AF - 35151sua�ecr PE .
c�ty of Fridley �-15 7 7 8
AT THE TOP OF THE TWINS g U I L D I N G P E R M I T -�-
r
� � R EI T
� • COMMUNITY DEVELOPMENT DIV.
� �y______-, �
r j � PROTECTIVE INSPECTION SEC.
! = i
� /��'1 � CITY HALL FRIDLEV 55432 NUMBER REV. DATE PAGE OF APPROVED BY
�""'� � ,�� 612-571-3450 910-F15 / /
6 12 80
JOB ADDRESS 7637 Arthur Street N.E.
1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED
DESCR. �,$ 2 Spring Lake Park Lakeside SHEET
2 PROPERTYOWNER MAILADDRESS ZIP PHONE
Garjac Inc. 625 iiighway #10, Blaine, MDt 784-6850
3 CONTRACTOR MAILAODRESS ZIP PHONE LICENSENO.
.�i�8
4 ARCHITECTORDESIGNER MAILADDRESS SEPER�ITE PER�AlTS RE��UtREDP��� ���0
5 ENtiINEER MAILADDRESS ���N(,�. '� ONE LICENSENO.
v�
8 USE OF BUILDINd +
RPS].d8ri'��3�.
7 CLASS OF WORK
� NEW ❑ ADDITION .•. 0 ALTERATION ❑ REPAIR � MOVE ❑ REMOVE
X
8 DE3CRIBE WORK
Gbnstruct a 44' x 52' Dwelli a 24' x 26' Gara e
� l��11g 1��� (�� N���83
9 CHAN�E QF USE FROM TO � . �
STIPULATIONS �elling being built on grop�sed Ipt 14, Block 3, Blomberg Estates.
Pronide a hard surface driveway. Provide a verifying survey to City before
capping. Provide sod in the front and side yards..
SEWER LOCATION: (Approx. ll' Deep In Street) 158' N. of Manhole (Inv. 890.40)
WYE ELEV: 891.Q3 3qOP OF FOOTING: 894.03 Minimum
WATER LOCATTON: Approx. 10' N. of Sewer Service
DRI`IEWAY DEPRESSION COST: Existing high driveover concrete curb - recommend
a more gradual depre�sion. t�� �,ff� ,-
�ceuR�cv � ��� � ►�+Ot Gt���a�vr�� �r��
�rt�tnY �ot�►►noNS a�v E«vaze�;;•;;;.
��itS. DATA IS FGR tNFQRMAtlQN PURPOSES Oi�ltY ,��•i;,a
�"'�� �16 R SHOUtp y,ERity � ��M�,tt�
oN n��
SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATINO, TMPE OF CONST. OCCUPANCY (3ROUP OCCUPANCY LOAD
VENTILATING OR AIR CONDITIONING. WOOCI FIC2lmL'
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 2655 7.ic�tal 27,396 Toi:al
ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS OFFSTREET PARKING
I HEREBY CERTIFY THAT 1 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 CiOVERNING THIS TYPE OF WORK WILL BE COMPLIED
WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT $54, 600 yfi2%.3O
DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE pERM1T FEE SAC CHARGE
PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON-
STRUCTION Oi; THE PERFORMANCE OF CONSTRUCTION. y��.O9.58 $425•OO
PLAN CHECK FEE TOTAL FEE
$ 2 0 $589.28
GNATUREOfC�RACTOROR UTHOHI2EDA6ENT IDATEI �(yH PROP LY ID T THIS IS YOUR PERMIT
`_ �Z"� �, 6 °%3° �v
SiGNATURE O OWNERtIF OW ER BUILDER) IDATE) � G INSP DATE
..._ . . �.. � �,:,,�.�. .,. .,.....��. .. , �.;._._.,_ . . � ... . .......... .. � . _ . _..A. _ -, �... •
'-'��""�� CI'iY OF FRILLEY • •
�
A('•�'LIGIiTI.Os'� �OR RESIDLNTIIIL L3U1LUIhlG PERMTTS
(tJew, Al�;er�ations, r�ddii:ions, ar Repairs)
.. . ... w,,.�,
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0lrtldE R: LUT LQER : - �:��i �� �N �
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ADDRES S: � /I pDRES S: D��-�—�-
iGL NQ: TCL I�d4: `% � `� — � ,� �" G
-r-�,�, '�3 ��,y, �., S� �- 9 ao 0
� ' Construction • ��on
ST�T NO: .�1� STI2E�T: !7 �T I"� V�'i
LOT: �� BLOQC: �_____ ADDITION: SP�t��+5 �-9-1� �AK% 1✓1.�¢.
Carner Lot: ' Insicle, Lat: /�- 8etback: 3� Si.dey�rds: %� � �!
A��plicant� attach to this form ta�va Certiiicates o£ Survcy of lot and '
proposed b�ailding locat3.on dra���n on certificates to �cale. �
QESCR�RTIOtd OF C�NSTRUCTION •
^��� � Fran�: �,�
� Squa�e. Feet: ���,�
. �/�'�:�o �- Fx'ont: � �
Square• Feet:
Type of Construc4ion: �� /� � r
�
Zb Be Cbm�leted: �1 - / S
�p�1: � 2 Height: � �
Cubi.c Feet:
p�P�; � He9.ghts
Cubic Feet:
t �
�� •��� C�'
�stimated Cost: $ , •
Alt. A Al.�.. B
Propased Driveway Width if Ne�r Opening Is Desired: $� �
� , . SEE REVERSE SiDE OF SHEET�
�ia� undei:si.gned her_eby makes a�pla.cation for a permit ior the work herein specified,
agreeing to do all �vork in stzict accordance �aith the City of Fridley Ordi�iances and
xul3.ngs of the Depariment of �3uildings, and hereby declares thai: all the facts and
represcni;ations stated in this application ax�true and corxect. �
Df�,TE: . '' ( D S GDIATUI'� : _,"
St:i.pulations a � " � � `�
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. BUILi)1{JG r�:nr�rr r-r-_r s��ir_DUt_�� � .. ��,�;
u1sC`�C:LOId ?.. 'I'he 7�i:.:��eeLor. o� }3uil.clir�cJs ::}l�1).�� bcTorc i.r�suinc,� penn3.L•s foz L•he erc:eL•3.on
ot any bui�.d:inc,� oz :�Lruct:ure, or. i'ar ai�y aaa�.�:].on �o any er.isCi.nc� Luildi.ng or �LrueL-ure,
. 6x f�r ar�y �zlLcraL•ioi� vr. re���ir.:; to •a�;y cr.3.,ti��y }�ui.].di.ttg ar sL-zucturc, u��on ar��,�lic���S.qn
'thcr.c�or.e, xec�ua.rc Lhc paymenL• by thc a1)�j7].a.Gc111L �OY. :,uch j�cr.miL- of tees to t•he amount
hexein bcJ.ow sat �orL•h and in i:hc �nanncr hezci.n nrovi.decl to-wiL-: � •
. . . , . � .
17J347 CONSTP.UC'�IO2J : Singl.e l.'mni].y IJomes� and Gar.ayes : $� . 00/]., 000 cubi.c fect. � �
PJ.Ata CIiI:CY.: 25 perccn� o� bui.lding pezmiL- i'ce. .
U12IV�S•JAY 13�1�RI:SSIOII: (Concrei:q Curb� :;trcets Only) � '
• A1L•crnat:e 7�: RemovaJ. and rep7.acemenL• of concre�e cuxb and
yuL-ter anly; Driveway wicttli plus 6�eeL x Y�,So75
� .. 7i].terndie II: Remova].. and repl.ac�meni: oi' conexete eurb and
. ' gutter and i.nstal.l. a 3 L-ooL- wide aPproach wiL-h �'
' .. G i.nch dept}i; Dra.vea�ay width �pl.us G_�cet Y$17.85 '
• � � � _ _1��TZOt�n�. It�ror��nYra� � ..
� � -
I'or the purpose of comrnxL-a.ng fees i'or bui�.ding p�rmits, the cubica]. conL-ents of any
buil.ding or addiL-ion, is dctex�m9_ned by mu].L•iply9ng U�e ground area covered from a .
po�nt sir. (G) inches below the t].00r linQ of the basement or L-h� ce].lar to the
avexage heights af the uppeL surfaee or to the averac�e heicjh� of the roof surface
oi tl�� main gable o� a pi.L-ched rooi.
For xepairs ar a7.terations to an exista.ng structure, the fee shalJ. be at the ra�e
of $3.fl0 Per each iive hundred do3.lars-($500.U0) or fraction thereaf Sn the cos�
oi' all proposed work. � . . '
xn •no case shal.l the fee charged for any pexmit as set iorth in Section 2 be ].e�s �
than $7.50 plus $.50 state surcharge. . ' �
• . . . VERTFICATI0�1 QF FOUND�lTIOJd
NOTE: Permits for construction �,rill be issued a minimum of 24 hours fxom the tirne
oi application to allow for Proper review of the proposed stx.-ucture and oi the .
CO22St1"L1C�1011 s3.te.
A Certi�'icate oi Suxvey af the lat� s}iotaing the locatian of the foundation ance a.�
� has been constnicted will be required bef�re pr.oceedi.nq wifih the �raming.
C�RT I EI CATE OF OCCUp/�NCY ��. �
� App�.ication iar a Certi£icate of Oceupancy sha11 be made L-en (10) days priox' to the
use or occupanc�� o� any st�ructure �or wliici� a� builciing perntit ha� been a:ssu�d; and
said structure shal�. no� be used or occupied uni:il a. Cer�i�S.ca�e. oi Occupancy has
bee:i issued.
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�xi�KrOR ENVELOPE AVERAGE '�'U►' COMPUTATtON
, DI�INE�t : � .
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'S1TE ADDRESS: _
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,CONTRACTOR: 'm .. . . , ,
DATE: .
PHONE•
� DETERMINE 410RKING SOUARE `FOOTAG� Of EACH:
i. TOTAL £XPOSED WALL AREA
. . . . . . . . / b sq f t x ' ���,
�. TOTAL ROOFJCE 1� I NG AREa '� @��5�
, . . . . . . . . • -----1�.�.$.�_, sq f t � x � ���,
�,'• 't�TAL EXPOSED WALL AREA CALCULAT�ONS: �"�"" � `�
� . . -------
. Total expased wali �: • ,
� area above� floor _
, ...�. `
, � Sq ft;
a� Ts�tal wal i w'indaw area: •. . . .:
�lazed '
..:.. .
�: � .--�z+r gQ ft x ,�V�i
qlazed....., , � �R �
�q f t. X � iUrt -�-�.�..:-.�... .
bf Tota1 door,area � �
......... y.s Q sq ft: x ����� ----.
, ,; - � . i � ��
. �i Totat s.Tldinq qlas,s door area:
� :
j . : ,
' I .- _ _ 4lazed.�..,. `; : • ' '
--�--�--�i�___,_ gq ft,,� ��„ t„�
; qlazed.... " ;- • a' �_
� � .. gq f� �x �►���
.�� d} Total flreplace wall �rea �
,�: ��n gq fx �x ����� .. �: ---�"
� ', e) Total wa11 f�am�.ng area ° y� a--��-�--
R
,1 r �Ave raqe T Q9; ) . .,:�. . . _
� • • . a.��r♦ : ,/ij .. .- .
,. . ZS S:#� �t i�. tl�lll � . .._
� a� . . r _ l/ � - �
, fi ;`Totai net wa11 ar�a above �""" R-`�---�'
f]oorr(FnsuTated)........ �
Sq f t 'x iiV,,
. � i ; _ .:D�_.,,_. �` : � .
, 9) TotaT rim Jolst area..:..., `� � • `
—^--•--�-��s,�.��,,, Scj .. � ( x -' �u� r , �� a _'�
� Total foundation '
area {Exposed)..... ,. _
. � " ��� sq ft
i�� Total foundatio� , . ,
� window ,, . -
� area. : � _
'I�I . . . .:. . . . . .___,�...,,1"'� - gp f t x � ��� �
. , S.7 e
j lii) Totai net' foundation , '----
' ;; , _;--.�:�„
- a rea above _ ,
qrade.... ._�
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' � � �.� i � �q ; f L x �,�F� .
3, i @
, «-.-�.�!�.�.-�---..�,. -�
.
` TOTA
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If',item �3 is the sa�e as, or l�ss then item R1 r
S 13.C. Sect.ion f�0�f (�} z.' � ;:.
. . yov have m�et the tntent of '
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4:� TOTAL EXPOSED �o�F/CEILING CALCULATfAPJS: '
,� Td.ta1 exp�sed ,
roof/celling a�ea........_ //g � sq,ft
ji .Total� skyli:.aht area.. •• — � sq ft x���„ ��.. a �
—
k) Tota1 roof/ceilt-nq framtng
area iAvera�e 1(19;) .. .. .. s ft x����� �
� //8
Q
_
. . :-�2'�
�- -, . _ -� . .
i) Totai net insulated �
r � '
�. � oofJcei 1 inq area. , . ... . � � �E �� 4
>_ ��/ sq ft x U _�� �, �
: -
� T07AL l�
' j.) thru 1� �
. If total �f �1+ is [hP same as. or less than �2, you have, met tfie, intent of
S.�::C. Section 6ht�F tc� �. , - �;
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'' ' AlTE�tttATE SU I LD F P�G ENIlE LOPE AES I GN .
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To.;utilTxe tFie to,tal envelope systero method, �he values establi5hed b�tFie s.um �
af �; t tems' (�3 �nd �4 sha l l not be greater ,ihar► the `sum of i tems Nl end �2.
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' ' 1-hereby certify Lhat 1 have calculated the "U" facto�s and "R".
val:�es herein a.nd that the bui Tdinq here descrfE�eci,.rneets or exceeds the. State '
' of %?linnesota fner�y �Conservation Act,: ,
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SUBJECT P
City of Fridley 212 5
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.
' . y/�y��
� ��.-------�
r � � PROTECTIVE INSPECTION SEC.
I . �
� � /��'1 � CITY HALL FRIDLEV 55432 NUMBER REV. DATE PAGE OF APPNOVED BV
�'•---� • •'� 612-571-3460 910-F15 4�6�92 � �
108 ADDRESS 7637 Arthur S�reet NE
1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACMED
oescR. 14 2 Blomberg Estates . sHeEr
2 PROPERTY OWNER MAIL ADDRES$ 21P PHONE
� Jack Kirk 7637 A�thur Street NE 784--1682
3 CONTRACTOR MAIL AODRESS Z�P PHONE LICENSE NO.
D& D Home Zmpro�ement Inc. 7401 Centxal Ave NE, Fridley 55432 4840
4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO.
784�7542
5 EN(iINEER MAILADDRE33 ZIP PHONE LICENSENO.
8 USE OF BUILOINd
Res ident ia,l �
7 CLASS OF WORK
O NEW �] ADDITION ❑ ALTERATION O REPAIR O MOVE ❑ REMOVE
8 OESCRIBE WORK
CQns.t�uct a, 12 � x 14 �.. Deck. and a 12 � x 14 ��ee Sea,s�on Porch
9 CHANdE QF USE FROM TO
STIPULATIONS �ee.nota,tions c�n pla�R
� � ���
Befiore digg��g caA for
all utility toeations
REQUIRE���Y
SEPA�ATE PERMITS REQ�lI�ED F �A�
WIRING, HEA7`iN(�, PLUM�I(VG /4ND S6G�1�.
TYPE OF CONST. OCCUPANCY t3ROUP OCCUPANCV LOAD
SEPARATE PERMITS ARE RE�UIRED FOR ELECTRICAL, PLUMBINCi, HEATIN(i,
VENTILATING OR AIR CONDITIONING.
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONINO 30. FT. CU. FT.
AUTHORIZED IS NOT COMMENCED WITHIN 80 DAVS, OR IF CONSTRUCTION
OR WORK IS SUSPENDED Ofi ABANDONED FOR A PERIOD OF 120 DAYS AT
ANY TIME AFTER WORK IS COMMENCED. • NO. DWLf3. UNITS OFFSTREET PARKING
I HEREBY CERTIFV THAT 1 HAVE READ AND EXAMINED THIS APPLICATION �' STALLS GARAGES
AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS yALUATION SUFTAX
AND ORDINANCES GOVERNINCi THIS TYPE OF WORK WILL BE COMPUED $g e 1�,� .,SZ a 5S
WITH WHETHER SPECIFIEO HEfiEIN OR NOT. THE ORANTING OF A PERMIT
DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE pEiiMIT FEE SAC CHARGE
PHOVISIONS OF ANY OTHER STATE OR LOCAL LAW RE(iULATINf3 CON- ' $81 � Q� F1..Y,'@ SC S5 a 17
STRUCTION OR THE PERFORMANCE OF CONSTRUCTION.
�!:� �� PLAN CNECK FEE TOTAL FEE
$93,75
• SIGNATUREOFCONTRACTOFiORAUTHORI2EDA0ENT IOATEI HE R EF�.Y�V IDATEO THIS IS YOUR PERMIT
�%, � — � �
SiGNATUREOFOWNER�IFOWNERBUILDERI IDATEI t,DG �NSP nATE
� [I
ADDN �Q
AI.TER [ l
�
1'InV� �MI 1 � 1�11 =.�,
CITY OF FRIDLEY
SINt�LE. FAMYLY AND DUPLEXES R-1 AND R 2
�ilcting Permit Applit�ti�
�. r �-r- .
Effective 3/ i/92
i,egai Description; �- � % � /�, � � ,C� �z_�.._� ��.� i�-1 �-S
,� L c� C ft o2 �� C�?,� 11 �.��
Own�r Name dt Ad�ess: �qcK K i'� � Tel. ��f ��%- /6 � ot
Co�ttrador: D& D Home Improvement, Inc. MN LICENSE # 4840
Add�ress: 7401 Central Avenue N.E., Fridley, MN 55432 TeI. # 784-7543
At%h to this. applicati�, a Certif�Le of Survey of the
l�, aith d�e propvsed c.a�uction drawn � it to scale.
DBSCRlPTI4N OF IMPROVEMENT
s
LMN(� AREA: Length i�1►idth � Heigirt Sq. F�
GARAGE ARB,A: Length Wi�h �_ Height Sq. F�
DBCK AREA: L�ngth � e?' Width � Hgt/Cn�ouad � Sq. F� /� S
o�R: � ��A��t� ��h � �t' �c I �l' �-�'r� P�k 1 � s
Corner L�ot [ J �nside Lot � F� Yd . S�c�k Side Y�d Set6acks
'l�rrpe of C'oa�ction: lr�Jo r� a. F�d cost: a���% `'�,S'/ �'7 � o
Apprax. Compl�ion Date: / --/— �1' �
.
(Cost on BackJ
Driveway C�n�b �ut Wic�ft Neaded: Ft. + 6 Ft = Ft x$ _�
_`
DATE: � i"' APPLICANT: `� ..� d�� Tel. t� �I ��� % J y�
Pe�mic Fee $ �d �, d �
Fir+ee. Surcharge $ � /
State Smcharge � $ 2, .� S
SAC Charge $
Licen� Surcl�rge $ � � l�
Driveway Escrow $
Park Fee $
Sevv�ar Main Char�ge $
TO�fAL
STIPUL,ATIONS:
$ �
y_y!! '�Z���l���
Fee Schednle on Reveise Side
.001 of Ptnnit Valuation (1/lOth9o)
$.50/$1,000 Valuation
$700 per SAC Uait
$5.00 (State Lice�ed R�icie�rtial Contiactors)
Alt. "A" or Alt "B" Above
Fee I�rmined by Engineering
Agteement Nec�sary I l N� Nec�ary I J
y k -
BUII.DINCf PERMIT FEE SCHEDULE
T�e C`hief Building Ol�icial shall, befo�e i�aing permits for the eredion of any building ar stiru�+e,
or for any addibioa to �y e�tisting b�ilding or stivcdne, or for aay ait,e�ion or repair to any exis�in8
bnildiag or structm�e, apon aPPlic�tion the�efore, r�quire t�te payme� by tt� applit�nt for svch permit
of fees to the amamt h�r+ein below s� forth amd in the mu�mer henein provided- to-wit
TOTAL VALUE
�1 to $500
$�1 to $Z,000
�2,001 to $25,000
�25,001 to �50,000
�,001 to $100,b00
�10�,001 to $500,000
$500,001 to $1,000,000
$1,000,001 and up
��
$15: (Minimum Fee is $15 pins sincharge)
$1S for first $500 pins $2 for each additio�l $100 or
fra�tion the�oof, to and includ'mg $2,000
$4S for first $Z,000 pins $9 fvr �ch additional $1,000
or fraction t�reof, to and v�cluding $25,OQ0
�52 for flrst $25,000 plus $6.50 for each additional $1,000
or fract%n th�rreof, to and including $50,000
a414.50 for first $50,000 plus �4.� for each additional
$1,000 or fraction thereof, to and inciuding $100,000
$639.50 for fgst 5100,000 plus $3.50 for each additit�mal
$1,000 or fracbion thereof, to and including $500,000
$2039.50 for the f�u�st $500,000 plos $3 for each �idditio�l
$1,000 or frac�.don ther�of, to and including $1,OU0,000 _
� ,-�
$3539.50 for t6e first $1,000,000 plus $2 for each additional
$1,000 or fiaction the,�of
DRIVERiAY DEPRESSION ESCROW
(Concrete (.'urb Streets Only)
�"A": Removal aad replacemeat of curb and gutter only - Driveway width plus 6 fe�t times
$13.50.
Alte,raate "B" : Removal and replaceme� of curb aad gutter and install a 3 foat wide
` appr�ch wit6 6 inch depth - Driveway width plus 6 feet times $15.75. .
VERIFICATION OF FOUNDATION
Permits for G�nstruction will be is�sued a minimum of 24 6ours from the time of application to allow
for proper review of the proposed st�ucdue and of the constivction site.
A Certificate of Survey of the lot, showing the locatian of the foundation once it has it has been
constructal will be required before proceeding with the framing.
�� ��ri ':'i� /i'J- �l '. : ei" �`�v.___._
' , ��I�/ C/�� ����Fir:�� _
�-� � COMSTOCK & DAVi.S, INC. Consutting F��neers and L-�d Sun�►c�e
.
144t� Coumty R� J, �eapolis, NiN 55432, (612) i84-9396
� : '.�_ ..:. . , _ . -. .' _" . � '. ._.
HOUSE LOCATIOAT EOR - . - • -- - . - . . . e ... -
B � G Investments . . . .
961 �Iillwiad Road , '
�ridley, .?�tinnesota 55432 � �
• • '� � . � � . '
.,:
. 1.�J . �
�G,_ '$ N 88' �T9� �TJ��Ld ".. �3i',.�(i• . ' ,:` .. ..
�
�03' '3ZZ � 58,9 ��
' � . � � I 8�ia!' Rie�olueB : A, 3 � .
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f ti Po ��6 �Gf � . � _: t . .
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= v> ; �'���°d : � ' .
. � �"' � 3' . . s . „r ' � . � -�------- '
� N 68 .f'! 3 W l37.30' .
Q '
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DESCR.IFTIOI�TT � ' �
Lot 34, Block 2, B1o�berg Estates, City of ?�ridley: Anaka Coww�ty:- �ia�eeota..�- -
. _ . . ��. = 40 .
SCALL: O Denotes 1%2" diameter iron pipe mo�tiut+�ent found
. --.. _ . .. .'-'.._ . .. _ � ' - -- - "- .- . --. • "� - -r.--�
I hereby c�rtify that this siuveY, Plan ar report was prepared by me or ttt�iet my direct �
supervision and that I am a duly Re�stered Land Surveyor uader the laws of the Stat+e "
af Minnesota.
JC-�+ ' ' (�G��l��s�'1 „ /�8�'� ��tlf S /�/8/ 4415 9A P� 2 .
Reg. Na Date � Job l�to. . . Bovk 1'�a
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_
Ci1YOF
FR[DLEY
, .�
/ ;
�
FRIDLEY MIJNICIPAL CFNTER • 6431 UNNERSIT'YAVE. N.E. FRIDLEY, MN 55432 •(612) 571-3450 • FAX (612) 571-1287
June 1, 1999
Jack Kirk
7637 Arthur Street NE
Fridley� MN 55432
Re: Final inspection at 7637 Arthur Street NE
Contractor: Sharp Heating & AC
Dear Mr. Kirk:
A mechanical permit was issued on June 9� 1998 for the property located at 7637
Arthur Street NE for a new air conditioner. According to Section 305(a) of the 1991
Uniform Mechanical Code a final inspection shall be perFormed on the mechanical
permit. As of this date no inspection has been called for.
You will be given thirty (30) days from receipt of this notice to respond. If we do not
hear from you, we will expire the permit and any inspections on this installation will
require a new permit.
Any questions can be addressed to myself at (612) 572-3603.
Sincerely,
Bany Riesch
Building Inspector
� - �
sue�¢cT .E#i1�AlT NO.
c�ty of Fridley � 2 7 3 3 7
AT THE TOP OF THE TWIN3 g � I L D I N G P E R M I T
r
� �
� �
� `L � COMMUNITY DEVELOPMENT DIV.
r � � PROTECTIVE INSPECTION SEC.
1 . �
i.--•� ��"' �•� CITY NALL FRIDLE� 53432 NUMBER
t 612-571-3450 910-F1 S
J08 ADDRESS
7637 Arthur Street NE
t LEGAL �OT NO. BLOCK TiiACT OR ADDITION
DESCR. 1H 2 Snring Lake
2 PROPERTY OWNER MAIL ADDRES$
Jack Rirk
3 CONTRACTOFi MAIL ADDRESS
Javson Lindsa� Roofing 2638 Clearview Ave
4 ARCHITECT OR DE31(iNER MAIL ADORESS
5 EN(iINEER MAIL AODRESS
7 CLASS OF WORK
8 DESCRIBE WORK '
Reroof house
REV DATE
8/21/98
RECEIPT NO.
V ���
PAGE Of APPROVEO B�
� �
SEE ATTACMED
SHEET
21P PHONE
784-1682
ZIP PHONE LICEN8E NO.
SSi�2 742-1R57 2009.8263
ZIP PMONE LICENSE NO.
ZIP PMONE LICENSE NO.
❑ NEW O ADDITION O ALTERATION � REPAIR ❑ MOVE O REMOVE
9 CHAN(iE pF USE FROM TO
STIPULATIONS
Underlayment must comply with the State Building Code.
SEPARATE PERMITS ARE REOUIfiEO FOR ELECTRICAL, PLUMBINCi, HEATINd, �PE OF CC
VENTILATING OFi AIR CONDITIONING.
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION 20NINd
AUTHORI2ED IS NOT COMMENCEO WITHIN 80 DAY3. OR IF CONSTRUCTION
OR WORK IS SUSPENOED OR ABANDONED FOR A PERIOO OF 120 DAYS AT
ANY TIME AFTEit WORK IS COMMENCED. NO. DWLfi
I HEREBY CERTIfY TFIAT I HAVE READ AND EXAMINEO THIS APPLICATION
ANO KNOW THE SAME TO BE TRUE ANO CORRECT. ALL PROVISIONS Of LAW$ yALUATION
AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIEO
WITH WHETHER SPECIFIED HEREIN OR NOT. TFIE GRANTING OF A PERMIT $2668
DOES NOT PRESUME TO GIVE AU ORITV TO VIOLATE OR CANCEL THE pERM1T FEi
PROVISIONS OF ANY OTHER ST OR LOCAL LAW REC3ULATING CON-
STRUCT N OR THE PERFORM C OF ONSTRUCTION. 7/{.75
PLAN CHEC
r ar�9 Lice
SIGNATUR OF CONiR TOR OR AU IZED A ENT IOATEI
SiGNATURE OF OWNER �li OWNER BUILOERI IDATEI o�
DGCUPANCY(iROUP OCCUPANCVIOAD
SO. FT. CU.:T.
OffSTREET PARKINCa
STALLS GARAGES
SUiiTAX
1.33
SAC CHARGE
Fire SC 2.66
TOTA EE
5. .74
�:ID � THIS I�+��T��
�� �]
ADDN [ ] CITY OF FRIDLEY
ALTER [] SINGLE FAMII.Y AND DUPLEXES R-1 AND R-2
BUILAING PERMIT APPLICATION
ConstructionAddress: `-1 b J I }�-t�� c! � S�- !V _ � . � �
Legal Description:
Owner Name & Address:
Contractor:
Address:
LIVING AREA:
GARAGE AREA:
DECK AREA:
OTHER:
Effective 1/1/98
�J ` �/
�� � � /
� �3
-c t� �C � e,2 �C Tel. ��� �-%" 1�,Q� o�
, ��� h3 C, MN LICENSE #�d d9 � a6 `�j
2 � v Tel. #-] q�-/ � 5'' �7
Attach to this application, a Certificate of Survey of the
lot, with the proposed construction drawn on it to scale.
Length
Length
DESCRIPTION OF IlVIPROVEMENT
�
Width
Width
Width
Height
Height
Hgt/Ground
��� _
Sq. Ft.
Sq, Ft.
Sq. Ft.
� �o�"�—
Construction Type: �,/�c�j �� Estimated Cost: $ ���E� o�(�'(� '
(Fee Schedule on Back)
Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x$ _$
DATE: Q��I -Q�
Permit Fee
Fire Surcharge
State Surcharge
SAC Charge
License Surcharge
Driveway Fscrow
Erosion Control
Park Fee
Sewer Main Charge
TOTAL
STIPULATIONS:
$ '7�/��
$ �.�G�
$ /-.�3
$
$ S: c� c�
$
$
$
$
$ �- %
CITY USE ONLY
Tel. � �%`� � �f� > �7
Fee Schedule on Reverse Side
.�1 of Permit Valuation (1/lOth%)
$.so/$1,�0 valuation
$1�0 per SAC Unit
$5.00 (State Licensed Residential Contractors)
Alt. "A" or Alt. "B" Above
$450.� Conservation Plan Review
Fee Determined by Engineering
Agreement Necessazy [ ] Not Necessary [ ]
�- - . - r•,
BUII..DING 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 $5�
$501 to $2,000
$2,001 to $25,�0
$25,001 to $50,�0
$50,001 to $100,�0 '
$100,(�1 to $5(�,000
$500,�1 to $1,000,�0
$1,000,�1 and up
FEES
$21 (Minimum Fee is $21 plus surcharge)
$21 for first $500 plus $2.75 for each additional $1W or
fraction thereof, to and including $2,(300
$62.25 for first $2,000 plus $12.50 for each additional $1,000
or fraction thereof, to and including $25,�0
$349.75 for first $25,0� plus $9.(� for each additional $1,000
or fraction thereof, to and including $50,0�
$574.75 for first $50,�0 plus $6.25 for each additional
$1,000 or fraction thereof, to and including $100,0�
$887.25 for first $100,0i� plus $5.00 for each additional
$1,0{� or fraction thereof, to and including $500,�
$2887.25 for the first $SOO,U00 plus $4.25 for each additional
$1,000 or fraction thereof, to and including $1,000,000
$5012.25 for the first $1,0�,000 plus $2.75 for each additional
$1,000 or fraction thereof
DRIVEWAY DEPRESSION ESCROW
(Concrete Curb Streets Only)
Alternate "A": Removal and replacement of curb and gutter only - Driveway width plus 6 feet times $13.50.
Alternate "B": Removal and replacement of curb and gutter and install a 3 foot wide
approach with 6 inch depth - Driveway width plus 6 feet times $15.75.
VERIFICATION OF FOUNDATION
Permits for construction will be issued a minimum of 24 hours from the time of application to allow for proper
review of the proposed structure and of the construction site.
A Certificate of Survey of the lot, showing the location of the foundation once it�as it has been constructed
will be required before proceeding with the framing.
�1���
�nspe.ctions
7G3w57;t-3604
���
����:
� �:
� L.r
From: 952 8331484 Page: ?J3 Date: 11/bl200710:57:03 AM
MEC�IANICA►I� �it;v�
�SIDENTXAJL .Al"IP�I�AT'It)1� �
CI'�Y tJ�' 1'I�IDLEY
oatv�c
. , :��,: « ,F�
�:, ,-
8[38A�TA CQP'Y I�F COAT!'�at,T
YdUk3!'ATE st'e'r8 t1C
L1G�I9LVYIT�T
n�rzacnne�r '_"_°_'_'_�:
� � '`�f �T(�8 PAl1+�.Y la'11p4FAb�Y
'!'YP'EtiF�YiilRtC: I �l'�'W �'8Fi'L�/1C�?
i.�;3-L,l .a� r •. ,M� ��r . � .,�
Bi(P t�►TE
a�C'!rY • •
g,�c `�'g�� �r3ri�`�
fl TO�'s
0 Ai.7'�A'TA0I�MOGt4F.
PB1L R+�l31dB,6G$ qpd � lix i8 B� o[SLS.� ACSyL �� �Dtal�ed qp t+D 3"�00.�0Q, W� i�R �s fiQrtit$
�� �ad�n or�rp�c afa roaidea�tfat ��t�e�s. ('itds sh�uld irHeet �p 14�e c�ost af tab�c )
�t�� 33GD m$19.00. l�bor oa� batween �300 to �=c�.at of ]abor.,,,,�,,,,r,,.,_ x.05 =
1�Ok�CfBWEI$pt8L1�801iB1C�9i3D0�I+�A$Q8Al�t?At9tQ,ODP�tFUrl�,�7[C�['Wti�tBN078D FIICR� (iM?ICATBTOT/W
NUIHB�ROF$ACHSELOW)
B�7Lt�11ad � � A[QBffi: �0,�3r S�IJ81v
i1�s MODYL: �lB1'Q�
J�iCl�9A6 M� ��.... M4��L' �.--«»...,,, 9�t1�,Y.",,,
..�� TOA1R OLCHAN4l�R StS "••� t�1 SI9.4D �iA9 RANOBlOWN SlOs00
r���C6 (�I►OOt7) Sas.00 r.�tvtiasc�sua.sto.m
.�RSRS3�.oD S3s.� ,,,�c�AS nNrf RrR ft0.�
�IIV�YLIA�[t SlQAb GAS DRYBRSl0:06 —I�CO`t)P�7�$s Sas�
P� Fce $
$�uug° � -.�
i�ii��.� $_,.._,,,,..
�be�'+o�'� t� �IS.00.�
N„�rar�� sas.00�
Namb�raf�� $35.�, j,'
State
Y.�iS.� "�'�.,.,.,,._.,,��
s#S�G��
x �35.00 � $�
�
Tota[ $�
T!� IS �tN �J1PM ICA9'It7�i FORA P�QI'-NOT VAL10 UN11L P'ROCB9�D
t�y appIy f� a 6�ibdia� psa�'dt a»d I a�nwl�d�e �fat it� hdatn�tion ebave is eomp�, 4nd ��t the v�1c cvW he ia
ca�t� w3�h dae ocd��s and aodrs o�d� Qry ot Fi�idtey m� vait� tbo Mt�n� Comst�iaa� +Coc� t�t 1� t�is �s
not a�� arity a� ' fbr a�fc aa� waslc ��ot �c► �rt witloout a�qi� thet ii� v� w3t! bo Fa �ctda�aae tvfth �
�Mravad plma m t�a � w�at�OquJ�}tvJtaw a�ut epptavelorpfena. -- •
su+i�nri�a�nrrt.�►Nr
C�► Of Ft�dlej►
��d9ng �'nsp�ona D��t
643] Uffiver�iry�AveaueN$, Fr�dlcy, MN 5543�
7S3►ST�-3604
FAX: yb3�S02-4977
��u:� �, �, 76.�- s`b���i��
� "�'--L7
Building
Inspections
763-572-3604
763-502-4977 FAX
SITE ADDRESS _
THIS APPLICANT IS:
PROPERTY
OWNER/
TENANT
CONTRACTOR
NOTE:
SEPARAI'E CITY
LICEh(SES ARE
REQUIRED FOR GAS
AND HVAC.
SUBMIT COPY OF BOND
MECHANICAL
RESIDENTIAL APPLYCATION
CITY OF FRIDLEY
YOUR E-MAIL ADDRESS
❑ OWNER �CONTRACTOR
Permit
Received By
Date Rec'
NAME: K o n la a S S `
ADDRESS: ?�P3 � � � �� •� r' -S� - A/L� CITY �r 3 �(1G � STATB►%%ZIP ,��3
PHONE: �%L�.3� %�`P ��i�0 _
COMPANY NAME:
CONTACT PERSON: H��1 � M01116 T
STATE LICENSE �l,
PHONE
PERMIT TYPE � SINGLE FAMILY ❑ TWO FAMILY
TYPE OF WORK: �NEW ❑ REPLACEMENT
DETAILED DESCRIPTION OF WORK j
a �P DATE
FAX
0 TOWNHOUSE
❑ ALTERATION/REMODEL
�aas �r�Pja ��
STATE ZIP
PER MS 16�.665 the permit fee is a minimum of $15.00 or 5% of the total cost up to $500.00, whichever is greater, for the
improvement, installation or replacement of a residential fixture, excluding the fixtures. (This should reflect only the cost of labor )
OR
La.bor cost under $300 =$15.00. Labor cost between $300 to $500 = cost of labor x.OS =
FOR PROJECTS WHERE LABOR EXCEEDS $Stm, FEES ARE BASED ON $10.00 PER FIXTURE, EXCEPT WHERE NOTED. FIXTURES: (MDICATE TOTAL
NUMBER OF EACH BELOV� eI ��� r��� �
EquipmentInsWled MFG: Y'� MODEL: '�� S��TU—m� " J'l�
MFG: e a n� 6 o MODEL: o.n SIZE/BTU ,�7� . t/r
MFG: MODEL: SIZElBTU
A/C $25.00 FIREPLACE (GAS) $15.OQ ,_GAS RANGE/OVEN $10.00
� TO AIR EXCHANGEER $15 FIREPLACE (W�D) $35.00 NEW GAS GRILL $10.00
BOILER $35.Q0 _FURNACE $35.00 GAS UNIT HTR $10.�
CHIMNEY LINER $10.� GAS DRYER $]0.00 _POOL HEATER $35.00
DUCT WORK $10.00 a. GAS PIPING $10.00 _VENTILATOR $15.00
a, _ . �, . ,. _ .
Permit Fee $ Number of fixtures @$10.00 x 1. _
Surcharge $ .50 Number of fixtures @ $15.00 � x $15.00 = $�d
TOTAL DUE $ OR Number of fixtures @$25.00 x$25.00 =$
Number of fixtures @ $35.00 x $35.00 = $
State Surcharge = $ 50
MINIMUM $15.50 MINIMUM $15.50 Tota1= $ �
THIS IS AN APPLICATI013 FOR A PERMIT-NOT VALID UNTIL PROCESSED
I hereby apply for a mechanical permit and I acknowledge that the information above is complete and accurate; that the work will be in conformance with tt►e ordinances
and cades of the City of Fridley and with the Minnesota Construction Codes; at I understand this is not a permit but only an applic�tion for a pertnit and work is not to
start without a�it; that the work will be in accordance with t� approved l in the case of all work which requires review and approval of plans. A'
SIGNATURE OF
APPROVED BY
NAME �,+„'... �:� L� i r DATE,
City of Fridley
Building Inspections Department
6431 University Avenue NE, Fridley, MN 55432
763-572-3604 FAX: 763-502-4977
City of Fridley Residential Mechanical Application Page 2
REQUIRED INFORMATION NEEDED TO PROCESS PERMIT
RESIDENTIAL PERMIT APPLICATION HVAC
0 NEW HOMES/ADDITIONS ❑ EXISTING HOME ❑ MAKE-UP AIR
,�tp , T �N � At�b.
emo11 8 tqtsoW e�esii� �c�t�
REQUIIZED FOR NEW/EXISTING HOMES �rao� se+�e��a
.� �� .a vocs
srr� n .� �
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 MN Amendments
2. Make-up Air (See note below)
a. IMC Chapter 5 with MN Amendments
3. Venting
a. Gas appliances IFGC Chapter 5 with 1V1N Amendments
b. Fuel other than gas IMC Chapter 8 with MN Amendments
REOUIRED FOR NEW IiOMES
4. Heat loss & cooling load per room _
a. Required on new construction IMC 1346.0312
5. Ventilation
a. Per MN Energy Code 7670 or 7672
6. Duct Design Per IMC 1346.0603.2
a. ACCA Manual D
NOTE: Centerpoint Energy Mechanical Code Guidelines software may be used for
combustion and make-up air calculations.
Buildin�
Ins�ections
763-572-3604
763-502-4977 FAX
DATET�t..--
SITE ADDRESS �
THIS APPLICANT IS:
BUILDING
RESIDENTIAL APPLICATION
CITY OF FRIDLEY
EFFECTIVE I-1-09
YOUR E-MAIL
❑ OWNER �ONTRACTOR
PROPERTY OWNER/ NAME:�n.� a�tiaQ .� �r,,,o.��llG
TENANT a�nnxESS: � !�3 � �r�'� ��- s �` . �
PHONE:
CONTRACTOR NAME:�
SUBMIT A COPY OF STATE LICENSE #
YOUR STATE LICENSE
AND CERTIFICATE OF ADDRESS:�
INSURANCE pHONE "7 � � -
PROPERTY TYPE �SINGLE FAMILYMEW CONSTRUCTION
❑ TWO FAMILY/IVEW CONSTRUCTION
PERMIT TYPE 0 ADDITION O GARAG
� BASEMENT FINISH ❑ ROOF
� DECK ❑ SIDING
TYPE OF WORK: � NEW HOME CONSTRUCITON
0 MAINTENANCE/REPAIR
DESCRIBE WORK BEiNG
RQOFING
NUMBER OF SQUARES _
GARAGES
PROPOSED SIZE:
PROPOSED HEIGHT:
SIDING
❑ Virryl
❑ Aluminum
❑ Other
� HOUSE ONLY
0 HOUSE & GARAGE
❑ ATTACHED GARAGE
� DETACHED GARAGE
�So�t
❑ Trim
� Fascia
WINDOWS
IN EXISTING OPENINGS OYes O1Vo LOCATION OF WINDOWS
OR FOR NEW OPENINGS-DESCRIBE SIZE OF
OPENING CHANGES &
3POOL
ADDITION
Pernut No.�-���o
Received By: t`�
Date Rec'd: � (p � ��
A�,�ZIp s s�+3 z
EXP DATE �3— 3 I— D°I
CiTY,��Ht/9o`' STATE,/�ZIP 5��
�_.:.��
SIZE
STORI ES
❑ WINDOWS
0 DRAIN TILE
� OTHER
�
R �lB� l�^
FT
BASEMENT REMODELING SUBMIT:
1. Existin� Floor Plan •
2. Proposed floor plan
3. List of structural members to be used
FOR NEW CONSTRUC770N INCLUDING DECKS,
ADDITIONS. & PORCHES SUBMIT:
I. Site Plan/Survey showing the exis6n� structures
and proposed project.
2. Two sets of construction plans
3. Energy Calculations
TYPE OF WINDOW TO BE INSTALLED NUMBER OF WINDOWS I
ALL FEES ARE BASED ON YALUATION, INCLUDING THE COST OF LABOR AND MATERIALS:
COTAL JOB VALUATION $ j� Q� � THE 199fi U,B.0 FEE SC OCCUPANCY TYPE
Permit Fee
Plan Review
Fire Surcharge
Surcharge
License Surcharge
SAC Charge
Curb Cut Escrow
Erosion Control
Park Fee
Sewer Main Charge
Total Due _
$ �10 l
$ � ,�
$ a,00
$ ,; ,�5
$
$
$
$
$
See Back Page for Fee Schedule
65% of Building Permit Fee
.00I times the total job valuation
.0005 x Permit Valuation Minimum $.50
$5.00 (State Licensed Residential Contractors)
$�000 per SAC Unit {Pfans to MWCC for determination)
ft+6ft= ftx$21=$
$450 Conservation Plan Review
Fee Determined by Engineering
Agreement necessary ( ) Non Necessary ( )
Make checks payable to: Citv of Fridlev Attach
THIS IS AN APPLICATION FOR A PERMIT-NOT VALID UNTTL 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 cades of the City of Fridley and with the Minnesota Construction Codes; that I understand this is not a
penriit but only an application for a permit and work is not to start without a permit on site; that the work will be in accordance with the
approved plan in the case of all work w ich _ q ires review and approval of plans.
SIGNATURE OF APPLICANT V�. PRINTNAMEY%p�vt�c.`i��l�� � DATE I'� /Z"'t�A!
T �
_ �5,`77g �
Page 2- Building Resideritial Application
BUILDING PERMIT FEE SCHEDULE
The Chief Building Official sha11, before issuing permits for the erection of any building or
structure, or for any addition to any existing build�ng 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 FEES
$1 to $500 $23.50 (Minimum Fee is $23.50 plus surcharge)
$501 to $2,000 $23,50 for 1� $500 plus $3.05 for each additional $100 or fraction, to and
includin $2,000
$2,001 to $25,000 $69.25 for 1� $2,000 plus $14 for each additional $1,000 or fraction, to and
includin $$25 000
$25,001 to $50,000 $391.25 for 1�` $25,000 plas $10.10 for each additional $1,000 or fraction,
to and includin $50 000
$50,001 to $100,000 $643.75 for 1�` $50,000 plus $7 for each additional $1,000 or fraction to and
includin $100,000
$100,001 to $500,000 $993.75 for 1�` $100,000 plus $5.60 for each additional $1,000 or fraction to
and includin $500,000
$500,001 to $1,000,000 $3,233.75 for the l�` $500,000 plus $4.75 for each additional $1,000 or
fraction to and includin $1,000,000
$1,000,001 and up $5,608.75 for the I�` $1,000,000 plus $3.15 for each additional $I,000 or
fraction
VERIFICATION OF FOUNDATION
Permits for construction will be issued a minimum of 24 hours from the time of application to
a11ow for proper review of proposed structure and of the construction site.
A Certificate of Survey of the lot, showing the location of the existing foundation will be
required before proceeding with the framing. New Houses Onlv
City of Fridley
Building Inspections Department
6431 University Avenue NE
Fridley, MN 55432 '
763-572-3604
Fa�c: 763-502-4977
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PAGE
New Floor
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