AF - 44817sue�ecr PE
City of Fridley �� � �� '
AT THE TOP OF THE TWINS B U i L D I N G P E R M I T ��e
r
; � NO.
� ; y_______ COMMUNITY DEVELOPMENT OIV.
1 � � PROTECTIVE INSPECTION SEC. ~% � „��
i � �'tI/
� � /���1 • CITY HALI FRIDLEV 55432 NUMBER REV DATE PAGE OF APPROVED BY
�"""�� ��� 612-571-3450 910-F15 7 / 14I95 / /
JOB ADDRESS 1039 Fillmore Circle NE
1 LEGAL �OT NO. BLOCK TRACT OR ADDITION SEE ATTACHED
DESCR. j j Hillwind Townhomes SHEET
2 PROPERTV OWNER MAIL ADDRESS ZIP PHONE
�ain City Townhomes 1252 East Moore Lake Dr 4{�200, Fridle , MN 55432 572-8872
3 CONTRACTOR MAIL ADDRESS Z�P PHONE UCENSE NO
Same 8269
4 ARCHITECT OR DESIGNER MAIL ADORESS ZIP PHONE IICENSE NO
5 ENGtNEER MAIL ADDRESS ZIP PHONE LICENSE NO
6 USE OF BUILDING
Residential Townhome
7 CIASS OF WORK
q' NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE O REMOVE
X
8 DESCRIBE WORK
Construct a 32' x 28' Townhouse and a 17'6" x 18' Gara e
9 CHANGEOFUSEFROM TO
STIPULATIONS
See notations on plan. See stipulations/comments on plan review letter
dated July 10, 1995. Paid park fee of $750.00.
TYPEOFCONST. OCCUPANCYGAOUP OCCUPANCV�OAD
SEPAFiATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING,
VENTILATING OR AIR CONDITIONING.
THIS PERMIT BECOMES NULL AND VOID tF WORK OR CONSTRUCTION ZpNING SQ. FT. CU fT.
AUTHORIZED IS NOT COMMENCED WITHIN 60 OAYS, OFi IF CONSTpUCTION
OR WORK IS SUSPENDED OR ABANDONED FOR A PERI00 OF 120 DAYS AT
ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UN17S OFFSTREET PARKING
1 HEREBY CERTtFY THAT I FIAVE REAO AND EXAMINED 71i1S APPLICATION 1 STAILS GARAGES
AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS VALUATION SURTAX
ANO ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED �(3S�IIE).H7 �1F7.S6
WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING Of A PERMIT
DOES ISOT PRESUME TO GIVE AUTHORITY TO V10LATE OR CANCEI THE pERM1T FEE SAC CHAPGE Fire SC
PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- �621.SO y�BSO.00 �C�S.12
STRUCTION OR THE PERFORMANCE OF CONSTRUCTION
PLAN CHECKFEE TOTALFEE
License SC $5.00 $1,619.18 + PF
SiGNATUAEOFCON'AACTOAOA.4UTHOAIZEDAGENT IDATEI WHEN PfiOPER ALIDATED THIS IS OUR PERMIT
V
S�GNA7UAEOfOWNEA��POWNEABU��DEAi IDATEi " BlD �NSP DtiT
., s
NEW
ADDN
ALTER
II
lJ
l)
Construction Addre:
Lega1 Description:
Cffective 1 / 1 /95
CITY OF FRIDLEY
SINGLE FAMILY AND DUPLEXES R-1 AND R-2
Building Permit Application
Owner Name & Address:
Tel. #
� Contractor: T�s:� � .�- C,, k �'(�v � �- �-o w�- � � � MN .LICENSE # � �
Address:'�5� ��..� ri�ov �e G�1�� D. �v � 5<«�4-� ao� Tel. # 5���`3�d ? a-
��.�t-z--( �"�!^�. Attach to this application, a Certificate of Survey of�the . �
J,�5�,�� lot, with the proposed construction drawn on it to scale.
LIVING AREA:
GARAGE AREA:
DECK AREA:
OTHER:
DESCRIPTION OF IMPROVEMENT
Length �� 3 �- Width �� Height
Length � Width �`� Height
Length Width Hgt/Ground
��; 67J
Sq. Ft. a'`°� 7.3/, �
sq. Ft. 3�S
Sq. Ft.
Corner Lot [] Inside Lot [) Ft. Yd Setback Side Yard Setbacks
. .�' c'r �- �c' �' /
Type of Construction: � � ��. Estimated Cost: 9�, %�L, �%
Approx. Completion Date: �7 - 3t-� ~
(Cost on Back)
Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x$ =$
DATE: �� a t--�j 5' APPLICANT: �rw.-e�_ �-r-- -� -� Tel. # S B�- �%�? 3�
�T�i��� c�-��� -��W,�.�.o.�,._�s 572-�3�37�
�ITY USE � ONLY �
Permit Fee
Fire Surcharge
State Surcharge
SAC Charge
License Surcharge
Driveway Escrow
Erosion Control
Park Fee
Sewer Main Charge
TOTAL
STIPULATIONS:
$ G�1, �
$ 9 ,� /Z
$ y7, S�
� ��� �
$ � cU
$
$
$ 7s��«�
$
$ 3 9',/
Fee Schedule on Reverse Side
.001 of Permit Valuation (1/ lOth%)
$.50/$1,000 Valuation
$850 per SAC Unit
$5.00 (State Licensed Residential Contractors)
Alt. "A" or Alt. "B" Above
$450.00 Conservation Plan Revie
Fee Determined by Engineerin�
Agreement Necessary [ ] Not Necessary [ ]
.., -
.
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C�IY OF
FRIDLEY
FRIDLEY MUNICIPAL CENTER • 6431 UNIVERSITY AVE. N.E. FRIDLEY, MN SSd32 •(b12) 571-3�50 • FAX (612) 571-1?K7
Uecember "l�, l yy5
Twin City Townhouses Inc
125U E Moore Lake Dr NE
Fridley, MN 55432
Re: Final Inspection at 1U�9 Fillmore Circle NE, Fridley, MN
Dear Sirs:
A final inspection was conducted on December 2$, I995 of the above noted address. We f'ound
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 tlie occupancy of said units.
If you have any questions on this matter, please feel free to contact me at 572-3602.
Sincerely,
RON JUL SKI
Building I spector
RT/mh _.._.__�'
sue�EtT PER
c�ty of Fr�a�ey - �.
AT TME TOP OF TME TWINS g� �� p 1 N� p E R M I T ��� O�
< < RECEIP
� ; � _._._ , COMMUNITV OEyELOPM�NT DIV.
r � � PFIOTECTIVE INSPECTION SEC. �
� . ,
i_-_•�; "';'� C17Y NALL FRIOLE� SS�32 NUMBEN pEV DAT6 PAGE Of AVPROVED 8Y
� 612-57�-3a50 9�0-F�5 12/31/98 � �
J08 AODRESS
10 F'
t IEGAI �07 NO. BLOCK TRACT OR ADOITION SEE ATTACHEO
DESCii. 1 1 SHEET
? PAOPEii7Y OWNER MAtL AOORES$ I�P PMONE
3 CONTRACTOq MAIL AODRESS Z�P PHONE LICENSE NO
To Gun In . -
1 ARCMtTECT OR OESIGNER MAIL ADORESS 21P PHONE LICENSE NO.
5 ENGINEER MAIL AQDfiESS ZIP PHONE UCENSE NO
6 USE OF BUIIDING
Residential
7 CLASS OF WOHK
❑ NEW O ADDITION O ALTERATION ?C� REPAIR ❑ MOVE O REMOVE
8 DESCRIBE WORK
Reside Townhome
9 CHANGEOFUSEFROM TO
STIPULATIONS
Call for buiZding wrap inspection before covering.
SEPARATE PEAMITS ARE REOUIRED FOR ELECTii1CAL. PLUMBING. NEATING. �rP Of CONS7. OCCUPANCV GitOUP OCCUPANCV LOAO
VENTILATING OR AIR CONOITIONING
TMIS PERMIT BECOMES NULL AN� VOIp If WORK OA CONSTRUCTION jpNING S�. FT CU fT
AVTHORIZED IS NOT COMMENCED N/ITHIN 60 OAYS. Oii If CON57RUCTION
OR WORK IS SUSPENDEO OR ABANDONEO FOR A PER100 OF 120 DAYS A7 '
ANY TIME AfTER WORK IS COMMENCED. NO DWLG. UNITS OfFSTREET PARKING
I HEREBY CERTIfV TMAT I MAVE AEAD AND EXAMINQO TMIS APP�ICA710N STALlS GARAGES
AND KNOW 7ME SAME TO BE 7RUE AMD CORRECT. ALL PROVIS1pNS Of EAWS VA�UA710N St1R7AX
ANO ORDINANCES GOVERNING TMIS TVPE OF WORK Wl�l QE COMPl1Ep
WITM WMETHER SPECIfIED MEiiEIN OF NOT. THE GRANTiNG Of A VERMIT SOO .SO
OOES NOT PRESUME TO GIVE AUTMORITY TO VIOLATE OR CAMCEL TNE pEqMIT fEE SAC CNARGE
PROVISIONS Of ANY OTMER STATE OR LOCA� �AW REGULATING CON-
STRUCTION OR TME PERFORMANCE OF CONSTRUCTION 21 FlY2 C . SO
PLAN CMECK fEE TOi E
�0
SiGN4TUpE O� CON"AACTOA ON AUTI+Op�2ED �GENT IOATE� N O, VALIOA �S :S Y R P RM T
� s
$�(�iNaTUQEO�OWNEp���OWNEpBU�IOEA� � I AiE1 . �� ' BL �NS��' � � �1�fE
rr�w [ ]
ADDN [ �
ALTER [ ]
ConstructionAddress:
Legal Description:
CITY OF FRIDLEY
SINGLE FAMILY AND DUPLEXES R-1 AND R-2
BUILDING PERMIT APPLICATION
�
Effective 1/1/98
g�IO
�
�- .�` 11 '
, �..n. , .-..�
Owner Name & Address: Tel. #
Contractor: � � �! , �y�hi� MN LICENSE #
Address:
LIVING AREA:
GARAGE AREA:
DECK AREA:
OTHER:
A�ttach to this application, a Certificate of Survey of the
lot, with the proposed construction drawn on it to scale.
DESCRIPTION OF IlVIPROVEMENT
Length Width Height
Length Width Height
Length W idth Hgt/Ground
Tel. # c%�.�--..SS(��(
Sq. Ft.
Sq. Ft.
Sq. Ft.
w ^
Construction Type: Estimated Cost: $
(Fee Schedule on Back)
Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x$ _$
DATE: —� —7 d APPLICANT: Tel. # �� G�0 �����
CITY USE ONLY
Permit Fee
Fire Surcharge
State Surcharge
SAC Charge
License Surcharge
Driveway Escrow
Erosion Control
Park Fee
Sewer Main Charge
TOTAL
STIPULATIONS:
$ �
$
$ . ��
$
$ �S (�_
$
$
$
$
$ � ClJ
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
$450.00 Conservation Plan Review
Fee Determined by Engineering
Agreement Necessary [ ] Not Necessary [ ]
� uilding
Inspections
76��572-3bp4
SITE AUIiK�B�i _.�(/ .( /`
TFIIS APPLICANT iS:
�1tOYERTX UWNER/
TENANT
J
PIIONE:
SUBMIT A COPY OF STATE LtC
YUUR S'fA'fL LICLNSC: ATJll�t1:S`�;
WITH Al'!'LIC:A'1'IUN PHONE
PI�OPERTY TYP� INOL�
❑ 7"Wp �Afv11LY/A1GW
��1�M1T T'YPE �I Al)I)1'CiUN
O DASEMCNT 1'1N18H
❑ DGCK
TYP�O�''VVUI�: � ❑�w;W
CI MAINTGNANCE(RL
DESCRII3E WpRK �3F�NG ]�ONi',.
SiZE O�' 1MPROVF.MF.NT
BiTI�,I)TNG
RESIll�1V"TI:A� APPL�CATIU�
C.iTY �F FRI�;�,,� �
#
NUMSER OF SQUAi2ES
SaAItA.G;ES
Pkq�'USND SI'LE:
PROPOSED HEIC3I IT:
�i121LYSi
Q Vinyl
❑ Alu�rtinum
❑ Other —.._..�.. , ,,. . . ,
WINI?OWS
IN F.XISTING OPGNINL}S OYes ❑Nu
OR POR NE+W c)P�;N1N(iS-DRSCRIRB SIZ� OP
nPT•.NTN(i CkIA.NC�1;5 tfc
�uuK�;sS
GXP UATF
❑ Kc)c)F'
C] SIDING
CI SWlMM1NG I'C)UL
CI ADDITION
❑ kEMc")UEI,IN(i
(,:I I'Y
-7��3� /
ST7.H:
57'UR ES
INDOWS �
❑ URAiN 't'lLl�
❑ c.7'i�t�r�. _
-T__...._ _...,.. _. _ , , .... ....._...,__,
LENGTH wt��rt-i
I� HUL15B & GAftAGE
L] A'1"fACH�L} (iARAGE
a nr.-.TACH�;'r� C�AkAUr
IIS�,ffii
C'� Trim
❑ Pasc;a
I.�C)CA'1'IUN UE WINDUWS
Permit Nc�.:
Received By;
Uate Rec'd:
...... . --
�T _..._ .---
-C.` �
/�r i
HEIC3HT--- _ Sq. Ft.
IiASt-?Mr.N"�,R�MODELIN ' BMIT:
L Gxistirt6 Fluur Plwn
2. Proposed tlaor plen
3, I,ist of stroctural m�mbers to be use4
r�0� NI-;W C:c.)Nti 1'12UC"I'iUN 1NCLUDINO DGCKS,
AADITION5. & PORCHFS SU�3MI7':
1, 5itc PIaiUSurvey stiowing thp nxisting structuras
and pruposCd prujccl,
2, �Pwo scts of construotion pluns
�, Fnnrgy Culculations
TYPE OP WIIVDOW TQ AF,, fN$ t'ALLL�D NIJMHFk 0}^ VJINllUWS j
_ .�... �
ALL FE�S ARE IIASEll ON VALUATION, INCLUDINC 'TH� COST ()F I�A�(]R AND MAT�RI ��� "�����..—
' ' � ALS:
(US1NC TH 1997 U,B.0 FE� SCHEDIJ�.�;)
i`O"�AL JUB VALUAT�ON � � OO G�'i aCCUPANCY '1"YYE
I�crmit Fee $ /�. a�'_ See Back Page for Fee Sch�dul�
Flan It.eview fi ---- -- 65% of Buildir��; Aennit Fee
I�"ire Surcharge $ ��.001 times tl�e tot�il jab vAluaticyn
Surchar�;e � a. O .0005 x Permit Valur�tion Minin�urn $.5�
License Surehmrge $ pU �� �5.U0 (State: l.,icensed Residei�tial Cantractprs)
SAC Char�e $ � 1550 per SAC Unit (Plan� cp MWCC: for detennination)
Curb Cut �scrow $ Il + 6 ft= i� x$21 -$
Erosion Cantrql x $450 Conservatiun f'lup R4viuw �
F�ar�. Pe� $ _ Fee Detarmined by E�7bilaeering
Sewer MAUi Ch�r�e R Agrec;mc;nt necessa��y () No�� Neces�ary ()
Tptu# nue � 3• ( S � � Make checks �r abie to: Cit of P'ridle Attach Sti alations
'1'Hf5 IS AN APPLICATION POR A YRRMI'C-NUT VALID UNTIL PRt)C� ;SEii)
N heroby apply for a building pec•mit And t Acknowled6e that the information abov4 is co3nplete and accurate; thQC tha woric will be u�
conformanc;c+ with the ord.inances a�id codes of thc City oi' Fridiey and with the Minnesottt L'�n�tructaoa� Codes; thaE T undersCand lhis a5 aiot a
pc,rmit but only an a�plic 'on or a p�rmit and work is not to stArt wichoul a pc;rn�it; thai the work �viff b� in sccordance with the �pprc�ved
plan in tlie cASe of�Il war w� s e�' a roval of plans.
SIGNATUR� OK AwNL1CAN't ._ INT NAMG ,' .. �3ATE
Zd Wt1ZZ:60 900Z aZ 'unI' ZSZTTLS�9Z: 'ON Xd� Faip?a� .to h�?�: WO�i�