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PRE 2010 DOCSSUBJECT PE 0 . City of Fridley o 15 9. 8 2 AT THE TOP OF THE TWINS BUILDING PERM F r ` __---_ COMMUNITY DEVELOPMENT DIV. v I PROTECTIVE INSPECTION SEC. r � , NUMBER REV. DATE PAGE OF APPROVED BY CITY HALL FRIDLEY 55432 L 612-571-3450 910-F15 12/12/79 / 10B ADDRESS 141 - 79th Way N.E. 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 11 12 4 1 Spring Brook Park SHEET 2 PROPERTY OWNER MAILADDRESS ZIP PHONE Realty Man Properties, Inc. 2732 Hwy. #10 N.E., Mpls 780-2020 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. amg- 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO. 6 USE OF BUILDING I%&_Qy1J1REf) FOR WIRING I-is=ATIN+G, PLU��fN� �� P 7 CLASS OF WORK ❑ NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ 'REMOVE 8 DESCRIBE WORK < x IRI nwelling and a 221 x 24' Garage 9 CHANGE OF USE FROM TO STIPULATIONS Provide city with copy of verifying survey before capping. Provide a hard surface driveway. Provide sod in the front and side yards. DRIVEWAY DEPRESSION ESCROW: Necessary - To Be Paid In March of 1980. SEWER LOCATION: (Approx. 11' Deep In Street) 6.5' E. of Manhole (Inv. 851.03) WYE ELEV: 851.06 TOP OF FOOTING: 854.76 WATER LOCATION: 11.5' E. of Sewer Service, 34.6' N.E.of Manhole T81E CITY OF FRIDLEY DOES NOT p '4CCUP,ACY Cr GUARANTEE W/� UTiLlTY LOCATIONS TKE O G TKIS VATl, AND ELE*�,gTICAy t'I� • INFJ`.-MATI0o`d PURPOSES BefOre digging call local utilities QNL°! AN PERSONS U'►NG iT SHOULC1 VERWy THE uIv TELEPHONE - ELECTRIC INFQ THE SlTE� RMAraokq - GAS ELL, I P'o - r EQ�A..4_:� B Y as 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 SQ. FT. CU. FT. AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS OFFSTREET PARKING I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION 1 ISTALLS GARAGES AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS VALUATION SURTAX AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED $18.23 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT $36,450 DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PERMIT FEE SAC CHARGE PROVISIO OF ANY OTHE ST OR LOCAL LA REGULATING CON- N R THE PERF M OF CONSTRUC O $103.62 $425.00 STRUC PLAN CHECK FEE TOTAL FEE , v__-: S , 1:�25.91 $572.76 ATURE OFC RA AUTHORIZEDAG T IDA WHEN PROPERLY VALIDATED THIS IS YOUR PERMIT BLDG INSP ryA E SIGNATUREO OWNER IIF OWNER BUILDERI (DATE) OVINER: ADDRESS: TEL NO: CITY OF. FRIDLEY M APPLICATION FOR RESIDENTIAL BUILDING PERMITS (New, Alterations, Additions, or Repairs) BUILDER: nd� ADDRESS: 2732- IV6 �74V V 4/ TEL NO: Igo " 2-0 2- /�/� Construction Location - STREET NO: '7 / STREET: % LOT: Z -BLOCK: ADDITION: Corner Lot: Inside Lot: Setback: Sideyards: Applicant attach to this form two Certificates of Survey of lot and proposed building location drawn on certificates to scale. ice= Ia� ►,►'CPI DESCRIPTION OF CONSTRUCTION 6 Depth: - 38 Height: �d / Square. Feet: /� �� Cubic Feet: p� Front: p� o� Depth: / r Height: / Square - Feet: Cubic Feet: Type of Construction: �d/ �� Estimated Cost: $ i %b Be Completed: f i Alt. DB Proposed Driveway Width If -New Opening Is Desired: ( $ �y S REVERSE SIDE OF SHEET .Rhe 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 declare hat all the facts and representatio s st ed in this appliWared o ect. DATE: 24zZz SIGNATURE�L--� Stipulations: )03 �Z C• Z7 Cpl = o 'S� Q -•o 02 I To c& £ Te xog 0) 2. — �. line ,. I A MCI y. CERTIF: ATE OF vU&VEY KURTH SURVEYING, INC. 4002 JEFFERSON ST. N.C. COLUMBIA HEIGHTS 55421 788-9769 1 MEREOY CXRTIFV THAT THIS AUWM,V. PLAN. OR REPORT WAS PREPARED BY ME OR 1lNDER MY DIRECT EUPERVIOION ' AND TWAT 1 AM A OULY RE®IOTERSO' LAND SURVEYOR UNOER THE LAWS OF THE *TATS bF MINNESOTA. DATE S�:t�T• 1� ,19 - SCALE t"_ Q MINNE A REGISTRATION NO. 5332 m= IRON MONUMENTOLT) ' (Pi �' pLAr t:o UI sTAriC� t T TAL. �i'ct1CtZA As IN _vjN eR cF PoW�R Po�.e+ - lm) s 1" s&t uRC o P%5TmAcr �M- IRS 1=b. 16 a. a! Wc-s-r # ooss' :._..:' ELfiVATlot%1 60L1TH or- CoAKEK - - b.m. •- TOP NNT • N'<b 9 l9T 1YA-Y • 4 ��-oN q.��l•.1.liS . 60.00 � "' p • 1�OT S 1 \ � 12� 1 13LoU4, 4 �� SPR1�C, 6Ro4KPiiEZK 10 1 30 0\AI ° ACc lIk A DOES " T GUARANTEE Y OF 0v1 ` �- � � a .' T. !iS IJ,y UTIL Y LOCATIONS AND ELEVATICe' !1 IS FGA, It�lFGL�p,�vpr9 PcP,CG� P L91?FGSFS CoNLY e. t, 'T SFC ULD VE "Wy THE r F `IU5119G T E If aFG,IMATIr , y !, 91 � 1 W K Iz•9sLrnw�> 5.0 1I fi �1T1�P% 314 ,�'} V' d . _ _ io.o; I1 iZ.75A D I, y_.. ( � or I r& ; iIr f I Call 1� s CfiC. Bpm I bN ... CUR6 O rn M ^o ?9YH W AN a ouI e Vi LEO (4,1 ) Dov G� rt n LLC C 2 Ni o r S •r z, tj) ' Bk2A PC, 6$ 0 0 FO y CITY OF FRIDLEY APPLICATIO1N FOR PLUMBING AND GAS FITTING PERMIT PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: NO. RATE p. m Atixber Fixtures �x $3.00 o x e 0 x Water d m m Water Heater - to 99,000 STU �_ x $5.00 W -ci a gyp' x +'+ a w $5.00 Electric Water Heater Heater $5.00 X yc d � 14 _ 0 61 0 r. � .0 a .4 e .0 m C O o 3 O fes) M ro x a em rn 0 rn m m -1C a W 0 w .0 .•1 ci a 3 c`� c� 0 as iec V3 Uu 0 w 1 rn h w oo 1st / 2nd 3rd 4th (R) a Future Connection Opening Connected with Sewer (*) - New Fixture, Old Opening Water PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: NO. RATE Atixber Fixtures �x $3.00 Future Fixture Opening x $2.00 New Fixture, Old Opening x $2.00 Catch Basin x $5.00 Water Heater - to 99,000 STU �_ x $5.00 100,000 BTU to 199,000 BTU x $10.00 Water Softener x $7.00 New Ground Run Old BuildiW x $5.00 Electric Water Heater x $5.00 GAS FITTING FEES: 1st 3 fixtures --4—X $3.00 $ o® Additional Fixtures x $1.00 $ Gas Range to 199,000 BTU x $10.00 $ REPAIRS & ALTERATIONS First $100.00 .$5.00 $ each add. $100.00 or fraction $2.00 $ State.Surcharge $ .50 TOTAL FEE $ REINSPECTION FEE ($10.00) Job Address 7f Department of Buildings City of Fridley Tel. #571-3450 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 roprosontations stated in this ap lication are true and correct Fridley, Mn. KIND OF BUILDING USED AS TO BE COLLETED ABOUT�� ESTIMATED COST _� CCC, OLD CNF!f'BUILDING PERMIT NO. PERMIT NO.. company Signed By ,1/' Tel. No. Z// ROUGH INSP. Date FINAL INSP. Date Q APPROVAL FOR PERMST 1� MINIMUM FEE FOR ANY PLUMBING PERMIT IS $7.50 pLUS $.50 STATE SURCHA= CITY Of' FRIDLEY OqzFUcw*f okk Y APPLICA,riai 1708 RESIDCNTIAI_ BUILDING PERMITS (New, Alterations, Additions, or Repairs) 0W14EII: qrj-AL'fj y MA &I n OP, C19 q[.1 ALDER: ADDRESS: U.rL 14UJX 1G ADDRESS: TEL NO: 07 for a 0 er) TEL NO: Construction Location STREET NO : STREET: LOT:((�.(� BLOCK: ADDITION: Corner Lot: Inside Lot: Setback.: Sideyards: Applicant attach to this form two Certificates of Survey of lot and proposed building location drawn on certificates to scale. DESCRIPTION OF CONSTRUCTION Front: Square Feet: Depth: Height: Cubic Feet: Front: Depth: Height: Square - Peet: �_ Cubic Feet: Type of Construction: Estimated Cost: $ 'Ib Be Completed: .% 6)j L%f 1(0jr4 = Alt. A Alto B Proposed. Driveway Width If New Opening Is Desired: _ $ %.S $ 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 City of Fridley Ordinances and rulings of the Department of Buildings, and hereby declares that all e facts and representations stated in this application�q true ao c ct' , DATE: �o' I Y.- $d SIGNATURE: Stipulations: CI'T'Y OF FRIDLE 6431 UNIVERSITY AVENUE N.E., FRIDLEY, MINNESOTA 55432 TELEPHONE ( 612)571-3450 April 16, 1980 Realty Man Properties, Inc. 2732 Highway #10 N.E. Minneapolis, MN 55432 Re: Final Inspection at 141 -79th Way N.E. Dear Sirs: A final inspection was made on April 15, 1980 of the above address and the following items were noted which must be completed before the structure can be finaled out; 1. Post address on structure by June 15, 1980. 2. Clean lot of all debris by June 15, 1980. 3. Level deck and provide post footings by June 15, 1980- 4. Level roof of walk and provide post footings by June 15, 1980. 5. Provide nuts on anchor bolts in garage by June 15, 1980. 6. Provide sod in the front and side yards by June 15, 1980. 7. Provide a hard surface driveway by June 15, 1980. We will expect the above items to be completed by the scheduled date when a reinspection will be made to determine compliance. If you have any questions on these items, please contact me at 571-3450. Sincerely, DARREL G. Chief Building Official DGC/mh SUBJECT P NO. City of Fridley o AT THE TOP OF THE TWINS BUILDING PERMIT __17945 Ir? � RECEIPT NO. `u- -------- COMMUNITY DEVELOPMENT DIV. r i PROTECTIVE INSPECTION SEC. /66dp 1 � I "1 CITY HALL FRIDLEY 55432 j NUMBER REV. DATE PAGE OF APPROVED BY 612-571-3450 910-F15 5/3/85 JOB ADDRESS 141 - 79th Way N.E. 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 11,12 4 1 Spring Brook Park SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Robert Baker 141 - 79th.Way N.E. 784-1921 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 00 8 DESCRIBE WORK Construct a 16' x 12' Deck Addition 9 CHANGE OF USE FROM TO STIPULATIONS SEP ARA rE r'�/Rp ryG/l *"'VG' �E 1 S QU T P ki ►v� 01? & Before di I, localAlVa G . & E G��TELEPHONIELECTRIC GAS Efc. REQUIRED By LAW SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD VENTILATING OR AIR CONDITIONING. Wood-Treate 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 '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 $11200 $.60 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- $20.50 None STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. LAN CHECKFEE TOTALFEE $ 5.13 $26.23 SIG NAT URE OF CONTRACTOR OR AUTHORIZED AGENT IDAT I ' WHEN PROPERLY LI DATED THIS IS YOUR PERMIT SIGNPLIttrOPftNERIIF OW ER BUILDER 1 I ATEI BLDG INSP/DATIEF NEW [ ] City of Fridley Effective 4/1/84 ADDN. [ ] �R-1 AND R-2 ALTER. [ ] Building Permit Application Construction Address: lZ11 - 79Y� WA Y AIF Legal Description: t -p 4 //, /a Q LnC& SP 62tu ` /3 2 ook f4le K owner Name & Address: R06CET 13EL 9 JW - 7% wAA( NY Tel. # 76#4'42 / Contractor: SX1_ -P 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 Width Height Sq. Ft. GARAGE AREA: Length Width Height Sq. Ft. DECK AREA: Length M, Width Hgt/Ground Sq. Ft. OTHER: - Corner Lot [ ] Inside Lot [ ] Ft. Yd. Setback Side Yard Setback Type of Construction: �� 896ME Estimated Cost: $ , Approx. Completion Date: MA 3C 6.a / y 1C, -t - -_ mo -s.%64 Alt. A Alt B Proposed Driveway Width If New Opening Is Desired: $ $ See Back Page for Explanation DATE: 9SS APPLICANT: )eQ13CX%- C- 6A"erVL Tel. # ?Kq -l?'-2/ CITY USE ONLY (n) 3 7.2 - Permit Fee $ .-Z) Fee Schedule on Reverse Side Plan Check $ S.13 25% of Building Permit Fee State Surcharge $ .(Q0 $•50/$1,000 Valuation SAC Charge $ $425 per SAC Unit Park Fee $ Fee Determined by Engineering Sewer Main Charge $ TOTAL $ r1 Agreement Necessary [ ] Not Necessary [ ] STIPULATIONS: m SCALE SUN DECk BAKER HOME R0I3ERT 79TH WAY NE _BAKER .FR I OLE Y MN 35492 HOME PNC 784-1921 WORKPHONE I :_ 372-6855 4 -- i �l SUBJECT PE City of Fridley r87� 5 AT THE TOP OF THE TWINS BUILDING PERMIT r � R `L COMMUNITY DEVELOPMENT DIV. INSPECTION r PROTECTIVE SEC. 1 � � CITY HALL FRIDLEY 55432 NUMBER REV. DATE PAGE OF APPROVED BY j 612-571-3450 910-F15 11/12/86 10B ADDRESS 141 - 79th Way N.E. 1 LEGAL LOT NO. BLOCK TRACTOR ADDITION SEE ATTACHED DESCR. 11,12 4 Spring Brook Park SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Robert C. Baker 141 - 79th Way N.E. 784-1921 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 8 DESCRIBE WORK Finish Basement 9 CHANGE OF USE FROM TO STIPULATIONS SEPARATE PERMITS REQUIRED FOR WIRING, HEATING, PLUMBING Atv 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 S0. 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 $2,500 $1.25 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 TOTAL FEE $3.9.75 $ SIGNl�.i' it CONTRACT RAUTMORIZED AGENT (DATE) WHEN PROPERLY L ATED T IS YOUR PERMIT SNATURE OF OWNERIDATEI BLDG INSP ATE NEW [ ] City of Fridley Effective 4/1/86 ADDN. [ ] �R-1 AND R-2 ALTER. [ ] Building Permit Application Construction Address: l q( 7,7411 W NY KE Legal Description: Owner Name & Address: Poe mr C. C; AkrP- Tel. # H Contractor: S qM� Tel. # 32;2 -ogC3 -W 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 `M4 Width Height Sq. Ft. ' GARAGE AREA: Length Width __ Height Sq. Ft. DECK AREA: Length Width Hgt/Ground Sq. Ft. OTHER: Corner Lot [ ] Inside Lot [41 Ft. Yd. Setback Side Yard Setback Type of Construction: iAj151V Rs_rMcA/7T Estimated Cost: $ --CIO, 00 Approx. Completion Date: 97 Alt. A Alt B Proposed Driveway Width If New Opening Is Desired: See Back Page for Explanation DATE: 2� APPLICANT: Tel. # CITY USE ONLY Permit Fee $ �� Fee Schedule on Reverse Side Plan Check $ 25% of Building Permit Fee State Surcharge $ L $.50/$1,000 Valuation SAC Charge $ $475 -per SAC Unit Park Fee $ Fee Determined by Engineering Sewer Hain Charge $ Agreement Necessary [ ] Not Necessary [ ] TOTAL $ s I STIPULATIONS: v '01 SUBJECT P O. City of Fridley 331 10 AT THE TOP OF THE TWINS BUILDING PERMIT RECEIPT NO. 16 _______ COMMUNITY DEVELOPMENT DIV. tr PROTECTIVE INSPECTION SEC. �� r 1 , NUMBER REV DATE PAGE OF APPROVED BY CITY HALL FRIDLEY 55432 763-571-3450 910415 9/23/02 JOB ADDRESS 141 79 Way NE 1 LEGAL LOT NO. BLOCK TRACTOR ADDITION SEE ATTACHED DESCR. 11,12 4 Spring Brook Park SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Tami Mottl 141 79 Way NE 763-784-5635 9 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Same d ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO 8 USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW ❑ ADDITION O ALTERATION REPAIR O MOVE O REMOVE 8 DESCRIBE WORK Reroof House & Garage (20 Sq) 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 ZONING S0. 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 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 `I '3,216 $1.61 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- Firb SC STRUCTION OR THE PERFORMANCE OF CONSTRUCTION $97.25 $3.22 PLAN CHECK FEE TOTA FEE MKA;%W-T //I��DA TEi rT� 4 02.08 EN ROP VALIDATE THIS YW OURRMIT _ G'z BL NSF' �lA�f SGNATUBEOFOWNERFOWNERBU�LDERi �DATE '01 NEW [ J CITY OF FRIDLEY Effective 1/1/2002 ADDN [ ] 6431 University Ave NE, Fridley, MN 55432 (763) 572-3604 Bldg Insp ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION Construction Address: �l 22 Legal Description: Owner Name & Addre s: Contractor. MN LICENSE # Address: Tel. # 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 OTHER: Construction Width Hgt/Ground _4Sq. _ 0 1 s Driveway Curb Cut Width Needed: Ft + 66 Fit = Ft x $ _ $ °� DATE: 3'O a APPLICANT: r Tel. # / 6 3- 7g�- 5 Call (763) 572.3604 for Permit Fees if mailing In application or Fax to 763-571-1287 if using credit card and we will call you for card number. CITY USE ONLY - Permit Fee $ 92, a�� Fee Schedule on Reverse Side Fire Surcharge $ .001 of Permit Valuation (1/10th%) State Surcharge $of $.50/$1,000 Valuation SAC Charge $ $1200 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 $ )0..?. ob STIPULATIONS: BUILDING PERMIT FEE SCHEDULE The Chief Building Official shall, before issuing permits for the erection of any building or structure, or for any addition to any existing building or structure, or for any alteration or repair to any existing building or structure, upon application therefore, require the payment by the applicant for such permit of fees to the amount herein below set forth and in the manner herein provided to -wit: TOTAL VALUE $1 to $500 $501 to $2,000 $2,001 to $25,000 $25,001 to $50,000 $50,001 to $100,000 $100,001 to $500,000 ', 11 11 • ', 111 111 FEES $23.50 $23.50 for first $500 plus $3.05 for each additional $100 or fraction thereof, to and including $2,000 $69.25 for first $2,000 plus $14.00 for each additional $1,000 or fraction thereof, to and including $25,000 $391.25 for first $25,000 plus $10.10 for each additional $1,000 or fraction thereof, to and including $50,000 $643.75 for first $50,000 plus $7.00 for each additional $1,000 or fraction thereof, to and including $100,000 $993.75 for first $100,000 plus $5.60 for each additional $1,000 or fraction thereof, to and including $500,000 $3,233.75 for the first $500,000 plus $4.75 for each additional $1,000 or fraction thereof, to and including $1,000,000 $1,000,001 and up $5,608.75 for the first $1,000,000 plus $3.15 for each additional $1,000 or fraction thereof DRIVEWAY DEPRESSION ESCROW (Concrete Curb Streets Only) Removal and replacement of curb and gutter only - Driveway width plus 6 feet times $17.00. Permits for construction will be issued a minimum of 24 hours from the time of application to allow for proper review of the proposed structure and of the construction site. VERIFICATION OF FOUNDATION A Certificate of Survey of the lot, showing the location of the existing foundation will be required before proceeding with the framing. New Houses Only