AF - 46657SUBJECT P
City of Fridley FOUNDATION �vLY _ � 7 7 4
AT THE TOP OF THE TWINS g U I L D I N G P E R M I T
r
� ' REC .
� �
� `L __�___ COMMUNITY DEVELOPMENT DIV.
r j � PROTECTIVE INSPECTION SEC. J��C1�
� . ; / /
l.-__ � �����,•� CITY HALL FRIDLE� 55432 NUMBER HEV. DATE PAGE OF APPROVED BY
i' �� 612-571-3450 910-F15 �/28/84 / /
JOB ADDRESS 1229,31,33,35,37,39' Hillwind Road N.E.
1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED
DESCR. 1 1 jAj@S'tPxIl Ridge Esta.tes SHEET
2 .PROPERTYOWNER MAILADDRESS ZIP PHONE
Al Fehn 1251 Hillwind Road N.E. 574--1736
3 CONTRACTOR MAILADDRESS 21P PHONE LICENSENO.
Same
4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO.
5 ENGINEER MAILADDRESS ZIP PHONE LICENSENO.
8 USE OF BUILDINO
Residential
7 CLASS OF WORK
O NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE
8 DESCRIBE WORK
Construct a, 120' x 30` B�xildi,
9 CHANGE QF USE FROM TO
STIPULATIONS
Soil tests ma�g be ,requi.red, 'i'his per�it is good up to grade only.
SEPARATE PERMITS ARE RE�UIRED FOR ELECTRICAL, PLUMBING, HEATING, TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD
VENTILATING OR AIR CONDITIONING.
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING SQ. FT. CU. FT.
AUTHORIZED IS NOT COMMENCED WITHIN 80 DAYS, OR IF CONSTRUCTION
OR WORK IS SUSPENDED OR ABANDONED FOR A PERI00 OP 120 DAYS AT
ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS OFFSTREET PARKING
I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION STALLS GARAGES
AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS VALUATION SURTAX
AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED
WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT $4� 500 yS`2 �ZS
DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE pERMIT FEE SAC CHARGE
PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON-
STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. yS`SO�50 None (�ay Ori Fl1�.I. 2YZRl
PLAN CHECK FEE TOTAL FEE
$32.83 $85.58
SIG TURE OF CONTRACTO OR AUT ORI. EO AGENT � IDATEI �
�,�� WHEN PROPE Y V�LIDAT D THIS IS YOUR PERMIT
' � �-�r�� ,� � � ���°��'� �� � L .�� ��� � � ��
iGNATURE OF OWNERI�P OWNER BUtLDERI IDATEI r_� -.� c- BLOG �NSP pAT
Prepaid Plan Check �
Estimated Cost a
Receipt !
f�r � T
� ,�.�j .' .����`� Q�..! %`�%l��-
��l or �� C-'� �-�
� ��--
City ridley
OTHER THAli R-1 R-2
Building Permit Applicatioa
Construction Addreas: �aT"7'�' �`��� ���� l�� � � �°�� �fl � ��� � � - � � � � �
Legal Deaaription:�
Property Ovner/Address: �� .�l ��� L G� r�- I/IlA 1� � Tel . i h��! /'%��
Contraetor/Address: ����� Tel.i
Architect/Addreas: Reg.#
Engineer/Address: Reg.f
Type of York [�jNex [ ] Addition
APPLICANT SIGNATtJRE:
[ j Alteration
OSE OF BIIILDING: � �
Tel . � -� �7 �f �7�6 Dat e : '� — �- l � �'i�
BUILDING DIl�NSIONS
Size of Structure
Length l.� P Nidth .� o' Height %.S Sq. Ft. ��`--� �� of Stories �
OFC. AREA: Length Width Height Sq. Ft.
WHSE. AREA: Length iiidth Height Sq. Ft.
OTHER AREA: Length Hidth Height Sq. Ft.
� `�'�) � � l C? = �-k : � � � r `, j �,�, ,�� a � VAI.IIATION
Sq. Ft. %� Cost/Sq. Ft. = Valuation � )
Sq. Ft. X a Cost/Sq. Ft. = Valuation � )= ��"����
,tin�
Sq. Ft. X a Cost/Sq. Ft. a Valuation � ) Total
e��-
Type of Building Construction����� Occupancy Group Class. Zoning
Air Conditior�d []Yes I]No Fire Protection System []Yes []No.
Permit Fee � ����� See Fee Schedule on Reverse Side
Plan Check � ��^ ��' Ia excess of Prepaid Plan Check -See Back Pg.
^ °� �
State Surcharge � �y �-�-� �.50/�1,000 Valuation (See Sched. for >�1 mil)
SAC Charge � �,a425 per SAC Unit
Park Fee � Fee Determined by Er�gineering
Sewer Main Charge a
� � �� Agreement Necessarq � Not Necessary [ ]
SOT�i. #
STIPULATIONS:
� ��
�l�� � �
(� l
_ �, � .,,
Total Valuation
#1.00 to �500.00
�501.00 to a2,000.00
�2,001.00 to a25,000.00
�25,001.00 to �50�000.00
a50�001.00 to �100�000.00
�100,001.00 and up
�1.00 to �2,000.00
�2,00�.0o to �25,000.00
�25,001.00 to �50,000.00
�50�001.00 to �100,000.00
5100,001.00 to E542,000.00
Over �5�2,000.00
�°i'�'�
c�` a^`�' f��
��' b
� ,"�
' ��nd,)
/����a
��� ���
�
BQILDING PERMIT FEE SCHED�I.B
Fees
�
�10.00 (Minimum Fee is �15.00 plus surcharge)
�10.00 for the first 5500 plus al•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 a25,000.
�170.50 for the first a25,000 plus �4.50 for each
additional �1,000 or fraction thereof, to and
including �50,000
�283.00 for the first �50�000 plus �3.00 fo r each
additional �1,000 or fraction thereof, to a nd
including �100�000
�433.00 for the first a100,000 plus �2.50 for eaeh
additional �1,000 or fraction thereof.
PREPAID PLAN CHECR FEE SCHEDIILE
a2,.,s
a21.13 for the first �2�000 plus �3.90 for each
additional �1,000 or fraction thereof� to and
including �25,000.
a110.83 for the first �25,000 plus �2.925 for each
additional �1,000 or fraction thereof, to and
including 550,000.
a183•95 for the first 850,000 plus �1.95 for each
additional �1,000 or fraction thereof, to and
including a100,000.
�281.45 for the first a100�000 plus �1.625 for
each additional �1�000 or fraction thereof� to and
including �542,000.
�1,000.00 (Balance due rrith issuance of building
permit.
�- � a _
0^T 2 9 1984
�
/,/ � �
G��:�y�� � ` �.� �
�z z �- ,Z �-$ �' � �1
Minnesota Pollution Control Agency
The Honorable William Nee
Mayor, City of Fridley
6431 University Avenue N.E.
Fridley, Minnesota 55432
Dear Ftayor Nee:
Enclosed is a copy of Permit Number 13522 for construction and operation of
a sanitary sewer extension in Fridley, Minnesota.
Please review the Permit, any Special Conditions, the General Conditions
(No. 1-19) and information relative to plans and permit applications
carefully. Please let us know if you have any questions regarding these
documents. If you do have questions, you may contact me at the address
below or call (612) 296-7366.
Sincerely,
' �lG) / i`� .
/ �
Donald K. Perwien, P.E.
Staff Engineer, Permits Section
Division of Water Quality
DKP: cc
Enclosures
cc: City Council, c/o Nasim Qureshi, City Manager
Suburban Engineering
Metropolitan Waste Control Cortrnission
Metropolitan Council
Phone:
1935 West County Road B2, Roseville, Minnesota 55113-2785
Regional Offices • Duluth/Brainerd/Detroit Lakes/Marshall/Rochester
Equal Opportunity Employer
��
Minnesota Pollution Control Agency
PERMIT FOR CONSTRUCTION AND OPERATION OF
A DISPOSAL SYSTEM
FRIDLEY
Anoka County
Pursuant to Authorization by the Minnesota Pollution Control Agency, and in
accordance with the provisions of Minnesota Statutes, Chapters 115 and 116,
plans are approved and a permit is hereby granted to the City of Fridley
for construction and operation of a sanitary sewer extension in Fridley,
Minnesota.
The facilities consist of 650 linear feet of 8-inch sanitary sewer pipe.
The facilities are further described in plans and specifications designated
.�Hillwind Townhomes Sanitarv Sewer" received September 24, 1984 prepared by
Suburban Engineering for the City of Fridley.
It is the permittee's responsibility to assure compliance with any special
conditions and the general conditions that are required by this permit.
This includes taking all necessary measures needed to comply including, but
not limited to, the notification of contractors or others who may be
carrying out this work.
PERMIT NUMBER: 13522
DATED: �CT 2 9 1984
`� %
�.�� � ��
Curt s ar , . .
Chief, Permits Section
Division of Water Quality
Phone:
1935 West County Road 62, Roseville, Minnesota 551 13-2785
Regional Offices • Duluth/Brainerd/Detroit Lakes/Marshall/Rochester
Equal Opportunity Employer
��
MINNESOTA POLLUTION CONTROL AGENCY
Division of Water Quality
INFORMATION RELATIVE TO
REVIEW OF PLANS AND PERMIT APPLICATIONS
November 1, 1982
The review of plans and specifications for sewage, industrial waste or
other waste disposal systems and application for permits is made in
accordance with the authority conferred by law (see MS, Section 115.07).
Approval of plans and permits is based upon the assumption that the
information provided by the applicant is correct and that all necessary
legal requirements have been or will be satisfied.
Plans for sewage, industrial waste or other waste disposal systems are
examined with regard to the design features which apply to operation and
maintenance of the treatment works or sewer system� the degree of treatment
to be provided, the effectiveness and reliability of the system or methods
employed, and compliance with applicable standards systems. The bulletins
entitled Recomnended Standards for Sewage Works, 1978 edition, and Federal
nformat�on are used in examination�of the design, operation and
maintenance aspects of the proposed system.
Sewer plans are recortmended for approval on the basis that the system is to
collect only domestic sewage and such industrial or other waste as may have
been provided for in the design. Foundation or footing drains to collect
ground water and roof drains or other surface water conduits should nat be
connected to the sanitary sewer system. Adequate field supervision and
inspection by a qualified representative of the owner should be provided at
all times during construction to assure that the project is constructed in
compliance with the approved plans and specifications.
The Agency assumes no responsibility for the integrity of structures or
physical features, or for the reliability, durability or efficiency of
specific items of propriety equipment or material. All applicable federal,
state and local laws, regulations or ordinances must be followed in the
design, location and construction of proposed sewer systems or treatment
works.
The Agency reserves the right to withdraw its approval of plans if
construction is not undertaken within a reasonable period after issuance of
the permit.
" MINNESOTA POLLUTION CONTROL AGENCY
GENERAL CONDI I NS 'R �:�IT RY SE R NS
GENERAL CONDITIONS:
PERMITS
1) Material, labor and equipment for temporary erosion control-measures
and the acceptable maintenance thereof shall be provided during the life of
the project, to effectively prevent water pollution through the use of
berms, dikes. dams, sediment basins, fiber mats, netting, gravel� mulches,
grasses, slope drains, and other erosion control devices or methods.
Surface cover materials shall be anchored to reasonably prevent their
entering waters of the State by erosion or rising water levels.
2) Temporary pollution control measures shall be included for all
construction activity associated with the project where such work is
necessary, for example borrow pit operations, haul roads, equipment
storage, and plant or waste disposal sites.
3) The temporary pollution control provisions contained herein shall be
coordinated with any pernianent erosion control features to the extent
practical to assure economical, effective, and continuous erosion control
throughout the construction and post-construction period.
4) The surface area of erodible earth material exposed by clearing and
grubbing, excavation, borrow and fill operations shall be minimized and
immediate permanent or temporary control measures shall be taken to prevent
contamination of adjacent streams and other water courses, lakes, ponds,
and areas of water impoundment. Cut slopes shall be stabilized by methods
such as seeding and mulching as the excavation proceeds to the extent
considered practicable. Slopes shall be graded properly to minimize
erosion.
5) The Applicant will be required to incorporate all permanent erosion
control features into the project at the earliest practicable time.
Provisions should be made for continual checking and maintenance of all
control measures, particularly during periods of rainfall, to ensure
maximum effectiveness. Temporary pollution control measures will be used
to correct conditions that develop during construction that were not
foreseen during the design state; that are needed temporarily to control
erosion that develops during normal construction practices, but are not
associated with the permanent control features o�� the project.
6) The Applicant will control the area of excavation, borrow and
embankment operations commensurate with his progress with finish grading,
mulching, seeding, and other such permanent erosion control measures.
Should seasonal limitations make such coordination unrealistic, temporary
erosion control measures shall be taken to the extent feasible.
7) Oil and other liquid substances capable of polluting water of the
State will be stored in accordance with the requirements of Minnesota
Regulation WPC 4.
�
8) Stream Bank Stabilization shall be utilized if it is needed to prevent
erosion, and shall be constructed of materials which will not pollute
waters of the State.
9) If an effluent will result from the project the Contractor shall
submit to the�MPCA plans, for approval, to provide for the following:
a) Water from dewatering operations including effluents from
construction activities shall only be discharged when the effluent
complies with the applicable water quality and effluent standards.
Dewatering shall be performed using well points where feasible and
practical, all other dewatering shall be performed so as not to result
in increased turbidity in the receiving Nater. This may require the
use of desilting ponds to reduce suspended solids. When the MPCA
requires, permits must be obtained.
b) A Disposal System Permit shall be obtained by the Contractor from
the MPCA prior to any hydraulic dredging or tunneling, or other
activity including an effluent which may contain potential
pollutants.
10) This permit shall not release the permittee from any liability or
obligation imposed by Minnesota or Federal statutes or local ordinances and
shall remain in force subject to all conditions and limitations now or
hereafter imposed by law. The permit shall be permissive only and shall
not be construed as estopping or limiting any claims against the permittee
for damage or injury to persons or property, or any waters of the state
resulting from any acts, operations or omissions of the permittee, its
agents, contractors or assigns for damage to state property, or for any
violation of the terms or conditions of this permit.
11) No assignment of this permit shall be effective until it is executed
in writing and signed by the parties thereto and thereafter approved by the
Agency.
12) No major alterations or additions to the disposal systems shall be
made without the written consent of the Agency.
13) The use of the disposal system shall be limited to the treatment
and/or disposal of the sewage, industrial waste, other waste materials or
substances described in the plans and/or permit application and associated
material filed with the Agency.
14) The Agency may modify, suspend, or revoke in whole or in part, this
permit after giving notice and providing an opportunity for a public
hearing or by taking direct enforcement action, or any just cause including
failure: (a) to comply with the terms stated herein, or (b) to comply with
Agency water quality regulations and standards presently in force. Nothing
herein shall prohibit the Agency from exercising its emergency powers.
1
15) The permittee acknowledges that nothing contained herein shall prevent
the future adoption by the Agency or its predecessors of any pollution
control regulations, standards, orders or statutes more stringent than
those now in existence or prevent the enforcement and application of such
regulations, standards, orders or statutes to the permittee.
16) The Agency, its officers. employees and agents review and cortment upon
engineering reports and construction plans and specifications regarding
this permit solely for the limited purpose of determining whether such
report, plans and specifications will enable the facilities subject thereto
to reasonably comply with the regulations and criteria of the Agency.
17) This permit has not been reviewed by the U. S. Environmental �
Prot�ction Agency and is not issued pursuant to Section 402 of the Federal
Water Pollution Control Act Amendments of 1972.
18) The plans for the project have been approved with the reservations
stated on the attached sheet entitled "Information Relative to Review of
Plans and Permit Application."
19) The permittee shall comply with all rules, regulations and
requirements of the Minnesota Environmental Quality Board prior to
construction of the proposed project. This permit is not effective until
the permittee completes all applicable environmental review (Environmental
Impacts Statement or Environmental Assessment Worksheets) which may be
required for the project.
�
OCT 2 9 1984
Minnesota Poliution Control Agency
The Honorable William Nee
Mayor, City of Fridley .
6431 University Avenue N.E.
Fridley, Minnesota 55432
Dear Playor Nee:
Enclosed is a copy of Permit Number 13522 for construction and operation of
a sanitary sewer extension in Fridley, Minnesota:
Please review the Permit, any Special Conditions, the General Conditions
(No. 1-19) and information relative to plans and permit applications
carefully. Please let us know if you have any questions regarding these
documents. If you do have questions, you may contact me at the address
below or call (612) 296-7366.
Sincerely, �
— �� ` .
�Z ✓0
Donald K. Perwien, P.E.
Staff Engineer, Permits Section
Division of tiJater Quality
DKP:cc
Enclosures
cc: �City Council, c/o Nasim Qureshi, City Manager
Suburban Engineering
Metropolitan 4laste Control Commission
Metropolitan Council
Phone:
1935 West County Road B2, Roseville, Minnesota 551 13-2785
Regional Otiices • Dututh,Brainerd;Detroit Lakes/Marshall Rochester
Equat Opporturnly Employer
�-.'!' J
S_a
P
Minnesota Poilution Control Agency
PERMIT FOR CONSTRUCTION A�D OPERATION OF
A DISPOSAL SYSTEM
� FRIDLEY
Anoka County
Pursuant to Authorization �y the Minnesota Pollution Control Agency, and in
accordance with the provisions of Minnesota Statutes, Chapters 115 and 116,
plans are approved and a permit is hereby granted to the City of Fridley
for construction and operation of a sanitary sewer extension in Fridley,
Minnesota.
The facilities consist of 650 linear feet of 8-inch sanitary sewer pipe.
The facilities are further described in plans and specifications designated
"Hillvrind Townhomes Sanitarv Sewer" received September 24, 1984 prepared by
Suburban Engineering for the City of Fridley.
It is the permittee's responsibility to assure ccmpliance with any special
conditions and the general conditions that are required by this permit.
This includes taF:ina all necessary measures needed to comply including, but
not lir�ited to, the notification of contractors or others who may be
carrying out this work. .
PERMIT NUMBER: 13522
DATED: OCT 2 9 198�
`,� �= �L
t/(/�'�� lG �
Curtis J. Spar , P.E.
Chief, Permits Section
Division of 4�ater Quality
Phone:
1935 West County Road B2, Rosevilie, Minnesota 55113-2785
Regional Of(ices • DututhlBrainerd: Detroit Lekes/Marshall!Rochester
Equal Opportunity Employer
°�1'�J
SUBJECT PERMI .
City of Fridley o 18026
AT THE TOP OF THE TWINS g U I L D I N G P E R M i T
�
; � RE .
COMMUNITY DEVELOPMENT DIV. /� � � �
r� � L � PRO7ECTIVE INSPECTION SEC.
, ,
' i '
� /'��1 � CITY HALL FRIDLEY 55432 NUMBER REV. DATE PAGE OF APPROVED B�
�"'"'� � ,�� 612-571-3450 910-F15 6/4/85 � �
JOB ADDRESS ],22� - 39 Hil.lwirid Road N. E.
t LEGAL LOT NO. BLOCK TRACT OR AODITION SEE ATTACHED
DESCR. 1 1 6Qestern Ri:dge Estates SHEET
2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE
A1 Fehn 1251 Hillwind Road N.E. 574-1736
3 CONTRACTOR MAIL ADDRESS Z�P PHONE LICENSE NO.
Same
4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO.
5 ENGINEER MAIL ADDRESS Z�P PHONE LICENSE NO.
8 USE OF BUILDINO
Residential (6 Plex)
7 CLASS OF WORK
C� NEW ❑ ADDITION ❑ ALTERATION O REPAiR ❑ MOVE O REMOVE
8 DESCRIBE WOHK
Construct a 120" x 30` 6-plex on exi:sting �'oundati.an
... �
TELEPHONE - ELEG�'!�C - ��� ���s
9 CHANGEOFUSEFROM TO R`�I,����� �'Y �/�e��`v
STIPULATIONS
Foundation �exznit issued 10/1/84
Front yard vax'ian,ce gra,nted on
SEWER AND WATER SERVICES'provided by awne'� undex private contxact, .
������� ���.�tr°�ss. �.�Quc�:� Fo�
�����!�,, h; �����(;J_'�a,, ��h��l�L�'� �.�3 ���.���
SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PIUMBING, HEATING, �PE OP CONST. OCCUPANCY (iROUP OCCUPANCY LOAD
VENTILATING OR AIR CONDITIONING.
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING SO. FT. CU. FT.
AUTHORQED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CQNSTRUCTION
OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT
ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS OFFSTREET PARKING
I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION 6 STALLS GARAGES
AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS VALUATION SURTAX
AND ORDINANCES QOVERNING THIS TYPE OF WORK WILL BE COMPLIED 315 650 S�-rJ7•83
WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT $ ►
DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE pERMIT FEE SAC CHARGE
PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- 97� � OO $2 04�, OO C6�
RUCTION OR THE PERFORMANCE OF CONSTRUCTION. $ /
� P AN CHECK FEE TOTA� FEE
„�y $6,32. 45 $3 ,$03 . 28
S NATUREOFCONTRACTOROR UTHOR12EDAGENT IDATEI � WHEN PROPERLV V IDATED THIS IS �OI�R PERMIT
R v * � � i /
SiGNATURE OF OWNER iIF OWNER BUILDERI IDATEi BLOG INSP Ot � E
Prepaid Plan Check $
Estimated Cost �
Receipt f
� 4�
Construetion Address
Legal Deseription
A�C�� �J'Ci-t��%� Effective 4/1/84
Of Fridlev �
R-3, COl�Il�RCIAL � IADIISTRIAL
Building Permit Applieation
„ !�� _. �t���r� �°�i
�
Propertq OWner � Address:��- �/ ���.�s-�� �� Tel . #�7�17 �
Contraetor � Address: ��✓� Tel.#
Arehitect 8 Addreas: Reg.#
Engineer � Address: Reg.#
Type of Work [�Q New [] Addition
APPLICANT SIGNATURE:
[ � Alteration
� USE OF BUILDING: ,(� i��
z- Tel. # �?�17�G' Date: 5%-�/^�`.�
BIIII.DING DII�NSIONS
Size of Structure
Length f�/%_ Width 3% Height _�� Sq. Ft. �'d 6
_/3 k � of Stories 3
OFC. AREA: Length Width Height ,
WHSE. AREA: Length Width Height ,
OTHER AREA: Length Width Height ,
VALIIATION
Sq. Ft. X$ Cost/Sq. Ft. - Valuation
Sq. Ft. X$ Cost/Sq. Ft. = Valuation
Sq. Ft. %$ Cost/Sq. Ft. = Valuation
Sq. Ft.
Sq. Ft.
Sq. Ft.
$ )
$ ) =
$ )
�Ij,(�S�
$
Total
Type of Building Construction "�`�P�'��' Oecupaney Group Class. �-1 Zoning i�-�
Air Conditioned [�]Yes [ ]No Fire Protection System [ ]Yes [ ]No.
Permit Fee
Plan Check
State Suroharge
(�o �d S��C�arge
Park Fee
SeWer Main Charge
DriveWay Esero�
TOTAI.
$ et �3o a�3
$ %�.��
a is� .83
$ �����
$ �
$
� �
� _ � o ��� •��
See Fee Schedule on Reverse Side
In excess of Prepaid Plan Check -See Back Pg.
�.50/$9,000 Valuation (See Sched. for > $1 mil)
�u25 per SAC Unit
Fee Determined by Engineering
Agreement Neeessarq [ Not Necessary [ ]
,e�-. Oe,.��' p�'i.� �
STIPOLATIONS:
�c� e�au � � �R � l! ��l (LI ��-�-� � n'� �''�`� � �-3it
F -
,
Total Valuation
$1.00 to �500.00
�501.00 to �2,000.00
$2�001.00 to $25,000.00
$25,001.00 to $50,000.00
$50,001.00 to $100,000.00
$100,001.00 and up
$1.00 to $2,000.00
$2,001.00 to $25,000.00
$25,001.00 to $50,000.00
�50,001.00 to $100,000.00
$100,001.00 to $5�42,000.00
Over $5�2,000.00
31�, �s�.o�
1c�c,, �c,e�, ��-- U3 �,U�
� � e� aos� �'����
°d �? 3 . c�cJ
BUII.DING PERMIT FEE SCHEDIILS
Fees
$10.00 (Minimum Fee is $15.00 plus surcharge)
$10.00 for the first $500 plus $1.50 for eaeh
additional $100 or fraction thereof, to and
ineluding $2,000.
$32•50 Por the first $2,000 plus $6.00 for each
additional $1,000 or fraction thereof, to a nd
ineluding $25,000.
$170.50 for the first $25,000 plus $4.50 for eaeh
additional $1,000 or fraetion thereof, to and
including $50,000
$283.00 for the first $50,000 plus $3.00 fo r eaeh
additional $1,000 or fraction thereof, to a nd
ineluding $100,000
$433.00 for the first $100,000 plus $2.50 for each
additional $1,000 or fraction thereof.
PREPAID PLAA CSECR FEE SCHEDIILE
$21.13
$21.13 for the first $2,000 plus $3.90 for eaeh
additional $1,000 or fraetion thereof, to and
including $25,000.
$110.83 for the first $25,000 plus $2.925 for each
additional $1,000 or fraetion thereof, to and
ittcluding $50,000.
$183•95 for the first $50,000 plus $1.95 for each
additional $1,000 or fraction thereof, to and
including $100,000.
$281.45 for the first $100,000 plus $1.625 for
each additional $1,000 or fraction thereof, to and
ineluding $5�+2,000.
$1,000.00 (Balance due with issuanee of building
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I
CITYOF
FRIDLEY
CIVIC CENTER •(*131 UNIVERSITY AVE. N.E. FRID[.EY, MINNESOTA 55432 • PHONE (612) 571-3�350
,
February 11, 1986
A1 Fehn Builder
1251 Hillwind Road N.E.
Fridley, NIlV 55432
Re: Final Inspections at 1237 & 1239 Hillwind Road N.E., Fridley
De ar Mr. Fehn ;
A final inspection was conducted on February 7, 1986 of the above addresses
and the following itesns were noted which must be completed before the
structures can be finaled:
1237 Hillwind Road N.E.
Change the double cylinder lock t�o a single cylinder lock on the
front door.
1239 Hillwind R�ad N.E.
Change the double cylinder lock to a single cylinder lock on the
front door.
We will expect the above items t�o be completed by February 17, 1986 when a
reinspection will be conducted to determine coanpliance. If you have any
questions on this matter, please feel free to contact me at 571-3450.
Sincerely,
L . CLARK
Chief Building Official
DGC/mh
.
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COMMON VENT VENT CONNECTOR AND COMBUSTION AIR VERIFICATION
When realacing an existi�g furance, the undersigned hereby verifies that the
venting has been examined and is f�ee from rust, deterioration, obstructions,
and is securely supported and firestopped where required. Yes () No ()
The venting system is piastic/PVC and meets all current codes and manufacturer
specifications including sizing� length, number of elbows and termination. Yes () No ().
The undersigned also verifies that the replacement unit is a listed assembly
and meets the current codes and manufacturers specifications. This does
include AGA-GAMA Category I Central Fumace Venting Tables for fa�
assisted and natural draft appliances. Yes () No ()
The existina combustion air is sized and installed to meet the current codes
and manufacturer's specifications. Yes () No ()
Witen required 4� �ii � �v�r ��i������ � i#-�li-be si� ar�+R�#all� - - - -
to meet the current codes and manufacturer's specifications. Yes () No ()
When installina a new ventinq 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 () No ()
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. Yes () No ()
Appliance ivpe and Size/Common Vent and Vent Cennector Information
Appliance #1 Type BTU Input ' Fan Assisted or Nat
Appliance #2 Type BTU Input Fan Assisted or Nat
Appliance #3 Type BTU Input Fan Assisted or Nat
Total Appliances Total Btu Input
Common Vent Type Vent Height � Diameter inches
Appliance #1 Vent Connector Heig�it — ft Length -- �i �� - +� -��+�— ---- - -
Appliance #2 Vent Connector Height ft Length ft Diameter in Type _
Appliance #3 Vent Connector Height ft Length ft Diameter in Type
ALTERATIONS• (Describe)
HEATING CO: �
�igned By: ° Date : _ __
�` � Su9�FCT
c�ty of Fridley
AT TME TOP OF THE TWINS g u I L D I N G P E R M I T
;,
� �
� • COMMUdITY OEVELOPM�NT DIV.
i Vy �"�• ,
f � � PROTECTIVE INSPECTION SEC.
�
� i ,
� �"'1 � CITY NALL FRIOIE� SS4�2 NuMeEF
�""'� � �'' 612-571-3450 910-Ft5
108 AODRESS 1235 Hillwind Road NE
t IEGAI �07 NO. BLOCK TRACT OR ADOITION
OESCR. j 1 Western Ric
2 PROPERTY OWNER MAIL ADOFi�S$
Jan Torgelson 1235 Hillwind Road NE
3 CONTRACTOR MAIL ADDRESS
Skilcraft Industries Inc 1601 N Innsbruc�
4 AHCHITECT OR DESIGNER MAIL ADORESS
5 ENGINEER MAII
8 USE OF BUILDING
Residential
7 CLASS OF WORK
8 DESCRIBE WORK
Remove exis
9 CHAN(3E OF USE FROM
REV DAT@ I PAGE OF
6/6/02 / /
Estates
26, Fr
ZIP
21P
RECEIPT NO.
� ���
APPROVED BY
SEE ATTACMEO
SNEET
763-571-6740
PHONE LICENSE NO
55432 763-572-0913
PMONE LICENSE NO.
81��
PHONE LICENSE NO
� NEW � ADDITION ❑ ALTERATION ❑ qEPAIR O MOVE � O REMOVE
ng deck; Construct a 22' x 8' Deck
STIPU�ATIONS
See notations on plan.
I SEPARA7E PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, 7rPH OF COI
VENTILATING OR AIR CONDITIONING.
7HIS PERMIT BECOMES NULL AND VOIO IF WORK OR CONSTRUCTION IONING
AUTHORIZED IS NOT COMMENCED YjIITMIN 80 DAYS, OR IF CONSTRUCTION
OR WORK IS SUSPENOEO OR A9ANQONED FOR A PERIOD OF 1� DAYS A7 �
ANY TIME AFTER WOqK IS COMMENCED. '
NO DWLG.
1 MEREBY CERTIFV 7HAT I MAVE READ ANO EXAII�1N�0 THIS APP�ICATION 1
AND KNOW TME SAME TO BE TF1UE AND CORRECT. ALL PROVISIONS OF LAW$ yp�UATION
AND ORDINANCES GOVERNING THIS TVPE OF WpRK WILL �E COMPLIED
WITH WHE7MER SPECIfIED HEpEIN OR NOT. TNE GiiANTING OF A PERMIT �Z�OZ�F
DOES NOT PRESUME TO GIVE AUTMORI7Y TO VIOLATE OR CAMCEL 7ME pEqMITfEE
PFOVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON-
STRUCTIpN OR 7 RFORMANCE OP CONSTRUCTION $83.25
PLAN CMECM
�
License
S�G TU E CONCRACTOpOAAUTM0�7iZE0AGEN1 ID4fE� '
UNI7S
7
STA��S
$5.
OCCUPANCVLOAD
CU FT
f PARKING
GAiiAGES
$1.01
AC CMAqGE
Fire SC $2.02
OTAL FEE
$g'J. . 28
�/��; //���/�� =Y��rT.�
��P����r•,�nrr.r
N� [] CITY OF FRiDLEY Effective 1/1/'2002
ADDN [ J 6431 Universiiy Ave NE, Fridley, MN 55432 (763) 572�604 Bldg Insp
ALTER [] SINGLE FANqLY AND DUPLEXES R-1 AND R-2
BUILDING PERMITAPPLICATION
� �� ���
Cohstru�tion Address: 1 Z 3� h� � e���'✓✓ l� �� v'�
Legai Description:
Owner Name 8 Address: cJ,9Ae �/�6 �c, s�� `/��1/��ESS A/�✓v� Tel. # 7�3 s7� - � 7�D
Contractor. . s�, L c 61 s.�%�- �pvs r�i�s" ' MN LICENSE # ��0 7
Address: /GQ - rL .�� �� d� jc ,�. -�i z- � Tel. # 76 .� SJz - a 9 e�
�`�� �����Atta� t th s a�t� t on, a Certificate of Survey of the
lot, with the proposed constnaction drawn on it to scale.
DESCRIPTION OF IMPROVEMENT
LMNG AREA: Length Width Height Sq. Ft
GARAGE AREA: Length Width Height Sq. Ft
DECK AREA: Length Z Z' Width �' ` HgUGround _� Sq. Ft �7G
OTHER: .
�
Construction Type: ��i7 � ���� Estimated Cost: $ �1, �� `� � � � e�
Driveway Curb Cut Width Needed: Ft + 6 Ft = Ft x$ _$
DATE: i% � APPLICANT: �7
Tel. # ���,�- � 2- 0�/3
Call (763) 572-3604 for Permit Fees if maili�g in application or Fax to 763-571-1287 if using credit card and we will
call you for card number.
Permit Fee
Fire Surcharge
State Surcharge
SAC Charge
License Surcharge
Driveway Escrow
Erosion Control
Park Fee
Sewer Main Charge
TOTAL
$ ��a o,�'
$ � .a
$ 1 ��/
$
$_ � , C�
$
$
�.
$
� (r�
� i'
CITY USE ONLY -
Fee Schedule on Reverse Side
.001 of Permit Valuation (1/10th%)
$.50/$1,000 Valuation
$1200 per SAC Unit
$5.00 (State Licensed Residential Contractors)
Alt. "A" or Alt. "B" Above
$450.00 Conservation Plan Review
Fee Determined by �Engineering
Agreement Necessary [ ] Not Necessary [ ]
STIPULATIONS:
,,
BUII.DING PERNIIT FEE SCHF:DULE
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 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 provided to-wit:
TOTAL VALUE
$1 to $500
$501 to $2,000
$2,�1 to $25,000
$25,001 to $50,000
$50,001 to $100,(�0
�
$100,Q01 to $500,000
$500,001 to $1,�0,000
FEES
$23.50
$23.50 for %rst $500 plus $3.05 for each additional $100 or
fraction thereof, to and including $2,000
$69.25 for first $2,000 plus $14.00 for each additional $1,000
or fraction thereof, to and including $25,000
$391.25 for first $25,000 plus $10.10 for each additional $1,000
or fraction thereof, to and including $50,000
$643.75 for first $50,000 plus $7.00 for each additional
$1, 000 or fraction thereof, to and including $100,000
$993.75 for first $100,000 plus $5.60 for each additional
$1,000 or fraction thereof, to and inclutling $500,(�0
$3,233.75 for the first $500,000 plus $4.75 for each additional
$1,000 or fraction thereof, to and including $1,000,000
$1,000,001 and up $5,608.75 for the first $1,000,000 plus $3.15 for each additional
$1,�0 or fraction thereof
DRIVEWAY DEPRESSION ESCROW
(Concrete Curb Streets Only)
Removal and replacement of curb and gutter only - Driveway width plus 6 feet �imes $17.00.
VERIFICATION OF FOUNDATION
Permits for construction will be issued a minimum of 24 hours from the time of application to allow for proper
review of the proposed structure and of the construction site.
A Certificate of Survey of the lot, showing the location of the foundation onc� it has it has been constructed will be
required before proceeding with the framing. New Houses Oniv
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8�1NI� �1�0�, �
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13, 2002
Don Balinger (SkilCraft Industries)
Bernie Stroh, P.E_
S.Z,�OI�- --
E�,��E�iN:s
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�EGISIEREO
PAOFESSIONAI.
EI�G{NEER
Western Ridge Estates Condominiums — Deck Replacement & Repairs
I have completed my structural inspection and review of the proposed deck
replacement and the deterioration of the existing wood framing at the garage
wall and headers at the Westem Ridge Estates Condominiums. According to my
calculations, the existing garage wall which is the load bearing wall for the
clearspan scissors mof framing over these units must be temporarily shored in
order to comptete the repair and replacement of the deteriorated and rotted wood
framing. I propose a scheme using a minimum of six (6) shoring beams with
adjustable posts as indicated on the attached drawings. The temparary shoring
will adequately support the end wall and roof framing and allow access for the
recommended repairs. The units can remain occupied while the shoring is in
place. I recommend the following procedure:
REMOVE TI� GYPSUNi BOARD CEII.ING IN THE GARAGE BACK
TO TI� FIRST FLOOR TRUSS.
CUT ANY ACCESS HOLES THAT MAY BE REQUIRED IN ORDER
TO INSTALL THE TEMPORARY SHORING BEAMS AS SHOWN.
TH� BEAMS SHO ULD BE PLACED AS NF�1R AS POSSIBLE TO THE
LOCA770NS INDICATED WHICH IS BASICAL.LY AT THE SUPPORT
STUD LOCATIONS FOR THE EXIST7NG HEADERS OYER ?HE
WINDOWAND DOOR LOCATIONS.
AFT'ER Ti� SHORING IS IN PLACE AND STABILIZED, THE
EXISTING END TRUSS CAN BE REPAIRED BY ADDING NEW
VERTICAL STUDS. I RECONIlV�ND A STUD SPACING '
OF 24" ON CENTER. THE NEW GARAGE DOOR HEADER SHOULD :
ALSO BE INSTALLED AT THIS TIME WITH NEW SUPPORT
STUDS AT EACH END. �
AFTER INSTALLATION OF THE NEW GARAGE DOOR HEADER
AND COMPLETION OF THE TRUSS REPAIRS, THE SHORING CAN
BE DISMANTLED AND THE NEW DECK FRAIVIING INSTAI.LED.
.
will be avaitable to visit the site at any time lo nddress any unforeseen structural �
�sues as the ivork proceeds to the remaihing conrlominium units and to complete a
'nul inspection if necessary. Please fonvard a copy ojthis memo along with the �
ttached plans to the City of Fridley Building Inspections Departinen� ,`
ojmemo
1128 SIBIEf �EE�8811�1 H16H�A1, YEII�IA �E1681i, N� i5118 -- F�II: 16511 4S�•SOt6 OFfICf: f.6511 �SI-9�SS --- E-��Il: STBU8E1611EERI16QiU8l@YEf.dTT.YII
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� ne 13 , 2002 S1&.001UR�l CONSUl1196
ld ST�RN RIDGE ESTHTES COf�lDO�IIPJIUMS- �ECI: REPLACE(��E11T
;
REPLdCE A L ROT �0 VER Ct�l T SS EP�BERS r
AS REQUIR D
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TEh1�ORkRY �HOR I P�G �E�NS 6r.8 �
UP. STEEL frEAP�iS - S�� SECTION '.
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FP,OtVT UFEhI OF GfiRk�E IJALL FJiTH TEhTPOR�IFi.X�n��M IPd� ;,:
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STERN RIGGE EST�TES COi�t�Qh1I�lIUh1S - QE
EXISTING
END TP.USS OVER.GARAGE
4JALL TO S.� REPAIRED
TEMPO�ARY SHORI�dG DEF�NiS
6" x 8" TIMBERS (0,°, WSx10
STEEL 6cAMS)
T1�PICAL 1�GJUSi'�5�.� t�
SI�ORI�IG PGSTS '�� yH,�x
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h1�U. 3 Ta(� CAPACITY
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. IENSiN��ai�is
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LACEME��T
EXISTI�dG WALL
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NCTE: RE�OVE GY . DOARD CEILI�G
IN GARAGE CK TO �.
FIRST fL0 T�tUSS '
TYaIC�1L TEMPORhRY SHdRIhlG �ET�IL
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EN61N€ER
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3� WESTERN RIDGE �STkTES CON.DOMINIUFIS - QECK �EPLACEP�ENT
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IIIB SIBIEI MEMQ9IA BI69�AP, YEBOQi� BEl6N1S, MI 55119 — Fd� I6S11 9S4-S086 OEFICE: 16SlI ISI-91SS — f•NAIt: Si809E161BE.ER196��UfllOYEi A�1:1E1 I
sue�eti � � MIT NO. �
c�ty of F��a��� , 32765.
AT TME TOP OF TME TMIINS g � I L D I N� P E R M i T # /
�
RECEIPT NO.
i� �• COMMUMITY QEVELOPNIENT DIV. ��� /
Vy � .�� c� I
r � � PqOTECTIVE INSPECTION SEC.
� _ .
( /"'1 � CITY NALL FRIOLE� '��3Z NUMBEA - REV OATB VAGE Oi ACVROVED BY
�"""� � �'' 612-571-3450 910-F15 7/10/02 � �
JOB ADORESS 1233 Hiilwind Rd NE .
1 LEGAI LOT N0. BLpCK TRACT OR ACDITION SEE ATTACMED
DESCR. 1 1 Western Ridge Estates SHEET
2 PFOPERTY OWNER MAIL ADORES$ I�P PhIONE
Chris Losee, 1233 Hiliwi�ad Rd, Fridley, MN 55432
3 CONTRACTOF MAIL ADDRESS ZIP PMONE IICENSE NO
Ski�crait, Ir�c, 1601 N In�sbriack DR, Fridiey, NPiT 55432 763-572-0913 8107
4 ARCHITECT OR DESIGNER MAII ADDRESS ' ZIP PFIONE LICENSE NO.
5 ENGINEER MAIL AODRESS IIP PHONE LICENSE NO
8 USE OF BUILDING
Residential
7 CLASS OF WORK
f� NEW ❑ ADDITION O ALTERATION C� REPAIR O MOVE D REMOVE
8 DESCRIBE WORK
Dec & building repair
rep cemen
9 CHANGE OF USE FROM TO
STIPULATIONS
Per Engineering letter
' 7YpE dF CONST. OCCUPANCY GROUP OCCUPANCV LOAO
SEPARATE PERMITS ARE RE�UIRED FOR ELECTRICAL. PIUMBING, MEATING.
VENTI�ATING OR AIR CONDITIONING.
THIS PEFMIT BECOMES NULL ANO VOID IF WQRK Qii COf�STRUGTIOM 20NING S�. FT CU FT.
AUTHORIZED IS NOT COMMENCED WITMIN 80 DAYS. OR IF CONS7RUCTION
OR WORK IS SUSPENDEO OR ABANqONQO fOR A PERIOD Of /20 OAYS A7 `
ANY TIME Af7EF WORK IS COMMENCED. ` NO DWLG. UNITS OfFSTAEET PARKING
I HEREBY CEiiTIFV THAT I MAVE AEAD ANO EXAMINED THIS APP�.ICA710N STALLS GAAAGES
ANO KNOW THE SAME TO BE TAUE AND CORRECT. ALl PROVISIQNS OF LAW$ VAWATION SURTAX
ANO OROINANCES GOVERNING THIS TVPE OF WpRK WILL B� CpMPUED $1S OO'O.00 �%.SO
WITM WHETMER SPECIFIEO MEREIN OFl NOT. THE GRANTING OF A PERMIT �
DOES NOT PRESUME TO GIVE AUTHORITY TO VIOIATE OR CANCEL TNE pEqMIT FEE SAC CMARGE
PROVISIONS OF ANY OTHEFi STATE OR LOCAL lAW REGULATING CON- �251.25 Fire SC �15.00
STqUCTION OR T E P RFORMANCE Of CONSTRUCTION
� P�AN CMECK fEE TOTAL FEE
� �, /�e � � $5 .00 L se $27 . 75
rus OFCON'AACTOpOpeUTMOA�ZEOAGENT �O�iE� N P OPEp LIDATED T S IS VOUR PERMIT
�'! '� ♦V �
S�GN4TU�7E O� OWNEp��� OWNEp9U�LDEp� I��TE� ' � Bl0 �NSp - ' '� ���tE
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NEVN [ ]
ADDN []
a�rER Il
Cohstruction Address:
CITY OF FRIDLEY
6431 Universily Ave NE, Fridley, MN 55432
SINGLE FAMILY AND DUPLEXES R-1 AND R-2
BUILDING PERMIT APPLICATION
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Effecctivve�L1/2002
�ss� �rZ-�s� Bla�sp
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Legal Description: '
Owner Name 8 Address: �6�1,� y� ��S� A��,� �-rs .����-� Tel. #
Contractor. �� r e c���- �,�e _ MN LICENSE # f�'/ ��
Address: --i� DI �� .z.� �� �,2,��,� �ft'. h�.� �� t e�� ��/.? Z Tel. # �� � -.��Z-�v � l�
LMNG AREA:
GARAGE AREA:
�ECK AREA:
OTHER:
Attach to this application, a Certificate of Survey of the
lot, with the proposed construction drawn on it to scale.
DESCRIPTION OF IMPROVEMENT
Length Width Height Sq. Ft
Length Width Height Sq. Ft
Length � Width �O HgUGround Sq. Ft
� r ��ct��� ���s� ,P�i���-1 �����';
Construction Type: �% Ar►� �� Estimated Cost: $ l���� G�
Driveway Curb Cut Width Needed: Ft + 6 Ft = Ft x$ _$
DATE: � ��.. APPLICANT: ��a�� e � �j�G �. i�d �R el. # �� �° � � � -� ��
Call (763) 572-3604 for Pertnit Fees if mailing in application or Fax to 763-571-1287 if using credit card and we will
call you for card number.
Permit Fee
Fire Surcharge
State Surcharge
SAC Charge
License Surcharge
Driveway Escrow
Erosion Control
Park Fee
Sewer Main Charge
$ o��l^ � �J
$ ���iOC?
$ �7� �C'�
$
$ � e c9O
$
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$
CITY USE ONLY -
Fee Schedule on Reverse Side
.001 of Permit Valuation (1/10th%)
$.50/$1,000 Valuation
$1200 per SAC Unit
$5.00 (State Licensed Residential Contractors)
Alt. "A" or Alt. "B" Above
$450.00 Conservation Plan Review
Fee Determined by�Engineering
Agreement Necessary [ ] Not Necessary [ ]
TOTAL $ ��� � �` STIPULATIONS:
BUII.DING PERNIIT 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 altera.tion or repair to any existing building or structure,
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 provided to-wit:
TOTAL VALUE
$1 to $500
$501 to $2,000
$2,�1 ta $25,000
$25,�1 to $50,000
$50,001 to $100,000
$100,001 to $SW,000 .
$500,001 to $1,000,000
$1,0�,001 and up
FEES
$23.50
$23.50 for first $500 plus $3.05 for each additional $100 or
fraction thereof, to and including $2,0�
$69.25 for first $2,0� plus $14.00 for each additional $1,000
or fraction thereof, to and including $25,000
$391.25 for first $25,000 plus $10.10 for each additional $1,000
or fraction thereof, to and including $50,000
$643.75 for first $50,000 plus $7.� for each additional
$1,000 or fraction thereof, to and including $100,000
$993.75 for first $100,000 plus $5.60 for each additional
$1,000 or fraction thereof, to and including $500,000
$3,233.75 for the first $500,000 plus $4.75 for each additional
$1, 000 or fraction thereof, tb and including $1,000, a10
$5,608.75 for the iust $1,000,000 plus $3.15 for each additional
$1,000 or fraction thereof
DRIVER'AY DEPRESSION ESCROW
(Concrete Curb Streets Only) �
Removal a.nd replacement of curb and gutter only - Driveway width plus 6 feet times $17.00.
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Permits for construction will be issued a minimum of 24 hours from the time of application to allow for proper
review of the proposed structure and of the construction site. ,
VERIFICATION OF FOUNDATION
A Certificate of Survey of the lot, showing the location of the e�cisting foundation will be required before
proceeding with the framing. New Houses Onlv -'. ,
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���NI� S1�ON, P�.
June 13, 2002
Attn: Don Balinger (SkilCraft Industries}
From: Bernie Stroh, P.E.
S,��o� --
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m; RE�1STfRED �
o PRO�ESSI�N��.
: ENGINEE�
���. 14269 .
Re: Western Ridge Estates Condominiums — Deck Replacement & Repairs
Memo: I have completed my structural inspection and review of the proposed deck
replacement and the deterioration of the existing wood framing at the garage
wall and headers at the Western Ridge Estates Condominiums. According to my
calculations, the existing garage wall which is the load bearing wall for the
clearspan scissors roof framing over these units must be temporarily shored in
order to complete the repair and replacement of the deteriorated and rotted wood
framing. I propose a scheme using a minimum of six (6) shoring beams with
adjustable posts as indicated on the attached drawings. The temporary shoring
will adequately support the end wall and roof framing and allow access for the
recommended repairs. The units can remain occupied while the shoring is in
place. I recommend the following procedure:
REMOVE 'THE GYPSUM BOARD CEIi,1NG IN THE GARAGE BACK
TO THE FIRST FLOOR TRUSS.
CUT ANY ACCESS HOLES THAT MAY BE REQUIRED IN ORDER
TO INSTALL THE TEMPORARY SHORING BEAMS AS SHOWN.
THE BEAMS SHO ULD BE �'LACED AS NEAR AS POSSIBLE TO THE
LOCATIONSINDICATED WHICHISBASICALLYATTHESUPPORT
STUD LOCAT70NS FOR THE EXISTING H�.ADERS OVER THE
WINDOWAND DOOR LOCATIDNS.
AFTER THE SHORiNG IS 1N PLACE AND STABILIZED, THE
EXISTING END TRUSS CAN BE REPAIRED BY ADDING NEW
VERTICAL STUDS. I RECOMN�ND A MA��VIIJM STUD SPACING
OF 24" ON CENTER. TI� NEW GARAGE DOOR HEADER SHOULD
ALSO BE INSTALLED AT THIS TIlVIE WITH NEW SUPPORT
STUDS AT EACH END.
AFTER INSTALLATION OF THE NEW GARAGE DOOR HEADER
AND COMPLETION OF THE TRUSS REPAIRS, THE SHORING CAN
BE DISMANTLED AND THE NEW DECK FRAMING 1NSTALLED.
I will be available to visit the site at any time to address any unforeseen structural
issues as the work proceecls to the remaining condominium units nnd to complete a
finrtl inspection if necessapy. Please forrvard a copy of this menzo along with the
attached plans to the City of Fizdley Building Inspections Department.
End of inenzo
AL CUNS�LifN6
�
11�8 SIB�EY MEMORIAL N16HWS1, ME�UOifi NE16Ni5, MN 55118 — fAN: 16511 454-SU86 OEfICE: 16511 454-9455 — E-MdIL: SiflON{N6IHEERIN6@WORLUBE1.Aii.NEi
,���NI� S1�Ofl, ��. � Sz�t"v� =—�-
{ N s i N{{� i a s
�Une 13, 2002 SiRVCiUR�I CO�SULiING
LJEST�RN RIDGE ESTFiTES COPJDOh1IPJIUI�iS— iIECK REPLAC�P�IE�IT
2-2x1t�
D40R
HEADEF:
Oi�l�" VIE4�! OF CLRkGF IJ�LL 6diTFE T�
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Yri,
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`���.�`P�O ..:.�s•�O �
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�``••' REGISTERED�' y
e PROfESSIQNAI ;
� ENGINEER : �
.
�j► �. 14269 ; :
. ,
• ;s�►' .../�.. G_
P�1�3cRS
1128 SIBLEY MEMORIA� N16HWAY, M4�UOiA NE16Hi5, MN 55118 — fdX: I6511 454-5086 OffICE: I651) 454-9455 — E-Mdil: SiflONEH61�EEflIN6@WORIUNEi.Aii.NE1
runr����
14269 ; � �'��
.� ..•,:���'
I!�8 SIBLEY MEMONIRI HIGNWAY, MENU�i9 Nf16HiS, MN 55118 — fAN: I6511 4S4-�OB6 DffICE: I6511 454-9455 �" E-MAI�: SiR�NEN618EEflIN6@WONt�N�i.�Ii.NEi
�
SuB�eCT � "Fi1�lll� NO.�'�j
City of F�rid�e� � � �. 3 2 7 6 6, �
�UILDIN� PERMIT �
AT TME TOP OF TME 7WINS
r
� � RECEIPT NO.
� `L _ _ COMMUNITY QEVELOPNIENT DIV. �� /
j � �• � PROTECrIVE INSPECTION SEC.
1 . �
� _ �"'f � CtTY HALL FRIOLE� SS132 NUMBEp pEV O�ifi P�GE OF �vvnOVED Br
�'""'� � �'' 612-571-3450 910-F15 7/10/02 � �
10B AODRESS 1229 Hillwind Rd NE .
t LEGAL LOT NO. BLOCK TRACT OR AODITION SEE ATTACNED
oesca. 1 1 Western Ridge Addition SHEET
2 PROPERTV OWNER MAII AOOFES$ 21P PMONE
Ed Maierhoffer, 1229 Hillwind Rd, Fridley, MN 55432 763-574-1920
3 CONTRACTOR MAIL ADDRESS Z�P PFIONE LICENSE NO
Skilcraft, Inc., 1601 N Innsbruck Dr, Fridley, MN 55432 763-572-0913 8107
4 ARCHITECT OR DESIGNEF MAIL AODRESS ZIP PMONE UCENSE NO.
5 ENGINEER MAII AODRESS 2�P PHONE LICENSE NO
8 USE OF BUIIDING
Residen�ial
7 CLASS OF WORK
� NEW � A�DITION 0 ALTERATION C� REPAIR O MOVE O REMOVE
8 DESCRIBE WORK
Deck rep�acemer.t & building repair
9 CHANf3E OF USE FROM T�
STIPULATIONS
Per En�ineeria�.g letter
TVP� CF CONST. OCCUPANCY GROUP OCCUPANCV LOAD
SEPARATE PEFiMITS ARE REOUIRED FOR ELECTflICAL, PLUMBING. MEATING.
VENTILATING OR AIR CONDITIONING-
THIS PEfiM1T BECOMES NULL AND VOID IF WOiiK Oii CONSTRUCTION tONING SQ. fT CU FT.
AUTMORIZED IS NOT COMMENCED V111THIN 80 OAYS, OFl IF CONSTRUCTION
OR WORK IS SUSPENDEO OR ABANQONED FOR A PERIQO OF /2Q OAVS A7 �
ANV TIME AfTER WORK IS COMMENCED ' NO DWLG. UNITS OFfSTREET PARKING
1 HEFEBY CERTIfY THAT I MAYE READ ANO E%AMIN�D THIS APPUCA710N S7A�LS GARAGES
ANO KNOW TME SAME TO BE TF1UE AND CORRECT. ALL PAOVISIQNS Cf LAWS VALUATION SURTAX
AND ORDINANCES GOVERNING TNIS TYPE OF WORK WILI �� CpMPUEO �15 OOO.00 ��I.SO
WITH WHETHER SPECIFIEO MEREIN OA NOT. TNE GRANTING OF A PERMIT D
DOES N07 PRESUME TO GIVE AUTHORI7Y TO VIOLATE OR CANCEL THE pEqMIT FEE SAC CMARGE
PROVISIONS Of ANY OTHEF STATE OR LOCAL LAW REGULATING CON- ��51.2.� Fire SC �IS.00
STRUCTION OR TH fORMANCE OF CONSTRUCTION
P4AN CHECKFEE TOTALFEE
0� � Z T�icens .00 $27 .75
S�G 4TUp �CON'AACTOpOpOUTHOA�ZEOAGENT •TE� EN ROPE Y LIDATE �5 IS VOUR PERMIT �
!� ��J����y
S�GN/TUAEO�OWNEp��fOWNEpBURDEA� �D��E� ' Bl �NSP � - � ����f
ts+ 6
NEW [] CITY OF FRIDLEY Effective 1/12002
ADDN [ J 6431 University Ave NE, Fridley, MN 55432 (763) 572�3604 Bidg Insp
ALTER b[j �,��L SINGLE FAMILYAND DUPLEXES R-1 AND R-2
����a � � ���p,�/ BUILDING PERMIT APPUCATION
��p�>>, ?� �Q�1�10
Cohstruction Address: 1� 2 9 t1r�L � o r�sJ � ��� pt�i i�ju �-sy3 �
Legal Description:
Owner Name & Address: E'yn PI'1���i� l�o��/t <ra,�ait��3s l�e��v� � Tel. # 7� 3- s7y- /9zo
Contractor. �S'.��ccr�r�,�r ��v�. MN LICENSE# �'�� a
Address: /� a f �. .`'�a�r✓s,�,2 �rr� �f� . F/� i��� �2.�r Tr�3 z Tel. # 7� �- s' �z -�� i.�
LNING AREA:
GARAGE AREA:
DECK AREA:
OTHER:
Attach to this application, a Certificate of Survey of the
lot, with the proposed construction drawn on it to scale.
DESCRIPTION OF IMPROVEMENT
Length Width Height Sq. Ft
Length Width Height Sq. Ft
Length � Width •.�� HgUGround Sq. Ft
f2 �?'�cH�`i
�'
Construction Type: � �e �, � Estimated Cost: $ /� �� � °
Driveway Curb Cut Width Needed: Ft + 6 Ft = Ft x$ _$
DATE: 6 Z � Z. APPUCANT: s�� GD Gt i�vG�/� Tel. #���-��Z -° 91,�
Call (763) 572-3604 for Permit Fees if mailing in appiication or Fax to 763-571-1287 if using credit card and we wiii
call you for card numbe�.
CITY USE ONLY -
Permit Fee
Fire Surcharge
State Surcharge
SAC Charge
License Surcharge
Driveway Escrow
Erosion Control
Park Fee
Sewer Main Charge
$ � �/, �5
$ /�,o�
$ `7 , S �
$
$ ,-r� � e9�
$
$
$
$
Fee Schedule on Reverse Side
.001 of Permit Valuation (1/10th%)
$.50/$1,000 Valua�on
$1200 per SAC Unit
$5.00 (State Licensed Residential Contractors)
Alt. "A" or Alt. "B" Above
$450.00 Conservation Plan Review
Fee Determined by�Engineering
Agreement Necessary [ ] Not Necessary [ ]
TOTAL $ � �� � / � STIPULATIONS:
BUII.DING PERNIIT 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 structure,
upon applica.tion therefore, require the payment by the applicant for such permit of fees to the amount herein
below set forth and in the manner herein provided tawit:
TOTAL VALUE
$1 to $500
$501 to $2,000
$2,�1 to $25,0�
$25,(�1 to $50,000
$50,001 to $100,000
$100,001 to $500,000
$500,001 to $1,000,000
L���.y
$23.50
$23.50 for first $500 plus $3.05 for each additional $1Q0 or
fraction thereof, to and including $2,000
$69.25 for first $2,0� plus $14.00 for each additional $1,000
or fraction thereof, to and including $25,000
$391.25 for first $25,000 plus $10.10 for each additional $1,000
or fraction thereof, to and including $SO,U00
$643.75 for first $50,000 plus $7.00 for each addirional
$1,0(� or fraction thereof, to and including $1(�,000
$993.75 for first $100,000 plus $5.60 for each additional
$1,000 or fraction thereof, to and including $500,000
$3,233.75 for the first $5�,0� plus $4.75 for each additional
$1,000 or fraction thereof, to and including $1,000,000
$1,000,�1 and up $5,608.75 for the first $1,000,000 plus $3.15 for each additional
$1,000 or fraction thereof
DRIVEWAY DEPRESSION ESCIi;4W �
(Concrete Curb Streets Only)
Removal and replacement of curb and gutter only - Driveway width plus ¢�eet times $17.00.
Permits for construction will be issued a minimum of 24 hours from the time of application to allow for proper
review of the proposed structure and of the construction site. .
VERIFICATION OF FOUNDATION
A Certificate of Survey of the lot, showing the location of the e�cisting
proceeding with the framing. New Houses Onlv ,� _�, ,
founda.tion will be required before
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SuaNgPECTION
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• � sue�etT � =#sEi�MIT NO
C�ty of F��a��� � 3 2 76 8�
AT TME TOP OF THE JININS ��� L D��� P E R M I T ���
�
� � RECEIPT NO.
� • COMMUNITY pEVELOP�ENT DIV. � �� �
i VV �����', ...
r � � PqOTECTIVE INSPECTION SEC.
� . .
� � �'�'1 � CITY FiALL FRIDLE� 654�2 NUMBER pEV DATH VAGE OF APPRpVEO BY
���--� � �'' 612-571-3450 910-F15 7/10/02 � �
lOB ADORESS 1231 Hii3wind Rd NE -
1 LEGAL �OT NO. BLpCK TRACT OR AODITION SEE ATTACMED
DESCR. 1 1 Western Ridge A,ddition SNEET
2 PiiOPEiiTY OWNER MAIL ADpR�$$ I�P PHONE
Virginia Sande, Z231 Hiiiwind Rd, Fridley, MN 55432 763-586-0477
3 CONTRACTOR MAII AODRESS ZIP PHONE LICENSE NO
Skilcraft9 Iac, 1601 N Innsbruck Dr, Fridley; MN 55432 763-57�-0913 8107
d ARCMITECT OR DESIGNER MAIL ADORESS ZIP PHONE UCENSE NO.
S ENGINEER MAIL ADDRESS ZIP PHONE IICENSE NO
6 USE OF BUILDING
Residenti�.l
7 CLASSOFWOFK N� p ADDITION � ALTERATION � REPAIR O MOVE O FiEMOVE
�
8 DESCRIBE WORK
Deck replacement & building repair
9 CHAN(3E OF USE FROM TO
STIPULATIONS
Per E�gineeri�g letter
TYP� dF CONST OCCUPANCY GROUP OCCUPANCY IOAD
SEPARATE PERMITS ARE REQUIiiED fOii ELECTRICAL, PLUMBING. MEATING,
VENTILATING OR AIR CONDITIONING
THIS PERMIT BECOMES NULL AND VOID IF WQRK QR COf�STRUCTIqM ZpNING SO. FT CU FT
AUTHORI2ED IS NOT COMMENCED VjIITHIN 80 DAYS. OR IF CONSTRUCTION
OR WORK IS SUSPENOED OR ABANQONEO FOR A PERIOD OF 12Q OAY$ AT '
ANV TIME AFTER WOqK IS COMMENCED. ' NO DWLG. UNITS OFfSTREET PARKING
1 HEREBY CEqTIfY THAT 1 MAVE iiEAD ANO ExAMINED THIS APPLICA710N STALLS GARAGES
ANO KNOW TME SAME TO BE TF1UE ANO CORRECT. ALL PROVISIONS OF LAW$ yq�UATION SUFTAX
ANO ORDINANCES GOVERNING TNIS TYPE OF WORK WILL B� CpMP1,lE0 1S�OOO.00 �7.SO
WITM WMETMER SPECIFIEO MEREIN OFi NOT. TNE GRANTING Of A PERMIT �
DOES NOT PRESUME TO GIVE AUTMORITV TO VIOLATE OR CANCEL TNE pEqMIT FEE SAC CHAFGE
PROVISIONS OF ANY OTMER STATE OR LOCAL LAW REGULATING CON- �LS1.2.5 Fire SC �15.00
STRUCTION OR THE PERfORMANCE OF CONSTFUCTION
PI,AN CMECK FEE TOTAL FEE
7 /0 � �-- Licezs 00 $27 .75
S�GN� pE N•AACTOAOp1UTMOp12EDeGENT IDATE� EN ROP ALIDAT IS IS VOUR PERMIT
__��d�
S�GNnTUQE 0� OWNEA��� OWNEpBURDEpi iD�fE� ' Bl G�NS� ' - � p°Tt
� i'w
NEW [ j CITY OF FRIDLEY Effecbve 1N/2002
ADDN [] 6431 University Ave NE, Fridley, MN 55432 (763) 572�604 Bldg insp
ALTER �J SINGLE FAMILY AND DUPLEXES R-1 AND R-2 G 1�9�
BUILDING PERMITAPPUCATION `����
Cohstrucfion Address:
�
Legal Description:
Owner Name 8� Add�ess: ���� � � � Tel. # °�6� ���� - � � ��
Contractor. .�� - A � � � �-.� � �cv � MN LICENSE # �e a �
Address: �" � � a , � _ �,���° �°,� �� � i2�d . � ��2 E � � �".s� � 3 � Tel. # �� � �"� � � o � ! .�
Attach to this application, a Certificate of Survey of the
lot, with the propased construction drawn on it to scale.
° DESCRIPTION OF IMPROVEMENT
�� rn�v� � Q�:�4r�c� (� �° G�c �la�� ��'es�2�n G�Y1-s� (. 1����er�S Oat� �ec�;� �% �r��'
t.�J r �T�-I � �� �J r �s �'� �: �-� ���'�1 /'� % � �i"!� � !�'E��
LMNG AREA: Length Width Height Sq. Ft
GARAGE AREA:
DECK AREA:
OTHER:
Length Wdth Height Sq. Ft
Length Width Hgt/Ground Sq. Ft
Construction Type: ��� Estimated Cost: $ e � ���� � � ___
Driveway Curb Cut Width Needed: Ft + 6 Ft = Ft =$
DATE: � D APPLICANT: : � � Tel. # � �.� .f � �- � � � � 3
Call (763) 572-3604 for Permit Fees if mailing in application or Fax to 763-571-1287 if using credit card and we will
cail you tor cani number.
CITY USE ONLY -
Permit Fee
Fire Surcharge
State Surcharge
SAC Charge
License Surcharge
Driveway Escrow
Erosion Control
Park Fee
Sewer Main Charge
TOTAL
$ ,-�1.�/ o��
$ /''' � t�
$ %. S�7
$
$ P o0
$
$
$
$
$ �'I �l. � S°
Fee Schedule on Reverse Side
.001 of Permit Valuation (1 /10th%)
$.50/$1 �000 Valuation
$1200 per SAC Unit
$5.00 (State Licensed Residential Contractors)
Ait. "A" or Alt. "B" Above
$450.00 Conservation Plan Review
Fee Determined by�Engineering
Agreement Necessary [ ] Not Necessary [ ]
�
STIPULATIONS:
�
BUII.DING PERNIIT FEE SCHFDULE
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 existang building or structure,
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 provided to-wit:
TOTAL VALUE
$1 to $500
$501 to $2,000
$2,�1 to $25,000
$25,001 to $50,000
$50,001 to $1(�,000
$100,001 to $500,000
', 11 11 • '. 111 111
$1,000,(� 1 and up
FEES
$23.50
$23.50 for first $500 plus $3.05 for each additional $100 or
fraction thereof, to and including $2,000
$69.25 for first $2,�0 plus $14.00 for each additional $1,000
or fraction thereof, to and including $25,000
$391.25 for first $25,000 plus $10.10 for each additional $1,000
or fraction thereof, to and including $50,000
$643.75 for first $50,000 plus $7.� for each additional
$1,000 or fraction thereof, to and including $100,000
$993.75 for first $100,000 plus $5.60 for each additional
$1,0(� or fraction thereof, to and including $500,000
$3,233.75 for the first $5�,0� plus $4.75 for each additional
$1,000 or fraction thereof, to and including $1,000,000
$5,608.75 for the first $1,000,000 plus $3.15 for each additional
$1, 000 or fraction thereof
DRIVEWAY DEPRESSION ESCROW
(Concrete Curb Streets Only)
Removal and replacement of curb and gvtter only - Driveway width plus 6 feet times $17.00.
Permits for construction will be issued a minimum of 24 hours from the time of application to allow for proper
review of the proposed structure and of the construcrion site. .
VERIFICATION OF FOUNDATION
A Certificate of Survey of the lot, showing the l�a.tion of the existing foundation will be required before
proceeding with the framing. New Houses Onlv �-
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sue�eti � ERMIT NO.
City of Fridle� ��2769
.
AT THE TOP Of TME �►INS g u I L D i N� P E R M I T -
� � � � RECEIPT NO.
� • COMMUNITV QEVELOPN►ENT DIV.
� VV ������� .
r � � PqOTECTIVE INSPECTION SEC. � �/
� ,
� . �
� � /"'1 � CITY NALL FFIOLE� SS�Si NUMBER pEV DATE PAGE Oi APPROVED 8Y
ti.__.11.' '•� 612-571-3460 9t4-Ft5 7/10/02 � �
JOB ADDRESS 1237 Hi�.lwind Rd NE .
1 LEGAI LOT NO. BIOCK TfiAC OR AOOITION SEE ATTACHED
DESCR. 1 1 Western Ridge Addition SHEET
2 PiiOPERTY OWNER MAIL ADDRQS$ Z�P PMONE
Joanna Cook, 1237 Hi�lwind Rd, Frid�ey, MN 55432 763-502-7920
3 CONTRACTOR MAII ADDRESS Z�P PHONE LICENSE NO
Skilcraft, Inc, 1601 N Innsbruck Dr, Fridley, MN 55432 763-572-0913 8107
e AfiCNITECTORDESIGNEf; MAILADORESS ' ZIP PHONE IICENSENO.
5 ENGINEER MAIL ADDRESS tIP PNONE IICENSE NO
8 USE OF BUILDING
Residential
7 CLASSOFWORK � NEW p ADDITION � ALTERATION �] REPAIR p MOVE O REMOVE
B DESCRIBE WORK
Deck replacement & building repair
9 CHANGE OF USE FROM TO
STIPULATIONS
Per Engineering letter
' TYPE OF. CONST. OCCUPANCY GROUP OCCUPANCv �OAD
SEPARATE PERMITS ARE REOUIRED FOR ELECTflICAL. PLUMBING. HEATING.
VENTIIATING OR AIR CONDITIONING.
TMIS PERMIT BECOMES NULL AND VOID IF WQRK Op CONSTRUGTIOM IONING SQ. FT CU FT
AUTHORIZED IS NOT COMMENCED V�IITHIN 80 DAYS. OR IF CONSTRUCTION ;
OR WORK IS SUSPENDED OR ABANqONEO fOA A PEH100 OF 12Q DAYS A7
ANY TIME AFTER WORK IS COMMENCED. ` NO. DWLG. UNITS OFFSTpEET PARKING
I MEREBY CERTIFV TMAT I HAVE FlEAD ANO E%AMIN�O THIS APPLICA710N STA�I,S GAFAGES
AND KNOW THE SAME TO BE T61UE AND CORRECT. AlL PROVISIONS bF LAW$ yp�UqTION SURTAX
ANO ORDINANCES GOVERNING TMIS TVPE OF WQRK WILI. Q� CpMP41E0 �1S OOO.00 �7.SO
WITM WHETMER SPECIFIEO MEREIN OF NOT. TME GRANTING OF A PEiiM1T �
DOES N07 PRESUME TO GIVE AUTHORITV TO VIOLATE OIi CANCEI THE pEqMiT fEE SAC CMARGE
PROVISIONS OF ANY OTMER STATE OR LOCAL LAW REGUTATING CON- �LSI.ZS Fire SC �IS.00
STFiUCTION OR 7ME PERFORMANCE OF CONSTRUCTION
PL,AN CMECK f EE T07A� f EE
� 7 � � � License 00 $278 75
5�^ Aru �CON'AGCTOAOpAUTMOA�ZEDAGENT iD rE� N P OPER V IDATED T S IS VOUR PEpMIT
7�,/r���
S�GNSTUaE O� OWNEA��� QWNEp BWIDER� �OATE� ' � BLD w5� � ��°TE
NEW [ j CITY OF FRIDLEY Effective 1/1R002
ADDN [] 6431 University Ave NE, Fridley, MN 55432 (763) 5723604 Bldg Insp
ALTER (� SINGLE FAMILY AND DUPLDCES R-1 AND R-2 ,�b�
BUILDING PERMIT APPLICATION � �3
�
Construction Address: � � � � �d �� �,.� e � � � � `� e �a �.� � ��� � � �� � �
Legal Description:
Owner Name & Address: Al � �,►�4�� � �e���� �,�s���.�.�-.� �����E � Tel. # �� � .�°-c��- �� ��
Contractor. �,,,• a � a�,,� .�� � � � MN LICENSE # �r� �
Address: i � a� � .� �� r � s ,� 2 �� r� ��t �� i � e � � fs-z1 � 2- Tel. # �' � � � 7 z - � �°' r �
Attach to this application, a Certificate of Survey of the
lot, with the proposed construction drawn on it to scale.
��,,, �►, C,� r� �-�� r� t� DESCRIPTION OF IMPROVEMENT
f.��°�r- /t .ar� ��`2 �rt/�r (� €�e.'i� L ��/'•��•Q� � •v % rCv,/�l�i+�P✓e�•
i�J � i�f � �.rh-� �'� e��i ����� �� ��l�'��
LMNG AREA:
GARAGE AREA:
DECK AREA:
OTHER:
Length Width Height Sq. Ft
Length IMdth Height Sq. Ft
Length Width HgUGround Sq. Ft
�� �
Construction Type: ��.�� � Estimated Cost: $ �s� ��°
Driveway Curb Cut Width Needed: Ft + 6 Ft = F =$
DATE: � � APPUCANT: ��v�r� �.fa � �,�I��i���� Tel. # �� .� s"� � �� g ��
Call (763) 572�604 for Permit Fees if mailing in application or Fax to 763-571-1287 if using credit card and we will
call you for card number.
CITY USE ONLY -
Permit Fee
Fire Surcharge
State Surcharge
SAC Charge
License Surcharge
Driveway Escrow
Erosion Control
Park Fee
Sewer Main Charge
$ � s% .� �--
$ / 5 C� �
$ '�� S�
$
$ �00
$
$
$
$
Fee Schedule on Reverse Side
.001 of Permit Valuation (1/10th%)
$.50/$1,000 Valuation
$1200 per SAC Unit
$5.00 (State Licensed Residential Contractors)
Alt. "A" or Alt. "B" Above
$450.00 Conservation Plan Review
Fee Determined by Engineering
Agreement Necessary [ ] Not Necessary [ ]
TOTAL $ � �� �� STIPULATIONS:
BUII.DING PERNIIT FEE SC�DULE
The Chief Building Official shall, before issuing perm.its 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 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 provided tawit:
TOTAL VALUE
$1 to $500
$501 to $2,000
$2,�1 to $25,000
$25,�1 to $50,000
$50,001 to $100,000
$100,001 to $500,000
$SOO,QO1 to $1,000;000
$1,Q00,001 and up
FEES
$23.50
$23.50 for first $500 plus $3.05 for each additional $100 or
fraction thereof, to and including $2,000
$69.25 for first $2,000 plus $14.00 for each additional $1,(�0
or fraction thereof, to and including $25,000
$391.25 for first $25,000 plus $10.10 for each additional $1,000
or fraction thereof, to and including $50,000
$643.75 for first $50,000 plus $7.00 for each additional
$1, 0� or fraction thereof, to and including $100,0(�
$993.75 for first $100,000 plus $5.60 for each additional
$1, 000 or fraction thereof, to and including $500,000
$3,233.75 for the first $500,000 plus $4.75 for each additional
$1, 000 or fraction thereof, to and including $1, 000,000
$5,608.75 for the first $1,000,000 plus $3.15 for each additional
$1, 000 or fraction thereof
DRIVEWAY DEPRESSION ESCROW�
(Concrete Curb Streets Only)
Removal and replacement of curb and gutter only - Driveway width plus 6 feet times $17.00.
Permits for construction will be issued a minimum of 24 hours from the time of application to allow for proper
review of the proposed structure and of the construction site. ,
VERIFICATION OF FOUNDATION
A Certifica.te of Survey of the lot, showing the loca.tion of the existing founda,tion will be required before
proceeding with the framing. New Houses Onlv __
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City of Fridley
AT THE TOP OF TME 7W�NS ��J I L D I N� P E R M I T
i.
� �• COMMUNITY QEVELOPMENT DIV.
� j V �"�� ,
r � � PROTECTIYE INSPECTION SEC.
1 . �
� _ �'�'1 � CITY NALI FRIDLE� SS�32 NUMBEp � AEV DATB
�.__.11.' '•� 612-571-345p 910-F15 7/10/02
JOB AOORESS 1239 Hillwind Rd NE �
t LEGAL �OT NO. BLOCK TRACT OF ADDITION
oesca. 1 1 Western Ridge Addition
2 PROPERTY OWNER MAIL ADpRES$
Tom Langfeld, 1239 Hillwind Rd9 Fridley, MN 55432
J CONTRACTOfi MAII ADDRESS
Skilcraft, I�nc., 1601 Innsbruck Dr, Fridley, MN 55432
a ARCNITECT OR DESIGNER MAIL ADDFESS
5 ENGINEER
ZIP
8 USE OF BUILDING
Residen�.ia1
7 CLASSOF WORK N� p ADOITION O ALTERATION � REPAIR
�
8 DESCRIBE WORK
Deck replacement & buildimg repair
9 CHANGEOFUSEFROM TO
STIPULATIONS
Per Engineering letter
SEPARATE PERMITS ARE REOUIRED FOR EIECTRICAL. PlUM81NG. HEATING.
VENTILAT�NG OR AIR CONDITIONING
THIS PERMIT BECOMES NULL AND VOID IF WQRK OR COf�STRUCTIOM 20NlNG
AUTMORIZED IS NOT COMMENCED W.�TMIN 80 DAYS. OR IF CONSTRUCTION
OR WORK IS SUSPENDED OR ABANDONEO fOF A PERI00 OF 120 DAYS AT '
ANY TIME AfTER WORK IS COMMENCED. ' NO DWLG. UNITS
I MEREBY CERTIFV THAT I MAVE READ ANO E%AMIN�O TMIS APPLICA710N
AND KNOW TME SAME TO BE TRUE AND GORRECT. ALL PROVISIQNS Of LAWS VAlUAT10N
AND OROINANCES GOYERNING TMIS TVPE OF WOpK WILI 8� COMPI,IE� OOO.UO
WITH WHETMER SPECIFIED HEREIN OR NOT. TNE GRANTING OF A PERMIT � 15 s
DOES NOT PRESUME TO GIVE AUTHORITV TO VIOLATE OR CANCEL TME pERMIT fEE
PROVISIONS OF ANY OTNER STATE OR IOCAL LAW REGULATING CON• @rsS1.,,ZS
STRUCTION OF TNE PERFORMANCE Of CONSTRUCTION 'NP
P4AN CNECK FEE
f� d2 i,�C2
y TU F CONCaACTOp Op AUTMOA�ZED eGEN� 10 TE� EN FO
�D�rE� � �
6 r - *
SO. fT
STAILS
�III]
VAGE Oi
� �
32770'�
�_ - ,.
RECEIPT NO.
� /�/
AVVROVED B1I
SEE ATTACHED
SFIEET
763-502-6670
PNONE IICENSE NO
763-572-0913 8107
PMONE LICENSE NO.
E LICENSE NO
p MOVE O REMOVE
UP OCCUPANCY�OAD
CU f T
FSTREET PARKING
IGARAGES
$7.50
SAC CMARGE
Fire SC $15.00
TOTA�FEE
�`2%8
D TH IS VOUR PERMIT
�/�E �,
NEW [] CITY OF FRIDLEY Effecctivve 1/12002
ADDN [] 6431 University Ave NE, Fridley, MN 55432 (763) 572�3604 Bidg Insp
ALTER [�' SINGLE FAMILY AND DUPLEXES R-1 AND R-2 ,�
BUILDING PERMIT APPLICATION �Q,���
Construction Address: ��..�! ��,��z �s �sc� �,� �`/� �..� � � �a� SS y� 2—
Legal Description:
Owner Name 8 Address: ��s� �.� �� �-��. r� Te�. #�� i.�a � m e'� ��
Contractor. ��o�, � c ,� �a �= r rL ,�, � o MN LICENSE # !�! � �
Address i ��l �. y.:��✓ � ��� �e�a�e r��t _ �B�L e �a _���.��, Tel. # ��.� �° � � - a �' � �
Attach to this application, a Certificate of Survey of the
lot, with the proposed consfruction drawn on it to scale.
DESCRIPTION OF IMPROVEMENT
�'�-7yr c�r✓� �✓� %C'� P�� c� i,�Gt'! ��� ��� F'� s� ���� 2:�1 L�EPfI r/1S l•cc.� �e-eaf�,��,c1��,-
C� 1 il� ��"yP � l�' �%���1 iC� c.P� 2 l.
LNING AREA: Length Width Height Sq. Ft
GARAGE AREA:
DECK AREA:
OTHER:
Length Width Height Sq. Ft
Length Width Hgt/Ground Sq. Ft
Construction Type: �'� �� � Estimated Cost $ � ° � ��
Driveway Curb Cut Width Needed: Ft + 6 Ft = Ft x$ _$
� /.
DATE: � �- A��LICANT: Pa � .� • Tel. # �.� S��Z - � i / 3
Call (763) 572,3604 for Permit Fees if mailing in application or Fa�c to 763-571-1287 if using credit card and we will
call you for caM number.
CITY USE ONLY -
Permit Fee
Fire Surcharge
State Surcharge
SAC Charge
License Surcharge
Driveway Escrow
Erosion Control
Park Fee
Sewer Main Charge
� � ���
$ /� o�a d
$ �� S�
$
$ 5= o b
$
$
$
$
Fee Schedule on Reverse Side
.001 of Permit Valuation (1/10th%)
$.50/$1,000 ValuaUon
$1200 per SAC Unit
$5.00 (State Licensed Residential Contractors)
Alt. "A" or Alt. "B" Above
$450.00 Conservation Plan Review
Fee Determined by�Engineering
Agreement Necessary [ ] Not Necessary [ ]
TOTAL $ �7�° �S� STIPULATIONS:
BUII.DING PERMIT FEE SC�ULE
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 applicaxion therefore, require the payment by the applicant for such permit of fees to the amount herein
below set forth and in the manner herein provided to-wit:
TOTAL VALUE
$1 to $500
$501 to $2,000
$2,001 to $25,000
$25,001 to $50,000
$50,001 to $100,000
$100,�1 to $500,000
$500,001 to $1,000,�0
$1,000,001 and up
FEES
$23.50
$23.50 for first $5� plus $3.05 for each additional$100 or
fraction thereof, to and including $2,000
$69.25 for first $2,000 plus $14.00 for each additional $1,000
or fraction thereof, to and including $25,000
$391.25 for first $25,000 plus $10.10 for each additional $1,000
or fraction thereof, to and including $50,000
$643.75 for first $50,000 plus $7.00 for each additional
$1,� or fraction thereof, to and including $100,000
$993.75 for first $100,000 plus $5.60 for each additional
$1,0� or fraction thereof, to and including $500,000
$3,233.75 for the first $500,000 plus $4.75 for each additional
$1, 000 or fraction thereof, to and including $1,000, 000
$5,608.75 for the first $1,000,(�0 plus $3.15 for each additional
$1,000 or fraction thereof
• ,
DRIVEWAY DEPRESSION ESCROW
(Concrete Curb Streets Only)
Removal and replacement of curb and gutter only - Driveway width plus 6 feet times $17.00.
Permits for construction will be issued a minimum of 24 hours from the time of application to allow for proper
review of the proposed structure and of the construction site. ,
VERIFICATION OF FOUNDATION
A Certifica,te of Survey of the lot, showing the location of the existing foundation will be required before
proceeding with the framing. New Houses Onlv �.
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SuB�ECT
c;ty of Fridley
AT THE TOP OF THE TW�NS g U I L D I N G P E R M I T
r
! �` ���� COMMUNITY DEVELOPMENT OIV.
r � v � PROTECTIVE INSPECTION SEC.
i �
� _ �'�'1 � CITY HALL FF110LE� 55132 NUMBEA NEV OATE vAGE OF
�""� � �'' 763-571-3450 910-F15 7/26/02 / /
JOBADDRESS 1229, 1231, 1233, 1235, 1237 & 1239 Hillwind Road NE
1 LEGAI ��T NO. BLOCK TRACT OR ADOITION
d
5
oescp. 1 1 Western Ridge Estates
y�IT NO.�
3293�
REC�� .
���
�vvnovEO Bv
SEE ATTACHED
SHEET
ROPERTY OWNER MAIL AODRESS 21P PMONE
Tom Langfeld 1239 Hillwind Road NE 763-502-6670
ONTRACTOR MAIL ADORESS ZIP PMONE LICENSE NO
Skilcra�t Inc 1601 North Innsbruck Dr 4�126, Fridley, MN 55432 763-572-0913
RCNITECT OR DESIGNER MAIL ADDRESS ZIP PMONE LICENSE NO.
81�7
NGINEER MAIL ADDRESS ZIP PHONE LICENSE NO
8 USE OF BUILDING
Residential Townhouses
7 CLASS OF WOFiK
O NEW ❑ ADDITION O ALTERATION 6� REPAIR ❑ MOVE O REMOVE
B DESCRIBE WORK
Reroof Building (66 Sq) Tear-off
9 CHANGE OF USE FROM
TO
STIPULATIONS
Underiayment must comply with the State Building Code.
TVPE OF CONST.
SEPARATE PERMITS ARE RE�UIRED FOR ELECTiiICAL, PLUMBING, HEATING,
VENTILATING OR AIR CONDITIONING.
TMIS PERMIT BECOMES NULL AND VOID IF WORK OF CONSTRUCTION 20NING
AUTHORIZED IS NOT COMMENCED WITHIN BO DAVS. OR IF CONSTRUCTION
OR WORK IS SUSPENDED OR ABANDONEO FOR A PERI00 OF 120 DAYS AT
ANY TIME AFTER WORK IS COMMENCED. NO DWLG. UN
I MEREBY CERTIFV THAT I NAVE READ AND EXAMINED THIS APPIICATION 6
AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS yp�VATION
AND ORDINANCES GOVERNING TMIS TVPE OF WORK WILL BE COMPLIED ��074
WITH WHETHER SPECIFIED MEREIN OR NOT. THE GRANTING Of A PERMIT
DOES NOT PRESUME TO GIVE AUTMOqITV TO VIOIATE OR CANCEL THE pERM17fEE
PROVISIONS OF ANV OTHER S ATE OR LOCAL lAW REGULATING CON• �1S3.2S
�TRUCTION OR T E P i;M NCE Of CONSTFUCTION
` PLAN CMECK FE
X 7� G O�. License
S�GN4T�/ OF CO/ • CTOA Op vUTMOp�IED oGENT IDA E� N
A BUILOEp� iDATEi - �
e
STAILS
$5.00
OCCUPANCYLOAO
CU
ET PARKING
IGARAGES
$3.54
;CMARGE
Fire SC $7.07
fAL FEE
$ 8.86
' S IS YOUR PEpMIT
_ 7-�� -��
r�arE
.
� ,��� � �� CI7Y OF FRIOLEY
p E l 643� Universiry Aov+a N�. Fa�ley. Ntsv 55432
ALT�F� (� 51NC`sLE F'�1M�.Y AND �UPI.EXES R-1 AND R 2
�UlLDINt3 PERAAfi�tPPLICATiON
1��� �0 3 3, .3�` ;��'� �p
Co�struction Address: ! 2 / j ` �
Legal �scription:
C�mer IVam� 8� Rddr�s�:
Contract�r. 5"urc c
Adaress�
LNiN�3 A��:
G/�fiAGE AREA:
Df�C1°C AREA:
i3T@1ER:
'o �. ����z�, / L
' f,.�c.
,� s�r� uL� �,t. "�r z �
Effedive 1/112�'"1
{�ss) st��oa ewg ins�
�� �`���
�
��Tel. # 7C 3 ��2-667�
MN LICENSE # �'J D 7 -
�•,�r�T�+. �, 76 � S' � z- a S ��_
ach t� thes appi6c�ilo�, a%rtficate of Survey of the
with th� prop��� c.c�nstrtrre4ian dr�wn on it to scale.
Lea�g �
°-�9 ___—______
L�n9�! _.____._�
DESCRlPTItyN OF IMPR4VEMENT
Wfdth H�igttt _____..._ Sq. Ft
�� Height �� �• Ft
VVidtrt H9vGrourd
.� .� �(c'� - /�'oo � �
Ccnstn,�tion Type:�„ '� � _ Esiirnated C�sl� � � , �ta�. `�° v �� �%�°
��w��y �v� c�t �nrrdtn r�ee�e�: �� � s Fc = _,___�c x a _ = a -- -
I
' ie�.# ?63_s7a-o9.�
DATE: ,,;�.L� dAP I.ICAI�i�':
,�7��v �e �� �S''X ot � d o F�' I'.�e .
Ca11(7�3� ST2�3804 for Perm Feea if em�il9s�g ie� ap� catdon ap �ax to 763-�71-1287 if using credit crdrei and we wilf
cal� you fc�r es�t9 number. �
�9TY tJSE OPiLIf -
Pecmit Fee ����.�' ��� F�e S�chedul� on Rever�e Side
Fir� Surcharg� $ , .001 �i Perrr�it iialua�on (1l10th�lo)
Stat� Surcharge $ . � � �.50I�1,dQ0 Val��t�on
SRC Ch��g�e � �1�OU p►er SA+C iJnit ,
�.i�en�e Surcharg� $,� �5��� $5.t�0 (S#ate Licensed Residenti�l Con�actors)
3Ji�Pi�s'�y ��iV:r�� � , R"i�l. �T1,� �f /°911. UBtf /1Lol�
Er�sion Control � '$450.00 Cpean�ervaYion F'Aan Rer►iew
Park Fee $..,._, �ee Uetemnlr�ed by �r�gineering
Sewer Main Ch�rge �� Agre�rner�t Nec�ssar9r [] Not �fecessary [�
TdTAL S ' �• �°° STIPULAilO1dS:
�
r
, C01Y OF FRI�IEIf Effective 9/1J2�2
�
� NEW ( ] �� � 2�
,�ON j j 6431 Universily Ave NE. Fr�d4!�y. i1AN 55432 {T63' Slx-380ri Bidg Ir�gr
�i,TER ( J 81NGLE FA�.Y A�I� DUiPt.�XES R-1 AND R 2 j,
�tilLDll�fit� PERAAlT APPLiCATiOIN
�on�Yruciion Address: lZ 7
Legal De�crip�on:
Owrt�r iVams & Addres�: �
+�onu�ctor. 5°�i t c � k�i�'
LdVtNG AREA.
GARR�►►GE APt�AA:
D�Cit A�A:
OTFi�R:
�
c.
�
�
Te�. # 7� � 2. - 7 9 20
MN LICENSE #_ S'/ D 7
76�'S"?$•e3i�
ch 4a �is applic.�tion, a Certificate of Sunoey of '
I, with the prs�posed consiruction drav+m �n � to I�.
DESCRlP'fACN OF 11MPROVEME
L� � � �� � Sq. Ft
L�t9 .�_____� ylAdth H�i t��. FL
Len9�) _,�___r_� �d� Grourd S4. Ft
� .� �Pc - ov !/
G�n�tntc�ion Type: � �.i�, c -
�
Dr'sv�way C�sb Cut �dth
D,r�'�. G 'Z
CaIE {783j 57��80�1 f�r Pe
c�l! p�u for eard number.
P'�rrnit Fee �.
Fire �ur�harge S
�tate �urcharge $,
SAC C�arg� �.
License Surcharge $.
Driveway Es�row $.
Erc�sion Controi S.
Park Fe�e $.
��a��r Main Charge $,
T41"r�i,.
$ �
�F� + 6 Ft =
.
Fees if malling ict
COSt $ `L, �o'D. �8
x � _$
T�I.# ?d3 S?i-v9i�
�,C S'ec� �c c�C a r �' S�v� .
€on �a� Fax ta 763-571-32�T tf using cred�t carc! and we wif!
U9E ONLY -
Fee Schedule on Fieverse Sid�
.00� of Permit Valua�on {1I10th%)
$.50!$ t , OQ0lfalu�#ion
$1204 per SA+C Unit
55.00 (State Lic�ns�d Resid�ntial Cor�tractors}
Ait "�►" oc Alt. '°B" Above
$450.00 Coa�serva4ion Pian Review
Fee Detem�ined by E�gineering
Agree�ent Necessary [] 9Vot Neces��� [ j
STiPULATION5:
� N�W
ADON
�.�R
[ ] �c. r�6 ! �� cnY o� �rtiot�r Et�ac�ve ��1�2oa�
6431 Universily Ada NE. Fridley. MN 55432 g78�m 572-�� Bldg Ina�
C, SINGLE FAMi�.Y ANO CUPL�EXES R-4 AND R 2
ia �
8UlLDING PERMff APPLIC.�►710N
Cohstru�tie�n Ad+�ress: 1 Z
�ega! Desc�ipUon:
Owner ldame 8� Address: _
�on4r�ctor. �'u<t c,e.,��
Adclre�s� ���I !U. �
LM�BG AR�4:
�A�G� AREIi:
t�E�!( I�REA:
�'B'F��it:
! r�ttc��1 / 2 3 � `�� e
c�[' /°%R. �i�6� � �—
� Tel. #
MN LICElVSE #
� 5r�1�Tel. #_
ach to �is applieation, � Certificate of Suavey of the
w�th th� pr�p�ssed construction drawn on �t to sc�a{e.
DESCRIPTION OF IMPROVEMENi
I
�� �� y�� H�ight
L� �r �� Height
l.er�gtt0 � Wtdtlt HgV{3rour�d
9
•-�- n� n n z- c��.'� IPG - ilGO D�' %/ S`
����g���n °gy�: � � -- Estimated
Orive�vv�y Curb Cut Vlftdth
��T1E: ,�' � '�.
C�li t?�3} 57��604 tor Pe
c�lt yeau for card numb+ee.
P�em� �ee $.
Fire Surcharge $.
�tate Surch�rge $,
5�C Charge $,
License Surciiarge $,
Dri�eway Escrow $,
�rosion �ontrol $.
�ar� Fe� �,
�ev►�er lMa�n Charge S,
TOTAL $
Ft+6Ft= Ftx
-..�...,....
,�o.� Q u
Fe�s it rnailing is� a�pl
C13Y
�
�
�q. Ft
J�
Sq- Ft
Sq. Ft
�/ 6
$ 2. �OD.'�d _
=$ -
��
T�I.# 763 S7�-�9��
�,�',r� i� c t n r t' 1.ra .
or Fax ta'163�571•1Z87 if �sirrg cred"at �arti and we r�+ii9
ONLY -
F Schedute on R�verse Sid�
0'I of P�rmit Vaiva�on (1/10th°o'o)
$.50/s1,�00 Valua�on
$°t2�00 per SAC Un�t
$5.00 (St�te Lieer�sed Re�sidenbal Contracto�)
Ai4. "A" or A�. "�" Abov�
�50.00 Conservation Pt�n Review
Fee Detemnined by Engeneering
Agreement Neces��ry [ ] N�t Ne�ess�ry [ �
STIPULATIONS:
. N� � � �
AD�N �i
ALTER t D
Go�stnactivn �dd�s: ��
�egaB Descnpt�on:
Ch�mer Name � Address:
h
�ont,•ad�r. � e �
.�ddr�ss: IL_OJ_ �
LMNG AREA:
ds�RAGE AlBEIi:
6�CK AR�A:
a�ti�R:
,�r
GtiY OF ERIO�Y Effectivs 1/t/2�2
�6d31 Unnree�ity Ave NE. FddBey< M�V 55432 {763' 37►xa604 Bidg Insp
�111f�'aLE F/+M�.`ir AtVD OUPL�XES R-1 AND R-Z
�U1L.�f I� P�i�ItT APPLICATION
�s `a
/eJC .
f �33 �<eL4Jle�i%
� � r�e. �
Tel. #
MN LIC�IdSE #
' Sfyd �-Tel. # _
acl� to this application, a C�etificate of Survey of the
�eith ihe proposed co�sitructi�n drawn on it tg scats.
D�SCQ�fPT10N OF iMPROVEINENT
�,�9 a�,_ W�ttt Height �� �t
�� � �� H�ht �� . Ft
L.ectgtPy _�___,_� 1t1�d�'t HgUC3�vurul S4. Ft
.d , �c - ssv 1 f -s'� �
�os�sUudion Type: „f J�sa,nc - - Estianated
Oria�e�+tay �Curb Cut Vl�tdth
DAT�: G 2.
Caii {7631 572 3604 4or Pe
call you for ca�tf �umb�ra
P�rrnit Fee $.
Fir� �c�rch�rg� �.
Stat� Surcharg� �.
�d�1� Charge $,
Liexnse S��ct�arge �,
Driveway Eser�no $.
Erosion GoMresl $.
P�rt� Fee $,
Se�er iN�ie� Ch�rg� 3,
TOTAI $
FL +6 Ft= Ftx
� ��vP+�� e • —
,lOe.v l�t �
F��s i�° �n�tiliaag in appticat
�ITY l��E
't>O. ��
=a —
S72 -a ��2
o!/
� Tel.# 7��2-�
c,C S' Oee�tAF�' T��-
ia� or ax to 763-571•g287 if using cr+edit ca►�i and we will
��
�ee S �dule on Revetse Side
.001 f P�PTri'tt Vals�ation {1/10th%)
�. ��,oao �rao�at�on
ZOd pe� S/�C Unit
�5.0� (Stat� Licens�d Residential Gontractors�
F►It "A" or �41i. "B" Above
$450.00 Conservaiio�ro Plan Review
Fee Det�rrr�ined by Engir�eering
Agreemerat 8vecessargr [ j IVoti Necessary [ j
STIPtJLATIONS:
�
�
� NEW
ADON
ALTER
[� � e 0 �Z CI'1Y OF FRIOLEY
6431 Universitjl Ave NE. Fridley. MN 55432
( J SINGLE FAMM.V ANO 19UPLEXES R-4 ANO R-2
BUILDtN�a PERMIT APPLICATiON
Const�cti�� Address: ,�
Legal Des�iption: f/s �
thv��r iVame 8 Address:
Contrador. S�'s t c� �
e4cidr�ss� l L D! 1[� .;
1�/� c c. w� �,7 Qr�
r�� � �.�v� i 2 3i �f,
/i✓C .
--�- --- .n. �.,. �
Effedive 1I112002
d783j 372-3iO4 �[dg I�sp
Te+. # 7c 3 s"�� �� y»
MOV UCENSE #t �/ � 7
� fy Tel.# 7 �x-�g��
ach to this appl'scatlon, a Certificate of Survey af the
with the proposed construdion drawn on it to sc�ls.
DESCRlPi"ION OF IMPROVEMENT
�MNOIIREA: Le�g �,� �� He�9�t------ �t
4�AFtA�E Ai�EA: Leng ��d� Height S4. Ft
DECK AREI►: Leng� ____� VVtdth HgUGround �. Ft
OTHE�: ' a✓ e �Pc - GO � � �
� � oe
C�nsUuction Type: Estimated ost a 2.'�o� .
Dri�eway Curb �ut W�dth
D4t'�: 6 2
�a69 {763) 572-3604 tor i��
�atl yo�s tor ca�tl nurtAber.
P�rmit Fee $,
F'sre �c�rch�rge $,
��te Surcharge �,
SAC Charge $,
Lic�nse ��rcharge $,
D�veenray Escrow $
Erosion Control �
Park Fee $
Sev�rer Main Charge $
TQTAL
Ft+6Ft= Ftx
- ���..,....
�a.v �►
Fe�s it mai0ing in ap
CITY
_$ -
Tel. � 7d3 5? -�9i.�
,iie ic ��t w r f T�va .
o� Fax ta 763-871•1287 lf u�ing credit �ard and we �rill
ONiY-
I`ee Schedule on Reverse Side
.001 of P�armit Valuatior� (1/10th%}
$.50/$1,000 Valuafion
$1200 per SAC Un�t
$5.00 tState Licensed Resid�ntial Cor�tractors}
Ai� "A" or Alt. "�" Above
$454.00 Conservalion P9ar� Review
Fee Determined by Engine�ring
Agreement Necessary [ ] Not Necess�r� [ �
sTi�u�a�foNS:
�
' NEVV
aooN
ALTER
0
t� � z r� �2— crnr a� FRSO�r E�c�s �r�nooz
E l c�431 univeersilyr �►� IV�, Frr�ley. MN 55a3� t763j s7x�oa etdy i�s�
s
I J SINGLE FAM�.Y ANO OUP�X�3 R�1 AND R 2
BU�LDtN{3 PERMtT APPlI�A330W r:'
Cor�structio� Addres�: � � /
Legal De�cription:
OHmer Name � Address: �'1 f
C011i('dC.�Of: Sl�l C C dq� /�JG .
LMNG AREA:
GARAGE AREA:
�ECK AREA:
OTHER:
Construcpon
ZZ
�
re c cvr � TeO. # 7L 3�� `� l sZ a
M I.ICENSE #� 8's � 7
'�� Tel. #, 7�3' .i"i �- o i o�
ach to this application, a Certi�icate ot ��rvey of the
[, with the proposed cortstrt��tior� d on it to scale.
DESCRIP"iON OF IM O!/EMEN°T
��g ��, W�Ft H+oight �� Sq. Ft
L� � �� �{�ht � Sq. Ft
Lertg� �� VVidth Hgt!{3rouatd � Sq. Ft
Om►eway Curb Cut 1Plftdth
DATE: G Z _
Cali {783j 57x�604 for Pe
calf you br card number.
Pen�it Fee
Fire Surcharge
State Surcharge
SAC Charge
Licens� Surcharge
Drivveway Escrow
Erosion Cor�trol
Park Fee
Se�rer Main Charge
-ror�u.
S,
�,
$
$,
W,
S,
$
Fees it
Estimated CosC a 2 . �oo • °� -
F� ¢�Ft= F�x � _ =$ —
Tel.# �6� S7�-ca9��
�r t�w�.t �'�r�.c�tnFr TJVa.
in appllcatio� or Fax ta T63-571-128�7 if using credit cara� �nd we wilf
CiTY U�E ONLY -
Fee Sch�duls on Reverse Side
.00i of �'ermit Val�ation �1/10th%)
$.50/$1,000 V2�{uation
$1200 per �AC 4Jnit
$5A0 �Siat� Lis.en��d R��idential Con�actor�}
A�t. „Q�� �r AF♦. fevn P'�Lio�/e:
$450.00 �o���rvation F'lar� Revi�w
Fee Det�rmin�d by �ngi��ring
Agr�ement Neces�ary [ ] IV�t N�c�ssary [ �
S7IPULATiONS:
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THE BELOW MUST BE FILLED IN WHEN REPLACING FUEL BURNING APPUANCES OR THE
APPLICATION WILL BE RETURNED
(`�MMnI� ��f�T� V f�T �I`I` CTnR AND GnMBl1STInN AIR VFRIFICATInN
VI/hen ���a inQ an �Yii� f�rance, 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 current codes and manufacturer
specifications including sizing, length, number of elbows and termination. Yes () No ()
Th� undersigned also verifies that the replacement unit is a listed assembly
and meets the current codes and manufacturers specifications. This does
include AGA-GAMA Category I Central Fumace Venting Tables for fan
assisted and natural draft appliances.
The px�psemh��en air is sized and installed to meet the current codes
and manufacturer's specfications.
WF�en required to �n� a�l a new _eme ,stien air�it will be sized and installed
to meet the current codes and manufacturer's specifications.
When in�i a11in0 a new ventin��ye pm, the undersigned hereby ve�es that
it is a listed assembly and meets the current codes and manufacturers
speafications. This does include AGA-GAMA Category I Central Fumace
Venting Tables for fan assisted and natural draft appliances.
Is the common vent and vent connectors sized and installed correctly after
ar� appliance has been removed from the common vent and vented
separately as per current codes.
Yes ( ) No ( )
Yes ( ) No ( )
Yes ( ) No ( )
Yes() No()
Yes( )No( )
! •. . � •- , �• •n��•� -� . �• -� •��- • � •ru. .�
Appliance #1 Type BTU Input Fan Assisted or Nat
Appliance #2 Type BTU Input Fan Assisted or Nat
Appliance #3 Type BTU Input Fan Assisted or Nat
Total Appliances Total Btu Input
Common Vent Type
Vent Height Diameter inches
Appliance #1 Vent Connector Height ft Length ft Diameter in Type
Appliance #2 Vent Connector Height ft Length ft Diameter in Type
Appliance #3 Vent Connector Height ft Length ft Diameter in Type
�� r -� r•► .- ..-
HFJ�TING CO:
Signed By: Date :