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AF - 45400sue�ecr PERMI —'� City of Fridley � �. 12566 AT THE TOP OF THE TWINS g U I L D I N G P E R M I T r ; � R . � • COMMUNITY DEVELOPMENT DIV. � �.: ------, �/��i�� r � � PROTECTIVE INSPECTION SEC. 1 = � �` /��'1 � CITY HALL FRIDLEY 55432 NUMBER HEV. DATE PAGE OF APPROVED BY "•"'� � ,'� 612-560-3450 910-F15 5 29 74 � � JOB ADDRESS 538 Glencoe Street NeE. 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED oescR. 49, 50 I Riverview Heights Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Drake Designs Ince 7226 R:i.verda.le Road 3 CONTRACTOR MAILADDRESS Z�P PHONE LICENSENO. Same 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAILADDRESS ZIP PHONE LICENSENO. 8 USE OF BUILDING Residential 7 CLASS OF WORK C� NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK �nstruct a 24' x 38' Dwelli.ng and a 12' x 24' Garage 9 CHANGE QF USE FROM TO STIPULATIONS provide ahard surface driveway. Provide a verifying survey before cappinge Set house lines at right angles from side lot lines. SEWER LOCATION: 52' West of Manhole (Inv. 846.01) Wye Elev: 845.18 Top of Footing: 848.18 Minimum WATER LOCATION: 11' East of Sewer Service SEPERATE PERMITS REQUlRED FOR VVIR�NGt HEaTING, PLUM�ING AND SIGtdS. TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, VENTILATING OR AIR CONDITIONING. WOOCI Fr31Cl@ THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTFiUCTION ZONING S�. FT. CU. FT. AUTHORIZED IS NOT COMMENCED WITHIN 80 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT R�. S4O 17, 799 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 WHETHE IFIED HEREIN OR NOT. THE GRANTING OF A PERMIT $18,952 9.45 DOES NOT P SU E TO GIVE AUTHORITY TO VIOIATE OR CANCEL THE pERMIT FEE SAC CHARGE PROVISIO OF ANY OTHER T_ E OR CAL LAW REGULATING CON- STRUCTI N O THE P RFO N OF ONSTRUCTION. $`42.00 300.00 _z3f� PLAN CHECK FEE TOTAL FEE ^' '� " ��/ � $351.48 SIGNATUREOFCONTRACTORORAUTNORIZEOAGENT ID EI y�l N PR PER VA D TE THIS IS YOUR PERMIT 1� SIGNATURE OF OWNER IIF OWNER BUILDERI IDATEI LDG INSP �ATE B. H. BRADLEY ,j� � � CitlIL @Iti1N�R AND BURYEYOR �-�: �t�h'U � �r -��i" l.� �"�' %", P• � '�✓ J � I � ,�` sa2s -urx avovuE sourEt � �r� e ,�t J bu�►�s. eaNnv�seorA �a �� ,.� �p /T I U�'�"t�� +�P, 7[ �C7 �z,� ��$ �� . � e' .�:� ` .�� % � = 2�� . �+ i�e��'�� rrope�t� �� ,� 4 e+c77�tG �! t� �/(��° (�7 � el,H tl�c� ?�E e� h �l�rl�i ��f � �c�rr e ?� � g �� e� � � �+ �' �' `c� t� � � � , � �� . a� � � .. � � � �. ., � � � � � � a v �� ;° � � � � v � w . �. � `' � .� �� ,, � � �� y � � � � � � � •. i.. �+.1 - � � � � � � �� . r� ,�°�-.� � i�� .. '�!, �, � ,`� � � � � � �- ..ti � �" �. t�, � 9 � � � ��' � -� � -� � � � � � �: ��: �-_ ��-� ��:�_ ,� �:�,_ � . �Q � 4 � � � � �� 'a� z� �� ;�.� _ m B. M. BRADLEY CIY{l. ENGINEER AND SURVEYOR 3829 -24TH AVENUE SOUTH MINN6APOW8. MINN6SOTA l9401{ rea-zt� 4 � � � ,��t�' �e C; t� �" �` �' �s`�1� C.' /✓�� ! .� j_ # j� � yp� �f+°�` � � dl��. �` �L�'1��f 4�i dD l�d:/'�'l f-a, �°"� ��c �� ,� r� � '=' ��' �a �g��..�� ,�`"� �:��-�e� ► a � � �� . � ,� � � �i � ,«tia,, i'� '�s "'s �di . . �. � ` � _�r�.�� . �. �' �.. � �'3 �. �� . � � � � �'� -� �+ `� � � ° :� '+ -,,,� �`�� "-, �, +$., � � � °�•. �,,,�, � � � �'� „� � �`' ,��' �' � �. .� � � � � � � .. .� .,,� , �. � .-� �. � "��.� � � � � ,� g�. �. � � � � � � � � � � Q� �: � � %�� `� . �� , � � . � � �� -.. �� }� ��l { 0 c "' ..�:-�m.-... AP.PLICATION FOF RESIDENTIAL, ALTERATION, OR AllDITION BUILDING PERMIT CITY OF FRIDLEY, MINNESOTA OWNER ` S NAME •�!� PP � f.: nl � L aGUG►BU TLDER: ��rh-� ADDRESS : %22(0 �'a�IC� �l� �ci ADDRESS : �� yy1•.P NO :�� S TREET • L�- I,eH G o-� LOT :<l�'I �' SU BLOCK : � ADAITION : i�; vcc V 1 eW �� a c�l� / CORNER ZOT: INSIDE I.OT: � SETBAGK: �� SIDEYARD: /c� �} !o� Applicant attach to this form �ao Certifzcates of Suxvey of Lot and progosed building location.drawn on these Certificates. DESCRIPTION OF BUILDING To Be Used As : � •��►y��; N � Fr•ont : � � Depth : � � Height : � Square Feet; �� Cubic Feet:. �� ,� r � �� V2��. Front : /Z Depth : Z� Height : �� Square Feet ; Z�' � Cubic Feet : 2 8�'s O Type of Construction: �oad ��WI-� Estimated Cost: $ . � � To Be Completed: �/�'� �� The unc� rsigned hereby ma.kes appJ,icativn for a permit for the work herein ; specif ied, agreeing to do all work in stirict accordance with�the City of i Fridley Ordinances and rulings of the Depart�ent ot �uildings, and hereby i declares tha� all the facts and representations stated in this application I are true and corxect. DATE: �/2�I '�'� SIGNATURE: /� ' ��i'j � ' , ��, (See Reverse Side For Additional Information.) l�� ',� ,. �, � �� , � / �� • P � BUILDING PERMIT FEE SCHEDULE SECTION 2. The Inspector of Buildings sha11, before issuing permits for the erection of any building or structure, ox for any addition to any e�isting 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 ma.nner herein provided 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 permits, the cubical conteiits of any building or addition, is determined by multiplying the ground area covered from a point six (6) inches below the floor line oi the basement or the cellar to the average heights of the upper�surface,or�to the average.f height of the roof surface of the ma,in gable of a pitched roof. For repaixs or alterations to an existing structure, the fee shall be at the rate of $3.00 per each f�ve hundred dollars ($500.00) or fraction thereof in the cost of all proposed work. In no case shall the fee charged for any permit as set forth in Section 2 be less than $5.00. VERIFiCATION OF FOUNDATION NOTE: Permits for construction wi11 be issued a minimum of 24 hours from the time of applica�ion, to allow for pxoper rev iew of the proposed structure and of the construction site. �. A Certified Survey of the 1ot, showing the location of the foundation, once it has been constructed, will be required before proceedin� wifih the framing. CERTIFICATE OF OCCUPANCY 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 pexmit has been issued; and said structure shall not be used or occup3.ed until a Certificate of Occupancy has been issued. � r � ► 0 V � y - Y T �. � . � � • � � � � �` ry � � i � � `g a a � ^� " ri � M� � " n �� ..d � � �o � � � � �� i I I • i i i � � w � O $ � 8 y r► a en � I �� i I � � � � M \ f"; � � o e I I � I � I c�. � 0 � a � � � � � O r � � � ^s � � � �� o� �� ., o �� S M ' � � � m � m ry � ;� � � �� a � � x ��ti � � !S� �� ss� � � � � � � M � � !� M rl !"' V � � � � � °• g � � � to at O O 8�8�3 M M !A fn I � I I i i , I i i 1 I I � � �� ° r � �A 1 � !I C i� z I! � i � II � II � I� 0 , [9 � m a. � � O � 9 � � � � � � � � � �° � a ro � � � � � � �o g� �� s � � � � � � � 8 � W I,A O� 4: O 8 8 8 $ 8 rp r I I I c � � � � a , � �' t I . !� I � � �� i� i�;�� ; ��'� ! � �! � � x 0 � � �I � � �� ` � a � � � �;�� `1 � � � o ` � � .. u �,�� g � M 4l O. O! O � 888� p� � � � � � 1 � � �m� n G. d� w ti�� Q ti �� I ��- �~�� m � c�� I� � �oo� '�o�� y � � �Ot �y S r� � � o � � � ya. � 7�� : �o 0 ��.� �, � � �° �'.� �a d � �� .�� ,o � „y n M A a� m a I� �� 5 � .. � � I � �J � � � r � � � � f�7 � � � � � � � � �� ■ � �, .,. , O � C � Z � � � m � O � � b � � � m � � �+ v a v � m � � � � m rn O �O Z � -�I Z O Z D � v m � � � m � � � �� ''��' sO�' � _� su_�� N � � � � �� g `° m 3 o � -, �N � C � � z � � � a � � � � � m � �. u. � yG G C 41, �, Q� O' $ � � N N �°� 3 5 � z-+ `� �C7�� ^ ��CD�a�i'� � � a � � Z � d, as g � � �° � o�Di � � 3' �i � � � � N ., �� 3:� �' z < ' tn`°y m �. � m . � N N $ -� � � � Zy pt T � � � �, � � m $ c � a �. m N v � O I � I I I � � I II ll I � � m 0 -mc � � � 0 � C � Z � �� 0 0 0`' °; o� o c a g orc�ogboo$ono m W �3 � o; � � m � B. c � � � v C° � � � � � � � C � � � � 70 m � � Z Q �,�,�-� �, a � � � 2,�� 'i �, c� aM � � � � � S � �� . � a cr �. � �' � �� 'a w � �° 't7 � � � � � 3 _ � � �, � � � m c. �' � � � � � � � � ��' 8 � 1 a m � m �'�`�� N �� m O � r 0 � C �I� ..W. �p �' � cr� :c C N5'.�' �w�, � � � -- V � , Z m �I ► I � � � z � � � c � � O N � � -o � � APR-04-2003 12�13. FROM CTTY OF FRIDLEY TO 6513651332 P.02/02 'r�tE eQOw MuST e� ��u ww�v REPI.�c�uG Fu� euwuqvG a�pua�uc�s oR -rHE aPPUC�►�totu vv�� aE �ut�o • ��, �, ..� � ��r � � r � �.�,i,.� � �r� � � , • �• ��; = ti �., _ ��: i - �t � � 11Vhen �p�� n Y��, ttte urrd�r�igned hereby verifies that the ver�ng ha� been �xamined and is free from rus� d�teriora�on, obs�ud3ans, and is seauely suppatt�d and flrestapped where requfred. Yes () IVo () '('he rrerrting �y�tem is plastic/PVC and rn�etis �11 currerrt codes and manu�acturer gpec�cat��s Or�luding s�ing� ��ngth, number of elbows and t�tmfia�on. Yes () No () The undc�rsigned al�o verifies th�t tlie replac�mer�t u�it i� 2� listed assembly and meets the curr�nt codes and manufacturers sp�iffc�tions. This daes i�c�t�de AGA-�G�AMA C.��9or� I C�n'�ra1 Fumace Ver�mg Tabl�s for fan �ssist�! an� natural drafk appAan�s. 7he ' ' is s¢ed �nd instal{ed to mee# t�e currer►� �odes and manufad�ers spet�icaiians. When t�it+ed to �� .��,ss��.=a�*, �' v►+�If !� sized and imstaNed to meet #�te c.urrent c�des �r►d manufacture�s s�c�tions. Yes { ) No ( ) Yes { } Nn ( } Yes ( ) �to ( ) �y�y , i�e tmder5igl�ec! hePBby veMies that it is a fls�d assembly �nd meet� the currerrt cades and manufacturefs sped�r.��ons. 'rhis does incl�cJ� AGA-GAMA Cat�gory I�entr�l Fumace Vert�t� T�bles �or tart assisted and natur�l draft applianc�s_ Yes () Plo () 1� t�e cx�mmon vent and vent conraec�ors sized and 'mstalled c�rrecily aft�r an appGanc�e has been cemoved trom th� ctimmon vent and verited ' separate�ly as per current codes. Yes () N° () _.. .., - a..- ... :.:. ��., ��,�._�•_ -�7 •..-�.,• ��..,�.,., Applienc� #17ype __ BTU Inpux„_ Fan Assisted or Nat.,� Applir�nce #2 Type BTU Input ,� Fan Assisted or Nat Appfiance #3 Type BTU In�ut ,__ Fan Assisied or Nat _ To#�1 App�iances � Tot�l Btu Input Common V�nt Ty�e Vent Height ,�,_ �iameter ______ inches App�ance #1 V�nt Car�ne�tor Height_ ft Length ft Dtameter_.___.in TYAe Appl'�e #2 Vent C,cmneatoP Hei�ht , ft Length ,�,.ft Diameter �in TYI� � APP1i�t� #3 V�rrt Connector Heigh# ft l.�ngth ft Diameter __,��___� TYP� � 1�: ll• � !r .!. _ HEATIN� �tJ: Sit�ned �y: ae�te : TOTAL P.�2 A � _ CIlYOE FR[DLEY FRIDLEY MUNICIPAL CENTER • 6431 UNIVERSITY AVE. N.E. FRIDLEY, MN 55432 •(763) 571-3450 • FAX (763) 571-1287 April 20, 2004 Ms. Diane Olson 538 Glencoe Street NE Fridley, MN 55432 Re: Final Inspection at 538 Glencoe 5treet NE Contractor: H P Pipeworks Dear Ms. Olson: A plumbing permit was issued on November 25, 2003 to install a water heater at your address. According to Section 4715.2800 of the State Plumbing Code, a final inspection shall 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 Code. We will keep your pemut open for another 30 days and if we do aot 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 take no further action. To set up the inspection or to have any questions answered, please contact the Building Inspection Division at (763) 572-3604. Sincerely, DAVE EN Building pector DJ/mh Building Inspections 763-572=3604 DA� '�j I "� I� I SITE ADDRESS _ TH1S APPL[CAI�IT IS: AIIT BUILDING RESIDENTIAL APPLICATION CITY OF FRIDLEY YOUR E-MAIL ADDRESS OWNER OCONTRACTOR PROPERTY OWNER/ Np�: (,�� M. d d TENANT Ann�ss: ��5 U(.e�.�rP �'J� lll r, CITY, CONTRACTOR SUBMIT A COPY OF YOUR STATE LICENSE WITH APPLICATION STATE LICENSE # .�•�:M. Permit No.: • /O`%/ Received By: D��° N A�a�i�rnF�� ADDRESS: CITY STATE ZIP PROPERTY TYPE � SINGLE FAMILYlNEW CONSTRUCTit ❑ TWO FAWID,Y/NEW CONSTRUCTION P RNIIT TYPE TYPE OF WORK: O BASENIENT FINISH ❑ ROOF O DECK �SIDING ❑ MAWTENANCFJREPAIR DESCRIBE WORK BEING DONE: \f '� SIZE OF IMPROVEMENT NUMBER OF SQUARES _ GARAGES PROPOSED S1ZE: PROPOSED HEIGHT: � Vinyl �Aluminum ' ❑ Other . ❑ HOUSE ONLY ❑ HOUSE & GARAGE ❑ ATfACI�D GARAGE ❑ DETACHED GARAGE �Soffit Trim Fascia wnvnows IN EXISTING OPENINGS �.Yes �IVo LQCA11{�N O� WINDOBJS OR FOR NEW OPENWGS-DESCRiBE SIZE OF —� ht*OUL{(n 611t I/1oHlSQC,, OPENING CHANGES 8c ❑ DRAIN TILB ❑ OTHER WIDTH HEIGHT BASEMENT REMODELING SUBNDT: I . E�asting Fi�r Plan 2. Proposed floor plan 3. List of structural members to be used F� FOR NEW CONSTRUCTION INCLUDAdG D$CKS, ,ADDITIOATS. & PORCHES SUBMIT: 1. Site Plan/Survey showing the existing strucdues and PmFosed ProJ�. 2. Two setc of conshvction plans 3. Energy Calculations � ALL FEES ARE BASED ON VALUATION, INCLUDING THE COST OF LABOR AND MATERIALS: (USING THE 1997 U.B.0 FEE SCHEDULE) TOTAL JOB VALUATION $� �hbb OCCUPANCY TYPE Permit Fee Plan Review Fire Surchazge Surcharge License Surcharge SAC Charge Curb Cut Escrow Erosion Control Pazk Fee Sewer Main Charge Total Due $ �'.� ,�� See Back Page for Fee Schedule $ 65% of Building Permit Fee $ 3. L�' .001 times the total job valuation $ � . ��; .0005 x Pemut Valuation Minimum $.50 $ $5.00 (State Licensed Residential Contractors) $ $1675 per SAC Unit (Plans to MWCC for determination) $ ft+6ft= ftx$21=$ $ $450 Conservation Plan Review $ Fee Determined by Engineering $ Agreement necessary ( ) Non Necessary ( ) $ `�. `�� Make checks payable to: City of Fridley Attach THIS IS AN APPLICATION FOR A PERMIT NOT VAL• ID UNTIL 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 codes of the City of Fritiley and with the Minnesota Construction Codes; that I understand this is not a permit 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 plan in the case of all work hich �equ' e iew and approval of plans. SIGNATURE OF APPLIC � PRINT NAME �I�l l�Vl� . �/) DATE l0l (� �� Page 2- Building Residential Application BUILDING 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 existing building or structure, or for any altera.tion or repair to any existing building or structure, upon application therefore, require the payment by the applicant for such permit of fees to the amoun.t 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 including $2,000 $2,001 to $25,000 $69.25 for 1�` $2,000 plus $14 for each additional $1,000 or fraction, to and including $$25,000 $25,001 to $50,000 $391.25 for 1�` $25,000 plus $10.10 for ea.ch additional $1,000 or fraction, to and includin $SO,OUO $SO,Q01 to $100,Q00 $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 fi�action 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 including $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 Permits for conslruction will be issued a m�nimum 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 loca.tion of the existing founda.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 Building . � Inspections 763-572=3604 �ATE ( ' �� P SITE ADDRESS �� J � THIS APPLICANT IS: BUILDING RESIDENTIAL APPLICATION CITY OF FRIDLEY YOUR E-MAIL ADDRESS i`�I ls L-� Y� L T �� ❑ OWNER OCOMRACTOR PROPERTY OWNER/ �: D"i �1+�[ ►� � ��, S�dvP TENANT AnDxFSS: S 3 �,e�/ O� ��/�l E— cr►�r PHONE: LC� 1 Z� �p — I�� t7 . CONTRACTOR SUBMIT A COPY OF YOUR STATE LICENSE WITH APPLICATION PROPERTY TYPE PERNIIT TYPE TYPE OF WORK: 67 Pernut No.: Received By: D��'� S 1� � TEMn/Ltp SS�13� NAME: STATE LICENSE # EXP DATE ADDRESS: CITY STATE ZIP TWO FRIvID.Y/NEW CONSTRUCTION ADDTfION ❑ GARAG BASEIv�iT FW1SH O ROOF pFCK ❑ SID1NG ❑ MAw'I'E1vANCFJREPAIlt DESCRIBE WORK BEING Q-�Y�� NUNIBER OF SQUARES _ GARAGE� PROPOS£D SIZE: PROPOSED HEIGHT: SIDIIVG ❑ V'myl � Alwnmmn ' ❑ Other . WIIVDOWS IN EXISTING OPENINGS DYes ONo OR FOR NEW OPENINGS-DESCRIBE SIZE OF OPENING CHANGES & TYPE OF WAiDOW TO BE INSTALLED , r,.� CQ � oC %� � D.e � LENGTH ❑ HOUSE ONi,Y ❑ HOUSE &. GAR.AGE O A1?ACI�D GARAGE ❑ D�l'ACHED GARAGE �Soffit � ❑ Trim ❑ Fascia IACAT70N OF WINDOWS ❑ DRAIN TILE ❑ OT!-IER POOL JG P.(C [.� c�'� �('S � � HEIGHT� y—S� �F� BASEN�NT REMODELING SUBIvdT: 1. Exisdng Floor Plan 2. Proposed floc►r plan 3. List of structural members to be used FOR NEW CONSIRUCT[ON INCLUDING DECKS, ADDI710NS. & PORCI�S SUBMIT: I. Site Plan/5urvey showing the existing structures and praposed project 2. Two setc of construclion plans 3. Energy Calculations ALL ES ARE BASED ON VALUATION, INCLUDING THE COST OF LABOR AND MATERIALS: �%p��a � (IJS 1{l9�� .0 FEE SCHEDULE) TOTAL JOB VALUATION $�_--�'„Y�f�� OCCUPANCY_ TYPE Permit Fee Plan Review Fire Surcharge S�rcharge License Surcharge SAC Charge Curb Cut Esctow Erosion Control Pazk Fee Sewer Maan Charge Total Dne $ `] , D Se�'�c`k Page for Fee Schedule $ � 65% of Building Permit Fee $ A01 times the total job valuation � .0005 x Permit Valuarion Minimum $.50 $ $5.00 (State Licensed Residential Contractors) $ $1675 per SAC Unit (Plans to MWCC for determination) $ ft+6ft= ftx$21=$ $ � $450 Conservation Plan Review $ Fee Determined by Engineering $ Agreement necessary ( ) Non Necessary ( ) $ , _ Make checks payable to: City of Fridlev Attach THIS IS AAi 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; thaz I understand this is not a pertnit but only an application for a permit and work is not to start without a permit; that the wark will be in accordance with the approved pian in the case of all work which requires review and approval of plans. SIGNATURE OF APPLICANT ,� %'�� PRINT NAME �!/L�� 6�i�iP./,�:-/�%��DATE Z^�� — 1� T_ �� , ---If-� ��-r -.-�r - ��Tl �-- � Pag� 2- Buildi.n.g Residential Application , ^` � BTJILDING PERNIIT FEE SCHEDULE The Chief Bui.ldang Official shall, before issuing permits for the erection of any building or structure, or for any ad.d.ition to any existing building or structure, or for any alteration ar repair to any existi.ng building or structure, upon applica.tion therefore, require the payment by the applicant for such permit of fees to the amoun.t herein below set forth and in the manner herein pmvided 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 including $2,000 � $2,001 to $25,000 $69.25 for 1� $2,0�0 plus $14 for ea.ch additional $1,000 or fraction, to and ancluding $$25,000 ' $25,001 to $50,000 $39125 for 1� $25,000 plus $10.10 for each additional $1,000 or fraction, to and including $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,Q01 to $500,000 $993.75 for 1� $100,000 pins $5.60 for each additional $1,000 or fraction to and includin $500,040 $500,001 to $1,OU0,000 $3,233.75 for dze 1� $500,000 plus $4.75 far each additional $1,000 or fraction to and includ'm $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 fractaon VERIFICATION OF FOUNDATION Permits for consiruction will be issued a m;n;mum of 24 hours from the time of application to allow for proper review of proposed. structure and of the construction site. A Ceriificaxe af Survey of t�e lot, showing the location of the existin.g foun.d.a.tion will be required before proceeding with the framin.g. New Houses Onlv City of Fridley � Buildi.ng Inspections Deparhment 6431 University Avenue NE Fridley, MN 55432 763-572-3604 Fax: 763-502-497? �. , � ��"G� ?�" � -z j � / . 4 j/ T � ,e , -`� _� ! �', .n .,� � . � -- .. _ 2� _` • _ �� _ —_ ` i � -�[ �y ' �— \ � � i � � ' --1 � � a U � � �` f�� y I ` � � CL U � � ,� - � � �n_ � v � , ! 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