AF - 47970� SUBJECT PE •
City of Fridley 2 0 7 9 3
' , AT THE TOP OF THE TWINS g � I L D I N G P E R M I T O
r
� � COMMUNITY DEVELOPMENT DIV. f9 �d �' �
� � r� o �.�
� �y-------�
r � � PHOTECTIVE INSPECTION SEC.
� � �
� j �'�'1 � CITY HALL FHIDLEV 55432 NUAABEP REV OATE PAGE OF APPROVEO BV
�----� � �•� 612-571-3450 910-F15 4/29/91 / /
JOB ADDRESS 16�7 Kristin Court NE
t LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED
DESCR. 13 1 Iieather Odl{S SMEET
2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE
Brickner Builders Tnc. 6240 Hwy 65 #208, Fridley, MN 55432 574-9871
3 CONTRACTOR MAIL ADDRESS Z�P PHONE LICENSE NO.
Same
4 ARCHITECT OR DESIGNER MAIL ADDF;ESS ZIP PHONE LICENSE NO.
5 ENGINEER MAII ADDRESS ZIP PHONE LICENSE NO.
8 USE OF BUILDING
Residential
7 CLASS OF WORK n NEW O ADDITION O ALTERATION O REPAIR ❑ MOVE ❑ REMOVE
X
8 DESCRIBE WORK
Construct a 32' x 53r Dwellingy a 24� g 3' e� 0� 12� Deck
� ' � •:�. EE THE
ACCUR,4CY 01= IJTtLtTY LQCA; �C}IVS �,��� ��i:�q � rONS.
c c., �' , r' t- ES ONLY,
9 CHANOE pF USE FROM AI��. PER..O�JS U.�INt� T; tiS EP.FGf�t��A i!ON SHOULD
STIPULATIONS Suhmit deck des.ign for approva,l be�ore construction. Provide City with
copy of verifyirig survey be�ore capping. Provide sod in the front and side yards.
Provide a, ha,rd sur�a,ce dri:veway,
SEWER y�,�l�,��, '''�` : 148t S o� Manhole (S, Inv. 958,83)
WYE ELEVATION: 959.42 TOP QF FOOTTNG: 962.42 Minimum
WATER LOCATTON: S o� sewer service ^ possibly in same trench,
Paid Park Fee of $1,500.00. Paid 5ewer Ma.in Escrow of $800.00
WAR�����
Before digging cau for SEPARATE PERMITS R�i�U�n�D F�?
al1 utility locations � WiRlNG, HEATINC�, PL�1f'r9�3dNG Ai�SD SiGI�
454-0002
RE UIRE� �X �AUV
TYPE OF CONST. OCCUPANCY GROUP OCCUPANCV LOAD
SEPARATE PERMITS ARE RE�UIRED FOR ELECTRICAL, PLUMBING, NEATING,
VENTILATING OR AIR CONDITIONING.
THIS PERMIT BECOMES NULI AND VOID IF WORK OR CONSTRUCTION ZONING SQ. FT. CU. FT.
AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OH IF CONSTRUCTION
OFI 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 �- STALLS GARAGES
AND KNOW THE SAME TO BE TRUE AND CORiiECT. ALL PROVISIONS OF LAWS VALUATION SURTAX
AND ORDINANCES GOVERNING THIS TYPE OF WORK WIIL BE COMPLIED �� $1Q7 �OO $53,65
WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT f
DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE pERM1T FEE SAC CHARGE
PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING coN- $667 . SO $650R QO
STRUCTION OR T E PERFORMANCE OF CONSTRUCTION.
PLAN CHECKFEE TOTALFEE
�lr, ��i�'�+��. re S �7s30 �1r�Y a'25 + PF st SM
SIGNATURE OF CON i RACTOR OR AUTHORIZED AGENT IDATEI WNEN PR PERLY A H IS YOUR PERMIT
. �
SiGNATURE OF OWNER�IF OWNER BUILDERI IDATE� "� $D �1ATE
� �1
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R-1 AND R-2
Buildinq Permit Applicatiaa�
o��� �: ��� I< � rs�� rt� c� �
r�gal nescr�pt.�ton:
Owner Name & Acidres.s:
��
Effective 1/1/91
Te1. # S'7 y-�I if7 I
�ntractor: _�3�r'�c.kh�„ ��.�I�Fvs �hc . Tel. # S-7y-9�7 /
Addres.s: �O�tyO Hwv 6S"� a08' �r�e��e�, fYliriH �S`/3Z�
� Attach to this applic,3tioal, a C7ertificate of S�rvey of the
lat, with the pro�osed ooa�stxuction drawn aa� it to scale.
n�� o� n�aav�r
LIVIIx3 ARF�s I�ngth 32 width S3 i�eight sq. Ft. `� '�� `�� �
c� r,��: IP.TICj'�2'1 ��_ width 3 C� xeight sq. Ft. ��� ,`�
n�c� �: Lenqtn �;,� wiath �_ xc�t/c�uma � sq. Ft. �� �
ar�:
corner Lat [] Inside Lat (] F't. Yd setbacx 3 S� side Yard setbaclss �/(�
7j�pe of Construction: � p rJ F�L/�� E" Estimat�ed Oost: $��.��� ��� e
Approx. C�q�letion Drate: _�'� / - %/
�
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Proposed Drive�ray Width If New Openu�q Is Desired: Ft. $ $
v Width + 6' See Back Page
n�: �/ �3-9 r �cAxr: ;�'(,�' G� �. # .Si y - y s7i
�
�t F� $ 1�G7.�o
Fire Sumhazye $_ _ � tl � . �ti
State Sur�large $ �.(s;
SAC Ct�an?e $ ����.�
Driveway �scrow $ —�
park Fee S p �� ,�1
sewer Main Charge S �, p�
•w
S'I'IPITiATIONS:
�,a � � c
$ �� % �. '1�
QTY [� �Y
Fee Sciiedule a� Reverse Side
.001 x Piermit Valuatiaai (1/lOth �)
S.5o/Sl,000 vatuation
$650 per SAC Unft
Alt. "A" or Alt. "B" At�we
Fee Detpr�ni w�ri }�Y �il'f�Er1T�j
Agreen�ent Neoessary [ ] Not Neces..sary [ ]
��cc�-- i�GbIL� Ft� �r%��L.Ut�r� .
�
:�� • � � � • :��. �4 ��� : �;�;��_�l .�
�e Chief Buildiriq Official shall, before issuing ��++its for the erection of ar�y
buildirg or stn�c4u�e, or for any additiaei to any existing buildi.r�q or structur+�, or
for any alteratioa� or repair to any Qxistirg buil.dinq or stYVCture, upan application
therefore, require the payment by the applicarit for su+c� ffi*�+�i t of fees to the amc�mt
herein belc�w set forth arri in the matv�er herein provided to-wit: �
P�•av �%c`�
$1 to '$500
$501 to $2,000
$2,001 to $25,000
$25,001 to $50,000
$50,001 to $100,000
$100,001 to $500,000
i �
$15 (Minimmn Fee is $15 plus surchaYge)
$15 for first $500 plus $2 for earh additiorial $100 or
fractia�t ti�x+eof, to atid includir�q $2, 000
$45 for fitst $2, 000 plus $9 for eac� additioa�al $1, 000
or fractia� thereof, to and including $25,000
$252 for fizst $25,000 plu� $6.50 for each additional $1,000
or fractiCal thexeof, to atyd including $50, 000
$414.50 for fiYSt $50,000 plus $4.50 for each additional
$1, 000 or fractioai thereof, to arid ir�cluding $100, 000
$639.50 for fiYSt $100,000 plus $3.50 for each additional
$1,000 or fraction thereof, to ar�d inclwdir�g $500,000
$500,001 to $1,000,000 $2039.50 for the first $500,000 plus $3 for each additional
$1,000 or fraction thereof, to and including $1,000,000
$1,000,001 atxi t� $3539.50 for the first $1,000,000 plus $2 for each additional
$1,000 or fraction thereof
DRIVEi01Y �PZ�SBI�T F.Bi1�W
(Doa�rete GLrb Streets On1Y)
Alternate "A": Reznoval ani replao�ent of curb and gutter only - Drive�ray width plus
6 feet tin�es $13.50.
Alt�ernate "B" : Renaval ar�d replao�nent of curb artid gutter and install a 3 foot wide
appraach with 6 inci� de�th - Driveway width plus 6 feet times $15.75.
� �,• .� �� .: .�- .��� �. • .:
Permits for aoaLStru�cti� will be iss�ed a min�i� of 24 twurs frcan the time of
application to allvw for proper review of ti�e praposed structure ard of the
aonstruction site.
A Dertificate of Svrvey of the lat, shvwing the locatio� of the famiation onve it has
it has been vonstructed wi11 be requir+ed before prooeedirr3 with the framing.
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ld��ep�o z to3�i.�o
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� architectunoJ consulto►nts
� sooe s� aT i. c. ossEO, � ee�� �. isr�Ms:s �nt
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Owner� � � �
Contracto►j � 14x�'�- �`°�� �
s � _ _
Site Address:
1)TOTAL EXPOSED WALL AREA � t�3� sq.ft x'�"��— ZIZ,(�,
�� �� o�b � , �
2)TOTAL EXPOSED ROOF�CEILINQ AREA � s�� sq. ft. x U�_
YYALL AREA CALCULATIONS�
J'
70TAL WINDOW AREA Z�S sa.ft.x�U��'�= �' �
GLAZED
70TAL DOOR AREA
70TAL GLASS DOOR AREA
GLAZED
TOTAL fIREPLACE WALL AREA
70TAL WALL FRAMING AREA
NET 1NSULATED WALL AREA
70TAL RIM JOIST AREA
TOTAL FOUNDATION AREA (EXPOSED)
-�--t�°`� sq.ft.x�U�� •�� _�
4a sq.r� X'u" �Z = l � •4�
' �� sq.ft.x�U��t � - �'�'
�4-/ �,,it,x�U�� �c9 = � Z �
� Z� sq.ft.z�U��'O� _ � a.
I 34 sq.�r.x u" ��� = 5.3
o°! sq:ft.X�U���'�_ � Z- �4
TOTAL FOUNDATION WINDOW AREA �'" sq.ft.x�U�� �_�°-""
3) TOTAL �� � �
. !t item 3 Js the some os, oi less than ltern l, you hove met fhe Jntent of
2 MCAR 1.16008 A and O.
,
ROOF/CEIl.INO CALCULATIONS�
TOTAL SKYLIGHT AREA
70TAL ROOF��EILING FRAMING AREA
NE7 INSULATED ROOF CEILING AREA
�--- �q.i�x�U'�.--�- _
1 f�� u o � _
;q.fi.x U iO`I 4 � t7
- � 3�s sq.nx'u"�°�z-= o.
. . . �'4) TOTAL . �
_.. 1/ item 4 Js the some as,or less than Item 2, you bove met !he fntenf of •
2 MCAR /.16006 A ond 0.
�LTERNATE BUILDiNG ENVELOPE DESION �
.• To utilize ttie total envelope system method, tl�e sum of Items 1• and 2 ahall 1
: be preoter than the sum of ltems 3 ond 4. . -_ � �
. '_ .1) t2) _
i •
' � �-----.3) +4) _ .
�. 1 hereby certtfy that fhe �b�polnp Aere descrtbed meets or exceeds Stote o e ..
s e� + � �
Enerpy Conservatlon Act.
is/aned)
�,� �, „� I �,�, ��.�..� CONSTRUCTION
FRAMING SECTION
� lnterlor oir film 0.68
2 � ,, SH�,¢�� .iFS
3 St inches of soft wood �,��
q ZSI ac ��.,+e++E L � �
g �io�.-� , � I
� exterior air film p.�7
. TOTAL R � � � ° �I
U = I/R � °�
SECTION (INSULATED)
� interior air film 0.6
M � 1 1 /�� �
2 -" ' - � �- 1 �i1�
�
3 S� ` �3.�.r.-� �,..� I`i ,�
4 Z�I sz e�..�� �.++e � Z, o�
5 s� � �.�� . g I
g exterior a1r film 0.17
� TOTAL R Z.� � �
U = I/R �_
DI ST SECT�ON
� interior air fllm 0.68
2 5� ���>-E+ i.�. I 9, o
3 �'1 � s�.. C�...�o�.n ( i o°I
q� �� a����� Z 0�-�
5 ��.►���� � �l
g exterior air film p,17
- TOTAL R � � �
U = I/R o a
ATION SECTION
� interlor air iilm 0.68
2 �u�-f¢�, �.��• � o
3 � ��
G—•�,� ��i� 1 ,2 Q.
,4 exterior air film
5 0.17
TOTAL R � "�
• U = I/R ' �'fi
VENTED
CONSTRUCTION -
CEILING SECTION (INSULATED)
( � �interior air film 0,61
� 2 1� �r+��'v_.ac � — � 5�
. ( 3 �o,.,,., 1 ��� 44—
( q exterior air film (still) 0.61
TOTAL R �
U = I/R , OZZ
CEILING FRAMING SECTION
( � interior oir film 0.61
( Q ��'P� Sr � ,,�ccac. � Sl.n
( 3 2ur•h.� I ���.. �'
(,q, interior air film 0.61
(5 �inches of soft wood 4,�5
� TOTAL R �
U = i /R � DZC.,o
CEILING SECTION i INSULATEDI
( � interior air film 0.61
(2
(3
(e} exferior air film (still) 0.61
TOTAL R
U = I /R
CEILING FRAMING SECTION -
( �, interior air fi Im 0.61
�2
(3
(4 interior air film 0.61
�5 inches of soft wood
TOTAL R
U = I/R
EXPOSED BEAM CEILING SECTION
(.� interior ai� film 0.61
i2
(3
�4
(5 exterior air film �•17
TOTAL R
L = I/R
CERTIFICATE OF SURVEY
for: BEICHAEF BIIILDEES
O Denotes Wood Siake Sei
For Excavation Only
—+- Denotes Surface Drainage
( ) Denotes Proposed Elevaiion
x De notes Exfsting Elevation
Top of Biock Elevation
Garage Floor Elevaiion
Lowest Floor Elevation
Type of Building:
Benchmark:
Elevation=
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T.C•97i.`I4 0 � i2IQ$
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"F m .~A 1 _ 24.67 °t'�
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p � m
Scale : F" =30'
o Denotes Iron Monument
Bearings are assumed
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T.c.=969.2
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Midwest Land Surveyors &
Civil Engineers, lnc.
I I 199 Coon Rapids Boulevard, Suite 212
Coon Rapids, Minnesota 55433
� Tele.;� 786-6909 FAX # 786-9208
Dro:no9e � Lf:ltfy Easemtn'F
Lot 13:, Block 1, HEATHER OARS,
Anoka County, Minnesota.
�"=�;-;, =2�
F,,,,d+;o., ����ed s-ze-q�
We hereby eertify that tMis is a true and wrrect repreeentation oi e wrvey of
the bounderlas of the abovedeacribed land and oi Ma laeation of all buildirtgs,
i} any, thereoR a� all vieible errcroaehmenta, if eny, hom or on aaid lend.
Ac eurveyed this Z6TN �y pf. 14Rr:1 , 18 91 ,
T E � Minn. Rap. No. ��`15
Land Surveyor
bb No._ 91-134 gook - Pape 59-41
RONALD F. MEYER
LAND SIIRYEYOR
LAND $UFiV6Y1N6 BUBOtV1810N �FD16N
TLLGPMONL� 771-4SB6
O98 JE9SIC $T. $T. PAUL. MINN. �3101
�
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I hereby certify that this survey was prepared by me and that I am a duly
Registered Land Surveyor under the laws of the State of Minnesota.
e����
Reg. No. 9051 Date: �
I �t-�Y'. �:��I��` 'i,l`,- :�•�i�iG: %�<<�_.�'^. i�Vt..!� �..t'y ;�AiT�E �t7G
4.`.I ,
ACC:�J�Fi�Y!?F i!:.i"�`r ;,i?C'A"f�CN; e�R� EL.EVATiONS,
� n TH:S UA?4 iS FGR Il�}i=0R±b7':=iUP•d FUkt'OS�S ONLY�
� I `�r �,.�i� F��S��dS USIfdG iWQS ff�f�C�t��k'i tON SHOULU
�l�fi�:�� ('F Ofd I I FiE �lTE.
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Scale� i" = 40'
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WARNIHG
Before diggi g ca�� far
�II Utill�tinnc
UIRED BY Ld#1�
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o Indicates iron monument
Lot 13� Bl�ck 1. HEATHER OAKS� Anoka County, Minnesota.
Gontains 10�089 sq. ft..
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City of Fridley 30610
�
AT TME TOP OF TME TWINS � � I L D I N G P E R M I T
� � RECEIPT NO.
COMMUNITY DEVELOPMENT OIV. n� _ /
r � v � � PAOTECTIVE INSPECTION SEC. 4� ����
� _ � V �J
� �"'1 � CITY MALL ff110LE� SS132 NUMQEN AEV D�iE v�GE OF AvvROVED Br
�°"'� � �'' 612-571-34b0 g�Q_F�g 12/30/99 / /
�oe Ao�aess 1647 Rristin Court NE
1 LEGAL L07 NO. BLOCK TiiACT OR ADOITION SEE ATTACHEO
DESCR. 13 1 Heather Oaks SMEET
2 PpOPERTY OWNEq MAIL ADDRES$ 21P PMONE
Dick Anderson 1647 Rristin Court NE 372-1030
J CONTqACTOR MAIL ADDRESS ZIP PMONE LICENSE NO
Schwarz Construction Co Inc 10961 32 St N Lake Elmo, MN 55042 (651) 779-0386
4 ARCMITECT OR DESIGNEii MAIL AOORESS ZIP PNONE LICENSE NO
7043
5 ENGINEER MAIL AODRESS , 21P pHONE LICENSE NO
8 USE OF BUILOING
Residential
7 CLASS OF WORK
� NEW � ADDITION ❑ ALTERATION ❑ REPAIR O MOVE O REMOVE
8 DESCRIBE WORK
Construct a 12' x 14' Addition and a 6' x 14' Deck
9 CHANOE OF USE FROM TO
STIPULATIONS
See notations on plan.
��tQ�e �i��an� ��19 for SEPARATE PERMITS
�II �rtilet� IoGation� REQUIRED FOR:
454-Opp2 WIRING HEATiNG
�E I� ��� L� PLUMBIN� AND SIG�Y$
SEPARATE PEFiMITS ARE REQUIREO FOR ELECTRICAL, PLUMBING, MEATING, TYPE OF CONST. OCCUPANCY GROUP OCCUPANCV LOAD
VENTILATING Op AIR CONOITIONING,
THIS PERMIT BECOMES NULL AND VOID IF WORK Op CpNSTRUGTION 20NING SG. FT CU FT
AUTHORIZED IS NOT COMMENCED V�IITHIN 80 DAYS. OR IF CONSTRUCTION
OR WORK IS SUSPENDEO OR ABANDONED FOi1 A PERIOD Of 120 DAYS AT
ANV TIME AFTER WORK IS COMMENCED. NO DWLG. UNITS OffSTREET PARKING
I HEFEBY CERTIfV THAT I HAVE READ ANO �%AMINED TNIS APPLICATION 1 S7ALlS GARAGES
AND KNOW TNE SAME TO BE TRUE ANO CORREC7. ALL PROVISIONS OF LAW$ VALUATION SURTAX
AND OROINANCES GOVERNING TMIS TVPE Of WORK WILI BE COMPLIED
WITN WMETMER SPECIfIED MEREIN Oii NOT. TNE GRANTING OF A PERMIT ].8 OOO� � �9.00
DOES UME O IVE AUTMORITY TO VIOLATE OR CANCEL TME pEqMIT FEE SAC CMAFGE
PR ISIONS OF A Y OTH STATE OR LOCAL LAW REGUTATING CON-
UCTIpN Op THE . FO MANCE OF CONSTRUC710N $293 .25 Fire SCi � 18. �0
— PLAN CNECK FEE TOTA FEE
Lice e S $5. $325.25
S�GNGiUAEO� • ACTOpONAU OAGENT �OATEi MEN FOPE Y ALIOATED MIS I��JR RMIT
O� �D
S�GNOTUAE O� OWNEA��� OWNEABUILOERi ID1fE� BL �NS� � ti6T
pa
NEw [ ]
ADDN
ALTER
Effective 5/10/99
L l CITY OF FRIDLEY
[ J SINGLE FAMILY AND DUPLEXES R-1 AND R-2
BUII,DING PERMIT APPLICATION
Construction Address: �� C
Lega1 Description: Zo� 13 �,
Owner Name & ddress: ; � L
Contra.ctor: � 6
Add�'ess: J n� �DI `�, h� �� J�l _
LIVING AREA:
GARAGE AREA:
DECK AREA:
OT'HER:
� SS'I E' v. ��
��
!��� �
°J �O
Tel. #(a/2 —� � � /� 3d
MN LICENSE # %6f-J �
Tel. # �S I- `77� o `S � �P
Attach to this application, a Certificate of Survey of the
lot, with the proposed construction drawn on it to scale.
DESCRIPTION OF IMPROVEMENT J2
r�
Length � Width � Height � Sq. Ft��
Length Width Height Sq. Ft.
Length ��ET Width Hgt/Ground Sq. Ft.
`� �� � e�aa�
Construction Type: L,'� .�2�-c Estimated Cost: $ f$�c�
.
Driveway Curb Cut Width Needed: Ft. + 6
DATE: �, -�/a - J 1
Permit Fee
Fire Surcharge
State Surcharge
SAC Charge
License Sbrcharge
Driveway Escrow
Erosion Control
Park Fee
Sewer Main Charge
TOTAL
STIPULATIONS:
Ft x $ _ $ .
Tei. # (p '� 1- `7'� -- o � ��'p
CITY USE ONLY
$�C% � e�.� Fee Schedule on Reverse Side
$ / e�� .001 of Permit Valuation (1/lOth%)
$ , � $.50/$1,0� Valua.tion
$ $1050 per SAC Unit
$ J°, O� $5.00 (Staxe Licensed Residential Contractors)
$ Alt. "A" or Alt. "B" Above
$ $450.00 Conservation Plan Review
$ Fee Determined by Engineering
$ Agreement Necessary [ ] Not Necessary [ ]
$ � ,�S
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 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 $100,000
$1�,001 to $500,000
$5�,001 to $1,000,000
$1,000,�1 and up
�L���.y
$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 $1,000
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 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 fi�E each additional
$1,000 or fraction thereof
DRIVEWAY DEPRESSION ESCROW
(Concrete Curb Streets Only)
Altemate "A" : Removal and replacement of curb and gutter only - Driveway width plus 6 feet times $15.50.
Alternate "B": Removal and replacement of curb and gutter and install a 3 foot wide
approach with 6 inch depth - Driveway width plus 6 feet times $23.25.
VERIFICATION OF FOUNDATION
Permits for construction will be issued a minimum of 24 hours from the time of application to allow for proper
review of the proposed structure and of the construction site.
A Certificate of Survey of the lot, showing the location of the foundation once it has it has been constructed will
be required before proceeding with the framing.
e
RONALD r. ytEYER �}
LAND SIIRVEYOR
• , U.NO SuRV�r�Na sueo�v�s�oN DES�aN
Te�ePHONe 771-4Se6
96$ J6991C ST. ST. PAUL, MINN. S:S101 �
I hereby certify that this survey was prepared by me and that I am a duly
Registered Land Surveyor under the laws of the State of Minnesota.
e��� �
Reg. No. 9051 Date: � ,�
. I I
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Scale� 1!' = 40' o Indicates iron monument
Lot 13� Block 1. HEATHEft OAKS, Anoka County� Minnesota.
Gontains 10,089 sq. ft..
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COMMON VENT, VENT CONNECTOR AND COMBUSTION AIR VERIFICATION
When replacina an existing furance, 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 ()
The undersigned also verifies that the replacement unit is a listed assembly
and meets the current codes and manufacturer's specifications. This does
include AGA-GAMA Category I Central Fumace Venting Tables for fan
assisted and natural draft appliances.
The existina combustion air is sized and installed to meei the current codes
and manufacturers specifications.
When required to install a new combustion air, it will be sized and installed
To meet the cuRent codes and manufacturers specfications.
Yes ( ) No ( )
Yes( ) No( )
Yes ( ) No ( )
When installina a new ventina svstem, the undersigned hereby verifies that
it 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. 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 ()
Aapliance Tvae and Size/Common Vent and Vent Connector 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 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
ALTERATIOIVS• (Describe)
HEATING CO:
Signed By: Date :
�
_
CCIYOF
FR[DLE.Y
FRIDLEY MUMCIPAL CENTER • 6431 UIVIVERSITY AVE. N.E. FRIDLEY, MN 55432 •(763) 571-3450 • FAX (763) 571-1287
February 11, 2002
Richard Anderson
1647 Kristin Court NE
Fridley, MN 55432
Re: Final Inspection at 1647 Kristin Court NE
Contractor: Owner
Dear Mr. Anderson:
A mechanical permit was issued on January 14, 20�, to extend two existing ducts and add one
electric (4') baseboard at your address. According to the 1991 Uniform Mechanical Corle, a final
inspection shall be conducted on the work authorized by this permit. As of this date, no
inspection has been called for.
The permit fee that was paid covers the inspection to make sure the work was completed
according to the Code. We will keep your permit open for another 30 days and if we do not hear
from you within this time to set up the inspection, we will mark the permit "no inspection called
for" and take no further action.
To set up the inspection or to have any questions answered, please contact the Building
Inspection Division at (763) 572-3604.
DJ/ls
Building
Inspections
763-572-3604
BUILI)ING
RESIDENTIAL APPLICATIOI�T
CITY OF FRIDLEY
Permit No. �Z —
Received By �
.
Date Rec'd��- /0 �
DATE /,,-,1 — I h' 0 7 YOUR E-MAIL ADDRESS
SITE ADDRESS _� � �( � �� 15Ti r� 1 � ���
THIS APPLICANT IS: ❑ OWNER [�NTRACTOR �
PROPERTY OWNER/ Np�: j�l� t� a� � Pt N�Sp P�
TENANT ADDRESS:I��I�% �C1215"�/�1 Ci CITY_/�r�� STA �7�
�� J�
PHONE: '%E.�°S�% I �7�01� u
CONTRACTOR
SUBMIT A COPY OF
YOUR STATE LICENSE
WITH APPLICATI�Ai
STATE LICENSE # oI p o? �� ��� EXP DATE
.�nnx�ss: i3G �a 1-4a2A�- s r- .� e�
� ��
PROPERTY TYPE INGLE FAMILY@�
❑ TWO FAMILY/hiEW
P�RMI'T TYPE
❑ BASEIvIhT1T FINISH
❑ DECK
TYPE OF WORK:
�bROOF
❑ SIDING
❑ SWIlvD��WG P�L
�
DESCRIBE WORK BEINC'i DONE: ��—Ea � 9- pC�,�p�
SIZE OF IIVIPROVEMENT
R�FING
NUMBER OF SQUARES 3�_
GARAGFS
PROPOSED SIZE:
PROPOSED HEIGHT:
SIDING
❑ Vinyl
❑ Aluminnm
❑ Otha
0 HOUSE ONLY
❑ HOUSE & GARAGE
❑ ATTACHED GARAGE
❑ DETACI�D GARA(3E
❑Soffrt
O Trim
❑ Fascia
WI]VDOWS
IN EXLSTWG OPENINGS OYes OATo U�ATIOAI OF WINDOWS
OR FOR NEW QPENINGS-DESCRIBE SIZE OF
OPENING CHANGES &
TYPE OF WWDOW TO BE INSTALLED NUMgpt pg V
N �
�n.r�y s�A�i� ,l�
❑ wwDOws
O DRAIN TIL.E
❑ OTHER
HEIGHT
BASEMENT REMpDELIIVG SUBMIT•
1. Existmg F1oor Plan
2. Proposed fl�r plan
3. List of str�cwral members to be used
Ft
FOR NEW CONSTRUCTTOId INCLUDING DECKS,
,ADAITTONS & PORCHES SUBNIIT•
1. Sioe PlatdSurvey showing the existing slructures
�d P�F� P*�.1�
2. Two sets of conshuction plans
3. Energy Calculations
ALL FEES ARE SASED ON VALUATION, INCLUDING TfiE COST OF LABOR AND MATERIALS:
(USING THE 1997 U.B.0 FEE SCHEDULE)
TOTAL JOB VALUATION S����, �"J f7 OCCUPANCY TYPE
Permit Fee
Plan Review
Surcharge
License Surcharge
SAC Chazge
Curb Cut Escrow
Erosion Control
Park Fee
Sewer Main Chazge
Total Dne, _
$ . s: o �
$
$
$
See Back Page for Fee Schedule
65% of Building Permit Fee
.0005 x Permit Valuation 1Vlinimum $.50
$5.00 (State Licensed Residential Contractors)
$1675 per SAC Unit (Plans to MWCC for determination)
ft+6ft= ftx$21=$
$450 Conservation Plan Review
Fee Determined by Engineering
Agreement necessary ( ) Non Necessary ( )
Make checks payable to: City of Fridley Attach
THIS IS AN APPLICATION FOR A PERMIT-NOT VALID UNTIL PROCESSED
I hereby apply for a building permit and I acknowledge that the information above is complete and accurate; that the work will be in
conformance with the ordinances and codes of the City of Fridley and with the Minnesota Construction Codes; that I under$tand 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 all work whic�� review'and� approvaI of plans.
SIGNATURE OF APPLICANT � PRItJT NAMts,�ob{.a� o/tJL'�JJ DATE �� l� '° ��_
Page 2- Buil.ding Residential Application
BUILDING PERNIIT FEE SCHEDULE
The Chief Building Officia.l shall, before issuing permits for the erection of any building or
structure, or for any addition to any existing building or sixucture, or for any alteration or repair
to any existing bui.lding or structiue, 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:
VERIFICATION OF FOUNDATION
Perm.its for construction will be issued a minimum of 24 hours from the time of application to
allow for proper review of proposed structure and of the construction site.
A Certificate of Survey of the lot, showi.ng the loca.tion of the existing foundation wil.l be
required before proceeding with the framing. New Houses Onlv
� City of Fridley I
, Building Inspections Department !
__ � GAJL ViJ.i�ilJl��
Fridley, MN 55432
763-572-3604
Fax: 763-502-4977