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sus�ecT • PERMI .
City of Fridley � 15 9
AT THE TOP OF THE TWINS g U I L D I N G P E R M I T
i �
� � .
� `L ______ COMMUNITY DEVELOPMENT DIV. �y��
r j � PROTECTIVE INSPECTION SEC. �
�
1 . �
1
� /�"1 � CITY HALL FRIDLE� 55432 NUMBER REV. DATE PAGE OF APPHOVED BV
�"""� � �'' 612-571-3450 910-F15 9/11/80 / /
108 ADDRESS 420 Ironton Street N. E.
1 LEGAI �OT NO. BLOCK TRACT OR ADDITION SEE ATTACHED
oescR. 4 1 Chouinard Terrace SHEET
2 PROPERTYOWNER MAILADDRESS ZIP PHONE
Clyde Meyer 420 Ironton Street N.E. 780-4090
3 CONTRACTOR MAILADDRESS ZIP PHONE LICENSENO.
S a�e
4 ARCHITECTORDESIGNER MAILADDRESS ZIP PHONE I.ICENSENO.
5 ENGINEER MAILADDRESS ZIP PHONE LICENSENO.
8 USE OF BUILDING
Residential
7 CLASS OF WORK
0 NEW O ADDITION ❑ ALTERATION � REPAIR ❑ MOVE ❑ REMOVE
X
8 DESCRIBE WORK
Install t�ao base�nent �i.ndow and a fire door
9 CHANGE OF USE FROM TO
STIPULATIONS
TVPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD
SEPARATE PERMITS ARE REQUIRED 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
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 HEREBV CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION 2 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 ��-OO �.JrO
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. �`%.SO
PLAN CHECK FEE TOTAL FEE
�8.�0
SIGNATU OF CO AC OR THORI2ED AGENT IDATE),
,�! WHEN PRO ERLY ALIDATED THIS IS YOUR PERM T
"`— �l-2° ��C���• � �/ �/C�
SIGN EOFOWNERiI OWNER UILD 1 IDATEI BLDG iNSP f1AT'
0
crrY or- FRIDLCY -
f�!'PLIC/1TIa'V FOR RESIDEfdTI/1L QUIL�If�G PE�t�7ITS
(fdew, Alterai:i�ns, /1ddiLions, or Repairs�
� i' �� ' �;, .�
�� .i �
� � i� �1�;��,✓ �:�
1 � / i ' i
auz �o�� : . -
t10DRESS: -
TE� Faa: �
Consi:ruction Location '
• STRI��T NO: STREET:
LOT: . BLOQC: _�_ ADAITION : __��G� e� l.�1 G��/ � ��'-� _
Corner Lot: Insicle Lot: SetbacY.: Sideyards:
Ap�licant atrach to this fozm two Certificates of Survey of lot, and
� proposed building location dra�an on certificates to scale. �
.. QESCRIPTIOtd OF COP�STRUCTION �
B'ir �.'
p��� rront: � Depth: Height:
Squa�e. Feet_ C�ibic Feet:
�.r�-e ��� Front: Depth: Height:
Square� I'eet: � Cubic Feet:
- • � o A O
Type of Construction : Estimai:ed Cost: $�(� �
�b Be Oa�ipleted: � .�lO O � .
� � Alt. A Alt. B
Proposed Arivewa�T Width Tf New Openinq Is Desired: $� $
' SE� REVERSE SIDE OF SHEET
�'iie undersigned hereby makes application for a permit fcr the trork herein specified,
agreeing to c?o .all work iri strict accordance with the City of I'ridley Ordinances and
rul�.ngs of �:he Depart-ment of Buildings, and hereby declares that al]. the facts and
YC�rG'SC'.I1I.�1tlOi1S stated ;n this applicatian are true d c rrect.
D.'�T�: � �/ �� SIGNIITUF�: � ��
S�ipulaLions:
v��
� ���
�� �
g,c�v
.�_� �- ;
� �
• IIU1LD1(�1G f'ERI11T' FEi: SCH�nULE �Y .
5I:G;`1'IOId ?.. '1'h� 7n•.���cctar oT )3uilc?ing�; ::Ii;�].�, beforc �.:.;sui�ig pe»niL•s for Lhe crecL-i.on
�!` any l�v:i.l.cl:inc�J or ::i�-uet:ure, qx faa: aiiX adQi.t:i.c�n t:o a�,y_er.i�ta.nc� l.;uilding or structur.e,
, ci� 1:oz any a.ltcrai:ion ar. repair.s L•o •any c1:i. .L-ii�g }�ui.)_di,iiq or sL�-ucturc, upon applxcatS.on
�L•hcr.�:for.c, rcquirc thc Paymc�iL }�y tlie appli_can,: tor. such Per.m9.L of fees L•o t}ie amount
h�r4in be1.o�•r seL- for.tli and i.ii the �nanncn c�rein providcd to-wit: •
17I.1�� COI�S`i'1:UCTION: Sing]_c Imni].y ilomea and Gar.ac�es: $4.00/J_,OJO cuUic i'e�r.
PJ�Atd CJi).C1;: 25 perc.eriY. aL- bu;.lcli�icJ }�exmit iee.
lllt]:'l'L•'t�IAl' ll�PP.L•'SS202•7: (ConcreLq C�rb Stxcets Only} �'
• Alternat:e n: Ite�nova7. and raplacnment of concrete cur.b and
quL-L-er only; llriveway ��ricltti plus 6 feet x��5.75
Alternat•e II: Removal and repZacem��nt of concrete curb and
• � gutter and install a� fooL- ��ide approach tvith �'
' ,� 6 Sa�ch dept-h; Driveway wic:th �plus 6 fee�G x$17.85 �
• . DDI T 10�/�� I Nf=0R��1l1T I Of�
For the purl�se of computi_ng �ees for. bua.lding p�rmits, L-he cubica]. cor.i.ents of any
buildi.ng or addition, a.s dei:ermi.ned by multiplying ihe c�round area covered i'rom a
, point six (G) inEhes below the floor 7.ine of L-he bas�xncn� or the cellar to �he
averag� heights of ihe upper sur£ace or to ihe average heigPit of the roof suriace
of tti� main gable of a pitched roof. �
For repai.rs or alterations to an exista.ng structure, the fee shall be at the rate
of $3.00 Per each five hundred do].lars �� ($500. 00) �r fract-ion tlzereaf in fihe cost
of all proposed wor.k. . _ �
In •no c.ase sha�.l the fee charged for any pezznit as set iorth a.n Section 2 be less �
than $7.50 plus $.50 state suxcharge. • '
_ VER I F I CATIO�! OF F�UP�Dt11 I OtV
' NOTE: Permits �or construction �aill be issued a minimum af 24 hours f.rom the time
of application to a].l.ow for proper review of ihe proposed struct�are and oi the
construction site. -
� �
,
A CerL-ificate�of Suxvey of the 1�t, showing the location of tiie foundation once it
has been cons�nzcted wa.11 be required before proceedinq with the irami.ng.
�ERT T F I CI�TE Q� OC�UPA�CY � �
Application for a Certificate of Occ�ipancy sha11 be madn ten (10) ciays priar to the
use or OCCU,�?3IlCj7 oi' any si:ruc�ture for sahich a builcling permit has been a.ssued; and
saic2 structuzc si1a11 �iot be used az- occupied uTitil a Ceri�i.iicate of Occupzncy has
been i,ssued. �
, '
.� .
� � �
' . . .
�: —
� �
SUBJECT P .
City of Fridley � -" 17158
AT THE TOP OF THE TWINS g U I L D I N G P E R M I T �
�
i � 0.
� `v ______ COMMUNITY DEVELOPMENT DIV.
r � � PROTECTIVE INSPECTION SEC. '`l�S��
i �
1 � �
� ����ti � CITY HALL FRIDLEY 55432 NUMBER REV. DATE PAGE OF APPROVED 8V
!'"""'� � ,�� 612-571-3450 910-F15 5/23/83 � �
JOB ADDRESS 420 Ironton Stl^eet N.E.
t LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED
DESCR. �i 1 Choui nard Terrace SHEET
2 PROPERTYOWNER MAILADDRESS ZIP PHONE
Clyde Meyer 420 Ironton Street N.E.
3 CONTRACTOR MAILADDRE S Z�P NE IC O.
T. J. Roofing � Inner Drive Circle Pines MN 55�1� 786`-��'
4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO.
5 ENGINEER MAILADDRESS ZIP PHONE LICENSENO.
8 USEOF BUILDING
residential
7 CLASS OF WORK
❑ NEW ❑ ADDITION ❑ ALTERATION Cj� REPAIR ❑ MOVE ❑ REMOVE
8 DESCRIBE WORK
re-roof
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. aSpila�t
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 1 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 ��042.4� .'rJO
WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT
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- � 9. OO
STRUCTION OR THE PERFORMANCE OF CONSTRUCTION.
PLAN CHECK FEE TOTAL FEE
19.50
SiGN TUaEO � ACro RAUTHORI2EDAGENT IDATEI EN PROPERLY VALIDATED THIS IS YOUS�E�T j
iAw 5 L � ` G�%r/!.P✓f ���
SIGNATU EOF NER�I OWNERBU�LDERi ATEI BLDG �NSP �ATE
C
C1TY Or fRJOLtY �itective �►ug. 1, 1981
A�Pl1CATlai FOk RES10(NTIA� 6UllDlilG PLRi71TS
(Nc,r. A1 terattons, Addi tions. or Repa irs �
ONI�ER: �,Iu�.� IM��►�,� BUILDFR: �'�' .
A�DP.ESS: _�2c� 1, I�� N l��l AODItLSS: S'� ►u N�,f��� ��,4�� �1 S5o i�
TEL A0: ' -- � TEL N0: 7�� q c� �,�
. _
� , Construction Lccation
• iTRl'ST NO t � Zc3 6T1tEET: �'� O rv 1 O�
� 1
�'_ _ 'I+Ot]C: �^ �,_� JIDDZT?GN a � ,�,� � �
�oznez Lot: __ tneide L�t: �_ kt��e}a __ Sideyazds:
J►p�liear�t att�ch te t��is fozm !vo Certificates of S1�rvey of lot ar�d
proposed builcling locatim drawn on certificates to scale.
. .
OESCRIPTIOit OF C01•JSTP.UCT10t�
________ Fsont: Depth: Height:
6quare Foets Q�bic Feet:
, Fsont: Deptb: dei9ht:
Square Fest: Q�bic Peet:
r.
7ype of Cbrstruction:� e r d�� ����1q1 �' � Estisiated Cost: : ��� Z a
±'
1b 8e Cbr.,plctee: �
. 711t. !1 A1 t. 8
pzopesed Drivc�+ay i:iath Ii Nc�r Opening Is Desired: �' �
.__---_-_�, ._ _
, . . 6E� R�VER;E SIDL OF SHF�T
. � � �
Zi�e undezsigned hezeby tnal;e� app2ie�ition foz a perroit icz the ��erk hezei.rs specified,
egreein� to !!o ,all vozk i�, strict •ccosd� with the City of Fridley Ozdinances end
tulin9s oi the Ocl�►�sbncnt of Duil ' g e d?� eby declares thr►t all the facts and
represr.�ti►tiens stated 3r� this app icat'on ar� true - ect.
a�rE: Z v s�ca�nru�:
stipulatio�s: �
��� ��
� , ��
`� (�
% %�
S°�
�� t ;
SIIILDING pERMIT !EE 6CHED�LE
The Inspectoz oi buildinqs •hall, betoze issuing pezmits ioz the
•z�ctioa oi •ny buildanQ o: •tzuetnre. oz tos any addition to any
�:istiA� bu31aiA9 oz stzvetuze, os ior aay •ltczation os z�paizs
to aay •:istinq bvileinq oz •truetnze. npon applieation theseiose,
s�quise t?�e payaent �y tAe •pplieant toz sueh pezmit ot t�es to the
aao�at a�reia b�lov set iozth and in tAe sanaez �ezein pzovided to-vita
To►ri►z vi►w�►�cN
�1.0� � jSC0.00
iS01 m i2,000
=2�001 tc i25,000
:25,001 to SSO•000
iS0,001 tc S1 00,�00
�s
i10.00 !linia� Fee 515.00 plus suzchazge
i10.00 !oz the fint i500 plus 51.50 ioz each
•dditional i100 os iracticn thereof, to ar�d
inclvding �2,0�0
i32.S0 toz t?�e iis�t 52,000 pius 56.00 foz each
additional S1.000 oz iraction thrsecf, to ar,d
tnclvding t25,000
:170.S0 toz the iirst S25.000 plus 54.50 tor
eaet� additional 51,000 oz traction thereof, to
ar�d includinq i50, 000
i?83.00 toz t?�e fir�t i50, 000 plus S3. OD icr
each a8ditional 51,000 oz traction thezeof, to
ar�d includir�g S1�0, 000
i100,001 and vp taa3.00 toz the first S1G0,000 plus S�.SO ior
�ach additaonal s1,000 oz fraction thezeof
PI.�►t�l �OC: 2s pe:ce�t ot euilaing pezmit iee
DRIVfl�AY DEFRESSION ESOtOfd: Conczete Q�rb 5tseeta �ly
111ternate 'A": Re�aov�al and zeplacaoent ot cvrb and guttez only ,
Drivevay vidtA plus 6 teet : f13.50
111ternate `B'a Refloval and zep2sce�aer�t of cvrb and guttez and install a 3 toot
vide approach vitA 6 inch depth
Drivevay vidth plu� 6 =eet : �15.75 �
V£RIFICATION OF FOUNDATION
Pera�ita foz constsuctio� vill De issued a �einun�+ of 24 houzs fzoro t�,e time of
application to allow ior propez zeview of the proposed c iructuze ar�d of the
constru etion site.
11 Geztificate ot �zvey of the lot, ahowiag the Ioeation of tAe foundation once it
?�as been oonstrvcted vill De zequized before proceed_ irr� vith the fzarni�Q.
�y.
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CHIMNEY AND BTACR VERIFICATION
The undersigned hereby verifies that the existing chimney or stack:
• 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 () No ()
5. Meets all current Code requirements for `
size and total BTU's connected Yes () No ()
� 6. Has total heating BTII's of
Al1 other BTU's
TOTAL BTU's
Remarks
List Alterations Beinq Done:
HEATING COMPANY
Signed By
Date
SuBJECT
City of Fridley 2 5 6 8 6�
AT THE TOP OF THE TWINS g U I L D I N G P E R M I T ,
r
� � RECEIPT NO.
' j L '�'�� ,
COMMUNITV DEVELOPMENT DIV.
f � � PROTECTIVE INSPECTION SEC. ���,�
i__-. i����,., CI1V HALL FRIDLEV 55432 NUMBER REV OATE PAGE OF APPqOVED BY
t �� 612-571-34b0 910-Ft5 11/17/97 / /
JOB ADDRESS 420 Ironton Street NE
1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACNED
DESCR. 4 1 Chouinard Terrace SHEET
2 PROPERTY OWNER MAIL AOORES$ ZIP PNONE
Cynthia Anderson 420 Ironton Street NE 786-2609
3 CONTRACTOR MAIL ADDRESS ZIP PNONE LICENSE NO.
Toolbox Remodeling Inc 2500 39 Ave NE ��216, Mpls., MN 55421 782-3836
4 ARCNITECT OR DESIGNER . MAIL ADDRESS ZIP PHONE LICENSE NO.
20061690
5 ENGINEER MAIL ADDRES3 ZIP PMONE LICENSE NO.
8 USE OF BUILDING
Residential
7 CLASS OF WORK
O NEW ❑ ADDITION � ALTERATION O REPAIR ❑ MOVE ❑ REMOVE
8 DESCRIBE WOFiK
Replace 12' x 12' Deck; Replace 3 windows; Reroof House & Garage
9 CHAN(iE Of USE FROM TO
STIPULATIONS Install underlayment to meet the State Building Code. See notations
on plan.
�,, �,� �"!�fP �'
�� b��i�
� :�;�.��.
$efore d;$gt�� ca19 for
ad� ut,��ty locations
45�•Q902
REQU�R�� �Y �'�
SEPARATE PERMITS ARE REOUIRED FOR ELECTRICAL, PLUMBING, HEATIN(i, TYPE OF CONST. OCCUPANCY (3ROUP OCCUPANCY LOAD
VENTILATING OR AIR CONDITIONING. �,
THIS PEfiMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONINO S�. FT. CU. FT.
AUTHORIZED IS NOT COMMENCED WITHIN 80 DAYS, OR IF CONSTRUCTION
OR WORK IS SUSPENDED OR ABANDONED fOR A PERIOO OF 120 DAYS AT
ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS OFFSTREET PARKING
I HEREBV CERTIFV TMAT I HAVE READ AND EXAMINED THIS APPLICATION 1 STA�LS GARAGES
AND KNOW THE SAME TO BE TRUE AND CORREC7. ALL PROVISIONS OF LAWS YALUATION SURTAX
AND OROINANCES GOVERNING THIS TYPE OF WOpK WILL BE COMPLIED
WITH WHETNER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT � lO, 850 .$5 .�F3
DOES NOT P ESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE pEF;MIT FEE SAC CHARGE
PROVISIO F ANY OTH ST TE O LOCAL LAW REGULATING CON-
STRUCTI Th1E PE E O CONSTRUCTION. �17�F.75 Fire SC �1�.8.5
PLAN CNECK FEE TOTAL F'
Lic nse $5.0 196.03
SiGNATURE OF CONiRACTON OR AUTNORIZED AGENT . � TEI p pEF I�AT T S IS YOUR PERMIT
- s
( � ��
S�GNaTURE OF OWNEA ��i OWNER BU�LDER� �DATE� BLDG SP paiE
NEw [ ]
ADDN [ ]
ALTER [ ]
ConstructionAddress: t
Lega1 Description:
Owner Name & Address: (
Contractor: ► r�9�°�t In� Y
�'�ddress: �`
j �L � S� �
✓C �i�
CITY OF FRIDLEY
SINGLE FAMILY AND DUPLEXES R-1 AND R-2
BUILDING PERMIT APPLICATION
/\ K � 1 L. \ 97 ),
��. �✓�1�
Effective 1/1/97
��a���-�
v vc� � � T��
Tel. #' � �„ '��p��
MN LICENSE #�Q Q °-�%��`(Q
Tel. # 7 �� ' ��.�o
Attach to this application, a Certificate of Survey of the
lot, with the proposed constntction drawn on it to scale.
DESCRIPTION OF IMPROVEMENT
LIVING AREA: Length Width Height
GARAGE AREA: Length � Width Height
DE� � ��`� �' Length �a Width � HgdGround �
OTHER CD X �
' � � c2 C� � �'l
Sq. Ft.
Sq. Ft.
Sq. Ft. �
n
� v
Construction Type: � r _ Estimated Cost: $ �� Q,� v
—r- -
S (F e .Schedul e on �ack)
Driveway Curb Cut Width Needed: t. + 6 F�= t x$ _$
DATE: �� i�APPLICANT: ����<� �' � `�� Tel. � �� +�� (D
Permit Fee
Fire Surcharge
State Surcharge
SAC Charge
License Surcharge
Driveway Escrow
Erosion Control
Park Fee
Sewer Main Charge
TOTAL
STIPULATIONS:
$ �
$ /�.��_
$ S 4%�
$
$ S (17�
$
$
$
$
�. i
CITY USE ONLY
Fee Schedule on Reverse Side
.001 of Permit Valuation (1/lOth%)
$.50/$1,000 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 [ ]
,
BUII..DING 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 application therefore, require the paymenx by the applicant for such permit of fees to the amount
herein below set forth and in the manner herein provided to-�vit:
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 $SOO,OQO
$500,001 to $1,000,000
$1,000,001 and up
FEES
$21 (Minunum Fee is $21 plus surcharge)
$21 for first $,SpO plus $2.75 for each additional $100 or
fraction thereo�,;to and including $2,000
$62.25 for first $2,000 plus $12.50 for each additional $1,000
or fraction thereof, to and including $25,000
$349.75 for first $25,000 plus $9.00 for each additional $1,000
or fraction thereof, to and including $50,000
$574.75 for first $50,000 plus $6.25 for each additional
$1,000 or fraction thereof, to and including $100,000
$887.25 for first $140,000 plus $5.00 for each additional
$1,000 or fract�n �Chereof, to and including $500,000
$2887.25 for tt�e fust $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 ESCROW
(Concrete Curb Streets Only)
Altemate "A": Removal and replacement of curb and gutter only - Driveway width plus 6 feet tunes $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 tune of application to allow for proper
review of the proposed structure and of the construction site.
A Certificate of Survey of the lot, showiflg the location of the foundation once it has it has been constructed
will be required before proceeding with the framing.
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Item Code (.�ty U/M Price
Other Rooms
Windows and Trim
WINDOWS SHALL BE GREAT LAKES PREMIUM VINYL REPLACEMENT WINDOWS --
CASEMENT FOR NATIONAL EGRESS CODE
• Vinyl frames and sashes �
* Insulated glazing
• Opening and locking hardware
* Insect screens
CASEMENT & EGRESS AS PER SPECIFICATIONS AT LOWER LEVEL NORTHWEST
BEDROOM �
* Vinyl frames and sashes
* Insulated glazing
• Opening and locking hardware
" Insect screens
* Drywall retum to jamb
* Wood stool and.apron
; EGRESS PIT PER ID SHEET S-4F
�2-6 x 3-0
13654 1, j EA 466.83 754.11 1197.00
��_�
" Drywall return to jamb
*- Wood-stoof ahc]�apron
% 1- 2-10 x 4-6 at upper bedroom , 1- 2-2 x 3-2 at lower�vel kitchen
1 13654 2.0 EA 1056.00 � 141.36 1197.36
" Windows and Trim 1522.83 895.47 2394.00
"• Other Rooms 1522.83 895.47 2394.00
Exterior
Site Preparation
DECK - CUSTOMER to remove complete deck including surFace
and framing
" 02 Site Preparation 0.00 0.00 0.00
Roofing, Flashing
Asphalt or fiberglass shingles-2 layers �
240 LB. (25 YR)
SELVAGE
On wood roof deck with average amount
of fitting
* One story above grade
Miscellaneous Remodeling
Page # 1
�
* 19" selvage, 110 to 120 LB.
" NO underlay
` 17" exposure, 19" to lap
" Tarred seams
4 to 6 in 12 slope
09020 800.0 SF
7to12in12 • '
09Q11 1300.0 SF
Asphalt or fiberglass shingles-3 layers
Up to 8 in 12 slope .
09504 1400.0 SF
SELVAGE
On wood roof deck with ave�age amounl
of fitting
* One story above grade
* 19" selvage, 110 to 120 LB.
* NO underlay
* 17" exposure, 19" to lap
* Ta►red seams
4 to 6 in 1 Z slope
09020 600.0 SF
GUTTERS - White enamel finish
09722 38.0 LF
* 09 Roofing, Flashing
Exterior Trim, Decks
STEPS TO DECK
2" x 12" stringers, two 2" x 6" per
tread, open risers, Patio block at bottom
tread on ground, at perimeter of deck
railing NOT included in cost
Pressure treated fir or pine
10310 11.0 EA
* 10 Exterior Trim, Decks
468.00
1287.00
� ��
351.00
114.00
2220.00
693.00
693.00
Deck Assemblies
12"w x 12"d footing 42" below grade - 5 Footings
04213 22.0 LF 165.00
Pressure treated fir or pine 4 x 4 posts
Miscellaneous Remodeling
Item Code
720.00
1794.00
1764.00
387.00
342.00
5007.00
841.50
841.50
594.00
(3,yt U/M Price
11 SS.00
3081.00
1764.00
738.00
456.00
7227.00
1534.50
1535.00
759.00
Page # 2
10200 4.0 EA
2" x 8" deck joists
10231 199.0 SF
Constr. grade redwood 1" x 10" band
10240 28.0 LF • .
* 99 Assemblies
** Exterior
40.14
343.27
66.36
614.77
4454.41
Item Code (�t U/M Price
76.62 116.76
325.36 668.63
52.08 118.44
1048.06 1663.00
7253.68 11708.09
Electrical
20 - AMP OUTLET
for A/C,
First floor
16112 1.0 EA 55.50 165.37 221.00
FIX DUPLEX OUTLET AT ORGAN
Duptex outlets
16100 1 EA 19.50 39.37 59.00
GFIC
Ground fault outiet
16108 3.0 EA 54.00 90.00 144.00
Install Smoke [�etectors to code_ 30.00 60.00 270.00
..� �f/�"h' .Sl �:cl %%-% ������ �,�•�����1� �,� �?�i' .�lG�'�'��' ��'�!
To 150 AMPS -Upgra e globes, ground outlets as req irecJ by code
16000 1.0 EA 240.00 1050.00 1290.00
" 16 Electrical 436.48 1547.52 198A.00
"" Electrical 436.48 1547.52 1984.00
TERNATE WORK - INSURANCE CLAIM X
Ceili Covering
GYPSUM DR ALL O EW CEILING
Prepare & repai i' g in upstairs bedroom
finished and san 3 coats
Gypsum d all new wo
19000 EA 0.00 193.50
Ilaneous Remodeling
193.50
Page # 3
SuB�EG�
City of Fridley �2 9 4 6 2
AT THE TOP OF THE TWINS g � I L D I N G P E R M I
�
i � �.
� `� __�_� COMMUNITY DEVELOPMENT DIV. � ���
r � � PNOTECTIVE INSPECTION SEC.
� ; i
, � �"'1 � CITY NALL FRIDLEv jj13Z NUMBER REV OATE PAGE OF ACpROVEO BY
�"'"� � �'' 612-571-3450 s�aF�s � 5/13/99 / /
JOB ADDRESS 420 Ironton Street NE
t LEGAL �OT NO. BLOCK TRACT OR ADDITION
oescR. 4 1 Chouinard Terrace
2 PROPERTY OWNER MAIL ADORESS
Steve Sater/Cynthia Andersen 420 Ironton Street NE
3 CONTRACTOR MAIL AOORESS
Same
d ARCHITECT OR OESIGNER MAIL ADDRESS
5 ENGINEER MAIL AODRESS
B USE OF BUILOING
Residential
7 CLASS OF WORK
ZIP
SEE ATTACMED
SMEET
PNONE
786-9569
PHONE LICENSE NO
PMONE LICENSE NO.
PhIONE IICENSE NO
O NEW O ADDITION �I ALTERATION O REPAIR O MOVE O REMOVE
8 OESCRIBE WORK
Install an egress window
8 CHANt3E OF USE FROM
TO
STIPULATIONS
Window must meet the State Egress Code.
CONSTRUCTION WORK HOURS: 7:00 am to 9:00 pm, Monday thru Friday; 9:00 am to
9:00 pm on Saturday; No work on Sunday.
SEPARATE PERMITS ARE REQUIRED FOFi EIECTfiICAL. PLUMBING, h1EATING, "rc vr �,arna� .
VENTI�ATING OR AIR CONDITIONING
THIS PEiiMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION 20NING
AUTHOqIZED IS NOT COMMENCED WITHIN 80 DAYS. OR IF CONSTRUCTION
OR WORK i5 SUSPENDED OF ABANDONEO FOR A PERIOD OF 120 DAYS AT
ANV TIME AF7ER WORK IS COMMENCED NO OWLG. UNITS
I HEREBY CERTIFY TMAT I HAVE READ AND EXAMINED TMIS APPLICA710N 1
AND KNOW TME SAME TO BE TRUE AND CORRECT. ALL PROVISIONS Of LAWS VALUATION
ANO ORpINANCES GOVERNING TMIS TYPE Of WORK WILI BE COMPLIEO �350
WITH WME7HER SPECIFIE� HEREIN Ofi NOT. TME GRANTING OF A PERMIT
OOES NOT PRESUME TO GIVE AUTHOqITY TO VIOLATE OR CANCEL TME pEpMIT FEE
PROVISIONS OF ANY OTNER STATE OR LOCAL LAW REGULATING CON-
STRUC710N ORJPRj IE�PERFORMANCE OF CONSTRUCTION �� i_ nn
�DAT� �
FT
S7ALLS
UP OCCUPANCVLOAD
CU FT.
FSTpEET PARKING
IGAfiAGES
RTAX
$.50
�ir C .35
AL E
! 5
�is���
_
r�w
ADDN
ALTER
[l
[l
[l
conscructionAadress:
Legal Description: _
Owner Name & Addr
Contractor: � °e
Address:
LIVING AREA:
GARAGE AREA:
DECS AREA:
`� • � �
0
CITY OF FRIDLEY
SINGLE FAMILY AND DUPLEXES R-1 AND R-2
BUILDING PERNIIT APPLICATION
�IaD �r��-11��, �� . o�_�,_
0
Effective 1/1/99
� ���� �
�P
� �'t/C� CCZ
��� ► i • � :, � .� ��
� /
/
Attach to this application, a Certificaxe of Survey of the
lot, with the proposed construction drawn on it to scale.
DESCRIPTION OF IlVIPROVEMENT
Length Width Height
Length Width Height
Length Width HgtlGround
.--
�
Tel. #
5q. Ft.
Sq. Ft.
Sq. Ft.
Construction Type: �S� ��b� �� Estimated Cost: $<�J V
(Fee Schedule on Back)
Driveway C�rb Cut Width Needed: Ft. + 6 Ft = Ft x$ _$
�� / .
DATE: APPLICANT: Tel._� (s� `^ 1���
�fo� �.��x:�J
SE Y
Permit Fee
Fire Surcharge
State Surcharge
SAC Charge
License Surchazge
Driveway Escrow
Erosion Control
Park Fee
Sewer Main Charge
TOTAL
STIPULATIONS:
� 2/ �U
$ � 3�
$ , �U
$
$
$
$
$
�
$ � � ��
Fee Schedule on Reverse Side '�,�
.001 of Permit Valuation (1/lOth%) � f��4°�r�/
$.50/$1,000 Valuation
$1050 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 [ J
_�
_ � --
� l�
�����
��
1�
y- 30 -�
BUII.DING 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 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;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 $2,000
$62.25 for first $2,000 plus $12.50 for each additional$1,000
or fraction thereof, to and including $25,000
$349.75 for first $25,000 plus $9.00 for each additional $1,000
or fraction thereof, to and including $50,000
$574.75 for first $50,000 plus $6.25 for each additional
$1,000 or fraction thereof, to and including $100,000
$887.25 for first $100,000 plus $5.00 for each additional
$1,OQ0 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 ESCROW
(Concrete Curb Streets Only)
Alternate "A": Removal and replacement of curb and gutter only - Driveway width plus 6 feet 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 Certificate 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.
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COMMON VENT VENT CONNECTOR AND COMBUSTION AIR VERIFICATION
�
When replacina an exist�na fi,rance, the undersigned hereby verifies that the
venting has been examined and is free from rust, deterioration, obstructions,
and is securely supported and firestopped where required.
The venting system is plasticlPVC and meets all current codes and manufacturer
specifications including sizing, length, number of elbows and termination.
The undersigned also verifies that the replacement unit is a listed assembly
and meets the cu,r.rent codes and manufacturer's specifications. This does
include AGA-GAMq Category I Central Fumace Venting Tables for fan
assisted and natural draft appliances.
The existin combustion air is sized and installed to m
and manufacturer's specifiq�ons. eet the current codes
When required to install a new combustion air it wil� be sized
To meet the current codes and manufacturer's specifications.
and insfialled
�Nhen instal�in a new ventin
it is a listed assembl S stem, the undersigned hereby verifies that
specifications. y and meets the current codes and manufacturers
Venting Tables for'fan�assisted a�dGA_G
AMA Category I Central Fumace
natural draft app�iances,
Is the common vent and vent
an app��an� has been removed �om the commo nd �nstalled
separately aS per current CO�e��Y after
codes. � vent and vented
Appfiance #1 Type ���~ ��Lei�°mmOn Ve
nt and
Appliance #2 T
ApAlrance #3 ryAe BTU Input
Total Ype BTU lnpu� �--
AAplianceS 67U �_
Cornmon � Total Btu lnpu '"'�
Vent Type �`
Yes ( ) No ( )
Yes ( ) No ( )
Yes ( ) No ( )
Yes ( ) No ( )
Yes ( ) No ( )
Yes ( ) No ( )
Yes( )No( )
Fan Assisted or Nat
Fan Assisted or Nat ��
Fan Assisted or Nat �`--
a
AAP�iance #� Vent C Vent Height
APp�iance #2 Ve�t �o �nector Height �� Diameter -
AAP�iance #3 Vent C nne�or Height �� �en9th �� �nches
onnector Height �ft
4L� TI[��u�•. ,., ��
Leng� �—� ��ameter
Lengt� �� p ameter � in
in
��in
HEATIIVG C�.
Signed gy. . .
�ate
rYPe
rYPe �
Type �
�
_
_
CIlYOF
FRIDLEY
FRIDLEY MUNICIPAL CENTER • 6431 UNIVERSTTY AVE. N.E. FRIDLEY, MN 55432 •(763) 571-3450 � FAX (763) 571-1287
February 1, 2002
Mr. Douglas Butler
420 Ironton St NE
Fridley, MN 55432
Re: Final Inspection at 420 Ironton Street NE
Contractor: Owner
Dear Mr. Butler:
A plumbing pemut was issued on October 26, 20� to install an outside wood-
burning boiler at your address. According to Section 4715.2800 of the State
Plumbing Code, a final inspecrion shall be conducted on the work authorized by this
permit. As of this date, no final inspection has been called for.
The pemut 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 not hear from you within this time to set up the inspection, we will
mark the pemut "no inspection called for" 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.
JENSEN
; Inspector
� ��
�
Building BUILDING Permit rTo:: a a�. I
Inspe�tions RESIDENTIAL APPLICATION Received By:
763-572-3604 CITY OF FRIDLEY D °
763-502-4977 FAX EFFECTIVE 8-19-09 �� �
DATE �' I� QeT YOUR E-MA1L ADDRESS
SI7'EADDRESS �ii��d a-12�t"6.� S`f ° � f i�����
THIS APPLICANT IS: O OWNER d�CONTRACTOR
PROPERTY OWNER/ NAME:
TENANT ADDRESS: CITY STATE ZIP
PHONE:
CONTRACTOR NAME: q r ; , � % L
SUBMIT A COPY OF STATE LICENSE # / EXP DATE ,�- 3�� r,TOI'C�
YOUR STATE LICENSE �
AND CERTIFICATE OF ADDRESS:37,� (��d6�'� _S'� CITY $,;�},� �s ;ti STATE��ZIP��3�Z
INSURANCE PHONE °3 �� �C.� � � FAX - Q ' ,�
PROPERTY TYPE INGLE FAMILY/NEW CONSTRUCTION SIZE
❑ TWO FAMILY/NEW CONSTRUCI'ION STORIES
PERMIT TYPE ❑ ADDITION ❑ GARAGE/SHED WINDOWS
� BASEMENT FINISH � ROOF ❑ DRAIN TILE
❑ DECK SIDING �l OTHER
❑ SWIMMING POOL
T'YPE OF WORK: ❑ NEW HOME CONSTRUCTION ❑ ADDITTON
� MAINTENANCFJKEPAIR REMODELING �:.-'` �;,-° LL-- --- d._ °—:_:.-_�
DESCRIBE WORK BEING DONE: � � � ' s ��'e��luc ��� �us�h
SIZE OF IMPROVEMENT LENGTH WID H HEIGHT �.�:�, �F�'-�- -�`
-- .
ROOFING , ❑ HOUSE ONLY BASEMENT REMODELING SUBMIT•
NUMBER OF SQUARES � a�9yHOUSE & GARAGE 1. Existing Floor Plan
GARAGFS ❑ ATTACHED GARAGE 2. Proposed floor plan
PROPOSED SIZE: ❑ DETACHED GARAGE 3. List of structural members to be used
PROPOSED HEIGHT:
SIDING FOR NEW CONSTRUCTION INCLUDING DECKS,
� V�fi,� �So� ADDITIONS_ & PORCE�S SUBMTT:
❑ Alumin ❑ Trim 1• Site Plan/Survey showing the existing strucwres
� Other � � Fascia and proposed project.
2. Two sets of construction plans
WINDOWS 3. Energy Calculations
IN EXISTING OPENINGS �Yes ONo LOCAT[ON OF WiNDOWS FOR WINDOWS - PROVIDE U-VALiJE AND
OR FOR NEW OPENINGS-DESCRIBE SIZE OF _�rI ae � MANUFACTURE STICKER ON WINDOW.
OPENING CHANGES Be
TYPE OF WINDOW TO BE INSTALLED NUMBER OF WINDOWS
[iLL 1'L+L�D ARn. DAAGL Vl�l vt�►1.ut�►11v1�� 11rl.LUUlPIIs 1riL� l=VJ1 VF LAIfUli A1VL MA1�L�'K1Al.J:
(USING T'HE 1997 U.B.0 FEE SCHEDULE)
TOTAL JOB VALUATION $��dd OCCUPANCY TYPE
Permit Fee
Plan Review
Fire Surcharge
Surcharge
License Swcharge
SAC Charge
Curb Cut Escrow
Erosion Control
Park Fee
Sewer Main Chazge
Total Due
$
$
$
$ t5�tc�o
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 Residentia� Contractors)
$2000 per SAC Unit (Plans to MWCC for determination)
ft+6ft= ftx$22=$
$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 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 Minnesots 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 on site; that the work will be in accordance with the
approved plan in the case of all work which reyuires review and approval of plans.
SIGNATURE OF APPLICANT ��C�x�� a� PRINT NAME �r ri.I .��; � r DATE `7 '�� Q eJ
Page 2- Building Residential Application
BUILDING PERNIIT FEE SCAEDULE
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 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 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 $643.75 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 forthe 1�` $1,000,000 plus $3.15 for each additional $1,000 or
fraction
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 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
Fax: 763-502-4977
Building BUILDING Permit r1o:: � � � �
Inspections RESIDENTIAL APPLICATION Received By:
763-572-3604 CITY OF FRIDLEY Date P
763-502-4977 FAX �� 9
EFFECTIVE 8-19-09
DATE �� YOUR E-MAIL AD RESS
SITE ADDRESS `--I � VV ►` � S fi n�
THIS APPLICANT IS: ❑ OWNER �jCONTRACTOR
PROPERTY OWNER/ N�:
TENANT ADDRESS: CITY STA7'E ZIP
PHONE:
CONTRACTOR NAME:
SUBMIT A COPY OF STATE LICENSE # EXP DATE :3-.31- �c�i o
YOUR STATE LICENSE
AND CERTIFICATE OF ADDRESS:�/ ,26c�� ,S� CITY�,,,:� ��� STATEs�1�ZIP SS3�2
INSURANCE PHONE FpJ{
PROPERTY TYPE $SINGLE FAMILY/NEW CONSTRUCTION SIZE
❑ TWO FAMILY/NEW CONSTRUCTION STORIES
PERNIIT TYPE ❑ ADDITION � GARAGF/SHED ❑ WINDOWS
❑ BASEMENT FINISH ❑ ROOF ❑ DRAIN TILE
❑ DECK ❑ SIDING ❑ OTHER
❑ SWIMMING POOL
TYPE OF WORK: ❑ NEW HOME CONSTRUCTION ❑ ADDITION
� MAINTENANCFJREPAIR O REMODELING
DESCRIBE WORK BEING DONE:�ee�.— ���� n�b-._f�
y
SfZE OF iMPROVEMENT LENGTH WIDTH HEIGHT S fT
ROOFING ❑ HOUSE ONLY BASEMENT REMODELING SUBMIT•
NUMBER OF SQUARES � HOUSE & GARAGE 1, Existing Floor Plan
GARAGES ❑ ATTACHED GARAGE 2. Proposed fl�r plan
PROPOSED SIZE: ❑ DETACHED GARAGE 3. List of structural members to be used
PROPOSED HEIGHT:
IDING FOR NEW CONSTRUCTION INCLUDING DECKS,
❑ y�ny� �So� ADDITIONS_ & PORCHES SUBMIT•
❑ p���n� p Tri� 1. Site Plan/Survey showing the existing structures
� Other O Fascia and proposed project.
2. Two sets of construction plans
wnvnows 3. Energy Calculations
IN EXISTING OPENINGS ❑Yes ❑No LOCAT[ON OF WINDOWS FOR W[NDOWS — PROVIDE U-VALUE AND
OR FOR NEW OPEMNGS-DESCRIBE SIZE OF MANUFACTURE STICKER ON WINDOW.
OPENING CHANGES &
TYPE OF WINDOW 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 $���F• __ OCCUPANCY TYPE
Permit Fee
Plan Review
Fire Surchazge
Surchazge
License Surchazge
SAC Charge
Curb Cut Escrow
Erosion Control
Park Fee
Sewer Main Chazge
Total Due
_$ �v•�v _ See Back Page for Fee Schedule
$ 65% of Building Permit Fee
� .001 times the total job valuation
$ �� .0005 x Permit Valuation Mirtimum $.50
$ �' $5.00 (State Licensed Residential Contractors)
$ $2000 per SAC Unit (Plans to MWCC for determination)
$ ft+6ft= ftx$22=$
$ $450 Conservation Plan Review
$ Fee Determined by Engineering
$ Agreement necessary ( ) Non Necessary ( )
� ,. Make c6ecks payable to: City of Fridley Attach
THIS IS AN APPLICATION FOR A PERMIT-NOT VALID UN17L 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 on site; that the work will be in accordance with the
approved plan in the case of all work which requires review and approval of plans.
SIGNATURE OF APPLICANT `K���dL',,,,� PRINT NAME � 6cl d �eys� Ser/ ' DATE �l — I' Q�
Page Z- Building Residential Application
BUILDING 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 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 for each additional $l00 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 $643.75 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
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 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
Fax: 763-502-4977