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PRE 2010 DOCSSUBJECT PE City of Fridley 19913 AT THE TOP OF THE TWINS BUILDING PERMIT _ r RECEIP • COMMUNITY DEVELOPMENT DIV. r PROTECTIVE INSPECTION SEC. I � i CITY HALL FRIDLEY 55432 �•j NUMBER REV. DATE 5/23/89 PAGE OF APPROVED BY 612-571-3450 910-F15 JOB ADDRESS 5885 Tennison Drive N.E. 1 LEGAL LOT NO. 2 BLOCK 1 TRACTOR ADDITION Parkview Manor SEE ATTACHED SHEET DESCR. 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Mike Wiltfang 5885 Tennison Drive N.E. 572-9895 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 [)I REPAIR ❑ MOVE ❑ REMOVE B DESCRIBE WORK Reroof Dwelling (16 Squares) 2nd Layer 9 CHANGE OF USE FROM TO STIPULATIONS Roof can be 2nd layer but not 3rd. Install ridged galvanized valleys. 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 rJFFSTREET PARKING 1 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 VALUATION0 SUPTAt AND ,ORDINANCES GOVERNING THIS TYPE OF' WORK WILL BE COMPLIED e 50 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PERMIT FEESACCHARGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- $21.00 STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. � PLAN CHECK p. , f'FEE TOTAL FEE '� �21,e 5� SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT IDATEI .- �1 E VN P ERLY V IDATED THIS IS YOUR PERMIT �% ��jj B Yom_ BLDG INSP // �f' C��` �! � ,3 pai SIGNATURE OF OW NER pF OWNER BUILDERI (DATE) NEW [ ] Effective 5/1/88` ADEN [ ] R-1 AND R-2 ALTS [ ] Building Permit Application /3 . Construction Address: l—wasp [5 ®,IJ `�2PJ r L Q/ -L-? Legal Description: Owner Name & Address: c C� �`� � �-c, ,'�� 5 1 ��g 6�9 TvSg jtl . # 512- Ui5 Contractor: 6 Tel. # Address: Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DFSt tIPTION OF n4mvEmm LIVING AREA: Length Width Height Sq. Ft. GARAGE AREA: Length Width Height Sq. Ft. DECK AREA: length Width Hgt/Ground Sq. Ft. OTHER:-� 2 `'� l P",tom.. — l (n 55„ Corner lot [ ] Inside Lot [ ] Ft. Yd Setback Side Yard Setbacks Type of Construction: A6djsaj 244f®t' Estimated Cost: $ Approx. Completion Date: 2- W kje-4 Proposed Driveway Width If New Opening Is Desired: Ft. $. $ Width + 6' See Back Page DATE: Appuauu: Tel. # '572 Permit Fee $ owl 00 State Surcharge $ �� SAC Charge $ Driveway Escrow $ Park Fee $ Sewer Main Charge $ STIPULATIONS: CITY USE O1�II,Y Fee Schedule on Reverse Side $.50/$1,000 Valuation $575 per SAC Unit Alt. "A" or Alt. "B" Above Fee Determined by Engineering Agreement Necessary [ ] Not Necessary [ ] a, v I:!q at 6 1 ��Sp JDI Vim 43i' W,I�i��l� r 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: $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 $15 (Minimum Fee is $15 plus surcharge) $15 for first $500 plus $2 for each additional $100 or fraction thereof, to and including $2,000 $45 for first $2,000 plus $9 for each additional $1,000 or fraction thereof, to and including $25,000 $252 for first $25,000 plus $6.50 for each additional $1,000 or fraction thereof, to and including $50,000 $414.50 for first $50,000 plus $4.50 for each additional $1,000 or fraction thereof, to and including $100,000 $639.50 for first $100,000 plus $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 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. Permits for construction will be issued a mini.nu m of 24 hours from the time of application to alba 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. M SUBJECT City of Fridley AT THE TOP OF THE TWINS BUILDING PERMIT RECEIPT NO. Ir �` COMMUNITY DEVELOPMENT DIV r I r PROTECTIVE INSPECTION SEC 1 r r NUMBER REV DATE PAGE OF APPROVED BY CITY HALL FRIDLEY 55432 612-571-3450 910-F15 7/10/95 JOB ADDRESS 5885 Tennison Drive NE I LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 2 1 Parkview Manor SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Michael/Linda Wiltfang 5885 Tennison Drive NE 572-9895 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 Finish basement 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. 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 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 $2,500 $1.25 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 $45.00 Fire SC $2.50 PLAN CHECK FEE TOTAL FEE $48.75 SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT IDATE� ..WHEN PROPERL ALIDATED THIS IS YOUR PERMIT BLO INSP I)A E ATURE OF OWNER iiF NER BUi E ATEi M NEW [ ] - . I Effective 1/1/95 ADDN [ ] CITY OF FRIDLEY ALTER 1A SINGLE FAMILY AND DUPLEXES R-1 AND R-2 Building Permit Application Construction Address: Legal Description: Contractor: S -S-&5 e7ev "V/5 0'j C'�CO-F 3 4--o L lc Iii N c Owner Name & Address: '1j A (cf.(AC � -0( L,,,Vo A v,) / %i4AA16 '55- Tel. # � 7 2 — S 8'95- Contractor: ® t'W .. MN LICENSE # Address: GARAGE AREA: DECK AREA: OTHER: Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF IMPROVEMENT Length Length Length , Tel. # Width Z �`(� Height '7 c Width Height Width Hgt/Ground _ � f m 'J Sq. Ft. Sq. Ft. Sq. Ft. Corner Lot [ j Inside Lot M Ft. Yd Setback yV. —i #4 PP Side Yard Setbacks Ale 7- APP Type of Construction: % Se i n f l / &L f t, . ueA — Estimated Cost: $ 2-® o `' 300 o Approx. Completion Date: A v j F 5 (Cost on Back) Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ _ $ DATE: i � APPLICANT: Tel. # ITY USE ONLY Permit Fee $ ��0'0 Fee Schedule on Reverse Side Fire Surcharge $ .001 of Permit Valuation (1 / 10th %) State Surcharge $ $.50/$1,000 Valuation SAC Charge $ $850 per SAC Unit License Surcharge $ $5.00 (State Licensed Residential Contractors) Driveway Escrow $ Alt. "A" or Alt. "B" Above Erosion Control $ $450.0 Conservation Plan Review Park Fee $ Fee Determined by Engineering Sewer Main Charge $ Agreement Necessary [ ] Not Necessary [ ] TOTAL STIPULATIONS: , IMILDING PERMIT FEE: SCIIEDULE The Chid, Building official shall, before issuing permits for the erection of- any building or stricture, 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 tite payment by the applicant for such permit of, fees to the amount herein below set firth and in the manner herein provided to -wit: 1'0TA L VALUE FEES $1 to $500 $15 (Minimum Fee is $15 plus surcharge) $501 to $2,000 $15 for fust $500 plus $2 for each additional $100 or fraction thereof, to and including $2,000 - $2,001 to $25,000 $45 for first $2,000 plus $9 for each additional $1;000 or fraction thereof, to and including $25,000 $25;001 to $50,000 $252 for fust $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 $450 for each additional .$1,000 or fraction thereof, to and including $100,000 $100,001 to $500,000 $63950 for flist -$100,00 plus -$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 fust $500,000 plus $3 for each additional $1,000 or fractidn 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 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 die foundation once it has it has been constructed will be required before proceeding with the framing_ CITY OF FRIDLEY INSPECTION DIV. 6431 University Ave NE Fridley, MN 55432 572-3604 PLUMBING FIXTURE RATES; Effective:On January 1;1995 , APPLICATION FOR PLUMBING AND GAS FITTING PERMIT MARK NUMBER OF FIXTURES TO BE INSTALLED.ON EACH FLOOR Wash Drtn! �; " Flclor at" Auto. Gas ''''"u' Gas Misc Water Heater. l Shower ;, Erik ,,; Tray :;.,_;� Drain 5_:,.. „i,,: Wisher 'A„ I,iu .. > ange Fi�ct WR Gas Elec 1 . ..M .t L NO. RATE TOTAL JOB ADDRESS New Fixtures $ 7.00 Old Opening, New Fixture $ 4.00 Beer Dispenser $ 5.00 Blow Off Basin $ 7.00 Catch Basin $ 7.00 Rain Water Leader $ 7.00 Sump/Receiving Tank $ 7.00 Water Treating Appliance $10.00 Water Heater —Electric $ 7.00 Water Heater — Gas $10.00 Gas Range $10.00 Gas Dryer $10.00 Back Flow Preventer Required ( )Yes () No Type $5.00 Reinspection Fee $30.00 ALL OTHERS AND/OR REPAIRS AND ALTERATIONS 1% of Value of Fixture or Appliance State Surcharge .50 TOTAL FEE $ sz) 0 I �r The undersighed.hereby makes application fora permit for.the work herein specified agreeing todo'all'work in strict acdordsChoe with the -city codes and rulings of the Building Division, and hereby declares that all the facts and representations stated In this application are.true and correct. 5 72 ,1995 Owner + Building Used As st lm C 411L Estimated Cos PERMIT NO.. 113 e PLUMBING COMPANY �I SIGNED BYs TEL.NO. � Approved B Rough—In Date Final Date MINIMUM FEE FOR ANY PLUMBING/GAS1PERMIT IS $15.00 PLUS THE $.50 STATE SURCHARGE U 01, SUBJECT ERM City of Fridley 33783 AT THE TOP OF THE TWINS BUILDING PERMI r COMMUNITY DEVELOPMENT DIV. r � PROTECTIVE INSPECTION SEC. � NUMBER NEv DATE PAGE Of APPROVED BY CITY HALL FRIDLEY 55432 1 763-571-3450 910-Ft5 8/8/03 JOB ADDRESS 5885 Tennison Drive NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 2 1 Parkview Manor SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Michael Wiltfang 5885 Tennison Drive NE 763-572-9895 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 ❑ NEW ❑ ADDITION ❑ ALTERATION 0. REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Reroof House & Garage (22 Sq) Tear -off 9 CHANGE OF USE FROM TO STIPULATIONS Underlayment must comply with the State Building Code. 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 80 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS OFFSTREET PARKING I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION 1 STALLS GARAGES 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 $2,547 $1.27 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- $83.25 Fire SC $2.55 STRUCTION OR THE PERFORMANCE OF CONSTRUCTION PLAN CHECK FEE TOTAL FEE $87.07 SIG IATUAE OF CON'RACTOR OA AUTHORIZED GENT tOATEI HEN PROPERLY VALIDATED THIS IS YO IR P RMIT S-GNATURE OF OW I C IDATEI LOG INSP U 01, NEW [ j CITY OF FRIDLEY Effective 1/1/2003 ADDN [ J 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 Address: 6bks Til//, / fo.", 2— /y6-- Legal y6 Legal Description: Owner Name & Address: Tel. # Contractor. MN LICENSE # Address: 'xe3e%. �vr>i� Tel. # LIVING AREA: GARAGE AREA: DECK AREA: OTHER: Construction Type:_ Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF IMPROVEMENT Length Width Height Sq. Ft. Length Width Height Sq. Ft. TMIT.n11 1-Inf/rim ind So- Ft_ Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x ll i DATE: C1 APPLICANT: Tel. 76 Call (763) 572-3604 for Permit Fees if mailing in application. ax to 763-571-1287 if using credit card and we will call you for card number. Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Curb Cut Escrow Erosion Control Park Fee Sewer Main Charge TOTAL CITY USE ONLY - Fee Schedule on Reverse Side .001 of Permit Valuation (1/10th%) $.50/$1,000 Valuation $1275 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 [ ] 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 $2,000 $69.25 for first $2,000 plus $14.00 for each additional $1,000 or fraction thereof, to and including $25,000 $391.25 for first $25,000 plus $10.10 for each additional $1,000 or fraction thereof, to and including $50,000 $643.75 for first $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 CURB CUT ESCROW (Concrete Curb Streets Only) Removal and replacement of curb and gutter only - driveway width plus 6 feet, times the annually determined rate. 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. VERIFICATION OF FOUNDATION A Certificate of Survey of the lot, showing the location of the existing, foundation will be required before proceeding with the framing. New Houses Only ��61—MR Building $ BUILDING Plan Review Permit No.: Inspections Fire Surcharge RESIDENTIAL APPLICATION d .001 times the total job valuation Received By: 763-572-3604 ,�.0005 x Permit Valuation Minimum $.50 CITY OF FRIDLEY $ Date Recd: ` �� " DATE 63 / 3 ` (� 6 YOUR E-MAIL ADDRESS M ty / I �c v. q (J ��w rr.�tiq ac C?A" t , C U rr. SITE ADDRESS 88 %�L �✓� f� AJ & / Curb Cut Escrow THIS APPLICANT IS: PCOWNER (]CONTRACTOR Erosion Control PROPERTY OWNER) NAME: / /<t /AP I{-% i:- 4 AJ Park Fee TENANTADDRESS: S 9 & S' % e'�v "J "-S CITY �2i •� c y STATF LIP S S q-3i- $ PHONE: 7-7(,3) $ 7 a P g S i S Total Dae CONTRACTOR NAME: STATE LICENSE # EXP DATE THIS IS AN APPLICATION FOR A PERMTf--NOT VALID UNTIL PROCESSED SUBMIT A COPY OF YOUR STATE LICENSE ADDRESS: CITY STATE ZIP WITH APPLICATION PHONE FAX PROPERTY TYPE SINGLE FAMILY/NEW CONSTRUCTION SIZE 0 TWO FAMILY/NEW CONSTRUCTION STORIES PERWW TYPE ADDITION 0 GARAGE/SHED WINDOWS O BASEMENT FINISH 0 ROOF O DRAIN TILE ❑ DECK 0 SIDING ® OTHER O SWIMMING POOL TYPE OF WORK. 17 NEW o ADDITION ❑ MAINTENANCE/REPAIRREMODELING IN y f NS Tvu u.. JVEc�, c.�i A✓6a cress DESCRIBE WORK BEING DONE: '-A4oVF4�L. aLi SIZE OF IMPROVEMENT s LENGTH / Z6 a WIDTH (,0"' HEIGHT 8 Sq. Ft. (o ROOFING ❑ HOUSE ONLY NUMBER OF SQUARES ❑ HOUSE & GARAGE BASEMENT REMODELING SUBMIL GARAGES 11 ATTACHED GARAGE 1. I Egg Floor Plan Proposed floor plan PROPOSED SIZE: 17 DETACHED GARAGE 3. List of structural members to be used PROPOSED HEIGHT: SIDING FOR NEW CONSTRUCTION INCLUDING DECKS, • Vinyl OSofl'd ADDITIONS. & PORCHES SUBMIT: • Aluminum ❑ Trim 1. Site Plan/Survey showing the existing sbuctures ❑ Other 0 Fascia and proposed project 2. Two sets of construction plans WINDOWS IN EXISTING OPENINGS OYes )<No IACATION OF WINDOWS3. Energy Calculations OR FOR NEW OPENINGS-DESCRIBE SIZE OF /- &eX !S7 P, 2- — a°/ X & O OPENING CHANGES & TYPE OF WINDOW TO BE INSTALLED e,oq a z NUMBER OF WINDOWS ALL FEES ARE BASED ON VALUATION, INCLUDING THE COST OF LABOR AND MATERIALS: (USING47 997 1U.B.0 FEE SCHEDULE) TOTAL JOB VALUATION $ O O OCCUPANCY TYPE Permit Fee $ See Back Page for Fee Schedule Plan Review $ l' ' 650% of Building Permit Fee Fire Surcharge $ d .001 times the total job valuation Surcharge $ ,�.0005 x Permit Valuation Minimum $.50 License Surcharge $ $5.00 (State Licensed Residential Contractors) SAC Charge $ $1550 per SAC Unit (Plans to MWCC for determination) Curb Cut Escrow $ ft + 6 ft = ft x $21= $ Erosion Control $ $450 Conservation Plan Review Park Fee $ Fee Determined by Engineering Sewer Main Charge $ Agreement necessary ( ) Non Necessary ( ) Total Dae $ v . Make checks payable to: City of Fridley Attar THIS IS AN APPLICATION FOR A PERMTf--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 codes of the City of Fridley and with the Minnesota. Constriction Codes; that I understand this is not a permit but only an application for a permit and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of all work w0c) requires rv*yO * Wm)4 of plans. SIGNATURE OF APPLICANT NIC AOCc.— fin) d 7- krd -r} NN) �e o ul:3;21) g� 1.50 `hydfvirV7 Me 3,d4, ..-�.raz/a� Do 7'YY5' n./ q rzpc�v/M duni7141 P �(�� v�l6l7r!*f.nl/ ��1iM a fG/S lsara �..� .rr�ooN�M -9f�rl S/al,�' � o1S.�2� //.�1 ry, Ni7/7 D! 2/• �� d �G� 9/ � no 3-�d7/�9� -� nQNi�Si�G� ��/ �/ w '-i2,-F Zn --ra, ...WALc. 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