AF - 39501sus�ECT P IT NO.
City of Fridley � 16 8 7 9
AT THE TOP OF THE TWINS g U I L D I N G P E R M i T �
r
� � REC .
� ; v____ COMMUNITY DEVELOPMENT DIV. �� 3/
r � � PROTECTIVE INSPECTION SEC. � L
� i �
`-_-- A �����;,J CITY HALL FRIDLEV 55432 NUMBER REV, DATE PAGE OF APPROVED BV
L J\ 612-571-3450 910-F15 12/22/82 / /
JOB ADDRESS 5447 East Brenner Pass N.E.
1 LEGAL �OT NO. BLOCK TRACT OR ADDITION SEE ATTACHED
DESCR. �j 6 Innshruck North. Townhouse Plat 6 SHEET
2 PROPERTYOWNER MAILADDRESS 21P PHONE
�.rrel A. F'arr Development Corp. 4600 Lake Road, Robbinsdale 55422 536-9936
3 CONTRACTOR MAILADDRESS ZIP PHONE LICENSENO.
Same
4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO.
5 ENGINEER MAILADDRESS ZIP PHONE LICENSENO-
6 USE OF BUILDING �
Residenti.al
7 CLASS OF WORK
X NEW ❑ ADDITION 0 ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE
8 DESCRIBE WORK
Construct an 18' x 28' ToHrnFiouse Uni t("�C" )
9 CHANGE OF USE FROM TO
STIPULATIONS
SEPARATE PERMITS ARE RE�UIRED FOR ELECTRICAL, PLUMBING, HEATING, TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD
VENTILATING OR AIR CONDITIONING. Ttt�COOCl Fr�O
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING SQ. FT. CU. FT.
AUTHORI2ED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION
OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT
ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS OFFSTREET PARKING
I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION ], STALLS GARAGES
AND KNOW THE SAME TO BE TRUE AND CORRECT. AI.L PROVISIONS OF LAWS VALUATION SURTAX
AND ORDINANCES GOVERNING THIS TYPE OF WOHK WILL 8E COMPLIED $38,600
WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT $19.30
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. 2 3 SO 42S.00
v � PLAN CHECK FEE TOTAL FEE
. ��2 --�.a - � $ 77 . 80
SIGNATURE�FCONTRACTORORAUTHORIZEOAGENT (DATEI �/�IH PROPER Y D ED IS IS YOUR PERMIT
SIGNATUREOFOWNERIIFOWNERBUILDERi IDATEI '� ���s�
BLOG INSP qqTE
CITY OF FKIULEY
APPLICATION FOR RESIDENTIAL BUILDING PER��IITS
�NEW, ALTERATIONS, ADDITIONS, OR REPAIRS).
OSr�7ER: DARREL A. FARR DEVELOPMII�TT CORP. BUILDER:• S�
Address.: 4600 LAKE ROAD' Address: �
R B ,
� Tel. No.: 536-9936
No.: 5447 Street: East Brenner Pass
L�= 5 B7ACK: 6 ADDITION: 6th
CORNER LOT: INSIDE LOT: X S:TBACK: SIDEYARDSe
Applicant attach to this form �io Certificates of Survey of Lot and prol�.osed
building location drawn on these Certificates.
- DESCRIPTION OF BUILDING
. - . nCn _
To Be Used As: '
HO SE Front: 18 Depth: 28 Aeight: 2�
. � Square Feet: 1363 �ic Feet:
�,
Front: Depth: Height:
Square Feet: G�bic Feet: �
� Zj►pe of Construction: WOOD FRAME Estimated Coste $ �'�'°����
-Zb Be Completed: �Y 1983 . � -
° - Alt. A Alt. B
Proposed Driveway Width If New Opening Is Desired $ $ -
(SEE REVERSE SIDE OF SHEET) .
The undersigned hereby makes application for a permit for the work herein
specified, agreeing to do all work in strict accordance with the City of
Fridley Ordinances and rulinqs of the Department of Buildings, and hereby
declares that all the facts and representations stated in this application
are true and correct. See reverse side for additional information.
DATE: 2 � � SIGNATURE: � ���
Stipulations: _ �
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_ � �� �, �a
_�__�
sue�ecr P E
City of Fridley 17 3 7 0
AT THE TOP OF THE TWINS g U I L D I N G P E R M I T �
r
� � RECEIPT NO.
� • COMMUNITY DEVELOPMENT DIV.
i LL �����'�
r j � PROTECTIVE INSPECTION SEC. /`^�
� `� !
i1 i �
----� ��'���;,, CITY HALL FRIDLE� 55432 NUMBER REV. DATE PAGE OF APPROVED BY
i 612-571-3450 9t0-F15 1/17/84 / /
JOB ADDRESS rJ44'� E3S't SrEIlIlEr Pass N.E.
1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED
DESCR. 2 5 Ihnsbruck North Tawnhouse Plat 6 SHEET
2 PROPERTYOWNER MAILADDRESS ZIP PHONE
Daxrel A,. Farr Development Corp. 4600 Lake Rd. Mpls. , l+�t 55422 536-9936
3 CONTRACTOR MAILADDRESS ZIP PHONE LICENSENO.
$ame
4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO.
5 ENGINEER MAILADDRESS ZIP PHONE LICENSENO.
8 USE OF BUILDING
Residenti.al Townhouse Gaxage
7 CLASS OF WORK
� NEW O ADDITION ❑ ALTERATION ❑ REPAIR � MOVE ❑ REMOVE
8 DESCRIBE WORK
mnstruct a lat x 22� Garage
9 CHANGE QF USE FROM TO
STIPULATIONS
TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD
SEPARATE PERMITS ARE REDUIRED FOR ELECTRICAL, PLUMBING, HEATING,
VENTILATING OR AIR CONDITIONING. T(1TbOC; Fx'�e
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING SQ. FT. CU. FT.
AUTHORQED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION
OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT ZZQ ZZO.O
ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS OfFSTREET PARKING
I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION STALLS GARAGES
AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS VALUATION SURTAX
AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED
WITH WHETHER SPECIFIED HEREIN OR NOT: THE GRANTING OF A PERMIT 5��34�. GO �S`�.� I.%
DOES NOT PRESUME TO GIVE AUTHOHITY TO VIOLATE OR CANCEL THE pERMIT FEE SAC CHARGE
PqOVISIONS OF ANY OTHER STATE OR �OCAL LAW REGULATING CON-
STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. tiS`3S.SQ
/ PLAN CHECK FEE TOTAL FEE
s � $3 J.. 67
GrvnruaE CON�RACTORORAUTHORIZEDAGENT IDATEI WHEN PROPERLY V IDATED THIS IS YOUR PEFMIT
f
SIGNATUREOFOWNERtlFOWNERBUILDER) IDATEI BLDG WSP q E
�,IIY !�F �IZIDLCY . �ffec2ive .�ug. 1, 1�81
Hrf'LiCl17I�� �t�fZ �CSIDCctT11�,� aUIL�It;G P�r��ITS .
�Nc�►�r, dil ber.atie�ns, �dditions, �r Rc�airs)
pk�1�ER: Darrel A. Farr Develovment Corn. 'QUILDkR:
6�DJRE�S: 4600 Lake Rd.. Mpls., MN 55422 hDQ+`tCSS:
�EL tt0: 536-993fi TEL ft0:
E
Const�vction L�eation
STTtL�T �t�: 5447 �T��: East Brenner Pass
SAME
bp��: 2 �z,oCx: 5 �nz�°�o.a: 6th
Corncr Lot: ins;c]c i.�ts � �cYback: Sideyards:
Ap.�lic.v,t ettach to t)�is foxm t�.�o C�rtificates of �rvcy oi lot �nd
p-ogo:,ed building location aira:+n on Ccrt.�ficaies 't.o scale.
DESCR1PTl0�� OF CO:.STR�JCTION
Garage gront: 10
�quarc g'eei:
�cpth: 22 Height: 20
�1�ic icrt:
Front: �pth: Heigl�t:
Square Fc2t: Clabic Y'eet:
. .
:)�pe of Co:.:tzuction: Wood Frame Estimated Cost: ^S ��800
�b Bc Cbr.:plctedt ,Ttyna l�R�
F►lt. A �.1 t. �
Pro�s�d Drivc+��ay kiath If Ncv Op�ning �s �esised: � S
, , S�� PiVFR:L' SIDE OF SiIF�T �
7Si� undcssiancd hcrcb�� :nal;t� ag�plic��icn foz � per�:it fcz the �:or3: hc: cin sp�cificd,
agreei»3 to cb ,all aork it� stzict accozdince `►ith the Ci�y of Tridley Ozdi�i�nces e�id
gulii��s of thc Delkirt�nc��t of I3ui:c7in�s, an3 hexcb} decl�res t1n��t all thc: fact� and
gepre:a-�taticns s2ated in 4�is applie`tion �re gzue and coesecL.
�: �: 1-13 - Ry �i c�aR2vrL :
rtil�ulatfcns :
,
:/1 // /
._ , • .z
SuBJECT
City of Fridley
AT TME TOP Of THE TWINS B u I L D I�� P E R I.! I T
i �
� �
� • COMMUNITY OEVELOPMENT DIV.
� j V �.���'�
� � PqOTECTIVE INSPECTION SEC.
1 . �
� t i"'f � CITY MALL FRIOLE� SS�J2 NUMBER AEV OATE PAGE O�
�.._.�' �•� 612-571a-3450 9t0-F15 6/27/00 � �
J08 ADORESS 5443, 45 , 47, 49 , 51, 53 East Brenner 'Pass
t LEGAL ��T N0. BIOCK TRACT OR AODITION
oescp. 1-6 6 Innsbruck North Townhouse Plat 6
2 PROPEiiTY OWNER MAIL AODRES$ 21P PNO!
31087
RECEIPT NO.
� V
•�aOVED Br
SEEATTACNED
SHEET
Innsbruck Townhome Association 651-2.24-5482
J CONTRACTOR MAIL ADORESS IIP PMONE IICENSE NO
Garlock-French Roofing Corp., 2301 E. 25th St., Mp1s., MN 55406 612-722-7129 0000
1 ARCMITECT OR DESIGNEii MAIL AOORESS ZIP PMONE LICENSE NO.
S ENGINEER
8
Residential
5S OF WORK
O NEdV
MAII
ZIP PMONE LICENSE NO
O ADDITION O ALTERATION C� REPAIR O MOVE O REMOVE
6 OESCRIBE WORK
Reroof Townhouse Building (Tear Off)
9 CNANOE OF USE FROM
STIPULATIONS
TO
Underlayment must comply with the State Building Code.
�t Inspection Cards
�ill �� Mailed
T� �iomeo�rn�r To �o�t
SEPARATE PERMITS ARE REOUIRED FOR ELECTIiICA�, PLUMBING, MEATINO, �PE OF COIVST.
VENTILATING OR AIR CONDITIONING.
TMIS PERMIT BECOMES NULL ANO VOIO If WORK OR CONSTFUCTION 20NING
AUTMOR12E0 IS NOT COMMENCEO WITHIN 80 DAYS, OR IF CONSTRUCTION
OR WORK IS SUSPENDEO OR ABANDONED fOii A PERIOD OF 12p DAYS AT
ANY TIME AFTEF WORK IS COMMENCED. NO DYVIG. UNITS
b
I MEREBY CERTIfY TNAT 1 MAVE READ ANO EXAMINED THIS APPLICATION
ANO KNOW TME SAME TO BE TRUE ANO CORqECT. A�� PqOVISIONS Of �AW$ VALUATION
ANO ORDINANCES GOVERNING TMIS TYPE OF WORK WILL 9E COMPLIED �2].,631.00
WITH WMETMER SPECIFIED HEFEIN OR NOT. THE GRANTING OF A PERMIT
DOES NOT PRESUME TO GIVE AUTNORI7Y TO VIOLATE Ofi CANCEI 7HE pERMIT FEE
PROVISIONS OF ANY OTMER STATE OR (.00AI LAW REGUTATING cow. �349. ZS
STRUCTION OR TME PERFOqMANCE OF CONSTiiUCT10N
SiGN�TUpE O� CON'n�CTOp Oa �U1MOp�ZEO �GENT iD�TE�
iD�1E�
lOAO
F7 �CU fT.
OFFSTREET PARKING
S7ALl5 GARAGES
SURTAX
$10.80
SAC CMARGE
Fire SC $21.63
rOTa� E
$ .68
9l ALIDATED IS VOUR PERMIT
.r.� � �'.. /_ �9i
avn�w� . - rcn
City of Fridley
AT THE TOP OF TNE TW�NS � � I L D I N G P E R M I T 3 i 713
;,
. � .
� `v _��_�_ COMMUNITY DEYELOPMENT DIV.
r � � PROTECTIVE INSPECTION SEC. ,��� ����, ��y/
l_--. : � ���,', CITY HALL FRIOLE� SS�3Z NUMBEN 1iEV OATE PAGE OF APVROVEO BY
t J� 612-571-3450 9/0-F15 3/30/O1 � �
�oe nopRess 5447 East Brenner Pass NE
1 LEGAL �OT NO. BIOCK TRACT OR ADDITION SEE ATTACNEO
DESCR. S 6 Innsbruck North Townhouse Plat 6 gNEET
2 PROPERTY OWNER MAIL AOORES$ ZIP PHONE
Douglas Gable 5447 E�st Brenner Pass NE 763-586-0037
3 CONTRACTOR MAILADDRESS ZIP PMONE LICENSENO
Same
a ARCNITECT OR OESIGNEF MAIL AODRESS ZIP PMONE LICENSE NO
5 ENGINEER MAIL ADDRESS ZIP pNONE LICENSE NO
8 USE OF BUILDING
Residential
7 CIASS OF WORK
O NEW O ADDITION �] ALTERATION ❑ REPAIR O MOVE O REMOVE
B DESCRIBE WORK
Partial basement finish
9 CHAN(3E OF USE FROM TO
STIPULATIONS
See notatiors on plan.
SEPARA7E PERMITS AqE RE�UIRED FOq ELECTRICA�, PLUMBING, HEATINa, TYPE OF CONST.
VENTILATING OR AIR CONDITIONING.
TMIS PERMIT BECOMES NULL AND VOID IF WORK OR CpNSTFiUCTtON 20NING
AUTHORIZED IS NOT COMMENCED VyITHIN 80 OAYS, OR IF CONSTRUCTION
OR WORK IS SUSPENDED OR ABANOONE� FOR A PER100 OF 120 DAYS AT
ANY TIME AF7ER WORK IS COMMENCED. NO. DWLG. UNITS
I MEFiEBY CERTIFY THAT I NAVE READ ANO EIfAMINEO THIS APPLICA710N
ANO KNOW TME SAME TO 8E TRUE ANO COFiRECT. ALL PROVISIONS OF LAWS yqLUATION
AND OROINANCES GOVERNING THIS TVPE OF WORK WILL BE COMPLIED @
WITH WMETMER SPECIFIEO MEREIN Oii NOT. THE GRANTING OF A PERMIT W6OO
DOES NO7 PRESUME TO GIVE AUTMORITY TO VIOIATE OR CANCEL TME pEfiMIT FEE
PpOVIS10NS OF ANV 07HEIi STATE OR �OCAL LAW REGULATING CON-
STRUCTION OF THE PERFOfiMANCE Of CONSTRUCTION �ZF').SS
TUpE O� CON�NACTOp O AUTHOp� ED .GENi IOATEi
.-- %
� ~ �
UA O� O VNEA ��� BU40Ep� 10� E� �
OCCU
STALIS
UP OCCUPANCYLOAD
CU FT.
FSTREET PARKING
IGARAGES
$.50
SAC CMAi
Fire ;
fOTA� F
�2� �
�l is
E
, $.60
�ERA11T
�� /
N� II
ADDN [] ,
ALTER [ )
Construction Address: �J��
Legal Description: �
Owner Name 8� Address: �
Contractor.
Address: �./� l � /�
LNING AREA:
CITY OF FRIDLEY
SINGLE FAMILY AND DUPLEXES R-1 AND R-2
BUILDING PERMIT APPLICATION
��
_.
Effective 1 /1 /2001
(763) 572-3604 Bldg Insp
Tel. # 7�' 3 - ��G� �� 3 �
�
MN LICENSE #
Tel. #
Attach to this application, a Ce�tficate of Survey of the
lot, with the proposed construction drawn on it to scale.
DESCRIPTION OF IMPROVEMENT
Length �- Z. 5 Width � Height Sq. Ft.
GARAGE AREA: Length
DECK AREA:
OTHER:
Width Height
Hgt/Ground
Sq. Ft.
Sq. Ft
Construction Type: �/l/ �� Estimated Cost: $ ��� t7
Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x$ _$
DATE: � c�'J' APPLICANT: Tel.# %�3�'S�6'��v� 1
i
CITY USE ONLY - Call (763) 572-3604 for Permit Fees if mailing in application
Permit Fee
Fire Surcharge
State Surcharge
SAC Charge
License Surcharge
Driveway Escrow
Erosion Control
Park Fee
Sewer Main Charge
TOTAL
STIPULATIONS:
� �(o _SS� Fee Schedule on Reverse Side
$ �� .001 of Permit Valuation (1/10th%)
$ • � $.50/$1,000 Valuation
$ $1150 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 [ ]
� � �% �S�
BUII.DING PERNIIT FEE SCHEDULE
The Chief Building Official shall, before issuing permits for the erection of any building or structure, or for any
addition to any e�sting building or structure, or for any alteration or repair to any e�sting 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 tawit:
TOTAL VALUE
$1 to $500
$501 to $2,000
$2,001 to $25,000
$25,001 to $50,(�0
$50,001 to $100,000
$1()0,001 to $500,000
$500,001 to $1,000,000
$1,000,001 and up
I���y
$23.50
$23 .50 for first $500 plus $3 .OS for each additional $100 or
fraction thereof, to and including $2,000
$69.25 for first $2,000 plus $14.00 for each additional $1,000
or fraction thereof, to and including $25,000
$391.25 for first $25,000 plus $10.10 for each additional $1,000
or fraction thereof, to and including $50,000
$643.75 for first $50,000 plus $7.00 for each additional
$1, 000 or fraction thereof, to and including $100,000
$993.75 for first $100,000 plus $5.60 for each additional
$1,000 or fraction thereof, to and including $5(�,0�
$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,Q00 or fraction thereof
DRIVEWAY DEPRESSION ESCROW
(Concrete Curb Streets Only)
Altemate "A": Removal and replacement of curb and gutter only - Driveway width plus 6 feet times $15.50.
Altema.te "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
Pernuts 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 af Survey of the lot, showing the location of the foundation once it has it has l�en constructed will
be required before proceeding with the framing. New Houses Oniv
__ , � ,,
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Buirdi�.g
Inspections
763-572=3604
BUILDING
RESIDENTIAL APPLICATION
CITY OF FRIDLEY
DATE �J— d' �/ ' U !
srrE anDxESS ✓�S! `7 � ��•
THIS APPLICAIVI' IS: ❑ OWNER
PROPERTY OWNER/
TENANT
CONTRACTOR
YOUR E-MAII. ADDRESS
o�sr
)NTRACTOR
� �l e l
� i�i�i,�, e„� % s S
�3—SK6— eO3
C�
SUBNIIT A COPY OF STATE UCENSE fl
YOUR STATE LICENSE ADDRESS: �� YD �7' l
WTrHAPPLICATION pHONE 763� ��?�—
PROPERTY TYPE
PERMTT TYPE
TYPE OF WORK:
O TWO FAIvID.Y/NEW
O BASEIvIENT FINISH
❑ DECK
I�
- �3 Fr�x
[LUC110N
CT70N
❑ GARAGFJSI�D
❑ ROOF
❑ SIDING
❑ SWA�NID�G POOL
Permit No.:
Received By:
� Cd�n
-�r. d ��„ sTa��
�
DATE
crr�r ,,.:, s�rA�!�✓i��le�
❑ DRAIN TTLE
❑ OTHER
DESCRIBE WORK BEING DONE: �s !( Ey,-�fs �„�6w �,,,7,,�,Q -�r,����� r���Jo�..� .`s_ .
� .
SIZE OF IMPROVEMENT LENGTH �JIDTH HEIGHT Sq. FL
NUIJBER OF SQUARES
GARAGES
PROPOS£D STZE:
PROPOSED HEIGHT:
SmIIVG
� Vinyl
❑ AI►�minum '
❑ Otr�er . -
wnvnows
IN EXISTING OPENWGS e.c Oldo
OR FOR NEW OPENWGS-DESCRIBE SIZE OF
OPENING CHANGES &
❑ HOUSE & GARAGE
❑ ATTACi�D GARAGE
❑ DEfACHED GARAGE
OSoffit
O Trim
❑ Fascia
LOCA1j' ON OF V�'WIIOWS
��� �
BASEMII�IT REM�DE[.WG SUBMIT:
I. Facisting Floor Plan
2. Proposed floor pfan
3. List of structtual members to be used
FOR NEW CONSTRUCfION RJCLUDWG DECKS,
ADDTIIONS. & PORCHES SUBMR:
1. Site Plan/Survey showing the existing suvchues
and proposed project
2. Two seYs of construcdon plans
3. Energy Catculations
TYPE OF WAiDOW TO BE WSTALLED���� S NUMBER OF�WINDOWS l I
ALL FEES ARE BASED ON VALUATION, INCLUDING TIi� COST OF LABOR AND MATERIALS:
(USING THE 1997 U.B.0 FEE SG`�IEDULE)
TOTAL JOB VALUATION $ v� , L� C�� . C��C% OCCUPANCY TYPE
Permit Fee _
Plan Review
Fire Surcharge
S�ucharge
License Surcharge
SAC Charge
Gtirb Cut Escrow
Erosion Control
Park Fee
Sewer Main Charge
Total Dae
$ .�. /�0
$ r. ��v
� '
$
$
$
$
$
See Back Page for Fee Schedule
65% of Building Permit Fee
.001 times the total job valuation
.0005 x Permit Valuation Minimum $.50
$5.00 (State Licensed Residential Contractors)
$1675 per SAC Unit (P(ans to MWCC for determination)
ft+6ft= ftx$21=$
$450 Co�servation Plan Review
Fee Determined by Engineering
Agreement necessary ( ) Non Necessary ( )
Make checks payable to: City of Fridle Attach
THIS IS AN APPLICATION FOR A PERMTT NOT VALID UNTIL PROCESSED
I hereby apply for a building permit and I aclrnowledge that the information above is complete and accuraxe; 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
pem�it but only an application for g�rmit and wo is not to start without a permit; that the work will be in accordance with the approved
plan in the case of all work wh' �q ' '� d ap val of plans.
SIGNATURE OF APPLICANf PRINT NAME��ii,�/` `eSC�,! . DATE (S^� }���
Page 2- Bui.lding Residential Application
SUII.DING PERNIIT FEE SCHEDULE
The Chief Bui.ldin.g Official shall, before issuing permifs for the erection of any building or
strv.cture, or for any addition to any existing buildi.ng or strv.cture, or for any alteration or repair
to any existing building or str.u.cture, upon application therefore, require the payment by the
applicant for such permit of fees to the amounx herei.n below set forth and in the manner herein
provided to-wit:
VERIFICATION OF FOUNDATION
Permits for canstruction will be issued a m;r,;mum of 24 hours from. the time of application to
allow for proper review of proposed. structure and of the construction site.
A Certifica.te of Survey of tk�e lot, showing the loca.tion of the existing found.a.tion will be
required before proceeding with the framing. New Houses Onlv
City of Fridley
Building Inspections Deparlment
6431 University Avenue NE
Fridley, MN 55432
763-572-3604
Fax: 763-502-4977
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