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LAND SURVEYORS • CIVIL ENGINEERS
LAND PLANNERS . LANDSCAPE ARCHITEC75
Certificate of Survey for:
House Address:
House Model:
2422 Enterprise Drive -
Mendota Heights, MN 55120
(612) 881-1914 FAX:681-9488
625 Highway 10 N.E
Blaina, MN 55434
(612) 783-1880 FAX:783-1883
THE RO TTL UND COMP
146 Christenson Court
Fulton A
�
CHRISTENSO.N C� U�T _
yacant
--� �---- �
SA TELLI TE LANE
x sao.o Denotes Ex(sting Elevation
oa Denotes Proposed Elev�otlon PROPOSID BUILDD�TG ELEVATIONS
—�- Denotes DraJnage Flow DtrectJon
-- Denotes Dralnage dc UtJllty Easement Garcge Slab Elevation: 853.36 (at door)
�4� DeliOt@S Monument NOTE: Proposed bullding aite groding ia tn oeeordanee with the
' gmdinq plans approved by the ctty engineer.
t �@�►Ot@S Offset Iron Beartngs shown O�@ a33Uli'18ff NOTE: Contractor muat verify op olmenaions dc drfveway desfgn.
LO T 7, BLO CK 1 CHRISTENSON C14�SSING ��
ANOKA COUNTY, MINNESOTA
We hereby certify that this survey, plan or report was prepared by me or u�der my dlrect supeMsion and thot I a duly licensed
Land Surveyor under the laws of the State of Minnesota. Dated this 8th day of .�o��{e�nbor- A.D. 1997.
Signed: PIONEER ENGINEERING, P.A.
��
Scale: 1��=30 eet BY ���-,
Robert B. Sikich. L.S. Reg. No. 14891 or
923 16190.12 TRB Terrence E. Rothenbacher, L.S. Reg. No. 20595
SUBJECT NO.
City of Fridley 2 5 5 4 9�
AT THE TOP OF THE TWINS g U I L D I N G P E R M I T �
r
; ` RECEIPT NO.
� • COMMUNITY DEVELOPMENT DIV.
r � L � PROTECTIVE INSPECTION SEC. ��D �
� �
1 = �
� r�"1 � CITY HALL FRIDIE� SS43Z NUMBER REV DATE PAGE OF AVPROVED BY
�""� � ,'' 612-571-3460 910-Ft5 9/29/97 / /
108 ADDRESS 146 Christenson Court NE
1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED
oesca. 1 7 Christenson Crossing SMEET
2 PROPERTY OWNER MAIL ADDRES3 ZIP PHONE
Rottlund Company Inc 2681 Long Lake Rd, Roseville MN 55113 638-0500 1335
3 CONTRACTOR MAILADDFiESS Z�P PHONE LICENSENO.
Same
4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PMONE LICENSE NO.
5 ENGINEER MAILADDiiESS ZIP PHONE LICENSENO.
8 USE OF BUILDING
Residential Townhouse
7 CLASSOFWORK NEW O ADDITION O ALTERATION O REPAIR � MOVE O REMOVE
�
8 DESCRIBE WORK
Construct a 42' x 25` Townhouse and a 22' x 20' Garage
9 CHAN(iE OF USE FROM TO
STIPULATIONS See notations on plan. Paid Park Fee of $375.00
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QU1R �w�
�i.I' IS.d�� I��tPa�Er�'
s:��'
�,�'i"� P�R1'l�fTS REQ��R1cD ��
�y��ATING, PLIJ�i�l�f� A�i� SI�
TYPE OF CONST. OCCUPANCY GROUP OCCUPANCV LOAD
SEPARATE PERMITS ARE REOUIRED FOR ELECTii1CAL. PLUMBING, HEATING,
VENTILATING OR AIR CONDITIONING.
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING SQ. fT. CU. FT.
AUTHORIZED IS NOT COMMENCED WITHIN 60 DAVS, OFi IF CONSTRUCTION
OR WORK IS SUSPENDED OR ABANDONEO FOR A PERIOD OF 120 DAYS AT
ANY TIME AFTER WORK IS COMMENCED. NO. OWLG. UNITS OFFSTREET PARKING
I NEREBY CERTIFV THAT I HAVE READ AND EXAMINED THIS APPLiCATION 1 STA�LS GARAGES
AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS VALUATION SURTAX Fire SC
AND ORDINANCES GOYERNING THIS TYPE OF WORK WILL BE COMPLIED 11(,835 �SH.�FL
WITH WHETNER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT � 116. H�F
DOES NOT PRESUME TO GIVE AUTHORITV TO VIOLATE OR CANCEL THE pERMIT FEE SAC CHARGE
PROYISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- @
STRUCTION OR THE PERFORMANCE OF CONSTRUCTION �P972.25 $950.00
y PLAN CHECK FEE OTAL FEE
_ � ,�-.�--- ��� s S .00 $2,102.51 + PF
S�Gdozea CON�RAC?OR _ DAGENT IDATEi �{E p LY VA TED TNIS IS UR PERMIT
.
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S�GNATUREOFOWNEA��FOWNERBUi 'EBk- IDATE� 8 G �NS °TE
NEW � [ ]
AD�N [ l
ALTER [ ]
CITY OF FRIDLEY
SINGLE FAMILY AND DUPLEXES R-1 AND R-2
BUILDING PERMIT APPLICATION
Effective 1/1/97
/► �/ �;
ConstructionAddress: 1�� (����S��IV ��� c�U��
Legal Description: �j � C,� ,, L f�� ��.� T�/ S�N �o�sl/� �
Owner Name & Address: �"� � ������D ��W��►NY' 1N �� Tel. � !�3$ ° D`SD�
Contractor: � �1'1 � MN LICENSE # / � 3 .�
Address:�f��� i�il�� �-��� �D� s ��.S���LL� �� ��`I.� Tel. # �3� °��0�
Attach to this application, a Certifica.te of Siu vey of the
lot, with the proposed conslruction drawn on it to scale.����c =�%/� �S•'�'-�'���si
DESCRIPTION OF IlVIPRO`'��MENT
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LIVING AREA: �� Length �� �O �� Width ,2�� `' Height �� � 3`�
GARAGE AREA: �` Length z2 - 0B� Width ���Height i� `�"
DECK AREA: Length °' Width "— Hgt/Ground �
OTHER:
= �.�,�..,� ysYGr `�
Sq. Ft. ��oZ
Sq. Ft. _ ����%�1��
Sq. Ft. --- = � /3�G�
/� �3 � :i �
Construction Type: /V�� ��.5/��/id %�/�L Estimated Cost: $ �� �qf a D� �� �3'��%
(Fee Schedu3e on Back)
Driveway C�trb Cut Width Needed:.
DATE: � %� "LI APPLICANT:
Permit Fee
Fire Surcharge
State Surcharge
SAC Charge
License 5urcharge
Driveway Escrow
Erosion Control
Park Fee
Sewer Main Charge
TOTAL
STIPULATIONS:
� 72. Z5'
$ / '
r
� �'� Y�2
� 9 p,�
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$
$
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$
� 7
Ft. + 6 Ft = Ft x$
L�� L��
CITY USE ONLY
Fee Schedule on Reverse Side
_ �
Tel. # ��8 � ���Z�-
.(�1 of Permit Valuation (1/lOth%)
$.50/$1,0� 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 Enginee ' �1 • �
Agreement Necessary [ ] Not ecessary [ ]
�/� �� -t y'�
BUILDING PERMIT FEE SCHEDUI.�
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1'tie Chief Building Official shall, before issuing perniits for the erectio�i of any bui(ding or structure, or fi�r
any addition to any existing building or structu�e, or for any alteration or repair to any existing building or
structure, upon application therefore, require tC�e payment by the applicant for such germit of fees to the amount
herein below set forth and in the manner herein provided to-wit:
TOTAL VALUE
$1 to $5(�
$501 to $2,000
$2,001 to $25,000
$25,001 to $50,000
$50,001 to $100,000
$100, 001 to $500, 000
$500,0.01 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,OQ0
$62.25 for first $2,000 plus $12.50 for each additional $1,000
or fraction thereof, to an� including $25,000 ._
$349.75 for first $25,000 plus $9.00 for each additional $1,OQ0
or fraction thereof, to and including $50,000
$574.75 for. first $50,000 plus $6.25 for each additiona.l
$1,0� or fraction thereof, to and including $1Q0,000
$887.25 for fust $100,000 plus $5.00 for each additional
$1,�O�or fraction thereof,.to and including $500,0�
$2887.25 for the first $500,�0 plus $4.25 for each additional
$1,000 or fraction thereof, to and including $1,0OO,Ot� �
$5012.25 for the first $1,000,000 plus $2.75 for each additional
$1,000 or fraction thereof
DRIVEWAY DEPRESSION ESCROW
(Concrete Curb Streets Only)
Alternate "A": Removal and replaeement of curb and gutter only - Driveway width plus 6 feet times $13.50.
Alternate "B": Removal and replacement of curb and gutter and install a 3 foot wide
approach with 6 inch depth - Driveway width plus 6 feet times $15.75.
VERIFICATION OF FOUNDATION
Perniits for construction will be issued a minimum of 24 hours from the time of application to allow fdr proper
re�•iew of the proposed structure and of the construction site_
A C�rtificate of Survey oti the lot, showing the location of the foundation c,nce it has it has been construct�;i
��'i:; r,� reyuired hefore �rc�ceedin� ��ith the framinn_
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CHIlVIlVEY AND STACg VERIFICATION
The undersigned hereby verifies that the existing chimney or stack:
1. - Has been carefiilly examined Yes (�) No i)
2. Is free from rust or deterioration Yes () No ()
�3. Has no foreign objects lodged within Yes () No ()
4. Is securelY suPP�� Yes () No ()
5. Meets all current Code requirements for size
and total BTU's conne�ted Yes () Na ()
6 Has total heating BTLT's of - - - - - - — -- -- - -
All other BT'U's
TOTAL BTU's
7. Has a liner been provided for water heater Yes () No ()
8. Has combustion air been grovided for water heater Yes () No ()
Remarks: .
List ALTERATIONS Being Done•
HEATING CO:
Signed By:
Date:
>�
r
Client:
Address:
Ciiy:
Phone:
Fax:
Comment:
Rottlund Homes
2681 Long Lake Road
Roseville. Minnesota 55113
638-0500
638-0501
YOUR BUILDER FOR LIFE
Project Name: Fulto s
Reference City: mneap
Daily Temperature Range: Medium
Latitude: 44 Degrees
Elevation: 834 Feet
Winter:
Summer:
Outdoor Outdoor
� Bulb Wet Bulb
-20 N/A
95 75
.
Total Building Supply CFM: 878
Square feet of room area: 2,085
Company:
Representative:
Address:
City:
Phone:
Fax:
Comment:
on grade)
, Minnesota
Indoor Indoor Grains
g�j,b.� � Bulb Difference
N/A 72 N/A
50% 75 36
�c �r�� r� .
Flare Heating & Air conditioning, Inc.
Randy
9303 Plymouth Ave. N.
Golden Valley, Minnesota 55427
542-1166
542-3101
YOU CAN FEEL THE DIFFERENCE
° CFM per square foot: 0.421
Square feet per ton: 971.676
Total heating required with outside air: 59,658 Btuh 59.658 MBH
Total sensible gain: 19,312 Btuh T! %
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)
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.
q
�
C
i Component Area Sen. Lat. Sen. Total
� Description Quan Loss Gain Gain Gain
4A wndow 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 Insulafion 1,114 2,357 0 1,127 1,127
20J Floor Over Open Crawl Carpet + R-30 14 45 0 7 7
23C SlabM/arm Duct 11/2" Edge Insulation(R-8) 26 2,392 0 0 0
23D Slab/Warm Duct 2" Edge Insulation(R-11) 130 1�,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 Totai: 19,312
Te�erature Swing Muitiplier: X1.00
', Total Building Supply CFM: 878 CFM per square foot: 0.421
Square feet of room area: 2,085 Square feet per ton: 971.676
Total heating required with outside air: 59�658 Btuh 59.658 MBH
Total sensible gain: 19,312 Btuh 77 °!o
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)
Caiculations 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.
�
�omponent Area Sen. Lat. Sen. Total
Description Quan Loss Gain Gain Gain
4A �ndow 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 Insulafion 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
�one Load Totals• 59,658 5,812 19.312 25.124
Supply CFM: 878
Square feet of room area: 2,085
CFM per square foot: 0.421
Square feet per ton: 971.676
Total heating required with outside air: 59.658 Btuh 59.658 MBH
Total sensibie 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 sensibie + latent)
2.146 Tons (based on 75% sensible capacity)
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� � � d L .� , ���� HOU� ���� HEAT�ING TEST RE�COR�D � , ��� � � ��
�- � �� -1 / �� � � .
l,
Ati9RESS �`�'f'��f !�� �'''9'�` �' ' APT. FLOOR CITY �SUBURB.
OCCUPaNT ,i`� � "'===,/�✓� OWNER
� HEAT LOSS D E HT . INST.
SOLD BY � ����_ INSTALLED BY � —a
El�ehleol Wwk Br Gqs Lin� Br ��
TYPE OF HEAT GA FA ��HNf STEAM SPA[E HTR. UNIT HTR. OTHER
GAS D SIGN CONYERSION
MAKE MAKE OF BURNER
Mod�l °� Model }
Seriol � �Q Mox. BTU Raling
INPUT MAKE OF:?FURNACE
Medsl -
CONTROLi
THERMOSTAT � � Hea.�r�lus
Valva
Limi.t
Limit S�Hfn9
Fan Setfi�q _
Ptlot Typs _
Pilot Moke _
: . - 4 . �' t ,
��--- Vent Size = �� � � �
KIND �F LINER V SIZE NONE
Droft Hoed R�gularor � �����-�� ,"�
Filtars Siser umbsr �
m •
Chimnsy Loeation„- losids Outsids
Chimney Construetion
Pilot Modsl � '�' >.Smok Bomb _ Wiring
Pilot Tfming � DraFt � Test Tap
L.W. Cut Off �� '�'� Door Pressuro Lightiny Inat.
r" _ _' . . � r ��_ .
Pressure � �Psreent COZ �� Date Tsstsd �
Input CFH Peresnt OZ Company Testing -"
Smck Temp. �+ Peresnt CO Name of Testsr � � �
Fonn Z35
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FRIDLEY
FRIDLEY MUNICIPAL CENTER • 6431 UNIVERSITY AVE. N.E. FRIDLEY, MN 55432 •(612) 571-3450 • FAX (612) 571-1287
December 17, 1997
Rottlund Homes
2681 Long Lake Rd
Roseville, MN 55113
Re: Final Inspection at 146 Christenson Court NE, Fridley, MN
Dear Sirs:
A final inspection was conducted on December 17, 1997 for the above noted townhouse. We
found that the construction of the building complies, to the best of our knowledge and belief,
with all the requirements of the building codes of the City and the State of Minnesota relating
thereto, and permission is hereby given for the occupancy of said building.
If you have any questions on this matter, please feel free to contact me at 572-3602.
Sincerely,
RON JU
Building
RJ/mh
Sue�ect
c�ty of Fridley 2 6 6 6 7
AT THE TOP OF TNE TWINS g U I L D I N G P E R M I T
r
� � RE O.
� • COMMUNITY DEVELOPMENT DIV. �� �/
i Ly �'���'�
r � � PROTECTIVE INSPECTION SEC.
i1 i �
---.� �����,•, CITY HALL fRIDLEV SS432 NUMBER REV OATE PAGE Of APPROVEO BY
L 612-571-34b0 910-F15 7/16/98 / /
10B ADDRESS
1 6 Christensan Ct
t LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED
DESCR. 1 Christenson r S �1 SHEET
2 PROPERTY OWNER MAIL ADDRES$ ZIP PNONE
n ure -
3 CONTRACTOR MAIL ADDRESS Z�P PMONE LICENSE NO.
< ARCNITECT OR DESIGNER MAIL AOORESS ZIP PMONE LICENSE NO.
5 ENGINEER MAII AODRESS ZIP PMONE IICENSE NO.
8 USE OF BUILDING
7 CLASS OF WOF;K
❑ NEW ❑ ADDITION ❑ ALTERATION �] REPAIR O MOVE ❑ REMOVE
8 DESCRIBE WOHK
9 CHANaE OF USE FROM TO
STIPULATIONS
TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD
SEPARATE PERMITS ARE REOUIRED FOR ELECTRICAL, PLUMBING, HEATING,
VENTILATING OR AIR CONDITIONING.
THIS PEFMIT BECOMES NULL ANO VOID IF WOFiK OR CONSTRUCTION 20NING SQ. FT. CU. FT
AUTHORIZED IS NOT COMMENCED WITHIN 80 DAYS, 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 TNAT I HAVE READ AND EXAMINED THIS APPLICATION 1 STALLS GARAGES
AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS VALUATION o SURTAX
AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIEO
WITH WHETHER SPECIFIED HEREIN OR NOT. THE GF;ANTING OF A PERMIT SOO �.SO
DOES NOT PRESUME TO GIVE AUTMORITV TO VIOLATE OR CANCEL THE pERM1T FEE SAC CHARGE
PROVISIONS OF Fi STATE OR LOCAL LAW REGULATING CON-
STRUCTI THE PERFO E O UCTION. Z L. OO Fire SC $. SO
PLAN CHECK fEE TOTAL EE
���� Licens S 5.0 .00
SIGNATUREOFCON� A RORAUTNO AGENT IDATEI � P OP A IDAT HIS IS OUR PERMIT �j
_ ? _ � V
51GNATURE OF OWNER iIF OWNER BUILDER� �DATE� BLD �NSp r�arE
JUL-16-1996 11�08 FR�M CITY OF FRIDLEY TO
1DDN ( ] . ,�, � .: CI'1'Y, OF ��tIDLEY . . .
1LTER [ l SYNGLE �FAMII:Y�AND�DUPLEI�S R-1 AND R 2
_ :,: . . . , . ._: BUILDING PF�.tMIT APPLICATION
:onsaucaonAadress: � . , 1=�� � ,��,.�����.�. �J-� � �,�.�,�. .
egal Descriptioa:
4933689 P.02i02
�� .
�.C�'��1��
. �' �' � � i� 6����
�wner Name & Address: ���,�. ��,��-��° ;�. Tel. # _ ���°-�i �'� � —
.
'ontractOr: ��.,�, . � �� �o�.,�, � MN � TCENSE � � 7,�.
.ddress:��[� � ��� �� �. l�c� f��� U�ie� ���� Tel. !� ���° �� ..
_ �
� ��"' ' Attach to �his applic�tion, a Certificate of Survey of the � �
lot, arith the propased construction drawn on it to scale.
IvII�1G AR�A►:
ARA►G� A1t�A:
ECS AREA:
-��! � '
. . . . . . ..,. DFASCRIPTION OF IIVIPROV�MENT
4 ..� �M:.• . � I.�.r • � . . . • , • •
Len�th . Width � H�ight
• � � � �Length "' � � ' � � � Width � Height
� Length "� ' � � � Width � ' � Hgt/Ground
Y
Sq, Ft.
Sq. F� �
Sq. F�
i . � � . �f
��S�iilCtlOII �: � . FSL1II1Si�. COSL: $ ���'�
' ..-.:::��.•: - � . � - . ' � . � . (Fee Schedule n 8ack} . . :
i�eway C�rb Cut W`idth Needed: ��� Ft: �+ 6 Ft = Ft x$ � _$ � .
►1'E: `°�7° I � �°� � � APPLICANr; Tel. # ����,��"/�
� . . .. CITY USE ONLY
�it P� $ � i- O� Fee Schedule on Reverse Side
e S�rcha�ge $ �:: �.001 of Perinit' Vaivadon (1/IOth%}
te S�rcharge $ �� $.50/$1,OOO�Valuation
C Charge $ $100Q per SAC Unii -
ense Surcharge $ �� C��� $5.00 (State Licensed ResidenUal Conuacton)
:veway Fscrow S� AIt. "A"� or Ait. "B" Above
�sion Conuol $ $450.00 Conservatian PIan Review
� Fee $ Fee I?etermined by Enginee�ring ..
ver Main Charge $ Agreement Necessary [ j Not Necessazy [}
TOrAL
�'ULATIONS:
$ � . (�(�
TOTAL P.02
sue.ietr PER
c�ty of Fr�a�ey o32
AT TNE TOP OF TME TWINS g � I L D i N G P E R M I T
r
� �� RECEIPT NO.
� �y �_��� � COMMUNITY DEVEIOPMENT DIV.
r � � PiiOTECTIVE INSPECTION SEC. l� ��
1 . �
� .J
' � �"'1 � CITY FIALL FRIOLEV �j13$ NUMBEF 11EV OATE PAGE Oi APPROVEC BY
�""'�" �'' 612-5»-3a60 s�aF�s 3/19/99
/ /
109 AODRESS 146 Christenson Court NE
1 LEGAL �OT NO. BLOCK TRACT OR AOOITION
DESCR. SEE ATTACHED
1 7 Christenson Crossing SHEET
2 PROPERTY OWNEii MAIL ADDRESS ZIP PMONE
3 CONTqACTOR MAIL ADORESS ZIP PMONE LICENSE NO
Stock Roofing Inc 289 Liberty St NE, Fridley, MN 55432 780-3561 3112
a ARCNITECT OR OESIGNER MAIL ADORESS 21P PMONE LICENSE NO.
5 ENGINEER MAIL ADDRESS 21P PMONE IICENSE NO
8 USE OF BUILDING
Residential Townhouse
7 CIASS OF WORK
O NEW O ADDITION O ALTERATION �7 REPAIR O MOVE O REMOVE
8 DESCRIBE WORK
Reroof Townhouse (21 Sq) Tear-off
9 CHAN(3E OF USE fROM TO
STIPULATIONS
Underlayment must comply with the State Building Code.
CONSTRUCTION WORR HOURS: 7:00 am to 9:00 pm, Monday thru Friday; 9:00 am to
9:00 pm on Saturday; No work on Sunday.
SEPARATE PERMI7S ARE REOUIpED fOR ELECTRICAL, PLUMBING, FIEATING, TVPE OF CONST. OCCUPANCY GROUP OCCUPANCV LOAD
VENTI�ATING OR AIR CONDITIONING
TMIS PERMIT BECOMES NUIL AND VOID If WORK OR CONSTqUCTION ZpNING SO. fT CU fT
AUTHORIZED IS NOT COMMENCEO WITMIN 80 DAYS. OF IF CONSTRUCTIpN
OR WORK IS SUSPENOED OR ABANDONED FOR A PER100 OF 120 DAYS AT
ANY TIME AFTER WORK IS COMMENCED. NO DWLG. UNITS OFFSTREET PARKING
I MEI7EBY CERTIfY THAT I HAVE REAO ANO EXAMINEO TNIS APPLICATION 1 STALLS GAAAGES
ANO KNOW TME SAME TO 8E TRUE AND CORiiEC7. A�L PROVISIONS OF LAWS yAlUAT10N SURTAX
AND ORDINANCES GOVERNING TMIS TVPE OF WORK WI�� 9E COMPLIED @ @
WITM WMETMER SPECIFIEO MEREIN Ofl NOT. THE GRANTING OF A pEFM1T y I., 799 �p.9O
DOES NOT PRESUME TO GIVE AU7 RITY TO VIOIATE OR CANCEI TNE pEFMl7 FEE SAC CHA GE
PROVISIONS OF TE OR LOCAI LAW REGULATING CON-
STRUCTION O ME PERfORMANCE OF CONSTRUCTION �SE).7S Fire SC �Z.SO
PLAN CMECK fEE TOTA FEE
Li $5 0 $64.45
S�GN4fUpE O� CON'RACTOA OA AUTHOAIZED AGEN� IDATE� EN P P OA7 IS I U� MIT
� r
— r
S�GNntUAEO�OWNEp���OWNEpBU0.DEii� iDATE� y.BE�OG NSp r„tt
rrEVv
ADDN
ALTER
[l
Ll
�)
CITY OF FRIDLEY
SINGLE FAMII.Y AND DUPLEXES R-1 AND R-2
BUILDING PERNIIT APPLICATION
ConsiructionAddress: !`7 �O � t`7` o�/`S ��ev5 d fi�
Effective 1/1/99
b��
�� aJ
�� ��'
Legal Descnpt�on:
Owner Name & Address: Tel. #
Contractor: � a � K ���i !�G MN LICENSE #� ll z
Address: Z g 9 ��� e�,� c�'� �Ge� fL°X Tel. # z$d r✓�s��
LIVING AREA:
GARAGE AREA:
DECK AREA:
OTHER:
Construction Type:
Attach to this application, a Certificate of Survey of the
lot, with the proposed construction drawn on it to scale.
�✓ DESCRIP'fiON OF IlMPROVEMENT
2 �
Length w�acn Height
Length Width Height
Length Width Hgt/Ground
Sq. Ft.
Sq. Ft.
Sq. Ft.
Driveway Curb Cut Width Needed:
Estimated Cost: $ % r%�g
(Fee Schedule on Back)
Ft. + 6 Ft = Ft x$ _$
DATE: � �g' �/ APPLICANT: ��"��� Tel. � ��� �.�� � �
Permit Fee
Fire Surcharge
State Surcharge
SAC Charge
License 5urcharge
Driveway Escrow
Erosion Control
Pazk Fee
Sewer Main Charge
TOTAL
STIPULATIONS:
$ �� �S�"
$ �,��
$ ���
$
$ �- Oc�
$
$
$
$
$ � . �
CITY USE ONLY
Fee Schedule on Reverse Side
.001 of Permit Valuation (1/lOth%)
$.50/$1,000 Valuation
$1050 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 [ ]
BUII..DING PERNIIT FEE SCHEDULE
The Chief Building Official shall, before issuing permits for the erection of any building or structure, or for
any addition to any existing building or structure, or for any alteration or repair to any existing building or
structure, upon appl'ication 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
$501 to $2,000
$2,001 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
��� �.y
$21 (Minimum Fee is $21 plus surcharge)
$21 for first $500 plus $2.75 for each additiona.l $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 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 $50,000 plus $6.25 for each additiona.l
$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 $1,000,000 plus $2.75 for each additional
$1,000 or fraction thereof
DRIVEWAY DEPRESSION ESCROW
(Concrete Curb Streets Only)
Alternate "A": Removal and replacement of curb and gutter only - Driveway width plus 6 feet times $13.50.
Altemate "B": Removal and replacement of curb and gutter and install a 3 foot wide
approach with 6 inch depth - Driveway width plus 6 feet times $15.75.
VERIFICATION OF FOUNDATION
Permits for construction will be issued a minimum of 24 hours from the time of application to allow for proper
review of the proposed structure and of the construction site.
A Certificate of Survey of the lot, showing the location of the foundation once it has it has been constructed
will be required before proceeding with the framing.