HomeMy WebLinkAbout6351 Squire Dr Ne, Fridley MN - Building Permit Application Building BUILDING Permit No.:
Inspections RESIDENTIAL APPLICATION Received By:
763-572-3604
763-572-3604 FAX CITY OF FRIDLEY Date Rec'd:
EFFECTIVE 04/17/2018
DATE (P191262IF? YOUR E-MAIL ADDRESS CA00
., .-
SITE ADDRESS uic ► 5 2.
THIS APPLICANT IS: ❑iiI�OWNER CONTRACTOR
PROPERTY NAME: f'�% tt PHONE:
OWNER/ ADDRESS: L(! "_-jol 1��e. N Q CITY I STATPMZIP 55 +
TENANT
CONTRACTOR NAME: •
SUBMIT A COPY OF �^ .��-
YOUR STATE LICENSE STATE LICENSE#_ l� 1 EXP DATE
AND CERTIFICATE
CE RTIFI E OF ADDRESS: 36-7 O1�h lw " C N 1/J CITY�( S-�Q(STATE ZIP�S�Q J
PHONE '51(o— b FAX
PROPERTY TYPE NKSINGLE FAMILY/NEW CONSTRUCTION SIZE
❑TWO FAMILY/NEW CONSTRUCTION STORIES
PERMIT TYPE ❑ADDITION ❑GARAGE/SHED ❑POTHER
DOWS
❑BASEMENT FINISH El ROOF IN TILE
❑DECK ❑SIDING
❑SWIMMING POOL
TYPE OF WORK: ❑NEW HOME CONSTRUCTION ❑ADDITION
❑MAINTENANCE/REPAIR IWIZEMODELING
DESCRIBE WORK BEING DONE 11 1 �2'C @� df�tC���-,_�Q I1Gt
SIZE OF IMPROVEMENT LENGTH WIDTH HEIGHT SQ FT {' C
ROOFING ❑HOUSE ONLY BASEMENT REMODELING SUBMIT:
NUMBER OF SQUARES ❑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 I. Site Plan/Survey showing the existing structures
and proposed project.
❑Other El Fascia 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:
Qc (USING THE 1997 U.B.0 FEE SCHEDULE)
TOTAL JOB VALUATION$O 2 S . I) 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 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 work which requires review and approval of plans.
SIGNATURE OF APPLICANT PRINT NAME 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 1"$500 plus$3.05 for each additional$100 or fraction,to and
including$2,000
$2,001 to$25,000 $69.25 for 1"$2,000 plus$14 for each additional$1,000 or fraction,to and
including$$25,000
$25,001 to$50,000 $391.25 for Pt$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 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 1"$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
ust. will move all items 5ft away from work area.
Washer Dryer
Laundry sink
Have stairs removed
AWW will demo half wall and file floor
and will not replace.
is -
N
garage
MID `
r
C'f
ust wants AWW to remove steps and washsin
for extra $300 if not done yet
Typeof Wall .................................................................................................................................................. Block
ExistingWall Finish ................................................................................................................................... Sheetrock
ExistingFloor Finish .......................................................................................................................................... Tile
AMERICAN WATERWORKS Job Location Page 2/10
1307 Valleyhigh Dr NW Rochester MN 55901 6351 Squire Dr NE Minneapolis MN 55432-5242 5-31-23(2)
Job Details
Deck
f footings are under posts, aditional cos
will apply
ust.will remove bricks arund pos
HP HP HP
8ck of hous8
J
AMERICAN WATERWORKS Job Location Page 4/10
1307 Valleyhigh Dr NW Rochester MN 55901 6351 Squire Dr NE Minneapolis MN 55432-5242 5-31-23(2)
Job Details (Continued)
Specifications
Polyl-evel-Customer to be home during lift. American Waterworks not responsible for under slab utility/plumbing lines.Some cracking
may occur during lift.Polylevel does not fix or prevent heaving.
NexusPro Joint Sealant-Recommend 24 to 48 hours before allowing traffic in these areas.The final look of the joint where NexusPro is
installed will be wider than the original width with a concave finish.This is due to the prep work and application process done to ensure
proper bond between the concrete and the NexusPro.NexusPro,while blended for a smooth finish,will be visible.
WaterGuard-Full perimeter with a lateral feed line and vapor barrier is always recommended.
Half Wall Demo-Remove up to 4ft of sheetrock. Cut studs to just below electrical boxes or wires.
CleanSpace Half Wall 2ft to 4ft up wall.Warranty only includes the height of vapor barrier.American Waterworks always recommends
full foundation wall vapor barrier.The homeowner must have electrical,utilities,etc pulled away from wall,if not done,finish look and
effectiveness may be compromised.
Only used for new construction-select correct bracket.Brackets may be exposed.
Contractor Will
1.)Have public utilities marked in the outside work area.
2.)Remove finished walls as necessary.Not responsible for replacement.
3.)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 flooring at least 2 ft from the wall and/or working area,(Carpet 4ft). If not removed,contractor is not responsible for
damages.
3.)Repair any sprinkler lines that may be damaged during the installation.
4.)Mark any private lines that may be hidden underground,and assumes all liability if damage should occur to such lines.
5.)Make sure smoke/CO detectors are up to code(additional cost to the homeowner may occur if not done).
6.)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.
7.)The customer agrees that if work area is not cleared,delays or rescheduling of the project may result.
8.)The customer will be available during the project.
9.)If the customer will list is not complete before the project start date,the customer's discount may be void and additional charges may
apply.
10.)By signing,customer understands the expectations of the"Customer Will"section.
Customer Signature: Date:
Product List
My Basement
WaterGuard ................................................................................................................................................... 32 ft
AdminFees ........................................................................................................................................................ 1
HalfWall Demo,Half wall Demo .......................................................................................................................... 32 ft
CleanSpaceHalf Wall System 4' ........................................................................................................................... 37 ft
Lift and Level
AMERICAN WATERWORKS Job Location Page 5/10
1307 Valleyhigh Dr NW Rochester MN 55901 6351 Squire Dr NE Minneapolis MN 55432-5242 5-31-23(2)
Product List (Continued)
Polyl-EVEL ..................................................................................................................................................
2 areas
Seal Joints
NexusPro-Desert Sand ...................................................................................................................................... 4 ft
NexusProJoint Sealant ....................................................................................................................................... 4ft
Custom Solution
New Construction Helical Pier Bracket6x6 Rough ......•••••.............•••••..............•...................••••••.• 3
HelicalPier Zone 1 ............................................................................................................................................... 3
NewConstruction Helical Pier ................................................................................................................................ 3
Lift and Level - Areas
Area Title LxWxD Lbs Location Notes
Polly 10x4x1 13 Front
Lifting(Sidewalk)
Polly Rear 9x15x1 43 Back
Lifting(Patio)
Seal Joints - Areas
Area Title LnFt Location Notes
Polly 4 Front
AMERICAN WATERWORKS Job Location Page 6/10
1307 Valleyhigh Dr NW Rochester MN 55901 6351 Squire Dr NE Minneapolis MN 55432-5242 5-31-23(2)