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AF - 35364sue�ecr PERMIT NO. City of Fridley � 12995 AT THE TOP OF THE TWINS g U I L D I N G P E R M I T r ; ;, RECEIPT NO. � ; L ______ COMMUNITY DEVELOPMENT DIV. {q� r � � PROTECTIVE INSPECTION $EC. �`(�� 1 = i �` /"'1 � CITY HALL FRIDLEY 55432 NUMBER REV. DATE PAGE OF APPROVED BY ""'� � ,�� 612-5603450 910-F15 6-4-75 � � JOB ADDRESS 1 LEGAL LOT NO. BLO K TRACT OR ADDITION SEE ATTACHED DESCR. 6 4 Rice Creek Estates SHEET 2 PROPERTY OWNER MAIL ADDHESS ZIP PHONE Stephen Shelstad, 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Pine Tree Builders, 8415 Center Drive N.E., Minneapolis, Mi.nnesota 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAILADDRESS ZIP PHONE LICENSENO. 6 USE OF BUILDING House & Ga.ra e 7 CLASS OF WORK C� NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK House 26. 6 x 40 x 20 & Garage Construct S 20x24x10 9 CHANGE OF USE FROM TO STIPULATIONS Provide Hard 5urface Driveway. Provide Verifying Survey Before Capping. 5ewer: 64' South of M.H. (5.Inv. 914.85) Wye Elev. - 917.73 Top of Footing - 921.23 Water: 11.2' South of Sewer Service 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 Z S�. 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 R j, ], Fj%% 2% 66 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 COMPLIED ' WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT 2 Q DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE pERMIT FEE SAC CHARGE PRO S OF ANY OTHER STA R LOCAL LAW REGULATING CON- ST CTIO OR TF�E PERF A E F CONSTRUCTION. � PLAN CHECKFEE TOTALFEE SIGNATUREOFCONTRACTORORAUTHORI2E G T (DATE) HEN P OP L V DATED THIS IS YOUR PERMIT ' v .Tvnc� 4 � 7 �7_� SIGNATURE OF OWNER (IF OWNER BUILDERI IDATEI BLDG INSP f1A7E _„ � � .. �, '� APPLICATION FOR RESIDENTI�tL, ALTERATION, OR AllllITION BUILDING PERMIT CITY OF FRIDLEY, �1JNI�T�SOTA . OWiv�R' S NAME :�� @ 4J rIGI Q`t' A-Il� BUILDER: �1 ��F ,� � �� 1 C�� ADDR�SS : AD�JRESS :_ � � ! S ��v °� Q � I� IL � NO ° , � ` � S TREET • �� LOT :_+� BLOCK a �i ADDITTON : � t C@ C�r,� ,� �S� �,� > CORNER I.OT : INS IDE LOT :__ ��SET ACK o``�� SiDEY�iR.D :_ �n �%� � -�d Applicant attach to this form �ro Certificates of Survev of Lot and proposed building location drawn an these Cextificates. HESCRIPTION OF BUILDING ' To �e Used As : s � L�{ � s` ��s ��X f,� � y �ti ' � De th: / �s2 �'�. Front • P � H�igh� • t� ` �1�1 � Square Feet ° �• Cubic Feet ;_�'�� _ � � �� > .� � i°� �b� Front :�. fo Depth •_ � C7 Heigh� :_� � Square .Feet;�� Cubic �'eet; �,� ,;9` °Z%i l � �> � ¢..u. . Type of Construction: ��1� ��L�� Estima.ted Cost• ��( :Co Be Completed s �,�,� .� Z G� O� The undersigned hereby.makes applicativn for a permit for the worlc herein specified, agreeing to do all work in st�eict accordance with the City of Fridley Ordinances and rulings of the Department of Buildings, and hereby declares that all the facts and representations stated in this application are true and correct. r DATE: SIGNATURE: (See Reverse Side For Additional Information.) Z�%��f� i �•�/t�00 = �.Z`. Z�., c�ovK,��i�oot, % i3.e� , t,�• t` �� ss. �-�.,...s.r- ��,��. .�� G3. Z� s 3g�.�G �. � � ,�� - - 33UILUING PEIZi�IIT FEE SCHEDULE SECTION 2. The Inspecf:or of Buildings sh�ll, before a.ssuing permiics for the exection of any building ox stxucture, or for any addition to any existing building or structure, or for any, alteration or repaixs to any existing building or stxuctuxe, upon application therefarea require the payment by th.e �pplicant for such permi� af fees to the amount herein below se� forth and in the manner herein grovided to-wit: UNIFORM BUILDING CODE: T�jpe l, 2& 4-$2.15 fo•r each one thousand cubic feet, or fraction thereof, in such cubical contents, Type 3& 5-$1085 fox each one thousand cubic feet. AllDITIONAL INFORD'IATION Fox the purpose of computing fees for building permits,.the cubical contents of an.y buildiug ox addition., is determined by multiplying the ground area covered fxom a point six (6) inches Uelow the floor line of the basemen.t ox the cellar to the average heights of the upper surface or to the average:< height of the roof surface of the ma.in gable of a pitched roof. For repaixs or alterations to an existing struct�re9 the fee sha11 be at the rate of $3.00 per each five hundred dollars ($500.00) or traction thereof in the cost of a11 proposed woxk. . Tn no case shall the fee charged for any permit as set forth in Section 2 be less than $5.00. . VERIFICATION OF FOUNDATION NOTE: Permits for constxuction wiZl be issued a min.imum of 24 hours from the ti.m.e of application, to allow for proper review of the proposed structure and of the construction site. A Certified Survey of the loi, showing the lacation of the foundation, once it has been constructed, wi11 be requixed before proceeding_with the framing. CERTIFICAT� OF OCCUPANCY Applica�ion for a Certificate of Occupancy shall be ma.de ten (10) days prior to the use or oceupanc}� of any structure for which a building permit has been issued; and said structure shall not be used or occup3.ed until a Certificate of Occupancy has been issued. �� , . , .._ ' � ". �,�.; . y ry .. 4 � ia Mdl�xS�t�-t' .�{t�]4�� ir ��f ;{� 4 ' . . .n �i` � . . �" . � �E�'T1�ICATE.� �F SVRVEY , ' FoR: Pine_TY�,ge Builders. �na. . , _ , . . . . , . , . - � 3• _ '� .. . . � �. . . d �. .. �� .h.'�� . . . . . . . t �� - y � . N � � �� << � � � . . �2�.cs0 _ is ! , ; �� : � ► '�� ' ',,,: i 1 a . �, ,1.� l� � i {/� ; ' �.. � . . � _, .. , ti.�' ' { p ' ` �� C ( s � �`�� , � I w� ' , I� � � . , ° �' ' t ¢ � r � ' "" , f � � '+ � t � , . . it �} . '� f� � � . �� . . :�r � 'qa., .�r -_ ! � � . , 6� . ' 1 iS, �, � � 12 � � OD ; � . 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I r. w I N ''' W 1 W� � �. ��' ! a �' � I n iSfOrles M � G _. �� ' � M/AtrR � a � � � � d � ' � x x � o � �.s � w x 8 ;� s E j � n �� u�� w u. s � U �! �1 � n w a: X � � � � tl .� �ATN � � .. �y ` ° ,� `a°'` .. � � C p � nios � �i �"� .p. 5 .°: 7 ti � o � N � Pi p' -'9i • A � � M h d '� awLl►d ~ x � • � � ~ �° � � �O . A • � '.y 'O • � � u� � � `�. SIHCS $ � ; � p o � ,� � • ��-! � �. �, .� �wwv� a . . .' �y •y � : y � � � riurs � : . . �p . � � . a . • • W tD : � 00 : � A OR�NIt, .� • � � � iou�ii. �. . . . � $ . . . . . . ., . . . . � , sHwas. • • • • • M • • • • ' � • • • w �, r�ov� . . . . � . . � . . . '� . . . . . . . ^I oaA�Ns • • • • � • • • .. ('� CATCN • • • • • • • • . . . . . . . . . y � e,uiKs . . . . . . . . . . . � � wuTo _ � wtiskts 1'S'1 � c+is O �O i � o�►+ct ^ K K K � K K x x x x m� c�s tn � N :1� N � W � W � .N-. N .�y Oo[MINGS g c"�n �' a�i c�n $ �n' � $ c� M . o r q N► M t � 4� d► 4A M N 2 O I � o ' I o i� � " � .{ / I H � � ' . �'r u� I � r OD � � �' � o c . ��., - ' 4 � � e o � o � x �q � °� ' c a a. � � p� . � �' � � n 6i .� �s , a o . ' � (') v� ' $� G � .�-. o �. � a J � m ' � g :: i x� . ' � � � Q. r ' � � � A „ � v� �� '� _ ! �J , �. I I � d w „y� A aa� � ti �, a ' .°. � �' � � � � 0° w � ;� i]. � C � n � '� � �' s � �i w a A �'L O .y ��,� � � �= � " F �� A A N a � XA � � N �' ' n m C � p ': a d :�. � ��m d a � O f9 a � � . ? � p � � y d ro � � a f �A y N a�,�� .. �� w n� . � �;� o � f' ci M n �i' � ; n I 3 � �. 0 1 x � g �a :C � � M aN �O x � O p ;�C o� O .� �f :� � � p' 'qy .... �� Q � � � � � � � ,�� ; � • � � � � � � � pp�. `� O 6i� . � � Wf� � t3. �y' � �w �, � � y�. �¢�1 �-� ° "'� C o rJ � �� w � • 0 . �� ,� :p: z� 3'i�' e • , �c� � � �� °� � �-� FR[DLEY MUNICIPAL CENTER • 6431 UNIVERSITY AVE. N.E. FRIDLEY, MN 5543? •(612) 571-3450 • FAX (612) 571-1287 April 13, 1994 Ms. Barbara Reichow 6140 Benjamin Street Fridley MN 55432 Subject: Driveway Restoration Dear Ms. Reichow: PW94073 I received a copy of a memorandum regarding a letter you sent to Councilmember Schneider in which you outlined your attempts to have your driveway repaved during the TCAAP construetion project. I was not aware of your interest in repaving your driveway during the upgrade of Benjamin Street. While I advised residents that replacement of their driveways would be possible during the project, I only received requests from two residents. This year we are proposing to incorporate in our street �improvement project a bid item for driveway replacement. We anticipate the bids will be completed in the late May/June period. Once the contracts have been awarded, we will be able ta identify the cost for this year's driveway replacement. I have placed your name and address on our interest list and will provide you the cost information once this has been established. If you desire to replace qour driveway, you can then contact us. We will provide you a definite estimate of the cost, you would then decide to escrow funds with the City and we would represent you with the contractor to have the driveway repaved. , I am sorry that we were not able to accomplish this for you last year. Hopefully, we will be able to do the work this year if you are still interested. If you have any questrons, please feel free to contact me at 572-3550. Sincerely yours, �f�i�-�...-� � `�''`John G.. Flora r � Director of Public Works JGF:cz sue�ecr ERMIT . City oi Fridley � 4 6� � 5 AT THE TOP OF THE TWINS g U I L D I N G P E R M I T r � �• COMMUNITY DEVELOPMENT OIV. REC O. , �,: ----- ; 5� 3 �i r � � PROTECTIVE INSPECTION SEG. � � ' ' ��1 � CITY HALL FRIDLE� 55432 NUMBER AEV OATE PAGE OF APPROVEO BV �""'�"� �'' 612-571-3450 9�0-F15 11/4/96 / � JOB ADDRESS 6140 Benjam.in Street NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 6 4 Rice Creek Estates SHEET 2 PROPERTV OWNER MAIL ADORESS ZIP PHONE Barb Reichow 6I40 Benjamin Street NE 3 CONTRACTOR MAIL ADDRESS Z�P PHONE LICENSE NO. Richard Hastin s Contr 6331 Riverview Terr NE Fridle MN 55432 574-9966 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 4051 5 ENGINEER MAILADDRESS ZIP pHONE LICENSENO. 8 USE OF BUILDING Residential 7 C�ASS OF WORK ❑ NEW ❑ ADDITION p ALTERATION p REPAIR ❑ MOVE ❑ REMOVE 1i 8 OESCRIBE WORK Reroof House (23 S) 2nd La er 9 CHANGE OF USE FROM TO STIPULATIONS Roofing can be the 2nd layer but not the 3rd. 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 S�. FT CU. FT. AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR �F 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 1 STALLS GARAGES AND KNOW THE SAME TO BE TRUE AND CORREC7. ALL PROVISIONS OF LAWS yALUATION SURTAX AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OH NOT. THE GRANTING OF A PERMIT $1,426 �.JZ DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE pEHMIT FEE SAC CHARGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- STRUCTION OR THE PEFiFORMANCE OF CONSTRUCTION. ��{8.50 Fire cJ�'i �I.�F3 �� PLAN CHECK FE TAL FEE � � �l �� Licen SC 5 . 00 $55 . 65 -- S�GNATUREOFCON'RACTOROAAU OAIZEDAGENT IDATEI N P RlY ALI ED THIS IS YO�I'�' SiGNATUFiE OF OWNEA UF OWNEA BUILDERi iDATEi � LDG �NSP ppTE r NEW ADDN ALTER tl [l �l CI1'Y OF FRIDLEY SINGLE FAMILY A1vD DIIpLEXES R-1 AND R_2 Building Permit Application ConstructionAddress: �/�D ��.� j�� ,°� 5� �r� �= Legal Description: Effective 3/1/96 Owner Name & Address: � � � g '�� C � �, � Tel. # Contractor: %: c �, p� p �,� S f r'n� GS MN LICENSE # /o S� Address: 6 3 3 r ��►� �� u i c� � iZ Tel. # S i �/ �- �d� Attach to this applicarion, a Certifica,te of Survey of the lot, with the proposed constxuction drawn on it to scale. LIVING AREA: GARAGE AREA: DECg AREA: OTHER: DESCRIPTION OF IlVIPROVEMENT Length Width - Height Sq. Ft. �n� Width Height Sq. Ft. Length Width Hgt/Ground Sq. Ft. � 3 .s�, Corner Lot [] Inside I.ot [] Ft. Yd Setback Side Yard Setbacks - Type of Construction• %�� i2 e� a� � rs�e2 � L.� �iz Estimated Cost: $ ��, d� Approx. Completion Date: f z� �„ - ' (Cost on Back) Driveway Curb Cut eVidth Ne�ded: Ft. + 6 Ft = Ft x$ —$ DATE: / �� APPI,ICANT: Tel. # 5> fl'��6� ' •_ Permit Fee Fire Surcha.rge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee Sewer Main Charge TOTAL STIPLTI,ATIONS: CITY US� ONLY $ �-��- Fee Schedule on Reverse Side � � .�1 of Permit Valua.tion (1J10th%) �_ j%� $.50/$1,000 Valuation � $900 per SAC Unit � � � �� $5. � (Sta,te Licensed Residerrtial Contractors) � Alt. "A" or Alt. "B" Above � $450.00 Conservation Plan Review $ Fee Determined by Engineering � Agreement Necessary [ ] Not Necessary [ ) � - �. �� BUII..DING 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 st�cture, 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 VALUE $1 to $500 $501 to $2,000 $2,�1 to $25,000 $Z5,00.1•�(i $S.U�E�00: • ' FEES $21 (Minimum Fee is $21 plus surcharge) $21 for first $500 plus $2.75 for each additional $100 or fraction thereof, to and including $2,�?0 $62.25 for first $2,000 plus $12.50 for each ad.ditional$1,�0 or fraction thereof, to and including $25,000 � � . ' : • $349 �75 fi?r first $�5�;(�O.plus•$9..{1Q for each additic�iat •$1,0�' � � � . , � : or fraction thereof, to and including $50,� - ' $50,001 to $100,000 `$574.75 f�r first $50,� plus $6.25 for each'additional $1,(�0 or fraction thereof, to and including $1�,� :._ , $100,001 to $�00,0� . $887:25`for first $100,� plus $5.� for each additi�nal � � .$1,.000 o�r. fraction.there,of,..to .and.including.$500,000 ' , : ;; �� .�N , 5 �• �: , : �:�.,, �r,.,;,.,,� , . ; $5�,�1 to $1,000,� $2887.25 for the first $5�,�0 plus $4.25 for each additional $1,000 or fraction thereof, to and including $1,(�0,�0 $1,�0,(}Ol and up � �w�;$5012.25 for the first $1,000,000 plus'$2:=15 for ea.ch: a.dditianal $1,�`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. Alterna.te "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 it has been constructed will be required before proceeding with the framing. SuB�ECT ��""'�� City of Fridley 33004 AT THE TOP OF TME TWINS g U I L D I N G P E R M I T i � R O. � � � `L �_��_ COMMUNITY DEVELOPMENT DIV. r � � PpOTECTIVE INSPECTION SEC. �� 1 ., � l__-- =;��;.� CITY NALL FRIOLE� SSI32 NUMBEN REV OATE PAGE OF AVVROVED BY L J\ 763-571-3450 s�aF�s 8/22/02 / / JOB ADORESS 6140 Benjamin Street NE - t LEGAL �07 NO. BLOCK TRACT OF ADDITION SEE ATTACHED DESCR. (7 4 Rice Creek Estates SFIEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Barb Reichow 6140 Benjamin Street NE 763-574-0615 3 CONTRACTOR MAIL ADDRESS 21P PHONE LICENSE NO Gary Jansick: Inc 6480 Squi�e Drive NE, Fridley, MN 55432 763-574-9679 8618 e ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE UCENSE NO. 5 ENGINEER MAII ADDRESS ZIP PHONE LICENSE NO 8 USE OF BUILDING Residential 7 CLASS OF WORK • ❑ NEW C� ADDITION O ALTERATION ❑ REPAIR O MOVE O REMOVE 8 DESCRIBE WORK Construct a 12' x 14' Deck 9 CHANGE OF USE FROM TO STIPULATIONS See notations on plan. ,��, , :, ,:. �: = c �EPA�ATE �E��il�� x - REQU9RED FORm f�r� daggen� c�IB fo� weRi� H�a��G �IB ut°lity Boc�teorts �LUM�ING� AND SIG�� '��Od� ��'� �Y LAV�Y SEPARATE PERMITS ARE REOUIRED FOR ELECTiiICAL, PLUMBING, HEATING, TYPE OF CONST. OCCUPANCV GROUP OCCUPANCV LOAO VENTILATING OR AIR CONDITIONING THIS PERMIT BECOMES NULL AND VOID IF WORK OF CONSTRUCTION ZONING SO. FT CU FT. AUTHORIZEO IS NOT COMMENCED WITHIN 60 DAYS. OR IF CONSTqUCTION OR WORK IS SUSPENDED OR ABANDONED fOR A PERIOD OF 120 DAYS AT ANY TIME AFTER WOfiK IS COMMENCED NO DWLG. UNITS OfFSTREET PARKING I HEREBY CERTIFV THAT I HAVE READ AND EXAMINEO THIS APPLICATION 1 STA�LS GARAGES AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS Of LAWS yq�UATION SURTAX ANp ORDINANCES GOVERNING TMIS TYPE OF WORK WILL BE COMPLIED @ WITH WNETMER SPECIFIEO HEFEIN OR NOT. THE GRANTING OF A PERMIT `P1�932 �.9] DOES NOT PRESUME 70 GIVE AUTMORITY TO VIOIATE OR CANCEI THE pEqMIT FEE SAC CMARGE PROVISIONS F ANY OTHER STATE OR LOCAL LAW REGULATING CON- STRUCT O TNE PERFORMANCE OF CONSTRUCTION $69 . L5 Fire S�.' � L. 93 � , PLAN CMECK FEE TOT L FEE Lic SC 5.00 $77.15 iGN UpE O� CON'�7ACTOQ OA AU iZEO nGENr IOATE� H N P � V VALIDA D THIS �S VOUR PERMIT � �-�� S�GNniUaE O� OwNEp�iF OWNEABU�LDENi iDATE� LDG ih qtitE e NEV11 [ ] ADDN ( ] ALTER [.�]� J �� ?� �� r CITY OF FRIDLEY Effective 1/1/2002 6431 University Ave NE, Fridley, MN 55432 (763) 572-3604 Bldg Insp �� SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION Construction Address: " lv �� 1-a,?n•1Q IM l r1 S�'r"e�f �� Legal Description: Owner Name 8� Address: � r � o� Sam �c � eu.�. Tel. # 7!0 3—_S`l,s/- d�o /.S Contractor: ��.� �a N s � c%. �� z�,� � �itl�, MN LICENSE # �� /� Address: (o S(!�"% � 4 G� i r��-%1 �. '�,'�%e•, 1� f_��ael # 7G3-,S`7 y- 96 �9 LMNG AREA: GARAGE AREA: DECK AREA: OTHER: � ��a- �o �- S�s�B-� rnz � e Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF IMPROVEMENT i Length � Width � Height -Sq. Ft Length Width Height Sq. Ft Length I Z� Wdth 1 y, Hgt/Ground (o' Sq. Ft /� � Construction Type: a �6 U � Estimated Cost: � �;;;�� ,� Driveway Curb Cut Wdth Needed: Ft + 6 Ft = Ft x$ _$ DATE: �� % D i- APPLICANT: U�� ` Tel. #%l0 3',.�7�/-9ro �9 Call (763) 572-3604 for Permit Fees if mailing in application or Fax to 763-571-1287 if using credit card and we will call you for card number. Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee Sewer Main Charge � � � �� $ CITY USE ONLY - Fee Schedule on Reverse Side .001 of Permit Valuation (1/10th%) $ $.50/$1,000 Valuation $ $1200 per SAC Unit $ .�p C� $5.00 (State Licensed Residential Contractors) $ Alt. "A" or Alt. "B" Above " $ $450.00 Conservation Plan Review $ Fee Determined by Engineering � $ Agreement Necessary [] Not Necessary [ J TOTAL $ __�� STIPULATIONS: BUII..DING PERNIIT FEE SCHEDULE The Chief Building Official shall, before issuing �rmits 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 e�sting 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 VALUE $1 to $500 $SO1 to $2,000 $2,001 to $25,000 $25,001 to $50,000 $50,001 to $100,0(}0 $100,001 to $500,000 $500,001 to $1,000,000 $1,000,001 and up FEES $23.50 $23.50 for first $500 plus $3.05 for each additi�nal $100 or fraction thereof, to and including $2,000 $b9.25 for first $2,000 plus $14.00 for each additional $1,000 or fraction thereof, to and including $25,000 $391.25 for first $25,000 plus $10.10 for each additional $1,000 or fraction thereof, to and including $50,000 $643.75 for first $50,000 plus $7.00 for each additional $1,000 or fraction thereof, to and including $100,000 $993.75 for first $100,000 plus $5.60 for each additional $1,000 or fraction thereof, to and including $500,000 $3,233.75 for the first $500,000 plus $4.75 for each additional $1,000 or fraction thereof, to and including $1,040,000 $5,608.75 for the first $1,000,000 plus $3.15 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 fe�t times $15.50. 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 $23.25. 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 it has been constructed will be required before proceeding with the framing. New Houses Only 6480 SQUIRE DRIVE FRIDLEY, MIV. 55432 •(763} 574�9679 • LIC. NO. 8618 AUG 6, 02 PERMIT INFORMATION SHEET PROJECT: REPLACEMENT DECK 01AINERS: BARB REICHOW JOB ADDRESS: 6140 BENJAMIN ST NE FRIDLEY, MN 55432 PH 763-574-0615 CONTRACTOR: JANSICK INC. CONTACT PERSON. GARY JANSICK 612-574-9679 MOBILE PH. 6 i 2-701-4486 FAX 763-574-1330 WORK TO BE DONE: REPLACEMENT DECK & STEPS MN LICENSE N0. 8618. � ' �� / :� / � ..� I��' �,�o�� l/,�� s� �U�' l�o�-v , � �,o%s �l/�li , �. . �x � �� _ I �.c��.� � �/r' ��io� , _ ��'�S4 � �C ��/, �� DECK DETAIL . �' /� �'/1/�%/ ��4/ Z� l� CU/ � �l//1/ ,� � � r � '��.� s �� /� �G� 5/4 X 6 RADIUS EDG AR D KING _. JCIIST HAN(;FRS Rt�TH FNI�S � , GRIPPABLE RAIL WHERE NECESSARY �� o �� :� ' U/NIAX RISE � 8�� 12 STRINGERS 6X6 CEDAR POSTS/TREATED OR RSC 2X10 TREAT. JOIST 6X6 TREATED P4ST OR RSC 2x6 TOP RAIL 2X 10 TREATED JOIST� 16" 4N CENTER RIM 2-514X6) 5/4X6 DECKING CEDAR 2X2 BALUSTERS 2X6 TOP RAIL 1 Z"X42" DEEP FOOTiNG, f LARED AT BOTTOM LEDGER LAGGED HOUSE FLASHING NEXT TO HOUSE 36" MIIV � TE 2X4 TOP L� � /►�'�� '�'' RAIL SAMPLE /�/o �� s�� s�� PLAN APPRQVED � �BNSPE,�`T�pNELD INSPECTOR � � ,� 1 D r« -� � o � d .� 1 r► �• 7 N � N. �. �� °' o � � � 0 d � O �� • c� � � v a o � m 41 � �� o � � � � � �. . � S 0 c r« c C -i � a � � 0 � 0 D '0 '� 0 < � a � � � m Z � � m C) "'' � z � m m � v O O � _ 1 � 0 2 � z G� r p N � � �� o. e'� d N \ � c � � '� ni v_ — N� � A c� 0 � O � O � � D D r � '�1 C m -� m � S N � �D � � ,� �, ,o � � N � � �. � 3 � j n � c � N �� a �,o,a� o► .. nt � �� y C � ,� a s � � o � a � o. Q � p o � .�_< °_' � ? V1 � p� � 7 � N � �, � �, �''a�',� �3 � A N � � fD .�r '� � � A � � A p O 1 ��an, I- � ° ' 'o � N � � .�O'�.� � A pt :+ O �+ 3 -w � p� � O � — � .� ,ny. ? lD � tD Ci �D d � o v o '� �, a � co 'o. � � � �. D � O o � G � d N \ (D (�p v ° �, D � v �' 'a Qo n�' D � rn (D � o ..; �� O N �- � � -� � Z W D Ci v r D n 0 � a � �' 00 D � N tp N � ni � v c�D � � � � � d � �D ,u v��iu�t� �3�j p�i DC vi NO.W� ^ � � o � 'v, ,-� � c�i e�o oWi `.�� C � r �p fn �D � rt O ' � � � °'� Nd �Z� � . � � � r ' Q' ^ C � � (,TI N � � � � � � �•, A � � � �a• �� W�D � .°+� �^'a N� z � °'=c � z� v �O� � r^m � � ..` � �C -�-�i � � � � O 3 Z' t'1 7C O� m Z �. c � 00 � °� C � � °; � • cn �d c� -. y O � Z 'O r �� .� O �-� � d a� � � Q � Z� Z� o >� � �z oN �v Z �v o= � . � Z Z OD 'Z -1 rn � NZ v .� � � m0 � '� N O Z �' Z� c vm � � �� o n � ? � � � � � /�'. I � < ��/ � � � 1+1 N A s m 0 C r �A 6A E�1 d�1 d9 N ►-+ r ►-+ W c,� c� o 0 0 °o o °o o °o � � � � � � � W W C � � O o► , C � � C a o m I ,� m ...,,, 1 � T � ^ d� d °' 3 r. � : o fD � � �� N I + _ � � � n �, � c� � o � > > 7 �p fD n � � � � N fl- fn N � I" N d Z 0 � 3 o amZu m� �o�. � � �a0 �."�' N �� • �� d , 1 a� m � � m" v n O N -i �.. � �� rn � � � � Z O � � � i W C r= � z � c � m v � � `�� ) � � ��, �l�s � �' � <' fG �' 01 � . � 0 � �o w . 0 a CHIIVINEY AND 3TACS VERIFICATION The undersigned hereby verifies that the existing chimney or stack: -�r- �� -�� 1. Has been carefully examined Yes �) No .() �2. 3. 4. ----- 5. 6 7. 8. Is free from rust or deterioration . Yes (�. ). No (=� ✓ Has no foreign objects lodged within �• Yes O No (��_- Is securely supported Yes �. ��No ( �' ) � . . Mezts all current Code requirements fo� size • . . ° ` - � � � Y - and total BTU's connected Yes � No ()�� Has total heating BTU's of ��D � All other BTU's �� S-� TOTAL BTU's / �O, ,� � G Has a liner been provided for water heater Has combustion air been provided for water heater Remarks: Yes ��14R� j No ( ) Yes� No ( ) .. � �,� • ' . . _ _�. . .I.is�ALTER,A TI�r1s Be1�g��L:. � `�' � � � � � � . ;: : - --- -�--- - -- a� �� - - - - — - -- - --. - - - � � � � �� .��ql�� `' - _ /�%l�ils[J �`'G�/�v1�.�. � R3 c�i r,r �� . . HEATING CO: Signed By: Date: DEPENDABLE INDOORAIR�UAUTY� INC. 2s�s cooN �w�cs sotn.EVa�o COON RAPIDS 55433 rs,2� �s, � .� � 0 0 � � m � s D f° r � � m m � O C11 0 � '� c a � � 0 � T 7 � fl: � � � d v °: c� ,�� O ,o •��,�n � m= � c -n o Z m -^ v T 0 � � '� C o mi �' D � D _ v � �a N �v i m � 0 z � �°��°D�°� —1 � u, v� °;, °: °: 3 S ci � m a � T � � � c�o � � � � � � � � � � (C � � f_'D � � y W '� �. C � c� .. .,. °:; � � � d > > � � � � m � �. � _ � � �n � � � cc � w -, Z rn � ? N � � � � � � � g n � � � � � m m a � � m � v Z 0 I IlI�IIIIIIIII � � � � � � � � � � � � � U1 O O O�I p V�l �I V CJt .A V O O O O O p O O O O O O O � � � C Z � m � � Z -WC � n O � �� D . � � � m � r Z c �° � � � N � � � 0 C�J W . N C � = 0. p�l �� a C n y 0 0, ^' D � y � V ��Sj m� � � .�, m i$ .�im�i a -� R1 O � � � tn 'Z � 00 c�'ii Z � W m N�a � �� Z O � . _ .� � � � �1 -- � � � � i � � a . � N cc' � .� Q � . � m .� � � . f/) . � '0 , � 0 � 0 .� c� .� , � c� , O � , � � � C � Z � NO:wCi -� O) `��. C ��.'CP � � cZn � � �� N ,C ,,,RE cD � mT a �v -� r n � 0 z � 0 � � C � Z � a v� D N � � Z �ii '9 m � -� N ..a O � co to tC o ' - _ CI"IYOE FRIDLEY FRIDLEY MUNICIPAL CENTER • 6431 UNIVERSITY AVE. N.E. FRIDLEY, MN 55432 •(763) 571-3450 • FAX (763) 571-1287 January 25, 2002 Ms. Barbara Reichow 6140 Benjamin Street NE Fridley, MN 55432 Re: Final Inspection at 6140 Benjamin Street NE Contractor. Dependable Indoor Air Quality Inc. Dear Ms. Reichow: Permits were issued on September 20, 2000 and August 31, 2000 to install a fumace and water heater at your address. According to the 1991 Uniform Mechanical Code and Section 4715.2800 of the State Plumbing Code, a final inspection shall be conducted on the work authorized by these permits. The final inspection conducted on November 16, 2000 noted the following correction: Size vent connector per GAMA tables. The permit fee that was paid covers the inspection to make sure the work was completed according to the Codes. We need to inspect the noted corredion before we can final out the permit. To set up the inspection or to have any questions answered, please contact the Building Inspection Division at (763) 572-3604. DJ/mh e. . ,�:__,v_, > 13 February 2002 Mr. Dave Jensen Building Inspector City of Fridley 6431 University Ave. NE Fridley, MN 55432 Dear Mr. Jensen: Your letter regazding a final building inspection of my new furnace was forwarded to me here in Arizona. I will be here wntil some time in May but will certainly call you when I return so you can arrange for a final inspection. I'm a little puzzled, however, because it was my belief that you had already given your final approval. I realize tha.t there was a question regarding the size of the vent connector, and after making several phone calls to both your office and to Minnegasco, I was assured that everything was according to code. In any event, I will certainly ca11 when I return to Minnesota and we can arrange for that final inspection. If you need to reach me before that time, my address here is 11411 N. 91� Ave. Lot 196, Peoria, AZ 85345 or you can reach me by phone at (623) 776-1419. Sincerely, ✓ Barb Reichow ,v 6140 NE Benjamin St. Fridley, _ CIIYOF FR[DLEY FRIDLEY MUNICIPAL CENTER • 6431 UNIVERSITY AVE. N.E. FRIDLEY, MN 55432 •(763) 571-3450 • FAX (763) 571-1287 August 23, 2002 Ms. Barbara Reichow 6140 Benjamin St NE Fridley, MN 55432 Re: Final Inspection at 6140 Benjamin 5treet NE Contractor: Dependable Indoor Air Quality Inc. Dear Ms. Reichow: Permits were issued on September 20, 2000 and August 31, 2000 to install a furnace and water heater at your address. The final inspection conducted on November 16, 2000 noted the following conection: Size vent connector per GAMA tables. We need to reinspect the unit to make sure the correction has been completed. To set up the reinspection or to have any questions answered, please contact the Building Inspection Division at (763) 572-3604. DJ/mh . AUG-05-20@2 07�59 FROM CITY OF FRIDLEY TO 574133� P.Q1.-01 , f CERTIFiCAT� t�� SURVEY f c,:t PINE: "�RE� PVILOERS, YNC. i �� 6 � io � �- �. W�• i �� i a5 ; _ , Y� � � i .•�.•. ��'..•.�y�:�1i�t� � C . � �. � � 25 � f ,,�•• a.,s, � .;; , ig •.. � ,.�-r � � i ' x+hda�;nrs , . � I � � ' � � �4�Z � 0.� I � „ i � a „.,i I � 1 � � �Y1A�e �a6emen't••'� . `S_ � iZ0.C74 .. � ` 25 � � O De:rto-6�5 ir•on mt�rt�mp�r�-� Re��i=_,ed �a-?.�-�5 �o shc,w �'aur��a�i��1 � Lo� !�, �tQ�k 4, R10E. C�EEK F.SiA-C'�S, ' Ae-�aka COUt'��§y ,. NI in n. � ' �ocwi �:�' CourtErt� � ��u rue�or�. I, e : �.i eYS `i� • 'plf�• f",��it1::�.1 ��.1�•' ! '1!j�'�t•I.:t ill�j � ?i��?t.; /f;t': !.t , .� !.f4 ..� R��ur�> :� N - �i,�,��: r�t F'.�tt, n�^.: Eof�4.°h 1�1��,;, ��.s.i ;:S�iO r----- �II }i�,is:hy i:�`i; ;y ih4�t tl1�, i�.i °n+�� u:ti �:+sii<:�:i Fc�ri�:tiiri��.ii!cttt ;�i d �t�ru:av ��i tl�+� fx�ur�rJ.�� , c�! th�: .itrav�� c!��,�:� �k�,�c! f,�n�i ;��yel c,t th�r Is�r�,t��>�t s�4 .i!! hu;;il�r;e�5, �� ,.�tr�, th�>i�:�y��, ,�,t�l �di v��k�l�• ��nc:itFtl��i�ir�ciit�., :t ;ir+�;, f:��ti t7i v�1 e.:�'? I.t�u:. i�`� \�!7 ��.y� f� fF+f 111f• ':i::i 1Z �%� S��IY �.�i iL° V• .,�� .� . . �..�.,.�. �t � �yr'�. . ��:,�t k.�,a. r��,. . tia�� . � b t � � V ' 6 l/ � `J - So �� '� � �a �, c� �.. � �! -� • .:t)�� isr, i�a . .., t��,: , �.".. .,...,_. ..._ U � �� t�1 t 1� TOTf�L P . 01 �uilding Inspections 763-572-3604 STTE ADDRFSS li� { `7 lJ Z`HIS APPLICANT IS: I'Rf71 ERTY OWNER! TENANT CONTRACTOR SUBMIT A COPY OF YOUR. STATE LICENSE WI'TEI APPLICATION PRO�'ERTY TYP� PERNIIT TYPE TYPE OF WORK: BUII�DIi�TG RESIDENTIAL APPLICATION �ITY OF FRII�LEY YOUR E-MAIL ADDRESS n� .IV.T . �CONTRACTOR Permit No.: Received By: Date Rec'd: ADDRFSS: � �' � CITY STATE ZIP. PHONE:,�CO �i' � � � � o� N��— The Home Depot A.H.S. Inc. sTA� r�c 3200 Cobb Galleria Pkwy. ' avD�ss: Atlanta, GA 30339 � STATE z�• rxor�_ �63-542-8826 o �vo FA License #20268257 _ �n� QADDITION ❑ GARA.GElSF�D ❑ WWDOR'S ❑ BASEIviEN'f FINISH ❑ ROOF ❑ DRAW TILE ❑ DECK ❑ SIDII3G ❑ OTHER ❑ SVJIMIvffi�iG POOL DESCRIBE BdORK BEING SIZE OF IMPRflVEMENT NUMBER OF SQUARES _ GARAGES PROPC?SED SIZE: PROPOSID HEIGHT: SIDING 0 V'myl ❑ Aluminum ❑ Other ■• •.�� 'I'�i �JIDTH � HOUSE 8c GARAGE � ATTACHED GARACrE ❑ DETACf�D GARACsE OSoffit 0 Trim ❑ Fascia �maws IN EXISTATG OPENlNGS �Yes ONo LOCATION OF WII�IDOWS OR FOR NEW OFININGS-DESCRIBE SIZE OF OPENING CHANGES &c � TYPE OF WIIQDOW TO BE INSTALLED NUMBER OF 9VIl�IDOWS � ALL FEES ARE BASED ON VALUATION, INCLUDING THE COST OF LABOR AND MA (LTSING ��997 U.B.0 FEE SCHEDiTLE) �ASEMENT REMODELING SUBMTf: 1. Existing Floor Plan 2. Proposed floor plan 3. List of structural members to be used FOR NE9J CONSTRUCTTON INCLUDING DECKS, ADDTTIONS. & PORCHES SUBMIT: I. Site PlanlSurvey showing the existing sirucmres and proposed project. 2. Two sets of const�uction plans 3. Energy Calculatioas TOTAL JOB VALUATION Permit Fee ' Plan Review 3urcharge Fire Surcharge License Surcharge �AC Charge �urb Cttt Escrow �rosion Control ?ark Fee >ewer Main Charge Cota! Dne hereby apply for a building :onformance with the ordinanc �ermit but only an applicatio�j �lan in the case af all work vy�v ;IGNATURE OF I $ ,� �"� $ �.� $ � _ QC� � � �� $ $ $ $ Q $ TYPE See Back Page for Fee Schedule 6S% of Building Permit Fee (.0005� times the total job valuation — Minimum $.50 .001 x Permit Valuation (1/10%) $5.00 (Sta.te Licensed Residentia.l Contractors) $1450 per SAC Unit (Plans to MWCC for determination) ft+6ft= ftx$20=$ $450 Conservation Plan Review Fee Detezmined. by Engineering Agreement necessary ( ) Non Necessary ( ) Make checks payable to: City of FridIey Attach THIS IS AN APPLICATION FOR A PERMIT NOT VALID UNTIL PROCESSED rmit and I acl�owlecige that the information abave is complete and accurate; that the work will be in and codes of the City of Fridley and with the Minnesota. Construction Codes; that I understand this is nat a � a permit a�work is not to start without a�permit; tha� the work will be in accordance with the approved