PRE 2010 DOCSRICHARD J. TREZONA, D.D.S.
2503 Lowry Avenue North
MINNEAPOLIS 11, MINNESOTA
Telephone JAckson 2-1188 or JAckson 9-6074
March 22, 1961
Mr. Earl Wagner
City of Fridley
Minneapolis 21, Minnesota
Dear Mr. Wagner,
0
At the recommendation of your city engineer, Mr. Brown.,
I am making the following requests
That lot 16 Block five (5).Rice Creek Plaza mouth
Addition except the south seven and three tenths feet
(7138) there of be rezoned from.R2 to such appropriate
zoning as to permit the construction of a building which
would be built to conform with codes and restrictions
set up by the City of Fridley.
The building (see enclosed sketch) would house
two small commercial businesses and four single bedroom
apartments.
Architectural plans will -be drafted to be submitted
for building permit requirements upon the granting of
proper zoning.
Harvey Peterson will construct this building and
Dr. R.J. Trezona will provide mortgage and such monies
as necessary for construction.
Consideration is this matter at your early
oonvenienoe will be greatly appreciated.
YOMtruly,
Richard J. ez a, D.D.
RJT;ph
Presents J*abers $ravlka Naga and Thappeans city Manager Wagner
and City Eng1wer Brww.
Absent: Chairwin Segner and Kerber Banftlo
i � .t _� s •;�•� x •��:� � Vis.' r;� •��� ��,
The neeting ws eaUnd to order at 7:30 PA. by Acting C
Kradkv to consider Dro Tresmals app].ic akin for a 4,pun1t apartmw&
buildig to be constructed on Lot 16 exwpt the south 7®3 Teets R.ssk 5a
Rios Creek Plama south Adds
Mro Harvey Peterson was preaant and e3iained the deletics of 7,3
test ftm Lot 36 inJia y 1958, and add3asg it to Lot 17 for the Clin�.es
budding site. AppereaUr no action Nos talm by the City at that
tae an this lot spirt®
MotdLaai amande by Mr. Th m peons seconded by W* Nagela to recomwnd
approval of this lot split of July 1958 of Lot 16 and to sane the lot
split ,fee. Upon, a voiee votes said motion carried unanlaously,
Motion =49 bV Mr. Nag®1
3naetar as it meets zonfng
The motion mw seconded by Mr
votes Gan -ted unaulmouslys
The = tlft*vas adjaurmd at WO peN.
Cray of Fridley, Minn.
BUEWING PERMIT N°5':31
Date:
Owner: Builder=:
6
Address _...................... _ _ Address
No. _.. ........_ s CAS ., BUILDING
street - - " !.__ _ .._.. Part LPt
mow..
Lot Block _.__._ Addition or Sub -Divisions
Corner Lot __ _ _ Inside Lot _..._. _ .Setback _ Sideyard
Sewer Elevation _ _ _ _ ___.. __ _ Foundation Elevation
DESCRIPTION OF BUILDING
To Uad
Front _ Depth &– Height Sq. Ft. Cu. Fj
Fropt Depth ,_ H 'ght Sq. Ft. _ Cu. Ft.
Type of Construction - ; _ Esta Cyst P. _ To be Completed
In consideration of the issuance to me of a permit to construct the building" described above, I agree to do
the proposed work in accordance with the description above set forth and in compliance with all provisions of
OA
of the city of Fridley.
In consideration of the payment of a fee of'$ ` _ _., 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 tkxereof; 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 no
the Building Inspector for separate permits for these hems.
4
APPLICATION FOR BUILDING PERMIT
CITY OF FRIDLEY, MINNESOTA
owner's NameBui],der e se S
z
Address_._ 1:,;;* C�� �%aare�8::�,
LOCATION.OF BUILDING
No. Street Part of Lot
Lot % Blocker Addition or Subdivision
Corner Lot Inside Lot Setback Side-YardZ�-
SEWER ELEVATION FOUNDATION ELEVATION
Applicant attach to this form Certificate of Survey of Lot and
proposed building location.
IPTZON OF BUILDING
To. be used as s
sq. Ft. Cu. Ft.
Front._.___„_,Depth — a ight
sq Ft. Cu. Ft.
V
Type of construction ��-�:, -Q Estimated Cosk a6469
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 -ruling of the Department of Build -
and hereby declares -that all the facts and presentati s
stated in this application are true and corr®o `r
DATE °Z SIGNATUitE-'`
• r
(S+chedule of, ee di
Costs can be found on th Revers d®).
ter® AS aw�L CU � •s>>nnO
-"ICA � � n+� � s -le► �®�
`"L-0 "-7 g<L W'Vlp rtL 'Walvs
3 g 1-4 1 rY\ *0 0
vi �
� L
L�L
41 6�
m S
City of Fridley
Application for Plumbing and Gas Fitting Permit
Dept. of Bldgs. Phone SII 4-7470
DESCRIPTION OF WORK
Number, Kind and Location of Fixtures Locabtor' J
I� �
I0
y
NO.
RATE
TOTAL
Number Fixtures ......................
X$1.50
$ ����
°QC Z
�
,J
WU'
Z
0
•
fe
N
WATER HTR.
GAS
ELEC
Base
x 3.25
$
o C)
Water Heater (Up to 200,000 BTU) ......
x 2.00
$
New Ground Run Old Bldg . ............
x 3.25
$
1st
GAS FITTING FEES:
NO.
RATE
TOTAL
1st 3 Fixtures ..........................
x $1.50
-Additional Fixtures ....................
x .50
$
2nd
x 2.00
$
3rd
4th
' Future Connection Openings
New Fixture, Old Openings
Connected with
Sewer
Cesspool
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
$
o C)
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:
The undersigned hereby .makes application for a permit for the work herein
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.
Fridley, Minn- - - , 14�
Owner AM; r4a5Z.2b MMIE
.. of Buildingr
Used as
To be completed about?�
Estimated Cost, $ r
Old—New. Building Permit No '21 Permit No.
Signe
By
Business Phone
ROUGH y`a2 3 _ 6 '?---
FINAL FINAL
.. .
CITY OF FRIDLEY
APPLICATION FOR PW MBING AND GAS FITTING PERMIT
PARTIAL RATE SCHEDULE
PLUMBING FIXTURE RATES: NO. RATE TOTAL
Job Address v !' e.i // '-7. S' _/ /V T
Department of Buildings
City of Fridley
Tel. #571-3450
The undersigned hereby makes application for a permit for the work herein
specified agreeing to do all work in strict accordance with the City Codes
and rulings of the Department of Buildings, and hereby declares that all
the facts and representations stated in this application are -true and correct
Fridley, Mn. ® -s 191(1-1
OWNER \ W, L �O�f�"al
^"/ R/ AJ
`% %/ IP
KIND OF BUILDING al
USED AS rur"
TO BE COMPLETED ABOUT o�P/ q
d4)-ESTIMATED COSTNEW BUILDING PERMIT NO. PERMIT NO.
Number Fixtures
x
$3.00
o
Future Fixture Opening
o
$2.00
0
Company
o
k
o
$2.00
Water
UI
U1
U1
x
$5.00
$
y4
.,14
0
a
$5.00
N
n,
W
f
Heater
$10.00
41
,-a
N
x
F
ro
s4
N
rd s4
0,
$
FNG
•rl
F4 0
ro
4
O
••i
U1
x
x 41
C
N
3
34
O
U •�
N
O .[
U
N
1st 3 fixtures
Sa
0 W
C
•r1
4J
U1
Additional Fixtures
.0
N
•.i
0
O
41 Ui
41 N
N
U1
U1
.0
REPAIRS & ALTERATIONS
ro U
o
First $100.00
ro
3
u o
A W
M UI
1.
W
ro roc
U LQ
ro
k�
ro
C7
+
£
ro
C7
O
0
as
lec
State Surcharge
$ .50
tl1
TOTAL FEE
$ 8 •S-
o
E
3rd
4th
(R) = Future Connection Opening
Connected with Sewer
{*) = New Fixture, Old Opening
Water
PARTIAL RATE SCHEDULE
PLUMBING FIXTURE RATES: NO. RATE TOTAL
Job Address v !' e.i // '-7. S' _/ /V T
Department of Buildings
City of Fridley
Tel. #571-3450
The undersigned hereby makes application for a permit for the work herein
specified agreeing to do all work in strict accordance with the City Codes
and rulings of the Department of Buildings, and hereby declares that all
the facts and representations stated in this application are -true and correct
Fridley, Mn. ® -s 191(1-1
OWNER \ W, L �O�f�"al
^"/ R/ AJ
`% %/ IP
KIND OF BUILDING al
USED AS rur"
TO BE COMPLETED ABOUT o�P/ q
d4)-ESTIMATED COSTNEW BUILDING PERMIT NO. PERMIT NO.
Number Fixtures
x
$3.00
$
Future Fixture Opening
x
$2.00
$
Company
New Fixture, Old Opening
x
$2.00
$
X Signed
Catch Basin
x
$5.00
$
/"'
Water Heater - iza000 BTU
x
$5.00
$ 5.bb
/1
Tel. No. - oZ to
Z'
100,000 BTU to 199,000 BTU
x
$10.00
$
Water Softener
x
$7.00
$
New Ground Run Old Building
x
$5.00
$
ROUGH INSP.
Date
Electric Water Heater
x
$5.00
$
GAS FITTING FEES:
FINAL INSP.
1st 3 fixtures
x
$3,00
-q( ®�
$
Date
Additional Fixtures
x
$1.00
Y
�
$
mad
Gas Range to 199,000 BTU
x
$10.00
$
APPROVAL FOR PERMIT
REPAIRS & ALTERATIONS
First $100.00
$5.00
$
each add. $100.00 or fraction
$2.00
$
MINIMUM FEE FOR ANY PLUMBING PERMIT IS $7..50
State Surcharge
$ .50
TOTAL FEE
$ 8 •S-
o
REINSPECTION FEE
($10.00)
REGULAR COUNCIL MEETING OF JANUARY 7, 1974
CLAIMS:
GENERAL
LIQUOR
34120 - 34351
8488 - 8521
11 -
PAGE 11
MOTION by Councilman Nee to approve payment of the aforementioned claims. Seconded
by Councilman Breider. Upon a voice vote, all voting aye, Mayor Liebl declared the
motion carried unanimously.
CONSIDERATION OF ENDORSEMENT OF CHECK BY CITY CLERK FOR CONDEMNATION PAYMENT FOR
REZONA PROPERTY:
The Finance Director said when a parcel of property is condemned and the City has
an interest in the property, the City is named on the check. He said this is the
instance in the Trezona property. The Finance Director said this first check re-
presents.75% of the payment for the condemnation award and this will be a payment
of $27,000.00 at this time and sometime in the future, a check for $9,000.00 for
the remaining payment would be issued. He explained there is a problem with the
payment of the special assessments to the City of Fridley. He said the assessments
are approximately $2,500. He said it is not understood if the assessments are in-
cluded in the amount of the award. He said it would be possible to determine this
and withhold the signing of the final check for payment of the special assessments.
The City Attorney said it would be in order for the Council to authorize the
I' endorsement of the current check, and obtain an understanding that either the County
f or'the property owner would pay the assessments when they come due. He said this
may be taken care of before the endoresement of the final check by the City.
MOTION by Councilman Breider to authorize the Finance Director to endorse the
check with the understanding that the special assessments will be paid before the
final settlement of the property and the second award check is endorsed, this pay-
ment being made either by the County or the property owner, and that this under-
standing be in writing by the Finance Director. Seconded by Councilman Starwalt.
Upon a voice vote, all voting aye, Mayor Liebl declared the motion carried unanimously.
s
LICENSES:
TYPE OF LICENSE
EMPLOYEE DISPENSING BY APPROVED BY FEE
Sharon Bahnsen Ground Round Public Safety Director $ 5.00
5 851 2nd Street N.E. #6
Mpls., Minnesota
Dianne Johnson Ground Round Public Safety Director 5.00
5218 Washington Street N.E. 1
Mpls., Minnesota
Cheryl Tesch Ground Round Public Safety Director 5.00
5660 Polk Street N.E.
Mpls., Minnesota
Cheryl Tillotson Ground Round Public Safety Director 5.00
3914 6th Street North
Mpls., Minnesota
Kay Kraus Ground Round Public Safety Director 5.00
2216 Howard Street N.E.
Mpls., Minnesota
CIGARETTE
7 -Eleven Store James P. McConnel Public Safety Director 12.00
1315 Rice Creek Road
Fridley, Minnesota
REGULAR.000NCIL MEETING OF JANUARY 7, 1974 PAGE 12
I
GENERAL CONTRACTOR APPROVED BY
Boda Construction Co., Inc. By: Thomas J. Boda C. Belisle NEW
11260 Buchanan Rd. N.E.
Mpls., Minnesota 55434 i.
Naugle-Leck Incorporated By: Mark J. Dougall C. Belisle RENEWAL
Suite 515 -730 -2nd Ave. So.
Mpls., Minnesota 55402
MASONRY 1
Sibell Construction By: Donald Sibell C. Belisle RENEWAL
1405 Parkview Lane West i
Mpls., Minnesota
SIGN ERECTOR'S j
h
Brede Incorporated By: James Bratland C. Belisle RENEWAL �.
2211 Broadway N.E.
Mpls., Mn. 55413
Leroy Signs, Incorporated By: LeRoy Reiter C. Belisle RENEWAL
6325 Welcome Avenue No.
Mpls., Mn. 55429
I G
Midway Sign Co., Inc. By: Arthur N. Kruse C. Belisle RENEWAL i
444 North Prior Ave.
St. Paul, Minn. 55104
Naegele Outdoor Adv. Co. By: H.A. Bartolome C. Belisle RENEWAL
1500 West 78th Street i
Mpls., Minnesota 55423
National Advertising Co. By: D.W. Torgerson C. Belisle RENEWAL I,
6850 South Harlem Ave.
Argo, Illinois 60501
Nordquist Sign Co., Inc. By: Richard Nordquist, Jr. C. Belisle RENEWAL
312 West Lake Street I
Mpls., Minnesota 55408 f
Signcrafters Outdoor Display, Inc.
13 -77th Way N.E.
Fridley, Minnesota 55432 By: James J. Stafford C. Belisle RENEWAL
MULTIPLE DWELLING
OWNER ADDRESS UNITS FEE APPROVED BY:
f
William L. Zaier, Jr. 5761 -2nd Street N.E. 3 $15.00 Robert D. Aldrich,
6556 Central Avenue N.E. Fire Prev.
Fridley, Minnesota 55432
MOTION by•Councilman Nee to approve the aforementioned licenses as stated. Seconded
by Councilman Breider. Upon a voice vote, all voting aye, Mayor Liebl declared the
motion carried unanimoulsy. j
ESTIMATES•
i
Councilman Starwalt asked if the estimate as listed in the agenda would be the com-
plete and final payment for the construction of the Liquor Store. The City Manager
said this would be a payment to the General Contractor, but there are two other
contractors who would have to be paid in addition to this amount. He explained this
would be the electrical and mechanical work. He explained there had been the amount
of $520 deducted from the final payment because the building had not been completed
on time. He added, there had been some difficulty with Keyway and the check would
be sent to the Bonding Company who would disperse the payment to the individual
contractors: He stated the final payment was less.than what had been awarded to the
contractor. He said the City had a direct contract with the electrical and heating
contractors.
OF
SUBJECT
-RMIT NO.
City of Fridley
Q-�
2593 6
AT THE TOP OF THE TWINS
BUILDING
PE MIT
i
RECEIPT NO.
COMMUNITY DEVELOPMENT DIV.
n
PROTECTIVE INSPECTION SEC.
'
e �
Ap
NUMBER
REV
DATE
PAGE OF
APPROVED BY
CITY HALL FRIDLEY 55432
612-571-3450
910415
4/16/98
JOB ADDRESS 6511 2 Street NE
1 LEGAL
LOT NO.
BLOCK
TRACT OR ADDITION
SEE ATTACHED
DESCR.
16
5
Rice Creek Plaza South Addition SHEET
2 PROPERTY OWNER MAIL ADDRESS
ZIP PHONE
Chester Gromek 3600 36 Ave NE, Mpls., MN 55418
781-2149
3 CONTRACTOR MAIL ADDRESS
ZIP PHONE LICENSE NO.
Walek Construction 3621 Roosevilet St St Anthony,MN
55418 789-9388
4 ARCHITECT OR DESIGNER MAIL ADDRESS
ZIP PHONE LICENSE NO.
5 ENGINEER MAIL ADDRESS
ZIP PHONE LICENSE NO.
8 USE OF BUILDING
4-Plex
7 CLASS OF WORK p
❑ NEW ❑ ADDITION El ALTERATION X REPAIR O MOVE ❑ REMOVE
X
8 DESCRIBE WORK
Reroof Structure 22 S 2nd La er
9 CHANGE OF USE FROM TO
STIPULATIONS
Roofing can be the 2nd layer but not the 3rd.
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 80 DAYS, OR IF CONSTRUCTION
OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT
ANY TIME AFTER WORK IS COMMENCED.
NO. DWLG. UNITS
OFFSTREET PARKING
I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION
4
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
1 378
, 69
WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT
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-
$4,c 75
Fire SC $1.38
STRUCTIO THE PERFORMANCE STRUCTION.
PLAN CHECK FEE
TOT EE
Y47.82
VICO
S ATURE OF CONTRACTOR OR AUTHORIZED AGENT IDATEIIrolffN�OPEL77THIS
IS Y r R PERM��
BLD INSP
GATE
SIGNATURE OF OWNER OF OWNER BUILDER) (DATE)
OF
NEW [ ]
ADDN [ ] CITY OF FRIDLEY
ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2
BUILDING PERMIT APPLICATION
ConstructionAddress: ( S 11 3V141 id 'e r r
Legal Description: L('p / /& C
Owner Name & Address: Nn b/i
Contractor:
Address: 6 2 I 'S�—'
LIVING AREA:
GARAGE AREA:
DECK AREA:
OTHER:
,construction Type:
Effective 1/1/98
Tel. # 7 F/ —o? Ll
MN LICENSE # —
Tel. # ? 9 �� g
Attach to this application, a CertificaTe of`Survey of the
lot, with the proposed construction drawn on it to scale.
DESCRIPTION OF Il"ROVEMENT
Length Width D Height Sq. Ft.UZ�
Length UIQ P Width Height Sq. Ft.
Length)h� Width Hgt/Ground Sq. Ft.
Driveway Curb Cut Width Needed:
)ATE:
?ermit Fee
ire Surcharge
State Surcharge
3AC Charge
,,icense Surcharge
`driveway Escrow
erosion Control
park Fee
Sewer Main Charge
Estimated Cost: $ / ? �f 4-3�cy
(Fee Schedule on Back)
Ft. + 6 Ft = Ft x $ = $
APPLICANT: ag Tel. #
CITY USE ONLY
$ 94
Fee Schedule on Reverse Side
$ .3c9
.001 of Permit Valuation (1/10th%)
$
$.50/$1,000 Valuation
$
$1000 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 [ ]
TOTAL $
�' IPULATIONS: 8_ `�r
Building BUILDING Permit No.`
Inspections
RESIDENTIAL APPLICATION
Received By:
763-572=3604
CITY OF FRIDLEY
Date Recd: -tel
DATE
SITE ADDRESS _&D 511
YOUR E-MAIL ADDRESS�Q� SII
�}. �•
nJMj
THIS APPLICANT IS:
❑ OWNER CONTRACTOR
PROPERTY OWNER/
NAME:
TENANT
ADDRESS: VJ B, CITY
S
PHONE • 7� ` .714cI
_ZIP
CONTRACTOR
NAM `
SUBMIT A COPY OF
STATE LICENS # %A '" EXP DATE
YOUR STATE LICENSE
ADDRESS: J5DQ _ CITY
�; y
STA*2dzIP5 iJ 8'
WITH APPLICATIONPHONE
FAX
PROPERTY TYPE
INGLE FAMILY/NEW CONSTRUCTION SIZE
0 TWO FAMILY/NEW CONSTRUCTION STORIES
PERMIT TYPE
O ADDITION ❑ GARAGE/SHED WINDOWS
❑ BASEMENT FINISH ❑ ROOF J15 DRAIN TILE
❑ DECK ❑ SIDING ❑ OTHER
❑ SWIMMING POOL
TYPE OF WORK:
❑ NEW ❑ ADDITION
AQAAINMANCE&EPAIR ❑ REMODELING
n
DESCRIBE WORK BEING
SIZE OF IMPROVEMENT
OF SQUARES
GARAGES
PROPOSED SIZE:_
PROPOSED HEIGHT:
SIDING
❑ Vinyl
❑ Aluminum
❑ Other .
WINAOWS Y
IN EXISTING OPENINGS cs ❑No
OR FOR NEW OPENINGS -DESCRIBE SIZE OF
OPENING CHANGES & II
TYPE OF WINDOW TO BE INSTALLED�%ICrr ,, )
ALL FEES ARE BASED ON VALUATION, INCLUDING THE COST OF LABOR AND MATERIALS:
(USING TUE 19-9-7 U.B.0 FEE SCHEDULE)
IN $_ i1' • OCCUPANCY TYPE
❑ HOUSE & GARAGE
❑ ATTACHED GARAGE
❑ DETACHED GARAGE
❑Soffit
❑ Trim
❑ Fascia
LOCATION OF WINDOWS
■` ff
Ft.
BASEMENT REMODELING SUBMIT:
1. Existing Floor Plan
2. Proposed floor plan
3. List of structural members to be used
FOR NEW CONSTRUCTION INCLUDING DECKS
ADDITIONS & PORCHES S JBMIT•
1. Site Plan/Survey showing the existing structures
and proposed project
2. Two sets of construction plans
3. Energy Calculations
TOTAL JOB VALUA'
Permit Fee
Plan Review
Fire Surcharge
Surcharge
License Surcharge
SAC Charge
Curb Cut Escrow
Erosion Control
Park Fee
Sewer Main Charge
Total Due
$
$ �.
See Back Page for Fee Schedule
65% of Building Permit Fee
.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 ( )
Make checks payable to: Citv of Fridlev Attach
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 applicatioyjor a permit and work is not to start without a ermit; that the work will be in accordance with the approved
plan in the case of all work)h wquir,ca7eview and approval of plans.
SIGNATURE OF APPLICANT