AF - 44571_ ,_..
� �% Community De�elopment Department
� PI.ANNING DIVISION
City of Fridley
TO: Files of Harstad Townhomes
FROM: �--Michele McPherson, Planning Assistant
DATE: August 19, 1994
SUBJECT: Building Permit Issuance
The Fridley City Council approved the attached site plan at its
August 15, 1994 meeting. In order for the development to proceed,
a rezoning was approved for the east half of the project site. At
the writing of this memo, the second reading of the rezoning
ordinance has not been conducted. The second reading and
subsequent publication will not occur until building permits have
been issued for .the building adjacent to Fillmore Street.
.
Building permits are to be issued for building plans as'indicated
on the enclosed $ite plan. An increase in the number.of units will.
require review and approval by the Fridley City�Council. Any
decrease in density will be permitted, without review, by the City
Council.
Stipulated as a condition of the plat is that the petitioner is to
petition for construction of a cul-de-sac at the end of Polk Street
when building permits are applied for for. 5531 and 5533 Polk
Street.
MM:ch
M-94-484
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0b��1'1995 1t�: �7? F�1��-�.�_;:=�-y1�5 F'ICE �=�F.'EEK �,�J DI'�T F'��:�E F�1
. ��,..����_„�_�.�..�--�
RICE CR�Ei: "QVATER��HED DFS'I'RICI' �
9UITE 1;�2 .�RDEN PLAZA
3686 I.F��'T�N AVF:NU'E IrTOIi,TS
tIRDEN �IIi�i�.�, MII�INE�IC?TA lS�126
a� C.St�' o� Frir�ls�►
Ma�t�,oraaa'y Watsa�
�,�ec�wr �"'�a
Rt,.'WI) Fi1a
• ; ,,14
P��Q�� St�78 ("�ne 5hr11erud Presdent
Ie�ed t�: ��t C,ity To.rataoam�s► S�. 1?.54 East Moo�e La�e Dri�, F�ic�1r9► ]k[N 56487�
i,,oc�3o�: NcRhrNrt qu�drant ai �w�y 86 end I-66� F"tidJ�9•
purpo�e: Ap�rc�v�d at` reaev�ai af RG'WD Pe�it 84-80 fot a Ca�preb� Stqcm�:�r
Mane�ement Plea aad Lead Dr�relagme�c Plan fo� oons�ct�, a[ a residea�dal
c1evc1o�m,aat ta be Imw�wn as Hi�wi�d Roed Caad�omiaiuraa� 48 �i=s► 3.11 ± Acres.
At theair mee�iag oa Juna 28, 1996, the Boerd a� Men�gers af t�e Ei�ae C�eek �ilaterehed Dlstrict
r�r�anaci yo�� per�it ,spp�id�ion aaed tb� reeommmdati� of the DistriCt Et�neet �� uP'ar �
follo� �
1. �erc�it A�piiest� d�ed Ms7' S0� 1966+ r'ec�°ed du�e 2, 1.996.
2 RG'�TD Psr� Ffi�e� $8-� �on�d 94-8a, �¢ �► ��9 in the aiao�a�t a[ �S,OUO.
� ro�a �. �; �. � � � m � � ct� a�. & �. �a ��aeai�
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xo wnnrrto�rl+i. s�r�►u1.ATtoxs.
Zt i� tbe respaotlbdlthr d t.h�a Pet�ttee to p�ovide � mese�n�es �veersr� w oaata�n eer�t an the
�te cltain� �ctia�a T� m�y req�m�e t�hs u�a of rra�n c+antrd m�wu� not aattia�ed aa r,h�e
�ro�o� c�aaCrd p3sa. Ii.'tbia reqt�at is �at met, tbe P�tee m47 ba orckred Le pca�de ad�tionsl
ereS�iu�n caatral meanQ�s if d�aaa�d n�ceseery b9 the Diatrict I�spec�. It iu eLa th� rt�p�oa�bil�C9 af
tl�e p�o�art� ow� �cr p�aride necee�ry no�imsensr,ce to a�e tbst tbs stoi mweser �
��PP+`� � P•rt of this Pc�rmit win contfnue ta timc�iaa e� a�a�a�jr d�i�ed
NO'P� �b� PROVIDE:BS OF A t,AS� SURE'i'Y: F�iiure ta impl�emn+�nt a�d m�iutam t�e �t-
er�si� ccn�Crol aad oover �t measa�re� out�i�cd ia tha pernoit estyibdts � rewit ia
forfeit� of' ycxa caab s�n�ety. If asach rm,ess�nxs are s�sctore� pe'a�aicied, tha �ul'► �u'er9 w�l be
returnad wit:h interest ef�er p�R veg+�tstiw�e eo�ver !�a bsan �atablish+dd. Ple�s no�iPy the Ii�
Oft7ce ia� writ� vrhen prra�eaaat wegetaLioe cvv�er ha� b�ea estat�liehed aad � Snai inspectioa a�11 be
mada.
cc.waa.a oo syw.sw�
612 483 9186
Et�,1�30;''1�3'�5 1E�:�? 61L-�.LJ-71Q� RIt,E ��:REEk:. !A! DI'=�T P��E Fi'�
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�t."DYD PER.'1ifIT '�10- 9f�^8, coatiuued: Page =
'I�v� (2: inapectiaas of tha project �te �re included wicb th;s Permit, one after t..ro�oa etintrol a:easurn
�te ia� plsce a�d one aFter projecs campletian aad reve�etatiaa aad vv�ll br canducted w easure
�rmplisnce `rith all agx�eemsat�, terms, and �pniataons of this Permic. �aiiurr to compfy with cbe
for�ro�sg m�y rc:�uit in r�eacti�on of che Permi� and js in vialation of C:l�apter II289 �dSA a
�iscieme�aor. An� s+ddition�t insQectioa, requested or required. will be ailled at 3?.,Slvi��
'I'hia dacetmeat is aot trnas#'ereble, aad is v�iid far aac {1) year after che �ate of i�sqance. Na
conatru�c�n ia auchorised b�qoad tJre rs�iretion dat.e. If Pet�mittee rrquires mores time to oomplete
coaatructioa, a rtt�.er�al of thc Fermit wiII be nec.,eaeery.
P1�ese c�atact itC1iVD nt 483-0�34 avhen the project is abaut ta �a�mmeaoe ao na ias�aect,ar msy view
t�tr war�r in Pr+�gie�, BY aoc;ePtaac� af tbis Permit, Permitt,�e l�as conseaecd to the fore�oiaa. The
enclsaed Owuer'� t:ert�Scatian form a�uat be oompleted sa@ forwarded wit�ia tea (IO) dsqs o[ prtrject
aompiet�ca�
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R�VY} Bo*td �f Maae�ers
Eug�s L Petersou
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D+sta of IseueacG: Jum� 29. 1984
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FR(DLEY
FRIDLEY MUNICIPAL CENTER • 6431 UNIVERSITY AVE. N.E. FRIDLEY, MN 55432 •(612) 571-3450 • FAX (612) 571-12�7
Jul� 10, 1995
Mr. Gene Shellerud, President
Twin City Townhomes Inc
1250 East Moore Lake Dr NE
Fridley, MN 55432
Re: Plan Review Comments/Stipulations For 5 Condo Units Located at
1021, 1023, 1033, 1035 and 1039 Fillmore Circle NE, Fridley, MN
Dear Mr. Shellerud:
The plan review wi11 be based on the following building codes and standards
as adopted by the City of Fridley and the State of Minnesota:
*Minnesota State Building Code adopted by reference the following codes;
a. The 1988 Edition of the Uniform Building Code identified as the UBC
and the State Building Code amendments to the UBC.
b. The 1994 National Electrical Code identified as NEC.
*The Minnesota State Building Code Chapter 1346 known as the Uniform
Mechanical Code as promulgated by the International Conference of
Building Officials and as amended by Rules 1346.005 through 1346.2600.
*The Uniform Fire Code referenced by the 1991 Edition with State Rules
and Regulations of the Department of Fire Safety, Fire Marshal's
Division, Chapter 7510.3290 to 7510.9985.
*Minnesota Energy Code Chapter 7670.
*Minnesota State Plumbing Code Chapter 4715.
*Sound Transmission Control Appendix Chapter 35.
I am enclosing a copy of your plans. It is the project owner's
responsibility to retain the plans at the location. Also, the responsibility
for the design of the structural features shall be assumed by the project
designer. A�proval is contingent upon satisfactory dis�osition of any
rec�uirements included with this report and the Cit� of Fridley. �,
�yMr. Gene Shellerud, President
Re: Twin City Townhomes 5 Unit Condo
. July 10, 1995
Plan review comments/corrections are as follows:
Page 2
*Classification UBC 402 Residential Condominiums.
*Type of construction, UBC 1201, Division 1, R-l.
*UBC 1202 (b) Special Provisions- Walls and floors separating dwelling
units in the same buildinq shall be not less than one-hour fire
resistive construction.
*R-1 Division 1 Occupancies having more than 3000 square feet of floor
area shall be of not less than one-hour fire resistive construction.
*UBC 1204 Exits and Emergency Escapes- Basements in dwelling units or
lower level and sleeping rooms shall have at least one openable window
or door approved for emergency escape or rescue which shall open
directly into a public street, alley, yard or exit court. Al1 escape or
rescue windows shall have a minimum net clear openable area of 5.7
square feet and the top of finished sill shall be no more than 44 inches
above the floor.
*UBC 1205(b) Light- Habitable rooms shall be provided with natural
ventilation openable exterior openinq with area of not less than one
twentieth of the floor area of the room with a minimum of 5 square feet.
*UBC 1210- Smoke Detectors shall receive their primary power from the
building wiring.
*UBC 1212 Heating- All habitable areas shall be provided with heating
facilities capable of maintaining a room temperature of 70 degrees at a
point 3 feet above the floor.
*UMC 702- Room or spaee for heating equipment shall be provided with
combustion air.
*UBC Table No. 5B- Required separation in buildings of mixed occupancy,
Group M occupancies Garages, Group R occupancies Residential, shall be
one hour ceiling and all supporting walls.
*UBC 503- Provide an approved door assembly self-closing from garage
into living area.
*Garage Ceiling/Walls- Provide the minimum of 2 layers of 5/8 inch
gypsum board on ceiling and the minimum of one layer of 5/8 inch on all
supporting walls.
*UBC 32 Table No. 32.B1- Provide the minimum of two layers of
nonperforated Type 15, solid cemented together, applied shingle fashion
to extend 24 inches beyond exterior wall line or ice shield.
*UBC Table 32A- Minimum roof class covering of Class B roofing material.
f
Mr. Gene Shellerud, President
Re: Twin City Townhomes 5 Unit Condo
July 10, 1995 `
0
Page 3
*UBC Appendix Chapter 35- Provide sound transmission control for walls,
floor and ceiling.
*UBC Chapter 70 Excavation and Grading- All grading shall comply with
engineer report to control erosion, setbacks, drainage and slope of fill
surfaces shall be no steeper than the stability of the slope and safe
for its intended use.
*UBC Chapter 35 Sound Transmission Control- Al1 separating walls and
floor-ceiling assemblies are required to meet a minimum STC of 50.
*UBC 2907- Anchor bolts, 7 inches embedded 12 inehes from end.
*Manufactured floor trusses as per their installation, squash blocks on
joist at cantilever.
*UBC 1205(c)- Mechanical ventilation in bathrooms.
*UBC 1210- Smoke detectors shall be interconnected.
*UBC 1204- Egress windows, the minimum of 5.7 square feet of clear,
openable area, top of finished sill not more than 44 inches off the
floor.
*UBC 1711 Guardrails Required- Galvanized egress well which are more
than 30 inches below grade.
*UBC Chapter 30 Veneer- Attached veneer designed to provide for
differential movement.
*UBC 2516 F-D- Fire and draft stops in openings around vents, pipes,
ducts, chimneys, fireplaces and openings which afford a passage for fire
at ceilings ancl floor levels.
SHEET A-4
*UBC 2516(f)2,B-Fire and draft stops at alI interconnections between
concealed vertical and horizontal spaces as occur at soffits, ceilings
and floor levels, 10 foot intervals, drop ceilings, and cove ceilings.
*Solid block beams as per manufacturers requirements.
*UBC 3306- Handrails shall be placed not less than 34 inches nor more
than 38 inches above the nosing of treads and shall be continuous - ends
shall return or terminate in newel post or safety terminals. Handgrip
portion of handrail shall not be less than 1 1/2 inches nor more than 2
inches in cross-sectional dimension handrail shall extend not less than
6 inches beyond the top and bottom risers.
f
Mr. Gene Shellerud, President
Re: Twin City Townhomes 5 Unit Condo
July 10,,1995
SHEET A-5
Page 4
*UBC 3205(a) Attic access opening shall be not less than 22" x 30",
vertical clear height of not less than 30 inches.
*UBC 1204- Exits and Emergency Escape- All escape or rescue windows
shall be a min�mum of 5.7 square feet of clear openable area and the
finished sill to be not more than 44 inches off the floor.
*UBC 1210- Smoke detectors shall be installed in accordance with the
approved manufacturers instructions.
*UBC 4712- Use of gypsum in showers and water closet enclosures or water
closet compartment wall - water resistant gypsum backing board shall be
used.
*UBC 1204- All escape or means of rescue shall have a finished height
not more than 44 inches above grade.
SHEET A-6
*UBC 1707(b)- Flashing and Counter Flashing - Exterior openings exposed
to the weather shall be flashed to make them waterproof.
*UBC 3208, C-A- Roof valley flashing shall be provided of not less than
No 28 galvanized sheet gauge corrosion resistant metal.
*UBC 5207 Skylights- Skylight assemblies may be glazed with approved
plastic materials and shall be mounted at least 4 inches above the plane
of the roof .
SHEET A-7
*2 layers of 5/8 inch gypsum board on ceilings in upper level and
vaulted ceilings.
*Recessed light fixtures and fans at point of penetrating air barrier
must be sealed (MN Energy Code 7670.0470)
*Windwash barrier at edge of attic insulation (MN Energy Code 7670.0470)
*Energy Code- Minimum of R-19 for walls.
*Air space minimum of 1 inch in truss.
*Provide hangers for truss as per manufacturers specifications.
�
*UBC 1712- Foam plastic insulation shall comply with listing as tested
in accordance with UBC Standards No. 17-3.
*UBC 2516(i)- Structural roof sheathing shall be designed in accordance
wi�h manufacturers requirements (metal clips).
_•
,' Mr. Gene Shellerud, President
Re: Twin City Townhomes 5 Unit Condo
July 10, 1995
Page 5
*UBC Chapter 25- All wood shall have an approved stamp.
*Workmanship- All members shall be framed, anchored, tied and braced so
as to develog the strength and rigidity necessary for the purposes for
which they are used.
*Site shall be kept clean and City street shall be kept ciear of any
debris.
*Structural notes and details shall be constructed as per engineer.
*Comments as per Fire Marshal and stipulations set forth by the City of
Fridley.
*SPC 4715.1380- Anti-scald device.
*State Statute 326.37, Subd 2- Low water closet, 1.6 gallons or less.
Your attention is directed to the above statements pertaining to the plan
review but not limited. If you have any questions, do not hesitate to call
me at 572-3602. I trust you will comply with these requirements as set forth
by the State of Minnesota and its adoption of rules and the City of Fridley.
Sincerely,
�C�CC� C�.� �,C
BARRY IESCH
Building Inspector
BR/mh
CC: Michael J. Wilkus, Architect
11180 West 78 St
Eden Prairie, MN 55344
sue�ecr ERMIT" 0. ,
c,ty of Fridley � ,� � ��g
AT THE TOP OF THE TW�NS g U I L D i N G P E R M I T
f
; � RECEIPT NO.
� • COMMUN�TY DEVELOPMENT DIV. C''�
� LL��'���', C.l����
r � � PROTECTIVE INSPECTION SEC.
i �
i � _
� � /'��1 � CITY HALL FRIDLE� SS432 NUMBEP pEV DATE PAGE Uf APPFOVEO Bv
�""'�' �'' 612-571-3450 9t0-Ft5 7/14/95 / /
JOB AODRESS 1021 Fillmore Circle NE
1 LEGAL LOT NO. BIOCK TRACT OR ADDITION SEE ATTACHED
oESCa. 1 1 Hillwind Townhomes SHEE7
2 PROPERTY OWNER MAIL ADORESS ZIP PHONE
�ain City Townhomes 1252 East Moore Lake Dr 4�200, Fridle MN 55432 572-8872
3 CONTRACTOR MAIL ADORESS ZIP PHONE LICENSE NO.
Same 8269
A ARCHITECT OR DESIGNER MAIL AOORESS ZIP PHONE LICENSE NO.
5 ENGINEER MAIL A�DRESS ZIP PHONE LICENSE NO.
6 USE OF BUILDING .
Residential Townhome
7 CLASS OF WORK
CL NEW ❑ ADDITION O ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE
%
8 DESCRIBE WORK
Construct a 32' x 28' Townhouse and a 17'6" x 18' Gara e
9 CHANGE OF USE fROM TO
STIPULATIONS
See notations on plan. See stipulations/comments on plan review letter
dated July 10, 1995. Paid park fee of $750.00.
TYPE OF CONST. OCCUPANCV GROUP OCCUPANCV IOAD
SEPARATE PERMITS ARE REOUIRED FOR ELECTHICAL, PLUMBING, HEATING,
VENTILATING OR Alii CONDITIONING.
THIS PERMIT BECOMES NULL AND VOIO IF WORK OR CONSTRUCTION ZpNING SQ. FT. CU. FT.
AUTHORIZEO IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION
OR WORK IS SUSPENDED OR ABANDONEO FOR A PERIOD OF 120 DAYS AT
ANY TIME AFiER WORK IS COMMENCED. NO. DWLG. UNITS OFFSTREET PARKING
I HEREBY CERTIFV THAT I HAVE READ ANO EXAMINED THIS APPLICATION 1 STALIS GARAGES
AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS VAIUATION SURTAX
AND OROINANCES GOVERNING THIS TYPE Of WOiiK WIIL BE COMPLIED �95,116.H% ��1%.SC)
WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT
DOES NOT PRESUME TO GIVE AUTHORITV TO VIOIATE OR CANCEL THE pERM1T FEE SAC CHARGE Fire SC
PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- Q621.50 $850.00
STRUCTION OR THE PERfORMANCE OF CONS?RUCTION 'P $95.12
PLAN CNECKfEE TOTAIFEE
License SC $5.00 $1,619.18 + PF
S�GNA7U:7EOFCON'RACTOAOAAU�MOAiZEDAGENT ioniEi WHEN PROPE l VALIDATED THIS IS�UR PERMIT
SiGNATURE OF pWNEA i�F OWNER BUILDERi IDATEi DG iN ° ` �����
NEW [ ]
ADDN ( J
ALTER [ ]
Construction Addre�
Lega1 Description:
CITY OF FRIDLEY
SINGLE FAMILY AND DUPLEXES R-1 AND R-2
Building Permit Applica,tion
Effective 1 / 1 /95
Owner Name & Address: � 'Fel. #
� Contractor: T� � �- C.. � � �T�o w �- �o w�. -� .� � � MN LICENSE # � � �
. Address: !�53- �`a-.�C- i'hoo re Ga�C� D��v �. 5u�.�.� 010o Tel. # 57a-88 7`a
��-�Z ���{ ��� Attacti to this application, a Certificate of Survey of �ttie . �
�1 �S-� 3oi lot, with the proposed con�ruction drawn on it to scale.
LIVING AREA:
GARAGE AREA:
DECK AREA:
OTHER:
DESCRIPTION OF IMPROVEMENT
Length e�x3 � Width �� Height
Length � % � �� Width �`� Height
Length Width HgtlGround
. ,
%�
. Ft. '�. ��o
q. F�. ..��",°� �31, S
Sq. Ft.
Corner Lot [] Inside Lot [] Ft. Yd Setback Side Yard Setbacks
Type of Construction:�, ��� r� �,,� �X� Estimated Cost: �-�� � 3
Approx. Completion Date: 7� 3l-� S' �� �j '�7
(Cost on Back)
Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x$ _$
DATE: �-� �-9 � APPLICANT: �� Tel. # S g�° o'? 3�
TtsJ�v� c���� Tpw,-. �o w�.�s S 72-8�%�
�ITY I�SE ONLY -
Permit Fee
Fire Surcharge
State Surcharge
SAC Charge
License Surcharge
Driveway Escrow
Erosion Control
Park Fee
Sewer Main Charge
TOTAL
STIPULATIONS:
s �I. �
� q5,lZ
$ '�1. �
$ £�� �"
$ -- �
�5 ,
$
$
$ �SQ.oa
$
$ '.
�
Fee Schedule on Reverse Side
.001 of Pernut Valuation (1/1Qth%)
$.50/$1,000 Valuation
$850 per SAC Unit
$5.00 (State Licensed Residential Contractors)
Alt. "A" or Alt. "B" Above
$450.00 Conservation Plan Revi
Fee Determined by Engineerin�
Agreement Necessary [] Not Necessary [ J
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CtTY QF
FRI DLEY
FRFULEY M�\ICIPAL CENTER • 6431 UNIVERSITY AVE. h.E. FRIDLEY, `1� i5�332 •(61?) 571-3450 • FAX (612) 571-I?K7
June 24, 1996
Twin City Townhomes Inc
1250 E Moore Lake Dr NE
Fridley, MN 55432
Re: Final Inspection at 1021 Fillmore Circle NE, Fridley, MN
Dear Sirs:
A final inspection was conducted on June 24, 1996 of the above noted address. We found that
the construction of the building unit complies to the best of our knowledge and belief, with all
the requirements of the building codes of the City and the State of Minnesota relating thereto,
and permission is hereby given for the occupancy of said units.
If you have any questions on this matter, please feel free to contact me at 572-3602.
Sincerely,
RO LKOWSKI
C Building Official
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sus�ECr
City of Fridley
AT TME TOP OF TME TWINS K� I� D��� P E R M I T
' ��572-3�,,� V 4�
t�ITY OEVELQPM�NT OIV.
f � � PROTEC7IVE INSPECTION SEC.
1 � �
�
i---•�� �"' �'I CITY HALL FRID�EY SS1�2 NUMBEp
t 612-571-345p 9t0-Ft5
�oe Aooaess
1 2
t LEGAL �07 NO. 6LOCK ' TfiACT OR ADOITtON
DESCR.
2 PiiOPERTY OWNER MAIL ADOR�S$
4 ARCMITECT OR DESIGNEp
5 ENGINEER
8 USE OF BUILDING
Residentia
7 CLASS OF WORK
8 DESCfiIBE WORK
9 CHANGE OF USE fROM
STIPULATIONS
MAII ApORESS
RQV
12/31
21P
28813
�(� 6�
v�GE Or �PVpOvED Br
� �
PHONE
--;
PHONE
SEE ATTACHED
SMEET
IICENSE NO
;�-�-�
UCENSENO.
IICENSE NO
O NEW ❑ ADDITION O ALTERATION � REPAIR O MOVE . O REMOVE
Call for building wrap inspection before covering.
SEPARA7E PERMITS AFE REOUIRED FOR ELECTfi�CAL, PLUMBING, MEATING, ' rrc ur
VENTI�AT�NG OR AIR CONOITIONING
THIS PERMIT BECOMES NULL ANO VOID IF WORK Op CONS7RUCTtON 20NING
AUTHORIZED IS NOT COMMENCEO V�1ITHIN 60 DAYS. OR IF CONSTRUCTION
OR WORK IS SUSPENOED OR ABANpONEO fOA A PERI00 Of 120 pAYS AT '
ANY TIME AFTER WORK IS COMMENCED. ' NO OW
1 MEREBY CERTIFV THAT I MAVE READ ANO EXAMIN�O 7NIS APPLICATIQN
AND KNOW TME SAME TO BE Tt�UE AN0 COARECT. ALL PROVISIONS OF LAWS VALUATI
ANO OROINA.NCES GOVERNING THIS TVPE Of WORK WI�� BE COMP4�E0
WITH WMETMER SPECIFIEO MEREIN OA NOT. TME GRANTING OF A PERMIT OO
DOES NOT PRESUME TO GIVE AUTMOp17Y TO VIOIATE OR CAMCEI TME pEf9M1T I
PROVISIONS OF ANY OTMER STATE Ofi LOCA� LAW REGUTATING CON-
SiqUCTION OR TME PERFOiiMANCE OF CONSTFUCTION �7� {
S�GN�TUNE OF CON'RACTOA Op AUTtlpplzED �GENT ip�tE�
�GNa7UAE O� OWNEA��f �yyNEp BU�LDEN� ' i•if� � '
fT
UNITS
STA�LS
ROUP OCCUPANCVlOAO
CU fT
OFFSTREET PARKING
IGARAGES
SURTAX
$.50
SAC CMARGE
Fire .50
TOiA� F E
�S VOUQ PERMIT
'
� �
qc�E
�
NEW [ ]
ADDN [ ]
ALTER [ )
ConstructionAddress :
Legal Description:
Effective 1/1/98
CTTY OF FRIDLEY
SINGLE FAMILY AND DUPLEXES R-1 AND R-2 ,Q ��j
BUILDING PERMIT APPLICATION _ �� �
ZD � 1��� �l w�-�� c�-e
Owner Name & Address: Tel. #_
Contractor: �p � MN LICENSE #.
Address:
AttachVto this application, a Certificate of Survey of the
lot, with the proposed construction drawn on it to scale.
DESCRIPTION OF Il1�IPROVEMENT
LIVING AREA: Length Width Height
GARAGE AREA: Length Width Height
DECK AREA: Length Width Hgt/Ground
OTHER:
Tel. # �{ � — s,s D y
Sq. Ft.
Sq. Ft.
Sq. Ft.
Construction Type: � ` Estimated Cost: $
(Fee Schedule on Back)
Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x$ _$
DATE: a " ^ � APPLICANT: Tel. #�`����`
CITY USE ONLY
Permit Fee
Fire Surcharge
State Surcharge
SAC Charge
License Surcharge
Driveway Escrow
Erosion Control
Park Fee
Sewer Main Charge
TOTAL
STIPULATIONS:
$ �- ( �
$ , Si5
$ �S b
$
$ ,� �
$
$
$
$
$
% /
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 [ ]
CITY OF FRIDLEY rERMiT rto.: 2004-02114
6431 UNIVERSITY AVENUE NE
FRIDLEY, MN 55432 DATE ISSUED: 11/18/2004
(763 572-3604 FAX: 763 571-1287
ADDRESS : 1021 FILLMORE CIR NE R� O 6�
PIN : 243024320122
LEGAL DESC : UNAVAILABLE
: LOT BLOCK
PERMIT TYPE : BUILDING
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : ADDITION/ALTERATION
VALUATION : $ 4,038.00
NOTE: SEE NOTATIONS ON PLAN.
CALL GOPHER STATE ONE AT 651-454-0002 FOR UTILITY LOCATIONS.
PROVIDE SMOKE DETECTORS IN ALL SLEEPING ROOMS AND ON ALL LEVELS OF THE DWELLING PER R317 OF THE
2000 INTERNATIONAL RESIDENTIAL CODE.
APPLICANT BUILDING PERMIT FEE 111.25
JOHNS LORI T& CHRISTINE A PLAN CHECK FEE 72.31
1021 FILLMORE CIR NE FIRE SURCHARGE 4.04
FRIDLEY, MN 55432 STATE SURCHARGE, VALUE 2.02
TOTAL 189.62
PAID WITH CHECK # 10266
OWNER
JOHNS LORI T& CHRISTINE A
1021 FILLMORE CIR NE
FRIDLEY, MN 55432
AGREEMENT AND SWORN STATEMENT
This permit becomes null and void if work or construction
authorized is not commenced witin 60 days or if construction
or work is suspended or abandoned for a period of 120 days
at any time after work is commenced.
I hereby certify that I have read and examined this
application and know the same to be true and correct. All
provisions of laws and ordinances governing this type of work
will be complied with whether specified herein or not. The
granting of a permit does not presume to give authority to
violate or cancel the provisions o any oth state or local law
regulating conshuctio r the orman of construction.
Applicant Date
Bldg tnsp p�
SEPARATE PERMITS R QUI D FOR WORK OTHER THAN DESCRIBED ABOVE.
i,
��� ��
� u��� State af Minnesota Dep�rtment of'Commerce Li'censrng Division
F �� flepartment of Cvmmerce " Telephorze (65t) 296-6319 or (8QQ.) 657-�9'18
4 � 5;7th Piac� East,:5uite 600 E mail address: 'ficensin 'commerGB st�te.mn.us
�3 $ 9;. �.:;
�,,�,�.,. ��� 5t. Paul, M�I55t01-3165 Website adtlress: commerce.state:mn.us
+1r1�8!.�• . .. _.. .; ,..
,,.;,.,�i.. � . ... ::-..:...
R�sidential:�Build#n` Cor�trae�±�r License '
�e9a� ►vari�e CORN�'RSTQNE G.ONSTR MGNT 1NC ` B�sine.ss structure:
pBR; CORPORATION
ilddress: �222 N CONCORD:EX
,.: _
STE #4 ` , _.
SQ ST PAUL, MN 55Q;75
f.�Cense Identifieatit� Numt��: . B�. ,ZQQ742G$ : Quatifying Pers9n: DAVID J HAU�R ;;
4icense F�cpirati,�n �ate 3(3�/ZQQ2 ' Continuing Education: . 7 Hrs CE.due by 3/3�/2002
�
a � S � � ' �-C,
� o a � � � � I � L�� C-� � �� �r: �
'7� 3�- �7�- 3b>�
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,
NEW
ADDN
�ALTER
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[)
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CITY GF FRIDLCY
6431 University Ave NE, Fridley, MN 55432
SINGLE FAMILY AND DUPLEXES R-1 AND R-2
BUILDING PERMIT APPLICATION
(763) 572-3604 Bidg Insp
(763) 571-1287 Fax
�--� ,
Construction Address: �L� 2 � �- ��l/liYJGv � � i�� � � �
Legal Description:
Owner Name & Address: �� v► S v� i�-�'� Tel. # 7.6 ��� 5 7/- �6 >�
Contractor. �p,y-L� dp s�r��,� Gor� S+ °� �I/%bt�Y� MN LICENSE # Z LaC�7 �-f 2b 3__
Address: l I r�'� /1/ (.o�, �� S S O /vlv� � S7' 7� Te�. # 6�"�- �� 3�- �/ � y
,
LNING AREA:
GARAGE AREA:
DECK AREA:
OTHER:
Attach to this application, a Certificate of Survey of the
bt, with the proposed construction drawn on it to scale.
,
DESCRIPTION OF IMPROVEMENT �
Length Width Height Sq. Ft.
Length Width Height Sq. Ft.
Length Width Hgt/Ground Sq. Ft.
Construction Type: !" ON r���r f-i �C �► � P,pu � � Estimated Cost: $� J.��
Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x$ _$
DATE: �l - l�- a� APPLICANT: � De i/`7'�i Upv Tel. # b� �' 7�S- �� �/
Call (763) 572-3604 for Permit Fees if mailing in application. Fax to 763-571-1287 if using credit card and we will call
you for card number.
Permit Fee
Plan Review
Fire Surcharge
State Surcharge
SAC Charge
License Surcharge
Curb Cut Escrow
Erosion Control
Park Fee
Sewer Main Charge
TOTAL
CITY USE ONLY -
$ . 5 Fee Schedule on Reverse Side
$ � •,3 65% of Permit Fee
$ � .001 of Permit Valuation (1/10th%)
$ �.. �2. $.50/$1,000 Valuation
$ $1350 per SAC Unit
.$ $5.00 (State Licensed Residential Contractors)
$ Alt. "A" or Alt. "B" Above
$ $450.00 Conservation Plan Review
$ Fee Determined by Engineering
$ Agreement Necessary [ J Not Necessary [ J
$ / �1�� STIPULATIONS:
'��D
Building
�nspections
763-572-3604
763-502-4977 FAX
oa'r�; �0 0`l
51iE ADnRFSS 1�
'I'I IIS APp1.ICANT IS:
rROPERrv ow
TENANT
Si18MrT A COPY OF
YOl1R S7'ATR LIG1?NSE
AND CERTI�ICA7E OF
1NSURANC6
PROPERTY TYPE
PERMIT TYPE
From: unknown
Page: 7/10 Date: 9/22/2009 9:35:50 AM
$UILDYN� Permit No.: U
�ESIDENTIA�, APPLI�ATIO►N Rece;ved I3y,
CITX OF FRI�LE� oace ��'� ��� I
�EC�nv� �-,�, ---`
YQUR �•MAIL ADD S
'O O N[I� �� l� � �,.L51� `J _._ ! l i��.. _
�M'RAC'fOR –�—�u.
�. �� .
HqME ��
s•rw� �.ICGsNSEfY
G SINGI.fi �AMILY/NEw CONSTftUCT10N
01'W(1 FAMILYMEW CON.STRUCI'ION
O II�ISEMENT FINISF! B
O �c q
. C�71'
TYPE OF WORK: O NEW HOME CONSTRUCf10N Q ADDi170N
i�"F�IAlN7ENANC�JRF:PAIR O Rf.MO�EI.I
D6SCRIBE WORK BEING DONF: 4 � `
St7E AP IMPROv�9�N1' I.C•NCrH � W�
� O H�7USB ONt_Y
NUMBER OF SQUARES �_ BTpUSE dt GARAGC
�� O A7TACHED Q�It/�Gr
PItO�SF-A S�Zk; 0 DETACWL•D GARAGE
PRO�p9ED HEtGFIT:
L•XP
Q DRAtN T1L�
0 o��a
��
HASEMFiNi 1'?MOD ..IN . CI I M[�`�
I . Fx��tng Floor Plun
Z, Proposed floor plan
3. �i� of apvclural numbe� t� � u�d
SIDINC f4R NEW CONSTRIIt; f1UN 1NCL.UDING D�(: K5,
Yinyl pSo�K ADDI'1'IONS. & 1KlR('!H�F R gMh'.
❑ �Itunimnn p'��m i. Site PMNSurvey showing thc cxi�ting alrucluroe
� a� O F�fa and o oscd
fN P PmJ�
� a. 'rw� acts nf cbnawctlon plona
lN CX181'INC nPF?NINCS OYcs ONo I�O�'A7i0N aF WINDOWS 3. Enugy Calculp�itme
OR FOR NEW OPENINGS-DESCRIBE SlZE OF
OPENING CNAAIC.�ES dc
TYPG OF WINDDW TD BE INSTALLCD NUMBER OF W1Nlx)W '
ALL FEES ARE BASEO OI� VAI�iiAT1UN, X1YC�.UDINC THE COST OF LABOR AND MATFRTALS:
q a(�j�N�iH� 1997 U.B.0 FEE SCHEDULE)
SQTALJO$VALUATIONS 0� 1S � MI��In�7►tnv M.,....
Permit Fce
Plan Review
Firc Surcharge
Suroharga
License Swcbarge
SAC Charge
Curb C1�t Escrow
Erosion Contro{
Psric Fee
Sewer Main Char�e
_s I 10'�.d ,� See Back Page for Fee Sche�ule
S ' 659io of Building Ptrmit Fee
g .Oal times the totel job valuation
S f ,0005 x Permic valua�ion Minimum 5.50
s SS.00 (Stste Licensed itesidential Contractors)
S $2000 per SAC Unic (plens to MWCC for determination)
$ fi+6R��RxSZI -S
S 5450 Conservati� Plan Review
Fee T)ctcnnined by Fngir�eering
S A�reement oecessary () Na, Neeessary {)
'rF11S IS AN APPLICA'PION FOR A f�ERM1T-NOT VALID UNTtL RROCESSED
1 hereby apply for a building pern�it and 1 aeknowledge that the lnformatian above is complete and accurate; that the work will be in
confarmence with thc ordinanees and cc�des af the City of Fridley and wich �he Minnr.�uta C'onstruction Codes: ehat I undorstand this is no� a
permit but only en applicaGon ('or a permii and wark is no� to stsrt withaut a permit on site; Lhst tht wo�k will be in acepnjg�nGe with the
approved plan in the casa ofall work which reqJ11'1�ros rovicw snd approvat of p/l/�ns. ( � ��
5l[iNAIURE W APPLR'AN'f _��� V7 �I' NaWF I�la[d .1..eleaY.l�'al ........ L�I1n'w�
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