AF - 46792�Cit of Fridle Min.n.. �
Y Y�
BUILDING PERMIT N� 4 4 3 9
Date: ..�_.�..^...t...V._'--...SP..0 .1 ........................_.........--�-- --��------
Owner: .. r � ... � -� �---- �- . .. .... . Builder ...�...- - � ... ..... ..... . ..........._. �--............--�-�- - --�--------��-
C/��r[./�..� . . �G�.R�[,1
Address � '
................................................................................_...............--��--�---�-•-------- - Address .... ............ .._.................. -� - - �- ..............................-
LOCATION OF B ILDING
No. ....f.....�0......... Street .....��.�/}. c�l�i'1!tst�lr�. -��aG�1�_O ..__._. Part of t---- --...
.. . - - - -- -
Lot ___........(P............_. Block ------------L...--...._...._.---_._.... Addition or Sub-Division .- - - ... . ----1��[�-��c-�---
�^-� / /O ♦
Corner Lot ...._......_......_......_...... Inside Lot .._........ ��..----. Setback --- �V........._........... Sideyard .- --l..Q .............
-
/ �
Sewer Elevation .----.. _fj....�. .�,�./-�'� ---...--------....------.....-----_.......... Foundation Elevation -----� . --.�_L_�
_...._... -� - - - ...._... -
DESCRIPTION OF BUILDING
To Used as:
-�-- � �� ... � - ........ ! . Front _l�..V......�1. Depth �� �� "Height . �.l--. `.. Sq. Ft. /.�! -O Cu. Ft. di� .`�_ �
� . Front .._.Y.O. Depth ..a!��..6_ Height ...�Q__. Sq. Ft. .-_�i��� Cu. Ft. ���Q�
Type Construction ..�.... .. .
. .. . ..._..... Est. Cos� _ � ..._.. - ... To be Completed ---..._ ............................._.--... -
� ���p,� o�
In consideration of the issuance to me of a permit to construct the building described above, I agree to do
the proposed waa�k in accordance with the description above set forth d compliance vvi provisions of
ordinances of the city of Fridley. y �_ /j �� �
In consideration of the payment of a fee of $..a[..�._�..., permit is hereby granted to
....._ ..............._.........._............._............._..._.... to construct the building or addition as described above. This permit is granted upon
the express condition that the person to whom it is granted and his agents, employees and workmen, in all work
do�e in, around and upon said building, or any part thereof, shall conform in all respects to the ordinances of
�idiey, Minnesota regarding location, construction, alteration, maintenance, repair and moving of buildings
within the city limits and this permit may be revaketl at any time upon olati f any of the provisions of said
o�►�. � � /� r� _
Inspector
NOTICE:
This p�rmif do�s not cover fhe wnsfrudion, installafion for wiring, plumbing, gas Mating, sewer or wafer. Be suro fo see
fha 6uilding Inspeetor for zspanN p�rmils fo► fhese ifems.
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s�e�ecr � PERMIT NO.
c�ty of Fridley � � � �, �
AT THE TOP Of THE TWINS g � I L D I N G P E R M I T ��
� ' RECEIPT NO.
� �• COMMUNITY DEVELOPMENT DIV- �� �
� j L'—���� ,
r � � PROTECTIVE INSPECTtON SEC.
� �
� � �"'1 � CITY HALL FRIDLE� 55032 NUMBER pEV O�TE vAGE oc APPROVED B�
�-""�' �'' b12-571-3450 9t0-Ft5 6/3/97 � �
JOB ADDRESS 170 Hartman Circle NE
1 LEGAL LOT NO. BIOCK TRACT OR ADDITION SEE ATTACHED
DESCR. C) 1 Sandhurst Addition SHEET
2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE
John Hinsverk 170 Hartman Circle NE 571-6038
3 CONTqACTOF MAIL ADDRESS Z�P PHONE UCENSE NO
Hendricks Roofing Co 2521 Jones P1 W, Bloomington MN 55431 881-7274
a ARCHITECT OR DESIGNER MAIL AODRESS ZIP PMONE LICENSE NO.
20032276
5 ENGINEER MAII ADDRESS ZIP PHONE LICENSE NO
6 USE OF BUI�DING
Residential
7 CLASS OF WORK
❑ NEW
O ADDITION O ALTERATION � REPAIR ❑ MOVE ❑ REMOVE
8 DESCRIBE WORK
Reroof House & Garage (25 Sq) Tear-off
9 CHANGE OF USE FiiOM
STIPUTATiONS
�
Underlayment must comply with the State Building Code.
SEPARATE PERMITS ARE REOUIRED FOR ELECTRICAL, PLUMBING, HEATING,
VENTILATING OR AIR CONDITIONING.
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING
AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION
OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT
ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS
1 HEREBY CERTIFY THAT I HAVE fiEAD AND EXAMINEO THIS APPLICATION 1
AND KNOW THE SAME TO BE TRUE AND CORiiECT. ALl PROVISIONS OF LAWS VALUATION
AND ORDINANCES GOVERNING THIS TVPE OF WOfiK WI�� BE COMPLIED $2�062
WITH WHETHER SPECIFIED HEFEIN OR NOT. THE GRANTING OF A PERMIT
DOES NOT PRESUME TO GIVE AUTHORITY TO VI IATE OR CANCEL THE pERM1T FEE
PqOVISIONS OF ANY OTHER S ATE OR OCAL AW iiEGULATING CON- $7(f. �S
STRUCTIO THE P FO CE OF ONS\R CTION
PLAN CNECK FEE
�p � Licens SC
. SIGNATURE OF CONiRA ,TOR OF AUTHO I ED AGENT IOA EI E P
SiGNATUF7EOFOWNEA�IFOWNEABU�LDE�71 �OATEi OG �N P
OCCUPANCY GROUP
SQ.FT.
STALIS
OCCUPANCVIOAD
CU. FT.
OFFSTfiEET PARKING
IGAFAGES
SURTAX
$1.03
SAC CHARGE
Fire SC $2.06
TOTA�FEE
) .0��82 . g�F
Y VA pATED
:� /..
r
f)4T
06/03/1997 15:12 6128817274 HENDRICKS
NEW [ l
ADDN [ ] CI'fY OF FitIDLEY
AI,TER �' SLNNGLE FA�.1V��,.Y AND pUpLEXES R-1 AND R-Z
Buitding Penmit Applicadon
ConstructionA�ress: i � �
Ixgai Dcscription: --, ' ► "
Owner Name & Address;
C�ntractoc: ��!
Address: re�s� ��.�,. �..�
c�ln�- r�u� C i r
�'� a� � i �
1 ti _,.
Tci. �
PAGE 01
Effective 3/1/96
a� �S�
� ��( 3 Z
.5�� y 3 �-
�'71 ��3�
MN LICENSE A� e� Q�,j � Z�]',(�
Tel. � �"�� �/'7 Z� �!
Awich �t� appfication, a Certificate of Survey of the
lot. with the proposed construction drawn on .ic t,o scale.
DESCRIPTION OF 1MP'RO�T.MElY'f
LIVING AREA: Lcngth Width Height Sq. Ft.
GARAGE AREA: L,�gth Width Height Sq, 'Pt,
DECK AREA: Length Width Hgt/Ground Sq. Ft.
OTHER:
Corner Lot [)�nside Lo� ] Ft. Yd Setback Side Yard Setb�cks
Type of Consccuction: G� I've � � E� ��; $� �(� Q
Appcox. Complecion Aate: " .3 -� 5 �S �_� 2, 'iU = � UGZ,S�
(Cost on Back)�
Driveway Cur Cut Width Needed: Ft. + 6 Ft — Ft x$ -$
DATE: APPLICANT: Tel. # S��— � �
�ITY tJ3E ONLY
Pernlit kec
Fiure Surcharge
S�ate Su�rcharge
SAC Chacge
License Surcharge
Driveway f:scrow
Erosion Cuntrai
Pa�k Fee
Sewer Main Charge
TOTA[,
STIPULAT�ONS:
$ �y,7� F������5�
s � .00� o� �rt va� ciiiom��
� /,d 3 $.soisi,000 v�t�c,on
� 5900 per SAC Unit
� �� $5.00 (State Licensed Residential Cont�actors)
� Alt. "A" or Alt. "B" Above
$ $450.00 Cvnservation Plan Review
$ Fee Determintd by Engineering
� Agrerement Necessary ( J Noc Necessary []
$ ��
-' � �p- C�2 0 �2 P� �lr��`t"
�(� ��� �-� 23 6 vo � y s�� l
_ ,
�►� �� �
� XP �
95�
06/03/1997 15:11 6128617274 FIENDRICKS PA(� 01
---- --� • -- ----. ._.. _......_
Over 21 Years
Experience
t'T v�
�r
�s
ROOFiNG AND REMODELIlVG COIHPANY
Satisfaction .
Guaranteed �
2521 1oc�cs Place WeRt • Bloomington. MN 35431-Z837 • Mpls dc Suburbs 881-7274
I lA8 Rice Street • St. Paul, MN SS117-4903 • St, Pwl & Suburbs 222-0183
T0: �
COMPAN'4�:� � �
�Ax� : S'� I 12� �
, ,
RE : t� 1 `�
NUMBER OF �AGES TO FOLLO�P:
DATE : _ YJ ` � �' 1 �
— .._
TIME: �
SENT BY: (�{r'�/
� � � �� o�.�t
`-�e, . -�(
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The information contained in the facsimile message(FAX) ie privileged '
and confidential informaiton intended only for the use of the individual ,' .
or entity named above. If the reader of this �aessaqe is not the inteneled�''
recipient, you sre hereby noCified that any disseminatton, distributfon,
or copyinq of this communication is atrictly prohibited. If you have
received this communicaiton in error, please immediately notify us by
telephone, and return the original messaqe to us via the U.$. Postal SerY�G
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FRIDLEY
FRIDLEY MUNICIPAL CENTER • 6431 UNIVERSITY AVE. N.E. FRIDLEY, MN 55432 •(763) 571-3450 • FAX (763) 571-1287
March 16, 2001
John Hinsverk
170 Hartman Cir NE
Fridley, MN 55432
Re: Final Inspection at 170 Hartman Circle NE
Contractor: KCJ Enterprises-Mr Rooter
Dear Mr. Hinsverk:
A plumbing permit was issued on December 28, 1999 to install a water heater at your address.
According to section 4715.2800 of the State Plumbing Code, a final inspection shall be conducted
on the plumbing authorized by this permit. As of this date, no inspection has been called for.
The permit fee paid covers the inspector's time to make sure the appliance was installed
conecdy. We also check to make sure combustion air has been installed and that the vent and
vent connectors have been sized properly.
If you would like the installation inspected, please contact us within 30 days to arrange the
inspection. If we do not hear from you, we will expire the pernut and note that no inspections
were called for.
Any questions can be addressed to me at (763) 572-3603.
Sincerely,
DA�
Inspector
.
_�
ws�cc r
City of Fridley
AT THE TOP Of TME TW�NS g� � L D I i� � P E R M i T
r
� � ,
� �
.
COMMUNITY OEVELOPMENT OIV.
V PpOTECTIVE INSPECTION SEC.
, ; .--- .
r , �;
�
� � �"'1 � CITY MALL fR10LE� 551$2 MU4BEA pEv
������'� �'� 612-57�-3a50 s�aFis
JOB AODRESS 170 Hartman Circle NE '
t LEGAL L07 NO. BLOCK TpACT Oii A001TION
oescA. 6 1 Sandhurst Addition
2 PROPEfiTY OWNER MAIL AOORESS
3ohn Hinsverk, 170 Hartman Circle, Fridlev, MN
3 CONTRACTOR MAIL ADDRESS
Standard Water Control, 5337 Lakeland Ave N. Crv
� ARCNITECT OR DESIGNEfi MAIL AOORESS
5 ENGINEER MAIL AODRESS
8 USE Of BUI�DING
Dwelling
7 CLASS OF WORK
❑ �IEW ❑ ADDITION ❑ ALTERATION
8 DESCRIBE WORK
Drain tile system
9 CHANGE Of USE FROM TO
STIPULATIONS
OATE
1/22/02
21P
21P
/ /
32401
RECEIPT NQ
� 9�
APPROVEO BY
SEE ATTACMED
SHEET
PMONE
3-571-6038
PMONE LICENSE NO
63-537-4849 152
PMONE LICENSE NO.
PMONE LICENSE NO
❑ REPAIR O MOVE - O REMOVE
Permi� �ns��,���on Cards
�.o ��i� �� �Nailed
��meowner T� paSt
- -- - -� -----..
SEPARATE PERMITS ARE REOUIREO FOR ELECTRICAL. PIUMBING. NEATING.
VEN7I�ATING OR AIR CONOITIONING
THIS PEiiMIT BECOMES NULL AND VOIO If WORK OR CONSTRUCTION ZONING
AUTHORIZED IS NOT COMMENCED Y�!ITHIN 60 OAYS. OR If CONSTFiUCTION
Of1 WORK IS SUSPENOEO OF ABANqON�O FOFi A PERI00 OF 120 pAVS A7 "
ANY 71ME AFTER WORK IS COMMENCED. ` NO DWLG. UNI?S
I HEREBY CERTIFV THA7 I HAVE REAO ANO EXAMINEO THIS APPLICA710N
ANO KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS Of LAWS VA�UATION
ANO ORDINANCE$ GOVERNING TMIS TVPE OF WOFK WILL BE COMPLIEO
WITH WHETHER SPEC�f1E0 HEREIN OR NOT THE GRANTING OF A pERMiT 3 700.00
DOES NOT PRESUME TO GIVE AUTMORITY TO VIOIATE OF CANCEL TME pEpMIT FEE
PROVISIONS Of ANY OTMER STA7E Op LOCAL LAW REGULATING CON-
STRUCTION OF TME PERFORMANCE OF CONSTRUCTION PQ7 _ i5
S�GNAiUpE O� CON'QACTOa Ofi �UTMOp�ZEO �GENT
F
IDATE�
FT
S7ALLS
VA�
LOAO
CU fT
OFfSTREET PAWKING
GARAGES
SURTAX
$1.85
SAC CHARGE
Fire S(
T n FEE
D 7H15 IS �OUR PERMIT
. / �,y
I y
pc�t
FROM : FAX N0. : 76�37i882 Jdn. 22 2002 28:81AM PS
,
�bst.it' Fax Note 7672
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JR�21-1998
t�an L 1
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11:17 FROM CITY � FRIDLEy Tp
Cons�actionAddress:,�
Leg�l DescriPtion: �
Owher Name & Addness:
Contractor: ��
Address:.l,.�3� La K
LIVING ARL+A:
GARAGE AREA:
DF,CS A$EA:
OTI�SK:
crx�t oF �r.�
SIl�iGLE FAMILY AND DLIPL�S R 1 AND R 2
BUII�ING PERMIT ApPLICATION
5371882 P.01�02
htiecrive 1/l/ytS
Tel_ � 9G3-��/-.1o0.3d''
bnv rscErrs� � /�aa
�r�i. � �i3-s37 y�'9
Attach tu this application, a Certificate of S�uvey of rhe
lot, wi�h the pmposod coas�uction drawn on it w scale.
DESCRII'TION OF Il�lPROVEMEIYi'
I.ength '9Vidth Iieigjlt Sq. Ft.
� Width Hdght Sq. Ft.
Length Width � I�gtJGrou� Sq. Ft.
�
c�;on �: ' � ��� c�: � 37D0, l�l�
(Fee 3chedule-oa Back)
Driveway Curb (lrt Width NIecded: F� + 6 Ft = Ft x$ = S
nAZ�: �aa sa- a�z.ic�rrr: T�. �71�3-537 �,/��j
C1TY ibSE ONLY
Peimit Pee
Fire S�ucbarge
9t�te Sarcharge
SAC Charge
License S�ur.harge
Driveway Escrow
Erosian Control
Parlc Fee
Sew�' Main Ghazge
TOTAL
$ Fea Sched�le � Reverse Side '
$ � � �.001 of Permit Valuasion (1/10eh9L)
S /, � � $.50lS1,000 valoation
5 31000 per 3AC Umt
$ s� �d $5.00 (Ststc L'uxased Reside�tial Co�actors)
$ Alc. "A" or Alt. "B" Above
$ $450.00 Cot�servaienn plau Revicw
$ �ee Detetmined bY �5��8
$ Agrcement Nec�saty [ ] Not N�ry � ]
$�..� $o
.
S'tIP'ULATIONS: �
s • •
�
Bua.lt�ing 6. �e0�—se:
Inspections
763�J�����
�r� � / b / o `�
sr�$,,n�a�ss�
�s w��►�V'r �S:
TF.�1Ai�1'x
G
RESLDEI�'T'IAL A1'p��CATIUI4T
C�'I'�' OF FRID��"Y'
—� _ You� �u�, nno�s C b .
.., a� _«. .-
StrBM�' A COPY OF �'rn't�
YOUIt STATE IdCF�aSE �
�VPIH AP'PLICAT�ON pE1�
p �,3�'P FIId1SI�
G AEC�[C
DESCR�B�'oVO�K STsIIdG
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SIZE OF IlVIPRO� -- L�Vti-t�1 _
p��.Y
� QF S�7AR8S Q �SE � GAR�GB
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Pfa� Raview
F�+e S�rc�e
Sarcb�
I.ice�se Sm�ig�e
SAC C"�srgo
G'prb Cut Fsctavv
F.rasia� Co�trol
pa� Fce
S�r M� CbsS�
La A1'PA[�i�Q GARAIiB
G D�'PJ1C��D GARAt�
.�.Sa�it
��
� Faccia
LOC•A.71dN OF Wl'P�DQWS
�►7il��f
�'F� SC�'.DZJI.�
r�
Rec�i�ea By:
.Y i
AT�'�z
F't
@AS R1E�'���lf�c:�m1�r'[':
l. F�cj�dng t�Y� �Im
:2. Propmed800rpbm
:3. I.ir[ af t�r�al �oqnbas to be med
PUR NEW CONSTRIIC'ITON �iCi.�1DIrIG DEG"CCS�
wunrrtau�. � �t+�a �rst�i7r:
1. Sita F'I4ol"a'�Y s4o�wiqg fie o:i�pn6 sR4�
aod propos�d pqjecx-
2. Trro lets 01'� plens
3. fina'g,y Calartapan�
AND MA'
Sa Badc Psge fa' Fee S�
65�f. of Bnildmg Pe7mit FCe
.001 times the tota! job vah�tiam
.00QS x P�it `%�l�ation M�iaaum $.SO
;s.00 (�ate L�c,�,sa� �d�tia! c�)
�15�0 pet' SAG Uuit ¢+l�s bo MWCC f�r' detcrmutation)
�+6ft� ftx�21=$
Z450 �on P18a Iteview
Fx Daamined by E�nginee�in�
A�Oemen�t necessai7+ ( ) Noa N�S�rY ( )
��� ��cx� r►�b� �: c�► or �ares► �!
zws ts ua n�sac�►no�+ � ��crr.�ar vN.ia cn�rn. �oc�-ss�
��b'Y �PP1Y � 8��� � I a�:tmowledga t�at tbe i�5orm�tia� above is comp�te and accu:ate; that the waak will be in
c�oe w� the aa� +�nd codes of tbe City of Pridle�+ �nd with t6e Mi�eBO� Co�s�ucaaa Codes; tLat I tt�deCS�d this is not a
permit 6qt w�► mt appl�n f� a pamit smd work is aat to stut witho�tt a permi� thet the worlc will ba in acoordance with the apEuav�ed
plen in tb� a�ssc ofall work w� Toqu/in�s "c.w snd �val of plafls.
�I�1l1�pFA�Pi�C�'� r�• pgIN'r*te�,rrt,�rT 1'��"'n-�I� _ DA1� tii