AF - 43254,�,
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City of Fridley, inn
BUILDING PERMIT
��: �une 28, 1965 ,
�: Joseph T. ��elsfeld $,,,� Same
Ad�s 157 Crown Road �. E. A�
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N� 8065
LOCATION OF BUILDING
No i5? str�et Crown Road N. E. Part of Lot
Lot
Coraer I.ot
3ewer IIevat4on
Block
In�de Lot
Ad�lftion or 5ub-Divisian
Setback Sideyard
Foundatfon IIevat3on
DESCRIPTIOIV OF BUILDING
To be vaed as:
Rebuild Gar�, Front ' nepth Height Sq. FL Cu. Ft
Fr�ont Depth FTefght Sq. Ft. Cu. F't.
Zj►pe of Construc°tion Fst Co To be CompletQd
IInder �5�0.00
�ebuild Gar. -to Original
In c�asdderatlon of the issuanoe to me of a permit to construct the building d�cribed above I a�rree to do
the proposed work in acoorclance with the drescrlption above set forth and in compliance with a'll pro�visiona of
oniiaaaces of the dty oP FridleY• /) ,� � . � � oi /�
In �deratlon of t�,e �yment of a tee ot 5$ •� . permit 9s hereuy graated to J• �olsfeld
to comstruct the buildin8 or addition as d�crlUed above. Thisp�r� t is granted upon
the exPre� condition that the P� to whom ft ia granted aad h9s agents. emPloYees and worlsmen� in all work.
done fn, araund and upon said buildiag, or anypart ther+eoP, shall conform in all respecta to the orrlinance� of
Frldley� Minnesota regaidii loc�t[on, comstruction, alteration� maintenance, sePair and moviag of buildinga
within the diy ]imits aad � permit may be r+evoked at aR}► �tme upon violation of a�+ of the P�viaiona of esid
a�rdinanc�s.
A11en Jensen � �
NOfl�
TWt � doa net towe da eo�vdion, � hr vr6�, plambEe6. Ya htafiea, sarv or �. B� su� to a�
da BuUd� io�etor [oe pp�rah pwmhs for tha� �ms.
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OW1�R `5
ADDRESS
APP'LI,CATION FOIi $UILDING PERIHIT
CITY OF FRIDLEi�, MIIJNESOTA
LOCATIUN OF BUDrDING
:.�c�..� /� � Street �'�%��►�,�.� � G� Part of Lot
_._._.,..._.
i0T R ADDITI�N OR SUBDIViSION
Corner �oC��nside L ��Se�b�ck�: � , Side�Yard
SEWER ELLVATIDN FOUNDATIOlSf EL.E�i'�Z"i011'�. �
Applicant attach to this form Two Certificates of Survey vf Lot and pfoposed
building location drawn on these Certificates.
. y� Cu. Ft. G�
Frcmt Dept �_Height
� Sq. Ft. Cu. Ft.
. _.�,.�
�q�pe of Caa�tructiou Eetimated Cast ��,��,� 9�)
To be completed
Ths undersigned hereby makea application for a permit for the work herein specified,
agreeiag to do all work in strict accordance wiCh the City of Fridley Ordinanc�s
and rulinge of the Departme�t of Buildings, and herebq declares that all ehe facts
aad represet�taCions sta'ted in Chis application are true and correct.
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HA - �� �� SIGNATURE _ -.=�'-='C ��� � �r �^"��„ =�_��
(Schedule of Fee Coats can be foun� the iteverse Side).
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HZTII:�I�iG PERI�1iT FEE SCHEDgI.S
SECTION 2. The Inspector of Buildings sha11. before isauin� ang germit for ehe
erection of any building or structure, or for any addition to anq esisting build-
in� or atructure, or for anq alterations or repaira to any esiatiag building or
structure, ugoa appiicatis�n therefore, recluire the payment bq the applicant for
such permit of fees to the amount herein below set forth�and ia the manu$r herein_.
pravided to-wit:
2.1. For any such permit for the erectian of any fire•proof building,
other than a garage, warehouse,. factory or grain elevator, or for the erection
of aay fire-proof addit3on, for similar occupancy, to any existing buildin�,
shall be aC the rate of $1.40 for each on� thousaad cubic feet, or fraction
tbereaf, in �uch cubical contents.
2_ 2. For aay such permit for the erection of any fi,re-proof garage,
Warehcuse, factory or graia elevator, or for the erection of anq fire-proof
addition, for �imilas occupancy, to any existing building ahall be at ehe rate
of $1.25 for each one thousand cubic feet, claasified as "fireproo€" by
= Sectian 502 of the Minaeapolis Building Code. .
H0�
2.3. For aay such permit for•the erection of any nan-fireproof building,
other thaa a garage, warehouse, factory or grain elevetor, or any non-fireproof
addition, for eimilar occupancy, to any ea�isting building - permit $1.00 for each
one thousaad cubic feet.
GA�RAGES
2.4. For auy auch permit for the erection of anq non-fireproof �arage,
warehau�e, factory or grain elevator, ar ior the erection of any non-fireproof
addition, for aimilar occupancy, to any existing building or for each such
buildin� or addition - ninety cents ($0.90) for each one thousand cubic feet
os fraction thereof, in the cubical conte�ata thereof w3Ch tbe minimum of $4.00.
For the purpoae of computing fees for building pesmits, th� cubica! contents
of any building or addition to a uniform height throughout bq multiplying the
�ground area cove•red from a point six (6) inches below the floor line of the
basament or cellar to the average height of the upper surfac�+ or to the average
height of the roof su,rfaee of the mafa gable of a pitched roof.
2.5. For repairs or alterations to an ex3sting etructure, the fee ahall
be a the rate of $3..00 per each Five.Hundred Dollars ($500.00) or fractiou
thereof in the crast of all proposed work.
2.6. In no case ehall the fee charged �or any permit as set forth in
Section 2 be leas than $4.00.
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sue�eC� PERMIT
City of Fridley � 19 2
; ` ������°�� �""S gU ILDING PERMIT No.
� • COMMUMITY OEVELOPM�NT DIV. � �� /
� ��: — /
r � � PROTECTIVE INSPECTION SEC.
� . ,
' � �"�1 � CITY MA�L FFiIOLE� SS1a$ NUMBEp REV DATE oAGE Of AVGROVED BY
��°�� � �'' 612-57�-3a50 s�aF�s / /
10/9 98
JOB ADDRESS 157 Crown Road
t LEGAL LOT NO. BLOCK TRACT OR ADDITiON SEE ATTACMED
oescR. 4 3 Carlson's Summit Ma.nor North Addn. SMEET
2 PROPERTY OWNER MAIL ADpR�S$ 21P PMONE
Joe & Gerry Wolsfeld 572-1044
3 CONTRACTOR MAII ADDRESS ZIP PNONE LICENSE NO
Vikin Home Im rov. Co. 4832 2 1 2 St NE M ls MN 55421 572-1820 4772
4 ARCHITECT OR DESIGNER MAIL AOORESS ZIP PMONE LICENSE NO
5 ENGINEER MAII ADDRE$S 21P PHONE IICENSE NO
8 USE OF BUILDING
Residential
7 CLASS OF WORK
O NEW O ADDITION O ALTERATION � REPAIR O MOVE •❑ REMOVE
8 DESCRIBE WOfiK
Reroof house and garage (20 S) Tear-off
9 CHANOE OF USE FROM TO
STIPULATIONS
Underlayment must comply with the State Building Code.
' TYP� OF CONST. OCCUPANCY GROUP OCCUPANCV �OAD
SEPARATE PERMITS ARE FEOUIRED FOR EIECTRICAL, PLUMBING. MEATING,
VENTILATING OR AIR CONDITIONING
TMIS PEFMIT BECOMES NULL ANO VOIO IF WORK OR CONSTF;UCTION ZONING SO. FT CU FT
AUTHORIZED IS NOT COMMENCEO YjIITHIN 80 DAYS. OR IF CONSTpUCTION
OR WORK IS SUSPENOED OR ABANOONED fOii A PERIOD OF 12p DAYS A7
ANY TIME AfTER WORK IS COMMENCED. NO DWIG. UNITS OFFSTqEET PARKING
I HEREBV CERTIFY TMAT I HAVE READ ANO EXAMIN�O THIS APPLICATION STALIS GARAGES
AND KNOW TNE SAME TO BE TFIUE ANO CORR�CT. ALL PROVISIONS OF LAW$ VALUATION SURTAX
AND OR�INANCES GOVERNING TMIS TVPE OF WORK WILL BE COMPLIEp
WITM WHETMEfi SPECIFIED HEiiEIN OR NOT. TNE GRANTING OF A PERMIT $1]1�} �.SC)
DOES NOT PRESUME TO GIVE AUTHOiiITV TO VIOLATE OR CAMCEI THE pE�vMIT FEE SAC CNARGE
PROVISIONS OF ANY OTMER STATE OR LOCAL LAW pEGULATING CON-
STRUCTION OF TNE PERfORMANCE OF CONSTRUCTION 56.75 Fire SC �1.%1
�PLAN CNECK FEE TOTAI FEE
�� � �� ^�� License SC 5.00 64.32
S�GN4TU EOFCON'RACTOpOpMUTMOA�2EDAGENT �o�rE� WMEN PROPERIV IOATED THIS IS YOUp PERMIT
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S�GNOTUAEO�O�NNEai��OWNEABU�IDEp� iOAfE� BLO .-�tiSo � ����E
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NEW [ ]
ADDN [ l
ALTER [ ]
ConstructionAddress:
Legal Description:
S
CITY OF FRIDLEY
SINGLE FAMII.Y AND DUPLEXES R-1 AND R-2
BUILDING PERNIIT APPLICATION
E�ct� /1/`1/�8
��OI
Owner Name & Address: � 2- � ��evu., G{%p l S �_ ����� Tel. ## � %Z- /�� �
Contractor: � l j�l �� ��-�.��,�� ��' cp MN LICENSE #�%'J Z
Address: ��3 2 N � � � .S �� Tel. � S 7 �---��
Attach to this application, a Certificate of Survey of the
lot, with the proposed construction drawn on it to scale.
LIYING AREA:
GARAGE AREA:
DECK AREA:
OTHER:
Length
Length
Length
DESCRIP'rION OF IlVIPROVEMENT
Width
Width
Width
Height
Height
Hgt/Ground
Sq. Ft.
Sq. Ft.
Sq. Ft.
�zjUJ'ed-�t � o�
�� �� � ��� �
Construction Type: Estimated Cost: $ �� �`�
(Fee Schedule on Back)
Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x$ _$
DATE: � �' �d'
Permit Fee
Fire Surchazge
State Surcharge
SAC Charge
License Surcharge
Driveway Escrow
Erosion Control
Park Fee
Sewer Main Charge
TOTAL
. STIPULATIONS:
$ S6� �s'�
$ I• � l
$ .�
$
$ S• �
$
$
$
$
$ ��•3 Z
CITY USE ONLY
Fee Schedule on Reverse Side
Tel. # �%Z"l��
.001 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
$450.00 Conservation Plan Review
Fee Determined by Engineering
Agreement Necessary [ ] Not Necessary [ ]
BUII..DING PERMIT FEE SCHEDULE
The Chief Building O�cial 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
$SO1 to $2,000
$2,001 to $25,000
$25,001 to $50,000
$50,001 to $100,000
$100,001 to $5(10,000
$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)
Altemate "A" : Removal and replacement of curb and gutter only - Driveway width plus 6 feet times $13.50.
Altemate "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.