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PRE 2010 DOCSVillage of Fridley, Minn. BUILDING PERMIT ° 1868 Date: ........... Owner....................................... Builder ... "A'. �... � ........ . Address ...................................... Address ...... �.. LO,�A���� OF BUILDING 07 No. .... ..... Street ... ... �............... Part of Lot Lotj6.A 1A k . Block ..... C .......... Addition or Sub -Division ..... .. . �% s Corner Lot ........... Inside Lot ........... Setback .c .+... Sideyard ....... ..................... DESCRIPTION OF BUILDING To be Used " Front .��. Depth ...?1 Height ./.7:4. Sq. Ft. ........ Cu. Ft. ........ ;. ............. Front .... Depth . "�`� .. Height . � . � Sq. Ft. ........ Cu. Ft. ........ �/ y cC Gi 8,7 Type of Construction ..= A!!'.... Est. Cost .. ....:-...... To be Completed ............. . . In consideration of the issuance to me of a permit to construct the building described above, I agree to do _i the proposed work in accordance with the description above set forth and in compliance with all provisions of ordinances of the village of Fridley. .....�.... ......... �� .- .. o In consideration of the payment of a fee of $ permit is hereby granted to ......................... to construct the building or addition as described above. This permit is granted upon the express condition that the'person to whom it is granted and his agents, employees and workmen, in all work done in, around and upon said building, or any part thereof, shall conform in all respects to the ordinances of Fridley, Minnesota regarding location, construction, alteration, maintenance, repair and moving of buildings with- in the village limits and this permit may be revoked at any time upon violation of any of the provisions of said ordinances. pp ....... .....:G......... Building Inspector NOTICE: This permit does not cover the construction, installation or alteration for wiring, plumbing, gas heating, sewer or water. Be sure to see the Building Inspector for separate permits for these items. • • 0 Date: City of Fridley, Minn. BUILDING PERMIT April 25, 1969 Owner: Ernest Erovick guilder Same Address 6 07 0 3rd S t . N. E. Adm Sam@ LOCATION OF BUILDING No. 6 07 0 Street 3rd S t . K, E. _ Part of Lot Lot EO .—f -1 --al, g � 6 — Addition or Sub -Division . Hyde Park Addn . Corner Lot _ Inside Lot — Setback —_ Sideyard Sewer Elevation ___ _ _. Foundation Elevation N° 10203 DESCRIPTION OF BUILDING To be Used as: Garage' Front 24' Depth 24' Height 10' Sq. Ft. 576 Cu. F, 5760 Front Depth Height Sq. Ft. cu. Ft. Type of Construction _ Frame Est. Cost —$800 X00 __ To be Completed T F In consideration of the issuance to me of a permit to construct the building described above I agree to do the proposed work in accordance with the description above set forth and in compliance with 21 provisions of ordinances of the city of Fridley. In consideration of the payment of a fee of $ 9.00 , permit is hereby granted to Ernest Erovick 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 reg location, construction, alteration, maintenance, repair and moving of buildings within the city limits and permit may be revoked at any time upon violation of any of the provisions of said ordinances. NOTICE: M permit does not cover the construction, tnstaMon for WWng, Plumbing, gas hosting, sower or water. Be con to no the Buihling inspector for separate permits for then items. -.s APPLICATION FOR BUILDING PERMIT CITY OF FRIDLEY, MINNESOTA OWNER 'S NAME_&M /' %' M e�Z: S7 1/'f GIT BUILDER ADDRESS ZO % 0 "" 3�A s o ADDRESS LOCATION'OF BUILDING NO. P� G ?0 STREET LOT ( & 1,,,2,-3 BLOCK ADDITION OR SUBDIVISION � Z. CORNER LOT INSIDE LOT SETBACK SIDEYARD SEWER ELEVATION TOP OF FOOTING Applicant attach to this form Two Certificates of Survey of Lot and proposed building location drawn on these Certificates. DESCRIPTION OF BUILDING To Be Used As: r a EM o.6 ELni4P, Front (tii"'" Depth Height_��`�O _...._ Square feet C Cubic Feet -26 Front Depth Height Square feet Cubic Feet Type of Construction Estimated Cost To Be Completed —5ag t, 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 P % 7 196 % SIGNATURE /„ '�L'� f--4� (Schedule of Fee Costs can be found on the Reverse Side.) City of Fridley, Minn. 1 13 6 2 6431 University Ave. N. E., Minneapolis, Minn. 55432 BUILDING PERMIT Date: _ March 27, 1972 Owner: Ernest Erovich Builder Thompson's Bldg Mart .Address 6070 3rd Street N.E. Address 3639 Nicolet Mpls No 6070 Street Lot 10 20 3 Block LOCATION OF BUILDING 3rd Street N.E. part of Lot 6 Addition or Sub -Division Hyde Park Corner Lot inside Lot Setback Sideyard Sewer Elevation Foundation Elevation DESCRIPTION OF BUILDING To be Used as: Siding Front Depth Height y Sq. Ft. _ Cu. Ft. Front Depth Height Sq. Ft. Cu. Ft. .type of ConrUmctiion Steil Siding Eat. cost_ 1,420.00 To be Completed _ _ 4/30/72 In consideration of the issuance to me of a permit to construct the building described above, I agree to do 'L'lte proposed work in accordance with the description above set and in compliance with all provisions of ordinances of the city of Fridley. _ / 1% ' In consideration of the payment of a fee of $ 9.00 , permit is hereby granted to Thompson Bldg. Mart to construct the building or addition as described above. This permit is granted 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 1Wdley, Minnesota regarding location, construction, alteration, maintenance, repair and moving of buildings n� city limits and this permit may be revoked at any time upon violation of any of the provisions of said ordfizBuilding Inspector 0-1 Clarence Belisle NOTICE: This permit does not cover the construction, installation for wiring, plumbing, gas heating, sewer or water. Be sure to see the Building inspector for separate permits for these hems. APPLICATION FOR RESIDENTIAL, ALTERATION, OR ADDITION BUILDING PERMIT CITY OF FRIDLEY, MINNESOTA OWNER'S i: 4� E• ADDRESS: ��Q 7d ADDRESS:. NO • 1,,O 70 STREET • 3/ w zz F, LOT: 4 g2'; 3 BLOCK: � � ADDITION: CORNER LOT: INSIDE LOT: SETBACK: SIDEYARD: Applicant attach to this form Two Certificates of Survey of Lot and proposed building location drawn on these Certificates. To Be Used As: DESCRIPTION OF BUILDING Front: Depth: Height: Square Feet: Cubic Feet: Front: Depth: Height: Square Feet; Cubic Feet: Type of Construction: • Estimated Cost: $ /� O To Be Completed: Z-22� The undersigned hereby makes application for a permit for the work herein specified, agreeing to do all work in sttict accordance with the City of Fridley Ordinances and rulings of the Department of Buildings, and hereby declares that all the facts and representations stated in this application are true and correct. DATE: SIGNATURE• (See Reverse Side For Additional Information.) SUBJECT AER City of Fridley 142 18509 AT THE TOP OF THE TWINS BUILDING PERMIT RECEIPT NO. ` COMMUNITY DEVELOPMENT DIV. y______ /® 9.'1 r PROTECTIVE INSPECTION SEC. 4Q 1 CITY HALL FRIDLEY 55432 NUMBER REV, DATE PAGE OF APPROVED BY 612-571-3450 910-F15 6/19/86 JOB ADDRESS 6070 - 3rd Street N.E. 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. Ell 1 , 2,3 6 Hyde Park SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE XXX Ernest Erovich 6070 - 3rd Street N.E. 571-1823 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 Reroof Dwelling 9 CHANGEOFUSEFROM 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. Fiberglass 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 ISTALLS GARAGES AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS VALUATION SURTAX AND GOVERNING THIS TYPE OF WORK WILL BE COMPLIED ,ORDINANCES WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT $1,300 $.65 DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PERMIT FEE SAC CHARGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW AEGULATING CON- STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. $22.00 PLAN CHECK FEE TOTAL FEE $22.65 SI ATURE OF CONTRACTOR AUTHORIZEDAGENT (DATE) WHEN PROPERLY VAtVATED THIS IS YOUR PERMIT 1 r � iGNA U EOF OWNER U WNER BUILDER) IDATEI BLDG INSP ATE NEW [ ] City of Fridley Effective 4/1/86 ADDN. [ ] R-1 AND R-2 ALTER. [ ] Building Permit Application Construction Address: A51 7 0 4U Legal Description: Owner Name & Address: ILTel. # 3'71 Ag Contractor: # Address: LIVING AREA: nARAr.R ARRA 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 Length DESCRIPTION OF IMPROVEMENT Width Width Width Height Height Hgt/Ground Sq. Ft. Sq. Ft. Sq. Ft. Corner Lot [ ] Inside Lot [ ] Ft. Yd. Setback Side Yard Setback P Type of Construction: GD Estimated Cost: $ Approx. Completion Date: Alt. A Alt B Proposed Driveway Width If New Opening Is Desired: $ $ See Back Page for Explanation 3 5-71- DATE: APPLICANT: �-�� � Tel. � Permit Fee Plan Check State Surcharge SAC Charge Park Fee Sewer Main Charge TOTAL STIPULATIONS: CITY. USE ONLY Fee Schedule on Reverse Side 25% of Building Permit Fee $.50/$1,000 Valuation $475 per SAC Unit Fee Determined by Engineering Agreement Necessary [ ] Not Necessary [ ] SUBJECT City of Fridley P92 �60 AT THE TOP OF THE TWINS BUILDING PERMIT , _ COMMUNITY DEVELOPMENT DIV. L PROTECTIVE INSPECTION SEC. B� , NUMBER REV DATE PAGE OF APPROVED BY E CITY HALL FRIDLEY 55432 612-571-3450 910-F15 6/3/91 / JOB ADDRESS 6070 - 3rd Street NE 1 LEGALLOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. Eli 1, 2, 3 6 Hyde Park SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Ernest Erovick 6070 - 3rd Street NE 571-1823 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 J] ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Change windows & doors in breezeway 9 CHANGE OF USE FROM TO STIPULATIONS Glass in doors and within 12 inches of a door must be safety glass. Glass closer than 18 inches of: the floor and also 9 square feet or more must be.safety glass or be protected by a la inch.chair rail mounted 24 to 36 inches above the floor.. TYPE OF CONST. OCCUPANCY GROUP OCCUPANCYLOAD 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 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 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 $2,000 $1.00, 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- $45.01) Fire SC $2.00 STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. PLAN CHECK FEE TOTAL FEE $48.00 ATUREOFCONTRACTO AUTHORIZED A•ISENT IDATEI WHEN OP LY AT T IS IS YOUR PERMIT BLDG INSP O T S ,NATURE OF 11F OWNER BUILDERI IDATEI NEW [ ] Effective 1/1/91 ADEN [ ] R-1 AMID R-2 ALTER Building Permit Application ••; ti N446 .' • .1 --- 04 -M • .' Owner Name & gess: jL"fi NF F ?0 V` 6-/, , /('1/1 Aelpl)F.' w • 0 -� I /'F 9 Ooartractr�• Tel � Attach to this application, a Certificate of Survey of the lot, with the proposed cocntnycticn drawn cn it to scale. rpFQtIF'PICM CW II VF1!@TP L1VI1G ARBA: Length Width Height Sq. Ft. GRMIM AIM: Length Width Height Sq. Ft. DECK AREA: Iexgth Width Hgt/Grazed Sq. Ft. on=: V HA2 0A'-)cens "� )r,2 Corner Lot lk Inside Lot [ ] Ft. Yd Setback Side Yard Setbacks Type of Construction: Estimated Cost: Approx. Cmpletion Date: p Xmposed Driveway Width If New Opening Is Desired: Ft. $ $ C�^ Width + 6' See Hack Page DATE: / APF' zaw na . # Permit Fee 10r, Fire Surcharge $ 2,00 State Surcharge $ ! 60 SAC Charge $ Driveway Escrow $ Park Fee $ Sewer Main Charge $ Tom $ , DC, Cm M tAIDY Fee Sciedule on Reverse Side .001 x Permit Valuation (1/10th $) 2 O o $.50/$1,000 Valuation $650 per SAC Unit Alt. "A" or Alt. "B" Above Fee Determined by hgi rear ng Agreement Necessary [ ] Not Necessary [ ] Cis o : la � � SUBJECT 'PERMIT NO. City of Fridley 27461 AT THE TOP OF THE TWINS BUILDING PERMIT ` RECEIPT NO. ______ COMMUNITY DEVELOPMENT DIV. v r 1 PROTECTIVE INSPECTION SEC. 6-6,'71 NUMBER REV DATE PAGE OF APPROVED BY � 1 CITY HALL FRIDLEY 55432 612-571-3450 910-F15f' 18/31/98 JOB ADDRESS 6070 3rd Street NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. E.1/2 1-3 6 1Hvde Park SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Ernest Erovick 571-1822 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Owner d 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 garage (20 S 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 REOUIREO 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 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 1668 .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 PERFORMANCE OF CONSTRUCTION. $54.00 Fire SC $1.66 PLAN CHECK FEE TOTAL EE .49 SIGN UR ETUR E OFAUTHORIZEDAGENT IDATEI N ROPY ALIDAT HIS IS YOUR PERMIT— SIGNATURE OF OWNERIIF OWNER BUILDER) IDATEI FILit INSP T1ATE Cityy of Fridley CUSTDMER RECEIPT OPER: TUROK OC DRAWER: 1 DATE: 8/31/98 00 RECEIPT: 000`,,621 DESCRIPTION QTY AMOUNT TP TM PERMITS -BUILDING 1 $54.00 BP CA FIRE SURCHARGE F 1 $1.66 FS CA SURTAX 1 $.83 SU CA ER111" ERNEST BP #2741,, 6070 3RD ST NE TIME: 14:08:33 TOTAL CASH $56.49 AMOUNT TENDERED $60.00 CHANGE $3.51 LIVING AREA: GARAGE AREA: DECK AREA: OTHER: Effective 1/1/98 CITY OF FRIDLEY 41LY AND DUPLEXES R-1 AND R-2 DING PERMIT APPLICATION V, 0&, 47 r I Tel. # 6-7 / f T 9-? MN LICENSE # plication, a Certificate of Survey of the posed construction drawn on it to scale. Djr,a%-AIPTION OF EWPROVEMENT Tel. # Length Width Height Sq. Ft. Length Width Height Sq. Ft. Lengfli,, Wid Hgt/Ground Sq. Ft. �G2c�c��� �L i � v Construction Type: Estimated Cost: $ (Fee Schedule on Back) Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ = $ DATE: ?/— 5 — %� APPLICANT:Tel. # ,2 rot - STIPULATIONS: i CITY USE ONLY Permit Fee $ S -Y,00 Fee Schedule on Reverse Side Fire Surcharge $ J, 4,5 �n .001 of Permit Valuation (1/10th%) State Surcharge $ C 3 $.50/$1,000 Valuation SAC Charge $ $1000 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: i ALL FEES ARE BASED ON VALUATION, INCLUDING THE COST OF LABOR AND ,VILA I EXIALS- SING THE 1997 UBC FEE SCHEDULE) TOTAL JOB VALUATION $_ I //0001 OCCUPANCY TYPE Permit Fee BUILDING See Back Page for Fee Schedule Permit NO.: Building Inspections RESIDENTIAL APPLICATION $ Received By: 763-572-3604 CITY OF FRIDLEY $5.00 (State Licensed Residential Contractors) Date ( MA 2O 763-502-4977 FAX EFFECTIVE 1-1-08 Curb Cut Escrow $ DATE t7 V OF YOUR E-MAIL ADDRESS Erosion Control SITE ADDRESS 7 D "j t^ C C!/ C u✓ $450 Conservation Plan Review Park Fee $ THIS APPLICANT IS: ❑ OWNER WONTRACTOR Sewer Main Charge PROPERTY OWNER/ NAME: 'a' Total Due ADDRESS: 6o -7o `�('c. S CITY 0'a t"� STATEV-LO/ZIP S�`()Z TENANT PHONE: NAME: .i .a ('v B—r;. A ADDRESS: 0 &"tS� CITY STATB ZIP CONTRACTOR SUBMIT A COPY OF PHONE FAX — E152' —19 6' YOUR STATE LICENSE STATE LICENSE # 2O103S OrQ EXP DATE PROPERTY TYPE SINGLE FAMILY/NEW CONSTRUCTION SIZE ❑ TWO FAMILYINEW CONSTRUCTION STORIES PERMIT TYPE ❑ ADDITION ❑ GARAGEISHED WINDOWS ❑ BASEMENT FINISH EMOOF ❑ DRAIN TILE ❑ DECK aSIDING ❑ OTHER ❑ SWIMMING POOL TYPE OF WORK: ❑ NEW HOME CONSTRUCTION ❑ ADDITION ❑ MAINTENANCE/REPAIR ❑>REMODELING DESCRIBE WORK BEING DONE: sc c *tet SIZE OF IMPROVEMENT LE GTH WIDTH HEIGHT SQ FT ROOFING ❑ HOUSE ONLY �— ❑ HOUSE & GARAGE BASEMENT REMODELING SUBMIT: NUMBER OF SQUARES I. Existing Floor Plan GARAGES ❑ ATTACHED GARAGE 2. Proposed floor plan PROPOSED SIZE: ❑ DETACHED GARAGE 3. List of structural members to be used. PROPOSED HEIGHT: FOR NEW CONSTRUCTION INCLUDING DECKS, SIDING ADDITIONS. & PORCHES SUBMIT: &'V ❑Soffit I. Site Plan/Survey showing the existing structures ❑ Aluminum / ❑ Trim and proposed project. ❑ Other /❑ Fascia 2. Two sets of construction plans WINDOWS 3. Energy Calculations IN EXISTING OPENINGS JT�es []No LOCATION OF WINDOWS OR FOR NEW 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 ,VILA I EXIALS- SING THE 1997 UBC FEE SCHEDULE) TOTAL JOB VALUATION $_ I //0001 OCCUPANCY TYPE Permit Fee $ /��'. �' See Back Page for Fee Schedule Plan Review Fire Surcharge. $ �— $ 65% of Building Permit Fee .001 times the total job valuation Surcharge $ .0005 x Permit Valuation Minimum $.50 License Surcharge $ $5.00 (State Licensed Residential Contractors) SAC Charge $ $1825 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 Due $ / _ Make checks payable to: Ci of FridleyAttach 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 Con ction Codes; that I understand this is not a permit but only an application for a permit and work is not to start without a permit on site; that the work will be in accordance i the approved plan in the case of all work which revires review and approval of plans. SIGNATURE OF APPLICANT PRINTNAME7M- �L`A DATE3WO& APPROVED BY V DATE