AF - 36436City of Fridley, 1Vlinn.
BUILDING PERMIT
DB�: _� Octobex 28? 1970
s-3 �9�
,° 108 5
Owner: _.__.........._ ._.._. ._._..._._......__._ Builder _._ S . . E . Tem� 1 in.._.___...._......_. ._. ___._._._..._
_.__ _.__ ._..._._._____._ Address ____61$4 _Stinson__Bouleya..�d _._.._._._.._
Address ...__._._..__._.._._..___- - -
LOCATION OF BUILDING
No. .._._1528.__._. Street __.._.Berne Road ^N.E._..___.._._ .............__..--.--.... Part of Lot .___.__.._._...._.._
Lot ....._....9_...__....._...._ Block _.___. 2....._........___...._.._ Addition or Sub-Division .._._._Innsbruck .5th Addition
Corner Lcrt ___ ............._..._.. Inside Lot .....---..�....._..__............ Setback ...._._35_�_.._.__. _._ Sideyard 18 �
Sewer Elevatian .._._...._978_.09_____._._..__._...__..__.._.._..____.._ ....._.._L.4'_.._.A]zQVe curb_�,33.. ront of Gar.
TOP OF I���� FOUNDATION
DESCRIPTION OF BUILDING
To be Used as:
_.._Dwelli. ng,_,.....__.._.._ Front _.,.:28 �.�. Depth ...�30.�._ Height .._��.�._._. Sq. Ft. 16, 800 � Ft 33, 584'
._.._Gara�e_ ..............__....._ Front __.?� � __ Depth _� 21 �--_ I�eight _..10_t ___ Sq. Ft. _462' _.. Cu. F�. _ 4620'
Type of Construction _....�'��._.._.._.___.__. F�st. Cost ._..._..�.30. 000 ... Feb . 1971 __....
. . :_ _ _ . ..__._.... To be Completed _..._.. __ _.
Provide Hard Surface Driveway. V erify Basement location by Survey.
Make certain garage slab elevation set by Engineering Department.
SEWER LOCATION: 239' West of Manhole on St. Imier Drive.
WATER LOCATION: 11.4' West of Sewer Service.
TOP OF FOOTING: 981.09
In consideration of the issuance to me of a permit to cons ct the b lding descri e, I agree to do
the proposed work in accordance with the description above se in complian th all prov3sions of
ordinanoes of the city of Fridley. �� � _�
In co�sfderation of the payment of a fee of �.._._.63.00._.__.._..� permit is hereby granted to_ S. E. Temp�lin.
._.__.........___......._....__......_..___._.._. to construct the building or addition as described above. This permit is granted upoa
the express condition that the person to whom it is granted and his agents, employees and workmen, in all work.
dane in, around and upon said building, or any part thereof, shall conform in all respects to the ordinances of
Fridley, Minnesota regarding location, construction, altera.tion, maintenance, repair and. moving of buildu'�s
within the dty limits and this permit may be revoked a t a�y time up� violation of any of the provisiona of said
ordinances.
CLARL�'NCE BELISL
NOTICE:
'Ihis p�m�if do�s not �owr fh� eonstrveNon, inshll�Non for wtrfn�. Pivmbino. Yu h�Nin�, twrK or waMr. B� wn to »�
1h� Buildiee Intp�eror for ap�ra» p�rmils for th�» if�nn.
�
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APLICATION FOR RESIDENTIAL, ALTERATION,
OR AllllITiON BUILDING PERMIT
CITY QF FRIDLEY, MINNESOT
� �, -
OWNER' S NAME • B[IILDER: �_ ��-� -��'�-��`t.-c_�
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ADDRES S: ADDRES S:�* ��T- �� 2-�-t
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NO:. �S � STREET: �•���i--'-`'`� _ �� �.
LOT :_ � �� BLOCK : �-- ADDITION : � �'�'�' �--� �-�-�-��- �-`� � � i
i � � �
CORNER T: INSIDE LOT: �TBACK: ,_�� SIDEYARD: �� �`""`�� 1 �
. a
Applicant attach to this form 7.tao Certificates of Survey of Lot and proposed � �
building location drawn on these Certificates. C
� �
�ESCRIPTION OF BUILDING T
cc�o Be UsQd �s' a � � f� � � / � �`,
,�� �.�, �. � �.,
t�✓ -� �., r Fr�nt : � � Depth : 3 � lieight : � o �-~
G a �7 �: 7 �
Square Feet � � 0 0 Cubic Feet: 3:� ,� �� � o�,��,
� n� � Front: .� 2 Depth; 2 j Height• l Q
Square Feet ;/G � Cubic Feet :_ Z/ G� 6
T�pe of Construction: Estimated Cost•_ $ �� �T-��'-�
r .
To Be Contpleted : �-�-Er=- /r7 ry �
, �4-
The undersigned hereby makes applicativn for a permit for the work herein
specified, agreeing to do all work in stiict 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.
/' .
D�ATE : � . � S IGNATIJRE : � � ��• �- ' ` .
(See Reverse Side For Additional Infosvnation.)
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BUILDING PERMIT FEE SCHEDULE
SECTION 2. The Inspector of Buildings shall, before issuing pexznits 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 pravided to-wit:
UIVIFORM BUILDING CODE: Type 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 peztnits, 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 averager
height of the roof surface of the ma.in 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 case shall the fee charged for any pe�nit as set forth in Section 2 be
less than $5.00.
VERIFICATION OF FOUNDATION
NOTE: Permits for construction will be issued a minimum of 24 hours fram the
ti.me of application, to allow for proper review of the proposed structure and
of the construction site.
A Certified Survey of the lot, shawing the location of the foundation, once it
has been constructed, will be required before proceedint� with the framing.
CERTIFICATE OF DCCUPANCY
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 occup�ed until a Certificate
of Occupancy has been issued. •
•
•
�� � . `
PERMIT for Power Plants and Heat�ng� Cool-
ing, Ventilation. Refrigeration and Air
Conditioning Systems and Devices
DESCRIPTION OF WORK
No. of � Heating Plants���✓vu �_to b ins Zled ltered—repaired
Make A� �.,D , Size �.Q `/ I Q S' -Cjl(� ;
Oal fi�red_�; Coal fired ; Gas fired �; Gas Auticorization No.
Remarks �2�n,P� r 2J �` � �a'� - �Q,o� �[.cifit2� .� _ -
Approved by.
Final InspECtion Date , 19_
Inspector
�'��i3
P�"t N° 4854
Fee $ /'7. U o -
Of�ice of the Inspector of Buildin$s
City of Fridtey
Ciiy of Fridley, Minn, a J• �� , 19�
Owner ��n? T�rr► P L,� �1�t1S� -
Location /� � 8 �� � ,
Kind of Building��h.��✓►'�R-'
How Occupied
Work to be Cornmenced ,19�
To be Completed ,19_
Estimated Cost,
Old-New, Building Permit No.
Permission is hereby granted to / to install—erect—use the material and devices described in the
above statement. This permit is granted upon the express conditio th.at the person to w om it is granted, and his agents, employees and workrnen, in all the work
done and materials used urader this permit, and in the operation of devices herein men ioned shall conform in all respects to the ordinances of the City of Fridley
relating to or governing the work to be done and the operation of the devices herein named, and to the specificationss� t fort an the approved application for ihis
permit on file in the office of the Inspector of Buildings. � 1 ''n n •_ l.� / _ �i
<Z sM � i.�� v
of Buildings
��� Permit for �UMBING AND GAS F11'�'ING
N.B. When work covered by this permit is ready, the Plumbing Ordinance requires tlzat request for
inspection shall be phoned in to the plumbing Inspector, 560-3450 givi.ng number of this permit.,
N
Siqil@8 F p Z M- Q! N
s
3 U � m F m
Basement
lst
Znd
3rd
4th
/ i i �
Connected with
Number, $ind and Location of Fixtures
N
a tll N
�p Z tlf Y Z w K Z = Z
N 3 a o o i ° z a a
N � � U m
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! I � l i
W WATER HTR.
Z� N X � a � Z GAS I ELEC.
C �J i 4 L7 ¢ f! K
Gas Piping for Openings
Permission is hereby granted ��- to do the plumbing and
gas fctting in the building described in the statement hereta attached, u on the express condition that
th,e person to whom this permit is granted, and his agents, employees and workmen, in the plumbing
or gas fiiting of said building shall conform in all respects to ordinances of the Ciiy of Fridley, and
this permit may be revoked at any iime upon the violation of any of the provisions of said ordinances.
By Order Of The Inspector Of Buildings
Roughing in Inspeciion Date
jnspector.
Finallnspection Date
N° 5242
s��s�
( F�t �9. o� I
City of Fridley �/-► � C.c` n'i ,L�c� k' �� ,19�
✓
Owner � � . ��-7�ti.,�-Q.e.�i
Location �� � � �zh.�n�. �C:�.C� �
Xind of Building ����'3'L.�i
Used as
To be Completed , X9_
Estim¢ted Cost $ �� dG U�
Old ew Building Permit No.
�
lnspector. Inspector of Buildings.
4z 1M—b-69.V
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��ty of F�id�eY - _)
APP�ica�ion � Piwnbitiq and Gat �q hn�ir
Dept. of Bldps. Phon� 960-3/30 ��
DESCBIPTION OF WORlC ���, t� ���� n�.
Numb�r. Kiad aad Loeali,oa oi Fix2uns J ��=�
��3�I S 13�I i I� I;�I��
Base
1tt
2nd '; Z
3rd
4th
' Fux�u� Coan�e!!oa 4P�niaps
* N�w Fixius�. Old Op�ninps
� f � E I3 i �� � �u � `ci � �� $ I � � N � c�srea KrEC.
PARTIAL RAT� SCHEOULE
S�w�r
�P�
PLOMHIATG FIXTURE RATE3: NO. RATE TOTAL
Number Fixtures . . . . . . . . . . . . . . . . � � x a200 : �y� U O
Ftiture Fixture Opening . . . . . . . . . . . x a1.50 S -
New Fixture Old Opening . . . . . . . . . . . x a1.50 ;__
Catch Basin . . . . . . . . . . . . . . . . . . . . x �3.25 S
Water Heater ;Up to 99,000 BTU) •.•• __� x s3,00 ; �� v
New Ground Run Old Bldg. . . . . . . . . x a3.25 $
II�ctrk Wat�s ii�at�r . . . . . . . . . . . . . . : =2,00 :
GAS FITTTNG FEEB: NO. RATE TOTAL
ist 3 Fixtures . . . • . .• •. .• . . . . . �_ x 32.00 j �• D�
Additional lYztures . ... . . . ..... . . . . . x ; .7b =
Gae Raa�e to 199.000 BTU .. .,.. .,..... x a5.00 i
AEPAIRS � 11LTEAATI01�b—R�t�s !o Cod�
Description . .. . . . . . .. .... ..... . ...... . ...... . ...... ..... i /-�
1'OTAL !'EE ; �7• � �
City of P�idley:
The undersigned hereby makes application tor a permit for thc rs�k herei
specified, agreeing to do all work in strict accordance with the Cif,7 Otdinance
and ruling oi the Department of Buiidings. and hereby declarea that all the fact
and representations stated in this application are true and correct
1�Yiidley, Minn 29_
Owner Si � . / �H1��let% �
Kind of Building '^'�
Used as �
To be completed about Z` ,��`
1Sao`�v
Estimated Cost, a ,
Old ew, ilding Permit No. P�rmit No. �"�`f`�'
Signed �`s'.'w-f �i'7��+ Y'�.�•7G �-:�i . / /Cy
��'" _
�-''" L-��. - —� -
Business Phune No. � �}� � �7
-T
ROUGH
FINlIL
CITY OF FRIDLEY INSPECTION DIV.
6431 University Ave NE
Fridley, MN 55432
572-3604
Effective On January 1, 1991
APPLICATION FOR PLUMBING AND GAS �ITTING PERMIT
MARK NUMBER OF FIXTURES TO BE INSTALLED ON EACH F�OOR
PLUMBING FIXTURE RATES:
New Fixtures
Old Opening, New Fixture
Beer Dispenser
Blow Off Basin
Catch Basin
Rain Water Leader
Sump/Receiving Tank
Water Treating Appliance
Water Heater -Electric
Water Heater - Gas
Gas Range
NO. RATE TOTAL
Gas Dryer
Back Flow Preventer R�puire�Yes () No
Type UGG Lv� rJ cc�
$ 7.00
$ 4.00
$ 5.00
$ 7.00
$ 7.00
$ 7.00
$ �.00
$10.00
$ 7.00
$10.00
$10.00
$10.00
5�
$5.00
Reinspection Fee $30.00
ALL OTHERS AND/OR REPAIRS AND ALTERATIONS
1�/o of Value of Fixture or Appliance
State Surcharge
TOTAL FEE
JOB ADDRESS / � � ��f � ��� I � �
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 Building Division, and hereby declares that all the facts
and representations stated in this application are true and correct.
.J U �-
, 1991
CC� � �, ✓1� D ✓1
Owner
Building Used As S"� S� ��-. ��
r.�i
Estimated Cost � PERMIT NO. �� C'c�C�
PLUMBING COMP �� l 6� C�N� ��� L�Q /7�,��ti��O
�
SIGNED BY TEL N0. �� � v�I ��
Approved By Rough-In Date Final Date �/
.50
MINIMUM FEE FOR ANY PLUMBING/GAS PERMIT 1S $15.00
$ ��+� •S� PLUS THE �.50 STATE SURCHARGE
CITY OF FRIDLEY INSPECTION DIV.
6431 University Ave NE
Effective On January 1, 1991
Fridley, MN 55432 APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION,
572-3604 REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES
RATE SCHEDULE
Residential
Furnace Shell and Duct Work, Burner -
Also Replacement Furnace
Gas Piping (Needed with new furnace)
Gas Range
Gas Dryer
Rate TOTAL
$ 20.f)0 $ 20.00
$ 10.A0 $
$ 10.ii0 $
JOB ADDRESS __ 1528 �erne Road
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 ruling of the Building Division, and hereby declares
that all the facts and representations stated in this application are
9-2?_-9.?_
true and correct. __ .��9�-
OWNER Ed �ohnson
BUILDING USED AS Res i dence
$ 10.()0 $
ESTIMATED COST � 4�p•�� PERMIT NO. ��/���
"Air Conditioning - All Sizes $ 10.U0 $
All Others/Repairs & Alterations (LIST ON BACK)
1% of Value of Appliance or Wo�k $
Commercial/Industrial
1�/o of Value of Appliance or Work
State Surcharge
TOTAL FEE
$
$ .50_
$ 20.50
MINIMUM FEE FOR ANY HEATING/COOLINGNENTILATION
REFRIGERATION/AIR CONDITIONING PERMIT IS $15.00
PLUS THE $.50 STATE SURCHARGE
REINSPECTION FEE $30.00
"Air Conditioners can not be placed in a side yard without
written permission from adjoining property owner.
DESCRIPTION OF FURNACE AND OR BURNER
No. of Heating Units � Circle One (Steam) (Hot Water) (Warm Air)
Trade Name Comfortmaker Size No. GUA100
BTU 100,000 HP EDR
Fuel GAS Total Connected Load
Burne� Trade Name Size No.
BTU HP __ EDR _ -
Approved By� ��_ Rough-In Date Final Date � ���1� �'�
FILL OUT BACK SIDE FOR STAC;K VERIFICATION ON
REPLACEMENT FURNACE
CHIMNEY AND STACK VSRIFICATION
The undersigned hereby verifies that the existing chimney or ack:
1. Has been carefully examined Yes � No ()
2. Is free from rust or deterioration Yes �No ()
3. Has no foreign objects lodged within Yes (� No ()
4. Is securely supported Yes (l�No ()
5. Meets all current Code requirements for
size and total BTU's connected Yes �No ()
e. Has total heating BTU's of� ���/,�9-�1
�
All other BTU � s �6 G?Z�''
,
TOTAL BTU' s zL��j' C'LrGJ
Remarks
List Alterations Beinq Done:
HEATING COMP
Signed By
Date � �'.- a .� _ 9 2.
sue�EtT p
City of Fridley 33369
AT THE TOP OF TME TWINS g U I L D I N G P E R M I T
f
� ` RECEIPT NO.
i •
COMMUNI7Y DEVELOPMENT DIV. I /'�
r � V � � PROTECTIVE INSPECTION SEC. �
i--__�,��"';'� CITY HALL FFIDLE� 551�2 NUMBEi1 pEV O�TE P�GE O: •VVROVED Br
l 763-571-3450 910-F 15 3/ 14 / 03 / /
�oe nooRess 1528 Berne Road NE
t LEGAL �OT NO. BLOCK TfiACT OR ADDITION SEE ATTACHED
oescR. g 2 Innsbruck 5th Addition SHEET
2 PHOPERTY OWNER MAIL AODRESS 21P PNONE
Jeff & Gail Gordon 1528 Berne Road NE
3 CONTRACTOR MAIL ADORESS ZIP PMONE LICENSE NO
Mur h Bros Bld & Remodelin 1613 — —
� ARCHITECT OR DESIGNER MAIL AOOFESS ZIP PHONE LICENSE NO.
3416
5 ENGINEER MAII ADDRESS ZIP PHONE LICENSE NO
6 USE OF BUILDING
Residential
7 CIASS OF WORK
❑ NEW O ADDITION a ALTERATION ❑ REPAIR O MOVE O REMOVE
X
B DESCRIBE WORK
Basement Remodel
9 CHANGEOFUSEFROM TO
STIPULATIONS
See notations on plan.
Provide smoke detectors in all sleeping rooms and on all levels of the dwel�ing
per Sect�on 310.9.I.2 of the 1997 Uniform Building Code. Caulk and flash aZ7�
exterior openings.
SERERATE PERM�TS
QUIRED FOR:
wiR��c H�nN�
PLUMBING AND S16�VS
TYPE Of CONST. OCCUPANCV GiiOUP OCCUPANCV LOAD
SEPARATE PERMITS ARE fiEOUIqED FOR EIECTRICAI, PLUMBING, MEATING,
VENTILATING Oii AIR CONDITIONING.
TMIS PERMIT BECOMES NULL AND VOID If WORK OR CONSTRUCTION ZONING SO. fT CU FT.
AUTMORIZED IS NOT COMMENCED WITMIN 60 OAVS. OR IF CONSTRUCTION
OR WORK IS SUSPENDED OR ABANDONED FOA A PERI00 OF 1Y0 DAYS AT
ANV TIME AfTER WORK IS COMMENCED. NO DWLG. UNITS OfFSTREET PARKING
I HEFEBV CERTIFV THAT I HAVE REAO AND E%AMINED TMIS APPLICATION 1 STALLS GARAGES
ANO KNOW TME SAME TO BE TRUE AND CORRECT ALL PROVISIONS OF IAWS yqLUAT10N SURTA%
ANO OROINANCES GOVERNING THIS TVPE Of WORK WI�L BE COMPLIED
WITH WHETMER SPECIFIED MEREIN OA NOT. THE GRANTING OF A PERMIT �17�SOO �H.7S
OOES NOT PRESUME TO GIVE AUTMORITV TO VIOIATE OR CANCEL THE pERM1T FEE SAC CHARGE
PROVISIONS OF ANY OTMER STATE OA LOCAL LAW REGULATING CON-
TRU Ti OR THE PERFOFMANCE f CONSTRUCTION $293.25 Fire SC �1%.5�
�IJ AN CNECK FEE TOTAL FEE
�`7�� L'cen SC $5.00 $324.50
S�GHATUQE CON"P4CTOQOR�UTHOA�2EDOGENT iO�rE� y W N PROPERLY VALIDATED THIS IS VOUR PERMIT
7 �
r� �^
$�GNaTUAE O� OWNEQ��� OwHEpBU��OEQ� iDAIE� B� G�h5� ��<<E
NEW [] CITY OF FRIDLEY Effective 1/1/2002
ADDN [] 6431 University Ave NE, Fridley, MN 55432 (763) 572-3604 Bidg Insp
ALTER (� SINGLE FAMILY AND DUPLEXES R-1 AND R-2
BUILDING PERMIT APPLICATION
Construction Address: !'S'o"� $� �,Q.�nQ- �cG. J��
Legal Description:
Owner Name & Address: J��.+� G.A. L('�� Tel. #
Contractor: �- MN LICENSE # 3� 1 tc
Address: /Cpl�3 a13'' L,,,.,� nl�s' , �larna.. . /yin , ,S'�"�l�'4 Tel. # `]!�3-? �'o- 3a.�a
LNING AREA:
GARAGE AREA:
DECK AREA:
OTHER:
Construction Type:
Attach to this application, a Certificate of Survey of the
lot, with the proposed construction drawn on it to scale.
DESCRIPTION OF IMPROVEMENT
Length Width Height Sq. Ft
Length Width Height Sq. Ft.
Length Width Hgt/Ground Sq. Ft
�� S.¢. ivv.�.. {' ('�w.,, .� � L i . .
- '. � �5� �'
c�
Estimated Cost: $ l 7, Sp v
Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x$ _$
�
DATE: .3I0 s�03 APPLICANT: 7Y1 o,.P Tel. #%� 3-a-10- �/! So
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.
Permit Fee
Fire Surcharge
State Surcharge
SAC Charge
License Surcharge
Driveway Escrow
Erosion Control
Park Fee
Sewer Main Charge
TOTAL
CITY USE ONLY -
� � 9' 3 . �_
� l `7 - 5D
� ����5
$
$ ���
$
$
$
$
�. � - .�a
Fee Schedule on Reverse Side
.001 of Permit Valuation (1/10th%)
$.50/$1,000 Valuation
$1200 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 [ ]
STIPULATIONS:
BUII.DING PERMIT FEE SCHEDULE
The Chief Building O�cial 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
$500,001 to $1,Q00,000
$1,000,001 and up
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
$943.75 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
$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)
�.�
Alternate "A": Removal and replacement of curb and gutter only - Driveway width plus 6 fe�t times $15.50.
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 $23.25.
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 Certiiicate of Survey of the lot, showing the location of the foundation once it has it has been constructed will
be required before proceeding with the framing. New Houses Only
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O RACT S�IF'I��O1�j,5 ��ob• ordon Page 1 of 5
(�( J � t{ �� 02/28/03
. 1613 93rd Lane NE • Blaine, MN 55449 • 763-780-3262 • Fax 763-780-0550
BUILDING 8L REMODELING CO.
February 28, 2003
Jeff and Gail Gordon
1528 Beme Rd. NE
Fridley, MN 55421
The following specifcations are part of this building contract, including the drawings dated February 28,
2003 Murphy Brothers Building & Remodeling Co.'s standard contract terms and payment schedule. The
intent of these specifications is to help define the scope of the project. If and when there is a conflict
between the drawings and these specifications, the intent of the plan will be followed except as to differences
expressly called out, whereas these specifications shall ovemile the drawings.
SCOPE OF WORK FOR LOWER LEVEL FINISH:
• Gut the Lower Level.
• Frame for new perimeter & interior partition walls, as per plan.
• NO WORK in the Mechanical Room.
• All preparation, priming, painting, and flooring materials are by Owner.
GENERAL CONDITIONS:
Demolition:
l. Remove all perimeter wall material(s), down to the foundation block. Plan East stair wall and skirt
board is to remain.
2. Remove (2) interior bifold passage doors and stair railing.
3. Remove all carpeting. Any existing floor tiles under the carpet aze to remain, see contract terms for
hazardous material disposal.
4. Remove (3) windows.
5. Remove and save for reuse, the short bifold doors at the under-stair access.
Framing:
1. Frame for new header at new egress window location
2. Frame for new 2x4 perimeter and interior partition wall(s), see plan.
3. Frame for new wall at plan west of sta.irwell. Open wedge to follow the new skirt board.
4. Frame for new larger bottom step.
5. Frame for and allow for new ceiling and HVAC trvnk soffit (1 soffit, a bit wider than the existing
one).
6. Fur down the ceiling.
7. Frame for (3) new passage door rough openings and (1) new under-stair door access opening-(reuse
the existing access door).
8. Frame around the existing stack in Family Room, allowing for a new access panel to code.
9. Frame for (2) ceiling access panels for other mechanicals, standard attic access panels.
. gi ya .
�
Additions • Decks • Porches'• Roofing' • Windows • Siding
Kitchens • Bathrooms • Computer Aided Design
�, .
O��P � T O � o� ordon Page 2 of S
� ��� � 1613 93rd Lane NE • Blaine MN 55449 •� 3?g/ 3 2 • F - -
8b 3 62 ax 763 780 0550
BUILDING 8L REMODELING CO.
Windows:
1. New double wide egress windows. Dual sashes with no fixed center mull, verify ceiling height &
egress well dimensions to confirm proper fit. Maintenance free exterior (white), interior is yet to be
determined (pine/white) depending on the suitable window type (verify hardware color for interior).
Window allowance is $610. "Scapewell" well, pea-gravel stone, fill to remain on site with
disbursement by Owner. In a drywall opening (see `Options' for upgrade to millwork).
2. Repair up to 2 courses (2 boards, or reuse if possible) of cedar siding above new egress window.
PaintJstain by Owner.
3. Replace (2) windows within existing rough opening with a new, vented glass block windows, white
grout, white operating window.
Electrical: (See electrical plan)
1. One (1) new hardwired smoke detector is included. Final inspection will require that all smoke
detectors in the home be up to current code; Owner may choose to have Us do this for an additional
cost.
2. Thermostat to be disconnected/abandoned; phone jack to remain as/where is.
3. (2) 3-way switches.
4. Replace in existing opening (1) ceiling light opening, & hang fixture; fixture by Owner.
5. (1) single pole dimmer switch.
6. (8) recessed cans.
7. (1) single pole dimmer switch
8. (2) eyeball recessed cans.
9. Reuse any existing cable location.
10. Outlets to code, no work in Mechanical Room, no work at existing panel.
Heating, Ventilation & Air Conditioni.ng/ Gas:
l. Provide and install supplies and returns to code; 3 supplies, 1 lazge return, all run to existing ductwork
or directly to furnace. Supplies in ceiling, return at floor level.
2. No new supplies/returns in Future Bath.
Plumbing:
1. Existing stack to remain as/where is.
2. No new plumbing. NOTE: Owner should be aware of any concrete break up needed for Future Bath
and how it affects the newly firushed Family Room.
Insulation:
1. Vapor barrier and batt insulation to code.
Drywall:
1. New drywall to code (includes under the stairway).
2. No new drywall in Mechanical Room, Future Bath, or plan east wall of stairwell.
3. Spray ceilings with medium perilite texture.
Additions • Decks • Porches • Roofing • Windows • Siding
Kitchens • Bathrooms • Computer Aided Design
O CT SPECIFI T O ob• ordon Page 3 of 5
. un�"� ; �� 02/28/03
� �;� 1613 93rd Lane NE • Blaine, MN 55449 • 763-780-3262 • Fax 763-780-0550
BUILDING 8L REMODELING CO.
Millwork:
1. Oak, ranch style throughout.
2. No shoe.
= 3� 3� oak, hollow-core doors, confirm sizes, hinging direction, jamb size, locking/non-locking; hinge
color to match the new door knob color. Hinge color t�ti� �,,.�
4. Railing and spindles to code at Stairwell; natural oak finish. Plan west of stairs to have (1) newel
post at new wedge rail with 1 rosette for handrail; Finished material allowance of $465. Plan east
wall of stairs to have continuous handrail to code; handrail, unfinished, material allowance of $114.
New paint grade skirt board to match at plan west wall of stairs; painting of new skirt board by
Owner.
5. Install saved, louver doors in a drywall opening at the under stair access area.
J - ' �
Painting & Staining: ,
1. All preparation, priming and painting is by Owner.
2. Finish (off-site) all base, case, doors and jambs as specified, just finish, no stain.
3. Stain and finish to match the new pine components of the window to match the new natural oak
millwork.
Specialties:
1. Schlage, Bell style door knobs. Color:__ ���,Cfi b,,.�, �
Flooring:
1. All new flooring material is by Owner.
Additions • Decks • Porches • Roofing • Windows • Siding
Kitchens • Bathrooms • Computer Aided Design
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O 1/���� ��� 1613 93rd Lnne NE 8 ; � JEFF & GAIL GORDON
V� Blaine, MN 55449 ' W w 152$ BERNE RD NE
►-� BUlLDINC3 & REMODELING CO• PHONE (763) 780-3262 - FAX (763) 780-0550 7° FRIDLEY, MN 55421
'
V
CITY 0'�F FRIDL�Y INSPECTfON DIViSION
6431 University Ave NE
Fridley, MN 55432 APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION,
(763) 572•3604 REFRIGERATION ANL� AIR CONDITIONING SYSTEMS AND DEVICES
Effective On January 1, 2002
JOB ADDRESS �
RATE SCHEDULE OWNER l.I��G( �` ,eL,l�L,�K. ,e� /1��C92C �
Residential
Furnace Shell and Duct Work, Burner -
Also Replacement Furnace
(Side Vent • Fill Out Back)
Gas Piping (Needed with new furnace,
but not replacement)
Gas Range
Gas Dryer
*Air Conditioning - All Sizes
All OtherslRepairs & Alterations'(LIST ON BACK)
1�/0 of Value of Appliance or Work
Commercial/Industrial
1.25% of Value of Appliance or Work
Rate
$ 30.00
$ 10.00
$ 10.00
$ 14.00
$ 25.00
State Surcharge
TOTAL FEE
MINIMUM FEE FOR ANY HEATING/COOLING/VENTILATION
REFRIGERATION/AIR CONDITIONING PERMIT IS $25.00
PLUS THE $.50 STATE SURCHARGE
REINSPECTION FEE $47.00/Hr
*Air Conditioners can not be placed in a side yard without
written permission from adjoining property owner.
`fOTAL U�! ' �����
BUILDIN USED AS� ' �,� �
$—
ESTIMATED COST �D� PERMIT N0. %�� 3�
$
DESCRIPTION OF FURNACE AND OR BURNER
$
No. of Heating Units Circle One (Steam) (Hot Water) (Warm Air)
$_ Trade Name Size No.
BTU HP_ EDR
$ Fuel _ Total Connected Load
$�_�
$
� .50
$���
Burner Trade Name Size No.
BTU HP __ ED
The undersigned hereby makes application for a permit for the work herein
specified agreeing to da all work in strict accordance with the City Codes an
rulings of the Building Division, and hereby declares that all the facts and
representations stated in this application are true �nd correct.
HEATIN
Signe�
FAX� #
Approved By
DATE l� /— �..
���-� ,
TEL # �% �
—=-���
iRough-In Date Final Dat
� (�?�°�
�
�,
THE BELOW MUST BE FtLLED IN WHEN REPLACING FUEL BURNING APPLlANCES OR THE
APPLICATION WILL BE RETURNED
('OMMON VFNT� VENT CONNFGTnR AND (:nMBI ISTI�N AIR V RlFI(:ATI(�N
Whet1 r� In acin� an existinaf �ran ._, the undersigned hereby venfies that the
venting has been examined and is free from rust, deterioration, obstn,ictions,
and is securely supported and firesiopped where required. Yes () No ()
The venting system is plastiGPVC and meets all current codes and manufacturer
specifications including sizing, iength, number of elbows and termination.
The undersigned also verifies that the replacement unit is a listed assembly
and meets the current codes and manufacturer's specifications. This does
inGude AGA-GAMA Category I Central Fumace Venting Tab(es for fan
assisted and natural draft appliances.
The Pxistina cemh ,ct�en air is sized and installed to meet the current codes
and manufacturer's specifications.
When required to insta�� a new cnmhusfion air�,it will be sized and installed
to meet the current codes and manufacturer's specifications.
When ins alling a new ven inQ,y,�,� Pm, the undersigned hereby verifies that
it is a listed assembly and meets the current codes and manufacturer's
specifications. This does include AGA-GAMA Category I Central Fumace
Wenting Tables for fan assisted and natural draft appliances.
Is the common vent and vent connectors sized and installed correctly after
an appliance has been removed from the common vent and vented
separately as per current codes.
Yes ( ) No ( �)
Yes ( ) No ( )
Yes ( ) No ( )
Yes ( ) No ( )
Yes ( ) No ( )
s
Yes( )No( )
�.. .. .- ... - .����.. -. _.. -. ...- . . ..��. ..
Appliance #1 Type BTU Input Fan Assisted or Nat
Appliance #2 Type BTU Input Fan Assisted or Nat
Appliance #3 Type BTU Input Fan.Assisted or Nat
Totai Appliances Total Btu Input
Common Vent Type Vent Heiyht Diameter inches
Appliance #1 Vent Connector Height ft Length ft Diameter in Type
Appliance #2 Vent Connector Height ft Length ft Diameter in Type
Appliance #3 Vent Connector Height ft Length ft Diameter in Type
HEATlNG CO:
Signed By: Date :
_
_
UTYOF
FRIDLEY
FRIDLEY MUNICIPAL CENTER • 6431 UNIVERSITY AVE. N.E. FRIDLEY, MN 55432 •(7b3) 571-3450 • FAX (763) 571-1287
March 30, 2004
Jeff & Gail Gordon
1528 Berne Rd NE
Fridley, MN 55421
Re: Final Inspection at 1528 Berne Circle NE
Contractor: White Bear Mechanical Inc
Dear Mr. & Ms. Gordon:
A mechanical permit was issued on April 1, 2003 to install basement ductwork at your
address. According to the 1991 Uniform Mechanical Code a final inspection sha11 be
conducted on the work authorized by this permit. As of this date the inspection has not
been requested.
The permit fee that was paid covers the inspection to make sure the work was completed
according to the Codes. We will keep your permit open for another 30 days and if we do
not hear from you within this time to set up the inspection, we will mark the permit "no
inspection called for by homeowner after notification and the permit will be expired.
To set up the inspection or to have any questions answered, please contact the Building
Inspection Division at (763) 572-3604.
Sincerelv,
DJ/mh
3uilding ��
:nspections �
�63-572-3604 Y ��
� ��
)A
BUILDING
RESIDENTIAL APPLICATION
CITY OF FRIDLEY
YOUR E-MAIL ADDRESS
ITE ADDRESS
'HIS APPLICANf IS: ❑ OWNER CONTRACTOR
Pernvt No.:
Received By:
Date Rec'd:
PROPERTY OWNER/ N�: � �' (= � � �
TENANT A.DDRESS: %� Ff ��io�,l� � V� � Rfi� CITY -' �c STA IP L�Z 1
PHONE� �..� '- Jr p o� " � � ��
CONTR.ACTOR NpME:�CiYOtv-Rcri�ti�;,�—S_l �i�,�
SUBMIT A COPY OF STATE LICENSE # �¢�Z ► £XP DATE 3 3�� a 6
Y O U R S T A T E L I C E N S E ADDRESS: %��S- SdvTHlii�- ��vd CTTY 5 5/-� STA _ZIP �7�
WITH APPLICATION PHONE �`�S % 2 G4 �- FAX
PROPERTY TYPE � SINGLE FAMILY/NEW CONSTRUCTION S�zE
❑ TWO FAMILY/NEW CONSTRUCTION STOR.IES
PERMIT TYPE ❑ �DITION ❑ GARAG
O BASEMENT FIIIISH �
❑ DECK ❑ SIDING
❑ SWIIv1M
TYPE OF WORK:
❑ REMODELING
❑ DRp.IN TTLE
❑ OT'I�R
�ESCRIBE WORK BEING DONE: �C v9-r2-�O /r � Re Q �� �' � ( C �-
3IZE OF II�ROVEMENT
VtIMBER OF SQUARES J
SARAGES
?ROPOSED SIZE:
?R�POSED HEIGHT:
LENGTH WIDTH� HEIGHT
❑ HOUSE ONLY
❑ HOUSE & GARAGE
p ATTACHED GAR.AGE
❑ DETACHED GAR.ACrE
�t.
BASEMENT REMODELING SUBMIT:
1. Existing Floor Plan
2. Proposed floor plan
3. List of strucwral members to be used
3TDING � 6 FOR NEW CONSTRUCTtON INCLUDING DECKS,
� Vinyl �% � ❑Soffit ADDITIONS. & PORCHES SUBMIT:
7 Aluminum � r ❑ Trim I. Site Plan/Survey showing the existing structures
� Other ❑ Fascia and proposed project
2. Two seu ofconstruction plans
WINDOR'S 3. Energy Calculations
N EXISTING OPENINGS ❑Yes UNo LACATION OF WINDOWS
JR FOR NEW OPENINGS-DESCRIBE SIZE OF
�PENING CHANGES &
TYPE OF WINDOW TO BE RVSTALLED NUMBER OF WINUOWS
ALL FEES ARE BASED ON VALUATION, INCLUDING THE COST OF LABOR AND MATERIALS:
(USING THE 1997 U.B.0 FEE SCHEDULE)
TOTAL JOB VALUATION S��h'C� •� OCCTJPANCY TYPE
Pernut Fee
Plan Review
Surcharge
Fire Surchazge
License Surcharge
SAC Charge
Curb Cut Escrow
Erosion Control
Park Fee
Sewer Main Charge
Total Due
$
$
$
$
$
$
$
$
$
$ .
See Back Page for Fee Schedule
65% of Building Permit Fee
(.0005) times the total job valuation - Minimum $.50
.001 x Permit Valuation (1/10%)
$5.00 (State Licensed Residentia] Contractors)
$1450 per SAC Unit (Plans to MWCC for determination)
ft+68= ftx$20=$
$450 Conservation Plan Review
Fee Determined by Engineering
Agreement necessary ( ) Non Necessary ( }
Make checks aavable to: City of Fridley Attach
THIS IS AN APPLICATION FOR A PERMTf-NOT VALID UNTIL PROCESSED
I hereby apply for a building permit and I aclrnowledge 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 a p rmit 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 w i h re ires review and approval of plans.
/ �--
SIGNA'fURE OF APPLICANT PRINT NAME � 1�ATE / U 7��s
%
Page 2- Building Residential Application
BUILDIl�?G PERMIT FEE SCHEDULE
The Chief Building Official shall, before issuing pernuts for the erection of any building or
stxucture, or for any addition to any existing building or structvre, or for any a.tteration or repair
to any existing building or sixucture, 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 fo� 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 lu $25,000 plus $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 1�` $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 1�` $1,000,000 plus $3.15 for each additional $1,000 or
fraction
VERIFICATTON OF FOUNDATION
Permits for construction will be issued a minimum of 24 hours from the time of application to
allow 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.x: 763-502-4977
`�uilding
.�ZSpections
.%53-572-3604
,_4TE � � � `
iTF pj�DRESS
�;�IS APPLICANT IS
_'Rt7�ERTY OWNER/
TENANT
CONTRACTOR
SUBMIT A COPY OF
'.'QiJR STATE LICENSE
V✓ITH A.PPLICATION
PROPERTY TYP�
PERMIT TYPE
TYPE OF WORK:
'�SCRIBE WORK BEING
:=?E OF IMPROVEMENT
_;P,4BER OF SQUARES _
4RA GES
�OPOSED SIZE:
:OPOSED HEIGHT:
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BUILDING Permit No.:
RESIDENTIAL APPLICATI�N Received By:
CITY OF FRIDLEY Date Rec'a:
V YO -MAIL ADDRESS ,�.'o cl�'s �� t�� �� o n 4 s.� o n�
� a 1 r /1.G �� � l�
❑ OWNER '61CONTRACTOR
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�D�SS: �5 � g � P r n.� il �l /V f
PHONE:_ �$� 1__[.7 � i-$ Z g L
Pella Windows & Doors
N�'— 15300- 25th Avenue N.- Suite 100
STATE LIC P1j�iri0Ui�1, MN 55447
aDDxESS: �63/ 745-1400
Pxot�rE_ License# 20165884
❑ SINGLE
❑ TWO FA �
❑ BASEMENT FINISH
❑ DECK
MAINTEI�IANCE/REPAIR
_tirDOWS
�XISTING OPENINGS�Yes �No �} C
FOR NEW OP£NINGS-DESCRIBE S1ZE OF 1C �
'�NING CHANGES & � � S
:'E OF WiNDOW TO BE INSTALLED
❑ ROOF
❑ SIDING
❑ SWIIvIMING PC
O ADDITION
❑ REMODELING
�n��w r��
LENGTH
❑ HOUSE ONLY
� HOUSE & GARAGE
❑ ATTACHED GARAGE
❑ DETACHED GARAGE
❑Soffit
❑ Trim
❑ Fascia
TIqN OF OWS
Y/1, n o i+�, lc,_ f�
NUMBER OF WIN�
�� r �l ' STATE " �IP � '�J Y ;i I
o d, a£( �r a n� s
�5� 3�/S •G ott 7
CITY STATE_ZIP
ES
S�WINDOWS
❑ DRAIN TILE
❑ OTf�R
i ��
p� �t
HEIGHT
BASEMENT REMODELING SUBMIT:
1. Existing Floor Plan
2. Proposed floor pIan
3. List of slructural members to be used
Pt.
FOR NEW CONSTRUCTTON INCLUDING DECKS,
ADDITIONS. & PORCHES SUSMIT:
1. Site Plan/Survey showing the existing structures
and proposed project
2. Two sets of construction plans
3. Energy Calculations
ALL FEES ARE BASED ON VALUATION, INCLUDING THE COST OF LABOR AND MA'
(USING E 1997 U.B.0 FEE SCHEDUL,E)
. TOTAL JOB VALUATION $ �� 3 7 OCCUPANCY TYPE
�mut Fee
an Review
_rcharge
e Surcharge
:-�nse Surcharge
� Charge
:-b Cut Escrow
:�sion Control
:k Fee
�.�er Main Charge
�al Due
$ / G 7. ,? S� See Back Page for Fee Schedule
$ �• 65% of Building Permit Fee
$ y 2 (.0005) times the total job valuation — Minimum $.50
$ • 6 .001 x Permit Valuation (1/10°/a)
$ 5, n o $5.00 (State Licensed Residential Contractors)
$ $1450 per SAC Unit (Plans to MWCC for determination)
$ ft+6ft= ftx$20=$
$ $450 Conservation Plan Review
$ Fee Determined by Engineering
$ Agreement necessary ( ) Non Necessary ( )
$ �. �i ) Make checks navable to: Citv of Fridlev Attach
THIS IS AN APPLICATION FOR A PERMI'I'-NOT VALID UNTIL PROCESSED
:�reby apply for a building permit and I aclrnowledge that the information above is complete and accurate; that the work will be in
nformance with the ordinances and codes of the City of Fridley and with the Minnesota Construction Codes; that I understand this is not a
znit but only an application for a permit and work is not to start without a permit; that the work will be in accordance with the approved
.n in the case of all work which re uu s eview and approval of plans. � � n� � O `�! �
3NATLiRE OF APPLICAI�T ��:� �� "� PRINT NAME / I 1' 1 S L � DATE
Page 2- Building Residential Application
BUILDING PERMIT FEE SCHEDULE
The Chief Building Official shall; before issuing pemv.ts for the erection of any building or
structuxe, or for any addition to any �isting building or structure, or for �xry al�-eration or repa.ir
to any existing building or structure, upon application therefore, require the p�yrnent by the
applicant for such permit of fees to the amount herein below set forth a.nd in the manner herein
provided to-wit:
TOTAL VALUE FEES
$1 to $500 $23.50 (Minimum Fee is $23.5_0 plus surchazge�
$501 to $2,000 $23,50 for 15` $500 plus $3.05 for each additional $100 or fraction, to and
including $2,000
$2,001 to $25,000 $69.25 for 1S` $2,000 plus $14 for each additional $1,000 or fraction, to and
includin $$25,000
$25,001 to $50,000 $391.25 for 15` $25,000 plus $10.10 for each additional $1,000 or fraction,
to and includin $50,000
$50,001 to $100,000 $643.75 for 15t $50,000 plus $7 for each additional $1,000 or fraction to and
� including $100,000
$100,001 to $500,000 $993.75 for 1S` $140,000 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 1�` $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 1�` $1,000,000 plus $3.15 for each additional $1,000 or
fraction
VERIFICATION OF FOUNDATION
Pernvts for construction will be issued a minimum of 24 hours from the time of application to
a.11ow for proper review of proposed structure and of the consixuction site.
A Certificate of Survey of the lot, showing the location of the existing foundation will be
required before proceeding with the franung. New Houses Onlv
City of Fridley
Building Inspections Department
6431 University Avenue NE
Fridley, MN 55432
763-572-3604
Fax: 763-502-4977