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PRE 2010 DOCSSUBJECT PERMIT City of Fridley ®12659 AT THE TOP OF THE TWINS PERMIT BUILDING RE • COMMUNITY DEVELOPMENT DIV. r ; L-------; PROTECTIVE INSPECTION SEC. NUMBER REV. DATE PAGE OF APPROVED BY CITY HALL FRIDLEY 55432 "'-•'� ,`J 612-560-3450 910-F15 7/31/74 JOB ADDRESS 6271 Van Buren Street N.E. 1 LEGAL LOT NO. BLOCK TRA CT OR ADDITION SEE ATTACHED DESCR. 6 1 Shorewood Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE John Lopicka 6271 Van Buren Street N.E. 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Same 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAILADDRESS ZIP PHONE LICENSE NO. 6 USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW ❑ ADDITION ❑ ALTERATION REPAIR. ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Re-roof structure 9 CHANGEQFUSEFROM TO STIPULATIONS SEPERATE PERMITS REQUIRED FOR WIRIN , HEATING, . PLUMBING AND SIGNS. TYPE OF CONST. OCCUPANCY GROUP OCCUPANCYLOAD SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, VENTILATING OR AIR CONDITIONING. Asphalt THIS PERMIT BECOMES NULL. AND VOID IF WORK OR CONSTRUCTION ZONING SQ. FT. CU. FT. AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, 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 ISTALLS 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. $SOO.00 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT .5O DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PERMIT FEE SAC CHARGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- $S.00 STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. PLAN CHECK FEE TOTAL FEE $ .50 ,. SIGNATURE OF CONTRACT ORAUTHORIZ AGENT - (DATE) PROPERLY VALIDAT T S S YOU PERMIT H ' ' s SI ATURE OF OWNER IIF OW R BUILDERI (DATE) BLDG INSP DATE APPLICATION FOR RESIDENTIAL, ALTERATION, OR ADDITION BUILDING PERMIT CITY OF FRIDLEY, MINNESOTA. OWNER'S NAME: CF'0'_Z� L BUILDER: ADDRESS: (4,2 7 % V St, ADDRES S : NO:. STREET: f / LOT: BLOCK: CORNER LOT: INSIDE LOT: SETBACK: SIDEYARD: Applicant attach to this form Two Certificates of Survey of Lot and proposed building location drawn on these Certificates. DESCRIPTION OF BUILDING To Be Used As: -t, Front : Depth: Height: Square Feet: Front: Depth: Cubic Feet: Square Feet; Cubic Feet: Height: Type of Construction: Estimated Cost: $ -!5- a, O �r To Be Completed: The undersigned hereby makes application for a permit for the work herein specified, agreeing to do all work in strict accordance with the City of Fridley Or and rulings of the Department of Buildings, and hereby declares that all the facts and representations stated in this application are true and correct. DATE: SIGNATURE: (See Reverse Side For Additional Information.) r 'BUILDING PERMIT FEE SCHEDULE SECTION 2. The Inspector of Buildings 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 repairs 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 -sot forth and in the manner herein provided to -wit: UNIFORM BUILDING CODE: Type 1, 2 & 4 - $2.15 for each one thousand cubic feet, or fraction thereof, in such cubical contents. Type 3 & 5 - $1.85 for each one thousand cubic feet. ADDITIONAL INFORMATION For the purpose of computing fees for building permits, the cubical contents of any building or addition, is determined by multiplying the ground area covered from a point six (6) inches below the floor line of the basement or the cellar to the average heights of the upper surface or to the average:- height of the roof surface of the main gable of a pitched roof. For repairs or alterations to an existing structure, the fee shall be at the rate of $3.00 per each five hundred dollars ($500.00) or fraction thereof in the cost of all proposed work. In no case shall the fee charged for any permit as set forth in Section 2 be less than $5.00. VERIFICATION OF FOUNDATION NOTE: 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 Certified Survey of the lot, showing the location of the foundation, once it has been constructed, will be required before proceeding with the framing. CERTIFICATE OF OCCUPANCY Application for a Certificate of Occupancy shall be made ten (10) days prior to the use or occupancy of any structure for which a building permit has been issued; and said structure shall not be used or occupied until a Certificate of Occupancy has been issued. 4 CITY OF FRIDLEY APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION, REFRIGERATION AND .AIR CONDITIONING SYSTEMS AND DEVICES PARTIAL RATE SCHEDULE GRAVITY WARM AIR: Furnace Shell & Duct Work Replacement of Furnace Repairs & Alterations -up to $500.00 Repairs & Alterations each add. $500.00 MECHANICAL WARM AIR: Furnace Shell & Duct Work to 100,000 BTU each add. 50,000 BTU Replacement of Furnace Repairs & Alterations -up to $500.00 Repairs & Alterations each add. $500.00 STEAM OR HOT WATER SYSTEM: Boiler & Lines up to 100,000 BTU each addn. 50,000 BTU Boiler only up to 100,000 BTU each addn. 50,000 BTU OIL BURNER- to 3 gal. per hour each add. 3 gal. per hour GAS BURNER- from 100,000 BTU to 199,999 BTU (over 199,999 BTU see Fee Schedule) GAS FITTING FEES: RATE $12.00 7.00 7.00 4.00 TOTAL $12.00 $� 4.00 $ 7.00 $ 7.00 $ 4.00 $ $12.00 $ 4.00 $ 7.00 $ 6.00 $ $10.00 10.00 $10.00 1st 3 Fixtures x $ 3.00 $ �' Additional Fixtures x $ 1.00 $ Gas Range to 199,000 BTU x $10.00• $ AIR CONDITIONING $ FAN HEATING SYSTEMS See Fee Schedule $ VENTILATING SYSTEMS ALTERATIONS & REPAIRS $ State Surcharge $ .50 TOTAL FEE $ ROUGH INSP. FINAL INSP. REINSPECTION FEE Date ($10.00) Pare APPROVAL FOR PERMIT a MINIMUM FEE FOR ANY HEATING PERMIT IS $7.50 PLUS $.50 STATE SURCHARGE Job AddressC��8 Department of Buildings City of Fridley Tel. #571-3450 The undersigned hereby makes application for a permit for the work herein specified agreeing to do all work in strict accordance with the City Codes and rulings of the Department of Buildings, and hereby declares that all the facts and representations stated in this application are true and correct. OWNER KIND 0 Fridley, Minn. '_rV -7/ , 19 ZF USED AS TO BE COMPLETED ABOUT �d ESTIMATED 'COST OLD -yNEW BUILDING PERMIT NO. PERMIT NO. DESCRIPTION OF FURNACE/BURNER HEATING or POWER PLANTS, Steam, Hot Water, Warm Air -y No. Trade Name � .1'L_1, - Size No. -&0 00 r Capacity Sq. Ft. EDR BTU HP d . Total Connected Load Kind of Fuel BURNER - Trade Name ��e h �� Size No. S� GSA Capacity Sq. Ft. EDR �t BTU HP Company44 A Signed By Tel. No. 1 CIlYOF FRIDLEY FRIDLEY MUNICIPAL CENTER • 6431 UNIVERSITY AVE. N.E. FRIDLEY, MN 55432 • (612) 571-3450 • FAX (612) 571-1287 January 12, 1998 Northern Sun Builders 772 Mississippi St NE Fridley, MN 55432 Re: Construction Without Obtaining a Building Permit (Bay Window at 6271 Van Buren Street NE, Fridley, MN) Dear Sirs: According to Section 106.1 of the 1994 Uniform Building Code as adopted by the City of Fridley, no building or structure regulated by this Code shall be erected, constructed, enlarged, altered, repaired, moved, improved, removed, converted, or demolished unless a separate permit for each building or structure has first been obtained from the Building Official. You have been notified of your need to obtain a building permit and have failed to comply as of today's date. As a result, a special investigation fee will now be added to the permit, equal to the permit fee. The City of Fridley will give you 30 days in which to comply before turning this matter over to the City Attorney for his legal consideration. Please contact me at 572-3603 if you have any questions on this matter. Sincerely, BARRY IESCH Building Inspector BR/mh City Fridley sueJEcr ,: `PERMIT NO' of 25777 AT THE TOP OF THE TWINS BUILDING PERMIT '� r RECEIPT NO. 4' ----- COMMUNITY COMMUNITY DEVELOPMENT DIV. PROTECTIVE INSPECTION SEC. r M15"t CITY HALL FRIDLEY 55432 NUMBER REV DATE PAGE OF APPROVED BY L J\ 612-571-3450 910415 1/28/98 JOB ADDRESS 6271 Van Buren Street NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 6 1 Shorewood Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Janet Lopicka 6271 Van Buren Street NE 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Northern Sun Builders 772 Mississippi St NE, Fridley, MN 55432 6526 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 572-9249 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO. 6 USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW ❑ ADDITION j7 ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 6 DESCRIBE WORK Install bay window in living room - existing opening 9 CHANGE OF USE FROM TO STIPULATIONS Install smoke detectors to meet the State Building Code. SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD VENTILATING OR AIR CONDITIONING. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING SO. FT. CU. FT. AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, 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 ISTALLS 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 $.84 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT $1,685 DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PERMIT FEE Inv. Fee SAC CHARGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- Fire SC $1.68 STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. $54.00 $54.00 PLAN CHECK FEE TOTAL FEE License SC $5.00 $115.52 SIGNATURE OF A ORIZEDAGENT IDATEI WHEN PROPERLY ALIDAT D THIS IS YOUR PERMIT r BLD INSP n o-_ DATE SIGNATURE OF OW NER iiF OW NER BUILDERI (DATE) NEW [ ] Effective 1/1/98 ADDN [ ] CITY OF FRIDLEY ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION 5'� 7 ConstructionAddress:_�aZ Legal Description: -Z6 � ��- Owner Name & Address:Tel. # Contractor: a, Y— MN LICENSE #��� Address: i Tel. # Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF E%IPROVEMENT LIVING AREA: Length Width Height Sq. Ft. GARAGE AREA: Length Width Height Sq. Ft. DECK AREA: Length Width Hgt/Ground Sq. Ft. OTHER: r Construction Type: 'aLikll,� c,. Estimated Cost: $ (Fee Schedule on Back) Driveway Curb Cut Width Needed: Ft. + 6 Ft = A/P �' f -1 0 Ft x $ 399 DATE: APPLICANT: Tel. Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control SV, CITY USE ONLY �e $ 57.00 Fee Schedule on Reverse Side $ c° .001 of Permit Valuation (1/10th%) $y�'`/ $.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 Park Fee $ Sewer Main Charge TOTAL . STIPULATIONS: Fee Determined by Engineering Agreement Necessary [ ] Not Necessary [ ] 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: TOTAL VALUE FEES $1 to $500 $21 (Minimum Fee is $21 plus surcharge) $501 to $2,000 $21 for first $500 plus $2.75 for each additional $100 or fraction thereof, to and including $2,000 $2,001 to $25,000 $62.25 for first $2,000 plus $12.50 for each additional $1,000 or fraction thereof, to and including $25,000 $25,001 to $50,000 $349.75 for first $25,000 plus $9.00 for each additional $1,000 or fraction thereof, to and including $50,000 $50,001 to $100,000 $574.75 for first $50,000 plus $6.25 for each additional $1,000 or fraction thereof, to and including $100,000 $100,001 to $500,000 $887.25 for first $100,000 plus $5.00 for each additional $1,000 or fraction thereof, to and including $500,000 $500,001 to $1,000,000 $2887.25 for the first $500,000 plus $4.25 for each additional $1,000 or fraction thereof, to and including $1,000,000 $1,000,001 and up $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 constructed will be required before proceeding with the framing. su9JEti;; PERMIT NO. City of Fridley '�` 1 AT THE TOP OF THE TWINS PERMIT BUILDINGP � RE CEeIP�T NO. _ _ COMMUNITY DEVELOPMENT DIV. `L ------ INSPECTION SEC. r :PROTECTIVE E . , CITY HALL FRIDLEY 55432 NUMBER pEv DATE PAGE OF APPROVED By J` 612-571-3450 910415 7/12/00 / / JOB ADDRESS 6271 Van Buren NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 6 1 1 Shorewood Addition SHEET 2 PROPERTY OWNER MAIL ADORE" ZIP PHONE Janet Lopicka 6271 Van Buren 571-0033 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Steve Lee Contr. 9465 Irving Ave. No. Brooklyn Park MN 55444 424-1198 5758 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO 6 USE OF BUILDING Residential 7 CLASS OF WORK O NEW O ADDITION O ALTERATION INX REPAIR O MOVE O REMOVE 8 DESCRIBE WOR'Tear Off and Reroof House $ Garage 20 sq.. 9 CHANGE OF USE FROM TO STIPULATIONS Underlayment must comply with the State Building Code. SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING. HEATING, TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD VENTILATING OR AIR CONDITIONING. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING SO. FT CU FT AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS. 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 ISTALLS 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 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT $1,748.00 $.87 DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PERMIT FEE SAC CHARGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- Fire SC $1.75 STRUCTION OR THE PERFORMANCE OF CONSTRUCTION $63.15 PLAN CHECK FEE TOTAL EE License C $5.0 0.77 SIGNATURE OF CON'RACTOR OR AUTHORIZED AGENT IDATEI EN ROPE LOATE MIS 1 UR P 'RMIT S-GNATURE OF OWNEROF OWNER BUILDER. IDATEI Bl INSP nATE NEW [ ] Effective 1/1/2000 ADDN [ ] CITY OF FRIDLEY (763) 572-3604 Bldg Insp ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 - �� BUILDING PERMIT APPLICATION 0 � Construction Address: � �. 7 f V cam. 1, Legal Description: Owner Name & Address: �o-ti �• o �-%C� Tel. # ��� "ZI Contractor. 9— MN LICENSE # Y— 7 -�� Address: `l :�, r �'�^� Tel. # X67'k Attach to this application, a Certificate of Survey 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 OTHER:�— Construction Type: r �= � 1�e-'� � Estimated Cost: $ �/�7" 10 Driveway Curb Cut Width Needed: Ft + 6 Ft = Ft x $ —=$ DATE: 7— `;;,2- — �-APPLICANT: J �—�� �� Tel. # /','--zy— — ,1 /-,' CITY USE ONLY - Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Call (7633) 572-3604 for Permit Fees if mailing In application $ �3 C Fee Schedule on Reverse Side .001 of Permit Valuation (1/10th%) $ $.50/$1,000 Valuation $ $1100 per SAC Unit $• D $5.00 (State Licensed Residential Contractors) $ Alt. "A" or Alt. "B" Above $_ $450.00 Conservation Plan review Park Fee $ Sewer Main Charge TOTAL STIPULATIONS: $ 1) Fee Determined by Engineering Agreement Necessary [ ] Not Necessary [ ] 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: 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 $23.50 $23.50 for first $500 plus $3.05 for each additional $100 or fraction thereof, to and including $2,000 $69.25 for first $2,000 plus $14.00 for each additional $1,000 or fraction thereof, to and including $25,000 $391.25 for first $25,000 plus $10.10 for each additional $1,000 or fraction thereof, to and including $50,000 $643.75 for first $50,000 plus $7.00 for each additional $1,000 or fraction thereof, to and including $100,000 $993.75 for first $100,000 plus $5.60 for each additional $1,000 or fraction thereof, to and including $500,000 $3,233.75 for the first $500,000 plus $4.75 for each additional $1,000 or fraction thereof, to and including $1,000,000 $5,608.75 for the first $1,000,000 plus $3.15 for each additional $1,000 or fraction thereof DRIVEWAY DEPRESSION ESCROW (Concrete Curb Streets Only) Alternate "A": Removal and replacement of curb and gutter only - Driveway width plus 6 feet times $15.50. Alternate "B": Removal and replacement of curb and gutter and install a 3 foot wide approach with 6 inch depth - Driveway width plus 6 feet times $23.25. VERIFICATION OF FOUNDATION Permits for construction will be issued a minimum of 24 hours from the time of application to allow for proper review of the proposed structure and of the construction site. A Certificate of Survey of the lot, showing the location of the foundation once it has it has been constructed will be required before proceeding with the framing. New Houses Only