PRE 2010 DOCSCity of Fridley, Alinn..
BUILDING PERMIT
em .
N° 5815
Builder '0a
Address
LO►C OF BIJY
ING
NO. Street V Nof Lot
Lot ..._..._.. _ _Block _ _ Addition or Sub-Divisign't•-•-•a!--
Corner Lot Inside Lot ... i'" Setback Sideyard . _T
Sewer Elevation
Foundation Elevation
DESCRIPTION OF BUILDING
To Used
Front ' - - Depth Height p -. Sq. Ft. 4 Cu. n
t FronDepth Height Sq. Ft. �d Cu. Ft.
Com leted ................
_
OnstruonctiEst. G`ost be p
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 $z..� —....._.., 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
o city limits and this permit may be revoked at any tim
e upoviolaty of the provisions of said
a
NOTICE:
This permit - does not cover the construction, Installation for wiring, plueibl i& gas heating, sewer or water. Be sure to we
the Building Inspector for separate permits for thew items.
4
APPLICATION FOR BUILDING PST
CITY OF FRIDLEY, KDRESOTA
Owner's Name Builder
�J
Address Address :211- % Ate -
No.
LOCATION OF BUILDING
°—ipd 7-•Ci-e'*C'r—
of Lot
Lot Block Addition or Subdivision
Corner Lot Inside Lot Setback 3 Side -Yard &o
SEWER ELEVATION FOUNDATION ELEVATION
Applicant attach to this form Certificate of Survey of Lot and proposed building
location.
DESCRIPTION OF BUILDING
�-e- � ;►��-� " ]3 Vii' �- �"�-`�'
P e
To be used as:
FrontDepth 2 Height
Sq. Ft. �/ �% J� Cu. Ft.
fire Front ZZ Depth �� Height
Type of
To be Completed
Sq. Ft. Wo / Cu. Ft.
Cost /
The undersigned hereby make apication 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 the facts and eaent�tions
stated in this applic tion are true and correct.
DATE �� SIGNATUM
(A Schedule of Fee Costs can be found on the Revers Side.)
p
r..
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 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 $1.440 for each one thousand cubic feet, or fraction thereof, in such
cubical contents.
2?2. For any such permit for the erection of any fireproof garage, warehouse,
factory or grain elevator, or for the erection of any fireproof 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
I.- nneapolis Building Code.
1710US'uS
2.3. For any such permit for the erection of any non -fireproof building other
-Uhan a garage, warehouse, factory or grain elevator, or any non -fireproof
addition, for similar occupancy, to any existing building. Permit $1.00 for
3^,ch one thousand cubic feet.
GARAGES
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.
Icinety Cents for each one thousand cubic feet or fraction thereof, in the cubical
contents thereof with a minimum of $/..00.
For the purpol^ of computing fees for building permits the cubical contents of any
building or addition to a un7:"orm 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.
2.5a For repairs or alterations to an existing..structure, the fee shall be at the
rate of $3.00 for 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 Section 2 be
less than $4.00.
City of Fridley
Application for Plumbing and Gas Fitting Pennit
Dept. of Bldgs. Phone SII 4-7470
DESCRIPTION OF WORK
Number, Kind and Location of Fixtures Location
s
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WATER HTR.
GAS
ELEC.
Base iii
1st
2nd
3rd
4th
Future Connection Openings
New Fixture, Old Openings
I
ected
Connwith Sewer
Cesspool
PARTIAL RATE SCHEDULE
PLUMBING FIXTURE RATES:O. RATE TOTAL 0
Number Fixtures x $1.50 $
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) ...... x 2.00 $��
New Ground Run Old Bldg. ............ x 3.25 $
GAS FITTING FEES: NO. RATE TOTAL
1st 3 Fixtures ..........................� x $1.50 $� r
Additional Fixtures .................... x .50 $
Gas Range to 200,000 BTU .............. x 2.00 $
REPAIRS & ALTERATIONS—Refer to Code
Description ................................................$
TOTAL FEE ° Q
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��rrect.
dley, Minns —, 19
Owner
Kind of Building_/�
Used as
To be completed about —
Estimated Cost, $
f w- '
Old New uilding Permit No� Permit No. �-
Signed
Business Phone No
ROUGH
FINAL
d2 2M
- J
W?
•
213
City oFridley,Minn.
BUILDING
Date: Ju2y 16, 1965
Owner: JAMES F1REMG Builder JOHN H. - PAINOR
Address 73 1 TenPo Terrace Adm 7117 West Shore Drive
Fridley, Minnesota Fridley, Minnesota
LOCATION OF BUILDING
No. 733 Street TEMPO TERPkCE Part of Lot
Lot 6 Block 2 Addition or Sub -Division Melody Manor
Corner Lot Inside Lot Setback Sideyard
Sewer Elevation Foundation Elevation
To be Used as:
DESCRIPTION OF BUILDING
Front Depth Height Sq. Ft. Cu. Ft
Front Depth Height - Sq. Ft. Cu. Ft
Type of Construction F.st. Cost _$221 -5(X' ,00 —To be Completed
REPAIRS DUE TO STORM DAMAGE
In consideration of the issuance to me of a permit to construct the building described above I agree to do
the proposed work in accordance with the description above set f and in complian th a'll provisions of
ordinances of the city of Fridley. 9
In consideration of the payment of a fee of1$•00_ _ _permit is hereby granted to—4
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.
z
K=C&
Tide permit don not cam the candnx9oe, heron for wiring, Plumbing, gn h*dhm fewer or water. Be are to as
th o Building Ins mew for sopwdo permits for these tteme.
APPLICATION FOR BUMPING PERMIT
CITY OF- FRIDLEY, MINNESOTA
' S NAME r� �� BUILDER
Ja0 f/ A'4
OWNER'S `� � �,.
ADDRESS -712 i ADDRESS �2Z l 7—
LOCATION
—LOCATION OF BUILDING
N0. STREET PART OF LOT
LOT BLOCK , -I ADDITION OR SUBDIVISI011414����t__'/
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
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 her
declares that all the facts and representations stated in this application
are true and correct.
DATE �4.?SIGNATURE 0
(Schedule o ee Costs can be found o the Reverse Side). l
U
A 4 � •
BUILDING PERMIT FEE SCHEDULE
SECTION 2. The Inspector of Buildings shall, before issuing any permit for
the erection of any building or to any existing
building or structure, or for .any_alteritions or repairs to any existing
building or structure, upon applicati6n: therefore, require the payment by the
applicant for such permit of fees to the amount-.harein below -set forth and in
the manner herein provided towwits
22.1_ For any such permit..fot the erection of any fire -proof building,
other than a garage, warehouse; facfory pr g'rain-elevator, or for the erection
of any fireproof addition, for similar occupancy, to any existing building,
shall.be at the rate of $1.40 for each one thousand cubicfeet, 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 8ny`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 "fireproof01
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
2.4. -For any such permit for the erection of any non -fireproof garage,
warehouse, factory or grain elevator, or for the erection of any non -fire -proof
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.
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 fee charged for any permit as set forth in
Section 2 be less than $4.00.
STORM REPAIR DAMAGE FEES:
Residential; Estimated Cost of work up to $500.00 - $5.00
Estimated Cost of'work over $ QA;00 $10.00
Commercial;Estimated C of woxlc up to $500.00 - $10.0"
Estimated Lof work over $S,Qbe00 . - $20.1
Application for Power Plants and. Heating, Cooling, Ventilation, .RefrigeraFion and
Air Conditioning Systems and Devices
PARTIAL RATE SCHEDULE
GRAVITY WARM AIR: RATE TOTAL,
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 170,000 BTU ............ 8.00 $
each add. 60,000 BTU .... . .................. 2.00 $ _
Replacement of Furnace 0.00 $
Repairs & Alterations—up to $500.00 ................... 5.00 $
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 $
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
GAS BURNER (up to 400,000 BTU) ....................... 5.00 $
GAS FITTING FEES: NO RATE r 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 See Fee Schedule
VENTILATING SYSTEM
ALTERATIONS & REPAIRS TOTAL FEE $
ROUGH
FINAL
Dept. of Bldgs. Phone SU_ 4-7470
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.
Fri ey, Minn ® 19 �Y
Owner , tt
Kind of BLing �� J
Used as
To be completed about
Estimated Cost, $ (Z
01—New uilding Permit No. Permit No. fi
DESCRIPTION OF WORK
HEATING or Pgym PLANTS—Steam, Hot Wa , Warm Air— lo
—
Trade Name p 4 Size No d—d
Capacity Sq. Ft. E.D.R BTU H.P.
Total Connected Load y �f Kind of Fuel
If
BURNER — Trade Name Size No -
Capacity Sq. Ft. E.D.R BTU H.P.
arl
1-2,
BY 4637 CHICAGO AVE
42 iM 7-59 Business P one-1�ToP D LI S 7, Qui I N N Ear OTA
(REMARKS -OVER 7
CITY OF FRIDLEY
Effective Date May 1, 1988
APPLICATION FOR POWER PLANTS AND HEATING,
COOLING, VENTILATION, REFRIGERATION AND
AIR
CONDITIONING SYSTEMS AND DEVICES
RATE SCHEDULE
RESIDENTIAL `
RATE
TOTAL
Job Address -7-3 3
Furnace Shell and Duct Work,
Burner (Also replacement furnace) $
20.00
$
Department of Buildings, 6431 University Ave. N.E., Fridley, MN 55432
City of Fridley
Gas Piping $
10.00
$
Tel. #571-3450
(piping needed with new furnace)
Gas Range $
10.00
$
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
Gas Dryer $
10.00
$
and rulings of the Department of Buildings, and hereby declares that all the
facts and representations stated in this application are true and correct.
* Air Conditioning (all sizes) $
10.00
$/,O ��
Fridley, Minn. O - / f 19
All Others/Repairs and Alterations
OWNER
18 of Value of Appliance or Work
$
KIND OF LDING
COMMERCIAL/INDUSTRIAL
USED AS i1 r
18 of Value of Appliance or Work
$
TO BE COMPLETED ABOUT
eJ�
ESTIMATED COST
State Surcharge
$ .50
OLDS- NEW BUILDING PERMIT NO. PERMIT NO.
TOTAL 1rEE
$
Reinspection Fee ($15.00)
DESCRIPTION OF FURNACE/BURNER
Rough Insp.
�; "
HEATING or POWER PLANTS, Steam, Hot Water, Warm Air-
Date
Final Insp.
rNso.�
Trade Name 77L1— Size No.
Date
Capacity 5q. Ft. EDR� HTU HP
Approval for Permit at
Total Connected Load Kind Fuel
of
BURNER - Trade Name Size No.
MINIMUM FEE FOR ANY HEATING PERMIT IS $15.00,
PLUS $.50 STATE SURCHARGE
*Air Conditioners can not be placed in side yard without
written permission from adjoining neighbor.
Capacity Sq. Ft. EDR BTU HP
Company 41l�
Signed By
Tel. No. -53 7
Fill out back Side for stack verification on replacement furnaces �_
CITY OF FRIDLEY INSPECTION DIV.
6431 University Ave NE
Fridley, MN 55432
572-3604
/C) -Al -I Effective On January 1, 1998
APPLICATION FOR PLUMBING AND GAS FITTING PERMIT
MARK NUMBER OF FIXTURES TO BE INSTALLED ON EACH FLOOR
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**
$10.00 I
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 .2e,
State Surcharge $ .50
TOTAL FEE $ '�'a,V
JOB ADDRESS -7331 l 6... fes® � � /1-11c'_—
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.
1 0
Owner lj'�m 9.6
Building Used As
Estimated Cost's®c • PERMIT NO.
PLUMBING COMPANY P�� �'� ®�) psi Y- gJ
SIGNED Bl' r�i� TEL N0. ' - Vvg
Approved By Rough -In Date
ANY PLUMBING
_ Final Date Via,
geKotes d
PERMIT IS $20.00 z
**COMBUSTION AIR SHALL BE PROVIDED PER UMC SECTION 504(A) AND TABLE 6-A. MINIMUM SIZE 9 SO INCHES.
G7YOF
FRIDLEY
FRIDLEY MUNICIPAL CENTER • 6431 UNIVERSITY AVE. N.E. FRIDLEY, MN 55432 • (612) 571-3450 • FAX (612) 571-1287
June 29, 2001
Mr. James Freburg
7331 Tempo Terrace NE
Fridley, MN 55432
Re: Final Inspection at 7331 Tempo Terrace NE
Contractor: R A Johnson & Son
Dear Mr. Freburg:
A plumbing permit was issued on October 4, 1999 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 plumbing authorized by this permit. As of this date, no inspection has been called for.
The permit fee that was paid covers the inspections to make sure the work was completed
according to the Plumbing 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 expired the permit and no
further action will be taken.
To set up the inspection, or to have any questions answered, please contact the Building
Inspection Division at (763) 572-3604.
Sincerely,
DJ/mh
Building
BUILDING
Permit No.: . 7 X60
Inspections
RESIDENTIAL APPLICATION
Received By
763-572-3604CITY
OF FRIDLEY
�� 7
DATE 09/22/07 YOUR E-MAIL ADDRESS estherd®probuiltam.com
SITEADDRESS 7311 Tempo Terrace
THIS APPLICANT IS:
❑ OWNER []CONTRACTOR
PROPERTY OWNER/
NAME: DOuq Schmitz
ADDRESS: same as site CITY
STATE_ZIP
TENANT
PHONE: 7637800541
CONTRACTOR
NAME:ProBuilt America
STATELICENSE# BC -20356847 EXP DATE U.i/ U8
SUBMIT A COPY OF
YOUR STATE LICENSE
� � 11 11 t ri Ave N; 5 l�
ADDRESS: CITY North SiSip STATE ZIP
WITH APPLICATION
PHONE 651-770-5570 FAX 651-770-0495
PROPERTY TYPE
❑ SINGLE FAMILY/NEW CONSTRUCTION SIZE
❑ TWO FAMILY/NEW CONSTRUCTION STORIES
PERMIT TYPE
❑ ADDITION ❑ GARAGE/SHED ❑ WINDOWS
❑ BASEMENT FINISH ❑ ROOF ❑ DRAIN TILE
❑ DECK ❑ SIDING ❑ OTHER
❑ SWIMMING POOL
TYPE OF WORK:
❑ NEW ❑ ADDITION
❑ MAINTENANCE/REPAIR ❑ REMODELING
DESCRIBE WORK BEING DONE: Replacinq 6 window, not changing sizes
SIZE OF IMPROVEMENT LENGTH WIDTH
HEIGHT Sq. Ft.
ROOFING
❑ HOUSE ONLY
NUMBER OF SQUARES
❑ 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:
SIDING
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
OR FOR NEW OPENINGS -DESCRIBE SIZE OF
OPENING CHANGES &
6
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 $ 3 0 5 7 OCCUPANCY TYPE
Permit Fee $ .5 See Back Page for Fee Schedule
Plan Review $ 65% of Building Permit Fee
Fire Surcharge
Surcharge
License Surcharge
SAC Charge
Curb Cut Escrow
Erosion Control
Park Fee
Sewer Main Charge
Total Due
$ 3,067
$ /1.53
$ . 1UD
.001 times the total job valuation
.0005 x Permit Valuation Minimum $.50
$5.00 (State Licensed Residential Contractors)
$1675 per SAC Unit (Plans to MWCC for determination)
ft+6ft= ftx$21=$
$ $450 Conservation Plan Review
$ Fee Determined by Engineering
$ Agreement necessary ( ) Non Necessary
to: Citv of
THIS IS AN APPLICATION FOR A PERMIT -NOT VALID UNTIL PROCESSED
Attach
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 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 which requires review and approval of plans.
SIGNATURE OF APPLICANT 1_11" I PRIG NAM$ Esther Dahl DATE 09/22/07
1 k
Buildia&.
$
BUILDING
Plan Review
Permit No.:
Inspections
65% of Building Permit Fee
RESIDENTIAL APPLICATION
$
Received By:
763-572-3604
Surcharge
$
CI'T'Y OF FRIDLEY
.0005 x Permit Valuation Minimum $.50
Date Rec'd:
DATE
YOUR E-MAIL ADDRESS &!�. (e: QUIlD
v xG1�af�
SITE ADDRESS 1 N
1 J l T'
. lei + r 1W AW SMya2
Curb Cut Escrow
THIS APPLICANT IS:
OWNER
❑CONTRACTOR
Erosion Control
PROPERTY OWNER/
NAME:
$450 Conservation Plan Review
Park Fee
TENANT
ADDRESS: 7 3 3
f 14amen CITY _ Pe h) %
STATEI IP
$
PHONE:
Agreement necessary ( ) Non Necessary ( )
Total Due
CONTRACTOR
NAME:
Make checks payable to: City of Fridley Attach Stipulations
STATE LICENSE #
EXP DATE
SUBMIT A COPY OF
YOUR STATE LICENSE
ADDRESS:_
CITY
STATE—ZIP
WITH APPLICATION
PHONE
FAX
PROPERTY TYPE
SINGLE FA %1ILY
ON IZE--A—AW Jr
A
TWO FAMILY/NEW CONSTRUCTION STORIES
PERMIT TYPE
❑ ADDITION
❑ GARAGE/SHED ❑ WINDOWS
ASEMENT FINISH ❑ ROOF ❑ DRAIN TILE
❑ SIDING ❑ OTHER
❑ SWIAAIIvIING POOL
TYPE OF WORK:11ADDITION
E3may✓ ANCEIREPAIR ❑ REMODELING
DESCRIBE WORK BEING DONE:
Ot t> P&Jr-& Ap.ar> P ctiL h AlAr Ml ,
�
Lr
SIZE OF IMPROVE
%
LE TH 42. WIDTH z
HEIGHT r Sq. Ft
ROOFING
— "'
❑ HOUSE ONLY
W
NUMBER OF SQUARES
❑ HOUSE & GARAGE
BASEMENT REMODELING SUBMIT:
GARAGES
❑ ATTACHED GARAGE1.
Existing Floor Plan
PROPOSED SIZE:
❑ DETACHED GARAGE
2.
3.
Proposed floor plan
List of structural members to be used
PROPOSED HEIGHT:
SIDING
FOR NEW CONSTRUCTION INCLUDING DECKS,
❑ Vinyl
❑SoffitJAwil
ADDITIONS. & PORCHES SUBMIT:
❑ Aluminum
❑ Trim j
1.
Site Plan/Survey showing the existing structures
❑ Other .
❑ Fascia �� l i a0
and proposed project
WINDOWS
2.
Two sets of construction plans
IN EMSTING OPENINGS ❑Yes ❑No LOCATION OF WINDOWS
3.
Energy Calculations
OR FOR NEW OPENINGS -DESCRIBE SIZE OF
OPENING CHANGES &
TYPE OF WINDOW TO BE INSTALLED
NUTNMER OFWINDOWS
ALL FEES ARE BASED ON VALUATION, INCLUDING THE COST OF LABOR AND MATERIALS:
(USING THE 19?7 U.B.0 FEE SCHEDULE)
TOTAL JOB VALUATIONS • ,$ L+ -71A I .X)OCCUPANCY TYPE
Permit Fee
$
See Back Page for Fee Schedule
Plan Review
$
.72)-31
65% of Building Permit Fee
Fire Surcharge
$
4.1S
.001 times the total job valuation
Surcharge
$
9 --37
.0005 x Permit Valuation Minimum $.50
License Surcharge
$
$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 ( )
Total Due
$
lr� , Z-e'`s%
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 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 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 whic eview and approval of plans.
SIGNATURE OF APPLICANT A
Page 2 - Building Residential Application
BUILDING PERAUT 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
FEES
$1 to $500
$23.50 (Minimum Fee is $23.50 plus surcharge)
$501 to $2,000
$23,50 for 1' $500 plus $3.05 for each additional $100 or fraction, to and
including $2,000
$2,001 to $25,000
$69.25 for 1' $2,000 plus $14 for each additional $1,000 or fraction, to and
including $$25,000 '
$25,001 to $50,000
$39125 for 1- $25,000 plus $10.10 for each additional $1,000 or fraction,
to and including $50,000
$50,001 to $100,000
$643.75 for l' $50,000 plus $7 for each additional $1,000 or fraction to and
including $100,000
$100,001 to $500,000
$993.75 for l- $100,000 plus $5.60 for each additional $f,000 or fraction to
and including $500,000
$500,001 to $1,000,000
$3,233.75 for the 1- $500,000 plus $4.75 for each additional $1,000 or
fraction to and including $1,000,000
$1,OOO,Q01 and up
$5,608.75 for the I' $1,000,000 plus $3.15 for each additional $1,000 or
fraction
VERIFICATION OF FOUNDATION
Permits for construction will be issued a minimum of 24 hours from the time of application to
allow for proper review of proposed structure and of the construction site.
A Certificate of Survey of the lot, showing the location of the existing foundation will be
required before proceeding with the framing. New Houses Only
City of Fridley
Building Inspections Department
6431 University Avenue NE
Fridley, MN 55432
763-572-3604
Fax: 763-5024977
Building
$
BUILDING
Plan Review
Permit NO.: - 1
Inspections
Fire Surcharge
RESIDENTIAL APPLICATION
/ .001 times the total job valuation
Received Blic;i:
763-572=3604
,, .0005 x Permit Valuation Minimum $.50
CITY OF FRIDLEY
$
Date Rec'd:
DATE �r 0 - YOUR E-MAIL ADDRESS 62u
ANA).
SITE ADDRESS
ea A )� iPA1 5:5 4az—
$
THIS APPLICANT IS:
DOWNER ❑CONTRACTOR
$
PROPERTY OWNER/
NAME:
$
ADDRESS: Inom go 16—M.4- CITYy ,6.. STA 1Plt:T-q?
�T
$
PHONE:
Total Due
CONTRACTOR
NAME:
STATE LICENSE # EXP DATE
SUBMIT A COPY OF
YOUR. STATE LICENSE
ADDRESS: CITY
STATE ZIP
WITH APPLICATION
PHONE FAX
PROPERTY TYPE
JKSNGLE FAMILY SIZE
❑ TWO FAMILY/NEW CONSTRUCTION STORIES 9—
PERMIT
PERMIT TYPE
❑ ADDITION ❑ GARAGE/SHED ❑ WINDOWS
❑ BASEMENT FINISH ❑ ROOF ❑ DRAIN TILE
0 DECK ❑ SIDING ❑ OTHER
WMVENG POOL
TYPE OF WORK:
❑ NEW RADDITION ®r 46L-
❑ MAINTENANCE/REPAIR ❑ REMODELING
DESCRIBE WORK BEING DONE: &,000JrD Mi— yo -159F Ab W p
MWP-
SIZE OF IMPROVEMENT LENGTH /d WIDTH
' HEIGHT Sq. Ft.
ROOFING
❑ HOUSE ONLY
NUMBER OF SQUARES
❑ HOUSE & GARAGE
BASEMENT REMODELING SUBMIT:
GARAGES
❑ ATTACHED GARAGE
1.
Existing Floor Plan
PROPOSED SIZE:
❑ DETACHED GARAGE
2.
Proposed floor pian
PROPOSED HEIGHT:
3.
List of structural members to be used
SIDING
FOR NEW CONSTRUCTION INCLUDING DECKS,
❑ Vinyl
❑Soffit
ADDITIONS_ & PORCHES SUBMIT:
❑ Aluminum
❑ Trim
I.
Site Plan/Survey showing the existing structures
❑ Other
❑ Fascia
and proposed project.
WINDOWS
Z.
Two sets of construction plans
IN EXISTING OPENINGS ❑Yes ❑No LOCATION OF WINDOWS
3.
Energy Calculations
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
$
6' See Back Page for Fee Schedule
Plan Review
$ !f
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
$
$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 ( )
Total Due
$ ?a/
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 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 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 which,feq*es inview and approval of plans. �
SIGNATURE OF APPLICANT PRINT NAME r (-% Y_ DATE-- /S L
Page 2 - Building Residential Application
BUILDING PERNIIT FEE SCHEDULE
The Chief Building Official shall, before issuing permits for the erection of any building or
structure, or for any addition to any existing building or structure, or for any alteration or repair
to any 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
FEES
$1 to $500
$23.50 (Minimum Fee is $23.50 plus surcharge)
$501 to $2,000
$23,50 for 1' $500 plus $3.05 for each additional $100 or fraction,'to and
including $2,000
$2,001 to $25,000
$69.25 for 1' $2,000 plus $14 for each additional $1,000 or fraction, to and
including $$25,000
$25,001 to $50,000
$39125 for 1' $25,000 plus $10.10 for each additional $1,000 or fraction,
to and including $50,000
$50,001 to $100,000
$643.75 for l' $50,000 plus $7 for each additional $1,000 or fraction to and
including $100,000
$100,001 to $500,000
$993.75 for l- $100,000 plus $5.60 for each additional $1,000 or fraction to
and including $500,000
$500,001 to $1,000,000
$3,233.75 for the lg $500,000 plus $4.75 for each additional $1,000 or
fraction to and including $1,000,000
$1,000,001 and up
$5,608.75 for the I' $1,000,000 plus $3.15 for each additional $1,000 or
fraction
VERIFICATION OF FOUNDATION
Permits for construction will be issued a minimum of 24 hours from the time of application to
allow for proper review of proposed structure and of the construction site.
A Certificate of Survey of the lot, showing the location of the existing foundation will be
required before proceeding with the framing. New Houses Only
City of Fridley
Building Inspections Department
6431 University Avenue NE
Fridley, MN 55432
763-572-3604
Fax: 763-5024977