AF - 47976sua�ecr PERM17�L0�
City of Fridley 21517 ,
AT THE TOP OF THE TWINS g U I L D I N G P E R M I T -
r
� ` RECEIPT N�O�
� • COMMUNITY OEVELOPMENT DIV.
V PROTECTIVE INSPECTION SEC. � � � �
� � --
r ; '"' ;
� � r'��1 � CITY HALL FRIDLEv 55432 NUMBER REV. DATE PAGE OF APPROVED BV
�"""� � �'� 612-571-3450 9t0-F15 8/27/92 � �
JOB ADDRESS 1655 Kristin Cpurt NE
t LEGAL LOT NO. BLOCK TRACT OFi ADDITION SEE ATTACHED
DESCR. 14 1 Heather Od�{S SHEET
2 PROPERTY OWNER MAIL ADDRESS ZIP PNONE
Brickner Builders Inc. 6240 Hwy 65 #201, k'ridley 55432 574-9871 3440
3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO.
Same
4 ARCHITECT OR DESIGNER MAIL ADORESS ZIP PHONE LICENSE NO.
5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO.
8 USE OF BUILDING
ReS lderi'ti.dl
7 CLASS OF WORK
❑ NEW ❑ ADDITION O ALTERATION ❑ REPAIR O MOVE O FiEMOVE
X
8 DESCRIBE WORK
Construct a 50� x 32� Dw.elling and a 32� x 22' Garage; Zero Clearance Fireplace
in dtitelling
9 CHANOEpFUSEFROM RtNG,T`�-IEA��NG�;PLUM8ING�AND SiGNS_
��. ..: ... , .
STIPULATIONS �xovide City with copy of verifying survey. Provide sod in the front and
side yards, Provide a hard sur�ace driveway. See notations on plan.
SEfniER LOCATTON: 13' Deep in Street) 82� S of M.H. (S. Inv. 858.83)
TniYE ELEVATTON: 859.16 TOP OF FOOTING: 862.66 Mi.nimum
WATER L�A,TION: In sanqe trench and within 10' 5 of sanita�cy sewer.
DRIVEWAY CURB CUT: 16' -F 6� = 22� x$13.50 =$297.00 �eC�O��
Paid $1,500 Park Fee. Paid $800.00 5torm Sewer charge. Paid $297.00 DW Curb Cut.
THE �lTY OF FRtDLEY DOES NOT GUARANTEE THE WARNIH�
A�CURACY OF UTILITY �QCATIONS AND ELEVATIONS. Before digg�ng .cat! far
THIS pATA IS FOR INFORMATtON PURP�SES ONIY, a11 utility•lacatfons
AND PERS0IVS USiN.(3 THIS INFORMATtON SHOULQ� 4�Q-0002
V�RI�Y �IT' pN THE �I�E.
TYPE OF CONST. U AD
SEPARATE PERMITS ARE REOUIRED FOR ELECTRICAL, PLUMBING, HEATING, �
VENTILATING OR AIR CONDITIONING.
THIS PERMIT BECOMES NULL AND VOID If WORK OR CONSTRUCTION ZONIN(3 SO. FT. CU. FT.
AUTHORI2ED IS NOT COMMENCED WITHIN 80 DAYS, OR IF CONSTRUCTION
OR WORK IS SUSPENOED OR ABANDONED FOR A PERIOD OF 120 DAYS AT
ANY TIME APTER WORK IS COMMENCEO. NO. DWLG. UNITS OFFSTFiEET PARKING
I HEREBY CERTIFY THAT I HAVE 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 TYPE Of WORK WILL BE COMPLIED $86 67� �43.34
WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT �
DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE pERMITFEE SACCHARGE Fire SC
PROVISIONS OF ANY OTHER STATE OR LOCAL LAW F;EGULATING CON- '
STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. $581. OO yS`%OO. OO $SFi. GS
� PLAN CFIECK FEE TOTAL FEE
License SC $5.00 $1,416.02+PF,SS,DW
IGNATUREOFCONiRACTORORAUTMORIZEDAGENT IDATEI W EN P OP LY VAL AT THIS IS YOUR PERMIT
4 �-2`7- 9 Z
SiGNATURE Of OWNEP�1i OWNER BUILDEPi 1DATE� G INSP �A7E
NEW [ ] Effective 3/ 1192
`;, z
ADDN [ ] CITY OF FRIDLEY
ALTER[ ] SINGLE FAMILY AND DUPL.EXES R-1 AND R-2
Building Permit Application
Construction Address: 1�5� K�C IS % 1 �l.J �� I.
Legat Description: �b i ��I -�3 C trc �c / 1+C�}TH r- � e� K S
Owner Name & Address: � v,' c k�, e v C� a� � I d e rs Z r,.. � Tel. # S 7 y- gr�`7 i
COatrdCtOT: � 1�' �` LIC h e r � tt. � 1 r�` � 4 Sw° L MN LICENSE #(� 0 3 y y C�'
Address: (oa y��1-(,t��( �', ���o� �v i� ��ey � I�l h.' S�y 3 2 Tel. # S 7 S� —� 7/
Attach . to this application, a Certific.ate of Survey of the
lot, with the proposed construction drawn on it to scale.
DESCRIPTION OF IMPROVEMENT
LIVING AREA: Length �� wiarn 3� Heighf � Sq. Ft.
i h:��' �'a�':. � � ... ..
GARAGE ARE�4t:8` �:e��'�` �, "� ��' V1�i�i` `�� �� Height Sq. Ft.
' :: s =►�8 f,3'. � � r,J � �'S`� �ti.� �a ,� ,��-- �."—
DECK AREA: �.ength � . Widt�-�.`f `t� � HgtlGround Sq. Ft.
OTHER: � �. L e�� ,., � � . �s , „c t � �. �
Corner Lot [ ] Inside Lot [ )
Type of Construction:
Approx. Completion Date:
Ft. Yd Sstback Side Yard Setbacks
Es6mated cost: $ � � �� � �
Driveway Cur.�:.tl��%�'�'i-d� f��ed: _
,.t }
. J•�'Y�. �� a
DATE: �Z1�'��`a�S;''rAPPLICANT:
a7.
�,t�'`::�••!•.• R
'�:� Y ., q.f `'#, � ` � � �}•� 9 � � pl:•� at, �„u
, . . . � - .. •Ca v �
Permit Fee
Fire Surcharge
State Surcharge
SAC Charge
License Surcharge
Driveway Escrow
Park Fee
Sewer Ma`��� ge
����'�? '
TOTAL
(Cost on Back)
_Ft. + 6 Ft = Ft x $ _ $
�;p� � _:,7`{ �i1ja'.�:c.� �l'ri'i t; 4i.•.: . ...... ... . '! . ,��:p- a'` . ,
P;� :.��.�i ~ie� ��.J:� S���P�`..^-�7i�=��� iiy.�.•ti,:_: ,i � i.a4 : (1 �-., i ,~J'."4ta��,i�„7� .
, ��.
..�y
;•t'�i,'_i ;y? � �i�'i � �:iti'�r;t�t+'1. �5:.��� ra_l����j',5p� �`-� � / / /�—i—
�'k�..i�.%� ,.. �r:. !AV ; 1 C, G �//:7�� •.dy
.... � �� � �'�i'�t� ��FS{ � '►�;� '? � ,a ��i�.S\
('iTY USE ONLY
$ ��/a �� F� Schedule on Reverse Side
$ � ,��� � .001 of Permit Valuation (1/lOth%)
$ � � p ��` $.50/$1,()00 Valuation
$ ,��� �� �:���' $700 per SAC Unit
$ ,� � � $5.00 (State Licens� Residenti�l Contra.ctors)
$� Alt. "A" or Alt. "B" Above
$/SOd . DU Fee Detemuned by Engineering
��
$ Agreement Necessary [ l Not Necessary [ l
�oa• vo
$ � �° �,�� �
. , � �
STIPULATIONS: � �� �z�yG�-''�
a
6
BUII,DING PERMIT FEE SCHEDULE
The Chief Buildiag Official shall, before issuing perinits for the erextion of an� building or structure,
or for any addition to any existing bailding. or structnre, or for anry alt,eration or repair to any existing
building or structure, u�n applic�tion therefore; require the payment by the applicant for such permit
of fee.s to fhe amount herein t�low set forth and in the manner h�rein provid� to-wit:
TOTAL VALUE
$1 to $540
$501 to $2,000
$2,001 to $25,000
$25,001 to $50,000
$50,001 to $1(m,000
$10(},�1 to $5�,(�0
$500,001 to $1,000,�
$1,0�,001 and up
FEES
$15 (Minimum Fe� is $15 plus surcharge)
$15 for first $500 plus $2 for each additional $100 or
fraction thereof, to and including $2,000
$45 for first $2,000 plus $9 for each additionat $1,000
or fraction thereof, to and including $25,000
$252 for first $25,000 plus $6.50 for �ach additional $1,000
or fraction thereof, to and including $50,000
$414.50 for first $50,� plus $4.50 for each additional
$1,000 or fra.ction thereof, to and including $1(�,0�
$639.50 for first $i�,�Q plus $3.50 for e�ch additional
$1,(�0 or fraction thereof, to and including $500,(�0
$2039.50 for the first $5�,000 plus $3 for each additional
$1,000 or fraction thereof, to and including ,$1.,(�O,Q110
$�539.50 for the first $1,�,� plus $2 for �ch additional
$1,000 or fraction thereaf �
DRIVEWAY DEPRESSION ESCROW
(Concrete Curb Strests Only)
Altemate "A" : Removal and replacement of curb and gutter only - Driveway width plus 6 feet times
$13.50.
Alternate °B": Removal and replacement of curb and gutter aad install a 3 foot wide
approach with 6 inch depth - Driveway width plus 6 feet times $15.75.
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 progos� 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.
v
�.
�.a.r�Nr�E�soN�s
- io►rchitecturoJ consultants :
sooe s� sT. a. e. assEO� �. seas� �_ caw-s�s-sssa _., ----
Ownerr �� '--�Q
Contractor•• �' `'� `''�- '`�' �
Site Address:
d
1)TOTAL EXPOSEO WALA. AREA - `� I'� sq. ft i�U��'�- ' 99� �
2 TOTAL EXPOSED ROOF/�EILINO AREA I�� sq. ft. X'U�� '� �O •�
�
WALL AREA CALCUI.ATiONS� �
?OTAL WINDOW AREA
GLAZED
70TAL DOOR AREA
TOTAL GLASS DOOR AREA
GLAZED
TOTAL FIREPLACE WALL AREA
70TAL WALL FRAMING AREA
NET INSULATED WALL AREA
TOTAL RIM JOIST AREA
TOTAL FOUNDATION AREA (EXPOSED)
TOTAL FOUNDATION WINDOW AREA
��� sQ.ft.x�U�� +�=�
� sq.ft.z�U�� 'd7 = �' /
�� sq.ft. z �U�� �'Q'�"= � �,:�
� sq.ft.x�U��`� - `�
� 2-� �.ft.X'�" � a = � �
I ( � � �� �� ,m� _ �`f S
sq.ft.x U �
� I� sq.ft.x�U�� `�� — � °�
�� sq.ft.x�U�� � �y =�.—
�� sq.ft.z�U"�'� — �
3) TOTAL 1, '
If ilem 3 Js the same as�oi less fhan item l, you have mef fhe intent of
2 MCAR I.16008 A an d 0.
ROOF/CElLINO CALCULATIONS�
TOTAL SKYLIGHT AREA
70TAL ROOF��EILING FRAMING AREA
NET INSULATED ROOF CEILING AREA
- �Q.ttz�U - `°-
�3y „ ,� � = 3 �
�q.ft x U d •
�� � sq.ftri�U��� Z,
� 4) TOTAL - � �
.. If i�em 4 is the same as,or less ihan item 2, you hove met fhe intent of
2 MCAR 1.16008 A ond 0.
ALTERNAT� BUILDING ENVELOPE OESION
_� To utilize !he tofal envelope systsm method, the wm of ltems I and 2 shall
: be preater than the wm af ltems 'J ond 4. .
!) t2) —
�l +4) —� _
1 hereby cerHfy H►ot ths bu►IdlnD here descri6ed Rr,sets or �xceeds the e of
Ensrpy ConservoHon Act.
. ��
� �, w I ��, ei�..� �ONSTRUCTION
'RAMING SECTION
tnterior oir film . 0.66
�' SHl,4t .•�S
, SZ inches of soN wood L�3�
� s't'I sc d�.��..1-�.�+f L o�
; ��o� . ► I
; exte�ioi oir film 0.17
: TOTAL R � � � ° `{
U = �/R � °1
►ECTION (INSULATEO�
inferior oir film 0.68
� 's.�,�.+� ,4S
, Si � ;�,.,a.f ,.-+� 1�1, o
4 L�i sz es..+ ..�e � L, p c,
� s�;e�k ¢ �
; exfe►ior oir film 0.17
TOTAL R L� , I'1
U = VR �_
)IST SECT�ON
� 'nte►;or oir film 0.66
2� t� R��.�+ Ir+d I'`i , o
$ ('1 � 'S-G� ....yv � � 0`1
4 j� ��[ 6.J i u�F N-E t. o�.�
5 ������ �8l
g exferior oir film 0.17
. TOTAL R � � �
U = I/R o �
ATION SECTION
� interior oir film 0.68
2 1'��+-rQo �.+} � o
3 � ,��.,�. a K- � Z'z
a ezf�rior oir film
5 0.17
T07AL R � �=
U = I/R '��
m
VENTED
CONSTRUCTION �
.CEIUNG �ECTION (INSULATED)
( � �interior air film 0.61
�2 '-"��.�� �-,r.�1E�T�taLK. �Slo
. � 3 ��,,., 1 ��.,` ��.
( �} exterior_air film {still) 0.61
, , TOTAL R • 45•�
U = 1 /R , DZZ
_ CEILING FRAMING SECTION .
( � lnterior atr film 0.6!
� 2 °�P� s�-gTar�c.�c , Sto
i 3 •�.�a�•n.i I ti+�..r�. �
(q, interior air film 0.61
(5 �''zinches of soft wood 4.�5
� TOTAL R 3°r� � 3
U = I/R �DZlO
CEILING SECTION � INSULATED).
( ( interior air film 0.61 .
_ (Z
(3
(4 exterior air film (still) 0.61
_ TOTAL R
U = I /R
CEILING FRAMING SECTION _
_ ( �.intertor air film _— 0.61
�Q
(3
(4 inte�ior air film 0.61
(g inches of soft wood
,TOTAL R
U = I/R
EXPOSEO BEAM CEILING SECTION
(.� interlar a(r tilm 0.61
I2
(3
i4
(5 exterior air film 0•17
TOTAL R
�
L = I/R
✓ � � �� � �
�
_n
�j
-� � � � Q �
— ----��-�'' ---------- ---- ---
�� �� � �./ °� /
/� � ,� � � �.
����
��
�
�
�
/�� ---����_� �
_ _ .�
- -- ----
�3�6� �. � �°
� � � � �� ►
--� - ;�_ - -
��-- � �� � � 1 ��.� � �
�
_,� � n. .__.__ z
0
���,��� -
1�6.��
' � � �=� �-�- .: _ ----
_ , � � a
�� � � ���
�� �� , �
� � �� -����
___ _ � _ � � _ _ _ _ �-_ __ _ __ __ _ __ _ _
����� �� � �
� �D�,c�C�
,f
, . a
�,
►° ti
RONALD r. NiCYCR
- LANn BIIRV�YOR
LAND 9URVlYINO SUODIVtS10N DF.SI4N •
TQLSPHONt 77I-4lIBA
06S Jeaa�s ST. 8T. PAUI. MiNN. 110101
I hereFiy certify that tf�is survey was p�epared by me a�d thoi I am a duly
Registe%ed Land Surveyor under tl�e la�vs of the Slate of MinnesoTa. .
, v Req. No. 9051 Date: r y'��
,.
�
� /
.i
���
�`�.
G� 1
�,.
C.�� � zs
�I
__ �—�----_ _ C� �� �
/ �
� /� - - � � � �
�
�
�
, �� �
r .� � _i
\
\
o Indicates iron monument
, �,_
,
1 ��
Lnt 14� Blook 1� HEATHER OAKS, Anoka County, Minnesota.
Contains 10�610 sq. ft..
�.
soaie � i." = 40 �
/
. 1 � ��� ..�v �n���
� � � �- .
� � ��� ��
�, � � , � , �'c l,�J-
�
�
��
�, � 1�� `� ��'. 1 �
�� �
� ,�
� ��i� ��
� ,�� � ��
��
� �� ����� �
�
��
�
��� �
�� � � �
�
� ��
.�
�� � �
�.I
�
�c ��� �9�� ��� ����
��� �r �` � � e
�� � ��Sl�,� �� �
�
�� ���� � o�� � � P �
�� �
�
r,�%�
, � _-
� a a�
�� � �� `_ ��j/ � �_
CERTIFICATE OF SURVEY
for: BRICRNER HUILDERS
o Denotes Spike Set
p Denotes Wood 6take Sei
For Ezcavation Only
--+— Denotes Surface Drainage
( ) Denotes Proposed Elevation
x Denoies Existing Elevation
$�y•� Top of Block Elevaiion
S�a.� Garage Floor Elevation
866.o Lowest Floor Elevation
Type of Building:
Benchmark: Tar� E d F KaisTEN GouRT _
Elevation= 871.44
q0
v
T�.e��.� x �
Z �
0
(n � O
� oH
Y `�
.�L $,ro.S"
COURT
OD � a' /Q�D� �'Q`32,5, fl.
�d' i i
Q��R�
y o ,
/�---_ � � 1
� 0 22 a�ot�p � I
,,o i
F �� I � I:
� 3.�,, a �'�
�
� � � �kl
I '" �` s� /`� a F
v
� � i� c W I
.�s � 24 O
ti a —�
� _M 3 1
h.,� --' — — y
Iin a,s sea zs•aon�
E%. Go., p�oer Q 87i.9
Midwest Land Surveyors &
Civil Engineers, Inc.
I I 199 Coon Rapids Boulevard, Suite 212
Coon Rapids, Minnesota 55433
Tele. # 786-6909 FAX � 786-9Z08
JobNO. 9Z—ZlZ Book-Pege 59-58
�� `�� _ ,
�. v %� /�? r / / i.,� ��
(� �
�1
Scale : I" =30�
o Denotes Iron Monument
Bearings are assumed
b`O
.`'� g
a
5 °�,6 e'9
54p����
�9y,.5
ti�
n N 86��
o `
g
bry��� �
..e ,�
,,s
Lot 14, Block 1. HEATHER OARS.
Anoka County. Minnesota.
I heraby certHy that thia plan, apecMcation or report was prepered by me or under my
supervislon and thet I em a duty regietered Lend Surveyor under the lawe ot the Stete oi
Minneaota
end
No certiflcaUon whetsoever � extended to eubsequerrt owrrere, mortgegees ortitle inaurera,
unlese thls eurvey hea been redeted tor this purFrose by the surveyor.
Dated this 2�K day af� st 1A 92 ,
gy T,L.s�cs � ��h��Qs.�A�. pee��tlon No. 20595
Minnesote Licensed Lend Surveyor
Aabullt �^�^a�;^r+ $Hoo. ele�'S Deted thlA 9T/f dey of�, tB.g�
�
��-^ _",
O
D
r
�
m
m
�
c:
m
�
c
a
�
�
�
�
�
�
0
t
a �o
j r cD
`r�
O�
°. � vm
<_�
�, m
���
?� v �
��
� �w
o
m � °o
o �
ay
$
� �
m �
�a
�z
v
a
i.
m
�
Z
�
v
a
°<
�.
�
�
�
�
0
C
m
�
�
�
v
�
m
�
�
v
m
m
I
�
�
�
�
ao������napn0000pz
� � ai t�i� ¢: � � � = %* � m � �
3�of-,
�'—''� �' ==-��o�mOv-o �
� � m�� � � � m ? � m � �
�
-. m m � � r w y� u,
� � � � � � � � Z
m m ym a m
� m
m y � v�� f
�
� n � � c
c m
�
fl.
� '
H
I�I I(�I I t I I I I I�
�
� ������������
0 000vov.�vvcn�.t
p o00000000000
000000000000
�
�
� �
� v
� r
Z c
m �
v �
� Z
Cii
n
�
. a
z
.�
-�
m
r
Z
O �
�
�
�
0
m
�
�
�
n
n
�
�4-
O�
�
(�
�
m
�
� c
�
Z
0
� L
_�
�'O
c � '
a �
m �
C
m
a �' '
. e
�
►_
_ �
�
�
0
�
-��
�
> >a ?
aa� m
m 2 ��
� � a �.
m y � �
� � m �
��m
om�°.
�
H W 0 m
� Q' o a
a�°c��
v_
? N � �y
����
����°—
�a��
� ? � '
m
' ao 0
m � Q '�
�aa�m
� m �
c �? °
ma+m�
� m �
y ��=►
-w
� � � O
o � m �
� � � m
m —
�� r. � �
m o �'
� m �
� � �
N �
.7
v
r'
c
3
m
Z
�
�
�
�
m
�
-�i
�
z
0
a
-�
m
-�
0
a
r
�
m
�
�
a
�o
�
z
C
m
m
a
0
�
�
�
C
n
m
�
�
�
n
Z
�
�
n
7
�
�
n
�
i
�
n
i
D
= n�j
�
Np,�'C
m
cwi =� C O
� � � T
z� �
�� v
N � ..mC
�
Z Z
m�
�
n
�
Z
v_
<
a
-o
-�
r
n
-�i
O
Z
O
�
�
c
m
Z
�
�
a
�
�
z
'o
m
�
3
=i
�
m
�
m
�
L
�
c
�
�
co
�
..d
sue�ecr P, IT N O.
c�ty of Fridley 216 O 2
AT THE TOP OF THE TWINS g U i L D I N G P E R M I T �
�
: � � �
� • COMMUNITY DEVELOPMENT DIV.
� ; .: ------, lv ��
r � � PROTECTIVE INSPECTION SEC.
� _ �
� /�"1 � CITY HALL FRIDLEV 55432 NUMBER REY. DATE PAGE OF APPROVED BY
�""� � ,'� 61 Z-571-3450 910-F15 10/9/92 / /
JOB ADDRESS 1655 Kristin Court NE
t LEGAL �OT NO. BLOCK TRACT OR ADDITION SEE ATTACHED
DESCR. �.4 1 Heather OBl[S SHEET
2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE
Briclmer Builders
3 CONTRACTOR MAIL ADDRESS Z�P PHONE LICENSE NO.
Fireside Corner 270Q N Faixuiew, Roseville 55113 . 633-2561 1068
4 ARCHITECT OR DESIGNEFi MAIL ADDRESS ZIP PHONE LICENSE NO.
5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO.
8 USE OF BUILDING
Res.idential
7 CLASS OF WORK
❑ NEW ❑ ADDITION C� ALTERATION O REPAIFi O MOVE O REMOVE
8 DESCRIBE WORK
Install a gas �ireplace (�'iodel 6QOODV� Heat�N-�Glo
9 CHANGE OF USE FROM TO
STIPULATIONS
k'ixeplace tc� b.e installed in accordance with testing agencys specificatio .
TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD
SEPARATE PERMITS ARE REOUIRED FOR ELECTRICAL, PLUMBING, HEATING,
VENTILATING OR AIR CONDITIONING.
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING S0. FT. CU. FT.
AUTHORI2ED IS NOT COMMENCED WITHIN 80 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 OFFSTiiEET PARKING
I HEREBY CERTIFV THAT I HAVE READ AND EXAMINED THIS APPLICATION �- STALLS GARAGES
AND KNOW THE SAME TO BE TRGIE AND CORRECT. ALL PROVISIONS OF LAWS VALUATION SURTAX
AND OHDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED $9OO $. SO
WITH WHETHER SPECIFIED HEREIN OFi NOT. THE GRANTING OF A PERMIT
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- $1�j.00 Fire SC $.9O
STRUCTION OR THE PERFORMANCE OF CONSTRUCTION.
PLAN CHECK fEE TOTAL FEE
License SC $5,00 .$21.40
SIGNATURE OF CONTFACTOF OR AUTMORIZED AGENT IDATEI EN P OP Y V LI I�TE THIS IS YOUR PERMIT
�
� �G- �'��
SiGNATUREOFOWNEA�IFOWNERBUILDERI �DATEI y' / LDG �N P Ol.TE
, 1-
N�w e� Ettcctive 3/1192
l � CITY O!� FftIDLFY
ADDN�� �
ALTER � j SINGLE FAM��.Y AND DUPLEX�S R-I AND R-2
$uilding Pcrmit Applic;ati�►n
Constroction Adcicess: . . . �._..��A � � � .
Legal Description: . � �. � - -
.. •� � Tt'}. � � �
Owner Name &. Address: _ ^ c .. . . '�._... ��.—.��� I
Cpntractor: ��� o��?� `�l C� __ MN J.1C�NSF �_„�,. � p�_�
�---') � ._�'��._D � �� c:� � 4 Cl�� �,�1 I Tel. 11 � ri��' ����
Addr�ss• _���,[, . o
AUach to this a�licatian, ��ertif cate of Survey of the
Iot, with the �ft��OS�1 COnStrUCtiOn ciravirn on it tu scale.
L1V1NG AREA:
�ARAGE ARLA:
DECK AR.EA:
07'HI'sR:
DLSCRIPTION OF' lMPROVEMENT
Length Width . HeighE ,T, _.,, , ._.,_
Length _ Witkh Hei�;ht
Length Width HgtlGraund
Sq. Fl.
Sy. Fl.
Sq. Ft.
C�rner Lc�t � �� Insid� l,ot [] Ft. Yd Setback Side Yard Sett�acks
_,.�.. .
Ty�e �f Constructiun: ��Q�,- ,��1��'K� � EsUmated Cast: $ �(��� � �� _
Approx. Complet+un Dale: �� C'!c�
� (Cvst on Beck)
Driveway Curb C'ut Wic�th Neeclecl: Ft. + b!�t = Ft x$ ��$
DATE: � �'� AI'!'LICANT: '` � 'r��• # � 0'J��'�Q �
�� � ..
CITY USE ONLY � �y�1/
I�� U
Pe�mit Fe� $�-(� F� Sr.hedale on Reverse Side ,\ .���, ��
Fire Sur�hdrge $ ° � .001 �f Pcrmit Valuaticm (1/lOth%) � �
� ��3
State Surcharge $_, .____� $.SO/$1,(xlQ Valuaticm
SAC`. Char�e $ �700 per SAC Unit
Lic�ense Surchar�e $.�� (��% $5.(x3 (State Licenscd R�idcntial Co
Drivcway �scrow $. _ . _ _�_ Alt. "A" or Alt. "H" Alxrve
Park Fee $� ..__.. ._ Fee n�termined by F.ngincering
5ewer Main Char�;e $ _ ._..__ Agreement Necessary l J Not Necessa�ry [ j
TOTA[, $ � • �
�
STIPUl,ATInNS:�r�������� � / ;� � C� \�� �� ���`�� .
��_x_x �_,
� j C�� ° L� C�1Du ��r�.��s2 — fia��s-��-- -.�I - ��� �
� � ��- � ��, v� - �
►.
_
_
CITYOF
FIZIDLEY
FRIDLEY MUNICIPAL CENTER • 6431 UNIVERSITY AVE. N.E. FRIDLEY, MN 55432 •(612) 571-3450 • FAX (612) 571-1287
November 20, 1992
Brickner Builders
6240 Highway #65 NE, #201
Fridley, MN 55432
Re: Final Inspection at 1655 Kristin Court NE, Fridley
Dear Sirs:
A final inspection was conducted on November 19, 1992 of the above address and the
following item was noted which must be completed before the structure can be finaled:
Provide sod in the front and side yards by June 15, 1993.
We will expect this item to be completed by the scheduled date and a reinspection called
for.
If you have aay questions on this matter, please feel free to contact me at 571-3450.
Sincerely,
�,�j� � �� �
C�'-�' LC���
/ �-
CL E E. WII.EY
Building Inspector
� *
� �
0
m n.
v�,' �
� �
o �,
�
o �
� �
Q o
� �
�. -o
� �
� Q.
0
� y
C �
� �
1 �
fl.
�
s
0
c
�
��
�r
O
nc
-i
m D
��
��
� �
Zm
a�
c� �
m
�
D
i�i
�
<
m
n
�
0
z
O
Z
�
m
z
�
v
m
nJ
'�'1
z
�
m
m
�
W
0
�
0
� �? _
.a c°
°< a �
a � W �
� � n
0
�_� �
�
0
c
cQ
�
I
�
v
�
�
�
�
A�
v
�
m
�
1
�
�
z
0
�
�
�
V
�.d O
� �� � �
0
�� a �� o �
� -* m
� "6 � ci
� � � �
� � m �
�
� �' c
�� � 1
YJ !� � �
� �
� 7
�� m
�i1� �
,, -
�
0
r
O �
-i �
m'^
r y'
� �
m �
tfl
�
j D
�O
� 3
m
� �
C �
��
o �,
D u�
� Q°
� D
� m
� 1
�
0 0
o�
�, r
�
O
Z
W
a
n
3
� � �
� o .
�1 -.
� c � � � o
c� m cQ.o
m m ..,,
_
A� � � �
m Om�
� o C
m �
� _
`�� 2 -1 � C�
� � �
, � o O
; � � �
;r � � m
� �D .-.
� � �
� �N �. (/y �
� a � m u �
aoz
v { �. ao � x
c � .,p o
� � c��
� � O�
9 � ��
D
�
v
N
n
�
�
�
O
Z
O
'n
C
�
Z
n
m
Z
a
0
�
00
C
�
z
m
�
*
n
0
0
?
�
�
i
a
N
m
�
�
w
�
v
m
1
�
G�
�
�
cu
�
co
�
B
� � �
� 1 ..A
O O O
t7 O O
0 0 0
� �
�
�
�
m
�
�
�
m
v
�
c
�
m
�
�
�
Z
0
�
\
�
�
�
c
�
Z
�
c
�
m
v
�
�
�
�'
�
z
�
�
a
�
a
�
�
�
c
�
0
�
Efi
O
O
0
D�'1�
v,��n,
� � �.
� m w
m �n —
n 3
m m
m o'
�
� a
c °
1 C
P=D "
� �
0
�-
W
c
3
c� ,
i
H
N
O �
O m
o W
� � �
+� � O
� � �
�
Z
� � � � �
c �,� c�u �
m .-. � cu
� ��� > >
n � y � m
o�=y,�
� � o. m �
'� � C � 0.
a���
m �, CD o-
m�' c° `�
�
� m o �
� �°am�
0
� 0' � �
N m i '�a_
� v��
��'�o
o �
Q. � � �
� � � O
y a � �
� � o �
-oma�.
n � � �
o � � �
� � � s
�o �' -* m
..
� � � �
�
�
�
�
m
n
_
v
C
m
�
o�d
0
�
Ul �l � (7
V =. �
N o. w �
� 1
O � � O
�Z�m �
� �
�� v
r
N � '�
zz
m�
v
m
C�
-�
O
Z
� D �
<
� r
Y/ �
m
�
D Z
0 "I7
Z Q
D �
Z �
�O
D �
�m
c� 70 .
O�
Z
� Z
�i �
Oy
zZ
�v
�n =
'� Z
m
��
z°
v�
vz
<�
n<
mm
� Z
-�
�
z �
m
• �,
m
0
�
w
�
c
�
'Z
0
cfl
j
CHIMNEY AND BTACR VERIFICATION
The undersigned hereby verifies that the existing chimney or stack:
1. Has been carefully examined Yes () No ()
2. Is free from rust or deterioration Yes () No ()
3. Has no foreign objects lodged within Yes () No ()
4. Is securely supported Yes () No ()
5. Meets all current Code requirements for
size and total BTU's connected
6. Has total heating BTU's of
All other BTU's
TOTAL BTU's °
. .
. �
y
Remarks
Yes ( ) No ( )
List Alterations Beinq Done:
HEATING COMPANY
Signed By
Date
FROM :City oF Fr•idley
Buildi.ng
Inspections
� 763-572-3604
��� �-
srrr-. nnnR�ss �,_, .._ ._.�
'1'H [S APPLIc:nNT IS:
YkOP�RTY OWI�i.F�t/
TENANT
�� CONTTtACTOR
ST�MfT A COPY OF
iYOUP. STA'tT� L(CENS�
W1TH APPLICA�1nN
iPROPTR'i'Y '1'Yl'�
Y�RNLTT TXP�'
TYPE U]:� W V.t�T{:
FAX N0. :7635711287 Mar. 27 2006 12:34PM P2
BUILDING � i�em�;t rlo.: ` '.�� � �
R�SIDEN�TTAL APPY�JCATION� R°°�1Vea �y:.
CTTY OF FRID r,EY D�.te Rec'd: -�- _:�_,
'YUCJItL-Ml� AR,H'«iS
;�-��'�/ ��� -_.. . .._
I� UWN�x �C�NTRACTOR
a.au-aa.r�� � � /a AV/V J . � ...� �........
AI�I�RHtiti• - ��I7Z:� . •-- CITY _._I �F '�"�STATF�I'�T' 1 �►C
YHONG• �L��� �,�/�
—. __ .,. _...._. ..� .,,... ... _
. � _ ���IiUi� & R�lVlc?CE�LI�C3. 9nat>
NAME; � . .. ..
�7�'EX��LSIOR BL\lfJ. , �A�Y .__; ID�1%'` @•L'��� ����
STATE LIGF:IVS '
���,� v �.��
AD�RESS: ., . , ._.9.� ' _ .-- - -- G]7'Y_, . . - --• • - STATL 7.rn�. . . . _
PIiONE f
1'AX �. ........ ,.. .. _ __.._`
'O�SINc�LE FAM7C.YMP,w (;t)NS'19t'U'C:'CION S11:ti
D 7'WC) I+AM]iY/NL•W CONSTRUGTiUN STORIHS
C) A1�UITitj�l D rA1tAGkfSNED O WIN�qWS
❑ B�,SL•'M�NT CIN1SIi �Ut:)F ❑ DRA..W i`I7.F:
❑ nt?c:K ❑ SIDiNa ❑ OTE�R
❑ S1NIMMTNC PObL
❑ NEW � � ❑ A13UI1'ION . . ..__._.
Q MA
DESG]t.T.RF. WnRK BE]NG DUNE:
SI .7.E C7F IM.�'1ZUV�MLNT
or s2vn�s �l�
G�(G�cS
rl2Ukc.�S�� stzE:
PTtOPVSLP IIEIGHT: �
SIDING
❑ Vinyi
I� A.IUlninum
❑ c�thar
„�,�,_LENGTI� W.T.f�TH
C] H�t)SF UNLY
❑ r�or�sc � cnre�aE '
0 A'ITACHLi) GARAGE
❑ 1)�TACHLU GARAGE
❑Snfiit
L] Trim
❑ r�4,1
II�IGHT
.�_. Sq. !�'l.
$nsr�NT ittMqD�r nvc. at �sMrr•
1, PxiSCing rlr�er Ylan
2. i'mpoadl !lobr plvl
3. LisY of suractural mcn�crs u� hc ur�a]
F(,)R NI?CN CbNS fRUCTION INCLUPING nF�'[cs,
nUD,iTZ01SS,,s�.PORCNFS 4l1AMl�r:
I. Sile wlun/Survay Sllowing ihe cr..isting sweturex
�id proposcci rr�jcct
W lNVnWS � TWo sct4 �f canRtruclian plenb
]N EXISTING OPF.?N]NGS �Yca �No LOrATJ.CIN pF wtNUt)WS �� �tra�gy Calcu]�Uons.
OR P�R NEW �A.F.N1NC',.S-I�kiSGCt1l3L SIZE Oi
UP�,N W'� CT�ANGrS & _ _._. . _
1YPG Oi' W.TNJ�nW Tn AA INS']'ALL�ll NiJ1vJ,}3j3R ()F W1IVUGVI7S •
ALi FEES ARi; BAS'L<'v ON VALUATrC1N, INC,'LUDLN� '1'].�1+: C:f)ST pF LASUR ANll MA'1'�TZIAL�S: �
(USING TFiE 997 YJ'.B.0 TET SCHEDLTLE}
�'OTAT� .�[)B VALiJATION $___��� 4{q ��' (y(:(;�,e,rT(;y TYPE
_._ . ,. ._ ... ...- —
P�rmit Fec: $ ,a S�e Back Page for Fee Schcdulc:
Plan itcviev�v $ _ � �� � � � GS% of Auiiding Pcmiit �ee
i Fire Surclzarge ��R�T , ,Obl times the cota] jol� valuation
� Surchargc $�� �� ^?. �o .OU05 x Pcrmit Vn,l•uation. Mi»imum $.50
LicenseSurcliarge �c�� ���� � `����� $5,00 (Statc T iccnscd Resideutial �: on11~act�.rs)
SAC Char�z $ S 1550 per �SAC Unit (1'lans to MWC.0 fur datenr�it�a.�ion)
C�rb Ct�t Escr�w $"� �� f"t + C, {t — ft x S20 =$
�zosion C�ntrol $ $45U Conservation Plan Re�iew � ^ ��
Pxrk 1� �z � •- .. _... _— Fee T7etern�ir,ed by En�ineerit�g
Sewer Main Chargc ��$ Agrecmtnt nccessary () No� Necc$saty ()
Tutal DY�� ' � �� Makc cbcckspfl able tn: Ci[ of Fr3dley Al:tach Stiputations
--�—� _
' TFTJS 15 AN APPI.ICA7'fUN l�oxA ��rcMrr-xaTVnLm r_nvrn.PRC)C;PtiSEU •
i hercby apply ror � buildin� porm�t and I acku��wledEe rhat the informati�n dbc�ve is oou�plete a,ud accurate; d�at thc work wi11 be in
c�wl'orcna,nce wi.�l� t1�.e ordit�ances and cod�s of thc City of Fridloy auJ wiG�. tt.iz �'i�u�esota Const,r�icti�n Codcs; th�� T undarstand chis is nor. �r
�.�en,nit but only an applicatir�n !or 2 pertnit and work is n�t to s�tart withou[ a permit; thax tkte wc�rk will be� in nccord�nce witdl ibc appr�ved
plat� i.� LI�e case of, all work which requires rcvi a • p�rc�v�l ofpl�.ns,
SIGNATCIREOI'APPIJGANI'_!�a�,.�;r/�� _ Pl'tINTNA,�,i��al� . (,d'. r'� UA7'� � �11,/�`�
Building pL��G PermitNo.;��'7-C� ��
Inspections RESIDENTIA.�.L APPLICATION Received By: �
763-572-3604 CITY OF FRIDLEY D��'�� L-
DATE " I�I� YOUR E-MAII, ADDRESS
SIT'E ADDRESS �(o "�J � S ri �'� -
THIS APPLICANT IS: ❑ OWNER '�ONTRACTOR
PROPERTY N�ME: S
OWNER/ ,r�DRESS: CITY STATE ZIP
TENANT
PHONE: - �, '
CONTRACTOR N�:
STATE LI o� WATER SERVICES $XP DATE I a
SUBMIT A COPY OF er dge Cir
YOUR STATE ADDRESS:_ R���y���, .��,-____ CTTY STATE • ZIP
LICENSE WITH PHONE _�O 51 �3��- I'i-�(�5 FAX •
APPLICATION
PERMIT TYPE �GLE FAMILY ❑ TWO FAIvIII�Y 0 TOWNHOUSE
TYPE OF WORK: ❑ �w �P�'c�T
DETAILED DESCRIPTION OF WORK
PER MS 16B.665 the permit fee is a minimum of $15.00 or 5% of the totat cost up to 5500.00, whichever is greater, for the
improvement, installation or replacement of a residential fixture, excluding the fixtures. (This should reflect oaly the cost of labor )
Labor cost under $300 =$15.00. Labor cost between $300 to $500 = cost of labor x.OS =
FOR PROJECTS WI�RE LABOR EXCEEDS $500, FEES ARE BASED ON $l0.00 PER FIXTURE, EXCEPT WHERE NOTED. FiXTURES: (INDICATE TOTAL
NUMBER OF EACH BELOVi�
BATH SWK/LAV FLOOR DRAWS SHOWER VJATER PIPING
BATH'I'UB GAS PIPING (NF.EDCtrYtrCErvsEj SWIMNIINQ POOL WATER SOFI'NER ($35)
_ CLOTHES WASHER _ KTfCHEN SINK WATER CLOSET BACKFLOW PREV. ($15)
_ DISHWASHER _ LAUNDRY TRAY ,�WATER HEATER ($35) FOR IRRIGATION
_ WATER METER _ OTHER
` � ' `� ""� �� T?� e� t� *� . �� � � p"� � � ;�
..a ``. .' ' t :�,��,.�,i,'��i° �_x �u;z�i' �;�� ? �i..�� .d, ��F [
� �ri
Permit Fee �_.�0 Number of fixtures @ $10 00 � �x $10.00 = $
Surch e .50 Number of fixtures @$15.00 x$15.00 =$
TOTAL DUE $ .�(� Number of fixtures @$35.00 x$35.00 =$
State Surcharge = $ .50
Tota1= $
TI-IIS IS AN APPLICATION FOR A PERMIT-NOT VALID UNTII, PROCESSID
I hereby apply for a buildirlg permit and I acla�owledge 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 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 all work1`� �ic requue review and approval of plans.
SIGNATURE OF APPLICANT / "P PRINT NAME �U� 1�Q '�� � V I� r�DATE_ ia'- a- 9� �
�� �.�, .:.: s �. r�. �, (.. t g, .; :� � ..s, ti "s= '. e` s .a � 1�`k� �.��.:�
City of Fridley
Building Inspections Department
6431 University Avenue NE, Fridley, MN 55432
763-572-3604
FAX: 763-502-4977
��[�rab
1 ' ' .CJo
�