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MIl'�ER ENGTNEERING CO.,�1�T�.;
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LRND BUQV�YINO , � - 90�L� T�.STINO
GIVIL 6�. MLNIGIPAt ENOINEERINO • LANO PiJ.NWIN9
6418�rJ'roTM AVENVE N.
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CHARLE� E.IJOHANSON I NC.� - �_ — - _ � __ — �
580 69th Avenue NJ E. �
�ridley, Me�nesata 55432
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L��-�- � � ��'� � ������ �v�� �'��� �u�:�.� ������� �r�'� �,��'��. .
WE_HEREBY CERTIFY TNAT THIS iS A TRWE ANQ CORRECT REPRESENTATl01�1 IlF A S(1RYE1( 0� '!'H£ �UWpJ3R1E5 06 TH�
��►ND ABOVE DESCRt6E4� AND OF TIdE L�ATION O� AI.I. BU1lplNGS, IF AWY, l'NEREQN , At�SO AI.L V1S1BtE ENCROA�,liMEi�'iS�
IF ANY, FQOM OROA�1 SAID lA1VL?. MINQER ENGINE�C�.INC� CO.y INC.
OATED TbtS �rY�F J�� � ��,i�'�'° AA.1�5�
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City of Fridlep, in�n
643I University Ave. N. E., 14lmneapolis, Minn. 55432
BUILDING PERMIT
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3?ate: �pch_.:�r�A��
OW�IeTS ._.Ch87C1,ee E.. J��'+An�nn Tnc+� g�� Same
�{j�gg 5R(1 _ hAth ,�ispnt�P N�F.� �jrj�e83 _ Same
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LOCATIOiV OF BUILDING
NO �$.S Street -�gbr.� G1A,�v N-F - Part of Lot
Ieot �� Slock - 6 Addition or Sub-nivision -��aigurav Estates 2nd Addition
Corner Loi X Inside Lot Setback �5' Sideyard 17' - 8'
�'yb¢ad �evatfon R�9 _ 5ti �',6��o�i/]�(i�1��� - 832 . 5.�(A�.�LX .:) ,
_Wye Ton of Footin�
DESCRIPTION OF BUILbIIVG
To be Used as: 1484 11, 872'
llwal l ing Front '.�:..�� Depth 2-2 � g�g�t 20' Sq, �, 1508 �, ,�, 18, 096'
Garat�e Front 28.5' Depth 26 � Height 10 � 5q. Ft 74� � Cu. Ft 7410'
Type Of Consirruction �ood Fr m. �, �� �Qe 000 To be Completed - 1,20 d8ys
. ���-� . �� � .
Stipulation: Provide a verifying survey and a hard surface drive.
WATER_LOCATION: 81' N.E. of M.H. 11' N.E. of Sewer
SEWER LOCATION: 70' N.E. of M.H.
In consideral3on of the issuance to me of a permit to construct
�e proposed work 3n accordance with the desc�ipi3on above set for
pr�bances of the dty of FridleY• /
18.4
ilding described above, I agree to do
in comp,�rjnce with all provisions oY
In con$ideration of the payment of a fee of $ 56 . 00 ���ti � h��, ��� to Charles Johanson
to construct the building or addition as descxibed above. This permit is granted upon
the express condition that the pereon to whom it 3sgr anted and his agents, employees and worlunen, in all Work
done in, arotmd and upon said building, or any part thereoF, shall conform in all respects•to the ordinances oP
I+'ridley, Minnesota regarding lacation, construction, alteration, maintenance, repair and moving of buildiags
�� city lianits and this permit may be revoked at any time upon violati.on oE an of the provisions of said
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CLAItENCE BELISLE
NOTICE:
ThL permM does no4 eove� fhe wnatruetion, installafion foc wirL�g, plum6ing, gea 6eatieg, sewer or water. Be suro to �s
t6s Building Inspeetor fo� separate permits for these itetps,
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9PPLICATION FOR BIIILDING PERMIT
CITY OF FRIDLEY, MINNESOTA. . .
owiv� �s N� CHARLE� E.� JOHAIVSON INC �[rz�nn�. CHAR ES E. .� HAtv�nN �,
enue .. 580 69fh Avenue N. E4
�Dx�s Fridley, Minnesota 55432 ��xESS Fridlev,, �Qinnesota 55432
LOCATION OF BUILDING
NO o � STREET
LOT �- � BLOCK G ADDITION OR SIIBDIVISION �/��j. � 6(�1�1Y -� s�/i��s a' �"e
CORNER LOT ' INSIDE LOT SE°i'BACK .� s SIDEYARD /7 °-. 8
�__-,�._�
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EI,EVATION <��%, S7o TOP OF FOOTING g� . S7� ��
Applicant a�taah to this form Two Cer�ificates of Survey o� Lot and
proposed buildi�g locati,on drawn on the�e Certificates.
DESCRIPT�ON OF BTlILDING
To �Be IIsed As.
��
!ti � � � Front � �`� �e�th �, � ° 2 y Height � (�
�� �
Square feet / S p�,%�Cubic Feet � l 0 � Lo �
�, !) ��a ,e Front � �, 5 Depth a �o Height ,/-� �
---=—o
Square feet `� G% /, Cubic Feet
Type of Co�.etructions 1�,������atima.ted Cost �,.SZ�, Oc9a ,
To Be CQmplete
� �',O/
The undersi�ned hereby makes application for a permit for the work
herein apecified, a�reeing to do a11 work in atrict acco�da,nc� with the
City of Fridley Ordinances and rulinga of the Department of Bv.ildan�s,
and hereby dea�.ares that all the facts and rep�esentations statQd in
this app].ication are true and correcte
DATE ���j 2s SiGN�T'URE �
(Schedule of Fee Costs can be fourid on the Rever�e Sid o)
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BUILDING'PERMIT�FEE SCH�DUI,E
SECTION �2. The Inspector of Build,�� shall, before isauir� permi�ts
for the erection of any building or stru.cture, or for any additio� to any
�xisting structure or building, or.for any alteration or repaira to any
existi_ng building ox stx�ucture, upon application therefo�e, require the
paym.ent by the applicant for euch permit of fees to the �mount herein
below aet forth and in the manner herein provided to-wit:
IIniform Buildinb Code: Type 1, 2, & 4-$1075 for each one thousand
cubic feet, or fraction thereof, in auch cubical c.untente. Type 3& 5-
$1.50 for each one thousand cubic feeto
For the purpose of computing fees for building permits, the cubiGal
contente of any building 6r addition to a uniform height throu�hout by
multiplying the ground area covered from a point six (6) inches bel.ow
the floor line of the basement or the cellar to the average h�ight of
the upper surface or to the average hei�ht of the roof aur�ace of the
ma,in ga,ble of a pitched roof .
For repaira or alteratione to an existing structure, the fee ehall be
at the rate of $3.00 per each five hundred dollars ($500.00� or
fraction thereof ira the coet of all proposed work.
In no case shall the fee charged for any permit as set forth in. Section
2 be less than $5.00.
NSSSD Conn.ection Chargea based on location - Area 1 or 2.
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SUBJECT T N O.
City of Fridley � 0 1618 2
AT THE TOP OF THE TWINS gU I L D I N G P ER M IT
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COMMUNITY DEVELOPMENT DIV.
r j � PROTECTIVE INSPECTION SEC. ���
1 i i
l--_- A �����,,j CITY HALL FRIDLE� 55432 NUMBER REV. DATE PAGE OF APPROVEO BV
S J` 612-571-3450 910-F15 5 13 81 � �
'oe 2�E�rai brook Wa N. E.
1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED
DESCR. 2� 6 Crai gway Estates 2nd SHEET
2 PROPERTY OWNER MAIL ADORESS ZIP PHONE
Gar Klin 1 285 Crai brook Wa N.E. 571-2965
3 CONTqACTOR MAILADDRESS 21P PHONE LICENSENO.
Gary Jansick 6480 Squire Drive Fridley 575-9679
4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO.
5 ENGINEER MAILADDRESS 21P PHONE LICENSENO.
6 USE OF BUILDING
residential
7 CLASS OF WORK
❑ NEW � ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE
8 DESCRIBE WORK
14 x 16 porch and 16'x 25' deck
9 CHANGEOFUSEFROM TO
STIPULATIONS
1. Provide outside combustian air.
2. Install a smoke protector
E PERMITS REQUIRED FOR �II`IRfidG, ��
SEPERAT p sLC�1.SS. �� �����g
4 `o�a� u�PS��c„
HEa�ti�G. ��..��.��G ��
�
� �`��caG,����,' �p,�!`�
�e��ie� ��.�� � �``
����� �����
��
SEPARATE PERMITS ARE RE�UIRED FOR ELECTRICAL, PLUMBING, HEATING, TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD
VENTILATING OR AIR CONDITIONING. QQd fjajj�Q
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING 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 WOFiK IS COMMENCED. NO. DWLG. UNITS OFFSTREET PARKING
I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED 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 4.75
WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT
DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE pERMI E SAC CHARGE
PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- �7
STRUCTION OR THE PEFIFORMANCE OF CONSTRUCTION. 5/ .00
� � o PLAN CF�E,GK�� TOTAL F�� • OO
'��-Le� � � /3°�� i ��
SIGNATUREOFCONTRACTORQf� UTHORI2E�AGENT �DATEI �o� � � E�RLY , LIDAT THIS IS Y PERMIT .
P% d� .— —... w /�/_/
SiGNATURE OF OWNER �IF OWNEF BUILDERi IDATEI BLOG iNSP �� qTE
0
0
CITY Or F(tIpLCY • �
r{���rcn�rio�r rocz �.�sir�r��ITIAi_ BUILDItlG PCRt�TTS
(tdeti•�, A1 Ler��tions, /ldditians, or (Zepairs)
� ptdfdER: _ � Qsr �l � i.(�,� � �UI LDER : _ � � �sr�-/c .
�'-f � d ..�.�_..
AQDRESS: oZg� ��i,u��r UUo-�,, /ID�RCSS: �0��0 � Gcs"�� 7.7r. .
TCL n0 : � %/ ' a�'� � T�L t�d0: ��/ ���9
s��e�c . rio : a____�
STREF.T:
Consl:ruction Location '
�
v J. ,
L07.': �„�' � IILOCK: ��D1�ITI013 : C' rGi i� c.v c� �5�-c�ye-e S�N� .
Corner Lotc � Inside Loi�: SetbacY.: Sideyards:
Ap�licant at�tach to tl�is form tcaa Ce�tificates of: Survey of ].ot and
proposed building location dra�an on certi.ficates to scale.
DESCRIPTIOfd OF COF�STRUCTIOPd •
� �. � �osoyJ �orc� rront: /� � I�pth: � � � Height:
Squa�e. k'eet: �Z'1 Clibic Feet:
__ �'-e� � Front: /�, � Depth: a,j�"' . Heiglit:
Squar.e� Feet: � G�bic I'eet:
�`�l� �3, �'3 � i WSg.3-z ca/1 �SOo.c� y�OK �.ot�L 'Zt�a �jr�o ctl . �
Type of Construction : ��� ��GL vy� �2 Estimai.ed Costs $ 06
7b $e Cbr,�pleted: J � � � !��%
. �
` . _ Alt. A Att. B
Proposed Drive��ay Width If New Opening Is Desired: fi' $
. .. S�� Rc�VERSE SID� OF SHEET
7.�ie undez signed hereby make� applic�-tticn for a permit fcr the �:vrk� herei.n specified,
agreeing to c� ,a11 work iri s�Lrict accordance �•�ith tii� City of I'ridley Ordinances a.nd
ruli�ags oP i:lie Del�artmci�t of Buildings, and hez:eby declares that all tlie iact� and
rapresentat�.ons stated in this application Zxe true and co�rect.
D�'iTr : �` - /02 - �I S IGNATU F.E :
Sti�,ulaLions :
� 9,� 1t % = S'��. o0
p .� -z 14: ��
� L .� �'
_.
a
. ��� �
A
�
�
, �
. .
Pcto��ac 0 ut5�.p� Cow��► �`
Sn�. o�G� PRC�,
0
�
�
. , .�
. ru1�_r>>r�c �>cr,���r�r r-�;�. :�r.��r:r.�u�_�: '� .
S).:�:'.f'r01�� 2. � 7.'1�L 7n�.:��cci:c�r. of: l3ui.lc?ii�r�;: :;}�rl).J., hc:to�:r. i.:�s,ui.t�cJ ��enna.L•:; f�r i:hc crcct:ion
af �,.�iy )�u:;.l.rl.i.r,�� ar :�t::_uct:llL'C� w: fa�: t�n�� aclQi.i:i�,n !:o auy cr,a.;;l:i.»c� l�tiilcli.�lcJ or ,:,L•xzicLur_a,
. ei�: i'e�r r,�iy �i1.t:e.•rzL•io�i or. r.cl,e�ir.s �o •any c.:i.::t:i.»cl }�1�i.1.c�i.�uJ oz :;t�:ucturc, uJ�e,ii ar�J�li.e:atS.oiy
�t1irn:�f.'or.c, r.cqu.ixc t�h� ���,yma�t: )�y tlic �-�r�p].i.�ar,i: tc�r. sticli ��er.MS.L• o!: fec.^, to L•l�c �rn�unL-
hrx�..i.ti bcJ.c��•r sr.L for.th �ir2c1 ia� i:hc ��anricl: hcxe�.n ��rovS.clrcl to-�•::i.t: .
17j;1•J COId��l7:UC'�I4I�: �inc1).e l.'amil.y Ilomes and Gar.aqes,; ;.4.00/7_�000 cubi.c feat:. .
PI.1;Ed Cll1:Cl:: 2.5 ��er_cei►t: oL• l�u�.lclzilcJ J�cr.mi� fee.
ll3t�:VI;I•I111' llI:1'P.c:5570i•:: (Concrete G1irb :�Lreets Only) � '
' J11tcr»�-�i:e A: ltc:inoval and replac�nient- of concxe�e cur.b and
guLL-cr on1.y; l�riveF�ay c��iclth plus 6 i'eeL• x$13. �0
111L•crnate i3: Temoval and x'eplacement of concrete curb and
• gutter and iiist�ll a 3 fooL �•�a.c�e approach �.�iL-h -.
� .� 6�.nch aepth; 'Dr3.vcway wic;th �plus G feeL- x$1�., 7�
�DITlO��/�L It���rOR��1IlTI0_ tJ
Far the puri�se of computi.ng tees for. building pezmits,. L-}�e cubical. contents o£ any
bua.ld�.ng or. addition, is deter.zni.ned by rnultiplyir�g ihe ground area covered f-rom a
p�znt �ix (6) inches belo:�� the iloor J.S_ne oi tl�.e bas�-neni: or th� cellar to thc
average heighis af the •u�per sw:face or i:o ihe average height af the roof. suxf:ace
of i:he riain gabl.e of a pi.tched roof. • �
Fox xeFai.rs or a�terations to an eyisting si:ructure, the fee sha1Z be at the xate
.. of $3 . QO �ier. each iive IZUndred dollars `{$500. 00) or fracL-ion L-]lereo£ in the cost
oi all proposc:c� wor.k. . •
In •no case sha�.l the fee cliarged ic�r any p�x►n.it as set iorth i_n Section 2 be �.ess �
tii�ai $7.50 plus $.50 stai.e surcliarge. � • '
. _ VERTFICATIO�! �F FOU;�D�IO(d
NOTE: Pennxts �or consti-ucti.on ��ill be issued a minimum of 24 hours irom Uie ti.me
of a�plication �o al].ow for proper review of ihe pro,posed structure and oi the
construction si�e.
t '
1� Certificate � of Sui-vey of the lo�, shoc.*5.ng the location oi tiie foundation once it
has bee2i coxls�nictcd �ea.11 be xequired L�efore pr.oceedinq c•rith the iraming.
,�i 1�TIFICAT� �F �CGUPAf�C�' ' '
' 7sPpZi.catic�n for a Certificate oi Occupancy shall k�e mad:� ten (10) d��ys prior to the
use ax occugancy ot any st�-uc�ture foi taliich a bui.lcliiig perr,�i� l.as been zssued; and
s�3ad S�YL1C�:1.t1C slial). iiot l�e used Q2' OCGLl�>1CC� L:tiL-il a Cer.i:i.tica�e o.� C�ccuj�lncy has
�CG'Il a,ssued.
0
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a • ��
1
SuBJECT
City of Fridley
�
AT THE TOP OF THE TWINS g � I L D I N G P E R M I T
„
,�
� ' COMMUNITY DEVELOPMENT DIV.
� ; V ����� �
r � � PROTECTIVE INSPECTION SEC.
i---_� ��"' �,� CITY HALL FRIDLEV 85432 NUMBEP aEV. OATE
i 612-571-3450 910-F15 1/6/93
JOB ADDRESS 2 g5 Craigbrook Tniay NE
1 LEGAL �OT NO. BLOCK TRACT OR ADOITION
oescR. 21 6 Crai.gway Estates 2nd Addition
2 PROPERTY OWNER MAIL ADDRESS Z�P
Jeff Brandt 285 Craigbrook Way NE
3 CONTRACTOR MAIL ADDRESS Z�P
Twin City Fireplace 1525 W Ri.ver Rd, Mpls., MN 55411
4 ARCHITECT OH DESIGNER MAIL ADDRESS Z�R
5 ENGINEER
8 USE OF BUILDING
Residential
7 CLASS OF WORK
MAII
❑ NEW ❑ ADDITION
8 DESCRIBE WORK
Install Wood Stove & Chimney
9 CHANdE OF USE FROM
PAGE OF
� �
21702
�
46
APPROVEO BY
SEE ATTACHED
SHEET
PFIONE LICENSE NO.
588�0791 8055
PHONE LICENSE NO.
ZIP PNONE LICENSE NO.
C� ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE
TO
STIPULATIONS
In.stall per testing agency's specifications.
SEPARATE PERMITS ARE RE�UIRED FOR ELECTRICAL, PLUMBING, HEATIN(i, ��� � �
VENTIIATING OR AIR CONDITIONING.
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING
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. • N0. DWLG. U�
I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION
AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS VALUATION
AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED
WITH WHETHER SPECIFIED HEREIN OH NOT. THE GRANTINO OF A PERMIT $2�Q5a
DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE pEfiM1T FEE
PROVISIONS OF ANY OTHEH STATE OR LOCAL LAW REGULATING CON-
S7RUCTION OR THE PERF RMANCE OF CONSTRUCTION $ rJ4. OO
� PLAN CHECK FI
OCCUPANCY(3fi0UP OCCUPANCVLOAD
SO. FT. CU. FT.
OFFSTREET PARKING
STAILS GAFiAGES
SURTAX
$�..�3
� � `�� Li.cense SC $5.00
, I NATURE OF CONTRACTOR OR AUTHORIZED AGENT IDATEI UMW CW DGE[1DC�iV V�
Fire SC $2.05
'OTAL FEE
$62,08
THIS IS YOUR PERMIT
A �° - � �
rtEw [ l
ADDN [ ].
ALTER [ j
CITY OF FRIDLEY
SINGLE FAMILY AND DUPLEXES R-1 AND R-2
Building Permit Application
Constivction Address: � �� �rr� � a �rao,�c � r� �-.
Legal Description:
EffeCtive 3/1192
��
Owner Name & Address: � � f �' � ,� A �+ � -f - Tel. #
COIItCdCtOf: Tt.c� � uJ � 1�-. �: r� ��� c� MN I.ICENSE #(JC�C� � O S S
Addr�s: ��,� s w 1�', J�� IZoo.� � Tet. #_� � e� 7 9 I
Attach to this application, a Cenificate of Survey of the ,
lot, with the proposed construction drawn on it td scale.
DESCRIPTION OF II1+IPROVEMENT
LIVING AREA: Le�gth Width Height Sq. Ft.
GARAGE AREA: Length Width Height Sq. Ft.
DECK AREA: Length Width Hgt/Ground Sq. Ft.
OTHER: �c,c�c� S�ov� � c�.;,�.,v�ti
Corner Lot () Inside Lot [) Ft.. Yd Setback Side Yard Setbacks
Type of Construc�tion: Estimated Cost: $�, D S'D
Approx. Completion Date:
(Cost on Backj
Driveway Curb Cut Width Ne�ed: Ft. + 6 Ft = Ft x$ _$
DATE: t ie °�"Z- APPLICANT: -� Tel. �` ���= C�1,cC (
SITY USE ONLY
Permit Fee $ 5-�� O°
Fire Surchazge $ � . o �
State Surcharge $ I o3
SAC Charge $
License Surcharge $ � ; °—°
Driveway Escrow $
Park Fee $
Sewer Main Charge $
TOTAL
STIPULATIONS:
�
$
Fee Schedule on . Reverse Side
.001 of Permit Valuation (1/lOth%)
�/$1,000 Valuation
��
�r SAC Unit
$5.00 (State Licensai Residentia� Contractorsj
Alt. "A" or Alt. "B" Above
Fee Determined by Engineering
Agreement Necessary j] Not Necessary []
BUII.DIN(i PERMIT FEE SCHEDULE
The Chief Building Official shall, before issuing permits for the erection of any building or structure,
or for any additioa 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 f�s to the amount herein �low set forth and in the manner herein provid� to-wi�
TOTAL VALUE
$1 to $500
$501 to $2,U00
$2,001 to $25,0�
$25,001 to $50,000
$50,001 to $1�,0�
$1�,001 to $500,(m0
$5�,001 to $1,000,000
$1,�,001 and up
FEE5
$15 (Minimum Fe� is $15 plus surcharge)
$15 for first $500 plus $2 for each additional $100 or
&action ther�of, to and including $2,000
$45 for first $2,000 plus $9 for each additional $1,�0
or fraction ther�f, to and including $25,000
$252 for first $259(�l0 plus $6.50. for each adclitional $1,000
or fraction ther�f, to and including $50,�
$414.50 for first $SO,OOU plus $4.50 for each additional
$1,000 or fraction thereof, to and including $100,(�00
$639.50 for first $1�,�0 plus $3.50 for e�ch additionat
$1,�0 or fraction ther�f, to and including $500,000
$2039.50 for the first $500,000 plus $3 for each additi.onal
$1,000 or fra�tion thereof, to and including $1,000,000
$3539.50 for the first $1,�,000 plus $2 for each additional
$1,OD0 or fraction �thereof -
DRIVEWAY DEPRESSION ESCRORI
(Concrete Gurb Strests Only}
Alternate "A" : Removal and replacement of curb a�d gutter only - Driveway width plus 6 fcet times
$13.50.
Alternate "B" : Removal and replacement of curb and gutter and install a 3 faot 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 const�uction 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.
�
0
CITY OF FRIDLEY
6431 LTNIVERSITY AVENUE NE
FRIDLEY, MN 55432
_ (763 572-3604 FAX: (763) 571-1287
ADDRESS ,
PIN ,
LEGAL DESC .
PERMIT TYPE .
PROPERTY TYPE .
CONSTRUCTION TYPE .
REPRINTED ON 1/12/2006
285 CRAIGBROOK WAY NE
033024340057
PEARSONS CRAIGWAY ESTATES 2
LOT 21 BLOCK 6
I�ATING
RESIDENTIAL
X ALTERATION
NOTE: FURNACE REPLACEMENT
#FURNACES
APPLICANT
STANDARD HEATING & AIR COND CO
410 W LAKE ST
MINNEAPOLIS, MN 55408-2998
(612) 8242656
OWNER
BRANDT JEFFREY A& CARRIE M
285 CRAIGBROOK WAY NE
FRIDLEY, MN 55432
AGREEMENT AND SWORN STATEMENT
This permit becomes null and void if work or construction
authorized is not commenced witin 60 days or if constructiott
or work is suspended or abandoned for a period of 120 days
at any time atter work is commenced.
I hereby certify that I have read and examined this
application and know the same to be true and correct. All
provisions of laws and ordinances goveming this type of worl
will be complied with whether specified herein or not. The
granting of a permit does not presume to give authority to
violate or cancel the provisions of any other state or local law
regulating construction or the performance of construction.
Applicant Date
Bldg Insp Date
1
PERMIT NO.: 2006-00025
DATE ISSUED: OU04/2006
FURNACE SHELL/DUCT WORK
STATE SURCHARGE, MECH FLAT
TOTAL
PAID WITH CHECK # 16025
SEPARATE PERMITS REQUIRED FOR WORK OTI�R THAN DESCRIBED ABOVE.
35.00
0.50
35.50
� P ��-a� i �-o�
Building MECHANICAL
Inspections RESIDENTIAL APPLICATION
763-572-3604 CIT� OF FRIDI�EY
DATE (.�
SIT'E ADDRESS _
THIS APPLICANT IS:
PROPERTY
OWNER/
TENANT
CONTRACTOR
SUBMIT A COPY OF
YOUR STATE
LICENSE W1TH
APPLICATION
PERNIIT TYPE
V YOUR
I
❑ OWNER CONTR?
NAME:
�D�S: 2-�" 5
PHONE: � �
co�arnr NaME:
CONTACT PERS� V6G � M�,J
STATE LICENSE #
ADDRESS:
PHONE
TYPE OF WORK: � � �
FAMILY ❑ TWO FAMILY
�r�cE�•rr
DETAILED DESCRIPTTON OF VJORK
410 WEST L ,�
�$�j��, MN 55408
. �o + oa��
Pernut No.:
Received By:
Date Rec'd: � �
° STATE ZIP
FAX
❑ TOWNHOUSE
❑ ALTERATION/REMODEL
PER MS 16B.665 the permit fee is a minimum of $15.00 or 5% of the total cost np to $500.00, whichever is greater, for the
improvement, installation or replacement of a residential fixture, excluding the fixtures. (This should reflect only the cost of labor )
Labor cost under $300 =$15.00. Labor cost between $300 to $500 = cost of labor x.OS =
FOR PROJECTS VVHERE LABOR EXCEEDS $500, FEES ARE BASED ON $10.00 PER FIXTURE, EXCEPT WI�RE NOTED. FD{TURES: (WDICATE TOTAL
NUNBER OF EACH BII.OVJj
Equipment Installed . Iv1FG: MODEL: � SIZFJBTU �
N�'G: MODEL: SIZF/BTU
MFG: MODEL: SIZF/BTU
A/C $25.00 _FIREPLACE (GftS) $15.00 GAS RANGEtOVEN $10.00
AIR TO AIlt EXCHANGEER $15 FIItEPLACE (W�D) $35.00 NEW GAS GRII.L $10.00
BOILER $35.00 �FLTRNACE $35.00 _GAS iJNIT HTR $10.�
CHIARQEY LINER $lU.� GAS DRYER $10.00 POOL HEATER $35.00
DUCT WORK $10.00 GAS PIPING $10.00 VEIQTII.ATOR $15.00
_,_ .. __.... _ _ . _. . _
Permit Fee $ Number of fixhires @$10.00 x$10. _
Surcharge $ .50 Number of fixtures @ $15.00 x $15.00 = $
TOTAL DUE $ Number of fixtures @$25.00 x$25.00 =$
Number of fixtures @ $35.00 � x $35.00 = $�
State Surchazge = $ .50
Total = $ >i C Sc^
THIS IS AN APPLICATION FOR A PERMIT NOT VALID UNTIL PROCESSED
I hereby apply for a building permit and I acknowledge that the information above is complete and accurate; that the work will be in
conformance with the ordinances and the City of Fridley and with the Minnesota �Construction Codes; that I unders�and this is
not a permit but onl 'cation r e i d work is not to start without a permit; that the work will be in accordan�e with the
approved plan m e f ork w'ch req ' es review and approval of�ans. � �'1 /
SIGNATURE OF
City of Fridley
Building Inspections Department
6431 iJniversity Avenue NE, Fridley, MN 55432
� 763-572-3604
FAX: 763-502-4977
�
REQUIRED INFORMATIC�N NEEDED TO PROCESS PERMIT
RESIDENTIAL PERMIT APPLICATION HVAC
❑ NEW HOMES/ADDITIONS EXISTtA1G HOME ❑ MAKE-UP AIR
REQUIRED F�R NEW/EXISTING HQMES . ,:. . � .
., _ ;. ?.. �s<�
;_; •� '�i ,
1. Combustion Air (See note belovv-) _ � � � , �
a. Oil ar solid fuel IMC Chapter 7 with MN Amendm.en.ts
b. NatUral Gas or Propane/IFGC Chapter 3 with MN Amendments
2. Make-up Air (5ee note below)
a. IlVIC Chapter 5 with MN Amendments
3. Venting
a. Gas appliances 1FGC Chapter S with MN Amendm.ents
b. Fuel other than gas 1MC Chapter 8 with MN Amen.dments
REQUIRED FOR NEW HOMES
4. Heat loss & cooling load per room
a Required on new consfruction IMC 1346.0312
5. Ventilation
a. Per MN Energy Cod.e 7670 or 7672 __
6. Duct Desiga Per IMC 1346.0603.2 �
a. ACCA Manual D
NOTE: Centerpoint Energy Mechanica.l Code Guidelines software may be used for
combusiion and make up air calculations