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AF - 34931s�e�ECr PER NO. c�ty of Fridley ° 16 7 3 3 AT THE TOP OF THE TWINS g U I L D I N G P E R M I T r � � RECEIPT NO. i COMMUNITY DEVELOPMENT DIV. � � L____��_, r � � PROTECTIVE INSPECTION SEC. �1'� � 1 � � � � A� /'—�1 � CITY HAL� FRIDLEY SS432 NUMBER REV. DATE PAGE OF APPROVED BV '��'J \.� �.J 612-571-3450 g�0-F15 g�lg�g2 / / JOB ADDRESS 5312 Altura Road N.E. t LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 32 6 Carlson's Summit Ma.nor North Addn. SHEET 2 PROPERTYOWNER MAILADDRESS ZIP PHONE Robert G. Kishish 5312 Altura Rr�ad N.E. 572-9616 3 CONTRACTOR MAII ADDRESS ZIP PHONE LICENSE NO Same 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE N0. 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO. 6 USE OF BUILDING 7 CLASS OF WORK ❑ NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK t � � � 9 CHANGE OF USE FROM TO STIPULATIONS Side yard variance approved by Council 7/26/82. North wall be a firewall ' with 5/8" type X Gypsum board and any windows in this north wall be fire safe steel mesh windows. Suggest rain gutters along the roof with downspouts directing water away from north property line. B�� , ��fpkON�'n� ��l/ � SEPERATE PERMITS REQUIf�ED F0� w'IF�(t� ,, ��QL`�.F(F�TR��<<��,j;,.�;f� H�ATiNG, PLUMSING AN(7 SIGN�. RF� �Y '�S£tc �� TYPE OF CONST. OCCUPANCY GROUP OCCI,IaA^iC'� !_OAp SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, VENTILATING OR AIR CONDITIONING. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZpNING SQ. FT. CU. FT. AUTHORIZED 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. DWLG. UNITS OFFSTREET PARKING I HEf;EBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION � STALLS GARAGES AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS VALUATION SURTAX AND ORDINANCES GOVERNING TNIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT $16,150 ySH.OS DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL 7HE pERMITFEE SACCHARGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. $1.22. rJO NONE PLAN CHECKFEE TOTALFEE $30.63 $161.21 siGNnT e F ConiraaCTOR n oaizq aGEr,, �DnTei WHEN PROPERLY VALIDATED THIS IS VOUR PERMIT � � % �'/�: �-- � � � C�' ��.---- . iG ATUREOFOWNERiiF WNERBUILDERi IDA7EI BLDG �NS� r� 7E e CI7Y OF FRIDLCY Effective Aug. 1, 1981 APPLIG/1TI�J FOft RESIDChITIII� [iU1L�Ii1G PCRi�iITS (I�e►•�, A1 terations, Addi tions, or Repa i rs ) � � � Ol�lNER: `�C�.��-iL' r �� ,�i 5(-I lS(-� ADDRESS: � �� ctiL�.ri4 �L(�� TEL N0: � �� - ��, i fo t3UI LDER : � AODRCSS: TEL t�0: Construction Location._ • ST7tI�T NO: � f STREET: � LOT: � 02 BLOCZC: � �� ADDITION: L " ` ,�_� �Of�,�.S �v�1�lc % � d.�,� � Corner Lot: Insii3e Lot: Setback: Sideyards: Ap�licant attach to tliis foYra two Certificates of S�rvey of lot and pzoposed building location drawn on certificates to scale. DESCRIPTIOid OF CO!•JSTP.UCTIO�J `�'��oC' _ Front: ,�� Depth: �3 � Height: 1 � � Square F�et: �� Gtibic Feet: ��?bl1 �- �) �1 S.� � Front: /� � Depth: ��7 � Heiql3t: �� Square Feet: �� Aibic Teet: �3G�/�•� � ��.$� �-aogx �a�ac. � SyZ�o z i��s�� 4ype of Cor,struction: w�-' � �?�-%�b"11�� Estimated Cost: �1� �b Be Wr,�pleted: Alt. A Alt. 8 Proposed Drive��ay Width If New Opening Is Desired: $� s . . SE� R.BVER;E SIDE OF SHEET Ziie undersigned hereby mal;e� application for a permit fcr the �•�ork herein specified, agreeinq to do .all Work ii, strict accordanec ��ith the City of 1'ridle}� Ordinances a�id rulii�g� of tl�e Delk�rtm�t of Buildings, and hereby declares that all tl�e facts and repres�tatiens stated in this application are true and correct. D.ZT�: S IGNATU I� : Stipulaticns: ��1��_ � �"�_.� �(��f 1 �� f��C'_� ��t� �P�7��'� �� '+��ti��'�.(, �� . � ��-i�� L.v�� ... ��- �' � � 12.z ��-a� ��. � c �-E �%� '` ��/ P� � ��Psc�n`� �oA �;� %� +�� ;J 1=�at �(,c_� � r�� :)c��.� z� i�J �1-1 � s l�?o� ��-1 C:�� a � �. ,C�� i ec� SA-F� 5,��_l, d�l� Sf-1 (,�� ►-� :�c� u��S . 5 V�+�ST �F} i AJ � u7T� A.5 %��d K, p,,� t Z2 .'� u a R�F w� oow N s�� P.¢. 3�. � • Gt rt��N� wAr'R.. gw,�y Fa/»� %no , a� � �vo c�r�- Pa.. P�s �N�., , _ ��.�., l f, � .2 � BUILDING PE�RMIT FEE SCHEDULE The Inspector of buildings shall, before issuing permits for the erection of any buildinq oz structure, or for any addition to any existinq building or structure, or for any alteration or repairs to any existinq buildinq or structure, upon application therefore, zequize the payment by the applicant f oz such permit of fees to the amount hezein below set forth and in the manner herein provided to-wit: TOTAL Vli1l�JATION $1.00 t� $500.00 5501 bo S2►000 S2, 001 ta $25, 000 S25,001 to S50,000 FEES S10.00 Minimum Fee 515.00 plus surcharge $10.00 for the first $500 plus 51.50 for each additional $100 oz fraction thereof, to and includinq 52.000 532.50 foz the first S2,000 plus 56.00 for each additional $�,000 or fraction thereof, to and includinq $25, 000 S170.50 for the first $25,000 plus $4.50 for each additional $1,000 or fraction thereof, to and includinq $50,000 550,001 to $100,000 $263.00 for the f irst 550,000 plus each additional $1,000 or fraction and including S100,000 S100,001 and up $443.00 for the first S100,000 plus each additional $1,000 or fraction PLAN CHEQC: 25 percent of building pezmit fee $3.00 for thereof , to S2. 50 for thereoi DRIVi�1AY DEPRESSION ESCROW: Concrete C�rb Streets O�ly Alternate "A": Removeal and replacement of curb and qutter only Driveway width plus 6 feet x 513.50 Alternate "B^: Ranoval and replacesoent of curb and qutter and install a 3 foot r�ride approach with 6 inch depth Driveway width plus 6 f eet x S15.75 VERIFICATION OF FOUNDATION Permits for construction will be issued a minun�m► of 24 hours fro�n 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, showinq the location of the foundation once it has been constructed wi12 be required before groceeding with the framing. l�,l� Z o o r---- � � �� 'b� .Sd 90.00 !ZZ • S�° . .:-.,.. =��, .,.. ZZ_c�� - __ ._ t-o��.. ��-a . , I t -- -. 2E ao�cL ,..,�mor< �;,.� , I __,� �� — � -. ... � - L �c 1 G.+ il "<.s.� E.�L� v - -.��. �=_..�._ .. �.; �,._ - _._ 1 I� � � ' • � — _ _ --�- _ _ N I . ., � i � � f � ' Q "� � � . i � I �� . I �. I � �� . � . ( � � . � ` � _��m � �� ,��`,�ti cOJE�L.a-(�[J.� �c��. __..J .� - -- - — - � � ---- - --- -�--- --- - -� �- -_.. --- ----------_-_. � x� -.-- -I—�� — `�� -- — --- -- -- - -- , -�,— ' 0 i . ': �—_ � _ --- -- � . _ , i �-- � I a' � � r��___ / , I � I d �. W d v�___ � 4 � -a0 � �� a� � �� ,. c�,' j � � .=,� r► ! x, � n��_ . �—y , _ �. � d � ��, � a:" �L.w ��z. . . j � - f '� � : .� 4-� �X k �o; �p u:�:u.a..n E_��.L ? 1 � �y Y � ; E! � � y � ,� � �� ,� , � � � ' � � ¢ � , -- --� _.__ / � ox i x ,� i d. 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' � �: --_.. , r � � PROTECTIVE INSPECTION SEC. � ; i_---��"' �'� CITY HALL FRID�E� 55432 NUMBER L 612-571-3450 910-F15 J08 ADDRESS 5 12 Al 1 LEGAL LOT NO. BLOCK TRACT OF ADDITION DESCF. 32 � 2 PROPERTV OWNER MAII ADORESS Kishish 3 CONTRACTOR MAIL ADDRESS Viking Hm. Improvement Co. 4832 2 1/2 St 4 ARCHITECT OR DESIGNER MAtL ADDFiESS 5 ENGINEER MAIL ADDRESS 6 USE OF BUILDING Residential 7 CIASS OF WORK REV I DATE ZIP ?.L ZIP ZIP PAGE OF � / ,�,_. PMONE -��zn PHONE PHONE P�MTT N O . 27463 RECEI� j r; �! � APPROVED BY SEE ATTACF4ED SHEET LICENSE NO a�� UCENSE NO UCENSE NO � NEW O ADDITION ❑ ALTERATION � REPAIR ❑ MOVE O REMOVE 8 DESCRIBE WORK Reroof house and Qara�e (30 Sa) Tear-off 9 CHANGE OF USE FROM STIPULATIONS TO Underlayment must comply with the State Building Code. TVPE OF CONST. SEPARATE PEFiMITS ARE REOUIRED FOR ELECTRICAL, PLUMBING, HEATING, VENTILATING OR AIR CONDITIONING. THIS PERMIT BECOMES NULL AND VOIO IF WORK OR CONSTfiUCTION ZONING AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENOED OR ABANDONED FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UNI 1 HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PFOVISIONS OF LAWS VALUATION AND ORDINANCES GOVERNING THIS TVPE OF WORK WILI BE COMP�IED WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITV TO VIOLATE OR CANCEL THE pEFMIT FEE PROVISIONS OF ANY OTHER STATE OR IOCAL LAW REGULATING CON- STRUCTION OR THE PERFORMANCE OF CONSTRUCTION ](�.75 --�� PLAN CHECK FE � ��3�� Lice S S�GNATUAEO CON'RACTOAORAUTHOAIZEDAGENT IDATEI HEN SiGNATURE OF OWNEa iIF OWNEA BUILDERI IDATEi p� , iNc SQ.FT STALLS NCYGROUP OCCUPANCV�OAD CU.FT OFFSTREET PARKING GAFAGES SURTAX SAC CHARGE Fire SC 2.50 TOTALFEE VALIDATE THIS IS Y UR PER � � � i r�L7E NEW ADDN ALTER [] [l [] CITY OF FRIDLEY SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION ConstructionAddress: �.j i"� /,�L � �z� �� . �� , Legal Description: Effective 1 / 1 /98 �� Owner Name & Address: k'� S�f r s j,� Tel. #�� '�/� Contractor: (�.� ,� �,� 4. I-��.,� � r�-,�' MN LICENSE # t% ?7�� Address: �j�� ; ;� � �z .s,-_ �> • � • Tel. # S 7z - ��z� Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. LIVING AREA: GARAGE AREA: DECK AREA: OTHER: Length Length Length DESCRIPTION OF IMPROVEMENT W idth W idth W idth Height Height Hgt/Ground Sq. Ft. Sq. Ft. Sq. Ft. � ��L va �- Construction Type: -��` � Estimated Cost: $ � S�''� (Fee Schedule on Back) Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x$ _$ DATE: �� — y p APPLICANT: �t_�>"'��-�� -- Tel. # S 72 —/ �' z- cF Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee Sewer Main Charge TOTAL STIPULATIONS: CITY USE ONLY $ ��/ °/� Fee Schedule on Reverse Sid� $ �, � (> .001 of Permit Valuation (1/] $ �, .�? S $.50/$1,000 Valuation $ $1000 per SAC Unit $ � � ("�(' � $5.00 (State Licensed Reside� $ Alt. "A" or Alt. "B" Above $ $450.00 Conservation Plan R $ Fee Determined by Engineeri $ Agreement Necessary [ ] N� $ ��-�� z� �.1L" ��f ''�fivi2�' +�* CUS�OMER RECEIPT *�* OF'ER: TUROK OC DRAWER; i DATEc bi31/98 � RECEIPT: i=t�?5b23 DESCr� i RTI �i �='ERMITS-BUiLDIN6 FIRE SURCHARGE � R 5UA"f�k LICENSE SURCHARG PERMITS-AL�iLDING FIRE 511RCNARC,E F 5URTAii LIGENSE SURCHAR6 fi�RP1Ii5-�JILDIN6 r I RE �i1RCHRRGE F SIIRTAX LICENSE 5URCH�RG PERMITS-AUILDING Fif� SURCHRRGE � SURiAX �ICEN5E SURGHAR6 QTY i 1 1 1 , 1 1 1 1 1 1 i i ! 1 ►�MOUNT TP �74.75 E� �'c.5i� F5 �1. �5 �Ii #5. �i1 N� �59. SQ bF� 81.83 FS #.92 �U �5. 0�1 H2 345. 75 8P �1.33 FS �. r� su �J. tjQ �� 54. U�J AF' �i.6f, F5 �. �.i 5U $5. OG H2 �� Ck rK CK i,K CK CK GK CK CK EK GK CK CK Gh r �, VIKi�{G NOME IMPROVEt�tT CO �' #�74�, 5312 ALTURA RD AR #27404, 4916 sRD AVE NE E� #C%�fbJ� 4733 � llc 5T NE �� #�'74b6. ?�t1 HRKGf�ANN CIRiiE TII�: f4:�1:14 TDTRL CHECK 3.?6�. `38 BUILDING 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 (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 $500,000 plus $4.25 for each additional $1,000 or fraction thereof, to and including $1, 000,000 $5012.25 for the iirst $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 times $15.75. VERIFICATION OF FOUNDATION Permits for construction will be issued a minimum of 24 hours from the time of application to allow for proper review of the proposed structure and of the construction site. A Certificate of Survey of the lot, showing the location of the foundation once it has it has been constructed will be required before proceeding with the framing. , , �� / .. . _ i . ._�/ / ' ` / ! N� [] CIIY QF FRIDLEY Eifective 4I1/2004 � ADDN [] 6431 University Ave NE, Fridley, MN 554��2 (T63) 572�60�1 Bidg Insp �" ' ALTER [] SINGLE �AMILY AND DUPL�XES R-1 AN[) R-2 (763} 5T1-1Z87 Fax ��' �, / R!J[LDING PERMI7 APPLICATIQN � `Y � Constructian Address: �310� �-��;�Gc..,____ �', ,_./ Legal Des�►iptipn_ Owner Name Address: Corttractor. Addt�ss� � � G� LMNC AR�A: GARAGE AREA: p�CK AREA: OTH�R: Tei_ # MN LICENS� � � r��. 7 �- � Attac�`i to this applicaiion, a�ertificate of Survey af the bt, with the proposed construction drawn on it to scale. DE$CRIPTION OF lMPRAVEMEN7' Length Width Height � Sq. �t Length Width Height _ Sq. Ft Length _,�, Widtt► Hgt/Gmund _� Sq. Ft� ` w - � ��0. �� Cor�sttuCtion Type: . Estimated Cost. � � �' �� '�-P�sS' ��z' Driveway Gurb Cut UVidth Needed: t+ 6 Ft = Ft x$ =�� • ! r 1 �`"V AF'PLICANT:(N` �� G��'�/� �� 7e1.# �6� �5�%�� DATE. � Call {783) 572-3604 for Permit Fees if mailing in applica�ion. Fax to 7�3-571-128f if using credit card and we wilt call you for c�rd number. CITY USE ONLY - Permit Fee Plan Review Fire Surcharge State Surcharge SAC Charge License Sur�harge Curb Cut Escrow Erosion Control Park Fee Sewer Main Charge To�,� $ i �p _� � � � $_� �l > � �� 3 � $ � ��-� �� $ -- $ $ � ��. Fee Schedule on Reverse Si�de 65% of Permit �ee .00i vf PeRnit Valu��ion (1/10th%) $.50/$1,OU0 Valuation $1350 p�r SAG Unrt $5.00 (State Licensed ResidNntial Contr�ctors) A1t. „A�� ar Att. ��8�� Above $450.OQ Conserv2�fion Plan Review Fee Determined by Engineering Agreement Neoessary [ ] Not Necessary [ ] $TiPULATiON� ��/Z0 3�Jdd 0� bSf1H� 3H1 5E85TtrbE9L LE�Ei L00Z19ZlZ0 ''^��f --- �� ,J [] � CITY OF FRIDLEY Effective 4/1/2004 �DDN [] 6431 University Ave NE, Fridley, MN 55432 (763) 572-3604 Bldg Insp ALTER [ J SINGLE FAMILY AND DUPLEXES R-1 AND R-2 (763) 571-1287 Fax BUILDING PERMIT APPLICATION Construction Address: �3 �a �L �� /�G� . Legal Description: Owner Name & Address: /��U�/ IC�J'U�l� {� J��e � Tel. # Contractor: J MN LICENSE # � ��_ Address: 1� � Tel. 76 � � . � � �"- `" GvAttac�i t�his applicatio�a �rtificate of Survey of the bt, with the proposed construction drawn on it to scale. DESCRIPTION OF IMPROVEMENT LIVING AREA: Length Width Height GARAGE AREA: DECK AREA: Length Length Width Width Height Hgt/GFOUnd Sq. Ft. Sq. Ft. Sq. Ft. OTHER: - ` ` w � ��, �d Construction Type: Estimated Cost: $ � �S' G��SS � � Driveway Curb Cut Width Needed: t. + 6 Ft = Ft x$ _$ DATE: � � � � `� V APPLICANT: G'�` �Y 1 �� Tel. # �6 � ��i"� ��p � 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 Plan Review Fire Surcharge State Surcharge SAC Charge License Surcharge Curb Cut Escrow Erosion Control Park Fee Sewer Main Charge � '�(��, � 5 $ $ �a — $ Lt . ?�� $ $ �� $ $ $ $ CITY USE ONLY - Fee Schedule on Reverse Side 65% of Permit Fee .�01 of Permit Valuation (1110th%) $.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 $ � STIPULATIONS: