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AF - 35572�� ---._ -- . _ . _ . -�►, 1 --�„��--- ---�� _..�� ,� i . SUBJECT City of Fridley 16 4 5 6 AT THE TOP OF THE TWINS g U I L D I N G P E. I T - r � �` ____ COMMUNITY DEVELOPMENT DIV. R� �� ~ � PROTECTIVE INSPECTION SEC. �[� � r � , , ' i ' � /"'1 � CITY HALL FRIDLEY 55432 NUMBER REV. DATE PAGE OF APPROVED BY �"'"'� � ,'' 612-571-3450 910-F15 � � 11 5 81 JOB ADDRESS 7651 Brigadoon Place NoEo 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. S 1 Blomberg Estates SHEET 2 PROPERTYOWNER MAILADDRESS ZIP PHONE Garjac Inc. 481 - 206�th Avenue N.E., Cedar, MN 55011 434-7096 3 CONTRACTOR MAIL ADDRESS Z�P PHONE LICENSE NO. Same 4 ARCHITECT OR DESIGNER IP PHONE LICENSE NO. � �E �P.F,Rf��T� �EQUfRE(� f�R 1!�'fR��dG, 5 ENGINEER ' � 21P PHONE LICENSE NO. 6 USE OF BUILDING Residential 7 CLASS OF WORK C� NEW 0 ADDITION ❑ ALTERATION ❑ REPAIR EMOVE 8 DESCRIBE WORK ' � Construct a 34' x 27" �velling and a 24' x 22' Garage efae �e Bt1 C811 i0�.�1 U�►11�125 TELEPHONE - ELECTfr'iG - G'�65,: �c. 9 CHANGEOFUSEFROM TO STIPULATIONS provide a hard surface driveway, Provide City with copy of verifying survey before cappi.ng, Provide sod in the front and side yards. *Note: Sewer is shallow in �treet- extreme caution must be used in �etting house elevation. Living area behind gaxage mus.t be 10' from sic�e praper�r Line, � SEWER LOCAT�Ns C6' Deep In Street� 53 SoE. of 1�i,Ho, 54 E. of Hyd. Expose seHrer service prior to establishing footing elevationa WATER LOCATION: 49 °�.E. of M.Ho, 59' Em of H�d. �� `��0 �e%%��a DRl'VEWAY DEPRESSION COST: 16' + 6� = 22� x ) �R 3�°t� ��1Y �� O��Y btJ�S Nt�t GUARAN'�E Tl1� t�,�CUR�� CiF l�`�lli`T19' lOE/�TiOld� A1dD El�Q,TK?AI�. '�dii5 D,�TA IS FOR &4`�6Ft�!'JJ�r��IC�N PIJRPOSES OidLY AND �EI��4�45 USING li �IOUL�3 V�RigY 'tiiE INEO�MAifQN �.3i�d TFdE 59T�, TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD SEPARATE PERMITS ARE RE�UIRED FOR ELECTRICAL, PLUMBING, HEATING, VENTILATING OR AIR CONDITIONING. W�CI E''ic'1IIlE 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 ZO9O '�" SZH 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 WOFiK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT $u0 950 $40.48 DOES NOT PRESUME TO GIVE AUTH RITY TO VIOLATE OR CANGEL THE pERM1T FEE SAC CHARGE PROVISI S OF ANY OTHER STATE R LOCAL LAW REGULATING CON- STR N OR THE PERFORMANCE F CONSTRUCTION. 3%G.00 425.00 P PLAN CHECK FEE TOTAL FEE �/ °� Z' �� 93 0 934 48 SiGNarUREO CoN7RaCTORO ur ORiZEDnGENT IDATEI WHEN PROPERLY DATED THIS IS YOUR PERMIT r �°-i,��-� �� Or f �. �l SIGNATUREOFOWNERpFOWNERBUILDER� �DATE� BLDG WSP Dn7E �� CITY 0� Ft�IDLEY Effective Aug. 1, 1981 APPLICIITI�'� FOf; RCSIDLi�TI/li_ [3UILDIiiG PCFti�IITS {We��r, A�tQt"d�iQriS� AddiLions, or Repairs) O��tJER: t3UILDER: ��9 %� � �_1 �°_�� _ __ ADDRESS: ADDRESS: `�� / � G�� - �� — TEL �VO: TEL I��O: � � % � � � • ST1tI�T AIO: � STItE Construction Location :T: ��2A C'��i,�� LOT: � BLOQC : 4 ADAITION : � � C`T <J 6t�1, �f°A(r' /` %�� l °'�� ._____— Corner Lot: Insicle Lot: v SetbacY.: �� Sid�yards: Ap�licant attach to this form two Certificates af Survey of lot and proposed building location drawn on certificates to scale. DESCRIPTIOid OF COhJSTP•UCTIOPJ �c.LS �______ Front: S � Depth: � Height: Square. Fc;et: � Qibic Feet: � ��r° �, �-,�,� �, �ront: � Depth: ?� xeight: ,� �� 9 �b�� . . �,✓ � Square� Feet• Cubic I'eet: _ ��$;� �,�� (q��+ ae,�� r��z� 2� = �� ►Z � Type of Construction : ��M � EstimaLed Cost: $ � ' C�, �I �� Rb Be Oc�r.�pleted: J411 /i� C�/ / Alt. A Alt. B Proposed Drive��ay Width If New Opening Is Desired: � $� � $ , SE� Rr�VERSE SIDE OF SHEET . "- • 'td � � � ` � 4 . . T'iie undersigned hereby ma}:e� application fo a pernai for the �:�orJ: herein specified, agreeing to co ,all work iri strict accordance with the City of I'ridley Ordinances BIlCi 1'L11111C3s of �he Department of IIuildinqs, and hereby declares that_a�l the facts and represent.ations stated in this application ar�true and correct. `� D.1TE: ��– � ` � c SIGNATUitE : St•ipulations : -� �� a �� ,� �t�o�� e�� Ae �� s� � 6 `' � � �� I � � �� D`� ��'�fL�1�, m e �,�' 1C % 12 �'Z r� 4%� A . F � �-t.a�►U� � � �� Q��- l�� .� C � ��`�'j� C � cJ�S�i� � C.o e i(� ��! �� BUILDII�SG PE•RMIT FEE SCHEDULE The Inspector of buildings shall, before issuing permits for the � erection of any building or structure, or for any addition to any bxisting buildinq or structure, or for any alteration or repairs to any existing buildinq or structure, upon application therefore, require the payment by the applicant f or such permit of fees to the amount herein below set f orth and in the manner herein provided to-wit: 1'O�AL VALUATION $1.00 tc $500.00 $501 to $2,000 $2, 001 tv $25, 000 $25,001 to $50,000 $50,001 to $100,000 .� $10.00 Mini.muaa Fee $15.00 plus surcharge $10.00 for the first $500 plus $1.50 for each additional $100 or fraction thereof, to ancl including $2,000 $32.50 for the first $2,000 plus $6.00 for each additional $�,000 or fraction thereof, to and including $25,000 $170.50 for the first $25,000 plus $4.50 for each additional $1,000 or fraction thereof, to and including $50,000 $283. 00 for the first $50, 000 plus $3. 00 for each additional $1,000 or fraction theraof, to and including $100,000 $100,001 artd up $443.00 ior the first $100,000 plus $2.50 for each additional $1, 000 or fraction th.ereof PLAN CHEQC: 25 percent of building permit fee DRIV�iAY DEPRESSION ESCROW: Concrete G1irb Streets Only Alternate "A": Removeal and replacement of curb and gutter only Driveway width plus 6 f eet x$13. 50 Alternate "B": Resnoval and replacement of curb and gutter and install a 3 foot wide approach with 6 inch depth Driveway width plus 6 f eet x$15. 75 VERIFICATION OF F4UNDATION 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 e�f the construction site. A Certificate of Survey of the lot, showing the location of the foundation once it has been constructed will be required before proceeding with.the framing. s �' °�`�� i� � � � � � -.�.. �� , +c � �o �� `� °� �, � � �� '� � e� � �F � �� f � � ��y�� c�� CONlS°Y°� �c Dt�►�TIS, �TG Consvlt;ng En�in�ers and Y�d Survey�s 14�46 Coa�ty Road J, 1�Iinnea�solis, MN 55432, (E]l2} 7�4-9345 SURVEY' FOR: ;..a�.y.��>..��- ��,. �;1 � �, �� v � c �.r,�� r . B & G Investments ��9��-g ��,�r.�N`��'s� �;� � �;..` 9bl Hillwind Road `�` � � ' � �a_ ��+lj �,� ��'�� ,r�," m� ,`6'.d�` �� ,{�� 1F�a: r` .°�.r� ` .'.` Fridley, Mi.nnesota 55432 �;.�� ti.�� ,�� y� ��.� 1��;�� '�� _ s �� .. ; *�^:+'�' r� -3 r / � . °'� �Oti► �� ° s: �� , ��°�,�.. �,��,��t �y �P�„ � ��P��e�� o �a �" � � • �id� F.�- � �,,�'��e`° ��Y��, �� ,� li �� \ :� �- �) � � 'I)� _ �� ' p� � � � .` ��' � �. '� t � �d' n i 0 � � � a� g !� �� , ��'r�� ° � '�� " : Y re+U.E`�a�'�a�. � ,,...;;s.:,.7'e .' �T ��ev�Yd�°�� ; �i�I��A N � � �� O ;� �' � � � y -- �8° � 9" .s` " r'' -- rra.r�' . tl � . � . . 1 � � . QJ� ��, �a�� .�� y•�,� � G � `,- � � ;� '. �_ �I� � - t[ �• !� � j; ;�" w q � O � "' `� y � Ci� I Q'FN �� //C �� Oe � o i� �ti d � '3 4-�d � �✓ �o F � � ` � : S . �� c a O W nIz --f �'a �► o � ,1 �o,i a ° r� O . G3 ( � �; � ; � � w ¢ ,. I °- � zS, N` S g9° oi' OQ" E ^� l37. 69 � � � aa � 3 � � I � . � � � �:.� ��I � � 1 a . o DESCRIPTION � Lot 5, Block l, Blomberg Estates, City of Fridley, Anoka County, Minnesota. � SCALE: 1" = 40 O Denotes 1/2" diameter iran pige monument set and capped No. 7.0832. � Denotes found iron monument. d hereby certify that this survey, plan or report v�+as prepared by me or under my direct supervisian and that I am a duly Itegis#ered Land Surveyoa under the laws of the State of �dinnesota. �� . 10832 Nov. 17, 1930 4278 Reg. No. �,. A Date Job No. 9 � Book l�a � � ! �- �� - � � � � �� 5�,��Er � � � ; � ��°°//�� i �� ' � . � � /��.r� �X �� c��e �,� �� -�� S �f�,C/SfiilL�� o : �.v� ,� ��.'� �~�� ,cs � �� _ � j — . ` e�� 9 �� -� � � , �' � /�� /�P�''.Z �'a,v7�,— � ��5/�� ( ` �� 1�� _ � � ,��'� G�� -r� -� � � X � � ✓ ..._ � � � r r w � � � � � � a W Q r 5 R m � M O � N ,� %� N !+ � g � G � M � � � O h � �o w �o � n r � a w � a � � m m H ►°a � z � x y r a ro w" � � c� c� aa � m m a+ � as ae o�a z w a O a G�e a o r �e r a to m w rr er a a w er o• a rf s 1p �O M� fl i M G M p fY M O O�� O t7 Rf m F�+� �e a rr y h r p m►u r m N fC � fp M 1+ R p M 00 7 h0 K ►t m h m� e� m hJ r r� O m 1�+ m W� t+ � m p W r► fC G a4 K w e a a a M z o M i� �� m i m - � �4 !� � • r p M O X G � M b r � ►r z c� '� H � � [3! � � � � N x o� o � N N f/! Tp !/l M fA N N t/1 N 0 0 N N � o O�n .� v� tn u� �n tn A f+ w v� ,,,� . . . • . • • . . . � O O O O O O O O O O NI 1,t1 O 0 0 0 0 0 0 0 0 0 0 0 o q t/l N N N N f0 N tq N ffl tA tp fq N N N �,,,� ° o � ��'r � ro� N� C+! � i!! C+i • � 00 H � � �� n ao M G� G: C�f b C��y1 N H N � +n r 0 0 0 � ty � x � � �'� � M C+ Z H 'U � � b R� A A 1 "C1 � � N � � � � � F+� r � � A � � � � � � M y �� o � � � � H O � � Q � t� � H � r ♦ . ` � W � �' Storiea : � �r � a K a a ;� e � � \; Closete ,b � Orinals �' g � sact� a�s � O� � � �j H881S19 m � SinkB � 1 Wash Trays �' Drinkinq Fountains Showera � � Floor Drai "y� cacch Hasin � e � �y Autcmiatic � = Washer » F"' Gas Appl. n � a � M�eC. P�7Ct 0 . Z m � �gg O K � � Othe! � E � a �� z r � G� O g � � �°''�� ,�b � �p M IG� F+ � � O M W� N M� � r � � m W � � �1 M R � ��a � Aao � M � � O A~ � b �x' � B. `` � M m �O 1-' � � � � W �� o'sa °D ��a e .�,� � � F• � n r� m�r t°n � r m �t�►y � � 'J Fa7+� f�'► O � x m n � m� �►e �p � M 'O � O Oi � n � �� w�'� � �. aw� � M � X M fD � ��f � � � .T W�{ � �O � R 'C %M" �� $ ~a� � � � r► a „ z e � � �— a ry � �4 � C ~ � � Z G7 0 0 � m � � V' � � � 3.R � O 0 � � � � ;4i �� j RECEIPT � / it o �hid�e � � 6431 University Ave. N.E. Tel. 571-3450 Fridley, Minnesota b54�2 � RECEIVED OF $ � � ` ' � �-�- �.c� C.. � e.r ADDRESS FOR � l �o o`� , - ^ �. � �3 v+� FUND CODE AMOUNT r - � G C3 ��u By� ��-� � � � ' � 19 � � No. 494B rMT/AK�T� MOOR6 BYSIN6H8 RORNt� ING. � N�eDllpl9p47 �� , k� &,,�. , fi_, I =�� ;�::,: �"� ��.��=^= �� . � :�" "�x��;� �. �..s �. . �t:.{�. �,� C. _:, k� �....::' � - .•. ^ � :lr'.: ' • 1982 CITY OF FRIDLEY 8431 UNIVERSITY AVENUE N.E., FRIDLEY� MINNESOTA Sb432 Mr. Gary D:Aigle Garjac Inc. 481 - 206th Avenue N.E. Cedar, NII�i 55011 TELEPHONE ( 812)571-3450 Re: Final Inspection at 7631 and 7651 Brigadoon Place N.E., Fridley, NIlJ Dear Mr. D'Aigle: Final inspections were made on April 27, 1982 of the above noted addresses and the following items were noted which must be completed before the structures ca.n be finaled out; 7631 Brigadoon Place N.E. Provide sod in the front and side yards. 7651 Brigadoon Place N.E. 1. Provide sod in the front and side yards. 2. Provide a hard surface driveway. 3. Pravide Gity with copy of a verifying survey. We wiil expect the above items to be completed by June 1,.1982 when reinspe�ctions will be made to determine compliance. If you have any questions on these items, please feel free to contact me at 571-3450. Sincerely, DARREL G. CIARK Chief Building Official DGC/mh CC: 7631 Brigadoon Place N.E. 7651 Brigadoon Place N.E. sue�ecT P O. City of Fridley 2 2 0 3 AT THE TOP OF THE TWINS g U I L D I N G P E R M I T r i � � � • � ; L _ COMMUNITY DEVELOPMENT DIV. . / r � � PROTECTIVE INSPECTION SEC. �� `1 i � ----� �/"',,� CITY HALL FRIDLE� SS4$2 NUMBER REV. DATE PAGE OF APPROYED BY i 612-571-3450 910-F15 8/13/93 / / JOB ADDRESS 7651 Sxigadoon k�lace NE t LEGAL �OT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 5 1 B.lomb.erg Estates SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Mark Nyvold 7651 Brigadoon Pl.ace NE 786-3354 3 CONTRACTOR MAILADDRESS Z�P PHONE UCENSENO. S ame 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAILADDRES$ ZIP PHONE LICENSENO. 8 USE OF BUILDING Residential 7 CLASS OF WORK C� NEW O ADDITION ❑ ALTERATION ❑ REPAtR ❑ MOVE � REMOVE 8 DESCRIBE WORK Remove Existing deck� Cons.txuct a 12� x 12' Deck 8 CHANGE QF USE FROM , TO STI PU LATIONS �ee nqta,ti.ons c�n �lan, ��ovide sm�ke detectoxs as per UBC 1210 adjacent to all slee�i.nc� areas �nd in ba,sement, WaRNI�IG 8efote cfigB►ng ca�� for ai1 utility locations 454-0002 REQI��RED BY LAW SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD VENTILATING OR AIR CONDITIONING. THIS PERMIT BECOMES NULL AND VOIO IP WORK OR CONSTRUCTION ZONING SQ. FT. CU. FT. AUTHORIZED IS NOT COMMENCED WITHIN 80 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 1 STALLS GARAGES ANO KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS VALUATION SURTAX AND ORDINANGES GOVERNING THIS TYPE OF WORK WIIL BE COMPLIED $1 44Q. WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT r $e 72 DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE pERM1T FEE SAC CHARGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- ' STRUCTION OR THE PERFORMANCE OF CONSTRUCTION $3S.QQ' �''�.a=e +SC $�-a4'4 PLAN CHECK FEE TOTAL FEE $37.16 �Si NATUREOFCONiRACTORORAUTNORIZEDAGENT IOATE� WHEN ER(. DATED THI$ IS VQUR PERMIT �� „� rn . �-� u � l'� � W � �i �� _ � r� l� SiGNATUREOFOWNERiIiOWNER UILDER� IDATEI e BLDG �NSP � TE N� [l ADDN [ ] ALTF�it � ��a,� � e�2 w..s�. � � CTfY 4F FRIDLEY SINGLE FAMII.Y AND DUPi.EXES R-1 AND R-2 BlillC�lttt�; P@F�ltt ��1t�tLOII Effe�taive 5126/93 �� Consbruction Address: `-7 �� I � '" ' `} � � o � � � 1 ° Le$al Descripfion: L a_ �F S� �3 �� (o ".. � e� s H� f� i� r'i. N c 2.� o Z� P I o� i�_ q 4wner Name & Address: _/►dl � � � N �1 � (° � Q -„�P ��c� �. ��, ) Tel. # �� 2 s 3 $� � Co�rtractor: ►� � 0. MN LICENSE # Address: Attach to this application, a Certificate of Suivey of the lot, with the propo�d construction drawu on it to scaie. DESC'RIPTIUN OF Il1�IPROV'�'sM�NI' LIVING AREA: Length GARAGE AREA: L�ng�th DECK AREA: T.engt6 C 2� OTHER: � @,��a � � �e �,� s` Width Width W�dth � Z • Height x�� Hgt/Gramd � �. ' ,�--.-� Y� � A o � s� , Tel. � Sq. F� S�. Fi. Sq. Ft. ! � Y Corner Lot [ J Inside I.ot Q�' Ft_ Yd �itiack Side Yard SetbacTts 1"j� O� COI1Sh'IICttQ1t: ��p %Qe� ��S `f� ag ai e�l� E�1]n1�C� COSt: � o ��i � �--- Approx. Cot�le�ion �aate: 3 0 ,� ks �- �� {Ca�st on Bact�) Driveway Curb (�t R�it#h 1�Te��i: Ft. + 6 Ft = Ft x$ _$ DA1'E: '7 _ �-� - � � APPi,iCAI�TT: �'�. Tel. # �� P G ��.� Permit F� Fire Surc�arge State Surcharge 5AC Charge License Surcharge Driveway Fscrow Erosion Control Park Fee Sewer Main Charge TUTAL � ��Q vo $ /, � $ a 7� � $ — $ � $ $ S 3�` �6 �lMM ' � .�i_ Fee Scheduie on Reverse 5ide .001 of Pcrmit Vatuation (1/1(�h%) $.50/$1,U00 Valuation $750 p�r SAC Unit $S.� (State Licensed Residential Coatractors) Alt. "A" or Alt. "B° Above Conservatian Plan Revie�r $450.00 Fee D�mined by Engineering Agreement Neces�ry [ ] Not Necessary [ ] STIF'ULATIONS: � � BUII.DIN(i PER.MIT FEE SCHEDULE The Chief Building Official shall, before issuing pamits for the erection of any building or strucxure, or for any addition to any existing bailding or structm'e, or for any alteration or repair to any existing building or structiure, upon application therefvre; reqaire the pay�nent by the applicant for such permit of fees to the amount herein l�low set forth and in the mann� herein provided to-wit: TOTAL VALUE $1 to $500 $501 to $2,000 $2,001 to $25,� $25;001 to $50,000 - . $50,001 to $100,OD0 , $100,001 to $500,000 $SQ0,001 to $1,OQ0,�0 . $I�,(�0,001 and up �� -�.y $15 (Minimum Fee is $15 plus surcharge) $15 for first $500 plus $2 for each additional $100 or fraction thereof, to and including $2,000 $45 for first $2,000 plus $9 for each additional $1;000 or fiaction thereof, to and including $25,Q00 $252 for first $25,(l00 pl�s $6.50 for each additi.onal $1,000 or fraction thereof, to. and iacluding $50,�0 - $414.50 for first $50,OOU plus $4.50 for each additional $1,000 or fraction ther�of, to .and including $100,000 $639.50 for first $1�,OQ0 plus $3.50 for each additional $1,(�0 or fraction th�eof, to and including $500,000 $2039.50 for the first $500,000 plus $3 for each additional $1,000 or fracbion thereof, to and including $1,000,� $3539.50 for the 5rst $1,�,000 plus $2 for �ch additional $1,000 or fraction thereof t DRIVEWAY DEPRESSION ESCROW (Concrete (;tirb Stre�s Only) Altemate "A" : Remo�al and replacemem of curb and gutte� only - Driveway width plus 6 feet times $13.50. Alternate ° B" : Removal and replacement of curb and gut#er and install a 3 foot wide . approach with 6 inch depth - Driveway width plus 6 feet times $15.75. VERIFICATION OF FOUNDATION Permits for constcvction will be issued a aninimum of 24 hours from the time of application to allow for proper review of the proposed structure and of the constiuction site. A Certificate of 5urvey of the lot,� showing the la�tioa of the foundation once it has it has been constructed wiil be required before proceeding with the framing. ' a t : : . • � ' • f v o.�. i , \/ � b�.J O �.. . . � : � � . � � � P'Q r F�r daC�� : : C�t' �%�D� i {3''�qecr�Qa ��, . J i , : � , ,. . ; , �r � r1'�" V � i�.�t! ;% ��. �C W ��c�<<nr� (�/'I X %�� , G,�'C�Qr �'Z►,(J � �id ✓ V'vt 1 i,.. c� ' ; i ! �Pc�dy � y 4� ! ..!/ . . . . . �a� ��n4 � .iro�i S Q `iGV� f (�vow� l PH {�r '('0 c;e.,'fQY, , � ,� . J . ' . � 1 „/'" . . � . . � ✓,�! . 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' . : , ; i • . . . . , , � i ; . � � �� . . . �`� SU�JECT TO /tLt ��} , ' : l� ; , S.B.C. �IQV�610l�B 'rai� , ' ��_ • � /WU l4)C�►L ORfitiAlVt�s r : 7S?l" • : �' � , � � . . ��TY FRlDL�` • , . � . , . ; . �.�0. FJA�.I��l� ' � / , . . . This Plan Must � . � 8e Maintained And �-�� ., ° �P ��' �A� � Accessible On The . . ' g�� N� A�t APP�OVED MANN£R � CAnstruction Site �t,:�n�.r� a± t. q►�F; �cT WE�Li(�,Y ' ° � ! . ' : : ! .� 41c I 011 �C �2 I�.t v� L.e9 �30► {-a�f' �(c I�(�,L�;� w/ : . � te � � � „� . � �� Fl�s�,;.�5 1 ; ' ' `/ ; ; ; � ��. ; - i . , �� d� ..�}: ' : ' �1arg� vs _ i ' ! 'j ; f : i . < � � ` j' ` ' , < ; � ; � � � � i � r � I 1 � � j : � : _ 3 ¢ � � � ; � , . i . , � q . ' ! . ! T v QA-{ a d.� �� y ' � � �c�'.C�� ,� tl ; , � . , � ! i � . , ' ; . i � v Q Hn y1 � � I ( i I i ' 7g �,, � �O II . � � � , ; s ' � � � f ` t , ; �, . , ' � � ; � ' i � i �' ; � � ' � z � : ; � � I'' ' ' ; �� . + , i � 3� , ��' ' : . � { i � ' j� � � G �il.o�' ' . . ; � � � . 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' �o K� v i Q w n�� a„� %✓ v P�O �a��,,,� d„ �` c�:,�'v�� : �� 7bs1 � /�r�5��'��.. �'! � _ . . � � �` � �.�f lr � � �/t n/ �.[ i, � �i �y � GrFr} wd��f S�,-<<.�r a � }. : • � � �:� �� F ' ' _ . _ y .4 ' i $ � j �' � , �� y � � � { 0 S U Rv �Y Fo R= GA R� a c C o� s-C R U c'T �Q N �. 81 - Zo 6 -r �-t /�Y �.. 1� E . C£.PARi MN. 5501 � :� ., "` � ,_: �- � � � p�O e0 � � y -- N 86° S4.' ° � p — — -.33.`13-•^"r'� .., Q � cC � • •.i ti - • I�"�KTSp. � J �' • / CwY � _._.! � ' +�-S `� . _ ��: r�e � ��.. = H 4Jd Z � O ( � ,. 'Q � � z��N N tL t 00 ' 3 I � h `� o 0 0 �� a � d E � d f - -� ..v � .r 1 O' i � o . � LOT rJ � � . � y" w --- �iz.r�' ��30' r a ' A �� . � v �, � h `�V �`' f �) 3 ti a��0� � <� 2 �, °� O ..f 0 y) 0 � � S 89° Ol � 04" � "' 137. 69' :' ' �: � i i �•i : DI.SCRIPTION � ' Lot 5, Block 1, Blomberg Estates, City of Fridley, Anoka County, Minnesota. SCALE: 1" = 40 , � O Denotes 1/2" diameter iron pipe monument set and capped No. 10332, on �t Denotes found iron monument. t1o�. 17, �950 0 I hereby certify that this survey, plan plat,prCliminary pl•at or re�ort ��as prepared by me'or under . my direct supervision and that { am a duly Re�istered I,and Sur�•e�<<�r under the la��•s of the State of Minnesota �� /o83L /Y�G�'�i�c_r� Z, ! 98� � s 4t o q 4- 3 f K�g. 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NT� �' � � �' b m �Dn � �" �° � � z o z ' �- o • � �- -: � �, 3 � • � �• �u � � ..� " ny`, Q V, � O � � �' = �p 7a �, N � � � � � � O a � �..► � o � O s � y � � � � $ �Af $ � m � m � � O � tA o ,-. �� -a ozo " � 3 �� '�z 0 � �, � _ �3 � � � 3 � � � � _ o ��n � �c� m n � O o � � � � �� m"* o � 3 �oo= � � O m � m � � � � v � � � ^� N l / v a �m 3 1 � � � � � N � � � N � N ao v ---, � � m � $. a� � � � �� Z � � tp ,��, 3 � $ i � n. � �" = v c �0�� s c s� � ao � a � n � � v � -� _ m `D " i � � � � c�i� o 0 g .�: �:� � � � 0 0 � 0 '° � ` $.. . � t�s � ttr t� � O G rn � .� m Q � � � � r � m � 'S --1 z 0 �� ` �.A � 00 C 6 Z � C m a � � 1 � � CS-s � � � O �r � � �� ' • ��a � „�y� S, � � � � N � � � � �� ' W � � � �Q� � ��o� %�, � � vo,� �S � � 3 � � � �►?om �� ,� � Q � � � � �� .� � � `� c�'i. � � �, � on �. � .� o �s�m�D � � � A � Q. ,,,, fa lo ��: �� sy s p '.�"' 3 N� ? � � m n`�O ta"'C�� :s m Q � . � � �. � � ' 3 a � n _ rn � � �° � � V � � N Q � � ' � 1 � � � A �zm � � � "-' N � � z`z rn� � � _0 Z v z �� ma �O : ZZ � . ��• � � � �� n� Z � v� �� z� Z A �z -� Q �_ :� � � � � �� , r m� � � m Z � J � a V � � � 0 � C tit C �. � � 0 ('HIMNEY AND STACK VERIFICATION The undersign� hereby verifies that the existing chimney or stack: 1. Has been carefully examined Yes () No () 2. Is free from rust or deterioration Yes () No () 3. Has no foreign objects laiged within Yes () No () 4. Is se�urely supported � Yes () No i) . 5. Mcets all current Code requireme�s for size and total BTU's conn� � Ye.s () No i) � �. 6 Has total heating BTU's of . � �. . All other �BTU's �. : . . . : : . TOTAL BTU's 7. Has a liner been provided for water heater Yes () No () 8. Has combustion air bsen provided for water heater Yes () No () Remarks: Y �� :• �� i• HEATING CO: Signed By: Date: _. _ _. -� sue�ecr PE T . City of Fridley 2 7 4 71� AT THE TOP OF THE TWINS g U I L D I N G P E R M I T r � � R IPT NO. � • COMMUNITY DEVELOPMENT DIV. r �v _.��_, � � PROTECTIVE INSPECTION SEC. � � � � i � �.0 � /"'1 � CITV HALL FRIDLE� 85432 NUMBER REV DATE PAGE OF APPROVED BV �'----� � �'� 612-571-3450 910-F15 / / 8 31 98 JOB ADDRESS 76 1 B 1 LEGAL �OT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCH. 5 1 SHEET 2 PROPERTY OWNER MAIL AODRESS ZIP PFIONE Ma.rk N old 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Tabor & Sons Inc. 3716 St Fr n i 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO. 8 USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW ❑ ADDITION ❑ ALTERATION � REPAIR ❑ MOVE O REMOVE 8 DESCRIBE WORK Reroof house and ara e 22 S Te r-off 9 CHANGE OF USE FIiOM TO STIPULATIONS Underlayment must comply with.the State Building Code. SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, TYPE OF CONST. OCCUPANCY (iROUP OCCUPANCY LOAD VENTILATING OH AIR CONDITIONING. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CON3TRUCTION ZpNING SQ. FT. CU. FT. AUTHORIZED IS NOT COMMENCED WITHIN 80 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 HERE9Y 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 COMP�IED WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT 1834 , 92 DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE pERM1T FEE SAC CHARGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- STRUCTION OR THE PERFOFiMANCE OF CONSTFUCTION. 59.,50 Fire �Ji.' 1.83 `� �i��'s \ _� a.�� p7 PLAN CHECK FEE TOTAL FEE r a Licens 5. 67.25 SIGNATURE OF CON7RACTOR OR AUTMOR12ED AGENT 1DATEi EN ROP VALI T D THIS �S YOUA PE M �- ` � SiGNATUREOFOWNEAUFOWNER8UIL0ERi IDATEI 8 G�NSP f�FTE NEw .. ADDN ALTER [, ] [l [l ConstructionAddress: CITY OF FRIDLEY SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION l�S/ �r', r� Effective 1 / 1 /98 `�\ �N � Legal Description: `�/� � %� Owner Name & Address: %� �t/ � ,�,� ��p �� Tel. # �� Contractor: ��p! � ,5 �� MN LICENSE # Address: � � � � �� ,�i,,,,� Tel. # % � % "��-- Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIi'TION OF IMPROVEMENT LIVING AREA: Length Width Height Sq. Ft. GARAGE AREA: Length � Width Height Sq: Ft. DECK AREA: Length Width Hgt/Ground Sq. Ft. OTHER: � � ,�� ; ,e Construction Type: %�� Estimated Cost: $ /�L�?,� y (Fee Schedule on Back) Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x$ _$ DATE: ' 3/ '�`I � APPLICANT: � v�� Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee Sewer Main Charge TOTAL STIPULATIONS: $ .� �.5� $ �� $ % $ $ � -��? $ $ $ $ $ � 7. ��`� CITY USE ONLY Fee Schedule on Reverse Side Tel. # ��`�� .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 Official sha11, before issuing pernuts 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 additiona.l $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 $SO,OQO plus $6.25 for each additional $1, 000 or fraction thereof, to and including $100, 000 $887.25 for first $100,000 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 $1,000 or fraction thereof DRIVEWAY DEPRES5ION ESCROW (Concrete Curb Streets Only) Alterna.te "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 $15.75. VERIFICATION OF FOUNDATION Pemuts for construction will be issued a minimum of 24 hours from the time of application to allow for proper review of the proposed structure and of the construction site. , A Certificate of Survey of the lot, showing the location of the foundation once it has it has been constructed will be required before proceeding with the framing. I � e SuBJECT c�ty of Fridley AT THE TOP OF TME TWINS g U I L D I N G P E R M I T f � � � � � `y _ COMMUNITY OEVELOPMENT DIV. r � � PROTECTIVE INSPECTION SEC. 1 = � � �"'1 � CITY HALL FRIDLE� SS132 NUMBEP �""� � ,'� 612-571-34b0 910-Ft5 10B ADDRESS 7651 Bri adoon P 1 LEGAI LOT NO. BLOCK TRACT OR ADDITION DESCR. 5 1 B1 mb r 2 PROPERTY OWNER MAIL AODRES$ 4 ARCHITECT OR OESIGNER 5 ENGINEER 8 USE OF BUILDING Residential 7 CLASS OF WORK 0 NEW 8 DESCRIBE WORK 6 full frame window<_ 9 CHANOE OF USE FROM STIPULATIONS � MAIL ADDRESS MAIL AODiiESS REY OATE 6/3/99 P 9615 NO. �� F APPROYED BY I i i I SEE ATTACHED SHEET ZIP PHONE 86-9136 ZIP PHONE LICENSE NO 5n�_4�� nnanti�n ZIP PHONE LICENSE NO. ZIP PHONE LICENSE NO 0 ADDITION � ALTERATION �C REPAIR p MOVE O REMOVE TO Provide smoke detectors per Sec. 310,9.1.2 1997 U.B.C. Smoke detectors shall be in all s7eeping rooms and on all levels of the dwelling. SEPARATE PERMITS AqE REOUIREO FOR EIECTRICAI, PLUMBING, HEATING, TYPE OF CONST. OCCUPI VENTILATING OR AIR CONDITIONING THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING SQ. fT AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANOONEO FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COMMENCEO. NO DWLG. UNITS I MEREBY CERTIFV THAT I HAVE FiEAD ANO EXAMINED TNIS APPLICATION STALLS AND KNOW TME SAME TO BE TRUE AND CORREC7. ALL PROVISIONS OF LAWS yp�UATION AND OfiDINANCES GOVERNING TMIS TYPE OF WORK WILL BE COMPLIED �5760 WITH WHETHER SPECIFIED MEiiEIN OR NOT. THE GRANTING OF A VERMIT DOES NOT PRESUME TO GIVE AUTMOqITV TO V�OLATE OF CANCEL THE pEqMIT fEE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING coN� �125 . ZJ� STRUCTION OF TME PERFORMANCE OF CONSTRUCTION PLAN CNECK fEE Licen $5,00 S�GNATUAE OF CON'AACTOA Op AUTHOp12ED aGENT IDATE� N P OP S�GN4TUWEO�OWNEAdFOWNEpBU4DEAi __ �DAiE� 9i.t]f. �ticP GROUP OCCUPANCVLOAD CU FT. OFFSTREET PARKING IGARAGES $2.88 iAC CHARGE Fire SC $5.76 fOTALfEE $1 � 89 is is�oua aE � � Prepaid Plan Check $ Effective 1/1/99 Estimated Cost $ CITY OF FRIDLEY �� xeceipt # R-3, CONIlV�RCIAL & INDUSTRIAL � � �� BUILDING PE1tMIT APPLICATION � " �j� G �. _ '� Q constzuction Address '7� �; o, ad b m, ��o.cst •-%r ; d�e. T� � r� Z�ing r�� Okmer & Address hRo.0 Te3# � e�. �� 1�PTRACII�R & A�DRES�S f - � . Yll .�'" el# 6- � � � Architect .# Engineez' Reg.# BIJILDING CONSTRUCTION T�PE OF woRx Ll New q;, As�di.ti� J�,' Alteratiari -Describe :[n •�.s 11 �i'Ark Q� i r� d u'� OFC, ARF�A: Length Width Height Sq. Ft. WHSE ARE� s T P*�'h Width Height Sq. Ft . OTl�R ARE�: I�ength Width Height Sq. Ft. APPLICANT Tei � $�^�' °`' 7 Date `�� .¢�� vai.ua�oN sq. �. x $ cost/sq. Ft. = valuati�. $ ) . �� I- � • x $ Cost/Sq. Ft . = Vaivation $ ) _ $ cj, � (Q � ..� sq. Ft . x$ cvst/sq. Ft .= valuati�. S } T�T� vALt7E Builcling Use Construction 'I'ype Occ�an�Y Gro� �i.r Cons3itic�rung ❑ Yes [J No Fire Protectian P.rovided [] Yes L] No Performance Bond Amount $ See Reverse for Schedule Received LlYes� [7No Pexmit Fee $ I as' • as See Fee Schedule on R,everse Sic1e Pl� �� $ In Excess of Prepaid Amount - See Reverse Sid� F� �'��1e $_ S�(o . 001 x Pe�rmi.t Valuatian (1/10th %) state s�urcr,az�e $ a. -St8 $.5o/$i, oao vatuation (see scr�ea. for >$i rti.11i�) ��e $ 's• W $1050 per SAC LTnit (Plans to N�nTCC for deteYmin�ationi Erosion control $ $4so.00 consezvation Plan. Review P3z'�C F2� 4S` _ F� I�tP.rTCL1.11� BY FnQi nc�ari � s�ec. Assessments $ Agreeme,nt N'eC.`essa�, [] 1Vot Necessaxy [3 �'1��' �+► S feet x $13.50/foot Zi7TAL $ �r°�o �/�� Y1�iC''� `��"j"� `�747�--��-- ATTACH STIPULATIONS ��. �/O. � l � /�� G/. /�.-C• c��i�.� ��"'%��T�3��! ��,/�'�L. �� /'cl �iLG- �L�"�/.�/�-- �'-�J P.�d �L� ,��!/'c�� CL� 7��' �k��.l�-�.cl� , $1 to 500 501 to 2,000 2,001 to 25,0(}0 25,001 to 50,000 50,001 to 100,000 1a0,�1 to 500,0(}0 540,001 to 1,OOQ,000 1,000,001 and up $1 to 2,000 2,001 to 25,0(� 25,001 to 50,000 SO,t}O1 to 100,400 100,001 to 356,000 Over $356,000 BUILDING PERMI� FEE SCHEDULE . ' � $21 (Minimum Fee is $21 plus surcharge) $21 for lst $500 plus $2.75 for each addn'1 $100 or fraction, to and including $2,000 $62. ZS for 1 st $2, 000 plus $12.50 for each addn' 1$1, 000 or fraction, to and including $25,0(� $349.75 for 1 st $25, 000 plus $9.00 for. each addn' 1$1, 000 or fraction, to and including $SO,tJQO _. . . _ _ $574.75 for lst $50,000 plus.$6.25 for each add.n'1.$1,0� or fraction, to and including $100,000 . � $887.25 foi lst $100,000 plus $5.00 for each addn'1 $1,000 or fracrion, to and including $5(�,000 $2887.25 for the lst $5(�,000 plus $4.25 for each addn'1 $1,OOQ or fraction, to and including $1,W0,000 $5012.25 for the lst $1,000,000 plus $2.75 for ea.ch addn'1 $1,000 or fraction PREPAID PLAN CHECB FEE SCHEDULE $29.25 $29.25 for lst $2,Q00 plus $5.85 for each addn'1$1,000 or fraction, to and including $25,000 $163.80 for lst $25,000 plus $4.225 for each addn'1$1,000 or fraction, to and including $50,000 $269.43 for Ist $50,000 plus $2.925 for each addn'1$1,Q00 or fraction, to and including $100,000 � ' $415.68 for lst $100,000 plus $2.275 for each addn'1$1,0� or fraction, to and including $356,�0 . $1,000 (Balance due with issuance of building permit) PERFORMANCE BOND POLICIES When a building permit is issued for a commercial, industrial or a multiple dwelling residential project whicl�requires outside improvements,a Performance Bond or a Letter of Credit shall be submitted to the City. The bond will cover all outside improvements, including but not limited to landscaping, irrigation, curbing, blacktopping, sereenuig fences, lighting, water & sanitary sewer servi�es, and stiorm drainage systems. Calculation of bond amounts will be determined by the building permit values. 'Fhe bond atnount will be 3% of the building germit value up to a 2 million dollar project or a$60,000 bond. Actual amounts will be rounded to the nearest $100. The City reserves the right to require greater or lesser bond amounts based on unusual circumstances. Projects with no outside impro�Tements, generally will not require a bond. Bonds must remain open until the project is fully completed. Reproducible "as-built" dra.wings of all exterior underground utilities must be submitted to the City Engineering Dept before the project is considered complete and the bond released. All bonds will be held over one winter and through the next growing season to insure the survival of all landscape installations. The City will then inspect these properties in August of the year following the initial planting. Bonds may then be released in October of that year if all improvements are satisfactorily completed. SUBJECT P , , City of Fridley 3 3 9 9 AT THE TOP OF TME TWINS g U I L D I N G P E R M I T i� � � � `v _ COMMUNITY DEVEIOPMENT DIV. �� r � � PROTECTIVE INSPECTION SEC. 1 S � � �"�'1 � CITY HALL FRIDLE� 35�32 NUMBER nEV O�iE v�GE Oc �pvnOVEO Br �'""'� � ,�� 763-571-3450 910-F15 3/31/03 / / JOB ADORESS 7651 Brigadoon Place NE 1 LEGAI �OT NO. BLOCK TfiACT OR ADDITION SEE ATTACMED oesca. 5 1 Blomberg Estates SHEET 2 PiiOPERTY OWNER MAIL ADDRESS ZIP PHONE Mark Nyvold 7651 Brigadoon Place NE 763-786-9136 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Rite Way Waterproo�ing 448 L�lac St, Lino ?�akes M1G 55014 651-7$6-0550 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PMONE LICENSE NO. S ENGINEER MAIL ADDRESS 21P PHONE LICENSE NO 8 USE OF BUILDING Resider�tial 7 CLASS OF WORK O NEW � ADOITION O ALTERATION � REPAIR O MOVE O REMOVE B DESCRIBE WORK Install �nterior basement drain tile system 9 CHpNOE OF USE FROM TO STIPULATIONS ��r if Ins c��n m ard� ro 'It e ailed Hon�� s� SEPARA7E PERMITS ARE REOUIqED FOR ELECTRICAL, PLUMBING, NEATING, TYPE OF CONST. OCCUPANCV GROUP OCCUPANCY LOAO VENTILATING OF AIR CONDITIONING . THIS PERMIT BECOMES NULL AND VOID IF WORK OFi CONSTRUCTION 20NING SO. FT CU FT AUTMORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION OR WOi;K IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT ANY TIME AFTEq WORK IS COMMENCED. NO DWIG. UN17S OfFSTREET PAqKING I HEREBY CEiiTIFY THAT I HAVE READ AND EXAMINEO THIS APPLICATION 1 STA�LS GARAGES AND KNOW TME SAME TO BE TRUE AND CORRECT. ALl PROVISIONS Of LAWS VALUATION SUp7AX AND ORDINANCES GOVERNING TNIS TVPE OF WORK W�LL BE COMPLIED WITH WME7HEfi SPECIFIED HEREIN OR NOT. TME GRANTING OF A PERMIT �2 f 4'3O �l .22 DOES N07 PRESUME TO GIVE AUTHORITY TO VIOLATE OFi CANCEL THE pERMIT FEE SAC CHARGE PROVISIONS OF ANY OTHER STATE OR LOCAI LAW REGULATING CON• $83.25 Fire SC �Z.�F.3 STRUCTION OR THE PERFOFMANCE OF CONSTF;UCTION PLAN CHECK FEE TOTAL FEE City License $86.90 S�GNATU�7E OF CON'AACTOQ OA AUTHOQ4E0 AGENT �O�iEi W EN PROPEpLY VALIDATED THIS IS V UR P RMIT -- 1^ i � 8 � $�GNOTUAE OF pyyNEA ��f OWNEp BUILDEA� �DATEi Bl G�h5p O TE � �� NEW [ ] ADDN [] ALTER � Cohstruction Address: Legal Description:'� ( call you for card number. CIN OF FRIDLEY Effective 1/1/2002 6431 Universiiy Ave NE, Fridley, MN 55432 (763) 5723604 Bldg Insp SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMITAPPLICATION 0 . �. Owner Name & Address: V l� � Tel. #°7(0� -i�- �1� Contractor. Rite-Wav Waternroo inQ MN LICENSE# Addr'eSS: 448 Lilac Street, Lino Lakes MN 55014 Tel.# C51-786-0550 LNING AREA: GARAGE AREA: DECK AREA: OTHER: Attach to this appiication, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF IMPROVEMENT Length Width Height Sq. Ft Length Width Height Sq. Ft Length Width Hgt/Ground Sq. Ft � . -��-� � � -�� 0 _ , � �� 'va� '�l��a a '�' Se`<SY�� "*r q�,e`i�,'�^ �' �a� � � d� i: � ^r�"j ��.i,, ry�. x k .'��y 7 �f+,��,�, {..� -k>��5 4 ' 1 i.(,3"7 i� �- d� M�OtiS �hW'� . . i i�c. � '� ' � ..: - _. � . � .. • � PeRnit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee Sewer Main Charge TOTAL CITY USE ONLY - T@�. # �o S� r�%�O'"� �� ing credit card a�d we will $ �i� -�S Fee Schedule on Reverse Side $ �. � � .001 of Permit Valuation (1/10th%) $ � .�� $.50/$1,000 Valuation $_ $1200 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 [ ] $ ��. �� STIPULATIONS: � � BUII,DING PERMIT FEE SCHEDULE The Chief Building Official sha11, 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 $1�,001 to $500,000 $500,001 to $1,0OO,Ot� $1,000,001 and up FEES $23.50 $23.50 for first $500 plus $3.05 for each additiona.l $1Q0 or fraction thereof, to and including $2,000 $69.25 for first $2,000 plus $14.00 for each additional $1,000 —— oc fraction t-hereo�, to and mcluding $�,000 $391.25 for first $25,000 plus $10.10 for each additional $1,000 or fraction thereof, to and including $50,000 $643.75 for first $50,(m0 plus $7.00 for each additional $1,000 or fraction thereof, to and including $100,000 $993.75 for first $100,000 plus $5.60 for each additional $1,000 or fraction thereof, to and including $500,000 $3,233.75 for the first $SQ0,000 plus $4.75 for each additional $1,000 or fraction thereof, to and including $1,000,�0 $5,608.75 for the first $1,000,000 plus $3.15 for each additional $1,000 or fraction thereof - --- -- -- -- DR�VEW�Y DF,�FSSIQN E��ROW _-- - - - -- -- - - (Concrete Cur•b Streets Only) Removal and replacement of curb and gutter only - Driveway �width plus 6 feef times $17.00. 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 Certifica.te of Survey of the lot, showing the loca.tion of the foundation once it has it has been constructed will be required before proceeding with the framing. New Houses Onlv � 5i . � � c o � o� � m �'I m m U9 �r^ ;1 � y � � �(D � o � y � °« m • � ai ' c � � Z cB �, v � Too � � o 0 �, ��_ o '' � � $ � �� •a � v � rn � z � � VJ t+J � Z? C N 01 — W�p V N �'I A N f�A .�► .di .di� ' ^' � fD Q- � � O � f� � � � _ � 'i 1 Q 'T7 � � m � m rn � � � d � �� fD � � � �• � �' d N � cu x r v� u, � � � co �� 5 m Z m � � N �� g � �' � � $ '� � ; `° � .. � N .� I o I I I I I( I I I I I I r C � � z � � C � m � � Z O � cfl4n�w��nc�+�c�►��r�+r� � �.�www�,�.�� cn o o�+ � �+ o 0 0 0 0 0 0 -I 0 0 0 0 0 0 0 0 0 0.0 0 o rn O •O O O O O O O O O O O.O � � � � r a � � � g tG � � d � � � d N � � z v � � r 0 N N v I W W � c � � z c� 0 � � � � m � � v n O � a � 1S -o m � � Z O a ., �° � �'J W Q C1 C1 t/� � � an.c� � m � 2 � � c I� �`° �� N � 0 '► � � � �. � � �D fD/� �i��'G � W� �' ovom°°� � C' � cD b� � � D O 9 � � � w ZO� �.� � N� rn�0� � p g d Q� �'w Z s u�i' � � � � �� N n � � (�j 7 � fN '�O � Z ' a g o �' �. .. g � a� o � ��. ; `� a ° � 3�D �� D N � � - � N � .+� a � � � � �. cu � v 01 � � � � �� D N y � O � � ''� � O W 1 � � � � � � V �'F � �! W �' a 'C ... �p v,� C� N Z �. O `�'�,v�� N ` 0 � � m� V z V �O -� m � � V O Z < � � c� � N �Q J�► � � �� al'� FILL IN COMPLETELY FOR REPLACEMENT FUEL BURNING APPLIANCE PERMITS COMMON VENT. VENT CONNECTOR AND COMBUSTION AIR VERIFICATION When realacin� an existina furnace, the undersigned hereby verifies that the venting has been examined and is free from rust, deterioration, obstructions, and is securely supported and firestopped where required. Yes () No () The venting system is plastic/PVC and meets all cuRent codes and manufacturer spec�cations including s'izing, 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 assisted and natural draft appliances. The extstin� combustton air is sized and installed to meet the current codes and manufacturer's specifications. When required to instail a new combustion air. it will be sized and installed to meet the current codes and manufacturers specifications. Yes ( ) No ( ) Yes ( ) No ( ) Yes ( ) No ( ) When installinsa a new ventin�a svstem, the undersigned hereby verifies that it 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 assisted and natural draft appliances. Yes () Is the common vent and vent connectors sized and installed correctly after an appliance has been removed from the common vent and vented separately as per current codes. No ( ) Yes ( ) No ( ) Aqaliance Tvpe and Size/Common Vent and Vent Connector_Information Appliance #1 Type BTU Input Fan Assisted or Nat Appliance #2 Type BTU Input Fan Assisted or Nat Appliance #3 Type BTU input Fan Assisted or Nat 'iatal Apptianc:es Tatal �tu Inp�# Common Vent Type Vent Height Diameter inches Appliance #1 Vent Connector Height ft Length ft Diameter in Type Appliancs #2 Vent Connector Height ft Length ft Diameter in Type Appliance #3 Vent Connector Height ft Length ft Diameter in Type ALTERATIOPIS• [Describel NEATING CO: Signed By: Date : ADDRES5 PIN LEGAL DE5C PERMIT TYPE PROPERTY TYPE CONSTRUCTION TYPE CITY OF FRIDLEY 6431 UNIVERSITY AVENUE NE FRIDLEY, MN 55432 1631572-3604 FAX: (763) 571-1287 7651 BRIGADOON PL NE 123024110091 BLOMBERG ESTATES LOT 5 BLOCK 1 PLUMBING RESIDENTIAL ADDITION/ALTERATION a PE N0.:2004-01232 �; DATE ISSUED: 08/02/2004 VALUATION : $ 400.00 NOTE: COMBUSTION AIR SHALL BE PROVIDED PER UMC CHAPTER 6 AND TABLE 6-A. INSTALL A GAS WATER HEATER. # ELEC WATER HEATERS 0 # NEW FIXTURES (EXIST OPENII�TGS) 0 # GAS WATER HEATERS # GAS RANGES VALUE (FOR 11�IINIMUM CALC) APPLICANT NORBLOM PLUMBING CO 2905 GARFIELD AVE S MINNEAPOLIS, MN 55408-2173 (612)827-4033 OWNER NYVOLD MARK D& SUSAN M 7651 BRIGADOON PL NE FRIDLEY, MN 55432 1 # GAS DRYERS 0 # OF NEW FIXTURES 400 # WATER TRMT APPLIANCES AGREEMENT AND 5WORN STATEMENT This permit becomes null and void if work or construction authorized is not commenced witin 60 days or if construcrion or work is suspended or abandoned for a period of 120 days at any time after work is commenced. I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any other state or local law regulating construction or the performance of construction. Applicant Q Date�____�_ B1dgInsp PLBG PERMIT b�INIMUM FEE PLBG FIXTURES (NEW OPENII�TGS) PLBG FIXTURES (EXI5T OPENINGS) WATER TREATMENT APPLIANCE WATER HEATER - ELEC WATER HEATER - GAS GAS RANGE FEE GAS DRYER FEE STATE SURCHARGE, PLBG FLAT TOTAL PAID WITH CHECK # 28783 SEPARATE PERMITS REQUIRED FOR WORK OTI�R THAN DESCRIBED ABOVE. 0 0 0 0.00 0.00 0.00 0.00 0.00 35.00 0.00 0.00 0.50 35.50 . �uilding T_nspeetions 763-572-3604 SITE ADDRESS THIS APPLICANT IS: PR�i ER.TY OWNER/ 'TENANT CONTRA.CTOR SUBMIT A COPY OF YOUR. STATE LICENSE �dITEi APPLIC�CTION PRO�'ER7CTi?' �'YP% PERMI'I' TYPE �rE oF woRx: BUILDI�TG RESIDENTIAL APPLICATION �ITY OF FRIII�L�Y � Permit No.: Received. By: Date Rec'd: � �oux � Nrart, anD�ss �co�G ��Q.t �OY1�S • �C'm� r t�C�dr1�r� �In r o ❑ QWNER OCONTRACTOR .. Y`t�a.�c i�. t`il.l i i!', -- �r ��_ RENEWAL BY ANDERSEN sTATE L 1920 COUNTY RD. "C" W. �'�� RO5EVII�LE, MN 55113 � s�rA� zrn PHONE 651-264-4777 � ❑ S1NGI; r� o �wo F. LICENSE #20130983 _ �n� O B.ASEMII�Pf FINISFi ❑ DECK u �ESCrc�E woxx BEn�rG ;IZE OF IlvIPR43VEMENT !iJMBER OF SQUARES �ARAGES ROPOSED STZE: ROP05ID HEIGHT: mING I V'uryi I Alucninucn I Other 0 ROOF ❑ SIDING O SWIIvIlv�TG POOL ❑ REMODELINQ' LENGTH ❑ HOUSE ONLY D HOUSE & GAR.AGE O ATTACI�D GARAGE ❑ DETACI�D QARAGE �Soffit � Trim ❑ Fascia 'INDC}WS i E3IISTII�TG OPENINGS OYes ONo IACATION OF WINDOWS [2 FOR NEW OP�iINGS-DPSCRIBE.SfZE OF PENING CHANGFS & . �u ❑ wn�tDOws ❑ DRAW TII.E ❑ OTF�R � Y�.� �� BASEA�NT REMUDII W(� SUBMTf• . Z. E�stiag Floor PIan - 2. Proposed floor plan 3. List of siructural members to be used FOR NEW CpNSTRUCTTON INCLUDING DECKS� ADDTTIONS. & PORCHES SUBMIT• I. Site Plan/Survey showiug the existing shvctures and proposed proj� . 2. Two safs of constructian plans 3. Energy CalcuFations i'P& OF WII�IDOW TO BE INSTALLID NUMBER OF WII�IDOWS � ALL FEES ARE BASED ON VALUATION, TNCLUDING THE COST OF LABOR AND MATERiA.LS: (USING THE 1997 U.B.0 FEE SC�EDULE) TOTAL JOB VALUATION $ ��j �O -° OCCUPANCY TYPE ;rmit Fee . - an Review rrcharge re S�rcharge cense Surcharge �C Charge xrb �zt Escrow osion Control rk Fee wer Main Charge �ta.l Dne . $ $ �.' $ �-. S�S` $ 5� d-D $ $ $ $ See Back Page for Fee �chedule 6�% of Building Perxnitt Fee • (.0005} fimes the tofzl job valuation — Minimum $.50 .001 xPermit Valuation (l./10%j $5.00 (State L'zcensed Residential Contractors) $1450 per SAC Unit (Plans to MWCC for determination) ft+6fi= $x$20=$ $45U Conservation Plau Review Fee Determined by Engineering Agreement necessary ( } Non Necessary ( ) Make checks navable to: Citv aiFridlev Attach THIS IS AN APPLICATION FOR A PERMIT NOT VALID UNTIL PROCESSED iereby apply for a building permit and I acl�owle�ge that the informaiion above is complete and accurate; tha.t the work will be in ifonnance with the ordinances aud codes of the City of Fridley and with the Minnesota Construction Codes; that I understaad #his is not a znit hut onIy an applicatio for a pe and work is not to stazt vyithout a penmit; that the work wiIl be in accordaz�ce wiih the approved n in. the case of all work 'ch requ' review and approval o�plans. . NATURE OF APPLICANT RINT NAME 1 DATE D � � _ \ /