PRE 2010 DOCSWO W TWT W.. T AIN l.'TI'a\' .
Vi .age of Fridley, Minn. � • '2278
rt
Date
Owner
..
Address
........
,T
- - % -
Budder
� �J
'� : Address
No. �1:
LOCATIPJW OF BUILDING
Street . e ...... .. . Part of Lot .
Lot ............
Corner Lot .......
Block ................. Addition or Snub -Division .IIS. ........................
Inside Lot i ..... Setback � 3� Sideyard . ...... .. ........
DESSCRIPTIONOF BUILDING
To Used as:
-
...
Front .14.. Depth '. Hei ht ....... Sq. Ft. '� Cu. Ft .......
.....................
cont ... , ; . _..- Depth':....... Height ° ......... i . Sq. l t......... Cu. Ft. .
Type of Constructio
.... Esta Cost ...... To be Completed ..........
In consideration of
fill
the issuance to me of a permit to construct the building d1 cribed above, I agree to.do
prop
the proposed work in
ordinances of the villf
description
accordance with thedescri Ex. on a'b;ove set forth and, in compliance with all provisions of
ge of Fridley.
t •
In consideration of
.. .....................
the express condition
done in, around and u'
Fridley,' Minnesota regarding
in the village limits
ordinances.
the payment of.a fee of $. ...:: , Permit is hereby granted' t .::� . , .. ....:..' ....
` to construct the building or addition as described above. This permit is.. granted upon
at the person to whom it is granted and his agents,: employees and workmen, in all work
n said building, or any part thereof, shall conform in all respects to the ordinances of
location, construction, alteration; maintenance,; repair and moving of buildings with-
d this permit may be revoked ab any time upon violation of any of the provisions of said
d ... .... Building Inspector
LOA 11
NOTICE:
•�} �1 �
r,�•., � ..
This permit do
not cover the construofon, 'installation or alteration for wiring, plumbing, gas heating,
sewer or water. Besure
to seethe Building Inspector for separate permits for these,items.
1 M311 MR- �71 77M
GRAVM WARK AM RATIM TOTAL
Furnace SbeH & Det W ... .... .. $10.00 $—
Replacement of Furnace 5.00
Repairs & Alterations --up to $Sd0.00 &00 $--- - —
Repairs & Alterations each add. 5500.00 3.00
$1000 $_
3.013 $
$.00
6.00 $L
3.110 $ _._
Furnace Shell & Lines—to 400 sq. ft. KDR Steam
$10.00
$ ---- _
Furnace Shell & Line—to 640 sq. ft. EDR Hot Water
10.00
S.
Each add. 200 sq. ft. EDR Steam
Xon
$
Each add. 320 sq. ft. EDR Hot Water
3.00
®1L BURIM—to 3 gal- per hour
too
over 3 gal. per hour—See Pee Schedule
&M $ A-, P-10
NO RATE TOTAL
- x$ zoo $ --
_ x .7E $ -
_
IN
City of Fridley:
The undersigned hereby makes application for a permit for the work herew,
specified, agreeing to do all work in strict accordance with the City ,
and ruling of the Department of Buildings, and hereby declares that all the fade
and representations stated in this application are true and correeL
Fridley, Mnn A 7 01R
Owner
Kind of Building..
Used a3 - __--
To be completed about .. -)I,. ..._c 7-Y
Estimated Cost, $
Old—New. Building Permit No. _— Pormit No. CS -9.2 _
t
HEATING or Biot Water, Warm Air—Nd—
Trade
ir NoTrade Name gine No /� /
Capacity—. Sq' Ft E.D.R Bru xx.
Total Connected Land 113nd of Fbel
BUR1YER — Truk Na* give tom_
rr
c-
c /y/
SUBJECT -
PER
City ®f Fridley-15
2 81
AT THE TOP OF THE TWINS
BUILDING PERMIT
r
RECEIP .
• COMMUNITY DEVELOPMENT DIV.
INSPECTION SEC.
r PROTECTIVE
1 �
i CITY HALL FRIDLEY 55432
NUMBER
REV.
DATE
PAGE OF
APPROVED BY
L 612-571-3450
910-F15
6/25/79
JOB ADDRESS 6325 Van Buren Street N.E.
1 LEGAL
LOT NO.
BLOCK
TRACTOR ADDITION SEE ATTACHED
DESCR.
19,20
6
Florence Park SHEET
2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE
Dean Saba 6325 Van Buren Street N.E. 571-1953
3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO.
Land raff Construction 521 - 53rd Avenue N.E.
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
Constmmt a 151611 x t Addition
9 CHANGE QF USE FROM TO
=1212111= manumi:
STIPULATIONS
HEATING, PLUMBING AND SIGNS.
c
ex t n
paR U.
WFAUMNIV
1181m d1aft W1 Itldt u litie� - "
MUIONE. JUCTIM - GAS Etc.
REQUIRED BY LAW,
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 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
�'
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
$7x850
$3.93
WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT
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-
$48.00
NONE
STRUCTION OR THE PERFORMANCE OF CONSTRUCTION.
PLAN CHECK FEE
TOTAL FEE
$12.00
$63.93
SI ATUREOFCONTRACTORORA ORIZE GENT (DATE)
-,
WHAEN, nPROP/E'�RpL�Y VALIDATED THIS IS YOUR PERMIT
A d� 0.P( l iL W
BLDG WSP I OAT
SIGNATURE OF OWNER OF OWNER BUILDERI (DATE) 0'
CITY OF FRIDLEY
APPLICATION FOR RESIDENTIAL BUILDING PERMITS
(New, Alterations, Additions, or Repairs)
OWNER:
091
ADDRESS:,5-.16/6
5- h .
TEL NO: S'%I — I9'S' 3
BUILDER:
ADDRESS: S�';Z
TEL NO:
Construction Location
STREET NO: ilt 3 2-5 STREET:
LOT: J2 aO BLOCK:
Corner Lot: Inside Lot:
ADDITION:
Setback: Sideyards:
Applicant attach to this form two Certificates of Survey of lot and
proposed building location drawn on certificates to scale.
DESCRIPTION OF CONSTRUCTION
L'bo(I , /,5 - Depth: Height: ¢
Squane.Feet: Cubic Feet: a 7 ?®
Front:
Depth: Height:
Square Feet: Cubic Feet:
g:50
Type of Construction: Estimated Cost: $ ,
To Be Completed: die 7
Alt. A Alt. B
Proposed Driveway Width If New Opening Is Desired: $ $
SEE REVERSE SIDE OF SHEET'
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 correct.
DATE: 6 .2� SIGNATURE:
Stipulations:
pev- r 8 X 6" L/g.,t00
.17 .60
03.9'3
A
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 set forth and in the manner herein provided to -wit:
NEW CONSTRUCTION: Single family Homes and Garages: $4.00/1,000 cubic feet.
PLAN CHECK: 25 percent of building permit fee.
DRIVEWAY DEPRESSION: (Concrete Curb Streets Only)
Alternate A: Removal and replacement of concrete curb and
gutter only; Driveway width plus 6 feet x $15®75
Alternate B: Removal and replacement of concrete curb and
gutter and install a 3 foot wide approach with
6 inch depth; Driveway width plus 6 feet x $17.85
;11 1 1 1' Il
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 pier 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 $7.50 plus $.50 state surcharge.
.1 1 1 11: 1
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 Certificate of Survey of the lot, showing the location of the foundation once it
has been constructed will be required before proceeding with the framing.
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.
EXTERIOR ENVELOPE AVERAGE "U" COMPUTATION
.l
A �
OWNER:
SITE ADDRESS: (j 3
CONTRACTOR:
Page 1 of 4
DATE.
PHONE: S-( ® — S P-2
Determine working square footage of each
1. Total exposed wall area...... sq. ft. x .17 q77,5
2. Toal roof/ceiling area ...... �� sq. ft. x .05
Total exposed wall area above floor = _za�
a. Total wall window area......... ...................... 31, "
b. Total door area ....................................... 17,77
C. Total sliding glass door area .........................
d. Total fireplace wall area .............................
e. Total wall framing area (average 10%
f. Total rim joist area ..................................
g. wall area above floor .......................... ^ L3 -1,
h. wall area above floor .......................... '
i. wall area above floor ..........................
j. wall area above floor ..........................
Total exposed foundation area =_
k. Total foundation window area ...........................
1. Total net foundation area above grade ................. 34
Determine "U" value of each wall segment
(e.g. window, door, each separate wall section)
a. - 3 It ?5' X
b. ! ® X
C. ® X
d. Q X
e.X
f. '%f°, %.- X
g. �s-3.7X
h.
fluff
„U„ ® _
fluff �1 =
flu„ _ g , 5-3,5-
fluff
- 3,5 -fluff los-6 13, ° 42
X "U"
i. X "U" _
j. X "u" _
k. X fluff _
1. X fluff _
3 . ........ Total
If item #3 is the same as,
or less than item #1, you
have met the intent of
SBC 6006.(c) 2.
Exterior Envelope Average "U" Computation Page 2 of 4
Total exposed roof/ceiling area = .�
m. Total skylight area .............................
n. Total roof/ceiling framing area (average 100)... 3 3
o. Total net insulated roof/ceiling area...........
Determine "U" value for each roof/ceiling segment
M. rX fluff
_
4 ........................... Total =
•If total of #4 is the same as, or less than #2, you have met the intent of
SBC 6006 (c) 1.
Alternate Building Envelope Design
To utilize the total envelope system method, the values established by the sum of
items #3 and #4 shall
-not be greater than the sum of items #1 and #2.
1 + 2.
3. _�'i� .33 2, + 4. 1�®l�'� = f! F7
WALL SECTIONS
NOTE: Use 10% of opaque wall area for
frame construction
I} z .
3
WALL -----�
FIG: ##1 TO fW Ell OF
F.RWM UALL
JG. ##3
a t
Page 3 of 4
Construction R -Value
1.
Interior air film
0.68
2.
jS
1.
3.
0.68
a1
6
4.
��
a
5.
3.
e Z11 A
6.
Exterior air film
. 0.17
Total � (�-
1. Interior air film 0.68
2.r
3.
4. ' df
5. i 'Y®
6. Exterior air film n i17
1. Interior air film
2.
3.
4.
5.
6. Exterior air film
Total 7®7
0.17
Total /7 . � I
Total -
• f
V • /
�E
pct • � • � /<t^ l .
FSG. ##4 - /1t
(t(} x� x
• /t � - t « - lir
NOT)'.: Indicate type, "?Z° 'value, depth and
placerient of instilation.
jS
1.
Interior air film
0.68
a1
6
2.
��
f
3.
4.
5.
6.
Exterior air film
0.17
Total -
• f
V • /
�E
pct • � • � /<t^ l .
FSG. ##4 - /1t
(t(} x� x
• /t � - t « - lir
NOT)'.: Indicate type, "?Z° 'value, depth and
placerient of instilation.
• ROOF/CEILING
• VERT �! ..•. � E �._�
Vented Heat flow
up
FIG. #5
Heat flot•7 up ;"vented
..Fir. #6 .....
• e nom.
I Z .
• NO�t--4iIv7T�0 . � . •
Hent
f low up
PPG. 67
Page 4of4
Construction R -Value
1. Interior air film 0.61
2.
3.�®�'.
P
4. Exterior air film (still) 0.61
Total r
1. Interior air film 0.61
2.
3.
4. Exterior air film (still) •0..61 .
Total
1. Inside air film 0.61
2.
3.
4.
5. Outside air film 0.17
Total
Note: Use additional sheets if more space is
needed for details and calculations
'q
SUBJECT
City of Fridley
23012
AT THE TOP OF THE TWINS
BUILDING PERMIT
f
RECEIPT NO. YA
• COMMUNITY DEVELOPMENT DIV
r PROTECTIVE INSPECTION SEC
NUMBER
REV
DATE
PAGE OF
APPROVED By
CITY HALL FRIDLEY 55432
612-571-3450
910-F15
10/18/94
JOB ADDRESS 6325 Van Buren Street NE
1 LEGAL
LOT NO.
BLOCK
TRACTOR ADDITION SEE ATTACHED
DESCR.
19,20
6
I
FlorenCe Park Addition to Fridley SHEET
2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE
Dean/Lynn Saba 6325 Van Buren Street NE
3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO.
Franzen Construction Co. 4250 5 St NE, Columbia Heights, MN 55421 788-4071 2744
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
J NEW ❑ ADDITION 0 ALTERATION ❑ REPAIR ❑ MOVE Ij REMOVE
6 DESCRIBE WORK
Remove existing 16' x 22' Detached Garage; Construct a 32' x 22' Garage
9 CHANGE OF USE FROM TO
STIPULATIONS
Variance 94-17 to reduce the side yard setback from 5' to 3' approved
August 23, 1994. Provide a hard surface driveway. See notations on plan.
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
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
ISTALLS GARAGES
AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS
VALUATION
SURTAX
A CES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED
ITH WHET ER SPE IED HEREIN OR NOT. THE GRANTING OF A PERMIT
$11,869.44
$5.93
OES N PRES ME GIVE AUTHORITY TO VIOLATE OR CANCEL THE
PERMIT FEE
SAC CHARGE
P OVI ONS OF NY O R STATE OR LOCAL LAW REGULATING CON-
Fire SC $11.87
ST TION OR THE PERFO MANCE OF CONSTRUCTION
$135.00
PLAN CHECK FEE
TOTAL FEE
License SC $5.00
$157.80
SIGNATURE OF CONT A O ORAUTHORIZED GENT (DATE)
WHEN PgOPE Y VALIDATED THIS ISYOUR PERMIT
�
BL G INSP -T- f)ATE T -
SIGNATURE OF OWNER)IF OWNER BUILDER) (DATEI
'q
NEW [ ]
ADDN [ ] CITY OF FRIDLEY
ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2
Building Permit Application
ConstructionAddress:
Legal Description:
Owner Name & Address:
Contractor:
k1
.. I
Tel. #
MN LICENSE #
Effective 1/ 1/94
- 6 E. �o /, 14o/,,. :�]ETel. # 74eb -40 71
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 Z Z r Height O Sq. Ft. Y1
DECK AREA: gth Width nHgt/Ground Sq. Ft.
OTHER: '0A1")1lr I/� �tC77
Corner Lot [ ] Inside Lot [ ] Ft. Yd Setback Side Yard Setbacks
Type of Construction: I J R!Aime Estimated Cost: $
Approx. Completion Date: _ l l� �• �`f
(Cost on Back)
Driveway Curb Cut Width Needed: F 6 Ft = Ft x $ = $
DATE: (U -I-Z- c4 APPLICANT: t Tel. # -7 ('
WrAIL IMKO1110 !
Permit Fee $ /Sae `°O Fee Schedule on Reverse Side
.Fire Surcharge $ A17 � .001 of Permit Valuation (1/10th%)
State Surcharge $ 5 93 $.50/$1,000 Valuation
SAC Charge $ $800 per SAC Unit
License Surcharge $ S'-06 $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 [ j
TOTAL $ 15�. � �� '%4- /'7 �`�' (' G
STIPULATIONS:, � /
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
$15 (Minimum Fee is $15 plus surcharge)
$501 to $2,000
$15 for first $500 plus $2 for each additional $100 or
fraction thereof, to and including $2,000
$2,001 to $25,000
$45 for first $2,000 plus $9 for each additional $1,000
or fraction thereof, to and including $25,000
$2501 to $501000
$252 for first $25,000 plus $6.50for each additional $1;000
or fraction thereof, to. and including $50,000
$50,001 to $100,000
$414.50 for fust $50,000 plus $4.50 for each additional
.$1,000 or fraction thereof, to and including $100,000
$100,001 to $500,000
$63950 for first -$100,000 plus -$3-50 for each additional.
$1,000 or fraction thereof, to and including 3500,000
$500,001 to $1,000,000
$2039.50 for the first $500,000 plus $3 for each additional
$1,000 or fraction thereof, to and including $1,000,000
$1,000,001 and up
$3539.50 for the first $1,000,000 plus $2 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 titne 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 fraininfi_
ti.
s
11
SUBJECT
O.
City of Fridley
27823
AT THE TOP OF THE TWINS
BUILDING PERM 1
f
RECE
`- ______ COMMUNITY DEVELOPMENT DIV.
f PROT S C.
6 l
1 "'f CITY HALL FRIDLEY 55432
It h� �'j
NUMBER
REv
DATE
PAGE OF
APPROVED BY
---- 612-571-3450
910-F15
9/16/98
JOB ADDRESS
6325 Van Buren
1 LEGAL
LOT NO.
BLOCK
TRACT OR ADDITION
SEE ATTACHED
DEscR.
19,20
6
1 Florence Park Addn. to Fridley
SHEET
2 PROPERTY OWNER MAIL ADDRESS ZIP
PHONE
Lynne Saba
571-1953
3 CONTRACTOR MAIL ADDRESS ZIP
PHONE LICENSE NO
Town & Country Roofing 7910 12th Ave S Bloomington 55425
545-4233 20091282
4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP
PHONE LICENSE NO.
5 ENGINEER MAIL ADDRESS ZIP
PHONE LICENSE NO
8 USE OF BUILDING
Residential
7 CLASS OF WORK
O NEW O ADDITION O ALTERATION :P REPAIR
O MOVE O REMOVE
8 DESCRIBE WORK
Reroof house & garage (19SQ) Tear-off
9 CHANGEOFUSEFROM 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
1 HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION
I
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
$1,628.00
$.81
WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT
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-
$54.00
Fire SC $1.63
STRUCTION OR THE PERFORMANCE OF CONSTRUCTION
PLAN CHECK FEE
TOTAL FEE
/C .� P
License SC $5.
$61.44
SIGNATURE OF CON'R CTOR OR THORiZED aGENr (DATEP
EN PROP VALIDAT
T IS IS P T
14TE
SIGNATURE OF OWNEROF OWNER BUILDER1 iDATE,
B G iNSp
s
11
NEW [ ] Effective 1/1/98
ADDN [ ] CITY OF FRIDLEY
ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2
BUILDING PERMIT APPLICATION
ConstructionAddress: 63 G. K a y eo. '-D r
Legal Description:
Owner Name & Address: Ck Tel. ##
Contractor:r of MN LICENSE #20D212 �?J—
Address: C) 3-s Tel. # 5V S — qD- 35
Attach to this application, a Certifica a 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: /9 / 2r,,c-
� f
Construction Type: Estimated Cost: $ 16
(Fee Schedule on Back)
Driveway Curb Cut Width Needed: Ft. + b Ft = Ft x _ $
DATE: '�
Tel. #
STIPULATIONS:
CITY USE ONLY
Permit Fee
$
���,y U
Fee Schedule on Reverse Side
Fire Surcharge
$
.001 of Permit Valuation (1/10th%)
State Surcharge
$
81
$.50/$1,000 Valuation
SAC Charge
$
$1000 per SAC Unit
License Surcharge
$.
00
$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
$ % y
STIPULATIONS:
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.
N
SUBJE&
City of Fridley
32283
AT THE TOP OF THE TWINS
BUILDING PERMIT
r
R o
COMMUNITY DEVELOPMENT DIV.
r PROTECTIVE INSPECTION SEC.
/0t_'60
/.v
E
E
�
NUMBER
REv
DATE
PAGE OF
APPROVED BY
_
CITY HALL FRIDLEY 55432
612-571-3450
910-F15
10/29/01
10B ADDRESS 6325 Van Buren Street NE
1 LEGA LI
NO.
BLOCK
TRACT OR ADDITION SEE ATTACHED
DESCR.
19, 20
6
Florence Park Addn to Fridley SHEET
2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE
Dean Saba 6325 Van Buren Street NE 763-571-1953
3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO
Renewal By Andersen 350 73 Avenue NE, Fridley, MN 55432 763-502-4777 20130983
4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO
5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO
8 USE OF BUILDING
Residential
7 CLASS OF WORK
❑ NEW ❑ ADDITION ❑ ALTERATION REPAIR ❑ MOVE ❑ REMOVE
8 DESCRIBE WORK
Replace three windows within existing openings
9 CHANGE OF USE FROM TO
STIPULATIONS
Provide smoke detectors in all sleeping rooms and on all levels of the
dwelling per Section 310.9.1.2 of the 1997 Uniform Building Code. Caulk
and flash all exterior openings.
Permit Inspectoon Cards
11160 Mailed
TO o . elo n c To Post
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
SQ. 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
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
@
$2,815
$1.41
WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT
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-
$,83.25
Fire SC $2.82
STRUCTION OR THE PERFORMANCE OF CONSTRUCTION
PLAN CHECK FEE
OTAL FEE
Lice C $5.00
$92.48
SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT IOATEI
WM N P ERLY VA 0 TED THIS ISYOUR PERMIT
T �+
8 OG IN a ' pIF
ATE
S-GNATURE OF OWNER.IF OWNER BUILDER. I ATE.
N
Effective .c .
SINGLEADDN CITY OF FRIODLEY
ALTER lil 1' DUPLEXES R-1 1,
BUILDING E. 1.
Construction Address: _lo�o1S �;o�r ��x . Y 3 . `, .
Legal Description:
Owner. Name & Address: ��,� �G.. Tel. # 1(0 51 • f � �
Contractor:, Renewal By Andersen MN LICENSE # -
Address:
350 -73rd Ave. NE
Fridley, MN 55432
Attar 763-502-4777 Bey of the
lot, N #MN20130983
at to scale.
DESC ON OF Vve-ROVEIMM. -.
Tel. #
LIVING AREA:
Length
Width Height
Sq. Ft.
GARAGE AREA:
Length
Width Height
Sq. Ft.
DECD AREA:
Length
Width Hgt/Ground
Sq. Ft.
OTHER:
PY
An t A t' e
7S A IN It ri a -4r+. e d ?U4 e , . sa t I
Construction Type: Estimated Cost: $ ���1 .�- CZJ?
Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ _ $
DATE: APPLICANT: Tel. # � • 3y $ • (0 N4
CITY USE ONLY
Permit Fee $ 25S .Qr5 Fee Schedule on Reverse Side
Fire Surcharge $ a.'6'. .001 of Permit Valuation (1/10th%)
State Surcharge $ $.50/$1,000 Valuation
SAC Charge $ $1050 per SAC Unit
License Surcharge $ $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 $ 19 4�
STIPULATIONS:
CITY OF FRIDLEY INSPECTION DIV.
6431 University Ave NE
Fridley, MN 55432
572-3604
APPLICATION FOR PLUMBING AND GAS FITTING PERMIT
MARK NUMBER OF FDM IRFG TCn RF IMRTAI I F'n M1 rW44 Gi nnp
Effective On Jan 1, 2000
PLUMBING FIXTURE RATES: NO.
RATE TOTAL
JOB ADDRESS_ f74NIF Its 6W016712—
MEN
$ 7.00
�.t�'.RAF
.. t
• !
-- --�
specified agreeing to do all work in strict accordance with the city. codes
�®
$ 5.00
and rulings of the Building Division, and hereby declares that all the facts
Blow Off Basin
$ 7.00
and representations stated in this annlirntinn arP true and correct.
Catch Basin
$ 7.00
SAGA, DEAN
Rain Water Leader
$ 7.00
6325 VAN BUREN STREET NORTHEAS I t Z3 2002-
0pZSump/Receiving
Sump/ReceivingTank
$ 7.00
FRIDLEY, MN 55432
(763)571-1953
Water Treating Appliance
$10.00
Owner_
Water Heater -Electric
$ 7.00
Water Heater- Gas*" _
$10.00
Building Used As T)Sw- 1M7Ap CZ
Gas Range**
Gas Dryer**
$10.00
$10.00
Estimated Cost PERMIT NO.�
Back Flow Preventer Required ( )Yes () No
Type
$15.00
PLUMBING COMPANY 0rZ.09Z.U/ t4AJ4
� �}
Reinspection Fee $47.00/Hr
SIGNED BY C/ TEL NO, 0" Z 1(9 71
ALL OTHERS AND/OR REPAIRS AND ALTERATIONS
PLUMBING FIXTURE RATES: NO.
RATE TOTAL
JOB ADDRESS_ f74NIF Its 6W016712—
New Fixtures
$ 7.00
The undersigned hereby makes application for a permit for the work herein
Old Opening, New Fixture
$ 4.00
specified agreeing to do all work in strict accordance with the city. codes
Beer Dispenser
$ 5.00
and rulings of the Building Division, and hereby declares that all the facts
Blow Off Basin
$ 7.00
and representations stated in this annlirntinn arP true and correct.
Catch Basin
$ 7.00
SAGA, DEAN
Rain Water Leader
$ 7.00
6325 VAN BUREN STREET NORTHEAS I t Z3 2002-
0pZSump/Receiving
Sump/ReceivingTank
$ 7.00
FRIDLEY, MN 55432
(763)571-1953
Water Treating Appliance
$10.00
Owner_
Water Heater -Electric
$ 7.00
Water Heater- Gas*" _
$10.00
Building Used As T)Sw- 1M7Ap CZ
Gas Range**
Gas Dryer**
$10.00
$10.00
Estimated Cost PERMIT NO.�
Back Flow Preventer Required ( )Yes () No
Type
$15.00
PLUMBING COMPANY 0rZ.09Z.U/ t4AJ4
� �}
Reinspection Fee $47.00/Hr
SIGNED BY C/ TEL NO, 0" Z 1(9 71
ALL OTHERS AND/OR REPAIRS AND ALTERATIONS
1.5% of Value of Fbdure or Appliance
I
Approved By Rough -In Date Final Date( I a 03
State Surcharge
$ •50
TOTAL FEE
$M-�
MINIMUM FEE FOR ANY PLUMBING/GAS PERMIT IS $2000
PLUS THE $.50 STATE SURCHARGE
COMBUSTION AIR SHALL BE PROVIDED PER UMC SECTION 504(A) AND TABLE 6-A. COMMON VENT INFO ON BACK SIDE
COMMON VENT, VENT CONNECTOR AND COMBUSTION AIR VERIFICATION
When reollacina an existing furance, the undersigned hereby verifies that the
venting has been examined and is free from rust, deterioration, obstructions,
and is securely supported and firestopped where required. Yes O No ( )
The venting„system is. plastic/PVC and meets all current codes and manufacturer
S pecifications :including sizing, length, number of elbows and termination.
The undersigned. also verifies that the replacement unit is a listed assembly
and meets the current codes and manufacturer's specifications. This does
include AGA-GAMA Category I Central Furnace Venting Tables for fan
assisted and natural draft appliances.
The existina combustion air is sized and installed to meet the current codes
and manufacturer's specifications.
When required to install a new combustion air, it will be sized and installed
To meet the current codes and manufacturer's specifications.
Yes (j No {: )
Yes ( ) No ( )
Yes ( ) No ( )
Yes ( ) No ( )
When installing a new venting system, the undersigned hereby verifies that
it is a listed assembly and meets the current codes and manufacturer's
specifications. This does include AGA-GAMA Category I Central Furnace
Venting Tables for fan assisted and natural draft appliances. Yes () No ( )
Is the common vent and vent connectors sized and installed correctly after
an appliance -.;has been. -removed from.the common vent and vented
separately as:;per current codes.' Yes O No ( )
Appliance Type and Size/Common Vent and Vent Connector Information
Appliance #1 Type BTU Input Fan Assisted or Nat'
Appliance #2 Type BTU Input Fan Assisted or Nat
Appliance #3 Type BTU Input Fan Assisted or Nat
Total Appliances Total Btu Input
Common Vent Type
Vent Height Diameter inches
Appliance #1 Vent Connector Height ft Length ft Diameter in Type
Appliance #2 Vent Connector Height ft Length ft Diameter in Type
Appliance #3 Vent Connector Height ft Length ft Diameter in Type
ALTERATIONS: (Describe)
HEATING Cb:
Signed By: Date: