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AF - 35303
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'� - ��� '� ���.�•� � 00 o � a � x� $�'�� �. � � 8 a 3 od p � 9• � a a r B. �o � ~ S �M � � �� � o Q ' � -� � ��a. p -` � I�, �� � � � I1 � r� I w�a�A �s usoautis �� � �� ��� �� .�wrs �i�ac: a�. sre��. �tOOa �oa�ws CAeOm �BN� �O w �c �� �QWIM63 o • � • N � � � �.�� � � �� � 1 � � / � M � � o � �. �. � �. � � � B. � ~ � o � W � ��� � ���� b! �y �'� � � �qb p �� �go� °`�� � �� ����� a �, � � a��� ���� ���� � � .� �� 3 � � �� �� � �� � � � � � � 1"0 � . . � `: � �. � � � � � � � �yS ■ �� � SUBJECT P City of Fridley ° 17 612 AT THE TOP OF THE TWINS g U I L D I N G P E R M I T - i � ' � REC � ' EOMMUNITY DEVELOPMENT DIV. ' , �� ------, ,��.s � r j � PROTECTIVE INSPECTION SEC. � 1 . � 1 l-__- A �����,`� CITY HALL FRIDLE� 55432 NUMBER REV. DATE PAGE OF APPROVED BY L J\ 612-571-3450 910-F15 7/13/84 / / JOB ADDRESS 6253 Ben More Drive N.E. i LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED oescR. 3A, 3B 2 Heather Hi.11s SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Ron Nolby 6253 Ben More Drive N.E. 3 CONTRACTOR MAILADDRESS ZIP PHONE LICENSE NO. Briclaier Builders Inc. 6171 Heather Place N.E. 574-9871 4 ARCHITECTORDESIGNER MAILADDRESS ZIP PHONE LICENSENO. 5 ENGINEER MAILADDRESS ZIP PHONE LICENSENO. 8 USE OF BUILDING Resi�.ential 7 CLASS OF WORK 0 NEW � ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Construct a 30' 6"` x 24" Livi A�ea Addi.t,i,on and a 24' . x 24' Tuck under Gara e 9 CHANGE OF USE FROM TO STI PU LATION S Use trea.ted joist on front fox deck sugport. `�����y �i�\�<res �� �a���o�� SE�ti. SEPERATE PERMOiS ��(�UIkED FOR �d1�fR��,. ���o�� ���`���`E�.�R1C-�p � H�AT�i�Ca. PLllAA�311�G A�I� SICN�. E P► ��L�Q��N `RE� ��:��-,� � ���� � SEPARATE PERMITS ARE RE�UIRED 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 Oii 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 GOVEFNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT $33,400 �`].,6.%O DOES NOT PRES ME TO GIVE AUTH TY TO VIOLATE OR CANCEL THE pERMIT FEE SAC CHARGE P OVISIONS NY OTHER ST O LOCAL LAW REGULATING CON- RUCT O E PERFOR NCE O CONSTRU ION. yS`Z�.�..OD None � � � �r � PLAN CHECKFEE TOTALFEE 52.75 280.45 GNATUREOFCONTRA R UTHORIZEDAGENT �DATEi WHEN PROPERL LIDATED THIS IS YOUR PERMIT SIGNATURE OF OWNER iIF OWNER BUILDERI IDATEI `� BLDG iNSP � � E x�w ADDN. pLTER. Il �S� I7 City of Fridley R-1 A9D R-2 Buildiag Permit Applieation Effective �/1/8� Construction 6ddress: � �'�� �`��� `��1�'�� `�'`�- Legal Desaription: � � `�°� � �� � � "� �,*�"������ � ��-�y �"����`" ,�`��� �.:� - - Owner Name & Address : ���'' `���� �'�-��' �� 6f �� ' Tel . # � � �� ,: �� � `� � �'i � + Contraator: �E'` �� :�'�`�� ���'1�<�' ; � � ° � Tel. � Address : � � �' � ��`� ��� ;` ;� �=�� ,�� Attach to this applioation, a Certificate of Survey of the lot, with the proposed construetion drawn on it to seale. DESCRIPTIOH OF Il�IPflOYEMENT LI9ING AREA: Leagth .�� �``� � Width � � Height � Sq. Ft. � � � �(�Gi`GARAGE AHEA: Length Width �� Height � Sq. Ft. �� � ��J�� AREA: Length Width Hgt/Ground Sq. Ft. OTHEx: --- Corner Lot [] Inside Lot �] Ft. Yd. Setbaek Side Yard Setbaek !� � Type of Construction: �r��"���`'�� �� Approx. Completion Date : � �'� ���` � �� � Pro�rosed Drive�ay Width If Ne� Opening Is Desired: Estimated Cost: $ ��`� ��e �0� Alt. A Alt B $ $ See Back Page for Explanation , �� o r � , �j , ° ' . � — � ��� ���,� � - � �- y � � �� r���`� �' �' ��,, � �"�=�-=�� Tel . # ��.-� DATE: � � ��°� �PPLICANT. � -�. ' Permit Fee Plan Check State Sureharge 3AC Charge Park Fee S�ter Main Charge TOTAL CITY IISE OpI.Y t , 6� r: ,, , .i� �= . i�-w- '--j',✓ Fee Schedule on Reverse Side 25� of Building Permit Fee $.50/$1,000 Valuation $425 per SAC Uait Fee Determined by Engineering Agreement Neeessary [ ] Not Neeessary [ ] STIPULATIONS: � � w,` �',�- c�r. ��"'��' � 'd`° _' _ .� �3, yo� � ZS�OU�� �'S� 9xyso o •o I �o � soir.n� pE�rr �r scasnur� The Chief Building Official shall� bePore 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 aaq existing building or strueture, upon applicatio n therefore� require the papment by the appliCaat for such permit of fees to the amount herein belos,i set forth and in the manner herein provided to-wit; Total Yaluation �1.00 to �500.00 F@@s ' ,. $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 ineluding �2,000. �2,001.00 to $25,000.00 $32•50 for the first $2,000 plus $6.00 for eaeh 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 ineluding $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 $1,000 or Praction thereof. DRITEWAY DEP$SSSION ESCRO�fi (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 replaoement of curb and gutter and install a 3 foot wide approach with 6 inch depth - Driveway width plus 6 feet times $15.75 VERIFICATIOA OF FOIINDATION Permits Por 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 eonstruetion site. A CertiPieate of Survey of the lot, showing the loeation of the foundation onee it has besn aonstructed Will be required before proceeding with the framing. �. � X �� � i�� --.. /�x�.� � ��y f'��`�3= l��? �� � � q,o, �a � �����3 �`' ��. 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SITE ADDRESS � ��� ��� /�d�C� _��- - I co�vT�cTOR �r�ic��vE� �'3:-Z�x r �� ' �'� ���?�' �/�ZI . ,_ _ _ - D�te�mi��� ���� s�-�:�;�*- ��g� �:: , �:� - _ 4-� " �.� �,:_. y �/� . _ _ � . .. . .:. ��� . ��, � _= ! � 1. Total exposec�: �� ��. �. �.. �; � �...�: E _ , : 2 • �tall roof/c�i�g ����� � �, � t C/ /A ��. _ � � �� - � �� �� � _ . . . . . . . . . � . . . �. �� �� ����_.�� r...r -. Total expas�d wail_ area a�e f�� =- ,�_ .. . . _ ,,; : _ . ��:��- _T � _ :__ .� - a. Total wall wind� area.. , .�. . . �.:�.. E . �::,� � �:« �,� _ �_=:���� b. Tctal. c3oor area ........�.....�_�_�.:st.�,..�.=.�.��;�.� �i'� _ e. Total sliding=g�ass doar.area..�. - � " ._.���..�����.�._ �. ad'Z�-� _ c�. Tota�. firsplac.�ie �a11 as�a. .•. . ..... s � .. .°�-.". � �..��.� —=r - - �_ _. �y t3 - - _ , �,� e� __ Tota3. wall frami ar�a tavera e I�) .. s.. � E. .._.� � :_ � f.. , Total net wa11 asea above flvo=. �. .., . � .�. . . . . . . . . ,} ,_ - s � -g. 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'" - �. ,� �" �� I �?�,�= ,-, �``� � `��` __�_ t v -I Caty of Fridley, ;n� 6431 Univeraity Ave. 1�. E., 14linneapolis, Minn. 55432 BUILDING PERMIT ��: -- Julv 18, 1972 �� Rodney Bi1lma,n Inc. �� Same ��� 151 Silver Lake Road� New BrightAo��e Same � � _1154 � LOCATION OF BUILDING No h 5� Str�eet —Ben ore Drive N E Part of Lot iAt ��As �R 81ock - Z Addition or Sub-Division —.He�.tl'�ex Hills Addition Corne�r Lot inside Lot X Setback . 35 � Sideyard Sewer IIevai3an Foundaf3on IIevation DESCRIPTION OF BUILDING To i�e vsed as: e � � ng Front 26 t DeP� 48 t Height 201 Sq. F� 1311 � F•.� 301060 .,C�a7CS,�p Front Depth Hei�ht Sq. Ft � Cu. Fk R'ype of Consiructfon - G.iTno .�am,� Fast. Cost +�24e545 To be Completed �_QS�.� �.972 Stipulations: Provide a verifying survey before capping. Provide a hard surface drive. Permit issued subject to notations on plans by Building Inspector. Sewer & Water Locations not available. In considera,i3on of the 3ssuance to me of a permit to construc� �ihe buiiding descr.�ed above. T agree� to dp #he Proposed work in. accordance with the descriptton above set for�^an�1 i�complia$ce with all provisions oE Or+dinanc:ea of the dty of FridleY• % f� .// _ In co�osntderation of the payment of a fee o# $ 56 . OQ , permit is hereby granted to�,.��.��, Inc. to construct the building or addition as described above. This permit is granted upon the egpress condition that the person to whom it 3s granted and his agents, employees and workmen, in all wor$ $one 3a, around and upon said building, or any part thereof, shall conform in a11 respects •to the ordinaaces of la'ridley, 1lqinnesota. regarding location, construction, alteration, maintenance, repair and moving of buildiIIgS �� �'EY 7imits and this permit may be revoked a t any .time upon violation oE any of the provi�ions oP said *a CLARENCE BELISLE � � NOTICE: This permit does dot eove� the eonsteucfion, installaHon for wirirtg, plumbing, gas heafPng� aewe� or water, Be sure to �s t6s Bullding Inspecto� fo� separate permits fo� theae hems. � �� � APPLICATION FOR RESIDENTIAL, ALTERATION, OR AllDITiON BUILDING PERMIT CITY OF FRIDLEY, MINNESOTA OWNER' S NAME t � BUILDEIa: 6� � R annx�ss : annt�ss :� j -�o ����,•�— `�� a���� / �� /�C. fVj�i NO . , o� ��.J STREET ° � /� J %� 2/ (% '� �r/� 2 LOT :�}� `�-- � � BL�K : `I� ADDITION : CORNER Y�O� : INS IDE LOT : `� / - ' SETBACK: � � SIDEYARD• �� Applicant attach to this form 7.tao Certificates of Su_ xvey o£ Lot and propos�d. building location drawn on the�e Certifica.tes. � DESCRIPTION OF BUILDING m To Be Used As : �,�-���u9 sL— ,���� C ` F+� / Front • �� Depth • �- � Height • �j ` �� Squaxe Feet a_ I� I 1 Cubic Feet: ..� G, O�v � � Frontm Depghs Iieight: Squaxe �e�t; Cubic �'��t: Type of Construction: ��y�,,,,,,,_ � Estimated Cost: $���� �--- �- To Be Completed: � �.I' /l7y � �'�% Sys. � _ The undersigned hereby ma.kes applicativn for a permit for the work hexein specified, agreeing to do all work in stfict accordance with the City of Fridley Ordinances and rulings of the Depart�nent of Buildings, and he�eby declares that all the facts and represent�.tions stated in this application are true and correct. �J� ` �Gu� �' c�'>�`� DATE : � � °� � S IGNATUIZE s � � `4 , (See Reverae Side For Additiona.l Informa.tion.) �,�� U o . . .a-. � S r . �- � � �_ � N � BUILDING PERMIT FE� SCHEDULE SECTLON 2o The Inspecto� of Buildings shall, before issuing permits fo� ��� erection of any buildirig or structure, or fog any addition to �ny existing building or stTCUCture, or fox any alteration or repairs to any �x �sting building or structure, upon application therefore, require ��� p��n��� ��y ��:�� applicant fox� such. permit of fees to �he axnou�� h�gei�n ��bo�r ��ts �=����Pm ��.s�1 t�1�e �nn�r herein provided tomwit o iJNi�ORM BUILDING CODEm 1`ype 1, 2& 4=$2015 for each one thousand cubic fee�, or fraction thereof, in such cubical contentsa T}rpe 3& 5 m$1,�� �u� ���h one gh�us�� cubg� feeto ADDITIONAL INFORMATION For the purpose of computing fees for building permits, the cubical conieemm�s of any building or addition, is determined by multiplying the gxound area covered from a point six (6) inches below the floor lin� of fthe basement o� the cellar to the avera�� heights of the uppex surface or to the aver�.ge �ae�ght o� �he �°oof surface of ttae main gable of � pitched roof. For repairs or alteratiuns to an exi�ting stlructure, the iee shall b� ag the rate of $3.00 per each five hundred dollars ($500.00) or fxactcion thereof in the cost of all proposed work. In no case shall the fee charged for any permit as set forth in Section 2 be less than $5.00. VERIFiCATION OF FOUNDAI'ION NOTE: Pe�nnits for construction will be issued a minimum of 24 hours from the time of application, to allow for proper review of the proposed stxucture a.nd of the construction°site. A Certified Survey of the lot, showing the location of the foundation, once it has been constructed, will be required before proceeding with the framinga CERTIFICATE OF OCCUPANCY Application for a Certificate of Occupancy shall be made ten (10) days prior to the use or occupancy of any structure for which a building permit has been issued; and said structure shall not be used or cccup�Led until a Certificate of Occupaxicy has been i�stxedm . �'�� � s r .� *�T"r"I^^" }"'^-S - -a+ _+'T° h _'_`" . �=°� 4.. �;* `i 4' �'+ b`�P.i� �t hr MM' �^' � "� ...f-. �d.�Y .�"� � ;� � fy:, R�� S �;3�.5'�"�a"�"A� �:�" '�C�. =! � .-. ' i k � � n ti. h 3. ��.�A :3.' ?° d . '"� ��.. '�,�. a��w � � �� � s 4� ^r' � t� - , & , h`'' � � �� ���� .�. � 'S�� � '� .w1#s ff4�wiaai�in� „ �- �. - " j� _ ` - • �, � � � ..+" �" . �' ����' . � i , . }� �`� �: ! k b � � �� .. > '}� . �_ . , � �A^ , `t 3 4iy . ..' �� Y . ��� ��^� + r � �.:._ �M"' �� ��� • '� k � .L w • � _ � � . ._� �i: � F � " : . � _ ' � . � � �� r � - ° '4? Y ` 'M �' �' � � � 3 s •�� �`` } , - � - � � ,� ?,� : . -,� _ . . .. . - ,. S �s `� � � � � � .,�+ ._' l�' . .9i �. . 1 �'. 9 • �"� � .. . y � . �7 � � �Q!iY �M �' } �Ypp �� . F�• � �' ��19 � f.. C! . R. ,,[,#+� � g `,�4 . � h �. �1 �:. _ . . .. � '} §� � i � ' '� 7 A - i{ ',�, �e,� �v �k} j�C73�s iles J�f eM1 i�%bA: ; , _ � :� .� . _ � - �„�Glt/r'l,."; �:+'^'ii'�� .'z � � �' � � b r� _-�� � , ; ' � �. .. �� °� � - � � �� � �s ::� ��id Lt�L;'��, Dlo�it 2, �atiNt 8ills; Ci�r Qf Fridl�r, i±�n�toLi. , ; � _ '` ' �� � � � � �. ; � . .. ', _. - aF ' } ,:�, Y,� .. � . + � ` _ 4* .�t +'�§. _ . - _ ti�F.a .�u- !°z �. --I"� . 1 . � , a' 4 �� � 1 � �: Y .` , c , ` , . . .' .. ... . . _. . +. �{�• *�� ���� �e�r +au� w�s uade�r ta�r di*s��t �up�r�ri�r#� �md '��at :I, � : � � G� ,���e�tr �e�c t�ae 3� of t�►e St�u �� �l�i�►. � � . ,. . . � _ . . , , ..� '� h,� iii . �4• �p�rl� lt.i...S. � �• �Qr Ril�s' �IQ• ���� F; x;� � � z �v �, I �S �µ.:, •F.� k� aa U _ � � r � #� �� �r;yr� J + 3s `J���'.�`. � A.< j � ' ; � d- � . . .. , _ ;'; a a , rs ,�- �'s,3,� � � t� , '� „y: -v �+y -R � ; � . K . .i€��' � '� � �b s �� ; s y t ,� s� � ,� :,� , v . � ., �* ;. � , .- �.; - ,- , �. ..;, _ 't�.. �a ;� � i i ,� - — � �� � �C �,�°1 �7� � .� ;;� � � �, , �� d � � �. �� � i'� �' d ,►� Q��, � �� � �� ��� � � I r� ' � � �� ._ ' �* z � From: City of Fridley Ta 763754290c Page: 4/4 DatE: 4/16I2009 11:00:10 AM FiUi1Cl]Tl� ��,�J��L��'r Permit No.: � � �nspectlOriS ' �������T'��/�,�, ����.,���,���1°ij Received By: , 76�-�^-3n0¢,_ '. r �.��i�� �� �' ���� Da��'� � 7b �-50%-497 �' FA� � �rr•�cT�v�=-��,-o�� llATE ✓�byT=[ SITt ADllIt�SS �0 i }{I5 APPLICANT IS: PROPER`I'1' OWNER/ TENAN'I' CONTRACTOR SUBMIT A COPY OF YOU R STATB LICENSE, BOND AND CERTIFICATE OF INSURANCE PERMIT TYPE ❑ OYb'NEK i NAM Il YQUI•: B-tilA1L AllllJtES9 C'7'Olc PHONt: �I(1�' �1�Z' ���D NAM�.: {V� C! 1�� I/�1 CD• STAT� L1C�,NS� �t 5TAT�: t30ND # ADUR�SS: iiZCI D f�/�,�fil%1 SI iLL� � J7 PHON� �b�Y �S� ��� TYPE OF WORK: �� N��'' FAM LLY DETAILED DESCR1PT10N OF WORK ❑ TWO NAMILY �x�ri..acsM�NT ��;qlev STA7�WH� 'L1P � C1TY_ NAX O TOWNHQUS� �.XP UAT� �XP DAT�. STA'I'��"LIP 5$ �✓' d Nt�S AR� BASk:D ON $]0.00 P�.IZ NIXTUR�., �XC�PT WH�1� NQT�D. HIXTUR�S: {'1NDICAT� TOTAL NUM13�R OF kiACH B�.LOW). MINIMUM H�.� $35.SU. 13ATH SINKILAV NLOOR DItA1NS 5HOW�R _ WAT�R PIPING BA'fHTUB CAS PIPiNG (NBED CITY LIC} SWIMMING POnL WAT�RSOFTN�R{$35) CL.C)TH�,5 WASHk�.R K1TCHtN S1NK WAT�.ItCLOS�T _BACKb1.OW PREY. {$]5} _ D15HWASH�R _ LAUNDI2Y TRAY �WATEK H�AT�R ($35} FOR 1RRIGATION W AT�R M �7ER _ OTH�R �J THIS IS AN APPLICATION FORA PERMIT-NOT VALID UNTIL PIinC�SSEll I hcrcby apply for a plumbing permit and 1 acknowlcdgc that thc information abovc is complctc and accuratc; that thc work will bc in '�i confarmancc with thc ordinanccs and codc5 of thc City of Fridlcy and with thc Minncsota Construction Codc�; that I undcrstand this i,s - not a permit but onlv an application for a permit and work is not to start without a permit on sitc; that thc work will bc in accordancc ' with thc approvul plan in thc casc af all work which roquires rcvicw and approval of plans. S CN TUR� ON APPUCANT L1/f` PR1NT NAMt l�.t % Lf� II�J�J�i� vATt v` �! �! 1, A ��ty �f r�galey �u�ding �ns�aections �epa�mea�� 6431 Universiry Avenue '�VE, Fridley, ivIlV � 543? ?b3-�72-3b04 FAX: 7b3-SQ2-=�977