The URL can be used to link to this page

PRE 2010 DOCSCity of Fridley, Afinn. 9164 BUILDING PERMIT l Dates — MARCH 22, 1967 Owner: Bider DALBERG BUILDERS.INC* Address Address 1120 - 80th Avenue N. E. Spring Lake Park, Minnesota LOCATION OF BUILDING No. 1651 Street HINNANKM ONANDAGA STREET Part of Lot Lot 10— _ Block 2 Addition or Sub -Division ._ _ Dalberg Terrace Corner Lot _g Inside Lot — Setback --- Sideyard --- sewer Elevation _-_ 891.5 Elevation 894.5 TOP OF FOOTING DESCRIPTION OF BUILDING To be Used as: DWELLING Front es 40 Depth 24 Height 20 Sq. Ft. 960 Cu. Ft.23.600 GARAGE ___ Front —.LO— 20 Depth 22 Height 10 Sq, Ft, 440 ctL Ft,4.400 Type of Construction _ __ FRAME Est. Cost $13000 _ To be Completed MANHOLE AT MCKCNLEY & ONONDAGA STREET - WATER LOCATION - MEASURED TO THE PROPERTY LINE 30' so water is 103' North SEWER LOCATION - 11.7' West of above. In consideration of the issuance to me of a permit to construct the building described above, I agree to do the proposed work in accordance with the description above set in c;mpHance r all provisions of ordinances of the city of Fridley. 75 In consideration of the payment of a fee of $ 24.00 , permit is hereby granted to to construct the building or addition as described above. This permit is granted upon the express condition that the person to whom it is granted and his agents, employees anworkmen, in all work done in, around and upon said building, or any part thereof, shall conform in all respects to the ordinances of Fridley, Minnesota regarding location, construction, alteration, maintenance, repair and moving of buildings within the dty limits and this permit may be revoked at any time upon violation of any of the provis�tons of said ordinances C:LARENCE BELISLE Building Inspector NOTICE: This permit does not cover the construction, instaffiWon for wiring, plumbing, gas hoaHng, sewer or water. Be sura to eco the Building Inspector for separate permits for these home. f APPLICATION FOR BUILDING PERMIT CITY OF FRIDLEY, MINNESOTA OWNER'S NAME Dalberg Builders, Inc. BUILDER Dalberg Builders, Inc. ADDRESS 1121 80th Avenue N. E. ADDRESS 1121 80th Avenue N. E. LOCATION OF BUILDING 0 ^/ 0 jg'ek� -9 C1 N0. /-'{ STREET E. PART OF LOT LOT 10 BLOCK 2 ADDITION OR SUBDIVISION Dalbe rg Terrace CORNER LOT x INSIDE LOT SETBACK SIDE YARD SEWER ELEVATION FOUNDATION ELEVATION Applicant attach to this form Two Certificates of Survey of Lot and proposed building location drawn on these Certificates. DESCRIPTION OF BUILDING To be used as; Front'T Depth_ Height Sq. Ft. �40�- Q' Cu. Ft. Front Depth HeightjWT ,, Sq. Ft._ - Cu. Ft. Type of Construction_ Estimated CostT, To be completed The undersigned hereby makes application for a permit for the work herein specified, agreeing to do all work in strict accordance with the City of Fridley Ordinances and rulings of the Department of Buildings, and hereby declares that all the facts and representations stated in this application are true and correct. DATE_ — ( SIGNATURE It (Schedule of Fee Costs can be found on the Reverse Side). Application for Power Plants and Heating, Cooling, Ventilation, Refrigeration and Air Conditioning Systems and Devices Partial Rate Schedule GRAVITY WARM AIR: RATE Furnace Shell & Duct Work ............................................... _...... _... 8.00 Replacement of Furnace ................. _.................... _-._...... ................. 5.00 Repairs & Alterations—up to $500.00 .................................... 5.00 Repairs & Alterations each add. $500.00 .............................. 2.50 MECH. WARM AIR The undersigned hereby makes application for a permit for the work herein Furnace Shell & Duct Work to 120,000 BTU .................. 8.00 each add. 60,000 BTU ................. ........... .................... 2.00 Replacement of Furnace ....................... .................. _....... ................... 5.00 Repairs & Alterations—up to $500.00 ..... ........... _.............. 5.00 Repairs & Alterations each add. $500.00 .............................. 2.50 STEAM or HOT WATER SYSTEM Furnace Shell & Lines—to 400 sq, ft. EDR Steam ...... 8.00 Furnace Shell & Line—to 640 sq. ft. EDR Hot Water 8.00 Each add. 200 sq. ft. EDR Steam _ ..............._.......................__ 2.00 Each add. 320 sq. ft. EDR Hot Water -.... . ................ _........... 2.00 OIL BURNER—to 3 gal. per hour ............ ......... ...... ........... 5.00 over 3 gal. per hour—See Fee Schedule GAS BURNER (up to 400,000 BTU) ............ ............................. 5.00 GAS FITTING FEES: NO RATE 1st 3 Fixtures ........................ x $1.50 Additional Fixtures ............ _......... x .50 Gas Range to 200,000 BTU . ......... x 2.00 VENTILATING SYSTEMS Duct work etc. not to exceed 2,000 cfm . .................... 6.00 Each additional 1,000 cfm................. ___............................ 2.50 AIR CONDITIONING FAN HEATING SYSTEM ALTERATIONS & REPAIRS '••••.•.•••••'-"'•••••••• HEATING or POWER PLANTS—Steam, Hot Water, Warm Air—No .........-._-1._...... TOTALTrade Name ..... _...............,,-r.,.....-.-................_.............. Size No. ....... .._.`. $......_. _.„...._..... Capacity -............................... _..... Sq. Ft. E D R .................................... BTU ,/711. ................ H. P. $............ _................ f � Total Connected Load... ..... Kind of Fuel..l"'I .7-7-..._........... BURNER—Trade Name ....................... _...................... _.................... Size No ...... - _ _ __........... $.................... --------- Capacity ....................................... Sq. Ft. E D R .................. ............ ...... .... BTU ............................... H. P. $--- -- ---------- _----------- $..... ._........... _........... See Fee Schedule $...._.....__._._-------. $....._-...........__........ TOTAL FEE (remarks—over) Signed..............................................................................................................._.-.. By _. SUBURBAN AIR CONDITIONING G& .. B4Tg...CENTER....tiRtliE..............._........................ ... Busines#Aldi FW.S...M.I.N.P..M.1WN ! 61 tt'L7t�C�-C TOTAL ��?t�atL Location .................................................................................................................. ...... $.......................•••....... $ .......................... _..... City of $.•••••'•••••••'••••••••••••••• The undersigned hereby makes application for a permit for the work herein specified, agreeing to do all work in strict accordance with the City Ordinances $ ................................. and ruling of the Department of Buildings, and hereby declares that all the facts and representations stated in this application are true and correct. $............ ..._................ Columbia Heights, Minn .................... _...... 'o .sem..................., 190�.e'7. $...... ._....................... Owner" . $_ ............................... $....._.....__--..__..... $ Kind of Building........................./I�.:...-.-.........�...............................-...............-...........-............................ Used ..... _..... _._.__...... as .................................. .�..... _....... -"".......... __......... .................... .... Tobe compeletd about ......................................... ...... _........................................ _......................................... EstimatedCost, $ L.?�`._�.............................. _.-................._-............................-...-......_........... $-------•••••-------•-••••• Old ew. Building Permit No ....... ... / .-`?.......... Permit No .... ....................... ............ $__------ .....-_._........... $•••••••••••••••••_•••••••••••••• DESCRIPTION OF WORK '••••.•.•••••'-"'•••••••• HEATING or POWER PLANTS—Steam, Hot Water, Warm Air—No .........-._-1._...... TOTALTrade Name ..... _...............,,-r.,.....-.-................_.............. Size No. ....... .._.`. $......_. _.„...._..... Capacity -............................... _..... Sq. Ft. E D R .................................... BTU ,/711. ................ H. P. $............ _................ f � Total Connected Load... ..... Kind of Fuel..l"'I .7-7-..._........... BURNER—Trade Name ....................... _...................... _.................... Size No ...... - _ _ __........... $.................... --------- Capacity ....................................... Sq. Ft. E D R .................. ............ ...... .... BTU ............................... H. P. $--- -- ---------- _----------- $..... ._........... _........... See Fee Schedule $...._.....__._._-------. $....._-...........__........ TOTAL FEE (remarks—over) Signed..............................................................................................................._.-.. By _. SUBURBAN AIR CONDITIONING G& .. B4Tg...CENTER....tiRtliE..............._........................ ... Busines#Aldi FW.S...M.I.N.P..M.1WN ! HEAT LOSS CALCULATIOI4S.' - DEPARTMENT OF BUILDINGS FRIDLEY, MINN. Weatherstrips AS.H.V.E. Construction No. Insulation Guide Windows I Doors Reference Out. Wall I ' i. Wall Ceiling Roof Floor Kind How Applied Yes—No Yes—No 19— F1.1 Room I Lenath / JL Width ®/ Heisrht a- II .o Fl.l Length l Width ' Heiaht Windows and Doors—Crackage and Area Coef.1 Width Height No. of Lineal ft. Area No. of pane of pane lights of crack 11,418. ft. 0"F12 ,fY t e f P-IS— Coef. Btu Infiltration .9 ,0 sf6 Glass 91 P. S Exp. wall / o Net exp. wall �` Int. wall Glass Ceiling Ceiling Floor Inc. wall 1 otal Btu. " Required sq. ft. E.D.R. or sq. ins. W.A. Leader area Fl.1 , -Isom I Lengthn Width /'Height Windows and Doors—Crackage and Area Coef.1 Btu Width Height No. of Lineal ft. Area No. of Dane of pane llghte of crack I sq. ft. e f P-IS— Infiltration —® ` Coef. Glass Exp. wall Infiltration / o e Net exp. wall Int. wall Glass Exp. wall Glass Al c � Ceiling Net exp. wall Inc. wall a� C Floor Int. wall Ceiling Floor Total Btu. Required sq. ft. E.D.R. or sq. ins. W.A. leader area c'1 I tv . _t9 o— I i _.,...L F h vey:J.L /,^ rl_:_L. Windows and Doors—Crackage and Area rackage and Area Width Height No. of Lineal ft. Area No. of pane of pane lights of crack .4. ft. Width Height No. of Lineal ft. Area No. of pane of pane tights of crack sq. ft. e 2. ° Coef. Coef. Btu Infiltration / o e Glass Glass Exp. wall Glass Al c � f Net exp. wall Inc. wall Exp. wall Net exp. wall Int. wall Ceiling Floor Net exp. wall Int. wall Ceiling Ceiling Floor Ceiling Floor Floor 1 btal Btu. ft. E.D.R. or so. ins. W.A. Leader area Windows an oo rackage and Area Width Height No. of Lineal ft. Area No. of pane of pane lights of crack s41. ft. Width Height No. of Lineal ft. Area No. of pane of pane tights of crack sq. ft. e 2. ° Coef. Coef. Btu Infiltration / o 0 Glass Glass Exp. wall e Al c � Exp. wall Net exp. wall Inc. wall /0, Net exp. wall Int. wall Ceiling Floor Int. wall Ceiling Ceiling Floor Floor Total Btu. �. Required sq. ft. E.D.R. or sq. ins. WA. Leader area / Fl -I oma. , Room I Length !!57_ Width A/ Height Windows and Doors- Craekage and Area Width Height No. of Lineal ft. Area No. of pane of pane lights of crack s41. ft. v a n Coef. Btu IfJiltration X44 0 Glass o Al c � Exp. wall f Inc. wall Net exp. wall Ceiling Floor Int. wall Ceiling Floor Total Btu. I 1Vl 7 Required sq. ft. E.D.R. or sq. ins. WA. Leader area 1 Fl.l . _ Room I Len,<th l C�-- Width l T—, Heiaht Windows and Doors—Crackage and Area Width Height No. of Lineal ft. Area No. of pane of pane lights of crack sq,. ft. Coef. Btu Infiltration Glass Exp. wall Net exp. wall f Inc. wall Ceiling Floor I otal Btu. Required sq. ft. E.D.R. or so. ins. WA. Leader arem J SUBJECT City of Fridley :14817:9 IR AT THE TOP OF THE TWINS U I L D I N G PERMIT r B S ______ COMMUNITY DEVELOPMENT DIV. L INSPECTION r , PROTECTIVE SEC. CITY HALL FRIDLEY 55432 NUMBER REV. DATE PAGE OF APPROVED BY 612-560-3450 910-F15 8/28/78 JOB ADDRESS 1651 Onondaga Street N.E. 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 10 2 1 Dalberg Terace SHEET 2 PROPERTYOWNER MAIL ADDRESS ZIP PHONE John R. Manning 1651 Onondaga Street N.E. 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Ppqer Young Const.. 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO. 6 USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW ❑ ADDITION �7 ATERATION [IREPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Construct a masonry fireplace 9 CHANGE OF USE FROM TO STIPULATIONS Call for inspection of dampe before proceeding. TYPE OF CONST, OCCUPANCY GROUP OCCUPANCY LOAD SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HE TING, VENTILATING OR AIR CONDITIONING. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRU TION ZONING SQ. FT. CU. FT. AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRU TION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 D S AT ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS OFFSTREET PARKING I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLI ATION STALLS GARAGES AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS O LAWS VALUATION SURTAX AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE CO PLIED WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A ERMIT $1,700 $.85 DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANC L THE PERMIT FEE SAC CHARGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATIN CON- STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. $12.00 PLAN CHECK FEE TOTAL FEE $12.85 SIGNAT FCONT ACTOR ORAUTHORIZ AGENT IDATEIWHEN PRO ERLY VALIDAT D THIS IS YOUR PERMIT BLDG INSP DA E SIGNATURE OF OWNE IIF OWNER BUIL RI (DATE I Y • J • CITY OF FRIDLEY APPLICATION FOR RESMENTIAL BUILDING PEIZ14ITS (NEW, ALTE=RATIONS, ADDITIONS, OR REPAIRS) owNER: , A h .11A UILUi: c- a n !2� o n S Address: Address: Tel. �ryNo . No. C� Jr) Street: 6 "U�% f`�/7 G LOT: /0 BLOCK: Z ADDITION: L E-4 CORNER LOT: INSIDE IAT: SETBACK.: SIDEYARDS: Applicant attach 'to this form Two Certificates of Survey of Lot and proposed building location drawn on these Certificates. DESCRIPTION OF BUILDING To Be Used As: ! Front: � Depth: • HeighL- �� Square Feet: Cubic Feet: Fxont: Depth: Height: Square Feet: Cubic Feet: Type of Construction: Estimated Cost: $ To Be Completed: Alt. A Alt. B Proposed Driveway Width If New Opening Is Desired $ $ (SEE REVERSE SIDE OF SHEET) The undersigned hereby makes application for a permit for the work herein specified, agreeing to do all work in strict accordance with the City of Fridley Ordinances and rulings of the Department of Buildings, and hereby declares that all the facts and representations stated in this application are true and correct. See reverse side for additional information. DATE: -0 - q 7_ SIGNATURE.- Stipulations: rce-CD /I>— P 0i a �s SUBJECT City of Fridley 22033 AT THE TOP OF THE TWINS BUILDING PERMIT r ' • _ COMMUNITY DEVELOPMENT DIV. � PROTECTIVE INSPECTION SEC. (7/q l C� NUMBER REV. GATE PAGE OF APPROVED BY CITY HALL FRIDLEY 55432 IL"--A-0 %J 612-571-3450 910-F15 8/13/93 JOB ADDRESS 1651 Onondaga St NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 10 2 Dalberg Terrace SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Scott/Lisa Larson 1651 Onondaga St NE 780-4255 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Same 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO. B USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW ❑ ADDITION ❑ ALTERATION ❑X REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Reroof; House/Garage (_18 Squares) Tear-off 9 CHANGE OF USE FROM TO STIPULATIONS Underlayment must comply with.the State Building Code. Provide adequate attic ventilation, Pxovide smoke detectors as per URC 1210 adjacent to all sleeping areas and in basement, TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, VENTILATING OR AIR CONDITIONING. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING SQ. FT. CU. FT. AUTHORIZED IS NOT COMMENCED WITHIN 80 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS OFFSTREET PARKING I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION 1 STALLS GARAGES VALUATION SURTAX AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED $1 0.00 $.50 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT PERMIT FEE SAC CHARGE DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- $2.55.00 Fire SC $1,00 STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. PLAN CHECK FEE TOTALFEE $26,50. SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT (DATE) °a, W R PER ALIDATED THIS IS YOUR P MIT Y� -n-)a tt e BLDG IRSP I DAT SIGNATURE IF OWNER OF OWNER BUILDERI IDATEI NEW [ ] Effective 5126/93 ADDN [ ] CITY OF FRIDLEY ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 q ? Building Permit Application �I Construction Address: Ra -61 l to OM lD n CA S-gLC eT o cc., E. t D UE Y Legal Description: D -B[wk, 'a Donl1_bca q Teyv act., 1-4 Owner Name & Address: Sem E / Li St4 L1 YzSU-1\3 Tel. # -1 S 0 -4a S5 Contractor: SE LF MN LICENSE # Address: SY,r M G Tel. # Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF IMPROVEMENT LIVING AREA: Length Width Height Sq. Ft. GARAGE AREA: Length Width Height Sq. Ft. DECK AREA: Length Width Hgt/Ground Sq. Ft. OTHER: (Z2- $ $5.00 (State Licensed Residential Contractors) Corner Lot K Inside Lot [ ] Ft. Yd Setback Type of Construction: Approx. Completion Date: 5Lq3 Driveway Curb Cut Width Needed: Side Yard Setbacks Estimated Cost: $ DU /DOD `s (Cost on Back) Ft. + 6 Ft = Ft x $ =$ DATE: Q l 3 A, 3 APPLICANT: a % Tel. #Yie° Permit Fee .. $ Fee Schedule on Reverse Side Fire Surcharge $-/,00 .001 of Permit Valuation (1/10th%) State Surcharge $ $.50/$1,000 Valuation SAC Charge $ $750 per SAC Unit License Surcharge $ $5.00 (State Licensed Residential Contractors) Driveway Escrow $ Alt. "A" or Alt. "B" Above Erosion Control $ Conservation Plan Review $450.00 Park Fee $ Fee Determined by Engineering Sewer Main Charge $ Agreement Necessary [ ] Not Necessary [ ] TOTAL $ �� S� STIPULATIONS: CITY OF FRIDLEY PERMIT N.. 2004-00993 6431 UNIVERSITY AVENUE NE FRIDLEY, MN 55432 DATE ISSUED: 06/24/2004 (763) 572-3604 FAX: (763) 571-1287 ADDRESS 1651 ONONDAGA ST NE PIN 123024140052 LEGAL DESC DALBERG TERRACE LOT 10 BLOCK 2 PERMIT TYPE BUILDING PROPERTY TYPE RESIDENTIAL CONSTRUCTION TYPE : SHED (GREATER THAN 120 SQ FT) VALUATION : $ 2,000.00 NOTE: SEE NOTATIONS ON PLAN. CALL GOPHER STATE ONE AT 651-454-0002 FOR UTILITY LOCATIONS. CONSTRUCT A 12/ X IT SHED. APPLICANT BUILDING PERMIT FEE FIRE SURCHARGE 69.25 2.00 LARSON SCOTT A & LISA M 1651 ONONDAGA ST NE STATE SURCHARGE, VALUE 1.00 FRIDLEY, MN 55432 PLAN CHECK FEE 45.01 TOTAL 117.26 OWNER LARSON SCOTT A & LISA M 1651 ONONDAGA 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 know 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 granting of a permit does not presume to give authority to violate or cancel t provisions of er state or local law anon regulating co tier ance of cons t' n. n A scan ate Y Bldg Insp D I_ SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. NEW CITY OF FRIDLEY Effective 4/1/2004 ADDN [ ] 6431 University Ave NE, Fridley, MN 55432 (763) 572-3604 B g Insp ALTER [ J SINGLE FAMILY AND DUPLEXES R-1 AND R-2 (763) 574-1 BUILDING PERMIT APPLICATION Construction Address: g9 Xle I-IV W6-1"e'�- Legal Description: Owner Name & Address: c �i'g� �r,Si�c/ .� a v�' Tel. #�76 Contractor. N1 MN LICENSE # I/9 Address: P/A Tel. # A1/.4 LIVING.AREA: GARAGE AREA: DECK AREA: OTHER: Attach to this application, a Certificate of Surrey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF IMPROVEMENT Length Width Height Sq. Ft Length Width Height Sq. Ft Length Width Sq. Ft Construction Type: I*Z- 'X 0-- C.+ s L19 5-4-4F estimated Cost: $ �660 Driveway Curb Cut Width Needed: Ft + 6 Ft = Ft x $ _ $ i9e 7 (.may —7$O-Qi29;5 DATE: I'-" ®I APPLICANT. !"-14 A /' Tel. #%J .' (;P) 2- - 7z.9 - 6,Z9A 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 TOTAL $ It -1.o40 Fee Schedule on Reverse Side 65% of Permit Fee .001 of Permit Valuation (1/10th%) $.50/$1,000 Valuation $1350 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 [ STIPULATIONS: a til '°r� k�'4 1� r �,1, A "' �,¢s,� 1C ° ° +;., _ ,• : `. � t r. :, t ., F . "it r?�a�rA� °�'"�y��*Y r , :� M1 ' ''.��r �;a., ?%s��.w•.,�+• ,r ;I: M 3aK nFr��s �{'i r y g r .i+l -va f rBtrtdPf�3 tAttry.tY ° .�l�KPI',t. ''"f 't ',•` ' ,1 3 fa r�1 4'rrr +ri ndY.14 } •tt'�:'Y,` �1r A 4S � f - d I r,'�'• � r' t • � � �, fit; 7 �s7 la � .i1s7��• P ? r t°�, t �� , 4 f'r ��ft1i„y�a4rl��i ��°'i��t(h,°F�y 5 •�r� d r., i ,, t � r tl Y, f. ,`, �� J k, , 't• �r <-°• r F, rpF •.f "f-'1 tt°, t, i;n .`i h' ';,°y,F�9 �i a.+t+::.W .Y .n.rr ! lir •ylt,sr. t%i' r r t+?I :'1.�lV�rr�tr�6iiF�' �, . Ci ° �`�l �(' 1LittP7(t.1�:71 i ' t rr' r+ � q •' '� t ., e I ; J 9,• ay Cp Sulo t/ %► ....,...,. sro uldem. nc eta �, - �7 'N'�M � � � ,�•.� i P , K � � bila � � � � t r .. t .. _ .' � O•R��"1 Y i'•KI S=Yazjr �+' i4Y 'tlt � r.,._....... ... ... {� { + ..,t 4 � , f • �.� r Y, • t .. . d �../•.•.�.. gyp, � ?�'j.�r,,r;.�;�Q:`�• �, ' 4�✓ ; S v- � �' 4,'t ; , It, .,ter, ,, ; ;. � ,,pA t , ..1 ° j �--�r�� • �1 a-�-' 3 ' ��}I q.� ,•'�Z 4Tµ dl. wt h .y, t to F�(\ � %� ., . - 1 u EYI 0j. �4d 'YI.. 1 -':'• r�. t r °40'- "A ! t ,oJ 1r r ,, 242 I 0 t , ly n4 err ��' P'1'tiv.'k 1. T I :� �� . � •; t •. ar ��Yv 35 f � 'i✓'�sa; .r4!' r�' 'r c i 'T/,�' � ^-••t.. . � ri_..�• s. �_ t '' f fel i:. ydF4 � ' p I r.,tk ,�'�a� F • 999 .ao yf� ��,bbb )3°iay yr t i 1 ,•�., ° 1. J TH ��. .,�� 0 .0 �� 'a•-'.. dt' a��: y',5 4at y 1�� !°� �q�il �,•,t�k+.ii tS �t ; �' .' �'},'/']�: .,.. ', fn/ rf� .y�/ r J�.'�''�1 � � y�9'./�I�Y ///�� n��•rp} M.�i/. yv #r.' �,re ddt'{.cifP •u+�®�..IrI'•g ,••ter... ,(,J�i!/tal �J '•V/•!I / C�",�/s!%aIM��. �Wa°iMI/!�I!/. t" ....'r ,. lr3G t;, tM1 t•: is��, �'� Oc� ^,.......,�'�'„�.•iii��, (+. ��++++ �..♦V. ,,, ,va p t ';. � L .. �•t �: a . ,s i � , h - - t r..-. i �. ; t r 'Q PK x•tl t t ,.r : � � I, ° r ° rJt t T u�4 .:� �l �l i :� , • • .. ,e r •., / ,1�r r � Y `�r q •� � e � y,l �I bA4ri I.:fa " t 1 .4 ,' ., ..,: 1, t i ; ;. '.. 7 iYlJii� 0i"�� +%�yt�nt'� ,. ' � '�f � , 'r��t�n 'r",hni /hu�'�s a M�lz �1� t`��'rP.c� re��sen�d�'�ia�''nf �� .�ca`vay � � �aur,,,�ffrr�'S �• L. �,„. " ,�9 1 t A �l l wo cmd %aYlRY. �S 8�/f',1`� tt� �l Irl a7 S IhC/CoY%, Alio/� �K�ri•!t. �j7++71�11f1,Olditl�i ,t` Orkf f `IZa 0 � , {,y1p 1�me �1 /1.�% MCI . fly6jN4'r"'fe 'V6 i• INC,IN i i'it s �il(lbeets z^ .5�yrr,/ar.�;„ • 0°3 •w y �� CG'w ! jf '.w ti f JDAO 3 '1 M `� � .to s t a Gi; GUS 0:; do ° 3 o� a �� x�OM 3o :1603 P �emxasg