AF - 457836
BUILDING PERMIT
Village of Fridley, Minn. N� 2 2 9 y
Date �'�i•����,� .............� .......... .......
Owner �' . ..... .. ....... Builder ,
-�'�'�: ���� �� . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Address . . ���+ �I. . . . .�.�f�:�.s,rLd6f'. v„� . . . . Address . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
�C T[ON OF . BUILDING
No. . . `v !.��. . . . . Street . . .��;� . . . . . . . . . . . . . . Part of Lot . . . . . . . . . . . . . . . . . . . . . . .
....-- "�
Loi . . . "� � . . . . . . . Block . . �l" . . . . . . . . . . . . Addition or Sub-Division �.'��q,.-'�' ;�W''.� . . . � ,�!'*. .,�,�/f . . . . .
Corner Lot ............ Inside Lot ...:........ Setback �,y��"..�f..�... Sideyard ��t,,�ax� ...............
DES�CRIPTION OF BUILDING
To be Used as:
"� � Front . r.,t tf . . Depth .� � . . Heigh���.,�w.t!� Sq. F't. . . . . . . . . Cu. Ft.
. �.E��+'rk�'. . . . . � � . . . . . . . .
/�
.� ��ty..�. .. . . . . . Front .�.'��.'. . Depth .� � . . . Height . . . . . . . . . Sq. Ft. . . . . . . . . Cu. Ft. . . . . . . . .
Type of Construction . ���. . Est Cost .,,�.;,�.�¢it,ti. . . .�. . . . . . To be Completed �:.I`.1!�.�. �
In consideration of the issuance to me of a permit to construct the building described above, I agree to do
the proposed work in accordance with the description above set forth and in compliance with all provisions of
ordinances of the village of Fridley.
�...,� ° . � �
. . ,;;i . �/��?�:'� . . . . . . . . . . . . . . .
Tn consideration of the p€�yment of a fee of $. �//� , pernut is hereby granted to .ys ���,.�yt;u;,� .......
. . . . . . . . . . . . . . . . . . . . . . . to construct the building dr ad dition as described above. This pernut is granted upon
the express condition th�t the person to whom it is granted and his agents, employees 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
Fridley, Minnesot�. regarding location, construction, alteration, maintenance, repair and moving of buildings with-
in the village limits and this permit may be revoked at any time upon violation of any of the provisions of said
ordinances.
�w
... Building Inspector
NOTICE:
This pe�mit does not cover the construction, installatlon or alteration for wiring, piumbing, gas heating,
sewer or water. Be sure to see the Building Inspector for separate permits for these items.
IR
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SUBJECT rGn��n � �vv,.. _
City of Fridley 2 0 7 2
' , AT THE TOP Of THE TWINS g � I L D I N G P E R M I RECEIPT N.
r
i �• COMMUNITY DEVELOPMENT DIV. i
~ PROTECTIVE INSPECTION SEC. a-�
� � _"
r � - �; -
' i '
� �""/ � CITY HALL FHIDLEv 58432 NUMBER REV. DATE PAGE OF APPROVED BY
�""'� � �'� 612-571-3450 910-F15 3/11/91 / �
JOB ADDRESS 6957 H1C�S.OY"� ��}�'� NE
1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED
DESCR. 24 1 Qstmants 3rd Addition SHEET
2 PROPERTYOWNER MAILADDRESS 21P PFiONE
�huck & Lucy Reiland 6957 Ha,ckory Court NE 571-9661
3 CONTRACTOR MAIL ADDRESS Z�P PHONE LICENSE NO.
Steinex' Construction Inc. 158Q Rockstone Lane, New Hrigltiton, MN 55112 786-8684
4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO.
ENGINEER
MAII
ZIP PHONE LICENSE NO.
8 USE OF BUILDING
Residential
7 CLASSOFWORK � NEW C� ADDITION 0 ALTERATION ❑ REPAIR ❑ MOVE 0 REMOVE
8 DESCRIBE WORK
Const�uct a 20� x l6� AdditiQn to D�relling
9 CHANGE OF USE FROM
STIPULATIONS
�ee notations on �lan,
w�������
�efo�e digv�ng �a�� for
all utiliiy ;orations
454-0002 .
REQU I �E� �Y LA�
TO
&�� �}t ne�v roofs or fe�r-cf`s ard replacement roofs,
SEate_ Gcde requires tha¢ 2 la,aers e►f 15 Ib. felt,
mop�d toaether, be it►sta{I�d to a point 24 inches
up �rom exterior wail line,.or the use of ather
approved underlaymeat membrane.
SEP/�RATE PERMITS REQ�ItR�D F�iR
1NtFl�lr, �iE�Tl�l�, PLUN1e�l�G APJn S1GNS�
TYPE OF CONSr.
SEPARATE PERMITS ARE RE�UIREO FOR ELECTRICAL, PLUMBING, NEATING,
VENTILATING OR AIR CONDITtONING.
THIS PERMIT BECOMES NULL ANO VOID IF WORK OR CONSTRUCTION ZONING
AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION
OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAVS AT
ANY TIME APTER WORK IS COMMENCED. NO. DWLG. UNITS
I HEFiEBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION �-
AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS VALUATION
AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED $21 5Q.O
WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT �
DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE pERMIT FEE
PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REOULATING CON- $225 e OQ
STRUCTION q,� T►�I� PEppp FpppRMANCE F CONS UCTION.
� �� // O/ qu �� I � I ,/j J�, PLAN CHECK FEE
� o '� �\ r3/
TUiiE OF CONTRACTOR OR AUTHORIZED A6ENT
�n J �
SQ.
STALLS
OCCUPANCY
CU. FT.
' PARKINC
GARAGES
y5`�.�e %rJ
SAC CHARGE
' Fire SC $21.�Q
TOTALFEE—
y�2J-/ e GS
TED TF4yS IS YOUR PERMIT
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1�1 A1�ID I�2
Building Fiermit Applicatiaai
Effective 1/1/91
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r�v�a �,: r,�tt� �
C�GE A�'A: Iet�gth
DECR AR�+i: Ietlgth
���� �,,��•_����:rYi�+.�
width �_ Heic�t
Width i�eeit�t
Width Hqt/Grrnurl
$C�. E''t. �' /✓
Sq. Ft.
Sq. Ft.
Cl�R•
.
��1 x'��i.� /
Cbrr�r Lo�t [] Inside Iat � Ft. Yd Setback Side Yard Setbacxs
'I'j7pe Of COI�'l1Ctl�'1: �I$ A ��
, '�7�1R� �`� $ if
Approx. c�o�pletic�► nate: O� � y�j ��i-- o`� ), SZ)v
proposed Driveway Width If New Open��Q Is Desired: Ft. $ — S.`
� Width + 6' See Back Page
DATE: ° - _ APPZICANP• �,n..�.1�' �� �-�-o a �o � 'l�el• #����� �
• --
7� 3 — 3 ��-9
Permit Fee $ ,�
Fire Surch��rge $ o'� � , �
state s�rcha�:ge $ 1 t� ,`�j
SAC Ci�zrge $ _
Driveway ���av $
Park Fee $
se.wer r►ain c��arge S
. �.
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$ a��.a�
�S� �� ��
�5a .��
c�*rsr vs� ae�ar
Fee Sch,ec�ule an Reverse Side
.00i x P�mit vaivat3aai (1/loth �)
$.5o/Sl,000 valuatiaai
$650 per SAC Unit
Alt. ��An Ot Alt. °B�� AbOV2
Fee Determiried by �i �� r7r
A�*+� Ne�ssaYY I J Not NeoessaYY L]
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ao�c� ��
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I:+� �� � r • ��•. � ' y: _�F:i:�► i
�e CS�ief Huil.diryg Official shall, before issuing permits for the erection of arYy
�� i 1 din� or stnicGme, or for ariy adciiticai to ariy existirg buildir�g or stYUCture, or
for arly alteratica�► or repair to any exi.stit�g buildir�cl a�' s�u�e. up�i apPlication
therefore, require th+e payment by ttye applicant for such permit of fees to the �t
here3tl Ix1G�w set forth at�d iT1 t.h� manr,ar � p�� tra-wit:
'I10►I'AL VAI17E
$1 to $500
$501 to $2,000
$2,001 to $25,000
$25,001 to $50,000
$50,001 to $100,000
$100,001 t:o $500,000
�+�+�,
$15 (rtir►immn Fee is $15 plus �rge)
$15 for first $500 plus $2 for each additianal $100 or
frdCtiCa'i thereof, to ar�d 3TlCluding $2, 000
$45 far'fixst $2,000 plus $9 for each additio�al $1,000
ar frdCtiCn th,erepf, to and inCludit]g $25, 000
$252 for fiYSt $25,�00 plus $6.50 for each a+aditional $1,000
or fractic� thereof, to at�d inclt�dit�q $50, 000
$414.50 for first $50,000 plus $4.50 for each ac�ditional
$1, 000 or fractiaai ti�ereof, to at�d incltxiing $100, 000
$639.50 for fizst $100,Q00 plus $3.50 for each additional
$1,000 or fractian thereof, to and includitxJ $500,000
$500,001 to $1,000,000 $2039.50 for the first $500,000 plus $3 for each additional
$1,000 or fracticn thereof, to and iricluding $1,000,000
$1,000,001 and up $3539.50 for the first $1,000,000 plus $2 for each additional
$1, 000 or fractiaal �f
DItIVET��iY �SI�T EBCRO�W
(Doa�r�ete Wrb Streets A�lY)
Alternate "A�� ; R�maval ancl replac�ement of ca�rb ani gutter only - Driveway width plus
6 feet times $13.50.
Alt�rnate "B" : Remo�val and replac�ment Of cutb arxi gutter and ir�sta].1 a 3 foot wide
approach with 6 irxii depth -�iveway width plus 6 feet times $15.75.
' .ii' �' V• •: •Y '�'JI I� � •:
Permits for �vCtia� will be is��ed a minim,m of 24 ha�s frc�n the time of
application to allcw for prr�er reView of tl�e prc�OSed structure ar�d of the
oo�uctian site.
A Certificate of S�vey of the lvt, stbowir�g the locatioai of the fau�ciatio� cax;e it has
it has been vonstYU�cteci will be required before prooeeding with the fiaaning.
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������F TME 7WINS gU Il D i N G PE RM IT
„
� �
� ; v ����� COMMUNITY DEVELOPMENT DIV.
r � � PROTECTIVE INSPECTION SEC
l--_.� ��"" �'� CITY HA�L FRIOLEV SS�J2 NUMBER
t 612-57 �-3a60 s�aF� s
J08 ADDRESS
5 Hckr
t LEGAL LOT NO. BLOCK TRACT OR AOOITION
DESCR. 2
2 PROPERTY OWNER MAIL ADORESS
3 CONTRACTOR
Owner
0 ARCHITECT OR DESIGNEF
5 ENGINEER
8 USE OF BUILDING
Residential
7 CLASS OF WORK
MAIL AODRESS
MAIL ADORESS
MAII ADDRESS
REV DATE
10/2
ZIP
VAGE OF
/ /
28441
RECEIPT NO.
��
1PPROVEO BY
SEE ATTACMED
SHEET
PMONE
.�71-9661
PMONE LICENSE NO
PMONE UCENSENO
PHONE LICENSE NO
❑ NEW ❑ ADDITION � ALTERATION � REPAIR O MOVE O REMOVE
8 OESCRIBE WOf;K
Reroof house and
9 CHANOE OF USE FROM
STIPULATIONS
30 Sq) Tear-off
TO
Underlayment must comply with the State Building Code.
SEPARA7E PERMITS ARE REOUIRED FOR EIECTNICAL. PLUMBING. HEATING, r�rt Vr GVnSr. OGCUPI
VEN7ILATING OR Alq CONOITIONING.
THIS PERMIT BECOMES NULL ANO VOID IF WORK OR CONSTRUCTION 20NING SQ. FT
AUTHORIZED IS NOT COMMENCED WITMIN 80 OAYS, OR IF CONSTRUCTION
OR WORK IS SUSPENOED OR ABANDONEO FOii A PERIOO OF 120 DAYS AT
ANY 71ME AFTER WORK IS COMMENCED NO DW�G. UNITS
I NEREBY CERTIFY TNAT I HAVE READ AND EXAMINED THIS APPLICA710N S7A�LS
AND KNOW TME SAME TO BE TRUE ANO CORRECT. ALL PROVISIONS OF �AWS VALUATION
AND ORDINANCES GOVERNING TNIS TYPE OF WORK WILL 8E COMPLIED
WITM WHETHER SPECIFIED HEREIN OR NOT. TME GRANTING OF A PERMIT $2571
DOES NOT PRESUME TO GIVE AUTHORI7Y TO VIOLATE OFi CANCEL TME pERMtT FEE
PHOVISIONS Of ANV OTHER STATE OR IOCAI LAW REGUTATING CON-
STRUCTION OFi TME PERFOfiMANCE OF CONSTRUCTION �7L� 7S
S�GNATUpE OF CON'aACTOp Oa AUTMOpiZED eGENT 1DATE�
��GNATUAE O� OWNEA��� OWNEpBw�DEAi iDA�Ei
�qpUP OCCUPANCVLOAD
CU FT.
OFFSTREET PARKING
IGARAGES
SURTAX
$1.29
SAC CMARGE
Fire SC $2.57
� 7►+i5 IS VOUR PERMII
I
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fip iF
NEw [ ]
ADDN ( ] CTTY OF FRIDLEY
ALTER [] SINGLE FAMII.Y AND DUPLEXES R-1 AND R-2
BUILDING PERNIIT APPLICATION
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ConstructionAddress: � �� / > �J
Legal Description:
Owner r
ContracU
Address:
LIVING AREA:
GARAGE AREA:
DECK AREA:
OTHER:
Effective 1/1/98
Tel. # S ��—`���_
MN LICENSE #
!�� Tel. #
Attach to this application, a Certificate of 5urvey of the
lot, with the proposed construction drawn on it to scale.
DESCRIPTION OF Il1�IIPROVEMENT
Ixngth Width Height Sq. Ft.
Length Width Height Sq. Ft.
Length Width Hgt/Ground Sq. Ft.
�v
Construction Type: �' � �� �Q �S� Estimated Cost: $ `�. , �j7 � o
(Fee Schedule on Back)
Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x$ _$
DATE:
Permit Fee
Fire Surcharge
State Surcharge
SAC Charge
License Surcharge
Driveway Escrow
Erosion Control
Park Fee
Sewer Main Charge
TOTAL
STIPULATIONS:
APPLICANT:
CITY USE ONLY
Tel. #
$� ,�7� Fee Schedule on Reverse Side
$ Z . `� .001 of Permit Valuation (1/lOth%)
$ `. �g $.50/$1,000 Valuation
$ $1000 per SAC Unit
$- N A ' $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 [ ]
$ 6/
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
$50,001 to $100,000
$100,001 to $500,000
$SOO,QO1 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 $SOO,OQO 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 tunes $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.