AF - 35222ADDRE55
PIN
LEGAL DESC
PERNIIT TYPE
PROPERTY TYPE
CONSTRUCTION TYPE
CITY OF FRIDLEY
6431 iJNIVERSITY AVENUE NE
FRIDLEY, MN 55432
572-36U4 N'AX:
: 8022 ASHTON AVE NE
: T000069
: SPRING BROOK PARK
: LOT 21 BLOCK 14
: BUII,DING
: RESIDENTIAL
: NEW CONSTRUCTION
,71-1Lif'/
��' �7 - �`�
�°�
RMIT " O.: 2004-01882
DATE ISSUED: 10/13/2004
VALUATION : $ 134,850.00
NOTE: SEE NOTATIONS ON PLAN.
CALL GOPHER STATE ONE AT 651-454-0002 FOR UTILITY LOCATIONS.
PROVIDE SOD 1N FRONT AND SIDE YARDS.
PROVIDE HARD SURFACE DRIVEWAY.
PROVIDE CITY WITH VERIFYING SURVEY BEFORE CAPPING.
SEWER AND WATER LOCATIONS AVAILABLE FROM CITY ENGINEERING DEPARTMENT. CONSTRUCT NEW HOME
AND GARAGE.
PARK FEE 1500 SAC UrTITS 1
APPLICANT
T MARCHIAFAVA
638 152 AVE NE
HAM LAKE, NiN 55304
OWNER
T MARCHIAFAVA
638 152 AVE NE
HAM LAKE, MN 55304
AGREEMENT AND SWORN STATEMENT
This permit becomes' null and void if work or construcrion
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 a.nd correct. All
provisions of laws and ordinances governing this type of wor�
will be complied with whether specified herein or not. The
granting of a permit does not p esume to give authority to
violate or cancel the provisi ns any ther state or local law
regulating c �o�r th e ce of cons, ti n.
Applicant �a � Date � b
. ., �
Bldg Insp
BUII.DING PERNIIT FEE
PLAN CHECK FEE
FIRE SURCHARGE
STATE SURCHARGE, VALUE
SAC CHARGE
PARK FEE
TOTAL
PAID WITH CHECK # 1003
- _�
SEPARATE PERNIITS REQUIltED FOR WORii OTHER THAN DESCRIBED ABOVE.
1,189.75
773.34
134.85
67.43
1,350.00
1,500.00
5,01537
NEW
ADDN [�j
ALTER [ )
Construction Address:
CITY OF FRIDLEY Effectivve 4/1/2004
6431 University Ave NE, Fridley, MN 55432 (763) 572-3604 Bldg Insp
SINGLE FAMILY AND DUPLEXES R-1 AND R-2 (76 5 1-1287 Fax �
BUILDING PERMIT APPLICATION �, � �,�
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Legal Description: Q.'� �F �5 2f�2�' ��IC l� �'��.2�� 6�� �ft�� _
Ovmer Name & Address: '�� � � �I $1 � � �F�� 4� Tel. # �/ 2. Z�/`� �5 �
Contractor. f� �6��ft MN LICENSE # ���
Address: L'�� IS�2� �i"�'� /� �� ��'�'1 L�� /�� Tel. # ,, � �/�°��/S
LMNG AREA:
GARAGE AREA:
DECK AREA:
Attach to this application, a Certificate of Survey of the
bt, with the proposed construction drawn on it to scale.
DESCRIPTION OF IMPROVEMENT
Length �-� Width � Height � Sq. Ft
Length � Width �_ Height Sq. Ft
Length �- Width '°� Hgt/Ground Sq. Ft
OTHER:
iati9 �be�� ���G '
Construction Type: �PI�� �1R°� Estimated Cost: $ ��� o`�a0o �i�
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Driveway Curb Cut Wdth Needed: Ft + 6 Ft = Ft x$ _$
DATE: � �- —d APPLICANT: � Tel. #�I Z Z��'� ��j �r
Call (763) 572-3604 for Permit Fees if mailing in application. Fax to 763-571-1287 if using credit card and we will call
you for card number.
CITY USE ONLY -
Permit Fee $ 1 I�� •7� Fee Schedule on Reverse Side
Plan Review $ ��, 4 65% of Permit Fee
Fire Surcharge $ �� I, �.001 of Permit Valuation (1/10th%)
State Surcharge $ � D� ��3 $.50/$1,000 Valuation
SAC Charge $ � $1350 per SAC Unit
License Surcharge .$ $5.00 (State Licensed Residential Contractors)
Curb Cut Escrow $ Alt. "A" or Alt. "B" Above
Erosion Control $ $450.00 Conservation Plan Review
Park Fee $ t�� �� Fee Determined by Engineering
Sewer Main Charge $ Agreement Necessary [] Not Necessary [ J
TOTAL $ � O � � a�� STIPULATIONS:
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BUII.DING PERMIT FEE SCHEDULE
The Chief Building Official shall, l�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 applicadon 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
$541 to $2,000
$2,�1 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
$23.50
$23.50 for first $500 plus $3.05 for each additional $1� or
fraction thereof, to and including $2,0�
$69.25 for first $2,�0 plus $14.00 for each additional $1,0�
or fraction thereof, to and including $25,000
$391.25 for first $25,Ofl0 plus $10.10 for each add.itional $1,000
or fraction thereof, to and including $50,000
$643.75 for first $50,0� plus $7.00 for each additional
$1,000 or fraction thereof, to and including $100,000
$993.75 for first $100,000 plus $5.60 for each additional
$1,000 or fraction thereof, to and including $5�,000
$3,233.75 for the first $5�,000 plus $4.75 for each additional
$1,000 or fraction thereof, to and including $1,000,000
$5,608.75 for the first $1,00O,OOQ plus $3.15 for each addirional
$1,OOQ or fraction thereof
CURB CUT ESCROW
(Concrete Curb Streets Only)
Removal and replacement of curb and gutter only - driveway width plus 6 feet, times the annually determined
rate
Pemuts 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 construcdon site.
VERIFICATION OF FOUNDATION
A Certificate of Survey of the lot, showing the 1QCation of the existing foundation will be required before
proceeding with the framing. New Houses Onlv
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Oct 12 04 10:32a Croix Custom Concepts [7631323-8660 p.2
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A�A's Narrow Wal�l Brncing M�khod, combined v�ith wnl4s fha# are �IEy sheothed with
plywc,od or OSB� helps builders meet fhe bracing requirements of the Intemational
;a;y,�;,;_..,,,5�,.� I�esidentiaF Code (!RC} far narrow walls next to garage
doors, 6uild a stronger home, and deliver value to the
customer, It's a simple site-buift system, based on typical
wood-fmmed consiruetion techniques.
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.All residendal buildets are Eamitiar winc �orner bcacing, \�l/hat they
may nat realize is d�at Section Rfi0Z.10.4 oE the IRC requires 'F-toot
wide bracing segmencs neaz the comers of buildirigs and ac pie-
scribed mtermediate points. Wi[h the rapid ad�prion o[ the new
IRC, enEoree�nen� of chis requiremenc u becomi�Yg widrspread.
The eode nl�o requires a 46-inch bracing walt nact to garage open
ings. But rriany home designs show wall segments adjacent to the
gaiage opening that are as natrow as 16 inches.
�aeath che house iti plywood or OSH and we APA's Nairow Wall Bracing Method. Birilders c�
Geduee garage wall braang wid[h and stiIl provide bracing perfarmanee equivalent to che presctip-
dac code requirements. Note tk�at thu method is lunited �o garage bracir� unly. For wall biacing as
natrow as Z4 inches on azry story of a 33tory howe, reEer to the cdndauowly sheathed mechod it�
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CONSTRUCTfON REQUIREMENTS FOA.dARAGE.NAIeROW
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G!t[lAGE 1VAR.ROW WALL BRA.CtN.G M�T.HOD WI?HOUT�i(�W;.D!OVY.1�dS {fi6ro seguteufs shavm)
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REScheck Compliance Certificate
2000 Minnesota Energy Code
REScheckSoftware Version 3.5 Release lc
Data filename: C:1Program Files\Check�REScheck\04400.rck
TITLE: CROIX #04400
COiJNTY: Anoka
STATE: Minnesota
ZONE: 2
CONSTRUCTION TYPE: Single Family
DATE: 09/14/04
DATE OF PLANS: 9-14-04
PROJECT INFORMATION:
1292 SQ.FT. SPLTT
COMPANY INFORMATION:
GILMORE CONSTRUCTION
COMPLIANCE: Passes
Maximum UA = 350
Your Home UA = 295
15.7% Better Than Code (UA)
Ceiling 1: Flat Ceiling or Scissor Trnss
Wall 1: Wood Frame, 16" o.c.
Window 1: Above-Grade:Vinyl Frame:Double Pane with Low-E
Door 1: Solid
Wa112: Wood Frame, 24" o.c.
Basement Wa112: Masonry Block with Empty Cells
Wall height: 3.5'
Depth below grade: 3.0'
Insulation depth: 3.5'
Floor 2: All-Waod Joist/Truss:Over Outside Air
Furnace 1: Forced Hot Air, 90 AFLJE
Air Conditioner 1: Electric Central Air, 10 SEER
Proposed and Mazimum U-Factor Averag�
Above-Grade Windows and Glass Doors
Includes Foundation Windows > 5.6 ft2
Permit Number
Checked By/Date
Gross G�g
Area or Cavity Cont. or poor
Perimeter R-Value R-Value U-Factor UA
1292 44.0
1822 19.0
244
38
225 0.0
493 11.0
92 30.0
0.0 35
2.0 86
0.350 85
0.700 27
10.0 25
0.0 35
10.0 2
Ptoposed Maximum
Average U-Factor Allowed U-Factor
0.350 0.370
COMPLIANCE STATEMENT; 'The proposed building design described here is consistent with the building plans, specifications,
and other calculations submitted with the permit application. The proposed building has been designed to meet the 2000 Mvm�sota
Energy Code requirements in RES checkVersion 3.5 Release 1 c(formerly MECchec� and to comply with the mandatory
requirements listed in the RES checkInspecti n ecklist.
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Oct 11 04 09:z7a
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Todd Marchiafava
OWNERS NAME MODEL
ADDRESS 8022 ASHTON
START DATE 1011 t2004
763 413-6815
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.�� Focm No. 32-M— QUIT CLAIM DETD Minnesota Unifor•m Couveyanciug Blaoks (1/15/97) Miller-Davis Co., St. Paul, MN
Cocpocs�on, Partuerslup or Limited IJabillry Company
W do�ut Teneata
No delinquent taxes and transfer entered; Certif'icate of
Real Estate Value ( ) filed ( ) not required.
Certificate of Real Estate Value No.
Date
by:
County Auditor
Depnty
DEED TAX DUE: $ <l�/�T �.�.�i w�c. •'l
Date: ��i���' c��i �� �
,I
(resetved for recording data)
FOR VALUABLE CONSIDERA,TION, GiLnore Construction, Inc.
� a Corporation under the laws
M�ian�set� , Grantor, hereby conveys and quitclaims to
Thomas R_ Mar _h � A'Fi9 VA 9I7[i I�l A�IIIA I Merrhi afgya GTaIIt��
f
as joint tenants, real property in Annka County, Minnesota, described as follov
See attached Exhibit "A"
together with all hereditaments and appurtenances.
C�eck box if applicable:
L..1 The Seller certifies that the seller does not know of any wells on the described real property.
❑ A well disclosure certificate accvmpanies this document.
❑ I am familiar with the property described in this instrument and I certify that the status and number vf wells on
the described real property have not changed since the last previously filed well disclosuare cert�ca.te.
Affix Deed Tax Stamp Here
STATE OF �SOTA
COUNTY OF ANOKA
Gilmore
By L-� -
Its _
By
ss. Its _
This instrument was acknowledged before me on ��
by Christopher G. GiLnore x���
�e President �d
Gilmore Constructian Inc
�",_'•-
� �
��a
o� , �a Corporation
under the laws of Minnesota , on behalf of the Corporation
_ _........_____, .
IVOTARW L 3TAMP OR 9Fd►I. (OR OTH6R T1TL& OR RANK)
"f JANET R. THOAMS
wora�r Pusuc . n�uru�ESO�
MY COMIbI. EXP 1.�7�U(J6
'1'Ii1S IN9I1tU111L'NT �YA9 DItAFTGU By (NAMB e1PY� ApDRLiSS};
Registered Abstracters, Inc.
2115 North Third Avenue
Anoka, MN 55303
SIONAiUR6 OF NOTARY PUBLIC OR OTf�R OPPICIAL
Check here if part or all of the land is-ttegistere�3 ('Fvrrens) �
Tax Statements for ihe real property described in this instrument should
be sent to (include name and eddreas of Grantee):
�.3p-�2��G� t��
. V
�.���� �. S.s���.�.
WARNING: UNAUTHORIZED COPYINQ OF THIS FOHM PROHIBITED —(OENUINE��1�d►� PRINTED FORMS HAdE A BLUE BORDER)
r
�. � °
EXHIBIT "A" LEGAL DESCRIPTION
A perpetual sewer and water easement for the benefit of that part of Lots 21, 22, 23 and
24, Blocic 14, Spring Brook Park, Anoka County, Minnesota, lying North of the South
107 feet, described as a 10 foot easement, ovar, under and across the south 107.00 feet of
Lots 21 u1d 22, Block 14, Spring Brook Park, Anoka County, Minnesota. The center line
of said easement is described as follows.
Commencing at the southwest corner of said Lot 21; thence on an assumed bearing of
East, alo�lg the south line of said Lots 21 and 22 a distance of 33.00 feet to the point of
beguuung of the line to be described; thence North 45 degrees 00 minutes 00 seconds
West to the intersection with a line 10 feet east of the west line of said Lot 21; thence on
a bearing of North to the north line of the South 107.00 feet of said Lot 21 and there
tennu�ati ug.
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Ci�tY gfRFli�l�r
ER
� CUSTOtdEER i�I;EIPT �
Oper: KIRKNRKi Type: OC Drawer: 1
Date: 11/09/04 � Receipt t�o: 5914
�cript'i�oIT-fi�i.iJ�IHI1�61PE�tITS ��t
i�
1.� 81�S.Q0
Trar�s r�tuaber: 516048
6!L accvunt �iumber:
1t1100t�3�3Q41
�I SURTA�
1.� #.5��
Trans r�uu��r: 516049
6/L account numher:
SUl[�A20��
P'P F�Eft�IT-ISLU�BIP�i PERMIITS
1. � Slc .0{i
Trans num�r: 51f�
6/L acevunt r�um�er:
1Q1Qta(�U�3U41
SLI SURTA%
1. pL' �. �A
Trar�s nupbe�: 516052
6/L ac�t�un% nu�6er:
101t���'(15�
PP REEt�IYT-RLI.�IBIPI�, REl�dITS
1.04 �15.G(1
Trat� nur�her: 51GQ5?
6/L account r�ur�ber:
10100t��3041
5i1 SURTf�X
1. a0 $. 5�
Trar�s nuu�6�^: 516053
6/L accaur�t n�t�r:
1(11�5QOi1f1
RIC}(' S RL�IPI6: PP #5 2tiO4-
�sr� c�� sr �i� asHrrnu,
�� �T Rav� �n
Tender detail
t�tt GI�CK 8�5 �;; �'s6.5fl
Tatal ter�dered � �• ��
Tvtal payre�it �266. S�
Trans da$e: 11/03/044 i'ime: 11:09:G7
ADDRES5
PIN
LEGAL DESC
PERMIT TYPE
PROPERTY TYPE
CONSTRUCTION TYPE
CITY OF FRIDLEY
6431 UNIVERSITY AVENUE NE
FRIDLEY, MN 55432
572-3604 FAX:
: 8022 ASHTON AVE NE
: T000069
: SPRING BROOK PARK
: LOT 21 BLOCK 14
: ELECTRICAL
: RESIDENTIAL
: ADDITION/ALTERATION
571-1Lif%
PERMIT NO.: 2004-02118
DATE ISSUED: 11/23/2004
VALUATION .
NOTE: ELECTRICAL PERMIT BECOMES VOID 12 MONTHS AFTER PERMIT ISSUE DATE.
# INSPECTIONS 4
APPLICANT
BASSING ELECTRIC INC
1354 MCKAY DR NE
HAM LAKE, MN 55304
OWNER
T MARCHIAFAVA
638 152 AVE NE
HAM LAKE, MN 55304
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 pernut does not presume to give authority to
violate or cancel the provisions of any other state or local law
regulating bonstruction or the performance of construction.
Applicant Date
Bldg Insp Date
STATE SURCHARGE, ELEC FLAT
ELEC PERMIT FEE - MIN (RESI)
TOTAL
PAID WITH CHECK # 10086
SEPA� 1�, Y�KMl 1.� K�11U11C�1J C VK W VKit V 1 tlCl( 1 t1N1V LGJI.NDDL NDV Y�.
0.50
80.00
80.50
��
� i.
City af Fridley
� CllST�fl f�G'�IPT �
Oper: (�IIER Type: � Dra�er: 1
Date: 11l24/04 i1Q Receipi rw: 6178
Descri pt�ion Quantity
EP F�Elil4IT-�LECTRi � PEAI�YT
Trar�s numbe�"e
6/L acrount r�um�r:
141�3�U�►1
5U SURTflX 1. (�
Trans numher:
GOL ac�ount numher:
1010(�Oc''t�50�U
Ataount
5�1845�1
5184�
�I�G ELEGTRIC
Ep �°404-2118, 3022 P�NT�1 f�
Ter�er deiail 1�� �.�
CK CHE{�t
Total ter�ered �.5Q
Tatal Ray�r�t
Trans date: 11/24/04 Ti�e: 8:3b:29
--_
___.-..�.--...e�� �
CIIYOF
FRIDLEY
FRIDLEY MUNICIPAL CENT'ER • 6431 iJNIVERSITY AVE. N.E. FRIDLEY, MN 55432 •(763) 571-3450 • FAX (763) 571-1287
Single Family
April 8, 2005
T Marchiafava
638 152th Ave N E
Ham Lake MN 55304
Re: Final Inspection 8022 Ashton Ave NE
Dear Sir:
A final inspection was conducted on April 8, 2005 for the completion of the dwelling at the
above address. The inspection noted that the construction was completed according to
the approved plan but the following items need to be completed before the building permit
can be finaled out;
1. Provide sod in the front and side yards by June 15, 2005. ���C
2. Install hard surface driveway by June 15, 2005. �,
3. Maintain silt fence per City Engineer until the sod is established
We will expect the above items to be completed by the scheduled dates and a
reinspection called for. The dwelling is approved for occupancy.
If you have any questions concerning this matter, please feel free to contact me at 763-
572-3603.
ol
N
n
� ERTIFICATE OF SURVEY
' ,�,
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��
� SWENSON LAND SURVEYIIdG, INC.
� �`' � 14980 Waco Street
RONALD J. SWENSON Ramsey, Minnesota 55303 ,
REGIS�ERED.LAND SURVEYOR - .
SURVEY FOR: � dD j� �R C� /A FA � A
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TELEPHONE
� (763) 427-1020
• Denates Iron .AAonumerns Found
O Denotes Iron Monuments Set
Scale 1 inCh equais�—feet
Book—Page 476 —
Invoice No. Z'
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• PROPOSED
TOP OF FO DATON = 862.0 DENOTES EXISTING ELEVATION X900.00�' �p►,�
GARAGE FLOOR = 861.5 DENOTES PROPOSED ELEVATION (900;0) L�
LOWEST FLOOR�= 858.8 DENOTES SURFACE DRAINAGE --- ,
I hereby certify that this is a true and correct representation "
., ., of ,� su.�vey of the boundaries of: . ' ;
' � °. . , . .
That part of Cots'21-24, Block 14, SPRING BROOK•PARK, �
Anoka County� Minnesota, lying north of the South 107.00 feet
thereof. . '
'� It �does purport to show improvements or encr•oachments.� if any'. As
'- surveye by me this 2 day bf September, 2004. '''
Swens
on LanG d SurVbyin9� Inc. �
Ronald J. Swenson� Professional L�nd Surveyor, MN. License No. 13297
03I24/2005 10:28 612427102@ PAGE 02
CEF�TIF��AT� OF SURV'EY
SWENSON LAND SURVEYING, INC.
RONALD J. SWENSON 14A8o Waco Strrst
R�c�STERED U►NO suqVEYOR Remsey, Mlnneaota 55303
SURVEY FOR: T a p
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° 39• 33 °� I 36 . o B6° �
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860 �
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TELEPHONE
(763) 427-1020
• Denot�s lron INawmeMs Found
O oottot�s Iron MonumQnts Sst
Scalo 1 �h equala�_ ��
�!�=�Pape
Invola No. Z
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To� a F F�v-c..t = E 62.=
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p RopoSE�j
PROPOSED �0'E'g ��•
TOP OF FOUNDATON • 882,0 DEN07E8 EXISTING ELEVATION X900.00�
GARAGE FIOOR = 861.5 DEN07E6 PAOPOSED EIEVATION (900.0)
LOWEST FLOOR x 858.8 DBNOTES SURFACE DRAINAQE ------->
I horaDy certify thst thia ie e 4rue snd corract roproaontatian
of a surv�y of the boundnrlsa ofi
Thut p�rt ot Lots 21-Z4, Btock 14, SPRING BROOK�PAfiK,
Anoke County, AAinnosota, lying north of tho South 107.Oa foot
Lhoroof.
Yt�do�s purport to show imprpyomonts or oncroachmonts� it anr. �l�
survoyo by me this 2 dny bt Sept�mber, 200a. ...
Swonaa Land S r�in9� InC.
Roneld J. Swonson� Prof��sional Land Survoyor, NN. Licenao No. 13297
NEW
ADDN
ALTER
ll�'
Il
[I
Construction Address:
Legal Description:
����'�����
CITY OF FRIDLEY
6431 University Ave NE, Fridley, MN 55432 (763) 572-3604 Bldg Insp
SINGLE FAMILY AIVD DUPLEXES R-1 AND R-2 (763) 571-1287 Fax
BUILDING PERMIT APPLICATION
�'��
Owner Name & Address: Tel. #
Contractor. ����� ���� MN LICENSE#
Address: �� ° � �1 " � � � � Tel. #
LMNG AREA:
GARAGE AREA:
Attach to this application, a Certificate of Survey of the
lot, writh the proposed construction drawm on it to scale.
DESCRIPTION OF IMPROVEMENT
Length Width Height
Length Width Height
DECK AREA: Length
OTHER:
Width Hgt/Ground
Sq. Ft
Sq. Ft.
Sq. Ft
Construction Type: Estimated Cost: $
� ��' �� �O
Driveway Curb Cut Width Needed: �Ft. + 6 Ft =,�Ft x$ _$
� '� o � ' Tel. # � Z Z �i °� � �% U
DATE: �Z �� APPLICANT:
Call (763) 572-3604 for Permit Fees if mailing in application. Fax to 763-571-1287 if using credit card and wre will call
you for card number.
CITY USE ONLY -
Permit Fee
Plan Review
Fire Surcharge
State Surcharge
SAC Charge
License Surcharge
Curb Cut Escrow
Erosion Control
Park Fee
Sewer Main Charge
$
$
$
$
$
$
$ �
$
$
$
Fee Schedule on Reverse Side
65% of Permit Fee
.001 of Permit Valuation (1/10th°!o)
$.50/$1,000 Valuation
$1450 per SAC Unit
$5.00 (State Licensed Residential Contractors)
Alt. "A" or Alt. "B" Above
$450.00 Consenration Plan Review
Fee Determined by Engineering
Agreement Necessary [ ] Not Necessary [ ]
N �°ry �� '
TOTAL $ �(� �_ STIPUTATIONS:
BUII.DING 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 e�sting building or
structure, upon applica.tion therefore, require the payment by the applicant for such permit of fees to the amount
herein below set forth and in the ma.nner 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 $lOQ,000
$100,�1 to $5�,000
$500,001 to $1,000,000
FEES
$23.50
$23.50 for first $500 plus $3.05 for each additional$lOQ or
fraction thereof, to and including $2,000
$69.25 for first $2, 0� plus $14.00 for each additional $1, 000
or fraction thereof, to and including $25,000
$391.25 for first $25,000 plus $10.10 for each additional $1,000
or fraction thereof, to and including $50,�0
$643.75 for first $50,000 plus $7.� for each additional
$1,000 or fraction thereof, to and including $100,000
$993.75 for first $100,000 plus $5.60 for each additional
$1,� 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 $1,000,0(�
$1,000,001 and up $5,608.75 for the first $1,OQ0,0(� plus $3.15 for ea.ch additional
$1,Q00 or fraction thereof
DRNEWAY DEPRESSION ESCROW
(Concrete C�ub Streets Only)
Removal and replacement of curb and gutter only - Driveway width plus 6 feet times $17.00.
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 Siurvey of the lot, showing the location of the foundation once it has it has been constructed will
be required before proceeding with the framing. New Houses Onlv '
� � � � � ,�"° far�/ �� i `�R�, � � � '� �
CITY OF FRIDLEY
ADDN [] ��� 6431 University Ave NE, Fridley, MN 55432
ALTER [] �� � SINGLE FAMILY AND DUPLEXES R-1 AND R-2
� BUILDING PERMIT APPLICATION
Construction Address:
; ��� �,s
rv4Yi� �
�
(763) 572-3604 Bidg Insp
(763) 571-1287 Fax
� �� ���� (
Legal Description:
Owner Name & Address: �' �� ' � � Tei�# ���.3" �7�-'�3 �L Z
Contractor. .S� l �' MN LICENSE #
Address: Tel. #
LMNG AREA:
GARAGE AREA:
DECK AREA:
Attach to this application, a Certificate of Survey of the
lot, with the proposed construction drawm on it to scale.
DESCRIPTION OF IMPROVEMENT
Length Width Height Sq. Ft.
Length Width Height Sq. Ft.
Length I Z' Width I Z a Hgt/Ground `% , Sq. Ft. �`i �/
OTHER: �
Construction Type: Estimated Cost: $
. � �� �� ��
Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x$ _�
DATE: � � ` �� APPLICANT:
/
# � � 3�l/— ���� is�
Call (763) 572-3604 for Permit Fees if mailing in application. Fax to 763-571-1287 if using credit a�rs nd we will call �'�
you for card number.
CITY USE ONLY -
Permit Fee
Plan Review
Fire Surcharge
State Surcharge
SAC Charge
License Surcharge
Curb Cut Escrow
Erosion Control
Park Fee
Sewer Main Charge
TOTAL
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$ .
$
$
$
$
$
$
$
$ l/ ¢
Fee Schedule on Reverse Side
65% of Permit Fee
.001 of Permit Valuation (1/10th%)
$.50/$1,000 Valuation
$1450 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 [ ]
STIPULATIONS:
BUII.,DING 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 a.lteration or repair to any existing building or
structure, upon applica.tion 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 $2,0�
$2,001 to $25,000
$25,Q01 to $50,0�
$50,001 to $1�,000
$100,001 to $540,000
$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, OOQ plus $14. � for each additional $1, 000
or fraction thereof, to and including $25,000
$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 $100,000 plus $5.60 for each additional
$1,000 or fraction thereof, to and including $500,�0
$3,233.75 for the first $SOO,Q00 plus $4.75 for ea.ch additional
$1,000 or fraction thereof, to and including $1,000,000
$1, 000, � 1 and up $5, 608.75 for the first $1, 00(1, 0� plus $3 .15 for each additional
$1, p00 or fraction thereof
DRIVEWAY DEPRE5SION ESCROW
(Concrete Curb Streets Only)
Removal and replacement of curb and gutter only - Driveway width plus 6 feet times $17.00.
VERIFICATION OF FOUNDATION
Permits for construction will be issued. a minunum of 24 hours from the time of application to allow for proper
review of the proposed structure and of the construction site.
A Certifica.te of Survey of the lot, showing the location of the foundation once it has it has been constructed will
be required before proceeding with the framing. New Houses Onlv '
CERTIFICATE OF SURVEY
SWENSON LAND SURVEYING, INC.
� � 14980 Waco Street � �
RONALD J. SWENSON Ramsey, Mlnnesota 55303
REGISTERED LAND SURVEYOR
SURVEY FOR: � OD /� �R Ctf /A FA �r A
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TELEPHONE
(763) 427-1020
• Denotes�lron Monuments Fo�nd
O Denotes Iron Monuments Set
SCale 1 inCh equals�°__f�t
aook °'�' Pape 76
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_._-PROPOSED �DFS �._ _____._�� ` • � . ... _..._._
TD�-B�-FpUN$eciON�"���882.0� DENOTES EXISTING ELEVATION X900.00�
GARAGE FLOOR = 861.5 DENOTES PROPOS�ED ELEVATION (900.0)
LOWEST FLOOR = 858.8 DENOTES SURFACE ORAINAGE -------�
`�..
' I hereby certify that this 9s a true and correct represp.ntation
of a survey of the boundaries of:
" "" '' Tiiat• 'part of Lots' 21-24, Block 14, SPRING BROOK •PARK; �� .
Anoka County, Minnesota, lying north of the South 107•.•00 feet •
thereof.
'� It �doe's purport to show improvements or encroachmen�ts,� if any. As`
� surveye by me this 2 h day bf September, 2004. ��'
Swenso LanG d Sur J' b ying� Iq►c. "
Ronald J. Swenson� Professional Land Surveyor, MN. License No. 13297
_ . �.
�
ESTIMATE FOR:
BRAATEN, ROLF
4951 MADISON
Columbia Heighta, M1lJ
55421
Ph: (763) 572-3822
SKU NUMBER DESCRIPTION
Estimate From
, �' �
STORE # 3018 FRID PHONE: (763) 571-8689
5351 Central Ave. NE FAX: (763) 571-1932
Fridley, MN 55421
ESTIMATE BY ESTTMATE DATE
KJE 04/16/05
OTY TO ORDER
Estimate # 43795
Page 1 of 2
ADDITIONAL ITEM INFORMATION
111-0423 1X8-12' AC2 TREATED AG ARSENIC FREE LW 3 EACH ON SALE THRU 04/23/OS
Stair Riser
111-0643 12' AC2 TAICK CUSTOM DECKAG 2 EACH ON SALE THRU 04/18/05
Stra Hnd Rail
111-0643 12' AC2 THICK CUSTOM DECKAG 1 EACH ON SALE THRU 04/18/O5
Hand Rail
111-0643 12' AC2 THICK CUSTOM DECKAG 27 EACH ON SALE THRU 04/18/05
Deck Boarda
111-0656 14' AC2 THICK CUSTOM DECKAG 2 EACH ON SALE THRU 04/16/05
Hand Rail
111-0821 2X4-10' AC2 TREATED AG ARSENIC FREE LW 1 EACH ON SALE THRU 04/18/05
Top Rail Bd
111-0834 2X4-12' AC2 TREATED AG ARSENIC FREE LW 2 EACH ON SALE THRU 04/18/05
Stra Bttm Rail
111-0834 2X4-12' AC2 TREATED AG ARSENIC FREE LW 2 EACH ON SALE THRU 04/18/05
Stra Top Rail
111-0847 2X4-14' AC2 TREATED AG ARSENIC FREE LW 2 EACH ON SALE THRU 04/23/O5
Top Rail Bd
111-1341 2X8-12' AC2 TREATED AG ARSENIC FREE LW 2 EACH ON SALE THRU 04/18/OS
Beame
111-1341 2X8-12' AC2 TREATED AG ARSENIC FREE LW 8 EACH ON SALE THRU 04/18/05
Internal Joist
111-1341 2X8-12' AC2 TREATED AG ARSENIC FREE LW 1 EACH ON SALE THRU 04/18/OS
Ledger Joiat
111-1341 2X8-12' AC2 TREATED AG ARSENIC FREE LW 3 EACH ON SALE THRU 04/18I05
Rim Joiat •
111-2832 6X6-12' AC2 TREATED GCS ARSENIC FREE LW 2 EACH ON SALE THRU 04/23/O5
Posta
111-3420 2X2X36" COLONIAL SPINDLE AC2 TREATED 46 EACH
Stair Spindlea
111-3420 2X2X36" COLONIAL SPINDLE AC2 TREATED 78 EACH
Railing Spndla
111-4005 14 STEP STRINGER HT:98" AC2 TREATED 3 EACH
Stair Strngrs
111-4063 2X12-6'TRTD STAIRTREAD AC2 TREATED 6 EACH
Stair Treads
157-1D10 8' DECK FLASHING PLASTIC BLACK 2 EACH
Ledgr&RimFlash
189-1030 PREMIXED CONCRETE MIX 60 LBS 19 EACH
Poat Footing
189-5159 12"X4' REMOVABLE CONCRETEFORMING TUBE 3 EACH
Post Footing
191-7668 HOW TO BUILD - DECK PLAN G90050 1 EACH
Deck Plan
This is an estimate. It is given only for general price information. This is not an offer and there can be no legally binding conitact
between the parties based upon this estimate. The prices stated herein are subject to change depending upon the mazket conditions.
The prices stated on this esdmate aze not firm for any time period unless specifically written otherwise on this form. The availability
of materials is subject to inventory conditions. MENARDS IS NOT RFSPONSIBLE FOR ANY LOSS INCURRED BY THE
GUEST WHO RELIES ON PRICES SET FORTH HEREIN OR ON TIiE AVAILABILITY OF ANY OF THE MATF.Riai c
STATED HEREIN. All information on this form, other than price, has been pmvided by guest and Menazds is not responsible for
any errors in the infottnation on this estimate, including but not limited to quantity, dimension and quality. Please examine ffiis estimate GUEST COPY
carefully. MENARDS MAKFS NO REPRESENTATIONS, ORAL, WRITTEN OR OTiiERWISE THAT THE MA'�'FRiAi.S
LISTED ARE SUITABLE FOR ANY PURPOSE BEING CONSIDERED BY THE GUEST. BECAUSE OF WIDE
VARIATIONS IN CODES,1'HERE ARE NO REPRESENTATIONS THAT THE MATFRiAi C LISTED HEREIN MEET PAGE 1 OF 2
YOUR CODE REQUIItEMENT5.
e
' ,- Estimate From
� , ! •
ESTIMATE FOR:
BRAATEN, ROLF
4951 MADISON
Columbia Heights, MN
Ph: (763) 572-3822
55421
SKU NUMBER DESCRIPTION
STORE # 3018 FRID PHONE: (763) 571-8689
5351 Central Ave. NE FAX: (763) 571-1932
Fridley, MN 55421
ESTIMATE BY ESTIMATE DATE
KJE 04/16/OS
QTY TO ORDER
225-1996 CORN IRON 3"FLAT 75-6891
Rail CrnrBrace
227-1507 NAILS 1-1/2 JOIST HANGER 1LB GALV
Joiet Hangers
227-1549 JOIST HANGER 2X6-10 ADJ. JH2O 50/
Stair Hangere
227-1742 2 X 8 JOIST HANGER 18 GAUJT1S28-TZ
Internal Joiat
227-1752 6 X 6 POST ANCHOR PA66E-TZDP
Poet Footing
227-1761 6 X 6-B POST CONNECTOR PB66-6TZ
Posts
227-1788 ANGLE 1-3/8" X 4-1/2" MPA1-TZ
JoistCrnrAnchr
229-0782 DECK SCREWS #8X2-1/2" 5# SQ DR STNLS
Spndle Fastnrs
229-0782 DECK SCREWS #BX2-1/2" 5# SQ DR STNLS
Deck or Railing
229-0795 DECK SCREWS #8X2-1/2" 1# SQ DR STNLS
Deck or Railing
229-5473 NAIL BD GALVANIZED BOX 1 LB BOX
DkBdsOrFraming
229-5499 NAIL 16D GALVANIZED BOX 1 LB BOX
PstCnctra&JSts
229-5570 NAIL 16D GALVANIZED BOX 5 LB HOX
PstCnctra&JSta
232-0061 SS 3/8X6 LAG SCREW 7 PC
Ledger Joist
232-0107 SS 3/8" FLAT WASHER 8 PC L`��
LdgrOrRaiingPst
232-3316 � ANCHORBOLT 1/2"X 6" 3PCS 552G
Post Footing
563-4235 � PAINTER'S PREMIUM CLEAR WL0037720 10 OZ
Flahing&LagScr
2 EACH
2 fiACH
3 EACH
9 EACH
3 EACH
6 EACH
2 EACH
1 EACH
2 EACH
3 EACH
3 BOX
4 BOX
1 BOX
2 EACH
2 EACH
1 EACH
2 EACH
Estimate # 43795
Page 2 of 2
ADDITIONAL ITEM INFORMATION
This is an estimate. It is given only for general price information. This is not an offer and there can be no legally binding contract TODAY'S SUB-TOTAL: i, 2 0 9. 9 6
between the parties based upon this estimate. The prices sfated herein aze subject W change depending upon the market conditions.
The prices stated on this estimate are not firm for any 6me period unless specifically written otherwise on this form. The availability �GULAR S UB-TOTAL: i, 3 4 5. 9 0
of materials is subject to inventory conditions. MENARDS IS NOT 1tFSPONSIBLE FOR ANY LOS5 INCURRED BY THE
GUEST WHO RELIES ON PRICES SET FORTH HEREIN OR ON THE AVAILABILITY OF ANY OF THE MATERIALS
STATED HEREIN. All information on this form, other than price, has been provided by guest and Menazds is not respons�'ble for
any errors in the informaUOn on this estimate, including but not limited to quantity, dimension and quality. Please examine this estimate GUEST COPY
cazefully. MENARDS MAKES NO REPRFSENTATIONS, ORAL, WRI1°fEN OR OTHERWLSE THAT THE MATERIALS
LISTED ARE SUITABLE FOR ANY PURPOSE BEING CONSIDERED BY THE GUEST. BECAUSE OF WIDE
VARIAI'IONS IN CODES, THERE ARE NO REPRESENTATIONS THAT THE MATERIALS LISTED HEREIN MEET PAGE 2 OF 2
YOUR CODE REQUIItEMENTS.
�
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Joist La�out for Your,Deck
The Scale is U4" :1
Design#:43800
Mark Length Description UsaQe
A 11'9" 2z8 Green Treatetl Joist
A 11'9" 2x8 Green Treatetl Ledger
B 11'10-112" 2z8 Green Treated Rim joist
C 12' �C8 Green Treated Rim joist
Joists to be on 16" centers.
Joists to be hung from the ledger with joist hangers.
Joists to be toe-nailed to beams with 3-1I2" (16d) galvanizetl nails.
Rim joists to be face-nailed to joists & ledgers with 3-112" (16d) galvanized nails,
Blocldng and britlging is not shown, but may be requiretl by your local cotle.
��
Illustration may depict options not included.
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