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CITY OF FRIDLEY
6431 UNIVERSITY AVENUE NE
FRIDLEY, MN 55432
163) 572-3604 FAX: (7631571-1287
ADDRESS : 1465 GARDENA AVE NE
PIN : 243024120012
LEGAL DESC : UNAVAILABLE
: LOT 0 BLOCK 0
PERMIT TYPE : BUILDING
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : WINDOW/DOOR REPL
PERMIT O.: 2004-0129�
DATE ISSUED: 0$/10/2004
VALUATION : $ 2,500.00
NOTE: PROVIDE SMOKE DETECTORS IN ALL SLEEPING ROOMS AND ON ALL LEVELS OF THE DWELLING PER R317
OF THE 2000 INTERNATIONAL RESIDENTIAL CODE. CAULK AND FLASH ALL EXTERIOR OPENINGS.
INSTALL TWO EGRESS WINDOWS WITHIN EXISTING OPENINGS AND REROOF GARAGE.
APPLICANT
BASHIR MOGHUL
648 IONA LN
ROSEVILLE, MN 55113
(612) 701-6962
OWNER
BASHIR MOGHUL
648 IONA LN
ROSEVILLE, MN 55113
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 war}
will be complied with whether speciiied herein or not. The
granting of a permit does not presume to give authority to
violate or c,Hhdel the provisions of any other state or local law
Bldg Insp
BUILDING PERMIT FEE
FIRE SURCHARGE
STATESURCHARGE,VALUE
TOTAL
PAID WITH CHECK # 16255
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE.
83.25
2.50
1.25
87.00
NEW
ADDN
ALTER
�� CITY OF FRIDLEY ''"� � 31 � Effective 4/1/200�4
(� 6431 University Ave NE, �nd{ey, MN 55432 (763) 572-3604 Btdg Insp
�� SINGLE FAMILY AND DUPLEXES R-1 AND R-2 (763) 5T1-1287 Fax
BUILDING PERMIT APRUCATION �� t ���� �
4%
Construction Address: 1�-�- �.� �GY d e v,�t �rV�. . t�
Legal Description:
Owner Name & Address:
Contractor:
LIVING AREA:
GARAGE AREA:
DECK AREA:
OTHER:
l_+ � �' -
MN LICENSE #
�_Tel. # �i'� '-�� � � �
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.
Construction Type: � a�(/� Estimated Cost: $�J'�� '�
or �'�O�
Driveway Curb Cut �dth Needed: Ft. + 6 Ft = t x� $ _$
DATE: � 0 � APPLICANT: �� S��Y �- NI l� �� i-%(rI— Tel. # a �
Call (763) 5T2-3604 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
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
� —� o
$ �•S�
$ � -as�
$
�
$
$
$
$
TOTAL $ � � � �
3�-��
t�a�oo
65 /o of Perm�t Fee
.001 of Permit Valuation (1/10th%)
$.50/$1,000 Va{uation
$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 [ J Not Necessary []
STIPULATIONS:
�.
Building
Inspections
763-572-3604
DATE� �' `� — O-
SITE ADDRESS
THIS APPLICANT IS:
PROPERTY OWNER/
TENANT
CONTRACTOR
SUBMIT A COPY OF
YOUR STATE LICENSE
WITH APPLICATION
PROPERTY TYPE
PERMIT TYPE
TYPE OF WORK:
BUILDING
RESIDENTIAL APPLICATION
CITY OF FRIDLEY
YOUR E-MAIL ADDRESS
OWNER �CONTRACTOR
NAIv�:
STATE L[CENSE !t
EXP DATE
Permit No.:
Received By:
Date Rec'd:
ADDRESS: CITY STATE ZIP
Y/NEW
❑ BASEMENT FINISH ❑ ROOF
❑ DECK ❑ SIDMG
❑ SWDvIMING
DESCRIBE WORK BEING DONE:
SIZE OF
OFSQUARES
GARAGES
PROPOSED SIZE:
PROPOSED HEIGHT:
REMODELING
LENGTH
O HOUSE ONLY
O HOUSE & GARAGE
❑ ATTACHED GARAGE
❑ DETACHED GARAGE
o DxAn� nr.�
❑ OTHER
HEIGHT
BASEMENT REMODELMG SUBMIT:
1. Existing Floor Plan
2. Proposed floor plan
3. List of structuzal members to be used
3Z
Ft.
SIDIlVG FORNEW CONSTRUC7'ION MCLUDING DECKS,
p V�y� ❑Soffit �DDITIONS & PORCHES SUBMIT:
p p����� 0 Trim 1. Siu Plan/Survey showing the existing structures
p�� ❑ Fascia and proposed project
2. Two sets of construction plans
WII�iDOW 3. Energy Calculations
IN EXISTING OPENINGS DYes ONo LOCATION OF WINDOWS
OR FOR NEW OPENINGS-DESCRIBE SIZE OF
OPENING CHANGES &
TYPE OF WWDOW TO BE INSTALLED NUMBER OF WINDOWS
ALL FEES ARE BASED ON VALUATION, INCLUDING THE COST OF LABOR AND MATERIALS:
(LTSING THE 1997 U.B.0 FEE SCHEDULE)
T�TAL JOB VALUATION $ ��pC1,�__)— OCCUPANCY TYPE
Permit Fee
Plan Review
Fire Surcharge
Surcharge
License Surcharge
SAC Charge
Curb Cut Escrow
Erosion Control
Park Fee
Sewer Main Charge
Total Due
$
$ �-
$ ��15�
$
$
$
$
$
$
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 MWCC for determination)
ft+6ft= ftx$21=$
5450 Conservation Plan Review
Fee Determined by Engineering
Agreement necessary ( ) Non Necessary ( )
Make checks payable to: City of Fridle_y Attach
- ,
THIS IS AN APPLICATION FOR A PERMIT-NOT VALID UNTIL PROCESSED
I hereby apply for a building permit and I aclaciowledge that the information above is complete and accurate; that the work will be in
conformance with the ordinanc�s and codes of the City of Fridley and with the Minnesota Construction Codes; that I understand this is not a
permit but only an applicatio or 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 ch requires revi a pproval f plans.
SIGNATURE OF APPLICANT PRINT IJAME ATE � ^
-,r
Bl�xilding B�TILI3�Il�G
1
�1nsp�ction.s RESIDENTIAL APPLICATION
763-572-3604 CITY OF FRIDLEY
763-5�2-49�7 F� EFFECTIVE 1-1-08
DATE
SITE ADDRESS
THIS APPLICANT IS: �OWNER
PROPERTY OWNER/ NAME:
TENANT . ��,..
CONTRACTOR
SUBMIT A COPY OF
YOUR STATE LICENSE
PROPERTY TYPE
PERMIT TYPE
TYPE OF WORK:
DESCRIBE WORK BEING
SIZE OF IMPROVEMENT
E-MAIL ADDRESS
�CONTRACTOR
�.r/ .
�
Permit No.: � -- �
Received By:
Date Rec'd: I� 1 �-
A
ADDRESS: CITY STATE ZIP.
PHONE F�
STATE LICENSE � EXP DATE
SINGLE FAMILY(NEW CONSTRUCT]ON SiZE
❑ TWO FAMILY/NEW CONSTRUCT ON STOR[ES
❑ ADDITION GARAGE/SHED ❑ WINDOWS
❑ BASEMENT FINISH ROOF ❑ DRAIN TILE
❑ DECK ❑ SIDING ❑ OTHER
❑ SWIMMING POOL
O NEW HOME CONSTRUCTION ❑ ADDITION
� MAINTENANCE/REPAIR ❑ REMODELiNG
_. e� �► � �e !n/✓ _ y �' YY
ROOFING ❑ HOUSE ONL�
NUMBER OF SQUARES ❑ HOUSE & GARAGE
GARAGES a������� - ❑ ATTACHED GARAGE
PROPOSED SIZE: ��X� � ❑ DETACHED GARAGE
PROPOSED HEIGHT:
�Vinyl
O Aluminum �
❑ Other �
WINDOWS
IN EXISTING OPENINGS ❑Yes ONo
OR FOR NEW OPENINGS-DESCRIBE SIZE OF
OPENING CHANGES &
TYPE OF WINDOW TO BE INSTALLED
❑Soffit
❑ Trim
❑ Fascia
LOCATION OF WINDOWS
OF
�g �
T
-""�.
I . Existing Floor Plan `"
2. Proposed floor plan
3. List of structural members to be used
FOR NEW CONSTRUCTION INCLUDING DECKS,
ADDITIONS. & PORCHES SUBMIT:
l. Site Ptan/Survey showing the existing structures
and proposed project.
2. Two sets of construction plans
3. Energy Caiculations
, ALL FEES ARE BASED ON VALUATION, INCLUDING THE COST OF LABOR AND MATERIALS:
� SING THE 1997 UBC FEE SCHEDULE)
TOTAL JOB VALUATION $ a'� ��0 � OCCUPANCY TYPE
Permit Fee $ all See Back Page for Fee Schedule
Plan Review $ �,'1 � 65% of Building Penmit Fee
Fire �urcharge $ , .001 times the total job valuation
Surcharge $ 13 ,�_ .0005 x Permit Valuation Minimum $.50
' License Surcharge $ $5.00 (State Licensed Residential Contractors)
SAC Charge $ $1825 per SAC Unit (Plans to MWCC for determination)
Curb Cut Escrow $ ft+ 6 ft= ft x$21 =$
Erosion Control ` $ $450 Conservation Plan Review
Park Fee $ Fee Determined by Engineering
Sewer Main Charge $ Agreement necessary O Non Necessary O "
Total Due � $ � Make checks a able to: Cit o F�idle Attach Sti ulations
THIS ?S AN APPLICATION FOR A PERMIT-NOT VAL1D UNTIL PROCESSED
I hereby apply for a building Qermit and I acknowledge that the information above is completc and accurate; that the work will be in conformance with the ordinances and codes
of the City of Fridley end with the Minneso Construction Codes; that 1 understand this is not a permit but only an application for a permit and work is not to start without a
permit on site; that the work will be in a of ce.�tith th� ap pi ' the case o all work which requ' view and approva( of plans.
SIGNATURE O� APPLICu� � y RINT N�AME SN�� A• AI�i�Gi�i/L- DATE {7r
APPROVED BY
DAT�
��,r������� : . � ��� ���� ,,.� �� � � ,� �,.�. ,���_ _.._�. � �_. .�.�_ _ _.
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„--D,esign #
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10328 . l� � c�( ��age 2 of 2
. �� ���' �oi2�i2aos
i II configurations for your des�gn, �
: � ;��� ; ��� ���Y ���3� � ��� �
IllustrationMayNotDepictAllOptionsSelected ti,f� z��;���; �a� �:�,,� ,��
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Menards provided material estimates are intended as a general construction aid and have been ca�ulated using typica! construction methods. Because of the wide var�abfe in codes and
s�e restrictions, all final plans and material lists must be ver�ed w�h your local zoning o�ce, arch�ect an r builder for building design and code compliance. Menards is a supplier of
constructbn materials and tloes not assume liability for design, engineering or the completeness of any mate ' lists prov�ed. Underground elecfrical, phone antl gas lines should be
focated and marked beiore your bui�ing pfans are final¢ed. Remember to use_ safety equipment including dust m and s' ht antl h aring protection during construction to ensure
a posrtive building ezperience. ' _
`"' ��l 1,., �t 1J Il�llv� � �� �'v � � C� � -�.`�- Ct
���_ �( �
DeSign # 10328 • - . ' � Page 1 of �
�� 101�1I200.8
��� Take this sheet to the Building Materials counter to purchase your materia(s.
You have seiected a Garage with:
30' Wide X 2,�' Deep X 9' High
Gable roof wl 4112 �itch trusse� 2' O.C.
2x4 Wall Framinc� Material
" gablel24" eave overhangs
7116 OSB Wall Sheathinq
Gorilla Wrap
112" OSB Roof Sheathing
Lighf Mapfe Newtown Unyl Double 4" Lap Sidinq
—
25 yr. Superglass, Weatherwood Shingles
White Vinyl Soffit & Fascia
White Regular Roof Edge
Sandstone Vinyl Overhead Door Jamb
�
The options you have selected are:
15 LB Roof Felt
1-1/4" Coil Roofing Nails
2-318" 33 Deg Sheathing Nails
3" 33 Deg Framing Nails
Anchor Bolfs
--- �� �- �(,-�--
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Today s cost for materials sti ated �n this esign: $5,135.69
?he base pnce includes: 0 Eave/0" Gable Overhangs, Framing Mater�als, � �
; 7116 OSB Roof Sheathing, 20 yr. Fiberglass Classic - Onyz Black Shingles, (BASE price). �3i�53� � 4
Pine Fascia, Galvan¢ed Regular Roof Edge, 8" Tezturetl Vert�al Hardboard Siding,
; No Service Doors, No Overhead Doors, No Windows, or Any Other Options.
All information on this form, oiher than price, has been provided by guest and Menards is not responsible for any errors in the information on this estimate, including but not lim�ed
'�to quantity, dimension and quality. Please ezamine this estimate carefully. MENARDS MAKES NO REPRESENTATIONS, ORAL, WRITTEN OR OTHERWISE, THAT THE
MATERlALS LISTED ARE SUITABLE FOR ANY PURPOSE BEING CONSIDERED 8Y THE GUEST. BECAUSE OF THE WIDE VARIATIONS IN CODES, THERE ARE NO �
REPRESENTATIONS THAT THE MATERIALS LISTED HEREIN MEET YOUR CODE REQUIREMENTS. -
.`
Building
Inspections
763-572-3604
763-502-4977 FAX
DATE % —
SITE ADDRESS �
THIS APPLICANT IS:
PROPERTY OWNER/
TENANT
CONTRA.CTOR
SUBMIT A COPY OF
YOUR STATE LICENSE
AND CERTIFICATE OF
INSURANCE
PROPERTY TYPE
PERMIT TYPE
TYPE OF WORK:
BUILDING
RESIDENTIAL APPLICATION
CITY OF FRIDLEY
EFFECTIVE 8-19-09
YOUR E-MAIL ADDRESS
❑CONTRACTOR
Permit No.:
Recei
Date
A
NAME:
STATE LICENSE # EXP DATE
ADDRESS: CITY STATE Z3P
PHpNE FAX
;,E FAMILY/NEW CONSTRUC770N
FAMILY/NEW CONSTRUCI'ION
O BASEMENT FINISH
❑ DECK
❑ NEW HOME CONSTRUCT'ION
❑ MAiNTENANCFJREPAIR
DESCRIBE WORK BEING DONE:,
SIZE OF IMPROVEMENT
R FIN
NUMBER OF SQUARES �
GARAGES \'1 \
PROPOSED SIZE: v
PROPOSED HEIGHT:
SIDING
❑ V inyl
❑ Aluminum
❑ Other
QROOF ❑ DRAIN TILE
❑ SIDING � OTHER
❑ SWIMMING POOL
❑ ADDITION
Q REMODELING
,� g.�(� �;
"H WIDTH HEIGHT
�FIOUSE ONLY
❑ HOUSE & GARAGE
❑ ATTACHED GARAGE
❑ DETACHED GARAGE
❑Soffit
❑ Trim
❑ Fascia
WINDOWS
IN EXISTING OPENINGS OYes �No LOCAT[ON OF WINDOWS
OR FOR NEW OPENINGS-DESCRIBE SIZE OF
OPENING CHANGES &
FT
BASEMENT REMODELING SUBMIT:
1. Existing Floor Plan
2. Proposed floor plan
3. List of swctural members to be used
FOR NEW CONSTRUCTION INCLUDTNG DECKS,
ADDITIONS_ & PORCHES SUBMIT:
1. Site Plan/Survey showing the existing structures
and proposed project.
2. Two sets ofconstruction plans
3. Energy Calculations
FOR WINDOWS – PROVIDE U-VALUE AND
MANUFACTURE STICKER ON WINDOW.
�'fYPE OF WINDOW TO BE INSTALLED NUMBER OF WINDOWS �
ALL FEES ARE BASED ON VALUATION, INCLUDING THE COST OF LABOR AND MATERIALS:
(USING THE 1997 U.B.0 FEE SCHEDULE)
TOTAL JOB VALUATION $ OCCUPANCY TYPE
Permit Fee
Plan Review
Fire Surcharge
Surchazge
License Surchazge
SAC Chazge
Curb Cut Escrow
Erosion Control
Park Fee
Sewer Main Charge
Totai Due
$ .�(S.�iS
$
$ 3
$
$
$
$
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)
$2000 per SAC Unit (Plans to MWCC for determination)
_ ft+6ft= ftx$22=$
$ $450 Conservation Plan Review
$ Fee Determined by Engineering
$ Agreement necessary ( ) Non Necessary (
$ 'j� . Make checks pavable to: City of Fridlev
THIS IS AN APPLICATION FOR A PERMIT-NOT VALID LJNTIL PROCESSED
Attach
I hereby apply for a building permit and I acknowledge that the information above is complete and accurate; that the work will be in
conformance with the ordinances and codes of the City of Fridley and with the Minnesota Construction Codes; that I understand this is not a
permit but only an applicati n for a permit and work is not to start without a permit on site; that the work will be in accordance with the
approved plan in the case o a work which re ires iew an approval of plan .
, ��SIGNATURE OF APPLICANT PRINT NAME y Sy%�'�r—�i�� ATE