AF - 41640. .
BUILDIN'G PERMIT
- Vill +e of Friclle , Minn. N° 2-413
� y.
Date . . . . . . . . '�.�. `'�`�"': • � .���. �. . . . . . .
Builder ... . . . �!Lri! , .. . . . . . . . .
Owner . . . . . . .�. . � ��'"�`�' . . . .
Address ....���: �� ..�. . .... Address .... ... .. ............... ... �,..
ATION OF BUILDW� :
I Na. �� .� . Street . � . . �.� . . . . . . . . Part of Lot . . . . . , . . . . . . .
. .
Lot . . . . . . . . . . . . . .. . Blodc . . . . . . . . . . . . . . . . 1�ddition or Sub�-Division . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
, �
Corner Lat . . . . . . . . . , . . Inside Lat . . . �`. . . . 5etback . . . . . . Sideyard . .
DES�RIPTION OF 9UILQIIVG
Used as:
. � .
6 . . . . . Frant . . � �. . DePth . . . �. . Height � . . . . . . . . . Sq. Ft. . . . . . . . . Cu. Ft, . . . . . . . .
� . .. _ '
��� ..
. .. .. .. .... .. .. . . .. . Froat . . .. . .. . Depth . . . Height . .. .. Scl. Ft. . .. . Cu. Ft . ... .
....
.. .�.. A .. . ,
Ty� of Construction . . . . . .. . . . . . . . F•st. Cost . . : . .�.��! �. , . . . . To be Completed . . . .. . . . . . . . . . . . .. .
In considerat%n of the issuance to me of a permit to construct the building described above, I, agree to do
the proposed work in accordauce with the desc�iption above set forth and in campliance wIth all provisions of
ordinances of the village of Fridley.
_ .......................................... .......
In c�nsideratfon of the paymetit of a fee of $.°" ar.� �'. , Permfi is hereby granted to . .: . . . . . . .. .. .. .. . . .. . . .
. �
. . . . . . . . . . . . . . . . . . . . . . . to construet the bufid3ng or acl dition as described above. This permit - is granted upon
the express condition tha.t f.he person to whom it is granted and h#s agents, `emplayees and worl�nen, in all work
done in, around and upon said building, or anY Part thereof, shall conform in all respects to the ' ordinances of
�'ridleq� M'innesota. regarding loca:tion,: construction, alteration, ; maintenance, repair and moving of buildings with-
in the village limits`and this permit may be revaked at any time upon vicr�on af' any of the provisions of said'
or8ina�r►ces. ' '
�,��r� � s.�"°",��
. �;� , �;�; K, . .:. diug Inspeator
•
NOifCEs
This permlt doe,s not cover the conatruation, inatallation o� alteration: tor wt�ing, pluml�ing, gas heating,
sawe� o� water. Be sure to see the Buliding Inspeotor for separate permits for fil�ese items:
� •:. �
�
M
E�
�
a
�
N
�
�
0
�
x
N
r t� � M
� x x �
����
°xx�
fA � � �
� � � �
����
�
� �
�n
�
�
�
y E
� '
�
� �
O
�
� � A
� �
�
a
p
x`
O �
(' , v \
�� � .
�1
� '
�����
� �
� w
M w
�' a � y z
y a ►�
�,�,, o W �g a
" '� � �M G
�. 'ti
� k
p ►� � �V�1 CO o
��y ���
c� y ; �
oy: ��
. . y �
. . �
. . A
. . . $ .
. . . � :
: : : �.:
: : : �:
m:
� � � o :
� �
� � � � s
fn �s � � v�
;V
�y �
� � �
m �d
� �
�
� �
I
�
�
�
�
�
d
�
Q
b
�
�
O
0
r
�
�
�i
C �
K I
tu
� w
��
�
�
M b
�
M
o �
�o
� �
A y
N
A
�.
m:
��
�:
�
�
�
cn
w � a. �
.+ `�
� � � z
n � H
� �
� � �
�
�
�
� '
d ��
0
�
� �
a� � �
� bd �'
c�o � o �y
�
0
e
O
�
��
� �rT�
,a. a
o °o
� �
��
� �
x�
° �
� �
M '
�
�
��
� M
�° x
� 0
� 'i
C �
Fi° ��„
��
o �O
!�
�
�
�
�
�
wwoo
"8 � o 0
sn tn tfs rn
�
�
�
°x
M
0
�
�
� � x
��.� �
�� ��F°. R'i° � p1 �
� � � � � �
� a � �
o���'�
� �o�
� Q
���o�
� � : m �
� � � �
o, � : G ••
� O . . �
O � . . �
Q
o . . . �
.° : : : �
�
. . . . �
W��wo
c � S o 0
s�, v� {n an
6
Q C1] �y y 0
� � � �
� � a R. m
� „ w o '+
� �
o� y
� �
�
� �
� �
o f�
I � 4
m
�
x
O
�
�
�
�
�
���5
�°�,� �
� y � �
o �
����y
� � " � �
� � b
"1 (Z° �
� �wy. M
�����
�� � �
� M
w � � �
� � .
� . .
� Op : :
Op O . .
P : : :
- � �
w��o �
0 0 0 0
0 0 0 0
�n tn sn
O
t"
O.O. � a`�
�
.y
0
� ��� �
A �"
�
���� a
w � •fD, �e
� o�p�.
� d��
� �,
�b �
�� °"
�
� �s���
� �y�� �
� yroy
� m �
�
� ����
p�"�
� mo
�p.�p
.� y M
�!
i ����
ro
` �°��
� �f�D M
� �
'�' ii
���
��$
� �
•• � � rr
eo H, �p
� `�'� ,��?, �.
D
�
D
r
�
�
m
H
2
m
v
m
�
;�
�,
m
�
x
�
m
�
�
�
'O�
Oi
�
�'
O
�
�
ao
O �
� p
d �
O� �
;. A
�
��
� ��
7 �p
0.�
v�
�� �'s
� �
0
�
�
�
�
�
�
D
�
���
-�
SUBJECT
City of Fridley
ATTHETOPOFTHETWIINS gUILDING PERMIT
r
� �
� �• COMMUNITY DEVELOPMENT DIV.
r � v � PROTECTIVE INSPECTION SEC
l.--- ,� �"'�.� CITY HALL FRIDLE� 55432 NUMBER t+EV.
i 612-571-3450 910-F15
JOB ADDRESS 684 Ely Street NE
1 LEGAI LOT NO. BLOCK TRACT OR ADDITION
oescR. 27, 28, 2 V Riverview Heights
2 PROPERTY OWNER MAIL ADDRESS
Don Reiter 684 Ely Street NE
3 CONTRACTOR MAILADDRESS
Same
4 ARCHITECT OR DESIGNER MAIL ADDRESS
DATE
5/9/91
ZIP
PAGE OF
/ /
r1; ,
y�iq
APPqOVED BY
SEE ATTACHED
SHEET
PHONE
786-0547
PHONE LICENSE NO.
PHONE LICENSE NO.
5 ENGINEER MAIL ADDRESS Z�P PHONE LICENSE NO
8 USE OF BUILDING
Residential
7 CLASS OF WORK
❑ NEW ❑ ADDITION ❑ ALTERATION �7 REPAIR ❑ MOVE O REMOVE
8 DESCRiBE WOHK
Reroo� Dwelling (;tear-o��) 23.Squares
9 CHANGE OF USE FROM
TO
STIPULATIONS
Follow State Code on ice and water shield.
On al{ new"raofs or tear-offis and replacement roofs.
State Code requiFes tha� 2 layers of lb ib. fel�,
mopped together, be installed to a point 24 inches
up from exterior wat! tine, or the use of other
appro�ed underlayment membrane.
TYPE OF CONST.
SEPARATE PERMITS ARE RE�UIRED FOR ELECTRICAL, PLUMBING, HEATING,
VENTILATING OR AIR CONDITIONING.
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTHUCTION ZONING
AUTHORIZED IS NOT COMMENCED WITHIN 80 OAYS, OR IF CONSTRUCTION
OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT
ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UN
I HEREBY CERTIFY THAT I HAVE HEAO AND EXAMINED THIS APPLICATION 1
ANO KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS VAIUATION
AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED $1i196
WITH WHETHER SPECIfIED HEREIN OR NOT. THE GRANTING OF A PERMIT
DOES NOT PRESUME TO GIVE AUTHORITV TO VIOLATE OR CANCEL THE pEqM1T FEE
PqOVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- $29� OO
STRUCTION OR THE PERFORMANCE OF CONSTRUCTION.
OF CON7RACTOR OR AUTMORIZED AGENT (DATEI
��u� 5=�-�/
.�..,.,.� .� � ucoauunca� iDATEi
STALIS
NCY GROUP IOCCUPANCYLOAD
CU.
EET PARKING
IGAHAGES
$,60
AC CHARGE
Fire SC $1.20
OTAL FEE
$30.80
THIS IS YOUR PERMI
� [ ] EffeCtive ],/1/91
1�DL't1 [ ] i�-1 At�ID R-2
AI,TIIt [ ] Building P�mit Applicatian
Qoa�stsuctiaai �,��;
_. . � � « . .•
�; �'y ,L= / S � i(�'t
[�o � S �+ a�. �L • G
� �ir u f �2 vif �:1�
<Co%Fl
owner Name & 1���: �/�e i� �e v� ,y ��/ .��y Z�el. # �6 � D S�l %
��pr• 'I�el. �
Addr+es.s: '
L1YII�1G AREA:
Q�R�L�', �:
D�ECR AR�:
�:
Attacii to this applicatian, a Oertificat;e of S�vey of tibe
lot, with the p�apo�ed cor�trvcticai drawn an it to scale.
L�gth
j prr�rhh
. s_ «• .� . .�- � �• •.. • s �:�
Width
Width
Width
Heic�t
Heic�'it
Hgt�G�o�n�d
C��ic
Sq. Ft.
Sq. Ft.
$Q. �.
Corner Iat [] Inside Lot [] Ft. Yd Setback Side Yard Set2aacks
ZYpe of Do��suctioai: �� r� �� S�eu�/�s Estimated Qost: $�
�
Approx. �letiaai DatQ: �'/ �i�
Proposed Driveway Width If New Opening Is Desire�d: Ft. $ S
APPI�C�1Nr. ��y���0��� dth + 6' See Back Page
DA'I�: S � ' i� • 'l�el • # 7�6 ' O �� %
P�smit Fee $ ��. dO
Fire �arge $ . U
state �arge $ D
SAC Q�arge $
Driveway Fscrow $
Park Fee $
sewer r�ain Cl�arge S
r�•1��
�M�� :ili.��,�-�
S �O � ��
QTY �E �Y
Fee Sci�ule ac► Revet� Side
.00l x Pe�mit valuatiaal (1/loth �)
$.50/$1,000 Valuatian
$650 per SAC Unit
Alt. pAn OI' Alt. pB�� �OVe
Fee Determined by �i *+�*-; rr�
� N��Y I ] � N��Y L ]
�
�
:�1 � � �� f ' '�'. � "ti" ' �:I:.y� �1 :
'Eae Chief Buildin3 Official shall, befc�e iesuir�g permits for tiye erectioa� of ar�y
�; � dir�q or �, a�r fo� any addition to any e�d.stir�g bui.ldit�g a� str�cture, or
for any alteYatian os repa.ir to any existin4 �u�ildinl ar' �, t� aPPlication
tl�erefore, require the Pal'm�nt bY the applicatxt fcs sud� permit of fees to the aQaount
here3il belaw set foxtl'1 alld 31i ti]e �r�rwr h�ere317 p�vv3ded to-wit;
'I�L VAIIJE
$1 to $500
$501 to $2,000
$2,001 to $25,Q00
$25,001 to $50,�0
$50,001 to $100,000
$100,001 to $500,OU0
i� ��
$15 (Minim� Fee is $15 plus s�u+ci�arge)
S� far fiYSt $5� plus $2 far each additianal $100 or
fractian ti�ereof, to �nd includ.ing $2, 000
$45 far fitst $2,000 plus $9 for each additio�al $1,000
o�' fractior� thereof, to ani it�cluding $25, 000
$252 for first $25,Om0 plus $6.50 for each additianal $1,000
or fractian t2�ereof, to ard includit�g $50, 000
$414.50 fas first $50,000 plus $4.50 for each additi�al
$l, 000 C�r frdCtiari tl�ereof, to ani inCludiilg $100, 000
$639.50 for first $100,000 plus $3.50 for each additional
$1, 000 or fraCtioai ti�s+epf, to arid including $500, 000
$soo,00i to $i,aoo,000 $2039.50 for ti�e fiist $500,000 plus $3 for eac�, aaaitiona�
$1, 000 or' frdCtian thet�eof, to Srid includii�g $l, 000, 000
$1,000,001 arid up $3539.50 for the first $1,000,000 plus $2 for each additional
$1, 000 or fractiaal t2�er+eof
D[tIVEi�Y �RffiSI�T ESQmW
(aancrete Qni� Streets OrilY)
Alternate "A�� ; Re�ov�al ar�d re�laoe�nt of c� ani gutter anly -�iveway width plus
6 feet times $13.50.
Alternate "B" : R�oval ar�d replao�nent of aa� ar�d gutter ar�d install a 3 foot wide
approach with 6 irnc �iep�th - D�iveway width plus 6 feet times $15.75.
►��+; �;�+ ✓: M .• , •r �ru,u�_ Y •'.
Perm-its far' �ian wi11 be is�ied a minim� of 24 i�aurs fi� the tiaie of
applicatiaal to allcw for p�+oper review of tl�e pmdpos�ed stn�re ar�d of ti�e
caa�stn�ckian site.
A C�itificate of �vey of the lot, showing the locat3an of th�e faurlatian a�xz it has
it has bepsi will be z+equiz+ed before prooeedir�g with the fra�aing.
�