PRE 2010 DOCSo
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Village ®f Frid.ley,'.Mi.nn.
BUILDING PERMIT
Date. f ` X
Ow
ner..d v „ b`� r. Builder
Address Address ........ a ° . ..
�
LOCATION OF BUILDING
No. . �, t Street r: f "�:a . Fart ' of Lot.. .. .... .
Lot .. :� Block ,f ............ Addition or Sub -Division .af. .
Corner Lot Inside Lot .. Setback Sideyard ' e
DESCRIPTION OF BUILDING
To be Used a,$:
,' f s..: ," . •Front s Depth . I eight, Sq. Ft. ` ' ° '! : Cu. Ft. ........
2- . Front Depth i ht Sq. Cu. Ft.
Type of "struction� ,..... Est: Cost . d. �r : To be Completed .. ..
In . consideration of . the issuance to me of a permit to construct the building described above, I agree to do
the proposed work inaccordance with the description above set forth and in compliance with all provisions of
ordinances of the village of Fridley.
In consideration of the payment of a fee of $... ...., permit is hereby granted to - ..j .......
to construct the buildingor addition as -described above. This permit, is granted upon
the express 'condition that the person to whom it is granted and his agents,. employees and workmen, in allwork
done in, around and upon said'' building, or any part thereof, shall, conformin all respects to the ordinances of
Fridley, Minnesota regarding location, construction, alteration, maintenance, repair' and moving of buildings with-
in the village limits and this permit may be revoked at any time upon violation of any of the provisions of said'
ordinances.
... undina, Inspector
This permit does not cover the construction, installation or alteration for wiring,
sewer or water. Be sure to see the Building Inspector for separate permits for these
!b ,gas heating,
is.
'C�3
City of Fridley, Minn. 10790
BUILDING PERMIT
Date: August 18, 1970
Owner: Mr- Anthany Builder rOMMIMM, -tgn Company
Address 6790 Plaza •► \ 3 . dr ;:.: dz R • +_ -..� .. '. z•r-Mt
LOCATION OF BUILDING
No. 679,0 Street Plaza Curve N.F. Part of Lot
Lot — 13Block 3 Addition or Sub -Division Rice Creek Plaza Addition
Corner Lot , Inside Lot Setback _ _ _ Sideyard
Sewer Elevation
To be Used as:
Foundation Elevation
DESCRIPTION OF BUILDING
Patin Srrgen Front 20
Depth 12' Height
10' Sq. pL
Cu. Ft
Front
Depth Height
Sq. Ft
Cu. Ft
Type of Construction Wood & Alum.
Est Cost 1$2, 000
_ To be Completed
Aug. 1970
In consideration of the issuance to me of a permit to construct the building described above, I agree to do
the proposed work in accordance with the description above set forth sand in compliance with all provisions of
ordinances of the city of Fridley. ,/
In consideration of the payment of a fee of E 7-00 , permit is hereby granted tozelton Company
to construct the building or addition as described above. This permit is granted upon
the express condition that the person to whom it is granted and his agents, employees and workmen, in all work
done in, around and upon said building, or any part thereof, shall conform in all respects to the ordinances of
Fridley, Minnesota regarding location, construction, alteration, maintenance, repair andmoving of buildings
within the city limits and this permit may be revoked at any time upon violation of any of the provisions of said
ordinances
C ze==- 'ctorP
q
CLARENCE BELISLE
NOTICE:
lois pormh dost not cover the construction, Installation for wiring, plumbing, gas henthm sewer or water. Be sure to we
the Building hMm for for separate permits for these hems.
..
APLICATION FOR RESIDENTIAL, ALTERATION,
OR ADDITION BUILDING PERMIT
CITY OF FRIDLEY, MINNESOTA
OWNER'S NAME: ,-/ e c BUILDER:• 401
ADDRESS:�p ���r� r�r'%� ADDRESS:
NO:. D -a ET:
rr,v
LOT: BLOCK:ADDITION:.. /�
CORNER LOT: INSIDE LOT:� SETBACK: SIDEYARD:
Applicant attach to this form Two Certificates of Survey of Lot and proposed
building location drawn on these Certificates.
DESCRIPTION OF BUILDING
To Be Used As: A,® Sd�-ct� ��e�osw`-t
Front: _ Depth: Z i Height:
Square Feet: 2 Cubic Feet:
Front: Depth: Height•
Square Feet; Cubic Feet:
Type of Construction: �� I��rc �n , Estimated Cost: $ 2 c oe r O O
To Be Completed: _e 2-.,,- 7,0
The undersigned hereby makes application for a permit for the work herein
specified, agreeing to do all work in sttict accordance with the City of
Fridley Ordinances and rulings of the Department of Buildings, and hereby
declares that all the facts and representations stated in this application
are true and correct.
DATE: _ -�- f� - 7�� _ SIGNATURE:
(See Reverse Side For Additional Information.)
53 -8 -S-915.51
City of Fridley
Applicesisn fw N=Mag end Gm R"Wag
Dept. of Bldgs. Phone Std -3450
DESCRIPTION OF WORX 6790 N. E. Plaza Curve
Number. Kind and Location of Fixtures
qp LOCMHOA—
O
I
WATER W".
GAS EIEC.
Q
S
i H
$A
O�
Base
1st
In
ta
11
Gaol
Gr ° 11
2nd
3rd
4th_
• Future Coaneeffion Openings
Connecteld with
+ New Fixture, Old Openings . i
Sower ❑
Cesspool Cl
PARTIAL RATE SCHEDULE
PLUMBING FIXTURE RATES: NO. RATE TOTAL
Number Fixtures ................. x $2.00 $
Future Fixture Opening ............ x $1.50 $ -.
New Fixture Old Opening .....:.... x $1.50 $—,
Catch Basin ...........:........ x $3.25 $
Water Heater :Up to 99,000 BTU).... x $3.00 $
New Ground Run Old Bldg......... x $3.25 $
Electric Water Heater........... s $2.00 $
3AS FITTING FEES: NO. RATE TOTAL
1st 3 Fixtures ...... ...... • , • • x $2.00 ;
Additional Fixtures ................. x $ .75 $
Gas Range to 199,000 BTU .............. x $5.00 $
City of Fridley:
The undersigned hereby makes application for a permit for the- work herei
specified, agreeing to do all work in strict accordance with the City Ordinance
and ruling of the Department of Buildings, and hereby declares that all the fact
and representations stated in this application are true and correct
8-9-74
Fridley, Minn 19—
Owner
Moran H. Anthony
Kind of Building Frame
Used as Res.
To be completed about 8-16-74
Estimated Cost, $ 10.00
Old --VW. Building Permit No. Permit No. �CJ
Signed
By MINNEGAsee---•-
Business Phune No
ROUGH
FINAL `/r - / - % ,S
REPAIRS is ALTERATIONS—Rioter to Code .50 State Surcharge
Install Grill 5.00
Description ....... ll Gill
. ... .................
TOTAL FU $ 5.50
Class, 12A11 Surcharrgo .50¢
sueJEcr
RMIT NO. .
City of Fridley
2 3 0 6 3
AT THE TOP OF THE TWINS
BUILDING PERMIT
RECEIPT NO.
Ir?
•' COMMUNITY DEVELOPMENT DIV.
� I PROTECTIVE INSPECTION SEC.
�r
CITY HALL FRIDLEY 55432
NUMBER
REV
DATE
PAGE OF
APPROVED BY
612-571-3450
910-F15
11/2/94
JOB ADDRESS 6790 Plaza Curve NE
1 LEGAL
LOT NO.
BLOCK
TRACT OR ADDITION
SEE ATTACHED
DEscR.
13
3
Rice Creek Plaza South
SHEET
2 PROPERTY OWNER MAIL ADDRESS ZIP
PHONE
Bill Williams 6790 Plaza Curve NE
571-4562
3 CONTRACTOR MAIL ADDRESS ZIP
PHONE LICENSE NO.
Wright Roofing Inc. 4735 Norwood Ln, Plymouth MN 55442
559-4250 9200
4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP
PHONE LICENSE NO.
5 ENGINEER MAIL ADDRESS ZIP
PHONE LICENSE NO.
6 USE OF BUILDING
Residential
7 CLASS OF WORK
❑ NEW ❑ ADDITION ❑ ALTERATION Lj REPAIR
❑ MOVE ❑ REMOVE
8 DESCRIBE WORK
Reroof Dwelling (25 Sq) Tear-off
9 CHANGE OF USE FROM TO
STIPULATIONS Underlayment must comply with the State Building
Code.
TYPE 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
SO. 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 HEREBY CERTIFY THAT 1 HAVE READ AND EXAMINED THIS APPLICATION
1
I STALLS
I GARAGES
AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS
VALUATION
SURTAX
AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL E COMPLIED
$19875
$.94
WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTI OF A PERMIT
DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATOR CANCEL THE
PERMIT FEE
SAC CHARGE
PROVISIONS OF ANY OTHER STATE OR L LA REGULATING CON-
$43.00
Fire SC $1.88
STR�IOR RMANCE OF N R ION
THPERF
PLAN CHECK FEE
TOTAL FEE
License SC $5.00
$50.82
SIGNATURE OF CONTRACTOR OR AUTHORIZE A, ENT IDATEI
WHEN PROPERLY /ALI DATED THIS IS YOUR PERMIT
SIGNATURE OF OWNER OF OWNER BUILDERI (DATE) I
. BL GrNSP
DATE
NEW
ADDN
ALTER
[l
[l
[l
ConstructionAddress:
CITY OF FRIDLEY
SINGLE FAMILY AND DUPLEXES R-1 AND R-2
Building Permit Application
6-710 P14 -z.) Cu/ ve,
Effective 1/1/94
Legal Description:
Owner Name & Address: A �i �` 11r� �- � Tel. # �5'7(� ��6`1
Contractor: end 9-L� � t A C" t^ 5 T`` MN LICENSE # VO -0
Address: Z 3 /t/,2fw j -'d Tel. # 0
Attach to this application, a Certificate of Survey of the
lot, with the proposed construction drawn on it to scale.
LIVING AREA:
GARAGE AREA:
DECK AREA:
y
Length
Length
Length
DESCRIPTION OF IMPROVEMENT
Width Height Sq. Ft.
Width Height Sq. Ft.
Width-_ __. _ Hgt/Ground Sq. Ft.
Corner Lot (] Inside Lot (] Ft. Yd Setback Side Yard Setbacks
Type of Construction: Estimated Cost: $ _
Approx. Completion Date:
(Cost on Back)
Driveway Cut Width Needed: Ft. 6 IF Ft x — $
DATE: (i APPLICANT: r `G�EL Tel. #
im USE ONLY
Permit Fee
$ 00
Fee Schedule on Reverse Side
Fire Surcharge
$ '?)D
..001 of Permit Valuation (1/10th%)
State Surcharge
$ Cr `
$.50/$1,000 Valuation
SAC Charge
$
$800 per SAC Unit
License Surcharge
$ S0 0
$5.00 (State Licensed Residential Contractors)
Driveway Escrow
$
Alt. "A" or Alt. "B" Above
Erosion Control
$
$450.00 Conservation Plan Review
Park Fee
$
Fee Determined by Engineering
Sewer Main Charge
$
Agreement Necessary [ J Not Necessary [ 1
TOTAL
$ ��•
STIPULATIONS:
.1'1 f v rFuuucY INSPECTION DIV.
6431 University Ave NE
Fridley j4N 55432
(763) 572-3604
APPLICATION FOR PLUMBING AND GAS FITTING PERMIT
MARK NUMBER OF FIXTURES TO BE INSTALLED ON EACH FLOOR
Effective On Jan 1, 2002
PLUMBING FIXTURE RATES: NO. RATE
New Fixtures
Old Opening, New Fixture
Beer Dispenser
Blow Off Basin
Catch Basin
Rain Water Leader
Sump/Receiving Tank
Water Treating Appliance
Water Heater -Electric
Water Heater - Gas** �
Gas Range**
Gas Dryer`*
Back Flow Preventer Required ( )Yes () No
Type
Reinspection Fee $47.00/Hr
$ 7.00
$ 4.00
$ 5.00
$ 7.00
$ 7.00
$ 7.00
$ 7.00
$10.00
$ 7.00
$10.00
$10.00
$10.00
$15.00
ALL OTHERS AND/OR REPAIRS AND ALTERATIONS
1.5% of Value of Fixture or Appliance
TOTAL
State Surcharge .50
TOTAL FEE $_2_Q. 570
JOB ADDRESS ( V77 CIO 1' 1CL2-C', Cil(1e"e—
The undersigned hereby makes application for a permit for the work herein
specified agreeing to do all work in strict accordance with the city codes
and rulings of the Building Division, and hereby declares that all the facts
and representations stated in this application are true and correct.
3-(4 —.200S
Owner '--�bcj) mak W- gL I ii lLS
Building Used As &5 I �'E1 oJ
Estimated Cost Go D. M PERMIT NO.
PLUMBING COMPANY ( aV C ``- SfMS ' l-lC1'lbl r-10
SIGNED BY
FAX # l (oJ
Approved By
TEL N0. IL05'
✓a-�
},Rough -In Date_ Final D
1
COMBUSTION AIR SHALL BE PROVIDED PER UMC SECTION 504(A) AND TABLE 6-A. COMMON VENT INPU ON BACK SIDE
THE BELOW MUST BE FILLED IN WHEN REPLACING FUEL BURNING APPLIANCES OR THE
APPLICATION WILL BE RETURNED
COMMON VENT,VENT CONNECTOR ANDCOMB AIR VERIFICATION
When bola ing an Pxi-,ting furan .P, 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. Yes( No ( )
The venting system is plastictPVC and meets all current codes and manufacturer
specifications including sizing, length, number of elbows and termination.
Yes () No( )
The undersigned also verifies that the replacement unit is a listed assembly
and meets the current codes and manufacturer's specifications. This does
include AGA-GAMA Category I Central Furnace Venting Tables for fan
assisted and natural draft appliances.
Yes( ) No( )
The exis4Ana combustion_ air is sized and installed to meet the current codes
and manufacturer's specifications.
Yes( ) No( )
When required to Install a new comhustion airy it will be sized and installed
to meet the current codes and manufacturer's specifications.
Yes( ) No( )
When innfalling a nes•: venting cycte�m, the undersigned hereby verifies that
it is a listed assembly and meets the current codes and manufacturer's
specifications. This does include AGA-GAMA Category I Central Furnace
Venting Tables for fan assisted and natural draft appliances. Yes( ) No( )
Is the common vent and vent connectors sized and installed correctly after
an appliance has been removed from the common vent and vented
separately as per current codes. Yes( )No(
)
Appliance Jy a and S07p/Common Vent and V nt Conn _ _ter Information
Appliance #1 Type BTU Input Fan Assisted or Nat
Appliance #2 Type BTU Input Fan Assisted or Nat
Appliance #3 Type BTU Input Fan Assisted or Nat
Total Appliances Total Btu Input
Common Vent Type Vent Height Diameter inches
Appliance #1 Vent Connector Height ft Length ft Diameter in Type
Appliance #2 Vent Connector Height ft Length ft Diameter in Type
Appliance #3 Vent Connector Height ft Length ft Diameter in Type
HEATING CO:
Signed By: Date:
CIIYOF
FRIDLEY
FRIDLEY MUNICIPAL CENTER • 6431 UNIVERSITY AVE. N.E. FRIDLEY, MN 55432 • (763) 571-3450 • FAX (763) 571-1287
June 2, 2004
Ms. Deborah Walkes
6790 Plaza Curve NE
Fridley, MN 55432
Re: Final Inspection at 6790 Plaza Curve NE, Fridley
Contractor: Gavic & Sons Plumbing
Dear Ms. Walkes:
A plumbing permit was issued on March 14, 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 permit 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 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.
DJ/mh
3uilding BUILDING
nspections RESIDENTIAL APPLICATION Received By:
763-572-3604 CITY OF F • LEY Da'c �VN
2007
>ATE tj®�� YOUR E-MAIL ADDRESS
iITE ADDRESS ( 4 1-1 L) 1�101�1 1
THIS APPLICANT IS: ❑ OWNER
PROPERTY OWNER/
NAME: v, 'vv72-5 ,
P, -
TENANT
ADDRESS:Ia-71 0PLA W YVb INecrrY � Qdr�
STAT_ IP 5.x `'32_
E
ROOFING
PHONE:`112� - IG -1 �- '
.001 times the total job valuation
CONTRACTOR
NAME: t`
BASEMENT REMODELING SUBMIT:
STATE LICENSE # tg2 4G 24 EXP DATE , I
❑ ATTACHED GARAGE
SUBMIT A COPY OF
YOUR STATE LICENSE
ADDRES d I Li t c p i i a� P CITY
y��'�
I STATEe=`'ZIP '
WITH APPLICATION
PH '� - FAX
ft + 6 ft = ft x $21= $
PROPERTY TYPE
0—SINGLE FAMILYINEW CONSTRUCTION SIZE
FOR NEW CONSTRUCTION INCLUDING DECKS,
❑ Vinyl�$offrt
❑ TWO FAMILY/NEW CONSTRUCTION STORIES
ADDITIONS. & PORCHES SUBMIT:
PERMIT TYPE
❑ ADDITION ❑ GARAGE/SHED ❑ WINDOWS
1. Site Plan/Survey showing the existing structures
❑ Other
❑ BASEMENT FINISH O ROOF ❑ DRAIN TILE
and proposed project
WINDOWS
❑ DECK ❑ SIDING ❑ OTHER
2. Two sets of construction plans
IN EXISTING OPENINGS ❑Yes ❑No
❑ SWIMMING POOL
3. Energy Calculations
TYPE OF WORK:❑
❑ ADDITION
h re ire review and approval of plans.l9
OPENING CHANGES &
® MAIJTENANCE/REPAIR ❑ REMODELING
DESCRIBE WORK BEING DONE:-
—
P, -
SIZE OF IMPROVEMENT
I LENGTH WIDTH
HE G T
ROOFING
❑ HOUSE ONLY
.001 times the total job valuation
NUMBER OF SQUARES
❑ HOUSE & GARAGE •
BASEMENT REMODELING SUBMIT:
GARAGES
❑ ATTACHED GARAGE
1. Existing Floor Plan
2. Proposed floor plan
PROPOSED SIZE:
❑ DETACHED GARAGE
3. List of structural members to be used
PROPOSED HEIGHT:
$
ft + 6 ft = ft x $21= $
SIDING
$
FOR NEW CONSTRUCTION INCLUDING DECKS,
❑ Vinyl�$offrt
$
ADDITIONS. & PORCHES SUBMIT:
13 Aluminum
❑ Trim
1. Site Plan/Survey showing the existing structures
❑ Other
J,Fascia
and proposed project
WINDOWS
2. Two sets of construction plans
IN EXISTING OPENINGS ❑Yes ❑No
LOCATION OF WINDOWS
3. Energy Calculations
OR FOR NEW OPENINGS -DESCRIBE SIZE OF
plan in the case of all work h'
h re ire review and approval of plans.l9
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.C_FEE S�MDULE)
TOTAL JOB VALUATION OCCUPANCY TYPE
Permit Fee
$
See Back Page for Fee Schedule
Plan Review
$
65% of Building Permit Fee
Fire Surcharge
$
.001 times the total job valuation
Surcharge
$
.0005 x Permit Valuation Minimum $.50
License Surcharge
$
$5.00 (State Licensed Residential Contractors)
SAC Charge
$
$1550 per SAC Unit (Plans to MWCC for determination)
Curb Cut Escrow
$
ft + 6 ft = ft x $21= $
Erosion Control
$
$450 Conservation Plan Review
Park Fee
$
Fee Determined by Engineering
Sewer Main Charge
$
Agreement necessary ( ) Non Necessary ( )
Total Due
$
j.&U&& :Make checks payable to: City of Fridley Attach Stipulations
THIS IS AN APPLICATION FOR A PERmrr-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 it
conformance with the ordinances and codes of the City of Fridley and with the Minnesota Construction Codes; that I understand this is not c
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 approves
plan in the case of all work h'
h re ire review and approval of plans.l9
SIGNATURE OF APPLICANT
y
r` — PRINT NAME "� rgR i 1 C i�/ GL / DATE—II
Uilcjing BUILDING / $,��� Permit No.:
_nspections RESIDEN'T'IAL APPLICATION Received By:
SA
763-572-3604CITYOF F1�LEY Dat � d: I
)ATE tQ ���1/ i YOUR E-MAIL ADDRESS
;ITE ADDRESS W
HIS APPLICANT IS:
❑ OWNER CONTRACTOR
PROPERTY OWNER/
NAME:
TENANT
ADDRESSA0 D P STA _ jZ„
$
PHONE:rIU3 "�57%Z' 1" .
CONTRACTOR
NAME: -
SUBMIT A COPY OF
STATE LICENSE W &9t5l(o q EXP DATE 3 3 / ®e e->
YOUR STATE LICENSE
ADDRESS: 8 01 -4' N. cry Il e -F Aux - E • CITY STATEIP S�TLD
WITH APPLICATION
PHONE 95 Z—W 7 —04p /3 FAX q5?- — F 7 e!o S
PROPERTY TYPE
SINGLE FAMILY/NEW CONSTRUCTION SIZE
$
❑ TWO FAMILY/NEW CONSTRUCTION STORIES
PERMIT TYPE
❑ ADDITION ❑ GARAGE/SHEDWINDOWS
ft + 6 ft = ft x $21= $
E3BASEMENT FINISH 13ROOF i7 DRAIN TILE
$
❑ DECK ❑ SIDING ❑ OTHER
Park Fee
❑ SWIMMING POOL
TYPE OF WORK:
qNEW ❑ ADDITION
$
MAINTENANCE/REPAIR ❑ REMODELING
DESCRIBE WORK BEING
SIZE OF IMPROVEMENT
NUMBER OF SQUARES
GARAGES
PROPOSED SIZE:
PROPOSED HEIGHT:
SIDING
❑ Vinyl
❑ Aluminum
❑ Other
❑ HOUSE ONLY
❑ HOUSE & GARAGE
❑ ATTACHED GARAGE
❑ DETACHED GARAGE
❑Soffit
❑ Trim
❑ Fascia
WINDOWS
IN EXISTING OPENINGS AY, ON, LOCATION OF WINDOWS
OR FOR NEW OPENINGS -DESCRIBE SIZE OF
OPENING CHANGES &
Ft.
BASEMENT REMODELING SUBMIT:
1. Existing Floor Pian
2. Proposed floor plan
3. List of structural members to be used
FOR NEW CONSTRUCTION INCLUDING DECKS,
ADDITIONS. & PORCHES SUBMIT:
1. Site Plan/Survey showing the existing strucuuer
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 U.B.0 FEE SCHEDULE)
TOTAL JOB VALUATION $ 9H GJ® 0 OCCUPANCY TYPE
Permit Fee
$
$ :j. See Back Page for Fee Schedule
Plan Review
$
65% of Building Permit Fee
Fire Surcharge
$
.001 times the total job valuation
Surcharge
$
/ . .0005 x Permit Valuation Minimum $.50
License Surcharge
$
15. O ® $5.00 (State Licensed Residential Contractors)
SAC Charge
$
$1550 per SAC Unit (Plans to MWCC for determination)
Curb Cut Escrow
$
ft + 6 ft = ft x $21= $
Erosion Control
$
$450 Conservation Plan Review
Park Fee
$
Fee Determined by Engineering
Sewer Main Charge
$
67 Agreement necessary ( ) Non Necessary ( )
Total Due
$
I . '72, Make checks savable to: Citv of Fridlev Attach Stipulations
TION 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 mi
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 all work wbich requires reyj}w and approval of plans.
• r/11.r/a •• • � •