HomeMy WebLinkAbout2014-01398 (2) Permit No. :
CITY OF FRIDLEY * 2 0 1 4 — 0 1 3 9 8 *
DATE ISSUED: 08/07/2014
6431 UNIVERSITY AVENUE NE
FRIDLEY, MN 55432
(763) 572-3604 FAX: (763) 502-4977
ADDRESS 5250 BUCHANAN ST NE
PIN 253024210035
LEGAL DESC MARIAN HILLS
: LOT 22 BLOCK 1
PERMIT TYPE BUILDING
PROPERTY TYPE RESIDENTIAL
CONSTRUCTION TYPE DECK
VALUATION $ 4,355.00
NOTE: SEE NOTATIONS ON PLAN.
CALL GOPHER STATE ONE AT 651-454-0002 FOR UTILITY LOCATIONS.
CONSTRUCTION IN THE CITY IS UNLAWFUL EXCEPT BETWEEN THE HOURS OF 7:00 AM AND 9:00 PM,MONDAY THROUGH
FRIDAY AND BETWEEN THE HOURS OF 9:00 AM AND 9:00 PM ON SATURDAYS. NO WORK IS ALLOWED ON SUNDAYS OR ANY
LEGAL HOLIDAY UNLESS AN ALTERNATE WORK HOUR PERMIT HAS FIRST BEEN ISSUED
CALL FOR FINAL INSPECTION WITHIN 10 DAYS
23'X12'DECK.
APPLICANT BUILDING PERMIT FEE 111.25
TIMBERCRAFT ENTERPRISES INC PLAN CHECK FEE 72.31
FIRE SURCHARGE 4.36
388 CLEVELAND AVE SW
NEW BRIGHTON,MN 55112 STATE SURCHARGE,BLDG VALUE 2.18
(651)633-8611 TOTAL 190.10
Minnesota State License#:GENR-BC002624 Payment(s)
CHECK 27706 190.10
OWNER
WEAVER GLEN J L&REBECCA A
5250 BUCHANAN ST NE
FRIDLEY,MN 55421
AGREEMENT AND SWORN STATEMENT
This permit becomes null and void if work or construction
authorized is not commenced witin 180 days or if construction
or work is suspended or abandoned for a period of 180 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 work
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
regulating construction or the performance of construction.
Applicant Date
Bldg Insp Date
Building Inspections BUILDING Permit N
763-572-3604 RESIDENTIAL APPLICATION Received By:
763-502-4977 FAX CITY OF FRIDLEY Date Rec'd:f
EFFECTIVE 1/1/14 �' _ n
DATE�DRS
Z6 YOURE-MAIL ADDRESS ffn�N L IIP��G✓ 6e4 �-►-e-MndP�}eSITE A S'i�.sd ✓[�rq r�114 yV cs f e CGfi �✓'I
THIS APPLICANT IS: ❑OWNER CONTRACTOR
PROPERTY OWNER/ NAME: /Mf+y';>< IBC"s
TENANT ADDRESS: S-2-5-0 tic /tp.y,gry SJ CITY _STATEMAI ZIP�
PHONE: 76,? - 2 t d' .2 i 9 9
CONTRACTOR NAME: J'� Cb (�
SUBMIT A COPY OF STATE LICENSE# LEAD CERT NUMBER ^
YOUR STATE LICENSE n
AND CERTIFICATE OF ADDRESS: �v Ci1/� GIYYA AV<, f/f • CITYU V TEM4ip
INSURANCE PHONE • (p 1® FAX
PROPERTY TYPE SINGLE FAMILY/NEW CONSTRUCTION SIZE
❑TWO FAMILY/NEW CONSTRUCTION STORIES
PERMIT TYPE ❑ADDITION ❑GARAGE/SHED ❑WINDOWS
❑BASEMENT FINISH ❑ROOF ❑DRAIN TILE
DECK ❑SIDING ❑OTHER
❑SWIMMING POOL
TYPE OF WORK: ❑NEW HOME CONSTRUCTION ADDITION x57. 7,es x
❑MAIINTENANCE/REPAIR ❑REMODELING
DESCRIBE WORK BEING DONE: "0/ .4 .2-3 � /Z � �7
SIZE OF IMPROVEMENT 0-(2— LENGTH WIDTH I Z HEIGHT o� SQ FT
ROOFING ❑HOUSE ONLY
NUMBER OF SQUARES ❑HOUSE&GARAGE BASEMENT REMODELING SUBMIT:
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 SIDING/SOFFIT/FASCIA ADDITIONS.&PORCHES SUBMIT:
❑Aluminum ❑Trim REMOVED? ❑YES ❑NO 1. Site Plan/Survey showing the existing structures
❑Other El Fascia and proposed project.
2. Two sets of construction plans
WINDOWS 3. Energy Calculations
IN EXISTING OPENINGS ❑Yes ❑No LOCATION OF WINDOWS FOR WINDOWS-PROVIDE U-VALUE AND
OR FOR NEW OPENINGS-DESCRIBE SIZE OF MANUFACTURE STICKER ON WINDOW.
OPENING CHANGES&
TYPE OF WINDOW TO BE INSTALLED NUMBER OF WINDOWS
ALL FEES ARE BASED ON VALUATION,INCLUDING THE COST OF LABOR AND MATERIALS:
I�// USING THE 1997 U.B.0 FEE SCHEDULE)
TOTAL JOB VALUATION$ mot`` �—e3 OCCUPANCY TYPE
Permit Fee $ ZZ See Back Page for Fee Schedule
Plan Review $ / 65%of Building Permit Fee
Fire Surcharge $ 001 times the total job valuation
Surcharge $ �,� / j .0005 x Permit Valuation Minimum or.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$26=$
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 application 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 of all wor which requi r view an, approval of
CC plans.
SIGNATURE OF APPLICAN Lt/ P T NAME�L��V� l VytGI DATE [
APPROVAL INSPECTOR SIG ATURE
PLEASE NOTE:"',SEPARATE PE S ARE RE UIRED FOR PLUMBING,EI ECTRICAL AND ME 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 ls`$500 plus$3.05 for each additional$100 or fraction,to and
including$2,000
$2,001 to$25,000 $69.25 for 1s`$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 1st$50,000 plus$7 for each additional$1,000 or fraction to and
including$100,000
$100,001 to$500,000 $993.75 for 1"$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 I'$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
6431 University Avenue NE
Fridley,MN 55432
763-572-3604
Fax: 763-502-4977
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LMtD SUMVEYOR
RiGISYERtD NNDER LAWS OT STATt of MINNESOTA
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1 HEREBY CERTIrY T"AT THR ABC" M A TRNt AND CORR&Cy pLAT 0/A SURVEY Or
Lot. 22 Block 1, laarrion Ulls
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