AF - 47714BUII.DING PERMIT
Village of Fridley, Minn. N� 2 2 9 7
Date �R�/• i!r ���.� . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
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Owner � . .... . .. . ..... Builder ...........................................
.�rr
Address ,�r. .��.�.�/. . . . ����Z��:�: i�:�C??'x . ."!'��'� Address . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
�� r# �.,OCATION OF BUILDING
No. . .(iG. �l� � . . . . . Street . .���-�: �. � �a`�f/.' . . . . . . . . . . . . . . . . . . Part of Lot . . . . . . . . . . . . . . . . . . . . .
4���� •
Lot . . . . . . .""�. . . . . . . . Block . . . .�l. . . . . . . . . . . Addition or Sub-Division �f.��� . . . .� ��f. . . .�1p`.'lC�.
Corner Lot ............ Inside Lot ............ Setback ............ Sideyard ..........................
DES�CR[PTION OF BUILDING
To be Used as:
.��,l�! ... Front ��J�.. Depth .'�.�.. Height �.i�.!.. Sq. Ft. ........ Cu. Ft. ........
�
.................... Front . .. Depth ........ Height ......... Sq. Ft. ........ Cu. Ft. ........
Type of Construction .��'%�. . . Es�t. Cost : �����! . . . � . • • . . To be Completed .�.'.'.f�C . . . . • • • • • • •
,�'a'� � f4'r"�..�,�r.••.«� !o *�`l-.��S►
In consideration af 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 ali provisions of
ordinances of the village of Fridley.
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��In ,� 'deration of the payment of a fee of $.�� . , permit is hereby granted t ,�'' �: . . . . . . . . . . �
,.,. . .......... to construct the building or ad dition as described above. This pernut i5 anted upon
the express condition that the person to whom it is granted and his agents, employees and worlunen, in all work
done in, around and upon said building, or any part thereof, shall conform in a11 respects to the ordinances of
F'ridley, Minnesota regarding location, construction, alteration, maintenance, repair and moving of buildings with-
in the village limits and this permit may be revoked at any time u on violatfon of any of the provisians of said
ordinances, _ Fl� � � � ,�,��,
arrr�e
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:. Building Inspector
NOTICE:
This permit does not cover the eonstructlon, installation or alteration fo� wiring, piumbing, gas heating,
sewer or water. Be sure to see the Build'ing Inspector for separate permits for these 9tems.
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City of Fridley, Mi.nn..
BUILDING PERMIT
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nate: `�' "'" �`
Owaer: �� : J' `�_; � �. r,, `'°��r � �
Address ��
N° 5289
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Builder ._.._�'`` —
Address ����.�� �.—.— —
• i�, � -�'"� OCl�TIOiV O'�,�I D IVG
�
No. �L..�'._� Street �"'" '� f.1.��� Part of Loi
Lot � __ Bl ddition or Sub-Divison ..��.._. --
Corner Lot — Ins3de Lot Setback _�� �_ Sideyard � 5,�.� � —
Sewer IIevation ____— — Foundation IIevation
DESCitIPT10N OF BUILDING
Tor. i� ��' /'. � . �, � f,"r�, /� 1 ,,("��' `
„��'r � Front .�'�° Depth �� �{ Height ..�� Sq. Ft. ,�.�'� Cu. Ft -�.� r„%.�-
�.� �p}� ��igh �� Sq. F`t. — Cu. Ft
of Constructio � �M � '� Est—� ° ��,r�- �To be Completed
Ty'pe �1�
In conslderation 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 provisiona of
ordinances of the city oE Frfdley. �
;�N —
In consideration of the payment of a fee of $�'..�� �/ , Permit is hereby granted to
to construct the building or addition as described above. This pernait is granted upon
the express condition that the person to whom it ia granted and his agents, employees and workmen, in all work
done in, around and upon said builduig, or any part thereof, shall conform m all reapects to the ordivances of
Fridley, Minnesota regardin� location, construction, alterahon, maintenance, repair and moving of buildinga
within the citY limits and ttus permit may be revoked at any time upon la.tion of any of the provisiona of said
ordinances. �"-_ ;�.p�' �.. �
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NOflCE:
ihis perm(t do� not eover the eonstroction, tnatallatioe for wirin8, plumbin8, sas hea�ing, sewer o� watsr. Be sun fo sea
t6e Bu9ldieg Inapeetor fo� soparate permlts for t6ese items.
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APPLIC�TION FOR HIIILDING P.N�IIT
CITY OF FRIDI�Y, MINNESOT�
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OF BIIZLDIlVG
No.
of I�at
Lot Block ��� dddition or 3u'�ivision
�� r�
Corner Lot �`Ins3de Lot � 3etback �� Side-Yard � _
SE'WER ELEVATION FOUNDATION ELEVATION
�pplicant attach ta this form Certificate of Survey of Lot and proposed buildin�
location.
DESCftIPTIQN OF BIIILDING
Tyge of
F'ron � Depth Eeight
To be Completed
sg, �� Cu. Ft.
�
'���� � Estimated Cost
The unders3gned hereby makes application for e, permit for the work here3n specified�
agreeing to do all work in strict accordance with the City ardi�sences and rul.ing of
the Department of Build3.ngs, �,nd hereby� declares that atl the fa and representations
ata.ted in this application are true and correct.
� � � SIGNATITl�E �
DATE , � _� �i
(A Schedule of Fee Costs can 'he found on the Revers Side.)
� �
� �` �� N:
BUIi�IlVG PERMIT FEE SCi�DIIIE
Section 2. '1`he Inspector of �iildings �ha11, bafore issu3ng any permit for the
erection of any building or atructure, or for any add3tion to any existirig bu31d-
irag or atructure, or for any altaratians or repa3rs to any ex3s't3.ng build3ng or
structure, upon application therefor, require the payment by the applicant for
such permit of fees-to �he s.mount here3n below set forth and in the mdune� herein
prov3ded to-wit:
2.1. For e,ny such permi.t for the erection of aqy fire-proof bwl.lding, other than
a garage, warehousa, factory or grain elevator, or for the erect3.on oP any► fire-
proo� add3tion, for similar occupancy, to an�► sxisting building shall be at the
rate of �I..LtA for e�.ch one thousand cub3c feet, or fraction thereof, in such
cubical cont�nts.
2.2. For any s�xch perm3.t for the erection of any fireproof gaxage, warehouee,
factory or gra3n elevator, or for the erection of any fireproof addition, for
eim37.ar occupe,ncy, to any existing building she11 bs at the rate of �1.25 ior
each one thousa�td cub3c feet, classified e,a ��firegroof" by Section 502 of tk�e
Minneapolis Bu31d3.ng Code.
HQUSES
2.3. For any such permit for the
than a garage, warehouae, factory
addition, for similar occupancy,
each one thousand cub3a feet.
GAR.AGE3
�
erection of any non-fireproof build3ng other
or grain elevator, or an� nor�-fireproof
to any exist3ng building. Permit �1..00 for
2.4. For any such permit for the erection of an�r nor�fireproof gara�e, warehouse,
factory or grain elevator, or for the erection of any non-fireproof addition, for
similar occupancy, to a.ny existing building or for each such building or addition.
Ninety Cents for.each one thousand cubic feet or fraction thereof, in the cubical
con�ents thereof with a minimum of �J�.00.
For the purpoae of computing fees for building permits the cubice.7. contenta of eny
building or addition to a uniform height throughout by mult3.plying the graund area
covered from a point a3.x (6) inches below the floor line of the basement or cellar
to the average height of the upper surface or to the average height of the roof
surface of the main gable of a pitched roof.
2.5. For repairs or alterations to an existing structure, the fee shall be at the
rate of �3.00 for each Five Hundred Dollaxs (�5�0.00), or f�action 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 $4.00.
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Caty of Fridley, Mivan..
BUILDING PERMIT
nate: �'a.y 21.� 1965
�%� � %
N° ?4'78
Owner: Joe ��'. Reielqert su�lder � bbe 6i�r:� ,�r, � on
�� 6716 Jefferson St. A.E. aaaress ��-.Fa11s�..._.� �
LOCATION OF BUILDING
No. 6�6 st�eet �fferson St. �T.E. Part of Lot
Lat —�__ Block �l Addition or Sub-Diviaion .�.�. �ek Tei'Z'E�.Ge P]�.t 1,.
Coraer Lot _ Inaide Lot Setback __._ Sideyard
Sewer IIevat4on — � Foundation IIevation
To be vsed sa:
Front
�ont
Type of Constructfon
DESCRIPTION AF BUILDING
Depth Height .� Sq. FL Cu. Ft
Depth Height Sq. Ft Cu. Ft
� Fast Cost —$.� �0 _ To be Completed —�,P�G�C.-�O-.d,8�8
8ep83re -�o general b],d�. Tor�ado damage.
In conaiderat[on oP the issuance to me of a permft to construct the bwildiug descrlbed above, I agree to do
th� proposed work in accordance with the d�scrlpl3on above set Porth and ffi campliance with all provisions of
ordinances of the dty of Fridley. �� /�/� �- _ �'��� � /S'� � T� iBO � '�f/ �$—
In camsfderation of the payment of a fee of $ �'�•� , permit is hereby granted to Gibbs fiODStP•
to cronatruct the building or addition as described above. This �ermit ia granted n�n
the ezppres.a condition that the person to whom it is granted and hfs agents, employees and workmen, in all work
done in, arotmd and upon said building, or any part thereof, shall conform in all respecta to the ordinanc� oE
Fridley, Minnesota g location, conatruction, alteration, maiatenance, repair and moving of bufldings
within the dty Ifmfts��and�this permft may be revoked at aTMY time upon violation of any of the Pmviaiona of said
ordinance.s.
r
Bu91din8 Inspector
NOTIC�
iWs permit dea eot eorsr t6s eoedeneHon, tmtalHNen ier wtrtey. plvmble9. 6a 6adna, sew�e er wafer. B� ans to a�
fla Bnildi� Imp�etoe tor a� � tor t6as �.
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OWNLR�S
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.APPLICATION FOR B -- ING PERMIT
�.
' CI'tY OF FR,IDLEYi �NN�50TA
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Lot BLock
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LOC�TTON OF �i�DING �
�� � '!'L �° Pa�rt of Lot..
�
Sui�d��vision �� ��C� ��" �
Cornea Lot Inside i,ot __����e�b'�k Side-Yard
SEW'ER E�ATIQN FOU11ID�k3`ION EL�V�lfiION
Appli�ant atCa�h to t�i� form„Two Certificatee of.Survey of Lot aad progased bu�:]:d-� _
ing lacaticsn d��wn o�► these ��f�tificatea.
DESC�IPTIOAT OF BVILDING �_
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_T�O �E L18eC1 �B : ��`' � °� � '�'���*- ( - ;��__ '
• .� � ����5 • �.���:
c"���w�° �� z���� �� ��, �'rsaC Aepth l�eight K
�
9q. Fe. . Cu• Ft.
� k'ront IImpth Height
�q. Ft . Cu. k't .
� � . ' r �
Type of Construction �,, �1� Estimated Co�t. (�����
��
T,a.,.b� .�omp].ete� ;,,,�,�>3y� � ��,� e
3'he undersigne� hereby makes applieation for a pexmit__for the wo�k herein spe�ified,
�greeisg �o �o al,l work iti� strict accordance with the City of Fridleq Ordinances and
rulings i�� tl�e Department' of Buildings, and hereby declares that aIl the �f�cts and
representationa stated in this applicatioa are true and correce.
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�Scheclule o£ Fee Costs can be found on Che Reverse Side).
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B�IILDIN� PE�'T �EE SC�II►�
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� Se�tioa 2. The Inspector oi' guildings��s�ali,'be�ot`q ieau,iag �ay perm3t for
. Eb� erection of any building or stru�t�,�ire, ac for any ad,d7tti�,�► ts any exiet-
. iag building or structure, or for any a�teratt�is�.oY':repair�b t� an� exisCin�
buildixsg or aeructure, upon applicat�:i��i �er:e�or, ��q�eire the paqme�t by tbe
applicant for such permit of �ees •�t� �tiie amount �her�ip-�below set �forth�.a�d
: � ia the maaaer herein provided to-w�.te .�`;�
t.
.. --. �.1. F:�x anq �uch permit �or the r�s�e�,tion-a�` any fire���f buildipg, oCher
��,� a t�hea a�ar�g,e� r�arehouse; fectory. oX_� g���,a' �'��ev�{�� �-�or- � the es�tion of
any fire-pr,,�of addi�ion, f4�� sia�,];ar°^oic�i�P,�Y� �a e�,y �xis�t�i�tg bu�,ld�a�g � a:��
ahall �e at the Yate �� $�, .4Q for �a�h..' onq t�oue�d �e�yb�e feet, or � fr��ion
�r- _ thereof, is such cubical c�ont�n�s.� .• ��' '
.. „ . . . , � . . .
��� 2 s •.. Fos any such � permit .f.a�..:�e. erection o� any firerprooE g�ra�e. ���M•--;,,�.
factory ,�r grain e1evator, or f�� th� �,rec_tion �,f eap f;�t'r•�p�caf ':�...�
f�r aimiler occupaasy-s. to any eic3se�.n� ��1'di�g eliai:l� �be �t .t:he �; .
..�.�fo�E'ea�h ona .thousaad cubic feet• •. cslasai�3ed ae�"firepxov��" b� S•�
the Miauaap�lio -Bufid %�/��/� ��{ , . . . •
. . �� VWG.1 �9iii�"r�.. �. _.
.� �01. � , ' • ` ' ' '� ' ' .
. 2--=�3,;� 'Fcfir auy such permiC for tl�e er•.eation af any nou-Hrepre�f b'uildiag ott� .
��than a gar�ge, warehouae, factory or. graia elevator, 0r auq �toa-firepr,pc�f ,; .,.:
additi�n, for sim���r ocCup�'t��y� to an� e�isti�g �tiu�tldin� - pe�mit $�.�00 fo�
each �one thou�a�t,l c�bi�_ fee�.. •
GARAGES .. . _ . . • .
^ ' .. , ya+
2._= For any such peta�i,r f�r the erectioa of an non-fire roof
warehou�s, facto�ty- or -g;ain eleeator, or for �the erecC3on of an aon�f��
�t�, -�ar-similai occupaacy, to es exiat y ��f .-
X ing building 6r for eec� auch
._..r �-�tldatag or addition - niaety cents ($0.9@j ior each oae thousEaad ctibic ieet
or fs�aa�tion thergof, �A �e cubical�contents thereof with a minimum of $4.OQ..
, �
For the purpose of comput�ing fees for,buildin � �
of enq bufld. � Ps�ts, th� cub3cal c+�t�te�t� ��
i.ng or addition Eo..a unigorm height throug'hoi�t �'!�y muLtiplying gl�. �
�rou�nd are� rovered .ftom a�point si� (6) iach�� b�l�rrv the �loor liae axf..the
basement or �cellar to the average height.of the upper su�fe�e or to the
average he3,ght of the rpof Qurface of the mai�a gable of a. �S�tched roof. .� �
2_ 5_�. For repairs or aXterations to an existi . ..• . '� . .
� at the rate of $3.00 pe; each Five gundred De].�lar8�t�� �� �se s�all be .•�` `,:
,p the�tebf in ehe . cast 'of ,�ll:. �rvposed work. , •($�'�''`�� Qr, �rectia� .
. . . � . , i'
2�;8. � IIL IIO .C882 shali �he -f .• . y, : . . ' :. • ' .: , . _ . . k'
Sectian..2.be les�i..,�haa, �--:charg�d;for..ea� p�re�i� a�, se� f�st'th itl � �� .
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sue.iecT PERMIT NO.
City of Fridley 149�
AT THE TOP OF THE TWINS g U I L D I N G P E R M I T •
' ' RECEIPT
� � COMMUNITY DEVELOPMENT DIV. �zl[7iG�
� •
� ; L �����'� 7a
r � � PROTECTIVE INSPECTION SEC. �
1 = �
� /'�'1 � CITY HALL FRIDLEY 55432 NUMBER REV. DATE PAGE OF APPROVED BV
�----� � '•� 612-560-3450 g10-F15 10/25/78 � �
JOB ADDRESS 6716 Jefferson 5treet N.E.
1 LEGAL LOT NO. BLOCK TRACT OR ADDITION
DESCR. 7' j Ri.ce Creek Terrace Plat 4
2 PROPERTY OWNER MAIL ADDRESS Z�P
Kurt Schupp 6716 Jefferson Street N.E.
3 CONTRACTOR MAIL ADDRESS Z�P
Martinson Builders 8131 6th Street N.E.
4 ARCHITECT OR DESIGNER MAIL ADDRESS Z�P
5 ENGINEER MAILADDRESS Z�P
6 US OF BUILDING
Residential
PHONE
786�
PHONE
PHONE
SEE ATTACHED
SHEET
LICENSE NO.
9
LICENSE NO.
LICENSE NO.
7 CLASS OF WORK
❑ NEW ❑ ADDITION ❑ ALTERATIOId ❑ REPAIR ❑ MOVE ❑ REMOVE
X
S DESCRIBE WORK
t .. '1 L2 �
9 CHANGEOFUSEFROM
TO
STIPULATIONS
Provide 12" deep fire place footing. Provide energy calcula.tions.
Provide 1 22" x 30" attic access.
SEPERATE PERM�TS REQ��RED FOR �`Re���
�-4EAT11VG, PLUI��IN� A�� �IGIVSa
TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD
SEPARATE PERMITS ARE RE�UIRED FOR ELECTRICAL, PLUMBING, HEATING,
VENTILATING OR AIR CONDITIONING. O Fr e
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING SO. FT. CU. FT.
AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION 40�2
OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT R 1. 2�
ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS OFFSTREET PARKING
I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION I. STALLS GARAGES
AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS VALUATION SURTAX
AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED
WITH WHETHEF; SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT y5`%�349 $3.67
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-
STRUCTIO�DI OR yl� PERFORMANCE OF CONSTR�TION. y�].G. 1.3 NONE
SIGNATURE OF CONTFiACS'OR OR AUTHORIZED AGENT 'IOn7E1!
r. ° �
:Il.N ATI IGF !1F (1WN FR IIF []WNER 8111LDER1 1 DATEI
IE TOTAL FEE
23.83
PROPERL/y��q LIDATED THIS IS YOUR PERMIT
0 13 \_ f/li d l�'i� � �l� /eZ.y�- /c�
.
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CITY �or- FItIll -LCY , �
' AP('LIC/1TIOt� FOft RL"SIllf:fJTI�L BUILDIP�G PEf2t�lITS .
' (�1�L'W, �LTL=Rl1T10fdS, �llllITl01JS, OR REPA1(ZS)
.
' OWti�R: e ►
r�aax�ss : ��
No. : -� �i�
LOT: �,_�
Strect:
. . I3UILU�It: aG�� ''
naar�ss : �/v�% �� .�`� � � � �
Tel. i1o. :. ���' � ..��� �
»r�ocr,; �_ nnnzTZOra :
CORi1ER LrJT: It•�SID� IAT: S�l3r�CY.: SIDEYARDS: _
Applicant attach 'to L-his iorm �ati Certiiicates of Survey of Lot and praposed
bui�.dinq locatian drawn on these Certificates. •
DESCRI PTI OI�f OF BUI LDI (�G
,
� To 73e Used �Ls : � � �
/� l I�
. ����+�'� Front: lI� Depth: / __ ' Height: _ -
Square Fe�t: �S� Cubic Feet: ����� ��'� �`
�Front: � Depth: Height: �
' Square I'eet: . Gvbic Feet: '
7�ype ot Construction: ���� ��+�� � Estima�ed Cost: $��''" P
. � � � � �9` y6
7.b Be Completed: � Alt. A� Alt. B
Proposed Drivetiaay Width If I1ew Opening Is Desired _ $ $ _�
(S� R�VERSE SIDE OF SiiEET)
� The undersigned hereby makes application for a pe::mit for the work lierein
�specified, agreeir.g to do all �corl: in strict accardance with the Gity of
Fxidley Ordinances and rulings of the Department ot Buildings, and hereby
declares i,hat all the facts and re�resentatians stated in i:�iis applicaL-ioa�
are true and correct. See xevcrse sa.de fa additi al iniormation.
D11TE:�� SIGNATUF.F : '�
• L/o3y.x�o�y : '
Stipulations: . _c� Q
� 7'�i�t.. i Qo�.1�.
�, �,•„{;,c,� �2 � �� _ _ = y � . � e�..e�t'c,
� �j,� rQ:.�l�t�%/�% ., ,� �� C/ 73V q �i • oao �` e�;��;�
, � 7���e�`'`..'GQ� LL x �d . `�`L � �
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BUILDI��G PERt�1IT FEt SCHEDULE
SECTION 2. The Inspector of Buildings shail, before issui.ng permits for the erection
of any building or structure, or for any addition to any existing building or structure,
or for any alteration or repairs to any existing building or structure, upon application
therefore, require the payment by the applicant for such permit of fees to the amoun�t
herein below set forth axid in the manner herein provided to-wit:
NEW CONSTRUCTION: 5ingle Family Homes and Garages: $4.00/1,000 cubic feet.
PLA�I CHECK: 25 percent of building permit fee.
DRIVEWAY DEPRESSION: (Concrete Curb Streets Only) •
Alterr,ate A: Removal and replacement of concrete curb and
gutter on1y; Driveway width plus 6 feet x 514.50
Alternate B: Removal and replacement of concrete curb and
gutter and install a 3 foot wide approach with
6 inch depth; Driveway width plus 6 feet x$17.20
�� 11 � •� � �' : I�l
For the purpose of computing fees for building permits, the cubical contents of any
building or addition, is determined by multiplyi.ng the ground area covered from a
point six (6) inches below the floor line of the basement or the cellar to the
averag� heights of the upper surface or to the average height of the roof surface
of the main gable of a pitched roof.
For repairs ox alterations to an existing structure, the fee shall be at the rate
of $3.00 ,�ier each five hundred dollars �($500.00) or fraction thereof in the cost
of. all proposed work.
In-no case shall the fee chaxged for any peratit as set forth in Section 2 be less
than $7.50 plus $.50 state surcharge. •
VERIFICATIO� OF FOUNDATION
P70T�: Permits for construction will be issued a minimum of 24 hours trom 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 been constructed will be required before proceeding with the framing.
�� i ' � � ' : l
Application for a Certificate of Occupancy shall be made ten (10) days prior to the
use or occ.upancy of any structure for wnich a building permit has been issued; and
said structure shall not be used or occupied uritil a Certificate of Occupancy has
been issued. �
r- ry � P
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Land Planning su�ull��n 6875 Nighway No.65 N.E.
lan8 Surveying �� • • (� Minneapolis�
so�is re�n�9 nyL�ZIlPP�1Z�2�!j ��92�. M���. ssasz
C{vil Enginaering Telephone 784-6066
Municipal Engineering Engineers & Surveyors Area Code 611
Mortgage Loan Survey. for �RIDLEY ,STATE �ANt{
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This is a true and correct representation oI a survey of the boundories of the land obove described ond of the
tocation of all buildings� if any� fhereon� and all visible encroachmenfs� i/ any� from or on said land. �This survey is
made only in connection wifh o mortgage loan now beiny placed on the proper�y and no liabilify �ssumed
eacepf to fF�e holder of such mortgage or any othar interesf acquired by the ►eas6n of such ma�tgage. If. is
understeod and agreed p monume ts hove been ploced far the purpose of establishing lot lines� 'br ,bourtdnry
cornera. Doted this��7ay of�A. D. 19L�'
SU�URBAN ENGINEERING, INC.
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SUBJECT
City of Fridley
AT THE TOP OF TNE TWINS g � I L D I N G P E R M I T
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COMMUNITY DEVEIOPMENT DIV.
�' PROTECTIVE INSPECTION SEC.
� ` _
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� S �-"1 � CITY HALL FRIDLE� SS432 NuMBER
�"""� � �'� 612-571-3450 910-F15
108 ADDRESS 6716 Jefferson St NE
1 IEGAL �OT NO. BLOCK TRACT OR ADDITION
DESCA. � 1 Rice Creek
2 PROPERTYOWNER MAIIADORESS
Ka.therine Wray 6716 Jefferson St NE
3 CONTRACTOR MAIL ADDRESS
4
5
OR DESIGNER MAIL ADDRESS
MAIL
8 USE OF BUILDING
Residential
7 CIASS OF WORK
O NEW ❑ ADOITION
8 DESCRIBE WORK
Reroof (�'}B�Q�cx'6�a� house & gar
9 CHAN(iE OF USE FROM
STIPULATIONS
DATE
9/8/98
21P
PAGE OF
� �
fiE`IiMIT NO.
27624,
RE�PT NO�
���
nvvaovEO er
SEE ATTACFIED
SNEET
J / 1-4.�G /
PHONE LICENSE NO.
PMONE LICENSE NO.
PHONE LICENSE NO.
❑ ALTERATION � REPAIR ❑ MOVE ❑ REMOVE
(30SQ) Tear-off
TO
Underlayment must comply with the State Building Code.
SEPAHATE PERMITS ARE REOUIREO FOR ELECTRICAL. PLUMBIN(i, HEATING,
VENTILATING OR AIR CONDITIONING.
THIS PERMIT 9ECOMES NUIL AND VOID IF WORK OR CONSTRUCTION ;
AUTHORI2ED IS NOT COMMENCED WITHIN 80 DAYS, OR IF CONSTRUCTION
OR WORK IS SUSPENOED OR ABANDONED FOR A PERIOD OF 120 DAYS AT
ANV TIME AFTEF WOHK IS COMMENCED. �
I NEREBY CERTIFV THAT 1 HAVE READ AND EXAMINED THIS APPLiCATION
AND KNOW TME SAME TO BE TRUE AND CORRECT. ALl PROVISIONS OF LAWS �
AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED
WITH WHETHEF SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT
DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE �
PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON-
STRUCTION OR THE PERFORMANCE OF CONSTRUCTION.
������ �� �
�� SIGNATURE OF CONTRACTOR OR AUTNORIZED AGENT IDATEi
/
SiGNATUAE OF OWNEA ��� OWNER BU�LDER� �DATE�
d�. _ ..
OCCUPANCY
DWLG. UNITS
STALLS
ATION
$2,571.00
IIT FEE
$74.75
OfF
LOAD
CU. FT.
�GARAGES
ITAX
$1.29
�CHARGE
Fire SC $2.57
FEE
$78.61
NEW
ADDN
ALTER
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ConstructionAddress :
Legal Description:
CITY OF FRIDLEY
SINGLE FAMII.Y AND DUPLEXES R-1 AND R-2
BUILDING PERMIT APPLICATION
1.. r� n
Effective 1/1/98
�������
�'
Owner Name & Address: �,�r�+--� ����f Tel. #�� 1��2'°7
Contractor: S��� > 9 MN LICENSE # �
Address:
Attach to this application, a Certificate of Survey of the
lot, with the proposed construction drawn on it to scale.
DESCRIPTION OF IMPROVEMENT
Tel. #
LIVING AREA: Length Width Height Sq. Ft.
GARAGE AREA: Length Width Height Sq. Ft.
DECS AREA: Length Width Hgt/Ground Sq. Ft.
OTHER: Ne � ����
'-� `/�
� � - � � �V'�" ��
Construction Type: .t� �' i^�? C� � Estimated Cost: $
(Fee Schedul e on Back) �.� � 1��
Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x$ _$ ��
DATE: �1 ' �6 °r� `
Permit Fee
Fire Surcharge
State Surcharge
SAC Charge
License 5urcharge
Driveway Escrow
Erosion Control
Park Fee
Sewer Main Charge
TOTAL
STIPULATIONS:
$ , -�
$ �7
$ .��
$
$
$
$
$
$
$ /��`I
CITY USE ONLY
Tel. �{ �'Z l ���.�
Fee Schedule on Reverse Side
.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 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
$500,001 to $1,000,000
$1,000,001 and up
FEES
$21 (M'inimum Fee is $21 plus surcharge)
$21 for first $500 plus $2.75 for each additional $100 or
fraction thereof, to and including $2,Q00
$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 $SOO,Q00
$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)
Alternate "A": Removal and replacement of curb and gutter only - Driveway width plus 6 feet times $13.50.
Alternate "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 $15.75.
VERIFICATION OF FOUNDATION
Permits for construction will be issued a minimum of 24 hours from the time of application to allow for proper
review of the proposed structure and of the construction site.
A Certificate of Survey of the lot, showing the location of the foundation once it has it has been constructed
will be required before proceeding with the framing.
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C[IYOF
FR[DLEY
FRIDLEY MUNICIPAL CENTER • 6431 UNIVERSITY AVE. N.E. FRIDLEY, MN 55432 •(763) 571-3450 • FAX (763) 571-1287
February 14, 2003
Mr. James Seaberg
6716 Jefferson St NE
Fridley, MN 55432
Re: Final Inspection at 6716 Jefferson St NE
Contractor: McGuire & Sons
Dear Mr. Sea.berg:
A plumbing permit was issued on November 20, 2001 to install a water hea.ter at your
address. According to Section 4715.2800 of the State Plumbing C�e, a final inspection
shall be conducted on the work authorized by this permit. As of this date the inspection has
not been requested.
The pernut fee that was paid covers the inspection to make sure the work was completed
according to the C�es. We will keep your permit open for another 30 da.ys and if we do
not hear from you within this time to set up the inspection, we will mark the pernut "no
inspection called for by homeowner after notification" and take no furttier action.
To set up the inspection or to have any questions answered, please contact the Building
Inspection Division at (763) 572-3604.
DJ/mh
� sue�eti �R . `
City of Fridl�y 32569
AT TNE TOP Of TME TWINS � u I L D I N G P E R M I T
r
� � RECEIPT NO.
� `y _ COMMUNITY DEVELQRMENT OIV. /����
r � � PROTECTIVE INSPECTION SEC. f��
� . �
� � �"'1 � CITY MALI FRIOLE� SS�.�Z NUMBER 11EV DATfi VAGE OF APVROVED B�
�""�" �'' 612-571-345p 9t0-F�5 5/8/02 � �
,
J08 ADORESS 6716 Jefferson Stree� NE
t LEGAI �OT NO. 6LOCK TRACT OF ADOITION SEE AtTACMED
DESCR. � 1 Rice Creek Terrace Plat 4 SFiEET
2 PROPERTY OWNER MAIL ADpR�S$ 21P PHONE
Barry Seaberg 6716 Jefferson Street NE 763-574-9833
3 CONTFiACTOR MAIL AODRESS Z�P PMONE LICENSE NO
Same
A ARCMITECT OR OESIGNER MAIL ADDRE35 ZIP PMONE LICENSE NO.
5 ENGINEER MIAIL AODFE$S ZIP PMONE LICENSE NO
8 USE OF BUILDING
Residential
7 CLASS OF WORK
�] NEW O ADDITION O ALTERATION ❑ REPAIR O MOVE O REMOVE
8 DESCRIBE WORK
Residential 2nd Garage 38° x 26'
9 CHANOE OF USE FiiOM TO
STIPULATIONS
See Special Use Permit and Variance approval stipulations.
���� � ����1������3�
�000-�ti
������oi ��i� ii�
���a�a� PERMn�s ��� fd�� �u�B6�p a�o}a�,
REQUIRED FOR: ���
wiRi� H�nN �,�.�,� ���� . ��/IA
�'�UA��ING �4ND SIG� .
" T�PE OF CONST. OCCUPANCY GROUP OCCUPANCr LOAD
SEPARATE PERMITS ARE REOUIREO fOF ELECTRICAL. PLUMBING. HEATING,
VENTILATING OR AIR CONOITIONING
THIS PERMIT BECOMES NUIL ANO VOID IF WORK OR CONSTRUCTIOM tONING SO. FT CU fT.
AUTMORIZED IS NOT COMMENCEO 4�1ITHIN 80 OAYS. OR IF CONSTqUCTION
OR WORK IS SUSPENDEO OR ABANQONEO FOR A PERIOD OF 120 OAYS A? �`
ANY TIME AFTER WORK IS COMMENCEO ' NO DWLG. UNITS OPFSTREET PARKING
I HEREBY CERTIFV TNAT I HAVE READ ANO E7(AMIN�D THIS APPlICA710N 1 STALLS GARAGES
AND KNOW THE SAME TO BE TI�UE AND CORiiECT. ALL PROVISIONS OF LAW$ ypLUATION SURTAX
AND ORDINANCES GOVERNING THIS TYPE OP WORK WIIL �E CpMPLIED 2O � 224 � ZO . 11
WITH WMETMER SPECIFIED HEREIN OR NOT. TME GRANTING OF A PERMIT �
DOES NOT PRESUME TO G�VE AUTMORITV TO VIOLATE OR CAMCEL TME pEpMIT FEE SAC CMARGE
PROVISIONS OF ANV OTHER STATE OR LOCA� LAW REGULATINti coN- �334. ZS Fire SC y�2O.2Z
STRUCTION OR THE PERfORMANCE Of CONSTRUCTION
PLAN CHECK TOTAI FEE
$364.58
SiG AE OF CON'AA OR 4U Op�ZED sGENi �O�fEi M PWO VALID EO TMIS IS VOUR PEqMIT
�� -�a
��� � .�
S�GNniUAEO� WNEA���OWNEABU �DATE� '� B DG �hSo � �i�TE
�
NEVN [ ]
ADDN [J
ALTER [ ]
Construction Addre
Legal Description:
CITY OF FRIDLEY Effective 1/1/2002
6431 University Ave NE, Fridley, MN 55432 (763) 572-3604 Bldg Insp
SINGLE FAMILY AND DUPLEXES R-1 AND R-2
BUILDING PERMIT APPLICATION
Owner Name & Address: �/�,2� S�l� _?3�,e� Tel. # 7��3�'�76/ � 1833
Contractor. MN LICENSE #
Address: Tel. #
Attach to this application, a Certificate of Survey of the
lot, with the proposed construction drawn on it to scale.
DESCRIPTION OF IMPROVEMENT
LMNG AREA: Length Width Height Sq. Ft
�
GARAGE AREA: Length � Width �� Height Sq. Ft ��
DECK AREA: Length Width Hgt/Ground Sq. Ft
OTHER:
Construction Type:
������ �
� �.
Estimated Cost: $ r-�c� . �
Driveway Curb Cut Width Needed: �Ft + 6 Ft = Ft x$ _$
C,ATE: � " �J "' �Z APPUCANT:� ��P� 01� �/�u�EY�" Tel. # `✓-��% ��,,�
Call (763) 572-3604 for Permit Fees if mailing in application or Fax to 763-571-1287 if using credit card and we will
call you for card number.
CITY USE ONLY -
Permit Fee
Fire Surcharge
State Surcharge
SAC Charge
License Surcharge
Driveway Escrow
Erosion Control
Park Fee
Sewer Main Charge
$ �. o�S�
$ o�o . ��}—
$ f6. �/
� �—
$ �,/
$
$
$
$
Fee Schedule on Reverse Side
.001 of Permit Valuation (1/10th%)
$.50/$1,000 Valuation
$1200 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 [ ]
TOTAL $ � � . �8 STIPULATIONS:
BUII.DING PERMIT FEE SCHEDULE
The Chief Building Official shall, l�fore 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 elcisting 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
$500,001 to $1,000,000
$1,0�,001 and up
FEES
$23.50
$23.50 for first $500 plus $3.05 for each additional $1Q0 or
fraction thereof, to and including $2,0�
$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 each additional $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
$1,000 or fraction thereof, to and including $500,000
$3,233.75 for the first $500,000 plus $4.75 for each additional
$1, 000 or fraction thereof, to and including $1, 000, 000
$5,608.75 for the first $1,000,0� plus $3.15 fur each additional
$1,000 or fraction thereof
DRIVEWAY DEPRESSION ESCROW
(Concrete Curb Streets Only) �
tllternate "A": Removal and replacement of curb and gutter only - Driveway width plus 6 feet times $15.50.
Alternate "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 $23.25.
VERIFICATION OF FOUNDATION
Pernuts 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. New Houses Onlv
' " ' � 3/3/2002
D�sig� # 81914 �_ �
*** Take this sheet to the Buildin Materials counter to �urchase your materials. ***
9
You selected a ara e with these options: .
9 9
26' Wide X 38' Deep X 9' High ��
6able roof w/ 6/12 pitch truss construction
12" gable/12" eave overhangs
7/16" OSB INali Sheathing
7/16" OS6 Roof Sheathing
8" Teztured Fibe� Cement laP Siding
25 yr. �Oakridge, Chateau Green Shingles
Nunter Green Aluminum Soffit � Fascia
Nunter sreen Aluminum Regular Roof Edge ,. ,�� ��� �
�� �"�,� ��� �� � �� �S ,a x�3Xsa � ,
i � �it� � �'�lTG � I�G2'/-��2�
l� 9�//�'���= n��.P����•o i� � � �� � . �' �x � • � ,���,��L
�-'��P/%��« SG/�v�� �c 7o ci? �t, 1 i-fE.t �� ���� .
� �UE�2 H6l�P �oa,�' Gv��(� X/� � L�of� �ti� i'C A H�fl oEe
� �A�ffGr G
Front View
, �j,p,�1 �2E � �'v oF
B�ek Viaw
�
Today's cost for materia�ls estimated in this design: $ 4420.31
Base garage without oPtions: $ 3073.90
*The bese prias inaludea: 0° Eave/0° 6a61e Overhangs, 2X4 Wall Studs,
7/16 OBS Roof She�thing, 20 yr. Fiberglais Classia - Onyz Black Shinglas,
Pine F��aia, 6ol�ani:ed Regulu Roof Edge, 8° Teztured Vertieal Nardboard Siding,
No Servles Doon, No O�erhead Doora, No Wlndows, or Any Other Options.
_
_
CITYOF
FI�1DL�,Y
��'��
ERIDLEY �t(:�[CIP-�L CE�"TER • 6-t31 [:�I�'ERSITY.a�'E. �.E. FRIDLEIc; �(� >j-t33 •('63) �71-3�i�0 • F�X (763) 57t-133;
APPEALS COMMISSION
ACTION TAKEN NOTICE
April 17, 2002
Barry Seaberg
6716 Jefferson Street NE
Fridley, MN 55432
Dear Nlr. Seaberg:
On April 10, 2002, the Fridley Appeals Commission officiaily approved a request for variance, VAR #02-08, to
increase the lot coverage fram 25% to 25.8°!a to allow the construction of a second accessory building on Lot 7,
Block 1, Rice Creek Terrace Plat 4, generally located at 6716 Jefferson Street NE, with following stipulations:
1. The petitioner shall install Code required hard surface driveway within 12 months of issuance of a
building permit.
2. The petitioner shall obtain all necessary building permits pnor to construction.
3. The garage shall be architecturally compatib4e with existing home and finished with complementary
siding and color scheme.
4. All vehicles shall be stored on a hard surface driveway as approved by the City.
5. The garage shall not be used for a home occupation o� living area.
6. Variance approval is dependent upon approval of Special Use Permit, SP #02-06.
7. The Public Worfcs Department shall examine the site and make a report before the special use
permit hearing.
You have one year from the date of the Appeals Commission action to initiate construction. If you cannot
begin construction during this time, you must submit a letter requesting an extension at least three weeks prior
to the expiration date.
If you have any questions regarding the above action, please call me at 572-3595.
Sincerely,
11 � .
�� (:�? ''{� � , �^' -� � l�i� v �✓ �
W �fS'�trom �r y
Stacy g ,;
Planner `••
Please review the above action, sign below, and return the original to the City of Fridley Planning Department
by April 30, 2002.
`' � Concur with action taken
SS:Is
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c�ty of Fridley 33515
AT THE TOP Of TME TWINS g � I L D I N G P E R M I T
i �
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COMMUNITY DEVELOPMENT DIV.
r � y � PROTEC7IVE INSPECTION SEC. �� �c��'y
� �. i (�L.1
L---. w���'�,'j CITV HALL FRIDLE� SS132 NUMBEN REV OATE VAGE Oi APVROVEO 81
i �� 763-571-3450 s� a F � s
5/14/03 � �
JOB ADDRESS 6716 Jefferson St NE
1 LEGAL �OT NO. BLOCK TRACT OR AODITION SEE ATTACMED
DESCR. ] 1 Rice Creek Terrace, Plat 2 SNEET
2 PROPEiiTY OWNEFi MAIL ADORESS 21P PHONE
Barry Seaberg, 6716 Jefferson St NE, Fridley, MN 55432
J CON7RACTOR MAIL ADDRESS , ZIP PNONE LICENSE NO
Builders & Remodelers Inc, 3517 Hennepin Ave S, Mpls, MN 55408 612-827-5481
d ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PMONE LICENSE NO.
�0�11��
5 ENGINEER MAIL ADDRESS 21P PHONE LICENSE NO
8 USE OF BUILDING
Residential
7 CLASSOFWORK � NEW ❑ ADDtTION O ALTERATION ❑ FIEPAIR O MOVE O REMOVE
8 OESCRIBE WOFiK
Soffit & fascia
8 CHANGE OF USE FROM TO
STIPULATIONS
Ventilation must meet State Building Code.
SEPARA7E PERMITS ARE REOUIRED FOF ELECTRICAL. PLUMBING, ►IEATING, TVPE OF CONST. OCCUPANCY GROUP OCCUPANCV IOAD
VENTI�ATING OR AIR CONOITIONING
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION 20NING SO. FT CU FT
AUTHORIZED IS NOT COMMENCED WITHIN 60 OAYS, OR IF CONSTRUCTION
OR WORK IS SUSPENDED OR ABANOONED FOR A PERIOD OF 120 DAVS AT
ANY TIME AfTER WORK IS COMMENCED NO OWLG. UNITS OFFSTREET PARKING
I HEREBV CERTIFV THAT I HAVE REAO AND El(AMINEO THIS APPLICATION STALLS GARAGES
AND KNOW TME SAME TO BE TRUE AND CORRECT. ALl PROVISIONS OF LAWS VALUATION SUp7AX
AND ORDINANCES GOVERNING TNIS TYPE OF WORK WIIL BE COMPLIEO @
WITM WMETHER SPECIFIEO MEiiEIN Ofi NOT. THE GRANTING OF A PERMIT y�3�SOO.00 �1.%S
DOES NOT PRESUME TO GIVE AUTMORITY TO VIOIATE OFi CANCEI TME pEqMl7 FEE SAC CNARGE
PROVISIONS OF ANY OTHER STATE OR LOCAI LAW pEGULATING CON-
STRUCTION OR TME PERFORMANCE OF CONSTRUCTION $9].ZS Fire SC $3.SO
PLAN CNECK FEE TOTAL FEE
ic nse $5.00 $107.50
S�GNATUpEOFCON'FACiOpOpeUTHOA�2E0AGENT �O�rE� WHEN PROPEiiIY VALIDATED THIS IS VO R PERM
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S�GNATUNEO�OWNEp���OWNEABU�LDEAi �OATE� BLO �NS� f� fE
MAY.14.2003 1�32PM BUILDERS/REMODELERS
N0.758 P.3/3
N� �] � I; CITY OF FRIDI.EY Effective 1NI2002
A�DN c J ; 543�j University Ave NE, Fridley, MN 55432 {763) 572-3604 81dg Insp
A�-�R I l SINGLE FAMILY AND DUPLEXES R-1 AND R-2
; Bu1LD1NG,PERIUI�T APPl.ICATION
Construction Address: I
Legal Description: �
Ow�er Name $ Address�:
Contractor, g�p
Address: ___ 35
LNING AREA; �
GARAGE AREA:
pECK AR�A:
a7:1�
L�!.
l7 NENN�P�N
Tel. #
MN UCENSE �
Tel. #
���i�tac�h��o this application, a Certificate of Survey of tF�e
i lot, with the p�oposed construction drawn on it to scale.
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Length �
Le�gth
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D'F�SCR1pTION OF IMPROVEMENT
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�dth Height �__,,
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U.jJidth Neight �
a �,
'Sq. Fk � �
Sq. Fk
HgUGround Sq, Ft
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Constructian Type; N.. �� Estimated Cost: $�� _
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; •
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Driveway Curb Cut Width�� Needed: F� + �� Fc = Ft x$ _�
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DATE• ,� APPLICANT: TeL # �011- �01� � �+
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Call (763) 572 3604 for Pertnit Fees if mailing in application er Fax te 763-s71-1287 'rf using credit card and we will
call you for card number. ; ;,
; CITY IJSE lJNI.Y -
; � �� .
Pemtit Fee $ i �.�S jF�e Schedule on Reverse Side
Fire Surcharge $� asr0 `�001 of Permit Valuation (1/10th°/a)
Sta#e Syrcharge $_! /, �Sr I�$.50/�1,OQ0 Valuation
SAC Charge $_i �1200 per SAC Unit
License Surcharge $ � � Q� $5.00 (State Licensed Residential Contractors)
Driveway Escrow $! �41t, "A" or Alt. "B" Above
Erosion Control $; '$450.00 Conservation Plan Review
Park Fee � � Fee Determined by Engineering �
Sewer Main Charge $ � Agreement Necessary [] Not Necessary [ j
' � �`, o �C !,
TOTAL � I �, STIPULATIQNS:
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MAY.14.2003 1�32PM BUILDERS/ ODELERS N0.758 P.1/3
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35T7 HENNEPIN AVE S MINN � POI.IS MN 55408
612-827-548'1 ! FAX:612-8�7351 = � ' :
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���� Slate oE Minnesoia � Departmenl of Commerce Licensing Di�ision
'� qePartrne�rt of Cammeroe, 7elepho�e: (fiSt ) 296-6319
:,. 85 - 7th Place East, Suite �00 E-m�ll addf��: II�►nsing.commerce�smte.mn.us
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AddroaE: � 35�7 N NNEPIN AVE SO � .
MPLS, N 55408-3830 �!
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ucsnse laenu�a+uon N ber. ��� 1100 �! ou�ii(yina Pe�so�: KENNETH S BRESSI.ER
Llcense Explratton p�te;� 3131 /2004 �� �ntlrlulne Educs�ion: 7 Hrs CE due by 3131/2004
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SuBJECT
City of Fridley
AT THE TOP OF TNE TWINS g U I L D I N G P E R M I T
r
� �
� �
' COMMUNITY DEVELOPMENT OIV.
i ►V � '
r � � P1iOTECTIVE INSPECTION SEC.
1 . �
i___-� �"' �'� CITY HA�L FRIOLEV SS�32 NU►tBER REV OATE
L 763-571-3450 910-F 15 5/ 15 / 03
JOB ADDRESS 6716 Jefferson St NE
t LEGAL LOT NO. BIOCK TRACT OR ADDITION
OESCR. � 1 Rice Creek Terrace, Plat 4
2 PROPERTY OWNER MAIL ADORESS ZIP
Barry Seaberg, 6716 Jefferson St NE, Fridley, MN 55432
3 CONTRACTOp MAIL ADDRESS ZIP
Barry Seaberg (same as above)
a AqCNITECT OR OESIGNER MAIL ADDRESS Z�P
5 ENGINEER MAIL ADDRESS 21P
8 USE OF BUILOING
Residential
7 CLASS OF WORK
/
3351�
�
OF APPROVEO B♦
/
SEE ATTACMED
SNEET
PHONE
763-574-9833
PHONE LICENSE NO
PHONE �ICENSE NO.
PHONE LICENSE NO
�1 NEW O ADDITION � ALTERATION ❑ REPAIR ❑ MOVE O REMOVE
8 DESCRIBE WORK
Insta�l brick on front 34' x 42' & front step
9 CHANOE OF USE FFOM
STIPULATIONS
TO
TYPE OF CONST.
SEPARA7E PERMITS ARE RE�UIRED FOR ELECTRICAL, PLUMBING. HEATING,
VENTI�ATING OR AIR CONDITIONING
THIS PEFMIT BECOMES NULL ANO VOID IF WORK Ofi CONSTRUCTION ZpNING
AUTHOR12E0 IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION
OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT
ANY TIME AFTER WORK IS COMMENCED. NO DWIG. UNITS
I MEFEBY CERTIFY THAT I MAVE REAO AND EXAMINED THIS APPLICA710N
ANO KNOW TME SAME TO BE TRUE ANO CORRECT. ALl PROVISIONS OF LAW$ yq�UATION
AND ORDINANCES GOVERNING TNIS TVPE Of WORK WILL BE COMPLIED
WITH WMETHER SPECIFIED HEREIN OF NOT. TME GRANTING OF A PERMIT �1 �600.00
DOES NOT PiiESUME TO GIVE AUTMORITY TO VIOLATE OR CANCEL TNE pERMIT FEE
PROVISIONS Of ANY OTHER STATE OR LOCAL LAW REGULATING CON•
STRUCTION Ofi THE PERFORMANCE OF CONSTRUCTION �S�I.OS
CON7APCT pAUTH QEOAGENT IOATE�
) NE � � OWNEp BUI�O IDATEi
r--� �
OCCUPANCYGROUP OCCUPANCYLOAD
SO.FT CU FT.
OFfSTREE7 PARKING
STALLS
r
GAflAGES
�.80
SAC CMARGE
Fire SC $1.60
TOTA�FEE
$59.45
D 7M1S IS,E UR P RMIT
NEW
ADDN
ALTER
[] CITY OF FRIDLEY Effective 1/1/2003
[] 6431 University Ave NE, Fridley, MN 55432 (763) 572-3604 Bldg Insp
[] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 (763) 571-1287 Fax
BUILDING PERMIT APPLICATION
Construction Address: �7�� —FF�.v s�� � � � �� /�!_/. /_ .
Legal Description:
Owner Name 8 Address: �l��P�/ ��A��E' �G r Tel. # 5%�- 9r4'.� �
Contractor. � MN LICENSE #
Address: Tel. #
LIVING AREA:
GARAGE AREA:
DECK AREA:
OTHER:
Attach to this application, a Certificate of Survey of the
lot, with the proposed construction drawn on it to scale.
DESCRIPTION OF IMPROVEMENT
Length Width Height Sq. Ft.
Length �dth Height Sq. Ft.
Length Width Hgt/Ground Sq. Ft.
, ,� P
oa c. �� S E
Construction Type: Estimated Cost: $ �����
Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x� _�
DATE: � a� ; � APPLICANT: Tel. # _ S �� ��''�� �
Call (763) 572-3604 for Permit Fees if mailing in application. Fau 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
$ �i � �S�
$ l. ��
� � c��
$
$
$
$
$
$
$ �9�, ��
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 [ J
,..�.
_ •�
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 $100,0�
$100,001 to $500,000
$500,(l01 to $1,000,000
��
$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.� for each additional $1,0�
or fraction thereof, to and including $25,000
$391.25 for first $25,�0 plus $10.10 for each additional $1,000
or fraction thereof, to and including $50,000
$643.75 for first $50,000 plus $7.� for each additional
$1,000 or fraction thereof, to and including $1(�,0�
$993.75 for first $100,000 plus $5.60 for each additional
$1,000 or fraction thereof, to and including $5(�,0�
$3,233.75 for the first $SOO,Q� plus $4.75 for each additional
$1,000 or fraction thereof, to and including $1,000,000
$1,000,001 and up $5,608.75 for the first $1,000,0� plus $3.15 for each additional
$1, � or fraction thereof
CURB CUT ESCROW
(Concrete Curb Streets Only)
Removal and replacement of curb and gutter only - driveway width plus 6 feet times $17.OU.
Permits for constivction will be issued a minimum of 24 hours ftom the time of application to allow for proper
review of the proposed structure and of the construction 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
..�„
suBJECT PE
City of Fridley 3354`1
AT THE TOP OF TME TWINS g � I L D I N G P E R M I T
r
COMMUNITY DEVELOPMENT DIV. RECEIPT NO.
�
� �
� j V �"�� ,
r � � PqOTECTIVE INSPECTION SEC. � 7� �
� i �
� �"'� � CITY MALI FRIOLE� S3�J2 NU►�BEA NEV O�TE PAGE Oi �PVqpvED 8r
�"""'�� ,�� 763-571-3450 s�aF�s 5/22/03 / /
lOB ADDRESS 6716 Jefferson Street NE
t LEGAL �07 NO. BLOCK TRACT OR ADDITION SEE ATTACMED
oescR. 7 1 Rice Creek Terrace Plat 4 SHEET
2 PFOPERTY OWNER MAIL ADDRESS ZIP PHONE
Barry Seaberg 6716 3efferson Street NE 574-9833
3 CONTRACTOp MAIL ADORESS ZIP PHONE LICENSE NO
Same
4 AiiCMITECT OR DESIGNER MAIL AODRESS ZIP PMONE LICENSE NO.
5 ENGINEER MAII ADDRESS 21P PMONE LICENSE NO
8 USE OF BUILOING
Residential
7 CLASS OF WORK
O NEW � ADDITION O ALTERATION � REPAIR O MOVE O REMOVE
8 DESCRIBE WORK
Reroof House (13 Sq) Tear-off
9 CHANGEOFUSEFROM � TO
STIPULATIONS
e Underlayment must comply with the State Building Code.
SEPARATE PERMITS ARE fiEOUIFiED FOF ELECTfiICAL, PLUMBING, HEATING, TVPE OF CONST. OCCUPANCY GROUP OCCUPANCV LOAD
VENTILATING OR AIR CONDITIONING
TMIS PERMIT BECOMES NULL AND VOIO IF WORK Op CONSTRUCTION 20NING SQ. FT CU FT
AUTHORIZED IS NOT COMMENCEO WITHIN 80 DAYS, OR IF CONSTRUCTION
OR WORK IS SUSPENDED OR ABANDONEO FOR A PERIOD OF 120 DAYS AT
ANY TIME AFTER WORK IS COMMENCED. NO DWLG. UNITS OfFSTpEET PARKING
I NEREBY CERTIFY TNAT I MAVE REAO AND EXAMINED THIS APPLICATION 1 STALLS GARAGES
AND KNOW TME SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS yp�UATION SURTAX
AND OFlOINANCES GOVERNING THIS TVPE Of WORK WI�L BE COMPLIE� @
WITH WMETHER SPECIf1ED MEREIN OF NOT. THE GiiANTING OF A PERMIT W1,505 $.7S
DOES NOT PRESUME TO GIVE AUTHORITV TO VIOLATE OR CANCEL THE pEqMIT FEE SAC CHARGE
PROVISIONS OF ANY OTNER STATE OR LOCAI LAW REGULATING CON- @S7.OS Fire SC �I.SI
STRUCTION OR THE PERFOFiMANCE OF CONSTRUCTION y�
P�AN CHECKFEE TOTALFEE
$59.31
\/� 4 pF�ON' CT AOpA MOpIZEOAGENT iO�TE� EN PqOPEiiIY VALIDATED THIS IS UF P AMIT
Y
r � �'��-r
$�GNATU�7E0� WNEp���OWNEABU�L pi �DATE� DG �NSp f� T
�'. -a: �_
NEW
ADDN
ALTER
(] CITY OF FRIDLEY Effective 1/1/2003
[] 6431 University Ave NE, Fridley, MN 55432 (763) 572-3604 Bldg Insp
[] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 (763) 571-1287 Fax
BUILDING PERMIT APPLICATION
Construction Address: ��� %/� �G%�iCc� s�K� �� �l E �
Legal Description: _
Owner Name 8� Address: �f��/� �/ ����3�'.� �- Tel. # S 76/ - 9d 3�
Contractor. � �� a �e MN UCENSE #
Address: Tel. #
Attach to this application, a Ce�tificate of Survey of the
lot, with the proposed construction drawn on it to scale.
DESCRIPTION OF IMPROVEMENT
. '
LIVING AREA: Length Width Height Sq. Ft.
GARAGE AREA: Length �dth Height Sq. Ft.
DECK AREA: Length Wi� H Ground Sq. Ft.
OTHER: �'�/ � i��iD � '� �F �G.eS'�. %�� ��� '��
���- �fj � � � V
Construc6on Type: Estimated Cost: $ ��G�l /���
Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x$ _$
DATE: ��� "� APPLICANT: Tel. # S 7� - 5`���
Call (763) 572-3604 for Permit Fees if mailing in application ax 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
$ �j, � Is
S
$ /� ��
$ �
$
$
$ �
$
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 [ ]
$ c��q� !
�
_ •�
BiJILDING 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 applica.tion 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
$500,001 to $1,IX}0,000
FEES
$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 each additional $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 $1�,000
$993.75 for first $100,000 plus $5.60 for each additional
$1,0(JO or fraction thereof, to and including $5�,000
$3,233.75 for the first $5�,000 plus $4.75 for each additional
$1,000 or fraction thereof, to and including $1,000, (�0
$1,Q00,001 and up $5,608.75 for the first $1,IXJ0,000 plus $3.15 for each additional
$1,000 or fraction thereof
CURB CUT FSCROW
(Concrete Curb Streets Only)
Removal and replacement of curb and gutter only - driveway width plus 6 feet times $17.00.
Permits for constivction 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.
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
ADDRESS
PIN
LEGAL DESC
PERMIT TYPE
CITY OF FRIDLEY
6431 UNIVERSITY AVENLTE NE
FRIDLEY, MN 55432
57Z-36U4 FAX:
: 6716 JEFFERSON ST NE
: 143024130025
: RICE CREEK TERRACE PLAT 4
: LOT 7 BLOCK 1
e
PROPERTY TYPE .
CONSTRUCTION TYPE .
HEATING
RESIDENTIAL
ADDITION/ALTERATION
571-1Z87
PERMIT NO.: 2004-00128
DATE ISSUED: Ol/27/2004
�`���
VALUATION .
NOTE: AIR CONDITIONERS CAN NOT BE PLACED IN A SIDE YARD WITHOUT WRITTEN PERNIISSION FROM
ADJOINING PROPERTY OWNER. COMBUSTION AIR SHALL BE PROVIDED PER UMC SECTION 504(A) AND TABLE 6-A
INSTALL GAS FIREPLACE (MAJESTIC, 30,000 BT[J)
APPLICANT
MASTER GAS FITTERS
2263 N MCKNIGHT RD S
NORT'H ST PAUL, MN 55109-
(651)748-8277
OWNER
BARRY,SEABERG
6716 JEFFERSON ST NE
FRIDLEY, MN 55432
STATE SURCHARGE, MECH FLAT
HEATING PERMIT MINIMUM FEE
TOTAL
AGREEMENT AND SWORN STATEMENT
This permit becomes null and void if work or construction
authorized is not commenced witin 60 days or if construction
or work is suspended or abandoned for a period of 120 days
at any time after work is commenced.
I hereby certify that I have read and examined this
application and know the same to be true and correct. All
provisions of laws and ordinances governing this type of worl
will be complied with whether specified herein or not. The
granting of a permit does not presume to give authority to
violate or cancel the provisions of any other state or local law
regulating construction or the performance of construction.
Bldg
Date � M.`7 � �U
SEPARATE PERMITS REQUIRED FOR VJORK OTHER THAN DESCRIBED ABOVE.
0.50
25.00
25.50
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T8 3Jbd �JW BLZ88bLt99 9E�ZT b00Z/9Z/T0
CITY OF FRIDLEY
6431 UNIVERSITY AVENUE NE
FRIDLEY, NIN 55432
PERMI�NO.: 2004-01636
DATE ISSUED: 09/22/2004
(763) 572-3604 FAX: (763) 571-1287
ADDRESS : 6716 JEFFERSON ST NE
PIN : 143024130025
LEGAL DESC : RICE CREEK TERRACE PLAT 4
: LOT 7 BLOCK 1
PERMTT TYPE : BUII.,DING
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : ADDITION/ALTERATION
VALUATION : $ 900.00
NOTE: SEE NOTATIONS ON PLAN.
CALL GOPHER STATE ONE AT 651-454-0002 FOR UTILITY LOCATIONS.
PROVIDE SMOKE DETECTORS IN ALL SLEEPING ROOMS AND ON ALL LEVELS OF TI� DWELLING PER R317 OF TI�
2000 INTERNATIONAL RESIDENTIAL CODE. ENLARGE TWO BASEMENT WINDOWS INTO EGRESS WINDOWS.
APPLICANT BUII,DING PERNIIT FEE 35.70
BARRY, SEABERG PLAN CHECK FEE 23.21
6716 JEFFERSON ST NE FIltE SURCHARGE 0.90
FRIDLEY, MN 55432 STATE SURCHARGE, VALLJE 0.50
;
TOTAL 60.31
PAID WITH CHECK # 5243
OWNER
BARRY,SEABERG
6716 JEFFERSON ST NE
FRIDLEY, MN 55432
AGREEMENT AND SWORN STATEMENT
This permit becomes null and void if work or construction
authorized is not commenced witin 60 days or if constntction
or work is suspended or abandoned for a period of 120 days
at any time after work is commenced.
I hereby certify that I have read and examined tlus
application and l�ow the same to be true and correct. All
provisions of laws and ordinances governing this type of work
will be complied with whether specified herein or not. The
granting of a permit does not presume to give authority to
violate or cancel the provisions of any o er state or local law
regulatin c truction o ce of const�uction.
Applican Dat�
Bldg Ins a •
SEPARATE PERMITS Q D F R WORK OTI�R THAN DESCRIBED ABOVE.
NEVV [ ]
ADDN [J
ALTER [ ) '
Construction Address: ,�
Legal Description:
Owner Name 8 Address:
CITY OF FRIDLEY ���0�� Effective 4/1/2004
6431 University Ave NE, Fridley, MN 55432 (763) 572-3604 Bldg Insp
SINGLE FAMILY AND DUPLEXES R-1 AND R-2 (763) 571- 87 Fax
BUILDING PERMIT APPUCATION � � � ��-
� � ��,� � t ,j��� w�,.-� � ,�� F� ��`�,
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�� �` ��`� ��is�°� �` l Q �� � e ��.�`��:, '�'��� ��
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Tel. #. S �� ° ?� ��� _
Contractqr. �.�� � � MN LICENSE #
-,
Address: Tel. #
Attach to this application, a Certificate of Survey of the
bt, with the proposed construction drawn on it to scale.
DESCRIPTION OF IMPROVEMENT
LMNG AREA: Length Width Height Sq. Ft
GARAGE AREA: Length Width Height Sq. Ft
DECK AREA: Length Width HgUGround Sq. Ft
� / � /
OTHER: {it.,1,� r r� f� �+ .� e � � ra_ � �e � � cv�� ---
Construdion Type:���i`�- � c� Estimated Cost: $��
Drnreway Curb Cut Width Needed: Ft + 6 Ft = Ft x$ _$
DATE: s �J' � APPUCANT: Tel. #j�� �� ° �,,��
Call (763) 572-3604 for Permit Fees ff mailfng in application. Fax to 763-571-1287 if using credit card and we will call
you for card number.
Permit Fee
Plan Review
Fire Surcharge
State Surcharge
SAC Charge
License Surcharge
Curb Cut Escrow
Erosion Control
Park Fee
Sewer Main Charge
��` B
$ ��
$ `� -�
�_� �%
�_
$ , ��� ;
$ �;; � ;
$
.$
$
$
$
$
CITY USE ONLY -
Fee Schedule on Reverse Side
65% of Permit Fee
.001 of Permit Valuation (1/10th%)
$.50/$1,000 Valuation
$1350 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 [ ]
TOTAL $ Y�=C� � � r STIPULATIONS:
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
sttvcture, 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,Q00
$100,001 to $500,0�
$500,001 to $1,000,000
$1,000,001 and up
FEES
$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,(�?0 plus $14.00 for each addidonal $1,000
or fraction thereof, to and including $25,0�
$391.25 for first $25,000 plus $10.10 for each additional $1,000
or fraction thereof, to and including $50,(�0
$643.75 for first $50,000 plus $7.00 for each additional
$1,OQ0 or fraction thereof, to and including $100, 000
$993.75 for first $1�,000 plus $5.60 for each additional
$1,�0 or fraction thereof, to and including $5�,000
$3,233.75 for the first $500,000 plus $4.75 for each additional
$1,000 or fracdon thereof, to and including $1,000,�
$5,608.75 for the first $1,�0,000 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 fe�t, times the annually determined
rate
Pertnits for construction will be issued a minimum of 24 hours from the tune of application to allow for proper
review of the proposed structure and of the construction 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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