AF - 47660w
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City of Fridley, Min.n.
BUII.DING PERMIT
Date: . . !. .Y. . . . � . ��, �� . . . . . . . .
Owner......................................
Address.....................................
•
N° 35U9
Builder .� .... .. .......... ..............
Address....���.� ................................
LC?�CATION OF BUILDING
No. . . . !. � . a . . Street . . � . . . . . . . . . . . aGJ..�Lt�'�. Part of Lot . . . . . . . . . . . . . . . . . . . . .
Lot . . � . . . . . Btock . . � . . . . . . . . . . . . Addition or Sub-Division �/.!1R7!�wTi.'�GL�/ .� . . . .
Corner Lot ............ Inside Lot ..iS........ Setback �4=r�... Sid ard �Q � �i .............
ey . ��.....
DESCRIPTION OF BUILDING
Tg,be vsecl . .... ..�/ .... �/ . . .
f, � ,(� / �7` i/ � o� S'iO y g j � H sq.
� F�ont .7. . De Hei ht <. ,1�. _ Q. Ft. �Q•�� Cu. Ft. �Q Q o�
.................... Front ........ Depth .. Height .... Sq. Ft. ........ Gts. Ft. ........
C�/ 6a
7�pe of Construction . . . . . . . . . . . . . . . . . . . �s� • . ��f./. l+� � . . . . . . . . To be Completed . . . . . . . . . . . . . . . . . . .
In consideration of tihe issuance to me of a permit to cotsstru u esribed above, I ag�e to do
the proposed work in accordance with the description above se f pliance with all provisic�a of
ordinances of the city of Fridley.
� .....................................
y/ O�O
In consideration of the payment of a fee of $.°.�l........, perxnit is hereby granted to ...................
.. to construct the building or addition as described above. This perrnit is grauted upon
the express condition that the person to whom it is gi�anted and hds agents, employees and worlunen, in all work
done in, around and upon said building, or any part thereof, shall conform in all respects to the ordinanoes of
Fridley, Minnesota regarding location, construction, alteration, maintenance, repair and moving of buildings with-
in the city limits and this permit may be revoked at any time upon violation of any of the provisions of said
ordinances. _
:'
.... Buildir►� Inspec�.nr
NOTICE: �.
This permit does not cover the construCtion, inataliation or alteration for wirin�, plumbinp, pas heatinp,
sewer or water. Be sure to see the Buildinp Inspector for separate permits for these Itema
City of Fridley, Minn.
BUILDING �'ERMIT NO 7 4 51
� ,, � . _ ._
Date: � �.��'.. �....9�'.�
A
Ovvner:������� '�"�.�� Builder _ ._.. _[.__
. Address _.�._._.___._..._________..,_ ._.._.._. __._�
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LOCATI OF UILDING
.,( � ��..__.�-�art of Lot , .—_.____
No. _�..� ._._._. Street ....�..�..�... . �.
` _.... . . .
�.ot ---.._�_....._..._ Block _.�..��..__�_ Addition or Sub-Divisi� ._.__._.r -
Corner Lot ____.._._�_ Inside Lot _._.__..._...r.---_ Setback ' .��_ Sideyard �_
Sewer Elevation _���! .�� ._��.�..__-_---•- Fas�is_n
��
DESCRIPTION OF BUILDING
v . _,£%� cu. Ft. ����
_ Front ...�-....�. Depth .�� Height ..,f_.P� _ Sq. F't. �
____.._...._...... ....._.___.._...._ ....._......._..,._ Depth _.._._ � H'eight :�_z.�,.__ Sq. Ft. __ Cu. F'k
� To be Canpleted ..—
Tj�pe of Construction . ._._.. . .. �.__. Es� :`�.�._. -_.._._........
� ��
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In consideration of tt►e issuance to me of a permit to construct the buildix�described above, I agree to do
th� propo�ed'work in acoordance with the description above set forth and in compliance wlth all pro�visfons of
ordinanoes of the city of Frfdley. `y '
�i � � h_ � �7/_ f%���_ ii
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In ca�isideration of the payment of a fee o! �.�._ R� _�._., permit is hereby �anted
to cbnstruct the buflding or addition as described above. This perimit is granted upoa
the express condition that the person to whom it is granted and his agents, employees and worlmien, in all wark
done in, around and upon said building, or any part thereof, shall coffiorm in all respertJ� to the ordinanoes o�
Frfdley, Minnesota regarflirig location, construction, alteration, maintenance, repair and movf¢►8 of buildings
ord i�ances. city li�aiits and this permit may be revoked at any time upo�� o^ of any of the PT�visioas of said �
/
Buildin8 Inspectac
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NOTICE:
1Ms p�emit doa no1 eewr Ih� con�eve�iou, isqallNien Mr wpi�Y. P�W Yu hNIM�, aww or wabr. d� srn to w
fM suiWfuo leyhelor for s�p�ratr p�neils for f6� ihna.
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A.PP'LICATTON FOR BUILDIN� PLPI�IIT
CITY OF FRIDLEY, MI�TNES�TA
0
OWNER' S NAME !./! I��d�-� c�c h/en,�er- BUILAER � Sse� �3Z,ve�'
�
ADDRESS %/Q /�2 h rJds�erc � �- . ADDRESS l��c� C'or.z o, l�f�? -- ci9� �
LQCAT'�ON OF BDILDII�
No. �treet �art.o� Lot_:
Lot Block AddiCion or �Subdivision
Comer Lot Inside Lot Setbec�C Side-Yard
SEWER ELEVATION FOUNDATION BLEVATION
Applicant attach to this form Two Certi�icates of Survey of Lot and pxapo�ed build-
ing iocation draw'ti on these Certificates.
DESCRIPTION OF BUILDING �
..t�;,
To be used as : "'°
o!�'_�,i � c-�(_ �d-���_� FronC �o � ���►�h �Z �' He ht
�
� Sq. Ft. _ Cu. Ft. •.
Front Depth Aeight
' Sq. Ft. Cu. Ft.
Type af Construction �� �-� Estimated Cost- �3 00, o a
�
To be Completed �d ��c,s
The undersigned hereby makes epplfcation for a permit for�the work herein speeified,
agreeing to do all work in strict accordance with the City of Fridley Ordinances and
rulings of the Department of Buildings, and hereby declares that aI1 Che facts and
representations stated in this apglicetion are true and correct.
n• � , � � / "
L�� �� �6.z: � r ��a..w%..
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�(Schedule of Fee Gosts can be found on the Reverse Side).
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LOT NAME
BLOCK ADDRESS
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SIZE
VALUE
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nate: __J'�ne 1�, 1965
City of Fridley, Minn.
BUILDING PERMIT
�r: �iT. Schlenker
Add�ss 7]A��ennasttm Drive
�- �� � ��"
N° '7863
Builder �°1'�i dc �IoOk .__._.. .�...._._
aaaress Iaanti�?�ina..---�___.
LOCATION OF BUILDING
Na �� Street ge�i�88taa'i D2`ive ___._._.._�._. Part of Lot
�� � Briokviex �errace
Lot �.._._._-._._--- Block _�_..__ _.._._ Addition or Sub-Division ---_..—
Corner Lot � ._.._ Inside Lot _._�. Setback .�.�.._..�_._._ Sideyard __.
Sewer IIevatioa
Foundation Elevation
To be Used as:
Fro�nt
_.__....._.._�_____-- �ont
Zj+pe of Construction
DESCRIPTION OF BUILDING
Depth _ Height ..—_ Sq. FL �
Depth _.._ fieight _.� Sq. Ft ______._..
__.. Es� Cost ���____....__ To be Completed _.
Gw. �'t
Cu. I't.
St+�rm Da�a�e Repair
In consideration of the issuance to me of a permit
ti� ProPoaed work in accordance with the descriptian e
ordinances oi the city of Fridley. ;
construct the building de�crlbed above I agree to do
e set rth and in compliance with a'tl pravisions o�t
�,� _ . / J
--- c.'�,� 1
— -�-'. w��G - ---- ---��'y
In ca�sideratfon of the payment of a fee of a�.� , pexznit is hereby gi�anted to
3&i.th &�oOk to caristruct the building or addition as descrlbed above. This permit is granted upa�t
the express condition that tt►e person to whom it is granted and his agents, employees and worlQnen, in all work
done in, around and up� said building, or any part thereof, shall �nform in all respects to the ordinanoes o�
Fridley� Minnesota regat+ding location, construction, alteration, maintenance, repair and mo�vin� of buildings
within the dty limits and this pernnit may be revoked a t ar�y time upari violation of a�y of the provSsiona of said
ordiaano�.
Bu[ldin8 Inspe�ta�
NOTICE:
ihis p�emit dea aet eowr th� eonit�velioe, iaaall�Non ter wte6�y. PlusbisW Ya 6�aNeo, srw�r er wd�r. d� suh fo sN
IM Suildlo8 la�for for a�p�ratr p�nnils for t6�n itNns.
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APPLICATION FOR BUILDING PERMIT
CITY OF FRIDLEY, MINNESOTA
OWNER' S NAME l/ � - t-S � /�� �/V6 C � rLBUILDER • -�� � �T ,�%!�` ��O/ `
Ann�ss_ �,l �' /C_ C �/,� s 7�� � � �n� ss -� -s/' /�%T/ • %� �t .��
LOCATION OF BU�i,DING '
�a- Street p'a�t of Lot
LUT ii BLOCK -�+ ADDITION OR SUBDIVISION �u-+� -
Corner Lot`_Inside LOT Setback Side-+Yard �
SBWER ELEVATION FOUNDATIOA ELEV�TTON `
Applicant attach to this form Two Certificates of Survey of Lot and proposed
bullding location drawn on these Certificates.
DESCRIPTION OF BUILDING .
To be used as;
Front Dept�, Seight
Sq. Ft. Cu. Ft.
Frant Depth �_Height '
Sq. Ft. Cu. Ft. ' ,
__._r__
Type of Coustruction ���T� //� Estimated Co �� QD ' G� D
To be completed '
The undersigned hereby makes application for a permit for the work'herein apecified,
agreeing to do a21 work in strict accordance with the City of Fridley Or'dinances
and rulings of the Department of Bulldings, and hereby declaras that a11 the facta
and representations stated in this application are true and cgyt�rect.�
DATE � � / � � s SIGNATURE �-��� �����d�
(Schedule of Fee Costs can be found on the Reverse Side).
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sue�ECT P
City of Fridley 16 7 9
AT THE TOP OF THE TWINS g U I L D I N G P E R M I T �
r
; � CEIPT N
� • COMMUNITY DEVEIOPMENT DIV.
� j ,: ----- � J/ �J�
r � � PROTECTIVE INSPECTION SEC. /�rJ 3
� �
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i � /'���1 � CITY HALL FRIDLEV 55432 NUMBER REV. DATE PAGE OF APPROVED BV
�""'�� ��� 612-571-3450 910-F15 9/30/82 / /
JOB ADDRESS 710 KennastAn Drive N. E.
t LEGAL �OT NO. BLOCK TRACT OF ADDITION SEE ATTACHED
DESCR. 8 2 Brookview Terrace SHEET
2 PROPERTY OWNER MAI� ADDRESS 21P PNONE
Gerald Keller 710 Kennaston Drive N.E. 571-0066
3 CONTRACTOR MAIL ADDRESS Z�P PHONE LICENSE NO.
Same
d ARCHITECT OR DESIGNER MAIL ADORESS 21P PHONE UCENSE NO.
5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO.
6 USE OF BUILDING
Residential
7 CLASS OF WORK
❑ NEW C� ADDITION ❑ ALTERATION ❑ REPAIR O MOVE ❑ REMOVE
8 DESCRIBE WORK
Construct an 18' x 20' Garage Addition. Reroof Garage & Dwelling
8 CHANGE OF USE FROM TO
STIPULATIONS
Roof can be 2nd layer but not 3rd. Install ridged galvanized valleys.
TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD
SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING,
VENTILAT{NG OR AIR CONDITIONING.
THIS PERMIT BECOMES NULL AND VOID If WORK OR CONSTRUCTION ZONING SO. FT. CU. FT.
AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTFiUCTION
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 EXAMINEO THIS APPLICATION 1 STALLS GAFAGES
AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PFOVISIONS OF LAWS VALUATION SURTAX
AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPUED $S� OOO y52. SO
WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT
DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE pERMITFEE SACCHARGE
PROVISIONS OF ANY OTHER STATE OR LOCAL LAW fiEGULATING CON- $rjO.SO
STRUCTION OR THE PERFORMANCE OF CONSTRUCTION.
PLAN CHECK FEE TOTAL FEE
$53.00
NATUAEOFCONTRACTORORAUTMOR12EDAGENT � IDATEI �WHEN PROPERLY ALIDATED THIS IS YOUR PERMIT
�d �L--' ��
iGNATURE OF OWNER�IF OWNER BUILDERI 1 ATEI BLDG �NSP � E
CITY Of FRIDLCY Effective Auq. 1, 1981
At'PLICAT10f�1 FOf� RCSIDLNTI/tL 6UILDlilG PCi��fI7S
(Ne►�, Alter�tions, Additions. or Repairs)
OWNER: '1 �La.k-tl�' � �(.�'-�XS�
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ADORESS: _`/ D !��'V L-4��-� k1 � r
TEL M0: '��T l— 0� ia �D
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l3UI LO�R : �� � /C�
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ADORCSS: �l D /�N�a'.�-r,�-�... �Q� �
—
TEL fi0: _ S� l-- O ��o �
Construction Location
• STJiITrT NO: BTItEET:
LOT: /� BLOCK s�- ADAITION : b�.�./ �c��; �i� aC,�Q .
Corner Lot: insiae Lot: 6etback: Sfdeyards:
Ap�licant attach to this fozm two Certfficates of Stirvey of lot and
_ pzoposed building locatia� drawn on eextificates to scale.
� , .
OESCRIPTIOiZ OF COF�STRUCTION
�'�° �" c .
p� . �
�� r ront: ��-O r Depth: % 0 Neiqht: f �
� Square Feets Qibic Feet:
. �'-�� ro»t: . Depth: Neight:
Square Fegt: Wbic Feet: , �% f��. C'0 �Q�{�
V
�j+pe of Corstructian : � cLtiv�
Rb Be Cbr.�pleted: � YV��
� � d-o • o� ���
Estimated Costs S S�� O�p
7�1t. A 111t. 8
Proposed Drivc��ay kidth If New Openinq 2s Desired: $' S
, , SE� i�'cVER�E SIDE OF SHEET �
' .
Ziie unciersigned hereby make� applicr�tfon for a permit for the work herein specffied,
agreeinq to cb .all Work fr, strict sccordance Nith the City of Fridley Ordi»ances znd
ruling� of the Oelaartmant of Duilaings, and hereby declares thRt all the facts ana
representatiens stated in this npplication are true and correct.
D.�TC: �-� SIGNATUii£: �CZ-��z� p /
Stipulatfons• �
��C . � sa. s�
. �_S�
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AGREEMENT
I, �i,�� `� I.�'/t! , owner of the property
�
located at 7,�. �`� �����,, J , have no obj ection to the
City allowing the constructi.on of a to be
located at � � ��� t without the required .
certificate ot survey that the City ordinarily requires for all new
construction. . ' .
. ,r'��.� !���
• 5ignature
_-? .��-- �'� - .�'�7 .
, Address
� �_�_ �a
Date
„ ,
..;e.Q.,.t..��� �� '
,�r'�itness �—
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SUBJECT IT NO. �
City of Fridley � 16 9 6
AT THE TOP OF THE TWINS g U I L D I N G P E R M i T �
r
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, � T NO.
� • COMMUNITY DEVEIOPMENT DIV.
' � �: - p
r � � PROTECTIVE INSPECTION SEC. / 6�;�
1 � �
, � /'�'1 � CITY HALL FRIDLEY 55432 NUMBER REV. DATE PAGE OF APPROVED BY
� ----� . .,, /8/83
612-571-3450 910-F15 / /
JOB ADDRESS�10 KennasfiAn Drive
1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED
DESCR. , 8 2 Brookview Terrace SHEET
2 PROPERTYOWNER MAILADDRESS ZiP PHONE
Gerald P. Keller 710 Kennaston Drive 571-0066
3 CONTflACTOR MAIL ADDRESS Z�P PHONE UCENSE NO.
same
4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO.
5 ENGINEER MAILADDRESS ZIP PHONE LICENSENO.
6 USE OF BUILDING
r@BLTdSS}dL2 residential
7 CLASS OF WORK
❑ NEW � ADDITION ❑ ALTERATION ❑ REPAIR D MOVE ❑ REMOVE
8 DESCR�BE WORK
18 x 16 deck and sliding glass door
9 CHANGE QF USE FROM TO
STIPULATIONS
TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY �OAD
SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING,
VENTILATING OR AIR CONDITIONING.
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING SQ. FT. CU. FT.
AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION
OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT
ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS OFFSTREET PARKING
I HEREBY CERTIFY THAT I HAVE READ AND EXAMINEO THIS APPLICATION STAILS 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 ]_(OO. OO . SO
WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT
DOES NOT Pf;ESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE pERMITFEE SACCHARGE
PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- 26. JO'
STRUCTION OFi THE PERFORMANCE OF CONSTRUCTION.
PLAN CHECK FEE TOTAL FEE
6, 33.93
GNATUREOFCONiRACTORORAUTMORIZEDAGENT IDATEI WHE PROP RL AT D THIS IS YO R PERMIT
;����� � /��P.Q.e�/ �s' M , —�
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SiGNATUREO �OWNERIIFOWNERBUILDERI IDATEI INSP � DATE�
�ITi �F fRIDLCY Effective Auq. 1, 1981
APPLIC/1TIOH fOfi RESIOCNTIlIi. 6UILDIIIG PCit34ITS
(NN,�, Alterations. Additio�s, or Repairs)
Owr�FR: �', /��x,z.�
L -
ADDRESS: , l t� /U-°ivw�,a�, (�/ � ,
TFLAO: 'v'71— Dd � �O �
BUI LOER : -�'��►�� � �� l�' . �
� ���
AODRCSS:
TEL t10:
Construction Location
. BTRI�T NO: ��____ STJtEET: /�...e
LOTz (� BLOIXs oC.
�nirz�t : - � `��,, !�. ��.F.f/��.Gs-s.�
Corner Lot: Insiile Lot: 6ctback: Sideyards :
llp�licant attach to tl�is fo�cm bwo Certificates oi S1�rvey of lct and
pzoposea builcling Iocaticn drawn on oertificates to scale.
DESCRIPTIOi�! OF COI�STP.UCtIOti
� / �t
--�- � Front: _/� � Depths � � Hefqht: �O
6quare Faets �o a Q�bic Feet:
� ��1
�-�-�t-��n . �t�- F=ont: Depth: befght:
Square Feet: A�bfc Feet:
, • � Cl�
�►pe of Corstzuction: Estimated Cost: S
'!b 8� O�r.�plcted:
l�lt. A �►lt. 8
proposed Drivc�+aay i►idth If Ncw Openinq Is Desired: t' _
. , SEE 1�VER5E SIDE OF SHEET �
Ziie undersigned hereby mal;es a�plic�+tion for a pez�nit fcz the »ork herein specffied,
agreeir�g to cb ,a21 vork is, 6trict accozd�ce With the City of Fridley OzBi»ances an8
rulings of the Del��rt�nent of Duildings, and hereby declares thrt sll the fact� and
represer�tatiens stated in this npplication are tzue a�r�d correct.
Dr�TEs � SIGNATU:�: ,�,%"��L�UU� i � /'l��'���, - - —
~—L�
Stipulations:
p�.� �b.s�
p.� �.�`�
c-F—� y � Q
f
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sua�ecr PERMIT N
City of Fridley �$ 6 �
AT THE TOP OF THE TWINS g U I L D I N G P E R M I T
r
S � RECEIPT NO.
� ; y _.___ COMMUNITY DEVELOPMENT DIV.
r � � PROTECTIVE INSPECTION SEC.
i �
i
' � /'�'1 � CITY HALL FRIDLEY SS4$2 NUMBER REV. OATE �AGE OF APPROVED BV
�.-•-�' �•' 612--571-3450 9�0-F�5 10/1/86
� �
�oe aooRess �10 Kennaston Drive N. E.
1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED
DESCR. $ 2 Bmokview Terrace SHEET
2 PROPERTY OWNEF MAIL ADDRESS ZIP PHONE
Gerald Keller 710 Kennaston Drive N.E.
3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO.
North Centxal Builders 7401 - 42nd Avenue North, New Hope 55427 533-6168
4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO.
5 ENGINEER MAILADDFESS ZIP PHONE LICENSENO.
8 USE OF BUILDING
Residential
7 CLASS OF WORK
O NEW ❑ ADDITION O ALTERATION �7 REPAIR ❑ MOVE ❑ REMOVE
8 DESCRIBE WORK
Reside Dwelling� xeplace windo�ws
9 CHANGE OF USE FROM TO
STIPULATIONS
SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY �OAD
VENTII.ATING OR AIR CONDITIONING.
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZpNiNG SQ. FT. CU. FT.
AUTHORIZED IS NOT COMMENCED WITHIN 80 DAYS, OR IF CONSTRUCTION
OR WORK IS SUSPENOED OR ABANDONEO FOR A PERIOD OF 120 DAYS AT
ANY TIME AFTER WOfiK IS COMMENCED. NO. DWLG. UNITS OFFSTREET PqRKING
I HEREBY CERTIFY THAT I NAVE READ AND EXAMINED THIS APPLICATION 1 STALLS GARAGES
AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS VALUATION SURTAX
AND ORDINANCES GOVERNING THIS TVPE Of WORK WI�L BE COMPLIED yS`(j�OOO $3.00
WI7H WFlE7 SPECIFIED NEREIN OR NOT. THE GRANTING OF A PERM17
DOES N PRE UME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE pEfiMIT FEE SAC CHARGE
PR VI NS Of ANY OTHER STATE Ofi LOCAL LAW REGULATING CON-
STR ION O THE PERF�JRMAN OF CONSTRUCTION. SSF). SO
PLAN CHECK FEE TOTAL FEE
� r $59. 50
NATUREOPCONTRACTOAOAAUTHOqIZEDAGENT IDATE� WHEN PROPERIY V IDATED THIS IS VOUR PERMIT
- /V / �
SiGNATURE OF OWNER iIF OWNER BUI�OEAi IOATEI BLDG �NSP � � TE
N£� [ � City of Fridley Effective L/1/8c
ADDt; . I � R-1 AND R-2 � .
u,7'ER. I � Building Permit Application
Constructioa Address: ��'��d� ' � �
Legal Description: �
Ownez Name i Address:
��Mr��D l��L���� Tel. �
. N� C�w72�a� ��RS Tel. � •5�33- G/L�'
Contractor.
Address: 7Y°1 y5' ��� �� /��w r�i�aPc,Wl�v S5�/- �7 _
Attach to this application, a Certificate of Survey of the
lot, With the proposed construction draxn on it to scale.
DESCRIPTIOA OF IHPRDYEMEh'T
LIVING AREA: Length Wfdth _ Height Sq. Ft.
GARACE AREA: Length _ iiidth Height Sq. Ft.
DECR AREA: Length iiidth _ Hgt/Ground Sq. Ft. -
_____-
OTHER:
Corner Lot I � Inside Lot []
FL. Yd. Setback Side Yard SetDack
N�'!� �riw�ea� STer'� s/tuv� '��,�.� Estimated Cost: � ���� �
Type of Construction: b�sc
Approx. Completion Aate:
Alt. A Alt P
Propose� Drivevay k'idth If Few Opening Is Desired: - � �
� See Back Page for Explanation
' / � 5�33-Gi6y
D�TE: �
� � �Y APPLICAt�T: Tel. �
CITY OSE ONLY
Per�it Fee ;. ��� ��� Fee Schedule on Reverse Side
Plan Check i 25x of Building PerSit Fee
State Surcharse S o�?- U� �.50/�1,000 Valuation
SAC Cbarge : _ �u75 per SAC Unit
Park Fee � Fte Determined by Engineering
Sewer l9ain Charge �
Agreemen! Necessary j� Nat Necessary [ 7
To�u, : � 9. s o ,
STIPULATIOl:S :
. _ . .,
sue�ecT P .
City of Fridley 2 9156
AT TME TOP OF THE TWINS g � I L D 1 N G P E R M I T
r
� .
� �
� • COMMUNITV pEVELOPMENT DIV. � � ,�7/)
r �� • � PqOTEC7IVE INSPECTION SEC. Y 7
� . O
� _ �"'� � CI7V MALL FRIDLE� SSIJ2 NUMBEN pEv D�TE PAGE OF �PVqOVEO or
�.__.1'�.• •,, 612-571-3450 9�0-F�5 4/7/99 / /
J08 AOORESS
710 Kennaston Drive NE
1 IEGAL �OT NO. BLOCK tRACT OR ADOITION SEE ATTACMEO
OESCR. $ 2 Brookview Terrace SMEET
2 PROPENTY OWNER MAIL AOORQS$ ZIP PHONE
Gerald Keller 710 Kennaston Drive NE
3 CONTRACTOF MAIL ADORESS ZIP pHONE LICENSE NO
D& D Contractors Inc 5279 Greenfield Ave, Mounds View, MN 55112 784-6138
� ARCMITECT OR DESIGNER MAIL AOORESS ZIP PHONE IICENSE NO.
6898
5 ENGINEER MAIL ADDfiESS 21P PNONE LICENSE NO
6 USE OF BUILDING
Residential
7 CIASS OF WOpK
O NEW O ADDITION O ALTERATION � REPAIR O MOVE O REMOVE
8 OESCRIBE WORK
Reroof House & Garage (26 Sq) Tear-off
9 CHANGE OF USE FROM TO
STIPULATIONS
Underlayment must comply with the State Building Code.
CONSTRUCTION WORK HOURS: 7:00 am to 9:00 pm, Monday thru Friday; 9:00 am to
9:00 pm on Saturday; No work on Sunday.
TYPE Of CON T. OCCUPANCY GROUP OCCUPANCV �OAO
SEPARATE PERMITS ARE REOUIRED FOR ELECTRICAL, PlUM81NG, HEATING,
VENTILATING OR AIR CONDITIONING
THIS PERMIT BECOMES NULL AND VOIO IF WORK OR CONS7RUGTION ZONING SO. fT CU FT
AUTHORIZEO IS NOT COMMENCEO V�1ITHiN 60 DAYS. OR IF CONSTRUCTION
OF WORK IS SUSPENDEO OR ABANDONEO FOR A PERIOD OF 120 DAYS A7
ANV TIME AFTER WORK IS COMMENCEO. NO DWLG. UNITS OFFSTREEI PARKING
1 MEREBY CEFiTIFV THAT I HAVE REAO ANO EXAMIN�D THIS APPLICATION 1 STALIS GAiiAGES
AND KNOW THE SAME TO BE TSUE AN0 CORFECT. ALL PROVISIONS OF �AWS VALUATION SURTAX
AND OFiDINANCES GOVERNING iMIS TYPE OF WORK WI�� gE COMP�IED �2 � 228 � 1. 11
WITM WMETHER SPECIFIE� MEREIN OFi NOT. TME GRANTING OF A PERMIT
OOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL TME pERMIT fEE SAC CMARGE
PROVISIONS OF ANV OTHER STATE Ofi LOCAI LAW REGUTATING CON- 74.75 Fire SC �Z.23
STRUCTION OR TME PERFppMANCE Of CONSTAUCTION �
/� PLAN CNECKFEE TOTALfEE
�'��_��, � rjp � "l License SC $5.00 $83.09
S�GN�TUQEO�CON'RA(;TOpOR�UTMOQ�2EDAGENT OATE� WMEN PROPERL� VALIOATED TMIS IS VOUp PERMIT
S�GNaTUAE O� OWNEA��F OWNEpBUI�OEAi �DATE� � BIDG �NSD � � f�/�}(
NEW
ADDN
ALTER
�)
[]
[l
CITY OF FRIDLEY
SINGLE FAMILY AND DUPLEXES R-1 AND R-2
BUILDING PERMIT APPLICATION
ConstructionAddress: I � �
N�
Effective 1/1/99
' )� �
�� ��
� \
I,egal Description:
Owner Name & Address: ��Q',�G� � � ��L1 Tel. �t
Contractor: �� S� c, MN LICENSE # �D g! g
Address: �j�-1� c� Vie(� Tel. #��-i-� �3 g
Attach to this application, a Certificate of Survey of the
lot, with the propqsed construction drawn on it to scale.
DESCRIPTION OF IMPROVEMENT
LIVING AREA: Length Width Height
GARAGE AREA: Length Width Height
DECK AREA: Length Width Hgt/Ground
OTHER:
Sq. Ft.
Sq. Ft.
Sq. Ft.
��� �d' d��'
Construction Type: 'r-g- -rUC� Estimated Cost: $ c��D
(Fee Schedule on Back)
Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x$ _$
� f' � � j� r' �� .��. ��li.t��71 i � � � ,r
Permit Fee
Fire Surcharge
State Surcharge
SAC Charge
License Surcharge
Driveway Escrow
Erosion Control
Park Fee
Sewer Main Charge
TOTAL
STIPULATION5:
$ . �
$ ,
$ l. i1
�-
$
$ �� �"
$
$
$
$
$ � �
CITY USE ONLY
Fee Schedule on Reverse Side
.001 of Permit Valuation (1/lOth%)
$.50/$1,000 Valuation , �
$1050 per SAC Unit
$5.00 (5tate Licensed Residential Contractors)' �
Alt. "A" or Alt. "B" Above
$450.00 Conservation Plan Review
Fee Determined by Engineering
Agreement Necessary [ ] Not Necessary [ ]
sue�ecT .P�R�KA NO. - �
City of Fridley 3 0134
AT THE 70P Of TME 7WINS g � f L D I N G P E R M I T
' ' RECEIPT NO.
� �
� i v__ COMMUNITY DEVELOPMENT OIV. �
r � • � PROTECTIVE INSPECTION SEC. �S
, ' �'�'1 � CITY HALL FRIOLEr SS�32 NUMBER pEV OATE PAGE OF APVROVED BY
�----�•' �•' 612-571-3450 9t0-Ft5 8�27/99 / /
10B AOpRESS �10 Kennaston Drive NE
1 LEGA� lOT NO. BLOCK TRACT OR AbDIT10N SEE ATTACHED
DESCR. $ 2 Brookview Terrace s►+eer
2 PHOPEATY OWNEFi MAIL ADORES$ ZIP PMONE
Jerry KEller 571-0066
3 CONTRACTOR MAfI ADORESS IIP PHONE LICENSE NO
North Central Bldrs. Inc. 7401 42nd Ave N New Ho e 55427 533-6168 3763
1 ARCHITECT OR OESIGNEF MAII AODRESS ZIP PMONE LICENSE NO.
5 ENGINEER MAII AODRESS ZIP PMONE IICENSE NO
6 USE OF BUILDING
Residential
7 CLASS OP WORK
O NEW O ADDfTION O ALTERATION � REPAIA O MOVE O REMOVE
8 DESCR78E WORK
Reside house and ara e- Steel sidin • Cover o enin s- Aluminum
9 CHANGE Of USE FROM TO
STIPULATIONS
Call for building wrap inspection before covering.
�ermif insAeCtlon
Wili Be Ma� �$rds
�� �0m8pwner led
r� POSr
TVPE Of CONST. OCCUPANCY GROUP OCCUPANCY LOAD
SEPARATE PERMIT$ ARE REOUIRED FpR EIECTRICAL, PLUMBING. HEATING,
VEN7il.A71NG Oii AIR CONDt710NING
TNtS PERMIT BECOMES NULI ANO VOIO If WORK OR CONSTRUCTION 20NING SO. fT CU FT.
AUTHORIZED IS NOT COMMENCED V�IITMIN 60 DAYS. OR IF CONSTRUCTION
OR WORK IS SUSPENDED OR ABANDONEO fOR A PER100 OF 120 OAYS AT
ANY TIME AFTER WOiiK IS COMMENCED. NO DWLG. UNITS OfFSTREET PAqNING
1 HEREBY CEfiTIFV THAT I HAVE REAO ANO �XAMINEO TMIS APP�ICATION STALLS GARAGES
AND KNOW THE SAME TO 8E TRUE AND CORRECi. ALL PROVISIONS OF LAWS VALUATION SUR7AX
ANO OROINANCES GOVERNING TMIS TVPE OF WORK WILL BE COMP�IEO
WITM WMETMER SPECIFIEO HEiiE1N OR NOT. THE GRANTING OF A PERMIT $6500 - � 3�. LS
DOES N07 PRESUME 70 GIVE AUTMOAI7Y TO VIOLA7E OR CANCEL 7HE pERMIT FEE SAC CMARGE
PROVISIONS OF ANY OTMER STATE OR IOCAI LAW REGULATING CON-
STRUCTION OR THE PERfORMANCE OF CONSTRUCTION 139. 25 Fire SC 6. rJ�
PLAN CHECKfEE TpTAI E
1
$IGNAtU�7E O� CON"F4(;TOp OA AUTMOQ�ZED AGENT iOAtE� H P PE IOATE MIS IS V -�MIT
�- �/
S�GNA7UqE O� OWNEQ��� OwtiEABU�IOEiii �DATE� B�OG Sp � �i�tE
•• _
rrEw [ ]
ADDN
ALTER
�;�e
__----
Effective 5/10/99
[ ] CITY OF FRIDLEY
[] SINGLE FAMII.Y AND DUPLEXES R-1 AND R-2
BUII.,DING PERNIIT APPLICATION
Construction Address: _
Legal Description:
Owner Name & Address:
Contraetor:
Address: �'�� 1- �
LIVING AREA:
�ARAGE AREA:
DECK AREA:
OTI�R:
.�
� �
l3/ ��
�d 'J
�C'� Tel. # .,.����D D,6 �
MN LICENSE # : ;.�?'a3
�Tel. # S33•6/�6�
Attach to this application, a Certificate of Survey of the
lot, with the proposed construction drawn on it to scale.
Length
Length
Length
DIESCRIPTItDN OF IIVYFI�OVEMEiioT'T
Width Height Sq. Ft.
Width Height Sq. Ft.
W idth Hgt/Ground Sq. Ft.
Construction Ty�e: ����,. _s�/,s1�i',r� Estimated Cost: $ lp.,JrBO . B G%
Co t�► o����'��s . Al��r'�4�► . . _ . . . . _ . . . . _ �
Driveway C�irb Cut VVidth Needed: Ft. + 6 Ft =. Ft x$ =$ -
DA1'E:V /�,� APPLICANT:�/ ��� Tel. # Jr3 3���
y����
Permit Fee
Fire Surcharge
State Surcharge
SAC Charge
License Surcharge
Driveway Escrow
Erosion Control
Park Fee
Sewer Main Charge
TOTAL
STIPULATIONS :
$ ,� . z S
$ �..5"��
$ .�. z s
$
$ ;5: a o
$
$
$
$
$ ✓� -B�
CITY USE ONLY
Fee Schedule on Reverse Side
.t701 of Permit Valuation (1/1()th%)
$.50/$1,000 Valuation
$1050 per SAC Unit
$5.00 (State Licensed Resid�ntial Contractors) � - �
Alt. "A" or Alt. "B" Above
$450.00 Conservation Plan Review
Fee Determined by Engineering
Agreement Necessary [ ] Not Necessary [ )
��t �� .. �,s . , t'� 4� _ � � y_k
CITY O� FRIDLEY INSPECTION DIViSiON .- � t� ��, ��" '� Effective On January 1, 1998
� 1 Universiry Ave NE � �`�� � � h (� : �� �
� 1
Fridley, MN 55432 APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION,
572-3604 REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES
RATE SCHEDULE
Residential
Furnace Shell and Duct Work, Burner –
Also Replacement Furnace
(Side Vent – Fill Out Back)
Gas Piping (Needed with new furnacej
Gas Range
Gas Dryer
*AirConditioning – A(I Sizes
All Others/Repairs & Alterations (LIST ON BACIn
196 of Value of Appliance or Work
Commercial/f ndustriat
1.2596 of Value of Appliance or Work
Rate TOTAL
$ �o.00 $.�
$ Z0.00 $
$10.00 $
$10.00 $
$ 25.00 $ .��
$
$
State Surcharge
TOTAL FEE
��
MINIMUM FEE FOR ANY HEATING/COOUNGIVENTILATION
REFRIGERATION/AIR CONDITIONING PERMIT IS 525.00
PLUS THE a.50 STATE SURCHARGE
REINSPECTION FEE $42.00/H�
*Air Condrtioners can not be placed in a side yard wfthout
written pe►mission from adjoining property owner.
1 �
JOB ADDRESS / � � � % � f1 �� ;� {"�� ����
The undersigned hereby makes application for a permit for the work herein
specified agreeing to do all work in strict accordance with the City Codes and
rulings of the Building Division, and hereby declares that all the facts and
representations stated in thi� application are t and correct.
�i-- i -�1g , ,.
OWNER
BUILDiNG USED AS
ESTIMATED COST J� O� .�� PERMIT NQ ��.
DESCRIPTION OF FURNACE AND OR BURNER
No. of Heating Units � Circle One (Steamj (Hot Water) �'
Trade Name���— Size No.� � � --��
Bn1 � � t�C`�C� HP EDR
Fuel �_--� . Total Connected Load
Burner T�ade Name Size No.
BTU HP EDR
HEATING COMPANY t ` �
�
Signed By Tel No. --,
. �
Approved By Rough–In Date Final Date ���
FILLOUT BACK SIDE FOR STAC VERIFlCATION ON
AEPLACEMENT FURNACE
a
,
♦
CHIlVINEY AND STACK VERIFICATION :
The undersigned hereby verifies that the existing chimney or stack:
1. Has been carefully examined Yes (��No O
2. Is free from rust or deterioration Yes ( t�No ()
3. Has no foreign objects lodged within
4. Is securely supported
5. Meets all current Code requirements for size
and total BTU's connected
6 Has total heating BTU's of �� i(� (� �
All other BTU's ;� � ,�
TOTAL BTU's ��� t �b O
7. Has a liner been provided for water heater �
8. Has combustion air been provided for water heater
Remarks: , , � , � ;
Yes ( ) No (�'
Yes (�No ( )
Yes No ( )
Yes ( ) No ( )
Yes ( ) No ( )
List ALTERATIONS Being Done:
HEATING CO:
Signed By:
Date: '
ROYALTON HEATING & COOLING
4120 - 85th AVENU� NO '
BROOKLYN I�ARK, MN 55443
c1 �-����
HOUSE HEATING TEST RECORD
ADDRESS � t�' �""'�`� �' APT. FLOOR CITY
OCNPANT � ` OWNER
HEAT LOSS ATE HTG. INST.
SOLD BY
INSTALLED BY
El�etrical Work' By Gos Lin� By
TYPE OF HEAT GA FA �HW STEAM SPACE WTR. _
GAS DESIGN
MAKE ��__� AAAKE OF BURNER _
Mod�l {ri._f (`c� ��'�t� _�� AAod�l
S�riol ��( ^- f^ Mox. BTU Ratino _
1NPUT � � � MAKE OF FURNACE
Mod�l
UNIT HTR. OTHER
CONVERSION
SUBURB �'����� `.,t
CONTROLS � ��
THERMOSTAT H•ot Pluy �• v V�nt Siz• T
Volv KIND OF LINER SIZE NONE
Limit � F� Droft Hood Rpulator
Limit S�ttiny —..��� �� Filt�rs Si:��,;�r ic.o.r--j,-i--^umb�r
Fon S�ttinp µ ChiMn�y Location Ins�i/d� Outtid�
Pilot Typ� �.. �., fQ, Chimn�y Consfrudion � ti/�,
Pilot Mak•
P;lot Mod•I Smok� Bo b Wir;ny
Pilot Timiny D�aff �T��.�� T�sf Ta�
L.W. Cut OiF Dow Pr�ssur� Liyhtin� Inst.
Prsssur� v-�i �'i P�ro�nt CO2 Dat� T�st�d i �
Input CFH�Z��P�re�nt O� Company T�sting
Smck T�mp� � P�rc�nt CO Nam� of T�sr�r
Form 235
-
_
CITYOF
FRIDLEY
FRIDLEY MUNICIPAL CENTER • 6431 UNIVERSTfY AVE. N.E. FRIDLEY, MN 55432 •(763) 571-3450 • FAX (763) 571-1287
March 23, 2001
Jerry Kellor
790 Kennaston Drive NE
Fridley, MN 55432
Re: Finai Inspection at 710 Kennaston Drive NE
Contractor: Royalton Heating & Cooling
Dear Mr. Kellor:
A mechanical permit was issued on September 3, 1999 for the installation of a furnace
and air conditioner at your address. According to Section 305(a) of the 1991 Uniform
Mechanical Code, a final inspection shall be perFormed on the mechanical permit. As of
this date no inspection has been called for.
The permit fee that was paid covers the inspector's time to check to make sure the
appliances were installed correctly. We also need to check for the installation of
combustion air, vent and connector sizing.
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 permit and note that no
inspection were called for.
Any questions can be addressed to myself at (763) 572-3603.
ly,
DAT/�J,�NSEN
Buil ir,� Inspector
DJ/mh
sue�ec* MIT NO. "'
City of Fridley 15 �
AT THE TOP Of THE TWINS g � I L D I N G P E R M i T
r
� �
� .
i • COMMUNITY OEVEIOPMENT DIV.
' ; V �'.�� � .
r � � PROTECTIVE INSPECTION SEC.
� � i"'1 � CITY MAIL FFIDLE� 55132 NVMBEA pEV D�iE PAGE OF AvnnOVEO 9r
�""�"� �'' 763-571-3450 910-F15 10/11/02 � �
JOB ADDRESS 710 KENNASTON DRIVE NE
1 LEGAL �OT NO. BLOCK TiiACT OR ADOITION SEE ATTACHED
oescR. 8 2 BROOKVIEW TERRACE SHEET
2 PROPERTY OWNER MAIL ADDFESS ZIP PHONE
JERRY KELLER 710 KENNASTON DRIVE NE 763-571-0066
3 CONTRACTOR MAIL ADORESS ZIP PHONE IICENSE NO
STANDARD WATER CONTROL 5337 LAKELAND AVE N, CRYSTAL, MN 55429 763-537-4849 1522
1 ARCMITECT OR OESIGNER MAI� AOORESS ZIP PHONE IICENSE NO.
5
6 USE Of BUIIDING
RESIDENTIAL
7 CIASS OF WORK
MAtL AODFESS
� NEW O ADOITION
8 DESCRIBE WORK
INSTALL INTERIOR DRAI1vTILE
9 CHANGE Of USE FROM
� ALTERATION
TO
ZIP Ph10NE LICENSE NO
O REPAIR O MOVE O REMOVE
ST{PULATIONS
Provide smoke detectors in all sleeping rooms and on all levels of the dwelling
per Section 310.9.1.2 of the 1997 Uniform Building Code. Caulk and €iash aIl
exterior open�ngs.
SEPARATE PEiiMITS ARE REOUIRED FOR ELECTRICAL, PIUMBING, MEATING.
VENTILATING OR AIR CONOITIONING
THIS PERMIT BECOMES NULL AND VOIO �f WORK Oii CONSTRUCTION 20NING
AUTMOAIZED �S NOT COMMENCED WITMIN 60 DAYS, OR IF CONSTRUCTIQN
OFl WORK IS SUSPENDED OR ABANDONED FOFi A PER100 OF 120 OAYS A7
ANV TIME AfTER WORK IS COMMENCED. NO OWIG. UNITS
I MEREBY CERTIfV THAT I HAVE READ ANO EXAMINED THIS APPLICA710N 1
ANO KNOW THE SAME TO BE TRUE ANO CORiiECi ALL PROVISIONS Of �AWS yp�UAT10N
AND ORDINANCES GOVERNING TMIS TVPE OF �NORK WILL BE COMPLIED 2�800
WITH WHETHEA SPECIFIEO HEREIN Oii NOT THE GRANTING OF A PERMIT �
DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE Oii CANCEL TME pEqMITfEE
PROVISIONS OF A TH R T R OCAL LAW REGULATING CON
F
STA�LS
ROUP OCCUPANCvlOAO
CU fT
OFFSTREET PANKING
IGARAGES
SURTAX
$1.40
NY O E STA E O L
ST CTiON R TME PERFORMANCE OF CONSTfiUCTiON �H3.ZS Fire SC �Z.HO
` PLAN GMECK FEE iA� FEE
:�ice e SC $5 0 $92.45
SGN TUpEO�CON'FA(;TOQOA�UTHOQ�ZEO�GENT iO�tE� ME P LV VALI TEO THIS IS VOUQ PERMIT
lQ ��� � �
S�GNa��qE O� OwNEQ��� OwrvEABW�DEQ� �O�tE� e a I � Oarf
NEW I] CITY OF FRIDLEY Effective 1/1/2002
ADDN [] 6431 University Ave NE, Fridley, MN 55432 (763) 572-3604 Bldg Insp
ALTER [ j SINGLE FAMILY AND DUPLEXES R-1 AND R-2
BUILDING PERMIT APPLICATION
Construction Address: /�� ,l�P l� n av� �0f? ��
�
Legal Description:
Owner Name & Address
Contractor:
Address:
LIVING AREA:
GARAGE AREA
DECK AREA:
OTHER:
r
-re�. # 7103 5'�l �D�lv
4� MN LICENSE# �JoIo2
� �a./� �.� 9re�. # �1.3-�7 �/85/9
�
Attach to this application, a Ce�tificate of Survey of the
lot, with the proposed construction drawn on it to scale.
_ DESCRIPTION OF IMPROVEMENT
Length Width Height � Sq. Ft.
Length Wdth Height Sq. Ft.
Length Width Hgt/Ground Sq. F�
Construction Type: _����7 �.Gi`��lG�U� Estimated Cost: $_���'b�
—
Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x$ _$
�/ s �
DATE: APPLICANT: _ _(,%1(.( � G G��� Tel. # %/�03 :✓�3� �/�S%9'
Call (763) 572-3604 for Permit Fees if mailing in application or Fau 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
C1TY USE ONLY -
� �3. ��
� a. ��
� /� �O
$
$�` ��
$
$
$
$ �
$ o? �
Fee Schedute 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 [ 1
S7IPULATIONS:
..
�