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PRE 2010 DOCSSUBJECT PERMIT NO. City ®f Fridley o 15445 AT THE TOP OF THE TWINS B U I L D I N G P E R M I T . r COMMUNITY DEVELOPMENT DIV. RFyC�I®� O� _ - 4 r i PROTECTIVE INSPECTION SEC. I---1 CITY HALL FRIDLEY 55432 NUMBER REV. DATE PAGE OF APPROVED BY 612-571-3450 910-F15 9 11/79 JOB ADDRESS 8095 Riverview Terrace N.E. 1 LEGAL LOT NO. BLOCK TRACTOR ADDITION SEE ATTACHED DESCR. 30, 31, 32 T Riverview Heights SHEET 2 PROPERT' t/9G1aM 06AD7 _ MAILADDRESS ZIP PHONE R. D. Wilson 3525 - 93rd Avenue No., Mpls, MN 55443 425-2468 3 89*WtftCTtM LL,' MAILADDRESS ZIP PHONE LICENSE NO. Robert H. Heltemes 11779 Norway Street N.W., Coon Rapids, MN 55433 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO, INN CITY OF NMI 9015 W? QNAXMM T#E 5 ENGINEER MAILADDRESS ACCURAO Of UIUM WCATIMI ANDAj*#*.L.ICENSE NO. THIS DATA 19 POR WOMATM pUPO8FSSONLI AM 6 USE OF BUILD) G USM IF woom Van iniftAfts ®1'J TI* am Re idential 7 CLASS OF WO1 IK ❑ NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE X 6 DESCRIBE WO K WARMNO Construct a 42' x 26' Dwelling and a 22' x 22' Garage Home d1iffing to tl 11 ie TELEPHONE - RECiRIC - GAS Ete 9 CHANGE OF L1E FROM TO REQUIRED SY LA STIPULATIONS Provide a hard surface driveway. Provide sod in the front and side yards. Provide City with copy of verifying survey. The grade must be verified at e time the verification survey of the site is done. A retaining wall must be provided on the Southside of the lot. Must build and grade lot as per approved plan. SEWER LOCATION: (Approx. 10.5' Deep In Street) 71' S. of M.H. (Inv. 811.31) WYE ELEV: 811.10 TOP OF FOOTING: 814.10 Minimum WATER LOCATION: 10' N. of Sewer Service (Services off Riverview Terrace) DRIVEWAY DEPRESSION COST: 16' + 6' x $15.75 = $346.50 SEPERATE PERMITS REQUIRED FOR WIAI HEATINGJ)LUMS NG AND SIGNS. TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, VENTILATING OR AIR CONDITIONING. Wood FRame 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 PERIOD OF 120 DAYS AT 1092+484 26,344 Total ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS OFFSTREET PARKING I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION 1 STALLS GARAGES AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS VALUATION SURTAX AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT $37,100 $18.55 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 OR THE PERFORMANCE OF CONSTRUCTION. $105.38 $425.00 PLAN CHECK FEE TOTALFEE '��, ' _- z_�' /_ $26.34 $575.27 VSIGNATURE OF CONTRACTOR OR AU HORIZED AGENT (DATE) EN PROPERLY VALIDATED IS YOUR PERMIT /THIS 1..� �ELDr WSp ATE SIGNATURE OF OWNER OF OWNER BUILDER) IDATEI GERALD T. COYNE SURVEYS RAYMOND A. PRASCH �f 300 BRUNSWICK AVE. S.. LOT 6917 IDAHO AVE. N. ,. GOLDEN VALLEY, MINN. BROOKLYN PARK, MINN MINN. REG. NO. 4741 LAND SURVEYORS MINN. REG. NO. 6743 a i REGISTERED UNDER LAWS OF STATE OF MINNESOTA INYOICE NO. 8396 7601 - 73rd Ave. No. 560.3093 F. B. NO, 190-18 c INDUSTRIAL — JUDICIAL Minneapolis, Minnesota 55428 r -,COMMERCIAL -- TOPOGRAPHICAL SCALE { = 39 CITY LOTS '— PLATTING p — DENOTES. IRON I I �x ttt�#P �f b RO BERT H ELTEMES RE f g x x UI +CONTROL ZONA" �� �. REPLAb s AN w. OR' PLACE ANYyMA Y- OP Q p,�AN -N i { GINFt1S R•EA !�Vf7H0UT AF yAL OF TH C'TY' OF FRtf91. t _ �+^ I ..I A. {_ '.- a• <d ^.�J 1 R����. �ti'b L-•, T + 7{•-1 Si .'4^"� w..'"f �.-i '� a ,�y�. E N s s_ __ t 'x"�cF+ �- 'y "y' 1�a {� �. r -� pp) �. "1 c ,..rw„ a ;;3, t w 5• � '`y- _ ""'�."�'a���fy. �''�f t ' x ,� ,a.:� •' -yam �� .� . , k_ L � t z�k t."�' r �. Y� d. eG_-\ -� s ;� irk -••My' P.IJ>"w• �1."s.a.4 & �'_ a. ad�ya;E�, ,"��.t+s"3 i-.•��''= a r :.r I �'•€. y..;w, 'ds 1;+ , 4k ti'12�.sr6�a- a tix , w �Ga w +y »��� "t��:2' ktit, * 'aA q a ! ,�{ '�'s'�if _s4 $Sid,t�'e f "moi ,..� � �i' j � �f � ��Cl a .c'�b�p �•: r f w +.` '' , jG`..td' -Bdi^• B' _y * + a n`• y �` . �.'w 4'- '� ; + y, a. i y ` ".-`'"„""•` t �.'`5a ,, - 1 x tx t1 x !,,'"7P ..k. r � �x,•a. '' '-r �-rrsK�• r`'�,�µ _+•.5a Y! : ��+syq 6Y.�'!s�-.=.rein9vGd !T -t' �• �; rte. - !Jf -._wy a.,.-- a, .+r<,`1id'•- g•,e'` R7f'kF. a. .+ ,. Tom"' as'a^c•a+r' 7t{ 'Tp ' dlgglii$ eel! IIiIlrl�' s. fi �DII��jj A� C p{�C a �� a ':. w µ �{ a,'� k'; ru+ r"�.LfJ•1®4�'�`Tilr11i:, No yy PsyV Sr .. e qry `�'/ i yl,. br G d t- c `� R/ ■ z0'• z e: ;:, ,y _ -. •b ao- ., ,,.� `3,k F .�',,7 '` a t 4, I�Ct.67RA�rT vnW,Y LII .iHTJ ..r, r riSF.�,+Yiti1�? ..FP! ' � T+o4 F h _''► "f 43OR rf i�I►1�'. .5 S .e Pii PGss 4c. JI t 1..: '� 8.5• as i'"4a y"., { a-;- i ,'� rt'� as`F b etl5•-^ ''� *' ' ry� HE - • - .. •�a o r ' '6, s yb r� 4 ' kt •. �'- r J q �•§ YS �' �r r Suecl; t ,easements v recorff. �_ ,ate 7 Y?` r ,' ! k Wa` hereby certify that this is a true and correct,:r'epresentatton * .4 � 4, ,.survay of the boundaries of .the above _described land end 4 thFi;Poleetion of 'eil building: and visible rots, ancectiinantf any, -� a.�z !�f `• �','� m h<rar on said land • , xad by u: this r' day of tlLtar� n aE%}�r� �SCTRVEYS f:0diPATY"�y' .p����'!',�.sg`' •'a e�"•r,fRCf *, w, i�c�3 'ro , ' 1 ..� e, aE�, � _ �s .., ,;. ^t � �Ytr �. y c,�.Cr�� 5.:. -•:s � ,aa ss. $.�, ���A �4 .. +,�4 � p �Y .i .3'^',�.. ,8.' , a� '• `sE.-sw;�"-`r3• �...- ., _..,e.+1.:,5�.+.��___`f�r'A..',.'.-...r ' •�:�_ _ ;•widt �i_;",,mr"a .a.�_..a1'� _ _ - — wo �44"V,- 01,16 re OF (1)1111111'livol�) if 1qq� �" u • 10 ,P/,v ,1����cssaxs Ca�T • OWNER: ADDRESS: TEL NO: CITY OF FRIDLEY APPLICATION FOR RESIDENTIAL BUILDING PERMITS (New, Alterations, Additions, or Repairs) BUILDER:rj���� ADDRESS:�s% �: gs.� :moi' � TEL NO: Construction Location STREET NO: STREET: % - f LOT: ®p ?y 3 BLOCK: ADDITION: Corner Lot: Inside Lot: Setback: Sideyards: / 5 - Applicant Applicant attach to this form two Certificates of Survey of lot and proposed building location drawn on certificates to scale. DESCRIPTION OF CONSTRUCTION e Front:� � / Depth: � Height: Square. Feet_ ZQ Cubic Feet:a�U rJ9. Front: Depth: �2 2, " Height: �® Square,* quare Feet: Cubic Feet: 6 Type of Construction: � �� Estimated Cost: $ To Be Completed: lTl f �l z Alt. A Alt. B Proposed Driveway Width If New Opening Is Desired: / $ -3`�6 $ 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. DATE: LI -1 % . J S %� SIGNATURE: G �� Stipulations: �/ ty �'� 8431 UNIVERSITY AVENUE N.E., FRIDLEY, MINNESOTA 66432 TELEPHONE ( 612)671.3460 November 26, 1979 ,r 4' Mr. Robert D. Wilson 3525 - 93rd Avenue North s. Minneapolis, MN 55443 Re: Final Inspection at 8095 Riverview Terrace N.E. Dear Mr. Wilson: A final inspection was made on November 21, 1979 of the above address and the following items were noted which must be completed before 'the structure can be finaled out; 1. Provide sod in the front and side yards by June 15, 1980. 2. Provide a hard surface driveway by June 15, 1980. We will expect the above items to be completed by the scheduled date when a reinspection will be made to determine compliance. If you have any questions on these items, please contact me at 571-3450. Sincerely, DARREL G. CLARK Chief Building Official DGC/mh CC: Mr. Robert Heltemes 8095 Riverview Terrace N.E. 2 CITY OF FRIDLEY 6431 UNIVERSITY AVENUE N.E., PR1.®LEY, MINNESOTA 66432 TELEPHONE ( 612)671.3460 November 27, 1979 V � � � z�- C i� r�• � r Lots 30, 31, 32, Block T River View Heights Fridley Minnesota 55432 8095 Riverview Terrace To Whom it May Concern: I certify that all off-site improvements (sewer, water, street, and curbing) are in, completed, and paid for as this date with the exception of a payment for a special assessment for street surfacing in the amount of $56.08 on the 1980 Tax Statement. I also certify that continuous maintenance will be supplied by the City of Fridley. Q, dNasim M. Qureshi City Manager a 0 El CITY OF FRIDLEY APPLICATION FOR PLUMBING AND GAS FITTING PERMIT PARTIAL RATE SCHEDULE m NO. RATE > m 7 o x $3.00 d+ Future Fixture Openingx Water $2.00 $ New Fixture, Old Opening A $2.00 $ Catch Basin r-aterc '4 CS $5.00 $ Water Heater - to 99,000 BTU x $5.00 w 100,000 BTO to 199,000 BTO x He $' Water Softener x $7.00 $ o x $5.00 $ Electric Water Heater x $5.00 $ GAS FITTING FEES: Ist 3 fixtures x $3.00 O .a 1 $. ro $1.00 .r+ m -i O s+ $20.00 p a to 4J yO First $100.00 m $ each add. $100.00 or Fraction r. $ Sy w ° TOTAL FEE�.� 8 as ecu0 REINSPECTION FEE ($10.00) lst 2nd 3rd 4th (R) a Future Connection opening Connected with Sewer (*) a New Fixture, Old Opening Water PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: NO. RATE TOTAL Number 7 Fixtures x $3.00 S Future Fixture Openingx $2.00 $ New Fixture, Old Opening x $2.00 $ Catch Basin x $5.00 $ Water Heater - to 99,000 BTU x $5.00 100,000 BTO to 199,000 BTO x $10.00 $' Water Softener x $7.00 $ New Ground Run Old Building x $5.00 $ Electric Water Heater x $5.00 $ GAS FITTING FEES: Ist 3 fixtures x $3.00 $ �� Additional Fixtures x $1.00 S Gas Range to 199,000 BTU x $20.00 $ REPAIRS & ALTERATIONS First $100.00 $5.00 $ each add. $100.00 or Fraction $2.00 $ State.Surcharge $ .50 ° TOTAL FEE�.� REINSPECTION FEE ($10.00) Job Address Department of Buildings City of Fridley Tel. #571-3450 The undersigned hereby makes application for a permit for the work herein specified agreeing to do all work in strict accordance with the City Codes and rulings of the Department of Buildings, and hereby declares that all the facts and representations stated in this application are true and correct Fridley, Mn. , . 19- OWNER R' "'���`" KIND OF BUILDING t Usm AS ee4vl"� TO BE COMPLETED ABOUT O� ESTIMATED COST OLD NEW BUILDING PERMIT NO. PERMIT NO.- c9I� Company ® - � r Signed By Tel. No. o� ROUGH INSP, Data FINAL MSP. Date APPROVAL FOR PERM :T M 111,15M FEE FOR ANY PLUMBING PERMIT IS $7.50 PLUS $.50 STATE SURCHARGE CITY OF FRIDLEY APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION, REFRIGERATION AND The undersigned hereby makes application for a permit for the work herein AIR _ CONDITIONING SYSTEMS AND DEVICES PARTIAL RATE SCHEDULE specified agreeing to do all work in strict accordance with the City Codes - eaah add. 50,000 BTU 4.00 GRAVITY iyARIM AIR: RATE TOTAL Job Address Le -7s Furnace Shell & Duct Work +Replacement $12,00 $ 7,00 of Furnace 7.00 4 4,00 Repairs & Alterations -up to $SQ0.0o 7.00 $ Department of B1#14ng$ Repairs & Alterations each add. $500,00 4.00 City of Fridley Boiler & Lines up to 100,000 BTU Tel. #571-3450 MECHANICAL WARM AIR: ROUGE( INSP. REINSPECTION FEE Date (.$10.00? MAL INSP. A -'Z t -*_b Date APPROVAL FOR PER -IT F7-%''Lv.';M FEE FOR ANY HEATING PERv.IT IS $7.50 PLUS $.50 STATE SURCHARGE *Attached stack verification fors Capacity Sq. Ft. EDR BTU ®&J HP -am), SEDGWICK HTG. & AIR GG, aid. CQ9 Company Signed By Tel. No. _'0 The undersigned hereby makes application for a permit for the work herein Furnace Shell & Duct Work to 100,000 BTU $12.00$�,0 specified agreeing to do all work in strict accordance with the City Codes - eaah add. 50,000 BTU 4.00 $ and rulings of the Department of Buildings, and 'hereby declares that all the *Replace^s:t of Furnace7.00 $ facts and representations stated in this application are true and correct. Repairs & Alterations -up to $500.00 7,00 $ Repairs & Alterations each add. $500,00 4,00 $ Fridley, Minn. 19 7FA STE%:•f OR HOT 1 %TER SYSTEM: OWNER � Boiler & Lines up to 100,000 BTU $12.p0 $ {CIND PF BUILDING " each addn. 50,000 BTU 4.00 $ Boiler only up to 100,000 BTU 7! PP $ pSBA AS each addn. 50,000 BTU �•AQ TA p� pampi T R AgRu ®o� 71 OIL BURS ER- to 3 gal. per hour S}q.QA $ ®® each add. 3 gal. per hour 1Q.Aq $ STTt T p CAST 0?°6�0� j7 GAS BURNER- from 100 B qqq , 000 T'J �o }SS•S,} Q . AQ $ ®�'®® G *1 N EFL+I T N0. % ! A� - ?��' �NT�AT}I ���• TT 4 ! $, } (over 199,999. BTU see Fee Sc4eq!4;ej a GAS FITTING FEES: ��® 1st 3 Fixtures I' :c $ S;Qq S, AESpRTPTQI� pF FpRT�AC£/PUR*IER A53itional Fixtures Gas Range to 199,00Q 13TU #i +TANG f'QYT #t $? I� r . tea #fox Vlafers wart Aix- No. 0 AIR CONDITIONING-"�- a� ��-��® B®•®® Trach Name rr�� Size No. � 101d�� � � 60-LVr.NTILATING FAX HEATING SYSTEMS See Fee Schedule $ e(iraa�,-1 _ SYSTEMS ALTERATIONS 4 REPAIRS capacity Sq• Ft. FDR BTU ®®® HP - -- Y State Surcharge $ .50 �� Total Connected Load a j -7 Kind of Fuel � TOTAL FEE $5 ��� J25,_ 09.4BUFIQER - Trade Name Size No. ROUGE( INSP. REINSPECTION FEE Date (.$10.00? MAL INSP. A -'Z t -*_b Date APPROVAL FOR PER -IT F7-%''Lv.';M FEE FOR ANY HEATING PERv.IT IS $7.50 PLUS $.50 STATE SURCHARGE *Attached stack verification fors Capacity Sq. Ft. EDR BTU ®&J HP -am), SEDGWICK HTG. & AIR GG, aid. CQ9 Company Signed By Tel. No. _'0 ..,� ., .,- > a � _ � k �n r � 7 e. �" _•__: ��di i� $"s'�wt�>�A�+ rm n c r ®a� >� ,n,:.. _. t3�-tvt� r ���s-,�a1 'f'�sr�s�' F £dui •�ft�ait'� Ylnf �datt „.--C�YOfz�Q 2�oot "�,.,��i� , �r �" A �_:--,� �-�..:� p 5:71. Rim .. r�doWS s`r1.l�otaf Lerf ih Wrdt!t B'Haight F Room c g r - w s C�kage ar+d:�`t^sa {d Y Nrsdfh' i30rgtitat..'t= Aced. a� a indr3Yd5 and 000fS { raGK3fge and ci. ne afi`RdrsS li h3 of crack c,. tkIBfK. hi^ of.MITI-_ Of pane ....dr®ntc ''e4 craw /F"_ - R r�. vt , C t oe Btu �•lrtfittration _ ry , pyla. liiriltratian r Exp�.wal l •Glass r ' Ex wai l IV9t`exp. .wai 1 p Int. wat! ' " Net exp: waif �a -Ceiling �.� - , . waIl int Floor l �- Ceiling Total. Btu. = -: Floor • a'j� - - Requ�red sq: ft. E,D:R,�pr SQ., Total Btu.. s ins.,1N,A. L83Cfer area:. pal Required E.D.R.-or sq. ins.-W.A. Leader area Room Length _ Width-/,/ "Height' Room Length s �Winclowls: and...Doors=Crackage. and Area J � �rdth � Hea;�, Nu. V'rd;h Height No. qt Lineal ti. Area Windows and Doors—Crackage and Area Of a e ot'pane trghts + bf crack sq, fk 4 yo Wictrh He+ghi. No -,Of Linea; f4. _ 1 int pane of -pane n of crack Grea Coef B-tu nfiltratton > lass _ infiltration I G Glass - �7 xp. wa! i 3 :.7 -SO let exp. waif Exp. wall A. wall -+ ! `7 ti_� Net<exp. tivali �fI i 'eflincd 1 ®P Int, n,'aII —� -- 'OOr f.---�'__.� =—_.C_ �_ ✓ ceiling i Floor ,tal Btu. ,. �� quired sq, ft. E.D,R, ors i — Total Btl . q. ns.- W:A. Leader area I N� i hoom Length apj Raquired sq. ft. E.D.R. or sq. i ;a. N,.A. Leadc+r area '`� 9 Lp. Width Height FI. _ rioont I Lr3^.ath1.2- ti'Jrdth %� ..Hei,qhji l:indot nd Doors-Crackage and Area- — ----- _ Vitnduws and Doors-Cra ka '�- tibr , ., r partR ! .rt Li__-.rnr„3r„31 •{r Ares ..� c le.�r7nC1 Af Ca _ u�^`L.,, _...•r�irght% ot-crac�7k :. st4 ft,. � �.�n•�.,�,drr e: -i L X �V+ } .d' i•- I o pnnr,ir of parr I:dht:, t octar Ar 4,. ^ear tt l � -� _ '-� . .�„ � ”` � �• �� -fes '' 41 7>`atsTr_ 3f1 PCsr a71CE !+►•PLICAT ION FOR PUMBING AM) GAS FITTING Pj-.No, I T ... 91-8h—U6051- y Ilarar 8095 Riverview Terr a. Job Address F�, ` Ha ater I t I . H �•. .� M 1 u �t� • C U W -,- DeparUnrnr or 11u1'- .til �I K 3 30 City Gt Pridl y iJ ` Tel. N571-3.150 ` � �—1--�--•-- ' TitrlundGrslgnu.l I:::ralr r.:,kev i--- —I 1 led �a llcst:c- f arUL f.,r th' E epee f area 1n� to da al: rPir yc s week Lererr, work Strut c._erJsrc,:n with, tli City CGden !: '— ""$ _I`�_ —_I and rulings of the Denartarant of Bal dings, _ .;ctr :, tare, tP.et et t 010 factia n,,d rcl,r.,arna „tAL10e[atod 1• :go C,UC and Fr:.11aiy, rr. �t-22-80 OWNER FOURNIFiR 19^~ 1.. kl '^ 1..a,ate CJMC.:Lton G(.Cntr 3 C ;:,Cc[cd with Sewer KIND OF DUIL'uI17u frame letucn, O1S 01A; r. V FJnti:r USED AS res. L -- TO BE COMPUTED 1v,�;U P 4-29-80 Fr,RT lr1L ESMIATGD CGS'P ,50900 1' X 1 U1(L kATES Nu. RATE TOTAL. OLD - 111M BUILGI113 Pl.iv11i 1Llute F:r,[�ee Gi.Cring x $2.00 $ OW Gper.l:x c2.00 �� rpIry r $LaMINNEGASCO Gtt.l, yj,a x 55.00 $t;jne.1 By $ ' wales t® 93400 bllj x 55.00 S luo.d00 blll to 15 OLD bTL':cl. 170. x 510.00 5 •JALUC I-ftenar x 51.00 $ Yltw t�waan.l Ran Old b,alldir., ! x $5.00 S ROUGH III5P. Ll &;Ll4.; Natce Ilaatec x $5.00 $ - Data ' .S [A I IING !'SES: FINAL. I11SP. lst 1 `t•turas x 53.00 5 Data. A1.IIll.b:191 f(gtu[aa T ' x $1.00 $ t.as a..•'o to 159,006 blu x $3.0.00 APPRUVAL (•till f•Elu•1I•!' ' I'.elni L ALTtljTIONS rl:,t xlau.ou 55.00 � $ • tt.l, ora. ylJJ.vO or fraction $2.00 $ MIIIIMU►I 1'la: l,:p l.:7� FLui:ulli.; PC1u:IP IS 57.5J ..,: ' Slate S..rcr,erge FLUS 0 .'1i'.TC 6UP0V.Lt:iL S .SU TGt'LL F'A' SUBJECT City of Fridley2 6 9 AT THE TOP OF THE TWINS BUILDING PERMIT i � R COMMUNITY DEVELOPMENT DIV. I v PROTECTIVE INSPECTION SEC. /� /4y r r 1 . � NUMBER REV OAT E PAGE OF APPROVED BY CITY HALL FRIDLEY 55432 612-571-3450 910-F15 7/29/98 JOB ADDRESS 8095 Riverview Terrace 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 30,31,32 T I Riverview Heights SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Dawn Weigel 717-0185 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Norway Builders Inc. 450 W. County Rd D New Brighton 483-5899 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO. 8 USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW ❑ ADDITION ❑ ALTERATION? REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Reroof house and izaraae 22 S Tear -off 9 CHANGE OF USE FROM TO STIPULATIONS Underlayment must comply with State Building Code. SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING. TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD VENTILATING OR AIR CONDITIONING. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING SO. FT. CU. FT. AUTHORIZED IS NOT COMMENCED WITHIN BO 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 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 DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE p RM IT FEE SAC CHARGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. $59.50 Fire SC$1.83 PLAN CHECK FEE TOTAL FEE �•!� $5.00 ense S $6 . 5 SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT IDATEI HEN ROP Y LIDATED y - B G INSP T IS IS YOUR �P�C�R�IQJ�IT C .-% DATE S,GNATURE OF OWNER OF OWNER BUILDER) IDATEI F'A' NEW [ ] Effective 1/1/98 ADDN [ ] CITY OF FRIDLEY ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION ConstructionAddress: 9695— Legal Description: Owner Name & Address:Tel. Contractor: n%W4V &;"6S Zxc, MN LICENSE #_.9o0 b43 -7/ Address: 1/ h ®',1xl d Tel.# --/93-55°9 Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF E14PROVEMENT LIVING AREA: Length Width Height Sq. Ft. GARAGE AREA: Length Width Height Sq. Ft. DECK AREA: Length Width Hgt/Ground Sq. Ft. OTHER: . Construction Type: WF_ - 1&,- Estimated Cost: $$� (Fee Schedule on Back) Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ _ $ DATE: 76 APPLICANT: y �,V - /f��ty'��'J�,�s1� Tel. # '/957-5899 Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee $ Sewer Main Charge TOTAL STIPULATIONS: $ . 021 CITY USE ONLY Fee Schedule on Reverse Side .001 of Permit Valuation (1/10th%) $.50/$1,000 Valuation $1000 per SAC Unit $5.00 (State Licensed Residential Contractors) Alt. "A" or Alt. "B" Above $450.00 Conservation Plan Review Fee Determined by Engineering Agreement Necessary [ ] Not Necessary [ ] SUBJECT ` City of Fridley ( 30726 AT THE TOP OF THE TWINS BUILDING PERMIT r -Reee",mir 1 1 COMMUNITY DEVELOPMENT DIV. r � � PROTECTIVE INSPECTION SEC. CITY HALL FRIDLEY 55432 NUMBER REv DATEF;G9 OF APPROVED By 612-571-3450 910-F15 3/15/00 / JOB ADDRESS 8095 Riverview Terrace NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 30,31,32 T Riverview Heights SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Dawn Weigel 8095 Riverview Terrace NE 717-0185 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 8 USE OF BUILDING Residential 7 CLASS OF WORK C NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Remove existing deck; Construct a 12' x 12' Deck, 8 feet off ground 9 CHANGEOFUSEFROM TO STIPULATIONS See notations on plan. Construct deck railing to meet the State Building Code. WARA11% 80fore digging Call for all utility locations 4002 RRQUIRED BY LAW SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL. PLUMBING, HEATING, TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD VENTILATING OR AIR CONDITIONING. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING SO. FT CU FT. AUTHORIZED IS NOT COMMENCED WITHIN 80 DAYS, OR IF CONSTRUCTION R-1 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 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 $1,353 � $.68 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT 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 OR THE PERFORMANCE OF CONSTRUCTIONFT PLAN CHECK TO AL'FEE $52.98 SIGNATURE OF CONTRA OR OR AUTHORtZEO AGENT tDATEi EN PROP VALI D THIS I OUR PERMIT BL G -NSP""rJAYE ,GNA OF OWNERo60WNER 8 MmlRI 70 X719 i NEW I l Effective 1/1/2000 ADDN [ ] CITY OF FRIDLEY (763) 572-3604 Bldg Insp ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION Construction Address: '�CjfA S Legal Description: Owner Nan Contractor: Address: Tel.# (�)iQL, :NSE # 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 Ia. Width 1 a Hgt/Ground Sq. Ft I qq OTHER: Construction Type: "TN, ec.-\--A- 1 Ce -&y Estimated Cost: $ - 1 fS Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ = $ DATE: 1 '519 % APPLICANT: ��� Tel. # CITY USE ONLY - Call (763) 572-3604 for Permit Fees if mailing in application 1017 - Permit Fee $ ��. Fee Schedule on Reverse Side Fire Surcharge $ .001 of Permit Valuation (1/10th%) State Surcharge $ %cg $.50/$1,000 Valuation SAC Charge $ $1100 per SAC Unit License Surcharge $ $5.00 (State Licensed Residential Contractors) Driveway Escrow $ Alt. "A" or Alt. "B" Above Erosion Control $ $450.00 Conservation Plan Review Park Fee $ Fee Determined by Engineering Sewer Main Charge $ Agreement Necessary [ ] Not Necessary [ TOTAL $ 't'- 0%"/ l STIPULATIONS: GERALD T. COYNE 300 BRUNSWICK* AVE . 5. GOLDEN VALLEY, MINN. INDUSTRIAL.- JUDICIAL COMMERCIAL - TOPOGRAPHICAL 'CITY LOTS - PLATTING LOT SURVEYS. COMPANY 6917 (IDAHO AVEC. N. LAND SURVEYORS BROOKLYN PARK, MINN. HEGISTEBED UNDER LAWB OF STATE OF MINNESOTA LiQENBED BX ORDINANOE Or OITY Or MINNEAPOLIS Minneapolis, Minnesota 554286 Ourbepor� �Certifirate F;;A' .K 190-18- SCALE: 1" — - 30 -- — } — G&CAICOE 677 QV, I W /o V _- � � onff � 1 QV, I W � r ---- /03:54 Togo of'�ounuia lion 8Z7-57 ICoundo ll o n r V Q/7 I 2 �r La Lot: 30, 31, 32, Block T, RIVERVIE9 HEIGHTS Subject to easements of record, We, hereby certify that this is a true and correct representation of a survey of the boundaries of the above .described property. and of the location of all buildings, if any, thereon, and all visible encroachments, if any, from oy n said land. This survey is made only in connection with .a mortgage loan now being laced on the property and n li bility is as except to the holder of such mortgage or any other interest eequ' ed by reason of such rt ge It is under- stood and agreed no monuments have been placed for the purpose of s lishing lot lines o ndsiry a 5. 18 Sept. i 9 sigDea Surveyed by us this _ day of p. 146-- - SURVEYS C ANY SUPPLEMENT TO DECK PERMIT APPLICATION Plans and all of the following information are required with deck permit applications. a. Size and depth of footing /Z r X121 Type of footing forms (i.e. cardboard tubes) I� C. Size and spacing of posts d. Type of lumber -1 4G=, z-% 10 /^/(�- e. Size of beams Z ; 7—x / a / f. Size and spacing of joists Z -JC / O l 6 a, el g. Is the deck off a cantilever? Yes No A If Yes, how will•joists be supported? h. Type of floor boards s° c,--pAe— Height of deck off ground j. Height and design of guardrail , / 2�k2 k. Size of deck 12-- X / Z r 1. Distance to property lines Side 1 �Z Side 2 A / Rear 3® Other CITY OF FRIDLEY 6431 UNIVERSITY AVENUE NE FRIDLEY, MN 55432 763) 572-3604 FAX: (763) 571-1287 ADDRESS : 8095 RIVERVIEW TERRACE NE PIN : 033024230202 LEGAL DESC : UNAVAILABLE : LOT BLOCK PERMIT TYPE : BUILDING PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : WINDOW/DOOR REPL PERMIT POM:_ 20040028 DATE ISSUED: 03/02/2004 VALUATION : $ 22,357.00 NOTE: PROVIDE SMOKE DETECTORS IN ALL SLEEPING ROOMS AND ON ALL LEVELS OF THE DWELLING PER SECTION 310.9.1.2 OF THE 1997 UNIFORM BUILDING CODE WHEN ADDTIONS, ALTERATIONS OR REPAIRS IN EXCESS OF $1,000 ARE MADE TO RESIDENTIAL DWELLINGS. CAULK AND FLASH ALL EXTERIOR OPENINGS. REPLACE 13 WINDOWS, 1 PATIO DOOR AND 1 GLIDING DOOR - ALL WITHIN EXISTING OPENINGS IS APPLICANT A CONTRACTOR? 1 APPLICANT RENEWAL BY ANDERSEN (20130983) 1920 W CO RD C ROSEVILLE, MN 55113- (763)502-4777 OWNER BUTZER BENJAMIN L & WEIGEL D M 8095 RIVERVIEW TER 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 wort will be complied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any other state or local law regulating construction or the performance of construction. BUILDING PERMIT FEE 363.25 FIRE SURCHARGE 22.36 STATE SURCHARGE, VALUE 11.18 LICENSE SURCHARGE 5.00 TOTAL 401.79 PAID WITH CHECK # 033935 Bldg Ins Dat O SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. NEW[ ] Effective 5/10/99 ADDN [ ] CITY OF FRIDLEY (t.� ALTER L ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATIONL l Construction Address: Legal Description: Owner Name & Address: ,� "���- �' Tel. # �L423 • ` ���_ Contractor:; MN L- ICENSE # (RO % 2 Address: 19 21 Lown t ogc C W�. �:,c�xu�lk flclt� SS 11 Tel. # (oSl • alo4 ti'�" Attach. to- this application, a- Certificate of Survey of -the lot, with the*proposed�construction drawn on it to scale. DESCR1t 1 -ON OF IM X0VEMENT. ' _ LIVING AREA: Length Width Height Sq. Ft. GARAGE AREA: Length Width Height Sq. Ft. DECK AREA: Length Width Hgt/Ground Sq. Ft. OTHER:. �Odr' W�i h Construction Type: Estimated Cost: $ <3 a a° l Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ _ $ (J DATE: APPLICANT• Tel. # 9Sa •34S•(Qoy- CITY USE ONLY Permit Fee $ Fee Schedule on Reverse Side �. Fire Surcharge $ p��, �� .001 of Permit Valuation (1/10th%) State Surcharge $ 1 I , l $.50/$1,000 Valuation SAC Charge $ $1050 per SAC Unit License Surcharge $ �� , Q ® $5.00 (State Licensed Residential Contractors) Driveway Escrow $ Alt. "A" or Alt. "B" Above Erosion Control $ $450.00 Conservation Plan Review Park Fee $ Fee Determined by Engineering Sewer Main Charge $ Agreement Necessary [ ] Not Necessary [ ] TOTAL STIPULATIONS: i r City of Fridley Building Inspections Dept. Ph: 763-572-3604 FAX: 763-571-1287 6431 University Ave NE Fridley MN 55432 Mechanical Permit #_ Residential ApplicationJ�9 City of Fridley See Back Side For Required Information Date -«� Site Address: �� ;�o o� d o�° �' �& i C 'F The applicant is: (cirlce one) Owner s�riractor Property Owner: Addrs . City: State: PI-) r) zip: 5:5 9 .3 Phone: ' -71:2:-01 Cell: Fax: Contractor Informati6dver 6 Sheet MeffFTn—c. Company Name:S6ite 39 Contact Person: Fridley, UN 5 32 ME�K TAlup Address: City: 754--2-199 a e. Zip: Phone: Cell: Fax: Email: MN Bond# & Exp Date Type of Work (circle one): New C� Replacem n Alteration/Remodel Detailed Description of work: Equipment Installed: MFG .Ci,� r'rd's-Model:!Iii Ao i,3_I ik.e/BTU: MFG:,r, -i E tz_ Model:QgA PA --111, )Size/BTU: 9,1Vic, mi MFG: Model: Size/BTU: Please check all that apply: Fireplace (gas) $15.00 New Gas Grill $10.00 A/C $25.00 ^Fireplace (wood) $35.00 _Gas Unit HTR $10.00 _Air to Air exchanger $15.00 xFumace $35.00 Pool Heater $35.00 _Boiler $35.00 _Gas Dryer $10.00 Ventilator $15.00 _Chimney Liner $10.00 _Gas Piping $10.00 Duct Work $10.00 Gas Range/Oven $10.00 Permit Fee $ 0. 0_0 (Total from above -Minimum fee $35.00) Surcharge $ 0.50 Total Due $ Make check payable to City of Fridley This is an application for a permit- not valid until processed I hereby apply for a mechanical permit and I acknowledge 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 case of all work which requires review and approval of plans. Signature of Approval Inspector Date: 5-5 Date: Please Note: Separate permits are required for Building, Plumbing, and Electrical work Revised 6/14/2005 City of Fridley Building Inspections Dept. Ph: 763-572-3604 FAX: 763-571-1287 6431 University Ave NE Fridley MN 55432 Mechanical Permit #_;1_00(10`0)l 9q Residential Application' City of Fridley See Back Side For Required Information Date 15-- cY-0 E -n Site Address: ` Q9 The applicant is: (cirice one) Owner �trctoa Property Owner: L3 - L LIZX Addr'e , I ' l . lZ , City: State: n i1 Zip: q 3 C_ Phone-.'- `� -/%- � Cell: Fax: Contractor Information Company Name:pijeFCity geef Metal, Inc. Contact Person: 8290 manSt. I-E,,-Si-ke 39 Address: City: a e: Zip: Phone: (763) 754-2199 C§F (763 Fax: Email: MN Bond# & Exp Date Type of Work (circle one): New Replacement IteratioNRemodel Detailed Description of work: d -11-� Equipment Installed: MFG: LE! eC Model: '' ` U- s 2)ze/BTU: MFG: Model: Size/BTU: MFG: Model: SizeBTU: Please check all that apply: Fireplace (gas) $15.00 New Gas Grill $10.00 _A/C $25.00 _Fireplace (wood) $35.00 _Gas Unit HTR $10.00 _Air to Air exchanger $15.00 _Furnace $35.00 _Pool Heater $35.00 _Boiler $35.00 _Gas Dryer $10.00 _Ventilator $15.00 _Chimney Liner $10.00 _Gas Piping $10.00 Duct Work $10.00 Gas Range/Oven $10.00 Permit Fee $ ;2)1- •lf�'0 (Total from above -Minimum fee $35.00) Surcharge 1 0.50 Total Due $ 3 _15- - '15-R.3 Make check payable to City of Fridley This is an application for a permit- not valid until processed I hereby apply for a mechanical permit and I acknowledge 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 case of all work which requires review and approval of plans. Signature of Applicant: P V'Cu'12,_40 Date: Approval Inspector Signature: Date: Please Note: Separate permits are required for Building, Plumbing, and Electrical work Revised 6/14/2005 REQUIRED INFORMATION NEEDED TO PROCESS PERMIT RESIDENTIAL PERMIT APPLICATION HVAC ❑ NEW HOMES/ADDITIONS ❑ EXISTING HOME ❑ MAKE-UP AIR REQUIRED FOR NEW/EXISTING HOMES 1. Combustion Air (See note below) a. Oil or solid fuel TMC Chapter 7 with MN Amendments b. Natural Gas or PropanoUGC Chapter 3 with MN Amendments 2. Make-up Air (See note below) a. TMC Chapter 5 with MN Amendments 3. Venting a. Gas appliances IFGC Chapter 5 with MN Amendments b. Fuel other than gas IMC Chapter 8 with MN Amendments REQUIRED FOR NEW HOMES 4. Heat loss & cooling load per room a. Required on new construction IMC 1346.0312 5. Ventilation a. Per MN Energy Code 7670 or 7672 6. Duct Design Per IMC 1346.0603.2 a. ACCA Manual D NOTE: Centerpoint Energy Mechanical Code Guidelines software may be used for combustion and make up air calculations From: 7637121835 Page: 2/2 Date: 11/17/2008 1:52:13 PM Building B BUILDING Permit No.: ft R p `\ q� Inspections RESIDENTIAL APPLICATION B Reaeivedm ` 763-572-•3604 $ Oil a5 DUO Plan Review CITY OF FRIDLEY 65% of Building Permit Fee DATE It 11 "7 /0 gYOUR E-MAIi ADDRESS �: z 1•z.P_.1.1 rai ex C e I✓ t7v_f i r� r� v��. y}C� •�_ SrM ADDRESS ?QQco R+y C'v v'P VV _Q'v- NV -- Surcharge THIS APPLICANT IS: THIS n OWNER CONTRACTOR License Surcharge PROPERTY OWNEW NAmE.3er-1 Bu e v- —_ SAC Charge TENANT ADDRESS: 8041S Rly e. cy, e w'"TC" r n i C CITY I"•n cl l e eATATE�5 Sq. 3 Z $ PHONE: -7co3 • -1 1-7 - D I J Erosion Control, CONTRACTOR NAuE; #-:Xce I Perk Fee STATE LICENSE # c 0 I tAe�.1 a EXP DATE 3 3111 09 � Fee Determined by Engineering SUBMIT A COPY OF YOUR STATE LICENSE EN 55'303 ADDRESS: I V+1 • llvIQ 10 1 o' CITY /iriu kr„ STATZIP WITH APPLICATION PHONE -1 Lo 3 "i is ' &I `� "7 FAX �$--------g-�•••Agreement $(C1 PROPERTY TYPE SINGLE FAMILY/NEW CONSTRUCTION SIZE TWO FAMILY/NEW CONSTRUCTION STORIES PER RT TYPE 0 ADDITION ❑ 9ARAGE/S1I1ED © WINDOWS 'ROOF ❑ BASEN6II W FINISH ❑ DRAIN TILE © DECK o SIDING: © OTHER ❑ SWIMMING POOL TYPE OF WORK: ❑ W ❑ ADDITION ENANCMEPAiR ❑REM'ODELING DESCRIBE WORK BEING DONE:_ _ re —VOO' SIZE OF IMPROVEMENT LENGTH WIDTH HEIGHT RoOFiNG ❑ HOUSE ONLY NUMBER OF SQUARES b f O ROUSE & GARAGE �ASEtbIENT 1. 1iFiVIObELINt3 S_tZ$MIT.• Floor Pian (�G " C3 ATTACHED GARAGE Z. ossed floor plan propose Prop p PROPOSED SIZE: CI DETACHED GARAGE 3. Lisa of sttuctusal snem6ess to be used PROPOSED MGIM. S3. I�3 FOR NEW CONSTRUCTION INCLUDING DECKS, ❑ Vinyl La Aluminum C7Safiit Ci Trim APDL 1. OARCM UBMIT• Site Pian/Suroy showing the existing structures C3 Other O Fascia 2• and proposed project. Two sets Of constrUction plans V4ti1YDOl S 3. Energy Calculations IN EXISTING OPENINGS Oyes ONo LOCATION OF WINDOWS OR. FOR NEW OPENINGS -DESCRIBE SIZE OF OPENING CHANGES & TYPE OF WINDOW TO BE INSTALLED NUYBEi OF WINDOWS ALL FEES ARE BASED ON VALUATION, INCLUDING THE COST OF LABOR. AND .tvlA•1NRJAJ1.a: (USIN'G T13E 1997 U.l. FE SCHEDULE) TOTAL JOB VALUATIONS `)� 2 OCCUPANCY TYPE Penuit Fee $ Oil a5 See 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 Minimum $.50 License Surcharge $ $5.00 (State Licensed Residential Contractors) SAC Charge $ $1675 per SAC Unit (Plans to MWCC for determination) Curb Cut Escrow $ ft + 6 ft = ft x $21 — $ Erosion Control, $ $450 Conservation Plan Review Perk Fee $ Fee Determined by Engineering Sewer Main Charge cessa{ ) necessary { ) Non Nery Total Due �$--------g-�•••Agreement $(C1 Make +checks Fayable to Citi of Fridley A2alscl� Stipelations 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 i conformance with the ordinances and codes of the City of Fridley and with the Minnesota Constrtretion Codes; that I understand this is not pi rmit 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 approve plan in the ease of all M whi r quires review and approval of plans. SIGNATURE OP APPLIClS_��'' PRINT NAME Ni % 6--, e l i t.. C� 1 Zt'. Y`� DATE l i �l / Ci