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AF - 38046sue�ec. PE City of Fridley � 5� 14 �� I , AT THE TOP OF THE TWINS g U I L D I N G P E R l�l T R EIPT NO. � ,� � COMMUNITV DEVELOPMENT OIV. � i V'_��', r � i PROTECTIVE INSPECTION SEC. � 1 � � �"�1 � CITY HALL FRID�Er 55432 NUMBER REV DATE PAGE OF APVROVED Bv' �----'�•• •', 612-571-3450 9�0-F15 8/25/97 / / JOB AOORESS 179 Christenson Court NE 7 LEGAL �OT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 3O 2 Christenson Crossing SNEET 2 PROPERTV OWNER MAIL ADDRES$ ZIP PHONE The Rottlund Co 2681 Long Lake Rd, RosevilZe MN 55113 638-0500 3 CONTRACTOR MAIL ADDRESS Z�P PHONE LICENSE NO Same 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO 5 ENGINEER MAII ADDRESS ZIP PHONE IICENSE NO 6 USE OF BUILDING Townhouse & Garage 7 CLASS OF WORK C� NEW ❑ ADDITION ❑ ALTERATION O REPAIR O MOVE O REMOVE 8 DESCRIBE WORK Construct a 26.33` x 30.33' Townhouse & a Garage 9 CHANGEOFUSEFROM TO STIPULATIONS See notations on plan. Paid $375.00 Park Fee. TVPEOFCONST OCCUPANCYGROUP OCCUPANCVLOAD SEPARATE PERMITS ARE REOUIRED FOR ELECTRICAL, PLUMBING, HEATING, VENTILATING OFi Alii CONDITIONING. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTfiUCT10N ZONING SO, fT CU FT AUTHORIZED IS NOT COMMENCED WITHIN 60 OAYS, Ofi IF CONSTRUCTION OR WOFK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT ANV TIME AFTER WORK IS COMMENCED NO. DWLG UNITS OFFSTREET PARKING I HEREBY CERTIFV THAT I HAVE READ AND EXAMINED THIS APPLICATION 1 STA��S GARAGES AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS VA�UATION SURTAX Fire SC ANO ORDINANCES GOVERNING THIS TYPE OF WOFK WI�L BE COMP�IED �434,591 �21%.SO WITH WHETHER SPECIfIEO HEREIN OR NOT THE GRANTING Of A PERMIT $434. S9 DOES NOT PRESUME TO GIVE AUTHORITV TO VIOLATE OR CANCEL THE pEqMITFEE SACCHARGE PROVISIONS OF ANV OTHER STATE OR LOCAL LAW REGULATING CON- �2 � 562. ZS �3 � HOO STRUCTION OR THE PERFORMANCE OF CONSTRUCTION �� PLAN CHECK FEE TOTA� FEE - ��"" � �5 �, $7 014.34 + PF i NnTUREOFC,Dr � nC AOaaU�MOA�2EDnGENT IDATE� WHEN PROPERLV LIDATED THIS IS VOUR PERMIT �� // � Z .�r� ..,r � S�GNATUFlE OF OWNEA� W A BU�LDERi iD/TE� Bl �G INSP '� ��FiE L're�lu riari Ctlec:k $ Estimated Cost $ Receipt # , CIIY OF .i1ZIDIF,°Y ' •� I I�! : I 11 � ' • ;1 I _I I►. � �!;�1 � : ' � , : 1.�.► „LieCL'ive 3/1/y6 �,� - �. , -? /�j � � � �, � �,�-� �( `' ; r Construction Address j%�j CN �21 � I�I�i `�L.)N CGU i2S Zoning L,egal Description �U 1�� _ �1�jC.,1� �, L' N1Zi� i"�v`�t:,�tN C.�ZI;� f�1 tJC; Owner & Address'�j� 1�r�W �QT�Z(D$1 I�L71�XE �b. . t� V�u.� . ,,�1.1J Tel . #_ �7jR-C�SOO Q�IVTRAC'IL�R & ADDRESS S�1 m c ✓-�5 Y-� 43o��E 5�� Tel .# Architect & Address S�q mC A� /a�VE f 1 i.vt UT�-I U�DN�x�N� R�3 •#.�� 3�� Engineer & Address �-'(�j �j�/(+_, . Z Zp �v. .,Z((�RtiUN � ., �► ouX tAIL`�,`�D Re5 • # 1 � D 1 � 5'� �07 � TYPE OF WORK Ii� New [] Addition [] Alteration -Describe �Obi7 -ti-��/yl,� 1-1 u� iT �vv C �i,,��-�mE� `��,�,�-o ►�� Applicant Signature `, � Tel # � L1�te � �- � � ��'�� BUII.�ING DIl�SICITIS TPngth �z �-Q" Width �jZ�-Q" Height�� Sq. Ft.�(�g # of Stories� OFC. ARE�: L�ength WI�SE AREA: Length O'I�R AREA: Length width Width Width Height Height Height Sq. Ft. Sq . F`t . Sq . F`t . VALi7P,'I'I� Sq. Ft . _!�`�� x $ ��/, 5� Cost/Sq. Ft . = Valuation $� 2 �� _ � Sq. Ft . I ZOO X $ / �. �J � Cost/Sq. Ft . = Valuation $ ZI � � , ) - $ � Sq. Ft. x$ Cost/Sq. Ft. = Valuation $ ) 'lt�'TAL VALUE Builcling Use�E�� L Construction Z�e Occupancy Group ��j Air Conditioning �Yes [] No Fire Protection Provided [] Yes �-�To '`l�Hcv+'tES Perforniance Bond Arrount $ 1v A See Reverse for Schedule Received [] Yes [] No PeYmi.t Fee $�,�� .a,�J Plan Check $ �� Fire Siarchai�e $ , ,S State S�zrcha�rge $ � / %. ,sU SAC Chan�e/�X%.$�V $��f�j. �O Erosion Control $ Park Fee Q. X37s $ l J��. Od Spec. Assessments $ Driveway Escrow $ TOTAI, $ / , 3� See Fee Schedule on Reverse Side In Excess of Prepaid Amount - See Reverse Side .001 x Permit Valuation (1/lOth o) $.50/$1,000 Valuation (See Sched. for > $1 Million) $900 per SAC Unit (Plans to MWCC for determir�ation) $450.00 Conservation Plan Review Fee Dete�ied By Engineering Agreement Necessary [] Not Necessazy [] feet x $13.50/foot � 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 $1 to 2,000 2,001 to 25,000 25,001 to 50,000 50,001 to 100,000 100,001 to 356,000 Over $356,000 13 UILllING YERMIT FL� SCHEDULE $21 (Minimum Fee is $21 plus surcharge) $21 for lst $500 plus $2.75 for each addn'1 $100 or fraction, to and including $2,000 $62.25 for lst $2,000 plus $12.50 for each addn'1 $1,000 or fraction, to and including $25,000 $349.75 for lst $25,000 plus $9.00 for each addn'1 $1,000 or fraction, to and including $50,000 $574.75 for lst $50,000 plus $6.25 for each addn'1 $1,000 or fraction, to and including $100,000 . • $887.25 for lst $100,000 plus $5.00 for each addn'1 $1,000 or fraction, to and including $500,000 $2887.25 for the lst $500,000 plus $4.25 for each addn'1 $1,000 or fraction, to and including $1,000,000 $5012.25 for the lst $1,000,000 plus $2.75 for each addn'1 $1,000 or fraction PREPAID PLAN CIi�CK FEE SCHEDULE $29.25 $29.25 for lst $2,Q00 plus $5.85 for each addn'1$1,000 or fraction, to and including $25,000 • $163.80 for lst $25,000 plus $4.225 for each addn'1$1,000 or fraction, to and including $50,000 $269.43 for lst $50,000 plus $2.925 for each addn'1$1,000 or fraction, to and including $100,000 $415.68 for lst $100,000 plus $2.275 for each addn'1$1,000 or fraction, to and including $356,000 $1,000 (Balance due with issuance of building permit) P�RFORMANCE BOND POLICIES When a building permit is issued for a commercial, industrial or a multiple dwelling residential project which requires outside improvements,a Perforniance Bond or a Letter of Credit shall be submitted to the City. The bond will cover all outside improvements, including but not limited to landscaping, irrigation, curbing, blacktopping, screening fences, lighting, and storm drainage systems. Calculation of bond amounts will be determined by the building permit values. The bond amount will be 3% of the t�uilding permit value up to a 2 million dollar project or a$60,000 bond. Actual amounts will be rounded to the nearest $100. The City reserves the right to require greater or lesser bond amounts based on unusual circumstances. Projects «ith no outside improvements, generally will not require a bond. Bonds must remain open until the project is fully completed. All bonds will be held over one winter and through the next growing season to insure the survival of all landscape installations. The City will then inspect these properties in August of the year following the initial planting. Bonds may then be released in October of that year if all improvements are satisfactorily completed. �f�� , , HOUSE HEATING TEST RECORD � ADDRESS _ ' �.� _ APT. FLOOR _ OCCUPAN"',- � OWNER HEAT LO�iS DATE HTG. INST. SOLD BY INSTALLED BY T_ Electricol Work By Gas Li�e By _ .�'`�,,ii �-l✓.%�--, ,,. _ . ... _ CITY �_SUBURB— TYPE OF HEAT GA FA HW STEAM SPACE HTR. UNIT HTR. OTHER GAS DESIGN CONVERSION MAKE Mod • I . Serial _ INPU7 THERMOSTAT Volve Limit Limit Sstting _ Fan Setting _ Pilot Type _ Pilot Make — Pilor Model _ Pilot Timing _ L.W. Cut Off _ Pressure Input CFH_ Stock Temp. _ Form 235 CONTROLS — Heat Plug MAKE OF BURNER _ Modei Mox. BTU Roting __ MAKE OF FURNACE Model Vent $ize KIND OF LINER SIZE NONE Draft Hood Regularor Filters Size Number Chimney Location Inside Outside Chimney Construction Smoke Bomb _ Droft Door Pressure _ Percent C0� Date Tested — Percent OZ Compony Testing Percent CO Name oF 7ester _ W iring Test Tag _ Lighting Inst ;1-�' � U � �- I l� �� CITY F�(iIDLEY INSPECTION OIV. G431 Uriivetsily Ave N� Fridley, MN 55432 572-3604 RATE SCF{EDULE _---- __� . -- ��j � �� . C'Ifc� , ivc�On Jriiivary i, I�IJl __� ,_� APPLICllTION FUf1 F'OUVE(i �'U1NTS AND I fE11TING, COOLING, VEN711.11TION, REFAIGERATION ANO AIR CONOITIONING SYSTEMS ANO OEVICES Resfdantial Furnace Shell and Duct Work, Durner - Also Repfacemenl Furnace (Side Vent - Fill Out Bacic) Gas Piping (Needed wilh new lurnace) Gas Aange Gas Dryer 'Air Conditioning - All Sizes f�ale $ 30.00 $ f 0.00 $ 10.00 $ 10,00 �v 25.00 IUTAL $� L� �� !� 5 $ _ $ � � �� Alf Olhers�flepairs � Afteralions (IJST ON BACf� 1% ot Value o( Appltance or Wo�k � _ Comme�cial/Industrial 1.25% ol Value of Appliance or Work �_ _ � 5`7� . Slale Surcharge $_ ,,�' TOTAI FE� ��.�--. �s. �� MINIMUM FEE FOR ANY HEATING/COOLINGNENTILATION REFRIGERATION AIR CONDITIONING PERMIT IS $25.00 PLUS THE $.50 STATE SURCHARGE REINSPECTfON FEE $42.0�/Hr kAir Cond�ioners can not be placed in a side yard wilhout writien permission from adjoining property o�vr�er. JOE3 ADDRESS � I ��` ;;,_ r` �� 1.��-�� S -��'�� C�'� �� I�he undersi�ned f�ereby makes �phlicalion for a�ermil for Ihe work horein specilied agreeing to do all work IR slrict Accordance with It�e Ciry Codes and rulir�gs o( Ihe Bullding Oivlslon, and hereby declares Ihat all the facts and re�resenlalions staled in Ihls application ate Irue and correcf. `'�'1''I,�i, �;j-.• � � �-f'-�- _,1 ss� OWNER_ F' 1 � � � �.-C�� BUII_DING USED AS ESTIfv1ATEp COST � � C�`' � PERMIT N0. DESCRIPTION OF FURNACE AND OR BURNER � �.____ ,� No. ol Heating Un�ts Circle One (Sleam) (Hot Waler (Warm Air � 7rade Name ��c ?�, 4 �{ �-' Size No. �,�� ►� �� L.` �- BTU i�:��:' ;'� t� I�P EDA Fuel _} � t� -� �� _ Total Connecled Load c�i,_a Burner Trade Name Size No, B7U _ HP EDft � f�r_n�w� coMnntvY��'� �,r ��' ��--�fC�.-�"1 Y1G �� — Signed 8 � � � � ��C,= - � � 'Y ' � fiel No. � � " � ( �-��r Approved By Rough-In Date Finaf Oate _�i �4 � FI�L OUT BACK SIDE FOR STACK VERIFICATION ON �'�✓ _ �EpLAC�MENT FURNACE SM[cr � v �_ '7� .. (�i .'� .� wil.r..�.r c...r.� — oAT[ sS ! � -- � V ` �kilMCD 9T OF}IGL �Ag��j �� M� MO �O• NO NAY(Of JOw�U�� C9�C��h � �oc�rio�r'�iI�1N�fi��L�/�� fy1l� — A �►��OV�e S��ca Usto PO -- - , Gri■�r[ ro�?J �/'*'� �`'��Y,:: � �us lo�s i �t X . L�' i.FrK � CulY Neu�s p/ O►LRA� �T�� u o� Sur Ga�■ o� �� /TY/MOY� Ou�wT�Tr T[II►. DiI►. CONDITIOIiS 00 we X RN 0� G. ,. i0�/1� WIK—GUu OYTOOO�IOAI K✓" 'i cu.. [fl'J so F� x Zc.O x l. �__ I 3 �oo. � Rk � �7 50 _2 \{.� Gu�■ l(p(p So iT x l �f' GY X� 5 Gu�a So FT x x Gua soFrx x �.�icNr So FY x x SOWt b TMNi, wi►+--wALLS ♦ a0or � w.i� 4'11 so Fr x Z x.o � w.0 23� so �* x 32 x.DG wK�� So Fr x x w.0 so�*x x ooI—Sur C9 CO L.� So it X 7!� x• O 00�—SM/,OCD SO F► 7C Y TtJ►Ni Gl�IN—LXCVT WAILS b �00d/ �L G��s ZZ� So FT X �� X• 7 ,�t�rro� So fT x x rn OFtX X p Ff x %j� x C�r x X (NT[RNAL NE�T �o.�. � r�o•�. x Z 1'� s.c. Nr o. xw x :t• �'J W�nt x �.� X �►��cu. ETC, x JD�TIOM�I NE�T GAIMS )( Su� To� •o��c� So 1'r x x 1— Su1 T0� ,r�n Fac7o� % — p O O M 5 E k S! 8 L E N E A � ..0 •unlT e• oue� ►u .r a.�s 96 + ��.�. te�r 'K + N. r: % ��DOO� A�■ Crr x % X �+ x t E F F E C T 1 V F R O O M S E N 5 I 6 L E H E A 1 U.TfNT MLAT f1�T��T10M CIM X 0�/l� X 0 :o.« � ..o.,� x Z 3 � '[A■ l�/M�_ _X_ I DSO_ _ •.u.■ca. Etc. �D�7�ON�l N[4T G�i�i .rot T��, sa rtrr F�cro• �r►�r ouc* �t�x� �TO�,s�. � rF�[cr Ml l� X i•1� X Su� i � R _ M LATEMT NU x ��n� Y •r X �e aoow u*�r Mt� �AY TOTAL M[A ouTCOOa ��R MuT ! �'� C�r X�� F x 11 — sF) X ��O C�M vli13�....Y r�_ er► Y IV�• A�1Y�• C♦ CYC• .. e.�• Y 1 u••. c p�rr��t�ct I I x X 1c � x X 7[ � i x x r v� ' OUTOOOt AIR /I MT 0■ Io��t X z'� C��i►t��• YZi /� X C�vh Ir = � Crr Y(Y11UTlOM ■ � [v�.cuc ��ro�ru4 DOOR1 �tor►t X Cr�/►t��o. _ — 0►tN Doo�s oeo.. x cr•loeoe =_ ��/14 [jM�Y�T F�■ TY�IY c��c� Fi[T �C c►.i.T = — j7� t�r t i��r..now r CfM OUTOOOR �tR TNRU A►PARATUS � APIARATUS DfWPO1Mi [NLCitv/ E/I(CTIV( ROOr S�Mt� Hc�i ESMf �[�• »[�r � E//ICT1�[ ROOr TOT�L MLAi � r�tto■ AO► INDICATEO AD► = F SEIECTED AOP =__ DEMV1.�lDlfl[O .�IR QVANTITY Rt�a (ti'-' 8f1 Y IT�� F—T�o• �) _— p[ fy , f��ccn.c Roor Sc••. Nc�T _ � I.oe x F .,... •,.� Ouh[T pppr S�M�. Mt�T 1��►. — FI��-•ovr� D�n. � nw v [rr _ � su►��Y .�tR QUI►NT1T7 $�F�Y Roor StR�. Ntat _ t.oe x f .�.�....�.. et►.�• CfM Crr�„ — Cr�,� — I A[StJLT1NG INT b �VG GOM01710NS AT A7iI�R. I EDB T..—F} C►rc. x fTo�—F—T�r—F1 =T G/Yi LD0 T'o^"^F + r._BF X(T1e�—F -- T�o.,__F f- T FROM PSTCM. C1tAPf: Tr� F, T�� F �'fiA�' Lc� �S HoYas �� _ ��v ��(o �,t . �Z 4 a� g�= I 3�i. A- �� `t v"1 ➢� . e� q- Z X,Bb� z(p 13 ��'22°1 DL,�� a� 1!(�� `—,�, q_3 �t , to x � - �v�° 1 � ' �y �,� : � Q- � ' � 3 � � � � °l �O G� V�-+�T; �oo � i � oY� ------ 3oflCo'1 q'C� �1 � kt • sY. TOi.I • ��Q. ,• •w��rr...�.. ...n. cr� ,.. �_.i... . u<. ., . M� Of��. � •IAY�117 •��u. � ►V�� 1 hrf len l�.N ��uu� i �Nr��1 w •��r.e� . . ��.•. •i�. •�� ...�r �r�. G R A M O T O T A l N E a T 'jj ♦��• ��u�� n��• a� o..�. •�• r......�� s.�. AIR CONDITIONING LOAD E57fMAYE -- FORM E-20 I3-b9) �M lR� r+iu�xco MAM[ O� J� LOC,�� 1� sr�cc u�ce Irt� w�� Wa► Wl\ , ♦�sa e� �u� cs�r et Oti�rr�rr urr. p�►�. �� K� FT � � y/ YY�/M��sI rr/Ml � �� , �' ��or No3"/S'd[ !� -�o� No � �P,'F�'� • ` 2 • � v A��110vLs _ _ �� 4t�.•t� w� ��.«.tu� � � ►t�►c Lo�� ; . 4a h x � FacTa ftv�NOY� • �� i � i �z SOI..►� b T�S. Gn�N�--w�las � a0a 2?. � se r � x '� 7� x- U�}2 oo.-suR /D O � So rr x' oor—SM�pco So i� x Tt1d►NIi]WIN--LXCilT \L GL1Y i�J 1 SO /i X ,�r�rio� So ir x Uu�• So F� X Y � vv 6 1100� Y 0 � ��I�►�anor C�r x K 1NT��NA� HLAt �o.�� 3 ►�a.�. x »�� M/ s� KW X Gtt� �2' � X Ii � WAtT• X�.� �f .��cu. Ete. x ,OITIOA�L 1�[�1 G�INI Y n •�l� •Vr111 ct DY<♦ ��• .� o��• %+ 1�.�. tw� '1� � M. ► �rpoo� AiR CIr X � FF�F+C7�VE RO M SEM; L�TtNT NUY ►��TU�ior �/M X _ o�rro�� N[r* G�u� n� rcwl Y\• :f ��i Z i • � SY� � ■ « � T ws i x aN i ar �� D�rrt�c�tt � I X i I 1 x x� � I x x F ' � OUTDOOR AIR �iTioi i�ru x Z�7 �nntr� � r. x c.vN r+ - _ [rr VtrntaTlor �p sw��u• ■�res�u� PPO�� •��ru X cr�lrirw� g ► OKM Ooo+■ o.��• X Cn/ow� =, I•n�. [�r�u�r F�� ►Y�IM C��C� /[[T X C/1//7 = _ j . CI■ I ►i�r�ario■ r CFI�A C�JTOOOR ♦Ip TMRU A►►ARAIUS ■ wrr�ou►YUS c[w►oiNY V�ccnvc Crr�cn•s Aoo■ Sc��. Ncar G1Nf �trr w[AT = EI/lCT�YL ROO� TOf�I M[�T r�cto■ � AO► �NUICATEO AD� = R SEIECTEO AD► =._ DEHUA1tDl/![D A1R QUAN7tTY Tt�i. *�� (f-- D/1 x lT�� /- T�o� F) _. �� pCFy Er�tt*�v[ Iloo■ S[Ma. M[�� o � 1.0• x � ��r�. �ue -7 Qut�[t Rop• S[rs. M(�7 �G lts/. _ �I��-0o� ��►�• �_aa x trr .. SU►rlY AIR QVAAIYtT7 Su�r�T Aoor Sc�a, Nr�� CFM - f.OS X F ��►nu ��•r ��r�� _ CFY Cr�� - Cr�,• - �tSULTtHG iNT 6 LrG COND1T�oN3 �T �rP�� [D� Y..—F'� Crr,� x (Y,�_F—T,�f) =T cl�i tD, T"�F+�6f X lT��wP — T.,�_F1 - T FA01I PSYCM. CMAAT: T�„�� F, T�� F �`�� I� � I�OT{S �T 1zoo�. (� v � X. b Z� X v g' 1?��7 �rr�L�� zz3 � . oazx � � - dZ4 �.A.�s = I 3'� �. S x 8� y Co °L °t 2 �e.��S D ��?jZi Fi� r� - (��4o X . �� ` P�P- , 20 �- l 3 tic S� v 2Z� ��N�� 10�x 1�17vy �ay�� Z A- 4 c► � �o r^ 8►�t ' ouT� � Alt NuT �'O Crr 7t � l � x f 1— �7 X 1.�� c7p G• x •vi. x - s1 x e.0 `Z� I `rv�h ■tl��• iY� TOT�I •v �� er n f• �rr. M�� u•n• a� •�• �+u�n rrn.a.e� �� p�c� M� � 0��. • w�nn /��.ru. + lft�. C��• � ►��. i �� ►o�� 1�.�� ..u.�• � ��..�� .+ .•.w. ... .....� ... ..� ...�.. .... G R A N D T O T A L N C A T ��u �n��u�� •�� .u. �u ��••�•r�a� tr�. A1R CONDITIONING LOAD ESTiMATE-- FORM E-20 c3•69� y•. : , . . - . . . _... .��....�„�.....r....��r�.�.tiw�.�.n.�..�r: A►'•-+-a�• �-T.- � ... . . 'uf-.�Ii�+'.3ili+/7.1�i'h��li�.a:�::..�.::�::.�i:�..�.-t�3L�i.: . _. . :��n:�--�c-�=. �..� ei. sua�ecr PERMIT NO. \. c�ty of Fridley 2� 5� 3 AT THE TOP OF THE TWINS g � I L D I N G P E R M I T r � � RECEIPT NO. � � � ' COMMUNITY DEVE�OPMENT DIV. � i V� � r � ' � PROTECTIVE INSPECTION SEC. `� 7� j � � � /'��1 � CITY HALL FRIDLE� 55432 NUMBEA AEV DATE PAGE OF A�PHOVEO B� �""�'� �'' 612-571-3450 910-F15 � / 9 4 98 JOB ADDRESS 179 Christenson o t LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 3� 2 Chri SHEET 2 PROPEfiTV OWNER MAIL AODRES$ ZIP PHONE The Rottlund Com n - 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Same 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO 5 ENGINEER MAIL ADDRESS ZIP PHONE IICENSE NO 6 USE OF BUILDING Residential' 7 CLASS OF WORK ❑ NEW ❑ ADDITION � ALTERATION O REPAIR O MOVE O FiEMOVE 8 DESCRIBE WORK Finish lower level utilit 9 CHANGE OF USE FROM TO STIPULATIONS See notations on print TYPEOFCONST OCCUPANCVGROUP OCCUPANCV�OAD SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING. VENTILATING OR AIR CONDITIONING. THIS PERMIT BECOMES NULL AND VOID IF WOFK OR CONSTRUCTION ZONING SO. FT CU FT. AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS. OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOA A PERIOD OF 120 DAYS AT ANV TIME AFTER WORK IS COMMENCED NO. DWLG. UNITS OFFSTREET PARKING I HEREBY CERTIFV THAT I HAVE READ AND EXAMINEO THIS APPLICATION STALLS GARAGES AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS VALUATION SURTAX AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR NOT THE GRANTING OF A PERMIT $4765 2. 3$ DOES NOT PRESUME TO GIVE AUTHORITV TO VIO�ATE OR CANCEL THE pEfiM1T FEE SAC CHARGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- STRUCTION OR THE PERFORMANCE OF CONSTRUCTION �99. �S Fire SC G. %G PLAN CHECK FEE TO A� FEE Licen S 5. 111.89 SIGNATUAE OF CON"AACTOQ OA AUTHOAIZED �+GENT iDA7Ei EN F Y VALI A D THIS IS�LQUR P �: 'r . _ , T � � __ _ �� ., SiG�� OFOWN i� .WNEFBWLDER� iDATEi Bl G iNSP ' �141E NE`V A�L'N ALTER L) i� [l ConstructionAddress: � t CITY OF FRIDLEY � SI�i IGLE FAMILy AND DUPLEXFS R-1 A.ND R_2 BUILDING PERMIT APPLICATION Effective 1/1/97 ,� , � ,� ,��% �'1'�� G% Legal Description: - 5 / , / - � �� / �� _ -� �l% Owner Name & Address: � N� �-t-L1t �„i� (�,,, -�,�� ti�� ` IN%. Tel. # /n��--�-r�� Contractor: 5� m � � � T'iN LICENSE # J �� Address: ��o�; �� h� .� l��F '�i1,_�. JI L�E M� r�5J13 Tel. # _ � �B � O �C-�O Attach to this appIication, a Cert�cate of Survey of the Iot, with the proposed construction drawn on it to scale. �,IVING AREA: � GA.RAGE AREA; DECK AREA: OTHER: DESCRTP'I'IpN OF �pROVEMENT � ��'/��r Len � Width �__ 2_'C�'+ Height ��`'Sq. Ft. :�-�U ��`.'�.3 Length ...—______— Width Height S Ft. �' q' — �ng� ________^ Width _ Hgt/Ground Sq. Ft. � .ir . � � l �°'n . r.�� ;onstniction Type:��,�' ��a� � �''� � � G�f/L/i yJEstimated Cost: $ �� (Fee Schedule on Back) �riveway Curb C�.it Width Needed: Ft. + 6 Ft = Ft x$ _� ATE: � - - ,� APPLICANT: _ �Gf� L � Tel. # ��--l�S�Z�^ �rmit Fee re Surcharge ite Surcharge .0 Charge ;ense Surcharge iveway Escrow �sion Control k Fee ver Main Charge roTAr. PULATIONS CI'I'�Y USE ONLY � /, � Fee Schedule on Reverse Side � ��o .001 of Permit Valuation (1/lOth%) �_ �-�8 $.50/$1,000 Valuation �_ � $950 per SAC Unit . �- � ab $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 [ ] �_ �� ' � ��,_..� � t � a � � �� / i.;'' y �1 1 ��_� � > > I3UIi,DI�ti'G I'E[L1�[T F'EE SCFiEDULf? "f'he Cfii�f Building Ofticial shall, before issuing pern�its for the erection oC any bui(ding or structure, or ti�r an}' ��ddition to any existing building or structure, or for an}� alteration or repair to any existin� buildinn �r structure, upon application therefore, require the payment by the applicant for such permit of fees to the amoun[ tlerein below set forth and in the manner herein provided to-wit: TOTAL VALUE � 1 to $500 ��01 to $2,000 SZ,001 to $25,000 S25,001 to $50,000 5�0,001 to $100,000 � 100,001 to $500,000 �500,001 to $1,000,000 1, 000, 001 and up FEES $21 (Minimum Fee is $2I plus surchatge) $21 for first $S00 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 $I,000-- or fraction thereof, to and including $50,000 $574.75 for. first $50,000 plus $6.25 for each additional a�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 $540,000 $2887.25 for the first $500,400 plus �4.25 for each additaonal $1,000 or fracfion thereof, to and including $1,000,000 • $SO1.2.25 for the fust $1,000,000 plus $2.75 for each additional $1,000 or fraction thereof DRIVEWAX DEP�2ESSTON ESCRO�V (Concrete Curb Streets Only) �ternate "A": Removal and replacement of curb and gutter only - Driveway width plus 6 feet times $13.50. f ternate "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. VERIFZCATION OF FOUNDATION . �71ii�s for construction wi(1 be issued a minimum of 24 hours from the time of application to allow for pro��r •�ie��• of the proposed stiucture and of the construction site. �:��-�ii�ica�e of Survey ot� clle Iot, showinb the location of the foundation ur�ce i[ has it has been constructc::! :�� r�quir�cl h�for� ��r��cc;��iin`� ��ith tlte fraininR. _ � C�lY OF FRIDLEY FRIDLEY MUMGPAL CENTER • 6431 UNIVERSITY AVE. N.E. FRIDLEY, MN SSd32 •(612) 571-3450 • FAX (612> 571-12l�7 September 25, 1998 Rottlund Homes 2681 Long Lake Rd Roseville, MN 55113 Re: Final Inspection at 179 Christenson Court NE, Fridley, MN Dear Sirs: A final inspection was conducted on September 25, 1998 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, L f�a� BARR RIESCH Building Inspector .. �� ADDRESS . PIN . LEGAL DESC . PERMIT TYPE . PROPERTY TY{'C . CONSTRUCTION TYNE . CITY OF FRIDLEY G431 UNIVERSITY AVENUL NE FRIDL�Y, MN 55432 1631572-3604 FAX: (763) 571-1287 179 CI IRISTGNSON CT NG 1430?d320219 UNAVAILA[3LE LO'I' �0 [3LOCK 2 GLGCTRICAL COMMERCIAL A D D I"f I ON /A LTE RAT I ON PERMIT NO.: 2004-02307 DATG ISSUED: 12/21/2004 R659� VALUATION . NOTE: ELECTRICAL PERMIT BGCOMGS VOID 12 MONTHS AFTER PERMIT 1SSUE DATE. PH:763-784-3729 �;� # INSPECTIONS # 0-100 AMP CIRCUITS 2 # 101+ AMP CIRCUITS APPLICANT LAZER ELECTRIC 8164 ARTHUR STREET N.E SPRING LAKE PARK, MN 55432 (763)784-3729 OWNER GITTLEMAN MANAGEMENT CORP. 179 CHRISTENSON CT NE FRIDLEY, MN 55432 AGREEMENT AND SWORN ti'I'ATCMENT This permit becomes null and void if work or construction authorized is not commenced witin 60 clays or if construction or work is suspended or abandoned for a period of 120 days at any time after work is commenced. I hereby certify that I have read and cxamined tliis application and know the same to be truc and correct. All provisions of laws and ordinances govcrnin� this type of worF will be complied with whether speciticcl herein or not. The granting of a per►nit does not presumc t�� give authority to violate or cancel the provisions of any uther state or local law regulating construction or the performance of construction. Applicant Date E31dg Insp _Date ELGC PERMIT FEE - M[N (NON-RESI) GLEC AMP SGRVICE FGE GLEC CIRCUIT FGE (0-100 AMPS) ELGC CIRCUIT FEE (101+ AMPS) STATESURCHARGE,ELECFLAT TOTAL PAID WITH CHECK # 42761 SEPARATE PGI:N11'1'S RGQUIRGD FOR WORK OTHER THAN DGSCRIQ�D A[30VE. ❑1 ❑1 0.00 30.00 t�:9Q��o0 0.00 0.50 42.50