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1' � i I; i' � ! r f � �I ;1' � �' ' , � . '.i! � .�, (l � i �'��� ,p� ' : 6upervision and that I am a duly �Reglstered
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SUBJECT P�RMIT NO.
c�ty of Fr�aley � i2i38
AT THE TOP OF THE TWINS g U I L D I N G P E R M I T •
�
� �� ECEIPT NO.
� ; L __�_ COMMUNITY DEVELOPMENT DIV. ��`
r � PROTECTIVE INSPECTION SEC. �/_� ; 7
1 � �� ��
1 ; , '
�l � r'�'1 � CITY HALL FRIDLEV 55432 NUMBER REV. DATE PAGE OF APPROVED BY
L•"'� � ,'� 612-580-3450
910-F15 � �
JOB ADDRESS $111 Fairmont Circle N.E.
1 LE(3AL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED
DESCR. ( 2 Bourdeaux's � Spring Brook Addn. SHEET
2 PROPERTYOWNER MAILADDRESS ZIP PHONE
Henry Ma,ron
3 CONTRACTOR MAIL ADDRESS 21P PHONE LICENSE NO.
Castle Homes Inc. 7613 Central Avenue N.E.
4 ARCHITECT OR DESIGNER MAIL ADDRESS 21P PHONE LICENSE NO.
5 ENGINEER MAILADDRESS ZIP PHONE LICENSENO.
8 USE OF BUILDING
Residential
7 CLASS OF WORK
� NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE 0 REMOVE
8 DESCRIBE WOHK
Construct a 26' x 41' Dwelling and a 26' x 24' Garage
9 CHANGE QF USE FROM TO
STIPULATIONS provide drainage for walkout. Provide a verifying survey before
capping. Provide a hard surface driveway.
WATER LOCATION: 10.3' South of Sewer
SEWER LOCATION: 69.5' South of Manhole
"Y" Elev. 847.79 TOP OF FOOTING MINIMUM ELEV. 850.79
Inv. Elev. of Manhole 847.54
S�P�RA�E
PERMITS REQ�IRED FOR WIRING.
�-�t��,. PLU�itB1�tG AND SIGNS.
N
SEPARATE PERMITS ARE RE�UIRED FOR ELECTRICAL, PLUMBING, HEATING, TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD
VENTILATING OR AIR CONDITIONINO. WOOCl �'iaIIlO
THIS PERMIT BECOMES NULL AND VOID IF WORK OR 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 R'�-
ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS OFFSTREET PARKING
I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION 1 STALLS GARAGES
AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS VAI.UATION SURTAX
AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED
WITH WHETHEF; SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT $Z�4 ZS�. �.L.�.�F
DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE pERMIT PEE SAC CHARGE
PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON-
STRUC N OR THE PERFORMANCE OF CONSTRUCTION. SZ.00 L7S.00
PLAN CHECK FEE TOTAL FEE r
s �� -�� $338.14
SIGNA EOFCONTR TO ORAU HO IZEDAGENT IDATEI WHEN PROPERLY VA�ED THIS IS YOUR P"F.RMIT
SIGNATUREOFOWNERIIFOWNERBUILDEFI IDATEI ��LOG IN�LK`��� DATE
.
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report was �repared by me or e r.c�° mv C`�nr-
• �' �, supervision and that I a:n a cu,� �e^��*;is'��rc� �
;. • , ' Land Surveyor v.�der the la��:�s o' ;i,e S-��c �
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AP.PI�T�A�TI��1 P�►�; FtE�IA��1�'��I�, �t�T�:�1'T�i3�1,
A#� AD�TTiaN ��1IL�TNG ��RMTT
�ITX QF �RI]�I�B�' � MINiV�50TA
�W�� S N�E :�,�/r y �Li1'�i ro ,�(' BUYL�?ER s�,i�1S �`�io /� � °s
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,�iDDRESS ° ,AI?�2ES3 i '% 6 � 3 Q G c( ��o.vi`Y h � /�-� �
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R�`i �� , r- $LOCK i z- A��IOAl2 QG u��e9a v��t ' s ..S�riaiy ,d �eo �,g �+k(�*is.v
�R Lti�: �� �; iC . SETBACR� 3� 3IDEY�RD: !�
,���,� ��c� �o, ����io Certificates of SuzveX o� Lc►x a�d prapce��d
�ti,�.d� �.+t�atio� �� � l�ese Certificates�,
�
���C�IPTIpN OF �UILi1ING
�aa � ii�e� �a :
��° v s�, � '�-� D�#i: �f/ $�igt�t:
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Square Fee�� 2 Cubi� �'�e��
��.0�'� �'rc��: �,� Dep�h; � � Hei�ht:
� „ �
Squa�� �'�et• �� f Cubic geett
� ..�,
�� o� �oa��xuc�ioA� �YD �A •2 � �stim,Etted Cos�: $ 3� �po. � a
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�r� � ����+�a ��°�' � �.� � q7� � ,
��paR�� i$A�d here�g �sk� a�13T.c�t.ivrt f or, $ pe�.t iax th� w�xk 1�e�re1A
#�i,�ieci�, a$xeaing fio do a�� tap�� �.n stti.ct acco�daace witt� Ghe ��► p�
.$'�C'�.td�.�' �ilxd�p�ce8 �d �1� dP� � ��rt�ten� Af Bui��ditn��a t�l �e7eeby
��.�� �, a�.l #.1�� �acts �d ��resentations stated � t.��s appl�,�atiara
�� � ap� cp7rrec� .
�,�; 3 — / ir^' 7� $�GNATUR,E:
�$� Tt+�e�Rre B#.d� �qt' A�d��o�tai Iafos'�atic+n.. ) T�d Y CoA Sr% �l'e � aS
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--BU��A�N� ����T ��� S�H�nu�E
����N �. �.'he Ir�epecto� pf �ui,ldings s}�a11, befoxe i.asuing pexmi�� for the
������.on o$ a�y bui.lding �� etructure, o� for aay addition to any axisC�.r�
b��,Ad� oa� stxuG�ure, or fva any alteration ox xe�airs to any exi�ting
��,s�,���,�� o�e stxuc�uxe, upon �pp] i,�ation therefosea require tk�e paymeat by �he
��;i:��.i��t €px such per�.t a� ��es tro the aatount herein below set fctzth 8�d #.ri
�h� ��x he�x�e�� par4vided � �o��wit s
UNdFORM �U�LIITNG �OAEt Type 1.i 2� 4-�2,15 �ar each �ae Zhousapt�d cubic
�e�ta p� f�actioa the7c�a�, in �uc�a cubical coa��nts. 3`ype 3� 5�$$s85 �ox
�c� one �ousaad �,tb�Ic ��et, � .
��D�T�U�1AL �N�i�#tMA'T�ON
Fc�� �e pu�pvse of �o,mpu��.� �ees for buildiag pextnits, the cubical contents
of atxiy building or addition, is det�rmi�ed by mu1�$ply$n� the $xound area
�o���,al ��a a pai�tt si�x (�ij in�es below the floor line o� the basement
t� t�e �C��lasr �o �,dne average tneights of the upper surface or to the averag� �
t tn� �e �oo�E �et�face o� �1te main �able pf a pitched �oo�,
��e,�,i�cs o� al��z���.o�$ � aa existin$ s�u��a�e4 �fi� fe� sha,ll be �� �he
s�,�� fl� $3.flU �' e�cl�, f�ve h�dsed dollars ($30Uo00) � f��ion th�rso� itt
t.i��s c+aa� o� ,all ��g�a�e� wo�k�4
I� �c► cat�e s���l �b� �� fo� �r pexmit as se� fp� �n Se�tia�n 2 b�
� ��u ��.6�.
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�I�,R�����TiQN OF ��iJNAATION
DTO�s Pesm�.ts fox �c�s�u��a�oa� wil� be ia$ued a t�iu�amua o� Z4 i�ours �xam �he
��a o� applicat#,on, �a ���a�t f, ox prage� rev#�ew of �he pxopo�ed s�sru�tx�txe and
�� �►e �tstru�Cion aite.
' �, �C���i� surv� o� fi�i.�e 1�►� �a�i:+g ��oca�; Q� thQ �auudatir�, o�e �t
�� �� �.s�t��ed� wiil �a sec�uia�d be€o�e proceedin� w� thr� fr�af�.
C��T'�PI�A'�� (3F !J�'�PAN�Y
A�p�.�,�tio�a �cs� � tG��#.�3.�at� s►� Occu{�aaey sk�al� bs mad� �eu (1Q) ��s px�ox
��o t,ii� ��e o� 4c�upaacy ag �mg �E�e�.vre fox whiah a bui.ld�z�$ pex�ai� ha� been
3.�s�t�d; �td s��d s�uc� l�hal� pot be used a� �ccu��ed uatil a���tificate
D� ��Ll�?�IiCjr }� b0� ;�88t{@�a
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, � . 560-3450
l�`�t o �Hid�Ce
� �
ANOKA COUNTY
6431 UNIVERSITY AVENUE NE May 24� 1973 FRIDLEY, MINNESOTA 55421
Mr. Dave Rotter
Castle Homes Inc.
7613 Central Avenue N.E.
Fridley, Minnesota 55432
Re: Properties Abutting Spring Brook
Dear Mr. Rotter:
This letter is to confirm our coriversation with Mx. Roy Lund in which
we informed hi.m that granting building permits on propertiea along Spring
Brook does not obligate the City to ma,intain this waterway. Care should be
taken in grading the rear yards in such a manner that erosion will be
minimized.
If you have any questions, please feel free to contact this office.
CJB/mh
Sincerely,
� ,
��
CE J . BELISll�
Building Inspector
0
.
''' �'
City of Fridley
aT T11q. TOP 01� TMt TN�IMY
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Comp etion Date
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PLUMBI�Vr, PERf1IT APPLICATiO��
s
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�
aaress - P one
�% � +�/ %i��%��
se
P_lumbing Fixture Ratea: N0. RATE TOTAL
Number Fixturea � X $2,00 �,00
Future Fixtures �_ X $1.50
1Vew Fixture-Old Open. x $1.50
Catch Bastn
x $3.25
Water Heater-99,000 BTU � X $3.00 �.�
____
Ground Run Old Bldg. x$3.25
��. ��_
E1ec. Water Heater __ X $2.00
Gas Fittin Fegs; -+
lat 3 �ixtures �_ X $2.00 �- e�_
Additional Fixtures x $ .75
Gas Range-199�000 BTU x s5.00
..n �� T ���
II� � ReQairs & Alterations I
I � See I
Description; Code
� --
I� State Surcharge 50
� � I TOTAL FEE $ �
I
� ,The undereigned hereby inakea application for a permit
for the work herein specified� agr�eing to do all work .
� i�n atrict acco�da.nce w ith ths City Ordiaances and rulin
of the Department ef $ui7.dingei and hereby declare that
„ a11��he ta�ta and repxesen�ationa etated in thia
application a true and correct.
� � � � �
'" �- d� 7
i ature ,. _ .
�
�����.
MEMO T0: Ralph Volkmaui, Superintendent of Public Works
MEMO FROM: Clyde V. Moravetz, Senior Engineering Aide
DATE: July 3, 1975 I �� �
ATTENTION OF: CITY OF FRIDLEY
r .� � 6431 U�iversity N. E.
To Minneapolis Minn. 55421
__ __ _ _ _ __
_ __ __
612-560-3450
�" �
L �`� � ���_ ' v �/ l r _ _ ' %'� � - � � � �` � ��3
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SUBJECT/7 ��� ��%i� t9�� �E/1✓'�%+L�"6a� � DATE � ` � ����
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DATE SIGNATURE
REP�@ERe� C��'� — RET/�►IPY FOR YOUR ���
''�ic
4�,
��
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MEMO T0: Ralph Volkman, Superintendent of Public Works
MEMO FROM: Clyde V. Moravetz, Senior Engineering Aide
DATE: July 3, 1975 � �
SUBJECT: F.ailroad Tie Pickup and Distribution �e�'1 � Y
Leoc�9%io.�1 S
��
! ������y �
�w�` �,$ � l/E�
Ted Johnson of Minnesota Transfer Railway Compan.p informed �o �� p��?����r£v
me that ties will be available Monday, July 7th. Se requests a� ��'��£�" ys ��
�br>�.E�A2�S �v��y'�
that you call him at 7:30 L�.M., P4onday for final arrangements. ��/�
His telephone number is 646-9623.
The ties should be distributed at the following loca.tions:
Priority 1- Maron (vacant lot South;of 8101 Fairm.ont
Circle) ,
Priority 2= McGregor (265 Stonybrook) D�`'`-�
Tel: (H) 786-7680 (Off.) 521-4767
Priority 3- Bessesen (289 Stonybrook) ti,� �� �
Tel: (H) 784-09 84
Priority 4 - Dunphy (155 Stonybrook)
Tel: (H) 786-4666
Priority 5- City garage for future use.
Also proceed with hauling 3 loads of rock material for
Ma.ron as we discussed earlier.
Respectfully submitted,
CLYDE V. MORAVETZ
Senior Engineering Aide
CVM/as
No . af
Ties
20
50
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HENT LOSSpCHLCULATIONS HEi4T1111G& AIR COIVDITIONING CO. MINNEAPOLIS, MINN.
Weatherstr� ps A.S.H.V.E. Cor�r.truct�on No. Insulation
Windows roprs Guide Out. Nlal i Int. Wt�ll � Ceiling Roof Floor Klnd I How Applied
Re`e�ence - -- - � --
Yas .� I �es—�., �4
�FI. � � �`,.- �oom j Length � E Widthl� Hr;iylit % FI�=',A�� ���> Room Length �� ' Width � Height
-1✓� /� � _ __ -_ --
�'dind��^,�s and Doors-Crackage and Area UJindows and Doors-Crackage and Area
------- �� -'� PJo. c! Li�::al fL Area Nu. Width Heiqht N��. o• ���,r.ai ft. Ar�.�
r�-�. � .
li h!s of � � sq. fL of p;.tnr, of Uane lights rack �4. `t.
--� � ri�� ���1—� � sl � � �
i � —
_ i
I Coef B u Coef B tu
_ �
Infiltra:�on �,� i Infiltration
Glass
Exp. wa I I �
Net exp. watl
I nt. wa 1 I
Ceiling� �
Floor
31 -�
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— �
Total Btu.
Required sq. ft. E.D.R. or sq. ins. W.A. Leader area
�FI y'� ��! �/ j�' Room I Length � Width
VJindows and Doors-Crackage and Area
No. '���dth �"�A�9ht No. of Lineal fi. Area
of pa e of pa �ights of crack sq. ft
� 3 Z c{ �
J 25� �t � Z �
/ I > � ,� �- v / 7 / a
Infi itration o�
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Exp. wall �
Net exp. wall
Int. wall
Ceiling
Floor -
Total Btu.
--l�
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Exp. wa I I � ,�.� �
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Int. wall
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F I oor .� Q �
( Q Total Btu.
Required sq. ft. E.D.R. or sq. ins. W.A. Leader area
Height � FI. ��t O Room � Length �� Width
Windows and Doors-Crackage and Area
No. W�dth Height No. of Lineal ft. Area
of oane of oane liqhts of crack sq. ft
.'�
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Required sq. ft. E.D.R. or sq. ins. W.A. Leader area �
l FI���� Room Length l Width Height
VJindows and Doors-Crackage and Area
I 1N�Cth He�qht No. of Lineal ft. Area
�Jr'. i ot pane ot pane lights of crack sq. ft.
/ � �� � � � / � � �
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Infi Itration �� t�(�
G lass �z
Exp. wa I I � % �
Net exp. wall %� Q
Int. wall
Ceiling � 1j,,2.��
F loor ,i�
Total Btu.
Required sq. ft. E.D.R. or sq. ins. W.A, Lea r area
Fl.�p � Room Length Width
Win ows and Doors-Crackage and Area
No W,drh Height No. of L�neal ft. Area
of p e of pa lights of crack sq. ft.
/ 3 1� / 9 �
/ z D.P / 4 � .
' I Coef� 6 tu �oe�
Infiltration (i Infiltration �
Glass i �/ ��)'I �C% d Glass `
Exp. wal l � /1 =--- — ---- — i �`/ — - __ Exp. wal l`�� �,- ..�
-- � -- -- — —
Net exp. wal I 1 3�� �� � ��� Net exp. wall � j� �
--�- --- — ---- -- --------
--- ---- — - --
I �t ..all � Int. wall
--- -- --- --- — — -
— -- - -- —
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— — �} �-�_�— --
Hc��uirpci Sq. ft. E.D.R. or sy. ins. W.A. Leader area / It����uirc�l ti��. it. E.D.R. ix sc�. ins. W.A. Leader area
Btu
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Btu
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HOUSE HEATING TEST RECORD
ADDRESS �'1 '1 � Fa i rmnn'E i r APT. FLOOR CITY SUBUR�'r1d1@y
OCCUPANT Henev E M Y'O�'? OWIVER YeS •
HEAT LOSS DATE HTG. INST. GAS C0. METER BADGE
SOLD BY INSTALLED BY e d�wi ck Ht g.
� �� n
Elsetrical Work By Gas Line By
TYPE OF HEAT GA FA �—HW STEAM SPACE HTR. UNIT HTR. OTHER
GAS DESIGN CONVERSION
MAKE williamson MAKE OF BURNER
►dodel C110-25 Model
�ia� �i6880 Max. BTU Rating
INPUT � 00 �000 BtU.%HY' MAKE OF FURNACE
Model
CONTROLS 519
THERMOSTAT '���8a Heat Plu Vsnt Siza
Valve ��� M H V�50n KIND OF LINER Al�• SIZE 0 E
M H L4017a Drah Haod VerticalReg„iaTO� Maxiicro� �25-3
Limit t� t� 1 EleCiG .
Limit Setting � O O� f Fi Iters Size 7-9 X 21' Number
Fan Satting ����f Chimney Location Inside YeS Outside
Pilot Type n�n� � — Chimney ConstrurtionMetalbestos
Pilot Make
Pilot Model Smoke Bomb w����9
Pilot Timing 7� S�COriC S _ Draft �K Test Tag YeS
L.W. Cut Off Door Pressure Lightirtg Inst. Yes
Prossure �' .-� ��W - C • Pereant CO2 8 • � % Date Tssted �-�1'9 �7 �'
Input CFH �� Percent 02 �• �� Company Testing US t � 011 e c i alt ie s
Staek Temp. � h n° f Percent CO � O. O O� Name of Tester
Form�235
�
THE ROTTLUND COMPANY, INC., property owners of
Lot 8 Block 2,do hereby allow Henry Maron to
� ����s �-� .� ��.� � ��� �-�-��-- ,
store r�ck and railroad ties on the above lot
to be used by him for shoring up the bank on
hi-s property. The rock and railroad ties wilt
be removed by July 30, 1975 unless property is
sold. Then removal will be within 3 days of
notification of Mr. Maron. An extention of use
of this property may be applied for by Mx. Maron
by July 30, 1975
THE ROTTLUND COMPANYa INC
�� �
avid H. Rotter, Vice res.
�,.;T� 1 a - � � -�� t�-t t�rn��ss �r:.�.., ���,�t� � �� -' �o . ��r�`e e��'"' �t� "�:.�::�P:. .
ZAISAL CARD GARAGE - CARPORTS PORCHES }�a..,..0.��-.f �
YEAR BUILT C1A55 YEAR BUILT � 7% CLASS ���/J
EFFECTIVE AGE ATTACHED Cc''�� DET. BASM'T f40NT SIDE CK �»�-� %�-`�
NO. STORIES FOUNDATION PLOO& OPEN SCREENED GL4ZED
r 8Y EXTERIOR FOUNDATIOtd FLOOR �9�5
Z 3 ROOF EXTERIOR
INTERIOR ROOF y,_ �/ �
O.H. DOORS INTERIOR �yt.c, �`y
EIKTRICITY _ � ��
!EN
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DISP
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YEAR BUILT
FOUNOATION
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suedecr PERMI
City of Fridley 2 0 410
AT THE TOP OF THE TWINS g U I L D I N G P E R M I T
r
� � .
� � COMMUNITY DEVELOPMENT DIV. �� , f ��
' • Y
L PROTEC7IVE INSPEC710N SEC.
� � ___'-�
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� � /��'1 � CITY HALL FRIDLE� 55432 NUMBER REV OATE PAGE OF APPROVEO BV
�""'� � �'� 612-571-3450 9t0-F15 6/6/90 � �
JOB ADDRESS glll Fair�ont Circle N. E,
t LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED
DESCH. 6 2 Sonrdea,ux�s Spring Brook Addition SHEET
2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE
John Dunlap 8111 Fa,ix�iont Cixcle N,E �, Fridley 780�-1216
3 CONTRACTOR MAILADDRESS Z�P PHONE LICENSENO.
Dow.n To Earth 6525 Gleasnn Road, Edina, MN 55435 881-7321
4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO.
5 ENGINEER MAILADDRESS ZIP PHONE LICENSENO.
8 USE OF BUILDINCa
R,esi.dential
7 CLASS OF WORK
❑ NEW �1 ADDITION ❑ ALTERATION ❑ REPAIR O MOVE O REMOVE
8 DESCRIBE WORK
Construct a, 14 e x 16 e De�I� Addition
9 CHANGE OF USE FROM TO
STI PU LATION S
See. nc�tati,ons: on p1a,n,
������}�����
Before dig�ing cad► for
at! utility tocaiions
454•000�
REQUIRED �Y LAW
TYPE OF CONST. OCCUPANCY dROUP OCCUPANCY LOAD
SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING,
VENTILATING OR AIR CONDITIONING.
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING SO. fT. CU. FT.
AUTHORI2ED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION
OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT
ANY TIME AFTEF; WOFK IS COMMENCED. NO. DWLG. UNITS OFFSTREET PARKING
I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION 1 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 $1 F 6S� $ a S3
WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT
DOES NOT PRESUME TO GIVE AUTHORITV TO VIOLATE OR CANCEL THE pERM1T FEE SAC CHARGE
PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- $3�.00
STRUCTION THE PERFORMANCE O� CONSTRUCTION.
� �p �� � C/1 � PLAN CHECK FEE TOTAL FEE
�,� v �{ f*��, $3�, 83
SIGNATUREOFCONiRACTORORAUTHORI2EDAGENT l0ATE1 WHEN PROPERLY ALIDATED THIS IS VOUR PERMIT
' ��' �
SiGNATUiiEOFOWNER�IFOWNERBUILDER� IDATE� BLDG �NSP �� E
� [ l EffeCkiVe 1/1/90
� [ ] I�1 AND R-2
1�� [ ] Bui].ding Petmit Application
c:onstruction Addres.s: 81 1 l �c�:�,r �„�Q�' C- �,r '� `C
Legal Description: (.�a � � , �.,P _ . � _ �� �c.� �1 G )�.�,t l�'.
owrier Naaae & p,ddr�ss: .S �> 1� ��j .: r\� i� t t l�Fr�.c w.� ov`fi G, ZNie1,. #��� °,'� 11�
�AT1t,L3Ct'Ai: � pG� � �� `al UL`.� � ��L C�- blti. � is wv—��% � � °` T21. � I � ( � �0��0
P,ddre:ss: Ga ��S CS l�r� — �� �� w•�'• I� ►•� �S`f � �
Attach to this application, a Certificate of S�YVey of the
lot, with the pr�sed construction drawn on it to scale.
DESCRIPTI�J 0�' �
LIVII�G AR�►: Length Width Height Sq. Ft.
C�►RAGE ARE�i: IerigtYl Width Height Sq. Ft.
D�CR AR�: Length \'�i� � Width � l�` Hgt/Gro�und 1��� Sq. Ft. � Z�t
OTI�R:
� � �. �
Cornex L�t [] Inside Iot [] Ft. Yd Setback Side Yard Setbacks
Zjipe of Construction: '� G�LL Estimated Cost: $ '�� ,_
Approx. C7�apletion Drate: ��a �e� �°o.� S�� �`�
Proposecl Driv�way Width If New Opening Is Desired: Ft. $ $
/} Width + 6' See Bac�c Page
OA'I'E: (�l S � �10 APPLICANT: �l'�� ��^- Z�e1. # �/`�/ '�/0��
P2xmit Fee $ ��
State Svmtiarge $ �
SAC Charge $
Driveway Escrow $
Park Fee $ �
se�uer Main criarge $
. v
_. ��
,.
CITY USE ONLY
Fee Schedule on Rever�.,e Side
$.50/$1,000 Valuation � .
$600 per SAC Unit �°�
Alt. "A" or Alt. "B" �lbove
Fee DeteYmined bY F��gineeY'irxl
�t Nece�a�Y L l Not NeoessaiY � l
�- - - - -_ - ---�
� �.
��
t
� �p o � 15.0�
r2�-� d2�•o���
-,r
--:� �,�
3
:+� � � � • �•� � � �- _�:i�+�_�� �1
7�e Chief Building Official sha11, before ic��im p�� for the erection of ar�y
building or structure, or for ariy additian to a� existinq bu; i dinq or structure � or
for ariy alteration or repair tA ar►�, existinq tv�ild� or ���� �n application
therefore, require the payment by the applicant for such permit of fee.s to the an�.mt
her+ein below set forth and in the manner herein pr�avided to-wit:
�0►I'AL VALiJE
$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
� �,,
S15 (Minim�m Fee is $15 plus suxrharge)
$15 for first $500 plus $2 for each additional $100 or
fraction thereof, t� and including $2,000
$45 for first $2,000 plus $9 for each additional $1,000
or fraction ther�eof, to arid includinq $25, 000
$252 for first $25,000 plus $6.50 for eacil additional $1,000
or fraction thereof, to and includinq $50,000
$414.50 for fiYSt $50,000 plus $4.50 for each additional
$1,000 or fraction 4hereof, to and includinq $100,000
$639.50 for first $100,000 plus $3.50 for each additional
$1,000 or fraction thereof, to ar�d ir�luding $500,000
$500,001 to $1,000,000 $2039.50 for the figst $500,000 plus $3 for each ac�ditional
$1,000 or fraction thexeof, to and ir�cludinq $1,000,000
$1,000,001 and up $3539.50 for the fir�t $1,000,000 plus $2 for each ads3itional
$1,000 or fraction �hereof
DRZVE�iY DEPRESSIO2iT ESCROp
(Concrete Gt�rb Streets On1Y)
Alt-.ernate ��A��; Remaval arid replacement of curb arid gutter only - Driveway width plus
6 feet t�me.s $13.50.
Alternate ng�� ; Remwal ar�ci replacement of curb and install a 3 foot wide
approach with 6 inah depth - Driv y wi plus 6 feet times $15.75.
VER�'IQ�TION OF
Permits for oonstruction will be issued a�
application to allc�w for pr¢�per review of
�onsta.vction site. .
A Certificate of S�rvey of the lot, showiriq the :
it has been constructed will be required before
�
ho�urs frcen the time of
stntcture and of the
the fatux3ation oixz it has
�bith the fra�ning.
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Engineering
Sewer
Waler
�Parks
�Streets
IMainlenance
MEMORANDUM
TO: Address File PW93-222
FROM: John G. Flora� Public Works Director
DATE: June 18, 1993
SUBJECT: Creek Stabilization
✓
On Friday, June 18, 1993, I met with Mr. John Dunlap of 8111 Fairmont Circle (Telephone No.
343-2507) regarding the erosion that is occumng in the rear of his property associated with
Springbrook Creek.
Mr. Dunlap had installed a railroad tie retaining wall along the cunre of Springbrook Creek on
his property. A portion of this wall has failed and erosion has occuRed on the outer edge of the
CUN@.
I explained to Mr. Dunlap the requirements for placing filter fabric and some sort of armor in front
of it as a means of stabilizing the bank. We discussed gabions, rip-rap, cable crete, and rubber
blocks. I suggested that he obtain some estimates and sketches of the proposed repair work,
submit the information to the City for consideration of funding assistance for the stream bank
protection program. I indicated that it is necessary to ensure that the extent of the project tied
in both ends in order to prevent a reoccurrence of the erosion.
I expect Mr. Dunlap to obtain some information and submit a self-help project for restoring the
bank of Springbrook Creek on his property.
JGF:cz
�
CCIYOF'
FRIDLEY
TO:
FROM:
DATE:
SUBJECT:
�,ParKs
�Sircets
�Mainl¢nnnc�
�MEMO�RANDUM
William W. Burns, City Manager
John G. F1ora,�Public Works Director
October 21, 1993
Springbrook Creek Erosion
�� �-� r �.��.-= �� ,�
PW93-410
Mr. John Dunlap of 8111 Fairmont Circle has submitted a request to co�struct a rock
retaining wall along his bank of Springbrook Creek. This past year this property has
experienced considerable erosion and a portion of the original railroad tie retaining wall has
failed. He proposes to use a large boulder rip-rap wall to restore the bank alignment at a
cost of approximately $2,200. He has requested the City assist in the cost of the project in
accordance with our storm water policy for approximately $1,100.
I have inspected Springbrook Creek and found a number of loca.tions along the creek in
which certain improvements ca.n be made to reduce the erosion and stabilize the bank.
There are nine areas where reta.ining walls could be constructed that would affect
approximately 14 properties.
No indiv�dual has initiated a group project for this area. If the Council would desire the
City to address an unprovement project for this section of the creek betvveen Ironton and
East River Road, I could develop a plan and schedule a public meeting to obtain support
for a co-sharing project. In the meantime, Mr. Dunlap is planning to proceed with his
project and is requesting the City to consider his request for financial support.
Please let me know how you desire us to proceed with the erosion and bank stabilization
issue on Springbrook Creek.
JGF:cz
d
-r
.
.., ,
� ,
TO:
FROM:
DATE:
SUBJECT:
Eng+neer,n9
Sewe�
LV�iICt
Parks
Slrcets
Nfainlenance
MEMORANDUM
' William W. Burns, City Manager
�
John G. Flora, Public Works Director
November 1, 1993
Springbrook Creek Erosion Project
� �����
(� � � `=,�, � l �,
PW93-394
We received a plan and request from Mr. & Mrs. John Dunlap of 811) Fairmont Circle
regarding a proposed stream bed and bank erosion control project on their property along
Springbrook Creek. The Dunlap's propose to armor a curved section of the creek behind
their property with large rock boulders and filter fabric.
I have visited the site and found considerable erosion occurring along the curved section of
the creek behind the property. The proposed improvement should satisfy the problem and
tie into the existing timber wall. It is understood that should the existing timber wall fail,
the property owner will replace the wall.
The proposed project is estunated at $2,185. The Dunlap's have requested the City to
participate in their project in accordance with our creek policy. Accordingly, the Council
may wish to consider their participation in the project for an arnount of $1,092.50. If t1�e
Council so chooses, recommend they make a motion utilizing funds established in our storm
water contingency account.
3GF:cz
�
�
��
� �
Eng�neenng
Sewer
�tVaie�
Parks
Slreets
Maintenance
MEMORANDUM
TO: VVilliam W. Burns, City Manager PW93-395
FROM: John G. Flora, Public Works Director
DATE: October 14, 1993
SUBJECT: Stream Bed and Bank Project — Springbrook Creek
We have received a request from Mr. & Mrs. John Dunlap of 8111 Fairmont Circle
regarding participating in funding a stream erosion project on Springbrook Creek. The
estimate for the work is $2,185. The City's participation, if approved, would amount to
$1,092.50. I will snbmit this for Council's consideration at their council meeting of
November 1, 1993.
JGF:cz
.
�_�
_� •
�.. �
SUBJECT
City of Fridley
' , AT THE TOP OF THE TWINS g � I L D I N G P E R M I T RECEIPT �
r
� �• COMMUNITY DEVELOPMENT DIV.
y PROTECTIVE INSPECTION SEC. ��
, � ._-
r ; "" ;
� _ ,
� �"'1 � CITY HALI FRIOLEY 55432 NUMBER REV. DATE PAGE Of APPROVED BY
�----'�'� �'' 612-571-3450 910-F15 4/8/94 � �
JOB ADDRESS glll Fairmont Circle NE
1 LEGAL LOT NO. BLOCK TRACT OFl ADDITION
DESCR. C 2 Bourdeaux's Sprj
2 PROPERTY OWNER MAIL ADORES$
John/Ma.rlys Dunlap 8111 Fairmont Circle
3 CONTRACTOR MAIL AODRESS
4 AHC ITECT OR DESIGNER MAIL AODRES
5 EPJGINEER MAILADDRESS
6 USE OF BUIIDING
Residential
PERMIT
Brook
SEE ATTACHED
SHEET
NO.
PHONE LICENSE NO.
7 CLASSOFWORK � NEW � ADDITION � ALTERATION O REPAIR ❑ MOVE O REMOVE
X
B DESCRIBE WORK
Reside, install soffit & fasci�
9 CHANOEOFUSEFROM
STI PU LATION S
TO
SEPARATE PERMITS ARE RE�UIRED FOR ELECTRICAL, PLUMBING, HEATING,
VENTILATING OR AIR CONDITIONING.
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION Zp�
AUTHORIZED IS NOT COMMENCED WITHIN 80 DAYS, OR IF CONSTRUCTION
OR WOHK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT
ANY TIME AFTER WORK IS COMMENCED. NO
I HEREBY CERTIFV THAT I HAVE READ AND EXAMINED THIS APPLICATION
AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS yAl
AND ORDINANGES GOVERNING THIS TYPE OF WORK WIIL BE COMPLIED
WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT
DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE pEl
PqOVIS10NS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON-
STRUCTION OR THE PERFORMANCE OF CONSTRUCTION.
SIGNATURE Of CONTRACTOR OR AUTHORIZED AGENT IDATEI F Y
. _.. _ �....� ... ,...�..�e .�c n.uw�co uuu nFRi IDATEI
�CCUPANCY GROUP OCCUPANCY LOAD
SO. fT. CU. FT.
UNITS
STALLS
e SC 5.00
-
�PWaPEALY VAI
IGARAGES
I RTAX
$5.24
iC CHARGE
Fire SC $10
)TAL FEE
$146.71
THIS IS YOUR PERM
� �_` 1.
NEW [ )
ADDN [ J
ALTER [ ]
CITY OF FRIDLEY
SINGLE FAMILY AND DUPLEXES R-1 AND R-2
Building Permit Application
Conshvction Address: ��� � ��a y r2mou v�, �' �i �2.c �
Legal Description:
Owner Name & Address:
Contractor:
Address:
LIVING AREA:
GARAGE AREA:
DECK AREA:
OTHER:
Effective 3/1/92
,�r �
��
L�____ Te�. � 3 �I �-�.�C�'1
MN LICENSE # �Oa � �l0 �
Tel. # ���1-1 1� � 3
Attach to this application, a Cerhficaxe of Survey of the
lot, with the pro�sal construction drawn on it to scale.
DESCRIPTION OF IMPROVEMENT
Le�ngth Width Height
Length Width IIeight
Length Width Hgt/Ground
Sq. Ft.
Sq. Ft.
Sq. Ft.
Corner Lot [] Inside Lot j] Ft. Yd Setback Side Yard Setbacks
Type of Construction: 1(�e S 1_ C�-p� S C�� � t#�SC�Ca. Estimat� Cost: $� l'� l.�r] �, `�
Approx. Completion Date:
Driveway Curb Cut Width Needed:
DATE: �
{Cost on Back)
Ft. + 6 Ft = Ft x$ _$
Perffiit F� � 0 � �
Fire Surcharge $ / � • ��f
State Sarcharge � 5� �1 y
SAC Charge $
License Surcharge $ 5= 0 O
Driveway Escrow $
Park Fee $
Sewer Main Charge $
TOTAL
STIPULATIONS:
���� ���
C�TY USE ONLY
Tel. #�'�- /(� L �
Fee 5chedule on Reverse Side
.�1 of Permit Valuation (1/lOth%)
$.50/$1,000 Valuation
$700 per SAC Unit
$5.00 (State Licensed Residential Contra.ctors)
Alt. "A" or Alt. "B" Above
Fee Determined by Engineering
Agreement Necessary [ ] Not Necessary [ ]
_ ,�,
BUII.DING PERMIT FEE SCHEDULE
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 s�ivcture, upon application therefore, require the payment by the applicant for such permit
of fees to the amount herein below set forth and in the manner herein provid� to-wit:
TOTAL VALUE
$1 to $5�
$501 to $2,0�
$2,001 to $25,�0
$25,(�1 to $50,(l�0
$50,001 to $100,000
$100,(�1 to $5(J0,(Hl0
$5�,001 to $1,000,�
$1,IX�0,001 and up
FEES
$15 (Minimum Fee is $15 plus surcharge)
$15 for first $500 plus $2 for �ch additional $100 or
fraction ther�f, to and including $2,000
$45 for first $2,�4 plus $9 for each additionat $1,000
-ar frae�iroa fihe�, tc� a� i�clu�ing 525,�
$252 for first $25,OD0 plus $6.50 for each additional $1,000
or fra.ction thereof, to and including $50,�0
$414.50 for first �50,0� plus $4.50 for each additional
$1,0� or fraction ther�f, to and including $100,�
$639.50 for first �1�,(�lU plus $3.50 for each additional
$1,�0 or fraction thereof, to and including $5�,�0
$2039.50 for the first $S�,OOQ plus $3 for each additi.onal
$1,000 or fraction thereof, to and including $1,(�0,000
$3539.50 for the first $1,�,� plus $2 for each additional
$1,000 or fraction thereof
DRIVEWAY DEPRESSION ESCROW
--- ----- - - - (Concrete _Curb_ $treets_ Only)
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 - Driv�way width plus 6 feet times $15.75.
VERIFICATION O� FOUNDATION
Permits for consiruction 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 construction 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.
� �.
ADDRESS
PIN
LEGAL DESC
PERMIT TYPE
PROPERTY TYPE
CON5TRUCTION TYPE
CITY OF FRIDLEY
6431 UNIVERSITY AVENUE NE
FRIDLEY, MN 55432
s�z-36U4 r'AX:
: 8111 FAIRMONT CIR NE
: 033024240031
: BOURDEAUXS SPRING BROOK ADD
: LOT 6 BLOCK 2
: HEATING
: RESIDENTIAL
: ADDITION/ALTERATION
571-1"lif7
PERMIT NO.: 200402135
DATE ISSUED: 11/19/2004
VALUATION .
NOTE: AIR CONDITIONERS CAN NOT BE PLACED IN A SIDE YARD WITHOUT WRITTEN PERMISSION FROM
ADJOINING PROPERTY OWNER. COMBUSTION AIR SHALL BE PROVIDED PER UMC SECTION 504(A) AND TABLE 6-A.
# A/C UMTS 1 VALUE OF APPL OR WORK 0
# FURNACES � 1 # GAS DRYERS 0
# GAS RANGES
APPLICANT
MARSH HEATING & AIR CONDITIONING
6248 LAKELAND AVE N
BROOKLYN PARK, MN 55420-2937
(763)536-0667
OWNER
DUNLAP JOHN & MARLYS
8111 FAIRMONT CIR 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 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 examined this
application and know the same to be trve and correct. All
provisions of laws and ordinances governing this type of worb
will be complied with whether specified herein or not. The
granting of a permit does not presunne to give authority to
violate or cancel the provisions o y other state or local law
regulating eonstructio or the pe orman f construction.
Applicant __ Date /
Bldg Insp
0 VALUE (FOR MINIMUM CALC)
HEATING PERMIT MINIMUM FEE
FURNACE SHELUDUCT WORK
GAS RANGE FEE
GAS DRYER FEE
AIR CONDITIONING FEE
HEATING REPAIRS/ALTERATIONS
STATE SURCHARGE, MECH FLAT
TOTAL
PAID WITH CHECK # 71068
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE.
300
0.00
35.00
0.00
0.00
25.00
0.00
0.50
60.50
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W
FILL IN COMPLETELY FOR REPLACEMENT FUEL BURNING APPLIANCE PERMITS
COMMON VENT. VENT CONNECTOR AND COMBUSTION AIR VERIFICATION
When replacina an existins� furnace, the undersigned hereby verifies that the
venting has been examined and is free from rust, deterioration, obstructions,
and is securely supported and firestopped where required. Yes ( No ()
The venting system is plastic/PVC and meets all cuRent codes and manufacturer
spec�cations including sizing, length, number of elbows and termination. Yes () N� No ()
The undersigned also verifies that the replacement unit is a listed assembly
and meets the current codes and manufacturer's specifications. This does
include AGA-GAMA Category I Central Fumace Ventir�g Tables for fan
assisted and natural draft appliances. Yes (J� No ()
The existina combustion air is sized and installed to meet the cuRent codes
and manufa�turer's specifications.
When required to install a new combustion air, it will be sized and installed
to meet the current codes and manufacturer's specifications.
Yes (� No ( )
Yes (� No ( )
When installins� a new ventina svstem, the undersigned hereby verifies that
it is a listed assembly and meets the current codes and manufacturer's
specifications. This does include AGA-GAMA Category I Central Fumace
Venting Tables for fan assisted and natural draft appliances. Yes (�
Is the common vent and vent connectors sized and installed correctly after
an appliance has been removed from the common vent and vented
separately as per current codes.
No ( )
Yes (� No ( )
Appliance Tvae and Size/Common Vent and Vent Connector Information
Appliance #1 Type � BTU Input � v an Assiste or Nat
Appliance #2 Type �A'►� BTU Input r�,, Fan ssisted or�
Appliance #3 Type BTU Input Fan Assisted or Nat
Total Appliances � Tdal Btu Input e� �,��
�
Common Vent Type % � �a�s � Vent Height �� {� e Diameter � inches
Appliance #1 Vent Connector Height �� ft Length ?-�ft Diameter ��` in Type �
Appliance #2 Vent Connector Height 3` ft Length �ft Diameter �in Type �
Appliance #3 Vent Connector Height ft Length ft Diameter in Type
ALTERATIONS• (Describe) lJ� �'�`' �1��^�P �° iY� `�°"`� �`� °`
�" L �� � �t � (� � G (R� � .
HEATING CO: MA�H �lc�'i � � Co��sd��•d� �-a�c
Signed By: Date : � � /� � �
,
FROM :City of Fridley FAX ND. :7635711287 Feb. 15 2008 12:55PM P2
Buil.ding
l.rispections
763-572-360�
763-502-4977 r
srr►� nnnK�ss.._
'I'}•IIS APPLIC;ANT IS:
�� pitOPi:RTY
OWNL�R/
TENANT
CpNTl2 ACTOR
SLiRMI'I' A CUPY UF
YC1UR S"i'ATE
t..icBNS�, �ot�►n nNn
CER77r']CA'r�; OF
INS� IItANCB
pEX2M1T TYPE
TYYE nF WnRK:
D�'TA1L'ED n�SCR
PLUMBING
RESIDENTIA►.L AF�P.LICATI�N
CITY OF F�t1�D�EY
Perm.it N�.
Etec�civ�d i3y:?-:
n��:'�..
�
r YOUK C-MAIL AUD �H:SS ,_,�. .— —•— — — — —' — —' �
—�� �� ��.f�. �m�,— --. .— — — -- —� — — — — -
O WNER �UNTItACfC�R ,_, _ .._—.—. -- —•—
M+1�:,—.— 4.dL1YJ. —• ,�� :� .��� — �,�;—,� p—� •— — _..
... � �1�=CITY_._SC� °T��� S1�ATF �LfF���
)RCSS; U �. � • —..
HoNE:. ���'�.�.� �— —. — — — — --- — —
�' -�� � ����+ � �
TA'fG L,1(:IsNS ..F�-'- •, •— --- F.XT` DA'fG _ _.._ — — —
"fn�l'F 90Nn a �. •�i�� �r i _ _ EXP l)ATE �, _. ._. — -•-- •—
��,�Z�'Y STAT� Zlt'
r��css:, 5�.� —. .. .—. — .�. .—� —
�HONp ._ .. —. $��'S�4$03- •— r•"�` • — — � — —•�- — —!. .
PFR MS 16u.665 the �
improvement, installat
Lahor cost under S3U0
FOR PltO7B� I'S WHF'RL•
NIJMBP.R OF EA�:Ia LiFI,
)3ATN �INK/LAV
_ BA:I�!'I'CIH
� CLOTH�.S WA)HER
DISNWAS HER
p,4l�qt),'Y O'I'WO FAMfLY � L7 TOwNHO1.ISC
❑ NF.Wr Y E1�1.ACEMENT •— —• ^ —
UN �F WORK _ ..�'J��-��� ��'�.— — —•— —� _ ..—., --
rnit tce is a minimum of x15.(NI or 5% of t6e total co�t up to $,500.00, whichcver is g�•ea�er, for the
i or replaccment of a reaidential fixture, excl��ding the fixture.. (This sbould reflect only the cn5t ot' labnr )
$1,5.�0. L�Ix�r cc�gt betwecn $3Q0 to �SW ° cust �f labor _ ,_. _ x .OS - . �,. ._ I�lu9 .SO sutcharge
tiOR GXCGEDS SSOD, FF.FS'AK� BASED ON31 �R E.R FIXTURF.:, GXCFPT �'HCR� NOTEf). FlX'1'UItFS: (1NT)ICATL-'1'c7TAL
�. MMIMI.IM I'CF. �i14.50. ' SH��R WATGR PIPTN(�i
Ht.,00R UkAINS -- WATCR SnfTNER (5.±5)
GAS PlPMG (NCP.�) C1'TY LIC) SWIMMMG f'OOf, _.
KPTCH�N SINK WATCR C:IAStP __RACKYLOW PRL•V. (SIS)
LAI.INURX'(`RAY WATER I•JGA'I'�R (S35) rOR. IkRiGATIUN �
— ' WA'fGR METEK . _Q'I'IIER
Perm{tFee S_,„' o Number nf fixtutes (v7 $10.(x) _..� x�10.00' 3._ _,
5urchar e : 0 Numb�r offixture� ("� � I S.UO � x$1.5,�0 =$_. __ _
'fnTAL AZJE � � nR Number uf fixtures � �35.00 _ x 535.(1Q =� $ _,
°— State Su�chargc = � 50
_� ZMUM �15.SQ .._ , _ . .. (MINIMIIM fi15,S(1� Total ° ���'_,�
� 'I'H15 4 nN MP�ICAT1c')N FOR A FERMIT-NCrf Vni,iu llNTIL @Rc.)GGSSF.0
I h�.yeby aPply for a p umbin� pennit and T aeknowledge lh�t tl�e infc�rmati�n above is cornplctc nnd �accurate; th<<t thc w�rk wi11 be in
conformanee id� tha rdin�nces su�d codes of ti�c: City �f t'ridlcy a�d witb the Minnesnt� Constniction Codes; thac 1 underseand chis iti
not a pennit but nly n aprlication for a permit and wnrk is not to sta�t without n perrnit on site; tl�at the w�rk will be in lccordanee
wit}i the approvcd la in th. cnse of t�ll wurk hich reyuices rcview ai�d approval of plc�n, . A�
$1(iNATI�RE OF APPLI ' WT , � _ FRINT NAME� - —�����r' ��� �e� •— •
'/,r� �'� unre ��� _
nr>>koven�v-� d _ . a�/ . . . —..—. — — ..— .—._
. � � c�� o� F�a��y ' � � �� �
, ���� �
Suilding In�pect�ons :Departntaent . ��
/ 643J Uni.versity Avem�e-NE, Fridley, MN 554i2 C�"�`�`� ���—
`�� 763-572-3604 .
FAX.: 763-502-4�177
Building
Inspections
763-572-3604
SITEADDRESS„ �"
TfiIS APPLICATl7' IS:
TENANT
CONTRACTOR
SUBMIT A COPY OF
YOUR STATE LICENSE
V�'ITH APPLICATION
PROPERTY TYPE
�rrE oF wo�:
�UILDING Permit No.• �� q � � E
RF.SIDENTIAL APPLICATION Received By:.
�ITY QF FRIDL�Y D '�
YOUR E-MAIL ADDRESS �_(t12 �d q���� i OY S G 0 w�
no�ni C�� h� � " `
� OWNER CONTRACTOR
NANIE: $- .�J`Gr O�7Yl
�nxFSS: �'s' 111 �i,r'rv►.�j�- ��
PHONE:_ � l.P �i " � � � — I Z � �
IdAME ___��v. x'�.r� o � 5`.1�titc �
STATE LICENSE #_0703��� � J � �_yp�p DATE 3— 3 i� O
� BASEMENT FII�TISH
0 DECK
o r�w
o Nta�r
DESCRIBE WORK BEING
SIZE OF IMPR[�vFtUrFArr
1VU ER OF SQUARES ��
GA G s
PROPQSED SIZE:
PROPOSED HEIGHT:
�IDIIVG
O Viny1
0 Aluminwn
0 ONtcr
O
IN EXIS7ING OPENWGS es pNo
OR FOR NEW OPEMNGS-D CRIBE SIZE OF
OPENING CHANGES &
1YPE OF WiND[)W Tn uF n�re�r� � i cn
ALL
Permit Fee
Plan Review
Fire Surcharge
Surcharge
License Surcharge
SAC Charge
Curb Cut Escrow
Erosion Control
Park Fe,e
Sewer Main Chazge
- S �e�7 FAX 7103 S1zE �—�e 7 f
CONSTRUCTION
iNSTRUCfION STO ----'
I ARAGFISHED qr�pp�ys
��F ❑ IN T[LE
O SIDING O OTHER
►-�' -.-� �ca° �---�`"
LENGTH
0 HOUSE NLY
O HOUSE 8c GARAGE
O ATTACHED GARAGE
O DETACHED GARAGE
OSoffit
❑ Trim
O Fascia
LOCATION OF WINDpVyg
N[JI�ER OF W1Nnnwc
����2
�N z�SS3o 3
nnivrt 1 SJc Ft
BASEMENT REMODELIN UBM1T•
l . Existing Floor Plan
2. Proposed floor plan
3. List of strucnual members to be used
FOR NEW CONSTRUCTION INCL(JDING DECKS,
ADDTI70N$ POI�CHES SLn31�"''''•
1. Site Plan/Survey showing the existing struccurey
and pro� P�1�.
2. . Two sets of conshuction plans
3. Energy Calculations
�RE BASED ON VALUATION, INCLUDING THE COST OF LABOR AND MATERIALS:
(USING�E 1 97 U.B.0 �!�E SCHEDULE) ,�w
JOB VALUATION $ r �� .� ,�/, nr�rrn,►un.. ....
a d�-�? ��} � See Back Page for Fee Schedule
$ 65% of Building Permit Fee
�s % _ .001 times the total job valuation
� �_ .0005 x Permit Valuation Minimum $.50
$ �6 $5.00 (State Licensed Residenfial Contractors)
$ $1675 per SAC Unit (Plans to MWCC for determination)
$ R+6ft= ftx$21=$
$ $450 Conservation Plan Review
$ Fee Determined by Engineering
$ Agreement necessary ( ) Non Necessary ( )
.P, c.sr, .� ra .-9. � - • • -
77-IIS
FOR A PERMIT-NOT VALID UN'1'IL PROCESSED
I hereby apply for a building permit and I acknowledge that the information above is complete and accurate; that the work wi11 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 application for a permit and work is not to start without a permit; that the work will be in accordance with the approved
plan in the c�se of all work which requires review and approval of pla.ns.
SIGNATURE OF APPLICANT PRINT NAMESGI 2Cti ,�(/�, `Yl DATE� /�`�` l��