The URL can be used to link to this page

PRE 2010 DOCSCity of Fridley, Minm BUILDING PERMIT N° 53'75 Date: Owner: Builder _ Address _ _ _ _ _ Address -- - ..AT�W jL INC7 No. Street ». i� 'Part of Lot Block.__ _ Addition or Sub-Divis r n- - Corner Lot __ _ . ____ Inside Lot Setbacks _ _ _ Sideyard Sewer Elevation _ _ _ ____ Foundation Elevation _ -- 'DESCRIPTION OF BUILDING To Mmdz Front Depth _ He1ght .::,,� Sq. Ft.. Cu. Ft. ' FrWt Depth * eight Sq. Ft. Cu. Ft. Type f Construction _ - Est. To be Completed rh 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. In consideration of the payment of a fee of. $: , permit is hereby granted 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. – ""N' Building Inspector NOTICE: This permit does not cover the construction, Installation for wiring, plumbing, gas heating, sower or water. Be sure to see the Building Inspector for separate permits for these items. .01W4 APPLICATION FOR BUILDING PERMIT CITY OF FRIDIEY, MINNESOTA Address LOCATION OF BUILDING No. Lot , 3_, Block 2 Addition or Part of Lot Subdivision Corner Lot Inside Loty Setback Side-Yard,1.�' J...... SES ELEVATION FOUNDATION ELEVATION Applicant attach to.this;form Certificate of Survey of Lot and proposed building location. DESCRIPTION OF BUILDING To bfi-°ised as: Sq. Ft. 114-4 Cu. Ft. dje,j;'ront_j,t�)Depth 3Height Sq. Ft. (P 4_6 Cu. Ft.ee Type of Construction, Estimated Cost d167��t `= 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 representations stated in this application are true and correct. DA - SIGNATURE (A Schedule of Fee Costs can be found on the Rever�Sidej City of Fridley Application for Plumbing and Gas Fitting Permit Dept. of Bldgs. Phone SII DESCRIPTION OF WORK Number, Kind and Location of Fixtures Locatio� PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: NO. RATE TOTAL Number Fixtures ...................... a x $1.50 $ Do Future Fixture Opening .............. ..— -4 x 1.20 $ 6 New Fixture Old Opening .............. x 1.00 $ Catch Basin ............................ x 3.25 $ Water Heater (Up to 200,000 BTU) ...... x 2.00 $ New Ground Run Old Bldg . ............ x 3.25 $ GAS FITTING FEES: NO. RATE TOTAL 1st 3 Fixtures .......................... x $1.50 s- -,/.ID -Additional Fixtures .................... x .50 $ Gas Range to 200,000 BTU .............. x 2.00 $ REPAIRS & ALTERATIONS—Refer to Code Description ................................................$ TOTAL FEE $ City of Fridley: M a, 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 representations stated in this applicatin are true and correct. Fridley, Owner6g" Kind of Building Used as �L To be completed about — Estimated Cost, $ Old—New. Building Permit ROUGH617-141. FINAL (i -QIW42 2M 7.59 Pen Q 191 �pdq' , � By tl6a6.�Ytl Business Phone HA -14962 �_ fi x} Z z �c 8O� Z z O , d�� UN' Z • R M N WATER HTR. GAS ELEG a 0O Base 1st 2nd _ 3rd _ 4th ° Future Connection Openings Connected with Sewer New Fixture, Old Openings Cesspool El PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: NO. RATE TOTAL Number Fixtures ...................... a x $1.50 $ Do Future Fixture Opening .............. ..— -4 x 1.20 $ 6 New Fixture Old Opening .............. x 1.00 $ Catch Basin ............................ x 3.25 $ Water Heater (Up to 200,000 BTU) ...... x 2.00 $ New Ground Run Old Bldg . ............ x 3.25 $ GAS FITTING FEES: NO. RATE TOTAL 1st 3 Fixtures .......................... x $1.50 s- -,/.ID -Additional Fixtures .................... x .50 $ Gas Range to 200,000 BTU .............. x 2.00 $ REPAIRS & ALTERATIONS—Refer to Code Description ................................................$ TOTAL FEE $ City of Fridley: M a, 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 representations stated in this applicatin are true and correct. Fridley, Owner6g" Kind of Building Used as �L To be completed about — Estimated Cost, $ Old—New. Building Permit ROUGH617-141. FINAL (i -QIW42 2M 7.59 Pen Q 191 �pdq' , � By tl6a6.�Ytl Business Phone HA -14962 1 Application for Power Plants and Heating, Cooling, Ventilation, Refrigeration and J Air Conditioning Systems and Devices PARTIAL RATE SCHEDULE Dept. of Bldgs. Phone 74'0 GRAVITY WARM AIR: RATE TOTAL Location 6 Furnace Shell & Duct Work .......................... 8.00 $ Replacement of Furnace ............................. 5.00 $ City of Fridley: The undersigned hereby makes application for a permit for the work herein Repairs &Alterations—up to $500.00 .................. 5.00 $ specified, agreeing to do all work in strict accordance with the City Ordinances ............... 2.50 and ruling of the Department of Buildings, and herebydeclares that all the facts Repairs & Alterations each add. $500,00 $ and representations stated in this application true nd correct. MECH. WARM AIR Fridley, I 195 Furnace Shell & Duct Work to 120,000 BTU ............ 8.00 $ each add. 60,000 BTU ........ 2.Q0 $ Owner 195— Replacement of Furnace 5.00 $ Kind of B195— Repairs & Alterations—up to $500.00 ................. 5.00 $ Repairs &Alterations each add. $500.00 .............. 2.50 $ Used as Y STEAM or HOT WATER SYSTEM Furnace Shell & Lines—to 400 sq. ft. EDR Steam ...... 8.00 $ Furnace Shell & Line—to 640 sq. ft. EDR Hot Water ... 8.00 $ Each add. 200 sq. ft. EDR Steam ...................... 2.50 $ Each add. 320 sq. ft. EDR Hot Water .................. 2.50 $ OIL BURNER --to 3 gal. per hour ........................ 5.00 $ over 3 gal. per hour -See Fee Schedule VENTILATING SYSTEM GAS BURNER (up to 400,000 BTL) ....................... 5.00 $ GAS FITTING FEES: NO RATE TOTAL 1st 3 Fixtures ...................... x $1.50 $ {E5� Additional Fixtures ................. x .50 $ Gas Range to 200,000 BTU ........... x 2.00 $ AIR CONDITIONING $ FAN HEATING SYSTEM See Fee Schedule VENTILATING SYSTEM $ ALTERATIONS & REPAIRS TOTAL FEE $ ZV. SV REMARKS: To be completed Estimated Cost, $ Old -4& Building Permit No. DESCRIPTION OF WORK HEATING or PO team, Hot Water, Warm Air—No Trade Nam Size No Capacity � BTU H.P. Total Connected Load �/ Kind of Fue BURNER — Trade Name Size No Capacity Sq. Ft. E.D.R BTU H.P. 11 POST 1M-12-58 No -__TT 2 % 3 �� City of Fridley, Minn. BUILDING PERMIT Date: June 5, 1969 Owner: Jerry Davis Ching Johnson Blders Builder LOCATION OF BUILDING No. 116 Street Rickard Road Part of Lot Lot _3 Block 2 Addition or Sub -Division Garten ' s Addn Corner Lot . Inside Lot Setback _ _ _ Sideyard Sewer Elevation Foundation Elevation DESCRIPTION OF BUILDING NO 10263 To be Used as: Remodel Porch Front Depth Height Sq. Ft. Cu. Ft. Front Depth Height Sq. Ft. Cu. Ft. Type of construction Frame Est. Cost _$1,800.00 __ To be Completed _ s%-- Z —.& 5! 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 compliancewith all provisions of OA of the city of Fridley. —0 -10-4 e In consideration of the payment of a fee of $��.., permit is hereby granted to Ching Johnson Builders 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 dart thereof, shall conform in all respects to the ordinances of Fridley, Minnesota regarding location, construction, alteration, maintenance, repair and moving of buildings within the dty limits and this permit may be revoked at any lime upon violation of aay of the Provisions oP said ordinances. Building Inspector Muhich NOTICE: This pandit does not cover the construction, Installation for wiring, plumbing, gas heating, sewer or water. Be sure to as the Building inspector for separate permits for these items. v .w Yl APPLICATION FOR BUILDING PERMIT CITY OF FRIDLEY, MINNESOTA OWNER 'SNAME BUILDER(!-:,--� ADDRESS c /� ADDRESS LOCATION OF BUILDING NO. STREET? LOT DLOCK ADDITION OR SUBDIVISION CORNER' LOT INSIDE LOT SETBACKSIDIYARI SEWER ELEVATION TOP OF FOOTING 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 Depth Height Square feet Cubic Feet Front Depth Height Square feet Cubic Feet Type of Constructionpe?Z-6C-4- 0AC9{ 70- t mat6d Coettezz To Be Completed The undersigned hereby makes application for a permit for the work herein speolfied, 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. -13 .(Schedule of Fee Costs can be found on the Reverse Side.) nor eacn rive haLdred Dollars (S�p.Opi, orfractionthereof in - cost of all propothe sed dark. 2.6. In no case shall t. fee charged for.: permit less than $4.00, as seT, forth in Section`2 be sy Pu01 PI" uo ao Uq •Fi�o�l ` s�uauiy�aonrra a�glsl� p . r r .,�7�� }o9c arp Jo saiaDpunoq ay{� %ia�✓ns v�o uoi fD fuasarda� faa,�� PUD an -yo o v siy� fo�,;� �; } a, = • o r • 1 uol , PA ggjj�� c'10 s tAA r% 08 9JOk3,4 J/7y S�aaUib U� 6u/Jc?2111D�/� C..7!'wflS IDdIJ�Iun`y 9 //^!) /uilran.mSPf1D] �.Y 59s 11D,ul�DIN-a�� DUIuw uD . ld P 1 I k A for Power Phwb and Heatinge Cooling. Ventilation. R n and Air Conditioning Systems and Devices PARTIAL RATE SCHEDULE GRAVITY WARM AIR: RATR TOTAL Furnace Shell & Duct Work ................ $10.00 i Replacement of Furnace . . .. ..... .. 6.00 = Repairs & Alterations—up to $500.00 6.00 $ Repairs & Alterations each add. $500.00 3-00 $__ MECIL WARM AIR Furnace Shell & Duct Work to 120,000 BTU ...... . .. $10.00 $ each add. 60,000 BTU .................... .. 3.00 9 - Replacement of Furnace .. ....... .... 6.00 $ Repairs & Alterations—up to $500.00 6.00 $ Repairs & Alterations each add. $500.00 .... 3.00 $ STEAM or HOT WATER SYSTEM Furnace Shell & Lines—to 400 sq. ft. EDR Steam $10.00 $. Furnace Shell & Line—to 640 sq. ft. EDR Hot Water 10.00 Each add. 200 sq. ft. EDR Steam Each add. 320 sq. ft. EDR Hot Water 3.00 OIL. BURNER—to 3 gal. per hour 6.00 $ _ over 3 gal. per hour ---See Fee Schedule GAS BUR (up to 199.000 BTU) oxer 199,000 BW Bee Fee Schedule GAS FITTING NO RATE 'TOTAL 1st 3 Fixtures x$ 2.00 E Additional Fixtures x .78 $ Gas Range to 199. I X$ 500 $ � (Z4; �COMM�0=Q 4-( i'L(• r� o F TING SYS Feu T11 -no aTS 1 F ALTERATIONS & REpjUng TOTAL. FEE$ ROUGH FINAL_ Dept. of Bldge. Phone 880.3480 City of Fridley: The undersigned hereby makes application for a permit for the work :herein specified, agreeing to do all work in strict accordance with the City Ordihancef and ruling of the Department of Buildings, and hereby declares that all the facts and representations stated in this application are true and correct. Fridley, Minn— Owner Al (f S �✓� ✓ C Kind of Building To be completed about Estimated Cost, Old—New. Building Permit No. Permit No. -5/Q- 10— STING or POWER tea, Not Water, Warm Air—No Trade Name sire No Capacity Sq. Ft. E.D.R BTU K.P Total Connected Load Kind of BURNER — Trade Ng+ Size No Capacity Sq. Ft. Emit BTU Ifs s��7`�� ' (REMARKS -OVER) ur SUBJECT City of Fridley AT THE TOP OF THE TWINS BUILDING PERMIT Ir • COMMUNITY DEVELOPMENT DIV. SEC r PROTECTIVE INSPECTION 1 � CITY HALL FRIDLEY 55432 NUMBER AEV DATE vAGE OF aRPRovEo BY 612-571-3450 910-F15 10/16/96 JOB ADDRESS 116 Rickard Road NE I LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 3 2 1 Garten's Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Ralph Petersen 116 Rickard Road NE 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Demars Construction 8401 166 Cir NW Ramsey, MN 55303 441-7084 6614 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 X ALTERATION ❑ REPAIR ❑ X ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Tear off and change roof design on house & garage (Chane from Hip to Gable) 9 CHANGE OF USE FROM TO - STIPULATIONS See notations on plan. 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 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 HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION 1 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 $13,000 $6.50 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- Fire SC $13.00 STRUCTION OR THE PERFORMANCE OF CONSTRUCTION $199.75 PLAN CHECK FEE OTAL FEE License C $5AO $224.25 SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT (DATEI P4VALED - DG INS THIS IS YOUR PERMI len DATE SIGNATUREOF OWNER,IF OWNERBUILDERI (DATEI ur NEW [ ] Effective 3/l/96 ADDN [ ] CITY OF FRIDLEY ALTER `'J SINGLE FAMILY AND DUPLEXES R-1 AND R-2 Building Permit Application ConstructionAddress: Legal Description: Owner Name & Address: �� 5 2 Q �` S� Tel. # Contractor: C -o n MN LICENSE # b `% Address: �{� 1 —�� C� t 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 Width Height Sq. Ft. GARAGE AREA: Length Width Height Sq. Ft. DECK AREA: Length Width Hgt/Ground Sq. Ft. OTHER: a -C w 0-ca-ca6/o2S S � 0 rl' _MM917 Cllr l 9� &-' - � IJ�Si� � �(/ Comer Lot [ ] Inside Lot R Ft. Yd Setback Side Yard Setbacks Type of Construction: _� e,Lj ROW Estimated Cost: $ 3,0 66 Approx. Completion Date: (fir j S- ct (Cost on Back) Driveway Curb Cut Width Needed: . + 6 Ft Ft x = $ DATE: 4� APPLICANT: i Tel. # &I ql' %OSY CITY USE ONLY Permit Fee $ Fee Schedule on Reverse Side Fire Surcharge $ �0 .001 of Permit Valuation (1/10th%) State Surcharge $ $.50/$1,000 Valuation SAC Charge $ $900 per SAC Unit License Surcharge $ C) G' $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: CITY OF FRIDLEY INSPECTION DIViSION 6431 University Ave NE Fridley, MN 55432 APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION, 572-3604 REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES RATE SCHEDULE Residential Furnace Shell and Duct Work, Burner - Also Replacement Furnace (Side Vent - Fill Out Back) Gas Piping (Needed with new furnace, but not replacement) Gas Range Gas Dryer *Air Conditioning - All Sizes All Others/Repairs & Alterations (LIST ON BACK) 1% of Value of Appliance or Work Commercial/Industrial 1.25% of Value of Appliance or Work Rate TOTAL $30.00 $ 36.�a $ 10.00 $ $ 10.00 $ $ 10.00 $ $25.00 State Surcharge TOTAL FEE MINIMUM FEE FOR ANY HEATING/COOLING/VENTILATION REFRIGERATION/AIR CONDITIONING PERMIT IS $25.00 PLUS THE $.50 STATE SURCHARGE REINSPECTION FEE $47.00/Hr *Air Conditioners can not be placed in a side yard without written permission from adjoining property owner. $ .50 $ '- 0 Effective On May 10, 1999 JOB ADDRESS Ila Ific-t-6-4 OC9 IV � OWNER 1&-1,e 7-,o—Sor+/ BUILDING USED AS4znC-c- ESTIMATED COST Jit 944. QG PERMIT NO. DESCRIPTION OF FURNACE AND OR BURNER No. of Heating Units_ Circle One (Steam) (Hot Water) arm Trade NameSize No. BTU 60coo HP EDR Fuel 04 To r -a t Total Connected Load Burner Trade Name Size Nc BTU HP EDR 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 an rulings of the Building Division, and hereby declares that all the facts and representations stated in this application are -true and correct. HEATING CO�"c l Al /Z at?y - j� (JSe�d�t✓�l� Signed cfid DATE, Approved By Rough -In Date Final Date Remarks: List ALTERATIONS Being Done: HEATING CO: Signed By: Date: CEMVINEY AND. -STACK 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 O No ( ) 3. Has no foreign objects lodged within Yes () No ( ) 4. Is securely supported - Yes O No ( ) 5. Meets all current Code requirements for size and total BTU's connected Yes l ) No l ) 6 Has total heating BTU's of All other BTU's TOTAL BTU's 7. Has a liner been provided for water heater Yes ( ) No ( ) 8. Has combustion air been provided for water heater Yes ( ) No ( ) Remarks: List ALTERATIONS Being Done: HEATING CO: Signed By: Date: Building Permit Fee BUILDING See Back Page for Fee Schedule Permit No.: �001 Inspections 65% of Building Permit Fee RESIDENTIAL APPLICATION Received By: 763-572-3604 $ CITY OF FRIDLEY License Surcharge ,ML 2010-- 763-502-4977 FAX SAC Charge $ $2100 per SAC Unit (Plans to MWCC for determination) Curb Cut Escrow $ EFFECTIVE 1-1-2010 Erosion Control $ ®��®I Park Fee $ DATE YOUR E-MAIL ADDRESS $ SITE ADDRESS A Ze -XP4 $ THIS APPLICANT IS: ❑ OWNER 9CONTRACTOR PROPERTY OWNER/ NAME: VYVIII TENANT ADDRESS: CITY �iTtSTATE V-( ZIP PHONE: CONTRACTOR NAME: ®W+ �� °f y 4 ett4 .rWC— SUBMIT A COPY YOUR STATE LICENSE STATE LICENSE # 1,0 1-7 EXP DATE Z®I I AND CERTIFICATE OF ADDRESS: 9 L191'7 rrJgT-l^ 5C CITY 41:!'�t STATZIP �® INSURANCE PHONE FAX PROPERTY TYPE 15t SINGLE FAMILY/NEW CONSTRUCTION SIZE ❑ TWO FAMILY/NEW CONSTRUCTION STORIES PERMIT TYPE ❑ ADDITION ❑ GARAGEISHED ❑ WINDOWS ❑ BASEMENT FINISH )T ROOF ❑ DRAIN TILE ❑ DECK ❑ SIDING ❑ OTHER ❑ SWIMMING POOL TYPE OF WORK: ❑ NEW HOME CONSTRUCTION ❑ ADDITION ❑ MAINTENANCEIREPAIR ❑ REMODELING DESCRIBE WORK BEING DONE: ArTrowl-e SIZE OF IMPROVEMENT LENGTH WIDTH HEIGHT SQ FT ROOFING Q HOUSE ONLY NUMBER OF SQUARES `4 HOUSE & GARAGE BASEMENT REMODELING SUBMIT: 1. Existing Floor Plan GARAGES ❑ ATTACHED GARAGE 2. Proposed floor plan PROPOSED SIZE: ❑ DETACHED GARAGE 3. List of structural members to be used PROPOSED HEIGHT: IDING FOR NEW CONSTRUCTION INCLUDING DECKS, ❑ Vinyl ❑Soffit ADDITIONS. & PORCHES SUBMIT: ❑ Aluminum ❑ Trim 1. Site Plan/Survey showing the existing structures ❑ Other ❑ Fascia and proposed project. 2. Two sets of construction plans WINDOWS 3. Energy Calculations IN EXISTING OPENINGS ❑Yes ❑No LOCATION OF WINDOWS FOR WINDOWS — PROVIDE U -VALUE AND OR FOR NEW OPENINGS -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: SING THE 1997 U.B.0 FEE SCHEDULE) 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 $ $2100 per SAC Unit (Plans to MWCC for determination) Curb Cut Escrow $ ft + 6 ft = ft x $24 = $ 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 Fridle 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 Minnesota Construction Codes; that I understand this is not a permit but only an application for Apeit w rk is not to start without a permit on site; that the work will be in accordance with the approved plan in the case of I view and approval of plans J� SIGNATURE OF APPLICANT PRINT NAME 1�' `I I fil� f DAI OLK DATE? 2 Z' — I