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AF - 43510sue�ecr PER City of Fridley a-+ 7 4 0 5� AT THE TOP OP THE TWINS g U I L D I N� P E R M I T r ' REC � � • � • COMMUNITY DEVELOPMENT DIV. �� 9� y ' j L ""' , r � � PROTECTIVE INSPECTION SEC. / / � � �� /"�1 � CITY HALL FRIDLEV 55432 NUMBER REV. DATE � � PAGE OF APPROVED BV �----'�'� ,'� 612-571-3450 910-F15 2/3/84 % � JOB ADDRESS 7581 Brigadoon Place N. E. 1 LEGAL LOT NO. BIOCK TRACT OR ADDITION SEE ATTACHED DESCR. 1,� 1 Blomberg Estates SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Garjac Inc. 481 - 206th Avenue N.E., Cedar, NII�T 434--7096 3 CONTRACTOR MAIL ADDRESS ZIP PHONE UCENSE NO. Same 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAIL ADDRESS Z�P PHONE LICENSE NO. 6 USE OF BUILDING Residential 7 CLASS OF WORK O NEW ❑ ADDITION ❑ ALTERATFON � REPAIR ❑ MOVE ❑ REMOVE X 8 �ESCRIBE WORK Construct a 6Q� x 47' Dwellin and a 24' x 24' Gara e �EPERATE PERMITS REQUIRED FOR` 1lVfRIIV(� 9 CHANGEQFUSEFROM .H�ATING, TPLUMBING ANQ SIGNS. STIPULATIONS provide a hard surface driveway. Provide sod in the front and side yards, Provide City with copy of veri�ying survey. SEWER LOCATION: (Approx. 6� Deep In Street) 100' S. of M.H. xnv. 893.94 WYE ELEV: 894.34 TOP OF FOOTING: 897.34 Minimum WATER LOCATION; Approx. 10' South of Sewer Service - ��$�� !! _r C'IIY O� FRIW.tY OOES NOT Gl)AitANTEE T►�} :� .�+^a.t.� p� UtILlTY IOUTiONS AND EIEVAT�V�'� 8efore dig�ing caU local utifiti�s ;,-,..;., ��•, fC�P, INFORMAi10N PURPO��S ONLY �Np TELEPHONE - ELECiRIC - G� �� , , �<. ;,sir��; r sHOUw vc�Y Tr�e u�for�+�7s:;.:� ��C°-��JiRC�.7 �"Y' , :,� :t.;: �-;,�. A.: •, TYPE OF CONST. OCCUPANCY GROUP OCCUPANGY LOAD SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, VENTILATING OR AIR CONDITIONING. T/1WOOC3. FY'dIl1E 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 QR W�RK IS SUSPENDED OR ABANDONED FOR A PERI00 OF 120 DAYS AT 1299+732 ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS OFFSTREET PARKING I HEREBV CERTIFY THAT I HAVE READ AND EXAMINEO 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 COMPLIED 69 930 $34.9% WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT +� � DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE pERMITFEE SACCHARGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- STRUCTIO OR THE PERFORMANCE corvsraucr�oN. $343. OO $425. OO PLAN CHECK FEE TOTAL FEE � C ,� �� $85.75 $888.72 sic uReoFC N�RACTOROR T fiIZEDAGEN7 �onrEi WHEN PROPERI/Y�VALIDATED THIS IS VOUR PERMIT � �"�_' � ' i (l �l l � I( �'�C � � SiGNATUREOFOWNEAIIFOWNEFBUILDERi IDATEI BIOG �NSP DPTE C1TY Of fItIOLCY . Effective �ug. 1, 1981 /+I'PLIC/1Tla� FO(t �CSlOI'i�Tl/',� I3UlLD1i�G P�('uS1TS (t�ch�. A1Lerations, Additions. or Rcpairs) . Oti�I�ER: t3UILQER: ��Q/� ��— � j/�'L no�r.ESS: noazcss: �/ 8 � � � � ��,,�'L� TE L R0: TEL IrO: �/ 3�-/ r' °�7 �� Constfuction Lotation / / /% STJtF�T NO:'�� / STitEF.T: X-*�-�'�.- I,p�; % � BLQC]C: � ADDITIO:i: Corncr Lot: Insidc L�ts � _ Sctback: __ S deyards: 1�p, licant attach. to tl�is form tsco Ceztificates of S1�rvcy of lot and p_oposed building location dra:+n on ceztificates to scale. OESCRIPTIO��' OF CO„STFUCTIOt� ��, Fzont: �� Depth: �% I Height: � � Squarc 2eet: '2 _ CUbic Fcet: �'J ��G�1� �ront: _�� DePth: Height: Square Fe�t: Nbic Teet: , — t�4 G'3d '.��pe of Co:.�truction: ' J^c%}ilif Estimated Cost: _S Rb Be Oor.:plcted: _ �i'`/ � , 1/� �v J► t. A �lt. B Propos�d Drivc��ay Kidth If New Opening Is Desired: S s — , S�� Pi.VF .: SI " OF S}SE�T � 9he unJersioncd hereb.� ma1;c� nPpliczticn for � pernit fcz the �.vrk herein specificd, ngreein3 to cb ,all �:ork ii� strict accordance with the Ci�y of I'ridle�• Ordi»ances t�id rulin�� of the Dei�.�rtme��i of Dui2dings, nd h�eb} declazes h�it all the fact� and zepre�c� t,.itiens stated :.n this applicatic�sj aze true and coz�ct. D: T�: �..- �C) ' ��l SIQtI►'IVSy: �tii�ulations : ��.,�,.�- 3�3' o� p� C� S�' ,�� r-�' 3 � 9'7 s�. ��,� �g�,�t -r , , - � � , �-�� . — 11 . _ �,. The Chief Building Olficial ahall, Defore issuing permita for the erection of any Duilding or structure� or for any addition to any ezi�ting building or atructure or for any alteratioa or repaira to aay exiating building or structure. upon application therefore� reQuire the paymeat Dy tDe applicant tor auch pe�it of tee� to the amount Derein Delow set forth and in tbe aanner 6erein provided to-�rit: Sotal 1g uation �1.00 to �500.00 =SOt to =2,000.00 =2�001 Lo =25�000 ,�ee� =10.00 (Ninimum =15•00) =10.aa ror tbe first =500 plua =1.50 for each additional �1�0 or traction thereof� to snd iacluding =2�000 :32•50 tor the first �2,0�0 pl us =6.00 tor each additional =1,OG0 or fraction tbereof� to and including ;25�000 =25�001 to ;50,000 �1T0.50 for the tirat =25 � 000 plua =4.50 for each additional =1.000 or traetion thereof, to and Sacluding =50�000 i50.001 to =t00�000 �283.00 for the first =50�000 plu� =3.00 for each additional =1,000 or fraetion thereof, to and including =100�000 =100�001 and up =433.00 for the fir�t =1�0,000 plus �2•50 for each additional =1�000 or . fraetion tbereof Plan Cbeck: 25 percent of Duilding permit fee. Drivexa� Dapressioa Escrov: Concrete curb atreets only. Alternate •A": Removal and replacement of curb and gutter only - Driveway width plus 6 feet times �13•50 ♦lternate "B": Removal aad replacement of curD and gutter and install a 3 tooL wide approach vitb 6 incb deptb - Driverray width plus 6 feet times =15•75 .. • . �._ Pe�ita tor construction vill be iasued a minimum of 24 houra trom the time �f application to allrn+ for proper review of Lhe propo�ed atructure and of tbe constructioA aite. ♦ Certificate of Survey of tbe lot, ahowing tbe locatioa of the toundation oace it ba� been constructcd rill be required �eforg Droceed na rith tbe framiag. �b � Z�t �� 4� � i i z-Z x 8. (� _►o, (�6�c 4' ,9� 2�5 Iti�,z�- 1� : 1��'4 � 39, 6S -��,s�s� � � Sn,or„r- --z�3,� � ,�Y�� lC —8 : 7 3 2 N IO�G$ �� 7,xi�,�. ____---- �.o� 3 �° " y cy',�3� � � , o t1 � � G5 ,�n . . ."'r– Surve�Vo�'s Certificdte COMSTOCK & DAVIS, INC. Consulting Engiaea� and Land Surveyoa 1446 County Road J, Mir�neapolis, MN 55432, (612) 7'84-9346 SUP.V EY FOR : B & G Investments 961 Hillwind Road Fridley, Minnesota 55432 y;.; 1..►tt' l�r fktC�EY DO�S NOT GliAw�v�ilt�>.: �•: ,,.' :.?�-a,CY OF UTtIiTY 1CKATIONi MID El�VXTtt: �;, ,� l±.y� 1�� fOR MlF�KMATION PURPOSES O��lr t��, ' y''' ''" ��IN'3 4` SMC)t;LU VERIFY THE INFC': ^,, �� zs' i � J Q a 3 � �o �� .•-� �. w 1 � 5 89° 01' 09" ,E _, a �% i — �$ VYARHtNC Before digging ca11 local utilities Y�L�PNC�NE - ELECrRlC • fAS Ete. c��+.J�� Y �� « :� , , ;. �, r� - � , � • , :.,k4 Y ,�'i 7 iir'. H .'�.;. r ' � <, . , s y g� tY="'� '°'7" � , �;4.,.> , d; �fr'%.}?{K..aa'"'�'.F� . _^� , , "' � < � h �. , ,:.�,�tt��'�'�' ' ,�'�,.'1�'� � r��c '� �, L� ; ,•' ��''�.. �- �h Yy��./��+'•4C�S�'i�.��'�Y:� ��.a.;, Y y _. � 9 � %:1 A� � '/ . . . � -- � �, sa' _ r � �� 3 3 ` W { � G ` ' 1 � � o♦ � y ♦ io �= ': � ia � .� ,. ' ' %;- o � � 3�- n " „',, h � ;. d h u �";' s � �� h � O I -� o N + - �' d O < < p�p � �Q ._. _ ,r.. _ d � � n S 89° Ol' 09" ��„� � f37.SS' . I zs a „ . , . ;. ., � DESCRIPTION � Lot 10, Block 1, Blomberg Estates, City of Fridley, Anoka County, Minnesota. SCAI,E: 1" = 40 O Denotes 1/2" diae+eter iron gipe monument set and capped No. 10832. • Denotes four_d iron e►onumen[ . I hereby certify that this survey, plan or report wu prepared by me or under my direct supervision and that I am a duly Register�d Land Survcyor under the laws of the State of Minnesota. � F� �'Y��.JLy 10832 t:ov. 17, 1980 427R � 9 ` Reg. Na 'I3�te ' job No. Boolc Na ` / ^ 2� � �. �- � ,�.`'Q� , (�. ,�tc �' . -�iiv l°e",�' +�~ � �� . � ��- ��• �r' �'--,� ,v�, 5��.. � �'� /�o � �y� ��- gq�,�� '� �-�,��- � �% � ��f� ��, 1�-� �� :�./� ' a�,� � �.� �� , � � =�� ,,,,�� / �r � �*� �� V J"`� � lw � � � � � � M �� .`f � c� � . CITY OF FRIDLEY APP�ICATION FOR PWMBING AND GAS FITTING PERMIT �, m q{� u • K w Water y ai .� � m N a�t A q o q qg N a w a Heater N ar �N p � q .0 C G 3 u u� O� a u � u�i ,-o, � ar�y7 �ap � a u 0 .�c g '° o� a� 3� � � O s lec t�/l U � W 10 tA 3 Q W Vl G. U f 1 t I lst f � � 2nd 3rd a rh (R) e Future CoMection Opening Connected with Sewer (*) � New Fixture, Old Opening Water RATE SCHEDULE PLUMBING FIXTURE RATES: New Pix tures Future Pixtuzea Old Opaniag, New Fixture Beer Dispenaer Blow Off Baain Catch Basin Rain Water Leader Hydraulic Valve Sump or Receivinq Tank Watar Treatinq 1lpplianca Hot water Hester Gae Ranqe Gas Dryer N0. � � � RATE g 5. 00 $ 3.50 S 1.50 S 4.00 g 5. 00 g 5.00 S 5.00 S 5.00 S 5.00. $ 7.00 g 5,00 $ 10.00 $ 10. 00 ALL OTHERS AND/OR REPAIRS AND ALTERATIONS ls of Value of Pi:ture or Appliance State Surcharqe ReinspeCtion Pee $ iS15.00) TOTAL FEE TOTAL $ -�..j !?!� s /O.,S° S S S S S S S S s vr: v v S S S S .50 s 5�� o � 1 Effective Aug. 1, 1981 Job Address � �+ � � t Ca� (,� O� M � �, � Department of Buildinqs City of Fridley Tel. 11571-3450 The undersig�ed hereby makes application for a permit for the work herein specified agreeing to do all work in strict accordar►ce wlth the City Codes and rulinqa of the Department of Buildings, and hereby declares thaC all the facts artd repreaentationa atated in this application are true and corract FsidleY. M�. � �J . 19� owr�eR �C� 2 � /} c K2ND OF BUILDING �Ei �9 ^� f � USED AS '1'C. � S TO BE COMPLETED ABOUT �=C�v_Y Y ESTIMATED COST � f Q � OLD - NEW BUILDING PERMZT NO. PERMIT NO. Q��-�� Company f i.a1� e Siqned By �-� Tei. r�. � Ff�' -(/'� ROUGH INSP. Date FINAL INSP. .- L "O Date APPROVAL FOR PERMIT �� MINIHUM FEE FOR ANY PLUMBING PERMIT IS $10.00 PLUS THE S.SQ STATE SURCHARGE CITY OF FRIDLEY INSPECTION DIV. 6431 University Ave NE Fridiey, MN 55432 572-3604 RATE SCHEDULE Residential Effective On January 1, 1997 APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION, ' �� a' �� REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES ��'J�� — JOB ADDRESS � � FS� � �/'l t Cy � �� L, � � � Furnace Sheli and Duct Work, 8urner – Also Repiacement Furnace (Side Vent – Fill Out Back) Gas Piping (Needed with new furnace) Gas Range Gas Dryer *Air Conditioning – Atl Sizes All Others/Repairs & Afterations (LIST ON BACI� 1% of Value of Appiiance or Work Commerciai/I ndustrial 1.25% of Value of Appliance or Work Rate $ 30.00 $ 10,00 $10.00 $ 10.00 $ 25.00 State Surcharge TOTAL FEE The undersigned fiereby makes application for a permit forthe work herein TOTAL specified agreeing to do all work 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 correct. ��/ � c_ '�` ,1997 $ $ $ $ $ $ .50 r� �a,� MfNIMUM �EE FOR ANY HEAiiNG/COOLINGNENTILA710N REFRIGERATION/AIR CONDITIONING PERMIT IS $25.00 PLUS THE $.50 SfiATE SURCHARGE REINSPECTION FEE $42.00/Hr *Air Conditioners can not be placed in a side yard without written permission from adjoining property owner. OWNER��t � � LP �t � � �i �? �t �v �►� �$ `�' � � g � -- � BUILDING USED AS �C=Iti,� �I�,� ESTIMATED COST � �'(J� °'�v--- PERMIT N0. / ��%S� DESCRIPTION OF FURNACE AND OR BURNER No. of Heating U its Circle One (Steam) (Hot Water) rm ir Trade Name Size Na � '�(�� BTU_�'� ��_ HP EDR Fuei ��e�- Total Connected Load . Burner Trade Name Size No. BTU HP EDR . HEATING COMPANY_��',�L� �G2�� lY-,�-C f Signed �y` ( °� � � Tel No. V��-�7 �(o/" Approved By Rough=ln Date Fina) Date FILL OUT BACK SIDE F R STACK VERIFICATION ON REPLACEMENT FURNACE sue�ecT PERMIT NO. City of Fridley 25 � g 4 AT THE TOP OF TME TWINS gU I L D I N G P E R M I T f ; � RECEIPT NO. � • COMMUNITY DEVELOPMENT DIV. � � "" , r � v � PROTECTIVE INSPECT�ON SEC. ��53 � � i � � � /"'1 � CITV HALL FRIDLEr 55�32 NUMBER REV DATE PAGE OF APPROVED BY �----�" �.' 612-571-3450 9�0-Ft5 2/4/98 / / JOB ADDRESS 7581 Brigadoon Place NE t LEGAL �OT NO. BLOCK TFiACT OR ADDITION SEE ATTACHED DESCR. IO 1 Blomberg Estates SHEET 2 PROPERTY OWNER MAIL ADDRESS 21P PHONE A1/Jolene Devries-Johnson 7581 Brigadoon Place NE 784-1989 3 CONTRACTOR MAIL ADDRESS ZIP PHONE UCENSE NO Renewal By Andersen 350 73 Ave NE, Fridley, MN 55432 502-4777 20040630 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PMONE LICENSE NO. 5 ENGINEER MAIL ADDFESS ZIP PHONE IICENSE NO. 6 USE OF BUILDING Residential 7 CLASS OF WORK � NEW ❑ ADDITION ❑ ALTEAATION L� REPAIR O MOVE ❑ REMOVE 8 DESCRIBE WORK Replace 15 windows in home; existing framed openings 9 CHANGEOFUSEfROM TO STIPULATIONS Install smoke detectors to meet the State Building Code. TYPE OF CONST. OCCUPANCY GROUP OCCUPANCV LOAD SEPARATE PERMITS ARE FEOUIREO FOR EIECTRICAL, PLUMBING, HEATING, VENTILATING OR AIR CONDITIONING. THIS PERMIT BECOMES NULL AND VOIO IF WORK Oii CONSTRUCTION ZpNING SO. FT. CU. fT. AUTHORIZED IS NOT COMMENCED WITHIN 60 OAYS, Ofi IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERI00 OF 120 DAYS AT ANY TIME AFTER WOHK IS COMMENCED. NO. DWLG. UNITS OFfSTREET PARKING I HEFiEBV CERTIFV THAT I HAVE READ AND EXAMINEO THIS APPLICATION I. 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 MEREIN OR NOT. 7HE GRANTING Of A PERMIT � 13, 667 �6. H3 DOES NOT PRESUME TO GIVE AUTHORITV TO VIOLATE OR CANCEI 7HE pERM1T FEE SAC CHARGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGUTATING CON- $212.25 Fire SC �I.3.6% STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. PLAN CHECK FEE TpTAL FEE License SC $5.00 $237.75 SIGNATUAEOFCON7RACiOAOAAUTHORi2EDAGENT IDATEi WHEN PROPERLV UDATED 7HiS iS vOU PEFiM1T/j rc ♦ " !� SiGNATUREOFOWNEA��GOWNERBU�LDER� �DATEI B G iNSP �1a1E NEW ADDN ALTER [l [l � CITY OF FRIDLEY SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION ConstructionAddress: "15� � (3Q..16ADOpc-� �.�C� (�( E ' Legal Description: Effective 1/1/97 �� ,��3 Owner Name & Address: %L,�Q�,�,"rj� �E�� y�y Tel. # "� �j4 • 1qQ� �'► • Contractor: �� '� `�'�`� �E � Q.�I � (�� Arc �r.� MN LICENSE # �,p(7� , Address:3'Sjj"j� ��d,(� r(E. �Zlt�ll�,1'1► fYlnl 5'�.'�-r'Z,,, Tel. #$0'2-�'�'�—1 1 Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. LIVING AREA: GARAGE AREA: DECK AREA: OTHER: Construction Type: Length Length Length DESCRIPTION OF IlVIPROVEMENT Width Height Sq. Ft. Width Height Sq. Ft. Width Hgt/Ground Sq. Ft. '��S t 5 W 1 r�1 QCl r( � I r� 1-b�►'►C W►T'1�- GU t►'1 C- 1��1 W�c�tPc�rrS ��c �cxS ► sTlN4- �'2P�n� OC'��I� rvC�S Driveway C`urb Cut Width Needed: DATE: 1 •3O �i.� Permit Fee Fire Surcharge ' S;ate Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee Sewer Main Charge TOT'AL S'CIPULnTiONS: � Z �� $ _� $ a $ $ �, � $ $ $ $ $ � � �� - c�J Estimated Cost: $ ('� � �� '— (�'ee Schedule on Back) Ft. + 6 Ft = Ft �x $ _ $ Tel. # ��r -� �"i , CITY USE ONLY � �1�� J Fee Schedule on Reverse Side .001 of Permit Valuation (1/lOth%) ,�� 1�� 3��'' � $.50/$1,000 Valuation $950 per SAC Unit $5.00 (State Licensed Residential Contractors) Alt. "A" or Alt. "B" Above $450.00 Conservation Plan Review Fee Deterrnined by Engineering Agreement Necessary [ J Not Necessary [] G� � �� '� SUBJECT I . City of Fridley 2 � � 2 � AT THE TOP OF THE TWINS g � I L D I N CC P E R M I T r � � � � • � ; y__�____ COMMUNITY DEVEIOPMENT DIV. �� /�� r � � PROTECTIVE INSPECTION SEC. �� '�'1 � CITY HAIL FRIDIEY 55432 NUMBfR REV D�TE PAGE OF AGVROYfD BY �""'�"� �'' 612-571-3450 9i0-Ft5 8/6/98 / / J08 AODRESS 7581 Bri adoon P1 NE t LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 1� 1 Blomber Estates SHEET 2 PFOPERTY OWNER MAIL ADDRESS ZIP PHONE Jolene DeVries-Johnson 7581 Bri adoon Pl 784-1989 3 CONTRACTOR MAIL ADDRESS ZIP PHONE UCENSE NO. Owner d ARCHITECT OR DESIGNER MAIL AO�RESS ZIP PHONE LICENSE NO. 5 ENGINEER MAII. ADDRESS ZIP PHONE UCENSE NO 6 USE OF BUILOING Residential 7 CLASS Of WORK � REPAIR O MOVE O REMOVE ❑ NEW ❑ ADDITION O ALfERAf10N 8 DESCRIBE WORK Reroof house and ara e 26 S Tear-off 9 CHANGE OF USE FROM TO STiPULATIONS Underlayment must comply with Stiate Building Code. TYPEOFCONST. OCCUPANCYGROUP OCCUPANCVLOAO SEPARATE PERMITS ARE fiEOUIRED FOfi 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 WITNIN 60 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED fOR A PERIOD Of 120 DAYS AT ANY TIME AfTEF WORK IS COMMENCED. NO. DWLG. UNITS OFFSTREET PANKING I HEREBY CERTIFV THAT I HAVE READ AND EXAMINED THIS APPLICATION STAI.LS GAHAGES AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF IAWS VALUAT101V SURTAI( AND ORDINANCES GOVERNING THIS TVPE OF WOFK WI�L 8E COMPLIED WITH WHETHER SPECIFIED HEfiEIN OR NOT. THE GRANTING OF A pERMlT �ZZC)H �L.OH DOES NOT PRESUME TO GIVE AUTHORITV TO VIOLATE OR CANCEL THE pERM1T FEE SAC CHARGE PROVISIONS OF ANY OTHER STATE OR IOCA� LAW REGUTAT{NG CON- STRUCTION OF THE PERFORMANCE OF CONSTRUCTION. �%�}. ].rj Fire SC �Z. 16 PLAN CHECK FEE TOTAL FEE $77.99 IGNATUAEOF ON�AACT0:70 THORiZEDAGENT �onTE� � WHEN PROPERLV LIDATEO THIS IS YOUfi PERMtT N,.�� _ �lb � GYO. �'.7—� . iG ATUREOFOWNEA��fOWN BU� DERr iDATE� BLO iNSP ��FTE NEW ADDN ALTER [l [l [� CITY OF FRIDLEY SINGLE FANIILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION Effective 1/1/98 � � D ,7,� � � �' ConstructionAddress: `�� g� �v� � g �c, c�c�c„-� � \ (V � �`r� � �\e� YY1 Jl� SSLI'�� Legal Description: • J c I[4� c,� i-c w� — Owner Name & Address: �o�c��V'rieS., ��n�,.� Tel. # Contractor: ��m2 MN LICENSE # Address: � 2rn � Tel. # ��rn e- Attach to this application, a Certificate of Survey of the � lot, with the proposed construction drawn on it to scale. LIVING AREA: GARAGE AREA: DECK AREA: OTHER: Construction Type: Length . Length • Length Driveway Curb Cut Width Needed DESCRIPTION OF IMPROVEMENT Width Height Sq. Ft. Width Height Sq. Ft. Width _ Hgt/Ground Sq. Ft. Estimated Cost: $ �� e � "tcav� �/�� (Fee Schedule on Back) Ft. + 6 Ft = Ft x$ _$• DATE: � � ��, APPLICANT: ��1� Tel. # �g`� " l`�$ �]' CITY USE Y Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee Sewer Main Charge TOTAL STIPULATIONS: $ �7�'7�a � �. r �, $ �. ' �' � $ $ $ $ $ $ _ $ �� Fee Schedule on Reverse Side .001 of Permit Valuation (1J10th%) $.54/$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 Inspecti�ns 763-572-3604 763-502-4977 FAX DATE j' ° Z2, ^ SITE ADDRESS ?S�:iSI THIS APPLICANT [S: BUILDING RESIDENTIAL APPLICATION CITY OF FRIDLEY EFFECTIVE 1-I-09 YOUR E-MAIL ADDRESS OWNER �ICONTRACTOR Permit No. Received By:_ Date Rec'd: � � PROPERTY OWNER/ NAt�tE:_ s,l, t!^/'.` �� -� Jr r" TENANT p]�DRESS: 7j"�J � n�� ,a d�.. 1 7 J CITY '�r� � I r�u STATE �!'✓ ZIP_ �'� PHONE: I CONTRACTOR SUBMIT A COPY OF YOUR STATE LICENSE ' AND CERTIFICATE OF INSURANCE PROPERTY TYPE PERMIT TYPE TYPE OF WORK: DESCRIBE WORK BEMG ROOFING NUMBER OF SQUARES _ GARAGES PROPOSED SIZE: PROPOSED HEIGHT: SIDING O Vinyl ❑ Aluminum ❑ Other STATE LICENSE # �(i S�/� j5- z'�� EXP DATE '3 � 3% ';7D1'!7 ADDRESS: i� ��%�i,11" �� d�''� S/ CITY S�L�✓ lL STATE V�'�'LIP J7c'� FS`� PHONE �i l Z ^ �S'% �i �— �j �-� FAX .� CC) --, S (v 2 � Z 3 J �L'� INGLE FAMILY/NEW CONSTRUCTION TWO FAMILY/NEW CONSTRUCTION BASEMENT FINISH DECK ❑ NEW HOME CONSTRUCTION O MAINTENANCE/REPAIR ❑ ROOF ❑ SIDING ❑ SWIMMING POOL SIZE STORIES ❑ WINDOWS O DRA1N TILE ❑ OTHER ❑ ADDITION ❑ REMODELING �,,, i,,,,�y< <,�, � ❑ HOUSE 013LY ❑ HOUSE & GARAGE ❑ ATTACHED GARAGE O DETACHED GARAGE HEIGHT FT BASEMENT REMODELING SUBMIT: l. Existing Fioor Plan 2. Proposed floor plan 3. List of structural members to be used FOR NEW CONSTRUCTION [NCLUDING DECKS, ❑Soffit ADDITIONS. & PORCHES SUBMIT: ❑ Trim 1. Site Plan/Survey showing the existing strucWres ❑ Fascia and proposed project. 2. Two sets of construction plans WINDOWS 3. Energy Calculations IN EXISTING OPENINGS OYes ONo LOCATION OF WINDOWS OR FOR I3EW OPENINGS-DESCRIBE SIZE OF OPENING CHANGES & TYPE OF, WMDOW TO BE INSTALLED NUMBER OF WINDOWS ALL FEES ARE BASED ON VALUATION, INCLUDING THE COST OF LABOR AND MATERIALS: (USING THE 97 U.B.0 FEE SCHEDULE) TOTAL JOB VALUATION $_ _?-� �� '�� OCCUPANCY TYPE Permit Fee Plan Review Fire Surcharge License Surcharge SAC Charge Curb Cut Escrow Erosion Control Park Fee Sewer Main Charge Total Due $ � $ $ $ $ See Back Page for Fee Schedule 65% of Building Permit Fee .001 times the total job valuation .0005 x Permit Valuation Minimum $.50 $5.00 (State Licensed Residential Contractors) $2000 per SAC Unit (Plans to MWCC for determination) ft+6ft= ftx$22=$_ $450 Conservation Plan Review Fee Determined by Engineering Agreement necessary ( ) Non Necessary ( Make checks payable to: Citv of Fridley THIS IS AN APPLICATION FOR A PERMIT-NOT VALID UNTIL PROCESSED Attach 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 C' f Fridley and with the Minnesota Construction Codes; that 1 understand this is not a permit but only an application for a perp�it an, , 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 worl� •vcf� s review and approval of plans. SIGNATURE OF APPL[CANT . � PRMT NAME �r'r,YF/,� �r�/' th DATE -� � 2?^ c>� , �— �� . � �,; � Surveyors Certificute COMSTOCK & DAVIS, INC. Consulting Enginters and Land Sucvryors 1446 County Road J, Minneapolis, MN SS432, (6I2) 7849346 SUP.VEY FOR: B 6 G Investments 961 Hillwind Road Fridley, riinnesota 55432 � �.: ��,� � Y G� tkiG.�Y DOES N4T Gt��wnN7 �:: �� ,,,-•;+c>e,Cy pF uiEL3Tlr IU+CATI4NS AND ElEVRT��:; .� ;� r;}�a�• ►S �QP iN�OKMAtK3N PURP05ES Or��IY f��- �� ,;. �y ,��N.-; �• �+c�►,�o v�RiFr �s�E ti�.Fc;�: �- �: �,., y,, . ... �..' �� 1 � i z�'' � J S 89° 01' 09" � d Q 3 �, fi'_� _ ° � °o �� , � I� O Q. to, �. � o l�j � �',,3�" "Q i` o �.I O i � H • Q � �� pD �� _ S 89° O1' 09" � .,.� � zs ., ^ . . :, �; . � t�ARHtNG Before diggirrg caH local utilities i�ELEPNtJi�E - EtECTRlC - GAS Ete. ��C�'�..l�� Y IA1+�/ ,r �� ? a S. 't ^"� y, ' � r ;'t ��j� . �x xa".<:s � ^- /3 7. �s'd' y� � Y � : w I �9 �. o, O, �I � {�0 �� p h r� � a ° �I � d O � 137.S.S"' . , . � i � ' i y a �,.� .� � ,. � ' . . . � �'r�♦� ' -� �� L4 }. -� . .. .. t Sf 51 � st f `�• ��,�:,�i�• ^'�� . .'i' a �� t+�...v f . .. w. a J �g, � Z� R4. ��'� �� Y -.i va �. �. . i . . ,j� � , . .. . .� .. , .. , - ;- , � � DESCRIPTION Lot 10, Block 1, Blomberg Estates, City of Fridley, Anoka County, Minnesota. SCALE• 1" = 40 . O Aenotes 1/2" diameter iron pipe monument set and capped No. 10832. � Denotes four_d iron c�onument . �`' f I hereby certify that this survey, plan or report was prcpued by me or under my direct gupervision and that I am a duly Registered Land Surveyor under the laws of the State ' `�nncsota. 10�32 Nov. 1T, 1930 427R � Rcg. No. � .Ik►ct " job No. � 9 Boofc Na �- �� ,, f. s�esi n #:35457 , . 9 �� ,��.� �� u��a. ' �<*�`.`��W' *** Take thES �he t ta the Buildin� N�,��ri� � You s�lected a 1 level de�k �it� � Pressure Tre�ted �'raming Ma��rral � �� 6 x 6 Framing Posts ` 5/4" x 6' Ce : ar Qeck Boards . Pour�d �'aot�n s 1�" Tube 4' d�e x' �� m f m o quare r�ve crews �� Stainless Steei Framing Fa�t�r��rs Handrail se�ections. 3�6" Vertical„Handraii fo Joist Railir��g 2 x 2 x 42 Cedar Spin�le�, Be�el�d 1�nd' 4" x 4" x 48° Gedar Chamfere� R ling Posts 2" x 6" Cedar Hantl Rail You may �uy a{l the aterials or any par� at la� ��h ��id Menards carinot guara e that mate�ia�� liste� a�ril r�� yaur for lan compfi�nc� �r�d iiding pe�mii. Th�se pfara� �t� s��c,�e� from �hose pictured �Ne o ot gu�rante� th� conipi��n��;o� p ...-� � � t�v�. F � � � S� t .- : .� �, , : _: `�. �.:a -��. -:. (.,.� . ��. , ,�.. � , �- � ( � � � �� , ` � �� .. I � purc�� r�wr �n�� . � � � � .� : - � , ' }, �f� "�� ,��'�;(�� `��bf t� � . �{�� ►.�� ar; �t..� �,,.� . ±' i � L li '_�f f� _::� x �'. k � ,; . , � � �'_":F .r'. N'�."';'=""'>::—"'_e,-= r.-�%, � v,..�. t :.��, , . , . � k �� it i ��t ::+ ; �'#' ;� �e p ., � ��c�n� �sa� �. �i�elt�7ia::iirn�i.i..�..,�w.� ��se �f th� �� `� ��a�� t� m�+�n�# ��s en E ��tk�f�,��s. ��, i�� - 3 � t f �, , �.. �� 1 ,��r �� , , ` t. ,:t �,,- �b�e�i a�� _ ��f r1��"� . ��ie �t�,� ��s jI({' B��'�r:x � { a,: , �, ., . . �, ; �. �� -:�,� � , .:;�,� .� , , . � � N�� . �5�, �. , �. , �, .: �,� � ,� .w w�:� N ��1� ' � • 11 , �. " �Q �,�i C� R ' � s'� R �� :�; ia�J: . �. ♦ k �� . 4 �G�V ' ��V � �U� < � �. � 2 i FL i� � V �.._� � � .:.s.�.: j� �(� � ;� �� ,. " .�� -. � ' �''!w.. \l . �y' `� � +� � � �� i .�, �`��'� ES ��'��,", : I ��' � ',. tF: • r� +�' FY .�i�'n 1::�.� �� r. �:� �`.� l `' . . . . ., ....t�::.. �.. .. X,. k �p�• �.. '.'.•+'R. A�.... 4. Y.� %. �,,:5 E � � -�� -i�? i, �� ,s r�r�� S+� ��: ,., s ,r? . . �. � _ � _. ��+ or�� ptions ��i��c� m�y r�c Today's cost or ma��r��l� :e�tim��d in �h�s 'The base price includes; �6 PSF deck live ioad, AC2 �reat�d • ho�izonta! 2x6 ., deek 6oards, 4z4 posts, 2z8 joists and beams, gal�anized rra��i� faster��r�, AC2 treated 36" Vertical handrail ta joist without posts, �n� prernium sc��s. � �,y,lQ� �. *. L ".� . , . . .. . �"'"3, � � ��{, �^�C� �" �. ��`� ry�'.a.«„��y�J �.£. , 0 r1.r � . � Y' � .W �� !3�'., '# ' " �!a , A► +` -X<.'^ 4 x i ��" ..Yi . �� ,� '�"� c '' w .rf'�r S � �r"�� f . . r 1 '' �. ' � � ; �� K��r� 5 � 4 ,�3-� � r ' �, , ��'��, � � ,� y'��.,.� r t�'>`t . •Z �A�'�yt �� aTT�j / ! �`J'�. � ,4 :►��1 ��I� si�� r�� s�i�p�,. � ��n �� re �la��t , : �. � . �� u�t� �p��:��, ��B,�fB� p�ic� 9 C � � *�''if purcf��s�d to ay, Y u s`�� ,� x::. , � Monthly B1G Card �aymsnt Id be. �; � �� , � , i . . . . � � .�•i � ,i`; �` '� ,ti {t .n ?'� '�� ..;p� j�,i� �' ^r�• aesi n #:35457 r.� ` �� f� � y..� : �� ,�z�,� > : �� ...��:� ,:;_ , *** Take this sh�et ta the �uiic�i�c� '�a ri�i u�ct�a e:��tr at+ena��. '` _.__. _ -------_ � . , __ - -- _. . _ . ._ _.:. . � . ' _ _ _ — ��_� € _ � - _ _ .��=�� ; - - - =_= =��=� i = -_= _ � _ �= -- ^=� . � . ..' . � : . .. '� -' . :. : �.- _ _ . . . �....__ .... .. .. :� -- —__ _ __ i � ' , i _ _— _ f �1 ; , _ � :� - – - � � � � � ` � f � — --- � '� � � � --_— . t ". . 1( . _ _ .. . . i ; c ,_ 't .�_ '[: �.' . �= .-.. � — _ � f . ,' . : 6 ", �; � � �. �. i.. _ - -- . t _ -�.---- � ":. - _-- _= z, : _ _ = �-- — � ; _ _ �-- � _ � _ _= -_" ��' :� - _ - _ �e� �' I �� _ ' " ' �1,?�: � • � � � � � � -� - = � �� - -- �� . . �� , ;,. - i ,, , . �__..._. _ _._ .: t,� �� . I - Leve� 1 14' x 12' � : 11��1�' - _ . 5' nff thr� ,7rJUl1d ' . ;�,.;f..F'�� . . _ 3 , � ; �. . . _ _, H'orizc�nt� 1 D�ing ��. - ' ,; , �, , r�t �� _ ,. _ _ �1�� — :i � � � �� ::� � �; �- = _ _' 2 ft c�r�tif �:v�r or� joists � ; . , _ _,_ � , _ -. _- _ �� X ��y , ; 2 ft canti4�ver on be�r7�s , 40 P��r`C��ck Live L:o�c, � �'�""� �� ; � � �`�"�1�. ��5 — �. ;� . . . . � . . . .. . . . ..S I . . . . , � . . . . , .. . � � C' Y ' . ,•a�x �. ��I� � I t . . � . ��- �: . . 'I�rM��'�' V � ' ' . � j(J . � .. .. � � Z-2iC$ •�+ ��t � �( W �� S � � '�S � ( Y. ` �''� �� , � , �' � � � � �..� (z� – 2 x � �'�V►'�S � � �� ; � , c�l , . ,�� , �. � 3 -=�� t . � fi ,, � � � �,z ��,,�� (��I b�� ,� �. F _ , '� � ` �� i . '�'�. ,�� Q ( � °� ( �� • � ,, '� ��%s'—h -/i� S"� • � ' . � � , �� i�� r Today's cost for ma�er��is es�imate� �n '. design wi�h �aption :$��` �.�` �'� 'The base price mcludes; 40 PSF ��c I�ve Ioad AG2 treated • harizflntat ' � + , , deck boards, 4x4 posts, 2z8 �osscs �r � beams, ga(vanized framir�c��aster�e � *"`� u�chased toda ou 5� �� `"� * AC2 treated 36 Vertical handr�il tU ��ist �Eithout posts, and premium scre Monthly �G�Card Payme uld �G :�' ' ; i