AF - 43991�Cit of Fridle , Minn. �
y Y
BUILDING PERMIT N° 4 4 4 9
Date: -. .(�.�....'-.'.��.....---....'f�-....'^�. -.._......-- -- ......
Owner: �� - - - ....._ ...... .. -� . Builder ... .�.......--�-- -
Address................. - -- ....._- - ...--...........--- ...............- -._.......................... - Address - - ----- -...._.._.__... ............... -- ................. -- ........................._ ---- --
�, LC)CATI OF BUIIDING
No. ._��, ..���-` Street . ...- ---- �....�(...� . ..............._......-- .._... Part of Lot ....._... - -
- -� � - -- - . ...............---
!
Lot . _ -_%���..._..__ - Block .................�..___ ---... Addition or Sub-Division --���k.����.---- _.... ....,..... �1_ -....�i
��.�/ /
Corner Lot .. ..__._ ......_._..... ... Tnside Lot ..._.._ . L�.... _..... Setback .._.._. ..s, ...._.__:.__..... Sideyard .__.....,/....Q .................�............--.--.--.......
Sewer Elevation .----------��fJ� ..--.5�2...__........__----....._.........__..._...---..... Foundation Elevation .._ .............�lG � -
. ...._�... �. .......... � ...--
DESCRIPTION OF BUILDING
To Used as:
�
,.. ....._.....- --.._..__ Front .��.. Depth .4�..��--. Height ..�(�....... Sq. Ft. �j�� Cu. Ft.!.l.;J--��/�
�G��..�-.D�l�L�F'ront .�... Depth c�.� . Height _ f.� t�. Sq. Ft. �. J-�� Cu. Ft. 3. ,�..y�a
r�� �
TyPe of Construction --��_/i�-� ... Est. Cost -�1� _� _. j��.� ......_... To be Completed ._........._ .............-.._.._.....__......--
THIS PERMlT �q U�10�
1�N OF qNY _----�AUTHO
BUILD��� RFST}���TIOlys � ��� NANTS �A%
��
In consideration of the issuance to me of a permit to construct the building described above, I agree to do
the proposed wark in accordance with the description above set forth and in compliance with all provisions of
ordinances of the city of Fridley. .-.
_ �.;, � �
y . <_� ��a�--��--��-�-�'� 1� / /-��.�� �L
aA -
In n'deration of the payment of a fee of $__�,�J.a_............_, permit is hereby granted to_._ ::..Q�..._. ...
.....��. ...�_c..LG'�'z-Q..�....----.__........_ ta construct the building or addition as described above. This permit is granted upon
the�express condition that the person to whom it is granted and his agents, employees and workmen, in all work
done in, around and upon said building, or any part thereof, shall confarm in all respects to the ordinances of
Fridley, Minnesota regarding location, construction, alteration, maintenance, repair and moving of buildings
within the city limits and this pernut may be revoked at any time upon violation of any of the provisions of said
.._
ordinances. �- n A .
Inspector
NOTICE:
This permit does nof eover the consfruelion, installafion for wiring, plumbing, gas heating, sewer or water. Be sure to see
the Building Inspector for separate permifs for these iiems.
4
APPLICATSON FOR BUILDING PERMIT
CITY OF.ERIDLEY, MINNESOTA
Owners Name � � . Builder �' `�����^-�' �'�/%�t�
...
Address ;;.. , Address .. ;
LOCATION flF BUILDING
No. 4� �-3 � Street �izc�2��t-.,� �.�,�, Part of Lot ,
Lot � Block ,� Addition or Sub.Div. �i��.`.�..z.,� '�.1��� ��
Corner `Lot Inside Lot�,_Set Ba,ck 3.�� �` C� 4 Side-Yaxd �� -�p ��
SEW�R. ELEVATION. -, ; ��k� , FOUNDATION ELEVATION �S� � � . �
Appli;a.nt attach to this form Certifica.te of Surv�y of Lot and`proposed building
loca.tion. � �
DESCRIPTION OF BUILDIlJG �
To be u�ed as:
� Front � �� �� Y Depth �� � a .� x���h� �y ` �O -,
Sq . Ft. ��� d Cu. Ft. _1��_.-
�izt� '� .��„_„ Front � C � �%� Depth .3 3' � �7 Height �a -1 � ,
Sq� ,.F't,. �.�� Cu. Ft, ,y,�l .� 7' Q
�pe of Construction � Estimated Cost
To be completed
Tlae undersigned hereby makes application for a permi.t for the �ork herein specified.,
agreeing to do all work in strict accordance with the City Ordinances and ruling of
the Department of Buildings, and hereby_declaxes tha.t all the facts and representa-
tions stated in this appli�ation are true:and correct. _:
�;,DATE . SIGNATURE
(A Schec3ule of Fee costs can be found on the Reverse Side.)
• � •
... �
.�
�� � _h
�. �
;
App�icatioe for R�rer P�nnts ond Heating, Coding, Ventitation. Refrigeratio�n cmd
Air Co�nditioning Systems and Device5
PARTIAL RATE SCHEDULE
GRAVITY WARM AIR:
Furnace Shell & Duct Work ..........................
Replacement of Furnace .............................
Repairs & Alterations—up to $500.00 . . . . . . . . . . . . . . . . . .
Repairs & Alteratians each add. $500.00 ...............
MECH. WARM AIR
r
Furnace Shell & Duct Work to 1?A,000 BTLT . . . . . . . `�: . . . .
each add. 60,000 BTU . .................... . .
Replacement of Furnace .............................
Repairs & Alterations—up to $500.00 . . . . . . . . . . . . . . . . .
Repairs & Alteratians each add. $50Q.00 . . . . . . . . . . . . . .
RATE TOTAL
8.06 $
5.00 $
5.00 $
2.50 $
8.00 $ v
a.00 �� ____
5.00 $
5.00 $
2.50 $
STEAM or HOT WA'1'ER SYSTEM
Fixrnace Shell & Lines--ta 400 sq. ft. FDR Steam ...... 8.00 $
Furnace Shell & Line—to 64U sq. ft. EI3R Hot Water ... 8.00 $
Each add. 200 sq. ft. EDR Steam . . . . . . . . . . . . . . . . . . . . . . 2.50 $
Each add. 320 sq. ft. EDR Hot Water . . . . . . . . . . . . . . . . . . 2.50 $
OIL BURNER—to 3 gal. per hour . . . . . . . . . . . . . . . . . . . . . . . . 5.00 $
over 3 gal. per hour—See Fee Schedule
GAS BURNER (up to 400,000 BTU) . . . . . . . . . . . . . . . . . . . . . . . 5.00 $�
GAS FITTING FEES: NO RATE T"O L
lst 3 Fixtures ...................... ` x $1.5d $
Additional Fixtures ................. x .50 $
Gas R.ange to 200,000 BTLT . . . . . . . . . . , x 2.Q0 $
AIR CONDITIONING �
FAN HEATING SYSTEM See Fee 3chedule
VEN1'ILATING SYSTEM
ALTERATI013S & REPAIRS TOTAL FEE �/ - J�U
a
�'iEMARK3:
i
Dept. of Bldgs. Phone SU 4-7470
,�
���
�
City of Fridley:
The undersigned hereby makes application for a permit for the work herein
specified, agreeing to do all work in strict accordance with the City Ordinances
and ruling of the Department of Buildings, and hereby declares that all the facts
and representations stated in this application are true and correct.
/� n � Fridley,�nn. A P� 1_ 1960 , 195—
Owner l��C:e:-e.'CTil�LGi' /�.
Kind of Building �
Used as
To be completed about " � U� 1 r 196�
Estimated Cost, $ � �� , - �D
ew. uilding Permit No. `?` �,`�`�.�
DESCRIPTION OF WORK
195�
195—
HEATING , , , Warm Air—No. /
Trade Name Size No���/!� •
Capacity Sq. Ft. E.D.R. BTiT H,p.
Tatal Connected Load /�•2J7� ���--� Kind of Fuel�:
BURNER — Trade Name ��ti-�%/ Size No.� ���e��,,__
Capacity Sq. Ft. E.D.Iie�'� TU ' g,p,
� GEO. SEDG CK HTG. & AIR-COND. CO
� "7� 1001 Xenia Av. 5.
Minnea�olis 16, Minn.
Sign
By
11 poST 1 M- i 2-58 Business Pho No. __ _
�� > .r
D-56 � s
HEAT LOSS CALCULATIONS DEPARTMENT
Weatherstrips A.S.H.V. , Construction N
Guide
' Windows ( Doors Reference Ont. Wall Int. Wall Geiling
es No No 19—
.� � Qg p Room `Length D Width d Height
Windows and Doors—Crackage and Aiea
Wldth Height No. of Llneal ft. Area
No. of Dane of pane lighta of crack aq. ft.
Z 4 � �O
Z .�(o
Coef. Btu
In6ltration s"
Glass 30
�p. Wa�t "y�c a, v O
rlet ekp. wall ,,�j' �p , (�
-� xP �ox o '
Ceiling �
Floor � � D �
Total Btu.
Required sq. ft. E.D.R. or sq. ins. W.A. L.eader area
F1.� �. Ed Room � Length Width Height
Windows and Doors—Crackage and Area
� Wldth Hefght No. ot Ltneal ft. Area
No. ot yana ot pane lights o[ crack eq. ft.
a � 90
a.
Coef. Btu
In6ltration (� ,��
Glaaa SO �D
Exp. wall �
Net e:p. wall
�--,�t P a x � � ��
Ceiling
Floor b �C / ' �
Total Btu.
Required sq. ft. E.D.R. or sq. ins. W.A. Leader area
Fl. ,L Room � Length Width Height
Windows and Doors—Crackage and Area
Wldth Aelght No. o[ Lineai ft. Area
No. ot Dg�e of pane ilghta ot crack eq. ft.
0 6 � o a�o
Coef. Btu
In6ltration vj, (o
Glaaa L .Sb D D 11
Exp. wall 3
Net exp. wall
�»� 2�/ ct a .Sb
Ceiling
I' IOOi ,3 '�" �i I �%,S� G� I�
Total Btu. ,S 3 ,3
Reqnired aq. ft. E.D.R. or aq. ins. W.A. Leader area
-- - - �
OF BUILDINGS 1V1IlYIdEAP01.IS. MINN•
�. Insulation
Roof Floor Kind How. Applied
FI•� L Room Length Width Height
Windows an Doora—Crackage and Area
Wldth Heisht No. ot Lfneal it. Aru
No. ot pane o[ Dane if6bts oL crsck p. !t. ��
2 s 6 �Q
/8 � (o oZ.2� � %�o
Coef. Btu
In6ltration
c�la� D o
Exp. wall ?►
Net eap. wall
I� .E'xio LrJ [L , .5 L ;` :7
Ceiling
Floor ' /
Total Btu.
Required sq. k. E.D.R. or aq. ina. WA. Leader area
Fl. '�' Room I 1-�a8� Width s He;ght �'
Windows and Doors—Crackage and Area
Wtdth Height No. ot Lfnsai ft. Ar�a
T a
No. of Dgne. of pans ifshb ot Crack qp. tt
� � .zd � .�
Glasa �
Exp. wall G
Net ezp. wall
,i�.woll •
Ceiling
Floor
Total Btu.
�Required aq. k. E.D.R. o�' aq. ins. W.A: Leader area
� Fl.�
Windows and 1
Width H
No. ot aene o[
�
Infiltration
� Glass
Exp. wall
Net exp. wall
Int. waIl
� Ceiling
Room I LenBth
�crack p. tL �
IFloor � - —' — _-�
Total Btu.
-- ------ — ---
ft. E.D.R. or aq. ias. W.A. [.eader are+
•
•
•
City of Fridley, Minn.
BUILDING PERMIT
Date: ____.�e,�tember_20 �,�65 _.__..�...__.._
�������
N� 84'75
Owner: __.._�.Xn_.Q..�d�rlson _.�........___._.. Builder _._.._._._._�ert__Weber........_._..__..._....._._.
Address .._� 6830 $rookview Driv_e._N_sE. ___.._._ Address _.____......3208 _�.lc�aro�t ��.i,y.e...._H.,,��,.�p.].s.
LOCATION OF BUILDING
No. .._6830 ..�___ Street ._.__Brookview _Drive._N.E...-•---...---••--•,---•--•--.._. Part of Lot _._..__...__._.�
Lot ._..-----�.--_.._._...._ Block --._.._--2 ._...__-_------_ Addition or Sub-Divisian ..�rook.view Terrace — 2nd Add .
Corner Lot _---.__._......_ Inside Lot --•---------.�_.._._ Setback ..-..-------------------_ Sideyard
Sewer Elevation ._._.____._.__..___.r___.___._._�..____._..___._._ Foundation IIevation
DESCRIPTION OF BUILDING
To be Used as:
pwel.�ii%g..`_._._._...._ �ont _...__�.� Depth __._.___._ Height .._._......_.__ Sq. Ft.
- - ----.�..._.__.._._._ Front _.__..._.� Depth ._..___._.._ Height ._.--------- S!4. Ft. _._...�...
Type of Construction _.._.._._..._...__.___._._..__.. Est. Cost ._over .�5.00._00 To be Compieted
Cu. FL
Cu. Ft
Repairs due to storm damage
In cansideration of the issuance to me of a permit to constxuct the building described above, I agree to do
th� proposed work in accordance with the description above set compliance 'th all pravisions of
ordinances of the city of Fridley.
In camsfderation of the payment of a fee of �.��: �� _...__._._.., permit is hereby grauted to_ Robert Weber�
to construct the bufldin,g or addition as described above. This permit is granted upaai
the expresa condition that the person to whom it is granted and his agents, employees and workmen, in all work
dane in, around and upon said building, or any part thereof, shall conform in all respects to the ordinances o�
Fridley, Minnesota regarding location, construction, alteration, ma.intenance, repair and moving of buildings
within the dty limits and this permit may be revoked a t any time upon violation of any of the provisians of said
ordinancea
�j' T,�_�+ TENSEN Buiidittg Inspecto�
NOTICE:
ihis p�rmk doa not eowr ths construeNon, inshllallon fo� �rririno. P�+�6. eu h�Nin�, s�w�e x wN�r. d� wn to sN
Ih� duiWiuB IntpKfor for t�paraN p�nnils fo� tha� ifam.
APPLICATION FOR BUILDING PERMIT
CITY OF FRIDLEY, MINNESOTA
OWNER'S NAME �aymond Carlson g�,Dgg Aobert Weber
ADDRESS��3C $raokvie�a ADDRESS 3208 Skycroft Tarive �d.E. �'pls.
LOCATTON OF BUILDING
N0, 6&30 STREET Brookview pART OF LOT
LOT BLOCK �' ADDITION OR SUBDIVISION��? „�� r��%e -� ��
�;-�-� ��
CORNER LOT INSIDE LOT SETBACK SIDE�YARD
SEWER EL�VATION FOUNDATION ELEVATION
Applicant attach to this form Two Certificates of Survey of Lot and proposed
building location drawn on these Certificates.
To be used as;
DESCRIPTION OF BUILDING
Tornato Dama�e
Front Depth Height
Sq. Ft. Cu. Ft.
Front Depth Height
Sq. Ft. Cu. Ft.
Type of Construction ��. �. Estimated CostOver 5500.00 $10.0�-Fee
/� Q-a-a ♦ o�
To be completed�
�—
The undersigned hereby makes application for a permit for the work herein
specified, agreeing to do ali work in strict accordance with the City of
Fridley Ordinances and rulings of the Department of Buildings, and hereby
declares that all the facts and representations stated in this application
are true and correct.
,
DATE � F �� r' _SIGNATURE / /a%����
�._; r ./�
(Schedule of Fee Costs can be found on the Reverse Side)M
• r .. . i
sus�ecT PER
City of Fridley % 14396
AT THE TOP OF THE TWINS g U I L D I N G P E R M I T •
r
; � RECEIPT NO.
� • COMMUiJITY DEVEIOPMENT DIV.
� ; V ��.���� .
r � � PROTECTIVE INSPECTION SEC.
1 • �
� ' /'��1 � CITY HALL FRIDLEY 55432 NUMBER REV. DATE PAGE OF APPFlOVED BY
�""� � ,�� 612-6603450
910-F15 � �
JOB ADDRESS 6830 Brookview Drive N. E.
1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED
DESCR. 9 2 Brookview Terrace iT1C� SHEET
2 PROPERTY OWNER MAIL ADORESS ZIP PHONE
Harold Schmidt 6830 Brookview Drive N.E. 571-3770
3 CONTRACTOR MAI� ADDRESS ZIP PHONE LICEN9E NO.
Same
4 ARCHITECT OR DESIGNER MAII ADDRESS 21P PHONE LICENSE NO.
5 ENGINEER MAIL ADDRESS ZIP PHONE LICEIJSE NO.
6 USE OF BUILDING
Residential
7 CLASS OP WORK
❑ NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE
X
8 DESCRIBE WORK
Construct a 16' x 30' Gara e
9 CHANGE OF USE FROM TO
STIPULATIONS
Provide a h.ard surface driveway.
Vy ARI�I��►
YE PERMITS REQutR�.D �QR '�VI�IN�� gefate �i��iy glEG1't�ICa'G� Etc.
SEPERA TE�E�NOt�� �
HEATING, PLUMBING AND. SI�N�� `:�1�i��� �� LAW �
��
TYPEOFCONST. OCCUPANCYGROUP OCCUPANCYLOAD
SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, �od Frame
VENTILATING OR AIR CONDITIONING.
THIS PERMIT BECOMES NULL AND VOID IF WORK OFi 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. DWLC,,. 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 OFD�NANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED $3,475 $l.%3
WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT
DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE pERMITFEE SACCHARGE
PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- $1g.2O .
STRUCTION OR THE PERFOFiMANCE OF CONSTRUCTION.
PLAN CHECK FEE TOTAL FEE
$20.93
SIGNATUREOFCONiRACTORORAUTHORIZEDAGENT IDATEI r' HEN PRO ERLY VALIDAT D THIS IS YOUR PERMiT
,,x ���,�� .� .ca��� \/0 3 N I� /0 -a�
SI ATUREOFOWNERIIFOWNERBUIIDERI IDATEI BLDG INSP � DATE
' [.1 I Y UI f't�a11LtY ,
�
' APPLICATION FOR RE5IDENTIAL BUILDING PERMITS
iNEW, ALTERATIONS, ADDITIONS, OR REPAiRS)
�J
��
C6
, . � .
OWNER: � f`"'',��, �-%/�✓`�,,� ..,.,,�C� BUILDER: � IA.9� [`��
. �-�---�--
Address : �. �i 1 c �1 � �-'�','/ ��-����� �iddress : Co X ,s, �.�! '�-! � ��- .
� Tel. No. �j �� � / (,�
No. Street : % d' /� 10 � F? j,��,_��- .
LOT: �� $IACK: �p ` ADDITION: �� a � °�
CORNER LOT: INSTDE IAT: �__ SLTBACK: SIDEYARDS:
Applicant attach "to this fozm.T�ao Certificates of Survey of Lot and proposed
building location drawn on these Certificates. .
DESCRIP7ION OF BUILDING
To Be Used As:
.�� _C� �
Front: l Depth: Height:
Square Feet: �i! �(� Cubic Feet: �c�d �
' Front: Depth: � ileight: -
� Square F'eet: Cubic Feet:
f�_ /ra� rw�/rY
Type of Construction: �/�� Estimated Ccst: �
�.b Be Completed: %`j ,�� ,�/ � 3. y�s • Z c�
Alt. A Alt. B
Proposed Driveway Width If New Opening Is Desired $ $
• (SEE REV�RSE SIDE OF SHEET)
The undersigned her�by makes application for a permit for the work herein
specified, agreeing to do all work in strict accordance with the City of
�ridley Qrdinances and rulings of the Department of Buildings, and hereby
declares that al1 the facts and representations stated in this application
are true and correct. See reverse side for acldi�ional infonnation.
� .
DATE: �J� �,� � SIGNATURE: ��',L —
Stipulations:
o�
� (
..
�" ^ � .
,��—Y
y.+,.,.�..
`-
a
� �q, o:z�
. ( � 73
. � 4 93
�
�-r_ �d
�
�
,
i
Secii.on�,2+.be less than �4.�d•
_.._,_ .. _, __ ._ __. _ ._. _ _ . � .. , - � - - --.� . _ .
����...�,__,•-,i.w,-.a-�-•�--.�..._._,.-__.t . a;�..r __-
. w..,... . . .. _ ___. .. �.�
,a,.,,...._..ri s,�� .:.F.ans' 3 s�zau�Lu7 }
' �
� . '?l�l `�Jt1t1?l�'�r�;�r�� ,t���'s. �'r'�S � � � r. � i u�.
� �' t7 I� , t .. _�, � ;1' 3 ;
�7 - GtJ �j(,a J�T �J�1t,.lTJ'S S� `�;j � fK'�' 1�1 .JG 11+Q.l}' �,+•' ` S�L'7(!!t.'lDJ.J:::::2 p�4�`S!t ��UtJ!'J � 1J; J,:;'' S�� i� iik,' 1Jf? �' !i^� 1"' ,eC':y• S j
�Y{ r � /. � � . �
�,�,�, ,�i#Ga► '�b Sdf,,Dpc,n,^,�,�r �',',�.�r.,ee� r�/v�t�.i:�G�cras-J.r�a!*�a��m�[d. 't� ft; r r�, .,,: fis,::.7 t-Y ", ;
e �"�'? � '�orf�✓
' . ... � . �: f„ .-�. r ' �� � :; "'- � - « �_}; � , . . � .,, r,r � ��L -
. � . . . . �'' i.w•' 1 ,,;i.. � �.. - ..: � -... � .. . J . ... �+ i < .,.. � . • ., '�.. �.. �:._.t ., ' . . �..% • � � �,
. . . . . � � r , iti ;...� . �
. � . . .. � � , . � . , . . �. �
t(�� ¢
g\ .
- J ,= '
;� ; .
- i
,; .
. � , ,
_ • � �
.__ .. _ �
.�- __�_._�.. ....__ _.._. _,_ , _____..,__...,______._---.__ _ ._._.._---._ __,., : ,
_._. _.�.__._..
. � ; �? : '; � � :s �
� - ;_°: s � � � , � � -� ' �
. . ` � . : � � i
�t S � .'\ � �tx, � t �
. i '� t �., ': , j
- �. "
� � . .
- i `, f
. � . . ,�_ I � . \ .'3 r ,•.� r �.� -C. , t
' .
{ .
- .. � . � .. ---' �:# � � � . . � ,r E .... t �<� ' �:�y # � �
. _ � ._ . .. .. . . t`�. ; - j �\ ` �1 � 1 v � . � ` � : % .` .
. . . . . , x,I ' i F � , ..�'., t P_. 1 � Y t S {: ' � .
� . �_ � `'�� \1 �- �' ^- ' 1
_ ; ; .., `
i ✓
� � � '� ' ,,. .� i
� � --�-� � � d' f ; � �
�.�.. �._._.---��._..._ . �
i�k ,.i ��' �:. :�::� ��7,�` ��; t i
.,�� �$� �- � } 3
� ; � � ,
. 30 , �
. . � . � . . . . i . L. �' : �
� � �.. . , . . . . � � � ` .
.. j,
.y. _�____�.•--.V._ _ �r... ._._._ .___..__.� �.
� � . •� _►•'tc� � —
; .¢ .. #
3 -. � t y
� � . ��
l� _ .
. �' �
Y _ ��^ _
� L � -�z—b
�
.. �t - °; ; -� .:� � ,-� .�� ��,,�.�'�'��` e� � 1�;'�F�' '� .'�� �-
. -..: _ ..� � . . . . . . . � , � � _,� ,� �
. , ��
. ,
: ��.r��a��; �.���� ; s.���� t.�r �:�
,
�`9t19 fi�a`�'715�
��; ` •':.��� $������,��:������
J7- ��'� ,
- �MfS."�ss�ssriti�::f ���'�✓ �� J/�� d'��
. i
/
�
���✓. - �'.,,. �': ;`
i��.�, � , e �:
;}.,_,_ -. ��'_�
�,
ti,.��,c,.r+�f;'' .
iH /* r. .'.: r'%�'",
`.�
; �
�
8
�
�
�
AGREEMENT
�
I• Fl-lZ� ��l"���� , owner of the property
��
locateci'at ���Ci /�.-��,.�,Q�; �i 2 , have no objection to the
,= �
City aZlowing the construction of a C-. �u.� � to be
�
located at a30 �Gu-�c..,� ,c� • without the required
certificate of survey that the City ordinarily reguires far aIl new
construction.
�m�� �
Wi�ness
�`
.
��� ����
Si.e�nature •
v/ �
��7`"v /jZ� ��-eL✓ .�� ,
Address
�%z i iy � �
Date �
sue�etT PERMIT NO.
City of Frid�ey 2 8454
AT THE TOP OF THE TWINS B U I L D I N� P E R M I T
r
� �
� �
; � � _____ COMMUNITY OEVEIOPMENT DIV.
r � � PROTEC7IVE INSPECTION SEC.
� �
� � �"'1 � CITY MALL FFIOLE� 55�32 NUMBEN
�""�"� ,'' 612-571-3450 9t0-F15
108 ADDRESS
6830 Brookview Drive NE
1 IEGAI �OT NO. BLOCK TRACT OF ADOITION
DESCR. 9 2 Brookview Te
2 PiiOPERTY OWNER MAIL ADDRESS
3 CONTRACTOR MAIL ADDRESS
Al1 American Roofin� & Rem. 411
e ARCHITECT OR DESIGNER MAIL AODRESS
5 ENGINEER MAIL ADDFESS
6 USE OF BUILDING
Residential
7 CLASS OF WORK
RECEIPT NO.
�c,/�
REV O�TE PAGE OF AVPROVED BY
io�z.s�9s � �
nd Addition
ZIP
PHONE
)
PHONE
PHONE
SEE ATTACMED
SHEET
UCENSE NO
5160
IICENSE NO.
LICENSE NO
❑ NEW O ADDITION O ALTERATION � REPAIR ❑ MOVE O REMOVE
8 OESCRIBE WORK
Reroof house and �ara�e (20 SQ) Tear-off
9 CHANGE OF USE FROM
STIPULATIONS
TO
Underlayment must comply with the State Building Code.
TYPE OF CONST. OCCUPI
SEPARATE PEFMITS ARE REOUIREO FOR ELECTiiICAI, PLUMBING, MEATING.
VENTILATING OR AIR CONDITIONING. �
TMIS PERMIT BECOMES NULL AND VOIO IF WORK OR CONSTRUCTION ZONING SO. FT
AUTHORi2ED IS NOT COMMENCEO WITHIN 60 DAYS. OR IF CONSTRUCTION
OR WOFK IS SUSPENDED OR ABANOONED FOR A PERIOO Of 120 DAYS AT
ANV TIME AfTER WOFK IS COMMENCED. NO DWIG. UNITS
I HEREBV CERTIf V TMAT I HAVE READ ANO EXAMINEO THIS APPLICA710N STA��S
AND KNOW TME SAME TO BE TRUE AND CORRECT. ALl PROVISIONS Of LAWS yq�VAT10N
ANO ORDINANCES GOVERNING TMIS TVPE OF WORK WILL 8E COMPLIED
WITH WHETMEfi SPECIFIEO MEREIN Oii NOT THE GRANTING Of A PERMIT ],]1L}
DOES NOT PRESUME TO GIVE AUTMOiiITY TO VIOLATE OR CANCEL THE pEqM1T fEE
PfiOVISIONS OF ANY OTMER STATE OA LOCAL LAW REGULATING CON-
STRUCTION OR THE PERFORMANCE OF CONSTRUCTION 56.75
� � PLAN CHECKfEE
� �`�`-� � �� Licens C 5.0
5� N F OFCON'FA(;TOQOAAUTNOQ�2EO�GENT IOATE� E PROPERL A
S�GNnTUAE O� OWaEQ��� OwrvEQ Bw�OEFi� iD�TEi ne �aso �
NCVLOAD
OffSTREET PARKING
IGApAGES
$.86
iAC GMARGE
Fire SC $1.71
'OTA� FEE
NEW [ ] Effective 1/1/98
ADDN [ ] �ITY OF FRIDLEY
ALTER [] SINGLE FAMII,Y AND DUPLEXES R-1 AND R-2 �
BUILDING PERMIT APPLICATION , `�j �
����� ��
ConstructionAddress: �',� � 3 a (3 ro c �C v t-e �-•3 D R 1
Legal Description:
Owner Name & Address:
Tel. �#
Contractor: A�� � w+�rc►c a�: R oti�' � nti {�� n,.�de( � n5 MN LICENSE # S(� 0
Address: �f t c z q�1 �`' LN N�- � Tel. # !7 8� -� � 7G
LIVING AREA:
GARAGE AREA:
DECK 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 Sq. Ft.
Length Width Height Sq. Ft.
Length Width Hgt/Ground Sq. Ft.
,�� Y, � ��c�' G G �� x $ �. `� (� = � 1 !7 I y .ao
Construction Type: r� Estimated Cost: $ �I dUa o0
(Fee Schedule on Back)
Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x$ _$
, �. /�
DATE: t �-� a x-- �t q APPLICANT: ,,,c,c,,� �✓ `- Tel. 1� ��f(, -4 (0 7�
CITY USE ONLY
Permit Fee
Fire Surcharge
State Surcharge
SAC Charge
License Surcharge
Driveway Escrow
Erosion Control
Park Fee
Sewer Main Charge
TOTAL
STIPULATIONS:
$ 5� �7�
$ I !� �
�P n � �n
$
$ �,t�
$
$
$
$
$ e3�.
Fee Schedule on Reverse Side
.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
$450.00 Conservation Plan Review
Fee Determined by Engineering
Agreement Necessary [ ] Not Necessary [ ]
sue�ttr R .
City of Fridley 32380
AT THE TOP OF TME 71MINS � U� L D I�� P E R M I T
' ' RECEIPT NO.
� �
� •
COMMUNITY OEVELpPMENT DIV. ��
� � L PROTECTIVE INSPECTION SEC.
r , ��
,
� ,
, ; ;
�"'1 CITY NA�� FRIOLE� SS�32 NuMBEp � NEV D�TE v�GE O� �PnqOVEO Br
�---•�'� ,'' 612-571-3450 910-F15 1/7/02 / /
JOB ADDRESS 6g30 Brookview Drive NE -
t LEGAL �OT NO. BLOCK TRACT OF ApOITION SEE ATTACNED
DESCR. 9 2 Brookview Terrace 2nd Addition SHEET
2 PROPERTY OWNER MAIL AODRESS zID PHONE
Floyd Bradley 6830 Brookview Drive NE 763-572-8044
3 CONTRACTOR MAIL ADORESS 21P PMONE LICENSE NO
Grayhawk Builders Inc 3020 Centerville Rd, Little Canada, MN 55112 651-486-9888
4 ARCHITECT OR DESIGNER MAIL ADDqESS ZIP PMONE UCENSE NO.
20174611
5 ENGINEER MAII AODRESS 21P PHONE LICENSE NO
6 USE OF BUIIDING
Residential
7 CLASS OF WORK
O NEW ❑ ADDITION � ALTERATION � REPAIR O MOVE � O REMOVE
8 DESCRIBE WOFK
Replace 16 windows within existing openings
9 CHANGEOFUSEFROM TO
STIPULATIONS
Provide smoke detectors in all sleeping rooms and on aZl levels of the
dweiling per Section 310.9.1.2 of the 1997 Uniiorm Building Code. Caulk
and flash all exterior openings.
TYPE Of CONST. OCCUPANCY GROUP OCCUPANCV IOAD
SEPARATE PERMITS ARE REOUIRED FOF EIECTRICAL, PLUMBING, HEATING.
VENTILATING OR AIR CONOITIONING
TMIS PEFMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION 20NING SO. FT CU FT
AUTMORI2ED IS NOT COMMENCE� WITHIN 60 OAYS. Oii IF CONS7RUCTION
OR WORK IS SUSPENDED OR ABANDONEO FOR A PERIOD Of 12Q DAYS AT `
ANV TIME AFTER WORK IS COMMENCED. ' NO DWLG. UNITS OffSTREET PARKING
I HEREBV CEATiFV THAT I HAVE REAO ANO EXAMIN�O THI$ APPLICATION 1 STAILS GAFiAGES
AND KNOW TME SAME TO BE TRUE AND CORFiECT. A�L PROVISIQNS OF LAWS VALUATION SURTAX
AND OROINANCES GOVERNING THIS TVPE Of WORK WILL 8� COMPUED
WITH WMETHER SPECIFIEO HEREIN Oii NOT. TME GRANTING OF A PERMIT �8�373 �� $4.IH
DOES NOT PRESUME TO GtVE AUTHORITY TO VIOLATE OFi CANCEL THE pEqM17fEE SACCHARGE
PAOVISIONS OF ANV OTHER STATE OR LOCAL LAW REGUTATING CON- @167.25 Fire SC �H.37
TRUCTION OR TME VERfORMANCE Of CONSTRUCTION 4'
� PLAN CMECK f TOiA� FEE
�- ��-Q{/ �,ice $5 0 84.80
$�GN�1U "A�CTQfiO TN IOATEI' ME PAOP � VALIO TNIS IS OU PE�R^M1 T
�� I�
SiGNATU�7EO�OWNEA��FOwNEABUiIDER� iD�tEr �� B ��NSo � � � � r�ntt
�UG-►�6-?901 11�41 FROhI CITY OF FRIDLEY TO 6�1�5'6� P.91i�
NEw ( l
aDDN t�
ALTER ( �
Consiruction Address
l.egal Description: �
Owner N�me S Address;
Contractor: C,`i'c`�l�(`�1
CI1Y OF FRfDLEY
SWGLE FANAI.Y ANO DUPLEX�S R 1 AND R-2
BUILD(NG P�RMITAPPLfCAT10N
�
Te1. �
Ef�ecti+►e tr��2o0'I
(?63) S72'3604 @�dg Ie�SP
MN �lCENSE � �C��� �-} �� I_I_
`��1L�T�.� (a�1—U�9n- j
Attach to this application, a Certificate of Surv�y of the
lot, with the proposed cortstruction dravm on it to sqle.
DESCRIP7'ION OP iMPROVEII�NT
UVING AREA: Length Width __�____� Height � Sq. FG
GARAGE AREA: Length � Width ��ight Sq. Ft
__.� ,.
DECK AR�A: L�rt9th W,dth HgtlGraind Sq. F�
on��;
Construction
� ���
A stimated Cost: $ ���s��
Drivew�y Gurb Cut Width Neecied: �Ft + 6 Ft ��,_,Ft x s =$
� /_
DATE: �,,._C� APPL(GANT: � Tel. # l.(� �L(a ip �c��
GRY US� ON�,Y_-_ Call (753f 372-3644 fo� Pen»it Fees if maiting in appticA#ian
Permit Fee ��Q����Fee Schedule on Reverse Side
�re Surcharge $ � �,� ,001 of Permit Valua#ion (1/10th%}
State Surcharge $_ �-� . (`t� $.60/$1,000 Valuation
SAC Charge $ ��,_,y1150 per SAC Unit
License Surcharge S 55.�� (State Licensed Residcntiaf Co�tractors)
Driveway Escrow $ Alt "A" or Alt. "6" Above
Erosion Controt � $450.04 Conservation Ptan Revi�w
Park Fee $ Fee Dete�nined by Engineering
Sewer Main Charge � Agreement Necessary (] Not Ne,ce,ssary t]
TOTAL $ U V
ST►PULATtONS:
.'
From: 952 400 5752 Page: 1/1 Date: 10I14/2008 2:48:39 PM �. ��
. _ . __..... �. ��. .. ..� _ . �. .. �..� . �� �- - -
Building BUILDING Permit rto.: v
Inspections RESIDENTIAL APPLICATION Received By:
763-s�2-3b04 CITY UF FRIDLEY �$�° • C� 14 ��`�
763-502-4977 FAX EFFECTIVE 1-1-08
nnrE /� ,rr y/ o P YOUR E-1�fAII. ADDRESS /1'�, iCre. �? .� ��-f ���.�%t.,� . L.tii�
srrE nnnxess _ C:f � o rGS��/c I,L�v .D�riv�
1'FOS APPLICANT [3: ❑ dWNER ONTRAC7qE2
PROPERTY OWNER! NAME: C�
TEI�IANT ,�pDg�S: C � 4� STATFy�ZIP��YCji�
PHONE: �/�,� � J� Z�'
xatv�:
CONTRr'�CTOR ADDRESS: �Q �6 C[TY STATT�/�Z�`s`�3I
SUBMIT A COPY OF pHONE �c�ri - Z�O - 3S,COo FAX �SoZ —�00 � S7 SnL
YOUR STATE LICENSE STATE L[GENS& # ..3 �% �l ExP DATE � l 3 i !;Zvo�J
PROPER7'Y TYPE O SINGLE FAMiLY/NEW CONSTRiJCI'ION SIZE
� TWO RAMILY/NEW CONSTRUCT[ON STORIES
PERMTT TYPE O ADDITION O GARAGEISHED O WINDOWS
O SASEMENT FINISH ❑ pOF O DRAIN TILE
� QECK �IDING ❑ OTfiER
SWiMM[NG POOL
TYPE OF WORK: ❑ NEW HOME CONSTRUCT'ION ❑ ADDITION
AQ�TENANCEJREPAUt O REMODELING
DESCRBE WORK BE[NG DONE:�����1'v�.t . � a�.c)L.� !-�'�-
SIZEpFIIvvIPROVEMENT LBNGTH WIDTH HEIGHT S FT
O HOUSE ONLY gASSI�NT REMODELIId(3 SUBMIT:
NUMBBR OF SQUARES ❑ HOUSE 8c CiARAGE � �� �� p��
GARAGES ❑ ATTACHED GARAGE 2. Prt�osed floor plan
PROPOSED SIZE: O DETACHED GARAGE 3. List of sdvcturat membera W bc used
PROPOSED HEIGHT:
FOR NBW CONSTAi:CCION TNCLUDIIVG DbCKS,
� ADDITiONS_ & PnRCHES SU3MIT:
in �o8'it 1, Site P1an/Survey showing the existing stn�tuces
O Aluminum J��Trim
❑ Other �Fascia and proposed project.
2. Two sats ofcorc4truction plans
�'II�IDOWS 3. EnergyCalculations
IN EX1STlNG OPENINGS DYes ONo I.00ATTON OF WINDOW'S
OR FOR NEW OPENINGS-DESCRIBE SIZE OF
OP6NRVG CHANGES &
TYPE OF WINDOW T(7 9E INSTALLEA NUMBEROF WINDOWS
?ILL FEES ARE BASED ON VALUATIOIV, INCLL7DING THE COST QF LABOR AND MATERTALS:
VALUATION
Permit Fee
Plan Review
Fire Surcharge
Suraharge
Liaense 5urcharge
SAC Charge
Curb Cut Escrow
Erosion Control
Park Fee
Sewer Main Charge
Total Dae
$
S
S
TNE 1997 UBC FEE SCHEDULE)
OCCUPANCY TYPE
See Back Page for Fee Schedule
65% of Building Permit Fee
.00I times the to�l job valuation
.00bS x Permit Valuatiun Ntinimum $.SO
55.00 (State Licensed Residential Contractors)
S 1825 per SAC Unit (Plans to MWCC for determination)
R+6f3= ftx$21=5
5450 Conservation P]an Review
Fee Determined by Engineering
Ageement necessary ( ) Non Necessary ( )
M'ke chedcs oavable to: Citv of Frldlev AttaCll
THIS IS A13 APPLICATION FOR A PERMIT-NQT VALID LJN'LII. PROCESSED
I heroby apply for a building permit attd I aclnwwledge tfset the information ebove is complete mid accurau; that tlie work will be in cwnf'ormana with the ord'wanoes ond oodea
of tha City of Fndley and witfi tha Minnesota Construction Codes; thet I understnnd thia is cwt a pamit but only m� applicatiam for a permit ard work is not to start withoul a
permit on site; thet the work will be in accordm�ce with the rove lan in tho caeo of aJl wock which requires review and approvel of lans.
SIGNATURB OF APPLICANT � s PRINI' NAME /i'i/���' .S.��� DATE1�
APPROVED BY DATE
License lookup
`.
� :y
Construction Codes � Building Codes � Electricity � Plumbing � Boilers/HPP � Residential Contractors
License/Certificate Detail
Here are the details for the license/certificate you are currently looking for:
License name: SEIFERT M H CONSTR INC
License doing business as: FIREPLACE CENTER
License address: 5990 LAKE LINDEN CT, PO BOX 216
City state zip: EXCELSIOR, MN 55331
License number: 3119
License type: RESIDENTIAL BUILDING CONTR
Company structure: CORPORATION
License status: ISSUED
License original issue date: 1/27/1992
License expiration date: 3/31/2009
License print date: 5/5/2008
Qualifying person: MILTON . SEIFERT
Continuing education hours required to renew license: 7
Contractor's phone number: 952-3803400
Enforcement action: No
: Anqth�r Lookup�. �
Page 1 of 1
search for �—�
https://secure.doli.state.mn.us/licensing/licensing.aspx 10/15/2008
r-
•;{���t`f� � t �� i.� �:
B�ilding BUILDING Permit No.: `��-� c� i`� LI
Inspections RESIDENTIAL APPLICATION Received By: �-��,
763-572-3604 '
763-502-4977 FAX CITY OF FRIDLEY Date Rec'd: Lc� � J
EFFECTIVE 1-1-08
DATE /C//Z-� �<"%�F YOURE-MAILADDRESS /�//�� ��Sc'rte/`�Le*tM6'.��/�.S � �C��
SITE ADDRESS l %�..3J �E �f viGu� .�%�Ir.��
THIS APPLICANT IS: ❑ OWNER �CONTRACTOR
PROPERTY OWNER/ NAME: - (:fL
TENANT pDD1�ss: �
�_�° zi( i�_c)��.=� �., t?O-l� CIT'Y � �H•-t/Z•?,���ics STA"1"F✓�V" ZIP � t�a2
PHONE:�/v1 - �J� - �') �7 jt
NAME:�.� i�eq-� � E=A�B�A-A�,: L j L I r
CONTRACTOR ADDRESS:��f? �. �� �.�- a�) � CITY (����Si�G STATFy�'1/ZIPy�/
SUBMIT A COPY OF pHONE � sa - 3 g��-3 �LG�� FAX -�1. f�2 � y L� D-� 7;� oZ
YOUR STATE LICENSE -7 �-
STATE LICENSE # ,� EXP DATE ZO C�J �
PROPERTY TYPE ❑ SINGLE FAMILY/NEW CONSTRUCTION SIZE
❑ TWO FAMILY/NEW CONSTRUCTION STORIES
PERMIT TYPE ❑ ADDITION ❑ GARAGE/SHED ❑ WINDOWS
❑ BASEMENT FINISH ❑ ROOF ❑ DRAIN TILE
❑ DECK ❑ SIDING ❑ OTHER
❑ SWIMMING POOL
TYPE OF WORK: ❑ NEW HOME CONSTRUCTION ❑ ADDITION
❑ MAINTENANCE/REPAIR MODELING
DESCRIBE WORK BEING DONE: /'����'�� ��2c.`s /^i k iT� �' ���^a /.�� PIJ� � irT pt� r+ ��i'^ a
SIZE OF IMPROVEMENT LENGTH WIDTH HEIGHT S FT
ROOFING ❑ HOUSE ONLY
NUMBER OF SQUARES ❑ HOUSE & GARAGE BASEMENT REMODELING SUBMIT:
1. Existing Floor Plan
GARAGES ❑ ATTACHED GARAGE 2. Proposed floor plan
PROPOSED SIZE: ❑ DETACHED GARAGE 3. List of structural members to be used
PROPOSED HEIGHT:
SIDIN FOR NEW CONSTRUCTION INCLUDING DECKS,
❑ Vinyl ❑Soffit ADDITIONS_ & PORCHES SUBMIT:
❑ Aluminum ❑ Trim 1. Site Plan/Survey showing the existing structures
❑ Other ❑ Fascia and proposed project.
2. Two sets of construction plans
WINDOWS 3. Energy Calculations
IN EXISTING OPENINGS ❑Yes ❑No LOCATION OF WINDOWS
OR FOR NEW OPENINGS-DESCRIBE SIZE OF
OPENING CHANGES &
TYPE OF WINDOW TO BE INSTALLED NUMBER OF WINDOWS
ALL FE�S Ali� KAS�:ll UN VALUA'1'IUN, 1NCLUll1N(G'lHl: CUS'l UN LABUKANll MA'1r:K1ALJ:
(USING THE 1997 UBC FEE SCHEDULE)
TOTAL JOB VALUATION $ , ,�'�ot�v OCCUPANCY _ TYPE
Permit Fee
Plan Review
Fire Surcharge
Surcharge
License Surcharge
SAC Charge
Curb Cut Escrow
Erosion Control
Pazk Fee
Sewer Main Charge
Total Due
$ '� �c�c�
$ �,�
$ ���
$
$
$
$
$ �.O n
See Back Page for Fee Schedule
65% of Building Permit Fee
.001 times the total job valuation
.0005 x Permit Valuation Minimum $.50
$5.00 (State Licensed Residential Contractors)
$1825 per SAC Unit (Plans to MWCC for determination)
ft+6ft= ftx$21=$
$450 Conservation Plan Review
Fee Determined by Engineering
Agreement necessary ( ) Non Necessary ( )
Make checks payable to: City of Fridley Attach
THIS IS AN APPLICATION 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 permit but only an application for a permit and work is not to start without a
permit on site; that the work will be in accordance with the approved plan in the case of all work which requires review and approval of plans.
SIGNATURE OF APPLICANT �''�= � PRINTNAME �;�, � Sc?,�f7` DATE�2 t�
APPROVED BY
FLEASE NOTE: SEPARAT�
DATE
.
_ ,�, c�le.s ;
_
� ', , ,�� � ,6S
C� � o �.1 I . � 5 (
� t�►` � l�`-�'y � !bs
��
-__._. .
��Q� �CCj� �� ( �1��.�2� �£�►V 1�.! �' w
T, �
���.� S � ►�.-�.�� f s.
�
�f
5►� � �.
v�ct ? w���fL �rrc�vC S
2 - 9.5" Microlam
� � �, �,
��
TH1S JOD C(ipY �i�!`��.L l��( �
AV�1l�u�3�.0 ��3 "�f�'� �1;''� ',
Sl3E ��r i ; sY �i;1^'S.�iiC;'.,� ;
Aik�D t=li',�L If`v��''�.�;�I�,����:; .��
V
- ���o� ��bS
_
= �� ��bs
�-�� �
��
7
�k
�
�
�2� 13I��X l� ���+ �-vL
2 - 12" Microlam
, ,.
fy �
--� ' � �,Il��►
C h�� k ���N ,�s aN
� � �o-�� �
��N-� ,�� l
�
a� � �� �
� � � �� '� ��'�
,.
• < � �
���
. y.�a� lbS
5 � . d` rI ` ..
, �, �
;� �� t_ ,.
����
ii� .,. �, , �
,_ ir, c�����.
�
�
.-
�
d
`-► -
�
�
�
�
.1.-+
.'
� �.
�
%�
�
;, f� /% � � f�
,O
L
�..� .
�
^ ..
^
�
� � ._ �
�"�-.� 1
r ,_ �
� � O
.� � o
s �
s 3� m
.
2 — ..� �
�
� �
.n w L O
V' �r L. � � Q . ..'
O tn �►.
� �� � � �`
� • -- � �p c�
_..s p '
.�� . j
� � -
W � J �
.� � � W , -
� �: ` LI)
� J � �
�
� v� 4-� � �
� � f'
,
� �� � � ;
, i J'
- - �./
, � �'
�
`-9
�
c��
C',..
��
e,`,'.' .
i'i '
P
�
�.
l:�.
i; •
A'
i; ;
;p .
,;
�"
r�
;�
�<
;�;,
s;�.�.
,,, .
�:r. .
u_.
�'�
�-r:.
��-
6i�� .
tC' '.
�:`•'
�'.
�;:..
Y;
':�'..
' � hI�YP
, From: unknown Page: 2/2 Date: 11/17/20081:15:56 PM ,�`
'r�om: �:i�y ar r. naley to: sd5�:s:s�tseiy Mage: zJ3 uace: :si�� 1ci:tiei:U1�AM
a
Buildiug M�CHANI�AL Perrni� Na.. -� � _ �
�T�spr�:riU1IS .R..�:cSl��;NTIAL AFPLICAT`I�N Received `''��'
76��-s72-3�oa CITY U� FRR�IDLEY . ���'�� O
763�502-4477 FAX EH}��71VE 1-E.OI'�
UAT� � I , Y(7UIt L•'-MAIL AUURk:$]
S[i� A17D(i�SS �� � ' / :iJ� �.. �,,,_,,,_—
THI;� APP�ICAA�T IS: ❑ OWN�,R �(C'ONiNAC.`TOu
FKUPER'X"Y -- NAMt; � ..,..�.................._._.,.
OWN�RI �,ullK�s,: ' .,_T..._,. .............. .. c:irr s1rnTE r�r -_
'I'�PIANT - ...._..... —
p'HQNL:
C�NTRA�'i'DIt CnMR�NY N�Mt; � Kline Corp. _ .
NC)Tk.: . �
S�PA1tAT� CITY �nryTACT PtRSON; —_---. DBA: PfdCflC2ll S)/St�rT1S .-.
, u���sES nxt yTAT� LlCEN5�,1t���,�.,__.� 43428 Sttady O�k Road
����'���� rdx �A' nuuk�ss� _, Ho k�ns MN 55343 KTATk_ZIP
nwv MvaC. ..._.....�._ ,,., p , —
StJiiMIT LO�Y O}� liONl) rtr�+ve � 952-933-186$
AND INSU1tAN(:L'
���rr TYp� �IhiG�.ti NAMI�,Y I� 7H't) 1rnMI�Y ❑'Yn�NNMnURt ,
TYP� O�' WORK• ❑ "��' �����L���NT �ALT�I2ATiONiR�MbU�L
---� j ._� ...._.
DET.�IIL�U ��5C'RIP'i'lUN Ui� WC�K1C _C�,�;,t�l�. „_,���C�,/VI�JF.i �P� �1��„��..�: .,,..,.,,�
FER MS 1bB.b651hc pvrn�i! i'�x: i:c a iainiwaar of x15.00 ur,5"/o of thrtocal cost u�► ta SS�O.DU, whichavc� i� grcat�x, for th�
�mprov�ncnt, in.titnllatEon or n;plACOm..�t of a rti:�idcntial fix[urc, c:.xcludin� thc tixtun,�. (This �ould n.�ticct oniy thc: cast of labur )
O�i �
I..sb�r �,�! un�ier �^3U0 =� 15.UA. L�bar co�t bctwr,v�t S3Uc) to SSUU = cast af lebor 3�� � x.OS � f� �
r�K PxQ��c:TS wH�ltk �.��bx txCt�S SsUO, t�r:�5 nx� ��StD Orv Si(�.nn PER Fi�rux�, �xc��'1' wH�x� rv0'F�17, F1?(TUKtS; {1Nll1�qTETCYTAL
NUhI F��It 0� kACi 1 13l•' LAw f
tqtup�=icAi IiLtU�lled MF'ti; � �i� MbL3�L:�:.�.�i � ����� SliCklHTU i3'b,a�a
MF'Gt ____�__e,,,,,_ MC)UtL; SI'Lh113TU _
� Mr'G: MbU�L: T_ Sl��1BTU
MC 525.00 PIItEPLALt i(iASI S lS.Qp GAS 1tAtVG�V EN 31D.AQ
�ASKT(1AIK�aL:t1ANCi�IiKSt> '"�1+lREPLAC�{WbAU)S35.tl4 �NEW GASCILlLL�Ip.00
, �liC3iLER S35,c10 „�F'URNACt 335,UQ � �GAS UNIT•HTK S�a.00
CNIMNEY LlN tR S 10.0U CAS UKY YJt S 10.0U " Piy�4 HkATER 5�3.00
i�e�e�r woKx sio.OQ —GAS PtP�Nfi SIQ.QO —v�NTlLA'F�k S15.ao
� ..s:::.s::::::�:::�a:yy.,.�»� � . � . J i�. � :���i
. , . .: '
;��C ���3<4'l.tt33��':;fS::E?�fi�'�N.i�3.El�':$�>' ��i;.
....... :;:::<;:: •::.,..,...
.:.. ..:..:.. .:
� Y „ .: ....: .. ..
. ....:. ........... .........:..:, . . .;:
;..�.;,.... :
.............. ..:.::. :
..
. : . ....... . ... ..... ................:..... ... . .::.....:....,:......:.:::...:.:; . .
. .. . . ...... . . ... � � .
Pcrmit Fr+: � ' Numbor of Pucturck� (,� S 10.00 �_ x S I 0.00 =$�,,,
Surchargc .S� �tumbcr of �ixtur�-'� (a $I5.00 _ x $IS.W = $ ��,
TOTAL, DUE S .� Utt Numb4Y 4f #'uctur�w {� �25.cw __ x �25.W = � •�
Numbcr of fixturc.� (n� $35.00 x S35A0 � S.,__,,,,,_ _
Statc Surcl�argc = $ .jU_
MIiVIMUM 515.50 M[NIMiJM SI'�.50 Total - a,,,r,,,. ._ ,... ,,
7t11S 15 AN AFPLILATIpN I�ti)� A P�'I�M1T.IVC17 V'ALIll UNiIL pRQC'�55�`U
I 11CI'C� d(1(IIy POf i1171CCIl�lfl14`.iI tK'r1���f A11d I iCICflOR"ICdQC TI18� �I1C Ii1�f1CIi1R11071 A��C iX CO111rICtt AlfA ACCII[AiC� tbaf !he wark wili be in CoqfOmunk'e w5th tUe urdirmr�ces
ai�d �ndes of the Ciry af F'ridlnp �uid with tha Minneruli► Ci�nxln�tiietin C.u�iea; thet I undaratnncf ihix iri ia1 R pcn»is b+u.onfy �n epMieatlon ibr a�n+ut nnd w�xk i� pp� ta
;IRM without a�rmit: that the work wiil b� OCCO � e with (he +ppmvcd plAn in thc casc of aii work whiCh qui� te+�ew and spproval of plans.
�
SfC,rtAiURE OF APFLtCAIV _W PE�f I�T NAML�. � G i�+ u-ECI�� DAT'E ��� ��`y
........W ,. ,,. , . ......._.... .., --�-- � � • �� ....w........,., ..
APPROYED 8Y �.._..�. - ��...���,...,._... .._.�...� -- UA 1'E ...,�--
...,.,.
��rs�::$':`['!�� '��`:�;;;���,i4�k�6;P�£'vE�; e, '�� �� �.t��: , ��3���1a?�if'�$E�";t'�[t�A .. . .€�;�[i.�:,::;::;:
, a . �ruao �.�cn
+,-�aoM rn�
Gity af �ridtey
Buil[ling Inspections Aepartment .
6431 Univcrsity Avc�nuc NE, Fridlcy, MN 55432
763•572-3fi(1�1 !'AX: 7fr3-SU2-4477
PACE:�
Building
Inspections
763-572-3604
763-502-4977 FAX
BUILDING Z
RESIDENTIAL APPLICATION
CITY OF FRIDLEY
EFFECTIVE 1-1-08
Permit No.:��(� � ���
Received By�
Date Rec'd: � � �� U"L
DATE �� �I' ��i p YOUR E-MAIL ADDRESS /,fi� � LLP e ft� fi L/h?�e�J Cs'YYJ
SITE ADDRESS ��J � O / e O�GVlP.t�� �/G�(/�
THIS APPLICANT IS: � OWNER �ONTRACTOR
PROPERTY OWNER/
TENANT
ADDRESS:��3 U N'< <d ��� .✓[.o-// T'r -" CITY,
PHONE: (�/a- [�.rS- (9 7 7 �
NAME: G. �r.✓t�.4.✓/Ld L/ L -
STATE�c`ZIP S�� ydZ
CONTRACTOR ADDRESS: � � f� LSs ��� < 6 CITY L�lC�ol� STATE�IP �J�/
SUBMITACOPYOF pHONE �',�%—� t�0— 3�{ UO FAX Ci� L— �iU� —S�%S�a
YOUR STATE LICENSE STATE LICENSE # b� Z o 2'Z-- XP DATE ...3 l� /�°�1
PROPERTY TYPE I❑ SINGLE FAMILY/NEW CONSTRUCTION
❑ TWO FAMILY/NEW CONSTRUCTION
PERMIT TYPE � �D[T►ON ❑ GARAGE/SHED
❑ BASEMENT FINISH ❑ ROOF
ECK ❑ SIDING
❑ SWIMMING POOL
SIZE
STORIES
� WINDOWS
❑ DRAM TILE
❑ OTHER
__
TYPE OF WORK: ❑ NEW HOME CONSTRUCTION 9,ADDITION
� MAINTENANCE/REPAIR ❑ REMODELING
DESCRIBE WORK BEING DONE:^,�p �_ �/� �-c,Gz (..� �i✓-Cw �%C cl�.
SIZE OF IMPROVEMENT �� k p� LENGTH WIDTH HEIGHT
ROOFING
NUMBER OF SQUARES _
GARAGES
PROPOSED SIZE:
PROPOSED HEIGHT:
SIDING
❑ Vinyl
❑ Aluminum
❑ Other
WINDOWS
IN EXISTING OPENINGS ❑Yes ❑No
OR FOR NEW OPENINGS-DESCRIBE SIZE OF
OPENING CHANGES &
TYPE OF WINDOW TO BE INSTALLED
❑ HOUSE ONLY
❑ HOUSE & GARAGE
❑ ATTACHED GARAGE
❑ DETACHED GARAGE
BASEMENT REMODELING SUBMIT:
l. Existing Floor Plan
2. Proposed floor plan
3. List of structurai members to be used
6
FOR NEW CONSTRUCTION RJCLUDING DECKS,
❑Soffit ADDITIONS. & PORCHES SUBMIT;
O Trim 1. Site Plan/Survey showing the existing structures
❑ Fascia and proposed project.
2. Two sets of construction plans
3. Energy Calculations
LOCATION OF WINDOWS
NUMBER OF
ALL FEES ARE BASED ON VALUATION, INCLUDING THE COST OF LABOR AND MATERIALS:
(USING THE 1997 UBC FEE SCHEDULE)
TOTAL JOB VALUATION $ ��ID OCCUPANCY TYPE
Permit Fee
Plan Review
Fire Surcharge
Surcharge
License Surcharge
SAC Charge
Curb Cut Escrow
Erosion Control
Park Fee
Sewer Main Charge
Total Due
$
$ � —I�'/
$ , 7�
$ 5, ��
$
$
$
$
See Back Page for Fee Schedule
65% of Building Permit Fee
.001 times the total job valuation
.0005 x Permit Valuation Minimum $.50
$5.00 (State Licensed Residential Contractors)
$1825 per SAC Unit (Plans to MWCC for determination)
ft+6ft= ftx$21=$
$450 Conservation Plan Review
Fee Determined by Engineering .
Agreement necessary ( ) Non Necessary (
Make checks pavable to: City of Fridle_y
THIS IS AN APPLICATION FOR A PERMIT-NOT VALID UNTIL PROCESSED .
Attach
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 permit but only an application for a permit and work is not to start without a
permit on site; that the work will be in accordance with the approved plan in the case of all work,which requires review and approval of plans.
SIGNATURE Q�71�LICANT ��,�'�J� PRINT NAME/y%,iF..v �-���r�%` DATE //
�
....• � : �!���� �O\ ��
�
y
�
�- CJ 1 1V �
� �, �� � �
�� � t � (
NN �z;{�QS aNd► �S� �
� �
�a 2' `.�,���,d, �.Uw�. � -
IM �y� 2�I" Co��=
Y " s'�ot�
5/4" t eated de�ck.boa.rds �
35" Minimum railing height
4" maximum opening at spindies
2 x_ 8 treate, d j�i ;ts 16" O. C.
da ble 2 x m '
X� -��(
ewsting footing: 42" below grade...old stainrvell
V t��
Y.��
�__�
7' to beam
- v�nr�� t�.
�,� G��►a►
'— Flas� h�
� ]oist Hai ars
_r L.ag bolted to house rir�
� N,�� � �c
w -�p 1v1/� W ��� 1 .
3I� �.� � �lQ,c�. ��
basement door � � �, (� O .�'/,
in stairwell
�� Existing Grade / Slab
Existing 8" blodc wall
• Existing footing
�. '�'�
��� _ _
1 ,
�Q.;pV l �L "tv t� ��.
-�. '
�
i t� s �•s �Dt�W1 • `
���� �w I �' �'�I
�� � 1 �
N
e.��',
i�',
��
���C
�
�
.
�. �l �y � l� = �eoo L�DS
WEST ELEVATION
� 1 /8" = 1'-0"
O. House Roof
117' - 3" �
Garage 1 Roof
112' - 10" �
Garage 2 Roof
111' - 9" �
Level 2 FFE
105'-0" �
Ground Level
100'-0" �
Lower Level FFE �
96'-5"
.��
t� z�v va 5 s�a� 2 c�at �Cis� ��� �l ,
v � � 9 , � �i,. ,,
. .. . . .. 1 . � � � �V � � �
S�� Q ������u � N C3� r2� �
w� '� c-fn 3 �C� ( �C
� �� ���� YS
a � � b �-
�
I ��! !�
�� � ��u' �
i ii :;, ;;I�'
�I �I '' ik �,
. t i. �� !�—]!
SOUTH ELEVATION
2 � 1/S" = 1'-0"
—t'1 �, S��P C IS�S
T.O. House Roof
117' - 3" �
Level 2 JBE �
113' - 2'
Garage 1 8 2 JBE �
108' - 0"
Level 2 FFE �
105' - 0"
Level 1 FFE
,�,�-2"'",
Ground Level �
,00� -o��
Lower Level FFE �
96' - 5"
GENEWLL NOTE3
i. VERIFYALL DIhffNSIONS
AND ELEVATIONS.
2. VERIFY ALL FIXTURE IOCATIONS
AND OPENINGS.
,,
4
�IUI+�II�!
__. _ _ ._ _- --_.
ilChltlCtVll�AlSlglll IINEWp111MI
273 Eaet Nh Streat
ne. �oo
St Paul, GN 55101
V: 651-292-0106
CONSULTANTS
PROJECTNAME
Existing Single Family
Home-6830
Brookview Dr. NE.,
Fridley, MN 55432
SNEET TITLE
WEST & SOUTH
ELEVATIONS
CERTIFlCATION
„br W r eNh u.� ab Mw .ywlMen
�.wn.x �rNn.a W T.>�mex�
�ma..o.rwM.M nni.n.ear
LIanW IIrcNM1�MxIMMnMtlr
ShbMMmxa4
o,»
IICENSE PAtRER
'�, PEVISIRIS : W � U11E
' �
i i
, . �
, i
i
WfE. . . . ��:
auxwer a+w
pEQtEDBY AI
���� ���
� ��,�
SHEETNUMBER
A201
c2ooe ny aRen.u.n
�
� ��� �
�------- — - . �_ -----� — —
�
1
�
I
i -
1
1
{
1
t
i
L_
l
I
•; ` y
� A201 �,'i, •
`.
�----- sn t -� ?
� ��� ���
I
, .
�
�
�._.�— _�_ _�� � --- —
'��'� �����
�I A200 '
� ��� ��
- _ ._ .. _ �--�-- -- –
.._.,._.,..E... _. ,..,.._.....
��
� A201 l�
-___ _ �'—_- ..._ -- �-- — —
__ i
__.... _i
i
{
[
_---�
��'J �lA200,.;�
I�
I
I
J
;
i
�
-°. _ _.. _. � _...i
� �. , .
215 East 4th Straet
Ste. 4U0
�t. Paui, MN 55101
V:651•282•0106
CONSULTANTS
PR4J�CT NAME
Existing Single �ami
Home - 683Q
Braokview Dr. NE.,
Fridley, MN 55432
SHE�T tlTLE
TITLE SHEET
CERTIFICATIUN
I ha�hy udHylhxtthN qan, tpedHc
or nport Ma� pnpuod by me c� und�
dired sapaN�loo +�nd tt►�t I�m � dul�
Lian�d MchlMct undu the In+n +a! i
$�O Oi �11tlMt0iL
�
. �
'~� SITE 1'LAN ����r,�R
("2 ___ � r__ _.__ �_._ . - ����� �. �+�
� � �,-= 20'-0" _
Building PLUMBING Pe�itNo.� � i �`i
Inspections RESIDENTIAL APPLICATION Received By:�
763-572-3604 CITY OF FRIDLEY D���'
763-502-4977 FAX EFFECTIVE 1-1-08
DATE � YOUR E-MAIL ADDRESS iY�'��ni Vl I P���iI Z i'U �iVi � CU�
SITE ADDRESS J^O�k
THIS APPLICANT IS: ❑ OWNER �ONTRACTOR
PROPERTY NAME: vVN% �
OWNER/ ADDRESS: CITY STATE ZIP
TENANT
PHONE:
CONTRACTOR NAME: � U 1� -' i 2
SUBMIT A COPY OF STATE LICENSE # I� ' J�l� EXP DATE I � iJ �'D �
YOURSTATE
LICENSE, BOND AND STATE BOND #� ZI Ti� Z`�-] EXP DATE _ j�,Z �� I�C� �_
CERTIFICATE OF ADDRESS: ��OO I/� • ii"�►tl I?� CITY �Ui rYI�U ! I(.� _ STATE�ZIP 5�✓33�7
INSURANCE PHONE .�����%�. i DG�Q FAX !� Z'7 CQ %' I��"I�
PERMIT TYPE � SINGLE FAMILY ❑ TWO FAMILY ❑ TOWNHOUSE
TYPE OF WORK: � NEW �REPLACEMENT
DETAILED DESCRIPTION OF WORK j (�,(i '1i10
PER MS 16B.665 the permit fee is a minimum of $15.00 or 5% of the total cost up to $500.00, whichever is greater, for the
improvement, installation or replacement of a residential fixture, excluding the fixtures. (This should reflect only the cost of labor )
Labor cost under $300 =$15.00. Labor cost between $300 to $500 = cost of labor x.OS = plus .50 surcharge
OR
FOR PROJECTS WHERE LABOR EXCEEDS $500, FEES ARE BASED ON $10.00 PER FIXTURE, EXCEPT WHERE NOTED. FIXTURES: (INDICATE TOTAL
NUMBER OF EACH BELOW). MINIMUM FEE $15.50.
e2 BATH SINK/LAV FLOOR DRAINS I SHOWER WATER PIPING
1 BATHTUB GAS PIPING (NEED CITY LIC) SWIMMING POOL _ WATER SOFTNER ($35)
CLOTHES WASHER I KITCHEN SINK � WATER CLOSET BACKFLOW PREV. ($15)
� DISHWASHER I LAUNDRY TRAY WATER HEATER ($35) FOR IRRIGATION
WATER METER OTHER
..�JG 3���.'�,�,��- �'�, .: ' �F} �E .3j kr , 3;,3'. e � . -�,.
. , .. ,., -... . .:.,, „ .;. ,�:,... . � ,,, :.. __, „ 3:'t,,rs. ;, :: ; . . . . ,. .'.. � - .::.. ' .;:.
Permit Fee $ Number of fixtures @$10.00 x$10.00 -$ 9' • �O
Surchar e .50 Number of fixtures @$15.00 x$15.00 =$
TOTAL DUE $ OR Number of fixtures @$35.00 x$35.00 =$
State Surcharge = $ .50
"MINIMUM $15.50 MINIMUM $15.50 Tota1= $ 0• '
THIS IS AN APPLICATION FOR A PERMIT-NOT VALID UNTIL PROCESSED
I hereby apply for a plumbing 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 permit but only an application for a permit and work is not to start without a permit on site; that the work will be in accordance
with the approved plan in t se e.�all work which requires review and approval of plans.
�/,,(,Dn,� `��,, 1 C'
SIGNATUREOFAPPLICANT l�l/(�"�Ll� PRINTNAME�TIC,O�G{I�I��fO�Y�cX��� DATE I� (UO
APPROVED BY DATE
���� ����, �� � 3 ,;„
x. ,,'�.�� . � 3 � ���� ,. � �" , ._ . , �� �.H'r,
,.... �... . .,, ;
,_ ,,,, . .. , . ,,,,, . , ,,,,. _.... . , , �,�..,' _ ,,. �. s � ,
City of Fridley
Building Inspections Department
6431 University Avenue NE, Fridley, MN 55432
763-572-3604
FAX: 763-502-4977