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AF - 43936SUBJECT PE I . City of Fridley 18216 AT THE TOP OF THE TWINS g U I L D I N G P E R M I T r ; � R IPT . � ; y _ COMMUNITY DEVELOPMENT OIV. r � � PROTECTIVE INSPECTION SEC. J� ��� � , � C , ' �"�1 � CITY HA�L FRIDLEV 55432 NUMBER REV. DATE PAGE Of APPROVEO BY �.__.11: '•� 612-571-3450 910-F15 9/20/85 � � JOB ADDFESS 6771 Brookview Drive N. E. 1 LEGAL �OT NO. BLOCK TRACT OFi ADDITION SEE ATTACHED DESCR. $$2 � Of LCJt 2� B.�.00 1� Brookview ZriC� SHEET 2 PROPERTY OWNER MAI� ADDRESS ZIP PHONE J.A. Menkveld & Associates. Inc. 1299 Mississippi 5treet N.E., Fridley 757-0094 3 CONTRAC70R MAIL ADDRESS Z�P PHONE LICENSE NO. Same 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE IICENSE NO. 5 ENGINEER MAIL ADDRESS ZIP PMONE LICENSE NO. 6 USE OF BUILDING Residential 7 CLASS OF WORK � NEW ❑ ADDITION O ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Construct a 24� x 37' Dwelling and a 20' x 20` Garage with a 10' x 10' Deck 9 CHANGE QF USE FROM TO STIPULATION� provide a hard su�face driveway. Provide sod in the front and side yards. Provide City copy of verifying suxvey i�e�ore capping, WATER & 5EWER SERVICES: Need tA be e�tended on 67th Avenue DRIVEWAY ESCROW: 12' i• 6' = 18' x$13.50 =$243.00 SAG Credit from 1061-67th Avenue N.E. Wrecked 6/6/74 permi.t #12,583 SEPARATE PERMITS ARE REQUIRED FOR EIECTRICAL, PLUMBING, HEATING, TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD VENTILATING OR AIR CONDITIONING. WOOC� FY'aTCle 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 STALLS GARAGES AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS VALUATION SURTAX AND,ORDINANCES GOVERNING THIS TYPE OF WpRK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT $57, 400 S2$ • 7Q DOES NOT PFESUME TO GIVE UTHORITY T VIOLATE OR CANCEL THE PERMITFEE SACCHARGE PR VI O OF AN OTHER TATE OR LO L LAW REGULATING CON- ST U F PERFO NCE OF TRUCTION. yS`3O%.�� �K'edlt ��y �� PLAN CHECK FEE TOTAL FEE U $ 76.75 $412.45 + DW si R OFCONiRACTOROAAU7H0 iZEDnGENT ion7Ei - WHEN PROPERLY ALIOATED THIS IS YOUR PERMIT � O Sr SIG TURE OF OWNER i1F OWNER BUILDEI?I IDATEI BLDG iNSP � 7E p� � City of Fridley Effective u/1/84 ADDN. [ ] R-1 AIiD R-2 pLTER. [] - Bu lding Permit Application ,"� � � ,/ , ` Construetion Address: �� ^ i' �!�-�� V � � � � N � � � • �� Legal Description: c� � � � �� �� � �L- � ����'��� �'� owner Name & Address : ��.�►����-�Z � �>�-��`�� ��---� ( �J ('' Tel . # �J� ''Q � Contractor• �� Tel. � Address: LIVING AREA: GARAGE AREA: DECR AREA: OTHER• Attach to this application, a Certificate of Survey of the lot, with the proposed construction draWn on it to scale. DESCRIPTIOA OF IMPROVEMENT Length � Width Height �� Length ��.� Width ��� Height � Length ( � Width ��� Hgt/Ground ,� Sq. Ft. � � Sq. Ft. ���� Sq. Ft. � Inside Lot Ft. Yd. Setback `�j �_ Side Yard Setback �� �� Corner LoL�] � � Type of Construction: ��-T`��� Estimated Cost: #���, ��v Approx. Completion Date: 1�'��� �� U ��-- /� �'�4�� Alt. A Alt B Proposed Drivexay Width If NeW Opening Is Desired: � � See Back Page for Explanation DATE: � u'��s �' APPLICANT: Permit Fee Plan Check State Surcharge SAC Charge Park Fee SeWer Main Charge l�ct,,V cLw�Ay TOTAL STIPULATIONS: Tel. # `�� � CITY DSE ONLY $ 3►d7. ��% Fee Schedule on Reverse Side � 7� .�� 25� of Building Permit Fee � �d �.50/a1,000 Yaluation � a425 per SAC Unit $ Fee Determined by Engineering S q��Q�lgreement Necessary [] Not Necessary [ j � <�f��`� G;����' V • BQILDING PERMIT FEE SCHEDIILE 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 an}• alteration or repair to any existing Duilding or structure, upon application therefore, require the payment by the applicant for such permit of fees to Lhe amount herein beloW set forth and in the manner herein provided to-Wit: _ Total Valuation i1.00 to �500.00 �501.00 to �2,000.00 �2,001.00 to a25,000.00 �25,001.00 to �50�000.00 �50�001.00 to �100,000.00 �100,001.00 and up Fees �10.00 (Minimum Fee is �15.00) � �10.00 for the first �500 plus �1.50 for each additional �100 or fraction thereof� to and including �2,000. 332•50 for the first �2,000 plus �6.00 for each additional ;1,000 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 a50,000 plus �3.00 for each additional �1,000 or fraction thereof, to and including �100�000. ��33•00 for the first #100,000 plus �2.50 for each additional �1,000 or fraction thereof. DRIVEWAY DEPRESSION ESCRO'W (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 approaeh With 6 inch depth - Driveway �aidth plus 6 feet times �15.75 VERIFICATION OF FOUNDATION Permits for construction �ill 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 been constructed Will be required before proceeding With the framing. S�, ��o t,. t„ av�3� Z�3 �� K� q2 ��s �0.8?� SC�,00�— Z�, no �.L. 8�b� tL � b'�� x 4y.��( = 3g,��c, �� �l� 3 a �°`c G�'eo z �w ��fy I`/ = S, z9c,8'c� 30� � u C AtZ, �C„E2� z t{�v X� 2.1 `t �- �, �7G,du ' • � s�, wio.3'�.. � CA/NE � �lSSOC/ATES LAND SURVEYORS, /NC. _, /7720 Highwoy 65 N. E. Sode�vi//e, Minnesolo 55304 - 434-7646 CERTIFICATE OF SURVEY FOR: Jack Menkveld DESCRIBED AS: The south 82.00 feet of Lot 2, Block 1, Brookview Second, according to the recorded plat thereof in the office of the Registrar of Titles, Anoka County, Minnesota. Subject to easements of record. .. ._ __._. � � � 67 TH A!/E. SCALE: / /NCN+ � FEET. O DENOTES //Y /NCN /RON P/PE SET. � DENOTES f0(/NO /RON MON(/AIEN7. BEAR/NGS SNOWN ARE ASSf/MED. N &9° /�'3Z �� W , N. Vl! L . ' �a f ��� � 0 W Z � � � W � � 0 0 �(� V / HEREBY CERT/fY TNAT TM/S SURYEY, PLAN� OR REPORT WAS PREPAREO BY A/E O/P GVDER ' MY D/RECT SUPERV/StON AND THAT / AM A DULY !�'EG/STERED LAND SURVEYOR UNDER THE LAWS Of TNE STATE OF AI/NNESOTA. r � DATE • REG. NO. �22s� r, c � -� c -- ' ^ -- - _. . � ��� �'. . � c -�jg �Lo � i� � � QN'� �`�1 �l1 (�'71 �, _ _ _ _ _ �.�.- � --� �,� 7 � --�-c�—� C� '� ..�. c�--� :�.C3'"1 Q.�--�+� Q� ° Z� ,L�'��� � � � � �' � (�'� �3►1 J� �� �! , 'La I � � � � � L c� z � �.,.... � _ u: 6 CITYOF FRI DLEY C1V1C CENTER • fri31 UNIVERSITY AVE. N.E. FRIDLEY, MINNESOTA 55432 • PHONE (61?) 571-i4i0 January 27, 1986 Mr. Jack Menkveld J.A. Menkveld & Associates Inc. P.O. Box 34004 Blaine, [rII�l 55434 Re: Final Inspection at 6770 Brookview Drive N.E, Fridley Dear Mr. Menkveld: A final inspection was conducted on January 22, 1986 of the above address and the following items were noted which must be completed before the structure can be finaled out: 1. Fbst address on structure by February 10, 1986. 2. Provide a hard surface driveway by June 15, 1986. 3. Provide sod in the front and side yaLds by June 15, 1986. 4. Provide the City with a copy of the verifying survey by February 10, 1986. 5. Obtain a final test on the pl►�nbing by February 10, 1986. We will expect the above items to be completed by the scheduled dates when reinspections will be conducted to determine coinpliance. If you have any questions on these items, please feel free to contact me at 571-3450. Sincerely, L1�RREZ G. Q�RK Chief Building Official �c „ � . _ CfIYOF FRtDLE.Y CIVIC CENTER • 6431 UNIVERSITY AVE. N.E. FRIDLEY, MINNESOTA 55432 • PHONE (612) 571-3450 Ju�ly 28, 1966 J.A. F3enkveld & Associates 1299 r:ississippi Street NE Friale�•, rt: 55432 Dear rlr. Aenkveld, It nas oou�e to my attention that you have not yet paid the park fees for your �►royerty at 6770-f780�790-6796 Brookview Drive NE. Tne sole stipulation accanpanying the Lot Split that was granteci to you on this property was that you pay a�.ark fee af $750 per lot with the next three building permits. I have enclosed a copy of the Action Taken Notice, complete with your signature agreeing to the above-r�entioned stipulation. Please pay thE reguirec3 park fees b� August 11, 1986. It you have any questions, please feel tree to o�ntact me at the Frialey Civic center, 571-3450, extension 166. Z2,anF: you f or your 000peration. Re pectfully yours, Daryl !� ey � Planning Assistant C-86-334 , r � c��roF FR[DLEY FRIDLEY MUNICIPAI. CENTER • 6431 UNIVERS[TY AVE. N.E. FRIDLEY, MN 55432 •(612) 571-3450 • FAX (612) 571-1287 May 15, 1990 Art Medic 6770 Brookview Drive N.E. Fridley, MN 55432 Dear Mr. Medic: Enclosed please find copies of the assessment records for your property which you requested at the April 25, 1990, Planning Commission meeting. Page 1 of the records lists those items which were assessed to your property and indicates that those assessments are paid in full. I hope this answers any questions you may have. If you need any further information, please contact me at 572-3593. � Sincerely, Michele McPherson Planning Assistant 1�II�i: ls C-90-267 . �, �- ; ,. , i`. • • l`� •• � i�. � , �' ; C _ , • • i � � i' • � . �.: . . , ..: � . � . . �y.. ,,. . . � ...,. .. .-�. ,. , . . , . . . et� . ►IN . 1 S �0 !i v� 0067 • �. . . + ; �' � . , , ., '�. ' I+.w r+ww �' � S.7N =q.Il. SSla6 - • • �A fRO0Ktl1EN SEC0110 A00•II ►t. �t L.!• t1R. 1 �' S. �'t.00' ot Lot t i770 orookvle� 0�. N.E. (Sup�. to ��s�. ot neoM) � � �-�...�. Ilod t�N_.__,_, Add�,�_ �. ,� � �'�--••��.ral N._.�� . . � r �Ness, *� ..�,�,� 4' ��� ��� ��� �M*a�1s��t Oew�ie�w K�� �t�� tMt. ro� 1�� ttA11 � ' �C �'-� � rrs. 1lS4 =49.98 P�id r � �sss s4t.43 P.ta � � ♦ N1. 20 Trs. 1955 f600.39 Patd �- � u 20 rn. 19SS 5458.06 Pa1A '' u ZO �n. 1956 f24.07 Patd F � � j I � � � i' 1: � ,' 7 ' j { ;. � � f � � tl, P , � r � � L ( �a. � ��..�:__.�_�._. __.: .. . . _ . n�A lot sottt No�. 1!!S n� ' .e'" � w.. t�+ ,. ST. 1964-1 10 �n. 1965 107' F�..drookN� p�•. s�{.� h/1 , ST. 1965-1 10 rn. 1966 fr+ook�1� Dr.. s1A� s1�i.4t hi� � ' i ; / f # y ' 1 ; j , ' . . I_� � - � i�. c . � . . . :.',1 � 5 . �..�'���- � � . . •��'�� � '�� `�' � . . .-:..F. , .? 5 ' � ��fY Of iRIDLEY "'�'�� � ^+�.7/�1� ��� � .: � f � 06 a � , ,_ .*� ; . ...... _ �::�:,.,�,�;�,�.: , sue�ecr P NO. c�ty of Fridley 26 825 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 � v � PROTECTIVE INSPECTION SEC. �5�� � � � � �"'1 �� CITY HALL FRIOLEV SS132 NUMBER REV DATE PAGE OF APPROVED 8Y �.__..11.• ••� 612-571-3450 910-F15 7/27/98 � � JOB ADDRESS 6770 Brookview Dr t LEGAL ��T NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. S. 82' of ot 2 1 Brookview ZriCl SHEET 2 PROPERTV OWNER MAIL ADDRESS 21P PHONE Art Medick 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. D& B Home Im Circle Pines MN 55014 784-0922 7773 4 ARCNITECT OR DESIGNER MAIL ADDRESS ZIP PMONE LICENSE NO. 5 ENGINEER MAIL ADORESS ZIP PHONE LICENSE NO. 6 USE OF BUILDING Residential 7 CIASS OF WORK O NEW ❑ ADDITION ❑ ALTEfiATION � REPAIfi ❑ MOVE O REMOVE 8 DESCRIBE WOIiK Reroof (21 Sq) Tear-off 9 CHANGE OF USE FROM TO STIPULATIONS , Underlayment must comply with State Building Code. TYPE OF CONST. OCCUPANCY GROUP OCCUPANCV LOAD SEPARA7E PEFMITS ARE REOUIRED FOR ELECTRICAL, PLUMBING, HEAT�NG, VENTILATING OR AIR CONDITIONING. THIS PERMIT BECOMES NULI AND VOID IF WORK OR CONSTRUCTION ZONING SQ. FT. CU. FT. AUTHOAIZED IS NOT COMMENCED WITHIN 60 OAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONEO FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS OfFSTREET PAqKING t HEREBV CERTIFV THAT 1 HAVE REAO AND EXAMINEO THIS APPLlCAT10N 1 STAILS GARAGES AND KNOW THE SAME TO BE TRUE AND CORREC7. ALL PROVISIONS OF �AWS VAGUATION SURTAX AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIEO WITH WHETHER SPECIFIED MEREIN OR NOT. THE GRANTING OF A PERMIT -� ���� � 1�%SI. $. H] DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE pEpMITFEE SACCHARGE PROVISIONS OF ANY OTHER STATE LO L LAW REGULATING CON- STRUCTION OR E�PERFOR NCE f TRUCTION. �rj(). ]rj FlY SC �1.75 '� �f PLAN CHECK FEE TOT L FEE r ! � � Licen 5.0 4.37 SIGNATUAE OF CON'RAC Op OA ED ENT IOATEI N ROP VALIDA THIS �� I % � S�GNATUREOFOWNERUfOWNERBWLDERi IOATEI BLO �NSP ��4TE NEW ADDN ALTER L] L] t) CITY OF FRIDLEY SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION ConstructionAddress: (n l� / �J Legal Description: Owner Name & Address Contractor: Address: -( �� LIVING AREA: GARAGE �AREA: DECK AREA: � ` Pc� � C� Effective 1/1/98 ���y � � �� �� � /� Tel. # Y � MN LICENSE # � �-� Tel. # %�Y` �Z�,.� Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIP'rION OF Il��IPROVEMENT Length Width Height Sq. Ft. Length Width Height Sq. Ft. Length Width Hgt/Ground Sq. Ft. OTHER: • �/ Construction T e: � -�� Estimated Cost: $ � YP (Fee Schedule on Ba ) Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x$ _$ ���� ,.. _�, _, DATE: � APPLICANT: Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee Sewer Main Charge TOTAL STIPULATIONS: CITY USE ONLY Tel. # .!/J �-� j G� $ �i�� ��- Fee Schedule on Reverse Side $ , S� .001 of Permit Valuation (1/lOth%) $ , � `� $.50/$1,000 Valuation $ $100Q ger SAC Unit $ �. �C�� $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 [ ] $ �7- , � ' ` SuBJECT City of Fridley AT THE TOP OF TME TWINS g � I L D I N G P E R M I T r � . � � . COMMUNITY OEVELOPMENT DIV. � i V'�"�� , . r � � PFiOTEC7IVE INSPECTION SEC. � . i-__-�� �"' �'� CI1Y HALL f RIOLE� 55�32 NuMBER L 612-571-3450 9t0-F15 JOB ADDRESS 6770 Brookview Drive N t LEGA� �OT NO. � 9LOCK TfiACT Oii ADOITION DESCR. S. 82 Of 2 PROPERTY OWNER MAIL AOOfiESS Linda Medeck 3 CONTRACTOR MAIL ADORESS Wellington Window & Door Co. 3938 Meadowl d AqCHITECT OR DESIGNER MAIL AOORESS 5 ENGINEER MAIL ADDFESS 6 USE OF BUIIDING Residential 7 CLASS OF WORK REV OATE 10/20/98 ZIP � ZIP ZIP PAGE OF � � PMONE PHONE �4MIT NO\ 28333 O. 7a 73 AvnqOVED Br SEE ATTACHED SMEET IICENSE NO �� IICENSE NO. UCENSENO ❑ NEW O ADOITION O ALTERATION QX FiEPAIR O MOVE O REMOVE 8 DESCRIBE WORK Window renlacement 9 CHANGE Of USE FROM STIPULATIONS TO Install smoke detectors to meet the State Building Code - in each sleeping room and on each level of house. TYPE OF CONST. SEPARATE PERMITS ARE REOUIRED FOR ELECTfiICAL, PIUMBING, MEATING, VENTILATING OR Alq CONOITIONING TMIS PERMIT BECOMES NULL AND VOID If WORK OF CONS7pUCT10N ZONING AUTMORIZEO IS NOT COMMENCED WITHIN 60 OAYS. OR IF CONSTRUCTION OR WORK IS SUSPENOED OR ABANDONEO fOfi A PER100 OF 120 OAYS AT ANY TIME AfTER WORK IS COMMENCED. NO DWLG. UNITS I HEFiEBY CERTIfV THAT I MAVE REAO ANO EXAMINED THIS APPLICATION AND KNOW THE SAME Tp BE TRUE ANO CORRECi. ALL PROVISIONS Of �AWS VALUATION AND OROINANCES GOVERNING THIS TVPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OFi NOT. TME GRANTING OF A PEFMIT �ZH7�i DOES NOT PqESUME TO GIVE AUTMORITY TO VIOIATE OR CANCEL THE pERMITfEE PROVISIONS OF ANY OTHER STATE OR LOCAI LAW REGUTATING CON- STRUCTION OA TME PERFOiiMANCE Of CONSTRUCTION �J�F. J.S � S�GNAfUpE OF CON'aA(;TOQ Op AUTNOA�2ED eGENT IOAiEi �,I���O�/ rif. �i � ! S�GN4TUAE O� OWNEQ��F OWHEA Bu4DER� iO�tE� ni fT STALLS Y CU FT. OfFSTREET PARKING IGARAGES SURTAX ��Y�� $1.43 SAC CHARGE Fir SC ��x�� TO FEE .25 THiS IS VOUR PEQ� r � i� _ - r�c t LOAO 1.�7 n NL�W. ADDN ALTER .l 1 [) � ) ConstructionAddress: � Legal Description: Owner Name & Address: Contractor: � ; � Address: ,�°1� M 0 � LIVING AREA: GARAGE AREA; DECK A,REA; OTHER: CITY OF FRIULEY SINGLE FAMILY AND DUPI,CXES R-1 AND R-2 BUILDING PLRMIT APPLICATION Effective 1 / 1 /97 J,J �� �� � /�a J c-', lz ^1 1 _ Attach to this application, a Certificate of Survey of the : lot, with the proposed construction drawn on it to scale. DESCRIPTION QF IMPROVEMENT Length Width Height S9- Ft. Length � Width Height Sq. Ft. �ng� Width Hgt/Ground Sq. Ft. /' � �(% Consttuction Type: l.� 1L Estimated Cost: $�U `�� (Fee Schedule on Back) Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x$ =� DATE: �° _ c__ s,�� ApPLICANT: Tel. # �3 � �3 0 � CITY USE ONLY ( ' Permit Fee Fire Surcharge State Surcharge SAG Charge License Surcharge Driveway Escrow Erosion Control Park Fee Sewer Main Charge �ro�rnl_ S"I'f['ULi��I�tONS: $ ` C�� Fee Schedule on Reverse Side ��,�7 .001 of Permit Valuation (1/lOth%) � .�i3 � $.50/$1,000 Valuation � $950 per SAC Unit $ �� � � $5.00 (State Licensed Residential Contrac $ Alt. "A" or Alt. "B" Above � $450.00 Conservation Plan Review $ Fee Determined by E�iginecrir�g $ Agreement Necessary [ ] Not Necessary � ' ia5 1' , -,�5-� ��; ��v`l /, �3 �: �� �1�, � �' ` Y� 1� �°� � � ��� �'� D� (��-�',�� ___:---� �� sue�ecr PE . c�ty of Fr�a�ey 3 � � � o AT THE TOP OF TME 7WINS g � I L D 1 N G P E R M�I T � ; � RECE���1�y � • COMMUNITY OEVEIOPMENT DIV. �?2-3604� � ` , ; � ----- , r � � PR07ECTIVE INSPECTION SEC. /5� � � � �"'1 � CITY NALI. FRIOLE� 55132 NVMBER AEV O�TE P�GE Oc �PnnOVEO Br �----�-' �•' 612-571-3450 910-F15 3/29/O1 / / JOB ADORESS 6770 Brookview Drive NE t IEGAL �OT NO. BLOCK TqACT OR AODITION SEE ATTACHED DESCR. Pt 2 1 Brookview 2nd SNEET 2 PROPERTY OWNER MAIL AODi;ESS IIP PHONE Art/Linda Medeck 6770 Brookview Drive NE 763-571-4673 3 CONTqACTOR MAIL AODRESS ZIP PHONE LICENSE NO Al1 Ways Decks 310 Wexford Heights Dr, New Bri hton, MN 55112 651-636-6051 d ARCMITECT OR OESIGNEF MAIL ADDiiESS ZIP PHONE LICENSE NO. 20003805 5 ENGINEER MAIL ADOflESS 21P PHONE LICENSE NO 6 USE OF BU1lDING Residential 7 CIASS OF WORK O NEW � ADDITION � ALTERATION p REPAIR O MOVE O REMOVE B DESCRIBE WORK Construct a 12' x 20 Deck 9 CHANGE OF USE FROM TO STIPULATIONS See notations on plan. TYPEOFCONST. OCCUPANCYGROUP OCCUPANCVLOAD SEPARATE PERMITS AFE REOUIFED FOR EIECTR�CAL, PLUMBING, HEATING. VENTIIATING OR AIR CONDITIONING. TMIS PERMIT BECOMES NUIL ANO VOID IF WORK OR CONSTRUCTION 20NING SO. FT CU FT. AUTHOR12E� IS NOT COMMENCED Y�!I7HIN 60 OAYS. OR IF CONS7RUCTION OR WORK IS SUSPENDED OR ABANOONED FOR A PER100 OF 120 OAYS A7 ANY TIME AFTER WpqK IS COMMENCED. NO DWLG. UN17S OFFSTREET PARKING I MEREBY CERTIFV THAT I MAVE REAO ANO EXAMINEO THIS APPLICATION 1 STALLS GAfiAGES ANO KNOW THE SAME TO 8E 7HUE AND CORRECT. ALl PROVISIONS Of LAWS VALUATION SURTAX AND ORDINANCES GOVERNING THIS TYPE OF WORK WIIL BE COMPt,lEO �2 � 64O � 1.32 WITH WMET ECIFIE� MEREIN OR NOT. THE GRANTING OF A PERMIT DOES PRESU E TO GIVE AUTMORITV TO ��OLATE OA CANCEL THE pEqM1T FEE SAC CMARGE PAO IONS OF A Y OTHER E OR IOCAI LAW REGUTATING CON• $83.25 Fire C�2.63 UCTION OR T PER M CE OF CONS7RUCTION PLAN CHECK TpTAL F Lic se C $5.0 $9 .20 S�GNAi E ON"AACTOQ 4uTHOAiZED�GENi iDATEi HE PROPE V ALtDAT T tS IS YOUR P RMiT • � � S�GNATU�7E O� OWNEp��F OWHEQ BUi�DEA� �D�iEi B �ti$o � ����E N EW ( ] Effective 1 /1 /2001 ADDN [] . CITY OF FRIDLEY (763) 572-3604 Bldg Insp ALTER [] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION Construction Address: ( n%�0 �� 1� v �� � r t Legal Description: Owner Name & A� Contractor: Address: Te►. # 7� 3-�? 1, y b7� MN LICENSE# 20'�4 ��p� Tel. # �� J-103�- �SJ �tach o�'this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF IMPROVEMENT LIVING AREA: Length Width Height Sq. Ft. GARAGE AREA DECK AREA: OTHER: Length Wdth Height Sq. Ft. Length 12 Width o`ZO Hgt/Ground � Sq. Ft. y an S;R �Co JO Construction Type: '�2,�,� ,t �Jc= Estimated Cost: � Z�� � Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x$ _$ DATE: �/�7/�l APPLICANT: �E'"� �i��r Tel. # C�� I" <o3b~6�5 / �c �.7aYs .�'cSc CITY USE ONLY - Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee Sewer Main Charge T07AL STIPULATfONS: Call (763) 572-3604 for Permit Fees if mailing in application $ J,c�S Fee Schedule on Reverse Side $ .001 of Permit Valuation (1/10th%) $ $.50/$1,000 Valuation $ $1150 per SAC Unit $ � $5.00 (State Licensed Residential Contractors) $ Alt. "A" or Alt. 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Sode�vi//e, Minnesolo 55304 . 43 4-T646 CERTIFICATE OF SURVEY FOR: Jack Menkveld DESCRIBED AS: The south 82.00 feet of Lot 2, Block 1, Brookview Second, according to the recorded plat thereof in the office of the Registrar of Titles, Anoka County, Minnesota. .. Subject to easements of record. l � f �, � � i � i� J N 88 °/4 , 3z„� � io �. �z , � , Q �� � � � ' , ' 5 � � ` ! � —' ,' i � � • . � t�� , � .- � • 1 I �J � � � i _ i il � �, \ �`/ ' � a . }� l � '` _ i 0 0 � J �` �' �o F � O • I j ` . N � �. ON� � /�; . l , ' t :�t" � O �� lU (t � v-�. � � � ,I _ � � O ' � O �! — � ', South /�he Of LO Z --� � ,� � ..�..�. �0 7. s't _ .. N �9° /9�'3z �� W . . . .._ _. � � � 67 TH A !/E. /V. VI! SCAL£: / /NCN+ T� fEET. / NEREBY CERT/FY TNAT TM/S SURYEY, PLAN� OR REPORT WAS PREP.IREO BY A/E OR /A1�ER MY O/RECT S(/PERV/SlON ANO TNAT DULY REG/STE/9ED LANO S ��Q � THE LAWS OF TNE � �5.�2 p�i` d�' _ �eu. sue.ietr PERMIT NO. City of Fridley 3 i 7 2 3 AT THE TOP OF THE TWINS g �� L D I N G P E R M I T ;, , � �. � `y __���_ COMMUNITY DEVELOPMENT DIV. ������ / / r)� r � � PROTECTIVE INSPECTION SEC. (f�0 � � � � � �"'1 � CITY HA�L FRIDLE� SS�J2 NUMBER pEV O�iE PAGE OF •vvnOVEO Br �""�'� �'' 612-571-3450 910-F15 4/4/O1 / / �oe aooRess 6770 Brookview Drive NE t LEGAL �OT NO. BLOCK TRACT OR ADOITION SEE ATTACHED DESCR. Pt 2 1 Brookview 2nd Addition SHEET 2 PiiOPERTY OWNER MAIL AODHESS ZIP PHONE Linda/Pat Medeck 6770 Brookview Drive NE 763-571-4673 3 CON�RACTOF MA{L AD�RESS Z1P PNONE LICENSE NO Wellington Windows 3938 Meadowbrook Rd, St Louis Park MN 55426 952-933-6300 4 AqCMITECT OR DESIGNER MAIL AOORESS ZIP PHONE UCENSE NO- Cit License 5 ENGINEER MAI� AOORESS ZtP PNONE IICENSE NO 6 USE OF BUILDING Residential 7 CIASS Of WORK O NEW O ADDITION O ALTERATION � REPAIR ❑ MOVE O REMOVE 8 DESCRIBE WOqK Replace windows within existin openings 9 CHANGEOFUSEFHOM TO STIPULATIONS Provide smoke detectors in a11 sleeping rooms and on all leveis of the dwelling per Section 310.9.1.2 of the 1997 Uniform Building Code. Caulk and flash all exterior openings. Per�rit In�p��t�o� ����s �Illill B� ��i��� To Nomeo��e� 'T� ���� TYPEOFCONST. OCCUPANCVGROUP OCCUPANCVIOAD SEPARATE PERMITS ARE FEOUIRED FOR EIECTFiICAI, PLUMBING, NEATING, VENTILATING OR AIR CONOITIONING THIS PERMIT BECOMES NULL AND VOID �F WORK Oq CONSTFUCTION ZONING SQ. FT CU FT. AUTHOR�ZED IS NOT COMMENCEO WITHIN 60 OAYS, OR IF CONSTRUCTION OR WORK iS SUSPENDED OR ABANDONEO FOR A PER100 OF 120 OAYS AT ANY TIME AfTER WORK IS COMMENCED. NO DWIG. UNITS OffSTREET PARKING I HEREBY CERTIFV THAT I HAVE READ AND ExAMINED THIS APPLICATION 1 STA�IS GARAGES AND KNOW THE SAME TO 8E TiiUE ANO CORRECT. ALL PROVISIONS OF LAWS VALUATION SURTA% ANO ORDINANCES GOVERNING THIS TVPE OF WORK WILI 9E COMPUED WITM WMETMER SPECIFIE� HEREIN OR NOT. TME GiiANTING OF A PERMIT �3,759 $1.88 DOES NOT PRESUME TO GIVE AUTMORITY TO VIOLATE OR CANCEI TME pEqMIT FEE SAC CNARGE Pi:OVtSIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- STRUCTION OR TME PERFORMANCE OF CONSTRUCTION �9� . Z.S F1 e SC $3 . 7� PLAN CMEC E T AL FEE City ic nse $102.8 S�GNATU�7EO�CON7FA(;TOQOROUTMOA�2EO�GENT iD�TE� HE PR V VALI A D TNIS IS V R ERMIT �C . , L/II �� (/ ��. . S�GNATU�7E O� OWNEp��� OwaEA Bw�DEA� �D�iE� -� 8 �ri5� � q�i NEW Il ADDN [] ALTER [ j Effective 1 /112000 CITY OF FRIDLEY (�63) 572-3604 B{dg Insp SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION Construction Address: c�� � (� ��pd � v� �1' , . /�� Legal Description: _ „ • Owner Nar� & Address: LIVING AREA: GARAGE AREA: DECK AREA: OTHER: r cc � u t, L ('Cc Tel. # � i s�,�6 Attach to this application, 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 �"/� I-I �D° Construction Type: �e�1'l;��e✓�1U1� Q� �tJ� wS Estimated Cost: $ ,,%�� - Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x$ _$ DATE: �� APP�ICANT: Tel. # ��� "��.57'��G� CITY USE ONLY - Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Call (763) 572-3604 for Permit Fees if mailing in application $_ ��� Fee Schedule on Reverse Side $ � 7� .001 of Permit Valuation (1/10th%) $ ) Y�� $.50/$1,000 Valuation $_ i $1100 per SAC Unit $ f= � . 'dential Contractors) $ Alt. "A" or Alt. "6" Above $ $450.00 Conservation Plan Review Park Fee $ Fee Determined by Engineering Sewer Main Charge $ Agreement Necessary [] Not Necessary [] TOTAL $ gU � STIPULATIONS: �m ��� �i?`��-�-�� `<z�.� . �/�, � / /�9 � � � �' u.�� � �4��� � �=,�,��'�//-��-- � � �� � ���_�� � %��-S. sue�etr RMIT NO. City of Fridley 3 i 74 8 AT THE TOP OF THE TWINS g � I L D I N G P E R M i T � _�._ ; � ���-��0� RECEIPT NO. COMMUNI7Y DEVEIOPMENT DIV. ���� r � L � � PROTECTIVE INSPECTION SEC. i_-_-�; �"'1,'� CITY MA�L fRIOIEY 55�32 NUMBEP pEV D�TE P�GE OF APVROVEO Br L 612-571-3450 9�0-F�5 4/18/O1 / � JOB ADORESS 6770 Brookview Drive NE t LEGA� ��T NO. BIOCK TRACT OR AOQITION SEE ATTACHED oESCa. pt 2 1 Brookview 2nd SHEE7 2 PRQPER�Y OWNER MAI� AOORESS Z�p PNONE Art Medeck 6770 Brookview Drive NE 763-571-4673 3 CONTqACTOR MAII ADORESS ZIP PHONE LICENSE NO Wellington Windows 3938 Meadowbrook Rd, St Louis Park, MN 55426 952-933-6300 4 ARCHITECT OR DESIGNER MA1L ADDRESS Z1P PHONE LICENSE NO. 5 ENGfNEER MAII ADORESS ZIP PMONE UCENSE NO 6 USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW ❑ ADDITION O ALTERATION l� REPAIR O MOVE O REMOVE 8 OESCRIBE WORK Replace Windows Within Existing Openings 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 a�l exterior openings. Perr�it �ns��c#�o� C�rds 1�ii11 �� ��i��d To �ome���1��� `�v Post TYPEOfCONST OCCUPANCYGROUP OCCUPANCVLOAO SEPARATE PERMITS ARE REOUIRED FOR ELECTRICAL, PLUMBING, HEATING. VENTILATING OR AIR CONDITIONING THIS PEfiM1T BECOMES NUII ANO VOID IF WORK OR CONSTRUCTION ZONING SQ. fT CU FT AUTMORIZEO IS NOT COMMENCEO WITHIN 60 OAYS. OR IF CONSTRUCTION OR WORK IS SUSPENOED OR ABANOONEO FOR A PERIOD OF 12p DAYS AT ANY 71ME AFTER WORK IS COMMENCED. NO DWLG. UNITS OFFSTREET PARKING I HEfiEBY CERTIFY THAT 1 HAVE REA� ANO EXAMtNEO TMIS APPLICAT{ON 1 STALL$ GARAGE$ AND KNOW THE SAME TO BE TRUE ANO COFiRECi. ALl PFOVISIONS OF LAWS yqLUATION SURTAX AND ORDINANCES GOVERNING THIS TVPE Of WORK WI�L BE COMP�IEO WITM WMETMER SPECIFlEO MEREIN OA NOT THE GRANTING OF A PERMIT �1�972, �.99 OOES NOT PRESUME TO GIVE AUTHORITY TO VIOIATE OR CANCEL THE pERM1T FEE SAC CMARGE PROVIS�ONS OF ANY OTHER STATE� OR LOCAL LAW REGULATING coN- �69..LS Fire SC �1.9% STRUCTION OR TFiE PERFORMANCE OF CONSTRUCTION PLAN CHECKfEE OiALFEE City 'cense $72.21 S�GN�iUpE O� CON"RACTOQ OA �UTNOp�2E0 AGENT iO�TE� M N Pq lV VAU TED THiS iS �O PEQMIT . ✓/ _a� �� S�GNa�UAE O� OwtiEQ��F OWNEQBU�IDEA� �DAfE� OG �I+S�� ��<<E ��. . . NEW [ ] Effective 1/1/2000 ADDN [] CITY OF FRIDLEY (763) 572-3604 Bldg Insp ALTER [ j SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION Construction Address: _ (7� �: � �o �j` e� ,��(' , ; Legal Description: Owner Nao Contractor: Address: LIViNG AREA: GARAGE AREA: DECK AREA; OTHER: ..,,. ".."...."� Attach to this appfication, 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. �t Construction Type: f'1C�l1 t' W ��I1G[U�/s Estimated Cost: $� ��� Dnveway Curb Cut Width Needed: Ft. + 6 ft = Ft x$ _$_ �� /i/j� �����/ DATE: ! /� APPLICANT: / G Tel. # - t �3 --C�3�a CITY USE ONLY - Cali (763) 572-3604 for Permit Fees if mailing in application Permit Fee $��,�5 Fee Schedule on Reverse Side Fire Surcharge $____ �,�j�_ .001 of Permit Valuation (1/10th%) State Surcharge $ �� $.50/$1,000 Valuation SAC Charge $_ _ $1100 per SAC Unit License Surcharge $ �: i� . 'dential Contractors) Driveway Escrow $ Alt. "A" or Alt. "B" Above Erosion Control $ $450.00 Conservation Plan Review Park Fee Sewer Main Charge TOTAL $ Fee Determined by Engineering $ Agreement Necessary [ ] Not Necessary [ ] � `1�,�c 'i • STIPULAT{ONS:�i�J%/�"�� /«"" � � �� ��7z--�C�. � � 3�6. s. � �, r94� � �'_ c � �����,�� ,��� � - �.��- �i� �"l�`��� - _ _..�ci-�-�� 4 CITY OF FRIDLEY INSPECTION DIV. 643'I University Ave NE Fridley, MN 55432 (763) 572-3604, FAX (763) 571-1287 \ ; � ;` � 1 , ,1 � �-c��% Effective April 1, 2004 APPLICATION FOR PLUMBING AND GAS FITTING PERMIT MARK NUMBER OF FIXTURES TO BE INSTALLED ON EACH FLOOR PLUMBING FIXTURE RATES: New Fixtures Old Opening, New Fixture Beer Dispenser �, Blow Off Basin �! Catch Basin � Rain Water Lead � r Sump/Receiving ank Water Treating A liance Water Heater -Ele tric Water Heater - Ga '`'` NO. RATE TOTAL JOB ADDRESS ���� � Gas Range*" Gas Dryer'`* Back Flow Prevente Required ()Yes ) No Type � � %�� � S A2a�e � 7�0�4 $10.00 $10.00 $10.00 $10.00 $10.00 $10.00 $10.00 $35.00 $35.00 $35.00 $10.00 $10.00 $15.00 ��� � Reinspection Fee $50.00/Hr ALL OTHERS AND/OR REPAIRS AND ALTERATIONS 1.25% of Value of Fixture or Appliance State Surcharge TOTAL FEE �/ �-W fJ T � The undersigned hereby makes application for a permit for the work herein specified agreeing to do all work in strict accordance with the city codes and rulings of the Building Division, and hereby declares that af1 the fiacts and representations stated in this application are true and correct. DATE: _ / /3 D �/ , 20 � �� OWNER /-f r�1- /,( �Qec� BUILDING USED AS ESTIMATED COST PLUMBING COMPANY SIGNED BY v Approved By Rough-In Date $ , Sa PERMIT NO. ��O G ` ����� TEL N0. %6 �'S %I � Lf (0 73 Final Date MINIMUM FEE FOR ANY PLUMBING/GAS PERMIT IS 515.00 or 5% OF COST $ iS. S O OF THE IMPROVEMENT WHICHEVER IS GREATER PLUS THE SURCHARGE COMBUSTION AIR SHALL BE PROVIDED PER UMC SECTION 504(A) AND TABLE 6-A. '*PROVIDE COMMON VENT INFO ON BACK SIDE ADDRESS PIN LEGAL DESC PERMIT TYPE PROPERTY TYPE CONSTRUCTION TYPE CITY OF FRIDLEY 6431 UNIVERSITY AVENUE NE FRIDLEY, MN 55432 �63) 572-3604 FAX: (7631571-1287 : 6770 BROOKVIEW DR NE : 133024230067 : LTNAVAILABLE : LOT BLOCK : PLUMBING : RESIDENTIAL : ADDITION/ALTERATION PERMIT O.: 2004-00504 � '� DATE ISSUED: 04/14/2004 � VALUATION : $ 0.00 NOTE: COMBUSTION AIR SHALL BE PROVIDED PER UMC CHAPTER 6 AND TABLE 6-A INSTALL IRRIGATION SYSTEM WITH BACK FLOW PREVENTER (WILKINS 720A) # BACK FLOW PREVENTERS 1 # ELEC WATER HEATERS VALUE OF FIXTUREfAPPLIANCE # GAS WATER HEATERS 0 # NEW FIXTURES (EXIST OPENINGS) 0 # GAS DRYERS # GAS RANGES 0 # OF NEW FIXTURES # WATER TRMT APPLIANCES 0 APPLICANT MEDECK ARTHUR J& LINDA S 6770 BROOKVIEW DR NE FRIDLEY, MN 55432 OWNER MEDECK ARTHUR J& LINDA S 6770 BROOKVIEW DR NE FRIDLEY, MN 55432 AGREEMENT AND SWORN STATEMENT This permit becomes null and void if work or construction authorized is not commenced witin 60 days or if construction 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 ardinances governing this type of wor� 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. Applican � Date Bldg Insp - Dat `�` � � �� PLBG PERMIT MINIMUM FEE PLBG FIXTURES (NEW OPENINGS) PLBG FIXTURES (EXIST OPENINGS) WATER TREATMENT APPLIANCE WATER HEATER - ELEC WATER HEATER - GAS GAS RANGE FEE GAS DRYER FEE PLBG REPAIR/ALTERATIONS STATE SURCHARGE, PLBG FLAT BACK FLOW PREVENTER TOTAL PAID WITH CHECK # 3085 SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. 0 0 0 0 15.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.50 0.00 15.50