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PRE 2010 DOCSSUBJECT PERMIT NO. City of Fridley ® 12805 AT THE TOP OF THE TWINS BUILDING PERMIT r � REC I . T NO. 1 Y______ COMMUNITY DEVELOPMENT DIV. r I PROTECTIVE INSPECTION SEC. CITY HALL FRIDLEY 55432NUMBER ,'J REV. DATE PAGE OF APPROVED BY ""• 612-560-3450 910-F15 111/15/74 JOB ADDRESS 1540 - 73'h Avenue N.E. 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. .4 3 Jim Lund Estates SHEET 2 PROPERTYOWNER MAIL ADDRESS ZIP PHONE James Lund Construction, Inc. 2417 - 148th Avenue N.E. Anoka 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 X B DESCRIBE WORK Construct a 24' x 40' Dwelling ' x 221 Garaap 9 CHANGE OF USE FROM TO STIPULATIONS Provide a hard surface driveway. Provide a verifying survey before capping. SEWER LOCATION: 93' west of manhole (Inv. 892.99) Wye Elev: 893.33 Top of Footing: 896.33 Minimum WATER LOCATION: East of sewer service in same trench PERMITS Ri,EQ.UII+R�ED FOP, W RING, HEATING, HEA ING, ���1_i�ai _+11'i1 h N.D ..3`�.: NIS. TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, VENTILATING OR AIR CONDITIONING. Wood Frame 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 R-1 1020 24,920 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. WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT $24,052.00 12.03 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. STRUCTInN OR THE PERFORMANCE OF CONSTRUCTION. $47.00 $300.00 CHECK FEE TOTAL FEE I__QPLAN a �c- `l u -c -f s7 1 AX&9-03 5 NAT&REOFCONTRACTORORAUTH RIZEDAGENT (DATF) ^SIGNATURE HEN PROPERLY VALIDATE IS IS YOURFPEFRMIT - BLDG INSP DATE OF OWNER IIF OWNER BUILDER) (DATE) A1111J,jCxj'jON FOR RLSIDENTIAL, ALTERATION, OR ADDITIW-BUILDING PERMIT CITY OF FRIDLEY, MINNESOTA 014NERIS NAME: JAMF.-; 1,1mr) cnbjST,.,jUG'____�BUILDER: jmmq min cnNsT__Tmr_ ADDRESS:, 2417 148th Ave NF —ADDRESS:. 2417148th Ave NE NO:. 154() STREET: 73 1/2 Ave NE LOT: 4 BLOCK: 3 ADDITION: Jim Lund FstntAq E-22.0 CORNER LOT: INSIDE LOT: X SETBACK:35' SIDEYARD: w -lo, Applicant attach to this form Dvo Certificates of Survey of Lot and proposed building location drawn on these Certificates. DESCRIPTION OF BUILDING To Be Used As: Single Family Front: 241 Depth: 401 Height: Dwelling Square Feet: 960.00 Cubic Feet: Garage Front: 261 Depth: 221 Height: Square Feet; —Cubic Feet: . Type of Construction: Frame Estimated Cost: $ 33.000.00 To Be Completed: 12-23-74 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: SIGNATURE: OV—%_ (See Reverse Side For Additi nal Inf.=L�.) '0-1 Ax, t CERTIVICATE'OF SURVEY FOR TAME4LUN®_------- -- -- Y II " 9011 A-731 — AVE -AE'" 3 �c 82-61 (96?. 4) 902 4) r c ,nd I rn m 3 m I � � Ip r yrs N 4 m Proposed F1ousCo 26 � c o ° 24 in —Dra�r,age f, lYt.;I_ty Easc,ncnt �0 902 I� 8Z. 66 f o i not,: iron —on, ... ,n 1 f O' co , L'r'::ot! L ? nE lr it 900j :_dertot� ; rc, o s e d .:rad Proposed Top of Note: Descripticr: is invalid until plat is filed Description: Lot 4, Block 3, Proposed JIM LUND ESTATES, Anoka, County, Minn. � - I ht'rr-lly Cel tity ]hat this ,s d true and correct relrreselitaturr, r,! ;, ,_rrvev dL 7ou'i1 &� Country the l,oundaries of thr ahovo cd?scr ibed Idnd anti of the IocdUnn of ai b'_,ilri-nq• . t rany,trr r .^;rl 18nf1, It any, therr•On. and all visible r�ncrodclrr.rr• rts. It flUlll C�urvec�or.s rd (to' of -RItj 'O�n iw N r, 94 s1 Fur r, " N 1 - JH,,r �k'Yr Ptrk ll.,% c.r1 t:F: ur„rare 533 7.00 P/Iitm Req No - 1094q 1 City of Fridley Appai c a n f w F2 -m—, grad 6 = R ij Dept. of Bldgs. Phone 960-3450 DESCRIPTION OF WORN°� ' Number, Kind and Location of Fixtures Lmti� �J`�/o I- � .- � I 4 O I3 En w Number Fixtures ................. S $ N ;� �o New Fixture Old Opening .....:.... . x $1.50 S� 000j1 <3 x $3.25 !a��}}�� Od N V • ► • N WATER MTA. GAS ELK. Base s $2.00 $ :.AS FITTING FEES: NO. RATE TOTAL Ist 3 Fixtures ...... • ......... x $2.00 ; Additional Fixtures ................ x $ .75 $ Gas Range to 199.000 BTU ............ x $5.00 ; 1st 2nd 3rd 4th • Future Connection Openings * Now Fixture. Old Openings Connected with Sewer spool ❑ PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: NO. RATE TOTAL Number Fixtures ................. x $2.00 $ Future Fixture Opening ............ x $1.50 New Fixture Old Opening .....:.... . x $1.50 Catch Basin ...........:........ x $3.25 $ Water Heater '.Up to 99,000 BTU) .... _ Z x $3.00 $ ,1 ` r New Ground Run Old Bldg...... x $3.25 $ Electric Water Heater........... s $2.00 $ :.AS FITTING FEES: NO. RATE TOTAL Ist 3 Fixtures ...... • ......... x $2.00 ; Additional Fixtures ................ x $ .75 $ Gas Range to 199.000 BTU ............ x $5.00 ; REPAIRS & ALTERATIONS—Refer to Code City of Fridley: The .undersigned hereby makes application for a permit for the work herei specified, agreeing to do all work In strict accordance with the Citi Ordinance and ruling of the Department of Buildings, and hereby declares that all the fact and representations stated in this application are true and correct Fridley, Minn- 4-2 '194/ Owner Ix Kind of Building --_- – Used as To be completed about Estimated Cost, $ Old—New. Building Permit No. P•smit No. 31(93 Signed By C -'= - Business Phone No ROUGH .50 State Surcharge Description ............................................., .a TOTAL FEE $ � Igv maze ng. 1`'en"v2srobs Mid PARTIAL RATE SCHEDULE GRAlTM WAI AM: MTC TOTAL Furnace Shell & Duct Work ..... .. $10.00 5 Replacement of rurnare 6.00 $ Repair- & Alterations—up to $500.00 6.00 $ Repairs & Alterations each add. 3500.00 300 $ NECIL W1t+8$M AM Flumace Shell & Duct Work to 120,000 BTU ..$1000 b_. 6 each add. 60.000 BTU . ......... 3.tO S Replacement of Furnace 6.00 $ Repairs & Alterations --up to $500.00 6.00 $ R,epairs & Alterations each add. $500.00 3.00 5 STEAM or HOT WATER BYSTEN Furnace Shell & Lines—to 400 sq. it. F.DR Steam $10.00 $ Furnace Shell. & Line—to 640 sq. ft. EDR Hot Water 10.00 $, Each add 200 sq. ft. EDR Stearn Each add. 320 sq. ft. EDR Hot Water 3.00 S OIL BURNER—to 3 gal per hour 6.00 S. over 3 gal. per hour—See Fee Schedule GAS SU NER (up to 1r1sXO BTU) 5.00 5 •S� ove7 199,000 BTU See Fee Schedule GAS F TTING FEES: NO RATE TOTAL Ist 3 fixtures x$ 200 $ ` 0 G Additional Fixtures x .75 $_— _ Gas Range to 1W.CW 4 5.00- 5 i VV State Surcharge .50 COD Fee 3CLIdds, A An^ T®TaL P= s fit. of MdocL Phom MO -3= i City of Fridley: The undersigned hereby makes application for a permit for the worts herein specified. agreeing to .do all work in strict accordance with the City Ordinancer- and ruling of the Department of Buildings, and hereby declares that all the fad and representations stated in this application are true and correct. Fri I)ey, Minn Kind of Building Used as • �' L' vz To be -completed about. _ Estimated Cost; $ Old—New. Building Permit No. Permit No. HEATING or POWER PL ANTS --Steam, Hot Water. Parm Alr ft Trade Nam �" Size No -120,060 e Capacity—_—• — Sq. Ft. E.D.R BTU �7 HP Total Connected Load ' :� 7— -7 _Z2 K1ad of Fuel BURNER — Tra& Namt, Size No O C Capacity Sq. PL ED R BT'IB ] lWaama—ovIAl Sty //. No 5� / Y 06�� 5603450 Cit �� .y of- "' ANOKA COUNTY 6431 UNIVERSITY AVENUE NE January 16, 19.75 FRIDLEY, MINNESOTA 55432 James Lund Construction, Inc. 2417 - 148th Avenue N.E. Anoka, Minnesota 55303 Re: Structural Finals on homes in Jim Lund, Estates Dear Mr. Lund: You have been requesting finals on the homes built in Jim Lund -Estates. Upon making these inspections, we have noted that there are no door closers on the door leading from the dwelling unit to the garage. This is a requirement of the Building Code and therefore you must install them. Make sure that they are capable of completely closing the door as some that we have seen are not capable enough and do not close and latch the door. This is necessary to keep the integrity of the firewall between the - house and the garage. We ask for your cooperation in getting these installed on all your homes prior to your requesting finals and those with people in and already finaled must be installed on or before February 7, 1975. Upon your completion of this request, would you please supply us with the addresses of those installed in the homes that we have already make finals on so we can reinspect them. If there are any questions on this matter, please feel free to contact me at 560-3450. Sincerely, DARREL G. CLARK Community Development Adm. DGC/mh SUBJECT City of Fridley ( �48'4 �) AT THE TOP OF THE TWINS BUILDING PERMIT -- T NO. 1 • _ COMMUNITY DEVELOPMENT DIV. ' �PROTECTIVE INSPECTION SEC. '; T r NUMBER REV DATE PAGE OF APPROVED BY CITY HALL FRIDLEY 55432 612-571-3450 910415 8/31/98 JOB ADDRESS 1540 73 1 2 Avenue NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 4 3 1 Jim Lund Estates SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Reuben Nordin784-5793 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Twin City Exteriors42S-4737 2595 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO. 8 USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW ❑ ADDITION ❑ ALTERATION gx REPAIR O MOVE ❑ REMOVE 8 DESCRIBE WORK Re air storm damage 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 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 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 500 .50 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. $21.00 .50 PLAN CHECK FEE TOTAL FE cense 5. 2 SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT (DATE, 1'000� N P OPERL V (DATED THIX IS YOUR PER IT oe v 41 762 SIGNATURE OF OWNER,IF OWNER BUILDER( IDATEI 9L_09fINSP OATS NL -NV . L l ADDN [ ] CITY OF FRIDLEY ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION ConstructionAddress: / �� ., /, , e �, Legal Description: Owner Name & Address: Contractor: _ Address:'70 Effective 1/1/97 Tel. # 3 MN LICENSE # 5✓5�TeI- # '`�IOZ X73;7 Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF ZOROVEMENT LIVING AREA:' Length Width Height GARAGE AREA: Length Width Height DECK AREA: Length Width Hgt/Ground OTHER: Construction , �&�- Driveway Curb Cut Width Needed: Ft. + 6 Ft = Sq. Ft. Sq. Ft. Sq. Ft. (Fee Schedule on Back) Ft x $ _ $ 1-6�d, DATE: g" —9g APPLICANT: Tel. # yds 1/%37 CITY USE ONLY Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee Sewer Main Charge TOTAL STIPULATIONS: OCA Fee Schedule on Reverse Side .001 of Permit Valuation (1/10th%) $.50/$1,000 Valuation $950 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 [ ] suejEtr N City of Fridley AT THE TOP OF THE TWINS BUILDING PERMIT 2 8 544 . • '572-369M . V__��_ r PROTECTIVE INSPECTION SEC. I CITY HALL FRIDLEY 55432 j 612-571-3450 NUMBER 910415 REV DATE 11/6/98 PAGE OF APPROVED BY 10B ADDRESS 1540 73 1/2 Avenue NE 1 LEGALLOT DESCR. NO. 4 BLOCK 3 TRACT OR ADDITION 1 Jim Lund Estates SEE ATTACHED SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Rueben Nordin 784-5793 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Ea leview Const. Inc. 293791-9469 20076041 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 Q ADDITION O ALTERATION REPAIR O MOVE ❑ REMOVE 8 DESCRIBE WORK Reroof house and garage 28 S Tear -off 9 CHANGE OF USE FROM TO STIPULATIONS Underlayment must comply with the State Building Code. SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, TYPE OF CONST. OCCUPANCY GROUP OCCUPANCYLOAD VENTILATING OR AIR CONDITIONING. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 80 DAYS, OR IF CONSTRUCTION ZONING SO. FT CU FT 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 AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED VALUATION SURTAX WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT 2399 $1.20 DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- PERMIT FEE SAC CHARGE STRUCTION OR THE PERFORMANCE OF CONSTRUCTION $74.75 Fire SC $2.40 PLAN CHECK FEE TOTALFEE fA(gr®p% �ATURE OF CON"RACTOR OR AUTMOR12E0 AGENT IDAT I Lic nse SC $5.00.. 83.35 WHEN PROPERLY LIOAT D THIS IS YOjJ5 PERMIT O _ SIGNATURE OF OINNER OF OWNER BUILOERI IDATEI BLO IN$P DAfE NEVA ,- [) Effective 1/1/98 ADDN [ ] CITY OF FRIDLEY ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION A ConstructionAddress: A -V0 %3 Z Af Legal Description: Owner Name & Address:, /Ccev--4/,j W67 of t o Tel. # ')Kq- Contractor: /loge-�J �i MN LICENSE # 70-0'1&0'-f-3 Address:�'� �% �` ��^ Tel. # ?S -3-5-q67 Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF IMPROVEMENT LIVING AREA: Length Width Height Sq. Ft. _ GARAGE AREA: Length Width Height Sq. Ft. _ DECK AREA: Length Width Hgt/Ground Sq. Ft. _ OTHER: L-255�2, Construction Type: -Q Estimated Cost: 5 &,OAX (Fee Schedule on Back) Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ _ $ DATE: / 7 APPLICANT: `'� Tel. #3 r CITY USE ONLY Permit Fee $ Fee Schedule on Reverse Side Fire Surcharge $ © .001 of Permit Valuation (1/10th%) State Surcharge $ $.50/$1,000 Valuation SAC Charge $ $1000 per SAC Unit License Surcharge $ 00 $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 $ s, STIPULATIONS: Building BUILDING Permit No.:� Inspections RESIDENTIAL APPLICATION Received By.: 763-572-3604 CITY OF FRIDLEY Datein N 2 200 DATEs��2 YOUR E-MAIL ADDRESS SITE ADDRESS THIS APPLICANT IS: ❑ OWNER Uf�bNTRACTOR PROPERTY OWNER/ NAME: ; TENANT ADDRESS: / S 6/ a 2.3 ' i% A U,C ` (tSL4 STATE EZIP S S zf3 ?� PHONE: !lG 3 25 -e'7 - 5-e'i'CONTRACTOR CONTRACTOR NAME: STATE LICENSE # a0 e/ 9 y 3 s �Z EXP DATE Av SUBMIT A COPY OF YOUR STATE LICENSE ADDRESS: /�lvS� �'�3 ��P SS! S! i e -' STATIP �367 WITH APPLICATION pH0 �3 - QC, FAX PROPERTY TYPE GLE FAMILY/NEW CONSTRUCTION SIZE ❑ TWO FAMILY/NEW CONSTRUCTION STORIES PERMIT TYPE ❑ ADDITION ❑ GARAGE/SHED❑DOWS ❑ BASEMENT FINISH [3 ROOF DRAIN TILE ❑ DECK ❑ SIDING ❑ OTHER ❑ SWIMMING POOL TYPE OF WORK: EYNEW ❑ ADDITION ❑ MAINTENANCE/REPAIR ❑ REMODELING DESCRIBE WORK BEING DONE: '�;? 5 L? �? J, S - S12E OF IMPROVEMENT LENGTH WIDTH HEIGHT Sq. Ft. ROOFING ❑ HOUSE ONLY NUMBER OF SQUARES ❑ HOUSE & GARAGE BASEMENT REMODELING SUBMIT: GARAGES ❑ ATTACHED GARAGE 1. 2. Existing Floor Plan Proposed floor plan PROPOSED SIZE: ❑ DETACHED GARAGE 3. List of structural members to be used PROPOSED HEIGHT: SIDING FOR NEW CONSTRUCTION INCLUDING D$CKS, ❑ Vinyl ❑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 Yes No LOCATION OF WINDOWS IN EXISTING OPENINGS ❑❑ 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: (USING THE 1997 U.B.0 FEE SCHEDULE) TOTAL JOB VALUATION $ A OCCUPANCY TYPE Permit Fee $ 3, /S See Back Page for Fee Schedule Plan Review $ 65% of Building Permit Fee Fire Surcharge $ .001 times the total job valuation Surcharge $ '20 .0005 x Permit Valuation Minimum $.50 License Surcharge $ 5Lp $5.00 (State Licensed Residential Contractors) SAC Charge $ $1675 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: City of Fridley Attach Stipulations THIS IS AN APPLICATION FOR A PERMIT NOT VALID UNTIL PROCESSED I hereby apply for a building permit and I acknowledge that the information above is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Fridley and with the Minnesota Construction Codes; that I understand this is not a permit but only an application for "ermit and 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 requiies review and a proval of plans. SIGNATURE OF APPLICANT ,' �? / INT NAMI�f/� 2!"i �- �x'h4j PZf2opATE �:z