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LAND SURVEYORS • CIVIL ENGINEERS
LAPtD PLANNERS • LANDSCAPE ARCHITECTS
Certificate of Survey for:
House Address:
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I-�ouse Agodel:
2422 Enterprise Drive
Mendota Hefghts, MN 55120
(812) 681-1914 FAX:8�1-94�i8
625 Highway 10 N.E.
Blaine, MN 55434
(612) 783-1 �0 F4�X: 783-1 �3
T.H� RO TTL U.�i�D Co�PA1�Y
148 Chri�tenson Court
Ashtom "�„
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SATELLITE LANE
x eoo.o Denote� Existing Elevotion
'� Denotes �roposed ;pevot�on
–�- Denotes Oratnage �Jow DlrectJon
=�- Denotes Drolnoge & Utility Ecsement
—a– Deno2es Monument
–+-- Denotes Offset Iron BeaNngs shown are assum�d
L� 1 � � L.LJO �� � 1 �
' � ' i ar� C • li _r, t - ;�I�a ,� r ;�..
Garage Slcb Elevatlon: 854•25 (at door)
NOTE: Proposed buHdtng �te grudx�g Ta in cecordonce with the
�adJny plons opproved by ths city angtneer.
NOTE: Contrao4or muat verify op dimenalons & driveway deatgn.
�'.I�.I�ISTE�T�'O.IV CROSSI�iT�
ANOKA CnUMTY, A9lfVIVESOTA
We hereby certffy that this survey, plan or report was prepared by me or under my dtrect supervision and that I a duly licensed
Land Surveyar under the laws of the State of Mtnnesota. Dated this Il +h day of .�i �` A.D. 19��
Signed: PIONEER ENGINEERING, P .
•----�
sC�.1e. �inch _ 30feet { , . By.
Robert B. Sikich, LS. Reg. No. 148 1 or
5 16190.11 TRB Terrence E. Rothenbacher, L.S. Reg. No. 20595
sueeeer / MIT NO. '
City of Fridley 2 5 4' �4 2
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.
� � ~ � PROTECTIVE INSPECTION SEC. ��� /
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i-_--� ��"�' �,� CITY HALL FRIDLEV $$432 NUMBER REV DATE PAGE OF APPqOVED BY
t bt2-571-3aso e�aF15 s/28/97 / /
JOB ADDRESS 148 Christenson Court NE
1 LEGAL LOT NO. BLOCK TiiACT OFi ADDITION SEE ATTACNEO
DESCR. 6 1 Christenson Crossing SNEET
2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE
Rottlund Company Inc 2681 Long Lake Rd, Roseville MN 55113 638-0500 1335
3 CONTRACTOR MAIL ADDRESS 21P PHONE LICENSE NO.
Same
4 AfiCHITECTORDESIGNEH MAILADDRESS ZIP PHONE LICENSENO.
5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO.
6 USE OF BUILDING
Residential
7 CLASS OF WORK
� NEW
O ADDITION O ALTERATION O REPAIR ❑ MOVE ❑ REMOVE
8 DESCRIBE WORK
Construct a 48' x 25' Townhouse and a 21' x 20' Garage
9 CHANOE OF USE FROM
STIPULATIONS
TO
See notations on plan. Paid Park Fee of $375.00.
SEPARi�TE PERMiTS FtEQUIR�D F�R
VV9R�6�G, HEATfd"JG, PLll�i�l6'�G, ,�t�� :;a,;��S,
SEPARATE PERMITS ARE REQUIRED FOR EIECTRICAL, PLUMBING, NEATIN(i, ' r rc vr a.�n�� . v�.�.ur�
VENTILATING OR AIH CONDITIONING.
THIS PERMIT BECOMES NULL AND VOIO IF WORK OR CONSTRUCTION 20NING SO. 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
I HEREBV CERTIFV THAT I HAVE FiEAD AND EXAMINED THIS APPLICATION 1 STALIS
AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF �AWS yAIUATION
AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED
WI7H WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT �79,990
DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE pERM1T FEE
PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON-
STRUCTION OR THE PERFORMANCE OF CONSTRUCTION �7F)L.LS
� PLAN CNECK FEE
���—� � L e SC $ 00
1GNAT :CONTRAC ORAUTNORIZEDAGENT IDATEi ...,.- . .,w ., ...
dROUP OCCUPANCVLOAD
CU. FT.
OFFSTREET PARKING
GARAGES
SURTAX Fire SC
$40.00 79.99
SAC CHARGE
$ 50.00
T TAL FEE
$1,837.24 + PF
ED THIS IS Y�UR PERMIT �_
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NEW
ADLN
ALTER
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CITY OF FRIDLEY
SINGLE FAMII,Y AND DUPLEXES R-1 AND R_2
BUILDING PERMIT APPLICATION
Effective 1 / 1 /97
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ConstructionAddress: /�� �����'��/��O/�/� c���,�' �
Legal Description: L� T � �L��, / �'� / � �-E/�i � �� GlZO�� //l,� �
Owner Name & Address: � N� �y-�-f �, �� (��,4� �L� I ��, Tel. # /n . $-(�� �C
Contractor: SP�mE MN I.ICENSE �# I 3�� -
Address: ��„g� j r�,� ,A.�� -���� ��v� L�� ��� 55J! 3 Tel. #i
��$�O�G�
Atta.ch 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:
DESCRIPTION OF IlVIPRO`7EMENT
Length '�i�'� � � �
Length 21 `-�r�
Width ,Z5°-(, ``
Width �r o,�
LenB� °— Width �
Height q' D�� Sq. Ft. llR� (�����"
,
Height �=11 % p Sq. Ft. �� %�,`�c� l
Hgt/G.roun�E Sq, Ft. — = 7
���'oS,�
� - � ��. OZ
Constniction TYPe:_�SIDENTII�CI..,I� �� Fstimated Cost: $%2�� 3�. 0� � CJ, �Z
(Fee Schedule on Backl
Driveway Ctiub Cirt Width Needed: Ft. + 6 Ft = Ft x$
_$
DATE: � � 9 APPLICANT: �Gt � � e � Tel. �# �v 3 � °� �v 4 O
Permit Fee
Fire Surcharge
State Surchaxge
SAC Charge
License Surcharge
Driveway Escrow
Erosion Control
Park Fee
Sewer 1Vlain Charge
TOTAL
STIPULATIONS:
$ ����Z�
$
$ �O. �
$__�3��'
,
$_ 'y': vU
$
CITY USE ONLY
Fee Schedule on Reverse Side
.001 of Permit Valuation (1/lOth%)
$.50/$1,000 Valnarion
$950 per SAC Unit
$5.00 (State Licensed Residential Contractors)
Alt. "A" or Alt. "B" Above
� •$450.00 Conservation Plan Review,
$ ��%� `Y�� Fee Determined by Engineering r'`°°�� �'��'�
�,
$� � Agreement Necessary [ ] Not Necessary [ ]
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I3UII,DI\'G I'EIZ�VI[T FEE SCfiEDLJLE
"1'lie Chief F3uilding Ofticial slialt, before issuing pern�its for the erectioTl of any building or structure, or fi>r
an}• addition to any existing building or structure, or for any alteration or repair to any existing building ur
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 $500
$�O1 to $2,000
�?,001 to $25,000
�25,001 to $50,000
$50,001 to $100,000
�100,001 to $500,000
$SQ0,001 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 an� 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 additional
$1,000 or fraction thereof, to and including $1Q0,000
$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 plus $2.75 for each additional
$1,000 or fraction thereof
DRIVEWAY DEPRESSION ESCRO�'V
(Concrete C�.irb 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\T
.
Pc,7iiits for construction will be issued a minimum of 24 hours from the time of application to allow for proP�r
re;t•ie��• of th� proposed sttucture and of the construction site.
r� t_�rtii'icate of Survey of thc lot, showing the location of the foundati�n unce it has it has been constructc.:!
��'i:: "� r�quirecl hefore �re,cecdin� �t�ith the framing.
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CHIIVIIVEY AND STACK VERIFICATION
The undersigned hereby verifies that the existing chimney or stack:
1. Has been carefnlly examined Yes (�) No ()
2. Is free from nist or deterioration Yes () No ()
�3. Has no foreign objects lodged witbin Yes () No ()
4. Is securelY �PPo� Yes i) Na i)
5. Meets all current C�e 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 combustion air been grovided for water heater Yes () No ()
Remarks:
List ALTERATIONS Bein�Done:
HEATING CO:
Signed By:
Date:
. ,
�
�
Client:
Address:
City:
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.
Golden Valiey, Minnesota 55427
542-1166
542-3101
YOU CAN FEEL THE DIFFERENCE
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Project Name:
Reference Ciiy:
Daily Temperature Range:
Latitude:
Elevation:
Winter:
Summer:
Outdoor
� Bulb
-20
95
Ashton
Minneapolis, Minnesota
Medium
44 Degrees
834 Feet
Outdoor Indoor Indoor Grains
Wet Bulb H� � Bulb Difference
N/A N/A 72 N/A
75 50% 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
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)
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:.• :•�::::..••::+::.:E ....:.:.:::::...,.......•:::::...:.:.: •::::::::::....... ... . .... ..,...., ..�.w .. . ..,...................: .................. ...,... a.......o.e.... .. .... ...+. ... ..:. . . \E•:.. ::.v.......
::����'.,i.,.,.fi.,.,r.�.,..`�1�,.,.`:..: v5� ....... .. . ...... . .. ... . ..... ..................... .. ............,. . ...:..... .... ... . ...:...................... .. ........ .............., ....... ...... •. \•..•:. \ t.`•ti.•`.'• .. rw
\.\.v.. �...v.v..�..nr .......................... ... \.... ... v.... ..\�\... �..... ...... . ... . .� «... +�•,:c•}:. :..4�.•.•�•. v:�:.�:5•i2•!'�'\. ..? \��.... .... v\v.•..;.v: vi:-i �
. ♦ .........>, .......... ...... c... ... .. . •.:...,....,x........a.... ..... f`
..;........:.,:.......v.•.;•.•........... ...............:....................:.:......,::.:::::.•.... ::•::w•::.:::•.�,�.+..• :-•:..,•�:•;;::.;•.;•.:::::::::.;..... .. . . x...... ...�.. \ . .,..�.\:�\.:.: :•.\�:::.....,.�c.;.°.sfi
...:...:..:..,a::•::..•::•::•r:�:.:a:;:•:;,... ,:........, v.>\`..,.t�•�t�;:t..,:•::::�}:;s�:.+:t:.t.�..,,,,....•...,•.�:`E\';E.`.`�`.`..•....,:::titi,,....d:i`=i:
Calculations are based on 7th edition of ACCA Manual J.
All computed resuits 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 �ndow Double Pane 8� Storm Clear Giass 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 i
11 C Door Metal Polystyrene Core 38 1,643 0 422 422 i
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" Asphlt Board(R-1.3) 171 433 0 141 141 !
161 Ceiling R-44 Insulation 1,200 2,539 0 1,214 1,214 �
23D Slab/Warm Duct 2" Edge Insulation(R-11) 148 12,663 0 0 0 i
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 i
Ductwork: 0 0 0 0 0 i
Infiitration: Winter CFM: 54.0, Summer CFM: 36.0 201 5,465 881 792 1,673 �
Ventilation: Winter CFM: 9Q.0, Summer CFM: 90.0 0 9.108 2,203 1,980 4,183 ;
Sensible Gain Total: " 12,23� �
Temperature Swing Muitiplier: X1 00 '
Building Load Totals: 42,595 4,304 12,231 16,535 I
Total Building 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.
Ail 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 � � '1 � .
�
" . . `Q�.-:J ,- . . , ' � -
HOUS HEATING TEST RECORD ���f G�
A�DRE�S } " ���c��� � APT. FlOOR CITY �SUBURB
OCCUPANT � > �� OWNER
HEAT LO D T�j HTG. NST.�, "° "—
� LD� �!� �� � INSTALLED BY �� �'
Electrieol Work Br Gas l.ie� Br ___� +
TYPE ,OF HEAT GA FA�_Hiy STEAM SPACE HTR. UNIT HTR. OTHER
' , ``^�, ,. � _
MAKE
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Pressure � � �,� Pereent CO2 °`� Date
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C� 1 I �F
FRIDLEY
FRIDLEY MUNICIPAL CENTER • 6431 UNIVERSITY AVE. N.E. FRIDLEY. MN 55432 •(612) 571-3450 • FAX (612) 571-1287
November 24, 1997
Rottlund Homes
2681 Long Lake Rd
Roseville, MN 55113
Re: Final Inspection at 148 Christenson Court NE, Fridley, MN
Dear Sirs:
A final inspection was conducted on November 24, 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 572-3603.
Sincerely,
,� 1,. �1
. :. .
.;.._ ��� _
Building Inspector
: � ��_�_
sue�ecr PE
City of Fridley 2 8 6 9 5
,`�������� T"E �'"S gU ILDIN� PERMIT qECEI .
� • COMMUNITY DEVELOPMENT DIV. �� ^ /y
f � � � � PqOTECTIVE INSPECTION SEC. 0���
� _ .
� r"'1 � CITY HALL FRIOLE� 5SIJ2 NUMBEA N8V OATE PAGE Of APpqOVEO B�
�"""'� � �'' 612-571-3450 s�aF�s / /
12/2/98
J08 ADDRESS
148 Christen
t IEGAI �OT NO. BLOCK TiiACT Oii ADOITION SEE ATTACNEO
DESCR. 6 SHEET
2 PiiOPERTY OWNER MAIL ADDRESS ZIP PHONE
Wa e Cornell -
3 CONTRACTOR MAIL AODRESS 21P PHONE LICENSE NO
B. C. Exteriors
a ARCNITECT OR DESIGNER MAI ADDRE3S IP M NE LICENSE NO.
5 ENGINEER MAIL AODRESS IIP PMONE LICENSE NO
8 USE OF BUILDING
Residential
7 CLASS OF WORK
O NEW O ADDITION � ALTERATION �J REPAIR O MOVE O REMOVE
8 DESCRIBE WORK
Reside west side of house
9 CHAN(iE OF USE FROM TO
STIPULATIONS
Call for building wrap inspection before covering.
TYp@OFCONST, OCCUPANCY GROUP OCCUPANCYLOAD
SEPARATE PERMITS ARE REOUIRED FOR ELECTRICAL, PLUMBING, MEATING,
VENTILATING OR AIR CONOITIONING
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING SQ. FT CU FT.
AUTNORIZED IS NOT COMMENCEO WITHIN 80 OAYS, OF IF CONSTRUCTION
OR WORK IS SUSPENDED OR ABANOONED FOii A PERIOD OF 120 DAYS AT
ANV TIME AfTER WORK IS COMMENCED NO- DWIG. UNITS OFFSTREET PARKING
I MEREBY CERTIFV THAT I HAVE REAO AND E7(AMINEO THIS APPIICATION STALIS GARAGES
AND KNOW TME SAME TO BE TRUE AND CORiiECT. ALl PROVISIONS OF LAWS VALUATION SURTAX
AND OROINANCES GOVEiiNING THIS TYPE Of WORK WILL BE COMPLIEO
WITH WHETHER SPECIFIEO MEiiEIN OR NOT. TFIE GRANTING OF A GERMIT SOO . SO
DOES NOT PRESUME TO GIVE AUTMORITY TO VIOLATE OR CANCEL THE pEqMl7 FEE SAC CHARGE
PROVISIONS OF ANV OTNEH STATE OR IOCAL LAW REGULATING CON-
RU TIO TME PERFORM CE OF CONSTRUCTION 21 . OO Fir SC . SO
PIAN CMECK FEE TOT � F E
` � �p - a-�� Licen 5. 2 .00
S�GNATUAEO�CO ' AOAAUTMOp4EDOGENf IOAfEi EN FOP VALIO T HIS IS VO� P� IT
/
' ` I
S�GNATUFE O� OWNEp��F OWNEA BU�IOHA� i ATE� BL �NS� �1�1f
� y
NEW
ADDN
ALTER
[l
[)
��
CITY OF FRIDLEY
SINGLE FAMILY AND DUPLEXES R-1 AND R-2
BUILDING PERMIT APPLICATION
Effective 1/1l98
��
�� ��
� ��
ConstructionAddress: _ � �� _ (� �„ ,., �� � � � ,,� n� ,., ,�.
Legal Description: \j�,,��, � S,��,,,,�
Owner Name & Address: , ��,,, ,^ .e �- � � . �.` Tel. # � � t - � � "1 S
. q
Contractor: (` �,.`
� _�C � ��c-��c �c� tz S> MN LICENSE #
Address: ��{ �� - (Z�.-0, �� .�,.,.� • ,�� .� l�� Tel. # � `� g— �-1� i �
Attach to this application, a Certificate of Survey of the
lot, with the proposed construction drawn on it to scale.
DESCRIPTION OF IMPROVEMENT
LIVING AREA: Length Width Height Sq. Ft.
GARAGE AREA: Length Width Height Sq. Ft.
DECK AREA: Length Width HgVGround Sq. Ft.
OTHER: S���•�a Q,r� 1�.� e.S� S� c1�c -rr �lo.�g� �,
�
�
Construction Type: L/ �„� � S ��-� ,�,, Estimated Cost: $ �UU
(Fee Schedule on Back)
Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x$ _$
DATE: l�-� -� � APPLICANT: �
, , _ ��o � Tel. # � �1 � � �3 � 1
Permit Fee
Fire Surcharge
State Surcharge
SAC Charge
License Surcharge
Drivevs+ay Escrow
Erosion Control
Park Fee
Sewer Main Charge
TOTAL
STIPULATIONS:
$ ��•��
$ SO
$ S�
$
$ � �� (�Z�
$
$
$
$
� /, •
- �
� i� �,
CITY USE ONLY
Fee Schedule on Reverse Side
.001 of Permit Valuation (1/lOth%)
$.50/$1,OQ0 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 [ ]
BUII.,DING PERMIT 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 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
$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
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 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 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 $1,000,000 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.
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 $15.75.
VERIFICATION OF FOUNDATION
Permits for construction will be issued a minimum of 24 hours from the time of application to allow for proper
review of the proposed structure and of the construction site.
A Certificate of Survey of the lot, showing the location of the foundation once it has it has been constructed
will be required before proceeding with the framing.
i
, v _ �.
I� SueJECi� � �
City of Fridley
AT THE TOP OF TFIE TWINS g u I L D I N G P E R M I
;,
� �
� j V �"��
COMMUNITY OEVELOPMENT DIV.
r � � PROTECTIVE INSPECTION SEC.
l.--�����"' ��� CITY HALI FRIOLE� SS�J2 NuMBEA
i 612-571-3450 910-Ft 5
JOB ADDRESS
i 148 Christenson Ct NE
1 LEGAL �OT NO. BLOCK TFiACT OR ADDITION
OESCR. 6 1 Christenson
2 PROPERTV pWNER MAIL AOORESS
3 CONTRACTOR MAIL ADDRESS
Orville Treichel Const. 13819
4 ARCMITECT OR OESIGNER MAIL ADDRESS
5 ENGINEER MAIL ADDRE$S
8 USE OF BUIIDING
Residential
7 CLASS OF WORK
8 DESCRIBE WORK
Reroof hous�
9 CHANGE OF USE FROM
STIPULATIONS
i1EV
D�TE vAGE OF
12/15/9$ / /
p�MrT No-_
28755
R IP
APVROVED BY
SEE ATTACHED
SHEET
��P PNONE LICENSE NO
757-3844 80
ZIP PMONE LICENSE NO.
Z�P PHONE LICENSE NO
O NEW O ADDITION ❑ ALTERATION �x pEPAIR ❑ MOVE O REMOVE
TO
Underlayment must comply with the State Building Code.
I SEPARATE PERMITSARE RE�UIRED FOR ELECTFiICAL, PLUMBING, HEATING, �Trnvr �vnsi.
VENTILA7ING OR AIR CONDITIONING
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZpNING
AUTHORIZED IS NOT COMMENCED WITHIN 60 OAYS, OF IF CONSTRUCTION
OR WORK IS SUSPENDED OR ABANDONED FOii A PERI00 OF 12p DAYS AT
ANY TIME AfTER WOpK IS COMMENCED. NO OWLG. UNITS
1 HEREBV CERTIFY THAT I MAVE iiEAO AND EXAMINEO THIS APPLICA710N
ANO KNOW THE SAME TO BE 7RUE AND CORREC7. ALL PROVISIONS OF LAWS yq�UATION
AND ORDINANCES GOVERNING 7HIS TVPE OF WORK WILL BE COMPLIED
WITH WHETMEF SPECIFIED HEREIN OR NOT. TME GFlANTING OF A PERMIT 2056
DOES NOT PRESUME TO GIVE AUTMORITY TO VIOIATE OFi CANCEL TME pERMIT FEE
PFIOVISIONS Of ANY OTHER STA7E OR LOCAL LAW REGULATING CON-
STRUC OF THE PE ANCE OF CONSTRUCTION ]/,� .�S
PLAN CHECK FEE
SiGNATUAEO�CONIFACTOAOAOUTMOA�ZEDAGENT 1DATE� i EN P(
S�GN4TUFf O� OWNEp��� 9WNEABWIDEp� �OAiE� , ,..ce
v�.a.urhnbr VnVUY pGGUPANCY LOAD
SQ. FT CU FT
OFfSTREE7 PARKING
STALI$ GAiiAGES
SURTAX
1.03
SAC CHARGE
Fire S 2.06
TOTAL F E
• �� �2
LIDA7 S IS VOUR PERM�T
/1'�.. /�- Gi
NEw ` �� [ l
ADDN [ J
ALTER [ ]
CITY OF FRIDLEY
SINGLE FAMILY AND DUPLEXES R-1 AND R-2
BUILDING PERMIT APPLICATION
Effective 1 / 1/98
P� ��
d� �
�
ConstructionAddress: _ / y� � ��
Legal Description: _ �'�,G� ��
Owner Name & Address: Tel. #
Contractor: ��Yed��� sji-P�c.t.P ���� � MN LICENSE #�$� 1 g
Address:
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.
Length
Length
Length
DESCRIPTION OF IlVIPROVEMENT
Width Height
Width Height
Width Hgt/Ground
Tel. # 7 S 7 -- ��Ps�e/
Sq. Ft.
Sq. Ft.
Sq. Ft.
k�� G � y�
r
Construction Type: � Estimated Cost: $ �C�-�t3°•=
(Fee Schedule on Back)
Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x$ _$ o? 4��
DATE: �'� -�.�— � � APPLICANT: Tel. # �7 ,c `� �r�c/
Permit Fee
Fire Surcharge
State Surcharge
SAC Charge
License Surcharge
Driveway Escrow
Erosion Control
Park Fee
Sewer Main Charge
TOTAL
STIPULATIONS:
$ �'l �( %..�
$ �- CJ �
$ �. 0 3
$
$ �.0 0
$
$
$
$
_.
. �
y�,
�<-
CITY USE ONLY
Fee Schedule on Reverse Side
.001 of Permit Valuation (1/lOth%)
$.50/$1,000 Valuation
$1Q00 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 [ ]
� w.
BUII.DING PERMIT 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 application therefore, require the payment by the applicant for such pemut 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
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 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 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 $1,000,000 plus $2.75 for each additional
$1,000 or fraction thereof
DRIVEWA� 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 �,e��Q�, a�catio�t�okallow for proper
review of the proposed structure and of the construction site. aa�'�.-� �'/1�,98 rx� Receipt: ��
�.84
A Certificate of Survey of the lot, showing the location of the foundation pnce it has it has been constructed
FOR DEPOSIT ONLY
will be required before proceeding with the framing. F'AY TD Tt� OADER �
A�Ri�ST �{
ACC�IT� 1�479 �
CITY t�' FRIDLEY