The URL can be used to link to this page

PRE 2010 DOCSM Date.............. i ......... Owner ++'!... Builder .............. 'Address .'I Address .... ... ....... LOCATION OF BUILDING ,r� No. .,a.... Sheet . ° °`, .. Part of Lot Lott. Block .. .. ... Addition or Sub -Division Corner Lot Inside Lot .. Setback ..'. Sideyard ............. ..... .... , DESCRIPTION OF BUILDING To be Used as Front do � ... Depth Height ......... Sq. 't......... Cu. Ft......... ....... .. .... Type of ConstructionI I Front ...... Depth ... . Height ... Sq. Ft. ........ Cu. Ft........ . Est: 'Cost e r. ... To be Completed 'I b consideration f the issuance to me of a permit to construct the building described above, I agree to do the proposed work in accordance with the description above, set forth and in compliance with all provisions of ordinances of the vill ge of Fridley. ....... .. ............................... •granted co sideration o the payment of a fee of $, •�,� permit is hereby to ' ; •addition .. .�:• to construct the buildin Sr as described above. permit i5 granted upon e express condition ,This at the person to whom, it is granted and his agents, employees and workmen, in all work done in, around and t pon said building, or any part thereof, shall conform in all ie9pccats to the ordinances of Fridley, Minnesota regarding location, construction, alteration, maintenance, repair and moving of buildings with- in the village limits d this permit may be revoked at any time u on violation of any ,of the provisions of said ordinances. a f, Bundm g Inspector IN'OTIQE. This permit doi a not cover the construction, installation or alteration for wiring, plumbing, gas heating, sewer or water. Besure to see the Building inspector for separate ,permits for those Items. BUILDING _ PERMIT Village of Fridley, n. N® 25 45 , � Y Date.. .: .. .. ........ ...... Owner a - . ...... Builder Address ... Address ... .. ...... ...... ....... LOCATION OF BUILDING No. .. Street Part of Lot . ... .. . Lot ....... Block .. ...... .. Addition or Sub -Division ............................... Corner Lot ..... Inside Lot . .: .. Setback .. Sideyard` ........... DESCRIPTION OF BUILDING To be Used as: N... Front .. Depth .. Height ac. Sq. Ft. _ a Cu. Ft, ........ ............. ... Front .... Depth .... Height .......... Sq. Ft. ....... Cu. Ft. ......... Type of Constructi 'I ✓j:. Est CosO&10 -. , ..:': , .... To be Completed , ... In c ideration of the issuance to me of a permit to construct the building described above, T agree to do the proposed work n..accordance with the description above set forth and in compliance with all provisions of ordinances of the ' age of Fridley. In co4e.ratio of the payment of a fee of $ ,. permit is hereby granted to .e.... to construct the 'building or'additian as described above. This permit is granted upon e exprenditio 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 egarding location, construction, alteration, maintenance, repair and moving of buildings with- in the village limits d this permit may be revoked at any time upn viol n of any of the provisions of said ordinances. ' rk' s. 1 '?- < ..:.. Building Inspector NO"TIM This permit oes not cover the construction, installation or alteration for wiring,plumbing, as heating, p 9, 9 9, sewer or water. a sure to see the Budding Inspector for separate permits for !!these items. PER City ®f Fr 2'23312233 AT THE TOP OF THE TWINS BUILDING PERMIT r ' , C I COMMUNITY DEVELOPMENT DIV. ` _ tr PROTECTIVE INSPECTION SEC. 0 CITY HALL FRIDLEY 55432 NUMBER REV, DATE PAGE OF APPROVED BV 612-571-3450 910-F15 3/17/94 JOB ADDRESS 4861 2 Street NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 26,Pt 27 3 P1 OU SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Gary Kammerer 4861 2ndt - 9 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. 425-4737 2535 Twin City ExteriorsCa 9060 7arbnRV T.nna X, Maple Greve--- 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 Reside Dwelling 9 CHANGEOFUSEFROM TO STIPULATIONS TYPE OF CONST. OCCUPANCY GROUP OCCUPANCYLOAD SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, VENTILATING OR AIR CONDITIONING. ZONING SQ. FT. CU. FT. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 80 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT NO. DWLG. UNITS OFFSTREET PARKING ANY TIME AFTER WORK IS COMMENCED. I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION 1 I 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 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT $3,700 $1.85 PERMIT FEE SAC CHARGE DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING COW STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. $63.00 Fire SC $3.70 PLAN CHECK FEE TOTAL FEE License SC 15.OQ WHEN PjD ERL LIDATED THIS IS YOURPERMIT SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT (DATE) BLDG I SP I DATE SIGNATURE OF OWNER OF OWNER BUILDERI (DATE) NEW { I Effective 3/1/92 ADDN { ] CITY OF FRIDLEY ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 Building Permit Application Construction Address: Owner" Name &Address Contrail Address: dS:� LIVING AREA: GARAGE AREA: DECK AREA: OTHER: dCENSE Tet. # 1%5- -z/ 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 Length , Width Height Length Width Hgt/Ground Sq. Ft. Sq. Ft. Sq. Ft Corner Lot [ J Inside Lot { ] Ft Yd Setback Side Yard Setbacks Type of Construction:�� Estimated Cost: $ 7l`� Approx. Completion Date:,-�/_— (cost on Back) Driveway Curb Cut Width .Needed: Ft. + 6 Ft — Ft x $ = $ DATE: f�� APPLICANT: Tel. #� „? 7� %' Permit Fee $ Fee Schedule on Reverse Side Fire Surcharge $ 3 .001 of Permit Valuation (1/10th%) State Surcharge $ / $.50/$1,000 Valuation SAC Charge $ $700 per SAC Unit License Surcharge $ (State Licensed Residential Contractors) Driveway Escrow $ Alt. "A" or Alt. "B" Above Park Fee $ Fee Determined by Engineering Sewer Main Charge $ Agreement Necessary [ I Not Necessary [ ) TOTAL STIPULATIONS: f CITY OF FRIDLEY INSPECTION DIVISION 6431 University Ave NE Effective On January 1, 1998 Fridley, MN 55432 APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION, 572-3604 REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES JOB ADDRESS 4 3 Co I -- a N o 51 nv C i D LEW mil RATE SCHEDULE '5 5- 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 Furnace $ 30.00 $_3 Q .C> 0 representations stated in this application are true and correct. (Side Vent - Fill Out Back) 10 — -.) -;I - ,1998 Gas Piping (Needed with new furnace) $10.00 $ OWNER 59/ -- 6,17i1 Gas Range $10.00 $ BUILDING USED AS i X01 Gas Dryer $10.00 $ � ESTIMATED COST y®® PERMIT NO. 13 *Air Conditioning - All Sizes $ 25.00 $ DESCRIPTION OF FURNACE AND OR BURNER All Others/Repairs & Alterations (LIST ON BACK) 1% of Value of Appliance or Work $ No. of Heating Units Circle One (Steam) (Hot Wat arm Air) Trade Name 5 Size No. T 0 Commercial./industrial BTU= -'gym cstro HP EDR 1.25% of Value of Appliance or Work $ Fuel Total Connected Load State .Surcharge TOTAL FEE $ .50 MINIMUM FEE FOR ANY HEATING/COOLING/VENTILATION REFRIGERATION/AIR CONDITIONING PERMIT IS $25.00 PLUS THE $.50 STATE SURCHARGE REINSPECTION FEE $42.00/Hr Burner Trade Name BTU HP Size No. EDR HEATINGCOMPANY &�IVE9 Ci-fV SRSE-T /77E7 -A(, Signed By ('/ Tel No. 1 Approved By ,2 Rough -In Date Final Dater -7 ( 2 S - P ss *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 CHIMNEY AND STACK VERIFICATION The undersigned hereby verifies that the existing chimney or stack: 1. Has been carefully examined Yes (/f No ( ) 2. Is free from rust or deterioration Yes V�F-No ( ) 3. Has no foreign objects lodged within Yes( /5 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 Yes (/5- N ( ) S. Has combustion air been provided for water heater Yes () No ( ) 0 Remarks: List ALTERATIONS Being Done: HEATING CO: Signed By: Date: CITY OF FRIDLEY INSPECTION DIViSION Effective On January 1, 2000 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 `1� �I 2'ns --51-_ RATE SCHEDULE OWNER ItY-UeV-e.r Residential Rate TOTAL Furnace Shell and Duct Work, Burner - BUILDING USED AS Also Replacement Furnace $ 30.00 $ (Side Vent - Fill Out Back) ESTIMATED COST Z90 PERMIT NOI ( c� Gas Piping (Needed with new furnace, $ 10.00 $ but not replacement) DESCRIPTION OF FURNACE AND OR BURNER Gas Range $ 10.00 $ Gas Dryer $ 10.00 $ No. of Heating Units Circle One (Steam) (Hot Water) (Warm Air) Trade Name Size No. *Air Conditioning - All Sizes $ 25.00 $ -198 BTU HP EDR Fuel Total Connected Load All Others/Repairs & Alterations (LIST ON BACK) Burner Trade Name Size No. 1% of Value of Appliance or Work $ BTU HP EDR Commercial/ Industrial 1.25% of Value of Appliance or Work $ The undersigned hereby makes application for a permit for the work herein State Surcharge $ specified agreeing to do all work in strict accordance with the City Codes an rulings of the Building Division, hereby declares .50 and that all the facts and TOTAL FEE $� representations stat(MA 1, Q4p icat'o are true and correct. c�irY ee Me4sl, Inc. 3 BlueblydCRkEN.1/1/, Coon Rapids, MN 55433 MINIMUM FEE FOR ANY HEATING/COOLING/VENTILATION HEATING CO 754-2199 REFRIGERATION/AIR CONDITIONING PERMIT IS $25.00 PLUS THE $.50 STATE SURCHARGE Signed ��7— TEL # REINSPECTION FEE $47.00/Hr *Air Conditioners can not be placed in a side yard without Approved By Rough -in Date Final Dat written permission from adjoining property owner. COMMON VENT, VENT CONNECTOR AND COMBUSTION AIR VERIFICATION When replacing an existing furance, the undersigned hereby verifies that the venting has been examined and is free from rust, deterioration, obstructions, and is securely supported and firestopped where required. Yes () No ( ) The venting system is plastic/PVC and meets all current codes and manufacturer specifications including sizing, length, number of elbows and termination. Yes () No ( ) The undersigned also verifies that the replacement unit is a listed assembly and meets the current codes and manufacturer's specifications. This does include AGA-GAMA Category I Central Furnace Venting Tables for fan assisted and natural draft appliances. Yes () No { ) The existing combustion air is sized and installed to meet the current codes and manufacturer's specifications. Yes () No ( ) When required to install a new combustion air, it will be sized and installed To meet the current codes and manufacturer's specifications. Yes () No ( ) When installing a new ventina system, the undersigned hereby verifies that it is a listed assembly and meets the current codes and manufacturer's specifications. This does include AGA-GAMA Category I Central Furnace Venting Tables for fan assisted and natural draft appliances. Yes () No ( ) Is the common vent and vent connectors sized and installed correctly after an appliance has been removed from the common vent and vented separately as per current codes. Yes( ) No ( ) Appliance Type and Size/Common Vent and Vent Connector Information Appliance #1 Type BTU Input Fan Assisted or Nat Appliance #2 Type BTU Input Fan Assisted or Nat Appliance #3 Type BTU Input Fan Assisted or Nat Total Appliances Total Btu Input Common Vent Type Vent Height Diameter inches Appliance #1 Vent Connector Height ft Length ft Diameter in Type Appliance #2 Vent Connector Height ft Length ft Diameter in Type Appliance #3 Vent Connector Height ft Length ft Diameter in Type ALTERATIONS: (Describe) HEATING CO: Signed By: Date : I CITYOF FRIDLEY FRIDLEY MUNICIPAL CENTER - 6431 UNIVERSITY AVE. N.E. FRIDLEY, MN 55432 - (763) 571-3450 - FAX (763) 571-1287 January 18, 2001 Gary Kammerer 48612 Street NE Fridley, MN 55421 Re: Final Inspection at 48612 Street NE Contractor: River City Sheet Metal Dear Mr. Kammerer: Mechanical permits were issued on October 22, 1998 and June 26, 2000 for the above noted address to install a replacement furnace and an air conditioner. According to Section 305(a) of the 1991 Uniform Mechanical Code a final inspection shall be performed on the mechanical permit. As of this date no inspection has been called for. The permit fee that was paid covers the inspector's time to check to make sure the furnace and air conditioner were installed correctly, that the State Mechanical Code has been complied with for installation of combustion air for fuel burning appliances and that the vent has been sized correctly with the correct vent connectors. You will be given thirty (30) days from receipt of this notice to respond. If we do not hear from you, your permit will expire and any inspections on this installation will require a new permit. Any questions can be addressed to myself at (763) 572-3603. rely DAV NSEN Build' nspector DJ/mh SUBJECT MIT NO. City of Fridley 32424 AT THE TOP OF THE TWINS BUILDING PERMIT P RECEIPT NO. COMMUNITY DEVELOPMENT DIV. _ � e PROTECTIVE INSPECTION SEC (�Q 1 NUMBER REV DATE PAGE OF APPROVED BY 1` �•9 CITY HALL FRIDLEY 55432 '•� L.___�% 612-571-3450 910-F15 2/12/02 108 ADDRESS 4861 2 Street NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 26 & pt 27 3 Plymouth Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS T,IP PHONE Gary Kammerer 4861 2 Street NE 763-571-6779 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 0 ADDITION ❑ ALTERATION FK7 REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Reside Garage 9 CHANGEOFUSEFROM TO STIPULATIONS Permit Inseiion Cards ili Ow Mailed To Homeowner o post 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 I 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 I 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 SE COMPLIED WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT $500 $.A0 DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PERMIT FEE SAC ARGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- STRUCTION OR THE PERFORMANCE OF CONSTRUCTION $2,3.50 Fre SC $ .50 PLAN CHECK FEET TAL FEE $24.50 SIGNATURE OF CONTRACTOROR AUTHORIZED AGENT IDATEI E P Y VALI ,ED+THIS IS VOUAPE�T C91 Bl GINSp DATE S-GNATURE OF OWNEROF OWNER BUILDERI IDATEI NEW (] CITY OF FRIDLEY Effective 1/1/2002 ADDN [ J 6431 University Ave NE, Fridley, MN 55432 (763) 572-3604 Bldg Insp ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION Construction Address: Legal Description: Owner Name & Address: 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: S✓JCS /ST/ � ;5� A Construction Type: Estimated Cost: $ ..��o• ep Driveway Curb Cut Width Needed: Ft + 6 Ft = Ft x $ = $ DATE: g Yi �Z APPLICANT: �/)Tel. # % 321- Call (763) 572-3604 for Permit Fees if mailing in application or Fax to 763-571-1287 if using credit card and we will call you for card number. CITY USE ONLY - Permit Fee $ 'we. 5-e> Fee Schedule on Reverse Side Fire Surcharge $ • SG .001 of Permit Valuation (1/10th%) State Surcharge $ . S'�) $.50/$1,000 Valuation SAC Charge $ r $1200 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 $ STIPULATIONS: Cf1YOF FRIDLEY FRIDLEY MUNICIPAL CENTER • 6431 UNIVERSITY AVE. N.E. FRIDLEY, MN 55432 • (763) 571-3450 • FAX (763) 571-1287 May 6, 2002 Gary Kammerer 4861 2nd Street NE Fridley MN 554421 Re: Paved Driveways Dear Mr. Kammerer: In 1997, the City Council adopted an ordinance declaring gravel driveways a public nuisance. They were declared a public nuisance for a number of reasons, such as: they can cause erosion, contaminate soil with oil and other vehicles fluids, and deposit soil and gravel in the City's storm sewers and detention ponds. When gravel driveways were declared a public nuisance, the City Council gave property owners five years to have their gravel driveways paved. The five-year deadline is quickly approaching, which means all gravel driveways within the City of Fridley must be paved with approved concrete or asphalt by December 31, 2002. If on December 31, 2002, your driveway hasn't been paved a citation will be issued and filed at the Anoka County Courthouse. A misdemeanor citation is a criminal offense and is punishable by up to 90 days in jail and/or a $700 fine. If you've already paved your driveways, Thank you! Please call me at 763-572-3595, so I can update our files. For your convenience, a brochure on the City's loan program has been enclosed. You can use this loan program to acquire financing for your driveway improvement project. Please call Jim Hesnik at 612-335-2651, if you have any questions regarding this program. Thank you for your cooperation! As you successfully complete your driveway improvement project, please call me at 763-572-3595, so I can do an inspection of your property and update our files. If you have any other questions, please feel free to call me at the above number. Sincerely, StacnSt mberg Planner C-02-53 From: unknown Page: 215 Date: 8/29/2006 2:57:20 PM .. From: City of Fridley To: 651-6464273 Page: 4/5 Date: 81291200610:38:19 AM f p JJJ i r . Building Permit Fee $,_�27 BUILDING Plan Review Permit No.: 65% of Building Permit Fee Fire Surcharge RESIDENTIAL APPLICATION .001 times the total job valuation Received By. 763-572-3604 .0005 x Permit Valuation Minimum $.50 License Surcharge $ 5100 $5.00 (State Licensed Residential Contractors) Date Rec'd: $ $1550 per SAC Unit (Plans to MWCC for determination) Curb Cut Escrow CITY OF FRIDLEY ft + 6 R = fix $21 = $ Erosion Control DATEXOUR $450 Conservation Plan Review E- DRESS ---_-_ - - $ITE ADDRESS Sewer Main Charge AI Agreement necessary ( ) Non Necessary ( ) THIS APPLICANT IS: ❑ OWNER 56NTRACTOR PROPERTY OWNER/ NAM: TENANT ADDRESS: CITY STAT CONTRACTOR NAS: SUBMIT A COPY OF STATE LICENSE # EXP DATE C YOUR STATE LICENSE ADDRESS:In&CITY R.tta,J STz1Pyfw WITH APPLICATION FAX "' - PROPERTY TYPE snv F LY C I.—MU ION SIZE 17 TWO FAMILYMEW CONSTRUCTION STORIES PERMIT TYPE C ADDITION gARAGEtSHED 0 WINDOWS C BASEMENT FINISH OOF 0 DRAIN TILE 0 DECK O SING MOTHER DSWIM IINGPOOL TYPE OF WORK: 13 NEW D ADDITION 0MARMW2ANC&fREPAIR D REMODELING DESCRIBE WORK BEING DONE: SIZE OF IMPROVEMENT LENGTH WIDWH HEIGHT Sq. Ft ROWD�F�OUSE ONLY NUMBER OF SQUARES 6 OUSE & GARAGE BASEMENT REMODELING SUBMIT: GARAGES 0 ATTACHED GARAGE 1. 2. Existing Floor Pian Proposed floor plan PROPOSED SIZE: PROPOSED HEIGHT: D DETACHED GARAGE 3. List of structural members to be used MING FOR NEW CONSTRUCTION INCLUDING DECKS. 0 Vinyl l3Soffit DTrIONS. & PORCHES 11.E 0 Afumimrm O Trim 1. Site Plea/Survey showing the existing structures D Other D Fascia and proposed project yWOOWS 2. Two sets of consrtution plans IN EXISTING OPENINGS Dyes CNo LOCATION OF WINDOWS 3. Energy Calculations OR FORNEW OPENINGS -DESCRIBE SIZE OF OPENING CHANGES & TYPE OF WINDOW TO BE INSTALLED NUMBER OF WINDOWS ALL FEES ARE BASED ON VALUATION, INCLUDING THE COST OF LABOR AND MATERiA•LS: (USING 1997 U.B.0 FEE SCHEDULE) TOTAL JOB VALUATIONS OCCUPANCY TYPE Permit Fee $,_�27 See Back Page for Fee Schedule Plan Review $ 65% of Building Permit Fee Fire Surcharge $ .001 times the total job valuation Surcharge $ 9 1 q .0005 x Permit Valuation Minimum $.50 License Surcharge $ 5100 $5.00 (State Licensed Residential Contractors) SAC Charge $ $1550 per SAC Unit (Plans to MWCC for determination) Curb Cut Escrow $ ft + 6 R = fix $21 = $ Erosion Control $ $450 Conservation Plan Review ftgvFm ke $ Fee Determined by Engineering Sewer Main Charge $ Agreement necessary ( ) Non Necessary ( ) Total Dae $ tq-,L . Make checks payable to: City of Fridley Attach Stipulations THIS IS AN APPLICATION FOR A PERMIT -NOT VALID UNTIL PROCESSED I hereby apply for a building permit and I acknowledge that the information above is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Fridley and with the Minnesota Construction Codes; that I understand this is not a. permit but only an application fora ermit and work is not to start without a permit; that the work will be in accor cowith approved plan in the case of all work X11k h r&isps review and approval of plans. _ _ - ��„t � �,. SIGNATURE OF APPLICANT