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AF - 45941City of Fridley, Minn.. BUILDING PERMIT N� 4 6 3 Date: ...sf .._ ,�. _ � ._�. �..�; _. _._._._._�. , d �: ° .._ �� +.� � �. .�� T � _r � ., . ��•r� i , Owner: .��%�. : :. ��! �.�`�..��.'".`.:�:'s�r..: Builder . ... _.e�--:.::�.�._;,��.�.----_.._. .._.: :�.�_____...._.._.... Address _...__...._._�._..�.._____. � Address ._.��_...:""._.�1:Z.. ��:'::.;�.��.,,��._.__ _- r LO�ATION O�� LDING ,� ,� . _rt. NO. ...�-.�.''..� _t".�Street _.��"�-��'=�.�_�?-,s°,e y".�..._--,r'`��t: Part Of Lot ------_..._...__ _. ._.____...�...__.._.___... Lot ....�.�' 1�., `::�. Biock ...._..... ...r�,� ..... ......----'�Addif3on or Sub-Division _.-- �.�...._. �. �''�.�t�,�, � -- ..�„r_�"L�!'?�r � .. . :..� r Corner Lot ....._...--.---_---.-------.._. Inside Lot ....._ ......................_........ Setback ....:�-=,.:�----.--...-----..... Sideyard ....._..� ,- � Sewer IIevation Foundation IIevation DESCRIPTION OP BUILDING To tie Used �s� ` , ''� '�' - � .�ti,. T � � �'u: ....._ Front . . . �: Depth ...._,�`:__� Height -�:'�.... Sq. Ft��.:'��, . �s =��!,�...._. Ftront ,: ��..._.. Depth ...-,�.�'�L�r Heig�lt �..__f�...... Sq. Ft. �..!�..�. a��. Type ofr`Construction :""'��`.�.;� ��' k_ Est. Cos��_. �'�,+f. ��..�� To be Completed . Cu. � r Ft. �� .�.....�..._'� � � Ft. ..:_�... ......_� � F ;.- ,r'� � ��.a�;��F.!'�1 1H�`� ; ;--,�,,.o l "� e `.,.�� _"�`, ' i r�� I�� I�r�IZE V40L� i- ION 0� hfVY P��t�.�,=��i"� LFu`,, BUILDfiVG R�S-- �� CUVEN,4NTS AtVC� � 1d��T�ONSo In consideration of the issuance to me of 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 provisions of ordinances of the dty of FricIley. _ti..---__._..___.___.._...._.__._..�..___. .�.= ,�, : .... In consideration of the payment of a fee of $�',?'.�._._...._�._....., rmit is hereb Pe Y �ted 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 lus agents, employees and workmen, in all work done in, around and upon said building, or any part thereof, shall conform in all respects to the ordinances of Fridley, Minnesota regarding location, construction, alteration, maintenance, repair and moving of buildings within the dty ]imits and this permit may be revoked at any time upon violati6rr ,oP any of the provisions of said ordinances. �, ; � I� f R § r ,4� ' , _�....,�_.�&;.. -�.�.'�_ - :.'__;,�� : �=� `Building Ins�ctor NOTICE: This permh does no� eover fhe wnatrueHan, installation for wiring, plumbing; gas heating, sewe� er water. Be sure 10 see Ihe Building tnapedor for seperate permits fo� fhese kems. /�\ 4 y, s,; _ iar /r\ - --- -a...�= - "�.,;w ,� .- � j'r � � _ � v �7 APPLICATIOAT FaR BUILDING PERMIT CITY OF FRIDLEY, MINNESOTA Ownere Nsme �� / � �i +� � � Builder ,�� a/cr !r i . _ � Ti�� __ � _...�.� - . Addrese Address �/ C _ 3 � ^�i,�,�°.. � �.—.� No LOCATION 0�' BIIILDING � Part of Lot / � �1 � �.�r.� + rr�� Lot Block Addition or S�b.Div. Corner Lot Ine3.de Lot � Set �.cic �� Side-Yard. ' _,.r. `_ _.....,_... . . SEWLR ELEVATION FOUNDATION ELEV�TION lpplicant attech fi.o this form Certificate of S�Ywey of I�t and propos� buildin� loca.tion. DESGRIPTION OF BUILDIIJG To be used as : �' � �h�'`"�� ,_ ont �� Depth � � Height Sq. Ft. ,�� 1.=.,� Cu• Ft. `�-� �: ��:�,��„ Front_ % '� . Depth �- �— Height Sq. Ft., ,,,� ��, G1,t. Ft. Type of Construct3.on _. .�?� � � Estimated Cost._ ,L`�?.....'� _..... ..�.. To be completed�� '� I �'i f,� . The underaigned hereby makes application for a permit for the work here3.A apecifi.ed, sgree3ng to do all work in strict accorde,nce with the C3ty Ordinances and ruling of the Department of Buildings, and hereby decleres tha.t all the facts and representa- tions stated in this appl3cat3on are true and correct. ��y � , D,ATE SIGNATURE ��/ �� . �..._ (A Schedule of Fee costs can b� �ound on the Reverse 5ide.) �� rY t °� � � y /'1 �>" ' ` ° �1 3 " „ , ,..�-� _ _ . BIIILDING PERMIT FEE SCHIDULE Section 2. The Snspector of Buildings sha11, before issuing any permit Por the erection of a,ny bu3.lding or structure, or for an�r addition to any existing building or structure, or for any alterations or repa.irs to any existing building or structure, upon application therefor� 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: 2.1, For any such permit for the erection of an�r fire-proof building, other then a gaxage, warehouse, factory or grain elev�.tor, or for the erect3.on of • sny fireproof addit3on, for similar occupancy, to eny existing bui.].d3n� �hall be at the rate of �1.40 for each one thousand cubic feet, or fract3on thereof, in such cubical contents. � 2.2. For an�r such permit for the erection of any f3reproof gare,ge� ware- house, factory or grain elevator,'or for the erection of eny fireproof addition for similar occupancy, to ang existing building shall be at th� rate of �7..25 for each one thausand cubic feet, classified as "Pireproof" by Sectian 502 of the Minrieapolis Building Code. HO.� 2.3. For any such permit for the erection of any non-fireproof building other than a garage, warehouse, factory or grain elevator, or any non- fireproof addition, for simi].,ax occupanc3r, to any existing building, Perm3t �]..00 for each one thousand cubic feet. GARAGES 2.4. For any such perrmiit for the erection of any non-fireproof garage, waxehouse, factory or grain elevator, or for the ereetion of any non- fireproof addition, for similar occupa.ncy, to any exi.ating building�t' for each such building or addition. Ninety Centa for each one thous�nd cubic feet or fraction thereof, in the cubical contents thereof with a minimum of �4.00. For the purpose of computing fees for building permits the cubical contents of any building or addition to a uniform height throughout by multiplying the grovnd area covered from a point six.(6) 3nches below the f'loor line of the ba.sement or cellar to the average height of the upper surface or to the average_height of the roof surface of the main gable o£ a pitched raof. 2.5. For repairs or alterations to an existing structure, the fee shail be at the rate of �3.00 for each Five Hundred Dolla,rs (�500.00), or fraction tY�ereof in the cost of all proposed work. 2.6. In,no case sha.11 the fee charged for any per•mit as set forth in Section 2 be less than �4.00. � � " � � '' � a ,�.�.. ° � _. _ _ r � . . . .. � .. � . . . .. ..°,. .. 1�, "7 . . . . � . , . .. . . 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' � �D -� o = � m = � � 0 w � � � D � O� Z N � � A � � N � 37 O O "m0 = D D � � v � �' Z o v � D r � m � O Z � � -� °�' vA1i y�� c w m W�� m w w m 3� �°-, °' � v.� v 7o m m m.o �� v o T fD o '� ; _ _ -i �o w ao � �; m � �� w �� N W v� � c ' 1 � 7 �';�� z• r N y co w . co � � 1 � �. co � m ? � � � -i � f f�D * .� — j -il m * ° c�i � c � N � I C i m i o. � m N °IIIIIIIIIIII � � 0 0 � � � � � � � � � � � � O O O V p�1 V V V(71 Ja �I o° °o o° o °o °o o °o °o °o °o °o cn � m �o O =. i Z � 3 °= 'm v � � � 1 Z a C -�G � n y � O �' � � y� � '"' D ;� � e+T. y � � � � � � � \ a � �� -i m r Z 0 � � I � �i � �O m � � -� z O � �. � �, � � � � � � � � 1 _ � � � `i v V v � i � � � L a m m D C �� C �; � Q. � a J y (Q y � i O�. � j i � � � ; �,�:.5 7 � � (p ; O 1 a � 6 7 '< L m � � 1 • v � � � y O fN � O �, pi r > > v � 7 � �. i a. c� m. ► 3 m o i m o � � Q o 0 � '� a t � � -o o � m ' m 3 m i y � � � •» � �' o � s m � � � � � � m � � ��o fD o � °1 m m� � � � � � � -o r C � m z/� 11/ � X C � m � m � Z O � -� m -� O � � O W v v � m � � � � � � �� . C. SuBJECT , City of Fridley 2 5 6 2 2 AT THE TOP OF THE TWINS g U I L D I N G P E R M I T r S � RECEIPT NO. � • COMMUNITV OEVELOPMENT DIV. r ; ,: ------, �� PROTECTIVE INSPECTION SEC. � . , i---. � ��'�',', CITY HALL FRIDLE� SS43P NUMBER REV OATE PAGE Of APPqOVEO BV L J� 612-571-3450 910-F15 �10/21/97 / � JOB ADDRESS 6544 Hickory Street NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCF. 12,13 6 Fridley Park SHEET 2 PROPERTY OWNER MAIL ADORES$ 21P PHONE Dawn/Greg Ambuhl 6544 Hickory Street NE 572-0778 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Same 4 ARCHITECT OR DESIGNER MAIL ADDRESS 21P PFIONE LICENSE NO. 5 ENGINEER MAII AODRESS 21P PHONE LICENSE NO. 8 USE OF BUILDING Residential 7 CLASS OF WORK O NEW ❑ ADDITION �7 ALTERATION � REPAIR O MOVE O REMOVE 8 DESCRIBE WORK Remodel kitchen and remove nonbearing wall 9 CHANOE OF USE FROM TO STIPULATIONS See notations on plan. SEPARATE PERMITS AfiE REDUIRED FOR ELECTRICAL, PLUMBING, HEATING, �PE OF CONST. OCCUPANCY (iROUP OCCi1PANCV LOAD VENTILATING OR AIR CONDITIONING. THIS PERMIT BECOMES NULL ANO VOID IF WOFiK OR CONSTRUCTION 20NING SQ. FT. CU. FT. AUTHORIZED IS NOT COMMENCED WITHIN 80 DAYS, OR IF CONSTRUCTION OR WOHK IS SUSPENDED OA A9ANDONED FOR A PERIOD OF 120 OAYS AT ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS OFFSTREET PARKING I HEREBY CERTIFV TMAT I HAVE REAO AND EXAMINEO THIS APPLICATION 1 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 COMPLIEO WITH WHETHER SPECIFIED NEREIN OR NOT. THE GRANTtNG OF A PERMIT �3 � OOO � 1. SO DOES NOT PRESUME TO GIVE AUTHORITV TO VIOIATE OR CANCEL THE pERMIT FEE SAC CHARGE PROV�SIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- �74.25 Fir SC �3.00 STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. PLAN CHECK FEE TOT L FEE 78.75 �GNAT�RE OF CONTFACT OR AUTMOfi ED AGENT ATEI EN VALIO 7NIS IS YOUR PERMIT � � / % � � �f� -�� -�� S�GN TUiiE OF OWNER ��F OWNER BUILDERi ID TE� - BL �NSP q�TE IvE�V ADDN ALTER [1 tl �� CanstructionAddress: Legal Description: ' CITY OF FRIDLEY S[NGLE FAiYIiLY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPL[Ci�TION � �. Effective 1 / 1/97 �� Owner Name & Address: � �,�� y, [�� 1�� Tel. # �7 0� — O � 7 � Contractor: _ �� MN LICENSE # Address: �iu.� Tel. # �'7a—� �7�� LIVING AREA: GARA,GE AREA: DECK AREA: OTHER: 0 Attach to this application, a Certificate of Survey of the iot, with the proposed construction drawn on it to scale. Length Length I.ength DESCRIPTION OF ,TMPROVEA'IE\T'T Width Width Width Height Height Hgt/Ground 9�- .u�-� Sq. Ft. Sq. Ft. Sq. Ft. ��. — ��✓ Construction Type: �/ C� �„ a��. � Estimated Cost: $�� (Fee Schedule on Back) Driveway C�rb G�t .Width Needed: Ft. + 6 Ft = Ft x$ - _$ � DATE: G� o? / APPLICANT: %% � -�CJ` Tei. # �7a - v � �� Permit Fee Fire Surcharge State Surcharge SAC Charge '.icense Surcharge �riveway Escrow ;�cosion Control 'ark Fee iewer Main Charge TOTAL �'('[PULn"l'(Oi\�S: CITY USE ONLY $ ��/. Z S� Fee Schedule on Reverse Side $_ �, d o .001 of Permit Valuation (ll1Uth%) � $ / . S'O $.50/$1,0(}0 Valuation � $ $950 ger SAC Unit $ $5.� (State Licensed Residential Contractors) $ Alt. "A" or Alt_ "B" Above $ $ $ � .75� $450.00 Conservation Plan Review Fee Determined by Engineering Agreement Necessar3+ [] Not Necessary [ J �. - � (iU1LUI��'G I'F,[L�if"f FEE SCHEUGt,t: "1'(ie Chief Building Offcial slzall, bcfore issuing perniits for the erection c�l� any building c�r �tructure, ar i<�r aiiy addition to any existing buildii�g or structure, or for any alteration or repair to any cxisting buildin� 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-�vit: � TOTAL VALUE $1 to $500 $501 to $2,000 �?,001 to $2�,000 $25,001 to �50,000 �50,001 to $100,000 $100, 001 to $500,000 $500,00� to $1,000,000 : . $1,000,001 and�up FEFS $21 (Minimum Fee is $21 plus surcharge) $21 for first $S00 plus $2.75 for each additionai $100 or fraction thereof, to and including $2,(300 ° S62_25 for first S2,000 plus $12.50 for each additional $1,000 or fraction thereof, to and including �25,000 $349.75 for first $25,000 plus $9.E}0 for each additional �1,000 or fraction thereof, to and including $�0,000 $574.75 for first $50,000 plus $6.25 for each additionai $1,000 or fraction thereof, to and including $100,(�i0 $887.25 for first $100,�0 plvs $5_00. for each additional $1,�0 or fraction thereof,.to and�including $5�,000 � $2887:25 for .the fu� $500,000 pius $4:25- �or each .additional $1,OQ0 or fraction thereof, to and including $i,�,000 �� $5012.25 for the fust $1,0OO,OQU plus $2.75 for each additional $I,Q00 or fraction thereof � DRIVEWAY DEPRESSION �ESCROW (Concrete (�irb Streets On1Y) . . . � �' � ti Alternate "A"•: Removal and replacemet�t of curb and gutter only - Drive�vay width plus 6� feet zimes $13:50. � A[ternate "B": Removal and replacement of curb and gutter and install a 3 foot wide approach with b inch depth - Driveway width plus 6 feet times $15.T. VERIF'ICATION OF FOUNDATION 'crmits for construction will be.issu�d a minimum of 24 hours from the time of application to allow for prop�c cvie�� of� the pro�osed sti-ucture and of tiie canstruction site. � '+� ��ertificate of Survey c�f� the lot, showin�, the location of�the foundation <±��ce it has it h<ts hcen construr.�c:_{ ,�: ',:. r�c�uir��cl 1��1��r� t�r�i::��tdin�� t�ith th� t�rai»i��. � . � � � � • � voq�pue� ��Bxe ug eq oa. �.t�ew �a lOd3a 3WOH S! }� '�Id �oo�} e� �o a�uereedc 3� ��eua6 e� �o uoqg�exUa� aqsg� u� si 6uwn��p si� :a�o `,�.>..�....... . � °� �' � R ' yt .... ' w �.� A . ! J � ,• � M 4 .., � \� 4 0 � � � � � � �, � � '\\` � \V � \ �` � 0 ti� � � � � � SUBJECT NO. '0 City of Fridley 2 617 2 AT THE TOP OF THE TWINS g U I L D I N G P E R M I T � ; � O. � ; � �____ COMMUNITY DEVELOPMENT DIV. r � � PROTECTIVE INSPECTION SEC. �I�� 1 . , ✓ � ` /"'1 � CITY HALL FRIOLEr SS432 NUMBER REV OATE PAGE OF AVPROVED BY �""'� � �'' 612-571-3450 910-F15 6/9/98 / / JOB ADDRESS 6544 Hickory Street NE t LEGAL ��T NO. BLOCK TRACT Ofi ADDITION SEE ATTACHED oescR. 12,13 6 Fridley Park SHEET 2 PROPERTY OWNER MAIL ADDRESS 21P PHONE Greg/Dawn Ambuhl 6544 Hickory Street NE 3 CONTRACTOR MAIL ADDRESS 21P PHONE LICENSE NO. G R Danielson & Son Construction Co 1347 146 Ave NW, Andover, MN 55304 413-0327 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PMONE LICENSE NO. 20122709 5 ENGINEER MAIL ADDRESS ZIP PMONE LICENSE NO. 8 USE OF BUILDINO Residential 7 CLASS OF WORK O NEW ❑ ADDITION � ALTERATION ❑ REPAIR O MOVE O REMOVE 8 DESCRIBE WOFiK Install E ress Window 9 CHANOE OF USE FROM TO ' STIPULATIONS Window must comply with the State EGress Code. TYPE OF CONST. OCCUPANCY GROUP OCCUPANCV LOAD SEPARATE PERMITS ARE REOUIRED FOR ELECTRICAL, PLUMBING, HEATING, VENTILATING OR AIR CONDITIONING. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING SQ. FT. CU. FT. AUTHORIZED IS NOT COMMENCED WITHIN 80 DAVS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED 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 1 STALLS GApAGES 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 ��p� @ WITH WHETHER SPECIFIEO HEREIN OR NOT. THE GRANTING OF A PERMIT �°°° � 1 s OOO y+. SO DOES NOT PRESUME TO GIVE AUTMORITY TO VIOLATE OR CANCEL THE pERM1T FEE SAC CHARGE PROVISIONS OF ANY OTHER STATE OR CAL LAW REGULATING coN- 34.75 STRUCTI N OR THE PERf NSTFiUCT10N � Fire SC I.00 �PLAN CHECKFEE TOTALFEE • License SC $5.00 $41.25 A O� CON'AACTOA OR AUTMOp�2ED AGENT 1 TEI MEN PROPERLV LIDATED THIS IS V__�'� � SiGNATUREOFOWNER�IFOWNERBUIL0ER1 IDATEI BIDG � 5P �1iTE NEW [ ] Effective 1/1/98 ADDN [ ] CITY OF FRIDLEY ALTER ,Q�] SINGLE FAIVIII.Y AND DUPLEXES R-1 AND R-2 �� /\ BUILDING PERMIT APPLICATION � .� . ��dc 3 r3 � � 4 �yK �ttrc.Kor�y ss6 • � �j ConstructionAddress: �' � � '1 9 �l l��'' "b�,✓� . � • � _ �pyp,r � � , $�SV N Legal Description: C,Q,�,.��, �,,,, C,p , Owner Name & Address: �,.,� �C .�„�; t�4An 1 S�11 ty to� 14o,i .11 � W. Tel. # IG �a1 4 l 3- 0 3L'1 Contractor: . , � t� �y� , �,p . MN LICENSE # � A .�,•,� Address: � 3y -1 l y ��s 1�y� , 1►►�(�j . 1Arn�pyt.� Tel. #�(� � Z� � 13 -0 3 z� Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. LIVING AREA: Length GARAGE AREA: DECB AREA: OTHER: DESCRIPTION OF IlVIPROVEMENT Width Length Width Length Width Height Height Hgt/Ground Sq. Ft. Sq. Ft. Sq. Ft. Construction Type:�d,�( -a�� Estimated Cost: $ 1000. OZa (Fee Schedule on Back) Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x$ _� DATE: q, al APPLICANT: . Tel. #(t,�s) `I,I3 �03Z'j, Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee Sewer Main Charge TOTAL STIPULATIONS: $ $ $ $ �� .-- /, C� O S� $ � �b� $ $ $ $ $ �.�5 CITY USE ONLY Fee Schedule on Reverse Side .001 of Permit Valuation (1/lOth%) $.50/$1,000 Valuation $1000 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 [ ] _a� � � BUII..DING PERMIT �'EE SCHEDULE The Chief Building Official shall, before issµing�ermits, for the erection of any building or structure, or for any addition to any existing building or struct�tre, oY fo� `any alteration or' repa�r `to ai�+� existing building or structure, �upon app�ication therefore, Feq�ire 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: . � �, , , . � � TO`TAL� VALUE $1 to $500 $501 to $2,000 $2,001 to $25,00{) $25,001 to $50,000 $50,001 to $100,000 $100,001 to $500,000 , $540,001 to �$1,Q00,000 � � � � �• $1,000;001 and up p t . . . . F��ES, . . , . . � . . < • • ^ � s � . � � a .. . � $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 additional $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 $574.7� for first $50,000 pius $6.25� �for each additional $1,(�0 or fraction thereof, to and including $100,000 � . .. � _. . : r ,° , . ` � $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, firsta $500,000 plus $4.25 for each addition�l� $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 ihereof 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 minunum 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. SuBJECT c�ty of Fridley 2 6� 7� AT THE TOP OF THE TWINS gU S L D I N G P E R M I T i � � � • � • COMMUNITY DEVELOPMENT DIV. �// � � �.-------� '°t !l� �� f � � PROTECTIVE INSPECTION SEC. 1 . � i_-_. i ��'��,`� CITY HALL FRIDLE� 55432 -wue�eeA pEV OATE PAGE Of APPROVED BY t �� 612-571-3460 910-F15 7/28/gg / / JOB ADDRESS 6544 Hickor st t LEGAL �OT NO. BLOCK TRACT OR ADDITION SEE ATTACHED oesca. 12,13 6 Fridle Park SHEET 2 PfiOPERTY OWNER MAIL ADORESS ZIP PHONE Dawn & Gre Ambuhl 572-0778 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. � R Danielson & Son Const Co 1347 146 Ave NW Andover 55 0 2 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 20122709 5 ENGINEER MAIL ADDRESS 21P PHONE LICENSE NO 8 USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW Z] AODITION O ALTERATION ❑ REPAIR EMOVE 8 DESCRIBE WORK Q�,, New garage (24'x'22'e�) �@�df@ GI IR CBII f0� 8 iltlll�jt IAC�t1011S 454•�Ofl2 9 CHANOE OF USE FROM TO ��ED BY LAyy STIPULATIONS Special Use Permit for Second Accessory building a.pproved with the following: 1. The second accessory structure shall be one story, 22 feet wide by 24 feet deep and meet the standards of the Fridley Zoning Ordinance and the Uniform Building Code. 2. The second garage shall match the architectural design of the principal structure. 3. The second garage shall not be used in conjunction with a home occupation. 4. The second garage must be accessed with a paved driveway. The driveway to the second garage shall be paved within 60 days of the issuance of the building permit. �`� �PERMRS REQUtREp � � _ �ING, HEATINC� p�UMB� SEPARATE PERMITS ARE REOUIRED FOR ELECTRICAL. PLUMBING, HEATIN(3, TMPE bF CONST. OCCUPANCY GROUP OCCUPANCV LOAD VENTILATING OFi AIR CONDITIONING. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONIN(i SO. FT. CU. FT. AUTHORIZED IS NOT COMMENCED WITHIN 80 DAVS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERI00 OF 120 DAVS AT ANY TIME AFTER WORK IS COMMENCED. NO. OWLO. UNITS OFFSTREET PARKING I HEREBY CERTIFV THAT I HAVE REAO AND EXAMINEO TMIS APPLICATION I. STALIS GAHAGES AND KNOW THE SAME TO BE TRUE AND CORfiECT. ALL PROVISIONS OF LAWS VALUATION SURTAX AND OROINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIEO WITH WHETHER SPECIFIED HEREIN OR NOT. TNE GRANTING OF A PERMIT }�- 9 762 �F.HB DOES NOT PRESUME TO GIVE AUTMORITV TO VIOLATE OR CANCEL THE pEAMIT FEE SAC CHARGE PROVISIONS OF ANY OTHER STATE OR L CAL LAW REOULATIN(3 CON- STRUCTION OR THE PERFORMANCE Of NSTRUCTION. 1(2.25 Fire SC 9. ]C7 � PLAN CNECKFEE TOTALfEE � , Lice se C 181.89 S�GNAiUFEOFCON�RA OROHAUTNOR12EDAGENT 1 ATEI WHEN PROPERLY VALI ED THIS IS VOUR PERMIT � �% J S�GNATURE OF OWNER UF OWNER BUILDERI IDATEI � �� i gp � DqTE NEW ADDN �� [l [] ConstructionAddress: (Q S CITY OF FRIDLEY SINGLE FAIVIILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION � Effective 1/1/98 � � � 7�/ �' �� Legal Description: Owner Name & Address: ��,v� £�re � IL��1 ul�.� Tel. #.S7a.� o-T-��c Contractor: 6► � k.�a„�,�� ?�..Sqn C,a,n�. G� . MN LICEN5E# �.0 (�°70°1 -- , Address: , l3�"1 ► �i �� Y�,vr . �l .l� . ��ri 114��,. , �'s3o4 Tel. # �i (3 -�3Z `� LIVING AREA: GARAGE AREA: DECK AREA: OTHER: Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRII'TION OF IMPROVEMENT Length Width Height Length z..y � Width z Z Height �� Length Width � Hgt/Ground Sq. Ft. Sq. Ft. .S'Z9 .,� r�js `�!' Sq. Ft. ""' L�.�' � Construction Type: t,�3 %+" � Estimated Cost: $ �� (Fee Schedule on Back) Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x$ DATE: ' � SS PermiC F�e- � Fire Surcharge State Surcharge SAC Chazge License Surcharge Driveway Escrow Erosion Control Park Fee Sewer Main Charge TOTAL . STIPULATIONS: — $ � ��, Z� $ �� $ $ � �', � $ $ $ $ � /a CITY USE ONLY Fee Schedule on Reverse Side .(�1 of Permit Valuation (1/lOth%) $.50/$1,000 Valuation Tel. # �o Z. ° z� �'� $1000 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 [ ] �._ , P BiJII.DING PERMIT FEE SCHEDULE The Chief Building Official shall, before issuing permits for the erection of any building or structure, or for any addition to any existing building or structure, or for any alteration or repair to any existing building or structure, upon application therefore, require .the ,pa3�ment 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 $5(�,000 $500,001 to $1,000,000 FEE5 $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 additional $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 additional $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 arid including $1,000,000 $1,000,001 and up $5012:25 for the fust $1,000,000 plus $2.75 for each additio 1 $1,000 or fraction thereof � �� N N DRIVEWAY DEPRESSION ESCROW d� a�? y N (Concrete Curb .Streets Only) Alternate "A": Removal and replacement of curb and gutter only - Driveway width plus 6 feet times $13.50. Altemate "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 constructed will be required before proceeding with the framing. �— , �.. ..- ; .. : � ,.� . [ond Plannin9 lad Sw�reyin� .�;�5 rsr,�y c,�i �M�w�i �� f . . , , • � � ENGINEERING, INC. , --- En9►ineers � Surveyo�s — 370Miss;ssippiSt. N.E Mini�ro�olis Zl. �' . � � ��Q . sun,�t�c-cv� � cetts�scafe o� su,s�e �°,-: _ �%f� �� i � w � .� . � . 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LOlI1S : 4+ � � .c� • � •�e. �. � ��r _ Sn'--..•-:t�G_.�� 1�1 i% q Q��G�ST�FO i PROFESS10NAl, 3G74 'j'p`~�N�`E,�'� ��H DA'�� ett� tuW1'tlul ��ISpan, s�ei. �catlpn or repdr� ,.as pr�yr,p � me or un?tt m eint! � f�ssbpa►' � � N� SAt� Ot Wrt+xsaq�, � o�rF ,wa.!,s-s=�. �� -• v- �.,,..�,...:Y�Ylbs.��sva�s�oos�f�iltleR ws C�MOw vsY Yr r�1I �rU� MMt aown�O�w� 11M OrM � Oa�a�MM M�YiI O�W Y�b dl Mlr10w1 O�'�O 6w��wNM W W � n.ar� eM eos.e .r�aew ��v a a�+o� o�� ana weow wspaaan e' �+wo�.w.� ..wvo�wAr a�+s�a e..� •.a r,,,. a.a�e�w. �aam.o rw� r� �s«a wiaese a w�.auei ..e �p.� e�r. waorw ►�woaon e�omn� �. ww reerr w+�a ..�.etteo r.e. wa0�7�'i�� q M fMO�p. �Q�YIO� pH1�A ORNQ i� M� bwa +�ers. r 1�. woe�c� a sr r�emw d.�i... /a o�ew� a��• � �.�� .�..�,..�,� � �. ��. �..,,�. �......�,��. �. Ma.., MiTek• �.q.ro wo.�o oM u..ru �a� eYeaee+. �.. oa. r�e+. wu�., m o•o�r o.�....��.+� aon.. ** TOTAL PRGE.01 ** ` e° , '�� s ** TOTAL PAGE . 081 ** �� ... . - -- .. . _ _ .. _ ;: ,. ; ; , ,:. _ , _ � ` CI'I'Y..OF.:FRIDLEY PROJECT SU�VIlYIAR3C r . ; � DESCRIPTION OF REQUEST: Ms. Dawn Ambuhl is requesting a special use permit to allow the construction of a second accessory building on her property. The proposed garage is 22 feet wide by 24 feet deep, an azea of 528 square feet. The garage will utilize an existing driveway at the property. The property is located at 6544 Hickory Street NE. Si:fMMARY OF ISSUES: Section 205.07.O1.C. (1) requires a special use permit for accessory buildings over 240 square feet, � other than the first accessory building. The proposed second accessory building has an azea of 528 `'' square feet. .. . The existing garage is attached to the north side of the house. It is 14 feet by 22 feet and is located 11 feet from the north property line. The proposed detached garage will be located in the rear yard, three feet from the south property line and three feet from the west (rear) property line. It will also be six feet from a proposed 16 foot by 16 foot house addition. � STAFF RECOIVIMENDATION TO THE PLANNING CONIlVIIS5ION: Staff recommended that the Planning Commission recommend approval of the special use permit ` � with stipulations. � . �� ' PLANNING COMII�IISSION RECOMMENDATION: � The Planning Commission voted unanimously to recommend approval of the special use permit to �`�` the City Council with the following stipulations: � � 1. The second accessory structure shall be one story, 22 feet wide by 24 feet deep and meet the ��, standards of the Fridley Zoning Ordinance and the Uniform Building Code. �� 2. The second gazage shall match the architectural design of the principal structure. 3. The second gazage shall not be used in conjunction with a home occupation. � 4. The second garage must be accessed with a paved driveway. The dnveway to the second garage shall be paved within 60 days of the issuance of the building permit. � CITY COUNCIL RECOMNIENDATION: Staff recommends that the City Council concur with the Planning Commission recommendation. V�V�a° . c sue�etr City of Frid�ey AT TME TOP Of TNE TWINS g � I L D i N G P E R M I T ;, .. � ; v __��_ COMMUNITY DEVfiLOPMENT DIV. r � � PIiOTECTIVE INSPECTION SEC. � i � � �"'1 � CITY MALL FRIOLE� SS132 NUMBEN �----� • •,, 612-571-3450 910-F15 10B ADDRESS 6544 Hickory Street NE t LEGAL LOT NO. BLOCK TRACT OR ADDITION REV DESCR. jZ,13 6 Fridley Park 2 PROPERTV OWNEq MAIL AOpR�S$ Greg/Dawn Ambuhl 6544 Hickory Street NE 3 CONTRACTOR MAIL ADDRESS Greg Wills Exteriors 4246 Royce Street NE, 4 AqCHITECT OR OESIGNER MAIL ADDRESS 5 ENGINEER MAIL AODRESS 'E PAGE Oi 4/14/99 / / PERM� 29216 o. �� 9 •nvaovEO 6� SEE ATTACMED SHEET ZIP PHONE LICENSE NO ls., MN 55421 788-0529 20037840 ZIP PMONE LICENSE NO. ZIP PMONE LICENSE NO 8 USE OF BUILOING Residential 7 CLASS OF WORK O NEW O AODITION O ALTERATION � REPAIR ❑ MOVE O iiEMOVE 8 DESCRIBE WOfiK Reside Dwelling; aluminum trim 9 CHANdE OF USE FfiOM TO STIPULATIONS Call for building wrap inspection before covering. CONSTRUCTION WORK HOURS: 7:00 am to 9:00 pm, Monday thru Friday; 9:00 am to 9:00 pm on Saturday; No work on Sunday. SEPARATE PERMITS ARE FiEOUIRED FOR ELECTRICAL, PLUMBING, HEATING. VENTI�ATING OR AIR CONOITIONING TMIS PERMIT BECOMES NULL AND VOID IF WORK Op CONSTRUCTION 20NING AUTHORIZEO IS NOT COMMENCED V�!ITMIN 80 OAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT ANV TIME AFTER WORK IS COMMENCED. NO DWIG. UNI7S I HEREBY CERTIFV THAT I MAVE READ ANO E%AMIN�D TMIS APPLICATION 1 ANO KNOW TME SAME TO BE TqUE AN0 CORRECT. ALl PROVISIONS Of LAWS yALUATION AND ORDINANCES GOVERNING THIS TVPE OF WQRK WI�L �E COMP�IED 5 380 WITH WMETMER SPECIFIED HEREIN Oii NOT. TME GRANTING OF A PERMIT �� DOES NOT PRESUME TO GIVE AUTMORI7Y TO VIOLATE OR CANCEL THE pEqMIT FEE PHO�ISIONS OF ANY OTHER S7ATE OR LOCAL LAW REGUTATING CON- CTION OR 7ME PERFORMANCE OF CONSTRUCTION $112 . ZS � /`/�`� � . PLAN CNECK fEE (�c C��i Licens S�GNAT E OF CON'AACTOA OA AUTMOp�2ED 4GENT IOATE� u p SO. STALLS $5. NCY GROUP OCCUPANCV�OAD CU FT. OfFSTpEET PARKING GARAGES SURTAI( $2.69 SAC CHARGE Fire C $5.38 TOTAL E 25.32 / ��OWNEABWLOEp� �O�TE� ' g� �NSo - qaTE w t ,� NEW ADDN ALTER [� [ l' [l ConstructionAddress: Legal Description: CITY OF FRIDLEY SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION !� ��1�f Effective 1/ 1/99 �� %� v�� Owner Name & Address: �,� �,�i�i� f� f.�GL ��-- Tel. # � Contractor: � �� %J��1 �.� �''1ei�'i,�l�o �S _MN LICENSE # �D� �7 � yo Address: �� yc� S'� �� Tel. # 78f' b,�oZ ' Attach to this application, a Certificate of 5urvey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF IMPROVEMENT LIVING AREA: Length Width Height Sq. Ft. GARAGE AREA• Length Width Height Sq. Ft. DECK AREA: . Length Width Hgt/Ground Sq. Ft: OTI�R: �L �� ( s � � � "v r� - Estimated Cost: $ .� .� S� Construcdon Type: �_ (Fee Schedule on Back) Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x$ _� DATE: l� APPLICANT: C�/ Tel. # 7��"�OS�a � Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee Sewer Main Charge TOTAL STIPULATIONS: $ l �� ?s.f $ � �� 3 $ �� (o� $ $ � �U $ $ $ $ $ o?�..� CITY USE ONLY Fee Schedule on Reverse Side .001 of Permit Valuation (1/lOth%) $.50/$1,000 Valuation $1050 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 [ ] � <� S_ � BUILDING PERMIT FEE SCHEDULE The Cluef 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 applicatipn therefore, require the payment by the applicant for such permit of fees to the atnount 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 $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 additional $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 additional $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 $500,0(}0 $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 DRIVEVVAY DEPRESSION ESCROW (Concrete Curb Streets Only) Alternate "A": Removal and replacement of curb and gutter only - Driveway width plus 6 feet times $15.50. plternate "B" : Removal and replacement of curb a.nd gutter and install a 3 foot wide approach with 6 inch depth - Driveway width plus 6 feet times $23.25. VERIFICATION OF FOUNDATION Permits for construction will be issued a minimum of 24 hours from the time of application to allow for proper review of the proposed structure and of the construction site. A Certificate of Survey of the lot, showing the location of the foundation once it has it has been constructed will be required before proceeding with ttie framing. sue�ecr PERMIT NO. City of Fridley 2 94 03 AT TME TOP OF TME TWINS g � I L D I N G P E R M I T ' � No. � ` _�� COMMUNITV DEVELOPMENT DIV. � � y PROTECTIVE INSPECTION SEC. �� r , '� , � . , l..__ A;��';'; CITY MALL FRIOLEv SSIJi NUMBEi1 11EV OATE PAGE OF APVROVEO B� L �� 612-571-3450 910-F15 5/6/99 / / JOB ADDRESS 6544 Hickory Street NE 1 IEGAL �OT NO. 9LOCK TRACT Oii ADOITION SEE ATTACMED oesca. 12,13 6 Fridley Park SNEET 2 PIiOPERTYOWNER MAILAODRES$ 21P PHONE Dawn/Greg Ambuhl 6544 Hickory Street NE 572-0778 3 CONTRACTOR MAIL ADORESS ZIP PMONE IICENSE NO G R Danielson & Son Construction Co 1347 146 Ave NW, Andover MN 55304 4 AFiCNITECT OR DESIGNER MAIL AODRESS ZIP PHONE LICENSE NO. 413-0327 22122709 S ENGINEER MAIL ADDRESS ZIP PNONE LICENSE NO 8 USE OF BUILDIN�i Residential 7 CLASS OF WORK ❑ NEW ❑ ADDITION O ALTERATION O� REPAIR p MOVE O REMOVE 8 OESCRIBE WOFiK Reroof House & Garage (15 Sq) Tear-off 9 CHANGE OF USE FROM TO STIPULATIONS Underlayment must comply with the State Building Code. CONSTRUCTION WORK HOURS: 7:00 am to 9:00 pm, Monday thru Friday; 9:00 am to 9:00 pm on Saturday; No work on Sunday. SEPARATE PERMI7S ARE REOUIREO FOR ELECTRICAL. PLUMBINCa, HEATING, �PE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD VENTILATING OR Alii CONDITIONING THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONS71iUCTION ZONING SO. FT CU FT AUTHOR12EO IS NOT COMMENCEO WITMIN 80 OAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED Oii ABANOONED fOR A PERIOD OF 1Z0 DAYS AT ANY TIME AFTER WOAK IS COMMENCED. NO. DWLG. UNITS OFFSTREE7 PARKING 1 HEREBY CERTIFY TNAT I MAVE READ AND EXAMINEO THIS APPLICATION 1 STA�LS GARAGES AND KNOW TME SAME TO BE TiiUE AN� CORRECT. ALL PROVISIONS OF LAWS yp�VATION SURTAX AND ORDINANCES GOVEflNING TMIS TVPE OF WORK WILL BE COMPLIEO WITM WNETHER SPECIFIED MEREIN Oii NOT. TME GRANTING OF A PERMIT 1 285 �.64 OOES NO7 PRESUME TO GIVE AUTMORITV TO VIOLATE OR CANCEL TME pEqMIT fEE SAC CMARGE PROVISIONS OF ANY OTNER STATE OR LOCAI LAW REGUTATING CON- STRUCTION Op THE PERFOfiMANCE Of ONSTRUC710N ��F3.00 Fire SC �1.2$ � . PLAN CMECKFEE TOTAL % . � � Li n C $5.0 $49.92 S�GNA CONCAAC AONAUTMOA� EDAGENr i0 � MEN OP Y ALIOATE �IS� P�RMIT � �� S�GNYTUAEOFOWNEA��OWNEABUiIDERi iD�TE� B�D �aSP q�rE N� � � Effective 1/1/99 ADDN [ ] CITY OF FRIDLEY ALTER [] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 �; BUILDING PERMIT APPLICATION �� f,��`' �� ConstructionAddress: � � � �i i� � ��r � '�° ` �'°� Legal Description: Owner Name & Address: �o � �'�. ,� �..1 Tel: # � �°7�°°�°R�?� Contractor: � � � • �a�a �° � . MN LICENSE # �1 �°i � Address: I �� ( � t��`' -�'� � � � � �i�t2�� . �� Tel. #�� i Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. LIVING AREA: Length GARAGE AREA: DECK AREA: 01'HER: DESCRII''rION OF IMPROVEMENT Width Height Length Width Height Length Width Hgt/Ground °f� r � �� .��. � ��_ �- 5q. Ft. Sq. Ft. Sq. Ft. � Construction Type: �' Estimated Cost: $ �' �� l�c�s (Fee Schedule on Back) Driveway Curb Cut Width Needed: Ft. + 6 Ft = DATE: � �c �i� Permit Fee Fire Surcharge State Surcharge SAC Charge Ft x $ _$ $ �3� v� $ /-�7� � �y $ CITY USE ONLY Fee Schedule on Reverse Side .001 of Permit Valuation (1 / l Oth %) $.50/$1,000 Valuation $1050 per SAC Unit Tel. #'�� $D� °�°t�� License Surcharge $ �� 11C� $5.00 (State Licensed Residential Contractors) Driveway Escrow $ Alt. "A" or Alt. "B" Above Erosion Control $ $450.00 Conservation Plan Review Park Fee $ Fee Determined by Engineering Sewer Main Charge $ Agreement Necessary [] Not Necessary [] TOTAL STIPULATIONS: $ , BUII.DING PERMIT FEE SCHEDULE The Ctuef 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,�0 $2,001 to $25,0� $25,001 to $50,000 $50,001 to $100,000 $100,001 to $500,000 $500,001 to $1,000,000 $1,000,001 and up FEES $21 (Minimum Fee is $21 plus surcharge) $21 for first $500 plus $2.75 for each additional $100 or fracdon thereof, to and including $2,000 $62. 25 for first $2, 000 plus $12. 50 for each additional $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 additional $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 fractian 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 $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 minunum 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. 3uilding ; :nspections • 163-5'72-3604 . )ATE � ^ / ^ ;ITE ADDRESS � �i1S APPLICANT IS: PROPERTY OWNER/ TENANT CONTRACTOR SUBMIT A COPY OF YOUR STATE LIeENSE WITH APPLICATION PROPERTY TYPE PERNIIT TYPE �rE oF woxx: BUILDING RESIDENTIAL A�PLICATION CITY OF FRIDLEY � � ❑ OWNER Permit No.: Received By: Date Rec'd: E-MAII,ADDRESS �uC2r'i��-00�7`'/'�Cd�c'v��h�l��,�c��j NAMfi: �l� C� /l� �l• ADDRESS: /C.>C ^ c�/" CITY %-/Y'P Q STA�` � y�� PHOATE• � �� — L,� �� " V /' �� NAME: � CJ C 2/-j �� d y�.f�'�✓ c°L(�1 �� v� C� STATE LICENSE # � d � � O /l f EXP DATE .4� � � - � � �l ADDRESS: �c� � L��► eJ d� � f� T� CITY G i�.� G l� / STATL=' ZTP �1�C � y PHONE 6 ri � � �6 �� FAx INGLE FAMILY/NEW CONSTRUCTION STZE ❑ TWO FAMILY/NEW CONSTRUCTION STORIES � 0 BASEMENT FINISH ❑ DECK �. DESCRIBE 9JORK BEING SIZE OF IN�ROVEMENT ROOFING NUMBER OF SQUARES g GARAGES PROPOSED SIZE: PROPOSED HEIGHT: SIDING �Vinyl O Aluminum 0 Otha D GARAGFJSi�D ❑ WINDUWS ❑ ROOF ❑ DRA1N TII..E � SIDING ❑ OTf�R O HOUSE ONLY ❑ HOUSE & GARAGE ❑ ATTACF�D GARAGE O DETACHED GARAGE OSoffit ❑ Trim ❑ Fascia wrnmows IN EXISTWG OPENINGS OYes ❑No LOCATION OF WINDOWS OR FOR NEW OPENINGS-DESCRIBE SIZE OF OPENING CHANGES & TYPB OF WINDOW TO BE 1NSTALLED NUMBER OF � l � �� «� ` �-� ��.� �r � HEIGHT S,� Sq. Ft BASEMENT REMOAELTNG SUBMIT: l. Existmg Floor Plan 2. Proposed floor plan 3. List of struchual members to be used FOR NEW CONSTRUCTION IIdCLUDING DECKS, ADDITIONS. & POR.CHES SUBMIT: 1. Site Plan/Survey showing the existing structures and proposed project 2. Two sets of construcdon plans 3. Energy Calculations �L FEES ARE BASED ON VALUATION, INCLUDING THE COST OF LABOR AND MATERIALS: �q' 3q �, q� (USING THE 1997 U.B.0 FEE SCHEDULE) TOTAL JOB VALUATION $—��'�1�"' OCCUPANCY TYPE Permit Fee $ �402 .�S See Back Page for Fee Schedule Plan Review $ 3�i o? .'79 65% of Building Permit Fee Fire Surcharge $ 3°� • 4�� .001 times the total job valuation Surcharge $ 1°I .'? p .0005 x Permit Valuation Minimum $.50 License Surcharge $ �' ,C)O $5.00 (State Licensed Residential Contractors) SAC Charge $ $1550 per SAC Unit (Plans to MWCC for determination) G�rb Gtrt Escrow $ ft + 6 R= ft x$20 =$ Erosion Control $ $450 Conservation Plan Review Pazk Fee $ Fee Determined by Engineering Sewer Main Charge $ Agreement necessary () Non Necessary () Total Due $ � S9 (�y Make checks payable to: City of Fridley Attach Stipulations THIS IS AN APPLICATION FOR A PERMTT-NOT VALID UNTIL PROCFSSED I hereby apply for a building permit and I aclaiowledge that the information above is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of F'dley and with the Minnesota Construction Codes; that I understand this is not a permit but only an application for a pe 't and work i t to start without a permit; that the work will be in accordance with the approved plan in the case of all work whic ,r ' es r'ew a roval of plans. / j SIGNATURE OF APPLICANT p�T Np� � O�✓� L U� Zi9G� Dp� S r%� ^� Page 2- Build.ing Residential Application BUILDING PERNIIT FEE 5CHEDULE The Chief Building Official shall, before issuing permits for the erection of any buildi.ng or structure, or for any addition to any existing building or stntcture, or for any alteration or repair to any existing building or strucivre, upon application therefore, require the payment by the applicant for such permit of fees to the amoun.t herein below set forth and in the manner herein provided to-wit: VERIFICATION OF FOUNDATION Permits for construction will be issued a minimum of 24 hours from the tame of application to allow for proper review of proposed structure and of the conshuction site. A Certificate of Survey of the lot, showing the location of the existing foundation will be required. before proceeding with the franzi.ng. New Houses Onlv City of Fridley Building Inspections Department 6431 University Avenue NE Fridley, NIN 55432 763-572-3604 Fax: 763-502-4977 ' a a r+ �,.r� � ,q.. r r Q v � .< „ •:x.. � � - a � � `+t �� a� � � � � �;� ma o� � _`' • :� �.' .�..T�.��' � m Ql �,, a � ,e+ o � rA r �p ' U O � i �" �',,� �° � r � m c �Z ___ c ��'o, mmt� -� w m NQ � gm �� w � �� v�,� °.m j Zm � �a �, o — �+ — c °o n°� u, z n, y �, Q. o� ~ i �� ' Q �z� � Z � � Q- CZ? � c � — g 00 c . a o A m � c (� _ � - � � � � �mm � m3 � cfl � °�3;� � -o v, �:'a c m � m � O � �' o � Qc�'.� o � � "� c.m�� r , mN��, � � n m Q�Q s !� �Nm 00 � Q z 7��0 W � Q� oa m ` O w ° rt ta'i� � �p q, -- o d' r vl —e .< � D m �� W � � � � N N. A' �+ 7 � � N � m 7 � � g c3 <- �� v C O N 7 Minnesota Commerce � '�!'!� t�t i� � ' '��0� Energy Info Cente� � News Releases � Contact Us ( Page 1 of 1 Commerce Home � North Star Home � Commerce Site Ma� Monday, May 22, 20i �°�• �� i Advanced Search � Search Topics � QAII NorthStar � Q Commerce Site Only � _ Consumer Industry Applications� Info and Info and Registration, Services Services Certification License Detail Unclaimed Heating Weights 8� Minnesota petrofund Property Assistance Measures Relay Here are the details for the license you are currently looking for: Licensee Name: LUCZAK CONSTRUCTION INC Licensee Address: 487 LONESOME PINE TR City State Zip: LINO LAKES , MN 550140000 License Number: 20240111 License Type: Residential Building Contractor License Status: ACTIVE License Effective Date: Aug 22, 2000 License ExpiratloNRenewal Date: Mar 31, 2007 Qualifying Person: ANTHONY LUCZAK Number of hours of con�nuing education required to renew license: 7.0 Enforcement Action: No Copyright 20d0 North Star, Minnesota State Government Oniine State Of Minnesota � About Us � Get Acrobat North Star is led by the Office of Enterprise Technology Reader � This site best viewed with 1024X768 or greater and with Netscape 4.7 or Internet Euplorer 4.5 or greater. https://www.egov.state.mn.us/Commerce/license lookup.do?LIC_NLTM=20240111&LIC_... 5/22/2006 �-i.. 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F. - ��7 _____� . � �� 1� � •�� \ � � ZZ -� � � � �\ � � � � � '�'s � � 'o � � � o 1 � cs` c�. � o \ � � � �' � \ \ � �` �'A � � •\ � � 5q 26,� � o � DD , o �, o � � \ �� 2� � � �� o0 \� S�/E� � 1�� ' � �� REScheck Compliance Certificate 1995 MEC REScheckSoftware Version 3.5 Release le Data filename: C:�Program Files\Ch�k�REScheck�Ambule.rck PROJECT TITLE: Dawn Ambuhl CITY: Fridley STATE: Minnesota HDD: 7391 CONSTRUCT'ION TYPE: Single Family DATE: OS/09/06 DATE OF PLANS: March 1, 2006 PROJECT DESCRIPTION: Bedroom and porch addition COMPLIANCE: Passes Maximum UA = 105 Your Home UA = 98 6.7% Better Than Code (UA) Ceiling 1: Flat Ceiling or Scissor Truss Ceiling 2: Flat Ceiling or Scissor Truss Wall 1: Wood Frame, 16" o.c. Window 1: Vinyl Frame:Double Pane with Low-E D�r 1: Solid Crawl 1: Masonry Block with Empty Cells Wall height: 3.5' Depth below grade: 3.0' Insulation depth: 3.5' Permit Number Che�ked By/Date ('rross Glazing Area or Cavity Cont. or poor Perimeter R Value R-Value U-Factor UA 385 44.0 0.0 196 38.0 0.0 507 19.0 0.0 88 20 262 0.0 8.0 10 6 24 0.330 29 0.330 7 22 COMPLIANCE STAT'EMENT: The proposed building design described here is consistent with the building plans, specifications, and other calculations submitted with the permit application. The proposed building has been designed to meet the 1995 MEC requirements in REScheckVersion 3.5 Release 1 e(form/�i%�� cl� and to comply with the mandatory requirements listed in the RESchecklnspection Checklist. Date S= � —�f Building Inspections 763-572-3604 DATE _S� ^ �' " ST!'E ADDRESS ( 0.��' THIS APPLICANT IS: PROPERTY OWNER/ TENANT CONTRACTOR SUBMIT A COPY OF YOUR STATE LICENSE WITH APPLICATION PROPERTY TYPE PERMIT TYPE TYPE OF WORK: BUILDING RE SIDENTIAL APPLICATION CITY OF FRIDLEY ❑ OWNER STATE LICENSE PHONE �7 (Q 3 • I �SINGLE FANIIL' ❑ TWO FAMILY/f O BASEMENT FINISH O DECK DESCRIBE WORK BEING DONE: SIZE OF IMPROVEMENT n��ru�a. NUMBER OF SQUARES a � GARAGES PROPOSED SIZE: PROPOSED HEIGHT: SmING � Vinyl ❑ Aluminiun O Other YOUR E-MAIL ADDRESS � K!� .�( . � L �CONTRACfOR m t,e.,� i C C7 �` -�' CIT1 ' s`� O-� - `� a� f L,l ��.P..✓� �s--I-� u EXP DATE -1G11'��/� '�•OfR� Fax �W CONSTRUCTION SI2 CONSTRUCTION STI ❑ GARAGE/SHED ��tI2QOF 0 SIDAVG ❑ SWINIMIIVG POOL ❑ ADDI1'ION PAIlt ❑ REMODELING ❑ HOUSE ONLY ❑ HOUSE & GARAGE ❑ ATTACHED GARAGE ❑ DETACHED GARAGE �Soffit ❑ Trim ❑ Fascia WINDOWS IN EXISTING OPENINGS OYes ONo LOCATION OF WINDOWS OR FOR NEW OPENINGS-DESCRIBE SIZE OF OPENING CHANGES & Permit No.: ��;� �-' �;` Received By: Date Rec'd: �' ` �A STATE�LIP,��,3� �' STA'f�� o"ZIP �Sy.3� � DRAIN T1LE ❑ O'fHER WIDTH HEIGHT BASEMENT REMODELING SUBMIT• 1. Fxisting Floot Plan 2. Proposed floor plan 3. List of structural members w be used Ft. FOR NEW CONSTRUCTION INCLUDING DECKS, ADDTfIONS. & PORCHES SUBNIIT• 1. Site Plan/Survey showing the existing structures and proposed project Z. Two sets of construction plans 3. Energy Calculations TYPE OF WINDOW TO BE INSTALLED NUMBER OF WWDOWS � ALL FEES ARE BASED ON VALUATION, INCLUDING THE COST OF LABOR AND MATERIALS; (USING THE 1997 U.B.0 FEE SCHEDULE) TOTAL JOB VALUATION $ ��/ �l� .CR� OCCUPANCY TYPF. Permit Fee Plan Review Fire Surcharge Surcharge License Surcharge SAC Chazge Curb Cut Escrow Erosion Control Park Fee Sewer Main Chazge Total Due $ -a� $ $ � -�' S�' $ s . �� $ �'_C� $ $ $ $ $� 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 Residenrial Contractors) $I550 per SAC Unit (Plans to MWCC for determination) ft+6ft= ftx$21=$ $450 Conservation Plan Review Fee Determined by Engineering Agreement necessary ( ) Non Necessary ( ) Make checks payable to: Citv of Fridlev Attae THIS IS AN APPLICATION FOR A PERMTf-NOT VALID UNTIL PROCESSED I hereby apply for a building permit and I aclaiowledge 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 work is not to start without a permit; that the work will be in accordance with the approved plan in the case of all wor hich requires review and approval of plans. SIGNATURE OF APPLICANT PRINT NAME 4^�"/Yl� ��-ei/ DATE_ S�I " O C� Page 2- Building Residential Application BUILDING PERMIT FEE SCHEDULE The Chief Building Official shall, before issuing permits for the erection of any building or structure, or for any addition to any existing building or structure, or for any alteration or repair to any 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: 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 construction site. 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 City of Fridley Building Inspections Department 6431 University Avenue NE Fridley, MN 55432 763-572-3604 Fax: 763-502-4977 �� Building pI,�BING. Pemut No.: Inspections R.�SID]ENTIA.�L ,A.PPLICATION Received By: 763-572-3604 Cj� OF FR�DLEY Date Rec'd:_ �� '� �� `'�� ' DATE (O ��5�' D,� _ ,�YtOUR E- � ADDRESS 3ITE ADDRESS C� S�i �'/ Vt-v�+ ,NX� /� THIS APPLICANT IS: 0 OWNER ,'�CONTRACTOR PROPERTY H p,ME: �,�,,� ,'� �(y��, OWNER/ ADDRESS: CTfY STATE ZIP TENANT PHONE: CONTRACTOR Nq�: SUBMIT A COPY OF STATE LICENSE t! o''�/ � � ��1 EXP DATE ` l' ��+ YOUR STATE ADDRESS:�3 Y o`t J O�_�?'.c_� � CTTY_� ` S1'ATHl�t�'�_ZIP S^� 3 0( LICENSE WITH PHONE�o/� ��5`/, d8S'' � FAX • APPLICATlON PERNIIT TYPE � SINGLE FAMILY ❑ TWO FANIILY ❑ TOWNHOUSE TYPE OF WORK: ❑ �w �REPLACEN�M DETAILED DESCRIPTTON OF WORK.2'.�yc.�e�.�P�P�L} ,��.�� ,�� D �j �� A PER MS 16B.665 the permit fee is a minimum of 515.00 or 5% of the total cost up to $500.00, whichever is greater, for the improvement, installation or replacement of a residential fixture, excluding the �es. (This should refleet only the cost of labor ) Labor cost under $300 =$15.00. Labor cost between $300 to $500 = cost of labor x.OS = FOR PROJECTS W1�RE LABOR EXCEEDS $500, FEES ARE BASED ON $10.00 PER F[}CT[JRE, EXCEPT WF�RE NOTED. FfXTURES: (INDICATE TOTAL ER OF EACH BELOV� BATH SINK/LAV _FLOOR DRAINS X SHOWER x WATER PIPING ZC BATHTUB _ GAS PIPING f� Cmttc�s� SWIlvIlyIINQ P�L WATER SOFfNER ($35) _ CLOTf�S WASHER _ KTfCF�N S1NK � WATER CLOSET _ BACKFLOW PREV. ($15) _ DISHWASHER _ LAUNDRY TRAY _WATER HEATER ($3� FOR IRRIGATION _ WATFR MEfER OTHER �,� , --,3 Permft Fee . $ 0 Number of fixtures @$10.00 x SI0.00 =$ Surch e .50 Number of fixtures @$15.00 x$15.00 =$ TOTAL DUE $_�.� Number of fixtures @$35.00 x$35.00 =$ State Surcharge = $ .50 Total = $ THIS IS AN APPLICATION FOR A PERMIT-NOT VALID UNTIL PROCESSID I hereby apply for a building permit and I aclaiowledge 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 Conshvction 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 requires review and approval of plans. SIGNATURE OF APPLICANT _/ ��— %� 7� pRINT NAMEI� � t� �1 / 5 S h�Lv� DATE �`�S�^ Q ro �- _ z; City of Fridley Building Inspections Department 6431 University Avenue NE, Fridley, MN 55432 763-572-3604 FAX: 763-502-4977 City of Fridley Building Inspections Dept. Ph: 763-572-3604 FAX: 763-571-1287 6431 University Ave NE Fridley MN 55432 Mechani�cal Pe�,��-��17� . Residentiai Application Gity of Fridley � See Back Side For Required Information Date ��Z7-t� SiteAddress �5�� HiC�nvr.i StY�eP_ t/V� �• - ..�---� he applicant is: roperty Owner., Owner C�ty: State: Zip: Phone: Cell: Fax: Contractor Information Company Name: c5 �/�GL.I'l � Sl2Q,P �t M� �� L � � Corrtact Person: � v�c! a_ � t- N! � i� C'�ty:, Phor _ State: M N z.ip: S5 `13� Cell: Fax: %fo3 --7�'S-�93'7 MN Bond# & Exp Date of Work (circle one): New Detailed Description of work: i� P_ t-� �� YL S. � V P.I Equipment Installed: MFG: Model: 5ize✓BTU: MFG: Modei: Size/BTU: MFG: Model: : Size/BTU: Please check all that apply: _Fireplace (gas) $15.00 _New Gas Grill $10.00 A/C $25.00 _Fireplace (wood) $35.00 _Gas Unit HTR $10:00 _,Air to Air exchanger $15.00 Fumace $35.00 Pool� Heater $35.00 _Boiler $35.00 Gas Dryer $10.00 . Ventilator $15.00 �imney Liner $10.00 Gas Piping $10.00 � � Duct Work $10.00 Gas Range/Oven $10.00 • Permit Fee Surcharge Total Due $ � '��` • �� (Total from above-Minimum fee $35.00) ,� 0.50 $,�� •� CJ Make check payable to City of Fridle� This is an application for a permit• not valid juntil processed I hereby apply for a mechanical permtt and I acknowlsdga that tha nformaUon above is complate and accurate; that the work will be In conformance with the ordinence's d codes of tha City of Fridley and with the Minnesota ConstrucUon Codes; that I underetand thls is n t a perm(t but only an appl(caBon for a permit and work is not to stert without a psrmifi that tha wo wUl be in accordanc€� with the approved plan tn casa of all work which requlres revfew �nd approval of plans. Signature of Approval Inspector Date: - �� r Date: ''� '� Please Note: Separate permits are required for Building, Plumbing, anc� Electrical work 11 �. .S� � J I�/I I /Al�AC REQUIRED INFORMATION NEEDED TO PROCESS PERMIT RESIDENTIAL PERMlT APPLICATION HVAC ❑ NEW HOMES/ADDITIONS �EXISTING HOME ❑ M-AKE-UP AIR REQUIRED FOR NEW/EXISTING HOMES 1. Combustion Air (See note below) a. Oil or solid fuel IMC Cha.pter 7 with MN Amendments` �" -�� -- � b. Natural Gas or Propane/IFGC Chapter 3 wifih MN Amendments 2. Make-up Air (See note below� a. IMC Chapter 5 with MN Amendments 3. Venting a. Gas appliances IFGC Chapter 5 with MN Amendments b. Fuel other than gas IlVIC Chapter 8. with MN Amendments REQUIRED FOR NEW HOMES 4. Heat loss & cooli.ng load per room a. Required on new construction IMC 1346.0312 5. Ventilation a. Per MN Energy Code 7670 or 7672 ___ 6. Duct Design Per IMC 1346.0603.2 a. ACCA Manual D NOTE: Centerpoint Energy Mechanical Code Guidelines software may be used for combustion and make up air calculations