AF - 35427�
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Cit� of Fri.dley, Minn.
BUILDING PERMIT �
na�: _ �� i4,_1965
������
N° '7�69
p�; RODNEY GOOD B�� S& W CON'STRIICTTbN' COMl'ANY
Address 561 Bennett Drive N. E. Ad� 804�6 Fairchild
Minneapolis 32, Minnesota
� LOCATION OF BUILDING
No. _ 561 Street - Benn�tt Drive N' E_. part of Lot
�- 7-�- _ Block Z Addition or Sub-Division � ['.hri ��i e
C°raer L°t — Insfde Lot — Setback Sideyard
Sewer Elevatian .� Foimdation IIevation
DESCRIPTION OF BUILDING
To be Used as:
Front Depth Height Sq. F't. C,u. F't
Front Depth I�eight Sq. Ft Cu. Ft
Type of Construction �, �_$7, 5 00. 00 To be Compieted
REPAIRS DUE TO STORM DAMAGE
In coneideration of the issuaace to me of a perrnft to construct the building descriixd above, I agree to do
� P�P� work in acaordance with the d�scription above aet forth and in compliance with all provisions oP
ox�inaaces of the dty of Frldiey,
� �+.� �� � �, � f /� �.� �
In camadderation oP the paymeat of a fee of �� 0, 00 , p�t is hereby granted to
to construct the building or addition as described above. Thiepe rmit ia granted upon
the expr� condition that the person to whom ft is grented aad his agents, employees and worl�nen, in all work
done in, around and upon safd building, or anY part thereof, shall conform in all respects to the ordinaaces of
Frld1eY� Minnesota regardiuug lacation, constructton� alteration, maiatenaace, sepair and moving of bufldings
wl�� dLy ]imits and t1�ia permit may be r�voked at any time upon violation of any of the provYsions of said
B��lding Inspector
NOflCEs
'Ilds pere� d� not eowr ths eoe�rucHon, tnsta0a11oe }sr vririeg, P��+�9. 6b 6�8. aswer er wa�sr. B� sun 10 ss�
d� Boi�din9 �osP�etar ter qpu�tl� p�rmhs fee fheis if�ms.
� .
APP'LICATION FOR BUII.DING PERMIT
CI1'Y OE' FRIDLEY, MINNESOTA
OWNER � S NAME � � �� ° � .�r r�2 � ,�� BUTLDER _ _ � � G� (:m � �A : ,
t�nn�ss �_���� � � rs.� �nn�ss �� � .� �'� , ��:�,� �,� � � e�'�� .� .��
LOCATION OF BUH,DING
No, Street Part af Lot
. ____�_,
L�T � °� ��� � ADDITION OR SIJBDIVISION _, ��_�,f °e,�
,...._.__..._.._� ,_, `�
Corner Lot��Inside LOT�SetbBCk �� "� Sicle-+Yard 6 d �
SETn1ER ELEVATION FOUNDATIOR ELEVl�TION
.�.,.._
Applicant attach to ti�is form Two Certificates of Survey of Lot aad proposed
6uiiding location drawn oa, these Certificates, ,
` DESCRiPTION OF B�TILDn1TG
��� �� � s;�. ��
To be used as; �'
— '�.�a �„� � _______.�Front_ � � Dsgth� � � Height / �` �
�
Sq. Ft.— '��� Cu. Ft.
��..�� �,��. Front �° � Degth��Height � �, _ e
Sq. Ft. ���� � � Cu. Ft.
�.
Tqpe of Ca�astructicm (�� ,,, ,� �,�� �� E,stimated Cost�,� � � � �, ,�
To be com»letrad �r`' ���: �--� ,��° �
The underaigned hereby makes application for a permit for Che work harein apecified,
agreeing to do aZl work in strict accordance with the City of Fridiey Ordin�nces
aa.d rul�.nga of the Department af Buildirigs, and hereby declares Chat sIl the facte
and repreeentations stated in this application are true and correct,
� `? � �
DATE � SIGNATUI2E �A ' �.�� � � �_.�,� � ���_•-�, �
—�_...
(3chedule of Fee Costs can be found oa the Reverse Side).
� ._ .. �
� �
BUII.DING PER1�T FEE SCHEDIII.E �
ggCTIpN Z, The Insp�c�or of Buildin�s shall, before issuin� any parmit for the
erectfon of a�ny building or strucCur�, or for any addition to anq esiatin$ build-
ing or structure, or for any atteratioas or repairs to anq exiating building or
atructure, upon app�.ication therefore, require the payment by the,applicant for
sucb permit of �ees to the amount herein below set forth and 3n the manner hereia_
provided to-wit; -
2.1. For any aucb permit for the erection of any fire�praof buildin�,
oth�r than a garage, warehou�e, factory or grain elevator, or for the erection
of any fire•proof add3tion, fos similar occupancy, to any existing building,
shall be at the rate o£ $1.40 for each one,thousand cubic feet, or fraction
thereof� in such cubical coutent�. � �
2.Z. For an,y such permit �or the erection of any fire-praof garage,
Warehouse, factory or grain elevator, or for ttie ersction af,anq fire-proof ,
addition, for aimilar occupancy, eo any existing building shall be at the rate
of $1.25 for each one thousaad cubic feet, classified as "fireproof".by,
Sectiou 502 of tAe Mianeapolis Buildin� Code.
HOIISES •
__.___
2.3. For any such permit for the erection of any nan-fireproof buildiug,
other than a garaga, warehause, factary or grain elevator, or any non•fireproof
addition, for aimilar occupancy, to any existing building - permit $1.00 for each
one thoueand cubic feet.
GARAGES _ __ ,-
�_
2.4. For anq auch permit for tlie erection of anq non-fireproof garage,
�►arehouse, factorp or grain elevator, or ior the erection of any non-fireproof
addition, for simil�r occupancy, to aaq existing building or for"each auch
buiZdin� or addiCion - ninety ceuts ($0.90) for each one thou�and cubic feet
or fraction tbe�aof, in the cubical coritents Chereof with the miaimum of $4.00.
For tbe"pu�pose of computing fees for building permits,"the cubical cont�en�he
of anq buiiding or additioa to a uniform height throughout bq multiply�i $
ground area covered from a point six (6) inchea below the floor line of the
basement or cellar to Che average he3ght of the upper surface or to the average
height of the roaf surface of the main gable af a pitched roof.
2.5, For repairs.or alteratians to an existing etructure, the fee aha],1
be a he rate of �3.00.per each Five Bundred,Doll�rs.($500.00) or fr�ction ,
thereof ia the coaC of all proposed work.
2.6. In no ca�e ahall the fee ciiarged for any permit as aet forth in
Secti:on 2 be 7.eas than $4.00. �
i`� ^
� � `
� _ �` �
+ � • � COMP�IUITI'.['X U;��LOPi•�IdT DIVIS:LON
CZTY OF' FP..IDLi:Y
6431 UNIVEIZ,S:CTY AV��IUE tJORTHEEb15T
FRIDLEY, I'•IIP,T"_v"'i-,SOTA ,`'iri432
NOTICE OF NOi�I-CO.�IPLIIINCE ,
��:ame N! ��?�- �AXTE'.�
Date `��.�� /97 �
Address � a�c�y� ��- �. Date & Time of Inspection
_ DE'e. �'7 ! 4 7 9 -.�: ao �{af
- �-�. :
An inspection by this Departr�cnt has indicatecl that you are in non-co:npliance wzth
tne foJ.lo*r�illg Checked (x) sections of CYiapter 1Z3, RefusE Disposal, of the City Code.
Yo�� are hereby notified to take �i,zatever action is necessar.y to correc � any v3.olations
a:t or before �%,►N �� _ Failure to com,�].y tai.ti�t this notice may resu).t in
J.��al action by th� City Prosecutor. � .
�.
(� ) 113.02 Provi�� sufficient containers for the storage of aIl refus�
(incluciing garbage) accumulated on the prc:anises betz,;een collections.
(�) 113. 02 All refuse contai.ners shall be taater ticr ha� e a tic�}�� fitting
�,o be imp�rvious to �nsects, rodents, vermin, and �bsorption :�f
moisture, be fire��roof, and not er,ceed 30 allons in size (unless
other�•r:ise specifically author�.zed) . �'" .
( ) 113.02 A1.1 refuse shall be stored in appraved containers, with �he covPr
in place. .
{ li ) 113.0£3 Containers shall not be pl.aced or r.taintained as �o inte.rfere with
,' the us� of adjoining pro�tr�y. For the purposes of oollectian
onI - be >laced a ma�mum oi 3 f�:et in iror��E �
of the d:aelling unit. . .
( ) 113. 07
( ) 113. Q9
The contents of storage coFltainers sha11. b� collected at least
once ever}� w�ek, or more f'req�4ently if necessaiy. �
Containers �•rithout covers, �n po�r repair, corrac��d, or othexi�ise
defective shall be repaired or rep? acecl.
�
(� ) Ot}�er _..�i?7IYltD/.4-TE�, 1'7LJ'l'rrn �l��E= ,�c? / tir�_/ `
.C�'/�.Q�r"�' P�'ST1 �' �'� r
� A��L�_E�ft�-__— _�_Qt��T�r.e.�2s' Tzs ro �2 G i4 �-e..�±����'� C
l�s� 4� c,v i r� z-� � L�'D /.Sr PCAC,E .�P�.� NIAY�Rt �Ks auT �� C�G�7;
If you have aiiy questions cancernin� this matter, ple�ase feel fre� ta call on us at
�7.1.-3.450, ext�nsion 164. Oevc,t. oal[ T'�. br4-�/ oF �ic.�-..t,tf7�t -
By E�2'�'r�
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SuB�ECT
c�ty of Fridley
AT THE TOP OF THE TWINS g U I L D I N G P E R M I T
r
� �
� �v �__�� COMMUNITY OEVELOPMENT OIV.
r j � PROTECTIVE INSPECTION SEC.
� _ .
�` � �'�'1 � CITY HALL FRIDLEY ',iS132 NUMBEf1 REV DATE
L•�"J \•♦ �.1
612-5»-3a5o 910-F15 3/16/99
J08 ADDRESS
561 Bennett Drive NE
t LEGAL �OT NO. BLOCK TRACT OR ADDITION
oescR. 15 2 Christie Addition
2 PROPERTY pWNER MAIL ADDRESS
Ra.y Baxter 561 Bennett Drive NE
3 CONTRACTOR MAIL ADDRESS
Four Season Roofing & Remodeling LLC 7930 Universi
4 AHCHITECT OR DESIGNEf; MAIL ADORESS
5 ENGINEER
8 USE OF BUILDING
Resiclential
7 CLASS OF WORK
� NEW
8 DESCRIBE WORK
Reroof 13ouse & G�
9 CHANCiE OF USE FqOM
MAIL
/
`29016
O.
Cl� !
Oi APPROVED BY
/
SEE ATTACMED
SNEET
Z�P PHOHE
571-4149
21P PHONE LICENSE NO
Ave NE, Fridley, MN 55432
ZIP PNONE LICENSE NO.
795-9410 20138780
Z�P PHONE LICENSE NO
O AODITION O ALTERATION � REPAIR O MOVE O REMOVE
e (27 Sq) Tear-off
TO
STIPULATIONS
Underlayment must comply with the State Building Code.
CONSTRUCTION WORK T30URS: 7:00 am to 9:00 pm, Monday thru Friday; 9:00 am to
9:00 pm on Saturday; No work on Sunday.
SEPARATE PERMITS ARE REOUIRED FOR ELECTRICAL, PLUMBING, MEATING, TYPE OF CONST OCCUPI
VENTILATING OR AIR CONOITIONING.
THIS PEFMIT BECOMES NULL ANO VOID IF WORK OF CONSTRUCTION 20NING S�. FT
AUTHOR12ED IS NOT COMMENCED WITHIN 80 OAYS. Oii IF CONSTqUCTION
OR WORK IS SUSPENDED OR ABANOONED FOR A PER100 OF 120 OAYS A7
ANY TIME AF7ER WORK IS COMMENCED NO. DWLG. UNITS
I HEREBY CERTIFY TNAT I NAVE REAO AND EXAMINED TNIS APPLICATION 1 S7ALLS
AND KNOW TME SAME TO BE TRUE AND CORRECT. ALL PROVISIONS Of LAW$ yqLUATION
AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED
WI7M WHE7HER SPECIFIEO MEiiEIN Oii NOT. TNE GRANTING OF A PERMIT �2�313
DOES NOT PRESUME TO GIVE AUTMORI7Y TO VIOLATE OF CANCEL THE pEiiMIT FEE
P VISIONS OF ANY OTHER STATE OR LOCAL LAW REGUTATING CON-
CT N OF TNF PERfORMANCE Of CONSTRUCTION �]L}. ]S
.�
3 PLAN CHECK FE
�� L' e C 5 0
SiGNATUAE OF C anCT R OA 4UTMOaiLED nGENT 1DATEi EN VAI
S�GN4TU�7E O� OWNEF�IC f1WNFG (li�ll I]FO� .n���. .
l
GROUP OCCUPANCVLOAD
CU f T.
OFFSTREET PARKING
IGARAGES
$1.16
1C CMARGE
ir SC $2.31
)T L EE
$83.22
THIS IS VOUR PERM
% � �/f� �
f�p tF
xEVv
ADDN
AL.TER
Il
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ConstructionAddress:
CITY OF FRIDLEY
SINGLE FAMII.Y AND DUPLEXES R-1 AND R-2
BUILDING PERMIT APPLICATION
�''
Effective 1/1/99
�`�
�� 1� 1
\
Legal Description:
Owner Name & Address: �, r Tel. # S^7�` �/�
Contractor: }'� � � ��� �,� ��°� � n�,� �2°�� �(�r�� �LeC� MN LICENSE # � % ,� �
Address: �� � (� U �.�cc�� � ��� � �-a Tel. # �J 9 ���
Attach to this application, a Certificate of Survey of the
lot, with the proposed construction drawn on it to scale.
DESCRIPTION OF IlVIPROVEMENT
LIVING AREA: Length Width Height
GARAGE AREA: Length Width Height
DECK AREA: Length Width Hgt/Ground
OTi�R:
Sq. Ft.
Sq. Ft.
Sq. Ft.
/� � ?
Construction Type: OV �`� �� Estimated Cost: $ �f 7 ��l ��
(Fee Schedule on Back)
Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x$ _$
DATE: ,� � � APPLICANT: Tel. #�_��
Permit Fee
Fire Surcharge
State Surcharge
SAC Charge
License Surcharge
Driveway Escrow
Erosion Control
Pazk Fee
Sewer Main Charge
TOTAL
- STIPULATIONS:
$ ��
$ o�a � �
$ /. / �o
$
$ S� o0
$
$
$
$
$ c� �.
CITY USE ONLY
Fee Schedule on Reverse 5ide
.001 of Permit Valuation (1/lOth%)
$.50/$1,000 Valuation
$1050 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 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 repair to any existing building 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 provided to-witz �
TOTAL VALUE
$1 to $500
$501 to $2,0�
$2,�1 to $25,000
$25,001 to $50,000
$50,001 to $100,000
$100,001 to $500,000
$500,001 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 $100 or
fraction thereof, to and including $2,000
$62.25 for first $2,Ofl0 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 $1,0�
or fraction thereof, to and including $50,000
$574.75 for first $50,000 plus $6.25 for each additional
$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 first $1,000,000 plus $2.75 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 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 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 f�aming.
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ADDRESS
PIN
LEGAL DESC
PERMIT TYPE
PROPERTY TYPE
CONSTRUCTION TYPE
CITY OF FRIDLEY
6431 UNIVERSITY AVENUE NE
FRIDLEY, MN 55432
572-36U4 FAX:
: 561 BENNETT DR NE
: 143024420018
: CHRISTIE ADDITION
: LOT 15 BLOCK 2
: ELECTRICAL
: RESIDENTIAL
: ADDITION/ALTERATION
571-1287
PERMIT NO.: 2004-01445
DATE ISSUED: 09/Ol/2004
VALUATION .
NOTE: ELECTRICAL PERNIIT BECOMES VOID 12 MONTHS AFTER PERNIIT ISSUE DATE. INSTALL SAVERS SWITCH.
# INSPECTIONS 1
APPLICANT
HUNT ELECTRIC CORPORATION
2300 TERRITORIAL RD
ST PAUL, MN 55114-
OWNER
BAXTER RAYMOND E& MARY J
561 BENNETT DR NE
FRIDLEY, MN 55432
AGREEMENT AND SWORN STATEMENT
This permit becomes null and void if work or construction
authorized is not commenced witin 60 days or if construction
or work is suspended or abandoned for a period of 120 days
at any time after work is commenced.
I hereby certify that I have read and examined this
applicarion and l�ow the same to be true and correct. All
provisions of laws and ordinances governing this type of wor�
will be complied with whether specified herein or not. The
granting of a permit does not presume to give authority to
violate or cancel the provisions of any other state or local law
regulating construcrion or the performance of construcrion.
Applicant Date
Bldg Insp Date
ELEC PERMIT FEE - MIN (RESn
STATE SURCHARGE, ELEC FLAT
TOTAL
PAID WITH CHECK # 117431
�r,r[�ict� i� rnluvu 1 � tcntl u 11C�L r V1C W Vl(Li V 1 tiCK 1 riAN ll�al:Klli�ll Atf V V�.
20.00
0.50
20.50