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AF - 47831� �° � y .� r � � : � • � • M M � O � Y � : : : , � : � ' • � ' : J • v\ o � . � . � . � � � � � 0 � r � � � a�� d� � d�� x n L �., x � � � � '� � " � o � n n " '�`� A � � k M � c � � � � � � � y o � � •°•° � °' � � � " � � �' C t'q � � • � C • O � A '� ip0 :� 'O �' J �' ',d C • . � � '� . a � ° w v a+ : , � � . �• � ; � • . . � Q � � . • � • . i : . � ' .� : . : .. . . . • . . . : . . . . . . . . . . . . . . . . . . . , O O fe �1 M M k x x x x �e � N N � � W W � r�.. ►�+ i� 8 a , � ,:,� $ '�n' g �i'+ `� $ $ � � e� a�� N w a u► a e�► t� O � � i O r � I I r � O � � � 9� W � v m� �� A �` z � o ` , � � �� '�' � a � D � r I� ""� � �/1 � _ m C r T O � � 3 z � � a b y a « � 00 ro � 0 , � � w 0 � � :° a d S � i• 1+ 41 IN " �A 1 � y i'�'�' I a a'� � �Storiee • �i w�.� � a,o�s �' � � uRiw�s � r►rN n�ss p0"', p �W�s q� �7 SIN� � � w�w rRwvs ORINK. IOUNT. SMN�LS. �� r N i:. � � M � . n. � , ; , 7 OAAINS GTCM s�wNs �uro wwv+� c�s � c� ° aANCi cws OPENINC.S . • s • N � a � �r A b o.c.� �� o� � � ,,�� °� a � O A �00 � � B. ti � 8��.�°� �� o� b �� ti �� m mmo � �'�' �as � A � 9 � � m � � � �. � � �. �B�ry �p�� o �� A 7 3 �'n H � � � � x � �d ?i � �� M Q ~ A � �s '�1 p g a � '+7 i�C � � A . � � � � � � � � � � � � � � � � � � � M � ' a ` � 'e � �" �� , � s e�� SUBJECT P . � City of Fridley 2 5 9 3 AT THE TOP OF THE TWINS g � I L D I N G P E R M I T i � � � • � • COMMUNITY DEVEIOPMENT DIV. r � v � � PROTECTIVE INSPECTION SEC. `%� � � ' v i � � , ��'�� CITY NALL FRIDLE� SS43Y NUMBER REV OATE PAGE Oi APPROVED BY �'""� � �'� 612-571-3460 9t0-F15 4/15/98 / / J08 ApDRESS 567 Rimball Street �E 1 LEGAL �OT NO. BIOCK TRACT OR ADDITION SEE ATTACHED DESCF. 3O D Riverview Heights SHEET 2 PROPERTY OWNER MAIL AODRES$ 21P . PMONE Thomas Govoent 567 Rimball Street NE 785-4031 3 CONTRACTOR MAIL ADDRESS ZIP PHONE UCENSE NO. Same 4 ARCMITECT OR DESIGNER MAIL ADDRESS ZIP PMONE LICENSE NO. 5 ENGINEER MAIL ADDRESS ZIP PMONE LICENSE NO. 8 USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW O ADDiTION �7 ALTERATION C� REPAIR ❑ MOVE O REMOVE 8 DESCRIBE WORK Construct an 8' x 8' Canopy over back door; Extend rafter 8" on eave; Reroof House & Garage 21 Sq Tear-o ; o t asc a 9 CHANOE OF USE FROM TO STIPULATIONS See notations on plan. Install soffit ventilation to meet the State Building Code. Underlayment an roofing shall meet the State Building Code. Install smoke detectors in house to meet the State Building Code. TYPEOFCONST. OCCUPANCYGROUP OCCUPANCYLOAD SEPARATE PERMITS ARE REOUIRED FOR ELECTRICAL, PLUMBING, HEATING, VENTILATING OR AIR CONDITIONING. THIS PERMIT BECOMES NULL AND VOIO IF WORK OR CONSTRUCTION 20NING SO. FT. CU. FT. AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION OR WOF;K IS SUSPENDED OR ABANDONED FOR A PERI00 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 GAqAGES AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS ypLUAT10N SURTAX AND OFiDINANCES GOVERNING THIS TVPE OF WORK WILL BE COMPLIED WITH WHETHEF SPECIFIED NEf;EIN OR NOT. TNE GRANTING OF A PERMIT $2551 $1 . ZS DOES NOT PRESUME TO GIVE AUTHORITV TO VIOLATE OR CANCEL THE pERM1T FEE SAC CHARGE PHOVISIONS OF ANY OTNER STATE OR LOCAL LAW REGULATING CON- STFUCTION OR THE PERFORMANCE OF CONSTRUCTION. �7�F.7.5 Fire SC �2.55 PLAN CHECK FEE TOTAL FEE ��8..58 SIGNATUREOFCONiRACTOAO UTMOAI2EDAGENT �DATEi yy►{EN PROPERLY LIDATED THIS IS VOUR PERM17 �. . i�� .,e�� y�/� 9� s � �' J;t-�-� � L- �� SiGNATUAE OF OWNEA��F OWNER BUILDEiiI IDATE� BLO' iNSP qpTE -�: '_ . �5': 'i8 i2. �'r 1 . . . Y,.�"� .�, � � x�. . � ��-. �� •�` ` � � tG � . � �� r .. . . �� '� ��' i .3 � . �n. � ... „,.:,lt dS .< ,.� ' v -�' , _�; .,. � ; .� �' ' ^ h . `� �� ry�% �i� . �. Y . . �S� �� b ._ Fry b ' '�'• . � . . .y. .� „ '��/ £ . .. ,� : ' ;i. . � -�.�� . � .� �� _�� . ��- . -� � � � � � �� r �1�� 1��1�� " :a F �' �j� � �� ,�' . ,�. �; , ��,� �` ��= � .,,�� ,, �. :* �. � . � � � ��.,:�,��: � ��:- �� .. � ��_�� .�� t. � _. ., � = � �� :� ��- �� ,��- �''�' � , ..�. . � � � �' k �`�"'` �'-�"" �,� � � . ��: �y� �� . �:fl �..� ,� ,.��:=��, :� �.t�� ,��.`� � ?_ � ' �` � �` ��, ,� , �`=,� ;' �'�.�; _ � ��-�.�.. �. v� � �,',-,. _ :� �- .��:� x ��, � � ,x,:. ��; %4 �.: �� f��= , . � 4 F � �� fi-. � `°..,� •"F . ,�# R l� +�e"� � 0 . � ? �� . . k"i� .;�� ',..�. . . ''A3 �5.� �A ,*F � } � . �. . . ..'d � �" a � : . : . �., e ` 'c . :- ' " , � ' � ' ,; ` . � �r�� 'sa.�, ^�� ' �i: _ � �'�`�,..� � � s,. ��'�. ,"'�' ; � . . � i i ��' . 4� � y. . �� 6, � } � } � � ��. ' k�. . . . 6. ` ,�.4y� •=�� ' �-� � �` �� "rM a �� , '��": =,. . _;� . �..; , ; '` ,�:::� � � a ryh� . � i�� _� � ' ;: � ty� ° . : � � �, � � `�"�..�"��. � i��9;� '�..� ., _ ' �.' �, ��_ � . n '� � � 'GF�f'., '.;5. 4 d' ... �� p+tiy�"}� � t� t �� , . . . . . . . . . . ��i .. . _£:-.:: . . .. .... � . . . '. NEW ADDN ALTER � [l [] CITY OF FRIDLEY SINGLE FAMII.Y AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION Effective 1/1/98 ay�35 �d�) ConstructionAddress: s(� � /CIeY,/a a. /l s� !1/ �' � Legal Description: Owner Name & Address: �� o.�. a. s c� vBe�e -f p Tel. #��5� �{D� � Contractor: Address: MN LICENSE # Tel. # •� : '' �(��j' Attach to this application, a Certificate of Survey of the �' a�� lot, w' the proposed construction drawn on it to scale. � �" - �ESCRIPTION OF IlVIPROVEME � D� � �� a0` �� e. r A:�`�� Length � Width � Height Sq. Ft. GARAGE AREA: Length Width DECK AREA: Width Height Sq. Ft. Hgt/Ground �,Sq. Ft. �� OTHER: ,� ��o � `-C�� k l � � � ��s �. �� - � � � � i �` /-�� Construction Type: Estimated Cost: $ �� S/ � (Fee Schedule on Back) Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x$ _$, DATE: �is � �/' % �l APPLICANT: .��yo�aoz ,,y� Tel. � 7 ��'- i�4 3 � %jpdhA-S C�ol�Of�% CITY USE ONLY Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee Sewer Main Charge TOTAL STIPULATIONS: $ °7 � %� $ � SS $ %�� $ $ $ $ $ $ $ � Fee Schedule on Reverse Side .001 of Permit Valuation (1/lOth%) $.50/$1,000 Valuation $1Q00 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 PERMIT 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 $2,040 $2,001 to $25,000 $25,001 to $50,000 $50,001 to $100,000 $100,�1 to $500,000 $500,001 to $1,0�,000 $1,OQ0,001 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 $1QO,Q00 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,OQ0,000 $5012.25 for the first $1,000,000 plus $2.75 for each additional $1, 000 or fraction thereof DRIVEWAY DEPRESSION ESCROW (Concrete 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 gvtter and install a 3 foot wide approach with 6 inch depth - Driveway width plus 6 feet times $15.75. VERIFICATION OF FOUNDATION Permits for construction will be issued a ininimum of 24 hours from the time of application to allow for proper review of the proposed structure and of the construction site. A Certificate of Survey of the lot, showing the location of the foundation once it has it has been constructed will be required before proceeding with the framing. � ' - r_, � r _ ,b ._ - � � r, __ . __ _ _. __ � � _ _ _---- - --- . � � - n - - - _ _. .. -- __ - -- -- - - � �. . ; J _ _ -- ---- /� �� `�. � �.J ` � �ti'/foo�. '�17.t�.v_o.�.. , _..,� ^ C� \�1� �� Z •�oisvaw� � � - - _ _ - --' �—.i��--x ( � . � - . � �a aC�' Ft � -- - - -- _ _ ------ r-- -- --._ ..._. G� \� . � � ---- -- --- <� ` � " o) x q ` � d ` . ` / - �. -- ----- - - - � � � � 9-�� , � •-� � .. ` J � �� 1 ^ --- -- - --- - - -- -- - �,�. ��.__ � .,,,-, r � ._� �, -e.�- �. �� . ' � � q _ - - --- ------ -- —`� —=�'-��__.__- �°�-=� _ ��'° . - -- - - ------ --_-`�_.- ------_---- - �� -� d° _ ., . _.__ - - - _.._ ._-_--------------- ---- ----------- `�`' ``°° L � � � � -- _ -- - ------ --- --�-- ------- `�� _!� - �� C� _ - - - - -- --- ---- - —__ _ ___ _. _ �� __ ;�� J � �d . ----- ------ �� -. - - ---- _ _---------------- � �.. �. ' - ----------- ---- ----- � � � �� 5 �, � _ . ._ S �_� _-� ---� .�..�- . - � o _ � ��.� _'`� � . - - � .�- �� - - Clty of Fridley AT THE TOP OF TME 7WINS i � � � � ; y �� COMMUNITY DEVELOPMENT DIV. r � � PROTEC7IVE INSPECTION SEC. � _ �"'1 � CITY NALL FFiIOLE� SSIJ2 �'""'�� ,'� 612-571-34b0 lOB ADDRESS 567 Kimball Street NE 1 LEGAI LOT NO. BLOCK TRAC' iVO�CV� � �U ILDING PERMIT i NuMBEp NEV O�TE VAGE OF 91Q-F15 3/27/00 / / DESCR. 23,24,25,2 D Riverview Heights Addition 2 PfiOPERTY OWNEFI MAIL ADORES$ Z� Tom Govoent 567 Kimball Street NE � CONTRACTOR MAIL ADORESS 21 Same a ARCNITECT OR OESIGNER MAIL ADDRESS 5 ENGINEER MAIL ADORESS 21P IIP 30765 /��. A�PqOVEO B1I SEE ATTACMED SHEET 785-4031 PMONE LICENSE NO LICENSE NO. PHONE LICENSE NO 8 USE OF BUILDING Residential 7 CLASS OF WORK 0 NEW �] ADDITION ❑ ALTERATION ❑ REPAIR O MOVE O REMOVE B DESCRIBE WORK Construct a 16.5' x 6' Front deck and roof 9 CHANOE OF USE FROM TO STIPULATIONS See stipulations on plan. Deck and roof extending 2 feet into required front yard setback. �A��IN� I��f�r� �i�� li t�ta� �II utility Id�� . 4540002 REQUIR�� Y ��VV ..,,f OCCUPANCV GROUP OCCUPANCV LOAO SEPARATE PEf:MITS AqE REOUIRED FOR ELECTRICAL, PLUMBING, NEATIN(3, ''r� vr vv VENTILATING OR AIR CONDITIONING. THIS PERMIT BECOMES NULL AND VOIO IF WORK OR CONSTRUCTION 20NING AUTHORIZEO IS NOT COMMENCED V�IITHIN 80 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED Ofi ABANOONED FOF A PERI00 OF 120 OAYS AT ANY TIME AFTER WORK IS COMMENCED. NO DWLG. UNITS I HEREBY CERTIFV 7HAT I MAVE READ ANO E%AMINEO TMIS APP�ICATION 1 ANO KNOW TME SAME TO BE TRUE ANO CORREC7. ALL PFOVISIONS OF LAW$ yALUATION AND ORDINANCES GOVERNING TMIS TYPE OF WORK WILL BE COMP4�ED @ WITM WHE7NER SPECIFIED HEREIN OR NOT. TNE GRANTING OF A PEFiM1T y�9OO DOES N07 PRESUME 70 GIVE AUTMORI7V TO VIOLATE OR CANCEL TNE pEFMIT FEE PROVISIONS OF ANY OTMER STATE OR LOCAL LAW REGULATING CON- STRUCTION OR THE PERFORMANCE OF CONSTRUCTION $3S . 7O P�AN CMECK FEE �-o� .�'��l—DC� S�GNATUpE O� CON'AACTOp OA 4UTNOp�ZED AGEHT IDATE� EN ( � /� iD��E� fT STA�LS r CU FT. STREET PARKING IGARAGES $.50 AC CMARGE Fire SC $.90 DTA� � .io S IS 4�jR P�� .r� � NEVV [ ] ADDN [] ALTER [ ] CITY OF FRIDLEY SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION Effective 1/1/2000 (763) 5T2-3604 Bldg Insp �P��O� Construction Address: .� �� J�, M,�ct, �/ ._.S'f � E Legal Description: _L �, y-s �3 � y-�;5 =a2.� /a�,,� j� , �.�,. ,,; eW /� ►��,� � Owner Name � Address: �a�►-i �° c�vc� ��7-- Tel. #�� L/0.�� Contractor: MN LICENSE # Address: Tel. # Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF IMPROVEMENT LMNG AREA: Length Width Height Sq. Ft GARAGE AREA: Length Width Height Sq. Ft DECK AREA: Length 1�o �" , Width �� Hgt/Ground�$ B, Sq. Ft %/.d OTHER: Construction Type: _(�r ee„ � e�-re Estimated Cost: $ /��. 4� Driveway Curb Cut Width Needed: Ft + 6 Ft = Ft x$ _$, DATE: � �'� �I "��APPLICANT: ,�,,D'�2 �o Tel. # �� .3 l CITY USE ONLY - Call (763) 572-3604 for Permit Fees if mailing in application Permit Fee $ 3J ` 7� Fee Schedule on Reverse Side Fire Surcharge $ •, 0 .001 of Permit Valuation (1/10th%) State Surcharge $ r �SC, $.50/$1,000 Valuation SAC Charge $ $1100 per SAC Unit License Surcharge $ $5.00 (State Licensed Residential Contractors) Driveway Escrow Erosion Control Park Fee $ Alt. "A" or Alt. "B" Above $ $450.00 Conservation Plan Review $ Fee Determined by Engineering Sewer Main Charge $ Agreement Necessary [] Not Necessary [ j TOTAL STIPULATIONS: $ �� • � � � �' BUII.DING PERMIT 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 tawit: TOTAL VALUE $1 to $500 $501 to $2,000 $2,�1 to $25,000 $25,OU1 to $50,000 $50,001 to $100,000 $100,001 to $500,(�JO $SQ0,001 to $1,000,000 $1,000,001 and up FEES $23.50 $23.50 for first $500 plus $3.05 for each additional $1� or fraction thereof, to and including $2,000 $69.25 for first $2,000 plus $14.00 for each additional $1,000 or fraction thereof, to and including $25,000 $391.25 for first $25,000 plus $10.10 for each additional $1,000 or fraction thereof, to and including $50,000 $643.75 for first $SO,Q00 plus $7.00 for each additional $1, 000 or fraction thereof, to and including $100,000 $993.75 for first $100,000 plus $5.60 for each additional $1,Q00 or fraction thereof, to and including $500,000 $3,233.75 for the first $500,000 plus $4.75 for each additional $1,000 or fraction thereof, to and including $1,Q00,000 $5,608.75 for the first $1,000,000 plus $3.15 for each additional $1,000 or fraction thereof DRIVEWAY DEPRESSION ESCROW (Concrete Curb Streets Only) Alternate "A" : Removal and replacement of curb and gutter only - Driveway width plus 6 feet times $15.50. Alternate "B": Removal and replacement of curb and gutter and install a 3 faot wide approach with 6 inch depth - Driveway width plus 6 feet times $23.25. VERIFICATION OF FOUNDATION Permits for construction will be issued a minimum of 24 hours from the time of application to allow for proper review of the proposed structure and of the construction site. A Certificate of Survey of the lot, showing the location of the foundation once it has it has been constructed will be required before proceeding with the framing. 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O . � .J ;. �� . � �� a� � .� aa�;��; , A�� ►; ��o � � i ��e � � Nm�C ��oeoe�� .� oaoio � �� oa� 0�1�0� �ap�o .9 0 0� �. r�(p� , `7 larprp M�� r r�D000'O 4 ; �� J��O � � � � � � y 1 �000H�� i� � �OOwN • �� I m A O I 4'YP� oGo� J 0 �� M �; �aki O O Ai ,,, ,o� � �ti e w � oa� � 00 . t • • ,��,�wn�vn, un� n�i:�to�� ►n:vl nn-iz-inr �Ai�Gi' �1 J�3'1Q I2l� Ol S9SS 9L8 S 1 L �d I�3dS SSflal W W�1� 6E � b i 000z Zz �flf IE1N ,DDN �LTER ,�oo�-- �og8.� � � CITY OF FRIDLEY (] 6431 University Ave NE, Fridley, MN 55432 [] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION ;� (763) 572-3604 Bldg Insp (763) 571-1287 Fax Construcfion Address: .� � � �� ry► ,� G i I � t /V • � ° Legal Description: Owner Name & Address: �o rr; G o v d� � 5�.�,. � Tel. # 7C 3°' 78.5 ` �lD ? f Contractor. � 1 � MN LICENSE # Address: Tel. # _ LMNG AREA: GARAGE AREA: DECK AREA: OTHER: Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to'scale. DESCRIPTION OF IMPROVEMENT Lengih Width Height Sq. Fi Length � 6� Width a O� Height Sq. Ft Length � Width Hgt/Ground Sq. Ft Construction T Estimated Cost: � /� � YPe� Driveway Curb Cut �dth Needed: Ft + 6 Ft = Ft x$ _� � Tei. #��" 3' 7$S' Yb � � DATE: i�o —a� Ll°' O� APPLICANT: .i oy�, .� �� , Call (763) 572-3604 for Permit Fees if mailing in application. Fax to 763-571-1287 if using credit card and we will call you for card number. CITY USE ONLY - Permit Fee Plan Review Fire Surcharge State Surcharge SAC Charge License Surcharge Curb Cut Escrow Erosion Control Park Fee Sewer Main Charge $ o� � � $ � r �C� � 4�O $ $ $ $ $ $ Fee Schedule on Reverse Side 65% of Permit Fee .001 of Permit Valuation (1/10th%) $.50/$1,000 Valuation $1450 per SAC Unit $5.00 (State Licensed Residential Contractors) Alt. "A" or Alt. "B" Above $450.00 Conservation Pfan Review Fee Determined by Engineering Agreement Necessary [ ] Not Necessary [ ] TOTAL $ �(�� STIPULATIONS: BUII,DING PERMIT FEE SCAEDULE 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 strueture, 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 $5� $501 to $2,000 $2,�1 to $25,� $25,001 to $50,� $50,001 to $100,�0 $100,001 to $SOQ,000 $500,�1 to $1,(�0,000 $1,OOU,001 and up FEES $23.50 $23.50 for first $500 plus $3.05 for each additional $100 or fraction thereof, to and. including $2,000 $69.25 for first $2,000 plus $14.� for each additional $1,000 or fraction thereof, to and including $25,000 $391.25 for first $25,000 plus $10.10 for each additional $1,�0 or fraction thereof, to and includ.ing $50,000 $643.75 for first $SO,OQO plus $7.� for ea.ch additional $1,� or fraction thereof, to and includ.ing $100,000 $993.75 for first $100,(�)0 plus $5.60 for each additional $1,00(1 or fraction thereof, to and including $5�,0� $3,233.75 for the first $500,0(10 plus $4.75 for each additional $1,�0 or fraction thereof, to and including $1,000,000 $5,608.75 for the first $1,000,000 plus $3.15 for each additional $1,OOD or fra.ction thereof DRIVEWAY DEPRESSION FSCROW (Concrete Curb Streets Only) Removal and replacement of curb and gutter only - driveway width plus 6 feet times $20. Q0. 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 stntcture and of the construction site. A Certificaxe of Survey of the lot, showing the location of the existing foundation will be required before proceeding with the framing. New Houses Only Building Inspections 763-572-3604 SI1'E ADDRESS �j /o THIS APPLICANT IS: PROPERTY OWNER/ TENANT CONTRACTOR SUBMTI' A COPY OF YOUR STATE LICENSE WITH APPLICATION PROPERTY TYPE PERNIIT TYPE �r�rnE oF wo�: �: � � 1 �\ � Permit No.: RESIDENTIAL APPLICATION Received sy: CITY OF FRIDLEY n��0 v 200� YOUR &MAIL ADDRESS� � �� ° -l�,' L��/'!� � G'�h'/ n hiv i/� �.`i� ��.,� G' �,�"z1' 3� O OWNER STATE LICENSE # �i'��l/l� 2 1 /�.i � � /l/ , � �� PHONE " � �` � ' � - ❑ SINGLE FAMII,Y/NEW CON CTION O TWO FAMILY/NEW CONSTRUCI'ION 0 ADDITION O GARAG O BASEMENT FINISH ❑ ROOF O DECK J8`�IDING O SWIMM DESCRIBE WORK BEING DONE: SIZE OF IlVIPROVEMENT NUMBER OF SQUARES _ GARAGES PROPOSED SIZE: PROPOSID HIIGHT: ❑ REMODELIlVG � � -�'� 0 HOUSE ONLY ❑ HOUSE 8c GARAGE ❑ ATTACHED GARAGE � DEfACI�D GARAGE �/ — !J crnr rin —E7 FJ.>�'—Csa AA�� DRIES o wnvnows ❑ DRAIN TII.,E O OTHEIt �TH HEIGHT BASEMENT REMODELING SUBNIIT: 1. Exishing Floor Plan 2. Proposed flaor plan 3. List of strucdual members to be used Ft SIDING FOR NEW CONSTRUCTION INCLUDING DECKS, O Vinyl �Soffrt ADDITIONS & PORCHES SUBMIT• O Aluminum �'IYim �,Other ��-� � 1. Site Plan/S�uvey showing the existing structures ascia � P�P�� P%1� WINDOWS 2. Two sets of construction plens IN EXISIYNG OPENINGS OYes ONo LOCATION OF WINDOWS 3. Energy Calculatio� OR FOR NEW OPENINGS-DESCRIBE SIZE OF OPENING CHANGES & TYPE OF WINDOW TO BE INSTALLID NUMBER OF WIIV�WS ALL FEES ARE BASED ON VALUATION, INCLUDING THE COST OF LABOR AND MA'�'TT.RiAi c; (USING THE 1997 U.B.0 FEE SCHEDULE) TOTAL JOB VALUATION S I�, �B� ()C:['iTPANCY �rvPF Permit Fee Plan Review Fire Surcharge Surcharge License Surcharge SAC Chazge Curb Cut Escrow Erosion Control Pazk Fee Sewer Main Charge Tots�l Due �� .� .�� See Back Page for Fee Schedule $ 65% of Building Permit Fee $ / 3: �� .001 times the total job valuation $ (c �,S'D .0005 x Permit Valuation Minimum $.50 $ e-' i. G'Z� $S.OU (State Licensed Residential Contractors) $ $1675 per SAC Unit (Plans to MWCC for detennination) $ ft+6ft= ftx$21=$ $ $450 Conservation Plan Review $ Fee Determined by Engineering $ Agreement necessary ( ) Non Necessary ( ) $�?�i. '%� Make checks payable to: Citv of Fridlev Attac THIS IS AN APPLICATION FOR A PERMIT-NOT VALID UNTIL PROCESSID I hereby apply for a building permit and I acknowlecige 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 permit and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of all work w'ch requires revi w and approval of plans. SIGNATURE OF APPLICANTIO�%�.� � ,' PRINT NAME /"�oI/G�° L-�C7/l % rS DATE f� �— v/ , f -�---