PRE 2010 DOCSCity of Fridley, Minn.
BUR DING PERMIT N® 3 319
Date: �.. ...........................
Owner ....................................... Builder ...... ....................
Address ...................................... Address .............................................
LOCATION OF BUILDING
LOCATION
�... .tree .. .. .............. ............ P of Lot .............. ... �..........; . �
... Block ..... •� ..... Addition or Sub -Division ....... . ...... .
Lot ...... .. .... .......
Corner Lot ............ Inside Lot ... °�..... Setback �... .Sideyard . P7....)%r...... ...... .
DESCRIPTION OF BUILDING �e
To be Used as:
. )4f�: � / ...... Front
.................... Front ........ Depth ......t. Height ........ Sq. Ft......... Cu. Ft. ........
TypeP� �... l � �^�� ..'®... Comp .yam! ... .
of Construction .. ... wt. cost. P' . .. To be leted .. ..:....
In consideration of the issuance to me of a permit to construct the building desribed above, I agreeto do
the proposed work in accordance with the description above set forth and in compliance with all provisions of
ordinances of the city of Fridley.
CA
In consideration of the payment of a fee of $� permit is hereby granted to 6
............
......................... 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.
r
... Puilding Inspector
NOTICE:
This permit does not cover the construction, Installation or alteration for wlplumbing, gas heating,
sewer or water. Be sure to see the Building Inspector fer separate permits for these Items.
suBJEcr
City of Fridley
<E.rp
T15§77�38
AT THE TOP OF THE TWINS
BUILDING PERMIT
RECEIPT NO.
______ COMMUNITY DEVELOPMENT DIV.
L
a `�
r PROTECTIVE INSPECTION SEC.
y
NUMBER
REV.
DATE
PAGE OF
APPROVED BY
"1 CITY HALL FRIDLEY 55432
612-571-3450
910-F15
5/22/80
JOB ADDRESS 5801 Tennison Drive N.E.
1 LEGAL
LOT NO.
TOR ADDITION SEE ATTACHED
DESCR.
IBLOCKRACT
7
2
Parkview Heights SHEET
2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE
Page Edmondson 5801 Tennison Srive N.E. 571-0229
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.
6 USE OF BUILDING
Residential
7 CLASS OF WORK
❑ NEW ❑ ADDITION ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE
S DESCRIBE WORK
Reroof House
9 CHANGEOFUSEFROM TO
STIPULATIONS
Roof can be 2nd but not 3rd roof. Install ridged galvanized valleys.
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 60 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
$1,300
$.65
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-
$9.00
STRUCTION OR THE PERFORMANCE OF CONSTRUCTION.
PLAN CHECK FEE
TOTALFEE
$9.65
._ HEN PROPERLY V 1DATED THIS IS YOUR PERMIT
SI TUREOFCONT ACTORORA�UTHOORR�EDDpAGGEENT EI
c�4��1.��
- SIGNAT EOFOWNER(IF OWNER BUILDER) (DATE)
BLDG INSP DAT
CITY OF FRIDLEY -
APPLICATION FOR RESIDENTIAL BUILDING PERMITS
(New, Alterations, Additions, or Repairs)
OWNER:
n S (9 k, BUILDER
ADDRESS: S � ( l z� i �.; �!� �jj�ADDRESS: :v
TEL N0: S �° �� �� TEL NO:
Construction Location
STREET NO: .S�o STREET: t - drarvd J 5-�3z a
LOT: BLOCK: Z ADDITION:
Corner Lot: Inside Lot: Setback: Sideyards:
Applicant attach to this form two Certificates of Survey of lot and
proposed building location drawn on certificates to scale.
DESCRIPTION OF CONSTRUCTION
Front:
Square.Feet:
Front:
Depth: Height:
Cubic Feet:
Depth: H eight :
Square- Feet: Cubic Feet:
Type of Construction: V"'- 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.
DATE: Y(,'-, �'2 tom( O SIGNATURE:
Stipulations:
�ati�S
BUILDING PER141T FEE SCHEDULE'
SECTION 2. The Inspector of Buildings shall, before, issuing permits for the erection
of any building or structure, or for any addition to any existing building or structure,
6r for any alteration or repairs 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:
NEW CONSTRUCTION: Single Family homes and Garages: $4.00/1,000 cubic feet.
PLAN C111..CY.: 25 percent of building permit fee. .
DRIVEWAY DEPRESSION: (Concrete. Curb Streets Only)
Alternate A: Removal and replacement of concrete curb and
gutter only; Driveway width plus 6 feet x Y15®75
Alternate B: Removal and replacement of concrete curb and
gutter and install a 3 foot wide approach with
6 inch depth; Driveway width plus 6 feet x. $17.85
ADDITIONAL I NFORMAII ON
For the purpose of computing fees for building permits, the cubical contents of any
building or addition, is determined by multiplying the ground area covered from a
point six (6) inches below the floor line of the basement or the cellar to the
average heights of the upper surface or to the average height of the roof surface
of the main gable of a pitched roof.
For repairs or alterations to an existing structure, the fee shall be at the rate
of $3.00 Per each five hundred dollars - ($ 500.00) or fraction thereof in the cost
of all. proposed work.
In -no case shall the fee charged for any permit as set forth in Section 2 be less.
than $7.50 plus $.50 state surcharge.
VERIFICATION OF FO NDATION
NOTE: 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 been constructed will be required before proceeding with the framing.
K00410' 1
Application for a Certificate of Occupancy, shall be made ten (10) days prior to the
use or occupancy of any sttucture for which a buildi.ng..permit has been issued; and
said structure shall not be used or occupied until a Certificate of Occupancy has
been issued.
SUBJECT
PE
City of Fridley
7 1852
AT THE TOP OF THE TWINS
BUILDING
PERMIT
.
r
�
ECEIPT N
COMMUNITY DEVELOPMENT DIV.
�,,------I
r PROTECTIVE INSPECTION SEC.
//9�
'
; CITY HALL FRIDLEY 55432
NUMBER
REV.
DATE
PAGE OF
APPROVED BY
L 612-571-3450
910-F15
7/2/86
JOB ADDRESS 5801 Tennison Drive N.E.
1 LEGAL
LOT NO.
BLOCK
TRACTOR ADDITION
SEE ATTACHED
DESCR.
7
2
Parkview Heights
SHEET
2 PROPERTY OWNER MAILADDRESS
ZIP PHONE
John Evers 5801 TENNISON DRIVE N.E.
572-3933
3 CONTRACTOR MAIL ADDRESS
ZIP PHONE LICENSE NO.
Concord Builders Inc. 4538 Lyndale Avenue No., Mpls-
55412 588-9401
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
C NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE
8 DESCRIBE WORK
Construct a 26' x 24' Detached Garage
9 CHANGEOFUSEFROM TO
STIPULATIONS provide a hard surface driveway.
WARNING
O
REQS RE A �t Nso
Before digging call local utilities
Kit
p �� R1
TELEPHONE - ELECTRIC - GAS Etc,
SEP At P
NEpi�NC,!
REQUIRED 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-
SQ. FT.
CU. FT.
AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION
OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT
ANY TIME AFTER WORK IS COMMENCED.
NO. DWLG. UNITS
OFFSTREET PARKING
I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION
ISTALLS
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
$7,656
$3.83
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 P RFRM CONSTRUCTION.
$68.50
C
PLAN CHECK FEE
TOTAL FEE
0
$72.33
G NATURE OF CONTRACTOR OR AUTHORIZED AGENT (DATE(
`
WHEN PROPERLY
LDG INSP
A (DATED THIS IS YOUR PERMIT
A /
oNTE
SIGNATURE OF OWNER IIF OWNER BUILDER) (DATE)
NEW [ ] City of Fridley
ADDN. [ ] FR -1 AND R-2
ALTER. [ ] Building Permit Application
Construction Address; 5801 Tennison Drive N.E.
Effective 4/1/86
Legal Description: , L "`
Owner Name &Address: John Evers 5801 Tennison Drive N.E. Tel . 7�3_
Contractor: Concord Builders Inc. Tel. # 588-9401
Address: 4538 Lyndale Ave. No. Minneapolis, MN 55412
LIVING 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.
Length
Length 261
Length
DESCRIPTION OF IHYPROV'EMENT
Width
Width 24'
Width
Height
0
Height
Hgt/Ground
Sq. Ft.
Sq. Ft.
Sq. Ft.
Corner Lot [ ] Inside Lot [ ] Ft. Yd. Setback Side Yard Setback
Type of Construction: Build Detached Garage Estimated Cost:
Approx. Completion Date: 8-24-86
Alt. A Alt B
Proposed Driveway Width If New Opening Is Desired: See Back Page for Explanation
July 1, 1986 APPLICANT:
Gary Lyons Tel. 588-9401
DATE:
CITY USE ONLY
Permit Fee $ l.? U.S� Fee Schedule on Reverse Side
Plan Check $ 25% of Building Permit Fee
State Surcharge $ $.50/$1,000 Valuation
SAC Charge $ $475 per SAC Unit
Park Fee $ Fee Determined by Engineering
Sewer Main Charge $
Agreement Necessary [ ] Not' Necessary [ ]
TOTAL $
STIPULATIONS: ��_--
r2.L 9" &otevch
BUILDING 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 Valuation
$1.00 to $500.00
$501.00 to $2,000.00
$2,001.00 to $25,000.00
$25,001.00 to $50,000.00
$50,001.00 to $100,000.00
$100,001.00 and up
Fees
$10.00 (Minimum Fee is $15.00)
$10.00 for the first $500 plus $1.50 for
each
additional $100 or fraction thereof, to and including
$2,000.
$32.50 for the first $2,000 plus $6.00 for
each
additional $1,000 or fraction thereof, to
and
including $25,000.
$170.50 for the first $25,000 plus $4.50 for
each
additional $1,000 or fraction thereof, to
and
including $50,000.
$283.00 for the first $50,000 plus $3.00 for
each
additional $1,000 or fraction thereof, to
and
including $100,000.
$433.00 for the first $100,000 plus $2.50 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 gutter 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 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 been constructed will be required before proceeding with the framing.
4538 Lyndale Avenue North
Minneapolis, Minnesota 55412-1485
(612) 588-9401
QUALITY $ECE SINCE 1946
Garages, Room Additions, Second Stories,
Basement finishing, Three Season Porches,
Kitchens & Baths, Roofing, Siding and
C(4"'wrr' Window Replacement.
rr
gloom r— I )
7-
611-
4e i
7
F
T
+
Irk
-T
LP r
INDUSTRIAL
BUSINESS
CITY LOTS
TOPOGRAPHIC MAPPING
f/'GC,t' Z r �rP•�"><'iE1N /%f/GNTS �'4VI T�✓i✓
C. E. COULTER N PLATTING
-LAND SURVEYOR r ►www wleYErs
w�. g LAKESNORE
REGISTERED UNDER LAWS OF STATE OF MINNESOTA_ JUDICIAL
LICENSED BY ORDINANCE OF CITY OF MINNEAPOLIS
3300 LYNDALE AVE. SO. MINNEAPOLIS S. MINN.
TAYLOR 4-0370 ;
SPXvEr Fair- A.frlv* 4""'CAF-150 V eSON INC•
fmrgar•m —SCA LE•'
SE -0 �a
'>'.;
Signed
.1:inne3ota Registration No. 25L4
</Ir N
o
S
7)
�M o�
I
I
p IF
1r
I
�
_\V =-465.96
I hereby certify thar
the above is a true and correct plat of a
survey of:
Lot Seven (7), except
the 3cutherly Sixty (60) Feet as measured
along the Easterly and
Iiesterly lines thereof,
block Tdo (2). rAWVIZ� HEIZHTZ ADDITIC3:,
Anoka County, I--innesota.
A_, surveyed by =e thin
2tth da:- cf AuL-ust 1956 A. D.
Signed
.1:inne3ota Registration No. 25L4
CITY OF FRIDLEY
APPLICATION FOR PLUMBING AND GAS FITTING PEWIT
RATE SCHEDULE
PLUMBING FIXTURE RATES: NO.
New Fixturew, '
Future Fixtures
Old Opening, New Fixture
Beer Dispenser
Blow Off Basin
Catch Basin
Rain Water Leader
Hydraulic Valve
Sump or Receiving Tank
Water Treating Appliance
Hot water Heater
Gas Range
Gas Dryer
ALL OTHERS AND/OR REPAIRS AND ALTERATIONS
It of Value of Fixture or Appliance
RATE TOTAL
$ 5.00
$ 3.50
$
$ 1.50
$
s 4.00
$.
$ 5.00
$
$ 5.00
U'
u
$ 5.00
$
to
$
water
S
$ 7.00
e
$ 5.00
$
$ 10.00
w
e •c+
e
a
w
Heater
u
o
H
aw°
w
S
lec
a
a
c�a�a�a
c3
c�
C'
lat
_
2nd
3rd
4th
(R), a Future Connection Opening
Connected with Sewer
(�) - New Fixture. Old Opening
water
RATE SCHEDULE
PLUMBING FIXTURE RATES: NO.
New Fixturew, '
Future Fixtures
Old Opening, New Fixture
Beer Dispenser
Blow Off Basin
Catch Basin
Rain Water Leader
Hydraulic Valve
Sump or Receiving Tank
Water Treating Appliance
Hot water Heater
Gas Range
Gas Dryer
ALL OTHERS AND/OR REPAIRS AND ALTERATIONS
It of Value of Fixture or Appliance
RATE TOTAL
$ 5.00
$ 3.50
$
$ 1.50
$
s 4.00
$.
$ 5.00
$
$ 5.00
$
$ 5.00
$
$ 5.00
$
$ 3.00
S
$ 7.00
$
$ 5.00
$
$ 10.00
$
$ 10.00
$
S
State Surcharge $ .50
Reinspection Fee $�
($15.00) TOTAL FEE $ %t'^°
Effective Aug. 1, 1981
I
Job Address 901 ley) 1) i2 I son 0 P' A
Department of Buildings
City of Fridley
Tel. #571-3450
The undersigned hereby makes application for a pe=1t for the work herein
specified agreeing to do all work in strict accordencerwith 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 Ll.' ( d- V-1 p; J h Y, L—V e -r l
KIND OF
USED AS
TO BE 0014PLETED ABOUT
ESTIMATED COST
BUILDING PERMIT 100. PERMIT N0. w 228W
8W
��� Company
Signed By
Tel. No.
ROUGH Iow.
SUBJECT
PER
City of Fridley
19 2 4 5
AT THE TOP OF THE TWINS
BUILDING
PERMIT
i �
COMMUNITY DEVELOPMENT DIV.
r PROTECTIVE INSPECTION SEC.
CITY HALL FRIDLEY 55432
1
NUMBER
REV.
DATE
PAGE OF
APPROVED BY
612-571-3450
910-F15
10/20/87
JOB ADDRESS 5801 Tennison Drive N. E.
1 LEGAL
LOT NO.
7
BLOCK
2
TRACTOR ADDITION SEE ATTACHED
Parkview Heights Addition
DESCR.
SHEET
2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE
Julianne and John Evers 5801 Tennison == Drive N.E. 572-3933
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.
6 USE OF BUILDING
Residential
7 CLASS OF WORK
❑ NEW1 ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE
8 DESCRIBE WORK
Construct a 221 x 14' Deck Addition
9 CHANGE OF USE FROM TO
STIPULATIONS
` See notations on plan
SEPARATE PERMITS REQUIRED FDRR:'f
I
WIRING, HEATING, PLUMBING AND SIGNS_
local
TELEPHONE
- ELECTR;C mgjS,lEt
,`.EC
RE Ui ED 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
SQ. FT.
CU. FT.
AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION
OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT
ANYTIME AFTER WORK IS COMMENCED.
NO. DWLG. UNITS
OFFSTREET PARKING
I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION
1
1STALLS 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
$21150
$1.08
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.
$38.50
LAN CHECK FEE
TOTAL FEE
9.63
1
$49.21
SIGNATURE OF CONTRACTOR OR AUTHORIZEDAGENT MATE,
v WHEN PROPERLY V ATED THIP IS YOUR PERMIT
NATURE OF OWNER OF OWNER BUILDER) IDATEI
BLDG INSP
rE
NEW [ ] City of Fridley Effective 14/1/86
ADDN. [ ] �R-1 AND R-2 I
ALTER. [ ] Building Permit Application
Construction Address: 5961
Legal Description: 1 erL ( . block �� �` k �� �-�� `� S L xd l `� f u►�
Owner Name & Address: �ts��Gy�n� aid .J (i Y1V� �L`er-S Tel. # �7a-3833
Contractor: Tel. #
Address:
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 a Width o4. Hgt/Ground Sq. Ft.
OTHER:
Corner Lot [ ] Inside Lot [ ] Ft. Yd. Setback
Type of Construction: `+VP-0`teA W b 0
Approx. Completion Date:
Side Yard Setback
Estimated Cost:
Alt. A Alt
B
Proposed Driveway Width
If New Opening Is
Desired: $
See Back Page
$
for Explanation
Tel. #62a-3233
DATE:$
APPLICANT:
�CITY�USE
ONLY
Permit Fee
$ 28-%S-0
Fee Schedule on Reverse
Side
Plan Check
$ b a
25% of Building Permit
Fee
State Surcharge
$ % ®�'
$.50/$1,000 Valuation
SAC Charge
$
$ 525 per SAC Unit
Park Fee
$
Fee Determined by Engineering
Sewer Main Charge
$
Agreement Necessary [ ]
Not Necessary [
]
TOTAL
$
STIPULATIONS:
tl A 1
1 50
0?
on rN
BUILDING 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 Valuation Fees
$1.00 to $500.00 $10.00 (Minimum Fee is $15.00)
$501.00 to $2,000.00 $10.00 for the first $500 plus $1.50 for each
additional $100 or fraction thereof, to and including
$2,000.
$2,001.00 to $25,000.00 $32.50 for the first $2,000 plus $6.00 for each
additional $1,000 or fraction thereof, to and
including $25,000.
$25,001.00 to $50,000.00 $170.50 for the first $25,000 plus $4.50 for each
additional $1,000 or fraction thereof, to and
including $50,000.
$50,001.00 to $100,000.00 $283.00 for the first $50,000 plus $3.00 for each
additional $1,000 or fraction thereof, to and
including $100,000.
$100,001.00 and up $433.00 for the first $100,000 plus $2.50 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 gutter 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 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 been constructed will be required before proceeding with the framing.
ff4GC.t' 2 P.4,p,�"i'iE1N /yf/GyTS 7-1011
INDUSTRIAL '"DYGTIIIAL C. E. COULTER N PLATTING
PARK fYRV[VG
CITY LOTS LAND SURVEYOR LAK[11HOR[
TOPOGRAPHIC NAPPING REGISTERED UNDER LAWS OF STATE OF MINNESOTA- - JUDICIAL
LICENSED UV ORDINANCE O►CRV O► NINNEAPOUG �.. •�,, - _ ._ _
3300 LYNDALE AVE. SO. MINNEAPOLIS S. MINN.
TAYLOR 4-0370
SaA;vfY fOR %�f/f/O t Lr��PLSON SON INS
-: •�urur�nr'�I �srtiflrastr --. _ ScocE.' /"=50� ' ..
eACyd'
Ti- Y
` D j?
46
2V t�3�
' t
POO�
l
Sol f
I hereby certify that .the above is a true ani correct Flat of a survey or:
Lot Seven (7), except the Southerly Sixty (60) Feet as measured along the Easterly an:9
liesterly lines tliereof, Clock No (2), FAn-!V.z4 FD:Imm; Armima:, Anoka County, I•-innesota.
,-, surveyed by =e thin 28th dad•• cf Au,+ust 1956 A, D,
. �7,
Signed 6-17
:�•-�
,Xinne3ota Registration No. 2564
SUBJECT
PERMIT NO.
City ®f Fridley
102
AT THE TOP OF THE TWINS
B U I L D I N P E R M I T
�
RECEIPT NO
COMMUNITY DEVELOPMENT DIV.
PROTECTIVE INSPECTION SEC.
1 �
1
CITY HALL FRIDLEY 55432
NUMBER
REV.
DATE
PAGE OF
APPROVED BY
j 612-571-3450
910-F15
8/26/91
JOB ADDRESS 5801 Tennison Drive NE
LOT NO.
BLOCK
TRACT OR ADDITION SEE ATTACHED
1 LEGAL
DESCR.
7
2
Parkview Heights SHEET
2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE
John/Julianne Evers 5801 Tennison Drive NE 572-3933
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.
6 USE OF BUILDING
Residential
7 CLASS OF WORK
❑ NEW ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE
8 DESCRIBE WORK
Construct a 16R x 3q Addition
9 CHANGE OF USE FROM TO
STIPULATIONS
See notations on plan,
TYPE OF CONST.
OCCUPANCY GROUP
OCCUPANCY LOAD
SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING,
VENTILATING OR AIR CONDITIONING.
ZONING
SO. 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
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
$3,000
$1.50
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-
STRUCTION OR THE PERFORMANCE OF CONSTRUCTION.
$54.00
Fire SC $3.Q0
PLAN CHECK FEE
TOTAL FEE
.5
SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT (DATE),
WED IS IS YOUR PERMIT
0HENIPROPEPLY
14
EJLID
L G )NSP D TE
iGNATURE OF OWNER IIF OWNER BUILDER) (DATE
NEW [ ] Effective 2,/1,/91
ADCN [�] R-1 AND R-2
ALMM [ ] Building Permit Application
Cmwtructim Address: -5- a 01 7e- hyl (Son 0
Legal Description: Lot - ko
Owner Na®e & Address: J Dh n n r e, rV erS 7a -3/' 3 3
16-01 fish
Address:
Attach to this application, a Certificate of Survey of the
lot, with the proposed ncxm xuctim drawn on it to scale.
DSSQtIP1'It7N OF IIne''Hom 9
i�i�i�Wi�i/�B A��pl�f: 16 { -¢ . Width 3 f+ , ��t {L Sq. Pt.
a�fy{.1pp7.'�j ..{{ia: Umgth Width Height Sq.
Sq. �P t..
1�'Awl\ AREA: Length Width m./Groan � Sq. L b.
OMM• I
ibrner Iat [ ] Inside Lest [ ] Ft. Yd Setback Side Yard Setbacks
Zype of Construction: Estimated oust: $ 3 } 000, 00
Approx. Ccuapletion Date: 3 mon+ko--.
Proposed Driveway Width If New Opening Is Desired: Ft. $ $
Width + 6' See Back Page
HATE : APPLICANT: Tel.
Permit Fee $ S q%, ®® hee Sc hedale on Reverse Side
Fire Surcharge $ b .001 x Permit Valuation (1/10th $)
State Surcharge $.50/$l, 000 Valuation
SAC Charge $ $650 per SAC Unit
Driveway Escrow $. Alt. "A" or Alt. "B" Above
Park Fee $. Fee Dete*+ded by
Sewer Main Charge $ Agre®ent Necessary [ ] Not Necessary [ ]
1• —_V Ce,t
�/m
3600
a 06&-- y's,
lyl
sY
5
7he Chief Building Official shall, before issuing permits for the erection of any
building or stru cWre, or for any addition to any ad.stiig building or strt re, or
for any alteration or repair to wW eKisting building or structure, uipm application
tiuerefore, require the payment by the applicant for such permit of fees to the amount
herein below set fortis ani in the mar rex herein provided to -wit:
707AL VALUE PEES
$1 to $500 $15 (Minimus Fee is $15 plug surcharge)
$501 to $2,000 $15 for first $500 plug $2 for each additional $100 or
fraction thereof, to and including $2,,000
$2,001 to $25,000 $45 for first $2,000 plug $9 for each additional $1,000
or fraction thereof, to and including $25,000
$25,001 to $50,000 $252 for first $25,000 plus $6.50 for each additional $1,000
or fraction thereof, to and including $50,000
$50,001 to $100,000 $414.50 for first $50,000 plus $4.50 for each additional
$1,000 or fraction thereof, to and including $100,000
$100,001 to $500,000 $639.50 for first $100,000 plug $3.50 for each additional
$1,000 or fraction thereof, to and including $500,000
$500,001 to $1,000,000 $2039.50 for the first $500,000 plus $3 for each additional
$1,000 or fraction thereof, to and including $1,000,000
$1,000,001 and up $3539.50 for the first $1,000,000 plus $2 for each additional
$1,000 or fraction thereof
EPIVOW ffiPiiESSIM BOCKM
(Oonorete Curb Streets Only)
Alternate "A": Removal and replacement of curb and gutter only - Driveway width plus
6 feet times $13.50.
Alternate "B": Remmal and replacement of curb and gutter and install a 3 foot wide
approach with 6 inch depth - Driveway width plus 6 feet times $15.75.
Permits for cons auction will be issued a mirdu m of 24 hours from the time of
application to allow for proper review of the proposed stricture and of the
manstructim site.
A Certificate of Survey of the lot, showing the location of the fcundaticn once it has
it has been cons zucted will be required before pr r! with the framing.
SUBJECT
IT
City of Fridley
6
67
AT THE TOP OF THE TWINS
BUILDING
PERMIT
RECEIPT NO.
Ir
COMMUNITY DEVELOPMENT DIV.
v
r PROTECTIVE INSPECTION SEC
NUMBER
REV
DATE
PAGE OF
APPROVED BY
/'�'1 CITY HALL FRIDLEY 55432
� 612-571-3450
910-F15
6%14/96
JOB ADDRESS 5801 Tennison Drive NE
1 LEGAL
LOT NO.
BLOCK
TRACT OR ADDITION
SEE ATTACHED
DESCR,
7
2 1
Parkview Heights
SHEET
2 PROPERTY OWNER MAIL ADDRESS
ZIP PHONE
Juli/John Evers 5801 Tennison Drive NE
572-3933
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
6 USE OF BUILDING
Residential
7 CLASS OF WORK
❑ NEW O ADDITION ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE
8 DESCRIBE WORK
Remove and reconstruct fireplace chimney
9 CHANGE OF USE FROM TO
STIPULATIONS
Step flash chimney; No. 26 galvanized sheetmetal guage or equivalent.
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
SO. FT.
CU. FT.
AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION
OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT
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
$500
$•50
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 CONSTRUCTION
PLAN CHECK FEE
TOTAL FEE
$22.00
SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT IDATEI
WHEN PROPE VA DATED THIS IS YOUR PERMIT
r 0..T'"�/
1026ak.
e
T1A7E
i NATURE OF OWNER OF OWNER BUILDERI IDATEI
NEW [ ]
Effective 3/1/96
ADDN [ ]
CITY OF FRIDLEY
ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2
Building Permit, Application
ConstructionAddress:�®1
Legal Description:
Owner Name & Address: i-
3 & v,� r-- V e-rs Tel . # S-72-3933
Contractor: � DMe Gw yy e tit"
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
LIVING AREA: Length
Width Height Sq. Ft.
GARAGE AREA: Length
Width Height Sq. Ft.
DECK AREA: Length
Width Hgt/Ground Sq. Ft.
OTHER:1JG1
C%
Comer Lot Inside
[ ] Lot [ ] Ft. Yd
Setback Side Yard Setbacks
Type of Construction:
Estimated Cost: $
Approx. Completion Date: 13ch
(Cost on Back)
Driveway Curb Cut Width Needed:
Ft. + 6 Ft = Ft x $ _ $
DA,TE: C1 6 APPLICANT:
Tel. # 5-7a -3 9`3.3
CITY USE ONLY 1Y #iy647
/71 00
Permit Fee $ Os
Fee Schedule on Reverse Side
Fire Surcharge $
.001 of Permit Valuation (1/10th%)
State Surcharge $ f
$.50/$1,000 Valuation
SAC Charge $
$900 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 $ 2.
STIPULATIONS:
BUILDING 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 FEES
$1 to $500 $21 (Minimum Fee is $21 plus surcharge)
$501 to $2,000 $21 for first $500 plus $2.75 for each additional $100 or
fraction thereof, to .and including $2,000
$2,001 to $25,000 $62.25 for first $2,000 plus $12.50 for each additional $1,000
or fraction thereof, to and including $25,000
$25,001 to $50,000 $349.75 for first $25,000 plus $9.00 for each additional $1,000
or fraction thereof, to and including $50,000
$50,001 to $100,000 $574.75 for first $50,000 plus $6.25 for each additional
$1,000 or fraction thereof, to and including $100,000
$100,001 to $500,000 $887.25 for first $100,000 plus $5.00 for each additional
$1,000 or fraction thereof, to and including $500,000
$500,001 to $1,000,000 $2887.25 for the first $500,000 plus $4.25 for each additional
$1,000 or fraction thereof, to and including $1,000,000
$1,000,001 and up $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 gutter and install a 3 foot wide
approach with 6 inch depth - Driveway width plus 6 feet times $15.75.
VERIFICATION OF FOUNDATION
Permits for construction will be issued a minimum of 24 hours from the time of application to allow for proper
review of the proposed structure and of the construction site.
A Certificate of Survey of the lot, showing the location of the foundation once it has it has been constructed
will be required before proceeding with the framing.
CITY OF FRIDLEY INSPECTION DIVISION
Effective On January 1 1998
6431 University Ave NE
Fridley, MN 55432 APPLICATION FOR POWER PLANTS
AND HEATING, COOLING, VENTILATION,
572-3604 REFRIGERATION AND
AIR CONDITIONING SYSTEMS AND DEVICES
JOB ADDRESS 5 801 _rQ r) n15 O A DK
RATE SCHEDULE
The undersigned hereby makes application for a permit for the work herein
Residential Rate
TOTAL
specified agreeing to do all work in strict accordance with the City Codes and
Furnace Shell and Duct Work, Burner —
rulings of the Building Division, and hereby declares that all the facts and
Also Replacement Fumace$ 30.00
$ ��: 00
representations stated in this application are t e a d orrect.
(Side Vent — Fill Out Back)
Pip ng (Needed wi new na e) $10.00
��✓�
$ 10-00
,1998
OWNER �C� �'� G V -2 s S
Gas Range $10.00
$
BUILDING USED AS (&S E ��
Gas Dryer $10.00
$
ESTIMATED COST 11000 PERMIT NO. 1 �L
*Air Conditioning — All Sizes $25.00
75,00
DESCRIPTION OF FURNACE AND OR BURNER
All Others/Repairs & Alterations (LIST ON BACK
1 % of Value of Appliance or Work
$
No. of Heating Units 2- Circle One (Steam) (Hot Water) arm Air
Trade NameF2� ; Size No.
_
Commercial/Industrial
BTU '90,000 HP EDR
1.25% of Value of Appliance or Work
$
Fuel /V C�' Total Connected Load
State Surcharge
$ .50
Bumer Trade Name Size No.
TOTAL FEE
$ 610
BTU HP EDR
MINIMUM FEE FOR ANY HEATING/COOLING/VENTILATION
REFRIGERATION/AIR CONDITIONING PERMIT IS $25.,00
PLUS THE $.50 STATE SURCHARGE
REINSPECTION FEE $42.00/Hr
HEATING COMPANY (�c�PS
Signed By
Approved By Rough—In Date
Tel No.
*Air Conditioners can not be placed in a side yard without FILL OUT BACK SIDE FOR STACK VERIFICATION ON
written permission from adjoining property owner. REPLACEMENT FURNACE
Final Date
CHINIl y AND STACK VERIFICATION
No
( )
The undersigned hereby verifies that the existing chimney or stack:.
No
( )
1. Has been carefully examined Yes(*)
No ( )
2. Is free from rust or deterioration Yes (
)
No ( )
3. Has no foreign objects lodged within Yes (
)
No ( )
4. Is securely supported . Yes (
)
No ( )
5. Meets all current Code requirements for size
and total BTU's connected Yes () No ( )
6 Has total heating BTU's of
All other BTU's
TOTAL BTU's
7. Has a liner been provided for water heater
8. Has combustion air been provided for water heater
Remarks: .
List ALTERATIONS Being Done:
HEATING CO:
Signed By:
Date:
Yes O
No
( )
Yes ()
No
( )
SUBJECT
P
City of Fridley
J3 0927
AT THE TOP OF THE TWINS
D U I L D I I i�
®E D w A I T
PERMIT
Ir?
® � v V
COMMUNITY DEVELOPMENT DIV.
r PROTECTIVE INSPECTION SEC
L = �����,•� CITY HALL FRIDLEY 55432
NUMBER
REV -
DATE
PAGE OF
APPROVED BY
-�--
L f\ 612-571-3450
910-F15
15/9/00
JOB ADDRESS 5801 Tennison Drive NE
I LEGAL
LOT NO.
BLOCK
TRACT OR ADDITION
SEE ATTACHED
DESCR.
7
2
1 Parkview Heights
SHEET
2 PROPERTY OWNER MAIL ADDRESS
ZIP PHONE
Loni/Tim Lyons 5801 Tennison Drive NE
574-9127
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
6 USE OF BUILDING
Residential
T CLASS OF WORK
❑ NEW O ADDITION ❑ ALTERATION REPAIR ❑ MOVE ❑ REMOVE
8 DESCRIBE WORK
Reroof House & Garage (25 Sq) Tear -off
9 CHANGE OF USE FROM TO
STIPULATIONS
Underlayment must comply with the 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 60 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 1STALLS
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
$2,185
$1.09
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 JHE PERFORMANCE OF CONSTRUCTION
$83.25
Fire SC $2.19
PLAN CHECK F
AL FEE
'
00,
7s,86.53
S.GNA uREOfC UTHORIZE GENT ATE, `I
HE PROPE VALID D THIS IS PE��IIT
/er
.GNA RE Of OWN Riif OWN BUIL� ,DATE,
B& iNSP
PATE
NEW [ ] Effective 1/1/2000
ADDN [ ] CITY OF FRIDLEY (763) 572-3604 Bldg Insp
ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2
BUILDING PERMITAPPLICATION
Construction Address: -2�,:L- F -
Legal Description:
Owner Name & Address: L o-x� 1 9 c �" r..J_e Tel. #
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
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: Estimated Cost:
Driveway Curb Cut Width Needed: Ft. + 6 Ft =
DATE: -� --0 6' APPLICANT:
Tel. #
CITY USE ONLY - Call (763) 572-3604 for Permit 6'e§ if mailing in application
Permit Fee $ c��- �S Fee Schedule on R v e Side
Fire Surcharge $- .001 of Permit Valuation (1/10th%)
State Surcharge $ 109 $.50/$1,000 Valuation
SAC Charge $_$1 100 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 $ 66,0
STIPULATIONS:
ob
BUILDING 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 $2,000
$2,001 to $25,000
$25,001 to $50,000
$50,001 to $100,000
$100,001 to $500,000
$500,001 to $1,000,000
$1,000,001 and up
FEES
$23.50
$23.50 for first $500 plus $3.05 for each additional $100 or
fraction thereof, to and including $2,0.00
$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 $50,000 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
$1,000 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 $1,000,000
$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 foot 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. New Houses Only