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AF - 35559ip S��v��'s C��'�� co�s~roca� � n.�v.cs; xNC. c�� a �� s�y� 714�b County Raad �J,1�+Iins�eapolia,lV�N 55432, (61.2) 78493�4b SUl?�IE;'. FOR: B & G Investment 961 Hillwind Road Fridley, Minnesota 55432 y� pR�ll�� efore digain� cakl Iocal�A��Et�a � E�EPHONE ° El.ECiRIC ' �E�IJIRE� �°� �p°� ;a.� �irr � o� Fti.tr��Y �o�s ��p ��a�:�:�.e:�;,:��- � � ��'�� tsy,��'Y �3S UFi�.Eiio LG�a� C E�P�9S AhiD ELE'l,�YtCr _ . ��i,» {5 F�p INFORA�i�ilOdv PUR�OSES Oc�IY � ��::;; .. , ;i51R!G I° SHOItLD vFRIFY THE 11�:: ,,. . -� ,� - - - �� ', r � ` � N 88° 59'S3"W_ 137, zo` � �, N � zs• L �J U , g o ,.. � o � � i . �.-i n �1 � � .i 3 ►o� � ._ 1 i�:> =�-� LOT -� i 1Q� `� 2 u� �. ��, � a � � a o � ,; �� 0 4 o r: . , , e o , t- '�" o � � _��------------- ----- � .� � � - `.� �'-Or-a:r�ar�¢ �- ilt:l:} ��as� m�'%-.'__� vJ � 5 88° 59'S3'"E /37. !8' � � zs• �� r_ . DESCRIPTION Lot 9, Bloc�. Z, Blomber� Estates, City o� Fridley, Anoka County, ?�Iinneosta. SCALE:. 1" = 40 Q Denotes 1/2" dia�neter iron nine *�onursent set and cap�ed LIo. 10832. I hereby certify that this survey, plan or repori was prepared by me ar under my direct supervision and that I ara a duiy Registered Land Surveyor under the laws of the State of Minnesota. �. 1�q�� R•. � Nov. 17, 1930 4278 Re�. IaTo. I?ate Job Na 9 P Bor� Nu. � � � �� ,� ��x, �9 c � �� .�-� �T��-� T� � ��' �, �� .�, ��-� �, �� . v �� U o�` ��/AJ� � �j� l�S'C �� (//C'e � ��0�2 � �'S�'��ls�� z//r�%�Q�,, f�� l �D � _ � � S�� S �� Vjc � � ! - � �� [ � , /� O � �� 9 �� J/ �°� ��' �� S�S�ox� �� f i ��jdl - ��57-�� / ��' �2�SSio �, � .�,_; . � -- — I Main Ofbce 571 6066 , UOUqS�N 6875 N�gnway No 65 N.E NOIMBiRINO I Mi�neawbs. M�nnesota 55432 • �� __^-- IMC. —J � Suuth Othce 990 6510 ,�e � �w k M�.mnvoi EnRuwrnnR �.od Tv.nnp � Land �uns�uyt � Land Plan.unp I� 1101 Grt/ Roed IBumsviue Mmrresota 55331 �� /" /� �. Cer#ilic�te of Survey ior�i9�QJ�C (.�/VS /. '�'. ," ; = .'�, �(�\ �� '.,- I N.BB°S9�S3°W _ ' -- 137.20 , ,o � '�'' i3.3 ^ j I y tx� N o8.1 �• d FlR�P1.ACE ` DECK � � ' _� � a+r % ,. , � 6T .. . .ry '� �� , � ar�. � � Y� �o � �� o,,. o i � ZW ;M* �� "/�ic v1 � Oa^t � ��'L I to — `� .: , r,�. . 25.70 � � �-----:+,� __ ,° �; ;� f37. l8 S 88°,5'9Sf'E i� ..� -, .� �ear�n�s shown are • agsumeci. ° Deno�es iron monument. I . 2s � W I Q � J lo � I Q- � � � � aw � z O�° ' � 35_2'-I �O — - t� o 6�� j� Q b��',� lo � Ci � � �s��_`_ _ _ � ZS I � �cale: �'^-yh �f�t Lot 9 ��ock 2 �lor1nber ��$c�tes ' 1 � ' Anoka Covnty Minnesofia S u b jec#�, to easemenfi reco�ded or �nrecorded . 1 h�r�br c�rti{r thot ►his is o tr�• ond corr�tt r�pr�s�ntofion of o furr�r of th� bo�ndari�� oi fh• obov d�serib�d land, ond ol.fh• loeafion o1 a�l buildin •�Ith�r�en, and-all vi �� qI• seerooe6en�nfa� if any, frorn m ee soid lond. As ��rv�y�d br m• �Ais�_dar o1 !�J �°�-'� #.D. 19�7; f � - SU UR AN E NEERIIy:�, INC. Ewqin• rs �° ar � °��urv�rers 6 -aR - �? f= •.s"�a.-. Not Publ�shed: All Righta Reserved % I 0 — t� - --- I SUBJECT RMIT NO City of Fridley '_ 17 310 AT THE TOP OF THE TWINS g U I L D I N G P E R M I T r � ` RE EIPT NO. � � COMMUNITY DEVELOPMENT DIV. �� o� L+ � y PROTECTIVE INSPECTION SEC. � � � ____ r S �i , . , � � /'��1 � CITY HALL FRIDLE� 55432 NUMBER REV. DATE PAGE OF APPROVED BY !""'°� � ,�� 612-571-3450 910-F15 10/31/83 ' � � JOB ADDRESS �614 Brigadoon Place N. E. 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 9 2 Blomberg Estates SHEET 2 PROPERTYOWNER MAILADDRESS 21P PHONE Garjac Inc. 481 - 206th Avenue N.E., Cedar, l�T ,,�j��@ 434-7096 3 CONTRACTOR MAILADORESS Z�P PHONE LICENSENO. Same 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAILADDRESS 21P PHONE LICENSENO. 6 USE OF BUILDING Residential 7 CLASS OF WORK � NEW 0 ADOITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE X S DESCRIBE WORK Construct a 38" x 37' 6" Dr�ellin and a 26' x 22 `�" Gaxa e 9 CHANGE QF USE FROM TO STIPULATIONS provide a hard �gx surface driveway. Provide sod in the front and side ya�ds. Pravide City with copy of verifying survey before capping. SEWER LOCATION: (App�oX. 6' Deep In Street) 40' N. of M.H. (InV. 893.94) WYE ELEV: 894.10 �OP OF FOOTING: Expose service prior to establishing footing elevation. WATER LOCATION : 10' N. of Sevrer Service . DRNEWAY DEPRESSION CO5T: N/A TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD SEPARATE PERMITS ARE RE�UIRED FOR ELECTRICAL, PLUMBING, HEATING, VENTILATING OR AIR CONDITIONING. WOO(3 FY'�@ 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 HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION I. STALLS GARAGES AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS VALUATION SURTAX ANO ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT �GZ�ZOO $30.60 DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE pERM1T FEE SAC CHARGE PROVISION OF ANY OTHER STATE OR CAL LAW AEGULATING CON- STRUCTION O THE PERFORMANCE OF NSTRUCTION. ��i� $331.00 $425.00 � PLAN CHECKFEE TOTALFEE $82.75 869.35 SIGNATUREOFCONT CTORORAUT ¢ DAGENT �onTE� �= WHEN PROPERLY �ALIDATED THIS IS YOUR PERMIT C� �)� � SIGNATUREOFOWNERIIFOWNERBUILDERI IDATEI BLDG �NSP �pT � � CITY OF FRIDLCY Effective Aug. l, 1961 HPPLICATIa� f0(t P,CSIOL'i��TI/'.� I3UlLOli:G Pc(Lfi1TS (Nc�•r, Alteratiuns, Additions, or Rcp�irs� . � Oti�NER. QUILOER: �/��P,7'- � � �` �- ADDRESS: ADa'2CSS: �� / �a �.-� �� TEL k0: TEL 120: C�1 �/ 3 5� `� `7 a�� Construction Location ST1iI�T 110: �,� ST7tEF.T: �/nC �G <��,�0� � •�� C-Q i.o��: � ei,oac: � i►nnzTio.a: �Loo�� 'J'��''l�s' Corncr Lot: Insidc Lot: i� _ SetbacY.: � 5_ Sideyards: _;� S°� l Z Ap�lic.-!nt attach to tl�is forn► t�co Certificates of S1�rvcy of lot and pzoposed building loc�tion drawn on certificates to scdle. DESCRIPTIO�� OF COi�;STF�JCTION �h ' � o/ � i��„�� Front: � Depth: �� Heiqht: � Squanc YeeL: �0 �`� Clibic Fcet: s ��l��"� Front: ��-� B Depth: �c�a'�f �� Height: �� Sguare Fe�t: Cvbic Teet: _ a . � Col ,'1�u :ype of Cor,struction : F�� EstimaCed Cost: S � Rb Be Cbr.�pletea: J�� 3( Alt. A Alt. 8 Propos�d Driveway kidth If New Opening Is Desired: _ $ s - , S�� PF.VF.IL� SIDz OF StIEET , � 9iie undersianed hereby m3):c� applic�ticn for a pernit fcr the �:vrk he=ein spc�cified, agreein� to cb .all �.ork iti strict accordance r�ith the Ci�y of Tridley Orcii»ances Eiid rulin�s of tlm Delk�rtmc»t. of IIuilclincs, and hereby declares th�zt all the facts and zepresc��itiens stated :n this applic.-tion e true and corr ct. D.��: %U°� a `( � �-� sic�tnzvr�: � � Etii�ulations : ' � �,ti,� 33 � ��d . , C' � �.e gZ. � �/' �1 � e} � � u Z�'� � ' � C� .3a� � _ .� _�„ , T6e Chief Building OfPicial aball, before issuing permits for the erection of any building or atructure� or tor any addition to any ezisting building or atructure or for any aiteration or repairs to any ezisting building or atructure� upon application therefore� require tbe paymeat Dy the applicaat for auch pe�it of fees to the amount berein below aet forth and ia the manner herein provided to-xit: F - =1.00 to �500.00 Fees =10.00 (Minimum �15.00) =501 to �2�000.00 =10.00 Por the lirst a500 plus �1.50 for each additional �100 or fraction thereof, to and including �2�000- =2�001 to �25,000 =32•50 for tbe first �2,000 plus �6.00 tor each additional �1,000 or fraction tbereof� to and includiag �25�000 i25�001 to =50,000 �50�001 to ;100�000 =100�001 and up �170.50 for the first =25,000 plus =�.50 for each additional �1.000 or fraction thereof, to and including i50�A00 i283.00 for the first a50�000 plus �3•00 for each additional �1,000 or fraction thereof, to and including =100,000 �433.00 tor tbe first �100,000 plus �2.50 for each additional �1,000 or fraction thereof Plaa Cheek: 25 percent of building permit fee. Driveray Depresaioa Esarox: Concrete curb atreets oaly. Alternate "A": Removal and replacement ot curb and gutter only - Driv�:way Width plus 6 feet times S13•50 Alternate •B": Removal and replacement oP c urb and gutter and install a 3 Poot Wide approach With 6 inch depth - Drive�ray Width plus 6 feet times a15.75 i� . � . � . . . . . Permita for eonstruction vill be issued a minimum of 24 hours from the time of application to allov for proper reviev of tbe proposed structure and of tbe construction site. A Certificate of Survey of the lot� sho�iag the location of the touadation oace it bas been coastructed vill be required before proceedina With the framiag. � I v � . ._ ° 7Co i � � b Pr6'-�G1c3� Low� � l,ttv��. ZS. �I� 3� = 47s, �f4 ac �.te$ � `� �11�I�,R+� v�� .��. ?�.� X � = °17 `,(, x 39.�•�' z I 2x !1. � '�- !'S Y k � � ` q � �y 3 = �,; x ,► �'�2i��,,, 3g, 7Z�, t�i 5 4 �1. 70 __ 2. 319_'�'Z y�, s ��;��- Z� x zz� 3=��°�� . ` i q�.�t� � �, I��{.�� c, 2� . � �� — 2�� 12X � �� 3l A ` � G �� Z�� °"��' �� ; � -��4�,, �,� . . � �� '�° x- � ��'�*�k '� ` `�',"- : ,.. ;; � fr�' i ::q�' �d- � _ -��°` � CITY OF :� �l � _.�� `..-_ FRI�LEY 6431 UNiVERSITY AVENUE N.E., FRIDLEY, MINNESOTA 55432 TELEPHONE ( 612)571-3450 �� March 12 � 1984 ��. !�lr. Gary D' Aigle Garjac Inc. 481 - 206th Avenue N.E. Cedar, NIlJ 55011 � Re: Final Inspection at 7614 Brigadoon Place N.E.� Fridley, NIlJ Dear Mr. D'Aigle: A final inspection Was conducted on March 9, 1984 of the above address and the folloWing items Were noted Which must be completed before the structure can be finaled out: 1. Provide a hard surface driveWay by June 15� 1984. 2. Provide sod in the front and side yards by June 15, 1984• 3. Provide City xith copy of verifying survey of lot by April 15, 1984. We Will expect the above items to be completed by the scheduled dates When a reinspeetion Will be made to determine complianee. We are also Waiting for verifyin$ surveys on 7601 and 7563 Arthur Street, 7532� 7625� 7570, 7580 and 7531 Brigadoon Place. If you have any questions on the above items, please feel free to contact me at 571-3�50. Sineerely, DARRII. G. CLARR Chief Building Official DGC/mh S�s�E�T Rnnir n City of Fridley 19178 AT THE TOP OF THE TWINS g U I L D I N G P E R M I T r � ` ECEIPT N COMMUNITY DEVELOPMENT DIV. � �/ � L PROTECTIVE INSPECTION SEC. � � ` _ � � .___ , r � �c � _ , � /"'1 � CITY HALL FRIDLEV 55432 NUMBER -REV. DATE PAGE OF APPROVED BY �"'"� � ��' b12-571-3450 910-F15 / / 9 18 87 JOB ADDRESS 7614 Brigadoon Plaae N.E, 1 LEGAL ��T NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 9 2 Blomberg Es.tates SHEET 2 PROPERTYOWNER MAILADDRESS 2�P PHONE Ken Olson 7614 B�i�adoon Place N.E. 786�7651 3 CONTRACTOR MAILADDRESS Z�P PHONE LICENSENO. Suss.el Corporation 192Q Oomo AYenue, 5t. �atil. 645�0331 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAILADDRESS ZIP PHONE LICENSENO. 8 USE OF BUILDING Residential 7 CLASS OF WORK C� NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE � REMOVE 8 DESCRIBE WORK Construct a 24' x 10' Shed in Reax Yard. 9 CHANGEQFUSEFROM TO STIPULATIONS Building �ust be anch.oxed to g�ound �+rith. a maxim� �.heigh�t of 14' SEPARATE PERMITS ARE RE�UIRED FOR ELECTRICAL. PLUMBING, HEATING, TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD VENTILATING OR AIR CONDITIONING. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING SO. FT. CU. FT. AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION OR WOiiK IS SUSPENDED OH 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 TYPE OF WORK WILL BE COMPLIEO WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT $3 ,446 $�-. 72 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- TRUCTION OR THE PERFORMANCE OF CONSTRUCTION �`44. SO .�,/� AN CHECK FEE TOTAL FEE / 1� �'''l�- �'/� - $46.22 SIGNATURE OF CONTRACTOR OR AUTHORI2ED AGENT IDATEI WHEN PROPERLY V TED THIS IS YOUF PERMIT SiGNATURE OF OWNER �IF OWNER BUILDERI IDATEI BLDG iNSP � D/+ E NEW L � ADDN. L l AL,T ER . � � Construction Address Gity of Fridley Effective u/1/86 R-1 AND R-2 Building Permit Applieation � %�r S!' .1`�fZr �� c,�l�� v� � � Legal Deseription: Owner Name & Address : ._ �� v � �� / °' � � �� G""' °' �0� �� Tel . � �� °� 7�`�^� Contraetor: �� C� Tel . � � ��' �� 3 � Address • � � 2 � G � �" � �� P�� LIYING AREA: °� AREA : DECH AREA: OTHER: Corner Lot L l Attaeh to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to seale. DESCRIPTION OF IMPROYEMENT Length Width Height Length 2 � Width / � Height � Length Width Hgt/Ground Sq. Ft. Sq. Ft. '�� Sq. Ft. �_ �� r Inside Lot [� °�t• Yd. Setbaek Side Yard Setback Type of Construetion: � � � Approx. Completion Date: �d ' �'�' d � Estimated Cost: $ 2 � ,� � °��t� `�' � Alt. A Alt B Proposed Driveway Width If New Opening Is Desired: See Back Page for Explanation DATE: �'�-1 �—� Permit Fee Plan Check State Surcharge SAC Charge Park Fee Sewer Main Charge TOTAL J �� v�3! APPLICANT: Tel. � � CITY IISE ONLY � '-�� 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 [ ] $ °�`�� - �� STIPULATIONS: �Q,� � � �'..-�,&_4-_.: 0 � �,��_ � � � � � BIIII.DING PERMIT FEE SCHEDOLE 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, ugon application therefore, require the payment by the applieant for such permit of fees to the amount herein below set forth and in the manner herein provided to-wit: Total 9aluation $1.00 to $500.00 Fees $10.00 (Minimum Fee is $15.00) �501.00 to $2,000.00 $10.00 for the first $500 plus $1.50 for eaeh additional $100 or fraction thereof, to and including $2,000. $2,001.00 to $25,000.00 $32•50 for the first $2,000 plus $6.00 for each additional $1,000 or fraetion thereof, to and ineluding $25,000. $25,001.00 to $50,000.00 $170.50 for the first $25,000 plus $4.50 for eaeh additional $1,000 or fraetion thereof, to and including $50,000. �50,001.00 to $100,000.00 $100,001.00 and up $283-00 for the first $50,000 plus $3.00 for each additional $1,000 or fraction thereof, to and ineluding $100,000. $�33•00 for the first $100,000 plus $2.50 for each additional $1,000 or fraction thereof. DRIYEWAY DEPRESSION ESCRO�i (Conerete Curb Streets Only) Alternate "A": Removal and replacement of curb and gutter only - Driveway width plus 6 feet times $13.50 Alter::�.��: "B": Removal and replacement of curb and gutter and install a 3 foot wide appr�r%ach with 6 inch depth - Driveway taidth plus 6 feet times $15.75 9ERIFICATIOAI OF FOUNDATION Permits for construction will be issued a minimum of 24 hours from the time of application to allow for proper revieW of the proposed strueture and of the construetion site. A CertiPicate of Survey of the lot, showing the location of the foundation onee it has been eonstrueted will be required before proceeding With the framin�. e a i� Mr•, Oet�� 5't b(K�ti '� UeURe�M -- _ =---r_—_ __- ---___ -____ -_==---i`hN7t. N�pPweY h., 6=ti E MQINEaRINO '� M��.�a�a�.�i,� M��wr�ieSb4J: • �'' �-'_".. _=1NC"-- _ � - '- � ' �'. �,u•.. �;�i�.r 99G6! t0 � � � u�. t N,.v�.m ! tt.n..nn� �.,�d T..nnt � l.,r.d �w�...nl � 1..�? P.ann.•:p �'. �p� C,r� N��e�f �� tl.,•na�d. M,��nex,�e 55.;7' �� /' /� f cartiii��te of Survey for t,%A�Q�I�C C�/V� /• � \�°J � �' �� Q� �� 1 `� a _Y I .� lJ 7 � r I � , �;. , �, r . �� ti' Bb"� 9 S3'"K, � - - �-13720-- c � �' i 3. 3�, ^ , y zx� N e81 �• ; � FIR�PIACE ' DECK � i ' , 3� s� � j u� �W S3j: � Q�vW, � � � � o . � �W M^�Q °`' � � � w k , �R �p � � �a _ i �: ' �- ° 2s'Jo � � ,� io �`�`�� 0 3 a. — ��.�1 _ _ _ . _:+� _ d ?a 70 r�- ---- - .. _°_ � � ��n � n �\ ,� i ZS ' Jc � � i I � I i � 3S L=� 00 - - - ^C BLACK�pI I 2 D�„E I ,o � , Q ' 0. Z � ; O 1 � C� a , � - - f37 !8 �' � - r�� ,��t > 88°59S{'F I q _ i � �!' ` 2 `i � �� _� � � � �� r �,� �� t� �'� �,,� - � � � UeOlrIC1�'S SiIOWI'1 Q1''E' "Q5SUr1'1�. ° �eno�es iron monumen�'. � , � I ! ' I1 ' � I i � � �ca1e: �,n��_��s�t Lo� 9 , ��oc� 2 glombetr �s�o�ies, � � Anoka Co�nty Minnesofia S�bjec�" to easemen� recorded or �nrecorded. I h�►�b� c�rtiir •Aat �his i� o♦r�• ond tor��ct r�p��s�nfa��en ef e su�v�r ef �1�• be�nderi�� e1 �h• obev• d�sc►�b�d la�d, and ef th• location oi a�l buildinO�,�th�.�on, and oll vi�ib�• •��roa�l�in�nt�� i} anr� }roT o� e� �oid land. A� f�rv�r�d br rn• fAis 1»v� dar o/ �' A.,O. 1V.�`} � • SU�UR�AN i1�GYNEERIy.(i�, INC. enq�w.l.s �/ � , - "S�r��r�•s .% '^��. b�"... } - 1 � Not PuW�shed. Ail R�ts Reserved � iJ t • �� .''� �� t� . .. �" �: � � �� Y�r.r.r �suni OOST SAARE ACREQ�IR Ye� the unaeraigned� reaiair� �t Co . �w /'t� � /�1..41.�-0� �-t rV � �(Addreaa) , � ,t`�-(�m -1� t < ., � � �oZ. _-C`�,cJ - - - (Legal De�cription) , �a �� to participste lo a coat Op•ration ot a atreet li�t at ( t�llation �nd Ye underat,nd tbat tbe aecietor� a� to �r�ca tb� lisht is to De installed �ill pe •t the sole diacretion of tbe City. Sn 'ddition tbe City vill have sole Qearetion as to vhen the li�ht is resoved. / Ve agree t0 pa� our percenta�e of ��_� of tbc total oost incurr�0 er tAe City tor the ira�tallat�o� and o�ratiore og LDis lisht ��ch ye�r. Ye also agree to shara aay e�sLs inaurred bp the removal or �epair of tAis li�t. Ye agree that this coat vill be paid to tbe Cit� p� �ngust 1 ot e�cb �e�r or the eost rill be automaticall� a0ded to our propert� aase�sment by OctoDer 1 of eacl: �ear tor the lifa of tsis li�ht. This aareement will oontinue as lorg as tbe lisht i• at tbis location. Ye asree tbat tsia agree�ent is Diading upoa our beire� aucceseors, transfereea o� aaaign� ia laterest. Tl�Ss Agreement a m�de th � e•r ot ✓ �� betveen ►.�e City of Fridley •nd �� . � � - �i o �ridley� Miinnesota. . s7► �' "' �•� �, ,�1 � Arner Signature ,' G�h�� r � Ovner Signature State of liinneasta) )ss Count� of �noka ) On ttiis ,�Q�' day of • ,� Defore ee� a potary Public vithin and !o� tbe County of eno and the State ot Minneeota� peraonallr appeand �C'��v��"Q��w/ �nd ��A��✓ . buaD�nd and vife � to oe knorrn to be tbe same peraoa� descriDed in and vho ezecutea tbe foregoing inatrument� a�0 scimarledged tbat tDey e:ecuted the aame as their free act and deed. , �otary Public ' . �is in�trument vaa drafted b�: City Fridley 6031 Driiverait� Avenue FMdleT. 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L...» __ ' sue�ecr P • City of Fridley � � � 1 � AT THE TOP OF THE TWINS g U I L D I N G P E R M I T � , 8ECF1eI-PFS''� , i �• COMMUNITY DEVELOPMENT OIV. � ------. �� r � � PROTECTIVE INSPECTION SEC. � � /'��i � CITY HALL FRIDLEY 55432 NUMBER REV DATE � PAGE OF APPROYED B� !'.---'�'• •'� 612-571-3450 910-Ft5 6/18/97 / / JOB ADDRESS 7614 Brigadoon Place NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 9 2 Blomberg Estates SHEET 2 PROPERTV OWNER MAIL ADDRESS ZIP PHONE Pat Olson 7614 Brigadoon Place NE 786-7651 3 CONTRACTOR MAIL AOORESS Z�P PHONE IICENSE NO Renewal By Andersen 350 73 Ave NE, Fridle , MN 55432 571-7816 20040630 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAII ADDRESS Z�P PHONE LICENSE NO. 6 USE OF BUILDING Residential 7 CLASS OF WORK O NEW 0 ADDITION ❑ ALTERATION � REPAIR O MOVE ❑ REMOVE B DESCRIBE WORK Replace 6 Windows 9 CHANGEOFUSEFROM TO STIPULATIONS Replacement sleeping room windows must meet the State Egress Code. Provide smoke detectors to meet the State Building Code. TYPEOFCONST. OCCUPANCYGROUP OCCUPANCVLOAD SEPARATE PERMITS ARE REQUIREO 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 OFFSTFiEET PARKING I HEREBY CERTIFY 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 AND OROINANCES GOVERNING THIS TVPE OF WORK WILL 8E COMPLIED �6 915 �P3. �F6 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT � DOES NOT PRESUME TO GIVE AUTHORITV TO VIOLATE OR CANCEL THE pERM1T FEE SAC CHARGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- $12(E.7S Fire SC �G.92 STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. PLAN CHECK FEE O AL FEE Lic nse C $ 0 $140.13 SiGNATUAEOFCON'RACTORORAUTHOA�ZEDAGENT IDATEI E Pj� Y VA � THIS I� R PERMI l - SiGNaTUREOFOWNER�iFOWNERBUILDER� �DATE� B G iNSP. ��TE ITY OF FRIDLEY NL'W t I . AAT)N [ ] � �ALTLR [ ] .. TEL� 612-571-1287 Mar 20.96 C1TY� OF FRXDLF.Y SIl�TGLE FAMII.Y ANn DU�i.�E.S R-1 AND R 2 S T Bu>»n& �em►ic A,�a�car;on � : 9: 48 No . 001 . P.'01 �.02. Effective 3/1/96 : � � , . •. �� .: C�nstructionAddress: �16 t 4 • G'�l 6l� f�00 r,( (�QCE . � � � , � Lc�al Description: . . . � . . Owner Name & Addras• �F� C�,SV �J � � Tel. � -1 �6 • �6.'�1 � _ . Contractor. �(a(A�.. �'.� A�iv��?��l • � � MN LICLNSE # ZOO '3� . , Address:?�J '13�A�(E r�I� • �Gx�.`l �fYl r� SS'43Z Tel. � .S'? l • 7 � Ib�' ; . . � . .,,;•��. � Attacb.to ifiis apptu�tion, a Cer�te of Survey of Ihe �.:- • lot. with thc propos� construction drawn on it to sc�le. LIVIl�TG AREA: GARAGF AREA: DECK ARF,A; O�R: D�SCR�TION OF IlVIPliOVEM�NT . Length„ width � Heighc sq. Ft. . Length � Width , He�ight Sq. F� _ Length Width --- HgtiGmu�d Sq. Ft. . � 6 hf � �f PU rv.� t,�-�L 6-lo m�, �-�f t i',�} C..(tlrl �'TE' r(�.°� 1�.lc �'P�tYVS ,:. , Corncr I.ot [] Insid� Lot [] Ft. Yd �tback � 3idc Yard Setb�cks ' � Type of Constfuction: � � . _ � .Estimat� Cast: $_b��6 S tt0-- � � Approx. COmpletion Datc: �.-� �41 . � � � � . . � ' . {Cos �. on : Back) . � . Driveway Curb Cul Width Needcd: . F� +.6 Pt � � Ft x' � $ . -. $ .. , � DATE: 6�1� •�7 • . APPLICANT: �Tt i'Y1 �-S�k��(1�G- � ' � ; � � Tel. �.#.`3S� �Z85� . - _ PC��t F� _ Fire Surcharge Stale Surcharg� SAC Chargc � I.lCCA5C $UCCI18fgC Drtiveway Tscrow Frosion CQntrol p�� r� . . Sewer Main Charge TOTAL STiPULA1iONS: ��1',�`�Y US�. O1VLY . � . �► �� .' . . . .�� . . ��^ � � �- . Fcx �u1e on R�►�^� .si�e $_ �. �1 � :001 af P�nni� Valuauon (i/lOth�) � ��i�'�� $ d � $.50/$1,OA0 V'a[uation � � � ��`Y:�r� ,��.1 $ . � $900 per SAC Unit� . � $� d Gi� ' �-�p (St8(@ LiCC!]S�d R�SldClltial •COnt�CtOYS� � $_ . � � Alt. . "A" or Alt. � pB" ,Abovc $ $450:00 ��Conservatic�u Plan I�cvicw � - . � � $ � Fe�e Aeternainc� by Engincerir� . �. . $ A,greemcnt Necess�ry L I Not Ncecs.s�ary I j l� �� : . � t . � � � �.: � �`� • , , - �� .,�.,��;��PS � �I�°c. ,�!�� .... / . � � � �� 0 � • • . � : � � �� w�rr-�as—�r.rr a.1 ��a F�I�iRL BY ANDERSEN � . . � � �. . . . • � • • f . , • r, � � � .. : � � . •�, + ' ��• ' i �•'' � •` . � � . . � � L . • w� � ' � • � • � � ' � • � • • •' •�� • • . 4�� •I • � r�r� •� . 0 ❑ 0 - � �• .. � . .� � • . t: • • �'• • ',, � • � t ; ° •�••� •. • ; �•• � •• ' i • • � � � . .. � ' ' T •,�'.�j� ' �.. � ��'��. •'��t:' •a. •� � •�. ,,•f.. ••�•• •� ; ;. , •:' _ . . �, ,. 612 4�e1 5662 P. �02 � ... •� , •�.,...;.� .,�jli� i �pr,'4' ii�:'Ji. •f�'�� ' �� ,�. .i� w . .�.. . �. . d'a'�° ' � �� ,t • �'q. t} . p �'� �•, �� ' '� ,,� t� �'r"��h � "� 1 dn .. ��u.�: :(J�. 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C,' � . : . � .►� ,.. . . . . . . . . . : �. , , , . . ..., . ..r ,. . . . . � �.; �.� .� . . . . � � ' ,' Received�Time ' Apr, 8, 10:04AM' ' � ' � i .#Ln W � . �� , , �� '�'A ��s�".��Y{ �� M{�y�1' ;... �..» �+' • �►��..�p r'��W W t,'�; :':�^''�� r��r��,,��.. ��/e• • N • . .,,.. iry � "��%s� � F�� ; �� wi�� i � , .}�, ,n �� i �.�, t•;,; :�•:;��•d�a • ' r. � �• � w�» �:�lYt� � .et :'�''�! eN� �r.�ay,,t� �'`� � 4'►N"(,'ti' ..+�tf J'( t4�r:71'�' '.r.,w�'C"t 9�.«��. "�:�,N� • �m'rM+rfl►' � ��A ;, . :�•� � ri��p »�C•''.�o' �► .g �+ �� , � �.:- ^��. ��iu��u1�,.,M x �'q�Ap+�_� � p�. , ..� v�r �.; :'.. �i • ��G ' �M��%.`� •�. r�u;�t,• � n.%�ui r .we�•�i � .��:. � ��• . w ..,. � .. . � , ,�'�+� . . . ,��h�; �.M�, :. . ,,h�•,.�,.,w; d.r� c�a k�. s� ��•. t��p '+ �; �j �,,,��. :Y,1:, .1�'�.1:"N �S�'y�� rN'��' �i'i•x,. 'v'c� ,.",'ts:�� Yk �;�a��.:« tti�`"",��,'y"�'' ��r . u� 1 :q� • . ! �. N�•��,� � � ,� � � �'l b � ��t O �� i .� . �� •,��. • , �'�i; :,;. ' ,;'ir . .r��k .. .. �u� .� ..''d . : �. . • r! � � �, �,W..�� , : ., .��., �.. ..,3 �� , � �, Q i � . » '��i •�' �I� � v' • ��: �a .., .�:.�; � A I, :�:� :q�� tr. . . . • . : �� r�:117t;i,�'p ' a ,�� : ma !ta ' +� a .: c ��►�,�� u�' � . :� tP� �dM�' ' I`�(- � . L�w AMw� ,� � .•i._� " `,�t` •at Tb 4�h � � f ��:xr•l�Ma'as � C 11 ��:�� :'c• � ,�. . .. .�µ: ��.x,.» ••�,� ; Print Time Apr, 8. 10:05AM TOTAL P.e2 0 ELDER-JONES BUILDING PERMIT SERVICE, INC. 1120 EAST 80TH STREET BLOOMINGTON, MN 55420 PHONE: (612)854-2854 FAX: (612)854-2703 Elder-Jones Buiiding Permit Service, Inc. ' . R �.'Y 4 =•,^' • •. �...r d A. a We at Elder-Jones Building Permit Service, Inc. are acting as an agent for Renewal by Andersen. If there are any questions, or if permit has to be picked up in person, please give us a call at the number above. If permit can be mailed back to us, we have enclosed a self-addressed envelope. Thank You, Tim Schenk ext. 140 Jolene Connors ext. 134 Elder-Jones Building Permit Senrice, Inc. �= �°° 1120 East 80th Street • Bl�mington, Minnesota 55420-1498 612-854�-2854 FAX:612-8b4-48� SUBJECT City of Fridley AT THE TOP OF THE TWINS g � I L D I N G P E R M I T r � � i �• COMMUNITY DEVELOPMENT DIV. r � �' � PROTEC7IVE INSPECTION SEC. � ,= i��'1 � CITY HALL FRIDLEY 85432 NUMBER �----� � �'' 612-571-3450 910-F15 JOB ADDRESS �614 Bri adoon Pl 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION DESCR. 9 2 Blombe 2 PROPERTY OWNER MAIL ADDRESS Kenneth Olson 7614 Brigadoon P1 3 CONTRACTOR MAIL AOORESS Owner 4 ARCHITECT OR DESIGNER MAIL ADDRESS 5 ENGINEER MAIL ADDRESS 6 USE OF BUILDING Residential REV Estates �R�AIT NO. 27004 �� / DATE pAGE OF APPROVED BY 8/5/98 / / ZIP 21P SEE ATTACHED SHEET PHONE -7651 PHONE LICENSE NO. PHONE LICENSE NO. PMONE LICENSE NO. 7 CLASS OF WORK O NEW O ADDITtON ❑ ALTERATION � REPAIR ❑ MOVE ❑. REMOVE B DESCRIBE WOHK Renlace damat�ed siding (3_sides) 8 CHANOE OFUSEFROM TO STIPULATIONS Call for building wrap inspection before covering. TYPE OF CONST. OCCUPp SEPARATE PERMITS ARE REOUIRED FOR ELECTRICAL, PLUMBIN(i, HEATING, VENTILATING OR AIR CONDITIONING. THIS PERMIT BECOMES NULL AND VOID IF WORK OFi CONSTRUCTION 20NING SO. FT. AUTHORI2ED 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. OWLG. UNITS � HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION STALLS AND KNOW THE SAME TO BE TRUE AND CORREC7. ALL PROVISIONS OF LAWS VALUATION AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL 8E COMPLIED WITH WHETHER SPECIfIED HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITV TO VIOLATE OR CANCEL THE pEfiMIT FEE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGUTATING CON- STRUCTION OR THE PERFORMANCE OF CONSTRUCTION �l}O._ZS OF CON'RACTOR O TNORIZED AGENT IDATEI �c � �� ]F (1WNER�IF OWNER BUILDERt 10 TEI I . LIDA AL OCCUPANCVLOAD CU. FT. f PARKING GAFAGES � rTEW ADDN ALTER [] Il [l CITY OF FRIDLEY SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION Effective 1/1/98 �pL� �� . !� ConstructionAddress: �lv �� /P/�/�'� ��% I L ' � ` � C C.� . ./�'I /� Legal Description: Owner Name & Address: Contractor: Address: LIVING AREA: GAItAGE AREA: DECK AREA: OTHER: Construction Type: [� Tel.# ��'!o�%�Sf• MN LICENSE # Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF IlVIPROVEMENT Length Width Height Length Width Height Length Width Hgt/Ground ��Pc�}e� , . Tel. # Sq. Ft. Sq. Ft. Sq. Ft. � �r�� S _. s Estimated Cost: $ 1��'(� � (Fee Schedule on Back) Driveway G�rb Cut Width Needed: Ft. + 6 Ft = Ft x$ _$• DATE: �� ' 0 APPLICANT: Tel. #°Z ��% 6 S 1 Permit Fee Fire Surcharge Staxe Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee Sewer Main Charge TOTAL STIPULATIONS: � �/�, ��°- � j��C� $ ��a $ $ $ $ $ $ � �� s CITY 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 [ ] Not Necessary [ ] �. a ¢ � . -r. BUII..DING PERNIIT FEE SCHEDULE The Chief Building Official shall, before issuing permits for the erection of any building or structui°e, or for any addition to any existing building or structure, or for any alteration or repair to any existing building or structure, upon application therefore, require the payment by the applicant for such permit of fees to ttie amount herein below set forth and in the manner herein provided to-wit: TOTAL VALUE $1 to $500 $501 to $2,000 $2,001 to $25,Q00 $25,OQ1 to $50,000 $50,001 to $100,000 $10�,001 to $SOO,Q00 $500,001 to $1,000,000 $1,000,001 and up FEES $21 (Minimum Fee is $21 plus surcharge) $21 for first $500 plus $2.75 for each additional $100 or fraction thereof, to and including $2,000 $62.25 for first $2,000 plus $12.50 for each additional $1,000 or fraction thereof, to and including $25,�0 $349.75 for first $25,000 plus $9.� for each additional $1,0� or fraction thereof, to and including $50,000 $574.75 for first $50,000 plus $6.25 for each additional $1, 000 or fraction thereof, to and including $100, 000 $887.25 for first $1�,000 plus $5.00 for each additional $1, 000 or fraction thereof, to and including $500,000 $2887.25 for the first $500,� plus $4.25 for each ,additional $1,000 or fraction thereof, to and including $1,000,000 $5012.25 for the first $1, 000, 000 plus $2. 75 for each additional $1,000 or fraction thereof DRIVEWAY DEPRESSION ESCROW . (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 with 6 inch depth - Driveway width plus 6 feet times $15.75. VERIFICATION OF FOUNDATION Permits for construction will be issued a minimum of 24 hours from the time of application to allow for proper review of the proposed structure and of the construction site. A Certificate of Survey of the lot, showing the location of the foundation once it has it has been const��d will be required before proceeding with the framing. . _�, SUBJECT P City of Fridley 7 6 91 AT THE TOP OF THE TWINS g U I L D I N G P E R M I T r � � . � �• COMMUNITY OEVEIOPMENT DIV. J�� r �~ � PRO7ECTIVE INSPECTION SEC. �� i .1 � � 1 �"'1 � CITY HALL FRIDLE� SS43Z NUMBER REV DATE PAGE OF APPHOVEO BV �---�� '' 612—s7i-3a5o s�aF�s 9/10/98 / / JOB ADDRESS 7614 Bri adoon Place NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 9 2 Blomber Estates SHEET 2 PROPERTY OWNEH MAIL ADDRESS 21P PHONE Pat & Ken Olson Same 78 -7651 3 CONTRACTOR MAIL ADDRESS Z�P PHONE LICENSE NO. PTL Contractin 2526 N Ferr St - 4 ARCHITECT OR OESIGNER MAIL ADDRESS ZIP PNONE LICENSE NO. 5 ENGINEER MAIL AODRESS 2�P PHONE LICENSE NO. 8 USE OF BUILDING Residential 7 CLASSOFWORK � NEW ❑ ADDITION ❑ ALTERATION � REPAIR � MOVE O REMOVE 8 DESCRIBE WOFiK Reroof house & ara e 27S Tear- ff 9 CHANGE OF USE FROM TO STIPULATIONS Underlayment must comply with the � State Building Code. TYPEOFCONST. OCCUPANCYGROUP OCCUPANCYLOAD SEPARATE PERMITS ARE REOUIRED FOR ELECTRICAL, PLUMBING, HEATING. VENTILATING OR AIR CONDITIONING. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING SQ. FT. CU. FT. AUTHORI2E0 IS NOT COMMENCED WITHIN 80 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONEO FOR A PEHI00 OF 120 DAYS AT ANY TIME AFTER WORK IS COMMENCEO. NO. DWLG. UNITS OFFSTREET PARKING I HEREBY CERTIFV 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 OHDINANCES GOVERNING THIS TYPE OF WORK WILL 8E COMPLIED �5,960.00 �I.IC WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITV TO VIOLATE OR CANCEL THE pEpMIT FEE SAC CHARGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- �](�.75 Fire SC �2.31 STRUCTION OR THE FORMANCE OF CONSTRUCTION PLAN CHECKFEE TOTAL 0 License $5.00 $83.22 Si ATURE OF CONTRACTOfi OR AUTHORIZED AGENT , IDATEi yy pp pER IDATE IS IS R PERMIT � _/ � C SiGNATUREOFpWNEA��FOWNERBUILDERi IDATE� BLO NSP fiiTE .. � NEW ( ] ADDN [] ALTER (] ConstructionAddress: � Legal Description: Owner Name & Address: Contractor: �/' ` Address:��-�, ,!V , LIVING AREA: GARAGE AREA: DECK AREA: OTHER: CITY OF FRIDLEY SINGLE FAMILY AND DUPLEXES R-1 AND R-2 Building Permit Application Effective 8/1/95 � �� _�� Tel- #��.�— � MN LICENSE # �Z �� ,�� ./�� ✓`-�s'�� Tel. # ��`7 yUo Attach to this �.pplicatioa, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF IMPROVEMENT Length Width Height I,ength Width Height Length Width HgtlGround . � �� Sq. Ft. Sq. Ft. Sq. Ft. � Comer Lot [] Inside Lot [] Ft Yd ack Side Yard Setbacks Type of Construction: . � ,P � Estimated Cost: $ � �°l�/'� _ T Approx. Completion Date: I?riveway Curb Cut Width Needed: _ DATE: APPLICANT: Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee Sewer Main Charge TOTAL STIPULATIONS: (Cost on Back) Ft. + 6 Ft = Ft x$ CITY USE OATLYr _ $ Tel. # r $`� ,� Fee Schedule on Revease Side $ � .001 of Permit Valuation (1/lUth%) $ � $.50/$1,000 Valuaxion $ $850 per SAC Unit $ � $5.(� (State Licensed Residential Contxactors) $ Alt. "A" or Alt. "B" Above $ $450. � Coaservation P1an Review $ Fee Determined by Engineering $ Agreement Necessary [ ] Not Necessary ( � $ 3, 2 � � a �UILDINii PERMI'd' FEE SCHEDULE The �hief 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 sbructure, upon applica,tion therefore, require the payment by the applicant for such permit of fees to the amount herein below set forth and in the manner herein provided to-wit: TOTAL VALUE $1 to $5(� $501 to $2,0� �2,(}fll to $25,0� $25,�1 to $50,0� $SO,Q�1 to $1(JO,Q00 $l�,t�l to $5�,(m0 $5(10,001 to $1,{�0,� $1,�,�1 and up FEES $21 (Minimum Fee is $21 plus surcharge) $21 for first $5� plus $2.75 for ea.ch additional $1� or fraction thereof, to and including $2,� $62.25 for first $2,� plus $12.50 for each additional $1, 000 or fra,ction thereof, to and including $25,000 $349.75 for first $25,� plus $9.� for each additional $1,(}00 or fraction thereof, to and including $50,(�00 $574.75 for first $50,� plus $6.25 for each additional $1,000 or fraction ther�f, to and including $100,0� $887.25 for first $1�,� plus $5.00 for each additionai $1,000 or fraction thereof, to and including $500,� $2887.25 for the first $St�,� plus $4.25 for each additional $1,00(} or fraction thereof, to and including $1,Q00,0� $5012.25 for the first $1,0(�,OQO plus $2.75 for each additional $1,� or fraction thereof DRIVEWAY DEPRESSION ESCItUR� (Concrete Curb Streets Only) Alternate "A" : Removal and replacement of curb and gutter anly - Driveway width plus b feet times $13.Si1. Alternate "B" : Removal and replacement of curb and gutter and install a 3 foot wide approach with 6 inch depth - Driveway width plus 6 feet times $15.75. VERIFICATION OF FOUNDATION Permits for construction will be issued a minimum of 24 hours from the time of application to allow for proper review of the proposed structure and of the consiruction site. A Certificate of Survey of the lot, showing the location of the foundation once it has it has been constructed will be required before proceeding with the framing. � D .''',� -` � o '0 � a � O N � N � . -� O N � n � � o = � o � a� 0 �•-o � � oq � '� d O � m °' � N � �- m � � `-,° a . � '+ � O C � D � � 0 < m a � � 0 c OG � � � n� m � m Z � "O m --i O z � m rn � � V 0 0 � 2 � � o N � cn �� o � oi � C m a _ o � D '�, v °—' �' � � m 0 � O � O �'' � � D � r � � c rn � m � � � oq fD tfl tfl 4� ' � � ��'�' �� D 0�2 � Q � Z � I�� C� O ) Q � � � 0 � � m � � � � � � �-i � rn r � � � � � � � � � H � m c -� �- � �• n (D m � m � h o a � a��N ,� O m . � � � � v� cW �_°' Q � ,�N+ ' W � �j'o`�° a � n, a- �•oo� �,<'� ��'—� w o' � � � � O y '� � � o� .° � _' v � Q N � h � � �. D � m � =� a' O -i �� rn �° m o ° St� =��—,an, ? � � � -a � � N � � �� « 1 0 °+�o Q-• � r,. -. � _ �- ,-� Q ) ,.�� m �- T" m c) � � iv � o N O � � Q 7' � �p (�D Q N � 01 � � D �_ � O � � < � � N � m m 'a O � D 's� -� cn sv' D � .=r m � o h � o � � o �' � r' � --I O Z W D C� v t� C W � m � -� � Q m Z n� � 2 "'0 � N m z m 0 D � n 0 � a 0 7 � O4 D � N m � � N (Tt O O G� G� G� D-n c�D L11 � � tn � H N tn �n O � p, � � -p ^ � c°�i � -p' VJ N � � a � � � ��d .� < � m •��+ � ,.�.�. � N � Q "'�10 � ��a ' 1-t Q-=� � c g�?p�� m � oo � o �� " W v -s C fl1 � N � t� t� � � � � � w O O O O � � O O O O � � � E� � -� O � � � � o N d — C � � Z = � � m i� � � � •\ . _ c� m O � � N v� � m � m z .. � � o = 0 �� , �� D m � � a � m 0 C� O � c� --i �-% o � � � a � m � 3 z � O Z m � � � �� a � 1 � C r � Z L� C � m � � � � "� m � n _ � v C r �*i �^�1rnc� Wac�� V :Ti =� C � � V � � NZN :U � � � � � �' .°p �' .� m r W < � � N � � � m� m � O Z � � � � .0 Z '0 r � � � O L� Z m .r, � 0 —1 '� O �` Z � Z � v� a� �o �� vz �v o= � •° z� �i — � o �� rn �n cn m p N N Z � V � � orn � vZ � �� C) � N O � � Z � � � � I� I ° r� �n M m n rt c m � � � w n � � Y N O O W THE BELOW MUST BE FILLED IN WHEN REPLACING FUEL BURNING APPLIANCES OR THE APPLICATION WILL BE RETURNED , , .;, .: �►. •�� r•► , � � r�l►�I hin'in�liii►�.-.rv..�..,:-_-• -- -- - —' - �en r�nlarin� an eYictinO�, the undersigned hereby verifies that the venting has been examined and is free from rust, deterioration, obstructions, Yes � No and is securely supported and firestopped where required. < <� The venting system is plasticlPVC and meets all current codes and manufacturer specifications including sizing, length, number of elbows and termination. Yes (► No () The undersigned also verifies that the replacement unit is a listed assembly and meets the current codes and manufacturer's specifications. This does include AGA-GAMA Category I Central Fumace Venting Tables for fan yes () No () assisted and natural draft appliances. The is sized and installed to meet the current codes and manufacturer's specifications. V11hen required to ' ' it will be si�ed and installed to meet the current codes and manufacturer's specifications. Yes ( ) No ( ) Yes ( ) No ( ) �n ��nea• ��rpm� the undersigned hereby verifies that if is a listed assembly and meets the current codes and manufacturers specifications. This does include AGA-GAMA Category I Central Fumace Yes () No () Venting Tables for fan assisted and natural draft appliances. Is the common vent and vent connectors sized and installed coRectly after an appliance has been removed from the common vent and vented Yes () No () separately as per current codes. ��. .� - .- .�. .��.� -� .�. -� .��- . � ..��.�.. qppliance #1 Type BTU Input __ Fan Assisted or Nat Appliance #2 Type BTU Input __ Fan Assisted or Nat _,_ AppUance #3 Type BTU Input _ Fan Assisted or Nat _ Total Appliances _ Total Btu Input � Common Vent Type Vent Height Diameter ______ inches Appliance #1 Vent Connedor Height ___ ft �en9th ft Diameter in Type ,______ Appliance #2 Vent Connec�or Height ft Length ft Diameter _in Type _ Appliance #3 Vent Connector Height_, ft Length ft Diameter,_in Type M HEATING CO: Signed By: Date : sue�ecr P . City of Fridley � 3 3 8 71 AT THE TOP OF THE TWINS g U I L D I N G P E R M I T r NO. � � COMMUNITY DEVELOPMENT OIV. o /�� , • T � ; V � �� r � � PROTECTIVE INSPECTION SEC. 1 . � � � �"�1 � CITY HALL FRIDLEY SS�3Y NUMBER REV DATE PAGE OF APPROVED BY �""� � ��' 763-571-3450 910-F15 9/11/03 � � J08 ADDRESS 7614 Brigadoon Place NE 1 LEGAL LOT NO. BLOCK TfiACT OF ADDITION SEE ATTACMEO oescR. 9 2 Blomberg Estates SHEET 2 PROPERTY OWNER MAII ADDRESS ZIP PHONE Pat Olson 7614 Brigadoon Place NE 763-786-7651 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Renewal By Andersen 1920 Co Rd C W, Roseville MN 55113 651-264-4777 20130983 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO 5 ENGINEER MAIL ADORESS ZIP PHONE LICENSE NO B USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW 0 ADDITION O ALTERATION � REPAIR O MOVE O REMOVE 8 OESCRIBE WORK Re lace 4 windows and 1 french d o with n e istin o enin s 9 CHANGE OF USE FROM TO STIPULATIONS Provide smoke detectors in all sleeping rooms and on all levels of the dwelling per Section 310.9.1.2 of the 1997 Uniform Building Code. Caulk and flash all exterior openings. � i� Inspection ards iU �� ail� T� o �o�n�r To �� TVPE OF CONST. OCCUPANCV GROUP OCCUPANCY LOAO SEPARATE PERMITS ARE REOUIRED FOF ELECTRICAL. PLUMBING, MEATING, VENTILATING OR AIR CONDITIONING THIS PERMIT BECOMES NULL ANO VOID IF WORK OR CONSTRUCTION ZONING SQ. FT CU FT. AUTHORIZED IS NOT COMMENCED WITHIN 60 OAYS. OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERI00 OF 120 DAVS AT ANY TIME AFTER WORK IS COMMENCED. NO DWLG. UNITS OfFSTREET PARKING I HEFiEBY CERTIFV THAT I NAVE READ AND EXAMINED TMIS APPLICATION 1 STA�LS GAFAGES AND KNOW THE SAME TO BE TRUE AND CORRECi. ALl PROVISIONS Of LAWS VAI,UATION SURTAX ANO ORDINANCES GOVERNING THIS TVPE OF WORK WILL BE COMPLIED WITH WME7HEii SPECIFIED MEREIN OR NOT. TME GRANTING Of A PERMIT �7�622 �3.H1 DOES NOT PRESUME TO GIVE AUTHORITV TO VIOLATE OR CANCEL THE pERMIT FEE SAC CHARGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING coN- �153.ZS Fire SC �7.C7Z STRUCTION OF TNE PERFORMANCE OF CONSTRUCTION PLAN CMECK FEE TOTAL FEE Licens SC $5.00 $169.68 S�GNATUAE OF CON"AACTOA Op AUTNOA�ZED sGENT iDniE� W EN PfiOPERLV VAL�DATED THIS IS Y R PE MIT V Y S�GN4TU�7E O� OWNEA ��F OWNEp BU�IDEp� �DATEi INS f E r�w � � t�DDN ALTER Effective 5/10/99 [ l CITY OF F'RIDLEY [] SINGLE FAIVIILY AND DUPLEXES R i AND R 2 BiJILDING PERMIT APPLICATION �onstruction Address : Legal Description: � Owner Name & Address:�� `��j� -�� - Tel. #�( 9� �-l� 9�� l.9cJ i Contractor:; ��,�,Wa� �u Q.n�.�S�,� MN LICENSE # vlb 13b9 � 3 Address: j9 a � C.ov.n� �c aad C, W�e, k. �.t�SC.u� lk. ��1t� S�S l l"� Tel. #(c5l • alo4 � y�'�" Attacli� to� this appl�cation, a� Certificat� of S�rvey of-�.e � lot, with th��}�rogosecl'�constr�ic:tion� drawn on�it to scale. , :;. .: . - - . I7E�.�.�.�T U� ��T.?. '�I'11��1T. _ - ` LIVING AR,EA: Length Width Height � Sq. Ft. GARAGE AREA: Length Width Height Sq. Ft. DECg AREA: Length � YVidtli � H Ground. Sq. Ft. O�R: �� C'�C � �'�l 1 C� �� C �1 �l.0 L`,�-� �6�� c� �°� � V'�G� j - Construction Type: J Eshmated Cost: $� Q��, �(� Driveway Ci�xb G�t Width Needed: Ft. + 6 Ft = Ft x$ � _$ - DATE: � � • l�� APPLICANT: TeI. #_ `��j 2► •3y,S • �i �- Permit Fee Fire Surcliazge state Surcharge SAC Charge Lic�nse S�zrcharge Driveway Escrow Erosion Control Park Fee Sewer Main Charge TOTAL STIPULATIONS: $ � �� . o�.� � `�•(�� .�sl $ $ .��..pC� $ $ $ $ � . / 1� CITY USE ONLY Fee Schedule on Reverse Side .001 of Psrmit Valuation (1/lOti�%} $.50/$1,000 Valuation $1050 per SAC Unit $�5.00 (State Licens�d Residential Co�actors) Alt. "A" or AIt. "B" Above $450.00 Conservation Plan Review Fee Determined by Engineering Agreement Necessary [ ] Not Necessary [ ] _C < hI011-12-20@4 12�27 CITY � FRIDLEY P.02iO3 � � 0 H � x � m O � � n � m � T y^' � � �.. Z � ��'3 m � � c � � m -o v � � 0 � � 7 � � � a � � � * �� n o a � S 3 � � � o� �� -p o � ;� n' o � �a m Q. � �_ �. � 3 a � m � � n � � T rn m � °o \ 2 0 c �0 � yC � � � � � 1 0 a r T I�m'1 $ � _� � � � d � �w w�o g� �m m � O � O m � � r a °�* � � � � �' �t t � � R � � ...+ ..- __ ._ � _ _ -_-_ 3 � � � � . Q � � � � � � �\ �D � � � � � �3'� � 3�`� 3 � T � w � � m O � � -.. _. �' � � � a� 3,iA�0 �g�ia � O tpp � N � � �n"�O � � In r{+ � m Q � m w � � � � � � � � � � � O v � i 0 N �+ 7 � ��1__V __..___-__ _- O � � 0 S � � � aag (� � � �. tp a � m � � �- �zg� o � � � � � o � m � �Q�o� Qao' Q' 3 0 _ m � c o m � o � � a � � ��°— 'ii 3 r+ W ~ � � ° � p �� m a � � -� � w m�� r� �oQ. �'r .. 8�� '� r`� � '� o � � �' � �' � � � m 5 � � � o� c� m � a � m � s � � � �° D m a° m m � m � � � � � z �' G 3 $ � � '� � � � o� � � � � A m 0A1 � W m � � �� g � � m � m O � m c m � O O O t,W�t � O O O O � � � � � � � �� m �Qo ,� m � a� �g�a o � � `1 � � o _ _ O � � � � � � � � a � � Q�� ° � � o `'' 3 � � b v � 0 0 m � � 0 m c o. � � a � 0 0 0 � m 3 � � �� N I� � ' � N Cf "'�' A A �� z � � � � � � � < v � � � nn �� W C � � Y o t+ N z � � � N � ♦ + � _ � m � � � � � rn � � z � � vo � � � O � Z �s v � � O x„ z � � G . � 1�* -y-1 � � m Z . N Li Z8 ° z �`'' m . �! m m �� p � � �: 0 m z � � A �� i`l 0 � � J � Building BUILDING Permit No.:� �U`'�� Inspections RESIDENTIAL APPLICATION Received By: �%°�' 763-572-3604 CITY OF FRIDLEY �� 2��0 763-502-4977 FAX EFFEC� 1-I-zoio DATE / I � V YOUR E-MAIL ADDRESS 'i�'1�,� j� � Q U��e � t,p ��Q , Yl � srrE Ann�ss `7101 �! �.�G-f��ao�U �Ae.E. /U� THIS APPLICANT IS: PROPERTY OWNER/ TENANT CONTRACTOR SUBMIT A COPY OF YOUR STATE LICENSE AND CERTIFICATE OF INSURANCE PROPERTY TYPE PEItNIIT TYPE ❑ OWNER STATE LICENSE # ADDRESS: %"�l. '�60NTRACTOR ❑ SINGLE FAMII.Y/NEW CONSTRUCTION ❑ TWO FAMII.Y/NEW COIVSTRUCT'ION ❑ BASEMENT FIIVISH ❑ ROOF ❑ DECK �SIDING � SWIMM[NG POOL �,�{JL„�t( STATE �IUZIP—�7 �,� Exr nA� � �_CITY�_ F� 76�-�33— SIZE STORIES ❑ WINDOWS ❑ DRAIN TII.,E ❑ OTHER TYPE OF WORK: ❑ NEW HOME CONSTRUCTION ❑ ADDIT'ION �MAINTENANCF/REPAIR ❑ REMODELING DESCRIBE WORK BEING DONE: — ( T S� I T_ SIZE OF IMPROVEMENT � LENGTH WIDTH ROOFING HOUSE ONLY NUMBER OF SQUARES ❑ HOUSE 8c GARAGE GARAGES PROPOSED SIZE: PROPOSED HEIGHT: SIDING ❑ Vinyl �Other�_� -- 3 �� V �� wmmows IN EXISTING OPENINGS ❑Yes ONo OR FOR NEW OPENINGS-DESCRIBE SIZE OF OPENING CHANGES 8c TYPE OF WINDOW TO BE INSTALLED ALL FEES ARE BASED ON V. TOTAL JOB VALUATION $ Permit Fee Plan Review Fire Surcharge Surcharge License Surcharge 5AC Charge Curb Cut Escrow Erosion Control Pazk Fee Sewer Main Charge Total Due ❑ ATTACHED GARAGE ❑ DETACHED GARAGE HEIGHT FT BASEMENT REMODELING SUBMIT: 1. Existing Fl�r Plan 2. Proposed floor plan 3. List of structurai members to be used FOR NEW CONSTRUCTION INCLUDING DECKS, �dSoffit ADD�TIONS. & PORCHES SUBNIIT: �T� 1. Site Plan/Survey showing the existing structures �Fascia and proposed project. 2. Two sets of construction plans 3. Energy Catculations LOCATION OF WINDOWS FOR WINDOWS — PROVIDE U-VALUE AND MANUFACTURE STICKER ON WINDOW. NUMBE[t OF WINDOWS UATION, INCLUDING THE COST OF LABOR AND MATERIALS: 5�G�T� 1997 U.B.0 FEE SCHEDULE) i ' � � 1� � OCCUPANCY TYPE $ � rj �.� See Back Page for Fee Schedule $ �-- 65% of Building Permit Fee $ .001 times the total job valua,rion $ �� .0005 x Permit Valuation Minimum $.50 $ s. � $5.00 (State Licensed Residential Contractors) $ $21(}0 per SAC Unit (Plans to MWCC for determination) $ ft+6ft= ftx$22=$ $ $450 Conservation Plan Review $ Fee Determined by Engineering $ Agreement necessary ( ) Non Necessary ( ) $ _ M�ke checks payable to: City of Fridley Att�ch THIS IS AN APPLICATION FOR A PERMIT-NOT VALID UNTIL PROCESSED I hereby apply for a building permit and I aclmowledge that the information above is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Fridley and with the Minnesota Construction Codes; that I understand this is not a permit but only an application for a permit and work is not to start without a permit on site; that the work will be in accordance with the approved plan in the case of.� which req ' view approval of pl 3IGNATURE OF APPLICANT ii��.( �lt.�-��-- o �� RINT NAME �� 'C��'� � DATE � NO'TE: SEPARATEIPEY�MITS ARE REd1i�(ED FOR PLUMBING, ELECTRICAL AND MECHAIVICAL WORK