Loading...
PRE 2010 DOCSJ SUBJECT City of Fridley( 4 5 s� AT THE TOP OF THE TWINS BUILDING PERMIT RECEIPT NO. Ir? � • COMMUNITY DEVELOPMENT DIV. r PROTECTIVE INSPECTION SEC. � CITY HALL FRIDLEY 55432 NUMBER REV DATE PAGE OF APPROVED By 612-571-3450 910-F15 8/30/96 JOB ADDRESS 7686 Van Buren Street NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 2 2 1 Shaffer's Sub. #1 SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Dan/Gail Roufs 7686 Van Buren Street 780-3267 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 ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Construct a 14' x 14' Shed addition to garage; reroof garage (8 Sq) Tear -off 9 CHANGE OF USE FROM TO STIPULATIONS 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 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 $2,000 $1.00 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- $62.25 Fire SC $2.00 STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. PLAN CHECK FEE OTAL FEE $65.25 SIGNATURE OF CONTRACTOROR AUTH 1111 10 N P P RLY V LIED THIS IS YOUR PERMIT� &AENT l 4 LCIN,& MATE SIGNATURE OF OWNER IIF OWNER BUILDE IDAT I J NEW { j Effective 3/1/96 ADDN [ ] CITY OF FRIDLEY ALTER [ J SINGLE FAMILY AND DUPLEXES R-1 AND R-2 Building Permit Application ConstructionAddress:NE1 Legal Description: Owner Name & Address: ( I �� i��� Tel. # Contractor: MN LICENSE # Address: Tel. # Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF EMPROVFA ENT LIVING AREA: Length Width Height Sq. Ft. GARAGE AREA: Length Width ` HeightSq. Ft. ME 5 - DECK AREA: Length Width Hgt/Ground Sq. Ft. OTHER:i, ��r _ ��� ` Caw Corner Lot [ ] Inside Lot [ ] Ft. Yd Setback Side Yard Setbacks Type of Construction: Wccd Estimated Cost: $ 00 0. ®t� Approx. Completion Date: k(Cost on Bac) a ,`.. ekl Driveway Curb Cut Width Needed Ft - + 6 Ft = t. x SATE: $ APPLICANT: ¢ Tel. # _ 3 CITY USE ONLY Permit Fee $ � >i -Fee Schedule on Reverse Side Fire Surcharge $ z) C) .001 of Permit Valuation (1/10th%) State Surcharge $ / 6E) $.50/$1,000 Valuation SAC Charge $ $900 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 $ �� 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 t.' $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 tunes$13' Alternate "B": Removal and replacement of curb and gutter and install a 3 foot wide `' g 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. s SUBJECT City of Fridley6' AT THE TOP OF THE TWINS P, BUILDING PERMIT If COMMUNITY DEVELOPMENT DIV t. PROTECTIVE INSPECTION SEC. r NUMBER REV DATE PAGE OF APPROVED BY CITY HALL FRIDLEY 55432 ' 612-571-3450 910-F15 T6/6/97 JOB ADDRESS 7686 Van Buren Street NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 2 2 1 Shaffer's Subdivision #1 SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Dan Roufs 7686 Van Buren Street NE 780-3267 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 J7 REPAIR O MOVE ❑ REMOVE 8 DESCRIBE WORK Reroof House (17 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 SQ. FT. CU. FT. AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS OFFSTREET PARKING I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION 1 STALLS 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 $1,402 $.7O 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- STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. PLAN CHECK FEE TOTAL FEE $50.60 NATURE OF CONTRAC ORA ORIZED AGENT i/D{®ATEi WHEN PROPERL ALIDATED THIS IS YOUR PERMIT (/Jnr BL 1 INSP MATE SIGNATURE OF OWNER OF OWN BUILDERI I ID TEI NEW [ ] Effective 1 / 1/97 ADDN [ ] CITY OF FRIDLEY ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION ConstructionAddress: _ & 9& i f A- A; 0V I/ f !,) Legal Description: Owner Name & Address: �� o _ �(� I,' e,, ��� �r„ St )t/,F Tel. # �7e0 - 3, CP Contractor: ---- Address: MN LICENSE # 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: ro G 4, i -{G o S E'_ .-eco il- C 42 -9 - Construction Type: $ $5.00 (State Licensed Residential Contractors) Estimated Cost: $ $ Alt. "A" or Alt. "B" Above Erosion Control (Fee Schedule on Back) Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ _ $ DATE: (e Z APPLICANT: /V R 0 V Tel. # 7 k -V - 3 (j TOTAL STIPULATIONS: $ C"n CITY USE ONLY Permit Fee $ S!� Fee Schedule on Reverse Side Fire Surcharge $ .001 of Permit Valuation (1/10th%) State Surcharge $ `� $.50/$1,000 Valuation SAC Charge $ $950 per SAC Unit License Surcharge $ $5.00 (State Licensed Residential Contractors) Driveway Escrow $ Alt. "A" or Alt. "B" Above Erosion Control $ -$450.00 Conservation Pian Review Park Fee $ Fee Determined by Engineering Sewer. Main Charge $ Agreement Necessary [ ] Not Necessary [ ] TOTAL STIPULATIONS: $ C"n 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 amou nt 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 $10,000 $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. klternate "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 "omits for construction will be issued a minimum of 24 hours from the time of application to allow for proper -view of the proposed structure and of the construction site. Certificate of Survey of the lot, showing the location of the foundation cjnce it has it has been construe -.f I he required hefore proceedina with the framing. CITY OF FRIDLEY INSPECTION DIVISION 95 6431 University Ave NE Fridley, MN 55432 APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION, 572-3604 REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES RATE SCHEDULE Residential Rate TOTAL Furnace Shell and Duct Work, Burner — Also Replacement Furnace $ 30,00 $ (Side Vent — Fill Out Back) Gas Piping (Needed with new furnace) $10.00 $ Gas Range $10,00 $ Gas Dryer $10.00 $ fir Conditioning — All Sizes $ 25.00 $ 2 5 All Others/Repairs & Alterations (UST ON BACK) 1 % of Value of Appliance or Work $ Commercial/Industrial 1.25% of Value of Appliance or Work $ Effective On January 1, 1997 JOB ADDRESS 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 representations stated in this application are true and correct. - l ,1998 OWNER lD BUILDING USED AS ESTIMATED COST PERMIT NO. DESCRIPTION OF FURNACE AND OR BURNER No. of Heating Units, Trade Name - BTU Circle One (Steam) (Hot Water) (Warm Air) Size No. HP EDR Fuel Total Connected Load State Surcharge $ .50 Burner Trade Name le TOTAL FEE A> O BTU MINIMUM FEE FOR ANY HEATING/COOLING/VENTILATION REFRIGERATION/AIR CONDITIONING PERMIT IS $25.00 PLUS THE $.50 STATE SURCHARGE REINSPECTION FEE $42.00/Hr HEATING CO Signed By Approved By Size No. HP EDR shat; Heating end .Air Conditioning / Columbia Heights, PSN 55421 Tel *2.,572-0459 Ila I ugh—In Date Final DateG'it *Air Conditioners can not be placed in a side yard without FILL OUT BACK SIDE FOR STACK VERIFICATION ON written permission from adjoining property owner. REPLACEMENT FURNACE Remarks: List ALTERATIONS Being Done: HEATING CO: Signed By: Date: CHIlANEY AND STACK VERIFICATION The undersigned hereby verifies that the existing chimney or stack: 1. Has been carefully examined Yes () No ( ) 2. Is free from rust or deterioration Yes () No ( ) 3. Has no foreign objects lodged within Yes ( No ( ) 4. Is securely supported . Yes () No ( ) 5. Meets all current Code requirements for size and total BTU's connected Yes () No ( ) 6 Has total heating BTU's of All other BTU's TOTAL BTU's 7. Has a liner been provided for water heater Yes () No ( ) 8. Has combustion air been provided for water heater Yes () No ( ) Remarks: List ALTERATIONS Being Done: HEATING CO: Signed By: Date: 011 suB.iky P City of Fridley 2 9207 AT THE TOP OF THE TWINS D A A IT B I' I L D I N G PE i • COMMUNITY DEVELOPMENT DIV. v "'v 1L R. _____ d � � PROTECTIVE INSPECTION SEC. ! 1 � � NUMBER REV DATE PAGE OF APPROVED BY 1 = "'-'1 CITY HALL FRIDLEY 55432 j 612-571-3450 910-Ft5 4/14/99 / 10B ADDRESS 7686 Van Buren Street NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 2 2 Shaffer's Subdivision #1 SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Dan Roufs 7686 Van Buren Street NE 780-3267 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Ea leview Construction Inc 2937 174 Lane NW Andover MN 55304 753-5469 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO 20076043 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO 6 USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW O ADDITION ❑ ALTERATION REPAIR O MOVE ❑ REMOVE 8 DESCRIBE WORK Reroof House & Garage (24 Sq) Tear -off 9 CHANGE OF USE FROM TO STIPULATIONS Underlayment must comply with the State Building Code. CONSTRUCTION WORK HOURS: 7:00 am to 9:00 pm, Monday thru Friday; 9:00 am to 9:00 pm on Saturday; No work on Sunday. 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 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 $2,056 $1.03 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- STRUCTION OR THE PERFORMANCE OF CONSTRUCTION PLAN CHECK FEE/ TOTA EE Y� Licen e $5.00 $82.84 iDATE4 N P OP L A ISIzr0?"_11S ,,�NATUREIIJFCONTRACTORORAUTHORIZEDAGENT LD INso Ar1AtE SIGNATURE OF OWNER11F OWNER BUILDER, IDAiE. 011 NEW [ ] Effective 1/1/99 ADDN [ ] CITY OF FRIDLEY le ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION r ConstructionAddress:�P�� Legal Description: Owner Name &Address: Tel. # �Jb � � Contractor: MN LICENSE # mac? to ® � �t Address: A/- V, Tel. # � —S y le? �� � % i % � 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: .S� Construction TY! eL�e: � -9- 71"-a C stimated Cost: $ w (Fee Schedule on Back) Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x DATE: �/Zly Lqa( APPLICANT: CITY USE ONLY Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee Sewer Main Charge TOTAL STIPULATIONS: GI ;a Fee Schedule on Reverse Side .001 of Permit Valuation (1/10th%) $.50/$1,000 Valuation $1050 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 applicatign 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 $15.50. Alternate "B": Removal and replacement of curb and gutter and install a 3 foot wide approach with 6 inch depth - Driveway width plus 6 feet times $23.25. VERIFICATION OF FOUNDATION Permits for construction will be issued a minimum of 24 hours from the, time of application to allow for proper review of the proposed structure and of the construction site. A Certificate of Survey of the lot, showing the location of the foundation once it has it has been constructed will be required before proceeding with the framing. 3uilding BUILDING Permit No.: nspections - RESIDENTIAL APPLICATION ReceiveA— 763-5723604 CITY OF FRIDLEY Date Rec'd )ATES' O� YOUR E-MAIL ADDRESS bYY G1Q%h,No td 6L6t3/5IryC. Cep:+-... ;ITE ADDRESS HIS APPLICANT IS: ❑ OWNER CONTRACTOR PROPERTY OWNER/ NAME: 'tkoW � GAIL. 0,0U,Fs 3� ADDRESS: �69AA &-1 ",1 SV /E CITY 'or:r STATE#AV1P TENANT PHONE: `763-i8b-- 37-6-7 CONTRACTOR NAME: �dvv�ir+ia-sem 'Btu, Qers �. / STATE LICENSE # Z U 2-5 b '� E, EXP DATE 3%31 4- / 'b 6c"'I'Iiv AVe A/ A)/'%f 1Lu/k,— sTAT IP SUBMIT A COPY OF YOUR STATE LICENSE ADDRESS: CITY -;57/6 WITH APPLICATION PHONE 657- FAX 661- 76--L - 86 / PROPERTY TYPE GLE FAMILY/NEW CONSTRUCTION SIZE ❑ TWO FAMILY/NEW CONSTRUCTION STORIES PERMIT TYPE ❑ ADDITIONGE/SHED ❑ WINDOWS E3BASEMENT FINISH ❑ ROOF ❑ DRAIN TILE ❑ DECK ❑ SIDING ❑ OTHER ❑ SWIMMING POOL TYPE OF WORK:W ❑ ADDITION ❑ MAINTENANCE/REPAIR ❑ REMODELING DESCRIBE WORK BEING DONE: Remove � Re ta4-a a -r -e-C� SIZE OF H*APROVEMENT e LENGTH off- 6 WIDTH 9 HEIGHT 861 Sq. Ft. ROOFING t ❑ HOUSE ONLY NUMBER OF SQUARES ❑ HOUSE & GARAGE BASEMENT REMODELING SUBMIT: GARAGES 5F ❑ ATTACHED GARAGE I. Existing Floor Plan 2. Proposed floor plan PROPOSED SIZE! DETACHED GARAGE 3. List of structural members to be used PROPOSED HEIGHT: 9, w"4& SIDING FOR NEW CONSTRUCTION INCLUDING DECKS, ❑ Vinyl I9Soffit1 ADDITIONS, & PORCHES SUBMIT: 13 Aluminum ® Trim "' ^u" 1. Site Plan/Survey showing the existing structures 0 Other °emeA jar, , /I ® 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 FLEE SCHEDULE) TOTAL JOB VALUATION $ ;;�2 , 4 OCCUPANCY TYPE Permit Fee Plan Review Fire Surcharge Surcharge License Surcharge SAC Charge Curb Cut Escrow Erosion Control Park Fee Sewer Main Charge Total Due 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) $1550 per SAC Unit (Plans to MWCC for determination) ft+6ft= ftx$21=$ $450 Conservation Plan Review Fee Determined by Engineering Agreement necessary ( ) Non Necessary ( ) Make checks uavable 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 andwo is not to start without a permit; that the work will be in accordance with the approved plan in the case of all workch requires review approf plans. SIGNATURE OF APPLICANT �r —` PRINT NAME JAAEs1L i SR �i 1� DATE S "ZS _O -b 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 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 1' $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 161 $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 proposad 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 Home Owner Dan & Gail Roufs 7686 Van Buren St NE Fridley, MN 55432 763.780.3267 Contractor Dominion Builders, Inc. 12240 Goodview Ave N. White Bear Lake, MN 55110 651.238.9882 PROJECT: Removal of existing detached 20'-6" x 22'-0" Stucco garage and pad and replace with 22'-6" x 42'-0" Stucco garage and slab in exact location with respect to the lot line setback. Details: 2x6-9' walls (green treated plate on concrete and double SPF as top plate) V2" OSB wall sheathing HIP roof system (with energy heals) —18" overhang V:e' OSB roof sheathing Aluminum soffit/facia Iee/Water guard (2 -rows) around perimeter of entire building 15# Felt paper for balance of roof 3 -Tab asphalt shingles Roof venting (64750 (8") vents) Green guard house wrapped James Hardie Stucco sheathing -siding (4x9-3/8" panels) Main garage area insulated with R19 in walls and R38 in ceiling Vapor barrier, Drywall: taped /mudded/sanded ready to paint One 16'x7' insulated garage door Two 3/0 service doors Exterior lighting over/near each door unit Rr` Au�.25. 2006 12:25PM OSVOLD CO 612 331 5540 No-9315 P. 3/3 07 ui—ceiri-3 Lo-46 yo0 TITLE,W UUL-.j r-HcMM.3 U A i guc/t Euits 100 �INC.1 317 second avenue south minneapolis, minnesota 55401 • (012) 339-5313 LEGAL DESCRIPTION, INSPECTION ®ATE a r_� FILE NO.`� -74 - - - 4 -I 257t- tol tl ' � 1 t t The 1enp.-.e--mr aho•.n on thio diee.rirle sen arlpeaen p noway ens women inspection >ai ttre properrus mid are charted est ip 1pPraklFnBtea loco nr Me lot Clbn®rtsios taken /rpm the recorded peal et the Golinty mink. This brewing Is Shawn tae tntormationel eul'momm only and does not consmule a liability or the c*mpanp. t 0 I 1 i o4000,lb ti a / 0 o4000,lb ti 0 /o. LV a, 100(-0 Effective 1/1/04 CITY OF FRIDLEY MOVING [ ] RECKING ] PERMIT APPLICATION 6431 University Ave NE Fridley MN 55432 (763) 572-3604 FAX (763) 571-1287 Job Address: VatPcx rem Sk ae Legal Description: Owner & Address : Oua�Ga 1 lou 's as c Tel. # 7So - 3z6 7 Contractor: �omori���3�a mac_ el. # Address: IZZ40tv'�oac v� re [Q/jk cEtt. 'LdcQ�-State License # 2G2C30S(.;' DESCRIPTION OF BUILDING HOUSE: Length GARAGE:Length OTHER: Length Estimated Cost S --L ' Width Width Width Height Sq. Ft. Height �� Sq. Ft. 4S6 Height Sq. Ft. Approx. Completion Date Cu. Ft. Cu. Ft. Cu. Ft. _ -711.5-10 r - CALL GOPHER STATE ONE AT 651-454-0002 FOR UTILITY LOCATIONS. CALL ALL UTILITIES FOR DISCONNECTS BEFORE WRECKING MOVING STRUCTURE. Water Bill Paid: Yes [ ] or Collect [$ Moving Route: ] Signature The undersigned hereby makes application for a permit to wreck/move the building described above, agreeing to do all work in strict accordance with the City Ordinances and rulings of the Building Division, and the State Code which requires any water well on the property to be sealed by a State licensed water well driller, and hereby declares that all facts and representations stated in this application are true and correct. ALL Moving Wrecking Principle building into Fridley .... $300.00 For each 1,000 cubic feet or fraction ...... $1.25 Accessory building into Fridley ... $ 42.00 For structures which would be impractical to Through or within the City ...... $ 20.00 cube, the fee shall be based on the total cost Move a building out of City ...... $ 20.00 of wrecking at the rate of $6.00 for each $500.00 or fraction. PERMIT FEE: 301�z MINIMUM $20.00 STIPULATIONS: From: City of Fridley I a WZ_V d-"[5 rage: 4/o Lith@: iNL11AM I C.".'00 AM Building MECHANICAL Permit No.: Inspections RESIDENTIAL APPLICATION Received By. 763-572-3604 CITY OF FRIDLEY Date Rec'd: DATE YOURE MAIL ADDRESS \�VI!E�'t )m SITE ADDRESS 9 CD sto IT62i't THIS APPLICANT IS: 13 OWNER NTRACI OR PROPERTY OWNER/ NAME: ® n2 Te STATE � 757!j ADDRESS: ® PHONE: 1 � CONTRACTOR COMPANYNAME: SUBMITA COPY OF YOUR STATE LICENSE WITH CONTACT PERSON:1 Q f� 1, iY> STATE LICENSE #L I��®b EXP DATE ®g p ' CITY � . 1.t-9 'IF. I'�IN'STATEZ1P ADDRESS: APPLICATION pHONE FAX 9 i5,2, 2J9 - 44-25 PERMIT TYPE KSINGLE FAMILY O TWO FAMILY O TOWNHOUSE K TYPE OF WOR: �Ww ❑ REPLACEMEATT TERATIONIREMODEL DETAILED DESCRIPTION OF WORK =Y')' -ZS Ml 44�,� A e--);, O&qinLQ ` bV ow_ (S�- PER MS 16B.665 the permit fee is a minimum of 515.00 or 5% of the total cost up to SSM.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 la BO x .05 = FOR PROJECTS WHERE LABOR EXCEEDS $500, FEES ARE BASED ON $10.00 PER FIXTURE, EXCEPT WHERE NOTED. FIXTURES: (INDICATE TOTAL NUMBER OF EACH BELOW) r Egarprta hidaUed MFG: Oi'San MODEL: IRAD "- A-010 SMMTU I&PPY MFG: MODEL: SIZE/BTU MFG: MODEL: SIZEIBTU A/CW.00 (GAS) $15.00 _GAS RANGFIOVEN $10.00 _FIREPLACE AIR TO AIR EXCHANGEER $15 FIREPLACE (WOOD) $35.00 _NEW GAS GRILL $10.00 BOILER $35.00 34URNACE $35.00 _GAS UNIT HTR $10.00 LINER $10.00 GAS DRYER $10.00 _POOL HEATER $35.00 _XCHiMNEY DUCT WORK $10.00 YGAS PIPING $10.00 _VENTILATOR $15.00 Permit Fee $ Number of fixtures (o, $10.00 x $10.00 = $ Surcharge S .50 TOTAL DUE $ Number of fixtures (o, $15.00 ®' x $15.00 = $ — Number of fixtures @ $25.00 Q x $25.00 = $ — Number of fixtures (a), $35.00 x $35.00 = $ State Surcharge = $ .50 Total = $_Lat2,C% 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 odes 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 to start without a permit; that the work will be in accordance with the approved plan in the case of all work mbich regi' review proval of plans. SIGNATURE OF APPLICA PRINT NAME F ie_ &nI DATE It City of Fridley Building Inspections Department 6431 university Avenue NE, Fridley, MN 55432 763-572-3604 FAX: 763-502-4