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
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; � 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"�"+
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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 [ ]
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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
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. ���� � � �
�
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=� �� �
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� C�� ���
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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
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/WOKA C06%��Yr'
ypCo�r�uo F+M�K1r.07.1�
� �'MV�Y��' .'1:'.
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THIS INSTRVMENT rYAi DI
Ciosing 5pecialt
607 High�.ey 10
Blaine, NN 55434
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