AF - 37743City of Fr°idley, Mirm..
BUILDING PERMIT No 6 0 4 3
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nate: °""' �"'"'
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Oovner: � �-���-� Builder .
Address Addresa
���, ��,� �LOCATIO�N���NG
No. � Street —. ��� Part t f
Ut �` �' _ Sl�ck � Afldition or Sub-Divi �oa A� � �
Corner Lot _ Instde Lot ._.._� +�_._._ Setback �,�--- Sideyard �� ' ---
Sewer IIevatian �— --- Foundation IIevation
DESCRIPTION OF BUILDING
To Used �,,+�j�
Front -�� DeP� � Height � Sq. Fk �t��e' �-� Cu. FL .p�°'�a �
Front � DePth .��� St►t -��� �l. Fk ;�� Cu. Ft --���
�pe of nst�ctfon � Cost � _ To be Completed
In consideral3on of the 3ssuance to me oP 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 provisiona of
ordinances of the dty oP Fiidley.
.�
�
In consfderation oP 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 hia agents, employees and worl�en, in all work
done in, around and upon said buildiug, or any part thereof, shall con4orm in all respects to the ordinances of
Fridley, Minnesota regarding lacation, construction, alteration, maintenance, repair and moving of buildings
within the dty ]im�its and this permit may be revoked at ar�y time upon violation of aay of the provisions of said
ordinanc�es. � s _ .�"3
Building Inspector
NOflCE:
'Ilds ps�mlt doa eor cewr fhs eonslrneHoe, tnttalla�loe fee vrWeo, plurobteg, oa 6udea, sav�r er w�Mr. B� sun fo s»
�h� Butidioe lesp�etee fer aparaf� p�rmhi fer f6�a h�ms.
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� EN G I NEE R I N G, I N C. M�nnesofo
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— En9ineers � Surve�C/ors
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! fi�eby �rfi�y fi� fhis K a fiue m►�d �cf �ser�ot;a� o�'a sr�wey q('�lit b�o,,.�do�ies �i'�e abar af�bed lm,d, ond
�/acv/ijon o�'dl/ b�ildin9s, �i'e� , m�dal/ ris'�6/e aarovJimmis ,�f'ar�, !'rnn � ar�said /amd. As wrreyed by me fl�is _ chtf
_s e�' A'o � SUBU28AN EIVG/NEE21NG . INC.
En errs fr Surreyors
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Owaer's Name
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APPLICATION FOR BUILDING PERMiT
CITY 0� FRiDI.EY, MIL�TNTSaTA
Builder �
Address Address
LOCATION OF BUILDING
No. Streat Part of Lot
Lot Block Addition or Suhdivision
Corner Lot Inside Lot Setback Side-Yard
SEWER ELEVATiON 1�OiJ1�TDATLON FLEVATION
Applicant attach to this form Two Certificatea of Survey of Lot and proposed
building location drawa on �hese Certificates.
To be used as:
DESCRIPTION OF BU]ZDING
Front Depth fleight
Sq. Ft. Cu. Ft.
Front Depth Height
Sq, Ft. � Cu. Ft.
Type of Conatructien Eatimated Gost
To be Completed
The undereigned hereby makes application for a.permit fos the wosk herein
s�pecified, a�reeing to do all �aork in strict accordance with the City of
Fri.dley Ordinances and rulings of the Department of Buildinga, and hereby
declare� thae a11 the facts and representations stat$d in this applicatioa
are true and correct. '
DATE SIGNATURE
(Schedule of Fee Coats can be found on the Reverse Side�.
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$UILDZN� PERMtT FEE SCHEDULL
Section 2. The Inspeceor of Buildinge shall, before issuin an
the erecCion of any bu3lding or structure, or for any addition toPa�y eK3et-
iag building or structure, or for any alterations or repairs to any eaistin
building or st�ructure, upoa application therefor, require the a g
applicant fo�..�uch p�rmit og feea to the amaune herein below sety£orthbBII�he
in the manner herein provided to-wit;
2•1• For any such permit for Che erection oi anp fire�
than a garage� warehouse, factory.er Proof building, other
any fire-proof addition, for similar occugancy,�tor�,nyre�iating buildinn of
shall be at ti�e rate of $�.[�p �or �gch one thousaad cubic feet, or fraction
�hereof, in such cubical contents.
2•2• For any such permit for �he erection of anq fire-proof g8ra e ware
faetory or grain elevator, or for the erectioa of any fire-proof additionh�8e,
for_sim3l�r occupaacy, to any existing bu3ldiag shall'be at,the rat��of�.
for eac� one thousand cubic feet, classified as °1 �, '
the Minne�polie Buildin firePraof b � $1�:25
8 Code. Y Section 502 of
LO- i1--- SES � . �
2=_ For any such permit for the erection of any non-iireproof build
than a garage, �aarehouse
additiore, for s3milar occupaacy,ytorany8existing�buildiaa�� aoa-firepro�of�t&��
each one thousand cubic feet. g Permit $1.00 for
GARAGES • • .
'�'4' FOr-gnY such permit for the erection of any non-fireproof a
warehouse, factory or graia elevator, or for the erection ot any n�_g�r
additioa, for simil$r o�cu �� g rage,
buildiag or �dd3tion - niaety cents 8IIy existing build3ng_or for e�c�i suceh �
.or fraction thereof,�in the cubical contentsfthereof �ith�a mi����ic feet
For..the purpoae of comput$n °f 'S4.pp,
of any building or additioagtoea8unigor�ihaight throu hout
� PQ�m3ts, the cub3ca1 contents
gro.und area covered from a poiat six 6 g by �gt�AZy3ng the
basemeat or cellar to the avera e he3 h� of the uelow the floor line of :the
$vere e hei ht of the roof surface ofgthe ma�m pper eurface or to the
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gable of a p�.tched zoof.
2_5• For repair� or $1teraticros to aa exiating Btructure, the fee aha
$t the rate o� $3.p0 �er each Five Huadred Dollare 11� be
thereof fn the cost of ali propeaed wa�k� i$500.00) or frect�on .
z•6R . In no case ahall the fee charged for aay perm�.t 88 $et torth ia
Sectioa 2 be less th�n $4.00.
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CITYOF'
FRIDLEY
FRIDLEY MUNIC[PAL CENTER • 6431 UNIVERSITY AVE. N.E. FRIDLEY, MN 55432 •(612) 571-3450 • FAX (612) 571-1287
April 2, 1992
Investors Mortgage
Connie Engstrom
3200 Main Street, #360
Coon Rapids, MN 55448
Dear Ms. Engstrom:
The property known as 641 Cheryl Street N.E. is zoned R-1, Single
Family Dwelling.
According to the Federal Emergency Management Agency, this property
is located in Zone A of the flood plain, which indicates a 100 year
flood boundary. The community panel number is 270013 0003 B, dated
March 2, 1981.
If you have any further questions, please feel free to call me at
572-3593.
Sincerely,
Michele McPherson, BLA
Planning Assistant
MM/ dn
C-92-117
cc: Kim Hudyma
SUBJECT .
c�ty of Fr�aley 2 7 0 0 0�
AT THE TOP OF THE TWINS g � I L D I N G P E R M I
r
; � RE NO.
� • COMMUNITY DEVELOPMENT DIV. � �/�
� LV �'���'�
r � � PROTECTIVE INSPECTION SEC.
1 . �
i.--. A��" ;', CITY HALL FRIDLE� $S43P NUMBER REV OA�E PAGE OF APPROVED BY
L J� 612-571-3460 910-F15 8/5/98 � �
JOB ADDRESS 641 Cher 1 St NE
t LEGAL ��T NO. BLOCK TRACT OR ADD�TION SEE ATTACHED
DESCR. ],0,11,12 W Riverview Hei hts SNEET
2 PROPERTY OWNER MAIL ADDRES$ ZIP PFIONE
Rim H.dema -
3 CONTRACTOR MAIL ADDRESS Z�P PHONE LICENSE NO.
Premium Roofin 6680 Lucia Ln Fridle 55432 571-3973 20097688
4 ARCHITECT OR DESIGNER MAIL ADORESS ZIP PHONE LICENSE NO.
5 ENGINEER MAII AODRESS ZIP PHONE LICENSE NO.
8 USE OF BUILDING
Residential
7 CLASS OF WORK
❑ NEW ❑ ADDITION ❑ ALTERATION � HEPAIR O MOVE O FiEMOVE
8 DESCRIBE WORK
Reroof house (17 Sq) Tear-off
9 CHAN(iE OF USE FROM TO
STIPULATIONS
Underlayment must comply with State Building Code.
TYPE OF CONST. OCCUPANCY (iROUP OCCUPANCV IOAD
SEPARATE PEHMITS AqE REOUIRED FOR ELECTRICAL, PLUMBIN(3, HEATING,
VENTILATING OR AIR CONDITtONiNG.
TNIS PERMIT BECOMES NULL AND VOID IF WORK Ofi CONSTRUCTION ZON�NG SQ. FT CU. FT.
AUTHORIZED IS NOT COMMENCED WITHIN 80 DAYS, OR IF CONSTRUCTION
OR WORK IS SUSPENDED OR ABANDONED FOR A PEii100 OF 120 DAYS AT
ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS OFFSTREET PARKING
1 HEREBY CEHTIFV THAT I HAVE REAO AND EXAMINED THIS APPLICATION STAILS GARAGES
AND KNOW TNE SAME TO BE TRUE ANO CORRECT. ALL PROVISIONS Of LAWS yAIUATION SURTAX
AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMP�IED
WITH WHETNER SPECIFIED MEREIN OR NOT. TIiE GFiANTING OF A PERMIT $1417 �.71
DOES NOT PRESUME TO GIVE AUTHORITV TO VIOLATE OR CANCEL THE pEfiMIT FEE SAC CHARGE
PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON-
STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. ��{8.SO Fire SC �1.42
� PLAN CHECK FEE TOTAI FEE
/�"��_� Licen C $5. 55.63
SiGNATUHE OF CONTRACTOR OR AUTMORI2ED AGENT IOATE� N ROP VALIO THIS IS UR PER
r
SiGNATUREOFOWNER��FOWNERBUILDERi iDATE� B �NSP f�ATE
NEVV
ADDN
ALTER
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CITY OF FRIDLEY
SINGLE FAMII.Y AND DUPLEXES R-1 AND R-2
BUILDING PERMIT APPLICATION
ConstructionAddress: /�-1 � �
�
Effective 1 / 1 /98
�,���
�o ��
� ��
Legal Description: /(�� (��(y�
Owner Name & Address: %r(/� `'f y%��/ �� Tel. #��y'%�/ ?
Contractor: �/�'�,/L!/(/✓vj �C,���i(O� MN LICENSE # �i(� % �'�
Address: �p ��� � � L/ /� � /L/ �� � Tel. # .S %/ � 3 cl `7.�
Attach to this application, a Certificate of Survey of the
lot, with the proposed construction drawn on it to scale.
LIVING AREA: Length
DESCRIPTION OF IMPROVEMENT
Width Height Sq. Ft.
GARAGE AREA: Length Width Height Sq. Ft.
DECB AREA: Length Width Hgt/Ground Sq. Ft.
01'HER: _� ��� ��OrJS� ��lJ � f f,G-�Q - �
�c �
Construction Type: �(�O �r�VCv Estimated Cost: $ _ � ��f � _
�
(Fee Schedule on Back)
Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x$ _$•
DATE: �-� -� � APPLICANT: ��� ��� Tel. # .s %%3�! 7.3
CITY USE ONLY
Permit Fee $ �-�Z� Fee Schedule on Reverse Side
Fire Surcharge $ , L� .001 of Permit Valuation (1/lUth%)
State Surcharge $ `%/ $.50/$1,000 Valuation
SAC Charge $ $1000 per SAC Unit
License Surcharge $ �-c�� $5.00 (State Licensed Residential Contractors)
Driveway Escrow $ Alt. "A" or Alt. "B" Above
Erosion Control
Park Fee
Sewer Main Charge
TOTAL
STIPULATIONS:
$ $450.00 Conservation Plan Review
$ Fee Determined by Engineering
$
$
Agreement Necessary [ ] Not Necessary ( ]
BUII.DING PERMIT FEE SCHEDULE
The Chief Building Official shall, before issuing permits for the erection of any building or �r����t��e, �r for
any addition to any existing building or structure, or for any alteration or repair to any exist�� b�gl�i�,�� or
structure, upon application therefore, require the payment by the applicant for such permit of fe�� to tti� �ount
herein below set forth and in the manner herein provided to-wit:
TOTAL VALUE
$1 to $500
$501 to $2,000
$2,001 to $25,0�
$25,001 to $50,0�
$50,001 to $100,000
$100,001 to $500,(�0
$500,001 to $1,000,000
$1,000,001 and up
FEES
$21 (Minimum Fee is $21 plus surcharge)
$21 for first $500 plus $2.75 for each additional $100 or
fraction thereof, to and including $2,000
$62.25 for first $2, 000 plus $12. 50 for each additiona.l $1, 000
or fraction thereof, to and including $25,000
$349.75 for first $25,000 plus $9.00 for each additional $1,000
or fraction thereof, to and including $50,000
$574.75 for first $50,000 plus $6.25 for each additiona.l
$1,000 or fraction thereof, to and including $100,000
$887.25 for first $100,000 plus $5.00 for each additional
$1, 000 or fraction thereof, to and including $500,000
$2887.25 for the first $500,000 plus $4.25 for each additional
$1,000 or fraction thereof, to and including $1,000,000
$5012.25 for the first $1,000,000 plus $2.75 for each additional
$1, 000 or fraction thereof
DRIVEWAY DEPRESSION ESCROW
(Concrete Curb Streets Only)
Alternate "A": Removal and replacement of curb and gutter only - Driveway width plus 6 feet times $13.50,
Alternate "B": Removal and replacement of curb and gutter and install a 3 foot wide
approach with 6 inch depth - Driveway width plus 6 feet times $15.75.
VERIFICATION OF FOUNDATION
Permits for construction will be issued a minimum of 24 hours from the time of application to allow for proper
review of the proposed structure and of the construction site.
A Certificate of Survey of the lot, showing the location of the foundation once it has it has been coaistructed
will be required before proceeding with the framing.
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CIIYOF
FR[DLEY
FRIDLEY MUNICIPAL CENTER • 6431 UNIVERSITY AVE. N.E. FRIDLEY, MN 55432 •(763) 571-3450 • FAX (763) 571-1287
March 30, 2004
Ms. Kim Hudyma
641 Cheryl St NE
Fridley, MN 55432
Re: Final Inspection at 641 Cheryl St NE
Contractor: Royalton Heating & Cooling
Dear Ms. Hudyma:
A mechanical permit was issued on December 3, 2003 to install a furnace at your
address. According to the 1991 Uniform Mechanical Code a final inspection shall be
conducted on the work authorized by this pernut. As of this da.te the inspection ha.s not
been requested.
The permit fee that was paid covers the inspection to make sure the work was completed
according to the Codes. We will keep your pemut open for another 30 days and if we do
not hear from you within this time to set up the inspection, we will mark the permit "no
inspection called for by homeowner after notification and the pernut will be expired.
To set up the inspection or to have any questions answered, please contact the Building
Inspection Division at (763) 572-3604.
Sincerely,
D NSEN
Build' Inspector
��7 �� �1
�� , p HOUSE HEATING TEST RECORD
ADDRESS �' �,,t�--..�'-.dj �." � �F a �,. '�r�``
APT. FLOOR CITY UBURB
OCCUPANT � +�'� �°°-�°��4 ; ��k�V���. ON►NER
HEAT LOSS DATE HTG. INST.
SOLD BY INSTALLED BY
El�chieol Work' By Cos Lin� Br
TYPE OF HEAT GA FA �H1M STEAM SPACE HTR. UNIT HTR. OTMER
(� �,,� GAS DESIGN CONVERSION
MAKE "+ ��� � �-+ ,�-� ,�g AAAKE OF BURNER
Mod.l _� � � �-a � + ✓ � 1Li �'- �*. 6'�
, AAod.l
S�via l �' ��- � ��: a'��+�� � � �� � � � % � � µo:. BTU Rati ny
INPUT ��r �� � MAKE OF FURNACE
Mod�l
1 CONTROLS o
THERMOSTAT,�� r� Hsat Pluy °� V�nt Sis• ��
Volv �"�"� �y KIND OF �INER_ � e��c _� s'� ��„
Limit � � � Draft Hoo)d .Rpulater. -- _
Limit S•k�••e Filhrs /`;^,��,�Si:• �- �
u r
Fan SsNiny Chimn�r Loeation Insid� Out�j d�
Pilot Typs �� ' -��"� O�imn�y, Consf►udion � `�� �'"°;
Pilot Make
Pilot Mod�l Smok� Bomb Wirinq '
Pilot Timinp D►oft _._..�:•��� T�st Too
L.W. Cut Off Dow Pr�ssw� � ' LiqF�Hn� In�
'' Prossun '�' � � �' P�rc�nt CO2 ^ � � Da» T�st�d 0 �` �-°"
(e�put CFH --� P�rc�nt O� Companr T�s►in9 � ��' o
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763-572-3604
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TFNANT
CONT1tACT(1it
SUBM11'A C;UI'Y c�N
YOUR STATE LICL•TISI:
WITH APPLTC.ATION
PROPL�RTY TYPF
P�RMIT TYP�
TYPE O�' WORK;
DESCRIBF WURK BL1NG
SIZE OF IMPROVEMENT
Af UMBER UF, S( iUAlt�.i ,�_
�
PROPOSED �!'L�;
PRUF'C)S�1) HEIGIiT:
9,�
d VL�yI '
I� Aluminum
la l)dter
tt.r;�ii�l;l�l"1'lAL AY.PLICATIQN
� CITY OF FRIDLEY
I] BWNL'R
NAMB:
Ann�e�.s:
PI-IQNC:...'?.�_!,�, �
NAMC;
STATC L(CGNSC ii
O BASEMENT FINISH
❑ DECK
�
L�-MAt4 ADI�RESS
� .•
1Ceceived �y _ �!� � ��
D�►�e Rec'd:
'lb-�10 UD 1-(�v . � �/
�cr uA7�r; �_ "b -.-
�L���� ' �J� !��
r`'��y �ITY._..
�V� lo rAx 6 Sl✓ {.� ..� 1[] ��
RUCTION S1ZE
C"fYUN STC)RI�S
d GA[LA(iE/SHBL) O W1M:)CiWS
❑ kUOf' ❑ D1tAIN T1LE
Q SII)INCi ❑ OTHGR '
� SWIMMQVG M)c)L
❑ ADDITION •
O It�MC)UELlNG
J �w _ � ...._.....
i��-cJ
L�NGTII _ W1DTH HE.
O HOUS6 Bc (iA1ZA(iki
� A7°1'ACHBI) GAkAGt3
❑ DE'1'ACH�ll GAkAGE
OSotiic
Q 'I'rim
O Fascin
Wl '' °�
IN FXISTINQ nP[:NWGS ❑Yos �No LOGA"fION OC WINDOWS
OR fOR NEW OPENINr.s-nrSi:it113� SI"LL Ul�
OPENIIJa Cl•IANGES &
rSi��, FCES ARE
JOB
Pian Revlew
Fire Sarchorgc
Surcharbe
License S�rcharge
SAC Charge
Curb Cut Fscrow
Erosinn Cuntrol
Park Fee
S�wor Main C;harge
TAtal Uue
ALUA'
TIUN
� �5 y�,�
l'iAS�MGNT ItEMODELING,�jT;
1. Hxi9ting Pl�uu Plan
2. Pmpcbed tloor plan
1. List of svucturai mambcrs to be usod
'a/�f
la L
EOR NCW CONSTRUCTION INCLUDWG DECKS,
p4 rr��NS � ��c�KCH�.S SuKMrr.
1. Site PlonlSunr�y showing die exisdng stnictureg
and propoeod �n�jcel.
2, Twu dats of wnstructian pla��s
3. G�ergy C.alculations
INCLUDING THC COST OF LABOIt AND MATERIALS:
9�7 U.�3,tC P'L�E SCHEDULG)
�'j� BU OCCUPAMCY 1'YPL�
Se� R�c Paga for Hee Schedule
- -- -
$ 65% of Buildiab Permit rce
$ .001 times die total job w.tluation
$ .00OS x P�rmic Valuatlon Miniinum $.50
$ $5.00 (State Licensed Residc�nlial Cuntraccors)
$ $1550 per SAC Unit (Pl�ns t� MWC:C for determination)
$ I1+6ft= ftx$21=$
$ $450 Conservation �'I�n Rcvic:w �
� Fee Determined by Engineering
$ Agreement necessary ( ) Non Nc�cosyary ( ) �
$ Make c6ecks p�yable tu: City ol' Frldlev Attac
THI51S AN APPLICA'1'ION FOR A P�I2MiT-NOT VAI�ID UN'1'IL YR()C:�SSLu
1 hc�rcaby apply for a t�uildinb per�n�it tini( I Aeknowledge that the informatic�n above is complete and accurate; th�t eho wark will be in
confofmane�a with the ordinances and euilds uf the City of Fridley and wiCh th� Niinnesota C.onstruction Codns; that 1 understand tl�is is not a
p�rmic but aily an applicatinn f�r a permit ond work is not to stt►rl wilhout a permit; tl�at the wotk will be In accorda�ice with the a}�provdd
ptan in the caso of all wor hich re �res evirw a d approval of plans.
SIGNATUItE OF APPUGANT �p�( ��j }(�� � pR(NT NAMC V 6 V • � � �� �SATi�Ir� �"�� �1 �l�
Zd WtiOti : 0S '900Z 90 •unf LBZti ZLS�9L :'ON Xti� ha I A t a� .�� h� !�: W0�1�
3uilding
iispectio�s
763 �72-3604
�A� � -�i o �
iITE ADDRESS G0 �i�
i HIS APPLICANT IS:
PROPERTY OWNER/
TENANT
CONTRACTOR
SUBMIT A COPY OF
YOUR STATE LICENSE
WITH APPLICATION
� PROPERTY TYPE
PERNIIT TYPE
�r�rnE oF wo�x:
BUILDING
RESIDENTIAL APPLICATION
CITY UF FRIDLEY
YOUR E-MAIL ADDR£SS
��
OCONTRACTOR
ct d/� � /
— 7F'�/_
Permit No.:
Received By: '
Date Rec'd: 1 fl
[r� l �e-� STA7Z'_''L�iP S�G/ j �
NAtv�:
STATE LICENSE # E3� DATE
ADDRESS: CiTY STATE ZIP
0'SINGLE FAIVIILY/NEW CONSTRUCTION
O TWO FAMILYMEW CONSTRUCTION
❑ ADDITION ❑ GARAG
O BASEMENT FINISH ❑ ROOF
� DECK ❑ SIDING
DESCRIBE 9JORK BEING
SIZE OF A�PROVEMENT
OF SQUARES
GARAGES
PROPOSED S1ZE:
PROPOSID HEIGHT:
SIDIIVG
O Vinyl
❑ Aluminwn
❑ Odter _
� LENGTH
❑ HOUSE ONLY
❑ HOUSE 8c GARAGE
O ATTACI�D GARAGE
❑ DETACI-�D GARAGE
OSofftt
❑ Trim
❑ Fascia
R'INDOWS
IN QQSTWG OPENINGS OYes �No IACATION OF WINDOWS
OR FOR NEW OPENIIJGS-DESCR�E SIZE OF
OPENW(i CHANGES 8c
TYPE OF WII�iDOW TO BE WSTALLED AiIJN�ER OF v
❑ DRAIN TILE
❑ OTHER
HEIGHT
Ft
BASENI�NT REMODELING SUBMIT:
1. Existing Fl�r Plan
2. Proposed floor plan
3. List of sWctural members to be used
FOR NEW CONSTRUCI'ION INCLUDII�IG DECKS,
ADDITIONS. & PORCHES SLBMIT:
1. Site Plan/Survey showing the existing structures
and P�P�� P%lect
2. Two sets of construction pians
3. Energy Calculations
ALL FEES ARE BASED ON VALUATION, INCLUDING THE COST OF LABOR AND MATERIALS:
TOTAL JOB VALUATI N$IN ��' 19�97 �� FEE SO �D �� �E
Permit Fee
Plan Review
Fire Surcharge
Surcharge
License Surcharge
SAC Charge
Curb Cut Escrow
Erosion Control
Park Fee
Sewer Main Charge
$ � �-I l �
$ , aZ
$
$
$
$
$
�
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)
$1550 per SAC Unit (Plans to M9�CC for determination)
� ft+6ft= ftx$21=$
$450 Conservation Plan Review
Fee Determined by Engineering
Agreement necessary ( ) Non Necessary ( )
Make checks payable to: City of Fridley Attach
TI-IIS IS AN APPLICATION FOR A PERMIT-NOT VAI.ID UNTIL PROCESSED
I hereby apply for a building permit and I acl�owledge that the information above is complete and accurate; that the work will be in
conformance with the ord'uiances and codes of the City of Fridley and with the Minnesota Construction Codes; that I understand this is not a
permit but only an application for a permit and work is not to start without a permit; that the work will be in accordance with the approved
plan in the case of all work which r uire revi , w and approval of plans.
SIGNATURE OF APPWCANT "'� �'/'��` PRINT NAME / l r / a/! �i DATE C�' I C'O �
Page 2- Building Residential Application
' �,
BUILDING PERMIT FEE SCHEDULE
The Chief Building Official shall, before issuing permits for the erection of any building or
staucture, or for any addition to any existing building or structure, or for any alteration or repair
to any existing building or structure, upon applicaxion therefore, require the payment by the
applicant for such permit of fees to the amount herein below sei forth and in the manner herein
provided ta-wit: �
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 proposed structure and of the conslruction site.
A Certificaxe of Survey of the lot, showi.ng the location of the existi.ng foundation will be
required before proceeding with the framing. New Houses Onlv
City of Fridley
$uilding Inspections Department
6431 University Avenue NE
Fridley, MN 55432
763-572-3604
Fax: 763-502-4977
. `
CIIYOF
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, �� ��� �"�� �m �- . understand that the State of Minnesota
requires that all residential building contractors, remodelers and roofers obtain a state
license unless they qualify for a specific exemption from the licensing requirements. As
the owner of the property at ��1/ C'1-��� .S'f e�� �;d�, �,,,.,�,3�., Fridley, I
am exempt from the state licensing requi�ement only if I am no 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. I 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 conVactors 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.
= � �.� _��' ,i��
�
Date _ � � ! ( � v l�
��e�i n #: 4642 � N �� p°
9
��� Take this sheet ta the �uildi
, . o ��
�� �
i Materials desk to pui
materials. � � �
Level 1: 12' x 14'
2` off the ground
Horizontal Decking
2" x 8" Joists
2" x eams
40 PSF Deck Live Load
Level 2: 5'-6" x 6'-6"
3'-9" off the ground _ ,
Horizontal Decbng
2° x 8u Joist�
x 8" Be ms
40 PSF Deck Live Load
81312006
Toda 's cost for a�erials es�irnated in this design�rith o ptions: $1245.61
�'ihe �se 'ce includes: 40 PSF d�ck li�e l�d, �C2 trea�d • horizont�l 2x6 deck I�aids, 4x4 pos�, 2�8 'ois� and beam§, galv nized framin
� (�ASE p�ice]: �1100.6�1
fasteners, ACZ treated �6� Vertical handrail to joist withaut p�#s, and premium screws. �
- MENARDS - .
1 � �:; - � " ! I' :� � - � 1 1 �
���:� _:r:�:�: �1
� z� Take this sheet to the �uilding Materials desk to purchase your materials. *��
You selected a 2 level deck with: e ow is a sectaon o t e ras ing sty e an
Pressure Treated Framing Material options you have selected for your deck.
4 x 4 Framing Posts
5/4" x 6" Pressure Treated Deck Boartls
Poured Footings 8" Tube 3'-�" deep
Premium Gold Square Drive Screws m`N
Galvanized Framing Fasteners �!�'
Handrail selections:
42" T Handrail to Joist wlo Posts Railing
2" x 2" x 48" Pressure Treated Spindles, Beveled 1
2"x4" Pressure Treated Hand Rail
You may buy all the materials or any part at low asf
Menards cdnnot guarantee that matenals�hstetl r�ll meE
for lan compliance antl building perm�t. These plans are :
from th�ose pictured. INe do not guarantee the cor�pleteness
�
Spindle
ax,
on style
�ihe posts sho�nn an this ��' `�e are not nec a� ' 6d not included �nrith �h� po�less railing t�p� you seleetedl)
illustratia �' ed to show eneral deck size and sha e.
9 P
Some options selec#ed may not be shown for pi�ture claflty.
Toda 's cos� for a�eriais e�ti ated in this design wi�h o ptions: $1245.61
�*The base rice includ�s: 40 PSF d�ck line load, �CZ �ted - horizo�al Zx6 deck b�ds, 4x4 �, 2x8 'ais� and beams, gala nized framin
P f��ners, AC2 treat�d 3G° Vertic�9 6an�eail to jcist �ithout pos�, and premium s�re�s, ����SE pric�je � 1100.� 1
�
I6
1917 8912
Please bring these plans io
the cashier to purchase.
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Design#:90642
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Design#:90642
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Joist Layout for Your,De�k
The Scale is 114" .1
Design#:9Q642
C A A A A A A A A A AC
Mark Length Description Usage
A 11'9" Zx8 Green Treated Joist
B 14' �8 Green Treatetl Rim joist
C 11'9" �c8 Green Treated Rim joist
Joists to be on 16" centers,
Joists to be toe-nailed to beams �ith 3-1I2" (16d) galvanizetl nails.
Rim joists to be face-nailed to joists & ledgers vditith 3-11�' {16tl) galvan¢ed nails.
Blocking and bridging are not shown, but may be requiretl by your loc�l code.
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The Scale is 112" :1
Design#:90642
� A A A A �
Mark � Length Description Usage
A 5'3" Zx8 Green Treatetl Joist
B 63" ac8 Green Treated Ledger
C 5'4112" 2x8 Green Treated Rim joist
D 56" 2x8 Green Treated Rim joist
Joists to be on 16" centers.
Joists to be hung from the letlger �ith joist hangers.
Joists to be toe-nailed to beams with 3-1/2" (16d) galvanized nails.
Rim joists to be face-nailed to joists & ledgers �ith 3-1/2" (16d} galvanized nails.
Y bracing is estimatetl, but not shown. Blocking and britlging may be required by your lo�l code.
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