PRE 2010 DOCSN® . 6502
Address- K -,-
Address
LO TION OF BUILDING
No. Street P f Lot
Lot _ _ __ Block .. Addition or Sub -Division . C -
Corner Lot . _ Inside Lot _ Setback —�-® Sideyard _
Sewer Elevation _. Foundation Elevation
To Used
Front ��... Depth .�� `�___ Height Sq. Ft. IA3-2Cu. Ft. 1 V
Fro t Depth �HeightSq. Ft.cu.Ft.Type of coon Est.o be Completed
In consideration of the issuance to me of a permit to construct building described above, I agree to do
the proposed work in accordance with the description above set fo 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 reg ng location, construction, alteration, maintenance, repair and moving of buildings
within the dty limits anted this permit may be revoked at any tune urn violation of any of the provisions of said
ordinances
Building Inspector
NOTICE:
nk pert does no savor the construction, installation for wiring, plumbing, gas beefing, sewer or `grater. Be sure to we
the Building inspector for separate permits for these home.
APPLICATION FOR BUILDING PERMIT
CITY OF FRIDLEY, MINNESOTA
ADDRESS ADDRESS _? ;7 —
LOCATION OF BUILDING
No. Street Part of Lot
Lot Block 2,, Addition or Subdivision i�
Corner Lot Inside.Lot Setback Side Yard Z® `
SEWER ELEVATION FOUNDATION ELEVATION
Applicant attach to this form Two Certificates of Survey of Lot and proposed build-
ing location drawn on these Certificates.
DESCRIPTION OF BUILDING
To be used as:
�✓� ri' ' �, ® �r f
Front I -".a' Depth Height ?,a
Sq. Ft. Cu. Ft.
Front) Depth s Height
Sq. Ft. Cu Ft.
Type of Construction � Estimated Cost 9 4 ® ®moi
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.
DATE ,-r-CV . SIGNATURE
(Schedule of Fee Costs can be found on the Reverse Side)..
e
BUILDING PERMIT FEE SCHEDULE
Section 2. The Inspector of Buildings shall, before issuing any permit for
the erection of any building or structure, or for any addition to any exist-
ing building or structure, or for any alterations or repairs to any existing
building or structure, upon application therefor, 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:
2.1. For any such permit for the erection of any fire -proof building, other
than a.garage' warehouse, factory or grain elevator, or for the erection of
any fire -proof addition, for similar occupancy, to any existing building
shall be at the rate of $1.40 for each one thousand cubic feet, or fraction
thereof, in such cubical contents.
2.2. For any such permit for the erection of any fire -proof garage, warehouse,
factory or grain elevator, or for the erection of any fire -proof addition,
for similar occupancy, to any existing building shall be at the rate of $1.25
for each one thousand cubic feet, classified as "fireproof" by Section 502 of
the Minneapolis Building Code.
HOUSES
2.3. For any such permit for the erection of any non -fireproof building other
than a garage, warehouse, factory or grain elevator, or any non -fireproof
addition, for similar occupancy, to any existing building - permit $1.00 for
each one thousand cubic feet.
GASES
2.4. For any such permit for the erection of any noU-fireproof garage,
warehouse, factory or grain elevator, or for the erection of any non -fireproof
addition, £or similar occupancy, to any existing. building or for each such
uullding or addition - ninety cents ($0.90) for each one thousand cubic feet
or fraction thereof, in the cubical contents thereof with a minimum of $4.00..
For the purpose of computing fees for building permits, the cubical contents
of any building or addition to a uniform height throughout by multiplying the
ground area covered from a point six (6) inches below the floor.line of the
basement or cellar to the average height of the upper surface or to the
average height of the roof surface of the main gable of a pitched roof.
2.5. For repairs or alterations to an existing structure, the fee shall be
at the rate of $3.00 per each Five Hundred Dollars ($500.00) or fraction
thereof in the cost of all proposed work.
2.6. In no case shall the fep,chargod for any perw4 t as set forth in
.Section 2 be less than $4_00.
City of Fridley
Application for Plumbing and Gas Fitting Permit
Dept. of Bldgs. Phone SU 4-7470
DESCRIPTION OF WORK � �, %
Number, Kind and Location of Fixtures Location_
PARTIAL RATE SCHEDULE
PLUMBING FIXTURE RATES: NO. RATE T,6TAL
Number Fixtures ....... ..............—;7—x $1.50 0��2 " 0
Future Fixture Opening ..... x 1.20 $
New Fixture Old Opening ..............
x
1.00
$
Catch Basin ...... .....................
yN�
Y
y1
Y
X
7..
Ct
8� Z
8�
ZQj
$
6
0
U'
?
W
�
F
•
N
WATER HTR.
GAS
ELEG
RATE TOTAL
1st 3 Fixtures ..........................
x
$1.50$
S—��� ci
Additional Fixtures ........ :...........
x
e�
$
Gas Range to 200,000 BTU ..............
aF
S
6
�•�
�O
Base
1st
2nd
3rd
4th
• Future Connection Openings
Connected with
* New Fixture, Old Openings
Sewer
Cesspool
PARTIAL RATE SCHEDULE
PLUMBING FIXTURE RATES: NO. RATE T,6TAL
Number Fixtures ....... ..............—;7—x $1.50 0��2 " 0
Future Fixture Opening ..... x 1.20 $
New Fixture Old Opening ..............
x
1.00
$
Catch Basin ...... .....................
x
3.25
$
Water Heater (Up to 200,000 BTU) ......
71Z x
2.00
$
New Ground Run Old Bldg. ............
x
3.25
$
GAS FITTING FEES:
NO.
RATE TOTAL
1st 3 Fixtures ..........................
x
$1.50$
S—��� ci
Additional Fixtures ........ :...........
x
.50
$
Gas Range to 200,000 BTU ..............
x
2.00
$
REPAIRS & ALTERATIONS—Refer to Code
Description ................................................$
TOTAL FEE
City of Fridley:
The undersigned hereby makes application for a permit for the work herei
specified, agreeing to do a U 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.
Fridley, Minn- � a 19�i
Owner
Kind of Building
Used as
To be completed about
Estimated Cost, $
Old ew. uilding permit No 6 �_�-� Permit No._=
e
Signe
By
Business Phone No
FINAL
d2 2tA
0 "
Application for Power Plants and Heating, Cooling, Ventilation. Refrigeration and
Air Conditioning Systems and Devices
PARTIAL RATE SCHEDULE Dept. of Bldgs. Phone SU 4-7470
GRAVITY WARM AIR: RATE TOTAL Localfon `7511
Furnace Shell & Duct Work ........................... 8.00 $
Replacement of Furnace ............................. 5.00 $
Repairs & Alterations—up to $500.00 .................. 5.00 $
Repairs & Alterations each add. $500.00 ........... 2.50 $
MECH. WARM AIR
Furnace Shell & Duct Work to 120,000 BTU ............ 8.00 $
each add. 80,000 BTU ....................... 2.00 $
Replacement of Furnace 5.00 $
Repairs & Alterations—up to $500.00 ................. 5.00 $
I� . Repairs & Alterations each add. $500.00 .............. 2.50 $
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 $ ire 0
Each add. 200 sq. ft. EDR Steam .............. I ....... 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
GAS BURNER (up to 400,000 BTU) ....................... 5.00 $ °" ® e
GAS FITTING FEES: NO RATE TOTAL
1st 3 Fixtures ...................... x $1.50 $�,
Additional Fixtures x .50 $
Gas Range to 200,000 BTU x 2.00 $
AIR CONDITIONING
FAN HEATING SYSTEM
VENTILATING SYSTEM
ALTERATIONS & REPAIRS
See Fee Schedule
TOTAL FEE $ S_
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 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.
Fridley, Minn_ �� /r 177 19
owner/AZ', , . �/ e �R ke%
Kind of Building 4'�e° L
Used as -
To be completed about J'& 12 z� a 3
Estimated Cost, $ �,�-sT ORO o
Old—New. Building Permit No. Permit No.
DESCRIPTION OF WORK
HEATING or POWER PLANTS—Steam, Hot Water, Warm Air—No rnve
Trade Name %�p a s "W& &o BI X �- ! ` Size No. / a e' '� V,
4
Capacity e ® Sq. Ft. E.D.R 7 Z, ® 0IM01BTU H.P.
Total Connected Load !!KZ 0 Rind of Fuel lln�
BURNER — Trade Name Size No
Capacity Sq. Ft. E.D.R BTU H.P.
(REMARKS—OVER)
Signed,A� ea' lvc P d /7T /Y/� L c�str�,
By =1 I � �e��_
2M Business Phone No- 79,F-61%
HEAT LOSS CALCULATIONS DEPARTMENT OF BUILDINGS NUNNEAPOUS. MINN.
Weatherstrips A.S.H.V. . Construction No. Insulation
Guide
WindowsI Doors Reference Out. Wall Int. Wall Ceiling Roof Floor Kind How Applied
Yeses—es—No 19_ 1 1 1 —1
f, 4 F1.1 Room I Length 7 d • Width / o C Height j FI.IAl
Room I Length L ° Width Z ° Height 9
Fl.) jz':0 Room I Length 0 ° Width D ° Height J
Windows ancr Doors--Crackage and Area
width Height No. of Lineal ft. Area
No. of pane of pane lights I of crack I sq. ft.
Btu
Infiltration Z
Glass
Exp. wall
Net exp. wall 0 / O j to v
Int. wall
Ceiling
Floor Z Csd S
Total Btu. S,,/90
13 Fl. o eg aCeoom I Length 4,v ° Width 0 ° Height,' a
Windows and Doors—Crackage and Area
Width I Height No. oL Lineal it. Area
No. of pane of pane lights of crack sq. ft.
Doors—Crackage and Area
Width Height No. of Lineal ft. Area
No. of pane of pane lights of crack sq. ft.
onv 3 N
Windows and oors—Crackage and Area
Btu
Infiltration
Width
Height No. at Lineal ft. Area
Glass
S =s
No. of pane
of pane lights of crack sq. ft.
O
-Btu
Z Z OW
, / 0
9 S-10
Int. wall
I
Z yo
Coef.
Btu
Infiltration
/
to C
s
0
Glass
S a
SO
Exp. wallA00
L 0
Net exp. wall
Int. wall
Ceiling
Fl.) jz':0 Room I Length 0 ° Width D ° Height J
Windows ancr Doors--Crackage and Area
width Height No. of Lineal ft. Area
No. of pane of pane lights I of crack I sq. ft.
Btu
Infiltration Z
Glass
Exp. wall
Net exp. wall 0 / O j to v
Int. wall
Ceiling
Floor Z Csd S
Total Btu. S,,/90
13 Fl. o eg aCeoom I Length 4,v ° Width 0 ° Height,' a
Windows and Doors—Crackage and Area
Width I Height No. oL Lineal it. Area
No. of pane of pane lights of crack sq. ft.
Windows an
Doors—Crackage and Area
Width Height No. of Lineal ft. Area
No. of pane of pane lights of crack sq. ft.
onv 3 N
Coef.
Btu
Infiltration
s
0
Glass
S =s
L 8r d .
Exp. wall
O
-Btu
Net exp. wall
, / 0
9 S-10
Int. wall
I
Z yo
Ceiling
SZ
3
31
Floor Z o ® S
Total Btu.
Required sq. ft. E.D.R. or sq. ins. W.A. Leader area
to C
s
86 0
Ceiling
Floor
Windows an
Doors—Crackage and Area
Width Height No. of Lineal ft. Area
No. of pane of pane lights of crack sq. ft.
onv 3 N
Width Height No. of Lineal ft. Area
No. of pane of pane lights 'of crack sq. ft.
3 2 2 Z Z. SZ
Coef. Btu
Infiltration
Coef.
-Btu
Infiltration
% Z
I
Z yo
Glass
Exp. wall
Net exp. wall
Int. wall
SZ
3
31
SS
Z
86 0
Ceiling
Floor
L 0
Required sq. ft. E.D.R. or sq. ins. W.A. Leader area i
Infiltration s
Glass
Exp. wall 3 Z
Net exp. wall Z S / O
Int. wall
Ceiling
Floor
Total Btu. O
Required sq. ft. E.D.R. or sq. his. W.A. Leader area
i
F1 -1 o®.;. _ L – Rnnm I Length > C ° Width I/ ° Height A °
Windows and Doors—Crackage and Area
Width Height No. of Lineal ft. Area
No. of pane of pane lights of crack sq. ft.
onv 3 N
Coef. Btu
Infiltration
Glass
Exp. wall
Net exp. wall
Int, wall
Ceiling
d
o
d 900
Floor
Total Btu. 0
Required sq. ft. E.D.R. or sq. ins. W.A. Leader area
X18 '2 8
HEAT LOSS CALCULATIONS DEPARTMENT OF BUILDINGS
Weatherstrips A.S.H.V.E. Construction No.
Guide
WindowsI Doors Reference Out. Wall Int. Wall Ceiling Roof Floor Kind
Yes—No Yes—No 19—
l�
MIINNEAPOLIS. MINN.
Ynsulation
How Applied
, C9 I ✓ At • _ 0,...... 11 e.....1. — 0 MAO, s .. 0 N®;sl.t 0 0 II P, ill I ,'a I �W °s Rnnm I I Priath / a 0 Width lo V Height X "
Windows and Doors—Crackage and Area
/ .-- f -6-
Width Height No. of Lineal f . Area
ffjpane ligryts of crack sq. ft.
No. of pane of
3 lir+ z— ® (.
`s % ® 2-0 2
3 2- V 2.
Width Height No. of Lineal ft. Area
No. of pane of pane lights of crack eq. ft.
Coef. Btu
Infiltration
Btu
7/
.32
Glass
Exp. wall
s
Sr2
2: S -Z O
-,;-
.�
Net exp, wall
Int. wall
j 47 Z.A
/V
Zia. $—�
Ceiling
Int. wall
L 2.
Floor
Floor
/ Z
2,03
Total Btu. /® ® t
Required sq. ft. E.D.R. or sq. ins. W.A. Leader area
/ F1.1.g::Z- n Room I Lenxth Z t7 ° Width -/,a 0 Height X
Windows and Doors—Crackage and Area
/ .-- f -6-
Width Height No. of Lineal ft. Area
No. of pane of pane lights of crack sq. ft.
Width Height No. of Lineal ft. Area
No. of pane of pane lights of crack sq. ft.
"OA. .9 d o / 2-10 Z/
3 2- V 2.
Width Height No. of Lineal ft. Area
No. of pane of pane lights of crack eq. ft.
37— 2—o
Coef.
Btu
Infiltration
Glass
Exp. wall
3 i!.-
,S-
2 p
s
Sr2
2: S -Z O
-,;-
Net exp. wall
Int. wall
Z
j 47 Z.A
/V
Int. wall
Ceiling
Int. wall
L 2.
Ceiling
Floor
Floor
/ Z
2,03
/01
Z, a 30
It
/ .-- f -6-
Width Height No. of Lineal ft. Area
No. of pane of pane lights of crack sq. ft.
—T2. Z-0 7— % ✓ Z
.v.b..
Windows and Doors—Crackage and Area
Width Height No. of Lineal ft. Area
No. of pane of pane lights of crack eq. ft.
37— 2—o
2
Infiltration
o
3 i!.-
S S to
Coe£.
Btu
Infiltration
Z
?-/
1 9z -
/ /
g
Int. wall
Glass
Exp. wall
Int. wall
L 2.
Ceiling
Floor
Net exp, wall
/ Z
2,03
/01
Z, a 30
Int. wall
Ceiling
Floor
j
/
0
Total Btu.
Required sq. ft. E.D.R. or sq. ins. W.A. Leader area I
Windows and Doors—Crackage and Area
Width Height No. of Lineal ft. Area
No. of pane of pane lights of crack sq. ft.
—T2. Z-0 7— % ✓ Z
Z 1.i /(,v j O
Coef. Btu
Coef.
Coef. Btu
Infiltration
o
3 i!.-
S S to
J 2)
Glass
Exp. wall
Net exp. wall
S�
6
?-/
1 9z -
/ /
�>
/0 Z,710
Int. wall
/,
Int. wall
Ceiling
Floor
Ceiling
/ Z
/ ®
/ i/J, goo
Total Btu. Si % O ® (
Required sq. ft. E.D.R. or sq. ins. W.A. Leader area
aft- 4 D- 1 i e.....L ,, d B .A& 0 6 14.616t 9 'o
Windows and Doors—Crackage and Area
Width Height No. of Lineal ft. Area
No. of pane of pane lights of crack sq. ft.
Width Height No. of Lineal ft. Area
No. of pane of pane lights of crack sq. it.
Z 1.i /(,v j O
Coef. Btu
Coef.
Btu
Infiltration
o
g
S S to
Glass
/
S�
6
Exp. wall
Net exp. wall
/® p
/
/,
Int. wall
Ceiling
/ Z
10
Floor
Total Btu. S
Required sq. ft. E.D.R. or sq. ins. W.A. Leader area
FI -1 R / Rnnm I I.enath .9 ° Width ff ° Height 9
1
Windows and Doors=Crackage and Area
Width Height No. of Lineal ft. Area
No. of pane of pane lights of crack sq. ft.
Z %
Coef. Btu
Infiltration
Glass
Exp. wall
/
77
q ;
S -
Net exp. wall
/D -,7-7 o
wall
Ceiling
Floor
/® p
Total Btu. 12,2-3.0
Required sq. ft. E.D.R. or sq. ins. W.A. Leader area
., D.36 'Z 5
HEAT LOSS CALCLUTIONS DEPARTMENT OF BUILDINGS
Weatherstrips A'S'H' .E. Construction No.
Guide
WindowsYeI Doors Reference Out. Wall Int. Wall Ceiling Roof Floor
s—No Yes—No 19—
a 0 1 t? P ABB Rnnn, I anmb e® OW;Atb t.- ® I4,.;crbt V 10 11 M I
e—+ ..i ... ..s.. -'4
Windows and Doors—Crackage and Area
1
Width Height No. of
No. of pane of pane lights
Lineal A. Area
of crack sq. ft.
2- S*
Coef. Btu
Infiltration OL — �2/ / ®
r2 0
Glass
Exp. wall
Net exp. wall
17
-19'
Coef.
Btu
Infiltration
10
Infiltrationg—
Glass
WCoef.Btu
Exp. wall
Net exp. wall
Int. wall
Zoe
Ceiling
Net exp. wall
Int. wall
Floor
16
Ceiling
Floor
S—
/0
/ J
Total Btu.
Required sq. ft. E.D.R. or sq. ins. W.A. Leader area
F1.1 Room I Length Width _ Height
Windows and Doors—Crackage and Area
(''
S r.IMNI a vy
Width
No. of Dane
Height No. of Lineal ft. Area
of pane lights of crack eq. ft.
Coef. Btu
Infiltration OL — �2/ / ®
r2 0
Glass
Exp. wall
Net exp. wall
17
-19'
Coef.
Btu
Infiltration
10
Glass
Exp. wall
Net exp. wall
Int. wall
Ceiling
Floor
Total Btu.
Required sq. ft. E.D.R. or sq. ins. W.A. Leader area
l.1 Room I Length Width
Windows and Doors—Crackage and Area
Width Height No. oL Lineal ft. Area
of Wena of cane it.hte of crack an.
ft.
Coef.) Btu
Infiltration
Glass
Exp. wall
Net exp, waU
Int. wall
Floor
Total Btu.
Required sq. ft. E.D.R. or sq. ins. W.A. Leader area I
MINNEAPOLIS,
Insulation
Kind How Applied
R rn I Length Width Height
Windows and Doors—Crackage and Area
(''
S r.IMNI a vy
Width I Height No. of Lineal ft. Area
No. of pane of pane lights of crack sq. ft.
Coef. Btu
Infiltration OL — �2/ / ®
r2 0
Glass
Exp. wall
Net exp. wall
17
-19'
Int. wall
Ceiling
Floor
10
Total Btu. 14 Z S
Required sq. ft. E.D.R. or sq. ins. W.A. Leader area
F1.1 Room I Length Width Height
Windows and Doors—Crackage and Area
Width Height No. of Lineal tt. Area
No. of pane of pane lights of crack ea. Lt
Infiltration
Glass
Exp. wall
Net exp. wall
Int. wall
Ceiling
Floor
Total Btu.
Required sq. ft. E.D.R. or sq. itis. W.A. Leader area
Fl.1 Room I Length Width
Windows and Doors—Crackage and Area
Wldth !Isight No. o8 Lineal ft. Area
]vn. e4 nam® Dane llahta I of crack eq. ft.
APPLICATION FOR BUILDING PERMIT
CITY OF FRIDLEY, MINNESOTA
OWNERS NAME - - " `` BUILDER � .-
ADDRESS_ �ADDRESS
LOCATION OF BUILDING °
No.A Street Part of Lot
LOT BLOCK �Z, ADDITION OR SUBDIVISION S dN
Corner Lot Inside LOT Setback Side -Yard
SEWER ELEVATION FOUNDATION ELEVATION
Applicant attach to this form Two Certificates of Survey of Lot and proposed
building location drawn on these Certificates.
To be used as:
DESCRIPTION OF BUILDING
Front Depth Height
Sq. Ft. Cu. Ft.
Front Depth _Height
Sq. Ft. Cu. Ft.
Type of Construction Estimated Cost R
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.
DATE'' SIGNATURE
(Schedule of Fee Costs can be found on the Reverse Side).
BOILM.0 PERMIT FEE 9M. EnULB
SECTION 2. The Inspector of Buildings, shall, before issuing any permit for the
erection of any building or structure,.or for any addition to any existing build-
ing or structure, or for any alterations or repairs to any existing building or
structure, upon application therefore, vequire-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:
2.1. For any such permit for the.erection of any fire -,proof building,
other than a garage, warehouses factory or grain elevator, or for the erection
of any fire -proof addition, for similar occupancy, to any existing building,
shall;be at the rate of $1.40 for each one thousand cubic feet, or fraction
thereof, in such cubical contents.
2.2. For any such permit for the erection of any fire -proof garage,
Warehouse, factory or grain elevator, or for the erection of -any fire -proof
addition, for similar occupancy, to any existing building shall be at the rate
of $1.25 for each one thousand cubic feet, classified as "fireproof" by
Section 502 of the Minneapolis Building Code.
HOUSES
2.3. For any such permit for the erection of any non -fireproof building,
other than a garage, warehouse, factory or grain elevator, or any non -fireproof
addition, for similar occupancy, to any existing.building - permit $1.00 for each
one thousand cubic feet.
GARAGES
224 For any such permit for the erection of any non -fireproof garage,
warehouse, factory or grain elevator, or for the erection of any non -fireproof
addition,'for similar occupancy, to any existing building or for each such
building or addition - ninety cents ($0.90) for each one thousand cubic feet
or fraction thereof, in the cubical contents thereof with the minimum of $4.00.
For the purpose of computing fees for building permits, the cubical contents
of any building or addition to a uniform height throughout by multiplying the
ground area covered from a point six (6) inches below the floor line of the
basement or cellar to the average height of the upper.surface or to the average
height of the roof surface of the main gable.of a pitched roof.
22.5. For repairs or alterations to an existing structure, the fee shall
be at the rate of $3.00 per each Five Hundred Dollars ($500.00) or fraction
thereof in the cost of all proposed work.
2:6. in no case shall the fee charged for any permit as set forth in
Section2 be less than $4.00.
CITY OF FRIDLEY INSPECTION DIV.
6431 University Ave NE
Fridley, MN 55432
572-3604
APPLICATION FOR PLUMBING AND GAS FITTING PERMIT
MARK NUMBER OF FIXTURES TO BE INSTALLED ON EACH FLOOR
Effective On January 1, 1997
PLUMBING FIXTURE RATES: NO.
RATE TOTAL
New Fixtures
$ 7.00
Old Opening, New Fixture
$ 4.00
Beer Dispenser
$ 5.00
Blow Off Basin
$ 7.00
Catch Basin
$ 7.00
Rain Water Leader
$ 7.00
Sump/Receiving Tank
$ 7.00
Water Treating Appliance
$10.00
Water Heater —Electric
$ 7.00
Water Heater — Gas** l
$10.00
Gas Range**
$10.00
Gas Dryer**
$10.00
Back Flow Preventer Required ( )Yes {) No
Type
$15.00
Reinspection Fee $42.00/Hr
ALL OTHERS AND/OR REPAIRS AND ALTERATIONS
1.5% of Value of Fixture or Appliance
State Surcharge $ .50
TOTAL FEE $
JOB ADDRESS
The undersigned hereby makes application for a perm it 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.
-7 '1997
Owner B'_0 ®�
w+- S e.c�.
Building Used As.
Estimated Cost PERMIT NO.
PLUMBING COMPANY JW. j2. 1:5.
M ' `c�t�w �,�`►
SIGNED
Approved By_ Rough—In Date
ANY PLUM
TEL N0. ? ! Z
Final Date
**COMBUSTION AIR SHALL BE PROVIDED PER UMC SECTION 504(A) AND TABLE 6—A. MINIMUM SIZE 9 SO INCHES.
SUBJEL'T z
NO.
City of Fridley
28537
aTTPF THE TWINS
I4
BUILDING
PERMIT
RECEIPT NO9
COMMUNITY DEVELOPMENT DIV.
a. PROTECTIVE INSPECTION SEC
���3 f
r
/
I
NUMBER
REV
O TE
PAGE OF
APPROVED By
` i ��'�'>;•j CITY HALL FRIDLEY 55432
•__o�
L 612-571-3450
910-F15
11/5/98
JOB ADDRESS
7311 Tem o Terrace NE
I LEGAL
LOT NO.
BLOCK
TRACT OR ADDITION
SEE ATTACHED
DESCR.
8
2
Melody Manor
SHEET
2 PROPERTY OWNER MAIL ADDRESS
ZIP PHONE
Richard Larson
784-6589
3 CONTRACTOR MAIL ADDRESS
ZIP PHONE LICENSE NO
Midwest Roofing & Siding 18979 Gladstone
-
4 ARCHITECT OR DESIGNER MAIL ADDRESS
ZIP PHONE LICENSE NO
5 ENGINEER MAIL ADDRESS
ZIP PHONE LICENSE NO
8 USE OF BUILDING
Residential
7 CLASS OF WORK
❑ NEW ❑ ADDITION ❑ ALTERATION 5; REPAIR ❑ MOVE ❑ REMOVE
8 DESCRIBE WORK
Reroof house and garage (15 S Tear -off
9 CHANGE OF USE FROM TO
STIPULATIONS
Underlayment must comply with the State Building Code.
SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING,
TYPE OF CONST.
OCCUPANCY GROUP
OCCUPANCY LOAD
VENTILATING OR AIR CONDITIONING -
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION
ZONING
SO. FT
CU FT.
AUTHORIZED IS NOT COMMENCED WITHIN 80 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
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
$1285
$.64
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
$43.00
Fire SC $1.28
PLAN CHECK FEE
TOTAL FEE
License SC $5.00
1
$49.92
SiGNATUREOF CONTRACTORORAUTHORIZEOAGENT (DATEi
WHEN PROPER LID TED THIS IS UR PERMIT
$�GN4TURE OF OW NER,iF QW NER BUIL DE Ri IDATE�
BLD -NSP
TiAT
HLFLi--aftd--iha M-04 FRarq CITY CF FRIDLEY
R
It
t --Y t{ 1, .. _ - R
Eff=dV* 111!96
J
. FL
Pt. -
bo +S' bs
51
CITY OF FRIDLEY INSPECTION DIV.
6431 University Ave NE
Fridley, MN 55432 APPLICATION FOR PLUMBING AND GAS FITTING PERMIT
572-3604
MARK NUMBER OF FIXTURES TO BE INSTALLED ON EACH FLOOR
Effective On January 1, 1998
PLUMBING FIXTURE RATES: NO.
RATE TOTAL
New Fixtures
$ 7.00
Old Opening, New Fixture
$ 4.00
Beer Dispenser
$ 5.00
Blow Off Basin
$ 7.00
Catch Basin
$ 7.00
Rain Water Leader
$ 7.00
Sump/Receiving Tank
$ 7.00
Water Treating Appliance
$10.00
Water Heater —Electric
$ 7.00
Water HeaterGas* _L
$10.00
Gas Range**
$10.00
Gas Dryer**
$10.00
Back Flow Preventer Required ( )Yes () No
Type
$15.00
Reinspection Fee $42.00/Hr
ALL OTHERS AND/OR REPAIRS AND ALTERATIONS
1.5% of Value of Fixture or Appliance
State Surcharge
TOTAL FEE
$ .50
JOB ADDRESS ���/ ���✓/Q 1�`/�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 andco rect.
`�® , 1998
Owner
Building Used
Estimated Cos ^��'d PERMIT NO. 1,23,33
PLUMBING COMPANY ./000e Z409
SIGNED BY TEL NO.���"
Approved By Rough—In Date Final Di
MINIMUM FEE FOR ANY PLUMBING/GAS PERMIT IS $20.00
PLUS THE $.50 STATE SURCHARGE
**COMBUSTION AIR SHALL BE PROVIDED PER UMC SECTION 504(A) AND TABLE 6—A. MINIMUM SIZE 9 SQ INCHES.
SUBJECT
a
City of Fridley
33601
AT THE TOP OF THE TWINS
?
BUILDING
PERMIT
_R1_Cv"'rw0�
COMMUNITY DEVELOPMENT DIV.
v
______ PROTECTIVE INSPECTION SE%-j
r C.
�I/
F
NUMBER
REV
DATE
PAGE OF
APPROVED BY
1 CITY HALL FRIDLEY 55432
j 763-571-3450
910415
6/11/03
JOB ADDRESS 7311 Tempo Terrace NE
1 LEGAL
LOT NO.
BLOCK
TRACT OR ADDITION
SEE ATTACHED
DESCR.
8
2
Melody Manor
SHEET
2 PROPERTY OWNER MAIL ADDRESS
ZIP PHONE
Richard Larson 7311 Tempo Terrace NE
763-784-6589
3 CONTRACTOR MAIL ADDRESS
ZIP PHONE LICENSE NO
Same
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 Cj REPAIR ❑ MOVE ❑ REMOVE
8 DESCRIBE WORK
Install railing on top of gxagx garage
9 CHANGEOFUSEFROM TO
STIPULATIONS
See notations or. plan.
TYPE OF CONST.
OCCUPANCY GROUP
OCCUPANCYLOAD
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 I HAVE READ AND EXAMINED THIS APPLICATION
ISTALLS 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
$1,000
$ •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-
$38.75
Fire SC $1.00
STRUCTION OR THE PERFORMANCE OF CONSTRUCTION
PLAN CHECK FEE
TOTAL FEE
$40.25
GN TURE0 CONTR ORO THORQ GENT DATE
W N PROPERLY VALIDATED THIS IS YO R PERMIT
S-G TUBE OF OWNER,IF OWNER BUILOERi (DATE.
BL G N
TiAtE
NEW [ ] CITY OF FRIDLEY Effective 1/1/2003
ADDN [ ] 6431 University Ave NE, Fridley, MN 55432 (763) 572-3604 Bldg Insp
ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 (763) 571-1287 Fax
BUILDING PERMIT APPLICATION
Construction Address: �7-311
Legal Description:
Owner Name &Address: ell. zat 76/'APTel. # Z3
Contractor.
MN LICENSE #
Address: 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
aSq. Ft.
DECK AREA:
Length
Width Hgt/Ground
Sq. Ft.
OTHER:
/RlSka
R-ubn ,y Fwnrr g et
Construction Type: Estimated Cost: $
Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ _ $
DATE: � o ®3 APPLICANT: ® `�`'� Tel. #
11 1
Call (763) 572-3604 for Permit Fees if mailing in application. Fax to 763-571-1287 if using credit card and we will
call you for card number.
CITY USE ONLY -
Permit Fee
Fire Surcharge
State Surcharge
SAC Charge
License Surcharge
Curb Cut Escrow
Erosion Control
Park Fee
Sewer Main Charge
$
$, 00
$ B 1:9®
$
TOTAL $
Fee Schedule on Reverse Side
.001 of Permit Valuation (1/10th%)
$.50/$1,000 Valuation
$1275 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 [ ]
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
$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
$23.50
$23.50 for first $500 plus $3.05 for each additional $100 or
fraction thereof, to and including $2,000
$69.25 for first $2,000 plus $14.00 for each additional $1,000
or fraction thereof, to and including $25,000
$391.25 for first $25,000 plus $10.10 for each additional $1,000
or fraction thereof, to and including $50,000
$643.75 for first $50,000 plus $7.00 for each additional
$1,000 or fraction thereof, to and including $100,000
$993.75 for first $100,000 plus $5.60 for each additional
$1,000 or fraction thereof, to and including $500,000
$3,233.75 for the first $500,000 plus $4.75 for each additional
$1,000 or fraction thereof, to and including $1,000,000
$5,608.75 for the first $1,000,000 plus $3.15 for each additional
$1,000 or fraction thereof
CURB CUT ESCROW
(Concrete Curb Streets Only)
Removal and replacement of curb and gutter only - driveway width plus 6 feet, times the annually determined
rate.
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.
VERIFICATION OF FOUNDATION
A Certificate of Survey of the lot, showing the location of the existing foundation will be required before
proceeding with the framing. New Houses Only
t BUILDING OFFICIAL REVIEW AND
3 4, AUTHORIZATION REQUIRED PRIOR TO
CHANGES, MODIFICATIONS OR ALTERATIONS
��e-r (7 - 7t a ( Kai / 91f I -� <1 0' c� o `2 (j"'4 e rS'
z tr�X/
M 1�j
(ON ®
Se.�-C%V S -77' 'e✓er
tv a Te/ /11
44 S rev s
a ve
lj S'c�e4V S r �alvan /`z6
SUBJECT
- -
City of Fridley
1 33481
AT THE TOP OF THE TWINS
�U ILDING
PERMIT
r
R EIPTNO.
16`
COMMUNITY DEVELOPMENT DIV.
______
r v PROTECTIVE INSPECTION SEC.
1 ;
NUMBER
REv
DATE
PAGE OF
vnOVED BY
CITY HALL FRIDLEY 55432
763-571-3450
910-F15
4/30/03
JOB ADDRESS 7311 Tempo Terrace NE
1 LEGALLOT
NO.
BLOCK
TRACT OR ADDITION
SEE ATTACHED
DESCR.
8
2
Melody Manor
SHEET
2 PROPERTY OWNER' MAIL ADDRESS
ZIP
PHONE
Richard Larson 731.1 Tempo Terrace NE
3 CONTRACTOR MAIL ADDRESS
ZIP
PHONE LICENSE NO
Midwest Roofing & Siding 313 Jefferson Hwy, Champlin,
MN
763-427-9696
s ARCHITECT OR DESIGNER MAIL ADDRESS
ZIP
PHONE LICENSE NO.
5 ENGINEER MAIL ADDRESS
ZIP
PHONE LICENSE NO
B USE OF BUILDING
Residential
7 CLASS OF WORK
❑ NEW ❑ ADDITION ❑ ALTERATION J] REPAIR
❑ MOVE ❑ REMOVE
8 DESCRIBE WORK
Repair 10 square of flat roof
9 CHANGEOFUSEFROM TO
STIPULATIONS
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 80 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
@
$.58
WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT
$1,158
DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE
PERMIT FEE
SACCHARGE
PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON-
FireXC
STRUCTION OR THE PERFORMANCE OF CONSTRUCTION
PLAN CHECK FEE
TOTA EE
Licens C 5.0_Q
$51.59
S.GNATURE OF C : FACTOR ORA THORIZED E�0 TES
N P PE V DAT
HIS IS Y ER T
s
I
BL G ffsp
iiE
NATU OF OWNER,.F WNER BU —IDXX—.
NEW [ ] CITY OF FRIDLEY Effective 1/1/2003
ADDN [ ] 6431 University Ave NE, Fridley, MN 55432 (763) 572-3604 Bldg Insp
ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 (763) 571-1287 Fax
BUILDING PERMIT APPLICATION
Construction Address: _73// ® o 7e,, -
Legal Description:
Owner Name & Address: 41 CA -,CA Tel. #
Contractor:
LIVING AREA:
GARAGE AREA:
DECK AREA:
OTHER:
MN LICENSE #
Tel.# 263
Attach to this application, a Certificate of Survey of the
lot, with the proposed construction drawn on it to scale.
DESCRIPTION OF IMPROVEMENT
Length Width Height Sq. Ft.
Length
Length
Width Height Sq. Ft.
Width Hgt/Ground Sq. Ft.
Construction Type: 6%ice 1200-,z Estimated Cost:
Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ —=$
DATE: APPLICANT: i es' �� c��' Tel. # 2&' 3 Va ' �y�f
Call (763) 572-3604 for Permit Fees if mailing in application. Fax to 763-571-1287 if using credit card and we will
call you for card number.
CITY USE ONLY -
Permit Fee
Fire Surcharge
State Surcharge
SAC Charge
License Surcharge
Curb Cut Escrow
Erosion Control
Park Fee
Sewer Main Charge
TOTAL $ 5-1•
Fee Schedule on Reverse Side
.001 of Permit Valuation (1/10th%)
$.50/$1,000 Valuation
$1275 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 [ ]
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
$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
$23.50
$23.50 for first $500 plus $3.05 for each additional $100 or
fraction thereof, to and including $2,000
$69.25 for first $2,000 plus $14.00 for each additional $1,000
or fraction thereof, to and including $25,000
$391.25 for first $25,000 plus $10.10 for each additional $1,000
or fraction thereof, to and including $50,000
$643.75 for first $50,000 plus $7.00 for each additional
$1,000 or fraction thereof, to and including $100,000
$993.75 for first $100,000 plus $5.60 for each additional
$1,000 or fraction thereof, to and including $500,000
$3,233.75 for the first $500,000 plus $4.75 for each additional
$1,000 or fraction thereof, to and including $1,000,000
$5,608.75 for the first $1,000,000 plus $3.15 for each additional
$1,000 or fraction thereof
CURB CUT ESCROW
(Concrete Curb Streets Only)
Removal and replacement of curb and gutter only - driveway width plus 6 feet times $17.00.
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.
VERIFICATION OF FOUNDATION
A Certificate of Survey of the lot, showing the location of the existing foundation will be ` required before
proceeding with the framing. New Houses Only
Building
BUILDING
Peru No.; -`i
Inspections
RESIDENTIAL APPLICATION
R=ived By.
763-572-3604
CITY OF FRIDLEY
nateOCT[r 20
DATE 09/26/09 YOURE-MAILADDRESS estherdoprobuiltam. coin
sITEADDRESS 7311 Tempo Terrace NE
$
THIS APPLICANT IS:
DOWNER OCONTRACTOR
$ Sti
PROPERTYOWNER1
NAME: Doug Schmitz
$
TENANT
ADDRESS: same as site CITY
STATE ZIP
ft + 6 ft = ft x $21= $
PHONE:
$
CONTRACTOR
NAME: ProBuilt America
$
STATE LICENSE # BC -20356847 EXP DATE 03/10
2211 11th Ave E
553.. 9
SUBWT A COPY OF
YOUR STATE LICENSE
ADDRESS: pny North SW STATEZIP
wnH APPLICATION
PHONE 651-770-9315 FAX 651-770-0495
PROPERTY TYPE
0 SINGLE FAMILY/NEW CONSTRUCTION SIZE
0 TWO FAMILY/NEW CONSTRUCTION STORIES
PERMIT TYPE
0 ADDITION 0 GARAGEISHED 0 VANDOWS
0 BASEMENT FINISH 0 ROOF 0 DRAIN TILE
0 DECK 0 SIDING 0 OTHER
❑ SWIMMING POOL
TYPE OF WORK:
O NEW o ADDITION
0 MAINTENANCE ATMA 0 REMODELING
DESCRIBE WORK BEING DONE: Replacing 2 window,
SIZE OF UMPROVEMENT LENGTH WID'T'H
HEIGHT Sq. Ft.
ROOFING
0 HOUSE ONLY
NUMBER OF SQUARES
0 HOUSE & GARAGE
BASEMENT
REMODE UNG SUBMTT:
GAi�pIGES
0 ATTACKED GARAGE
I.
Existing Floor' Ilan
PROPOSED SIZE:
0 DETACHED GARAGE
2.
3.
Proposed floor plan
List of strut hual members to be used
PROPOSED HEIGHT:
SHMG
FOR NEW CONSTRUCTION INCLUDING DECKS,
CJ Vicryl
nsdm
ADDITIONS.
& PORCHES SUBMIT:
0 Aluminum
0 Trim
i.
Site Plan/Survey showing the existing statures
0 Other
0 Fascia
andpwposedpzi4ect.
WOWS
2.
Two sets of mon plans
IN EXISTING OPENINGS DYes ONo LOCATION OF VANDOWS
3.
Energy Calculations
OR FOR NEW OPENINGS -DESCRIBE SIZE OF
OPENING CHANGES &
2
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 UJLC FEE SCHEDULE)
TOTAL JOB VALUATION $ 1018 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
$ Sti
$5.00 (State Licensed Residential Contractors)
SAC Charge
$
$1675 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 ( )
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 Coition Codes; that I understand this is not a
permit but only an application fora ' and vyork is not to start without a t; that the work will be in accordance with the approved
plan in the case of all work which ..m pxi approval of pIglE
SIGNATURE OF APPLICANT
17