AF - 44229a
sue�ecr PERMIT NO_- '
City of Fridley � 12820
�
AT THE TOP OF THE TWINS g U I L D I N G P E R M I T
; � RECEIPT NO.
� • COMMUNITY DEVELOPMENT DIV. ��� /
� Ly_�-�-�-�
r � � PROTECTIVE INSPECTION SEC.
1 ; �
�` � �'��1 � CITY HALL FRIDLEY � 55432 NUMBER REV. DATE PAGE OF APPROVED BV
"�"� � ,�� 612-�0-3450
910-F15 11/25/74 / /
JOB ADDRESS 6471 Arthur Street N.E.
1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED
DESCR. 23 4 Sarris Lake Estates SHEET
2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE
Erco, Inc. 3231 Central Avenue, Mpls. Mn. ���-/ ���'��
3 CONTRACTOR MAIL ADDRESS Z�P PHONE LICENSE NO.
Same
4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO.
5 ENGINEER MAILADDRESS ZIP PHONE LICENSENO.
6 USE OF BUILDING
Residential
7 CLASS OF WORK
❑ NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE
X
8 DESCRIBE WORK
Construct a 42' x 26' Dwellin and a 22' x 24' Gara e
9 CHANGE QF USE FROM T�
STIPULATIONS
Provide a hard surface driveway. Provide a verifying survey before
capping. No �,ralk out to be built.
SEWER LOCATION: 143' south of manhole (Inv. 882.00)
Wye Elev: 880.72
Top of Footing: 884.22 Minimum
WATER LOCATION: 10' north of sewer service.
SEPE�STE PEF�W`�iET:a REt��.liFeED F0� '�V'It�I`�l�,
HEATIIVG, PLUM�ING A�D SfG�S.
TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD
SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING,
VENTILATING OR AIR CONDITIONING. WOOCI Fi3IIle
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING S�. 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 ZO92 27�400 Total
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 VALUATION SURTAX
AND ORDINANCES GOVERNING THIS TYPE OF WORK WI�L BE COMPLIED.
WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT �S`Z6 0�.9 �.3.0�.
DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE pERMIT FEE SAC CHARGE
PROVISIONS OF N I OTHER STATE OR LOCAL LAW REGUTATING CON-
STRUCT�ION OFj.. �� PERFORMANCE OF CONSTRUCTION. #S�.'.00 �`300.00
/ �t
� � _ PLAN CHECK FEE TOTAL FEE
"�1.: �,, �.��°� � ��. 7y"��� � 364.O1
SIGNATUR CONTRACTORORAUTHORIZEDAGENT IDAYE) -'1/�HE(aI�ROPERLY VALI TE S IS Y�UR PERMIT
✓� 6, �� j- ,
SIGNATUREOFOWNERIIFOWNERBUILDERI IDATEI BLDG iNSP �ATE
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AP.PLICATION FOR RESIDENTIAL, ALTERATION,
OR ADDITiON BUILDING PEItN1IT
CITY OF FRIDLEY, MINNESOTA
OWNER' S NAME • BUILDER • ' � �° /� � �
AnDxESS : an�SS : � �� I � �-'' � �
ATO : . � � �� t' STREET :�/Ci7�i' `'�`" �O ���
u � � �
LOT : BLQCK: � ADDITION :�� / s ���_ C S//�"l�S
CORNER LOT: INSIDE LOT: � SETBACK:� � SIDEYARD:% �-
Applicant attach to this form Two Certificates of Survey of Lot and proposed
building location drawn on these Certificates.
HESCRIPTION OF BUILDING
To Be Used As :
�.��x i� Cr- Frout • � v Depth - �O Height • s� �`:
.
� Square Eeet: � ` � �� Cubic Feet: � ,� r ti"� `���
:��
����� Front : °3-ti � Depth : � � Height�:
�Square Feet; `� �+-�� Cubic Feet: �, i��- � a
� " �� �--
1�rpe of Construction: ��/�-�''��� Estimated Cost: $�� f� e='� ��[� � �
� �� �
To Be Completed: ° - � — � �
The undersigned hereby makes applicativn for a permit for the work herein
specif ied, 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 : 1 1 1� v ��{ SIGNATIIRE :
(See Reverse Side For Additional Information.) }�� :' °, ',�� � F°�
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BUILDING PERMIT FEE SCHEDULE
SECTION 2. The Inspector of Buildings 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 repairs 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:
tTNIFORM BUILDING CODE: Zj*pe 1, 2� 4-$2.15 for each one thousand cubic
feet, or fraction thereof, in such cubical contents. Type 3& 5-$1.85 for
each one thousand cubic feet.
ADDITIONAL INFORMATION
For the purpose of computing fees for building permits, the cubical contents
of any building or addition, is determined by multiplying the ground area
covered from a point six (6) inches below the floor line of the basement
or the cellar to the average heights of the upper surface or to the average�
•height of the roof surface of the main gable of a pitched roof.
For repairs or alterations to an existing structure, the fee shall be at the
rate of $3.00 per each five hundred dollars ($500.00) or fraction thereof in
the cost of all proposed work. �
In no ca.se shall the fee charged for any permit as set forth in Section 2 be
less than $5.00.
VERIFICATION OF FOUNDATION
NOTE: Permits for eonstruction 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.
A Certified Survey of the lot, showing the location of the foundation, once it
has been constructed, will be required before uroceedin� with the framing.
CERTIFICATE OF OCCUPANCY
Application for a Certificate of Oceupancy shall be ma.de ten (10) da.ys pxior
to the use or occupancy of any structure for which a building pera�t has been
iseued; and said structure shall not be used or occupied until a Certificate
of Occupancy has been issued.
�
lo�d Vlann�ng s/��l/�I"�r)/ / 0875 Highwor No.65 N.t.
lond Sv.vey�ng � � � M�nneapolif,
so�i. Tes� ing ' II �� l //(��'I /I //f � • /II �'. M,.,� ss4a�
Civil Engineer�ng (� � , Telrphone 794-b00A
Munic�pol ingineering Engineers & Surveyord Area Code O12
i—
. _ . ,�..� �� , , _
Certificate of Survey for _ �_�-. �s=��.—���'_ . ____ �! _'`` �______
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H ARRIS �.AKE ESTATES
Qnokv Cou�l�
I herebr cerl�fr' 1ha� th�• �t o f►ue ond co►rec► represe�rofion f o furver e{ ►he boundori�s ol �he obsv�
d��cr�bed lond, ond of �he location O� ol� bu�ldinq thrreo�, ond nll v�ti�ble encroathrnent�, i1 onr� Irprn or o*�
said land. As •urveyed by mc lhif do� ol_ �� ,_1�T ._A D 19�. .
I
O ��!1�OTES IRON kIOt�NT gV6URBAN ENGINEERING, INC. �
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Eng�noerf Su�veyor� �
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560-3450
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ANOKA COUNTY
6431 UNIVERSITY AVENUE NE November 14, 1975 FRIDLEY, MINNESOTA 55432
Erco, Incor,porated
3231 Central Avenue
Minneapolis, Mn. 55418
Re: Final Inspection at 6471 Ar'thur Street N.E. , .
Dear Sirs:
A final inspection was made on November 14, 1975 of the above address. The
following items were noted and must be completed before the construction can
be �inaled out;
l. Install joist hangers on both levels of foyer floor joist.
2. 'Install handrail on sta.ir from garage to basement.
3. Provide door closer and air tight seal around and at bottom of door
between garage and house.
4. Post house numbers on the stxucture. �
5. Sod front and side yards. - '
We will expect items 1, 2, 3, and 4 to be completed by December 1, 1975, and
item 5 ta be completed by June 15, 1976. If any problems arise that will
prevent you from completing these items by the appointed dates, please contact
us. �
Reinspections will be conducted on or about the appointed dates to determine
compliance. '
Sincerely, } � '
% •,
�P�. -. � � ^ ^ +
• / V � �
DARREL G. CLARK
Community Development Ac�n.
DGC/mh .' '
CC : Occupant _
� 6471 Arthur Street P7.�.
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SUBJECT E
City of Fridley ° 14618
AT THE TOP OF THE TININS g U I L D I N G P E R M I •
� � RECEIPT-NO.
� ; y __�� COMMUNITY DEVELOPMENT DIV.
r � � PROTECTIVE INSPECTION SEC.
i1 i �
.--_� �'���,� CITY HALL FRIDLE� 55432 NUMBER REV. DATE PAGE OF APPROVED BV
L 612-580-3450
910-F15 4/5/78 � �
JOB ADDRESS 6471 Arthur Street N.E.
1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED
DESCR. 23 � H8Y'r].S Lake Esta.tes SHEET
2 PROPERTYOWNER MAILADDRESS ZIP PHONE
James B. Micklethwait 6471 �JrI Arthur Street N.E. 574-1224
3 CONTRACTOR MAILADDRESS Z�P PHONE LICENSENO.
Sd�.
4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO.
5 ENGINEER MAILADDRESS ZIP PHONE LICENSENO.
8 USE OF BUILDING .
Residential
7 CLASS OF WORK
❑ NEW ❑ ADDITION �i7 ALTERATION ❑ REPAIR 0 MOVE O REMOVE
8 DESCRIBE WORK
Fi.nish part of base�nent
9 CHANGE OF USE FROM TO
�TIPULATIONS
Call for rough-in inspection before covering
SL�ER,�lTE PERMITS �EQUIREO� �OR 1�1�lNG�
HEATITVG, PLfJI�t�31NG �tN� �IGN�S.
SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, TMPE 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 ]. � 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 yS`�. � OOO $. rJO
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. � $%. SO
PLAN CHECK FEE TOTAL FEE
�`8.�0
S�G_ NaTUREOFCON7PAC70H nUT OR�Z�DAGENT � IDArEI „ N PROPERLY VA� TED THIS IS YOUR PE MIT
�; rA.n.sw. �. ' ��S/% 8 - �C�
� c' r-� , �� �
� SIGNATURE OF OWNER IIF OWNER BUILDEHI IDATEI BLDG �NSP DATE
. . c � � � ar- r- �z 1 ���c�� .
' Aff'f'L1Glti"IU�� rC7R RI� �T1)�:fJi'I/�L I�U1LU1(JG f'CIZMITS
' (f'�L"W, �L'I�LItI4TIUfd:�, �L�DIT1UPd�,� Utz �tEP/�IIZS)
0
0�•�[d�R: ._<cLr,�gS �, �i`�kl�t�n,H•ait T3UTLllI.12: �•
`1UULCSJ� C ( !l /,• I,\�r•51.� Y�'�i�• 11��LGJJ� ,
Tei. Idoe : ��Y �I.� ? L/ .'
1Vo. �y�� Strect: ���% /i�t/Z �r i iL) � ' .
—r— . .
Lo�: � 3 Hzoc�:: � nnD�TZOr�: ��I �(� �S ��� �"���.5
co�u�}_iz z,ox: ��iszn�. u:�z�: iC sLx��cx: SIDL•:Y71RDS:
�pplicar-�L- attach to tris fonn ltivo Certificate_ �f Survey os` Lot and proposed
bu.i.lding locai:ioba dra�r�n on tiiese Certificates.
D�SCRIrTI01d Gf= BUIL.I�Ise�G
To }3e Us ed As : '
Fih�s� Pavt� �� ti�s��.e.,'�ronta L�epth: � He�.ght:
Square Feet: Cubic Fee�: `
rront: � � 11e�?th: � Height: _
' Square I'ce�L: ���� �abic Feet: �
Type of Cons�ruc�fon: Estimated Cost: $ �
7:b Iie Com�lel.ed:
P�oposed Drive�aay Widt-h If New Opening Is Desired
Alt. A Alt, B
$ $
(SF�� 12�VEFwE SID� OF SHEET)
The undersi�ned hereby makrs application ior a pexmit for the work herein
specified, ac,reeing to do all c.ork in �tric� accordance with thc City of
Fridley Or.dinances and ?'ulii�gs of. the De��artnient oL• L=uildings, and hcreby
declares i;h�t all the facts and rep:."C5C11tZtlUI1S stated in i:his applicaL-ion �
are true and corrcct. See revcrse side for aclditional inforniation.
Dl�T�: ( /� l '� � 5IG2��'1'UP.E: °•-+�v-� Q- ' .
Stipulatio�ls :
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BUILUI�JG PER��IIT �EE SCNEDULE
SLCTION .'� e The Inspector of Euildings siiall, before issuing ��ermits for tlle erecti�n
of any building or sL-ructure, or for any addition c� any existing building or structure,
or for any alteration or r.epairs to any existing buildiny or structure, u�on application
therefore, require the payment by the applicai�t for such permit of iees to the amount
herein below set forth and in Clie manner herein provided to-wit:
NEW CONSTRUCTION: Single Farnily Hornes and Garages: $4..00/1,000 cubic feet.
PLAN CHECK: 25 p�r.cent of building permit fee.
DRIVEWAY DEPRESSION: (Concrete Curb Streets Only)
Alternate A: Removal and replacement of concrete curb and
gutter only; Driveway width plus 6 feet x$14.50
Alternate B: Removal and rE��lacement of concrete curb and
gutter and insta�l a 3 foo t wide approach with
6 inch depth; Driveway widtli plus 6 feet x$17.20
_ADD? T I O(�AL I i�FOR"1RT I ON
For th� purpose of computing fees for building permits, the cubical contents of any
building or addition, is determined by multiplyii�g the ground area covered from a
poiiit six (6) inches below the floor line of the basement or_ th� cellar to the
avera�e heights of the upper surface or to the average height of the roof surface
of the main gable of a pitched roof.
For repairs or alterations to an existing structure, the fee shall be at the rate
of $3.00 per each five hundred dollars ($500.00) or fraction thereof in the cost
or a11 proposed work.
_Tn no case shall the fee charged for any permi� as set forth in Section 2 be less
than $7.50 plus $.50 state surcharge.
VERIFICATIOiV OF F�UNDATION
NOTE: Permits for construction will be issued a minimiun of 24 hours from the time
o£ application to allow for proper review of the proposed structure and of the
construction site.
A Certificate of Survey of the lot, showing the location of the foundation once it
has been constructed will be required before proceeding with the framing.
CtRTIFI�ATE OF OCCl1PANCY
Application for a Certificate of Occupancy shall be made ten (10) days prior to the
use or occupancy of any structure for which a building permit has been issued; and
said structure shall not be used or occupied until a Certificate of Occupancy has
been issued.
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SUBJECT P
City of Fridley �-16 4 7 7
AT THE TOP OF THE TWINS g U I L D I N G P E R M I T
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� `L _ ___ COMMUNITY DEVELOPMENT DIV. �� � �
r � � PROTECTIVE INSPECTION SEC.
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i_-_. �����;`� CITY HALL FRIOLE� 55432 NUMBER REV. DATE PAGE OF APPROVED BV
L �� 612-571-3450 9�0-F15 1/7/82 � �
JOB ADDRESS 6471 Arthur Street N.E.
1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED
DESCR. 23 4 Ha.rris Ld�C2 ES'�.'tPS SHEET
2 PROPERTYOWNER MAILADDRESS ZIP PHONE
James. Micklethraait 6471 Arthur Street N.E. 574-1224
3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO.
Gaxy Jansick 6480 !,� Squire Drive N.E. 574-9679
4 ARCHITECT OR DESIGNER MAIL ADDRESS 21P PHONE LICENSE NO.
5 ENGINEER MAILADDRESS ZIP PHONE LICENSENO.
8 USEOFBUILDING
Residential
7 CLASS OF WORK
❑ NEW ❑ ADDITION �] ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE
8 DESCRIBE WORK
Install mas,onry fiseplace
9 CHANGEOFUSEFROM TO
STIPULATIONS
Provi.de comUustion air. Provide fixe alar.�n for sleeping areas.
S�EPERATE PERMITS RE(�E1iREQ fpR t�'#RIfY .
� ��� HEATING, PLU1�81NG AND SIGW�.
ore � qu bcal ut�Jii#+es
TFLEPHON� - f`ECTR(C - C�iS Ei�,
�Et�Ut1�ED 8Y LqW
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 S�. 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 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�(OO $�-•30
WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT
DOES NOT PRESUME TO G E AUTHORITY TO VIOLATE OR CANCEL THE pERMIT FEE SAC CHARGE
PROVISIONS OF ANY OTH STATE OR OCAL LAW REGULATING CON-
ST UCTION � THE PERF MANCE OF NSTRUCTION. $38. 5Q
,i c' PLAN CHECK FEE TOTAL FEE
��, � % F% $39.80
SIGNA UREOF NT ACTORORAUTHORI nGENT lDn Ei WHEN PROPERLY VALIDATED THIS IS YOUR PERMIT
- �.2.�i ! ��.-
SIGNATUREOFOWNERIIFOWNERBUIIDERI IDATEI BLDG INSP nQTE
CITY nF FRIDLCY Effective Aug. 1, 1981
APPlIClITI�;J FOf; RCSIDEidTI/li_ BUILQIiIG PLFtf�IITS
(tderr, Alterations, AddiLions, or Repairs)
o��r�FR: � .`�-� ��<,� �� s c l� 1 � � � �,�' �
ADDRESS: ;�� �/ ��ti1J��l� si
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[3UI LDER : ��� � j' �,��lA�'S /l%(�
AODRCSS: ��,�'� �.� ��C�tr"��' � %�i"�
TEL «0: � 7 � �'�'_ �
Construction Location
,�
• STItITT NO: �+ 9 � � STItEET: �,��� '' ��'j� �S�
LOT: ..2 3 BLOQC : __�� ADDITION : �.F� e�'� / S �/� ��%'�7 ���
Corner Lot: Insii3e Lot: ;j Setback: Sideyards:
Ap�licant attach to this form t�ao Certificates of Survey of lot and
pzoposed building �ocation drawn on certificates to scale.
�������,r DESCRIPTIOid OF COt�STP.UCTION
��/�� Front: Depth: Height:
Square.Feets Aibic Feet:
Front : Deptli : H eight:
Square� Feet: Cvbic I'eet: _
Zype of Construction:
2b $e Wr.�pleted: °a
� .t'��' �
Estimated Cost: $ v���������
Alt. A Alt. B
Proposed Drive��ay Width If New Openinq Is Desired: $� $
, SE� R�VERSE SIDE OF SiiEET .
T'iie undersigned hereby ma3:e� application for a permit for the �ork� herein specified,
agreeing to co ,all work ixi strict accordance r�ith the City of I'ridle�► Ordinances �ald
rulings of �the Department of IIuildings, and hereby decla es that all tlie facts and
re�resentations stated in this application a�rer true and orrect.
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D.1T�: � rsJ' z SIGNATUitE : , ,' �°
Stipulations : ��u`p� C4� . . ' F
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B�JILDING PE�RMIT F�EE SCHEDULE
The Inspector of buildings shall, before issuing permits for the
erection of any building or structure, or for any addition to any
bxisting buildinq or structure, or for any alteration or"repairs
to any existing buildinq or structure, upon application therefore,
require the payment by the applicant f or such permit of fees to the
amount herein below set forth and in the manner herein provided to-wit:
TO'rAL VALUATION
$1.00 to $500.00
$501 to $2,000
$2,001 to $25,000
FEES
$10.00 Miniunum Fee $15.00 plus surcharge
$10.00 for the first $500 plus $1.50 for each
additional $100 or fraction thereof, to and
including $2,000
$32.50 for the fisst $2,000 plus $6.00 for each
additional $�,000 or fraction thereof, to arid
including $25,000
$25,001 to $50,000 $170.50 for the first $25,000 plus $4.50 for
each additional $1,000 or fraction thereof, to
and including $50,000
S50, 001 t� $100, 000 $283. 00 for the first $50, 000 plus $3. 00 for
each additional $1,000 or fraction thereof, to
and including $100,000
$100,001 and up $443.00 for the first $100,000 plus $2.50 for
each additional $l, 000 or fraction th.ereof
PLAN CHECK: 25 percent of building pezmit fee
DRIVF�n1AY DEPRESSION ESQtOW: Concrete Glirb S�reets Only
Alternate "A°: Removeal and replaceln�nt of curb and gutter only
Driveway width plus 6 feet x$13.50
Alternate ^8": Rsnoval and replacement of curb and gutter and install a 3 foot
wide approach with 6 inch depth
Driveway width plus 6 feet x$15.75
VERIFICATION OF FOUNDATION
Permits for construction will be issued a minimum of 24 hours from the ti.me of
application to allow for proper review of the proposed structure and pf the
construction site.
A Certificate of Suryey of the lot, showing the location of the foundation once it
has been constructed will be required before proceedi with.the framing�
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Building
Inspections
763-572-3604
763-502-4977 F
DA� o a-�
MECHAIVICAL
RESIDENTIAL APPLICATION
CITY OF FRIDLEY
�cTTVE �-is-o9
.�.��
srrE annxess C l�l. �
THIS ,aPPLIC.aM' IS: ❑ OWNF.R CONfRACT(
PROPERTY N,�:
OWNER/ ADDRESS: �
TENANT �orrE_ '°m) /_ "1 ....
CONTRACTOR
SUBNIIT A COPY OF
YOUR STA'i'E
LICENSE WITH
APPLICAITON
PERMIT TYPE
z�rnE oF woxx:
Pernut No.:
Received Bv: v�
Da� _ ._ -
,TE z�
C0149PANY NAME: •��a� �ua� u � �cau� �y uc �n van.wa........�
CONT.a.C'T PERSON:
STATE LICENSE # � 17 R7d_� DATE
ADDRESS: � CITY STATE ZIP
PHONE
FANQL,1 O TWO FAMII.Y
� �. , c.�: �, : �1 ul�l�ll
,
DETAILED DESCRIPTION OF WORK
FAX
❑ TOWNHOUSE
o �.�xariox�on�.
FEES ARE BASID ON $10.00 PER FIXTURE, EXCEPT WHERE NOTID. FIXTURES: (INDICATE TOTAL NUMBIIt OF EACH BELOR�
Equipme� Installed MFG: MODEL: SDNIBTU
MFG�� MODEL: '� t/ SIZL/BTU�4_��
___ �r�
A/C 525.00
AIlt TO AIIt EXCHANGEER $15
BOII.ER 535.00
CFIDI�II�Y LINER $10.00
DUCT WORK $10.00
MFG: MODEL:
FiREPLACE (GAS) $15.00
FTREPLACE (WOOD) $35.00
FURNACI3 $35.00
GAS DRYER $10.00
GAS PIPING $10.00
SIZFBT[J
_GAS RANGFIOVEN $10.00
NEW GAS GRILL 510.00
GAS UN1T FTCR $10.00
POOL HEATER S35.Q0
VEIVII�ATOR $15.00
THIS IS AN APPLICATION FOR A PERA�IIT-NOT VALID UNTII, PROCESSED
I hereby apply for a bu.ilding pernut and I ackn vledge that the information above is complete and accurate; tUat the work will be in
conformance with the ordinances and cod o of Fridley and with tl� Minnesota Construction Codes; that I u�derstand this is
not a permit but only pp ''on for 't and ork is not to start with t a permit; that the w will be in acco ance with the
approved plan in the of r wluc requires eview and approval of p .
SIGNATURE OF .AP C pRINT NA�
� City of Fridley
Building Ins�ctions Department
6431 Unieersity Avenue NE, Fridley, MN 55432
763-572-3604 FAX: 763-502-4977
City of Fridley Residential Mechanical Applicaiion Page 2
REQUIRED INFORMATION NEEDED TO PROCESS PERMIT
RESIDENTIAL PERMIT APPLICATION HVAC
� NEW HOMES/ADDITIONS ��EXISTING HOME LJ MAKE-UP AIR
REOUIRED FOR NEW/EXISTING HOMES
1. Combustion Air (See note below)
a.. Oil or solid fuel IMC Chapter 7 with MN Amendments
b. Natural Gas or Propane/IFGC Chapter 3 with 1VIN Amendments
2. Make-up Air (See note below)
a. IMC Chapter 5 with MN Amendments
3. Venting
a. Gas appliances IFGC Chapter 5 with MN Amendments
b. Fuel b�ther than gas IMC Chapter 8 with MN Amendments
REQUIRED �OR NEW �IOMES
4. Heat loss � cooling load per room
a. Requ7ired on new �onstruction IMC 1346.0312
5. Ventilation
a. Per MN Energy Code 7670 or 76�'2
6. Duct Design Per IMC 1346.0603.2
a. ACCA Manual D
- — -- ---- - — - — --
NOTE: Centerpoint Energ,y Mechanical Code Guii�elines software may be used for
combustion and mak�-up air calcalatia�s.