AF - 44478� Cit of Fridle , Minn. •
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BUILDING PERMIT �o
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Date: ........ ........................._�........._�............�1...---.......... � .....
Owner: .�.._..._ -- .......... ...�,,�^���L'4is��«.....--.. Builder ...... .........._.._-- ................. ... ............................_...-�----.......---........_........
Address_.......... � �� .................. ..... ��---.................--� .....---............_..._............. Address ......... ....... ..........._..............................---.............................--�--...---..
TIO F BUILDING
No. ��.f �lc� Street .........-� ...........::........ ....:._.:.. ......... -........................................... Part f J..ot ................................................._............._....................
Lot ....,_/.. '�f�_......... Block .........._.-��. ---._.._....._.... Addition or Sub-Division ....��/�%fi!��. 1 ........ ....... ....... ..����'c!.-*�/':�C�
Corner Lot ........_...._..__ _.......... Inside Lot ...__....��...._...... Setback Sideyaxd ..................
Sewer Elevation
Foundation Elevation
DESCRIPTION OF BUILDING
To be Used as:
z
.. ........_..... ..___ .... ...�-...._`-- Front /��.� Depth /�--.�.' Height �!.'���iSq. Ft. /I.....� Cu. Ft. ����
_.........._.... - _- _... Front ........_....- Depth _ .......... . ... Height - - .. ..... ._ Sq. Ft. Cu. Ft.
......... ................. ......
Type of Construction ___.........-----....__.....---.._ ._ Est. Cost _../(! �,!_��'��'�'o be Completed ..._ ................_...........---.................
In consideration of the issuance to me of a permit to construct the building described above, I agree to do
the proposed wark in accordance with the description above set fo and in co iance 't 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 o. e provisions of said
ordinances. _. .� _ A
Building Inspector
NOTICE:
This permit does nof cover the construefion, insfallafion for wiring, plumbing, gas heafing, sewer or wate�. Be sure fo ses
the Building Inspecfor for separafe permifs for these items.
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APPLICATION FOR BUILDING PERMIT
,,:�+ ..�:� . . . =. CITY QF FRTDLEY, MINNESOTA ' � ..
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Owner s Nam� .�j�� 11�� 17 �G'/�i �. Builder J� /� L
Addxess �==�'�„� � �L?R���,� ��,..�.%'r� Address � .
.° i.`;L. ... .. . _ ' , . r' . _ . � , . - . . . . . . . . � . .
• � r�� � � LOCATION Ok' BUILDING '
f� � L�` � ��'
No.`��'"� �� Street �-� � 1�: .1�- Part of Lot
Q l?f'
Lot Block � Addition or Sub.Div. ��� �L1�►�1Ai/T" /�'jr�1`��,�,
Corner �Lot �nside Lot � Set Ba.ck S3.de-Yard .
SEWER'ELEVATION � FOUNDATION ELEVATION
Applican� atta.ch to this form Certifica.te of Survey of Lot and proposed building
loca.tion. .
DESCRIPTION OF BUIIDING �
To be used as:: � -
Front Depth Height '
Sq. Ft. - ,
� �7' Cu. Ft. ��'`T� . _ .
.,.
' , . ; � � .:, , �.dnt Depth Height _
_ ., _ _. ;. . ,.. ;
Sq. Ft. �: � Cu. Ft._ ' �
'A �=� a.��. . ��-c�d ��:
Type of Construction �/� �N� � �a��°;:`+,:�r Estimated Cost � ��k.
To be comp�eted_ � � �l � ti l'�° �� ` •
The und.ersigned hereby makes applica,tion for a permit for the work herein specified,
agreeing ta do all work in strict accdrdance with the City Ordinances and ruling of
the Department of Buildings, and hereby declares that all the'facts representa-
tions sta,ted in this application are true and c ect.
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DATE � ''' -� ` ` ' � SIGNATURE � '' z � �'�'°f
(A Schedule of Fee costs can be found on the Reverse Side.)
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City of Fridley, Minn.
BUILDiNG PERMIT
nate: _._. dune 9, 1965
J
N° '7813
�.����
�r: _ Ronaid R. Schuster Claue H. Johnson & Sons
._.._., Builder _._..._........_____-----_.__..._...--------•---.__.._........._..__.._.._._...._.._
545b Altura Road N. E. 4550 France Ave. No.
Address_._._._:.__.._.._.._..____.. .._..........._._____...._.._..._.__ Address ._..._..____..____..__..._.._._.._._____. ...._
LOCATION OF BUILDING
No. �6.__.�. Steeet A1�L1T8 �RE�8,d..N_s.._.E�___._...._.._.._..----.__....._..... Part of Lot ....�_........_
Lot _._-1g --____ Block _._.._..___6..----..------- Addition or Sub-Division CtiY'I.SOTl � S �t]fiIIi�'t M3tiDI', NO.
Corner Lot _.__.__.._._.__ Ina�de Lot _._.___.__ Setback ____.._..._...___._..._ Sideyard -- -- -
Sewer Elevatia�
Foundation IIevation
To be Uaed as:
Type of Construction
DESCRIPTION OF BUILDING
Front �.._.._.._. Depth .._.__.�.._ Height __...._.._.._.. Sq. Ft. .�..
Front -,--•.r_ Depth ____.�__ Fieight .�._..._....•-- ScY. Ft. ___._......._..
�__._..�..__.._._ .._.. F�s� Cost ..�11ks9�a�%....---.._.. To be Co�npleted _.
Cu. Ft .__..
Cu. F�
Storm damage repa3r: Rebuild. house and Garage.
In consideration of the issuance to me of a permit to canstruct bui� ��cribed/ abave, I agree to do
th� proposed work in acaor@ance with the dPSCription above set f in anc� with all provisfons of
ordinanoes of the city of Fridley. �
In cansideration of the payment of a fee o! �'�•� ._..___, permit is hereby�gia'�nted to ���$ H. dohnson &
SOns to construct the building or addition as described above. This permit is Sranted up�
the expres.s c�dftion that the person to whom it is granted and his agents, employees and workmen, in all work
done in, around and upau said building, or any part thereof, shall conform in all respects to the ordinances o�
Fridley, Minnesota regarding location, constructiar►, alteration, maintenance, repair and moving of buil�ings
withiu the dty ]i�nits and this permit may be revoked at aqy time upon violation of any of the provisia�ns oF sa�d
ordinanc�s.
A11en Jensen B„�� �
,
NOTICE:
iNs p�nrdt dea net eewr tM wns�eu�tke, in��IlNien fe� wGi�o. P�+�Y. Yas h�aNao, aw�r or wN�r. d� wn to a�
fh� luildinY �etp�eb� fer MW►ah P�en�i�s for fh�n hwns.
OWNER�S
ADDRESS
APPLICATION FOR BUILDING PERMIT
CITY OF FRIDLEY, MINNESOTA
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,LOCATION OF BUILDING
No. � T��,_,���� 1�. �y Street � Part of Lot
LOT �� BLOCK ��ADDITION OR SUBDIVISION � ,�__ _ ��
���-.�.,�-�
Corner Lot Inside LOT Setback Side-�Yard
._.__
SEWER ELEVATTON FOUNDATIOR ELEVATION
ApplicanC attach to this form Two Certificates of Survey of Lot and proposed
buiiding location drawn on these Certificates.
To be used as;
DESCRIPTION OF BUILDING
Front Depth Height
Sq. Ft. Cu. Ft,
F�'cmt Depthy��Height
Sq. Ft. Cu. Ft.
Type of Construction '_ _ Estimated CosC / T-��
To be completed � � ' � �
''����-�- ,
The undersi d hereby makes�application for a permit for the work herein specified,
agreeing to da 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 representationa stated in this application are true and correct.
DATE (� V SIGNATiJRE
(Sche e of Fee Costs can be found on the Reverse Side)'
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City of Fridley, Minn.
BUILDING PERMIT
�TUNE 5, 1967
Date: _.._...-------._.........._._____--•---
Owner: RONALD R. SCHUSTER . SAME
.._._._.....••---_..._.._._.__._..._._.._._.._.__.-----._.._..----._._.._.__..._._ Biulder _...__....._..._.._----------- --
Address ._5 45 6 ALT[TRA ROAD N. E. . Address _.---.......__._._..._..._. _._. __.-. --
FRIDLEY, MINNESOTA 55421
��oi�
N� 92s�
LOCATION OF BUILDING
5456 ALTURA ROAD N. E.
No. .....---.......-�---...-----•---.. Street ....._.._..--•----�-••---...---•----_....---....._...--•...._---------------•-------•--�•----•�------.. Part of Lot .........--•-•-•------....._. __..._.._......_....—._..�.
Lot ._.._.----19_...._.......__ Block ._ ......................6.......-----.---------.--- Addition or Sub-Division .....CARLSON'_S_S�IT. MANORi _ftORTH ADDN.
CornerLot ....._..---•-�---�--........ Inside Lot .....--�•---•-X---��---••----�-•--�-- Setback .._.._..._..---•------•--....------�--- Sideyard •--.........__.._......_...__._._....__.._..._..__..._._..
SewerElevation ••-•--••••------•--•-•--�---��----•------•----..._...._...__._...._.--��-------�--•----- Foundation Elevation .--------------...._....--------._.._._.._........___.._.�..._..�
DESCRIPTION OF BUILDING
To be Used as:
D. GARAGE .. Front _--.-24-----_ Depth .....__....26 Height .....10......._.. Sq. Ft. ., 624_.._. Cu. Ft 6, 240
....._ ............._...._............_.......__......_ Front ---------�---•--- Depth _-••--•---•---�---. Height .....-•------......__ Sq. Ft. _..__..._....__. Cu. F� _.._......__._
Type of Construction ....._..._F�.-•-••---•-------•-•-•---.. Est. Cost ......_$1, 000_ .............-•--.... To be Completed _..._...___.�.__„..._._._.._._._.
TORNADO REBUILD - SLAB ALREADY IN.
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 co li with ,all provisions of
ordinances of the city of Fridley. " Ly� ,� C�G��'� `�
G..�___..._._— .� _.._
In carisideration of the payment of a fee of $.... 5_' �� ....._......._., permit is hereby granted to._.._..RONAZ,D R. �r
SCHUSTER ... to construct the buil ' ' ' ' ' pon
._._._,........_.._..._._._..----_-..._......._---•-• • ding or addition as described above. This pernut is granted u
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 lceation, construction, alteration, maintenance, repair and moving of buildings
within the city limits and this permit xnay be revoked at any time upon violation of any of the provisions of said
ordinances.
CLARENCE BELISLE u B�� �t�
NOTICE:
This psrmit doss nof eover ths eonstruatfon, ieshllation for wirieg, plumbing, aas h�ating, snw�r or waNr. 8� wn to sN
th� Buildiag Insp�afo� fo� s�parat� p�rmits for fhu� h�ms.
APPLICATION FOR BUILDING PERMIT
CITY OF FRIDLEY, MINNESOTA
OWNER' S NAME ��� N/� L D � r S C fi Uv i��� BUILDER
ADDRESS � �:� G> /q �- i C/j� � �L-�. � ADDRESS
-� LOCATION OF BUILDING
�.5 f} N� �: _
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:
N0. '� 4'`��'' STREET �I ������. ��� PART OF LOT I��fi��. � �� �
�•R���.Sc��s S�JMn�i;
LOT I/ BLOCK � ADDITION OR SUBDIVISION IWA�rc,� �lo��; �1 •
CORNER LOT INSIDE LOT '/ SETBACK
SIDE-YARD
SEWER ELEVATION TOP OF FOOTING
Applicant attach to this form two certificates of survey of lot and proposed
building location drawn on these two certificates.
To be Used as:
� ��k���Uc� ---
DESCRIPTION OF BUILDING
s
-- Front '� 4� Depth �� Height �� �
Sq. Ft. �v � � Cu. Ft. � �" `T'�
Front - Depth Height
Sq. Ft. Cu. Ft.
d ��l�� �= Estimated Cost � OGG �
Type of Construction /j
To Be Completed � y�%���
The undersigned hereby makes application for.a permit for the work herein specified,
agreeing to do all work in strict accordance with the City of Fridley Qrdinances
and ruling of the Department of Buildings, and hereby declares that all the facts
and representations sCated in this application are true and correct.
,� /,��
DATE � ✓ `� - � ,7 SIGNATURE / ( ���_� � �i�� L`�'���
(Schedule of Fee Costs can be found on the Reverse Side).
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City of Fridley
� AT T►1E TOP 0� TME TNtINY
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�...__1`.• `.� Na-sso-3.so
Job Address
51�56 NE Altura Rd_
R. Schuster
Contractor
Minne
Kind of Building
comptetion Date --
6/17/7�
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53-8�-�?9. 01
iU�JECT
PLUMBIiVf, PERf1IT APPLIC�TI��i�
S�m�
�_ .
ess Phone
ess Phone
,:��
use
Res.
stimate ost
—. _ _.__. __ ___ 10.�00 .----,
_. __— _ _ __ -----
i� Plumbing Fixture Rates: N0. RATE TOTAL
;' Number Fixtures x $2.00 �_
II Future Fixtures x $1.50
i' New Fixture-Old Open. x$1.50
Catch Basin x $3.25
�� Water Heater-99,000 BTU x $3.00
�
� Ground Run Old Bldg. x 3.25
I �
� Elec. Water Heater x$2.00
i
j Gas Fitting Fegs:
i lst 3 Fixtures
� ; $2.00
i ��
: Additional Fix �PLACEMENT $ .75
i� Re 1 1
Gas Range-199,000 BTU p�� x$5.00 5.00
I �! ReRairs & AZterations
�See r t�e '�O� I
i Description; Code a
I �P� �vCG
State Surcharge ��ass .50
i
! TOTAL FEE $ 5• �Q
!The undersigned hereby makes application for a permit
'for the work herein specified, agreeing to do all work
in strict accordance w ith the City Ordinances and rulin
oi the Department af �uildings, and hereby decZare that
a1��the tacts and representations stated in this
application are true and correct.
_ -r _�'� � ���
Bignature ;���:�K��� Date !
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SUBJECT M I . _
City of Fridley o 17 8 9 5
AT THE TOP OF THE TWINS g � I L D I N G P E R M I T
r
; � RE O.
� • COMMUNITY DEVELOPMENT OIV.
, �L - --- �� a � 9
r � � PROTECTIVE INSPECTION SEC.
� �
� � �"'1 � CITY HALL FRIDLE� 55432 �NUMBER REV. DATE PAGE OP APPROVE� BY
�----�•• •'� 612-571-3450 9�0-F15 4/$/85 / /
JOB ADDRESS 5456 Altura Road N. E.
1 LEGAL LOT NO. B�OCK TRACT OR ADDITION SEE ATTACHED
DESCR. l�' Fi Carlson's Siu�¢nit Manor North Addition SHEET
2 PROPERTY OWNER MAIL ADDRESS ZIP pHONE
Ronald Schuster 5456 Altura Road N.E. 572-9592
3 CONTRACTOR MAIL ADDRESS Z�P PHONE UCENSE NO.
Same
4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO.
5 ENGINEER MAtL ADDRESS ZIP PHONE LICENSE NO.
6 USE OF BUILDING
Residential
7 CLASS OF WORK
❑ NEW ❑ ADDITION �7 ALTERATION O REPAIR ❑ MOVE O REMOVE
8 DESCRIBE WOFiK
Reside and Reroo� �� Dwelling
9 CHANGEQFUSEFROM TO
SFIPULATIONS g�of ean be the 2nd roo� but not the 3rd. Tnstall ff$� Ridged
galvanized valleys.
SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD
VENTILATING OR AIR CONDITIONING.
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING SQ. FT. CU. FT.
AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION
OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT
ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS OFFSTREET PARKING
I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION ]_ STA�LS GARAGES
AND KNOW THE SAME TO BE TRUE AND CORiiECT. ALL PROVISIONS Of LAWS VALUATION SURTAX
AND ,ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED
WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT $ZiOOO $�..00
DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE pERMIT FEE SAC CHARGE
PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON-
STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. $32. SO
AN CHECK FEE TOTAL FEE
„ $33. 50
. SIGNA7URE OF CONTRACTOA OR AUTHORIZED AGENT IDATEI WHEN PROPERIY UDATED THIS IS YOUF PERMIT
��� � ,� �'�� �� � � �s � �
SiG A UFE OF- OWNE�I iIF OWNER BUILDEPi IDATEI BLDG �NSP FTE
NEW [ ]
ADDN. [ )
AI,T ER . [ ]
City of Fridleq
�R-1 A11D R-2
Building Permit Applieatioa
IP.-uvn�,cJ� � / 789 S
�.R,G � /!o � 19
Effective 4/1/84
Construction Address: S'��� GG�ui.� ��-�, -�.�'¢�-1
Legal Description: � � 9 �_ ��-��L �a�.fZo,c-r� ��,u�rn�rn,c� �a�✓ �o--LfL�
owner xame & Ac�ress :��� ���"-� Tel .� 5 � a 959 a
Contractor: �-�� o Tel . #
Addreas • �-q^•^ D
LIVIpG AREA:
GARAGE AREA:
DECB AREA:
OTHER:
Attach to this application, a Certificate of Survey of the
lot, With the proposed construction draxn on it to scale.
DESCRIPTIOa OF INPROPEMENT
Length ilidth Height Sq. Ft.
Length Width Height Sq. Ft.
Length �lidth Hgt/Ground Sq. Ft.
Corner Lot [] Inside Lot [] Ft. Yd. Setback Side Yard Setback
��� ��
Type of Construction•C� ��.na,�.�.+���� Estimated Cost: ��- , CUO, �.lu-
Approx. Completion Date: � �- 1 � �-5
Alt. A Alt B
Proposed DriveWay Width If NeW Opening Is Desired: � �
See Back Page for Explanation
DATE: 4 � � � �� APPLICANT: �af� �� �" Tel. # ��a 9� � a-
Permit Fee
Plan Check
State Surcharge
SAC Charge
Park Fee
Se�+er !lain Charge
TOTtL
STIPULATIONS:
CITY �1SE ONLY
E �� _�.� Fee Schedule on Reverse Side
� 25x of Building Permit Fee
� 1�� U �.50/�1,000 Valuation
� a425 per SAC Unit
a Fee Determined by Engineering
�
Agreement Necessary [ ] Not Keeessary [ ]
� � ��•�
. . - �
� ' � SuB�EGT .. � ' � P .
c�ty of Fridley 2 8191
�
AT THE TOP OF THE TWINS g u I L D I I� G P E R M I T
; � __572 �CQ4p �
� •
r EVELOPMENT DIV. ��O /
' �v
r � � PROTECTIVE INSPECTtON SEC.
� � �"'1 • CITY MAIL f RIOIEr 55�32 NUMBEN REV O�TE P�GE OF APPROvED 8�
�"""'�"� �'' 612-571-3450 9t0-F�5 10/9/98 � �
JOB ADDRESS 5456 Altura Road
1 LEGAL ��T NO. BLOCK THACT ON ADOITION SEE ATTACHED
DESCR. 1C� 6 Carlsons S.M.N. SHEET
2 PROPERTY OWNER MAIL ADORES$ ZIP PHONE
Ronald Schuster 572-9592
3 CONTRACTOR MAIL ADDRESS ZIP PHONE 110ENSE NO
Vikin Home Im rov. Co. 4832 2 1 2 St NE M -
d ARCHITECT OR DESIGNER MAIL AODRESS ZIP PHONE LICENSE NO.
5 ENGtNEER MAII ADOpE$S Z�P PHONE UCENSE NO
6 USE Of BUILOING
Residential
� CLASS OF WORK
❑ NEW ❑ ADDITION O ALTERATION �X REPAIR p MOVE O REMOVE
8 DESCRIBE WORK
Reroof house, garage & shed (23 1/2 S) Tear-off
9 CHANGEOFUSEFROM T�
STIPULA710NS
Underlayment must comply with the State Building Code.
TYP OFCONST OCCUPANCYGROUP OCCUPANCYLOAD
SEPARATE PEFMITS ARE REOUIRED FOR ELECTRICAL, PLUMBING. MEATING.
VENTILATING OR AIR CONOITIONtNG
TMIS PEFMIT BECOMES NULL ANO VOIO If WOfiK Ofi CONS7RUCTION 20NING SO. fT CU fT.
AUTHOR12E0 IS NOT COMMENCED WITHIN 60 DAVS. OR IF CONSTRUCTION
OR WORK IS SUSPENOED OR ABANOONEO FOR A PERIOD OF 120 DAYS AT
ANV TIME AFTER WOFK IS COMMENCEO ' NO DWLG. UNITS OfFSTREET PARKING
I HEREBY CERTIfV THAT 1 HA4E REAO ANO EXAMINEO THIS APPLICA710N STA�L$ GARAGES
AND KNOW THE SAME TO 8E TRUE AND COPiiECT. A�L PiiOVISiONS OF �AWS VAlUAT10N SUIi7Ax
AND ORDINANCES GOVEFNING THIS TVPE Of WOAK WILI BE COMPUEO
WITM WMETNER SPECIFIED HEREIN OF NOT. THE GRANTING Of A VERMIT 2056 1.03
OOES NOT PRESUME TO GIVE AUTMORITY TO VIOLATE OA CAMCEL THE PERMIT f EE SAC CMARGE
PROVtSIONS OF ANY OTMER STATE OR LOCAL LAW fiEGULATING CON•
STRU ION OR THE PERFO ANCE Of C STRUCTION 7�F.75 Fire .SC 2.�6
PLAN CNECK FEE TOTAL FEE
License SC 5. 0 82.84
S�GNA �7E OF CON'AA�TOQOQ oUTMOQIzED 4GENT �DATEi WMEN PROPE VALIOATED TNIS IS VOUF1 PERMIT ]
i // V
7 �
S�GtiarUqEO�OwaEQ��FOwrvEpBU��DERi �D�1E� 8� �NS� � � �i��E
�
NEW [ ]
ADDN [ ]
ALTER [ J
CITY OF FRIDLEY
SINGLE FAMILY AND DUPLEXES R-1 AND R-2
BUILDING PERMIT APPLICATION
ConstructionAddress: ��`� v (
Legal Description:
�
Effective 1/1/98
a���i
���r
Owner Name & Address: ���jNG--Q�X -SC-/�US7`2 /Z.— Tel. #�7 2` g� Z--
Contractor: �/ // � r �v MN LICENSE #�%% Z
Address: �� � ?� (I�� �/ S �- Tel. # .� %Z - �� �
Attach to this application, a Certiiicate 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
Width
W idth
Height Sq. Ft.
Height Sq. Ft.
Hgt/Ground Sq. Ft.
OTHER:
1� �jvs�-���Pi��
o�..
Construction Type: � 1 y� �� Estimated Cost: $� U��
(Fee Schedule on Back)
Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x$ _$
DATE: �� APPLICANT: Tel. # S% L���
CITY USE ONLY
�N.� 7�
Permit Fee $ Fee Schedule on Reverse Side
Fire Surcharge
State Surcharge
SAC Charge
License Surcharge
Driveway Escrow
Erosion Control
Park Fee
Sewer Main Charge
TOTAL
STIPULATIONS:
$ . d (� .001 of Permit Valuation (1/lOth%)
$ � � 0 3 $.50/$1,000 Valuation
$ $1000 per SAC Unit
$ �j� c�0 $5.00 (State Licensed Residential Contractors)
$ Alt. "A" or Alt. "B" Above
$ $450.00 Conservation Plan Review
$ Fee Determined by Engineering
$ Agreement Necessary [ J Not Necessary [)
$ 2S
� Su9�EGT � . � � - •
City of Fridley 3 0 9 0 5
�
AT THE TOP OF THE TWINS � � I L D I N G P E R M I T
� ` RECEIPT NO.
� •
COMMUNITY DEVEIOPMENT DIV. /� (��
� ; V _'��� , � t� / ��J�
r � � PROTECTIVE INSPECTION SEC.
l_-_- �;����;', CITY MALI FRI�LE� SSI�Z NUMBER REV OATE PAGE OF AFPROVED BY
L J\ 612-571-3450 91Q-F15 5/4/�� � �
JOB ADDRESS 5456 Altura Road NE
1 IEGAI. �OT NO. BIOCK TRACT OF AOOITION SEE ATTACHED
oesca. 19 6 Carlson's Summit Manor North Addn SNEET
2 PiiOPERTY OWNER MAIL ADDRES$ ZIP PHONE
Ronald Schuster 5456 Altura Road NE 572-9592
3 CON7RAC70F MAIL ADORESS 21P PHONE LICENSE NO
Llo ds Home Im rovements Inc 1012 42 1 2 Ave NE Columbia Hei hts MN 55421
a AiiCHITECT OR DESIGNER MAIL ADORESS 21P PHONE LICENSE NO.
788-5602 1798
5 ENGINEER MAIL ADORESS ZIP PHONE LICENSE NO
6 USE OF BUILDING
Residential
7 CLASS OF WORK
O NEW O AD�ITION O ALTERATION C� REPAIR ❑ MOVE O REMOVE
a oescR�ee woR►c
Install gable trim, trim & rake on house, arage & dormer
9 CHANGEOfUSEFROM TO
STIPULATIONS
TYPEOFCONST OCCUPANC�GROUP OCCUPANCVLOAD
SEPARATE PERMITS ARE RE�UIRED FOR ELECTRICAL, PLUMBING, HEATING,
VENTI�ATING OR AIR CONDITIONING.
THIS PEFiMIT BECOMES NULL AND VOIO IF WORK OR CONSTRUCTION ZpNING S�. FT CU fT
AUTHOfi12ED IS NOT COMMENCED WITHIN 60 OAVS. OR IF CONSTRUCTION
OR WORK IS SUSPENDED OR ABANDONED FOii A PERI00 OF 120 DAYS AT
ANV TIME AfTER WORK IS COMMENCED. NO DWLG. UNITS O�fSTWEET PARKING
I MEREBY CERTIFV TMAT I MAVE READ ANO EXAMINEO THIS APP�ICA710N 1 STA��S GARAGES
ANO KNOW TME SAME TO BE TRUE ANO CORRECi. ALL PROVISIONS Of �AWS VALUATION SURTAX
ANO ORDINANCES GOVERNING TMIS TVPE OF WORK WILL BE COMPLIED
WITH WHETHEfi SPECIFIEO MEREIN OR NOT. THE GRANTiNG Of A PERMIT �Z�OS7 �.53
DOES NOT PFESUME TO GIVE AUTMORITY TO VIOLATE OR CANCEL THE pEqM17FEE SACCHARGE
PFOVISIONS OF ANV OTHEft STA7E OR �OCA� LAW REGUTATING CON-
STRUCTiON OR THE PERFORMANCE OF CONSTRUCTION ��F1.80 Fir SC �I.00)
`�, PLAN CHEGKfEE TOTA E
YV` ,�.�,r���.�/ ,�,r r�,�-r� S�' '/-- r/�i Lice S$5. 8.39
�GNAfUREO�CONCFa(;TOQORAUTMO •GENT ID�TE�
EN FOPE LiDAT HIS IS VOUR PEp
(.� v '
SiGN4TUAE O� OwNEp��� OwrvEp Bw�DEA� iD�TE� B�D �ti5� � ��E
N� II
ADDN []
ALTER [ ]
Construction Address: 5456 -
CITY OF FRIDLEY
SINGLE FAMILY AND DUPLEXES R-1 AND R-2
BUILDING PERMIT APPLICATION
�-��7.t..� �
Effective 1 /1 /2000
(763) 572-3604 Bldg Insp
/�`,7 �
C� r� ��%� S
Legal Description:
Owner Name & Address: RONALD SCHUSTER Tel. # 763-572-9592
Contractor: LLOYDS HOME IMPROVEMENTS, INC�., MN LICENSE # 0001798
Address: 1012-42 2 AVE,. NE•. COL�, HGHTS, MN,., 55421-3159 Tel. #�63-788-5602
LIVING AREA:
GARAGE AREA:
DECK AREA:
OTHER:
Attach to this application, a Certificate of Survey of the
lot, with the proposed construction drawn on it to scale.
DESCRIPTION OF IMPROVEMENT
Length Width Height Sq. Ft.
Length Width Height Sq. Ft.
Length Width Hgt/Ground Sq. Ft.
Cover gable� im & k on ho� , garage & dormer
Construction Type: Estimated Cost: $ �1, 057.,00
Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x$ _$
DATE: 5/4/00 APPLICANT: Tel. # 763-788-5602
CITY USE ONLY -
Permit Fee
Fire Surcharge
State Surcharge
SAC Charge
License Surcharge
Driveway Escrow
Erosion Control
Park Fee
Sewer Main Charge
TOTAL
STIPULATIONS:
Call (763) 572-3604 for Permit Fees if mailing in application
$ � Fee Schedule on Reverse Side
$ �• C� �o .001 of Permit Valuation (1/10th%)
$ �-3 $.50/$1,000 Valuation
$ $1100 per SAC Unit
$ �-00 $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 [ ]
$ c� .�
c�ty of Fridley
AT THE TOP OF THE TWINS
r
� .
� ��
� ; y __��� COMMUNITV OEVEIOPMENT OIV.
r � � PROTECTIVE INSPECTION SEC.
' � :
� � �"'� CITY NALL iRIOLE� SS��2
�'""'��� ��� 763-571-3450
SuB�ECT
BU ILDING PERMIT �
NUMBEA pEV OATE vAGE Of
910-F15 10/7/03 � �
JOB ADDRESS 5456 Altura Rd NE
1 LEGAL �OT NO. BIOCK TiiACT OR ADDITION
oESCa. 19 6 Carlson's Summit Manor North Addition
ERMTT NO.
33952
AE�EIPT NO.
�
AVVAOVEO Br�
SEE ATTACHED
SHEET
2 PROPERTV OWNEF MAIL ADDRESS ZIP PMONE
Ron & Mary Schuster 5456 Altura Road NE 763-572-9542
3 CONTqACTOR MAIL ADDRESS ZIP PHONE LICENSE NO
Renaissance Exteriors 2556 Hwy 10, Mounds View, MN 55112 763-780-2000 20220285
1 ARCHITECT OR DESIGNER MAII AODRESS ZIP PHONE LICENSE NO.
5 ENGINEER
6 USE OF BUILDING
Residential
7 CLASS OF WOFiK
MAIL
O NEW O ADDITION O ALTEFiAT10N
8 DESCRIBE WORK
Replace 13 windows within exis
9 CHANGE OF USE FROM
en
TO
fXl REPAIR
PHONE IICENSE NO
O MOVE ❑ REMOVE
STIPULATIONS
Provide smoke detectors in all sleeping rooms and on all levels of the dwelling
per Section 310.9.1.2 of the 1997 Uniform Building Code. Caulk and flash all
exterior openings.
TYPE OF GONS
SEPARATE PERMITS ARE REOUIRED FOR ELECTRICAL, PLUMBING. MEATING.
VENTILATING OR AIR CONDITIONiNG
TMIS PERMIT BECOMES NULL ANO VOID IF WOFK Oq CONSTRUCTION ZONING
AUTMORIZED IS NOT COMMENCED WITHIN 60 OAVS. Oii IF CONSTRUCTION
OF WORK 1S SUSPENOED OR ABANDONEO FOR A PERI00 OF 120 OAVS A7
ANV TIME AfTER WORK IS COMMENCED. NO DWLG. U
I HEREB� CERTIfV THAT I HAVE FiEAD ANO EXAMINEO THIS APPIICATION 1
AND KNOW TME SAME TO BE TRUE ANO CORRECT. ALL PFOVISIONS Of �AWS VALUATION
ANO ORDINANCES GOVERNING TMiS TVPE Of WORK WILL 8E COMP�IED
WIThi WHETHEfi SPECIFIEO MEREIN Ofi NOT THE GRANTING OF A PERMIT �8�300
DOES NOT PRES GIVE AUTMORiTY TO VIOLATE OA CANCEL TME pEqMit FEE
PROVISION ANV O.. R STATE OR LOCAL W REGULATING CON-
STRUCT R ME PE FORMANCE OF C TION �LE)7.ZS
PLAN CHECKf
�� ' ens�
. $�G TUAE OF CON'RACTOp OR 1Uf�0Al2E0 AGENT IDATE� ._ MCn
iO�TEi
�
SO.FT
STA��S
SC $5.00
PANCYLOA�
CU FT
>FfSTREET PARKING
IGARAGES
iURTA%
$4.15
iAC CHARGE
Fire SC $8.30
'OTn� PEE
$184.70
) TMIS i5 `/OU PER iT
� L J� � ���
i
NEW []
ADDN ( ]
ALTER ( ]
CITY OF FRIDLEY Effective 1/1/2002
6431 University Ave NE, Fridley, MN 55432 (763) 572-3604 Bldg Insp
SINGLE FAMILY AND DUPLEXES R-1 AND R-2
BUILDING PERMIT APPLICATION
Construction Address: Sy"S6 A��'�(�G� �,c�c.� �n a�/ M N SS�Z I
Legal Description:
Owner Name & Address: e(► cl` $� �� Tel. #�G3-S7 Z�' ��z-
Contractor: Rarlai�C� �xk�r°r�' � MN LICENSE # 2A����
Address: 2S'SCs (�w�/ l� �'t0(rl�� (//c�, /�'��tJ S3?�Z Tel. #�.�'�� Z�0'GCi
LIVING AREA:
GARAGE AREA
DECK AREA:
OTHER:
Attach to this application, a Certificate of Survey of the
lot, with the proposed construction drawn on it to scale.
DESCRIPTION OF IMPROVEMENT
Length Width Height Sq. Ft.
Length
Length
Wdth
Width
Height Sq. Ft.
HgUGround Sq. Ft.
Construction Type: �C,��en,' 1,a��owS �`31 Estimated Cost: $ ���. GG
�
Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x$ _$
f
. � l
DATE: �a '7 � APPLICANT: � r(S ( �C�Q G Tel. # �G3'" 7t�G " �OG�
Call (763) 572-3604 for Permit Fees if mailing in application or Fax to 763-571-1287 if using credit card and we will
call you for card number.
Permit Fee
Fire Surcharge
State Surchargz
SAC Charge
License Surcharge
Driveway Escrow
Erosion Control
Park Fee
Sewer Main Charge
TOTAL
CITY USE ONLY -
� 1 � � �i
$ d
� �/
$
$ �
$
$
$
$
$ 18�� �o
Fee Schedule on Reverse Side
.001 of Permit Valuation (1/10th%)
$.50/$1,000 Valuaiion
$1200 per SAC Unit
$5.00 (State Licensed Residential Contractors)
Alt. "A" or Alt. "B" Above
$450.00 Conservation Plan Review
Fee Determined by Engineering
Agreement Necessary [ ] Not Necessary [ ]
STIPULATIONS:
�
Building
Inspections
763-572-3604
..
MECHANICAL
RESIDENTIAL APPLICATIQN
CITY OF FRIDLEY
Permit No.:
Received By:
Date Rec'd:
DATE 'r"J -�- � YOUR E-MAIL ADDRESS b �sa nd� Cd subw-bo�r+a�« a,! 1 ir . t,op.
srrE .�,DD�ss 545` Pl+ura
THIS APPLICANT IS: O OWNER ,�CONTRACTOR
PROPERTY
OWNER/
TENANT
NAME: �nald � us
�1L�1 STATE M� ZIP 5�✓' �3Z
ADDRESS: 5q5G A1-i�u.ra � CITY 'Fi�'L�
PHONE: '1 �e3 - 5'12 - �1992.
CONTRACTOR COMPANYNAME: Sk w�bAh �� Cond�-4ich�
SUBMIT A COPY OF CONTACT PERSON: h and�►'� ���%`
YOUR STATE STATE UCENSE � EXP DATE
LICENSE WITH ADDRESS: I�-�10 -� Osberw� Rd ►� CITY �Yki-�-el� STATE M�ZIPS��
APPLICATION PHONE �1 V; -�184 - b � vo FAX 1 � 3-��'4-4694
PERMIT TYPE
TYPE OF WORK:
y�SINGLE FAMILY O TWO FAMILY
�
❑ �W �j REPLACEMENT
i�
❑ TOWNHOUSE
❑ ALTERATION/REMODEL
DETAILED DESCRIPTION OF WORK Yemove � ruz(c►u dd�a4 { a,/�; i.ri� n�$vka•� • R��''h''1°�� �
wu,�.,D �,1. c.� �.D ve,�.� � '
PER MS 16B.665 the permit fee is a minimum of $15.00.or 5% of t6e total cost up to $500.00, whichever is greater, for the
improvement, installation or replacement of a�esidential fixture, excluding the fixtwes. (This should reflect only the cost of labor )
Labor cost under $300 =$I5.00. Labor cost between $300 to $500 = cost of labor x.OS =
FOR PROJECTS WI�RE LABOR EXCEEDS $500, FEES ARE BASED ON $10.00 PER FIXTURE, EXCEPT WHERE NOTED. FlXTURES: (IN�ICATE TOTAL
NUMBER OF EACH BELO� MODEL: �IDAAJ031r01V SIZE/BTU 10�oeo
Equipmcnt Installed �G� � SIZFJB'N 2 �
J„�G: MODEL: !?A At1 A 0 Z4
MFG: MODEL: ______ SIZE/BTU
X A/C $25.�0 _FIREPLACE (GAS) $15.00 _GAS RANGFIOVEN 510.00
AIR TO AIR EXCHANGEER $15 FIREPLACE (WOOD) $35.00 NEW GAS GRILL 510.00
BOILER 535.00 �FURNACE $35.00 �GAS UNTf HTR S 10.00
CMMNEY LINER $10.00 GAS DRYER $10.00 POOL HFATER $35.00
— _GAS PIPING $]0.00 _VENTILATOR S15 00
DUCT WORK $10.00 _ �:...,,.._ .,. �;�,: : ..:,�,.�:-.a�.ti;wa-��wr-rar:�riii�aa�t�r"±�e a�i�i7�t"�5f11
�"����� r�������`���� ������������ �:� �� . �. �. : �� � ���� Number of fixtures @ $10.00 x $10.00 = $
Pemnit Pee $ l,o . o0
Surcharge $ .50 Number of fixtures @ $15.00 x $15.00 = $
TOTAL DUE $�o • Go Number of fixtures @$25.00 x$25.00 =$
Number of fixtures @ $35.00 x $35.04 = $
State Swchazge = $ .50
Tota1= $
THIS I5 AN APPLICATION FOR A PERMIT-NOT VALID UNTIL PROCESSED
I hereby apply for a building permit and I acknowledge that the information above is complete and accurate; that the work will be in
conformance with the ordinances and codes of the City of Frid,ley and with the Minnesota �Construction Codes; that I understand this is
not a permit but only an application for a permit and work is not to start without a permit; that the work will be i1n accotdance with the
approved plan in ihe case of all work which requires review and approval of plans.
SIGNATURE OF APPLICA �I��J ' �. ��hC..�- _PRINT NAME�YI SGtY1�Z� �re►�.I� DATE �' � � O�
City of Fridley
Building Inspections Department
6431 University Avenue NE, Fridley, MN 55432
763-572-3604
FAX: 763-502-4977