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AF - 44155SUBJECT PER � . City of Fridley 12909 � AT THE TOP OF THE TWINS g U i L D i N G P E R M I T � � CEIPT N � `y ____�_ COMMUNITY DEVEIOPMENT DIV. r � � PROTECTIVE INSPECTION SEC. �, /� ,l ' �"'1 � CITY HALL FRIDLEV 55432 NUMBER REV. DATE PAGE OF APPROVEO BY L•��'� � ,•� 612-560'3450 9t0-F15 4/21 75 � � JOB ADDRESS 7601 Central Avenue N.E. 1 LEGAL ��T NO. BLOCK TRACT OR ADDITION SEE ATTACHED oescR. 30 2 Meadowmoor Terrace SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Briar Homes Inc. 10134 Central Avenue N.E. 3 CONTRACTOR MAIL ADDRESS Z�P PHONE L►CENSE NO. 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO. 6 USE OF BUILDIN(i 7 CLASS OF WORK Q NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ HEMOVE 8 DESCRIBE WORK Construct a 24' x 3!' Dwelling and a 22' x 24' Garage 9 CHANGE OF USE FROM TO STIPULATIONS Provide a hard surface driveway. Provide a verifyinq survey before capping. SEWER I&�ATION: °Y° 64.5' North of Manl�ole on Meadowmoor "Y" Elv: 886.40 Top of Footing: 889.40 Minimum Manhole Invert: 884.25 WARNIHG WATER LOCATION: stopbox i3 � North of Sewer B��re digging cail local utilities TELEPHONE - ELECTP,fC - GP,S Etc. SEPERaTE PERMITS REQ�#IRED FOR WtRiNC, REQUIRED BY l.AV"Y HEATtNG, PLUMBING AND SIGNS. SEPARATE PERMITS ARE REQUTAED FOR ELECTRICAL, PLUMBING, HEATING, TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD VENTILATING OR AIR CONDITIONING. WOOC� F1'dIIle THIS PERMIT BECOMES NULL AND VOID IP WORK OR CONSTRUCTION ZONING S�. 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 R 1 I.OZZ 12, 384+52 O ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS OFFSTREET PARKING I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION 1 STAILS GARAGES AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF IAWS VALUATION SURTAX AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPIIED WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT $24 ZS�. 12•�2 OOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE pERMIT FEE SAC CHARGE PR�VISION'S OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- STRUCTION OR THE P RMA OF CONSTRUCTION. �G.4S 325.00 ` %~j ' � ECK FEE TOTAI FEE _,,•� � �- 383 57 4 SIGNATURE OF CONTRACTOH OR AUTMORIZED AGENT EI � W EN PR V lID' D THIS IS YOUR flM1T � SIGNATURE OF OWNER IIF OWNER BUILDERI IDATEI BLOG INSP �ATE �'►2, �Ax APpLICATION FOR RESIDENTIAL, ALTERATION, OR AllllITiON BUILDING P�Tt1�iIT CITY OF FRIllI,EY, MINNESOTA � � � .0 .a `a1�. �� : . � ' � �' � .L.e_�� C. i. ::, ,� W , NO:��_ STRE�T: �� , LOT : BLOCK : � ADDITION : 1► ��i`�411Y�A�(Z .�'�lii� CORNER LOT:_� INSIDE LOT: SETBACK: SIDEYARD: Applicant attach to this form �ao Cextificates of Survey of Lot and proposed building location drawn on these Certificates. r �ESCRIPTION OF BUILDING o Be Used As: . � — ,� � �$,► Front; Depth: �� Height: � Rn�{icn, cfX L IvZL Square Feet: �� Cubic Feet: j� ��( `='�bi.� �} :. Front : 0�'1 Depth : °�y Heigh� : � � T �� Square Feet; Z, Cubic Feet: S 2$d 1�pe of Construction: W�f� �(�w�A � Estimated Cost: — �— To Be Completed: �le �� `��'�s � The undersigned hereby makes applicatinn for a permit for the work herein speciiied, agreeing to do all work in strict accordance with the City of Fridley Ordinances and rulings of the Department of Buildings, and hereby declares that all the facts and representations stated in this application are true and correct. DATE: � L �� SIGNATU (See Rev,erse Side For Additional Information.) Pl�ttw�.�f TX. ts, �tZ x 1.8�',o�u � 4�.aS 93�x 3.so = 3,ZS8,Se . 12 . 1'L l u 3 t v� �. y1 =,'�, 9 Sc.go Stg X S.'�� s 3, v3�� °• �/ , �'8' .Sr% ,L y .LS'I.'yo `/S�Y �+�a s �2. /Z J�„� R. 3 Z�''. 4 � , 3 �'� •S� � � 0 ` __ , ' ; _ _ _ , - f .. , %�tQ� , I�ll� W I � . ��x3g3-Q - = 7�i�� 1� F' � Q � ° �,� .. � � 23't. �`'' �� ,�� 9 XtL i1S1. 10 3 �- i �?� 4 : s Zg ° � ,c 10 . N► .'�. . �c ''j 44i !'�' r�. '�B � �, � �. �c �i e Fr � �4�,45 i t� 3z � r' ��$ �C 1 ' � 4 �' � I'Z,1'�- � � �� , � _t � Z.�. S�, z i').��. gd . ! ,; � �03�, o � � � i � •, �✓� 2 r� - � i_ __�__� .� � 'ROJECT: �423. rORK ORDERED BY: I30RtDlG LOCATION:. �� lOG OF TEST BORINGS s � BORING N0. 1 VERTICAL SCALE 1 � � z � � DATE: °�� I i �74 START — ' COMPLETE — � CREW CHIEF — N1•S. ..-—-------——- �, EPTN; DESCRIPTION Of MATERIALi UNIFIEO SOIL �ASORATORY FT. SURFACE ELEVATION ' CLAStIFICATION TESTS �O'= —�=°Y ToP So►�. L OA !�/1Y B ROW N SA N A�`. .. . �� 3.5' � , , _ �1NE I..1GH� S'AND 7,�c' �=TER TA BL,E ; . ! . . i�� . SorroM . 'y, : � , , ' � ' <� ' �.:'�= • , �.,��.� •.�� . � 5` ..�_ � 4.�,�z� ' i ; i � i ' . � ( e `�e • , � ; x �� , , �� ,� ' ---� � � �' �� 44� : E '+ � �.� t.j"��r�l,. � a1iC. � � � � , � , �� gRIAR CONSTRUCTION CC 10134 CENTRAL AVENUE BLAINE, MINNESOTA 55434 � —�----� � --- � ---_ _._._-- l1 r �.. .� ��, �`��`�� Z�� ' r: � . ,. pqtH �� p �;��.#` PROJECT: . J �� CW111 C� C�CII'1q arw �nq�n..rnq �or.ton�,nc. • / � 682 CROMWELL AVEPRJE ST. PAU�, MN 55114 PHONE 612/645-3801 REPORT OF: p� P OSED RESIDENCE 760 LD CENTRAL AVE TY TESTS OF COMPACTED FII DATE: June 3, 1975 � REPORTED TO: " COPIES TO: � Briar Homes 10134 Central Ave Blaine, MN 55434 A TiF7�PnF��'IR'"i� � .,.7 .....,. LABORATORY No. 11-0245 TEST NUMBER: DATE TAKEN: UNIFIED SOIL CLASSIFICATION: (Moisture-Density Sample Number) LOCATION: DEPTH BELOW FLOOR ELEVATION: DEPTH BELOW EXISTING GRADE: 1 June 3, 1975 Sand, mostly fine grained, a little gravel, brown (SP-SM)-1 12'S and 10'E of NW corner of garage 2' � 2 Jane 3, 1975 Sand, mostly fine grained, a trace of gravel, br�wn (SP-SM)-1 10'N of SE corner of building 1.5' :� FIELD DENSITY DETERMINATION: Method Density in Place By Sand-Cone Method, AS'IM: D1556-64 (-#4 Basis) Dry Density (pcf) 116. 5 113.5 Moisture Content (%) 7, 5 8.1 Plus #4 Material (%) � 2 � LABORATORY MOISTURE-DENSITY RELATION OF SOIL: Method ASTM:D698-70, Method "A", (-#4 Basis) Maximum Dry Density �pcf) 113. 5 113. 5 Optimum Mois�ure (%) 11.8 11 .8 COMPACTION TEST RESULTS: C ompaction (%) Specified Compaction �%) 102.5 95 `� �0� � 95 REMARKS: The above test locations were selected by Twin City Testing and Engineering Laboratory Inc. Compaction meets specifications in the above test areas. AS A MUTUAL PROTECTION TO CLIENTf.TNE PUBLIC AND OURi[LV[f,ALL RErORTf AR! 7UBMITTED Af TME CONF10[NTIAL rROr[RTY OF CL16NTi. AND AUTMOR- TW111 �. . �Y � �DC. tusn c�t� test�nq ano �,eQr�nq �aboratonl, M,�. 662 CROMWELI AVENIiE � � �•�� T" ST. PAUL MN 55114 "O�y, yY PHONE 612/645-3601 . . 8 4 �..,� .$� MOISTURE - DENSITY CURVE s�P�E No. �� .�...� . PROJECT: PROPOSED RES�DENCE DATE: June 3, 197�. REPORTED ro: �601 pLD CENTRAL AVENUE coP��s To: Briar Homes LABORATORY N�C99. � � -0245 115 114 � w d e� \ � 13 � F- N �12 0 � � 0 111 110 METHOD OF' TEST.• ASTM:D698-70, Method "A", (-#4 Basis) TYPE OF MATERIAI.: Sand, mostly fine grained, brown (SP-SM) MAXIMUM DENSITY: 113.5 ib. /Cll. ft. OPTIMUM MOISTURE� 11 .8 % 9 10 11 12 13 14 MOISTURE CONTENT % .— � �a i+ � � � `\' r �1 - � � . 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H , � � � MO N N � O � � � a N r.i � ti 0 K K M� p � �G � I � 't� �. � c� � IIN$ � � kr � � � � � cn .......... � �� $.. k � � � � � S Q ~ � x ro :. " � � r. � � U �„� � p� � y�. � °< u 10 1.. V v � �� p ~ o t7 c� ��, ��rn h � � � � � � � � V � �! w � �H � � a i %,t � � � � � �.. �t L - - �� NEAT LOSS CALCU�ATIQNS DEPARTMENT O! dU1L01N�iS Weathentrips Guide Conkrnetion Ido. Windowa Doon Refereaee Out. Waq Int. Wall Ceilin� Roof �loor Yea—IVo � e�—Ao 19_ �.I a/_= Jl Room l.en=th � w;� s� t�� 8' �.I /SAT� Windowa and Doors—Cracka�e and Area Wiodows aa \Vldth Hd�ht No. o! Lln�al t. Ans �VIdtA No. ot D�n� ot p�n� If�ht� o[ e��cic p. tt.. Na et Paa� ca 3 2 d� cJ � � /G �� 3 C �o i9' �� Coei. &n 1n61tration 3 �Q / S'� Pi Glass 3(� $"o /9ar� E:p. wal! I.2 C� Nec e:p. wall � Z- / O � 2 G Int. wall Ceiling S,'O / O ,S' 4 d Floor Total &u. � Required sq. h. E.D.R. or p. ini. Q/A. Leader area Fl.j G/�/��v G Room L.epsch �� w�dc6 � i� C H�i�hc 8' Windows and Doors--Cracka�e and Arca W14 6 He1�At No. ot Lla�al tt. Ar�a Na ef D�� ot p�n� II�At� ot enclt p. [t. � S� �� - /7 �- a G� Lf Y .� � /' Coef. 8tu Inbltratios �S �} U / o �, Glw 3� "� /Yoa Esp• waU a`� 9 3 Net e�. waU S 7 /G �" 7 G Int. waU Ceiling 3a /O 3� p Floor Total Btu. � Cy Required aq. k. E.D.R. or sq. ias. QI.A. L.eader area Fl. /�/TG /tis�.Room � Length w�, g�� Hei�ht Windows and Doon—Crackage and Area iVldth Hel�pt No. o[ Lln�al tt. Area Iie. ot pan� ot paa� Il�ht� of erack p. ft. � aQ� �4' 013 �i � /G 3Z i3 � o� � � Z G Coef. Btu 1a61tration O � % 2 0 Gla.. ,5" L 5 a o2 � o 0 �p. waU � 3 Net eup. wall /�"1 / o d2 '7 0 lat. wall Ceiling a 2�j /O �, 2 f O E loor Tetal &u. O U Requircd iq. f� E.D.R or �q. ins.'RI.A. L.eader arca 1a61wtioo Gla�c � wa1� Npt ap. wall In� wall Ceiling Floor Kind Ro�lt VILLAGE OF CHAMPLIN Imdatioa How w� 9'� and Area —� � -�--�f ��0 ��m� ��— _�m� _—�� _mm� _--- Total Btu. d2 � / � Rcquired �q. k. E.D.R. or p. in�. W.A. leader area Fl.I .�L L Room Windorvs and Doors—I NIdt6 x.isee , . ot e�e� et mn� � In6ltration Glau F.up. wall � 'l �' Width 3 Heitht and Atea a��l tt. ArN ' er�ek w. tt. � Net ezp. wall _ -- — Int. waU Ceiling .2 �'! !o .2 9 G Floor Toc,l &u. a 9 0 Requued sq. k. E.D.R. or �q. ins. QIA. Leader area Fl.� /3,E ( Room I l�ensth Width !/ Hei�ht Wiadow� and Doors--Cracb�e aad Area Wldt� R�I�At Na o! LInNI tt. Ans Na o! y�e� et a�� tl�ht� ot cnct �o. tt. � � � 8' � i a, L 3 2 / 3 ? Infiltratioa Glau Esp. waU Net e:p. wall Iat. waq Ceiling Floor Coef. Btu � y�o /��o C S� /3oC G 9G /t'r / o �r ?G /c� /7� � Tocal 8tu. rr Required �q. h. ED.R or p. ie�. W.A. l.eade� arca � lROOKIYN ►RINTING i ADV. CO. � ,_ r NEAT LOSS CALCULATIQNS DEPARTMENT Weatherstripa G�� Coa�tructioa I Windows � Doon Referenu Out. W�q lot. WaU Ceilin� Yes—No Ye�— 0 19_ Fl.� F Room Lea�th / Witkh / 3 Hti�ht Windows and Door}-Craekafe and Area �Vldlh HN�ht No. ot Lleql !. An� No. ot pane ot D�na Il�ht� ot cracic p. tt. � �� uF� Z3 � 2 /L 3z /3 Coef. Ben 1a61tntion 3 ( �f G / � j� !U Glau a L ,Sc3 / 3 O u Esp. wall 9 2 Net e:p. waU / G C / o / C C G Int. wall �� Ceiling � !G / �jC 3 G Floor ; Total Bcu. s-'�3 C, ' Required sq, k. E.D.R. or tq. ws. Q/.A. Leader area I. F7.I S,� /y R"�6o( ngth 3� Width a Hei�ht �" ' Windows and Doors._�nekase and Area � Wldie HN�At No. o� Lia�al tt. An� Na o[ p�n� ot p�ne Iltbb ot erack p. tG a� 3Z _9 S-� Coef. &u ' Ia6ltration �t` � � 7 C C3 Gla.. �a S a 'ca a ' Fsp. wall Z G '' Net �p. wall o/G ,�% O U lat. waU Ceiling ' Floor c'J/2 /O /2 G � Total &u. � O O �O Required sq. h. E.D.R. or sq. ins. W.A. Leader area — F1'� Windowa and I Wldth H I�Ia ot �an� ot � labltration Glau Etp. waU Net �p, wall Jae. wall Ceiling Floor � w� and Area n�al tt. � enek � TetalBtu. _Rawired w. h. E.D.R. or �a. ius. #I.A. I�ader .re. � Of dU1LDINGs �O. RooE ,�7oor ICind Fl.) Room � 1 Wiodow� and Doon--Cr� WIdtA NN�Yt Lta Na ot pan� et yane 11�I lailaatioa Glaa �� Nd esp. wall In� wall Ceilin� Floor Total &w VILLAGE OF CHAMPLIN Io.dacioa ' How Applied � . �lidth and Area Required iq. k. E.D.R. or p. ia�. WA. Leader area Fl.I R�oom I L Windows and Doon--Cra wwee x.��ae Ho. xo. or ps.. er osn• Itse T 11 �� Width Hei�ht and Area in6ltration Glau Esp, wal) Net e�p. wall Iat. waU Ceiling Eloor Total &u. Required �q. ft E.D.R. or sq. io:. QI.A. Leader aroa Fl.� ttooa� I Le��ch w�ach tki�h� Wiadows and Doors—Cracka�e aad Area Wldlh BN�At Na o[ Lln�al tt. An� J�10. O� pLe� O� CaN Il�ht� nf enwM N Coef. Btu Infiltratioa Glaa fsp. wall Net esp. wall Iat. wa11 Ceiling Floot Total &a Required �q. h. ED.R or p. ia�. W.A. Leade� uea lROOKI�N ►RINTING i ADV. CO. 0 560•3450 Crt � o r��le � �. � � � ANOKA COUNTY 6431 UNIVERSITY AVENUE NE FRIDLEY, MINNESOTA 55421 August 6, 1975 � �_q�1��U fOirrc.�� s�ij�-CV2�O�ti:a.�-�'� /a/35� �,.��, �.u.��-� 77� _ �� 7��✓ �"� 5�.3 S� Re: Verifying Survey for �%�Q� ��A, 7A �� . �Gentlemen: • Please be advised that of.this date, we have not rECeived a verifying survey for the above captioned house. We woul'd appreciate it very much if you would get this survey into our office no later than September l, 1975. . Thank you for your cooperation in tYiis matter. - Yours very truly, ° t4�t�/ DARREL CLARK Community Development Adininistrator . DC/cs 0 5 . CERTIFiC�#TE OF SURVEY FoR: Briar Homes, Inc. r i• IW Q � Q � r z W , � o D�not�s i�oh monumen-� Descriptions Zot 30, Block 2, MEADOWMODR TERRACE, Anoka County� Minnesota. 0 VOIUN. C�J �OKittPl� � hereby certify that this is a true and correct representation of a survey of Job No. the boundaries of the above described land and of the location of all buildings, 238 if any, thereon, and all visible encroachments, if any, from or on said land. �uruet�o�a �__ Bvok –,page Land Surveyiny � Site Planning As surveyed by me [his __ 14 �11__ day of AU_Q_,__ , t 9�. 9- 49 Ciwl Engiiieering 8816 70th Av. N. fi 94 at Boone Av. N.) -------.---- ��`''�---.�!"�'---1�-.�'�� —_–_ Scale Brooklyn Park: MN �5428 ,„ _ , - Phone 533-7340 Minn. Reg. 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F r y ..� � � q 3 = q Si�io � • � .+ abvey sr� y � zxt3 •�scy� • TddY sr� � ia�s�M Qf �T1QYC�[tY • •r sutse� � V�3�J re� iooT� � Saawoyg S 11 T411tf10 f 6ut�t2a � g s�Ses,t qssN ", iS s7N�S .�i .-4i u p svf t� � 4 Santi vs�t c4 � ft�=� � . sas:oT, � � � � .+ v v rJ, � � SiL203S .-�i N n � � $ � � d � J F � � ! � �1 O C � ii � � � � t�8 a,'"� �; 3 �.� � �� i � � � C E . � � � N 0 4y Z � ¢ � � 0 � N � ` O � r » a `a � ` o' OC d � N ._. i 2 � � � 8 � N M F � a � �< J � C SJ: Y i�i C � C (!� � N � N F F + N Z ; � � , 3 3 �� C . , F � G v F N N N N N N N N N N N N N N N N M � < � J O 0 = W � N W 1� � � LH F � � N � � z � � � o. 0 0 0 0 0 0 0 0 0 0 0 0 0 o u+ u�+ o 0 0 0 0 0 0 0 0 0 u+ n.r i�r+ �ri �ri �n �ri e� �ri o 0 � � N N V► N N 11► N N H N N N N � O 4 ] Y C w C � � � .�1 � ~ d . j • C t Y • i M C �> > p� Y 4 • � • �+ .r C � • Y p C � 6,> 4 r = V � C • M � Y w t 4 � • Y .�i • O O O � ! � O ~ � � �. �� r u e.�. rs i s�i o s .+ v • �O .+ .. v • � •+ . • i i o i i u s i a s s° � c�i 0 � � N � N _. I a � a � a S r i d a� .. � � i m m m � S fr Y � 3 CA L 6 Z u E � � F < u y 4�i � ' .Yi � .; � 4 a y G G < < �. O �. • M Y d r O m � ec -. �+ � " � N = � o �' � • � 7 Q °� • � � E � s a e .� � � � t sue�ecT IT NO. City of Fridley 2 5 7 6 4 AT THE TOP Of TNE TWINS g � I L D I N G P E R M I T ----- -�- r ; � RECEIPT NO. � ' COMMUNITY DEVEIOPMENT OIV. � j V �"�� , r � � PiiOTECTIVE INSPECTION SEC. Z� J/1� 1 � , � � f �"'1 � CITY HALI FRIDLE� 55132 NUMBER REV D�TE P�GE O: �PVROVEO Br �°"� � �'' 612-571-3450 9�0-F15 1/16/98 / / JOB ADDRESS 7601 Central Avenue NE t LEGAL �OT NO. BIOCK TRACT OR A�DITION SEE ATTACHEO DESCF. 3O 2 Meadowmoor Terrace SHEET 2 PROPERTV OWNER MAIL ADDi;ESS ZIP PHONE Dori Stearns 7601 Central Avenue NE 780-3263 3 CONTRACTOR MAIL ADORESS ZIP PHONE UCENSE NO. Northern Crest Inc 8245 Polk St NE, S rin Lake Park, MN 55432 20098415 d ARCMITECT OR DESIGNER MAIL ADDRESS 21P PHONE LICENSE NO. 792-9364 5 ENGINEER MAIL AOORESS ZIP PHONE LICENSE NO. 6 USE OF BUILDING Residential 7 CLASS OF WOFK ❑ NEW ❑ ADDITION O ALTERATION (� REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Install replacement windows; siding; trim ; Rebuild Deck (8' x 12') 9 CHANGE Of USE FROM ; TO STIPULATIONS Install building wrap and have inspection of same unless manufacturer's specifications state it is not required. Install smoke detectors to meet the State Building Code. {" t1.. . g,, � - -�� lj ' � _f' �� '�;'� '" Before dip,ging call fot �. �-- �,. ,,.�,`- � �., af1 ut�;ity icca�ions �' 454-Q�02 ;�:± tl��'' RFQu�R�a s�r �w TYPEOFCONST. OCCUPANCYGROUP OCCUPANCVlOAO SEPARATE PERMITS ARE REOUIRED FOR ELECTRICAL, PLUMBING, NEATING, VENTILATING OR AIR CONDITIONING. TMIS PERMIT BECOMES NULI AND VOID IF WORK OR CONSTRUCTION 2pNING SO. FT. CU. FT. AUTHORIZEO IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT ANV TIME AfTER WORK IS COMMENCED. NO. DWLG. UNITS OFFSTREET PARKING 1 HEREBV CERTIFV THAT I HAVE READ ANO EXAMINED THIS APPLICATION 1 STALLS GARAGES AND KNOW TME SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF �AWS VALUATION SURTAX WI H WRHETHER SPECIF ED EREINIOF NOTOTNE GRANTtNG OF AOPERMI�T ��puu �9,661 ��ul ��F.H3 DOES NOT PRESUME TO GIVE AUTHORITV TO VIOLATE OR CANCEL THE pERMIT FEE SAC CHARGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGUTATING CON- (,t//,/��E $162.25 Fire SC ��b �9.66 STRUCTION OR THE PERFORMANCE OF CONSTRUCTION �pA.hFb D PLAN CNECK fEE TOTAL FEE _��.�!%i — License SC $5.00 I��i�ll.�� $181.74 S�GNATU EOFCON�RACTOp MUTHOA�ZEDAGENT i rEi WHEN PROPERIY ALIDATED THIS IS VOUR PERMIT r,�, - - Za-�'r S�GNATUFEOFOWNEA�i�OWNEABWLDER� IDATE� BL �NS� DFTE NEW ADDN ALTER [] Ll [l CITY OF FRIDLEY SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION ConstructionAddress: � ��D � 1 �VQ- �� Effective 1/ 1/98 Legal Description: Owner Name & Address: p0 �l S1I'�.u►^'r7 S Tel. #�� 6� Contractor: 0�`�l�,ht� CV�S �` �(� � MN LICENSE #�o o ��`g �15 Address: g o1 � S '�o � t� S'f'� /U� �'P �n ►v � sy 3 a Tel. # �� o� — q�'6 y Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. LIVING AREA: GARAGE AREA: DECK AREA: OTHER: Length Length DESCRIPTION OF IMPROVEMENT Width Width Width ? � � � '7 r % Gv�hd�� S, S, d�1�� rt►4 �tiv� Construction Type: Driveway Curb Cut Width Needed: Ft. + 6 Ft = Height Height Hgt/Ground Sq. Ft. Sq. Ft. Sq. Ft. � Estimated Cost: $ �,�� D� " 96�i (Fee Schedule on Back) Ft x $ _ $ DATE: �'" 16 � g APPLICANT: �� Tel. #�� '�� CITY USE ONLY J � � /� , Permit Fee <lO ��$ % . S Fee Schedule on Reverse Side — l�. SU �4 dal � Y�� r� �!l�fi Fire Surcharge ,�� $ - � .001 of Permit Valuation (1 / lOth%) � � . State Surcharge $ �. �� $.50/$1,000 Valuation -�� SAC Charge $ $1000 per SAC Unit ,�" License Surcharge $ .,.�� (,� (� $5.00 (State Licensed Residential Contracto - ' � � � � ` � ,<, " Driveway Escrow $ Alt. "A" or Alt. "B" Above �%��f 9 E r o s i o n C o n t r o l $ $ 4 5 0. 0 0 C o n s e rv a t i o n P l a n R e v i e w � Park Fee $ Fee Determined by Engineering Sewer Main Charge $ Agreement Necessary [] Not Necessary [] � g�. 2� TOTAL $ . STIPULATIONS: • �, �. -< . a � � . CERTIFICAT� OF SURVEY FoK: Briar_Homes,__Inc.____ J I r � . . � .. � � � � � Z � v `�. 120.0C , N� � �'i House Unde� Constr � O 33 � - � .. .. SO.00 0 � ?6TIi I�VE. � . � � o� 25� .•i _. N � � : � � � � V� - -- Q �'- u� �' �� .�°``�^� � �i �,Z � NE o Danot�s i�or monumen-t �, Description: Lot 30� Block 2, MEADOWMOOR TERRACE� Anoka County� Minnesota-.�� .� . ; • r..' � �� , �ocun � Coun f r� �uruec�o�a Land S��rveyiny • ;;i:it Pl�nnmy Cwil E�ginecnng $c31G 70th Av. N. (I �J4 at Boone Av. �.1 ` Brooklyn Park, MN �5428 Phun�: 533 7340 ,. r,- �,�F ,� -1;� �. +`�. � �� ....- . I hercl�y arrti(y that this is a tru�� and c��rrect re{�resentatiun o1 a auivey ��t Ihe bc>unda� i�:s of thc at�ove described land and of the location of all �u�l�J�ngs. 'rf c�ny, th�r�:on, �ind all visi�le encroachrnents, if any, from or on saicl lan�t. A� survcy��d by me this __. _14_�.�'1.----day of -----.�%=g.- 197_`5. --- ---._ ... — -•--- ��/L_P��_ _�.__!�-�LI�_�--- — - - ..' , Mirin. Re,y. No. �iO.944-- ��i, r�� 238 Book - P 9-49 ^ Scalc 'M = _ ^ LY ,.. � . ��i i �� I / �'� 1 � � � �� o� �h .� �. �p Lp P . .� � XI 4� � �d �� d� �, �f,i � � ro "% � � � ��a � � � � � � P d _� ��.,,- ..`. _� �.� Z� c; �. � � � � '� � � `�%,�y,� od � x ��i, �� P�'� P� ¢� `• �O ��i - � � � �� V� ,A 9 �� P� �%� V` � r � r o _,� 7 � �'�• �� / _ � ��, •.'. �+ .)�- n' � --� - v� � � � � �ry �-, <_ `� � � � �� ; � r� �. �./ r3 ?J � � -�. � �1 ��. \ �� 6- =� � � d . �. � f� %'l e �r/ � � �� Ns e �'ro Pa Se� �Qe cl� �a� � � V �t � � Q �� -� �,� 1 � Z-� .� l/v � 6-' � � � � � � � , �� CT' � o � � � � 5 � n � n � � C` �� ,� �� ,-- c SuBJECT City of Fridley 6 5 51 AT THE TOP OF TME TWINS g U I L D I N G P E R M I T r ; � REC . � ; � �_�__ COMMUNITV DEVEIOPMENT DIV. r � � PROTECTIVE INSPECTION SEC. /f��O � .1 , —� � `.-•. :�'��;•, CITY HALL FRIO�Er 55132 NUMBER REV OATE PAGE Of APPROVEO BY L l\ 612-571-3450 910-Ft5 / / 7-13-98 108 ADDRESS �601 Central Avenue NE 1 LEGAI �OT NO. BLOCK TRACT OR ADDITION SEE ATTACHED oesca. 30 2 Meadowmoor Terrace SHEET 2 PROPERTY OWNER MAII ADDRESS 21P PHONE Stearns 780-3263 3 CONTqACTOR MAIL ADDRESS 21P PHONE LICENSE NO. Northern Crest Inc., 8245 Polk St NE, Spring Lake Park, 55432, 792-9364, 20098415 e ARCHITECT OR OESIGNER MAIL ADDRESS 21P PMONE UCENSE NO. 5 ENGINEEF MAII ADDRESS ZIP PHONE LICENSE NO. 6 USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW ❑ ADDITION ❑ ALTERATION �7 REPAIR ❑ MOVE O REMOVE 8 OESCRIBE WORK Re-roof - (21 Sq) - tear-off 9 CHANGE OF USE FROM TO STIPUTATIONS Underlayment must comply with State Building Code. SEPARATE PERMITS ARE REOUIRED FOR ELECTIiICAL. PLUMBING, NEATING, TVPE OF CONST. OCCUPANCV GROUP OCCUPANCV lOAO VENTILATING OR AIR CONDITIONING. TMIS PERMIT BECOMES NULI AND VOID IF WORK OR CONSTRUCTION 20NING SO. FT. CU. FT. AUTHORIZED IS NOT COMMENCED WITHIN 80 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENOED OR ABANOONEO FOR A PERIOD OF 120 DAYS AT ANV TIME AFTER WORK IS COMMENCED. NO. DWIG. UNITS OFFSTREET PARKING I HENEBY CERTIFV TMAT I HAVE REAO AND EXAMINED THIS APPLICATION 1 STA�LS GARAGES ANO KNOW THE SAME TO BE TFUE AND CORRECT. ALL PROVISIONS OF LAWS VALUATION SURTAX ANO ORDINANCES GOVERNING THIS TYPE Of WORK WILL BE COMPLIED. $` 1, 751 tiS , 8] WITH WHETNER SPECIFIED HEREIN OR NOT. THE GRANTING OF A pERM1T DOES NOT PRESUME TO GIVE AUTMORITY TO VIOLATE OR CANCEL THE pERMIT FEE SAC CMAqGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING coN• $56 . JS Fire SC $ 1.%S � STRUCTION OF THE PERfORMANCE OF CONSTRUCTION. � P�AN CNECK FEE TOT FEE -��j,� $Lisc SC . 0 4 37�5 � S�GNATUAEOFCONTRACTOAORAUTMOA�2EOMGENT IDATEI WHEN PROP A THI S/VOUR PE IT� _ �� > � .� i/ '� SiGNATURE OF OWNEA Uf OWNER BUILDERi �D�TE� B�OG �NSP qiTE � Il ADDN [ ] , CITY:OF FRIDLEY . ALTER [] SINGLE FAMILY �AND DUPLEXES R-1 AND R-2 � , � .- BUILDING PERMIT APPLICATION constru�tionaaareSS: �(� � f C' �-� v�, I �(le ��J� Effective 1/1/98 ��\ . �� O � �� Legal Description: Owner Name & Address: S�t'�.��^ n S Tel. #� g� -- 3a�3 Contractor: o r�hern �`Q.S . MN LICENSE #� d ��y l� Address• e � � /�%E S.S � Tel. � � �, ' � � Attach to this applicati n, a Certificate of Survey of the � lot, with the proposed construction drawn on it to scale. . , . DESCRIPTION OF IMPROVEMENT LIVING AREA: Length Width Height GARAGE AREA: - Length Width Height DECB AREA: Length Width � Hgt/Ground Sq. Ft. Sq. Ft. Sq. Ft. OTHER: ,: �Y °� Construction Type:�' R� a� � Estimated Cost: $ �� '�"' � • � - • � (Fee Schedul e. on Back) Driveway C�rb C�t Width Needed: Ft. + 6 Ft = Ft x$ _$ DATE: � "�� APPLICANT: �j-�C�C�t' �Y�� Tel. # 7 d��6� Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee Sewer Main Charge TOTAL STIPULATIONS: $ ��' �S� ^ $ - � $ + . $ $ S� $ $ $ $ $ (p �l � � / CITY USE ONLY Fee Schedule on Reverse Side .001 of Permit Valuation (1llOth°!o) $.50/$1,000 Valuation $1000 per SAC Unit � $5.00 (State Licensed Residential Contractors) Alt. "A" or Alt. "B" Above $450.00 Conservation Plan Review Fee Determined by Engineering � Agreement Necessary [ ] Not Necessary [ ) � Building Inspections 763-572-3604 763-502-4977 FAX DATE Z STTE ADDRESS � THIS APPL]CANT IS: PROPERTY QW1�1ER/ TENANT CONTRACT4R SUBMIT A COPY OF YOUR STATE LICENSE, BOND AND CERTIFICATE OF INSURANCE PERMTT TYPE G` PLUMBING RESIDENTIAL� APPLICATION CITY OF FRIDLE� EFF'ECTNE 1-I-08 - - YOUR E-MAIL ADDRESS :DWNER ❑CONTRACTOR NAME: n � ��_ ,�D�S: 7 � L c� �.� -- — n i_� _.-, _ i _ � S'TATE LTCENSE # STATE BOND # _ ADDRESS: PHOTIE TYPE OF WORK: � � �W FAMILY DETAILED DESCRIPTION OF WORK ❑ TWO FAMILY � REPLACEMENT Perrnit No . _ _, ; • �;•` . �y�, �-.�� 11 � L° �Cr7�y� STA'I'E�TP� � EXP DATE EXP DATE CITY STATE ZIP, FAX O TOWNHOUSE PER MS 16B.665 �e permit fee is a miaimum of S15.a0 or 5% of the total cost up to 5500.00, whichever is greater, for the improvement, installation or replacement of a residentia) fixture, exciuding 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 Wi�RE LABOR EXCEEDS S500, FEES ARE BASED ON S 10.00 PER FIXTURE, EXCEPT WHERE NOTED. FIX7URES: (iNDICATE TOTAL MJMBER OF EACH BELAV�. MINiMUM FEg S15.50. BATH SINK/LAV _FIAOR DRAMS SHOWER _ WATER PIPTNG —gq'[�'(Jg GAS PTPING (NEED CITY L1C) SWIMMING POOL _ WATER SOFTNER (335) CIATHES WASHER KITCHEN SiNK WATER CLASET _ BACKFLOW PREV. (SIS) DISHWASHER LAUNDRY TRAY WATER HEATER (S35) FOR iRRIGAT70N — � WATER METER _ OTHER Permit Fee TOTAL DUE $1 $ Number of fixtures @ $10.00 x $10.00 = $ .50 Number of fixtures Q$15.00 x$15.00 =$ $ OR Number of fixtures @$35.00 x$35.00 =$ Sta.te Surcharge = $`50 (MINIMUM $15.50 Total = $ THIS LS AN APPLICATION FOR A PERMIT-NOT VALID UNTfL 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 1 understand this is not a permit but only an appGcation 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 of all work w�ch requires review and approval of plans. �� N ' I �f� �' 2 v � SIGNATURE OF APPLICs _ �d�, ,�� PRMT NAMFr,��Q[,�,��Nk �`t-u�-r �i " " DATE ` APPROVED BY �� City of Fridley Building Inspections Department 6431 University Avenue NE, Fridley, MN 55432 763-572-3604 FAX: 763-502-4977 DATE