AF - 35537Date :
Owner
Addres
n
Village of Friclley, Minn.
BUILDING PERMIT
,
� �� �
f
- �
C9 =.� ��
�,
���
�
�° �
�-
Builder. � .�. . . . . . . . . . . . . . . . . . . . . . . .
•r •
.,�� � ' �� >
Address .. . .................... .i�" " " ...
LOCAT ON OF BUILD[NG
No. . . . I. (. � . . . Street . . . . . . . . . . . . . .�!�. . . . . . . . . . . P�rt of Lot . . . . . . . . . . . .
. p. .
•� 0
Lot . . . � . . . . . Block . . . / . . . . . . . . . .. . Addition or Sub-Division . . . . . . . . . . . w. . . .. . . .. . . . . .
V / � � I/� �
Corner Lot ........... Inside Lot ........... Setback .� ....... Sideyard . . .,,�e�� �.......
To be Used as:
DESCF2IPTION OF' BUILDING
0 � � /
Front !'�. �'.!�.� Depth . � rO. . . Height,.��,s�� Sq. Ft.�� l� � Cu. Ft. . . . . . . . .
..................... F ont ........ Depth . H 'ght . .. ...
Type of Construction . . . . . . . . . . . . . . . . Est. Cos�� � � � �'
�
�,�a/� � � � °�
�.� � �` � 7'� �� ����
Sq. Ft. ........ Cu. Ft. ........
To be Completed . . . S�. ���;�'��
Tn consideration of the issuance to 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 the village of Fridley.
� C /
Tn consideration of the payment of a fee of $. .���,� permit is hereby granted to ..�.d �,I�����A!
•••••.•.• ................ to construct the building or addition as described above. This perxnit is granted upon
the express condition that the person to whom it is granted and his agents, employe�es and worl�nen, in all work
done in, around and upon said building, or any part thereof, shall conform in all resgects to the ordinances of
x'ridley, Minnesota regarding location, construction, altera,tion, maintenance, repair and moving of buildings with-
in the village limits and this permit may be revoked at any time upon violation of any of the provisions of said
ordinances.
.°.'� A . .. . .. Building Inspector
NOTICE: `-�) �(� � t
This permit d'oes nat cover the construction, insta�a.tion or alteration fo� wiring, plumbing, gas heating�
sewer or water. Be sure to see the Buitding inspector for separate permits for these items.
the location of said bui
the above plat. a,�,�
4.
r- _ - -� - �,�
�
�,-�
� �� ' � - '� /�
\ �,,;
a
_ =' : �
Phoae: GReenwood 3-8352
ARLEIGH C. SMITH
Registered Professional Eagineer aad Land Survepor
16215 Wayzata Soulevard Wapzafa. Miaaes�ia
�►�wT OF St�RVEY
. , � �
OF PROPERTY OF ��� ��' �� � �' �' ' � � r,:,F s�r o�� w� r � * .
� .°
described as follows• �
.F'.�►.�1� �
� ��` �� �� �
scale: 1 in ee� "
�'.
�-
�. =
�
��r���� � _ _
� � �» � :
�: � .
���� �� ,��� 6 ��A�� "
�
CERTIFICATE OF LOCATION OF .BIIILDII�G C�RTIFICATE OF SIIRVEY `
I hereby certify that on—�� C, 19.�.� I hereby certify that o� ���� ,
I made a surve of the ro osed location of the I surveyed the property described above attd�th��
Y P P
building on the above described property and that the above plat is a correct representation of said
the location of said building is correctly shown on ,�st�vey.
the above plat. ,� � � - � �
� -� �`�'� �'� - "��� ��._ t- `� �
� �
�
-- � �
��
��-
Caty of Fridley, Minn..
BUILDING PER.MIT
N° 53°70
,a �
na�e: " '"" ,�."'"�—��;,�
� ��
owaer: _� �' S` :^':� -''`" - '� .'�.• B,iilaer _
w
Address �� Address ' °�`
LOCA ,.� UILDING
No. ...�v~...°��. �.. Sireet � "'�. ` " " � '�,,:'� �'` _ Part of Lot
Lot _ Block � ` �13on or Sub Divisi9n� .�.._� � �
Coraer Loi � Inside Lot �� Setback '� �' Sideyard .r._�„$___
Sewer IIevation
Foundation IIevation
DESCRIPTION OF BUILDING
To ��sea as: } ��, �,�r��� � ;�� �"'b��r �.
� � � Front � � °'�° Depth � �. Height �--�„�.�____ 54. F't. �_�� Cu. Ft ° � ,++� : ,_"'�
���^� Frpn Depth .��....�> rHeight Sq. F`t. Cu. Ft.
, � ::� ,� �� �� ~� r�° � •+ ;t'� ,
Type oP Construction "��"��"',,�.1''".���i %°: Est, Co� �'�`� "` _ To be Completed
�;� ���-
In consideration of the isauance to 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 compIiance with all provisions oY
qrdinancea oE the city of Fridley.
' e � _--
i� ���
In consideration of the payment of a fee of $� �� , permit is hereby granted to
to construct the building or addition as described above. This permit is grauted upon
�he express crondil3on that the person to whom it is granted and hfs agenfi�, employees and workmen, in all work
done in, around and upon said building, or anypart thereof, shall conform in all respects to the ordinances oE
Fridiey, Minnesota regarding location, construct�on, alteration, maintenance, repair and moving of buildinga
within the city limits and this permit may be revoked at any time upon violati�`� f any of tlie provisions af said
oTdiIIRriceB. .�"°'`� :�r f�" , A
r i- . ;,v � f �. � � �r $ll��l$ �IIB�CtOT
.�`` � - � �
�,� a� �, �.
NOTICE:
Thb permit does nof cove� t6e eonstrueHoe, insfallation for xririag, ptumbing, gais heating, aewe� or �erater. Be wn to aes
the Buildtag laspectar for separete pennita hr these items.
4
� �
_,-d—_ ,���
_. _ .�,i,
� _ 3 -
Owner's Name
�ddresa
Pio.
APPLICATION FOR BIIILDTNG PERMIT
CITY OF FRIDLEY, D+IIlVAIESOTA
of Lot
Lot Block Addition or Subdivision
Cornar I,ot Inside !�t 3etback Sid�-Yard
SE'GJL�',R ELEVA�."taAT FOUI9DATION ELEVATTON
�ppl3cant attach to th3.s form Certificate of Survey of I,ot and pro�sed bu3lding
location.
To b�u�e�b as :
DESCRTPTION OF BIIILDING
�
Sq. Ft. �� �� , Cu. Ft. _�S ,���
Front Depth Height
. Ft. Cu. Ft.
Type of Conatruction Eatimated Cost_� /�s°
�
To be Comp7.eted � ��
�
The undersigned hereby makes e.pplication for a permit for the work herein specified,
agreeing ta do all work in atr3ct accordance with the City Ordinances and ruling of
the Depart�ent of Build3ngs, a.nd hereby declaxes that all the faots and repreaentations
atatad in thie applica.t3oa are true and correct.
> •/,,
DAT� !'rra .� � % .--- � /r� �TraJemr� �/���, ..� � �L�1/ln,.<_ s -
(A Schedu].e of Fee Coets can be found on the Reverse Side.)
.:,;
�
�'`,
� . 3�T � f s ^"
BUILDING PERMIT FTE 3Gi�DUIE
Section 2. The inapectar of Buil.dings ahall, before iasuing ar�y Permit for the
erection of any building or structure, or for e�r addition to an�r existirig bui].d-
ing or structure, or for any alterations or repairs to anp exist3.ng bu3lding or
structure, upon applic�tion therefor, require the payment by the applicant for
auch pex°mit oF fees to - the amount herein below aet - forth and 3.n the �er�ner herein
provided to-wit:
2.1. For ar�y such permit for the erection of any fire-proof building, other than
a garaga, warehouse, factory or g�airn elev�tor, or for the erect3on of any fire-
proof additian, for aimilar'occupancy, to ar�y existin� b�ilding shall be at th,e
rate of �1.4A for each one thousand cubic feet, or fraction thereof, in such
cubical contents.
2.2. For any such perm3.t for the erection of any fireproof ga:rage, warehouse,
factory or gra3.n slevator, or for the erection of any fireproof addition, for
aimil�ar oceupanay, to any exiating building shall be at the rate of $]..25 fox'
each one thoussnd cubic fest, classified as "fireproof'� by Section 502 of the
Minneapolis Build3ng Code.
HOUSES
2.3. For any such permit for the
than a gaxage, warehouse, facto
addition, for simil�r occupanc�r,
each one thousand cubic feet.
GARACES
erection of any non-fireproof building other
ry or �ain elevator, or any norr-fireproof
to ang existing building. Permit �1.00 for
2.4. For an�p such permit for the erection of any nor�fireproof garage, warehouse,
factory or grain elevator, or for the erect3on of any non-fireproof addition, for
simi.lar occupancy, to an� existing building or for each such building or addition.
Ninety Gents for each one thousand cubic feet.or.fraction thereof, 3n the cubical
con�.snts thereof with a minimum of �1�.00.
For the puxpoae of computing fees for building permits the cub3cal contet�ts of any
building or addit3on to a un�form height throughout by uiultiplying the �round area
covered f'rom a point six (6) inches below the floor line of the basemer��t or cellar
to the average height of the upper surface or to the average height of the roof
svrface of the main gable of a pitched roof.
2.5. For repaira or alterationa to an ex3sting struci�u.re, the iee shall be at the
rate of �3.00 for each Five Hundred Dollars (�5�.00), or f"raction thersof in the
cost of all propoaed work.
2.6. In no case shall the fee charged for any permit as set forth�3n �ec'tio� 2 be
lesa than �4.00.
�"� �
. . ,. . � .� t .,
,,
�
�
�
_
�
City of Fridley, Minn..
BUIY�DING PEI�T
Date: Jt�ne 11, lOb$
�����
N° 7�49
p�r; Don Herrrr� B��,r E. �T. Builders Inc.
pd� 7i,�� Rr�nnet} nr-�P . E Ad�es� �eview Terrace Rte. 8
LOCATION OF BUILDING
�vo. ��3 street Bennett Dx°ive N. E. Part of Lot
�t � _ 81�k - 1 Additlon or Sub-Div9sion Chr? �_; � Add; �-i on
Corner Lot
Sewer IIevation
Inaide Lot S.etback Sideyard
Fotmdation IIevation
To be Used as:
DESCRIPTION OF �UILDING
�SOnt Depth Fdeight Sq. Ft C�. Ft
, Front Depth FTeight Sq. F't. Cu. F't.
Type of Construction Es� Cost -s��.��•00 To be Completed
Storm Dam,age repair
In canaideration of the 9ssuanc� to me of a permit to construct the bwtlding described above I agree to do
� P�P� work in ac:cordance with the d�scription above t forth and in pliance with afl ons of
orrlinaaces oP the dty oP FrYaIley. i��� �-' �
� , f �✓� _� � /
��
Ea consideratian of the PaYaient of a fee of $ 10•Q� , p�rmft is herebY granted ta E. �9'. Builde�s IAC.
to c.ronstruct the buflding or addition as described above. Thi� permit fs granted upon
the exPress conaition that the peraoa to whom it ia granted and hia agent�, employees and workmen, in all work
done 3n, around and upon said building, ��Yp� thereo� shall eonform 9n all reapects to the ordinance.s of
FridleY� Minnesota rega�liug loc:ation, conatructfon, alteration, maintenance, repa3r and moving of bufldin$e
wiwo��� dty ]imits and thia permit may be revoked at any tirne upon violal3on of aay of the Provis�tons of said
AlleTl eTeT38en B�� ��
NOTICEs
'IYs pern�t dea eet coru t6s eenstraeHon, �tal�toe �or vrtrfn& P��+�9. 8+� 6��9� iewu er wate�. 8� wro to sss
Na Bundin8 �mp�m' ior s�pant� p�r�hs for thea h�ms.
OWNER'S
APP'LICA�"ION FOR BiT.�DING PE�T
� CITY OF FRIDLEY, MIItTNESOTA .
`� � ► �' � i �'
,
..�i.i p%` - I I ,. .�.�i[-�, t�iJ :iJ � ` .
=s �r.
LOCA�.'ION OF BUILDiATG .
No. Street�: Part of �,ot
. . . ----�-._
LOT.�� __gyQ�g�`_;�DITION OR 3UBDIVISfON � �. 6 �
Corner Lat�_Inside LOT ` Setback Side•Yard �
SEWER ELEVATION , FOtTNDATI0I�T ELEVAI�ON
Applicant aetach to this form Two Certificates of Survey of Lot and proposed
building location drawn on theee Certificates.
DESCAiPTiON OF BUILDING
To be used as:
, Front Dept �,gei�ht
Sq: Ft. Cu. Ft. " .
� - 1�ront Dept ��geight
Sq. FC. Cu. Ft.
Tqpe of Co�tiuction � Estimated Coat ���� �
To be completed • �
Th� undersigned hereby maltes applicatfon for a permit for the work herein apecified,
agreeing to do a11 work in 8trict accordance with�the Ci`ty of Fridley Ordinances
and ruliri�s of the DeparCment af Buildings, and hereby declarea that all tha facta
aad repr�asentatibn's stat8d in ehis applicaCioa are true and correct. � �
D�� �.�� q�� � �
s���
(Schedule of Fee Coets can be faund on the everse Side).
�n_ f a w. �� ` � /�
( �
b
� �� �
���
q . . l�
e�
. BIIILDING PERMLT F'EE SC�#EDULB
SEG°tION 2. The Inspector of �uildiags ahall. before issuiag aap germit for the
ere� ctian of any building or structure, o� foz any addition to an�► existing build-
ing or atructure, or for any alterations or repairs to anq existing building or
structura, upon application therefore, require the payment bp the applicant for
such germit o£ fee� to the amount herein below aet forth and in the maaner here3�n
provided to-wit;
2,1. For any such germit for the erection of any fire•proaf building,
other than a garage, warehouse, factory or grain elevator, or for the erection
of any fire•proof addition, for similar occupancy, to any existing building,
shall be ae the rate of $1.40 for each one thousand cubic feeC, or fraction
thereo€, in such cubicaT contents. �
2` 2. For any such permit for the erecCion of any fire-proof garage,
W�.rehouse, factory or grain elevator, or for the erectioa of anq fire-proof
addition, for similar occupancy, to any existing building sha21 be at the rate
of $1.25 fo� each one thousand cubic feet, claesified as "fireproof" by
Section 502 of the Minneapolis Building Code.
flOIISES
2.3. For aay such permit for the erectiou of any nrns•fireproof building,
other tban a garage, warehouse, factory or grain elevator, or any non-fireproof
addition, for similar occupancy, to any existing building - permit $1.00 for each
one thousan.d cubic feet.
G�GES
2 4. For any auch.permit for Che erection of any aon-fireproof gara8e,
warehouse, factory or grain elevator, or far the erection of any non-firepraof
additioa, for similar occupancq, to a�ry existing building or for each such
buildiag or addition - ainety cents ($0,90).for each aue thousand cubic feet
oa fracCion the�eof, in the cubical contents t&ereof with tbe minimum of $4.00.
For the purpose of camputing fees for building permits, the cubical contenCs
of any.�building or addition to a uniform height throughout bq multiplying the
ground area covered from a goint six (6j 3nches belaw the floor ].ine of the
basement ar cellar to the average height of the upper surface or to the average
height of the roof aurface of the maia gable of a pitched roof.
Z.S. For repairs or alCeratioa� to an existing structure, th� fee shall
be a he raCe of $3.00 per each Five Hundred�Doll�rs ($500.00) or fraction
t�iereof in the coet of all proposed work.
2.6. In no case shall Che fee aharged for aay permit as set forth in
Section 2 be less Chan $4.00.
v �.
i
,� _
�1 n � �a�
�
�
�
0
c
�
c
a
n
N
n
m
-n
0
z
�
rt
a
�
�
<
m
�
�
�
a
e+�
0
_
O
�
Z
m
�
o�
n�p
9
�
�
C
Z
�
o,
�
m
N
�
�'i �
�• h
n �
K
�
o �
� �
0
r• �
N �
o `�
� Wpp
M a
K
� o
�
a�
°• ro
N• m
`� a
�' �
N
r•
n m
�
m
a
w
0
rr
r H
cz
��
��
o '*J
��
��
�K
n
�C x
��
c�i
ro
t�
�
H
M
�
�
�
cn
0
0
\
�
r
�
�
!
�
�
��
m �
o °' �e
w
�
rt
�
m
.9
�
�
C
ai
ro
� � �
M w w
C r �
N � �
0 "0 '0
FS
ro
�`
d� o
rt � o �
�
C `C� P+ �i �7
� � °� a �
af ~ w ZfD z
� � � fD h
� � �x °' z
� � ro
a �
. �
'iS' � �
� - �
� '�
� � � �
�° w �C
R 'g
W M �
N 7 Wz m �W
fD G' C o 9 t�f
� o
ro
� W �1
M
�
r z
� o
� �
� �
�
0
.�
°�
�
�
m
ro
�
O
A
�
�
�
N
�
�
0
0
� N
� �
�r
�
� �
A
.'3'
�
m
� � �
� o
�
�
r �ar+
M �
C �
C \
ro �
0
M y
b �
ro
�
�
n
�
�
h
Di'
tn
o � � y
� H W (7
� � � �
o �
G � �
rM
G y
N 9
} � �
c�
� ►�
�
�
.
�
��q
M
H
0
�
c
d
� �
F+ M
�o n
O �O
�
C� R
� m �
cD ro w
r�,, K' `o
� `� a
�a ~
w r.
�� mM
Mrt
O �
X �
�
�
O
0
_ o
� �
�
�
�
ci c� Gi oo � W
� � ro t�n M M O
w �
� � �ro H � H
� �
fD � w � x �
� o�
N
w ba
r�
� �
� �o
M Mrt '
� �n
v �x
.
�ar1 �n tn �vi
0 0 0 0 �o+
. . y
o °a o p �
v� vi tn tn
� �
� �
�a� ��ro
� w � ��
��� �o�
r w � v� rn
w� � a r�nn
M ran w e�t w w�
f0 W fn �{a d Q
M M N W O fFD M
re �n � �C m
� �� � r
o b o �, w
� �
m �
� ���� �
�
�a a�°nn� a �
m� wpy �b c
'C � f�„ � 1~+. M
� ���mt � �
� m W w O �
. ��p��] �
►' Pi W O �
wa � ►t z
��,gm �
w � �, � .
N �C � � M
' maE" a
h+� M M'
� � � � �
� � � � 4
� � W O V�
HK�X N
� � �a�
� ;� � �
��°5
�
0
�
�
m
m
t0
�
�
x
�
�
.-: �
i
_ �
�
�
�
r
A
a
-i
0
z
0
�
O
�
m
�
� ��
A z
O �
Z N
C7 D
� �
� f�
�+ D
G�'1 .�-e
� �
-G •
N
m-1 C")
3 O
y r
C �
m m
< �
(a �r
m �
N
--i
0
Z
�
m
�
�
�
m
�
D
-'1
O
Z
a
�'T
�
O
T
T
�
d
r
-�mG
�
5J
�
�
c�
d �
fD
[f
w
c
fD
�
N
a
�J!..�
�o
�
.�
P
/
✓
r
� — —I �1�U
�'8 pau6�S
. Ru gd wo�
� ) �N ' � ) s a,�
,
i ) °N �) S aA
� °�
�� � .
_ �
S
s �.� ewab
l t/101
(� � Q(�� ; S� f118 �+a4�o l ltl
�
; C?� 'C� �o s,f118 5u��eay �e�ol seH �g
' i �
, i i pa��auuo� (118 Lp��
pue� az�s .�o,} s�uauia.�i►iba.� apo� �uaaan� <<e s�aaw •5
I
� pa�,�oddns �'�aan�as si •ti
() oN �.,) saA � u�y��M pa6po� s��aCqo u6�aao,} ou se�{ •£
, .
�) oN �() sa� ! uo��eao�aa}ap �o �sna wo.�� aaa� s� •Z ;
�� oN (�'� S�� pau�wexa A� �n�a.�e� uaaq seH ' i �
�` ;
'��e�s �o �'auw�y� 6u��s�xa ay� �ey� sai��aan �'qa.�ay pau6�s,�apun ayl
' '� �
' I f ,
! ' '
NOIld�I�Ia3fl �1�tl1S GNtI A3PlWIH� '
�
�
�
��
�o
o� R
��
�• R.
y A
0
��
S�
� �.
:�
�.
�
0
��� � �
�� �� � o
� �e � �
� ��
� � ��
� -.� Z � � �
�e - �
� � \ � �
b' W � �
' w �
� ,� �
� � o
• � Z
� �
��-�°
� �
�
b
� �1
� _
� �n
� � �� .� �
� �
� �, z
o�
b
�
Z � • o �n
C11 y' cD Z
al �b N' � o'cJ�
� ���'�a
� �� ��`
� m c� c> >0
',� � o c o -o
�� �, mz
� c� �N z°
ly � CN"'p
� ..d L
� � �!
� �
�
�
�
`�
—,.� , -- - � - __ _
SUBJECT P
City of Fridley , _ 20215
AT THE TOP OF THE TWINS g U I L D I N G P E R M I T
i �
� � RE NO.
� `L ____ COMMUNITY DEVELOPMENT DIV.
r j � PROTECTIVE INSPECTION SEC. � L%� �/
� �
� ` �
' r��'1 � CITY HALL FRIDLEY 55432 NUMBER REV. bATE PAGE OF APPROVED BY
�'"""� � ,�� 612-571-3450 910-F15 12/11/89 / /
J08 ADDRESS 713 $ennett Drive N. E.
1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED
DESCR. S 1 Christie Addition SHEET
2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE
Donald Henry 713 Bennett Dxive 1�.E, 571--1116
3 CONTRACTOR MAIL ADDRESS Z�P PHONE UCENSE NO
Coronado Stone 1634 High�tay #10., Spring Lake Park 786�2341
4 ARCHITECT OR DESIGNER MAIL ADORESS ZIP PHONE ' UCENSE NO.
5 ENGINEER MAILADDRESS ZIP PHONE LICENSENO.
6 USE OF BUILDING •
Residenti.a,l
7 CLASS OF WORK
O NEW ❑ ADDITION �{7 ALTERATION � REPAIR ❑ MOVE ❑ REMOVE
8 DESCRIBE WORK
Install a Heat N Glow, F1�42 �reestanding Fixeplace � ZCBp #3454
9 CHAN�EOFUSEFROM TO
STI PU LATION S
Spec.i�ications o� tes.ti�g agency �ust he ,folloHred rnth�r�, installing
fireplace.
SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL. PLUMBING, HEATING, TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD
VENTILATING OR AIR CONDITIONING.
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING SQ. FT. CU. FT.
AUTHORI2ED 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 OFFSTREET PARKING
I HEREBY CERTIFY THAT I HAVE REAO AWD EXAMINED THIS APPLICATION I. STALLS GARAGES
AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS VALUATION SURTAX
AND,ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED
WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT S2 r%.I.O �S`I_ Q 3F]
DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE pERMIT FEE SAC CHARGE
PRO ISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON-
ST U ION OR THE PERFO A CE OF CONSTRUCTION. $SL,�, �,Q.
Y PLAN CHECK FEE TOTAL FEE
$55,36
SIGNATUREOFCONTRACTORORAUTHOR12EDAGENT IDATEI WHE PROPER Y I A D T IS YOUR.PERMIT
r. "°
�� �
SiGNATUREOFOWNERIIFOWNERBU�LDERi IDATEI DG �NSP nATE
r�w � �
ADDN [ ]
�'I'� L l
Construction Address• �� � �
R-1 AND R-2
Bui.l.ding Permit Application
�
Effective 5/1J88
Legal Description: L-�J i � �`� ( /
Q �-� 5��� ��
a�ner rrame & Adar�ss: _ o �s /�-j� f��N P � Te.t. # �� - �
Contractor: � U 0 t�,�- � d ��
� ��. # � �� — � 3 c� /
Aaa�: /� 3 � �;�.� � -� J � .5�� �,�� � �-K � �� �
� .AREA:
� ARE1�•
.
DECR AREA:
ORi�R:
�
A�� tO '�S a�lication, a Certificate of Survey of the
lot, with the Propo�'.,ed construction drawn on it to scale.
�TIO�Id OF I�pV�i�
�� Width He.igYit �. �.
�h Width --
Height �, �,
� Width xgt/� sq. Ft.
� G� /--� c �- - ��r o C.� S�S �,�-� � �J ` ���ea
� �t �d,
� �� �
Corner Lot [] Inside Lot [] Ft. Yd Setback Si.de Yard SetbacJcs b� 5
�'1'Pe of Construction: --.,
Estimated Cost: $_ � ��� °= '
Approx. �cmq�letion Date: _/� - f� g 9
ProPosed Driveway Width If New Open,inq Is Desired: �. $ $
Width + 6� See gack page
I�ATE: -�/-� APPLICAI�I': `
-- Tel. # ��� �3 ;�L_.
Permit Fee $ � (� D
State Surcnarge $ %, � (
SAC Charge $
Driveway Escrow $
Park Fee $
Sewer 1►?air� C�arge $
. v
STIPUTA'1'IO1�TS :
$_ � .� �- o
CI'1'Y IISE O1VI,Y
F� Scheclule on Reverse Side
$.50/$1,000 Valuation
$575 per SAC Urii,t
Alt. nAu or Alt. ngn A�pVe .
Fee Determined bY �clineeri.rig
�nt Neoessa�y C l Not Necessary [ 7
•i��r • �, � �:rl'J�14 :�i:�1 _�+:t�i� 1� .:+{
�... -- - - - - - _
Z�e C�ief Building Official sha11, before issu� P�� for the erection of any
building or structure, or for any addition to any existi.ric! building or strvcture, or
building or structure, upon aPPlication
for any alteration or repair to anY ex��J t of fees to the a�t
ther�fore, requix'e 'the PaY�t bY the aPPlicant for such ��+�+,
herein bel�a sst forth and in the manner herein pravided to-wit:
TOTAL VAIIJE
$1 to $500
$501 to $2,000
$2,001 to $25,000
$25,001 to $50,000
$50,001 to $100,000
$100,001 to $500,000
i a+�.
$15 (�inim�n Fee is $15 Plus sur�iLarge)
$15 for first $500 plus $2 for eac�i additional 5100 or
fraction thereof, to and ]nclutlincJ $2.000
�5fractioaz thex�eof, tA and inCludinq $2�5, 000� $1 � 000
or
$252 for fitist $25,000 plus $6.50 for each additional $1��00
or fraction thereof, to arid including $50,000
$414.50 for fir5t $50,000 plus $4.50 for each additional
$1,000 or fraction thereof► to a�1 �l� $100,000
$639.50 for first $100,000 plus $3.50 for each additional
$1, 000 or fraetion thereof, to ar�c1 includ�t�cJ $500, 000
$500,001 to $1,000,000 $2o39.50 for the first $500,000 plus $3 for each additional
$1,000 or fraction thereof, to and includin5 $1,000,000
$1,000,001 ar�l up $3539.50 for the first $1,000,000 plus $2 for each additional
$1,000 or fraction th�°f
.�• ��� .,�• •�a�_� .� � «�,.�^
. - - � � . -- •
Alternate ��A�� ; Removal arzd repla�nt of curb and guttex' only - Drive�aay width plus
6 feet tlmes $13.50.
Alternate ��g�� ; Removal and replac�ent of curb and gutter arxl install a 3 foot wide
appraach with 6 inch dep�th - Driveway width plus 6 feet tim�s $15.75.
pERIFIC?1TION OF �OUDIDATION
P�xmits for construction will be issued a a�";,mmt of 24 hours from the time of
application to all�a for pra�er review of the praPosed structur8 and of the
construction site.
A Certificate of SuYVey of the lot, shawing the location of the foiu�clation orn:e it has
it has been cor�structed wi.11 be required before proceedirx} with the framing.
�- a � a
SUBJECT •
c�ty of Fridley 26213
AT THE TOP OF THE TWINS g � I L D I N G P E R M I T
r
� ` RECEIPT NO.
COMMUNITY DEVELOPMENT DIV.
r � y � PROTECTIVE INSPECTION SEC. �p�/
i �
� � �
i---. � �/�";•, CITY HALL FRIDLE� 55432 NUMBER REV DATE � PAGE Oi APPROVED BV
t �� 612-571-34b0 910-F15 6/11/98 � �
JOB ADDRESS 713 Bennett Drive NE
i LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED
DESCR. S 1 Christie Addition SNEET
2 PROPEFiTY OWNER MAIL ADORES$ ZIP PHONE
Don Henry 713 Bennett Drive NE
3 CONTRACTOR MAIL ADDRESS ZIP PHONE UCENSE NO.
Peak Roofing 11506 S Oakvale Rd, Minnetonka, MN 55305 938-8150 20045301
4 ARCHITECT OR DESIGNER MAIL ADORESS ZIP PMONE LICENSE NO.
5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO.
8 USE OF BUILDING
Residential
7 CLASS OF WORK
0 NEW O ADDITION ❑ ALTERATION � REPAIR ❑ MOVE ❑ REMOVE
8 DESCRIBE WORK
Reroof House & Garage (23 Sq) Tear-off
9 CHANtiE OF USE FROM TO
STIPULATIONS
Underlaym.ent must comply with the State Building Code.
SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBINCi, HEATING, �PE OF CONST. OCCUPANCY dROUP OCCUPANCY IOAD
VENTILATING OR AIR CONDITIONING.
THIS PERMIT BECOMES NULL AND VOIO IF WORK OR CONSTRUCTION ZONING SQ. FT CU. FT
AUTHORI2ED IS NOT COMMENCED WITHIN 80 DAYS, OR IF CONSTRUCTION
OR WORK IS SUSPENDED OR ABANDONEU FOR A PERIOD OF 120 DAYS AT
ANY TIME AFTER WORK IS COMMENCED. NO. OWLG. UNITS OFFSTREET PARKING
I HEREBY CERTIFY THAT I HAVE qEAD AND EXAMINEO THIS APPLICATION 1 STALLS GARAGES
AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS yA�UATION SURTAX
AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIEO
WITH WHETHEF SPECIFIED NEREIN Oii NOT. THE GRANTING OF A PEHMIT � 1 s 918 �. 96
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-
STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. �C)L. ZS Fire SC �I..9L
/��^ PLAN CHECK FEE TOTAL FEE
�1L ��►'Vl � � Lic nse SC $5.00 $70.13
SIGNATUREOFCONiRACTORORAUTMOi71ZEDAGENT IDATEI WHEN PROPEiiLY IDATEO TNIS IS VOUR PERMIT
�
_ � � Il-9�P
S�GNATU�7E OF OWNEFl UF OWNEA BUILDEAI iDATE� BLOG � SP DaTE
� _ y ..
NEw
ADDN
ALTER
[]
[l
[l
Effective 1/1/98
CITY OF FRIDLEY
SINGLE FAMII.Y AND DUPLEXES R-1 AND R-2
BUILDING PERMIT APPLICATION
ConstructionAddress: � t 3 �Q �, p {�' �6' � ✓ e
Legal Description:
Owner Name & Address: S,,�n �c� �y ? t 3 �����} {��; � e Tel. #
� � A �
Contractor: �
Address: � 15
LIVING AREA:
GARAGE AREA:
DECK AREA:
�� :� �
MN LICENSE # Z��l S 30�
� . c�� k,,�1� ��I-
Attach to this application, a Certificate of Survey of the
lot, with the proposed construction drawn on it to scale.
DESCRIPTION OF IlVIPROVEMENT
Tel. # �'13�b��150
Length Width Height Sq. Ft.
Length Width Height Sq. Ft.
L�n W' th Hgt/Ground Sq. Ft.
�-� � � 3 S - �2 ���
Construction Type:� p/ ( Ao�r ,�� Estunated Cost: $ �' j9�� r
(Fee Schedule on Back)
Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x$ _$
DATE: � � � 1 " � �b
Permit Fee
Fire Surcharge
State Surcharge
SAC Charge
License Surcharge
Driveway Escrow
Erosion Control
Park Fee
Sewer Main Charge
TOTAL
STIPULATIONS:
APPLICANT: � �y� ��,e� Tel. # � � � '2,�SZ.
,
$ ��,�s°"
$ f-�
$ ���
$
$ � C��
$
$
$
$
$ °� � � l.-�
CITY USE ONLY
Fee Schedule on Reverse Side
.041 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.� 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 $500
$501 to $2,�0
$2,001 to $25,000
$25,001 to $50,000
$50,�1 to $100,0�
$100,001 to $500,000
$5�,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 $2,000 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 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 applicati�n to allow for proper
review of the proposed structure and of the construction site.
A Certif'icate 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.
n
O
W
C
�
Z
D
�7
�
�
r
W
m
'O
�
0
v
m
v
�o
m
�
c
�
c�
�
m
�
O
Z
�
0
.p
D
�
D
Z
v
D
W
r
m
rn
D
n
�
�
�
�
Z
m
z
--�
z
�
O
O
z
D
n
�
�
v
m
0
a
r
�
m
m
t�
�
�
�^
�
�
�
�
m
�
c
�
�
�
�
m
�
D �
�rr,m
5'
o ��
O � �
..ti = A
N � �
_ �' „
m
o z m
�v�
• O �
� n�i n�i ���2 c n�i, a�i 0° c�°u � m
�' u, u, m m m 3� ���°' �
�, v � -, � -, � � �- � � o .,,
� �N � N (=D � (�D fl« N �' N � �
�� N N � N tn, W'� c
� "�O � � N (rtp � �. r � N N tp N
�� � � cc � � � m Z
� N � $ � � �
�
I � * � �• � 3�
c � o �� � � � c
m � ° �° m
o m ? ��
-� � � 9
D D � Q.
v �
�°—. Cn � �
�n p g �n
a "
i � z
m � o
� I I
O
z
�
D �n
v �
� z
a �
W
W ��
O �
C
�' t
7 E
v
�
c�
-n m
� r
� Z
� o
�
m �
i
< �
� "��
� `
� �
�
v
r
C
�
W
Z
�
�
�
c
�
m
�
m
�
I I I I I I I �
� ������������
C1� O O O�i p�I �I V �I CT� :A �I
0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0
� �
c �
� �,
� �
Z a
�
C7 O
� ��
D
Z
":
� �
1
�
�
��
�
��
� �
�
�
�
J�.�
�
� �
a 3
� �
C
N
a
N �
, �l
f�
N
I�
�
�
n
m
v
N
(D
�
O
�
�
�
O. �
��
�
�
a�
�
�
o'
�
v .
m
2
m
v
�
a
m ',
��
�
m
-�i
O
D
r
�
�
�
�
w a:w�
N=� O
� � �
� Z m �
���v
W '� r
N c �
m
zZ
m�
v
m
C�
�
O
Z
v
<
�
m
�«
m
O
�
�
n�
�
N
O
O
�
COMMON VENT VENT CONNECTOR AND COMBUSTION AIR VERIFICATION
When replacing an existing furance, the undersigned hereby verifies that the
venting has been examined and is free from rust, deterioration, obstn.ictions, Yes No
and is securely supported and firestopped where required. i) ()
The venting system is plastic/PVC and meets all current codes and manufacturer
specifications including sizing, length, number of elbows and termination. Yes () No ()
The undersigned also verifies that the replacement unit is a listed assembly
and meets the cuRent codes and manufacturer's specifications. This does
include AGA-GAMA Category I Central Fumace Venting Tables for fan
assisted and natural draft appliances.
The existina combustion air is sized and installed to meet the cuRent codes
and manufacturer's specifications.
When required to install a new combustion air, it will be sized and installed
to meet the current codes and manufa�turers specifications.
Yes ( ) No ( )
Yes ( ) No ( )
Yes ( ) No ( )
When installing a new ventina svstem, the undersigned hereby verifies that
it is a listed assembly and meets the current codes and manufacturer's
specifications. This does include AGA-GAMA Category I Central Fumace
Venting Tables for fan assisted and natural draft appliances. Yes () No ()
Is the common vent and vent connectors sized and installed coRectly after
an appliance has been removed from the common vent and vented
separately as per current codes. Yes () No ()
Appliance Tvpe and Size/Common Vent and Vent Connector Information
Appliance #1 Type BTU Input = Fan Assisted or Nat _
Appliance #2 Type BTU Input Fan Assisted or Nat
Appliance #3 Type BTU Input Fan Assisted or Nat _
Total Appliances Total Btu Input
Common Vent Type Vent Height Diameter inches
Appliance #1 Vent Connector Height ft Length ft Diameter in Type
Appliance #2 Vent Connector Height ft Length ft Diameter in Type
Appliance #3 Vent Connector Height ft Length ft Diameter in Type
ALTERATIONS• (Describe)
HEATING CO: .
Signed By: Date :
SuB�ECT
c�ty of Fridley
AT THE TOP OF TME TWINS g U I L D I N G P E R M I T
i �
� �
� `v __��_ COMMUNITY DEVELOPMENT DIV.
r � � PROTECTIVE INSPECTION SEC.
1 . i
i--_-� ��"' �'� CI?Y MALL FRIOLEV SS�$2 Nuta8Ei1 NEv
L 763-571-3450 910-F 15
�oe nooRess 713 Be:��ett Dr�ve NE
t LEGA� L07 NO. BIOCK TRACT OR ADDITION
oescR. 5 1 Christie Addi�ion
2 PpOPERTY OWNER MAIL AODFiESS
E D Henry 713 Ben�.et� Dr�ve NE
3 CONTRACTOR MAII AOORESS
S2Il1E
4 ARCHITECT OR DESIGNER MAIL ADDRESS
5 ENGINEER
8 USE Of BU
Res�.dentia�
7 CLASS OF WOFiK
O NEW
8 DESCRIBE WOHK
Rep�.ace soffi�
9 CHANC3E OF USE FROM
STIPULATIONS
MAIL ADDRESS
❑ ADOITION ❑ ALTERATION
TO
D�TE P�GE O�
8/i2/03 / /
\33792
RECEI T NO.
T 1 / v'
APVqOVED Br
SEE ATTACHED
SHEET
763-571—III6
ZIP PHONE LICENSE NO
ZIP PMONE LICENSE NO.
IIP
❑ REPAIR
�i
PHONE LICENSE NO
❑ MOVE O REMOVE
�nsta�i so�f�t veatylaiion to meet the S��te Bu�.�dir�g Code.
SEPARA7E PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, TYPE OF CO
VENTILATING OR AIR CONOITIONING
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION 20NING
AUTHORIZED IS N07 COMMENCED WITHIN 80 OAYS. OR If CONSTRUCTION
OR WORK IS SUSPENOED OR ABANDONED FOR A PERI00 OF 120 OAYS AT
ANY TIME AFTER WORK IS COMMENCED. NO DWIG.
I MEREBY CERTIFV THAT I HAVE READ AND EXAMINEO THIS APPLICATION 1
AND KNOW TME SAME TO BE TRUE AND CORRECT. A�L PROVISIONS OF LAWS VALUATION
ANO ORDINANCES GOVEFiNING THIS TYPE OF WORK WI�L BE COMPLIED
W�TM WMETHER SPECIFIEO MEREIN OR NOT. TNE GRAN7ING OF A PERMIT �SOO
DOES NOT PRESUME TO GIVE AUTHOqITY TO VIOLATE OR CANCEL TME pERMIT FEE
PROVISIONS OP ANY OTHER STATE OR LOCAI LAW REGULATING CON-
STqUCTION OR THE PERFORMANCE OF CONSTRUCTION �23.SO
Ur+E OF CON"aACT UTNO AGENT /�j IDATE�
/ � ��' 6�.r y`- ` ��'I 1 .
� \O
iAE O� OWaEA��:O E ��DEA� �D�iE�
F �
OCCUPANCYGROUP
SQ.FT
CU FT.
OfFSTREET PARK�NC
STALLS GARAGES
SUFTAX
$.50
SACCNARGE
�''i�0 SC �.�0
TpiALiEE
$24.5
RLV VA�IpATED TMIS 1& OL1R ER
r
CV LOAD
NEW
ADDN
ALTER
[] CITY OF FRIDLEY Effective 1h/2003
[] 6431 University Ave NE, Fridley, MN 55432 (763) 572-3604 �Idg Insp
[] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 (763) 571-1287 Fax
BUILDING PERMIT APPLICATION
Construction Address:
Legai Description:
Owner Name & Address:
Contractor.
UVING AREA:
GARAGE AREA:
DECK AREA:
OTHER:
Construction Type:
�
Tei. # ? b � °--- � '''j(�
MN LICENSE #
Tel. #
Attach to this application, a Certificate of Survey of the
lot, a�ith the proposed construction drawn on it to scale.
DESCRIPTION OF IMPROVEMENT
Length �dth Height Sq. Ft.
Length Width Height Sq. Ft.
Length
Sq. Ft.
.�
Estimated Cost: $ � 7 / ��
Driveway Curb Cut �dth Needed: Ft. + 6 Ft = Ft x =$
�
DATE: � � � � APPLICANT: el. #� P— � '�"/��
Call (763) 572-3604 for Permit Fees if mailing in application. Fax to 763-571-1287 i sing credit card and we will
call you for card number.
Permit Fee
Fire Surcharge
State Surcharge
SAC Charge
License Surcharge
Curb Cut Escrow
Erosion Control
Park Fee
Sewer Main Charge
TOTAL
$ �3P ��
$ • ��
$ •�
�
$
$
$
$
$
r . ��
CITY USE ONLY -
Fee Schedule on Reverse Side
.001 of Permit Valuation (1/10th%)
$.50/$1,000 Valuation
$1275 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 ( ]
-< °
_ •►
BUILDING 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 e:cisting 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 $500
$501 to $2,000
$2,001 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
$23.50
$23 . �0 for first $500 plus $3.05 for each additional $100 or
fraction thereof, to and including $2,000
$69.25 for first $2,�0 plus $14.00 for each additional $1,000
or fraction thereof, to and including $25,000
$391.25 for first $25,000 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,�
$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 addirional
$1,000 or fraction thereof
CURB CUT ESCROW
(Concrete Curb Streets Only)
Removal and replacement of curb and gutter only - driveway width plus 6 feet, times the annually determined
rate.
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.
VERIFICATION OF FOUNDATION
A Certificate of Survey of the lot, showing the location of the existing foundation will be required before
proceeding with the framing. New Houses Onlv