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AF - 34948� �l n City of Fridley, Mi.nn. BUILDIN� PERMIT ��: OCTOBBR 4, 1965 O�: RONA'GD RANEM �� SAMI� �d� 5378-Altura Road A� Fridley 21, M3.naesota �ocar�oN oF Bui�in�� N� 5378 s� A7.tura Soad N. 13. p� ��t Lot Hlock Addition or Sub-Divista� co� r� �ae r.ot �t��x sia�a sewer II�atton F�ati� nevatfon ��95 �1T° 8505 DESCRIPTION OF BUILDING To be Used as: Det. �arage �t 22 �� 24 g��t ],0 �. � 528 �� 5, 280 Fra�t DEpth Hei�ht Sq. Fk C�. Fk T9Pe � Cona6�vcUon F�t. Cost �1,584.00 To be Completed In co�atderatton of the 9s�eace to me oP a permit to co�atruct the buil� d�3bed abave I a�ree to do ardinances� the cit9 ��y� wlth the descrlplioa ebave set Yorth and in crompliancae wlth a'11 pra�vlaions of Ia comdderatlon oP t]�e �yment oP a fee a! 5�� -, permit is he�ebY granted to ��M to conattvct the bulltiing or adalition as de�cibed above. Tbi� nermii is �ranted t�pom the exp�seas cronditlou that the to whom it ia graatsd and his a�ents► �nplo� an� wor ye� lmaen, ia atl wark 8oae in, a�und and upoa buridinS, or er�► thereo$ ahall conPorm ia aII :�pects to the oat�tinant�s o� F�IeY� Mi� lamtia�, e�osir�ict� alterat�, maiatenan�, re�ir aad mwla� a� �ia� wi� aity ]imtts�� permit mq�► be revoked at atp► tlanB uPon vlolstion oY a�r oP the Hrovl�ansb � eaid A'Gi,EN G. JEftSBN �' � NO'fIC� tld� ��a Qar awwr tM � I�m �er.� P1�eW oa+ �. avu er nta. e� w� ro a� ��' i�o�' ap� Pam9� 1or tMa k�, �. � � � ,-�: , APi�.ICATION FOR BUILDING P13RNBT , . + CITY. OF . FR�D�EY, ��ESATA , ° , ° .. , . . , �.: . . ' . . .' .. , G . _, ,. _ r_ . �WNER � 3 ' NAM��.�� , !i ��-;� BDILDLR �,9f��, , f., ann�ss �''43 y� �,. � v.� �_/�c�. �n�ss � �' � � � , . , . � . � . . g •. . . ., . ' , . , y . L�ATION OF BOTI�D�DIG . _ N0. ST�,2EET PART .OF LOT , , LOT BLOCR ADD�TION 0� SIIBDIVISION � GORNEIt L�_TNSIDE LOT��„_, SE�iBACR SI�E-YrFBD _, �, SBWER ELEVA,TION . . . FOUND�TION ELE�E�TIQR ° � r . . .. Applicant attach to this form Two Certifica'tes c�f' Suirvey'� o� ��,o[ 'snd gr�iposed building location.drawn on these Certificates. � . . . DB3CRTP�ON OF BUILDIPG To be used as; � - ..� ��-�, �.Q �@,�,�,�,_, Froat`�� Depth��! _Sei�ht„/ d � Sq. Ft. `'�� Cu. Ft. �a� ,�- ,f 0 . . : , Front Dept ��eight�_� �� ; ` Sq. Ft.� '' Cu. Ft. . • Type of Construction ��( A�.-.�-� Eatimated Co�t' /'� o — � �+�,...�.�,� � e. e.. , , .� ,� M . . To be campleted �' - The undersigned herebq makes application for a peimit for thr� t�ork herein specified, agreein� to do all work in strict accordaace with the City of Fridleq Ordinances aad rul�aga of Che Departmeat of Buildings, a�d hereby dec].ares that all the facts �ud representations stat�d ia`this application are true and correct. � 'v DATE___/ � � 7`/� � SIGNATtJRE , � . � (Schedule of Fee Costs can be found oa t e Revesse Side). � ._ < . .- ��... � _. . � _> ' . ' $L�ILDiNG � PEI�MI� FEE 5(�EDIILB . . ' � ' , i . ' � . . ., : _ .. .. .. .. . . . . _ . . , ;'� � SECTIOR 2. The Inspector of Buildin�� shall, before i�e�i�.ng any perm�t for the erection.of anp buildin� o�•��sEri�L�r,a,.�or for �ny=add3.tion to any esisting buildiu� or structure, or for anq.alterations or repaira to anq euiating buildiug or atructure, upoa'applicat3�..therefore, r4quire the pay�qt by,the�- applicaat for - sualt -pe�t of- #eei� �o the. amdun� �'�r-ai�_.hel�: s�� r��i- .and ' 3n the manner her�ia provid�i to-wit; �� -� �... _,.. . . -�--�_� �r _ . � _ _ . . _. _ _ _ r � 2� �I�or any auch permit for the erection of any fire-proof building, othei than a garage, warehouae, factorq�or�grain 'elevator, or for the erecCion o# any �ir�-proof additioa� for aimilar occupanc}�, to any esieting.building, ' sha11 b��at .the rare -of $1.40 -f�x each - one thcwsand.-cuhic feet, . or -fzaction - thereof, in auch` cubical comteats. � � . . �� 2.2 �° For an� such� permit for the erectioa-of aag fixe•p�.00f garag��;.: - warehous8, #ec�org nr grain e�,evator, ar for the erectioa.of any fire�proof addition, for similar. occupancy, _to:any-existing building shall be at.the.. �. rate vf -$1.25 for-°each oue t'houeand cubic feet, ciassified� as '�fireproof" by Section 502 0€, �he,,M3nnea,g.ol,is a�tild�,ug Code. -. - . - . . . , . � MOi 2.3. For any such permit �o�r�,the erection af any non-fireproof building, other.thau a garage, warehouse, factorq or �rain elevator, or any non-fireproof &ddition, for eimilar occupancy, to any esieting bu�.lding - perm�te $1.00 for each oae th�sand cubic feet. GARAGES_ � .. " ._ ._ z ,�_.,: :� - .._ �_.t�. _ _ _.. v �. � � _ __ �.,.. _. _., �_ �� 2_� For any `such permit �-for��the��=ection of any non-fireproof garage, �rarehouse,; factos�q or �ra�n .elevator, or for the .erectian of any non-fire-proof additfan, � for aimila��accuPaucY, �to any-�isting b�ri�t�3ag or f'ar �acl� suc'h .� . . build:tng or addition - n,�,nety ceats ($0.90) for each one thous.and cubic feet or fraation thereof; iu the cubicsi cantents the'reof with the minimunn of $4,00. For -t�e pnrpasa �af �ccr�puting fees� for bui�ding��permits, �the cufiical contenta � of any building or addition to a uaiform height .throu�hout by multiplp�tag. the. �roua� -areg -covered fram��a -�aint �$iu f6)- �in��es l�elow :the floo� lirie of t:�e baeement or cellar to the average h��t�hC of the.,upper,surface or to the average height of tiie roof : �wrfaee .af,. the . �in : �ble � of a �itched .roof . • . 2.5. �'or.repairs or alterations .to an ex�.sting atructure, the fee shail. be at Che rate of, $3,00; �ei each.;�►ive `Hun�tred Dollazs: .�$50�.G�� or f�caction . thereof in the cost of a11 proposect work: , 2.6. In no caee el�all� tl�,e � fee charged -for, any pe�it as set. for�h in Section��be less than ,5�.00. � STORM REPAIB DANIAGB FEESt , _ Residential; Eetim�.te3 Cost of work up to 55�0.00 -$5.00 Estinated Cost of worck ovar y_) J�.1„�?J -$?.Ov�DO „-. ,..• Coa�ercial; Esti��ted�st o£ w��lc u� to Y"!:��, t30 -$lfl� �`.� Estimrsted st of work over $aG"U.00 -$20. r �� MASCH 8, 1967 Date: � n 3 ��- City of Fridley, Mi.nn. �1T° 915 3 BUILDING PERMIT p��; RONALD J. BANEM g�� _ BLANSRE CONSTRIICTION CQ� �� 5378 Altura Road N,� E. Ad� 402� Si�,vex a�g ,�,g�.d Fridley, Minaesota 55421 St. Anthony Village, Minnesota LOCATION OF BUILDING No. 5378 Sts�eet �T� $� N• �• Part of Lot Iat 26 _ Block 6 Addition or Sub-Divisian RT $.Q..N � S SIIMN�T NO NOR'1'Ff ADD1Q. Corner Lot — 7nside Lot g Setback � Sideyard 3ewer IIevatiaai Foundation IIevation DESCRIPTION OF BUILDING To be Us�ed as: BEMODEL RITCHEN Front �pth Height Sq. Ft Cu. Ft Front Depth Height Sq. Ft Cu. Ft Type of Constructton � F.st. Cost _... 00 00 To be Completed In ca�sideratlan oP the iseuaace to me of a permit to construct the building pd �ce with ae'11Ipra�v�Iaio s o�f the proposed work in accor�iance with the desca3pt3on above set Porth and in com oniinanc�s of the dty of Fridley. � r�� 1_'�' � , '� In eo�deration of the payment of a fee of $ 6. 00 �� t 9s hereby �an� to BLANSRE CONSTBIICTIOIQ Cti. to c�onstruct the building or addition as described above. This�e�i t ia grant�ed up� the expre� �ondiHan that theper�n to whom it fs gi�aated and hfs agents, employees an� worl�nea, in s11 work dame in, around and up� said buildtn�, or anypart thereo� shall conform in ali r�pects to the ordinanc�es of Fridley, Minnesota locaiion, conatructfon, alteration, maintensac:e, repatr and movin� of c�in�s wl�� dty limita�i� pernnit may be revoked at any t3me upon violation of aay � the Pro�ons��of saTd CLABENCE BELISLE g�6 � NOTIC& llds �mit dea net oewr dro ee�ae�, �on hr wMaB. P��9► 8+s 6�► awa or w�tar. B� wro to a� � svi�at�s �� t�� aps.a. � �o. � t�n. �PI��CATIOFd FOA BUiLUING PERMiT CY�'lf 0�' FRYDLE'Y� N�S�A _, „ o � ora�� s� R�n� f� �) l��e�jy/�/(]. � su�a$a /�' ��.�n s�� e � . ��/ r��l�� iTY /�i �� l� ��r�� . . . . . . . . . , . ... 1 anaa�sss �`� �7 �r i� C,��_,�. aD�P.�ss y6,�t ��%�-°.�� ?.� _._._.._..� ._�.�.. , � � , . � � L��ON OF .BUILDII�G: , � _ �Bi�, r xo . �j : ssa�r, �--` �. � � � � �a�rr Q� � Lo�e . i �. 9� ✓'�� .. ��!1� �� LOT �� BL�K �� ITION OR SUBDMSIOAI � . . , , CORNFR, LOT,,.,,_;.` INS�DE L(�,_„�_„SETBACK . 3�ID�+�FAR�D SEWETt EGEaA,�'I� .. , FOOI�D�TIQH L;LEO�iTIpDi� > : - �:..,� — — — ..��.�. . � yQ , ' Appiicant sttach to this fosm Two Cest3ficates of Survey of Lot and propased building l�ation drawa on these Certificates. • ; �: � . .. ' `� . • DL�RIFTION OF BU3%DING " � . To 8e Qe� �1:,, . , " . � . . ,. � � . Fsaat Depth Hei�ht Sq. Ft. Cu. Ft. � � ,. • . , . . � �, : _ : . ; : �l�r�t : �: IIepth � , _ �ei�ht. � � , . .. ., . � ._ . � . , , : .:.S�q. F�. • . • - �i: ;F�.. _; -; , , ; ., _ ,— . Type of Constnution��„"i�,�.,� 1'��/ Eatimat�l Cost _��D °� : � �. +— „� � e.,�. � s .�� iQ Ae COmpl@tlad ' � � �e� G�+ S— �y'' �� !» / �� :�� .1�.. . ..�.,_..�,._...,. �.._ �_ � . � , _ , , _ . �. _ The undereigned hereby , aQalc�s applicati[an for'' � pesmit" for` °t6e i�ork tterefn epeci'fied, agreeing to do all work in strict sccordance with the Citp of Fridley Ordinauce� and s�t�.inge, of:� the � De}pastment of Bui%dings'� aa+d' �iereby � decla�es t�iat all the facts and rep�eentatic�aa-s�ated in thie appiicataori �r+e �true and''correct. DATI� ��.a � � 3I�TURB . �. �. �.r...�..._ . .. .. . � �.... (Schedule of Fee Costs caa be favnd aa the Reverse S�ide). � � e �4 � � _ <� �� m BBILDII� -i�R►'�EET I� SC�TLE SECTION 2. The Inspector of Buildings ahall, before isauiag perc�ita for the erectioa of anp buildiag or structure, or for aay additiaa to any existing building or etructure, or for any alterations or repEirs to any �sisting buildin� or structur�, upoa applieatioa,thesefore, requir�.�he payment_�y•�the�=spplicaa� " "°-"f� °eu�l�`pras�t ` of `%�s to"�he amoust heretn below set forth and ia tbe me►wner :.. herein grovided to-wit: :..�,, • . ... . .... . 2_1s, For any such permit for the erectioa o€ any f3re-praof building, othes ehan a gara�e, wareh�se� factory or �r��elevator, or for ehe erectiaa of any fire-proof additioa, for similar occupancy, to any euisting buildiag, shall be a�` �t6�:.ra��`:of $1.40 for .each one..tUvus.�st�`cnbia._fe$t;.•_ar..•fract�ton-.- . theraof, in euch cubicai coateata. ..,�,� ity _c� g : � . _ . _ . _ _ . . .. _� _ . . _. .._ ,. ._ . _ _. "�� For aay such permit for the erectiw� of say fi.re.�ra�� gasage� _ warehouse fac.ts� rain_.elevator,. oY €or the.ergcEioa og ��3r��proof �� adiii�t��, � for �similas occupaacq, to any existiu� buildin� ahali b� �t„the.rnrate _;. of $1.25 for e�i' c�e.•'��bousaaei �c�bic feeta�. cl$�s�ified ae !�ir .,- - � � apr�f� �`�y ` Sectioa 502��t�f °�l"ie Minrieapolte Building C�e. , • :', . ' . ' . . ' . i ._ . � , .. :_ flOIISES . . ' , . , _ � ` . - 2• 3• For anq such permit �r.: �th�� re+�tioa� ��o� anq aon•fireproof building, other than a garage, warehouse, factorq or gzain elevator, or aiay aan-fireproof additi�, for eimilar �cupancy, to any exi�tiag building permit f�:�$1.Ob f�r'� eacb one ehousand c�bic feet. ,� - . . . .. . G�ill�S : . . _ , ., .. �....._� _.. _. . . . .. _ ., , � ' ; . `: ""_ "�..°::,"�2_4,=. .• ��r any �sucfi��pe�t �oi tfie erection of aay aoa-fireproof �arage, warehouse,,,fac�orq.or grain aleroator, or for the°�re�tion of .aay non-f3rep3�o� __•..'.. """aetd%ti�a3� gos' �e�mi�Iaie �ccCy��ncq, °to-any euiatin� building or for aach such building or additio� � �,nfn�tq ceate ($0.90) for; �eac1�� e� thousaad cubic fset . � _.. _.. '�"or�� f�aC�i� th��eof; � ia �t�e ci�tiicaT� c�tents thereof wi.th the miai�m of, $4.00. � --, �- �`' �- -: � •- -- ra `" �a�"the-��ds��oi`compuC�ag fees for 6uilding'peimits, the cubical coateata of any bnflding or �dd4tio�t. to a uaiform height. Cbr��h�t b�_�ulti�lyitiig the`�round �� ar�s �rov��ed�£iom -g�po3ii�'e`��.-(6�f _ iacfies belaw the fioos line of the base�nt or cellar to the average 6eight of the upper e�face or ta t�e average hei$ht,of.tbe r�ovf., aurf�ce: of,: the �ainF-�ble af a.-p,�t�hed �o�f. • . --. , .. , � ` � . 2. .,- For repaire, or : a�,�e�atfoae: � tv an; exis�ing structure� _' tbe fee - shali: : b� at the rate.o#. $��,OO,.per each:F;[tve__aup�ds�d .Dollars� ($St�.�).:ar fsact4�on tbereof ia t6e cost�of �11 propo�ed work. Zs6. I� no�,ca�e ehall the fee chsrgad for any permit as set forr�._ia_ `` _ sec�ioi�_2 be ies� ."thanv$�.0�:� ..--_ ..� . _ _ _ . . __ . ' I F 4 -a � ' . � � ' �-� � .., S, � � r � :�s ��hrh '1 � ' ,5 %�qi r �/�, ;,�; �.� _''� � � i i I I i i ;,� \ / �Jv v e. �o v �'^ R �, j��a�.�.- � �li�a i� �� l l ��' ��{ /�C� d cl e r S- .1�'1�� I - - - � � - �%tr r L�u,� y ��.�n, � � i ,' �,� i �,�� ` � � � � Fh��Lt U�'��- �.; �t 0 � . n � w„ � � o � ��m 0 F1 0 � � n � �rt O. Q' u. ID �� a a• � �W� ►, ,�, �M Gb �. � cr r H �� i, c�y o �1 �� H � ?0 U] Lb �k A x �� ro t� � H � aa � O 0 H t/i p� � � ro o °' � . m V � V � 0 � O ro � C ~ N � o .� Fi ro � w a rt � � Q � W n � r � � i � � � � . � �' a x � a a rt �, � z rt M � y c� � a � ro � � r � � 0 � w � � m � . d � rt fD � � �� Q "�, � N � � � O N O F�-� � v � � � � !�F �Hxj "� � gy 1� N � � � K � z � . � y n � � . � 0 rr �i a c� fi � w � � � � � � � � � 1 0 z � w � m ro n rt w � � � � � � � 0 0 N � fi � � � � 'J' W m 0 r �do t� � n C �w � C"+ H fD .T�. M y ro �b � n � M 0 n x � w w w m c� � ►� n . �n m t�o y n n t� o� � � ��w M� z��, c� rt � fD �w �� n w m� w �� o oN c�o �o w �" K �' �-°h n t4 �' � w � °� a^ � � o � w �' � � �o � � w � cr ct �� N frtD m n � � oa '� :: �x Mrt � o� M � i�' tn {n in tn +n � ►-� r N n� O O O O O � 0 0 0 0 o ty+1 0 0 0 0 0 {n ti+ +n tn {n F-+ Vt O ° °�+ � � � �y� � N � O C � N M � 'd C � � � � � � � ro �� a � � " �r � � H 0 � w � � � � � � � h-� O O � h O . H r � � o..� � ��b �.�i � � w � � M � a� � a �roa k m a r�i ww� n r�++� a om�F" ro m n �e py C �° � w �' N o�o �. � � m � � g � �'�~�' � � m � a ar°n� m r x �u ►•- � � µ � w K �r � a� � �w w* o � . p��y c � r a m o o a c�i k x o�CH'° � � �1g� W `C m F+ M ��'E`o m r� h �e � t� k � � �� co a�n� o, w �n � N $ t�t `C 7�s' tw�v n�p N ? t~O O F~+�M R fD fWD � m � ? � � 0 b' a �' N � � w v W rt M �� A�+ � C/� S d c � y � � r c� D � 0 z � 0 � O � m z n -v z � O t�i� Z c7 n •• Z -i C O S � n 4Z') n...�i Z � � � -� f") �n o y O D Z d � t� < < z � � m � N � 0 z � m � � � m z a --1 O z A Z C c"� -��G 0 T T � C r � m -n ro n �+ < (D � m a � � � � SuB�ECT P City of Fridley 2 5 5 6 9 AT THE TOP OF THE TWIN3 g U I L D I N G P E R M I T � � � R NO. � • COMMUNITY DEVELOPMENT DIV. , �,. ------. �o? �� r � � PROTECTIVE iNSPECTION SEC. 1 . , i---- ��',.� CITY NALL FRIOLE� SS432 NUMBER REV DATE PAGE OF AVPROVEO BY L �� 612-571-3460 giaF�s 10/6197 / / JOB ADDRESS ,5 378 Altura Road NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION oesca. 26 6 Carlson's Summit Manor North Addn SEEATTACMED SMEET 2 PROPERTY OWNER MAIL ADDRES$ ZIP PHONE Ra.ynem 5378 Altura Road NE 572-9622 3 CONTRACTOR MAIL AOORESS ZIP PHONE LICENSE NO. Northern Crest Inc 8245 Polk St NE, Spring Lake Park, MN 55432 792-9364 4 ARCNITECT OR DESIGNER MAIL ADORE88 ZIP PHONE LICENSE NO. 20098415 5 ENGINEER MAILAODRE88 ZIP PHONE LICENSENO. 8 USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW ❑ ADDITION O ALTERATION � REPAIR p MOVE O REMOVE 8 DESCRIBE WORK Reroof Garage (7 Sq) 2nd Layer 9 CHANOEOFUSEFROM TO STIPULATIONS Roofing can be the 2nd layer but not the 3rd. SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBIN(i, HEATINO, �PE OF CONST. OCCUPANCY (3ROUP OCCUPANCV LOAD VENTILATING OR AIR CONDITIONING. THIS PERMIT BECOMES NULL AND VOIO IF WORK OR CONSTRUCTION ZONINd SQ. FT. CU. FT. AUTHOfiIZED IS NOT COMMENCED WITHIN 80 OAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED Oii ABANDONED FOR A PERIOD OF 120 OAYS AT ANY TIME AfTER WORK IS COMMENCED. NO. OWLfi. UNITS OFFSTREET PAqKING I HEREBV CERTIFY TNAT I HAVE REAO AND EXAMINED THIS APPLICATION 1 STALLS GARAGES ANO KNOW THE SAME TO 8E TRUE AND CORRECT. ALL PROVISIONS OF LAWS VAlUAT10N SUtiTAX AND ORDINANCES GOVERNING TNIS TYPE OF WORK WILL BE COMPLIEO $438 $.SO WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT OOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE pEfiM1T FEE SAC CHARGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATINO CON- 21 . OO Fire SC �.�F�F STRUCTION OR TME PERFORMANCE OP CONSTRUCTION. � , e' PLAN CNECK FEE TOTAL FEE v �G�� License SC $5.00 $26.94 SIGNATURE OF CONTRAGTOR OR AUTFIORIZED A6ENT IOATEI WHEN PROPERIY V DATEO THIS IS YOUR PEiiMIT � � S�GNATUREOFOWNEA�i:OWNEN8U�l0ER� iDATEi BL NSP ria7E ,......?.�� ...o...� .,. >.�a..... , .. ...., ... . ... .. .. . . . . . ... .�. >:i.�:i2?:>,`.�i :?.°`: _. . ..,. . .., .. . , . . .. . . . . . . . ,. . . . . . . ,. . . , . ... . , . . 22t>.. . . . . . .._. . . . . . . � , . . NEW [ ) ADDN { j ALTER j ] ConstructionAddress: CITY OF FRIDLEY S[��iGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION �i � ��'q Effective 1 / 1 /97 / .� � � i Legal Description: Owner Name & Address: �a�l J�L h'� Tel. # ��a'"' �6� Contractor: �d d`"�Qd` d� II`2S � MN LICENSE # o� vv �' g� I S Address: �o��%�Q � ll, �'`�� Tel. # ��o�' ��y Attach to this application, a Certificate of Survey of the (ot, with the proposed const�uction drawn on it to scale. DESCRIPTI011T OF IMPROVEMENT LIVING A,REA: Lengrth Width Height GARAGE AREA: Length Width T Heiglit � DECK AREA: I.ength Width Hgt/Ground .. OTHER: Sq. Ft. Sq. Ft. Sq. Ft. . Consiruetion Type:_��/I 1 1'� �2 �t/1�t9 ��d Estimated Cost: $ m '7.��. � (Fee Schedul� on Back} ' { Drivew�.y G�irb G'ut Width Needed. �° =:T�t.:'+.6`Ft<`; , . . . � -� � � - ` 13'C R ':,. . , . :�- � , "' a�-J � DATE. , �O-1� " [ / APPLICANr: �� . Tel. # �� ^ �� y Permit Fee Fire Surcharge� state surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee Sewer Main Charge TOTAL s�rrr�vi_n-cio�vs: $ (. P� $ � � �'� $ $ ��0�3 $ $ $ $ �-- �� . �� CITY USE ONLY Fee Schedule on �Reverse Side .(ml of Permit Valuation (1/lOth%) $.50I$1,000 Valuation $950 per SAC Unit � � $5.00 (State Licensed Residentiai Contractors) Alt. "A" or Alt. "B" Above •$450.t� Conservation Plan Review F� Determined by Engineering Agreement Ne�essary [] Not Necessary j] �s,._. fiUtE.Ui,\G t'I;IL�i["C r[:E SCHEDC'I.[�, 1�I�c Cliief I3uilding Ofiicial shall, bclor� issuin� perniits for the erectio» c�f any building or structurc, or ti�r aiiy addition to any existing building or structurc, or for any atteration or re{�air to any cxisting buildin� or struccure, upon application theretiore, require ttte payment by the applicant for such �ermit of fees to the arriount h�cein beio�v set forth and in the manner herein provided to-�vit: TOTAL VALUE $1 to $500 $SO1 to $2,000 , �2,001 to �25,000 . �25,001 to $50,000 �5�,001 to $lOQ,000 $1QQ,001 to $SOO,OOQ $S(�,001 to $1,000,0(� � : , �, . � $1,(?00,(�1 and up FEES $21 (Minimum Fee is $21 plus surccharge) $21 for first $500 plus $2_ 75 for each additional $100 or fraction thereof, to and including $2,0� �62.2� for first �2,000 pius �12.50 for each additional $1,000 or fraction thereof, to and including $25,� $349.75 for first $25,000 plus $9.00 for each additional $1,000 or fraction thereof, to and including ��0,� $574.75 for fust $50,000 pius $b.ZS for each adclitional $1,QU0 or fraction thereof, to and 'mcluding $1�,� $887.25 for first $1�,000 plus_$5.00 for �ch addition�l - $1,000 or fraction thereof,.to and inciuding $5�,� , . �,_,�: . :.:�� ,;::� y ;w, �' .�;� r; . , ._ $2887.25 �for t�e 5tst.$500,000 pius $4 25� for each additional �`'. $1,�0 or fraction thereaf, to and iacludiug $1,�0;0� $5012.25 for the first $1,000,�0 plus $2.75 for each adclitional $1,� or fraction thereof DRIVEWAY DEPRESSION ESCRO�V (Concrete CS�rb Streets Only) \� Alternate "A": Removal and replaeement �of curb and gutter only�- Drive�vay width-pius 6 feet times $13_50.. A(ternate "B": Removal a�d replacement of curb and gutter and install a 3 foot vYide � approach witli 6 inch depth - Driveway widtti plus 6 feet ticx�es $15_75. . VERIFICATION OF FOUNDATION f'e:.cnits for coe�struction will be issued a minimum of 24 hours from the time of application to allocv �or prop�r re��ie�� ot� the proposed staucture and of the constructivn site. �� i�CI�(lI1CIiiC O� �UI'Vf;}T c�f� ttie 1ot, s(�owin« the location of the foundation c��ee it has it has he�n c�nsirur.:.:::{ ...:; i��.; r�c�uircci I�eti�r� p�-t�:;c�ciin`� u�ith thc fr:imiit�. . -- �. - ;�.�;� SUBJECT P c�ty of Fr�al�y 27 0 2 3 AT THE TOP OF THE TWINS g U I L D I N G P E R M I T � � � RE � • COMMUNITY DEVELOPMENT DIV. p� � r � v � PROTECTIVE INSPECTION SEC. fl ' s ' ( �"��1 � CITY NALL FRIOLE� SS43Z NUMBER REV OATE PA6E Of AVPqOVED BV �."'.'�"� '•' 612-571-3450 9iaF�s 8/6/98 / / JOB ADDRESS 5378 Altura Rd i LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACNED DESCR. 26 6 Carlson's Summit Ma.nor North Addn. $HEET 2 PROPERTY OWNEii MAII AODRES$ ZIP PHONE Ranem � 2_ 3 CONTRACTOR MAIL ADDRESS Z�P PHONE LICENSE NO. Vikin Home Im rovement o 572-1 20 4772 4 ARCNITECT OR DESIGNER MAIL ADORESS ZIP PHONE LICENSE NO. 5 ENGINEER MAIL ADDRE38 ZIP PMONE LICENSE NO. 8 USE OF BUILDIN(i Residential 7 CLASS OF WORK O NEW O ADDITION ❑ ALTERATION $$ REPAIR O MOVE O REMOVE B DESCRIBE WOqK Reroof (22 S ) Tear-off;Sidin 9 CHANf3E OF USE FROM TO STIPULATIONS Underlayment must comply with State Building Code. Call for building wrap inspection before covering. TYPE OF CONST. OCCUPANCY OROUP OCCUPANCY LOAD SEPARATE PERMITS ARE REOUIRED FOR EIECTRICAL. PLUMBIN(i, MEATINti, VENTILATING OR AIR CONDITIONIN(i. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION 20NIN(i SQ. FT. CU. FT. AUTHORIZED IS NOT COMMENCED WITHIN 80 DAYS, OR IF COMSTRUCTION OR WORK IS SUSPENDED OR ABANDONEO FOR A PERI00 OF 120 DAYS AT ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS OFfSTREET PARKING 1 HEREBY CERTIFY TNAT I FtAVE READ AND EXAMINEO THIS APPLICATION STALLS GARAGES AND KNOW THE SAME TO BE TRUE ANO CORRECT. ALL PROVISIONS OF LAWS VALUATION SURTAX AND OROINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEHEIN OR NOT. THE (3RANTING OF A PERMIT ]2OO ��•92 DOES NOT PRESUME TO GIVE AUTMORITY TO VIOLATE OR CANCEL THE pERMIT FEE SAC CHARGE PROVISIONS OF ANY OTNER STATE OR LOCAL LAW REQUTATIN(i CON- STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. 59.,rj Fire SC 1.83 PLAN CHECK FEE TOTAL FEE �� -�—p� / SIGNATUfi OF CONTRACTOti OR AUTNOR12ED AGENT IOATEI e W EN PROPERIY IDATEO H IS S YOU PERMtT . ' � � S�GNaTUHEOFOWNERpFOWNERBURDERt �DATE� � iNSp naTE x�v ADDN ALTER [] [] [] CITY OF FRIDLEY SINGLE FAMII.Y AND DUPLEXES R-1 AND R-2 BUII,DING PERNIIT APPLICATION ConstructionAddress: �3 �! � �1. Tdl�A- i2 ,p , Effective 1/1/98 �P ��2� ,��,y3 � � Legal Description: Owner Name & Address: Qftj.�£��( Tel. #�72 -� 2 z con��tor: U�i� �.� � �� :�� c�, lvnv r�cErrsE # y y? z Address: �� ,,3d"L a2 j'Z s� .�. F_ . Tel. #�72 -/� 2 0 Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF Il�IPROVEMENT . LIVING AREA: Length � Width Height Sq. Ft. GARAGE AREA: Length Width Height Sq. Ft. DECB AREA: I.ength Width Hgt/Ground Sq. Ft. 01'HER: � ,�3�� Construction T�/?��y 2J. L6CJ' S-�%Z'`J,� Estimated Cost: $ %� ��-� 4 � (Fee Schedule on Back} Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x$ _$ DATE: �� "9� APPLICANT: Tel. #�; 7 a'�� v Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Pazk Fee Sewer Main Charge TOTAL STIPULATIONS: $ �� $ �s �3 � .9Z $ $ �'i-ee� �- $ $ CITY USE ONLY Fee Schedule on Reverse Side .001 of Permit Valuation (1/lOth%) .. $.50/$i,� Valuation $1000 per SAC Unit $5.00 (State Licensed Residential Contractors) Alt. "A" or Alt. "B" Above $450. � Conservation Plan Review $ Fee Determined by Engineering $ � Agreement Necessary [ ] Not Necessary [ ] $ �Z� d i !. w BUII.DING PERMIT FEE SCHEDULE The Chief Building Official s�all, before issuing permits for the erection of any building or struc�e, r�r for any addition to any existing building or structure, or for any alteration or repair to any existing build�g or strucriire, upon application therefore, require the payment by the applicant for such permit of fees to the affiount herein below set forth and in the manner herein provided to-wit: TOTAL VALUE $1 to $5� $501 to $2,� $2,001 to $25,000 $25,001 to $50,�0 $50,001 to $100,� $1�,�1 to $500,�0 $500,001 to $1,000,000 $1,�0,001 and up �� $21 (Minimum Fee is $21 plus surcharge) $21 for first $5� plus $2.75 for each additional $100 or fraction thereof, to and including $2,0� $62.25 for first $2,000 plus $12.50 for each additional $1,0� or fraction thereof, to and including $25,0� $349.75 for first $25,000 plus $9.� 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 $1,0� or fraction thereof, to and including $100,0� $887.25 for first $1(m,0� plus $5.00 for each additional $1,�0 or fraction thereof, to and including $5�,000 $2887.25 for the first $SOO,OOp plus $4.25 for each additional $1,000 or fraction thereof, to and including $1,�0,000 $5012.25 for the first $1,0(JO,Q00 plus $2.75 for each additional $1,000 or fraction thereof DRIVEWAY DEPRESSION ESCROW . (Concrete Cbrb 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. --' _ _. � v < � 0 � � � ° � � � � 3 � 01 � a o a � � > > oa � v �. �� o' � � W � 8� � O � Ci y �� Q � 0 � � � � o� � � � m � 'O A � O z m m � :o � O � � � � � � c m �, � � 3 N c ° 3 °� � � c Wm �� o � � O �, � \ C 5 v� � � � �° � A �i .� 3 3 a � � � c m � � � � � ��.g� �`��° � � � �o• ° � � y � O -L.► �, N � N �'7 � C 3 � O � O 3 � � �° � � � � �. �� o �� --� � � � � � � � � N � � S � e � � � � Q °C � D � . O � L � � � �~ V � � �, � x > > y �^ a a � m � m 2 � � � '°� �,a m g �N�� ; �. a, c o � W �°�o� `�. � °—' � _� ' N � y oNi � � � �� - • a c� � � � °� � 7 � a � O �� o� � �� ` Q, �, � o � $ °� cu {"s :� � � —� o � � � � � � ,�' � �, � � � a � .� v_� � � N � � m N � c�D � N N ma co � N 'D v ca m � � � � a -�. N c� � � � � 0 3. .'9 A � <D � m N � � � � � a c ° � � $ o F � � i% 0 0 0 o c�"'i, � � � � � � � � �� o m Q, .� m � x � � �i a� � � cD � � �� d � ci o � � �= o N � -o 'm � � � � � r " fA o�i = � °' �. z v; g � � � � m 0 v . � � .'`.. � a v � v m � � _� Z O ,� � ► � � m �a � o'a ' � N � � I� � � � � 3 `o � v � � � � � Q I � � =� C� a � � �� W Z � 9'1 � � � � a �NZv � m� � i,�t C � � N r" � v � � � m � O � � Z � '�G � r � D m �Oz z° o. A � Z 'p a� � m h� Z � � � � � z � z v C�i = � � m Z �-C�i �� Z O � o Z C`� v� � / m z � � � � � O � Z � N �P � FILL IPI COMPLETELY FOR REPLACEMENT FUEL BURNING APPLIANCE PERMITS b>;�,:,.; .:.,. . , ,.�:.:..�..:..,..�., :.� COMMON VENT VENT� CONNECTOR AND COMBUSTION AIR VERIFICATION - When r�olacins� an existins� furnace, the undersigned hereby verifies that the verrting has been examined and is free from rust, deterioration, obstructions, and is securely support�! and firestopped where required. Y� () The venting system is plastic/PVC and meets ali current codes and manufacturer specifications including sizir�g, length, number of elbows and termination. Yes () � The undersigned also verifies that the replacement unit is a listed assembly and meets the current c�des and manufacturer's specifications. This does � include AGA-GAMA Cat�ory I Central Fumace Venting Tables for fan assisted and natural draft appliances. yes () The existins� combustion air is s'¢ed and installed to meet the current codes -- -- �in�n�a�tare-t"�s �cifrca�ons. � � -- - -- - — - - - l°� E �- When required to ins�ll a new combustion air, it will !� sized and installed to meet the current c�les and manufacturers specifications. Yes () When installins� a new ventins� svstem, #lae undersigned hereby verifies that � is a list� assembly and me8ts the current� codes and manufacturer's specifications. This does include AGA-GaMA Category i Central Fumace Venting Tables for fan assisted and natural draft appliances. Yes () No ( ) No ( ) No ( ) �a ( �- — � No ( ) No ( ) Is the common verrt and vent connectors sized and installed correctly after an appliance has been removed from the common vent and vented separately as per current vodes. Yes () No () Aaaliance Tvae and Size/Comnion Vent and Vent Connector laformation Appliance #1 Type BTU InRut Fan Assisted or Nat Appliance #2 Ty� BTU Input ,_ Fan Assisted or I�at _ Appliance #3 Ty� BTU Input _ Fan Assisted or Nat _ Total Appliances : Tdal Btu Input _ � Common Vent Ty� . . �_ VentTleight = �me�e� _inches Appliance #1 Vent Conneator Height ft Len jtth ft Diameter � in Type _ Appliance #2 Vent Co,rmector Height ft Length ft Diameter in Ty�e _ Appliance.#3 �nt Connector Height ft Length ft Diameter ,_,,,_m Type _____. ALTERA,TIONS• (Describel HEATING CO: _ Signed By: ,� � Date : � ' � ADDRESS . PIN . LEGAL DESC . PERMIT TYPE . PROPERTY TYPE . CONSTRUCTION TYPE . CITY OF FRIDLEY 6431 UNIVERSITY AVENUE NE FRIDLEY, MN 55432 572-36U4 r AX: 5378 ALTURA RD NE 233024330078 CARLSONS SUNIlVIIT MAN NO ADD LOT 26 BLOCK 6 HEATING RESIDENTIAL ADDITION/ALTERATION 571-1Z87 �,z�,.,� PERNIIT .: 200401281 � DATE ISSUED: 08/09/2004 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. 1NSTALL AN AIIZ CONDITIONER # A/C U1�TITS 1 VALUE OF APPL OR WORK 0 # FURNACES # GAS RANGES APPLICANT RNER CITY SHEET METAL 9928 BLUEBIItD ST NW COON RAPIDS, MN 55433- (763)754-2199 � .0 11�� RANEM JOANNE L 5378 ALTURA RD NE FRIDLEY, MN 55421 0 # GAS DRYERS 0 VALUE (FOR MINIMUM CALC) 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 cerlify that I have read and examined this application and laiow the same to be true and correct. All provisions of laws and ordinances governing this type of wor� will be complied with whether specified herein or not. The granting of a permit does not presume to give authority to or cance the provisions of aay other state or local law regula cons r�ction or the performance of construction. Bldg I�ATING PERNIIT bIINIMUM FEE FURNACE SHELL/DUCT WORK GAS RANGE FEE GAS DRYER FEE AIR CONDITIONII�TG FEE HEATING REPAIltS/ALTERATIONS STATE SURCHARGE, MECH FLAT TOTAL PAID WITH CHECK # 13561 SEPARATE PERNIITS REQUIRED FOR WORK OTI-�ER THAN DESCRIBED ABOVE. 0 0 0.00 0.00 0.00 0.00 25.00 0.00 0.50 25.50 � � ADDRESS PIN LEGAL DESC PERMIT TYPE PROPERTY TYPE CONSTRUCTION TYPE CITY OF FRIDLEY 6431 UNIVERSITY AVENUE NE FRIDLEY, MN 55432 s�i-36u4 r��: : 5378 ALTURA RD NE : 233024330078 : CARLSONS SUNIlVIIT MAN NO ADD : LOT 26 BLOCK 6 : ELECTRICAL : RESIDENTIAL : ADDITION/ALTERATION 571-1Zi�7 PERNIIT NO.: 200401304 � �a . DATE ISSUED: 08/11/2004 � VALUATION . NOTE: ELECTRICAL PERMIT BECOMES VOID 12 MONTHS AFTER PERNIIT ISSUE DATE. INSTALL AIR CONDITIONER # INSPECTIONS 1 APPLICANT DEPENDABLE ELECTRIC INC 2619 COON RAPIDS BLVD NW COON RAPIDS, MN 55433 OWNER RANEM JOANNE L 5378 ALTLTRA RD NE FRIDLEY, MN 55421 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 afier work is commenced I hereby certify that I have read and examined this application and l�ow the same to be true and correct. All provisions of laws and ordinances governing this type of worY 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. Applicant Date Bldg Insp Date ELEC PERNIIT FEE - MIN (RESn STATE SURCHARGE, ELEC FLAT TOTAL PAID WITH CHECK # 28687 S�YANA"1'� Y�KMI'1'S li�(�U11Z�ll rOR WORK U"1'HER THAN DESCKIBED ABOVE. 20.00 0.50 20.50