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AF - 43503SUBJECT P E . City of Fridley _ � - AT THE TOP OF THE TWINS g U I L D I N G P E R M I T � r � COMMUNITY DEVEIOPMENT DIV. RECEIP�NO. � • �'./ U � ; y ��_� � r r � � PROTECTIVE INSPECTION SEC. 1 � � � /'��1 � CITY HALL FRIDLE`/ 55432 NUMBER REV. DATE PAGE OF APPROVED BY �'"""�� ,�� 612-571-3450 910-F15 / / 91482 JOB ADDRESS 75,�1 � g $�i� Bri adoon Place N.E. 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. �1 1 $].OICtb@Y Estates SHEEr 2 PROPERTYOWNER MAILADDFESS ZIP PHONE Gar'ac Inc. 7579 Bri adaon Place N.E. 434-7096 3 CONTRACTOR MAIL ADDRESS ZIP PHONE UCENSE NO. Same 4 ARCHITECT OR DESIGNER MAIL AODRE��`�T� �� 21P PHONE LICENSE NO. R 5 ENGINEER MAILADDR ,111r. P��'� ��y��NSENO. •R.7 � A�yp "�� 6 USE OF BUILDING 7 C�ASS OF WOR4t ❑ NEW � ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WOFK � � � � 9 CHANGE QF USE FROM TO STIPULATIONS Provide a hard surface driveway. Provide sod in the front and side yards. Provide City with copy of verifying survey before capping. SEWER LOCATION: (Approx. 5' Deep in Street) 165' So. o� M.H. (Inv. 893.94) Wye Elev: 894.60 Expose Sewer service prior to establishing footing elevation. WATER LOCATION: 10' So. of 5ewer Service DRIVEWAY DEPRESSION ESCROW: N/A �� :+�� Gi1' OF ��i�t�r po�s r�oT �u,�e,�►�rr�� t�E 8efote dig�+�t �n t�c�� ur��;e� �►CCURACY Of l+iiLRTY IOCAiIONS AND ELEII,�TION& r�1F��1aNE �� ,��t� 1'MCi DAtA ti A'�t MiF�3RhU�l1'iON MtIlP03i5 ONiY �It+D r�ao�a c�+a � s�ovw �t n+� wo�ww� �EQUtRED BY L�4Vl/ oM t� � TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, VENTILATING OR AIR 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 COMMENCED. NO. DWLG. UNITS OFFSTREET PARKING I HEFEBY CERTIFY THAT I HAVE AEAD 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 BE COMPIIED WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT $59/95O $29.98 DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE pERMiT FEE SAC CHARGE PROVISIONS OF ANY OTHER STATE OR IOCAL LAW REGULATING CON- ST CTION OR THE PERFORMANCE OF CONSTRUCTION. $313.00 $425.00 �1 l PLAN CHECK FEE TOTAL FEE $ 78.25 $ 846.23 SIGNAT OFCONTRAC OAOF7AUTHORIZEDAGENT IDATEI WHEN PROPER Y VALIDATED THIS IS YOUR ERMIT � � SiGNA7URE OF OWNEA (�f OWNER BUILDERI IDATEI ° BLDG INS � E CITY OF FRIDLCY Effective Aug. 1, 1981 A('PlIGATI��! �OR RESIDLh1TI/li. QUILA1fiG PCfti'iITS (Nc�r, Alterations, Additions, or Repairs) Ot��t�ER: t3UILDER: _ --��,��f��-- / �'� ADORESS: AODRESS: -��2 I� i4 � o'a n� /�l.�o TEL N0: � TEL t10: _ �� 3 �/ -- `] 4 � � � • Construction Location �7 �-�7 • ST]2IIiT NO: / � / I STItEET: /� � I � �9 D � � � /° �.� c � - G i.o�: 1 er�ocx: D__ �►nniTioN: r�L� o ��9 % Corner Lot: Insic3e Lot: �- Setback: ��_ Sideyards: a C� °� 2� Ap�licant attach to tl�is fozm two Certificates of S�zv�y of lot ar�d p=oposed building locatioz� drawn on certificates to scale. DESCRIPTIOid OF COhJSTP,UCTIOW � o � S � �- �9l1/ff � Front: �� _ F � Depth: � � Neight: � Square. Feet: // ''� ,� Glibic Feet: . Front: Depth: Height: Squar.e Feet: t�bic I�eet: �� 4ype of Cor,struction : �- � �`% �"� � Estimated Cost: $ Zb Be mr.�pleted: /�/ G V ,� ('� � Alt. A Alt. B Proposed Drive«ay Width If New Openinq Is Desired: l7 $' $ , . SE� I�VERSE SIDE OF SHEET Tize undessigned hereby maf;e� application for a permit fcr the ��ork herein specified, agreeing to c� ,a21 work ir, strict accorciancc �rith the City of IYidley► Ordinances and rulings of the Delkzrtm�� of IIuildings, and hereby declares that all the facts and represer�tatiens stated in this application e true arid co�rect. D.�T�: /� � ��— 3a " �`�- sir,xnzv�: Stipulations: ��-�t 31'�� P�. � �►a� �-�!' � 4, R�` s�� v�.s��c� �� r BUILDING PERMIT FEE SCHEDULE The Inspector of buildinqs shall, before issuing pezmits for the erection of any building or stzucture, or for any addition to any bxistinq building or structure, or for any alteration or"repairs to any existinq buildinq or atzucture, upon application therefore, require the payment by the applicant f or such permit of fees to the amount herein below set forth and i.n the manner herein provided to-wit: TOTAL V7RLZ7ATION 51.00 t� 5500.00 5501 bo $2,000 S2,001 to $25,000 $25,001 to $50,000 S50,001 tc S100,000 S100, 001 aTrd up FEES ...- S10.00 Minimum Fee $15.00 plus surcharge � S10.00 for the first $500 plus $1.50 fcr each additional $100 or fraction thereof, to and includinq 52,000 $32.50 for the first $2,000 plus $6.00 for esch additional $�,000 or fraction thereof, to and includiaq $25,000 $170.50 for the first $25,000 plus $4.50 for each additional $1,000 or fraction thereof, to and including 550,000 5283. 00 for the first $50, 000 plus $3. 00 for each additional 51,000 or fraction thereof, to and including S100,000 $443.00 ior the first $100,000 plus $2.50 for each additional $1,000 or fraction thereof PLAN C.HEQC: 25 percent of building pexmit fee DRIVF�IAY DEPRESSION ESC�tOW: Concrete Gtirb Streets �ly Alternate "A": Removeal and replacement of curb and gutter only Driveway width plus 6 feet Y$13.50 Alternate "B": Aanoval and replacement of curb and qutter and install a 3 foot wide approach with 6 fnch depth Driveway width plus 6 feet x$15.75 VERIFICATION OF FOUNDATION Permi ts for construction will be issued a minim�un of 24 hours from the time of application to allow for proper review of the proposed structure and pf the constru ction site. A Certificate of Suzvey of the lot, showinq the location of th� foundation once it has been constructed will be required before proceeding w ith the framinq, � �� , �{s��..� a�3.�u �� A ��,.�� 2�� . � ► �� ,3�-� �G��s �a �,.t,�,',� ��u� �r��.� 3��2�� = �12,G�ll,�C, �`� �''�'�"�� I I, su � �b,� �` 34. �.G 2�i ��, �^�, �-��-.�� ,�9� �,�` � ��, �`5�,�°� IO,�� 5� S2,S�' - 2.;Y7 = ��J� ` ` - • X .� �,�� Surveyors Certifi,�ate COMSTOCK & DAVIS, INC. Consult;ng Engiueers a�nd Land Surveyors I446 County Road J, Minneapolis, MN 55432, (612) 784-9346 SURVEY FOR: � �.��1�'* �'� B & G Investments �iE'fE)fe dlg�'1^� :,�:i !�')t:<=i 'i`, :': 961 Hillwind Road �E.L�Pl1�7�iF ��i�Ew f;; �• a�.i '_��;. Fri.dley, Minnesota 55432 R�� i��•,'�'� �, . v� Q .-; ; •- .� � .. �C. / S 89° � Ot,% 09 "E �-- /37,s's' O'�. 3 , � ; �t � _ .-.. ; ,.. , Y �d � . � � I,� _ _ Y __ i �o' o �� o .. - , � � O� ��," � � � � o ��. L � _ � � �� o �� a I � m � 1l°.—�----- �� —�J � o � S 89° Ot' 09' �--- /37 z1 t� ; . t� ._ : .._. �g o � 0 � �� •,;: ..� �. ��" � � �� ' �� :�e: ,�;� �� __ .��-��.� ut�it�r ��w�s ��: �.��•� ;r;>L.:, t•;� n{��'�.� .. �R �l.�K�t M''ui2AUS£s ONf Y RN� �4�i�"� 1� !� S�4C7tJS� V�1"� Ti'!� dl�#FO�iMAi�fJN �� "�. DESCRIPTIDN Lot 11, Block 1, Blomberg Estates, City of. Fridley, Anoka County, Minnesota. SCALE: 1" = 40 O Denotes 1/2" diameter iron pipe monument set and capped No. 1Q832. • Denotes found iron nonunent. I hereby certify that this survey, pian 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. �"" � 10832 �Vov: 17, 1980 4278 9 � Reg. No. "`'D"ate Job No. Book No. � � � .� 4; a /� 5 ; � � 2� � . .� ,d� � /�l,► S�� T � � �. .,� P �- P� �' � cS " S�. �� i�: � �...L r� �. � 9.� 9 � r � 5� y� �� -- ��'y � � . � � — n � �, ��t/ ��° S� �`'��ic� �� R �0,,2 ��o � "T�/�Gi SF/ �� . � � XQ�s� � �� p v i /ivG ��-. ��/ff'i /v�I � ��f 9�. �0 � �� a � �� r S�w�� '�.SS/rk�✓ ��%� � ''f /i i:i � r- � �U � � �v� �S /� , 4ESIDEIuTIAL CITY OF FRIDLEY Effective Date May l, 1988 APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION, REFRtGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES RATE SCHEDULE ` RATE Furnace Shell and Duct Work, Burner (Also replacement furnace) Gas Pipinq (pipinq needed with new furnace) Gas Range Gas Dryer * Air Conditioning (all sizesa All Others/Repairs and Alterations 18 of Value of Appliance or Work COMMERCIAL/INDUSTRIAL 18 of Value of Appliance or Work $ 20,00 $ 10.00 $ 10.00 $ 10.00 $ 10.00 State Surcharge TOTAL FEE Reinspection Fee ($15.00) Rough Insp. Date Final Insp. Date Approval for Permit �%� MINIMUM FEE FOR ANY HEATING PERMIT IS $15.00 PLUS $.50 STATE SURCHARGE •Air Conditioners can not be placed in side yard without written pczmission fran adjoininq neighbor. TOTAL $ $ Job Address , � ( � �('`�j ($',�f\ �,rciC�c Department of Buildings. 64:i1 University Ave. N,E., Fridley, MN 55432 City of Fridley Tel. q571-3450 $ The undersigned hereby makes application for a permit for the work herein specified agreeing to do all work in strict accordance with the City Codes $ and rulings of the Department of Buildings, and hereby declares that all the facts and representations stated in this application are true and correct. co S 1(`� ,�" S $ $ .SO S � S Fridley, Minn. �, • `�� , 19� OWNER �VC�f�P � �Cti.i�c'�$G\ t KZND OF BUILDING �� (Y � USED AS �� `� \ C�Qi� l 1�ci ` TO BE COMPLETED ABOUT � �� % ESTIMATED COST --�� OLD - NEW BUILDING PERMIT tv0. PERMIT NO. -I lQ DESCR:[PTION OF FURNACE/BURNER HEATING or POWER PLANTS, S�:eam, Hot Water, Warm Air- No. Trade Name �2CC'�p� Size No. '.��f,E,Ha=�U Capacity ��,L Sq. Ft. EDR BTU ��{.�(�� HP —'T— Total Connected Load Kind of Fuel ._ BURNER - Trade Name Size No. Capacity Sq. Ft. EDR BTU Hp � Company � '� �l `� Signed B ' Tel. No. �� ' �`�\ Fill out back side for stack verification on replacement furnaces 1 sue�ecT PE NO. City of Fridley 1816 ' , AT THE TOP OF THE TWINS g U I L D I N G P E R M I T RE T NO. r . � �� • COMMUNITY DEVELOPMENT DIV. � � ly�� r � � PROTECTIVE INSPECTION SEC. � � ' � ��1 � CITY HALL FRIDLE� 55432 NUMBER REV. DATE PAGE OF APPROVED BV �""�� '' 612-571-3450 910-Ft5 4/27/93 � � JOB ADDRESS '7571 Brigadoon �lace NE 1 LEGAL LOT NO. BLOCK TFiACT OR ADDiTVON SEE ATTACHED DESCR. 11 1 B.lomberg Es:tates SHEET 2 PROPERTY OWNER MAIL ADDRESS 2�P PHONE Bruce/Ann Frederickson 7571 Brigadoon Flace NE 786-2723 3 CONTViACTOR MAIL ADDRESS Z�P PHONE LICENSE NO. Same 4 ARCHI7ECT OR DESIGNER MAIL ADDRESS 21P PHONE LICENSE NO. 5 ENGINEER MAIL ADORESS Z�P PHONE LICENSE NO. 6 USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW � ADDITION 0 ALTERATION � REPAIR ❑ MOVE O REMOVE 8 DESCRIBE WOFK Construct a 6'' x 12' Deck and a 12�' x 12t Three �eason �orch W/WINDQWS 9 CHANGE OF USE FROM T� STIPULATiONS See notations on plan. TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD SEPARATE PERMITS ARE REOUIRED FOR E�ECTRICAI, PIUMBItJG, HEATING, VENTILATING OR AIF CONDITIONING. THIS PERMIT BECOMES NULL AND VOID IF WORK OFi CONSTRUCTION ZpNING SQ. FT. CU. FT. AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENOED OR ABANDONED FOFi A PERIOD OF 120 DAYS AT ANY TIME AFTEF WORiC IS COMMENCED. NO. DWLG. UNITS OFFSTREET PARKING I HEREBY CERTIFV THAT I HAVE READ AND EXAMINED THIS APPLICATION 1 STALLS GARAGES AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS VALUATION SURTAX WND ��ENHERESPEG IED HEREIN'OR NOTOTHE GRANTING OF AOPEAMIT $3r�15 $1.�.6 DOES NOT PRESUME TO GIVE AUTHORITV TO VIOLATE OR CANCEL THE pEqMITFEE SACCHARGE PROVISIONS OF ANY OTHER STATE OF LOCAL LAW REGULATING CON- STRUCT OR I_}iE PERfO CE OF CONSTRUCTION. $63.Q.� Fire SC y�3��2 //%%� PIAN CHECK FEE TOTAL FEE , $ 68. 88 SiG T aEOFCOn�r�+nCtoa A IZEDAGEN7 � TE� WHEN PROP LY LID ED THIS IS �OUR PERMIT �-j 4±� ` 1/ - Z � - � � .l F wNE?�.'.FOW ABU�LDERi IDATEI BLDG �NSP . . ��FTE �w [ ] Effective 1/1/93 ADDN [ ] CITY OF FRIDLEY ALTER (] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 Building Permit Application Construction Address: lS % I �rt u� a e� �� `�`� �� Legal Description: L� + 11 � o� I� � � t m� b� �s+a. �'� s Owner Name & Address: � rv�� K� �r t.,i�c ►�r ��z �_ S ov�t ''1' Tel. # 7�6 Z 7 Z� Contractor: � -`�+��r••. SE L� MN LICENSE # Address: S�t 8 H�� K e( � r. vc Q o S e v�.i,t�, M^/ 5'S I/„) Tel. # 67 0-9� G� Attach to this application, a Certificate of Survey of the lot, with the proposed construcfion drawn on it to scale. LIVING AREA: GARA.GE AREA_ DECK AREA: OTHER: Length Length Length �e� DESCRIPTION OF IMPROVEMENT Width Width Width �l- S G r e e v� Corner Lot [] Inside Lot (�Fj, Ft. Yd Setback _ Type of Construction: (��y�-�✓r�n � Approx. Campletion Date: J�-�: � Driveway Curb Cut Width Needed: Ft. + 6 Ft = Height Height Hgt/Grouad � u �� l� t-c,,� f Sq. Ft. Sq. Ft. Sq. Ft. i�'Y�a' e3� " P��. �� Side Yard Setbacks Estimated Cost: $ S(� �d 3 � /S�� (Cost on Back) Ft x $ _ $ DATE: '�-� �`� ti 3 APPLICANT: - Tel. #%O I� Z�� 3 CITY USE ONLY � Permit Fee $ � 3, 00 Fee Schedule on Reverse Side Fire Surcharge $ .3 �?i .001 of Permit Valuation (1/lOth%) State Surcharge $ . $,50/$1,000 Valuation SAC Charge $ $750 per SAC Unit License Surcharge $ '� $5.00 (State Licensed Residential Contractors) Driveway Escrow $ "'�� Alt_ "A" or Alt. "B° Above . Park Fee $ `� Fee Determined by En�rineering Sewer Main Charge $ Agreement Necessary [] Not Necessary [] TOTAL STIPULATiONS: s d $� $6` . � • TI File No. —�%v�/ �i!"St . .� � ��C1i17� �e � � � �ll �l�'�i � 'j j�� P L AT D R AW I N G ��o �� s Property Address- �� e✓� c� t A�-- ,C la f 1 G��d�D 7� L'Q �f �� <�v� ,t-�- �% i/ � � � F►� , �le�, ��✓I� Th(s Plat Drawing Is not intended to be used as a survey and should not be relied upon as such. The fot dimen- sions are taken from the recorded plat or the county records and are assumed to be correct. The location of the improvements shown on thts drawfng are approximate and are based upon a visual Inspectton of the prem(ses. A licensed surveyor should be contacted if an accurate survey is destred. Th(s plat drawing does not const(tute a liability of the company and Is Intended for use by the company only. �i � � � �- �, � � 0 �U Ca � � T019 � � � �� I �. l � �, s�s �� f '' � �� N —�- - /� � Gt-�cf� �� t �� ? 1 , � �� ;� 7 I � I � � f� C � � ■-s , �?�� `< ;t . ;�� `r , �L-F-f� �d� 5 � ��,� �a�� j�� -rn/ b-t._- �� /�s��:��c ti� �51�� (� 7a – � � � _ �_��, � �. �,..f�� ,�....�, � -. ._ � ;;'' � ��s (Z-t M �"� l � Y' �: � 7-� ta��s� �tr't !�" °a G, �— `...�-� �_ �' � � 7" �q�(� �w: `' ,Y �. A-c,� �ot s� ; _.._.__,_.�_�_,.T.......____�,_�.__ �� , � �.��... _i ► � � I� 4� �M '` ' ,' f) „ � I! � �� ;� � � �� ! �a � �� ' �� ! �, i� �1 �► ,, �� i �� i #�Fk►��„�G- J �� , �� X ,.�� ,��. � � � .. I . 1 �i � II Ij �� Q �� , � �'Cc�O I ° � 1 (_.._ �� ( � � I � �. ^--=�,_.. R� x , � ;I �� , � I��' � �� ,�� l �{ �j � . / f�� y��a � f� , i �, 6 I �,w �� -� °�' '` i �°' I '3 � �}:r-, �` F �`�.� ,�t', �` , � � �� , � �� f; ��I i M E� ! � �, � ..' � _ ,�:_ � � . _ ,.... _. ._... _ _. � � .._., , � "� :� r ._ r.- �_�• Y� ica X jef� i3 c:'74/�*� ;, ��I.�.. __ �. .. �, .... _. ..,� ._ ,._... �.,... �.. _..�_ __. ...n. ` � "C �-,- �� i � � /,' � i ( ' _ _ 6. _. . .. _._._ .. _..,.,_.---�. _-�-�-.-�.� .. .. . � . r � ..�._. �. . .._ ... _. . _.. _... ... . .._s ____.. .. ... _... _ . . . � _.... ._.. .—. .------.�__ _.._.. _ _._._ . ._. . ... _ ___ __... . .___.._. . -- —.... . . � t i � r 'Y �� (,? t� !� Y�._ (.z ,3 ,�.,a �i-- , i - , ' ! ► t ' _ _. .. ..___.___ �.._. ....�..___.._..__. . .. ... _ ___._._.�.._.._..m ._..__.T__.—_.____.1. �.. ; � ..__ __ _ _ _.. _ _ _: ... . �� _ _ .. ._. ...._,____. _. __ .. _ _ __. . __.___ � � �,��.L( ° � �-.. j�� /JN �i�.Ef�i4"'1�.� C,...�:-�� t+� � � �1 t� r�� EG �" �cG3•� �"'�c.- � +� � • �� t � L �t' �''�`'� � � �' `rf 3 �'`" � 7��-2�z3 �L.ASH OV�t� ALL � EXPOSED EXTGRiOR � ' �OPENINGS ! �� r � � ( ,i� � ; ;;�i4� f ; , , : ; , � I j � ' II�; !� ��;� ,I� ��; {! A V E ( I � �� i 7 1 � � '� �` � Y `` j � � r \ � s�� k + \:-� � ; i \ j �`,�� i j i � `� ' � , ;' , ; ' �wnr�,� Q � � � i ``j � ..f ----- � -;� -� ..s...._,...._..__.__...--• �, �. i � � , 1 'i i � l �� _—_ �. � t 1 This Plan Must Be Maintained And Accessible On The Construction Site 4 � ! � _.._ _.._.__. -�--�--�-�—•»t , ,, . . . . .. .. ----_._ - - ---- . . _.. _. . ..__._._ . . _..__.. . _,__. �.. __ .. .____. . . ._._. ,..__._ .___ . ..._.. �. �'�. ��'-l)P CC)iY`a��T. `tNl��''�`v l)r�f�_Y '_ ' ' S ��iE !N AFd Af'PRC��IED h4ANfV�R ' �;.�?.�E Al,.:l. f�EFt1SE �^l�,�,.K�,�Y i � � �f 1 � � � ., .� _ _ _ _ -- � - -� � � ��.t �, _ _ � 1 � , � � � �.' � �' c_� i ' I f � t�: �', �; i '• . . ... _ . . �:,. _ . �;; . 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City of Fridley 26 9 51 AT THE TOP OF THE TWINS g � I L D I N G P E R M I T r � � NO. � �` COMMUNITY DEVELOPMENT DIV. � y � PFOTECTIVE INSPECTION SEC. r , , $�-{- � � /"'1 � CITY HALL FRIDLE� 55432 NUMBER REV DATE PAGE Of APPROVED BV �""'�"� �'' 612-571-3450 910-F15 7/31/98 � / J08 AODRESS 7571 Bri adoon P1 NE 1 LEGAL ��T NO. BIOCK TRACT OR ADDITION SEE ATTACHED DESCR. 11 1 Blomber Estates SHEET 2 PROPERTV OWNER MAIL ADDRESS ZIP PHONE Bruce & Ann Fredrickson - 3 CONTRACTOF MAIL AODRESS Z�P PHONE UCENSE NO. Curtis L. Krabbenhoft - 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZtP PMONE LICENSE NO. 20012546 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO 6 USE OF BUILDING Residential 7 CI.ASS OF WORK ❑ NEW ❑ ADDITION O ALTERATION �1 REPAIR ❑ MOVE O REMOVE 8 DESCRIBE WORK Reroof house and ara e(27 S) Tear-off 9 CHANGE OF USE FROM TO STIPULATIONS Underlayment must comply with State Building Code. TYPE OF CONST. OCCUPANCY GHOUP OCCUPANCV LOAD SEPARATE PEFiMITS ARE FEQUtRED FOA ELECTRICAL, PLUMBING, HEATING, VENTILATING OR AIR CQNOITtONING. THIS PERMIT BECOMES NULL AND VOID If WORK Ofi CONSTRUCTION ZONING SO. FT. CU. FT. AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDEO OR ABANDONEO FOR A PEF;IOD Of 120 OAVS 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 ANO CORRECT. ALL PROVISIONS OF LAWS VALUATION SURTAX AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIEO WITH WHETHEF SPECIFIEO HEREIN OR NOT. THE GRANTING Of A PERMIT 2,2 ], 12 DOES NOT PRESUME TO GIVE AUTHOfiITV TO VIOLATE OR CANCEL TH� pEFM1T FEE SAC CHARGE PqOVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- STRU OR THE PERFORM NCE F O TRU T N. F� re C PLAN CHECKFEE TOT FEE �' � r-. � � , p •' � SIGNATUREOF T ACTOAOAAUTHORIZE GE r � E� EN ROP ALIDA THIS IS F PERMIT i SiGNATUAE OF OWNEAUF OWNER BU4DER1 iDATEi . ��` - iNSP DiTE '' NEW ADDN ALTER [l [] [l CITY OF FRIDLEY SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION ConstructionAddress: �/,s Legal Description: Owner Name & Address: Contract Address: Effective 1/1/98 �\ � n(�Q � 0- �� Tel. # % 8�(�i " � ?� 2 ENSE# �d-p /'� .Sy� Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIP'TION OF IlVIPROVEMENT LIVING AREA: Length Width Height GARAGE �AREA: - Length Width Height DECK AREA: Length Width Hgt/Ground - - -. , - OTHER: • ,x% �l :_.� `i_ = / �C i � �C ' / `'. f Tel. # 7 S J � _S /,9_ Sq. Ft. Sq. Ft. Sq. Ft. Construction Type: Estimated Cost: $, 1z �"' ,° a �� S % (Fee Schedule on Back) Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x$ _$ � ,� ��...,._ . DATE: 4� ? �APPLICANT: .G%J ` _�c..�� Tel. # •7S�d�S%�- Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control �_ ))\ - � �L/ /-� $ <�. �J� . $ �. i:�- $ $ :� c_��C� $ $ Park Fee $ Sewer Main Charge $ TOTAL STIPULATIONS: $ � .�.1� CTfY USE ONLY Fee Schedule on Reverse Side .001 of Permit Valuation (1/lOth%) $.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 [ J Not Necessary [] r � , . CITY OF FRIDLEY INSPECTION DIVi: 6431 University Ave NE Fridley, MN 55432 763-572•3604 RATE SCHEDULE Residential Furnace Shell and Duct Work, Burner - Also Replacement Furnace (Side Vent • Fill Out Back) Gas Piping (Needed with new furna�, but not replacement) ,.�1/� � Gas Range �( '" l Gas Dryer *Air Conditioning - All Sizes All Others/Repairs & Alterations (LIST ON BACK) 1% of Value of Appliance or Work Commercial/Industrial 1.25°Jo of Value of Appliance or Work • :7_i �[�7`► I_\►1 �7s\ 1 Zi�il► I�7i �TiT.I1 �Te�'� cs��? Rate $ 30.00 $ 10.00 $ 10.00 $ 10.00 $ 25.00 State Surcharge TOTAL FEE MINIMUM FEE FOR ANY HEATING/COOLING/VENTILATION REFRIGERATION/AIR CONDITIONING PERMIT IS $25.00 PLUS THE $.50 STATE SURCHARGE REINSPECTION FEE $47.00/Hr '*Air Conditioners can not be placed in a side yard without � written permission from adjoining property owner. JOB AI OWNE Effective On January 1, 2001 TOTAL �/ BUiLDING USED AS /it.l�l�t�-- � ESTIMATED COSTnL J�� PERMIT NO.�_3� $ $� $ $ $ $ $ .50 � ��- �� DESCRIPTION OF FURNACE AND OR BURNER No. of Heating Units Circle One (Steam) (Hot Water) (Warm Air) Trade Name Size No. BTU HP EDR Fuel Total Connected Load Burner Trade Name Size No. BTU HP EDR The undersigned hereby makes application for a permit for the work herein specified agreeing to do all work in strict accordance with the City Codes an rulings of the Building Division, and hereby declares that all the facts and representations stated in this application are tru� and correCt.r / � i9 DATE 6 v � HEATIN Signed TEL # � �� '"'" �..�'�i �1�0 Approved By Rough•In Date Final Date 1��'j "�1 BACK SIDE MUST BE FILLED IN ON VENT SIZE, VENT CONNECTORS AND COMBUSTI AIR VERIFICATION � � ' � SuBJECT .. � � �� c;ty of Fridley AT THE TOP OF THE TWINS g � M L D I N G P E R M I T r � . � � � ' COMMUNITY DEVELOP�ENT DIV. � LV�� . . r � � PqOTECTIVE INSPECTION SEC. � � � � �"'1 � CITY MALL FRIOIE� 55132 NUMBER pEv �'""�"� �'' 612-571-3450 9�0-F15 JOB ADDRESS 7571 Bri adoon P1ace NE � t LEGAL �OT NO. BIOCK TRACT OR ADOITION oescR. 11 1 Blomber Estates 2 PROPERTV OWNER MAIL AODRE,SS Bruce Frederickson, 7571 Bri�adoon P1, Fridley 3 CONTRACTOF MAILADORESS S.J. Anderson Construction, 19 E Pleasant Lake 1 ARCHITECT OR DESIGNER MAI� AODRESS 5 ENGINEER 6 USE Of BUILDING Dwelling 7 CLASS OF WORK 8 DESCRIBE WORK Re-side 9 CHANGE OF USE FROM MAII ADOFESS OATE 11/15/O1 MN 55432 ZIP r' NEW O ADDITION ❑ ALTERATION � REPAIR ro v�GE O: � � 32325 ECEIPT NO. SEE ATTACMED SNEET �—iov—cic� PHONE LICENSE NO 55127 612-g65-� PHONE LICENSE Na IICENSE NO O MOVE • O REMOVE STIPULATIONS Per Section 1402, 1997 Uniform Building Code requires that a weather-resistive barrier be placed over exterior sheathing to protect the interior wall covering. Exceptions for this provision would be if sheathing is an approved weather-proof panel or when the siding is an approved weather barrier. Vinyl siding is not a weather-proof covering unless the manufacturer states this in the application guidelines. Call for inspection of wrap before covering. TYPE OF CONST. SEPARATE PERMITS ARE REOUIRED FOR ELECTRICAL, PLUMBING. NEATING, VENTILATING OR AIR CONOITIONING. TMIS PERMIT BECOMES NULL AND VOID If WORK OF CONS7RUCTION 20NING AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS. OR IF CONSTRUCTION OR WORK IS SUSPENOEO OR ABANDONEO FOfi A PER100 OF 120 OAVS A7 " ANV TIME AFTER WORK IS COMMENCEO. ' NO DWIG. UNITS I HEREBV CERTIFV THAT I MAVE READ ANO EXAMINEO THIS APPIICATION ANO KNOW TME SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS VAlUA710N AND ORDINANCES GOVERNING THIS TVPE OF WOpK WILL BE CpMPUEO WITM WHETMEq SPECIFIED HEREIN Ofi NOT THE GRANIING OF A PERMIT �7�SOO.00 OOES NOT PRESUME TO GIVE AUT IT T VIOLATE OR CANCEL THE pERM1T fEE PROVISIONS OF NY OTHER ST OR' A� LAW REGUTATING CON- STRUCTION OR ME PERFORM CE f NSTRUCTION $153.ZS PLAN CHECK fEE SO. f T STALIS — Lice 5.00 • �GNGiUQE OF CON"AAC10A OA AU �OA�LEO eGEtiT �i ATE� ME PpO A VA�I w�oea� �a�re� �� IOAD CU OfFSTREET PARKING IGARAGES SURTAX $3.75 SAC CNARGE Fi SC $7.50 TOT F�E �J,fi9 . 50 � / � �J qntE ✓ a NEVN [ ] ADDN [] ALTER [ J Construction Address: Legal Description: Owner Name & Address: Effective 1/1/2001 . CITY OF FRIDLEY (763) 572-3604 Bidg Insp SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION Tel. # ��6 -a �a� Contractor: � r MN UCENSE # Address: � i (�.�o Tel. # 1�� Ud ��y5 Vhu 3Sia`7 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 Width Height Sq. Ft. GARAGE AREA: DECK AREA Length Width Height Sq. Ft. Length Width Hgt/Ground Sq. Ft. OTHER: ` G� Construction Type: �--" / Estimated Cost: $� � � � Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x$ _$ DATE: — APPLICANT: ��gi�"`�� '��afi/ Tel. #��6�6� , �5 CITY USE ONLY - Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee Sewer Main Charge TOTAL STIPULATIONS: Call (763) 572-3604 for Permit Fees if mailing in application $� F, ,�S- Fee Schedule on Reverse Side $ �,�Q .001 of Permit Valuation (1/10th%) $ �i .`1 � $.50/$1,000 Valuation $ $1150 per SAC Unit $ � �.. aC� $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 [ ] � � r� �