PRE 2010 DOCSIf' LO TION OF UILDING
No. Street art f t
Lot Block Addition or Sub -Di on.� 4�
Corner Lot ._ Inside Lot _ _ Setback Sideyard
Sewer Elevation Fo dation Elevation
DESCRIPTION OF BUILDING
T be U as:
NY%
Front A= Depth �° Height &2Sq. Ft. VWCU. Ft.
Fro t Depth Height Sq. Ft. cu. P't.
Type of Construction �r2a�____ Est. To be Completed
In consideration of the issuance to me of a permit to cons building cribed above I agree to do
the proposed work in accordance with the description above r of
ordinances of the city of Fridley. .
In consideration of the payment of a fee of permit i Y reby granted to
to construct the building or addition as described above. This permit is granted upon
the express condition that the person to whom it is granted and his 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 city limits and this permit may be revoked at any time upon violation of any of the provisions of said
ordinances. 1-1
Building Inspector
NOTICE:
Uh peemh don not cover the construction, hafeMen for w kht& phunbhae, ®es hestin& sower or water. Be wre to we
the MIA* hupecfor for separate pwWb for these heam
OWNER'S
V.
APPLICATION FOR BUILDING PE21EET
CITY OF FRIDLEY, MINNESOTA
LOCATION OF BUILDING
No. 65 Yer�� `4 eu.,ea Street Part of Lot
Lot ��� Block Addition or, Subdivision
r _
Corner Lot Inside Lot Setback Side Yard Ap
SEWER ELEVATION FOUNDATION ELEVATION
Applicant attach to this form Two Certificates of Survey of Lot and proposed build-
ing location drawn on these Certificates.
DESCRIPTION OF BUILDING
To be used as:
s �
Front Height
Sq. Ft. �Cu. Ft.
5
Front Depth
Height
Sq. Ft. Cu. Ft. ire
Type of Construction stimated Cost
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 Ordinances and
rulings of the Department of Buildings, and hereby declares that -.all the facts and
representations stated in this application are true and porrect.
DATE I L®
(Schedule of Fee Costs can be found on the ReveVs $ide).
A
BUILDING PERMIT FEE SCHEDULE
Section 2. The Inspector of Buildings shall, before issuing any permit for
the erection of any building or structure, or. -for any addition to any emist-
ing building or structure, or for any alterations or repairs 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 any fire -proof building, other.
than a garages_warehouse, factory or grain elevator, or for the erection of
any fire -proof addition, for similar occupancy, to any existing building
shall be at the rate of $1.40 for each one thousand cubic feet, or fraction
thereof, in such cubical contents.
2.2. For any such permit for the erection of any fire -proof garage, warehouse,_.
factory or grain elevator, or for the erection of any fire -proof addition,
for:similar-occupancy, to any existing building shall be at the rate of $1.25
for each one thousand cubic feet, classified as "fireproof" by Section 502 of
the Minneapolis Building Code.
HOUSES
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 similar occupancy, to any existing building - permit $1.00 for
each one thousand cubic feet.
GARAGES
2.4. For any such permit for the ereeti^M any non -fireproof garage,
warehouse, factory or grain elevator, ni: fol,-y..':��a �-�F::a icr� of arty nonefirgmoof
addition, •€or --similar occupancy, to ^-. or for each such
building or• addition ninety cent: � ;w ;,90.' f^r each one thousand cubic feet
or fraction thereof, in the cub ice..A. tberec-E with a minimum of $4.00 -.-
For the purpose'of computing fees fc buL*—ding permits, the cubical contents
of any.building or addition to a �lniform b(eIght thr6L&hout by multiplying the
ground area covered from a o . 6 inches belsw the floor.line of.the
basement or cellar to the average height 5 t►.3-u-pder surface or to the
average height of the roof surface of the mai4 gable of a pitched roof.
2.5. For repairs or al erations to an exist
at the rate of $3.00 pe each Five Hdpdred D
thereof in the cost of'.�11 proposed work.
2.6. In 'no case shall the f®e, _charged,, .,for
Section 2 be less. than ,4.00.
fi
- '.
A/
g structure, the fee shall be
Lars ($500.00) or fraction
permit.•a# set forth in
121._,
SUBJECT
P
City ®f Fridley
26 7
AT THE TOP OF THE TWINS
BUILDING PERMIT
T
r
1,
-REICIEIPT NO.
e
______ COMMUNITY DEVELOPMENT DIV.
1 ~ I PROTECTIVE INSPECTION SEC.
e-116
r
1116
1 e I
NUMBER
REV
DATE
PAGE OF
APPROVED BY
CITY HALL FRIDLEY 55432
612-571-3450
9t0 -F15
7/29/98
JOB ADDRESS
6300 Van Buren St
1 LEGAL
LOT NO.
BLOCK
TRACT OR ADDITION
SEE ATTACHED
DESCR.
14,15
5
Florence Park Addn. to Fridley
SHEET
2 PROPERTY OWNER MAIL ADDRESS
ZIP
PHONE
Troy Lenzen
571-3216
3 CONTRACTOR MAIL ADDRESS
ZIP
PHONE LICENSE NO,
Four Seasons RoQfInC& Remodeling 7910 11njvPrg1t3,z
Ave Pridlplz
795-9410
AFICHITECT OR DESIGNER MAIL ADDRESS
ZIP
PHONE LICENSE NO.
20138780
5 ENGINEER MAIL ADDRESS
ZIP
PHONE LICENSE NO.
8 USE OF BUILDING
Residential
7 CLASS OF WORK
❑ NEW ❑ ADDITION ❑ ALTERATION X REPAIR
❑ MOVE ❑ REMOVE
8 DESCRIBE WORK
Reroof house and garage 27 5 Tear -off
9 CHANGE OF USE FROM
TO
STIPULATIONS
Underlayment must comply with
State Building Code.
TYPE OF CONST.
OCCUPANCY GROUP
OCCUPANCY LOAD
SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING,
VENTILATING OR AIR CONDITIONING.
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION
ZONING
SO. FT.
CU. FT.
AUTHORIZED IS NOT COMMENCED WITHIN 80 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
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
WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT
2251
$1.12
DOES NOT , ESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE
PERMIT FEE
SAC CHARGE
PROVISION OF ANY ER TATE OR LOCAL LAW REGULATING CON.
STRU TIO OR THE RFO ANCE OF CONSTRUCTION.
74.75
Fire SC $2.25
PLAN CHECK FEE
License 5.0
FEE
TX83.12
SIGNATURE OF CONTRA OR OR AUTHORIZED AGENT 05ATEP
000lWyWNP OPE E THIS I$ YO _
SS _
/W
e. ' 9L NSP
.
C
PATE
SIGNATURE OF OWNER OF OWNER BUILDER) IDATEI
trrEW [ ] Effective.1/1/98
:,DDN[ ] f .;CdY*OF,FRIDLEY
ALTER [ ] SZN(jLE FAMILY, AND DUPLEXES. R=1 AND R 2
BVILDING'PERMIT A.PPLICA�I, ;4
tl�:t''b.rzt6'4�
"'AAYF+`,y;'i�'r.X,a
ConstructionAddress
Legal Description:
Owner Name & Address:1-V-0 � � � � � Tel.' #i,,57/-32 /,�--
Contractor: go (1 r- reCc.s '4� 04;j nae a hO .w►ve tig MN LICENSE#
:'address: '1 Cl 3 d (1 � cy e.r �,t.�u7 _.� u �_ ALL E=141,"
Attach to .this"applicatibi* a! Certificate of Survey of the
lot, with'die"proposed, construction.drawn of •'_it,to. scale. .
DESCRI TION, OF . MROVEMENT
LIVING AREA: Length Width 'Height Sq. Ft.
C� UGE AREA: Length Width Height Sq. Ft.
DECK AREA: Length
/f Width Hgt/Grouund Sq. Ft.
OTHER:a
•tb 1TJ{
Construction Type: P, Estimated Cost: $
(Fee Schedule. on
Driveway Curb Cut Width Needed: Ft'. --'+t6 Ft - Ft x $ _ $
lllATE: - o�-�b A'PX.YCA1dTT: Tel:'
ax" USE •' ONLY- t ..',,�s,���•t `,
1vy�. � e 71.. +� �l.`�k�Ya �a�.''`'T `..s i�v, •7��.�n �. 't
�j yytp 1,'i arf 4�e}t.�:l,i��M d :.tuA. �.'..I � .<�3 '� t.9gJ��'`�i�,�5 t r atirjyiu`�Yt•.,.
Permit Fee $ / Fee Schedule. on Reverse Side
,
Fire Surcharge $ .�01`of.PermitNaluition (1/10th
State Surcharge $ / $.50/$1;040 Valuation
SAC Charge::,_ $ :� , ,$]OOO�per SAC Unit.`hyy::
J+ .. '� r 4 ,..33r4+q!ap,.•, .�. A e.�n;:fF t A'iFAaA
License Surcharge tate I $ ' $5:00(SLicensed. Reslde" Conga t OVA
t ... T M t ✓ 9^�
Lln Vyi � kb�ii Vf T 7 a tl ltiv: L. �(l1�F r�
Driveway Escrow ¢` "; k °
$ T= .•.� , s,$,�,'A" or Alt: B Above,
Y �'� "°"• t,r •'s a.: ? sG°�Nr
Erosion Control ` r as;a�d & {�Q�'p�i}'/��pPp5 ..QO Clot ry tlonrP an �R�;e�.•ya�iew
,J. k•� ,'®'lP.a.'�•%r�•.tiNAS2 •++[�stFY�.;��)`aj�
Park Fee $ -�h Fee Determined by Engirieenng .: , t h ,
Sewer Main' Charge $ `� ;"Agreement .Necessary . [..] .,.Nott
TOTAL:.
4 :. t+r :�ri 'i}r�•t��y[iy
`t • , �'Yµg+q.a:•?,i A -.1 1 . x . t'r a , T i '.l. �j)it gg {� � {' r� r� p9l1hT::, i
STIPULATIONS:
srT
IPULATIONS. � ���},
t t3��
fit,
SUBJECT
City of Fridley
r3r3778O
AT THE TOP OF THE TWINS
P,
BUILDING
PERMIT
Ir
RECEIP NO.
1._____ COMMUNITY DEVELOPMENT DIV.
i tr
r � PROTECTIVE INSPECTION SEC.
�
1 • �
NUMBER
REV
DATE
PAGE OF
APPROVED BY
CITY HALL FRIDLEY 55432
763-571-3450
910-F15
8/8/03
JOB ADDRESS 6300 Van Buren Street NE
I LEGALLOT
NO.
BLOCK
TRACT OR ADDITION
SEE ATTACHED
DESCR.
14,15
5
1 Florence Park Addition
SHEET
2 PROPERTY OWNER MAIL ADDRESS
ZIP PHONE
Tony Lenzen 6300 Van Buren Street NE
763-425-4737
3 CONTRACTOR MAIL ADDRESS
ZIP PHONE LICENSE NO
Twin City Exterior 9060 Zachary Lane N, Maple Grove, MN 55369 763-425-4737 2535
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
❑ NEW ❑ ADDITION ❑ ALTERATION REPAIR ❑ MOVE ❑ REMOVE
6 DESCRIBE WORK
Reside house & garage
9 CHANGE OF USE FROM TO
STIPULATIONS
Per Section 1402, 1997 Uniform Building Code, requires that a weather resistive
barrier be placed over exterior sheathing to protect the interior wall covering.
Exceptions for this provision would be if sheathing is an approved weatherproof
panel or when the siding is an approved weather barrier. Vinyl siding is not
a weatherproof covering unless the manufacturer states this in their application
guidelines. Call for inspection of wrap before covering or take pictures. Caulk
and flash all exterior openings.
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
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
WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT
$7,000
$3.50
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 $7.00
ST CTION OR THE PERFORM E O TRU CT N
$139.25
PLAN CHECK FEE
TOTAL FEE
Lic nse SC
$5.00
$154.75
SSG a OF CO 'RA O R AUT«ORS GEN i0
SYOR PERMIT
MEN PROPERLY VALIDATED THIS I%/\
_
S.GNaTURE OF OWNER .,• OWNER BUILDER, iDATE-
LDG INSo
E
NEW [ l
ADDN [ J
ALTER ( J
..Construction Address:
CITY OF FRIDLEY Effective 1/1/2003
6431 University Ave NE, Fridley, MN 55432 (763) 572-3604 Bldg Insp
SINGLE FAMILY AND DUPLEXES R4 AND R-2 (763) 5714287 Fax
BUILDING PERMIT APPLICATION
Legal Description:
Owner Name & Address:
Contractor. ABC SEAMLESS/TWIN CITY EXTERIOR
Tel. #
MN LICENSE # 2535
Address:9060 ZACHARY LANE N MAPLE GROVE 55369 Tel.#
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 Sq. Ft.
OTHER:
Construction Type: Ag.s ID.E Estimated Cost: $
763-425-4737
Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ _ $
DATE: APPLICANT: Tel. #
Call (763) 572-3604 for Permit Fees if mailing in ap kation. Fax to 763-5714287 if using credit card and we will
call you for card number.
CITY USE ONLY -
Permit Fee
Fire Surcharge
State Surcharge
SAC Charge
License Surcharge
Curb Cut Escrow
Erosion Control
Fee Schedule on Reverse Side
.001 of Permit Valuation (1110th%)
$.50/$1,000 Valuation
$1275 per SAC Unit
$5.00 (State Licensed Residential Contractors)
Alt. "A" or Alt. "B" Above
$450.00 Conservation Plan Review
Park Fee $ Fee Determined by Engineering
Sewer Main Charge $ Agreement Necessary [ ] Not Necessary [
TOTAL$ 42, T6
BUILDING PERNIIT 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 $23.50
$501 to $2,000 $23.50 for first $500 plus $3.05 for each additional $100 or
fraction thereof, to and including $2,000
$2,001 to $25,000 $69.25 for first $2,000 plus $14.00 for each additional $1,000
or fraction thereof, to and including $25,000
$25,001 to $50,000 $391.25 for first $25,000 plus $10.10 for each additional $1,000
or fraction thereof, to and including $50,000
$50,001 to $100,000 $643.75 for first $50,000 plus $7.00 for each additional
$1,000 or fraction thereof, to and including $100,000
$100,001 to $500,000 $993.75 for first $100,000 plus $5.60 for each additional
$1,000 or fraction thereof, to and including $500,000
$500,001 to $1,000,000 $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
$1,000,001 and up $5,608.75 for the first $1,000,000 plus $3.15 for each additional
$1,000 or fraction thereof
CURB CUT ESCROW
(Concrete Curb Streets Only)
Removal and replacement of curb and gutter only - driveway width plus 6 feet times $17.00.
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.
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 (louses Only