Loading...
AF - 46321,^, n � /�`, /'� City of Fridley, Minn. BUILDING PERMIT �l/ �y� N° 665� , .:: � �.� i >�, , l � , • •• � = G�� .�. �� � J� : s . ���,i(,s/,/ �+ � �- -- LOCATION B 1 D G No.r �� st�t P P Lot Lot �t � _ Block Addition or Sub- - ,� a / Coraer Lot ._ Inaide Lot _.._�� �tback � Sideyard � Sewer Elevatian — � Fo dation IIevation DESCRIPTION OF BUILDING T Front �r � Depth � Height �� Sq. F'tL� (;u, FLQ,��� _�___. a Depth �Teight � Sq. Ft Gtii. F't. Zj►pe oP Constructf �� F�t. Co /, L.�����To be Com pleted In consideration of the issuance to me of a permft to co u31 ' ve I agree to do '�� P�P� �� � a��ce with the descrlption above t orth af1 provlsions of vrdiaaac�es oP the dty of Fridley. •-e� � In conafderat[on of the paqment of a fee oP "� permit 9s hereby granted to to construct the buflding or addition as described above. This �ermit ia granted upon �he express condition that the persoa to whom ft fa granted and his agents, employees and worlmzen, 3n all work dane in, aro�md and upon said building, or any part thereof, ahall cox►Porm in all respects to the orciinances of Frld1eY, �esota regardtng lacation, conatruction, alteration, maintenance, repair and movYng of bufldings �� dty ]im�its and tbis permit may be revoked at aay�uoen�.�3�of any of the pravisiona of said 1 // lO \ Huflding Inspector NOTICEa 71ds peneh doa tro1 eerer t6s eomfruatie�e, t�tatlatfon Por vrbteg, plumbiee, pa h�aHeg, avru or wate�. B� sun to »� �hs Baildio8 lea{aetor Mr apuat� parmhs �or t6u� h�ms, � va D 8 G(!A � �a � � � � � � � �0 �A � Y •� r o "� � � . .`� •� � �� : :N M ' �o i� 4 • [�] • tirj •�,,,�j F"A . . , �y : � ' . � ' : . 0 0 m ' a . � . � � �i � ❑ u � r � � �e � a � y p� � � � � � x �� W z�� 8;�, F M n �� n ~ ,� � o ''! C� � �7 � � d '+ ►„ S4 �+ C M � C � � " � � o � � ��5 A � ti � x a " � � c t+� ��, �c :° �� � b y � y b 25 � • � � ., . 'Q , : a . . . 0" � . '"J �A � , . � � �. W . � � . a 8 � °.° � . . .. °•° , . : : : : ' � : : : : . �, • • . . . � . . . . . . . � . . . . 0 0 N x� M x x x x �e �e y�i N � N �a �a �i .�,. �.° Ea � g a : 8 � g '�'' S '�' `a' � � � fA p 'M iH d► �6N M d► tA O � I O H �-1 � I r ,�'�r O t" � � � N 00 C � 5� � � A �' �� I �'il . � e� a � �` " '� - � r: �� ,� �.! > � r�- ?� —��I � � � m C r m � a � � � � o A y ,. V! � � F-� g ol 0 O O� � t � � � ■..1 ' � ����1 � : ...■, � � ����, � � ■���� : �■.�1 ����� � .. .°�, o. p. � � � � o. � �m y � � . � � w w�ta a.�scrs uaiw�s a�r►� � .ws�ws SINKS wtiw .�� DRINK. �a,�. � F10011 ORAINS GTUi e�WHs A�� w�e GhS � �� � �� GAS OaEN�NGS . • S • � N � a � � � � ti A � G' O' n a ; ���� � � A � o�a � M �Sx°�D r~n .. O 10 � ••• w � � g B. N. � m a, � �. � ��o� � „m � � � �.��� �+ 0 � � ��� � � ���� ti � �b � ti $. � � �m �b, � � � o 7' o � �.�1A �.^ � � � � � � E � � � � � � � u � ►Ot :i��^ �' �g $ �3er m r � A � 3 �'� 0 C �d �� �� � Sa a� �x � � � d M O +1 '�i � � M � �� �� 0 � � � � w � � � � � � _ � � � �o � � � � � � '� � W », ► a � �p � 61 � � � N � r� • � � �� ' �t� x 0 K o ` . � t7 y Q • N � sue�ecr PERMIT NO. City of Fridley 6 9 5 0 AT THE TOP OF THE TWINS g U I L D I N G P E R M I T r � � RECEIPT NO. � `� __�_�_ COMMUNITY DEVELOPMENT DIV. r j � PROTECTIVE INSPECTION SEC. �/ � � _ � ' /"'1 � CITY HALL FRIDLEY 55432 NUMBER REV. DATE PAGE OF APPROVED BV �""'"� � ,�� 612-571-3450 910-F15 3/21/83 / / JOB AODRESS 5213 Horizon Drive N. E. 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 2 g Ca.rlson's 5umtait Manor North Addn. SHEET 2 PROPERTYOWNER MAILADDRESS ZIP PHONE Steve Carlson 5213 Horizon Drive N.E. 572-9611 3 CONTRACTOR MAILADDRESS ZIP PHONE LICENSENO. Milton L. Johnson Co. 2513 Central Avenue N.E. 781-9548 4 ARCHITECTORDESIGNER MAILADDRESS ZIP PHONE LICENSENO. 5 ENGINEER MAILADDRESS ZIP PHONE LICENSENO. B USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW 0 ADDITION ❑ ALTERATION O REPAIR ❑ MOVE ❑ REMOVE X 8 DESCRIBE WORK Kitchen Remodel- base count cabinets floorin 9 CHANGE OF USE FROM TO STIPULATIONS Install pxoducfis of ccffibustion alarm in hallway leading to bedrooms. SEPARATE PERMITS ARE RE�UIRED FOFi 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, 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 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT $S OOO �i4.00 DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE pERMIT FEE SAC CHARGE PROVISIONS OF ANY OTHER S TE OCAL LAW REGULATING CON- STRUCTION OR THE PERFOR N OF O TRUCTION. 6$. rjO PLAN CHECKFEE TOTALFEE $72. 50 IGNATUR OFCONTRACTO� OR UTH EDAGENT �oArEi P�WHEN PR E Y A I TED THIS IS YOUR PERMpp''I��T SIGNATURE OP OWNERIIF OWNER BUILDERI IDATEI -' �gL-p-�`" irylgp � qpTE CITY Of F(tIULCY • APPLYCl1TI0:� FOl; f�E:SIUEf4TT/li_ I3UILDI�IG PEf2i�iTTS (I�eti�r, All:er��i:ions, llddifiions, or Repairs) O�JtJER: S � �9 � � �. L �- � ,� nnn�ESS :� a i 3 i� i�� ,� ��. TCL N0: _ S°J — y L I/ • STR �. � T NO : �� �� � STREET: � �I3UI LpER : � . �f � T .�D � � p n)so �% �. nan�css: �s � � �� � � ��, � ��: r�� raa: � �Y/ — • � � Y L� Consi:ruction Location ' � LOT: � BLOCK: ADDITION: . Corner Lot: Inside Lot: SetbacY.: S�.d�yards: Ap�licant at�tach to this form two Certificates of S�irvey oi lot and _ proposed building location drawn on certificates to scale. . AESCRIPTIOid OF COt•1STF:UCTIOPd - Front: � Depth: Height: Squa3^e. �'eet: � C:t�bic Feet: , Front: Depth: " Heiglit: Square�Fe�t: - Cubic Feet: � � �/ � (/j" 6 ✓h-?,+ �.��i �A rd /u ; � � Type of Construction: (�o� �,i;�_ Esi.imated Cost: $� �� o�° _ d Zb Be Cbr,�pleted: . � ` . . Al.t. A Alt. 8 Proposed Drive��a� Width If New Opening Is• Desired: $' $ . .. SEE RF.VERSE SIDE OF SHEET �.Rie undersigned hereby makes applic�-�tian for a permit fcr the �.ork� herein specified, agreeinq to do,all work in strict accordance with the City of I'ridley Ordinances �id xuliiiqs of tlle DeZ�artmen� of Bui].dinc�s, and hereby declares that all tlie iacts and rc�resentations stated �i this applicatian are true and correct. D.iTF; SICNRTUF�E : Sti��ulations : ' � � . Cp 6 ��'� ,� �o � a.�� � ►,��1 . � �� � r •- 6 ..� _ j; ' ' • .. _,�-a � . �u��ni���c ��r_r,r�r�r r-c:�_ �>c�irnu�_�� � . :;l:C'i'x01�7 2. � 7.'li� 7n•.:��ccL•ar. nf 13ui.lc?i�u1 ;::1uil.a., bcto�:r. i.; .uitig pennits tor t:hc crc:cL•i.on t+f �u�y ?�u�.1.�l:in�J c�z :�i:ruct:ur:c, or. ���: ui�y adQi.t:.i.r�n L•O 113�/ cr,a.�L•i.>>c� l�tiildir►r3 or ;;tzlicGur.�, . aY. t:v1� a�iy i11.t.c•rZL•ion or. r.eZ,�iir.s Co •any c.:a.:L•i.ncl y�ui.l.di,�i<.J or sL-�:ucturc, uJ�c,ii ap��li.c�tS.oiy �'thr.�:�f.or.e, r.equ.i.�:e th� p�i;mcrit: }�y tl�e ar�Z�l.i.c:ar�t: ioa- sucl� per.ini.L• o!' tees to tlie �nounL- hcxuin }�el.�ar seC f•or.th �uicl 5ai L-hc manne�: hcrcin ��a:ovidacl L•�-�•:it: � • ]•�l:l�t COIJS`I'I;UCTI02�;• �i�Zg7.c l.'amiJ.y Ilome:� and Gar.aqes : y4 , 00/7 , 0�0 cul�xc iec:t:. • PLTs:� CII}:CI:: 25 l�cr.cetit: oi bui.lclinq }�e�:mit. i'c:e. U1tTVI:I•111Y llL•'L'P.i:5S20I•2: (ConcreL•c, Cuxb �Lrcets Onlyj � �' ' Al.t-ernat:e A: Itc:moval ai�d repl.accment of concrete curb and qui:tcr only; l�rivea�ay �•ridth p].us 6 i'eet� x$13. �0 1�.tcrnat•e B: Removal and replacem�•nt o£ concrete curb and •� guL•ter and inst��ll a 3 foot ��icie approach cai�h '' ` ,• 6�uzch depth; Driver�ay �•�ic:th �p1.us G feet x$la� 7� • . 1i �LDI T I 0�/1�, I I�rOR`�1�1T I ON Tor the purl�se of compuLi_ng tees for building permits, the cubical. contents of any buildi.ng or. addition, is detcr.mi.ned by rnultiplying ihe ground area covered irom a poxnt �i:c (G) inches below the iloor line oi' tlie basemen� or the cellar fio tiie average heights of the •upper surface or to ihe average height of the roof. surf_ace of the raaa.n gable of a p�tched rooi. � • Fox ze�ai.rs or a].terations to an existing structure, the fee shal7� be at the rate ..of .$3.00 �icx eacil five hundred dollars --{$500.00) er fracL-ion t:ller�of an t.iie cost bi all proposed war.Y.. . _ - In�•no aase sha].1 the fee charged fc�r any Qennit as set iorth �n Secti�n 2 be less � than $7.50 plus $.50 state surcharge. � - ' � _ v�Rr�rc�Tiou aF r-ou,�tnnrior� NOTE: Permits :or construci:i.on will be issued a minim� af 24 hours fr.om the time t�i ap�lication to a].low for �roper review of ihe pro�osed stxucture and oi the construction site. - ; A Certificate � of Surve�l of the lot, sho�aing the loc�-�tion o� the foundation once it has been cons�ntcted ��Till be required bef_ore �r.ocecding caith the framing. .�RTIFIC/�TE�F O��LIP/1I��C1 � ' � Rpp].ication ior a Certificate of Occupancy shall L�e madL� ten (ZO) d�ys prior to ttre u, e or OCCUj?J31Cj7 oi �ny st�.-ucturc for w2iicli a liui.lcliiig perr,iit lzas been i.ssued; and s�-�id struct:ure siiall 1�ot Ue used vz- occupied t;titi� a Cert�.ticate af Occu��ancy has becn xssued. 0 � 0 ' , � � . '� , � ' . • • � sue�EC. MIT N City of Fridley _ 18 9 9 5 AT THE TOP OF THE TWINS g U I L D I N G P E R M I T i � � � R � ; � ___�� COMMUNITY DEVELOPMENT DIV. � ��,/� r � � PROTECTIVE INSPECTION SEC. y � _ � � �" �'1 � CITY HALL FRIDLEr 55432 NUMBER REV. DATE PAGE OF APPROdED BY �.__.Jl.' '•� 612-571-3460 910-F15 6/5/87 / / JOB ADDRESS 5213 Horizon Drive N.E. 1 �EGAI LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 2 6 Ca,rlson�s Summit Manor North SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Steve Caxlson 5213 Horizon Drive N. E. 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Milton L. J.ohnson Co. 2513 Central Avenue N.E, 781-9548 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO. 8 USE OF BUILDIN(3 Residential 7 CLASS OF WOHK ❑ NEW �I ADDITION O ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Construct a 20' x 14' A,ddition to Dwelling 9 CHANGEOFUSEFROM TO STIPULATIONS �st�].l products o� c�.bus.tion fire alaxm�s in both levels of existing house. Exterior stair and entxance must be enclosed as is the existin� one. { WARNIHG �EPARATE PERMITS REQUFRED FOR ° �efore digging call local utilities WIRING, HEATif��, PLUMaING AND SIGNS. TELEPHONE - ELECTRIC - GAS Et�. REC�UbRE� ��' L�►Vy SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD VENTILATING OR AIR CONDITIONING. THIS PERMIT BECOMES NULL AND VOIO IF WORK OR CONSTRUCTION ZONING SQ. FT. CU. FT. AUTHOF;I2ED IS NOT COMMENCED WITHIN 60 DAYS, OR IP 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 HEREBY CERTIFY THAT I HAVE READ ANO EXAMINED THIS APPLICATION 1 STALLS GARAGES AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVP�IONS OF LAWS VALUATION SURTAX AND ORDINANCES GOVERNING THIS TYPE OF WORK WIIL BE COMPLIED 12 8S WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT � / Q $6.43 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- STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. $98• 5Q �p` � ���/� PLAN CHECKFEE TOTALFEE /'ls1,�"��',,�°"`� ��� �s� � � % 3 $129. 56 SI NATUHEOFCONTRACTORORAUTHORIZEDAGENT IDATEI WH N PROP RL V ID ED T IS IS VOUR PERMIT � � e ����f SiGNATUFEOFOWNER�IFOWNERBUILDEHi IDATE� BLDG �NSP �p7E NE�T L� ADDN. pLTER. [ ] City of Fridley R-1 AND R-2 Building Permit Applieation Effective �+/1/86 Construction Address: J � � � � � �� � �� �---� ' �' --- Legal Description: Owner Name & Address : ��� C� R 1-S �� Tel .� Contraetor: �/L°TB<il .S � ti N S� f�i G� r Tel. ���i'�.�L%� Address: ZS�I� C� N��� L '�"U ���� r LIYING AREA: GARAGE AREA: DECB AREA: OTHER: Attach to this application, a Certificate of Survey of the lot, with the proposed construction draWn on it to scale. DESCRIPTION OF IlKPxOYEMENT � Length �� � Width l i� Height Sq. Ft. 2�� Length Width Height Sq. Ft. Length Width Hgt/Ground Sq. Ft. Corner Lot [] Inside Lot [� Ft. Yd. Setbaek Side Yard Setbaek 7ype of Construction: ROU ��1 F%Z R(� 1�� Estimated Cost: $ � _ .% _ � �^ � '� � � �J'� Approx. Completion Date: Alt. A Alt B Proposed Driveway Width If New Opening Is Desired: $ � Page for Explanation DATE: � — 3� g � APPL Permit Fee Plan Check State Surcharge SAC Charge Park Fee Se�aer Main Charge TOTAL � . S� $ ��,G3 � . y3 $ � $ �" � ` $ � �� .�����g��� 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 Neaessary [ ] • �� , r►,1t� � � �, , ,� •, 1, �� � � � , O � �i �, ,s _f . � � . , _ _� � e� ��, . ,� . . �, � � � � �,..r , _ �� � • � � • � Z 8 $� 2oao� 3a•J� ! I x� �6•�° g�� _, � BOII.DING PERMIT FEE SCHEDULB The Chief Building Official shall, before issuing permits for the erection of anq building or strueture, or for any addition to any existing building or structure, or for any alteration or repair to any existing building or strueture, upon application therefore, require the payment by the applieant for sueh permit of fees to the amount herein belo� set forth and in the maaner herein provided to-wit: Total Valuation $1.00 to $500.00 Fees $10.00s (Minimum Fee is $15.00) $501.00 to $2,000.00 $10.OG� 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 fraetion thereof, to and including $25,000. $25,001.00 to $50,000.00 $170.50 for the first $25,000 plus $4.50 for each additional $1,000 or fraction thereof� to and including $50,000. $50,001.00 to $100,000.00 $283.00 for the first $50,000 plus $3.00 for each additional $1,000 or fraetion thereof, to and ineluding $100,000. $100,001.00 and up $�33. �'� for the first $100, 000 plus $2. 50 for eaeh addi°� �: °�nal $1, 000 or fraction thereof . DRIYEii� < DEPRESSION ESCRW (Concret� 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 ineh depth - Driveway Width plus 6 feet times $15.75 9ERIFICATION OF FOIINDATION Permits for construction Will be issued a minimum of 24 hours from the time of application to allow for proper review of the proposed structure and of the coastruction site. A Certificate of Survey of the lot, showiag the loeation of the foundation once it has been coastructed will be required before proceeding with the framing. a � � - 28�X �t$.6� a�� � i3��5 .� �Q� � 2$. �ii - ..,. ��� Zz.�z I�,��t�1. �6 SUBJECT City of Fridley AT THE TOP OF THE TWINS g U I L D I N G P E R M I T i � � � � ; y _.__. COMMUNITY DEVELOPMENT DIV. r � � PROTECTIVE INSPECTION SEC. � i � � r"'1 � CITY HALL FRIDLE� SS432 NUMBER REV DATE PAGE OF �"'"'� � ,�J 612-571-3450 910-F15 9/2/97 � � JOB ADDRESS 5213 Horizon Drive NE t LEGAL �OT NO. BLOCK TRACT OR ADDITION DESCH. 2 8 Carlson's Summit Manor North Addn 2 PROPERTY OWNEii MAIL ADDRES$ ZIP Steve Carlson 5213 Horizon Drive NE 3 CONTRACTOR MAIL ADDRESS IIP Right Way Roofing 16475 45 Ave N, Plymouth Mn 55446 d ARCHITECT OR DESIGNER MAIL ADORESS 21P 5 ENGINEER 6 USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW MAIL ADDFESS 25447 APPROVEO BY SEE ATTACHED SHEET PNONE 572-9611 PMONE LICENSE NO. 557-8678 3999 PHONE LICENSE NO. PNONE LICENSE NO. O ADDITION ❑ ALTERATION C� REPAIR O MOVE O REMOVE 8 DESCRIBE WORK Reroof House (15 Sq) Tear-off 9 CHANOE OF USE FROM STIPULATIONS TO Underlayment must comply with the State Building Code. SEPARATE PERMITS ARE REOUIRED FOR ELECTqiCAL, PLUMBIN(i, HEATING, TYPE OF CONST. OCCUPA VENTILATING OR AIR CONDITIONING. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION 20NING SQ. FT. AUTHORI2ED 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 COMMENCED. NO. OWLG. UNITS I HEREBY CERTIFY TNAT I HAVE READ AND EXAMINED THIS APPLICATION 1 STA�LS AND KNOW TME SAME TO BE TRUE AND CORREC7. ALL PROVISIONS OF LAWS yALUATION AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITM WHETHER SPECIFIED HEREIN OA NOT. THE Gi;ANTING OF A PERMIT �1a2S1 DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE pERMIT FEE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- STRUCTION OR TNE PERFORMANCE OF CONSTRUCTION �43.00 SIGNATUpE OF CON � RACTOR OF AUTMORIZED AGENT PLAN CHECK FEE License SC $5.00 IDATEi WHEN PqOPERIY l CU. FT. OFFSTREET PARKING IGARAGES $.63 SAC CHAFGE Fire SC $1.25 TOTALFEE $49.88 D THIS IS YOUR PERN 4. � /.►,� LOAD NEW ADDN ALTER [l [l [l CITY OF FRIDLEY SINGLE FAMII,Y AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION ConstructionAddress: 5213 Horizon Drive LegalDescription: Single Family Residential Effective 1/1/97 Owner Name & Address: Steve Carlson 5213 Horizon Drive Tel. � 572-9611 CoIItractor: Right Way Roofing MNLICENSE# 3999 Address: 16475 45th Ave N Tel. # 557-8678 Attach to this applicadon, a Certificate of Survey of the lot, with the proposed const[uction drawn on it to scale. DESCRIPTION OF IlVIPROVEMENT LNING AREA: Length Width � Height Sq. Ft. GARAGE. AREA: Length Width Height Sq. Ft. DECB AREA: Width Hgt/Ground Sq. Ft. o�R: t2 e��� c.�:s � I.�S—� %��� -c� � Construction Type: Estimated Cost: $ 1, 2 51 . 0 0 (Fee Schedule on Back) Driveway C�rb Cut Width Needed: Ft. + 6 Ft = Ft x$ —$ DATE: 8/25/97 �ppI,IC�JT. Right Way Roofing Karen Obe Ql. # 557-8�678 Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee Sewer Main Charge TOTAL STIPULATIONS: CITY USE ONLY $ 4 3. 0 0 Fee Schedule on Reverse Side � i. 25 .�1 of Permit Valuation (1/lOth%) $ 3 $.SO/$1,OQ0 Valuation � $950 �r SAC Unit $ 5. 00 $S.t� (State Licensed Residential Contractors) $ Alt. "A" or Alt. "B" Above $ � $450.00 Conservation Plan Review $ Fee Determined by Engineering � Agreement Necessary [ ) Not Necessary [ ] $ 49.88 � , • : h� � I�UII,D[NG P�RM[1' FEE SCHED(,'l.l; t'(tc Chief I3uitding OfCcial siiall, before issuing pern�its for the erectio�i of any building or structure, or fc�r any addition to any existing building or stcucture,. or for any alteration or repair.to any ex'ISfiing buildin�� or sti�ucture, upon application tlierefore, require the payment by tlie applicant for such permit of fe�s 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 $S00 plus $2.75 for each additional $100 or fraction thereof, to and including $2,000 $62.25 for first $2,0� plus $12.50 for each additional $1,�0 or fraction thereof, to and including $25,000 $349.75 for first $25,000 plus $9.00 for each additional $1,IX?0 or fraction thereof, to and including $50,000 $574.75 for first $50,000 plus $6:25 for each additional $1,�0 or fraction thereaf, to and including $1�,(?00 $887.25 for first $1�,000 plus $5.00 for each additioiral $1,U� or fraction thereof, _to aad including $5�,�0 $2887.25 for the first $500,000 plus $4.25 for each additiomal $1,000 or fraction thereof, to and including $1;�;000 $5012.25 for the fust $1,000,000 plus $2.75 for each additional $1,000 or fraction thereof DRIVEWAY DEPRESSION ESCROW (Concrete Curb Streets Only) .iternate "A": Removal and replacement of curb and gutter only - Driveway width plus 6 feet times $13.�0. .!ternate "B": Removal and replacement of curb and gutter and install a 3 foot wide approach with 6 inch depth - Driveway width plus b feet times $15.75. VERIFICATION OF FOUNDATION _•: mits for construction wi(I be issued a minimum of 24 hours from the time of application to allow tor pra{�:;r .�iew of the proposed structure and of the construction site. Certificate of Survey of tlle lot, showing the location of the� foundation �mce it has it has been a�nstruc���.i :' h� rcyuircd hefc�re ��r��cecdinR ���ith ti�e framin��. �__ -�-.r � �� - ` ' r m C r. �t p� '+ D `f. � =j C rti ;c '{ .1 ^a ¢ < ryp h . : V 4� e1 ' `1 Y i- fi -1 <p a1 � H r aC "^ M, �7 1 � M 1 � � '�. Y :� � �-. -wi .t � � f � .. . � � � � � C C � a : � y H �. �' ., ti 'f . , T �� Fr � � 7 • Y .. y"�6° ;. �' u. y _ � • • F� G� � •• � G �1. �. • zn � "' �� �', R r� .��a �,� , „� � � ' l �: i • ° _. 1 •; � 6 , M; j! � 1 .y w �� . . 1 �. 1•` �1 1 � :_' I 1 m � _) o �� . � . `� �3 r d �41��. N. E, . � � � ua � :M �, _ _..� � �4 • • �s.: . . �! " 200 t ''�y� ° ' � �, 6� is 9 c �/ �, . 4I -'- 40 . � � � � w Q I � _ i25 ^�+ - — - - - -� -- — -- — -- -- -- f--- - � i• � � :a �_� _ � . � � � i � N �p .� c^ �, � � � 7 I �!: Y _ 10.5 ��.J 5'—« s-_ u e. �Z�J i � � ■� � � � � � . G� \ \ � v : �� N. r. � vN �, '� y _ es � _ . ��� y ' � * _ "• �25 � � � 6 O --�ss �•� � � d A V � '' ^ N Y° W C W I` � , ' � I` � � �o � � �\ �Q�� . 4v' � i25 , � _ � m a V 2 ♦ �. � � Il� �T. . -` � � lli� n N Y- � � W VN �J V ��_ �, .,�r , w '[� a s � tf.s �� `---' , � � N �� N � � cn �. N � �� U1 .; � in , . ._.> `1 � :o . _ 125 � I u � J U1 � � � � J l' w A � �" �.'. . , .— - ,— : rzs , ; � � . � � � � �� � " �. �ZS � � � � ; ," :.��� >; ,$ i� ;� ?3 t$ yi I' 9 �9