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PRE2010 DOCS SUBJECT City of Fridley 33398 AT THE TOP OF THE TWINS BUILDING PERMIT r R NO COMMUNITY DEVELOPMENT DIV. PROTECTIVE INSPECTION SEC. I DATE PAGE CITY HALL FRIDLEY 55432 NMBER REv OF APPROVED BY 763-571-3450 910-F15 3/27/03 U JOB ADDRESS 1305 53 Avenue NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 4 1 Skywood Manor SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Nedegaard Construction Inc 4200 Central Ave NE, Columbia Heights, MN 55421 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Same 763-757-2926 2068 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 Construct a House & Garage 9 CHANGE OF USE FROM TO STIPULATIONS SP #03-02 for second accessory structure approved by City Council on January 27, 2003 with stipulations; NXXhXXKjtXXHXX See attached letter. Provide city with verifying survey before capping. Provide sod in the front and side yards. Provide a hard surface driveway. Paid Park Fee of $1,500. Submit engineering on foundation block that exceed 12 courses. SEWER & WATER LOCATIONS : See City Engineering Department. WARNINIG44 SEPARATE PERMITS Before digging call for REQUIRED FOR: all utility locations WIRING HEATING 4540002 PLUMBING AND SIGNSREQUIRED Y LAW SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING. TYPE OF CONST OCCUPANCY GROUP OCCUPANCY LOAD VENTILATING OR AIR CONDITIONING THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING SO.FT CU FT AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COMMENCED NO DWLG. UNITS OFFSTREET PARKING I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION 1 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 $206,890 $103.44 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 d PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- @ STRUCTI N OR THE PERFORMANCE OF STRUCTI0 $1,592.95 Fire SC $ PLAN CHECK FEE TOTAL FEE x �W N /V► is se SC $5.00 $3,183 SIGNATURE OFC N-AACTOR OR AUTHORIZED AGENT IDATEI HEN PROPERLY VALIDATED THIS IS I r --S�GNATUAE OF OWNER.IF OWNER BWLDERi IDATE I B G INSP NEW [ ] CITY OF FRIDLEY Effective 1/1/2003 ADDN [ ] 6431 University Ave NE, Fridley, MN 55432 (763)572-3604 Bldg Insp ALTER [ ] SINGLE FAMILY AND DUPLEXESR-1 AND R-2 (763)571-1287 Fax BUILDING PERMIT APPLICATION Construction Address: / ' duc' Legal Description: Owner Name &Address: „fie I'S ` Tel. # Contractor: �°���. 4^ C'� s �h c . MN LICENSE# Address: `/�a� C¢ �s� Av( C,, Tel.# /- 7S � ✓-`7L� �rz• _71 - I'77 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: 0 Construction Type: a'— c Estimated Cost: $ 01 vGw� e7 A-le-�e/a/Ve, N-"'- Driveway Curb Cut Width Needed: Ft. +6 Ft= Ft x $ _ $ DATE: - /v APPLICANT: Tel.# Call (763)572-3604 for Permit Fees if mail ng in application. Fax to 763-571-1287 if using credit card and we will call you for card number. CITY USE ONLY- Permit Fee $ c' a 9E Fee Schedule on Reverse Side Fire Surcharge $ a 0 Lo 8` .001 of Permit Valuation (1/10th%) State Surcharge $ 1 D . 4141 $.50/$1,000 Valuation SAC Charge $ I S -00$1275 per SAC Unit License Surcharge $_ -tOO$5.00 (State Licensed Residential Contractors) Curb Cut Escrow $ Alt. "A" or Alt. "B"Above Erosion Control $ $450.00 Conservation Plan Review Park Fee $:f 0o, Fee Determined by Engineering Sewer Main Charqe $ Agreement Necessary [ ] Not Necessary [ ] �i , g TOTAL $ t2 V STIPULATIONS: Permit Number MECcheck Compliance Report 1999 Minnesota Energy Code MECcheck Software Version 3.2 Release 1 Checked By/Date TITLE: 202471 COUNTY: Anoka STATE:Minnesota ZONE:2 CONSTRUCTION TYPE: Single Family DATE:02/11/03tN �0 DATE OF PLANS: 2111/03 6 PROJECT INFORMATION: GRIEP RESIDENCEd� L04-SKYWOOD COLUMBIA HEIGHTS,MN COMPANY INFORMATION: NEDEGAARD CONSTRUCTION COMPLIANCE:Passes Maximum UA=750 Your Home=486 35.2%Better Than Code Gross Glazing Area or Cavity Cont. or Door Perimeter R.-Value R-V ue U-Factor UA Ceiling l:Raised or Energy Truss 1331 44.0 0.0 29 Wall 1:Wood Frame, 16"o.c. 4917 19.0 0.0 263 Window 1: Above Grade,Vinyl Frame,Double Pane with Low-E 390 0.320 125 Door 1: Solid 54 0.140 8 Door 2: Glass 20 0.320 6 Basement Wall 1: Solid Concrete or Masonry,9.0'ht/8.5'bg/9.0'insul 396 11.0 0.0 22 Basement Wall 8: Solid Concrete or Masonry,4.0'ht/3.5'bg/4.0'insul 68 10.0 0.0 5 Basement Wall 9: Solid Concrete or Masonry,4.0'ht/3.5'bg/4.0'insul 384 10,0 0.0 28 Furnace 1:Forced Hot Air,90 AFUE Proposed and Maximum U-Factor Averages Proposed Maximum Average U-Factor Allowed U-Factor Above-Grade Windows and Glass Doors 0.320 0.370 Includes Foundation Windows>5.6 ft2 Ara CIIYOF FRIDLEY FRIDLEY MUNICIPAL CENTER-6431 UNIVERSITY AVE. N.E. FRIDLEY, MN 55432 •(763)571-3450-FAX(763)571-1287 CITY COUNCIL ACTION TAKEN NOTICE January 28, 2003 Nedegaard Construction Company, Inc. 4200 Central Avenue NE Columbia Heights, MN 55421 Dear Mr. Nedegaard: On Monday, January 27, 2003, the Fridley City Council officially approved your request for a Special Use Permit, SP #03-02, to construct a second accessory structure (garage), on a vacant piece of property, when a new home is constructed, legally described as Lot 4, Block 1, Skywood Addition, generally located at 1305-53nd Avenue NE. Approval of this special use permit is contingent upon the following stipulations: 1. Grading and drainage plan to be approved by City's engineering staff prior to the issuance of any building permits, in order to minimize impacts to the surrounding properties. 2. During construction, silt fencing shall be used where applicable and streets cleaned as needed. 3. Petitioner to pay $1,500 park dedication fee prior to issuance of building permits. 4. At British Petroleum's (BP) request, petitioner shall agree to not build closer than 25 feet from the centerline of the BP Pipeline on this lot. 5. No soil can be removed from over the BP Pipeline that results in a depth of less and 3 feet. 6. Utilities crossing the BP Pipeline must be located below it and have a minimum clearance of 12 inches between structures. 7. As the Zoning Code requires, the garage may not extend more than 5 feet in front of a home, petitioner shall bring the home design into compliance prior to issuance of any building permits. 8. As second accessory structures with doors opening onto a side street are required by Zoning Code to be setback 25 feet from the property line, the home must be relocated on the lot or otherwise brought into compliance prior to the issuance of any building permits. Action Taken Letter-Nedegaard Construction Co., Inc. January 28, 2003 Page 2 You have one year from the date of City Council action to initiate construction. If you cannot begin construction in time, you must submit a letter requesting an extension at least three weeks prior to the expiration date. If you have any questions regarding the above action, please call me at 763-572-3590. jttSincely, HPkok Community Development Director SH/jt cc: Special Use Permit File Address File Stacy Stromberg Sue Anne Kirkham Sharon Fetting Please review the above, sign the statement below and return one copy to the City of Fridley Planning Department by February 7, 2003. Concur with action taken. 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Is V3 E (szt�ns-o �ct1 N9iS3v� •03Tirno 3� 78 AWAd 5-711151/7\ �)ni.•.id���0 �In �hi1 "7lraf/ uro?fj yr,rr h yn/o7Q 11adovd tI�SN� WO-LS-ti-7 1 7i3o�rn& dim Ino.Y7VM 00-i ��rdg> z IoI 8007-1 cs3Mo7 n&8J h ' oo/ 3snOH 30 8V38 yoov 3ovyyo O'Z701 3snOH -40 1NOM3 u o sto/ NOLL VONn03 3o d01 SHOLLYAM D11TIQm2a QffSOdomcr golf ANA912S JO HaL VOIJUM90 TY OF FRIDLEY INSPECTION DIV_ Effective On Jan 1, 2003 ity -31 31 University ME U MN AveA APPLICATION FOR PLUMBING ANN GAS FITTING PERMIT 1.(\0 63)572-3604, FAX(763)571-1287 MARK NUMBER OF FIXTURES TO BE INSTALLED ON EACH FLOOR .: � _ ��_ _ _ Wash _ -__.: Floor Auto. �_ Gas _- �.-�.:.,Water tlsaier Stories :.- Urinal Shovrer Tray Drain .;:Washer:. a Ran a Gas Elec rra Basement Floor 1 �` A Floor 3 �•- -< - - � _�... �.:� :, _ _ _ ti Y _-_,:;;�.•- - _ __ =- x ry�, ;� xy .+x'- ;.:�� ., ` _ - .`x- 'w. -'•st„ ---z' :scc.M�i: Floor 4 0 LUMBING FIXTURE RATES- NO. RATE TOTAL JOB ADDRESS ew Fixtures $7.00 The undersigned hereby makes application for a permit for the work herein }Id Opening, New Fixture $4.00 specified agreeing to do all work in strict accordance with the city codes -eer Dispenser $5.00 and rulings of the Building Division,and hereby declares that all the facts :low Off Basin $7.00 and representations stated in this application are true and correct. :etch Basin $7.00 (a/cl-2 w :ain Water Leader $7.00 / `�0� p ;umplReceiving Tank $7.00 Co r( Vater Treating Appliance $10.00' 0.u- Naler Heater-Electric $7.00 } Vater Heater-Gas— $14.00 Building Used As Sas Range" $14.00 .3a5 Dryer" $10.00 Estimated Cost PERM T NO. - ' Sack Flow Preventer Required( )Yes ( )No S � Type $15.00 PLUMBING CO ANY �v� k reinspection Fee$47.00/Hr SIGNED B TEL N0. '?3 t 4C7 m ALL OTHERS AND/OR REPAIRS AND ALTERATIONS 1.5%of Value of Fixture or Appliance m Approved B Rough-In Date Final Date � '= State Surcharge $ .50 FMINIMUM E FOR ANY PLUMBINGIGAS PERMIT IS 620.00 ao w TOTAL FEE b•✓�' PLUS THE .50 STATE SURCHARGE U- CQGIIBUSTlC1N RIR SHALL BE PROVIDED PER UMC SECTION 504(A)AND TABLE 6-A. COMMON VENT INFO ON BACK SIDE (�i,vurrmuLL, /mZ�rtt-IRAN UIv. 8431 University Ave NE Fridley, K8N55432 APPLICATION FOR PLUMBING AND GAS FITTING PERMIT (7S3) 572,3GO4. FAX (7O3) S71-1287 ^ MARK NUMBER OF FIXTURES TO BE INSTALLED ON EACH DR Wash Floor Auto. Gas . Gas Misc; Water HeaterDrain Washer A'p flt' as _ Stories Urinal Shower Tray Basement Floor 1 Floor 2 Floor 3 Floor 4 PLUMBING FIXTURE RATE& NO, RATE TOTAL JOB ADDRESS New Fixtures ^�' $7.00 The undersigned hereby makes application for apermit for the work herein Old Opening, New Fixture 54.00 specified agreeing todoall work instrict accordance with the city codes Beer Dispenser _ $5.DO and rulings ofthe Building Division, and hereby declares that all the facts Blow Off Basin ____- $7.00 and representations stated in this application are true and correct. Catch Basin ____ $ 7.00 "����� Rain VVotarLeader ____. s7.00 .2" _� Qumo/Reoeiv\ngTank / $7.00 ~ Water Treating Appliance __� $10.00 VVmta,Heatmr-Electrio � $ T.00 \ VVoharHeater'(�as^° 0�__ �1D�DD Building Used As Gas Range" ____- $10.00 Gas Dryer** ____ $10.00 Estimated Cost PERMIT NO. Back Flow PnevenharRequired ( )Yes ( \ No Type _____ $15.00 PLUMBING COMPANY Reinspection Fee $47.O0H, BY�66& —TEL NO., ALL OTHERS AND/OR REPAIRS AND ALTERATIONS �7 - 1.5% ofValue ofFixture urAppliance Approved By Rough-In Date Final Date State Surcharge 8 .50 ' MINIMUM FIEFOR ANY PLUMBING/GAS PERMIT IS $20.00 T(]TALFEE $ PLUS THE $.60 STATE SURCHARGE COMBUSTION AIR SHALL BEPROVIDED PER UMC SECTION 5O4(A)AND TABLE G-A. COMMON VENT INFO ONBACK SIDE Effective January 1, 2003 CITY OF FRIDLEY INSPECTION DIVISION 6431 University Ave NE Fridley, MN 55432 APPLICATION FOR POWER PLANTS AND HEATING,COOLING, VENTILATION, (763) 572.3604 REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES FAX (763) 571-1287 JOB ADDRESS -3 0, ,jrc� f t Ay� RATE SCHEDULE OWNER ��1�t� l �� ���7 Y' y`�G�'I Q Y� • Residential Rate TOTAL Furnace Shell and Duct Work, Burner - �/ r/Vv11 BUILDING USED AS Also Replacement Furnace $ 30.00 $= 1L �¢ c r,' (Side Vent - Fill Out Back) (� ESTIMATED COST ` c)O - � PERMIT N0. � �'� Gas Piping (Needed with new furnace, $ 10.00 $ !0 • V0 but not replacement) DESCRIPTION OF FURNACE AND OR BURNER Gas Range $ 10.00 $ 0. 00 1(� No. of Heating Units 1 Circle One (Steam) (Hot Water (Warm Air) Gas Dryer $ 10.00 $ 1V•0Q Trade Name GY Size No. N' �1 BTU inUnO HP EDR KR *Air Conditioning - All Sizes $ 25.00 $ ``�> Fuel _Total Connected Load 00 000 All Others/Repairs &Alterations (LIST ON BACK) Burner Trade Name Y(�V I� Size No. 1%' of Value of Appliance or Work $ BTU HP EDR Commercial/Industrial 1.250/0 of Value of Appliance or Work $ 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 an State Surcharge $ .50 rulings of the Building Division, and hereby declares that all the facts and representations stated in this application are true and correct. TOTAL FEE ° �� 15() DATE MINIMUM FEE FOR ANY HEATING/COOLING/VENTILATION HEATING CO ��� tI 1►� I N10- REFRIGERATION/AIR 10REFRIGERATION/AIR CONDITIONING PERMIT IS $25.00 ��� 1 PLUS THE $.50 STATE SURCHARGE Signed � - TEL # 4 rI ✓ -Q - J71 FAX # ' (LG -qW: Q00 0 REINSPECTION FEE $47.00/Hr �t *Air Conditioners can not be placed in a side yard without Approved By Rough-In Date Final Date written permission from adjoining property owner. FILL OUT BACK SIDE FOR STACK VERIFICATION ON REPLACEMENT FURNACE THE BELOW MUST BE FILLED IN WHEN REPLACING FUEL BURNING APPLIANCES OR THE APPLICATION WILL BE RETURNED When , the undersigned hereby verifies that the venting has been exa ined and is free from rust, deterioration, obstructions, and is securely suppo d and firestopped where required. Yes ( No ( ) The venting system is pias' PVC and meets all current codes and manufacturer specifications including sizin length, number of elbows and termination. Yes ( ! No ( ) The undersigned also verifies th the replacement unit is a listed assembly �- and meets the current codes and nufacturer's specifications. This does include AGA-GAMA Category I Cent I Furnace Venting Tables for fan assisted and natural draft appliances. Yes ( ) No ( ) The nXistenn r-nmhistinn air is sized an stalled to meet the current codes and manufacturer's specifications. Yep,' No ( ) When required to install a new namblisti it will be sized and installed to meet the current codes and manufacturer's spe 'fications. Yes( ) No ( ) When jpettaffinn a naw venting nystPm,the undersig ed hereby verifies th it is a listed assembly and meets the current codes and anufacturer's specifications. This does include AGA-GAMA Category I entral Fuma Venting Tables for fan assisted and natural draft appliance Yes( ) No( ) Is the common vent and vent connectors sized and installed c ctly after an appliance has been removed from the common vent and v n d separately as per current codes. Yes ( ) No( ) Apploancp-Jypp and Rim-IC Appliance#1 Type BTU I ut Fan A isted or Nat Appliance#2 Type BT nput Fan Ass ted or Nat Appliance#3 Type Input Fan Assis d or Nat Total Appliances Tot Btu Input Common Vent Type Vent Height Diameter inches Appliance#1 Vent Connector ight ft Length ft Diameter in T e Appliance#2 Vent Connect Height ft Length ft Diameter in Ty Appliance#3 Vent Conn or Height ft Length ft Diameter in Type HEATING CO: Signed By: Date NEW [ ] CITY OF FRIDLEY Efe ive 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 &Address: Tel. # Contractor: C. e n l � ` 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 IMPROVEMENT LIVING AREA: Length Width Height Sq. Ft. GARAGE AREA: Length Width Height Sq. Ft. DECK AREA: Length Width Hgt/Ground Sq. Ft. OTHER: Construction Type: Estimated Cost: $ vv x Driveway Curb Cut Width Needed: a y Ft. + 6 Ft= Ft x $ _ $ �( DATE: S o APPLICANT: (' t 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 $ Fee Schedule on Reverse Side Fire Surcharge $ .001 of Permit Valuation (1/10th%) State Surcharge $ $.50/$1,000 Valuation SAC Charge $ $1275 per SAC Unit License Surcharge $ $5.00 (State Licensed Residential Contractors) Curb Cut 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: 2 -3'0 �---21 p