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PRE 2010 DOCSCity of Fridley SUBJECT 1784!5 AT THE TOP OF THE TWINS BUILDING PERMIT _ r ',. RE O. COMMUNITY DEVELOPMENT DIV. r� r PROTECTIVE INSPECTION SEC. 1 i I CITY HALL FRIDLEY 55432 NUMBER REV. DATE PAGE OF APP OVED BY 612-571-3450 910-F15 1/25/85 JOB ADDRESS 7600 Lakeside Road N.E. 1 LEGAL LOT NO. BLOCK TRACTOR ADDITION SEE ATTACHED DESCR. 17 1 Blomberg Estates SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Garjac Inc. 481 — 206th Avenue N.E., Cedar, MN 55011 434-7096 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Same 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO. 6 USE OF BUILDING Residential 7 CLASS OF WORK NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE X❑ 8 DESCRIBE WORK Construct a 38' x 24' Dwelling and a 221 x 22r Garage Before digging `u cs TELEPHONE e ELECTRIC-. GAS ELK, 9 CHANGE OF USE FROM TO ,, A\"vyf STIPULATIONS Provide City with copy of verifyingNMOMM survey before capping. Provide sod in the front and side yards, Provide a hard surface driveway, SEWER LOCATION; (Approx. 10.5' Deep In Street) 144' N. of M.H. (INV. 892.74) WYE ELEVATION: 893.40 TOP OF FOOTING: 896.40 Minimum WATER LOCATION: Approx. 10' N. of Sewer Service DRIVEWAY DEPRESSION: 16+6 = 22 x $13.50 = $297.00 THE CITY OF FRIDLEY DOES NOT GUARANTEE THE SEPARATE PERMITS PEWRED F(0"' ACCURACY OF UTILITY LOCATIONS AND ELEVATIONS. os. on 1E ��Tyi G, P5.I.�'sASINi �Y u THIS DATA IS FOR INFORMATION PURPOSES ONLY, AND PERSONS USING THIS INFORMATION SHOULD SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD VENTILATING OR AIR CONDITIONING. Wood Frame THIS PERMIT BECOMES NULL AND VOID IF WORK 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 PARKING I HEREBY CERTIFY THAT 1 HAVE READ AND EXAMINED THIS APPLICATION I 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 $53,450 $26.73 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PERMIT FEE SAC CHARGE PROVIS NS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON. $295.00 $425.00 STRUC I NOR THE PERFORMANCE OF CONSTRUCTION. PLAN CHECK FEE TOTALFEE .75 $820.48 SIGNATURE OF ONTRACTOR R` UTHORIZED AGENT (DATE) WH PROPE LY L HIS IS YOUR PERMIT .. � S � S� NSP DATE SIGNATURE OF OWNER OF OWNER BUILDERI IDATEI NEW [ City of Fridley Effective 4/1/84 ADDN. [ ] R-1 AND R-2 ALTER. [ ] Building Permit Application Construction Address: 7 4c)c) `-4 t-,- f/<-)- _ Legal Description: o7- /,7 84® c K �' oa w d eler �'s ,-& / eS owner Name & Address: Tel. # Contractor: ��9/?T/#C— �N Tel. # 1/3y�'70 ?'5Address: ' 1 .7 /9✓Q 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 scale. Length Length Length DESCRIPTION OF IMPROVEMENT Width -Z I - Width 2'2 - Width '2 - Width Height , Height Hgt/Ground Sq. Ft. 9E16 Sq. Ft. S�'o Sq. Ft. Corner Lot [ ] Inside Lot [4 Ft. Yd. Setback 3 Side Yard Setback 12-4 cc Type of Construction: F��Oyjr' Estimated Cost: $ 7r=�8 Approx. Completion Date: �%¢ % is It (JVv Alt. A Alt B Proposed Driveway Width If New Opening Is Desired: $ ,0649 $ - See Back Page for,Explanation DATE: 1— 2 3 a 0,5'- Permit S Permit Fee Plan Check State Surcharge SAC Charge Park Fee Sewer Main Charge TOTAL STIPULATIONS • Dq. ujs APPLICANT. UCS^ Tel. #3 -10-`4 - r CITY USE ONLY $ -Zq .aej Fee Schedule on Reverse Side $.7 25$ of Building Permit Fee $.50/$1,000 Valuation $425 per SAC Unit $ Fee Determined by Engineering $ ®'UQ Agreement Necessary [ ] Not Necessary [ ] $ BUMDING PERMIT 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 Valuation Fees $1.00 to $500.00 $10.00 (Minimum Fee is $15.00) $501.00 to $2,000.00 $10.00 for the first $500 plus $1.50 for each additional $100 or fraction thereof, to and including $2,000. $2,001.00 to $25,000.00 $32.50 for the first $2,000 plus $6.00 for each additional $1,000 or fraction thereof, to and including $25,000. $25,001.00 to $50,000.00 $170.50 for the first $25,000 plus $4.50 for each additional $1,000 or fraction thereof, to and including $50,000. $50,001.00 to $100,000.00 $283.00 for the first $50,000 plus $3.00 for each additional $1,000 or fraction thereof, to and including $100,000. $100,001.00 and up $433.00 for the first $100,000 plus $2.50 for each additional $1,000 or fraction thereof. DRIVEWAY DEPRESSION ESCROW (Concrete Curb Streets Only) Alternate "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 and 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 proposed structure and of the construction site. A Certificate of Survey of the lot, showing the location of the foundation once it has been constructed will be required before proceeding with the framing. U4 t Y V 38 9% ty Q 35 -& It 5(.3. 68 S70,000. Z83, oa 4 V 3 "to 29 5 .o . 0 q1dt. ISO 1 Z Surveyor's Certificate COMSTOCK & DAVIS, INC. Consulting Engineers and Land Surveyets 1446 County Road J, Minneapolis, MN 55432, (612) 784-9346 SURVEY FOR: B & G Investments 961 Hillwind Road Fridley, Minnesota 55432 6 ago 01' 0.9" F- cj /0'o LO ' 0 N�4 VA11V -1011DVAL AN!"r; AT RIVEWAT .33' 1-14.1 6 890 01' 09" E — 136.68' 3 3' DESCRIPTION Lot 17, Block 1, Blomberg Estates, City of Fridley, Anoka County, Minnesota. SCALE: 1" = 40 0 Denotes 1/2" diameter iron pipe monument set and capped No. 10832. I hereby certify that this survey, plan or report was prepared by me or under my direct supervision and that I am a duly Registered Land Surveyor under the laws of the State of Minnesota. V 1og32 Nov_17, 1980 4278 9 Reg. No. I)ate Job No. Book No. z: T Lj Git AN'D PERSC'NS USi';",,G H,11) UD VERIFY IT ON THE SITE. 6 ago 01' 0.9" F- cj /0'o LO ' 0 N�4 VA11V -1011DVAL AN!"r; AT RIVEWAT .33' 1-14.1 6 890 01' 09" E — 136.68' 3 3' DESCRIPTION Lot 17, Block 1, Blomberg Estates, City of Fridley, Anoka County, Minnesota. SCALE: 1" = 40 0 Denotes 1/2" diameter iron pipe monument set and capped No. 10832. I hereby certify that this survey, plan or report was prepared by me or under my direct supervision and that I am a duly Registered Land Surveyor under the laws of the State of Minnesota. V 1og32 Nov_17, 1980 4278 9 Reg. No. I)ate Job No. Book No. (Xlf, /e . . ,��,y L Y Y la Fo 5-17� Y � g .� n CITY OF FRIDLEY APPLICATION FOR PLUMBING AND GAS FITTING PERMIT RATE SCHEDULE PLUMBING FIXTURE RATES: NO. RATE TOTAL New Fixtures t� $ N m Future Fixtures e 3.50 u Old Opening, New Fixture x v $ Water v 4.00 $ Blow Off Basin $ 5.00 H i m a 5.00 $ x ►, p, w a Hydraulic Valve Heater 5.00 S Sump or Receiving Tank S s S Mater Treating Appliance $ 7.00 $ m $ 5.00 $ 9-60 Gas Range $ 10.00 $ Gas Dryer $ 10.00 $ ALL OTHERS AND/OR REPAIRS AND ALTERATIONS It of Value of Fixture or Appliance x u S .50 m ($15.00) o a�1 A y � ow° w 40.' u��3 in u a v'�, 1 1 j let 2nd 3rd 4th (R) Future Connection Opening Connected with Sewer (�) New Fixture, Old Opening Water RATE SCHEDULE PLUMBING FIXTURE RATES: NO. RATE TOTAL New Fixtures t� $ 5.00 $ �;.00) Future Fixtures $ 3.50 $ Old Opening, New Fixture S 1.50 $ Beer Dispenser $ 4.00 $ Blow Off Basin $ 5.00 $ Catch Basin $ 5.00 $ Rain Water Leader $ 5.00 $ Hydraulic Valve $ 5.00 S Sump or Receiving Tank S 5.00 S Mater Treating Appliance $ 7.00 $ Hot Water Heater_ $ 5.00 $ 9-60 Gas Range $ 10.00 $ Gas Dryer $ 10.00 $ ALL OTHERS AND/OR REPAIRS AND ALTERATIONS It of Value of Fixture or Appliance $ State Surcharge S .50 Reinspection Pee $ ($15.00) TOTAL FEE S_ S 5 Effective Aug. 1, 190L .5/ Job Address ®® 44r, o Department of Buildings City of Fridley Tel. 0571-3450 The undersigned hereby makes 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 J Fridley, Mn. 19 OWNER �i fL KIND OF BUILDINGf, r - USED AS TO BE COMPLETED ABOUT ESTIMATED COST /, 0 'o OLD - NEW BUILDING PERMIT NO. PERMIT NO. Company Signed By Tel. No. ROUGH INSP. Date FINAL INSP. A,II Date Q�[� APPROVAL FOR PERMIT �dV MINIMUM FEE FOR ANY PLUMBING PERMIT IS $10.00 PLUS THE $.50 STATE SURCHARGE CI YOF FRIDLEY CIVIC CENTER • 6431 UNIVERSITY AVE. N.E.. FRIDLEY. MINNESOTA 55432 • PHONE (612) 571-3450 stay 10, 1985 Mr. Gary D'Aigle Garjac Construction Co. 481 - 206th Avenue N.E. Cedar, MN 55011 Re: Final Inspections at 7590. & 7600 Lakeside Road N.E. Dear Mr. D'Aigle; Final inspections were made on May 7 & May 3, 19.85 of the above addresses and the following iters were noted which must be completed before the structures can be finaled out: 7590 Lakeside Road N.E. 1. Provide sod in the front and side yards by June 15, 1985, 2. Provide a hard surface driveway by June 15, 1985. 3. Provide City with a copy of the verifying survey by June 15, 1985, 4. Post house number on structure by May 20, 1985. 7600 Lakeside Road N.E. 1. Provide a hard surface driveway by June 15, 1985. 2. Provide sod in the front and side yards by June 15, 1985. 3. Provide City with a copy of the verifying survey by June 15, 1985. We will expect the above items to be completed by the scheduled dates when reinspections will be made to determine compliance. If you have any questions on these items, please feel free to contact me at 571-3450. Sincerely, (Q) L"U DARREL G. CLARK Chief Building Official DGC/mh Arm CITYOF FRIDLEY CIVIC CENTER • 6431 UNIVERSITY AVE. N E.. FRIDLEY, MINNESOTA 55432 • PHONE (612) 571-3450 June 18, 1985 Mr. Gary D'Aigle Garjac, Inc. 481 - 206th Avenue N.E. Cedar, MN 55011 Re: Final Inspections at 7531 & 7551 Brigadoon and 7600 Lakeside Road Dear Mr. D'Aigle: Reinspections were made on June 17, 1985 of the above addresses and the following items were noted which must be completed before the structures can be finaled out: 7531 Brigadoon Place N.E. (Unable to gain entrance to structure) 1. Provide sod in the front and side yards. 2. Provide a handrail on the garage steps. 3. Provide insulation in the basement utility rocas. 7551 Brigadoon Place N.E. 1. Provide sod in the front and side yards. 2. Provide City with a copy of the verifying survey. 7600 Brigadoon Place N.E. Provide City with a copy of the verifying survey. We will expect the above items to be completed by July 15, 1985 when reinspections will again be conducted to determine compliance. If you have any questions on these items, please feel free to contact me at 571-3450. sincerely, DARREL G. CLARK Chief Building Official DGC/mh City of Fridley AT THE TOP OF THE TWINS SUBJECT BUILDING PERMIT IT NO. 18619 COMMUNITY DEVELOPMENT DIV. r PROTECTIVE INSPECTION SEC. 1 ; i ,•; CITY HALL FRIDLEY 55432 1 612-571-3450 REC PT NO. NUMBER 910-F15 REV. DATE 8/25/86 PAGE OF APPROVED BY JOB ADDRESS 7600 Lakeside Road N.E. 1 LEGAL LOT NO. BLOCK TRACTOR ADDITION SEE ATTACHED DESCR. 17 ] Blomberg Estates SHEET 2 PROPERTY OWNER MAILADDRESS ZIP PHONE Donald Dykhoff 7600 Lakeside load N.E. 784-5544 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Same 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO. 6 USE OF BUILDING Residential 7 CLASS OF WORK l� NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Construct a 121.x 2W Shed 9 CHANGE OF USE FROM TO STIPULATIONS SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD VENTILATING OR AIR CONDITIONING. THIS PERMIT BECOMES NULL AND VOID IF WORK 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 PARKING I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION 1 1STALLS 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 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT $1/200 $.60 DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PERMIT FEE SAC CHARGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. $20.50 PLAN CHECK FEE TOTALFEE $21.10 NTRA O R T DAGENT IDATEI 7 Y ZTICO WHEN PROPERLY `BLDG INSP ILA LIDATED THIS IS YOUR PERMIT DATE SIGNATURE OF 0 d OWNER BU40ERI (DATE) NEW [ ] City of Fridley Effective 4/1/86 ADDN. [ ] R-1 AND R-2 ALTER. [ ] Building Permit Application Construction Address. 76c,Y' Z-"Ike5�j 0 8 1601 Legal Description: K �lv Owner Name & Address: ® Tel. # 78 �3 7 Contractor: 5ce Tel. # Address: Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF IMPROVEMENT LIVING AREA: Length Width Q4- Height Sq. Ft. GARAGE AREA: Length Width Height Sq. Ft. DECK AREA: Length Width __ Hgt/Ground Sq. Ft. OTHER: '_f ! 2 X �•-v Corner Lot [ ] Inside Lot [ ] Type of Construction: LIAR C) Ft. Yd. Setback Side Yard Setback Estimated Cost: $ / 2 w Approx. Completion Date: -2- yekl�� Alt. A Alt B Proposed Driveway Width If New Opening Is Desired: See Back Page for Explanation A DATE. 2 / `a�APPLICANT :IziTel. 0-y Permit Fee Plan Check State Surcharge SAC Charge Park Fee Sewer Main Ch. TOTAL STIPULATIONS: CITY USE ONLY $ (�,� Fee Schedule on Reverse Side $ 25% of Building Permit Fee $ -�Q 0 $.50/$1,000 Valuation $ $475 per SAC Unit Fee Determined by Engineering Agreement Necessary [ ] Not Necessary [ ] Zoo S6 a - 0)X 1 0 «,. 0(i 10.%"b ansa BUILDING PERMIT 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 Valuation Fees $1.00 to $500.00 $10.00 (Minimum Fee is $15.00) $501.00 to $2,000.00 $10.00 for the first $500 plus $1.50 for each additional $100 or fraction thereof, to and including $2,000. $2,001.00 to $25,000.00 $32.50 for the first $2,000 plus $6.00 for each additional $1,000 or fraction thereof, to and including $25,000. $25,001.00 to $50,000.00 $170.50 for the first $25,000 plus $4.50 for each additional $1,000 or fraction thereof, to and including $50,000. $50,001.00 to $100,000.00 $283.00 for the first $50,000 plus $3.00 for each additional $1,000 or fraction thereof, to and including $100,000. $100,001.00 and up $433.00 for the first $100,000 plus $2.50 for each additional $1,000 or fraction thereof. DRIVEWAY DEPRESSION ESCROW (Concrete Curb Streets Only) Alternate "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 and 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 proposed structure and of the construction site. A Certificate of Survey of the lot, showing the location of the foundation once it has been constructed will be required before proceeding with the framing. CITY OF FRIDLEY INSPECTION DIV. Effective On January 1, 1999 6431 University Ave NE Fridley, MN 55432 APPLICATION FOR PLUMBING AND GAS FITTING PERMIT 572-3604 MARK NUMBER OF FIXTURES TO BE INSTALLED ON EACH FLOOR PLUMBING FIXTURE RATES New Fixtures Old Opening, New Fixture Beer Dispenser Blow Off Basin Catch Basin Rain Water Leader Sump/Receiving Tank Water Treating Appliance Water Heater —Electric Water Heater — Gas** Gas Range** NO. RATE TOTAL JOB ADDRESS Gas Dryer** Back Flow Preventer Required ( )Yes () No Type $ 7.00 $ 4.00 $ 5.00 $ 7.00 $ 7.00 $ 7.00 $ 7.00 $10.00 $ 7.00 $10.00 $10.00 $10.00 $15.00 Reinspection Fee $42.00/Hr ALL OTHERS AND/OR REPAIRS AND ALTERATIONS ,� 1.5% of Value of Fixture or Appliance i U State Surcharge $ .50 The undersigned hereby makes 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 Building Division, and hereby declares that all the facts and representations stated in this application are true and correct. I ` , 1999 Owner L\Jnr\(�, Building Used As _ e � Estimated Cost vo PERMIT NO. PLUMBING COMPANY ? � t SIGNED BY yC TEL N0.�?11 A Approved By / / Rough—In Date Final Date MINIMUM f -I=L FUK ANY PLUMBINWUA5 PI=Kh TOTAL FEE PLUS THE $.50 STATE SURCHARGE **COMBUSTION AIR SHALL BE PROVIDED PER UMC SECTION 504(A) AND TABLE 6—A. MINIMUM SIZE 9 SO INCHES. 32- 01 SUBJECT PER City of Fridley '0844 AT THE TOP OF THE TWINS BUILDING PERMIT r? R EIPT NO. COMMUNITY DEVELOPMENT DIV. PROTECTIVE INSPECTION SEC. r i NUMBER REV, DATE PAGE OF APPROVED BY = CITY HALL FRIDLEY 55432 j 612-571-3450 910-F15 5/28/91 JOB ADDRESS 7600 Lakeside Road NE 1 LEGALLOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 17 1 Blomberg Estates SHEET 2 PROPERTY OWNER MAIL ADDRESS 21P PHONE Donald Dykhoff 7600 Lakeside Road NE 784-5544 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Same 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO. 8 USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Construct a 20.' x 2Qr Garage Addition 9 CHANGE OF USE FROM TO STIPULATIONS See notations on plan, Provide frost footings. Treated bottom plates are required, Provide 40# live load roof system. WARNING Before digging call for all 'utility locations 454.0002 REQUIRED BY LAW TYPE OF CONST. OCCUPANCY GROUP OCCUPANCYLOAD SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, VENTILATING OR AIR CONDITIONING. ZONING SQ. FT. CU. FT. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 80 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT NO. DWLG. UNITS OFFSTREET PARKING ANY TIME AFTER WORK IS COMMENCED. 1 HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION 1 STALLS GARAGES VALUATION SURTAX AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED $80Q0 $4.00 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT PERMIT FEE SAC CHARGE DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- $99100 Tire SC $8.0.0 STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. P K FEE TOTAL F E 1.00. OR MORIZEDAGENT IDATEI WHEN LY V S YOUR P�ER�MIT r� ~ �. � I DATEERBUILDERI SiGNNaATTUOREWNER0IDATEI 01 NSW [ J Effective 1/1/91 ADDN [J R-1 AND R-2 ALTER [ J Build ing Permit Application Constn=tion Add -)&00�_-- Legal Description: 1i / 17 1. J II ,, L,t`�/ c o-1 c r2 Owner Nene & Address: DDIIJ�l o � i�e3,Je RJ Tel. # 7W -S-SW Contractor: ryv-e Tel. # Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn an it to scale. DESCRIB ON OF IIOSOVENM LIVM AM: length width Height Sq. Ft. GRrd E AREA: length Width Height Sq. Ft. 4/00 DECK AREA: length Width Hgt/Ground Sq. Ft. Corner lot [ ] Inside Lot [ ] Ft. Yd Setback Side Yard Setbacks Type of Construction: Estimated Cost: $ -- BOO Approx. Completion Date: Proposed Driveway Width If New Opening Is Desired: Ft. Width + 6' DATE: 5= 2 Z - I APPUC ANT: Permit Fee 2 $ 1 a ®C1 Fire Surcharge State Surcharge $ b SAC Charge $ Driveway Escrow $ Park Fee $ Sewer Main Charge $ $1 10 tco CITY USE �w7t See Back Page Tel. # Fee Schedule on Reverse Side .001 x Permit Valuation (1/10th �) $.50/$1,000 Valuation $650 per SAC Unit Alt. "A" or Alt. "B" Above Fee Determined by Engineering Agreement Necessary [ ] Not Necessary [ ] AaU�x S ys!;-,E w6 gaoo a,00v- q&no (o )ei 6T - T '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: $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 $15 (Mininn Fee is $15 plus mnvharge) $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 additional $1,000 or fraction thereof, to and including $25,000 $252 for first $25,000 plus $6.50 for each additional $1,000 or fraction thereof, to and including $50,000 $414.50 for first $50,000 plus $4.50 for each additional $1,000 or fraction thereof, to and including $100,000 $639.50 for first $100,000 plus $3.50 for each additional $1,000 or fraction thereof, to and including $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 and up $3539.50 for the first $1,000,000 plus $2 for each additional $1,000 or fraction thereof EMMEMY D[.PRESSICH ESCROW (Concrete candy Streets Only) Alternate "A": Removal and replacement of curb and gutter only - Driveway width plus 6 feet times $13.50. Alternate "B": Removal and replaoernent of curb arra gutter arra install a 3 foot wide approach with 6 inch depth - Driveway width plus 6 feet times $15.75. Permits for construction will be issued a minim= of 24 hairs from the time of application to allow for proper review of the proposed struc4ire 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 fuming. 4 20' O SOUTH 36' HOUSE +XII 7 y 4h/h�nL+c�� f _ 3-13" CURRENT GA AGE 1 22' 111 NORTH C? _NEW GARAGE THIS WALL TO BE REMOVED UPON COMPLETION OF 20' 7600 LAKESIDE ROAD N.E. FRIDLEY, MN 55432 Surveyor's Certificate COMSTOCK & DAVIS, INC. Consulting Engineers and Land_ Surveyors 1446 County Road J, Minneapolis, MN 33432, (612) 784-9346 SURVEY FOR: Gar -Jac Construction 481 206th Avenue NE. Cedar, Minnesota 55011 33" I S 89° Ot' 09" F "Z Z 77 I 10 Ie N I I 3 9.co' u.os I O l' 40 W N, f -T 6 p O •r 1\ X I .J n 11.1 G1�.a34 % I S 891, 01' 09" E ^- 136.88' .1 4, 3 3' 30 DESCRIPTION Lot 17, Block 1, Blomberg Estates, City of. Fridley, Anoka County, Minnesota. SCALE: 1" = 40 O Denotes 1/2" diameter iron pipe monument set and caaped No. 10832. SET leu PIAT OP BL.OI.�6E�.G M r F'o. 74115 SURVxy. I hereby certify that this survey, plan or report was prepared by me or under my direct supervision and that I am a duly Registered Land Surveyor under the laws of the State of Minnesota. inR3q : a�cT. 16, 1485 t�63o qD Reg. No. Date- Job No. Book No. CITY OF FRIDLEY INSPECTION DIVISION 6431 University Ave NE Fridley, MN 55432 572-3604 RATE SCHEDULE APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION, REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES Residential Furnace Shell and Duct Work, Burner — Also Replacement Furnace (Side Vent — Fill Out Back) Gas Piping (Needed with new furnace) Gas Range Gas Dryer *Air Conditioning — All Sizes All Others/Repairs & Alterations (UST ON BACK) I% of Value of Appliance or Work Commercial/Industrial 1.25°/ of Value of Appliance or Work Effective On January 1, 1998 JOB ADDRESS 0 I,-�K., G1 � - State Surcharge TOTAL FEE, $ .50 Burner Trade Name Size No. MINIMUM FEE FOR ANY HEATING/COOUNG/VENTILATION REFRIGERATION/AIR CONDITIONING PERMIT IS $25.00 PLUS THE $.50 STATE SURCHARGE REINSPECTION FEE $42.00/Hr *Air Conditioners can not be placed in a side yard without written permission from adjoining property owner. BTU HP EDR BLAINE HTG. AIC ElJ T., INC. 13562 CENWALAVE. N.E. HEATINMP MN 55304' Signed ~ Tel No. -75-HP2100 Approved By Rough—In Date Final Date FILL OUT BACKSIDE FOR.STAC VERIFICATION ON REPLACEMENT FURNACE The undersigned hereby makes application for a permit for the work herein Rate TOTAL specified agreeing to do all work in strict accordance with the City Codes and rulings of the Building Division, and hereby declares that all the facts and $ 30 00 $ , representations stated in this application are true and correct. .0100 1,0-13 1998 $10.00 $ ` I OWNER1� X11 n2. 5r OD l� $10.00 $ G�I?s V1 BUILDING USED AS twl $10.00 $ G ESTIMATED COST o l D D. 0 0 PERMIT N0. J 41I $ 25.00 $ DESCRIPTION OF FURNACE AND OR BURNER $ No. of Heating Units f Circle One (Steam) (Hot Water) arm r) Trade Name_F3YU 0U4tZ Size No. 355m&V DLI zDb D BTU LPO, 000 HP EDR $ Fuel Mat •&VA4 -80-5 Total Connected Load State Surcharge TOTAL FEE, $ .50 Burner Trade Name Size No. MINIMUM FEE FOR ANY HEATING/COOUNG/VENTILATION REFRIGERATION/AIR CONDITIONING PERMIT IS $25.00 PLUS THE $.50 STATE SURCHARGE REINSPECTION FEE $42.00/Hr *Air Conditioners can not be placed in a side yard without written permission from adjoining property owner. BTU HP EDR BLAINE HTG. AIC ElJ T., INC. 13562 CENWALAVE. N.E. HEATINMP MN 55304' Signed ~ Tel No. -75-HP2100 Approved By Rough—In Date Final Date FILL OUT BACKSIDE FOR.STAC VERIFICATION ON REPLACEMENT FURNACE CHBINEY AND STACK VERIFICATION The undersigned, hereby verifies that the existing chimney or stack: 1. Has been ;carefully examined Yes ( No ( ) 2. Is free frq_9 rust or deterioration Yes (} No ( ) 3. Has no foreign objects lodged within Yes (k No ( ) 4. Is securely supported Yes (�) No ( ) 5. Meets all current Code requirements for size and total BTU's connected - Yes 0 No 6 Has total heating BTU's of (2,02 D D All other BTU's go, D bo TOTAL BTU's (d o , D D O 7. Has a liner been provided for water heater Yes No ( ) 8. Has combustion air been provided for water heater Yes No ( ) Remarks: I r � 1 I � W List ALTERATIONS Being Done: HEATING CO: Signed By: Date: BLAINE HTQ. &C ELECT., INC. g��, AIR HEATING HOUSE HEATING TEST RECORD DOE Fy/Q�(j�� AND ELECTRIC.tI C. i �""" 4 ADDRESS ad — APT. _T FLOOR CITY 41V -1A SUBURB OCCUPANT I 4 Ali OWNER HEAT LOSS DATE HTG. INST. A �a lid+ _/ L SOLD BY d, - LCC. INSTALLED BY r Electrical Work By L EC Gas Una By TYPE OF HEAT GA FA HW STEAM_ SPACE HTR. _ UNIT HTR._ OTHER DESIGN CONVERSION MAKE JGAS r V pct MAKE OF BURNER Model 3 •A V O y Z O d Model Serial '35q CA O 3 ?!T ? Max. BTU Rating INPUT 9.00 - T'a 0J-7 MAKE OF FURNACE Model THERMOSTAT CONTROLS �� Haat Plug Vent Size 7 e- 1 Valve (t �v S —fir KIND OF LINER L SIZE NONE Limit '�f Pis.. _ — Draft Hood Regulator . X !�7 _' Limit Setting Filters Size x Z S Number / Fan Setting P" Chimney Location Inside TSO�.� Outside Pilot Type rir tY Chimney Construction Pilot Make Smoke Bomb Wtdng Pilot Model 7 Pilot Timing �i 6 �.� Draft Test Tag —' r L. W. Cut Off Door Pressure Lighting Inst. Pressure 7j►S =- . Percent CO, IT v Date Tested Z Input CFH Percent 0 ¢ Company Testing Stack Temp. /%O Percent CO / �/ Name of Taster C Form 235 Building BUILDING U.?�.0 FEE SCHEDULE) Permit No. -,W011 -0a5-1 Inspections $ 6 b RESIDENTIAL AP]PLICATION Plan Review Received By: 65% of Building Permit Fee Fire Surcharge $ f (, .001 times the total job valuation Surcharge 763-572-3604 .0005 x Permit Valuation Minimum $.50 CITY OF FRIDLEY _ $ K , d b Date R�iHFc(gl DATE ✓ d Y -MAIL ADDRESS $ SITE ADDRESS Curb Cut Escrow $ THIS APPLICANT IS: ❑ OWNER YCONTRACTOR $ PROPERTY OWNER/ NAME: $ TENANT Sewer Main Charge $ Agreement necessary ( ) Non Necessary ( ) ADDRESS: CITY STATE P��3 Make checks payable to: City of Fridley Attach Stinulations PHONE: CONTRACTOR NAME: SUBMIT A COPY OF STATE LICENSE # EXP DAZE — YOUR STATE LICENSE ADDRESS: CITY TATE P��O` WITH APPLICATION � PHONE �7 FAX INS PROPERTY TYPE ❑ SINGLE FAMILY/NEW CONSTRUCTION SIZE ❑ TWO FAMILY/NEW CONSTRUCTION STORIES PERMIT TYPE ❑ ADDITION ❑ GARAGEISHED WINDOWS ❑ BASEMENT FINISH ROOF DRAIN TILE ❑ DECK ❑ SIDING ❑ OTHER ❑ SWIMMING POOL TYPE OF WORK: ❑ NEW ❑ ADDITION ❑ MAINTENANCEIREPAIR ❑ REMODELING DESCRIBE WORK BEING DONE: ' SIZE OF 11V1PROVEMENT LENGTH WIDTH HEIGHT Sq. Ft. ROOFING ❑ HOUSE ONLY NUMBER OF SQUARES ❑ HOUSE & GARAGE BASEMENT REMODELING SUBMIT: GARAGES ❑ ATTACHED GARAGE 1. Existing Floor Plan PROPOSED SIZE: ❑ DETACHED GARAGE 2. Proposed floor plan PROPOSED HEIGHT: 3. List of structural members to be used SIOD a FOR NEW CONSTRUCTION INCLUDING DECKS, ❑ Vinyl ❑Soft ADDITIONS. & PORCHES SUBMIT: ❑ Aluminum ❑ Trim 1. Site Plan/Survey showing the existing structures ❑ Other ❑ Fascia and proposed project. WINDOWS/�� 2. Two sets of construction plans IN EXISTING OPENINGS Yes ❑No LOCATION OF WINDOWS /J U1/ 3• Energy Calculations OR FOR NEW OPENINGS- ESCRIBE SIZE OF vim'[ OPENING CHANGES & TYPE OF WINDOW TO BE INSTALLED NUMBER OF WINDOWS ALL FF;F:S ARE BAShi) ON VALUATION, INCLUDING THE COST OF LABOR AND MATERIALS: (USINE 1927 U.?�.0 FEE SCHEDULE) TOTAL JOB VALUATION $ .,V OCCUPANCY TYPE Permit Fee $ 6 b See Back Page for Fee Schedule Plan Review $ 65% of Building Permit Fee Fire Surcharge $ f (, .001 times the total job valuation Surcharge $ 9 Lj .0005 x Permit Valuation Minimum $.50 License Surcharge _ $ K , d b $5.00 (State Licensed Residential Contractors) SAC Charge $ $1550 per SAC Unit (Plans to MWCC for determination) Curb Cut Escrow $ ft + 6 ft = ft x $21 = $ Erosion Control $ $450 Conservation Plan Review Park Fee $ Fee Determined by Engineering Sewer Main Charge $ Agreement necessary ( ) Non Necessary ( ) Total Due $ Make checks payable to: City of Fridley Attach Stinulations 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 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 work whichn reg ' es r view an approval of plans SIGNATURE OF APPLICANTSel _ _ IPRINT NAME v b - � - t� (� I � � v5,T I U 'r -015--o 07 Building $ BUILDING Permit No.:� Inspections $ RESIDENTIAL APPLICATION Received By: 763-572-3604 $ CITY OF FRIDLEY lim9cIdIAN ®"06 DATE '- ' d YOUR E-MAIL ADDRESS $ SITE ADDRESS 7600 Lakeside Rd ne .0005 x Permit Valuation Minimum $.50 License Surcharge $_ rj THIS APPLICANT IS: O OWNER OCONTRACTOR $ PROPERTY OWNER/ NAME: Lynne Orrgor Curb Cut Escrow ADDRESS: CITY STATE_ZIP TENANT Erosion Control PHONE: CONTRACTOR NAME. Cedar Valley Exteriors $ STATE LICENSE A 20177285 EXP DATE 3/31/2008 Fee Determined by Engineering SUBMIT A COPY OF YOUR STATE LICENSE ADDRESS: 1700 93rd Lane ne CITY 131.1.. STATE mn,Ep155449 WITH APPLICATTON PHONE 7637552221 FAX 7637555390 $ PROPERTY TYPE O SINGLE FAMILY/NEW CONSTRUCTION SIZE ❑ TWO FAMILY/NEW CONSTRUCTION STORIES PERMIT TYPE ❑ ADDITION ❑ GARAGEISHED ❑ WINDOWS n BASEMENT FINISH 1090OF ❑ DRAIN TILE O DECK ESIDING ❑ OTHER ❑ SWIMMING POOL TYPE OF WORK: ❑ NEW ❑ ADDITION ❑ MAINTENANCE/REPAIR ❑ REMODELING DESCRIBE WORK BEING DONE: siding and re -roof SIZE OF IMPROVEMENT LENGTH WIDTH HEIGHT Sq. Ft. ROOFING O HOUSE ONLY NUMBER OF SQUARES ❑ HOUSE & GARAGE BASEMENT REMODELING SUBMIT: _ 1. Existing Floor Plan GARAGES ❑ ATTACHED GARAGE 2. floor plan PROPOSED SIZE: ❑ DETACHED GARAGE 3. Lst of structural members to be used List PROPOSED HEIGHT: SIDING FOR NEW CONSTRUCTION INCLUDING DECKS, ❑ Vinyl ❑Soffit ADDMNS. & PORCHES SUBMIT: ❑ Aluminum ❑ Trim 1. Site Plan/Survey showing the existing structures O Other ❑ Fascia and proposed project. 2. Two sets ofconstruction plaits WINDOWS 3. Energy Calculations IN EXISTING OPENINGS OYes QNo LOCATION OF WINDOWS OR FOR NEW OPENINGS -DESCRIBE SIZE OF OPENING CHANGES & TYPE OF WINDOW TO BE INSTALLED NUMBER OF WINDOWS ALL FEES ARE BASED ON VALUATION, INCLUDING THE COST OF LABOR AND MATERIALS: (USING THE 1997 U.B.0 FEE SCHEDULE) TOTAL JOB VALUATION Permit Fee $ 2 3-7. See Back Page for Fee Schedule .Plan Review $ 65% of Building Permit Fee Fire Surcharge $ L?a. ( o 001 times the total job valuation Surcharge $ /,c 40 .0005 x Permit Valuation Minimum $.50 License Surcharge $_ rj $5.00 (State Licensed Residential Contractors) SAC Charge $ ,j $1550 per SAC Unit (Plans to MWCC for determination) Curb Cut Escrow $ ft + 6 ft = R x $21= $ Erosion Control $ $450 Conservation Plan Review Park Fee $ Fee Determined by Engineering Sewer Main Charge $ Agreement necessary ( ) Non Necessary ( } Total Due $ f, D. C0 Make checks payable to: City of Fridley Attach Stipulations 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 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 work ti es and approval of plans. SIGNATURE OF APPLICANT PRINT NAME Emily Bernard DATE 9 1 ��