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AF - 36497� � ,,�, Villa�e of �'r�idley, Minn. BITILDING PERD'IIT �.. �, N� 6 8 3 O�ce of INSPEGTOR OF SUII,DINGS s��, Owner �.�' "' -.w:� _�.,, � `s � � � � • ,� ,,:. � �. -^., " _� - ° , 18,.xw4 .��ms.�_ Architec* Frid2ey, Minn., - �' , �r � Builder LOCATION OF BUILDING � �� " �� NO. '�� r� ` � StTeSt � . : � . � r� 6 - Part oP Lot Lot Block Additfon or 3ub-Division � DESCR,Il'TION OF BUII.DING �.`� � °�+%,'..'� st � � A""« ,';.� �'•;; ,�r -.r•-a ��__ Frqnt Depth Aeight Storiea Manner of Conatructior� Ta be nsed as '� °'� "�` f � �."- To be complet� � c �- ,-" � � �� `�' „� � Esttmated Cost � � .> , �: �� i'"4� t�t R.. �.c _5 ��'1 P� f'�'�`'� I �_ j' , ..�f k �...?`'Y.-� �',_._. �+! �ji� �#"' MNc...x.. y?._.._ ^ � �x i rt. �� .,,e,.r Perm4t ie hereby �ranted to ��`� � ` �� . Y -�w �� ihe buiiding ��.�.°�°'�--'�' ; described in the above statemen�. TY►is permit is grant� upon the espreas3 condition that the person to whom it is granted, and hie agente, employees aud workmen, ia all the work done in, arouad aad upon said building, or any part thereof, shall conPorm in aIl respecte to the ordi- nances of F'ridley, Minn., regarding ihe construction, alteration, ma3atenance, repair and moving of buildings wt�hia tiie city limitet and tbia permit may be renoked at any time upon violation of any of the provisiona of said ordivances. AGR,EEMII�TT AND SWORN STATII12ErTT In consideration of the issue and delivery to me by the Inspector of Buildings of Fridley of the above permit, I hereby agree to do the praposed work in accordance with the deacription. above set forth and according to the provisions 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 axe tTi18 8,S 'Eh8P8111 t9t8.ted. � r, , Subscri'beci aad sworn io lxfore me at Fridley, t a � ."� ,. y#.�, .. � d�y o�,�;`� jA.D. 19 � - _ �"� : ,,-� >' � � a�, � �y- , k _ ^r" P a��t T � ,' �F Minnesota, thi� � + �'- "`'�° Q �� rp� _ _ -1� �' _ - .��... � � - °_-� � � � , ( . ; ... .�� pz � � � � � Z R� �' w 7E � 8 °/ � � � G� r � �° � � " � " � � o �* p .. �f o �C � � � " Pd � � �° � ii � 5 ..��. 5 � � � • � t� s � •°•° q �'' y ' � � � � ' o I-' � • � p �O � O O y � Q � O .. � a � p � � � ' i*J . � . : a � � W� • �n : » � � � : : � � • � , rA .�i Oq C . . . p�y g : °,a ; • o w . • . O . . � . . . . . . � . . • �,,,� � : . . . � . . � r i • � �o • . � � . . . : � . . . . . . . . . .� � , � N � � � 0 . � : M �/ M � �a x k k N k � � �p �� p � � � �p � � S � O u,f � � O � � � O � M M � N in !N tA t1► QN M O� O� N ►�i � I .� M� • • • O t O o S o� � � � � 0 � 0 v � � x � � � � � 0 � --�_i i � � � � � m C r m � � o � � � � a � �^ O � a � a � s' ff N O O C � fn � � � ..., . " .■.■1 . L ��, ' - �� • • ■■.■■, � .■.■, �� r � �o a � y M � � � m � � N � O � I� � e � �1 Q O � c� O � �3 � �'• � I ftpl�@S WAT[It aoscn �� r►rN �a �� SINK$ �� ra�vs DRINK. FOYNT. SMN��S. ROO� QRAINS G7C�i N►SINS �wro VYASN� � Mi4 GAS � �� OCENINGS � • Z • N � � � �� a� a � �� a � � � � p a ��.�. � �� b� � o� �'�� M � � y � � � �� ?�o � � �' " � m �� .� a�� f�p M M � � � � � � � � m � n 3�� x � �" d �� d � � � � � a� M � � � � �. � � � �, � � P • � �� M � , �0 � � � � w � � � �� I�IKO I�i�i: NASI1� M. QURES�ii � City Eagineer � Dix. Planaing - C�mm. �ev. . . � Sl1�JECT : � �eE �tt8Ct1�� I�MO T0� (Me�o No.a ��tters ��present na�e initia�s) �psp �� DC 4 9 2 pW��; 11-15-73 Repax� � �efor� 'uoo�oee��e�r��eee�� . � � 11-21-73 0 . � . �Iorr�e�0ao�o�ass,aeae House at 6651 Channel Road (Bob - Brookview Realty) s W �� i�w �a t�ke �pp�om � �ria�e �etf� �. ' �X�eviea► � c�� ; � Not� � di�cu�� t� � � Wort� e�ith � . � �ush, f�@��ate ��ei� de�ired Please check out this house to see if there is enough land between the house and pro'perty line for a drivewa and attached ara e. If not, how much o a variance woul be req,�uired? � NMQ �Y ---- 1�P� r�port� s r�/b��t��°ou�� ' materf�� as ca�►plete a� ��- ble, ��t�ke �.nt�ri� ��gt �f � aece�sary. Se�d o�i�inal a memo back oc�ly �f �ctio� i� a fu1�y compieted, 1 � �� Actio� ca�►pl�teda �o � �usthes rev�ew aeedod � E» � 6 (� �e�rther act$oa� s��c��.ry � �.� (] See attache� l�etsa Q Interim report � A � ��,j!lc�;�1 � ,, � '1„�• � (:t. / \ 1 -- �'i'_ ' � � � ' _ .; �, � .�. - .-�- /.. �, , � , �'r� � _... �.' ��, � ..: � �•- � � . �_ , �� : � ,. ' �,z$ l �—I ��' � � sic�►�ua� s°��I 4 f. SUBJECT PERMIT City of Fridley 1448� AT THE TOP OF THE TWINS g U I L D I N G P E R I T , ;, ' ` RECEIPT NO. � LL � ��i . COMMUNITY DEVELOPMENT DIV. r j, � PROTECTIVE INSPECTION SEC. ( 1 /°�t �� CITY HALL FRIDLEK �55432 NUMBER - REV. DATE PAGE OF APPROVED BY ��'�••� ,•� 812-580-3450 910-F15 11/2$/77 � � JOB ADDRESS �,651 Cliannel Road N.E * 1 LEGAL LOT NO: BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. P3Y"t O� ZI1C� RGV. Ai1C�. SLlb. #Z�. SHEET 2 PROPERTYOWNER MAILADDRESS ZIP PHONE Dona.ld J. Repetavaski 6651 Channel Road N.E. 571-9586 3 CONTRACTOR MAIL ADDRESS ZIP PHOPlE LICENSE NO. Same 4 ARCHITECTORDESIGNER MAILADDRESS ZIP PHONE LICENSENO. 5 ENGINEER MAILADDRESS ZIP PHONE LIGENSENO. 6 USE OF BUILDING Residential 7 CLASS OF WORK I� NEW � ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Construct a 26' x 24' Ga.rage 9 CHANGE QF USE FROM TO �TIPULATIONS Pxovide a ha.�d surface driveway. Release signed by neighbor for bui.ld:i.ng �rithout survey. S�ERA°i'E PER#�lTS RE UIRED �OR �V�R �A�1NlG t� Q IIVG� 6efdre di�gmg c�l{ local u.ol<<I�5 HEATING, PL�7Micit�V� ANC� StGIVSe TElEPNOf��-ELEC�RBC-G�� Ekc� I�� a�' SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD VENTILATING OR AIR CONDITIONING. WOOCI Fr3IIlE THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING SQ. FT. CU. FT. AUTHORIZED IS NOT COMMENCED WITHIN 80 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT 624 6240 ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS OFFSTREET PARKING 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 VALUATION SURTAX AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PEflMIT �4�5�.8 $`Z,ZG DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE pERMIT FEE SAC CHARGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. � y�24.9G PLAN CHECKFEE TOTALFEE �S`2%.22 SIGNATUREOF TRnCTORO AUTHORI DAGENr �DATEt WHEN PROP RLY VALIDATED THIS IS YOUR PEFMIT . C � l/ �-��l « -' c�r, � lc�,�_ f l��— I NATU E O O 11 O NER BUILDERI � IDATEI BLDG INSP pATE � CITY OF FEZIULEY ' APPLICATION FOR RESIllENTIAL BUILDING PERI�IITS , ��VEW, �ILTERATIONS, ADDITIONS, OR REPAIRS) i /'� �( fr a•�� : � �UILDER: � y � �.P Address: �' °, �ddress: � Tel . No . ��/� _..� ��,="r-_�„�; . �: .�� c� . No.: �� Street• 1�� LOT: �0 � � BTACY.: s ADDITION: �O CORI�TER LOT: INSIDE LOT: SLTB7�CK: 5IDEYARDS: Applicant attach �to this form 2t�o Certiiicates of 5urvey af Lot and proposed building location drawn on these Certificates. ' DESCRI PTION OF BUI LDI NG To Be Used As: C4�_ �� Front: � Depth: �--7 � Height: �`�� - � 5quare Feet: ��'�-� Cubic Feet: �� Front: Depth: � Height: Square i'eet: Cubic Feet: Estimated Cost: $ ;�`' � �'� �- Type of Construction: 7.10 Be Gompleted: � Alt. A A7.t. B Proposed Driveway Width If New Opening Is Desired $ $ (SEE REVERSE SIDE OF SHEET� The undersigned hereby makes application for a permit for the work herei.n specified, agreeing to do all work in strict accordance with the City of Fridley Ordinances and rulings of the Department of Buildings,� and hereby deelares that all the facts and representatinns stated in this appZication are true and correct. See reverse side for additional information. � �� DATE: �/ � �- ✓� SIGNATURE: . Stipulations: � ��C��"� � �` �, -��. ��6 � a � °z �� . � ta �Re � � .r 0 1 I BUILDIt�G PERt�IIT FEt SCHEDULE SECTION 2. The Inspector of Buildings shall, before issuing permits for the erection of any building or structure, or for any addition to any existing building ox structure, or for any alteration or repairs ta any existing building or structure, upon application ther�fore, 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: NEW CONSTRUCTION: Single Family Homes and�Garages: $4.00/1,000 cubic feet. PLAN CHECK: 25 percent of building permit fee. DRIVEWAY DEPRESSION: (Concrete Curb Streets Only) • Alternate A: Removal and replacement of concrete curb and ' gutter only; Driveway width plus 6 feet x$11.75 � �Alternate B: Removal and replacement of concrete curb and gutter and install a 3 f�t wide approach with 6 inch depth; Driveway width plus 6 feet x$15.4� ADDITIONAL INFORMATION For the purpose of computing fees for building permits, the cubical contents of any building or addition, is determined by multiplying the ground area covered from a point si�c (6) inches below the floor line of the basement or th� cellar to the average heights of the upper surface or to the average height of the roof surface of the main gable of a pitched roof. For repairs or alterations to an existing structure, the fee shall be at the rate of $3.00;�er each five hundred dollars ($500.00) or fraction thereof in the cost of all proposed work. • In�no case shall the fee charged for any permit as set forth in Section 2 be less thaxi $7.50 plus $.50 state surcharge. VERIFICATIOU OF FOUNDATION NOTE: Permits �or 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 been constructed wil? be required before proceedi.ng with the framing. : ` � ''1 Application for a Certificate of Occupancy shall be made ten (10) days prior to the use or occupancy of any structure for which a building permit has been issued; and said structure shall not be used or occupied until a Certifi.cate of Occupancy has been issued. _. � . , e ] locaf AGREEMEI�'Ir owner of the prapert�y : no abjection to the City al.lowing the construction of a �� '�-G� ta b� locatec� at �� s� ��/��;/�L, �� witizaut �e required certi�icate of survey that the C�.ty ordinaril�r requires for all�new canstruction. c_ ��, . , � . �� ; \ , � �Q.-e'L�J 'gnat re , '_ , ' `� (�� ,,��p .�' j�.e�. Aaa��ss. , - , Date - 6 i,t) °°°��A��. �� `_ WI.'t218SS c � L � .c � Z to -o —_ d —_____ a � f3-co �o �o �-o�_ � -- _ - - _ �o x t�= ►�7' �Gau � ;� . _ .. _.. ._ _,�: _ . __ ' � . ; � �' � � ` I � . I ;' • . � � �I i � � � f . ► i -I ► . � . ,� i � �! � c � , i � % �, � � ; .� !_-_--. � �, -- :__ _ _�� : I =o _ �� ; I� �� " �� :� � o , ,,, � �� 1 �'�� G.� �- ..#..._.. 1 �1 � �� "�Yla {� lpf l0. Nt'� � ' j ; .�- " �� I� ' N '�I - "` _ . -�c fo.� . t;i:_-C7 �j_. �' tp .� _ _ '' � � � � � � �; � -t— — �� ;, o '- 11 f� 1� � I� f� �- � I �E __ _ � _ ., -, �� _ t�x� �/,�_��: --_ ,� . . . �- , � . � � f �� ;;� � �� I� � � - II �� r � I� il 6 �, z.. .� - . - _.�. � � � . �,;,�._ �.,P,��, . .. _. . � � . f�`�' � u i� �r �" n u�t �-� 1(0 -�7 ' Z-� �, _o -� o�~r.-�k-�: y "y�1��^ � M z�-o rfl��' �� D�� . . � tZ _. _ �=_�*.��}�,�t,,� -� _, �-- � 1� .- -�--�-{ =�.==�-- _ _ . _ c- ; � _.�_.. °'='- � ��::'., .,.F.r;: r,�_,_y��.: �:7 �=_ �_.._,�� .,� z ,� �1_r. : r_._.' --'— —,� _ ., _ _ _ _ _ � . - ._ �__i_�" V'_ _ - - �-O ^ r �:.� � � � _ _ �� - . � ��.�.:9, - ' ' . ,��.� _-- _ _ - � Ru� �( 90 �.� _ -- . � � , � _ - _ — - � , nasra�� nrtna s�mFace — . , 'ro coMwx mrH secnflx - ---- _.__ - � � 105�055�3A OF THE CITY CODE ' � - ' ��'.��. '�' �G�l�'a � �� .. �¢ � . � . g . . _ : . . , . � . . " � : � _'..; �" i . I fr . [., � � . �; �. ;� ` °�L �ivz,�s�r.ea� _ ._ , �' jz - . �'�4. --��. cou�. -rf�g�' ?'iZaoa _'-+r- - z , �. • *so,� r� t`� � , �. �` 0 . �z � ' � -�4cs��P�f S�J�a��j ��°�- As�! a�- - � =+t�'` ��Ywlr�n s�Jr�Td«tc�: �. .T.xxG: e%�'�'S1;b"��: .. :_:� ( �"x�_Q Ix(o FASGIAc ' .v. � iL�°- l�Cl�--o�:` - - --- � �... .. a , .. __� � � , _ . . �le�j�`" P�Y_v�t� �t�- __ L! __ L�Xto .W/�L" J:.. � �. ..._ _ . .. . _ _ _ __. . xt -rr� -d�,�o_ac, _. _ � � a �.��t-qc µ�urr� - � a =o gr„� � � �sr3 � �czt�€�� sFt �. � ' . �ac�:�TVPS - I�a ec_ � ---- �'t l��tc. S� . z .�g"��o�..-.te _�� : v G..st.�,.to/lo_��(�-- --��-� ' tJ , a , ', � ; rz��'�- = L`�. �--.a..r�-:. -- i - -� . . ..�. : �_ . � , � � ; - ��-t �t..E��q-io�.{ .. y�� ____._�_------ ---_-- ---- _ _____�.__._ --- -- - - —_�.--- -.. _ --:� �.-_:--�=_- -- t�s��elJ�`�"iotit . _ �-:-_----.._ _. .; .... . _.- r,e.ov�-.� �i..E�(A�'i o� � �8� _ /8� - THIS PLAN MUST BE MAINTAINED AP1D ' ACCESSiL'lE ON THE '` • CONSTRUCTION SITE CAtI' FOR ALC � INSPEC7�pNS. Final In,:h:ct.::r,� et aii trades --- `� 5�- Z$�Q,— run Fow reyu�retlpno�WOCCUPancyof ' !/�iLQh/(�ej,.'7�£�-ThW%�1� �uildllhg. ' - -- �' ` � a. � � S� I - 9 5� (o ____�_��. r1�� ,�g��.� Houcr ` ,�' �, 7- "'� Yr urru�.�+re CO�fFRACTGR TO VER.IFY °�^.•9�'s$.��.� ��,..,„, t�.N No. ,,a�e.c,E -7`t 3`F`� AL� DIMEtdSIC"�S IN FIELD wua��. �o c�r:r�a ""'""° r, - 20�Fi Ni)Rt1�^n�E a�v�. oA��.�l �P/� �'°Ss1 COC?'J RAPt:`•� Pli•.lhl',.OTA 55A33 �j ��a� t- � �, I r.,�r � - '� . - -. �.. 1 I ��r .� � � ao E a ,r. �� , �� ' �. << � ��/�; �. j ay a� �� I .�' �� ;I �i . � �, � - , �, f� . --- _ _ _---.'ty a _ _ _ _ _ __ _. __._. �. � i � t . n,; ,� � � . . , .. . .. .. .. . ' . . - — —.� .�_... . .... � l± . . . . —; ". ' . . . _ " .. .o..•. � .. � � E , _. _ ._. _ .._ _. . Ir''�" i �f _ - � � ,�� - 30'0°, ---_ � �� u � � l�ls. � p _ � ,. ,-_, t:,;, �;t_ - ' 3i,�.. � ~ I. : ' tir— I' . .. .�. { � r^ � ' � s 1 i . . l. � d � � � ._.A ... ......... . .. . f. � i . � . -_.� . -•-: .. . ! f� '� -'_-- I t p 't I :J �—'. , . - . . .., . C , . IS ? g , . . _. � 1� � � � i 1 ; _ . . � � . � � � , . � 6 : � ._. . . 1r + �_ _ .. ... _._..._ �^ . I ! 1 �{ — �'- _ rs`c'� „i �" n � �;�. _ �_... `�.� �.. .�_.__ FEa/�� "'_'�`"' _ , � „c h � 1 �� e.� ��„l , i� ` s �.,',, : .J 1 c+. 7 �'�j� _r� i � � , ; � ; � ��^ �i � � _ _-- _ _. _ --- ----------- ---- — � '� 37 5 — _. __ _---- -- — � e a. ` 0 ��'� _ ��' �� _. y_� .�� -�.� � r �, � �;�� r ,�� f'' � �� , � c�.� ✓ � ! �j 'r �r,, �R �,�,� �, �, f � d �� = � � � 8431 UNIVERSIYY AYEFdUE R�.E.� �E31DLElf� �i1N�6dES01'�. 5bA32 TELE�F�ONE ( �12)571-3450 `��'�a � August 24, 1979 � :.. � Mr. Donald Repetowski 6651 Channel Road N.E. Fridley, MN 55432 Re: Final Inspection on Garage at 6651 Channel Road Pd.E. Dear Mr. Repetowski: A final inspection was made on August 23, 1979 0� the garage construction at your address. The structure was approved with the stipulation that it be painted by October 15,1979. _ We will expect the above work i�o be completed by the above date when a reinspection will be conducted to determine compliance. If you have any qnestions on this, please feel free to contact me at 571-3450. Sincerely, DP,RREL G. CLP,RK Chief Building Official DGC/mh � SUBJECT P , � c�cy of Fridley � 2 2 7 8 0 AT THE TOP OF THE TWINS g U I L D i N G P E R M I T i � COMMUNITY DEVELOPMENT D�V. RECEIPT NO. i r � �` � PROTECTIVE INSPECTION SEC. �� ; i `--_- � ��'��,,� CITY HALL FRIDLE� 55432 NUMBER REV. OATE PAGE OF APPqOVED BV L �� 612-571-3450 910-F15 8/8/94 / / JOB ADDRESS 6651 Channel Road NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. Pt 4F Second Revised Aud. Sub. ��21 SHEET 2 PROPERTYOWNER MAILADOHESS IIP PHONE Dan Leitschuh 6651 Channel Road NE 571-7519 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Same 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAILADDHESS ZIP PHONE LICENSENO. 6 USE OF BUILDING Residential 7 CLASS OF WORK � ❑ NEW ❑ ADDITION � ALTERATION ❑ REPAIR ❑ MOVE'° ❑ REMOVE S DESCRIBE WORK Install egress window in basement bedroom 9 CHANGE OF USE aROM TO STI PU LATIONS Egress window must comply with State Code for windows. SEPARATE PERMITS ARE REOUIRED FOR ELECTRICAL, PLUMBING, HEATING, TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD VENTILATING OR AIR CONDITIONING. THIS PERMIT BECOMES NULL AND VOIO IF WORK OR CONSTRUCTION ZONING SQ. fT. CU. FT. 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 OFFSTREET PARKING I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION 1 STAL�S 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 �300 �. SO DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE pEq�1T FEE SAC CHARGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- @ STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. y�I.S.00 Fire SC �.30 PLAN CHECKFEE TOTALFEE $15.80 SIG A E OF CON i PACTOR OR AUTHO ED AGENT IDATEI WHEN P ALIDATED THIS IS YOUF PE�T �� O� ... � / SiGNATUREOFOWNERIIFOWNER UILOERI IDATEI B DG INSP OATE NEW ADDN ALTER [l �l �� Construction Address: CITY OF FRIDLEY SINGLE FAMILY AND DUPLEXES R-1 AND R-2 Building Permit Application �t C1�/v�L Effective 1 / i/94 ��U7�) F��lOL�y , s3�-32 Legal Description: P fi.. ¢F' (/ 70� �I�. s�c�o 11P�, s✓8 �'2/ Owner Name & Address: D� �.e, e�� S C�l �f �12 S L� �` Tel. # S 7 ��' % 5� � 9 Contractor: 4 1,.1 A1 �. �2 MN LICENSE # Address: S A-,rvt e � � d � e Tel. � Attach to this applicatian, a Certificate of Survey of the lot, with the propos�d consdvction drawn on it ta scale. DESCRIPTION OF IMPROVEMI3NT LIVING AREA: Length Width Height �. Ft. GARAGE AREA: L�ngth Width Height Sq. F� DECK AREA: Length Width HgtlGtound Sq. Ft. o�R: EG �� ss W lN� �� N��-s e-m ��,�_s��rr Comer Lot [] Ynside Lot [] F� Yd Setback Side Yazd Se�acks Type of Constxuction: Estimated Cost: $ 3 O O�� Approx. Completion Date: (Cost on Backj Driveway Curb Cut Width Neecied: � Ft 6 Ft = Ft x$ =$ DATE: �� APPLICANT: p�nti:� �'C Tei. # S 7/- 7 S% i Pernut Fee Fire Surcharge State Surcharge SAC Charge License Surchazge Driveway Escrow Erosion Control Park Fee Sewer Main Charge TdTAL STIPULATIONS: � `� � L $ 0�� Fce Schedute on Reverse Side $ . :.JO .001 of Permit Valuation (1/lOth%) S . S� $.50/$1,t�lQ V'aluation � $8� per SAC Unit $ $5.� (Sta.te Licensed Residential Contractors) � Alt. "A" or Alt. "B" Abave � $450.00 Conservation Plaan Review $ F� Determined by Engineering $ Agreement Ne�e.ssary I l Not Necessaty [] � � • �' aUiLUiNG PERMiT FEE SCHEDULE "Chc Chicf i3uilding Ofticial stiail, t�efoce issuing permits for the erection of any building or �cture, or for any addition to any cxisting building or structure, or for any alteraiion or repair to any existing building or structure, upoa aPPl�cation therefo�e, require the payment by the applir.dnt far such �ermit of icc:s lo tlie ainount hcrein t�elow set forth and in the manner herein pravidc;ci to-wit: "I'OTAL VALUL $ i to $500 $501 to $Z,OQO FCGS $15 (Mininium Fce is $15 plus surcharge) $15 for fust $500 plus $2 for each additionai $100 or fraction thereof, to and including $2,000 - $2,001 , to $25,000 . $45 for fust $2,000 pius $9 for �-ach additional $1;000 - or fradion thereof, to and including $25,000 ' - $25;001 to $50,000 ' $50,001 to $100,000 $100,001 to $500,000 $500,OOi io $1,000,000� $1,0IX3,001 and up $252 for first $25,000 pl�s $6.50 for each additional $1;000 or fraction th�eof, �o. and inclading $50,�00 $414_SO €or first $50,OOQ plvs $4S0 for each additional $1,000 or fradioa th�eof, to .and iacluding $100,IX?0 $63950 for f�ust -$100,000 plas� $3_SO for each addifional- $1,000 or fraction th�reo� to aad includi�g $SOt3,fl00 $2039.50 for t�te first $SQ0,00p plus $3 for each additional $1,000 or fraclion thereof, to and including $I,IX}O,IXlO $3539_SO for t�e f�rst $I,OD0,000 plus $2 for each addifional $1,000 or fraction thereof - DRIYEWAY DEPRESSION ESCROW {Coacrete Ctirb Streei-s Only) Aiternate "A": Removai and replacem�t of curb and gui�er only - Driveway width plus G feet times $13.50_ Alternate "f3": Removai and replacement of curb and gut� and insrtall a 3 foot wide approach with 6 inch depth - Driveway width plus 6 feet times $15_75_ VERIF[CAT[ON OT FOUNDATION Permits for consiruction wiil be issued a minimum of 24 hours from the time of a{�p[icativn to atlow for proper review of the pro�osed stnucture and of the co�stnuction site_ A CertiCcate of Sucvey of the lot, showing the location of the founclation once it ha.s it has t�een constructeci wi[i be rc;yuireci before proceecling with the Cram[ng_ • SuB�ECT City of Fridley �l� Pf . AT THE TOP OF TME TWINS �� I L D I N� P E R M I T 2�� 5 r � � i j V � COMMUNITY OEVELOPMENT DIV. r � -----; PR�� SE�. � _ , L-__�� •� CITY HALI FFiIOLE� bS132 NUMBEN REV OATE PAGE Of AP OVEO Br L 612-571-3450 910-F15 9 18 98 � � JOB ADORESS 6651 Channel Rd t LEGAL �OT N0. BLOCK TRACT OFi ADOITION t�FF ()]O SEE ATTACHED oescR. ( ) Second Rev. Aud. Sub. �21 SHEET 2 PROPERTY OWNER MAIL ADDRES$ ZIP PHONE Dan Leitschuh 55432 571-7519 3 CONTRACTOF MAII ADDRESS 21P PNONE LICENSE NO Owner S.ame 4 ARCHITECT OR DESIGNER MAIL ADDRESS 21P PHONE �ICENSE NO. 5 ENGINEER MAII ADDiiESS ZIP PMONE LICENSE NO 8 USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW � ADDITION ❑ ALTERATION �J REPAIR O MOVE O REMOVE 8 DESCRIBE WOF;K Reroof house (19SQ) Tear-off/garage (lOSQ) Znd layer 9 CHANOE Of USE FROM STIPULATIONS TO Underlayment must comply with the State Building Code. 2nd Layer - Roofing can be the 2nd layer but not the 3rd. SEPARATE PERMITS ARE HEQUIRED FOR ELECTRICAL, PLUMBING, HEATING, TYpE OF VENTILATING OR AIR CONDITIONING. 7HIS PERMIT BECOMES NULL AND VOID IF WORK Oq CONSTRUCTION 20NING AU7HORIZED IS NOT COMMENCED WITHIN 80 OAYS, OR IF CONSTRUCTION OR WORK IS SUSPEN�EO OR ABANDONEO FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COMMENCEO. NO. DW I HEREBY CERTIFY TNAT I MAVE READ ANO EXAM�NEO THIS APPLICA710N AND KNOW THE SAME TO BE TqUE AND CORRECT. ALL PFOVISIONS OF LAW$ ypLUATI AND ORDINANCES GOVERNING TNIS TYPE OF WOpK WILL BE COMPLIED WITH WHETMER SPECIFIEO HEREIN OR NOT. TNE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL TME pERMl71 PROVISIONS OF ANY OTHER STATE OR LOCAL lAW qEGULAT�NG CON- STqUCTION OR THE PERFORMANCE OF CONSTRUCTION NATUA�N�CTOa AUTMO 4E0• ENT iDATE� S�GN4TUAE O� OWNBRdF OWNEABU�lOEp� �DAiE� UNITS OFF; STA�LS SUR1 � �2s272.� SACi $74.75 F OCCUPANCVLOAD CU FT. :T PARKING GARAGES $1.14 �GE �'JCi $2.2% $78.16 �j.lii ERMIT ^� % v� r NEW [ ] Effective 1/1/98 ADDN [ J CITY OF FRIDLEY ALTER [] SINGLE FAMII.Y AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION ��. �s �� e ��' ConstructionAddress: � -�yll /L� (, � � Legal Description: �o � �byC )�-rY1�. /G�.�e — (Z� s�f/NGLe Owner Name & Address: �� ,_ e l'�'�C l�'c/� t'�16 01P�2 � Tel. # 5% �-%�%% - ,.---- Contractor: � e L F MN LICENSE # Address: Attach to this application, a Certifcate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF IlVIPROVEMENT Tel. # LIVING AREA: Length Width Height Sq. Ft. GARAGE AREA: Length Width Height Sq. Ft. DECK AREA: Length Width HgtlGro nd Sq. Ft. OTI�R: C 12� o j-I-o v Se e � e G A�rLA� e- o o v e/� r9 s�, ��j�� _ �i� c�-ye2 Construction Type: Estimated Cost: $ �� (Fee Schedule on ck) Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x$ _$ DATE: o( " ( � �' � � APPLICANT: _ VlX �-C � � Tel. # S 7 � - i S / g Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee Sewer Main Charge TOTAL STTPULATIONS: $ '?�7.� $ v? � % $ � $ $ $ $ $ $ $ �-�i CITY USE ONLY Fee Schedule on Reverse Side .001 of Permit Valuation (1/lOth%) $.50/$1,000 Valuation $1000 per 5AC 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 [ ] _:_r 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 existing building or structure, upon application therefore, require the payment by the applicant for such pernut 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 $SQ0,000 $500,001 to $1,000,000 $1,000,001 and up FEES $21 (Minunum 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 $1,0(}0 or fraction thereof, to and including $50,000 $574.75 for first $SO,U00 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) Altemate "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. � . �