AF - 36568City of Fridley, Minn.
11913 ���"
6431 University Ave. I�. E., Minneapolis, Minn. 55432
BUILDING PERMIT
Date: _.._De�.�mb.��2.7}��_Z? _._.,
Owner: _.__R�,.�k��.�d �Iiller_ I�,.omes._____�____^ g�der _Same _`_
Address _._._1�00_...�i_�e_..Creek_Road_,.___Fridley.__,..__ Address Same__�_.
LOCATION OF BUILDING
No. ....__...�.fi2.3�------.- Street ---.-.B.r.iastlala...RQad_..I�I..E_._.___—�.. Part of Lot
Lot .................Z........_._.._ Block ..............._2......_.____....._......._......_... Addition or sub-Divisian __..__Briardale Addition
Corner Lot ......-----...._..------- Tnside Lot ..--.--.....X.-------------_.... Setback _.___...�.�..�._---_... Sideyard 10 �� 5�
5�7�'k3� Elevation --�- ----- -4 06-= �-� --- -�------------��- ----._.. �--------------------- /�o�iii�ait,�a�r� ��v�'��i .._._��z9.5..._�in imum ,
W�e Top of Footing
�
DESCRIPTION OF BUILDING
To be Used as:
1056'
-IIwE1,-l.i�x�g-------------------.---._ Front --.--.4.Q.�..._.. Depth .__Z.��---_ Height _. �.�.�.__ Sq. Ft. 960' �, Ft, 24,686
...C�a7G.�g-�----�-�-�---�----�-��--...._ Front .._19_� $�� Depth _._. 22 �_�__ Height ...—.10.�_.. Sq. Ft. 433' Cu. FL 4� 330'
Type of Construction .._WQ.o.d__Erame._...._._._..___. Est. Cost __..��Q.�.�4�._...._...__.._..___. To be Completed June� 1973
Stipulations: Provide a hard surface driveway. Provide a verifying survey before
capping. Patio walk out is 8" above garage floor, elevation to be set to provide
drainage for rear dining room windoras. $27L11 storm s�er escrow to be paid when
water meter is taken out.
WATER LOCATION: 12' East of Sewer Service
SEWER LOCATION: 18' East of Manhole
In consideration of the issuance to me of a permit to construct the building described above, I agree to do
'the proposed work in accordance with the description above set forth and in compliance with all provisions oP
Ordinances of the city of Fridley. • ,
���5�'_ --�'�-��
15.37 State Surcharge
Total
In consideration of the payment of a fee of $_..46 . 00_____� permit is hereby granted to A� ��+�r.� M; 1 10+- Homes
___........._.__._........._ ...............................__ to construct the building or addition as described above. This perniit is granted upori
the express condition that the person to whom it is granted and his agents, employees and worl�nen, in all work
done in, around and upon said building, or any part thereof, shall conform in all respects•to the ordinanCes of
Fridley, Minnesota regarding location, construction, alteration, maintenance, repair and moving of buildiligs
yyithin the city limits and this permit may be revoked at any time upon violation of any of the provisions of Said
ardinances.
a' �1,�'��� � Building InspeCtOr
DARREL CLARK
NOTICE:
Ii This permif does naf cover the consfrucfion, installafion fo� wiring, plumbeng, 9as heafing� sewe� or wator. Be suro to fN
I th � uilding Inspecfor for separate permits for these items.
[S
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AP���C�TI�� FQ� RES�DE�TTA�, A�T�R,�TI4N,
0� ADp�T��N BUILDING P�RMI�
GITY OF FRIA��Y� MINN�SOTA
OWN�R' S NAME : BUILDER :,��c N� �'D I�1 i LLL'fZ � O b.�t � 5
� II
ADDxESS : �n�ss : I(�GY� Rlc� Ce�c �caQ�►Ql�y
r�;,, /G� 'L3 s��Ts 3 ��� KD�ti� ��,��
�o�r: 7 �i.oct�: 2 �u���zoN: �P��.���,��
�R LOT : �l�t$ � ZO'� ; %� k S $TBACK F 3S � S I DEYpRD : /O � S � +
�►�.�.�a�att �',�c�i �t� th� �+AS��„v_ Certificates of SurveY o� L4t a�d proppsed
1�i+d,� �.+�cati.�n dr� va t�sae Cartificates. !
�
��SCRIPTION OF �UIi,DING
'� �ae iis�d As :
� w� 1 I � n c, �i �� �+ti; : 2 q- � aeight : ?_D i
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/C' ; � - _
Squ$xe �'�8�; � U Cubi� F�eC3 ��'U � �1`� �O � /�; ; ri L.
, �
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C>� ('v4£�� �'xca3�t' ��� � , Depth ; 'LZ � Hei�ht • f G
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�/�.� � y�c ;
�qua�s �eet; � Cubic �eet; '�
�
T�F�a of �oastruc�i.op� � P�M E Esti�aCed Cost •$'� ���� %''y�1
�
�c� �a �iQCsd� � -- t —Z 3
� u�e�er��igned hexeby �alces ap�licatirnt �or, a pe�a�t far the woxk hsrein
ageei�ied, agxeein� tta c!o a�j, Wvsk in, sttic� accordance with the G�.ty of
F��1�' t)xdiaances �d �tu�i�ga �f t�e Departmen� qf Bu��din.�s, ,�d Ti�ereby
��.ax+e.� �t�, all �ha facts �d r��resentatione stated i� �his appiicatian
�� �� a�d cvxrect, .
1aA,T�; De � , Z � � � Z� SIGrtA1vA� : ��.�c-�-�r.� /� �`�� � .
�B� R+a��ee S�� T�'o� Add�tional In�osv4ation. ) . �...
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-BUI�AIN� P�RMIT F�� ��H��ULE
&�CT�QN 2, The Inepectox of Buildings s�all, befoxe iasui�g penni�� for the
ex�Gt�on of any building ox structure, ox for any addition to any e�cisting
����di�g ox struc�ure, or fq� any alteration or re�airs to any ex��ting
�,�����s� or st�cture, upan �ppli�ation theref�re, requ�re the payment by the
��r,licait.t fpx such perm�t o� fees to the amount herein below set �prth a�d �n
tine mannes� h�x�:in pravided �o-wi� �
iJI+TIFORM BU�LIIING CODE= Type 1� 2& 4-$2.I5 for each one thou�$n.d cubic
,�e�C, pT fxaction the�eo�, in suah cubical con�ents. TyPe 3&�-$�,85 fox�
�a�i ons Chousand cub�c �eet.
��D�T�O�IAL I�PI�MAT�ON
Fo� �hl: �u�ppee of �acnputing �ees for building pe�tnits, the cubical contents
of any building or addition, i� det�rmined by multiplyin$ the ground area
�so�,e�eci #�pm a poi�t� ��x (4) inches below the flc��ar line of the basement
t� fi.he C+��lax Co the average heights of the upper surface or to the average*
�ght c�f �he xQO� sux�ace o� Che main gabl� pf a pitched xoo�,
��ix�� ox a,l�$�ca�ions �o a.n existin� stru�tuxe, the f�e shal� be �C the
��.�� o� $3,fl(i pe� eaGh f�ve ht;udxed dollars ($�OUT00) ox fraction thereof in
t„}��; cos� a� all pivgcfsed wo��C*
T� �o cats� s1�a�1 �he �ee ��d foz � pe�ati� as set fo�rti� �.t; Sa�t�.on 2 b�
i� th�.n $� . tiU.
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V�R����ATiQN �F ��1�7NUATION
ATQT�� �'e7['at�.ts fvr ��us�xtt�t�.on will be �.saued a��ni.�� o�' �4 hours f�am th�
��Ae of ap�lication, �c► a��aw �ox pra�ex review of Che pxoposed a�ru�t�tre r�itd
�� #�e �st�u�tion Site.
� Ce.���,�i�p� Sur�T�y pf �h� ia�� �#a�ing ti� �,oeatia� of �he �ounciati�, o�c+� ��
�a� �a� ��st�.�t,�d„ wii� b� t'equ�.red before proceed3��, w�.th �hs fr�niag.
C�R��F��Ai� QF lJ��iJPAN�Y
App�iG��ion ��ax a Ge���.�i.�ak.e� u� Occupancy shall b� mac�e Ce�n (1Q) +t�ay� pz�ox
�+� the �se pr ac�upat�}� o� ,�rrty at�cCure �or which a buildi.ng, pernii� has bear�
issued; �nd said s��cku� i�'�aZZ �ot be used a� occupied until a�extif�.cate
of O��upaa�Gy ha.� beexl �.eaued.
� �
� .o�d ►lawninq �(l�r,l�','�l„ A�)S Ni9hwor No.6fN.E
iond S�►v•ring � Minn.o'ol;�,
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� sa,�, �.«,�9 � 11�J i�rt�r't�il�/ ,•�11�'. M��,,. s����
c, �� i[ ry9,,,+r„�e �! / 1��.'ti.�. ,.. -.c. b
�,� ""�^���Ph' c^9�^�•��^o EnRinesrs & 3urveyore •�•a coa. e��
Certificate of Survey for ��.����� ��'%����'•� !`7�M�''S
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� V�nottS �run rronumen} �I'lOK4 l�0Ut1�y .
_=-�_�.__ i��nc�t¢ �ro�no�z t �..����i�y �o4�tmen�
i h�,eoy cer►�ly 1i�ot rh,� is e�rvf •nd corrrc� ♦�pr�stnta�ion o! o•vrv�r oi Iht bsu�ion�• oi ri�• o4w•
dRsc►��ed lond, ond of thr ioc�tioh al •11 �viMi s, �A�.�4�, ond oll visirl• •ntr�ocl�e�ent�, i1 on�, 1rp�n N en
soia lo�d. As +�rr+y�d by m� fA�� doy o/�ta -�.+f '` A.O. 1971.
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SU�UR�AN ENGINEERING, INC.
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560-3450
�`�� O ��'L G� �e
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ANOKA tOtJNTY
6431 UNIVERSITY AVENUE NE December��% I972 fRIDLEY, MINNESOTA 55421
TO WHOM IT MAY CONCERN:
Whereas the City o,� Fridley has i sued a building permit to construct a
s truc ture at /� � � �_�� �i � �i ; ''��� a f ;
Whereas the permit is dated prior to January 1, 1973 and the City or
Fridley did not collect or receiv� any "Service Availability Charge".
Therefore if for any reason the Metropolitan Counc'_1 and or the rletropolitan
Sewer Board assess or bill the City af Fridley a Service Availability Charge �or
this structure or sewer hook up, we the undersi�ned aQree to and will pay the
City of Fridley for said charges.
Witness
.-
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T tle
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7
RICNARO MILLEIi INC.
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:IMAGINEERS
0
June 20, 1973
Fridley City Council
City of Frid�ey
6431 University Avenue N.E.
Fridley, Minnesota
Gentlemen: �
I would like to request a 90 day extension on 17 building permits for the
following addresses. These houses are all located in Briardale Subdivision.
1616 Rice Creek Road 1650 Briardale Road
' 1620 Rice Cr�ek �oad 6151 6enjamin S�reet
..,-----.�--- 1605 Woodsi �e Court 6141 B�n jami n Street
� �619 Woodside Court 6131 Ben,] amin Street
629 Woodside Court 1601 61st Avenue N.E.
-- -- ----1603 Briardale Road 1611 61st Avenue N.E.
1613 Briardale Road 1621 61st Avenue N.E.
, 1623 Briardale Road ���� ��st Avenue N:E:
Iam requesting this extension as there was a lengthly delay in originaliy
processing these permits and at the time I felt this would not create a
problem. However, there is now a�hortage of ready mix concrete and concrete
blocks and many of the builders have been put on certain rations of these
materials. TFterefore, it appears that an extension will be necessary.
I hope that you have had an opportunity to drive through Briardale. I am
personally very proud of the houses we have built here and I hope that you
feel they are a credi� to the community.
Thank you for your consideration.
�-� .
• Si nye�eYY �
ard N. Milier
: cs
' � � �
. .
• 786-1600
1600 RICE CREEK ROAD, MINNEAPOLIS, MINNESOTA 55432, AREA CODE 612-�8�(�4
■�i
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�
�►pplicatioe �or �ows�r Ptanfs and H�aNng. Cooling� Yentibtion. R�rig�rafion a�d
Air Conditioning S�aNn�s a�d Devic�s
PARTIAL RATE SCHEDULE
�iR�1V*TY WARM AIR: �� TpTAJ,
ll�rnace Shet1 & Ih�ct Work . . . . . . .;10.00 �
Replacement o! Furnace . . . . . . . 6.00 t
Repairs & Alterations--up to s500.00 6.00 a--_-- -.---
Repairs dc Alterations each add. =500.00 , g.pp =__ ________
MLCH. WAR1d 11IR
Fiirnace Shell dt Duct Work to 190,00o BTU ... .. . . a10.00 =_10. 00
each add. 50�000 BTU . . ........ . .. .. .... . . 3.W i
R.epLcement oi F�rnace ... 6.00 t
Repairs dc Alterations--up to ;500.00 g,pp �
Repairs & AlteraHons each add. s500.00 3,pp :
STE1►M or HOT WATER SYSTEM
Furnace Shell & Lines—to 400 sq. tt. F.DR Steam ?20.00 $ ____
Ftirnace Shell & Line—to 640 sq, ft. EDR Kot Water 20.00 a___.
Each add. 20Q aq. ft. EDR Steam �,OO i,. _____
Each add. 320 sq. ft. EDR Hot Water 3.pp s----
OIL BIIRI�'iER—to 3 gal. per hour g,pp a__ __
over 3 gal. per hour�ee Fee Schedule
GAS BIIRNER (up to 199.000 BTU) b.pp i 5.00
over 199,000 BT�I See F.� Seh�dul�
GAS FI1'i'ING FEES: NO RATE TOTAL
lst 3 Fixtures Xa 200 a 2.00
Additional Fixtures x .7b i
Gas Range to 199.000 :i b.0� i —
�un co�niriort�a West. SLO - 3 ton � 10.00
D�pt. of Bldqs. Phon� 860.34,9p
L�� 1623 Brairdale Road
�
��
City oi I+Yidley:
The undersigned hereby makes application for a permit for the worlc hereir
speciiied, agreeing to do all work in strict accordance with the City Ordit►ance:
and ruling of the Depai�tment of Buildings, and hereby declares that aIl the facts
and representations stated in this application are true and correct.
Frid�ey, Minn Dec, 13. .1g73
Owner Richard Miller Homes
Kind ot Building ___frame-residential
r�Se� $� ___ _ residential
To be completed about __.�'�'��` _..
Estimated Cost, a____�1�668.00___ __
Old—New. Building Permit No. — p•rmit No. _ ���y
DESCAIpTIOIf OF WORa
HEAT'ING or POWEA pI,ANTg.�team, got Water, Warm Air—No.
Trade Name Westinghouse �e Na FGUB-110
Capacity 88M Sq. IPt. E.D.R g� gp
Total connectea r.oaa 65.�7 x�,a ot �e� gas
BURNER — Ttade Name SSme as BbOVe Siu No
Capadty 3q. !'t. E.DR g� �p
FAIi HEATIIfd 3YSTE1t Se� FN delada4
VEI�TILATiIfG 3Y8'1'E1d � .50 surcharge
ALTERATIOI�IS t REP11IR6 TpTU, gEE = 2. O
SA�LESMAN: John Borry (4571B)
ROU(3H
FINAL * G `� ?—�
Copy of heat loss attached
\
(�EMARKf—OVER)
Si?�+�� _
- � c.�t-G-c _ O E CU.
i260 Gorham w r 929-675±
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N
�ity of Fridley �
�►PP�ict�lion /or Plu�ing and Csat Fi�ii�q hn�it
Dept. of Bldys. Phon� 560-3�90 -
DESCRIPTION OF WORlC
Numb�r. Kiad and Locatfoa oi Fixturea Loe�t� / G �.� f/'? i�I /3 n/4-L.. L-- �/,�
3�I� li�l�l�l��l°`�I�Ig�i3�I��I7�17����
�n ;� Gr �0 3 U' Ue� VS
Base
lst
2nd
3rd
;th _ L I I I I I i
' Fu:t�� Coaa�el�oa Op�ninps
+ I�f�w Fixtut+�, Old Op�t►iays
PARTIAL RATE SCHEDULE
WATEN i+Tll.
• •
► N G�S fIEC.
S�w�r ❑
��� n
PLIIMSING FIXTURE RATES: NO. RATE TOTAL
.__L1L�
Number F`ixtures . . . . . . . . . . . . . . . . � x $2.00 a �'�
Future Fixture Opening . . . . . . . . . . . x �1.50 ;—__
New Fixture Old Opening. . . . . . . . . . . x a1.50 3_--_
Catch Basin . . . . . . . . . . . . . . . . . . . . x �3.25 a
Water Heater •'.Up to 99,000 BTU1 . • . • � x a3.00 $ � • '�
New Ground Run Old Bldg. . . . . . . . . x a3.25 $
El�ctric Wat�r ii�at�s . . . . . . . . . . . . . . : a2.00 =
3118 FITTING FEEB: NO. R11?E TOTAL
lst 3 Fixtures . . . . . . . . . . . . . . . • _� x s2.00 ;�2 • �j
Additional PYxtures .. . . . . ...... . .. .
Gas Range to 199.000 BTU . . .... . . . . ..
REPAIAS A� ALTERATIOIfb—R�f�r !o Cod�
Description ......................
x = .7b ;_
x E5.00 i
City oi PYidley:
The undersigned hereby makes application for a permit for the vrork herei
specified, agreeing to do all work in strict accordance with the Cits Qrdinance
and ruling of the Department of Buildings, and hereby declares that all the fact
and representations stated in this application are true and correct
P�idley, Minn ��-�_,�- � � , 19.Z�
Owner R �` �� sr- �/J iv! i� L.L �" R
Kind of Building f- � G�t1q T
Used as /,��L(�' L L/ hl �
To be completed about � a R� i� %
Estimated Cost, a / q �% �� � �j
r Permit No. � '�"
Old--rew. Building PPrmit No.
Signed �' �/ L�' ct /�L c- n.� /.� / NL,°. � C�
gy�.l2�LC['% e.� r� .9�i1,C-l1-�a � .
Business Phune No. S� G Lf S— < �
ROUGH
FINAL � •
. �`U y��
................_
TO'PAI.. !'EE s �. � �
0
sue�ecT PERMIT
City of Fridley � g � S �
AT THE TOP OF THE TWINS g U I L D I N G P E R M I T
r
� � R
' • COMMUNITY OEVELOPMENT DIV. l
r �~ � PRO7ECTIVE INSPECTION SEC. // '� j/�
1 �
�X
l.---�,�����;,� CITY HALL FRIDLEV SS43Z NUMBER REV. DATE PAGE OF APPROVE� BY
i 612-571-3450 910-F15 1/16/87 / /
JOB ADDRESS
1623 Briardale Road N.E.
1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED
DESCR. '] 2 Briardale Addition SHEET
2 PROPERTY OWNER MAIL ADORESS ZIP PHONE
Sarah Miller 1623 Briardale Road N.E. 571-6175
3 CONTRACTOR MAIL ADDRESS Z�P PHONE LICENSE NO.
Jack Pixley Sweeps, Inc. 11864 Woodbine Street N.W., Coon Rapids 55423
4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO.
573-2764
5 ENGINEER MAILADDRESS ZIP PHONE LICENSENO.
6 USE OF BUILDING
Residential
7 CLASS OF WOfiK
❑ NEW ❑ ADDITION ❑ ALTERATION � REPAIR ❑ MOVE ❑ REMOVE
8 DESCRIBE WORK
Re air of Chimne Flue with Ahrens Technique
9 CHANGEQFUSEFROM TO
STI PU LATION S
SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD
VENTILATING OR AIR CONDITIONING.
THIS PERM�T BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING SQ. FT. CU. FT.
AUTHORIZED IS NOT COMMENCED WITHIN 60 DAVS, OR IF CONSTRUCTION
OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT
ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS OFFSTREET PARKING
I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION 1 STALLS GARAGES
AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS VALUATION SURTAX
AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED
WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT $2 � OOO $1. OO
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 OR THE PERFORMANCE OF CONSTRUCTION. $32.SO
r' , /,� `PLAN CHECK FEE TOTAL FEE
lN.��yfi�%�� !/�/.•e%�� / � ��P " $ 3 3 . 5 0
siGNnTUae oF coNrancTOa oa auTHOa¢eo aGen,r ionTE� WHEN PROPERLY VALIDATED THIS IS YOUR PERMIT
SiGNATUAEOFOWNERIIfOWNERBUILDERI IDATE� ` ` BLDG iNSP � ��p7 �f
NEW [ ]
ADDN. [ ]
AI,TER. [�
Construetion Addri
City of Fridley Effective 4/1/86
j R-1 AND R-2
Building Permit Application
Legal Description• w � i m�L-� a ,�r� � ,-,-,� �,�' �-�- , �,
Owner Name & Address : �,�`'�� �%�� //�� Tel . � �'��l � ���,5'
Contractor• �.a�/� �ii���t, s„1��°�- S-��� Tel. � �%3-,�?76�
Address:
Attach to this application, a Certificate of Survey of the
lot, with the proposed construction drawn on it to scale.
DESCRIPTION OF IMPROYEMENT
LIVING AREA: Length Width Height
GARAGE AREA: Length Width Height
DECK AREA: Length Width Hgt/Ground
OTHER:
Sq. Ft.
Sq. Ft.
Sq. Ft.
Corner Lot [] Inside Lot [] Ft. Yd. Setback Side Yard Setback
Type of Construction• � � � �� � Estimated Cost: $ �
� ,'th he�vs eel� iv i,�e
Approx. Completion Date: 6 S
Alt. A Alt B
Proposed Driveway Width If New Opening Is Desired: $ $
See Back Page for Explanation
�
DATE: ��� ~ a APPLICANT: �a����� �� Tel . � ��.3`oZ ?� 7�
/
Permit Fee
Plan Check
State Surcharge
SAC Charge
Park Fee
SeWer Main Charge
TOTAL
STIPULATIONS:
CITY IISE ONLY
g ��.5.?�
�
$ /���0
$
$
�
� �3 ��
Fee Schedule on Reverse Side
25� of Building Permit Fee
$.50/$1,000 Valuation
$475 per SAC Unit
Fee Determined by Engineering
Agreement Necessary [ ] Not Necessary [ ]
BIIILDING 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 applicatio n
therefore, require the payment by the applicant for sueh permit of fees to the amount
herein below set forth and in the manner herein provided to-wit:
Total Valuation
$1.00 to $500.00
$501.00 to $2,000.00
$2,001.00 to $25,000.00
$25,001.00 to $50,000.00
$50,001.00 to $100,000.00
$100,001.00 and up
Fees
$10.00 (Minimum Fee is $15.00)
$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 first $2,000 plus $6.00 for each
additional $1,000 or fraction thereof, to and
including $25,000.
$170.50 for the first $25,000 plus $4.50 for each
additional $1,000 or fraction thereof, to and
ineluding $50,000.
$283.00 for the first $50,000 plus $3.00 for each
additional $1,000 or fraction thereof, to and
ineluding $100,000.
�433•00 for the first $100,000 plus $2.50 for each
additional $1,000 or fraction thereof.
DRIVEWAY DEPRBSSION ESCRON
(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 strueture and of the
construction site.
A Certificate of Survey of the lot, showing the location of the foundation onee it
has been constructed will be required before proceeding with the framing.
. _ . .
sue�ecT P R
City of Fridley �
AT THE TOP OF THE TWINS g � I L D I N G P E R M I T �' �'1 ��
r
; � CEIPT NO.
� • COMMUNITY DEVELOPMENT DIV
' `�.-------�
r � � PROTECTIVE INSPECTION SEC. Z
� � J,
� � �""1 � CITY HALL FRIDLE`/ 55032 NUMBER AEV DaTE PAGE oF APPFO�ED ev
�"'"�"� �'� 612-571-3450 910-F15 7/17/97 � �
JOB ADDRESS 1623 Briardale Road NE
1 LEGAL LOT NO. BLOCK TFACT OR ADDITION SEE ATTACHED
DESCR. % 2 Briardale Addition SHEET
2 PfiOPERTY OWNER MAIL ADDRESS 21P PHONE
Sarah Miller 1623 Briardale Road NE 574-9582
3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO
Maverick Construction 11227 River Rd NE, Hanover, MN 55341 498-7401 5572
4 ARCNITECT OR DESIGNER MAIL ADDRESS ZtP PHONE LICENSE NO.
5 ENGINEER MAIL AODRESS ZIP PHONE LICENSE NO
6 USE OF BUILDING
Residential
7 CIASS OF WORK
O NEW ❑ ADDITION ❑ ALTERATION �J REPAIR ❑ MOVE O REMOVE
8 DESCRIBE WOFK
Reroof House & Garage (24 Sq) Tear-off
9 CHANGEOFUSEFROM TO
STIPULATIONS
Underlayment must comply with the State Building Code.
TYPEOFCONST. OCCUPANCYGROUP OCCUPANCYLOAD
SEPARATE PERMITS ARE REOUIRED FOR ELECTRICAL, PLUMBING, HEATING,
VENTILATING OR AIR CONDITIONING
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION zONING SQ. FT CU, FT.
AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION
OH WORK IS SUSPENDED OR ABANDONED FOFi A PERIOD OF 120 DAYS AT
ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS OFFSTREET PARKING
I HEREBY CERTIFV THAT I HAVE READ AND EXAMINED THIS APPLICATION 1 STALLS GAFiAGES
AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS VALUATION SURTAX
AND ORDINANCES GOVERNING THIS TVPE OF WORK WILI BE COMPLIEO
WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING Of A PERMIT �2sOO1 �1.00
DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE pERMIT FEE SAC CHARGE
PROVISIONS OF ANV OTHER STATE OR LOCAL LAW REGULATING CON- $74.75 Fire SC �Z.00
STRUCTIO OR THE PERfORMANCE OF CONSTRUCTION
PLAN CHECK FEE TOTAL FEE
� /' <�'� 7 License SC $5.00 $82.75
si NaTU OFCO AACTORORAUTHOR12EDAGENT ATE� WHEN PROPERLY / LI TED THIS IS YOUR PERMIT
/ �
SiGNATUaE OF OWNEa�iF OWNEA BU�IDER� �DATE1 BLD �NSP 14I
NEW ( ]
ADDN [ ]
ALTER [ ]
ConstructionAddress: _�
Legal Description:
Owner Name & Address:
Contractor: f!�;�}j/(_ f�1
Address: / /���% ,( ly
LIVING AREA:
GARAGE AREA:
DECK AREA:
OTHER:
CITY OF FRIDLEY
SINGLE rAMILY AND DUPLEXES R-1 AND R-2
BUILDING PERMIT APPLICATION
�
�� S
�;,
i ��t 1-� ��' "� �_
Effective U 1 /97
�
37 �3
Tel. # � ���- ���'�j
MN LICENSE # J!j %�.
�_Tel. # _ �`! ' 7Li�' �
Attach to this application, a Certificate ��'urvey of the
lot, with the proposed construction drawn.on it to scale.
DESCRIPTION OF IlVIPROVEMENT
�ng� wid� Height
�ng� . Width Height
�ng� Width Hgt/Ground
Sq. Ft.
Sq. Ft.
Sq. Ft.
__; yr/ `, `;�=
� i :.
Construction Type:���f ��%/�t%���� ��� Estimated Cost: $ ��,� �j ��
,
� (Fee Schedul e on Back) ���"�� �
Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x$ —$
DATE: %� A.PPLICANT: � � Tel. # �1 �� ���/
_ CITY USE ONLY
j �7 kl ` �/ '` . ....
Permit Fee �/ �/ / '
$-( !'�� v� �v Fee Schedule on Reverse Side
Fire Surcharge��.�� ��'$ �-�" .00� of Permit Valuation (1/lOth%)
State Surcharge �,�� $ -----�`-�- -- $.50/$1,000 Valuation
SAC Charge $ $950 per SAC Unit
License Surcharge $ J•�� $5.00 (State Licensed Residential Contractors)
Driveway Escrow $ Alt. "A" or Alt_ "B" Above
Erosion Control $ $450.00 Conservation Plan Review
Park Fee $ Fee Determined by Engineering
Sewer Main Charge $ Agreement Necessary [] Not Necessary []
TOTAL $. ,,-��} --�-�`
�<,� ,�J �
STIPULATIONS:
iIUlLUf;tir(: ['(�iZA�1[T I�EE SCE{LDt�L#:
"1'he Chief Bui(ding Oft�icial shall, before issuing permits for the erection of any building or structure, or i��r
acry addition to any existing buiiding or structure, or for any alteration or repair to a�y existing buildin<� or
stiuc�ure, upon application therefore, require the payment by the applicant f�r such permit of fees �to the amount
herein below set forth and'in the manner herein provided to-wit:
TOTAL VALUE
$1 to $500
$�O1 to $2,000
�2,001 to �2�,000
$25,001 to $50,000
$50,001 to $100,000
$100,001 to $500,000
$500,001 to $1,000,000
$1,000,001 and up
FEES
$21 (Minimum Fee is $21 plus surcharge)
$21 for first $500 plus $2.75 for each additional $100 or
fraction thereof, to and including $2.t1�0
$62.25 for first $2,000 plus $12_50 for each additional $1,000
or fraction thereof, to and includina �25,000
$349.75 for first $25,000 plus $9.00 for each additional $1,000
or fraction thereof, to and including ��0,000
$574.75 for first .$50,000 plus $6.25 for each additional
$1,000 or fraction thereof, to and including $1Q0;000
$887.25 for first $100,000 plus $5.00 for each additional
$1,000 or fraction thereof,.to and including $500,000
$2887.25 for the first $500,000 plus $4:25 for each additional \
$1,000 or fraction thereof, to and including $1,000,000
$5012.25 for the first $1,000,000 plus �2_75 for each additional
$1,000 or fraction thereof
DRIVEWAY DEPRESSION ESCROVV
{Concrete Curb Streets Only)
Alternate "A": Removal and replacement of curb and gutter only - Drive�vay width plus 6 feet times $13.>0.
Alternate "B": Reinoval 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 FOUl\TDATIOti
f'crmits for construction will be issued a minimum of 24 hours from the time of applieation to ailow for proper
�eview of the proposed structure and of the construction site.
:� Certif�icate of Survey of [he lot, sho«�in� the loeation of tlle foundation ����ce �it has it has becn c��nstruc°-_� ':
�.��i`; ,�,_ r�quirccl h�t�>re ��r<�cccdin�� ���itl� il�� trainin«.