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BITILDING PERMIT
N° 682
� O�ce ot INSPEGTOR OF BUII.DING'�S
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owner � ���� "� : ;`� ..��°�
Archltect _ �f
Fridley, Minn., �--H ::��;�' `, � � `R 1��'��" �
Builder `�`���' �
LOCATION OF BUILDING
No. �' �" ` �� �� Btreet � d „� `� �. -�..._.�.- ��:=,.�'� w .� .. � � �
� , Part of Lot
Lot Block Addition or 3ub-Divtaion
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a DESCftIPTION OF BUILDING
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Front m d:} A De th �, Hei ht �`�' 8toriea � ' `� '� � _
_, P g , �y=� Manaer of Construction "� ' . � � _-
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To be used as — To be completed -� � �' Eetimated Cost�,+"'� �' F'`{
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Permit ie hereby granted to �, ��°' },� �
the building .'�'' �'�°`.�� deacribed !n the above stateanent. This permit is granted
upon the, expresa eonditton tha,t the person to whom it ia granted, and hie agents, employees and worl�en, ia a11
the work done in, around aad upon sai8 building, or an.y part thereoP, ahall conPorm in all respects to tha ordi-
naaces of Fridley, Minn., regarding the construction, alteration, maintena.nce, repair and moving of buildings
withia the city Iimfte, and this permit may be revoked at any time upon vioia.tion oP aay oP the provieioas of said
ordinances.
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AGRE;�TT AND SWORI�T STATEMENT
of Buildiugs.
In consideration of the issue and delivery ta me by the Inspector of Buildings of Fridley of
the above permit, T hereby agree ta do the propoaed work in accorda,nce with the description
above set forth and aecording to the provieions of the ordinances of Fridley, and, being first duly
sworn, I hereby state and say that the facts stated by me and contained in the above permit are
true as therein stated.
Snbscribed yand_sworn to before me at Fridley,
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day Qf ` �... $ A.D. 1� -
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SuBJECt
City of Fridley
AT THE TOP OF TME TWINS g U I L D I N G P E R M I T
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� ' COMMUNITY DEVELOPMENT DIV.
� Ly ������,
r � � PROTECTIVE INSPECTION SEC.
� j �"'1 � CITY NALL FRIDLEY 35132 NUMBEF nEV DATE
�'"""�� �'� 612-571-3450 910-F15 4/23/99
108 ADDRESS 6641 Channel Road NE
1 LEGAL �OT NO. BLOCK TRACT OR ADDITION
DESCfi. Pt 4F Second Rev. Aud. Sub. �i�'21
2 PROPERTY OWNER MAIL ADDRESS
Gary Wojahn 6641 Channel Road NE
3 CONTRACTOR MAIL AODRESS
Same
d ARCHITECT OR DESIGNER MAIL ADDRESS
5 ENGINEER MAIL ADDFiESS
ZIP
21P
PAGE OF
/ /
9276
� a�
AVPROVEO 8Y
SEE ATTACFIEO
SHEET
PHONE
574-9132
PHONE LICENSE NO
PHONE LICENSE NO.
PHONE LICENSE NO
8 USE OF BUILOING
Residential .
7 CLASS OF WORK
❑ NEW � ADDITION ❑ ALTERATION � REPAIR O MOVE O REMOVE
8 DESCRIBE WORK
Reroof House & Garage (17 Sq) Tear-off
9 CHANOE Of USE FROM
TO
`I STIPULATIONS
Underlayment must comply with the State Building Code.
CONSTRUCTION WORK HOURS: 7:00 am to 9:00 pm, Monday thru Friday; 9:00 am to
9:00 pm on Saturday; No work on Sunday.
SEPARATE PERMITS ARE REOUIREO FOfi ELECTRICAI, PLUMBING, MEATING, � Trc �r wna�.
VENTI�ATING OR AIR CONDITIONING
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION 20NING
AUTHORIZED IS NOT COMMENCEO WITHIN 80 DAYS, OFi IF CONSTpUCTION
OA WORK IS SUSPENOED OR ABANDONEO FOR A PERIOD OF 1� DAYS AT
ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS
I HEIiEBY CERTIfV 7HAT 1 HAVE READ AND EXAMINEO THIS APPLICA710N 1
AND KNOW TME SAME TO BE TRUE AND COFiREC7. A�L PROVISIONS OF LAWS yp�VATION
AND ORDINANCES GOVERNING TNIS TYPE OF WORK WI�L BE COMPLIED
WI7H WHE7MER SPECIFIEO MEREIN OR NOT. THE GRANTING OF A PERMIT �1,456
DOES NOT PRESUME TO GIVE AUTMOHITY TO VIOLATE OR CANCEL THE pEpMl7 FEE
PROVISIONS OF ANY OTHER STATE OR LOCAI LAW REGULATING CON-
STRUCTION OF THE PERfORMANCE Of CONSTRUCTION ��FH.SO
TUpE O� CON"AA TOA �R A TNO(7i2ED 4GENT 10AiEi
��GL��l��,�� �'2�'-�
OCCUF
SO.FT
STALLS
ROUP OCCUPANCYLOAO
CLL FT.
OFFSTREET PARKING
IGAFAGES
$.73
►C CNARGE
Fi SC $1.46
)T l EE
.69 i
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NEW [ ] Effective 1/1/99
ADDN [ ] CITY OF FRIDLEY
ALTER [�!j SINGLE FAMILY AND DUPLEXES R-1 AND R-2 �
BUILDING PERMIT APPLICATION (�� �
4 C(-�4 A t�l 1V� C, (� .�f '
Construct�onAddress: �p � � p , �
Legal Description:
Owner Name & Address: _ C i4tZl( UJOJA 4�l iJ Tel. # � 74"R l 32-
Contractor: S E L fi MN LICENSE #
Address: (.��v41 G I-�! Al l�l � t- t� p �121 � l.C: Y j� A} Tel. #
Attach to tlus application, a Certificate of Survey of the
lot, with the proposed construction drawn on it to scale.
LIVING AREA: Length
DESCRII'TION OF IlVIPROVEMENT
Width Height Sq. Ft.
GARAGE AREA: Length Width Height 5q. Ft.
DECB AREA: Length . Width Hgt/Ground Sq. Ft.
01'HER: ��� - �c� � C-�ausE t� C� �rPr,hC� �� l ? �Q C+�sr� �
'T'�e4 2--v � Z=
Construction Type: ��'_--St-4! N C,L,E Estimated Cost: $ '�� lo
(Fee Schedule on Back)
Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x$
_$
DATE: 4- 2 3-`� `� APPLICANT: C7 � R`� W �,J ��f � Tel. �# 5 74 �`l l 3 Z
CITY USE ONLY
Permit Fee $ �- � o Fee Schedule on Reverse Side
Fire Surcharge $ /, �/� .001 of Permit Valuation (1/lOth%)
State Surcharge $ `73 $.50/$1,OQ0 Valuation
SAC Charge
License Surchazge
Driveway Escrow
Erosion Conixol
Park Fee
Sewer Main Charge
TOTAL
ST`IPULATIONS:
$ $1050 per SAC Unit
$ $5.00 (State Licensed Residential Contractors)
$ Alt. °A° or Alt. "B" Above
$ $450.00 Conservation Plan Review
$ Fee Determined by Engineering
$ 'Agreement Necessary [ ] Not Necessary [ ]
$ d`[�
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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,�1 to $100,000
$100,001 to $500,000
$500,001 to $1,000,000
$1,000,001 and up
FEES
$21 (Minimum Fee is $21 plus surcharge)
$21 for first $500 plus $2.75 for each additional $100 or
fraction thereof, to and including $2,000
$62.25 for first $2,OOU 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 $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 minunum of 24 hours from the time of application to a11ow 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.
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