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PRE 2010 DOCSCity of Fridley, Minn. BUILDING PERMIT 47 - 6 - j - Date: .. ..... ... Address ...................................... N? 3424 Builder ............. Address ........................................... r� LOCATION OF BUILDING No. Street ....'e .. . .. . art of Lot .. ;P 07 Lot ..... ..... Block ...... I .......... Addition or Sub -Division ... ... ...... Corner Lot ............ Inside Lot ............ Setback ............ Sideyard ........................... DESCRIPTION OF BUILDING To be Used as: , .' ... .. ... Height ��: �?.. sq. Ft. fib... Cu. Ft Front Depth ?7A: .................... Front ........ Depth ........ Height ........ Sq. Ft......... Cu. Ft......... Type of Construction ................... Nfft. Cost., .. .. To be Completed ................... In consideration of the issuance to me of a permit to construct the Wding desribed above, I agree to do the proposed work in accordance with the description above set fo in comp ce with all provisions of ordinances of the city of Fridley. / .......................... In consideration of the payment of a fee of $.�l......... permit is he eby 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 and workmen, 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 with- in the city limits and this permit may be revoked at any time upon violation of any of the provisions of said ordinances. +. . ... .s... Building Inspector NOTICE: This permit does not cover the construction, Installation or alteration for wiring, plumbing, gas heating, sewer or water. Be sure to see the Building Inspector for separate permits for these items. Date: July 27 ,9 1965 CLAYTON CION Builder G2 '47.5- N? 8275 BLA M IS CONSTRUCTION Address 63.3 Rice Creek Terrace Address 10152. Butternut St. N.W. Fridley, Yjinn.esota. Coon Rapidsa Minnesota No. 633 Street LOCATION OF BUILDING RI CEE CREEK TIIACE Part of Lot Lot _ Block Addition or Sub -Division Corner Lot _ Inside Lot setback Sideyard Sewer Elevation Foundation Elevation DESCRIPTION OF BUILDING To be Used as: Bldg onpres. basmt. Front Depth Height Sq. Ft. Cu. Ft. Front Depth Height Sq. Ft. Cu. Ft. Type of Construction Fat Cost -0//. 0/ • 0 6 To be Completed Repairs — Storm Damage In moderation 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 forth and in compliance with a'll provisions of ordinances of the city of Fridley. 9�zs-.=i�'� In consideration of the payment of a fee of S_ 10.00 , permit is hereby granted to CLAYTON CARLSON 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 and workmen, in all work done in, around and upon said building, or any p thereof, shall conform in all respects to the ordinances of Fridley, Minnesota regarding location, construction, alteration, maintenance, repair and moving of buildings within the city limits and this permit may be revoked at any time upon violation of any of the provisions ii said ordinances. !ALLEN G. JENSEN Building Inspector NOTICE: Ibb pgntsh don rot corer the construction, hahllation for wkb& ph mbieg, gas hoatb& sower or water. Be sure to we dw Building b gmftr for apwaft permits for thea Dena. APPLICATION FOR BUILDING PERMIT CI* OF FRIDLEY, MINNESOTA OWNER'S NAME A BUILDER za :ate �. ADDRESS OL /� 7;,-t-&aeADDRESS i A, h6a- LOCATION OF BUILDING NO, 3 3 STREET PART OF LOT •y LOT BLOCK ADDITION OR SUBDIVISION CORNER LOT 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: �� t 'da c ���' -k Front Depth Height Sq. Ft. Cu. Ft. Front Depth Height Sq. Ft. Cu. Ft. Type of Construction yP _ rR � Estimated Cost ,� _� T,�,% ��0,9 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 (Schedule of Fee Costs can be found on the Reverse Side). 11� �Rly-7S— City of Fridley, Minn. N° 8276 BURDING PERAUT Date: July 27, 1965 Owner: CLACTON CLUSON Builder BL LINE' S CONSTRUCTION Address 633 Rice Creek Terrace Address 10152 Butternut St. N.W. Fridley, Minnesota Coon Rapids' Fdmesota LOCATION OF BUILDING No. 633 Street RICE CREEK TERRACE Part of Lot Lot Block Addition or Sub -Division Corner Lot Inside Lot Setback Sideyard 51 Sewer Elevation _ __ Foundation Elevation DESCRIPTION OF BUILDING To be Used as: New Att._ Garage Front 16 Depth 24 Height 10 sq. Ft. 3:84 Cu. Ft. 3840 Front Depth freight Sq. Ft. Cu. Ft. Type of Construction Frame Est Cost $1,9600,00 To be Completed Sept 31 1965 New Attached Garage 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 forth and in compliance with of l provisions of ordinances of the city of Fridley. In consideration of the payment of a fee of $ 4`00 --,permit is hereby granted to CLAYTON CARLSON 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 and workmen, in all work. done in, around and upon said building, or any part thereof, shall conform in all respects to the ordinances of Fridley, Mtnnesotaregardinlocation, construction, alteration, maintenance, repair and moving of buildings within the city ]units s permit may be revoked at any time upon violation of any of the Provisions of said ordinances. ALT N G. JENSEN Building Inspector NOTICE: 'Me peradf don not cover the constroaldon, datail len for wiring, plumbing, gn baring, newer or water. Be ams to we the Building Mgmter for apmft permits for thea hone. 0, APPLICATION FOR BUILDING PERMIT 3g i fs CITY OF FRIDLEY, MINNESOTA OWNER'S LYt]L'.tEBtJ.LLDER ADDRESS `, ADDRESS ,%P/Jn A< LOCATION OF BUILDING" AL N0+ 43 3 STREET PART OF LOT LUT BLOCK � ADDITION OR SUBDIVISION CORNER LOT INSIDE LOT_A�_SETBACK SIDE -YARD SEWER ELEVATION FOUNDATION ELEVATIOR `'Applicant attach to this form Two Certificates of Survey of Lot and proposed building location drawn on these Certificates. J DESCRIPTION OF BUILDING To be used as; FrontDepth 2L2�' Height Sq. Ft. Cu. Ft. Front Depth Height Sq. Ft. Cu. Ft. Type of Construction --t`���,, Estimated Cost 14 06 ®_ To be completed 3 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 ��� 3� SIGNATURE s (Schedule of Fee Costs can be found on the Reverse Side). t 34 NORTHERN STATES POWER COMPANY MINNEAPOLIS. MINNESOTA 85402 August 12, 1965 Fridley City Hall City of Fridley 6+31 University Ave. N.E. ` Fridley, Minn. 55+21 Attn: Mr. Jensen, Building Inspector Dear Mr. Jensen: Please'be advised that we have no objection to the encroachment of a garage to be built on.the utility ease- ment on the property of Mr..Clayton Carlson at 633 -Rice Creek Terract-, City of Fridley. It is our understanding that the garage will encumber the easement approximately 22 feet. This will not affect the operation and maintenance of lour facilities. Yours truly," T.S. Jepson Electric Distribution Superintendent Minneapolis Division By oy . erson Se or Right of. Way Agent TS J JCP RHA/kep cc: Mr. Clayton Carlson 5851 2nd St. N.E'. Apt.,•.#� Fridley, Minn. 55421 1NSp NORTHERN STATES POWER COMPANY MINNEAPOLIS. MINNESOTA 55402 August 12, 1965 Fridley City Hall City of Fridley 6+31 University Ave. N.E. Fridley, Minn. 55421 Attn: Mr. Jensen, Building Inspector Dear Mr. Jensen: Please be advised that we have no objection to the encroachment of a garage to be built on the utility ease- ment on the property of Mr. Clayton Carlson at 633 -Rice Creek Terrace, City of Fridley. It is our understanding that the garage will encumber the easement approximately 22 feet. This will not affect the operation and maintenance of our facilities. Yours truly, T.S. Jepson Electric Distribution Superintendent Minneapolis Division By V '•y rn-derson Se ior Right of Way Agent TS J JCP RHA./kep cc: Mr. Clayton Carlson 5851 2nd St. N.E., Apt. #3 Fridley, Minn. 55.21 MINDERENGINEERUNG CO.,911- ENGINEERS AND SURVEYORS LAND SURVEYINO 801 LS CIVIL & MUNICIPAL ENGINEERING LANA PL G418-5GT" AVENUE N. MINNEAPOLIS 2T. MINN. d KE 7- SG37 10_ M 15 a S 3 I -e WE HEREBY CERTIFY THRT THIS ISR TRUE AND CORRECT REPRESENTATION OF A SURVEY OF THE Boull 'LAND ABOVE DESCRIBED AND OFTKE LOCATION OF ALL BUILDINGS, IF ANY, THEREON, ANO ALL VISIBLE IF ANY, FROM OR ON SAID LAND. MINDER ENGINEERING CO., It,, GATED TNIS EAY OFn71e err �' �'r' AO.I-)Sg EN61fJ�ER$ AIID SURY£YORS cation for Power Plans and Hea tg. CocangE Veno a ba. Refr4amtjon and Air CORMOning Sys and Devices -PART IAL RATE SCHEDULE , Emm• wi nwge. Phone 56"M GRA4IrY WHAM AIR= iu►rlG rorAL * ---•-- Furnace Shell & Duct Work ................ .. $10.00 $ Replaceriient of Furnace ..... ........ 8.00 $ Repair% Alterations—up to $500.00 6.00 _ $ Repairs & Alterations each add. $500.00 3.00 MECH. WARM Ant Furnace Shell & Duct.*Ork to 120,000 BTU ........ ..$10.00 $ each .add. 80,000 BTU .................... .. 3.00 ; Replacement of Furnace .... 8.00 Repairs & Alterations—up to $500.00 8.00 $ Repairs & Alterations each add. $500.00 ...... &W $ STEAM at HOT WATER SYSTEM Furnace Shell & Lines—to 4004q. ft. EDR Steam $10.00 $. Furnace Shell & Line,—to 640 sq. ft. EDR Hot Water 10.00 $_ Each add. 200 sq. ft. EDR Steam 9.00 Each add. 320 sq. ft. EDR Hot Water 3.00 $ OIL BURNER—to 3 gal. per hour 8,00 $ over 3 gal. per hour—See Fee Schedule €.. GAS B (up to 199,000 BTU) 8.00 $ over 199,000 BTU See Fee schedule GAS PITTING NO RATE TOTAL 1st 3 Fixtures x$ goo $ Additional Fixtures x .75 $ Gas Range to 199, X$ 5.00 $ AIDC CONDITIO G, _3 . FAR HEATING SY8TZM Sew Few schadiub VENTILATING BYSTEN$ ALTERATIONS & REPAIRS TOTAL FEE $ ROUC;H i - City of Fridley: ' . f - The undersigned hereby makes application for a permit for the work :hereir. specified,. agreeing to do all work in strict a&ordance with the City Ordinance: and ruling of the Department of Buildings; and hereby declares that an the facts and representations stateoln'this application are true and correct. 9 Fridley. Minn_ Owner Kind of Building .TA ti. Used as _ — To be completed about __. l� 9 2, Estimated Cost, $__ _r ��_ Building Permit No.4A Permit No. HEATING or PO team, Hot Water, Warm Air—No Trade Name Sine N m CapacitY' Sq. Ft. F.D.R BTU Hy - Total Connected Loan Kind of Fuer BURNER — Trade RTam@ Size No Capacity Sq. Ft. E.D.R BTU (REMARKS -OVER) Budness Pherne No- '7 E SUBJECT P City ®f Fridley 21399 AT THE TOP OF THE TWINS BUILDING PERM RECEIPT NO. COMMUNITY DEVELOPMENT DIV. _ v PROTECTIVE INSPECTION SEC. d ; 4 , NUMBER REV DATE PAGE OF APPROVED BY CITY HALL FRIDLEY 55432 612-571-3450 9t0 -F15 6/12/912 JOB ADDRESS 633 Rice. Creek Terrace NE I LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 1 1 Rice Creek. Terrace Plat 7 SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Dorothy. Carlson 633 Rice Creek Terrace NE 571-6532 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Twin City Storm Sash Co Inc, 10825 Greenbrier Rd, Mtka 55343 546-8160 3090 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 ❑ ALTERATION REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Replace soft t & Fascia 9 CHANGE OF USE FROM TO STIPULATIONS TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, VENTILATING OR AIR CONDITIONING. ZONING SQ. FT. CU. FT. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT NO. DWLG. UNITS OFFSTREET PARKING ANY TIME AFTER WORK IS COMMENCED. 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 $1,650 $. 83 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. $39,00 Eire SC $1.65, STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. PLAN CHECK FEE TOTALFEE License SC $5.00 $46.48 SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT IDATEI ^,�y EN PROPE Y VAL THIS IS YOUR PERMIT ATP -1�-/2-- 8 G )NSP GATE SIGNATURE OF OWNER IIF OWNER BUILDER) IDATEI E NEW [ ] (� Effective 3/1/92 ADDN [ ] CITY OF FRIDLEY ALTER [ j SINGLE FAMILY AND DUPLEXES R-1 AND R-2 Building Permit Application Construction Address: Legal Description: Owner Name & Address: Contractor: --nAnN r DMI 1 a, Address: ®x,.10825 GREENBRIER ROA® Tel. # 54L�U�-)n Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF ff"ROVEMENT LIVING AREA: Length Width Height Sq. Ft. GARAGE AREA: Length Width Height Sq. Ft. DECK AREA: Length Width Hgt/Ground Sq. Ft. OTHER: Corner Lot [ ] inside Lot Ft. Yd Setback Side Yard Setbacks Type of Construction:0 C1 , L � - �) Estimated Cost: $i(o c Approx. Completion Dater (Cost on Back) p Driveway. Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ _ $ DATE: 9 ';z APPLICANT: Tel. # Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge $ 06 $ 4.S; $ Driveway Escrow $ Park Fee $ Sewer Main Charge $ TOTAL STIPULATIONS: CITY USE ONLY Fee Schedule on Reverse Side .001 of Permit Valuation (1/10th%) $.50/$1,000 Valuation $700 per SAC Unit $5.00. (State Licensed Residential Contractors) Alt. "A" or Alt. "B" Above Fee Determined by Engineering Agreement Necessary [ j Not Necessary `L��T ��/ CITY OF FW DLEY iNSPECTION DIV. 5431 University Ave NE Effective An January !.1997 Fridley. MN 55432 APPLICATION FOR PLUM BI D OAS FITTING PERMIT 572-3604 MARK NUMBER OF FIXTURES TO BE INS. N EACH FLOOR Stories man . .. �: Wash Grii Auto. ^q: "`�• Gas :!K`'. : Water Heater CfipseiM Unna[ Shower Tra z6 Washer'Gas Qec ::�.' 'z: Range Basement :1. IN ?,.rr�: :. ., :', :+a r .ti^r,'.9C�:�tii9.\: .�NC:':i'4.v:: .:ddN �.. n. :�4.:'. Floor 2 ss E«:. Floor 3 <<:� :;::< :.... Floor 4 " `_": • •. < _->.: =• g: :: :,�:� ''::1r ;;wN,yi:•.t�` ..!rttyS•. ' . 44 i. M:%�;• A PLUMBING FU(TURE RATES: NO. RATE TOTAL JOB New Fbctures $7.00 ® The un by makes application for a permit for the work herein Old Opening. New Fixture $4.00 specifi do all work in strict accordance with the city codes Beer Dispenser $5.00 Blow Ott Basin and ruQn BuDdtn9 Division, and hereby declares that all the fads S 7.00 and• re' >9 stated in this application we true and correct Catch Basin $7.00 Rain Water Leader s 7.00 ` 1a eel Sump/Recetving Tank 37.00 Water Treating Appliance $10.00 Owns Water Heater —Electric $7.00 Water Heater —Gas"• $1 0.00 Building Gas Ranga** $10.00 ter- Gas D 0— rYer'• 3!0.00 tstim PERMIT NO. Back Flow Preventer Required ( )Yes O No Type 315.00 PLUMIN MR. ROOTER OF ANOKA COUNTY n Us ry AVe. Reinspection Fee $42.00Ii-tr SIGN ' Ramsey, MN ALL OTHERS ANO/OR REPAIRS AND ALTERATIONS 421-6140-- 1.5% 21-fi 4Q!.5% of Value of Fixture or Appliance �, 0® � 421-61 -F APprQ uglotn Date Final Date State Surcharge 3 ,� MIM F RPLUMIXINIGIGAS PERMIT IS$0.00 TOTAL FEE &0 30 S!PCEARG it tj ��G�� *"COMBUSTION AIR SHALL BE PROVIDED PER UMC SECTION SO4(A)A. MINIMUM SIZE 9 80 INCHES. NEW [ ] CITY OF FRIDLEY Effective 4/1/2004 ADDN [ ] 6431 University Ave NE, Fridley, MN 55432 (763) 572-3604 Bldg Insp ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 (763) 571-1287 Fax BUILDING PERMIT APPLICATION Construction- l' ' _ (4 Il ' Legal Description - Owner Contractor -Nim l (I 1. ► i hLl :r ' Address'�''J 'C !�� i �.%i. SIL til - i 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: r -'E Construction Type: '2 Estimated Cost: Driveway Curb Cut Width Needed: Ft + 6 Ft = Ft x $ _ $ DATE: ® APPLICANT:.a 4224 Tel. # 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. Permit Fee Plan Review Fire Surcharge State Surcharge SAC Charge License Surcharge Curb Cut Escrow Erosion Control Park Fee Sewer Main Charge TOTAL CITY USE ONLY - h Fee Schedule on Reverse Side 65% of Permit Fee .001 of Permit Valuation (1/10th%) 9> $.50/$1,000 Valuation $1350 per SAC Unit C9 $5.00 (State Licensed Residential Contractors) '-� Alt. "A" or Alt. "B" Above /W9 $450.00 Conservation Plan Review Fee Determined by Engineering Agreement Necessary [ ] Not Necessary [ ] STIPULATIONS: !I��ev �Ay a� �eJ LccEnll£ Building Inspections 763-572-3604 DATE SITE ADDRESS THIS APPLICANT IS: PROPERTY OWNER/ TENANT CONTRACTOR SUBMIT A COPY OF YOUR STATE LICENSE WITH APPLICATION PERMIT TYPE TYPE OF WORK: MECHANICAL RESIDENTIAL APPLICATION CITY OF FRIDLEY 0-7 _ - YOUR ❑ OWNER NAME: ADDRESS: PHONE: COMPANY NAME__ CONTACT PERS( STATE LICENSE #_ ADDRESS: PHONE `SINGLE FAMILY ❑ TWO FAMILY NEW KUTLACEMENT DETAILED DESCRIPTION OF WORK 410 WEST LA - �J,, MN 55408 2- 24 - FAX ❑ TOWNHOUSE ❑ ALTERATION/REMODEL M Permit Received STA STATE ZIP PER MS 16B.665 the permit fee is a minimum of $15.00 or 5% of the total cost up to $500.00,.whichever is greater, for the only the cost of labor ) improvement, installation or replacement of a residential fixture, excluding the fixtures. _(This should reflect Labor cost under $300 = $15.00. Labor cost between $300 to $500 -cost of labor X .OS FOR PROJECTS WHERE LABOR EXCEEDS $5 , FEES ARE $ ED ON $10.00 PER FD[I'URE, EXCEPT WHERE NOTED. FIXTURES,: (INDICATE TOTAL NUMBER OF EACH BELOW) 4 6 Equipment Installed MF MODEL: MODEL:MFGMODEL: SIZEiBTU SIZEBTU Z= $25.00 6&FKMMRE3PnfLAACE (GAS) $15.00 GAS RANGEIOVEN $10. 0 NEW GAS GRILL. $10.00 AIR TO AIR EXCHANGEER $15 —BOUER FIREPLACE (WOOD) $35.00 CE $35.00 GAS UNIT HTR $10.00 $35.00 CHIMNEY I INER $10.00 GAS DRYER $10.00 $10.00 POOL HEATER $35.00 VENTII�ATOR $15.00 DUCT WORK $10.00 GAS PIPING Permit Fee $ Number of fixtures @ $10.00 x $10.00 = $ Surcharge $ _ .50 Number of fixtures @ $15.00 x $15.00= $ TOTAL DUE $ Number of fixtures @ $25.00 x $25.00 = $ Number of fixtures @ $35.00 x $35.00 = $ e State Surcharge = $ .50 Total = $ THIS IS AN APPLICATION FOR A PERMIT NOT VALID UNTIL PROCESSED I hereby apply for a building permit and I acknowledge that the information above is complete and accurate; that the work will be in conformance with the ordinances and a City of Fridley and with the Nrumesota Construction Codes; that I understand this is not a permit but o ap 'cAtion f r and work is not to start without a permit; that the work will be in accordance with the approved plan ' the f work w ch s review and approval of plans.A-vi 1p,^ ( � City of Fridley Building Inspections Department 6431 University Avenue NE, Fridley, MN 55432 763-572-3604 FAX: 763-5024977 Building - Inspections 763-572-3604 763-502-4977 FAX SITE ADDRESS_ i P THIS APPLICANT IS: PROPERTY OWN] TENANT CONTRACTOR SUBMIT' A COPY OF YOUR STATE LICENSE PROPERTY TYPE PERMIT TYPE TYPE OF WORK; DESCRIBE WORK BEING D SIZE OF IMPROVEMENT ROOFING NUMBER OF SQUA* �v BUILDING Permit No.; RESIDENTIAL APPLICATION. Received B CITY OF FRIDLEY Date ', YOUR EMAIL ADDRESS PHONE LkS 11 ` K I -P-!!- .9 4, �66P STATE LICENSE # _ / 7 �Z SINGLE FAMILY N ❑ TWO FAMILY/NEW CONSTRUCTION ❑ BASEMENT FINISHpOg. ❑ DECK ❑ SIDING HOME CONSTRUCTION ❑ ADDITION ITENANCE!REPAIR [3 REMODELING OiiOUSE ONLY ❑ HOUSE & GARAGE GARAGES PROPOSED SIZE: ❑ ATTACHED GARAGE PROPOSED HEIGHT:6 1 ❑ DETACHED GARAGE SIDING. ! i . OCCUPANCY TYPE Permit Fee ❑ Vmyl ❑Soii'it ❑ Aluminum V ❑ Trim ❑ Other ® Fascia WINDOW Surcharge INEXISTING OPENINOS ❑Yes ONO LOCATION OF WINDOWS OR FOR NEW OPENINGS -DESCRIBE SIZE OF License Surcharge OPENING CHANGES & •$5.00 (State Licensed Residential Contractors) TYPE OF. WINDOW TO BE INSTALLED NUMBER OF WINDOWS PAMENTREMODELING SUBMIT L Existing Floor Plan . 2. Proposed floor pian 3. List of structural members to be used FOR NEW CONSTRUCTION INCLUDING DECKS, ADDITIONS & ?(RQ n IRM] j L Site Pkn/Swvey showing the existing st ucum and proposed project. 2. Two sets of conshuction plans 3. Energy Calculations ALL FEES ARE BASED ON VALUATION, INCLUDING THE COST OF LABOR AND 1V1A'I`�'ulsl c; (� 3 THE 1997 JMC FEE SCHEDULE) COTAL JOS VALUATION $ ! i . OCCUPANCY TYPE Permit Fee $ , 2. Back Page for. Fee Schedule Plan Review $ 65% of Building Permit Fee Fire Surcharge $ _ .001 times the total job valuation Surcharge $ .0005 x Permit Valuation Mmimum $.50 License Surcharge A---2(L-5--1V •$5.00 (State Licensed Residential Contractors) SAC Charge $ $1825 per SAC Unit (Plans to MWCC for determination) Curb Cut Escrow $ ft+ 6 ft=R x $21= $ Erosion Control $ $450 Conservation Plan Review Park Fee $ - -, Fee Determined by Engineering Sewer Main Charge $ Agreement necessary ( ) Non Necessary Total Due $— Make checks payableto• City of Fridley Attach THIS IS APPLICATION FOR A PERMIT NOT VALID UNTIL PROCESSED I hereby apply for a braiding permit and I acknowledge that the brfonnation above is complete and acwnate• that the work win 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 on site; that the work wiD mi ce whir th in the case of an work which review and a f plana. �2 SIGNATURE OF APPLI PRINT NAME DATl . APPROVED BY _ DAT5-bTkk