AF - 35568sue�ECr PE NO.
City of Fridley ° 16 0 3 2
�
AT THE TOP OF THE TWINS g U I L D I N G P E R M I T --�
„
� � RECEIPT NO.
� ' COMMUNITY DEVELOPMENT DIV. / � ��
r � L � PROTECTIVE INSPECTION SEC. �
' � � �,�
1 � i
1
� /�"1 � CITY HALL FRIDLEY 55432 NUMBER REV. DATE PAGE OF APPROVED BY
�'"'"°� � ,�� 612-571-3450 910-F15 12/12/80
� /
JOB ADDRESS 7638 8rigadoon Place N.E.
t LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED
DESCR. ]_], 2 Blomberg Esta.tes SHEET
2 PROPERTYOWNER MAILADDRESS ZIP PHONE
Rd�7 ((�].�.�.13II1S
3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO.
�arjac Construction Co. 7635 Arthur Stxeet N.E. 784-3479
4 ARCHITECTORDESIGNER MAILADDRESS ZIP PHONE LICENSENO.
5 ENGINEER MAILADDRE�������� ������� ZIP PHONE LICENSENO.
6 USE OF BUILDING ��'�°A�/ng ��� p�'����� �� g.
Residenti.al � �� g`� �,� Si��j��
7 CLASS OF WORK
X NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE
8 DESCRIBE WORK
Construct a 4�' x 36' Dwielling and a 24' x 24� Garage
9 CHANGE QF USE FROM TO
STIPU�ATIONS 'provide a hard surface driveway. Provide City with copy of verifying
survey before capping. Provide sod in the front and side yards.
SEWII2 LOCATION (only 6` Deep In Street� 150` 5. of M.H. (Inv. 895.30�
WYE ELEVATION: 894.70
TOP OF FOOTING: Expose service prior to establishing foo�i.ng elevation.
WATER TACAT�ON: Approx. 10' N. of �ewer Service.
DRIVEWAY DEPRESSION: N/A - Depressions are in as per developer.
;�� �°�' �� �►��� ARHIHG
A����� �� �oES �r �c�����7��
z�;:; �a�,� as �� f� �c��r��s ��,� rr�w �efore dsgg6ng call lacal ufilitf��
!�E���s�s tsyP�o� �at�� punPO�� ;�tt��aa��c.,.. -�. T�LEPHQfVE � ELE�T�IC - GA� E��a
.-�� T�r :.t,.�. �' s�+rx�c.� t���o�t� e^��r ,,;t�4 ��f��`��� �� ���
��"t� ��.�e,a^,.y�aa as
r,. .�v-,qa�',
6 : �.!
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 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. OWLG. UNITS OFFSTREET 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 ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED $48,350 �`24.I.S
WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT
DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE pERM1T FEE SAC CHARGE
PROVISIONS F ANY OTHER STATE OR LOCAL LAW REGULATING CON- $104.38 y$L,�2�j.00
T�TION O THE PERFOR� OF NSTRUCTION.
� PLAN CHECK FEE TOTAL FEE
� $26.10 $579.66
si� ATUREOFCONTR CTORORAUTHO ZEDAGENT (DATEI WHEN PROPERLY V IDATED THIS IS YOUR PERMIT
SiGNATURE OF OWNER iIF OWNER BUILOER� —iDAT� BLDG �NSP � �p �
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CITY OF �ItIDLCY •
A('PLIC�'['I�'d F'�ft Rl:SIDt:i�ITIfti. QUI�DIiiG PGFU�iTTS
(tJet•�, �t1 t;er.�Lions, /ldd�ii:ions, or R�pairs)
� (�t�IJER: _�/f��i � ��' ,^��� ,.A��
IIDQRESS:
Tc� �a:
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�UILQE:R: _ ����°�� Ce��� �
nna�tcss: ��.�.� ��i����2 �S�' �r=
-r�i ��aa: �� � �•� �7 �"
�
� Consl:ruction Location '
• STRE�E�.' NO: ���� STREF.T: �I�/ ��r� �� t✓ ��. AG� •
. ,
I,OT: . Il BLOCK: � ADnITION : � ,l �e� � b� Q � �
Corner Lot: Insic3.e Lot: r'i Set}�acY.- ,,�� Sideyards: �� /�'
Ap�li.can4 at�tach to this form twa Certificates of Survey of lot axid
. proposed buildzng 1.ocation draivn on certi.ficates to scale.
DESCRIPTTOId OF COP�lSTR�JCTIOPJ •
. � -
� " I�ront: '��(� Depth: �S� � 3 � Ii�ight: �
S�a:�e. k'eets �I � D Gitbic �`eefi.: . � :�.
, Front: De�th: He3.qht:
Squaze• FePt: Gtiibic Feet:
� �, 3a°Z�' ov
Type af Construction: �� N1 � Esi.imated Cost: $_� ,
�.b Be Cbr�pleted: 4U1 ��C 1► p
' . . � Alt. A A].�. B
Proposed Drive���ay Sr7i,dth If New Opening Is Desired: $' $
. . .. SE� RE.��ERSE S7DE OF SHEET
R�ie under. �igned hereby makes �pglicata.on for a permit for �he �:nrk� herei.n specified,
agx.ceing to c.� ,alJ. work iri strict accordance e•�ith ihe Ci4y of I'ridley Orc�inar�ces a�zd
ruliiags of tlte De��artment of 13uildings, and hereby decl�res that all th� tacts and
represent.ltiens stated ;n t.his applicatian are true and co�rect.
D.3TE: i `1.� � °� l� SIGN�1xU�::
5tipulatians: �
Pree�►�r u .e�'c` �c �t �
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Idy,38
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:;I.:C'.C�01�� ?.. � 7.'1�� 7n•:��eei:ar. of l�ui.lc?i>>�J ;::li;il.a., betc,i:c: �.:;:;ui.ncJ J�c:nnits !.'�r l:lie crr.cL�.an
uf: ���iy )�u�.:I.c1.ii�;J ax :�i:ruct:uLC� w: fc.�l: uiiy ae]Qi.t:i��n !:o cu,y cr.i:;t:i.>>c1 Luilc�i�lg nr :.L•xl�ctur.{s,
. ei�' i`a1� ar�y cia.l:crr.itic-,ii ar. r.cl,air.e; Lo •��ny c>:3.�`.L•ii��� I�uiJ.di.,uJ or. �L•�:ucturc, uZ�e,n ar���].i.e:at.�.on
�L•1icr�for.c, r.cqu.i.r.c t�hc l��aymc►,i: l�y tl�c .zr�z>>.�.�at,t: ru�- st�ch per.mS.l: oi tec.^, ta tlic ainaant
hrr.�:.iti bc:J.oa� �c;l• foy:L•)i �incl 5.» i:hc iaanricr. hczca.n �»:ovicicrci to-�aii:: •
1.I:1�� COId�`17;UC'.CIO2J: SingJ.c l:'ami7.y Uoines and Ga�'�Zqes: ,.d.00/].,000 cuL-xc �'ec:t.. •
i'LF�:d CItI:CI:: 25 pr.rceitt: aL• bu�:lclin�l ��e�-�ni� i�e.
b1tl�rI:t;l1Y llL•'L'P1:5SIOt•:: (COncretc, CZixb uL-rcets Only) �'
' A].tcrn.-�t:e T,: it��noval and re��l.accn�ent oi' concre�e curb and
qutL•er only; 17riveway �•IlCIt}l plus 6 feet• x�:�,5075
7�l.ternai:c B: }.emoval and rep�.acement of cancrete curb and
. � gutter and iiist�ll a 3 foot wi.de approaeh ���ith
' .. 6 i��ch clepth; Drivcr�ay width �plus G feet x$17.85
• . ADDI i l 0��/1L I(`�OR��1/iT I Or �
£or the purl�se of co;npuL-i_ng iees for building permits,. L-he cub9.ca1. contents of any
bui3.di.ng or addition, i.s dci:er.nined l�y multip�.yir�g :he ground area covered from a
p�a.nt six (G) inches belo�� ihc iloor J.ine oi tlie basement or th� cellar to 'the
average heights oi the •u�per surface ar i.o ihe average heicPub of the roof. surf:ace
of t.he raaa.n gabl.e oP a pitched roof. �.
For re�ai.rs or a�terations ta an exis�ing stz.-�zcture, the fee shall be a� the xate
af $3.00 rcr each �ive hundred do].lars °($500.00) or fracL-ion thereof .a.n the cost
of all prpposed wor.Y. . . '
In •no e.ase �ha�.l .the f�e cl�arqed fdr any pPx.^�� .�� set %r.t : in 5ecti�n 2 b�:-12ss
ti�n $7.50 plus $.50 staL-e surcharqe. � '
� _ VERTFIC�TI0�1 �F i=OU.�IDt1TI0fd
NOTE: Permits �or COT1S;i=1"l1Ct:lOI1 �vill be issued a minimum of 24 hours from ilie ti.me
nf application to al.low for proper review of ihe proposed sLucturc and oi the
construction site.
;
A CeriS.ficate of Suxvey of the lot, sho�oing the Iocat.ion of tiie foundation once it
has lieen coiis�nicted �aill be required be�ore proceedinq with the iraTning.
,.�r$TIFIC(� E �F O��UPA�CI' �
�►PP��-Cation i'or a Certificate oi Occu��ancy sha11 be mac?e ten (1C1) days prior to the
uce or accupancy oi any sti-ucture for �ahich a bu3.lcliiig pezi;�it l.as been a.ssued; and
saicl struct:ure :�13].�. iiot Ue used oz- occu�ied Luitil a CCrL"].�1C1i:e O.f OCCUj�Z12Cy has
bcen issu4d.
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�ONd�7['C�iIC 8e DAVIS, �[NC. Consulting Eagiti�ers and Land Survey�s
14� County Road J, Mia�neapat�s, MN 55432, (fi12} i849346
SURVEY FOR:
B & G Investments
961 tiillwind Road
Fri.dley, Alinnesota 55432
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DESCRIPTION � �
Lot 11, Block 2, Blori�ierg Estates, City of Fridley, Anoka Caunty, rZinnesota.
SCAI.E: 1►� _ ��
Q Denotes 1/2" diarseter iron vine monument set and capped No. 10832.
I hereby certify that this suzvey, plan or regort was prepared by me or under my direct
supervision and that I am a duly Registered Land Surveyo� under the laws of the 5tate
of Rqinnesota.
„ � � ,
~3Z�,�,� 1�832 Nov. 17, 1980 1278 9
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, COMST(3CK & DAVIS, INC. Cot�sulting Eugineers attd Iand 3�rrv�yr�a
1446 Couuty Rozd J, Mm�apolis, MN 5.5432, {.b12) 7�4-9346
HOUSE LOCATIO�i FQR
B & G Investments
961 Hillc�ind Road �
Fr3dley, Tlinnesota SS432 � �
, �`--� . - . � . - _
_ � M 88°'S%'S3~ W 137. Z5' t t zs': _
'� ��'• tis�9 �:s.� ss.; :-as� � _ � �.
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DESC?tIPTZON . ' - �
Lot 11, Bloek Z, Blo�berg Estates, Citq of Fridley, Anoka Coeraty, Minneaot�. _
�ALE: ln � 4�
� Denotes 1/2" diarseter iron �i�e acsnu�eent found .
I hereby certify that this survey, plas► or report was prepared by tne or itrnler my dir�ct
, supervisifln and that i am a duly Registered Land Surv`eyor under the laws Qf the St�t�
of N[innesota.
/Cesh- /0�3-� /%�4vclr � /Y8 ( 4415 9A pp� 2
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t� March 30, 1981
CI'�'Y OF FRIDLEV
8431 UNIVERSITY AVENUE N.E.� FRIDLEY, MINNESOTA 55432
TELEPHONE ( 612)571-3450
;��; Mr. Gary D'Aigle
Garjac Construction Co.
`:r 7637 Arthur Street 2d. E.
Fridley, MN 55432
Rea Final Inspection at 7638 Brigadoon Place N.E.
Dear Mr. D'Ai.gle:
A final inspection was' made on 1�la,r.ch. 27, 1981 of the above address and
the following items were noted which must be completed F�efore t�i.e
structure can be finaled out;
1. Pmvide sod in the front and side yards by June 15, 19i31.
2. Provide a hard surface driveway by June 15, 198i.
We will expect the above itesns to be caanpleted by the scheduled date
when a reinspection will be made to determine ccanpliance. If you have
any.questions�on these items, please feel free to contact me at 571-3450.
Sincerely,
DARREL G. CLARK
Chief Suilding Inspector �
�C/mh
SuB�ECi
City of Fridley P � �'
AT THE TOP OF THE TWINS g U I L D I N G Pf R M I T 2� �� 3
r
� �
COMMUNITY DEVELOPMENT DIV.
r � y � PROTECTIVE INSPECTION SEC.
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� �"'1 � CITY HALL FRIOLEV 85432 NuMeER
��"��� � ,�� 612-571-3460
910-F15
JOB ADDRESS •
7638 Bri adoon
t LEGAL LOT NO. BLOCK TRACT OR ADDITION
DESCR. 11 2 Blomber
2 PROPERTY OWNER MAIL ADDRESS
4 ARCHITECT OR DE
5 ENGINEER
fi USE OF BUILDING
R iAan ial
7 CLASS OF WORK
8 DESCRIBE WORK
Reroof hous
9 CHAN(3E OF USE FROM
STIPULATIONS
MAIL ADDRESS
3 Ave N
MAIL ADDRESS
MAIL ADDRESS
NEV IDATE
8/12/98
ZIP
NO.
/��
PAGE OF - APPqOVED BY
/ /
PHONE
�
PHONE
PHONE
SEEATTACMED
SNEET
LICENSE NO.
LICENSE NO.
LICENSE NO.
❑ NEW ❑ ADDITION O ALTERATION � REPAIR ❑ MOVE O REMOVE
e
f
TO
Underlayment must comply with State Building Code.
SEPARATE PERMITS ARE REOUIRED FOR ELECTRICAL, PLUMBIN(i, NEATING, �PE OF CONST
VENTILATING OR AIR CONDITIONING.
THIS PERMIT BECOMES NULL AND VOIO IF WORK OR CONSTRUCTION ZONING
AUTHORIZED IS NOT COMMENCED WITHIN 80 DAVS, OR IF CONSTRUCTION
OR WORK IS SUSPENOED OR ABANDONED FOR A PERIOO OF 120 DAVS AT
ANV TIME AFTER WORK IS COMMENCED. NO. DWLG. UN
I HEREBY CERTIFY THAT I HAVE READ AND EXAMINEO THIS APPLICATION
AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS VALUATION
AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED
WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT 2$OO
DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE pERMITfEE
PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON-
STRUCTION OR THE PERFORMANCE OF CONSTRUC710N �
� � PLAN CHECK FE
� °�=-�'
SiGNATURE OF CONTRACTOF OR AUTNORIZED AGENT �DATEt EN
SiGNATUREOFOWNEPiiFOWNER8UIL0ERi IDATE� �� _ _, m �•,�
SQ.
STALLS
GROUP ° OCCUPANCYLOAD
CU. FT.
OFFSTFEET PARKING
IGAqAGES
I S_�,QU R��
�� / +r �
NEw
ADDN
ALTER
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ConstructionAddress:
CITY OF FRIDLEY
SINGLE FAMILY AND DUPLEXES R-1 AND R-Z
BUILDING PERMIT APPLICATION
..�� !�d-i
Effective 1/1/98
�� 1�'�
�
Legal Description: v °
Owner Name & Address: `� � 3�� r, �� ��po,U ��c G,� Tel. # 7 g'� � S"� �o
Contractor: � v � � �� �, ,.� � MN LICENSE # 9 .3 �,
Address: S''� � � 1 )� � �',/�vz /U� Tel. # _ ��01��5"(, ��/
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:
DESCRIPTION OF IlVIPROVEMENT
Length Width Height
Length Width Height
Length Width Hgt/Ground
Sq. Ft.
Sq. Ft.
Sq. Ft.
OTHER:
= ��0, la g
Construction Type: ��,���F- ��,i--o�� Estimated Cost: $ o� ag��—
� (Fee Schedule on Back)
Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x$ _$
DATE: g — ) 3 APPLICANT: _ ����,��¢�, Tel. # ���3 (� ���
Permit Fee
Fire 5urcharge
State Surcharge
SAC Charge
License Surcharge
Driveway Escrow
Erosion Control
Park Fee
Sewer Main Charge
TOTAL
STIPULATIONS:
$ �/� �
4' d �
$ �. �
$
$ '��
$
$
$
$
$ g�, ��
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 [ ]
BUII.DING PERMIT FEE SCHEDULE
The Chief Building O�cial shall, before issuing permits for the erection of any building or structure, or for
any addition to any existing building or structure, or for any alteration or repair to any existing building or
structure, upon application 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 $500
$501 to $2,000
$2,001 to $25,000
$25,001 to $50,000
$50,001 to $100,000
$100,001 to $500,000
$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 $25,000
$349.75 for first $25,000 plus $9.00 for each additional $1,000
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 $500,000 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,� or fraction thereof
DRIVEWAY DEPRESSION ESCROW
(Concrete Curb Streets Only)
Altemate "A" : Removal and replacement of curb and gutter only - Driveway width plus 6 feet tunes $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 constructed
will be required before proceeding with the framing.
Building
Inspections
763-572-3604
STfE ADDRESS "
THIS APPLICANT IS:
PROPERTY
OWNER/
TENANT
CONTRACTOR
PLUMBING
RESIDENTIAL APPLICATION
CITY OF FRIDLEY
YOUR E-MAIL ADDRESS
❑ OWNER �GrONTRACTOR
Permit No.:
Received By:�
Date Rec'd• "�° ,��',� � ?�
PHONE: `���/(��'o
Gc�
�ZS
STATE LICINSE #
SUBMTf A COPY OF CL�� C-- EXP DATE � 2- �� f—��
YOUR STATE ADDRESS: —/ CITY STATE�IP�3
LICENSE WITH pI..ip� F�
APPLICATION �
PERMTT TYPE
TYPE OF WORK: I � ��'
FAMILY � TWO FAMILY ❑ TOWNHOUSE
DETAILED DESCRII'TION OF WORK
PER MS 16B.665 the permit fee is a minimum of $15.QD or 5%: of the total cost up to $500.00, whichever is greater, for the
improvement, installation or replacement of a residential fixiur�;;�x�inding.the fixtures. (T'his should reflect only the cost of labor )
Iabor cost under $300 =$15.00. Labor cost between $300 to $500 = cost of labor x.OS =
'POR PRaJECTS Wf�RE LABOR EXCEEfl�?$500; �E��€E,�l���1�`f.��{���LTLiRE; •EX�ERT WHE�N(3TEI3::=�I��iJIi�: (��TDICATE TOTAL
NUMBER OF EACH BELOVI�
_ BATH SINK/LAV _FLOOR DRAINS SHOWER WATER PIPING
_ BATH7'UB _ GAS PIPING �rv� cirruc�) SWIlvIMING POOL � WATER SOFTNER ($35)
_ CLOTE�S WASHER _ KTfCHEN SINK WATER CLOSET BACKFLOW PREV. ($15)
_ DISHWASHER _ LAUNDRY TRAY WATER HEATER ($35) FOR IRRIGATION
_ WATER METER OTHER
Permit Fee
TOTAL
R� Number of fixtures @$10.00 x$10.00 =$
.50 Number of fixtures @ $15.00 x $15.00 = $
Number of fixtures @ $35.00 x $35.00 = $
State Surcharge = $ .50
Tota1= $
THIS IS AN APPLICATION FOR A PERMIT NOT VALID UNTIL PROCESSED
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 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; that the work will be in accordance with the
approved plan in the case of all work whi eq ' es review and approval of plans.a _ _ � ,
SIGNATURE OF APPLICANT
�
City of Fridley
Building Inspections Department
6431 University Avenue NE, Fridley, MN 55432
763-572-3604
FAX: 763-502-4977