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AF - 36074City of Fridley, Minn. BUILDING PERMIT N° �5 0 0 4 Date: _..11..._�.-_..�.. -_..� .� ..__...---._.-.----._..._..._-----_.....------�-- � ,=; `'� . , � ,. - - � .Ci2..r..-_.> �. Owner: ..�- L---/-. .. . - -- -•--- .. Suilder ...� ._ ._. .. ...._.�._:. ' ......_ ............._....... ..1.....--��--�-•-�--• Address.�..�."�.�...�1._._. ..._....._.-• -•-• ` --•�--� -��---��- -. Address •--�---...--�--•�-------...- -��- ....._......_...-- ......_......----------�--�------...._....-----�----._ CATIO OF B LDING ... �c,.( 1 , , No. y;i....��.[..J........ Street ---�--.� ..-- ----��---- •----�--�---� - -- -. ...�1__...... � --�-� ............. Part Lot ...-• --� � � �--.....-�----...---�------�--.. .----.........---- , Lot ..........11G......_........ Block .........._....� -. --..... Addition or Sub- 'vis}on .... .. ._...----!�-�-<,'+� .�s:s-��•/'� Corner Lot .._.._...-...- ._........ Inside Lot .....- -..L�............ 81Rback .... ......��ideyard ..........�._ ............................_............._.............. SewerElevation --��--�--...--•---------�-�-•-��-- .............---...----..__......._...._.......--��--� ---�-- Fo dation Elevation ....._..--------------•--�---�---•------�--�---...._._-�---�--��---�--�--.......--�- -..... DESCRIPTION OF BUILDING To U ., , _ / } /� � _..._.. .......... . .....�_! Front ._..<_ .._.. Depth .{,�E�..�----- Height ..��1...--.-- Sq. Ft. ..��.�.� Cu. Ft �� _.._......---------•--- __..._....... _... ._ Front _..._ ............._.. Depth __._....._.._._.. . eight ---��-----..._.._.. Sq. Ft. •--�---..........._.. Cu. Ft. ----�---..._.......... . Type of Construction ---1 . ._. ---.• --..-•---.---.. Est. Cost" �.�<...��...._.�� To be Completed -.----.-.--.--••--.-••--�----�-�----•--_..____ In consideration of the issuance to me of a permit to construct the building described above, I agree to do the proposed work in accordance with the description above set forth and in compliance with all provisions of ordinances of the city of Fridley. In consideration of the payment of a fee of $....� .._._......._......._.., permit is hereby granted to..__......__._.._._�.. � ....._ ............._.............__................................. to construct the building or addition as described above. This permit is granted upon the express condition that the person to whom it is granted and his agents, employees and workmen, in all work done in, around and upon said building, or any part thereof, shall conform in all respects to the ordinances of Fridley, Minnesota regarding location, construction, alteration, maintenance, repair and moving of buildings within the city limits and this permit may be revoked at any time upon violation of any of the prnvisions of said ordinances. _ � Building Inspector NOTICE: This p�rmit doas not eover ths eonstruction, insfallation for wiring, plum6ing, gas hsafing, sewer or wa�er. Be suro to see tha Building Inspsetor fo� separate permits for these items. � , � . • 4 � ... . -� � Owners Name �> �a-r,-�Jc � Address APPLICATION FOR HUILD�AiG P�T CITY OF FR.TDLEY, MINNESOTA � LOCATION QF BUILDING � li� ` �1 � ,,.1 i ,5,�1� � „� . �,, �' ,._ No. Stxee� .��_�� c �� Part of Lot ��,�eu�;- �c - i�ot � � Block . � Addition or S1zb.Div. �e�„�,��d� �, , � �-� �%j�> ` •4 Corner Lot_„_,�,_,Inside T�ot Se� Ba.ck Side-Yard SEWER II.EVATION FOUNDATION ELE�TATION Applicant atta.ch to this form Certifica.te of Survey of Lot and proposed building loca.tion. DESCRIPTION OF BUZLDING To be used as: . � � ��^..�� F`ront �� Depth •� ,� Height 7 f Sq. Ft. �? J�� Cu. Ft. � , 7� F'ront � � Depth � � Height Sq. Ft. > >`� � Cu. Ft. � �7 (�� Type of Construction �_� � �-�-.�? Tstimated Cost ! �� - ._._.r To be completed The undersigned hereby makes application for a permit for the work herein specified, agreeing to do a1�. work in striet accordance with the City Ordinances and ruling of the Dapartment of Buil.d.ings, and hereby declares that all the fact$ and rep?� esenta- tions stated in this application axe true an correct. �,� •��,�„r,�C*� i. @ t� � � DATE �� ►- / ' SIGNATURE ., _ '�\ , t � �2 �'ZJ (A Schedule of Fee costa ca.n be found on the Reverse S�.cie.) • i 1� �: i� � 2 f S L � .. - • " BOILDING PF�F�MIT FEE SCHIDULL SectiQn 2. The inspector of Buildinga ahall, before issuing any permrit for the erection of any bui].ding or structure, or for any addition to any existing building or structure, or for any alterations or repairs to any existing building or structure, upon application therefor, require ths payment by the applica.nt for such permit of fees to the amount herein beiow set forth and in the manner herein provided to-wit: 2.1. For any such permit fox the erection of any fire-proof building, other than a garage, warehouse, factory or grain elevator, or for the erection oP any fireproof addition, for similar occupancy, to ar�y exiating buil.ding shall be at the rate of .�]../.�0 for each one thousand cubic feet� or fraction thereof, in such cubical contents. 2.2. For any auch permit for the erection of any fireproof garage, ware- house� factory or grain elevator; or for the erection of any fireproof addition, for similar occupancy, to any exiating building sha11 be at the rate of �1.25 for each one thousand cubic feet, classified as "f3xeproof" by Section 502 of the Minneapolis Building Code. HOUSES 2.3. For any such permit for the erection of any non-fireproof building other than a garage, warehouse, factory or grain elevator, or ar�y non- fireproof addition, for simi],ax occupancy, to any existing building. Permit �7..00 for each one thousand cubic feet. GARAGES 2.4. For any such permit for the erection of any non-fireproof garage, warehouse, factory or grain elevator, or for the erection of any non- fireproof addition, for similar occupancy, to any existing buildin� �r for each auch building or addition. Ninety Cents for each one thousand cubic feet or fraction thereof, in the cubical contents.thereof with s minimum of $/a..00. For the purpose of computing fees for building permits the cubical contents of any building or addition to a uniform height throughout by multiplying tha ground area covered from a point six.(6) inches below the floor line of the basement or cellar to the average height of the upper surface or to tha average height of the roof surface of the main gable of a pitched roof. 2.5. For repairs or alterations to an exis�ing s'tructure, the fee ahall be at the rate of �3.00 £or each Five Hundred Do1lax,s (�500.00), or fraction thereof in the cost of all proposed work. 2.6. In no case shall the fee charged for any permit as set forth in Section-� be less than �4.00. • . _ � • � Q > d f'. � .� _ .,. . . / � � � ? !; .' .: � � � t / - -• ._ c_._._ t� �r,, � , . r � , � � .. , ,� ti�� , � , �.(' . � ° , I��. _._�___ ..._. �___ __ . I�.�%��. . � : { : ;�., �, .�j ��a_�_,- :t„/ �.� , �'�X Z. �-- _. _.__...-,.—.,� _.._. �.� - B�,UC,K _ -- �DF�E a� , ,. - . — �!.��'; � _'Ci'°c,,C,. - -- � u � ...�.-,�_.�. YdLUAl'=0N ~.; O u�._ _. �_ .__ ��e , .�i..,t�_..� �' �V .. �� ' �-'� T� -t:!.,/_.y'y'r . ................. ................................................................................................................................................................ ...... Property ' i,r.e �/,� - � ✓/a i2 � � 1 �"- j �-'� � r �'f �t ,�,,J i r i� N u� v��.. !�' p .�J 1,� c� , r.... ' �. _.r6-------� / i t:7 �:. j ` - � ....... ...... •y �........ X ................ ' � 1 � -°=r�—~ . .. --� i . � ri i I � � ` ►„ � � � � �� S� � ii i til � ?' ��F""_ a r}j ' . . j' "C,: u iG. , f. ��u� / � �..�c.�5 �. e,� q _ 1 � i, � i F3Et]��, � 's _ _ : �"r r+.. t �; _ � ___ __ _--- � ..� . Prra� ;rt� Line � , _ ................. _......................._ ............ ............._.......................�..�.....,...-...� � : � . � :v • • • City of Fridley, Minn. BUILDING PERMIT Date: _.._....._June_ 9, 1965 �" � ,� � / / N° '7805 Owner: -----St�-l�X_.�.��a __.__�._ Builder --•------C_i.t�'�ride__Builders.......---....------..__...___ Aflc�ress --.--.5.��..�---�t�a . Dripe _N � ._E � ...--------.-----_ Address _..__.�1�.-IA1eIZ�i_..AY��---.N.._..�..�.------.---.._.__.----..� LOCATION OF BUILDING No. ...__1�.��1_._ street ._. Altura __DTive__N. E. -.-- -... Part of Lot ...._._.__..._�_.��.�_.._.._ - ---� ------�---��---•----- Lot ....._...._ lb ..__.__ Block _.�._. 7.....__..�_..-•---------- Addition or Sub-Division _.._Ce,Tlsorl � S Sum. __Manor�North Add. Corner Lot .----•-•-.--.--.__ Inside Lot •-.-•----.----.----------•------_ Setback _--••--------.--...----.__ Sideyard ?_._�_.___- •-_--._.._..�..� Sewer Elevation To be Used as: Type of Construction Foundation IIevation DESCRIPTION OF BUILDING Front _._..�..._ Depth _..._---•-•--� Height .-----.•----_...._ Sq. F't. �---_�._ Cu. Ft Front _�_..__._ Depth -•-•--------.----. Height ....._........------ Sq. Ft. -----_�.� G�. F't. --..._.._.�....__.�.. _.. Fst. Cost _�,1.�.�.�Q•.�.-----...... To be Completed ---.___.____---- Storm dama.ge repair In consideration of the issuance to me of a permit to c th� prnposed work in accordance with the description above ordinances of the dty of Fridley. lding described above, I agree to do in comolie�Qe �'ith all provisions of In comsfderation of the payment of a fee of �. 14�....._..._.._.., permit is hereby granted toCl'�y �ide Bld2's � �._._......._.._.._.___.�..�__.___ to construct the building or addition as described above. This permit is granted upon the express condition that the person to whom it is granted and his agents, employees and workmen, in all work done in, around and upott said building, or any part thereof, shall conform in all respects to the ordinances of Fridley, Minnesota regarciing lceation, construction, alteration, maintenance, repair and moving of buildings within the dty ]imits and this permit may be revoked at any time upon violation of any of the provisions of said ordinancea �,�� s�ensen Builaing Inspector NOTICE: This permit dou not eowr tlu eonstrualion, tn�tall�Non ier wieino, phnnbinp, o�s h�afino, snw�r o� wat�r. 8� wn ro sM fh� BuiWieA Intp�eM� for s�p��ah p�emih for fh�a h�ms. �� ,�r ,�, o. � APPLICATION FOR BUILDING PERMIT CITY OF FRIDLEY, MINNESOTA . OWNER' S NAME � �-� ��.... � , ,7 ° �- .BUILDER 1 %/ � C l �d � L�j� ADDRESS � ADDRESS_� �� aQ� /(,�,�, LOCATION OF BUILDING NQ- __ �� Street � L�u �A I�RPart of Lot /f� _< ��/,/�/J LOT '�C�, BLOCK ADDITION 0$ SUBDIVI9ZON��C/�'`��/.t�v►7-+__-/�,///�ri-� Corner Lot Inside LOT ✓ Setback Side-�Yard ��'i""'' "� SEWER ELEVATION FOUNDATIOR ELEVATION Applicant attach to this form Two Certificates of Survey vf Lot and proposed building location drawn on these Certificates. -�__ � ' �� DESCRIPTION OF BUILDINC� �-__ - -"�_ ___.. .� �...�� >o�,�� ; �� ,. _--�._..� i : � To be usgd�; W � i"� _ Front DegthL' Height Sq. Ft. Cu. Ft. Frcmt Depth Height Sq. Ft. Cu. Ft. Type of Censtruction Estimated Cost �L�,�c�c� , ,i To be completed � - � � '-�, � The undersigned hereby makes application for a permit for Che work herein specified, agreeing to do all work in strict accordance with the City of Fridley Ordinances and rulings of the Department of Buildings, and hereby declares that all the facts and representations stated in this application a true and correct. DATE l� .� c� ' � � SIGNATIIRE - (Schedule of Fee Costs can be found on the Reverse Side). � � • - � � BLTIi.DING PERMIT FEE 3(:HEDULE SECTION 2. The Inspector of Buildings shall, before issuiag any permit for the erection of any building or structure, or for any addition to any existing build- ing ox structure, or for any alterations or repairs 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; 2.1. For any such pei�mit for the erection of any fire �proof building, other than a garage, warehouse, factory or grain elevator, or for the erection of any fire-proof addition, for similar occupancy, to any existing building, shall be at the rate of $1.40 for each one thousand cubic feet, or fraction thereof, in such cubical contents. 2.2. For any such permit for the erection of any fire-proof garage, Warehouse, factory or grain elevator, or for the erection of any fire-proof addition, for aimilar occupancy, Co any existing building shall be at the rate of $1.25 for each one thousand cubic feet, classified as "fireproof" by Section 502 of the Minneapolis Building Code. HOUSES 2.3. For any such permit for the erection of any non•fireproof building, other than a garage, warehouse, factory or grafn elevator, or any non-fireproof addition, for similar occupancy, to any existing building - permit $1.00 for each one thousand cubic feet. GARAGES 2.4. For any such permit for the erection of any non-fireproof garage, warehouse, factory or grain elevator, or for the erection of any non-fireproof addition, for similar occupancy, to any existing building or for each such building or addition - ninety cents ($0.90) for each one thousand cubic feet or fraction thexeof, in the cubical contents thereof with the minimum of $4.00. For the purpose of computing fees for building permits, the cubical contents of any building or addition to a uniform height throughout by multiplying the ground area covered from a point six (6) inches below the floor line of the basement or cellar to Che average height of the upper surface or to the average height of the roof surface of the main gable_of a pitched roof. 2.5. For regairs or alterations to an existing structure, the fee shall be at the rate of $3.00 per eac�h Five Hundred Dollars ($500.00) or.fraction thereof in the coat of all�propoaed work. 2.6. In no case shall the fee charged for any permit as aet forth in Section 2 be less than $4.00. . • � _ • � r, ��_ � E I; � �: � y ; �' , ti��ust 27. 19�5 C�ty �Tide �ui�de�a �4S Lowr� A�enue N. E. �ianeap��is, �innesota �e: 54�5 A2tur� Rc�d �. E. „ __ _ �.? u:°� :,. � � _ t:�.{ c ^� � �-:�:s '� � �i a.=�� cs � { � °� � :i � Z�.��e,t, c < <.PC-:�c.* �:'.?�...is C:i,,:G�+C:I:�:. ��i;..'�' itf'f�r""L. ._�'�^ �;C�"�« �.F... :,..�..�: 1..'.:G 1(T�k°�I�.s. ....f:,' E�C>�;�r i�,;�c i �r:; �.�s ��w�"iouv ��T.�.,�� .� . �3�ry goor wori�aan�hip an ��e €�.ci� �nd car:�ice retur�s. 2j . Sic�fn� on twc� diffcre�at ltz*eie o� ane taa.11. 3). �Ta sheathing on tiae outsid� af the �tucis cm the gahles of the g�ra$e, wi��ich I, �s-3self, apeci- fic�.11�* requested . Zf �heee mstt�rs are not t�.ken csre of, tt�i� job is rejected. Someoue on the job ser�d to t�ai.nk thae Y�r. Belisie soas fncoaapetent. i can �ssure yau t?a�t he is not. �e has hed con- �iderab�e experience ��d wh�.tev�r decisivn he m�lt�s on the job, � s,a�.il bac�: ssp. If qou kave sny qcaestio:�s in regarda to any af these points, kindly contact me at my aff�ce. �ifs3 : eks Sincerely, l�LL�N G. JEA',S� Bui2dic►� Iz�spector City of Frid'�ey SuBJECT P City of Fridley 1950T AT THE TOP OF THE TWINS g U I L D I N G P E R M I T r ; � R T NO. � • COMMUNITY DEVEIOPMENT DIV. i LL��"��', r � PROTECTIVE INSPECTION SEC. � � � �� i 1 _-�'�/'��1,,� CITY HALL FRIDLE� SS432 NUMBEFl FlEV. DATE PAGE OF APPROVED BV `" 612-571-3450 9�0-F�5 6/3/88 / / JOB ADDRESS 5455 Altura Road N. E. t IEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 16 7 Carlson's Summit Manor North Addn. SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Walter Lach 5455 Altura Road N.E. 572-9508 3 CONTRACTOR MAIL ADDRESS Z�P PHONE LICENSE NO. Same 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO. 6 USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW [� ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE B DESCRIBE WORK Construct a 16' x 14' Deck 9 CHANGEQFUSEFROM TO STIPULATIONS See notations on plan TYPEOFCONST. OCCUPANCYGROUP OCCUPANCYLOAD SEPARATE PERMITS AFE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, VENTILATING OR AIR CONDITIONING. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING SO. FT. CU. FT. AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAVS AT ANY TIME AFTER WORK IS COMMENCED. NO. OWLG. UNITS OFFSTREET PARKING I HEREBY CERTIFY THAT I HAVE FEAD AND EXAMINED THIS APPLICATION �- STALLS GARAGES AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS VALUATION SUFTAX AND ORDINANCES GOVERNING THIS TYPE OF WORK W�LL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT $1,550 $•78 DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE pERM1T FEE SAC CHARGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- $2'� � OO STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. PLAN CHECKFEE TOTALFE� � y5` 2 % . % SIGNATUREOFCONTRACTOA nur aizEDaGENT �DaTE� WHEN PROPERL LIDATED THIS IS VOUR P RMI t`-� l' �� a� � f � . - .�c' �NATUREOFOWNERiIPOWNEPBUiL ERi �OATEi BLDG iNSp qFi� }- �1 [] Ci.ty of F'ridley EEfective 5/L88 ADDN [ ] R-1 AND R-2 AL�ER [] Building Permit Appl ication Const r uct i on Addr ess :_ �5 �� "L �U,f'�' �� Leyal Descriptiai• Owr�er N�ne & Address: �1i�7�r GA-c� SfS�..S� ffLTv/'�- � cr Tel. # S - �� Coritr actor : _ _ S�m -z T�. # Address: Attach to this appl ication, a Certif icate af S�uvey of the lat, with the proposoed wnstruction drawn on it to scale. �ESQtIPPION OF IMPROVII�ATr LIVING ARFA: Length Width Height �. Pt. C�RAGE ARFA• Length Width Iieight St�. Ft. ' DECK ARFA: Length '� Width �_ Hgt/Gro�md �_ 9q. Ft. �-� `' � ..r - 'Z-� 2 'Z� Gbrr�er Lot [] Inside Lot y[� Ft. Yd et�ack Side Yard Setbacks �jipe of Construction: Approx. Comple�tion Date: Proposed Drivaaay Width If New Opening Is Desired: Estimated Cost: S %JJ� Width + 6' L�l. U Ci � L.L1�" - Li�4�`�'�' �. L�P,TE : � 3^ C/ c� APPL IC�1Nr : " CLTY OSE Q�Y Petmit F�ee State Surcharge SAC �arge Driveway Escrow Park F�ee Sewer !lain Qlarge �OTAL 3PIPCTI�I�LS: S c�%, ��.1 S .7g � S S $ $ 0�7.�� Alt. A Alt. B S See Back Page Te�. # _� 7d� ` �i.S�U b F�ee Schedule on Reverse Side 5.50/51,000 Valuation 5550 per SAC Unit Alt. "A" or Alt. "B" Above F�e Determired by F�gir�eering Agreenerit Neoessary [ ] Nat Neoessary [ ] � , � � 5� � �� 1 I�l � a� � U� � 1=: 1 ��. '�+;�� 4 �+ `.�.��. 1 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 regair to any existing building or structure, upon application therefore, require the gayment by the applicant for such permit of fees to the amount herein belaw set forth and in the maivier herein pravided to-wit: TOTAL VALUE FEES $1 to 5500 S15 (Minimun F�ee is S15 plus surcharge ) 5501 to 52,000 S15 for first �500 plus S2 for each additional 5100 or f racti on thereof, to and including 52,000 52,001 to $25,000 S45 for first $2,000 plus S9 for each additional 51,000 or f racti� thereof, to and including 525,000 525, 001 to 550, 000 5252 for f irst 525, 000 plus $6. 50 for each additi�al. S1, 000 or fraction thereof, to and including 550,000 S50,001 to 5100,000 5414.50 for first 550,000 plus 54.50 for each additianal $1,000 or fraction thereof, to and including 5100,000 S 100, 001 to 5500, 000 S 639. 50 for f irst $100, 000 plus S3. 50 for each additional Sl, 000 or fraction thereof, to and including 5500,000 5500,001 to $1,000,000 52039.50 for the first �500,000 plus $3 for each additional 51,000 or fraction thereof, to and including 51,000,000 51,000,001 a�d up 53539.50 for the first 51,000,000 plus S2 for each additional 51,000 or fraction thereof D�VF,� DEP�S.GTON E�?� (Concrete Curb Streets Only) Alternate "A": R�ioval and replaoement of curb and gutter only - Driveway width plus 6 feet times $13.50. Alternate "B": Renaval and replaoemerit o�f curb and gutter and install a 3 foot wide approach with 6 inch depth - Driveway width plus 6 feet times �15.75. l�; , M • � • ' ��: 1� � : �� Permits for construction will be issued a minimum of 24 hours f rom the time of application to allow for proper review of the proposed structure and of the o�nstruction site. A Certif icate af S�rvey of the lat, shawing the location of the foundation once it has been o�nstructed will be required before proceeding with the fra¢ning. � c�S� � � , 9 ' - - - -. -----------�• .�_ _ ._. ,� � - -- -- � � $: `�, . � � `'` 1 � . y � y � � � CJ � _p !� , ' ' �i , � r � ; � - -� - i -- - -- - - -- --- ; -- - /� � � -i v , �L Q/ • �� . %,,� �, - O , , : i �i� �" ; ____ _�, � -- --- -� -- ---------{--��--�---! -- - ----- ---�_____��.-- - - - ---- - - - -� - - — - --- -�r--^ - - - . , , � � � ;� � �� ; �� . � ,� �' p . 1 � � (1 `/� 1 V ' r ^ �� v ' � � �'`� � � ; c� � - - ---- . ! � _� � , - - - - - ------- — � �------ - -- ----- � � 6 ; — � --- - ---- ---�� s� � '-_ _ � � - -- . '` _ �� , � -- --- --- � �� - - - -- - _ �.- - E- V - a ` i � �� r � '� � � `�t�Q i v , _ . 4 .__ _ '-_ __ __ � �._.____-_____-_.___ ____'_1 _-' __1_'_ '- _ ___'. � y'� ,_ ------- - -- ------- -- ----- , � � r� � I \ � � M � sue�ecT PERMIT NO. c�ty of Fridley �.--� BU ILDING PERMIT ` � ��' `.. AT THE TOP OF THE TWINS r ; � RF N O . � COMMUNITY DEVELOPMENT DIV. ' i L_ _ �� r � � PROTECTIVE INSPECTION SEC 3 1 � ' ' �'�-1 � CITY HALL FRIDIE� 55432 NUMBER REV D.4TE PAGE Of APPROVED B� �""�"� �'' 612-571-3450 9t0-Ft5 8/28/96 / � J08 ADDRESS 5455 Altura Road NE 1 LEGA� LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCF. 1(j 7 Carlson's Summit Manor North Addition SHEET 2 PROPERTV OWNER MAIL ADDRESS 21P PHONE Walter Lach 5455 Altura Road NE 521-3652 3 CONTRACTOR MAIL ADORESS Z�P PHONE LICENSE NO Midwest Sidin & Roofin 3533 Perr Ave N, Cr stal MN 55422 521-3652 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO 2��1�2%� 5 ENGINEER MAIL ADDRESS ZIP PHONE IICENSE NO 6 USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW ❑ ADDITION C7 AITERATION � REPAIR O MOVE O REMOVE 8 DESCRIBE WORK Reroof House & Gara e(22 S) Tear-off 9 CHANGEOFUSEFROM TO STIPULATIONS Underlayment must comply with the State Building Code. TYPEOFCONST. OCCUPANCYGROUP OCCUPANCVLOAD SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, VENTILATING OR AIR CONDITIONING THI5 PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING SO. FT CU. FT AUTHORIZED IS NOT COMMENCED WITHIN 60 DAVS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OFi ABANDONED FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS OFFSTREET PARKING I HEREBY CERTIFV THAT I HAVE READ AND EXAMINEO THIS APPLICATION 1 STA�LS GARAGES AND KNOW THE SAME TO 8E TRUE AND CORRECT. ALL PROVISIONS OF LAWS VA�UATION SURTAX AND ORDINANCES GOVERNING THIS TVPE OF WORK WILL BE COMPLIED @ WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING Of A PERMIT W1�HIS �.91 DOES NOT PFESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE pERM1T FEE SAC CNARGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- TRUCTION OFi THE P RFORMA E OF CONSTRUCTION �S9.SO Fire SC �L.BZ �' , f� PLAN CHECK FEE TOTA� FEE /- `%�/`�� 6 Lic se C$ 0 $67.23 SiGNatu E OF COni'�aC�Oa Oa nuiHOAiZED nGENt �DaTEi pq V VAL ED TNIS IS Y UR PERMIT • � S�GNaTUREOFOwNEA��FOWNEaBUiLDERi iDAiE� DG iti$o r+crE NEW ADDN ALTER [] [l [l ConstructionAddress Legal Description: CITY OF FRIDLEY SINGLE FAMILY AND DUPLEXES R-1 AND R-2 Building Permit Application S y s-s' ,�/�-�- � Effective 3/1/96 �`�� Owner Name & Address: 1 �,, � C� Tel. # -�� '��-� Contractor: j �-, , � � �,, r L � S; �,�, � .� j`�'< < { ; � : MN LICENSE # .�� c'�c' -� 7 ) Address: � �� (�n � �r < 2,� C �` � �_ � Tel. # S'.3� ��'� S�� 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: DESCRIPTION OF IMPROVEMENT Length Width Height Sq. Ft. Length Width Height Sq. Ft. Length Width Hgt/Ground Sq. Ft. -� -� - �- �Y�� Corner Lot [] Inside Lot [] Ft. Yd Setback Side Yard Setbacks Type of Construction: %�� _ u f� f- /�'� %t'<<, F- Estimated Cost: $�,.�� c-� t<- Approx. Completion Date: �= � �� `�' /�/; `•�� (Cost on Back) Driveway Curb Cut Width Needed: Ft. + 6 t= Ft x$. . _$ DATE: �'� � �> � �. APPLICANT: -� � Tel. # S� / -3 � �� Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee Sewer Main Charge TOTAL STIPULATIONS: $ $ $ $ $ $ $ $ $ i . � � l � /. � � i G' .-, �, � .� c - � $ �'� � i CITY USE ONLY Fee Schedule on Reverse Side .001 of Permit Valuation (1/lOth%) $.50/$1,000 Valuation $900 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 [ ] BUILDING PERMIT FEE 5CHEDULE 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 struciure, 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 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. 1 CITY OF FRIDLEY INSPECTION DIV. 6431 University Ave NE ' Fridley, MN 55432 APPLICATION FOR POWEfl PLAN'1'S AND HEATING, COOLING, VENTILATION, 572-3604 _ REFRIGERATION AND AIR CONDITIGNING SYSTEMS AND DEVICES RATE SCHEDULE • Residential Furnace Shell and Duct Work, Burner — Also Replacement Furnace (Side Vent — Fill Out Back) Gas Piping (Needed with new furnace) Gas Range Gas Dryer *Air Canditioning — All Sizes All Others/ftepairs & Alterations (LIST ON BACl� 1% of Value of Appliance or Work Commercial/Industriaf 1.25°' -�.. . �o� �.�:�a;KS ��{�� `�� , ��a�f 9� M;awc�+ s:a�.1 t ( ba �' MINIMI REFRIG PLUS TI REINSPECTION FEE $42.00/Hr Rate TOTAL $ 30.00. $ ' G� � 6 $ i 0.00 $ $ 10.00 $ $ 10.00 $ $ 25.00 ' $ �� C� �" �aF�� Effective On August 1, 1995 JOB ADDRESS �y��' fi � TlJ. � �} �ci „� � . The undersigned hereby makes application for a permit for the work herein specified agreoing to do all work in strict accordance with the City Codes and rulings of the Building Division, and hereby declares that all the facts and representations :ctated in this application are true an c rrect. . ,19��5 OWNEFiIn%4Lrf_.P. �A�� S 7e�,�5e� BUILDING USED AS ESTIMATED COST �; C�' G' PERMIT NO._ �� ,�� F:;CRIPTION OF FURNACE AND OR BURNER ; $ No. of Heating Uiiits Circle One (Steamj (Hot Wa r) (Warm Rir) Trade.Name�,�,�<�,E,f3 Size No. �� BTU_ q,� o�� <i HP EDR $ Fuel Total Connected Load " �� LATION 15.00 *Air Conditioners can not be placed in a side yard without written permission from adjoining property owner. • Burner 7rade Na:re_ BTU � HEATING COa/IPANY Sign Approved By HP Rough—In Date Size No. EDR � Tel No. ��% —�Z./�� Final Date FILL OUT BACK SIDE I�R STACK VERIFICATION ON REPLACEMENT FURt�ACE � ��.��,; �-- �� s� � �HIMNEY AND STACK VERIFICATION The undersigned hereby verifies that the existing chimney or stack: 1. Has been carefully examined Yes (� No O 2. Is free from rust or deterioration Yes (� No O 3. Has no foreign objects lodged within Yes (� No () 4. Is securely supported Yes ( r� No O 5. Meets all current Code requirements for size and total BTU's connected � Yes (yj No () 6 Has total heating BTU's of `7�UU l/ All other BTU's . � L� O O� � �� : TOTAL BTU's J � �� 7. Has a liner �een provided for water heater Yes (;�' No () �. ��as co�u�;u�uuu air beei� pruvided ror water heater Yes (c� No () Remarks: List ALTERATIONS Being Done: HEATING CO: Signed By: Date: �� ;�` � i s�� r SuBJECT FERMiT NO. -- City of Fridley ' 3 0420 AT THE TOP OF THE TWINS g U I L D I N G P E R M I T �' � � -aFCEi� o. � � • COMMUNITY DEVELOPMENT DIV. 1 � V � PROTECTIVE INSPECTION SEC. �/�� 7 1 , �l.JU ! � � �"'1 � CI7Y NALL FRIDLE� SSl�2 NUMBEN REV O�iE P�GE OF •vvnOVED Br �""�'� �'� 612-571-3450 9�0-Ft5 10/19/99 / / ,oe nooaess 5455 Altura Road NE t LEGAL �OT NO. BLOCK TRACT OR ADOITION SEE ATTACHED oescR. 16 7 Carlson's Summit Manor, North Addn. SMEET 2 PROPERTY OWNEf; MAIL AODRES$ ZIP PMONE Walter Lach 572-9508 3 CONTRACTOfi MAIL ADDRESS ZIP PMONE LICENSE NO Suburban Exteriors 9701 Penn Ave S#107 Bloomin ton 55431 881-8232 4289 4 ARCHITECT OR DESIGNER MAIL AODRESS ZIP PMONE UCENSE NO. 5 ENGINEER MAIL ADDRESS IIP PNONE LICENSE NO 6 USE OF BUILDING Residential 7 CLASS OF WORK � REPAIFi O MOVE O REMOVE O NEW ❑ ADDITION ❑ ALTERATION 8 OESCRIBE WORK Reroof house and garage (25 Sq) Tear-off 9 CHANGEOFUSEFROM TO STIPULATIONS Underlayment must comply with the State Building Code. TYPEOFCONST OCCUPANCVGROUP OCCUPANCYLOAD SEPAqATE PERMITS ARE REOUIqEO FOR ELECTFIICAL, PIUMBING. HEATING, VENTILATING OR AIR CONDITIONING THIS PERMIT BECOMES NULL AND VOIO IF WORK OR CONSTRUCTION ZONING SQ. FT CU FT AUTHOR�ZEO IS NOT COMMENCED WITHIN 60 DAYS. OR IF CONSTRUCTION OR WpRK tS SUSPENDED OR ABANDONEO FOR A PERIOD OF 120 OAYS AT ANV TIME AFTER WORK IS COMMENCED NO DWIG. UNITS OffSTREET PARKING I HEREBY CEATIFY THAT 1 MAVE REAO AND EXAMINED TMIS APP�ICATION $TA��S GAfiAGES aND KNOW TNE SAME TO BE TRUE ANO CORRECi. ALL PROVISIONS Of LAWS VALUATION SURTAX AND ORDINANCES GOVERNING THIS TVPE OF WOFK WI�L BE COMPLIED �2185 $1.09 WITH WHETHER SPECIFIED HEREIN OR NOT THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTMORITY TO VIOLATE OR CANCEL THE pEiiMIT FEE SAC CHARGE PROVISIONS OF ANY OTHEfi STATE OA LOCAL LAW REGULATING CON- S RU TION OR THE PERFOFMANCE OF CONSTRUCTION $83. ZS Fire SC �2. 19 % �--�-- PLAN CHECK iEE TOTAL FEE � ��i�'�-�G< <'-T /O -Z�-' `� Licens $5.00 9 3 S�GN4fUAEOFCON"AACTOQOQAUTN �ZED�GENt IDATEi EN ROP VALIDATE HIS IS VOUR PERMIT �� . S�GN4TUQEO�OwtiEp��OW�+EpBU��DERi iOATE� Bl �w5� ��°rE NEW [ ] Effective 1 / 1 /99 ADDN � - [ ] CITY OF FRIDLEY �" � ! ; � ALTER [ �]/ SINGLE FAMILY AND DUPLEXES R-1 AND R-2 U BUILDING PERMIT APPLICATION ,` � �� .� /�x b� ConstructionAddress: 5�! S S WU�p Q n ra � Legal Description: �J �� b -��4�. Owner Name & Address: J A) CLQ�e�. `�. q�e.�t. S u S s �� .e l2 � Tel. # 5'� a- a S o� Contractor: �� ;�c�w�.� �.�� .� A a MN LICENSE #`�1 � is 9 Address: c '� d / I-`�-e�w� (�C,v� � _ � �;, *#- � b � _Tel. # � � � - �Sa 3 a 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: Length Length Length DESCRIPTION OF IMPROVEMENT Width Height 5q. Ft. Width Height Sq. Ft. Width Hgt/Ground Sq. Ft. OTHER: ��_�� . � C Construction Type: � Estimated Cost: $ -� y - �- � �)i - -1 (Fee Schedule on Back) Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x$ _$ DATE: i G- l� q�( Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee Sewer Main Charge TOTAL STIPULATIONS: APPLICANT: �� '�-Q.�r� Tel. # � g � - � � � a $ ( .� �,1� $ �-�% $ �, Ci � $ $ � , .� • < �� $ $ $ $ $ ' �� CITY USE ONLY Fee Schedule on Reverse Side .001 of Permit Valuation (1 / l Oth %) $.50/$1,000 Valuation $1050 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 [ ] BUII..DING PERMIT FEE 5CHEDULE 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 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 $15.50. 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 $23.25. 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. CITY OF FRIDLEY 6431 UNIVERSITY AVENUE NE FRIDLEY, MN 55432 �631572-3604 FAX: (7631571-1287 _ _ �.. PERMIT O: 2004-01522 � �-__ � DATE ISSUED: 09/O1/2004 ADDRESS : 5455 ALTURA RD NE PIN : 233024330101 LEGAL DESC : CARLSONS SUMMIT MAN NO ADD : LOT 16 BLOCK 7 PERMIT TYPE : PLUMBING PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ADDITION/ALTERATION VALUATION : $ 400.00 NOTE: COMBUSTION AIR SHALL BE PROVIDED PER UMC CHAPTER 6 AND TABLE 6-A. INSTALL A GAS WATER HEATER. # ELEC WATER HEATERS 0 VALUE OF FIXTURE/APPLIANCE a # NEW FIXTURES (EXIST OPENINGS) 0 # GAS WATER HEATERS 1 # GAS DRYERS # OF NEW FIXTURES # WATER TRMT APPLIANCES APPLICANT NORBLOM PLUMBING CO 2905 GARFIELD AVE S MINNEAPOLIS, MN 55408-2173 (612)827-4033 OWNER VICTOR PEREZ SALAS 5455 ALTURA RD NE FRIDLEY, MN 55421 0 # GAS RANGES 0 VALUE (FOR MINIMUM CALC) 0 PLBG PERMIT MINIMUM FEE PLBG FIXTURES (NEW OPENINGS) PLBG FIXTURES (EXIST OPENINGS) WATER TREATMENT APPLIANCE WATER HEATER - ELEC WATER HEATER - GAS GAS RANGE FEE GAS DRYER FEE PLBG REPAIR/ALTERATIONS STATE SURCHARGE, PLBG FLAT TOTAL PAID WITH CHECK # 28974 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 certify that I have read and examined this application and know 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 � give authority to violate or cancel the provisions of an other stat,� or local law re ulatin constructio�n o►r the e o ance o� onstructiqn. Applicant ` � p � / Date / / Bldg Insp�; � SEPARATE PERMITS�EQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. 0 400 0.00 0.00 0.00 0.00 0.00 35.00 0.00 0.00 0.00 0.50 35.50 . ;ITY OF FRIDLEY INSPECTION DIV. �431 University Ave NE =rid�ey, MN 55432 763) 572-3604, FAX (763) 571-1287 Effective April 1, 2004 ^� ` f�� K �� APPLICATION FOR PLUMBING AND GAS FITTING PERMIT MARK NUMBER OF FIXTURES TO BE INSTALLED ON EACH FLOOR � �LUMBING FIXTURE RATES Jew Fixtures �Id Opening, New Fixture 3ee� Dispenser 31ow Off Basin �atch Basin 2ain Water Leader 3ump/Receiving Tank Nater Treating Appliance Nater Heater -Electric Nater Heater - Gas*' NO. RATE TOTAL �as Range** �as Dryer"* 3ack Flow Preventer Required ()Yes () No Type $10.OU $10.00 $10.OA $10.00 $10.00 $10.00 $10.00 $35.00 $35.00 $35.00 $10.00 $10.Q0 $15.00 �einspection Fee $50.00/Hr aLL OTHERS AND/OR REPAIRS AND ALTERATIONS 1.25% of Value of Fixture or Appliance State Surcharge .�-`l� S �iL I Z��2t� �� JOB ADDRESS �nnn�2. • a.S o'1.J U\�v�i The undersigned hereby makes application for a permit for the work herein specified agreeing to do all work in strict accordance with the city codes and rulings of the Building Division, and hereby declares that all the facts and representations stated in this an�lication are true and correct. OWNER SALAS, VICTOR PEREZ 5455 ALTURA ROAD IVORTHEAST FRIDLEY, MN 55421 (763) 502-6982 BUILDING USED AS �510� e.v1G� �/� , 20 �`� ESTIMATED COST `t 6 O � PERMIT NO. ��C ( ' �1 ' (" ` '�~�� PLUMBING COMPANY O��1-� L a1/1/t U.w,, br SIGNED BY �� _ TEL N0. i��ol2� �Z%-�033 Approved By $ •� TOTAL FEE $ �S � Rough-In Date Final Date GREA IS 515.00 COMBUSTION AIR SHALL BE PROVIDED PER UMC SECTION 504(A) AND TABLE 6-A. "PROVIDE COMMON VENT INFO ON BACK SIDE FILL IN COMPLETELY FOR REPLACEMENT FUEL BURNING APPLIANCE PERMITS COMMON VENT VENT CONNECTOR AND COMBUSTION AIR VERIFICATION When replacin�a an existina furnace, the undersigned hereby verifies that the venting has been examined and is free from rust, deterioration, obstructions, and is securely supported and firestopped where required. Yes () No () The venting system is plastic/PVC and meets all current codes and manufacturer specifications including sizing, length, number of elbows and termination. Yes () No () The undersigned also verifies that the replacement unit is a listed assembly and meets the current codes and manufacturer's specifications. This does include AGA-GAMA Category I Central Furnace Venting Tables for fan assisted and natural draft appliances. The existinp combustion air is sized and installed io meet the current codes and manufacturer's specifications. When required to install a new combustion air, it will be sized and installed to meet the current codes and manufacturer's specifications. Yes ( ) No ( ) Yes() No() Yes ( ) No ( ) When installinst a new ventina svstem, the undersigned hereby verifies that it is a listed assembly and meets the current codes and manufacturer's specifications. This does include AGA-GAMA Category I Central Furnace Venting Tables for fan assisted and natural draft appliances. Yes () Is the common vent and vent connectors sized and installed correctly after an appliance has been removed from the common vent and vented separately as per current codes. No ( ) Yes ( ) No ( ) Appliance Tvpe and Size/Common Vent and Vent Connector Information Appliance #1 Type BTU Input Fan Assisted or Nat Appliance #2 Type BTU Input Fan Assisted or Nat Appliance #3 Type BTU Input Fan Assisted or Nat Total Appliances Tdal Btu Input Common Vent Type Vent Height Diameter inches Appliance #1 Vent Connector Height ft Length ft Diameter in Type Appliance #2 Vent Connector Height ft Length ft Diameter in Type Appliance #3 Vent Connector Height ft Length ft Diameter in Type ALTERATIONS• (Describel HEATING CO: Signed By: Date :