AF - 44481� City of Fridley, Mi.n.n. �
BUILDING PERMIT N� 4158
Date: ......--..._�.....�........�.._�---�-��� ........._ _
Owner: � ,,/'�?'����-!j�.. �° �%�...:
- ..... ............................................ .......... ......._............ Bwlder ... ... ..... ...... � . ............ �n..-�,.�._..�.��.
Address
Address
OCATIO BUILDING
No. :��� .......��. Street - ..�/����.�-4�� ........ ..... ......... ...�....._..._.................. Par of I.o . ._................................_...---.............. .
� � ��.............. .
Lot ._ ___-- � --........ Block ............__.._..._..._ ......_..---........ Addition or Sub-Division �l.. �"')'t�p'LK+-�n-r-�t.�' .�7� 7 �
�' � "� ......... .--•--�--....._'+-G' _ II
Corner Lot
Sewer Elevation
To be Used as:
i�3er'�.arS.._�`�� -
Type of Construction
Inside Lot ......_._............_...__....... Setback .......................:..................... Sideyard
.........................._....... .................................... Foundation Elevation ..................
DESCRfPTION OF BUILDING
�y � r t / � ,. /'� j (� .
Front �..�:.`._��pth /�`.� Height !` f�. Sq. Ft. ..�.t�......� Cu. Ft.�� �
- -. _... _......... ................. ..
Front ..........._._.._...._... Depth ......._._........ . Height .. _..._._� Sq. Ft. ..._._ ................. Cu. F�
_........__._--__.......---._ _. _. Est. Cost��r...�-y._........ To be Completed ...................._.....
��.�..�,� ' ��z� •-� .�-,� --�
�
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� li with all provisions of
ordinances of the city of Fridley.
.. � -� G'C%Lo�.._ ..........................._...........................-�----..........................
�yc�.c
In consideration of the payment of a fee of $...:�._~...-'^_.""...., permit is hereby granted to :............._......................_..........._..........
..............._.............._..................................._...... to construct the building or addition as described above. This permit is granted upon
the express condition that the person to whom it is granted and his agents, employees and workmen, in all work
done in, around and upon said building, or any part thereof, shall conform in all respects to the ordinances of
Fridley, Minnesota regarding location, construction, aiteration, maintenance, repair and moving of buildings
within the city limits and this p,rmit may be revoked at any time upon violation of any of the provisions of said
NOTICE:
This permit does nof cover fhe eonstruetion, insfallafion for wiring, plumbing, gas heating, aewer o� water. Be sur� fe se�
the Building Inapecfor for separafe permils for fhese items.
4�
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. APPL�CATION FOR BUSLDING. PERNfIT - _
CITY OF FRIDLEY, N�INN�SOTA ' � �
Owners Name , � Builder �• ' �� .�l i'":
� ' � �
Address' . .� . � . `Address '�%"�f
LOCATION OF BUILDING �
No. Street� Part of Lot �.
c
Lot �� � `�loe'k ,� "Addition or S�.b.Div.,�^,f6,
. "� z������
Corner Lot Inside Lot Set Back_ _ . __ _______ __ _Side-Yard � ' - �
SEWER ELEVATION FOUNDATION EZEVATION
.
Applicant a�f;ach to th��.s form .Certifica.�te of Survey of Lot and proposed building ;
loca.tion�.: '�' �
� '� �� DESCRIPT�ON � OF BUILDING .
To ba- used as:
� .,. < - , ,� �
, - . ,..
_ �`�%"' ` �; Front � � De th Hei. ht � _
'r P � g .� ,��_.
Sq. Ft. ..�C C� Gu: Ft. . .
Front Depth Heig$t
5q. Ft. Cu. Ft.
Type of Cons
To be
; . .� a
Estimated Cost �-�C�d�''
The undersigned hereby makes application for a permit for the work herein specified,
agreeing to do all work in strict accordance with the City Ordinances and ruling of
the Department of Buildings, and hereby declares that all the facts and representa-
tions stated in this application are true and correct.
DATE ? J� SIGNATURE c ��Gil�%�G�
�
(A Schedul' of Fee costs can be found on the Reverse Side.)
� � ` �
�
�
,� ��
City of Fridley
Ap�p�ic,atian fo�r P�mbing anc� Gas F'itt�'ng� Pernrit
DegL af Bldgs. Phone SU 4-7470
DESCRIPTION OF WORK ,
Number. Kind and Locatian of Fixiures
N
��y �+ �Wil Z i N Z y N} Z Z
� 3 � � m � � � 3 � o �
Base
ist I I
2nd
3rd
4th
* Future Coxlnectioa Openings
� New Fixtuse, Old Opexiir►gs
N
� ��= N W Z * WATER HTR.
OZ UZ Ox j U' Z
� �¢ �'� j4� �a �Z `�a N�GAS ELEC.
� LLo gm a3 �a c�� c�o
PARTIAL RATE SCHEDULE
/
Sewer �
cesspooi n
PLUMBING FIXTURE RATES: NO. RATE TOTAL
Number Fixtures . . . . . . . . . . . . . . . . . . . . . . � x $1.50 $
��
Future Fixture Opening ................ x 1.20 $
New Fixture Old Opening . . . . . . . . . . . . . . x 1.00� $
Catch Basin ............................ s 3.25 $
Water Heater (Up to 200,000 BTLT) ...... x 2.00 $
New Ground Run Old Bldg. . . . . . . . . . . . . x 8.25 $
GAS FITTING FEES: NO. RATE TOTAL
lst 3 Fixtures . . . . . . . . . . . . . . . . . . . . .. . . . ...._�_ x $1.50 $ 1 �U
Additional Fixtures .................... x .50 �
Gas Range to 200,OQ0 BTiT ..... ......... x 2.OQ �
REPATRS & ALTERATIONS—Re�fer to Code
Description • �;
i. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . TOTAL FEE $�5L_
.
��- - � \ -a •°°
-\�
Location S �-1 �1 �l [���a„
City of F�idley;
�� .
�
The undersigned hereby makes application for a permit for the work herein
specified, agreeing to do ali work in strict accordance with the Cfty Ordinances
and ruling of the Department of Buildings, and h�reby declares t�hat all the facts
and representations stated in this applicatian are true and correct.
�
Fridley, 1Vtinn 4— 1.. 3— ,, 19�.
Owner � � 19�
Kind of Building � , 19—.
Used as _ _ _
To be completed about
Estimated Cost, $ � � � �
Old— ew. Building Permit No
Sign • �/v ` � �
By �� �- v or-�JC.w+`—
Business Phone No ��S —�3-� � Ll 1
Connection Permit No . .......................................................
�
11 �M-8-58
Water
Sewer
Meter Deposit
SUNSET 4-7470
c�to Y�d�e
� �
6431 UNIVERSITY AVENUE NE
Occupaat
5479 �ltura Rd. N. E.
Fridley, Minnesot�
Dear 3ir:
ANO�+► couNnr
MINNEAPOLIS 21, MINNESOTA
Julq 3, 1965
The City of Fridley is enforcing the health laws
of the citp and the State of Minaesota, in order to make Fric�leq
a more healthful place isi which to live. In this conrieetion and
by complaint this Board a�ade a svrveq of your premises. The
follow3ng conditions were noted which ar� in need vf correetion
or i.mprovemen�.
Your premises was found littered with tornado debris.
This is not only unsightly, but may seree as a rodent harborage.
It is requested th�et you make a personal i.nvestigation of the
conditions reported and arrange to have the pr�ises eleaned
and cleared. Unless substantial improvements are made by July 12�
1965, this Board will have r�o choice but to start legal proceedings.
We hope, ho�ever, that such action will be urinecessarq and that you
will voluntarilq comply with the law,
We shall be glad to diacuss anq questions or diffi-
culties you may have in complqing with the minimum health laws
of this citq and the 3tate of Minnesota, Yovr cooperatian will
help make Fridleq a more healthful place in which to live.
Verq trulq qours,
J s ii. Hensley
C ty of F'ridley Board of Health
•
r�
L_J
� ��7�
City of Fridley, Minn. N° 88 9 i
BUILDING PERMIT
Date: _._.__J�_21, 1966 ��
Ovvner: __.....MRS. FLORENCE WEST .___. Builder _..��QN��BAET.....-_..h:�..._.— .�.-.&•.�Q–CA�RUCTION
Address .___._.._..._..._._..w...._......,...._..._.......__._...._.._..__._.._ Address ._._4225 Wodale..�,Yg..]5��.._.._._ ...._..._._
St. Louis Park, Minnesota
LOCATION OP BUILDING
No. ._._.._.5479 _. Street ._..AI�TURA ROAD N.�E.,�._.___....._...._._. . Part of Lot
._..__.____ .
Lot ___.._..._.19_.__._ Block _..�..._._.� ......�_.._.._._ Addition or Sub-Division ...._CARLSON' S SUNINf��....�Q�,._.NQR�I ADDN.
Corrier Lot ___._.._...�.�.. Inside Lot ..__._._X____.__._. Setback ._.__._....__._.._...._ Sideyard __.__._...__......
Sewer Elevatia� ...._�..__..._.._.__.____._.._._.._..__._._.....�...._.._._ Foundatio� IIevation ..._.._.._..._....._._ .._.
DESCRIPTION OF BUILDING
To � v�a as:
CAP REBUILD .._...�_ Front _...42._._.. DePth ...26._.._.. Height .....10..._._. Sq. F't. X.s..Q�.�._ Cu. Ft _ll�_�
_._.._..�._.._
ATTACHED GARAGE �t 21 �p� 22 .� geight ...1 �..._.__ Sq. F't. _._ 46 2 �, �, ,,.. 4�6 2 0
Type of Construction ___. F�I"� _._.._�____._ Est. Cost _...a� 19.�_000..._....._......_ To be Completed _.__,_._._..M _._....
In cbnsideration of tY►e issuance to me of a permit to con�truct the building deecrfbed abave I agree to do
the propo8ed work in accordance with the d�scrlption above set forth and in com liance with afl praviaions oi
ordinancea of the city oP Fridley. ,�d (��,.,,� �-
..��
In ca�sideratian oi the payment of a!ee o! a..16 . 00..�,._._.., permit is hereby granted to�...�S.�.S?N�FI.�T
BY G& M CONSTRUCTI� ��� � building or addition as described above. Thispe rmit is Srauted upan
the expreas conditiart that thepereon to whom it ia graated and his agenta, employees and workmen, in all work
done in, around and upon said building, or aaypart thereof, shall contorm in all reapecta to the oxdinances o�
Fr[d1eY� Minneeota reQa�in� locatiar� conatructfa�, alteratiaa�, maintenaace, repair snd a►ovia8 0! buildir►�
wt�� dty lirnits and t�t a pe�rrnit may be revoked at a�y time upan violation o! any o! the providons o� ssid
CLARENCE BELISLE B�� ���
• No�nce:
fi�N p�nnM deN net e�wr 1h� eenM�uelks, ha�adNbn 1K wWM. Phnnbin�. �a hNNnY. Nw�r er wabr. N wn h�
1h� WIWia� In�Mee hr �aN Mnnht Ier 1h� h�n.
APPLICATION FOR BUILDING PERMIT
CITY OF FRIDLEY, MINNESOTA
OWNER' S NAME�j.2f/��.���1.�,.,,c.E� `����� BUILDE �,�GC' J '71j ��
�
annz�ss annx�ss�l�?� �""��Y,;�'�,F�.c G�-c-
LOCATION OF BUILDING
N0. � H/�, STREET �,� -PART F L0� '7��
��-...� . i
LOT BLOC�� ADDITION OR SUBDiVISION � r'J'l%f'i-r�Z/ ���•
CORNER LOT INSIDE LOT SETBACK SIDE-YARD
SEWER Ei,EVATiON FOUNDATION ELEVATIOR.
Applicant attach to this form Two CertificaCea of Survey of Lot and proposed
building Xocation drawn on these Certificates.
DESCRIPTION OF BUiLDING
To be used as;
�� � Front��Depth�Height�, �
Sq. Ft. ,�E}y�- �u• �t•��
�
,
_ �-�G�s-�� �Gc.a,�t-.,�.,c�- Front � / Depth��ieight
Sq. Ft. ��,� Cu. Ft. �(p � Q
Type of ConstructionT_� ��Estimated Cost � y� d�
To be comgZeted
The undersigned hereby makes application for a permit for the work herein
specified, agreeing to do alI work in strict accordance with the,City of
Fridley Ordinances and rulings of the DepartmenC of Buildings, and hereby
declares that alZ the facts and representations stated in'this applfcation
are true and correct, �
DATE__ (�� --�.,1- -- �y �
(Schedule of �ee Costs can be fouy�/on the Reverse Side).
0
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3452 Frem��t Av�u� N��th
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��.1�, h� s�vc�tced, �tnd re-�:pplica�atvn will be neeessary.
C�:ckr
Rin�iy g�.ve t�.is �a�cer �our ysreferr�d a�t��t�ic�a.
Yr�e�rs very ta�iy,
G'��i�CE Bffi.ISLE
�uiiding �nspecCor
C3.ty of Frisll�y
�?- i���
Application for Power Plants and Heating. Cooling, Yentilation� Refrigeration and
Air Conditioning Systems and Devices
PARTIAL RATE SCHEDULE
GRAVITY WARM AIR: RATE TOTAL
Furnace Shell & Duct Work . . . . . . . . . . . . . . . .. . . . . . . . . . . $10.00 $
Replacement of Furnace . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6.00 �
Repairs & Alterations—up to $50Q.60 . . . . . . . . . . . . . . . . . . 6.00 �
Repairs & Alterations each add. $5QQ.QQ . . . . . . . . . . . . . .. 3.00 $
MECH. WARM AIR
Furnace Shell & Duct Work to 1?A,Q00 BT(T . . . . . . . . . . . . $10.00 $
each add. 60,000 BTU . . . . . ..... ... ..... .. .. . 3.00 �
Replacement of Flirnace ............................. 6.00 $ �, On
Repairs & Alterations—up to $500.00 . . . . . . . . . .. . . . . . . 6.00 $
Repairs & Alterations each add. $500.00 .. . . . . .. . . . . . . 3.00 $
3TEAM or HOT WATER SYSTEM
Fumace Shell & Lines—ta 400 sq. ft. EDR Steam .... $10.00 $
Furnace Shell & Line—to 640 sq, ft. EDR Hot Water .. 10.00 $
Each add. 200 sq. ft. EDR Steam . . . . . . . . . . . . . . . . . . . . . 3.00 $
Each add. 320 sq. ft. EDR Hot Water . . . . . . . . . . . . . . . . . . 3.00 $
OIL BURIvER—to 3 gal. per hour . . . . . . . . . . . . . 6.00 $
over 3 gal. per hour—See Fee Schedule
GAS BURNER (up to 199,000 BTU) . . . . . . . . . . . . . . . . . . . . . . 5.00 $ �d
over 199,000 BTU See Fee Schedule
GAS FITTING FEES: NO RATE TOTAL
lst 3 Fixtures ..................... x$ 2.00 $ a��
Additional Fixtures . . . . . . . . . . . . . . . . . x .76 $
Gas Range to 199,000 . . . . . . . . . x$ 5.00 $
AIR CONDITIONING
FAN HEATING 3YSTEM
VENTILATING SYSTEM
ALTERATIONS 8� REPAIRS
ROUGH
FINAL
�
See Fee Schedule
$
TOTAL FEE � �.�. DD
Dept. of Bldgs. Phone 560-3450
Lx8tiOn � � ( 9�SL�J 1� U�'-�U
�
�
City of Fridley:
The undersigned hereby makes application for a permit for the work hereir.
specified, agreeing to do all work in strict accordance with the City Ordinance:
and ruling of the Department of Buildings, and hereby declares that all the facts
and representations stated in this application are true and corr t.
� _ Fridley, Minn. �� y, lg �
Owner v �
Kind of Building _ )
Used as ��
To be completed about
Estimated Cost, $ ���aQ�
Old—New. Building Permit No. Permit No. J��f (J
DESCRIPTION OF WORK
HEATING or PO R. PL.ANTS–�team, Hot Water, �Varm Air—No. �
� � 71Trade Name Size No, I �� �
Capacity Sq. Ft. E.D.R. � BTLI H.P.
Total Connected Load_— 8 Kind of Fue
BURNEft — Trade Name Size No.
Capacity Sq. F`t. E.D.R BTU H,p,
(REMARKS—OVER)
�ax
5igne
By
GEO. SEDG ICK TG. & AIR-COND. Cd,
Business Phon�Q
Minneapolis 16, Minn.
LI. 5-1611
° �° r ��, - � y �9 - �1 r��,� ��/ �R-d��
as6 z'` � �i� /P• �%c �s� "" y `Z.�Uj�D
I-lEAT LOSS CALCULATIONS DEPARTMENT OF INSPECTION MINNEAPOLIS. MINN.
Weat �tstr�s A.S.H.V.E. Conatruction No. Insulation
Guide
Windows I oors Reference Out. Wall Int. Wall C,eiling Roof F1oor Kind How Applied
Yes—No Yes—No 19_
Fl.� oom � Length p Width Q Height FI. . Room Length Width Height
Windows and Doors—Crackage and Area Windows and Doors—Crackage and Atea
Width Height No. o[ Llneal tt. Area Wldth Hetght No. oL Lfneal tt. Area
No. ot pane of pane ifghta o[ crack eq. ft. No. ot yane ot pane lighta of crack aQ. tt.
o � v
0
Coef. Btu � Coef. Btu
Infiltration � Z, O Infiltration ° / )L /�.9�e
Glass � �
Exp. wall p
Net exp. wall 9
Int. wall
Ceiling � O dr 0 7�
Floor Od 0
1'otal Btu.
Required sq. ft. E.D.R. or sq. ins. W.A. Leader area � �
FI.� ` ' Room ( Length - Width/P2 Height
Windows nd Doors--Crackage and Area
'Width Helght No. of Lineal ft. Area
No. of pane o[ pane llghts ot crack eq. tt.
d
�
Coef. Btu
Infiltration
ctass yv o o a
Exp. wall Q �
IVet exp. wall jj 9 j� B D
Int. wall
Ceiling / �, f
Floor Z
Total Btu.
Required sq. ft. E.D.R. or sq. ins. W.A. Leader area
Ft d� Room � Length Q Width /
Windows and Doors—Crackage and Area
W1dth Helght No. oL Llneal ft. Area
No. of pane ot pane Itghta ot crack aq. tt.
Q,�' 3v 3 v i d ��,/
L-�
���
—�-
Coef. Btu
In6ltration , �
Glaas �-� / yf7 Q
Exp. walt 6
Net exp. walt y �
Int. wall
Ceiling � Z� �
1� loor
Total Btu.
Required aq. ft. E.D.R. or sq. ins. W.A. Leader area
� �
� ��
Glaas
Exp. wall
Net exp. wall
Int. wall
Ceiling
Floor
� Total Btu.
IRequired sq. ft. E.D.R. or sq. ina. W.A. Leader area __
/�,��,, Room I Length Width /
dows and Doors—Crackage and Atea
Wtdth Hetght No. ot Llneal tt. Area
ot nane of nane llahte ot cracic eq. it.
In6ltration
Glasa
Exp. wall e
Net exp. wall
Int. wall
Ceiling
Floor
Total Btu.
0
�
�sr�
����
��
,�i�. �
Fl. �3 Room I Length � Width Height
Windows and Doora—Crackage and Ana
Width He1BAt No. of Lfneal tt. Area
No. ot pane of pa�e lights ot crack sa. !t.
D d /
Coef. Btu �
Inhltration Z a
�$ss - � y .� , � B a
Exp. wall--
Net exp. wall
Int. wall
Ceiling
Floor
Total Btu.
sq. ft. E.D.R. or sq. ins. WA. Leader area
53-S�.-s-915.51
e�► � �;diey "
APPUcation /or PhMnbihq and Gat Filii�q hn�it _
Dspt. of Bldqs. Phon� 9�0-3�90 -
DESCHIPTION OF WORIt
1Vumb�r, Kind aad Locatfoa oi Fix3ures �� 5479 N. g. Altura Road
;�I� Ii�l�l�l��lo�l�l��!��I��I��I��I�$
Base
Ist
2nd
3rd
4th
' Fuftu:� Coan�elba Op�ni�s
* I�i�w Fixlnr�, Old Op�ainqs
WATEN MM.
• •
I N GAS FLEC.
�
S.w•r
�P�f
PARTIAL RATE SCHEOULE
PLIIMBING FIXTURE RATE3: NO. R11TE TOTAL
Number Fixtures . . . . . . . . . . . . . . . . x �200 E
Future Ftixture Opening . . . . . . . . . . . x 51.50 3 -.
New Fixture Old Opening. . . . . . . . . . . x a1.50 3_---
Catch Basin . . . . . . . . . . . . . . . . . . . . x �3.25 E
Water Heater :Up to 99,000 BTU) ..•• x�3.00 ;
New Ground Run Old Bldg. . . . . . . . . x �3.25 $
El�ctric Wat�r fi�at�r . . . . . . . . . . . . . . : :2.00 =
GAS FITTING FEES: NO. RATE TOT1►L
lst 3 Fixtures . . . . • • • • . • • . . . . . • x 32.00 ;
Additioaal Fl�ctures . . . . . . . .... . . . . . x ; .?b ;
G� Ran�e to 199,000 BTU ..,.. ....... x a5.00 �
REPAIRS t ALTERATIOIfb--A�i�s !o Cod�
�escrtQtlon . . . . , Znstall Dry'er. . . . . ... . . . . . . .. .. = 5.00
ToTAL 1rEE = 5 .00
(SURCHARGE $ _,5�)
City of l�idley:
The undersigned hereby makes application tor a permit for the vs�k herei
specified, agreeing to do $ll work in strict accordance with the CitJ Qrdinance
and ruling oi the Department oi Buildings, and hereby declares that ali the tacl
and representations stated ln this application are true and mrrect
lrridley, Minn 11-26-71 19�
owner Rodger J. Lo11ar
Kind of Building ��e
Res.
Used as
To be completed about 1'2-3—�'
Estimated Cost, � 10•00
C]IdCXNew. Bui2ding Permit No • �r o.
� �
Signed
�
sy
Business Phune No.
ROUGH
r-trt�►t. f/� 2 S- 7s
GIHSS �`A'� Surcharge $.50
�y
��
�
r
Ap�ication fo�r R�wer P�ants and He�a�ng, Cooling, Yentilafion� Refriger�io�n and
Air Cc�ditianing Systems and Device�s
PARTIAL RATE SCHEDULE
GRAVITY WARM AIR: RATE TOTAL
Furnace Shell & Duct Work . . . . . . . . . . . . . . . . . . . . . . . . . . 8.00 $
Replacement of Furnace ............................. 5.00 �
Repairs & Alterations—up to $500.00 . . . . . . . . . . . . . . . . . . 5.00 $
Repairs & Alteratians each add. $500.00 ............... 2.50 $
MECH. WARM AIR
Furnace Shell & Duct Work to 12U,000 BTiT . . . . . . . . . . . .
each add. 60,000 BTU . ......................
Replacement of Ftxrnace .............................
�R�pairs & Aiterations up to $506.00 .................
R.epairs & Alterations each add. $500.00 . .. . . . . . . . .. . .
8.00 $
a.00 �
5.00 $
5.00 $ p �
2.50 $
STEAM or HOT WATER SYSTEM
Furnace Shell & Lines—ta 400 sq, ft. EDR Steam ...... 8.00 $
Furnace Shell & Line—to 640 sq. ft. EBR Hot Water ... 8.00 $
Each add. 200 sq. ft. EDR Steam . . . . . . . . . . . . . . . . . . . . . . 2.50 $
Each add. 320 sq. ft. EDR Hot Water . . . . . . . . . . . . . . . . . . 2.50 $
OIL BURNER—to 3 gal. per hour . . . . . . . . . . . . . . . . . . . . . . . . 5.00 $
over 3 gal, per hour—See Fee Schedule
GAS BURNER (up to 400,000 BTLT) . . . . . . . . . . . . . . . . . . . . . . . 5.00 $
GAS FITTING FEES: NO RATE T'OTAL
lst 3 Fixtures ....................... x $1.50 $
Additional Fixtures ................. x .50 $
Gas Range to 20a,000 BTU . . . . . . . . . . . x 2.00 $
AIR CONDITIONING �
FAN HEATING SYSTEM See Fee Schedule
VENTILATING SYSTEM $
ALTERATION5 & REPAIRS TOTAL FEE $
REMARK3•
����� ,��,-�-,��a.;� ���4�•�-�
� �C5��7GA.. �"y,�IG�• � �
%a. �!/aZ���:��� 1� �tf �S
�
Depi. of Bldgs. Phone SU 4-7470
s ;
✓` .°. .r_�1. �
a ,%�; �
� ,, �
�
;,
,;�
City of Fridley:
T'he undersigned hereby makes application for a permit for the work herein
specified, agreeing to do all work in strict accordance with the City Ordinances
and ruling of the Department of Buildings, and hereby declares that all the facts
and representations stated in this application are true and correct.
Fridiey, 1Vlinn.��� � , 195,�
Owner ��/l��i � �xl�f�� � �A–h� _ 195_
Kind of Building — �Ll�Q� 195—
Used as •��-���1 � �
To be completed about �,�� �
p v
Estimated Cost, $.—�p �'�'
Ol New. Building Permit No. `7'` �� �
DESCRIPTION OF WOAK
HEATING or POWER PLANTS--Steam, Hot Water, Warm Air—No.
Trade NamP Size No.
Capacity Sq. Ft. E.D.R. BTU H.P.
Total Connected Loaci Kind ot Fue�
BURNER — Trade Name 5ize No
Capacity Sq. Ft. E.D.R. BTU H.p.
Signerlu�+U����:i ����1�lG & S�EET ���TAI
B5 _. � �.�..�%`����:?'��t"�_
11 pOST t M-i 2-s8 Business Phone No. -�r/ �' �� 7�
� -
��
,
�r. J�rpme �e�a2l
1921 �ice Cre�� �o�d
1�Iew �rightan, i�in�sesota
°�3�'� c.; T,.'" 4«,;..L < +
9
_�gril Z, 1968
�,
1
��: .��.�� h,�.���� ���,
�L..�, �., LC � G�° tFl,��� �.:�.�:: r � C'a`:i,�:G',�- ,: ..y"ti4y' C: �,#4k! G�:C�.s..tvuii4 g
fi
i."�i� ?ia.i�X� r—��,C��.(:�
���� �:.�t � ����.c:
7.�-3�3 �':,�� ���cs1.e ��°��.lccrs �ae �.�.��.�sea�t uy��th;�z� e:�ed cs� �.ot.
Pl�ase �eotify this caf£iee ��o� COTT`�Ct�.OSI. Ten ctays shouia 'be
suf�icf�n� t�me to car��cC t�is. i��.aak yacz.
L� :bl�s
Y�urs x�ery trul��
I.��AT�RD �iCi�II.L�it
.
Flecrrieal Tn��ectc+r
�ity a� Frid2�y
SUBJECT
City of Fridley 2 0 4 61
AT THE TOP OF THE TWINS g �! L D I N G P E R M I T
r
� � •
, �
� • COMMUNITV DEVELOPMENT DIV. f D i
r � v � PROTECTIVE INSPECTION SEC. ,3 (0 �7 Q S
i �
1
� � �°�{ �� cirr Hnu FRIDLE� 55432 NUMBER REV. DATE PAGE OF APPROVEO BY
�"'""�� ,�� 612-571-3450 910-F15 7/3/90 / /
JOB ADDRESS 5479 Altura Road N.E.
t LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED
DESCR. ]_9 7 Carlson�s Summit Manor North Addition SHEET
2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE
Brian Wagnex 5479 Altura Raad N.E. 571-3888
3 CONTRACTOR MAIL ADDRESS Z�P PHONE LICENSE NO.
Same
4 ARCHITECT OR DESIGNER MAIL AODRESS ZIP PHONE LICEMSE NO.
5 ENGINEER MAILADDRESS ZIP PHONE LICENSENO.
6 USE OF BUILDING
Residential
7 CLASS OF WOFiK
O NEW �J ADDITION ❑ ALTERATION � REPAIR ❑ MOVE O REMOVE
8 DESCRIBE WORK
Construct a 24' x 10 � Deck and Install Patio Door
9 CHANGE OF USE FROM TO
STIPULATIONS
5ee natations on plan.
WAR�IHG
8efore digging call for
ali utiliiy locations
454-0002
R'EQUIRED SY LAW
TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY �OAD
SEPAfiATE PERMITS ARE FiEQUIHED FOR ELEC7RICAL, PLUMBING, HEATING,
VENTILATING OR AIR CONDITIONING.
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONWG SQ. FT. CU. FT.
AUTHORI2ED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION
OR WORK IS SUSPENDED OF ABANOONED 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 EXAMINED THIS APPLICATION 1 STALLS GARAGES
AND KNOW THE SAME TO BE TRUE AND CORAECT. ALL PROVISIONS OF LAWS VAlUAT10N SUR7AX
AND OROINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED c
WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OP A PERMIT ��-17SO Y•88
DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE pERMITFEE SACCHARGE
PROVISIONS OF ANY OTHER STATE OR LOCAI LAW REGUTATING CON- $41.00
S7qUCTION OR THE PERFORMANCE Of CONSTRUCTION.
P�AN CFECK FEE TOTAL FEE
$41,88
i n RE OF CON'AA OR OA AUTHORIZED AGENT �onrEi WHEN PROPERIY V IDATED THIS IS VOUR P RMIT
.. ��� � ����� . �
NATUAE OF OW R UF OWNEA BU�I EA1 IOATEI � BLOG ^�NS� �1 E
� [ l Effective 1/1/90
� (�:l R-1 AND R-2
�'� [ ] Building Permit Application
Construction Address: �j � 7! �� l v� f�( /'� u �i ,`cl [ C� �/ 1���.s ,�Y.� �
Z�gal Description:
owner Name & Address: j �:`a� %t/a �,7 C�- ( S'ca � c-� Te1. #.�7 /- 3 S'8'�
�
Contractor: S� C� Z+P1. #
Address:
Attach to this application, a Certificate of Suzvey of the
lot, with the propo�.�ed construction drawn on it to scale.
D�SCRIPTI�i OF Il�T�VII�I'
LIVIl�IG AI2�: L�ngth Width Height Sq. Ft.
GAR�GE AREAs Lerygth Width Height Sq. Ft.
� �: �tn � �t ' wiatn l o ` xgt�crouna sq, r�. �_
oT�: T���« 1 Og f.c� �
a?�,�'�. a�1 �. t°� ���
Corner L�t [] Insi e IAt QC] Ft. Yd tback
Z�pe of Construction: �jU D� C� �
Approx. cxmq�letion Date: G U c� 3/ /�?U
Side Yan� Setbacks
�t�� �: $ r�
Proposed Driveway Width If New Openirig Is Desired: Ft. $ $
� Width + 6' See Back Page
nA�: r t�1V qo �c.�rr: _ ��i� �i. # s 7�` - 3 ggg
Pe�mit Fee $ U�
State Suzrharge $
SAC Crian�e $
Driveway E_sci-cyw $
Park Fee $
sewer Main Ci�an�e $
•v:,
���5:
��
.
CITY USE �TI,Y
Fee Schedule on Reverse Side
$.50/$1,000 Valuation
$600 per SAC Unit
Alt. L'A" or Pilt. "B" Above
Fee Det.�x�ined bY �gi�erinc3
Agreement Nec�ssary [ ) Nat Neoessaty [ ]
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�as - o - ut ec s
� deck systems are more than patios or balconies. They are truly additions to your
home. They'll give you more living space and increase your home's value for years to come.
Patio Decks
The basics to great outdoor living
is this classic 10 x 12 fiat deck.
Simple to build, yet it holds end-
less possibilities to add on and
create your own perfect space
for relaxing or entertaining.
7���12'JONt�
,o
z o.�.
3 � 6 � 10' DecYlip
Elevated Decks
10 x 12 Elevated Sun Deck
- - --_.� __ -_ __
+A . ' . . . . _.... , �. .
..
�' _. _ . _. ._ . ._.
J�:i�, ..__ _ _ _. . __. �_ _ . __.. _. _._..�. . __.-. _. ,..__ .
� JI ` ��J
An excetlent place to er�ertain guests orjust relax on
a lazy afterr�oon. These raised decks will be a great
addition to your home.
Deluxe Two-Levei Decks
We nserve tl» ripht to comM pri�ng erron. Beeauss W the wide vuiable in
codes, MFINARDB emnot pwnMee the m�britls Iisled will meet yar cade
raqui►eme�. We do not ywru�W Gw eompeeerras o1 tl�e pla�u in this booklat
p MEAtAR�, Inc. 1990 ' • •
SUBJECT - PE _ - -�
City of Fridley 2 2 3 9 4
AT THE TOP OF THE TWINS g U I L D I N G P E R M I T
i � RECEIPT NO.
� �
� • COMMUNITY DEVELOPMENT DIV.
� � �: ----- � I � V
r � � PROTECTIVE INSPECT�ON SEC.
1 i
� � /"'1 � CITY HALL FRIDLEV SS4J2 NUMBER REV. DATE PAGE OP APPROVED BV
�""�' �'� 612-57t-3450 910-F15 4/4/94 � �
J08 ADDRESS
5479 Altura Road NE
t LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED
DESCR. 19 7 Carl � SHEET
2 PROPERTYOWNER MAI�ADDRESS ZIP PHONE
Brian Wa ner 5 A -
3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO.
S 2.me
4 AFCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE IICENSE NO.
5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO.
6 USE OF BUILDING
Residential
7 CLASS Of WORK
❑ NEW ❑ ADDITION ❑ ALTEFiATION ❑ REPAIR ❑ MOVE O REMOVE
8 DESCRIBE WOFK
Remove interior
9 CHANGE OF USE FROM TO
STIPULATIONS See notations on plan, Install smoke detectors as per UBC 1210 adjacent
to all sleeping areas and in basement.
TYPE OF CONST. OCCUPANCV GROUP OCCUPANCY IOAD
SEPARATE PERMITS ARE RE�UIRED FOR ELECTRICAL, PLUMBING, HEATING,
VENTILATING OR AIR CONDITIONING.
THIS PERMIT BECOMES NULI AND VOID IF WORK OR CONSTRUCTION ZONING S�. FT. CU. FT.
AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION
OR WORK IS SUSPENDED OR ABANDONEO 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 APP�ICAT�ON 1 STALLS GAFiAGES
AND KNOW THE SAME TO BE TRUE AND CORRECT. ALl PROVISIONS OF LAWS VAIUATION SURTAX
AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED
WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT �SOO . SO
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. �LS.00 Fire SC 2
PLAN CNECK FEE TOTAL FEE
SIGNATURE OF CON'RACTOA OA AUTHORIZED AGENT IOATEI PE LY VALIDATED THIS IS YOUR PERMIT
� ✓ �
S�GNATUREOFOWNEFlUFOWNEABWLOEFl� IDATEi BLDG �N �°TE
�W [ ) . Effective 1/1/94
.ADDN . . [ 1 . . � CITY OF FRIDLEY �� � ��%
ALT'ER [•� SINGLE FAMILY AND DIJPLEXES R-1 AND R-2
. • � � . � . � . � Building Permit �A�plication
ConstructionAddress:
Legal Description:
Owner Name & Address:
Contractor: �
Address:
LIVING AREA:
GARAGE AREA:
DECK AREA:
oTxER:
�
Tel. #
MN LICENSE #
Tel. #
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.
1 `�,��- ��-c�,�---� i�/a l
Corner Lot [� Inside Lot [] Ft. Yd Setback
Type of Construction:
Approx. Completion Date:
Side Yard Setbacks
Estimated Cost: $ �d O
�
(Cost on Back)
Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x$ _$
DATE: _ �'Z�-� APPLICANT: �,,,� 1j►�a �n�� Tel. # ,571 3 � �' �
Permit Fee
Fire Surcharge
State Surcharge
SAC Charge
License Surcharge
Driveway Escrow
Erosion Control
Park Fee
Sewer Main Charge
TOTAL
CITY USE ONLY
$ �' ,� �'� Fee Schedule on Reverse Side
$ , �b .001 of Permit Valuation (1 / l Oth %)
$ . �� $.50/$1,000 Valuation
$ $800 per SAC Unit
$ $5.00 (State Licenseci Residential Contractors)
$ Alt. "A" or Alt. "B" Above
$ $450.00 Conservation Plan Review
$ Fee Determined by Engineering
$ Agreement Necessary [ ] Not Necessary [ ]
� � S�, '?.S�
STIPULATIONS: ���„i� ��� ,,� I� �'`"R"'''�'o ,
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City of Fridley � �� � � 8
AT THE TOP OF THE TWINS g U I L D I N G P E R M I T
r
� .
� �` __�� COMMUNITY DEVELOPMENT DIV.
r � �' � PROTECTIVE INSPECTtON SEC. ��
i �
� � _
� � �'��1 � CITY H ALL FRIDLEV 55A32 NUMBER REV DATE PAGE UF APPROVEO Bv
�'""��� ��� 612-571-3450 910-F15 6/20/95 / /
J08 ADDRESS 5479 Altura Road NE
1 LEGAL LOT NO. BIOCK TFACT OR ADDITION SEE ATTACHEO
DESCR. i9 7 Carlson's Summit Manor North SHEET
2 PROPERTV OWNER MAIL ADORESS Z�P PHONE
ACCAP
3 CONTRACTOR MAIL ADDRESS Z�P PHONE IICENSE NO
Ovall Roofing & Const 6730 213 Ave NW, Elk River MN 55330 753-2959 4467
d ARCHITECT OR DESIGNER MAI� ADDRESS ZIP PHONE LICENSE NO.
5 ENGINEER MAIL ADDHESS 21P PHONE LICENSE NO
6 USE OF BUIIDING
Residential
7 CLASS OF WORK
❑ NEW ❑ ADDITION C� ALTERATiON O REPAIR O MOVE O REMOVE
8 OESCRIBE WORK
Install 3 Egress Windows
9 CHANGE OF USE FROM TO
STIPULATIONS
Egress Windows must comply with the State Building Code.
TVPE OF CONST. OCCUPANCY GROUP OCCUPANCV LOAD
SEPARATE PERMITS ARE RE�UIRED FOR ELECTRICAL, PLUMBING, HEATING,
VENTILATING OR Alii CONDITIONING.
THIS PERMIT BECOMES NULL AND VOID IF WOFK 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 PARK�NG
I HEREBY CERTIFV THAT I HAVE REAO AND EXAMINED THIS APPLICATION 1 STALLS GARAGES
AND KNOW THE SAME TO 8E TRUE AND CORRECT. ALL PROVISIONS OF LAWS VALUATION SURTAX
AND ORDINANCES GOVERNING THIS TVPE OF WORK WILL BE COMPLIED
WITH WHETHER SPECIFIED FIEREIN OR NOT. THE GFANTING OF A PERMIT �Z � 7OO � 1.35
DOES NOT PRESUME TO GIVE AUTHORITV TO VIOLATE OR CANCEL THE pERM1T FEE SAC CHARGE
PROVISIONS OF ANY OTHER STATE OR LOCAL LAW FiEGULATING CON-
STRUCTIO HE PERFOR A F C STRUC orv 54. Fire SC O
PLAN CHECK FEE TOTAL FEE
License SC $5.00 $63.05
SIGNATUREOFCON�RACT0�70�7AUTMORIZEDAGENT IDATEi WHEN P E Y VA IDATED THIS IS VOUR PERMIT
�^ ` �
S�GNATURE OF OwNEA i�F OWNER BU�LDER� �DATEI - BLDG �NS� q47E
NEW
ADDN
ALTER
[�
I1
�=��:"_
� CITY OF FRIDLEY
SINGLE FAMILY AND DUPLEXES R-1 AND R-2
Building Permit Application
ConstructionAddress: �`
Effective 1! 1 /95
���
Legal Description:
Owner Name & Address: � C;1� Tel. # '!� �'� �?' �
1
�' , /
Contractor: ��� �'� C. L J oQ f--i%\4� �� �� � MN LICENSE # �S��T
� 2
Address: � � �� � a � �� T�'1 / ��� � �� ��� 1 �� %�'/�t� Tel.� # � ����� �,�j
� Attach to this application, a Certificate of Survey of the ` j���2 �j� �/�,�1.
lo t, w i t h t h e p r o p o s e d c o n s t r u c ti o n d r a w n o n i t t o s c a l e. � �
LIVING AREA:
GARAGE AREA:
DECK AREA:
OTHER:
DESCRIPTION OF IMPROVEMENT
Length Width Height
Length Width Height
Length Width HgtlGrvund
Sq. Ft. _
Sq. Ft.
Sq. Ft.
Corner Lot [] Inside Lot [ j Ft. Yd Setback Side Yard Setbacks
Type of Construction: ��-.� � S W�� r,,� Estimated Cost: $ ���� ��
Approx. Completion Date:
(Cost on Back)
Driveway C rb C t Width Needed: Ft. Ft = Ft x$ _$
DATE: � APPLICANT: Tel. # ���"���1�
� , - �� "����
- CITY USE ONLY �
Permit Fee
Fire Surcharge
State Surcharge
SAC Charge
License Surcharge
Driveway Escrow
Erosion Control
Park Fee
Sewer Main Charge
TOTAL
$ � � C)�
$ �, ZD
$ / �.��
$
$ �� � ��
$
$
$
$
$ � _ C;)S�
Fee Schedule on Reverse Side
.001 of Permit Valuation (1 / l Oth %)
$.50/$1,000 Valuation
$850 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: . � � '
sua�ecr PERMIT N .
City of Fridley � � � � 4'
AT THE TOP OF THE TWINS g U I L D I N G P E R M I T
f
; � RECEIPT NO.
� • COMMUNITY DEVELOPMENT OIV.
' j Y �'-��', \� /�
r � � PROTECTIVE INSPECTION SEC. �
i
i -
� � /'��1 � CITY HALL FRIDLE� 55432 NUMBER pEV DATE PAGE OF APPHOVED B�
�'"'"��� ,'� 612-571-3450 910-F15 11 / 18 / 9 / /
JOB ADDRESS 5479 Altura Road NE
t LEGAI �OT NO. BLOCK TRACT OR ADDIT�ON SEE ATTACHED
DESGR. 1C� 7 Carlson's Summit Manor North SHEET
2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE
Jerry Hanson 5479 Altura Road NE 783-4700
3 CONTRACTOR MAII ADDRESS Z�P PHONE LICENSE NO
Ace Construction 2801 Cutters Grove Dr Anoka Mn 55303 323-3019 20001884
4 ARCHITECT OR DESIGNEF MAIL ADDRESS ZIP PHONE LICENSE NO.
5 ENGINEER MAIL ADDRESS ZIP pHONE LICENSE NO
6 USE OF BUILDING
Residential
7 CLASS OF WORK
O NEW ❑ ADDITION p ALTERATION � REPAIR ❑ MOVE O REMOVE
8 DESCRIBE WORK
Reroof House (22 S ) Tear-off
9 CHANGEOFUSEFROM TO
� STIPULA710NS
�i�%���3� Underlayment must comply with the State Building Code.�
TYPEOFCONST. OCCUPANCYGROUP OCCUPANCVLOAD
SEPARATE PERMITS ARE REOUIRED 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 DAVS, OR IF CONSTpUCTION
OR WORK IS SUSPENDEO OR ABANDONED FOF 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 1 STAILS GAFAGES
AND KNOW THE SAME TO BE TRUE AND CORiiECT. ALL PROVISIONS OF LAWS VA�UATION SURTAX
AND OfiDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED
WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT �L�HLS �.91
DOES NOT PFiESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PERMIT FEE SAC CHARGE
PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON-
STRUCTION Ofi THE PERFORMANCE OF CONSTRUCTION �59.5� �59.50IF Fire SCi �1.82
PLAN CHECKFEE TOTALFEE
�� /'�/7 �� License SC $5.0 $126.73
SIGNATUNE OF CON � . OR OA �TH RIZED AGE �onrei WHEN PfiOPER�Y IDAT THIS IS YOUR PERMIT
! s' �
/
SiGNa7URE OF OWNEA i�F OWNER BU4DER� �DATEi �OG 1NSP ��ti1E
NEW
ADDN
ALTER
Il
[l
[]
CITY OF FRIDLEY
SINGLE FAMII.Y AND DUPLEXES R-1 AND R-2
Building Permit Application
ConstructionAddress: -�j �� �} -� �-�j t'Q� �a , pJ.�
Legal Description:
Owner Name & Address:
Contractor:
Address:
LIVING.' AREA:
GARAGE AREA:
DECK AREA:
OTHER:
Effective 3/1/96
( �l` v
�
Tel. # ��'�" � �Q�
MN LICENSE # Q -
Sd�Tel.# 3a���o/�
Attach to this application, a Certificate of Survey of the
lot, with the proposed construction drawn on it to scale.
Length
Length
Length
DESCRIPTION OF IlVIPROVEMENT
Width • Height ' Sq. Ft.
Width � � Height Sq. Ft.
Width , Hgt/Ground Sq. Ft.
�
�
Comer Lot t] Inside Lot [] Ft. Yd Setback .: ' Side Yard Setbacks
Type of Construction: n� -� ��j� ` Estimated Cost: $ • /g/oi�
: _
Approx. Completion Date: � `� � --�
��=�,, �
� .;
: (Cos t on ' Ba cki , �r� : , :
Uriveway C�rb Cut Width Needed: Ft. + 6 Ft = Ft x$` —$ �
DATE: � �� 1--�_�i,(,, APPLICANT: Te1. # ��._� - 3a/g
Pernait' Fee
Fire Surcharge
State Surcharge
SAC Charge
License Surcharge
Driveway Escrow
Erosion Control
Park Fee
Sewer Main Charge
TOTAL
STIPULATIONS :
� �� �l
.S
� 595�
$ l. � 02
� 9�
$
� .s vv
$
$
$
$
� ��, �
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 [ ]
sue�ecT PERMIT NO.
c�ty of Fridley 26 34 8
AT THE TOP OF THE TWINS g � I L D I N G P E R M I T
�
; � RECEIPT NO.
� ; y_ � COMMUNITY DEVELOPMENT DIV.
r � � � PROTECTIVE INSPECTION SEC. ��LP��
� . �
' ' �'��1 � CITY HALL FRIDLE� SS1.32 NUMBEF REV OATE PAGE OF AGPqOVED BV
�'"'"�' �'' 612-57t-3450 s�o-F�5 6/25/98 / /
JOB ADORESS 5479 Altura Road NE
1 LEGAL LOT NO. BLOCK TRAC? OR ADDITION SEE ATTACHED
DESCR. Ig � Carlson's Summit Manor Nozth SNEET
2 PROPERTY OWNER MAIL AOOfiESS ZIP PHONE
ACCAP
3 CONTRACTOR MAIL ADDRESS 21P PHONE LICENSE NO.
Moberg Construction 7610 165 Ln NW, Anoka MN 55303 753-4427 4127
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
O NEW O ADDITION ❑ ALTERATION �] REPAIR O MOVE O REMOVE
8 DESCRIBE WORK
Repair Siding - WEST SIDE ONLY STORM DAMAGE
9 CHANGE OF USE FROM TO
STIPULATIONS
Install building wrap and call for inspection before covering.
?YPE OF CONST. OCCUPANCY GROUP OCCUPANCV LOAD
SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING,
VENTILATING OR AIR CONDITIONING.
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING S�. FT. CU. FT.
AUTHORIZED IS NOT COMMENCED WITHIN 60 DAVS, OR IF CONSTRUCTION
OR WORK IS SUSPENDED Ofi ABANDONEO FOFi A PERIOD OF 120 DAYS AT
ANV TIME AFTER WORK IS GOMMENCED. NO. DWIG. UNITS OFfSTREET PARKING
I HEREBY CERTIFV THAT I MAVE READ AND EXAMINED THIS APPLICATION 1 STA�LS GAFAGES
ANO KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROV1510NS Of LAWS VAIUATION SURTAX
AND OFiDINANCES GOVERNING THIS TYPE OF WOfiK WILL BE COMPLIED
WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING Of A PERMIT �SOO �.SO
DOES NOT PRESUME 70 GIVE AUTHORITY TO VIOLATE OR CANCEL THE pEqM1T FEE SAC CMARGE
PROVISIONS OF ANY OTHER ST E OR LOCAL LAW REGULATING CON- $21.00 Fire SC �.SO
STRUCTION OR HE ERFORMA E OF CONSTRUCTION.
PLAN CHECKFEE TpTALFEE
License SC $5.00 $27.00
SIGNATUAEOFCONTRACiOROAA HOA�2EDAGENT IDATEi HEN PROPERLY V IDATE 7HIS IS �OUR PERMIT
�
�S�GNATUREOfOWNERUFOWNERBU�IDEAi �OATEi BLDG HSP ���TE
NEW ( ] Effective 1/1/98
ADDN [ ] CITY OF FRIDLEY
ALTER [] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 �� �
BUILDING PERMIT APPLICATION ��� ���
ConstructionAddress: � �-/7 � � ,� '7`�-C � � �
Legal Description:
Owner Name & Address: �'�-C�j�"� Tel. #
Contractor: �0 `j� � �O'Yl � MN LICENSE # ��2 %
Address: ''7(�p�(,� �� 5 �-- i1� .�l] J �V � Tel. # �� � , S�� `7
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:
Length
Length
DESCRIPTION OF IMPROVEMENT
Width Height
Width Height
Width �. � Hgt/Ground �
Sq. Ft.
Sq. Ft.
Sq. Ft.
hA-��_
I �� �-ea
Construction Type: cSl S� � Estimated Cost: $� S
(Fee Schedule on Back)
Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x$ _$
DATE: � � S APPLICANT:
Permit Fee
Fire Surcharge
State Surcharge
SAC Charge
License Surcharge
Driveway Escrow
Erosion Control
Park Fee
Sewer Main Charge
TOTAL
STIPULATIONS:
Tel. # � 7
�/�/// �%C) CITY USE ONL�Y
i�( l. J
(/ �
$ Fee Schedule on Reverse Side
$ S� .001 of Permit Valuation (1 / lOth %)
$ 5� ��$.50/$1,000 Valuation
$ $1000 per SAC Unit
$ 5 . (�C� $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 [ ]
$
� �
. . . a�e�e�� .
c�ty of Fridley
AT TNE TOP Of TME TWINS g U I L D 1 N G P E R M I T
r
� •
� �
COMMUNITV OEVELOPMENT DIV.
' j 1.--���� , .
r � � PROTECTIVE INSPECTION SEC.
�
i_-_-�� �"' �'� CITY HA�L FRIOLE� 35132 NVMBEP
L 612-571-3450 9t0-F15
108 ADDRESS
5479 Altura Road NE
1 LEGAL ��7 NO. BLOCK 7HACT Ofi ADOITION
oesca. ig '7 Carlson's Si
2 PROPERTY OWNER MAIL ADOF�SS
Jerry Hanson
3 CONTRACTOR MAIL ADDRESS
Peak Roofin�t� 14939 Raver� St NW Andov��
4 ApCHITECT OR DESIGNER MAIL ADORESS
5 ENGINEER MAIL ADDFESS
6 USE OF BUILDING
Residential
7 CLASS OF WORK
NEV OATE
11/1/99
IIP
�
30460
O.
��� �
OF APPROVEO 9Y
/
SEE ATTACMED
SHEET
PHONE
_ P��
PHONE
LICENSE NO
nas3ni
UCENSENO
LICENSE NO
❑ NEW O ADOITION O ALTERATION � REPAIR O MOVE O REMOVE
8 DESCRIBE WORK
Reroof house (16 Sal Tear-off
9 CHANGE OF USE FROM
STIPULATIONS
TO
Underlayment must comply with the State Building Code.
TVPE Of CONST
SEPARATE PERMITS AFE REOUIRED FOR ELECTR�CAL, PLUMBING. HEATING,
VENTILATING OR AIR CONOITIONING
� TMIS PERMIT BECOMES NULL AND VOID IF WOfiK OR CONS7HUCTION ZONING
AUTHORiZED IS NOT COMMENCED WITMIN 60 OAYS. OR IF CONSTRUCTION
OR WORK IS SUSPENOEO OR ABANOONED fOR A PERIOD OF 120 OAVS A7
ANY TIME AFTEF WORK IS COMMENCED. NO DWLG. UN
I MEREBY CERTIfV THAT 1 HAVE FiEAO AND EXAMIN�O TMIS APPLICATION
AND KNOW TME SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS VALUATION
AND OROINANCES GOVEFNING TMIS TVPE Of WORK WILL BE COMPLIED
WITM WHETHER SPECIFIED HEAEIN Oii NOT. THE GRANTING Of A PEFiMIT $1398
DOES NOT PRESUME TO GIVE AUTHOAITY TO VIOLATE OR CANCEL THE pEqM1T FEE
PROVISIONS Of ANY OTMEF STATE OR LOCAL LAW REGULATING CON-
STRUCT N OR TNE PERfORMANCE OF CONSTqUCT10N �SO.9S
�� PLAN CMECKfE
G
Lice
� S�GN4TUAEOFCON"RACTQRQq1UTNOA�ZEOpGENT IDATE� Cy
o�UAE O� OWNEQ��� OWwEF1
OCCUPANCYGROUP IOCCUPANCVLOAD
SO. fT CU FT.
$TA��S
�
GARAGES
SURTAX
$ . %0
SAC CMARGE
Fir SC �1.40
rOTa EE
8.05
)A 0 HIS IS VOUR PE1iM1T
� � /( �/�
qcrE
. _
NEW [ ]
ADDN
ALTER
Effective 5/10/99
[ ] CITY OF FRIDLEY
[] SINGLE FAMII,Y AND DUPLEXES R-1 AND R-2 ,�
BUILDING PERMIT APPLICATION ����'�
Construction Address: � Y % �f' �� �w� .� �� _ �L'„�. �� �
Legal Description: 78�-- 5' 7� �
Owner Name & Address: Strf ,� ��--�-so �,,-� Tel. # -�;v `^ � - �
Contractor: ��� � � o �� � y MN LICENSE # �o��f�3 d /
Address: /`/ i � � �Q �� .-� s=�. �✓ � �� �o �. � �-- Tel. # �� S-- ?- o � 6 d
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.
Length
Length
Length
DESCRIPTION OF IlVIPROVEMENT
Width
Width
S
Height
Height
Hgt/Ground
Sq. Ft.
Sq. Ft.
Sq. Ft.
I�9�
Construction Type: /�.-- o�� -,•� c fc,��-�r�- Estimated Cost: $ �
���� �
Driveway Curb Cut Width Needed:
DATE: /� l—� � APPLICANT:
Permit Fee
Fire Surcharge
State Surcharge
SAC Charge
License Surcharge
Driveway Escrow
Erosion Control
Park Fee
Sewer Main Charge
TOTAL
STIl'ULATIONS:
$ �v.9s�
$ �. i��
$ �% (�
$
$ � d0
$
$
$
$
$ ��,
Ft. + 6 Ft = Ft x$
��-��„�.//
CITY USE ONLY
Fee Schedule on Reverse Side
_$
Tel. # 75-7" ° o �G' p
.001 of Pemut Valuation (1/lOth%)
$.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 [ ]