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AF - 34955City of Fridley, Mi.n.n. BUILDING PE�MIT N� 5989 na�: ��-�• �� ;.�:�. �. � ° swu o�: - . . eaa� Aaar� �car�onf;��� i�� T r �' � � `P , 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 �. ' u — --�'� � - C� � . �-a � � � �p�r a�SS r�o APPLICATIOrT �OR BUII�DSNG PEii1�IT �' GI'1'� :0�`: FRII�ILE�f �°- �9�A; - ... . . - . . .� � . _ � . . _ r � ;� : c3�mer':s: N�ae � Buils�er � �. � , ; r , rP , _ � _ , , _ . � a�_. ..� . . . �,a�es� - o g , � a��a��ss_,,� — _ p. . . . 5 � . � r - . - � , LOCATIODT'• OF ' BIII�DING : . °- " ' � `, � . . . m , , �. , . . , . ,,.. .. ;, . _ _ . //°� 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... . � . ��.. , ; � - ,; ; �. . . ..'�"'� f (5chedul� ofc Fee Casts can be �cutid' on `tbe Reverse Sidej :' ,,. . . ., , ,. - - ., � . _.. �_ . .3... . __. _ > .. . . - .. .-- . . , v .. .. , . ' . i , ' �; e� . .,, ,�._ . . ,.. -. , . _ � . - � r, . . � . � . : `��...� .�n - � r ..yc 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 � ' p ,� 7' NE� ADDt:. pLTER. [ � I7 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 [ � . ,r::�'+ � � tl+� � X� . .��.. _, ��.�� �� 3 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 �l [l �l 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. :.. .. � �