PRE 2010 DOCSCity of Fridley, Minn..
BUILDING PERMIT
Date: _ ""'..... w°1:_..___..r._..._.....
_.__..___...__...._
Owner: .-:._.............
Address ....................
N® 4.'726
Builder _*"` _. :.. ',yds .,.....
Address.:'
,/ , LOCATION OFUILDING
No.. .... .;,i�............ Street ........ ........ Part % of .................. ... ...... ,....... _........
Lot ...._.,,;ai................. Block ....._... ...._ .. �.......... ......... Addition or
Corner Lot .................................. Inside Lot ... "'......................Setback ... ....._........ Sideyard .._................................... .......
Sewer Elevation ..... . ............................ _............. _.._........................ ..................... _. Foundation Elevation
DESCRIPTION OF BUILDING
To b Used ash
�' ,... Front---:_.. Depth ....�..�+ Height ._.:_.. Sq. Ft. �._� Cu. Ft. ,r� ✓
.... Front ...:.:......::_...._.. Depth .......:. } Height _
......�.. Sq. Ft....;:_ Cu. Ft. . ..
_ ......... _
Type of Construction � r ..:, '� s ...... .. Est. Cost .. a�, _ ._, _ o be Completed ..... . ...........................................
THi:S PER%�,'1�{OR!'EVIOLAT
ION OF Ai':Y P,",i', E LAND COVENANTS AND
BUILDING RESTRICTIONS.
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 and in compliance with all provisions of
ordinances of the'-'- city of Fridley.
r---------- -••---_...._..._..
In consideration of thea #
p yment of a fee of $..: ,4 .:................ permit is hereby granted to ......................... .............................. ...
............. to 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 and moving 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. AA r
Building Inspector
NOTICE:
This permit does not cover the construction, installation for wiring, plumbing, gas heating, sewer or water. Be sure to see
the Building Inspector for separate permits for these items.
4
APPLICATION FOR BUILDING PERMIT
CITY OF FRIDLEY, MINNESOTA
Owners Name Builder y
Address Address L::
LOCATION OF BUILDING
No. �,� r Street ��c��Part of Lot
Lot Block
Addition or Sub..Div.
Corner Lot�Inside Lot—4—Set 'Back: . -Side-Yard ?4
SEWER ELEVATION FOUNDATION -ELEVATION
Applicant attach to this form -Certificate of Survey of Lot and proposed building
location. :
DESCRIPTION OF BUILDING
To be used as:
. w ; Front Depth % Height
--.0 � Front i Depth Height
Sq. Ft. Cu. Ft. o
Type of Construction Estimated Cost
To be completed
The undersigned hereby makes application for a permit for the work herein specified..
agreeing to do all work in strict accordance with the City Ordinances and ruling of;
the Department of,Buildings, and hereby declares that all,the facts and representa-
tions stated in this. application are -true and correct.
DATE '7.,/j -- _ _ -- SIGNATURE
(A Schedule of Fee costs can be found on the Reverse Side.)
City ®f Fridley, No 7542
BUILDING PERMIT
Date: MW25, 1965
Owner: Art. HA"s Builder its'. L. Scherer
Address 721 Rice geek Terrace N. $. Address 6525 Sec. St. N. E.
LOCATION OF BUILDING
No. ?21 street Rise Creek Terrace N. E. Part of Lot
Lot 1__ Block 1 Addition or Sub -Division Brookyiew Terrace 3rd. Add.
Corner Lot . Inside Lot Setback _ _ Sideyard
Sewer Elevation Foundation Elevation
To be Used as:
Dwelling Front
Front
Type of Construction
Storm Repair Damage
Depth Leight Sq. Ft
Depth Height Sq. Ft
— Fast. Cost $4.,000-00 _ To be Completed
Cu. Ft.
Cu. Ft
In consideration of the issuance to me of a permit to construct bTuildin described above I agree to do
the proposed work in accordance with the description above setT
in piian with a'll provisions of
ordinances of the city of Fridley.
In consideration of the payment of a fee of �1C.i)0 , permit is hereby granted toD- L. Scherer
to construct the building or addition as described above. This permit is grantedupon
the express condition that the person to whom it is granted and his agents, employees an 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 and moving 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.
NOTICE:
This perm& doss not cover the eondrucdon, hufati en for wWng, phnahing, gas henfln& sower or water. Be wre to see
the Betiding Inspector for Separate pwffdit for then
APPLICATION FOB BUVING PERMIT,
CITY OF FRIDUYyLNESOTA
OWNEW S NAM BUILDER (" �
ADDRESS . , / _ �.. ! UZ-� �.-ax° y w*Cu ADDRESS
LOCATION OF Btr-RDING
9
No, ery Street Part . of .Lot .
Lot 13 Block , —Additions or Subdivision
Corner Lot Inside Lot ,e_ ettsack Side -Yard
SEWER ELE`VATIQNFOUNDATION ELEjiWTION
Applicant attach.to this form, Two Certificates of Survey of Lot and proposed build-
ing location drAva oh these Wtificates.
DESCRIPTION OF BUILDING
io be used as:
d
\ y
FrtJnC Depth Height
sq. Ft. Cu. Ft.
1+'ront Depth Height
Sts. Vt., Cu. Ft.
Type of Construction Estimated ,Cost 10 40e
_20-.be-Compl eted
The undersigned hereby makes application for a.permit for the work herein specified,
agreeing to do all work iff strict accordance with the City of Fridley Ordinances and
rulings Qf the Department" of Buildings, and hereby declares that all the facts and
representations stated in this application are true and correct.
cb+eduie.of Fee Costs can be found on the Reverse Side).
3 31X,r
City of Fridley, Mm. N9 8739
BUHDING PERAUT
Date: MARCH 312 1966
owner: ART HAYES Builder DREW L. SCHERER
Address 721 Rice Creek Terrace Address 6525 - 2nd St. N. E.
Fridley, Minnesota 55432 Fridley, Minnesota 55432
LOCATION OF BUILDING
No. 721 Street Rice Creek Terrace part of Lot
Lot 13 _ Block 1 Addition or Sub -Division . Brookview Terrace, 3rd Addition
Corner Lot ._ Inside Lot _ _ Setback __._ Sideyard
Sewer Elevation Foundation Elevation
DESCRIPTION OF BUILDING
To be Used as:
Addn. to Garagepront 18 Depth 24 Height 10 Sq. Ft, 432 Cu, Ft. 4,320
Front Depth Height Sq. Ft. Cu. Ft.
Type of Construction Frame' & Block Est. Cost $1,650 _ To be Completed
In consideration of the issuance to me of a permit to construct theMuiligdes above I agree to do
theproposed work in accordance with the description above set forthmplian th provisions of
ordinances of the city of Fridley.
In consideration of the payment of a Pee of $ 5.00permit is hereby granted to DREG L .�SCHERER !'
to construct the building or addition as described above. This permit is granted upon
the express condition that the person to whom it is graated and his agents, employees an workmen, in all work
done in, around and upon said building, or any part thereof, shall conform in all respects to the ordinancesof
Fridgs
iMinnesota �permit 1 � be revoked at anyntime upon ola'timany of the proviand moving sionbs of said
within� city limits and
ALLEN G. JENSEN Building Inspector
NOTIC6t
M permit don not dowr the donatrudtlon, Installation for wiring, plumbing, on heathgb ewer or water. Be em to an
the Bulldimg imepedtor for eparate permNa for thea ham
APPLICATION FOR BUILDING PERMIT
CITY OF FRIDLEY,,:MINNESOTA
OWNER'S BUILDER
ADDRESS ' ADDRESS !�
LOCATION OF BUILDING
NO. STREET. a _PART OF LOT
LOT BLOCK ADDITION Oft SUBDIVISION
CORNER LOT INSIDE LOT SETBACK SIDE -BARD
SEWER ELEVATION FOUNDATION ELEVATION
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:
Front % Height
Sq. Ft. Cu, Ft.
Front Dept ^ Height
sq. Ft. Cu. Ft.
Type of Construction� ` Estimated Cost
To be completed
The undersigned hereby makes application for a permit for the work herein
specified, agreeing to do all work in strict 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. h
DATE SIGNATURE
(Schedule of Fee Costs can be found on the Reverse Side).
a -4r o
SUBJECT
P �Q
City of Fridley
20738
AT THE TOP OF THE TWINS
BUILDING P E R M I T
• _ COMMUNITY DEVELOPMENT DIV.
PROTECTIVE INSPECTION SEC.
? q
r ;
J
CITY HALL FRIDLEY 55432
NUMBER
REV
DATE
PAGE OF
APPROVED BY
612-571-3450
910-F15
3/28/91
JOB ADDRESS 721 Rice Creek Terrace NE
1 LEGAL
LOT NO.
BLOCK
TRACTOR ADDITION SEE ATTACHED
DESCR.
13
1
Brookvew Terrace 3rd Addition SHEET
2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE
Bruce Larson 721 Rice Creek Terrace NE
3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO.
Thurs Construction 5717 - 113th Ave N, Champlin, MN 55316 424-5624
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 G� REPAIR ❑ MOVE ❑ REMOVE
8 DESCRIBE WORK
Reroof Dwelling (23 Squares) 2nd layer
9 CHANGE OF USE FROM TO
STIPULATIONS
Roofing can be.the 2nd layer but not the 3rd,
TYPE OF CONST.
OCCUPANCY GROUP
OCCUPANCY LOAD
SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING,
VENTILATING OR AIR CONDITIONING.
ZONING
SQ. FT.
CU. FT.
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION
AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION
OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT
NO. DWLG. UNITS
OFFSTREET PARKING
ANY TIME AFTER WORK IS COMMENCED.
I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION
STALLS GARAGES
VALUATION
SURTAX
AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS
AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED
$l
$.'60
WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT
rla6'
PERMIT FEE
SAC CHARGE
DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE
PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON-
$29.00
Fire SC $1.19.
STRUCTION OR THE PERFORMANCE OF CONSTRUCTION.
PLAN CHECK FEE
TOTAL FEE
$ ,79
SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT (DATE)
WHEN ROPERLY A I TE T I IS YOUR PERMIT
BLDG INSP SATE
SIGNATURE OF OWNERI)F OWNER BUILDER) IDATEI
NEW [ ]
ADION [ ] R-1 AND I-2
ALTER [ ] Building Permit Application
construction Address: %S Q ; ste- cY@e X
Legal Descwipticn: L o 1 13 - / ®�
Effective 1/1/91
l c,� Te 12 -le, A0,/
Owner Name & Address: 6 r v c e- l a rS O Av Tel.#
contractor: -�M vr-' e -o n -S1- Tel. #
Address: IV, �, Cka P., 55s '�� J�
Attach to this application, a Certificate of survey of the
lot, with the proposed construction drawn on it to scale.
DF IPTION
OF 3305 OVEMM
LIVIIJ(3 ARE!►,: Length Width Height Sq. Ft.
GA?J E AREA: length Width Height Sq. Ft.
DECK AREA: Length Width Hgt/Grau d Sq. Ft.
onMR•
Corner Lot [ ] Inside Int [ ] Ft. Yd Setback Side Yard Setbacks
Type of Construction: e rgg>F a e Estimated Cost:$10
Approx. C cuipletion Date: 3 �� ub r -/L -
Proposed Driveway Width If New Opening Is Desired: Ft. $ $
Width + 6' See Back Page
HATE: -9 / APPLICANT: Alt, Tel.. # �.ael Sl�a y
CITY USE Q�II,Y
Permit Fee $ qq, 00 Fee Schedule on Reverse Side
Fire Surcharge $ /,i9 .001 x Permit Valuation (1/10th
State Surcharge $ AC5 $.50/$1,000 Valuation
SAC Charge $ $650 per SAC Unit
Driveway Escrow $ Alt. "A" or Alt. "B" Above
Park Fee $ Fee Determined by Engineering
Sewer Main charge $ Agreement Necessary [ ] Not Necessary [ ]
�
SUBJECT
•
City of Fridley
('
2 2 0 5
AT THE TOP OF THE TWINS
BUILDING PERMIT
i
RECEIPT NO.
1 • ------� COMMUNITY DEVELOPMENT DIV.
1 z:
c�
r � PROTECTIVE INSPECTION SEC.
1
e
NUMBER
REV
DATE
PAGE OF
APPROVED BY
CITY HALL FRIDLEY 55432
612-571-3450
910-F15
8/'26/93
JOB ADDRESS 721 Rice Creek Terrace NE
1-LEGAL
LOT N0.
BLOCK
TRACT OR ADDITION SEE ATTACHED
DESCR.
13
1
Brookvi.ew Terrace 3rd Addition SHEET
2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE
Bruce Larson 721 Rice Creek Terrace NE
3 CONTRACTOR MAIL ADDRESS
ZIP PHONE LICENSE NO.
Kerchner Construction 3630 153 Ave NW
422^9644 4442
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 11 ADDITION ❑ ALTERATION
❑ REPAIR ❑ MOVE ❑ REMOVE
8 DESCRIBE WORK
Construct a 161 x 20' Screen Porch. and a 12' x 14F
Deck
9 CHANGE OF USE FROM TO
STIPULATIONS
See notat%.ons on plan,
VIARNIIJG
Before digging call for
all Utility locations
454-6002
REQUIRE® BYLAW
TYPE OF CONST.
OCCUPANCY GROUP
OCCUPANCY LOAD
SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING,
VENTILATING OR AIR CONDITIONING.
ZONING
SO. FT.
CU. FT.
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION
AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION
OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT
NO. DWLG. UNITS
OFFSTREET PARKING
ANY TIME AFTER WORK IS COMMENCED.
I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION
1
STALLS GARAGES
VALUATION
SURTAX
AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS
AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED
$8x080
$4.04
WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT
PERMIT FEE
SAC CHARGE
DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE
PROVISIONS OF AN OTHER S ATE OR LOCAL LAW REGULATING CON-
$ 108. CC
lore $C $8.08
OR PERFORM NCE OF NSTRUCTION.
PLAN CHECK FEE
TOTAL FEE
)T'UCTION
�6
License SC $5.00
$125,12
SIGNATURE OF CONTRA TOR OR AUTHO RIZED AGENT IDATEIOP
VALIDATED THIS IS YOYR PERMIT
•. BLDGIN t:gZ SOA
SIGNATURE OF OWNER t IF OWNER BUILDERI tDATEI
NEW [ j Effective 5/26/93
ADDN t j CITY OF FRIDLEY -agg ;L -
ALTER [ j SINGLE FAMILY AND DUPLEXES R -I AND R-2
Building Permit Application
Construction Address: ;?1-R ( e- C l . 7� r
Legal Description:
Owner Name & Address:Tel. #
Contractor:%�i e A �h n Co•� s '�, /� MN LICENSE # Qno I4 a
Address: 363; o 15-31-114 Tel. #
Attach to this application, a Certificate of Survey of the
lot, with the proposed construction drawn on it to scale.
DESCRIPTION OF D"ROVFA ENT
Length 6' Width t Height / �"oa ^ Sq. Ft. 3R
O
GARAGE AREA: Length Width Height Sq. Ft.
DECK AREA: Length /,z' Width ` _ HgtlGround ,2 Sq. Ft. 14
ISIVIMA
9�f�
�"
Corner Lot [ j Inside Lot [ Ft. Yd Setback -6 ,- ` Side Yard Setbacks
Type of Construction: Estimated Cost: $ 61--w
Approx. Completion Date: F0,
Driveway Curb Cut Width Needed: Ft. + 6 Ft =
(Cost. on Back)
Ft x $
DATE: F-90 - 9-S APPLICANT: 1611 �! e X,1 e- /-,N Tel. # jai --
Permit Fee
Fire Surcharge
State Surcharge
SAC Charge
License Surcharge
Driveway Escrow
Erosion Control
Park Fee
Sewer Main Charge
TOTAL
Fee Schedule on Reverse Side
.001 of Permit Valuation (1/10th%)
$.50/$1,000 Valuation
$750 per SAC Unit
$ 00 $5.00 (State Licensed Residential Contractors)
$ Alt. "A" or Alt. "B" Above
$ Conservation Plan Review $450.0
$ Fee Determined by Engineering
$ Agreement Necessary [ j Not Necessary ( j
STIPULATIONS:
ADEN
ALTER
Effective 5/10/99
[ ] CITY OF FRIDLEY
[ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2
BUILDING PERMIT APPLICATION
Construction Address: 7�� �y" <fr"
Legal Description:
Owner Name & Address: �c��e�cC ,h��,�c-vim Tel. #
Contractor: — -il P'�'�Yl ��i^ MN LICENSE # 4
Address: 3,63 6"s `" a P �/ al A Tel. #
Attach to this application, a Certificate of Survey of the
lot, with the proposed construction drawn on it to scale.
DESCRIPTION OF IMPROVEMENT
LIVING AREA: Length 20 Width b Height Sq. Ft. 3,Q 0
GARAGE AREA: Length Width Height Sq. Ft.
DECK AREA: Length Width Hgt/Ground Sq. Ft.
OTHER:
1 11 C9-0
Construction Type: 5GrwA f " Z lei (V Atu ated Cost: $ v� 3.0
;rxj/f 12L-- e'o*-a-t er--A�v 'Pore A
Driveway Curb Cut Width Needed:
Ft. + 6 Ft = Ft x $
DATE:I/
�� APPLICANT: �(� Tel. #
CITY USE ONLY
Permit Fee $ Yff2, /`mss Fee Schedule on Reverse Side
Fire Surcharge $ S3. % .001 of Permit Valuation (1/10th%)
State Surcharge $ $.50/$1,000 Valuation
SAC Charge $ $1050 per SAC Unit
License Surcharge $�'j , $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 [ ] Not Necessary [ ]
TOTAL $.
STIPULATIONS:
gr-
N Clv�,,
ERL`[ N.
I RM.,
y�Vl t-4
vectors
.,:S&r-
A Q Z
CON
;� ���t��•rH �" � � a'r`c ,x.•. , S ��Yc�:9� $ z + f �,'4a'�dL'���"�c''��`�a.'4�'�f
ka
$S.0
ra v%
ki t A Vi
OA
r6 pa
rG
�,,^,Ooj<VjEW,r
RR ACE
w
A 00 Ff 10N
iz R .-A c. E
47 SU
r OS
As tsurreocd
Alm
ENGINEERING INC
5 d qJl
Q
UP 8" 1046
4or
Building
$`��S4
BUILDING
Hermit
Inspections
65% of Building Permit Fee
RESIDENTIAL APPLICATION
Received B
763-572-3604
Fire Surcharge
CITY OF FRIDLEY
Date Rec'a:
DATE—is-
YOUR E-MAIL ADDRESS i� F�:�l1/-d%i (G)d-C�.S
srm ADDREss "7 I
F- 1 CE
THIS APPLICANT IS:
i7 OWNER CONTRACTOR
PROPERTY OWNER/
NAME; 'tae, Iffg,
ADDRESS: :72..J I C-�F— =i - CITY div 1
TENANT
$
PHONE:
CONTRACTOR
NAME: f rSt* J5 l"06%6p Q.06
STATE LICENSE ii .z C"'3' e N -a EXP DATE -' 6 '" 200 C-1
� CITY � STATE IP ��
SUBMIT A COPY OF
YOUR STATE LICENSE
ADDRESS:'[-? 10 Z��- �-� P4r-
WITH APPLICATION
+ .'-
PHONE ' Z - 7 - FAX&5-1 5- -+03- � &
PROPERTY TYPE
PROPERTY
ASINGLE FAMILY/NEW CONSTRU ON SIZE
O TWO FAMILY/NEW CONSTRUCTION STORIES
PERMIT TYPE
O ADDITION O GARAGE/SHED O WINDOWS
O DRAM TILE
O BASEMENT FINISH "ROOF
❑ DECK O SIDING O OTHER
O SWIMMING POOL
TYPE OF WORK:
o NEW O ADDITION
O MAINTENANCEIREPAIR MODELING
DESCRIBE WORK BEING DONE: 9 _r__ ` 5 -
SIZE OF IMPROVEMENT LENGTH WIDTH HEIGHT Sq. Ft.
ROOFING O HOUSE ONLY
NUMBER OF SQUARES :2 62 O HOUSE & GARAGE
BASEMENT REMODELING SUBMIT:
1. Existing Floor Plan
GARAGES
O ATTACHED GARAGE
2. Proposed floor plan
PROPOSED SIZE:
O DETACHED GARAGE
3. List of structural members to be used
PROPOSED HEIGHT:
SIDING
FOR NEW CONSTRUCTION INCLUDING DECKS,
O Vinyl
❑ Aluminum
OSoffit
O Trim
ADDITIONS & PORCHES SUBMIT'
1. Site Plan/Survey showing the existing structures
O Other
O Fascia
and proposed project.
2. Two sets of construction plans
WINDOWS
3. Epergy Calculations
IN EXISTING OPENINGS OYes ONO LOCATION OF WINDOWS
OR FOR NEW OPENINGS -DESCRIBE SIZE OF
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 $ OCCUPANCY TYPE
Permit Fee
$`��S4
See Back Page for Fee Schedule
Plan Review
65% of Building Permit Fee
Surcharge
_$
$ r/9
(.0005) times the total job valuation - Minimum $.50
Fire Surcharge
$ f,
.001 x Permit Valuation (1/10%)
License Surcharge
$
$5.00 (State Licensed Residential Contractors)
SAC Charge
$
$1450 per SAC Unit (Plans to MWCC for determination)
Curb Cut Escrow
$
ft + 6 ft = ft x $20 = $
Erosion Control
$
$450 Conservation Plan Review
Park Fee
$
Fee Determined by Engineering
Sewer Main Charge
$
Agreement necessary ( ) Non Necessary ( }
Total Due
$
Make checks payable to: City of Fridley Attach Stipulations
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 complcte 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 wor is not to start without a permit; that the work will be in accordance with the approved
plan in the case of all w which requires r view a a oval of plans.
SIGNATURE OF APPLICANT PRINT NAME L7 -t .� f C K— A" SATE