AF - 35547��
City of Fridley, Minn.
BUILDING PERMIT
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Owner .......................................
Addr�s ....................................
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N°
3604t :
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Builder . . . . . . . . .KJ-�.'{� . . . . . . . . . . . . . .
Address .............................................
� (o � LO�C�►T[OiV OF' BUILDINC
No. � . . . Street . . . . . . . .. . . . . . . . . Part of t . . . . . . . .
:-. . .. ...... .. .. .. .
Lot . . . . � . . . . . Brocic . . . . . . . . . . . . . . . . Addition or Sub-Division . . . . . . .a . . . . . . . . . . . . . . . . . . .
Corner I.ot ............ Inside Lot ............ Setback ............ Sideyard ...........................
DESGRIPTION OF' BUILDING
To be Used as: ,
� ��/ '� �/� °> � � � �/!� ,+pn qp -q �o
� . .. . Front .�.r.� •6 DePth � �Y; C, Height ��: � Sq. Ft. /�.l �'C�:C Cu. F�/Jt:l,/.I: of � `�
. . . . . . . . . . . . . . . . . . . . I+'rpnt . . . . . . . . Depth . . . . . . . . H % ht . . . Sq. � . . . . . . Cti. Ft. . . . . . . . .
t /� ��
Z�►pe of Construct3on . . . . . . . . . . . . . . . . . . . �t. Cast. . ! �' � . . !. . :- . . . To be leted . . . . . . . . . . . . . . . . . . .
In consideration oP L'he iss�uance to me oP a permit to construct the building desribed above, I agree to do
the proposed work 3n accordance with the description above set forth and in campliance with provisions of
ordinances oP the dty of Fridley. �i l i�� �
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In consideration of the payment of a fee ot $.. .� ....., permit is hereby granted to ...................
........... .............. to construct the build3ng or addition as described above. This permit ia granted upon
the express condition that the person to wham it ia granted and 1�nia agenta, employe� and worl�nen, in all work
done in, around and upon said bwtlding, or any part #hereof, shall conform in all respects to the ordinances of
Fridley, Minnesota regarding location, con�truction, alteration, maintenance, repair and moving of buildings with-
in the dty ]imits and this permit may be revoked at axiy time upon viola.tion of any of the provisiona of said
ordinances. . _ �
.��C���..... Building 7nspector
�r�
NOTICE:
Thls permlt doe� not cover the consfisuct(on, inetaltation o� atteration �o� wlring, plumbing, gas heating,
sewer or.water. Ba su�e to sea the Bulidlrtg Inspaoto� fo� sepa�ate permM� fo� these Itema
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C�ATXFICATE OF LOCATIOR OF �4II�DII�tG GERTiiCA1°E OF.l3[�'RVEY .
I hereby certi�y that o�� '� � , 19� I hereby certify that on.�� :4� �"� � , 1�
I macTe a survey of the prQposed location of tb,e i surveyed tfie'property desesibecl above and that
building on the above desaribed progerty aud that ihe above plat is a cozzect represent$tion� af said
the location ,of saicl building is correctly�iown on su�rv�Y-
the abav� _�la� ; A,. , _ y ,
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City of Fridley, inn
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n BUILDING PERMIT N� _ s�ss
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DatB: .��� � � �
Ovvner: ���� �� %�%�.f� Buflder ��-� —
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Address Address
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LOCAT O � F �U �NG� o
NO. " w��t r -
Lot .� _ Block �� Addition or Sub- on . ��� ���� " ' c�� �
B
Corner Lot , Inside Lot � �tback '� 'Sideyard �
Sewer IIevatian ____ .� Foundat3on IIevation
DESCRIPTION OP BUILDING
T as:
Front �%'� Depth Height .,9 � Scl. F't. � C�. F`t�_�
Front Depth fTeighi �.._ Scl. Ft Cu. F't.
Ty�e of Constructfon ....._.__ �� Es� ���� � To be Completed
In cons�tderation oP the isauance to me of a perrnft to construct the building described above, I agree to do
tha proposed work in accc�rdance with the d�scription above set fo and in compliance with all provisiona of
ordinaaces of the dty oE Fridley. ��..
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In consdderat[on of the payment of a fee of $ , peraiit is hereby granted to
to construct the building or addition as described above. Thispe rmit is �ranted upon
the expresa condition that theperaon to whom it 3a granted and hia agente, employees and worl�en, in all work
8oae in, around and upon said building, or anypart thereof, shall conform in all respects to the oxdinances oE
Frldley, Minnesota regardii location, construction, alteration, maintenance, repair and moving of buildings
0
within the dty liamtts and permit may be �voked at aqv time upon viola�of any of the provisions of eaid
or3inancea. �, ea � �'! ➢
Btaildin8' Inspector
Nonc�
'1hb permit dea nst eever t6s eeeahucHa�n, lashtlatim ier vrhlag. plumbtng, ga halloe, aNru er watsr. B� mn to as
tln Bvfldiag I�netor ior aparaf� p�rrohs for 1h�n hems.
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APFLICATION FOR BUILDING PERMIT
CY7.`Y OF�FRIDLEY, MINNESOTA
AW1V��3 ° S NAME �1 � � � Of ►� �� �-.5 a�- BUILDER �� �,S �l �-) ����
ADDRESS �� % � ��2 �'7°� if � r- •�,�r. ADDRESS %��'ea ��vi � l���s�° ��` ��
Locc��tzor� a� �u�r.n�r�c
Na. StreeC Paze of Lot
q f ' �
Lot_� B1ock � Addition o� Subdiyision t� ����
Corner Lot Inside Lot Setback Side Yard.
SEWER ELEQATION FOUNDATION ELE9ATION
Applicant �ttach to thia form Twa Certi.ficates of Survey of Lot and progosed build-
ing location drawn on theae Gertificates. '
DESCRiPTION OF BUIiDING
To be used as;
�� fi�-�.� ��Front �Co bepCh Z� Height
7
Sq.. Ft, Cu. Ft.
Front Depth Height
Sq. Ft. Cu. Ft.
Type of Construction �r ��„�. Estimated Coat ��oo, u�a
T� be Completed �p� ��i
q'he undersigned hereby makes application for a permit for the work herein specified,
�greeing to do all work in str3ct accordaace with the Citq of Fridley Ordinances aad
xuliags of the Department of Buildings,;and hereby declares that all Che fr�cts aad
represemm�ationa stated ia Ehis application are true and_correct.
BAiE �C� ? �- ���. � SIGNATLTRE
(Schedule of Fee Costs can be found 'oa`�h� Beverse Side).
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BUILDZI�TG� PEItMIT F�E SCHEDULE
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Section 2. The Inspector of Buildinge eh�ll, before issuing any permit far
the erection of aay buildiag. or structure, or for any addition ta anq exise-
ing buildiag or strucCure, or for any alter�tions or repa3ra to any existin$
buildin� or s�ructure, upoa applicaeion therefor, require the payiuent by the
applicant for such permit of fees to the a�aount herein below set forth and
in the mannez herein proeided to-wit:
Z.1. For aay auch permit for the erection oi any fire-proof building, othes
than a garage� warehouse, factory or �rain elevator, or �ar the erectioa o£
aay fire-proof ad@it3.on, for aimilar occupancy, to aay exiating building
shall be at the rate of $1.40 for each oqe thous�nd cubic feet, or fraction
thereof, in such cubical coatents.
2.2. For aay auch permit for Che erecC3oas of anq fire-proo� �arage, warehousa,
f�.ctory or grain elevator, or ior the erectioa of any fire-proof addition,
for similar occupancy, to any existing building shall be at�the rate of $1.25
£or each one thousand cubic feeC, classified as P1fireproof" by Section 502 of
the Minneapolie Building Ca1e.
aaus�s
2.3. �or any such permit for the erectioa of aay non-fiieproof buildiag other
thaa a garage, warehouse, factory or grain elevator, or anq naa-fireproof
addit3on, for similar occupancy, to any enisting i�uildin� - permit $1.00 for �
each one thouaend cubic feet.
GARAGES
2./�. For any such permit for the erection of any aon-fireproaf garage, .
warehouse, factory or grain elevator, or for the erectivn of any non-£ire�soof
additi�►= €or �3milar occupancy, to any existing building or for each such �
��.lding or addirion - ainety cents ($0.90) for each one thousand cubic feet
or fract3.on thereof, in the cubical contents thereof with a minimum of $4.OQ.
For the purpose of comnpu�iag fee� for building permits, the c�abical cantents
of a.nq building or add3tion to a uniform height throughout by �Ltipiying ti�e
ground area covered £r�n a poimt ein (6) inches below the flaor line of the
basemeat or cellar to the average height of-the upper surface or to the
average heigbt of the roof �urface of the main �able of a g�.tched roof.
2.5. For repairs or alteratioas to an exiating structure, the £ee shall be
at the rate of $3.00 per each Five Sundred Dollars ($5 00_UD) or frsction
theseof in the cost of all proposed work.
2.6. In no case shail the Fep,charged for anp p�rn►�t ae set forth ia
SeCtion 2 be less than $4_00.
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Date:
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J�ily 2b, 1965
LEE I���RSON
City of Fridley, Minn.
BUILDING PERMIT
�
Address ibl Benne'tt DZ'3.ve Address
Fridle�, i�3.nnesota � "T
N� ?bl
I.ot
Corner Lot �
Se�ver IIevat3on
I;EON�D �'REtTND
LOCATION OF BUILDING
street BE11�TT �RIVE Part of Lot
Bl�k
Addition or Sub-Divisi�
Ins�tde Lot Setback Sideyard
Foundatioa IIevation
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N� 8264
DESCRIPTION OF BUILDING
To be vsed as:
Front I�pth Height Scl. Ft Cu. Ft
Front Depth fTeigk►t Sq. Ft Cu. Ft
Type of Constniction F�t. Cost �7��� To be Completed
RFp,�RS DIJE Tp STORM �1..�GE
In caa�sideration of the 3ssuaaae to me of a permit to construct the building described above I agree to do
� P�P� work in accrordance with the drescrlption above aet forth and in compliance with efl provisions of
ordinanc�s of the dty of Fri�ey.
In co�siderat[oa oE tt►e �yment of a fee of � 1�s00 . P�t ia hereby granted to I�E �,�T1�RSON
to cronatruct the buflding or addition as descrlbed above. This permit is �ranted uPon
the express condition that the P�n to whom ft is granted and hfs agents, emPloyees and worl�en, in all work.
8oae in, around and upon said build9ng, or anypart thereof, shall conform fn all respects to the ordinance� oE
Fridley, Minnesota g lac�tion, constructfon, alteratioa, maintenance, repair aad movin� oE bufldings
wi�� dty ]imits��an�tt�ia permit may be r�voked at any time upoa violation of any of the provisions oi eaid
� �.3FN G. JENSEN B� �
^ NOflC�
TI� pero� dea uo! ee�ror �6s eoestrua�, teshq�tfse foe wUL�6. P�+m6. ou h*aNee, mr�e or wafs�. B� ain to as
t6o Boildie� I�aeter fer pp�rah � ter f6w i�.
.-.. .. . ._ ._ .. . �..$.� . ,.. .- ._....�-, ..�. � . . , "� .:^MYS+'"�P, , _ . .. ..-r -. - . . . .. 's. .
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APPLT�ATION FOR BUILDING PERMtT
CITY O� i�i�►E°Y, .MINNESQTA
OWNER' S NA1rIl������ / BQIZDER `
ADDRESS � � � / a��� ADDRESS �
LOCAZ"IOAT OF BUILDING ,
N0. STREET PART OF ZOT
LOT BLOCR ADDITIOAT OR SDBDIVISION
CORNER LOT INSiDE LQT SETBACR SIDE-YARD' �
SEWER ELEVATION FOUNDATION ELEVATIQft.
Applicant atCach to this form.Trao Certificates bf Survey of Lot gnd propoaed
build3ng locgtion drawa on theae Certificates. .
To be used as;
bESCRIPTION OF BUILDING
Front Depth Height
Sq.. Ft. Cu. Ft; .
i�ront Depth Height� ` '
. Sq. Ft. Cu..Ft.
� �
Tqpe of Construction ,:�� Estimated Cost �o �.
,
To be completed
The undersigned hereby makes application for a permit for tlie work herein
specified, agreeing to do a11 work in strict accordance with the City of
Fridley Ordinances and ruZings of the Department pf Buildinga, aad hexeby
declares that a11 the facts and repreaentations stated in this applicati.on
are true and correct. ' �
DATE g��� �v�� � � SIGNATtTRE _ .
.�3� v � ��.-�- , .. .
(Schedule of Fee Costs can be found on the Reversa Side3.
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BUIt.DIftG PERMIT FEE SG�EDtTLB
SECT� �OR 2. The Inspector of $uildings sha11, before is�uing aay permit for
the erectioa of anq buildiag oi� struc�ure, or �or any addition to an.y existing
building or structure, or for �ny alterationa or repaira to any exiating
building or etructure; upon gpplic�tiaa therefore, require the payment by the
app],icant fQr such_��rmit of fees Eo zhe.am�uat.herein below set forth and in
the manner herein pravided to-wit;
2.1. For anq such permit for the erection of any fire-proof building,
othe"r than a garage, warehouae, factory`crr grain elevatior, or for the erection
of aay fira-proof addition� for aimilgr occupancy, to auy existing buflding,
shall be.st the rate of $]..40 fo�._each oae thousand cubic feet, or fraction
thereof, in such cubical contents.
2 2 For any such ps�mit for the�erect�on pf any fi�re-proof,garage�.
warehouse, €aetorq ot gra3n elev�tor, or for the erection-of any fire�proof
addition, for similar occupancy,.�o anX.existing building ehali be at tlie ;
rate of-$1.25 for�each on� thousanc3 cub3.e feet, classified as "firepraof"
by Section 502 of the�Minneapolis Building Code. , ,
HOIISES
2.3. For any such peraniC for ehe erectioa of any non-fireproof
build�tng other than a garage, �aarehouse, factorq�or �raia elevator, or
any non-fireproof addition, for s�tmilar occupancy, to aay esist3ag bui�diag.-
permit $1.00 for �each otte thousand cubic feet.
,.
GARAGLS , . . . . - -., . ,. - . . .
2.4:�-•-For any such permit for the-erec"tion of any non-fireproof garage,
warehause, factory or grain elevator, or for the e�rectioa of any non.�fire-proof
additioa� for similar occupancy,-to any esisring buildiag or for each�such -
building or addition - nine�y centa ($0.90) for each one thous.and cubic feet.
or fraction Chereof, i°n'the cubieal°canteats thereof with the minimum of $4,00.
For the purpose of computing fees for building�°germite, tlte cubical conCenta
of anq building or addition to a uniform he3ght throughout by multiplying,the
ground area covered t��a go3nt�six (6)�-inches�be}.ow the floor line of the
basement or cellar to the average hr��ghe of eha upper surface or to the average .
height of the roof �urface of the main,gable of a p3tchc;d �oof. ,
2,5. Fo� repaira or.alterations to an exieting etrucCure, the fee ehall
be at the tate�of $3.00','�er'each Five Huadred Dollars ($SQ0.00) or fraction
thereof in the ci�st of a11 propoeed work."" �
2.6. Ia no case aha11 the fee charged for any perntit aa aet forth in
Section 2 be less than $4.00. -
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STORM REPAIR DAMAGE FEES: � - ." . . .
Reaidential;. Estimated Cost .of wo�k up to $500.00�- $5.00
Estimated Cost of work �v���500.00 - $10.00
Commercial; Estimate,�os�t o`f �work up to $500.00 �� $IP�O
� �° A�=� Estimate� .;ost o# work ov�r $500:00 -' $2�_JO � - ` '°
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02 r�.��
City of Fridley, Mirm.. N° 8301
BUILDING PERMIT
��: gi�.gust 2, 1965
�: Mr. Lee Halvorson �� Andrer�� P. Ga�rel Const. Co.
Aflaress 761 Bennett Dr3ve N. �. Adare� 2�.0? Washington St. N. E.
�'ridleg� Minnesota N"ii.nneapo].i.s� Minnesota
LOCATION OP BUILDING
No. 761 St�eet BEN1VETi i}RN� N. E. Part of Lot
Lot 9 Bl�k 1 Addition or Sub-Division �'istie Addition
Corner Lat _ Inside Lot Sstback Sideyard
Sewer IIevat3on Foundation IIevation
DESCRIPTION OF BUILDING
To be vsed as:
F'ront Depth Height Sq. Fk C:u. Ft
Ft1ont Depth ITeight Sq. Ft. Cu. F't.
�►pe of Construc�tion �t. Cost _�3 � 3�•0� To be Campleted
Repairs — Storm �amage
In conaideratton of the i�uettce to me oP a perrmit to cans�u the building
ths PrnPosed work in accordanc� with the drescrlpl3on sbove set rtt► and ffi co
orrlinanaes of the dty of FridleY• / ,-T F
I agree to do
provis3ons of
In caa�derat[on of the P$Y�t oP a fee oE � 1�•� , Permit 9s hereby granted to AN�DREW P.
G1�WEL CONST. to co�et the building or addit3on as d�cribed above. Thiap� t ia granted u�n
the express conditfon that the peraon to whom it is granted and his agente, employees an� worl�en, in all work
done in, aro�md and upon said buildiag, or anypart thereo� shall conform 9n all reapects to the ordinanc� of
Fridley, Minnesota la�tion, conatructton, alteration, maintenance� repailr and mwYng of buildings
witl�in the dty ]imiffi��� permit may be revaked at any time upon violation of any of the provleions of said
or8inanc�s.
�T � �'.IV' G. JENS�N Buildii►8 Inspector
NOTICE�
Tlds p�eh doa eot aowr t6s eoiahoeHen, t� }e� trirleg, phimbte�, 6n hafh�g. awn or waMr. B� sun io ae�
I tM BuiWine I�tOr �'a► a�ra� �r�a h� tl�s tl�ms.
. � � �s
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Al'gI,ICATION FOR BVILDING PERMIT
. CITX OF FRIDLEY, MINNESOTA -
ANDREW P. GAWEL CONTRACTORS, lN�.
� 2407 WASHINGTOM ST. N. �..
OWNLR' S NAl�_ �. L�e Halvors on BIIILDER MINN e �c 18� MINNE-�TA
ADDRESS 76'1 Bennett Drive �U E ADDRESS
LOCATION OF BUILDING
N0� S1`REET PART OF LOT
L4T � BLOCK l ADDI1'ION OR SIIBDIVISION �
GORNER LOT INSIDE LOT SETBACR SIDE YARD
SEWER �LEVATION FOUNDATION ELEVATIQN
Applicant attach to this form Two Certificates of Survey of Lot and propoaed
building locat3.on drawa on these Certificates.
To be used as;
DESCRIPTION OF BUILDING
Front �Depth geight
Sq. Ft. Cu, Ft.
Front Depth Aeight
Sq. Ft. Cu. Ft.
Type of Construct3on Estimated Coat_ b�� ��
To be completed
The undersigned hereby ma,kes application for a permie for the work herein
specified, agreeing to do all work in strict accordance with the City of
Fridley Ordinances and rulings of �he Department of Buildings, and hereby
decl,ares that all the facts and representations steted in this applicatiar►
are true and correct.
DATE SIGNATIIRE .
(Schedule of Fee Costs can be found on the Reverse Side). :
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$U�DING PERMTT FEE SCHEDULB
SECTION 2. The Inapector of Buildings�shall, before issuing any permit for
the erectioa of any building or �truc�re;�,ar .�or $ny`addition to any existing
building or structure, or for any alterations or repaira to any existing
building or stsucture, upon agplication therefora, require the payment by the
applicant for such permit of fees.to•the amount herein below eet:forth and in
the manner herein provided to-wiE;
.2.1. For any such permit for the erection of any fire-proof building,
otheir than a garage, warehouae, factory or grai.n elevator, or for the erection
of any fire-proof addition, for �imilar occupaacy, to any esisting building,
eha].1 be at.the rate of $]..40 for each oae thousand cubia.feet, or fraction
thereof, in such cubical contents.
2.2 For any auch permit for the erection of any fire-proof.garage,
warehouse, factorq or..graia,elevator, or for Che erectian of anq fire�proof
addition, for eimilar occupancy, to any ezisting building ahall be at the
rate of $1.25 for each one thot�sand cubic feet,-classified as "fireprooft1
bq 5ection 502 of the�Minneapolis Building Code,
SODSES
2.3. For any such permit for the erection of any non-fireproof
building, other than a garage, warehouse, facCory or grain elevator, or
�nq non-fireproof addition, for similar occupancy, to any existin� building.»
permit $1,►00 for each one thousand cubia feet.
GARAGES
2.4. For any such permit for the erection of anq non-fireproof garage,
warehouse, factory or grain elevatoz, or for the erection of any non-fire-proof
addition, for eimilar occugancy., to any,e�istiag i�uildiag or for each such
building or addition - nineey ceats ($4.90j for each oae thous.and cubic feet
or fraction thereof� in the cubical contenta thereof with the minimum of $4,00.
For the purpoae of caarputing fees for bu3.lc�ing permits, t�e cubical conCents
of auy building or addition to a uniform heighe throu�hout by multiplqin� the
ground area covered from a point a3.s (6) inches below the floor line of the
basement or celiar eo the average height of tha upper surface or to the average
height of the roof aurface of. the main gable of a pitc,bed roof.. .
2.5. For�repairs or altera�ion� to an eui�ting etructure, the�fee ehall
be at the rate af $3..QO. per each� Five,.aundred Dollar$ (�$500;00)� or frac:tion
thereof in the cast of.all proposed work. � � •
2.6. In no case shall the fee charged �or any permit as aet forth in
Section 2 be less than $4.00. . .
,
STORM REPAIR DAMAGE FEES;
Reeidential;
�
Eetimated Cost of woxk up to $500.00 •$5.00
Estimated Cost of work over $500.00 -$10.00
Comme�c�al; Estimat�Cost of work u� �o. $�-500.00 -$j�00
Estimat� Cost of work over $500.00 -$�_,00 �-`
� �`
SUBJECT
City of Fridley
AT THE TOP OF THE TWINS g U I L D I N G P E R M I T
i �
� �
; �L _ COMMUNITY DEVELOPMENT DIV.
r j � PROTECTIVE INSPECTION SEC.
i.-_.� ��"" �,� CITY HALL FRIDLE� 55432 NUMBER REV.
i 612-571-3450
910-F15
JOB ADDRESS �61 Bennett Dri.ve N.E.
1 LEGAL LOT NO. BLOCK TRACT OR ADDITION
DESCR. 9 1 Q1'C151'� AC�.CZl't10T1
2 PROPERTY OWNER � MAIL ADDRESS
L23 Ha1Vex'S(iTl S�2
3 CONTRACTOR MAILADDRESS
Sc'lll�'
4 ARCHITECT OR DESIGNER MAIL ADDRESS
5 ENGINEER MAIL ADDRESS
DATE PAGE OP
io/i6/s6 / /
RM I T�I l.D:---
�18710
CEIPT NO.
APPqOVEO BY
SEE ATTACHED
SHEET
571-1796
Z�P PHONE LICENSE NO.
ZIP PHONE LICENSE NO.
Z�P PHONE LICENSE NO.
8 USE OF BUILDING .
R-1
7 CLASS OF WORK
❑ NEW ❑gADDITION ❑ ALTERATION ❑ REPAIR � MOVE � REMOVE
8 DESCRIBE WORK
14' x 16' living area addition '
9 CHANOE qF USE FROM
TO
STIPULATIONS
1. Install fire alarms in halls or rooiin.s . outsa.de sleeping areas ,
SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL. PLUMBiNG, HEATING, TYPE OF CONST.
VENTILATING OR AIR CONDITIONING. 1]QQd, F+'r'�
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING
AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION
OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT
ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS
I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION
AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS yALUATION
AND ,ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED
WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT ���200
DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE pERMIT FEE
PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON-
STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. �9S .�JO
OF
PLAN CHECK fEE
$24..63
EDAGENT �DATE� WHEN PI
,_.y.-�
� �nrei�� o,�� �..�o
oGGUPANCY GROUP OCCUPANCY LOAD
SQ. FT. CU. FT.
OFFSTREET PARKING
STALLS GARAGES
SURTAX
$6.10
SAC CHARGE
TOTALFEE
$129.23
�LY I T TH15 I YO R P IT
- ' y�i'��- �
NE'� [ ]
ADDl� . �
pLTER. I ]
City of Fridley
�R-1 AI�TD R-2 j
8uilding Permit Application
Effective 4/t/8i
Construction Address:,�1 �'�/������ ,��� ��
Legal Description: G�����'/� � �� ( l�� � �" �� � �� �
Ownez Name i Address : ��� ��G��'��� ��� ��� D�' Tel . # _ �� / �O
Contractor: -�'��%� 1�S /i���� Tel. � • ��
Address• �'�c '
Attach to this application, a Certificate of Survey of the
lot� xith the proposed construction draWn on it to scale.
DESCRIPTIOA OF IMPROOEMEh'T
e �
LIVING AREA: Length �_ �lidth S� Height Sq. Ft. .��
GARAGE AAEA:
DECR AREA:
OTH____-
Corner Lot ( ]
Length __
Length
�� � �� �
Inside Lot �
iiidth Height ,_,
iiidth __ Hgt/Ground
Sq. Ft.
Sq. Ft.
� � �
Ft. Yd ��tback __ Side Yard SetDack
Type of Construction: ���� ���'''�C !3������
/�
Approx. Completion Date: ��,�
��
Estimated Cost: � ,�
( �' �
Alt. A Alt R
Propose� Drivexa�� L'idth If Hex Openirig Is Desired: � �
See Back Pa�e for Explanatian
D�TE: APPLICAKT: �--�����`'�SO� Tel. � ��f �9�
CITY OSE ONLY
� l� �
Permit Fee : �� Fee Schedule on Reverse Side
Plan Check ! °� 25i of Building Per�it Fee
State Surcharge S �.50/�1,000 Valuation
SAC Cbarge � �"� �175 per S�lC IInit
Park Fee � � Fee Determined by Engineering
Sever Nain Charge � ��� --
, �� �� Agreement Necessary j] Not Necessary []
SOTAI. � .
STIPULATI02:S : ���
� �����:� ���� �
V "" " � ✓v V ,—� ��^ >d ^pF''"�ya �4`,r.f� F�4A.,�.,,='�'
.- � ��
.� _ a A
,
� !F
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y � �
BOa.DING PERliIT FEE SCHEDIILE
The Chief Building Official shall� before iaauing permits for the erection of ar.y
Duilding or structure, or for any addition to any existiag building or structure. or
for any alteration or repair to any existit�g building or structure, upon application
tt,erefore� require the payment by Lhe applicaat for such permit of fees to the amount
herein below set forth and in the manner herein provided Lo-Wit: '
Tota� lialuation
����0 b� �5��.��
�501.00 to �2,000.00
s2,00�.00 to 525,000.00
t2:,001.00 to 550,000.00
�50.001.00 to 5100�000.00
�100.001.00 and up
Fees -
0
�10.00 (Minimu� Fee is �15.00)
�10.00 for the firat �500 plus �1.50 for each
additional �100 or fraction thereof, to and includir�
�2.000.
�32•50 for the first �2,000 plus �6.00 for each
additional �1 �000 or fractior. thereof, to and
including �25,000.
�170.50 for the first �25,000 plus �4.50 for each
additional �1,000 or fraction thereof, to and
including �50,000.
�2E3.OD for the first �50,000 plus �3.00 for each
additional �1,000 or fraction thereof, to ar.d
includinE �100�000.
�433.00 for the first �100,000 plus �2.50 for each
additional �1.000 or fraction thereof.
DRIVEiiAY DEPRESSION ESCROM
(Concrete CurD Streets Only)
Alternate "h": Re�ovsl and replacement of curb and gutter only - Drive�ay Width plu�
6 feet times �13.50
�lternate "E": Re�oval and reFlacecer.L of curb and gutter and in�tall a 3 foot Wi�e
aFproacr with 6 inch deFLh - Drive�ay xidth plus 6 feet times �1;.75
VERIFICATION OF FOUNDATION
PerLits fo^ construction �;ill De issued a air.i�u� o.° 24 hours fro� the time o�
aFFlication to allow for pro�er r°evieu of the propose� structure and o.* the
construction site.
A Certificate of SLrvey o.° the lot, shoWing tGe locegic^ of ti:e foundation once it
2�as Deen constructed vill b� requir�d DeTore procee�:r.g vit� the framing.
. r . _
;.
'`"4(2.:1q' '.
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wnrC-2 ArzooF P��oc.�L u,,q« ?
'j� BH�K �o c UPdE -
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sy.2�- Iz�tut2E� ?
3 ►3�y��'f��
2 �3fyX 11 ��S"
!� � �
.��.
sua�ecT PERMIT NO.
c�ty of Fridley 2 710 5
AT THf TOP OF THE TWINS g U I L D I N G P E R M I T
�
; � RECEIPT NO.
� 1 y�_�__ COMMUNITY DEVELOPMENT DIV.
r � � PqOTECTIVE INSPECTION SEC. ���
i �
� � /"'1 � CITY HALL FRIDLEV 85432 NUMBER i1EV OATE PA6E OF APPROVED BV
�°""� � ,�� 612-571-3450 910-F15 8/11/98 � �
JOB ADDRESS
761 Bennett Dr
1 LEGAL LOT NO. BLOCK TFiACT OR ADDITION SEE ATTACHED
DESCR. 9 1 Christie Addition • sHeer
2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE
3 CONTRACTOR 289 MAIL ADDRESS ZIP PHONE LICENSE NO.
Stock Roofin Inc � Libert St ridle 780-3561 3112
4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO.
5 ENGINEER MAILADDRESS ZIP PHONE LICENSENO.
6 USE OF BUILDING
Residential
7 CLASS OF WORK
O NEW ❑ ADDITION ❑ ALTERATION � REPAIR O MOVE O REMOVE
B DESCRIBE WORK
Reroof house and garage (24 S) Tear—off
9 CHANGEOFUSEFROM TO
STIPULATIONS
Underlayment must comply with State Building Code.
TYPE OF CONST. OCCUPANCV GROUP OCCUPANCY LOAD
SEPARATE PERMITS ARE REOUIREO FOR ELECTRICAL, PLUMBING, HEATING,
VENTILATING OR AIR CONDITIONING.
THIS PERMIT BECOMES NULL AND VOIO IF WORK OR CONSTRUCTION ZONING SO. FT. CU. FT.
AUTHORIZEO IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION
OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT
ANV TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS OFFSTREET PAqKING
I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION STALLS GARAGES
AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS ypLUATION SURTAX
AND ORDINANCES GOVERNING THIS TVPE OF WORK WILL BE COMPLIEO
WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PEHMIT ZOOZ
DOES NOT PRESUME TO GIVE UTHORITY TO VIOLATE OR CANCEL THE pERMIT FEE SAC CHARGE
PROVISIONS OF ANY ATE OR LOCAL LAW REGULATING CON-
STRUCTION PERFORMANCE OF CONSTRUCTION. ], Fire
PLAN CHECK FEE TOTA EE
S�GNATUREOFCONiRACTORORAUTHOFIZEDAGENT I�ATEI N P OP VA�IDA HIS IS, A R P IT
_ � � �
S�GNATURE OF OWNERUF OWNER BUILOER� �DATEi BL �NSP pFTE
NEW [ ] , Effective 1/1/98
ADDN [ ] CITY OF FRIDLEY
ALTER [] SINGLE FAMILY AND DUPLEXES R-1 AND R-2
BUILDING PERMIT APPLICATION � � � �
� ��O
ConstructionAddress: 7� / f�e��.�.�z`�
Legal Description:
Owner Name & Address:
Contractor: ���f� �� ��
Tel. #
MN LICENSE # � lr' Z
Address: � � j �o � � �- �j �".'� /�� � ���y Tel. # �d'� — .� S � f
Attach to this application, a Certificate of Survey of the
lot, with the proposed construction drawn on it to scale.
LIVING AREA:
GARAGE AREA:
DECK AREA:
OTHER:
Length
Length
Length
DESCRIPTION OF IMPROVEMENT
Width
Width
Width
Height
Height
Hgt/Ground
Sq. Ft.
Sq. Ft.
Sq. Ft.
Construction Type: � `� � Estimated Cost: $ �o� � �
(Fee Schedule on Back)
Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x$ _$
DATE: ��/ �. rr",�APPLICANT: Tel. #
Permit Fee
Fire Surcharge
State Surcharge
SAC Charge
License 5urcharge
Driveway Escrow
Erosion Control
Park Fee
Sewer Main Charge
TOTAL
STIPULATIONS:
CITY USE ONLY
� �
$ 7 L.'�� Fee Schedule on Reverse Side
$ � D C� .001 of Permit Valuation (1/lOth%)
$ l. v C� $.50/$1,000 Valuation
$ $1QU0 per SAC Unit
$ �- D 6 $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 [ ]
$ L�'�� ���
��
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 $2,000
$2,001 to $25,000
$25,001 to $50,000
$50,001 to $1QO,OUO
$100,001 to $SQ0,000
$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 $2,000 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 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.
� � �