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AF - 35371SUBJECT City of Fridley AT THE TOP OF THE TWINS g U I L D I N G P E R M I T ,, ,� � ; v _.��_ COMMUNITY DEVELOPMENT DIV. � PROTECTIVE INSPECTION SEC. i , � ` � �� "'1 � CITY HALL FRIDLEY 55432 NUMBER REV. OATE ""� � ,�� 612-560-3450 910-F15 3/5/75 JOB ADDRESS 6150 Benjamin Street NoEa 1 LEGAI. LOT NO. BLOCK TRACT OR ADDITION DESCR. 5 L]� Rj.Ce Creek Estates 2 PROPERTYOWNER MAILADDRESS Z�p Briar Homes, Inc. 10134 Central Avenue N.E., Mpls, 3 CONTRACTOR MAIL ADDRESS Z�p Same 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP 5 ENGINEER MAICADDRESS Z�p 6 USE OF BUILDING 7 CLASS OF WORK S DESCRIBE WORK 9 CHANGE OF USE FROM PAGE OF / / PHONE PHONE � . 128'74 REC �?�795� / � APPROVED BY SEE ATTACHED SHEET LICENSE NO. LICENSE NO. PHONE LICENSE NO. NEW ❑ ADDITION � ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE t ., n�i TO � v '� Il � STI PU LATION S Provide a hard surface drive�zaye Provide a verifying survey before cappinga SEWER LOCATION: 15` North of Manhole (N� Inv. 907.63) Wye Elev: 9a7.57 ' Top of Footing: 910a 57 Minimum WATER LOCATION: 9' South of Sewer 5ervice SEPER�1'E PERNiITS R��/iRE[? FQR ��V HEATIN�, PL�INt�11VG �,N�p � rRl�� S �NS. SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD VENTILATING OR AIR CONDITIOIdING. Tp]ppd Fr�le THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING SQ. FT. CU. FT. AUTHOfiIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT R I. 1244 30,160 To 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 3O Z%9 ].rj.].4 DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE pERMIT FEE SAC CHARGE PROVI$18tQ��pF ANY OTHER STATE OR LOCAL LAW REGULATING CON- STRt�CTION OR�;THE PERFORMANCE OF CONSTRUCTION. � S`56i_n(1 �a�� nn e r�Arv t.ntt.K rtt TOTAL FEE '1 {' 1 �� ^ ��! 1. � n OFCONTRACTOR�RAUTHORIZEDAGENT ��"d�--�DAT�I W EN RO L ATED THIS IS YOUR PERMIT * )F CIWNFR�IL [1WNF1] R�il� f1FG� �IiwTC� _, __ ,.._ � � P��P �� r � APPLICATION FOR RESIDENTIAL, ALTERATION, OR ADDITiON BUILDING PERMIT CITY OF FRIDLEY, MINNESOTA - OWNER' S NAME �,V`3 \ ch BUILDER : 1; � ADDRESS :`:(�� _1,��;�.�, � � 1 ADDRESS : NO:. c�/ SD STRF_F Lor • �_BLOCx: CORNER LOT: INSIDE LOT: /� SETBACR: SIDEYARD; �� Applicant attach to this form lfao Certificates of Survey of Lot and proposed building location drawn on these Certificates. ° HESCRIPTION OF BUILDING ' To Be Used As : -f , �t�r.�o.� >C� �_ Front : '��. io ,�DePth : y Hei ht : � �' ,� s Square Feet:�,�1� Cubic Feet: ` .. � Y��..�,.,,,, � Front - Depth : � ti Height --_ i �� 5quare Feet;�y Cubic Feet: � j 1�pe of Construction: �� ,'� Estima.ted Cost :__ $� Q a�� To Be Completed: �' ,� ? The undersigned hereby makes applicativn for a permit for the work herein specified, agreeing to do all work in stiict 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. DATE : � . 1 \\ . �Z � S (See Reverse Side For Additional Information. ) � :' ` ° � � ''�� . � ~ " �'` — a' ,—_ �,, � � � �_f • �,_ ) 1 e BUILDING PERMIT FEE SCHEDULE SECTION 2. The Inspector of Buildings sha11, before issuing permits for the erection of any building or structure, or for any addition to any existing building or structure, or for any alteration or repairs to any existing building or structure, upon application Cherefore, 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: tTNIEORM BUILDING CODE: 1j�pe 1, 2& 4-$2.15 for each one thousand cubic feet, or fraction thereof, i.n such cubical contents. Type 3& 5�$1.85 for each one thousand cubic feet. ADDITIONAL INFORMATION For �Che purpose of camputing fees for building permits, the cubical contents of any building or addition, is determined by multiplying the ground area covered from a point six (6) inches below the floor line of the basement or the cellar to the average heights of the upper surface or to the average� •height.of the roof surface of the main gable of a pitched roof. For repairs or alterations to an existing structure, the fee shall be at the rate of $3.00 per each five hundred dollars ($500.00) or fraction thereof in the cost of all proposed work. In no case shall the fee charged for any permit as set forth iti Section 2 be less than $5.00. VERIFICATION OF FOUNDATION NOTE: 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 Certified Survey of the lot, showing the location of the foundation, once it has been constructed, will be required before proceeding with the framing. CERTIFICATE OF OCCUPANCY Application for a Certificate of Occupancy shall be made ten (IO) days prior to the use or occupancy of any structure for which a building pern�j.t has been issued; and said structure shall not be used or occup3ed until a Certificate of Occupancy has been issued. ; � � .. � CERTIFICATE OF SURVEY FoR: BR1AR CONSTRUCTION � � �i � � -�•'•'=••U�ili-tiy � Drninage i i i M � . � � � � i � � _ � i � , � �' /s l � �20.� � �. � i 25 i i i l5 er� i , i . N � 0 � , o � � r � � i . � � � � �s , I 25 � Denotes iron mc�numen� a 0 N �ot 5, Block 4, R10E CREEK ESTATES, Anoka Cou��y , M ihn. v�Wh �' �OUht/'[� I hereby certify that this is a true and correct representation of a survey of the boundaries of the above described land and of the location of all buildings, c7l�LPUBI�O/'� if any, thereon, and all visible encroachments, if any, from or on said land. Land Surveying • Site Planning As surveyed by me this 12+h day of _ Feb , 1g�, Civil Engineering 8816 70th Av N. (I-94 at Boone Av. N.1 ��-��"�-�� -�, u� �"//�.t aBrooklyn Park, MN 55428 Phone: 533-7340 Minn. Reg. No. 10944 0 Job No. 194 Book — Page , Scale 1" = 40� , �� /� � /iJd � ,� �� ,�a ��. �� ' �� '� � � � t � �_ f� �� /°'o�� % l � 0 � . � � � � � � �� s � �� s� � �� 7s �� v�c ,�, ��. c ��adc�r � _ •.�l, , r ' . ?��= , � � B�,I��,� CqNSTRUC'�Y01� �INC. � ' G'UBTGM HGME �iU1Lb�Fi (21CK CAI�LSCIN 786-7545 7��,-1 �1 � ' �} , ,. �t. , �, +-fti% ' � r. , °ti?� ., . ; -�-�� 1 .9�' �� .! . ,.. � : � ' l:. �, �" � �'M�a�� °i '`�i�.,rc, �.1� �"��+� �� . , . a 0 0 CERTIFICATE OF SURVEY FoR: BR1AR CONSTRUCTION . bl i � I i i O i O , � I r' � I I � I 6� �� I (r�10 � I �_ O� ° 34.6 i .. � o� I a 43 i l5 9 � � � FoundQ��oh i ' i O , zs � O .Ni� ~ , i r 120.Q0 IS , I 25 ZS � \ � � Denotes iron monumen� Re�'►sed 3-19-75 -{-o show �ovndation N Lot 5, B1ock 4, R10E CfZEEK ES�'Ai'ES, Anoka Couhty � M �hn. VOL[l�'l �(�O[L`j�p(� I hereby certify that this is a true and correct representation of a survey of the boundaries of the above described land and of the location of all buildings, if any, thereon, and all visible encroachments, if any, from or on said land. urue�or� Land Surveying • Site R(anning As surveyed by me this 12 -��'1 day of Feb , 19Z5 . Civil Engineering 8816 70th Av. N. (1 94 at Boone Av. N.) --- �� , � I"/��-� Brooklyn Park, MN 55428 Phone: 533 7340 Minn. Reg. No. 10944 Job No. 194 Book — Page � -7�0 Sca I e �4 _ �1 � � � � � d � tt .r.i � �• ' �. . � �r• � • M � N • ' o . � • � � . . . . . � . � + � • V • � � 0 0 tn ' a . rr . � � � � . w , � 0 � � � � � a � � p� � � x � � n � w x •y•� 8 °i � � � �o "1 'n f"i C� '' J ?1 � $ � � � '" � � � � � � � y .. t+f c k ".`�. C rt' M �i M .�+ 7 �: � ►�i .. O .+� � � P1 � +o . rp F �t �.d fll "� � � . � � . o � � M c r y �a �0 � � 'a ' J '^ y 25 `° • � O • ,� . a ° • ' w ro (�o • • � � • 2. ,�, � : . � : 0. 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V i� M� � I � 'V .°7. .°7, a 3' �� I �3"m � � �� Q � � "��.� � ° �`�� 1 � '°ya� f �� o �� 0 � h� �� Z � � � � � � � � � � � � ;� '-�; r �� . , ,_= - ..�.� --�. �. , .. .. . ,,��--: < i . , . . _. . ��. • . . �, � ui , . � ,� : � �.. Ja�� N � / �S' - �� 3 � �°lEAT LOSS Ci�L�ULATBOPIS 6EPARiB�9EiVT OF �UILDIIVL;S Vlll�►GE OF M011NDS VIEVN WEATHERSTRI� �.w.V.� T(p@ OF COROSTRUCTION � ��j�s INSULATION �ndovn Doon I�•f�►anu p�}, yyall I�. Wap C�(R Roof Floor Kfnd I Coiling I Welt ' Yu — No Yos — Wo 1� FI. I%3�%% Ro��e Lon�4b � Widt6 � M�igl�+ R.` I �� l�oom I Leegth' � Wid+h ��f Hmight �('' WINDOWS and DOORS �-.CR�4CKA6E �n� AREA WINDOWS and DOORS — CRACKAGE end AREA Width Hriq i ko. L noo /lrca tdth HetqM No. ot Unoal ft. Area No. of pana o} ana 11 hh of aatk sq. 4t. , No. of pon� of pmn� IiqMt of crock I �q. ff. _� IC 3Z /3 '? , InAltratioe p �. �/✓o�l 6laas ide+ Exp. Wall In4. Well Cosf. D4u. I Coof. 6fu. In$Itra#ion �ndow� Doon — � i. � ' fsp. Well � °7. S O ?a j� � CBeu � � � �3' fdo4 6s . Woll /Q .O C�II�AQ OP F�OOf I/ �� I�(% roe�� +�. Rsy�irsd sq. ff. E. D. R or . ins. W. �, r aree �. I r1 ,� /� Room Lo�qtk WidPh / 2 WIPIDOWS and DOO�@S — CRACK0�6E aeJ /aRFA W�dth HatQTit Na. o Linso P. A►ea No. of panr of ene II hb oi aask a. 9t. � �a �� /3 Infilhofion p—� 6p. Wall C-�laes Plet 6cp. wall� Int. 'JNsil Giling o� Floor Raquired aq. fi. E. D. R. or sq. ina. W. A. Leodor .n� FI. I� %� �� Room I Lsngth �� Widih WINDOWS end DOORS — CRACKA6E end A�REA I Width Msiqht No. o L ned Ane Ne. � of pan� of pawo I Uqhh I of cracli � eq. if. 2 2 �a c�-� /� / 7 Infiltration p, 6P. Well 61ae� _ w.t �P. w.ti i�t. w.0 Cailinq or Floor Tot�l Btu. let. VVall - � e � 4 C.�+dlin or Floar �� Q �/�:<(j � a o c� To+e� a�,. : � e o Requir�d tq. H. @. D. R, or aq. ins: W. A. Lsads� eres ' Hoighl 8' H. I �'fY/�'�om I Longth Widtb3 3�� Heighf : 3 tiVBNDOW� and DOORS — CRACKAGE and AREA I Wid4h Hoiqht I No. of Unaal ft. Ana No. af peno af pene ; Ilphtt. Lo4 creck I sq. H. � Comf. B4u. le$Itrafiioa � D Ex Wall S � 3`� � Glau / G ,� � �Q � a.t �p. wen /O Co�f. � Btu. � . 2 -L C S"G 3 o c � `� .1Z�GI /� o Ceilfng or Floor �`� S I% Q �� S� C�/ Total Bfu. 9� '� � ,�p 0 Roquirod aq. #. E. D. R. or sq. ini. W. A. Laeder eree Hoight � FI. I s f//��m I I.�nqth Z`. � Wid+h � 3, 5'Heighf 3 WINDOWS and DOORS — CRACKAGE and AREA Width H�tqhf No. of Llnwl ft. Arre No. oi pans of psn� Itqhts of crsck �q. ft. / 1C �� l -� 3 �+�,. Coof. Infilteation Doon �� S ��'- o� � � . Well �. g' 3 SO �O 61su 3 �p / S Cl �t 3 s / o �. 3 S' � Na+ �. w�n L/� ! 5�G a` o�+. w.oi Y \ � � � �- 3 � Q Coiliag or Floor� • � � % O � f � � Tofal Btu. R�quirad aq. fi. E. D. R. ar a. ina. W. A. Loador ar�a Roquie�d tq. fl. E D. R, or sq. ins. W. A. Lseder arme xT.soo.s.se � GRAND TOT, � 7 Q � r. �1 T LOSS CALt� T� N� ��T��dT O� ��IL��d�S �/eathcrstriEss �. (�,uide Conatnsctioa I�o. Windowe Doors Re#erence Out. �1�q Iat. Wml! C',eilia� Roof Floor Kind Yes—No � Yes— 0 19_ Fl.t o l' jZ Room L.er►�th �lidch �, S Hei�ht � FI.I��(/ I�/ G Roaaa � l Bll �/indowa and Dooes---Cr�ckage mnd Area Windowa �nd Doors--�e� \YIdtA Helshi No. o[ L�neal tt. qroo Wldeh Hetght No Ne. ot pane o! Dane IlBhte o! creck oa. tG No. ot psn• o( Dane itg 3"L �� / O � l 4� I�� 3 'd ' v � Z , ca / .s'"" 3 s� S' c��. �c„ In6ltration �C' 3 ycG � ,� p Glass � � � z r� Ezp. wall � p Nee ezp. wall j S j e3 /�' p Int. wa11 Ceiling ' f �i c� S � Floor , Total �tn. � '�f � p Required sq, ft. E.D.R. or aq. ina. W.�►. d.eader area Fl.� Glj�iG��Rnom � l.en�th /' "l S/�/idth Q'. 5 Hei Win�ors and Doors---Crac�a�e aad Are� Wldth Hel=bt No. ot Llneal ft. Area No. o[ pans ot pane ll�thto of ermck sp. !4 � 2 /C �Z r3 i ��, i��= 3 c C�lasss ' SC� �. .�u 7 G Net eap. wall �, `�' G Int. �+�Il Ceilin� f J S° jp s'tOOT � . �� TO�Bf iYb61. Required sq. ft. E.D.R. or aq. ins. W.�►. Leader are� �. ,U !N� Room � [.en�eh /,�, .� �/idch , SJ V�/indows and Doors--Cracka�e �nd Area Wldth Helaht No. ot Llneat tt. Area Na of Dane o[ pane Ilght• ot crack oa, tt. U �fO � S� � Infiltratioa Cd.ma �ap. �arall Net e:p, wall Int. wall Ceiling Floor _Total Bt�e. �� '.� � � S-� , y G � .S � 7l� Coef. �tu � �, � � �' 3 S �� L ,�' � 7L 44 3 / o � � � c� � S� /� l ,�. �' � . � � S c� Required aq. ft. E.D.FZ. or aq. ins.'W.A. L.eader arx� � TC3WN OF HAnn LAKE ia��alatio� How Applied b / j/ Width /S' Hei�ht �'', e cnd Area ��oosi ee. n�e. , ot crac4 �a. tt. oz 9 � � � . _ � C�F. Bcu Ia61cra2ioa v2 �i'' � '/C Ci , C��s ,� �' d"� ! a c+ r� : Ea�. w�ll �C � N�t ea�. e��ll � �� i � .� y� o Ine. �+�U � Ceilin� � �J /G v'Z 7 c� �:; Flaor Total Btu. 7 .� � � Req�aited sq. k. E.D.R. or aq. ins. W.El. Lea�r area F7.1 Rooffi I l�ngtch �e�ch Hei�hc ' O�/indows and Door�-Crmc�age mnd Area Wldth Heteht No. oY Ltneal [t. Areo • No. ot cans ot vaoe It�hts of crack w. tt. Infiltratioa �� Glass ' ;� ' EAp. wall , , ' ledec ezp. wall � • Ine. wall 9 'S Geilin� '' Floae � Toeal �cn. - ,. Required �q. k. E.D.R. or sq. ins. �i/.A. l.eader area �7.� �� I l.ength �/id�h Heigh� ;'; Windowa and Daars—Cracka�e and Area � Width Hef��t No. of Llneal [t. Are• No. ot pana ot Done Ilthte oY crack sq. tt. .,_ Coef.l Btu Inhlcration Glams �ap. wall PVet esp. wall Int. wall Ceilin� Floot Totsl �eu. _ - Required aa�. ft. E.b.Ei. or sq. ins. WA. Lea�r arra i � , .� ��• 1.►; �. �� - � to 1 � • , � � r is !� c� •� °storlcy r' I �, .,i � ti � !n � ,, _. �J t MA� 1 U N M N d li f10'� 1 � � } "" �� t"i J � i: � J �i: w A1 O .f � n : :� �� e' n � c � n i�r. fi v�nuus r W � �' IJ �y F � �w�n �. tC. ';,'{ �� ... C! M A ry � i� {i n►o1 .►' [f y� M�C o A ` x � �i O i ^' '-' �' IM`f : � :: j ti � � � V� aiS�►es O ✓• a � '� � � � � " C C) . a G � '�O ' � � h � in��:3 . ''C �. £ � • L � �o � � �' � N � 3} � � -M,�s,. 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' O '� o � SN � � 1 � r �D �. . �` . � . ro i' � . , . • � . • � � 0 :Z [ � Q x• 1 0 e � e ' 9 0 o N o � x � a � � � � a' n. � 7 W• � � M •ti n � a � � � . o ry a. �• N ro � ¢ a � �, ~ � t e b M c � < : � a 6 Vj 7 y t . . � d � t � p� a � � ; N f � I � � � � � . y � � � O � � Z .d �m ' � �. o . f . ,R � , . , � .� � � . . • . . . • I i�� .� 1 ;�7 � � . • N vl • O N � _ , .< �GAS • (J � . .�wcc e �..� • � °U c�s W ort►.�►+cs � w� � o �-D z s :..i . ,� �A N y , � d s o� 2 �-� � � � s+ " � `z�' �:,. � :� E,, . � -,�o . . . _ • � i'�; � ri � f? � d 6.. aaY •^e ' °,� .{"j9 � � � ~ � M " • i� `� a O �i1 •, � a � .,, .� o � a � � �I • n r. � r�, ri «..ti • � ,,. ,� �t r� _ s . � � � � �l c°� `� M � 'a ��;, a �5,� o � '= b o` e (7 � �� i o � ~ � :� a h�3 n� o t3 :�� is` a � `< � " ��, � � � � t/ :T � O G? i� �+ K x' � � � v E. U „ I�7 �7L � • ZY . �, � �. L. . . �= . � m . uZ � o' ., o' . ~ � � � , . . �, � •�• o. � h h a '� .. _ � r � t � n � � , �� . . . aM � ~ N M a�Y� . � -. � a c� s ' r � q . ; . [f' ci K � • �- ^� �i �' ,� � u M City of Fridley SUBJECT AT THE TOP OF THE TWiNS g U I L D I N G P E R M I T i ` ; i L____�_ COMMUNITY DEVELOPMENT DIV. r � � PROTECTIVE INSPECTION SEC. � i � l.---� ��"" �,� CITY HALL FRIDLEV 55432 NUMeEa REV. Z 612-56a345o 910-F15 JOB ADDRESS 6I.50 Benjamin Street N.E. 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION DESCR. rJ 4 Riee Creek Estates 2 PROPERTY OWNER MAIL ADDRESS Rick Carlson 6150 Benjamin Street N,E. 3 CONTRACTOR MAIL ADDRESS Sa�e 4 ARCHITECTORDESIGNER MAILADDRESS 5 ENGINEER MAIL ADDRESS I'° 142 RECEIPT NO DATE PAGE OF AppROVEO BV 8/l0/77 / / 21P ZIP SEE ATTACHED SHEET PHONE 786-1218 PHONE LICENSE NO. PHONE LICENSE NO. PHONE LICENSE NO. 6 USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW l� ADDITION ❑ ALTERATION O REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Construction-Storage and Sauna (24' x 8'6") 9 CHANGE QF USE FROM STIPULATIONS TO s ��►� '�ER�i�rs ��t�v�o �t� �i��, .HEATI�G, i'LUNt�tl�iGG AND SIGNS. SEPARATE PERMITS ARE REOUIRED FOR ELECTRICAL, PLUMBING, HEATING, TYPE OF CONST. VENTILATING OR AIR CONDITIONING. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING AUTHORIZED IS NOT COMMENCED WITHIN BO 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 I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APP�ICATION 1 AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS VALUATION AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPUED, WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT $�-i 'rJOO DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE pERM1T FEE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW fiEGULATING CON- STR ON R THE PERFORMANCE OF CONSTRUCTION. � �`9.00 OR AUTNORIZED AGENT i IDATEI IDATEI WHE on rear of OCCUPANCY GROUP OCCUPANCY LOAD SQ. FT. CU. FT. OFFSTREET PARKING STALLS GARAGES SURTAX $.75 SAC CHAqGE I TOTAL FEE $9.75 Y VALIDATED THIS IS YOUR PERMIT r' t�j � /' ,�-y � (�4 'o L • • CITY OF FKIDLEY ' APPLICATION FOR RESIDENTIAL BUILDING PERMI7S iNEW, AI_TERATIONS, ADDITIONS, OR REPAIRS) ot�ctrR: � \ e.i�� V� �°-�`� • . Address : �, �j� . �' ' � No. : 1 �`J � street: ` HUILDER: �iY� Address : 1 �� Q,� C1`-(� Tel. No. � ��v - ,2�� LOT: S BLOCY: �__ ADDI'.L'ION: �� a\iLw ..�Cb GORNER LOT: INSIDE IAT: k S; TBAQC: �� SIDEYARDS: ��.-� �� Applicant attach 'to this form Ztao Certificates of Survey of Lot and proposed building location drawn on these Certificates. . DESCRIPTION OF BUILDING ' To Be vsed As: . . � - l�` i r �` , � Front: -1 Depth: � ' `8eightc � � - �''� Square Feet: �1��'` Cubic Feet: Front: Depth: �� Height: � Square Feet: Cubic Feet: Type o€ Construction : �J �^�C� ��ZY� Estimated Co st :$ �.J 1l �' a u 7!o Be Completed: �-1 -�� Alt. A Alt. B Proposed Driveway Width If New Opening Is Desired $ $ (SEE REVERSE SIDE OF SHEET) The undersigned hereby makes application for a permit for the work herein specified, agreeing to do all work in strict accordance with the City of Fridley Ordinances and rulings of artraent of Buildi.ngs, and hereby declares that all the facts and r resen ations stated in this application are true and correct. See reve e side or a�.8itianal information. DATE: " � � �� SIGNATU �� . Stipulations: �Gtss�,.►... ��l,' e� c �� `, . �, . � /i /�f� �4 ' tJ ��----. 1 � ��' 0 �� . . 1� �-� `�� "� . 0 � � ° BUILDING PER��IIT FEt SCN�DULE SECTION 2. The Inspector of Buildings shall, before issuing permits for the erection of any building or structure, or for any addition to any existing building or structure, or for any alteration or repairs 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: ` NEW CONSTRUCTION: Single Family Homes and Garages: $4.00/1,000 cubic f�et.. pLAN CHECK: 25 percent of building �ern►it fee. DRIVEWAY DEPRESSION: (Concrete C�rb Streets Only} . � Alternate A: Removal and replacement of concrete curb and gutter only; Driveway width plus 6 feet x$11.?5 Alternate B: R�moval and replacement of concrete curb and . • gutter and install a 3 foot wide approach with 6 inch depth; Driveway width plus 6 feet x$15.40 �11 �►: ► �; : � For the purpose of computing fees for building permifis, the cubical contents of any building or addition, is deterntined by multiplying the ground area covered from a point six (6) inches below the fZoor line of the basement or•the cellar to the average heights of the upper surface or to the average height of the roof surface of the main gable of a pitched roof . For repairs or alterations to an existing structure, the fee shall be at the rate of $3.00 �er each five hundred dollars ($500.00) or fraction 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 $7.50 pius $.50 state surcharge. VERIFICATIO� OF FOUNDATIO(� iVOTE: Permits for construction will be issued a minimum of 24 hours from the ti.me of application to allow for proper review of the pxoposed structure and of the construction site. . A Certi.ficate of Survey of the lot, showing the location of fihe foundation once it has been constructed will be required before proceeding with the framing. CtRTIFICATE OF OCCUPANCY Application for a Certificate of Occupancy shall be made ten (1G) days prior to the use or occupancy of any structure for which a building permit has been issued; and s�i.d structure shal�. not be used or occupied until a Certificate of Oceupancy has been issued. � �i 4�� y', J �.J� �� d � `i CERTIFICATE OF SURVEY FoR: BR1AR CONSTRVCTION , (o I � � � � a� o , . Ji � r- � � i i �� /47� 8 3e o+ " i°— ° � lui � . 5�� - �r Sq�` a P Gb � �� ' 25 � .. i I l5 � � � . � , o � i � � , r � I i � i i �S 25 � .�' � � Denoi-es iron monvmen� Rev'►sed 3-19-75 �o show �ovnda.tion N Lot 5, Block 4, R10E CREEK ESTp�TES, Anoka Co�h�y , M �nn. �ou�n �' Cou�ttrc� Suruer.�or� Land Surveying • Site Planning Crvil Engineenng • 8816 70th Av. N. (1 94 at Boone Av. N.) Brooklyn Park, MN 55428 Phone: 533 7340 I hereby certify that this is a true and correct representation of a survey of the boundaries of the above described land and of the location of all buildings, if any, thereor�, and all visible encroachments, if any, from or on said land. As surveyed by me this 12 -�il day of Fab , 19L. �� -kL. � �% � Minn. Reg. Nc. lOq4-4 Job No. 194 Boo'k — Page a—��C Scale 1�� = 40� '�...� � �- � �� > .�J � � � ✓ � �. � �i ��_..^ � ��` ' , , . �. � � ,., ' � � �RIAR HOM�S INCa . ��: � � �'' . Richard S. Carlson � I , 10134 Central Ave. ' : , � - ��aine, Minn. 5�434 � . 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U N .O�V! n .1 _ pg �Y �� r a ' � ,, °r. �j � . FS n O �'j 1/i . ; 41 ' . � ' . , ' . � '+�' ,t " �-` � `E : � �� '. .� o � . - �' t:r 1ti , : �•t C�c't�' � �y•08�:A32 � N r:' . e M �$o� .,.. ; . k�; ' C'b9`t9 0•� ' r ' `� .►��'v i�`� , � p* , . -�'l 53 �' �o � ¢`� e � �.,� w ;; ,�, .T,,, 4..`J jj6�q<'8'. ':' i� �i. •.� .r� � �` 1.. , , � g � �; � ( • � � , ��. 'S50 ��" .,� 4 .,.. _. y t. ;,. � - -- ��" - - t' y� �� e—_ p ,`_'>.�-. _ � ` , a, _ , , ; °�`, � � . r«,rs,.=,�„�.-- �--- —. _,- � � _ c. , .. _ -. . •–= „ r'-£�k� SUBJECT City of Fridley � � AT THE TOP OF THE TWINS g U I L D I N G P E R M I T ' �� r � � COMMUNITY DEVELOPMENT DIV. � Ly � �� . r j, � PROTECTIdE INSPECTION SEC. �� , � /�"1 � CITY HALL FRIDLEV 55432 NUMBER REV. DATE PAGE OF APPROVED BV �•�-�� ,•� 612-560-3450 910-F15 8/25/77 � � JOB ADDRESS 615Q Benjamin Street N.E. 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 5 4 Rice CrE'.P� Estates SHEET 2 PROPERTYOWNER MAILADDRESS ZIP PHONE Rick Carlson 6150 Benjamin Street N.E., Fridley 3 CONTRACTOR MAILADDRESS ZIP PHONE LICENSENO. Valley Pools, Inc. 14192 Garrett Avenue 432-1341 4 ARCHITECTORDESIGNER MAILADDRESS ZIP PHONE LICENSENO. �5�� 5 ENGINEER MAIL RDORESS ZIP PHONE LICENSE NO. 8 USE OF BUILDING RES].C�P.Il't7.3�. 7 CLASS OF WORK X NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK � Construct a below round ol 18' x 36' TELEPHONE - ��E�;�� f ifies 9 CHANGE QF USE FROM � T. - � �tC. �lEATlN�, PLUA+I�I�IG �lN� StCN�o �`�� I�Y � yy STI PU LATION S Stipulations as per Environmenta.l Officer's letter dated 8/25/77. SEPARATE PERMITS ARE RE�UIRED FOR ELECTRICAL, PLUMBING, HEATING, �PE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD bENTILATING OR AIR CONDITIONING. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING 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 ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS OFFSTREET PARKING I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLIGATION ], 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 $4� 2QO �S`2.],O DOES NOT PRESUME TO GIYE AUTHORITY TO VIOLATE OR CANCEL THE pERMIT FEE SAC CHARGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. � yti`2%.00 PLAN CHECKFEE TOTALFEE $29.10 SIGNATUREOFCONTRACTORORAUTHORIZEDAGENT (DATE) WHEN PROPERLY VALIDATED THIS IS YOUR PERMIT � � li�d� � � ��S'—�� SIGNATUREOFOWNERtIFOWNERBUILDERI IDATEI BLDG. WSP OATE 0 CITY OF FKIDLEY . , � ' ' APPLICATION FOR RESIDENTIAL BUILDING PERMITS �NEW, ALTERATIONS, ADDITIONS, OR REPAIRS) OF�dFsR: � � ��C C %� °� � �^ /'� SUILDER: • ��-�� Q� � ��/}/ �, a Address : � j� ��i�l/� `� � �f/,�� l%� � � � _ / . Address : � �� r� . Tel. No. ��Z / �i� No. : � �� Street:_ /'.J�� i�Y LOT: � BLOCY.: � RDDITION: �/ C� �/��,�i�. �� i/�� CORNER LOT: INSIDE LOT: SLTBACK:. '' SIDEYARDS: Applicant attach 'to this form Two Certificates of Survey of Lot and proposed • building location drawn on these Certificates. . " � To�Be Used As: DESCRIPTION OF BUILDING �� '1y�9�/I � %� Front: �� Depth: � � � Height: - Sqnare Feet: � � Cubic Feet: �� o Front: Depths � Height: � Square Feet: Cubic Feet: Type o� c;c�nstruction: �f�l�'19�,/�IC� /��, Estimatea cost: $��a� 7.b Be Completed: � � � � ' Alt. A Alt. B Pro,posed Driveway Width If New Openi.ng Is Desired $ $ (SEE REVERSE SIDE OF SHEET) The undersigned herehy makes application for a permit for the work herein specified, agreeing to do aZl work in strict accardance with the City of Fridley Ordi.nances and rulings of the Department of Buildings, and hereby declares that all the facts and representations stated in this application are true and correct. See reverse side far additional information. DATE: � �� s 7 SIGNATURE: `,�1 • Stipulations: y 4 ��" .� �� . 7-� C � ��x .��, ��'° 2��G l .�� I BUILDI(JG PER��IIT FEE SCi��DULE SECTION 2. The Inspector of Buildings shall, before issuing permits for the erection of any building or structure, or for any addition to any existing building or structure, or for any alteration or repairs to any existing building or structure, upon application therefore,�.require the payment by the applicant far such permit of fees to the amount herein belaw set forth and in the manner herein provided to-wit: • NE4+I.CONSTRUCTION: Single I'amily Homes and Garages: $4.00/1,000 cubic f�et. PLAN CHECK: 25 percent of building permit fee. DRIVEWAY DEPRESSION: (Concrete Curb Streets Only) � Alternate A: Removal and replacement of concrete curb and gutter only; Driveway width plus 6 feet x$11.75 Alternate B: Removal and replacement of concrete curb and • gutter and install a 3 foot wide approach with � 6 inch depth; Driveway width plus 6 fec�t x$15.40 ADDITIONAL INFOR�IATION For the purpose of computing fees for buildi.ng permits, the cubical contents of any building or addition, is determined by multiplying the ground area covered from a point si.x (6) inches below the floor line of the basement or th� cellar to the average heights of the upper surface�or to the average height of the roof surface of the main gable of a pitched roof . - For repai.rs or alterations to an existing structure, the fee shall be at the rate of $3.00 per each five hundred dollars ($500.00) or fraction 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 $7.50 plus $.50 state surcharge. VERIFICATIO� OF FOUNDATION LJOTE: Permits �or construction will be issued a mini.miun 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 Suntey of the lot, showing the location of the foundation once it has been constructed will be required bafore proceeding with the frami.ng. : ' � '`\ Application for a Certificate of.Occupancy sha7.l 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 occupied until a Certificate of Occupancy has been issued. � ��,' -, , ��.a�. � r� ��.. � r �' r ;, August 25, 1977 �K • �� : 6431 UNIVERSITY AVENUE N.E.� FRIDLEY� MINNESOTA 55432 Valley Pools, Inc. 14192 Garrett Avenue Minneapolis, Mn. TELEPHONE ( 612�571-3450 Re: S�aiu¢ning Pool Construction at 6150 Benjamin Street N.E. Dear Sirs: This letter is to make clear this deparisnents requirements for the swimming pool construction at the above address. l. As indicated, one (1) skimmer approved by the National Sanitation Foundation will be provided. 2. As indicated, two (2) inlets of approved design for fresh and/or repu:eified water will be provided. 3. As indicated, a main drain of approved construction will be provided. 4. 'The filter and piunp 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 reco�nmends a turnover rate of 6-8 hours. 5. A deck of at least tMree (3) feet wide, measured from the pool water's eclge, shall be provided which extends completely around all private residential pools. Above ground private residential pools may be provided with decking of a minimtun 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 limi ted to wa11s 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 othenaise inaccessible 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. 8. An automatic chlorinator should be provided with a suitable test kit. Val ley P� ls , Inc . Auqust 25, 1977 Page 2 9. All electrical and plumbing installations shall be inspected and approved by the City Inspection Departsnent. 10. All electrical lines must be 10-20 feet or more away from the pool surface . � 11. The pool fill spout must be air gapped or protected by a vacuum breaker. 12. Suitable safety equip�ent to include but not limited to a ring buoy and rope that is l� times the pool diameter, and shepherds crook pole must be provided and maintained with the pool at all times. �'urthermore, 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 letter, please feel free to contact me at 571-3450, ext. 170. Sincerely, STEVEN J. LSON Enviro runenta 1 Of f i c er SJO/mh CC: Mr. Rick Carlson 6150 Benjamin Street N.E. e ` �- � � ?J�� ,�da� ��c. 14192 GARRETT AVE, - APPLE VALLEY, MN. 55124 -(612) 432-1341 �iC� e��Lso� � /..�o B �'/� .3��''�/ �,e�oL�y� ��1 � �-s°�� .. �i� .�'�'� �sy9 1 �! ` CnsT,�%�,l�� -.s �i S _ �y,� y",r�R� D��>� � _ /��yre/�e s�i�� , a _ �n/L ET //��'��9 11j5� b��OG /'� +� Z 1� �� u s �Q �� ` C p'/(�. d�' .� �� t , � e. ° ` � �) r � , �� r� J �;r ��,�� i�i ��a Er � � ;�f��.� � � � �.' �� _� � ; . � , . ��. � � flo-trolics corporation (formerly Modern Flo-Trol Products Corporation) �E P�R� �Y�� FI �T ATI 1° TEIV� Designed For In-The-Ground Swimming Pools �. PRODUCT FEATURES: VALL POOL.� w�Ca 94992 Garrett Avenu� Apple Yalley, �A�. �5124 'hone: 432 � 1341 • High-impact, tempered Cycolac for durability and cor- rosion resistance. • Easy maintenance to filtration elements through cap mounted on side of unit. • Will not attract silicious materials and is not affected by electrolysis. • All interior parts are constructed of high strength, cor- rosion resistant materials. • NSF approved. • Available in 18", 21 " and 24" sizes. �h performance filtration systems to meet the most de- manding requirements. Each product is c,ustom-engineered to meet specific insfiallation requirements. Motors, filters, pumps and valves are balanced for pool size, filtration rates, local water quality and desired head pressures. FLO-TROLICS provides the entire filtration system — tank, valve and pump — in one integrated unit. Model plping Tank No. Multlpo�t Dls�#er �s�ce-�2 � ��r� �a� 18TC8-13 11/2" 18° 18TC&14 1 1 /2" 18" 2lTC&t3 11/2" 21" 21 TCB-14 1 112" 21 " 21TG&15 11/2" 21" Pump hlotlel No. a�s GP57S aP573 CiR57S GP57S t3P57S SPEGIFIGATtONS Filte� Multiport Motor (3PAA Yalxe SI� 3s sa-n�-y2 �ts � s�rty-t2 i t2 40 SPT11-12 3/4 40 SP7'11-12 1!2 45 SP711-12 3!4 50 SP711-t2 1 54 3P711 12 1/2 �'llter Miadla Approx. Sa�I Ship.Wt. .46 to .5bmm �dbs. 1�'i-1351�. 85Ibs. 12,5-1351bs. � Ibs. 125-135 Ibs. PaoF Volume Tumavert3ais 8 hour 12 hour �� szo 17280 2592Q 192W 28804 � Iba. 2� Iba. 19200 95 Ibs. � Ibs. 21� 1� Ibs. 2� Ibs. 240�0 SAND: Use effective size .44mm to .55mm, uniformity coefficient 1.6. RATE: Based on 15-20 GPM per square foot of filter area. FILTER HEIGHT: 18TC Series — tank only 20", with valve 30", tank with valve on base 35" 21 TC Series — tank only 22", with valve 31 ", tank with valve on base 38" 24TC Series — tank only 25Y2", with valve 35Yz ", tank with valve on base 42" PUMP PERFORMANCE: See section on "Pumps" for "Pump Performance Charts". 18 Fwur � 3eseo 43200 28800 43200 324� 4� 36�0 fi4000 594� TEMP�� Y� LA� FI��R�TION SYSTEMS Designed For In-The-Ground Swimming Pools THE TANK: Fabricated from durable thermoplastic materials for long life, corrosion resistance and continuous high filtration performance. Topside access hole provides for easy lateral changes if necessary. All interior parts are made of durable plastic for use in all water conditions. Available in 18" and 21" and 24" diameter models. THE VALVE: a unique six position filter control valve, combining outstanding hydraulic and mechanical characteristics and piping versatility with rugges, modern materials. Completely corrosion-free, and molded in a luxurious finish, the Vari-Flo is an efficient, positive sealing control valve for all filtration applications, THE PUMP: The most advanced self-priming pumps. Available in a variety of horsepower to suit each requirement. Provides for efficient, quiet and continuously dependable service. Strainer, pump and motor are mounted on a single base which is part of the tank filter base. The strainer basket is easily removed and cleaned. Ni-resist carbon seals. :;I , �� . � � , ��; �� ` � ° " 'h ,�� 6 � � a � ,e THE MOTORS: 3450 RPM, 115 volt and 115/230 volt. 60 cycle, single phase, drip proof motors. Motors supplied are complete, integrated units easily serviced in the field due to their unique construction. 50 cycle and three phase motors are also available. _ �t_ `� � ��' � HIGH HEAD MODEL GP57-D MEDIUM HEAD MODEL GP57-S PRODUCT FEATURES: • Heavy-duty, 48 frame electric motor with stainless steel shafts and oversized bal! bearings for quiet and efficient operation. SFngle phase, 115 and 115/230 volt, 60 cycle motors. Cast iron, bronze or bronze fitted construction. 1/2 to 1-1 /2 hp. • Self-priming pumps for dependable, efficient opera- tion. • Large, 5" deep strainer basket is easily removed for cleaning. • Tough, durable, cast iron or bronze impeller. Requires no adjustment. • Motor, pump and strainer are mounted on a single, integrated base for ease of installation. ��.� . � � � � -�°�� flo-trolics corporation �,��.��.,� � (formerly Modern Flo-Trol Products Corporation) 367 FARMINGDALE ROAD, BABYLON, NEW YORK 11704 PHONE: (516) 661-7280 a s , -- .>� t o g � s ' 1 i 1 i � ; . � j 0 i � � _. b � O W N - � � �on�,o�2°naX= 2 !1iR^y3R�i�iR�R� a A y�i�� te�� n' ImDO�R ��nZf�� l� � \ R'�n' � ��o�'��;�eQ� �, ��Z�'��^nbP�'° 3 ��"�o'�oa�o'�° � !yi�o2�3;!o�a� � ��Au°A3�3�^ � �:°2�'��L��,'�°� �'' a� q `h�" y J r�. ��tn�h•�Cofi� �R��R 1��h^2i ��^�c°23 �'�R,�, I^�7�� MZ�� y��3 � �u 3�y��0:� �2• � � � o�• oy�° a�'a3 �^�n�o� �c3o � W � �A��q aepY� ��m2�* y�� M��a a^�`a �a�a��' ��°,�o ^��c. �� 2`�� ^ �'�UbR � � � � \,i . n � 3 `�\ a b -- � e `�� ; \� �� 2 7 I � i � � i n i � �+a o�� ,p, � q�� 0� � ��n a`�� o � '- �� a I o { • i � � � ---� , �.- - � � i � � � I �---r- � � � � _�_ I ' 1 / �,i, , ( -=r-- ' �� .I I , ; -r- � � I . -,---T-- 1 1 1 , r----, : , ,. � � �-- � � - -7 3 ' � � �' n -� _ ~- y � rt� � / G -;-f-- 1 I Z 1/ O --i- -- 1 � - '' 1� -- f � � 1 � _ _J__ 1 � 1 �_'__11' ,� � � � ;� ��a R� �1 �` �O� 30� �n� b0 A �o� .� � 2 ooi t_� e �� .J ^ n, O � b 0 0 � T � a O � n y a a D/MGN�/J.v �A°(ENDWdLL OVEK/�[C LGNGTNJ O � � 2 � H 0 � a � �� 4=0 �A2 � o ,� �� ^x� 2''A �i� ,i.� b2 A � °ao2 ti � � M � y �� y �' a . , e, ''�. i '3 ~ 7 A1oi2Z T a ,�'ri�' � � � Zy�nG � � �i �� ': 3 �, +�� n � �; � � ��rn � � �l y Z � 3ZN� ^ ; y ou q� �l�'yo o � � �0 l� '1 q ti 2 � N�� a'' � o i i��+, � o � A Yy 4��a � i,�0~ yry - y 2 3x ��an^ ti fi�� c � 3 w a�ko� � A� � F� b m a '�' ny, a Z x`� Z G y Z °i: �, ` 11 ia �� W W 0 1� ^� n � � � � � +.Mw�; � ��G �3 a � o'` �1 a y n�, `- • Z co N o '�' � �' �: .�A. �' a �i � � ° ^�`mw� A �i n� a+ pb �0 rt ��.I (� N 1a � ti o° e` t� 7 l+�y, 7Lc� � �° ° "h'�Ab 10 �n� k m i p ° ? W~ w a '� y "I �, • � +�°o = Q�t � I[� O ti . �-- � w \ Q � 'j Ia _ p t �?; �y� I ° �� "�.� � - \ �aw � o —_-- � � _ ,, u o gl� � 2t0"SrAKt � n � o p � ,_, !- :, � �� ° _ ,-; W "�� Q� > 0 � ,��oA no�^3 n73 �y�b � iy - /F S//aD BAS4 FORMED fJS S/10W.v /�/ SOL /O L/•vE sAFE'TY [ED4E �sc2£'JrEv AROUn�p DEEP ENO Cf POOi (ACTE�vArc Co.vsr,p,J �COPi 2" / ( � � ��i�n � a�a�^ . �vo L.°�cm 3��" � C��R� �,�`t�~ t 3�nNo , o � o� -�, .-�g-a �-- - - � k �R ..�, �3m�a �,� y��w ��.,m��ti / a� �. N ��r R p � . / ~�a b t„y�2�� -��'.O O��N�� ^ �� e�i�C �NL �a$A S� a�+^ � _�whC�' ^�an . `+ � �. A • o r-') m ?� ° ° � ��►, � ri�.. 2� �' � � �k �� " a� ' a ,.� � ^� 3 �Ok� �~ p F� R�� Z� 4 b wocy , a �i 3�a� 2° , � � h �,a orn 3 I b �n � �1 $ � � � 7 y�� a � V aa^ "� � � � t ^ � r ` ' � R � I:�°�oi ° � - � ` � _._� i � � SUBJECT City of Fridley AT THE TOP OF THE TWINS g U I L D I N G P E R M I T ;� � �v _ COMMUNITY DEVELOPMENT DIV. r � � PROTECTIVE INSPECTION SEC. l--__� ��"' �� CITY HALL FpIDLE� 55432 au�weEa aEV� i 612-571-34b0 910-F15 JOB ADDRESS 6150 Benjamin Street NE t LEGAL �OT NO. BLOCK TRACT OR AOOITION DESCR. S 4 Rice Creek Estates 2 PROPERTY OWNER MAIL ADORESS Hertry Paul Widen 6150 Benjamin Street NE 3 CONTRACTOR MAILADDRESS Same 4 ARCHITECT OR DESIGNER MAIL ADDRESS 5 ENGINEER MAIL ADDRESS 8 USE OF BUILDING Residential 7 CLASS OF WORK DATE 9/4/97 ZIP PAGE OF � � 25464 ��V APPROVED BY SEE ATTACHED SHEET PHONE 574-9215 PHONE LICENSE NO. PHONE LICENSE NO. PHONE LICENSE NO. ❑ NEW ❑ ADOITION O ALTERATION �7 REPAIR O MOVE O REMOVE 8 DESCRIBE WORK Reroof House & Garage (25 Sq) 2nd Layer 9 CHANGE OF USE FROM STIPULATIONS TO Roofing can be the 2�d layer but not the 3rd. SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, TYPE OF CONST. VENTILATING OR AIR CONDITIONING. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING AUTHORIZED IS NOT COMMENCED WITHIN 80 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED Oq ABANDONED FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION 1 AND KNOW THE SAME TO BE TFiUE AND CORRECT. ALL PROVISIONS OF LAWS yqLUAT10N AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT �1,566 DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE pERMIT FEE PROVISIONS Of ANV OTHER STATE OR LOCAL LAW REGULATING CON- STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. �S1.ZS \' � PLAN CHECK FEE l� OR AUT 1DATE� / / �° �� R BURDER� �DATEi � OCCUPANCVLOAD CU. FT. OFFSTREET PARKING STALLS GAFAGES SURTAX �.78 SAC CHARGE Fire SC $1.57 T07AL FEE $53.60 RLY V�LIDATE9 THIS IS VOUR PERMIT v �iti NEW ADDN ALTER [l �l �) ConstructionAddress: � Legal Description: � f Owner Name & Address: Contractor: v1 Address: d,d�1�TG AREA: GARAGE AREA: DECK AREA: OTHER: CITY OF FRIDLEY SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION Effective 1 / 1 /97 / � � / MN LICENSE # Tel. # Attach to this application, a Certificate of Survey of the lot, with the progosed construction drawn on it to scale. DESCRIP'I'ION OF IMPROVEMENT Length Width Height �n� Width Height �ng� Width Hgt/Ground ro /..� m� sP �- C c,�r �.o � 5 Sq. Ft. Sq. Ft. Sq. Ft. ��,. � _ �� r�� Construction Type: Estimated Cost: $ a . 4� U ,�� , (Fee Schedule on Back) Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x$ � -$ DATE: –' APPLICANT• Tel. # -- Z�jc— Permit Fee Fire Surcharge Staxe Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee Sewer Main Charge TOTAL STIPULATIONS: � �/, �� $ /. � $ � °7�' $ $ $ $ $ $ � ��.�v CITY USE ONLY Fee Schedule on Reverse Side .001 of Permit Valuation (1/lOth%) $.50/$1,�0 Valuation $950 ger SAC Unit $5.00 (State Licensed Residential Contractors) Alt. "A" or Alt. "B" Above $450.00 Conservation Plan Review Fee Determined by Engineering Agreement Necessary [] Not Necessary j] I3UiLUI�\G PE[ZM[T FEE SCHEDC`�.(: 'l�lic Chief Building Officia� shali, befor� issuing perniits for the erectio�l of� any building or structure, or t��r any addition to any existing building or structure, or for any alteration or repair to any existing buildin� or structure, upon application therePore, require the payment by the appli�ant for such permit of fees to the amount h�rein below set forth and in the manner herein pravided to-wit: TOTAL VALUE $1 to $SQO $�O1 to $2,0{}0 $2,0�1 to $25,000 $25,001 to $50,000 $�0,001 to $100,000 $ l OQ, 001 to $500, 000 $SQO,QO1 to $1,000,000 $1,000,001 and up ,� FEES $21 (Minimum Fee is $21 plus surcharge) $21 for first $SQO plus $2_75 for each additional $1� or fraction thereof, to and including $2,000 $62.25 for first $2,000 plus $i2_50 for each additional $1,000 or fraction thereof, to and including $25,000 $349.75 for first $25,OQ0 plus. $9.00 for each additional $1,000 or fraction thereof, to and including $�0,000 $574.75 for fust $50,000 pins $6.25 for each additionat $1,� or fraction thereof, to and including $1Q0,000 $887.25 for first $100,000 plus $5.00 for each addition�.l $1,(�0 � or fraction thereof, . to and including $500,0� $2887.25 for the first $SOO,U00 plus $4.25 for each additionai $ i, 000 or fraction thereof, to and including $1, 000,000 $501225 for the first $1,000,000 plus $2_75 for each additional $1,OOQ or fraction thereof DRIVEWAY DEPRESSION ESCROW (Concrete Ctiurb Streets Oniy) Alternate "A": Removal and replacement of curb and gutter only - Drive�vay width plus 6 feet times $13.50. Alternate "B": Removal and replacement of curb and gutter and install a 3 foot wide approach with 6 inch depth - Driveway width plus 6 feet titnes $15.75. VERIFICATI(JN OF FOUNDATION Pcrmits for construction will be issaed a minimum of 24 hours from the time of application to allow for pro��r re;� iew of the proposed stiucture and of the construction site. .� �:�ei-tificate of Survey c�f� tlie 1ot, sl�owinR the location of the foundatio�i �>nce ii tias it tlas bcen c�nstr-uc;�.? .°.��:: h,� i��yuirccl h�1��r-e n�-��c��Ldin��` u�ith tl�c fran�in�. _ �__�