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PRE 2010 DOCS
G'W OF FWDLEY FRIDLEY MUNICIPAL CENTER•6431 UNIVERSITY AVE. N.E. FRIDLEY, MN 55432 •(763)571-3450•FAX(763)571-1287 CITY COUNCIL ACTION TAKEN NOTICE May 28, 2004 Jay Windschitl Tradition Homes Inc. 3680-152nd Lane Andover MN 55304 Dear Mr. Windschitl: On Monday, May 24, 2004, the Fridley City Council officially approved your request for a Preliminary Plat, PS #04-03, to allow the construction of a 4-plex on the property, legally described as Lots 27, 28, and 9, Block 7, Hamilton's Addition to Mechanicsville, Anoka County, Minnesota, that part of Lots 25 an 26, Block 7, Hamilton's Addition to Mechanicsville, Anoka County, Minnesota, lying Northerly of the following described line: Commencing at the Northeast corner of said Lot 26; thence southerly along the east line of said Lot 26, a distance of 46.50 feet to the Northwest corner of Lot 26, and said line there terminating, generally located at 5541-5`h Street NE. Approval of this Preliminary Plat is contingent upon the following stipulations: 1. The final landscape plan shall meet code requirements for number of and size of plantings and be reviewed and approved by City staff prior to issuance of a building permit. 2. All landscaped areas shall have irrigation installed. 3. Brick on building elevations shall be extended up to the banding element above the garages. (Shown on submitted elevations) 4. A grading and drainage plan shall be submitted and approved by the City's engineering staff prior to issuance of a building permit. 5. A utility plan shall be submitted and approved by the City's engineering staff prior to issuance of a building permit. 6. Individual services will be required for each unit. 7. Petitioner shall provide easements as shown on preliminary plat. 8. The petitioner shall pay applicable park dedication fee of$1,500 per unit prior to the issuance of any building permits. 9. The petitioner shall provide proof that any existing wells or individual sewage treatment systems located on the site are properly capped or removed. 10. Association documents to be filed with final plat. Action Taken Letter-Tradition Homes Page 2 May 28, 2004 11. A Development Agreement outlining the Developer's obligation to install utilities, etc., will be prepared by the City and shall be signed by the Petitioner, prior to final plat approval. The Council action described above is only to approve the preliminary plat. You must have an approved final plat prior to recording at Anoka County. When the final plat has been prepared by your surveyor, a copy of the plat should be sent to the Anoka County's Surveyor's office for review. Once that review is completed, please submit three full size copies of the final plat to the Community Development Department. The Community Development staff will contact you as to which council meeting the item will be scheduled for consideration (it will be placed under the "consent agenda"). After Council action on the final plat, the mylars of the plat must be submitted to the City for signature by the Mayor and City Clerk. Once signed, the plat is ready for recording at Anoka County. The final plat must be submitted for action within six months of approval of the preliminary plat. If you have any questions regarding the above action, please call me at 763-572-3590. Sinc ely, Sco t Hickok Community Development Director SH/jb Please review the above, sign the statement below and return one copy to the City of Fridley Planning Department by Monday, June 14, 2004. Concur with action taken. C-04-58 AMM CITYOF FRIDLEY FRIDLEY MUNICIPAL CENTER•6431 UNIVERSITY AVE.N.E.FRIDLEY,MN 55432•(763)571-3450•FAX(763)571-1287 CITY COUNCIL ACTION TAKEN NOTICE July 30, 2004 Jay Windschitl � � Tradition Homes Inc. 3680-152nd Lane Andover MN 55304 Dear Mr. Windschitl: On Monday, July 26, 2004, the Fridley City Council officially approved your request for a Final Plat, PS #04-03, Resolution #2004-37, to allow the construction of a 4-plex on the property, and approved the Development Agreement, legally described as Lots 27, 28, and 9, Block 7, Hamilton's Addition to Mechanicsville, Anoka County, Minnesota, that part of Lots 25 and 26, Block 7, Hamilton's Addition to Mechanicsville, Anoka County, Minnesota, lying Northerly of the following described line: Commencing at the Northeast corner of said Lot 26; thence southerly along the east line of said Lot 26, a distance of 46.50 feet to the Northwest corner of Lot 26, and said line there terminating, generally located at 5541-5th Street NE. Approval of this Final Plat is contingent upon the following stipulations: 0' j X-� The final landscape plan shall meet code requirements for number of and size of plantings and be reviewed and approved by City staff prior to issuance of a building ku permit. \Y dt 2. All landscaped areas shall have irrigation installed. �X��`� Brick on building elevations shall be extended up to the banding element above the �� garages. (Shown on submitted elevations) A grading and drainage plan shall be submitted and approved by the City's engineering staff prior to issuance of a building permit. C A utility plan shall be submitted and approved by the City's engineering staff prior to issuance of a building permit. 6. Individual services will be required for each unit. b� 7. Petitioner shall provide easements as shown on preliminary plat. �v 8. The petitioner shall pay applicable park dedication fee of$1,500 per unit prior to the t�� issuance of any building permits. 9. The petitioner shall provide proof that any existing wells or individual sewage 1 - treatment systems located on the site are properly capped or removed. (1-1 0Association documents to be filed with final plat. . A Development Agreement outlining the Developer's obligation to install utilities, etc., b1✓ will be prepared by the City and shall be signed by the Petitioner, prior to final plat approval. Action Taken Letter-Tradition Homes Page 2 July 30, 2004 If you have any questions regarding the above action, please call me at 763-572-3590. Sinr l cey, co Hickok C` mmunity Development Director SH/jb cc: Stacy Stromberg Mary Hintz Assessing Dept. GIS Dept. Special Assessing Dept. Plat File Address:Fade.., ry Please review the above, sign the statement below and return one copy to the City of Fridley Planning Department by Wednesday, August 18, 2004. Concur with action taken. C-04-83 I MNcheck COMPLIANCE REPORT Minnesota Energy Code I Permit # MNcheck Software Version 3.0 Checked by/Date I COUNTY: Anoka STATE: Minnesota ZONE: 2 CONSTRUCTION TYPE: Single Family DATE: 9-8-2004 DATE OF PLANS: 11/14/03 PROJECT INFORMATION: 4-UNIT TOWNHOME COMPANY INFORMATION: TRADITION HOMES NOTES: CUSTOM COMPLIANCE: PASSES Required UA = 404 Your Home = 286 29.1% Better Than Code Area or Cavity Cont. Glazing/Door Perimeter R-Value R-Value U-Value UA ------- - -------- -- - --------------------- ----- ------------------- - ---------- ---- CEILINGS: Raised Truss 800 38.0 0.0 20 WALLS: Wood Frame, 16" O.C. 995 19.0 2.0 56 WALLS: Wood Frame, 16" O.C. 958 19.0 2.0 54 BSMT: Wood 9.0' ht/0.0' bg/9.0' insul 926 10.0 0.0 80 GLAZING: Windows or Doors, Above Grade 129 0.350 45 GLAZING: Windows or Doors, Above Grade 44 0.350 15 DOORS 46 0.350 16 HVAC EQUIPMENT: Furnace, 90.0 AFUE --- --- ------ - - - ------ - - --- - --- - -- -- - - ------------------- - -- ----- - ----- ------ -- - COMPLIANCE STATEMENT: The proposed building design described here is consistent with the building plans, specifications, and other calculations submitted with the permit application. The proposed building has been designed to meet the requirements o the Minnesota Energy Code. Builde Desi r date_ iui _ BUILDING INSPECTION DIVISION BUILDING PERMIT REVIEW CHECKLIST AND ROUTE SHEET FILE DATE — � - Four Sets of Plans; 1 Insp { } 1 Fire { } 1 Plan Y ' 1 Engr { } DUE DATE,4, ADDRESS ~ — � COMPANY NAME PLANNINC� Scott Hickok Xaul-Bi , Perfor nc B C- Amount: '�` > _ ''i�,' f('1 v�'� Vl ark Fe Amount: Setbacks [ Parkin _ Landscaping r� ul C,�I D V ) It (0�v ] Wetlands N(�( ] Compliance w/ Council Stipulations RETURN TO RON JULKOWSKI { } ENGINEERING Jon Haukaas - [ ] Grading/Drainage Plan [ ] Conservation/Erosion Control Plan Fee: [ ] Sewer Laterals Required Fee: [ ] Water Laterals Required Fee: [ ] Land Alteration Permit Issued ( ] Pond Maintenance Agreement [ ] Rice Creek WSD Permit Required [ ] Easments Required [ ] Obtained [ ] Inspections RETURN TO RON JULKOWSKI STIPULATIONS: Please Print or Type Clearly RViTq6 r& f �,c 0 1 CITY OF FRIDLEY PERMIT NO.: 2004-02044 6431 UNIVERSITY AVENUE NE FRIDLEY, MN 55432 DATE ISSUED: 12/13/2004 572-3604 VAX: (763)571-1"L8"/ ADDRESS 5541 5 ST NE PIN 233024310110 LEGAL DESC UNAVAILABLE LOT BLOCK PERMIT TYPE BUILDING PROPERTY TYPE : MULTI DWELL CONSTRUCTION TYPE : NEW CONSTRUCTION VALUATION : $ 538,408.00 NOTE: SEE NOTATIONS ON PLAN. CALL GOPHER STATE ONE AT 651454-0002 FOR UTILITY LOCATIONS. CONSTRUCT A 4 PLEX TOWNHOUSE AT THIS ADDRESS. BUILDING IS TO BE 406 SQ FT ON LST FLOOR, 838 SQ FT ON 2ND FLOOR, 522 ON 3RD FLOOR AND 441 PER GARAGE. THESE NUMBERS ARE PER UNIT AND TO GET THE WHOLE BUILDING THEY WOULD BE MULTIPLED BY 4. THE PETITIONER SHALL PROVIDE PROOF THAT ANY EXISTING WELLS OR INDIVIDUAL SEWAGE TREATMENT SYSTEMS LOCATED ON THE SITE ARE PROPERLY CAPPED OR REMOVED. ASSOCIATION DOCUMENTS TO BE FILED WITH FINAL PLAT. PARK FEE 6000 SAC UNITS 4 APPLICANT TRADITION HOMES INC 3545 152 LN NW ANDOVER, MN 55304 OWNER FLACK MARGIE L & RICO F JR 5541 5TH ST NE FRIDLEY, MN 55432 AGREEMENT AND SWORN STATEMENT This permit becomes null and void if work or construction authorized is not commenced witin 60 days or if construction or work is suspended or abandoned for a period of 120 days at any time after work is commenced. I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this type of worl will be complied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any other state or local law re construction or the performance of construction. Aon i�/1 Date . BUILDING PERMIT FEE 3,419.00 PLAN CHECK FEE 2,222.35 FIRE SURCHARGE 538.41 STATE SURCHARGE, VALUE 269.20 SAC CHARGE, APTS 4,080.00 PARK FEE 6,000.00 TOTAL 16,528.96 PAID WITH CHECK # 7666 SEPARATE PERMITS REQIJIR$D FOR WORK OTHER THAN DESCRIBED ABOVE. CITY OFFRIDLEY t�i 5 1/1/2004 6431 University Ave NE v R-3/COMMERCIAL/INDUSTRIAL/P LIC/INSTITUTIO A Fridley, MN 55432 2 BUILDING PERMIT APPLICATION (763) 572-3604 FAX(763)571-1287 CONSTRUCTION ADDRESS �� 3 S Zoning GI Legal Lo�S 1 �ti�� �{ �oc�� ( C'-� ' =124 V"e s Owner & Address �`2 7'�^� `' e Tel# (61z CONTRACTOR & ADDRESS !-0+ ki-� 22 51 f rC Tel# ( Z3 ) 33? z —35 y 5 +; aA N1-C) ,QNIjzve rr, � 55'301� Architect Reg.#oZa )j-03 Engineer 'v\ )4oc(�eg.#a So. S�( BUILDING CONSTRUCTION TYPE OF WORK New [] Addition [] Alteration -Describe OFC. AREA: Length Width Height Sq. Ft. WHSE AREA: Length Width Height Sq. Ft. OTHER AREA: Length Width Height Sq. Ft. APPLICANT -) f �,� Tel # Date e- a "c� T_z VALUATION �� �Dg Sq. Ft. x $ Cost/Sq. Ft. = Valuatioonn,4$ ) "--Sq qy x 1'-46?z*/t 7d X s�1?/ Frf � _ $ Sq. Ft. —<';7- z- $ Cost/Sq. Ft. = Valuation $ ) TOTAL VALUE Building Use m f Pie k Construction Type i -:F> Occupancy Group Air Conditioning WYes C]No Fire Protection Provided []Yes Q No Performance Bond Amount $ See Reverse for Schedule Received []Yes []No PERMIT FEES Permit Fee $ OV See Fee Schedule on Reverse Side Plan Check $ .92 65% of Building Permit Fee Fire Surcharge $ -s3o• .001 x Permit Valuation (1/10th %) State Surcharge $ y $;50/$1,000 Valuation (See Sched. for > $1 Million) SAC Charge $ �/f"350 per SAC Unit (Plans to MWCC for determination) Erosion Control $ $450.00 Conservation Plan Review Park Fee iron x4 $e��_ Oc-> Fee Determined By Engineering Spec. Assessments $ Agreement Necessary [] Not Necessary [] Curb Cut Escrow $ / feet x /foot TOTAL $ I Ll L-I 6 '9 14 ATTACH STIPULATIONS MCES Service Availability Charge (SAC) Commercial Detail SAC-C PROJECT TYPE: Attach to Form MCES SAC-A if. in New building only, ❑ Alteration (change in use), ❑Addition, ❑ Demolition with new use Attach to Form MCES SAC-D if. ❑ Demolition Declaration Only Proposed Occupant Business Site Address Building Permit No. Date Issued Total Square Footage CALCULATION OF SAC CHARGES: Ouantitv in square feet SAC Units Retail Sq.ft. ® 3,000 sq.fL Per SAC= Office Sq.ft. @ 2,400 sq.ft Per SAC= Warehouse Sq.ft. @ 7,000 sq.ft Per SAC= Other Determination made by Date TOTAL CHARGES= (in units) Previous upant Type of Business Site Address Demolition Permit No. Demolition ate Total Square Footage CALCULATION OF SAC CREDITS: -Was previous use in existence prior to 1973? V(yes ❑ no SAC Units If no,Original Building Permit No. Date Issued Actual SAC paid for space involved: (choose one) ❑ Entire building ❑ Portion of Building= Additional SAC paid for space involved:Bldg.Permit No(s) Date(s) = t TOTAL CREDITS= 1 (in units) If yes, Use Ouantity in square feet SAC Units Retail Sq.ft. @ 3,000 sq.ft Per SAC= Office Sq.ft. ® 2,400 sq.ft Per SAC= Warehouse Sq.ft. @ 7,000 sq.ft.Per SAC= Other Actual SAC paid for space involv :BI P rmit (s) Date(s) Determination made by Date % /3 TOTAL CHARGES= (in units) NET SAC UNITS= (0.5 adds up to whole number in units) NOTE: Determinations based on If NET SAC UNITS is a CREDIT BALANCE, please indicate how many will be reserved as . . . phone conversations are only estimates. Site-specific units of credit for future use on this site. Or taken as. . . City-wide units of credit to offset current SAC on Form MCES SAC-A. CITY OF FRI[)LEY INSPECTION [}PV. Effective April 1. 2OO4 6431 University 00 ^ r~� m~ Fhd|ey. MN 55432 APPLICATION FOR PLUMBING AND GAS FITTING PERMIT 6 (783) 572-3OO4. FAX (7O3) 5T1-1207 ^' MARK NUMBER OFFIXTURES T{} BEINSTALLED QNEACH FLOOR Floor Gas i Water H 44 asher Floor 2 Floor 2 Floor 3 PLUMBING FIXTURE RATES: NO. RATE TOTAL JOB ADDRESS -/ -/ // - �� -S7«/Y . NavvFixtures _�L $1U.OU The undersigned hereby nnakesapp|�odonforopermit for the work herein Old Opening, New Fixture $10.00 specified agreeing hodoall work instrict accordance with the city codes Beer Dispenser a10.00 and rulings of the Building Division, and hereby declares that all the facts Blow Off Basin $10.00 and representations stated inthis application are true 'and correct. Catch Basin �1OOO -�~- � Rain Water Leader $10.00 DATE: .2O__________ Sunnp/ReoaivingTank $10.00 Water Treating Appliance $35.00 OWNER ' VVabarHeobmr-Beotrio $35.00 VVaterHaatar-Gas°° Q36.00 BUILDING USED A Gas Range" $10.00 Gas Dryer** $10.00 ESTIMATED COST PERMIT NO. Back Flow PnaventorRequired ( )Yes ( ) No Type $15.00 PLUMBING COMPANY Reinspection Fee$50.00/Hr SIGNED BY TELNO ALL OTHERS AND/OR REPAIRS AND ALTERATIONS - 1.25Y6ofValue ofFixture orAppliance Approved By Rough'|nDote Final Date State Surcharge 50 MINIMUM FEE FOR ANY PLUMBING/GAS PERMIT IS $15.00 or 5% OF COST TOTALFEE OF THE IMPROVEMENT WHICHEVER IS GREATER ON WORK LESS THAN $300 COMBUSTION AIR SHALL BEPROVIDED PER UMC SECTION 5O4(A) AND TABLE 0-A. "PROVIDE COMMON VENT INFO ON BACK SIDE FILL IN COMPLETELY FOR REPLACEMENT FUEL BURNING APPLIANCE PERMITS COMMON VENT, VENT CONNECTOR AND COMBUSTION AIR VERIFICATION When replacing an existing furnace, the undersigned hereby verifies that the venting has been examined and is free from rust, deterioration, obstructions, and is securely supported and firestopped where required. Yes ( ) No ( ) The venting system is plastic/PVC and meets all current codes and manufacturer specifications including sizing, length, number of elbows and termination. Yes ( ) No ( ) The undersigned also verifies that the replacement unit is a listed assembly and meets the current codes and manufacturer's specifications. This does include AGA-GAMA Category I Central Furnace Venting Tables for fan assisted and natural draft appliances. Yes ( ) No ( ) The existing combustion air is sized and installed to meet the current codes and manufacturer's specifications. Yes ( ) No ( ) When required to install a new combustion air, it will be sized and installed to meet the current codes and manufacturer's specifications. Yes ( ) No ( ) When installing a new venting system, the undersigned hereby verifies that it is a listed assembly and meets the current codes and manufacturer's, specifications. This does include AGA-GAMA Category I Central Furn4ce Venting Tables for fan assisted and natural draft appliances. Yes ( ) No ( ) Is the common vent and vent connectors sized and installed correctly after an appliance has been removed from the common vent and vented separately as per current codes. Yes ( ) No ( ) Appliance Type and Size/Common Vent and Vent Connector Information Appliance#1 Type BTU Input Fan Assisted or Nat Appliance#2 Type BTU Input Fan Assisted or Nat Appliance#3 Type BTU Input Fan Assisted or Nat Total Appliances Total Btu Input Common Vent Type Vent Height Diameter inches Appliance#1 Vent Connector Height ft Length ft Diameter in Type Appliance#2 Vent Connector Height ft Length ft Diameter in Type Appliance#3 Vent Connector Height ft Length ft Diameter in Type ALTERATIONS: (Describe) HEATING CO: Signed By: Date OD S D) �� City of Fridley ` ipOb 5 6431 University Ave NE Fridley MN 55432 (763) 572-3602 or Fax (763) 502-4977 Water and Sewer Permit Application New Connection(R,.0•LO) DUtility Line Repair/Relocation Existing F- Water and Sewer Connection Date: Job Address: � S-9 Name of Applicant (Plumber): 7'LL,,t` iU(J- Name of Property Owner: Existing Structure Permit# Permit Type: Sewer Fee: Water Fee: Meter Fee: /A35T�K/Repair Fee: Relocation: State Surcharge: SAC Charge: Special Assessment Fee: Total: $a�� O Applicant Signature: t-�' Inspector approval: 76 3 Z 3 - elJ418 QQ, Water Meter Repair—Weekend&Holidays $125/hour Water Connections Permit $50 Sewer Connections Permit $50 Inspection Fee for Water/Sewer Line Repair $40 K Z Special Assessments See Engineering Cost of Water Meter See Utili Billing SAC Charge $1450 _ State Surcharge $ .50 r Water Tap See En ineenn 04/04/05 ♦� A �J 1 City of Fridley 6431 University Ave NE Fridley MN 55432 (763) 572-3602 or Fax (763) 502-4977 Water and Sewer Permit Application ❑New Connection ❑Utility Line Repair/Relocation ❑ Existing ❑Water and Sewer Connection Date: Job Address: Name of Applicant (Plumber): Name of Property Owner: Existing Structure Permit# Permit Type: Sewer Fee: Water Fee: Meter Fee: Repair Fee: Relocation: State Surcharge: SAC Charge: Special Assessment Fee: Total: $ Applicant Signature: Inspector approval: Water Meter Repair—Weekend&Holidays $125/hour Water Connections Permit $50 Sewer Connections Permit $5QQ_ Inspection Fee for Water/Sewer Line Repair r$40,1 n Special Assessments See Engineering Cost of Water Meter See Utility Billing SAC Charge $1450 State Surcharge $ .50 Water Tap See Engineering 04/04/05 CITY OF FRIDLEY 6431 University Ave NE R-3/COMMERCIAL/INDUSTRIAL/PUBLIC/INSTrrLMONAL a Fridley, MN 55432 BUILDING PERMIT APPLICATION (763) 572-3604 FAX(763) 571-1287 � CONSTRUCTION ADDRESS 5-�V3,, 5 Sri / 1 6,513 `7, Zoning Legal Owner&Address // Tel# ( ) CONTRACTOR&ADDRESS(J G ` ` a G� 6Z�/ate CD • Tel# n� o� .�y P, s o �� /✓� �Ca 1iU11J SS 3 0 3 Architect Reg.# Engineer Reg.# BUILDING CONSTRUCTION / TYPE OF WORK [] ew [] Addition -B Alteration -Describe G'�/r d Cuff C rb OFC. AREA: Length Width Height Sq. Ft. WHSE AREA: Length Width Height Sq. Ft. OTHER AREA: Length Width Height Sq. Ft. APPLICANT 4010 � �a�� Tel 4t �1 Z '"�� 19 s� Date VALUATION Sq. Ft. x$ Cost/Sq. Ft. = Valuation $ ) Sq. Ft. x $ Cost/Sq. Ft. = Valuation $ ) _ $ Sq. Ft. x $ Cost/Sq. Ft. = Valuation $ ) TOTAL VALUE Building Use Construction Type Occupancy Group Air Conditioning []Yes []No Fire Protection Provided []Yes []No Performance Bond Amount$ See Reverse for Schedule Received []Yes []No PERMIT FEES Permit Fee $ See Fee Schedule on Reverse Side Plan Check $ 65%of Building Permit Fee Fire Surcharge $ .001 x Permit Valuation (1/10th %) ( r State Surcharge $ $.50/$1,000 Valuation (See Sched. for > $1 Million) _ SAC Charge $ $1450 per SAC Unit(Plans to MWCC for determination) Erosion Control $ $450.00 Conservation Plan Review Park Fee $ Fee Determined By Engineering Spec. Assessments $ Agreement Necessary[] Not Necessary [] Curb Cut Escrow $ 0,0o feet x — /foot TOTAL $ D /)d F fib P14 ATTACH STIPULATIONS 'C" 'C"A (0'(r ) L4y1116 763 -5>Z-35-51 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 $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 DRIVEWAY DEPRESSION ESCROW (Concrete Curb Streets Only) Removal and replacement of curb and gutter only - Driveway width plus 6 feet times $17.00. 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. New Houses Only CITY OF FRIDLEY INSP. DIV. 6431 University Avenue NE HYDRANT RENTAL AGREEMENT Fridley, MN 55432 (Effective April 1, 2004) (763) 572-3604 JOB SITE: Applicant: ] tc✓ //b� e� �C�� Tel . # : 2� Address . /()p �/�r/r �//1`� 1 S'�.` 7 �,;• r S'S'd, _ RENTAL CHARGES Service Charge: $50. 00 $ Water: Minimum $10 . 00, $1 . 25/1000 gal. with meter $ /(- 0o Tanker: $10. 00 per fill $ TOTAL CHARGES $ Receipt # EQUIPMENT USED & DEPOSITS HELD ,,11U Meter Deposit: $200 . 00 Meter # $ y� ` 0 \ Meter Reading: Starc o a End c'% J'7Yc� , TOTAL GALLONS x $1 . 00 = $ I�'guipment Deposit: (wrenches) $150 . 00 $ TOTAL DEPOSIT CHECK $ List Equipment Borrowed: Aelx� /WPO P -5 Above Equipment Returned to: s 0 Sig ature Date I/We agree to make the above deposits and pay the water and service charges for the use of hydrant connections and equipment borrowed. In the event that the above meter or equipment is lost or damaged, the cost of repair or replacement shall be made by the applicant stated in this agreement p before the deposit is refunde Date (� �4 — �- Signature Deposit Check # ! /�� Deposit Amount v"'� Returned By Date CITY OF FRIDLEY BUILDING INSPECTION Z'2 7! Effective 4/1/2004 6431 University Ave NE Fridley, MN 55432 APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION 763-572-3604. FAX 763-571-1287 REFRIGERATION AND AIR CONDITIONINSYS, TEMS AND DEVICES JOB ADDRESS RATE SCHEDULE Fee Total Residential owner I Y�a r Y Furnace Shell and Duct Work, Burner& L 6c� also Replacement Furnace $35.00 $ Building Used As Gas Piping(New Furnace, Fireplace, Insert) $10.00 $l�' ESTIMATED COST �C�000 PERMIT NO Gas Range $10.00 $ DESCRIPTION OF FURNACE AND BURNER Gas Dryer $10.00 $ #of Heating Uni� Circle One (Steam) (Hot Water) arm Air Trade Name /9-:2 Size No. Co *Air Conditioning-AIISizes $25.00 $ BTU %' HP EDR Fuel Taal Connected Load C c'C> All Other Repairs or Alterations(List on Back) 1%of Value of Appliance or Work $ Burner Trade Name Size No. Minimum Fee$15.00 for Residential or 5%of cost of BTU HP EDR Improvement whichever is greater The undersigned hereby makes application for a permit for the work herein Commercial/Industrial/Institutional specified agreeing to do all work in strict accordance with the City Codes 1.25%of Value of Appliance or Work(List on Back) $ and rulings of the Building Division,and hereby declares that all the facts Minimum Fee$35.00 for Commercial/Industrial/Institutional and representations stated in this application are true and correct. r-� State Surcharge $ HEATING CO TOTAL FEE $ 7& 5 C Signe*di, Tel# REINSPECTION FEE$50.00/HOUR FAX# ` `C Date G *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 Approved by Rough-in Date Final Date FILL IN COMPLETELY FOR REPLACEMENT FUEL BURNING APPLIANCE PERMITS COMMON VENT, VENT CONNECTOR AND COMBUSTION AIR VERIFICATION When replacing an existing furnace, the undersigned hereby verifies that the venting has been examined and is free from rust, deterioration, obstructions, and is securely supported and firestopped where required. Yes ( ) No ( ) The venting system is plastic/PVC and meets all current codes and manufacturer specifications including sizing, length, number of elbows and termination. Yes ( ) No ( ) The undersigned also verifies that the replacement unit is a listed assembly and meets the current codes and manufacturer's specifications. This does include AGA-GAMA Category I Central Furnace Venting Tables for fan assisted and natural draft appliances. Yes ( ) No ( ) The existing combustion air is sized and installed to meet the current codes and manufacturer's specifications. Yes ( ) No ( ) When required to install a new combustion air, it will be sized and installed to meet the current codes and manufacturer's specifications. Yes ( ) No ( ) When installing a new venting system, the undersigned hereby verifies that it is a listed assembly and meets the current codes and manufacturer's specifications. This does include AGA-GAMA Category I Central Furnace Venting Tables for fan assisted and natural draft appliances. Yes ( ) No ( ) Is the common vent and vent connectors sized and installed correctly after an appliance has been removed from the common vent and vented separately as per current codes. Yes ( No( ) Appliance Type and Size/Common Vent and Vent Connector Information Appliance#1 Type BTU Input Fan Assisted or Nat Appliance#2 Type BTU Input Fan Assisted or Nat Appliance#3 Type BTU Input Fan Assisted or Nat Total Appliances Tctal Btu Input Common Vent Type Vent Height Diameter inches Appliance#1 Vent Connector Height ft Length ft Diameter in Type Appliance#2 Vent Connector Height ft Length ft Diameter in Type Appliance#3 Vent Connector Height ft Length ft Diameter in Type ALTERATIONS: (Describe) HEATING CO: Signed By: Date C ...u.�u, i►mmnesota 4j Department of CommerceDePartment of Commerce Licensing Division l "y 85-7th Place East,suite 600 Telephone: (651)296-6319 sJ St. Paul,MN 55101-3165 E-Mail address: licensing.commerce0state.mn.us Website address: commerce.state.mn.us iesiden#gat sullttrr�r legarName: TRADITIrJN F C31M .. CtQI]SE3 hsa:' ES IN B�ismess Sfiructurs i ss: 3745 ?b2N; D LN NVI/ cORPOR�aT ON ANDOVER, MN 55304 License ldentific tion Number: L?aense Expiration Da.,,,: 20004273 Qualifying Person: GERALD G WINDSCHITL 11 3/31/2008 Continuing Education: 7 Hrs CE due by 3/31/2005 Building PLUMBING Permit No.: r Inspections RESIDENTIAL APPLICATION Received By: 763-572-3604 CITY OF FRIDLEY Date Rec'd: DATE I o -.-), LD YOUR E-MAIL ADDRESS SITE ADDRESS 55!11 t_1�ti! Si IUL= THIS APPLICANT IS: ❑OWNER XONTRACTOR PROPERTY NAME: OWNER/ ADDRESS: CITY STATE ZIP TENANT PHONE: CONTRACTOR NAME: Lt S SUBMIT A COPY OF STATE LICENSE# ` m EXP DATES YOUR STATE ADDRESS: /kg g t ycle I-,, A)L, CITY AC\C(O-re " STATEM+\ ZIP 5Y-30't LICENSE WITH PHONE "Tla c�6'qa FAX (,3 -3.0% APPLICATION PERMIT TYPE ❑SINGLE FAMILY ❑TWO FAMILY TOWNHOUSE TYPE OF WORK: )<NEW ❑REPLACEMENT DETAILED DESCRIPTION OF WORK V1>1(V-zj G.:. 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 WHERE NOTED. FIXTURES: (INDICATE TOTAL NUMBER OF EACH BELOW) _BATH SINKILAV _FLOOR DRAINS _SHOWER _WATER PIPING _BATHTUB _GAS PIPING(vEEo cirrucevsE) _SWIMMING POOL —WATER SOFTNER($35) _CLOTHES WASHER _KITCHEN SINK _WATER CLOSET BACKFLOW PREY.($15) _DISHWASHER _LAUNDRY TRAY _WATER HEATER($35) FOR IRRIGATION WATER METER OTHER ET FIvE ?R �T$ © UrmRsoo. -7777777777—TER1vlxT {FQPI# 7ECTS o�5.o0; Permit Fee $ DD Number of fixtures @$10.00 x$10.00=$ Surcharge .50 Number of fixtures @$15.00 x$15.00=$ TOTAL DUE $ [ Number of fixtures @$35.00 x$35.00=$ State Surcharge=$ .50 Total=$ THIS IS AN APPLICAT�ON 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 requires review and approval of plans. SIGNATURE OF APPLICANT1w: �� PRINT NAME C -� 5 t5c "e yr DATE D-a -0_5 "'PLEISE l*IOTE,, EPAA{ E PIRIVCI S AE;.,RE UIRl3FG7<Z' t1I�.D1[G, 'LECTICALi MEtTANICA .WORT _. City of Fridley Building Inspections Department 6431 University Avenue NE, Fridley, MN 55432 763-572-3604 FAX: 763-502-4977 CITYOF HaDLEY FRIDLEY MUNICIPAL CENTER • 6431 UNIVERSITY AVE.N.E.FRIDLEY,MN 55432 (763)571-3450 • FAX(763)571-1287 • TTD/TTY(763)572-3534 December 7, 2005 Traditional Homes 3545 152 Lane Andover, MN 55304 Re: Final inspection at 5537, 5539, 5541 and 5543 5th Street Fridley Dear Sirs: A final inspection was conducted on December 7, 2005 for the completion of the dwelling at the above address. The inspection noted that the construction was completed according to the approved plan. If you have any questions concerning this matter, please feel free to contact me at 763- 572-3602. Sincerely, RON JULK WSKI Building O icial DJ/mh North line of Lot 29, Block 7, 12 HAMILTON'S ADDITION TO MECHANICSVILLE I N90'00'00"W f.. 130.20 I 65.00 0 65.20 i; f- -;-- - - - -- - - - - — — — — — — — — — — — — — \ ib I , I 10 1rn o �< , oc'; --7- 0 00—CY \� \� I N I N C00) `nom I ` to \ \ I o I 1 S90'00 00"E \ N90'00'00"E N W ;