HomeMy WebLinkAboutLamont Keten 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 4/25/2023 YOUR E-MAIL ADDRESS chadlange@satintouch.us
SITE ADDRESS 31 7oth Way NE
THIS APPLICANT IS: ❑OWNER INCONTRACTOR
PROPERTY NAME: Lamont and Julie Keten PHONE: 219-805-3354
OWNER/ ADDRESS: 31 70th Way NE CITY Fridley STATE MN ZIP 55432 +
TENANT
CONTRACTOR NAME: Satin Touch,Inc.
SUBMIT A COPY OF BC748997
YOUR STATE LICENSE STATE LICENSE# EXP DATE
AND CERTIFICATE OF ADDRESS: 13562 HWY 65 NE CITY Ham Lake STATE MN ZIP 55304
INSURANCE PHONE 612-388-7275 FAX
PROPERTY TYPE ❑SINGLE FAMILY/NEW CONSTRUCTION SIZE
❑TWO FAMILY/NEW CONSTRUCTION STORIES
PERMIT TYPE ❑ADDITION ❑GARAGE/SHED 19 WINDOWS
❑BASEMENT FINISH ❑ROOF ❑DRAIN TILE
®DECK ❑SIDING 11 OTHER
❑SWIMMING POOL
TYPE OF WORK: ❑NEW HOME CONSTRUCTION ❑ADDITION
❑MAINTENANCE/REPAIR 13 REMODELING
DESCRIBE WORK BEING DONE: Addition of handicapped ramp,remove window and add door entry,plus add egress window to lower level
SIZE OF IMPROVEMENT LENGTH WIDTH HEIGHT 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 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 Standard egress on existing foundations.
OPENING CHANGES& FOR WINDOWS—PROVIDE U-VALUE AND
TYPE OF WINDOW TO BE INSTALLED Egress with well NUMBER OF WINDOWS 1 MANUFACTURE STICKER ON WINDOW.
ALL FEES ARE BASED ON VALUATION,INCLUDING THE COST OF LABOR AND MATERIALS:
(USING THE 1997 U.B.0 FEE SCHEDULE)
TOTAL JOB VALUATION$ $15,000 OCCUPANCY ResidentialTYPE
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 application for a perm' nd rk 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 work wh' a es r view and approval of plans.
SIGNATURE OF APPLICANT PRINT NAME Chad Lange DATE 4/25/2023
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 11$500 plus$3.05 for each additional$100 or fraction,to and
including$2,000
$2,001 to$25,000 $69.25 for 1 n$2,000 plus$14 for each additional$1,000 or fraction,to and
including$$25,000
$25,001 to$50,000 $391.25 for 11$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 V$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 11$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 11$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, N N 55432
763-572-3604
Fax: 763-502-4977