AF - 36632_
_
C�TYOF
FRIDLEY
CIV1C CENTER • 6431 UNIVERSITY AVE. N.E. FRIDLEY, MINNESOTA 55432 • PHONE (612) 571-3450
Oc tober 28 , 198 5
J. A. Menkveld & Associates
P.O. Box 34004
Blaine, h�1 55434
Re: Address Changes on Brookview Drive N.E.
Dear Sirs:
'�� ..
It has been necessary for the City tro list the following changes of address
for your homes under construction in Fridley.
NAP4E: House Under Construction
FROM: 6771 Brookview Drive N.E., Fridley, NIN 55432
TO: 6770 Brookview Drive N.E., Fridley, NIIV 55432
LEGAL: Part of Lot 2, Block 1, Brookview Second Addition
2dAME: House Under Construction
FROrs: 6791 Brookview Drive N.E., Fridley, MN 55432
'I'O: 6790 Brookview Drive i1.E ., Fridley , Mti 55432
LEGAL: Part of Lot 2, Block 1, Brookview Second Addition
�de have notified the following companies of this change and also various
Cepartmerits in the City Hall. If you have any questions on these changes,
�lease contact me at 571-3450.
Si ,
D?1.;REL G . CLARK
Cilief Building Official
CC: :linnesota Gas Company City Water IIilling Department
Northwestern ,3e11 Telephone Co. City Assessing Dep artment
Northerii States Power Co. City Police Department
1�2inneapolis Post Office City Fi.r� De��artment
SUBJECT .P'E NO.
City of Fridley 18255
AT THE TOP OF THE TWINS g U I L D I N G P E R M I T
r
' ' RE
� � •
� • COMMUNITY DEVELOPMENT OIV.
� I ti �
r i � PROTECTIVE INSPECTION SEC. /�// /�
1 , ��
1
`t � /���1 � CITY HALL FRIDLEY 55432 NUMBER REV. DATE PAGE OF APPROVED BY
.�__�.� �.J
612-571-3450 910-F15 1�/21/8 � /
�oB�A,QDRESS 679ti arookview Drive
1 LEGAL LOT NO. BLOCK TRACT OFi ADDITION SEE ATTACHED
DESCR. • pt Z 1 Brookview Second Addition SHEET
2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE
J. A. Menkveld P.O. Box 34004 Blaine, MN 55434 757-0094
3 CONTRACTOR MAI� ADDRESS Z�F PHONE LICENSE NO.
4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO.
5 ENGINEER MAILADDRESS 21P PHONE LICENSENO.
6 USE OF BUILDING
7 CLASS OF WORK
CX NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE
8 DESCRIBE WORK
House and Garage
9 CHANGE OF USE FROM TO
STIPULATIONS
Drivew.ay paid - $243.00
SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD
VENTILATING OA AIR CONDITIONING. Fl�allle
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING SO. FT. CU. FT.
AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION
OR WORK IS SUSPENDED OR ABANOONED FOR A PERIOD OF 120 DAYS AT
ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS OFFSTREET PARKING
I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION STALLS GARAGES
AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS VALUATION SURTAX
AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED
WITH WHETHEF SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT �JH 4000 �Z9.ZO
DO S NOT PRESUME TO GIVE AUTHORITY TO VIO E OR CANCEL THE pERMIT FEE SAC CHARGE
P VISIO OF ANY OTHER STATE OR CA A REGULATING CON-
S UC O T E PERFO ANCE OF RU ION �310.00 $425.00
PLAN CHECK FEE TAL FEE
� ������ $1834 . 70
� r c Oa n r+ ceNr ionrE� WHEN PROPER ID IS IS YOUR PERMIT
i� �
iGNATUREOFOWNER�IfOWNERBUILOEFli IDATEI BLDG iNSP
r�c7E
NES,'
ADDN.
pLTER.
� o i� � o F So v�- z'3 Z- ' ar�
[� City of Fridley
[ l � R-1 AIiD R-2 (
[ j Building Permit Application
.
Construction Addre �����_7��
Legal Description: `— � �� �
✓/��.� ��
Effective 4/1/84
Owner Name � Address �.�� . �(v�Z�� ����'��-� f Tel. # -� �
Contractor
Address:
LIVING AREA:
GARAGE AREA:
DECR AREA:
OTHER:
��9
Attach to this application, a Certificate of Survey of the
lot, xith the proposed construction dra�an on it to scale.
DESCRIPTIOp OF IMPROVEMENT
Length � � Width �� Height � �
Length G� iiidth zd Height ,�_
Length � � Width ��_ Hgt/Ground �
Tel. �
Sq. Ft. �O�
Sq. Ft. ��
Sq. Ft. — ��
Corner Lot [] Inside Lot �Q Ft. Yd. Setback �._ Side Yard Setback �
Type of Construction: �`�'� � Estimated Cost: a �� o v
Approx. Completion Date:
��- � 1� ��
�+
� Alt. A Alt B
Proposed Drivexay Width If Ner� Opening Is Desired: �, � S 3�� � �
See Back Page for Explanation
. ,q-�
DATE: �� � �� APPLICANT: Tel. � w �`/
Y DSE ONLY
Permit Fee
Plan Check
State Surcharge
SAC Charge
Park Fee
SeWer Main Charge
�(t w�
TOTAL
STIPULATIONS:
m�-Q `�- �
s 3i�a�
� 77.ja
s a�.aca
s �as,c��
� 7�.0�
�
�y3,oU
s t g3�.��
fj�totinca
�C ��x ��
_ ____-
Fee Schedule on Reverse Side
25� of Building Permit Fee
�.50/51,000 Valuation
a425 per SAC Unit
Fee Determined by Engineering
Agreement Necessary [ ] Not Necessary [ ]
1��'2 �F va.
wi �o ,o_�' �
BIIII.DIHG PERMIT FEE SCHEDDLE
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 building or structure, upon applicatio n
therefore, require the payment by the applicant for such permit of fees to �he amount
herein beloW set forth and in the manner herein provided to-�ait: _
Total Valuation
=1.00 to �500.00
�501.00 to �2,000.00
�2,001.00 to a25,000.00
�25,001.00 to �50,000.00
Fees
�10.00 (Minimum Fee is �15.00)
0
�10.00 for the first 5500 plus �1.50 for each
additional �100 or fraction thereof, to and including
�2,000.
$32•50 for the first a2,000 plus �6.00 for each
additional �1,000 or fraction thereof, to and
including �25,000.
�170.50 for the first a25�000 plus ��.50 for,eaeh
additional �1,000 or fraction thereof, to and
including �50,000.
E50,001.00 to a100,000.00 �283.00 for the first �50,000 plus �3.00 for each
additional �1�000 or fraction thereof� to and
including �100,000.
3100,001.00 and up
5�33•00 for the first �100,000 plus �2.50 for each
additional �1�000 or fraction thereof.
DRIVEiiIAY DEPRESSION ESCRdW
(Concrete Curb Streets Only)
Alternate "A": Removal and replacement of curb and gutter only - Driveway uidth plus
6 feet times �13•50
Alternate "B": Reaoval and replacement of curb and gutter and install a 3 foot xide
approach �ith 6 inch depth - Driveuay �idth plus 6 feet times �15.75
VERIFICATION OF FOUNDATION
Permits for construction Will be issued a minimum of 2�1 hours from the time of
application to a11oW 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.
� �a � �l� ✓✓��'� �
S�a�, ���— ��3, 6 � a��� t� �Z� q.�iz- _�, oN�,��f
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,
� �� Cl l � .L (.
� MINt�ESOTA STATE f.:��RGY �:OnE CALCULATIONS �-9"X��
��."• ,, BAS�D O,V C�iAPT:.k � Gr THE ��j��
MOL�E� E�iR�Y �:���t: - lyaj EDlTiON
AdupLiun Eff�cCSvr, li1/�4
rn e r ��� N� N1 �K ��Z.D ��s��,!-�"[--�`� I 1� G P ho ne ��� " Bb C�=����r'9 ����f�..�
t e Ad d r e s s ���� �le� ��i jt�-4L� ���1 V�� , .
�ntr�ctor ����� - �hone
,ilding Classification: Type A1 (Single Fa:nily S�uplex) b� Type �+2 (Residential
(3 stories or less ,
:1�E�AL INFO�MATION
Building Perimeter
(Other)
� �� ft.
�all he;,�ht (ground to eave) �{'� 13 ft.
i�n 2
l. x 2. ;above) gross wall ar�a: �D 7� f�.
Build'�nc d'r:ersions {L)
(Over 3 stories)
x(u) _��� � ft.2 roof S floor area
SSuare �cot area of rim joist - Floor joist size (2 z 10 ? ) 2
? x Per�mpt,er = Rim joist area = �- rt
-3 2 _
�oors - �rea ��> > l� .
' Tni_ckness / �n. U actar � �
iype of Cons�ruction �NS� .q�� ��� Pprime�er
h�3nufacturer �1,AC�`r �� �,-; ��-�
Total door's perimeter
ft
ft.
Windo�rs: h'�anufacturer ���'(�C� S�aLe approve� '
U r d C t.01" w7 �— �
7YDC
���-��-
/�`T/ �_
SIZE
Z.��35 T�J i w�
�5 /3�
2�i .la._� T1�J r ►.�
�g/3�
�� / ,�� -tQ�Pc�
�� 'T
� �
AQ�fi (F�.2;.
rq�}{
�
3 � .� _
��
!
t���
"�U�1�ER 0�
UNIT�
� �
�
7
- I
TO;A� FE�T 2
��
1�•�
� ��
��
��
�
0 7ota1 ft.2 Glass �� �
��� Fireplace area: Width x heiuht = x = � Ft.2
11.Exposed found3tion: Neight x Perimeter x = ��� Ft,2
�^�P�ETION OF TNIS FORM IS R�QUI�E� FOR ALL t;Ei� CO��STRUCTI�;�. �aJOR REr•�oO�LING Ar;D BUILDIilGS BEING
�t�E� ��NERE �n�RGY, 07HER THA� THt t^INIMAL CODE ALLO.�lar�CE, IS t1SED.
.arr.i nc� area - l OX of gross wal l ar�n .
Gross wall area �ip � ��
t.-•
1,'indow area A . �� ( ft.
Rim joist area A �i � ft.2
Door area A �8 ft.2
Fireplace area A � ft.2
Exposed foundation A �� � ft.2
Framing area A ��� ft.2
Net wall area A � � � ft.
ft.2
U wi ndows = �, �- U x A= i'D �7
U rim joist = �� j U x A= �
Udoorarea= ��� UxA= �
U fireplace = n U x A= d
U foundation = •� U x A= ��
U framing area =. Q U x A= ���
Uwall = .04 UxA= �- -
(136 ) TOTAL . . . . . . . . . . " U x A =
i4, �ross wall area x 0 le family b duplex
, {13. above) . ��'� �
x A- �er residential)
x .23 Other buildings)
x .28 (Over 3 stories)
A ��c''� ` x l! Code
!;,. Ceiling framing area (Af) equals l0Y of cei7ing area
i�A. Gress ceiling area =(�) __ x(�)
= aliowable U x A/Code
BTUH �iust be 1 araer tha��
_ � % —IIF, 136 above
(. or the same a s)
_ � ��� ft.2
'�B Jo�st area (Af) = 10� ceiling arEa = 11�J � ft.2
;SC. Net ceiling a�ea (A�) (15A - 158) _ � d 8 ft.2
U ceiling x A �_ ��� x r� �. _ ��
l! f rami ng x A f= �O F� x ��?_ = ��
;SD. iOTAL U x A ........................................ Z�
n
16. Ceiling area (15A) x 0.026 (A-1 single `.amiiy b duplex - code allowable U x A
x 0.033 (A-Z other residential)
x O.Ob (other)
/� BaUN Must be larger than 15D (above)
A 15A f�� �j x U(code)= ��> _ F (or the same as }
NOTE: Use U and A values obtained from �ps l, 3 and 4.
�
_
CI�iY OF
FRI DLEY
CIVIC CENTER • 6431 UNIVERSITY AVE. N E., FRIDLEY, MINNESOTA 55432 • PHONE �612) 571-3450
October 10, 19fi5
Mr. Jack Menkveld
J. A. t•ienkveld & Associates Inc.
P.O. Box 34004
n laine , t,'II�I 55434
Re: 5692 Regis Trail N.E. and 6791 Brookview Drive N.E.
Dear rir. Menkveld:
Please be advised that before we can issue the two building permits for the
homes at 5692 Regis Trail N.E. and 6791 Brookview Drive N.E., we need the
followirig infom.�ation:
5692 Regis Trail PI.E.:
Because of the very unusual terrain and fill already placed on this lot,
we ask that you have a registered engineer examine the site and design
the foundation syst� for the house:
b=� Brookview Drive N.�.:
Because there is no City sewer and water seYVicing this property, you
must meet with the City �ngineering Depart�uent to agree upon a method
of service and grant to the City any necessary u tility easements.
If you have any questions on this matter, please feel free to contact me at
571-3450.
Sincerely,
_ � � `�
\ - - ��� ' � � � L
DARREI� G. CLARK
, Chief Building Official
DGC/tnh
CC: :dr. Mark Burch, Asst. City Engineer
�
. �'^
_
�:.<�
����F
FRlDLEY
CIVIC CENTER •(}3� I UNIVERSITY AVE. N.E. FftIDLEI'. �11NNESOTA Si.33? • PHONE 161'_) .571-i.�5p
January 27, 1986
Mr. Jack Me�kveld
J.A. Menkveld 6 Associates Inc.
P.O. Box 34004
Blaine, [r4�] 55434
Re: Final Inspection at 6790 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• Change double cylinder lock on front door to single cylinder by
February 10, 1986 (see attached Code).
2. Provide a hard surface driveway by June 15, 1986.
3. Provide sod in the front and side yards 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�mibing by February 10, 1986.
We will expect the above itesns to be canpleted by the scheduled dates
when reinspections will be conducted to determine compliance. If you
have any questions on these items, please feel free to contact me at
571-3450.
Sincerely,
L1�1RRfZ G. Q�iiR
Chief Building Official
DGC�mh
FI�3C: UBC Section 3304
OC: 6790 Brookview Drive N.E.
�
` _
CtTY OF
FRiDLEY
CIVIC CENTER • 6431 UNIVERSITY AVE. N.E. FRIDLEY, MINNESOTA 55432 • PHONE (612) 571-3450
July 28, 1986
J.A. FSenkveld & Associates
1299 r,ississippi Screet NE
Friale�•, ri: 55432
Dear rlr. t�;enkveld,
It nas aorae to rcr� attention that you have not yet p3id the park fees for your
�ro�erty at 6770-fi780�790-6796 Brookview Drive NE. Tne solE stipulation
accomp3nying the Lot S�lit that was granted to you on this property was that
you pay a�ark fee of $750 per lot with the next three builcting 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
reguired park fees b� August 11, 1986. It you have any questions, please feel
rree to oontact me at the Fridley Civic center, 571-3450, extension 166.
12�aril: you for your 000peration.
Re pectf ully yours,
Dary� F ey
�
Planning Assistant
C-86-334
sua�ecT P E
City of Fridley � � 19381
AT THE TOP OF THE TWINS g � I L D I N G P E R M I T
r
; � RECEIPT NO.
� • COMMUNITY DEVELOPMENT DIV.
r � v � PROTECTIVE INSPECTION SEC. �� -� �
� � �5C �
�
1 � /'�'1 � CITY HALL FRIDLE� 55432 NUMBER REV. DATE PAGE Of APPROVED BV
�'"""�� ,�� 612-571-3450 910-F15 � �
4 8 88
JOB ADDRESS 6790 Brookview Drive N. E.
t LEGAL LOT NO. BLOCK TRACT OF ADDITION SEE ATTACHED
DESCR. N 75' of S. 232' of Lot 2, Block l, Brookview 2nd SHEET
2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE
Stephen Miller 6790 Brookview Drive N.E. 571-4486
3 CONTRACTOR MAII ADDRESS 21P PHONE LICENSE NO.
Same
4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO.
5 ENGINEER MAIL ADORESS Z�P PHONE LICENSE NO.
6 USE OF BUILDING
Residential
7 CIASS OF WORK
��J NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE
8 DESCRIBE WORK
Construct a 10` x 14' Shed in Rear Yard
9 CHANGEOFUSEFROM TO
STIPULATIONS
SEPARATE PER�IiITS ��';=i?,�;E� �-aR
WfRtNG, HEATING, �LUMgING p,'yp Sl���Sa
SEPARATE PEFMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, TYPE OF CONST. OCCUPANCY GROUP OCCUPANCV 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, OFi IF CONSTRUCTION
OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT
ANY TIME AFTER WORK �S COMMENCED. NO. DWLG. UNITS OFFSTREET PARKING
I HEREBY CERTIFV 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
WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT $%OO S.SO
DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL 7HE pERMITFEE SACCHARGE
PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON-
STRUCTION OR THE PERFORMANCE OP CONSTRUCTION. $ZS.00
FLAN CHECKFEE TOTALFEE
� $15 , 50
Si NATUREOFCONTRACTOAOAAUTHORIZEDAGENT �DnTEi WHEN PROPER Y V I ATED THIS IS YOUR PERMIT
i
✓
� -.�c., �. /�l y�X ��'� - Z- � � � �� ��, � �� ..
�" S��GNaT RE OF OWNER iIF OWNER BUILDERI IDATEI BLDG iNSP �' . �
f�4T
NEW [] City of Fridley Effective 4/1/86
ADD1�. [] � R-1 AND R-2 �
pLTER. [ ] Building Permit Application
Construction Address: �' 7
Legal Description:
�r ��IL V r C
,P•.....w ,.
Owner Name & Address : -� } � � � e �� �-. ! / � � /� �'� Tel . # 5 7/ � y �
Contractor:__ 5-�-� J��e�� �. `y'► i/�U Tel. # S�/- ��%��
Address: �%[ � �� r���/c 1�''r e �i �: '�� z ✓��
Attach to this application, a Certificate of Survey of the
lot, with the proposed construction draran on it to scale.
LIVING AREA: Length
DESCRIPTION OF IMPROVEMENT
Width
Height Sq. Ft.
GARAGE AREA: Length Width Height Sq. Ft.
DECR AREA: Length Width Hgt/Ground Sq. Ft.
OTHER: �� 2 c' I��� y
,
Corner Lot [] Inside Lot [] Ft. Yd. Setback Side Yard Setback ��2
Type of Construction: �-� d c� � Estimated Cost: � 7��� aU
Approx. Completion Date: ���,r.,� �C� . ) ��t�
Alt. A Alt B
Proposed Driveway Width If New Opening Is Desired: � a
See Back Page for Explanation
DATE: I'��'��� APPLICANT: �rl',/� �evl 1-• �V1 ��/�..� Tel. � C�/- �iU��
Permit Fee
Plan Check
State Surcharge
SAC Charge
Park Fee
Sewer Main Charge
TOTAL
STIPULATIONS:
CITY IISE ONLY
$ /.�"U �
$
$ �C�
�
$
�
$ �J ,��
Fee Schedule on Reverse Side
25� of Building Permit Fee
$.50/$1,000 Valuation
� �50 per SAC Unit
Fee Determined by Engineering
Agreement Necessary [ ] Not Necessary [ ]
BDII.DING PERMIT FEE SCHEDULE
The Chief Building Official shall, before issuing permits for the erection of ar_y
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 applicatio n
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 Valuation
�1.00 to �500.00
�501.00 to �2,000.00
�2,001.00 to $25,000.00
�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 ineluding
�2,000.
�32•50 for the first a2,000 plus $6.00 for each
additional �1,000 or fraction thereof, to and
ineluding �25,000.
�170.50 for the first
additional �1,000 or
including �50,000.
3283•00 for the first
additional �1,000 or
including �100,000.
�25,000 plus �4.50 for each
fraction thereof, to and
350,000 plus �3.00 for each
fraction thereof, to and
�433.00 for the first �100,000 plus �2.50 for each
additional �1,000 or fraction thereof.
DRIVEiIAY DEPRESSION ESCROH
(Concrete Curb Streets Only)
Alternate "A": Removal and replacement of curb and gutter only - Driveway width plus
6 feet times $13.50
Alternate "B": Removal and replacement of curb and gutter and install a 3 foot wide
approach Kith 6 inch depth - Drive�ay uidth plus 6 feet times $15•75
VERIFICATION OF FOUNDATION
Permits for construction Will be issued a minimum of 2u 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.
CA/NE � ASSOC/ATES
LAND SURVEYORS, /NC.
/7720 Nighwoy 65 N. E. Sodervi/le, Minnesolo 55304
4.34-7646
AS BUILT SURVEY FOR: Jack Menkveld
DESCRIBED AS: The north 75.00 feet of the south 232.00 feet of Lot 2,
Block l, Brookview Second, according to the recorded plat
�s thereof in the office of the Registrar of Titles, Anoka
rc� County, Minnesota .
bject to easements of record.
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�� OR REPORT WAS Pi9ER4R£D BY ME OR UVDER
MY D/RECT S(/PEFV/S/ON AND TNAT / AM A
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SCAL f: //NCN + 3 � FEET.
Q OENOT[S //S' /HCM /RON //PE SET.
� OFNOTES FOlJND /RON MONuAIEN7.
eEAR/NGS SNOWM ARE ASSUAIEO.
67TH AI/E. N.E.
�
DATE •�C�REG. NO. �225�
R... .... .: . iJC7-2_h� � !ti. �
✓OB MQ � � �_ - � '_' SEC. . _. T, z � ' p. �
sue�ecr PERMIT�NO.
c�ty of Fridley o 19 8 3 8
AT THE TOP OF THE TWINS g U I L D I N G P E R M I T +
'"";� � RECEI�T NO.
� • COMMUNITY DEVELOPMENT DIV.
' j ti.------ �
r � � PROTECTIVE INSPECTION SEC. ��� O �
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, � /���1 � CITY HALL FqIDLE`/ 55432 NUMBER AEV. DATE PAGE OF APPROVED BY
� ----�.' `.�
612-571-3450 910-F15 4/20/89 / /
JOB ADDRESS 6�90 Brookview Drive N.E.
1 LEGAL LOT NO. BLOCK TRACT OR ADDITION
DESCR. Pt, 2 1 Brookview Second Addition SEE ATTACHED
SHEET
2 PROPERTYOWNER MAILADDRESS ZIP PHONE
Stephen Miller 6790 Brookview Drive N.E. 571-4486
3 CONTRACTOR MAIL ADDRESS Z�P PHONE LICENSE NO.
Same
4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO.
5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO.
6 USE OF BUIIDING
Residential
7 CLASS OF WORK
❑ NEW ❑ ADDITION � ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE
8 DESCRIBE WORK
Install masonry fireplace
9 CHANGEOFUSEFROM TO
STIPULATIONS
Footing must be 12" thick, maintain 2" clearance between masonry and
wood on inside and 1" to wood on outside.
SEPARATE PERMITS ARE REQUIRED FOR ELECTfiICAL, PLUMBING, HEATING, TYPE OF CONST. OCCUPANCY GROUP OCCUPANCV 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. DWLG. UNITS OFFSTREET PARKING
I HEFEBY CERTIFV THAT I HAVE READ AND EXAMINED THIS APPLICATION �- STALLS GARAGES
AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS VALUATION SURTAX
AND OFDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED
WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING Of A PERMIT S2 �OOO $l. OO
DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE pERM1T FEE SAC CHARGE
PROVISIONS OF ANV OTHER STATE OR LOCAL LAW REGULATING CON-
STRUCTION OF THE PERFORMANCE OF CONSTRUCTION. $4S.00
PLAN CHECKFEE TOTA�FEE
$46.00
SIGNATUAEOFCON�FACTOAOA�+UTNpRI AGENi ionrEi � , WHEN PROPERLY ALIOATED THIS IS YOUR PERMIT
���p� Y���� �
SiGNATUREOFOWNEPi�FOWNEABUILDERi IDATEI BLDG iNS� qpTE
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R-1 AND R-2
�,i�dir�g Permit Application
Effective 5/1/88
Construction Address : fd % Cf _ �lc�/� .� v% f c.J 1�� i c� r.-
Legal Description: �
o�►er rr� &�: S-� e ol��.�► �. y1�1 � I( t� �.t. #�7/- yy1�
Contractor : �J '1--� ,� � � . ✓V � �• � � .� Tel . # � 7/ � y U�l,
�S: lo `r q c� � f ��, I� v� ��.� ��-1 � �
Attach to this application, a Cextificate of S�ey of the
lot, with the prq�ased constYUCtion drawn on it to scale.
.��
LNII�]G AREA: Ierx�th Width Height Sq. Ft.
C,AR�GE AR�: Ierigth Width Height Sq. Ft.
DECK ARF��: L��gth Width Hgt/Grour�d Sq. Ft.
OTt�it: l�i CQ� n�'1 r�l l- -✓ � D� r t-
Corner Lot [ ] Inside I�t [ ]
Zype of �nstivction:
Approx. C.a�letion Date:
Ft. Yd Setbac3c Side Yarci Setbacxs
Fstimated Cost : S�"�, D � D� d n
Proposed Driveway Width If Ne�a Openirig Is Desired: Ft. $ $
Width 6' See Back Page
a��: �l -/ 7-}�' 9 �c�rrr: f ' �i. # �7� - yy�`�
Permit Fee $ 1;, �� ��
State Surcharge $ / , (� (�
SAC Charge $
DrivetiTay E.scraw $
Park Fee $
sewer rlain �arge $
CI't'Y DSE �II,,Y
Fee Schedule on Reverse Side
$.50/$1,000 Valuation
$575 per SAC Unit
Alt. "A" or Alt. "B" AUove
Fee Detexmined bY II�gineerirtig
Agreement Neoessary [ ] Not Neoessary [ ]
�, $ ' � -�'U
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The Chief Buildirig Official si�all, before ��a>; *±� pezmits for the erec.-tion of ariy
buildir�g or struc-ture, or for any addition to arry existir�g building or structure, or
for any alteration or repair to any existir�g building or stivcture, t�on application
therefore, require the paymp-nt by the applicant for such permit of fees to the aman�t
herein belc�w set forth ar�d in the manner herein provided to wit:
'I�O�I'AL VAI�JE
$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
���.
$15 (Min.inaun Fee is $15 plus su�charge)
$15 for first $500 plus $2 for each additional $100 or
fraction thereof, to ar�d includi.ryg $2, 000
$45 for first $2,000 plus $9 for each additional $1,000
or fraction thereof, to arid including $25,000
$252 for first $25,000 plus $6.50 for each additional $1,000
or fraction thex�eof, to arid iricluding $50, 000
$414.50 for fiust $50,000 plus $4.50 for each additional
$1,000 or fraction thereof, to and including $100,000
$639.50 for first $100,000 plus $3.50 for each additional
$1,000 or fraction thereof, to and including $500,000
$500,001 to $1,000,000 $2039.50 for the first $500,000 plus $3 for each additional
$1,000 or fraction thereof, to arid including $1,000,000
$1,000,001 and up $3539.50 for the first $1,000,000 plus $2 for each additional
$1,000 or fraction thereof
�tIVEi�Y �SI�1 ffiC�OW
. (�ricrete Ctirb Streets OnlY)
Alternate "A": R�moval ar�d replaoenent of curb ar�d gutter only - Driveway width plus
6 feet times $13.50.
Alternate "B" : Removal ar�d replaoe�ment of curb ar�d gutter ar�d install a 3 foot wide
approach with 6 inc� depth - DriveGray width plus 6 feet times $15.75.
� �• r � •; � -r�i n • •,
Permits for o�nstructioaz will be issued a�+�n�*�m+ of 24 haurs f�an the time of
application to allow for proper review of the prano�ed structure ar�d of the
oonstruction site.
A Certificate of S��vey of the lot, shvwir�g the location of the fwr�dation onoe it has
it has been c�nstruct.ed will be r+equired before prooeeding with the framing.
\
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� CA/NE � ASSOC/ATES
„ � LAND SURVEYORS, /NC.
/7720 Highwoy 65 N. E. Sodervi//e, Minnesota 55304
434-7646
AS BUILT SURVEY FOR: Jack Menkveld
DESCRIBED AS: The north 75.00 feet of the south 232.00 feet of Lot 2,
Block l, Brookview Second, according to the recorded plat
thereof in the office of the Registrar of Titles, Anolca
County, Minnesota. ;
Subject to easements of record.
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BEAR/NGS SMOWN ARE ASSUMED.
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HEREBY CERT/FY THAT TN/S SURVEY� PLAN,
OR REPORT WAS PREPAREO BY ME OR (MDER
MY D/RECT SUPERV/SlON AND THAT / AM A
DULY REG/STE/7ED LANO SUAVEYOR UNOER
THE LAWS OF THE STATE OF M/NNESOTA.
�
OATE " , . rREG. NO. /225/
�EV�sF_r.:: ocT. 25, /98`�
✓OB NQ � '�1 - / % j"? SEC. / ti T. 3 (j R. ; .: • l-
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C�TY OF
FRIDLEY
FRIDLEY MUNICIPAL CENTER • 6431 UNIVERSITY AVE. N.E. FRIDLEY, MN 55432 •(612) 571-3450 • FAX (612) 571-1287
May 15, 1990
Sandy Peterson �
6790 Brookview Drive N.E.
Fridley, MN 55432
Dear Ms. Peterson:
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
NII�I :1 s
C-90-268
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CITY OF FRIDIEr
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sua�ecr PE NO•
City of Fridley � 6 35 0
AT TME TOP OF THE TWINS g � I L D I N G P E R M I T � ——/
f
� ` RECEIPT NO.
� 1 y__ COMMUNITY DEVELOPMENT DIV.
r � � PROTECTIVE INSPECTION SEC. ��' C/` 7
� ' �"�1 � CITY HALI FRIDLEr SS432 NUMBER AEV OATE PAGE OF AVPROVED BV
�"'"�"� ,�� 612-571-3450 910-F15 6/25/98 / /
JOB ADDRESS 6790 Brookview Drive NE
1 IEGAL LOT NO. BIOCK TRACT OR ADDITION SEE ATTACHED
DESCR. Pt 2 1 Brookview Second Addition SNEET
2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE
Janet/Steve Tranby 6790 Brookview Drive NE 571-6369
3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO
Same
4 AFiCHITECT OR DESIGNEF MAIL ADDRESS ZIP PHONE LICENSE NO.
5 ENGINEER MAII ADDRESS Z�P PHONE LICENSE NO
6 USE OF BUILDING
Residential
7 CLASS OF WORK
❑ NEW ❑ ADDITION ❑ ALTERATION �E7 REPAIR D MOVE ❑ REMOVE
8 DESCRIBE WORK
Reroof House & Garage (21 Sq) 2nd Layer
9 CHANGE OF USE FROM TO
STIRULATIONS
Roofing can be the 2nd layer but not the 3rd.
TYPE OF CONST. OCCUPANCY GROUP OCCUPANCV LOAD
SEPARATE PERMITS ARE REOUIRED FOR ELECTRICAL, PLUMBING, HEATING,
VENTILATING OR AIR CONDITIONING.
THIS PERMIT BECOMES NULL AND VOID IF WORK OF CONSTRUCTION ZONING SO. FT. CU FT.
AUTHORIZEO IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTpUCTION
OR WORK IS SUSPENDED OR ABANDONED FOFi A PERIOD OF 120 DAYS AT
ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS OFFSTREET PARKING
I HEREBY CERTIFV THAT I HAVE READ AND EXAMINED THIS APPLICATION 1 STALI.S GARAGES
AND KNOW THE SAME TO 8E TRUE AND CORRECT. ALL PROVISIONS OF LAWS VALUATION SUATAX
AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED $1,315 �.66
WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT
DOES NOT PRESUME TO GIVE AUTMORITV TO VIOLATE OR CANCEL THE pERMITFEE SACCHARGE
PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON-
TRUCTION OR TNE PERFORMANCE OP CONSTRUCTION ��FS. %S Fire SC �1.32
PLAN CHECKFEE TOTALFEE
$47.73
TuA F pN��j/ TOROAAUTHO EOaGENT iDATE� WHEN PROPER VALIDATED THIS IS �OUR PERMIT
( "� /�
� �ri.. �,( -- 9.
S�GNnTURE OWNEFiiF ERBWIDER� iDATEi BlD �NSP ���TE
NEW
ADDN
ALTER
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ConstructionAddress:
Legal Description: _
Owner Name & Addr
Contractor: �i,�
Address:
LIVING AREA:
GARAGE AREA:
DECK AREA:
OTHER:
Construction Type:
CITY OF FRIDLEY
SINGLE FAMILY AND DUPLEXES R-1 AND R-2
BUILDING PERMIT APPLICATION
tl��IX�� v/ C�:,.� �/
�t- � ��f�,�e i �
'/4, /h�cJ �S
�ts .q-b �i. #_
_MN LICENSE #
Tel. #
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
Length Width Height
Length Width Hgt/Ground
�/ �_� r�P %'lJG � h CG�� � ��
Effective 1/1/98
., ; ��
,� � '%� � �'�
;�
�5�� --� �3 � �
Sq. Ft.
Sq. Ft.
Sq. Ft.
_ �'`ac C C'�
e
Estimated Cost: $ �� f
(Fee Schedule on Back)
Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x$ _$
DATE: ���5 �� APPLICANT: 7�'l Tel. # ��% � 3 � �
Permit Fee
Fire Surcharge
State Surcharge
SAC Charge
License Surcharge
Driveway Escrow
Erosion Control
Park Fee
Sewer Main Charge
TOTAL
STIPULATIONS:
f
CITY USE ONLY
�. �<� °
$ /.� . Fee Schedule on Reverse Side
$ f �„Z .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 [ ]
� � �
_
BUILDING PERMIT FEE SCHEDULE
The Chief Building Official shall, before issuing permits for the erection of any building or structure, or for
any addition to any existing building or structure, or for any alteration or repair to any existing building or
structure, 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 $100,000 plus $5.00 for each additional
$1,000 or fraction thereof, to and including $500,000
$2887.25 for the iirst $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 DEPRESSION E5CROW
(Concrete Curb Streets Only)
Alternate "A" : Removal and replacement of curb and gutter only - Driveway width plus 6 feet times $13.50.
Alternate "B" : Removal and replacement of curb and gutter and install a 3 foot wide
approach with 6 inch depth - Driveway width plus 6 feet times $15.75.
VERIFICATION OF FOUNDATION
Permits for construction will be issued a minimum of 24 hours from the time of application to allow for proper
review of the proposed structure and of the construction site.
A Certificate of Survey of the lot, showing the location of the foundation once it has it has been constructed
will be required before proceeding with the framing.
s�e�ec. PERMIT NO.
c�ty of Fridley 3�982
' , AT THE TOP OF TME TWINS gU I L D I N G P E R M I T � R
f
� ♦ '
� • COMMUNITY DEVELOPMENT DIV.
r � � � PROTECTIVE INSPECTION SEC L.�,�� �f
i �
� � /
� � �"'1 � CITY MALI fR10LEV 55��2 NUMBER NEV O�TE p�GE OF AVCROVEO 8v
�'"""��� ��' 763-571-3450 910-F15 8/13/02 / /
J08 ADDRESS 6790 Brookview Drive NE
1 LEGAL LOT NO. BLOCK TFACT OR ADDITION SEE ATTACHED
DESCfi. Pt 2 1 Brookview Second Addition SMEET
2 PROPERTV OWNER MAII ADDRES$ ZIP PHONE
Steve & Janet Tranby 6790 Brookview Drive NE 763-571-6369
3 CONTRACTOR MAIL ADORESS ZIP PHONE LICENSE NO
Renewal By Andersen 1920 Co Rd C W, Roseville, MN 55113 651-264-4777 20130983
� AFCHITECT OR DESIGNEF MAI� AOORESS ZIP PNONE LICENSE NO
5 ENGINEER MAIL AOORESS ZIP PMONE LICENSE NO
6 USE OF BUILDING
Residential
7 CLASS OF WORK
O NEW O ADDITION ❑ ALTERATION � REPAIR O MOVE O REMOVE
8 DESCRIBE WORK
Replace 12 windows within exist�ng openings
9 CHANGEOFUSEFROM TO
STIPULATIONS
Provide smoke detectors in all sleeping rooms and on all levels of the dweiling
per Section 310.9.1.2 of the 1997 Uniform Building Code.
�ermit inspection Cards
Wiil Be Mailed
To komeowner To Post
TYPEOFCONST OCCUPANCVGROUP OCCUPANCV�OAO
SEPARATE PERMITS ARE FEOUIRED FOR EIECTRICAL. PLUMBING. HEATING.
VENTILATING OR AIR CONDITIONING
THIS PEiiM1T BECOMES NULL ANO VOID IF WORK OR CONSTRUCTION ZONING Sd. fT CU FT
AUTHORiZED IS NOT COMMENCED WITNIN 60 OAVS. OR IF CONSTRUCTION
OR WORK IS SUSPENDED OR ABANOONED FOR A PER100 OF 120 DAYS AT
ANV TIME AFTER WORK IS COMMENCED NO DWLG. UNITS Of:STqEET PARN�NG
I HEREBY CER7IFV THAT I HAVE READ AND E7(AMINEO 1H15 APPLICATION 1 STALLS GARAGES
AND KNOW THE SAME TO BE TFUE AND COARECT. ALl PROVISIONS Of �AWS VA�UATION SURTAX
AND OROINANCES GOVEiiNING TMIS TVPE OF WORK WILL BE COMPLIEO �12,639 �6.32
WITFI WHETHER SPECIFIED HEREIN OR NOT TME GRANTING OF A PERMIT
OOES NOT PFESUME TO GIVE AUTMORITY TO VIOLATE OR CANCEI THE pERMIT FEE SAC CMARGE
PROVISIONS OF ANV OTHER STATE OR LOCAL LAW REGUTATING CON-
STFiUCTION OR THE PERFORMANCE OF CONSTRUCTION �2.2.3.2.5 Fire SC �Z2.6�F
PLAN GHECK FEE TOTAL FEE
Licen SC $5. 0 247.21
SiGNarUREO�CON"P4(;TOQOA1UTtiQRIzEDAGENI iDATE� NE PR VALIOAT THIS I VOUR PERMIT
- � � /�-�
S�GN47UqE O� OwNEQ��f OwtiEQBU�tDEQ� �D�iE� � �tiSo ���<<E
. w
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ADDN
ALTER
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Effective 5/10/99
CITY OF FRIDLEY �1
SINGLE FA1I�IILY AND DUPLEXES R-i A1VD R-2
BiJII.DING PERMI'T APPLICATION P� ��
I�
�onstruction Address: ��-9 0 �cc�l�. ' • �3 C � A
Legal Description:
Owner Name & Address: �,2 � �C��,''��p�,bU �' Tel. # �ln� •S�� •(03(09
Contractor: ;�.�,Wq� �u At�a.�xS.e,N MN LICENSE # v"10 I�jO`� $�
Address:_�g ap C.O�.�n�� t�oo.c� C W�.S�; �Zc�Sc��l�t�r`�1� S�S ll� Tel. #(DSI • alo4 �4�'i'�'
Attach to this apgl�cation, a Certificate of Survey of-che
lot, with the proposed c�nstruction drawn on it to scale.
DESC�ION QF �M�'����NT . '
LIVING AREA: Length Wi�th Height Sq. Ft.
GARAGE AREA: Length Width Height Sq. Ft.
DECK AREA: Length Vi�idth Hgt/Ground Sq. Ft.
OTHER: •
.
Construction Type: Estimated Cost: $ j a�(p �j ��
Driveway Ci�rb C�t Width Needad: Ft. + ti Ft = Ft x$ _$ -
� • � y � �
�
Permit Fee
Fire Surcfiarge
State Surcharge
SAC Charge
Lic�nse S�rcharge
Driveway Escrow
Erosion Control
Park Fee
Sewer Main Charge
TOTAL
STIPULATIONS :
$ aa3.�
� � a.�y
�—.�.,��►
$
� �.00
$
$
$
$
� ����
�'1 ";� 9�r`�. � %
Tel. # 95a •34,5•100��-
CITY USE ONLY
Fee Schedule on Reverse Side
.�J? ef Pern�it Valu?tion !1/10+.h%;
$.50/$1,000 Valuation
$1050 per SAC Unit
�5.00 (State Lxcensed Residential Gontractors)
Alt. "A" or Alt. "B" Above
$450.00 Conservation Plan Review
Fee Determined by Engineering
Agreement Necessary [ ] Not Necessary [ ]
� �J✓
�
.
s�e�ecT PERMI NO.
City of Fridley 33015
AT TME TOP OF THE TWINS g � I L D I N G P E R M i T
r
� ` RECEIPT NO.
� • COMMUNITV DEVELOPMENT DIV.
r � y � PROTECTIVE INSPECTION SEC ��9�j
� �
� � �"'1 � CITY MALL FFIDIEV 55�32 NUMBER REV O�TE PAGE OF •CVROVEO 8v
�'"""�" ,�� 763-571-3450 910-F15 8/26/02 / /
JOB ADDRESS 6790 Brookview Drive NE
1 LEGA� LOT NO. BLOCK TFACT Ofi ADDITION SEE ATTACHED
DESCR. Pt 2 1 Brookview Second Addition SHEET
2 PFOPERTY OWNER MAIL ADDRESS ZIP PHONE
Steve & Janet Tranby 6790 Brookview Drive NE 763-783-9664
3 CONTRACTOR MAII ADDRESS Z�P PHONE IICENSE NO
Same
1 ARCHITECT OR DESIGNER MAII AODRESS ZIP PMONE LICENSE NO
5 ENGINEER MAIL ADORESS ZIP PHONE LICENSE NO
6 USE OF BUILDING
Residential
7 CLASS OF WORK
❑ NEW C� ADDITION ❑ ALTERATION O REPAIR p MOVE ❑ REMOVE
8 DESCRIBE WORK
Cons�ruct a 3' x 20' Garage Addition
9 CHANGEOFUSEFROM TO
STIPULATIONS
See notations on plan.
����NING
Befare digging call fo�
a11 uti�ity locations
454-0�02
���U�RED BY LAW
TYPEOFCONST OCCUPANCVGROUP OCCUPANCV�OAD
SEPARATE PERMITS ARE REOUIRED FOR E�ECTAICAL. PLUMBING, HEATING.
VENTI�ATING OR AIR CONDITIONING
THIS PERMIT BECOMES NULL AND VOID IF WORK OA CONSTRUCTION ZpNING SO. fT CU FT
AUTHORIZEO IS NOT COMMENCED WITMIN 60 DAVS. Oii IF CONSTRUCTION
OR WOiiK IS SUSPENDED OR ABANDONED FOR A PERIOD Of 120 DAYS AT
ANV TIME AFTER WORK IS COMMENCED NO DWLG. UNITS OFFSTREET PARKING
1 MEfiEBY CERTIFV THAT I HAVE READ ANO E%AMINEO TMIS APPLICATION 1 STA�LS GARAGES
ANO KNOW TME SAME TO BE TRUE ANO CORRECT. ALL PROVISIONS OF LAWS VALUATION SUpTAX
AND OROINANCES GOVERNING THIS TVPE Of WORK WILL BE COMPLIED
WITH WNETMER SPECIFIED HEREIN OR NOT THE GRANTING Of A PERMIT �1 � 22H �. 61
OOES NOT PRESUME TO GIVE AUTMORITV TO VIOLATE OR CANCEL THE pEqMIT FEE SAC CHARGE
PROVISIONS OF ANY OTHEA STATE OR LOCAL LAW REGUTATING CON- �/.7.nO Fire SC �I.Z3
STRUCTION OR THE PERFORMANCE Of CONSTRUCTION `� �
PLAN CHECK fEE T AL FEE
$49.74
5 tuAE OF COti' ,TOQ OR • T�+OQ�ZED sGENt �D�iE�
WH PRO r vALiDAT D THiS iS UR PERMiT
�5 NATU7EO�OWNEp��FOWNERBW DEA� �D�iE� B G �tiS� �• �<<f ��
1
NEVN (] ClTY OF FRIDLEY Effectivve 1/1/2002
ADON bQ 6431 University Ave NE, Fridley, MN 55432 (763) 572�604 Bidg Insp
ALTER (] SINGLE FAMILY AND DUPLEXES R-1 AND R-2
BUILDING PERMIT APPLICATION
, � �(
.`: ,'� � C
� �\�
Construction Address: ��� q(� L4'�{C l�►rl �] �l 1 t�' _- __
Legal Description:
Owner Name 8 Address: ������,�1�.� Tr�,?i Tei. #�,=7�3� 9�n�� C,QQQ #
Contractor. C�1 i�'t 0 R MN UCENSE #
�
Address: ,�s1 �(y� 0 Tel. #
LMNG AREA:
GARAGE AREA:
DECK AREA:
Attach to this appiication, a Certificate of Survey of the
lot, with the proposed construction drawn on it to scale.
DESCRtPT10N OF IMPROVEMENT
Length NYdth - Height Sq. Ft
Length 3�-�- Width Height Sq. Ft �Dd
Length Width HgtlGround Sq. Ft
OTHER: �
` '�� �J�S� o� �c� �-4- �
D
Construction Type: Q Q�� (�,C�,(', 19�1 Estimated Cost: $-��b� l a a�- a�
Driveway Curb Cut Width Needed: Ft + 6 Ft = Ft x S = S
DATE: �� I�n -�o� APPUCANT: �7'11�F 1 Q l-l� Tel. #7�� ° 1�'� "��o� y
Call (763) 572-3604 for Permit Fees if mailing in application or Fax to 763-571-1287 if using credit card and we wil!
call you for card number.
Permit Fee
Fire Surcharge
State Surcharge
SAC Charge
License Surcharge
Driveway Escrow
Erosion Control
Park Fee
Sewer Main Charge
TOTAL
$ �% O
$ >�
$ , /
$
$
$
$
$
$
� � '/
CITY USE ONLY -
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:
BUILDING PERNIIT FEE SCHEDULE
The Chief Building Official shall, before issuing permits for the erection of any building or structure, or for any
addition to any existing building or structure, or for any alteration or repair to any existing building or structure,
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
��01 to $2,000
�?,001 to. $25,000
$25,001 to $50,000
��0,001 to $100,000
$100,001 to $500,000
$500,001 to $1,000,000
FE ES
�23.�0
�23.�0 for first $�00 plus $3.05 for each additional $100 or
fraction thereof, to and including $2,000
�69.?� for tirst $2,000 plus �14.00 for each additional �1,000
or fraction thereof, to and including $25,000
$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 tiust $�0,000 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 $�00,000 plus $4.75 for each additional
�$1,000 or fraction thereof, to and including $1,000,000
�1,000,001 and up $5,608.75 for the first $1,000,000 plus $3.15 for each additional
$1,000 or fraction thereof
DRIVEWAY DEPRESSION ESCROW
(Concrete Curb Streets Only)
Removal and replacement of curb and gutter only - Driveway width plus 6 feet�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 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. New Houses Onlv
CA/NE � ASSOC/ATES
� LAND SURVEYORS, /NC.
` /7720 Highwoy 65 N. E. Sodervi//e, Minneso>o 55304
434-7646
AS BUILT SURVEY FOR: Jack Menkveld
DESCRIBED AS: The north 75.00 feet of the south 232.00 feet of Lot 2,
Block l, Brookview Second, according to the recorded plat
thereof in the office of the Registrar of Titles, Anoka
County, Minnesota. �
Subject to easements of record.
it/ ��= `/-s� 3,� "W
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N£HEBY CERT/FY TNAT TH/S SURVfY, PLAN,
OR REPORT WAS PAEPARED BY ME OR GVDER
MY D/RECT SUPERV/S/ON AND THAT / AM A
DULY FEG/STEHED LANO SUAVEYOR UNDER
THE CAWS OF THE STATE OF M/NNESOTA.
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10/29/2093 01:49 7637842375 CM CONTRACTING PAGE 01
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Buriding' BUILDING per�it No.:. ~ :-- - ��5-
I Inspe�tions RESIDENTIAL APPLICATION Received By��'� ��!=-
I,� 763-572-3604 CITY OF FRIDLEY Date Rec'd: :�� �"� �>
DATE � ° � � — C� � _ YOUR E-MAIL ADDRESS S �-J � � I k% � �i.S�� � � �
SITE ADDRESS �6-+'7 �� ��i�-C�"J1 � l%l�tii. k,✓ L ��
THIS APPLICANT IS: �'OWNER ❑CONTRACTOR
PROPERTY OWNER/
TENANT
CONTRACTOR
SUBMIT A COPY OF
YOUR STATE LICENSE
WITH APPLICATION
PROPERTY TYPE
PERMIT TYPE
NAME: � / �1.(_ !l� i ` - � U�,'y/�
ADDRESS: ��`� `�� �.���-CXi/<�'lt:��i
PHONE: ��' S —J �%I — �i���' 1
NAME:
STATE LICENSE #
ADDRESS:
PHONE F�
� SINGLE FAMILY/NEW CONSTRUCTION
❑ TWO FAMILY/NEW CONSTRUCTION
❑ ADDITION
❑ BASEMENT FINISH
❑ DECK
: t�% CIT'Y T]C--L 6✓�
EXPDATE
CITY
SIZE
�GARAGE HE ❑ WINDOWS
❑ ROOF ❑ DRAIN TILE
❑ SIDING ❑ OTHER
❑ SWIMMING POOL
STAT�i�IP� -�
STATE_ZIP
TYPE OF WORK: �NEw ❑ .aDDiTiorr r
❑ MAINTENANCE/REPAIR ❑ REMODELING ��%f ' c'. i Y/ ��'� l r s�" f
�
DESCRIBE WORK BEING DONE:�Y'�� �<z.� a% /�'iSt177��: Sf�� �����n ���' ����
SIZE OF IMPROVEMENT
ROOFING
NUMBER OF SQUARES
GARAGES
PROPOSED SIZE:
PROPOSED HEIGHT:
LENGTH /`r WIDTH
❑ HOUSE ONLY
❑ HOUSE & GARAGE
❑ ATTACHED GARAGE
� DETACHED GARAGE
� HEIGHT �
BASEMENT REMODELING SUBMIT:
1. Existing Floor Plan
2. Proposed floor plan
3. List of structural members to be used
Ft.
SIDING FOR NEW CONSTRUCTION TNCLUDING DECKS,
❑ Vinyl ❑Soffit ADDITIONS. & PORCHES SUBMIT:
❑ Aluminum ❑ Trim l. Site Plan/Survey showing the existing structures
❑ Other ❑ Fascia and proposed project.
2. Two sets of construction plans
WINDOWS
IN EXISTING OPENINGS ❑Yes ❑No LOCATION OF WINDOWS 3. Energy Calculations
OR FOR NEW OPENINGS-DESCRIBE SIZE OF
OPENING CHANGES &
TYPE OF WINDOW TO BE INSTALLED NUMBER OF WINDOWS
ALL FEES ARE BASED ON VALUATION, INCLUDING THE COST OF LABOR AND MATERIALS:
(USING THE 1997 U.B.0 FEE SCHEDULE)
TOTAL JOB VALUATION $ y�,l �� -:'� SZ3� OCCUPANCY TYPE
Pernut Fee
Plan Review
Fire Surcharge
Surcharge
License Surcharge
SAC Charge
Curb Cut Escrow
Erosion Control
Park Fee
Sewer Main Charge
Total Due
$ "'1 . �
$
� � , o�
$ "
�,� ��:,j
$
$
$
$
$
$
$ 1 f o ...?�
See Back Page for Fee Schedule
65% of Building Pernut Fee
.001 tunes the total job valuation
.0005 x Pernut Valuation Minimum $.50
$5.00 (State Licensed Residential Contractors)
$1550 per SAC Unit (Plans to MWCC for deternunation)
ft+6ft= ftx$20=$
$450 Conservation Plan Review
Fee Determined by Engineering
Agreement necessary ( ) Non Necessary ( )
Make checks payable to: City of Fridley Attach
THIS IS AN A�PLICATION 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
pernut 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 wo w h requy�es reyj.ew d approval of plans. n „
SIGNATURE OF APPLICANT `'(. �< ��' PRINT NAME�i I C.�l:l� �rc �/'��l DATE �� �[ ��✓ 7�
Page 2- Building Residential Application
BUILDING PERMIT FEE SCHEDULE
The Chief Building Official shall, before issuing permits for the erection of any building or
structure, or for any addition to any existing building or structure, or for any alteration or repair
to any existing building or structure, 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 FEES
$1 to $500 $23.50 (Minimum Fee is $23.50 plus surcharge)
$501 to $2,000 $23,50 for 151$500 plus $3.05 for each additional $100 or fraction, to and
includin $2,000
$2,001 to $25,000 $69.25 for 15` $2,000 plus $14 for each additional $1,000 or fraction, to and
includin $$25,000
$25,001 to $50,000 $391.25 for 151$25,000 plus $10.10 for each additional $1,000 or fraction,
to and including $50,000
$50,001 to $100,000 $643.75 for ls` $50,000 plus $7 for each additional $1,000 or fraction to and
includin $100,000
$100,001 to $500,000 $993.75 for ls` $100,000 plus $5.60 for each additional $1,000 or fraction to
and including $500,000
$500,001 to $1,000,000 $3,233.75 for the 1S` $500,000 plus $4.75 for each additional $1,000 or
fraction to and includin $1,000,000
$1,000,001 and up $5,608.75 for the ls` $1,000,000 plus $3.15 for each additional $1,000 or
fraction
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 proposed structure and of the construction site.
A Certificate of Survey of the lot, showing the location of the existing foundation will be
required before proceeding with the framing. New Houses Onlv
City of Fridley
Building Inspections Department
6431 University Avenue NE
Fridley, MN 55432
763-572-3604
Fax: 763-502-4977
r
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SKU NUMBER DESCRIPTION
..,,, 4547 MM TRUSS CUSTOM
Estimate From
, — � �
STORE # 3018 FRID PHONE: (763) 571-8689
5351 Central Ave. NE FAX: (763) 571-1932
Fridley, MN 55421
Estimate # 34037
Page 1 of l
ESTIMA"i'E BY ESTIMATE DATE
RICK 03/16/06
QTY TO ORDER ADDITIONAI_ ITEM INFUR�44TION
RESIDENTIAL 6 EACH ** Special Order *•
6 16- 0- 0 27.31/12-Pitch Gambrel Room In Attic
HEELS-10 8/16" LOH-12.00" ROH-12.00" LOADING-35-7-0-10
10�-4597 MM TRUSS CUSTOM RESIDENTIAL 2 EACH
2 lo- 0- 0 27.31/12-Pitch Gambrel Room In Attic End
HEELS-10 8/16" LOH-12.00" ROH-12.00" LOADING-35-7-0-10
A[tenCion: EMPLOYEE
`* Special Order *•
1'hi; is an e;um�te. I� is gi�en only for oeneral price infumiation. This is not an of(er ard there can be no legally bindin; contract TODAY'S SUB-TOTAL: 9oa . ��
ben� een the panie. baseJ upon this estimace. The prices stated herein are subject to clian�e depending upon the market conditions. �
Thz prices scued on this estimaie are not limi ibr any time period unless specifically written otherwise on this fonn. The availabiliry
ol �n:uerials is ;ubject io inven�ory conditions. MENARDS IS NOT RESPONSIBLE FOR ANV LOSS INCURRED BY THE
�; l F:S'f �1'HO RELIES ON PRICES SET FORI'H HEREIN OR ON THE AVAILABILITY OF ANY OF THE MATERIALS
ST.aTFD HEREIN. .411 information on this fomi, other than price, has been provided by ouest and Menards is not responsible for
any errors in the inforniation on this estimate, includino but not limited to quantiry, dimension and qualiry. Please examine this estimate .
rarefulh �9EN4RDS i\1AKES NO REPRESENTATIONS, ORAL, �VRITTEN OR OTHERWISETHATTHE MATERIALS GUEST COPY
LISTEU ARF SUITABLE FOR ANY PURPOSE BEINC CONSIDERED BY THE GUEST. [3ECAUSE OF WIDE
\':�RIATIO;VS �V CODES, THERE ARE NO REPRESENTATIONS THATTHE MAT'ERIALS LISTED HEREIN MEET PAGE 1 OF 1
l Ol R CODE KEQl11REMEVTS.
� � �y � � � �.. "_ • '
�
Store #: 3018
Date: 2006-03-� 1 14:08:01 ^
���� �'������� ���'��`�
Guest Name: STEVE TRANBY �
Guest Pnone: 763-571-6369 ���°����°�°� .�s ���1 2
Team Member: �
**PLEAS� Y�KE THiS ESTI(V1ATE i't'J �'��*y
**Bi1fLDlNG MATERI�LS DESK �'O BE GC)�tj�PL�TE�t*
Truss Type:
Sku:
Span:
Pitch:
Bottom Pitch:
Heel Height:
Left Overhang:
Right Overhang:
Left Cantilever:
Right Cantilever:
Bearing Wall Size
Loadina:
Truss Type:
Sku:
Span:
Pitch:
Bottom Pitch:
Heel Height:
Left Overhang:
Right Overhang:
Left Cantilever:
Right Cantilever:
Bearing Wall Size
Loading:
Gambrel FZlA
1004547
16' 0" •�
0/12
N/A
0" 0/16
1' 0"
� , o„
N/A
N/A
f�il'A
35-7-0-10
End Gambre! fdi�
i004547
i 6' 0"
0/12
N/A
0" 0/16
1 ' 0"
i ' 0"
�!/A
N/A
N/A
N/A
'?�2��
�D
� z �uantity: g u �
l�
`This truss wifl need to be sent to our Truss Design
Depa�tment for proper Engineering and Pricing.
�� _�_,
0
,I i ?
�uantity: 2
*This truss wi!i need to "�e sent to o�r Truss Design
Department fer prcper Engireering and Pricing.
Comments:
`Truss estimates usually get returned within 1-2 hours during regular business days.
-Truss picture(s) are for representaticn on!y.
-Loading values are just an estim,ate. Pfease contaci your local buildirg irspectcr ;o verify your c:�de
reauirements. _ _
This is an estimate. It is given only for general price inforrratio�. ; h:s is not ar, ��fer and tnere can be nc iegaiiy binding cor,trar,! beNveen the
pzrties based upon this estimate The prices stated hcrem are suhjact to ch�nge depending upcn ?he r�arket cordiiicns. 'fhe prices stated on
this estimate are not firm for any time pencd unless specifically v+r;;er otherwise on tnis fo;m The ava�!aoi5ty of materials i> subject tc inventory
conditions. MENARDS IS NUT RESPONSIBILE FOR ANY' LOSS INCURRED 6Y THE Gi�EST VVHO RF.�.IE� ON PRICES SET FGRTH
HEREIN OR OP: THE AVAlLF,6i�ITY OF ANY OF THE MATER;ALS STATED H�REIN. h.!I information en 'this �or^. cther!han price, has been
prrnded by guest and Mer.ards is not responsibie for any errors in the in�ormaton on this es<.imate, in::iu�i��: t��.?! rn,s lir.7ited to quantity, dimension
and quality Please examine tnis estimata carefully. M�NARDS MAKES NO RE��RESEN'fATIONS, ��:ZA�: WRIT i E� OR CTNERVVISE THAT
?HE MATERIALS LISTEG ARE SUITABLE FOR P.NY PUR'�OSC E3EIIJG CONSiDERED SY THc GUES?, BcC..4US� C� V�lIDE VAR!ATIONS
IN CODES, THERE ARE NO REPRESENTATIONS THAT THr t�lr'.TERIALS LISTEC HEREIN MEET YCUP, CCDE RE«UIRFMENTS
**PLEASE TAKE THIS EST111�ATE TO TFi�**
**BUIL�ING MATE�?IALS DESK �O BE �O�EP���'E�**
0
.
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. ��.� �}�
��
f.S'11�1:>TE FOR: •
' . _l'.G:'c
_ �: �,.xview ar
:raaiey, MN 55432
... "'b3` 571 6365
SKI. �l!�-1[3ER DESCRIPTION
Estimate From
, - . ,�
STORE # 3018 FRID PHONE: (763) 571-8689
5351 Central Ave. NE FAX: (763) 571-1932
Fridley, MN 55421
ESTIMATE BY ESTIMATE DATE
kje 03/11/06
OTY TO ORDER
Estimate # 34023
Page 1 of' 3
ADDITIONAL fTEM INFORM.A"1 10�
_.._ .,,_, 2X2X8' FURRING STRIP 4 EACH
SOFF?T SUPPORT
_.,:. _,... 2X-0X92 5/8" SPF CONSTR STUD 54 EACH ON S.ALE THRU )......_.
WALL STUDS
.C%-:1:C 2X4-'_4' q2+BTR SPF CONST LUMBER 4 EACH
TOP PLATE
._,. �.,. 21:;-16' iJ2-BTR SPF CONST LUMBER 4 EACH
.GF PLAT'E
._.. .-c_ 2k6X10' STUD/k2tBTR SPF CONSTR LUMHER 8 EACH
SPF FASCIA
102-2;55 2X12X10' k2&BTR FIR CONSTLUMBER 2 EACH
OH DOOR HEADER
lu��':520 1X3X8' FURRING STRIP S9S PINE/SPRUCE 9 EACH
SOFFIT SUPPORT
.. . c._ 2X9-8' AC2 TREATED AG ARSENIC FREE LW 1 EACH �_ � � ,�� �` E��l' ��. __
giLL PLATE �
__: ibSJ 2X9-14' AC2 TREATED AG ARSENIC FREE LW 2 EACH �_. __(�
SILL PLATE M \� �S �� � `���
11;-0650 2X4-16' AC2 TREATED AG ARSENIC FREE LW 1 EACH
S1LL PLATE
'_i;-�_^9 './2"-4'XB' ORIENT STRAND HOARD 19 EACH
� '
..., .... �!2"-S'X8' ORIENT STRAND BOARD 16 EACH _� +L.�
�
la'AL.L SHEA'PHING � r
. ., �"i'?,;:.'?'�R STR:P 10' iVINYLi 6 EACH
"AR"'FR STRI P
14c�1352 12"X12' VENT SOFFIT WHITEBASKETWEAVE 7 EACH
VINYL SOFFIT
:,. .�_� :;;dDcRSILL 'I'kIM 10' WHITE 8 EACH � y , i ��
F1N;SH TRIM I�
,'c^5 F-CHANNEL 12'6" VINYL WHITE/WOODGRAIN 12 EACH
=nIEZ.E RUNNER
. �., 'J'_PYiL FASCIA B" X 12'6" WHITE 7 EACH
V?NYL FASCIA
_�,c �5'_'_ S.O. DOUBLE 4" S.BLUE .040 60 EACH *" SpeCial OYder �• ON SALE TiiRU ,_ _....
VINYL SIDING
_�, �2<< OUTSIDE CORNER POST 10' S.BLUE 4 EACH ** Special Order *�
OUTSIDE CORNER
_4u 3%42 5/8" J-TRIM 12'6" S.BLUE 8 EACH ** Special Order �*
J TRIM
, ,_ . 'i2'6" DUAL UNDERSILL S. BLUE 3 EACH
F:��'.SH TRIM
_, -..... 5.0. COLOR EZ�CORNER 8/PKSTANDARD 1 EACH '" Special Order "� On' SAL� "^.G.'.: '� .�
5]-5:.ATE BLUEEZ-CORNERS
l hi; i::ui e;iimate It is gi�en nnh lor �eneral price inforniation. This is noi an offer and there can be no legally binding contract �
bri,�cen uic parues bu.ed uPOn this es•timate The prices stated herein are su�jeci to change depending upon the market conditions.
l'hc pnc�s ;c,ied un ihis csiimaie are nui lirm for any time period uniess specifically written otherwise on this (omi. The availabiliry
oi in;nrrials i; wbjeci m inveniory condi�ions. MENARDS IS NOT RESPONSIBLE FOR ANY LOSS INCURRED BY THE
(:l FS l' ��'HO REI.IES ON PRICES SET FORTH HEREIN OR ON THE AVAILABILITY OF ANY OFTHE MATERIALS
� I� l F I) H F:REI\. ,a II inlonnaiion on this forni, otl�er than price, has been provided by guest and Menards is not responsible (or
. � �. ., �u ihr wlurm�iuon un this estimate, including but not limited to quantiry, dimension and qualiry. Please examine this estimate GUEST COPY
,..ic�iJ�. �IF�,�KUS�I:�KES�OREPRESENTATIONS,ORAL,WRITTENOROTHERWISETHATTHEMATERIALS
I itil F,l) �RF Sl ITABLE FOR AtiV PURPOSE BEING CONSIDERED BY THE GUEST. BECAUSE OF WIDE
�-�RI,�I'IONS IV CODES, THERE ARE NO REPRESENTATIONS THATTHE MATERIALS LISTED HEREIN MEET PAGE 1 OF 3
1'(7l'R CODE RFQI�iREY1ENTS. �
FST 1�1,�TE FOR:
_rar:cy, Szeve
�7;C br�o::view dr
_. - ��� �sa�z
.._ 7�/�: ..?.44
:L: NU'�1BER DESCRIPTION
Estimate From
� � �
STORE #t 3018 FRID PHONE: (763) 571-8689
5351 Central Ave. NE FAX: (7G3) 571-1932
Fridley, MN 55421
ESTIMATE BY ESTIMATE DATE
kje 03/11/06
OTY TO ORDER
Estimate # 34023
Yage 2 of' 3
ADDITIONAL ITEM INFOR�1.4"f�10\
0
-. ._. a:5 Fc;."' UNDERLAYMENT 3'X144' (9 SQ) 1 EACH
R�OF'ING FELT
. SF;�?d:;LE STARTER STRIP 7.2"X33'4" ROLL 1 EACH
SH!NGLES
= 35i3 SUFERGLASS 25YR DUALBLACKCRC F/G 3-TAB 11 EACH
SHINGLES
, ]?i6 STYLE_"D"_10'_ROOF_EDGE WHITE 8 EACH
ROOF EDGE
.7-:�:; 1-1/4"X10' DRIPCAP WHITE WINDOW/DOOR 1 EACH
GR?? CAP
]"_/t" X 50' SIi.L SEALER FOAM 2 EACH
5:1_� SEAL
..�� :,,__ :!2"PLYWD CLIP ALUM 25/BGS56-BMC lOBGS/ 2 EACH
H-CLIPS
_. ___, t:A'_LS i-1/2 JOIST HANGER 1LB GALV 2 EACH
lq Tie Nails
.. _:�� RAFTER TIE U SHAPED IPC RT15 100/ 12 EACH
RAF'"ER TIES
. .� . 1]/2" VINYL SIDING NAIL 2 LBS 1 EACH
_,._:Vi; NA?LS
,., _,;.;� NAIL BD C.C. SINKER 5 LB BOX 5 BOX
S!iEA'I'HING NAILS
,_:-_,_�,� NA?i. 16D C.C. SINKER 5 LB BOX 4 BOX
FRAMING NAILS
�: --=7 �P.!!. 6D GALVANIZED BOX 1 LB BOX 1 BOX
GALV BOX NAILS
„_.. NAIi, loD GALVANIZED BOX 5 LB BOX 1 BOX
FFL4t-0?NG NAILS
„';_:.� NAIi, 16D GALV CASING 1 LB BOX 1 BOX
�ASING NAILS
�:�� F"%3�' NA'L 1-1/4" GALV ROOFING 1 LB BOX 1 BOX
AOOFING NAILS
;:. ,;,, yp,IL �-:/9" GALV ROOFING 5 LB BOX
1 BOX
:�OOFING NAILS
.. v1P:YL JAMc 'I'R1M WHITE 7' 11/16X5-13/16 2 EACH �N 5.a�'' ''�''`'� �'., -" ��-
C.! '?�OR .7AM8 -
.,,. 'e'I:NY� JAN,9 TR1M WHITE 10'll/16X5-13/16 1 EACH ON SALc ?GRI: :._ -..��-
04 DOOR JAMB _
:7-y7�0 VINYL BRICK MLD WHITE 8' 1-1/4X2
2 EACH ON SALE 1'HkU ` ,
OHCR BRICKMOULD _
, ,__ VINYL BkiCK MLD WHITE 10'1-1/4X2
1 EACH ON SALr ThRU ::. .�..
�:'p�t 3RICKMOULD
.,,_ .�__ REAR Tk2ACK HANGING KIT IDEAL 1 EACH
�:=A.R HANG6R KIT
Il:� �, au c;u�n.ia li i, ��i� en unl� ior �eneral price infom�aeion. This is not an offer and there can be no legally binding contract �
h� n� rrn ihe panies based upon this estimate. The prices stated herein are subject to change depending upon [he markel conditions.
Thc price; ;iaicd i�n ihis esumate are not timi for any time period unless specifically written odierwise on this form. The availability
o(in:nenals is �ul ieci to inventory conditions. MENARDS IS NOT RESPONSIBLE FOR ANY LOSS lNCURRED BY THE
GI'FST ��'HO RELIES O�' PRICES SET FORTH HEREIN OR ON THE AVAILABILITY OF ANY OFTHE MATERIALS
tiT.�"I FD H EREI�'. Ail inform�tiun on this lorm, other than price, has been provided by guest and Menards is not responsible for GUEST COPY
�n� rn�,rs in ihe infurn�atimi on ihis estima�e, including but not limited to quantity, dimension and qualiry. Please examine this estimate
rarrtull� >IE�ARDS�IAKESNOREPRESENTATIONS,ORAL,WRITTENOROTHERWISETHATTHEMATERIALS
I.ItiI El) ,�RE Sl'ITABI.E FOR ANY PURPOSE BEING CONSIDERED BY THE GUEST. BECAUSEOF WIDE PAC G 2�� �
��ItI � I IO�S �� CODES, THERE :1RE �O REPRESENTATIONS THATTHE MATERIALS LISTED HEREIN MEET
1 (il It (�OI)E REQI�IRE\IF\1�5.
0
n
� � i i �t � rf� roR �
.. :. _ �, S:eve
_"��C b_roo'r.view dr
.�._d:ey, MN 55432
... '�3 57_-5369
�I:l.� �lsfvlQER DESCRIPTION
Estimate From
��
, ! I
STORE # 3018 FRID PHONE: (763) 571-8689
5351 Central Ave. NE FAX: (763) 571-1932
Fridley, MN 55421
2=-30.° BX7 MADSN/GLOSS WHT. #200ROLL-UP DOOR
��VGRHEAD DOOR
ESTIMATE BY EST(MATE DATE
kje 03/11/06
TO ORDER
EACH
Estimate # 34023
Page 3 of 3
ADDITIONAL ITEM INFOR'�1ATIO�
I'hi; i::�n r;uin�ie li is �i� cn onl� lor peneral price inl'omiation. This is not an offer and there can be no legally binding contract TODAY�S $UL3-��C)l .A I..: .,;� 4. l" •
hcn� crn ihe paruzs b�seJ upon ihis esiima�e. The prices stated herein are subject to change depending upon the market conditions.
'I ��� prir�. ;iaizd on ihis esumaie are not limi I'or any time period wiless specifically written otherwise on this fomt The availability REG ULAR SUB-TOTA L:,��e ... _
,�; c�.:�cr.�!; i, ;ul�jeci io in� cnton condiiions ME�ARDS IS NOT RESPONSIBLE FOR ANY LOSS INCURRED BY THE
c:i I� I�� II(> RF.LIES O� PRICES SET FORTH HEREIN OR ON THE AVAILABILITY OF ANY OFTHE MATERIALS
� i�l F i� � i Elt F I�. All infunnauon on ihis form, other than price, has been provided by guest and Menards is not responsible for
,�n. �r��u, ui ihe inlumiaiion on ihis estimate, includin; bul not limited to quantiry, dimension and qualiry. Please examine this estimate GUEST COPY
rerrfull�.. �IF\ARDS �IAKES \O REPRESEn'TATIONS, ORAL, \�'RITTEN OR OTHERWISE THAT THE MATERIALS
LISTFD :�RE St'ITABLE FOR ANY PURPOSE BEINC CONSIDERED BY THE CUEST. BECAUSE OF WIDE
�,�RI.�TIU�'SI�CODES,THEREARENOREPRESENTATIONSTHATTHEMATERIALSLISTEDHEREINMEET PAGE 3 OF 3
\ Ol R CODF KEQI'IRE�IENTS. '
A5 BUIL�I'
DE:;SCf:I f3ED I�S :
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CA/NE � ASSOC/A TES
' LAND SURVEYORS, /NC.
/7720 Highwoy 65 N. E. Sode�vi/le, Minnesolo 55304
434-7646
�URVI:Y TOI2: J�ck Menkveld
'['hc north 75.0� teet ot the south 2:�2.U(� f.c>�t ol: Lut 2,
[31ock 1, I3rookview Second, �ccordin<� to Llie recorded pl�t
thereof in the of.fice oL- the Itec�istrar of 'I'itles, An�k��
County, P�linnesot�.
Sub j cct to cascinents ot recor. d.
it/ ��%` %-s� �,�� , � yt/
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Effective 1 / 1 /04
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CITY OF FRIDLEY MOVING [] WRECKING (� PERMIT APPLICATION
6431 University Ave NE
Fridley MN 55432
(763) 572-3604 FAX (763) 571-1287
�
Job Address: ��� ��% j�������1%'[L-�-� ��L ��
Legal Description: � /f� �(J '� S �i ��= ��� S� ��� t=� �1 a .�ir!< /
Y�CC�;o,We�� $��•NO "
Owner & Address : S, uN ?. �-�.q.,�a�r lv J�ro (�?,crlru,'��-� '?� iJ� Tel .# �7'�(����,�
Contractor: �j;� L J= Tel. #
Address: State License #
HOUSE: Length
GARAGE:Length
OTHER: Length _��
Estimated Cost $
DESCRIPTION OF BUILDING
Width
Width
Width ��
Height Sq. Ft.
Height Sq. Ft.
Height Sq. Ft.
Approx. Completion Date
Cu. Ft.
Cu. Ft.
Cu . Ft .
��� �
CALL GOPHER STATE ONE AT 651-454-0002 FOR UTILITY LOCATIONS. CALL ALL
UTILITIES FOR DISCONNECTS BEFORE WRECKING/MOVING STRUCTURE.
Water Bill Paid: Yes [� or Collect [$ ] Signature Pi►
Moving Route:
The undersigned hereby makes application for a permit to wreck/move the building described above, agreeing
to do all work in strict accordance with the City Ordinances and rulings of the Building Division, and the State
Code which requires any water well on the property to be sealed by a State licensed water well driller, and
hereby declares that all facts and representations stated in this application are true and correct. ALL
DEMOLITON DEBRIS, INCLUDING FOUNDATION & SLAB, S�IA�:�, BE REMOVED FROM SITE.
�--�3f - ���- _�� -�
Date Signature
Movin�
Principle building into Fridley . . . . $300.00
Accessory building into Fridley ...$ 42.00
Through or within the City ......$ 20.00
Move a building out of City ......$ 20.00
Wreckin�
For each 1,000 cubic feet or fraction. .....$1.25
For structures which would be impractical to
cube, the fee shall be based on the total cost
of wrecking at the rate of $6.00 for each $500.00
or fraction.
PERMIT FEE: � DY �� MINIMUM $20.00 STIPULATIONS:
Building �� PTIUMBING Permii No., 007- ���-
Inspections R.�SII�]E1!?7CI�L APPI,ICA�TION Received Sy:
' 763-572-3604 CITY OF FR�DL� � D��'�
� DATE September 21. 2007 Youx �-�rc, nn�r�ss wnelson larsonplumbinq.com
, SiTEADDRESS 6790 Brookview Drive NE
THIS APPLICAJ�T lS: ❑ OVI�NER �COt3TRACTOR
PROPERTY N���; Steven Tranby
owt�E�v ,,�D�ss: 6790 Brookview Drive NE c��rY Fridlev sr�T�MNziP 55432
TENANT p�o�E: 763/571-6369
CONTRACTOR �,a,ME._ Larson Plumbinq, Inc.
SUBM�T A GOPY OF STATE LiCEI�SE � 3341 PM EXP DATE 12/31 /2006
YOUR STATE nD�x�ss: 3095 - 162nd Lane NW C1TY Andover s�ArEMN ziP 55304
LICENSE WITT� Pxorr� 763/427-7680 �,4x 763/427-9448
APPT..ICATION
p���. .�.�,�� l$ S[NGLE FAMILY ❑ TWO FAMILY ❑ TOVJNI�OUSE
TYPE OF WORK: ❑ �EW � �PLACENIEN"J'
DETAILED DESCRIPTZON OF WORK �Nater Heater Replacement
PER MS 36B.66S the permit fee is a minimunit of $15A0 or 5% oi the total cast up to SS00.00, v��hichever is greater, for the
irnprovernent, installation or replacement of a residentiat fixtwe, excludang the fvctures. (This should reflect only the cost of labor )
Labor cQSt under $300 =�15.00. Labor cost between $300 to i500 = cosi o�labor x.OS =
FOR PROJECTS Vl'HER.E 1.P.BOIt EXCEEDS $500, FEES AftEBASED ON $10.00 PER F[XTURE, F_XCEPT WHERE 130TED. FIX'IURES: ([NDICATE TOTAL
NUMBER OF EACH BBLOW}
BATH SXNK/LAV FLOOR DRALNS SHOWER VIATEIt PJPING
BATHl'CJB � GAS PfPING M�o cJrrucFa✓s� SWIT�fMING POOL WATER SOFIT�ER ($3S)
CLOTEI�S �'AS3{ER �KITCHEN S1Ni: V�ATER CLOSET BACiCFLOW P}2�V. ($15)
l�)SHWASHER � LAUNDRY TRAY X WAT�R FiEATER ($35) FOR IRRIGAT'ION .
WA7ER METER OTHER
PEit1vII7'_F�E:PRO;TEGTS �ORUNDE� $5D0 ..., ; � ,::;:� . ;; ,,:::: _.. ; �... v ' �PERIv�TF�E:FOR:P�Z�JE�TS OVER $SOU::
Permit Fee . $ �_._� Number of fixtures @ $10.00 x $10.00 = $
Surchar e .SO Number oifixtures @$i5.00 x$I5.00 =$
TOTAL DUE $ ��.� Number of faxtures @ $35.00 x �35.00 = � �
State Surcharge = $ .50
"�'otal = $
T'HTS 35 AN APPL4CATION FOR A P£RivllT-NOT VALID UNTIL PROCESSED
I hereby apply for a buildiz�g pernnSt and I acicnowledge that the information above is complete and accurate; that the work �ill be in
conformance �vith the ordinances and codes of the City of Fridiey and with the Minnesota Consiruction Codes; that I understand this is
not a permit but only an application for a permit and work is noi to start wit�ont a permit; that the work will be in accordance with the
approved plan in the c e f all work w' requires review and approval of plans.
SfGI�iATURL OF APPLJCA PRiN'T'NA1vfE Michael Malinoski DAr� 9/21 /07
.. : PLE�SE;�10.�'� ���P�t�TE:Z,?.E��'S:�;it`E ;U1RED;����'f;•l,�i,�iN'?�, �LE!C�'RIC�L ANI? Ivf�G�i�.Nr!�;AT, WbhK . , . ;;,�
City of Fridley
Building Znspecfians Aepariment
6431 University Avenue NE, Fridiey, MN 55432
763-572-3G04
FAX: 763-502-4977