AF - 34955City of Fridley, Mi.n.n.
BUILDING PE�MIT N�
5989
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No. ' �` Street i . : ; � � u: Pazi of Lot � ' � .
Lot - _ 81�k ` Addition or Snb-DfvisS
�
corner r.ot Insiae Lot . � � ' se�ek �����.�` �'siaeyara �" � � �
Sewer IIevation Foundetion Elevation
_ ! —
, DE�CRIPTIQN OF BUILDING
To�'� " `. . : . , . �
�'' '' �" ��+�'��
�Fmn# y�� Depth l�I� �jHeiP,ht -�. 54• Ft. ��!���' Cq. FL �����
ptb t. —....,�:,: Scl• F� Gu. Ft.
� �'�� � ___.-___F �De �-��' .Ixdgh � . .•�. .
Ty,pc ������ To be Co3nPleted
In consideration of the issuance to me bf a permit to consiruct tbe building described above, I agiee to do
the proposed work in acoordance with the description above set fortdz and in cwmpliance with all Pr�visYons of
ordinances oP the diy of Fridiey.
�•. ;
In consideratton af i6e �►m�ni of a fee of ��t ie herebY granted to
to cronsttuct the building ar addition as descrlbed above. Thi�s;nermit is granted upon
the expreffi condition that the to whom it is granted and his agents, eiapioyees and worlQnen, in all work
done 4n, around and up� sai building, or anypart thereof, shall c�nPorm in all reapects to the orriinancxs of
Fridley, B�innesota regar8ing lxation, constrtuuctfon, a}teratian, maintenance, repair aad movin� of buildia�s
witbin the dty limits and this permit maY be revoked at ans► tim�e upon vtolai3o `an� of the P��ons og said
ordinanc�.
, ��� .
i�!+Buildin8 Inspector
Nonc� � `
.t.
Thi, pazmir aoss eoR o� tHe �. t�all�m fo� wietes. P�vmWnw eas� 6eatins. ,epror er ,rate.. ee .w. to .ss
tlre Bnpd�g hnpedat ter sspawie permib for t6ase �. '
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APPLICATIOrT �OR BUII�DSNG PEii1�IT
�' GI'1'� :0�`: FRII�ILE�f �°- �9�A; - ... .
. - . . .� �
. _ � . . _ r � ;� :
c3�mer':s: N�ae � Buils�er
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_ p. . . . 5 � . � r
- . - � , LOCATIODT'• OF ' BIII�DING : . °- "
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. , . ,,.. .. ;,
. _ _ . //°� 4 m ..' ✓
�� C ✓ / � (O �' ' ... � V Yr � V. .. - � .. ` -� L' �� � �/� Yr1/� � y _ .. .
Lot : . :. . � Slock� ' .. ` �ddit�t.on or� : Subdiv.ision�,�
.. .. �
Corner .Lot - in� ide Lot Setback�„�,�,�, S i,de-Yard
� - - - , .' �
�EFi�E� E•�V�3"ItiN . �� �' " ° � . FQULUDi�TIbN° Fi$V�TYON'.___,_�; �.=_
v . ..�.�.��.�� . .
1��plica�t at�ach :to this. farm` Ce�ti�icate� o� -Surv�y af tiot 'and
propasec'� build�tng i�oe�`tion.
DE��IPTYON' OL� BIIILDI�TG �
� �Pb be�- used �as o' � b _ : ' : � ;� .r
, � ' ' � Seight� �
�'ront,�,�,,.�,_,�eP���._..
Sq . � Ft ._ � � .._._� .� e Ft • � /' � d/
Front__._____ Dep•�h �eight
Sq. F�. ' ° •Ctto E't.- , ,
. �:
,_ Type, o�E Construc�ion__,��!,�{,�, ��? ,�,,,,�„�,,;,, E�t�ted Cos�t�„��;,,,�_
, ,. , .
. . . j �. � . . '. ' .
3'O b8 COIC1�10'E@d �~�"`; ' ^ ° .,� ,
,_ Tiie_ under$igneci hsre'�y, malces aA�licatior�,, �Eoz a,- petmit for �th�, .woack .
`` he�ein., sp�cified,, agreei�g, to cio all wor�C ia_ atx�.c� accoxdance ,with
�e City o¢ Frid].ay Ordinances and .aruling o� fi.he 1�epas�anent oaE Huild-
,�.ngs ,. and �ereby declarea that ' al l-the. fac�� ar�d -, repr�sen�ta��.ons �
t . etatQd in th�.s, � appl�.caicion ase i-.rue �d corr�oct.: "� ° ` ' `= . .
DATE °— ' �-�.. SIC�1iATtTtiE _
f �' � _. Q... . � . ��.. ,
; � - ,; ; �. . .
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(5chedul� ofc Fee Casts can be �cutid' on `tbe Reverse Sidej :'
,,. . . ., , ,. - -
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BVILD�PTG PERMIT FFE SC�EDUI�
sec�ion 2. The Inspector of �uildin�s shall,.ba€ore �eeuirlg any
pa�i� �or the e�ec�ion of any building or structur�, or for any
ad�itiori tm any ex���g building or stscuc�e, or fa�c ariy '�lt�rationa
or re�air� �o _ a�tty, axi���ttg building or eicrucicu�re_z up�on ap�licatton
thagegor, �equire th� paya�nt ?oy the appiicarit for �uch per�ni.t of
fees __to_ the, ..amount he�eiti b�e�.� e�t forth �id . in tise► mazuiex i�erein
p�ovided �o-wit�
?s�. F'or any such par�t �or the erection o� any firo-proo�Abuilding,
o�heJC 'rhar!. � 9arago, wa�cehoue�;, gactory o� grain �levator, or for �he
erect3.on of at�y : f��-pgoo� , a��i�9.4n,� gor si.�ailar oc��p.�+sy � to �ny
exia�ing building ehall be at the rate o� $1.9�0 �or each ono thous�nd
cubic geet, or fraction theteof, ��uch cubica�:,-content�.
2� For any �uch - per$uLt �or t.�ie erection o�E any ��ra-psoof garage,
-� wa�cehouse, �E�,�toscy. or gr.aia elevator, or for t�e erectifl�.<<,�� ;;a�ay -��ire.-
p�oo� adclition,� fo�c eimil�ic oecuparicy, �o ariy `exiating bu�ld�iig �a11
be at th� rat�. o�E $1.25 �or �ch_,,�ne_ thoueat�, cubi�� ��,�:�c��"�osti�iecl
ae "fireproof" by 3ee�ior� 502 0��' tl�e i�tnne��'o1�.a� flitf�cl��. C�ode.
OUSB�
2_ 3. For axiy such perm�.t for the e�ection of
i�g other than a garage, warehou�+�, �actory or
non-f3rep�o.of .addition, fcor s9,milar occupaac3t.
Pe�it $1.00 fotc escli on� thous�r►d cubic feet.
_,�A�i ,_GE9
any non-fireproof build-
gra3ri elevator, or anY
to any existing_buiiding.
2.____�., �or aay . euch. per�anit �or the �reat3.oa o� any non-fireproof
gaz'alo: - warehouse, �aeteacp ar g�aaUu ��.eva�or, or for the erectioa of
a�y aon-fis��roosE addi�ion, for ei�ailar occupancy, . to aay exist�Lag ,
buiid�.ng og �for e�ach sucl� �1�t�:idit��.or ad�itione Ni�uaty Cen�B for each
one thoueand cubic �eet or fractioa=fi�e�eo�, �.n th� cubical�contents
. :therea� wi�i'� a � �nini�rium ox �4.00 . ` �
For the purg�ose of eom�uting fe�s gor b�iilding permita the eubi�al con-
tenfis of any bui�di.ng or addition to � uni�orm_beight t'hroughou� by
`� rnultiPlY�9 �� grour�$ �ea covered frt�m a point ��x (6) inche� b�1ow
� the �loor 1ir►e o� t1�� b� �c�nen� or celia� to the average heigh� ` og the
uppe� eurga�e'�` or "ico 'r�i� -�average �aeic,�k►t og t1z� roo� aurfac� of tize main
gable of a pit�ed �roo,�.
2,,,,�s Fag �repa�re �or alte�atioa� to att exietir� etructure, �t1ie fee
8ha11 be at th� rate,o� $3,00 pe�C each �ive, gunclred Dollare (.$SOQ.�Oj
o�c rraction �tY►ereo� 3.n t�e coet o� all proposeic� work. �
2�.6_`. In no case shall the fee clsarged �o= �y pormit as set forth �,n
s�et.�,�n,,,� be less ti�� $4.00. � Y _
_ _ �,�,�., +
SUBJECT PER .
City of Fridley o 18719
AT THE TOP OF THE TWINS g U I L D I N G P E R M I T
� � REC
COMMUNITY DEVELOPMENT DIV.
r � L � PROTECTIVE INSPECTION SEC. p� �-� ��
1 . �
� � /'�"1 � CITY HALL FRIDLE� 5$432 NUMBER HEV. DATE PA6E OF APPROVED BV
�""'� � �'� 612-571-3450 910-F15 10/20/8 � �
JOB ADDRESS 5�g ��ra Street N� E.
1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED
DESCR. 23 6 Carlson` s Summit Marior North Additi.onsHEET
2 PROPERTYOWNER MAILADDRESS 21P PHONE
Fred l�ioen 5408 Altura, Street N. E. 572-9584
3 CONTRACTOR MAILADDRESS Z�P PNONE UCENSENO.
Franzen Constructi,on Co. 4250 - 5th Street N,E. 788-4U71
4 ARCHITECT OR DESI(iNER MAIL ADDRESS ZIP PHONE LICENSE NO.
5 ENdINEER MAIL ADDRESS ' ZIP PNONE LICENSE NO.
8 USE OF BUILDIN(i '
1�E51C1@Il'tl.$�.
7 cu►ss oF wORK � N� p ADDITION 4 ALTERATION ❑ REPAIR ❑ MOVE O REMOVE
B DESCRIBE WORK
EI1C�.03E EX].S't'1. C Or't
9 CHANOE OF USE FROM TO
STIPULATIONS
S���l� �3 ��.��F��` m
� �?��,� �,.�� F.O.R ... .�, .., ,., ,
�'���NC�`���1� [�`��$...P�Li�l�l�li�C ��� S.i(���.
�.'a . � �1: : '1 '�..: t i . . .. � . s : . w, � . .�. .. . . . _,. , . . ..,. d . _ . J .. �. .
SEPARATE PERMITS ARE RE�UIRED FOR ELECTRICAL, PLUMBING, HEATINO, �PE OF CONST. OCCUPANCY dROUP OCCUPANCY LOAD
VENTILATING OR AIR CONDITIONINO.
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZpNIN(i SQ. FT. CU. FT.
AUTHORIZED IS NOT COMMENCED WITHIN 80 DAYS, OR IF CONSTRUCTION
OR WORK IS 3USPENDED OR ABANDONED FOR A PERI00 OF 120 DAYS AT
ANY TIME AFTER WOHK IS COMMENCED. • NO. DWLd. UNITS OFFSTREET PARKING
I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION 1 STALLS GARAGES
AND KNOW THE SAME TO BE TRUE ANO CORRECT. ALL PROVISIONS OF LAWS VALUATION SURTAX
AND ,ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED $2 �550 Sl• 28
WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT
DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE pERMITFEE SACCHARGE
PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REQULATING CON- y�`3H. SO
S RUC OR THE PERFORMANCE OF CONSTRUCTION.
LAN CHECK FEE TOTAL FEE
!� �p.�� $39.78 -
SiG ATURE CONTRA oaoRnu RI2EOAGENT IDATE� WHEN PROPERLY VALIDATED TNIS IS YOUR PE MIT
A - . Q -
SIGNATURE OF OWNER IIF OWNER BUILDERI IOATEI � g ��� • _
BLDG iNSP qATE
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NE�
ADDt:.
pLTER.
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I�4
CiLy of Fridley
�R-1 A�D R-2 I
Buil4ing Permit Application
Effective 0/1/8i
�i//�c� �
Construction Address: -� 7 V Ll ��v�� �� � .
Legal Description: �
FF� E � ,v� OE rJ 5`�0� f-� ��vY , Sa. Jv. E__ Tei .��7� -
Owner H�me i Address : _ ��-i,,
�i2at�zE,v Co�sT o _ se�. �
Contractor: �
Addreaa: 0 a� ��" �� � �
lotacxith theSproposedtconstructionrdra�n on it toyscalehe
DESCRIP?IOIi OF IMPROYEMEI�'T
LIVING AREA: ength
ilidth Height _ Sq. Ft.
� � Nidth __� Height Sq. Ft.
GARAGE AREA: ength
DECK iggp; Length iiidth Hgt/Ground Sq. Ft. _
OTHER: �
� � 2 �
Inside Lot �L Ft. Yd. Setback Side Yard Setback
Corner Lot [ � �
� Estimated Cost: �
Type of Construction: � ,/�
Approx. Completion Date:
,�9,�. � ► /5 /�Le— �
� Alt. A Alt P
Is Desired: � �
Proposed Driveua� �Jidth If Neu OperiinB See Back Page for Explanation
D�TE: �a- O-�Cv
Per�it Fee
Plan Check
State Surcharge
SAC Cbarge
Park Fee
Sever Nain Charge
?OT1lL
STIPUL�TIO2JS :
APPLICAI►T : Tel .
CIT7 SE ONLY
� .� Fee Schedule oa Reverse Side
� _ 25x of Building Fer�it Fee
S•
�
� -
!
e
.
�.50/�1,000 Valuation
��75 per SAC Unit
'� �
.
Fee Determine� by Engineering
Agreemen� Necessary [] Not Neeessary [ �
.
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BIIII.DIIiG PERHIT FEE SCBEDIILE
She Chief Building Official shall, pefore iaauing permits for the erection of ar.y
Duildir� or structure� or for any addition to aay existiag Duilding or structure� or
for any alteration or repair to any existi�g building or structure, upon application
tt.erefore, require the payIDent by tAe applieaat for auch permit oP fees to the amount
herein pelow set forth as�d in the manner herein provided to-Wit: '
Total 9aluation
�1.00 to �500.00
�501.00 to �2�000.00
Fees
�10.00 (Minimu� Fee is �15•00?
�
�10.00 for the first �500 plus �1.50 1'ar each
additional �100 or fraction thereof� to and includinE
�2,000. "
t2,�01.00 to S25,000.00 �32•50 for the tirst �2,000 plus �6.00 for each
additional �1�000 or fraction thereof, to and
including �25.000.
t2��00t.00 to �50�000.00 �170.50 for the first �25,000 plus �4.50 for each
additional �1,000 or fraction thereof, to and
including i50,000.
�SO.d01.00 to 5100.000.00 �2E3.00 for the first �50�000 plus �3.00 for each
additional �1,000 or fraction Lhereof, to and
includinE �100,000.
i100,001.00 and up
��+33.00 for the first �100.000 plus �2.50 for each
additioaal s1�000 or fraction thereof.
DRIVEIiAY DEPRESSION ESCROii
(Concrete Curb Streets Oaly)
Alternate "�": Renovsl and replacement of curD an� gutter only - Drive�aay aidth plu�
6 feet time. �t3•50
�blternate "E": Re�ov21 and re�lac�er� o!' cur?a and gutter and in�tall a 3 foot WiCe
aFFroac2: with 6 inch derih - Driveva� xidtri p9us 6 feet times �15.75
� VERIFICA?ION OF FODNDATIOIV
Percits for construction �ill De issued a air.idu� o° 2u hours fro� the time c.°
aFFlication to a�lo�: for yrop�r review ot the propose� structure and of tre
construction site.
A Certifieate of S�:rvey o:' Lhe lot, shoWing the loc2tier. of the foundatior, once it
has peen eonstructed xill be require� Defore proceedir.g xit� thE framing.
. �
a► � �- �.
s� - ,
�
SuB�ECT
City of Fridley
�
AT THE TOP OF THE TWINS g U I L D I N G P E R M I
� �
� `� ������� COMMUNITY DEVELOPMENT DIV.
r � � PROTECTIVE INSPECTION SEC.
t . �
� � �"'f � CITY NALL fRIOLE� 85432 NUMBER
�----� • •'� 612-571-3460 9iaF�g
JOB ADDRESS 5408 Altura Rd
1 LEGAL LOT NO. BLOCK TRACT OR ADDITION
OESCR. 23 6 Carlson' s
2 PROPERTY OWNER MAIL ADORES$
�OeYl
3 CONTRACTOR MAIL ADDRESS
Vikin� Home Imv Co 4832 2 i/9 St NE Mv
4 ARCMITECT OR DESItiNER MAIL ADDRES8
5 EN(iINEER MAILADDRE88
8 USE OF BUILOIN(i
Residential
REV DATE PA
8/6/98 /
2702
REC O.
9��
OF APPROVED BY
/
SEE AttACNED
SHEET
PNONE
�2=1f
PMONE
PNONE
LICENSE NO.
4772
LICENSE NO.
LICENSE NO.
7 CLASS OF WORK
❑ NEW O ADDITION ❑ ALTERATION g� REPAIR ❑ MOVE O REMOVE
8 DESCRIBE WORK
Reroof house and garage (24 Sq)_Tear-off
8 CHANOE OF USE FROM
STIPULATIONS
ro
Underlayment must comply with State Building Code.
TYPE OF CO!
SEPARATE PERMITS ARE REOUIREO FOR ELECTRICAL, PLUMBIN(i, HEATIN(i,
VENTILATING OR AIR CONDITIONIN(i.
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONIN(i
AUTHORIZEO IS NOT COMMENCED WITHIN 80 DAYS, OR IF CONSTRUCTION
OR WORK IS SUSPENDED OR ABANOONEO POR A PERIOD OF 120 OAYS AT
ANY TIME AFTER WORK IS COMMENCED. NO. OWLd.
I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION
AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROYISIONS OF LAWS VALUATION
AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED
WITH WHETHER SPECIFfEO HEREIN OR NOT. THE GRANTING OF A PERMIT 2 Q
DOES NOT PRESUME TO GIVE AUTHORITY TO VIOIATE OR CANCEL TIiE pERM1T FEE
PROVISIONS Of ANY OTHER STATE OR LOCAL LAW REQULAT�NG CON-
STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. �74.75
�� �_� ��
NATURE CONTRACTORORAUTNORI2EDA6ENT IDATEI
�OATEi
DCCUPANCYCiROUP OCCUPANCYLOAO
SQ. FT. CU. FT.
OfFSTREET PARKING
STALLS GARAGES
SURTAX
�1.��
SAC CHARGE
Fire SC $2.00
TOTALFEE
5.00 82.75
i1tLY V ATEO TNIS IS YOUq P�B�MI� �
NEVV
ADDN
ALTER
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CITY OF FRIDLEY
SINGLE FAMII.Y AND DUPLEXES R-1 AND R 2
BUILDING PERNIIT APPI:ICATION
Effective 1/1/98
� ��
a ���
��
ConstructionAddress:_ ��G �' %�-L �"�12� /ZV • .
Legal Description:
Owner Name & Address: /� � F N Tel. #� ,�'7�— �'S'� y
Contractor: fJ2�'2•� 4,t� A,� ,Z �s� Go � MN LICENSE # j-/ 7 7�.
Address: e/�.3�- �%z ST. ��•,E • Tel. #,� 7'z - �� a o
' � Attach to this application, a Certificate 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 Width Height Sq. Ft.
DECK AREA: Length Width Hgt/Ground Sq. Ft.
OTHER:
Construction Type �R ��' �� �' Estimated Cost: $,� f0� G(D -
(F'ee Schedule on Back)
Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x$ _$• �
DATE: �''�o `��' APPLICANT: ���� �� ��,,,Z Tel. # 5^72— /8'� d
Permit Fee
Fire Surcharge
State Surcharge
SAC Charge
License Surcharge
Driveway Escrow
Erosion Control
Park Fee
Sewer Main Charge
TOTAL
STIPULATIONS:
$ %� 75�
$__$�'�
$ /e �
$
$ �i �
$
$
$
$ _
$ � o��'
CITY USE ONLY
Fee Schedule on Reverse Side
.001 of Permit Valuation (1/lOth%) _
$.50/$1,W0 Valuation
$1000 per SAC Unit
$S .OQ (State Licensed Residential Contractors}
Alt. "A" or Alt. "B" Above
$450.00 Conservation Plan Review
Fee Determined by Engineering
Agreement Necessary [ ] Not Necessary [ ]
� � 4 y '
BUII.DING PERMIT FEE SCHEDULE
The Chief Building Official shall, before issuing permits for the erection of any building or struicrc��, �Y �or
any addition to any existing building or structure, or for any alteration or repair to any existing bu�id�a� 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 $2,0�
$2,001 to $25,000
$25,001 to $50,000
$50,001 to $100,000
$1�,001 to $500,000
$5�,001 to $1,0�,�0
$1,000,001 and up
FEES
$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 first $2,000 plus $12.50 for each additional $1, �
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,�0 plus $6.25 for each additional
$1,0� or fraction thereof, to and including $100, 000
$887.25 for fust $100,000 plus $5.� for each additional
$1,� or fraction thereof, to and including $500,0� �
$2887.25 for the first $5�,0� plus $4.25 for each additional
$1,000 or fraction thereof, to and including $1,000,000
$5012.25 for the first $1,0�,� 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 constcuction will be issued a minimum of 24 hours from the time of application to allow for pro�r
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 cons�ructed
will be required before proceeding with the framing.
:.. .. �
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