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AF - 42862�* � * PIOI�@R 1 . * e�'1e F�Be!" * * *� LAND ETIpNEERS LAN� PIANNERS • UWOSCAPE ARCHITECTS Certificate of Survey for: House Address: ':1 �� v po.nd House Mode1: �:. 2422 Enterprlse Drlve M�dota Heighte, MN 55120 (812) 881-1914 FAX:681-9488 825 Hiqhwcy 10 N.E. Blalne, IdN 55434 (612� 783-1 �80 FAX: 783-1883 T.HE RO �'TL UND CO.MPANY 140 Chr3stenson Court. .�s� io� "B" C�RISTE.�TSO.�i COIIRT � � � � � � � � �; ��ac� � m �i �� .� '� �� 10 �p �Q�� j Z"�o � . � ��`s0� ao: o `� � 0 ��s �' a+ . ---� �=---ii'-1 / � /�� O \ � a�0 aoo �4 � > 9 `� vacant � SATELLITE LANE x 400.0 oer►otsa Exl�ting Elavoc►tlon � Deno#es Pra�oaed ElevotJon p2t0 .� �1?N� ,�T.��LTIOA� —�- Deceotea DrF�Pnoge Floee Dkec�ion — Denotes Dr�slnage dc Ut111#y Fasement Gorage Slab F[evotiorr. 850•7 (at door) �- Denotes Mertument No�: P�o�o� �edu+s an. arodr+e � u� �ao�+�e with the -�- Denotea Of�set Iron Becrings shown are ossumed �a°�'9 Pb"a a�.o.�a by ma �rty «,9�,eer. NOTE: Contrcctor muat wrHy aq dimandona de driveway deaiq�. I.OT � �� .�LOC.K 1 CHRIS�'.��1iS01�' CROSSd�V'G ANOKA COUN7Y, MINNESOTA We hereby certify @hat this survey. plan or report was prepared by me or under my direct supeMaton and thct I a duly licensed Land Sunreynr und�r the laws of the State of Minnesota. Dated this ��tN day of n1o►.� A.Q. 19�. Signed: PtONEER ENGIN ERING, P.A. ►.S'�.'�1�. ��h= 3�feet BY �, - ,� Robert B. Sikich, L.S. Reg. No. 14891 or 3 16190.15 TRB Terrence E. Rothenbocher, LS. Reg. No. 30595 sue�ecr P City of Fridley AT THE TOP OF THE TWINS g U I L D I N G P E R M I T �� r ; � R COMMUNITY DEVELOPMENT DIV. r � V � PROTECTIVE INSPECTION SEC. ��I � � � 1 � � � �"'1 � CITY H ALL FRIDLE� 55432 NUMBER REV DATE PAGE OF nPaROVED Br �.---� • •'� 612-571-3450 910-Ft5 6/5/97 � / 10B ADDiiESS 140 Christenson Court NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. IO 1 Christenson Crossing SHEET 2 PROPERTY OWNER MAIL AODRESS Z�P PHONE Rottlund Company Inc 2681 Long Lake Rd, Roseville MN 55113 638-0500 1335 3 CONTRACTOR MAIL ADORESS Z�P PHONE LICENSE NO Same 4 ARCHITECT OR DESIGNER MAIL ADORESS ZIP PHONE LICENSE NO. 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO 6 USE OF BUILDING Townhouse 7 CLASS OF WORK � NEW ❑ ADDITION O ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Construct a 48' x 25' Townhouse and a 20' x 21' Garage 9 CHANGE OF USE FROM TO STIPULATIONS See notations on plan. Paid Park Fee of $350.00. Paid L�dditional $25.00 Park Fee on 9/18/97. TYPE OF CONST. OCCUPANCV GROUP OCCUPANCV LOAD SEPARATE PERMITS ARE REOUIRED FOR ELECTRICAL, PLUMBING, HEATING, VENTILATING OR AIR CONDITIONING. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING S0. FT CU. FT. AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OFi ABANDONED FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS OFFSTREET PARKING I HEREBY CERTIFV THAT I HAVE READ AND EXAMINED THIS APPLICATION 1 STALLS GARAGES AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS VAIUATION SURTAX Fire SC AN� ORDINANCES GOVERNING THIS TVPE OF WOfiK WILL BE COMPLIED 79,155 �39.5$ WITH WHETHER SPECIFIED HEREIN OH NOT. THE GRANTING OF A PEHMIT � 79. 16 DOES NOT PRESUME TO GIVE AUTHORITV TO VIOLATE OR CANCEL THE pERM1T FEE SAC CHARGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- $762�25 $950.00 STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. PLAN CHECK FEE TOTAL FEE License SC $5.00 $1,835.99 + PF S AE OF CON'RACTO A OAi2ED AGENT �DATEi WHEN PFOPERL VAL�TED THIS IS VOUR PERMIT ��sm % SiGNATUAE OF OWNEA ��F OWNEA BUIL Fii IDATE� a - BLD �NSP f�6TE NEW AD�N ALTER [l [l [� � CITY OF FRIDLEY � SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION Effective 1 / 1 /97 �a�/� ConstructionAddress: _ /�('j (,j..��l �jj��p� �O�T � Legal Description: �,p°� , l� ,`p� I_N �4 � �, N2��E►�►SUt�! C�I �1 Cs Owner Name & Address: �}.�� 1, �� A��,, �y I{�1 �.,, Tel. # �n�c-j�_ Contractor: Sp� �Y1 E MN LICENSE #_ _ 13?i� Address:_,��0$1 j„h�� K�, -�� vl L�� ,� 551 ! Tel. # _ !� ��-p JOU Attach to this applica.tion, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF IlIZPROVEMENT LNING AREA: � Length Li ��-� D�� Width o?,�'-p � Height �I `-0" Sq. Ft. I �� 1- �� GARAGE AREA: Length D��D�� Width 21'-D" Height I��-C�"` Sq. Ft. �/� Z�� '•3 z- DECK AREA: I.ength �--- Width Hgt/Ground �--- Sq. Ft. -=7G2Y �� OTHER: � � -� jY;lo Constniction Type:,�I�b1J�-4-r�tM� �E ��n �Al Estimated Cost: $ . �`� 5�, 0 tFee Schedule on Beck) Driveway Curb C�t Width Needed: Ft. + 6 Ft = Ft x$ _$ DATE: ��j - 2Z - L�`� APPLICANT: �.. � �l�%}�( f� �i��.�c�yr� Tel. # � � p�---C� �C`� Permit Fee Fire Surcharge State Surcharge SAC Charge License Surchazge Driveway Escrow �rosion Control Park Fee Sewer Main Charge TOTAL STIPULATIONS: $ �'% �Z. 2� $_ �%q. /� $ � ��), �e' $_ .� � $ $ $ '��, � $ Y�' � � . � � 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 [ ] � r Not Necessa�t� \ � �. � I,� +ti;, ��1 •� � � ir� - .. I3UII,DI\'G I'EIZIVIIT EEE SCHEDUI�E: 1'he Chief Building Official shall, before issuing perniits for the erectioi� of any building or structure, or fi�r an}� addition to any existing building or structu�e, or for any alteration or repair to any existing building or structure, 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 $SQO $501 to $2,000 �?,001 to $25,000 $25,001 to $50,000 FEES $21 (Minimum Fee is $21 plus surcharge) $21 for first $S00 plus $2.75 for each additional $l0U 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 including $25,000 - .._ $349.75 for first $25,000 plus $9.00 for each additio�al>$1,000 or fraction thereof, to and including $50,000 a�50,001 to $100,000 $574.75 for. first $SO,Q00 plus $6.25 for each additional $1,000 or fraction thereof, to and including $1Q0,000 . .,.. $100,001 to $500,000 $SQ0,001 to $1,000,000 $1,000,001 and up $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 includi�n� $1,000,000 � $5012.25 for the first $1,000,000 plus $2.75 for each additional $1,000 or fraction thereof DRIVEWAY DEPRESSION ESCROW (Concrete C�xrb Streets Only) Alternate "A": Removal and replacement of curb and gutter only - Driveway width plus 6 feet times $13.50. Alternate "B": Removal and replacement of curb and gutter and install a 3 foot wide approach �vith 6 inch depth - Driveway width plus 6 feet times $15.75. VERIFICATION OF FOUNDATIO\' L Pcrnii[s for construction will be issued a minimum of 24 hours from the time of application to allow for proper re��ie��• of the proposed structure and of the construction site. t� ��e�ciiicace of Survey of the lot, showing the location �f the foundation c�nce it has it has been constructe�:! ��i:: ;,,� rcquired hef'c�re �rc�cecding with the framin�. �. �1 � , u � � � �} � •, � �� rn a� t i c� L _ O > m W > 0 Z 0 U W a � z w � � � � O U O g � Z w > � � ;� C.i' � � v� °o o � U 0 z�. � � � fCn L1C � G Q. �� a _ � m p� O �� z Fz z° � �z° � U � � O Q aQ oa �+- Z ZO OQ U � a u � ¢ � Z � > � Q � � a� � m Z:.,d _ � O � � M � � �i � s � i ■ .� . � �� m � -a - c t o ac Y U �' � o` >, � � 3 � �►- m U o► L m .�. �: � � _ U m '� Y " `o �h� � 3 t V � U � _ Q� � � � i i V L O O d► •- V � m a � o � � � � U � O o � m � ' � � Q. C � V C � Y 4f Q' � � C � ,�3oN I � N y � � � D � � � �� m o � a -sa �' � � o °c ° m c � �� O a. l� •r. c� � $ � � � 3 � = a z mm-a � � w 2 m O a� Q 0 tt1 � � � z D � m � �'� Q � � � � i Y °z 3 � O � � z�a W � W � p � E N J Z Q l� f!i � N � m �.. �� m �� ° , � - � � � U , � � � LL �� p d U a f- _ V �' � � F �� S � Z 0 c m m W � � , � Q = Z � '� i'_ � p o � � �� w z°��u mm � �\� �� .� 1 o� � � . � � +fl rfl �s � � ' °o_ o � o 0 c7 � � � I m c � m Y O � U � O �a c � m � � C � m U 'II c a� � � � � m U � c �� Y `� 0 3 � U � _ = O � � LL � m � m F c m z � � � N� � L�. � � 4. N ��n Q V 0 0 0 � m � C ta OC N ��rt V 0 0 0 � � 0 � ��R V 0 0 � N � � N N Q w c o, '� C O U Q � � U 4 m � O � �o � � C O •- ,�, O � � Y C � $ '� o m m 3 i � m � r o O � Q T � � � � � Y 3 O m U C � � �.a.. Q �, a � o c � � j `- O O o E � O N U� m � o � 3 u- � � m � �: O fJ� F- � � � � Z Q a � � U � z Q w _ �� '1 ` 3 m � � 0 V � C � � Z � Z � � Z O m Q � U � � � 1 � ..0 � � Y � � Q � � �w � � 4 w z , 0 � �' C4 L=L � Y Z Q Q� C � �v a O �g _w �� a � � 0 r 3 � i � m A � m o � � � � m � � O � a U �T i C6 C = Q C O .II � � O � 69 C W = � W � "- � � o O c N � O W � m O � Z U m 1 ,i"�j � � � � CH�VIIVEY AND STACK VERIFICATION The undersigned hereby veri5es that the existing cbimney or stack: 1. . Has been carefiilly examined Yes (�) No () 2. Is free from rust or deterioration Yes () No () 3. Has no foreign objects lodged within Yes () No () 4. Is securely supported Yes () No () 5. Meets all current Code requirem�nts for size and total BTU's connecte,d _ Yes ( j No () 6 Has total heating BT[J's of All other BTLT's TOTAL BTU's 7. Has a liner been pmvided for water heater Yes () No () 8. Has combustion air �en grovided for water heater Yes () No (} Remarks: HEATING CO: Signed By: Date: 0 .> ; Client: � Address: � Ciiy: Phone: Fax: � Comment: Rottlund Homes 2681 Long Lake Road Roseville. Minnesota 55113 638-0500 638-0501 YOUR BUILDER FOR LIFE Company: Representative: Address: Ciiy: Phone: Fax: Comment: Flare Heating & Air conditioning, Inc. Randy 9303 Plymouth Ave. N. 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Project Name: Reference City: Daily Temperature Range: Latitude: Elevation: Winter: Summer: Outdoor Dt�.u1� -20 95 Ashton Minneapolis, Minnesota Medium 44 Degrees 834 Feet Outdoor Indoor Indoor Grains Wet Bulb $�. ,p�� Difference N/A N/A 72 N/A 75 50°/a 75 36 Total Building Supply CFM: 556 Square feet of room area: 1,200 CFM per square foot: 0.463 Square feet per ton: 836.493 :::.::... . ..�::....,.:....,.:...:... .. ....,. ;..:; ...:.:.::.::.::.::.. ..,....:,.:.:�..:....�:.>�::.:,:. .:.... ,..:......,...:...... ...:.::....:.:.::.,::::: .::.....:....:....... ..�:. . . . ..........:.... .. ..... .......... h...,...,...�. ........ ......,................ ,> . ... .............. w......�......... ..........,........,...�:<::.:,<....ti .,.......,.. ..:..�::,:��.>.;,... , �.:...::::.:.,.:,....:,..�:.:...,..::., ...�. .,�........,.... ..,... .,.,:�.>...>....:.,....: ....: .: ...x�...:�.,..,.,....., ,..:....�..... ......,..:.....:.:..:�.:,.::...::�}�:::<.�.�..< ...\. .. \v :•::4......�h�.•.v:.t•4��\•: �:•'.i�:'•:+. 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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 wndow Double Pane & Storm Clear Glass Wood Frame 123 3,859 0 2,836 2,836 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) 960 4.857 0 1,246 1,246 131 Part R-19 + 1/2" Asphit Board(R-1.3) 171 433 0 141 141 161 Ceiling R-4� Insulation 1,200 2,539 0 1,214 1,214 23D Slab/Wa�m Duct 2" Edqe Insulation(R-11) 148 12,663 0 0 0 Subtotals for structure: 2,680 28,022 0 7,059 7,059 Active People: 4 0 920 1,200 _ 2,120 Inactive People: 0 0 0 0 0 Appliances: 0 0 300 1,200 1,500 Lighting: 0 0 0 Ductwork: 0 0 0 0 0 Infiltration: Winter CFM: 54.0, Summer CFM: 36.0 201 5,465 881 792 1,673 Ventilation: Winter CFM: 90.0, Summer CFM: 90.0 0 9,108 2,203 1,980 4,183 Sensible Gain Total: 12,231 Temperature Swing Multiplier: X1.00 Building Load Totals: 42,595 4,304� 12,231 16,535 Total Buiiding Supply CFM: 556 Square feet of room area: 1,200 CFM per square foot: 0.463 Square feet per ton: 836.493 Total heating required with outside air: 42,595 Btuh 42.595 MBH Total sensible gain: 12,231 Btuh 74 % Total latent gain: 4,304 Btuh 26 % Total cooling required with outside air: 16,535 Btuh 1.378 Tons (based on sensible + latent) 1.435 Tons (based on 75% sensible capacity) 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. w�, ; . , . ,. ; , y: , iv' HOUS , A ING TEST ,� :. , , . , . • ,, ,,� - _ � . . �� . �i RECORD Adl�RESS ` � � � ' ' APT. FLOOR CITY �SUBURB OCCU�AL+IT OWNER HEAT LOS3 DAT HTG. INST. SOLD BY "r INSTALLED BY ��a � Elechical Wo k Bp Gas Lins Br �� TYPE OF HEAT GA FA HW STEAM SPACE HTR. UNIT HTR. OTHER \ � <6AS DESIGN CONVERSION MAK MAKE OF BURNER A�lod�l � Model Ssrial Ma:. BTU Rating — INPUT MAKE OF FURNACE • Mod I THERMOSTAT� Ya Ive Limit � Limit SsHiny � �� Fon Setting �.9i—� e iL S d/ /'`^" p��p "'"`-- Vent Size � /� KIND OF LINER SIZE NONE Draft Hood ulator I ~ ,,� Filters Siz ��'1V umber �� Chimnsy Location Inside Outsids Pilot Type �;��'-�' � Chimner Construdion Pilot Make �.�� - __ .. Pilot Modet � SmokervBomb Wiring Pilot Timing �,T�� Draft ._. Tsst Tag_ L.W. Cut Off Door Pressura Lightiny Inaf. Presauro � Paresnt COZ ^ Dote Tssted ' ��` Input CFH_ Peresnt O Compony Testing �>�"��-`�� 2 � Staek Temp. Percent CO Name of Tsatsr Fe►m 235 , � :' � . . ... .._i.] , .,.. . ..� i. , .. . - -P,� _ CITY OF FRIDLEY FRIDLEY MUNICIPAL CENTER • 6431 UNIVERSITY AVE. N.E. FRIDLEY. MN SS�132 •(61?) 571-3-1i0 • 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, RJ/mh � rn rn � � � c � � c O m � � m w � � z O H w � W z Z } ¢' cN �u v � N � � j Z u. c � � � � � � �I CO 'a N U (4 L.L � V �� v` � � V � � � Ll.� � � � Q m O � n rn rn �I ^\I 1 l` 'v � �Q 1 � O � z H � , a ,� � � � J 0 Z J w F- � Z �� a � � � � N � O � y U � m � � Z � � � � � m W C 'Q � � Z Y � � OW W ai VI � � Da � � 0 � 0 0 0 0 0 0 0 0 0 0 0 0 W o 0 0 0 0 0 0 0 0 0 0 0 � �� ti�� ti o� o 0 0 a � � � � � � � � � � � � � z�llllliil`I�l�z � w a � w � � � X L�. C'1 Z m � � J � 0 0 � � N N } v a� m '� ' � V # � -�'-� � � � « 3 � F`°- Q � � � °' v rn a W � � Z � � � � � t 1 ` N � � � � � J '� � d N # * Q. 7 C Q m N N U � l0 ld �` 3 j< N m� m s� i— 2= C�` O Q '— � � c0 � N ll O � " Q, � � O+,V, C � � N � y O V i— Z O m m U a`�C ��'S C7 (7 m a 0 0 o � v C � � a� � a� � � O 0 � � N � H N � C � < � � � \ � c � c .. d 0 � c E ii � 1 U � C - (0 i �- . Q ; Q : `o i m . 7 > -r-� � � o : � 1 � � I = o \ � o � i � � � w �" a = 4 Z c7 O � m Z � � p m Q N c � = tn I J � ? rn a � � � Z W Z � a 4 � _ �: m � N O Q a ¢ L I� o � � � � m � N L U � � m u � W w � � H � � � C� 1 I oF FRIDLEY FRIDLEY MUNICIPAL CENTER • 6431 UNIVERSITY AVE. N.E. FRIDLEY. �tti 5543? •(61?) 571-3450 • FAX (612) 571-1?_87 August 22, 1997 Rottlund Homes 2681 Long Lake Rd Roseville, MN 55113 Re: Final In�pection at 140 Christenson Court NE, Fridley, MN Dear Sirs: A final inspection was conducted on August 18, 1997 for the above noted townhouse. We found that the construction of the building unit complies, to the best of our knowledge and belief, with all the requirements of the building codes of the City and the State of 1Vlinnesota relating 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, �/ � B RRY SCH Building Inspector :' � SUBJECT c�ty of Fr�a�ey AT TNE TOP Of TME TWINS g � I L D I N G P E R M I T r � � � � � ; y �_��_; COMMUNITY DEVELOPMENT DIV. r � � PROTECTIVE INSPECTION SEC. 1 = � � �"'1 � CITY HALL FRIDLEV 55432 NUMBER �'°`� � �'� 612-571-3460 910-F15 �oe no�aess 140 Christenson t LEGAL LOT NO. BLOCK TRACT OR ADDITION DESCF. lO 1 Christenson 2 PROPERTY OWNER MAIL ADDRESS Steven �an Wsk 3 CONTRACTOR MAILADDRESS Stan flanson Homes Inc. 7611 HwSr. 95, Nort'. 4 AFiCHITECT OR DESIGNER MAIL ADDRESS 5 ENGINEER MAII ADDRESS 8 USE OF BUILDING Residential- townhomes REV DATE 7/16/98 21P ZIP PAGE Of / / PHONE 674_: PNONE PHONE RMIT N � RECEIP . �l� 79 APPROVED BY SEE ATTACHED SHEET LICENSE NO. 8453 LICENSE NO. LICENSE NO. 7 CLASS OF WORK ❑ NEW O ADDITION O ALTERATION �] REPAIR O MOVE O REMOVE B DESCRIBE WORK Reside one side- storm dama.ge 9 CHAN(iE OF USE FROM TO STIPULATIONS ' Call for building wrap inspection before covering. SEPARATE PEHMITS AfiE RE�UIFiED FOR EIECTRICAL, PLUMBING, NEATING, VENTILATING OR AIR CONDITIONING. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING AUTHORI2ED IS NOT COMMENCED WITHIN 80 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENOEO OR ABANDONED FOH A PERIOD OF 120 OAYS AT ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. I HEREBY CERTIFV THAT I HAVE READ AND EXAMINED THIS APPLICATION 1 AND KNOW TNE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS VALUATION AND ORDINANCES GOVERNING THIS TVPE OF WORK WILL BE COMPLIED WITH WHET ER ECIFIED EREIN OR NOT. THE GRANTING OF A PERMIT �SOO DOES NOT R ME TO G E AUTHORITY TO VIOLATE OR CANCEL THE pEqMIT FEE PROVISIO ANY H R STATE OR LOCAL LAW REGULATING CON- STRUCTIO T E PE F RMANCE OF CONSTRUCTION �ZI..00 �� PLAN CHECN License SIGNATURE OF CONiRACT OR AUTNORi2ED AGENT IDATEI SiGNATURE OF OWNE:i�IF OWNEA BU�LDER� �OATE� BL OCCUPANCY STALIS � CU. FT. GARAGES $.50 SAC CMARGE Fire SC $.50 TOT FEE $ .00 TNIS IS. VOUR PER! i i i�J �l � i4T LOAD NEw Il ADDN [ ] AL�t I l ConstructionAddress : Legal Description: _ Owner Name & Addr Contractor: � Address:. %l�/� LIVING AREA: GARAGE AREA: DECK AREA: OTHER: ; , Construction Type: . CI1'Y OF FRIDLEY . _ , � .. SINGLE FAMILY -AND DUPLEXES R-1 �AND R 2 - BUILDING PERMIT APPLICATION , � ,, - „, � f'� �-Sa Effe�tive 1/1/98 �� . ��r ►�L� � C�� , �� - �� S� Tel. #� %'O ' �-� � /'l �' � MN LICENSE #�, ' �� G2 � I�� 4 Tel. # `' f Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF IlVIPROVEMENT Length . Width Height LeIIgth Width - Height �ng� Width _a� � Hgt/Groun� «�i. � .� . Driveway b C�t Wi th Needed: Ft. DATE: v l � APPLICANT: / T Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee Sewer Main Charge TOTAL STiPULATIONS: � �ls�� $ c-� $ �� $ � �-C�� $ $ $ $ $ � `�� 5�� Sq. Ft. Sq. Ft. Sq. F,t� �imacea cosc: $ � .��'�� (Fee Schedule, on Back) Ft x $ _ � Tel. # � �-� � ` USE ONLY % Z �C�� (��.0 r L!'>> �-�� ,�� -L ' Fee Schedule on Reverse Side �) �� ' l A��S �rC' /� �'�-� � A- � .001 of Permit Valuation (1/lOth%) �� c�� /��1�� $.50/$1,(?00 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 [ J Not Necessary [] ,; ,_ �. BUII.DING PERMIT FEE SCHEDULE The Cluef Building Official shall, before issuing pernuts for the erecdon of any building or structure, or for any addition to any existing building or structure, or for any alteration or repair to any existing building or structure, upon application therefore, require the payment by the applicant for such permit of fees to the amount herein below set forth aad in the manner herein provided to-wit: --- -- - TOTAL VALiJE $1 to $500 $501 to $2,0� $2,001 to $25,000 $25,001 to $50,000 $50,001 to $100,000 $100,001 to $500,000 $500,001 to $1,D00,0� $1,000,�1 and up F�ES $21 (Minimum Fee is $21 plus surcharge) $21 for fust $500 p�lus $2.75 for each additional $100 or fraction thereof, to and including $2,0� $62.25 for first $2,000 plus $12.50 for each additional $1,000 or fraction thereof, to and including $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,�0 plus $6.25 for each additional $1,000 or fraction thereof, to and including $100,000 $887.25 for first $100,000 plus $5.00 for each additional $1,000 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 $1,000,0(}0 plus $2.75 for each additional $1, 000 or fraction thereof DRIVEWAY DEPRESSION ESCROW (Concrete Ctiub Streets Only) Alternate "A": Removal and replacement of curb and gutter only - Driveway width plus 6 feet times $13.50. Alternate "B": Removal and replacement of curb and gutter and install a 3 foot wide approach with 6 inch depth - Driveway width plus 6 feet times $15.75. VERIFICATION UF FOUNDATION Permits for construction will be issued a minimum of 24 hours from the time of application to allow for proper review of the proposed structure and of the construction site. A Certificate of Survey of the lot, showing the location of the foundation once it has it has been constructed will be required before proceeding with the framing. . , Building Inspections 763-572-3604 763-502-4977 FAX SITE ADDRESS _ THIS APPLICANT IS: PROPERTY OWNER/ TENANT CONTRACTOR SUBNIIT A COPY OF YOURSTATE LICENSE, BOND AND CERTIFICATE OF IlVSURANCE PERNIIT TYPE �L��ING �SIDEI�T'I'� �PI,�Ct�'I'ION CI'I'Y OF F�I.EY EFFECTIVE 7-1-2010 YOUrR E-A+IAIL ADDRESS l�� l� ❑ OWNER ADDRESS: 1`'iV IiVW�7''�i��l, uj NG PHONE: � 3 - S �I - 7�Z2 STATE LICENSE # STATE BOND # PHONE �'�2�j -��` � 2( �� FAX �rYrE oF wo�x: I °1�"" FAMILY ❑ TWO FAMII.Y ❑ TOWNHOUSE DETAILED DESCRIPTION OF WORK �itEPLACEMENT Permit No.: Re ' B� � Date Rec'd: EXP DATE EXP DATE � Ss � FEES ARE BASED ON $10.00 PER FIXTURE, EXCEPT WHERE NOTED. FIXTURES: (INDICATE TOTAL NUMBER OF EACH BELOV�. MINIMUM FEE $35.50. BATH SINK/LAV FLOOR DRAINS SHOWER WATER PIPING BATHTUB GAS PIPING (NEED CITY LIC) SWIlvIl1�IDJG POOL WATER SOFINER ($35� CLOTHES WASHQt KTfCHIN SINK WATERCLOSET _BACKFLOW PREV. ($1� _ DISHWASHER _ LAUNDRY TRAY �WATER HEATER ($35) FOR IRRIGATION ,_ WATER METER _ OTHER THIS IS AN APPLICATION FOR A PIItMIT-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 the E�I wor hich requires review and approval o�,�la s. SIGNATURE OF APPLICANT PRINT NAME /� ��,J/�/ DATE ��F <<% APPROVAL INSPECTORS SIGNATURE City of Fridley Building Inspections Department 6431 University Avenue NE, Fridley, MN 55432 763-572-3604 FAX: 763-502-4977