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C;� e �-;� t: ! C' 9 f : 'I� C'SO r r•cy� , �=t � .� 4�9 n � i ?i � �+'� . � �� c � �: 69 �'.� �' d �;�' � �� . � �., . .,, �., � ;o � :� � s a. e�� i1=9 �' � �_'*. i;3 � � �It � ' �.., G" ; � C`i ; :s �i �,. s { i �_ e . � �� . .� �� i y �� •� � �7 a' i �`'t r. y �;�,a �� s \ � HOUSE HEATING TEST RECORD ADDR�S �� ,�,�� v, APT. FLOORy�-- CITY SUBURB OCCUPANT OWNER �- �"� H�AT LOSS��`�--- DATE HTG. INST. GAS C0. METER BADGE # SOLD BY ��/!a �7r�' . CB�_ INSTALLED BY arc., Eleetrical Work By Gas Line By �,��" TYPE OF HEAT GA FA.,�HW STEAM SPACE HTR. UNIT HTR. OTHER GAS DESIGN CONVERSION MAKE MAKE OF BURNER Model � — �� Model ��ia� �� Max. BTU Rating (NPUT �� MAKE OF Fl}RNACE Model CONTROLS �� THERAAOSTAT lieat plug Vent Size Valve �� r/��'s�� KIND OF LINER �� SIZE � NONE Llmit ��? ��-' � Draft Hood Regularor ` � Limit Setting ��D ' Fi lters Size Number � Fan Setting �^�y �� Chimney Location Inside Outside Pilot Type u� /�%'�°��% Chimney Construetion ; Pilot Make �� ' � �i Pilot Model �� Smoke Bomb Wiring � Pilot Timiog -� --�� Draft � Test Tag �� L.W. Cut Off Door Pressure Lighting Inst. � Pressure � e� � Pereent CO � Date Tested °°°d "- � r Input CFH � p Percent 02 f0 Company Testing �• �� I Staek Temp. -r�� Percent CO2 ��! Name of Testar Form 235 F. _ C� I I VI FRIDLEY CIYIC CENTER • 6431 UNIVERSITY AVE. N.E.. FRIDLEY, MINNESOTA 55432 • PHONE (612) 571-3450 3eptember 26, 1984 Ms. Mary Masonick 6533 Thomas Avenue South Richfield, NW 55423 Re: Residential Rental Property Located at 669 Hugo Street N.E., Fridley, NdV 55432 (SECOND NOTICE) Dear Ms. Masonick: Enclosed is this department's letter dated July 18� 1984, which brought to your attention the need to apply for and receive a license for the residential rental property at the above listed address. As of this date, the completed application has not been returned to the City. Therefore, �re must again require that you complete the enclosed license application form, sign it and return it xith the appropriate fee and late ,fge, no later than October 5, 1984• Failure to correct this violation may result in this matter being turned over to the City Prosecutor for his legal consideration. If there are any q�estions or problems� please feel free to call on me at 571-3450. Sineerely, c STEVEN J. SON, R. S. Environmental Officer SJO/mh ENC: 1 1�1 � [ ] A�N [ I ��x [ � Constructian Addr� r�� Description City of Fridley R-1 Ai�ID R-2 �,; � ding Permit Appl ication � � EEfective 5/L88 --- ---_T.-_�� . - -� -i� �fl�o�� t��, '�t,� �� i� �� Owner Naane & Address :�e,� � f� l� � a- li'c l-, � G� l�u,� � ST IV � Tel. �? S y 3 9 7. 3 Coritractor : T�. � Ac3dress: / Attach to this appl ication, a Certif icate of �rvey of the lat, with the proposoed construction dra�vn on it to scale. L1ES(RIFrION OF IM�tOVII�TP LIVIING ARFA: Length Width Height 9q. Ft. C�IRAGE ARF.A: Length � Width Z- Cf � Hp,ight ;�_ Sq. Ft. �% lo DECK ARFA: Len Width Hgt/Grotmd 9q. Ft. �$�. �-L�1C�U�', ��f-_� Q�rner Lot [] Inside Lot [] Ft. Yd Setback Side Yard Setbacks �jipe of Constructian: G�� 6� �� a hr � Estimated Cost : S Approx. Completion Date: � ��' � f . � �,� Alt. A Alt. B Prop�sed Driva�,ray Width If New Opening Is Desired: S $ Width + 6' See Back Page . o n�.� / �� ic�r: " Te�.. �7gy-39 73 Pe�it l�ee State Surcharge SAC Ct�arge Driveway Fscrow Park F�ee Sewer Mafn Q�arge � $ ��,�. �� S > / °� $ $ S $ s l f�- �� CCTY OSE 0l�Y sr�ioNS: (J�-�--��,� � �J��.,� �� 7 �� ` E�E F�ee Schedule on Reverse Sic7e 5.50/51,000 Valuation $550 per SAC Unit Alt. "A" OI Alt. "B" AY�V2 �ee Determired by E�gineering Agreeaent Neoessary [ ] No�t Neoessary [ ] f... 1 ""' �l � �+,. � �� '�_ �<.�''� r�e. i . °__ t ,� �� .�_. , ° p° ��L..,. I - ' I �� , ii► - - -- ' 1 �. �. ' �; v 4 �+� `M:i�!�. ) � � � .+ The Chief Building Official shall, before issuing permits for the erection of any building or structure, or for any addition to any existing building or structure, or for any alteration or repair to any existing building or structure, upon application therefore, require the �yment by the applicarit for such permit of fees to the amount herein below set forth and i.n the maruier herein prwic]�ed to-wit: TOTAL VALUE �1 to $500 5501 to $2,000 $ 2, 001 to 525, 000 525,001 to 550,000 550,001 to 5100,000 5100,001 to $500,000 5500,001 to 51,000,000 51,000,001 a�d up FEES S15 (Minim�a Fee is S15 plus surcharge) � $15 for first 5500 plus �2 for �ch additional $100 or f raction thereof, to and including 52,000 S45 for f irst �2, 000 plus S9 for each additional $1, 000 or fraction thereof, to and including 525,000 5252 for first $25,000 plus $6.50 for each additiona7. $1,000 or fraction thereof, to anc] including 550,000 $414.50 for first 550,000 plus $4.50 for each additianal $1, 000 or fraction thereof, to and incl�ing 5100,000 S 639. 50 for f irst 5100, 000 plus 53.50 for each additi�al. $1, 000 or fraction thereof, to and including 5500,000 52039.50 for the first 5500,000 plus S3 for each additional 51,000 or fraction thereof, to and including 51,000,000 �3539.50 for the first 51,000,000 plus $2 for each aclditional 51,000 or f raction thereof DRIVEf�Y DEPRESSION E� (Concrete Curb Streets Only) Alternate "A°: Remwal and replaoement o� curb and gutter only - Driveway width plus 6 feet times $13.50. Alternate "B": R�iaval and replaoement of curb and gutter and install a 3 foot wide approach with 6 inch depth - Driveway wiclth plus 6 feet times 515.75. /�: ; �1 • � � ��, 1�� Permits for construction will be issued a minimum of 24 hours f rom the time of app7.ication to allaw for proper review of the proposed structure and of t11e o�nstruction site. A Certif icate of S�irvey of the l�t, shawing the location of the founciation once it has been oonstructed will be required before proceeding with the fra4ning. I r �ERTIFICATE O�� SURVEY . o FOR ��' M�� $J�-K�Io��7 KURTH SURVEYING INC. IMERE9r CtRTIFY TMAT TMIQ YURV[Y�PLAM�OR REPONT MfAi rREYANEO 4002 JEFFERSON STREET N.E. �Y ME ON YNOEN M� DIRECT SUPERVIBIOM ANO TMAT I AM A OYLY COLUM8IA HEIGHTS I�AINNESOTA 58421 NEOISTE8E0 LAND YNVEYOR YNOER E l S OF TN TAT[ OF MINMEiOTA. 812-786-YiiY DATE �- � r$� � � SCALE 1°� Z—°__ MINN A EGI8TRATION NO. '=�i'•? J oiIRON MONUMENT ��►v gCNcH MAR K = T . �. �k . ,� a.►r �=yV li-1.1: a '� �° �o a ua.��.. s�.�c � �'T �I.LVaT10N z �2B.N3 R`Y�1ZVIb"W 'f�.R�V �� ( Rl = RGCORD p � S^f . 100 K�AR FI..oOD �:.�..�V.: $Z�{ �,ouR pARGiIiL'L Gt-A0.K�USti OG FRtOtTY� w C�"�l -�E1�.S, o� S'T, � ; �� SPO,C �.ti.EvAZ �O�t z / n o .� 1�� "� �`S'"p di u/ �� m� - �3 'r� � I Q: 1 39.0 � J � I � � ,,,/� I � � ' 4��' �09.-15(Mi i 110,0(Ri � [� ;a0� . , � A. p . __�.. r�,Y��i-i.rt� iYCl, i; ' .-4; "C-rY,': _{ i, _1: , • � �?�i, ; r; � �;-i :,+ ..,.:� --�s`-- -� . :i'i'.� �1 i"i�� _l t i_i � ;_v J oI � �� - . o � �1 � C. � � v L � ( O � li� r �•` 0 J Z W LL J i , or � � 0 0 3 9.S ��• � ,, 4�; o ' h �1 �� .'-� , �� .-_ . �i . ti� .,�� s-+------- --� �� o,- � �o °� I Ip. � O�I. �to.V � �5.fo � �" S_p � aac. co co 9 � .O�.l �„�N�. �1- — �`AL� C OP VR�v� C� i ��0�� 4 . , 0 i��h� r �.t�. � � ��- �^ �47i � 4 , f �' 49 oj � I W I d0 I � p,� �cHC..w��......�ca�.►�E \`- .- -'sco.s-- - (o�aa �.N s7 � � �O.O (R�.tK) �>,o.z �j. �J .' �"l .3 \-S-P � O -c 5 � --� �. � �, � � �. O C..`�. �. � �.��( ��1 1 ��,i �.�\ C-��-'�'C S � �i�1 O`h. A.. C,O U►tV ^C �C 1 M\ 1�i 11'T.,S O'T A � ..... E� �. a � J d � � ; � � � � J i �n'� , r, isi i�i .i ;T-' ; � � � r � � � � � !1 3 � O � � � m r (..t�'G'li�•% l0� ! % ui � � / � � � i i i �i / � � " � / / ' � . � i/ i r � / �� ' / � � ' � � � i� � � . / / � / I G��.�„- � \ � --."'�"`"YJ �i � I � / � ,, . . � ., � r , � � �� i ' , � , �. � , , , � , � � � ,, � , � . � , , .P-P� 1 �� 'yZ� � � , � �'''' p�s �, a .�:�.;3.: -r; ��;.�;,,;v,w%'. ,?�'� �',�;;� k;:r,.. . ,;.. `w r�.i, � , � FRIDLEY MUNIC[PAL CENTER • 6431 UNIVERSITY AVE. N.E. FRIDLEY, MN 55�32 •(612) 571-3450 • FAX (612) 571-1287 January 16, 1992 Wanda Joslin Bank oklahoma Mortgage Co. 7060 South Yale Tulsa, OK 74136 Subject: Loan #288659 Dear Ms. Joslin: The property known as`'�,669_Huc�o__�treet_N.E.�, Fridley, MN is zoned R-1, Single Family Dwelling. ��- According to the Federal Emergency Management Agency, this property is located in Zone B of the flood plain, which indicates "areas between limits of the 100-year flood and 500-year flood...". The community panel number is 270013 0002 B, dated March 2, 1981. If you have any further questions, please feel free to call me at 572-3593. Sincerely, �� ^ ,��- � Michele McPherson, BLA Planning Assistant MM/dn C-92-19 cc: Keith Perlich SuBJECT c�ty of Fridley 2 5 3 5� AT THE TOP OF TME NVINS g U I L D I N G P E R M I � i l �. � ; y _ COMMUNITY DEVELOPMENT DIV. p°� r � � PqOTECTIVE INSPECTION SEC. ��y,� 1 � . , � _ /"'1 � CITY HALL FRIDLEY 85432 NUMBER REY DATE PAGE Of APPROVED BY �----� � ,'� 612-571-3450 910-F15 8/8/97 � � JOB ADDRESS 669 Hu o Street NE 1 LEGAL LOT NO. BIOCK TRACT OR ADDITION SEE ATTACHED DESCF. 1] jH R Ri SHEET a 2 PROPERTY OWNER MAIL ADDRESS 21P PHONE C thia Cotton 669 Hu 783-5891 3 CONTRACTOR MAIL ADDRESS ZIP PMONE LICENSE NO Same 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PMONE LICENSE NO. 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO 8 USE OF BUfLDING Residential 7 CLASS OF WORK ❑ NEW O ADDITION ❑ ALTERATION � REPAIR ❑ MOVE O REMOVE 8 DESCRIBE WORK Re air roof ice dama e 9 CHANOE OF USE FFOM TO STIPULATIONS Underlayment must comply with the State Building Code. SEPARATE PERMITS ARE RE�UIRED FOR ELECTiiICAL, PLUMBING, HEATING, �PE OF CONST. OCCUPANCV GROUP OCCUPANCY LOAD VENTIIATING OR AIR CONDITIONING. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING SQ. FT. CU. FT. AUTHORI2ED IS NOT COMMENCED WITHIN.80 DAYS, OH IF CONSTRUCTION OR WORK IS SUSPENOED OH ABANDONED FOR A PERIOD OF 120 DAVS AT ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS OFFSTREET PARK�NG I HEFiE9Y CERTIFV THAT I MAVE READ AND EXAMINED THIS APPLICATION 1 STALLS GARAGES AND KNOW THE SAME TO BE TRUE ANO 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 �1 � OOO �. SO DOES NOT PRESUME TO GIVE AUTHORITV TO VIOLATE OR CANCEL THE pERMIT FEE SAC CHARGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. �3�F.7S Fire SC �1.00 PLAN CHECK FE T TAL FEE $36.25 SIG TUAE OF CON7RACTOR OR A THOpiZED AGENT IDATEI � /� 1�1 LY VA ED THIS IS YOU� ERM� ../ ` � �� ir1S '�-f 7' ;lj /y i r� /� SiGNATURE OF EA U H Bl 1 � ATEi � LOG �N$ piTE NEW ADDN ALTER [1 [J il ConstructionAddress: � Legal Description: Owner Name & Address: Contractor: Address: LNING AREA: GA,RAGE AREA: DECK AREA: OTHER: CITY OF FRIDLEY SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION � Effective 1 / 1 /97 Tel. # �� —Zj '$`�j / MN LICENSE #� ,3�'(j � � � �7 , Tel. # �C� j Attach to this application, a Certificate of Survey of the _ lot, with the proposed construction drawn on it to scale. DESCRIPTION OF IMPROVEMENT �ng� Width Height Sq. Ft. �� Width Height Sq. Ft. �nS� Width Hgt/Ground Sq. Ft. i�� r' - .. _ > � . Construction Type: Estimated Cost: $�� (�'ee Schedule on Back� Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft :x $ —$ DATE: � Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee Sewer Main Charge TOTAL ST[PULA"I'fONS: ,� CITY USE ONLY Tel. # �,� � � %�� Fee Schedule on Reverse Side � � `� .001 of Permit Valuation (l/lOth%) � . � $.SO/$�,Otlfl Valuation � $950 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 [ ] $ � 2 - � , [3UILDING PERMIT FEE SCEIED[1I.,E. '1'he Cfiief Buildin.g Official shall, before issuing perniits for the erection of. any building or structure, or f��i- any addition to any existing building or structure, or for any alteration or repair to any existing buildinv or stiucture, upon application therefore, require the payment by the applicant for such permit of fees to the amount herei.n 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,U00,000 $1,000,001 and up FEES $2i (Minimum Fee is $21 plus surcharge) � $21 for first $SOD •plus $2.75 for each additional $100 or fraction thereof, to and including $2,000 $62.25 for first $2,000 plus .$12.50 for eacb additional $1,0(� or fraction thereof, to and including $25,OQ0 $349.75 for first $25,(�0 plus $9.00 for each additional $1,000 or fraction thereof, to and including $50,� $�74:75 for first $30,OQ0 plus $6 25 for each additiona� $1,000 or fraction thereof, to and including $1U0,0� $887.25 for fust $1�,000 plus $5.00 for each additional $1,�O�or fraction thereo�,�.to and including $500,(�}0 � $2887.25 for the fust $500,000 plus $4.25 for each addition�al $1,000 or fraction thereof, to and including $1,�;000 $5012.25 for the fust $1,000,000 plus $2.75 for. each additional $1,0� or fraction thereof DRIYE�VAY DEPRESSION ESCROW (Concrete C�rb Streets.Only) Alternate "A": Removal and replacement of curb and gutter only - Driveway width plus 6 feet times $13.i0. Alternate "B": Removal and replacement of curb and gutter and install a 3 foot wide approach with 6 inch depth - Driveway width plus b 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 �or pro��r review of the proposed structure and of the construction site. �� Ce►�titiicate of Survey of tlie lot, showing the location of the fo.undation ��rice it has it tias hecn c�nstruc°�.: ��i:! h� rcc�uiri;d hcfc�r-e ��r��c�din� ��ith tilc framim�_ .� . _ _,,.--. A Building BUILDING Permit Ivo.: 7- � Inspections COMMERCIAL/INDUSTRIAL Received By: 763-572-3604 CITY OF FRIDLEY D��'� P � DATE "I � Y UR E-MAIL ADDRESS SITE ADDRESS � � � TENANT Suite No. PROPERTY OWNER NAME: ADDRESS: � � � CIT � STA� y P �� PHON I �.,0� � ' � �� ARCHITECT NAME: ADDRESS: CITY STATE ZIP CONTRACTOR NAME: 4100 FX�.�� ' I�� ADDRES��' LOUIS PARK, MN 55496 CITY STATE ZIP ID #0001050 FAX PHONE: *NOTE: CITY LICENSE REQUIRED FOR MULTI FAMILY/COMMERCIAL/INDUSTRIAL JOBS PROPERTY TYPE � TOWNHOUSE 0 COMMERCIAL/INDUSTRIAL ❑ INSTITUTIONAL ❑ MULTI-FAMILY PERMIT TYPE ❑ ADDITION ❑ NEW CONSTRUCTION ❑ OTHER ❑ REMODEL ❑ ROOF ❑ SWIMMING POOL PLEASE SUBM[T: 1. 4 SETS OF DRAWINGS 5. CONTRACTORS LICENSE OR 6. SPECIAL INSPECTION 2. SURVEY/SITE PLAN LICENSE APPLICATION SCHEDULE 3. LANDSCAPE PLANS 7. PERFORMANCE BOND 4. ENERGY CALCS AMOUNT $ BUILDING TO BE USED AS: OFFICE sF WHS sF OTHER sF TOTAL SIZE: STORIES IRE PROTECTION (Y/N) AC(Y/N) DETAILED DESCRIPTION OF WORK TH[S IS AN APPLICAT[ON FOR A PERMIT-NOT VALID 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 Fridley 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 a4 wor w) ich require5 rev ew d approval of plans. SIGNATURE OF APPLICANTk�\� 4'��I�iL..rJ �� PRINT NAME I " �/f I' �1 '�� ► �ATE I � � � � ALL FEES ARE BASED ON VALUATION Sq. ft. x$ Costlsy. ft. = Valuation $_ Sq. ft. x$ Cost/sq. ft. = Valuation $_ Sq. ft. x$ Cosbsq. ft. = Valuation $_ TOTAL JOB VALUATION•� �� USE OCCUPANCY Permit Fee Plan Review Fire Surcharge Surcharge SAC Charge Erosion Control Park Fee Special Assessments Curb Cut Escrow Total Due TYPE $ �� See Back Page for Fee Schedule $ 65% of Building Permit Fee $ .001 times the total job valuation $ .0005 x Permit Valuation Minimum $.50 $ ;��_ $1675 per SAC Unit (Plans to MWCC for determination) $ $450 Conservation Plan Review $ Fee Determined by Engineering $ Agreement necessary ( ) Non Necessary ( ) $ ft+6ft= ftx$21=$ $ J ,�� Make checks payable to: City of Fridley Attach Building Inspections 763-572-3604 763-502-4977 FAX DATE � ` 1 �' srrE,�nnxESS � THIS APPLICANT IS: PROPERTY OWNER/ TENANT CONTRACTOR SUBMIT A COPY OF YOUR STATE LICENSE AND CERTIFICATE OF WSURANCE PROPERTY TYPE PERMIT TYPE TYPE OF WORK: DESCRIBE WORK BIING SIZE OF IMPROVEMEt�TT BUILDING RESIDENTIAL APPLICATION CITY OF FRIDLEY EFFECTIVE 1-1-2010 YOUR E-MAIL ADDRESS S i OWNER CONTRACTOR tva�: l�'G i�y�A � e �D�s: 66� �u� S , yL� PHONE:�jll ^ �� ^ 016 N,v�:�'rx� ir�a�'St°c l�ot STATE LICENSE # Z,SnCi � a�nnxESS: �307 �;!ls.�P � PHONE �lZ �5�� Zd ❑ SINGLE FAMILYMEW CONSTRUCTION ❑ TWO FAMILY/NEW CONSTRUCTION ❑ ADDIIION ❑�ARA GFJSHED ❑ BASEMENT FIIVISH 1�ROOF � D� ❑ SIDING ROOFING NUMBER OF SQUARES Z GARAGES PROPOSID SIZE: PROPOSED HEIGHT: HOME CONSTRUCTION ❑ ADDITION �T��C�P� ❑ REMODII.ING ° a OLf�'P � �Y LENGTH WID'I�i 0 I� HOUSE ONLY ❑ HOUSE & GARAGE ❑ ATTACHED GARAGE O DETACHED GARAGE Permit No Received Date Rec'd: ��" �lOrf1�✓ STATE/7/yZIP _ EXP DATE 3 Z CITY�aJ+t�((? STAT�77/yZIP: : ?es3,�,/33��°t$ , ES ❑ WINDOWS ❑ DRAIN TILE ❑ OTHER i , it G� i'fC°� HEIGHT S FT BASEMENT REMODELING SLJBMIT• 1. Existing Floor Plan 2. Proposed floor plan 3. List of structural members W be used IDIlVG FOR NEW CONSTRUCTION INCLUDING DECKS, � V�nY� OSoffit ,ADDITIONS. & PORCHES SUBMIT• ��n� � O Trim I. Site PianlSurvey showing the existing strucUues ❑ Other ❑ Fascia and pro�sed project 2. Two sets of construction plans WINDOWS 3. Energy Calculations IN EXISTING OPENINGS OYes ONo LOCATION OF WINDOWS FOR WINDOWS — PROVIDE U-VALUE AND OR FOR NEW OPENINGS-DESCRIBE SIZE OF MANUFACTURE S77CKER ON WINDOW. OPENING CHANGES 8c TYPE OF WIlVDOW TO BE INSTALLED NUMBER OF WINDOWS ALL FEES ARE BASED ON VALUATION, INCLUDING THE COST OF LABOR AND MATERIALS: (USING THE 1997 U.B.0 FEE SCHEDULE) TOTAL JOB VALUATION Permit Fee Plan Review Fire Surchazge Surcharge 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 $ (� .001 times the total job valuation $ ,� .0005 x Permit Valuation Minimum $.50 $ � $5.00 (State Licensed Residential Contractors) $ $2100 per SAC Unit (Plans to MWCC for determination) $ ft+6ft= ftx$24=$ $ $450 Conservation Plan Review $ Fee Determined by Engineering $ Agreement necessary ( ) Non Necessary ( ) $ �Q �' o.,� Make checks payable to: City of Fridley Attach THIS IS AN APPLICATION FOR A PERMIT-NOT VALID UN77L 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 Fridley and with the Minnesota Construction Codes; thai I understand this is not a permit but only an application for a pe it d work is not to start without a permit on site; that the work will be in accordance with the approved plan in the case of all w requires review and approval of plans. SIGNATURE OF APPLICANT PRINT NAME ��/C�� DATE S`� � ZQ� 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 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 a.mount herein below set forth and in the manner herein provided to-wit: TOTAL VALUE FEES $1 to $500 $23.50 (Minimum Fee is $23.SO.plus surcharge) $501 to $2,000 $23,50 for 1� $500 plus $3.05 for each additional $100 or fraction, to and includin $2,000 $2,001 to $25,000 $69.25 for 1� $2,000 plus $14 for each additional $1,000 or fraction, to and includin $$25,000 $25,001 to $50,000 $391.25 for 1� $25,000 plus $10.10 for each additional $1,000 or fraction, to and includin $50,000 $50,001 to $100,000 $643.'IS for 1� $50,000 plus $? 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 �� $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 Permits for conshuction 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 reyuired before proceeding with the framing. New Houses Onlv City of Fridley Building Inspections Depariment 6431 University Avenue NE Fridley, MN 55432 763-572-3604 Fa.x: 763-502-4977