Loading...
PRE 2010 DOCSCity of Fridley, Minn. BUILDING PERMIT N® 3875 Date: .... `®:� / .�....� ....... Owner....................................... Builder���•:�.. Address ...................................... Address ............................................. n _ LOCATION �OF BUILDING No..2° 5.��:.:� Street . ..� ... Z.°' Lot ........ ........... .. . ... ..... . Lot ....�..... Block ... .........., AdRition or Sub -Division i ..fit.... . c Corner Lot ............ Inside Lot . X ........ Setback Sideyard............... . DESCRIPTION OF BUILDING To Used V .... Front Dljepth 7..: Height . Sq. Ft. /& � Cu. Ft. 20 ae ........... .... Front ........Depth ........ Height ........ Sq. Ft......... Cu. Ft........ . Type of Construction ................• . Est. Cost.. Aht �:��.�J! Y—�nr o be Completed .................... In consideration of the issuance to me of a permit to construct the building desribed above, I agree to do the proposed work in accordance with the description above set and in c Bance with all provisions of ordinances of the city of Fridley. In consideration of the payment of a fee of $. JC..Termit 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 with- in the city limits and this permit may be revoked at any timeon violation of any of the provisions of said I ordinances. o Building NOTICE: This permit does not cover the construction, Installation or alteration for wiring, plumbing, gas heating, sewer or water. Be sure to see the Building Inspector for separate permits for these Items. Appiicalion for Power Plants and Hearing. Coating, Ventilation. Re%igeration 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 $ NECK. WARM AIR Furnace Shell & Duct Work to 120,000 BTU ............ 8.00 $ each add. 60,000 BTU ....................... 2.00 $-- Replacement _Replacement of Furnace ............................. 5.00 $ 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 $ z-6 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 $ .6 0 GAS FITTING FEES: NO RATE TOTAL 1st 3 Fixtures ...................... x $1.50 $ x6-6 Additional Fixtures x .50 $ Gas Range to 200,000 BTU ........... x 2.00 $ AIR CONDITIONING FAN HEATING SYSTEM VENTILATING SYSTEM ALTERATIONS & REPAIRS REMARKS: $ See Fee Schedule TOTAL FEE $� Dept. of Bldgs. Phone SII 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. Fridley, M�inn. „ 195z - Owner AL e �� 195_ Kind of Building © 195— Used as To be completed about Estimated Cost, Permit No. DESCRIPTION OF WORK HEATING or POWER PLANTS—Steam, Hot Water, Warm Air—No- Trade Name ac�i Size No Capacity Sq. Ft. E.D.R_ BTU H.P. Total Connected Load Kind of Fuel- BURNER uel BURNER — Trade Names Size No Capacity Sq. Ft. E.D.R BTU H.P. Sign By -Q10111 POST IM -12-58 Business Phone No-- 7-s D•56 HEAT LOSS CALCULATIONS DEPARTMENT OF BUILDINGS FRIDLEY, MINN. Weatherstrips A.S.H.V.E. Construction No. Insulation Guide Wind s I —No Doors Reference Out. Wall Int. Wall Ceiling Roof Floor Kind How Applied Ye Ye 19_ -3. � ; &- . � 1o,- Fl.1 ; t :L „_, ,.9 Room I Length zz, Width ► 2-Heisrht a' II / sr F1.1 Room I Length 7 ' Width .f f` Height 9 Windows and Doors—Crackage and Area Width Height No. of Lineal ft. Area No. of pane of pane lights of crack sq. ft. Z 25 3 ® L i 2. 3 ® t /L 1 ' e In Coef. Btu Coef. Btu Infiltration 179L Glass 1.5 Glass as Glass �a '74 cij �� �- Exp. wall l Int. wall 2, 7 1, 2.32-1 11 Net exp. wall .� ,� i Floor 2724 Int. wall V!, 4 Floor Ceiling 2&� ot-S , 6 �/ Floor tis ®t I wso Total Btu. 1 10, 100 Required sq. ft. E.D.R. or sq. ins. W.A. Leader area Id g; I ?°P F1.1 b i n Room I Lenath ) t ' Width Heisfht M Windows and Doors--Crackage and Area Width Height No. of Lineal ft. Area No. of pane of pane lights of crack eq. ft. l Z 613 ADD to ZA 20 7-6 z 1 ' e In Coef. Btu Infiltration I q,7 % 179L Glass Z,42% Glass l �� Exp. wall �a '74 Exp. wall Net exp. wall / Exp. wall l Int. wall 2, 7 1, 2.32-1 11 Ceiling .� Floor 04 V!, 4 total btu. 1 4 q xp- Required sq. ft. E.D.R. or sq. ins. W.A. Leader area I it), 1 *TFI.1 r N 7vz-,u° Room I Lenirth ►' ° Width a' Height Windows and Doors—Crackage and Area Width Height No. of Lineal ft. Area No. of pane of pane lights of crack eq. it. l Z 613 ADD to ZA 20 7-6 z 1 ' e In Coef. Btu Infiltration Infiltration 3 a 76o Glass, Z,42% Glass l �� Exp. wall �a '74 Exp. wall Net exp. wall / Exp. wall l Int. wall 2, 7 1, 2.32-1 11 Ceiling Int. wall Floor 04 V!, 4 lbtal Btu. 1 2!5 2 Required sq. ft. E.D.R. or sq. ins. W.A. Leader area I It Windows and Doors—Crackage and Area Width Height No. of Lineal ft. Area No. of pane of pane lights of crack eq. ft. / ® ZA. 7-6 z 1 ' e In Coef. Btu Infiltration / 39 Z,42% Glass 7 99 '74 Exp. wall G S ®!� Exp. wall Net exp. wall 2, 7 1, 2.32-1 11 27 94 Int. wall g Ceiling Floor Ceiling 2&� ot-S , Total Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area I¢' s*r F1.1 Room I Lenath ME Width / �-v Height 7 6 Windows and Doors—Crackage and Area Width Height No. ofLineal ft. Area No. of pane of pane lights of crack sq. ft. ®� ® 4 4® 7-6 z 1 ' e In Coef. Btu Infiltration I. L 39 Z,42% Glass Y0 1. �7 Exp. wall G S Z? 2 Exp. wall Net exp. wall 2, 7 1, 2.32-1 11 27 94 Int. wall g Ceiling Floor Ceiling 2&� ot-S /57% Total Btu. I e1-611 Required sq. ft. E.D.R. or sq. itis. W.A. Leader area I I / 142 FLI / A . �* Room I Length )a/ 4 Width 2n Height 9 Windows and Doors—Crackage and Area Width Height No. of Lineal ft. Area No. of pane of pane lights of crack sq. ft. .L 2q 2L 7-6 z 1 ' e In Coef. Btu Infiltration 9 Glass 76 G S q. �0 Exp. wall 2, 7 1, Net exp. wall g Int. wall Ceiling 6 �/ Floor -1 otal Btu. I D a .7 ZI-A Required sq. ft. E.D.R. or sq. ins. W.A. Leader area I Z Z e D-56 ..-... `.., 4 2 HEAT LOSS CALCULATIONS DEPARTMENT OF BUILDINGS FRIDLEY, MINN. Weatherstrips 2 25 2® 1- , - EH .E' Guide Reference 19_ Coef. Btu Construction No. Insulation Windows I Doors Out. Wall Int. Wall Ceiling Roof Floor Kind How Applied q Yes—No Yes—No ! q 131 !'LEJ e e 7- Room I Lenstth /o Width 7,en Heistht 9 II 2wAFl.1 -- 2 Room I Lenath / 4 Width Height 9' 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 papnpe of pane lights of crack sq. ft. 254 tG, :z /_ 2 25 2® 1- Coef. Btu Infiltration Coef.1 Btu Coef. Btu Infiltration J17% Glass, ! q 131 2 q Glass Floor 4 7 Net exp. wall 3111 Exp. wall 02 Int. wall Z q® Net exp. wall rho g / 95 / 2 5 / L Int. wall Ceiling ��® ®� Floor Total Btu. 0 -'YL/ Required sq. ft. E.D.R. or sq. ins. W.A. Leader area ®,§'' AihFl-1 A &, 1 R...,... 11 ....th a \Y7;A"L a to U. -L& v 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. ft. t 24 16 /� � Coef. Btu Infiltration Coef.1 Btu Infiltration ,� 1 31i J17% Glass, ! q & ® P. Exp. wall Floor Net exp. wall f. g z 02 Int. wall Ceiling rho g / 7b o Floor 1 otal Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area L F1.1 Bg , 2."'© Room I Lenath Ds � Width 115 Height I 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. ft. Coef. Btu Infiltration Coef.1 Btu Infiltration ,� 1 31i J17% Glass ! q & 1 � Exp. wall Floor Net exp. wall y / a- ? 8,V Int. wall Ceiling A g / 7b o Floor Ttltal Btu. 4 3 S 7 Required sq. ft. E.D.R. or sq. ins. W.A. Leader area I 6C)° 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. ft. Coef. Btu Infiltration Coef. Btu Infiltration ,� 1 31i J17% Glass 19 G 490 Exp. wall Floor Net exp. wall y / a- ? 8,V Int. wall Ceiling A g / 7b o Floor Total Btu. I I.v a Required sq. ft. E.D.R. or sq. ins. W.A. Leader area I/o' I _ F1.1 /A a A2 Room I Length / / Width ey Heistht . 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. ft. Coef. Btu Infiltration Coef. Btu Infiltration Exp. wall gr7in Glass Int. wall 61 490 Exp. wall Floor Net exp. wall y / a- ? 8,V Int. wall Ceiling ®�,� / I Floor Total Btu. I 3g gel Required sq. ft. E.D.R. or sq. ins. W.A. Leader area (e3 Fl.l Room I Length Width Height Windows and Doors—Crackage and Area Width Height No. of Lineal ft. Area No. of pane of pane lights of crack sq. ft. Coef. Btu Infiltration Glass Exp. wall Net exp. wall Int. wall Ceiling Floor Total Btu. Required sq. ft. E.D.R. or sa. ins. W.A. leader area City of Fridley, Minn. BUILDING PERMIT N® 4268 Date: _ ,d ...._------- r - Owner:.. .. - -ax.-...... r/Builder .................. .._......... . Address ....._. .._.. _ `-ddress_............._............._...........__.........__... 1715161�T_ LOCATION OF BUILDING No. ....... .....!�Ftreet _----.�.�.,.v � ....... ,. ._.---------- ... ' ParClor7�.-_ t....._......_...._.._.__...._._.__...._......._..._..._.._.._ Lot ................ a/ .....•-----•--. Block ....._............... A tion or Sub -Division ..........._.... ......., _ _.. Corner Lot ................................. Inside Lot ..^ ............................. Setback ............................................. Sideyard............ ....... .... ...................................... ...... _. Sewer Elevation....._............._............._.............-..................................................... Foundation Elevation DESCRIPTION OF BUILDING To be Us as `- c �v Front ®� Depth.G/.✓.. Height..` Sq. Ft. Ze 0. Cu. Ft. ,1�1�_ _.............._.............-........................ Front ..... -................. Depth ....................... Height ........................ Sq. Ft. ........... ........... Cu. Ft. ...................... Type of Construction ... _........................ .. Est. C ....................... . .... ...a-...................... To be Completed ..... .............. _.......... ---................. In consideration of the issuance to me of a permit to construct t e building described above, I agree to do the proposed work in accordance with the description above setf rth I m complian a 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. _ 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. Builder elE_ I ' ` -- Owners Name Dell Address &e s s LOCATT0 OF BUILDING No. >ci Street. Part, ,of Lot Lot Block Addition or.Sub-D Corner Lot Inside Lot Set Back Side -Yard SEWER ELEVATION. FOUNDATION ELEVATION Applicant atta*ch'to this form Certificate:of Survey of Lot and proposed building location. DESCRIPTION OF BUILDING To be used as: i A Ft o n i e D Height ei ght Sq. Ft. Cu. Ft. Front Depth Height Sq. Ft. Cu. Ft. 7' 7 A, Type of Construction Estimiited :C69t To be completed The undersigned hereby makes.'application for a..'permit the i4ork 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.7rect. -JRE DATE IGNATL (A Schedule of Fee costs can be found on the Reverse Side.) BUILDING PERMIT FEE SCHEDULE �xispectorof Buildings shall, before issuing any permit for the erection of any building; or structure or for ani addition to any existinu3ding..or structure, or for any alterations or repairs to any existing building -or structure, upon, -application therefor, require the payment by the applicanlfor`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 fireproof building, .._._.-...........o,ther...than_a. garage; ;iaareho4se; )-t story or grain elevator, or• for.- the'-' erection of any fireproof addition, for similar occupancy,.to.any r„ _...ww._..-existting..builelings�ll--be-.a.t -the--rate of $!' 40- for each one thou ntl cubic feet, or fra ction,.therep�,-in such cubical contents. 2,2 For any such permit for the erection.of any fireproof garage, ware-.- Eiet�`se, -fa.ctory 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;csne:thousand cubic feet, classified as "fireproof" by Section 502 of the Minneapolis Building Code. HOUSES 2.3 Fon,�ny.such permit for..th:e_ erection of any non -fireproof building,. -otfier"thari 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. 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 - fireproof addition•,:for similar occupancy, to any existing ,huilding:or- t building or addition. Ninety Cents for each one thousand cubic feet or fraction thereof, in the cubical contents.. -thereof __.- __.--.wi'�Yi a.'ins.nimum of• 4.00. For the,pu�:pse:of computing fees for building .'permits the cubical.' T. _ °.: contents:;of any building or, additionyto,a uniform height ;throughout:.by multiplying the ground area..covered from a. -point six 6): indh.es below a. the fluor 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 - 2.5 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. 0 Ciiy of Fridley Ap'cation for Plumbing and Gas Feng Pornnt Dept. of Bldgs. -Phone SII 4-7 1 __P DESCRIPTION OF WORK Number, Kind and Location of Fixtures N x $1.50 a Future Fixture Opening ................ �i oo Z h $ New Fixture Old Opening .............. m Z Catch Basin ............................ 3 N WATER HTR. GAS ELEC. $ New Ground Run Old Bldg . ............ x 3.25 $ v7 Base 1st 2nd 3rd 4th • Future Connection Openings I _ Connected with New Fixture, old Openings Sewer J cesspool 0 PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: NO. RATE TOTAL 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 $ Additional Fixtures .................... x .50 $ Gas Range to 200,000 BTU .............. x 2.00 $ REPAIRS & ALTERATIONS—Refer to Code Description ................................................$ TOTAL FEE City of Fridley: W. Ir CkA 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. ®1 Fridley, Minn 19_ Owner z i i,N e sgoxv 19— Kind of Building 19 Used as To be completed about i- , Business Phone OCT 1 1059 , ,QW11 POST IM -12-58 City ®f Fridley, Minn. BURDING PERMIT ff Owner: 4 Bun 'tddrm Address LO ON F BUILDING No. Sjseet5 Part of Lot _ 81ock _ Addition or Sub -Di Corner Lot _ Inside Lot Setback _ Sideyard Sewer Elevation ____ _ _ Foundation Elevation DESCRIPTION OF BUILDING'` To Front Depth —a�Height .. Sc,. Ft. I Cu. Ft. zVolu Depth. Ft. Cu. Ft. :.., eight Type of Construction Est._�'"`"'" Vo be Completed In consideration of the issuance to me of apermit to construct the building described above,' r agree 'to do the proposed work in accordance with the description above .aset 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 uo of any of the provisions of said ordinances. I i I x%,.19`.' NOTICE: This Perit doss not cover the Construction, hetdiatien for wirlas p1mblielf gn hedth* sewer or water. Be sure to see tho nuNdke hapeftr for sepsrab permits for these hone. APPLICATION FOR BUILDING PERMIT CITY OF FRIDLEY, MINNESOTA Owner°s Name 6 low Address �� ��.�/(.�G ",( - Address /...A LOCATION OF BU:DING No. Street Pa of Lot Lot q BlockAddition or Subdivision2f Corner Lot Inside Lot_j-,-"" Setback Side -Yard 3 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 used as: /Height Front Depth .'� 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 `cork in strict accordance with the City of Fridley Ordinances and rulings of the Departure t 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). APPLICATION FOR BUILDING PERMIT CITY OF FRIDLEY, MINNESOTA OWNER 'S NAMEi?LA J.. BIIILDER ®-� �� ® ,4/ e-- ADDRESS �� L� S_ ��, . .. ADDRESS 7 LOCATION OF BUILDING NO. STREET ,/ '? U r LOT BLOCK "?/ ADDITION OR SUBDIVISION o 3 go A1f CORNER LOT INSIDE LOT_SETBACK SIDEYARD SEWER ELEVATION TOP OF FOOTING Applicant attach to this form Two Certificates of Survey of Lot and proposed building location drawn on these Certificates. r DESCRIPTION OF BUILDING To Be Used As: &- Front l Depth �� Height Square feet Cubic Feet Front Depth Height Square feet Cubic Feet 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 applicat on are true and correct. DATE SIGNATURE .(Schedule of Fee Costs can be found on the Reverse Side.) BUILDING PERMIT FEE SCHEDULE SECTION 2. The Inspector of Buildings shall, before issuing permits for the erection of any building or structure, or for any addition to any existing structure or building, -or for any alteration or repairs 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: Uniform Building Code: Type 1, 2, & 4 - $1.75 for each one thousand cubic feet, or fraction thereof, in such cubical contents. Type 3 & 5 - $1.50 for each one thousand cubic feet. 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 the 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. 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. In no case shall the fee charged for any permit as set forth in Section 2 be less than $5.00. NSSSD Connection Charges based on location - Area 1 or 2. HARVEY A. CA'RTWRIGHT ANOKA COUNTY SURVEYS HENNEPIN COUNTY SURVEYS MINNEAPOLIS SURVEYS '8410,1WJ-ALM STREET N.W. UNSET 4-7685 OWNER DU TRIAL — JUDICIAL US S — TOPOGRAPHICAL LOTS — PLATTING ''Talter -'. Osborne !-4, 4 a®` I O ti G d 30' CMTWRIGM & OLSON LAND SURVEYORS REGISTERED UNDER LAWS OF STATE OF MINNESOTA LICENSED BY ORDINANCE OF CITY OF MINNEAPOLIS 326 PLYMOUTH BUILDING FEDERAL B -B721 HENNEPIN AT SIXTH • MINNEAPOLIS 3. MINNESOTA 6urbepor's tertificatc COMBINING THE RECORDS OF J. E. HILL, CIVIL ENGINEER ESTABLISHED 1696 C. F. SANDHOFF CIVIL ENGINEER ESTABLISHED 1906 JAMES NELSON SURVEYOR ESTABLISHED 1922 METROPOLITAN LAND SURVEYORS. ESTABLISHED 11131 e:— 567 a SCALE : i"=30` -4 DENOTES IRONS I hereby certify that this is a. true a.nd correct plat of a, survey of Lot 9, Block 2, Csborne :anor, i.noka County, T� innesot-, as surveyed by me durzTig the month of K.ty, 1955 .`..�. SIGNECY",. a`s•i `_ C NRHT AND OLSON HARVEY A. CARTWRIGHT ��GHT & OLSON COMBINING THE RECORDS OF J. E. HILL, CARESTABLISHED ANOKA COUNTY SURVEYS CIVIL ENGINEER HENNEPIN COUNTY SURVEYS 1886 LAND SURVEYORS MINNEAPOLIS SURVEYS C. F. SANDHOFF 6410ayQpALM STREET N. W. UNSET 4.7655 CIVIL ENGINEER REGISTERED UNDER LAWS OF STATE OF MINNESOTA ESTABLISHED 1808 OWNER LICENSED BY ORDINANCE OF CITY OF MINNEAPOLIS JAMES NELSON 326 PLYMOUTH BUILDING FEDERAL 8-8721 SURVEYOR DU TRIAL — JUDICIAL HENNEPIN AT SIXTH • MINNEAPOLIS 3. MINNESOTA ESTABLISHED 1822 us S — TOPOGRAPHICAL *urbepor'g Certificate METROPOLITAN LAND LOTS — PLATTING C SURVEYORS, ESTABLISHED I951 dalter -'. Osborne 20�i J f r y^ 1 a s I "Ali I 6/ 4� N I ; JI J I ��nn13S.0�._ U5 i Iv1 � SCALE rI t =30' DENOTES IRONS �s I hereby certify that this is a true and correct plat of a. survey of Lot 9, Block 2, C:sborne iianor19 nolo.. County, Yinnesot-, as surveyed by me durin^7 the month of 14ay, 1955 . J. „Ap A ,�AA �'.«.5� CRS' IHT AND .OLSON � Rte"° aFP C City of Fridley" AT THE TOP OF THE TWINS SUBJECT BUILDING PERMIT IT NO. �66 AO r • COMMUNITY DEVELOPMENT DIV r � PROTECTIVE INSPECTION SEC. 1 = i CITY HALL FRIDLEY 55432 612-571-3450 - RECEIPT NO. _DL 3GY NUMBER 910-F15 REV DATE 6/15/95 PAGE OF APPROVED BY JOB ADDRESS 7565 University Avenue NE 1 LEGAL DESCR. LOT NO. 1 9 BLOCK 2 TRACT OR ADDITION Osborne Manor SEE ATTACHED SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE James Price 7565 University Avenue NE 750-3594 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Sams 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 O NEW ❑ ADDITION ❑ ALTERATION j7 REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Reroof Dwelling (23 Sq) 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 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 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 $1,730 @ $ . H6 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. $41.00 Fire SC $1.73 PLAN CHECK FEE TOTAL FEE $43.59 SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT (DATEI E ROP Y ALI AT HIS IS YOU�i PERMIT �i SIGNATURE OF OWNER IF OWNER BUILDERi IDATEi .BLDG ATE W' NEW [ ] Effective 1/1/95 ADDN [ ] CITY OF FRIDLEY� ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 Building Permit Application ConstructionAddress: "7565 V fJe V5 9 A,V Legal Description: Owner Name & Address: Pr M 6,5 PP IC 5 A M6 Pi z eN,30 V E., Tel. # 7 Contractor: MN LICENSE-# Address: Tel. # Attach to this application, a* Certificate -of 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: ®®� I ((� �� �� % fir- 4q P- t5 F _ Comer Lot [ ] Inside Lot [ ] Ft. Yd Setback Type of Construction: Approx. Completion Date: Side Yard Setbacks Estimated Cost: $ 1-7 02-5 6 (Cost on Back) Driveway Curb Cut Width Needed: Ft. .+ 6 Ft = Ft x $ _ $ DATE: &o— 7 APPLICANT: ` , Tel. Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee Sewer Main Charge TOTAL STIPULATIONS: CITY USE ONLY $ 00 Fee Schedule on Reverse Side $ l ,j 1 .001 of Permit Valuation (1/10th%) $ a $.50/$1,000 Valuation $ $850 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 { ] $ q_ BUILDING PERMIT FEL' SCHEDULE The Chief Building Official shall, tx fore 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 VALME, r-rLS $1 .to $500 $15 (Minimum Fce is $15 plus surcharge) '$501 to $2,000 $15 for first $500 plus -$2 for each additional $100 or fraction thereof, to and. -including: $2,000 $2,001 to $25,000 $45 for fust $2,000 plus $9 for each additional $1;000 or fraction thereof, to and including $25,000 $25;001 to $50,000 $252 for first $25,000 plus $6.50 for each additional $1;000 or fraction thereof, to. and including $50,000 $50,001 to $100,000 $414.50 for first $50,000 plus $450 for each additional .$1,000 or fraction thereof, to .and including $100,000 $100,001 to $500,000 $63950 for fust -$100,000- plus $3.50 for each additional. $1,000 or fraction thereof, to and including -$500,000 $500,001 to $1,000,000 - $2039.50 for the first $500,000 plus $3 for each additional $1,000 or fraction thereof, to and including $1,000,000 $1,000,001 and up $3539.50 for the first $1,000,000 plus $2.for each additional $1,000 or fraction thereof - DRIVEWAY DEPRESSION ESCROW (Concrete Curb Streets Only) Alternate "A": Removal and replacement of curb and gutter only - Driveway width plus 6 feet times $13.50. Alternate "B": Removal and replacement of curb and gutter and install a 3 foot wide approach with 6 inch depth - Driveway width plus 6 feet times $15.75. 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 the proposed structure and of the construction site_ A Certificate of Survey of tite lot, showing the location of the foundation once it has it has been constructed will be required before proceeding with the framing. SUBJE& KIWIT City of Fridley 2624 AT THE TOP OF THE TWINS BUILDING PERMIT r R IPT NO. COMMUNITY DEVELOPMENT DIV. /��� r PROTECTIVE INSPECTION SEC. / 1 NUMBER REV DATE PAGE OF APPROVED BY i CITY HALL FRIDLEY 55472 '•j 612-571-3450 910-F15 5/23/02 JOB ADDRESS 7565 University Avenue NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 9 2 Osborne Manor SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE James Price 7565 University Avenue NE 612-670-7596 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 8 USE OF BUILDING Residential 7 CLASS OF WORK O NEW O ADDITION O ALTERATION C REPAIR O MOVE O REMOVE 8 DESCRIBE WORK Reroof Garage (11 Sq) Tear -off 9 CHANGEOFUSEFROM TO STIPULATIONS Underlayment must comply with the State Building Code. TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, VENTILATING OR AIR CONDITIONING. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING SO. FT CU. FT. AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS. OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT � ANY TIME AFTER WORK IS COMMENCED. ' NO DWLG. UNITS OFFSTREET PARKING I HEREBY CERTIFY THAT 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 $1,179 .59 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 $1.18 STRUCTION OR THE PERFORMANCE OF CONSTRUCTION $44.85 PLAN CHECK FEE TOTAL FEE $46.62 S NATURE OF CONRACTOR R AUTHORIZED AGENT IOATEi WH PROPERLY VALIDATED THIS IS YOUR PERMIT�p ��.v-ter+. S - BLO -NSP 'may f)AIE 4.J ,GNATURE FOWNERO WNER BUILDER, (DATE, NEW [ ] CITY OF FRIDLEY Effective 1/1/2002 ADDN (] 6431 University Ave NE, Fridley, MN 55432 (763) 5723604 Bldg Insp ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION Construction Address: Legal Description: Owner Name & A. Contractor. —'--Tel. # MN LICENSE # Address: 1WTel. # 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: Construction Type: Estimated Cost: $� Driveway Curb Cut Width Needed: Ft + 6 Ft = Ft x4 $ DATE: 5-d,3-0 APPLICANT: Tel. #/* /A • %?o2 -S-1 Call (763) 572-3604 for Permit Fees if mailinc inap cation or Fax to 763-571-1287 if using credit card and we will call you for card number. Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee Sewer Main Charge TOTAL CITY USE ONLY - Fee Schedule on Reverse Side .001 of Permit Valuation (1/10th%) $.50/$1,0.00 Valuation $1200 per SAC Unit $5.00 (State Licensed Residential Contractors) Alt. "A" or Alt. "B" Above $450.00 Conservation Plan Review Fee Determined by*Engineenng Agreement Necessary [ ] Not Necessary [ ] STIPULATIONS: BUILDING PMUMT FEE SCHEDULE The Chief Building Oficial 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 e $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 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 $25,00 $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 $10,000 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 $1,000,001 and up $5,608.75 for the first $1,000,000 plus $3.15 for each additional $1,000 or fraction thereof DRIVEWAY DEPRESSION 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 CITY OF FRIDLEY 6431 UNIVERSITY AVENUE NE FRIDLEY, MN 55432 (763)572-3604 FAX: (763)571-1287 PERMIT NO.: 2004-02154 DATE ISSUED: 12/01/2004 ADDRESS : 7565 UNIVERSITY AVE NE PIN : 113024210037 LEGAL DESC : OSBORNE MANOR : LOT 9 BLOCK 2 PERMIT TYPE : PLUMBING PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ADDITION/ALTERATION VALUATION : $ 0.00 NOTE: COMBUSTION AIR SHALL BE PROVIDED PER UMC CHAPTER 6 AND TABLE 6-A # ELEC WATER HEATERS 0 VALUE OF FIXTURE/APPLIANCE # NEW FIXTURES (EXIST OPENINGS) 0 # GAS WATER HEATERS # GAS DRYERS 0 # GAS RANGES # OF NEW FIXTURES 0 VALUE (FOR MINIMUM CALC) # WATER TRMT APPLIANCES 0 APPLICANT DEN- MARK PLUMBING 8445 QUAIL HILL RD MAPLE GROVE, MN 55311 (763) 286-4902 OWNER PRICE JAMES J 7565 UNIVERSITY AVE NE FRIDLEY, MN 55432 AGREEMENT AND SWORN STATEMENT This permit becomes null and void if work or construction authorized is not commenced witin 60 days or if construction or work is suspended or abandoned for a period of 120 days at any time after work is commenced. I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this type of wort will be complied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisionsof any other state or local law regulating construction or the erformance of construction. Applicant Date Bldg PLBG PERMIT MINIMUM FEE PLBG FIXTURES (NEW OPENINGS) PLBG FIXTURES (EXIST OPENINGS) WATER TREATMENT APPLIANCE WATER HEATER - ELEC GAS RANGE FEE GAS DRYER FEE PLBG REPAIWALTERATIONS STATE SURCHARGE, PLBG FLAT WATER HEATER - GAS TOTAL PAID WITH CHECK # 6921 SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. 0 1 0 300 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.50 35.00 35.50 Efmcbm April 1. 2004 oAppUGA7MFOR PLUIMNG i41i1D CAS F TING PERMT PLUNIBING FIXTURE RATES: NO. RATE TOTAL. JOB New FoMras $10.00 Old Opening, Now F wWre $10.00 Beer Dispermer $10-00 Blow Off Basin $10.00 Catch Basin $10.00 Rain Water Leader $10.00 The undersVned hereby malms application fora permit for the work herein sped agreeing to do ati work in strict accordance vx1h the city codes and rulings of the aukling Division, arrd hereby declares that al the taCts and representations stated in this appkation are true and carred. t�ATF_ Z11 20_69_5_f/- Seamp/Recelving Tank $10.00 Waterater Treadry APPliance $35.00 rOWNER Wafer Heater -Electric $35.00 Water Heater - Gases" Gas Range*"° 00.00 Gas Dryer** $10.00 Back Tow Promter Required ( )Yes j No T $15.00 Rolnspectio+n Fee $50.001Hr ALL OTHERS ANiiIOR REPAIRS AND ALTERATIONS 1.25° of Value of F'rdtue of Apnoe State Surcharge TOTAL. FEE BUILDINGUSMAS /'&• =NED SYS Approved By $ .5a ION OFT ! OOMBLI"ON AIR SHALL BE PROVIDED PER. UMC SECTION 504.0) AND TABLE SA - Rough -In Date PERMITMO. W, 0 n a E. IF" Date """PROVLDE COMMON VENT INFO ON BACK 5If3E CITY OF FRIDLEY 6431 UNIVERSITY AVENUE NE FRIDLEY, MN 55432 572-3604 FAX: (763) 571-1287 ADDRESS 7565 UNIVERSITY AVE NE PIN 113024210037 LEGAL DESC OSBORNE MANOR LOT 9 BLOCK 2 PERMIT TYPE ELECTRICAL PROPERTY TYPE RESIDENTIAL CONSTRUCTION TYPE ADDITION/ALTERATION PERMIT NO.: 2004-02326 DATE ISSUED: 12/23/2004 VALUATION NOTE: ELECTRICAL PERMIT BECOMES VOID 12 MONTHS AFTER PERMIT ISSUE DATE. PH:651429-0968 1;1 # 0-100 AMP CIRCUITS APPLICANT WHITE BEAR ELECTRIC INC. 13483 FENWAY BLVD CIRCLE N HUGO, MN 55038 (651)429-0968 OWNER PRICE JAMES J 7565 UNIVERSITY AVE NE FRIDLEY, MN 55432 STATE SURCHARGE, ELEC FLAT ELEC AMP SERVICE FEE ELEC CIRCUIT FEE (0-100 AMPS) TOTAL PAID WITH CHECK # 33116 AGREEMENT AND SWORN STATEMENT This permit becomes null and void if work or construction authorized is not commenced witin 60 days or if construction or work is suspended or abandoned for a period of 120 days at any time after work is commenced. I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this type of worl will be complied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any other state or local law regulating construction or the performance of construction. Applicant Date Bldg Insp Date SEPARATE PERMITS REQUIRED FOR WORK OTHEK THAN DESUK113LU AtiUvt;. C 0.50 30.00 36.00 66.50 Building BUILDING Permit No.: f Inspections RESIDENTIAL APPLICATION Received By:W 763-572-3604 CITY OF FRIDLEY Da AUG � 1 2008 763-502-4977 FAX EFFECTIVE 1-.1-08 DATE e, '? l C) e YOUR E-MAIL ADDRESSG 4 ��? El ��✓% ��' Fel i,,Ie1e,.F SITE ADDRESS d S'e; j %�s� ` r�-f/ t� 1411- Aeot; THIS APPLICANT IS: ❑ OWNER 91 ONTRACTOR PROPERTY OWNER/ NAME:L-y'Vey ��Lc ADDRESS: t'S6� ��-r.!, List CITY STATE YfAlZIP TENANT PHONE: NAME: L S" , - 6 c� ° ✓<. CONTRACTOR ADDRESS: CITY STATE ZIP SUBMIT A COPY OF PHONE Vii/ 7 /gid !r®n FAX YOUR STATE LICENSE STATE LICENSE # 05 t100J'7 4°/6 EXP DATE PROPERTY TYPE ❑ SINGLE FAMILYINEW CONSTRUCTION SIZE ❑ TWO FAMILY/NEW CONSTRUCTION STORIES PERMIT TYPE ❑ ADDITION . ❑AGE/SHED ❑ WINDOWS ❑ BASEMENT FINISH V ROOF ❑ DRAIN TILE ❑ DECK ❑ SIDING ❑ OTHER ❑ SWIMMING POOL TYPE OF WORK: ❑XW HOME CONSTRUCTION ❑ ADDITION MAINTENANCEIREPAIR ❑ REMODELING DESCRIBE WORK BEING DONE: I SIZE OF IMPROVEMENT A " LENGTH WIDTH HEIGHT SQ FT ROOFINGl ❑ HOUSE ONLY BASEMENT REMODELING SUBMIT: NUMBER OF SQUARES d-6 ❑ HOUSE & GARAGE 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: FOR NEW CONSTRUCTION INCLUDING DECKS, SIDING ADDITIONS & PORCHES SUBMIT: ❑ Vinyl ❑Soffit 1. Site Plan/Survey showing the existing structures ❑ Aluminum ❑ Trim and proposed project. ❑ Other 11 Fascia 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 & TYPE OF WINDOW TO BE INSTALLED NUMBER OF WINDOWS ALL FEES ARE BASED ON VALUATION, INCLUDING THE COST OF LABOR AND MATERIALS: n2 SING THE 1997 UBC FEE SCHEDULE) TOTAL JOB VALUATION $ ,� (�i ` OCCUPANCY TYPE Permit Fee $ e ' See Back Page for Fee Schedule Plan Review $ 65% of Building Permit Fee Fire Surcharge $ ;l LL W,5 .001 times the total job valuation Surcharge $ "� a .0005 x Permit Valuation Minimum $.50 License Surcharge $ 00 $5.00 (State Licensed Residential Contractors) SAC Charge $ $1825 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 $ 8 Make checks mvable 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 on site; 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 C PRINT NAME ��4 `I ® APPROVED BY __ DATE Page 2 - Building Residential Application 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 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 $391.25 for l' $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 1" $50,000 plus $7 for each additional $1,000 or fraction to and including $100,000 $100,001 to $500,000 $993.75 for I' $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 V $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 1" $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: 763-502-4977