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PRE 2010 DOCSE City of Fridley, Minn. BUR DING PERMIT Date: AUGUST 30, 1965 Builder A. L. WILLIAMS 30 q® 3 N? 8419 Address Address 8562 East River Blvd. Minneapolis 32, Minnesota LOCATION OF BUILDING No. 101 Street 57th Place N. E. _ _ —_ part of Lot Lot 2. and West ? of Lot 3 Lot Block 1 Addition or Sub -Division __._ City View Addition Corner Lot _ % Inside Lot _ _ Setback 35' _ Sideyard 10' a E. Sewer Elevation — Foundation Elevation DESCRIPTION OF BUILDING To be Used as: DWELLING Front 38 Depth 26 Height 20 Sq, Ft. 988 Cu. Ft. 19,760 Front Depth Height Sq. Ft. Cu. Ft. Type of Construction Fes_ Est. Cost .._._.L14 0.00.00 __.. To be Completed 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 ap4 in compliance with all provisions of ordinances of the city of Fridley. In consideration of the payment of a fee of & 2 0.00 , permit is hereby granted to A. L. WILLTAMS 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 pert thereof, shall conform in all respects to the ordinances of Fridley, Minnesota regarding location, construction, alteration, maintenance, repair and moving of buildingm within the city limits and this permit may be revoked at any time upon violation of any of the provisions of said ordinances. ALLEN G. JENSEN Building Inspector Nonce: ilk pendt does not cover the construction, huta0ation for WWh& phnnbing, gas hating, sewer or water. Be sure to we the Building lespestor for separate permits for these items. APPLICATION FOR BUILDING PERMIT CITY OF FRIDLEY, MINNESOTA OWNER ' S NAME -z r )— o ��a� / ///s9 /lo -a C' _ BUILDER ADDRESS E / / {� 1 ��OQ9 ADDRESS 'T LOCATION OF BUILDING NO, Z t9 STREET 2 PART OF LOT'.9' LOT BLOCK ADDITION OR SUBDIVISION CORNER LOT f INSIDE LOT SETBACK � 7S YARD ® ® FE SEWER ELEVATION FOUNDATION ELEVATION 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; ° Front—Depth_o7,4�' Height Sq. Ft.Cu. Ft. Front Depth Height Sq. Ft. Cu. Ft. Type of Construction %��im-,ate Estimated Cos C/ 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. DATE S'— 10 — A/ (Schedule of Fee Costs can be found on the Reverse Side). 0 I REGULAR COUNCIL MEETING OF MAY 3, 1971 PAGE 6 REPORT ON COMPLAINT REGARDING YARD FLOODING PROBLEM AT 6335 PIERCE STREET, (RON SLATER): The City Engineer drew the Council's attention to.the letter in the Agenda, that had been prepared to be sent to the property owners.in that area, offering them fill for their yards. He said that if the Council felt it was satisfactory, it would be mailed to the residents in the area. MOTION by Councilman Harris to approve the communication for mailing. Seconded by Councilman Liebl. Upon a voice vote, all voting aye, Mayor Kirkham declared the motion carried unanimously. DISCUSSION REGARDING ACQUISITION OF PROPERTY FFPi ST WILLIAM'S CHURCH FOR TRUNK HIGHWAY #47 SERVICE ROAD DETACHMENT NORTH OF 61ST: The City Engineer gave the Council a copy of a letter received from St. William's Church dated May 3, 1971. He said that it is in.regard to the proposal worked out with the Church committee with several minor changes. He read Item #7 which asked that the City pay the sum of $275 to the Church for expenditures incurred in.the appraisal of the property under discussion, and Item #10 which asked that the City pay all legal fees and other costs for transfer of said property to City. Councilman Harris asked the City Attorney if there would be any problems with Item #10 and the City Attorney said no. MOTION by Councilman Harris to change the figure in Item #6 which the City is to pay the Church for professional traffic flow survey to be made of Church parking lot from $600 to $575, and approve the agreement with these changes. Seconded by Councilman Liebl. Upon a voice vote, all voting aye, Mayor Kirkham declared the motion carried unanimously. DISCUSSION REGARDING ACQUISITION OF PROPERTY FROM SHELL OIL COMPANY FOR TRUNK HIGHWAY #47 SERVICE ROAD DETACHMENT NORTH OF 61ST: The City Engineer pointed out that in their.letter, Shell oil Company suggests working out an agreement to resolve the deed, and the City can proceed on that basis. The City has agreed to pay $23,250.00, and if they comply with the conditions the City can pay the money. MOTION by Councilman Harris to reaffirm our proceedings on the acquisition of property from Shell Oil Company. Seconded by Councilman Liebl. Upon a voice vote, all voting aye, Mayor Kirkham declared the motion carried unanimously. ' REQUEST TO BUILD GARAGE IN COMMERCIAL AREA, BY RICHARD BISTODEAU: The City Engineer explained that Mr. Bistodeau owned a 60 foot wide lot with a single family dwelling and he wished to put up a garage. Our ordinance requires that non -conforming use cannot be expanded on, and his lot is in a commercial area. The Council looked at the plan showing where Mr. Bistodeau wished to place the garage. The garage will be way at the back of his lot and the driveway will come out on Main Street. Mr. Bistodeau explained that he would like to build a garage to house his camper truck and boat and trailer so people will not be aware when he is away. His home has been 2 _._, ..W i) J.'. REGULAR COUNCIL, MEETING OF MAY 3, 1971 PAGE 7 broken into once. Councilman Harris said there is no big commercial development going in this area at present, and he felt the gentleman should have the right to build a garage. Councilman Liebl suggested that the building permit state that this is not the proper zoning. The City Attorney said that in effect the Council would be waiving the pro- vision that you cannot expand on non -conforming use when they authorized the building permit for the garage. He pointed out that if Mr. Bistodeau wanted to sell for commercial purposes he ran the risk of possibly not getting the money back that he has spent on the garage. Mr. Bistodeau said that he realized this, but he planned on living there and needed this garage. MOTION by Councilman Harris to authorize the building permit for a garage with the stipulation that the owner understands this is a non -conforming use. Seconded by Councilman Liebl. Mr. Bistodeau acknowledged that he understood this. Upon a voice vote, all voting aye, Mayor Kirkham declared the motion carried unanimously. 1ARY PLANS AND COST ESTIMATES - ADDITION TO CITY GARAGE: The Acting City Manager introduced Mr. Patch, the architect, to the Council. Mr. Brunsell said that Mr. Patch has taken the requests submitted by the Parks and Recreation Department and the Public works Department and has drawn up three proposals for adding onto the City garage in different ways. The size of the addition has been cut from the original request. The Acting City Manager showed the Council the three plans and explained what would be ;rte included. Councilman Liebl asked if it would be the same type of construction as previously, and what the cost would be. Mr. Patch said that it would match the construction of the existing building and that the preliminary cost estimate was $16 per square foot. Councilman Liebl asked if the building would be complete at $16 per foot. Mr. Patch said yes. Mr. Dick Harris asked if this price would include landscaping, blacktopping and all the other requirements the Council asks of other builders, or would they be running hose from fire hydrants as they did before. He said that the City paid $14 a square foot for the original building and had not gotten all the floor poured. Mr. Harris felt that the new addition should be cheaper than $16. The Council reminded him that these were just preliminary cost estimates, and that the City does everything by bids, and it will be awarded to the lowest responsible bidder. Councilman Kelshaw asked if these plans would go before the Building Standards - Design Control Committee. Mayor Kirkham said that the original building plans had gone to the Board, but this would be just matching the original. The Acting City Manager said that the 1971 budget provides for the pre- liminary plans. They have brought it before the Council to get approval of the concept so that final plans can be drawn and bids let this year, if the Council desires, so that it can be built in 1972. Councilman Liebl asked the City Engineer if all the concrete has been poured in every stall in the present garage. The City Engineer said yes. He explained that this had been bid as an alternate on the original contract. City of Fridley, MX1033 inn. y ` 6431 University Ave. N. E., Minneapolis, Minn. 5432 BUILDING PERMIT Date: June 1, 1271 Owner: _ Richard Bistodoau Builder Game Address _ 101=5_7_th Place .E_ Address Game LOCATION OF BUILDING No. _ 101.._ street —57th. PL ce X.E.Part of Lot Lot .2i.Ta1.'�e3_.__._.__.. Block _.__ _1 __ ._....... Addition or Sub -Division .City View Addition Corner Lot ..._ X — Inside Lot Setback — Sideyard Sewer Elevation �� _ Foundation Elevation _...... DESCRIPTION OF BUILDING To be Used as: Garagf Front _24L_ Depth .:24-1_ Height _ 1 _ Sq. Ft. 5761 Cu. Ft 97691 Front Depth Height ._ Sq. Ft. Cu. Ft. Type of Construction —Frame Est. Cost $1,$ 00 , 09 To be Completed 4 man h is Stipulations: Establish elevation of garage slab at least 18" above centerline of Main Street and grade so as not to X drain on adjoining property. Provide a hard surface drive. 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 in compliance with all provisionti of ordinances of the city of Fridley. In consideration of the payment of a fee of $ 11.00 , permit is hereby granted to Richard Ri s ndeau 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 within the city limits and this permit may be revoked at any time upon violation of any of the provisions of odd ordinances. Building Inspector HANK MUHICH NOTICE: This permit does not cover the construction, installation for wiring, plumbing, gas heating, sewer or water. Be sure to we the Building Inspector for separate permits for these items. APLICATION FOR RESIDENTIAL, ALTERATION, F 6 OR ADDITION BUILDING PERMIT CITY OF FRIDLEY, MINNESOTA 17 OWNER'S NAME:s :ulkZ2 kOl /'J/,"5 / o�eddUILDER: F�' J9 m ADDRESS :1 � 1 " . 27 /' j f�9 0 e 1-)4— ADDRESS : 'Sig M P_ s NO:. 40 / STREET:_ ,5 % 1 P / /9 e f✓ LOT:,j j I � Joh BLOCK: ] ADDITION: CJ t v I- , 0 I&J CORNER LOT: X INSIDE LOT: SETBACK: SIDEYARD: 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: 6A 4 — Front • D41 Depth • � "�/ � Height: /Q Square Feet : % (,,, Cubic Feet :S% (® 1 Front; Depth: Height: Square Feet; Cubic Feet: Type of Construction: ti o ®d Estimated Cost: $ To Be Completed: "/ z"o 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 f 7/- /%/ 1 SIGNATURE: (See Reverse Side For Additional Information.) �s A 4 UU I r CERTIFICATE OF SURVEY DAME$ L. KURTH LAND SURVEYOR 4201 N.E. STH STREET COLUMBIA HEIGHTS 55421 788-5004 1 HEREBY CERTIFY THAT THIS SURVEY. PLAN. OR REPORT WAS PREPARED BY ME OR UNDER MY DIRECT SUPERVISION AND THAT 1 AM A DULY REGISTERED LAND SURVEYOR UNDER THE LAWS OF THE STATE OF MINNESOTA. DATE SCALE 1"=' 30 MINNESOTA' REGISTRATION NO. 5332 o=IRON MONUMENT L)1 _X �y _j � I ^ 1?J In 0 ci �tto� 7 -rt- _ on coo . o 4o0.C5 1z res lot 2 and the West half of Lot 3, Block I, City View, Anoka County, NUrmsoto P 0 CH -Y of ric;l�y i`ll}GPSiiCc°Cta m iCIM�'c�.yi3 �,d^:�a 4biiii�:1 b Dept. of Bldgs. Phorto S:MSS0-� DESCRIPTION OF wor": I,oc�.tiaZ ' �� el— XuzzSar, Kim e^•d Lecr,;en of Fixtu'es , • Fur.::o C,cr.::,cs:..-n CiP;;nir_, t Nav Flx:nrv. Old Crsnings PARTIAL RATE SvHEDULE So -war C.c:zPool D LU-MBITIC FI:CTUI?E RATES: NO. RATE TOTAL X v2.CO. - Nun-.ber Fixtures ... ..... • ....... N Future Fixture Opening ............ WAY[$[ Ntk. O 1< I �I Ix o v z v H GAS (LEC. Water Ifeater 'Up to 999,000 BTU) • • • • IG .� G< Ground Run Old Btdg......... x ;3.25 5 .New Voctr:.c Vlaiar I•i.atar... a .. ........ NO. FLA= TOTAL :!S FITTING FEES: x $2.60 $ Ist 3 Fixtures ............ • • • • .. Additienal Fixtures ............... ---- x .75 E3°2 Gas Rs.: ge to 199.= BTU . .... . . . ... x $5.00 L r 3rd 3th I - • Fur.::o C,cr.::,cs:..-n CiP;;nir_, t Nav Flx:nrv. Old Crsnings PARTIAL RATE SvHEDULE So -war C.c:zPool D LU-MBITIC FI:CTUI?E RATES: NO. RATE TOTAL X v2.CO. - Nun-.ber Fixtures ... ..... • ....... Future Fixture Opening ............ x $1.50 S , -• few Fixture Old Opering.......... xS—•_-- x $3.25 3 Catch Basin .................. 4 . Water Ifeater 'Up to 999,000 BTU) • • • • x $3 00 $ - - Ground Run Old Btdg......... x ;3.25 5 .New Voctr:.c Vlaiar I•i.atar... a .. ........ NO. FLA= TOTAL :!S FITTING FEES: x $2.60 $ Ist 3 Fixtures ............ • • • • .. Additienal Fixtures ............... ---- x .75 S --- Gas Rs.: ge to 199.= BTU . .... . . . ... x $5.00 L City of F7idley:. The undersigned hereby rnakes application for a permit for the• work herei specified, a. eeino- to do all work in strict accordance with the Cit? O.d!nv2-CC and ruling of the Department of Suild.'ngs, and hereby declares that all the fact and representations stated in this app`.ication are true and correct* 'r�•idIey, Minn � . Owner Kind of Building Used as To be completed about Estimated Cost, $ Old—New. IIuPe .lding Permit No. — , signed • By C�.vE .re`-rC-.� ate•--- - -- _ Businrss Phone DIo 1:OUOII FINAL' - xLTEF.AT1OIdS—P.afar to Coda .50 State Surcharge .Lezcription ..... .... • .... • i .. •... • • • . • ...... o.• 4 TOTAL FT. t+ • �— �l SUBJECT PER .. - City of Fridley " 17782 AT THE TOP OF THE TWINS BUILDING PERMIT CEIPT COMMUNITY DEVELOPMENT DIV. r PROTECTIVE INSPECTION SEC. I rl CITY HALL FRIDLEY 55432 NUMBER REV. DATE PAGE OF APPROVED BY L 612-571-3450 910-F15 11/5/84 JOB ADDRESS 101 - 57th. Place N.E. 1 LEGAL LOT NO. BLOCK TRACTOR ADDITION SEE ATTACHED DESCR. 2 i103 1 City View Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Richard Bisdodeau 101 - 57th Place N.E. 574--0039 3 CONTRACTOR MAILADDRESS ZIP PHONE LICENSE NO. P. Mondoux Construction 6125 Gettsburg N. 533-1711 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 X 8 DESCRIBE WORK Install aluminum sidirkg and trim 9 CHANGE OF USE FROM TO STIPULATIONS 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 $3,800 $1.90 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PERMIT FEE SACCHARGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- $44.50 TRUCTION OR THE PERFORMANCE OF CONSTRUCTION. LAN CHECK FEE TOTAL FEE $46.40 SIGNATURE OF CONTRACTOR OR AUTHORIZE 1111911 NT IDA7E) WHEN PROPERLY LIDATED XHIS IS YOUR PERMIT BLDG INSP DATE SIGNATURE OF OWNER (IF OWNER BUILDER) (DATE) �l NEW [ ] City of Fridley Effective 4/1/84 ADDN. [ ] �R-1 AND R-2 ALTER. [ ] Building Permit Application Construction Address: i ti 75 7-7-;? 0 Legal Deser p on. ,,(� �---�-- �/� ' ` �E�la'r� ) �S /�' �� Tel. # S2 y 003 Owner Name & Address Contraotor • p M �o X a ''' s 7- Tel .# S 3 3 I% Address: 6 l'2 -- 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 jJ Width Hgt/Ground Sq. Ft. OTHER: Corner Lot [ ] Inside Lot [ ] Ft. Yd. Setback Side Yard Setback Type of Construction: Estimated Cost: $ ? ® d Approx. Completion Date: Alt. A Alt B Proposed Driveway Width If New Opening Is Desired: $ $ See Back Page for Explanation DATE: / O� o �� APPLICANT: Tel. V -�3 3 1 CITY USE ONLY Permit Fee $ .�?% Fee Schedule on Reverse Side Plan Check $ 25% of Building Permit Fee State Surcharge $ /. �® $.50/$1,000 Valuation SAC Charge $ $425 per SAC Unit Park Fee $ Fee Determined by Engineering Sewer Main Charge $ Agreement Necessary [ ] Not Necessary [ ] TOTAL $ 'y • '�� STIPULATIONS: as -'00 4 � 11 SUBJECT P City of Fridley /� _ 10 AT THE TOP OF THE TWINS BUILDING PERMIT 7NO. r � CEIPT • ______ COMMUNITY DEVELOPMENT DIV. v SEC. r PROTECTIVE INSPECTION a14 -r T 1. 1 i � I CITY HALL FRIDLEY 55432 NUMBER REV. DATE PAGE OF APPROVED BY L 612-571-3450 910-F15 4/23/87 JOB ADDRESS 101 - 57th Place N.E. 1 LEGALLOT NO. BLOCK TRACTOR ADDITION SEE ATTACHED DESCR. 2, pt 3 1 I City View SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Richard Bistodeau same 574-0039 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 C ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK 201 x t areaaddt entry aren 9 CHANGE OF USE FROM TO STIPULATIONS Variance approved 4/14/87 for = 27.50 lot coverage and street side yard to 121. 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 VAL ATION SURTAX AND,ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED $ 7,400,00 $23.70 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PERMIT FEE SACCHARGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. PLAN CHECK FEE TOTALFEE $68.50 .$366.20 SIGNATURE OF CONT ACTOR OR AUTHORIZED AGENT IDATEI W E P O RL A D ED TH IS YOUR RM P IG ATURE OFRIIF N, B ILD ) IDA'10 BLDG WSP qAT 11 NEW [ ] City of Fridley Effective 4/1/86 ADDN. [,(] LR -1 AND R-2 ALTER. [ ] Building Permit Application Construction Address: Legal Description: Lo 14,le5� G ®-1-3 /o c/� Owner Name & Address: Zfls'7® We3U Tel. Contractor: Se- I �' 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 a0 Width 3S Height / 5 /® r'-1 Sq. Ft. (' AREA: Length �_ Width Height Sq. Ft. DECK AREA: Length Width Hgt/Ground Sq. Ft. OTHER: - X SQ, bq : c+-71 q2j, S y y �,G �� /v, 01 59.64 Corner Lot [ ] Inside Lot [] Ft. Yd. Setback Side Yard Setback Type of Construction: 'Woof) Estimated Cost: $ CO. ooA of Approx. Completion Date: Alt. A Alt B Proposed Driveway Width If New Opening Is Desired: $ $ See Back Page for Explanation DATE: V�'� ��� APPLICANT: -� y '� ---- Tel. #S %S�DOj �0 Permit Fee Plan Check State Surcharge SAC Charge Park Fee Sewer Main Charge G-"19 v! STIPULATIONS: CITY USE ONLY $ $ $ Moo $ Fee Schedule on Reverse Side 25% of Building Permit Fee $.50/$1,000 Valuation $525 per SAC Unit Fee Determined by Engineering Agreement.Necessary [ ] Not Necessary [ ] 4 -i4 -S,2 Fc, e- �� S% L6 7- �dlc-dAGE . -/ xM ®�® /70. 'ab 4 L W eipiwej -To m^TL9 10460 MF4-. few Ole, r -jiWea&. \ '14 co La Q' e�?..-nt4 SOL..fL , ZI; LOOP, 464-.r r LTL im i � � f'r � I -•} ST{�C.P!{. .kIAbL48Uifol� .' � a I�"Oa - i W - I1- a$ U - �_�ELE�nTlonl on) I-•InI� STP•EET 1qf' + I�� pl • �. a I:. i _ _ I / ewsnNq S-LAFL , ' c.A-UA4.r®as `>iBFI . - .. AV4wr Sthwe LOS n NnW 1 �Y � I o I Nwd 8q WnJpnW 1-1 ( .I ��•BrloJt Ealsnnitl w»p. �wv 9T.gy - �_�ELE�nTlonl on) I-•InI� STP•EET 1qf' + I�� pl —_i•------ �Gi ------------- — 1 bNLL41 1 i � Mi "0-. .I•�oe•i I -r•e .. lq I 6 1 Y y lir l 4 llN7v 1N'•+• — - — 1 . . i - ' .';•veWJy r- 1 ei'na q �' •.: .- - ...8potl�a•t 4"oN o sl.wani lirt�"swa aroj t" - • ueae�siN• .859 ra no,,., de•J1� C74i+�y. .I.. woo -dale Woe-AG2eZ I - —1�15vW I 1 Uao'da16 b1+11s� .. -- ._. –""."'—•ams.^^'_... -. ..alro–'?�-'.rn-+�••`�.�{.." 1 i 7 I Z o Ig fig+ -�} r , Ns .. •{a i�� `: / 1 T � N Fk- , 1 _, eti 1 I Z o Ig fig+ -�} r , •{a • `: / 1 T � N • 1 Iii I�.i , 1 _, .9 0 CERTIFICATE OF.SURVEY JAMES L. KURTH LAND SURVEYOR 4201 N.E. STH STREET COLUMBIA HEIGHTS 53421 Z 788-5004 1 HERESY CERTIFY THAT THIS SURVEY. PLAN. OR REPORT WAS PREPARED BY ME OR UNDER MY DIRECT SUPERVISION AND THAT 1 AM A DULY REGISTERED LAND SURVEYOR UNDER THE LAWS OF THE STATE OF MINNESOTA. DATE MAd 1Al SCALE I"= 30 MINNESOTA' REGISTRATION NO. 5332 O= IRON MONUMENT 1 L) ov�t�a ��� O .Z 30 . a c L, ► w�.: %-P .A o (00. 1Z I � f �J o d� �i�Fv� ►S 'J � qSC Pjv7�i�1 o Y vV§ �t - I 1 v F-5 1QA 10.0 � � 1 lot 2 and the West half of lot 3, Block I, City View, Anoka County, Minnesota 0 tttectave Aug. 1, lvtsl CITY OF FRIDLEY APPLICATION FOR PLUMBING AND GAS FITTING PERMIT RATE SCHEDULE PLUMBING FIXTURE RATES: NO. RATE W New Fixtures _ >. H Future Fixtures q $ 3.50 U old Opening, New Fixture x d $ water y $ 4.00 m Blow Off Basin $ 5.00 id w Catch Basin m $ 5.00 $ aai o. te. r $ Hydraulic Valve Heater $ 5.00 $ Sump or Receiving Tank $ 5.00 $ Water Treating Appliance xc $ 7.00 $ Hot Water Heater � $ Gas Range $ 10.00 M 01 0 G $ 10.00 •.[d ALL OTHERS AND/OR REPAIRS AND ALTERATIONS L C C i Appliance U •.moi U $ .50 Reinspection Pee $ �,D ($15.00) TOTAL FEE $ao. FA Od u a go It 0 W H 18~ (. U mai U V OOl .as lec let 2nd 3rd 4th (R) - Future Connection Opening Connected with Sewer (�) - New Fixture, Old Opening Water RATE SCHEDULE PLUMBING FIXTURE RATES: NO. RATE TOTAL New Fixtures _ $ 5.00 $ m. e=G Future Fixtures $ 3.50 $ old Opening, New Fixture $ 1.50 $ Beer Dispenser $ 4.00 $ Blow Off Basin $ 5.00 $ Catch Basin $ 5.00 $ Rain Water Leader $ 5.00 $ Hydraulic Valve $ 5.00 $ Sump or Receiving Tank $ 5.00 $ Water Treating Appliance $ 7.00 $ Hot Water Heater $ 5.00 $ Gas Range $ 10.00 $ Gas Dryer $ 10.00 $ ALL OTHERS AND/OR REPAIRS AND ALTERATIONS It of Value of Fixture or Appliance $ State Surcharge $ .50 Reinspection Pee $ �,D ($15.00) TOTAL FEE $ao. Job Address /0 Department of Buildings City of Fridley Tel. 0571-3450 The undersigned hereby makes application for a permit for the work herein specified agreeing to do all work in strict accordance with 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 %r"�/ J- ® KIND OF BUILDING USED AS TO BE COMPLETED ABOUT / ESTIMATED COST �y C , OLD - BUILDING PERMIT NO. PERMIT NO. 4 , 41. Company 111.)J.51 Signed By , Tel. No. �lD� ROUGH INSP. Date FINAL INSP. ey — / Date APPROVAL FOR PERMIT MINIMUM FEE FOR ANY PLUMBING PERMIT IS $10.00 PLUS THE $.50 STATE SURCHARGE 01 SUBJECT City of Fridley CRt*E4RLN10: AT THE TOP OF THE TWINS BUILDING P E R M I T r � >r ______ COMMUNITY DEVELOPMENT DIV. ��� r 1 PROTECTIVE INSPECTION SEC. 1 i � CITY HALL FRIDLEY 55432 NUMBER REV. DATE PAGE OF APPROVED BY 612-571-3450 910-F15 9/22/87 JOB ADDRESS 101 - 57th Place N. E. 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 2, .I 1 City View Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Richard Bistodeau 101 - 57th Place N.E. 574-0039 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Same 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO. B USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW ❑ ADDITION C3A ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Install Majestic W.M11^ 25. Model Free Standing Fireplace CICB.O #/$e9l ) 9 CHANGE OF USE FROM TO STIPULATIONS Specifications must be followed of approved testing agency.. 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 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 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 $1'00 $.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 TOTALFEE $18,00 IGNATURE OF C07ACTOR OR AUTHORIZED AGENT (DATEI 11.2 Id ,WHEN PROPERLY BLDG INSP LIDAT1 THIS IS YOUR PERMIT GATE SIGNATURE OF OWNER IIF OWNER BUILDERI (DATEI 01 NEW [ ] City of Fridley Effective 4/1/86 ADDN. [ ] R-1 AND R-2 ALTER. [ ] Building Permit Application Construction Address: Legal Description -D Owner Name & Address:- ��� J� � � Tel. # 5 7 1/06) Contractor: C ew-nTel. # Address: -,Ak'yg�� 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: L gth Width Hgt/,8round Sq. Ft. OTHER: �� ��-Ju® e �� Q & C� - �f %Y1 G s ► e� Corner Lot [ ] Inside Lot [ ] Ft. Yd. Setback Side Yard Setback Type of Construction: Estimated Cost: $ QUO Approx. Completion Date: Alt. A Alt B Proposed Driveway Width If New Opening Is Desired: $ $ See Back Page for Explanation DATE: :��/ �.c l� / JG�� �� r r Tel. #5 Permit Fee Plan Check State Surcharge SAC Charge Park Fee Sewer Main Charge TOTAL STIPULATIONS: CITY USE ONLY $ l - LOD Fee Schedule on Reverse Side 25% of Building Permit Fee $•50/$1,000 Valuation $ 525 per SAC Unit Fee Determined by Engineering Agreement Necessary [ ] Not Necessary [ I. SUBJECT IPMO• City of Fridley 26823 AT THE TOP OF THE TWINS BUILDING PERMIT r 16 COMMUNITY DEVELOPMENT DIV. PROTECTIVE INSPECTION SEC. r 1 . � NUMBER REV DATE PAGE OF APPROVED BY CITY HALL FRIDLEY 55432 'j 612-571-3450 910415 7/27/98 JOB ADDRESS 101 57th Place NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 2 & Wj 3 1 1 1 City View Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Richard Bistodeau 434-0002 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Midwest Siding & Roofing 18979 Gladstone Maple Grove 416-4804 0102 4 ARCHITECT OR DESIGNER MAIL ADDRESS 55311 ZIP PHONE LICENSE NO. 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO. 8 USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW ❑ ADDITION ❑ ALTERATION [A REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Reroof houe and garage 32 S 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 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 AT I HAV E AND XA ED THIS APPLICATION 1 STALLS GARAGES AND KNOW THE S MET BE U D COR ECT LL PROVISIONS OF LAWS VALUATION SURTAX AND ORDINAN S G ER T IS TY P O ORK WILL BE COMPLIED WITH WHETH SPE FIE H O O . HE GRANTING OF A PERMIT 2668 $1.33 DOES NOT ESU T A TO VIOLATE OR CANCEL THE PERMIT FEE SAC CHARGE PROVISION OF Y AT R 0A LAW REGULATING CON- STRUCTIO OR E P MAN F CONSTRUCTION. $74.75 Fie SC $2.66 N CHECK FEE T07 L FEE c e n C 5.0 3.74 SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT IDATEI OP�VALIDATHIS d1LDG-NS- IS YOUR �M T r • LL GATE S,GNA URE OF OWNER uF OWNER BUILDE14 IDATEI NEW [ ] ADDN [ ] CITY OF FRIDLEY ALTER [ J SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION ConstructionAddress: (0 ( .5- 7 7� P(e'f G -e– N Legal Description: Effective 1/1/98 Owner Name & Address: 9 "C- 45 e a j Tel. # Contractor: �.� 4 kl— S ° d2 MN LICENSE # 70 f6 z Address: 13 Cr7 2 L& ei _ Tel. # Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF EWPROVEMENT 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: $ Co (� (Fee Schedule on Back) Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ _ $ DATE: �' 2 APPLICANT: Tel. #. Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control $ /.33 Park Fee $ Sewer Main Charge TOTAL STIPULATIONS: S 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 [ ] r SUBJECT City of Fridley (4kECZ"%T-Iq6. 278500 AT THE TOP OF THE TWINS BUILDING P E R M I T r ITY DEVELOPMENT DIV. r PROTECTIVE INSPECTION SEC. _ I�� NUMBER REV DATE PAGE OF APPROVED BY CITY HALL FRIDLEY 55432 L f\ 612-571-3450 910415 11/3/98 JOB ADDRESS 101 57th Place NE 1 LEGALLOT NO. 2 & BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. W 1/2 3 1 Citv View Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Rick Bistodeau 434-0002 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Northland Siding & Insul. 2158 Main -757-7170 419R 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE N0. 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO 8 USE OF BUILDING Residential 7 CLASS OF WORK Jx REPAIR ❑ MOVE ❑ REMOVE ❑ NEW ❑ ADDITION ❑ ALTERATION 8 DESCRIBE WORK Reside house and garage - aluminum 9 CHANGE OF USE FROM TO STIPULATIONS Call for building wrap inspection before covering. 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 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 $6800 $3.40 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- STRUC N OR THE FORMANCE OF CONSTRUCTION $112.25 FireAC $6.80 PLAN CHECK FEE TOT F Licen C 5.00 45 SIGN4 URE OirCONTRACTOR OR AUTHORIZED AGENT iDATEi N OPVALIDA Bl0 NSR HIS IS YOUR ERMIT r S,GNATURE OF OWNER.-F OWNER BUILDER. tOATE. r NEW [ J Effective 1/1/98 ADDN [ ] CITY OF FRIDLEY O ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION ConstructionAddress: F Legal Description: Owner Is Contract, Address: LIVING AREA: GARAGE AREA: DECK AREA: OTHER: Tel. # 11391— r©©o' MN LICENSE #/ Tel. #— 7T 7 �,/W 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. Length Width Hgt/Ground Sq. Ft. ol Construction Type: "j Estimated Cost: $ (Fee Schedule on Back) Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ _ $ DATE: 1�7ff-- APPLICANT: ��>-�� ��� Tel. # '7 -7" TOTAL STIPULATIONS: CITY USE ONLY Permit Fee $ r - Fee Schedule on Reverse Side Fire Surcharge $ O .001 of Permit Valuation (1/10th%) State Surcharge $ $.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: NEW [ J Effective 1/1/2001 ADDN [ J CITY OF FRIDLEY (763) 572-3604 Bldg Insp ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION Construction Address: 101 57d, ill aae Iva Legal Description: Owner Name & Address: R"(4- 'a is+ncien W s&W As 4-Loe Tel. # -70- 672 1633 Contractor: 'I/0'1/ -Tef, MN LICENSE # cl'tOq;2 9c2 /! Address: 101o5b Co, lam. 91 4J06, iV&nM^l -5- _3lo g Tel. # `763 -316---990 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. DESCRIPTION OF IMPROVEMENT Length Width Height Sq. Ft. Length Width Height Sq. Ft. Length Width Construction Type: 2,95®[A ettiM Estimated Cost: $ 5999, 00 Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ = $ DATE: I 1 10 /0 S APPLICANT: U10 I V Tel. # 76--3 e3 / 5- %'1766 CITY USE ONLY - Call (763) 572-3604 for Permit Fees if mailing in application Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee Sewer Main Charge t"0 f_v STIPULATIONS: $ 83. �)� Fee Schedule on Reverse Side $ .001 of Permit Valuation (1/10th%) $ L4 $.50/$1,000 Valuation 417 $1150 per SAC Unit $ $5.00 (State Licensed Residential Contractors) "A" or Alt. "B" Above $ $450.00 Conservation Plan Review $ Fee Determined by Engineering $_ Agreement Necessary [ ] Not Necessary ] $ �. Building BUILDING Permit No.:j Inspections RESIDENTIAL APPLICATION Received By: / 763-572-3604 CITY OF FRIDLEY Date Rec'd: DATE 3 YO - DRESS JH oF-PONA,� ®1 SITE ADD S THIS APPL TIS: ❑ OWNER CONTRACTOR PROPERTY OWNER/ NAME: See Back Page for Fee Schedule ADDRESS: l D 1 5 7 P L -"c L -f iv . IE CITY f Q N SCI Lc % STAT9'14I1`< 3 — TENANT 65% of Building Permit Fee PHONEZ 7 (0 3) 7 Z — lS 31 $ CONTRACTOR NAME: n o FP's Surcharge STATE LICENSE # 13 L- Z_o H 9 EXP DATE t' ^'1 y -7 .0005 x Permit Valuation Minimum $.50 SUBMIT A COPY OF YOUR STATE LICENSE ADDRESS: k S _ L� to ~`= V-- -`7 , ' = CITY V-\ t-1 L.'E7`/ STATH=+'SII' _5S_ -11F__ WITH APPLICATION PH E C 7(c,31 G 7� "`� FAX ff SINGLE FAMILY/NEW CONSTRUCTION SIZE $ PROPERTY TYPE $1550 per SAC Unit (Plans to MWCC for determination) ❑ TWO FAMILY/NEW CONSTRUCTION STORIES PERMIT TYPE ❑ ADDITION ❑ GARAGE/SHED ❑ WINDOWS Erosion Control ❑ BASEMENT FINISH ❑ RI LQF ❑ DRAIN TILE $450 Conservation Plan Review ❑ DECK O'SIDING ❑ OTHER ❑ SWIMMING POOL Sewer Main Charge TYPE OF WORK: ❑ NEW ❑,6DDITION Agreement necessary ( ) Non Necessary ( ) Total Due ❑ MAINTENANCEIREPAIR ITREMODELING 04 71 DESCRIBE WORK BEING DONE: iC' E 5 fl rC h b t,i 5 • �t P� ? f� l_h cep b i�tZf C 6 SIZE OF IMPROVEMENT 20 $M LENGTH WIDTH HEIGHT Sq. Ft. 2 ROOFING ❑ HOUSE ONLY NUMBER OF SQUARES ❑ HOUSE & GARAGE BASEMENT REMODELING SUBMIT: 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: SWMG FOR NEW CONSTRUCTION INCLUDING DECKS, myl ❑Soffit ADDITIONS. & PORCHES SUBMIT:, ❑ Aluminum ❑ Trim 1. Site Plan/Survey showing the existing structures ❑ Other ❑ Fascia and proposed project. 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 AI I. FFFC ARF TtACF.D nN VAT.TTATInN_ TNC:T.TTDTNG THE COST OF LABOR AND MATERIALS: (USING THE 1997 U.B.0 FEE SCHEDULE) TOTAL JOB VALUATION $ (5, w OCCUPANCY TYPE Permit Fee $ ; � , oZ �5' See Back Page for Fee Schedule Plan Review $ 65% of Building Permit Fee Fire Surcharge $ /3,00 .001 times the total job valuation Surcharge $ (o • .0005 x Permit Valuation Minimum $.50 License Surcharge $ .5,00 $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 $20 = $ Erosion Control $ $450 Conservation Plan Review Park Fee $ Fee Determined by Engineering Sewer Main Charge $ Agreement necessary ( ) Non Necessary ( ) Total Due $ 04 71 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 ity of Fridley and with the Minnesota Construction Codes; that I understand this is not a permit but only an application for a permit 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 which d approval of plans. SIGNATURE OF APPLICANT PRINT NAME n M F DATE ��� ��