AF - 47830/ \
�
City of Fridley, Minn.
� _ '�;� ��:i �� �:� i :� :�;..�� �`,�• � � �
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Date: August 28, 1968
��p��
�� 990�
pwtter; Dick Curzan g��r Dale Movers
Address 56 0 Kimball St . N. E. Ad� 7816 Central Ave . N. E.
LOCATION OF BUILDING
No. 6�— Street ��mball St . N. E. Part of Lot
Lot _.._�.._._.___ Block
E Addition or Sub-Division .._.__ �-verview Heights
Corner Lot
Sewer IIevation
Ine3de Lot r.. Setback �__._ Sideyard
— Foundation IIevation
DESCRIPTION OF BUILDING
To be Used as:
Moving of �nt _,._ Depth Height — �• � � �
Garage Front Depth � fTeight — Scl. Ft Cu. F't.
Ty� og ����q� Frame ��, �_, 500.00 __ To be Completed ..�
Garage to be mc�ved from 334 Ulysses St. N. E. ta 560 Ki.mball St . N. E.
In consideration of the issuance to me of a permit to construct the building descrlbed above I agree to do
the proposed work in accordance wlth the descrlption above set and in .� "�liance with a�l Proviaions of
ordtnances oE the dty of Fridley. j`
10.00 Dale Movers
In conafderation of the payment of a fee of $ , permit is hereby granted to
to cronstruct the buflding or addition as described above. This t fs granted nPon
the express condition that thepe�o n to whom ft ia granted and his agente, emPloyees an worlmaen, fn all work
done in, around and upon said building, or an3'part thereof, st►all coffiorm fn all reapects to the or8inanc� of
Frldley, Mixu►esota regardtig locatfon, conatruct�on, alteration, maiatenance, repair and moving of build9ngs
wlthiu the dty limits and this permit may be revoked at a�Y time upoa violation oP any of the Provisions of said
orainancea
� Official
._. Buil�Iing
J
,� NOTICE:
19ds permM does aof eovar �hs coashudioe, 6nh11aMee fe� wiring, plumbtne, ea 6�aNng, ssw�r m wdsr. B� wro to s»
tha Buildieg lespeeto� fo� wparata parmits for t6as tt�na.
� . . �
-, _' ' .�� S,.-.._ ._ _
Inspector of Buildings,
6431 Univ. Ave. N.E.
APPLrlGATION FOR MOVIN;G I�ERMIT
No
Fridley, Minn.,�`1. ,./� y 9�
�.J
The undersigned hereby makea applica,tion for permit to m�ove building as herein specified, agreeing to do a,ll
�vorl� in strict s�ccordance witfi� �he City Ordinancea and rulinga of the Department of Buildinga, and hereby de-
claxes that. all the facta and representations sta.ted in this �pplication are true �nd corr�t.
_.. .. _
Lot Black Addition
Present I.oca.tion:
�3�3�� U t }�r .�Se � S�'. � ��
,
, --• --,
To be moved to: �
___ ___ .. .. �. ----- .. _ . __ .
:��a �: ,� � � II � ��- �s� , �, � �,� ��� � . � �. �� , q � s
Routing: � � ` v � ,-s �'1`�� � U �, „� � .
Distance move� �� ��/� � -ft.To be completed abou* �� I � 19�
� �
Tases a,id7� Estimated cost � �Q° �� Foundation and alteration permit numbers
• � � r5
_P __ — — — --- --- -- - ---- -
Gertification as to eQSt :
I hereby certify that the above deaignated building ia worth at least aixty (60) per cent of the coet of a simi-
lar new building. i _ , ,
. . Sign
Owaes Ageat
Ag�roved bp:
Water & Sewer ITepartment
City Engineer
�<�
- - - -� a- .
Util�ities Notifie�l : °- �_ - -- — _ _ _ _ - - - -- -- - _- - -- - -
lbiinneagolis Gas Co. �date)
c'ritle) -
Northern States Power Co. (date
(Tit1e)
. N��},hwestern Bell Telephone Co. (da.te)
— (Title)
6igned
�1 1 � ' � � �� � � Q �� j�_"1 y ^ � �'� �ceased Moves .
� o . �.
° 1 ,`� (See zeverse sfde for iastruc#iions) – -
�.�..� � r-., . � _ ;
���.�� ' °``� ��aV (
In the event that the moving germit is to be applied for by the owner or by any other person than the licensed
Mover, the following letter mnst be comgleted an�l signed iiy esid mover:
Ins�ctor of Buildinga,
6431 University Ave. N.E..
Fridley, Minnesota
Please issue the bearer of this application, Mr
a permit to move building from
Date , 19—
to: - to which I ereb authorize him to si
_ � 8�n my name.
� Signed ��
� nsed Mover ��� �� �
GENERAL INSTRUCTIONS
The following muat be secured before maving permit will be is�ued •
1. A building permut for new loca,tion of building to be moved. To obt�in this building permit, the following is
required :
(a) The building to be moved must be inspect� for atructural soundness by the building inapector. Phone this
ofFice for inspection. SUnaet 47470.
(b) A survey of lot to which building is to be moved. This survey muat be made by a licensed surveyor.
(c) The building and moving permit must be obta.ined at the same time.
2. Tax receipt showing that all real estate taxes due have been paid. Duplicate receipts may be obt�ined at Anoka
Caunty Auditor.
3. Approval from, the Fridley Water a,nd Sewer Department showing that bills chargeable againat �he property to
be maved have been gaid a,nd water connec�ions have been discontinued at the curb line or at the main. (See
reverse side of form.)
4. Approval from Fridley Director of Public Vilorks office approving rauting.
6. Natification to, and signature of utility companies. (See reverse side of form.)
(a) Minnea.golis Gas Co., 739 Marquette Ave., Engineering I?epaxtment, Fourth F`loor.
(b) Northern Sta,tes Power Co., 16 South 5th Street, Applica,tion and Extenaion Department.
(c) Northwestern Bell Telephone Co., 224 South 5th Street, Business Office, First Floor.
11 250-8-58 � • • _
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�G�T�t COtTN�%L 2�T%�G OF AU�UST 19, 1968 ���E 16
.
8. GARTS�D�T�OYt� OF A��LTES� TA CCAIdS7'�ti1CT 1�1 C�f�O��L OI�I�
���`� C C�S STAT�O�T I.,Q�T� ��' 7��9 �T It��'� �0�.
� 8.A5AS • 6'L..LLV7.9.Cn7VS6im lA"ia�tc{V�e7b F7� VVLt.F 06J1S��a�'6��� �°Y9��p w
YD �qbVS'Od"O�i/.AKb� .
720 �EST 9��]t'#i STI�ET, �]�Q3*�G�'9�`a. mRSm G
Couaqcilm�n Li�l said ichat he notic�d ��� Gul� Oil h�� a+gx�� �o
cle�n up and �od the boulevard area, The Ci.ty Er►g3.a��� -..
adci�d tiza� h� felt th�� there ��re too �ny sig�a� on ��st Riv�r
Ro�� and would l.ik� to have them removeci °and .on1 y have the one
pex�ra��nt sign. .
F�gp�i by Council�►n Li�l. to grant the r�quest of Gul.f Oil Con�any
. subj��t to the �tipulations that th�y clean up and sa� 'tr►� boulevar�
area a�d r�aove their t�orary signs. Second�d by Counciln�an
Sh�rici�x�o Upon a voice vote, all vo��ng ay�, A�y�r K�.r]�h�t d�clar�
the motion carrf.ed e
9. COA1�$��Ti0�1 �F 1� �4�U�T �'O ��AV� 1� C°a.�GE FitC� 334
�� � . i1�,1'S�S� S��.FT Ne�i� �TT��OLd�S4 :�,�F���i 'I'O 5Fa0
a/ �� �MO6�1J.6J �.L L".f,�� A 1'i ef � s e S�.4.AlddS9 3 a a'�''%LV .S6�4d d 6`� e � E'a •�TtS W��� �� +'
\J ���� �� , 5 60 �CI��, �T�ET N e E. . FRgDLE"Y �I��T o :
T�� City Engira�ex �h��ei th� Co�znc�.l a pictur� o� t�a� gar�ge to ia�
��l, and co�aa�ced that he Yl�aught it �►oui.� los�� nice and could
s�� no p�obl�m.
lo��p� by Councilr�m Li�l to concuac v�ith th� ��ildir�g S�arad�d� -
D��igra Contgo7 S�cor�t��e, t� allov+ a g�ag� to be mov�d to
S60 i���ll Str��t rI o� o, sub j wct to tl�� r�u��aa�� s�t do�
by iche ��co�nitt��o _�econd�d by Couraca.l�.^ ��x3.dano Upo� a
voice vot�, �1� voicing ay�, ��yor IC�.r]�� declag�si Y�e motl.on
c�� i�e1. . .
10 0 ��'� A T P' � ��� `-
5301 C� A�1�iJ� Pd � � CI� SCOfiTT ��' Y�&�L�.�► �iT
6�T�i �1� �T FL�V�t RQ�Ao (F�QI7��� �X GI� ��[T'�� O�
�-��� s
The Ci�y �Q�.rn��r �aid tha� �lhe Inspectior�
}��s bt�i�.ciirag �a� in good enough cond�tion
th�y r�co�nd�d d�r��.�l of th� r�u�sg a
�
D�p��rt�nt did natt thia�lc
�O 3i�OV�, t23�]CH�O��,
i�pfi�O�t iay Cauncil�n Li�lbl to conc.� �ith th� Euil��.rag Stan���� °
Design Control S��o�nanitt�e i�a �e deniab to• an�v� �Ya� bu��,dirag �t
5301 G�ntral Avenu�. S�corad�ci by Counci].a�n SYae�i,�i�no tJpoa� a voic�
vot�, all vot�.ng ay�, l�iayor Kir]�� decgar� th� �ot�on c�gi�o
'1. `
{
`BIIILDING STANDARDS - DESIGN CONTROL MEETING AUGUST 14, 1968
�
¢. CONSIDE[�ATZON OF 9. RE IIEST TO CONSTRUCT A CANOPY ONTO EXI
LOCgTID AT 7449 �ST RNEE� RoAD, FRIDI�EY, MINNESOTA. REQ
STTPERIOR "400". 72o WEST 94�` ST., BLOOMINGTON, MINNESOTA.
�
Mr. Ray Jones was preaent.
BY
P�GE ¢
STATION
MOTION by Biermann to recommend that a permit be issued for the construction
of the canopy as presented on the plana.
Seconded by Tonco. IIpon a voice vote, there being no nays, the motion
carried unanimously.
Mr. Jones advised this Board that when the County completea their digging
and resurfaci.ng on East River Road in front of the atation, they (Gulf
Superior "400"� will clean up the boulevard and resod the area.
OF
CK.
TO MOVE g G.AR.AGE FROM 334 �YSESS ST. ,N.E.
60 KIN�ALL ST. N.E. FRIDLEY MINNESOTA.
0 KINB�LL ST. N.E.. FRIDLEY, MINNESOTA.
Mr. Dick Curran couldn't be present at this meeting however due to the
circumstances the Board reviewed thia req�.est.
MOTION by Tonco to recommend that a�ermit be issued so that the �a.ra�.e
could be moved to the proposed site as it would up grade the aite, but
with these atipulations: �
1. That a performa.nce bond of $150.00 be furniahed to the City.
2. That a time limit be aet of 90 days for completion.
Seconded by Hauge.
carried una.nimously.
#4 0� BIISZ�ss
IIpon a voice vote, there bei.ng no nays, the motion
No one was present to represent the Girls Scouts of America.
MOTION b� Tonco to deny this requeat to move the house because this
Committee concures with the reports of the Buildin.g Inspector as to the
atructural condition of the dwelling as it does not warrant being moved
and repaired, and that it would not up grade the area that they plan to
move it to.
Secondeii by Dittes. Upon a voice vote, there being no nays, the motion
passed unanimously.
Con.versation between the Board Membera was to recommend that the City
Attorney contact the State Highway Dept. and find out if the money paid
for this dwelling could not be refunded to the Girl Scouts of America.
�
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, 4697
Building Job Report
ADDRESS � � � E�y�. }%. � t
`�'/!'�ri `��„ �
OWNER .�(o c3 f��yw�-��� /�� �o�slJl� - �
T
BUILDER �
DATE T1(PE PERMIT NO. i
DESCRIPTION�o�,,,,,,_ �,,, ��, �
/. .p �,%E,.� ��.L . � _/ ,Irl..�,�/.:^^-v1�_ ��
� 7
_ � ' _ .f/�y: iL�
• � • � �
DATE REPORT
COMPLETED & APPIlOVED
INSPECTOR
DATE
_;�� .
sue�ecr PERM
City of Fridley . 13285
AT THE TOP OF THE TWINS g U I L D I N G P E R M I T
�
; ;, REC
� � COMMUNITY DEVELOPMENT DIV. � �^'�� �
' j v _.��_., s
r � � PROTECTIVE INSPECTION SEC. (�
1 = i
(` /"'1 � CITY HALL FRIDLEY 55432 NUMBER REV. DATE PAGE OF APPROVED BY
L•�•�� � ,'� 812-580-3450
910-F15 10 27 75 � �
JOB ADDRESS 560 Kimball Street N.E.
1 LEqAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED
DESCR. L,�L�-47 �; Rj,VGTV].EW Heights SHEET
2 PROPERTYOWNER MAILADDRESS ZIP PHONE
Greg Basara 560 Kimball Str�et N.E.
3 COIVTRACTOR MAIL ADDRESS Z�P PHONE LICENSE NO.
Same
4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO.
5 ENGINEER MAILADDHESS ZIP PHONE LICENSENO.
8 USEOF BUILDING
R�S 1C�P.11t].d�.
7 CLASS OF WORK
❑ NEW 0 ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE
X
8 DESCRIBE WORK
Qonstruct a 24' x 15' Addita.on to Dwellin
9 CHANGE OP USE FROM TO
STIPULATIONS
ERA?E PERMItS REQUIRED, �t3l� �IYt�ii{V� ���r���.�`�,�''�
SEP B�fore �iggin
HEATING. Pl1�Nt8N�G AMD SiQI��. rEC�PHO�E. e csr► ro�-� ,• .
cl ,r.al
, � , � , � ���cT�;� _ �� j'��
. . . :;•` • ar'11•�Q` �' " `�� ��. . ��uj��� B ��
. Q, ,..�,d ?q . . � Y�A1�
TYPEOFCONST. OCCUPANCYGROUP OCCUPANCYLOAD
SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATINQ,
VENTILATING OR AIR CONDITIONING. �OOd frdlDe
THIS PEAMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING SO. FT. CU. FT.
AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION
OR WOflk IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT
ANY TIMq AFTER WORK IS COMMENCED. NO. DWLG. UNITS OFFSTREET PARKING
I HEREBYI CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION �. STALLS GARAGES
AND KN01N THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS VALUATION SURTAX
AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED.
WITH WH�THER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT $9, 750 � 4-87
DOES NOT PRESUME TO GIVE AUTHORITY 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. � $3S. gl
PLAN CHECK FEE TOTAL FEE
$40.78
SIGN'ATUREOFCONTRACTORORAUTHORIZEOAGENT (DATEI WHEN PROPERLY VALIDATED THIS IS YOUR PERMIT
_ ' n' n�
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• � ' '. � � • •APPLICATION POR R}sSTDENTIAL., ALTL'RATION, � � •
. � �
OR AllllITION. BUILDIti'G PLRI�IIT . �
. ' CITY OF FRIDLEY,�hiiNNESOTA • . �..
O�+TNER' S NAri� : _,�� ��s/��/% BUILDER : S� / � . • .
�. �� /
� • ADDItESS : ��� �Y�����G'` .S`i i✓� ADDR�SS : .S%7�' �
. . . .
I • � STREET : �� � �ir✓/ �% �C ST /ti'� •
NO.. �
I•UT : �� � `�7 BLOCI:: ,� ADDITIOI` : I� /�%�' %i� � �i� ��� - - - ---- �
� CORNER LOT: INSIDE LOT: SETBACK: __ SID�YAr.D: .
Applicant 2ttacr. �o this forac Ztuo Certificates. �f Survey•of�L�ot and.pxoposed ,. -
building location dra�an on these Certificates. � . '
i _ ° .
. • . , , . . . . .
. . , - . • • • •. � , ' � .
. � �HESCRIPTION OF BUILDING �� �
. � ' � � �
Ta Be Used As : . , � �
. . / ,�
���� ��r�.� Front : .7� Depth : � �� � Height : /s�o�e� r� � �"N ��`rs� .-y��= n(T
. • . Square Feet: ��� � Cubic.Feet: �'�� �1
� . Front: Depth: Height:
�. . . � Square Feet; Cubic Feet�: � - �
. � _ � � .
. Zjrpe of �Construction: f��i�,� Estimated Cost: d�
� To� Be CompleCed: - . �• �s� , .
�� The undcrsigned hereby makes applicativn for a permit for the work herein �
speci.iied�, a�reeing• to do all worlc in st=ict accordance zaith the Cit}• of
' Fxidley Ordinances and rulinss o� the Department of Buildings, and her�by
� declares Chat all the facts and representations stated in tliis application
8re true and corrcct. � .. ,
' • � . . .
• • , D�ATE: SIGN�1TUItE: c-�-�-�c- '
• (See l�everse Side For Additional Information.)'
a y x ��< = 3`�. � � +. o = B e . � . q�so x �. e� : �.s�. . .
. . �. � 34. 04 . �z.�. � �.�65 ° 13.3'1-
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. , .. •� � • • BU1Lll1Nli L'.L•1C►�I1 1 rLL ����,:LULC ,
, . . . �
. ' • � . . • � o I
� S�CTION 2. The Tnspector oi Buildings shall, before issuing permits for Che ;
exection of any building or structure, or for any addition to any existing . ;
building or stxucture, or i'or any alteration or repairs to any exisCing i
� building or struc.ture, upon application theretore, require the paymen� by the '
applicanC ior such permit of fees to tlie air.ount hcrein below set forth and i� ;
the manner licrein provided to-wi.t: . . • I
. ' , �
. ;
. UN7.FOItM BUILDING COD�: Type 1, 2& 4-$2.15 for each onc thousand cubic ,
feet, or fxaction thereof, in such cubical contents. 1`ype 3& 5-$1.85 for ' '
� each one thousand cubic feet. - �' �
. • . . •
• � ADDITIONAL INFORI�IATION • �
. . � . ;
. . ,� �
" Fox the purpose �f computing fees for building permits, the cubical conten:.s �• "
of any builcling or addiL-ion, is determined by multiplying�the ground area
. covered from a point six (6) inches below the floor line ot the basement •
ox the cell.ax to- the average heights of the uppex surface ox to the average�
� height of the•roof surface of the main gable of a pitched roof. '
' . . �
• For repairs.or alterations to•an esisting structure, the fee sha21 be at the
• rate of $3.00 per each f ive hundxed�dollars ($500.00) or fraction thereof in _
�the cost o� all proposed work. ' . - . '
�� � In no case shall the fee charged for any permit as set forth i.n Section 2 be •
� less than $5.00. �. � ' ,. � '
� �°� VERIFICATION OF FOUNDATION � � .
. � • i' .
NOTE: Permits for construction will be issued.a minimum of 24 hours fxom the
ta.me of application, to allow for proper review of the proposed structure and. � i
• of the constxuction site. . . • .. �
A Certified Survey of the lot, sho�aing the Iocation of the foundation, once it �
has been constructed, will be required before proceedin� with the framing. �
CERTIrICATE OF�OCCUPANCY ' • �
Application for a Certiticaee of Occupancy shall be made ten (10) days prior �
; to the use or occupancy of any structure for which a buildin�; permiC has beea . '
�ssued; �nd said structure shall not be used or occupied until a Certificate
'•• of Occup�ncy has veen issued. . . . , j
. �
. � � � • � � ° �
, . , . • •
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AGREEMENT
, I, �� � �e ��'O owner of
. the rr�perty located
_ at ��� �! �, ,�Q �� �� �� have no obj ection to the City allowing
the construction of ���� ��� f,;�� to be located at ,�� �
' ��?��''�=�� C�-���� without the� required certificate of survey that the
. , City ordinarily requires for all new construction.
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. � Sigx�ature
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Building
Inspections
763-572-3604
763-502-4977 FAX
DATE � { r
SITE ADDRESS _
TI-IIS APPLICANT IS:
PROPERTY OWNER/
TENANT
BUILDING
RESIDENTIAL APPLICATION
CITY OF FRIDLEY
EFFECTIVE 1-1-08
�� c �
"G O �%
❑ OWNER �CONTR
NAME: �
ADDRESS: � �
punt�F• �%/�� .�.-,
YOUR E-MAIL ADDRESS
� �/��� s�
CONTRACTOR �wDRESS: C�, � � / l�
SUBMIT A COPY OF pHONE �� i•(�— ��^
YOUR STATE LICENSE �v
STATE LICENSE # � B .7 �
PROPERTY TYPE I�.SINGLE FAMILYMEW CONSTRUCTION
❑ TWO FAMILYMEW CONSTRUCTION
PERMIT TYPE � �DITION
❑ BASEMENT FINISH
0 DECK
❑ SWINIMING POOL
CITY �K ( �J,�
� � �
�CiTY
_ FAX
EXP DATE
SIZE
STORIES
❑ WINDOWS
❑ DRAIN 1'ILE
❑ OTHER
TYPE OF WORK: ❑ NEW HOME CONSTRUCTION � ADDITION
f�] MAINTENANCE/REPAIR ❑ REMODELING
DESCRIBE WORK BEING
SIZE OF IMPROVEMENT
ROOFING L
NUMBER OF SQUARES ��
GARAGES
PROPOSED S1ZE:
PROPOSED HEIGHT:
SIDING
❑ Vinyl
❑ Aluminum
❑ Other
WWDOWS
IN EXISTING OPENINGS ❑Yes �1Vo
OR FOR NEW OPENINGS-DESCRIBE SIZE OF
OPENING CHANGES &
TYPE OF WWDOW TO BE INSTALLED
❑ HOUSE ONLY
❑ HOUSE & GARAGE
❑ ATTACHED GARAGE
❑ DETACHED GARAGE
�Soffit
❑ Trim
❑ Fascia
LOCATTON OF WINDOWS
NUNIBER OF
Permit No.:
,;
�- - -. :
;
. .
�.,�=-��� � 1� II�
� _
ATE /�G fJZIP�Z I
STAT�ZiP �S �3
�
BASEMENT REMODELING SUBMIT:
1. Existing Floor Plan
2. Proposed floor plan
3. List of structura! members to be used
FOR NEW CONSTRUCTION INCLUDING DECKS,
ADDITIONS. & PORCHES SUBMIT:
1. Site Plan/Survey showing the existing structures
and proposed project
2. Two sets of construction plans
3. Energy Calculations ,
`
ALL FEES ARE BASED ON VALUATION, INCLUDING THE COST OF LABOR AND MATERIALS:
(USING THE 1997 UBC FEE SCHEDULE)
TOTAL JOB VALUATION $ ��� OCCUPANCY TYPE
Permit Fee
Plan Review
Fire Surcharge
Surchazge
License Surcharge
SAC Charge
Curb Cut Escrow
Erosion Control
Park Fee
Sewer Main Charge
Total Due
$ a'f�,, o�i � 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)
$ $1825 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 c6ecks payable to: City of Fridley Attach
THIS IS AN APPLICATION FOR A PERMIT-NOT VALID UNTIL PROCESSED
I hereby apply for a building pennit 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 1 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 a e with the ap roved lan in the case of all work which requires review and approval of plans.
SIGNATURE OF APPLICANT t � PRINT NAME �/,�1�� �� j P�/�'DATE $ �
APPROVED BY
DATE
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 exisiing 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 aciditional $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 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
$100,001 to $500,000 $993.75 for 1�` $100,000 plus $5.60 for each additional $1,000 or fraction to
and including $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 ]�` $1,000,000 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
Faz: 763-502-4977