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AF - 46415_ BUILI)ING PERMIT �Tillage of Fradley, 1Vlann. Date ��"^�,.- ;�<� �. �: :� . . . . . . . . . . . . . . . . . . . . . . . . . . . Owner ,, r;._ ��,�;�•�`f��°� .�:r �:,:,��:r . N° 2563 Builder.... ._.��, ,�....... ............. �._,,,,,. �.x ' Address . ��.�� .a �.,?a �'' ;a,��• a�r� ;,,•.� Address . . s . �� .ae.�°,"'" . LOCATIOIV O�' B[J6LDIN�; No. ��.`� .. . Street . .. .��'�r �,:��';�`;�'" a;�'. . . . . .. . Part of Lot . . . . . .. . . . . . . . . . .. . . . . . ��.. � .. ,_ Lot .......�,,n...... Block .. �......:�.... Addition or Sub-Division J� ""'�° �� r��'��+•�""��'��• �,��-� Corner Lot . . . . . . . . . . . . Inside Lot . . . �r . . . . . Setback . �!*.•��,�,; Sideyard �t�n.^: �.�.', , , , , , , , , , , , , , , DES�CRIPT[ON OF �UILDING To be Used as: �EA.r,�j"��;��ir�...... Front .��.. Depth ��...Height ��r... Sq. Ft. .a�,��'�"' Cu. Ft. ........ a`� r � . ...... .. .. .. .. .. .. . Front . .. . . . . . Depth . .. . . .. . Height . .. .. . . .. Sq. Ft. . .. . . .. . Cu. F't. ... . . .. . Type of Construction� . . . . . Est Co� . . �f'. � . To be Completed . . „ ��' �..... �=��-X-�-� � � . . . , ,,,� 'a'�'r�'�'`� �'��'' ��, In consideratien of the issuance to me of a permit to coristruct the building described above, I agree to do the proposed work in accordance with the description above set forth and in compliance with all provisions of ordinances of the village of Fridley. ................................................... Tn consideration of the pa,yment of a fee of $. .' , permit is hereby granted to i f �� ..... ,�'� •• yy .. - to construct the building+�� ad dition as described above. This ermit is • e �' . �,��n P granted upon � .��e person to whom it is granted and his agents, employees and worlmien, in all work done in, around and upon said building, or any part thereof, shall conform in all respects to the ordinances of Fridley, M'innesota regarding loca,tion, construction, alteration, maintenance, repair and moving of buildings with- in the village limits and this permit may be revoked at any time upon violation of any of the provisians of said ordinances. "`. ,,"� •,,� � SUBJECT City of Fridley AT THE TOP OF THE TWINS g U I L D I N G P E R M I T ;, ,� � • COMMUNITY DEVELOPMENT DIV. ' j V �"��'� r � � PROTECTIVE INSPECTION SEC. 1 . , 1 i__--� ��"' �'� CITY HALL FRIDLE� 55432 NUMBER REV. onTE i 612-571-3450 910-F15 9/26/79 JOB ADDRESS 509�1 5� Iiugh�s Avenue N.E. t LEGAL LOT NO. BLOCK TRACT OR ADDITION DESCR. l� 6 Carlson's SUII�]..'t MdIlOY' cu011'�l 2 PROPERTYOWNER MAILADDRESS 21P Thomas J. Malone 5097 ldughss Avenue N.E. 3 CONTRACTOR MAII ADDRESS ZIP Ed Ko�rall 1517 Juneau Lane 4 ARCHITECTORDESIGNER MAILADDRESS ZIP 5 ENGINEER MAILADDRESS ZIP 8 USE OF BUILDING PAGE OF � � 95493 � ��0 APPROVEO BY SEE ATTACHED SHEET PHONE 561-0327 PHONE LICENSE NO. 473-8117 PHONE LICENSE NO. PHONE LICENSE NO. 7 CLASS OF WORK � NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE X 8 DESCRIBE WORK on trn_ 2d' x-� Garag� 8 CHANGEOFUSEFROM TO STIPULATIONS Provide a hard surface drive�ay. S�PERAiE �PER1�IiTS RE�UtAEd FpR �ryq�G H�/�TING, PLU1t�BING AND SIGNS. � SEPARATE PERMITS ARE RE�UIRED FOR ELECTRICAL, PLUMBING, HEATING, '"`v� vv•� VENTILATING OR AIR CONDITIONING. THiS PERMIT BECOMES NULI AND VOID IF WORK OR CONSTRUCTION ZONING 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. U I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS VALUATION ANO ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT Sg'42O 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 THE PERFORMANCE OF CONSTRUCTION. �S`Z�.e12 OCCUPANCY GROUP OCCUPANCY LOAD SQ. FT. CU. FT. OFFSTREET PARKING STALLS GARAGES SURTAX $2.2�. PLAN GhtGK FEE TOTAL FEE $23.33 SIGNATUREOFCONTRACTORORAUTHORIZEDAGENT IDATEI � WHEN PfiOPERLY VALIDATED THIS IS Y �� % � �� 9/.2 G /�7 � _,l %� � , � . � � � � � 1 • CITY OF FRIDLEY • � . � • N . . , ; � , � APPLiC11TI4N FOR RESIQENTIAL QUILOIPJG PEftMITS �, � �. � (tJew, Alterations, Additions, or Re�airs) , . . . ► � � OWPJER: „�NC��.4 � �J� /�IqLoivc�: BUI LDER : � �' �o �a> � Lc, . . ADORESS: � p tii 1�ls�i��S % f��, ,� c°. , ADDRESS: /Si� ��U�u. �� G,9rc,� TEL N0: , S6/ - o � �17 � TEL N0: ' �/73 ° °. �'//7 � - � ' Construction Location . .. • STRST NO : � (7 7 � STREET: �/U LNES �/ fr � N c. `.°. : • . � � f LOT: _ /'(� BLOCK: � ADDITION: L��'G.3DiU Sf1J"%/!l% Corner Lot: ' Inside Lot: �S� Setback: ��jz° Sideyards: • - Applicant attach to this form iwo Certificates of Survey of lot and e ' proposed building location drawn on certifica�es to scale. '� , � � . � � DESCRIPTION OF CONSTRUCTION - ' � . ' � � {� /Q/�/�� Front: •�'�� D�pth: • �� Height: %�� . . - Squa�ee. Feet: ��j Glxbic Feet: c��C� . Front: � Depth: � Heiqht: � � Square• Feet: Cubic Feet: � �� • . j � ��- ��/ . � Type of Construction: ��iSS (li /�t'JO�f� � Estamated Cost: $ Rb Be Cbmpleted: ["� �'% % � i 9 �` �J � � . �' . . . . � , � �. ' . - . . � Alt. A Alt. B . . Proposed Driveway Width If New Opening Is Desired: $' $ � � ' . . . . . , . SEE REVERS� SII]E OF SHEET •.73ie undersigned hereby ma}:es application for a permit tor the work� herein specified, agreeing to d4 all work in strict accordance with the City of I°ridley Ordinances and rulings of the Department of Buildings, and hereby declares that aTl the facts and ' representations stated an this application are true and correct. DATE: _ � �� i / 7 9 SIGNATUi2E : . � c/L(�n� T---- . . Sta.pulations : . • � � �� 1�1�� • � . � � � � � - � �� ' . � � . 0 � � � �� - � � . • iSUI LUI IVG r�iir�� i r�� ScHEDULE ,, . ST3CTION 2. Tlie Ins;l�ector ot lluildir►cJ� :;hall, 'be�ore i.:;suing pc�nil•� for Lhe cract•ion ot• any building or :�L•ruct:ure, or. tor any�addi.L•a:an L-o a�iy exi�ting buflding or structwre, . az ��r any altcration or zepair:s , L-o •any cr.i�ting bui.lding or sL-ructurc, upon app�ication 'L•hereiorc, require L•he PaymenL- by U�e applicant tor. such perm�t of fces to L•he amount hcrein be].ow seL• fortli and in tlic manncr herein provi.cicd L-o-wiL-: . • . , • Nl3V� CONSTRUCTION: Single 1'amily IIomes and Garayes: �4.00/].,000 cubi.c Leet. � •. PLAN CIiLCY.: 25 percent of bui.lding perma.ti fee. ' ' D�VL•'I�JAY D�PRL•'SSYOiJ: (Concretc, GUrb 5treeL-s Only) � �° ° AlternaLe A: itcmoval and replaccment of concre�e curb and qutter onl.y; Driveway width p1.us 6 feet x Y15� 75 -• A1L-crnate B: Removal and replacement of cancrete curb and � •� . gutter and install a 3 foot wide approach cvith " ` . .- . 6 inch depth; Driveway width ��lus 6 ieet x$17.85 ' •� . • . � � _ADDITION/1L INFORMATION � For the purpose oi computing fees for building permits, the cubical contents of any , buildS.ng or addition, is determined by multiplying the ground area covered from a pai.nt sir. (6) inches below the floor line of the basement or th� cellar to the average heiqhts of the upper surface or to the average height o£ the roof surface oE the main gable of a pitched roof. � - . . For xepairs or alterations to an existing structure, the fee shall be at the rate . ot $3.00 lier each five hundred dollars -($500.00) or fraction tliereof in the cost of•all proposed work. . , • • ; . �. . In -no case shal.l the fee charged for any permitf as set for�h in Section 2 be less � •than $7.50 plus $.50 state surcharge. , • ° ' . - - ... _.. _ . _ ..- VERTFICATIO� OF FOUNDATION � � .+ _ � . .... . .. NOTE: Permits ior construction will be issued a minimwn of 24 hours from the ta.me of application to allow for proper review of the proposed structure and of the . construction site. A Certificate of Survey of the lot, showing the location of the foundation once i,� has been constructed �,rill be required before proceeding with the framing. . .. • . � ' � � GERTIFIC/�TE OF OCCUPANCY � . ' ' Application for a Certificate of Occupancy shall be made ten (10) days prior to the use or occupancy of any structure for �ahich a builda.ng pezmit has been issued; and s�i.d sisucture shall no� be used or occupied un�il a Certiiicate oi Occupancy has been issued. . . , . . . . , . ' � � . � . • � r �. � � � , . • . . ' • • • . . , . ED KOWAL 1517 JUNEAU LANE PLYMOUTH, MN 55441 473-8117 �� TERMS ��L �. �o�� o��e� t z�� 1 l�L f�1rl G f$ DESCRIPTION OF JOB '�� _ i_�� 'YU1��,�,1'� CUSTOMER'S SIGNATURE �� 0 �� EDK:bI � ' ' DATE �� 7� JOB # �d S� �ESTIMATE [], BILL Q � �� . � ,. - = � > . : `�. -�, - � � O . !�.. . .- � �; . �' � y, ��. w " - . . . (�'^�^ / �C' �-- - .. -- _ - - � _ - - _- - -_ - ---- - -7 �. - .�_-.-�-- -a-.. .� ^ ��_�;- �-' -- _. :-_- ---- -° - - ._ ` --. �_° -- --- - �_ _ _ _ _ - �7 - -- , , , ._ _ __ :� . �: = - - t e � � � � � � _ _ � �- � � � 3�--� �--�,-� � � . � ' . ,� 1, �-� � ��' o . _ � � �,,� ,-L. ��', - - � �J y�.t _ 4 d V .� �� .. � � � � ^ ' :a^_. . � , � , t� ,� ��'t , " - �. C� � � ., �.. ��i ` � '' � � � °— �� 2 << �� , ��, �,« �`� _ �� - .�� , � � � �� L � �� "°� `i � �l l'C�4R�s�ue5 Sv�1t7�f H�N� �, S�utH �,��v �� - � � � � �� q��A � ��w�E.s�-9 � �` • "' �S � � � �,� e � � � � �. � ►---� � .—�-�__--j,,�,_.. .__ � �� '� J�,e�vt �"�Ii' .. �� -. . � w `� � ,- — I� .0 ' �3, � � � � � � � ��,�°� �, � � � �� a � � �_ .� r w � � ,� � 0 `� °� � �-7� � � � � �'�- � � ti � � ��'t�� -� c � �� ro c � � �y � 1'' �---�� 0 � ,• �� i � w .o �� r� �° r � RJ � � � � ,:p C �` C11 � s � � t�► � �� c � � m� � � N� sue�ecr PERMIT NO. City of Fridley - 2�^�6 2�4 AT THE TOP OF THE TWINS g U I L D I N G P E R M I r � � �:�. � • COMMUNITY DEVELOPMENT OIV. � Ly �.�«-� r � � PROTECTIVE INSPECTION SEC. �� I i = � � /'�'1 � CITY HALL FRIDLE� 55432 NUb1BER REV. DATE PAGE OF APPROVEO BY �----� ' �•' 612-5� �-3a5o si aF� 5 6 20 / / JOB ADDRESS 5097 Hughes Street NE t LEGAL �OT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 1� 6 Carlson's SLl1Dm�t Mc1IIOr $OIIt�I SHEET 2 PROPERTY OWNER MAIL ADDRESS 21P PHONE Scot Bolig 5097 Hughes Avenue NE 3 CONTRACTOR MAILADDRESS Z�P PHONE LICENSENO. Barkley Construction 1111-24 Ave NE, Mpls., MN 55418 789-5623 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO. 8 USE OF BUILDING Residential 7 CLASS OF WORK O NEW O ADDITION ❑ ALTERATION � REPAIR � MOVE O REMOVE 8 DESCRIBE WORK Reside Dwelling and install 10 vinyl replacement sashes 9 CHANGEOFUSEFROM TO STIPULATIONS Bedroom windows must meet State Egress Code. SEPARATE PERMITS ARE REOUIRED FOR ELECTRICAL, PLUMBING, HEATING, TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAO VENTIIATING OH AIR CONDITIONING. THIS PERMIT BECOMES NULL AND VOIO IF WORK OR CONSTRUCTION ZONING SO. FT. CU. FT. AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED POH 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 1 STALLS GARAGES AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS VALUATION SURTAX AND OADINANCES GOVEFNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT �6 s SOO $3. LS DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE pEHM1T FEE SAC CHARGE RROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- 'FRUCTION OR THE PERFORMANCE OF CONSTRUCTION. �90.00 Fire SC �G..SO /��' /' '� �� PLAN CHECK FEE TOTAL FEE � � l��'- $99.75 � Si NAIUREOFCONiRAC OFORAUTMOfiIZEDAGE IDATEI PROP RLY LIDATED THIS IS YOUR PERMIT —. � �� - SiGNATUREOFOWNER�IiOWNERBUIIDER� IDATEI � BIDG iNS 4aTE rTEW ADDN ALTER [l [l [l ConstructionAddress: Legal Description: Owner Name & Address: Contractor: _ � �� Address: � // ( — � `�il� CITY OF FRIDLEY SINGLE FAMILY AND DUPLEXES R-1 AND R-2 Building Permit Application `� � °f % ��Q� � �v�� co� `�,� - � � �� Tel. # MN LICENSE # Tel. # Attach �to this application, a Certificate of S.urve.y of the lot, with the proposed construction dra�vn on it to scale. � DESCRIPTION OF IMPROVEMENT L�NG �LiLfiA: Lengfh GARAGE AREA: Length DECK AREA: Length OTHER: � .�.v�Pa ��R � �ry,,c� _ l v .2y�y� � ( C' Corner Lot [] Inside I.ot [](f Ft. Yd Se ck Type of Construction: Approx. Completion Date: Driveway Curb Cut Width Needed: _ DATE: �� AP'PLICANT: ; Permit Fee Fire Surcharge ,State Surcharge SAC Charge '�� Surcharge Driveway Escrow Erosion Control Park Fee Sewer Main Charge TOTAL STIPULATIONS: $ $. $_ $ $ $ $ $_ $ Effe�tive 1/1/94 Wid�h I�eight Sq. Ft. Width Height Sq. Ft. � Width HgtlGround Sq. Ft. � ` � �r-u;, �vi .�2� �� °°k.,Q� /I�1�5'T �� e��3� e�i�c.fiw_ i�.�/�I/& ,�ccn'r-�S� Side Yar Setbacks Estimated Cost: $ �,��Q D� Q v (Cost on Back) Ft. + 6 Ft = Ft x$ CITY USE ONLY _$ _ Tel. # % � �- � � ✓�3 ��? C� C� Fee Sche,clule on Reverse Side = , lr . � .QOl o€ Permit �7alua�ion (1llOth%) �.� : �S $.50/$1,000 Valuation $8� per SAC Unit $5.00 (State Licensed Residential Contractors) Alt. "A" or Alt. "B" Above $450.00 Conservation Plan Review Fee Determined by Engineering Agreement Necessaty [ ] Not Necessary [ ] � 99. � 0 BUILDING PERMIT FEE SCH�DULE The C6ief Building Official shall,. before issving permit� for the erec:tion of any building or structure, or for any addi6on to any existing building or structure, or for any alt,eration or repair to any existing building or structure, upon application therefore, require flte payment by the applicant for such permit of fees to the amount herein below set forth and in the �tanner herein provided to-wit: TOTAL VALUE $1 . .. . to . $S00 $501 to �$2,000 $2,U01 � Co � $25,000 $25;001 to �50,000 - . $50,001 to $100,000 �, : FEES $15 (Minimum Fee is $15 plus suncharge) $15 for first $500 plus $2 for each additional $100 or fraction thereof, �to and including �$2,000 � . . . $45 for iust $�,000 plus $9 for each additional $1;000 or fraction thereof, to and including $25,000 . - $252 for first $7.5;0(l0 pl�s $6.50 for each additional $1;OOU or fraction thereof, to. aad including $50,000 $414.50 for fir�t $50,000 plus $4.50 for each additional $1,000 or fraction ti�ereof, to aad including $100,000 $10t},001 to $SOO,OOQ $639.50 for first �$100,000 plus $3.50 for each additional� $1,OQ0 or fra.ction thaeof, to and including �$500,000 $500,001 to $1,Ot10,� $1,UOU,001 and up $2039.50 for the first $500,000 plus $3 for each additional $1,000 or fraction thereof, to and including $1,000,000 $3539.50 for the fust $1,000,000 plus $2 for each additional $1,OOD or fracbioa �thereof � DRIYE�i/AY DEPRESSION ESCROW (Coacrete (;�rb Streets Only) Altemafe "A": Removal and replacement of curb and gut�ir only - Drivewa.y width plus b feet times $13.50. � Altemate "B" : Removal and replacement of curb and gutter and install a 3 foot wide . . approach with 6 iach depth - Driveway width plus 6 feet times $15.75. VERIFICATION OF FOUNDATION Permits for coastrudion will be issued a minimum of 24 hours from the time of application to allow for proper review of the proposed stcucture and of the construction site. A Certificate of Survey of the lot, showic�g the location of the foundation once it has it has been constructed will be required before proceeding with the framing. � - �. � - „ Sue�eGt City of Fridley AT THE TOP OF TME TWINS g � I L D 1 N G P E R M I T i � � � � ; � _____ COMMUNITY DEVEIOPMENT DIV. r � � PROTECTIVE INSPECTION SEC. i--_-� ��"' �'� CITY MALL FRIOIE� 33�J2 NUM8Ei1 L 612-571-34b0 g10-F15 JOB ADDRESS 5097 Hu hes Avenue NE 1 LEGAL �OT NO. BLOCK THACT OR AOOITION oescR. 10 6 Carlson' s Su t PFOPERTY pWNER MAIL ADDRESS �`RMIT NO. ` 8472 RECEIPT NO. REV OATE PAGE Of AVPROVEO BY 10/29/98 � � SEE ATTACNED = Manor South Addn. SMEET 21P PMONE 574-1244 J CONTqACTOF MAIL ADDRESS Z�P PMONE LICENSE NO Owner 4 ARCHITECT Oii DESIGNER MAIL AODRESS 21P PMONE LICENSE NO. 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO 8 USE OF BUILDING Residential 7 CLASS OF WOfiK O NEW O ADDITION O ALTERATION � REPAIR O MOVE O REMOVE 8 DESCRIBE WOqK - vinvl 9 CHANOE OF USE FROM TO STIPULATIONS Call for building wrap inspection before covering. SEPARATE PERMITS ARE REOUIRED FOR ELECTRICAI, PLUMBING, HEATIN(i, TYPE OF VENTILATING OR AIR CONOITIONING TMIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING AUTMOiiIZED IS NOT COMMENCED WITHIN 80 DAYS. OR IF CONSTRUCTION OH WORK IS SUSPENDEO OR ABANDONEO FOR A PERIOO OF 120 DAYS AT ANY TIME AfTER WORK IS COMMENCEO. NO DW I HEiiEBY CEHTIfV THAT I MAVE READ AND EXAMINE� TMIS APPLICATION AND KNOW TNE SAME TO BE TRUE AND CORREC7. ALL PROVISIONS OF �AWg yp�UATI AND ORDINANCES GOVERNING THIS TYPE Of WORK WILL BE COMPLIED WITH WHE7MER SPECIFIEO HEREIN OF NOT. TME GRANTING OF A pERMIT lOOO DOES NOT PRESUME TO GIVE AUTMORITV TO VIOLA7E OR CANCEL 7ME pERMIT f PROVISIONS OF ANV OTMER STATE Op LOCAL lAW REGULATING CON- STRUCTION OR THE PERFORMANCE OF CONSTRUCTION @�/. 7 S�GNATUitE OF CON' oGENi �OAiEi rv�� iD�TE� L�li, P �OCCUPANCVLOAp su.rr ICU FT OFFSTREE7 PARKING STA�LS IGARAGES RLYXAQIO ,� c �ire SC $1.0 �ra� FEE �36.25 THIS IS YOUA PEF � NEw [ ] �DN I l �-'� [ ] � ConstructionAddress: J Legal Description: CITY OF FRIDLEY SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION Effective 1/1/98 • lji�� .��'�7i �� ;w �� Owner Name & Address: J � 7� a �P� � D �'� ,��e �� Tel. # S7� ,� � �( Contractor: �� MN LICENSE # Address: LIVING AREA: GARAGE AREA: DECK AREA: '{OTHER: Construction Type: Tel. # 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. Ixngth Width Height Sq. Ft. Length Width � Hgt/Ground Sq. Ft. � Driveway Curb Cut Width Needed: `i►/1,�L�1/� Estimated Cost: $ %�� (Fee Schedule on Back) Ft. + 6 Ft = Ft x$ _$ �,DATE: .l�a .�g_.�c� APPLICANT: ��j�,��----� Tel. � ' � Permit Fee Fire Surchazge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee Sewer Main Charge TOTAL STIPULATIONS: $ ��s $ /, D � $ S� $ $ $ $ $ $ $ �b-�s� CITY USE ONLY Fee Schedule on Reverse Side .001 of Permit Valuation (1/lOth%) $.50/$1,000 Valuation $1000 per SAC Unit $5.00 (State Licensed Residential Contractors) Alt. °A" or Alt. "B" Above $450.00 Conservation Plan Review Fee Determined by Engineering Agreement Necessary [ ] Not Necessary [ ] BUII.DING PERNIIT FEE SCHEDULE The Chief Building Official shall, before issuing permits for the erection of any building or structure, or for any addition to any existing building or structure, or for any alteration or repair to any existing building or structure, upon application therefore, require the payment by the applicant for such permit of fees to the amount herein below set forth and in the manner herein provided to-wit: TOTAL VALUE $1 to $500 $501 to $2,000 $2,001 to $25,000 $25,001 to $50,000 $50,001 to $100,000 $100,001 to $500,000 $500,001 to $1,000,000 $1,000,001 and up FEES $21 (Minimum Fee is $21 plus surcharge) $21 for first $500 plus $2.75 for each additional $100 or fraction thereof, to and including $2,000 $62.25 for first $2,000 plus $12.50 for each additional $1,000 or fraction thereof, to and including $25,000 $349.75 for first $25,000 plus $9.00 for each additional $1,000 or fraction thereof, to and including $50,000 $574.75 for first $50,000 plus $6.25 for each additional $1,000 or fraction thereof, to and including $100,000 $887.25 for first $100,000 plus $5.00 for each additional $1,000 or fraction thereof, to and including $500,000 $2887.25 for the first $500,000 plus $4.25 for each additional $1,000 or fraction thereof, to and including $1,000,000 $5012.25 for the first $1,000,000 plus $2.75 for each additional $1,Q00 or fraction thereof DRIVEWAY DEPRESSION ESCROW (Concrete Curb Streets Only) Altemate "A" : Removal and replacement of curb and gutter only - Driveway width plus 6 feet times $13.50. Altemate "B": Removal and replacement of curb and gutter and install a 3 foot wide approach with 6 inch depth - Driveway width plus 6 feet times $15.75 . VERIFICATION OF FOUNDATION Permits for construction will be issued a minimum of 24 hours from the time of application to allow for proper review of the proposed structure and of the construction site. � A Certificate of Survey of the lot, showing the location of the foundation once it has it has been constructed will be required before proceeding with the framing. �,. � � SuB�ECt , c�ty of Fr�a�ey 3 0521 i` AT THE TOP OF THE TWINS g U I L D I N G P E R M I T r � � REC . � `v �_�� COMMUNITY OEVELOPMENT OIV. r � � PROTECTIVE INSPECTION SEC. �� 1 = � � �'�'1 � CITY HALL FRIOLEr SS132 NUMBEp RBV DATE VAGE Oi AOPpOVBD B� �""�" �'' 612-571-3450 9t0-F/5 11/17/99 / / 10B ADDRESS 5097 Hugh�s Avenue NE t LEGAL �OT NO. BLOCK TRACT OR ADOITION SEE ATTACMED oescR. 10 6 Carlson's Summit Manor South Addn. SHEET 2 PROPERTY OWNER MAIL ADDRES$ ZIP PNONE Scot Rolek 574-1244 3 CONTRACTOR MAIL ADDRESS 21P PNONE IICENSE NO Advance Alum. S 1 Inc. 7701 Ma.in St NE Fridle SS 2 5 1- 0 7983 a ARCHITECT OR DESIGNER MAIL ADORESS ZIP PMONE LICENSE NO. 5 ENGINEER MAII ADDRE3S ZIP PNONE LICENSE NO 8 USE OF BUILDING Residential 7 CLASS OF WOfiK ❑ NEW O ADOITION O ALTERATION � REPAIR O MOVE O REMOVE 8 DESCRIBE WOFK Reroof ara e g S T 9 CHANOE OF USE FROM TO STIPULATIONS ��rmit Insp�ci�on ��r�s Vllill Be Nla�i�d To Homeown�r To Post SEPARATE PERMITS ARE REQUIqEO FOR ELECTRICAL, PLUMBING, MEATINd, TYpE OF CONST. OCCUPANCY GROUP OCCUPANCr LOAD VENTILATING OR AIR CONOITIONING TMIS PERMIT BECOMES NULL ANO VOID IF WORK Oq CONSTRUCTION jONING SQ. FT CU FT. AUTHORIZED IS NOT COMMENCED WITHIN 80 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONEO POR A PERI00 OF 120 DAYS AT ANY TIME AFTER WORK IS COMMENCED NO. DW4G. UN17S OFFSTREET PARKING I MEREBY CERTIFV THAT I HAVE READ AND EXAMINEO THIS APPLICATION STA�LS GARAGES AND KNOW TME SAME TO BE TRUE AND CORRECT. ALL PROVISIONS Of LAW$ VALUATION SURTAX AND 01iDINANCES GOVERNING THIS TVPE Of WORK WILL BE COMPLIED WITH WNETMER SPECIFIEO MEREIN Oii NOT. TME GRANTING OF A pEHMIT $699 . SO DOES NOT PRESUME TO GIVE AUTMORITY TO VIOLATE OR CANCEL TME pEqMiT FEE SAC CMARGE PROVISIONS Of ANY OTHEFi STATE OR LOCAL LAW REGULATING CON- STRUCTION OF THE PERFORMANCE OF CONSTRUC710N Z9. C)O Fire C .%O P�AN GNECK FEE TOTAL E Licen S 5 0 S�GNATUpEO�CON'AACTOpOANUTNOp�2EDsGENT IDATE� EN P O ALIDAT S IS Y PERMIT � �� $�GNATUAEO�OWNEAi��OWNEp8U4DE�7i �DATE� BLOG NSP qiTE r AY: � , a 6i2 s�i 2260 RDURNCE RLUMINUM 01 r l �`�� /x� Ef��tive 1/1/99 ( ) CITY O� FRIDLEY : \ (] SII�TGLE FAMII.1' AND DUPI.EXE9 R-1 AND R-2 („� BUILDING PERMIT APPLICATION ; �� : S`i iegal escription: Owne Name & Address: „$ �, ,� 7- �' a �..F yc � ^= Tel. # � Cont ctor: iqp v,ss.. � � ,� � `.,,,,14 ,,� ��,�4 7, , ,� ;". MN I,�CEHSE # .. _ Addr s: 7�'vi .h��. � r.Z.�� l.,� i�-r '1'el. � S Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scalc. 'G A1tEA: ,GE A,REA: AREA: � DESCRIpTiON OF IlVIPROVEMENT Length Width � Height �ng� Width Height ______,.. Length Width � I�gt/Ground 0 � Sq. Ft. �. Sy. rt. i Sq. Ft. ;_.�___ e -- ., .a Const ction � Tj'Pe: /� U 4�� - — G-,�r+�c..v�' Estimated Cos�_ $��t� ��.,...� (F'ee Schedule o� 13ack) � Drive y Curb Cut Width Necded: Y�t. + 6 Ft = l=t x$ -$ .__— ....,._,.._.. DATE !/ 1 �PPLICANT: _ ,....._ 'I'cl. � S �"' 3Y! �. Permi[ Fire. St State S SAG� C Park ] Sewer Surcharge �y Escrow Control Charge TIONS: CITY USE ONLY $._ �% � � Fee Schedule on Reverse Side $ �%6 .001 of Permit Valuation (1/lOth%) $ � O $.50/$1,OQ0 Valuation � $1050 per SAC Unit , $ . OC� $S.QO (State Licensed Residential Contraccors) � Alt. "A" or Alt. "B" Above $ $450.00 Conssrvation Plan Review $ Fee Determined by Engineering $ Agreement Necessary [ ] N�t Necessary ( ] .� P.�,a�. .�;�.r�,� ,�,.,e� ,��/'%��'��'�! ��i C f , .. . , :�r:: ,;;.:� ��