PRE 2010 DOCSRec. # 46498
City of Fridley, Minn. N° 10165
BUILDING PERMIT
A •.•
owner: Smith _& Anderson Builder . nmP
Address 212 -40th Avenue N.E. Address Same
LOCATION OF PUILDING
No. _5780__--_. Street --7 bt Part of Lot
Lot --3-_&4 ___ Block Addition or Sub -Division adami.9 S.+- on+- A A4tj nR
Corner Lot _ Inside Lot — X Setback 35 __ - Sideyard 10-6
Sewer Elevation
To be Used as:
Foundation Elevation
DESCRIPTION OF BUILDING
1)yP1 a i --ng Front 44 Depth 2— Height 20 __ _ Sq. Ft. 1144 — Cu. F 22220
Gaxgge Front 20 Depth 22 Height .1.0____ Sq. Ft. 44Q _ Cu. Ft. -4400
Type of Construction - F -am e Est. Cost-SJB,.000- - _ To be Completed aly 1 1'96. -
SEWER LOCATION:
WATER LOCATION:
In consideration of the issuance to me of a permit to construct the building described above, Y agree to do
the proposed work in accordance with the description above set orth and in compliance with all provisions of
ordinanc�a of the city of Fridley./ ,
In consideration of the payment of a fee of $40.00 , permit is hereby granted to Sh i +h X. A n d A rg on
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.
ZZL Building Inspector
Hank Muhich
NOTICE:
Uls permit does not cover the construction, installation for wiring, plumbing, gas heating, sewer or water. Be wire to an
the Building Inspector for separate permits for these items.
e . - a
APPLICATION FOR BUILDING PERMIT
CITY OF FRIDLEY, MINNESOTA
OWNM 'S NAME d . �zT �'`D,� ;�� BUILDER �. s
ADDRESS/fes_ �%�� /� :%, ADDRESS
LOCATION OF BUILDING
NO.,�- ? C J STREET
LOT Z BLOCK ADDITION OR SUBDIVISION
CORNER. LOT INSIDE LOT 4----'SETBA0K SIDEYARD le
SE6IEEt ELEVATION
TOP OF FOOTING
Applicant attach to this foray Two Certificates of Survey of Lot and
proposed building location drawn on these Certificates.
DESCRIPTION OF BUILDING
To Be Used As:
Front Dapth Height ,Z
Square feet J%y Cubic Feet
cc a Front --L - Depth Height l
Square feet,O Cubic FeetL� [�� !;
Type of Construction Estimated Cost��®��2�
—T
To Be Completed i ,� - //;- "'- 9
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 i..dresertations stated in
this application are true and correct.
Sohedule 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.
PARTIAL RATE SCHEDULE
PLUMBING FIXTURE RATES:
NO. RATE TOTAL,.
Number Fixtures ..... ....... ......
x $2.00
Future Fixture Opening ........
x $1.50
$
New Fixture Old Opening ....... . ..
x $1.50
Catch Basin ... .................
x $3.25
Water Heater (Up to 99,000 BTU)C,
F
N
WATER HTR.
GAS
ELEC.
.
z $2.00
$
GAS PITTING IT=:
NO. RATE TOTAL
1st 3 Fixtures ..........................
J x $100
$
Additional Fixtures . ..................
—x$.75
Gas Range to 199,000 BTU ..............
_ x $5.00
Bay
1st
2nd
3rd
4th
vuft" commd1on Openiqp Co-nected with
MOVY F13thm, Old Openinp I sew"
❑
C"ePo*1 El
PARTIAL RATE SCHEDULE
PLUMBING FIXTURE RATES:
NO. RATE TOTAL,.
Number Fixtures ..... ....... ......
x $2.00
Future Fixture Opening ........
x $1.50
$
New Fixture Old Opening ....... . ..
x $1.50
Catch Basin ... .................
x $3.25
Water Heater (Up to 99,000 BTU)C,
x$3.00
$
New Ground Run Old Bldg. . ..... ...
x $3.25
$
Eleatric Water Heater
z $2.00
$
GAS PITTING IT=:
NO. RATE TOTAL
1st 3 Fixtures ..........................
J x $100
$
Additional Fixtures . ..................
—x$.75
Gas Range to 199,000 BTU ..............
_ x $5.00
PAMS & ALTERATIONS—Refer to Code
Description ................................................$
TOTAL FEE
City of Fridley:
The undersigned hereby makes application for a permit for the work herei
specified, agreeing to do 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 and correct
p. Owner
Kind of Building
Used as
To be completed about
Estimated Cost, $
-� -1
Old--�New.,Iuilding Permit No.
— Permit t®.
Signed,
By
Business Phone No -
ROUGH
rINAL—Z-, ' / % — O �
No 90
Original Permit for PLUMBING
N.B. When work covered by this permit is ready, the Plumbing Ordinance requires that request for Permit
inspection shall be phoned in to the plumbing Inspector, 560-3450 giving number of this permit., Fee
DESCRIPTION OF WORK
Number, Kind and Location of Fixtures _
City of Fridley
Stories
W W
IW p
3 U
6
Z
7
Y
F m
m t
z
m
M
y
Y
Ul
m r
dR'
F
Z 7
E O
O LL
W
0
Y
(n
z
0 6
.! M
LL p
2 z
F toZ
4 Q
U m
a
12U
g O
-1
0 pJ
Q a
W
to z
Q 4
WATER HTR.
GAS
ELEC.
Basement
%
1st
2nd
3rd
4th
Connected with
Gas Piping for Openings
Permission is hereby granted �°�–�` to do the plumbing and
gas fitting in the building described in the statement her o attached, upon the express condition that
the person to whom this permit is granted, and his agents, employees and workmen, in the plumbing
or gas fitting of said building shall conform in all respects to ordinances of the City of Fridley, and
this permit may be revoked at any time upon the violation of any of the provisions of said ordinances.
By Order Of The Inspector Of Buildings
.Roughing in Inspection Date
Inspector.
Final Inspection Date
Inspector.
s'
42 1 M—&45 -w
Owner 4i -4d %L
Location &M d
Kind of Building
Used as
To be Completed ,19—
Estimated Cost $
Old New. Building Permit No.
Date
Inspector of Buildings.
r ,)
Application for Power Plants and Heating. acing Cooling. Ventilation. Refrigeration and ;
Air Conditioning Systems and Devices
PARTIAL RATE SCHEDULE
GRAVITY WARM AIR: RATE TOTAL
Furnace Shell & Duct Work ..........................$10.00 $
Replacement of Furnace ............................. 6.00 $
Repairs & Alterations—up to $500.00 .................. 6.00 $
Repairs & Alterations each add. $500.00 ............... 3.00 $
NECK. WARM AIR
Furnace Shell & Duct Work to 120,000 BTU ............ $10.00 $
each add. 60,000 BTU ....................... 3.00 $
Replacement of Furnace ............................. 6.00 $
Repairs & Alterations—up to $500.00 ................. 6.00 $
Repairs & Alterations each add. $500.00 .............. 3.00 $
STEAM or HOT WATER SYSTEM
Furnace Shell & Lines—to 400 sq. ft. EDR Steam ...... $10.00 $
Furnace Shell & Line—to 640 sq. ft. EDR Hot Water ... 10.00 $
Each add. 200 sq. ft. EDR Steam .... . ................. 3.00 $
Each add. 320 sq. ft. EDR Hot Water ............ . ..... 3.00 $
OIL BURNER—to 3 gal. per hour ........................
6.00
$
over 3 gal. per hour—See Fee Schedule
GAS BURNER (up to 199,000 BTU) .......................
5.00
over 199,000 BTU See Fee Schedule
GAS FITTING FEES:
NO RATE TOTPyL
1st 3 Fixtures ......................
x$ 2.00
$
Additional Fixtures ................
x .76
$
Gas Range to 199,000 ... I .......
x$ 6.00
$
AIR CONDITIONING
$
FAN HEATING SYSTEM See Fee Schedule
VENTILATING SYSTEM
ALTERATIONS & REPAIRS
TOTAL FEE
$
ROUGH
FINAL
Dept. of Bldgs. Phone 560-3450
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_ �'''�/i® 19QV
Owner
Kind of Building 9
Used as �%/�� A /;0` Com/
To be completed about ,,fie �1A���
y
Estimated Cost, $ Z��191
Old Building Permit No. 10.4 Permit No. �
DESCRIPTION OF WORK
HEATING or PO NTS—Steam, Hot Wates, arm Air No
Trade Name 6"0.e5o0ff�� a ��� Size No-
Capacity
o Capacity Sq. Ft. E.D..R BTU H.P.
Total Connected Load Kind of FuelIt4—&J
BURNER — Trade NameSize No�
Capacity Sq. Ft. E.D.R.BTU H.P.
(REMARKS -OVER)
RAY N. WELTER HEATING CO
Signed 4A:32 CHICAGO E1YF-
By MINNEAPOLIS 7. MINNESOTA
az Business Phone No-���
No.
Mak
PERMIT for Power Plants and Heating. Cool-
ing, ventilation. Refrigeration and Air
Conditioning Systems and Devices
DESCRIPTION OF WORK
_to b installed ed—repaired
Size LV / Q s ;
Oil fired_; Coal fired—, Gas firred__Z�_; Gas Authorization No.
Remarks tet. %y1. 1% Z
Approved by,
Final Inspection Date ,19_
Inspector
� 70�
Permit N? 4473
Fee
Office of the Inspector of Buildings
City of Fridley
City of Fridley, Minn. —, 19-LC2
Owner
Location
Kind of Building
How Occupied
Work to be Commenced Aq_ S ,19
To be Completed ,19."
Estimated Cost, $ '% W
Old -New, Building Permit No. / 01, / Co �
Permission is hereby granted to V l "ZI 1 to install—erect—use the material and devices described in the
above statement. This permit is granted upon the express condition that the p on to whom it is granted, and his agents, employees and workmen, in all the work
done and materials used under this permit, and in the operation of the devices herein mentioned shall conform in all respects to the ordinances of the City of Fridley
relating to or governing the work to be done and the operation of the devices herein named, and to the specifications set forth in the approved application for this
permit on file in the office of the Inspector of Buildings.
4_N4nspector of Buildings
42 2M11.67V
HOUSE HEATING TEST RECORD
Z 0— W `Az
ADDRESS
LAi►PT. LOOK
CITY SUBUR
OCCUPANT
OWNER
HEAT LOSS DATE HTG. INST.
GAS CO. METER BAD
#
SOLD BY
INSTALLED BY
Electrical Work By
Gas Line By
110,
TYPE OF HEAT GA FA HW
STEAM SPACE HTR. - UNIT HTR. OTHER
GAS SIG
CONVERSION
MAKE
MAKE OF BURNER
Model
Model
Serial �-
Max. BTU Rating
INPUT Jn?
MAKE OF FURNACE
Model
CONTROLS
7r
.�
THERMOSTA t Plug
Vent Size 00
01
Valve
KIND OF LINER
NONE
Limit
Draft Hood
Regularor
Limit Setting /
Filters Size
Number
Fan Setting ! �� ���'
Chimney Location Inside
�"�r Outside
Pilot Type
Chimney Construction
Pilot Make
Pilot Model
Smoke Bomb
n�
Wiring L
Pilot Timing '�� �� -
Draft
Test Tog
L.W. Cut Off
D rr Pressure—
Lighting Inst.
Pressure,7�,- Perceet CO
ate Tested "�
Input CFH Pe y ®r
r' pony Testing
Stack Temp. Percent CO 40 Name of Tester
Form 235
01
SUBJECT
P
City of Fridley
217 2
AT THE TOP OF THE TWINS
\I
BUIL ®I I PERMIT
i �
v ®
RECEIPT NO.
COMMUNITY DEVELOPMENT DIV.
PROTECTIVE INSPECTION SEC.
1
CITY HALL FRIDLEY 55432
NUMBER
REV.DATE
OF
APPROVED BY
612-571-3450
910-F15
2/5/93
FPAGE
/ /
JOB ADDRESS 5780 Washington St NE
1 LEGAL
LOT NO.
BLOCK
TRACT OR ADDITION SEE ATTACHED
DESCR.
3,4
2
Adams Street Addition SHEET
2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE
Randy Christianson 5780 Washington St NE 571-8725
3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO.
Twin City Storm Sash Inc. 10825 Greenbrier Rd, Mtka 55345 546^8160 3090
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 REPAIR ❑ MOVE ❑ REMOVE
6 DESCRIBE WORK
Replace Sashes
9 CHANGE OF USE FROM 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
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 1 HAVE READ AND EXAMINED THIS APPLICATION
1
STALLS GARAGES
VALUATION
SURTAX
AND KNOW THE SAME TO BE TRUE AND CORRECT, ALL PROVISIONS OF LAWS
AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED
$5,400
$2.70
WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT
PERMIT FEE
SAC CHARGE
DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE
PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON-
$81.00
Fixe SC $5,40
STRUCTION OR THE PERFORMANCE OF CONSTRUCTION.
PLAN CHECK FEE
TOTAL FEE
License SC $5,00
$94.10
SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT (DATE)
JHEN PROPERLY V(1 ID. ED THIS IS YOUR PERMIT _
C�OATE
L G INS A
SIGNATURE OF OWNER OF OWNER BUILDEM IDATEt
01
NEW [ ]
ADDN [ ] CITY OF FRIDLEY
ALTER[ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2
Building Permit Application
Construction Address: J-`%?%
Legal Description:
Effective 3/1/92 ;L
Owner Name & Address: Tel. #__s'e
TWIN CITY STORM 5 '
Contractor:inaos 1 ER M O aD MN LICENSE # 0
Address: MtNkiONKA, MN 55345 Tel. #
L 642-6464160
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:
Corner Lot [ ] inside°t j ] Ft. Y . Setback Side Yard Setbacks
T of Construction:�- Estimated Cost: $ � ;G'��
Approx. Completion Date:
Driveway Curb Cut Width Needed: Ft. + 6 Ft =
Ft x $
(Cost on Back)
DATE: s APPLICANT: `/� . ter 2 �'c �% Tel. # ,
Permit Fee
Fire Surcharge
State Surcharge
SAC Charge
$ 6v
$
$
License Surcharge $
Driveway Escrow $
Park Fee $
Sewer Main Charge $
TOTAL
STIPULATIONS.
Fee Schedule on Reverse Side
.001 of Permit Valuation (1/10th%)
$.50/$1,000 Valuation
$700 per SAC Unit
$5.00 (State Licensed Residential G
Alt. "A" or Alt. "B" Above
Fee Determined by Engineering `1�
Agreement Necessary [ ] Not Necessary I ]
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
$15 (Minimum Fee is $15 plus surcharge)
$15 for first $500 plus $2 for each additional $100 or
fraction thereof, to and including $2,000
$45 for fust $2,000 plus $9 for each additional $1,000
or fraction thereof, to and including $25,000
$252 for first $25,00 plus $6.50 for each additional $1,000
or fraction thereof, to and including $50,000
$414.50 for first $50,000 plus $4.50 for each additional
$1,000 or fraction thereof, to and including $100,000
$639.50 for first $100,000 plus $3.50 for each additional
$1,000 or fraction thereof, to and including $500,000
$2039.50 for the first $500,000 plus $3 for each additional
$1,000 or fraction thereof, to and including $1,000,000
$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 the lot, showing the location of the foundation once it has it has been
constructed will be required before proceeding with the framing.
SUBJECT
MI
City ®f Fraley
26739
AT THE TOP OF THE TWINS
BUILDING PERMIT
r
1 ,
0
e
______ COMMUNITY DEVELOPMENT DIV.
PROTECTIVE INSPECTION SEC.
C.�
1 e
1
l
NUMBER
REV
DATE
PAGE OF
APPROVED BY
CITY HALL FRIDLEY 65432
"`j
612-571-3450
910-F15
7/21/98
JOB ADDRESS
5780 Washingon St
I LEGAL
LOT NO.
I
BLOCK
TRACT OR ADDITION
SEE ATTACHED
DESCR.
3 & 4
2
1 Adams Street
Addition
SHEET
2 PROPERTY OWNER MAIL ADDRESS
ZIP
PHONE
Randj Christenson
571-8725
3 CONTRACTOR MAIL ADDRESS
ZIP
PHONE LICENSE NO.
Nutzmann Bros Construction 736 1 Ave NW
New Brighton MN
55112 953-4141
4 ARCHITECT OR DESIGNER MAIL ADDRESS
ZIP
PHONE LICENSE NO.
20043453
5 ENGINEER MAIL ADDRESS
ZIP
PHONE LICENSE NO.
6 USE OF BUILDING
7 CLASS OF WORK
O NEW ❑ ADDITION ❑ ALTERATION Rl REPAIR
❑ MOVE ❑ REMOVE
8 DESCRIBE WORK
Reroof 27 S Tear -off
9 CHANGE OF USE FROM
TO
STIPULATIONS
Underlayment must comply with 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
L
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
2251
$1.12
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 T E P WRF KMANCE OF CONSTRUCTION.
74.75
PLAN CHECK FEE
TOTAL FEE
License SC $5.00
$83.12
SIGN Tu OF CONT RACTOR OR AUTHORIZED AGENT (D TEI
WHEN99��PRROPER" LIDATED THIS IS YOUR PERMIT
a c
BLOG INSP
2e?
GATE
S,GNATURE OF OWNER OF OWNER BUILDERI (OATEI
NEW [ ] Effective 1/1/98
ADDN [ ] CITY OF FRIDLEY p
ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 -3 7
BUILDING PERMIT APPLICATION de ljo 3
ConstructionAddress: SU wvt�eC�TQ>y �T
Legal Description:
Owner Name & Address: Tel. #
Contractor: )7 -,r -1",9A -)A -)—MN LICENSE
Address: Tel. # -0I�
Attach to this application, a Certificate of Survey of the
lot, with the proposed construction drawn on it to scale.
DESCRIPTION OF BIPROVEMENT
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: //�.� oE� �"/�® Estimated Cost: $ a'7
(Fee Schedule on Back)
Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ _ $
DATE: APPLICANT: - Tel. #,�5 -4i
CITY USE ONLY
Permit Fee $ - Fee Schedule on Reverse Side
Fire Surcharge $ .,5� .001 of Permit Valuation (1/10th%)
State Surcharge $ $.50/$1,000 Valuation
SAC Charge $ $1000 per SAC Unit
License Surcharge $ $5.00 (State Licensed Residential Contractors)
Driveway Escrow $ Alt. "A" or Alt. "B" Above
Erosion Control $ $450.00 Conservation Plan Review
Park Fee $ Fee Determined by Engineering
Sewer Main Charge $ Agreement Necessary [ ] Not Necessary [ ]
TOTAL
STIPULATIONS:
r
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 $21 (Minimum Fee is $21 plus surcharge)
$501 to $2,000 $21 for first $500 plus $2.75 for each additional $100 or
fraction thereof, to and including $2,000
$2,001 to $25,000. $62.25 for first $2,000 plus $12.50 for each additional $1,000
or fraction thereof, to and including $25,000
$25,001 to $50,000 $349.75 for first $25,000 plus $9.00 for each additional $1,000
or fraction thereof, to and including $50,000
$50,001 to $100;000 $574.75 for first $50,000 plus $6.25 for each additional
$1,000 or fraction thereof, to and including $100,000
$100,001 to $500,000 $887.25 for first $100,000 plus $5.00 for each additional
$1,000 or fraction thereof, to and including $500,000
$500,001 to $1,000,000 $2887.25 for the first $500,000 plus $4.25 for each additional
$1,000 or fraction thereof, to and including $1,000,000
$1,000,001 and up $5012.25 for the first $1,000,000 plus $2.75 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 the lot, showing the location of the foundation once it has it has been constructed
will be required before proceeding with the framing.
CIIYOF
FRIDLEY
FRIDLEY MUNICIPAL CENTER • 6431 UNIVERSITY AVE. N.E. FRIDLEY, MN 55432 • (612) 571-3450 • FAX (612) 571-1287
December 30, 1998
Randy Christianson
5780 Washington St NE
Fridley, MN 55432
Re: Construction Without Obtaining a Building Permit
(Siding Repair at 5780 Washington St NE)
Dear Mr. Christianson:
According to Section 106.1 of the 1994 Uniform Building Code as
adopted by the City of Fridley, no building or structure regulated
by this Code shall be erected, constructed, enlarged, altered,
repaired, moved, improved, removed, converted, or demolished unless
a separate permit for each building or structure has first been
obtained from the Building Official.
You have been notified of your need to obtain a building permit and
have failed to comply as of today's date. As a result, a special
investigation fee will now be added to the permit, equal to the
permit fee. The City of Fridley will give you 30 days in which to
comply before turning this matter over to the City Attorney for his
legal consideration..
Please contact me at 572-3603 if you have any questions on this
matter.
Sincerely,
BARRY MIESC14
Building Inspector
BR/bk