AF - 35423�
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City of Fridley, Minn_
BUILDING PERMIT
nate: �June 9, 1965
�0 75�.1
���7�/
owner: �.i11er �� Don Brandvold Constr. Co.
�ares� �25 Benne�t Drive N. E. aaa� 63k6 Br�t Av�. �io.
LOCATION OP BUILDING
No. 525 S�t B613A8$'� DPl'ee �. E. Part of Lot
Lot � Slock 2 Addition or Sub-Diviston ChY'is�ie Add.
Coraer Lot _ Inaide Lot Setback Sideyard
Sewer IIevation
Foundattoa IIevat3on
DESCRIPTION OF BUILDING
To be vsed as:
Front Depth Height Sq. FL Cu. Ft
Front DEpth I�eight Sq. F't Ct1. F't
Type of ConstntcM3on FF�t, Cost ��-OQQ.�O To be Completed
S�os�n Damage: Rebuild House
In c�eideration of the issuanc+e to me of a perinit to construct the building des -above I agree to do
� P�P� work in accordance with the d�scriplion above orth and ce with a�l o of
vrrlinaaces oP the dty oP Fridley.
�
In camafderation oP the Pa3►ment of a fee of �-$ ���,., , P�t fs herel�Y granted to Cot3 BPaEidvold
ConstP• Co, � ��� .�e b
'the euAress condition that the ��g or addition as de�cribed above. This �t is graated upon
peraon to whom it fa granted and his agents, ernpioyees an worl�en� �in a11 work.
dame in, around and upon said building, or anypar� thereoS, shall conPorm in all respects to the ordinanc� oP
Fridley, B�innesota g location, conatruction, alteration, maiatenance. rePe3r and aioving of bufl�n�
wl�� dty limits�aa�this per�nit may be revaked at aqy time upon violation oP any of the P��ions of sa[d
A11en Jensen B�� �
NOTIC�
TI� pemdf dea �e eo+rcr tla eonstrueHoe, fnstaQalion }o� rrt�teg, plumbin9. em 6�8. �p' oe wahr. 8� wn fo as
N» &ri�di�g le�etoe tor p�tl� p�rmW fer fhsa t�n,
M�-- -
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APPLICATION FOR BUILDING PERMtT
CITY pF FRIDLEY, MINNESOTA
OWNER's NAME ���er BItILDER_ Don Braadvald Const. Co.
ADDRESS_ 52� Bennett ADDRESS 62�.6 Br�a� gve. No.
__._�.
LOCATION OF BUtI.DING
No._��2 'j Street� �part o,� Lot
�
..____....,.,,.
L�T— �� �R . - ADDITION OR SUBDtVISION ��,� �
._..__
Corner Lot��Inside LOT�Setback Side-�Yard > �-'�
SEWER ELEVATI4N FOUNDATTQA ELEVATTON�„ �
Applfcant attach to this form Two Certificates of Survey of Lot and proposed
building location drawn on these Certificates.
To be used �s;
DESCRIPTION DF BUII�DING
Froat Degt �_��eigh�
° Sq. Ft. Cu. Ft.
Fraat DePt `_Iieight
Sq. Ft. Cu. Ft.
Type of Comstruction��a hQ�e , Estimated Cast �12.000_00
To be ccnapleCed .
Tha unders�,gned hereby makes application for a germit for the work herein apecified,
agreeing to do all work in strict accordance wiCfi the Citp of Fridley Ordiaances
and ruling� of the Dep�rCment of Buildings, and hereby declares that a11 the facts
and representations stated ia Chis applicati are true aad correct.
DI�TE � � �y � � SIGNATURE
(Schedule of Fee Costs can be found on the Reverse Side).
� ! a � P
�'
1 I
8t1Ri.DING PERI�T FEE S(:��$
gE�I�=� The Inspector of Building&, shall, before issuing any germit for the
erection of any building or strucCure, or for any addition to enq existin� build-
ing or structure, dr for any aleerations or repaira to aay existin� building or
structure, ugon application.therefore, require the payment by the app}.ic�nt for
such permit af'fees to the ainount herein�below aeC forth and in the roanner herein
provided to-wit: _
2,i�n For any auch permit for the erection of any fire�proof buildin�,
other than a garage, �arehouae, factory,or grain elevator, or for the erection
of any fire-proof addition, for similar occupancq, to any exieting building,
�hall be. at the rate of,$1.40 for each one tbousand cubic feet, or fraction
"thereof, ia such cubtcal� Cantents.
2_ 2s For any such�'permit fo� Che erection�of aay�fire-groof $ar�Se,
Warehouae, factory or graia elevator, or far the erection of any fire-proof
� addition, for aimilar occupancy, to any existing buildir�g ahall be ae the rate
of $1.25 for each oae thousand cubic feet, classified as "fireproof" by
3ecCion 5Q2 of the M3.nneapolia Building Code.
HOOSES "
2.3.
For anq.euch permit for the erection of aay nan•fireproof building,
other thaa a garage, warehouae, factorq or grain elevator,-orga�tn$1�OOrfor�each
addition, for similar occupancy, to any exiating building p
one thousand cubic feet.
G�RAGES �
�_�
2.4. For any such permit For th� erection of anp non-fireproof gara�e,
ware�o�e, factory or grain elevator, or for the erect3on of any non•firepsoof
additiaa, £or s3milar occupancy, to any exieting building or for each such
buildin� or addition - ninety cents ($0.90) for each ane thousand cubic feet
or fractioa thezeof, in the cubical�contents ehereof with the minimum of $4.00.
Fos the purpose of computing fees for building perm3ts, the cubical contenCs
of anq building or addition to a uniform height throughouC bp multiplying the
ground area covered f�om a point six (6) inches below the floor liae of the
basement or cellar to the average height of the uppar surface or to the average
hef,ght of the roof aurface of the main gable of a pitched roof.
� 2�.5.� For �epaira or alCerations to an exiating structure, the fee shall
be at the ra�te af $3..00 per each.Five Hundred Dollars ($Sb0.00) or fractfon
thereof in the coet of all propased work. � �
2.b. In no case shal�. -r.h�.. €e� c#�a.rged for aay permit aa set forth in
Section 2 be�lese than $4.00. ' �
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SUBJECT
City of Fridley
AT THE TOP OF THE TWINS g U I L D I N G P E R M I T
�
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� � COMMUNITY DEVELOPMENT DIV.
� �.-------�
r � � PFOTECTIVE INSPECTION SEC.
L_-_.� ��"" ��� CITY HALL FRIOLE� 55432 NUMBER
i 612-571-3450
910-F15
JOB AODRESS 525 Bennett Drive NE
1 LEGAL LOT NO. BLOCK TRACT OR ADDITION
DESCR. ],2 2 Christie
2 PROPERTY OWNER MAIL ADDiiESS
Bud Miller 525 Bennett Drive NE
3 CONTRACTOR MAILADDRESS
B& B Roofing 6760 Ma.dison St NE, Fri
4 ARCHITECT OR DESIGNER MAIL ADORESS
5 ENGINEER MAILADDHESS
REV OATE PAGE OF
5/20/97 / /
21P
ZIP
MN 55432
ZIP
ZIP
P � �
� ����9 �
RECEIPT NO.
o�S�
APPROVED BY
SEE ATTACHED
SHEET
PHONE
571-3726
PHONE LICENSE NO
571-0248 9042
PHONE LICENSE NO.
PHONE UCENSE NO.
6 USE OF BUILDING
Residential
7 CLASS OF WORK
❑ NEW ❑ ADDITION p ALTERATION C� REPAIR ❑ MOVE O REMOVE
B DESCRIBE WORK
Reroof house & garage (Znd layer) 24 Sq
9 CHANGE OF USE FROM
STIPULATIONS
TO
Roofing can be the 2nd layer but not the 3rd.
SEPARATE PERMITS ARE REOUIRED FOR ELECTRICAL, PLUMBING, HEATING, "rc a�r lrV1Y.71 .
VENTILATING OR AIR CONDITIONING.
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING
AUTHORIZED IS NO7 COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION
OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 pAYS AT
ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS
I HEREBY CERTIFV THAT I HAVE READ AND EXAMINEO THIS APPLICATION 1
AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS VALUATION
AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED �L�(�88
WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT
DOES NOT RESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE pERMIT FEE
PROVISIO OF ANY OTHER STAT OR LOCAL LAW REGULATING CON• �/�,H.SO
ST CTI OR THE PERFORMAN OF CONS CT
��� � ��/Ci/ � � LAN CHECK FEE
License C
SIGNATUREOFCONTRACTORORAUTHOAIZEDAGENT IDATEI , ��, „�,,,,
iiF OWNER BU4DERi IDATEI > �
OGGUPANCY GROUP OCCUPANCVLOAD
SO.FT. CU.FT
OFFSTREET PARKING
STALLS IGARAGES
$.74
�C CHARGE
Fire SC $1.48
ITAI FEE
$55.72
THIS IS YOUR PERMIT
.� �.��
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CITY OF FRIDLEY
SINGLE FAMILy AND DUpLEXES R-1 AND R-2
BI�II-DING PERMIT ApPLICATION
ConstructionAddress: �°��
Legal Description: `� �
�
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Effective 1/1/97
r Ci�/
Owner Name & Address: _ � � �'j / � � �= � Tel. # �3 %� •- � ��(P
Contractor. `� �
- '" � �j�� .MN LICENSE # � �f �
Address: �O �� � j��.� j �-��
Tel. # ,.� ��'-f%� �%
Attach to this application, a Certificate of Survey of the
lot, with the proposed construction drawn on it to scale. �
LIVING AREA:
GA,RAGE AREA:
DECK AREA:
OTHER:
DESCRII'TION OF IlVIPROVEMENT
�n� Width Height Sq. Ft.
�n� Width Height �. Sq. Ft.
�n Width Hgt/Ground Sq. Ft.
�/��� � �.5�"� � �s �sG � ci� /� C�. �`�� ./� 02yS�
Construcrion Type: ���e..�'�' �"
. Estimated Cost: $_. � e �. �
� (Fee Schedule on Back)
Driveway G�rb Cut Width Needed: Ft. + 6 Ft = Ft x$ -$ .
DATE:p�Q G�/%1�-�APPLICANT: Tel. #� 7�— �/�
CITY USE ONLY
Permit Fee
Fire Surcharge
State Surcharge
SAC Charge
License Surcharge
Driveway Fscrow
Erosion Control
Park Fee
Sewer Main Charge
TOTAL
STIPULATIONS:
� ��i , � ?-,
���L
� �: ��,
�_ �� y
$
� ��'c,
$
$
$
$
� � � '��-
Fee Schedule on Reverse Side
.001 of Permit Va.luation (1/lOth%)
$.50/$1,(�0 Valuation
$950 per SAC Unit
$5.(� (State Licensed Residential Contractors)
Alt. "A" or Alt. "B" Above
• $450.00 Conservation Plan Review
Fee Determined by Engineering
Agreement Necessary [ ] Not Necessary [ ]
fiU[LD[NG PGRM[1' EEE SCHED[;t.,l;
"I'lie Chief I3ui(ding Official sha(1, before issuing permits for the erection of any building or structure, or t��r
any addition to any existing buitding or structure, or for any a(teration or repair to any existing buildin� or
stiucture, 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 pr.ovided .to-wit: . �
TOTAL VALUE
$1 to $500
$501 to $2,000
$2,001 to $25,000 .
$25,001 to $SO,OQO
$50,001 to $100,000
$100, 001 to • $500, 000
$SQ0,001�to $1,000,000
.�',1, 000, 001, and up
FEES
$21 (Minimum Fee is $21 plus surcharge)
$21 for first $500 plus $2.75 for each additional $1(?0 or
fraction thereof, to and including $2,000
$62.25 for fust $2,000 plus $i2.50 for each•additional $1,0�
or fraction thereof, to and including $25,000
$349.75 for first $25,000 plus $9.00 for each additional $1,000
or fraction thereof, to and including $�0,000
$574.75 for first $50,000 plus $6:25 for each additional
$1,000 or fraction thereaf, to and including $1p0,000
$887.25 for first $100,000 plus $5.00 for each additional
$1,D00 or fraction thereof, _to and including $5(?U,000
$2887.25 for the first $500,000 plus �4.25 for each additional
$1,Ot}0 or fra,ction thereof, to and including $1,�;OQO:
$5012.25 for the first $1,O�,Oi?0 plus $2.75 for. each additional
$1, 0� or fraction thereof
DRIVEWAY DEPRE.SSION ESCROW
(Concrete Curb Streets Only)
Alternate "A.": Removal and replacement of curb and gutter only - Driveway width plus 6 feet times $13.>0_
A�ternate "B": Removai and replacement of curb and gutter and install a 3 foot wide
approach with 6 inch depth - Driveway width plus b feet tiines $15.75.
VERIFICATION OF �OUNDATION
°'Lrmits for construction will be issued a minimum of 24 hours from the time of application to allow for pro�::r
•��iew of the proposed structure and of the construction site.
: Certificate of Survey of llie lat, showing the location of the foundatiosl ��nce it has it has heen c�nstruc°_ _?
�'I h� reyuired hefore ��rt�cecding «�ith thc framin��_
�
_
CIIYOF
FRIDLEY
FRIDLEY MUNICIPAL CENTER • 6431 UNIVERSTTY AVE. N.E. FRIDLEY, MN 55432 •(612) 571-3450 • FAX (612) 571-1287
September 25, 2000
Majda Dzihic
525 Bennett Drive NE
Fridiey, MN 55432
Re: Final Inspection at 525 Bennett Drive NE
Contractor: R. A. Johnson and Son
Dear Ms. Dzihic:
A plumbing permit was issued on June 8, 2000, for the above noted address,
to install a gas water heater. According to section 4715.2800 of the State
Plumbing Code, a final inspection shall be conducted on the plumbing authorized
by this permit. As of this date no inspection has been called for.
You will be given thirty (30) days from receipt of this notice to respond. If we do
not hear from you, we will expire the permit and any inspections on this
installation will require a new permit.
Any questions can be addressed to myself at (763) 572-3603.
Sincerely,
sue�ecT q
City of Fridley 33 3 3 3
AT THE TOP OF TME TWINS g U I L D I N G P E R M I T
�
� � RE T NO.
� �,� _����_ COMMUNITY DEVELOPMENT �IY. ��/
r � � PROTEC7IVE INSPECTION SEC.
�
� _ �
� �"'1 � CITY HALI FRIDLE� SS�32 NUMBER pEV D�TE P�GE OF �PVnOVED Br
�'"'-� � ��� 763-571-3450 s� aF� s
2/3/03 � /
JOB ADDRESS 525 Bennett Drive NE
1 LEGAL �OT NO. BLOCK TRACT OR ADOITION
DESCR. 12 2 Christie Addition SHEET TACHEO
2 PROPERTY OWNEi; MAIL ADDiiESS 21P PHONE
Integrity Living Options 525 Bennett Drive NE 952-925-4970
3 CONTRACTOR MAIL ADDRESS 21P PNONE LICENSE NO
Handyman Home Improvement 20703 Jul Ave N Forest Lake, MN 55025 651-592-3161
4 ARCNITECT OR OESIGNER MAIL ADDRESS ZIP PNONE LICENSE NO
20220044
5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO
8 USE OF BUILDING
Residential
7 CLASS OF WORK
❑ NEW 0 ADOITION ❑ ALTERATION O REPAIR O MOVE O REMOVE
X
8 DESCRiBE WORK
Interior alterations to bath and add e ress windows
9 CHANGE Of USE FROM TO
STIPULATIONS
See notations on plan.
Provide smoke detectors in al� sleeping rooms and on all levels o� the dwelling
per Section 310.9.1.2 of the 1997 Uniform Building Code. Caulk and flash al�
exterior openings.
�E�PAEQAiE PER(�ITS
WIRING HEA oR:
�LUM�ING� �M sNG��
SEPARA7E PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD
VEN71LA71NG OR AIR CONOITIONING.
THIS PERMIT BECOMES NULL AND VOID IF WORK OH CONSTRUCTION 20NING SO. FT CU FT.
AUTMOR12ED IS NOT COMMENCED WITHIN 60 OAYS. OR IF CONSTRUCTION
OR WORK IS SUSPENDED OR ABANDONED FOR A PERI00 OF 120 OAYS AT
ANY TIME AFTER WORK IS COMMENCED. NO DWLG. UNITS OFfSTREET PARKING
I MEREBY CER7IFV 7HAT I HAVE READ ANO EXAMINED THIS APPLICA710N 1 STAILS GARAGES
AND KNOW TME SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OP LAWS VALUATION SURTAX
AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED ��}.00
WITH WHE7HER SPECIFIEO HEiiEIN OR NOT. THE GFiANTING OF A PERMIT �$sOOO
DOES N07 PRESUME TO GIVE AUTMOR�TY TO VIOLATE OR CANCEL THE pERMIT FEE SAC CHARGE
PROVISIONS OF NY OTHER STATE OR LOCAL LAW REGULATING CON-
STRUC ION OR E P ORMAN E Of CONSTRUCTION $153 .�Jr Fire SCi �8. OQ
PLAN CHECK FEE T Y1L fEE
Lice e C 00 $170.25
NATU�7E OF CON'RA(;TOA OR AUTMQqIIED AGENT �D�iEi �.{E p Y yq ED TMIS IS YOUR PERMIT
- �- � �� �3
S�GN4TUqEOFQyyNEA�i�OWHEABU�LDERi iD�iEi g iN O��E
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CITY OF FRIDLEY
6431 University Ave NE, Fridley, MN 55432
SINGLE FAMILY AND DUPLEXES R-1 AND R-2
BUILDING PERMIT APPLICATIOIV
Effective 1 /1 /2003
(763) 572-3604 Bldg Insp
(763) 571-1287 Fax
�� l� �
Construction Address: �2� �� ,�
Legal Description:
Owner Name & Address I�'�1 L11� �tv[-t ��10�� Tel. #�1s2 �Z�a ��7�
Contra�tor. �A� IJ�e.� (�r� 1�-o�����1" MN LICENSE #�42�� �-�1--
Address: �o°7a `� .J u L.` j �v� � . ��—�°r L�� § t��Tel. # �� i �9 2 �1 �(
LNING AREA:
GARAGE AREA:
DECK AREA:
OTHER:
Attach to this application, a Certificate of Survey of the
lot, with the proposed construction drawn on it to scale.
DESCRIPTION OF IMPROVEMENT
Length Width Height Sq. Ft.
Length Width
Length Width
I�..°"f�- � `��i `
Height Sq. Ft.
HgUGrour,�ql Sq. Ft.
rl�� �6�, � � H� � O0'� � -- - —
Construction Type: � Estimated Cost: � �
Driveway Curb Cut Width Needed: Ft. + s Ft = Ft x$ _$
; �
DATE: (- 2`� • o� APPLICANT: �,� i� Tel. #��` 'Z^I�-ZZ_s���
Call (763) 572-3604 for Permit Fees if mailing in application. Fax to 763-571-1287 if using credit card and we will
call you for card number.
CITY USE ONLY -
Permit Fee $ ��Fee Schedule on Reverse Side
Fire Surcharge $ .�� .001 of Permit Valuation (1/10th%)
State Surcharge $ ��, O� $.50/$1,000 Valuation
SAC Charge $ $1275 per SAC Unit
License Surcharge $ ��� �$5.00 (State Licensed Residential Contractors)
Curb Cut Escrow $ Alt. "A" or Alt. "B" Above
Erosion Control $ $450.00 Conservation Plan Review
Park Fee $ Fee Determined by Engineering
Sewer Main Charge $ Agreement Necessary [] Not Necessary []
TOTAL $ � � / O � ��
� � i� �t C` �`6z%1 �
�''�,: � � ��� � - � .��� `�
: �` ,�„' � °� _ � .
•�
BUII.DING PERNIIT FEE SCHEDULE
The Chief Building Off'icial sha11, before issuing permits for the erection of any building or stru�ture, or for any
addition to any existing building or structure, or for any alteration or repair to any existing building or structure,
upon application therefore, require the payment by the applicant for such permit of fees to the amount herein
below set forth and in the manner herein provided to-wit:
TOTAL VALUE
$1 to $5�
$501 to $2,000
$2,001 to $25,000
$25,001 to $50,000
$50,001 to $100,0�
$1�,001 to $5�,000
$5�,001 to $1,000,0�
FEES
$23.50
$23.50 for first $500 plus $3.05 for each additional$100 or
fraction thereof, to and including $2,� �
$69.25 for first $2,000 plus $14.(� for each additional$1,000
or fraction thereof, to and including $25,�
$391.25 for first $25,(m0 plus $10.10 for each additional $1,�0
or fraction thereof, to and including $50,0�
$643.75 for first $50,�0 plus $7.00 for each additional
$1,000 or fraction thereof, to and including $1(�,000
$993.75 for first $100,000 plus $5.60 for each additional
$1,000 or fraction thereof, to and including $SOO,Q00
$3,233.75 for the first $500,000 plus $4.75 for each additional
$1,000 or fraction thereof, to and including $1,000,�
$1,000,001 and up $5,608.75 for the first $1,�,000 plus $3.15 for each additional
$1, 000 or fraction thereof
CURB CUT FSCROW
(Concrete Curb Streets Only)
Removal and replacement of curb and gutter only - driveway width plus 6 feet times $17.00.
Permits for const�uction 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.
VERIFICATION OF FOUNDATION
A Certificate of Survey of the lot, showing the location of the e�cisting founda.tion will be required before
proceeding with the framing. New Houses Onlv
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