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AF - 35441Date: Ovvner Addr� �� City of Fridley, Min.n. BUILDING PER.1V.[IT �� .:..... .... �...I�� ........... Builder s ....1. �.�.... ............ ..� Address �- � � N° 3�'�� '`�e �r% / � � / ../ � .S �A -.�! LO�A'TIO�V OF BgJIL.DI�IC� No. � �� . . Street . . ./:�Y. .'� !` : . : : . . . . . . . . . . . Part of t r. . . . . . . . . . . . . . . . Lot . . . . . �'.�. . �. . Block . . . ! . . . . . . . . . . . . . Addition or Sub-Ih�n . . . . . . . . . . . . . .�. . . . . . . . �. . . . . . Corner Lot ....:'�.... Inside Lot ............ Setback .:?�......... Sideyard �� .'�i'�...��... ...... TobeU d � Type of Constraction �E�CFtIPTI01� O�' �iD�LDI�I� 1.� '�� . p Front . !. � Depth . �.�. ` . Height A��!�!� Sq. Ft. // p. � Cu. Ft. . . . . . . . . .� . ont . � � .' . Depth P� � . ei ht . � � . Sq. F`t. ..�,1. � . Cu. Ft. . . . . . . . . /�f �� n.4�!?!��`...... Es� ..�1. J ..�. . . . To be Completed .... � �� /u�"i � '� � �rr � � t t , , � �Q, s � ��, �"� �' X � �� In consideration of t'he issuance to me of a permit to consiruct the building desribed above, Y agree to do the proposed work in accord�nce with the description above set forfh and in compliance with all provisions of ordinances of the city of Fridley. ��.. ............ ........ ��- v In consideration of the payment of a fee oP $..��....., permit is hereby granted �d I�� ,�, � ......................... to construct the building or addition as descxibed above. This perxnit is granted upon the express condition that the person to whom it is gra.nted and his agents, employees and worinnen, in all work done in, arouad and upon said bvilding, or any part thereof, shall conform in all respects to the ordinances of Fridley, Minnesota, regarding location, construction, alteration, maintenance, repair and moving of buildings with- in, the ci4y limits and this permit may be revoked at ar�y time upon viola.tion of any of the provisions of said ordinances. e -� _. m IWOTICE: This permlt does not cover the construction, Installa#lon or alterafiion fo� wiring, piumbing, gas heating, sewer or water. Be sure to see the Build9��^?t;�°to� for separate permits for thes� items. � - _ ._. ._. , � F � ^ ��3.� �--� ' Phones GReenv�and 3-83'S2: , .ARLEIGH C. SMITH Registered Professio�dal Fng�n,eer aad Land Susvepar _ 16215 Wayzaia Soule�rard Wsyzata. MinaQSS#a _ PL�A! 4F �Ilit��''�' OF PROPERTY:i�F ��. �� '�,��`�, ��, ��t!., l�s��' �.�t: �' clescribed as fallaws• �.�� =:��*�� ' s�e. � �,v +�� -- ' , . :... �� - _ ., �` I f � , , , -_ . : _ �.- s, — — - -� _ ` � ,' � . �'�; `� _ �s �, � :;� � . �, � � � . __ '�.�� , .. - � � .. �,�5 ' � . .. . � � ' . �.. � . . .,. — �� _�� ' ... � . � � .� ' ` �� ' 3 s.. ��', $ �.� ��49 . � + ,� � t� _ ,Q = _ - � g , . g :.- '. �, � �. � �. . ' ., � ' , � q .. _ , � �, t a .�.� � . � '� � � . � ` _ �; _ �;, �_ � �; � , ` q+! � aIA ':. . w�G:�vih"A.� �� . , ., .. � �...'.� . . �Z ' " � .. � �� . -� � � . . , . � . . tl�'.' ^ �, � - � _ � Y P- 6 , ,. . � �� .. � � � � � i � � ` -.Y� ,. . ' � .. ^�/#�4! N3H�`rt ` '�AA ...rr._�w � � �^^' �..rtY�.m.... ' . . FIe�¢CrIY4'! . —�ca.as.. �.. . . -� � ��'/'fI�^' � . . .. . . ' :. y� . Ji..�� . . . . \/��'{! ! • � � . _ CERTIFICATE OF LO�ATICN' OF SUII�Dffi�, CEATIFIGATE dF SIIRVEY - I hereby certiiy tha� on '"� �� , 18� I hereby certifY that a��"� 19� I made ' a surv�ey af the loca'tion af the I surveyed the prnperty iiescribed' abope and that' building c�n the above desctibed property tlie above plat is a carrect repr��eat�t3on of said; : the location o� said building_is correatly��r� su�wey the above la "�' � A p �� '� � �� g' � �$ � � '.� � ; � � . R �� g � A . _ � .. . . �s . - � ... - � � �` �_:.., - , .. . . , . . y � .�>-°ii•-. . . . . . . . . � . . . . . . .. . . . ' ',7 �, � � � City of Fridley, inn BUILDING PERMIT ,� � �� 1�T� '7546 �� nat�: � �5i 19b� , e�� ./��- / -C � l � -�� -� �� s owner: Donald �enke Bwuaer ��rs�esc�an Addness �$�I%e'tt Ih�iVe �. E. Address 6al Dt. Li1.8C Dri96 LOCATION OF BUILDING No. �� Street H�]�e'�$ DPi48 N. I+. Part of Lot Lot �' _ Block 1' Addition or Sub-Division _�.�8t3.e' Add. Corner Lot _ Inside Lot _ S.etback Sideyazd Sewer IIevat�on � Fo�mdation IIevation To be Used as: Fiont Front 7'ype of Construction DESCRIPTION OF BUILDING Depth Height Sq. Ft Cu. F't Depth FTeight Sq. Fk Cu. Ft � Fas� Coat ��.�.�..C�O--__ To be Completed Storm Damage Tc>tal In consideration oP the fssuance to me of a permit to construct the building des�ibed above I agre� to do th� ProPosed work in accc�rdance with the drescription above aet forth and in compliance wi a�l provlsions of ordinanc.es of the dty oP Frldley. � Ea coa�s[derat[on of the payment of a fee of $ 1°•� , perm�tt is hereby granted to�� to canatruct the buflding or addition as described above. This permit ia granted upon the egpre� condition that the peraoa to whom it is granted and his agettts, employees an� worl�nen, in all work Fridley Minnesota u� �glacation,gconsfr�uction, alteration, maintenance, pair and mov3ng �oE�bunildings wlthin the dty ]imits�sn�this perrmit may be revoked at any time upan violation of any of the provisions of said ordinaac�es. Bvilding Inapectoz NOflCEs '11� permtt doa not cora� Ha �oashuaHoe, inshllallon fer �ng, piumbing, �u h�aHeg, mr�r er walsr. B� sun to s� I Hn BalldL�B I�P�e� tor apum �s fa fhsa Ux�a. A 1 � i � �� OW�ER' S ADDRES5 AP�'LICkT�OR FOR BUII.DING PERA9IT . � CITY OF FRIDLEY�, MII�TNBSOTA .. ... LOCATION OF BtiILDING No. ��y% .�!;� �� $treet • rf��-�� Part o# Lot� LOT B��K� ADDI1plON OR SUBDIVISION ' P. Coruer Lot�_In�;ide LaT�Setback • Side-Y�rd SLWER EI,�E`VATIOAT , FOUNbATION �LE'VATION � Applicant attach to this form Two Certificates of Survey of Loe and proposed building location drawn an these Certificat�s. . `ti� DESCRI_PTION OF BUII�DIli1G •„ . To be used as; . . t �� Height . / Sq. Ft. Cu. Ft. , ' ,Front. ` DepC � eight � : . Sq. Ft. Cu. �t. � Type of Cazi�truction BstimaCed Coae ��,T� � To be completed . . . . . . � . � �. Thra underaigned herebq ma.kes. application,for a.permit for the work herein apecified, agreeing to do all work 3.n strict accordance with the City of Fridleq Ordinances and rulin�� f the Depaztmant of Bui.ldiag�, a�d hereby de�clares that all, the €$cta '�and represestat3,ons stated in,this application are true.and correct. DATE ��2' / � �� . •. .; (3chedule of Fee Coats can be found on the Reverse Side). �, , . � ., . � .. /"1 ♦ BUILDING PERMIT I�iEE SCHEDULE SgG°tI0P1 2. The Inspector of Buildings shall, before issuing any germi.t for the �rec�ion of any building or atructure, or for any addition to any egistin� �uild- ing or structure, or for any alterations or repafrs to any existia,g building or structure, upoa application therefore, require the paqment by the agplicant for such permit of fees to the amount 'herein below set foreh and ia the manner here3.n provided to-rait; 2.1. For any such permit for the erection of any fire-proof building, other than a g�rage� warehouse, f�ctory or grain �levator, or for the erectien of any fire-proof addition, for aimilar occupancy, to any existing building, shall be at the rate of $1.40 for each one thousand cubic feet, or fraction thereof, in su�h cubicai contents. 2� 2. For a�y such permit ior fihe erecCion of ariy fire-proof gara�e, Warehouse, factory or grain ele�ator, or for the erectiori of aay fire�groof additiort, foir aimiter occupancy� to any existing building shall be at the rate of $1.25 £or each one rhausaad cubic feet, clasaified•as "fireproof" by Section 502 of the Minaeapoiis Suildiag Cade. HOIISES 2.3. For anp euch permit for the erection of any non•fireproo£ buildin�, other than a garage, warehouse, factory or grain eZevator, or any non-fireproof addition, for similar occupaACy, to any existing building - permit $1.00 for each one thousand cubic feet. GA�RAGES 2 4. For any �uch perm3t for the erection of any non-fireproof garage, warehouse, facCory or grain elevator, or £or the erection of any non»fireproaf addition, for similar occupancy, to any existing building or ior each such building or addition - ninety cents ($0,90) for each one thousanii cubic.feet os fraction the�eof, in the cubical contents thereof with the minimum of $4.00. For the purpose of comguting fees for building permits, the cubicai contenCs of any build3ng or addition to a uniform height throughout bq multiplying the ground area covered froan a point six (6) inches below the floor line of the basemeat.or callar to the average height of the upper surface or to the average height of the roof surface of the main gable of a pitched roof. 2� For repairs or alteratibaa to an existing structure, th� fee ehali be at �he rate of $3.00 per each Five Hundred Dollars ($500.00) or fraction thereof in the cose af all propased work. 2 6: In no case shail the fee�charged for any permit as aet forth in Section 2 be Zess than $4.00. � � ., . . � �1 e, r ,,:.;r�:�- .,: ,. �'� � 4 � � - - ` June 22, 1981 � � ��= 6431 UNIVERSITY AVENUE N.E., FRIDLEY� MINNESOTA 55432 Mr. Donald L. Menke 701 Bennett Drive N.E. Fridley, l�T 55432 R,e: Intersection Vision Safety Zone Obstruction Dear Mr. Menke: TELEPHONE ( 812)571-3450 In order to provide safe passage for vehicular and pedestrian traffic i.n the City of Fridley, periodic inspections of street i.ntersecti:ons are conducted. An inspection on June 18, 19.81 has determi.ned that th.e sight line for the intersection on your property is obstructed and could present a hazard to traffic. 3ection 205.154 of the City Code requires that, °On a corner lot in a vision safety control zone, nothirig shall be erected, placed, planted or allowed to grow in such a manner as to impede vision..., the vision safety control zone is descri.bed as follows: That area bounded by the street right of way lines of a corner lot and a straight line joining points on said right of wa.y lines twenty fi�e (25j feet from the intersection of said right of way lines." Therefore, the City is requesting you, the property dwner, to corre�t the following problem and make the City's streets aafer for travel. A reinspection will be conducted on or about July 6, 1981 to detersnine compl.iance. We are confident in your cooperation to correct this matter and if any questions or problems result from this letter, please contao.t. me at 571-3450. The inspection of your lot indicated that the following obstxuction is existing and should be corrected: � Bushes or shrubs growing into sight line - trim down or back to be less than 2� feet high Hedge growi.ng into si.ght li.ne - trim down or back to be less than 2� feet high Tree branches growing into sight line - trim up Fence extending into sight line - lower or remove Other Sincerely, STEVEN J. OLSON� R.S. Envirorunental Officer J t fi;= � ��. � � �� , ,�_& � :x,. } �,. , :�� FRIDLEY MUNICIPAL CENTEit • 64;1 UNIVERSITY AVE. N.E. FRIDLGY, MN i5-�32 • �hl?1 571-3450 • F,�\ �fil?) j71-I?ti % June 27, 1994 Martin.and Deanna Paulat 701 Bennett Drive N.E. Fridley, MN 55432 RE: First-Notice of Noncompliance at 701 Bennett Drive N.E. Dear Mr. and Mrs. Paulat: The City of Fridley has established a City Code for the purpose of promoting a pleasant and attractive suburban environment. A recent inspection of the property at 701 Bennett Drive revealed that not all Code requirements are presently being met. Listed below are items which do not comply with the City Code: l. Fridley City Code requires that all vehicles must be currently licensed/street operable and kept on a hard surface parking area if they are stored outside. I observed two vehicles (610-HFB and 621-KHK) parked on your property which do not fully meet these requirements. 2. Discontinue outside storage of parts of automobiles located adjacent to the garage. Your prompt attention in correcting this situation would greatly assist us in helping make Fridley a better place to live. An inspection will be conducted on or about July 11, 1994, to 0 determine compliance. If you have questions or would like to discuss this, please contact me at 572-3595. Thank you for your cooperation! Sincerely, Steven Barg Code Enforcement Officer SB:ls CE-94-329 sue�ecr p City of Fridley 5 3 2 3 AT THE TOP OF THE TWINS g U I L D I N G P E R M I T � � � � RECEIPT NO. COMMUNITY OEVELOPMENT DIV. � ��: ----- � �� r � � PROTECTIVE INSPECTION SEC. � 1 = � � /'��1 � CITY HALL FRIDLE� 55432 NUMBER REV DATE PAGE OF APPROVED BY �----� • •'' 612—b71-3450 910-Ft5 � 7/28/97 � � J08 ADDRESS 701 Bennett Drive NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 1F 1 Christie Addition SHEET 2 PROPERTY OWNER MAIL AODRESS ZIP PHONE Martin Paulat 701 Bennett Drive NE 571-7619 3 CONTRACTOR MAILADDRESS ZIP PHONE LICENSENO. Same 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO. 8 USE OF BUILDING Residential 7 CLASS OF WORK xCJ NEW ❑ ADDITION ❑ ALTERATION O REPAIR � MOVE O REMOVE B DESCRIBE WORK Construct a 14`6" x 9'2" Shed 9 CHAN(iE OF USE FROM TO STIPULATIONS See notations on plan. m SEPARATE PERMITS ARE REOUIqED FOR ELECTRICAL, PLUMBING, HEATING, TYPE OF CONST. OCCUPANCY GROUP OCCUPANCV LOAD VENTILATING OR AIR CONDITIONING. THIS PERMIT BECOMES NULL AND VOID IF WORK Ofi CONSTRUCTION tONING SQ. FT. CU. FT. AUTHORIZED IS NOT COMMENCED WITHIN 80 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENOEO OR ABANDONED FOR A PERIOD OF 120 DAYS AT ANV TIME AFTER WORK IS COMMENCE0. NO. OWLG. UNITS OFFSTREET PARKING I HEREBY CERTIFV THAT I HAVE READ AND EXAMINEO THIS APPLICATION 1 STALLS GAHAGES AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS VALUATION SUHTAX AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL 8E COMPLIE� WITH WHETHER SPECIFIEO HEREIN OR NOT. THE GHANTING OF A PERMIT �SOO �. SO DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE pERM1T FEE SAC CHARGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- �21.00 Fire SC �.SO STRUCTION O TH PERFORMANCE F CONSTR TION G�Z'�li'�6+� PIAN CHECK FEE T TAL FEE `� �22.0� SIGNATU OFCO � ACTOFOAAUTMOAl2EDAGENT IDATEI E PR Y VALI EO THIS IS VOUR PERMIT / �_ �• r � SiGNATUREOFOWNEFl�iFOWNE�7BUILDEAI �OATEi ` s B G�NS� pqTE NEW L ) ADDN [ ] ALTER [ j ConstructionAddress: Lega( Description: CITY OF FRIDLEY SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION � / Effective 1/1/97 � fi��S �.� Owner Name & Address: �9 `�� /=,��1� 7-- �� }. #�� ^S � �, � Contractor: 5� j� MN LICENSE # Address: ! �„P�, ��- ��, �, � � Tel. # �� f _ � �1�� Attach to this applica.rion, a Certificate of Survey of the lot, with the proposed consixuction drawn on it to scale. DESCRIPI'ION OF IlVIPROVEA�ENT LIVING AREA: Length ,°` `� " Width 'fl7 �' Height Sq. Ft. GARAGE AREA: Length Width � Height Sq. Ft. DECK AREA: Length Width Hgt/Ground Sq. Ft. OTHER: �' � C� � Construction Type: G�� Estimated Cost: $ (�ee Schedule on Back) Driveway C�rb Cut Width Needed: Ft. + 6 Ft = Ft;� $ —$ DATE: °� 2 �f � � APPLICANT: , �G� '`� Tel. # 1� � CITY U5E ONLY Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee Sewer Main Charge TOTAL STIPULi�"1'IONS: � $ � Fee Schedule on Reverse Side � � " .�1 of Permit Valuation (1/10th%) � , $.50/$1,000 Valuation � $950 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 [ ) � � $ �� E3UILDiNG PERM[T FEE SCHEDULE 1'lle Ghief Building Offcial shall, before issuing perniits for the erection of any building or structure, or fc�r any addition to any existing building or structure, or for any a(teration or repair to any existing buildina or stiuctuce, upon application therefore, require the payment by the applicant for such permit of fees to the amonnt herein below set forth and in the manner herein provided to-wit: TOTAL VALUE $1 to $500 $$�1 t0 �2,00� $2,001 to $25,000 $25,001 to $50,000 $50,001 to $100,000 � $100, 001 to $5(}0, 000 $SU0,001 to �1;000,000-- =_ - $1,000,001 and up FEES $21 (Minimum Fee is $21 plus surcharge) Y $21 for first $500 plus $2_75 for each additional $1� or fraction thereof, to and including $2,000 $62.25 for first $2,000 pius $i2.50 for each additional $1,0� or fraction thereof, to and including $25,OQ0 $349.75 for first $25,Q� plus $9.00 for each additional $1,000 or fraction thereof, to and including $50,000 $574.75 for first $SO,UQO plus $6:25 for each additional $1,000 or fraction thereaf, to and including $1Q0,000 � - -- $887.25 for first $100,000 plus $5.00 for each additional $1,000 or fraction thereo��to and including $5�,000 $2887.25 for the firsC $500,000 plus $4:25� for� �ach ad�.itionaF $1,OQ0 or fraction ther�f; to and including $1,�;000 $5012.25 for the first $1,0OO,OQO plus $2.75 fot each additional $1,000 or fraction thereof DRIVEWAY DEPRESSION ESCROW (Concrete C�urb Streets Only) Alternate "A": Removal and replacement of curb and gutter only - Driveway width plus 6 feet times $1.3.�0. 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 " , �" �: -_A_ h'crmits for construction wi(1 be issued a minimum of 24 hours from the time of application to allow for pro�::c- : eview of the proposed structure and of the construction site. �'i Certificate of Survey of tlte lot, show[ng the location of the foundation �>nce it has it has becn c��nstruc�: : «�i'? k,;� rcquircd hLfc�rc l�r��ccc:dit�� u�ith the framin«_ / i � � - � . Phone: GReenw°od 3-8352 C S MIT H IGH- • ARLE r �d L�d ��e��= � Re9��@� �ofessioaal Ea9��e y�iaY�• Mi�►� 16215 Wayzata '8°�vard � St�R'�'EY PLAT O , OF PROPER,TY OF described as � ; �c:� tee� 5cale: 1 inc}.i—`�— : '�� .� , -.:�"i""' � � ;s ._. _. ,-- � `� � '; s aw- � ._� � i� - f� �`'' E � y ,q.. ;){� y a, t"�1 0.'l � �( �� t f `', `i�... � *� 9 '� t°` } � � _� , . e� : �+i' • i E � � � ,� �!�__ 3 'S �- - Iq �� R �,� f : l ' _ _�' �, ° ,,-"�� F`; " �`� . s : , �; ��a �� ; �$ ' , 4 < <� �:� {+; . . Y �;-� , . � . 1 4 r��/'. f'r ��...'i..�.�r��-"" �+....,.. ,.. � �.�M� �i r�,', t [� y� � lj y� �{"'�� Yti�� (/�� / � �,!' i � �� T.� _, e +� ` '�`�a,.w.. _ _ y_• . � J// �// -// � G� w,�,n.� . ..-�'..° CERTIFiCATE OF S'U�vEY G 19�' CggTg'ICATE OF LOCATION �F $v�� Ce��, .�at o �.��, � 19s�.� j hereby ro e�y described above and that __ ___,�.. ,.o,-��v that or_--- ;�, ie+inn of the I sun�eYed �� a �o�ect representation of said _ _ _ e r . - � l � � ii . li ;� :� :I i� <; `I tE �i c, i; ,� i� ;i ., . : �r �i � � � � F' � :: , ;. N� r�,'�' �, � a � : � � Z� ., � :� �: r; i� �I 1� t� �f �! i� :i � �, :; 's � :; �i I0'd �- � EZF e � � � � i i ! � � i I i i i � � � � f � � � � � � +9 � � (�'{ y � � � . � �r��.� � �: � � � i Q I � I � � � � � i � � � , i � i '• � � i � � , f i i S t i � i � 0 7023 Z ; : , ' a : i ' � t � � P. 02 � :� � � ra N� : k � z � � i� � � D � Q < < � P. 04 ►• � � � n� Y1 Q � � � � � � � � � :;.; =,�.:... GRAVE3 TRUE '✓pLUE q _ z a � a � �m �z ,� � � � �� , v --t N � f� ? � _ �w � Gl 0.x rn ; i a --1 � N� � � � "` ` � D'_s' ! � � � . � o' � � n ' m� . � � � � � :z �. �� :, � � � � . , ,� i, �.� a � -e : � p � .A : � � � ^� � � I J � x' � - �; � ..P, �a i n �w � � C\ �' c� �� Ti �f� np � J � z 3' 1 � 2089267023 P.03 . !�i ' �1 ' "f �, , i� � � � �v � � �� : I � , : ~� � �; � , . : �� i� ;` i ;: ,: a0.��--ro,� �' �' �i , � ; ;� �� ,�'� � i! � a � �+i �C � �-c � c� i � N ��► w+� � � s � � � �� 3 i � ��° kk�� : � i: r • . r r . . a SuBJECT P c�ty of Fridley 2 6 2 3.5 \�� AT THE TOP OF THE TWINS g U I L D 1 N G P E R M I T i � � � RECEIPT NO. � • COMMUNITY OEVELOPMENT DIV. , �,: ----- . �� ' � r j � PROTECTIVE INSPECTION SEC. � � _ � l.--_� �'��,'� CITY HALL FRIDLEr 55432 NUMBER REV DATE . PAGE Of APPROVEO BY t 612-571-3450 910-F15 6/15/98 / / JOB ADDRESS 701 Bennett Drive NE 1 LEGAL LOT NO. BLOCK TRACT Of; ADDITION SEE ATTACHED oesca. 4 1 Christie Addition SHEET 2 PROPERTY OWNER MAIL ADDRES$ ZIP PHONE Martin Paulat 701 Bennett Drive NE 571-7619 3 CONTRACTOR MAIL ADDRESS 21P PHONE LICENSE NO. Same 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO. 8 USE OF BUILDING Residential 7 CIASS OF WORK ❑ NEW ❑ ADDITION O ALTERATION �] REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WOFK Reroof House & Garage (22 Sq) Tear-off 9 CHANOE OF USE FROM TO STIPULATIONS Underlayment must comply with the State Building Code. SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, TMPE OF CONST. OCCUPANCY (iROUP OCCUPANCV �OAD VENTILATING OR AIH CONDITIONING. THIS PERMIT BECOMES NULL , AND VOID �F WORK OR CONSTRUCTION ZONING SO. FT. CU. FT. AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OH ABANDONED FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER WOFiK IS COMMENCED. NO. DWLG. UNITS OFFSTREET PARKING I HEREBY CERTIFV THAT I HAVE READ AND EXAMINED THIS APPLICATION I. STALLS GARAGES AN� KNOW THE SAME TO BE TRUE AND CORREC7. ALL PROVISIONS Of LAWS ypLUATION SURTAX ANO ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OH NOT. TIiE GRANTING OF A PERMIT �1,834 �.9Z DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PEfiMIT FEE SAC CHARGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- STRUCTION OR THE PERFORMAN E OF CONSTRUCTION. �.59.Jr� Fire .SC. �1.83 � �d � PLAN CHECK FEE T07AL FEE c �.f2 -� $62 . 25 i TuaEO NiRACTOROFAUTMORIZEDAGENT IDATEI WHEN PROPERLY LIDAT D THIS IS VOUR PERMIT �i� �� /S-�" SiGNATUREOFOWNER��FOWNERBUILOERi IDATE� BLD �NSP � qpTE NEW [ ] Effective 1/1/98 ADDN [ ] CITY OF FRIDLEY ALTER [] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 S BUILDING PERNIIT APPLICATION �"��`Y3 �I� ConstructionAddress: �� / �� y al..e � �!' P �(J d � Legal Description: Owner Name & Address: ��o�i7 t� T"� y�9 f �� r,�s�.e�.�Y �_�I'el. #�/ �,6 !� Contractor: ��T. f- ��y. f� MN LICENSE # , Address: LNING AREA: GARAGE AREA: DECB AREA: OTHER: Construction Type: Tel. # Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF IlVIPROVEMENT Length Width Height Sq. Ft. Length Width Height Sq. Ft. Length . Width Hgt/Ground Sq. Ft. �� v� � � �z � Driveway Curb Cut Width Needed: Ft. + 6 Ft = � Estimated Cost: $ �� ° (Fee Schedule on Back) Ft x $ _ $ DATE: .,� c6 APPLICANT: Tel. � S�/ `7,�,14/' CITY USE ONLY Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee Sewer Main Charge TOTAL . STIPULATIONS: $ �� Fee Schedule on Reverse Side $ f_ c� .001 of Permit Valuation (1/lOth%) � 9� �.soi�i,000 v��c�on $ $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 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 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 $SOQ $501 to $2,000 $2,001 to $25,�0 $25,OOlto $50,000 $50,001 to $100,000 $1�,001 to $500,000 $SQ0,001 to $1,000,000 $1,000,001 and up M��r.v $21 (Minimum Fee is $21 plus surcharge) $21 for first $5� 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 additional $1,000 or fraction thereof, to and including $100,000 $887.25 for first $100,000 plus $5.00 for each add'ational $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 tunes $15.75. VERIFICATION OF FOUNDATION Permits for construction will be issued a minimum of 24 hours from the time of application to allow for proper review of the proposed structure and of the construction site. A Certificate of Survey of the lot, showing the location of the foundation once it has it has been constructed will be required before proceeding with the framing. '� SuBJECr - _ � � � . -� c�ty of Fridle� AT THE TOP OF THE TWINS � u I L D I� G P E R M I T i � � � ; `V _��___ COMMUMITY DEVELQPNIENT OIV. �� f j � PROTEC7IVE INSPECTION SEC. � � i � ' �"'1 � CITY HALL FRIOLE� 'S��3i NUMBER REV DATB PAGE Of �----�� •' 612-571-346Q 910-Ft5 8/3/O1 / / 108 ADDRESS �O1 Bennett Drive . t LEGAL �OT NO. BLOCK TRACt OR ADDItION oescR. 4 1 Christie Addition 2 PROPERTY OWNER MAIL AOpRE$$ Deanna Paulat, 701 Bennett Drive, Fridley, MN 55432 3 CONTRACTOR MAILADDRESS Deanna Paulat 4 ARCHITECT Oit OESIGNER MAIL AODRE3S � 5 ENGINEER 8 USE OF BUIIDING Residential 7 CLASS OF WORK ADDRESS � NEW C� AqDITIpN 8 DESCRIBE WORK Bedroom a,ddition & window 9 CHANGE OF USE fROM STIPULATIONS ZIP PERMIT NO. 32054 �� APPROVEO 8Y SEE ATTACHED SFIEET PMbNE 763-571-7619 PHONE LICENSE NO UCENSE NO PHONE LICENSE NO O ALTERATION p qEPAIR O MOVE 0 REMOVE See notations on plans. Provide smoke detectors in all sleeping rooms and on all levels of the dwelling per Section 310.9.1.2 of the 1997 Uniform Building Code. Caulking und flashing for �.11 exterior openings. SEPARATE PERMITS ARE RE�UIRED FOii ELECTRICAL, PLUMBING, HEATING, ��rt vr cansr. VENTI�ATING OR AIR CONDITIONING THIS PERMIT BECOMES NULL ANp VOID IF WQRK OR CONSTRUCTIOM �ONING AUTHORIZED IS NOT COMMENCED V`IITHIN 80 OAYS. OR IF CONS7RUCTION i OR WORK IS SUSPENDED OR ABANQON�O FOR A PERIQO OF /2Q DAY$ A2 " ANY TIME AFTER WOqK IS COMMENCED. ' NO DWLG. UNITS I HEREBY CERTIFY 7HAT I HAVE READ ANO EXAIytIN�Q THI$ APPLICATION AND KNOW THE SAME TO BE TF1UE AND CORRECT. ALL PROVISION$ OF LAWg yqLUATION ANO ORDINANCES GOVERNING THIS TVPE OF WpRK WILL Q� COMP41E0 WITH WHE7HER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT ��OO.00 DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL TME pEf9MIT FEE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- STqUC N OFi THE PERFORMANCE OF C TRUCTION �Z�.SO � , � � �� PLAN CMECK f EE S�GNATUr+EOFCON'aACTOpOaAUTMOA�2E0eGENT 10ATE� ,,.,��, „ „ �... � oe,e � c ��e STA�LS OCCUPANCVLOAD CU OFFSTREE7 PARKING IGARAGES $.50 SAC CMARGE Fire SC $.50 / 70TAL FE $24.50 IATED T IS IS YOUR PERMIT �:s� -D� narf NEW [ ) ADDN [ ] ALTER [ ] �� .,�-� �� ..�--�� Effective 1/1/2001 CITY OF FWDLEY (763) 572�604 Bldg Insp SINGLE FAMILif AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION Construction Address: _ �[� t � n n p'�} j�y�► , 2 Legal Description: _ (,o�. `I j� (�,� 1 �,,, s+c� ��c�,�� Owner Name 8� Address: _ L�r�,r,��_��,gQ„-Q- Tel. #_ '?�-� -�7( —��, lq Contractor: v�-�e�e� � c,� lC �, c, w,� �-- MN LICENSE # Address: Tel. # Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF IMPROVEMENT LNING AREA: Length � 5t 2`� Width __ l l' 2" Height �� - ''_ Sq. Ft � GARAGE AREA: Length Width Height Sq. Ft DECK AREA: Length Width Hgt/Ground Sq. Ft. OTHER: _ ��d�c w rr►c'�av.T— v Construction Type: �� ,�,,,� -� �,�y�n�� Estimated Cost: $__ �� , c�, � � Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x$ _$ DATE: 4'�Z -0 1 APPLICANT: �--��p%'�� Tel. #�%j� %�� CITY USE ONLY - Call (763) 572-3604 for Permit Fees if mailing in application Fermit Fee $�1 �'�� Fee Schedule on Reverse Side Fire Surcharge $ �: � .001 of Permit Valuation (1/10th%) State Surcharge $ - = � � $.50/$1,000 Valuation SAC Charge $ $1150 per SAC Unit License Surcharge $ $5.00 (State Licensed Residential Contractors) Driveway Escrow $ Alt. "A" or Alt. "6" Above Erosion Control $ $450.00 Conservation Plan Review Park Fee $ Fee Determined by Engineering Sewer Main Charge $ Agreement Necessary [] Not Necessary [] TOTAL STIPULATIONS: $ � .�`� �-; � 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 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,(�0 $2,001 to $25,000 $25,001 to _$50,000 $50,001 to $100,000 $1�,001 to $500,000 $500,001 to $1,000,000 $1,000,001 and up [��►� $23.50 $23.50 for first $500 plus $3.05 for each additional $100 or fraction thereof, to and including $2,000 $69.25 for first $2,000 plus $14.00 for each additional $1,OOQ or fraction thereof, to and including $25,000 $391.25 for first $25,Ot� plus $10.10 for each additional $1,000 or fraction thereof, to and including $50,000 $643.75 for first $50,000 plus $7.00 for each additional $1,000 or fraction thereof, to and including $100,000 $993.75 for first $100,000 plus $5.60 for each additional $1,000 or fraction thereof, to and including $500,000 $3,233.75 for the first $500,000 plus $4.75 for each additional $1,000 or fraction thereof, to and including $1,000,000 $5,608.75 for the first $1,000,000 plus $3.15 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 $15.50. Alternate "B" : Removal and replacement of curb and gutter and install a 3 foot wide approach with 6 inch depth - Driveway width plus 6 feet times $23.25. VERIFICATION OF FOUNDATION Permits for construction will be issued a minimum of 24 hours from the time of application to allow for proper review of the proposed structure and of the construction site. A Certificate of Survey of the lot, showing the lvcation of the foundation once it has it has been constructed will be required before proceeding with the framing. New Houses Onlv ao � o� o (. O a�� W g aW z �+ a � ~ � � h � � � � � �- . � �� - � � � �c �3 � w � �- ;� I '. . ti .o` �\ I � `, ' . 0 , ., �� , , �, , '�r �, �� \ , ^ ,, , �,. . � , ,, , � ; \ � � :� � �• , �, �� , , � � , �.: �l, �; i � � � � � J. ; �� '�, � �, �� I ,�, � . � ;1 ;► j , � ; ' e�� ji - S� ,, s� +' �, S i r � ,\ dl ,\ 4 r E� I r � �, �' i ,` � � . � �� li` Z�' �,� s � s � � � �,.. �^ +U i � � � � � � . N y ADDRESS PIN LEGAL DESC PERMTT TYPE PROPERTY TYPE CONSTRUCTION TYPE CITY OF FRIDLEY 6431 UNIVERSITY AVENUE NE FRIDLEY, MN 55432 �63) 572-3604 FAX: (763) 571-1287 : 701 BENNETT DR NE : 143024410004 : CHRISTIE ADDITION : LOT 4 BLOCK 1 : ELECTRICAL : RESIDENTIAL : ADDITION/ALTERATION PERMIT NO.: 200401156 � �� DATE ISSUED: 07/20/2004 VALUATION . NOTE: ELECTRICAL PERMIT BECOMES VOID 12 MONTHS AFTER PERNIIT ISSUE DATE. RECONNECT AIR CONDITIONER AND FURNACE. # INSPECTIONS 1 APPLICANT DEPENDABLE ELECTRIC INC 2619 COON RAPIDS BLVD NW COON RAPIDS, MN 55433 OWNER PAULAT MARTIN J& DEANNA L 701 BENNETT DR NE FRIDLEY, MN 55432 AGREEMENT AND SWORN STATEMENT This permit becomes null a.nd 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 afier work is commenced. I hereby certify that I have read a.nd examined this applicarion and know 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 ganting of a permit does not presume to give authority to violate or cancel the provisions of any other state or local law regulating construction or the performance of construction. Applicant Date Bldg Insp Date ELEC PERMIT FEE - MIN (RESn STATE SURCHARGE, ELEC FLAT TOTAL PAID WITH CHECK # 28612 SEPARATE PERMITS REQUIRED FOR WORK OTI�R THAN DESCRIBED ABOVE. 20.00 0.50 20.50 JUL-09-2004 12�31 FR�M CITY OF FRIDLEY TO 'n '� � � 3 � D Q � � o, n. a =' � oo. � o �' � m � � 7�D �� c (/1 "�+ 'C � , � a o �. � Q' � � 3 ,� � $ �Ti � �-�i Q 2 � D ,� z � � m � z � -� � A m � � � � � c �, �� -- g -----� — —�_ � �, ° m � � c� � �, �° _ U5� � � � � � �� w � m � � n � Z � rn � O b T c � � 4k 0 3 � � N � � �, ro � W � � A �� G o+� O �pD 9 � � cf � -�-i � a � � ��`nn� w � n � m �° m �� 0 � � � � � �I x � � � m aa � , � � ,� � � .g� * ��.�ss� 33�� m � \� '.• tD ° "� 3. { � � � 5 N � ,� .' � �1 Q�y ��A � � 1 ,�y e� !A en N � � O Q �I y � Q � y O � � � � � � .��+ N � ? m � � Q � CJ� �� N �. � 1 T � w� i , °• � o � 0 p N � $ k � �. , `1 � � aaa �� cn �� v ` � 3 , �� m°�� 0 �� z � � o � � �ao�,�° s�. � �' � � v o � � �; � � d �� , _ .� � � .n�,� � �' � s � � ��.� � ��m �� , N � N s � � a'�" � vo �Re�a� �,. �r�� . � � �� d N � -, � N d � m � N _o a � ,� � c � � a W � fr�•�l•t- .r .� �� O N � v_ cn �� a e� N � .�e Q G Q n � R � O � � o N � � �n a� � � Q a � � � °c °a o° �► �, .A .g � � � � � � � � C Q -Di, \�� .� �' � v � � J � �� . a o, � �, � N � � z �D 0 � N � � � � � � O � � � _� 0 � Q .� 4 � G=D p � � yW, � �^ CJ p°� v � � cs. � � , � o � W ir, N W m � � V � V � F+ m -� �� 0` Z � 'n Ut N T� � � r� N � � � Z m m C 0 � Z i/1 -o Cm'? --1 Z �1 A � � � a m ,.,� -A � Z O � � Z 'fl n 0 a � � m n � � D Z � y O Z A � �v _ � N � m � - � -� -- -- z O v � a� . m "" � � � � �� IX• • L• � : �36Q — r �� V�$ �O� JNIltl�H � -- –�.�-�u - — .►etawe�4 � - y��a�- �} __ �I�i+�O �� ___ ad�(1 u� raleweia }� 436�'1 �! �1�!�H ��uuo� �ue/� � 2�uel�ddM acU(1 u� ..wia�we�Q u y;Bu� }} ;y6�aH �auuo� }ua/� �# aouegddd ( } oN sey�w � �a�aweiQ ' Z �yBiaH ;uon ad�tl we/� uowwo� h —_' sa�ue!tdab t��l �f�� 3�'�dul �t8 lE�l �L �N �o Pa�9l�t/ uej 3ndul f1.L8 �1 £# a�uei�ddy � ao �4s�ssy ue� u►dW ft1� e�j Z# a�uelid�d �,j�� ielV 1a pa;aissy ue� �' �r►dul f1.L8 �l 6# a�ue��ddy uo!}�u+a}ul �a�auuo� �aA P� waq uou�u�o�i�l5 P�E 1 eauell �► � �� •�� ;ua.urq �ad se �(�a�tedas pa�u�t pue �an uowwa� ay� wo� panowal uaaq sey �suei�dd� ue �a�e �ay pa��}sut pue paz�s sm�auuo� �uan pue ;u�n uowwoa ay� s� () o{y (� s�� sa�uegdde }�etP I�� R� Ra}slsse ue� �o} salq�l ��A '� a�eum� I�}tsa'J t �Go62��'dWVEYb�Qd 8Pn{�ui saop sn� •s�oqe�y��ads s,�am�e}nuew pue sapa� �ua�t� et� s�eaw pue l�qwasse pa�sp e s� }� ;�} sa�.�er► ItA��i I�u�I�+aP� �I� u�s s u�n �wau e �Ile;sa� uayM ( ) oN � �Jl ( ) oN (��A � � oN �� •suo��ads s,�am�euew pue sepaa aua.�rb �}a�aw o� f�lf��! P�� p�ls �1 tl!�+�►► ��!e uopsnqu�cta p►au e Ilessu! 03 pe�1�nbe� uac�y �suo��ads s�am�e�nuew pue sapo� }uaum ay};aaw o� P�Il�su! P� (��ls s� ��e uoqsnquie� �.mtx� syl �sa�ue��dde }�P I�U�u Pue pa�wsse u�.lo� saiq�l �13u�/\ �� l��J t tio6a}e'J �WidJ-t1Jb ap�p�! saop siy,t •suoi}es�ads s,�aan�e3nttew pue sapo�;ua.ur� ay� s�w pue �IA� P�!I ��!un 3uawa�e�de� ��ey} sa�uan as�� pauBis,�apun ayl � oN ( ) sa� 'uo�}euluua� Rue sMOqla �o .raqwnu `t�#fiva� '6urzts Bulim��! suQge��r�ads lampe�nusw pue sapaa �uaLtx, ip� S��w P� �11d1�l�sE�d S! Wa�s�ts 6uguan ayl i) o�y �saA 'p�a��nbai e.w�{nn paddo3sa�� pue pa�oddns �aitr.�s s� pue `suo��sqo `uoµe�o�a;sp `�v wau� ea� s� puE p�aulwiaxa uaeq aey Buyuan a�;ey� s�yuan 1(qe.ray peu6is�epun ay� a�ewn; u�sexe utz ur�o ar u�y/� N il �I�I�t9i1 alt/ Nat1StlAI�tC)J alVtr aU1�3NPt0� a.M311 1N3/l NOWWO� Slltl�3d 371V�dllddll J{WN?�f19 i3fld 1M3�H3�1�'Id32i a0� A'i31.31dW0� NI 'ill� CITY OF FRIDLEY 6431 IJNIVERSITY AVENLTE NE FRIDLEY, MN 55432 PE O.: 200401163 a DATE IS5UED: 07/21/2004 , (763) 572-3604 FAX: (763) 571-1287 ADDRESS : 701 BENNETT DR NE PIN : 143024410004 LEGAL DESC : CHRISTIE ADDITION : LOT 4 BLOCK 1 PERMTT TYPE : HEATING PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ADDITION/ALTERATION VALUATION . NOTE: AIR CONDITIONERS CAN NOT BE PLACED IN A SIDE YARD WITHOUT WRITTEN PERNIIS5ION FROM ADJOINING PROPERTY OWNER COMBUSTION AIR SHALL BE PROVIDED PER UMC SECTION 504(A) AND TABLE 6-A. REPLACE FURNACE (WARM AIIt, RiJUD, 70,000 BTUS) AND AN AIIt CONDITIONER # A/C iJNITS 1 # FURNACES 1 # GAS DRYERS 0 # GAS RANGES 0 VALUE (FOR MINIMUM CALC) 3500 APPLICANT HEATING PERNIIT bZINIMUM FEE 0.00 RIVER CITY SHEET METAL FURNACE SHELL/DUCT WORK 35.00 9928 BLUEBIRD ST NW GAS RANGE FEE 0.00 COON RAPIDS, MN 55433- GAS DRYER FEE 0.00 (763) 754-2199 AIR CONDITIONING FEE 25.00 STATE SURCHARGE, MECH FLAT 0.50 TOTAL 60.50 OWNER PAID WITH CHECK # 13485 PAULAT MARTIN J& DEANNA L 701 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 application and know the same to be true and correct. All provisions of laws and ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or canc the provisions of any other state or local law regulating co ction or the performance of construction. Ap Date Bldg Insp � Dat� F � � SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. Building BUILDING PermitNo::� `(��1�'�1� Inspections RESIDENTIAL APPLICATION Received B� � 763-572-3604 CITY OF FRIDLEY vat 763-502-4977 FAX EFFECTIVE 8-19-09 �� DA1'E��I 3�� O�� AYOUR E-MAIL ADDRESS P`�'t' �. SITE ADDRESS �,�I l��lill�l �P tf� �dl /I/� i� �''//.�! �P v THIS APPLICANT IS: G�DWNER �COIVTRACTOR PROPERTY OWNER/ NAME: �� ; , l�� TENANT ADDRESS: 70 ��,P�/Ice ��C' �✓�CITY��-Py STATE�.�LIP SS��2 PHONE: 7��,3 — S '7 � - % � � / CONTRACTOR NAp,t�: SUBMIT A COPY OF STATE LICENSE # EXP DATE YOUR STATE LICENSE AND CERTIFICATE OF ADDRESS: CITY STATE ZIP INSURANCE pHONE FAX PROPERTY TYPE � SINGLE FAMILY/NEW CONSTRUCTION SIZE ❑ TWO FAMILYJNEW CONSTRUCTION STORIES PERMIT 1'YPE ❑ ADDITION � GARAGFJSHED �JINDOWS ❑ BASEMENT FINISH � ROOF ❑ DRAIN TILE ❑ DECK ❑ SIDING ❑ OTHER ❑ SWIMMING P�L TYPE OF WORK: ❑ NEW HOME CONSTRUC7'ION ❑ ADDITION � MAINTENANCF/REPAIR �REMODELING DESCRIBE WORK BEING DONE: �P �'� �t SIZE OF IMPROVEMENT sa `ii�'QS -�xt 5�� LENGTH WIDTH HEIGHT S FT IippFIT1G ❑ HOUSE ONLY BASEMENT REMODELING SUBMIT: NUMBER OF SQUARES ❑ HOUSE & GARAGE 1. Existing Floor Plan GARAGES ❑ ATTACHED GARAGE 2. Proposed floor plan PROPOSED SIZE: O DETACHED GARAGE 3. List of structutal members to be used PROPOSED HEIGHT: FOR NEW CONSTRUCTiON INCLUDING DECKS, SIDING ADDITIONS. & PORCHES SUBMTf: ❑ Vicryl ❑Soffit ❑ Aluminum ❑ Trim 1• Site Plan/Survey showing the existing structures ❑ Other ❑ Fascia and proposed project 2. Two sets of conskvction plans WINDOWS 3. Energy Calculations IN EXISTING OPENINGS j�'Yes ONo LOCATION OF WINDOWS FOR WINDOWS - PROVIDE U-VALUE AND OR FOR NEW OPENINGS-DESCRIBE SIZE OF MANUFACTURE STICKER ON WINDOW. OPENING CHANGES 8c � TYPE OF WIN�W TO BE INSTALLED NUMBER OF W[NDOWS ALL FEES ARE BASED ON VALUA'1'lU1V� 1NC;LUDIIV(i �1 HE (:UJI VN LAtSVK A1VU 1v1A11.K1A1.J: S G THE 1997 U.B.0 FEE SCHEDULE) TOTAL JOB VALUATION $.�% �� OCCUPANCY TYPE Permit Fee Plan Review Fire Surcharge Surcharge License Surchazge SAC Charge Curb Cut Escrow Erosion Control Park Fee Sewer Main Charge Total Due $ .� ff� �,�,'�,I �j See Back Page for Fee Schedule . � $ 65% of Building Permit Fee $ � �� .001 times the total job valuation $ ^'j � .0005 x Permit Valuation Minimum $.50 $ $5.00 (State Licensed Residential Contractors) $, $2000 per SAC,Uait (Pl�ns to MWCC for determination) ,., �, .. $ ft+6ft= ftx$22=$ $ $450 Conservation Plan Review $ Fee Determined by Engineering $ Agreement necessary ( ) Non Necessary ( ) $ �,a ,�� Make c6ecks payable to: City of Fridley Attach Sti� TfiIS IS AN APPLICATION FOR A PERMIT-NOT VALID UNTIL PROCESSED I hereby apply for a building permit and I acknowledge that the information above is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Fridley and with the Minnesota Construction Codes; that I understand this is not a permit but only an application for a permit and work is not to start without a permit on site; that the work will be in accordance with the approved plan in the case of all rk which reyu�re view and approval of plans. � SIGNATURE OF APPLICANT �1��-�1ir�t'G/ � PRINT NAME�lL/'! N a'"!f (�/ DATE�/%� /Q � t799 Page 2- Building Residential Application BUILDING PERNIIT 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 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 FEES $1 to $500 $23.50 (Minimum Fee is $23.50 plus surcharge) $501 to $2,000 $23,50 for 1� $500 plus $3.05 for each additional $100 or fraction, to and includin $2,000 $2,001 to $25,000 $69.25 for 1� $2,000 plus $14 for each additional $1,000 or fraction, to and includin $$25,000 $25,001 to $50,000 $391.25 for 1� $25,000 plus $]0.10 for each additional $1,000 or fraction, to and includin $50,000 $50,001 to $100,000 $643.75 for 1�` $50,000 plus $7 for each additional $1,000 or fraction to and includin $100,000 $100,001 to $500,000 $993.75 for 1�` $100,000 plus $5.60 for each additional $1,000 or fraction to and includin $500,000 $500,001 to $1,000,000 $3,233.75 for the 1�` $500,000 plus $4.75 for each additional $1,000 or fraction to and includin $1,000,000 $1,000,001 and up $5,608.75 for the ]�` $1,000,000 plus $3.15 for each additional $1,000 or fraction 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 proposed structure and of the construction site. A Certifcate of Survey of the lot, showing the location of the existing foundation will be required before proceeding with the framing. New Houses Onlv City of Fridley Buildirig Inspections Department 6431 University Avenue NE Fridley, MN 55432 763-572-3604 Fax: 763-502-4977