The URL can be used to link to this page

PRE 2010 DOCSCity of Fridley SUBJECT P 1458 AT THE TOP OF THE TWINS PERMIT ' BUILDING RECEIPT NO COMMUNITY DEVELOPMENT DIV. O r PROTECTIVE INSPECTION SEC. 1 ` � I CITY HALL FRIDLEY 55432 J NUMBER REV. DATE PAGE OF APPROVED BY 612-560-3450 910-F15 2/24/78 JOB ADDRESS 15 - 63rd Way N.E. 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 22 16 Fridley Park SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Ardes & Alton Taylor 8289 Spring Lake Road, Mpls. 786-9038 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 2 NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Construct a 24' x 421 Dwelling and a 24' x 22' Garage 9 CHANGEOFUSEFROM PLUMBING,RID SIGNS. STIPULATIONS Provide a hard surface driveway. Provide sod in the front and side yards. Provide a verifying survey before capping. Provide french drain in lower level entry and provide roof over. Provide City with copy of truss design before framing. Provide combustion air to furnace. Provide saddle on garage roof. SEWER LOCATION: (Approx. 8' Deep In Street) 4.5' W. of Manhole (Inv. 832.00) WYE ELEV: 831.98 TOP OF FOOTING: 834.98 Minimum WATER LOCATION: 6' W. of Sewer Service, 10' W. of Manhole WARNING DRIVEWAY DEPRESSION COST: N/A ""'®Cal Ublifl WON digging 7 PSE CITY OF FRIDLEY DOES NOT GUARANTEE THE TELEPHONE - ELECTRIC - GAS ACCURACY OF UTILITY LoCaiTms AND FsIJEVAT10rtS. �'� THIS DATA IS FOR INFORMATION PURPOSES ONLY AN:J REQ �joRE® BY PERSONS USING ff SHOULD VERIFY THE INFORMATICta 0f I T'I'LE SITE. SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD VENTILATING OR AIR CONDITIONING. Wood Frame THIS PERMIT BECOfAES 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 R-1 1048+528 25,920 Total 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, $37,250 $18.63 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-eHER STATE OR LOCAL LAW REGULATING CON- $103.68 $400.00 STRUCTION OR-THE PERFORMANCE OF CONSTRUCTION. PLAN CHECK FEE TOTAL FEE 5.92 $548.23 SIGNATURE OF' ONTRACTORORAUTHO ZEDAGE (D EI rl HEN PROP RLY VALIDATED THIS IS YOUR PERMIT .2 -41q-178 BLDG INSP DATE SIGNATURE OF OWNER (IF OWNER BUILDRR)- (DATE) y CITY OF FRIDLEY APPLICATIO14 FOR RESIDENTIAL BUILDING PERMITS (NEW, ALTERATION , ADDITIONS, OR REPAIRS) OWNER: Address: No.Street: LOT: 11-U– BLOCK: 14 CORNER LOT: r1` INSIDE LOT: BUILDER: Address: Tel. No. "�N'fo M SETBACK: 3':r 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: p DF-- /1/C Front: �� Depth: � Height: l� Sgraare Feet:�� Cubic Feet: Front: Depth: Height: Square Feet: Cubic Feet: Type of Construction: �� Estimated Cost: $ To Be Completed: L 1� 4i e / 7/I Z—/ Alt. A Alt. B Proposed Driveway Width If New Opening Is Desired $ $ (SEE REVERSE SIDE OF SHEET) The undersigned hereby makes application for a permit for the work herein specified, agreeing to do all work in strict accordance with the Citv 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. See reverse side for add onal information. _DATE : S TGNATUFE : � - Stipulations: I. Aa' . dr "dam ;•, ti, A4" A4061 / I � �I �.AYSC,A-rn-,r�,t 0✓l! °J�?��R / JCC _ D _ t s OU, Aft 4 iC t GSI Cs ir r In I I j Tj C r6sp '.'Ji th" )lei kit COVIPUti# U ingoitnation' m.,, equ _�pd- so. th6� ir the, ENERGY, :CONSI - _; ` - 'b "A 0611i W, lt izlm � to T4 e ;', 'i'�SeoiC460064 D It'is - , the'., fi it C(5 4, our Ute,,�thav p tAa "PF_oper� "IMM Ott, q t,Jp,t j 444,*6k� sa�sure ns AK TON # puns . 4" At%! ��l Z e"..001 -1 Pp ,q C& ei Z"- b c,va g 00, '04* 0, wl, c bta;4w.6ti;l g Uhd 4jr ' ea ave. -.A 7 ifi Ott Oil tot a, 400,904: foxift,dm t rRM a i.,ak" AREAi,. Pier �'.(,�O.'M*Ob _tokt- ;)OPOSED., W,�M A -RM X_ 17. ZOO, dourovAAne a.', as.,o ., 'tea ty, C Xng r4o jv , bUl, 'net *jW tilaied* 6i Jing area ztGL No R 4 1, :4, '2' fv y fANN, rYl n S Rx l r e rx N5 Z a 4 Cls J a Pn, t+ t x- �t 'i^., �. ' y P r n�lPsFt' 4� sQ WI 1",r i F sy'k11' 5 €, r t ^t Sh re NS � i.: m a i �, '41r. -.L- 4 � ;i•*!' M"*'y tt h' � �. rF� '��3, r.f,�i � � � 'W r{ � v rraV T- Ir 'A% 4v u wcall, a r t i k ri ':; n :." rr ti�.,..ai v..r't an ]I( 1A ,yf r t S %yr Fr s t• 7 # 7- !�` �:''r �g_, g .0 5 "F� Rf} l ui °�, Maw c I� r; � r 'I'll" a 'sir - a 4 PrJ'F � 1 'I MY` L ,� �',@y a a Y4 s,�c l 4 t A M z e .£ ty`rl n 2hkrF i ✓+° tpaN VOW: a d x Lq r ° ° 13l y'+�j� <.• dE r el t lit ° d ¢' � 4 ►r a'rcx'tit + {." t, , r .l^' r. n A ,rt • r t4 y1 11 I9 "" yY Sxy'.r r rWRY i �• r c fi 1 r s� t ! u r ✓K: t u' a v {�i i r�'1 �k r l 9,y r} sr��a�M�r t �sA �5+'``,, t .� x dim t Tell ��i}}t e i �`fr ,,c l •F z , d y �y.P}e J 1R�y� �, �,�µ yy{.^y �' S, rayl' 'au, s ezz D°+ '� ? c'i4!'YC .i .71 yjx^ IT`t`�,j .j Z `ty :. v � X51 r4 s+��^z - r y �i• Nd r t� , T a Ix a ab! N ,r t`Slot i i •i a� / .1a L A� 141. ,-_: I'+r r 'tir'i F •+ 'r '. ( d ,+ f rr` n ' , A r��N�S x T'�'yh iy iy � , �,�,� �' `' �>� �. �_ f ' �i'r ''�,n, l� rt '• *a .l a. e,��s°`�s � ,}+'�' J 1 e � � i � � � � r 1 � � F "ems `� . �. �, �. � l W ti It�y , r� AL a71 � Jf►�, �A. � �....�f f f+F� � 7 �'tR ° � ; d r ti: ° ,. t "�'r s r c �.. '�dL � a��i { ' Ih �{y�q�; �j�y�( ."[�jJ��'��?yyyp�i �/+` Y' i, +y♦ry'�!pR'��1� i 5 M _ -�� it pf �rw,.., i� L �,,,x, + rr'wT - L ;'i� 'p, � MEW, _d 1 5 �..sry b air MS ,'' f yS { W"i i 57,F` r ' v-,t'rr'� t. .� l�`v'q� sX w n s��f't(, �Pu^4.1#11 Kam son"& S``* ° n f jA`"'., •t'�#F `�e'rr NEW E y. - ^js��,�J((s��//,��GGor �\ �s�ari Reit youv�t+ too ��""`C`t R} d V'hC06. -. C•i �'�►' 4' ,l, t., a R S� 'T&rT i't-v xv ti4� J•:tCL.-t i ('r `°,b , R` �x F aatn r P )'{`1r ):�, T T• I r�y� f dCr�r ,.i�-F'"s'`r „'^” �edrr +. a '. '�, :• ,.:: H,� ° ..` � r.� 'd tr c?p � v%rtr ��`,�,a�"', V A�' 1es than li5 Z u3'3�y ' Cpfaot*1 ern�eldeYsten► !MP i r xj v • fr a ry r ,r b 411 �rY y 1 r, b L u µ „. �r � i t dor �Fbwi c £� �e nit, ' hereby .4ffirins 'th his q A,"J4"�`�'� 3�4�r- -n, � "14FE.';t. l,� tiCCUScTt�C1�, 8n w r.. s w k K uo r b e 9sr d j y S �• '* .Y. � i�' ,.+ fa c� L v_ D' t�4 '� �. d� s t , 5> x p5' ,. .ur :- � � �� _A ` r r,a` , ri �y `*`}F.rc+ti, ra.` d -,o- i rt3h'•" .r y to 4 t , r -T l4C 7 - a y q -'� nm Jq JV }%,,.t il•. rr r r7 _ .�7 .tx -°a` 5r'cC' : * '. y' - R S i �.y, � #r, w � a �..F {7�, „3? +r F �.di y..,� • 1^ rf�`r+H - r dr � � f tri a� �. b; �+� t � i4 �� y�4�1 �` i '�t , r _ _.., ..r�,. •NiLrt. �i�r.+l,z, a.++.0 n.- {e :ar.,.. •S. �.t-..L..s. R.ds:e .#.... s :r KI a 0i i i,IJLLI APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION, REFRIGERATION AND 4 AIR CONDITIONING SYSTEMS AND DEVICES PARTIAL RATE SCHEDULE 7.00 Repairs S Alterations each add. $500.00 4.00 STE*1 OR HOT WATER SYSTS'•I: Boiler s Lines up to 100,000 BTU c J✓ � ,�® GRAVITY WARM AIR: RATE TOTAL Job Address 9 Furnace Shell & Duct Work $12.00 $ - Replacen nt of Furnace Repairs 6 Alterations -up to $500.00 7.00 7.00 $ $ s Department of Buildings Repairs & Alterations each add. $500.00 4.00 $ City o£ Fridley Tel. #571-3450 MECHANICAL WAP -14 AIR: Furnace Shell S Duct Work to 100,000 BTU $12.00 each add. 50,000 BTU 4.00 Replacement of Furnace 7.00 Repairs s Alterations -up to $500.00 7.00 Repairs S Alterations each add. $500.00 4.00 STE*1 OR HOT WATER SYSTS'•I: Boiler s Lines up to 100,000 BTU $12.00 each addn. 50,000 BTU 4.00 Boiler only up to 100,000 BTU 7.00 each addn. 50,000 BTU 6.00 OIL BURNER- to 3 gal. per hour $10.00 each add. 3 gal. per hour 10.00 GAS BURNER- from 100,000 BTU to 199,999 BTU $10.00 (over 199,999 BTU see Fee Schedule) GAS FITTING FEES: 1st 3 Fixtures x $ 3.00 Additional Fixtures x S 1.00 Gas Range to 199,000 BTU x $10.00 AIR CONDITIONING �} FAN HEATING SYSTEMS j See Fee Schedule VENTILATING SYSTEMS ALTERATIONS F, REPAIRS State Surcharge TOTAL FEE ROUGH INSP. Date FINAL INSP. Date APPROVAL FOR PEANUT REINSPECTION FEE 010.00) MINIMUM FEE FOR ANY HEATING PERMIT IS $7.50 PLUS $.50 STATE SURCHARGE 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, Minn. & , 19 OWNER TB/�/ /r 4o / q KIND OF BUILDING W I®� A f. USED AS TO BE COMPLETED ABOUT ESTIMATED COST OLD - NEW BUILDING PERMIT NO. PERMIT NO. DESCRIPTION OF FURNACE/BUR.NER HEATING or POWER PLANTS, Steam, Hot Water, Warm Air- No.G Trade Name A114 X Size No. Q 3 —_/` Capacity 11tj 60C2 Sq. Ft. EDR BTU /y HP Total Connected Load rind of Fuel �% 7— BURNER BURNER - Trade Name 4 t 9 ®X Size No. Capacity Sq. Ft. EDR BTU HP Company Signed By • Tel. No. �19 L16H HEAT,L-O§S CALCULATIONS DEPARTMENT OF INSPECTION Weatherstrips . Guide Coastmetion No. Windows Doors Reference Out. Wall Jlnt.Wafi I Ceiling I Roof I Floor Ye— sem— to I e—moo _19— F1.1 9_Fl.I tom" b Room I Length i�} Width ' Heidht 7771 ml 77 7 'IV Windows and Doors—Crackage and Area Width Height No. of Lineal ft. Area No. of vans of pans lights of crack N. fl. } c r 6 A �,� ',7 ','t' t �..fjf ': 1•' COOL Btu Infiltration Btu Infiltration / Glass x <, 777 2 - a Exp. wall m - r Glass Exp. wall Net exp. wall err. Exp. wall Int. wall Exp. wall," Ceiling ,"' / ? / , V ei Floor f 7 77 Int. wall TOW Btu." c: Required sq. It. E.D.R. or sq. ins. W.A. Leader area Fl.I /5,l -A4 Room I Length / 2, Width =' Heiaht Windows and Doom—Crackage and Area Width Height No. o! Lineal. ft. Area No. of cane et pans lights of track eq. ft. ` y. "� r` may. �,� ',7 ','t' t �..fjf ': 1•' Coef.1 Btu Infiltration Btu Infiltration / Glass x <, 777 2 - a Exp. wall , 4, IV' Glass Exp. wall Net exp. wall 77 Exp. wall Int, wall Exp. wall," Ceiling Int. wall #i%s y il.� Floor f 7 77 Int. wall Total Btu. C, Required sq. ft. ED.R. or sq. ins. W.A. Leader area FU d f> Raom I Length / V Width CHeight Windows and Doom--Crackage and Area Width Height No. o asal IL Arca No. of pans of pane lights of Smell sq. It. ` y. "� r` may. �,� ',7 ','t' t �..fjf ': 1•' Coef. Coef.1 Btu Infiltration Infiltration �� ' t: Glaze Glass Glass Exp. wall fi' `°' Exp. wall Net exp. wall Exp. wall," Net exp. wall Int. wall . , f 7 77 Int. wall Floor Ceiling d' 0 >u Floor Total Btu.'. Required sq. ft. E.D.R. or sq, ins. WA. Leader area 1VMNNEAPOLIS. MINN. s � I mulation Kind How Applied R.. I I .6h ',j T Width I Height Windows and Doom—Cracks ge and Area Width eight No. of Lineal It. Ara No. of pans of fano lights of crack sq. ft. }pans �,� ',7 ','t' t �..fjf ': 1•' Coef. Btu Infiltration Infiltration Infiltration �� ' t: Glaze Glass Glass Exp. wall fi' `°' Exp. wall Net exp. wall Exp. wall," Int. wall , Ceilingl'.'_ Floor Ceiling''`! Total Btu. i jl,� "111PX_ Required sq. ft. E.D.R. or sq. ins. WA. Leader area to -I .f. A eefn I Length Q 0 Width Height Windows and Doors—Crackage and Area Width Height No. of Lineal It. Area No. o! na of ils'hta of crack w. ft. }pans lCoef Btu Infiltration Infiltration �� ' Glass Glass Exp. wall Exp. wall," Net esp. wall , Int. wall Int. wall Ceiling''`! Floor Total Btu. Required sq. ft. ED.R. or sq. iris. WA. Leader area t,1 L ei of 1 A+-: R.. 111na'th 110 Width Height Windows and Doors--Crackage and Area Width Height No. of Lineal ft. Area No. of tape of pane lights of crack sq. it. Coef. Btu Infiltration Glass Exp. wall," Net exp. wall Int. wall Ceiling Floor ILL x `.•A' <_ Total Btu. I ! - Required s4. --ft. ED.R. or sq. ins. WA. Leader area 1 L:1( f Ur FRIDLEY APPLICATION FOR PLUMBING AND GAS FITTING PERMIT PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: NO. RATE TOTAL Nu=ber Fixtures x $3.00 v Future Fixture Opening k d $ _-(��-- Water A m A Catch Basin x ►roi c .G+ m o u roO a CL A. $ Water Softener Heater u w C) a I+ c x $5.00 01W Electric Water Heater x 3i WUr GAS FITTING FEES: 0 = U 1st 3 fixtures v$. ' $3.00 Additional Fixtures x J $ f -4 $10.00 S REPAIRS $ ALTERATIONS First $100.00 $5.00 S each add. $100.00 or fraction iv vi r' c cn a U w d 3to c O 'as lee 1 0/1 1sL 2nd 3rd Y --,l (R) = Future Connection Opening Connected with Sewer (•) _ New Fixture, Old opening Water PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: NO. RATE TOTAL Nu=ber Fixtures x $3.00 $ Future Fixture Opening �_ x $2.00 $ _-(��-- New Fixture, Old Opening x $2.00 $ Catch Basin x $5.00 $ seater Heater - to 99,000 BTU x $5.00 100,003 BTU to 199,000 BTU x $10.00 $ Water Softener x $7.00 $ New Ground Ran Old Building x $5.00 Electric Water Heater x $5.00 $ GAS FITTING FEES: 1st 3 fixtures -� x ' $3.00 Additional Fixtures x $1.00 $ Gas Range to 199,000 BTU x $10.00 S REPAIRS $ ALTERATIONS First $100.00 $5.00 S each add. $100.00 or fraction $2.00 $ State Surcharge $ .50 TOTAL FEE REINSPECTION FEE ($10.00) . �O > Job Address Department of Buildings. City of Fridley Tel. #571-3450 The undersigned hereby makes application for a permit for the vork 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 eorrec OWNER Fridley, Mn. 1�1—E , 19.z� KIND OF BUILDING V USED AS TO BE COMPLETED ABOUT ESTIMATED COST 15� OLD - NEW BUILDING PERMIT NO. ROUGH INSP. Date FINAL INSP. Date APPROVAL FOR PERMIT MINIMUM FEE FOR ANY PLUMBING PERMIT IS $7.SO PLUS $.SO STATE SUyCHjk= 6 F.. f July 18, 1978 6431 UNIVERSITY AVENUE N.E., FRIDLEY, MINNESOTA 66432 ,.A for Mr. Alton Ta y 8239 Spring Lake Road Minneapolis, FTN 55432 Re: Final Inspection at 15 - 63rd Way N.E. Dear Mr. Taylor: TELEPHONE ( 612)571.3450 A final inspection was made on July 18, 1978 of the above address and the following items were noted which must be completed before the structure can be finaled out; 1. Install garage door closer by August 23, 1978. 2. Install step in garage by August 23, 1978. 3. Install guardrail on rear basement entrance by August 23, 1976. 4. Install handrail at rear entrance by August 23, 1978. 5. Submit verifying survey to this office by August 23, 1978. We will expect the above items to be completed by the scheduled date when a.reinspection will be conducted to determine compliance. If you have any questions on these items, please contact me at 571-3450. Sincerely, FOR HOLDEN Building Inspector RH/mh BuildingBUILDING AND MATERIALS: (USING THE 1997 U.B.0 FEE SCHEDULE) Permit Na,: -� Inspections OCCUPANCY TYPE RESIDENTIAL APPLICATION Received By: 763-572-3604 Plan Review $ 65% of Building Permit Fee Fire Surcharge $ .001 times the total job valuation CITY OF FRIDLEY Date Recd: 763-5q0�2-4n977 FAX License Surcharge $ $5.00 (State Licensed Residential Contractors) SAC Charge $ 10A EFFECTIVE 1-1-200A'_:/?A Curb Cut Escrow $ - 21 Ate! �2n s_ /� � � �y `1 n I� ` L)L0 /A-Rubl66 DATE 1 -jn_l2b YOUR E-MAIL ADDRESS rIps:7AP-0 � SITE ADDRESS Sewer Main Charge THIS APPLICANT IS: ER ❑CONTRACTOR Total Due PROPERTY OWNER/ NAME: Og&,12t- p o_( A TENANT ADDRESS: CITY 1 LC Y STATEMl) ZIP SS43Z PHONE:_(a I r� ' CONTRACTOR NAME: SUBMIT A COPY OF YOUR STATE LICENSE STATE LICENSE # EXP DATE AND CERTIFICATE OF ADDRESS: CITY STATE ZIP INSURANCE PHONE FAX PROPERTY TYPE ❑ SINGLE FAMILY/NEW CONSTRUCTION SIZE ❑ TWO FAMILY/NEW CONSTRUCTION STORIES PERMIT TYPE ❑ ADDITION ❑ GARAGE/SHED ❑ WINDOWS ❑ BASEMENT FINISH ❑ OOF ❑ DRAIN TILE ❑ DECK PIDING ❑ OTHER ❑ SWIMMING POOL TYPE OF WORK: ❑ NEW HOME CONSTRUCTION ❑ ADDITION )eUAINTENANCE/REPAIR ❑ REMODELING DESCRIBE WORK BEING DONE: SIZE OF IMPROVEMENT LENGTH WIDTH HEIGHT SQ FT ROOFING O HOUSE ONLY BASEMENT REMODELING SUBMIT: NUMBER OF SQUARES 11 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, myl []Soffit ADDITIONS. & PORCHES SUBMIT: ❑ Aluminum "Trim I. Site Plan/Survey showing the existing structures ❑ Other fd'irim and proposed project. 2. Two sets of construction plans WINDOWS 3. Energy Calculations IN EXISTING OPENINGS ❑Yes ❑No LOCATION OF WINDOWS FOR WINDOWS - PROVIDE U -VALUE AND OR FOR NEW OPENINGS -DESCRIBE SIZE OF MANUFACTURE STICKER ON WINDOW. OPENING CHANGES & TYPE OF WINDOW TO BE INSTALLED NUMBER OF WINDOWS ALL FEES ARE BASED ON VALUATION, INCLUDING THE COST OF LABOR AND MATERIALS: (USING THE 1997 U.B.0 FEE SCHEDULE) TOTAL JOB VALUATION $ .,0 OCCUPANCY TYPE Permit Fee $11 6L5See Back Page for Fee Schedule Plan Review $ 65% of Building Permit Fee Fire Surcharge $ .001 times the total job valuation Surcharge $ Q. .0005 x Permit Valuation Minimum $.50 License Surcharge $ $5.00 (State Licensed Residential Contractors) SAC Charge $ $2100 per SAC Unit (Plans to MWCC for determination) Curb Cut Escrow $ ft + 6 ft = ft x $24 = $ Erosion Control $ $450 Conservation Plan Review Park Fee $ Fee Determined by Engineering Sewer Main Charge $ Agreement necessary( ) Non Necessary ( ) Total Due $ Make checks uavable to: Citv of Fridlev Attach Stipulations THIS IS AN APPLICATION FOR A PERMIT -NOT VALID UNTIL PROCESSED I hereby apply for a building pe it and I acknowledge that the information above is complete and accurate; that the work will be in conformance with the ordin ces d es o e City of Fridley and with the Minnesota Construction Codes; that I understand this is not a permit but only an applica ' n o a e it work is not to start without a permit on site; that the work will be in accordance with the approved plan in the case o 1 k h h r q it vie and approval of pl SIGNATURE OF APPLICANT l/ v` PRINT NAME i�DC7ii IL`rCU DATE ( �� ' O� D I D