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PRE 2010 DOCSVillage ®f Fridley, NUm. 1" BUMDING PER 2 9 MT Office of INSPECTOR OF BUILDINGS Owner_ �j Architect Builder Fridley, Minn- 19 LOCATION OF BUILDING No. Street (/a," -zd�' P -t of Lot -Division 'It 7 Lot ---g- Block Addition or Sub DESCRIPTION OF BUILDING Frolt_:Z, Depths Height stories Manner of Construction To be used as To be. .completed Estimated Co Permit Is hereby gonted t to the building— described in the above statement. TWO permit Is granted upon the express co� dition that the "Orson to whom it is granted, and his agents, employees and workmen, in all the work done In, 4round and upon said building, or any part thereof, shall conform in all respects to the ordi- nances of Fridley, Minn., regarding the construction, alteration, maintenance, repair and moving of buildings within the city s, and this permit may be revoked ked at any time upon violation of any of the provisions of said ordinances. Inspector of Buildings. AGREEMENT AND SWORN STATEMENT In consideration of the issue and delivery to me by the Inspector of Buildings of Fridley of the above permit, I hereby agree to do the proposed work in accordance with the description above set forth and according to the provisions of the ordinances of Fridley, and, being first duly sworn, I hereby state and say that the facts stated by me and contained in the above permit are true as therein sta d. m po Subscribed an JJ sworn to before me at Fridley, Minwsota, this... 4�! day A.D. 19f�. BUILDING PERMIT Village of Fridley, Minn. Date ..... ,,.,I Owners' ... Address Builder .. Address . a 2517 LOCATION OF BUILDING ... .. No. ..,,,+f Street .�.:.. a'�'� ��• • Part of Lot ....................... Lot ................ Block ................ Addition or Sub -Division ....................................... Corner Lot ... Inside Lot ............ Setback ............ Sideyard ....."6 I. - , DESCRIPTION OF BUILDING To be Used as: �'• Front ... Depth .. , Height ......... Sq Ft..e4: Cu. Ft. ........ ........•.. Front ... Depth .. ... ,Height .. .. Sq.: Ft......... Cu. Ft. ........ Type of Construction ...� Cost ........................ To be Completed . ,cW" ... :�, :. . II I In consideration of the issuance to me of a permit to construct the building described above, I agree to do the proposed work in accordance with the description above set forth and in compliance with all provisions of ordinances of the village of Fridley. S .,,,In constderatioi; of the payment of a fee of $. permit is hereby granted to,:��a= wsi.:..... o construct the building or addition as described above. This permit is granted upon the express condi'I n at the person ' to whom it is granted and his agents, employees and workmen, in all work done in, around an 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 with- in the village limits' and this permit may be revoked at any time upon violation of any of the provisions of said ordinances. ....,� ..., • • �r ��,� f« Building Inspector a.07 NOTICE: This permit 'does not cover the construction, installation or alteration for wiring, plumbing, gas heating, sewer or water. IIBe sure to see the Building Inspector for separate permits for these Items. I SUBJECT City of Fridley 33926 AT THE TOP OF THE TWINS BUILDING PERMIT ` RECEIPT NO. v ____�_ COMMUNITY DEVELOPMENT DIV. r PROTECTIVE INSPECTION SEC. ��� 1 1 NUMBER REVDATE PAGE OF APPROVED 8Y = CITY HALL FRIOLEY 55432 763-571-3450 910415 9/30/03 JOB ADDRESS 7585 Van Buren Street NE 1 LEGAL LOT NO. BLOCKTRACTOR ADDITION SEE ATTACHED DESCR. 14 3 Shaffer's Subdivision #1 SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Howard Kulla 7585 Van Buren St NE 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Home Improvements of MN 13789 Fordham Ct, Apple Valley, MN 55124 612-598-9554 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 20184826 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 Reroof House & Garage (20 Sq) Tear -off 9 CHANGE OF USE FROM TO STIPULATIONS Underlayment must comply with the State Building Code. ate\ 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 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 $2,315 $1.16 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 $2.32 TRU ION OR T PERFORMANCE OF CONSTRU N `P ^' l6 PLAN CH CK FEE TOTAL FEE ice ' e SC $5.00 $91.73 SIXATURE COV RACTOA OR AUTNORiZEO AGENT f IDAT I EN PROPERLY VALIDATED THIS IS YOUR PERMIT S.GNATURE Of OWNER,Ii OWNER BUILOERI IDATEIL Vi G INSP TATE I NEW [ J CITY OF FRIDLEY Effective 1/1/2003 ADDN [ ] 6431 University Ave NE, Fridley, MN 55432 (763) 572-3604 Bldg Insp ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 (763) 571-1287 Fax BUILDING PERMIT APPLICATION Construction Address: Legal Description: Owner Name & A dress: �����.Tet. # Contractor. MN LICENSE #—e 2 d/ PLI Address: 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 Wi hHgt/Ground� Sq. Ft. � OTHER: U U S ��d`- Construction Type: — aCo Estimated Cost: $ Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x DATE: 7- �j APPLICANT: T -;&Z -� Tel. # �`� 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 Fire Surcharge State Surcharge SAC Charge License Surcharge Curb Cut Escrow Erosion Control Park Fee Sewer Main Charge TOTAL $ 9l'�3 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 [ ] BUILDING PERNUT 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 the annually determined rate. 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 Houses Only % Building MECANICAL Permit No.:MECHANICAL� Inspections RESIDENTIAL APPLICATION Received By: Det qPd: ULZU 7.63-572-3604 CITY OF FRIDLEY DATE ^� YOUR E-MAIL ADDRESS SITE ADDRESS %S �� THIS APPLICANT IS: 0 OWNER $CONTRACTOR PROPERTY NAME: W a OWNER/ ADDRESS:_jdly�'...Crry STATEZIPTENANT PHONE: O — F6 -15— CONTRACTOR SUBMIT A COPY OF YOUR STATE LICENSE WITH APPLICATION PERMIT TYPE TYPE OF WORK: COMPANY NAME. CONTACT PERSOI STATE LICENSE #, PHONE 0 SINGLE FAMILY 0 TWO FAMILY 0 NEW REPLACEMENT DETAILED DESCRIPTION OF WORK 0 TOWNHOUSE 0 ALTERATION/REMODEL ATE ZIP PER MS 16B.665 the permit fee is a minimum of $15.00 or 5% of the total cost up to $500.00, whichever is greater, for the improvement, installation or replacement of a residential fixture, excluding the fixtures. (This should reflect only the cost of labor ) Labor cost under $300 = $15.00. Labor cost between $300 to $500 =cost of labor_x .05 = FOR PROJECTS WHERE LABOR EXCEEDS $500, FEES ARE BASED ON $10.00 PER FIXTURE, EXCEPT WHERENOTED. FIXTURES: (INDICATE TOTAL NUMBER OF EACH BELOW)MFG: �/� MODEL: �A �7 ®� ® SIZEBTU Equipment Installed MODEL: MFG: SIZEIBTU MFG: MODEL: FIREPLACE (GAS) $15.00 . SIZEBTU _ GAS RANGE/OVEN $10.00 A/C $25.00 _AIR TO AIR EXCHANGEER $15 FIREPLACE (WOOD) $35.00 FURNACE $35.00 NEW GAS GRILL $10.00 GAS UNIT HTR $10.00 BOILER $35.00 —CHMgEY LINER $10.00 GAS DRYER $10.00 POOL HEATER $35.00 VENTILATOR $15.00 ^DUCT WORK $10.00 GAS PIPING $10.00 Permit Fee $ Number of fixtures @ $10.00 x $10.00 = Surcharge $ 50 Number of fixtures @ $15.00 x $15.00 = $ TOTAL Surcharge $ Number of fixtures @ $25.00 x $25.00 = $ Number of fixtures @ $35.00 B x $35.00 = $®� State Surcharge = $ .50 Total = $$ -6 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 caseof all wo which requ' es review and approval of plans, t, SIGNATURE OF APPLICANT PRRJT NAME I DATE 7 Z Y� ®� . City of Fridley Building Inspections Department 6431 University Avenue NE, Fridley, MN 55432 763-572-3604 FAX: 763-502-4977 REQUIRED INFORMATION NEEDED TO PROCESS PERMIT RESIDENTIAL PERMIT APPLICATION HVAC ❑ NEW HOMES/ADDITIONS ❑ EXISTING HOME ❑ MAKE-UP AIR REQUIRED FOR NEW/EXISTING HOMES 1. Combustion Air (See note below) _ a. Oil or solid fuel IMC Cha$.er 7 with MN Amendments b. Natural Gas or PropaneUGC Chapter 3 with MN Amendments 2. Make-up Air (See note below) a.. IMC Chapter 5 with MN Amendments 3. Venting a. Gas appliances IFGC Chapter 5 with MN Amendments b. Fuel other than gas IMC Chapter 8 with MN Amendments REQUIRED FOR NEW HOMES 4. Heat loss & cooling load per room a. Required on new construction IMC 1346.0312 S. Ventilation a. Per MN Energy Code 7670 or 7672 6. Duct Design Per IMC 1346.0603.2 a. ACCA Manual D NOTE: Centerpoint Energy Mechanical Code Guidelines software may be used for combustion and make up air calculations