AF - 41638sus�ecr PER..
c�ty of Fridley e �- 16 0 2 5
AT THE TOP OF THE TWINS g U I L D I N G P E R M I T
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� • COMMUNITY DEVELOPMENT DIV.
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r � � PROTECTIVE INSPECTION SEC. �( � �
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� � �'��1 � CITY HALL FRIDLEY 55432 NUMBER REV. DATE PAGE OF APPROVED BY
�'"""� � ,�� 612-571-3450 910-F15 12/1/80 / /
JOB ADDRESS 681 Ely Street N.E.
1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED
DESCR. �.rY1S TJ R].VeY'�7].�A Heights SHEET
2 PROPERTYOWNER MAILADDRESS ZIP PHONE
William 4zagner 681 Ely Street N.E. 784-8781
3 CONTRACTOR MAIL ADDRESS Z�P PHONE LICENSE NO.
Panelaraft of Minn. 2309 Snelling Avenue South 721-6628
4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO.
5 ENGINEER MAILADDRESS Z�P PHONE LICENSENO.
6 USE OF BUILDING
Res idential
7 CLASS OF WORK
❑ NEW 0 ADDITION � ALTERATION � REPAIR ❑ MOVE ❑ REMOVE
8 DESCRIBE WORK
Install steel siding and trim/ Insulate atti%ralls
9 CHANGEqFUSEFROM TO
STIPULATIONS
TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD
SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING,
VENTILATING OR AIR CONDITIONING.
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING SQ. FT. CU. FT.
AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION
OR WORK IS SUSPENDED Ofi 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 �. STALLS GARAGES
AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS VALUATION SURTAX
AND ORDINANCES GOVERNING THIS TYPE OF WORK WIIL BE COMPLIED �`,[��OOO $Z.00
WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT
DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE pERMITFEE SACCHARGE
PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- 2,G�.00
STRUCTION OR THE PER RMANCE OF CONSTRUCTION. $
PLAN CHECKFEE TOTALFEE
� / ` f��/�'="� � � "' $26. 00
SiG ruREO CONiRACTOROFiAUT ORIZEDAGENT �DA7Ei WHEN PROPERLY VPIIDATED� YOUR PERMIT
L??ls@ �� 1+�— ! ��
SfGNATURE OF OWNERtIF OWNER BUILDER� IDATEI BLDG iNSP �A E
O
CITY Ot' �ItIDLCY •
APf'LI(:11'fIU;J FO�t R[:SI[)l:i�1TIRi_ �'UILDI�iG PGfi1�iITS
(tJeti•r, A1l;er��tion�, /ldditions, or- Rcpairs)
� U411��£R: ������� �O�'��
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ADQRESS: G 8/ � /�� ��
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7Cl �0: ? � �' - � Z�� �
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�UILDEP,: . ��'o��`e��'/�-�� . .
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AUDRCS S : �3 0 � �u�� c'%�° •�
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TEL ��d0: �a� - G �' � �'
� Consl:ruction Location � '
- STRi•,. a'T NO: �� STItEET: �C� f � /�!� � .
..._.�._
LOT: �S - /� BLOCK: C� AD33ITION: �� ,J�yz J� '��.,? �h f,I� .
Corner Lot: Tnsicle Loi:: � SetbacY.: Sid�yards:.
Ap�licant att.ich to tliis form tcao Certificates of Survey oi lot and
. pro,posed building �ocation drawn on certificates to scale. �
DESCRIPTIOfv OF COPlST�UCTION -
.STE-�� .�i .t7 i i�c � d� l� s �v* �
. 'f 1,�s.�� �rE f,'rT�c �r-wr?�c.S .
Froiit: � Depth: Height:
�quane. �'eet: Ctibi:: Feet: �
Front: Depth: � Height:
Square� Feet: G�ibic I'eet:
Tyrpe of Construction : fT�� Estimated Cost: $ 7 Uc'iG, G c
�b Be Cbr.�plete�: �� �' . �� / �� �
,
Proposed Driveway Width If New Opening Is Desired:
' Alt. A Alt. B
$ � $.
S�� R�VERSE SIDE OF SiIEET
7liie undersigned hereby ma}:e� application for a permit fcr the �vrk� herein specified,
ac�reeing to w.all work iri s��rict accordance �•�ith the City of Pridley Ordinances and
ruliiigs of' i:l1e Depzriment of Buil.dings, and hcreby declares that all tlie facts and
represen �itions stated an this «pplicatian are true and correct.
D.3TE: /��.�17 ' SIGNIITUF2E:
Sti��ulaCions :
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. IIUJL1311�lG t'�:(t11JT rC't� SCflf:laUl_�� � ,
:;l.:C:'t`xOl�� 7.. 7.'1�L 7n•.:��ectnr. of• riu�.lc?in�J :::hn].1, bcfo�:r. i.r.�.uii�c� ���nnit:; tar t:iic crc:cL•i.on
c�f ai►y 1�u3.1.cl.ia��� az :�1:�-uct:urc, w: fo�: .,i�y acicli.t:i��n +.:o auy cr.a.�C�.n�J 1�uilcli.ng o�: :;t•zucLur.�_,
. cir. !:c»� t,rry aa.L•��rciL•ir.,u or. r.cl,��ir.:; �o •any c.:i. :t:x�,�� y,t,,.�.a�.,►�.J oz sL�:ucture, u��c.n ar�J�li.c:atS.an
i:1i�r..:for.c, r.c:quarc t�lic Puymcu� 1�y tlie aZ�pl.i.c:ant: f:ar. ,ucli ��er.mi.L• ol.� fee.^, to tlie �nount•
?1CXtsltl 1�C`l.p�•/ uC:L fUY.L)1 il1lC� a.11 t:�lC If1i11�IlCJ: }3CJ:C].I7 ��L"UV].CIC:Cl i:U—�•:a.�:: •
1�11:i9 CUId�:1'1'tUC'�IO2J: �i�ig].c l?amil.y ilotnes and G�u��zqes; Y4.00/J.,0�0 cubx� �ec:t:. .
I?J,1a�•2 CI11:C1;: 25 I�crcet,t: of bul.�cii.ng ��e»niL- fcc.
llli]:VI:��d111' llL•'1'P:�55?01•;: (CqncreLc, G�irb �Lrcets Only) � "
' A].telnai:e n: Itc:inoval ai�d re��7.acement of concrete curb and
quL-L•er o�11y� I�riveway �lidth pl.us 6 feet• x�:�,��75
A1L•crnaLe II: F.r_moval and rep�acem�•nt of concrete curb and
� gutter and in�t�ll a 3 foot wide aPproach ���ith ''
.� , 6 inch depth; Driveway �•ii.c:th �plus G feet x$17.85 �
• . ��iIi'ION/1L r«�on►�i/1TI0�
I'or the purZrose oi computi.ng iees for. building permits,. L-he cubica� contents af any
buildi.ng or addition, is deter.cni.ned by rnultiptyir►g ihe ground area covcred L-rom a
p�a.nt six (G) inches belo:a the-' floor line oi tlie basemeni: or th� cellar to 'riie
avcrage 2ieights af the �upper surface or to the average height of fhe roof. surf:�ce
oi tize nain gable of a pitched rooi. '
Fox re�ai.rs or a.l.teratio:�s to an existing structure, the iee shall� be at the xa-�e
of $3 .00 �iex eacii fivc hundred dollars '� ($500.00) �r fracL-ion 2:71ereof in the cos�t
of all proposed wor.k. •
Ir. -nn ease sh��.�.1 th? f�e cliarged fc�r any pennit as set iorth i.n 5eetian �:�c-�;.�s •
th�ai $7.50 plus $.50 state surcharge. � • -
_ VERTFICATIO�t oF r-�u��nnrior�
NOTE: Permits �or construc�ion will b� issued a miniminn of 24 hours from tlie t.ame
vt application to a�.low for proper Y'C\r].Ctri of the proposed structure and of the
cons�ruction site. �
Ji Ceri:ificatc � of Survey of the lot, sho�,*ing the location o£ the foundat.ion once it
has been coi�stritcted �.*ill� be required before proceeding with the �raminq.
.�Ff�TIFIGI�TE �F ��C�UPA��CY "
' T►rplication for a Certificate oi Oceu��ancy shall be madz� ten (10) d�ys prior to the
u� e or accup�ncy ai any sti-ucture for !J�11Ci1 a liuilcli�iq perr,iit }.as been issued; and
said structure shall iio� be us�d oz- occupiec� Luitil a Ceri:ificate of Occui�anc5► has
liCCIl issued.
. � �� , • .
. .
�
sus�ecr PERM)� . �
City of Fridley �16 8 3 7
AT THE TOP OF THE TWINS g U I L D I N G P E R M I T �
r
� � RE .
� `L ____� COMMUNITY DEVELOPMENT DIV.
r � � PROTECTIVE INSPECTION SEC. ��9 �
i
1 � �
� /�"1 � CITY HALL FRIDLE� 55432 NUMBER REV. DATE PAGE OF APPROVED BV
�""� � ,�� 612-571-3450 910-F15 / /
11182
JOB ADDRESS 681 Ely Street N.E.
t LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED
DESCR. ],rJ-18 U Ri.verview Heights SHEET
2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE
Bill t�'agner 681 Ely 5treet N.E. 784-8781
3 CONTRACTOR MAIL ADDRESS Z�P PHONE LICENSE NO.
Same
4 ARCHITECT OR DESIGNER MAIL ADDRESS 21P PHONE LICENSE NO.
5 ENGINEER MAILADDRESS 21P PHONE LICENSENO.
6 USE OF BUILDING
Residential
7 CLASS OF WORK
❑ NEW ❑ ADDITION C� ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE
8 DESCRIBE WORK
Alter breeze�ray and add Chimney & Wood 5�tove
8 CHANGE OF USE FROM TO
STI PU LATIONS
SEPERATE P�R�i�T� REt�l11RED FOR b`��F��+
��=��frdc�. P�_��e����aa��` �r�� �I��V�a
TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD
SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING,
VENTILATING OR AIR CONDITIONING.
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
ANY TtME AFTER WORK IS COMMENCED. NO. DWLG. UNITS OFFSTREET PARKING
I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION 1 STALIS GARAGES
AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS QF LAWS VALUATION SURTAX
AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED y�`�OO �S`. SO
WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT
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- $1rj.OQ n
STRUCTION OR THE PERFORMANCE OF CONSTRUCTION.
p, a PLAN CHECK fEE TOTAL FEE
�«� $15.50
I NATUREOFCONTRACTORORAUT RIZ DAGENT tDA7Ei WHEN PROPERLY VALIDATED THIS IS YOUR PERMIT
� � —� � p�t.r 11 ��� ec � �
SIGNATUREOFOWNERIIFOWNEFB ERi IDATE) BLDG INSP �ATE
CITY OF FRIDLCY Effective Auq. i, i9g�
A�PLICATIO�� FO(; RESIDLWTI/l� 8U1LQIilG PCRi�;ITS
(Nc��. Alter�tions. Additions. or Repairs)
.
O��r�ER: _ .� ���
ADDRESS: _��/ � � � �f'. —
TEL N0: _ 7�� ��,�/ �
BUILDER: _�/���/�'/� �
___._
ADD1tCSS: 6'v�`/
TEL t�0: _ ��� � F �,��
Construction location
• STRITT N0: � �/ STItEET:
LOT r l5 � �p BLOCK r� ADDITION :!�
Corner Lot: �=nsiiie LoL: � Setback: _ Sideyar8s:
Ap�licar�t attach to this form t�ao Certificates of S1�rvey of lot and
pzoposed building locatio� drawn on certificates to scale.
L�� DESCRIPT101s OF fAF�STRUCTIO��
�-��=Z��-2.1� Front:
Squsre Feeta
l�/�Z �`1 �U � Front:
• � ��� Square Feet:
Deplh: Hefqht:
Qibic Feet:
�P�= l�eight:
Clibic Teet:
Rype of Corstructiarn: _.�OOD T�' A-/'�L �..,
__..._
Rb 8e Cbr.�plete8: � �� `S ,
Estimated Costa $ CpCS(� ,
�ilt. A Alt. B
proposed Drive+�ay kiclth If New Opening Is Des3.reds $' $
.__.-_.___
, . . SE� �VER,E SIDE OF SHEET
Tiie un8ersigned hereby maf:e� application for a permit foz the work herein specified,
agreeinq to cb ,all vork ir, strict accor8anee wfth the City of Frialey Orclinances and
ruling� of the Depazl�e»t of Duildings, and hereby c]eelares that all the facts anc3
repr�s�tatiens stated iai this applicat%n are true and correct.
D.�TLa _�� f "�.� SIGNATUT�:
Stipulatior�s s �
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BUILDII�G PERMIT FEE 6CHEDULE
The Inspector of buildings shall, before issuinq permits for the
ezection of any building oz structure, or for any addition to any
existinq building or stzucture, or foz any alteration os zepairs
to any �si�ting bniiding or structure, npon applicatioA therefoze,
sequire the payment by the applicant f or �uch permit of �ees to the
aaount bereia below set fortb and in tbe �annet herein provided to-wit:
TOTAL V1ILUATIQ�1
51.00 b� SS00.00
SSO1 tio 52.G00
S2r001 tD 525,000
525,001 to 550,000
li�S
510.00 Minimum Fee 515.00 plus surcharqe
510.00 fcz the first S500 plus S1.50 for each
additional 5100 or fraction thereof, to and
incladinq $2,000
$32.50 for the first $2,000 plus S6.00 for each
aciditional S1,000 oz fraction thezeof, to and
ir�cludinq $25, 000
S170.50 foz the first S25,000 plus 54.50 for
each a8ditional S1,000 oz fraction thereof, to
arrd including 550, 000
550,001 tc 5100,000 5283.00 for the f3zst 550,000 plus S3.00 for
each additional 51,000 or fraction thezeof, to
an8 includinq 5100,000
$100,001 a� up S443.00 foz the first S100,000 plus S2.50 for
each additional S1.000 oz fraction thereof
PLAN t�CKs 25 pesces�t of buildinq peimit fee
DRIVDaAY DEPRESSION ESf�tOW: Concrete G1irb Streets Only
Alternate "A": Removeal ar�d replaceJn�t of curb and gutter only ,
Driveway r�+idth pius 6 feet z$13.50
Alternate "B"s Removal ar�d replacement of cuzb arrd quttez and install a 3 foot
wide approach with 6 inch aepth
Driveway wi8tli plus 6 f eet x$15. �5
VERIFICATION OF FOUNDATION
Pe�cmits for constsvction will be issue8 a minimum of 24 hours fraan the time of
application to allow for proper zeview of the proposed structure and of the
construction site.
A Certificate of Survey of the lot, ehowinq the location of the founc]ation once it
has been constructed will be required before proceeding witb tbe fzami�q.
May 29, 1998
To Whom it May Concern,
.�
My name is Bill Wagner and I reside in Fridley at 681 Ely Street. My wife and I have resided
here since 1979 and do not plan to move. My neighbor Tim Kuensting, who resides at 655 Ely
Street, he has requested my permission to widen his driveway to the boundary stakes between
our property's. I have given Tim pernussion to e�ctend his driveway if your office has no
problems with it.
f�mcerel ,
� ��,,�
Bill Wagne_ r'