PRE 2010 DOCSt^•*,'n�a-^�!�.. �ye��j
toC lL C.¢ -di L�ev6
n.tirh 7�. j� -,! /+ yg��....*.'-.�
'bJ CYHs.i G e'•....e iA Yi.�t 1: i+.:�eia :.o t�'i
�/�..£4 °/a r"? -!4,, .-�°-'e...:«.. *Y..,�g �e..A
`le oC it:•fig Vbi-i^;, naD a•W n$ Pr4..r.i a.e�C �rSt�'�6:5 ft d
,'
...
�t i�
U"�ti3 EV'•5mrC5w3.
A.•,..? ^. ;'..•....° mss.. !. �.r r.. -'.w' G..`C-i4izy...
lV'v:.6a � s: B J+�+at 4.� we+:.& tav v ie 0trsi_�y
PARTIAL RA7EE SCHMULE
of 2112m, ammo ��s3
� � � e Xd -C r t
GitA v T i WAR -14 AIR:
Rr'l iT
TOTAL
Lo=b
I' --mice She?l & Duct Work
$10.00
$
t
City o4 Fridley:
Re'?'S�-hent of r arna-e
6.00
O
r'
The i:nciersigned her,:by makes application for a permit for the work hereir
Fepa:-c It A,tcrat.cns--u} to SS -010.00
600
c
specified agrc-vmg to de all work ,n strict accordance with the City O.d-a:ce:F
Repa.-s & Aitrrations each add. 5504.003
W
$
and ruling.of the Department of Buildie.;,s, and hereby drel .-es Lhat .an the fac4a '
'in
and statedthis applscauanare true and correct
la ri. AFt�S 11Iii
Fridley. Minn �.� IlA
}1:rr ase &hcIl & Lh." ►'Voris to I20,O00 BTU
..$10120
$
fC� /'+
Owner e�� e.
e.:: zdd. V.0. BTU3.W
S
Replacement of i~arnace
6.00
S _'
_
kind of Building
Rsrairs & A':te-atiorsw -up to MOO.00
6.0=0
$
21-1 ALI�
P_ sirs of Alterations each add. $300.00
3.00
$
Used ae .d oQw
To he completer; about '3 -2 0/'- 7"d 6-2
e3TEA`o� or HOT WA -1=1 £Y8T�.
..
7 -.:mace Shell & Lines --to 400 sq. V. FJ)R Stent sio-00
a
Estimated Costi S 1���% •04P
Furnace Shc3l Sc Line --•to 640 N ft. EDR Hot
Water 1000
S.
permit No.
Old . ew. Building Permit No. _.._ . _
Each add 20<1 sq. ri EnR Sham
-4 fn
$
Eac,*r add. 320 sq. ft EDR Hot mater
3.00
S
®IL $UF.N:ZE-:o 3 gal. per hour
6.00
S
--
�-A�NG or 1'O+, :,R PLANTS—Stearn, Fet Watert"0mzso A!r Ido
over 3 gal. per hour --See Ir'ee Schedule
63 �
Trade Nam " Slze Pdo- -
GAS BUnl�ER (up to Lex9. 00 BTU)
6.00
S�J
ovz- I5'3.CO3 BTU Sae Fee EchodWo
Capacity.��.�. Sq. �T't..eny../Da.R��'®����
A_q0_*
Ge'�a FITTING :'�...5:
NO RATE TOTAL
Is% 3 F.xtures
P
�� x® 200
S a,6
•—_
9 Ol��/® 6C� � 9 154
Total Connected Lt, -,d 0% rj-4 Cf i't.•21 af±` 410
Additional Fixtures
_.. x ,75
S_.. —.
pCp& / ,4d�
BURNER — TY�P Priam Size Na -a
Gas iiargr W Lq 9.M
x$ 5.00
3
State
Surcharge
®
sq. Ft EDRzgmoda
M=-no';II:G=
:®5
8T37=gg Fco Sc 10
• f..[®6 4 L 1.2. 1a 040 ♦ a'+ 3
y .�.•� L 122
Ar f�L.'�i[�•�V i t J � T.i.r /briL9
T 4 T
Tod 61b � i.)iU
(�3. •�G
{
SL•, ,� �� _
AAq• &
ZV
. 9i3'ea1�Q146�Y�P' \
a
ZE
q
r.
�'�= D►,�
HEAT. LOSS CALCULATIONS DEPARTMENT OF INSPECTION &/7.
Weatherstrips jjA.5Ji.VZ Construction No.
.Guide
WindowsI Doors Reference' Out. Wall Int. Wall Ceiling Roof Floor. IGnd
1
Yes—No Yes—No 19_
Fl
Le th W'd h H h a Pi I Rmm I L.enath .I
M4 a 40® Room ag
t t
Required sq. ft. E.D.R. or sq. ins. WA: Leader area
elg t
Windows and Doors—Crackage and Area
Height
•
Width Height . No. of L heat. f . Area
No. of pane of Dane lights . 'of crack sq. It.
Infiltration
r
>! Lr
va
40
Coef.
Btu
Infiltration
/
Ceiling
Y
"
Glass
Exp.. wall-
allNet
a
_r0
J10 7_1
Exp. wall
Net exp. wall
Int. wah
Ceiling .
Floor
Ceiling
Total Btu. c
0/.2 O
Required sq. ft. E.D.R. or sq. ins. W:A. Leader. -area
Int. wall
Floor
Height
9AO
5
2-760
Total Btu. O rp
Required sq. ft. E.D.R. or sq. ins. WA: Leader area
a V
F1.1 Room ( Length Width
Height
Windows and Doors--Crackage and Area
Coef. Btu
Infiltration
Width Height No: of . 4. n�aal ft.. Area
No of vane of pane :. tights of crack sq: ft.
Glass.
Exp. wall
b`
Coef.
' . Btu
Infiltration
Ceiling
Glass
Floor .
Exp.. wall-
allNet
A Vp
0�?
Netexp: wall '
Int. wah
Ceiling .
Floor
Total Btu. c
Required sq. ft. E.D.R. or sq. ins. W:A. Leader. -area
Int. wall
F1.1 Room IL.ength Width:.
Height
Windows and Doors--Crackage "d. Area.
Math Height No. of . Lineal ft. Area
No. of pane of pane, lights. of eraok sq. ft.
-,
Coef.
Btu
Infiltration
Glass
Iixp• wall
Floor
Net exp. wall
Int. wall
Gelling
Floor
Total Btu.
Required sq. ft. E.D.R..or sq. ins.- W.A. Leoder area
e
hEgNEAPOLIS. NIM..
Insulation
Width Height
Windows and- Doors--Crackage and Area
Width Height No. of L1neat ft.
No. ` . of pane of pane lights of creak
Area
sq. ft.
I S7
'12P
� v
Coef. Btu
Infiltration
Glass.
Exp. wall
b`
3„Z
Coef. Btu
Infiltratiol/,2®
Ceiling
Floor .
Glass "
A Vp
0�?
Exp. wall
Net exp. wall
Int. wall
Ceiling
Floor
Total Btu. _
Required sq. ft. E.D.R. or sq. ins. WA. Leader area I
F1.1 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 eq. ft.
Coef. Btu
Infiltration
Glass.
Exp. wall
Net exp. wall .
Int. -wall .
Ceiling
Floor .
Total'Btu.
Required sq. ft. E.D.R. or sq. iis. WA. Leader area
KI: Room 1 Length Width Height
Windows and Doors-Crackage and Area
Width Height No. of Lineal'ft.' Area
No. of'pane of pane tights of cracksq. ft.
Coef. Btu
Infiltration
Glass
Exp. wall
Net exp. wall
Int. wall
Ceiling
Floor
Total Btu.
Required sq.' ft. E.D.R. or sq. ins. W.A.. Leader area
SUBJECT
PE
City of Fridley
112
18887
AT THE TOP OF THE TWINS
BUILDING
PERMIT
r
�
R
COMMUNITY DEVELOPMENT DIV.
~
r PROTECTIVE INSPECTION SEC.
` �'�'1 CITY HALL FRIDLEY 55432
L
NUMBER
REV,
DATE
PAGE OF
APPROVED BY
•--.� ,�
612-571-3450
910-F15
4/17/87
JOB ADDRESS 881 West Moore Lake DriveN.E.
1 LEGAL
LOT NO.
BLOCK
TRACTOR ADDITION
SEE ATTACHED
DESCR.
n 12
3
Shorewood. Addition SHEET
2 PROPERTY OWNER MAIL ADDRESS
ZIP PHONE
Shane Puro 881 West Moore Lake Drive N.E.
571-8852
3 CONTRACTOR MAIL ADDRESS
ZIP PHONE LICENSE NO.
Same
4 ARCHITECT OR DESIGNER MAIL ADDRESS
ZIP PHONE LICENSE NO.
5 ENGINEER MAILADDRESS
ZIP PHONE LICENSE NO.
6 USE OF BUILDING
Residential
7 CLASS OF WORK
❑ NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE
8 DESCRIBE WORK
Construct a 161 x 16' Deck
9 CHANGEOFUSEFROM
TO
STIPULATIONS
See notations on plan.
SEPARATE PERMITS REQUIRED FOR
WIRING, HEATING, PLUMBING AND SIGPOS.
wet fto*�� $
LAW
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
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
I
$11800
$,50
DOES NOT PRESUME TO GIVE AUTHORITY 'TO VIOLATE OR CANCEL THE
PERMIT, EE
SAC CHARGE
PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON-
STRUCTION OR THE PERFORMANCE OF CONSTRUCTION.
$29.50
PLAN CHECK FEE
TOTAL FEE
$,7,*; 38
$3 7, 78
SIG E OF CONTRACTOR OR AUT�DAGENT (DATEI
y
WHEN PROPERLY VALIDATED THIS IS YOUR PERMIT
-N - P?.
BLDG INSP BATE
SiGNATUREOFOWNERtIFOWNER UILDERI (DATE)
NEW
[
] City of Fridley Effective 4/1/86
ADDN.
[
] �R-1 AND R-2
ALTER.
[
] Building Permit Application
Construction Address:
Legal Description:
Owner Name & Address: �® ?"C-6 d Uj A UL Ir Tel. #
Contractor:ga� Tel . #
Address:
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:
DECK AREA:
OTHER:
Length Width Height Sq. Ft.
Length _ Width _ Hgt/Ground _?, Sq. Ft.
Corner Lot [ ] Inside Lot [ ] Ft. Yd. Setback _
Type of Construction: / ie � ���L
Approx. Completion Date: 4'
Side Yard Setback
Estimated Cost: $
/ Foe). cid
Alt. A Alt B
Proposed Driveway Width If New Opening Is Desired: $ $
See Back Page for Explanation
DATE: 1--7-- b 7 APPLICANT: Tel. # 7 1 - 2; _'5' 7Z_
Permit Fee
Plan Check
State Surcharge
SAC Charge
Park Fee
Sewer Main Charge
TOTAL
STIPULATIONS:
CITY USE ONLY
Fee Schedule on Reverse Side
25% of Building Permit Fee
$.50/$1,000 Valuation
$ 525 per SAC Unit
Fee Determined by Engineering
Agreement Necessary [ ] Not Necessary [ ]
qn 0
a
sue�Eci
of Fridley
J
THE o
urL D 1 i�
P E R 1V1 I
;E;City
EIAT -H 6s
COMMUNITY DEVELOPMENT DIV.
r E PROTECTIVE INSPECTION SEC.
/V�
E . ,
C1�
NUMBER
REV
DATE
PAGE OF
APO-ROVED BY
E "'1 CITY HALL FRIDLEY 55432
612-571-3450
910-F15
10/6/98
JOB ADDRESS
881 West Moore Lake Drive
1 LEGAL
LOT NO.
BLOCK
TRACT OR ADDITION
SEE ATTACHED
DEscR.
12
3
Shorewood
SHEET
2 PROPERTY OWNER MAIL ADDRESS
ZIP PHONE
Dean & Susan M kin
571-8420
3 CONTRACTOR MAIL ADDRESS
ZIP PHONE LICENSE NO
Owner
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 0 ADDITION 0 ALTERATION Rx REPAIR 0 MOVE 0 REMOVE
B DESCRIBE WORK
Reroof house and garage (20 S) Tear-off
9 CHANGE OF USE FROM TO
STIPULATIONS
Underlayment must comply with the State Building Code.
TYPE OF CONST.
OCCUPANCY GROUP
OCCUPANCY LOAD
SEPARATE PERMITS ARE REOUIRED 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
1714
.86
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
$56.75`
Fire 1.71
PLAN CHECK FEETOTAL
F E
2
SIGNATURE OFCON'AACTORORAUTRIZE NT IDATEI
P FJO P E R L IO TED IS IS YO R PERMIT
SIGNATURE OF OWNER OF OWNER BUILDER, IOATE,
zn /
9L
- " - __
TE
a
• 4
NEW [ ] Effective 1/1/98
ADDN [ ] CITY OF FRIDLEY
ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2
BUILDING PERMIT APPLICATION
ConstructionAddress: e*
Legal Description:
Owner Name & Address: ec�,A a-SLL6'x�, 4 Tel. # 571- $t{ao
Contractor: J) f u n e g- MN LICENSE #
Address: Tel. #
Attach to this application, a Certificate of Survey of the
lot, with the proposed construction drawn on it to scale.
DESCRIPTION OF IMPROVEMENT
LIVING AREA: Length Width Height Sq. Ft.
GARAGE AREA: Length Width Height Sq. Ft.
DECK AREA: Length Width Hgt/Ground Sq. Ft.
OTHER:
o,.
Construction Type: -Fe_o r Estimated Cost: $ % '71(-1
�®
(Fee Schedule on Back)
Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ = $
DATE:
APPLICANT:
d2 a r� v n Tel. # a%,- 5 C? a. �f
CITY USE ONLY
Permit Fee
$
5r6, 75/
Fee Schedule on Reverse Side
Fire Surcharge
$
1 • -71
.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:
$ S'q,3Z
Building
MECHANICAL
Permit No.:`_Wq101 fill
Inspections
RESIDENTIAL APPLICATION
Received By:
763-572-3604CITY
OP TRiDLE
nate �' 0
DATE YOUR E-MAIL ADDRESS
SITE ADDRESS
THIS APPLICANT IS: ❑ OWNER !GONTRACMR
PROPERTY
NAME:
OWNER/
TENANT
ADDRESS: R CITY STATE ZIP
PHONE: -
CONTRACTOR
COWANYNAME: Sharp Heating & A.C.
CONTACT PERSON: Floyd JOswick
SUBMIT A COPY OF
YOUR STATE
STATE LICENSE # EXP DATE
LICENSE WITH
ADDRESS: 7221 University Ave. N. E. CITY Fridley STATE M55432
APPLICATION
PHONE 763-572-0459 FAX
PERMIT TYPE
SINGLE FAMILY ❑ TWO FAMILY ❑ TOWNHOUSE
TYPE OF WORK:
❑ NEWREPLACEMENT ❑ ALTERATION/REMODEL
DETAILED DESCRIPTION OF WORK' r
PER MS 16B.665 the permit fee is a minimum of $15.00 or 5% of the total,cost up to $500:00; whichever is .greater, for.the
improvement,installation or replacement of a residential fixture, excluding the fixtures. (This should reflect only the cost of labor )
Labor cost under $300 = $15.00. Labor cost between $300 to $500 = cost of labor X.05 =
FOR PROJECTS WHERE LABOR EXCEEDS $500, FEES ARE BASED ON $10.00 PER FIXTURE, EXCEPT WHERE NOTED. FIXTURES: (INDICATE TOTAL
NUMBER OF EACH BELOW) t , �p
Equipment Installed MFG: _.��%ldi MODEL: V� SIZE/BTU,-4e—
MFG: MODEL: SIZE/BTU
MFG: MODEL, SIZEIBTU
_A/C $25.00 FIREPLACE (GAS) $15.00 _GAS RANGE/OVEN $10.00
_AIR TO AIR EXCHANGEER $15 FIREPLACE (WOOD) $35.00 NEW GAS GRILL $10.00
_BOILER $35.00 %FURNACE $35.00 _GAS UNIT HTRS10.00
_CHIMNEY LINER $10.00 GAS DRYER $10.00 POOL HEATER $35.00
_DUCT WORK $10.00 GAS PIPING $10.00 VENTILATOR $15.00
Permit Fee $ Number of fixtures @ $i0.00 x $10.00 = $
Surcharge $ .50 Number of fixtures @ $15.00 x $15.00 = $
TOTAL DUE $ Number of fixtures @ $25°00 x $25.00 = $
Number of fixtures @ $35.00 x $35.00 = $�
State Surcharge = $ 50
Total = $�
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 1 understand this is
not a permit but only an ap lication for a perm't and work 's not to start without a permit; that the work will be in accordance with the
approved plm"u the case 0 all work ch ires rev'e approval of plan .
SIGNATURE F APPLICANT PRINT NAME DATE Q
U
Building Inspections Department
6431 University Avenue NE, Fridley, MN 55432
763-572-3604
FAX: 763-502-4977
Building
BUILDING
OCCUPANCY TYPE
Permit No.:U (M
Inspections
RESIDENTIAL APPLICATION
Received By:
763-572-3604
CITY OF FRIDLEY
Fire Surcharge
�R s 010
763-502-4977 FAX
Surcharge
$
.0005 x Permit Valuation Minimum $.50
License Surcharge
EFFECTIVE 1-1-2010
$5.00 (State Licensed Residential Contractors)
SAC Charge
DATE 4-13-10 YOUR E-MAIL ADDRESS WORK01tAF71R2
@ YA11eD - CGoM
SITE ADDRESS $9I ftDR9 LAKE M WEST
$ -----
THIS APPLICANT IS: XOWNER ❑CONTRACTOR
Erosion Control
PROPERTY OWNER/
NAME: "JUAR"
Park Fee
—9-40,M
ADDRESS: 8$1 Mao#.A LAKE Djt W CITY FimpLEN STATE_tN_ZIP SSy%'L
TENANT
Sewer Main Charge
PHONE: 76% - S7 1- ZZ.S3
Agreement necessary ( ) Non Necessary ( )
CONTRACTOR
NAME: N
Make checks payable to: City of Fridley Attach Stipulations
STATE LICENSE #
EXP DATE
SUBMIT A COPY OF
YOUR STATE LICENSE
AND CERTIFICATE OF
ADDRESS:
CITY STATE ZIP
INSURANCE
PHONE FAX
PROPERTY TYPE
XSINGLE FAMILY/NEW CONSTRUCTION SIZE
❑ TWO FAMILY/NEW CONSTRUCTION STORIES_
PERMIT TYPE
❑ ADDITION ❑ GARAGE/SHED
NDOWS
❑ BASEMENT FINISH ❑ ROOF ❑
DRAIN TILE
❑ DECK X SIDING ❑
OTHER
❑ SWIMMING POOL
TYPE OF WORK:
❑ NEW HOME CONSTRUCTION ❑ ADDITION
❑ MAINTENANCEIREPAIR REMODELING
DESCRIBE WORK BEING DONE: XeMoVE 9t1g'r10& S1 wam IMUDOWS - Pubs
0A41> W*b. W 1A10DWS
SIZE OF IMPROVEMENT A4- Rt PM LENGTH WIDTH
HEIGHT SQ FT
ROOFING ❑ HOUSE ONLY
BASEMENT REMODELING SUBMIT:
NUMBER OF SQUARES ❑ HOUSE & GARAGE
1. Existing Floor Plan
GARAGES [I 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:
>CVinyl []Soffit
I. Site Plan/Survey showing the existing structures
I-]Aluminum❑ Trim
t.
and proposed project
❑ Other ❑ Fascia
2. Two sets of construction plans
WINDOWS
3. Energy Calculations
IN EXISTING OPENINGS XVes ❑No LOCATION OF WINDOWS
FOR WINDOWS - PROVIDE U-VALUE AND
OR FOR NEW OPENINGS-DESCRIBE SIZE OF
MANUFACTURE STICKER ON WINDOW.
OPENING CHANGES &
TYPE OF WINDOW TO BE INSTALLED NUMBER OF WINDOWS
ALL FEES ARE BASED ON VALUATION, INCLUDING THE COST OF LABOR AND MATERIALS:
(USIING THE 1997 U.B.0 FEE SCHEDULE)
TOTAL JOB VALUATION $
3-492.&P-)
OCCUPANCY TYPE
Permit Fee
" $ 7. z5
See Back Page for Fee Schedule
Plan Review
$
65% of Building Permit Fee
Fire Surcharge
$
.001 times the total job valuation
Surcharge
$
.0005 x Permit Valuation Minimum $.50
License Surcharge
$ - —
$5.00 (State Licensed Residential Contractors)
SAC Charge
$ s,
$2100 per SAC Unit (Plans to MWCC for determination)
Curb Cut Escrow
$ -----
ft + 6 ft = ft x $24 = $
Erosion Control
$
$450 Conservation Plan Review
Park Fee
$ ----
Fee Determined by Engineering
Sewer Main Charge
$
Agreement necessary ( ) Non Necessary ( )
Total Due
$ LA4.1L 5 1b;J •
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 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
NAME ER ASS DATE !Jtt3-/0
FPLEASE NOTE: SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, ELECTRICAL AND MECHANICAL W0XK