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AF - 37463� Date: Owaer: Ad� � City of Fridley, Minn. BUILDING PERMIT Suilder Address �� 9�/ N° 6892 S�� C� � LOCATI N OF BUILDING No. Str�et �� __�� P of Lot — Lot � _ Block � Addition or Sub-� vision Coraer Lot _ Inside Lot � Setback ...!'--.�-=—____ Sideyard �..� oe �-.� o Sewer IIevat4on � e,� IIevation � �� - �'�p' oFf�•�rrae, DESCRIPTION OF BUILDING U %� � Front � Depth .��.-�� Height .,� Sq. Ft �e��o.�" Cu. Ft ��` Front DePth �eight � Sq. F� Cu. Ft Type of Constructio� '=�su��v �.��,_._...._ To be Completed In cansideration of the �tssuanc:� to me of a permit to construct buflding lxd above, I a to do ths proposed work in acc;ordance with the description above set P ce with a�'Tr ons of orrlinaaces of the dty oE Fridley. � � % In conafderal3on of the payment of a Pee of $�. , permit fa hereby granted to to construct the bufiding or addition aa d�cribed above. Thispermf t is granted upon the express c�ndition that the persan to whom it fs granted and his agents, employees an� worl�nen, itt all work dane fn, around and ugon safd building, or anypa� thereof, shaii conform ia all respects to the ordinance� of FridleY� 1Vlinnesota regardfn�g la:ation, cronstructCon, alteration� maiatenaace, repa3r and mov3ng of builaings o�� dtY 7imits and this peraait may be revoked at aqy t�me upam vio� of aay of the provlaions of sa�d Huuding Inspector �, NOTIC� TW paneh doss eet eevsr t6s ceestruaNee, Installa�len ior wiriee. P��& 6p 6�8. ssw�� or w�ter. 8� sun ro� tho &rtidia� Gup�eto� Mr qparw p�s /or �kas hu�. w a , � OWNER'S ADDRESS f �,/L' � �, t -�C-� ! � c APP°LICA�'ION FOR BUILDING FF,a,I�lIT �- OF FRIDLEit, MINI�ESOTA � f � i_� � ADDRESS �� LOCATIOPi OF $U �ING � No. � E� Street ' `�� part of Lot � Lot p Black Addition or Sub �.sion � �� Coraer Loti`Inside Lot� eCback ��` �� Side Yard �� D� "`�/ SEWER ELE9ATION FOUNDATION II.EVATION Applicant atCach to tbis form Trao Certi�icates of Survey of Lot and proposed build- 3ng location drawn on theae Certificatea. DESCRIFTION OF BUILDING To be ed �as ; c,� -!� �� Rront � /' ��:f �h � � iieight Sq. Ft. / f �� Cu. Ft. Froat Dzpth Aeight S q. Ft . Cu . Ft . � Type of Constructiaa� Estimated Gost ��'� f )" - �� l .� �- To be Comp1 The undersignecYhereb�!makes application for a perm3t for the work herein specified, agreeing to do all�work in strict accordance with the CiCy of Fridley Ordina.nces and rulinga of the Departmeat pf Buildiags, and hereby declares that aIl ehe facCe snd representat3oas�atated �a this application ar�t�r}ie and corr�. � �Schedule of Fee Goste caa be found on the Keverse Side). � ., � t .� �'"'� e BUILDING PERI�T FEE St�IEDULE Section 2. The Inspector of Buildiags shall, before 3ssui�g any pea-mi.t for �, . the erecCion of any building or structure, or for any addition to any eaist- ing building or structure, or for any alteraCions or repairs to any existcing .building or seructure, upon application therefor, require t8e payment bq the i applicant for such perm�te of fees to the amount hereia below set forth and in the manner here3n prowided Co-wit: 2.1. For any such permie for the erection o.E anq fire-proof building� other than a garage� warehouse, factory or graia elevator, or for the erectioa of aay fire-proof addition, for eimilar occupancy, to anq esisting building shall be at the raCe of $1.40 for each one thousand cubic feet, or fraction thereof. in auch cubical contents. . 2.2. For aay such permit for the erectioa of any f4.re-proof g�rage, warehouse,� � factory or grain elevator, ar for the erection of any fire-proof addition, � for similar occupancy, to any enistin� buildiag shall be at rhe rate of $1.25 for each one thousand cu6ic feet, claesified as °tfireproof" bq 3ection SG2 of the Minneapolis Building Code. flOUSES 2.3. For any sucb permit for the erection ef any aon-fireproof buiictir..�; ��Ne� than a garage, warehouse, factory or graia elevator, or aay noa-fi:evycc�� additioa, for similar occupancy, to any exiating building - pera�.t $1.Qf! ��x eacb oae thousand cubic feeC. GARAGES 2.4. For any auch pe�mit for the erection of Rr:� r��a��:!s.��r�� gar.ag,e, warehouse, factory or gxain elevator, or �c��: ;,�•_�: ��T.�::.�:�.r_�; c,�� rb;� ncr�--x��e,meof addition, -for--simiiar occupancq, to a*�n ,:::: u.;,r��, ��:;.:a_�?:;.:,o o�° �or eacb su�h �.. -buildiag or addit�ioa - ninetq centa (;�:.,':�� ;:^:� �.�:::',� U:e th�c��snd cu�f� �eet or fraction thereof, in tb.e cubic�l �z� r;� �� ;zay°�ci ��ith a minimum of �4,00-.• For the purpose oF ceaaput�iag fees �Ur ?»:<�e.�,c3.ia�; ��r�a�:s, the cubical conteats of anq buildiag or additioa to a ur�•��tc _4� �•E��` ��t t�,�.�+:.�;hout by multiply�.ng the . �round area covered from a point si� (6) i;art:Pa b��.r_.�.� ��e floos liae o£ .the basement or cellar to the average height o� �.:�� ,.:�Aer eu�.�ace or to the � average heighC of the roof surface of the mai�x �;aule of a p3tched raof. 2.5. For repa�rs or alCerations to an existiag structure, the fee ahall be at the rate of $3.00 per each Five flundred Doliara ($SOO.DO) or fraction theseof ia the cost of all progosed work. 2.6. In no case ahall Che fee�_charged_.,for-any permit a� set Forth in Sectioa 2 be less.thaa $4.00. � ,, n ; - ; 77d8 Lokeland Ays� (Brooklyo Park), P. O. Osaeo, Minn. Pfnone`',HA S��T$1 � Southpor! Airporf Bldg., Route 1, Rosemounf, Minn. PhQnt�:SGA¢ 3.��1, i, '� , CASWELL -ENCINEERING EO�. �� . Registered Professional Enginee�s and Land Surv�yors ?� � i � �� ; CERTIFICATE OF SURVEY � For �D L L / L �,2/C/�SO/� � - "; , _ �� . _I . :�: n ` , �� y Q � Q � - �Scale � �� . ..��.. Q �� : s ��.�o��s I�'o� � , - :�,..,3. .�� . . . LO� f.J. ��QCK � Mu�2 rJ�x �A�K' • - �I �oka �ou�� . /Yi'f�n. . _ �, � / � e� � � ' �� ` , � ,�' y , �`r1 - � , r•� . - �' �'f/EQ� L�/rt/� � 1 hereby certify that this is o tcue cnd correct representation of a survey of the boundaries of the iand describEd above. It does not purport to. show improvements or encroothments; if any. As surveyed by me this__ __ ._ 7 fh:_._.__`�_day of .%C!/?GlQYy, � _, 19_�. . _ ---�-_ ELL E, fF.��y��"CO. �� 4 , _ ,, i'� ��.�-=°�,�`?�:'"":u ,�y,��,�.a�'�:.. �� 7 ,..� � - Z��. 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Q : � � � o : : : m `� . � : : � � � : ' : : : : � � : : : : : : � : : : : : : N N � � � � � � � O O O O O O O O O tn rsa f» rn tia tn ris � F � R � �y � @ � M� � � � � � � N � � � � O � � l� H Q O �� f� y ��,y y � G, 0 � +••� � �' \ � I� � ; �v a - i � � � �� 1 � � r � � .� �p � � � � F`� � �'. . f � le � m � � m � m � � � ��°��S � �� ° � � � � w � � o � � w � � � p� O • p"' � � : : � . . � ° : : g � : � - o � . . - p . . . N � � � � Cl� O O O O O O p �n an O t" ��.� � �y � O � � � t�4 � �,� � � a:�� °�� p � ��p�� p G`4 er 8 �� b ° �� p�'`�� w ��'Op i� ��,0 R � � ~ ��4 ��' ac''�m �� n��y �.�� o � �' � �. m � � i� �' 0 � � � C � � i � n�r- y _ m C r m d � M � � � � a ra a 0 � �. �. � � � a� � ♦ I �� D �. d � 'Ti � �� .� �7 t e• � � • �. � �. . � d � �� DatQ: •••�- City of Fridley, Minn. BUILDING PERMIT a�� N° '7426 ''-°�� 1...._�° �� /� C� � ,ff = �� i��.�"�r" ',��_��;'� Bu9lder _ -�'� /' � � Address �3 `C�"J ---" �LOCATION OF BUILDING �, �' hc� 1 �' No. f� ' 3treet = �� /��.��___._ Part of Lot � Lot _.._.. __ Block '' Additfon or S Di on ..� Corner Lot _ Inside Lot ._._ �� Setback �'� � <' � �.- Sideyard �%./' Sewer IIe�ation -- , F ' dation IIevation DESCRIPTION OF BUILDING T U � � ,; � . �! ,,ti r Front ,� Depth -�- Hei�t -� '= �1• � �� Cu. Ft ``� f � � — t Deptis ___��efght Sq. Ft Cu. F� Zj►pe oP Conetructlon �z�� .:� FF�t. Cost��_ To be Completed In �xnsdderation of the fesuance to me of a perm4t to ct the buflding descxilxd above I agi�ee to do the PruPosed work in accortlance with the description above se rth and in�ompI3� ce with a�l groviaions of Ordinattce8 of the dty of FrYdley. Qi �// /' ,1 _ 0 In ca�afderatlon of the paqment of a fee of $�_'� , permit 9s hereby graated to � to vonstruet the buflding or addition es descrlbed above. Thisp�� t ia granted upon the exPress c�nditfon that theperson to whom it fs granted and his agent�, employees anc� worl�nen, in all work. done in, around and upon said building, or any part thereof, shall c�onform in all respecta tfl the orrlinance� of Fr1d1eY� Minnesota re�arding location, conatruct�on, alteration, maintenance, repair and mov7ng of buildinga ordinanc,�rea. d� ]imfts and this permit may be revoked at a�► �ne upon violati` on oP any oP the P�vis�tona of said Builain8' Inspector ,,—t, Nonce� i�s psrmtt doa aot cever t6s consfwcdm, �m hr �rWn9. P��9. 6p b�9, awu er wat�r. B� sun fo sN Na Buitdteg lesp�eter Por pparafr p�rmhs Poe f6�a �. .. � > .� � 0 APPLICATION FOR BUILDING FE�1�ItT CITit OF FRIDLEY, MINNES6TA OWNER' S NAME��=-�� BUTLDER `��, � S � / �, ADDRESS /` � • �d ,�,� . m e�,�,.,s�_� O� DRESS J � . � „L " .� .+.r � ,�r,�;!� - - LOCATIOAY OF BUILDING No, � Ls C� � Street � �O �art of Lot Lot Slock Addition or Subd3vision Corner Lot Inside Lot �, SeCb�.ck Side-Yard _ � SEWER II,EVATION FOiTNDATION ELEVATION � Applicant atC�ch to this form Turb Qertii9.cates of.Survey of Lot and proposed bLi?d- ing locatioa drawn on tliese Certificat+�s . � � DESCRIPTION OF BUILDING To be used as: �'��,P2,�.E Front � _ � �: ��h � `Z Height � _� Sq. FC. y� � Cu. Ft. �c� � p Front Depth Aeight Sq. Ft. Cu. Ft. Type of Construction �� Estimated Cost f. � GI p — s � To be Completed - ��jr � „Q�, �. � The undersigned hereby makes applicration for a permit for the work herein specified, agreeing to do all work in strict accordanca with the City of Fr�dley Ordinaa►ces and rulings of the Department of Buildings,.and h�reby declares that all the fac[a and representatione atated in this appl3cation are true and correct. � �� DATE_ � � °7 �(' i SIGNATLTRE _ o +,(Schedule of Fee Gosts can be found on the Reverse Side). /`�1 ,� y,.� _ . .. _ a . z • BUH,DING PE�2�T rEL� S�IEDULE Section 2. The Inspector of guildin�s sha11, before ieauing aay per�it frr the erection of any b�aildia� oY atructure, or�fox any addition to any eeiist- ing building or atructure, or for aay alterations os rep�ira to an�r exis�ing building or srcructure, upon applicaCion thesefor, require the pay�ent by the appl3cant £or such permit of fees to the amount hereia below set forth arad in the manner herein provided tc-wit: 2.1. For auy auch permit for the erectioa a.f any fire-proof buildin�, c�eher than a gar�.ge� warehouse, factorq ar grain elevator, or for the erect�ora of� any fire-psoof addition, for similar occupaacy, to any existing 6u�.ld�r_g shall be at the rate of $1,.40 for each one theusend cubic feet, or Eraction thereof, in such cubical c'oateute. 2.2. For any auch..-germit.for the erection of anq fire-proof garage, warehause.,_ f�actory. or $rain elevator, or for the.erection of any fire-proof edditio�, for similar �ccupancy,..to any existing'building-sha13 be at the rate of $1.25 for each one thousand cubic feet, clasaified as °1fireproof" by Section 5C2 of the Nl�lnneapolie Building. CodB. � � ' HOiJSES 2.3. For anq such permi.t for `the erection of any non-fireproof buildirro Qti3ez thaa a garage, warehouee, faCtory or grain elevator, or anq aon-fire�rec�� additioa, for similar occupancy, to any exieting building - permit $�.Ol' �ar each one thousand cubic feet: GARAGES 2.4. For any such permit for the erec�:��-*_ �� r�; n�n-fiaep�c`ofc gara�e, ,_ warehouse, factory or grain elevator, r�• '-_':�� .':za e:en:tio�a o� any non-i-ire�r�oof additioa, #or-•eimilar occupancy, to �*;� ��:tsz�.ng l�,o�.�dxag or for each aLCh � �__-. - buildiag or addit3oa - niaety ce±av� <� i3, a�� r F�r e�.c:3 one Chousand cui�i� feet or fraction thereof, in the cubic��. s:c4�c=,.�:> thex�of with a miaimum of $4.Q0..- For the purpose of computiag feea f�r i�v.•L;.ding perm3ts, the cubical contents of �any building or addition -to a uaifcrza I�e3.�ht thro�ghout by multiplying the . ground area cavered from a point siu (6) iachea beZ�w the floos line o�..::he_ _ basemeat or cellar to the average�height of t�p �a��er surface or to the average height of the roof eurface of the maia gable of a pitched roof. 2.5. F'or repairs or alteratioas to an existing structure, the fee aha11 be at Che rate of $3.00 per eacb F3ve Suadred Dollars (�$500.Q0) or fraction thereo� in the cost of all proposed work.• • . 2.6. Ia no case� shall the� fec�._charged.#or.aay permit �:set fprth.�.n 8ection 2 be less. thaa $4.00. /1 �'°� �, . y e ` +- . w e . ' : , , • . . 560-3450 �. � � _� �A��l�� . . ._....._._... � aNOr.,a couH-rY � 6431 UNIVERSI7Y,A\/ENU[ NE September 2, 1975 FRIDL[Y, MINN[SOTa 5543� � , ' � . Minneapolis Po�st Ofiice DepaxtmenL- � ' . � . � Supexintendent of Delivexy , � . . , lst & l�iaxquette Avenue . • . • � Mi.nneapolis, Minnesota 55402 � . �• .. ' , , ..� . � �Re: Change ot Addxess - Effective Oct. l, 1975 � , - Cit�*• of �ridley • • Gentlemen: � � ~ We a�-e �.isting the follo�ain� change af add-ress in the City of Fridley; ' ' ' � N.Al��: Mr.. Dennis Young . " FROM: 604 Highway #�100 N.E. � ' , . . T0: �573' Cheri Lan� N_E.. � . .' � _ LEGL� D�SCRIPTION: �t 8, Block 1, Murdix Park . � . . , � We l�ave notified the occupant of this change and we ta�uld appreciate � i:t vexy mucl� ii you would change your recoxds accordingly. ' . . Si.ncerely, ' . ' ll.� . _ . . � . . . � ll � L G . CLAI:K . . ' . • Connnunity Development Adm. � DGC /mh , ' � . � ' CC: CiLy Watex liillin� Dept. • ' , � �City Assessing DeparrmenL- � " � - Minnc.lpolis Gas Company - Broolclyn Paxlc Ofi'ice . � � � � " Northexn S.raCes T'owcr Compnny . . . � NoxCl��acs�ern 13e11 Telephone . � . ' ' Ci.i:y Vbters l:egistra.ti.on � . ' . � lt�meowiier • ' . . . � • � � . • � . • . 560•3450 .�r . �% � �; • �'d�L�G ' ��CA O � ' � . . � � ' �. � �ANOKA � COUNTY 6431 UNIYERSITY AVENUE NE� 5eptember 2, 1975 FRIDLEY, MIt�NESOTA 55421 . Mr. Dennis Young •.• � . • " 604 Highway �100 2d.E. � � .. • - _ Fridley, �P�,n. 55421 . '� �. ' � Re: Change of House 1.�umbers '. ' � Effective October 1, 1975 •. Dear �' . Young : . � � It has been necessary for this offi:ce�•to change the address � of your house .. . � FROi� 604 Highway #100 N.E. TO 573 Cheri Lane N.E. � • , L�GAL DESCFIPTION Lot 8, Block l, Murdix Park � �� .. tae have notified the Post Office DepartmenL-, Minneapol.is Gas Compaiiy,•Northern States Power Corapany,•Northwestern Bell Telephone . Company and varicsus depaztments in City hall of this change. , '' •• ' Sincerely, � .. . � • � . . . . DARP.LL G. CLAP.K . • , . Cor�munity Development Adm. � • • ' � DGC/ml� • • . . . .• • F . , . �. • . . . � � . � f , � ,� ' • . � •� • , ' � . s ��+ � t+ c� G� oa � a�, oR �t f'f oo Ce O ho z � '� m m o a a�a a a ►r �o r a e a R� b►ai o e °s rmi a� s 0° ro s� q�e � M a � o M tie L�f M a a o a s o o�o m� n C Z7 �C � r► ►] M r+ w m M r m N � Oi fA 1p �O m M 1+� fr O M 00 ti h0 R r M �9 M fp � m� m r". � a r° °m s w � m G o4 M O R W 4 Q p 7 M 7 S O y� � I�+� � - M�O �� O t m S a �° b M '° d b r a M � N � x K a o � m � h W �o � m �0 b � w �� H G � 1-yi b 5' (% r a � � N N f/1 N N� fA fA N tq � y � t+� � r ►-� Ls7 O O N1 V N{JI yf yl y1 �p f+ W y� • • • • • • • • • • • • • 0 o O o o O o O O O M M p O O O O O O O O O O O O q v b r � x G'! 'y� ►.. C�p Cet y tt1 � � N S z e O 1"' I"�'1 � � C!! 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I I n� t�' i�' � I �x � � � I SuBJEGI City of Fridley AT THE TOP OF TME TWINS g U I L D I N G P E R M t T i � � � � `y �� COMMUNITY DEVELOPMENT DIV. r j � PROTEC7IVE INSPECTION SEC. � i � . � �"'1 � CITY NALL FRIDLE� SS�J2 NUMBEF �..__11.• ••� 612-571-3450 9t0-Fts JOB ADORESS 573 Gheri Lane NE 1 LEGAL �OT NO. BLOCK TRACT OR ADOITION oesca. g 1 Murdix Park 2 PROPERTY OWNER MAII AODRES$ Brain Bron 3 CONTqACTOR MAIL ADORESS Midwest Siding/Roofing Wndws Inc. 18979 I 4 ARCHITECT OR DESIGNER MAI� AODRESS 5 ENGINEER MAIL ADDRESS 8 USE OF BUILDING Residential 7 CIASS OF WORK REV o.re8�11/99 PAGE OF S/IPl/�� / / 30040 � �� PROVED BY SEE ATTACNEO SHEET � i �-lo�+o Z'P5531 i PNONE LICENSE NO �.nle Grove 416-480�. 2001( ZIP PMONE LICENSE N0. Z�P PHONE IICENSE NO O NEW ❑ ADDITION ❑ ALTERATION � REPAIfi O MOVE O REMOVE B DESCRIBE WORK Reroof house and garage f23 Sal Tear-nff 9 CHANf3E OF USE FROM STIPULATIONS TO Underlayment must comply with the State Building Code. SEPARATE PERMITS ARE REOUIRED FOR ELECTIi1CAL, PIUMBING, HEATING, TYPE OF CONST. VENTILATING OR AIR CONDITIONING TMIS PERMIT BECOMES NUIL ANO VOID IF WORK OR CONSTRUCTION 20NING AUTHORIZED IS NOT COMMENCED WITMIN 80 OAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONEO FOR A PERIOD OF 120 DAYS AT ANY TIME AfTER WORK IS COMMENCED. NO. OWLG. UNITS I MEREBY CEHTIFV THA7 I MAVE REAO ANO EXAMINEO THIS APPLICATION AND KNOW TME SAME TO BE TRUE AND CONRECT. ALl PROVISIONS OF LAWS yp�UATION ANO ORDINANCES GOYERNING TMIS TYPE OF WORK WILL BE COMPLIED �i WITH WME7NER SPECIFIEO HENEIN OR NOT. TME GRANTING OF A PERMIT W2O�.O DOES NOT PRESUME TO GIVE AUTMORITY T VIOIATE OR CANCEL TME pEqM1T FEE PROV�SIONS OF ANV OTNEH S7ATE OF1 L AL LAW REGUlA71NG CON- STRUCTION OR TME PERFOFiMA CE STRUC710N �53. ZS PLAN CMECK FEE � License S�GN FE OF CON'RACTOA A O 2E0 AGENT IDAfE� N PR S�GNaTU�iE O� OWNEA i�� OWN BU40Ep� iD�TE� m nr � ee SQ. FT OF STA�LS " !�I�7 P OCCUPANCVLOAO CU FT STREET PARKING IGAfiAGES �1.01 SAC CHARGE Fire SC $2001 JiOTAL FEE �91.2 D T IS Y UR PERMIT Z ! ri�iE ivEav [ � � ADDN ALTER Effective 5/10/99 ( l CITY OF FRIDLEY [] SINGLE FAMII.Y AND DUPLEXES R-1 AND R-2 BUII..DING PERNIIT APPLICATION Construction Address: � � � �a� ,` � � Legal Description: __� � �� Owner Name & Address: � �/'c,.,,' _ � ,� �'� � / Tel. # S %p9'- — �� Contractor: r` � �- S � � " MN LICENSE # o�� `l�� % Address: � �-��z�i�-°e �iI�G- .5.�3/ Tel. # �� - ��`G� �% LIVING �1REA: GARAGE AREA: DECK AREA: OTI�R: Attach to this application, a Certificate of Survey of the lot, with the �roposed constcuction drawn.�n it to scale. DESCRIPTION OF IIVIPROVEM�N'� Length VSTidth Height Sq. Ft. Length Width Height Sq. Ft. Length � Width A Hgt/Ground � S� Ft. . � � Construction Type: � �! �a'Fi5��1��timated Cost: $�, o o�al � Driveway Ciirb Cut Width Needed: Ft. + 6 Ft = Ft x$ _$ DATE: � APPLICANT: '� � Tel. # � �� /�� CITY USE ONL Pemut Fee Fire Surcharge s�� s�cn�ge SAC Charge �,icense Surcharge Driveway Escrow Erosion Control Park Fee Sewer Main Charge TOTAL STIPULATIONS: $ . a2� � � �� /��a � $ � �. � �� $ $ $ $ $ � o� Fee Schedule on Reverse Side .001 of Permit Valuation (1/lOth%) �.soi$i,000 v��tion $1050 per SAC Unit $5.00 (State Licensed Residential Contractors) Alt. "A" or Alt. "B" Above $450.00 Conservadon Plan Review Fee Determined by Engineering Agreement Necessary [ ] Not Necessary [ ] .� -�� BUII.,DING PERNIIT 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�tisting 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,(�0 $500,001 to $1,000,000 $1,000,001 and up FEES $23.50 $23.50 for first $500 plus $3.05 for each addition�l $1� or fraction thereof, to and including $2,000- �_ $69.25 for first $2,000 plus $14.00 for each additional $1,Ot)0 or fraction thereof, to and including $25,000 $391.25 for first $25,000 plus $10.10 for each additional $1,OOQ 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 $500,000 $3,233.75 for the first $500,000 plus $4.75 for each ac�ditional $1,000 or fraction thereof, to and including $1,000, 000 $5,608.75 for the first $1,000,000 plus $3.15 for each additional $1,000 or fraction thereof DRIVEWAY DEPRESSION ESCROW (Concrete Curb Streets Only) Alternate "A" : Removal and replacement of curb and gutter only - Driveway width plus 6 feet times $15 . 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 $23.25. VERIFICATION OF FOUNDATION Permits for construction will be issued a minimum of 24 hours from the time of application to allow for proper review of the proposed structure and of the construction site. A Certificate of Survey of the lot, showing the location of the foundation once it has it has been constructed will be required before proceeding with the framing. sue�ecr MIT NO. City of Fridley 33913 AT THE TOP OF TME TWINS g U I L D I N G P E R M I T r ; � RECEIPT NO. � ; y _ _ COMMUNITY DEVELOPMENT DIV. r � � PROTECTIVE INSPECTION SEC. �� 1 . � �� l L---- A �"' �'� CItY HALI FRIOLE� SS132 NUMBER 11EV O�TE PAGE Oi �PVRpvED Br L �� 763-571-3450 9/0-F15 9/23/03 / / JOB ADDRESS 573 Cheri Lane NE t LEGAL �OT NO. BLOCK TRACT OR AODITION SEE ATTACHED oescR. g 1 Murdix Park SNEET 2 PROPERTY OWNER MAIL AODRES$ 21P PHONE Brian & Teresa Born 573 Cheri Lane NE 763-572-1648 3 CONTRACTOR MAIL ADORESS ZIP PNONE LICENSE NO Same 4 ARCNITECT OR DESIGNEfi MAIL AOORESS ZIP PMONE LICENSE NO. 5 ENGINEER MAtL AODRESS 21P PMONE LICENSE NO 8 USE OF BUILDING Residential 7 CLASS OF WOFK � NEW ❑ ADOITION O ALTERATION O REPAIR O MOVE � REMOVE 8 OESCRIBE WORK Demo existing garage; con tru t a 30` x 32' garage 9 CHANGE OF USE fROM TO STIPULATIONS See notations on plan. Provide a'hard surface driveway. SEPARATE �ERf�� R�� REQUIRED FOR: WIRING HEATING, �e�� digg°tng call fo� PL�lII��IN� ANO SI�N� all utility locations 454-0002 �EQUIRED �Y LA11V SEPARATE PEliMITS ARE REOUIRED FOR EIECTRICAL, PLUMBING, HEATING, TYPE Of CONST. OCCUPANCY GROUP OCCUPANCV LOAD VENTILATING OF AIR CONDITIONING 1MIS PERMIT BECOMES NULL AND VOIO IF WORK Ofi CONSTRUCTION zONING SG. fT CU FT AUTHOR�IED IS NOT COMMENCEO WITHIN 80 OAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONEO FOF A PERIOD OF 120 pAYS AT ANY TIME AFTER WOFiK IS COMMENCED NO OWLG. UNITS OffSTREET PARKING I NEREBY CERTIFV 7MA7 I NAVE READ AND EXAMINEO THIS APP�ICATION ]. STA�LS GARAGES AND KNOW TME SAME TO BE TRUE AND CORREC7. ALL PROVISIONS OF LAWS yp�UAT10N SURTAX ANO ORDINANCES GOVERNING THIS TVPE Of WORK WILL BE COMPLIED WITM WHETHER SPECIFIED MEREIN Oii NOT. TME GRANTING OF A PERMIT �ZI�ZZS �IO.CL DOES NOT PRESUME TO GIVE AUTHORITV TO VIOIATE OR CANCEL 7NE pEqMIT FEE SAC CMARGE PROVISIONS OF ANY OTMEFi STATE OR LOCAI LAW REGULATING coN- �335.2.5 Fire .5�.' �21.23 STRUCTION OA THE PERFORMANCE OF CONSTiiUC710N °\��Y'" �� PLAN CHECK FEE TOTAL F E $36 .10 S�GNGTUpEO�CON'AACTOpOpAUT�GENT iDATE� EN OPE LIDAT O T IS IS V R EAM �� _V S�GNntUAE O� OWNEQ�� OWNEp BU4DEAi iDAT i BLD �NSo c NEW I� %C�� ADDN [ ] 5�� ALTER [ ] Q�Q �� Construction Address: CITY OF FRIDLEY Effective 1/1/2003 6431 University Ave NE, Fridley, MN 55432 (763) 572-3604 Bldg Insp SINGLE FAMILY AND DUPLEXES R-1 AND R-2 (T63) 571-1�287 Fax BUILDING PERMIT APPLICATION Legal Description: �18C.lL ( .K Owner Name & Address: k�ri(.t(1 °� T�OI �rVl —�C�'M2 � Te1. # 7(� 3- Sia'�!o �� Contractor. MN LICENSE # Address: Tel. # LNING AREA: GARAGE AREA: DECK AREA: � OTHER: � Attach to this application, a Certi�cate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTI�N OF IMPROVEMENT Length Width Height Sq. Ft. � Length �� Width �� Height � Sq. Ft. Width Hgt/Ground Sq. Ft. � _� - ,., a. .. � Construction Type: S stimated Cost: $�� c� �� J�(9U L0�-C2� O� o �o ��rfil C, �- �i� 't - - — - - - . Driveway Curb Cut Width Needed: Ft. + 6 Ft - Ft x$ C�- -- � DATE: �1 � APPLICANT: ��i( P�Q �U �Vl Tel. # `7(0.� -cS�o - �6� Cal! (763) 572-3604 for Pertnit Fees if mailing in applic�tion. Fax to 763,'S71-1287 if using credit card and w� will call you for card number. Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Curb Cut Escrow Erosion Control s � -�:� $ � I a3 $ 1 C� . Cc�oZ $ $ $ $ Park Fee $ Sewer Main Charge $ TOTAL $ � �✓ � � � � CITY USE ONLY - Fee Schpdule on Reverse Side .001 of Permit Valuation (1/10th%) $.50/$1,000 Valuation $1275 per SAC Unit $5.00 (Staie Licensed Residential Contractors) Alt. "A" or �It. "B" Above $450.00 Conservation Plan Review Fee Determined by Engineering Agreement Necessary [ ] Not Necessary [ ] �I�11iII��[�7�� BUII..DING PERNIIT FEE SCHF.DULE 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 FEF„S $23.50 $23.50 for first $500 plus $3.05 for each additional $100 or fraction thereof, to and including $2,000 $69.25 for first $2,000 plus $14.00 for each additional $1,000 or fraction thereof, to and including $25,000 $391.25 for first $25,000 plus $10.10 for each addirional $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 $500,000 $3,233.75 for the first $500,000 plus $4.75 for each additional $1,000 or fraction thereof, to and including $1,000, 000 $1,OOQ,OQ1 and up $5,608.75 for the first $1,000,000 plus $3.15 for each additional $1,000 or fraction thereof cuRS cu�r EscROw (Concrete Ciirb Streets Only) Removal and replacement of curb and gutter only - driveway width plus 6 feet times $17.00. Permits for construction will be issued a minimum of 24 hours from the time of application to allow for proper review of the proposed structure and of the construction site. VERIFICATION OF FOUNDATION A Certificate of Survey of the lot, showing the location of the existing foundation will be required before proceeding with the framing. New Houses Onlv Des�i n #78337 ' � ' ' � 9/t/2oo3 9 �m � *** Take this sheet to the Buildiag Materials counter to Qurchase your materials. *** You selected a ara e with these o tions: o�- 9 9 P 32' Wide X 30' Dee� X 8' H igh 2 Gable roof w/ Z/12 �itch raiters 16" O.C. � gable/�' ea�e overhangs 7/16" OSB Wall Sheathing 7/16" OSB Roof Sheathing H. Gray Vinyl S" Double lap Siding 23 yr. Superglass, Slafe Shingles White Vinyl Soffit � Fascia INhite Aluminum Premium Roof Edge White vinyl overhead door jam6 2 - 6arage Door Opener�sj Fro� View Baek Viaw k � c r,,,, o� s�,,. Q � � . .�,� �` ��ti -�� s �S �� , �v� �1� � Today's cost for materials estimated in this design: $ 3818.72 Base garage without oPfions: $ 3076.72 *The base pries ineludes: 0" Eave/0" 6a6fe Overhangs, Framing Materiels, 7/16 OSB Roof Sheathinq, 20 yr. Fi6erglass Classie - Onyz Blaek Shingles, Pine Faseie, 6alvanized Regular Roof Edge, 8" Teztu�ed Vertical Hardboard Siding, No Serviee Doore, No Ovarhead Doors, No Windows, or Any Other O�tions. �- 20 2002 17:14 FR MENARDS TRU55 �1� d�b ��b� iv rRiLLL, 4Q�� tlas9yA: 2pA a5 ��'S7 di2�pg LdRp�C�'��E��I�.i� `§`�b.� g��-•g .$�9'Zy �a��'eY��`�5. ; E;��aµy. n p C �a�G9.�,� �$�� p&"�� r..�+ �� ag#.� �.asdg Y..o ��a��:�,�.2�$��.��is� z �� 9� ��9a'��T�� e��"� ��+E ''��o a q °' 6 .� •� � � ,� k S ►� � �� ,� a� ��a$� r� �j � a�� a•zg � �xcn � � � � ..t � � �� a ❑� � �� i � � D �'. � �� a � � ,. �i "s.a�.� �rz cA� :.e�;�Gl � �t o- �^�� . � Q��'�< �4��tto� �� i A �� y ,�d�gg`�o � �� , '[7 K y ��o T�� Q� �y Q6' q O S A +`CR .��> �44 t�'� � 9 � �� n 2 � � � � � �c=�e• � m m a y e q� � n n � � � � d r o r a r • � M �+ �n d a m a� � °c- m + - W r. . �. w o� N � o 0 0 �n r o. 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" "' ! : � fi: G ��' "i� � � -• ~ ' �r � . , 0 :y�:C�, ;� : : :� -.J r� `!� U7 '-.' : � O�n-i�• � ~pC�J G „ m� N• � IJ !+ .�'i ' M � O � m= a �g `,`o�ga p"�o�� oon•�Op t7F �b'nrr � �a• a8��wo tivv� o0 wuui- rdtty� �nsma�n`�ne b�i' � i r• q q rmp a mtq arawm.•►+rr�cmn�cg-- mm•�, m1-i+ ~7~OeCPOuf�eiN ..+o.ieu� `�o�ptrr`�+bli�a n n ��..o�coF70E�7 y�m �e�e�''.{( 60onoy ' OO��.O�P ttA P�� P O M7q'11 � pp Or A�oo�tiM'V�f'1 �.uoiYa ~ rHiw a n� �b wu� I� t� 7w0 �q y O 0 rl O r� � 1� F+ oom0�0 x�n�hmmO oa`o ►�i ► 'wb°mno°p i�� n�a sono • n tr� .- d fOQ'� or-o'wz a �oa OPD .,��o � � �� o � a.°� W{J • R 00 pr F O �o�oY� 'm m m o py bQl O • O H � r�-v • o � x � �C�-M vz a�nAU�ar�YO[' ; a:r �� J01Y1PW N• ONC' v D O �'tI Y O '.ww~i �� v`'y a W aV F � � � � � � . „' ZN rr�rn U U �J �J 4I 1� M0 pq��( � b n n r h �0�./4,I.iW�0i7e�N:.bmH�(i?.00 � m� YUY4./►lY y �-�a.�odnqua ffm a i�p �t.l7vae' ��o b I'1 .a m x T,6 A dD �.� O O O O O O� V~� N A C�G E O O L� O b' n R'YI t.j r mO�O�O�PmW xos m&E� g�< o�w.wwnaM O��U...F+R'IF�bW F'O O O�l� O W 0 ►� q� ps. � snr 00 dOM p061w0 V Y-� 01 VOO p. ue 9 pw� p, tti F ti `� C p w0✓N. �p rH�` w �P m8 � 1 t 1 1 �� N V V� U W V FI p 1 0 ti ~ �i N m�oo.+• .ovn-a ,� nre� vo mmna� oaoM M� rp ap rm p• uu►�utit�ooQoKnw i41 in '0-� Nr�VIMO,f^l��o �% mm h~ V b b y � uae mun M oe 0000� x Zm n C aaaaW�O � � � u�wuvn�S � rs� ND o='� ��nr�� . p i ■ �-'0 � «G<~• n��Y� .. . -- �- . r N �• 6 o m o� � n � R�.��!� � �� e� �f� A 9 . a0u0 • � i � � • o � crrc � .� • r op � OOOp � oO�oe� 1 1 I • p 1 F� � � O M\ 1 1� O O u O 0 9ot�� rrr�+oH � covnr oo°oob►; o tf �e r r O� �- a •7Q u � :�.y..°:�A p Coro�+ O n pna 1 t 1� �c�uNN� t� 00 �ioOron.�i��r v°�w ryoe.~io� �O°�'i u � u%n � 00�+0.0 r m u� o � t • o � F+ 4+ �+ 4 u �. r. � c. ..�oomr � wro�e� n � 0000m � —•-�--�. ..1 (� 1 f rj010 � uY+u i OOAf"i b a N o ; �� ■ • i � � i� H � 000r• ooe�-o � � � � � � � � r ■ N O O O P � ' oo+-u . • �o I a � � q t � r N O� V O m 2. � I „I � 0 b M a � � N H M ►.1 m i� ��.,� _ ��3 c�Y-: 1�,,;.� �J�� , ��fl�--�r' The Garage is a kit purchased throu�h Menards. The construction cons' s of 2x4 � , ` % and 2 6x fiaming centere on� 1� he truss's are prefab'd and are also spaced at 16". The roof is plywood or chipboard covered in 25year fiberglass shingles. The wa11 board is plywood or chipboard covered by vinyl siding of a color that matches the house. There are 2 garage doors and 1 service entrance. Ther ' a 16' an n 8' arage door, both insulated with automatic openers and without windows. The garage itself has 2 windows, one on each of the sides of the garage that does not have a door. The service door will be an insulated aluminum entry door. The garage will have a cement slab reinforced with rebar that has 12" footings and is 5" thick. The driveway will be 4"thick and will also be cement. The Sidewalk will also be cement and will be 4" thick. %� - �` � � I �, � tiJ � ; a � r ' �_ _ __._ _ _."' 1__ � � I � � � �— \/ T /�'C -.� , 1 v! � N, �^ / � � � � 1 � � �rn �_ ► � � � � � la0 k' � P � � �� . � 7 \J _ � L , -:1 � � o °`'- J � • � r rn '�---"—�_ .J . � � � _ � � , / �'�` � l � i � � — �� -� -- ,''�� ;. � � ` �`. L 1 � 1��- - ` -1-, �_ �� -+��----- ;> ----� � � - �n� cJ � E _�� r � (�_-�,i - �j '� �l o�� rn � � / i �: � I � � � � � .� � `� � � 1 ! � �\ '`O � �. � Z �f`—, 1 �� EY1 � �_ 23-� � � � � � �. Z �� f° � _ �� `1 ' � s i Dcr.•�— � �L � � �J�r L� I ��mDOi z°a�;' i y�r � � rn �' � o: zT.o� i cra � z � i�,^�'.,- r 1 I � m r � �' L r I`�� i T L � � � L�_� � 1 � � c► 3� � �M �$ -� T ? � ./ (�-- � � �j V � � � r... _; � ,. { � � �- � , ' 7 �',�, , i r-1 : _� -� �,..� � � T',��? -- ; � � `-, .�; :-_� � � � - �� ; � �----;� i I "�� "' ; ' ?. � �r J� �. —�— _r. � r . Z' � L � � 1 � �i?G: , -- - �--. � I �J T� r, f/ i <'_ ;T1 s, � :� �! U %- C� I ; o �-_ � � T � � — _._ � __ _. v � � x � � _ � � - �I 1 z ,� - � ' '" I � - ! v �- , 1 ..f=C3' � �- �_ .� ,� �, I ��u � N = _ _ >- � �` � ?` (� �1 �� s_ � `. � � � � � Y �• `� �� ". \ � � ..4 � / � � e s— I� : � � � �.� � � C,%J 0 � (� r f �. � � � � �' r,e .� _ ,�,- � :� � � ^ , C � � . tiT y r� s n — � � = D i '' I �= = , � i _ I -- �� , J.. 4 � � x � � V� � �- V' �_ � � . 1 - �� ''' !' O � � , � ,y� � � �'1 ! � 3 �� . S i V � � � , �� i � r E� _ �� `^\ � � 6� V• 0 , ,\ \ ` � � i / , , e � 0 � � � . Q- l Q� � � r i^ , �` � � � � Q' , � �� Building Inspections 763-572-3604 n DATE CQ � 1 � STfE ADDRESS � 1'HIS APPLICANT IS: BUILDING RESIDENTIAL APPLICATION CITY OF FRIDLEY o � . � YOUR E-MAIL [�pWNER �CONTRACTOR n PROPERTY OWNER/ NAME: '�tio•r� '�c'n + T��eSA °� � TENANT �DRESS: �1 °o� `f�r"� Lov� N'� CITY � PHONE: 7��,j—�`%o'Z— I�o�{ O CONTRACTOR SUBMIT A COPY OF YOUR STATE LICENSE WITH APPLICATION Pernut No.: �°��`�� % .- �%/ Received By: - : � Date Rec'd: �� d� � ;�%_ ,,�Z � STATE LICENSE # �� I�� U��'�E7{P DATE ADDRESS: CITY STATE ZIP PHONE FAX PROPERTY TYPE GLE FAMILY/NE WO FAMILY/NEW PERMIT TYPE ADDITION ❑ ASEMENT FINISH ❑ DECK TYPE OF WORK: � ��'►' 1'1 s �� n.i�resr � wrr.a m r� DESCRIBE WORK BEING DONE SIZE OF IlVIPROVEMENT /c, � anncnv� NUMBER OF SQUARES GARAGES PROPOSED SIZE: PROPOSED HEIGHT: SIDING O Vinyl � Alucninum ❑ Other WIlVDOWS IIV EXISTMG OPENINGS �Yes ONo OR FOR NEW OPENINGS-DESCRIBE SIZE OF OPENING CHANGES & � ❑ ROOF ❑ SIDING ❑ SWIMMING PO( ADDITION 0 REMODELING ��k/C) �� ENGTH //�' O HOUSE ONLY ❑ HOUSE & GARAGE ❑ ATTACHED GARAGE ❑ DETACHED GARAGE OSoffit ❑ Trim ❑ Fascia LOCATTON OF WINDOWS ❑ DRAIN TILE ❑ OTHER �rs i?v.� - WIDTH � � HEIGHT � � P ' P S . Ft. � ¢ aASEMENT REMODELAVG SUBMIT: 1. Existing Floor Plan 2. Proposed floor plan 3. List of structural members to be used FOR NEW CONSTRUCTION INCLUDDVG DECKS, ADDTfIONS. & PORCHES SUBMTT: 1. Site Plan/Survey showing the existing structures and proposed project 2. Two sets of construction plans 3. Energy Calculations TYPE OF WIlVDOW TO BE INSTALLED NUMBER OF WINDOWS � �.�'!L/ i Permit Fee Plan Review Fire Surcharge Surcharge License Surcharge SAC Charge Curb Cut Escrow Erosion Control Park Fee Sewer Maitt Chazge Total Due 1RE BASED ON VALUATION, INCLUDING THE COST OF LABOR AND MATERIALS: � o�r� (US C.� THE 1 97 U.B.0 FEE SCHEDULE) JOB VALUATION OCCUPANCY TYPE $�(4'1 • a�� See Back Page for Fee Schedule � $ ( Ci� .`i j 65% of Building Fermit Fee $ �?• (� .001 times the total job valuation $ � p�j .0005 x Permit Valuation Minimum $.50 $ $5.00 (State Licensed Residenrial Contractors) $ $1550 per SAC Unit (Plans to MWCC for determinarion) $ ft+6ft= ftx$21=$ $ $450 Conservation Plan Review $ Fee Determined by Engineering $ � Agreement necessary ( ) Non Necessary ( ) $ -! � Make c6ecks uavable 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 aclmowledge 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 wor is not to start without a permit; that the work will be in accordance with the approved plan in the case of all work wh' requires re ' d approval of plans. � SIGNATURE OF APPLICANT _ �-v—.e_PRINT NAME V n�-A.. d�Dl'u� DATE � I iit.E7 b(a� Page 2- Building Residential Application BUILDING PERMIT FEE SCHEDULE The Chief Building Official shall, before issuing permits for the erection of any building c�r structure, or for any addition to any existing building or structure, or for any alteration or repair to any existing building or structure, upon application therefore, require the payment by the applicant for such permit of fees to the amount herein below set forth and in the manner herein provided to-wit: TOTAL VALUE FEES $1 to $500 $23.50 (Minimum Fee is $23.50 plus surcharge) $501 to $2,000 $23,50 for 1�` $500 plus $3.05 for each additionat $100 or fraction, to and includin $2,000 $2,001 to $25,000 $69.25 for 1�` $2,000 plus $14 for each additional $1,000 or fracrion, to and includin $$25,000 $25,001 to $50,000 $391.25 for 1" $25,000 plus $10.10 for each additional $1,000 or fraction, to and including $50,000 $50,001 to $100,000 $643.75 for 1�` $50,000 plus $7 for each additional $1,000 or fracrion to and includin $100,000 $100,001 to $500,000 $993.75 for 1� $100,000 plus $5.60 for each additional $1,000 or fraction to and includin $500,000 $500,001 to $1,000,000 $3,233.75 for the 1�` $500,000 plus $4.75 for each additional $1,000 or fraction to and includin $1,000,000 $1,000,001 and up $5,608.75 for the 1�` $1,000,000 plus $3.15 for each additional $1,000 or fraction VERIFICATION OF FOUNDATION Pernuts for construction will be issued a minimum of 24 hours from the time of application to a11ow for proper review of proposed structure and of the construction site. A Certifica.te of Survey of the lot, showing the location of the existing foundation will be required before proceeding with the framing. New Houses Onlv City of Fridley Building Inspections Department 6431 University Avenue NE Fridley, MN 55432 763-572-3604 Fax: 763-502-4977 _ CI7YOF FR[DLEY FRIDLEY MUNICIPAL CENTER • 6431 UNIVERSITY AVE. N.E. FRIDLEY, MN 55432 •(763) 571-3450 • FAX (763) 571-1287 BUILDING PERMIT APPLICANT: PROPERTY OWNER I, �`�`��, �l , understand that the State of Minnesota requires that all residential building contractors, remodelers and roofers obtain a state license unless they qualify for a s ecific exe ption from the licensing requirements. As the owner of the property at �� %`�u ("'_'� (�2� �� , Fridley, I am exempt from the state licensing requirement only if I am not building or improving this property for purposes of resale. By signing this document, I attest to the fact that I am improving this house for my own use and do not intend to sell it. I hereby claim to be exempt from the state licensing requirements because I am not in the business of building or remodeling on speculation or for resale and that the house for which I am applying for this permit, isl the first residential structure I have built or improved in the past 24 months. 1 also acknowledge that because I do not have a state license, I forFeit any mechanic's lien rights to which I may otherwise have been entitled under Minn. Stat. 514.01. Furthermore, I acknowledge that I may be hiring independent contractors to perform certain aspects of the construction or improvement of this house and I understand that some of these contractors may be required to be licensed by the State of Minnesota. I understand that unlicensed residential contracting, remodeling, and/or roofing activity is a misdemeanor under Minnesota law, and that I would forfeit my rights to reimbursement from the Contractor's Recovery Fund in the event that any contractors I hire are unlicensed. I have also been informed and acknowledge that by listing myself as the contractor for this project, I alone will be responsible to the City of Fridley for compliance with all applicable building codes and city ordinances in connection with the work being perFormed on this property. Name � Date �O I aa�� e �� - ��;;-�- _`� U �� INT�R,�S''T�T�' Np �� r✓� i � i i i i i n� a�i � i i i i � i i c� W I ° I M � o jn N 20.4 � M � -'- --- OI Z � 1&7 - - � �d � 1 �' � � �� 114 NpSE BARPoFR � /� �� IXISTING OWEWNG N0. S73 . � O �o � �pfG Ni _ _ C,IP7,S � ` �� —'� 1C_� � � � W � I � I° n� 10.8 O � d= �O lo � Z `�p, i% .� /� �� ., ;- , ,� , , M� N� I � � � % � FOUMD a20N � --75.14-- _.. — — S 87'28'44" E � �� C�I�'I'I .LE1N�' � - - -- _ �-�_ ti,,�,� � � �� <.� �� DWG. NO. 030641 Y Permit Number REScheck CompGance Certificate ch�kea By� 2000 Minnesota Energy�Code REScheckSoflware Version 3.6 Release 1 Data filename: C:�Residential Drafting Services\Clients\Current Clients�Renaissance Construction�Born Remodel�Bor�rck PROJECT TITLE: Bom RemodeUAddition COUNTY: Ramsey STATE: Minnesota ZONE: 2 CONSTRUCTION TYPE: Single Family WINDOW / WALL RATIO: 0.09 DAT`E: OS/23/06 DATE OF PLANS: OS-23-06 PROJECT DESCRIPTION: 571 Cheri I.ane NE Fridley, MN 55421 DESIGNER/CONTRACTOR Renaissance Construction Co. COMPLIANCE: Passes Maximum UA = 32 Your Home UA = 29 9.4% Better Than Code (UA) C8� in 1: Raice�x01'_ FtIIe�_ Tn�sc Wall 1: Waod Frame, 16" o.c. Window 1: Above-Grade:Vin�+l Frame:Double Pane Door 1: Solid Floor l: All-Wood Joist/Truss:Over Outside Air Furnace 1: Forced Hot Air, 78 AFUE Air Conditioner 1: Electric Central Air, 10 SEER Proposed and Ma�mnm U-Factor Averages Above-Grade Windows and Glass Doors Includes Foundation Windows > 5.6 ft2 Gross Glazing Area or Cavity Con� or poor Per�eter -V ue R Value U-Factor UA � 243 21 20 100 � �.� 19.0 0.0 30.0 0.0 Proposed Average U-Factor 0.300 2 12 0300 6 0300 6 3 Maximum Allowed U-Factor 0.370 � COMPLIANCE, STATEMENT: The proposed building design descnbed here is consistent with the building plans, specificati�s, �d other calculations submitted with the permit application. The proposed building has been designed to meet the 2(1(}Ql�iibnesota Energy Code requirements in RFS checkVersion 3.6 Release 1(formerly MECchecl� and to comply with the man requirements Iisted in the RES checkInspection Checklist. Builder/Design , Date -S 23 �tp _/ � � Building PLUMBING Permit No.: Inspections RESIDENTIAL APPLICATION Received By: ' 763-572-3604 CITY OF FRIDLEY Date xec'c1: r O' 6�� DATE ' % o��OS� YOURE-MAILADDRESS �ci�p� �(J�' SDi ✓�.�W�P11 , C�B�� STI'E ADDRES �� ir ]�,.r► ��o.^� jV�/ THIS APPLICANT IS: OWNER ❑CONTRACTOR PROPERTY N,,�,�: � � r � TENANT� ADDRESS: , � I�riCITY r STATE ZIP� PHONE: L ��'�~TeL '' � �P� � CONTRACTOR NqME: SUBMIT A COPY OF STATE LICENSE # EXP DATE YOUR STATE ADDRESS: CITY STATE ZIP LICENSE WITH pH�� FAX APPLICATION PERMTT TYPE �INGLE FAMILY 0 TWO FAMILY ❑ TOWNHOUSE TYPE OF WORK: 0 NEw ❑ REPLACEMENT DETAILED DESCRIPTION OF WORK S�' ea- `,Jp.. �{' ��, PER MS 16B.665 the permit fee is a minimum of $t5A0 or 5%� af thE total cost up to $500.00, whichever is greater, for the improvement, installation or replacement of a residential fitcturE,:�luding 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.OS = �:Fi3RPROJECTS WHERE LABOR EXCEEDS $SOD;FEES A;��:�t�5�4�+��HQ;3?E�:°�TURE, �XG��I?�VHERE AIOTED ;F�I�E$: ��INDICATE TOTAL NUMBER OF EACH BELOVi� BATH SIl�1K/LAV _FLOOR DRAINS SHOWER WATER PIPING _ BATHTUB _ GAS PIPING �v� crrrrrc�) SWIMMING POOL WATER SOFfNER ($35) _ CLOTI�S WASHER _ KITCHEN SINK WATER CIASET BACKFLOW PREV. ($15) _ DISHWASHER _ LAUNDRY TRAY WATER HEATER ($35) FOR IRRIGATION _ WATER METER OTHER F i S�'� :� � � ` � 2 � �ii) � "e� �� # ; r ,� �yf� '�' � �� . �,�n� s W,. � � , , . � , .,. �. _ .. ., . „ - .. , ,_ .-� . __ ..a ,. Permit Fee $ .�g Number of fixtures @$10.00 x$10.00 =$ y Surchar e .50 Number of fixtures @$15.00 x$15.00 =$ TOTAL DIJE $�_.� Number of fixtures @$35.00 x$35.00 =$ State Surchazge = $ .50 Tota1= $ THIS IS AN APPLICATION FOR A PERMTf-NOT VALID UNTIL PROCESSED I hereby apply for a building permit and I aclrnowledge 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 Construcrion 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; that the work will be in accordance with the approved plan in the case of a11 w which re ' es 'ew and approval of plans. SIGNATURE OF APPLICANT � °v"�gRINT NAME Y�a �- �D �� DATE 7 i7 .� . r, .:� _ 'E:��' ` �,�:. - - -- �� .�i ., � ..�a��.. ;:� � n �: City of Fridley Building Inspections Department 6431 University Avenue NE, Fridley, MN 55432 763-572-3604 FAX: 763-502-4977