AF - 35299sue�ecr PER .
City of Fridley 13851
AT THE TOP OF THE TWINS g U I L D I N G P E R M I T
; � RECEIPT NO.
� �` ___�_ COMMUNITY DEVELOPMENT DIV.
� L � PROTECTIVE INSPECTION SEC.
r � , �0 7 3
� _ .
� /���1 � CITY HALL FRIDLEY 55432 NUMBER REV. DATE PAGE OF APPROVED 8Y
�----� � �`� s�2-56o-sa5o 910-F15 � �
11 4 76
JOB ADDRESS 6250 Ben More Drive N. E.
1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED
DESCR. ( 1 Heather H11.�.5 SHEET
2 PROPERTYOWNER MAILADDRESS ZIP PHONE
Brickner Builders, Inc. 6254 Ben More Drive N.E. ,�%`%- 9�%j
3 CONTRACTOR MAIL ADDRESS 21P PHONE LICENSE NO.
5ame
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 ❑ ALTERATIOIV ❑ REPAIR ❑ MOVE ❑ REMOVE
X
8 DESCRIBE WORK ••�.���i���A RpT
Construct a 40' x 28' Dwellin and a 21' x 26' Gaxa e �����
�EPER�T� PERMITS RE UiREO `
DIVISlON REGA DtlVG URB
9 CHANGE OF USE FROMHE�TIN+G, PLUl1�81NG AW� S��Sm REPLACE ENT
AT DRIVEWAI/ �PE S.
STIPULATIONS provide truss design. Provide a hard surfac�d driveway. Provicie sod
in the front and side yards. Provide a verifying survey befare capping.
SEWER LOCATION �Approx. 10' Deep): 7' N.E. of Manhole (Inv. 920.003 1Q6' N.E. of
Hydrant
G�iYE ELEV: 919.97
TOP QF FOOTING: 922.97 Minimum
WATER LOCATION: 94.5' N.E. of Hydrant, 12' S.W. of Sewer Service
TFtE CITY Ot fRtD«1! QO�S NOi GUARANT�E THE ��� ���
a�cv�►t� oP tmt�tt tOC�►�oNS �rro �r�1'�r+9� Before digging call tflca! utilities
. t�us oA't� ts Fo� p��o�ut�oN �u�s v�Y At+� tEl.f PN4t�E -�I.ECTRIC - 6AS Etc.
rf�tSONS us�G � R SNOVLD vER1F1r 'tH@ Mt4RMl►1tON
oN r�,e srr�. REQU6i��D 6Y O.AW
TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD
SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING,
VENTILATING OR AIR CONDITIONING. WOOCI Fl^affi2
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTAUCTION ZpNING SQ. FT. CU. FT.
AUTHORIZED IS NOT COMMENCED WITHIN 80 DAYS, OR IF CONSTRUCTION
OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT R-1 980+54b 31, 272 Total
ANY TIME AFTER WORK IS COMMENCED. NO. �WLG. UNITS OFFSTREET PARKING
I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION ]. 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.
WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT $47,960 $23.98
DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OH CANCEL THE pERMIT FEE SAC CHARGE
PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON-
STRUCTIO E PERFORMANC CONSTRUCTION. � $`I.ZS.O9 $350.00
v PLAN CHECKFEE TOTALFEE
,� t��y �°�J '�-P `� iT� �� � � � � $31. 27 $530. 34
ATUREOFCONTRACTORORAU HORIZEDAGENT IDATE) WHEN P OPERLY VALIDATED THIS IS YOUR PERMIT �� �
Q1l.e' �i � � �.� � � � � 7 � ��Ji:�"
SIGNATUREOFOWNERUFOWNERBUILOERI IDATEI BLOG INSP DATE h�
�u�v�yo� s C��t��ic�te
COM3TOCK �c DAVIS, INC. Consultang Engi�ieers and Land Surveyors
1446 County Road J, MpIs.,lVYinn. 55432, 784-9346
SURVEY OF:
Lot 6, Blk 1,
Heather Hills
Fridley, Minnesota
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SURVEY FOR:
Tom Brickner
6245 Ben More Drive
Fridley, Minnesota
55432
UollI�RHIHG
8efore digging caN IaceO u#Aities
TELEPHONE - ELECTRIC - GA5 Et�:
REC�2l�fRE� 6Y LAVI�
� e� y,o��d --IMPOR7ANT-�
(� fij�e�e�� WpT1FY TH� FRIDLEY ENGR.
� E� / p}y{S{ptU REGARDtNG CURB �
RE�AOW41. �NU REPtACEN�ENT.
� R i��� A'�' p��IAY OPENIIVGS.
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DESCRIPTION:
Lot 6, Block 1, Heathar Hills, Anoka County, Minnesota.
Subject to easements of record
SCALE: / ' = SO �
• ,OBr�o �es
0 oe�e ��s
ii-o,o �o�ame�f �'our�d
lro� �o���B�r � .�'��
I hereby certify that this survey, plan or repoit was prepared by me or under my direct
supervision and that I am a duly Registered Land Surveyor under the laws of the State
pf Minnesota.
�� ypg� 10/29/76 3718
Reg. No. Date Job No.
,
,
1
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Surveyors C�ertifac�te
COM5TOCK & DAVIS, INC. Consulting Engineers and Land 5urveyors
1446 County Road J, Mpls., Minn. 55432, 7849346
BUILUING LOCATION: � SURVEY FOR:
Lot 6, Block l, ,� � Tom Brickner
Heather Hills 6245 Ben More Drive
Fridley, Minnesota y ''�� Fridley, Minnesota
55432
�YD.00 � �,`,�
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DESCRIPTI.ON : "
Lot 6, Block 1, Heather Hills, Anoka County, Mi�ne.sota.
Subject to easements of record.
�
SCALE: / �=.�0 �
O �e�o�es iro� inv�ume���au��
O .L�eao{cs %�-o� �oa��e�rr.ser�
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. _
��, %'� 1OS32 /,Z g /�j' (� 3718
Reg. Na - �Ja��` Job No.
CITY UF FRIDLEY
APPLICA7ION FOR�f.ESIDENTI/1L BUILDING PE�+IITS
�NEW, ALTERATIONS, ADDITIONS, 0 R REPAI RS)
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awN�c� � s N� : B1lILDER : � �
ADDItESS : ADDR�SS : � �S �'}'t �� �!�, ��I >
., TEL. NO. s �%�' ����!
No • . � � S?J s���x :��'�I�2 ��t -
. �
LOT: b BLOCK: / ADDITION.- ,� � /
CORNER LOT: INSIDE LOT: SETBACK: SIDEXARD:
Applicant attach to this form Two Cextificates of Survey of Lot and proposed
building location drawn on these Certificates. +
Ii�SCRIPTIOiV OF BUILDI�IG
Ta Used .As : . � �
Front: �� Depth: �� Height: vZ .Z.
Squaxe Feet; � Cubic Feet: �� �� �'
Fxont: Z� Depth: ��+ Height: � Z
Square Fee� ; '��� Cubic Feet : �j �"'� �J� �*
Type of Construction: EstimaCed Cost: ����-- �
.�To Be Completed: �d
The undersigned hereby ma.kes applicativn for a pexmit for the work herein
specified, agreeing to do all work in st'rict accordance �oith the Cit}r of
Fxidley Ordinances and rulings of the Department of Buildings, and hereby
declares that all the facts and represenCations stated in this application
axe true and correct.
�
DATE: �� � Z° , � • � SIGNATURE• ,�
(See Revexse
Side For Additional InformaCion.) �- —
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��UILDING P�P.MIT FEE SCH�llULE
SECTION 2. The Tnspeetor of Buildings �shall, before issuing permits for the
erection of any building or structure, or for any addition to any existing '
�uilding or structure, or for any alteration or repai�s to any existing
building or structure, upan application therefore, require the payment by the �
applicant for such permit of fees to the amount herein below set forth and in
the ana.nner herein provi�ed to-wit;
%1EW CONSTRUC�SON: S9`xxg],a Family Homes and Garages: $�}.00/1000 cubic feet
PLAN CHECK: 25 percent of building permit fee.
ADDITIONAL INFORMATION
�or the purpose of computing fees for building permits, the cubical contents
of any building or addition, is determined by multiplying the ground area
covexed from a point six (6) inches Uelow the floor line of the basement
ox the cellar to the average heights of the upper surface ox �o the average.f
�height of the xoof surface of the main gable of a pitched roof.
Fox repaixs or alterations to an existing structure, ihe fee shall be at the
rate af fi3.OQ per each five hundred dollars (S500.00) ar fraction thereof in
the cost of all proposed work.
Tn no case sha11 the fee charged for any permit as set forth in Section 2 be
less than $7.50.
VERIFICATION OF FOUNDATION
NOTE: Permits for eonstruetion will be issued a minimum of 24 ho�rs fr�m the
time of application, to allow for propex review of the proposed structure and
of the construction site.
A Certified Suxvey of the lot, showing the locaCion of the foundation9 once it
has been constructed, wi11 be required befare proceeding with the framing.
CERTIFICATE OF OCCUPANCY
Application fox a Gertificate of Occupancy shall be ma.de ten (10) days prior
to the use or occupancy of any structure for which a building permit has been
issued; and said struc�uxe shall not be used or occupied until a Certificate
of Occupancy has been issued.
�
.
�
OT�NEA: �
�
SITE ADDRES�:
CONTRACTORa i
� Page l of 4
EXTERIOR ENVELOPE ��'ERAGE "U" COMPUTATION '
� , . DATE / � � � , �
� � � � ��� _ ��� ' PH� : � � �0 � �� �
0
Detexmine working square footage of each
l. Total exposed wall area...... �`��� sq. ft. x .17
�� S�
- _ , b. �
L�
2. Toal roof/ceiling area ...... ���� sq. ft. x .05 /
Total exposed wall area above floor =
a. Total wall window area....vo ................ ........ ��•1-�
...
b. Tot�al door area .....................................•.. � — �.
c. Total s].iding glass door area ......................... .
d. Tota.l fireplace wall area ............................. r�,�
e. Total wall�.framing axea (average i4�s).. ...e.......... /,�.�9
f. Total rim joist area ........................ ........ �
g. wall-area above floor........... ............. 11 7• ��
h. wal.l area above floor ...................._ ....
i. wall area above floor.......... ...............
j. wall area al�ve flao�...... ...... .............
Total �posed fou�dation axea = S.
k. Total foundation window area ................o.......... ►e� ��
1. Total net faundation area above grade ................. ��,
e
Determine "U" value of each wall. segment
(e.g. window, door, eaah separate wall section)
a. ► / �- �.� X nUn - �'� � 9 �.3 �
b �'A ° �� X nUn * � � � � � . � �
.
C. ,�. �'� .X nUa , � � _ �3�g�
ai• - �� X ItTTII ,� p,s� A e
V 1
� • F � �. �9 � V UT�11 � : 11 � � � J9 a ,d"' �
n u
f- ��� X nUn � i4,� _ I y.�'�
g. � 7 �� - � � X �tUn . � � _ � ��. �
h. X nUn
3. g nUn
e- ���,
/
;, /
.
� j. X"U" — If item #3 is the same as,
I� or less than item #1, you
�: have met the intent,of
� . k. X"U" ° SBC 6006 (c) 2.
' • 1. � � X "U" � L! 7 - � '
�, ,
i.
................ Total � �
i'� 3 . ............. •
�
�
, Exterior Em�elope Average "U" Computation
m
Total exposed roof/ceiling area = � ���
Page 2 of 4
m. Total skylight area ...........................e
n. Total roof/ceiling framing area (average 10$)...
o. Total net insulated roof/ceiling area........... _
Determi.ne "U" value for each roof/ceiling segment .
m. X "U" _ _ '
X °U° °
n. —
e °' �� °�
O. �,`',p �} � j( nOn � =
. . — �� •�
4 ........................... Total -
If total of #4 is the same as, or less than #2, you have met the intent of
SBC 6006 (c) 1.
Alternate Building Envelope Design
To utilize the total envelope syst� method, the values established by the sum o�
items #3 and #4 shall noi be greater than tlze sum of items #1 and #2. .
0
1. + a. _
30 + 4. _
, WALL SECTIONS
NpT�: Use 10� of opaque wall area for
frame construction
FRAt3E jtAT T•
-�.
' . Page 3 of 4
G:onstruction R-V�lue
1. Interior air film 0.68
2. °��" S 9��.e.�° ��� � Q a�i �
� 3. .� �'w° �5 � �� � � �� � �°
� , '��,, `' N A I � � R� �-°� B � e ��
5. ��i� � {�.�d�N@��s `�e��
6. Exter�r air film 0.17
Ta��,� .,�� � . c 3
i. Interior air film 0.68
0
2. �°� � 56l��-c' �.���' �' � y
3, 3'�" � 5�+�, . I 6
4. �lv„ ��rL6���-� ).��
5e ��L�� /�����I� 8 �`�.. si° � �
6. Exterior air film . 0.17
To�� �._..� ye e� �n , ��
1, Interior air f ilm 0.68
2 . '3 �/,� ° � � S u �: 6 �
3. � � �' �`�� � �+ ��
4. ���- �` '����-��°�°`° 1�- ��
5. �o�,, ��s����� a-t�
6. Exterior air f ilm 0.17
Total �� �� �S � . �,�
1. Interior air film 0.68
. 2•
3. � � � ��� �_�
4.
5.
6. Exterior air film 0.17
" Total � , � �Q 1 � ��
� , . • � .' ► a . r- . . �,
.
r �• � , , ; a � ��. , ,
,, � ,`� •
� �^ y . r ,� ' ..��-�' ^' ( � S( • � • • �' 1
� � � . .; �: < < i r � � � = � ` �� :=. • ., . . _ . -�, . .
— �i r�
� �-. �� ; � � . . . • .
. � � /�� �<< � , , , _
,, � � r 1 —
' • ^ 6 . —
_ . .
u��• � �lr , ((( . = . . . , � .� �� 1
�' ° 1(/ • .
FIG. #4 � ' � � � ` ��� .
..�G. #3 • /!( t� ' •. �
,
a � ' ` r- ', _ . ^ � - . � // f ;�
r ��
_ - o � � rc� X : � rj�
, , �, . _ � � t�„ • . . �� ( .� I � r :., �, � _ •
� � • ° � . ' � � NOTr;s Indicate type, "Tt" 'value, depth and
�' - � '� ' ' �' placement of insulation. '
•"
b
0
RL)OF/CEILZP7G
. • •
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-f��' .
��` t' � f; :
�' - � �? -� � �
''� ^ I ��(/�,T,
�` �� � � t
/�� �Y�� � .- ! �
�� �,� , . .��f �,� 1I�. �.,�....,
Vented
• ���� � ���'� . .
`�i
fleat f low
�p . . .
FIG. �5 �
� Heat flo�� up � . .�venLed.
. . , . . ' _ • `
•- _ _FIG. #6 .. ... . , .
. 3 � �. � .1�
� f
,,1 n1 ,a. �,��. �� '�u.�j}�
•. _ � .S+liR.KU��.. ., . C,:�.: ::' �_l�'�+/. h�
� . Page 4 of 4
Construction R-Value
1. Interior air �ilm 0.61
a. ' � a.��'
3 . �' �°
4. Exterior air film (still) � 0.61 �
Total �,C,� � `�`'�
� � I
�
0
1. Interior air film 0.61
2.
3.
4. Exterior air film (still) 0.61
To�a,l
�—�
1. Insi.de air film 0.61
2.
3.
4. '
5. Outside air film 0.17
Total
Note: Use additional sheets if more space is
needed for details and calculations
��=r . . . •' � . •
• � N01-Qi�1@TED - .. ' .
.. , ' •� ,� . e
� • . ' �Hent � � , � , �,
° , ; • . ' f low up - .. ' ' . • �
. .; . . . .. • • �
Fxr. �7 ' . , . .
� �
�
� 9} � � �- � ' s'� � �
, �-�°�` �
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F.X � i:iI C►;� �:�ZOFF, AVERACE INF'OAL!ATI ON
a � L� �
� - ��91� �j �S� � � 3
. ,..,. � - ��, �
C,...�:t
:_��:., rt�.���ss � LJ°� ��N %YI��G ��.
��� :. P�CTOR �i '
� � - '� � �� .S � �/�/� � DA�'E t '�� � ��� .�7 � �
�etezr.iine marking s uare foot �� ��
4 ���. at each
� � � .
�'. iOt� exposed wall area ..............s., / '� "
sq . i°t. � 7C .17 ���'
- � 20�$Z roof ceiling area.........�������� 1: {�•Q! 05 ��9
�.�"l � ft. - �c , ��
Total ex,�,,osed �all area aLove fl.00r
! � ��
�=e TO't��. 4P311 �indow area.........,..soae��sso�e�ees���^ ��
b. iotal dcor ar.ea ....:.......................:::.....:.�.���`"_....
c. latal ,.Iass sliding doar area.........�.........;�.:,,,,. b
.,, �'�• �—�---
�• t0�8�. :�2rP_�:�AGC tJ8�1 area...���������������r�'�i���s.�.
@. ^atal wail 2'ramin 8r88 (ave. .�.-, �� � "
� �{Q; '� •�������.�����.���'r��, �.�.
f. '_'otal �et wall area above fZoor ..................;..,
� ��• t0�11 ricc joist area ...................,�...,°...�.::;``-z
ti: io��.al k:tee W3Z1 wiih brick area..„',,..,,...::....:.,"- �
p r-
i. iotal canLilever area ................�..;:.....�.....',`.'
v• �otal partition �rall.area ....................:....,;:�6.
� • � T�tal �xposed Foundatior� area
�. �ota2 fou.-�dation window area
:.. Tofi.al net founda�ioa area abave grade.-�..�
.�etermine "U" Value of each Wallx�se��n� a
. _S -
" 9•
`�_. X ��U„ + . S S'
�
?;� (! . � � �.u., - :<, � _.
� c• �{ yJ�� ���' _ 3 �.g�,
. ti
. v n �. _
�, .
C . � , '�f' �( «Un �
. �� ��_.�
1� `� X PtUtP — I
� s� Y ���i
� � x ��t,��� �
`, --' • t4 • � '� -
, ii. }( oIIn ,
� _. , X «L�� ' : _
; -
�, � j n Un
1 •- x r'�'tt _ .!� . .
. .. . ........................T�tal....: _ I a � : �� :�
���'S .( c)2 � the s��A as, or less than �7 , You ha,ve` me� tY:e intFnt or
; �
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% � .
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er
� �c,�, �-�— ° • 6 �
L . ��L s��,,� � � ° y�°
� � � e �, �,�—
� �� l� �y .
��
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SUBJECT
City of Fridley 1T5 4 5 4
AT THE TOP OF THE TWINS � U I L D I N G P E R M I T
r - —
� �
� � COMMUNITY DEVELOPMENT DIV. EIPT NO.
r j L ' PROTECTIVE INSPECTION SEC.
' s � ��0��
l-__-� �����,,� CITY HALL FRIDLE� 55432 NUMBER REV. OATE PAGE OF APPROVED BY
i� bl 2-571-3450
910-F15 9 14/79 � �
JOB ADDRESS 6250 Ben More Drive N.E.
1 LEGAL LOT NO. �LOCK TRACT OR ADDITION SEE ATTACHED
DESCR. ( 1 Heath�r �1�.�.S SHEET
2 PROPERTYOWNER MAILADDRESS 21P PHONE
Adib Si.ssi 6250 Ben More Drive N.E.
3 CONTRACTOR MAILADDRESS ZIP PHONE LICENSENO.
Brickner Bui.lders.Inc. 6249 Ben More Drive 574-9871
4 ARCHITECTORDESIGNER MAILADDRESS ZIP PHONE LICENSENO.
5 ENGINEER MAILADDRESS 21P PHONE LICENSENO.
8 USE OF BUILDING
RE31C�P.I7'tl.d.�.
7 CLASS OF WORK
� NEW ❑ ADDITION q� ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE
B OESCRIBE WORK
Additi.on to 2nd story over garage and remodel after fire damage
9 CHANGE QF USE FROM TO
STIPULATIONS
SEPERATE PEAMITS R�Qt��RED FOR V�/�Rt�t��
HEATlNG� P�,UM81fVG ANO SIG�S,
SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD
VENTILATING OR AIR CONDITIONING. �OOCZ FY3IILe
THIS PEFMIT BECOMES NULL ANO VOID IF WORK OR CONSTRUCTION ZONING SO. 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 �- 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 COMPUED y�s(O'CiOQ $30.00
WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT
DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE pERMITFEE SACCHARGE
PROVISIONS OF' Y OTHER STATE OR LOCAL LAW REGULATING CON- �� $360.QO
STRUCTIO PERFORMANC F CONS RUCTION.
`/ PLAN CHECKFEE TOTALFEE
/�, ,�-- � ` � �' % $ 390. 00
IGNATUREOFCON7RACTORO TNOFIZEDAGENT �DnTEt WHEN PROPERLY VA IDATED THIS IS YOUR PERMIT
oa ;� �I
SiGNATURE OF OWNER UF OWNER BUILDERI IDAT�'W _ _ - BLOG INSP �, pATE `
�
CITY OF FRIOLEY . '
APPLICATIQN FOR RESIDENTTAL QUILDIPJG PERMITS
(tJew, Alterations, Additions, or Repairs)
� OWPJER: �� ".��� ,;'= � �' � � �
ADDRESS: �= `-- °°" � �" /r� `�''�,�,��° ,� "�"
TEL �10:
�
BUILDER: �;�,� �d �6��- /, �" F ,�, �' �',�"��: ` �C'f �- .
b
�.
ADDRESS: � � `� ,� f�.�t � ���',_`� � � ,�� - .
TEL N0: �� �gd� � ° � `•�- �'� - .
.._.�_�___.
�. ' Construction Location
. _
, 3TRF�T NO : �^. _ ^ �� � STRE�T: _ j%, �' /.,� � ^ �� a � - �- � ,. � ` �'" �
- ---------- .-..
�.,L,% s
LOT: � BLOCK: � ADDITION: �L:12 � � a � � �� -
�
Corner Lot: � Inside Lot: SefbacY,: � Sa.d�yasds; �
Applicant attach to thi.s form two Certi,fiaates of Suxvey of lot and
_ proposed bui].ding location drawn on certi�icates to scale. . .
pESCRIPTIOtd OF CONSTRUCTION , �:�,?�:�.,�.>.�-? � .�
�-X j� L o�`x J3': � .S X�' � '
�.��cQ,f9 • �j ��� Front: Deptli: Height:
.� �� �'-� ��'e. Feet ' �` `"`f �'.� ��aibic Feet: � � •
�� � Front: � Depth: � Neight: �
��
e
. r, �,,� a
� Square• Feet: � � Cubic Feet: � � ,� � i1� � �, __ '���Pi?- - �^-+�s�':,
Type of Construction : �° �%'' ' r '��
�
Zb Be Oompleted: � � � / � � �
' ' _ , �.. „ �,� �3
� � . �' - � _ �
Estimated Cost: $ �
. _ Alt. A AZt. B
:�
Proposed Driveway Width If New O,pening Is Desired: -$' $
' . SEE REVERSE SIDE OF SHEE'i
Rize undersigned hereby makes application for a permit for the wvrk�herein specified,
agreeing to do all wark in strict accordance with the Ci�y of Fridley Ordinances and
r�ilings of the Department of. Buildings, and hereby declares that all the facts and
representations stated in this application are_farue and correct.
DATE: _ <� � ,,� � � � �. SiGNATURE: _ �'���y---� �,� �,�-'�. ,_- _ ,i .�- ._� - — -
Stipulations:
�1�UM ��' ��L �J
�UM
� r�+� R��9,�.
T�
I fi�0. Oe�
. I � O.oU
�. o
.3%� �a • a,
. }
T--- ,�,
-�
. � . �
9
�'
. uui �ur�vu t'CKI'il l r�� 5�t1�iJt1L�." .
S�CT�ON 2. The xnspecr.or oL• 13ui1dingJ Jhal.l, be�'ore i. ,suing penniL-s iox t.he ereetion
ai any building or sLructiure, or tor any addition L-o any er,i,ting buildiny oz stz�ucture�
, cix' for any a1�.1:CriA1:lOJ} or repai.x's to •any er.a..ting buildi.ng or structure,. upan applicatian
�L'herefore. requ��e the payment by tiie aPPlicant for. sucli permxL- of tee� to, the amount
hcrcin be�.ow seL �orL•h ancl in tlze manner herein Provided �o-��i.L-: " �
, , - , . . :
1Jl:W CON5TRUCTTON: Sing].e F�ni].y IIomes and Garages: $�.00/1,00a cubiC Leet.
PI.AN CIiL•'CY.: 25 percent of bui.lding permi.t iee. _
DRIVE[7AX D�PIt�:SS�021: (Concrete, Curb Streets Only) � �
- AlternaL-e A: Rcmova]. and replac�ment af cancrete curb and
qu�ter onl.y; Driveway width plus 6 feet x Y1�,75
,- . Alternate 8: Remova]. and replacement of cancrete curb and
' .' gutter and install a 3 foot wide approach wi�h �'
' � ,. 6 a.nch depth; Drivea�ay width �plus 6 feet x$17.85 �
.• -: . ADDI TIONAL I[1FO.�AT I ON
For the purpose of computing £ees for building permits, the cubical contents o£ any
' building ar additi.on, is determined by multiplying the ground area covered from a
poa.nt six (6) inches below the floor line af the basement or th�•cellar to flze
averag� heights of the upper surface or to the average height o� fhe raof suriace
of the raain gable of a pi.tched roof. �
�Fox �epairs ar alterations to an existing structure, the fee shall be at the rate .
. oi $3.00 per each £ive hundred dollars-($500.00) or fraction thereaf a.n the cost
oi all proposed work. , . _ , - '
Tn •no case shal.l the f_ee charged for any pexmit as set forth i.n 5ection 2 be less -
than $7.50 plus $.50 sta.te surcharge. . � ' �
- • .. .: VERT F I CATIO�! OF FOUNDATI Oi1 .
" NOTE: Permi.ts ior construction �vill be issued a mini.m�n of 24 houxs from the t3me
oi application to aJ.low for proper review of the proposed stxucture and of the .
canstruction site.
A Ce�tificat� of Survey of the lot, showing the locati.on of the foundation once i�
has been constructed will be required before proceedi.ng with the £raming.
� � . ERTIFIC'.�,TE OF� OCGUPANCY � - � . .
' App�.ication for a Certificate oi Oceupancy shall be made ten �IO) days prior to the
use or occuPancy of any structure for which a building permit has been issued; and
s�id structure shall not be used or occupied until a Certita.cate o� Occupancy has
been xssued.�
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sue�ecT PERMI
City of Fridley f 9 19 8 6 6
AT THE TOP OF THE TWINS g U I L D I N G P E R M I T
r
' � RECEIPT NO.
COMMUNITY DEVELOPMENT DIV.
� ; ,: -- ���9 �
r � � PROTECTIVE INSPECTION SEC.
1 i ,
' �"'1 � CITY HALL FRIDLEV 55432 NUMBER REV. OATE PAGE OF APPROVEO BY
�'�"��� � ��� 612-571-3450
910-F15 5/1/89 � �
JOB ADDRESS 6250 Ben Moxe Drive N. E.
1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED
DESCR. Fj 1 Heather Hills SHEET
2 PROPERTYOWNER MAILADDRESS ZIP PHONE
Adib Sissi 6250 Ben More Dx'ive N,E. 574-0591
3 CONTRACTOR MAIL ADDRESS ZIP PHONE UCENSE NO
Pacific Pools 6922 - 55th Street, Oakda.le, MN 55038 770-1317
4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO.
5 ENGINEER MAILADDRESS ZIP PHONE LICENSENO.
8 USE OF BUILDING
Residential
7 CLASS OF WOAK
�l NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE � REMOVE
B OESCRIBE WORK
Construct a Z0 � x 40 ` Il�.-ground Swi,mm�ng �ool (800 Sq. Ft. )
9 CHANGE OF USE FROM TO
STI PU LATION S
See stipulati.ons on letter dated 5/1/89.
SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD
VENTILATING OFi AIR CONDITIONING.
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING SO. 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 CERTIFV THAT I HAVE READ AND EXAMINED THIS APPLICATION 1' STALLS GAFiAGES
AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS VAIUATION SURTAX
AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED $]_O�OOO $'rJ.00
WITH WHETHER SPECIFIED HEREIN OR 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 OFi LOCAL LAW REGULATING CON- �]_]_'�.00
STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. �
P AN CHECK FEE TOTAL FEE
$I22. 0�
SIGNATUFE OF CON'RACTOR OR AUTHORIZEO AGENT �DA7E� , ° � HEN PROPERLY V DATED THIS IS YOUR PERMIT
� � �
SiGNATURE OF OWNER UF OWNER BUILDERi IDATEi BLDG iNSP dQTE �
� []
� [ ]
AL��t � )
l�l AND R-2
Building Permit Application
Construction Addr+es.s: C7 ,�--� � ���j,����
Effective 5/1/88
Zegal Description:
Owner Name & Ac�dres.s : � /�l ,� � ( ,� S l � . # J�� fr�- Q �i
�
oontractor: �C/��C ��'� �-S Te1. # �?C� � �� �
�: ���- S�s��` �'/-- �i� ���� ��� .S�.s`� � �
Attach to this applic�tion, a Caextificate of Survey of the
lot, with the p�OSed oo�nstructi� drawn on it to scale.
�:s_•�+; � � M •�, •)`
LIV.�1G AREA: Isngth Width Height Sq. Ft.
C�►it�GE AR�: L�zgth Width i�eight Sq. Ft.
DDCtc AREA: Length width Hgt/Groiu�d Sq. Ft.
o�: ��Y� -�` %� � �'d u.�lz� �r.�r���z �,�i� �� G s� ��-
Corner Iat [] Inside Iot ] Ft. Yd S@tback Side Yard Setbacks % C� l' 0�.3 �
'Ij�pe of O�nstruction: : D� to�� f/'�ii� G Fstimated Cost: $ � C%�
Approx. Ccanpletion Da : �j `' � �
Proposed Driveway Width If New Openi,r�g Is De.sirad: Ft. $ $
Width + 6' See BacJc Page
OATE: APPLICAI�TI': Te1. �
P�rmit Fee $ `�
State Surchatge $ ,�
SAC Charge $
Drive�nray Escrdw $
Park Fee $
Sewex Main Ct�arge $ �
�-
• v
sr�rr�c�s : �� �
•� 1•
1. 'i
�,,
CL't'Y L�E Cfl�II,Y
Fee Schedule aaz Reverse Side
$.5o/Sl,000 valuat3on
$575 per SAC Unit -
Alt. nA° or Alt. nB° AboVe
Fee Determin�ad bY �1��!
Agr�oent Neoo�sssaty [ ] Not N�sazy [ ]
� - �-.
f Dr���
�o�' �I�'�
� �
� �� �
� ���
,� .
:�� . � . • .a•. � ° �+= =�«:��,. �
Zhe Qzief Buildir�q Official shall, before issuit�q �r+++;ts for the er�tion of any
builciing or structure, or for a� ac�ition to ariy e�dstin4 buildin9 or structure, or
for any altexation or repair to ariy existing 1xii1din4 or structux''e� upan application
thPxefore. require the PaYm�t bY the applicant for � permit of fee�s to the amoiuit
herein below set forth and in tl�ee manner i�erein prwided ta-wit:
'!�0►rAL VAIIJE
$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
� a.
$15 (NLini.zmrm Fee is $15 Plus surrh��')
$15 for first $500 plus $2 for eac� additional $100 or
fractiaa'i theteof, to ar�ci i�ltxling $2, 000
$45 for first $2,000 plus $9 for each ac�itional $1,000
or fraction thereof, to and including $25,000
$252 for fixst $25,000 plus $6.50 for each additional $1,000
or fraction thereof, to ar�d ir�cluding $50, 000
$414.50 for first $50,000 plus $4.50 for each additional
$1,Q00 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 incl�ir� $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 .
�tIVF�iY D�PR�SSI�T E�OW
(Concret�e G1irb Str�eets On1Y)
Alternate ��p,'� : R,e�aval and repla�nent of c��rb and gutter only - Driveway width plus
6 feet times $13.50.
Alternate "B" : R�noval arid replaoement of curb ancl gutter and install a 3 foot wide
approach with 6 irxi� depth - Driveway width plus 6 feet times $15.75.
��:�; ■:� v; M •;, • - :���q,i�ZM��}��
P�mits for' CX�truGtio�1 will be ]�ed a m�*»�n++ of 24 hou�s f�t the time of
ap�lication to allaw for praper review of the prop�sed structure arxi of the
voa�strvction site.
A Certificate of Survey of ti�e lot, st�owirig the locatioal of the f�r�dation orioe it has
it has been wnstntct�ed will be required before prooeeding with the framing.
�
0
��
m-
�
CITYOF
FRtDLEY
CIVIC CENTER • 6431 UNIVERSITY AVE. N.E.. FRIDLEY, MINNESOTA 55432 • PHONE (612) 571-3450
May 1, 1989
Pacific Poois
6922 - 55th Avenue North
Oakdale, MN 55038
Re: Swimming Pool Construction at 6250 Ben More Drive N.E.
Dear Sirs:
This letter is to make clear this department's requirements for
the swimming pool construction at the above address.
1. As indicated, two (2) skimmers approved by the National
Sanitation Foundation will be provided.
2. As indicated, two (2) inlets of approved design for fresh
and/or repurified water will be provided. �
3. As indicated, a main drain of approved construction wiil be
provided.
4. The filter and pump shall be approved by the N.S.F. and be
of sufficient capacity to provide a minimum turnover of at least
two (2) times in 24 hours. This department recommends a turnover
rate of 6- 8 hours.
5. A deck of at least three ( 3) feet wide, measured from the
pool waters edge, shall be provided which extends completely
around all private residential pools. Above ground private
residential pools may be provided with decking of a minimum size
of 4 feet by 4 feet at pool entry points and provided that such
decking has the approval of the City.
6. The diving area will be acceptable provided there is no
overhead obstruction.
7. Fencing or other effective means including but not limited
to walls or buildings, acceptable to the City, shall be provided
to positively control all access to public and private
residential swimming pools. Fencing shall meet the following
criteria: �
a. The fencing shall prevent the entrance of children and be
without hand or foot holds that would enable a person to climb
over it.
b. The fencing shall be at least 6 feet high and entrances
shall be equipped with self-closing and self-latching gates
capable of being locked. � "
c. Self-closing and self-latching devices shall be placed at
the top of the gate or otherwise ir��cce�sible to small children.
d. The opening between the bottom of the fence and the ground
or other surface shall be not more than four inches.
r'
d�
�
May 1, 1989
Pacific Pools
Re: 6250 Ben More Drive N.E. Page 2
8. An automatic chlorinator should be provided with a suitable
test kit.
9. All electrical and plumbing installations shall be inspected
and approved b� the City In�pection Department.
10. Al1 overhead electrical lines must be a minimum of 10 feet
horizontally from the pool surface and 18 feet straight line
distance from the waters edge. An alternative is to bury said
lines.
11. The pool fili spout must be protected by a vacuum breaker or
air-gapped.
12. Suitabie safety equipment to inciude but not limited to a
ring buoy and rope that is 1 iJ2 times the pool d�.ameter, and
shepherds crook pole must be provided and maintained with the
pool at all times.
Furthermore, these and any other requirements must meet the
provisions of the Fridley City Code, Section 115, Swimming pools.
The building permit is approved contingent on final inspections
and approval by the City.
If any questions or problems arise from this lett,er, please feel
free to contact me at 571-3450.
Sincerely,
DARREL G. CLARK
Chief Building Official
DGC/mh
CC: Mr. Adib Sissi
e'
_ s _
.
..-� � �._ _ :. :. .�:
_ �... �
1 Copy. Office
2 Copy: Crew Chfef
3 Copy: Mu�icipa8ty
4 Copy: Cus�omer
Brooklyn Center Store
4321 - 68th Ave. No.
Brooklyn Center, Mn. 55429
(560-6442)
CREW CHIEF
� Equipment �leeded
�Ba�ck hoe D;�ob Cat
O <�at CY Truck
� Snow Fence ❑ Uni-Loader
Inspections Contract
❑ Walls
❑ Plumbing
O Footing ,
❑ Before Backfill
Pacific Pool & Patio
A Minnesota Package Products Company
No. St Paul Store Burnsville Store
6922 - 55th St No. 1278 W. Co. Rd. 42
No. St Paul, Mn. 55109 Burnsville, Mn. 55337
(770-1313j (435-3500}
Ridgedale Store
12500 Wayzata Blvd.
Minnetonka, Mn. 55343
(541-9180)
� j. ,y ��
�: _ ;
ACCOUNT NUMBER _ POOL SIZE �s � DATE
� f..
b � # 'f- •_-�, , i' '$ _
NAME � - - ,� HOME_PHONE
�," _ S y°} �� � :x.�; , 9. ,�� �, : r
M• , � . a F`.,�
STREET . ° WORK PHONE
! ��, _ ! � ��..$ °--, ' �" , � �,
ClTY STATE ZIP CODE
� rm '? �'
;` r'; �_v
Diagram pool site in relation to house, garage,
_�.: " ` � f , _
��.._ � � �''"� 'i �.`.�'�'_ _ � �+.
� ��-�
C 4
1 p
! h �¢
�.
�"° � i
� �+ _,��_ �
�n�
�� Q
.�
�
.-",,,,`- �
�1`i
'� y4
�.�
�; ��
'�
�^
S4
4
� , �
_ . +3 r � "�
� a �,
line, and wires. (Allow 3`�variance)
� �°�
y�.
� �.,. q
. s�. �$'!�B��T..¢.
�, _..'"'-.�-''�a
�
Pacitic PcSol & Fatio willmake application for and pick-up your swimming pool building permit. (Electrical, gas, fence or other permits are the
responsibility of the contractor doing #he work).
The actual cost of the ep rmit'�s theC responsibility of the home owner and Pacific Pool & Patio will expect to be reimbursed for this permit cost
within 30 days of obtait�ingfhe pe�mif for you. ,. �-.-n- ~
5igne�ii � -�.� �, . " � _ '� .t Date �-- �
'
CJ�,AlfarlElocation of filter and/or heater by {#2). C� Locati�on for disposal of dirt �
: ,, �;-
C� ��idicate deep end by (X).
,� ,-
d Dc�s Customer wish to retain any or all dirt from pool C� Pacific Pool & Patio recommends that customer install
�xcavation: ;�. `��°" (As soon as possible following pool construction);
C1 Will any obstructions be encountered — su;ch as trees, ; 1• Fiain gutters adjacent to pool �`' _
�� ° -
clothes poles o�,power/�hone Imes etc �` ��� 2. Retaining wali where diagramed �-�
1' ' �-
' � ' �' f _.Y� �' �A��� �: 3. b�u� off control or drainfteld `� "��
�� `� �f .' .�
� � ,;, 4. Permanent or temporary fence �� °"6�
�;�levation from location marked "A" in diagram: � 4
C� Show type and location of slide if applicable �"" °` }
*** CUSTOMER ALSO UNDERSTAND� & ACKNOWL�D�ES THE FOL�OWIN� ***
�
Normal Excavation time using a back hoe and dump truck is I��a than one day. X
If Limestone, Sandstone, Shale or any unusual substance, Iike construction debris orbackfill materlal that is unus�able In the construction
of this pool, the customer ie responsible for the cost of removal and re�I�Cer�eiit of suitable materials. X
If removal of dirt req uir�s cat or unl-lo�der or �ny spe�l�l eq uipm�ra� �u�tom�r will b� ch�rg�d by th� ho�r f�r th� extra time and equipment
used: X _,
Tra�� �n'1 nr ben ah�rn..1:�.�re��he .ec.nnn�.lhllih� n411�e ..��o�n...�......1 ...���.� L.e �e.nn��ni! Mninrn nnnol�n..11nn L.n..i..�. V ��
SUBJECT
City of Fridley I PE 19 9 6 2
AT THE TOP OF THE TWINS g U I L D I N G P E R M I T
r
� �
R EIPT NO.
� �y_ _
COMMUNITY DEVELOPMENT DIV.
r j� � PROTECTIVE INSPECTION SEC. � q v�/�s
� '�`� /
`--_- � �����,,J CITY HALL FRIDLEV 55432 NUMBER REV. DATE PAGE OF APPqOVEO BY
L �� 612-571-3450
910-F15 6/2]./89 � �
108 ADDRESS 6250 Ben More D.xive N. E.
1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED
DESCR. 6 1 Heather H].Z�.S SHEET
2 PROPERTYOWNER MAILADDRESS ZIP PHONE
Ad:ib/Nancy Sissi 625Q Hen�More Drive N.E, 574-0591
3 CONTRACTOR MAILADDRESS Z�P PHONE LICENSENO.
Same
4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO.
5 ENGINEER MAILADDRESS ZIP PHONE LICENSENO.
8 USE OF BUILDINCi
Residential
7 CLASS OF WORK
❑ NEW C�l ADDITION ❑ ALTERATION ❑ REPAIR � MOYE ❑ REMOVE
8 DESCRIBE WORK
Construct a 22� x 12� z'hree. Season �orch_Addition
9 CHANGEQFUSEFROM TO
STIPULATIONS
See natations on �lan
�� ����.�G utitities
Befote digg��g Gal► loca� SEPARATE PERM6TS REQUtRED FOR
i�LEVHONE-ELEC'fRtC-GAS E� �,�y1�iING, HEATIRIG, PLUMBtN� �4�D SIGNS.
�������� �� `l40
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.
AUTHORI2ED 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 �- STALLS GARAGES
AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS VA�UATION SURTAX
AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED
WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT $5,65Q. $2.53
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-
STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. S8�-eOO
PLAN CHECKFEE TOTALFEE
$83.83
SIGNATUREOFCONTHACTOAORAUTHORI2EDAGENT IDATEI `.. WHE RO ER
THIS IS y.0 PE {OF
/
E � l(s, �
SiGNATURE OF OWNER�IF OWNER BUILDERI IDATEI �NSp � E
� []
�� [ �
AL'I�3t [ ],
l�r,��1�i .�f • � � � ���-
- � • � � «r •i •�.
�.rr ` - - -
Effectiv+e 5/l,/88
A�l At�ID R-2
� Building Pezmit Applicatian
� - -Ifi - � • �1 � ���' _
�./ I . - � �
•�1 �1 •)
-��eL...�.��G G�'-'rri�� � � �:
— ; _�� .
�� _
Atta�h 'to this aipplicaticaz, a dertificate of S�rvey of the
lort, with the prdposed constructian drawn an it to srale.
�IPl'Z�J �' �'l�DEN�i�Tl'
� @,n�S� �.5 —
' �9� ? ` width � �,c�t _ sq. Ft. �
C�RAt� ARFaI: Ie�qth Width __ i�ei�t _.__ Sq. F`t.
D�CR ARF��: ,'.�"y.+. Width —_._._. �/� Sq. F't.
OTi�R• —
��� I,� � ����s��
Cbrner Iat [] Inside Iat Ft. Yd Setback Side Yatd clts
3Yt� of C�ton: - Gc.)'�o � � �.aiated Dost: $
ApProx. Ocanpletion Date: �� �4
Pr+�ed Drive�,ray Width If New Is : Ft. $ $
idth + 6' See ffiCJc Page
I�iTE: APPLIC�N'P; ^ Z�el. ��`t —e� ��/
. �
F�ermit Fee $
State St�at,qe $
SAC � $
Driveway Esctvw $
Park Fee ' $
� �� � $
� $� �� �, �.
���:
Y�,
,,
_CITY UBE �Y
�1ee �le aa1 Revetse Side
$.50/$l, 0� Valuatiaai
$575 per SAC Unit ,
Alt. �A° or'Alt. �B^ Above
�E nO1�. ° .r'-.. � � F�nn; tre�r�i m
� �
� � I J N� xeoessarY [ ]
m
»
�
� � 3 :;� . i .
F�
: �.
�,
�,
:•1 � � � f ' �ri'� 1 _ r:l:n� 11 "
�e �ief Buildir�g Offic3al et�all, befa�+e fssuir�g permits for the erecticn of any
buildiriq or st�e, -a� fa� any aciciitian tA any existing builclin9 °r' �� ar
for any alteratian or repair ta anY e�dstin9 buildin9 � s�• � aPPlicatiasi
ti�erefore. require the PaYment bY �e ePPlicant fa�r ax� permit of fees to the amaait
heie3n below set fartii mnd in the marn�er iyerein p�'wided torwitz -
. TOI'AL VAT17E �
$1 to $500
$501 to $2,000
$2,001 to $25,000
$25,001 to $50,000
$50,001 to $100,000
$100,001 t� $500,000
�+�.
$15 (Minim�an Fee is $15 Plus +�"�,a,'°�)
$15 for first 5500 plus $2 fcr eadi acid�itianal $100 or
fZact3.an tt�ereof, to a1'id includir�g $2,000
$45 fos first $2,000 plus $9 for each additional $1,000
or fractioci thet�eof, to ar�d incl� S25, 000
$252 for fixst $25, 000 plus $6. 50 for eac� additiaa�al $1, 000
a�r fractiaa'1 thereof, to ar�d ir�cludit�g 550, 000
$414 .50 fo�' firs't $50, 000 plus $4 . 50 for each aclditional
$l, 000 0� fractiaQ'i thereaf, to aryd 31�cludinq $100, 000
$639.50 for fiYSt $100, 000 plus $3 . 50 for each ad,ditional
$l, 000 or fiaction thereof; to ar�d including $500, 000
$500, 001 to $1, 000, 000 $2039. 50 for the fiYSt $500, 000 plus $3 for each additia��al.
� $1, 000 or fractian ther+eof, to ancl inGludilig $1, 000, 000
$l, 000, 001 at�d up $3539.50 for the fizst $l, 000, OOP� plus $2 for each acidi.tioa�al
� $l, 000 or fYac�t,ian thet�eof
D[tIV�iIli �iY �PRESSICN ffiC't�W
(Da�cre�e Curb Sti�ee�ts Qn1Y)
J
Alternate "A" : R�roval an�d replaa�wsct of � ar�d gutter ae�ly - Driveway width plus
� 6 feet tiioes $13.50.
Alternate nB": R�noval arid re�laa�t of � and gutter and install a 3 foot wide
app�oach with 6 itrh d�eptlz - Driv+eway width plus 6 feet times 515.75.
►'�:�; .:� :': Mr.., .�' �. �i,'.�; _ �1 .:
petmits for an will be 3,ssu,ed a minim� of 24 hou�s fram the t3me of
applicatiaai to allcw fos p�cper review of the proposed stn�a+e end of the
oomstYUCtian site.
A Oertificate of S�vey of the lot, sha�rirrg ti�e locatian of the fau�daticai aax�e it has
it has be�s� oonsttvct�ed �iill be requir�d before pz+ooeedirrg with the fiaming.
Surveyors Certific�zte
COMSTOCK & DAVIS, INC. Consulting Engine�rs and Land Surveyors
1446 County Road J, Mpls., Minn. 55432, 784-9346
BUILllING LOCATION: ✓ SURVEY FOR•
Lot 6, Block 1, � � Tom Brickner
Heather Hills 6245 Ben rlore vrive
Fridley, Minnesota �Q, �\%r Fridley, Minnesota
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DES CRIPTI.ON : '
Lot 6, Block 1, Heather Iiills, Anoka County, Mtnnesota.
Subject to easements of record.
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.� `� ��ifY t1�at this survey, plan or report was prepazed by me or under my direct
°t �si °" �1 that I am a duly Registered Land Surveyor under the laws of the State
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CITYOF
F'RIDLEY
FR[DLEY MUNICIPAL CENTER • 6431 UNIVERSITY AVE. N_E. FRIDLEY, MN 55432 •(612) 571-3450 • FAX (612) 571-1287
June 16, 1993
Robert and Labibe Basil
6250 Benmore Drive N.E.
Fridley, MN 55432
RE: Property at 6250 Benmore Drive N.E.
Dear Property Owners:
Recently, I received information suggesting that persons from this
address have been trimming trees located near the west side of the
property. You are permitted to trim neighbor's trees/bushes that
hang over your property. However, you would not be allowed to trim
trees/bushes beyond your property line. Please make sure that you
do not perform such work beyond your lot's boundaries.
In addition, I have been told that you sometimes throw materials
and debris on the vacant land located directly west of your
property. (Upon inspection, I did observe assorted materials on
this site.) Such activity would constitute illegal dumping and is
subject to criminal prosecution. If you have dumped materials on
this site in the past, you should remove these items immediately
and refrain from this practice in the future.
Feel free to call me at 572-3595 if you have questions or wish to
discuss this matter further. Thanks for your cooperation!
Sincerely,
Steven Barg
Code Enforcement Officer
SB:sb
CE-93-291
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From: City a€ Frid[ey To: 6�'f646738� Page. 2l5 E}ate: �26€2Et� 1E�.43:'F9 ARII �Q� —
�t�ildi�g
Inspectia�s
763-572-364�
763-Sfl2-497� ��
UAI'E `
SITr. AUVRESS ��7�
TH1S APPLtCA1YT IS:
���:�,�I�� P�r�i� �o-�C
P►��.�l��I�.� AP]P����'�It��€ ���� �y=.
��fi� Q� �`����� -
❑ OWt�Fk1t
OWNERI �nx�s:��,S�
TENl�`�` PHON�:__71�;� � �
��,t,;�_—.c�
COI:TRAGTOR (;(�FA1VY NAl4f �: J�
SUBMI'Y A t�3PY OF �T`�� P�SC�r�: _
�OI3[L STA.TE STATE L10Ei�ESE fE
UCENSE 1�1T�I p��yg�g:
APPLICATfOi�t �,,,,,,,�
PG' RM�T T�'PT�r - ��S�Af�L� FANF[iY
TYP� OF WORK: � [� t�w �e
DETAItBD DESGRIPT[ON OF WO1tK
}UR �MMAif. A#JURt"�&
1�L•
TREtC'I'fyK
i � CFTY
.��r1 1 II��It'H�� �+'�
� �gy S'�'A"S'� 'LIF
N�X
CI FVftE3 �1t�AFLY - � Tf3t4`2�l�YQtl�E
EM�73i Q ALTE'3iA'fiIINtRE1iAESUEE.
a� . o _ � eL.- � 'L�
r ��s nw� ���r a� s�a.� r� �uc�e��r:, �acc�rr v��� �a�-�u. ��x-�u�s: ���e�cc�►�-car��. ��res�u �x �c� �: w�
�qni�r►enr incta[Iea Mta'G: C�[it0 MC?lT�i: �,��� si'L�li3�'u
Mr'C`r _'� �f � tvl()i?�f.: � � 4 ��uC,/ sFL�JF�'ECb ��!�
ME�IIr:i: Sli�J`l�'�'�
MNG_ _GA51idtNGE74�AF SFQ.Afi
�A/C $25.00 _H'iKERt.lkG'� �GAS� $25.OU _Ni�W GAS E'i��.�. $ Ifl:Q�
AtKTnAtREXCEFA�G���YS �'fREP[.liCE�V�dfX}tk}$350t� fiASBPP[YTY-3TR$dQ.�O
�t3niLEK $35.Q0 k'(tttNAC.'E S35.OQ
CHIMtJEY LIPEER $ Id.�t GAS bKYF1L S[Q:QQ _P4}aL Hi�:Ri�R S�S.Q�
I]UC'i 1�`ORK 5 Fft.DEt ____GAS PFPIAFC`s $IEI Aft V'ENE'i'ii.!lT�lt $IS.fI�
- -•------- • ............:....�----•----- -----------�----• -----...----�-�-.•_: --�-::..�:� �.� :::�:.::�.:
---•-•..___._....-----_•_:s}_-_:--°-•.•:---•--:,:..--- •'---:.._.-----.
: ..- ... .... .. .... . .-_ _ �.
THIS fS ME APPLCCi4TPQi�E A'QR A P�'itAd[T-rIQ�C' Y1tLttl tDl�€FtL PROCtSS�TI
i hcreby apply for a building pe.rmit and I acknowl�d�c that thc infort�attan abo�rc is complctc and �e�trafc; that t1� work witt bc in
canformancc with thc ordinanc�e and c,odu� of thc Ciiy o� Fridlc� and with thc A+[inn�ota� ea�ctic�tr Cories, i�at E�trdc:rstanrk this is
not a permit hut only an app 'catioaa for a ' and v�r ta sta�t vvi.thaut a g�i.� t�t thc �ark wi� bc ffi accr�rd�cc v�ith thc
approv�d pias in thc casc of atI w ir� rcvi d ap�r�crv ptal�.�. �
iJAlt� � �
STGidATFJREC2E� APF�iCAdNT -
Ci�y of �ridiey
Buiiding Inspec�ions Dep�rtmen�
6431 [IniveFSi�y Aue�ue �, ��id�€, Pv� 55432
763-�7�-36U4 I�AX: �63-502-44?7