AF - 38709sus�ecr P .
City of Fridley 16 3 7 5
AT THE TOP OF THE TWINS g U I L D I N G P E R M i T
r
; � RE
� ; y____�_ COMMUNITY DEVELOPMENT DIV. �� � y
r � � PROTECTIVE INSPECTION SEC. /
t � �
� � �"'1 � CITY HALL FRIDLE� 55432 NUMBER REV. DATE PAGE OF APPROVED BV
�'----� • •`� 612-571-3450 910-F15 ��9�81 / /
JOB ADDRESS 62g1 Co�et Iane N.E.
1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED
DESCR. 2 1 $j�].VdTl �7.].�.5 Pl�t #2 SHEET
2 PROPERTY OWNER MAIL ADDRESS 21P PHONE
Barxy Loucks 6281 Comet Lane N.E. 571-4268
3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO.
Same
4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO.
5 ENGINEER MAILADDRESS Z�P PHONE LICENSENO.
8 USE OF BUILD�NG
Residential
7 CLASS OF WORK
❑ NEW � ADDITION ❑ ALTERATION � REPAIR ❑ MOVE O HEMOVE
X
8 DESCRIBE WORK
Movin kitchsn wall out 4 fe
9 CHANGE OF USE FROM TO
STIPULATIONS
SEPERATE PERMITS R�QUIf�EQ FOR IA�tRilt�,
h�EATING, PLUMBING 14ND SiGN�.
TYPE OF CONST. OCCUPANCY GROUP OCCUPANC`i LOAD
SEPAHATE PERMITS ARE REOUIRED FOR ELECTRICAL, PLUMBING, HEATING,
VENTILATING OR AIR CONDITIONING.
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING S�. FT. CU. FT.
AUTHORIZED IS NOT COMMENCED WITHIN BO DAYS, OR IF CONSTRUCTION
OR WORK IS SUSPENDED OR ABANDONEO FOR A PERIOD OF 120 DAYS AT
ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS OFFSTREET PARKING
I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION STALLS GARAGES
AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS VALUATION SURTAX
AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED �r
WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT Y�-�200 $`.GO
DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE pERM1T FEE SAC CHARGE
PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON-
STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. $ZO.SO NONE
PLAN CHECKFEE TOTALFEE
$ 2.63 23 73
�SiGN aEOFCONiRACTO O nu7H0 � DAGENT tDATE� ` WHEN PROPERL ALIDATED THIS IS YOUR PERMIT
ATURE OF NEFl IF OWNER BUILDERI IDATEI F BLDG �NSP � T�
CITY OF FRIpLCY Effective Aug. 1, 1981
APPLIC/ITI�'� FOf� RCSIDEidTI/lL QUILQIiIG PEF��;ITS
(tJe►•r, A1 ter�tions, Addi tions, or Repa i rs )
Ot1IdER: �Ol�e/�.� [3UILDER: �°J�-�� �
ADDRESS: �,��"� ����' ���''.� ADDRLSS: 5'���
TEL n10: ��/ ��,��,� TEL I�dO: �e�� Q�
STRL•T.�T NO: � ��'�
Consi:ruction Location
STItEET: ���% ,�.�"%fGu�
LOT: . �Z BLOQC : _�_ ADnITION : �' �° �/ � L � ��' � �
Corner Lot: Insii3e Lot: � SetbacY.: Sideyards:
Ap�licant attach to this foxm twa Certificates of Survey of lot and
proposed building location drawn on certificates to scale.
DESCRIPTIOf� OF COi•�STP.UCTIOPd
���°pny� ��Tc/�� lId Front: Depth: Height:
e�l�tLd. e � r � ��� � •
Square. Feet: Qibic Feet:
Front: Depth: Height:
Square� Feet: Wbic Feet:
Type of Construction : � � � ''� � Estimated Cost: $ �,��� � ��
Zb Be Oor.�pleted: /�d / — � /
Alt. A Alt. B
Proposed Drive��ay Width If New Opening Is Desired: $ $
SE� i�VERSE SIDE OF SHEET _
RRie undexsigned hereby ma}:e� application for a permit for the tvrk� herein specified,
aqreeing to c3o .all work in strict accordance r�ith the City of I'ridley Ordinances �td
rulings of t11e Department of IIuildings, and hereby declares that all the facts and
rapresentations stated in this application are true and corr�ct.
n.��: 9_ Q-- �`r sicN�zvr� :
Stipulations: �
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BiJILDING PERI�IT F�EE SCHEDULE
The Inspector of buildinqs shall, before issuing permits for the
erection of any building or structure, or for any addition to any
bxisting buildinq or structure, or for any alteration or repairs
to any existing building or structure, upon application therefore,
require the payment by the applicant f or such permit of fees to the
amount herein below set f orth and in the manner herein provided to-wit:
TOTAL VALUATION
$1.00 to $500.00
$501 to $2,000
$2,001 to $25,000
$25,001 to $50,000
$50,001 to $100,000
FEES
$10.00 Minimum Fee $15.00 plus surcharge
$10.00 for the first $500 plus $1.50 for each
additional $100 or fraction thereof, to and
including $2,000
$32.50 for the first $2,000 plus $6.00 for each
additional $�,000 or fraction th.ereof, to and
including $25,000
$170.50 for the first $25,000 plus $4.50 for
each additional $1,000 or fraction thereof, to
and including $50,000
$283. 00 for the first $50, 000 plus $3. 00 %r
each additional $1,000 or fraction thereof, to
and including $100,000
$100,001 and up $443.00 for the first $100,000 plus $2.50 for
each additional $l, 000 or fraction th.ereof
PLAN CI�CR: 25 percent of building peanit fee
DRIVFWAY DEPRESSION ESCROW: Concrete Curb Streets Only
Alternate "A": Removeal and replaceanent of curb and gutter only
Driveway width plus 6 feet x$13.50
Alternate "B": R�oval and replacesnent of curb and gutter and install a 3 foot
wide approach with 6 inch depth
Driveway width plus 6 feet x$15.75
VERIFICATION OF FOUNDATI�ON
Permits for constsuction will be issued a minimum of 24 hours fram the time of
application to allow for proper review of the proposed structure and qf the
construction site.
A Certificate of Suxvey of the lot, showing the location of the founda tion once it
has been constructed will be required before proceeding with. the framing.
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CI"IYOF
FR[DLEY
FRIDLEY MUNICIPAL CENTER • 6431 UNIVERSITY AVE. N.E. FRIDLEY, MN 55432 •(763) 571-3450 • FAX (763) 571-1287
August 16, 2002
Mr. Perry Loucks
6281 Comet Lane NE
Fridley, MN 55432
Re: Fina1 Inspection at 6281 Comet Lane NE
Contractor: McGuire & Son
Dear Mr. Loucks:
A plumbing permit was issued on November 20, 2001 to install a water heater at your
address. According to Secdon 4715.2800 of the State Plumbing Code, a final inspection
shall be conducted on the work authorized by this pernut. As of this date the inspection has
not been requested. �
The permit fee that was paid covers the inspecdon to make sure the work was completed
according to the Codes. We will keep your permit 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 take no further action.
To set up the inspection or to have any questions answered, please contact the Building
Inspecdon Division at (763) 572-3604.
DJ/mh
CITY OF FRIDLEY
6431 UNIVERSITY AVENUE NE
FRIDLEY, MN 55432
57"L-36U4 r'AX:
ADDRESS : 6281 COMET LN NE
PIN : 143024330062
LEGAL DESC : SYLVAN HII.LS PLAT 2
: LOT 2 BLOCK 1
PERMIT TYPE : BUILDING
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : ROOFING
571-12if7
PERMIT O.: 2004-00820 �
DATE ISSUED: 06/02/2004
VALUATION : $ 2,547.00
NOTE: UNDERLAYMENT AS PER STATE BUILDING CODE. REROOF HOUSE & GARAGE (22 SQ) TEAR-OFF.
STATE LICENSED CONTRACTOR 1
APPLICANT
TABOR & SONS INC (20014248)
10547 TERRACE RD
BLAINE, MN 55434
C�1:'/�I �i�
LOUCKS BARRY E& DONNA J
6281 COMET LN NE
FRIDLEY, MN 55432
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 conect. 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 presume to give authority to
violate or cancel the provisions of any other state or local law
regulating cons ction or the erformance of construction.
AUDI ant ����% s�� Date�G'°��
: � � � � �� ���11`►�Tlg_.�� � . "�
BUII,DING PERMIT FEE
FIRE SURCHARGE
STATE SURCHARGE, VALUE
LICENSE SURCHARGE
TOTAL
PAID WITH CHECK # 8440
�F.PARATR PF.RMTT� RR(�TTiRF.I� FnR W(�R'K nTNF.R TNAN 1�RCC:RiRRn AR(lVR
83.25
2.55
127
5.00
92.07
NEW
ADDN
ALTER
� � CITY OF FRIDLEY � �' � ��Effective 4/1/2004
�� 6431 University Ave NE, Fridley, MN 55432 (763) 572-3604 Bldg Insp
�� SINGLE FAMILY AND DUPLEXES R-1 AND R-2 (763) 571-1287 Fax
BUILDING PERMIT APPUCATION , / , ��� b
����
Construetion Address i92cg/ Cc�i�-�i e� ����
Legal Description: ��/G
Owner Name 8� Address: /.�o�y — IJG.� Tel. #%6� s7/- �f�o
Contractor. �sa� F SQar � �� c MN LICENSE #
Address: ���� � �"�`'� c � �G' �/�_:, c Tel. # � Cz �8S -/S6 Z
LMNG AREA:
GARAGE AREA:
DECK AREA:
ATHER:
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
�
HgUGround Sq. Ft
Construction Type: � ����'°� ����� Estimated Cost: $ -�,�.��� �� �" �
Driveway Curb Cut Width Needed: Ft + 6 Ft = Ft x$ _$
DATE: � Z�� / APPUCANT: ����j .���--� Tel. # 6/Z 7f�5'-/5'0�
Call (763) 572-3604 for Penr�it 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
Plan Review
Fire Surcharge
State Surcharge
SAC Charge
License Surcharge
Curb Cut Escrow
Erosion Control
Park Fee
Sewer Main Charge
$ �= ��^
$
$ �•�
$ /� �%
$
� �. D�
$
$
$
$
Fee Schedule on Reverse Side
65% of Permit Fee
.001 of Permit Valuation (1/10th%)
$.50/$1,000 Valuation
$1350 per SAC Unit
$5.00 (State Licensed Residential Contractors)
Alt. "A" or Alt. "B" Above
$450.00 Conservation Plan Review �
Fee Determined by Engineering
Agreement Necessary [ ] Not Necessary [ ]
TOTAL $ d• � STIPULATIONS:
BUII.DING PERMIT FEE SCHEDULE
The Chief Building O�cia1 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
sttucture, 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,�1 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 $100 or
fraction thereof, to and including $2,000
$69.25 for first $2,000 plus $14.00 for each addidonal $1,000
or fraction thereof, to and including $25,000
$391.25 for first $25,000 plus $10.10 for each additional $1,0�
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 fust $500,000 plus $4.75 for each additional
$1,000 or fraction thereof, to and including $1,000,�0
$5,608.75 for the first $1,000,000 plus $3.15 for each additional
$1,Q00 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
Pernaits 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