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PRE 2010 DOCSy SUBJECT P City of Fridley_ 171.9 4 AT THE TOP OF THE TWINS BUILDING PERMIT 1.• COMMUNITY DEVELOPMENT DIV. PROTECTIVE INSPECTION SEC. r I ; � "1 CITY HALL FRIDLEY 55432 NUMBER REV. DATE PAGE OF APPROVED BY 612-571-3450 910-F15 6/7/83 JOB ADDRESS 6414 Van Buren Street N.E. 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DEscR. 11-13 4 I Florence Park Addition SHEET I 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE William F. Mclaiire 6414 Van Buren Street 574-3209 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 C ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Construct a Deck. 9 CHANGE OF USE FROM TO STIPULATIONS TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, Wood 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 1 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 $� $.75 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT X500 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- $25.00 STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. PLAN CHECK FEE TOTAL FEE $25.75 SSII�GNNATURFE/EDOFF CONTRACTOR OR AUTHORIZ,EEDD'.AGENT (DATE) WHEN PROP Y VALIDATED THIS IS YOUR PERMIT (� BLDG INSP ATE SIGNATURE OF OWNER( IF OWNER BUILDER) (DATE) y CITY OF FRIDLEY APPLICATI94 FOR RESIDbITIAL BUILDINIG PEW41TS (Neer, Alterations, Additions, or Repairs) Effective Aug. 1, 1981 OWNER: AJ I LLJ R M F. M C 6U 191E 'BUILDER: �,, F 1 -A C 6 u I ADDRESS: &4- t 4 \lA t,1 8UP.F-1-4 -ST. ADDRESS: TEL NO: �-7 4 p- �20 -/ TEL NO: Construction Location STREET NO: 6 4 P 4 STREET: LOQ': BLOCK: ADDITION: Corner Lot: Inside Lot: Setback: lo' x 5/ Sideyards: q p, A Il'- -S Applicant attach to this form two Certificates of Survey of lot and proposed building location drawn on certificates to scale. DESCRIPTION OF CONSTRUCTION Front: Depth: Height: Square Feet: Cubic Feet: Front: Depth: Height: Square Feet: Cubic Feet: Co, fa N 4 K .]Q Type of Construction: \Noo'D -- c2mp t r 1'iLL�.�s Estimated Cost: $ © ®o Rb Be Cbripleted: Alt. A Alt. B Proposed Driveway Width If New Opening Is Desired: $ $ SEE PZVF.RSE SIDE OF SHEET . Mie undersigned hereby makes application for a permit for the %.nrk 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: C. �4 SIGI3ATUF.r^. Stimulations: ��C'0 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 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: $1.00 to $500.00 $10.00 (Minimum $15:00) $501 to $2,000.00 $10.00 for the first $500 plus $1.50 for each additional $100 or fraction thereof, to and including $2,000 $2,001 to $25,000 $32.50 for the first $2,000 plus $6.00 for each additional $1,000 or fraction thereof, to and including $25,000 $25,001 to $50,000 $170.50 for the first $25,000 plus $4.50 for each additional $1,000 or fraction thereof, to and including $50,000 $50,001 to $100,000 $283.00 for the first $50,000 plus $3.00 for each additional $1,000 or fraction thereof, to and including $100,000 $100,001 and up $443.00 for the first $100,000 plus $2.50 for each additional $1,000 or fraction thereof Plan Check: 25 percent of building permit fee. 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 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. P, PJ i %J0 �'®)e 11961 /c��2 'VL '�� tar to 2�;ciw J Ice �► 0 SUBJECT PER City of Fridley 3 AT THE TOP OF THE TWINS ? BUILDING PERMIT 11, ` RECEIPT NO. • _ COMMUNITY DEVELOPMENT DIV PROTECTIVE INSPECTION SEC ;p NUMBER REV DATEP AGE OF AP PROVED BY CITY HALL FRIDLEY 55432 1'j 612-571-3450 910-F15 8/24/94 JOB ADDRESS 6414 Van Buren Street NE I LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 11-13 4 Florence Park Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Laura McGuire 6414 Van Buren Street NE 571-3209 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Same 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 C REPAIR ❑ MOVE ❑ REMOVE B DESCRIBE WORK Reroof House (12 Sq) Tear-off 9 CHANGE OF USE FROM TO STIPULATIONS Underlayment must comply with the 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 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 VALUATION SURTAX AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED $900 $.50 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- $23.00 Fire SC $.90 STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. PLAN CHECK FEE TOTAL FEE $24.40 SI ATURE OF CONTRACTOR OR AUTHORIZED AGENT (DATEI WH ROPERLY ALID TED RaEMIT.,, BLDG INSP BATE SIGNATURE OF OWNERIIF OWNER BUILDER) IDATEI 0 NEW I ] ADDN [ ] CITY OF FRIDLEY ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 Building Permit Application ConstructionAddress: /, V/ Legal Description: C Effective 1/ 1/94 4?t�OaCK3 Owner Name & Address: c Tel. # 2 Contractor: / MN LICENSE # Address: Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF IMPROVEMENT Tel. # LIVING AREA: Length Width Height Sq. Ft. GARAGE AREA: Length Width Height Sq. Ft. DECK AREA: Length Width Hgt/Ground Sq. Ft. OTHER: (� a Corner Lot [ ] Inside Lot [x] Ft. Yd Sethack Side Yard. Setbacks Type of Construction:y^o, c, Estimated Cost: $ Approx. Completion Date: �(:�9 ° (Cost on Back) Driveway Curb. Cut Width Needed: Ft. + 6 Ft = Ft x $ = $ DATE: - L/ % APPLICANT: Tel. # Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee Sewer Main Charge TOTAL STIPULATIONS: $ D 0 Fee Schedule on Reverse Side $ , qD .001 of Permit Valuation (1 / 10th %) $ ,S2) $.501$1,000 Valuation $ $800 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 [ ] 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, fuss 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 $22000 plus $9 for each additional $1000 or fraction thereof, to and including $25,000 $25,001 to $50,000 $252 for first $25,000 plus $6.50 for each additional $1000 or fraction thereof, to. and including $50,000 $50,001 to $100,000 -$414.50 for first $50,000 plus $450 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 $500,000 $500,001 to $1,000,000 $2(}39.50. for the first $500,000 plus $3 for each additional $1,000 or fraction thereof, to and including $1,0001000 $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 $15.75. VERIFICATION OF FOUNDATION Permits for construction will be issued a minimum of 24 hours from the time of application to allow for proper review of the proposed structure and of the construction site_ A Certificate of Survey of the lot, showing the location of the foundation once it has it has been constructed will be required before proceeding with the framing. SUBJECT P City of Fridley 6525 AT THE TOP OF THE TWINS ?-,RECEIPT BUILDING P E R M I T I NO. COMMUNITY DEVELOPMENT DIV. L e PROTECTIVE INSPECTION SEC.L106 6 NUMBER REV DATE PAGE OF APPROVED BY CITY HALL FRIDLEY 55432 612-571-3450 910-F15 7/10/98 JOB ADDRESS 6414 Van Buren Street NE 1 LEGAL LOT NO. BLOCK TRACTOR ADDITION SEE ATTACHED DESCR. 11-13 4 Florence Park Addition SHEET 2 PROPERTY OWNER MAIL ADDRES$ ZIP PHONE Laura McGuire 6414 Van Buren Street NE 571-3209 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Budget Exteriors Inc 8017 Nicollet Ave S. Bloomington, MN 55420 887-1613 6564 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 X] REPAIR O MOVE O REMOVE 8 DESCRIBE WORK Reroof House (11.5 Sq) Tear-off 9 CHANGE OF USE FROM TO STIPULATIONS Underlayment must comply with the 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 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 1 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 $•50 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT $959 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- $34.75 Fire SC $.96 STRUCTION OR THE PERFORMAN E OF CONSTRUCTION. PLAN CHECK FEE TO AL FEE a� _tN C . ! Q �� Lice S $5. $41.21 SIGNATURE OF CONTRACTOR O A THORI AGENT OATEI EN OPROP ALID THISIj$_Y/ODURR PERM g INS P OAT SIGNATURE OF OWNER IIF OWNER BUILDERI IDATEI NEW ADIFAN ALTER ConstructionAddress: Legal Description: Owner Name & Address: CITY OF FRIDLEY SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION 6414 Van Buren Street Laura McGuire Effective 1/1/97 Tel. # 571-3209 Contractor: Budget Exteriors, Inc. MN LICENSE# 6564 Address: 8017 Nicollet Ave. So. Bloomington, MN 55420 Tel. # 887-1613 Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF EVIPROVEMENT LIVING AREA: Length Width Height Sq. Ft. GARAGE AREA: Length Width Height Sq. Ft. DECK AREA: Length Width Hgt/Ground Sq. Ft. OTHER: 11.5 sq. roof tear off Construction Type: Roof -tear off Estimated Cost: $ 959.00 (Fee Schedule on Back) Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ = $ . DATE: 7/9/98 Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee Sewer Main Charge TOTAL STIPULATIONS: APPLICANT: Tel. # 887-1613 CITY USE ONLY $ 41.21 Fee Schedule on Reverse Side .001 of Permit Valuation (1/10th% ) $.50/$1,000 Valuation $950 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 [ ] 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;00 $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. GiYOF FRIDLEY FRIDLEY MUNICIPAL CENTER - 6431 UNIVERSITY AVE. N.E. FRIDLEY. MN 55432 - (763) 571-3450 - FAX (763) 571-1287 May 6, 2002 Kaura McGuire 6414 Van Buren Street NE Fridley MN 55432 Re: Paved Driveways Dear Ms. McGuire: In 1997, the City Council adopted an ordinance declaring gravel driveways a public nuisance. They were declared a public nuisance for a number of reasons, such as: they can cause erosion, contaminate soil with oil and other vehicles fluids, and deposit soil and gravel in the City's storm sewers and detention ponds. When gravel driveways were declared a public nuisance, the City Council gave property owners five years to have their gravel driveways paved. The five-year deadline is quickly approaching, which means all gravel driveways within the City of Fridley must be paved with approved concrete or asphalt by December 31, 2002. If on December 31, 2002, your driveway hasn't been paved a citation will be issued and filed at the Anoka County Courthouse. A misdemeanor citation is a criminal offense and is punishable by up to 90 days in jail and/or a $700 fine. If you've already paved your driveways, Thank you! Please call me at 763-572-3595, so I can update our files. For your convenience, a brochure on the City's loan program has been enclosed. You can use this loan program to acquire financing for your driveway improvement project. Please call Jim Hesnik at 612-335-2651, if you have any questions regarding this program. Thank you for your cooperation! As you successfully complete your driveway improvement project, please call me at 763-572-3595, so I can do an inspection of your property and update our files. If you have any other questions, please feel free to call me, at the above number. Sincerely, W4 W" Stacy Stromberg Planner C-02-53 Adw CI7YOF FRIDLEY FRIDLEY MUNICIPAL CENTER - 6431 UNIVERSITY AVE. N.E. FRIDLEY, MN 55432 - (763) 571-3450 - FAX (763) 571-1287 July 2, 2002 Kaura McGuire 6414 Van Buren Street NE Fridley MN 55432 Subject: Paved Driveway Reminder Dear Ms. McGuire: This letter is a friendly reminder that all driveways within the City of Fridley need to be paved by December 31, 2002". As you are aware, the City Council adopted an ordinance declaring gravel driveways a public nuisance. They were declared a public nuisance for a number of reasons, such as: they can cause erosion, contaminate soil with oil and other vehicles fluids, and deposit soil and gravel in the City's storm sewers and detention ponds. When gravel driveways were declared a public nuisance, the City Council gave property owners five years to have their gravel driveways paved. The five-year deadline is quickly approaching, which means all gravel driveways within the City of Fridley must be paved with approved concrete or asphalt by December 31, 2002*. If you've already paved your driveways, thank you! Please call me at 763-572-3595, so I can update our files. For your convenience, a brochure on the City's loan program has been enclosed. You can use this loan program to acquire financing for your driveway improvement project. Please call Jim Hesnik at 612-335-2651, if you have any questions regarding this program. Thank you for your cooperation! As you successfully complete your driveway improvement project, please call me at 763-572-3595, so I can do an inspection of your property and update our files. If you have any other questions, please feel free to call me at the above number. Sincerely, Stacy St mberg Planner *If on December 31, 2002, your driveway hasn't been paved a citation will be issued and filed at the Anoka County Courthouse. A misdemeanor citation is a criminal offense and is punishable by up to 90 days in jail and/or a $700 fine. C-02-83 �X)S-OdWg NEW [ ] CITY OF FRIDLEY Effective 1/1/2003 ADDN [ ] 6431 University Ave NE, Fridley, MN 55432 (763) 572-3604 Bldg Insp ALTER A<- SINGLE FAMILY AND DUPLEXES R-1 AND R-2 (763) 571-1287 Fax BUILDING PERMIT APPLICATION Construction Address: Legal Description: __t Owner Name & Addre Contractor: Address: NEW BRIGHTON, MN 55112 Tel. # _ 651-633-6395 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. DESCRIPTION OF IMPROVEMENT Length Width Height Sq. Ft. Length Width Height Sq. Ft. Length Width Hgt/Ground Sq. Ft. Construction Type�j ' kyr (�°I T � D� 1� 1�(�(� Estimated Cost: $ Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ _ $ DATE: I® S I APPLICAN Tel. # l �5I' LQ " La Call (763) 572-3604 for Permit Fees if mailing in application. Fax to 763-571-1287 if using credit card and we will call you for card number. CITY USE ONLY - Permit Fee $ .'Z Fire Surcharge State Surcharge SAC Charge $ License Surcharge $ Curb Cut Escrow $ Erosion Control $ Park Fee $ Sewer Main Charge $ TOTAL $ Fee Schedule on Reverse Side .001 of Permit Valuation (1/10th%) $.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 Fee Determined by Engineering Agreement Necessary [ ] Not Necessary [ CITY OF FRIDLEY BUILDING INSPECTION 6431 University Ave NE Fridley, MN 55432 763-572-3604 FAX 763-571-1287. RATE SCHEDULE Residential Furnace Shell and Duct Work, Burner & also Replacement Furnace Gas Piping (New Furnace, Fireplace, Insert) Gas Range Effective 4/1/2004 APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES JOB ADDRESS Vail& Al2n Fee Total j 11n f $35.00 $ $10.00 $ $10.00 $ Gas Dryer $10.00 $ *Air Conditioning -AII Sizes $25.00 $-)c SD - All Other Repairs or Alterations (List on Back) 1% of Value of Appliance or Work $ Minimum Fee $15.00 for Residential or 5% of cost of Improvement whichever is greater on work less than $500.00 Commercial/Industrial/Institutional 1.25% of Value of Appliance or Work (List on Back) $ ' Minimum Fee $35.00 for Commercial/Industrial/Institutional State Surcharge $ .50 TOTAL FEE $j4. � REINSPECTION FEE $50.00/HOUR . *Air Conditioners can not be placed in side yard without written approval from adjoining property owner - copy to City FILL OUT BACK SIDE FOR STACK VERIFICATION ON REPLACEMENT FURNACE Owner Building Used As b [A 9&14 ESTIMATED COST. PERMIT NO DESCRIPTION OF FURNACE AND BURNER # of Heating Uni i Circle One (Steam) (Hot Water rm Air Trade Name_ �P/l�r'Y1= Size No. BTU Ste, HP R Fuel ,� Total Connected Load Burner Tra0 Nanoe � V Size N BTU 77S U HP EDR 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 Building Division, and hereby declares that all the facts and representaltlpns stated in this application are true and correct. HEATING CO Signed Tel #76 3--)Y) 4D( FAX # / ��7�i��' Date` } Approved Rough -in Date Final Date Building $- 1 _ 3q' BUILDING Plan Review Permit No.: 2C' Inspections RESIDENTIAL APPLICATION $ Received By: 763-572;3604 $ CITY OF FRIDLEY License Surcharge mate Rec'd: DATE d "' V YOUR E-MAIL ADDRESS $ SITE ADDRESS Curb Cut Escrow $ THIS APPLICANT IS: MWNER ❑CONTRACTOR $ PROPERTY OWNER/ NAME: L,4 ug A L c G Fee Determined by Engineering TENANT ADDRESS: &1q ew CITY E(j/ e (e Y STATE&LIP_&6sr2 Total Due PHONE:_. 76 �5 - 5� %, Z of CONTRACTOR NAME: STATE LICENSE # EXP DATE SUBMIT A COPY OF YOUR STATE LICENSE ADDRESS: CITY STATE_ZIP WITH APPLICATION PHONE FAX PROPERTY TYPE UrSINGLE FAMILY SIZE ❑ TWO FAMILY/NEW CONSTRUCTI N STORIES PERMIT TYPE ❑ ADDITION GARAGE/SHED ❑ WINDOWS ❑ BASEMENT FINISH ❑ ROOF ❑ DRAIN TILE ❑ DECK ❑ SIDING ❑ OTHER ❑ SWIMMING POOL TYPE OF WORK: rErNEW ❑ ADDITION ❑ MAINTENANCE/REPAIR ❑ REMODELING DESCRIBE WORK BEING DONE: fr', SIZE OF IMPROVEMENT LENGTH 30' WIDTHri HEIGHT 'Mi //5• Sq. FtAV - ROOFING ❑HOUSE ONLY NUMBER OF SQUARES / () a ❑ HOUSE & GARAGE BASEMENT REMODELING SUBMIT: GARAGES❑ ATTACHED GARAGE 1. Existing Floor Plan PROPOSED SIZE: ).Q' I-BETACHED GARAGE 2• Proposed floor plan PROPOSED HEIGHT: Wile,' 3. List of structural members to be used SIDINGFOR NEW CONSTRUCTION INCLUDING DECKS, M/ frit ADDITIONS, & PORCHES SUBMIT: [ Aluminum Trim 1. Site Plan/Survey showing the existing structures ❑ Other CVPascia and proposed project. WINDOWS 2. Two sets of construction plans IN EXISTING OPENINGS ❑Yes ❑No LOCAIIQN OF WINDOWS 3. Energy Calculations OR FOR NEW OPENINGS -DESCRIBE SIZE OF A Z& OPENING CHANGES & TYPE OF WINDOW TO BE INSTALLED NUMBER OF WINDOWS ALL FEES ARE BASED ON VALUATION, INCLUDING THE COST OF LABOR AND MATERIALS: (USING THE 1997 U.B.0 FEE SCHEDULE) TOTAL JOB VALUATION $ aS' 38` . JQ OCCUPANCY TYPE Permit Fee $- 1 _ 3q' - - - See Back Page for Fee Schedule Plan Review $ 65% of Building Permit Fee Fire Surcharge $ .001 times the total job valuation Surcharge $ .0005 x Permit Valuation Minimum $.50 License Surcharge $ $5.00 (State Licensed Residential Contractors) SAC Charge $ $1550 per SAC Unit (Plans to MWCC for determination) Curb Cut Escrow $ ft + 6 ft = ft x $21 =$ Erosion Control $ $450 Conservation Plan Review Park Fee $ Fee Determined by Engineering Sewer Main Charge $ Agreement necessary ( ) Non Necessary ( ) Total Due $ `7oo . An Make checks savable to: Citv of Fridlev Attach Stipulations THIS IS AN APPLICATION FOR A PERMIT -NOT VALID UNTIL PROCESSED I hereby apply for a building permit and I acknowledge that the information above is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Fridley and with the Minnesota Construction Codes; that I understand this is not a permit but only an 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 requpr I of pans. SIGNATURE OF APPLICANT��Gecl��[X Mn__� �.4A*WNAME �� /"I(_ �1'�(.Ir -DATE-6 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 f6rth and in the manner herein provided to -wit: TOTAL VALUE FEES $1 to $500 $23.50 (Minimum Fee is $23.50 plus surcharge) $501 to $2,000 $23,50 for 1" $500 plus $3.05 for each additional $100 or fraction, to and including $2,000 $2,001 to $25,000 $69.25 for 1 $2,000 plus $14 for each additional $1,000 or fraction, to and including $$25,000 $25,001 to $50,000 $391.25 for 1' $25,000 plus $10.10 for each additional $1,000 or fraction, to and including $50,000 $50,001 to $100,000 $643.75 for V $50,000 plus $7 for each additional $1,000 or fraction to and including $100,000 $100,001 to $500,000 $993.75 for I' $100,000 plus $5.60 for each additional $1,000 or fraction to and including $500,000 $500,001 to $1,000,000 $3,233.75 for the 1' $500,000 plus $4.75 for each additional $1,000 or fraction to and including $1,000,000 $1,000,001 and up $5,608.75 for the I' $1,000,000 plus $3.15 for each additional $1,000 or fraction 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 Only City of Fridley Building Inspections Department 6431 University Avenue NE Fridley, MN 55432 763-572-3604 Fax: 763-502-4977 �2jj",9-4V V3fP* :.40-1 �/ 7 Yd o /4av Ll?-'tJ /%` 40 Zf s 10 39bd A"lddns ori-lVd1430 M U19GEB8IZ SE:ZZ 9AA7./b7./CA nIrn a-4 zWC Zf s 10 39bd A"lddns ori-lVd1430 M U19GEB8IZ SE:ZZ 9AA7./b7./CA Design #32109 �- —M'-- 5/19/2006 Take this sheet to the Buile-2-1 lding Materials counter to purchase our materials. e ions* p y reals. You seleeted a arae with these o g g pta 26' wide X 30' Deep X 8' High Sable roof w/ 4/12 pitch trusses 2' Q.C. 2x4 wall Framing Material 12" gable/12" eave overhangs 7/161, On wall Sheath104 1/2" 0S6 Roof Sheathing White Vinyl 4" Double Lap Siding 25 yr. Supreme, Shasta white Shingles Grey Aluminum Soffit & Fascia Front Grey Aluminum Premium Roof Edge white ' ad door jamb S12t.-s- VW244% Vyt i u 0 ';.. Today's cost for materials estimated *The base price Includes: 0" Esve/0" Gable Overhangs, Framing Materials, 7/16 OSB Roof Sheathing, 20 yr. Fiberglass Classic - Onyx Black Shingles, Pine Fascia, Galvanized Regular Roof Edge, 8" Textured Vertical Hardboard Siding, No Service Doors, No Overhead Doors, No Windows, or Any Other Options. Chs�k -6ss W& -- s C0�4�� S7 q&m-t�s --)oe -' 4E (ec-i — ;fuw,b cut ?HIS JOB COPY SHALL BE� AVAILABLE ON THE JOB SITE FOR THE FRAMING AND FI -NAL INSPECTIONS s Bask View i iNSidE C_vt'tt(6 -Pbtj ((A I iA (0u Se.e v C E doA C-3 in this design: $ 4134.13 * 1 EASE price): $ 2653.33 you may buy All the materials or any part at low ash and carry prices. Because of the wide variable in coda, Menards cannot guarantee that materials listed will most your building code requirements. Thus plans ars suggested designs and material lists only. We do not guarantee the completenus or prices of thus structures. Tax, labor and delivery not Included. Building $ BUILDING Plan Review Permit No.: InspectionsRESIDENTIAL Fire Surcharge APPLICATION .001 times the total job valuation Received B 763-572-3604 .0005 x Permit Valuation Minimum $.50 CITY OF FRIDLEY $ Date Rec'd: bo, I , DATE 1,1 —1 L YOUR E-MAIL ADDRESS $1550 per SAC Unit (Plans to MWCC for determination) SITE ADDRESS Q.Yl w—re-; 1 J+ 44 (® _ CC�_ft + 6 ft = ft x $21 = $- f THIS APPLICANT IS: OWNER ❑CONTRACTOR $450 Conservation Plan Review PROPERTY OWNER/ NAME: Fee Determined by Engineering VCL� CITY �G{ STATEM41P�3� TENANTADDRESS: Total Due PHONE: !l C,o 3' 5-7I 6 Ci Make checks payable to: Cq of Fridley Attach Sti CONTRACTOR NAME: THIS IS AN APPLICATION FOR A PERMIT -NOT VALID UNTIL PROCESSED STATE LICENSE # EXP DATE SUBMIT A COPY OF YOUR STATE LICENSE ADDRESS: CITY STATE ZIP WITH APPLICATION p ONE FAX PROPERTY TYPE VSINGLE FAMILY/NEW CONSTRUCTION SIZE ❑ TWO FAMILY/NEW CONSTRUCTION STORIES PERMIT TYPE ❑ ADDITION ❑ GARAGE/SHED ❑ WINDOWS ❑ BASEMENT FINISH ❑ ROOF ❑ DRAIN TILE ❑ DECK ❑ SIDING +OTHER ❑ SWIMMING POOL TYPE OF WORK: ❑ NEW ❑ ADDITION ❑ MAINTENANCE/REPAIR ❑ REMODELING DESCRIBE WORK BEING DONE: SIZE OF IMPROVEMENT LENGTH WIDTH HEIGHT Sq. Ft. ROOFING ❑ HOUSE ONLY NUMBER OF SQUARES ❑ HOUSE & GARAGE BASEMENT REMODELING SUBMIT. GARAGES ❑ ATTACHED GARAGE 1. 2• Existing Floor Plan Proposed floor plan PROPOSED SIZE: ❑ DETACHED GARAGE 3. List of structural members to be used PROPOSED HEIGHT: SIDING FOR NEW CONSTRUCTION INCLUDING DECKS, ❑ Vinyl ❑Soffit ADDITIONS & PORCHES SUBMIT: ❑ Aluminum ❑ Trim 1. Site Plan/Survey showing the existing structures ❑ Other ❑ Fascia and proposed project. 2. Two sets of construction plans WINDOWS 3. Energy Calculations IN EXISTING OPENINGS ❑Yes ❑No LOCATION OF WINDOWS OR FOR NEW OPENINGS -DESCRIBE SIZE OF OPENING CHANGES & TYPE OF WINDOW TO BE INSTALLED NUMBER OF WINDOWS ALL FEES ARE BASED ON VALUATION, INCLUDING THE COST OF LABOR AND MATERIALS: (USING THE 1997 U.B.0 FEE SCHEDULE) TOTAL JOB VALUATION $ OCCUPANCY TYPE Permit Fee $ See Back Page for Fee Schedule Plan Review $ 65% of Building Permit Fee Fire Surcharge $ .001 times the total job valuation Surcharge $ .0005 x Permit Valuation Minimum $.50 License Surcharge $ $5.00 (State Licensed Residential Contractors) SAC Char e $ $1550 per SAC Unit (Plans to MWCC for determination) Curb Cut Escrow $ 44 (® _ CC�_ft + 6 ft = ft x $21 = $- f ! Erosion Con o $ $450 Conservation Plan Review Park Fee $ Fee Determined by Engineering Sewer Main Charge $ Agreement necessary ( ) Non Necessary ( ) Total Due $ Make checks payable to: Cq of Fridley Attach Sti THIS IS AN APPLICATION FOR A PERMIT -NOT VALID UNTIL PROCESSED I hereby apply for a building permit and I acknowledge that the information above is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Fridley and with the Minnesota Construction Codes; that I understand this is not a permit but only an 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 re ires revi�ew and approval of plans. / SIGNATURE OF APPLICANVT PRINT NAME L/.I l� C'{,��(� ,e, DATE IV O 6 Page 2 - Building Residential Application BUILDING PERMIT FEE SCHEDULE The Chief Building Oficial 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 (Minimum Fee is $23.50 plus surcharge) $501 to $2,000 $23,50 for 1s' $500 plus $3.05 for each additional $100 or fraction, to and including $2,000 $2,001 to $25,000 $69.25 for V $2,000 plus $14 for each additional $1,000 or fraction, to and including $$25,000 $25,001 to $50,000 $391.25 for 1s` $25,000 plus $10.10 for each additional $1,000 or fraction, to and including $50,000 $50,001 to $100,000 $643.75 for 1 R $50,000 plus $7 for each additional $1,000 or fraction to and including $100,000 $100,001 to $500,000 $993.75 for 1 "' $100,000 plus $5.60 for each additional $1,000 or fraction to and including $500,000 $500,001 to $1,000,000 $3,233.75 for the 1" $500,000 plus $4.75 for each additional $1,000 or fraction to and including $1,000,000 $1,000,001 and up $5,608.75 for the V $1,000,000 plus $3.15 for each additional $1,000 or fraction 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 Only City of Fridley Building Inspections Department 6431 University Avenue NE Fridley, MN 55432 763-572-3604 Fax: 763-5024977 Building $ _/5 BUILDING $ Permit No.:. Inspections Surcharge RESIDENTIAL APPLICATION Received By: 763-572-3604 SAC Charge CITY OF FRIDLEY Curb Cut Escrow x°11 2016 763-502-4977 FAX $ Park Fee $ Sewer Main Charge $ EFFECTIVE 1-1-2010 $ 9 DATE 6 ZI 3 Z(* n YOUR E-MAIL ADDRESS W466 ��JR` n ` (`�" V ee&O ' CO SITE ADDRESS �,� I G Va r br rM S� � V THIS APPLICANT IS: ❑ OWNER WONTRACTOR PROPERTY OWNER/ NAME: G1 t Pial MC i rr ADDRESS:, f L( 1/kA .bV �n It- A/C CITY_ -l- ✓i d !� STATE�ZIP TENANT PHONE: -2l0 lB (/d. CONTRACTOR NAME: i�14 SUBMIT A COPY OF YOUR STATE LICENSE STATE LICENSE # EXP DATE AND CERTIFICATE OF ADDRESS: CI ry—F-/,' STATF/WZIP INSURANCE PHONE I f� °I FS 95- FAX PROPERTY TYPE SINGLE FAMILY)NEW CONSTRUCTION SIZE ❑ TWO FAMILY/NEW CONSTRUCTION STORIES PERMIT TYPE ❑ ADDITION ' ❑ GARAGE/SHED ❑ WINDOWS ❑ BASEMENT FINISH NLROOF ❑ DRAIN TILE ❑ DECK ❑ SIDING ❑ OTHER ❑ SWIMMING POOL TYPE OF WORK: ❑ NEW HOME CONSTRUCTION ❑ ADDITION ❑ MAINTENANCEIREPAIR ❑ REMODELING DESCRIBE WORK BEING DONE: 2 SIZE OF IMPROVEMENT LENGTH WIDTH HEIGHT SQ FT ROOFING 'FR(] HOUSE ONLY BASEMENT REMODELING SUBMIT: NUMBER OF SQUARES ❑HOUSE &GARAGE 1. Existing Floor Plan GARAGES ❑ ATTACHED GARAGE 2. Proposed floor plan PROPOSED SIZE: ❑ DETACHED GARAGE 3. List of structural members to be used PROPOSED HEIGHT: FOR NEW CONSTRUCTION INCLUDING DECKS, SIDING 13 Vinyl ❑Soffit ADDITIONS. & PORCHES SUBMIT: ❑ Aluminum ❑ Trim I. Site Plan/Survey showing the existing structures 13 Other 13 Fria and proposed project. 2. Two sets of construction plans WINDOWS 3. Energy Calculations IN EXISTING OPENINGS ❑Yes ❑No LOCATION OF WINDOWS FOR WINDOWS - PROVIDE U -VALUE AND OR FOR NEW OPENINGS -DESCRIBE SIZE OF MANUFACTURE STICKER ON WINDOW. OPENING CHANGES & TYPE OF WINDOW TO BE INSTALLED NUMBER OF WINDOWS ALL FEES ARE BASED ON VALUATION, INCLUDING THE COST OF LABOR AND MATERIALS: SING THE 1997 U.B.0 FEE SCHEDULE) TOTAL JOB VALUATION $ e--- OCCUPANCY TYPE Permit Fee $ _/5 Plan Review $ Fire Surcharge $ Surcharge $ ? License Surcharge $ SAC Charge $ Curb Cut Escrow $ Erosion Control $ Park Fee $ Sewer Main Charge $ Total Due $ 9 See Back Page for Fee Schedule 65% of Building Permit Fee .001 times the total job valuation .0005 x Permit Valuation Minimum $.50 $5.00 (State Licensed Residential Contractors) $2100 per SAC Unit (Plans to MWCC for determination) -ft +6ft= ftx$24=$ $450 Conservation Plan Review Fee Determined by Engineering Agreement necessary ( ) Non Necessary ( ) Make checks payable to: City of Fridley Attach THIS IS AN APPLICATION FOR A PERMIT -NOT VALID UNTIL PROCESSED I hereby apply for a building permit and I acknowledge that the information above is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Fridley and with the Minnesota Construction Codes; that I understand this is not a permit but only an application for a permit and work is not to start without a permit on site; that the work will be in accordance with the approved plan in the case ofwork whi res review and approval of Vis. SIGNATURE OF APPLICANT /-/�7� ° PRINT NAME,--) G �� (/, rC �- DATE_LO 1 / !' Page 2 - Building Residential Application BUILDING PER HT 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 (Minimum Fee is $23.50 plus surcharge) $501 to $2,000 $23,50 for 1' $500 plus $3.05 for each additional $100 or fraction, to and including $2,000 $2,001 to $25,000 $69.25 for 1" $2,000 plus $14 for each additional $1,000 or fraction, to and including $$25,000 $25,001 to $50,000 $391.25 for 1' $25,000 plus $10.10 for each additional $1,000 or fraction, to and including $50,000 $50,001 to $100,000 $643.75 for V $50,000 plus $7 for each additional $1,000 or fraction to and including $100,000 $100,001 to $500,000 $993.75 for 1 ' $100,000 plus $5.60 for each additional $1,000 or fraction to and including $500,000 $500,001 to $1,000,000 $3,233.75 for the V $500,000 plus $4.75 for each additional $1,000 or fraction to and including $1,000,000 $1,000,001 and up $5,608.75 for the I' $1,000,000 plus $3.15 for each additional $1,000 or fraction 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 Only City of Fridley Building Inspections Department 6431 University Avenue NE Fridley, MN 55432 763-572-3604 Fax: 763-502-4977