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AF - 43980� � � � ��, z�ri� SUBJECT P . City of Fridley 18507 AT THE TOP OF THE TWINS B U I L D I N G P E R M I T r ; � RE . � ; y � COMMUNITY DEVELOPMENT DIV. r � � PROTECTIVE INSPECTION SEC. �/Q � 7 1 � 1 ' � r'��1 � CITY HALL FRIDLE� 55432 NUMBER REV. DATE PAGE OF APPROVEO BV `'�«�.i `.J 612--571-3450 910-F15 6/18/86 � � JOB ADDRESS 6796 Brookview Drive N.E. 1 LEGAL LOT NO. B�OCK TRACT OR ADDITION SEE ATTACHED DESCR. Pt. 2 1 Brookview 2nd Addition SHEET 2 PROPEfiTY OWNER MAIL ADDRESS ZIP PHONE J.A. Menkveld & Associates Inc. P.O. Box 34004, Blaine, NIN 55434 757-0094 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Same 4 ARCHITECT OF DESIGNER MAIL ADDRESS ZIP PHONE UCENSE NO. 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO. 6 USE OF BUILDING Residential 7 C�ASS OF WORK � NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR � MOVE O REMOVE 8 DESCRIBE WORK Construct a 36' x 39' Dwellirig and a 32' x 20'4" Garage 9 CHANGE QF USE FROM TO STIPULATIONS provide a hard surface driveway. Provide sod in the front and side yards. Provide City with a verifying survey before capping. paid Park Fee of $750.00 & Driveway Escrow o£ $297.00 (16'+6"=22` x $13.50 = $297.00) SEWER & WAfiER LOCATIONS: Private - No ties to services N SEPARATE PERMITS ARE REQUIFED FOR ELECTRICAI, PLUMBING, HEATING, TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD VENTILATING OR AIR CONDITIONING. , THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING SO. FT. CU. FT. AUTHORIZEO IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION 1064 + 640 OR WORK IS SUSPENDEO OR ABANDONED FOFi 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 WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT (�1 %OO �3O.8S DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE pERM1T FEE SAC CHARGE PROVISIONS OF A Y OTHE ATE OR LOCAL lAW REGULATING CON- ST CTI OR TH PERFO M NCE OF ST UCTION. 319.00 $475.00 PLAN CHECK FEE TOTAL FEE � '" 79.75 $904.60 + PF & SW S ATU E F ' OROFl ZEDAGENT IDATEi � �� WHEN PROPERLY V LIDATED THIS 15 VOUJR PERMIT t!L ` S�GNATURE OF OWNER �IF OWNER BUILDERI IDATEI BLDG �NSP qA7 � NEW [� City of Fridley Effective 4/1/86 ADDN. [ ] R-1 AND R-2 ` pLTER. [ ] Building Permit Application Construction Address: � / / � t�� � ^' '�- Legal Description: ��.� � Lo-i- � �� l � ���c,�t ��! �'_�D owner Name & Address : `-� � � ' �"�iC��.�,j �i��C � �-t—�"� I ,� (s Tel . # �S 7—�� Contractor: ���^-� Tel . 4 Address: r" C� , �a?C ��� �4� �2 � r ►��. � ��, ��4-��- 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. DESCRIPTION OF IMPROVEMENT Length Width Height� �� Length Z-'� Width �� Height � Length Width Hgt/Ground Sq. Ft. � � Sq. Ft. Sq. Ft. Corner Lot j� Inside Lot [] Ft. Yd. Setback � Side Yard Setback � Type of Construction:��� ��� Estimated Cost: $ d� Approx. Completion Date: `�� ��._�C.LSl�� Alt. A Alt B 1 -- ;�-�--- Proposed Driveway Width If New Opening Is Desired: �+. $� $ See Back Page for Explanation r- DATE: r - � � APPLICANT: Tel. #�-' ����� TY IISE ONLY Permit Fee Plan Check State Surcharge SAC Charge Park Fee Sewer Main Charge TOTAL STIPULATIONS: Q�Lw� $ � ''� $ � � "-�C'�, '?�'� � �.'�S� �►J g r% $C�, C�U $ �"__ � � "��.� ���� ""'�'-� ��, �rJ Fee Schedule on Reverse Side 25� of Building Permit Fee $.50/$1,000 Valuation $475 per SAC Unit Fee Deiermined by Engineering Agreement Necessary ( ] Not Necessary [ ] � 4 � �j I � � _.-------� � � BUII.DING 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 strueture, 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 $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 $50,000 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 ESCROI�I (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 onee it has been constructed will be required befcsre groceeding wiih the framing. � � � � /�'� r G �' I-� Y�-�, , �,,,� y� .. °�.�/ � J�'j"�"+ ; �% �`'� , ��:,> }.• � .2�3. U U ('1,X3 � � 3��i.�� ��.�X' S1---��� � %f�s� y 12.Z.') ___.__�.. �,���,�� C�l, ��6. c►�r � C� t, �a� ;�,,, � ,o � ��`�r� � `� ►n.01 � `7 � '°'s�.� � ,� , . � {z�w .y �� y,� i 4. ��/� � ��� ` . � � . 6' � � �� . � ��,f � I ����C ��{, 3? � �"�,t�� ����. .. , MINIIESOTA STATE E:��RGY �:�DE CALCUtATIONS BASED OV �lIAI'TcR � OF THE MO�E�'E,IERGY �:���f- - 1 `l EDiTtON AdupLiun E[lac[ivr: 1/1/84 vner �� � � ����(�1F� ��+��'�"�-i-i'�i�.`� �11G', Phone��7— �C"��/!� �a _ 6�"%1�� ; i te Address ��_T�� \�'�?@=�(�C1i �.�=.( 0 �� ��� , • �ritractor `����l.aa. - � �hone �ilding Classification: Type A1 (Sing]e Fa:nily S D��piex) � Type �2 (Resid�ntial ;' (3� staries ar ess ; (Other) .� :nE�AL INFORMaTION Suilding Perimeter � j d it. '�Jalt height (qround to eav�� � �d ��j ft. 2 1. x 2. (above) gross wall ar�a. C''� ft. �OYe!' 3 stories) Bailding dimensions (L) x(1J) _ ��(� - ft.2 roof 3 floor area Square fcot area of rim joist - Floor joist size (2 x�? ) � 2 ? x Perimeter = Rim joist area = C'.� `t �2 - Joors - area ,�-Q� ' 7hickness ' , �n. U actor o ��� Type of Construction t���� ��z:_ � . PQrimeter �`��•�' htanufacturer �-- ,,��-q--���� Total door's perimeter ��-�� ft ft. ..�Windows: Manufacturer�..�-t State approve� '' ' U-factor �, L�."� �� TYpE (�,���' �_,� . ■ SIZE z�i 3s� 2=�1�� �..►�� 2�3 i 3�� � Z,�_tI-3 "C7��a t ti � :31 SS �iPt.� �-o AQ�A (F�.2) rqrH � Io 1 �� 1a _ Z `�7 ____�?- "�U�iBER 0� UNITS � � i � 1 � � .i 70;A� FEET 2 � �� � r� �� _ �/ � 3 Z . 9. Total ft.2 Glass ��5 E � 2 � 0� Fireplace area: Width x heiaht = ?� x = �'� Ft. � 1. Exposed foundation: Height x Perimeter `_____x_� �'� = 1.�� Ft.2 � � ��SPLE7ION OF THIS FORM IS RLQUI�E�7 FOR AlL P:Et1 COtI�TR:UCTI���, �1.'�JOR REt�OD�LING Ah0 BUIlOINGS SEING � ►V�� '�1HERE E�ERGY, OTHER THA� THc fAINIMAI COOE ALLO:IA�ICE, IS USED. ; ____ .__� _. _ . _ _ �� . . . _ - !. Ftaming are� = 10� of gross Hall area, ;. Gross rrall area � ��� ft.2 . � 2 ' Window area A� � 2:> ft. U windows -' ���� U x A= �� Rim. joi st area A ��'� ft.2 U rim joi st =,�� U x A= �-}- 2 � Door area A �� ft. U door area a r U x A= � � Fireplace area A �� ft.2 U fireplace = o���� U x A s � Exposed foundation A �.�� - ft.2 U foundation = +� U� x A= � Z. ��' Framing area A ��� ft.2 U framing area = ��� U x A= �� ; j ��b !; Net wal l area A � r�� �, ft. U wal l= � Q� U x A= �-K� , (136 ) TOTAL . . . . ' . . . . . . U x A =�,� I ` - -. t G. Gross wall area x 0.11 (A-1 single��family b duplex = allowable U x A/Code i'� (33. above) ' __ x 0.23 A-2 ather residential) x .23 �Other buildings) � � x .28 {Over 3 stori�s) � ! i Q BTUH Must be iar ha� A (�C'�� x l! Code. _� �� _= 4�C� ��. 136 abov Q.�,, i. Ceiling framing area (Af) equals l0Y of ceiling area (. or the. same asj �A. Gross ceiling area =(L) • x(V) _ ���� ft.2 � �6 Joist area (Af) = 10% ceiling area = ��� _ft.2 �. iC. Net ceil ing area (A�)� �15A -� 158) _ � �� cC� ��' _ ft.2 ' . � J �ceiling x A �a � ���' x +O Z = � � ' '' U f rami ng x A f= ��� x ���- = � _ iD. TOTAL U x A ................... .................... �� . , . - c, �I i. Ceiling area (15A) x 0.026 (A-1 single family b duplex - code allowable U x A •+ � x 0.033 (A-2 o.ther residential) �' . �; x 0.06 {other) ; �0 2,� � BaUN Must be larger than 15D (above) ; A(15A1 f� ( 6� X U(code)= �' (r F ( or the same as � NOTE: Use U and A values obtained from �ps i; 3 and 4. CITY OF FRIDLEY APPLICATION FOR PWMBING AND GAS FITTIN6 PER4IT >, a �q u • x u Water ,q e� N � ►bi c a w � +�+ a �+ a Heater r a� .-� w N-.+ ro � an W►+ G , � � u � o� e� � x o w° m g u m� 3 � � c� o s lec i � lst 2nd � v 3rd 4th (R) � Future Comection Opaning Connected with Sever (') � New Fixture, Old Opening Mater RATE SCHEDULE PLUNBING FIXTURE ItATES: N0. RATE Mev ii:turer � $ 5.00 iutur• �i:tures � g 3.50 Old Openinq, Nev Fi:ture $ 1.50 �eer Dispeea�r S 4.00 slow Off sasin S 5.00 CatcR 9asin $ 5.00 Rain Mater Leader ; 5.00 Kydrsulic Valv• S 5.00 Surp or A�ceiring Tank $ 5.00 Mat�z Traating Appliance $ 7.00 Hot Nater eeater $ 5.00 Gas Ranqe g 10.00 Ga• Dryer 5 10.00 �- 11LL OTHERS 1�IiD/OR REPAIRS AND ALTERATIONS lt of Valu� of Tixture or ]►ppliance Reinspection !ee S (515.00) State Surcharge TOTJIL PEE TOTAL S Z3SW S I�%•.1M r� S S S S S S S S—�- S a v� S S S S .50 S�y��ii � �� Effective Aug. 1, lyal Jog Addreas � � t �' UiG�i..��- Deparcaent of Huildings City of Fridley Tel. M571-3450 The undersigned hereby makes application foz a per�it for the work herein specified agreeing to do all work in strict accordance with the City Codes and rulings of the Departsent of Buildirx�s, and hereby declares that all the facts and representations stated in this applic tion are tzue and correct ridley. Mn. 6 ` . 19� OfilJER � ���:1L-- • KIND OP HU2LDING �� � USED ]1S TO BE CO ESTIMIITED C70ST l$Q�.� "� OLD - llEfi BIIILDING PERNIT NO. PERMIT NO. �(p � � �c CooPany �i� . W siynea ey Tel. No. ��'`��� ROUGN INSP. Uate FZNAL INSP. �°��� �S�O Date APPROVAL POR PERMIT > /'D/ �+ HINIltUM FEE FOR ANY PLUMBING PERMIT IS $10.00 PLUS THE $.50 ST�TE SURCHARGE � �_ CITYOF F[ZlDLEY CiVIC CENTER • 6431 UNiVERSiTY AVE. N.E. FRIDLEY, MINNFSOTA 55432 • PHONE (612) 571-3450 July 28, 1986 J. A. F�enkvel d& Associ ates 1299 l�;ississippi Street NE Frialei•, rt: 55432 Dear rir. r;enkveld, It nas caae to my attention that you have not yet paid the �xirk fees for your �roperty at 6770-6780-�790-6796 Srookview Drive NE. Tne sole stipulation accanpariying the Lot S�lit that was granted to you on this property was that you pay a�ark fee af 5750 per lot with the next three builciing 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 requirec3 park fees b� August 11, 1986. IY you have any questions, please fcel iree to v�ntact me at the Fridley Civic center, 571-3450, extension 166. 72iar�}; you f or your 000peration. Re pectfully yours, Daryl A ey � Planning Assistant C-86 334 CITY OF FRIDLEY APPLlCATION FOR POMER PLANTS AHD NEATING, COOIING, VENTILATION. REfRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES RATE SCNEDULE ltSIDC�TUL �urnace Shell •nd Duct Mork, 8ucner (Al�o r�pl�c�w�nt lurn�cy) Gs• Pfptnq Iplpinq n��did w/N nwi furrrc�) Cas Renqe Ge� Oryer • Ait Conditioninq lsll �lze�) All other�/Rep�lr� snd Alteration■ 1• of V�l�e ol Applience or Mork COMMBRCIAL/INDUSTRIAL 1• ot Velu• oi Applianca or Mork MT E S 20.00 S 10.00 S 10.00 S 10.00 S 10.00 Stata Surcherqe 'PO'!'11L TEL Rein�pectio� �ea (S15.OQ> Rouqh In�p. �ate Pinel In�p. � 3 ' ate Approval tor P�rAit ��j� MINiMUM FEE FOR ANY HFJITING PERMIT IS S10.00 PI.US S.50 STATE SURCIUIRGE r.i..���vr nvy. t. /vn1 --� ��� � � !-� �J �" � - �, A TO'fAL Job Addres� �,� '`"' ��. i(��i��� ��� T-�-�-,� �--�l,i i�'� - - ( s �2 c� n� S ro_o�% S S S S S S .50 3m.s'b S �m.SO S �^C� , J-� l _' -- � i _ � L� - Att�ch st�ck vert[ic-ation [o�s vith roplec�w�nt furnarc p�ruits •Air Condlt�oncrs ce� nnt�la• placed in •:id�• ysrd viU�out vr�tten p�rw�x�tun frne edn��n��q rr���ld�,r. Oe��artment of eulldlnqs 6�11 t►niverslty A��. N.L., !'rldl�y, !pl 55�72 Clty o( Frldley Tel. �571-)ISO The underelqned Aereby w�ke! •ppltc�tlon !or • pecwlt foc th� wrk h�r�ln ��ucltled •areetnq to do �ll wrk in •trict �ccord�nc� vltr tr� C►ty Cod�� �nd rul�nq� o[ the Dep�rt�ent o[ 8ulldlnq�, �nd AereDy A�cl�ra� th�t �ll tA� (�cta and repre�ent�tlons • uted In thls appllcatlon �r• tru• �nd corr�ct. C? � rriai.y, �u ��. c_• %� , i9� OMNER RtNO o USEU AS � /Y% � � �ro se cm�r�treo �our L,l��c= �� • . esrtw►Teo cosr r�x�Ga ���. OI.D K�t BUII.DING fE1MIT 110. rtpllt 1Ki. � OESC0.IPTION OF FUNNACL/lUPNCR NFJITING or POMER PLINTS.� t�a�, Not M�t�[. [f A1 No. C.-�/�.�-� S� 1t.ee Nawe ���/yd,Y. its. No. �'�['�'C�G — Gp�clty Sq. Ft. LDR !1V _,�_� N► t�/ �, , 7bta1 Con�ected Lo�d �7` �GQ Klnd ol ►u�l /�� i� �' 7 BUiWEA - Tt�de Nue Slse !b, Cap�c�ty Sq. Ft. EDA B'Rl NP Coa�pany �i%�°/`S� � /�/!� Slq��d � Te! . 1M. � 02 —� _ _ CITYOF FRtDLEY CIVIC CENTER • 6431 UNIVERSITY AVE. N.E. FRIDLEY, MINNESOTA 55432 • PHONE (612) 571-3450 August 15, 1�86 Mr. Jack Menkveld J.A. Menkveld & Associates Inc. P.O. Box 34004 Blaine, NII�t 55434 Re: Final Inspection of 6796 Brookview Drive N.E., Fridley Dear Mr, fRenkveld: A final inspection was conducted on your home at 6796 Brookview Drive N.E. The following items are deficiencies that must be corrected: 1. Post address on house by August 25, 1986. 2. Ccenplete roofing and flashing around fireplace chimney by August 25, }.986. 3. C�nplete front and side yard sod by October 1, 1986. 4. Escrow $351.00 for replacement of old driveway opening.on Brookview Drive near north end by September 1, 1986. When the above items have been satisfied, the City will be able to grant a final completion on the project. If you have any questions on these ite�as, please feel free t� contact me at 571�3450. Sincerely, DAR . CLARK Chief Building Official DGC/mh CC: Mr. Mark Burch I . NEw [ l ADDN. [ ] pLTER. [ � Construction Address: Legal Description City of Fridley �R-1 AI�TD R-2 Building Permit Application �^� � % ! � ' '` �j � y` � � • i -,1 , 1 ) � [ C; K� / _ 3�t ��• , ��/�; �� rt , '✓ � � �;�' ��`'.:;; ✓ffective 4/1/8G i, �� ���o�� ' ��i -� ��' • Owner Name & Address: Tel. # = i � Tel . # ,�.� � -l.u���� Contractor • _( /� i' /1 �`° �J r' c ��= ( � 1 - ri `": �c: l'";�� t . -- . Address • r,. � ��� ;, , F � � ; �,VI ;� � . 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. DESCRIPTIOp OF IMPROYEMENT Length Width Height Length Width Height Length Width _ Hgt/Ground Sq. Ft. Sq. Ft. Sq. Ft. Corner Lot [] Inside Lot [] Ft. Xd. Setback Side Yard Setback Type of Construction: Estimated Cost: $ Approx. Completion Date: �� � a� , � Alt. A Alt B -1��' ,1�. 1��� i (' C <j l�it [�,f ec -��, � �:y j� . , , � �-_• Proposed DriveWay Wi d t h I f NeW O p e n i n g I s D e s i r e d: _ $����-UC) $ See Back Page for Explanation ����P,'/���c���� APPLICANT _ ,�i1�� ��� �f ?�`�' ��< <��` C /i Tel. �` ��5'�-���',�`% DATE: � CITY DSE ONLY Permit Fee Plan Check State Surcharge SAC Charge Park Fee SeWer Main Charge TOTAL � $ � $ $ � � a ��;-j, �"(; Fee Schedule on Reverse Side 25� of Building Permit Fee $.50/�1,000 Valuation �475 per SAC Unit Fee Determined by Engineering Agreement Necessary [ ] Not Necessary [ ] STIPULATIONS: �.cTljO� 1�-��j��� O� . CITYOF. FR[DLEY CIVIC CENTER • 6431 UNIVERSITY AVE. N.E. FRIDLEY, MINNESOTA 55432 • PHONE (612) 571-3450 August 15, 19.86 . Mr. Jack Menkveld = J.A. Menkveld & Associates Inc. P.O. B.ox 34004 : - Blaine, MN 55434 Re: Final Inspection o� 6796 Brookview Drive N.E., Fridley ,. Dear Mr. P4enkveld: A final inspection was conducted on your home at 6796 Brookview Drive N.E. The following items are deficiencies that must be corrected: � Post address on house by August 25, 1986. 2. Complete roofing and flashing around fireplace chimney by August 25, 1986. 3. Complete nt and side yard sod by October 1, 1986. /� 4. Escrow 351.� for replacement of old driveway opening on Brookview Drive � near north end by September l, 1986. When the above items have been satisfied, the City will be able to grant a final completion on the project. If you have any questions on these items, . please feel free � contact me at 571-3450. - Sincerely, D G. CLARK Chief Building,Official DGC/mh CC: Mr. Mark Burch sue�ecr PE O. City of Fridley o 19 0 8 4 AT THE TOP OF THE TWINS g U I L D I N G P E R M I T r ; � REC . � ' COMMUNITY DEVELOPMENT DIV. ' i V �"��', � � �. ( , . r � � PROTECTIVE INSPECTION SEC. ��'� �—'(v � � t ' /"�l � CITY HALL FRIDIE� 55432 NUMBER REV. DATE PAGE, OF APPROVED BY �.--•� � •�� 612-571-3450 910-F15 7/23/87 / / JOB ADDRESS 6�96 Brookview Drive N. E. 1 �EGAL LOT NO. BLOCK TRACT OR ADOITION SEE ATTACHED DESCR. Pt. 2 1 Brookuiew Secaazd Addition SHEET 2 PROPERTV OWNER MAIL ADDRESS ZIP PHONE Lawrence G. Kappel 6796 Brookview Dxive N.E. 572-9017 3 CONTRACTOR MAIL ADORESS ZIP PHONE LICENSE NO. S ame 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAILADDRESS 21P PHONE LICENSENO. 6 US�OF BUIIDING Residential 7 CLASS OF WORK ❑ NEW � ADDITION O ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WOFiK Construct a 26' x 12' Deck 9 CHANC�E QF USE FROM TO STfPULATIONS See notations on plan W 1������� • Bef+�re digging caif ioc�t utiiitie:� SEPARATE P�F7MJTS REQUIRED FOR �E�EPNO�fE - ELECTRIC - Gi�,.EL�` WIRING, hIEATING, pLUMBING AND S1GNS. REQUIRcD BY L�1r'V SEPARATE PERMITS ARE RE�UIRED FOR ELECTRICAL, PLUMBING, HEATING, TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD VENTILATING OR AIFI CONDITIONING. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING SQ. FT. CU. FT. AUTHORIZED IS NOT COMMENCED WITHIN &0 DAYS, OR !F CONSTRUCTlON OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS OFFSTREET PARKING I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION 1 STALLS GARAGES 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 S2 ��-SO Sl. OH DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL TNE pERMITFEE SACCHARGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- STRUCTION OF THE PEFiFORMANCE OF CONSTRUCTION. $3S, SO PLQN CHECKfEE TOTAL FEE . 63 $49. 21 S�GNATUAEOFCON'iiACTOF70FlP.UTHOFlIZEOAGENT IDATEI WHEN PROPERLY V TED THIS IS YOUR PERMIT ��`�-�. ���� 7���f� r�' �, r a i S�iGNATUREOFOWNER�IF NE BUILD NT--- - IDATEI BLDG WSP qpT' N� [] City of Fridley Effective 4/1/86 ADDN. [ ] �R-1 AND R-� AI,TER. [ ] Building Permit Application Construction Addre Legal Description: �r��� �--r�-"�T-fc-��c �- L-o%a �.I-ts�.�// .t�.2eb�lf�x��'?�GeNY� s-,a-9o�7 r1 Owner �itame & Address : � ^� �-' � ° -� � ° 6 - � °n � ��lP �'��v�� ��� Tel . # s7 �l - 5�35 0 Contractor: s el� Tel. # Address: Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF IMPROYEMENT LIVING AREA: Length Width Height Sq. Ft. GARAGE AREA: Length Width Height Sq. Ft. DECK AREA: Lengih ��' Width ��-' Hgt/Ground � g�� Sq. Ft. �Z OTHER: �� 1Z,i� �e . � J � � � �P2r � 9 Corner Lot [>C] Inside Lot [] Ft. Yd. Setback Side Yard Setback Type of Construction: ��r.� �-r� m�-- Estimated Cost: $ Z�SO ' UU Approx. Completion Date: r)f51�� Alt. A Alt B Proposed Driveway Width If New Opening Is Desired: $ $ See Back Page for Explanation DATE: J._. y.�_..�1.�!`��� APPLICANT ` � ti Tel. # 5?� - 90/�'J Permit Fee Plan Cheek State Surcharge SAC Charge Park Fee Sewer Main Charge TOTAL STZPULATIQNS: g �, �a $ � ,G.� $ t, bg $ $ $ $ �P . �1 CITY IISE ONLY Fee Schedule on Reverse Side 25� of Building Permit Fee $.50/$1,000 Valuation $ 525 per SAC Unit Fee Determined by Engineering Agreement Necessary [ ] Not Necessary [ ] aU o�- 3Z,S� lX� = b 3�.5'� C'1v C U � ! „ � t a� d 4p • 7 7 ' J G � O � � N i � f °v� d � J s f c � £ d w �. �n ` � � � �vr f o . � e 5 r ' J Y �i , Q F � � � . r �1 4 Q Ol W r '� � e� r N r � Q � 7 7 t T G i� � ¢ f a � r ��d � F � c s � Q J a _ = u�l� Y1 , a � ����J - a � N � , a `� 1 O 7 - i � Q 7 J G � Q (� d �% � M � a � � [� � � 3 -� .� � � �� ` .Z � J \ r 1 �� J £ J t 3 � u� - J T M Y t � a J ,� � � J 6 J v, "�1 M � � � J Y � J� J 4 i 3 G � . .._ ___. _..__...__._ J^_` � I "'_i;� ' _ �""_"_�" 1 II �; -:-j-- _ � � �i ' ------------- u l� � . �'' � � - ;i i '; � � � � �. � / ' �r � " ' � - � y �-- ---� � f; -- _---- ..,_ � i ._..�..--- � �` ; -- -------- ,� T � K i � —� � i� ! � i, ; � 7 � - _ - —. � i! � �: � . �� 3 ---1- ---� � r---- ---- - � i �'_......_.;_ J �i.--- — F �- --__!� ' -- -------• F �. �. i� � � : . ; t u c � t � : t t c V r C C L � I ' I ^ � � M `� ; ry ' � .f SCAI.E .��•k" • l� TNE P�.Aw�rER IS MADfe of a' yt V" �'as�TaA �w�^eaR. TNE LOalGtETE �ATIO IS ExioSBD Ab6RE�w�E �..3�-rH �1� t�' Ta.4A'rEC L.tl�"�4�L Di.i1N�N• n+t .w)s�J�CUnI CEcTaJ�.1�EL. T�iE CbwlL0.cTt 13 Do1ALtC TO A OiDTF1 OF �.1". ?O'' O�� ._ .._ �-----------------' �--- - �-_-_.— , ; - ± K-- 4�• O•. _--►+'�— 3�• 10 V�-� -� 4�' O��---'►�— V�' 0�— `{ ' ��/� �----►' i ��— I i � , � I 4'•I�N : � � ' � II � � � :'3L� li..C.. 1 ' 1 II i � 1 ' � I � � . � ' •H. � j I i � { W Y i 1 � T � 1 1 i� I 1 i i i . � i � 1 1 � 1 � 1 1 , I � 1 � � 1 ' 1 � ( -i 1 i � � 1 t�� � lC � � 1 � � � ' �� I I • I 1 � � � � �' i � J I < � ` d -� � u — a � . � a w r 'e e d u . T r � Y � j K �y ^ I 7 I I t s �� � J i � 2 J a r �a i t 3 M Y R � ♦� � < O Y J a J r . d � . J f 1 W � [� SuB�ECT City of Fridley AT TME TOP OF TNE TWINS g U I L D 1 N G P E R M I T r � . � � � • COMMUNITV OEVELOPMENT DIV. � ; V'�'��� , . r � � PROTEC7IVE INSPECTION SEC. � . i-_--�� �"' �'� CITY HALI FFIOIE� SSIJ2 NuMBEA AEv t 612-571-3450 910-F15 109 AODRESS 6796 Brookview Drive NE t LEGAI. �OT NO. BLOCK TNACT OR AODITION DESCfi. Pt. 2 1 Brookview 2nd Additior 2 PFOPERTY OWNER MAIL AOORESS Larry Kappel 3 CONTRACTOR MAIL ADORESS Allstar Construction 8401 73rd Ave. N Ste 80 BklS 4 ARCHITECT OR DESIGNER MAIL ADORESS 5 ENGINEER MAII ADORESS 6 USE OF BUILDING ResidentYal 7 CLASS OF WORK O NEW O ADDITION O ALTERATION 8 �ESCRIBE WORK Reroof house and garage (30 Sq) Tear-off 9 CHANGEOFUSEFROM TO D�TE 9/16/99 ZIP 55428 21P ZIP � 30231 ��6 7 O� APPpOVEO BV � SEE ATTACHED SHEET PHONE 572-9017 PHONE I.ICENSE NO 93-5325 3247 PMONE LICENSE NO. PHONE LICENSE NO � REPAIR O MOVE O REMOVE STIPULATIONS Underlayment must comply with the State Building Code. TYPE OF CONST. SEPARATE PERMITS ARE REOUIREO fOR ELECTRICAL, PLUMBING, MEATING. VENTILATING OR AIR CONDITIONING THIS PERMIT BECOMES NULI AN� VOID IF WORK OR CONSTRUCTION ZONING AUTHORIZEO �S NOT COMMENCEO WITHIN 60 OAYS. OR IF CONS7RUC710N OR WORK IS SUSPENDED OR ABANDONEO FOF A PERIOD OF 120 DAVS AT ANY TIME AFTER WORK IS COMMENCED. NO DWLG. UNITS I NEREBY CERTIFV THAT I HAVE READ ANO EXAMINEO TMIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS yq�VATION ANO ORDINANCES GOVEFiNING THIS TVPE OF WORK WIIL BE COMPLIED WITM WHETHER SPECIFIEO MEREIN OR NOT. 7ME GRANTING OF A PERMIT �ZGI2 DOES NOT PRESUME TO GIVE AUTMORI7V TO VIOIATE OR CANCEL THE pERMIT FEE PROVISIONS OF ANV OTHER STATE OR LOCAI LAW REGUTATING CON- STRUCTION OA THE PERFORMANCE OF CONSTfiUCTION �H3.2S $�GN4TUQEOFCON'PACTOQOASUTNOR�ZEDAGENr IDATEi ,�GNaivaE O� OwaEa ��F OWtiEQ BuiLOEii� iO�TE� STA��S 5. ROUP OCCUPANCV�OAD CU FT OFFSTREET PARKING IGARAGES SUpTAX $1.31 SAC CMARGE Fire/5jC $2.62 .� $ IS IS/ . P/ !� � � /�6ff r NEVV [ ] ` ADDN ALTER Effective SJ10/99 [ ] CITY OF FRIDLEY [] SINGLE FAMII.Y AND DUPLEXES R-1 AND R-2 BUII.,DING PERNIIT APPLICATION �` ro� (_� � � �U Construction Address: �-? � %�i /�rG� �U>�� �' �� Legal Description: ' Owner Name & Address : �,� �- r�l ,�Gl .�%/7C / Tel. # ��a� " %l 7 Contractor: � � �T �9r' �/1�'I % � MN LICENSE # 3 vZ � % Address: � �D � � � � � d`� �/t, �% • /� Y 6D ��i� �� Tel. # .'� ��'� �.3�.� Attach to this application, a Certificate of Survey of the �s y'� � � lot, with the proposed construction drawn on it to:scale. LIVING AREA: �GARAGE AREA: DECK AREA: OTHER: DESCRII'TION OF LMPROVEMEN'!` ' ' `' - Length Width Height Sq. Ft. Length Width Height S�. Ft. Length Width Hgt/Ground ,_ Sq. Ft. — G'°'9r`,4�' L \,3Q Construction Type: %C�f� r'���0� ,7�/�/f��_ Estimated Cost: Driveway C�rb Cut Width Needed: _ Ft. + 6 Ft =___ Ft x$ $ �" % � 07( o� o� _$ DATE: � �6 � � APPLICANT: %������Y �'l/d�f � Tel. # .��3,�.�0�.� Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee Sewer Main Charge TOTAL STIPULATIONS: CITY USE ONLY $ � 3, �5 Fee Schedule on Reverse Side $ � (, a .001 of Pemut Valuation (1/lOth%) $ /_ 3 / $.50/$1,000 Valuation $ $1050 per SAC Unit $ �� Q 0 $5.00 (State Licensed Residential Con�ractc�s) $ Alt. "A" or Alt. "B" Above $ $450.00 Conservation Plan Review $ Fee Determined by Engineering $ Agreement Necessary [ ) Not Necessary [ ] � 9a. �� CITY OF FRIDLEY INSPECTION DIViSION 6431 University Ave NE Fridley, MN 55432 APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION, 763•572-3604 REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES RATE SCHEDULE Residential Furnace Shell and Duct Work, Burner - Also Replacement Furnace (Side Vent - Fill Out Back) Gas Piping (Needed with new furnace, but not replacement) Gas Range � i�a A- S' .7�I �'�'r Gas Dryer *Air Conditioning - All Sizes � All Others/Repairs & Alterations (LIST ON BACK) 1% of Value of Appliance or Work Commercial/Industrial 1.25°Jo of Value of Appliance or Work Rate TOTAL $ 30.00 $ $ 10.00 $ $ 10.00 $ $ 10.00 $ $ 25.00 $ $ $ State Surcharge 1'OTAL FEE MINIMUM FEE FOR ANY HEATING/COOLING/VENTILATION REFRIGERATION/AIR CONDITIONING PERMIT IS $25.00 PLUS THE $.50 STATE SURCHARGE REINSPECTION FEE $47.00/Hr *Air Conditioners can not be placed in a side yard without written permission from adjoining property owner. $ .50 � � � S� JOB ADDRESS '.S OW N ER_1��i BUILDING USED � ESTIMATED COST ���t� Effective On January 1, 2001 (o �i�aalc v�,�,� �I � , ���� PERMIT N0. L � DESCRIPTION OF FURNACE AND OR BURNER No. of Heating Units � Circle One (Steam) (Hot Water) (Warm Air) Trade Name Size No. BTU ����ca�? HP EDR Fuel r� � Total Connected Load Burner Trade Name Size No. BTU HP EDR 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 an rulings of the Building Division, and hereby declares that aIV the facts and representations stated in this application are true and correct. DATE �� °/� SS'p l HEATING CO / '�� �✓���f ��/�l��c -Z��' Signed �'��� TEL # ���` a��`���/� Approved By�_ Rough•In Date Final Date BACK SIDE MUS BE FILLED IN ON VENT SIZE, VENT CONN AND COMBUSTIO AIR VERIFICATION �'i/�%/C'l CITY OF FRIDLEY 6431 UNIVERSITY AVENUE NE FRIDLEY, MN 55432 572-3604 N'AX: (763) 571-12ti7 PERMIT NO.: 20 0498 DATE ISSUED: 04/13/2004 � �a�� �v ADDRESS : 6796 BROOKVIEW DR NE PIN : 133024230064 LEGAL DESC : BROOKVIEW 2ND ADD : LOT 2 BLOCK 1 PERMTT TYPE : BUILDING PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ADDITION/ALTERATION VALUATION : $ 4,100.00 ' NOTE: SEE NOTATIONS ON PLAN. � CALL GOPHER STATE ONE AT 651-454-0002 FOR UTILITY LOCATIONS. PROVIDE SMOKE DETECTORS IN ALL SLEEPING ROOMS AND ON ALL LEVELS OF THE DWELLING PER R317 OF THE 2000 INTERNATIONAL RESIDENTIAL CODE. REBUILD BRICK VENEER STATE LICENSED CONTRACTOR 1 APPLICANT J B MARTIN MASONRY CO 435 WEST 198 ST BURNSVILLE, MN 55306- OWNER SCHROEDER,AL ', 6796 BROOKVIEW DR NE , FRIDLEY, MN 55432 BUILDING PERMIT FEE FIRE SURCHARGE STATESURCHARGE,VALUE LICENSE SURCHARGE TOTAL 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 ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any other state or local law regt}lati�g construction or the performance of construction. Bldg 14 �� i SEPARATE PERMITS REQUIRED FOR W`ORK OTHER THAN DESCRIBED ABOVE. 111.25 4.10 2.05 5.00 122.40 Rpr 09 04 01:25p Jeffrey Martin 95Z-892-0341 p.2 J �' r r '1 � � � 1 �� � , U �� ��� -�� , � � � 1 n ���� ��� �� u�� � -� � �.� .�' C���o�� � � � � � � l � I�D = ��� C���'�Gl � � � �� a � � L��1 �/�:' �_� ��'�'l � . ���� � � � � � =� �� � �i �� � v �� U � � � ���-� � C�� ��� � w; �� � � 7�3 =� /�C � WALL COVERING FLASHING AND WEEPHOLE VENE 1 IN.-AIR SPACE OR 1 IN.-MORTARED SPACE° BUILDING PAPER OR APPROVED. WATER-REPELLENT SHEATHINGb METAL TIEb FI�4SHINGa WEEPHOLEa \\\`///i \\\ '/// �\\\�///� ///i \\\ �\\\�/// 1G 1��� � `,� � �c� r �� ' For SI: 1 inch = 25.4 mm. �.. FIGURE R703.7 BUILDING PAPEH UH AF'YMVVtu WATER-REPELLENT SHEATHINGb WALLBOARD ANCHOR BOLT \\\`''''�: ��� �•.'�'- \\\`'•�'•� � GROUTED FULL �// \\\` • ��/ ��� � � � ��� � � �� �� �� � � 3 �C� ��� FIGURE R703.7 MASONRY VENEER WALL DETAILS (continued) 2000 INTERNATIONAL RESIDENTIAL CODE� 205 Rpr 09 04 l0:lla flPR-09-2e04 09�26 �►� I ] AQDN (] AITER i ) Construction Address: � Legal pescription: � Owner Name & Address: Corriracto� 1 �� �, � Jeffrey Martin 95�-892-0341 p.2 FROM CITY OF FRIDLEY 70 9528920341 P.01i94 C1TY OF FRIDLEY Elfective 4H/2004 6431 UnlVerSity Ave NE, Fr�dley, MN 55432 (763) 572-3604 Bldg Insp SINGLE FMAILY AND DUPLEXES R-� AND R.2 (763) 571-1287 Fax � BtJILdING PERMIT APPLICATION � �,, j,. .�� �-6 l.% j`� �% :���' � CF' %__ :� r`lYti �� I � c' i r 1 �J�{�~. �1 Il'i ��i % 1�'�'�_� c. �/ �t.� ,..c i t�i �� r; c� �l . Tel. it �7��i 5 7/ Gf�9�.? � ,- MN UCENSE #���i C v I S'�T� ' f l � 1 �? ��?1��e�. # ��.`�� �- ��`�� �`-tj:3��-? Attach to this appfication, a Certificate of Survey of the bt, with the �roposed construction drawn on it to scale. DESGRIPTION OF IMPROVEMEN7 LIYING AR�A: Length Width Height Sq. FC 6ARAGE AREA: Length � W�dEh Height Sq, Ft. DECK AREA►- Length Width Hgt/Ground Sq. Ft. or►��: � I� L..�r� a� Conshuction Type: "!) l.{t � J./' �,�1( � ri Estimated Cosi: S J� r r'� �- _ Driveway Curb Cut Width Needed: `._Ft + 6 Ft = Ft x 5 =$ DATE: — L C G� APPLICANT: � ! ,��,� _ Tel. # �5 ,� ��� Gall (763) 5i2-36U4 fo� PsmtfT l�ees if rtlaibng in applieation. Fax to 763-571-128T if using credit card anA we will call you for tatrd numbe�. CI7Y USE ONLY - Permit Fee $ l// �� Fee Schedule on Reverse Side Plan Review $ _ 65% of Permit Fee Fire Surchar�ge $ �, ,001 of Permit Valuation (1110th°lo) State Surcharge $ ' � $.50/$1,000 Valuatian SAC Charge $ $'l350 per SAC Unit Ucense Surcharge $ �,�-,r_ r9� $5.OQ (State Lic�nsed Residential Contractors) Curb Cut Escrow $ Ait. "A" or Alt. "B" Above Erosion Contro! $ $450.00 Cvnservation Plan Review Park Fee $ Fee Oetermined by Engineering Sewer Main Charge $ Agreement Neoessary [) Not Necessary [ j TOTAL $ � ��, �V STIPULA�'IONS: \ �,�� �o S, ; �� �J3,� Building Inspections 763-572-3604 DATE f � - ± �� �—O � SITE ADDRESS �� THIS APPLICANT IS: PROPERTY OWNER/' TENANT CONTRACTOR SUBMIT A COPY OF YOUR STATE LICENSE WITH APPLICATION PROPERTY TYPE PERMIT TYPE TYPE OF WORK: BUILDING RESIDENTIAL APPLICATION CITY OF FRIDLEY /S �'a o ❑ OWNER PHONE: YOUR E-MAIL ADDRESS i�w� 1i!' NE , o�ede ✓' U' �OO�Y i li... %Jv Nt CITY /✓t ����d� /�„ ✓�. Permit No.; Received By: Date Rec'd: STATE_ZIP, STATE LICENSE # 2D 3 97o I EXP DATE � l I'B 6 ADDRESS: Z�D l � O//�� S� � g CITY �jo �`7 STATF/y+�LIP �i �%/g PHONF.��2 - Zfi�" 270,� FAX �/ `2 ° 7S�g� ?j0 i SINGLE FAMILY/NEW CONSTRUCTION SIZE TWO FAMILY/NEW CONSTRUCTION STORIES ❑ ADDITION O GARAGE/SHED ❑ WINDOWS ❑ BASEMENT FWISH �OOF ❑ DRAIN TILE ❑ DECK O SIDING ❑ OTHER ❑ SWIMMING POOL O MAINTENANCE/REPAIR ❑ DESCRIBE WORK BEING DONE: SIZE OF IMPROVEMENT hOu rn WIDTH HEIGHT Ptt�f fo ��'f 9� �4sc�p Ft. ROOFING -7 .�HOUSE ONLY NUMBER OF SQUARES / ❑ HOUSE & GARAGE BASEMENT REMODELING SUBMIT: � ❑ ATTACHED GARAGE 1. Existing Floor Plan GARAGES L�j��' 2. Proposed floor plan PROPOSED SIZE: �J /� � DETACHED GARAGE 3. List of structural members to be used PROPOSED HEIGHT: � (/ SIDING %� FOR NEW CONSTRUCTION INCLUDING DECKS, � Vinyl ���" �offit /lo � ADDITIONS. & PORCHES SUBMIT: ❑ Aluminum O Trim � 1. Site Plan/Survey showing the existing structures ❑ Other � f�Fascia l d and proposed project. 2. Two sets of construction plans FVINDOWS 3. Energy Calculations IN EXISTING OPENINGS ❑Yes ONo LOCATION OF WINDOWS OR FOR NEW OPENINGS-DESCRIBE STZE 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 $ OCCUPANCY TYPE Permit Fee Plan Review Surcharge Fire Surcharge License Surcharge SAC Charge Curb Cut Escrow Erosion Control Park Fee Sewer Main Charge Total Due $ 1,1 �I• �� $ $ $ $ �' ,�i/� $ $ $ $ See Back Page for Fee Schedule 65% of Building Permit Fee (.0005) times the total job valuation — Minimum $.50 .001 x Permit Valuation (1/10%) $5.00 (State Licensed Residential Contractors) $1450 per SAC Unit (Plans to MWCC for determination) 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 APPLI�ATION FOR A PERMIT-NOT VALID UNTIL PROCESSED I hereby apply for a building permit and I aclrnowledge that the information above is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Fridley and with the Minnesota Construction Codes; that I understand this is not a permit but only an application for a permit and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of a!I work which requires r'ew and approval of plans. � / /y /�Gr✓'On �PHIJP�t�f DATE /r —/0�4,�' SIGNATURE OF APPLICANT G�' ' PRINT NAME fT , . , ' � � ; �.�� i�.� �.: f�, 1��� �. ,I J�(� . . . � J��ti����, Z: �.. � form No. 31•M—OUIT CLAIM DEED Co.pontion or Vsrmership to Co.porstan or Putr»r�iP YV�....�. \��IM� C��KIY:l�Y oiwtli�! 11'7�� No delinquent taxes and transfer entered; Certificate of Real Estate Value ( ) filed ( ) not required Certificate of Real Estate Value No. ,19 County Auditor by STATE DEED TAX DUE HEREON: $ �� Date: July �e' , 19 86 y�.ynGa.b Cc. �+✓.,.,u�-•-. FOS VALUABLE CONSIDERATION, J. A. Menkveld 6 Associates Znc. , a_�n,�,nrat;rx. under the laws of ��Spta , Grantot, hereby conveys and quitclaims to C.j,�y of �idl_ev , Grantee, 8�(S,m;rinal Cormra 7cm under the laws of Minnocnta , real property in A*±oka County, Minnesota, described as follows: VPILITY FASFT�SlT DESCRIBID AS FOLIICX^1S : The easterly 20 feet of that part of Lot 2, Block 1, Brookview Seoond, lying North of the South 232.00 feet thereof, Anoka County, Minnesota. The City of Fridley hereby accepts j this sement for tility purr�oses G� ' (i� mor� tp�cv U nNWd. eoMinw on b�ekl Ci t}� Cl erk � togethet with ali hereditaments and appurtenancea belonging thereto. J. A. Menkveld & Associates Inc. � ! i 1(fi:: ll��i��l'fnx 5lam�r Ili�t'�• ' B �i^ " I Y � resi —� I gy i Its � STATE OF MtNNESOTA COUNTY OF �O� � ss. 7�/ The foregoing was acknowledged before me thia .3G - day of Julv , 19 86 , by T A_ NhnlrcrolA —sAd . Ehe_ PrnciriPnt �tld Of 7 A_ Nbnlrcaolt3 L Aaan[�iatoc Trr_ � l ('n��ratir�n _ under the lawe of Minnesota ' , on behaif �r�tion . , i NOTAAIAL iTAMP OR S6AL (OR OTH?Jt TlTti 0` RANK) �, � AAMMIIAIIMM'��!'-'��'��'-�� BIQAiATJ Of PL1ttON A 6 A OMLtDGldENT � CRYDE Y_ MORAVETZ Tu ataum�nt� tor eM rW �reNrt7 aMeels�d 1� fYY Wtntm�t aould �i�7 q�tl�' MM[�A M Mat to (leUUd� �m� �aA ddn� o! 6nalw): /WOKA C06%��Yr' ypCo�r�uo F+M�K1r.07.1� � �'MV�Y��' .'1:'. - -- - - `ro��� nl S P�o,��rTY - O�i6�iuA� � THIS INSTRVMENT rYAi DI Ciosing 5pecialt 607 High�.ey 10 Blaine, NN 55434 � �ti0 �%1 od w. ,-y