AF - 43264� SUBJECT PER
City of Fridley 182�56
AT THE TOP OF THE TWINS g U I L D I N G P E R M i T
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� ' COMMUNITY DEVELOPMENT DIV.
f � � � PROTECTIVE INSPECTION SEC. 18�� �
l•_-_ �;����;,, CITY HALI FRIOLE� 55432 NUMBER REV. DATE PAGE OF APPROVED BY
i J\ 6� 2-571-3450 910-F15 10/22/85 � /
JOB ADDRESS 1321 Creek- Park Lane N.E.
1 IEGAL LOT NO. BLOCK TRACT OF ADDITION SEE ATTACHED
DESCR. 3 1 Hidden WbOdS. SHEET
2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE
Garjac Inc. 481 -� 20.6th Avenue N.E,, Cedar, MN 55011 434-7096
3 CONTRACTOR MAIL ADDRESS Z�P PHONE LICENSE NO.
Sci,Ille n{fll '•t + i, �
a ARCHITECT OR DESIGNER MAtL ADDRESS ���(���CY Gr i/ 1:=..� �� '.. , Z�P`' ;_�,,, `. l_Q ,; LI� NSE NO.
- . .... v �!_�r�,T10N�,
�� t� - ,•�. -r �r.,
5 ENGINEER MAI�ADDRESS �.�,� 'p�RSONS US1NG THiSZ�PNFORMAiI�1RIN SHOULDNSENO.
6 USE OF BUIIDING
Res:idential
7 CLASS OF WORK
� NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR O MOVE ❑ REMOVE
8 DESCRIBE WORK
Construct a 32'� x 26'' Dwelling with. a 24' x 24t Garage and a����`�: R¢ ���,; �eck
8ef�r� diggir�a cail d�cal �ti�t:s�t
9 CHANGE QF USE FROM TO �,
STIPULATIONS provide a haxd surface. driveway. Provide sod in the front and si e
yards, Provide City with copy of verifying survey before capping.
Paid $1500 Park Fee and a, $297.0.0 Driveway Curb Cut.
SEWER LOCATION: Approx. 8� Deep in 5treet. 172' W. of M.H. (Inv. 882.57)
WYE ELEV: 883.26 TOF OF FOOTING: 886.26 Minimum
WATER LOCATTON: Same Trench and West o� 5ewer Service
�$�F��.r��,Tc �r"����T� ��n3 ����� F�,� '
`I �\IIY�.7� � 1Ldi) I��ii�y j"���,Jlii/i�j�I�i� P'11V1.% ^•"�IS,
v.� �
SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD
VENTILATING OR AIR CONDITIONING. WOOC� FrdM@
THIS PERMIT BECOMES NULL AND VOID IF WOFK OR CONSTRUCTION ZONING SO. FT. CU. FT.
AUTHOFIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION
OR WORK IS SUSPENDED OR ABANOONEO FOR A-PERIOD OF 120 DAYS AT
ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS OfFSTREET PARKING
I HEFEBY 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 WI�L BE COMPUEO
WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT yS`�.O% � F>OO $53 . SO
DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE pERMtTF£E SACCHARGE
���ROVISION F ANY OTHER STATE OR LOCAL LAW REGULATING CON-
�lfCT10N THE PERFORMANCE *OF CO UCTION. $[�53 . QQ $425 . ��
�" LAN CHECKFEE TpTALFEE
113.25 $1,045.05
S�GNATUAEOFCON RACTORORAUTHOAIZ n Nr ion7Ei WHEN PROPERLY LIDATED THIS IS VOUR PERMI7
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— � .0 �S—.
SiGNATURE OF OWNEAiIF OWNEFl BW�DERI IDATEI BIOG �NSP �
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NEW
ADDN.
ALTER.
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Construction Addre
Lega1 Description:
City of Fridley
L R-1 AND R-2 f
Building Permit Application
Effective 4/1/84
Owner Name & Address: Tel. �
Contractor: ��i ��. !%✓G Tel . # �%�Y�' '%�i�
Address: L/ � � �O � �, GT-�-� � � �-..�... %�,,� ° J'f d �i
Attach to this application, a Certificate of Survey of the
lot, with the proposed construction drawn on it to scale.
DESCRIPTIOp OF IMPROVEMENT
LIVING AREA: Length �.2 Width o7� Height �� Sq. Ft. �� 6�.
GARAGE AREA: Length ��� Width -2 `i Height � Sq. Ft. • 7,�.�
DECK AREA: Length 12 x�'� Width Hgt/Ground �! Sq. Ft.
OTFiER: ��� � (�r �,�1 J�'� x 2-�.
Corner Lot [] Inside Lot [�] Ft. Yd. Setback .�S Side Yard Setback �a2 �/
���Mp �
Type of Construction: _ Estimated Cost: $ �
Approx. Completion Date: ��'� �� � U� �`VU
Alt. A Alt B
Proposed Driveway Width If New Opening Is Desired: $ Y $
See Back Page for Explanation
DATE: /�"�3� —�-� APPLICANT: �� Tel. # Y'� L�� �v��
Permit Fee
Plan Check
State Surcharge
SAC Charge
Park Fee
Sewer Main C rge
Cvc� C�
1'OTAL
STIPULATIONS:
CITY IISE ONLY
$ y� ��
$ � � 3 ,�,s
$ �3.��
$ '--t��►VU
$ / �S O(�� �U
$ ���
���� � �
$
�� �iG� ��
Fee Schedule on Reverse Side
25� of Building Permit Fee
�.50/$1,000 Valuation
$425 per SAC Unit
Fee Determined by Engineering
Agreement Necessary [ ] Not Necessary [ ]
�
l
BOILDING PERMIT FEE SCHSDIILE
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 applicatio n
therefore, require the payment by the applicant for such permit of fees to the amount
herein beloH set forth�and in the manner herein provided to-wit:
Total Valuation
a1.00 to $500.00
�501.00 to $2,000.00
$2,001.00 to $25,000.00
$25,001.00 to $50,000.00
Fees
$10.00 (Minimum Fee is $15.00)
$10.00 for the first $500 plus $1.50 for eaeh
additional $100 or fraction thereof, to and ineluding
$2,000.
�32•50 for the first $2,000 plus $6.00 for each
additional $1,000 or fraction thereof, to and
including $25,000.
$170.50 for the first $25,000 plus $4.50 for eaeh
additional $1,000 or fraction thereof, to and
including $50,000.
$50,001.00 to $100,000.00 $283.00 for the first $50,000 plus $3.00 for each
additional $1,000 or fraction thereof, to and
including $100,000.
$100,001.00 and up $u33•00 for the first $100,000 plus $2.50 for each
(� � ��� additional $1,000 or fraction thereof.
�� �\�;,
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%,Y �� DRIVEiiAY DEPRESSION ESCR�i
r��� (Concrete Curb Streets Only)
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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 reviex of the proposed strueture and of the
construction site.
A Certificate of Survey of the lot, showing the location of the foundation onee it
has been constructed will be required before proceeding with the framing.
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C�TY�
FRtDLEY
CN[C CENTER • 6431 UNIVERSITY AVE. N.E. FRIDLEY, M[NNESOTA 55432 • PHONE (612) 571-3450
J�nuary 29, 1986
Mr. Gary D'Aigle
Garjac Inc.
481 - 206th Avenue N.E.
Cedar, NQJ 5501T
Re: Final Inspection at 1321 Creek Park Lane N.E., Fridley
Dear Mr. D'Aigle:
A final inspection was conducted on Januar.y 28, 1986 of the above address and
the following items were noted which must be completed before the structure
can be finaled out:
1. Provide a solid lid for the sivap basket and secure same by February 15, 1986.
2. Provide City with a copy of a verifying survey be February 15, 1986.
3. Provide a hard surface driveway by June 15, 1986.
4. Provide sod in the front and side yards by June 15, 1986.
5. I?ash the stucco by June 15, 1986.
We w ill expect these ite�s to be completed by the scheduled dates when
reinspections will be conducted to determine compliance. If you have any
questions on these items, please feel fr.ee to contact me at 571-3450.
Sincerely,
DA L G. CLARK
Chief Building Official
DGC/mh
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FRiDLEY
CIV1C CENTER • 6=131 UNIVERSITY AVE. N.E. FRIDLEY, MINNESOTA 55432 • PHONE (6l2) 571-3450
June 4, 1986
Mr. Gary D'Aigle
Garjac, Inc.
481 - 206th Avenue N.E.
Cedar, NIN 55011
Re': Final Reinspections at 1321, 1340 and 1360 Creek Park Lane N.E., Fridley
Dear Mr. D' Aigle :
Final reinspections were made on June 2, 1986 of the above addresses and the
following it�ns were no ted which are still incomplete:
1321 Creek Park Lane N.E.
1. Provide and secure sump basket cover.
2. Provide sod in the front and side yards.
3. Provide a hard surface driveway.
1340 Creek Park Lane N.E.
1. Secure sump basket cover.
2. Provide sod in the front and side yards.
3. Provide a hard surface driveway.
4. Provide City with copy of veri�ying suzvey.
1360 Creek Park Lane N.E.
Provide sod in the front and side yards.
We will expect the above items to be completed by June 16, 1986 when
reinspections will again be conducted to detennine coenpliance. If you have
any questions on these items, please feel free to contact me at 571-3450.
Sincerely,
D . CLARK
Chief Building Official
DGC/mh
Sue�tCT E R .
City of Fridley 945
AT THE TOP OF TME TWINS g U I L D I N G P E R M I T
r
; � RECEIPT NO.
' ' COMMUNITV OEVELOPMENT OIV.
r� � y ' PFiOTECTIVE INSPECTION SEC. � 7 �
� --;
,
� . ,
� � �"'1 � CITY MALL FRIOLE� 55132 NUMBfR pEV O�7E v�GE Oc •nvnOVEO Br
�""'�� �'' 612-571-3450 910-F15 5/12/99 � /
�oe Aooaess 1321 Creek Pa.rk Lane NE
1 LEGAL �OTNO. BLOCK TRACTOttADD1710N SEEATTACMED
DESCR. 3 1 Hidden WOOdS SNEET
2 PiiOPERTY OWNER MAIL ADDRESS ZI� PHONE
Andrew Kwong 1321 Creek Park Lane NE 574-1306
3 CONTRACTOR MAIL AODRESS ZIP PMONE LICENSE NO
Walker Roofing Co 2701 36 Ave S, Minnea olis, MN 55406 729-2325 4229
1 AiiCMITECT OR DESIGNER MAIL AOORESS ZIP PHONE LICENSE NO.
5 ENGINEER MAIL AODRESS 21P PHONE LICENSE NO
6 USE OF BUILDING
Residential
7 CLASS OF WOpK
O NEW O ADOITION O ALTERATION I� REPAIR O MOVE ❑ REMOVE
8 DESCRIBE WORK
Reroof House & Garage (27 Sq) Tear-off
9 CHANGEOFUSEFROM TO
STIPULATIONS
Underlayment must comply with the State Building Code.
CONSTRUCTION WORK HOURS: 7:00 am to 9:00 pm, Monday thru Friday; 9:00 am to
9:00 pm on Saturday; No work on Sunday.
TYPEOFCONST. OCCUPANCVGROUP OCCUPANCvIOAD
SEPARATE PEFiMITS ARE REOUfFiEO FOA ELECTFICAL, PLUMBING, NEATING,
VENTILATING OR AIF CONDITIONING.
THIS PERMIT BECOMES NULI AND VOID IF WOFK OR CONSTRUCTION ZONING SQ. FT CU FT
AUTMOAIZEO IS NOT COMMENCED WITMIN 60 DAVS. OR IF CONSTqUCT10N
OR WORK IS SUSPENDED OR ABANDONEO FOR A PEflIOD Of 120 OAYS AT
ANV TIME AFTER WORK IS COMMENCEO. NO OWLG. UNITS OFFSTREET PARKING
1 MEREBY CERTIFV THAT I MAVE READ ANO EXAMINED TMIS APPLICATION 1 STA�LS GARAGES
AND KNOW TME SAME TO BE TRUE AND CORRECT. ALl PROVISIONS Of �AWS VA�UATION SURTAX
AND ORDINANCES GOVERNING THIS TVPE OF WORK WILL BE COMP�IEO
WITM WMETMER SPECIFIED MEREIN Ofi NOT. TME GRANTING Of A VERMIT 2 313 1. 16
DOES NOT PRESUME TO GtVE AUTMORITV TO VIOLATE OR CANCEI THE pEqMIT fEE SAC CHAFGE
PROVISIONS Of ANY OTHER STATE OR LOCA� LAW REGUTATING CON•
STRUCTION OR THE PERFORMANCE Of CONSTFUCTION ��4.%S F1T SC �2.3I.
PLAN CMECK f EE TOTA E
Li se SC $ . $83.22
S�GNITUQE O� CON'AACTOQ OR �UTMOQ�ZED �GENT iO�TE� HE PROP l ALIOA HIS ISG YOU R /Prc IT
�V �( � .
S�GHStuaE O� OwaEQ��� OwaEp Bw�DEA� �O�TE� B� G�ti5� ncrE
Prepaid Plan Check $
Estimated Cost $
Receipt #
����,�'�'
ba.„,:.l�,n�(lv
Effective 1/1/99
CITY �OF FRIDLEY
R-3, COMNIERCIAL & INDUSTRIAL
BUII�DING PERNIIT APPLICATION
Construction Address � 3a 1�-Y�-(�-�.,,�-' �_►� � zoning
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�mer & Adclress ��,�� ; }�.���1��= 13Z.1 G-R�.�t�-�c�,.,�1L- W, Te�# S��-13D(o
CC)IV'IRACIC�R & P,DDRESS �J�{ k��Zl�dc:���6 �• 2?Ol -���-✓'2 Sr�. Te1#� �Z9-Z.3�S'
Architect -_ -- Reg.# Engineer Reg.#
BUII.DING CONSTRUCTION F ��� � 7?� _�� r
�
TYPE OF WORK ❑ New [] Addition Alteration -Describe ,, 5�((�j���
..; . . . .. �:�, ,::, _
w�.S�-ri NG �S - . -
oFC. AREA: Length
WHSE ARE�A: Length
o2T�EEt AREA: Length
Width
Width
Width
Height Sq. Ft.
Height Sq. Ft.
Height Sq. Ft.
APPLICANT� - "�� Tel #
VALUATION
sq. Ft. _�_ x $
sq. Ft. x $
Sq. F`t . x $
Building Use
Air Conditioning [] Yes []
Performance Bond Armunt $
Cost/Sq. Ft. = valuation
cost/sq. Ft. = valuation
cost/sq. Ft. = valuation
Date� �' �
$ � �/3 )
$ ) _ $ .
$ ) 'ICn'AL VAL�JE
Constnzction T�pe Occ�axicy Group
No Fire Protection Provided [] Yes ❑ No
See Reverse for Schedule Received U Yes []No
/
Permi.t Fee $ ��
Plan Check $
Fire S�archazge $ ii �%'
State Sizrcharge $ � ��
SAC Charge $ , �j �
E�osion Control $
Park Fee -� $
S��ec . Assess�nts $
Driveway Escrc�w $
� $�' z�
See Fee Schedule on Reverse Side
In �cess of.Prepaid Amount - See Reverse Side
.001 x Permit Valuation (1/lOth %)
$.50/$1,000 Valuation (See Sched. for > $1 Million)
$1050 per SAC Unit (Plans to NbVCC for detenninatian)
$450.00 Conservation Plan Review
Fee Detezmined By �gineering
P.greement NecessaYy [) Not Necessazy []
feet x $13.50/foot
ATTACH STIPULATIONS
�C G/ /�'�/ /`'�i4✓ L . `�'�� ��/j'! �7� . � �� �
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-��.�-� , ' �` /or 5'p
Building
Inspections
763-572-3604
DATE �'
S.ITE ADDRESS
THIS APPLICANT IS:
PROPERTY
OWNER/
TENANT
MECHANIGAL
RESIDENT�AL APPLICATIOl�T
� OWNER
�
CI'TY �OF FRIDI���'
YOUR E-MAIL ADDRESS
Permit No.
Received By:
I Date
CONTRACTOR coMp�rr�rx,yME: Sharp Heating & A. C.
SUBMIT A COPY OF CONTACT PERSON: FlOyd JOSW1Ck
YOUR STATE STATE LICENSE # EXi' DATE
LICENSE WITH ,qDDRESS: 722� University Ave. N. E. CITY Fridley sTA� MNz� 55432
APPLICATION pHONE 763-572-0459 FAX
PERMIT TYPE �: SFNGLE FAMILY ❑ TWO FAMILY
TYPE OF WORK: � �W ��PLACEMENT
DETAILED DESCRIPTION OF WORK
❑ TO�RQI�iOUSE
❑ ALTERATION/REMODEL
PER MS 16B.665 the permit fee is a minimum of 515.00 or 5% of the total cost up to $SO.Oti00; whichaver 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 WHERE LABpR EXCEEDS $500, FEES ARE BASED ON $10.00 PER FIXTURE, EXCEPT WHERE NOTED. FIXTURES; (INDICA'f$ TOTAL
NUMBER OF EACH BELO� � , (� • ��� / v
Equipmentinstalled ' MFG; l,�Qj���� MODEL: � S]Zg/$T(j Cj0
MFG: _�jri t"lP MODEL: g��g� ---?r�
MFG: MODEL: 5IZE7BTU
LA/C $25.00 FIREPLACE (GAS) $15.00 GAS RANGE/OVEN 510.00
_AIR TO AIR EXCHANGEER $15 FIREPLACE (WOOD) 535.00 NEW GAS G.RiLL $10.00
_BOILER $35.00 ,�,.FURNACE $35.00 _GAS LTIVIT HTRS10.00
_CHIMNEY LINER $]0.00 _GAS DRYER $10.00 _POOL HEAT'ER$35.00
_DUCT WORK $10.00 GAS PIPING 510.00 • VEl�TII.ATOR S15.00
Permit Fee $ � Number of fixtures @$10.00 x$i0.00 =$
Surcharge $ .50 Number.of fixtures @ $I5.00 x $15.00 = $
TOTAL DUE $ Number of fixtures @$25.00 �— x$25.00 =$__��
Number of fixtures @ $35:OU % x $35.00 = $ �� 0 �
State Surcharge = $ 50
' Total = $��
THIS IS AN APPLICATION FOR A PERMIT-NOT VALID UNTIL PROCESSED
I hereby apply for a building permit and I aclaiowledge that the information above is complete and accurate; that the work will be in
conformance with the ordinances and codes of the City of Fridley and with the Minnesota•Construction Codes; that I understand this is
not a permit but only an ap�l carion for a permit and work is not to start without a permit; that the work wiil be in accordance with the
approved plan in the case ofl�ll work w�i�h r�es review and approval of pl�ns.
SIGNATURE OF APPLICANI'
" City of Fridley
Building Inspectians Department
6431 University Avenue NE, Fridley, MN 55432
763-572-3604
FAX: 763-502-4977
5-/1_