AF - 43274SUBJECT P E IT
City of Fridley a 1808
AT THE TOP OF THE TWINS g U I L D I N� P E R M I T
r
; � RECEI .
� • COMMUNITY DEVELOPMENT DIV.
' j y _' � _ , / ����.!/
r � � PROTECTIVE INSPECTION SEG
� �
i
' � /"'�1 � CITY HALL FRIOLEV 55432 NUMBEH REV. DATE PAGE Of APPROVED BY
:.�_�.�.� �.J
612-571-3450 910-F15 6/25/85 / /
JOB ADDRESS 1360 Creek Park Lane N.E.
t LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED
DESCR. 1 2 H1C�C�EY1 W.00C�S SHEET
2 PROPEfiTY OWNER MAIL ADDRESS ZIP PHONE
Garjac , Inc. 481 - 206th Avenue N.E., Cedar, MN 55011 434-7096
3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSF NO.
Same
4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE IICENSE NO.
5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO.
6 USE OF BUfLDING
Residential
7 CLASS OF WORK
�1 NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR � MOVE O REMOVE
8 DESCRIBE WORK '�
construct a 30' x 4�' Dwelling and a 22� x s,��'p���� p��{(��TS R`E�€�EE�ED FOR
WIRING, �A , �1 '
9 CHANGE QF USE FROM TO
STIPULATIONS provide City with. copy of veri�ying survey before capping. Px'ovide sod
in the front and side yards. Provide a hard sur�ace driveway. Paid park.fee of
$1,500.00.
Driveway Escrow: 22' x$Z3. 50 =$297. 00 t� �Z �' y
SEWER LOCATION: 30' W. of M.H. (Inv. 882.Fst) WYE ELEV: ��:��
TOP OF FOOTING: 8�i5.95 D�.i.nimum Sl
WATER LOCATTON: In same trench with sewer - west of s.ewer service.
THE CITY OF FRIDLEY DOES NOT GUARANTEE THE� ��/������
ACCURAC� OF UTIUTY LOCATIONS AND ELEVATIONS. Before d�gg��
THIS DATA IS FOR INFOR1�ATION PURPOSES ONLY� jEIEPHONE_ g �all locat Ut���ft�s
AND P��VS USTNG THIS INFORMATION SHOU�Q ; E�ECrRI�' �AS Etc.
vER� �� rHE sir�. REQUIRED gY �a
yV
TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD
SEPARATE PERMITS ARE REQUIRED FOR ELEC7RICAL, PLUM8IMG, HEATING,
VENTILATING OR AIF CONDITIONING.
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZpNING SO. FT. CU. FT.
AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION
OR WORK tS SUSPENDED OR ABANDONED FOA A PERIOD OF 120 DAYS AT
ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS OFFSTREET PARKING
1 HEREBY CERTIFY THAT I HAVE READ ANO 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 WIIL BE COMP�IED 82 750 $41.38
WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT $ �
DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE pERM1T FEE SAC CHARGE
ROVISI NS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON-
S U O OR THE PERF@RMAN OP CONSTRUCTION. $3H2. OO $425. QO
LAN CHECK FEE TOTAL FEE
__�.� s $95. 50 $943 .88 _+ DW&FF
SIGNAIUAE FC �RACTORO AUT RIZEDAGENT (DATEI WHEN PFOPERL IDATED THIS IS YOUR PERMIT �
� �'
SiGNATUAE OF OWNER UF OWNEA BUILDER� IDATEI BIDG �NSP � � E
Prepaid Plan Cheek a
Estimated Cost #
Receipt #
��,�q��� ��i� � Effeetive 4/1/$4
V"
City Of Fridley
R-3 C
uilding Permit Application
Construction Address:_ �_� � � C /' e2 � /L'��P �° � i9,��✓
Legal Description: �- e% 9 � 1 2, �� o��v ,v !,1/�,�r ��
Property Owner & Address: Tel.#
Contraetor � Address : � � /e'.T �1 � ,� / �G Tel . # � `�� � � �
Arehitect � Address: '��! - �b�� yQ-v �r � �'/1A�2 � i%'l� �SD�� Reg. #
Engineer & Address: Reg.#
Type of Work �New [] Addition [] Alteration
APPLICANT SIGNATURE:
OF BUILDING:
Tel. # 3 i %�`� Date• �S �� 9^°�
BIIII.DING DIMBNSIONS
�� Size of Structure
�Length � C) � Width �'i � Height $ r Sq. Ft. 1 N �1i # of Stories
�n : Length a�2 Width o�� Height ��_Sq. Ft. �ag
WHSE. AREA: Length Width Height Sq. Ft.
OTHER AREA: Length Width Height Sq. Ft.
VALIIATION
Sq. Ft. X$ Cost/Sq. Ft. = Valuation � )
Sq. Ft. X$ Cost/Sq. Ft. = Valuation �
Sq. Ft. X� Cost/Sq. Ft. = Valuation $
Type of Building Construetion ff�1(�
Air Condition�d [�/�] Yes [ J No
r�
oCc7 /u
Permit Fee
Plan Check
State Sureharge
SAC Charge
Park Fee
SeWer Main Charge
�� Driveway Eserow
TOTAL
�
STIPULATIONS:
$ �vaoZ� b0
$ q-S.�r'
� �l , 38
� _ 4as, 00
� / j C�O � C�U
� ......'
$ a��,�
s � `�V.�
� ��
Occupancy Group Class. , �` '3
) =
)
� ����
Total
Zoning �"�
Fire Protection System [ ]Yes [�No.
See Fee Schedule on Reverse Side
In excess of Prepaid Plan Check -See Back Pg.
�.50/$1,000 Valuation (See Sehed. for > �1 mil)
$425 per SAC Unit
Fee Determined by Engineering
Agreement Necessary [ J Not Necessary []
. � � '
' _
U�IYUF
FRtDLEY
C�VIC CENTER • 6431 UNIVERSITY AVE N E.. FRIDLEY. MINNESOTA 55432 • PHONE (6121 571-3450
Septsnber 6, 1985
Garjac, Inc.
481 - 206th Avenue N. E.
Cedar, NIIV 55011
Re: Final Inspection at 1360 Creek Park Lane N.E., Fridley
Dear Sirs:
A final insgection was made on September 6, 1985 of the above structure and
the following itans were noted which must be completed before the building
can be finaled out, however the home may be occupied as of this date.
1. Provide sod in the front and side yards by September 23, 1985.
2. Provide the City with a copy of the verifying survey by Septanber 23,
1985. �
The City of Fridley does not issue Certificates of Occupancy for single
family dwellings.
We will expect these itans to be completed by the scheduled date when a
reinspection will be conducted to detennine compliance. If you have any
qu�stions on these itans, please feel free to contact me at 571-3450.
Sincerely,
. CLARK
Chief Building Off icial
DGC/mh
':: , _
,�R
CITYOF
FRIDLEY
CNIC CENTER • 6431 UNIVERStTY AVE. N.E. FRIDLEY, MINNESOTA 55432 • PHOI�E (612) 571-3450
December 12, 1985
Knutson Mortgage
5637 Brooklyn Boulevard
Brooklyn Center, MN 55429
Re: Final Reinspection at 1360 Creek Park Lane N.E., Fridley
Dear Sirs :
A reinspection was conducted on December 12, 1985 to determine compliance
with our letter of Sep tember 6, 1985: The following item was noted which
must be completed before the structure can be finaled out:
Provide sod in the front and side yards by June 1, 1986.
The City gave approval for occupancy of the structure on September 6, 1985
as we do not issue certificates of occupancy for single family dwellings.
We will expect the above item to be campleted by the scheduled date when
a reinspection will again be conducted to determine completion. If you
have any questions on this item, please feel free to contact me at 571-3450.
Si ly,
_ (
�1 �
DARREL G. CLARK
Chief Building Official
DGC/mh
CC: Garjac, Inc.
481 - 206th Avenue N. E.
Cedar, MN 55011
Homeowner
1360 Creek Park Lane N.E.
�7.
;'.
�� _
;':�
UTYOF
FRtDLEY
CIVIC CENTER • 6431 UNIVERSITY AVE. N.E. FRIDLEY, MINNESOTA 55432 • PHONE (6l2) 571-3450
June 4, 1986
Mr . Gary D' Aig le
Garjac, Inc.
481 - 206th Avenue N.E.
Cedar, MN 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, 1�86 of the above addresses and the
following i t�ns were no ted which are still incomplete:
1321 Creek Park Lane N.E.
l. 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.
l. 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 verifying survey.
1360 Creek Park Lane N.E.
Provide sod in the front and side yaxds.
We will expect the above items to be completed by June 16, 1986 when
reinspections will again be conducted tA detennine canpliance. If you have
any ques ti.ons on these items, please feel free to contact me at 571-3450.
Sincerely,
D . CLARK
Chief Building Official
Dcc/mh
sus�ecr P NO.
City of Fridley o 18 8 8 8
AT THE TOP OF THE TWINS g U 1 L D I N G P E R M I T
r
; � RECEIPT NO.
r `y _�_��_ COMMUNITY DEVELOPMENT DIV. ��� �
� � PROTECTIVE INSPECTION SEC. �
� �
► . �
' � �"��1 � CITY HALL FRIDLEV 55432 NUMBER REV. DATE PAGE Of APPROVED BV
�----'�: �.� 612-571-3450 910-F�5 4/17/87 / /
JOB ADDRESS 1360 Creek Park Lane N. E.
1 LEGAL LOT NO. BLOCK TRACT OR ADDITIpN SEE ATTACHED
DESCR. ]_ 2 H,1C�C72ri WOOC�S SHEET
2 PROPEfiTYOWNER MA�LADDRESS ZIP PHONE
Kurt Creager 1360 Creek Pa,rk Lane N.E. 572-1308
3 CONTRACTOR MAiL ADDRESS Z�P PHONE UCENSE NO.
Same
4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PNONE LICENSE NO.
5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO.
6 USE OF BUILDING
Residential
7 CLASS OF WORK
❑ NEW � ADDITiON ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE
8 DESCRIBE WORK
Construct a; 16' x 12' Deck
9 CHANGEQFUSEFROM 70
STIPULATIONS
See notat�ons on plan,
V�'����#��
Before diggi�� �a��. io�� uti:+#��
tEtEP4�:���'�� � � �;=- .
��","�`��TE PERMITS REQUIRED FOR REC��t�D B� �,,�►��
1�����;;�'�s�, HEATING, PLUMBING AND SIGNS.
SEPARATE PERMITS ARE REpUIRED FOR ELECTRICAL, PLUMBING, HEAT�NG, TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD
VENTILATING OR AIR CONDITtONING.
THIS PERMIT BECOMES NULL ANp VOIO IF WORK OR CONSTRUCTION ZONING SQ. FT. CU. FT.
AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTAUCTION
OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT
ANY TIME AF7ER WORK IS COMMENCED. N0. DWLG. UNITS OFFSTREET PARKING
1 HERE6Y CEATIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION 1 STA��S GARAGES
AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF �AWS VALUATION SURTAX
AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED
WITH WHETMER SPECIFIED HEREIN OR NOT. THE GFANTING OF A PERM�T +��-/3SO $.F)H
DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL TH� pERMl7 FEE SAC CHARGE
PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- 23 � SO �
STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. �
PLAN CHECK FEE TOTAL FEE
$ 5.88 $30.06
si ATUREO CON aC DRORAUTNOAIZEDAGENT �DATEI WHEN PFiOPERLY LIDATED THIS IS VOUR E MIT
_ 4-���g-�. , �
SIGNA UAEOFO NEFi� O�NNERBU�LD RI 1DATEi LDG �NSP aiE
NE4J [�ip
ADDN. jjC�
AI,TER. [ ]
Construction Address:
Legal Description:
Owner Name & Addre
City of Fridley Effective ut1186
�R-1 AND R-2
Building Permit Application
Contractor• " Tel. #
Address:
LIVING AREA:
GARAGE AREA:
DECR AREA:
Attach to this application, a Certificate of Survey of the
lot, with the proposed construction drawn on it to scale.
Length
DESCRIPTION OF IMPROYEMENT
Width Height Sq. Ft.
Length Width Height Sq. Ft.
Length �_ Width _,�.� Hgt/Ground � Sq. Ft.
OTHER:
i,� . t�'3'3�• Sz
Corner Lot [] Inside Lot L � Ft. Yd. Setbaek Side Yard Setback
Type of Construction: �'e-���/ ���� Estimated Cost: � �
Approx. Completion Date: � � D �� � � �
Alt. A Alt B
Proposed Driveway Width If New Opening Is Desired: $ �
See Back Page for Explanation
DATE: �' - «- �� APPLICANT: L �, Tel. # �7a�� 30�
Permit Fee
Plan Check
State Surcharge
SAC Charge
Park Fee
SeWer Main Charge
TOTAL
STIPULATIONS:
CITY IISE ONLY
� 3.5�
$ S.gS
$ .LR
3 �
$ �
� �
.
� � �
DECK RAILING
36" MsN. N��GHT
6�� MAX. �PA�i�1+C
Fee Schedule on Reverse Side
25� of Building Permit Fee
$.50/$1,000 Valuation
$ 525 per SAC Unit
Fee Determined by Engineering
Agreement Necessary [ ] Not Necessary [ ]
l3�'
s04 � %V. �'%
9�x�s� �3.s�
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SURVEY FOR:
Gar-Jac Construction
481 206th Avenue NE.
Cedar, Kinnesota 55011
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�� dircct supen�ision and thac I;un :� dul�• Re�istrred Lsnd Surve�'Of UT1dCi [� I:1��'S Of (�IC S[:1tC
of tinnesota.
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CITY OF FRIDLEY
APPLICATION FOR PWMBING AND GAS FiTTING PERMIT
m a� m �a u • x d Water
y a� .-�i � m H[ ro yu � � b u pA', r+� a Heater
•.1 W A C M L y N .0 C W � • � H
o � .0 U y
vsi � u � m m � 3 o t��. � w u a0 � 3 t�7 � � O as lec
I 1
lsti
2nd
3rd
4 th
(R) • Future Connection Openinq Connected with Sewer
(+) � New Fixture, Old Opening Water
RATE SCHEDULE
PLUMBING FIXTURB RATES: N0.
New Fixtures
Future Fixturea
Old Opening, New FiYture
Bear Diapenser
elow Off Basin
Catch Basin
Rain Water Leader
Hydraulic Valve
Sump or Receiving Tank
water Treatinq Appliance
Not Nater Heeter
Gas Ranqa
Gas Dryar
�
�
RATE
$ 5.00
g 3.50
S 1. 50
S 4.00
S 5.00
g 5.00
S 5.00
S 5.00
S 5.00
S 7.00
$ 5.00
g 10.00
$ 10.00
TOTAL
S
S
S
S
S
S
S
S
S
S
S
S
eack Flow preventer Aequired, ,, yeg � � �� �
�° s s.00 s 1�',Otl
ALL OTH�rIqS ANO/OR REPAIRS AND ALTERATIONS
lt ot Value of Fixture or Appliance g
State Surcharge $ .50
Reinspection F�e S
� (S15.00) TOTAL FEE $�a
Effective Date May 1� 1988
Job Address / ��(QD �j��j� ��r k, �� �
Department of Buildings
City of Fridley
Tel. A571-3450
The undersiqned hereby makes applicntion for a permit for the wrk hereln
specified agreeing to do ell work in strict accordance with the City Codes
and zulinqs of the Department of Buildlnqa, and hereby declares that all
the facts and repreaentations atated in this application are true and correct
Fridley, Mn, mQY(� /�, p� �� , 19 S/
OWNER /f 1(1 �� 1Y' o l j 1 T'i� �J I�
KIND OF BUILDING
USED AS
TO BE COl�@LETED ABOUT `-"'
ESTIMATED COST
OLD - NEW BUILDING PERMIT NO. PERMIT NO. _/ D� ���
Oompany _ ��! / ���}� ���
Signed By
Tel . No . �� - /� �s
ROUGH INSP.
nate
FINAL INSP.
nate
APPRUHAL FOR PERMIT I��
11INIHUM FEE FOR ANY PLUMBING PERMIT IS 515.00
PLUS THE $.50 STATE SURCHARGE
SUBJECT PERMI . '--
City of Fridley 19809
AT THE TOP OF THE TWINS g U I L D I N G P E R M I T
t
' ' R
� � •
� • COMMUNITY DEVELOPMENT DIV.
� ; ,: ----- . �3/ ��
r � � PROTECTIVE INSPECTION SEC.
� . �
� � �"�'1 � CITY HALL FRIDLEv 55432 NUMBER REV. OATE � PAGE OF APPROVED BY �
�'""'�" �'' 612-571-3450 910-F15 3/27/89 / �
JOB ADDRESS 1360 Creek Park Lane N.E.
1 LEGAL �07 NO. BLOCK TRACT OF ADDITION SEE ATTACHED
DESCR. j. 2 Hidden VdOOC�iS SHEET
2 PROPERTYOWNER MAILADDRESS ZIP PHONE
Kurt A. Creager 1360 Creek Park Lane N,E. 572-1308
3 CONTRACTOR MAIL ADDRESS Z�P PHONE LICENSE NO.
Same
4 ARCHITECT OR DEStGNER MAII ADDRESS ZIP PHONE LICENSE NO.
5 ENGINEER MAIL ADDRESS Z�P PHONE UCENSE N0.
6 USE OF BUIIDING
Residential
7 CLASS OF WORK
❑ NEW ❑ ADDITION � ALTERATION ❑ REPAIR O MOVE ❑ REMOVE
8 DESCRIBE WORK
Finish Bathroom
9 CHANGE OF USE FROM TO
STIPULATIONS
See notations on plan
SEpARI��'E PE�MITS RE�'���'�t
W`��t�G, �:.:ATING, PLUMBING AN� SIGNS.
�::-- .�.
. ,,-�
SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, TYPE OF CONST. OCCUPANCV GROUP OCCUPANCY LOAD
VENTILATING OR AIR CONDITIONING.
THIS PERMIT BECOMES NULL ANO VOID IF WORK OR CONSTRUCTION ZpNING SQ. FT. CU. FT.
AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CON5TRUCTION
OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT
ANY 71ME AF7ER WORK IS COMMENCED. NO. DWLG. UNITS OFFS7REE7 PARKIIJG
I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION STA�LS GARAGES
AND KNOW THE SAME TO BE TRUE AND CORRECT. ALl PROVISIONS OF �AWS VA�UATION SURTAX
AND ORDINANCES GOVERNING THIS TYPE OF WORK WI�� BE COMPLIED
WITH WHETHER SPECIFIED HEREIN OR NOT. THE Gf;ANTING OF A PERMIT $1 r5OO S• 75
DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE pERMITFEE SACCHARGE
PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON-
STRUCTION OF THE PERFORMANCE OF CONSTRUCTION. $3S.00
PLAN CHECK FEE TOTAL FEE
5.75
S�GNATUREOFCONTRACTOAORAUTHOA�2EDAGENT IDATEI WHE PROPE Y A T D IS YOUR PERMIT
�
SiGNATURE OF OWNER �1F OWNEF BUILDERi IDATEI ' � � _ � ��i �
BLDG �NSP nFTE
NEW [ ] Effective 5/1/88
ADDN [ ) R-1 AND R-2
AL`I'gZ [ ] Building Permit Application
Construction Ar�dress:
Legal Description:
Owner Name & Address : � l l l(� �
�a.. #��- ° Z — �3v8
Contractor: Tel. #
Address:
Attach to this application, a Cextificate of S��vey of the
lot, with the px�osed construction drawn on it to scale.
.:r� «• .1 . - . ��..,. � :r ��
LIVIIaG AREA: Length Width
C�IRAGE AREA: Lesxjth Width
DECK ARF.A: Width
OTf�R: I� �'S ��" v-��n�s► /> >> ✓v►.
Corner Ir�t [ ] Inside Ipt [ ]
Type of Construction:
Approx. Ccm�letion Date: _
Proposed Driveway Width If New
I�ATE: � o� � APPLICAI�IT:
Fermit Fee $ �d
State Surcharge $ �7�
SAC Charge $
Driveway Escrvw $
Park Fee $
Sewer Main Ctiarge $
T+Or!'AI, $ � J
����:
Height
Height
Hgt/Ground
,
Sq. Ft.
Sq. Ft.
Sq. F't.
Ft. Yd Setback Side Yard Setbacks
Fstim3ted oost: $ 1S�.Ot1
Is Desired: Ft.
n %�i Wldth + 6'
$ $
See Back Page
Tel. # ��%r� � /c30S
Fee Schedule on Rever�.�e Side
$.50/$1,000 Valuation
$575 per SAC Unit
Alt. "A" or Alt. "B" AUove
Fee Determined bY �git�eeruxJ
Agreeinent Neoessary [ ] Not Neoessary [ ]
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sue�ecr PERM�I. ,__
City of Fridley �2 0 416 ,
BU ILDING PERMIT '
AT THE TOP OF THE TWINS
i � R •
� �
� • COMMUNITY DEVE�OPMENT DIV.
, �,: ----- , � (� ��
r � � ppOTECTIVE IN5PECTION SEC.
� �
' � �""1 � CITY HALL FRIDLEY 55432 NUMBEfi REV. DATE PAGE OF APPROVED BY
�'""'� � ,�� 612-571-3450 910-F15 6/8/90 / /
J08 ADDRESS I360 Creek Park Lane N. E t
1 LEGAL ��T NO. BLOCK TRACT OFi ADDITIOk SEE ATTACHED
DESCR. I. 2 Hidden Woods SHEET
2 PROPEfiTY OWNER MAIL ADORESS ZIP PHONE
Kurt Creager 1360 Creek Park Lane N.E. 572-Z308
3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO.
same
4 ApCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO.
5 ENGINEER MAILADDRESS ZIP PHONE LICENSENO.
6 USE OF BUILDING
Residential
7 C�ASS OF WORK
O NEW ❑ ADDITION �7 ALTERATION O REPAIR ❑ MOVE ❑ REMOVE
8 DESCRIBE WOfiK
Finish bedroom in basement
9 CHANGE QF USE FROM TO
STIPULATIONS
Add ,fire alarzns on both levels.
TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD
SEPARATE PERMITS ARE REOUIRED FOR ELECTRICAL, PLUMB�NG, HEATING,
VENTILATING OR AIR CONDITIONING.
THtS PERMIT BECOMES MULL AND VOIO IF WORK OR CONSTRUCTION ZONING SQ. FT. CU. FT.
AU7HORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION
OR WORK IS SUSPENDED OR ABANOONED FOR A PERIOD Of 120 DAYS AT
ANY TIME AFTER WOFK IS COMMENCED. NO. DWLG. UNI7S OFFSTREET PARKING
I HEREBY CERTIFY THAT I HAVE READ AND EXAMINEO THIS APPLICATION 1- STALLS GARAGES
AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PFiOVIS10NS Of LAWS VA�UATION SURTAX
AND OFDiNANCES GOVERNING THlS TYPE OF WORK WILL BE COMPLIED
WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT $Z�O $. SQ
�OES NOT PRESUME TO GIVE AUTHORITY TO VIOIATE OR CANCEL THE pERMIT FEE SAC CHARGE
PROV�SIONS OF ANY OTHER STATE OR LOCAL lAW REGUTATING CON-
S7RUCTION OR THE PERFORMANCE OF CONSTRUCTION. $ZS . OO.
PLAN CHECK FEE TOTAI FEE
$15. 50
SIGN TURE CO �RACT RORAUTHORIZEDAGENT IDATEi y� N PRO ER LI AT T S IS YpUR PEAMIT
(�-$-��
SiGN URE OF NE OWNEA BU DE iOATEi BIDG iNSP DFiE
� []
� [ J
AL'1'ER � l
Construction Address :
Legal Description: _
«��&�:
R-1 AND R-2
Building P�ermit Application
� �� � C��e � �r� L.q� e.
a� �L a d c� � v�. �oc�lS
reaq��
EffeCtiVe 1/1/90
�. # 57a - �30�
Contractror: Te1. #
•.. -
Attach to this application, a Certificate of StiiYVey of the
lot, with the proposed construction drawn on it to scale.
.: «• .; . . �- •.. � ��+
LIVING AREA: Length .� Width � Height Sq. Ft.
GARAGE AREA: Lea'igth Width Height Sq. Ft.
DDCR ARE�: Ler�gth Width Hgt/Gro�u�d Sq. Ft.
` ` �O�TfIERL ���_��.�,rc7av�n 1 �- V1hf,�
Corner I�t [] Inside Lot [] Ft. Yd SetbacJc Side Ya�l Setbacks �
'I�pe of Construction: Estimated Cbst: $ �
Approx. Oompletion Date:
Proposed Driveway Width If New Is Desired: Ft. $ $
Width + 6' See Bac)c Page
��: � 8� ���: �.. # 5�a- i �a8
CITY USE O�Y
Perntit Fee $ ,� �� . C� n
State Surcharge $ �-Z�
SAC C2zarge $
Driveway Escrow $
Park Fee $
Sewer Main Chan�e $
Fee Schedule on Reverse Side
$.50/$1,000 Valuation
$600 per SAC Unit
Alt. "A" or Alt. "B" Abcive
Fee Determined bY Et�gineering
Agreement Necessary [ J Not Neoessaiy []
mr�, $ /� -� .
v �- ��
sTT�TT����� , C�-�—vti,"� � �'Y�Q4-c�
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P
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� � .. � . � SuB�ECi �.. . . . � . P � .
c�ty of Fridley 3020
AT THE TOP OF TME TWINS g � I L D 1 N G P E R M I T
r
; � IPT NO.
' COMMUNITV OEVELOPMENT OIV.
i ♦ V ""` , . �%� '� /1
r � � PROTECTIVE INSPECTION SEC. �-7�`��
� � �"'1 � CITY HA�I FRI�LE� SS132 NuMBEP pEV D�iE v�GE OF �nvqOvEO Br
1----�: �., 612-571-3450 910-F15 9/13/99 / /
�oe nooRess 1360 Creek Park I;ane NE
1 IEGAL �OT NO. BLOCK TRACT OR ADDITION SEE ATTACHED
oescR. 1 2 Hidden WOOa.S SHEET
2 Pi;OPERTY OWNER MAII A�DRESS 21P PHONE
Eric Bjorklund 574-2363
3 CONTRACTOR MAIL AOORESS ZIP PHONE UCENSE NO
Northern Crest Inc. 8245 Polk St NE S rin Lk Pk 55432 792-9364 20098415
e ARCHITECT OR OESIGNER MAIL ADDFESS ZIP PHONE UCENSE NO.
5 ENGINEER MAIL AODfiESS ZIP PHONE IICENSE NO
6 USE OF BUIl01NG
Residential
7 CLASS OP WOFK
❑ NEW O ADDITION O ALTERATION �c REPAIR O MOVE O REMOVE
8 OESCRIBE WORK
Reroof house and axa e 27 S Tear-off
9 CHANGEOFUSEFROM TO
STIPULATIONS
Underlayment must comply with the State Building Code.
TYPEOFCONST. OCCUPANCYGROUP OCCUPANCY1.pA0
SEPARATE PERMITS ARE REOUIRED fOR EIECTRICAL, PLUMBING, HEATING,
VENTILATING OF AIR CONOITIONING
THIS PERM17 BECOMES NUIL AND YOIO 1F WORK OR CONS7fiUGT10N ZpNING SO. fT CU F7.
AUTMORIZED IS NOT COMMENCEO WITHIN 60 DAVS. OR IF CONSTRUCTION
OR WORK IS SUSPENOED OR ABANOONED FOR A PERI00 OF /20 OAVS A7
ANV 71ME AFTER WORK IS COMMENCED NO OWLG. UNI7S OFF$TREE? PARKING
I HEREBY CERTIFV TMAT I HAVE READ AND ExAMINEO THIS APPLICA710N STALLS GARAGES
ANO KNOW 7HE SAME TO 8E 7RUE AND COppECT. A�L PROVISIONS OF LAWS VALUATION � SURTAX
AND OROINANCES GOVERNING TMIS TVPE OF WORK WILL BE COMPUED
WITM WMETHEA SPECIFIE� MERE�N OR NOT. THE GRANTING OF A PERMIT �'
DOES NOT PRESUME TO GWE AUTMORITY 70 VIOlA7E OR CANCEL 7ME pEqMl7FEE SACCMARGE
PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON-
STRUCTiON O@ THE PERFORMANCE OF CONSTFUCTION
LAN CNECK FE TOTA E
��S'°� � ��' Licens C $5.0 .79
S�GN4iUREO�CON"RA(;1QRORAU�NORrzED�GENT �D�TE� N ROP �iOArE N�S �S R PEpMt
J/
S�GNATUAEO�OH'NEQi�FO✓�NEQBU�IOEA� �OarE� Bl0 �NSo � .fE
NEV�[ j '' Effective 5/10/99
ADDN [ ] CITY OF FRIDLEY
ALTER [] SINGLE FAMILY AND DUPLEXES R-1 AND R-2
BUILDING PERMIT APPLICATION
Construction Address: 13E0 Creek Park Lane
Legal Description:
�� �
��
Owner Name & Address: Eric Bjorklund Tel. # 574-2363
Contractor: Northern Crest, Inc. MN LICENSE # 20098415
Address: 8245 Polk St. NE Spring Lake Park, MN 55432 Tel. # 792-936�
Attach to this application, a Certificate of Survey of the
lot, with the proposed construction drawn on it to scale.
�ES���'�^1�.T `.2F �^L'R�:;�1'��l1Y'
LIVING AREA: Length Width Height Sq. Ft.
GARAGE AREA: Length Width Height Sq. Ft.
DECK AREA: Length Width Hgt/Ground Sq. Ft.
OTHER• Tear of f and re-shingle house and garage
27 square
Construction Type: Estimated Cost: $ �--� ��''�
Driveway C�rb Cut Width Needed: Ft. + 6 Ft =
DATE• 9-1 3- 9 9 AppLICANT: B i 11 O 1 s o n
Pernut Fee
FL''� S12tCi3�2'be
State Surcharge
SAC Charge
License Surcharge
Driveway Escrow
Erosion Control
Park Fee
Sewer Main Charge
TOTAL
STIPULATIONS:
� _,
$ c �.j �S� .
$ � . .� �
� /� 1 °
$
$ _�; . c-; c�
$
$
$
$
$ �/ '��i
Ft x $ _ $
CITY USE ONLY
Tel. # 792-9364
Fee Schedule on Reverse Side
.Q�1 cf P�:mit V�:�:atior �1!l�th%)
$.50/$1,000 Valuation
$1050 per SAC Unit
$5.00 (State Licensed Residential Contractors)
Alt. "A" or A1t. "B" Above
$450.00 Conservation Plan Review
Fee Determined by Engineering
Agreement Necessary [ ] Not Necessary [ ]
0
HIDDEN Wo Ds
0
Cli`( aF� FRIDLEY ANOKA CODUTY
Ql7 50
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o. -- �-�;' 'i1NE. CI1Y OF FR�ULEY DOES NOT GUARANTEE lgfE� 3�
` � ;,j � ; ..� ;�L�URACY OF UTILITY LOCATIONS AND ELEVATIOPIS. � -13-
��„� i r:-, :irilS DATA IS FOR iNFORMATION PURPOSES ONLY, r � � ;,
�„ , ;,; ��.p PERSONS USING THIS IPIFORMATION SHOtl�r � z� �
�' � ;tF[t�I�Y IT ON THE SITE, �OOO � o`°. ~°' ;�! �
3 ��' ,, , _ - 3 � 2 � � i _i_ � � `'J �\�
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