AF - 36570�
City of Fridley, Minn..
6431 University Ave. N. E., Minneapolis, Minn. 55432
BUILDING PERMIT
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p�ex; R�,chard Miller Homes • SAME
_.`. Bwlder _-•------._..�___..._..-- -�------- .............___......._._.
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�d� 1600 Rice Creek Road SAME
______—.__ �.__..__._�.__�..._._ Address ..----••-----_...._.._.........-••----.•••----•-•----•----•-----�-----•--._...----•-----___..._._
LOCATION OF BUILDING
Na - ? 633 street _Briardale Road .._._
__ . _ _ _ _ . _ -. -...--------------------------------------- Part of Lot _..__.----...._.___...__._._._.�...____
8 2 ................._. Addition or Sub-Division ._.._.._. B T 1 a. P C� 11 e___� _
Lot Biock -------__.._....._.._. -- --� - --- - . _ ......�._._._._._
Corner Lot .�_.._.._...._�.. Inside Lot __._._.�.._�.....___ Setback -----3 5-'----.----.-------. Sideyard --------------__..._l_� �_____.__......._.._.._..r.
�e3FIIevatian ___._..�.QL 1�___._'_�_. ,r��� Elevation ..._.__._.._9_10..18 _Minimum
-------------�--_._.
�Ye Top of Footin�
DESCRIPTION OF BUILDING
To be Used as:
]�wP 1 1 i n g "__ Front 3�� __ Depth 2 b` Height .._._.2_1..�__ Sq. Ft. .----9_6 2.._.. cu. Ft 19 , 2 4 0
Garage 21' 22' 10' 462 4,620
�_ Front .._.___._..__ Depth � Height .---------------- Sq. Ft. .---------------_ Cu. Ft ----.._---.---
Type of Constxuction ��.Q.si.._E.rame __ ��, �t .�..�..�..��._.��._%.___.._._..._.......: To be Completed _Julle _._19 73 �
STIPULATIONS: provide a hard surface driveway. Provide a verifying survey be ore
capping_,. Storm sewer gscr� of $31.3.24 cl�te when water ieeter is taken out.
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SEPERATE PERMITS REQUlRED FOR t'VIRING,
�HEATING, PLUMB{NG �ry�� �Sl� ,
WATER LOCATION: Stop Box 9 E. of Sewer. SEW�R LOC 0 S22 W. of Manhole
In consideration of the issuance to me of a perniit to construct the building described above, I agree to do
'�he proposed work in accordance with the description above set forth and in compliax�ce with all provisions oP
Ordinances of the city of Fridley. �,
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In consideration of the payment of a fee of $4�2....�..Q._.._.._._.. rmit is hereb __
, pe y granted to__Ri�c..._ar___Miller Homes
•__---_-_...____.._ ............._......._._ to construct the building or addition as described above. This permit is granted upon
the express condition that the person to whom it is granted and his agents, employees and workmen, in all work
done in, around and upon said building, or any part thereof, shall conform in all respects •to the ordinances of
Fridley, Minnesota regarding location, construction, alteration, maintenance, repair and moving of buildil3gs
yyithin the city limits and this permit may be revoked a t any time upon violation of any of the provisions of said
az�dfnances.
- :
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D RREL CLARK
NOTICE:
� This permif doos not cover the construcfion, installation fo� wiring, plumbing, gas heating, sewer or water. Be sun to sN
ths Building Inspector for separate permits for these items. • I
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l�`'t o �Hid�e
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ANOKA COUNTY
560-3450
6431 UNIVERSITY AVENUE NE April 11, 1973 FRIDLEY, MINNESOTA 55421
Richard Miller Homes
1600 Rice Creek Road N.E.
Fridley, Minnesota 55432
Gentlemen:
Plesse be advised that the Fridley City Council authorized the
extension of your builciing peYmits to July 1, 1973.
The extension was granted to July 1, 1973 with the stipulations �r.at
you must coa�ence construction prior to this date. Failure to start
construction will constitute forfeiture cf your permit and part of your
permit fee.
In the event the City of Fridley is assessed any Sewer Availability
Charges by the Metropolitan Sewer Board for any reason, the City w�ll
have to coZlect such charges from you. 'I'herefore part of the City's
granting the e.Ytension is with the understanding that you agr�e to pay
these charges if the Metropolitan Sewer Board acts to charge the Ci�y.
If yoa have.any questions with reference to this matter, please
call this office.
DGC /mh
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Sincerely,
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�'u:I� Cr. C?.A�t_�C
Com�unity Development Adm.
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560-3450
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ANOKA �OUNTY
6431 UNIVERSITY AVENUE Nf Decemberol�, 1972 FRIDLEY, MINNESOTA 55421
TO WHOM IT MAY CONCERN:
Whereas the Cit o Fridley has issued a building permit to construct a
structure at /(� �� 2�l���� � m�Q,
Whereas the permit is dated prior to January l, 1973 and tfie City ot
Fridley did not collect or receive any "Service Availability Charge".
Therefore if for any reason the Metropolitan Council and or the rletropo?itan
Sewer Board assess or bill the C ity of Fridley a Serrice Availability Charo2 �or
this structure or sewer hook up, we the undersigned agree to and will pay the
City of Fridley for said charges_ -'�
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„ Signatu�e .
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d��c��hed iand, und ot rht loco��e� 01 •tl bu�id�n�►, th�.ea,n, and o�l v�t+ble •neroach.n�ntti, if ony, Iro�n s� o�+
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AF���C�TIQN FQR RE�IpENTTp�. A�T�R,ATIQN,
Q� AD�iT�ON ��ILDING pERMIT
��TY OF F�IA��Y� MINN��OT�
owrT�'s x�: suzLn�x:� �c� M��R,..�-�oM,�„
ADDRESS: �ARESS: fGOO �icE C��' ��D� �1��
2dU;, (Co�� S�RF�Tt �"�i�4fZD�l� „�O/��
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T40T:, � BLOCK:_T� AAAI'i�ON� ��,(�bA-1�
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�G()RN�.rR LOT : �NS �DE LOT . � X )C . ,,, S $TBACR F �S i S I DEYARD : ��
��.i�aa� ��c# �o th� ���o Certificates of SuiveY of Lot and propp$ed
�i,ld�g �acation d��t o� t#e�se Certificates *
��SC�tIPTION OF BUILiIING
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�.R 24G� Frca�t : 2) � Depth ; 2Z i Hei.�ht t 10
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Fqua�e �'eet; 4L,Z Cubic Feeti c���Q
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�{�a of �onstruc�iom; F�An� �stimated Cost: �l�,�CX7�
�c� �e► 4o��.at�da (� �-1-73 �
� u�t,d�r��igaed hereby a�ces ap�licativ�t for, a pe�it for th� wa�k h�arei�
tpe�i�ied, a$�eeing to do a�j iiR�c in stti.ct accordance witY� the G�.ty of
F�dl+e��' �i�4�.ma�ces �d ;uli�t �f �e Departnten� qf Bu��din�a, +�#�d i�ereby
�o�.ax+� �'� al.l �ha +�atcts a�td �e�reset�tatione s�ated � �his ap�►li>catian
A��e ��ue a,�, cv�rectt -
AATF„ ;�c�. Z{�.f 1� 72 e SIGrIA1VRE : i��i� ��.t-�'-�f� �
���a kt+�vea�e� s�.a� Fo� 4aa���,o�i �n�o�cio�,)
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BUI�DIN� P�RMIT F�� S�H�DU�E
���T�Q� �. Th� Inepecto� ot �u�ldings s�a11, befoxe �ssuing permits for the
������on of any building oz etructure, or for any addition to any �is�in�
��i�d�� o� stxuG�urea or fo� any alteration or xe�airs to any exi��ing
��.1�i��n� o� stxucture, upon appli�ation theref�re, xequire the payme�� by �he
a��lic�t fox such perm�t o� �ees to the amount herein below set �Qrth ��d �n
�in� mar����: her�in p�'ovided �a-w3�t z
UNIF4RM BU�LDING COAEt Tj�pe I� 2& 4- $2.15 for each one khous,�n.d cubic
,�e��„ p�' f�action thexeof, in such cubical con�2nts. Type 3& 5 R$1.85 fox'
�a�ch ons �hvusand cub�.c fe�eC.
��D � T �O�JAL � NFO#tM�T I ON
Fo� th& purgose of pampu�ing �ees for building pertnits, the cubical contents
of any building or addition, i� detesrmit3ed by mul�i�lyin� �he ground area
�a�,e�ed #�c�m a poi�t� ��x (6) in�hes below the f�.00r line o� the basement
t� �be C�lla�' ta the average k�eights of the upper surface or to the averag�*
#�i�b� ct� �hs �oc�� �u�face o� the main gab2e pf a piC�ched xoo�,
��i�� ox al��xations �a an existing srru�tu�ey ti►e fee sha,ll be �1k the
xa�e o£ $3,a� �e� �,�h �ive h�idred dollaxs {$500,04) o� fraction �hexeof in
�� cos� �� a�.l #�rc��sed woxk�
��n cat�e sha�l �t�� �ee ���d fox �zry pe�nnit as set �o�t�h �i Sa��ion. 2 be
�� t.han $� . A4. -
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V�R��I�AT�QN OF ��1�1NAA�'ION
I�T�z Ye.�mits �or ��stxc�t�t�.Qn wi11 be �.SSUed a t��.�.f.mu� o� �4 �►c>urs fxotn the
.��1e oi applicatior►, �a a��ow �ox PrQ�ex review of the pxoposs�t s��'u�tu,re �td
s�� �e �structian �site.
` �l C����,�i�R� Su�r�y o�' fih� lr��� �a�ing [% �,ocati� of th� #oundaticYC#, Q�oEC� �,fi�
�a� �� �o�s���.trd�, wiil bs ��u�.red be€ore proceedin� w�.th the fr�niag,
C�RTT�I�Ai� QP lJ��i�PAN�Y
Ap�pli���ia� ��sx a�e�c���it�t.� s�� Qccupancy shall be, mada te�n (3.Q) t�ay� pxi.or
�o �he r�se pr qccupa�y af � a�cture fax which a buildi.ng perip�.t has beer�
issued; �i1d s�3.d s��uct�.txe �s}tal�, �ot be used a� occup3ed until a�ertificate
of 4c�upancy ha� bee� �seu�d,
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560-3450
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ANOKA COUNTY
6431 UNIVERSITY AVENUE NE October 25, 1974 FRIDLEY, MINNESOTA 55421
Richard Miller Homes
1600 Rice Creek Road
Fridley, Minnesota 55432
Dear Mr. Miller:
This office thanks you for submitting as-built plans for 1611-61st Avenue,
the same being Lot 24, Block 3, Briardale Addition, A check of our records
indicates that no final inspection has been approved for this building. Our
inspection report #31,790 made on February 2, 1974 sho�as an inspection card was
posted stating, "Occupancy not permitted until inside railing on winding stairway
approved, contact Inspection Department." We are putting one of the new plans
in our files and returning the second copy to you with notations on the stairway
that explain Code requirements. We are also returning the plan you first submitted
for this lot.
We also at this time are giving you written notice that building permit
numbers 11,950, 11,941, 11,947, 11,948, 11,943, 11,953, and 11,938 are now null
and void.
(1) Permit Number 11,950: was issued for 1608 Briardale Road, the same being
Lot 15, Block 3, Briardale Addition. The permit was issued an December 29, 1972
and construction was held up by the City until January of 1973. To date nothing
has been done that would constitute the start of construction, thereby rendering
the permit void.
(2) Permit Number 11,941: was issued for 6181 Benjamin Street, the same being
Lot 17, Block 3, Briardale Addition. The permit was issued on Decernber 29, 1972
and construction was held up by the City until January of 1973. To date however
nothing has been done that would constitute the commencement of construction,
thereby rendering the permit void.
(3) Permit Number 11,947: was issued for 6141 Benjamin Street, the same being
Lot 21, Block 3, Briardale Addition. The permit was issued on December 29, 1972
and to date nothing has been done that would canstitute the start of construction
thereby rendering the permit null and void.
(4) Permit Number 11,948: was i:ssued for 1631 - 61st Avenue, the same being
Lot 26, Block 3, Briardale Addition. The permit was issued on December 29, 1972
and to date nothing has been done that would constitute the start of construction
thereby rendering the permit null and void.
Richard Miller Homes
October 25, 1974 page 2
(5) Permit Number 11,943: was issued for 1616 Rice Creek Road, the same
being Lot 2, Block l, Briardale Addition. The permit was issued on Deeember 29,
1972. Our inspection records indicate that the footings were poured on or about
September 21, 1973. Since more than 120 days have elapsed since any visable
construction has occurred on the home, the City has no choice but to declare the
permit null and void. Since this basement has been Zeft open and constitutes a
life hazard, you must fence the area off so that the basement is inaccessible
to the public,
(6) Permit Number 11,953: was issued for 1613 Briardale Road, the same being
Lot 6, Block 2, Briardale Addition. The permit was issued on December 29, 1972.
Our inspection records indicate that the footings were poured on or about August
13, 1973. Since more than 120 days have elapsed since any visible construction
has occurred on the home, the City has no choice but to declare the permit null
and void. The basement on this lot must also be fenced to pr.event fhe probability
of an unsuspecting person from walking and falling into the basement.
(7) Permit Number 11,938: was issued for 1633 Briardale Road, the same being
Lot 8, Block. 2, Briardale Addition. The permit was issued on December 29, 1972.
Our inspection records indicate that the footings were poured on or about
August 8, 1973. Since more than 120 days have elapsed since any visible progress
has been made on the home, the City has no choice but to declare the permit null
and void. The basement on this lot must also be fenced.
We would appreciate your prompt attention to resolving these matters. If any
questions or problems arise from this letter, please feel free to contact me at
560-3450.
Sincerely
DARREL G. CLARK
Community Development Adm.
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1600 A{Ce CRcEK ROAD / P�AINNEAPOLIS, MINNESQTH �2 / AREA CODE 612 / 786•1640
p December 11, 1974
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,�.� city council
:..:c� City of Fridley
'i 6431 University Avenue N.E,
!f � Fridley, Minnesota 55432
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Building Permits for: �676 Rice CreEk Road, 1b13 Briardale
Road, 1633 Briarda1e Road, 1G08 Briardale Road, 6181 Benjamin
Street, 6141 Benjamin Street and 1G31 61st Avenue N.E.
Gentlemen,
P1ease consider this 1etter to be my request for the p1acing on the
agenda for the December ]6, 1974 Council Meeting of the matte• of
extension of the building permits I have previously secured H��th
reference to the above subject properties.
I am requesting that the City of Fridley permit me �o comple � the
cons�ruciion on the above properties based on the fact that t�ey
were validly obtained in good faith and the fact that I have commenced
construction at all properties. I feel that to charge me an additional
fee for building permits again on these same properties a�ould be an
unfair and discriminatory practice and would not rr�eet either the spirit
or the letter of the ap�licable law. We have always tried to cooperate
to the fullest with the City of Frid7ey and I hope that you agree that
our wor{c has been a credit to the community.
Thank you for your courtesy, cooperation and attention.
Sincerely,
Ri cftard N. Mi 11 er
RNi�I: cs
cc: Darrel G. Clark�'
Virgil Herrick
Nasim Qureshi
Dick Sobiech
Victor P. Seiler, Attorney
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�..In : I'le5 ��,r�; ,..
January 13, 1975
Darrell Clark
City af Fridley
6431 University Avenue N.E.
Fridley, Minnesota 55432
Dear Mr. Clark:
This is in reference to the seven (7) uncompleted homes in, Rich--
ard Miller's Briardale Addition.
Based on the fact that these seven (7) uncompleted ho�es have
been hooked up to the City's sewer system, and that the build-
ing permits for these homes were granted in December, 1972 and
the City has extended these permits with a state sur-charge �ee
only, it is our apinion that the SAC charge is not applicable.
Should you desire any additional information, please advise.
Sincerely,
thony C. G rre
Comptroller
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cc: Richard Miller Home
1600 Rice Creek Raad
Fridley, MN 55432
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sue�ecr PERMIT-110.
City of Fridley ° 1284'7
AT THE TOP OF THE TWINS g U I L D I N G P E R M I T
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� � RECEIPT NO.
� • COMMUNITY DEVELOPMENT DIV.
. �L ----- � � � ��
r � � PROTECTIVE INSPECTION SEG � � �
1 �
'` ' ����1 � CITY HALL FRIDLEY 55432 NUMBER REV. DATE PAGE OF APPROVED BY
`°"�'� �'� 612-560-3450
910-F15 1/14/75 � �
JOB ADDRESS 1633 Briardale Road N.E.
1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED
oescR. g 2 Briardale Addition SHEET
2 PROPERTYOWNER MAILADDRESS ZIP PHONE
Richard Miller Homes 1600 Rice Creek Road N.E. Fridle
3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO.
Same
4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO.
5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO.
6 USE OF BUILDING
t�
7 CLASS OF WORK
� NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE
8 DESCRIBE WORK
Construct a 31' x 26' Dwelling and a 21' x 22' Garage
9 CHANGEOFUSEFROM TO
STIPULATIONS Original building permit #11,938 issued Dec. 29, 1972. Storm sewer
escrow of $313.29 is due when the water meter is taken out. Provide a verifying
survey before capping. Provide a hard surface driveway. Provide excape windows.
Provide a P.C. alarm and closer on firedoor.
WATER LOCATION: Stop Box 9' East of Sewer
SEWER IACATION: "Y" 22' West of Manhole
�PERATE PERP,�ITS �afQU1R_�D F��� "��C��l�,
���1��,, ,?► �#;�.��!� �1�� ��':�?�l�r.
TYPEOFCONST. OCCUPANCYGROUP OCCUPANCYLOAD
SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING,
VENTILATING OR AIR CONDITIONING. WOOC� FZ'dlllG
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING SQ. FT. CU. FT.
AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION
OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT R-1 962 19, 240
ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS OFFSTREET PARKING
I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION ]. STALLS GARAGES
AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS VALUATION SURTAX
AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL 8E COMPLIED
WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT tiS3O O�iO ZS.OZ
DOES NOT PRESUME TO G�VE AUTHORITY TO VIOLATE OR CANCEL THE pERMITFEE SACCHARGE
PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON-
STRUCTIO OR THE PERFO MANCE OF CONSTRUCT�ON. PAID OIl OYl inal None
PLAN CHECKFEE TOTALFEE
� 15 02 +
SIGNATUREOFCONT CTORORAUTHORIZEDAGENT IDATEI EN P OP R V LID ED THIS IS YOUR PERMIT �
_ > /- / �f- iJ �
SGNATUREOF OWNERIIF OWNER BUILDERI IDATEI BLDG iNSP � DA7E �
AP�����TI�� �Q� RESiPE��T��, A�T�RATIQN,
q� �np�TION BUILDIN� PERMI�
GITY QF FRI���Y, MINN��OT�
\
WNE$ S NA1ME �� i /� , /, I 1BUILDEIt \\�z
� � �..�.1.1�L �.-z;�� /G,,,,/ !� C.r c'�f �� ; ,rl � „ � �
�
� �
ADBRESS: �i>�'> ,.%Y/ ',(,j'v.�`cy� G"Y�l �Il1iESS: :i�-?-� „�°
, . .
t�t� , � l�' �� � 3�'RE�T 3�,,, />.% � c .. - G ;� /-t"_- ���: �l
.
i�'T: l� 9LOCZ�: , . `� 1�AA�TIOP1:�, /��� : . � ( � ��' .,
GURNER LOT: �NI��A� ZO'�:" %� ' SETBACRt ,ti `? � SIDEY,p�RD:�r,,,
��-ica� �#.�ac� �o t}�,�► �+��,,,c? Certificates of SurveX of Lat and proposed
�i�.�i�g �acatio� d�� vu t�#es� �er.tificates, '�
�}�SC�IPTION OF $UILDING
�9.'�a �� tis� A� :
t.-F' �/ •�- �7 T„L� � De�th : L„��, iie�.gllt :�% �
�
L - Cubiae �'�e�, '�' O
sq�ax� ����, �� � l`.,�.>- ,
U-%� , �'ramt• `_� � Depth; 2 '� Height: ! �r
€quaxe �eet ; �E.� L Cubic Feet t�, `LG-> � �, �
T�{� °f �onstrue�ioA# /` � �-; yi -�. Estiioared Cost: $ �U �� �-, c,
r�
'�c� � 4v�ag�.�tedi .,, � % � � . '� , ; �
� u����i�t+ed hereby m�ces ap��icatirn�; for, a pe�ai.t fa� the wo;tc hsxein
�pe�i�#.ed, a,�xeein� to do al.� t+C7�c 1n stti.ct accoxdance witt� the Gi,ty of
F�c'�.sil� Q�d�.t�ances �d ;u1i�s �f tt�e Departnten� 4f Bui�din�s, +s�td he�eby
�1+1t��.ax+e� � all �het ��cta �d ���resentatione stated � �his appl�.catian
�� ��ue at�c� cv�xec�� .
\ 1 �
�1l�ii.fi* / /`-� i.l ��I/ ! / `� N�vlYtfiHfM� � �
r ■��r�
�BeB It+a�►��oe S��S FoX Add�t�.onati Infos�q�ation.) � �"' �\�i f v"'�,_
`, — ' . /,� � � / �l /J Q �
� , . % � �r `.. � . _ i .. 4 w �: ae' J,,..- ,� f� � V
/ � r �t -'i {�` G ► -� � A lC' r °� C� `'� � � �t , - ,
�..t`:� �.A . _ .�� � / �
„,.� , . , � � � .� (� A 4 �' ` . ,
K '` 1
fyr �. � �..T
, �� � � � �
-BUI�AING P�RMIT F�� ��H�DU�E
�����QN �, The Ine�ecto� pf �u�ld3.ngs s�all, befa�e issuing permit� for the
������on o� a�y building Ax s�ructure, or for any addition to any sa�isti�g
�:����db�� oz structure, or fo� any alteration or re�airs to any ex��ting
�°,��ii���� or stx^ucture, upon app�i�ation therefore, require the paymen� by the
���.��i���t fox such perm�t o� �ees �o the amount herein below set �orth a�d �n
�n� mana�ex hex�e�n px4vided �a-wit :
UNiFORM BUzLDING COAEs Type 1� 2& 4-$2.15 �or each otte �housa�nd cubic
�e�t, b�� f�action th,e�eaf, zn such cubical con��nts. �yge 3& 5-,5�,85 fo�'
�ach ons t�ousand �uh�.c feet.
�#�D�T�OI�AL INF�'IA'iION
Fca� tl��: puxpASe of �amputing fees far building peimits, the cubical contents
of any building or addition, is� det�rmined by mul�iply�.n� the ground area
enveaCed f�om a poi�e� �ix (4) in�ches below the flaor line of the basement
� t�k� �C��.lar Co the average heights of the upper surface or to the averag� �
�ig�t c�� �s Iroof ��face o�' the main gab}.e of a pi�ched xoo�,
�x ��i�rs ox ai��ra�ioms Cas an existing, stru�ctuXe4 �e fee shall be a�+� ths
�a�� of $3.OU �e� e�,Gh f�.ve ���idred dollars ($50Q,04) .z� f�tion thex�o� in
t}�� coa� a� all gxopqsed wo��„
I� �c> cat�e sha�l t}�e �ee t�aqr�+�d fox �tty �ez�sit as set fo�t� �i.t1 Se+�tiQn 2 be
�� than $S.AO.
�
V��i�I�ATi(lN 0� �t�UNAAi'ION
D��� p,e,�mits �ox �a�r>txu�tion wil� be issued a t��.ni.�u� af �4 i�aurg f�am tlns
�i�1e o� application, �o a��aw fo� prapez �eview of the proposed st�u�tu,re attd
pf �e �struGtian Site.
' �, �Ce���,�i�d su�v�y p� i:h� �c��., ts�r�wi�ng th� iQeat�.� nf the �oundatira�c, ox:ce �.t
ha� b� co�s�,�t�d�, wi�.l b� �ec�uired be€ore proceedin� w��h ths fr�niag,
C�R"TIFI�A�'� QF Q��iJPAN�Y
A�np�i���ia� �s�x a�e�c�i.��ca� ta� occupancy ahal]. bs mads �en {1�) t1a,y� pxiox
�� �he �s� ox 4ccupa,x�cy a$ a�t atrki��ure fa�r which �, bui.l,ding pe�ai,� has beer�
isst�e�; ,�td s�.3.d s�iuctu7re �'halZ t�ot be used a� occupied until a C�rtificate
of Q�GUpaa��y ha,� be�� �asued,
s6o.3aso
����O �''��t�
� �
ANOKA COUNTY
G431 UNlVERSITY AVENUE NE January 14, 1975 FRIDLEY, MINNESOTA 55432
Richard Miller Homes
1600 Rice Creek Road N.E.
Fridley, Minneso�a 55432
Re: f141 Benjamin St., 6181 Benjamin St.,
J�608 Briardale Rd., 1613 Briardale Rd.,
��1633 Briardale RB., 1616 Rice C�eek Rd.,
and 1631 - 61st Avenue
Dear Mr. Miller:
Please be advised that we have received a letter from the Metropolitan
5ewer board dated January 13., 1975 that advises us that they are not going to
requix'e the City of Fridley to pay the SAC charge on the above addressed homes.
We are still holding and will issue to you the permits for 1631-61:st Avenue,
1616 Rice Creek Road, 1613 Briardale Road and 1633 Briardale Road at a cost of
$60.60 which covers the State Surcharge.
If you have any questians on this matter, please feel free to call me at
560-3450.
DGC/mh
Sincerelp,
DARREL G. CLARK
Conununity Development Adm.
�
,�*,A: , �. 4.,,, � ;_f,,-n ,.e� �t .,.•
�=:�c� � �r ��� �� � g� �`�meo�� �:.�nr��� �a�o��������°�� ����������� ��
� d�, P4�,�R.�� �:a,,��.��,� �,�� �����
6�►�� ��StC�vrayWO'�.� «t��"dar'c.us'"r s� .
PARTI�� �TE SCF����ii..E
G4tAVIYT WA�! RZR: 11.AS'� '!°0'�°AS.
P1un�ce Shet2 ac Dvtt �r4ork . . . �IO.QO �
Reptacement of Ftirnare , g pp �
~ R�pai�c & Aitcrations--up to =Sd4.00 6 pp �
Repairs & Alterations each add. E500.00 . 3 W i
!lFCM. WAABT �t
Flirnace Shell & Duct Work to 130,000 BTtJ
e� add. 6D,000 B'I'U . . . . . . . . .
Replecemeat of F1�rnace
Repaira & Alterations--up to ESOO.UO
Repairs dc Alterations each add. 5500.00
STEAM or HOi WATER SYSTE�
F�rr.ace She13 Sc Lines--tv 400 sq. tt EDR Steem
Furnace She11 dc Line---to 640 sq. ft. EDR fiot Water
Each add 200 sQ. ft. EI�R Steam
Each add. 320 sg. ft. EDR HoC Water
. S10 00 Z �� , � ��
3.QQ) i
6.00 !
6.0o E
3.00 t
eip.r�p $
I0 00 S.
�.Of) ; -
3.00 S
OIL BQR2vER—to 3 gal. per hour g,p� __
over 3 gal. per hour—�ee Fee Schedule
GAS BffRPiER (up to 199,Ofl0 BTU) b.Ot1 =_'S , L'C>
wer 1�,OQ0 B'!'[J Soe Fw 8ch•dul•
CAS FI'T7ING F'�E3: Ia0 RATE T07AL
Ist 3 F7xtures __ x� 20d S %.[)�i
AdditionaT £lxtures _ x .�g =___ __
Gas Ran�e to 199,� a$ 6.0� i
1lIR CO�Y?YQl"BiAG
PAFi i3F.�T;�G SF3Y�
YEi67'I1.R�Iix 2'. 8Y�,7ir,.wi
11L'f'�RATiOt�� � R�P�.I�
CY�UCbH
Fi�iAI. / / � 7— - % �-
State Surcharge .50
6
S� F« Sc*.s�x�ts �
�
TO7a'�d. � ��
D��:. off �3�1s�. �o:�e, �-3�90
L��, 1633 F3ri�rdale Rd.
City of Fiir�ley: �
The i:ndersign�d hereby makes application for a permit for the wori Aere4.r
specitied. a�reeing to do all w�ork in strict accordance with the City Orcifuancef=
and r��ling of th4 Dep.artm�nt oY Euildings, an� hereby declures thnt aIl thS finei�
and represent�etiuns staQed in this appiication are tn:e aad correct.
��d tey, R�inn 2- 2 5- 7 5� lg ,..__
�ner . Richard Mille*_- Homes
f_ rame
Kind �f Building .
rJ� a� resic�ence
To f�e completed about, -�— 30-7 5
Estimate�*3 Cosc, 5 � ��������•'C�
Old—New. Buiiding Permit No. _`__ Permit No. �--����
Td� .'C*i�'fYf3:� OF V38�
HF_ATING or PC?WER P'L.AN°P`F'.r—.�trs�m, F�ot Water, Warm Air—No
Trade Name
Lennox S�se No G1?�3-110
Capacity--_.. 110M -- Sq. i�t. E.D.R BTU gp
Total Connected Load__ 5 Fi , 2 5 8 � ot �� g�� s
BURNER — TYacle 1�Famp same as %�h���� Size P10
Capscity 3q. F°t. E.DR Bi't) g�
FRED VOGT & CO.
HEATING & AIR CONDITIONING
3260 Gorliam Ava� 9�9-6767,
�t, Loul; Park: �1�nn�wt9 'f3426,
ta�oaaaaa—ovtq
#4818 John V. Borry
Sf�ed ��.�./ G . .�i�/l!-G/�
� �
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t C-' . ,:.:. ,, . , ,., ,- "-. ; : ; I . . - . , . ! '
� �:.,,, � j .� 5" `�'' , , � , , .
�_ . _.. .. , -'��_
HEAT LOB3 CAL�UL.AT10N9 /; :' - , ..: -, , � f
Weatherstrips _ A Guide Cunstruction No. Io�ulation
Windows ( Doon Reference Out. Wall Int. Well Ceiling Roof Floor Kind How Applied
Yes—No Yes—Ro 19_
FL� ,: � --, Room L.ength / :.', Width � Height FI.� ; " ' Room Length .; ".-' Width ;'" Height .
Windows and Doon—Cr�ckage and Ares Windows and Doors—Ctackage and Area
� tv�dth Fieitnt No. oI Lln��l tt. Are• � Wldth He1�At No. oI Lln��l (t. Aru
� No. ot D�na of �an• U�hU o[ crack �Q. [l. i,.. No. ot pan• ol Dan• Iliht■ ot craek �0. tt.
- - , ; � ,� C� 1 ' -� � � , ; _$
,� �
� Coef. Bcu Coef. Beu
In6ltration �- � Infiltration ,.� ''.% '' �' �� �
Glass � Gla�a r `�-
�' Exp. wall � ;', " �, '.. F�cp. wall ;' ' ' ,� - f —
Net exp. wall � "' � :� : r Net exp. wall � Y ` / � �
Int. wall Int. •rall
Ceil�ng ^ ., ` � � Ce�ung i�� ' � �_ �,
I �
�. Fluor _ ' Floor � ` i, % -� � -.
j 7'otal Bcu. - �; Total Btu. /1-, .; ;;'.
� Required sq. ft. E.D.R. or sq. ine. W.A. L.eader area Required aq. ft. E.D.R. o� sq. in�. W.A. Leader area
{' Fl.� , Room � L.enath /�� Width j�'. Height ;; '� / FI.I � 1�� '. _ Room I L.ength -� Width ��' eig t�"
i Windows aod Door►—Crackage and Area � Windows and Doors—Crackage and Area
{� � Wldth H�1/ t No. o! Llntal tt. Aro�
l- � a'Idth Hel�ht No. ot L1n�a1 (l. Are•
� No. of pan• ot D�n• II�At• o[ cr�ck �p. tt. No. ot D�ns o[ Dan• Il�ht� ot crack p. ft. .
��.i� �. ..� � .. �� ,) / .. . � �i ' � � � � . , - � . . / fi� �
,w �' .
i . Coef. Btu
{: In6ltration L'' . '
� Glasi l " "
' _ .
E:p. wall . �
( Net exp. wall % l' - _
i ' Int. wall
i� - ,
Ceiling . - �
`µ' Floor T i - -
".� Total Btu. ' "" '
�`�' ' �� i : �
Required sq. ft. E.D.R. or �q. ini. W.A. Leader area
�.' FI. , , . ... � Room Lensth . Width ,' . � Height
Windows and Doors---Cracka�e and Arca
Wldlh H�I�ht No. O( Lln��l [t. Area
No. ot pan• ot pan• IIfAI• ot crack �p. tt.
. . .� . ' /_'. , % � , .
COtf. Btu
Infiltration - .;'; , �'%,� _ -
Gla�s .' f� _
Enp. wall . / , �. 'i
j. , Net exp. wall - " i
; Int. wall
�� Ceihng �, , _, �
Floor
Total Btu. �- .
_ Required iQ. ft. E.D.R. or �q. in�. W.A. L.eader area �
/ FI. �- Room � l.ength �•+- Width ,. Height '
Windows and Deon--Crackage aed Aeta
wlacn x.l�nt No. ot Lln.al rt. wre�
,� NO. ot pan• o[ Dan• N�ht• ol crack �V. tt. '
' , .. .� . % , � .. i�.._.
COef. Btu
Infiltration ' '
Glass , .
��
Exp. wal) � '
Net ezp. wall `�
lnt. wall
Ceiling / �� i.-' , ,
Floor �
Total Btu. • '�
�.
� �,,
Required iq. ft. E.D.R. or sq. ins. W.A. l.eader area �
1n61tration � '
Glass ' `' '
Exp. wall °' �i • ; a
Net exp. wall '; / � '
Int. wall
,
Ceiling ' % % f
F�OOf "'/ `—/ � J .
Total Btu. � '
Required aq. ft. E.D.R. or nq. iris. W.A. Leader area
' Fl.� ,• Room I LenQth _ Width %�:' Height �
Windowa and Doors—Crac�aQe and Area
Wldth He1�At No. ot Lln�al It. Ar�a
No. et pane ot Dan• Il�ht� o! cr�ek p. tt. .
..��i� � �. . � , , ���
� Coef. Btu
lnfiltration ' • • ' �,,� !,"
ia� 8S! - r
Exp. wall 1 * .
Nee exp. wall ' - ,' �.°
lnt. wall
Ceiling ' ;
Floor �
Total Btu. '
.
Required sq. ft. E.D.R. or sq. ins. WA. Leade� area
`. Fl.� " ' Reom I Length ' .�'' Width % •� . Height �—
Window� and Doon—Crac�age and Area
Wldth Hel�ht No. ot Llne�l [t. Are� . .
No. ot p�r�e ot D��• IILht� ot craek p, tt. ,,.i
_ , ' y % , ' _. .
1 ; ' • C'�
� . . . . � t.- .
Coef. Btu �
Infiltration " ! •
Glais �"' �--
F�cp. wall ,. . . � �� .
Net exp. wall '�"''' " / '
lnt. wall
Certing " .
Floor � . .
;
Total Btu. � � •, ,
Required sq. ft. E.D.R. or sq. in:. WA. Leader area �'
1�
- . .. . .„. .._
. . �. . .. -,.�.:. u.....-
{.m: . . . . „ ....., .�., �:.. .., .. ..
u
• � � � � ��M.'
♦
CALM.AT10N3
eatherstrips ' ' ' ' Construction No. In�ulation
Guide
Windowi I Doon Reference Out. WaU Int. Wall Ceiling Roof Floor Kind How Applied
Y�s—No Yo�— s—F�o— 19—
�;;�-,�f'I.J � ; Room Length " � Width ."" Height %"i FL� Room L.ength Width H
Windowe and Doors—Crackage and Area Windowa and Doors—Cracicage and Area
wwth HeIR�� No. ot Lln��l (t. Area Widt� Hel�ht No. ot L�n��l tt. Ar�a
No. nf pane o! panr Il�hu of crack �0. tt. No. ot D��• a� Dane Il�ht• ot cr�ck �0. fl•
� .-- ' . - f -', ';__. <� J�3
� Coef. Bcu
Inhltrohon Q 1 ; '
I�. Glaas ,.-.:;/ .^ � -fr� .
Exp. wall . <, ' " �. =t ' �
Net exp. waU '' � % "" t.,'
Int. wall
Ceilmg
Fl�or � �; �� �:'. {�" r�
7'otal Btu. .'�
Requircd sq. ft. E.D.R. or sq. in�. W.A. L.eader area %
f�1.� Room � L.ength Width Height
Windows and Doors--CrackaQe and Area
�� WIAth H�I�A{ No. of Llne�l Il. Are• �
�. No. nt p�ns of Dan• Ilfht� ot crack p. ft.
� Coef. Btu
�� . 1n61tration
� Gla��
� F�cp. wal)
I� Net e:p. wall
Int. wall
I� Cei�ing
rFloor
I� Total Btu.
,{ .
�' Required sq. ft. E.D.R. or sq. in�. W.A. L.eader area
�� FI. Room Length Width Height
i;
a Windows snd Doors—Crackage and Area
�{� � Wldth H�I��t No. o[ Llnul It. Aro�
y' �., No. of p►n• o! Dan• Il�hl• ot crack �O. tt.
� Coef. Btu
� lnfiltration
� Gla�s
' F�cp. wall
;•.
. Net e:p. wall
ff.
lnt. wall
�` Ceiling
1
Floor
Tota! Btu.
;' _ Required sq. (t. E.D.R. or �q. in�. W.A. L.eader area
Fl. Room � Length Width Height
� Windows and Doors—Cracka�e and Area
N'iA�h H�I�na No. ot Lln�al tt. Are�
�' No. oi pan• ot Dan� Il�hl• ot crack �C. (l.
Coef. Btu
1n61tration
C,lats
F�cp. wall
Net e:p. wall
lnt. wall
Ceiling
Floor
" Total Btu.
Required sq. ft. E.D.R. or sq. in�. W.A. l.eader are�
b� ;i ._.__. . .__ . __._ . _....._
�...
�-: .
Btu
In6ltrotion
Glau
Exp. wall
Net exp. wall
Int. •�all
Ce��ing
Floor
Total Btu.
Required eq. ft. E.D.R. or aq. ins. W.A. Leader area
FI.I Room I 1-ength Width
Windows and Doors—Crackage snd Area
v1'IatA Helsht No. ot Lln��l ft. Ar�•
No. o( oane ot nan• Ilf�t• ot crack �Q. lt.
I
Infiltration
Gla��
Exp. wall
Net exp. wall
Int. wall
Cei�ing
iFloor
, Total Btu.
� Fl.� Room I Length Width Height
Windowi and Doors—Cracka`e and Area
Wldth H�I�At No. o! Lln�al ft. Araa
No. ot Pana ot D�n• II[hu o[ craek p. tt.
Coef.l Btu
In6ltration
Glase
Exp. wall
Net exp. wall
Int. wall
Ceiling
Floor
I Total Btu. —
Required sq. ft. E.D.R. or iq. ins. WA. L.eader arca
FI.� Room I Length Width Height
Win�owa and Doon—CrackBge a�d Arer
wiain Het�ht No. ot Lln��l [t. Are�
NO. o[ D«�e ot p�n• Il�ht� ot craek �Q. tt.
Coef.� Btu .
1n61tration
Glass
Exp. wall
Net exp. wall
Int. wall '
Cei�ing
Floor
Tota) Btu.
Required sq. ft. E.D.R. or sq. ins. WA. Leader arca
—__—. _—_.. . "___.'—._ .
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HOUSE HEATING TEST RECORD -�� �. j/,�
� , � � ' . � n' .�
ADDRE55 f � � .-� = j.� "� " , � APT. FLOOR CITY SUBURB °' ` f�� �-'-'��,.._
OCCUPANT � '
� . r �,--^ OWNER
HEAT LOSS—� DATE HTG. INST. GAS C0. METER BADGF�#
SOLD BY ,,� ' �� '- �_ ;v • INSTALLED BY � ' t
Electrical Work By Gas Line By .' r�-
TYPE OF HEAT GA FA _�HW STEAM SPACE HTR. UNIT HTR. OTHER
� GAS DESIGN CONVERSION
�
MAKE MAKEOFBURNER
Model �' � �.'� � / +y Model
Serial � : -.. - � t ty Max. BTU Rating
INPUT MAKE OF FURNACE
Model
CONTROLS , ,
, � :
THERMOSTAT. '�— Heat Plug Vent Size
Valve KIND OF LINER ' SIZE!" NONE
Limit ' -�,� � Draft Hood Regulator
Limit Sstting ��� Filters Size Number
Fan Settin ,
g ,�.�TL.= .y Chimney Location Inside �-! Outside
Pilot Type Chimnay ConsTruction � _� i:.�
Pilot Make -�- � �
. �,_
Pilot Model $moke Bomb Wiring � �_'
Pilot Timing �%� -� ' Draft _� ��^' Test Tag � ` ' '
L.W. Cut Off M Door Prossure Lighting Inst. ``
Prossuro �- Percent CO2 � Date Tested "f�f �
Input CFH �` :_____�_Percent 02 Company Testing � •''f
Stack Temp. � ''�� Percent CO Name of Tester "'r, �
Form 235 _
sue�ecT R N O.
City of Fridley 18891
AT THE TOP OF THE TWINS g U I L D I N G P E R M I T
r
' ' RE
� �
r • �_�� COMMUNITY DEVE�OPMENT DIV. ��� f� �->
� � L � PRO7ECTIVE INSPECTION SEC. ✓/
i i
� �
'l � ����1 � CITY HALL FRIDLEY 55432 NUMBER REV. DATE GAGE OF APPROVED BY
`.����il �.J
612-571-3450 910-F15 4/20/87 � �
JOB ADDRESS 1633 Briardale Raad N.E.
1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED
DESCR. 8 7 Briardale SHEET
2 PROPERTY OWNER MAII ADDRESS ZIP PHONE
Kenn Schifsky 1633 Briardale Road N.E. 572 �1523
3 CONTRACTOR MAIL ADDRESS Z�P PHONE LICENSE NO.
HEartland Industries, Inc. 5590 � 222 Street N.E „ Hampton, MN 55031
4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO.
5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO.
6 USE OF BUILDING
Res idential
7 CLASS OF WORK
�7 NEW ❑ ADDITION ❑ ALTERATION O REPAIR ❑ MOVE ❑ REMOVE
8 DESCRIBE WORK
Construct a 16' x 10.'' Shed in Rear Yard*
9 CHANGE OF USE FROM TO
STIPULATIONS
�EPARATE PERMITS ARE REOUIRED FOR ELECTRICAL, PLUMBINC�, HEATING, TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY �OAD
VENTILATING OR AIR CONDITIONING.
THIS PERMIT BECOMES NULL AND VOIO IF WORK OR CONSTRUCTION ZONING SQ. FT. CU. FT.
AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION
OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT
ANV TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS OFFSTREET PARKING
I HEFEBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION I. STAL�S GARAGES
AND KNOW THE SAME TO BE TRUE AND CORRECT. AlL PROVISIONS OF LAWS VALUATION SURTAX
AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED $1 � SOO $.%S
WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT
DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE pERM1T FEE SAC CHARGE
PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULAT�NG CON- $2S � OO
STRUCTION OR THE PERFORMANCE OF CONSTRUCTION.
\LAN CHECK FEE TOTAL FEE
$25.75
SiGNat REOFCONTRA tOAOanuT iZEOnGENi �Dn7Ei WHEN PROPERLY IDATED THIS IS VOUR PE MIT
y�-,7 � �� l�i�a�,' ��7 ! o�C�
SIGNATUREOFOWNERIIFQWNEA UILDERI DATEI LDG INSP
r�r.TE
NEW [ ]
ADDN. [ ]
AI,TER. [ ]
Construction Address: l � �
City of Fridley
�R-1 AND R-2�
Building Permit Application
r, ec r C1cc I� ��. YtJ r-
Effective 4/1/86 � �
v
f- r ' �e � � [�-� �J
Legal Description: �-O�' ?4 !X—octL �s2i�2o�ucr— ____
Owner Name & Address`': �{'�� `� �`1 ��C �`� S ct �2..e �-� s ��o �e _ Tel .# 5'7 2' i 5 a 3
Contractor•
h` -e c� .-� � c�.�.� � .l .;. c� �,:� S� �� e s�,.� c Tel .�
Address: 5 5� C7 a�� c� rJ F %�� ,,,,,,�� � rt-� N 5� p 3 �
Attach to this application, a Certificate of Survey of the
lot, with the proposed construction drawn on it to scale.
DESCRIPTION OF IMPROYEMENT
LIVING AREA: Length Width Height Sq. Ft.
GARAGE AREA: Length Width Height Sq. Ft.
DECK AREA: Length Width Hgt/Ground Sq. Ft.
OTHER : � � � � / � ?C / o X / a _ l � b
Corner Lot [] Inside Lot � Ft. Yd. Setback Side Yard Setback X
Type of Construction: w�� � Estimated Cost: � �5 � U
Approx. Completion Date: � ��'�` �
Alt. A Alt B
Proposed Driveway Width If New Opening Is Desired: � $ � $
See Back Page for Explanation
k S ' � ,� .s��`'s a 3
DATE: �� �;�'`': `�� APPLICAIrT• �' ""� G �'�. S ;! Tel. �
Permit Fee
Plan Check
State Surcharge
SAC Charge
Park Fee
SeWer Main Charge
TOTAI.
STIPULATIOtdS :
CITY OSE ONLY
$ 2 $��
$ —
$ '� �
�
$
�
$ � 2s. ��
Fee Schedule on Reverse Side
25� of Building Permit Fee
$.50/$1,000 Valuation
$ 525 per SAC Unit
Fee Determined by Engineering
Agreement Necessary [] Not Necessary [ j
/$�OU
�'oc� - �C�. cX.)
I C��C 1,0' I �, � �
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Z. �; vu
BOILDING 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 applicatio n
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 Valuation
�1.00 to �$500.00
�501.00 to $2,000.00
$2,001.00 to $25,000.00
$25,001.00 to $50,000.00
�50,001.00 to $100,000.00
$100,001.00 and up
Fees
$10.00 (Minimum Fee is �15.00)
$10.00 for the first $500 plus $1.50 for each
additional $100 or fraction thereof, to and including
$2,000.
$32•50 for the first $2,000 plus $6.00 for each
additional $1,000 or fraction thereof, to and
including $25,000.
$170.50 for the first $25,000 plus $4.50 for each
additional $1,000 or fraction thereof, to and
including $50,000.
$283•00 for the first $50,000 plus $3.00 for each
additional �1,000 or fraction thereof, to and
including $100,000.
$433•00 for the first $100,000 plus $2.50 for each
additional �1,000 or fraction thereof.
DRIVEWAY DEPRESSION ESCROi1
(Concrete Curb Streets Only)
Alternate "A": Removal and replacement of curb and gutter only - Driveway width plus
6 feet times $13.50
Alternate "B": Removal and replacement of curb and gutter and install a 3 foot wide
approach tiith 6 inch depth - Driveway width plus 6 feet times $15•75
VERIFICATION OF FOUNDATION
Permits for construction xill be issued a minimum of 24 hours from the time of
application to a11oW for proper revieu of the proposed structure and of the
construetion site.
A Certificate of Survey of the lot, showing the location of the foundation onee it
has been constructed Will be required before proceeding With the framing.
R . _ ; T.- _,. _ .. . . . . -. , . . �. -
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se:�. t..�;r�
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Ci�fl lnp����r:w� ieley�one �a.-eoss
Municipallnyln.�riw� Erig�I]C@Te dc Surveyors •►.a Cod• •12
Mortgage Loan Survey for K/Cf/.�'.�U /Y//LLC-�P /7DM,�5
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' •a��pt M N►� 1w� •1 arcw w�e�sao�• �r �wr �tM�r iw►er�st ec��irtr fy �A• r�a�er 1� •�c1� �+wr��p�. It 1�
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• � iU�MR�AN ENGINEERINd, INC.
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CITY QF FRIDLEY INSPECTION DIV.
6431 Universiry Ave NE
Fridley, MN 55432
572-3604 .
[�j4TE SCHEDULE
APPLICA.TION FOR POWER PLANTS AND HEATING, COOLING, VE�ITILATION,
G O CONDITIONING SYSTEMS AND DEVICES
Effective On August 1, 1995
�� 1
�
REFRI ERATI N AND AIR
JOB ADDRESS >> 7 � . '' /C�
Residential
Furnace Shell and Duct Work, Burner —
Also Replacement Furnace
(Side Vent — Fill Out Back)
Gas Piping (Needed with new furnace)
Gas Range
Gas Dryer
*Air Conditloning — All Sizes
All Others/Repairs & Alterations (LIST ON BACI�
1% of Value of Appliance or Work
Commercial/I ndustrial
1.25% of Value of Appliance or Work
Rate TOTAL
$ 30.00 $
$ 10.00
$ 10.00
$ 10.00
$ 25.00
State Surcharge
TOTAL FEE
The undersigned hereby makes application for a permit for the work herein
speCified agreeing to do all wark in strict accordance with the City Codes and
rulings of the Building Division, and hereby declares that all the facts and
representations stated in this application are true and co rect.
�J �j / �j � ,1995
$
I / OWNE
$ 1/
$
$
IS��
BUICDING USED A
ESTIMATED COST
DESCRIPTION OF FURNACE AND OR BURNER
$ No. of Heating Units Circle One (Sieam) (Hot Water) (Warm Air)
Trade Name Size No.
BTU: HP EDR
$ Fue.l Total Connected Load
�
'� ,. ./
MINIMUM FEE FOR ANY HEATING/COOLINGNENTILATION
REFRIGERATION/AIR CONDITIONING PEHMIT IS $25.00
PLUS THE 5.50 STATE SURCHARGE
REINSPECTION FEE $42.00/Hr
*Air Conditioners can not be placed in a side yard without
written permission from adjoining property owner.
Burner Trade Name Size No.
BTU _ HP �
A1TN: JANET • 321-5206
P.O. BOX 1165
HEATING CO NY
.,
Signed By Tel No.
Approved By Rough—In Date Final Date
FILL OUT BACK SIDE FO STlrCK VERIFICATION ON
REPLACEMENT FURNACE
C� f Mr + 1 �X��rr"" d"� �iv��
�
� � C�iiMNEY AND STACK VERIFICATIO[Y
�
The undersigned hereby verifes that tl�e existing chimney or stack:
1. Has been carefully exammed Yes O No O
2. Is free from' rust Qr �eterioration Yes O No O
�,'�
3. Has no foreign objects lodged within Yes () No ()
4
5.
0
7.
�
Is secure�y supported
Meets all current Code requirements for size
and tota1,BTU's connected ;
Has total heating BTU's of
All other BTU's
TOTAL BTU's
Has a liner been provided for water heater
Has combustion air been provided for water heater
Remarks:
Yes ( ) No ( )
I'es � � No ( :
Yes ( ) No ( )
Yes ( ) No ( )
11� -
pTiN; JANET • 321-5206
pp, BOX 1165
HEATING CO: MPLS•� MN 55440-1165
Signed By:
�
Date: _� l�