMIT APPLICATION crf��c«�e 1 / 1 /97 � � ��'� �P � ConstructionAddress: 16Q Horizon Circ7,e . Legal Description: Owner Name & Address: Wa17,ace Ewer (same) . Tel. � 572-1020 Contractor: Milton Johnson Comapny MN LICENSE # 2� 8 3 Address: 525 Lowry Ave. N.E. Mpls. 55418 Tel. /{ 781-954� 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 IMPROVEAZE\� LenS� � Width _ Height � Sq. Ft. �ng� Width Hei�ht Sq. Ft. �ng� Wld� Hgt/Ground Sq. Ft. ^ � fJ�� _��/°��� �.onstruction Type: Roof arld Siding Repair 7 500. 00 �� �ti�s. W �.S[Im1tCQ COSt: $ � ' � (Fee Schedule on Back) ��r y�� �riveway C�rb C�t .Width Needed: Ft. + 6 Ft = Ft x $ � -. _ � � )ATE: � A►PPLICANT: � � • T�. � 781-954$ 'ermit Fee 'ire Surcharge tate Surcharge AC Charge icense Surcharge' riveway Escrow rosion Control irk Fee :wer Main Chargc TOTAL '[I'U(./�'l'[O�lS: CITY USE ONLY $ ,'' � Fee Schedule on Reverse Side $ `��� :001 of Permit Valuation (1/lOth%) . $ ' � � $.50/$1,000 Valuation � � $950 �r SAC Unit $__ � � $5.00 (State Licensed Residential Contractors) � Alt. "A" or Alt. "B" Above • $ �$450.00 Conservation Plan Review � Fee Determined by Engineerins $ Agreement Necessary [ ] Not Necessary [ ] �lf��� .. , , ' . '. �; au«.ut,vc: r��.�i�irr rr:� sc�tcuc��.��: '1'li� Cliicf I3uilding Oflicial shdll, lx:fore is,SUing pemiits for the erection c�l' any building c�r c[rucwre, ar tar any addition to any cxisting building or stcucturc, or for any alteration ar repair to any cxisting building or st�vc�ure, upon application d�erefore, require the payment by the applicant 1i►r such �ertnit of fees to the amount herein below set forth and in the, manner herein provided to-wit: ' � TOTAL VALUE $1 to $S00 $501 to $2,000 $Z,OU1 to $25,000 $25,001 to $50,000 $50,001 � to $100,000 . $100,001 to $500,000 $SOO,OOl.to $1,000,0� . $1,000,001 and�up � FEES $21 (Muwnum Fee is $21 plus surcharge) $21 for fust $500 plus $2.75 for each additional $100 or fraction thereof, to and including $2,(l00 562.25 for frst 52,000 plus $12.50 for each.additional $1,000 or frac�on thereof, to and including $25,000 $349.75 for first $25,0(� plus $9.00 for each additional �1,000 or fraction thereof, to and inciuding $�0,000 $574.75 for first $50,000 plus $6.25 for each additional $1,000 or fraction thereof, to and including $1p0,OQ0 • .$887:25��for SrsK $100,000 plus $5.00. foF each additional $1,000 or fraction ther�f, . to an+d �includ.ing $500,000 $2887.25 for the first $500,000 pius $4:25 for eacli.additional $1,000 or fiaction thereof, to and including $1,000,000 '� $5012.25 for the C�st $1,000,0� plus $2.75 for each additional $1,000 or fraction thereof DRIVEWAY �DEPRESSION ESCROVV �. . (Concrete (�ub Streets Only) d �lcernate "A"•: Removal and replacement flf curb and gutter only -�Drive�w�y width plus 6 feet times $13:50. tternate "B": Removal and replacemeat of curb and gutter and install a 3 foot wide approach with 6 inch depth - Driveway� width plus 6 Eeet times $15.75. VERIF[CATION OF FOUNDATION � .:rn�its for constniction will be issued a minic�um of 24 hours from the timc of applic.ation to atlo�u for propec :��ie�v ot' the pr��Posccl structure and of dle constn�ction site. . t:crtitic;:tte c�f tiurvcy c�f the lot, showin� the location of'tlie foundation �n�ce ii has it ha.nc�en constr-ucicc! '" i!�-. 1't'l�lll('Uli ��t'1�tT'� �)!'�t�:t:i'C�lil:: ��'ll�l 1�1C fr:lillill^. � ,. •,