Loading...
PRE 2010 DOCS0 • City of Fridley, Minn. BUILDING PERMIT .1�`.. 3 ® ��.. Date: .. .... .. ...... .. ....... Address...................................... N® 3413 Builder Address............................................ LOCATION A ION OF BUILDING No. Q . r .. Street ....... Part of Lot .............................. . Lot .... i.0... Block .-0 .......... Addition or Sub -Division .. . � . e " d /A o �' Corner Lot ............ Inside Lot .� ..., Setback .�.�:�. Sideyard ...... .. .. ................ DESCRIPTION OF BUILDING TA=,. p.. Front .l.�:�. 'Depth�F�9 ek.e' Height 19:� Oe "Sq. Ft/04. ! Cu. nVO.O..ai– .................... Front ........ Depth ........ Height •.• :...... Sq. Ft......... Cu. Ft. ........ Type of Construction ................... )iat. Cost. —fY ... To be Completed ................... In consideration of the issuance to me of a permit to construct the building desribed above, I agree to do the proposed work in accordance with the description above set fo an in y�pllancewith all provisions of ordinances of the city of Fridley. ��/ In consideration of the payment of a fee of $.R.%..�.-� ., permit is .e ..................... 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 city limits and this permit may be revoked at any time upon violation of any of the provisions of said ordinances. :A# rX IG.^Z. . , f ..... 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. ,,?�Fae7 City, of Fridley, Minn. N° 7972 BUILDING PERMIT • Date: June 21, 1965 Owner: Fred Hobbs }, Builder Al Kessler and Sons Construction Co. Ad 862 8,7th StmeU N. E. Adm 1036 Monroe St. Anoka, Mimeaota • • LOCATION OF BUILDING No 6862 street 7th Street N. E. Part of Lot Lot 20 _ Block 3 Addition or Sub.Division Rice Creek Terrace, Plat 7 Corner Lot , Inside Lot setback Sideyard Sewer Elevation — Foundation Elevation To be Used as: Front Front Type of Construction DESCRIPTION OF BUILDING Depth Height Sq. Ft. Cu. Ft. Depth Height Sq. Ft. Cu. Ft. East. Cost $14 LOOO e00 To be Completed Storm damage repair: Rebuild from crap up. 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 setfo in compliance with aft provisions of ordinances of the city of Fridley. In consideration of the payment of a fee of $ 10.00 , permit is hereby granted to Al Kessler & Sons CQUIr galon Co• to construct the building or addition as described above. This permit is granted upon the express condition that the perso to whom it is granted and his agents, employees and workmen, in all work Myraround and upon said builnding, or any part thereof, shall inform in all respects to the ordinances of Fridley, Minnesota location, construction alteration, maintenance repair and moving of buildings within the dty limits permit may be revoked at any time upon violation of auy of the provisions of said ordinance. Allen Jensen Building inspector NOTICE M permit don net caro the conskucthw, lestapation for whiny, plumbing, gn boating, sower or wrier. Be sun to me too Building r for opm to pasmhb for thus Boma. APPLICATION FOR BUILDING PERMIT CITY OF FRIDLEY, MINNESOTA '? e,/, d— — LOCATION OF BUILDING =�� street Part of Lot LOTS R,_� ADDITION OR SUBDIVISION,-�_ C� • �,� Corner Lot Inside LOT Setback Side -Yard SEWER ELEVATION FOUNDATION ELEVATION.` 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 Sq. Ft. Cu. Ft. Front Depth Height Sq. Ft. Cu. Ft. 060 Type of Construction Estimated Cos /4,am.j, To be completed 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. SIGNATURE ��d� (Schedule of Fee Costs can be found on the Reverse Side). SUBJECT PE City of Fridley 19132 AT THE TOP OF THE TWINS BUILDING PERMIT r CEIPT N � COMMUNITY DEVELOPMENT DIV. / r PROTECTIVE INSPECTION SEC. I? "X-- i �i � CITY HALL FRIDLEY 55432 NUMBER REV, DATE PAGE OF APPROVED BY L -__.612-571-3450 910-F15 8/25/87 JOB ADDRESS 6862 - 7th. Street N.E. 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 20 3 Rice Creek Terrace Plat 7 SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Hobbs 6862 - 7th Street N.E. 571-3495 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. D & D Home Improvement Inc. 7401 Central Avenue N.E. 784-7543 4 ARCHITECT OR DESIGNER MAILADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO. 6 USE OF BUILDING Residential 7 CLASS OF WORK O NEW ❑ ADDITION ❑ ALTERATION Gj REPAIR ❑ MOVE ❑ REMOVE 6 DESCRIBE WORK Reroo£ Dwelling (17 Squares) 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 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 Z 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 $850 $.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 P OVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- $16.00 ST CTION OR THE PERFORMANCE OF PLAN CHECK FEE TOTALFEE 4CONSTRUCTION. Z�ke &� �''�S—�� $16.50 SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT IDATEI ` WHEN PROPERLY VALIDATED THIS ISY(O(����jjURR PERMIT )a A 6A2 T�J BLDG iNSP f7A' E SIGNATURE OF OWNER IIF OWNER BWLDER1 (DATE) NEW [ ] City of Fridley Effective 4/1/84 ADDN. [ ] R-1 AND R-2 ALTER. [ ] Building Permit Application Construction Address:1,9,56 a / �t' �E Legal Description: Owner Name & Address: do 6LS Tel. $ '5-V-3'4/9"5- Contractor:D Tel. # %'3 Z -75YS Address: ?10f CC,A 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 GARAGE AREA: Length Width DECK AREA: Length Width OTHER: Height Sq. Ft. Height Sq. Ft. Hgt/Ground Sq. Ft. Corner Lot [ ] Inside Lot Ft. Yd. Setback Side Yard Setback Type of Construction: RP Rooi Estimated Cost: $ Approx. Completion Date: O!--3 0 Alt. A Alt B Proposed Driveway Width If New Opening Is Desired: $ $ See Back Page for Explanation DATE: I - D - -9Q APPLICANT: '&f/l Q1S641 Tel. # 711-255K? Permit Fee Plan Check State Surcharge SAC Charge Park Fee Sewer Main Charge 'TOTAL STIPULATIONS: CITY USE ONLY $ 4. ®Q $ $ /(, ...orb Fee Schedule on Reverse Side 25% of Building Permit Fee $.50/$1,000 Valuation $425 per SAC Unit Fee Determined by Engineering Agreement Necessary [ ] Not Necessary [ ] SUBJECT ER City of Fridley 2 2 0 8 5 171,2208 AT THE TOP OF THE TWINS BUILDING PERMIT i • REC T NO. COMMUNITY DEVELOPMENT DIV. :3® t o r PROTECTIVE INSPECTION SEC. NUMBER REV DATE PAGE Of APPROVED By � �""t CITY HALL FRIDLEY 55432 �"'"j4.' ,'j 612-571-3450 910-F15 8/27/93 JOB ADDRESS 6862 7 Street NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 20 3 Rice Creek Terrace Plat 7 SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Fred Hobbs 6862 7 Street NE 571-3495 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Northwest Masonry 22022 NE 7 St, East Bethel 55011 434-3344 5452 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 Ek NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Construct a 24' x 24' Detached Garage 9 CHANGE OF USE FROM TO STIPULATIONS See notations on plan, Provide a hard surface driveway. 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 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 $9,216 $4.61 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT PERMIT FEE SAC CHARGE DOES NOT PRESUME T IVE,AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY 6T ERASTATE OR LOCAL LAW REGULATING CON- $117.00 Fire SC $9.22 ST UCTI R THE E OYI'MANCE OF CONSTRUCTION. PLAN CHECK FEE TOTAL FEE j- g License SC $5,00 $135.83 SIGNATURE OF ONTR TOR OR AUTHORIZEDAGENT (DATE) WHEN OPERL` ALI DATED THIS IS YOUR PERM T ALEFG I rl TE SIGNATURE OF OWNER IIF OWNER BUILDER) IDATEI NEW Effective 5/26/93 ADDN [ ] CITY OF FRIDLEY ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 qlk-sol Building Permit Application Construction Address: 6 '774X' �'j � . /� . C Legal Description: I.o l -7o z5Zoe- 'f aper �s Te ���� A'-�7 Owner Name & Address: o--reW Z:yl. �d s Tel. # Contractor: ��<i car e MN LICENSE # Address: a -R D � a�1-%1 ,�� j"��G- Tel. #��.�3 Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF EMPROVEMENT LIVING AREA: Length GARAGE AREA: Length DECK AREA: Length OTHER: Width Width e..2,V Width Corner Lot [ ] Inside Lot t. Ft. Yd Setback Type of Construction: Approx. Completion Date: - Driveway Curb Cut Width Needed: Ft. + 6 Ft = Height Height- Hgt/Ground Sq. Ft. Sq. Ft. J-76,— Sq. Ft. Side Yard Setbacks Estimated Cost: $ �2/�� (Cost on Back) Ft x $ _ $ DATE: �' �3 APPLICANT: P*-Z'We r' Tel. # CITY USE ONLY Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee Sewer Main Charge TOTAL $ 1117,00 Fee Schedule on Reverse Side $ 0. 2 .001 of Permit Valuation (1/10th%) $ $.50/$1,000 Valuation $. $750 per SAC Unit $ $5.00 (State Licensed Residential Contractors) $ Alt. "A" or Alt. "B" Above $ Conservation Plan Review $450.00 $ Fee Determined by Engineering $ Agreement Necessary [ ] Not Necessary [ ] STIPULATIONS: ' .AGREEMENT I2 ��4-1 (a Im �6Q A�:Qi , owner of the property located at have no objection to the City allowing the construction of a/an to be located at Z Rl®,Z without the required certificate of survey that the City ordinarily requires for all new construction. Witness e �II MlNDEnFXGDCE o coo-- INC . ENGINEERS AND SUPtV.EYORS - LAND IBURVEYINO SOIL15 TESTING CIVIL MUNICIPAL ENOINEERING LANO PLANNING I� G418 -SGT" AVENUE N. h �( MINNEAPOLIS 7(. MILAN. �% KE 7- BG37 y rrr A r/ _ lk i 1 �I 1• � 9 q fig,. A 1'1 • 1 . 3 3P A WE HERESY CERTIFY THAT THIS IS A TRUE AND CORRECT REPRESENTATION OF A SURVEY OF THE BOUNDARIES OF.THE LAND ABOVE DESCRIBED AND OF THE LOCATION OF ALL BUILDINGS, IF ANY, -THEREON, AND NLL VISIBLE ENCROACHMENTS, - IF ANY, FROM OR ON SATO LAND. MINDER ENGINEERING CO., INC. DATED This- DAY OF �e ..irr.., f+� v EW14 ERS kuo -? SURV@YOk.S f AA.t�g � 1�1j t e� t { P, SUBJECT IT City of Fridley 2 In n 2 AT THE TOP OF THE TWINS BUILDING PERMIT � ` IPT NO. COMMUNITY DEVELOPMENT DIV. PROTECTIVE INSPECTION SEC. /��y® y r I NUMBER REV DATE PAGE OF APPROVED BY CITY HALL FRIDLEY 55432 ,. 1 612-571-3450 910415 7/27/98 JOB ADDRESS 6862 7th St 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 20 3 Rice Creek Terrace Plat 7 SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Hobbs 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. A-line Construction 6171 189th Ln Anoka 55303 422-9944 20032753 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 M REPAIR ❑ MOVE ❑ REMOVE S DESCRIBE WORK Reroof House (17 Sq) Tear -off 9 CHANGE OF USE FROM TO STIPULATIONS Underlayment must comply with 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 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 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT $1417 $.71 DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PERMIT FEE SAC CHARGE PROVISIONS OF ANY O&HER STATE OR LOCAL LAW REGULATING CON- STRUCTION OWTH P FORJQANCE OF CONSTRUCTION. $48.50 It F e SC $1.42 PLAN CHECK FEE T TAL FEE Lice 0 $55.63 SIGNATURE C NIRA(PROR HORIZED AGENT IDATEI N VAL THIS IS�QU�ERMIT _ BLUb INSP ,-ED V r MYj MATE S.GNATURE OF OWNER,IF OWNER BUILDER) IDATEi P, NEW [ J Effective 1/1/98 ADDN [ J CITY OF FRIDLEY I ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION ConstructionAddress: Legal Description: Owner Name & Address: Tel. # Contractor: -�—� – (�`,� Cv� 5 vS c_ u MN LICENSE #9QQ %j'� Address:a( L c� �/ Tel. # q v Attach to this application, a Certificate of Survey of the c-%3 lot, with the proposed construction drawn on it to scale. DESCRIPTION OF EMPROVEMENT 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: e \ Estimated Cost: $ (Fee Schedule on Back) Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ _ $ DATE: APPLICANT: Tel. #� Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee $ Sewer Main Charge TOTAL STIPULATIONS: $ CITY USE ONLY Fee Schedule on Reverse Side .001 of Permit Valuation (1/10th%) $.50/$1,000 Valuation $1000 per SAC Unit $5.00 (State Licensed Residential Contractors) Alt. "A" or Alt. "B" Above $450.00 Conservation Plan Review Fee Determined by Engineering Agreement Necessary [ ] Not Necessary [ ] ALL FEES ARE BASED ON VALUATION, INCLUDING THE COST OF LABOR AND MATERIALS: TOTAL JOB VALUATION $ '9q'ING TI9 971UBC FEE SCHEDULE)OCCUPANCY TYPE Permit Fee Plan Review Fire Surcharge Surcharge License Surcharge SAC Charge Curb Cut Escrow Erosion Control Park Fee Sewer Main Charge Total Due See Back Page for Fee Schedule 65% of Building Permit Fee .001 times the total job valuation .0005 x Permit Valuation Minimum $.50 $5.00 (State Licensed Residential Contractors) $1825 per SAC Unit (Plans to MWCC for determination) ft+6ft= ftx$21 =$ $450 Conservation Plan Review Fee Determined by Engineering Agreement necessary ( ) Non Necessary ( ) Make checks savable to: City of Fridley Attach 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 for a permit and work is not to start without a permit on site; that the work will be in ac er anc roved lan inthe case of all work which reVC s review and approval of plans. SIGNATURE OF APPLICA_PRINT NAME DATE CT— S -O APPROVED BY DATE BUILDING Permit No -:q6" 3uilding Inspections RESIDENTIAL APPLICATION Received By: 763-572-3604 CITY OF FRIDLEY D ' 763-502-4977 FAX EFFECTIVE I-1-08 )ATE '7— d YOURE`-MAIL ADDRESS /C/ SITE ADDRESS aZ PHIS APPLICANT IS: ❑ OWNER 606ONTRACTOR PROPERTY OWNER/ NAME: C-- i ADDRESS:�/V STATE%'/NZ1P_s3Z TENANT PHONE: ?C�� Sr7 — 3 q l S` NAME: vC ✓C ADDRESS: E7 ! l s� A'� /�C CITYC'— STATE%ltNZIPS CONTRACTOR SUBMIT A COPY OF _/01 PHONE 263— 4f34s— 5^6/ F �'�� A rt- 4.3 YOUR STATE LICENSE — r��, STATE LICENSE # .�tJZ61% 2&3 EXP DATE PROPERTY TYPE GLE FAMILY/NEW CONSTRUCTION SIZE ❑ TWO FAMILYINEW CONSTRUCTION STORIES PERMIT TYPE ❑ ADDITION GE/SHED ❑ WINDOWS ❑ BASEMENT FINISH F ❑ DRAIN TILE ❑ DECK ❑ SIDING ❑ OTHER ❑ SWIMMING POOL TYPE OF WORK: ❑ NEW HOME CONSTRUCTION ❑ ADDITION 1,W4AAINTENANCE/REPAIR ❑ REMODELING DESCRIBE WORK BEING DONE: eV/ l Lill Or -q SIZE OF IMPROVEMENT LENGTH WIDTH HEIGHT SQ FT ROOFING ❑ HOUSE ONLY BASEMENT REMODELING SUBMIT: NUMBER OF SQUARES ❑ HOUSE & GARAGE 1. 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: ❑ Vinyl ❑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 ❑Yes ❑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 MATERIALS: TOTAL JOB VALUATION $ '9q'ING TI9 971UBC FEE SCHEDULE)OCCUPANCY TYPE Permit Fee Plan Review Fire Surcharge Surcharge License Surcharge SAC Charge Curb Cut Escrow Erosion Control Park Fee Sewer Main Charge Total Due See Back Page for Fee Schedule 65% of Building Permit Fee .001 times the total job valuation .0005 x Permit Valuation Minimum $.50 $5.00 (State Licensed Residential Contractors) $1825 per SAC Unit (Plans to MWCC for determination) ft+6ft= ftx$21 =$ $450 Conservation Plan Review Fee Determined by Engineering Agreement necessary ( ) Non Necessary ( ) Make checks savable to: City of Fridley Attach 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 for a permit and work is not to start without a permit on site; that the work will be in ac er anc roved lan inthe case of all work which reVC s review and approval of plans. SIGNATURE OF APPLICA_PRINT NAME DATE CT— S -O APPROVED BY DATE