AF - 47069City of Fridley, Minn.
BUILDING PER.N�IT
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N° 5206 �
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Owner• � Builder .— �r .�_.��_.._..__..v�.
Address Address �"� '���� � � _ �
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No. �.�C:-+� Sfreet __ ..� P f Lot
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Lot �.�_ Block _._ Addition or Sub-Division ,L,E„�,{_ �__
Corner Lot __ Inside Lot —.� Setback ��._ Sideyard _
Sewer IIevation ________ — Foundation IIevatfon
� DESCRIPTION OF BUILDING
To Used „�� ���-�- � � f, ���
Front Depth Height Sq. F�� Cu. Ft
F`ro • Depth `� eight __��. Sq. F't. Cu. Ft
Type of Construction ..='�C Est Ctlst .�/._."„`�:. '"`r°.��To be Completed _.
In considera.tion 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 a11 provisions of
ordinances of the dty of Fridley.
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In consideration oP the payment of a Pee of $��_� r., permit is hereby granted to
to construct the building or addition as described above. This permit is granted upon
the express condition that the person to whom it is granted and his agents, employees and worl�nen, in all work
done in, around and upon said buiiding, or any part thereof, shall conform in all respects to the ordinances of
Fridley, 112innesota regarding location, construction, alteral3on, maintenance, repair and moving oP buildinga
�� th�e dty limits and this permit may be revoked at any time upon �tion��.�ny of the proviffions of said
Inspector
NOTICE:
76ii permif doss nof aover fhs eoeatruetion, in�allafion fo� wiring, plumbing, eai hesHng, sswe� or wate�. Be sun to sss
ths Buildieg lespaeror fo� eepuate parmHs fo� th�e ihms.
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APPLICATION FOR BIIILDIlVG PERMTT
CITY OF FRIDLEY, M�iESOT@
Owners Name C���=f�`,�� s� ,/����f,�'�i �( Bui].der �/���5%=�° /�� r//�I��%=�
Address ���,�/�� �i -�, _ Address�`/� � ff .g.,� /i'/ �•
LOCATION OF BUILDTNG
No. � 9� Street /�' �d�� .� _ Ps�rt of Lot °�p�
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I�ot �� 3,� Block . /� Addition or Sub.Div� � / � �s/P �'.GF_ �t4' /� � (�%`T_
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Corner Lot Ineide Lot t/ 5et Ba.ck �,,� Side-Yard ��_�.
SEW�R. ELEVATION ---- FOUNDATION ELEVATION -�
Applieant attach to this form Certificate of Survey of Lot and proposed build3.ng
loca.tion.
DESCRIPTTOIV OF BUILDIl�IG
To be used as:
`° Front � �' Depth_ � s/_w Height � �
Sq. Ft. � � �� Cu. Ft. ��'�,5'=
Front Depth Height
Sq. Ft. Cu. Ft.
�pe of Construction `�' i/ �/_� , Estimated Cost %1, �
To be comple�ed , ,,,� ���.�,� �S ,
The undersigned hereby makes application for a permit �'or the work herein specified,.
agreeing to do a11 work in strict acCordance with the City Ordinances and ruling of --�,,,,,
the Department of Build3ngs, and hereby declares that all the fact$ and representa-
tions ata.ted in this appl3cation are tru� and correct. ,
DATE f��B�,�, SIGNATIIRE .r�.,;� � ��,,�_�r�P ._,_
(A Schedule of Fee coats can be found on the Reverse Side.)
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BIIILDING PERMIT FEE SCFIEDULE
3ection 2. The Inspector of Buildings she.11, begore issuing any perm3:t
for the erection of an� building or atructure, or for any addition t�
a,ny existin� building or structure, or for any alterations or repairs
to.an� existing buildin� or structure, upon application therefor, require
the payment b�r the applicant for such permit of fees to tY�e amount herein
be3ow s�t forth atul in the manner herein provided to-wit:
2.1. For any auch permit for the erection of any fire-proof buildin�,.other
than a gaxage, warehouse, factor� or grain elevator, or for the erectipn of
anar fireproof afld3.tion, for similar occupancy, to any exiating bttilding
shal7. be at the rate of $1./.�0 for each one thousand cubic feet, or f'rsction
thereof, in such cubical contenta.
2.2. For an� auch perm�tt for the erection of any f3reproof garage� �ex'e-
housQ� factory or grain eleeator; or for the erection of any fireproof
addition for sim3lar occupancy, to any existing building shall be at tha
ra.te of �1.25 for eac� one thousa.nd cubic feet, classified as "fireproaf'�
by Section 502 AF the Minneapolis Building Code.
OUS
2.3. For any such permit for the erection of an
other than a garage, warehouse, factory or grain
f3.reproof addition, for simi].ar occuparacy, to an
Perm3t �7..� for each one thousand cubic feet,
GAR�AGE3
y non-fireproof building
�levator, or any non-
y existing bui3.ding.
2.4. Fbr an�► such permit for the erection of any non-iireproof garage�
werehouse, factory or grain eleaator, or for the erection of any non-
fireproof addition, for si.milar occupancy, to any existing building
for each such bu3lding or addition. Ninety Centa for each one thou�d
cubic feet or fract3on thereoi', in the cubica]. contents thareof w3.th a
min3mum of �4.00. � �
For '�he purpose of computing fees for building permits the cubical contents
of any build3.ng or addition to a uniform height.throughout by multiplying
the ground area covered f'rom a point six.(6) inches below:the floor line of
the basement or cellax to ihe average height of the upper aurface or to the
everage height of the roof auxface of the main gable of a pitched roof.
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2.5. For repairs or alterations to an existing structure, the fee shail be
at the rate of �3.a0 for each Five Hursdred Do11ax,9 (�5d0.00), or fraction
thereoF in the cost of all propoaed work.
2.6. In no case sha11 the fee chaxged for any perm3t as set forth in
Secti�-2" be leas than $4•�•
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INDUBTRIAL p� Ct ��'��
COMMfiRC1At,
CITY LOTB a�r� Ass�c�Ar�s, /ac.
TOPOmRqPHICAL
ZAKEBHORE
PLA�f�� LAND SURVEY4R5
BNOPPINp CENTER — WEBT MAIN BTREET
r ANOKA� MINNESOTA
HARRISON 1-6340
8URVEYSIN:
AMOKA,
HEPINEPIN,
I SANTI,
SMERBURNE
COUNTIES
Joe�p�n Me�ci�.eze➢c /�i . Q/ �l�� B;�E�-�1T-b«�
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�I VER'�iT �' A EI GH T� ,
�c�ka �ova���y, Minri�arat�
� HEREBY CER'i1FY TNAT tHIB 18 A TRUH AND CORRECT REPRESENTATIOPf OF A SURVEY OF THE BOUNDARIE8 OF
THE ABOV6 DEBCRIBED LAND, AND THH LOCATION QR AL4 BUILDING8, THEREON. AND ALL VISIBLE ENCROACHMENTS,
IF APVY, FROM OR ON 8A10 I.AND.
AS 6URYEVED B1/ M8 TNtB ._....�.icLt_. DAY OF ....t1.�.I,:�1....... .. A.D. t96� .
N. C. HOIIIM SSO TES. — LAND SURVEYOHS
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City of Fridley, Minn..
BUILDING PERMIT
nate: � �tT[.Y 6, 1�66
Owaer: LEONARTi E. GRASSI�I Builder sAt�
Ad�s 690 IROATON STREET N.E. Address
F�IDLEY. ��pTA °i5432
�1i'° �8915
LOCATION OF BUILDING
No. 590 street IR�NT�16 �T1t�ET N.E. Part oP Lot
Lot 3� �...� 3�lock � Addition or Sub-Division iZIVF�IY���� FY�I��1T�
Coraer Lot _ Inside Lot � Setback Sideyard
Sewer IIeval3on — - Foundal3on Elevation
DESCRIPTION OF BUILDING
To be Used as:
D�`i' . G�`.R.l! GE �t j p Depth �� 2 Height 1 u Sq. Ft � Cu. Ft �,� QO
Front Depth fTeight Sq. Ft Cu. Fk
Type of Canatruction ��� Est, Cost _ 1� �1 QQ�.. To be Completed
Ea conai�eration of the issuaace to me of a peraift to construct the building described above I agnee to do
the proposed work in accordance with the d�scription above set forth and in compliance with afl proviaions of
ordinances oP the dty of FY3dley.
In camaiderat[on of the payment of a fee oP ��. 0� , permft 9s hex�eby granted to Z�ON�".R'�? E.
GR�1 a�INI to conatruct the buflding or addition as d�crlbed above. This �ermft ia granted upon
fihe exPress c�ndition that thepereon to whom it is granted and h3a agente, employees and worl�nen, fn all work
done in, around and upon eaid building, or anypart thereof, shall coffiorm in all respecte to the orciinances oP
FridleY, Mfnnesota regarding lxation, construction, alteratfon, ma3ntenance, repair and moving oE buildiugs
within the dty ]imits and thfs permft may be revoked at aqy ti�ne upon violatfon of any of the provfs�tons oP said
ordinances.
CF�.ii :I�CE BELISLy �� ��
NOflCBs
'tlds p�nak doa nef eeva �h� eeeseoaHee, fenallaHoe ter �rirtey, plumbtno, oa 6uNea, a�n� ar waMr. B� sun ts a�
11n dutldloo In�puto� !o� ap�raN p�►mNt Po� 16�a Nu�.
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OWNER'S
APPLICATIOR FOR BUTLDING PERMIT
CZTY OF FRII�LEY; I�1�TESOTA
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ADDRESS � ADDRESS
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. LOCATEOAI OF BO�LDING
NO.� �(� _��.�.. STREE� � PART OF LUT
� � � BLOCR � ADDITION OR SIIBDIVISION�� ��� ,/�.�"'
CORNER LOT INSIDE LOT�SETBACK SIDE-YARD �, �
SEWER ELEVATION FODNDATIOA ELEVATI4N �
Applicant attach to this form Two Certificates of Survey of Lot and propo�ed
building location drawa on these Certificatea.
DESCRIPTION OF BUILDIRG
To be uaed as; �
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Front�9 Depth � � Height f�
Sq. Ft ._ `;7'� �1 Cu. Ft . .�-� c' �"
_ Front Depth �Height
- ..__.
Sq. Ft. Cu. Fti.
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Type of Constructioa Estimated Cost__ ��f� (� o�
To be comp3eted
The underaigaed hereby makes app�lication for a permit for the work herein
specified, agreeing to do all work in strict accordance with the City of
Fridley Ord3nances and rulings of the Department of Buildi�gs,, and hereby
declares that a11 the facte and represeatatioas etated ia this applicat3oa
are true and correct.
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DAT�:� ' � �° � � SIGNATIIRE � .
(Schedule of Fee Costs can be found on the Reverae Side).
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BOILDING PERMIT FEE SCIiEDUI.B
SECTION 2. The Inspector of Buildings sha11, before isauing anq permit for
the erection of anq building or structure, or for any addition to any existing
building or structure, or for any alterations or repairs to any existing
building or atructure, upon application therefore, require the payment by the
applicant for auch permit of fees to the amouat herein beiow set forth and in
the manner herein provided to•wit;
2.1. For any such permit for the erection of any fi.re-prdof building,
other than a garage, warehouse, facto�r or grain elevator, or fo'r the erection
of any fire�proof addition, for similar occupancy, tio any exiating building,
shall be at the rare of $�:40 for each one thousand cubic feet, or fraction
thereof, in such cubical contents.
2.2 For any such perm9.t for the erection of any fire -proof garage,
warehouse, faetory or grain elevator, or for the erection of any fire�proof
addition, fnr similar occupaneq., to any ezisting building ahall be at the
rate of $1.25 for each one.thousand cubic feet, claseified as "fireproof"
by Section 502 of the Minneapolis Building Code.
HOIISES
2.3. For aay such permit for Che erection of aay aon-fireproof
building, other than a garage, warehousQ, factorq or graia elevator, or
any non-fireproof addition, for similar occupancy, to any existing bui]ding -
permit $1.00 for each one thousand cubic feet.
GARAGES
2.4. For any such permit for the erection of any non-fireproof garage,
warehouae, factory or grain elevator, or for the erection of any non-fire-proof
addition, for similar occupancy, to any esisting buildi� or for each such
building or addition - ninety cents ($0.90) for each one thous.and cubic feet
or fraction thereof, in the cubical contents thereof with the minimum of $4.00.
For the purpose of computing fees for building permita, the cubical contents
of any building or additioa to a uniEorm height throughout by multiplying the
ground -area covered fram a point six (b) inches below the floor line of the
basement or cel].ar to the average hr��ght of the upper surface or to the average
height of the roof sur�ace of the main gable of a pitched roof.
2,5. For repairs or alterations to an exi$ting structure, the fee shall
be at the rate of $3.00 per each Five Hundred Dollars ($500.00) or frac�i�n
thereof in the cost of a11 proposed work.
2.6. In no case shall the fee charged for any permit as set forth in
Section 2 be less than $4.00.
STORM REPAIR DAMAGE FEES;
Residential ; Estimated Cost of work up to S.`.�;0. L�� -$�.^a
Estimated Cost of wo.-:. c•:��: v: ���:1 °:;1 - Y�L.,^0
Co�ercial; Estimated��t o�: ���t,��i� �.� �� :`;;°�`r�+� -� ���r'"�
Estimated .,��t o� �;o�k ov�� y �t.r',;.Ut1 - Y��U...� � , � ?
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SuB�ECi
City of Fridley 3 3 6 0
AT THE TOP OF THE TWINS g � I L D I N G P E R M I T
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; � RECEIPT NO.
� `y ����� COMMUNITY DEVELOPMENT DIV. � � ��
r � � PFiOTECTIVE INSPECTION SEC
l.-_. A��'��,•� CITY MALL FRIDLE� SSI32 NUMBEF REV DATE VAGE Oi AVPROVED BY
L „ 763-571-3450 910-Fi5 6/11/03 / /
J08 ADDRESS 690 Ironton Street NE
t LEGAL L07 NO. BLOCK TRACT OR ADOITION SEE ATTACHED
DESCR. 32,33 R Riverview Hei hts SHEET
2 PROPERTY OWNER MAII ADDRESS 21P PMONE
Carrie & Tony Ostapenko 690 Ironton Street NE
3 CONTFiACTOi; MAIL ADDRESS ZIP PMONE LICENSE NO
Anderson Custom Homes 18541 Jivaro St NW Oak Grove MN 55303 612-386-4601
d ARCHITECT OR DESIGNER MAII ADDRESS ZIP PMONE �ICENSE NO.
20338459
5 ENGINEER MAIL ADDRESS 21P PHONE LICENSE NO
8 USE Of BUILDING
Residential
7 CLASS OF WORK
O NEW O ADDITION ❑ ALTERATION �7 REPAIR O MOVE O REMOVE
B DESCRIBE WOFK
Reroof House (15 Sq) Tear-off
9 CHAN(3E OF USE FROM TO
STIPULATIONS
Underlayment must comply with the State Building Code.
SEPARATE PERMITS ARE RE�UIRED FOR ELECTRICAI. PLUMBING, HEATING, TYPE OF CONST. OCCUPANCY GROUP OCCUPANCV �OAD
VENTILATING OR AIR CONDITIONING
TMIS PERMIT BECOMES NULL AND VOIO IF WORK OR CONSTRUCTION 20NING SO. fT CU FT.
AUTHORIZED IS NOT COMMENCEO WITHIN 60 DAYS. Op IF CONSTRUCTION
OR WORK IS SUSPENOED OR ABANOONED FOR A PERIOD OF 120 DAYS AT
ANY 71ME AFTEF WORK IS COMMENCED. NO DWLG. UNITS OFfSTREET PARKING
I MEREBY CERTIfV 7MA7 I MAVE FiEAD ANO EXAMINEO TNIS APP�ICATION 1 STA�L$ GARAGES
AND KNOW TME SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAW$ yALUATION SURTAX
AND ORDINANCES GOVERNING THIS TVPE OF WORK WILL BE COMPLIED @
WITN WHETMER SPECIFIEO MEREIN OR NOT. TME GRANTING OF A PERMIT �1 � 73J W,8]
DOES NOT PRESUME TO GIVE AUTMORITY TO VIOLATE OFi CANCEL TME pEqMIT FEE SAC CMARGE
FROVISIONS OF ANY OTHEIi STATE OR L L LAW REGUTATING CON- @
STRUCTION OR T ANC CONSTRU ON W63.15 Fire .SC �1.73
PLAN CHECKFEE TOTA�FEE
cense SC $5.00 $70.75
S�GNATURE O� CON'FACTOQ Op AUTMOp�2ED sGENT �D�TE� MEN PROPERLY VALIOATED TNIS IS YO Fi PER IT
S�GNn1UAE O� OWNEA��f OWNEABUILOEA� IDATE� BL G�NS� � �
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NEW [] CITY OF FRIDLEY Effective 1/1/2003
ADDN [] 6431 University Ave NE, Fridley, MN 55432 (763) 572-3604 Bldg Insp
ALTER [] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 (763) 571-1287 Fax
BUILDING PERMIT APPLICATION
Construction Address: � ��� �, __ �i ��
Legal Description:
Owner Name & Address: C���-�- �,�%o� �rr�,a�--,�� Tel. #
Contractor. .��r�� c� - �.�� � -�-, �°S MN UCENSE # �� � � �55�-�%
a
Address: ���5�/ ,� �.�, ��o � �� ��m.�� °� � .�s�ei. # �i� - �� � �/
, .
Attach to this application, a Certificate of Survey of the
lot, with the proposed construction drawn on it to scale.
DESCRIPTION OF IMPROVEMENT
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LNING AREA: Length Width Height Sq. Ft.
GARAGE AREA: Length Width Height �Sq. Ft.
DECK AREA: Length Width Ngt/Ground Sq. Ft.
OTHER:
C-
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Construction Type: J�n ��. _ Estimated Cost: $ l� � � � �� � �
Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x$ _$
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DATE: � //-O ? APPLICANT: Tel. # �0� ~ ��- !��/
Call (763) 572-3604 for Permit Fees if mailing in application. Fax to 763-571-1287 if using credit card and we will
call you for card number.
Permit Fee
Fire Surcharge
State Surcharge
SAC Charge
License Surcharge
Curb Cut Escrow
Erosion Control
Park Fee
Sewer Main Charge
TOTAL
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$ ,��
$ -%
$ < � `J
$
$ � . c�n
$
$
$
$
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$ / O � .�
CITY USE ONLY -
Fee Schedule on Reverse Side
.001 of Permit Valuation (1/10th%)
$.50/$1,000 Valuation
$1275 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 [ ]
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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 $5�
$501 to $2,0(}0
$2,001 to $25,0�
$25,001 td• $50,�0
$50,001 to $100,000
$100,001 to $500,000
$500,001 to $1,000,040
$1,000,001 and up
FEE5
$23.50
$23 .50 for first $500 plus $3.05 for each additional $100 or
fraction thereof, to and including $2,000
$69.25 for first $2,000 plus $14.00 for each additional$1,000
or fraction thereof, to and including $25,000 `
$391.25 for first $25,000 plus $10.10 for ea�h addirional $1,000
or fraction thereof, to and including $50,000
$643.75 for first $50,000 plus $7.00 for each additional
$1,000 or fraction thereof, to and including $100,000
$993.75 for first $100,000 plus $5.60 for each additional
$1,0� or fraction thereof, to and including $500,000
$3,233.75 for the first $SOO,Q00 plus $4.75 for each additional
$1,000 or fraction thereof, to and including $1,000,000
$5,608.75 for the first $1,000,000 plus $3.15 for each additional
$1,000 or fraction thereof
CURB CUT ESCROW
(Concrete Curb Streets Only)
Removal and replacement of curb and gutter only - driveway width plus 6 feet, times the annually determined
rate.
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 construcrion site.
VERIFICATION OF FOUNDATION
A Certificate of Survey of the lot, showing the location of the existing foundation will be required before
proceeding with the framing. New Houses Onlv
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