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AF - 46744� ^ � City of Fridley, Min�- BUILDING PERMIT nat�: o. P, sROL� �: 1QOVEMBER 24, 1965 g�� SAME �d� �32X - 44�h Avez�u,e Nort� Addr�se Minneapolis, M3nnesota N° 8617 �� LOCATION OF BUILDING No. 666 S�t flIIGO STREET N.E. p� oE Lot � 4Q an�4�,, $lock S Addition. or Sub-Diviaion .�Riverview Heights Corner Lot — Inslde Lot — Setback 35 �—_ Sideyard 10' and 13' gewer Elevati� � Foundation IIevation DESCRIPTION OF BUILDING To be Used as: DWE�,LING �t 2 7 �� 34 Height 2 � Sq. Ft 918 C,yi, Ft 1�,�U FYont Depth Height � �1• � � � Type oP Construct4on ..F�e F�t. Cost --�� 4 N,�_ To be ComPleted Ia con�deratlon of the 9esueacs to me of a permit to const the P�P�� work ffi accardance wlth the drescrlptfon above set or�i�ances oP the dty oP FYldley. � in ca�afderation oP the payment oE a fee of � 19 . 00 � the I agree tv do _nroYis�ous of granted to �. P. SROLTE to constcuct the buila9ag or adclltfon as desecibed above. Thispe rmit is granted upon the express con�iitlon that the a to whom it is granted and lsfs agente► emPlo_yees and worlmsen� fn all work tlone in, around aa8 upon buildlag, or anypart thereof, ahall conPorm ia au reapects to the or8lnanae� of Frldley, Minnesots re locatton, conatructlon, alteration, a►aintenanc�, repafr and moving of bufldin� within the dty ]fmita � permit may be revoked at es�Y ttrne upon violatlon of aay oE the provieions of sa�d ordiaeacea ALLEN' G. JIIQSEN 8�� NOTICBo Thb p�naN dai �rof eow� th� eoamnaHoa. Iatfallatlon hr wuino, plum6tna� Ya huNno, awnr or waMr. B� an ro a� !In dolWlay la�ior for apuat� pu�oiM Pot t6a� It�. ..� AP�CATIOR FOR $UILDING P�'RMIT CITY OF FRIDLEY, MII+JNESOTA r�� -. � a � � � f�� _, � � ow�t's � � ; � `� . .� ,1 � � �' ,, ,-=� Bttu,�Ex � � f ��w �D�SS I � � l � �� 5� �` � � � � _ � n �� LOCAZ"i0N bF BUILDING : � � - :..Na,� '� �- � St�eet ,�',; �,�� r�� ,� � Part c►f Lot � . . LOT S � � � � �� S.00R � ADDITION OR SUBDIVISION /=! i�! �-- .� �� , ��„�, �°� .�� _ m f Corner Lot�_Ineid� L � Setb�ck � � �:::� ��-�' � � Side-�YBrd ��' ��;r`2�.----- SEWER .F,LEVATION FQtIiVDATION ELEVAfiI011T ,,. ` � Applicant attach to this for•m Two CerCificates of Survey of Lot and proposed building locatioa drawn on these CerCificates. bESCItTI�ION OF BOILDIIJG To be used as: � ' f Front � � DePt � Seigi�t �� Sq. Ft. � Cu. Ft. � ! � Front Dept �� Heigh� Sq. Ft. Cu. Ft. ' � Type of Caastruction Estimated Cost ,�� M1� _ � s To be completed r° � � � � �� '� 'T �,/'`� p ,� � `� � / " g'he uadersigned hereby makes application for a permit for the work herein epecified, agreeing to do all work in strict accordance wiCh the City of Fridley Ordinances and rulinga of the Department of Buildings, and herebq declares that all the facta aad reprea�ntations stated in Chis applicatiaa are true and correct. --, / �- �� ` DAY� �� ' - �� ' � 6IGNAT[JRE ��-- uu - �� '�,-_ ' � ,� ° . . � � , (Schedule of Fee Costs can be found on the Reverse Sidea� � - ..� I _ ' - , � i � � � � f BUILDS�iG PERMIT F_�E_, S�B " SE�ON 2. The Iaspector of Buildings sha].1� before issuing an� �rmi.t for ehe erection of any building or etructure, or for any addition to 8nq existing build- ing or atruceure, or for aaq alteratioas or repairs to anq esisting building or structure, ugon application therefore, require the payment bq the applicant for such permit of fees to the amount herein below aet forth and ia the.manaer hereia_. provided to-wit; 2.1. For any such permit for the erection of any fire�proof buildin�, other than a garage, warehouse, facCorq or grain elevstor, or for the erection of any fire•proof addition, for aimilar occupancy, to any existing building, shall be at ehe rate o£ $1.40 for each one thoueand cubic feet, or fr�ctiou thereof, in such cubical conteriCs. 2�.2. For any auch.permit for the erection of any £ire-proof garage, werehause, factory or grain elevator, or for tHe erection of any fire-proof addition, for aimilar occupancy, to any-existing building shall be at the sate of $1.25 for each one thousaad cubic feet, classified as "fireproof" by Seetion 502 of the Minneapolia�Building Code. HOUSES �_.. . . _ _ . . 2.3. For anq such permit for the erection of any aon•fireproof buildin�, othe han a garage, warehouse, factory or grain elevator, or any nau-fireproof addition, for similar occupancy, to any existing building - permit $1.00 for each one thouaaad cubic feet. GARAGES 2, 4_ For any such perm3t for the erection of anq non-�ireproof gerage, warehouse, facCorq or grain elevator, ar imr the ereceion of aay noa-fireproof addition, for aimilar occupancy, to any existing building or fos each such buiZding or addiCion - ninety cents ($0.90) for�each one thousand cubic feet or fractiaa thereof, in the cubical contents thereof w3th the miaimum of $4.00. For the purpose of computing fees for building permits, the cubical eonCents of any building or addiCioa to a uniform height throughout by multiplqin� the graund area covered frem a point eix (6) iaches below the floor liae of the basement or cellar to the average he3ght of the upper eurface or to the average height of the roof su,rfaee of the main gable of a pitched soof. 2.5. For regairs or alterations to an exieting atructure, the fee sh811 be a the rate of $3.00 per each Five Hundred DollBre ($500.00):or fraction thereof ia the crost of all proposed work. � �.6. In no.case shall Che fee charged for anq germit as set forth in Secti n 2 be less ehan $4.00. � � _, �-• /� ..� t_. �., - . � e. ,,...r r'-:.",='.f'- t ' -- . S '!n � �„ y ?-�- --�•--R�- - - - - � ',t+FS -�� ap. -�' . _ � . �'�c�`.� �. �. t . , . ' . .. y, � . . _ . ` . , . ' ; . ' t . . -. - . . . . . . _ . "_ , , _ . . . . . . �, . . . .- ', .. . . . . . . .. . .. , -.. h .�.i':. eh .. . , ,. . �. . . . . - ' . .t`irO��S'Fa�n}�i ;►� ��r � r � Hw� �►.=c�►RrwR��►+�r � �� .E � ' , -�, . .�. �. Hua�:, c�vM. '� � � �' �' w�_+GauNtr sv�vsrs �"'� � �� . �� - _ ., :-. . �4�►a:aii� ws -.: ° �, �:r �` MRNMV!!I GOIJNTY iWiYiYi ' ) �] _��!'] ,�� s � � M11i1�1�MC1� i,LtitVEY1 . �"�� + �+ �/ � �� i� �1 `. �'.. f�. $7��1}�'i1�':'�iFf , `� l�f0 iRAW�I fTJ1XET N. W. . , . ?�.`4YM..''� r{ �R rP¢ � (iMi'i� LRWi O!'''�i�T.� OP �i:lMN��'RA �Y � � El�i�A� ° ��iUMbMnrsw AS�a Lkis � �1MI1NCt OF �1 '�1F #�AM'�1.� . ' t*V ;-. . JA:rI�� N�;,�Fi �,., . • ' 9i� M!rt.Yi+lOt9tF1 �1,t�i:D11�iG � t ' F'Bc�R�►4 �7�t= lftii�tl�ri0N1- . , "� ° . H�1R� A'� �flGft4 .". #1tNN�I1iPQ.#s�i 3: rM1N��0'�A afT±►��r+ti�d a�as .- . µ:, �;, ' . ' .: �i1Zi., .E-Jt�lGiAL . ` , . wsi�ls '— *oMQOP�►P!l�cnt . . ,.: ME71�±Ci�}.f�'+� �.�.� � - ii�rrl►c�r'�c 6�tit�t - s,. ` �` c+�'x,-i�+��s = �.r►�rn�ra . " _ �ev�rer�es. �sT�� *e� ,� �.7�.'tr@il � _ � , � , „r ` � > - • �. � . . .. - .. . . . . . �;� C �� - .� � ' . .- _ . .. � . . . _ . . . � dt;> . . - . . - ... � . . � . _ . . , - �;ii' � s - . .- �... . . . .- �, � ,. �. . �_ .... �,. . ., �: �- - -�� -- _'..' . - -- . .... _. _ _ -.. , � , -.. • . ,i� F ;�'{�'��' .��'"`J�� :�" N': _�.` . - , - . , . . �� ., : : __ : .- _ , � lQa�o �. �.. k , :�..: trar� . , _ ��,�; t -� � — _�. - - - - _ ' � — - -_- , __ _ _ _ _ --- , - - -° ---_ � � -- ,-- —�, --- I � if � � • � � . �S"'_'�� . _ V . � ' �A \ � . . I '�� _ - 1 �� 7 jl � � o , ; �s� �` , ;� � ��'..��:.� � i � , . 1 ' /Y.�i'`�'�i , v o, � � � � � `�� , � tl r �° �� . "� � � 1 d�r%,�: , � � � \ . � - �. . � -. . . . . G � f;, { �` � . .. . I. . _ _ . , ` . � _ � � `��1 � � . . . . . - . . _ . . . .. . . ( hr�� 'dNr Q',�.. ..1.� � . /b"�.{�s._ �� .%� a � � � . . . �.� ... ' , - . . _- ' -__ _ - __ -' _ �.. . _ i t ..�.. . 1 •- � -_._.;- - _ - ,. _ _ '_ r-.-" _' _ _`.: _ .. -. _. _> > . - - . - `-�-. -_.: -..,,� , h:_ ._ ...� ` - '_ -:�—� �. . . �. . ,_ � :. �. �7 V. '. ___ __ . . . � � , .. �� . . . .. � ' � �3.��.- � "� 1 , d �� _ . . . ,. . � , . . . . t w ;y' y �� . . �� . :� �,�: � _ � .� ��. o � rra�r � � ir�n � - � -�- , d� ,,,.: , : ,,. � �f � I iiereb� ce�` ts i� a �'+ and� carrect re�r+eaentat�a o� � au�OY a�s �� • Lmt� �Q�_`�3., l��i�� 37:o�k S� RiYe�ri+e�t H�h�:a � �� s , f� As, �naw'eyed by ma t.his �h c�ay cf Nava�er, � 196�. � . _ , . � , �, .. . , . � � '�� r�:�.., .. . - ` .. �� '� q�G NED k�- , . , � �. � .. .�,�' • . r'1 � r.� " �''�� r � , r.. x , _ �} +FL . .. _� z � ;>� � '� -, SUBJECT PE NO. c�ty of Fr�aiey � i3i99 AT THE TOP OF THE TWINS g U I L D i N G P E R M I T r i � R . � • COMMUNITY DEVELOPMENT DIV. �� y-------� r � � PROTECTIVE INSPECTION SEC. 1 ` i ( /"'1 � CITY HALL FRIDLEV 55432 NUMBER REV. DATE PAGE OF APPROVED BY �----� • •'� si2-5so-3a5o 910-F15 9/12/75 / � JOB ADDRESS 666 Hugo Street N.E. 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR.4 ,41 S 'verviela Heights SHEET 2 PROPERTYOWNER MAILADDRESS ZIP PHONE u Dou+glas Cloutier •� 666 Hugo Street N.E. 3 CONTRACTOR MAIL ADDRESS Z�P PHONE LICENSE NO. Li.fetime Associates Inc. 409 Washin ton Anenue South Ho kins 4 ARCHITECTORDESIGNER MAILADDRESS ZIP PHONE LICENSENO. 5 ENGINEER MAILADDRESS Z�P PHONE LICENSENO. 6 USE OF BUILDING Residential 7 CLASS OF WORK C� NEW � ADDITION ❑ ALTERATION ❑ REPAIR � MOVE ❑ REMOVE 8 DESCRIBE WORK Construct a 24' x 22' Garage 9 CHANGE QF USE FROM TO STIPULATIONS provide a hard surface driveway. SEPE RATE PER�ITS REQUIRED �OR �tIRI�J�� HEATIN�, PL�Ni�ING AND SIGNS• TYPEOFCONST. OCCUPANCYGROUP OCCUPANCYLOAD SEPARATE PERMITS ARE RE�UIRED FOR ELECTRICAL, PLUMBING, HEATING, VENTILATING OR AIR CONDITIONING. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING. SO. FT. CU. FT. AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT 2 ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS OFFSTREET PARKING I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPIICATION 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 3 9O% 1.95 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 O THE PERFORMANCE OF CONSTRUCTION. ZO.00 PLAN CHECK FEE TOTAL FEE �( � � �� $11. 95 SIGNATUREOFCONTRACTORORAUT' RIZE ENT lo E� WHEN PROPERLY/'�VALIDATED THIS IS VOUR PERMIT � �1.�'(L�_ V'\�..��2� 9 �02 �o�. '',�4, � �+„�==�.fNATUREOF OWNERIIF OWNER BUILDERI IDATEI BLDG INSP DA E q'' _ t_ � � j-�' __' �"- . APpLICATION FOR RESIDENTIAL, ALT�RATION, .. � OR AllllITiON BUILDING PERMIT CITY OF PRIDLEY, MINNESOTA OWNER' S, NAME� G /� BUILDER s' � /LLC e i� j��G�%��'� �� a.nDxESS : �� G� • . . � ADnr.ESS : ` � 1/. � B `a.r- ,�✓ 3�3 NO • STREET : `�LG �� /r/• G . / LOT : BLOCK : �ADDITION :�`!��/+y� �'w �i �' CORNER LOT: � INSTDE LOT: ��SETBACK:� � SIDEYARll;___�___ . � Applicant attach to this forcn. Two Cer�ificates of SuxveY of Lot and propose�. building locati.on drawn. on. these Cer.tificaices. � DESCRIPTION OF BUTLDING To Be Used As: `! . � L !j� / �/'�lli Front : Dep�h : � Height : � lCdiD �'• Square Eeet;� � Cubic Feet: �.� �� . Front: Depth: Heibht: Square Feet; Cubic Feet: 7.'ype of Consta:uctiont �l/'C2lLt G Estimated Cost: $ To Be Completed: �� j�� '� e� The undersigned hexeby makes applicativn for a permit for the work herein specified, agreeing to do all work in st=ict accorda�.ce with the City of Fridley Oxdinances and rulings of the Depaxtment of Buildings, and hereby declares that all the facts and �:epresentations stated in this apglication a�e true a.nd correct. � �— IIATE: ' STGNATIJRE• a d (See Reverse Side For Additional Iittoxmation.) • �` �%: c'� . /, �� ,�L�� : _ ./ / �� P" a ��- , 0 ��-� �BUILDING PERMIT FEE.SCHEDULE SECTION 2. The Inspector of Buildin�s shall, before issuing permits for the ' erection of any building or structure, or fox any addition to any existing building or structure, or for any alteration or repairs to any e�cisting� 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: UIVIFORM BUILDING CODE: Type 1, 2& 4-$2.15 �or each one thousand cubic feet, ox fraction thereof, in such cubical contents. Type 3& 5-$1.8.5 for each o�e thousand cubic feet: . ADDITIONAL INFORMATI�ON For the puxpose of computing fees for building permits,' the cubical contents of any building or addition, is determined by multiplying the ground area covexed from a point six (6) inches below the floor line of the basement or the cellar to the average heights of the upper surface�or to the average:.- �height of the roof surface of the main gable of a pitched roof. . For repaixs or alterations to�an existing structure, the fee shall be at the . rate of $3.00 per each five hundred dollars ($500.00) ox fraction thereof in �he cost of a11 pxoposed work. Tri no case sha11 the fee charged for any permi.t as set forth in Section 2 be less than $5.00. _ VERIFTCATION OF FOITNDATION NOTE: Pexmits for construction wi11 be issued a minimum of 24 hours from the tixae of appl3.cation, to a11ow for propex review of the proposed structu�e and of the construction site. � A.Certified Sux^vey of the lot, show�ng the location of the foundation, once it has been canstructed, will be required befoxe proceeding with the fxaming: CERTIFICATE OF OCCUPANCY Application for a CertiLicate of Occupancy shall be made ten (10) days prior to the use or occupancy of any structure for which a, building permit has been �issued; and said stxucture shall not be used or occup3.ed until a Certifiicate of�Occupancy has been issued. � • �.. � .,� , % � t_ � : . � .' . � � ' � S�rv�eyars C�ertifac�te COM5'TOCK & DAVIS, INC. Consulting Engin�rs and Land Surveyors 1446 County Road J, Mp1s., Minn. 55432, 784-9346 LOT SURVL'1i & HOUSE LOCATION SURVEY FOR: DOUG CLOUTIER LOTS 40 & 4Z, BLOCK S 666 HUGO STREET, N.E. RIVERVIL'�J HEIGHTS FRIDLEY, MINN. 55432 .AiYOKA COUNTY 6 sr –�� o r—' Q � y�., �n � - o.i �� 1 1 1 1 1 � 'o � ti� o a � � v �, ;� o � � `�. `= r O /Y 1 % J O c; � � r- a" �o o� _ p° Q��a� 1 �a�a � DESCRIPTION: Lots 40 & 41, Block $, River�iew Iieights, E4noka Couaty, Mintie��ta SCAL,E: / "= 30 � O Od�voAd1 �.PO.v /%.t�s/�7E.t�T 4E7 � �E.vrOTdS /.F�oi�i �r%.u/,�ysl�.uT �s�+.o I hereby certify that this stuvsy, pl� or re�ort was prey�ared by me or under my direc�t supervision and that I am a duly ltegistered Land Surveyor under the laws of the State of Minnesota. /10�, �.�� /os3,Z � �/, �q�S .3s�% —�—� Reg. No. Date Job Na � N �, a �i ADDRESS PIN LEGAL DESC CITY OF FRIDLEY 6431 UNIVERSITY AVENLTE NE FRIDLEY, MN 55432 57Z-36U4 1+'AX: : 666 HUGO ST NE : 033024230234 : UNAVAII.ABLE : LOT BLOCK 571-12if7 PERMIT NO.: 200401467 DATE ISSUED: 09/Ol/2004 PERMTT TYPE : ELECTRICAL PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ADDITION/ALTERATION VALUATION . NOTE: ELECTRICAL PERMIT BECOMES VOID 12 MONTHS AFTER PERNIIT ISSUE DATE. INSTALL SAVERS SWITCH. # INSPECTIONS 1 APPLICANT HUNT ELECTRIC CORPORATION 2300 TERRITORIAL RD ST PAUL, MN 55114- OWNER CLOUTIER DOUGLAS E & P 666 HUGO ST NE FRIDLEY, MN 55432 AGREEMENT AND SWORN STATEMENT This permit becomes null and void if work or construction authorized is not commenced witin 60 days or if construction or work is suspended or abandoned for a period of 120 days at any time after work is commenced. I hereby certify that I have read and examined this application and l�ow the same to be true and correct. All provisions of laws and ordinances governing this type of work will be complied with whether specified herein or not. The gtanting of a permit does not presume to give authority to violate or cancel the provisions of any other state or local law regulating construcrion or the performance of construction. Applicant Date �p Date ELEC PERNIIT FEE - MIN (RES� STATE SURCHARGE, ELEC FLAT TOTAL PAID WITH CHECK # 117431 R!�!�l�I SEPARAT� Y�;KMl l�� lcr;t�ulttr,l� rvx wuxx � i r�n � nEUV Ln��n�,., �., ��. 20.00 0.50 20.50 Building Inspections 763-572-3604 -os SITE ADDRESS _�� THIS APPLICANT IS: PROPERTY OWNER/ TENANT CONTRACTOR SUBMIT A COPY OF YOUR STATE LICENSE WITH APPLICATION PROPERTY TYPE PERMIT TYPE TYPE OF WORK: � BUILDING RESIDENTIAL APPLICATION CITY OF FRIDLEY YO(�R E-MAII. ADDRESS �D ✓ /'r � - � . � l/1/►>�'i./1 � - - -. : �� ..-�- . � '�.� STATE LICENSE # � DATE /f,J ADDRESS:�,�O �' �� L�C. �i �� %�� CITY STATE'�Il' �flD,� vun� FAX _ ❑ �o F�u.YmrEw coNSTxuczzvN ❑ ADDTTION ❑ GAR.AG ❑ gASEMENT FINISH � ROOF ❑ D�{ ❑ SIDING ❑ SWINIh9 DESCRIBE R�ORK BEING DONE: SIZE OF IMPROVEMENT OF SQUARES GARAGES PROPOSED S1ZE: PROPOSID HEIGHT: SIDING � Vinyl ❑ Aluminum ❑ Other WINDOWS IN EXISTING OPENINGS es �No OR FOR NEW OPENIlJGS-DESCRIBE SIZE OF OPENING CHANGES & 0 ❑ DRAIN Tn .R ❑ OTf�R LENGTH WIDTH HEIGHT O HOUSE ONLY ❑ HOUSE & GARAGE � ATTACHED GARAGE ❑ DETACHED GARAGE ❑Soffit O Trim ❑ Fascia IACATIO; O ��S,rO p/' / � Ft. BASEMENT REMODELING SUBMIT: 1. Existing Fl�r Plan 2. Proposed floor plan 3. List of shuct�ual members to be used FOR NEW CANSTRUCTION INCLUDING DECKS, ,p nr�ITIONS & PORCHES SUBMIT• 1. Site Plan/Survey showing the e�cisting structures and proposed project 2. Two sets of construction plans 3. Energy Calculations ' WD�IBOW TO BE INSTALLED NUMBER OF WIIVDOWS � I ALL FEES ARE BASED ON VALUATION, INCLUDING THE COST OF LABOR AND MATERIALS: (U5ING THE 1997 U.B.0 FEE SCHEDULE) TOTAL JOB VALUATION $ __ OCCUPANCY TYPE Permit Fee Plan Review Surcharge Fire Surchazge License Surcharge SAC Charge Curb Cut Escrow Erosion Control Pazk Fee Sewer Main Charge Total Due $ $ $ $ $ $ $ $ $ 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+68= ftx$20=$ $450 Conservation Plan Review Fee Determined by Engineering Agreement necessary ( ) Non Necessary ( ) Make checks aavable to: City of Fridley Attach l�a /�C,� TEIIS IS A�l�IC��1 FO �A ALID UNTIL PRQCESSED I hereby apply for a biiilding pe ' ow e ge at the a"o�ove 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 permit but only an application for a pemut 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 whic��equi�es� ev�ew�and approval of plans. SIGNATURE OF APPLICANT , i ' ,r � I • � . , - ��,tJ �;/�%i/ % � ��i�� -�� .e�� Page 2- Building Residential Application BUILDING PERMIT FEE SCHEDULE The Chief Building Official sha11, before issuing pernuts for the erection of any building or structure, or for any addition to any existing building or stntcture, 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: VERIFICATION OF FOUNDATION Permits for constructioa will be issued a minimum of 24 hours from the time of application 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 foundation will be required before proceeding with the framing. New Houses Onlv City of Fridley Building Inspections Departrnent 6431 University Avenue NE Fridley, MN 55432 763-572-3604 Fax: 763-502-4977 3uilding :nspections 163-572-3604 )ATE�� I1'E ADDRESS � 'HIS APPLICANT IS: BUILDING RESIDENTIAL APPLICATION CITY OF FRIDLEY PROPERTY OWNER/ I Nq�:� TENANT q�DR�ss: CONTRACTOR SUBMTf A COPY OF YOUR STATE LICENSE WITH APPLICATION YOUR E-MAIL ADDRESS T � `�ONIRACTOR �' I� �.-1°��2 Sf � _ �41D _ i,,(� 1 STATE LICENSE # i�C Z��L S�{ �U d � DATE PROPERTY TYPE I �SINGLE FAMII.Y/NF ❑ TWO FAMILY/NEW PERNIIT TYPE � �DITION ❑ GARAG ❑ BASEMENT FWISH � ROOF ❑ DECK �SIDING ❑ SWAM� TYPE OF R'ORK: �ESCRIBE 9JORK BEING DONE: 3IZE OF IIvIPROVEMENT �TtJMBER OF SQUARES _ sARAGES 'ROPOSED S1ZE: ?ROPOSID HEIGHT: zID1NG ;�Vinyt 7 Aluminum � Other R'IlVDOWS N EXIS'!'II4G OPENINGS �Yes ONo JR FOR NEW OPENINGS-DESCRIBE S1ZE OF �PENING CHANGES & TYPE OF WII�TDOW TO BE INSTALLED ❑ HOUSE & GAR.AGE ❑ ATfACHED GAR.AGE 0 DETACiiED GARAGE �offit ,G�;Trim �Fascia LOCATION OF WINDOWS Permit No.: Received By: Date Rec'd: —i�i co•to� SIZE STORIES 0 WAiDOWS ❑ DRAIN TII E ❑ OTf�R �� QVIDTH HEIGHT � ATE�i�IP,�S��/ Ft BASENNIENNT REMODELMG SLBNIIT: 1. Existing Fl�r Plaa 2. Proposed 800r plan 3. List of struct�ual members to be used FOR NE9✓ CONSTRUCTIOAI INCLUDING DECKS, ADDITIONS. & PORCHES SUBMIT: i. Site Plan/Sutvey showing the existing structures and proposed project. 2. Two sets of constr�ction plans 3. Energy Calculations ALL FEES ARE BASED ON VALUATION, INCLUDING THE COST OF LABOR AND MATERIALS: (LTSING '� 1,9�7 U.B.0 FEE SCHEDULE) TOTAL JOB V. Permit Fee Plan Review Surcharge Fire Surcharge License Surcharge SAC Chazge Curb Cut Escrow Erosion Control Park Fee Sewer Main Charge Total Due $ $ .� ,(2`� $ l .�� $ .S.f� $ $ $ $ � 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 Fridley Attach THIS IS AN APPLICATION FOR A PERMIT NOT VALID UNTIL PROCESSED I hereby apply for a building permit and I aclaiowledge 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 permit but only an application for a pemut 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 which r uires revie �d�Pp val of plans. SIGNATURE OF APPLIC � Ly'�` "r PR1NT NAME // / � C[�l� �L, ��0/E DATE % I`%� "�S Page 2- Building Residential Applica.tion BUILDIIlTG PERNIIT FEE SCHEDULE The Chief Building Official shall, before issuing permits for the erection of any building or structure, or for any add.ition 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 perm.it 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 surchazge) $501 to $2,000 $23,50 for 1� $500 plus $3.05 far each additional$100 or fraction, to and includin $2,000 $2,001 to $25,000 $69.25 for 1� $2,000 plus $14 for each additional $1;000 or fra.etion, to and includin $$25,000 $25,001 to $50,000 $39125 for 1�` $25,0�0 plus $10.10 for each additional $1,000 or fraction, to and including $50,000 $50,001 to $100,000 $643.75 for 1�` $50,000 plus $7 for each additional$1,000 or fraetion to and includin $100,000 $100,001 to $500,000 $993.75 for 1�` $100,000 plus $5.60 for each additional$1,OOU or fraction to and inclu ' $500,000 $500,001 to $1,000,000 $3,233.75 for the 1� $500,000 plus $4.75 for each additional $1,Q00 or fraction to and includin $1,000,000 $1,Od0,001 and up $5,608.75 fo= 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 mini.mum of 24 hours from the time of applica.tion to allow for proper review of proposed structure and of the construction site. A Certifica.te of Survey of the lot, showing the location of the existing founda.tion wi.11 be required before proceeding with the framing. New Houses Onlv City of Fridley Building Inspections Department 6431 University Avenue NE Fridley, MN 55432 763-572-3604 Fa�c: 763-502-4977 Building Inspections 763-572-3604 BUILDING RESIDENTIAL APPLICATION CITY OF FRIDLEY DATE � � � � � � YOUR E-MAIL ADDRESS SITE ADDRESS fp �vG_��/��r,�t THIS APPLICANT IS: ❑ OWNER �ONTRACTOR � �n PROPERTY OWNER/ TENANT CONTRACTOR SUBMIT A COPY OF YOUR STATE LICENSE WITH APPLICATION PROPERTY TYPE PERNIIT TYPE TYPE OF WORK: Permit No.: (�(� Received By: Date Rec'd: �— � f •� � ADDRFSS: ;��,,�.��s�.� CITY ��. �J I P l.� STATE ZIP PHONE: NAME: i1�1 ��"L-- it/0 � I�-2s' STATE LICENSE # o�� Sl.�, a�F1 � EXP DATE ADDRESS: y7 �/ S P�i-I��iSo�� I CITY �/qa� z.✓-� STATE_ZIP PHONE � I S< �'r� 1/ 5 6> � SINGLE FAMILY/NEW CONSTRUCTII ❑ TWO FAMILY/NEW CONSTRUCTION ❑ BASEMENT FINISH ❑ DECK FAX ❑ GARAGE/SHED �.R�OF ❑ SIDING ❑ SWIMMING POOL � MAINTENANCFJREPAIlt 0 REN ❑ DRAW TILE ❑ OTI�R DESCRIBE WORK BEING DONE: �P loo �� o rt-c r�r c� �-C SIZE OF IMPROVEMENT LENGTH WIDT'H HEIGHT S. Ft. ROOFING ❑ HOUSE ONLY NUMBER OF SQUARES ,�0 0 HOUSE & GARAGE aASEMENf REMODELING SUBMTf: GARAGES ❑ ATTACHED GARAGE 1. Existing F7oor Plan PROPOSED SIZE: � ❑ DETACHED GARAGE Z• Proposed floor plan PROPOSED HEIGHT: _�_ 3. List of structural members to be used SIDING FOR NEW CONSTRUCTION INCLUDING DECKS, ❑ Vinyl OSoffit ADDITIONS. & PORCHES SUBMIT: ❑ Aluminum ❑ Trim 1. Site Plan/Survey showing the existing structures ❑ pther ❑ Fascia and proposed project ' WINDOWS 2. Two sets of construction plans IN EXISTING OPENINGS ❑Yes �No LOCATION OF WINDOWS 3. Energy Calculations OR FOR NEW OPENINGS-DESCRIBE SIZE OF OPENING CHANGES & TYPE OF WINDOW TO BE INSTALLED NUMBER OF WINDOWS ALL FEES ARE BASED ON VALUATION, INCLUDING THE COST OF LABOR AND MATERIALS: (L1SING THE 1997 U.B.0 FEE SCHEDiJLE) TOTAL JOB VALUATION $'.Z S�+ OCCUPANCY TYPE Permit Fee Plan Review Fire Surchazge Surcharge License Surcharge SAC Charge Curb Cut Escrow Erosion Conlrol Park Fee Sewer Main Charge Total Due $ f,rj'3 ,�� See Back Page for Fee Schedule $ -- 65% of Building Permit Fee $ �� 7� .001 times the total job valuation $ 3. (� � .0005 x Pernrit Valuation Minimum $.50 $ �, G�(7 $5.00 (Sta.te Licensed Residential Contractors) $ $1550 per SAC Unit (Plans to MWCC for determination) $ ft+6ft= ftx$20=$ $ $450 Conservation Plan Review $ Fee Determined by Engineering $ Agreement necessary ( ) Non Necessary ( ) $ /(� �j, � Make checks payable to: City of Fridley Attach TION FOR A PERMTT-NOT VALID UNTIL PROCESSED I hereby apply for a building permit and I aclaiowledge tha.t 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 tlus is not a permit 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 which requires review and approval of plans. SIGNATURE OF APPLICANT i i��j��G��G PRINT NAME DATE Page 2- Building Residential Application BUILDING PERNIIT FEE SCHEDULE The Chief Building Official shall, before issuing permits for the erection of any building or struchue, 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 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 fraction, to and including $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 including $100,000 $100,001 to $500,000 $993.75 for 1�` $100,000 plus $5.60 for each 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 each additional $1,000 or fraction to and includin $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 constru.ction will be issued a minimum of 24 hours from the tilne of application 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 foundation will be required before proceeding with the framing. New Houses Onlv City of Fridley Building Inspections Department 6431 University Avenue NE Fridley, MN 55432 763-572-3604 Faat: 763-502-4977