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AF - 35426� �� -,, - �' � � � BUII,DING PERMIT Village oi Fridley, Min.n. Date •J•�� .�? ........................... � � I�'° 2�53 Owner . .�� .��:�. . . . . .� �.�� . . . . . Builder . . . . . . . . . . . .�.��.�.'�. :� . . . . . . . . . . . . . . . . . �. Address : �� . . . . . . � �. .h.►. �S . � 1e� Address . . . . . .�,-�,�.�. °i . . . � � .�. . . �/G'...C..'�.. �`!�, =S� � �� <� LOCATION OF BUILD�NG . No� . . . . . .. . . . Street . . . �� .4.�°�-.''j, . . .� .�'.?1. . . . . . . . . . Part of Lot . . . . . . . . . . . . . . . . . . . . . .� � ..... �. . d Loi . .... . .. . Block . ' .. .. . Addition or Sub-Division . .. .C: .�. �. J.�:"�'1. t . . . . ... . . .. . .. . Corner Lot . . . . . : �-�'� Inside Lot . . . . . . "' . . . . . . Setback . . . .�J. �`�. . . . . Sideyard . . . . . � � . . . . . . . . . . . . . . . . . DES�RIPTION OF' BUILDING To be Used as: . i.�l`�.�. L �� l.S . . . Front ��. . Depth . � �. . Iieight ��:�F!': . . Sq. F't. . .�� r. Cu. Ft. . . . . . . . . .r �ir�Z` �� "� � te �� . ..�.�„�::°4;�.�...... F'ront � � Depth �. �. .. . Height . .: !. .. .. Sq. Ft. .��. Cu. Ft. . . . . . .. . Type of Construction . .�!�.�.� ! �-. . Est Cost . . . ,�y .� � � . . . . . . . . . . To be Compieted . . (f3.' �'r?.�: . . . . . . . � ��'.�_ _ � In cotv�id�ratian af the issuance io me of a permit to construct the building described above, I agree to do the proposed work in accordance with the description above set forth and in compliance with all provisions of ordinances of tlie village of Fridley. �/ � ...................... •��j ideration of the payment of a fee of $.'.��.l� permit is hereby granted to .... �.. .4. �:.. .'�+`..�.5�^�. ..... to cbnstruct the building ar addition as described above. This permit is granted upon the ex�pres� co�1dition that the person to whom it is granted and his agents, employees and workmen, in all work done in, around and upon sa.id building, or any parE therebf, shall conform in all respects to the ordinances of Fridley, Minnesot�, regarding location, construction, alteratio ' tenance, repair and moving of buildings with- in the village limits �nd this permit may be revoked at a time u n viol ' n an of the ordinances. Y provisions of said .. .... . . ..... .. . Suilding Inspector NOTICE: This permit does not cover iF�e construction, installation or alferatien for wirPng, plumbing, gas heating, sewer or water. Be sure to see the Building Inspector for separate pe�mits for these items. � -*'r': ° _ ,�- �� - . , �, i, � �, -. �, � �; � '� ��`v �� \ , \�\ ,, ; . .� � \ � l� � � �'r � � � 1 _— � � �� , � � \�\ .',�p ' � � `y j �t 1 ' � I � � �'� � � `,� � '; ` , ` C�� .: `. �_ ., �� ` � ��, ��,ti � ��---- � t ;��; 1 --r-� � � � ' � ' . • t . � ', � 1 .. � . l , �. , �Y � _ _iot -- � � �. c� � � � ` �.-�fi - _ ��—�� _—_ . � � , ,,-..�-'�'° �a o� , l�_� � � � �ry, <. � � � 1 �„r�'°��r '' 0t � � '�r� . . �� ' � � v., a, s� \ `a . — e °r f � ' , � ��5. . - � ' �`� . �5 � .�� ,� - . � .�, �. , 4 �' \ ~ '+� \ � �, � �. �'�. � , . . �.. � �E �'. � . � 4 .� �. , . �.. . ` . . � ��, '�.�,, � "-�,�-- , � ' . _. � '� ,� �-- N _�, 0� � I� � T--' �O I�^ . ! ` ;� I I � I I I I �' � - . �� -: ., . .,. . . .__.T. . _ _ � . _.--_.. _ . .__ _. , } -_' _—_—.._—_._..___ _,_____. 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' , . . ,-. . + �' r 1 � +': � � '.l F �x5!'�. - - � i - - : �r' I o. ,< Y �� j' � � � r� - % � L ' ;.��/_. �� _ . :.� . . : . :, . .. � . ".. , 5_ ,:. , :':.� . . , .,.' ' ..`. '�.�- - „� �-1 - � # i ' ! � y `:�I. ' _ - 7 �� _ �� r �� •�Y'�>� l.#: -i - g ' 4^ r '�� a - .�� : � 7 T. ' R. k } P �-- �� "� � i' ' �",J iC _ A `)'H , .. # � g,,,;:. .. . � , t.�,; �. x ' Y 1 _ � . ' y� �r : . � _ .. � � .,S{ .l , .. f ,.�.. �� .rz r..k. . r�.. ..V_. .�_ i..t , w ..e ...., t�., ..� . , ...,i5.. � x`" ....,.�. ._ _ . ,._. �.,;� c�. � E� -,..� - " � _.�k..m,i�a ��.z . . �crBl,.. �*�i' �. Se�< : J . _ . .�tn�.d"b�.o 1.{..'ry'+�'-�. ' _ SUBJECT City of Fridley AT THE TOP OF THE TWINS gU I L D I N� P ER M IT r i � � �` _____ COMMUNITY DEVELOPMENT DIV. � ~ � PROTECTIVE INSPECTION SEC. 1 � � � _ �"'t � CITY HALL FRIDCEY 55432 NUMBER �--"� � �'� 612-571-3450 910-F15 JOB ADDRESS 550 Bennett Dri v . E. _175 ;EIPT N� REV. DATE PAGE OF IAPPROVED BY 6/13/84 / / 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION DESCR. `LQ q, Chri sti e Addi ti on 2 PROPERTY OWNER MAIL ADDRESS Joseph Dacko 550 Bennett Drive N.E. 3 4 ARCHITECT OR DESIGNER 5 ENGINEER e USE OF BUILDING MAIL ADDRESS MAIL ADDRESS MAIL ADDRESS SEE ATTACHED SHEET ZIP PHONE 571-2277 ZIP PHONE LICENSE NO. Z�p PHONE LICENSE NO. ZIP PHONE LICENSE NO. 7 CLASS OF WORK ❑ NEW �7 ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE O REMOVE 8 DESCRIBE WORK 21 ft. x 16 ft Deck — 9 CHANGEOFUSEFROM STIPULATIONS TO TYPE OF CONST. SEPARATE PERMITS ARE RE�UIRED FOR ELECTRICAL, PLUMBING, HEATING, WOOCI VENTILATING OR AIR CONDITIONING. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZpNING 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 FEAD AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS VALUATION AND OFiDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT 550.00 DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE pERMIT FEE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. � 5. QO PLAN CHECK FEE OCCUPANCY GROUP OCCUPANCY LOAD S�. FT. CU. FT. 336 OFFSTREET PARKING STALLS GARAGES SURTAX .50 SAC CHARGE TOTALFEE TUREOFCONTRACTORORAUTHOR12EDAGENT IDATEI N P�RLY V ID TED THIS IS YQU} PERMI� � �Q,�a �� T�a�� t� � � `� �°� cCc3��' ,,.,�..�'� nwnica RIIII f]FR� iDATEt . I BLDG iNSP DnTE p� [] Citq oP Fridley Effeetive �/1l84 ADDN. [ ] R-1 AIiD R-2 pyT�. [ ] Building Permit Applieation Construction Address : �� °`�N�= � "` a�� N t. � I�� , � �'_ .` �^ � �� 3 � Legal Description: Owner Name & Address: �c��t-! 17. A�1�� ;��os►L r3�afZ,�SS ' Tel. #_�i-��77 � Coatraetor: �� L � �- Tel. # Address: �ao+n � a�' °.s �2,.c= S'S - — LI9ING AREA: GARAGE AREA: DECB AREA: ,— OTHER: Attach to this application, a Certifieate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTIOH OF IMPa00EMENT Length Width Height Length Width Height Length � � Width �� Hgt/Ground �'� �/ Sq. Ft. Sq. Ft. Sq. Ft. _�— %s9�'� Corner Lot [] Inside Lot [� Ft. Yd. Setback Side Yard Setbaek Type of Construetion: i��A?� D Estimated Cost: $ �� Approx. Completion Date: �P� �-'� `� f�� Alt. A Alt B Progosed DriveWay Width If NeW Opening Is Desired: $ $ See Back Page for Explanation DATE: , �3 �p �� APPLICANT: Tel . # ��" ��, � IT7( IISE OHI.Y � Permit Fee Plan Cheek State Surcharge SAC Charge Park Fee Sewer l4ain Charge TOTAL $ !S►� $ � A 0 @9 $ • �� $ $ ' �� STIPULATIONS: � %�� 0� Fee Schedule on Reverse Side 25� of Building Permit Fee $.50/$1,000 Valuation $u25 per SAC Unit Fee Determined bq Engineering Agreement Necessary ( ] Not Necessary [ ] s, • BIIII.DING PERMIT FEE SCHBDIILE 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 strueture� or for anp alteration or repair to any existing building or structure, upon applieatio n therefore, require the payment by the applicant for suQh permit of fees to the amount herein below set forth and in the manner herein provided to-wit: Total Valuation �1.00 to a500.00 F@@8 ' �. r $10.00 (Minimum Fee is $15.00) $501.00 to $2,000.00 $10.00 for the first $500 plus $1.50 for each additional �100 or fraction thereof, to and including $2�000. $2�001.00 to $25,000.00 $32•50 for the first $2,000 plus $6.00 for eaeh additional $1,000 or fraetion thereof, to and including $25,000. $25,001.00 to $50,000.00 $170.50 for the first $25,000 plus $4.50 for eaeh additional $1,000 or fraction thereof, to and ineluding $50,000. $50,001.00 to $100,000.00 $283•00 for the first $50,000 plus $3.00 for each additional $1,000 or fraetion thereof, to and including $100,000. $100,001.00 and up $433•00 for the first $100,000 plus $2.50 for eaeh additional $1,000 or fraction thereof. DRIVEiiAY DEPRBSSION ESCROii (Concrete Curb Streets Only) Alternate "A": Removal and replacement of curb and gutter only - Driveway width plus 6 feet times $13•50 Alternate "B": Removal and replacement of curb and gutter and install a 3 foot wide approaeh With 6 ineh depth - Drive�ay Width plus 6 feet times $15.75 VERIFICATION OF FOIINDATION Permits for construetion will be issued a minimum of 24 hours from the time of application to allo�a 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 onee it has been c=onstructed will be required before proceeding With the Praming. �� ; ��v � � ' � . � ' , i O � .._ . -- ------- - � � U' _- i � __ � I 1 � ^� � ♦• N _� O �, _ N C�A � ' C�1 , ,��_. � _'` 2 � • =��' � � 2� '� � � 5 -- �� " �1 C� 3 = � � - �--. _ � ��s. o � � _- -- � _ _ - .� . r;� �� 1 t _ l �- � � '�� , i 3� ___ _ W � O' �----�� , _ _� �,, �_ . � o , - ��.5.� � __`, 1'� r i.---;L�. c• ��_ � - - - - �r � ��', -_�„�..: :..� i ' • � --_ 2� , �391 WA SH w cn -P E— � , : �. �. .. � .:.:., �.� � ,.... r _ � � ,. i ��i , L!r ' i � �n �� yi : � `; I„ I �' ' - - � Q� � � j L� i , n /� s � `� "0 + �� V ti j � � i ! I � � I � f i� I 1 � !� '� � �! � �. � � Z� . �_ ` , x. ' ; �� ..�� ' � ��`�, �� • � !' a' � �,� ( � .� � ��- =� � � .� t t � �� D � ' • 4 ., � /� r� � � � , � ��, �- ',��, 4 „ . `, - `,� . ', 9 \ 1� � p.� �� , \ �1 � ' r � v� J� i. ti� �. 'v P < !_� 0 l� ';-� � � ;� �� ..� � � '��;� �� ;�: r- '`��,� � �� , � - ... �' �- �'A R p 6' L� — Np � � � K � • � , _ � � � � � , L 16 f a�./� � � i — -- _� � � � �s . I -0 s I . Q � -_ � � p ,� .��G � � Z �. ' i£ �' � L 1 X • �D � ' J � � l[ � �1 a� � -a ,. t }' o j �, . � � ' �. �i r � L ' z � � m � � \ ; �, c l�' D' �, r `- i — -► � � . � 3 � �.:' �� z W z� � 8� g� _;. r� e �z O N �' �' r ° 13 . . � � Z "� �� C� �i � a � R � 4 � C�► v+� 1 . w , �� 0 - CaNCa�„� -.. � i u � •c, � � . ' \ Yr c Y Y \ \ . 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. r j � PROTECTIVE INSPECTION SEC. � i ' � �"'1 � CITY HALL FRIOLE� 55432 NUMBER HEV DATE �..__11.• ••� 612-571-3450 910-F15 9/18/87 JOB ADDRESS 550 Benn.ett. Drive N.E. i LEGAL LOT NO. BLOCK TRACT OR ADDITION DESCR. 20 4 Chxi.stie Additian 2 PROPERTY OWNER MAIL ADDRESS Z�p Joseph Dacko 550 Bennett Drive N.E. 3 CONTRACTOR MAIL ADDRESS Z�p C& F Tile 1�.22. -. I28th Avenue N.W., Cbon �apids, MN 55433 4 ARCHITECT OR DESIGNER MAIL ADDRESS Zlp 5 ENGINEER MAIL ADDRESS Z�p PAGE OF / / IT NO. I� _ 19184 �� APPqOVED BY SEE ATTACHED SHEET PHONE 571-�2277 PHONE LICENSE NO. 7 54-103 5 PHONE LICENSE NO. PHONE LICENSE NO. 8 USE OF BUILDING �S.ICIPII,'�'.7:.�- 7 CLASS OF WORK ❑ NEW O ADDITION ❑ ALTERATION � REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WOHK Reroof Dwelling (24 squ�,res� 9 CHANGE OF USE FROM STIPULATIONS TO Rpof can be 2nd layer but not 3�d. Insta,ll xidged ga,lvani.zed valleys. SEPARATE PERMITS ARE REOUIRED FOR ELECTRICAL, PLUMBING, HEATING, � rrc �r �vrva�. VENTILATING OR AIR CONDITIONING. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZpNING AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED 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 WITH WHETHER SPECIfIED HEHEIN OR NOT. THE GRANTING OF A PERMIT $I.�ZOO DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE pERMIT FEE PRO �ONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- TR TION OR THE P RF RMAN OF CONSTRUC710N. $2O, rjQ - /� PLAN CHECK fEE 7 �� SIGNATURE OF CON i RACTOR OR AUTHORIZED AGENT �DATE) ..y � ....._.. ___ IIF OWNEF BUILOERI � OCCUPANCY GROUP OCCUPANCY LOAD SQ. FT. CU. FT. OFFSTREET PARKING STALLS GARAGES SURTAX $.60 SAC CHARGE TOTALFEE $21.10 RLYlVA IDATED THIS IS YOUR PF�rAMIT J ��i8� d';� N� [] City of Fridleq Effeetive 4/1/86 ADDN. [ ] �R-1 AND R-2 pLTER. [ 7 Building Permit Application Construction Addre Legal Deseription: Owner Name & Acldress : �� -�'� ��e1�� Tel . ,� �J`� 1 "22-�� Contractor: C �1 � �� Tel. � '��/-IO�� Address: ��22 t�� J� I�L� ��-;.� ��ia� I�L�.1 SS�3� LIVING AREA: GARAGE AREA: DECK AREA: OTIiER: Attaeh to this applieation, a Certificate of Survey of the lot, with the proposed construction drawn on it to seale. DESCRIPTION OF IMPROQEMENT Length Width Aeight Sq. Ft. Len�th Width Height Sq. Ft. Length ��_ Widtk� �_ H,gt/Ground Sq. Ft. I Corner Lot [] Inside Lot [] Ft. Yd. Setback Side Yard Setback Type of Construction: Estimated Cost: $.� ��Od Approx. Completion Date: Alt. A Alt B Proposed Driveway Width If New Opening Is Desired: $ $ See Back Page For Explanation DATE: �- �� "�� APPLICANT: Tel. � ��Sy-��35� Permit Fee Plan Cheek State Surcharge SAC Charge Park Fee Sewer Main Charge TOTAI. STIPULATIONS: CITY IISE ONLY $ �U : �� $ � �`^� $ �. � $ � �1.1z� Fee Schedule on Reverse Side 25� of Building Permit Fee $.50/$1,000 Valuation $ 525 per SAC Unit Fee Determined by Engineering Agreement Necessary [ ] Not Necessary [ ] . � . .,� � BDII.DING PERMIT FEE SCHEDIILE 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 strueture, or for any alteration or repair to any existing building or structure, upon applicatio n therefore, require the payment by the applicant for sueh permit of fees to the amount herein below set forth and"-in the manner herein provided to-wit: Total Valuation $1.00 to $500.00 Fees $10.00 (Minimum Fee is $15.00) $501.00 to $2,000.00 $10.00 for the first $500 plus $1.50 for eaeh additional $100 or fraction thereof, to and ineluding $2,000. $2,001.00 to $25,000.00 $25,001.00 to $50,000.00 $50,001.00 to $100,000.00 $100,001.00 and up $32•50 for the first $2,000 plus $6.00 for each additional $1,000 or fraetion thereoP, to and ineluding $25,000. $170.50 for the first $25,000 plus $4.50 for each additional $1,000 or fraetion thereof, to and ineludin� $50,000. $283.00 for the first $50,000 plus $3.00 for eaeh additional $1,000 or fraetion thereof, to and including $100,000. $�33.00 for the first $100,000 plus $2.50 for each additional $1,000 or fraction thereof. DRIVEWAY DEPRESSION ESCROii (Conerete Curb Streets Only) Alternate "A": Removal and replacement of curb and gutter only - Driveway width plus 6 feet times $13.50 Alternate "B": Removal and 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 construetion site. A Certificate of Survey of the lot, showing the location of the foundation onee it has been constructed will be required before proceeding with the framing. � * E b w n � � � � � w �� i]o � O � a � K' � o rt o fD wro ~ n � a �• � w w �• �t N I� w E w 0 G R 0 c e+ Q w n � � m 0 'S N �-h m n � `m j. � w � o �� \; i o (�V 3 �� m I v � a n�p � 3 � 3 ct � � C Z 3 N n m �n ro� �� o� H� � $b cz �� x�xt� �H �z � ro � � H H U: a� � 0 0 N W O :� � ro O � "�C � � I � � C� `C7 rrt � � O .� le � ny � a n R � � M rr [h � � x 'd ro � � O t-+ D' c ~ N � o ro ro ft � ro H � a w m m C � 'O W � , � ~ µ fD z � � `� � o 1'i fD � � . � � � z a z � s � a y M N N � � Ap� . H 9 H rt x °x [�1 c°r � �d a � m �Z w �n r � � � \ N '3 0� W o ro � � � � n� � � � F � 1 ~ � O x ro � � x N � N ro � O � � N N � r � 0 0 E+ rt w rt � � N � M Q � W lD i♦ � � � * r � � � dP F-� 1�-h � a~a O� ? C� H � O C � O � � � f'' n w � d I�-' '.\0 O M N fD '� F'• ro � �n � r � ro� r �a � N•'y w � '.7 F-' N• M N N ✓ o ►°i � � O � 7�, � id FJ O 0 0 � ' �� lo� � � �,, ~ � � � g � � � � C � H � o � � � H ,O � � H 0 , � f:y 4� G] W KJ U� �N fwA Tp W M M G �i P �µb „ � � � a `° � w � x r � O N „ F' � ro� � ma � � � � M rt cn* a �n :°. �x / i!! iA �VJ� �i/l 0 0 0 0 . . . . ` o 0 0 0 0 0 o a i/f {A i/) �(/l i? i/1 � " � yy � � C �A M � W 7 � � � � � �� a�c�a f�D � W N ro o n w � M � � 4 � m� w � �ro�K � �S o � W p \ L! fD �'' G �r�r R � �n o �d � Q. aron w m wmxro •C � G w F+ r- p w � ��Srt ' a�� ro• fi �a w o w � n rs 7 I�D i7 � 1 1n�Cm � K rt � � � x � fD � 'J� f1' W to fD W a � w � 8 tat "rtC X . K (] t0 Q F�+ p. rS �rt��5' � � m w� rr�� y M � r�� N F � M O � � f+ w � � � w r � "c' � M w w � < m � n a N K `Z � N � N � H � H O � 0 a a �' N � v -o �' -° � m D � � � z rG- o m z O � m � n -� � � c-') -Z-I O f/) Z r� a z -1 G O S � A � � -�G � N --I f") � O v� r z czi ty • m m ..�.� � C� m � N � 0 z z m TI ."O c� m � n -i O z a Z C n �--I � O T T � d r rn -< m -i, -,, � C) �r < re Or 3 � � �= CHIM�JEY AN�J STACK VERIFICATION The undersigned hereby verifies that the existing chimney or stack; 1. Has been carefully examined Yes (,) , 2. Is free from rust or deterioration Yes () 3. Has no foreign objects lodged within Yes () 4. Is securely supported Yes () 5. M� et� a�� current Code requi;eme�ts �or size and total BTU connected 6. Has Total hea ting BTU's of All other BTU's TOTAL Rema rk s , ._, Com pa ny S.igned By Da te � No ( ) No ( ) No ( ) No ( ) Yes ( ) No ( ) sue�ecr PE . --_ City of Fridley 2 217 6 AT THE TOP OF THE TWINS g U I L D I N G P E R M I T r � ` R . � `L _�_�� COMMUNITY DEVELOPMENT DIV. r � �; PROTECTIVE INSPECTION SEC. �� _ , � r'�'� � CITY HALL FRIDLEV 55432 NUMBER REV. OATE PAGE OP APPROVED BY !""'"� � �'� 612-571-3450 910-F15 12/13/�3 / / JOB AODRESS 550 Bennett Dri,ve NE 1 LEGAL LOT NO. BLOCK TRACT OR ADOITION SEE ATTACHED DESCR. 2� 4 Christie Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Joe Dacko 550 Bennett Dr NE 3 CONTRACTOR MAIL ADDRESS Z�P PHONE LICENSE NO. Mi.lton L. J'ohnson Ca. 525 Lowry Aue NE 8- 4 ARCHITECT OR DESIGNER MAII ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAILADDRESS ZIP PHONE LICENSENO. 8 USE OF BUILDING Residential 7 CLASS OF WOHK ❑ NEW ❑ ADDITION � ALTERATION O REPAIR ❑ MOVE O REMOVE 8 DESCRIBE WORK Remove and re�lace ts,zo casement windows ab.ove kitclien sink 9 CHANGEQFUSEFROM TO STIPULATIONS provide smoke detectors, as per UBC 1210 adjacent to all sleeping areas and in th.e basement. TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, VENTILATING OR AIR CONDITIONING. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING SO. FT. CU. FT. AUTHORI2ED IS NOT COMMENCED WITHIN 80 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONEO fOH A PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS OFFSTREET PARKING I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION �' STALLS GAFAGES AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS VALUATION SURTAX AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL 8E COMPLIED $1 �OQ WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT � $` 75 DOES NOT PRESUME TO GIVE 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. S3S.00 Fire SC $I.SO, � �� PLAN CHECK FEE TOTAL FEE �' ��, /C' i.� -j� License SC $5,00 $42�25 SIGNATUREOFCONTRACTORORAUTHORIZEDAGENT IOATEI WHEN RLY IDATED THIS IS YOUR PERMIT • - � �� SiGNATURE OF OWNER��F OWNER BUILDER� 1DATE� " BLD �N ��aT NEW [ ) ADDN [ J ALTER [ J Construction Address: Legal Description: CITY OP FRIDL�Y SINGLE FAMILY AND DUTLEXES R-1 AND R-2 Building Permit Application 550 Bennett Dr.N.E. Effective 3/ 1/92 �� Owner Name & Address: Joe Dacko Tel. A+ 571-2277 Contractor: Ma.lton L. Johnson Company � Ml�f LICBNSE � 2083 AddreSS: 525 Lowry Ave. N.E. Tel. � 781-9548 n Attach to this application, a Certificate of Survey of the lot, with the proposed cnnstruction drawn on it to scale. . DESCRIPTION OF IMPROVEMENT LiViNG ARBA: Length Width Height GARA(3L� AREA: Length Width Height DSCK AREA: Length Width Hgt/Ground OTHER: Sq. Ft. Sq. Ft. Sq. Ft. Corner Lot [) Inside Lot [ J Ft. Yd Setback Side Yard Setbacks Type of Construction: Remove & replace ( 2) Estimated Cost: $ � 1, 500 . 00 casemen win ows � �- • ��r � � Approx. Compledon Date: � (Cost on Back) Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x$ = S, UATE: ; 10/13/93 APPLICANT: �'� y �-�-� Tel. A� 781-9548 � .. Permit Fee $ ��' S . �� Fire Surcharge $ /, �� C' 5tate Surc{�arge $ • '�S SAC Charge $ License Surcharge $ -� -C�C� Driveway Escrow $ Park Fee $ 5ewer Main Charge � � 'TOTAL $ �"'� �S� S'TIPUI,A'I'[ONS: �. � ��- Fee Schedule on Reverse � Side � .001 of Permit Valuadon, (1/lOth95) $.50/$1,Q00 Valuadon $700 per SAC Unit �5.00 � (State Licensed Residendal Contractors) Alt. "A" or Alt. "B" Above Fee Determineci by Engineering Agreement Necessary� [ �J Not Necessary [ ] Bi11LDIN(i PBRMIT FEE SCHflDULE The Chief Building Official shall, before issuing permits for the etection of any building or structure, or for any addition to any existing building or structure, or for any alte�taHon or repair to aay exisHng building or sbructure, upon application therefore, require the payment by the applicant for suc6 permit vf fees to the amount herein below set forth and in the tnanner hereia provided� tQ-wlt: TOTAL VALUE � 1 to $500 $501 to $2,000 $2,001 to $25,000 • �25,OU1 to �50,000 $50,001 to $100,000 $100,001 to $500,000 $500,001 to $1,OOU,000 $1,000,001 and up FEES S 15 (Miulmum Fee is � 15 plus surchazge) � � $15 for first S3U0 ��ptas �2 for each additional � 100 or fracdon thereof, to and including 52,000 $45 for first. $z,000 plus $9 . for e�tch addidonal �1,000 or fraction thereof, to and including �2�,000 . $252 for first $25,000 plus �6.50 for each additional 51,000 or fracdon thereof, to aad including $50,000 - $414.50 for fust $50,0()0 plus 54.50 for each addidonal $1,000 or fraction thereof, to and including $�00,000 $639.50 for first $100,000 plus 53.50 for eac6 add�abnal $1,000 or fracdon thereof, to and including $500,000 $2039.50 for the first $500,000 plus $3 for each addiHonal $1,000 or fraction thereof, to �nd including 51,000,000 $3539.50 for the first $1,000,000 plus $2 for each addidonal $1,000 or ftactivn �thereof DRIVEWAY DEPRESSION ESCROW (Concrete Curb Streets Only) Alternate "A" : Removal and replacement of curb and gutter only - Driveway width plus 6 feet times $13.50. Alternate "B": Removal and replacement of curb and gutter and instal! a 3 foot wide approach with 6 inch depth - Driveway width plus 6 feet times S 15.75. � i�ERIFICATION OF FOUNDATION ' Permits for construction wilt be issued a minimum of 24 hours frorii the titne of application to allow for proper review of the proposed stnicture and of the construcdon site. A Ceriificate of 5urvey of the Iot, showing the location of the foundation once it has it has been constructed will be required before proceeding weth the framing. � sue�ecr IT NO. City of Fridley 2 � � � 5 ' , AT THE TOP OF THE TWINS g U I L D I N G P E R M I T qECEIP � � � ' COMMUNITY DEVELOPMENT DIV. r � L � PROTECTIVE INSPECTION SEC. � � i � i i � � /"'1 � CITY HALL FRIOLE� 55432 NUMBER REV DATE PAGE OF APPROVED BY �-'"'� � �'' 612-571-3450 91aF15 9/15/98 / / 10B ADDRESS 550 Bennett Dr NE 1 LEGAL �OT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 2O 4 Christie Addition SHEET 2 PROPERTY OWNER MAIL ADORES$ ZIP PMONE Joe Dacko 571-2277 3 CONTRACTOR MAIL ADDRESS Z�P PHONE LICENSE.NO. Premium Roofin 6680 Lucia Ln NE Fridle - A ARCHITECT OR DESIGNER MAIL ADDRESS 21P PHONE LICENSE NO. 5 ENGINEER MAIL ADDRESS ZIP PHONE IICENSE NO. 6 USE OF BUILDING Residential 7 CLASS OF WORK O NEW O ADDITION ❑ ALTERATION �J REPAIR O MOVE O REMOVE 8 DESCRIBE WOHK Reroof house & garage (23SQ) Tear-off 9 CHAN(3E OF USE FROM TO STIPULATIONS Underlayment must comply with the State Building Code. TYPE Of CONST. OCCUPANCY GROUP OCCUPANCV LOAD SEPARATE PERMITS ARE RE�UIFiED FOR ELECTRICAL, PLUMBING, HEATING, VENTII.ATING OFi AIR CONDITIONING. THIS PERMIT BECOMES NULL ANO VOID IF WORK OR CONSTRUCTION, ZONING SQ. FT. CU. FT. AUTHORI2ED IS NOT COMMENCED WITHIN 80 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OH ABANDONED FOf; A PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COMMENCED. NO. OWLG. UNITS OfFSTREET PARKING I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION STALLS GAFAGES AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS yALUATION SURTAX AND ORDINANCES GOVERNING THIS TYPE OF WORK WIIL BE COMPLIED ], � 971 . OO �. 9H WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT � DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE pEfiM1T FEE SAC CHARGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- ST�RUCTION OR THE PERFORMANCE OF CONSTRUCTION. �62.25 Fi e SC �1.97 PLAN CHECK FEE TOTA E � T__ � �_ �J-ls �jS Licen e $5.00 $70.20 SIGNATURE O: CONTRACTOR OR AUTNOp12ED AGENT IOATEI N P OPE ALIDAT, NIS I�Pi�UR E MIT ( �S � � SiGNATUREOFOWNER�i:OWNERBUILDERi IDATE� BIDG NSP � DaiE 4 - r�w ADDN ALTER �] [l [l CITY OF FRIDLEY SINGLE FAMII.Y AND DUPLEXES R-1 AND R-2 BUILDING PERNIIT APPLICATION Effective 1/1/98 '�� 1��` �- �� ConstructionAddress: �� /.�� v� Legal Description: ��,P C)�ic� ,t°OC Di��/r Owner Name & Addxess: �0� ,D/,C� �� ,�E.�/�� Tel. # �%'%��%% Contractor: ��t�%�L�/'� lPao�lti� MN LICENSE #�(��%%�i� Address: �� CJU� Li✓ �� Tel. # .s�/ -�7-� LIVING AREA: GARAGE AREA: Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. Length Length DESCRIPTION OF IMPROVEMENT Width Height Sq. Ft. Width Height Sq. Ft. DECK AREA: Length Width Hgt/Ground Sq. Ft. OTHER: �-3.s ' Construction Type:�f°G�'>� /�r1r�5�P��°� �timated Cost: $ . �L��i l �? � 1'` (Fee Schedule on Back) Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x$ _$ DATE: �'-i- (S '`�� APPLICANT: �� _ Tel. # .S%/ �73 Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee Sewer Main Charge TOTAL . STIPULATION5: � $ . ��. $ l-9� $ C $ $ �-�d $ $ $ $ $ � CITY USE ONLY Fee Schedule on Reverse Side .001 of Permit Valuation (1/lOth%) $.50/$1,000 Valuation $1000 per 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 [ ] BUII,DING PERMIT FEE SCHEDULE The Chief Building Official sha.11, 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 repair to any existing building or structure, upon application therefore, require the payment by the applicant for such pemut 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 $2,001 to $25,000 $25,�1 to $50,000 $50,001 to $100,000 $100,001 to $500,(�?0 $500,001 to $1,000,0� $1,000,001 and up FEES $21 (Minimum Fee is $21 plus surchaxge) $21 for first $500 plus $2.75 for each additional $100 or fraction thereof, to and including $2,000 $62.25 for first $2,000 plus $12.50 for each additional $1,000 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 $50,000 $574.75 for first $50,000 plus $6.25 for each additiona.l .$1, 000 or fraction thereof, to and including $100, 000 $887.25 for first $100,000 plus $5.00 for each additional $1,000 or fraction thereof, to and including $500,000 $2887.25 for the first $500,000 plus $4.25 for each additional $1,000 or fraction thereof, to and including $1,000,000 � $5012.25 for the f�rst $1,000,000 plus $2.75 for each additional $1,0� 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.�. 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 $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 stcucture 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. .- _ .