AF - 43095�* �
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LAND SURVEYQRS • CIVIL ENqNE�iS
LAND PIANNERS . LANDSCME ARCHI7ECi5
2422 Enterprise Driva
M�dota Helghta, MN 55120
(812) 881-1914 �AX: 881-9488
625 Highway 10 N.E.
Blaine, MN 55434
(612) 783-1880 FAX:783-1883
Certificate of Survey for: THE RO TTL UND COMPANY
House Address: _ 58-6I Christenson Wav & 62-65 Satellite Iane
House Model: �
� � � � � �
38 � � 49 � 48 � 4 7 � 46 �
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_ �
�
CHRISTENSON WAY_ ��
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58 � � 59 �
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28.33 20.pp .
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4UI ING 3
20.00 2533
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63 � 62 �
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SATELLITE LANE
C��
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x aoo�o D�otes ExTsting E/evotion
� Denotes Proposed EleHOtlan .
—� Denotes Drolnage Flow Dl�ectlon ,PROPOSED BiJIL•�ING E�EDATlOUrfi
'�� Denotes Dralnoge dc Utiilty Easement Garoge Slcb Ele�notion: 861.37 (at doar)
—o-- Denotes Monument No�: Proposed buAd(ng aite �od�9 �s u, a�,�. ,,,�, ti,�
—+— Denotes OKset lron Beorings shown cre ossumed �Od�g P�a °PProved by ths �ny a„9�.
NOTE: Contrector muat verify ap dbneneto�a � dri�„swoy de��p�,
LOTS _ 58-65 , BLOCK 2 CHRISTENSON ROSS G
ANOKA COUNTY, MINNESOTA
We hereby certify that this survey, plan or report wcs prepared by me or under my direct supeMaton and thct I a duly Itcensed
Land Surveyor under the laws of the State of Minnesota. Dated this jST day of Oc{ubo, A,D. 19�.
Signed: PIONEER ENGINEERING. P.A.
Scale: 1�= 30f�et a. - B� �" ��
Robert B. Sikich. L.S. Reg. No. 14891 or
231 16190065 r Terrence E. Rothenbacher, LS. Reg. No. 20595
� �
SuBJECT .
City of Fridley
AT THE TOP OP THE TWINS g U I L D I N G P E R M I T �� �� o
r
� �
� � RECEIPT NO.
� ; y �_��__ COMMUNITY DEVELOPMENT DIV.
r � � PRO7ECrIVE INSPECTION SEC. � °�`�
� . , /�
i
� � /"'1 � CITY HALL FRIDLE� 55432 NUMBER REV DATE PAGE OF APPROVED Bv
�"""�� �'' 612-571-3450 9t0-Ft5 10/15/96
� /
JOB ADDRESS 208 Christenson Way NE
1 LEGAL �OT NO. BLOCK TRACT OR AODITION SEE ATTACHED
DESCR. ,rj$ 2 Christenson Crossing SHEET
2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE
The Rottlund Co 2681 Long Lake Rd, Roseville MN 55113 638-0500 1335
3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO
Same
4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO.
Timothy Johnson 22350
5 ENGINEER MAIL ADDHESS 21P PHONE LICENSE NO.
ETS Inc 220 S Marion Rd, Sioux Falls, SD 57107 19015
8 USE OF BUILDING
Construct an 8 Unit Townhouse/Garage Building
7 CLASS OF WORK
�l NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR O MOVE O REMOVE
B DESCRIBE WORK
Construct a 90�8" x 73�4" 8 Unit Building
9 CHANGE OF USE FROM TO
STIPULATIONS
See notations on plan. Pay Park Fee of $375 per Unit =$3,000.
Standards shall not deviate from "master Plan".
�AR�'�� SEPARATE PERMITS REQt19REp F�R
Before diggi�g cali for WIRIIVG, HEAT1f�G, PLU6yI�ll�(� eq(�D S�(;�So
a�� ut+��ty locations
454-OOp2
R QUIRED �y �,�W
SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD
VENTILATING OR AIR CONDITIONING.
THIS PERMIT BECOMES NULL AND VOID IF WORK Ofi CONSTRUCTION ZONING SQ. FT. CU. FT.
AUTHORIZED IS NOT COMMENCED WITHIN 60 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
1 HEREBY CERTIFV THAT I HAVE READ AND EXAMINED THIS APPLICATION 8 STALLS GARAGES
AND KNOW THE SAME TO BE TRUE AND CORREC7. ALL PROVISIONS OF LAWS VALUATION SURTAX Fire SC
AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED
WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING Of A PERMIT $736,980 $368..50 $736.98
DOES NOT PRESUME TO GIVE AUTHORITV TO VIOLATE OR CANCEL THE pEFM1T FEE SAC CHARGE
PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON-
STRUCTION OR THE PERFORMANCE OF CONSTRUCTION $3,894.SO �%�LOO �S SACS�
�
PLAN CHECK FEE T07AL FEE
� �� � �� ,,� License SC 5. 0 $12,204.98 + PF
SIGNA7URE OF CON� A, OA OF AUTHOAIZED AGENT IDATEI WHEN PqOPER �TED THIS IS YOUR PERMIT
-- - ' � /�� �"�' `
SiGNATUAE OF OWNEA iiF OWNEA BU4DEF7� ' IDATEI � 8L �NS qFTE
Prepaid Plan C�ck $
Fstimated Cbst $
Receipt #
CM 1 � �._ _ 1: I 1, �1 _
i� .� � ��� «• : ���� ,�i: ;
�JILDIl�'G PF�2NIIr APPi�CA'IION
construction Aaaress o 2�T'�1�r5o N ��
Ta�l � Description � � ��$ . T�LC�C�, �, �CHR.1 � E.��� 1�)
owner & Adaress� f'Cc�t�turtirS �ei r1l.�Qt ( r�v, I�L. 1�1 �1,.�_�:,(I� M., �
aQ�7'TRACIt�R & ADDRFSS
�t� & �S ,
�g1ilE2r' & Aaaress
Effective 3/1/96
��' .�1�'
��
1�
�
7�oning _
51 ��,
Tel . # <0351 � OG,�c�
Tel.#
�.# 2'23�c�
�.# I�o15
TYPE OF WORK � New ❑ Addition [] Alteration -Des�rib� ��p j�^���(���
8 � �°r c�� � m� � `� ���rvc�
•.:. . _ - � I . _
' ��_ i� � ���.�. , - � i r��� .: �. � �
BOII�Il�iG DIl�]SIC�VS
� a� , o�
T r�ngth - Width %-� Height �� Sq. Ft .1 �j q a� # of Stories �
' ' ��.
OFC. ARE,P,: Length Width Height Sq. Ft.
WHSE AREA: Length Width Height Sq. Ft.
O�R ARF�A: Length Width Height Sq. Ft.
VAL�,Z'1C�T
Sq. Ft. �� x $ „�, �J� Cost�Sq- Ft• = Valuation $ �0`���Q� � )
�. �. _ )_ - ) /v. X $ �t��. �. - ��,�t�� s � � = s,�.��� q80
�_
�. � . X $ �t��. � . - ��,.�t�on s � � �
Building Use � L Construction T� � Occ�pancY GrouP j�'�
A; r Conditioning �Yes Il No Firn Protection Provided [] Yes �No "�°wN��
Perfonnance Bond A�r��mt $ See Revpxse for Schedule Received [l Yes ❑ No
�t F� $ 3 . Sb
Plari Check $
Fire Surchazge . $��
State Si�rchan3e $ ,.3�5.5�
s� �,� $__�.�
Erosion Control $
Park Fee 37Sk� $ . Dd
spec. Assessments $
Drive�ray Escrocv $
ZCI�AL $ %S� �• ��
�ic- �� 5: o c�
See Fee Schedule on Reverse Side
In �cess of Frepaid AmaLmt - See Reverse Side
.001 x Pernlit Ualuation (1/lOth a)
$.50/$l, 000 Valuation (See �Sched.. for > $1 Million)
$900 per SAC Unit (Plans to Nb�TCC for determination)
$450.00 Cbnservation Plan Review
Fee Determisled $,�s �tQ; n�ri � ��/��
Ag�eement rrecessary Il .rrot Necessazy �; �
feet x $13 . 50/foot ��.-L ��i
$1 to
501 to
2,001 to
25,001 to
500
2,000
25,000
50,000
50,001 to 100,000
100,Q01 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
B UILDI��i G PERM(TI' FEE SCHEDLTL,E
$21 (Nlinimum Fee is $21 plus surcharge) �
$21 for lst $500 plus $2.75 for each addn'1 $100 or fraction, to and includ
$2,000
$62.25 for 1st $2,000 plus $12.50 for each addn'1 $1,000 or fraction, to a
including $25,000
$349.75 for lst $25,OOfl plus.$9.00 for each addn'1 $1,000 or fraction, to a
including $50,000 � -
�.
$574.75 for lst $50,000 plus $6.25 for each addn'1 $1,000 or fraction, to a
including $100,000
$887.25 for lst $10U,000 plus $5.00 for each addn'1$1,000 or frac[ion, to a
including $500,000 � �
$2887.25 for the lst $500,000 plus $4..25 for each addn'1$1,000 or fraction,
and including $1,000,000 .
$5012:25 for the lst $1,000,000 plus $2,�5 for each addn'1$1,000 or fraction
PREPA►ID PLAN CHECK FEE SCHEDULE
$29.25 �
$29.25 for lst $2,000 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 �
$269.43 for lst�$SO,Q00 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)
PERFORMANCE BOND POLICIES
When a building permit is issued for a commercial, industrial or a multiple dwelling residential project which require
outside improvements,a Performance Bond or a Letter of Credit shall be submitted to the City. The bond will cove
all outside improvements, including but not limited to landscaping, irrigation, curbing, blacktopping, screening fence�
lighting, and storm drainage systems. �
Calculation of bond amounts will be determined by the building permit values. The bond amount will be 3% of th
building permit value up to a 2 million dollar project or a$60,000 bond. Actual amounts will be rounded to the neares
$100. The City reserves the right to require greater or lesser bond amounts based on unusual circumstances. Project
with no outside improvements, generally will not require a bond.
Bonds must remain open until the project is fully completed. All bonds will be h�ld over one wintei and through the
next growing season to insure the survival of all landscape installations. The City will then inspect these propertie:
in August of the year following the initial planting. Bonds may then be released in October of that year if al
improvements are satisfactorily completed. - - �
,�if/�S7�1Z �L.�s,! ,�j l.�i�/�7- Tc,��1 �'�''�/y�
.
BUII,DING INSPECTION DIVISION
BUILING PERMIT REVIEW CHECKLIST AND ROUTE SHEET
FII.E DATE �U- -��i Four Sets of Plans; 1 Insp {} 1 F'ire {}
1 Plaa { } 1 Engr { }
DUE DATE� -� - �
ADDRESS � T o��
COMP NAME
PLANNING
Bazbaza Dacy Scott Hickok �
[ ] Perfo Bond A
I l Park Fee Amo .
[ ] Setbacks
[ l Pazking
[ l Landsca.ping
[ ] Wetlands
[ ] Compliance w/ Council Stipulations
�
RETURN TO RON JULKOWSKI
{ } ENGINEERING
John Flora •
[ ] Grading/Drainage Plan
[ ] Conservation/Erosion Control Plan
[ ] Sewer Laterals Required
[ ] Water Later�tis Required
[ ] Land Alteration Permit Issued
[ ) Pond Maintenance Agreement
[] Rice Creek WSD Permit Required
[ ) Easments Required
[ ] Inspections
RETURN TO RON 7ULKOWSKI
{ } BILL CHAMPA
RETURN TO RON JULKOWSKI
�c� /�il�-
������
'`�j�j�i�`` �/��f�
Fee: •
Fee:
Fee:
[ j Obtained
STIPULATIONS: Please Print or Type Clear�
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CHIlVINEY AND STACg VERIFICATION
The undersigned hereby verifies that the existing chimney or stack:
1. . Has been carefiilly examined Yes () No ()
2.
�3.
4.
5.
6
Is free from nist or deterioration
Has no foreiga objects lodged within
Is securely supported
Meets all current Code requirem�nts for size
and total BTiJ's connected
Has total heating BTiJ's of
All other BTiJ's
TOTAL BTU's
7. Has a liner been provided for water heater
8. Has combustion air been gmvided for water heater
Remarks: .
List ALTERATTONS Being Done:
HEATING CO:
Signed By:
Date:
�.
Yes ( ) No ( )
Yes ( ) No ( )
Yes ( ) No ( )
Yes ( ) No ( )
Yes ( ) No ( )
Yes ( ) No ( )
0
- . �Y OFFICF
� . - .od bl� L7 - ���� �/�+Li
. ,N MiNNF fii7N.►l_l� �`rni-
• - '. t U�t.n Fo�
.� X a I S� FT X
��� ` Awta OR SYN G�IM O� I
..� ITt11 OYAlITITT T[III. Olf/. fACTO!
SO i.A1� GI►l l'�—:�:d�SS
' c��,. Z'� so FT x ZC� x�� �
. Guas �[p �j SoFrx ��j' x'. �
{ cuss I �`S so vr x 1 4 d' x_�"7
Gus� So Fr x x
c��icMr So Fr x x
SOWt b TRANS. 6AIN—WALLS b ROOf
w��� SJ� soFTx Z� x•OLFL
w,►�� 4'*� �1 so Fr x I� x,o A'L
w. �L 3 4�J so Ft x `� 7i x, p�j. �i
W��� Sa FT X x
ac._suH �J3Z so Fr x'✓(� x.��Z �'
JOF�SHAOED SO FT X X
TRJ►NS. GA1N—EXCEPT WALLS b ROOf
�� c��ss 3/� so Fr x tl x•'��
\11TITIOM $O FT X X
EILIMO SO FT X X
_oo� 3Z � Sa Fr x 2 O X• � �
ri�rr�now Csr X x �.e�
INTEANAL HF�1T
:o.�c � Pco.�c x 2/
�`��A NP e� K1M X
^•••'Tt � � • WATTf X ].� X
'� ANC[i. E7C. x
101710MA1 HEAT GAINS „
Su� ToTat
o+e�cc So Fr x X(— )
Su� Tora�
rETY FAGTO■ �j(
•rtr
:r
�T Wi■
i T7f1A ■
LT�ATION
R O 0 M 5 E M 5 I B L E H E A T
f u►r�7
DuCT /�■
+ l[�[ Lo�� 96 + M. t. !�
Crr X F x �r X t.
T I V E R O O M 5 E M 5 1 8 L E N E A T
urENT H�►T
crr x a.,�. x a.
►U�MCL7, ETC.
OITIOMAL NEA7 GAIMS
se rr x tnoo X
rP�Y DUCT LEAKAGE �oss
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�
AI�ROVED
�TL/F10Y■
�Z
I EiTI11�Tt /OR ��� T��� I/G� LOAD
f�� D�a
► Roor (Rll) I �
D�rrutMCt � X z I X 7I x X x x
� OU7DOOR A1R
LATION � �o►at X �C��/►tese■ �
rf x a.is. rr = _
Crr ViMTIt.�TIOM ■
s.�.��..
y A�ro►ru4 DOORf- ��v�= X C�r/�[�W+� __,
i
iO�[M DOOR! Deo�s X Cir/Deo� =_
�■��• E:M►usr F��
TY710�
Ca�c =__rcn x c,urr = —
Gsr �M/IITlAT10M �
CFY OUTDOOR AIR TMRJ APPARATUS �
APPAtUTUS DEYVPOINT
ESHF itMS��c.r = =f►tttiv[ Roor St�s. Hc�r
IACTOt EfFtCTIYL ROO11 TOT�L NLAT
ADr INOICATED ADP o F SELECTED AOP o_
DfHUMIDiFIFD AIR QUAlVTITI'
T[rr.
R�it (}-- BF) x(7�■ F—T F) _
•or —
D[�F� . Ei►tCTtrt Roor SCtif. NE�T _
1.00 X F rc�r. �ut
OUT��T ROO� $i7�f. HEAT
TCi/.
Diir. . nn .. �-- Fl��buT:
� SUPtL7 A!R QUANTITY
J SCF117 Roor SCMS Nur _
J1.08 X F �i���i� ����
i 8nass
1 CF�1 Crr �� — Cfr o• _
� RESULT(NG ETIT b LVG CONOITIONS AT APP�►ti
I CFr
EDB T�r—p_ CFri x(Ta�_F—Ti,r.__F) = T
LD8 T.or----'� -F _8F x('ca.—F — T•or—F) = T
FROM PSYCN. CHAAT: Tti� F, T��� F
Ik�AT I.o4�S ru -t
- Noru
r�o�: �3Z X.�Z4-x8�= 17��
'NAw' �� ��• 0 4Z x 38 = �i-(v� 5
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AIR CONDITIONING LOAD ESTIMATE — FORM E-20 (3•69)
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CITY OF
F[ZIDLEY
FRIDLEY MUNICIPAL CENTER • 6431 UNIVERSITl' AVE. N.E. FRIDLEY, MN 55432 •(61?) 571-3450 • FAX (612) 571-1287
Apri124, 1997
Rottlund Homes
2681 Long Lake Rd
Roseville, MN 55113
Re: Final Inspection at 208 Christenson Way NE, Fridley, MN
Dear Sirs:
A final inspection was conducted on April 24, 1997 for the above noted townhouse. We found
that the construction of the building unit complies, to the best of our knowledge and belief, with
all the requirements of the building codes of the City and the State of Minnesota relating thereto,
and permission is hereby given for the occupancy of said unit.
If you have any questions on this matter, please feel free to contact me at 572-3602.
Sincerely,
� ; ���
BARR RIESCH
Bu'ilding Inspector
�. .
� sue�eer PER
City of Fridley
AT TME TOP OF TME TiNINS g u I L D I N G P E R M I T 2 8 8 5 5
r
S � O.
� ; v __��� COMMUMITY DEVELOPMENT DIV. �o �
r � � PROTECTIVE INSPECTION SEC.
� _ ,
� /'�'1 � CITY NALL FRIDLE� SS��$ NUMBER RHV DATB PAGE OF AGPROVED BY
�----�: �.� 612-571-34bp 910-Fi5 1/19/99
� �
10B ADDRESS
208 Christenson Way/229 Satellite Lane NE
1 LEGAL �OT NO. BlOCK TRACT OR ADDITION SEE ATTACHED
nesca. 58 & 65 2 Christenson Crossing SFIEET
2 PiiOPERTY OWNER MAIL AODR�S$ ZIP PNONE
Christenson Crossing Townhomes
3 CONTRACTOR MAIL ADORESS ZIP PFIONE LICENSE NO
Town & Country 7910 12 Ave, Bloomington, MN 55425 545-4233 20091282
a ARCHITECT OR OESIGNER MAIL ADORESS IIP PHONE LICENSE NO.
5 ENGINEER MAIL AODRESS ZIP PHONE LICENSE NO
8 USE OF BUILDING
Residential
7 CLASS OF WORK '
O NEW ❑ ADDITION O ALTERATION �J qEPAIR ❑ MOVE O REMOVE
8 DESCRIBE WORK
Re air sidin
9 CHANOE OF USE FFOM Tp
STIPULATIONS '
Call for building wrap inspection before covering.
SEPARATE PERMITS ARE REOUIREO FOR EIECTqICAL. PLUMBING. FIEATING, TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY �pAD
VENTILATING OR Alq CONOITIONING.
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING Sf]. FT CU FT
AUTHORIZED IS NOT COMMENCED VYITNIN 80 DAYS. OR IF CONSTpUCTION
OR WORK IS SUSPENDED OR ABANQONED fOR A PER100 OF 120 OAYS A7 '
ANY 71ME AFTER WORK IS COMMENCED. ' NO DWLG. UNI7S OFFSTREET PARKING
I HEREBY CEF7IFY 7MAT I MAYE READ AND Ql(AMIN�O THIS APP�,ICA710N 57A��$ GARAGES
ANO KNOW TME SAME 70 BE TRUE AND CORRECT. ALl PROVISIONS Of LAW$ yp�UAT10N SUR7AX
ANO ORDINANCES GOVERNING TMIS TYPE OF WORK WILL �E COMPLIEO
WITH WHE7HER SPECIFIEO MEREIN Ofi NOT. TNE GRANTING OF A PERMIT �SOO �. SO
DOES NOT PRESUME TO GIVE AUTMORITY TO VIOIATE OR CAMCEL TME pEqMIT FEE SAC CMARGE
PROVISIONS OF ANY OTMER STATE OR LOCA� LAW REGUTAT�NG CON-
STpUCTION OR THE PERFOFMANCE OF CONSTflUCT10N �21.00 Fire �.' �..5�
PLAN CMECK fEE TOTA EE
C°����� License S $5.00 $ .00
S�GNATURE OF CON'RGCT� OA AUTMOA�2E0 AGENT �DATE� N P OP ALIOA ED �S IS VO ii PEFMIT
�
1
I �
S�GNniUqE O� OWNEAi�F OWNEABU40EAi i01TE� . ' BlD �NS� � � q�1E .
r�w � �
ADDN [ ] CITY OF FRIDLEY
ALTER [] SINGLE FAMII.Y AND DUPLEXES R 1 AND R-2�
BUILDING PERMIT APP� TIOeNM�� t
eh4 U•��' �^K .
Consriv�tionAddr�ss: �� ���, ��� � � � � .�� � � 3� �
Effective 1/1/99
"J�
�� o�
� a,
3 �3 �
Legal Description: � �
Owner Name & Address: Tel. #
Contractor: �w u g� �'c�� �.� ,� MN LICENSE #0?40 9'I.78 Z
Address: '%i/0 loZ � Aric ���a� �� ��1 .SSY�7S Tel. # .ss�s'- 5�z,3s
Attach to this application, a Certificate of Survey of the
lot, with the proposed construction drawn on it to scale.
LIVING AREA:
GARAGE AREA:
DECS AREA:
OTI�R:
DESCRIPTION OF IMPROVEMENT
Length Width Height
Length Width Height
Length Width Hgt/Ground
Sq. Ft.
Sq. Ft.
Sq. Ft.
�
Construction Type: /�Y��<� S,�,Q�',.� Estimated Cost: $ ���
(Fee Schedule on Back)
Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x$ _$
DATE: �- / S- � � APPLICANT: j ��i� s -/� �^ �c �/ Tel. # yo s -�io - � fi'�3
0
Permit Fee
Fire Surcharge
State Surcharge
SAC Charge
License Surcharge
Driveway Escrow
Erosion Control
Pazk Fee
Sewer Main Charge
TOTA�,
STIPULATIONS:
$ a/.c�v
$ �0
$ SU
$
$ 5.ov
$
$
$
$
$ 0�`/0(�
CITY USE ONLY
Fee Schedule on Reverse Side
.001 of Permit Valuation (1/lOth%)
$.50/$1,000 Valuation
$1050 per SAC Unit
$5.00 (5tate Licensed Residential Contractors)
Alt. "A" or Alt. "B" Above
$450.00 Conservation Plan Review
Fee Determined by Engineering
Agreement Necessary [] Not Necessary [ J
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Q 3
CHIlVII�TEY AND STACB VERIFICATION
The undersigned hereby verifies that the existing chimney or stack:
1. Has been carefully examined Yes () No ()
2. Is free from rust or deterioration
3. Has no foreiga objects Iodgecl within
4. Is securely supported
5. � Meets all current Code requirements for size
and total BTU's connected
6 Has total heating BTU's of
All other BTU's
TOTAL BTU's
7. Has a liner been provided for water heater
8. Has combustion air been provided for water heater
Remarks:
Yes ( ) No ( )
Yes ( ) No ( )
Yes ( ) No ( )
Yes ( ) No ( )
Yes ( ) No ( }
Yes ( ) No ( )
List ALTERATIONS Being Done:
HEATING CO:
Sigmed By:
Iaate:
sue��tr PE .
City of Fridley 2 8 9 7 9
AT TNE TOP OF THE TWINS g � i L D I N G P E R M I T �
r
! �1 v_.��_ COMMUNITV OEVELOPM�NT DIV. R �
f � � PROTECTIVE INSPECTION SEC. �%��
i = , Z
' �"'1 � CITY HALL FRIOLEY Sj13i NUMBEP pEV OAT6 PAGE OF AVPRQVEO B1I
�----�: ,.� 612-571-3450 910-Ft5 3/5/99 / /
IOBADORESS 208, 210, 212, 214 Christenson Wa & 229 231, 233, 235 Satellite Lane
t LEGAL �OT NO. BLOCK TfiACT OR ADDITION SEE ATTACMED
oesca. 58 to 65 2 Christenson Crossin SFiEET
2 PROPERTY OWNER MAIL ADDR�S$ Z�P PMONE
Rottlund Townhomes
3 CONTRACTOR MAII ADORESS 21P PMONE LICENSE NO
Town & Countr Roofin 7910 12 Ave S Bloomin ton MN 55425 545-4233
4 ARCHITECT Oii DESIGNER MAII AODRESS ZIP PMONE UCENSE NO.
20091282
5 ENGINEER MAIL ADDRE$S 21P PMONE LICENSE NO
8 USE OF BUILDING
Townhomes
7 CLASS OF WORK
❑ NEW O ADOITION O ALTERATION Q REPAIR O MOVE O REMOVE
X
8 DESCRIBE WORK
Reroof Buildin (110 S ) Tear-off
9 CHANt3E OF USE FROM TO
STIPULATIONS '
Underlayment must comply with the State Building Code.
SEPARATE PERMITS ARE REOUIREO FOR ELECTIi1CAL. PLUMBING, HEATING, TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD
VENTILATING OR AIq CONDITIONING
7HIS PERMIT BECOMES NULL AND VOID If WORK OF CONSTRUCTION 20NING SQ. FT CU FT
AUTHORI2ED IS NOT COMMENCED Vy!ITHIN 80 DAYS. OR IF CONS7RUCTION
OR WORK IS SUSPENDED OF ABANDONED fOR A PER100 OF 120 pqyS AT
ANY 71ME AFTER WORK IS COMMENCED. NO DWLG. UNITS OfFSTREET PARKING
I HEREBY CERTIFY TNAT I HAVE READ ANO EXA(HIN�D THIS APPLICATION STA�LS GARAGES
ANO KNOW TNE SAME TO BE TAUE AND CORiiECT. ALl PRpVI$IONS Of LAW$ yp�UATION SURTAX
AND ORDINANCES GOVERNING THIS TVPE OF WpqK WIL� �E GOMPUEO
WITH WHE7MER SPECIFIED HEREIN OA NOT. TME GRANTING OF A PERMIT �9,427 $4.71
DOES N07 PRESUME TO GIVE AUTMORITY TO VIOLATE OR CAMCEL TME pERMIT fEE SAC CMARGE
PROVISIONS OF ANV OTHER S7A7E OR LOCAL lAW REGULATING CON•
STRUCTION OR 7ME PERFORMANCE OF CONSTRUCTION $162.2,rj Fire .SC �9.�F.3
PLAN CMECK FEE TOTAL FEE
' License SC $5.00 $181.39
S�GN4IUAE OF CON•AACTOp Op AUTMO i 0 AGENi � �iEi WMEN PROP Y V LIOATED 7H15 IS YOUR PER 17
- � �-�'�
S�GNOTUNEO�OWNEA��fOWNEp8U4DEp� � AiEi � QG iNSP' � O��E
Mar-04-99 05:48P
NLw l 1
ADDV L )
��..T�t [ 1
ConscructionAddress:
I.xgal Description: �
Owner Nam & Addr
Contractor. ���7 �/1
Addr�ss:
LrvIIV� �A:
�'l
cY�cY or r-�mLEY
SINGLE FAMILY ANri DUPLEXES R-1 AND R-2
BUILDING PERMIT APPI.ICATION
P_09
L1lCl:LIVC 1/ 1l y0
n°�
�� �
� q'�
�
� �� �i,�
Tel. �i �
MN LICENSE ��/a�
L�,�Tel. � ,� y�'�/o�, �3
Attach to this applicatiotf�-d Certiticate of Survey of the
lot, with the proposed conswction drawn on it to scale.
DESCRIP'1'ION OF IMPROVEMENT
Length Width Height Sq. Ft.
GARAGE AREA: Length Width Height Sq. Ft.
DECK AREA: Length Width Hgt/Ground Sq. Ft.
OTHER: ' -- �% S�
/
Conscruction Type: r' Estimated Cost: $_ ��� 7�, g�
(Fee Schedule on �ack)
Driveway G�rb Cut Width Needed: Ft. + 6 Ft = Fc x$ -�
DATE: APPLICANT: Tel. # ���/J —�L�`�
Permit Fee
Fire Surcharge
State Surcharge
SAC Charge
License Surcharge
Driveway Escrow
Erosion Control
Park Fee
Sewer Main Charge
TaTAL
STIPULATiONS:
$ /��oZ�
$ �I. y�
$ �/ %/
$
s �, �'
$
$
$
$
$ l�i�, 3°I
CITY USE ONLY
Fee Schedule on Reverse Side
.001 of Permit Valuation (illOch%)
$.50/$1,000 Valuation
$1000 per SAC Unit
$S.UO (State Licensed Residential Contractors)
Alt. "A" or Alt. "B" Above
$450.00 Conservation Plan Revieva
Fee Determined by Engineering
Agreement Necessary [ ] Not Necessary [ ]