AF - 38356SuBJECT
City of Fridley �
AT THE TOP OF THE TWINS g U I L D I N G P E R M I T �� jl �
f
i �
, � RECEIPT NO.
� COMMUNITY DEVEI.OPMENT DIV
r ��.-------� 3v3 �
� � PROTECTIVE INSPECTION SEC.
� �
i � _
' � ����i � CITY HALL FRIDLE� 55432 NUMBEA AEV DATE 7AGE UF APPROVED BV
�""'"��� ,�' 612-571-3450 910-F15 6/16/97 / /
JOB ADDRESS 130 Christenson Court NE
1 LEGAL LOT NO BLOCK TRACT OR ADDITION SEE ATTACHED
DESCR. 1S 1 Christenson Crossin SHEET
2 PROPERTV OWNER MAIL ADDRES$ ZIP PHONE
Rottlund Company Inc 2681 Lon Lake Rd, Roseville, MN 55113 638-0500 1335
3 CONTFACTOR MAIL ADDRESS Z�P PHONE LICENSE NO
Same
4 ARCHITECT OR DESIGNER MAIL ADDRESS Z�P PHONE UCENSE NO
5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO
6 USE OF BUILDING
Residential
7 CLASS OF WORK
C1 NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR p MOVE O REMOVE
X
8 DESCRIBE WORK
Construct a 42' x 25' Townhouse and a 22' x 20' Gara e
9 CHANGEOFUSEFROM TO
STIPULATIONS
See notations on plan. Paid $350.00 Park Fee. Paid Additional $25.00
Park Fee on 9/18/97
�ARAIH6
Before diggi�g cait for
af� utility Iecations
REQ�IRED g
�EPARATE PERM1tS REQUIREp FOR Y '�w
�A►iRINC�i, HEATtNG� PJ•.UMBING ANO SlGPIS.
TYPE OF CONST. OCCUPANCY GROUP OCCUPANCV LOAD
SEPARATE PERMITS ARE REOUIRED FOR ELECTRICAI, PLUMBING, HEATING,
VENTILATING OR AIR CONDITIONING
THIS PERMIT BECOMES NULL AND VO10 IF WORK OR CONSTRUCTION ZpNING SO. FT CU FT
AUTHORIZEO IS NOT COMMENCED WITHIN 60 DAVS, OR IF CONSTRUCTION
OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT
ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS OFFSTREET PARKING
I HEREBY CERTIFV THAT I HAVE READ AND EXAMINED THIS APPLICATION 1 STALLS GAFAGES
AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS VALUATION SUfiTAX �'i lie SC
AND ORDINANCES GOVERNING THIS TYPE OF WORK WIL� BE COMPLIED $112,506 �S6.ZS
WITH WHETHER SPECIFIED HEREIN OR NOT THE GRANTING OF A PERMIT �LIZ.SL
DOES NOT PRESUME TO GIVE AUTFIORITY TO VIOLATE OR CANCEL THE pERMIT FEE SAC CHARGE
PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING cor,- $952.25 $950.00
STRUCTION OR THE PERFORMANCE OF CONSTRUCTION
` PLAN CHECK FEE TOTAL FEE
l ,�.�—� �` �> License SC $5.00 $2,076.01+ PF
NnluaeOFCON:Rn AUTMORIZEDAGENT �DATEi WHEN PFiOPERLY V DATE THIS IS YOU PERMIT
_ r� � ��%
S�GNnTURE OF OWNER �ii pWNEA BU�LDER� iDATEi BIOG NSP � ��°rE
NEW . , � ]
A�LN [ )
ALTER [� ]
CITY OF FRIDLEY
SINGLE FAMILY AND DUPLEXES R-1 AND R-2
BUILDING PERMIT APPLICATION
Effective 1 / 1 /97
ConstructionAddress: � �Q (� �.,��� T��� � ��;�-f
Legal Description: �.pT 15 ,`j? �u;� �, C�..�Q����50t� -KC,�S � NC�
Owner Name & Address: � }.�� �-�-�� l � ��� (��,t��� �y � N �, Tel. # � � _ �C��
Contractor: 5� m� MN LICENSE # I���
Address: ��o� ����� ,t��F -�� ���v � L�E , N1 f� S I 1 Tel. #!� �$ -- Q�C'X�
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 IlVIPROVEMENT
Length �-/,7=0" Width �.5 � p" Heig�t �D,-(�,,
�n g� s 2� = D' Wid t h �;? C�'- C 7" H e i g h t $ r ,_ v�
�ng� Width Hgt/Ground
sq. Ft. i� z y;��. 5 y
Sq. Ft. �j0 %l�`1,3�� `�
s Ft. Y �' � �3s,���
q• r
' lli �JL '�C
Constniction Type: �j� �,� �q M i�y Estimated Cost: $� 3, y q ���
(Fee Schedule on Back)
Driveway Curb C�t Width Needed: Ft. + 6 Ft = Ft x$
_$
DATE: (�- (p ° �I � APPLICANT: � ; ��.rv� ,�-� �.�I.� r � � Tel. �# (,�� � -d��'j
Permit Fee
Fire Surcharge
State Surcharge
SAC Charge
License Surcharge
Driveway Escrow
Erosion Control
Park Fee
Sewer Main Charge
TOTAL
STIPULATIONS:
� �'��, z�
$ 2, �
� � .Z-�
� 9� ��
$ �, �x�
$
$
$ 3s��-,
$
� �yZ�. ol
CITY USE ONLY
Fee Schedule on Reverse Side
.001 of Permit Valuation (1/lOth%)
$.50/$1,000 Valuation
$950 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 �
������� �
I3UILDIi\'G PE[���[T PEE SCF�EDULE�.
"['he Ctiief I3uilding Official sliall, before issuing pern�its for the erection o(' any building or structure, or fi�r
an}' �►ddition to any existing building or structu�e, or for any alteration or repair to any existing buildinn or
stivcture, upon application therefore, require the payment by the applicant for such permit of fees to the amount
herein below set forth and in the manner herein provided to-wit:
TOTAL VALUE
� 1 to $500
��01 to $2,000
�Z,001 to $25,000
�25,001 to $50,000
�50,001 to $100,000
$100, 001 to $500, 000
�500,001 to $1,000,000
$1, 000, 001 and up
FEES
$21 (Minimum Fee is $21 plus surcharge)
$21 for first $500 plus $2.75 for each additional $100 or
fraction thereof, to and including $2,000
$62.25 for first $2,000 plus $12.50 for each additional $1,000
or fraction thereof, to and includin� $25,000 ...
$349.75 for first $25,000 plus $9.00 for each additional $1,000
or fraction thereof, to and including $50,000
$574.75 for. first $50,000 plus $6.25 for each additional
$1,000 or fraction thereof, to and including $1p0,000
$887.25 for first $100,000 plus $5.00 for each additional
$1,OOO�or fraction thereof,.to and including $500,000
$2887.25 for the first $500,000 plus $4.25 for each additional
$1,000 or fraction thereof, to and including $1,000,000 �
$5012.25 for the first $1,000,000 pIus $2.75 for each additional
$1,000 or fraction thereof
DRIVEWAY DEPRESSION ESCRO«
(Concrete Curb Streets Only)
Alternate "A": Removal and replacement of curb and gutter only - Drive�vay width plus 6 feet times $13.50.
Alternate "B": Removal and replacement of curb and gutter and install a 3 foot wide
approach �vith 6 inch depth - Driveway width plus 6 feet times $15.75.
VERIFICATION OF FOUNDATION
.
I'�;-�ilits for coiistruction will be issued a minimum of 24 hours from the time of application to allow �or prop���
rc:vie��� of the proposed stiucture and of the construction site.
�� �_'�,�til�ica[e of Survey ot� thc lot, showing the location of the foundatio�� �>nce it has it has been construct�•:_1
�i�� ;��� r�quirecl h�tore E�r<,cecdim� ���ith tlie framin�.
�
CITY OF FRIDLEY INSPECTI�N QIV.
6431 University Ave NE
Fridley, MN 55432
572-3604
RAT� SCHE�ULE
Rosidentiai
����I��
�4PPLICATIOI� FOR PaWER PLANTS AND HEATI��G, COOLIhIG, VEN7ILATION,
REFRIGERATION AND AIR CONDITIONING S`rSTEMS A�JD DEVICES
Furnace Shell and Duct Work, Burner —
Also Replacement Furnace
(Side Vent — Ffll Out Back)
Gas Piping (Needdd with new furnace}
Gas Range
Gas Dryer
*Air Cvnditioning — All Sfzes
All Others/Repairs & Alterations (LIST ON BACK)
1% of Value of Applfance or Work
Commvrcial/Industrial
1,25% of Value of Appliance or Work
Rate TOTAL
$ 30,00 � � �, IT�
$10.00 $ 4, C�
$ 10.00 $
$ 10,00 $ � �. C' ��
$ zb.00 � a �. ��
$
$
State Surcharge
70TA1_ FEE
,50
� 5.50
MINIMUM FEE FOR ANY HEATING/CQOLIWG,L/ENTILATION
REFRIGERATION/AIR CONDITIONIIVG PERMIT 1:3 $25 00
PLUS THE $.50 STATE SURCHARGE
REINSPECTION FEE $42,00/Hr
*Air Conditioners can not be placed in a sido yard without
writtan permission lrom adjoining property ownor,
�--, -�--
EffectiveIIn arch 1, 1996
JOB ADDFIE5� '�,J l�' l� i� f� f S�I�.SG�}'� �6. �, �-�
The undersigned hereby makes applicatfan for a pErmit for the work herein
specified agr�eing tu do all work in strict accordance with the City Codes and
rulings of the Bullding Divls(on, �nd horeby declares that all the facts and
representations stat�d in this application are true and correct. �
�, -ri� --�-�
, ,� ,1,�6
OWNEFI_T� � X,��i��_� �" l��
BUILnING USED Av � Q� S�:� I'� C�
ESTIMAT�D COST� �i�Gl � �, ; PERMIT N0, � �� �% %�
�i •► � :.: _. � •c •
------ -- -- -- - �.�:�
No, of I-leatin Units ( . Circle Ono (Steam) (Hot Water) (Warm Alr)
Tr�d�, Name��{ j% �'{ �� Size No,
BTU F�, (7� G' HP EDR
Fuel�—, �l'}�> Total Connected Load r=,�1, , 5
✓
Burn�r "frade Name Size No
E1TU
HEAI"ING CC)MPANY
Signed
HP EDR
�G�'�� ����"(r� G� ��" �l C:
Tel No._,r�2�� � �%
Approved 8y Rough—In Date Final Date �6 %
FILL OUT E3ACK SIDE F STACK VERIFICATION ON �7_ "_
REPLACEMENT FURNA E
CFIIIVIlVEY AND STACK VERIFICATTON
The undersigned hereby verifies that the existing chimney or stack:
1. Has been carefully examined Yes () No ()
2. Is free from nist or deterioration Yes () No ()
3. Has no foreign objects lodged within Yes () No ()
4. Is securely supported Yes () No ()
5. Meets all current Code requirements for size
and total BTU's connected Yes () No ()
6 Has total heating BTU's of
All other BTU's
TOTAL BTU's
7. Has a liner been provided for water heater Yes () No ()
8. Has combusrion air been grovided for water heater Yes () No ()
: ,�
i r�
L
�, u
List ALTERATIONS Being Done:
HEATING CO:
Signed By:
Date:
�1,(,�' � 11 e�S �
( �-�
d
Client: Rottlund Homes
Address: 2681 Long Lake Road
Ciry: Roseville, Minnesota 55113
Phone: 638-0500
Fax: 638-0501
Comment: YOUR BUILDER FOR LIFE
Project Name:
Reference City:
Daily Temperature Range:
Latitude:
Elevation:
Outdoor
� Bulb
Winter: -20
Summer: 95
Company:
Representative:
Address:
City:
Phone:
Fax:
Comment:
- �Fulto slab on grade)
mneapolis, Minnesota
Medium
44 Degrees
834 Feet
Outdoor Indoor Indoor Grains
Wet Bulb Hel.Hufl1. �qLBL(h Qifference
N/A N/A 72 N/A
75 50% 75 36
����ro�
Flare Heating & Air conditioning, Inc.
Randy
9303 Plymouth Ave. N.
Golden Valley, Minnesota 55427
542-1166
542-3101
YOU CAN FEEL THE DIFFERENCE
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}�� ::>:�::•;::G:�::;�i:�i:.. . .... ...... .:: : .. :. : � �. . : �� �: �- : : �? ::
i
Total Building Supply CFM: 878
Square feet of room area: 2,085
CFM per square foot: 0.421
Square feet per ton: 971.676
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Total heating required with outside air: 59,658 Btuh 59.658 MBH
Total sensibfe gain: 19,312 Btuh 77 %
Total Iatent gain: 5,812 Btuh 23 %
Total cooling required with outside air: 25,124 Btuh 2.094 Tons (based on sensible + latent)
2.146 Tons (based on 75% sensible capacity)
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Calculations are based on 7th edition of ACCA Manual J.
All computed results are estimates as building use and weather may vary.
Be sure to select a unit that meets both sensible and latent loads.
!
�-
'`� Component Area Sen. Lat. Sen. Total
! Description Quan Loss Gain Gain Gain
; 4A Window Double Pane & Storm Clear Glass Wood Frame 202 6,336 0 7,110 7,110
; 8M Glass Door pouble Clear Glass Wood Frame 40 2,028 0 1,200 1,200
� 11 C Door Metal Polystyrene Core 38 1,643 0 422 422
121 Wall R-19 + 1/2" Asphlt Board(R-1.3) 1,858 9,402 0 2,412 2,412
I 131 Part R-19 + 1/2" Asphit Board(R-1.3) 162 410 0 134 134
; 16I Ceiling R-441nsulation 1,114 2,357 0 1,127 1,127
i 20J Floor Over Open Crawl Carpet + R-30 14 45 0 7 7
� 23C Slab/Warm Duct 11/2" Edge Insulation(R-8) 26 2,392 0 0 0
� 23D Slab/Warm Duct 2" Edqe Insulation(R-11) 130 11,123 0 0 0
; Subtotals for structure: 3,584 35,736 0 12,412 12,412
� Active People: 8 0 1,840 2,400 4,240
� Inaciive People: 0 0 0 0 0
i Appliances: 0 0 300 1,200 1,500
� Lighting: 0 0 0
: Ductwork: 0 2,666 0 0 0
Infiltration: Winter CFM: 120.0, Summer CFM: 60.0 280 12,148 1,469 1,320 2,789
�� Ventilation: Winter CFM: 90.0, Summer CFM: 90.0 0 9,108 2,203 1,980 4,183
, Sensible Gain Total: 19,312
' Temperature Swing Multiplier: X1.00
�•�3uilding Load Totals: 59,658 5,812 19,312 25,124
��;����_
, Total Buffding Supply CFM: 878 CFM per square foot: 0.421
Square feet of room area: 2,085 Square feet per ton: 971.676
.�...�._ �r.�..._._
°�d€� �.�;ti� ; _' ' '
Total heating required with outside air: 59,658 Btuh 59.658 MBH
Total sensible gain: 19,312 Btuh 77 %
Total latent gain: 5,812 Btuh 23 %
Total cooling required with outside air: 25,124 Btuh 2.094 Tons (based on sensible + latent)
2.146 Tons (based on 75% sensible capacity)
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.•:x�:•`•::.. � \• �.\. .a. �..,i'^y:.,�.�rxx < .t. ��� J . \'\�'+ $,`�`;}r...:�:�:�:i:::�i>:�i:<�:<az::�:�>i:�:�t�:
Calculations are based on 7th edition of ACCA Manual J.
All computed results are estimates as building use and weather may vary.
Be sure to select a unit that meets both sensible and latent loads.
�
i�'
- �:'<:i
i;omponent Area Sen. Lat. Sen. Total
Description Quan Loss Gain Gain Gain
4A Window Double Pane & Storm Clear Glass Wood Frame 202 6,336 0 7,110 7,110
8M Glass Door pouble Clear Glass Wood Frame 40 2,028 0 1,200 1,200
11 C Door Metal Polystyrene Core 38 1,643 0 422 422
121 Wall R-19 + 1/2" Asphlt Board(R-1.3) , 1,858 9,402 0 2,412 2,412
131 Part R-19 + 1/2" Asphlt Board(R-1.3) 162 410 0 134 134
161 Ceiling R-44 Insulation 1,114 2,357 0 1,127 1,127
20J Floor Over Open Crawl Carpet + R-30 14 45 0 7 7
23C Slab/Warm Duct 11/2" Edge Insulation(R-8) 26 2,392 0 0 0
23D Slab/Warm Duct 2" Edqe Insulation(R-11) 130 11,123 0 0 0
Subtotals for structure: 3,584 35,736 0 12,412 12,412
Active People: 8 0 1,840 2,400 4,240
Inactive People: 0 0 0 0 0
Appliances: 0 0 300 1,200 1,500
Lighting: 0 0 0
Ductwork: 0 2,666 0 0 0
Infiltration: Winter CFM: 120.0, Summer CFM: 60.0 280 12,148 1,469 1,320 2,789
Ventilation: Winter CFM: 90.0, Summer CFM: 90.0 0 9,108 2,203 1,980 4,183
Sensible Gain Total: 19,312
Temperature Swinq Multiplier: • X1.00
F:?one Load Totals: 59,658 5,812 19,312 25,124
Supply CFM: 878
Square feet of room area: 2,085
Total heating required with outside air: 59,658 Btuh
Total sensible gain: 19,312 Btuh
Total latent gain: 5,812 Btuh
Total cooling required with outside air: 25,124 Btuh
CFM per square foot: 0.421
Square feet per ton: 971.676
59.658 M BH
77 %
23 %
2.094 Tons (based on sensible + latent)
2.146 Tons (based on 75% sensible capacity)
_
_
CITYOF
FRIDLEY
1=RIULFY MUNICIPAL CENTEK • 6=131 UNIVERSITI' AVE. N.E. FRIDLEY. �I\ �i432 •(61�1 571-3�>0 • FAX (612> 571-1287
July 30, 1997
Rottlund Company Inc
2681 Long Lake Rd
Roseville, MN 55113
Re: Park Fee Shortages for Issued Building Permits
Dear Sirs:
In checking our files we discovered that on 10 building permits
issued in Christenson Crossing, you were charged a$350.00 park fee
instead of the required $375.00 park fee which was a stipulation of
the plat approval, resulting in a total amount due of $250.00.
The addresses involved are: 121 Christenson Court NE, 128
Christenson Court NE, 130 Christenson Court NE, 133 Christenson
Court NE, 135 Christenson Court NE, 137 Christenson Court NE, 140
Christenson Court NE, 141 Christenson Court NE, 145 Christenson
Court NE, and 147 Christenson Court NE. Each building permit has
the park fee paid noted in the stipulation section.
We apologize for any inconvenience this error might cause and if
you have any questions concerning this matter, please feel free to
contact me at 572-3602.
Thank you for your prompt attention to this request.
Sincerely,
RON JULKOW�CI
Building �fficial
RJ/mh
CITY OF FRIDLEY INSPECTION DIV.
6431 University Ave NE
Fridley, MN 55432
572-3604
Water';
Stories Closef Urinal
Basement
Floor 1 1
Floor 2 �'
Floor 3
Floor 4
PLUMBING FIXTURE RATES
Effective On January 1, 1997
APPLICATION FOR PLUMBING AND GAS FITTING PERMIT
MARK NUMBER OF FIXTURES TO BE INSTALLED ON EACH FLOOR
Ba h Wash Drink. ' Floor Catch Auto. Gas : Gas Misc.'' ' Water Heater
Tub Shower Sink Tray Fount. Drain Basin Washer AppL ' Range Fixt, Gas Elec
�
NO. RATE TOTAL
New Fixtures �G'�
Old Opening, New Fixture
Beer Dispenser
Blow Off Basin
Catch Basin
Rain Water Leader
Sump/Receiving Tank
Water Treating Appliance
Water Heater —Electric
Water Heater — Gas** I
Gas Range** i
Gas Dryer** I
Back Flow Preventer Required ()Yes () No
Type
$ 7.00 ���, U�
$ 4.00
$ 5.00
$ 7.00
$ 7.00
$ 7.00
$ 7,00 _
$10.00 __
$ 7.00
$10.00 �U-CJD
$10.00 /n.GC%
$10.00 _7(n" L, �
$15.00
Reinspection Fee $42.00/Hr
ALL OTHERS AND/OR REPAIRS AND ALTERATIONS
1.5% of Value of Fixture or Appliance
State Surcharge
TOTAL FEE
$ .50
$-�-sv
r
JOB ADDRESS
( � ,' / i;��`.` �
/3�� �'rf��,S�:.� -� �"r.�_-� �r�
The undersigned hereby makes application for a permit for the work herein
specified agreeing to do ail work in strict accordance with the city codes
and rulings of the Building Division, and hereby declares that all the facts
and representations stated in this application are true and correct.
� _�� , 1997
Owner
Building Used As
/�`l� T�Lc,.���t� .�
�
Estimated Cost __� PERMIT NO, i/���,
PLU�IBING COMPANY �/�}�'������rE�� �s
SIGNED BY _�� �� /✓s�"-7-✓�� TEL N0, G�S,�-.�'.�/
Approved By Rough—In Date Final Date � r� �?
MINIMUM FEE F R ANY PLUMBING/GAS PERMIT IS $20.00 �lI
PLUS THE $.50 STATE SURCHARGE
**COMBUS1lON AIR SHALL BE PROVIDED PER UMC SECTION 504(A) AND TABLE 6—A. MINIMUM SIZE 9 SG� INCHES.
s
�
cr�nr oF
FRIDLEY
f=RIDLE:Y �-1l.�NICIF'AL CENTER • 6431 UNIVERSITY AVE. N.E. FRIDLEY. !�1N Sj=13? •(6I�i i71-:t-150 • FAX (61?) 571-I'n7
September 10, 1997
Rottlund Homes
2681 Long Lake Rd
Roseville, MN 55113
Re: Final Inspection at 130 Christenson Court NE, rridley, MN
Dear Sirs:
A final inspection was conducted on Segtember 10, 1997 for the above nated townhouse. We
found that the construction of the building unit complies, to the best of our knowledge and
�elief, with all the requirements of the building cades of the City and the State of Minnesota
relatin�; thereto, and permission is hereby given for the occupancy of said unit.
If you have any questions on this matter, please feel free to contact me at 572-3603.
Sincerely,
RON JUL�WS
Building ficial
RJ/mh
G'
SuB�ECT
c�ty of Fridley
,, 57�-���� TME TWINS g � I L D I N G P E R M I T
� �
� ` .___ COMMUNITY OEVELOPMENT DIV.
r � y � PROTECTIVE INSPECTION SEC.
1 �
i_._-����"" �'� CITY HALI FRIOLE� 55132 NUMBEN AEv
L 61Z-571-3450 9t0-F15
10B ADDRESS
��gx�� 130 Christenson Court NE
t LEGAL LOT NO. BLOCK TRACT OR AODITION
DESCR. 1S 1 Christenson Cross
2 PROPERTY OWNER MAIL ADORESS
Jean Christofferson
7 CONTRACTOR MAIL ADDRESS
Minnesota Exteriors 8600 Jefferson Hwy Osse
� ARCHITECT OR DESIGNER MAII ADORESS
5 ENGINEER MAllAODRESS
6 USE OF BUILDING
Residential
7 CIASS OF WORK
O�TE
11/2/98
21P
ZIP
55369 493-
ZIP
ZIP
v�GE OF
� �
28493
E PT NO.
� ��r
vROVEO Br
SEE ATTACHED
SHEET
PMONE
572-9875
PHONE LICENSE NO
) 28�%
PMONE LICENSE NO
PHONE LICENSE NO
O NEW O ADDITION ❑ ALTERATION [�x REPAIR O MOVE O REMOVE
6 DESCRIBE WORK
Siding and fascia on west side - storm damage
9 CHANGE OF USE FROM
STIPULATIONS
TO
Call for building wrap inspection before covering.
SEPARATE PERMITS ARE REOUIfiED FOR ELECTFICAI. PLUMBING, MEATING,
VENTILATING OR Alii CONDITIONING
THIS PERMIT BECOMES NULL AND VOID If WORK OFi CONSTFUCTION 20NING
AUTNORIZED IS NOT COMMENCED WITNIN 60 OAYS. OR IF CONSTqUCTION
OR WORK IS SUSPENOED OR ABANDONED FOq A PERIOD OF 120 DAYS AT
ANY TIME AFTER WORK IS COMMENCED NO DWLG. UNITS
I HEREBY CERTIFV TMAT I HAVE READ ANO EXAMINEO THI$ APPLICATION
AND KNOW THE SAME TO 8E TRUE AND CORRECT. ALL PROVISIONS Of LAWS VA�UATION
AND ORDINANCES GOVERNING THIS TVPE Of WORK WILL BE COMPLIED
WITH WHETMER SPECIFIED HEREIN OR NOT. THE GRANTING Of A PERMIT SOO
DOES NOT P • AUTHOfiITV TO VIOLATE OR CANCEL THE pEqM1T FEE
PROV OF ANY OTMER TAT AL LAW REGUTATING CON-
UCTipN OR THE PERf A E STRUCTiON - ZI.00
PLAN CHECK FEE
I - S�GN�fUpEO�C9K:�'MTTOQOQ�NOp�ZED�GENT iD�TEi
✓ _
S�GNGTUqE O� OWNEQ��� OW�+EpBUiIDERi iD�TEi
SO fT
STA��S
ROUP OCCUPANCVLOAD
CU FT
OfFSTREET PARKING
IGARAGES
SURTA%
$.50
SAC CMARGE
Fire SC $.50
TOTAL E
IS IS YOUR PERMI
— �
r�c r�
1
JUL-16-1998 11��E FROM CITY OF FRIDLEY TO 4933b69 P.02i�2
)DN ( � ;., ; ; ; : CITY. OF FRII?LEY . . . � �7�
� t.., r . . ..,. .
.TER [] SYNGLE FAMII.Y =AND � DUPLEXES R-1 AND R-2
;: � . ..... BUILDING PE�2MIT APPLICATTON . � „, �
. , . . . . . , . . . . =�,(���, �.��3
nstructionAddress: (��� �'�.4 .�-L�c��,�,�:nt2. � ' �ih-�[��: „ �
;al Desc�iption: � �
�ner Name & Address: J��;,� �,1.�^,����s,�p;�- Tel. # S ��2'a ^J
�
�Utactor: ' VL%<�+a�cr��$�e, �k�c� �� � MN T.ICENSE #�_.��Z�� %
—
iress: ��� � �' �"� .zti. � �_=��'�� .�'S�� ��' Tel. # ��i�� � � .
rIl�iG A�,A►,:
RA.G� AAkLA;
. ,
,
��_ :
`�' ALtach to �his applicatiori, a Certif'icate of Survey of the
lot, with the proposed construction drawn on it to scale.
.. . .... DESCRIP'TION OF IMPROV�MENT
Length Wzdth H�ight
• � � �Let�gth ��� � � � Width Height
� Length � �� � � Width � � � Hgt/Ground
Sq. Ft.
Sq. F� �
Sq. Ft.
;truction 1`ype: Esumated Cost: $ �''�'��',�yj`� �
-�• • • •� •- � • � . � _ . (Fee Schedu2e, on Back1 • �
eway Curb Cut Width Needed: `�'��� Ft: �+ 6 Fc =� F� x� � _$ �
'E: APPLICANT: . C _,�� Te1. # ��'l � �SS� .
. . �� , ��'_•---- ■.
� . .. CITY USE Oh`LY
ut F� �� U� � Fee Schedule on Reve�se Side
S�u�charge �� �� .00i of Permit� Valuation (i/lOth%)
S�trcharge � $.50/$1,OOO�Va.luation
Charge $ $IUOp per SAC Unit �
cse Surcharge $ ,S �(�� $5.00 (State Licensed Residenual Contractors}
:way Escrow $ AIt. "A" or Alt. "B" Abo�e
on Control $
Fee $
r Main Charge $
or�.
ULATIONS:
$ °? - Dd
$450.00 Conservatian PIan Review
Fee Determzned by Enginee�ing �
Agreement Necessary [) Not Necessary [ J
TOTAL P.02