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AF - 34941City of Fridley, Minn. BITILDING PERIVIIT .- aate: �Eel� +�a�,, 7,�, � 971 p�; Emil Bruzer g�� Ami�� Construction � Addr�ss �070 S�inson Boulevard � -o . 10955 LOCATION OF BUILDING Na 5348 S�t Altura Road N.E. �� - 2�-- �� Additton or Sub-Divisioa Carlson's Sua�nit Manor North Addn. coraer Lot _ 7asiae Lot — x setuack 3.� Siaeyara 10' & 15' � Elevatta� 835.58 838.58 �qe Top 8� of Footing DESCRIPTION OF BUILDING To be Us¢d as: _Dwelling �t 40' �p� 26' ��t 20' �. � 1040' � � 20,800' �"�r—�e Front 15 r 6'� �p� 26' g�t 10' �. � 4L6' �� 4160' � op ��q� Frame �� $20� 000 To be Completed Julq 15th� 1971 SEWEit LOCATION: "Y" 20' NorY.h of Ma,nhole IlW. of Menhole 835.52 WATER L(�ATION: Stop Box 10' No�th of Manhole Maintain garage floor 18" above centerline of street. Provide hard surface drive. Provide verifying survey of fouxidation before framing. Ia c�nsideratLon of the issuance to me of a permit to construct the building described above I a�ree to 80 � P�P� work ir► accwrdancs wlth the d�scr3gt3on above set f and ia c:ompliencae op vrdinanaea of the dtq of FridleR � �� In crom�deral� of the payment oP a fee oP $ 46.00+, �t ��}iy g�� Amber Construction to cromatruct the building or additfon es d�crYbed above. Tl�is �ernnit is grant� upo�n t,he exAress c�tditta�n that theperson to whom ft is graatsd and hYs a�ents, emplo�yeea and workmen, in all work. doae in, around and upon satd buildin�, or aaq� thereof, shall �orm ia aII r�pecta tfl the ordinances of ��Y► �n�ota locatlo� cwnstruct�am, alteratlon, matntensac� rePgir and. movlag of b�� w1� dty ]imtt$r�i� permft may be revOked at ea}► time upoa violatla� of any a�' the P��B of ea�d �8 � Nonc� 1W p�me aw, eot ww, t6s co�, ��o. nir�. P�9. e+• �, a�r or vaM: e. .on. to .e. �° Bull� 1�' for sePvat� � hr f�s ih�. „ ,.. � �'1 �""1 �y �� APLICATION FOR RESIDENTIAL, ALTERATION, OR AllDITiON BUILDING PERMIT CITY OF FRIDLEY, MINNESOTA OWNER' S NAME : ��'Y! /� _ _ � . �c r_ � _ BUILDER : _ �lyl� J�i� L" � ri!' s T�. ADDB$� S: -� ADDRES S:�`� �0 .S r l N s[3iv .l do�• .�r'3 Y�l No :__� sTREET: /�'� T u��7- �6 Ff.c9 _ LOT: Z� BLOCK: � ADDITION: � � S a� �fll. SO N 5• G dvtiq,i"p^�• ,�i9ijlo7 /y�i �. CORNER LOT: IIdSIDE LOT:� SETBACR: 3 5 SIDEYARD: l0 ��-� � Applicaat attach to this form �ao Certificates of Surveq of Lot aad proposed building location drawn on these Certificates. BESCRIPTION OF BUILDING To Be Used As; i �� Front: . � �� Depth : '� � Height • � CS / Square Feet: � L1 v Cubic Feet: � p,�-DO ,__ i� Front ; l� �G ��p� . � � - geight • /D � Square Feet; �'il � Cubic Feet: 00 Type of Construction: ��L�.r - Estimated Cost: $�(�, 00 0 T To Be Coatpleted : c� �� l S' �� The uadersigned hereby malces applicativn for a permit for the work herein specified, agreeing to do all work ia stiict accordance with the Citq of Fridley Ordiaances and rulings of the Department of Buildiags, and hereby declares that all the facts and representations stated in thia application are true aad correct. DATE :� i� _ 2 S' —' 7� S IGNATURE : ��--- � � w � (See Revsrae Side For Additioaal Infoxmation.) ,�- � � � �� -� ; � ,` '~ "`a �' � �' �'� E l.�-- ,,F /�' �a �, .a� �f �� ' � ' � �` , � � � b : � �, �` �,� r•,• y. � !� ;-� � �A,;°� .i c ,�; .. . _ �' , �� 1� >, tro' " . ' -� ` - � •� � f �� . z ' l � �'� 9 wt� � ;:s f� � � � ` � � . �- l 1 � N r �. ° �.- � _ � � � F�`'�• '� �° � BUILDING PERMIT FEE SCHEDULE SECTION 2. The Inspector of Buildings shall, before issuing permits for the erection of any building or atructure, or for any addition to aay existing building or structure, or for any alteration or repairs to aay existing building or structure, upon application therefore, require the payment by the applicant for such pesa�.i.t of fees to the amount herein below set forth and in the manner herein pravided to-wit: UNIFORM BUILDING CODE: Type 1, 2& 4-$2.15 for each one thousand cubic feet, or fxaction thereof, in such cubical conteats. Type 3� 5-$1.85 for each one thousand cubic feet. ADDITIONAL INFORMATION For the purpose of computing fees for building permits, the cubical contents of any building or addition, is determined by multiplying the ground area covered from a point six (6) inches below the floor line of the basement or the cellar to the average heights of the upper surface or to the average.• height of the roof surface of the main gable of a pitched roof. For repairs or alterations to an existing structure, the fee shall be at the rate of $3.00 per each five hundred dollars ($500.00) or fractioa thereof in the coat of all proposed work. In no case shall the fee charged for any pezmit as set forth in Section 2 be lees than $5.00. VERIFICATION OF FOUNDATION NOTE: Pes�nits for construction will be issued a mini�m of 24 hours fram the time of application, to a11ow for proper review of the proposed structure and of the construction site. A Certified Susvey af the lot,.showing the location of the foundation, once it has been canstructed, will be required before proceedinr� with the framing. CERTIFICATE..OF OCCUPANCY Application for a Certificate of Occupaacy shall be made ten (10) days prior to the use or occupancy of aay atructure for which a building permit has been issued; and said structure shall not be used or ocaup�ed until a Certificate of Oacupancy has been issued. • d � � � V - �BRALD T. COVNE 300 BRURfSWICK AVE. S. QOLDEN VALLEY, NlINN. RAIWN. RECi. NO. 4741 �IdOUSTRIAL — JUOICIAI. CQMMERCIAL — TOPOC3RAPHtCAL CITY LOTS — PLATTIM�3 LOT SURYEVS COMPANY LAND SURdEYORs =DOI8Ti31tED IINDII8 TdiWB OP BSA?8 OF 7Q88BB0'!A LIOSNdiSD HY OBDI�►�CE OP CIt`Y Op �QNNEApOLIB b747 W. Broadway 6339922 Mi�rtea�Ile. Minn�ota 68428 � �utbepot� � �ertii�Cate � Survey for: AMBER CONSTRUCTION COMPANY • Denotes Iron fl Denotes Wood Hub set for excavation only 1 0 �' b `�` ;` � � 5� " ` 1 � �'' 'i oQ ► 0 M�� 1 s'�� d "`, g�dg . 5 �-. S` f%r„L�"� �d'�r �� /' i Q'y,l� - �� v�_ b � 33 . -n 0 c z r ; � 9 � " � � p o '. � LaO� �� ,o r�►v�no�w a pRasc� RA 681T FDAHO AVE. IV. BROOKLYN PARK, MINN. MINM. REG. NO. 6743 INVOICE NO. 3 I 6 T F.e. NO. I Z�- 4 8 SCALE 7" � �' a , I� � � , � � � 0 s�' .0 � 'I ��H � _,.,.. ---�'i , � � � _��.�2 " �o ; - r —' -'rT C � �.O �� .l �Ptns �. , .��.5,��d . Lot 29, Block 6, CARLSOAI' S SUNA+iIT MANOR NORTH ADDITION f�-' � �.� �` Amended to show foundation location j/10/71 We he�by certify thet thfa is a true and correct repr�entetion �' p,r � M e sw�vel► of tha boundaries of the above deavibed lend end �� the lorstion of_BII buildin� end vieible encroachnrents, if eny, r�°'� � P �' �°� ib � f 1 .��r �` from or on�eid lar�. � �� d� su�v� br � tnro��v ot F eb r�...l`Y te� Lo'r BvAVEYS con�aNSr 0 � � � � � � :� :� : � : g � � � ' � : � : � � e � � � "� � Q � � � M A � x � � � W Q 8 � ,��, g � � � � � � � � � � � � � �,, � �« a �► � � � � � � � � � � � � : ° �. � � .� � � � ��° �� .��. �� : m � : � : : : �' � o� : . : � � 0 � 01 N CI N PI DG iC iG ia �! $ � 8 �8 S3 $ � � � 8 � ~ � ds � �fiN tA � "1 � H � � y � o f�r �� b � � J �� \ti i� �� , � � � �� ' > � � � m � n � v i 1°1'0 �� .�� .■, . i , � � �■�� - ; ��0� __N�: a ��, °p� a a w A p � � � � ro od � � � � �► � �� m �' g � � "' o �i , � , N� s � �� t+AT[R CL06l4'S URINAIS aAni � �� StNKS W�, TqAY$ �. �. �� u� �� o WASMBR CiAS MVL. � IGtNGE c�s W'ENINGS 7 • z • � � � �� aa� a .�.� � � � O �� A ~ � a a P�S o � � � �� a� � �� a � � �� m b�� ,� � p � m � t � �, r� � N ��" �. � � �� f�p M M e� � � `C � ��vr m � �� , 3 � .,. � �d � �� M � � � � � �� . � � �� a > . � i 0 � � ;1 � `� i ,�, ��: �,,� ; �;i, �kl`�� 1 � r � � �° � � � O � � � O �� p � � : � � � � � b� � a � � � � w '� A ��n3ti .. s��„�s �� .: �k�° $0�8� � � � N co c� � � � x � �1 8 c c y n � `° o �. _ :� , � � be � 0 r ee � < � � � w� �w � � � �� " � � � � � �� , � ��` � � , � ° i � � 8 � � � � � �"�� a � � o o � � � � �� .� � � �� :�,� � �� :�oo $ 3 8 8 � � .� I I� � a � w 0 � �, I � � m � � � � � � v � b � �. g � � R� � �� °�� m� g a� : � �g � � � � � � . . � � � � � o 8 8 8 8 8 � 0 c � � � � � � �. i _ � � : � l� � i{ . �° � � ��J�! ~ �>..�� ,�� a� � � � ��: �: �g.. g :: .a sssg� �I $ +�, � 1� �. �.� � �� a A�. � � �. � � � �. .. m�s� ��° � �� ~�.� M � �� o:5m �� m � ��.� M �� Ci Q � a� �� A � � � � � T g � � �. � � � � � !lp; I � �11�1� � `��'I s�a', ,,, \ `�` ,�\� �' � � � � �:� : 4� v � � �� : s s . � i 0 � � C � � � s � � c r � � � � � � o � � Q � O �� p �R � E � � � f � � � � � � � �: W � � �� ti s��s �� : � � Li°'�° : $�8�, 8 M N i � No C� c o � �� a� � � O r � � g �M ws � w � tl � F �' � �� " � � � � � � � �. � �� x c � � � $ � � � � 0 � � � � � � � � � � a � x o�� +� ,+�° �° R° � �x� �� .� � �� :� � � � � r� � � o � 8 � � en ao 0 0 $�88 � � � i lI o � : � m � � IE � �" b �` � �M x �a o ' � 0 � � 0 a b � �. S M � � 8 �R�� .�� .� �°� � S ��e �� a � : � � g : a � � : � w w p� c�: o 888$8 � O C � � � , � � ! �� .( � � � a � � � . t� � � � � � �. � � �� R� � �° �� 7 �� : � � . . 8 : : w a, w o � 8 8 $ $ � � � � � � , � � � �.�.� � �� a � � �. � �� s� �v _� �~�.�� b��m �� , � �� m �a�� 5� � �� , A � � � � t� T v � � � � '�, � � � � N �:� :� �v e w �- v � � �a 0� _ �� _ � � � .� ` �' ; _ ,\ Aut�ust 2s �.9ii �'. F.n�,I 8'�ak � 5348 Alture Road N.B. Fridley, Minnesa�a 55�r32 R�s Slectrical P�.t De�rx 1�. �s�tatr�c: The foliowiaag is due c�n � ale�t�ica� p��imit �ox S� Altuta �o�ted N.�.: Fur�sace $�.00 Otet�.e�e 1-10 3.40 Pto . ,�. pp DisP• 3.Q0 Dish. pp 14.�0 State Su�ge .5{? AffaclaviC . A�}UNT DiT� 1S.Od I.�f�at► I.St�A�D $�� s��e1 �s�ece.�: STATE OF MINNE80TA O�rARTM�NT O� MYMAN atRVlCii 444 LAfAYiTTt ROAO i/�/D� p►� S:. rAYL. NINNtiOTA •OfOf �� a Date � � - %L��--�- ' - - / , � . �- i J /I_ � �i�. � � �- c � • • • c c ' � � �� ..� �. L_ / - • • • - ,�� -��-�- D8S-2722 (9-85) PZ-02722-02 7 �{-/3 - � ��"�� '�� RE: ZONIATG NOTIFICATION OF APPLICATION FOR LICENSURE Subject: Name of Da are eome Appl'cant . Street Ad ress . . ity State Zip Code Type of License: Family Day Care Group Family Day Care Licensed Capacity /Q % Phone No. �'�-/�T�� This is to inform you that we are in receipt licensure under Minnesota Rules� parts 9502.0300 Rule 2), Family Day Care and Group Family Day Care �this license is subject to compliance with the Statutes� Sections 245.781 to 2�5.812 and 252.28, the Public Welfare Licensing Act and the rules of Services. of an application for to 9502.0445 (formerly Standards. Issuance of provisions of Minnesota subdivision 2, known as the Department of 8uman You should note that under Minnesota Statutes, Section 245.812, Subvision 3, a licensed day care facility serving 12 or fewer considered a permitted single family residential use of purposes of zoning. Subdivision 4 of the same section licensed day care facility serving fram 13 -thrau�h Y6 considered a permitted multi-family residential use purposes of zoning. If we do not hear from you within will consider the above-mentioned your local zoning code. Sincerely, / ��1� � /� _ � = _;/..._ � �/ % -/ - = . . - , ._ j / Street Address persons shall be property for the indicates that a persons shall be of property for 30 days after receipt of this letter� we day care home to be in compliance with con�MUNirr HEattH a� soC�A� SERVICES DEPARTN�gNT covrvey oF �NO�c,� �sT�ta+se. FouRrN ►�� • ��sioT Name of Agency Organization City State Zip Code AN E�UAL OPPORTUNITY EMPLOYER .• ��' �,�;�� . �� • ,�L�� CIVIC CENTER • 6431 UNIVERSITY AVE. N.E. FRIDLEY, MINNESOTA 55432 • PHONE (612) 571-3450 August 25, 1988 Mr. Frank Severson 5348 Altura Road N. E. Fridlc�, N�T 55421 Dear Mr. Se�verson: Z`he City of Fridlc� will cooperate and participate in the concrete apron ranoval ar�d replacenent at the driveway entrance adjacent to your property located at 5348 Altura Road N.E. As we discussed on today's date, you agree to participate in the above mentior�ed impravement and will �scrow $125.00 for your agreed upon share of the costs. You ar�d your wife si�ould both sign belvw to indicate your approval of this agreenent. Attach a check payable to the City of Fridlc� arid we will proceed to have our concrete contractor perform the work at an early date. Sincerely, ,-. l�`" 4 ,,, a a,m v. r��,vaz� erir�g A�►. CVM/mti We, the uixlersigned, owr�ers of the property located at 5348 Altura Road agree to escro�a $125.00 for an early replacement of a rapidly deteriorating concrete apron adjacent to aur driveway entrance. We understar�d the City wi11 pay the k�la.nce which is estimated to be 5250. 00 ( attached) . ,�i�%G o'l�v 5igra Sigrature FRANK OR MARILYN SEVERSON s-ts�t-2e�-att-�ss - s-�e�t-5e5-os��n 5348 ALTURA RD. 572-9588 FRIDLEY, MN SB421 PAY TO THE _ ORDER /O//F��- s -�- J € 6753 � b,s�-� �-,aus,o $ /�= �� S 1�First Brookdale BdK 5620 BrooddYn Boulevord &ooklYn Cenlef 11AInne80TO 55429 ��. i_vc�� ,� -- �:09 i0 i6 744�: 2 i 5��06 2 i�' 8 75 3 �..,,�., SUBJECT . City of Fridley 2 6 6 9 2 AT THE TOP OP TNE TiNINS g U I L D I N G P E R M I T � ; � RECEIPT NO. � • COMMUNITY DEVELOPMENT DIV. t � �, � r � v �� PR07ECTIYE INSPECTIQN SEC. ' � 1 i � � �'�'1 � CITY MALL FRIQIE� SS432 NUMBER REV. DATE PA6E Of APPROVED 8Y �.---� • •'� 612—b71-3450 910-F18 7/20/98 � / JOB ADDRESS 5348 Altura Rd. t LEGAL LOT NO. BLOCK TRACT OR ADOITION SEE ATTACNEO DESCR. 29 6 Carlson's Summit Manor North Addn. SNEET 2 PROPERTY OWNER MAIL AOORES$ 21P PNONE � Frank Severson 572-9586 3 CONTRACTOR � MAILADDRESS ZIP PNONE LICENSENO. U To 2737 lllth Ave NW Coon Ra. i 4 ARCNITECT OR DE316NER MAIL ADDRESS 21P PMONE LICENSE NO. S ENGINEER MAIL ADORES8 ZIP PFIONE LICENSE NO. 8 USE OF BUILOINti Residential 7 CLASS OF WORK ❑ NEW � ADDITION O ALTEi�ATION �] REPAIR O MOVE � REMOVE B DESCRIBE WORK reroof house and ara e 19 S Tea -off 9 CHAN(iE OF USE FROM TO STI PU LATIONS Underlayment must comply with State Building Code. TYPE OF CONST. OCCUPANCY (iROUP OCCUPANCV LOAD SEPARATE PERMITS ARE REOUIREO FOR ELECTRICAL, PLUMBIN(i, HEATINd, VENTILATING OR Alii CONDITIONING. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION 20NIN(i SQ. FT. CU. PT. AUTHORI2E0 IS NOT COMMENCED WITHIN 80 DAYS. OR IF CONSTRUCTION OR WORK IS SUSPENDEO OR ABANDONED FOR A PERIOD OF 120 OAYS AT ANY TIME AFTER WORK IS COMMENCED. NO. DWLO. UNITS OFFSTREET PAqKiNG 1 HEREBY CERTIFV THAT 1 HAVE READ AND EXAMINEO THIS APPLICATION � STALLS GARAGES AND KNOW THE SAME TO BH TiiUE ANO CORRECT. ALL PROVISIONS Of LAWS yALUATION SURTAX ANO OROINAN 'OVERNING THIS TYPE OF WORK WILL BE COMPLIEO WITH WHE fi SPE EO EIN OR NOT. THE GRANTING OP A PERMIT 1584 . 79 DOES N PRESUME GIV ORITV TO VIOLATE OR CANCEL THE pERMIT FEE SAC CHARGE PROVIS NS OF A f STA OC LAW REt3ULATIN(3 CON- STRU ION OR E P O UCTION. ,rj],.2 Fire �J�.' 1..5� PLAN CHECK FEE TOTAL FEE ��P � n e siGN uaEOF nCT ao AUTMOR EonGENT �oATE� WHEN PROPER /�jOATED THIS IS VOUR PERMIT . <�� 1 SiGNATURE OF OWNER �1F OWNER BUILOERI IOATEI BL �hSp f�6TE NEW [ ] Effective 1/1/98 ADDN [ J CITY OF FRIDLEY ALTER [ J SINGLE FAMII�Y AND DUPLEXES R 1 AND R Z BUILDING PERMIT APPLICATION �' �' � �(p6yy ConstructionAddress: .s"3 y� ��,�„�� Legal Description: Owner Name & Address: _ Conaactor• �' � Address: �73 7 LIVING AREA: GARAGE AREA: DECK AREA: 01'HER: � Tel. # v��o7 -- 9.S'�� 1 LICENSE # � 7 / � �S. Tel. f� /�� 7�� Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. �� DESCRIPTION OF IlVIPROVEMENT 0 , Length Width Height Sq. Ft. - ��n � w�arn Height Sq. Ft. - r^ � ' Construction Type: , ��d,� Fstimated Cost: $ , � ��, �� ' � �' '(Fee Schedule on Back) Driveway Curb Cut Width Neec�ed: Ft. + 6 =, x�$� _$ � DATE: %'o7G' ° �'�APPLICANT: Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Frscrow Erosion Control Park Fee Sewer Main Charge TOTAL ST'�ULATIONS: Tel. # �/a?.� -�7F� $ �! •�� Fee Schedule on Reverse Side $ f. � .001 of Permit Valuation (1/lOth%) $ $:SO/$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 [ ] $ ��'�� .a � t. 0 e BUII.DING PERMIT FEE SCHEDULE The Cluef Building Official shall, before issuing permits for the erection of any building or structure, or for any addirion to any existing building or structure, or for any alteration or repair to any existing building or structure, upon applicarion 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,� . $50,001 to $1�,000 $100,001 to $500,000 $500,001 to $1,000,000 $1,0�,001 and up FEFS ° $21 (Minimum Fee is $21 plus surcharge) $21 for first $500 plus $2.75 for each additional $1� or fraction thereof, to and including $2,000 '� $62.25 for fust $2,0� plus $12.50 for each additional $1,000 or fraction thereof, to and including $25,000 $349.75 for first $25,0� plus $9.� for each additional $1,� or fraction thereof, to and including $50,000 $574.75 for first $50,�0 plus $6.25 for each additional $1,000 or fraction thereof, to and including $100,000 $887.25 for first $100,0� plus $5.00 for each additional $1,000 or fraction thereof, to and including $500,� $2887.25 for the first $S�,OOQ plus $4.25 for each additional $1,�0 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 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.