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Home My WebLink About5590 Matterhorn Dr NE building permit application Building BUILDING Permit No.: Inspections RESIDENTIAL APPLICATION Received By: 763-572-3604 CITY OF FRIDLEY Date Rec'd: 763-502-4977 FAX EFFECTIVE 04/17/2018 DATE - 7- YOUR E-MAIL ADDRESS Z��( � y Y;1 �J��✓1 w W O o SITE ADDRESS l s 1 1 lUt 1 �Ur 1 1 I/ I r0 �� l.sC\/ J t� 3 THIS APPLICANT IS: ❑OWNER 1XONTRACTOR PROPERTY NAME: ban 10 ( I VII PHONE: Lo, OW ��1 OWNER/ ADDRESS: 90 /A3wy-horn Dr W CITY rldte-�-9 STATFf_ ZIP 550 TENANT CONTRACTOR NAME: tA PA.e,,(1 LCl io \1414 k,1 �Vd f Ls SUBMIT A COPY OF NS STATE LICENSE# �� 37 S EXP DATE '3/ 3 I Z 3 YOUR STATE LICENSE f AND CERTIFICATE OF ADDRESS: )'J �� ► � CITY e Ft STATE INSURANCE PHONE iJ7 - 1 FAX PROPERTY TYPE 0 SINGLE FAMILY/NEW CONSTRUCTION SIZE ❑TWO FAMILY/NEW CONSTRUCTION STORIES PERMIT TYPE ❑ADDITION ❑GARAGE/SHED ❑WINDOWS ❑BASEMENT FINISH ❑ROOF 14DRAIN TILE ❑DECK ❑SIDING ❑OTHER ❑SWIMMING POOL TYPE OF WORD: ❑ EW HOME CONSTRUCTION El ADDITION AINTENANCE/REPAII2 ❑REMODELING DESCRIBE WORK BEING DONE: a m W,, o (t �� i-er SIZE OF IMPROVEMENT LENGTH WIDTH HEIGHT SQ FT ROOFING ❑HOUSE ONLY BASEMENT REMODELING SUBMIT: NUMBER OF SQUARES El 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: 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 4. Letter of Structural Engineering for imposed loads OR FOR NEW OPENINGS-DESCRIBE SIZE OF on existing foundations. OPENING CHANGES& FOR WINDOWS-PROVIDE U-VALUE AND TYPE OF WINDOW TO BE INSTALLED NUMBER OF WINDOWS MANUFACTURE STICKER ON WINDOW. ALL FEES ARE BASED ON VALUATION,INCLUDING THE COST OF LABOR AND MATERIALS: �ITNq THE 1997 U.B.0 FEE SCHEDULE) TOTAL JOB VALUATION$ a 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 Charge $ $2485 per SAC Unit(Plans to MWCC for determination) Curb Cut Escrow $ ft+6 ft= ft x$36=$ Erosion Control $ $450 Conservation Plan Review Park Fee $ Fee Determined by Engineering Sewer Main Charge $ Agreement necessary( ) Non Necessary( ) Total Due $ Make checks payable to: City of Fridley 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 applicati 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 f Il work ich requires review and approval of plans, v � �/ SIGNATURE OF APPLICANT PRINT NAME , 1f�A-- �L X DATE APPROVAL INSPECTOR SIGNATURE DATE PLEASE NOTE: (SEPARATE PERMITS ARE REQUIRED FOR PLUMBING,ELECTRICAL AND MECHANICAL WORK 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 lst$500 plus$3.05 for each additional$100 or fraction,to and including$2,000 $2,001 to$25,000 $69.25 for lst$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 11"$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 19t$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 7071 University Avenue NE Fridley, MN 55432 763-572-3604 Fax: 763-502-4977 Job Details nUa,.wnm,b=W&W,.raenneMAW z CA CA TS T1riplesafe in mechanical room closet Boller Customer to move personal belongings 6' from foundation wall,customer to remove Garage flooring 41,and appliances 2'from foundation wall.Customer to conduct demo of walls.Noted signs of settlement,not interested at this time.Recommending dehumidifier.Customer undestands that it may get dusty.Customer understands that warranty does not cover water intrusion coming in over the foundation. Typeof Wall ............................................................................................................................................... Block ExistingWall Finish ....................................................................................................................................... Plain ExistingFloor Finish ................................................................................................................................. Concrete AMERICAN WATERWORKS Job Location Page 2/8 1307 Valleyhigh Dr NW Rochester MN 55901 5590 Matterhorn Dr NE Fridley MN 55432 1-17-23(3) Job Details (Continued) Specifications CarbonArmor-Final location is subject to field conditions.If moisture is present on walls,prep work will be completed and time allowed to dry.May result in additional project time which maybe scheduled to a later date.Homeowner must have electrical,utilities and/or any obstacles pulled away from wall. If not done,finished look and effectiveness maybe compromised and may result in the delay of install. WaterGuard-Full perimeter with a lateral feed line and vapor barrier is always recommended. WaterGuard Ports-Homeowner may need to create an access point to service WaterGuard ports. Bring soil fabric,flangless WaterGuard,FlowGuard 1st Annual Maintenance-Contacted 9-12 Months Post Project to Schedule TripleSafe-We recommend annual maintenance,this is not needed to maintain the warranty,just a means of being proactive.We recommend a dedicated outlet for each AC pump. IceGuard-IceGuard may experience ice damming in the winter,this means it is working. Interior discharge line-Sheetrock may need to be cut to install,homeowner to replace. Buried Discharge Line-The final location of the discharge line is determined by obstacles and drainage. Design Specialist will reviewthe location with you,Foreman may determine different location. LawnScape Outlet-Final type and location determined by Project Foreman. CleanSpace Wall System-Homeowner must have electrical,utilities and/or any obstacles pulled away from wall. If not done,finished look and effectiveness may be compromised and may result in the delay of install. Contractor Will 1.)Remove finished walls as necessary.Not responsible for replacement. 2.)Review contract drawing page and notes with the customer. Customer Will 1.)Move items at least 7-10 feet away from the work area.American Waterworks is not liable for damages of items left in the work area, delay in the project may result. 2.)Remove finished walls. 3.)Remove cabinets/shelving. 4.)Remove flooring at least 2 ft from the wall and/or working area,(Carpet 4ft). If not removed,contractor is not responsible for damages. 5.)Repair any sprinkler lines that maybe damaged during the installation. 6.)Mark any private lines that maybe hidden underground,and assumes all liability if damage should occur to such lines. 7.)Make sure smoke/CO detectors are up to code(additional cost to the homeowner may occur if not done). 8.)If applicable,move water heater,water softener,HVAC,toilet etc.2ft from foundation walls. If not moved,we will go around,not responsible for damages. 9.)The customer agrees that if work area is not cleared,delays or rescheduling of the project may result. 10.)The customer will be available during the project. 11.)If the customer to-do list is not complete before the project start date,the customer's discount may be void and additional charges may apply. 12.)By signing,customer understands the expectations of the"Customer Will"section. Customer Signature: Date: AMERICAN WATERWORKS Job Location Page 3/8 1307 Valleyhigh Dr NW Rochester MN 55901 5590 Matterhorn Dr NE Fridley MN 55432 1-17-23(3) Product List My Basement WaterGuard ............. .................................................................................................................................. 30ft WaterGuardPort .............................................................................................................................................. I AdminFees ..................................................................................................................................................... 1 Stone Wall/Thin Concrete ......................................................................................................................... 30 Linear 1stAnnual Maintenance ..................................................................................................................................... 1 TripleSafe ....................................................................................................................................................... I IceGuard ........................................................................................................................................................ 2 InteriorDischarge Line ................................................................................................................................... 32 ft BuriedDischarge Line ..................................................................................................................................... 14 ft LawnScapeOutlet ............................... ................................... ................................................... ................. CleanSpaceWall System ................................................................................................................................. 30ft SprayFoam ............................................................................................................................................... 30 sqft Permanently Stabilize Walls CarbonArmor .................................................................................................................................................. 2 AMERICAN WATERWORKS Job Location Page 4/8 1307 Valleyhigh Dr NW Rochester MN 55901 5590 Matterhorn Dr NE Fridley MN 55432 1-17-23(3)