AF - 47690�
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City of Fridley, Minn.
BUII.DING PERMIT
Date: . . /. . O. . . .`�. � — lS� . . . . . . . . . .
Owner.......................................
Addr�.ass ......................................
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N° 3495
Builder .� ..... ..,l.�Y.S. .............
Address...L�� ................................
LC?CATIO[V OF BUILDING
No. . � � / . . Street . ,,�.�!L.t . . . . . . �� . . . . . . . . Part of Lot . . . . . . . . . . . . . . . . . . . . . . . . . .
Lot . . �! . . . . . . . Btock . . . � . . . . . . . . . . . . . Addition or Sub-Division . . . . . . . . � . . .
y �� �4 a
Corner Lot . . . . . . . . . . . . 7nside Lot ..n . . . . . . . . . Setback � .��. .—.'�. � . . . Sideyard .�. d . � . � . . . . . . . . . . . . .
DESCRIPTION OF BUILDING
To Used as:
. .4u���d� . . . F�ont �� � r/Depth � `��/� Height �7 . ".� , Sq. Ft.l �y� Cn. F'� 01.�.� � �
.................... l�Or►t ........ Depth . Height ..... Sq. Ft. ........ G�. Ft. ........
T�pe of Construction . . . . . . . . . . . . . . . . . . . �et. � . . .t . . . . . . . . . . . . . . To be Completed . . . . . . . . . . . . . . . . . . .
In consideration of tlie issuance to me of a permit to construct dearibed above, I agree to do
the propoeed work in accordance with the descrtption above set mpliance with all provisi�s of
ordinances of the city of Fridley.
.�. ......................................
d1�0
In consideration of the payment of a fee of $.°?.� ......., permit is hereby granted to ...................
... .. .. .. .. .. .. ........ to construct the building or addition as described above. This permit is granted upon
the express condition that the person to wham it is gisnted and his agents, employees and worlunen, in all work
done in, around and upon said building, or any part ttiereof, shall conform in all respects to the ordinanoes of
� F%idley, Minnesota regarding location, construction, alteration, maintenance, repair and moving of bufldings with-
in the city limits and this permit may be revoked at any time upon violation of any of the provisions oY said
ordinances. A ` —
.'!!r. . !,J,�F+� . . . .�./. . Builtling 7t�eCbor
NOTICE:
This permit does not cover the construation, installation or alteration fo� wirinp, plumbin9, yas heatin�,
sewer or water. Be sure to see the Buildiny Inspector for separate permits to� these items.
e
City of Fridley, Minn. �� 9�
BUILDING PERMIT No '7 412
• � � - __
Date: ._.._..:'� `� _..,� ..�__..�__�?_
. �
Owner: � .... �.�%���r�,t.!�.�Builder . _. .. . _...._...�_.! ...____._____._
•
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Address
Address
LOCATI N O UILDING
No. ...�/....�.�. Street 1'��-_ . .. .. _._._ _.. �.. .��..,�/�rPart of Lot _...._._._..._ ..�
�
Lot .._.___......__..._.__ Block __..__......._..�._..._._. Addition or Sub-Divistoa .__._...�.._ �
Corner Lot ___...__..__.._ Inside Lot ._.._.��._ Setback .;,,�.�_ _._._ Sideyard ---.�
Sewer IIevatioz� .—...___._.._..�.._�.. .._._�._._ Foundatian IIevatiaa
DESCRIPTION OF BUILDING
To as:
�. _ F�ant .�� Depth ..�5.� Height ��.__ Sq. F't.�.�L. �Q Ci�. Ft��/
_.__.__.__... .___..._.__ Fra t.___..._.._ Depth _..�_. fTeight ��...._ Sq. F� _.._ Cu. P't.
Zj�pe of Constructfon _....._... ... ._- •• _ Es� y�.l�...�._�i To be Coanpleted �
In consideration of the issuance to me of a permit to caristruct the building described above, I agree to do
the propo�ed work in accordance with the d�scription abave set Porth and � co�iance with all pro�visions of
a�dinances oi the city of Fridley. �.�,��L� ��V,
_ i
In cansideratfon of the payment of a fee of �.�. �._�._._.., permit is hereby granted to
to construct the building or addition as described above. This percnit ia granted upo�
the �express condition that the person to whom it is granted and his agents, employees and workmen, in all work
done in, around and upon said building, or any part thereof, shall conform m all respects to the ordinances o�
Fridley, Niinnesota regarding location, construclaon, alterahon, maintenance, repair and moving of build�'�s
within the city litt�its and this permit may be revoked at any time upan violation of aqy of the provisions o� sain
ordinancea — - - l)
B��S �P��
NOTICE:
ihb p� do�s nof emnr !h� eons�rueNoe. inpallNien hr wMinY. P�W Yas MNin�, a�w�r er w�Mr. M wn le s»
Ih� doiWiaO In�elor for pp��af� p�neils for fh�a k�au.
A.PPL7[CATIQN FOR BUIL�II3C. F�:F?�IIT
CITY OF F:tIDLEY, MI�INESC�A
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LOCATION OF BUILDII�
No. - �% � /r _�- Street---�������--„-:Part bf Lot ,
Lot Block Addition or Subdivision
Corner Lot Inside Lot t�- Setback 93 s Side Yard
SEWER ELEV.�iTION FOtTNDATION ELEVATION
Applicant attach to this form Two Certificates af Survey of Lot..aad proposed build-
ing iocation drawn on these Certificates.
,
To be used as;
DESCRIPTION OF BUILDI*`G
��G�.� Front ��_ic��h_ �_Hei$ht / Q_
Sq. Ft. Cu. Ft.
Froat Depth Height
Sq. Ft. , Cu. Ft. .
Type af Construction_�'�����_R Estimated Cost /�Q ��
To be Completed , �jO ����s _
The undersigned hereby makes application for a permit.for the work herein specified,
agreeing to do all work in strict accordanca with the City of Pridley Ordinances and
rulings of the Department of Buildings, and hereby declares that all Che fact8 and
representatioas stated in this appZication are trese and correct.
DATE SIGNATURE. � � �' ,
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�(Schedule of Fee Costs can be found on the Reverse Side).
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City of Fridley, Minn.
BUILDING PERMIT
Date: .._._._.__..r.___._ Sept �10, 1968
OR+ner:
Address
Lawrence J. Grivna
731 Kennaston Drive
Same
Builder _._.._.._._.�
Address �_Same
'i�i ��
�� 992��
LOCATION OF BUILDtNG
No. __..731 .__._ Street _._____.__� Kennaston Drive_...._.._._.._ Part of Lot ____._...�
B&OOKVIEW TERRACE
Lot ._._...1.1 _._.._...._ Block _....____._..__1___-----_. Addition or Sub-Division ---.---.__�.._�_.__.._ �
Corner Lot ____..._..___ Inside Lot .._.__.._..._._.._.._.._ Setback .__._._.�_.�_.__ Sideyard
Sewer IIevati� _.._...___._......_.._.�._._._._...._ _._----_-- Foundation IIevation _..�__._
DESCRIPTION OF BUILDING
To be Used as:
Fireplace�.._____ �t _.______ �p� _�_�_ Height _._._..___ Sq. F't Cu. F't
_�_.._._.._._._._._.__�..� Front ----_�. Depth _..__._._ I�eight ___._.._.__ Sq. F'� � Gti1. Ft
Type of Construction _.._.._.���.�..__�........_._.. Es� Cost ......._.. �5 OO.,.. DU ..•--....._ To be Canpleted
In consideratlon of tt►e issuance to me of a permit to construct the building described above, I agree to do
the proposed work in accordance with the description above set forth and in oompliance with all provisions a�
ordinances of the city of Fridley. '
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°�-r
In cansideration of the payment of a fee of �_ 5.00 _��t is hereby granted to� Lawrence
�a� Grivna to c�struct the building or addition as described above. This permit is granted upoa
the express c�►dition that the person to whom it is granted and lus agents, employees and workmen, in all work
done in, around and up� said building, or any part thereof, shall conform in all respects to the ordinat►cee o�
Fridley, Minnesota regarding location, construction, alteration, maintenance, repair and moving of buil�in�s
witlsin the city ]imits and this permit may be revoked at a�y time upon violation of any of the provisio�ns oi said
ordinances. ,�--� % �,
Official`
Buildiu8 �
NOTICE: �
This p�rmit do�s not wwr NN eonm�alio�, intfall�tien fer wirin�. plumbisy, oa MNtn�, awK er waNr. !� wn b s»
1M buildieo lo�p�clor hr s�p�r�N pwmits for Nwa iNms. "' '
'.�
AFPi,I�AT?ON �OR. BUI��INu PIl��TT
"T1'r C:F' FRLDLEY 9 MI?Vi\TESOTA
OWNEF �' S NAl� j- A w.� c-�• c c ��!� i �'^�•a BUI I• �7ER ,� s� w..e E� c� T GiPi v,�,a
ADDRE�S 73/ /�Etiro�yS-To.,• p�,vE ADDRESS 73r kE^',•�.4s i�N /�+ri�F
LC. AT�O� OF BiT:II�IATG
�do a 7 3 1 s��'FtF�'�' kc-.►�ti A s-r�,.- l�sr � � E
LOT j/ BLOCK / A�DITION OR SUBDIViSION ji ��°!� v/ E w�c-.p.�AC E
CCB.�'Eft I�GT IN-�IDE I,OT X SETBAE;k� �IDE'YARD
SEW'II� ELE'TATIC�I`. TOP OF FOGTI?�G
Apr�l���nt a-c�cach to this .�o�°�r. T�.�c �'��tifi�at�� o�' Survey oi I,ot an�
p�opo�e�, bui�3ir.g lo�atio:r� c'�r.°at,�?n or� the�c; �e�ti�°icates o
7ES�R.TF"r � o� �� BLTTIaDTNG
To Be Js�� As: ��,r� E�� L a C E
Fro�+. ���th Height �
�q-uare feet vubic FE�t
Fz°ont Depth Height
Square tEet
�ubic Feet
Typz of Construction P.�z l c I� Estimated Cost �� d ��. c c
' �:
To Be Completed _ ,4 �q o v T it. � �• 3 0
The undersigt2ed hereby makes �.pplication fo� a permit for the �;�ox°k
he�ein specific.d, agreeir�g to do all work in �trict accordancP with the
�;ity o� Fr�.dley Ordinar�ces and rulings of thE Depa�tnent o:�' Builditag�,
and he��by d.ecla�es that alI the facts and r�pre�e.r�tations stat�d in
�hi� applica�tion are true and. correcto
DATE SE pT j��� SiG?�A`I�iTftE o< �uv��� �/�.- �1ii�v+�r•e
(Sche�ule of Fee Costs car be fourid on the Reverse Side�)
� w'+-� � � <c �cs 'T i- �a s ; F <G r��a t-� 7� �2a�O-e s,�,o F�2� �c..a c,� �
i�! � � i Ce' . �,�.c ;.� G x c 5 7'in.e 4 r74 ,S,
����iY ��Q ��r��
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Application �or Power Plants and Heafing. Cooling. Ventilation, Re�frigerafion and
Air Conditioning Systems ond Devices
PARTIAL RATE SCHEDULE
GRAVITY WARM AIR: RATE TOTAL
Furnace Shell & Duct Work . . . . . . . . . . . . . . . .. . . . . . . . . . . $10.00 $
Replacement of Furnace ............................. g.pp $�
Repairs & Alterations—up to $500.00 . . . . . . . . . . . . . . . . . . 6.00 $
Repairs & Alterations each add. $500.00 . . . . . . . . . . . . . . . 3.00 $
MECH. WARM AIR
Furnace She12 & Duct Work to 120,000 BTtJ . . . . . . . . . . . . $10.00 $
each add 60,000 BTLT . . . . .... .. . . . . . . . . . . . . . 3.00 �
Replacement o4 Furnace ............................. 6.00 $ �
Repairs & Alterations—up to $500.00 . . . . . . . . . . . . . . . . . 6.00 $
Repairs & Alterations each add. $500.00 . . . . . . . . . . . . . . 3.00 $
3TEAM or HOT WA1'ER SYSTEM
Furnace Shell & Lines—to 400 sq. 4t. EDR Steam .... .$10.00 $
Fumace Shell & Line—to 640 sq. ft. EDR Hot Water ... 10.00 $
Each add. 200 sq. ft. EDR Steam . . . . . . . . . . . . . . . . . . . . . . 3.00 $
Each add. 320 sq. ft. EDR Hot Water . . . . . . . . . . . . . . . . . . 3.00 $
OIL BURNER—to 3 gal. per hour . . . . . . . . . . . . . . . . . . . . . . . 6.00 $
over 3 gal. per hour—See Fee Schedule
GAS BURNER (up to 199,000 BTU) . . . . . . . . . . . . . . . . . . . . . . . 6.00 $ '�
over 199,000 BTLT See Fee Schedule
GAS FITTING FEES: NO RATE TOTAL
lst 3 �xtures . . . . . . . . . . . . . . . . . . . . . . x$ 2.00 $ ✓
Additional Fixtures ................. x .76 $
Gas Range to 199,000 . . . . . . . . . . x$ 5.00 $
AIR CONDITIONING
FAN HEATING SYSTEM
VENTILATING SY$TEM
ALTERATIONS & REPAIRS
ROUGH
FINAL
3ee Fee Schedule �
�
TOTAL FEE �
�% �
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Dept. of Bldgs. Phone 560-3450
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City of F�idley:
The undersigned hereby makes application for a permit for the work hereir.
specified, agreeing to do all work in strict accordance with the City Ordinance:
and ruling of the Department of Buildings, and hereby declares that all the facts
and representations stated in this application are true andecorrect.
Fridley, ' n._
Owner
/"�
Kind of Building ��
Used as
To be completed about � ``� �
Estimated Cost, $
-�S� '
Old—New. Building Permit No. Permit No. �''X-7`�
DF.SCRIPTION OF WORK
19"`�
HEATING or PO R team, Hot Water, Warm Air—No. �
Trade Nam � Size No.�����.��
Capacity Sq. Ft. E.D.R ���� �->"'STU H.P.
Total Connected Load S�' i Kind oi Fue� �="---5�
BURNER — Trade NamP Size No.
Capacity Sq. Ft. E.D.R BTLJ H.P.
� �.
V i�� �
Si¢n _ _ _ . �� _. .
(REMARKS-OVER)
�42
sy
Business Phone
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PERMIT for Power �ants and Heat�n Cool-
9•
ing, Ventilation. Refrigerafion and Air
Conditioning Systems and Devices
DESCRIPTION OF WORK
No. ot ' Heating Placnts !� �-L�✓ to be installed--altered epaired
Make �/�--�-��-�.�t� , Sixe ��3 - G � - i �z� ;
Oil fired_� Coal fi,red ; Gas fcred ✓; Gas Authorization No.
Remarks
Approved by.
Final InsFcction Daie , 19_
Inspector
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P�t � N° 4364
Fee � / 3. o--v
Of�ice of the Inspector of Buildings
City of Fridley
City of Fridley, Minn. ��' , 19 �`i
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Owner �������-�r�� ��-r-���..�r.�-
Location 3/ _ �--•�-'
Kind of Building �'���-a''�",--�--
How Occupied -
Work to be Cornmenced ,19^
To be Completed ,19_
Estimated Cost, $ Y" �� � �
Old-New, Building Permit No.
Permission is hereby granted to � to install—erect—use the material and devices described in the
above statement. This permit is granted n the express c ndition that the person to whom it is gmnted, and his agents, employees and workmen, in all the work
done and materials used under thas permat, and in �he opera ion of the devices herein mentioned shall conform in all respects to the ordinances of the City of Fridley
relating to or governing ihe work to be done and the operation of the devices herein named, and to the specific " ns set forth in the approued application for this
permit on file in the of�ice of the Inspector of Buildings. �f
�� �.� ��'�°""�� , Inspector of Buildings
az �M 11�67 Y
sue�ecT PERMIT .
City of Fridley ° 5 214
AT THE TOP OF THE TWINS g U I L D i N G P E R M I T
r
� .
, � ECEIPT NO.
.
COMMUNITY DEVELOPMENT DIV.
; ; y _---- 1
r � � PROTECTIVE INSPECTION SEC. JC"�
� �
i
+l �� �'��1 � CITY HALL FRIDLEY 55432 NUM6ER REV. DATE PAGE OF APPROVED BV
`����J \iI �•% � .
612-571-3450 910-F15 5/24/79 � �
J08 ADDRESS �31 Kennaston Drive N. E.
t LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED
DESCR. 1.�. I Brookview Terrace SHEE7
2 PROPERTYOWNER MAILADDRESS ZIP PHONE
Lawrence Gri�ra 731 Kennaston Drive N.E. 571-3228
3 CONTRACTOR MAIL ADDRESS Z�P PHONE UCENSE NO.
Rite Way Waterproofi.ng 7337 Lake Drive Lino Lakes 786-0550
4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO.
5 ENGINEER MAIL ADDRESS Z�P PHONE IICENSE NO.
6 USE OF BUILOING
Residenti.al
7 CLASS OF WORK
❑ NEW ❑ ADDITION �J ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE
8 DESCRIBE WORK
Insta.11 drain tile
9 CHANGEQFUSEFROM TO
STIPULATIONS Electrical extension cords can not be used as part of the power
source to the gump.
SEPERATE PERMITS REQUlf�ED FOR 1Ai2R�i�,
HEATiNG, PLUMBIN� ANfl SIG�dS.
TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD
SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING,
VENTILATING OR AIR CONDITIONING.
THIS PERMIT BECOMES NULL AND VOID IF WOHK 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 PAFKING
I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION �- STAILS GARAGES
AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS VALUATION SURTAX
AND ORDINANCES GOVERNING THtS TVPE OF WORK WILL BE COMPLIED $3,835 y�1.92
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 S7ATE OR LOCAL LAW REGULATIN ON- 2[� .00
STRUCTION OR THE PERFOR NCE OF CONSTRUCTION. $
� PLAN CHECKFEE TOTALFEE
\
$25.92
� OFCONTRACTOROFAUTHOFIZEDAGENT � IDATEI �. .+- HEN PROPERLY VALIDATED THIS IS YOUR PERMIT
� �' �
SiGNATUREOFOWNERIIFpWNER8U1lDERl IOATEI BLDG WSP 0%
. .
CZ�rY Of= (=IZII)1_LY , � �
• ���>c��r cn�rr o�l r-o�z �z�:� i►.)I:(�1' I �L. �u l�_u i��1� r>rii�r►z �rs ,
• (I�d�t�, -�li_�rcrzn��� ���s, /ll>»i T i ����, o�z R���nl �zs>
. � .
owc2rR: � � � C��1lV� r�uxr.uj.�z: �°�PJ .
. Acictr.ess: ��� ,��P/✓1��a4,�',��ll.� l�ddress: c� ���J � .
� � —��$ �Te].. l�o. ���o —��� '
��p, ; � Strect:
J..OT: �' BIACY.: �� ADDx`1'ION:
CO121J};R �,��:�; II�SID� LOT: S;:TBIICY.: SIUI.Y7IRDS: ' .
Rpz�lica"r,t attach "L-o L-his fonn 7�•�o CerL-ifi.cates of Survey o£ Lot and pxoposed
bu�.].ding �ocation dra4m on these Certifzcates. •
DESCRI PTI O('d OF BUI LDI i�G
�
xo 33e Used l�s:
� Fxont: Depth: � � Height: _
. , Square Feet: Cubic -Feet: �
�Fxont: Depth: Height:
Squai-e reet: � Cubic Feet: ' _ _
7`ype oi Constxuction: �O�r� \11.� .Estimated Cost: V�• V� �6
�b IIe Completed: �O�v � . Alt. A Alt. B
Proposed Driveway �r'idt:i� If I�e�a Opening Ts Desired $ � $
' (S�Js 12�VERSE .SIDE OF SHEET)
The undersig}�ed hereby makes application for a permit for the wor}: herein
specif5.cd, agreeing to do a11 �,ork in strict accal_dance with the City o£ .
Fzidlc�� Ordinaiices and ruliiigs of the De��a�i.aient o� Buildings, and hereby
dec�ares i:ha� all tlze facts and represeni:atic�ns stated in tliis applicai�ion
axe true and orrect. �See reverse side for acldii:iolal inionna�ion.
DATE: � � � SIGNATURI.:
S�.ipulations : .
. ��` (� • .
. � qa, � � . .
�_ � �� . � �
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SUBJECi •
c�ty of Fridley 18 8 31
AT THE TOP OF THE TWINS g � I L D i N G P E R M I T
r
; � ECEIPT NO.
� `y _____. COMMUNITY DEVELOPMENT OIV. ,c� ('� c�' f
r � � PROTECTIVE INSPECTION SEC. �� �( X�}-
� � � � �J }
l---- j ��'��;,� CITV HALI FRIDIE� 55432 NUMBER REV. DATE PAGE OF APPROVED 8Y
i J`. 6� 2-571-3450 9t 0-Ft 5 3 f 20/87 / /
JOB ADDRESS �31 Kennaston Drive N.E.
t LEGAL LOT NO. BIOCK TRACT OR ADDI110N SEE ATTACHED
pESCR. �-�- 1 Brookview Terrace SHEET
2 PROPERTY OWNER MAIL ADDRESS 21P PHONE
Gary Christensen 731 Kennaston Drive N.E. 781=1823
3 CONTRACTOF MAI� AODRESS Z�P PHONE LICENSE NO.
Same
4 ARCHITECT OR DESIGNER MAI� ADDRESS ZIP PHONE �ICENSE NO.
5 ENGINEER MAILADDRESS 21P PHONE LICENSENO.
fi USE OF BUIIDING
Residential
7 CLASS OF WORK
C� NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR O MOVE O REMOVE
8 DESCRIBE WORK
Construct a 10' x 12' Shed in Back Yard
9 CHANGE OF USE FROM TO
STIPU�ATIONS
SEPARATE PERMITS ARE FiEQUIRED FOR ELECTRICAL, PLUMBING, HEATING, TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAO
VENTILATING OR AIR CONDITIONING.
THIS PERMIT BECOMES NULL ANO VOID IF WORK Ofi CONSTRUCTION ZpNING SQ. FT. CU. PT.
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. N0. DWLG. UNITS OFFSTREET PARKING
I HEREBY CERTIFV THAT I HAVE READ AND EXAMINED THIS APPLICATION 1 STALLS GARAGES
AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROV�SIONS 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 $SOO S• SO
DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE pERM1T FEE SAC CHARGE
PROVtSIONS OF ANY OTHER STATE OR LOCAI LAW REGULATING CON-
STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. yS`I.S.00
PLAN CHECK FEE TOTAL FEE
$15.50
� NATUAEOF� ACTORORAU GHIZEDAGENT IDATEI WHEN PROPER�Y VALIOATED THIS IS YOUR PERMIT
� 3-� 0�=�7 - � 020
�. SiGNa E OF OWNER �If OWNER BUILDE i iDATE� BLDG INSP �a7E
p� [�('] City of Fridley Effective �/1/86
ADDN. [ � �R-1 AND R-2
pLTER. f J Building Permit Applieation
Construction Address:
;3�
/c. �:/�
Legal Description: t--� �� �'�
Owner Name & Address : � �� � f , ��y�"� Tel . # �� �
Contractor : �+`�` �/%i� Tel . #
Address• ��.:�� -
LIVING 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 seale.
DESCRIPTION OF IMPROYEMENT
Length Width Height Sq. Ft.
Length Width Height Sq. Ft.
Length Width Hgt/Ground Sq. Ft.
�I�nA IO�Ci"L --
Corner Lot [] Inside Lot � Ft. Yd. Setback Side Yard Setback 3
Type of Construction• �-1VU� r='R-��^� Estimated Cost: $ �
Approx. Completion Date: �2U � YS.
\
Alt. A Alt B
Proposed Driveway Width If New Opening Is Desired: � N�$ �
See Baek Page for Explanation
.., � �}.�• �.'"� a. ��''J,�" ���/ '���'`�i���'"�� Tel . #
DATE: � APPLICANT:�
CI QSE ONLY
Permit Fee
Plan Check
State Sureharge
SAC Charge
Park Fee
Sewer Main Charge
TOTN.
STIPULATIONS:
$ �'��UU
$ �_
� ��
�
�
�
�J�aV
Fee Sehedule on Reverse Side
25� of Building Permit Fee
�.50/�1,000 Valuation
$ 525 per SAC Unit
Fee Determined by Engineering
Agreement Necessary [ ] Not IJecessary [ )
,. . .. .
MINDER ENGINEER.ING CO. NC
,I .
ENGI NEERS AND SURVEYORS
LAND �uRVEV�NO � � SOIL� TESTINCi
CIVIL i. MUNiCIPAI. ENOIN[ERINd LANO DIANNINlS
64l8-SGT" AVENUE N.
p � NtINiJEAPOUS 2T, MtNN.
� � ! �� KE 7- 3637
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WE HERE6Y CERTIfY TNAT TH15 IS A TRUE ANO CORRECT REPRESENTI�TION OF 1� SUQVEY OF TME d0U�101�RiES �'�,3.
LAND ABOVE DESGRtBED ANO OF TNE LOCATION OF ALL BUtIDINGS, tF {WY, TNEREON , ANO ALL Y15t8LE EFKROAtNl��
1F ANY, FRO�► oR oN 5►�10 LAND. MINDER ENGINEERlNG CO., INC. '
DATED TN�S OrY oF � ' ' A.o.i�5 '�, �,..�'�N(y1�ERS ►�ND �iV0.VEYORS
r .• � �•;� F � ,
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CITY OF FRIDLEY
Effective Date May 1, lggg
APPLICATION FOR POWER P�ANTS AND HEATING, COOLING, VENTILATICN, REFRIGERATION AND
AIR �ONDITIONIiVG $YSTEMS AND DEVICES
RATE SCHEDULE
RESIDEIvTIAL
Furnace Shell and Duct Work,
Burner (Also replacement furnace)
Gas Piping
(piping needed with new furnace)
Gas Range
Gas Dryer
RATE TOTAL
$ 2a.0a $ 20.00
$ '10.00 $ .
$ 10.00 $
$_ 10. 00 $
* Air Conditioning (all sizes� $ 10.00
All Others/Repairs and Alterations
1� of Value of Appliance or Wor}�
COMMERCIAL/INDUSTRIAL
1$ of Value of Appli3nce or Work
$ 10.00
$
$
, State Surcharge $ .50
TOTAL FEE $3O.SO
Reinspection Fee ($15.00) $
Rough Insp. **ALSO INSTALLING ONE (1)
Date C'.ARRIER 38TK024 2 TON
AIR CONDITIONER
Final Insp. � 1�
Date
Approval for Permit
MINIMUM FEE FOR ANY HEATING PERMIT IS $1a.00�
PLUS $.50 STATE SURCHARGE
Attach stack verification fozm with.replaceaent furnace pennits
*Air. Conditioners can not be placed in side yard without
written permission frcm ad7oining neiqhbor.
Job Address 731 Kennaston Drive
Department of Buildings, 6431. University Ave. N.E., Fridley, MN 55432
City of Fridley
Tel. #571-3450
The undersigned hereby malces 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 Department of Buildings, and hereby declares that all the
facts and representations stated in this application are true and correct.
Fria�ey, �•v.nn. Ju1y 7 � 19 89
owrrER _ Gary Christianson
KIND OF SUILDING FTa7i12
USED AS Residential
TO BE COMPLETED ABOUT
ESTIMATED COST �3HOO.00
OLD - NEW BUILDING PERMIT NO. PERMIT NO. ��0� �l.�
DESCRIPTION OF FURNACE/BURNER
HEATING or POWER PLANTS, Steam, Hot Water, Warm Air- No. Ong
T='aae N�e _ Carri er siZe No. 58SX060CC
Capacity Sq. Ft. EDR BTU 6� � ��� gp
Total Connected I,oad Kind of Fuel gaS
BURNER - Trade Name Size No.
CapacitY Sq. Ft. EDR BTU HP
Company . Dependable Heating and A/C
Signed By���� ��/1► � i ��
6u-4r�
Tel. No. 757-5040
<
��5�1�. �_' 1� r l �} 1 �-1'���t'?
- �� -�C_—'s���'� tZ�
��! � � �i c�
� ���
� CHIM�JEY AND STACK VERIFICATION
The undersigned hereby verifies that the existing chimney ar stack;
1. `"Has been carefull examined Yes (�
Y ,
2. Is free from rust or deterioration Yes ()
3. Has no foreign objects lodged within Yes (l)
4. Is secur•ely supported Yes (l
No ( )
No c�
No ( )
No ( )
5. i•leets ali current Code requirements for size and
total BTU connected Yes O No O
6. Has Total hea ti ng BTU's of
All other BTU's
TOTAL
Rema rk s
1� �t� '1 �,�Q/� .�. �-Ll�
c�n.l? �o �AL w+4��1��+ �
/Ueti�
�
+ ���r��� . ' .
�� f �
;�,,
>.
Com pa ny
Signed By _
Da te
�
�
sue�ecT PERM �
City of Fridley 20202
AT THE TOP Of THE TWINS g U I L D I N G P E R M I T
r
; � CEIPT NO.
� ` _._�_ COMMUNITV DEVELOPMENT DIV. �
r � ~ � PROTECTIVE INSPECTION SEC.
, , 3 �
, , ,
i---. �; '��;'� CITY HALL FFIDLEV 55432 NUMBER REV. bATE PAGE OF APPROVED BV
i �� 612-571-3450 9�o-F15 11/17/89 � �
108 ADDRESS '731 Kennaston Drine N.E�
t LEGA� LOT NO. BLOCK TRACT OR ADOITION SEE ATTACHED
DESCR. �-1. 1 Brookview Terrace SHEET
2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE
Gary Christensen 731 Kennaston Drive N.E� 370-4333
3 CONTFiACTOR MAIL ADDRESS Z�P PHONE LICENSE NO.
Belton Bros..General Contractors 3856 Clinton Avenue South, Mp1s. 55409 825-3232
4 ARCHITECT OR DESIGNER MAIL AbDRESS ZIP PHONE UCENSE NO.
5 ENGINEER MAII AODRESS ZIP PHONE LICENSE NO.
6 USE OF BUILDING
Residential
7 CLASS OF WORK
❑ NEW C� ADDITION ❑ ALTERA710N O REPAIR O MOVE O REMOVE
8 DESCRIBE WORK
Constrnct � 20�' x 20� Addition to Dwelling
911 ut"ility locations
9 CHANGE OF USE FROM TO
STIPULATIONS
See notations on plan. �rovide sarloke detectors on �oth.levels of
existing house.
0� a��
Stat� �onew .�fs
u j�o d tng���eLires fha°r•offs ��� SEPARATE PERMtTS REQUIRED FOR
�p m�xt r b� • t? la d rep� Wl�:t�:G, Fi�ATING, F'�U:�7�3)l�JG AND SIGNS.
y�d �r�dr �nsta/� ye�s �C�,
�f
�'��'�r�,�y �ry� � e, o d�e � Qo q� �b �p/t r����
emb�an�. �S� o f ����hes
�
5EPAHASE PERMITS AqE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAO
VENTILATING OR AIR CONDITIONING.
THIS PERMIT BECOMES NULL AND VOIO IF WORK OR CONSTRUCTION ZpNING S�. FT. CU. FT.
AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION
OR WORK IS SUSPENDED OR ABANDONED FOH A PERIOD OF 120 DAYS AT
ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS OFFSTREET PARKING
I HEREBY CERTIFY THAT I HAVE FEAD AND EXAMINEO THIS APPLICATION 1' STALLS GARAGES
AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS VALUATION SURTAX
AND,ORDINANCES GOVEFNING THIS TYPE OF WORK WILL BE COMPUED $1'��9QO $H,95
WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT
DOES NOT PRESUME TO GIVE AUTHORITY TO VIOIATE OR CANCEL THE pERMITFEE SACCHARGE
PROVISIONS OF ANY OTHER STATE OR IOCAL LAW REGULATING CON- $189 ��
STRUCTION OR THE PERFORMANCE OF CONSTRUCTION.
PLAN CHECKFEE TOTALfEE
�, ` $197.95
. SIGNATUREOFCON'RACTORORAUTHORIZEDAGENT IDATEI WHEN PROPERLY V ATED THIS IS�•YOUR PERMIT
�� �
SiGNATUAE OF OWNER IIF OWNER BUILDEAr IOATE� BLDG iNSP p7E
rnw [ �
ADDN [ ]
ALTEEZ [ ]
Construction Address:
R-1 AND R-2
Building P�ermit Application
Effective 5/1/88
Legal Description: -
o� rr� & �aar�: �/t�' �. # � ? ��i333
Contractor:
�L-�.� ►�s. r�� %�r,�.��2... �. # �5_�.�
Aaaress: �3�.-ra�o� �.� i,Y, ��,t� t�P. �. v�1 d��s-, Y�/l.J �SL% l
LIVIIaG AREA:
Q�R�GE AREPi:
DDCR AREA:
OR%�It•
Attach to this application, a Certificate of Survey of the
lot,�with t�e praposed c�onstruction drawn on it to scale.
D�IPTI�1 � Il�IPI�OVENII�Tr
I�engttz o� wiath *a�% Heiyht � sc�. Ft. 7�36c�
Lerigth Width Heic�t Sq. Ft.
Length Width Hgt/Grow�d Sq. Ft.
. � 3�d � Y�i. �� � i� ��. � �
Corner IAt [] Inside [ 1 Ft. Y Setbac�c Side Yard Setbacks
Type of Constxuction: �{ � `�? ll� Estimated Cost: $ .
.,�.�
Approx. Campletion Uate: /� D �ii�04
!
Proposed Driveway Width If New Opening Is Desired: Ft. $ $
�
W -1- 6' See �ac3c Page
n�: 1 S �S� �c�r: - � �.. �# �s"�3a�
. 1 �oo ,
P�ermit Fee $ Fee Schedule on R�verse $ide
state Surrxlarge $ ,9j� $.so/$1,00o valuation
SAC C�arge $ � $575 per SAC Unit
Driveway Escraw $ � � Alt. ��p,�� or Alt. ngn Above .
Park, Fee $_ � Fee Determined by Engine.erinq
se�aer Main Charge $_� Agreeqaent Neoessa�y [] � N�-�rY L l
�I'AI, $ ���� i'i'%. '
LI�- �- �� ,.
srz�zzorrs: •�3�'. t�
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CITY OF FRIDLEY
Effective Date May 1, 1988
APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION, REFRIGERATION AND
AIR CONDITIONING SYSTEMS AND DEVICES
RATE SCHEDULE
RESIDEbTIAL `
Furnace Shell and Duct Work,
Surner (Alro replaceaent furnace)
Gas Pipinq
(pipinq rwed�d rith naw furnace)
Gas Ranqe
Ga8 Dryer
• Air Conditioning (all sizes)
All Others/Repairs and Alterations
1• of Value of Appliance or Work
COMMERCIAL/INDUSTRIAL
1• oi Value of Appliance or Work
RATE TOTAL
$ 20.00 $
$ 10.00 $
$ 10.00 $
S 10.00 $
S 10.00 S
s/,5;�0
$ S�
State Surcharge
Tarnz ra$
Reinspection Fee (515.00)
Rough Tnsp.
Date
Final Insp.
Date
Approval for Permit _�/��
� ` � ��
�r L� � �9/
MINIMUM FEE FOR ANY HEATING PERMIT IS i15.00�
PLl,1S S• 50 STATE SURCHARGE
•J►ir Oonditiontr� can not be placed in side yard vithout
vr�ttsn pc�aiuion lraw adjoining reighbor.
$ .50
$,��
s
Job Address ��/ /'C���J!'-5�6��/ i��•
Department of Buildings, 6431 University Ave. N.E., Fridley, MN 55432
City of Fridley
Tel. M571-3450
The undersigned hereby makea application for a pa�cmlt for the work herein
specified agreeing to do all work in atrict accordance with the City Codes
and rulinga of the Department of euildinga, and hereby declarea that all the
facta and repreaentationa stated in thia application ars true and oorract.
Fridley, nn. / ` 3 / , 19 �0
OWNER �/7/�- � ���/S�/L%SE�
KIND OF BUILDING
USED AS
TO BE OOMPLETED 1180UT �/"� / � / � �v .
ESTIMATEO COST
OLD NEW BUILDING PEfiMIT N0. PERMIT NO. l(J'�lo1S--
pESCRIPTION OF FURNIICE/BURNBR
HEATING or POWER PIANTS, Steam, Hot Water, Was�m 71fr- No.
Trade Name S1ze No.
Capacity Sq. Ft. EOR H� HP
'Potal Connected Load Kind of Fuel
BURNER - Trade Name
Capacity
Size No.
Sq. Ft. EDR BTU HP
Company � 0 A S ��/v
Signed By
Tel. No.
Fill out back side for stack verification on replacanent furnaces
CITY OF FRIDLEY
APPLICATION FOR PWMBING AND �AS FITTING PERMIT
m � � �ro u • K w Water
y a� � � m ���t ro N � q ro[ w p, �' � Heater
�►��i u�i ro � ,q�e .0 C� 3 �� u a O.�C � ti � w
t�il u D pq a! v[�i 3 �� v�i r+�O. U Pa 4 3 c�.7 � C7 O as lec
�
�9t j
2nd
3rd
4th
(R) = E'uture Connection Openinq Connected with Sewer
(") a New Fixture, Old Opening water
RATE SCHEDULE
PLUMBING FIXTURE RATES:
New Fixturee
Future Fixtures
Old Opening, New Fixture
Beer Diepenser
Blow Off Saein
Catch Basin
Rain Water Leader
Hydraulic Valve
Sump or Receiving Tank
water Treating Appliance
Hot Water Heater
Gas Range
Gas Dryer
N0.
RATE
S 5.00
g 3.50
S 1. 50
S 4.00
g 5. 00
g 5.00
S 5.00
S 5.00
S 5.00
g 7.00
$ S.UO
S 10.00
S 10. 00
TOTAL
5
S
S
S
S
S
S
S
S
S
$
S
S
Back Flow Preventer Aequired. .. Yes () No ()
�Pe S 5.00 S
ALL OTHERS AND/OR REPAIRS AND ALTERATIONS
lt of Value of Fixture or Appliance
Reinspection Fee S
(515.00)
State Surcharge
TOTAL FEE
S �Sl 0�
S .50
S�
Effective Date May l, 1988
Job Address ��/ V/ V 1��� �� ��•
Department of Buildings
City of Fridley
Tel. 11571-3450
The undersigned hereby makes application for a pertoit for the work herein
specified agreeing to do all work in strict accordance with the City Codea
and rulings of the Depaztment of Buildings, and hereby declares that all
the facts and representations stated in thia application are true and correct
Fridl�ey�, ' . �— ..7 / , lg �(/
«ur�R �/%��21/ �.�/l2�Sl�l�s�
KIND OF
USED AS
TOBE C
ESTIMATED COST
OLD NEW BUILDING PERMIT NO. PERMIT NO. IU �/��
��nY �=�J-�'��
Signed By
Tel. No.
ROUGH INSP.
Date
FINAL INSP.
Date
APPROVAL FOR PERMIT ___��6C_
�
����� ��
� L� i o�9/
!1ININUM FEE F'OR ANY PLUMBING PERMIT IS E15.00
PLUS THE $.50 ST�TE SURCHARGE
sue�ECr P •
City of Fridley 2 6 8 3 5
, , AT THE TOP OF THE TW�NS g U I L D I N G P E R M I T O
r
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� �` ._�� COMMUNITY DEVELOPMENT DIV. , / / f, /
r � ti � PROTECTIVE INSPECTION SEC. `� (O /`'f
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� � /"'1 � CITY MALI FRIDLE� SS132 NUMBER REV OATE PAGE Of APPROVED BY
�.__..11: `•� 612-571-3450 9t0-Ft5 7/27/98 � �
JOB ADDRESS �31 Kennaston
t �EGA� �OT NO. BIOCK TRACT OR ADDITION SEE ATTACHED
oesca. 11 1 Brookview Terrace sHeer
2 PROPERTY OWNER MAIL AODRESS ZIP PMONE
Gar Christensen ' S74-1448
3 CONTRACTOR MAIL ADDRESS Z�P PMONE UCENSE NO.
B B Roofing 6760 Madison St Fridle MN 55432 1-
d ARCHITECT OR DESIGNER MAIL ADDRESS 21P PNONE UCENSE NO.
5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO.
6 USE OF BUILDING
Residential
� CLASS OF WORK
O NEW ❑ ADDITION O ALTERATION �I REPAIR O MOVE O REMOVE
8 DESCRIBE WORK
Reroof (30 Sq) tear-off
9 CHANGEOFUSEfROM TO
STIPULATIONS
Underlayment must comply with State Building Code.
TYPEOFCONST. OCCUPANCY(3ROUP OCCUPANCVLOAD
SEPARATE PERMITS ARE REQUIRED FOR EIECTRICAI, PLUMBING, HEATING,
VENTII.ATING OR Alii CONDITIONING.
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION 20NING SO. fT. CU. FT.
AUTHORIZED IS NOT EOMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION
OR WORK IS SUSPENDED OR ABAN�ONEO FOR A PERIOD OF 120 pAYS AT
ANY TIME AFTER WORK IS COMMENCEO. NO. DWLG. UNITS OFFSTHEET PARKING
I MEFEBV CERTIfV THAT I MAVE READ AND EXAMINED THIS APPUCATION j STALLS GAFAGES
ANO KNOW THE SAME TO BE TRUE ANO CORRECT. ALL PROVISIONS Of LAWS VALUATION SURTAX
AND ORDINANCES GOVERNING THIS TYPE OF WOfiK Wlll BE COMPUEO '
WITH WHETHER SPECIFIED MEREIN OR NOT. TNE GRANTING OF A PERMIT �LSOZ �1. ZS
DOE PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE pEqMIT fEE SAC CHARGE
Pii ISION OF ANV OTHER ATE OR OCAL LAW REGULATING CON-
ST UCTtO OR THE PERFOR NCE OF N UCTION. %�F.7S Fire SC �Z.SO
PLAN CMECK FEE T AL FEE
°'� Lice C $5 0 83.50
SiGNATURE OF 'RACTOA OF1 AUTHOR�ZED AGENT DATEI HE PR V VA O ED TMIS I�O�ERMIT
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S�GNATUAE OF OwNEa �iF OWNEA BUILDEAi iDATE� � OG �N �iFTE
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ConstructionAddress:
CITY OF FRIDLEY
SINGLE FAl�1ILY AND DUPLEXES R-1 AND R-2
BUILDING PERMIT APPLICATION
I� �- � ��% S � �
Effective 1 / 1 /98
�3 ���
�� �
Legal Description: ��L: � l��' y! i/� L--
Owner Name & Address: ��/l / �%//�i � %Gn ��'I Tel. # � 7`f — � ���
�
Contractor: ,� � ��� �'j�L. NIlV LICENSE # �6 y�'
Address: (p�fv0 �•�,�i_�'�1 �� / ' Tel. # .,S /�/ D� ��
Attach to this application, a Certificate of Survey of the
lot, with the proposed construction drawn on it to scale. �
LIVING AREA:
GARAGE -AREA:
DECK AREA:
DESCRIPTION OF IIVIPROVEMENT
Length Width ' Height Sq. Ft.
Length Width Height Sq. Ft.
Length Width Hgt/Ground Sq. Ft.
OTHER: '
Construction Type: �� �� i��2 —vFi� Estimated Cost: $ c� ���
' (Fee Schedule on Back)
Driveway Curb Cut Width Needed: Ft. + 6 Ft = ' Ft x$ _$
/
DAT'E: a7 APPLICANT: �/S/�� `/ �� /��f� L Tel. #,S 7/—�a `7`�
Permit Fee
Fire Surcharge
State Surcharge
SAC Charge
License Surcharge
Driveway Escrow
Erosion Control
Park Fee
Sewer Main Charge
TOTAL
STTPULATIONS:
r
�
$ ,�
$ �. O
$ l �S
$
$ �� Od
$
$
$
$
$ g�-S�
CITY USE' ONLY
Fee Schedule on Reverse Side
.001 of Permit Valuation (1/lOth%)
$.50/$1,000 Valuation
$1000 per SAC Unit
$5.00 (State Licensed Residential Contractors)
Alt. "A" or Alt. "B" Above
$450.00 Conservation Plan Review
Fee Determined by Engineering
Agreement Necessary [ ] Not Necessary [ ]
_y.,�
SuB�ECT .
City of Fridley 2 8166
AT TME TOP OF THE TWINS g U I L D I N G P E R M I T
r
' ' NO.
� �
� • COMMUNITV OEVELOPMENT OIV.
� ; V ����� , .
r � � PfiOTECTIVE INSPECTION SEC. '�
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, ' 1� I �L FRIOLE� SSIJZ NUMBEF pEV DATE P�GE OF AGV OVEO SY
�.---�fi2'r'����12-571-3450 9t0-Ft5 � �
10/9/98
108 ADDRESS
t LEGA� �OT NO. BLOCK TRACT OR ADOITION SEE ATTACMEO
DESCii. 11 1 Brookview Terrace SMEET
2 PiiOPERTY OWNER MAIL AODRESS 21P PMONE
Gar �i�xas$za�s��€ Christensen
3 CONTRACTOR MAIL ADORESS ZIP PHONE LICENSE NO
Rains Bros. Const. 5825 Washin ton St NE Fridle 55 32 571-7639
♦ ARCHI7ECT OR OESIGNER MAIL AD�FESS ZIP PHONE LICENSE NO.
5 ENGINEER MAIL ADORESS ZIP PNONE IICENSE NO
6 USE OF BUILDING
Residential
7 CLASS OF WOHK
O NEW O ADDITION O ALTERATION � REPAIR O MOVE O REMOVE
8 DESCRIBE WORK
New Fascia and roof ed e
9 CHANGE Of USE FROM TO
STIPULATIONS
TYPE OF CONST. OCCUPANCY GROUP OCCUPANCV LOAD
SEPARATE PERMITS ARE REOUIREO fOR ELECTRICAL. PLUMBING, MEATING,
VENTI�ATING OR Alii CONDITIONING.
THIS PERMIT BECOMES NULL AND VOIO IF WORK Oii CONSTRUCTION ZONING SO. fT CU FT.
AUTMORIZED iS NOT COMMENCED WITMIN 60 OAYS. OR IF CONSTRUCTION
OR WORK IS SUSPENOEO OR ABANDONEO FOR A PERI00 OF li0 OAYS AT
ANV TIME AfTER WORK IS COMMENCED. NO OWLG. UNI7S OFiSTREET PARKING
I HEREBY CERTIFV 7MAT I HAVE READ AND EXAMINEO TMIS APPLICATION STA�LS GARAGES
AND KNOW THE SAME TO BE TRUE AND COFRECT. ALL PROVISIONS Of �AWS VALUATION SUpTA%
ANO ORDINANCES GOVERNING TMIS TVPE Of WORK WILI BE COMP�IED
WITM WMETHER SPECIFIEO MEREIN Oii NOT. TNE GRANTING OF A PERMIT LSOO .%S
OOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEI TNE pERM11 fEE SAC CMARGE
PROV S OF A HER STAT LOCAL LAW REGULATING CON- �@
S ME PE fOR CE CONSTFUCTION !}$.,rj0 lre ' y�1.5O
S PLAN CMECK f EE TOTAL F E
`� ° �• �� Licen SC 5.0 55 5
S�GN�TUQE �CON' ACTQAOAAUTHOp�2ED�GENT i♦tE� N P P TE IS VpUp PE IT
� /
S�GNnTUAE O� OWNEQ��F pwNEABU��DEA� � ATE� BLO �NS� ���E
NEW [ ]
ADDN [ ]
ALTER [ ]
CITY OF FRIDLEY
SINGLE FAMILY AND DUPLEXES R-1 A1�1D R-2
BUILDING PERMIT APPLICATION
ConstructionAddress: �� � ���o,�}Dn �.
Legal Description:
Owner Name & Address: ��a �.�,�,ShartSe� Tel. #
Contractor: �.; n5 � sol`� (�S�i = MN LICENSE #
Address: ,s'��� t.,��$hi��d�l 5� �• �• Tel. #
—�
Attach to this application, a Certificate of Survey of the
lot, with the proposed construction drawn on it to scale.
LIVING AREA:
GARAGE AREA:
DECK AREA:
OTHER:
Effective 1/1/98
DESCRIPTION OF IMPROVEMENT
Length Width Height Sq. Ft.
I.ength Width Height Sq. Ft.
Length Width Hgt/Ground Sq. Ft.
�/ � �r
(y��–h,_tG�' an ��o�Ot �C%r
00
Construction Type: Estimated Cost: $ �� �v —
(Fee Schedule on Back)
Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x$ _$
DATE: � APPLICANT: �i�5 ��j%j/eg ���5� Tel. #{57/��710 3%
Permit Fee
Fire Surcharge
State Surcharge
SAC Charge
License Surcharge
Driveway Escrow
Erosion Control
Park Fee
Sewer Main Charge
TOTAL
STIPULATIONS:
$ �. '�
$ %'�
$ ���
$
$ 'S, `�v
$
$
$
$
$ �%�
� 1
go. �.�
CITY USE ONLY
Fee Schedule on Reverse Side
.001 of Permit Valuation (1/lOth%)
$.50/$1,000 Valuation
$1000 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 [ ]
Building
Inspections
763-572-3604
DATE � '/ "-
SITE ADDRESS �
THIS APPLICANT IS:
PROPERTY
OWNER/
TENANT
CONTRACTOR
SUBMIT A COPY OF
YOUR STATE
LICENSE WTTH
APPLICATION
PERNIIT TYPE
TYPE OF WORK:
MECHA.NICAL
RESIDENTIAL APPLICATION
CITY OF FRIDLEY
E-MAIL ADDRESS
OCONTRACTOR
ADDRESS:
�
COMPANY NAIv�;
CONTACT PERSON:
STATE LICENSE #
EXP DATE
Permit No.: " C C (' -L' � � �
Received By:
Date Rec'd: ��� ����
ADDRESS: CITY STATE ZIP
PHONE
$�INGLE FA1vIII.Y ❑ TWO FAMILY
�W O REPLACEMENT
DETAILED DESCRIPTION OF WORK T��
FAX
0 TOWNHOUSE
p ALTERATION/REMODEL
��� �"T.� � �
PER MS 16B.665 the permit fee is a minimum of 515.00 or 5% of the total cost up to $500.00, whichever is greater, for the
improvement, installation or replacement of a residential fixture, excluding the fixtures. (T'his should reflect only the cost of labor )
Labor cost under $300 =$15.00. Labor cost between 5300 to $500 = cost of labor x.OS =
FOR PROJECTS WHERE 1-ABOR EXCEEDS 5500, FEES ARE BASED ON S 10.00 PER FIXTURE, EXCEPT WHERE NOTED. FIXTURES: (IIdDICATE TOTAL
NUIvIBER OF EACH BELOV� MODEL: S��TU
Equipmcnt Installed . �G� S1ZFJgTU
�C,: MODEL:
MFG: MODEL: SIZFJBTU
A/C S25.00 �p�� (GAS) 515.00 . GAS RANGE,�VEN S10.00
_AIR TO AIR EXCHANGEER S15 FIREPLACE (WOOD) 535.00 NEW GAS GRILI. SI0.00
BOILER S35.00 _FURNACE 535.00 _GAS UMT HTR 510.00
CHIIvWEY LINER SI0.00 _GAS DRYER 510.00 POOL HEATER 535.00
DUCT WORK 510.00 GAS PIPiNG S10.00 VENTILATOR S15.00
— ..� � ���—�+��—
�.
��'*,�y:rz�ra����� .. ...+.r�..,, .y- . . , -;—: . .� ,.,�.,-�.�� _,,. _. _._. . ..,. _ _
Perm�t Fee $ . Number of fixtures Q, $10.00 x$10.00 =
Surcharge $ .50 Number of fixtures Q$15.00 x$15.00 =$
TOTAL DUE $ Number of fixtures (a�, $25.00 x$25.00 =$
Number of fixtures @$35.00 x$35.00 = S
State Surchazge = $ .50
Total = $
THIS IS AN APPLICATION FOR A PERM�T-NOT VALID UNTIL PROCESSED
I hereby apply for a building permit and I acknowledge that the information above is complete and accwate; that the work will be in
conformance with the ordinances and codes of the City of Fridley and with the Minnesota Construction Codes; that I understand this is
not a permit but only an application for a permit and work is not to start without a permit; that the work will be in accordance with the
approved plan in the case of a�l w�{lc which r�s revi �and appro��al of p� �� ��
. . .l,il �h Ery i ,�_�� /"✓
�!��
SIGNATURE OF APPLICAN'f
�
City of Fridley
Building Inspections Department
6431 University Avenue NE, Fridley, MN 55432
763-572-3604
FAX: 763-502-4977
�
Building
Inspections
763-572-3604
763-502-4977 FAX
1�7'1
SITE ADDRESS _
THIS APPLICANT IS:
PROPERTY OWNERf
TENANT
BUILDING
RESIDENTIAL APPLICATION
CITY OF FRIDLEY
EFFECTIVE 1-1-08
YOUR E-MAIL ADDRESS
❑ OWNER ❑CONTRACTOR
3� �'CGr�n�
� �-t y -�-Y�3
CITY
Permit No.'���� �,� ����
Received By;
D�C�'D��� � 2008
ATE '� � ZIP S � a
CONTRACTOR a.DDRESS: S�- �Sd�- CITY �!//� �9"� STATE�ZIP .5��3
,.
SUBMIT A COPY OF pHONE GSi • � FAX
YOUR STATE LICENSE STATE LtCENSE # . S c3 EXP DATE �� c3 ����
PROPERTY TYPE
PERMIT TYPE
TYPE OF WORK:
O SINGLE FAMILYMEW CONSTRUCTION SIZE
❑ TWO FAMILY/NEW CONSTRUCTION STORIES
❑ ADDITION ❑ GARAGE/SHED ❑ WINDOWS
❑ BASEMENT FiN[SH c�00F ❑ DRAM TILE
❑ DECK ❑ SIDING ❑ OTHER
❑ SWIMMING POOL
❑�NEW HOME CONSTRUCTION O ADDITION
� MAINTENANCE/REPAIR ❑ REMODELING
DESCRIBE WORK BEING DONE: �iUO
SIZE OF
ROOFING �"�
NUMBER OF SQUARES �v
GARAGES
PROPOSED SIZE:
PROPOSED HEIGHT:
SIDING
D Vinyl
❑ Aluminum
❑ Other
WINDOWS
IN EXISTING OPENINGS ❑Yes ONo
OR FOR NEW OPENINGS-DESCRIBE SIZE OF
OPENING CHANGES &
TYPE OF WINDOW TO BE INSTALLED _
GTH
❑ HOUSE ONLY
❑ HOUSE & GARAGE
❑ ATTACHED GARAGE
� DETACHED GARAGE
HEIGHT
BASEMENT REMODELING SUBMIT:
1. Existing Floor Plan
2. Proposed floor plan
3. List of structural members to be used
FOR NEW CONSTRUCTION INCLUDING DECKS,
❑Soffit ADDITIONS. & PORCHES SUSMIT:
❑ Trim 1. Site Plan/Survey showing the existing structures
❑ Fascia and proposed project.
2. Two seks of consVuction plans
3. Energy Calculations
LOCATION OF WINDOWS
NUMBER OF
ALL �EES ARE BASED ON VALUATION, INCLUDING THE COST OF LABOR AND MATERIALS:
�Ir� (USING THE 1997 UBC FEE SCHEDULE)
TOTAL JOB VALUATION $ ,'TI`�f'�O � OCCUPANCY TYPE
Permit Fee
Plan Review
Fire Surcharge
Surchazge
License Surcharge
SAC Charge
Curb Cut Escrow
Erosion Control
Pazk Fee
Sewer Main Charge
Total Due
$
$
$
$ tS
$
$
$
See Back Page for Fee Schedule
65% of Building Permit Fee
.001 times the total job valuation
.0005 x Permit Valuation Minimum $.50
$5.00 (State Licensed Residential Contractors)
$1825 per SAC Unit (Plans to MWCC for determination)
ft+6ft= ftx$21=$
$450 Conservation Plan Review
Fee Determined by Engineering
Agreement necessary ( ) Non Necessary ( )
Make checks aayable to: City of Fridley Attach
THIS IS AN APPLICATION FOR A PERMIT-NOT VALID UNTIL PROCESSED
I hereby apply for a building permit and I acknowledge that the information above is complete and accurate; that the work will be in conformance with the ordinances and codes
of the City of Fridley and with the Minnesota Construction Codes• that 1 unde d this is not a permit but only an application for a pertnit and work is not to start without a
permit on site; that the work will be in accor wi ap ve lan in case of all work which requires review and approv 1 of plans
SIGNATURE OF APPLICQ� PRINT NAME �� ^^� �it V C��' 1 DATE ����
APPROVED BY
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License Detail
Here are the detaiis for the license you are cure�ntly looking for:
Llcense name: E Z HOME SOLUTIONS LLC
License doing business as:
License address: 860 MARGARET ST
C� S�� �p� ST PAUL, MN 55106
License number: 20531380
License type: RESIDENTIAL BUILDING CONTR
Company strvcture: � LIMITED LIABILITY COMPANY
License status: ISSUED
License original issue date: 6/21/2005
License expiration date: 3/31/2009
Qualffying person: EZEKIEL D. FRICKE
Continuing educa�on hours requlred to renew license: 7
Contractor's phone number: 651-2918748
Enforcement action: No
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