AF - 43485�
sus�ecr PE
c�ty of Fridley � 17 3 2 5
AT THE TOP OF THE TWINS g U I L D I N G P E R M I T
r
; � RECEIPT NO.
• COMMUNITY DEVEIOPMENT DIV.
' j L �""-
r � � PROTECTIVE INSPECTION SEC. ��
�
� �
i
' � ����ti � CITY HALL FRIDLE� 55432 NUMBER REV.. DATE � PAGE OF APPROVED BV
� ��__� / �.J
612-571-3450 910-F15 11/8/83 � �
JOB ADDRESS �531 Brigadoon Place
1 LEGAL LOT NO. BLOCK TRACT Ofi AD�ITION SEE ATTACHED
DESCR. 13 ]. BIOOIIIY)2r� ESt3'teS SHEET
2 PROPERTYOWNER MAILADDRESS ZIP PHONE
GarJac Inc. 481 - 206 th Ave. N.E. Cedar 55011 434-7096
3 CONTRACTOR MAIL ADORESS Z�P PHONE LICENSE NO.
GarJac Inc. Sa¢ne
4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO.
5 ENGINEER MAILADDRESS ZIP PHONE LICENSENO.
6 USEOP BUILDING
siden '
7 Cl.ASS OF WORK
C� NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE O REMOVE
8 DESCRIBE WORK
l t t t
Provide a ar su � +
3 feet from the side property,
9 CHANGE OF USE FROM TO ���t�y pi CEOS�i Wi GO
�ro� n ' t�boG
STIPULATIONS
Provide sod in the �ront and side yard.
Sewer is approx. 7` deep in the street and 15' west of the manhole (Inv, 895.99)
Wye elevation = 895.93
Top of footing = 898.93 minimiurt SEPERATE pERN11TS RE
water Approx 32' N.w. of the manhole `FATlN(;, p��Mg1N� AN��SRED F0� t,�rRE �,,
Approx 53' W. of the power pole (=N�
Driveway depression cost =$297.00 s►`�= CIIY OF FItID1EY OOES NpT GUAitANT�;;
�"•C•':�1R-�C� O� UTILITY LOCATI�NS AND ELE`.,�i', .
Provide a varifying survey before capping. '�`��� �3,�3p: 15 K�P. INFORMATION PU�PO5�5 Ot•iLY :�4;
-��•�:�'�'�.: :;54i�G {` SHOULD YERIFY THf ti�iFOF'!41AT!� t
'S\j j�.7c ct-.
TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD
SEPARATE PERMITS ARE RE�UIRED FOR EL�CTRICAL, PLUMBING, HEATING,
VENTILATfNG OR AIR CONDITIONWG.
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�-
ANY TIME AFTER WORK IS COMMENCED. N0. 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 WIIL BE COMPLIED
WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT $53,OOO.QO y�2E.S3
DOES NOT PRESUME TO G�VE AUTHORITY TO VIOLATE OR CANCEL THE pERMITFEE SACCHARGE
PROVISIONS OF ANY OTHER STATE OR LOCAI LAW REGULATING CON-
STRUCTI OR THE PERFORMANCE OF CONSTRUCTION. $Z��J.00 $425.00
` PLAN CHECK FEE TOTAL FEE
G l; //—'� '� 8 � $�3.�5 Ssao.as
SIGNATURE CoNTRACTOR AU7HORIZEDAGENT IDATEI WHEN PROPEFLY LIDATED THIS IS YOUR PERMIT
S O
SiGNATUREOFOWNEFIIFOWNERBUILDERI IDATEI BLDG INSP OAA
ii 1UlIU
�
�' . Effective Aug. 1, 1981
. " CITY QT FRIDLCY
tiI'PLICATIa1 FOft RCSIDCi�T1P�� [3U1LDI�;G PcF'�SITS
(Wc�•�, Al terations � Addi tions. or Rc�a irs )
Ob�NER: �t3UILDER: �����'� /��
AD�t;ESS: ADDRCSS: ��! � �G--� �- /r.�r-
TEL R0: TEL 120: `-� 3 �/'� `7 U`� �
Construction Location
STTtIxT NO: �.J__� STItEF.T: ,��t' /����c=� � •t� ,���c-�
IA7': 1� BLOC7C :�!� ADAITIOY : /�j L', c�o �r �/z 4 � S`(��+ ��
Corncr Lot: Insicic Lot: �� Setback: � Sideyards: /� "' .r
Apj licant attach to tl�is form two Certificates of Stirvey of lot and
p_opo:.ed builcling location dzawn on certiii�cates to scale.
OESCRIPTIO�� OF C0�lST��.)CT10N
�
__!�,�,� S� Front: `�(� Depth: �'� Heiqht: �
Square Feet: J�.[) Clibic Feet:
¢�(�, Front: Depth: Height:
Square Fe�t: Cvbic Teet:
� S3 G5n
'a')�pe of Co:,strucCion: ��R%�li^ Estimated Cost: _S��`-=�—��
,
Zb Be O�r.�plcted: �F %�
Alt. A Alt. S
Proposed Drivc��ay tiidth If New Opening Is Desired: L� � Z�L $ 7 0� $
, S�� Ps.VF.FLL' SIDE OF S}IE�T
9Sie unc3ersioned hereby mal;c:. t��plic�lticn for a perrsit fcr the �:ork herein specified,
agreein� to ao .all �ork ir, strict accordance �ith the Ci�y of I'ridley Ozdi»ances a�id
ruling� of tlic De2�artmc��t. of Buildings, and hereby decl�res th�zt all tl�e facts and
reprecc� GZtieris stated :n this applic�tion �are true and coz,xect.
D��: LU `` s � —� sicarn�v� :
£til�ulati ns :
(a � o��iS,O�
�•e.. �? 3 , ��
7'� a6. 53
5 �c- Cf 't�'► . o 0
Ot1 t� a �7 . ob , , . ,
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The Chief Building Official aba11, before issuing permits for the erection
of any building or atructure� or tor any addition Lo any existing building
or atructure or for any alteration or repairs to any existing building or
atructure� upon application therefore, require the payment by t6e
applicant for auch permit of fees to the amount herein below aet forth and
in the �anner herein provided to-xit:
� ..
=1.00 Lo =500.00
=501 to =2,000.00
=2�001 to =25�000
Fees
=10.00 (Ninimum =15.00)
=10.00 for the tirst =500 plus =1.50
tor eaeh additional =100 or fraction
tbereof, to and including ;2,000
=32•50 for the tirst =2�000 pl us =6.00
for each additional =1,000 or Praction
thereof, to and including �25�000
=25,001 to =50,000 =170.50 for the tirat =25 � 000 plus
=4.50 for each additional =1�000 or
fraction thereof, to aad including
=50�000
i50,001 to =100.000 =283.00 tor the first =50,000 plus
=3.00 for each additional =1,000 or
fraction thereof. to and including
=100�000
=100,001 and up
�
=433.00 for the first �100,000 plus
=2•50 for each additional �1,000 or
fraction thereof
Plan Check: 25 percent of building permit fee.
Driveway Deprassion Escror: Concrete curb atreets only.
Alternate "A": Removal and replacement of curb and gutter only -
Driveway r+idth plus 6 feet times ;13•50
Alternate "8": Removal and replacement o!' curb and gutter and
install a 3 foot vide approach vith 6 inch depth - DriveWay width
plus 6 feet times =15.75
.. � -. .. _ . �
Persita for construction rill De iaaued a minimum of 2h bours from the
time of application to allox tor proper revie� oP tbe proposed aLructure
and of tbe construction aite.
A Certificate of Survey of tbe lot, ahowing the loeation of the toundation
once it has been constructed will be requfred before oroceedin¢ t,rith the
framiag.
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� ��St�"?1�'�1�"S ��'�'"�Z�Z�i��
CONYSTOCK & DAVIS, INC. Consulting Engineers and Land Surveyor�
_ 1445 Couniy Road J, I�l[ix�neapalis, MN 55432, (622) 784-9346
SURVEY FOR:
B & G Investments
961 Hill�aind Road
Fridley, :�iinnesota 55432
�
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DESCRIPTION
Lot 13, Block l, Blomberg Estates, City of Fridley, Anoka County, Minnesota.
SCALE: 1" = G0.
p Denotes 1/2�' diameter iron pipe monument set and capped No. 10832.
I hereby certify that this survey, plan or report was prepared by me or under my direct
supervision and that I am a duly Registered Land Surveyor under the laws of the State
of Minnesota.
� ,r
10832 Nov. 17, 1980 4278 9,
Reg. No. Date Job No. Book No.
, . .
.
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GTYrJF
FRIDLEY
CIVIC CENTEF • 6431 UNIVERSITY AVE. N.E.. FRIDLEY, MINNESOTA 55432 • PHONE (612) 571-3450
May 28, 19£35
Mr. Gary D'Aigle
Garjac Inc.
481 -206th Avenue N.E.
Cedar, MN 55011
Re: Final Inspection at 7531 Brigadoon PZace N.E., k'ridley
Dear Mr. D' Aigle :
A final inspection was made on May 21, 1985 of the above address and the
following items were noted which must be completed before the stsucture
can be finaled out:
1. Provide sod in the front and side yards by June 17, 1985.
2. Provide a handrail on garage steps by June 17, 1985�
3. Provide insulation in the bas �nent utility room by June 17, 1985.
We will expect the above items to be completec3 by the scheduled date when
a reinspection will be conducted to determine compZiance. If you have any
questions on these items, please feel free to contact me at 571-3450.
Sincerely,
LlA . CLARK
Chief Building Official
DGC/mh
_
UTYOF
FRI DLEY
CIVIC CENTER • 6437 UNIVERSITY AVE N E, FRIDLEY. MINNESOTA 55432 • PHONE (612) 571-3450
June 18, 1985
Mr. Gary D'Aigle
Garjac, Inc.
481 - 206th Avenue N.E.
Cedar, MI1 55011
Re: Final Inspec tions at 7531 & 7551 Brigadoon and 7600 Lakeside Road
Dear Mr. D'Aigle:
Reinspections were made on June 17, 1985 of the above addresses and the
f ollowing items were noted which must be completed before the structures
can be finaled out:
7531 Brigadoon Place N.E. (Unable to gain entrance to structure)
1. Provide sod in the front and side yards.
2. Provide a handrail on the garage steps.
3. Provide insulation in the basement utility roo¢�►.
7551 Brigadoon Place N.E.
1. Provide sod in the front and side yards.
2. Provide City with a copy of the verifying survey.
7600 Brigadoon Place N.E.
Provide City with a copy of the verifying survey.
We will expect the above items to be coTapleted by July 15, 1985 when
reinspections will again be conducted to determine compliance. If you
have any questions on these items, please feel free to contact me at
571-3450.
Sincerely,
D . CLARK
Chief Building Official
DGC/mh
SUBJECT � '� ER O.
City of Fridley 18643
AT THE TOP OF THE TWINS g U I L D I N G P E R M I T
r
� �
, � RECEIPT NO.
� • COMMUNITY DEVELOPMENT DIV.
' � �: ----- �
r � � PROTECTIVE INSPECTION SEC.
� �
i
� � r"'1 � CITY HALL FRIDLEV 55432 NUMBER REV. DATE PAGE OF APPHOVED BV
�'""'�� ,�� 612-571-3450 910-F15 9/12/86 � �
JOB ADORESS �531 Brigadoon Place N. E.
1 LEGAL �OT NO. BLOCK TRACT OR ADDITION SEE ATTACHED
DESCR. ]:3 1 Blomberg Estates SHEET
2 PROPERTYOWNER MAILADDRESS ZIP PHONE
Michael Petersen 7531 Brigadoon Place N.E.
3 CONTFACTOR MAIL ADDRESS ZIP PHONE LICENSE NO.
Builders & Remodelers Inc. 3517 Hennepin Avenue, Mpls. 55420 827-5481
4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO.
5 ENGINEER MAIL ADDRESS 21P PHONE LICENSE NO.
6 USE OF BUICDING
Residential
7 CLASS OF WORK
O NEW � ADDITION ❑ ALTERATION � REPAIR ❑ MOVE ❑ REMOVE
8 DESCRIBE WORK
Convert existing deck to a 13' x 13' Three Season Porch
9 CHANGE OF USE FROM TO
STIPULATIONS
SEPARATE PERMITS RE�U�� ��� ���NS�
WIR(NG, HEATIN�G, PLUNl�!
TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD
SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING,
VENTILATING OR AIF CONDITIONING.
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
ANY TIME AFTER WORK IS COMMENCEL1r " NO. DWLG. UMTS OFFSTREET PARKING
I HEREBY CERTIFY THAT I HAVE REAO ANO EXAMINED THIS APPLICATION �. STAILS GARAGES
AND KNOW THE SAME TO BE TRUE AND COFRECT. ALL PROVISIONS OF LAWS VALUATION SURTAX
AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED
WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT tiS`3 ZOO $1.60
DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE pERMITFEE SACCHARGE
PAOVISIONS OF ANY OTHER STA7E OR LOCAL LAW REGULATING CON-
STRUCTION•OR YHE PERFORMANCE OF CONSTRUCTION. 44. SO
�,' �' PLAN CHECK FEE TOTAL FEE
,' ". - : � CC ���, �/�
11.1 $57.23
S�GNA7UREOFCONTI�ACTORORAUTHORIZEDAGENT IDATE) � WHEN ROPER V� TE T IS YOUR PERM17
�
S�GNATURE OF OWNEA�IP OWNEA BUILDER� IDATEI B�0 WSP �1 7E �
�� �� City of Fridley Effective 4/1/6C
ADDl:. [ l �R-1 AKD R-2 (
pLTER. [ 7 Building Permit Application
Construction Address: %$3% 13 � � � ��� QQ � '1` � `
Legal Description: •
Owner Name 6 Address : � �C � '�'� �'E'���d�'� Tel . �
ContracLor: 13�i1�ers �- ��emo���pt�S -Z I��, _ Tel. # 8d��'S�181
Address. 3517 'eY►�'� �N l��'�� SO�
LIVING AREA:
GARAGE AREA:
DECR AREA:
OTHER:
Attach to this application, a Certificate of Survey of the
lot� xith the proposed construction draWn on it to scale.
1 DESCRIPTION OF IMPROYEMENT
Length 13� Width ��_ Height Sq. Ft. -.�-„`-,�—
Length _______
Length
Width Height Sq. Ft.
Width _ Hgt/Ground
TO � S'CdS6K Erf d-eSur�2_ -
Sq. Ft.
1 �� � �� � 1 L 32 � �
Corner Lot [] Inside Lot [] Ft. Yd. Setback ______._ Side Yard Setback
u�
Type of Construction: �}� "�d �� Estimated Cost: �
Approx. Completion Date: �� �° �a d v
Alt. A Alt $
Proposed Driveuay uidth If NeW Opening Is Desired: � � -
See Back Page for Explanation
DATE: �k b APPLICAhT:
� Tel . � ^ ���
CITY DSE ONLY
s
Permit Fee � J U Fee Schedule on Reverse Side
Plan Check � �(i� 3 25� of Building Permit Fee
State Surcharge � __�� v �.50/�1,000 Valuation
SAC Charge � �u75 per SAC U nit
Park Fee $ Fee betermined bY Engineering
Sexer Main Charge f
. ��I a� Agreement Necessary [] Not Necessary [�
TOT11L .
STIPULATI021S :
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NOtE' AL� 11�TEp��S U$EO fOR ppSTS� �p�STS. BEAMS. AND QCCKIMG SttAll 8E Of
APPROYEO MOOp pF �T�„t �ESIS111NCE ?0 QECAII OR APPROYEO TREATlO M000.
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�;�loists :I�11 r�st o� bot inst�il i�r:
Jo�sTS w+�h t�9 M t:
t Z-1/2" bolts �1t •�N6 ERS tA�t pe�et��t�
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bolts if be� .
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STRUCTURAL CALCULAT IONS FOR :
TEMKOR CEILING PANELS
i HEREBY CERTIFY THAT THESE CALCULATIONS
WEP,E PP.EPARED 8Y ME OP, UNDER MY DIP.ECT
SUPEP.UISION AND THAT I AM A DULY REGISTERED
PpOFESSIUNAL ENGINEER UNDER THE �AWS OF THE
STATE. f�F MINNESOTA
REG. NO L TS/
D.'U I�QCr�°"`' (� DAT E �� a°(�.
MATTSON/MACDONALD INC.
STRUCTURAL ENGINEERS
1422 WEST LAKE STREET
MINNEAPOLIS, MINNESOTA
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CITYOF
FRtDLEY
CIVIC CENTER •(r131 UNIVERS[TY AVE. N.E. FRIDLEY, MINNESOTA 55432 • PHONE (612) 571-3450
October 6, 19£36
Ms. Sharon Graber
Builders & Remodelers Inc.
3517 Hennepin Avenue
Minneapolis, NID1 55420
Re: Porch Addition Construction at 7531 Brigadoon Place N.E., Fridley
Dear Mr. Graber:
On October 3, 1986 I conducted a final inspection on the 3 Season Porch
your company constructed at 7531 Brigadoon Place N.E., Fridley. The
following two itesns need to be resolved before final approval can be
given on the construction:
1. Correct the rise on the bottom two steps.
2. Correct or submit certified drawings on the porch roof attachment.
(The new roof is resting on the house roof overhang.)
We will expect the above items to be completed by October 27, 1986 when
a reinspection will be conducted to determine compliance. If you have
any questions on this matter, please feel free to contact me at 571-3450. �
Sincerely,
DA . CLARK
Chief Building Official
Dcc/mh
CC: Mr. Michael Petersen
7531 Brigadoon Place N.E.
PHONE (612) 827-5481
BUILDERS & REMODELERS, INC.
3517 HENNEPIN AVENUE, MINNEAPOLIS, MINNESOTA 55408
October 15, 1986
Mr. Darrell G. C1ark
Chief Building Official
City of Fridley
Civic Center
6431 University Ave. N.E.
Fridley, MN. 55432
RE: Mich.ael Petersen
7531 Brigadoon Place N.E.
Certified drawings on roof
modification
Dear Mr. Glark:
Enclosed you will find the drawings from Dan Young regarding
Modification necessary where new porch roof joins existing
house roof to comply with item �# 2 in your letter dated
October 6, 1986. �t the same time we will take care of item
## 1 regarding the steps.
TnTe anticipate this will be done by October 27, 1986.
If you have any questions, call either myself or Kitt Volk
at 827-5481.
Sincerely,
BUILDERS & RFMODEL�RS,INC.
- �r � � �,/�
-�%�---�Q�'��'(J
Gary in�. �nFelsh
Office Manager
GTnIG�/ sg
_ _ ___ _ .
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lSTRUCTURAL W04D CORP�ARA'I
1175 EAST HIGHWAY 36 • ST. PAUL. MINNESOTA 55109 • PHONE (612) 484 0281
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SUBJECT P
City of Fridley ��
AT THE TOP OF THE TWINS g � I L D I N G P E R M I T 2�. 4 4 0'
� � RE .
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� ` __�_ COMMUNITY DEVELOPMENT DIV. , r /_ /
r � ti' � PROTECTIVE INSPECTION SEC. '�� � W 1�
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� � /'�'1 � CITY HALL FRIDLE� 55432 NUMBER REV. DATE �AGE OF APPROVED 8V
�'""'�� ,�� 612-571-3450 910-F15 7/13/92 � �
J09 ADDRESS �531 Brigadoon Place NE
1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED
DESCR. 13 1 Blombexg Estates SHEET
2 PROPERTY OWNER MAIL ADORESS 21P PHONE
Mark W. Gar�ield 7531 Brigadoon Place NE 784-8465
3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO.
Same
4 AFiCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE IICENSE NO.
5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO.
6 USE OF BUILDINCa
Residential
7 CLASS OF WORK
❑ NEW �J ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE O REMOVE
8 DESCRIBE WORK
Construct a 13� x 12' Deck; add porch. doar
9 CHANGE QF USE FROM TO
�STIPULATIONS
See natations on plan
WA��I��
6af�re �igging cal! �r
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AR�9 T ��-i�+0�
��R1NG� y �'E�; � �� �� U1��D �
Eqrlry r� R�, 4 BY LAW
G, p��M�V jR� p �o
h� AN� S
��N
TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD
SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING,
VENTILATING OR AIR CONDITIONING.
THIS PEFMIT BECOMES NULI AND VOID IF WORK OR CONSTRUCTION ZONING SO. 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
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 TVPE OF WORK WILI BE COMPLIED $1'298 $,(S
WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING Of A PERMIT
DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE pERMIT FEE SAC CHARGE
PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON-
S7RUCTION OR THE PERFORMANCE OP CONSTRUCTION. $31.00 F1L'�2 SC $I..3Q:..
PLAN CHECKFEE TOTALFEE
$32.95
SiGNATUREOf CON'RACTOROA�+UTHOAIZEDAGENT IDATE� EN PROPERLY VAL DATED THIS IS YOUR PERMIT
�� � ��-�3-9a F �� �
�SiG TUF7EOFOWNER�iFOWNER LDEA1 iDATEI BL �NSP �'�T
NEW ( ]
ADDN [ J
ALTER [ ]
CITY OF FRIDLEY
5INGLE FAMILY AND DUPLEXES R-1 AND R-2
Building Permit Application
Effective 3/ 11�2
Construction Address: � 5� � �c- ��o�� o o � C�10.�4
Legal Description: L� 13 I o �� �- t310 }� � � S�"�-�e
C)wner Name & Address: � �f � w. (-,a,c� � �lc� (.��--- �s abo�,...� Tel. # �$`f � g 4 6S
Contractor: � �� MN LICENSE #
Address:
Tet. #
Attach to this application, a Certificate of Survey of the
lot, with the proposed construction drawn on it to scale.
DESCRIPTION OF IMPROVEMENT
LIVING AREA: Length
GARAGE AREA: Length
DECK AREA: Length � �
_ ,
OTHER:
c
Width
Width
Width 1 a
�� ��fist A� �
Corner Lot ( J Inside Lot � Ft. Yd Setback _
Type of Construction: C p��' ��� �- ��
Approx. Completion Date:
I?riveway Curb Cut Width Nceded: Ft. + b Ft =
Height
Height
Hgt/Ground �
oP r
Sq. Ft.
Sq. Ft.
Sq. Ft. 1S �
� 1S�o �7� 8 = � joo °
Side Yard Setbacks
Estimated Cost: $ `'F'�'do � Z Q g=
(Cost�on Back)
Ft x $ _ $
DATE: �' I d�� a APPLICANT: d� Tel. # 1 g`i ' g�f �'�
. � � � G, �1 CITY USE ONLY
Permit Fee $-�si�'�` Fee Schedule on Reverse Side `
Fire Surcharge $ �. �4 .001 of Permit Valuadon (1/lOth%)
State Surcharge � � �-� $.50/$1,000 Valuation
SAC Charge $ �'-' $700 per SAC Unit
License Surcharge $ ---"-' $5.00 (State Licensed Residential Contractors)
Driveway Escrow $ Alt. "A" or Alt. "B" Above
Park Fee $ Fee Determined by Engineering ,
Sewer Main Charge $ -�— Agreement Necessary j] Not Necessary []
TOTAL $ � '
� � .1�_
STIPULATIONS:
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Sul�ject to eaaemenfi recorded or vnre�orded.
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•oid land. A� wrr�y�d er ^`• ��i� '� dor el �' �— ,' � D. 10 ' i1 �
SUtURdMN �NOfNEERIl+iG, INC.
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sue.,EtT PERMIT NO.
c�cy of Fridley 2 8 4 32
� 572����� THE TWINS g � f L D I N� P E R M I T
; � RECEIPT NO.
� ; y ����� COMMUNITV OEVELOPMENT DIV. �
r � � PR07ECTIVE INSPECTION SEC. �
� ,
i..-- A'�����;', CITY HALL FRIO�E� 55�32 NUMBFR pEV D�TE � P�GE O� APPROVED 8Y
t '� 612-571-3450 9�0-Ft5 10/27/98 � �
�oe aooaess
7531 Bri adoon Place NE
t LEGAL �OT NO. BIOCK TRACT OR ADDITION SEE ATTACHED
oesca. 13 1 Blomber Estates SNEET
2 PROPERTY OWNER MAIL AOpfiESS 21P PMONE
Mark Garfield
3 CONTRACTOR MAIL ADORESS 21P PHONE LICENSE NO
Right Way Roofin 1200 E. 79th St M ls 55425 853-0049 3999
a ARCHITECT OR DESIGNER MAIL AODRESS ZIP PMONE LICENSE NO.
5 ENGINEER MAII ADOiiESS 21P PHONE UCENSE NO
6 USE Of BUILDING
Residential
7 CIASS OF WORK
❑ NEW O ADDITION O ALTERATION � REPAIR O MOVE O REMOVE
8 DESCRIBE WORK
Reroof house and garage (25 S) Tear—off
9 CHANGE OF USE FROM TO
S7IPULATIONS
Underlayment must comply with the State Building Code.
TYPEOFCONST OCCUPANCVGROUP OCCUPANCvlOAO
SEPARATE PERMITS ARE REOUIREO FOF ELECTRICAL, PLUMBING, MEATING.
VENTI�ATING OR Atq CONDITIONING. � ' �
TNIS PERMiT BECOMES NULL ANO VOID IF WORK OR CONSTRUCTION ZONING SO. fT CU FT.
AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION
OR WORK IS SUSPENDED OR ABANOONEO FOR A PERIOD OF 120 DAYS A7
ANV TIME AFTEF WORK IS COMMENCED NO OWIG. UNITS OfFSTREET PARKING
I MEFEB� CERTifY TMAT I HAVE REAO ANO EXAMINED THIS APPLICATION STA�LS GApAGES
AND KNOW THE SAME TO BE TRUE ANO CORRECT. Al.l, PROVISIONS Of LAWS VALUATION SURTAX
AND ORDINANCES GOVERNING THIS TVPE Of WORK WILL BE COMPUED
WITH WMETMER SPECIFIEO MEREIN OR NOT. TME GRANTING OF A pERM1T ZI.�}2 L.O%
DOES NO7 PFiESUM� 70 GIVE AU7MOR77Y TO VIOLA7E OR CANCEL THE PERM17 fEE SAC CMARGE
PROVISIONS OF AN OTHER S TE O LOCAL LAW REGULATING GON-
STRUC OF T E Of C STRUCTION 7�}.75 Fire SC Z.I�F
PLAN CNECK FEE TOTA� FEE
License SC 5.00 82.96
�GN4TUAE OF CON'PAC F AUT OAiZEO AG T iD�iE� WHEN PROP Y VALIOATED THIS IS VOUR PERMIT
— �� �D-2�--��
.
S�GNaTUAE O� Ow�vEa �ic OwNEQ BWLOERi �O�TE� � � OG �r+5o � � � ���TE
NEW w [] Effective 1/ 1/98
ADDN [ J CITY OF FRIDLEY
ALTER [] SINGI,E FAMILY AND DUPLEXES R-1 AND R-2 -`° ��,� �
BUILDING PERMIT APPLICATION � �� b�
. � �'� ��
ConstructionAddress: ��; � e �=�, T('�('�(?(7t� i (,, .
Legal Description:
Owner Name & Address: j��j�(� OC �:►f.:l I��'i 4'((,� Tel. #"��Slt��� Z���
Contractor: � i�11.�..� �� � t,�r �Z��C�Z�''i � MN LICENSE # O(,Y,7,�={a�l
Address: �;�i,�C}� �� fiC�i�vt �i- Tel. # �`;�-(,�����
LIVING AREA:
GARAGE AREA;
DECK AREA:
OTHER:
Attach to this application, a Certificate of Survey of the
lot, with the proposed construction drawn on it to scale.
DESCRIPTION OF IMPROVEMENT
Length W idth Height
Length Width Height
Length Width Hgt/Ground
Sq. Ft.
Sq. Ft.
Sq. Ft.
�.$� �o�r�� . �D
Construction Type: r�`��,(� Estimated Cost: $
(Fee Schedule on Back)
Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x$
_$
DATE: ( G�I 2i.� I �( � APPLICANT: r�C;l.1..r�'�:�ti- ��1,1��L'` Tel. #�553"(X) �-I k'
Permit Fee
Fire Surcharge
State Surcharge
SAC Charge
License Surcharge
Driveway Escrow
Erosion Control
Park Fee
Sewer Main Charge
TOTAL
STIPULATIONS:
$ � �
$
� , . !� �
$
$ Dl�
$
$
$
$
$ � ��O
CITY USE ONLY
Fee Schedule on Reverse Side
. 001 of Permit Valuation (1 / l Oth %)
$.50/$1,000 Valuation
$1000 per SAC Unit
$5.00 (State Licensed Residential Contractors)
Alt. "A" or Alt. "B" Above
$450.00 Conservation Plan Review
Fee Determined by Engineering
Agreement Necessary [ ] Not Necessary [ ]
Building
s ections)
In p
763-572-3604
DA'FE_�
&ITE ADDRESS �
THIS APPLICANT IS:
PROPERTY
OWNER/
TENANT
CQNTRACTOR
SUBMIT A C4PY OF
YOUR STATE
LICENSE WTPH
APPLICATi�N
PERMtT TYPE
� MEC�3[ANICAL
RESIDENTIAL APPLICATIUN
CITY OF FRIDLEY
YOtTR E MNL A131?RESS
COMPANY NAME:_
CONTAGT PERSON:
S'I'ATE LICENSE #
Permit No.:
R��Vea sy: ,
Date Rec'd: / � �� ��
� CITy STATE ZIP
ADDRESS:
PHONE FAX
TYPE OF WORK: ( � �
FAT�QLY O TWO FAMILY
�ZEPLACEMENT
DETAILED DESCRTPTI�N OF WORK
❑ TOWNHOUSE
❑ pLTERATION/REMODEL
� �
PER MS 16B.665 the pennit fee is a minimum of $15.00 or 5•/. of the totai cost up to 5500.00, whicl�ever is greater, fa the
imgrovenncnt, instaltation or replacement of a residential fixture, excluding the fvctiues. (17�is should reflect only the cost of labor )
I.,abor cost under �300 =$15A0. Labor cost between $300 to S5Q0 = cost of Iabor x,OS =
FOIt PROJEGTS Wi�RE IABOR EXCEEDS 55�, F&ES ARE BASED ON S 10.� PER FIXTCJRE. IXCEPT WHERE NOTED. FIXTL71tES: (!1'iDICATE TOTA1.
MIMBER OF EACH BELOW) MODEL: SIZEBTU
Equipment Instelied . M�G: SIZFJBTU _,______.^
�gG; MODEL:
MFG: MODEL: SIZF/B7U _._.,__.
A/C S2i.00 FIREPLACE (GASj 515.00 GAS RANGB/OVE1�i 510.00
�AtR TQ AIR EXGFiANGEER S15 FIREPL,ACE (WOOD) 535.00 NEW GAS GRII.L SI0.00
A(� S35.00 GAS 1J131T iiTtt 510.00
C�H Iu[EI+i�EY�LWER S10.00 �GA.�S DRYER SI0.00 PO(}L I�iEATER 535.00
DUCT WORK SIU00 (3AS PIPING SIO.Od �VF1�TI7L.A7'OR 515.00
- _ ._ _ � ... �� _ . . .�
�:�,r � .�..,,�;.� ..:�.� �, --•-._- .p �..�,_.. ..._„__ _ _ _ _
Permit Fee ��..�'� Numb�r of fixiures (a3 $10.00 x 510.00 =
Surcharge $ 0 Number of fixtwes (a� $15.00 x$15.00 = S i
TOTAL DUE $-�r� Number af fixtures cQ �25.Q0 x 525.00 =$
Number of fi�ctures Q$35.00 x 535.00 � S
State Surcharge = $_._____._�Q
Total � S
TIiiS IS APPLICATION FOR A PERIvIIT-NOT VALID UNTIL PROCESSED
I hcreby apply for a building pe ' and acknowledge that the infnrmation above is complete and accurate; that tt►e work �'r►ill be in
confonnancc witYt the ordinan d c of Gi of F tey d with the Minnesota �Construction Codes; that I understand this is
not a permit but nly an applic 'on fo a pe it is not t start without a permit; that the work wili be in accordan with t�e
approved plan in e case of w which r u' i and ap roval of plans.
SIGNA'NRE OF APPWCANT ' �`' NRME
�— t�ftS�'�' DATE, �"�
City of Fridley
Building Inspections Deparhnent
6431 University Avenue NE, Fridley, MN 55432
7�z_���_��na