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AF - 356547�� r ! �i BUILDING PERMIT Village of Fridley, Minn. N° 2771. Date ��.°.� . ./.r� . . . . �� . . . . . . . . . . . . . . . . . . � � Owner��:L��to.�!Q ... . .... .................. Builder ........................................... � Address�..�.'�.�....... . ........... Address ......................................... LO�CATION OF BUILDING I - /.� �� No. �l..v�-.� �... Street .... ... ........................ Part of Lot ....................... Loi . . . � �. . . . . . . . . Block . . . �... . . . . . . . . Addition o r Sub-Division 4-. � R. � �? ! � . . . . �� :4 .�. �!'! � .�. . � 'A �1 t��L � �,� �va..,`'�� Corner Lot ............ Inside Lot ............ Set ack ....�.... Sid�yard�..��..�f,P'.°�%`......... To be Used as: DES�RIPTION OF BUILDWG Front o�. . . . Depth � .`��. . . . Eieight � :aSi�. . . . Sq. Ft. . .�.�.� Cu. Ft. . . . . . . . . .................... Front ........ I?epth ........ Height ......... Sq. Ft. ........ Cu. Ft. ........ Type of Construction��./�'�'!f� . . Est Cost°: ! �. a�� . . . . . . . . . . . . . . To be Completed �r�. . .�.�f� . . /� +� °'t+;�� ' �� -- �` 1 �� '�� G� � In con�id��at36n of the i�ssuanee to me of a permit to construct the building described above, I agree �o do the proposed work in accordance with the description above set forth and in compliance with all provisions oP brdinance5 of the 'village of Eridley. �' � If110" G/C �. (� �l f3 k, 92 G� � ' ` , '�'�� In consi�ie tion of the payment of a fee of $. .� . . . , permit is hereby granted to . . . . . . . . . . . . . . � .. to eot�struct the building or ad dition as described above. s permit is granted upon the ss cbndition that the person to whom it is granted and his agents, employees and worl�ien, in all work done in, arott�d and upon said building, nr any part thereof, shall conform in all respects to the ordinances ot Fridley, Minnesc�t.�. regarding location, ednstruction, alteration, maintenance, repair and moving of buildings with- in the village limi'�s and tYris permit may be revoked at any time u�on violation of any of the provisians of said ordinances. // / /�1 �, � . Building Inspector NOTICE: This permit does not cover the constructton, installation or alteration for wiring, plumbing, gas heating, sewer or water. Be sure to see the Building Inspeator for separate perm(ts for thesa items. ,� � �1 City of Fridley, inn BUILDING PERMIT Date: N�V�� 3, 1966 � �� 9U'7 J Ovvaer: LEWIS HOUGH B�� STATEWIDE CONTRACTORS Address 5244 CAPITAL STREET N. E. Ad� 4221 Excelsior Boulevard FRIDLEY, NDNNESOTA 55421 NQNNEAPOLIS, MCNNESOTA No. 52� Street Lot ._._.. 19 __ Block LOCATION OF BUILDING CAPITOL STREET 1V. E. ____ Part of Lot �._.. � Addition or Sub-Div3sion ___._ C�SONS SUNIl�IIT MANOR� SOUTH ADDN. Coraer Lot — Ins3de Lot .� Setback —._.__ Sideyard Sewer Elevation ____� ._... Founda.tion IIevation DESCRIPTION OF BUILDING To be Used as: DET. GARAGE Front 20 Depth 22 Height ...— � Sq. F� �� Cu. Ft 4,400 Front Depth ._._. I�eight �.. Sq. Ft. — Cu. F't. Zj�pe of Constructioa �.. Fr�e �� _$1, 200 �_ To be Completed .— SEE ATrACHED PAPERS In cax�sideration of the issuance to me of a permit to conatruct the building described above, I agree to do the proposed work in accordance with the description abov� t fgrth and in`�au�iance wi�� prov�io� of ordinances of the atty oE Frldley. � % �� In conaideration of the �yment of a fee of $ 4.00 ��t is hereby granted to S��DE CONTRACTORS, INC. to construct the building• or addition as described above. Thispe rmit is granted upon the express condition that the penson to whom it fa granted and his agenta, employeea and worlrnien, in all work done in, around and upon said buildiug, or any part thereof, shall conform in all respects to the ordinances of Fridley, Minneaota regarding lacation, construction, alteration, maintenance, repair and mov3ag of bufldings �� dty limtts and tt�ia perrmit may be revoked at any time upon violation of aay oP the provisiona of said CLARENCE BELIS'LE B�� or NOTICE: Thb psra�it do� not eover ths �eos�rneNoe, InstallaMoe fo� wGtne. Plumbin8, ga heaf�e, sswe� or wdsr. 8� ain !o � the Building Inspesto� foe separah parmhs foe fhas itsm+. �� . Appi,iCATION FOR BUII.DING PERMCT �CIi� OF FRTDLEYy M�NNESOTA 0 .. . y owr�t's , strzzn�tt �� ADDRESS � 1� - �l , l � ADDRESS 1`-.� � / �U��_�—a ��i,_�; —�� LOC�A OF BUILDING . �. � �,� N0. '� -� �� STREET� ��a ��` P � OF LOT '� � - � � LO'�C BLOCR ADDITION OR SIIBDIVISI c:v��-e.� i� �`-"°�". �`: � � �-��.�` � �� CORNER LOT�_TNSIDE L,_� ETBACK __ SIDE-YARD P� SEWER ELEVATION FOUNDATION ELE'VATIQR Applfcant attach to this foron Two Certi£icates of Surveq of Lot and proposed building location drawn on these Cert'if�.cates. DE3CRIPTIOIV OF BUiLDIRG To be u d as ; Front�Depth��,_Heigh� 3q. Ft. � � � Cu. Ft. � Front __ �Depth Height� Tqpe of Constructioa To be completed,� Sq. Ft. Cu. Ft. � Estimated Cost /.�� . = / �-- , �-- ' �� ; . The unde;rsigned hereby makes application for a permit for the work herein specified, agreeing to do all work in strict accordance with the City of Fridley Ord3nances and rulings of the Departmeat of Buildings, and.hereby declares that a11 Che fact� and representa�ions stated in this appl3cation are true and correct4 � � a DA'TE /� r°�' � � � SIGNA�URE �' ��`"� _ � �"s�' ,� --�— (Schedule of Fee Cos�s can be fouad on the Reverse Side). . ar � ��;#� �� C` I � � � � � �"r��c,� �,� a,y r�� y _ _ - . r� �• � l� � � I � �� I �, � G� � o � � �. �_ 6 s � � �,,,�� - _ �i a � ,�� t� 1� - - _. �„� � $VYI,Dn,VG PE1tMIT 'FEE SCHEDDLE SECTION 2. The Inapector o£ Buildiiigs '��iall, bafore iaeuing a,ny permit for the erection oi any buildit�g or structure, or for any addition to anp eaisting building or structure, or for amy..alterations or repairs to any existing building or str•ucture, upon applLcation�-Cherefore, require the payment by the. applicant for auch.permit of fees: �o the amount_her_ain=below sat forth and in the manner hereia provided to-wit; " - 2.1. For anq euch permit for ttte erection of any fire-proof building, othe= th n a gara�e, warehouse, factory or'grain`eleuator, or for the erection of any fire-p�oof additian, for�sim3lar occupancy, to any e$iating building, ahall be at the rate of $],.�t0 _fo.r r�ach. one:Chousand cubic feet, or -fraction- ther$of, in auch cubical contents. � 2.2 For any such permit for the erection of any fire-proof garage, �rehouse factorq or grain elevator, oz for Ehe erectioa of any fire�proof addition, for similar occupancy, .to aay exiating building ehall be at.the rate of $1,25 for each one thousaad.cubic feet, classified as "fireproof" by Sect3on 502 of the Minneapolis Building,Cod-e. � flOIISES � � � � � .__.__ 2.3. For any such permit.for.the erection of any aoa-fireproof 6uilding, other than a garage, warehouse, facCory or �rain elevator, or any non-fireproof addition, for similar occupancy, to aay existing building •, permit $1.00 £or each one thousanc� cubic feet. � GARAGES ' _ _ _. _ . 2.4-. For any auch permit for the erection of eay non-fireproof garage, warehouse, factory or graia elevator, or for the ere�tion of aay non-fire-proof addition, for similar occupanay"� to any existing bui�di� or for each such � building or addition - ninety cents t$0.90) far each one thous.and cubic feet or fraction thereof, in the cubical coneeats t�ereof with the minimum o£ $4,00. For�the-purpose of computing fees for buildiag-permita, the cubical contents of any building or add3�f.on to a uniform height �hroughout by multiplying the ground area cove�ced �ram�a paint six (6) inches below the floor line of the basement or cellar to t�he average hc��ght of the. uppe.r surface or to tl�e average height of the roof surface of the main gable .of a pitched roof. - 2.5. For repairs or alteration� to an existing atructure, t'he fee sha11 be at the rate of $3.00 per each Five Hundred Dollaxa ($500.O�j.or fr�ction� thereof in the cost of alI proposed work. 2_ 6. in no case aha11 the fee charged.for any permit as aet fort.h in Section 2 be less than $4.00. � STORM�REPAIR DAMAGE FEESt Residential: Estimated Cost of �ork up to �5��0.00 -�5.00 Estimated Coat of work o�er Y.��1'4;N�� -$3,L,00 _� Commercial; Esti��.��a_c�oat of �vo:�f� up �"� ��!"-;�,Z>� -$1�0 �` Est�iten �ost of wurk over $5�:�i1.�0 -$�l,_,a r �� ' � � APgLICATION FOR BIITLDING PERMIT CITY OF FItIDLEY,� MINNESOTA OWNER' S NAME � BtTILDER ADDRESS AI)DRESS _ LOCAZ"LON OF BUILDING N0. STREET PART OF LOT — LOT BLOCK ADDI7.`ION OR SIIBDiVISION CORNER LOT iNSiDE LOT SETBACR SIDE YARD SEWER E�EVATION �OUNDATION ELEVATIQIQ Applicant attach to this form Two Certifica.tes of Survey of Lot and proposed bufld3ng location drawn on these Certificates. DESCRIPTION OF BIIII.DING To be used as; �r � �., � ; r� ��' ;��=� �;�� :_ ^ �� r-; ��,� -�ront� Depth Height � �- � Sq. FC. Cu. Ft. Front Dept �Seight gq. Ft. Cu. Ft. Tqpe of Construction Estimated Cost To be completed The undersigned herebq makea �application €or a permit for the work herein � specified, agreeing to do all work in strict accordance with the City of Fridley Ordinances and rulings of �he Department of Buildings, ancl hereby declares that all the facts and representations stated in this application are true and correct� �4 �� ! ��- � �� i ��r� ��''�, -- �- ' � � �� 1 �s � ' , � ,f : �-*� � `' - — ".� DATE: , ' � / SIGNATURE�_��'' �,;' R ,�,�+. �—' �_ T��:_.-=--' �„� , , k • cSchedule of Fee«Costs can be found on the �,everse Side3. �r� �� ;;� �r,. �,'� e� P � �� r, / � c F � /"�- : � ry .. d ��, �� .^� "Rr""^ r. >,i � � "� 1 er"�+ ��g � � � ""', � �� ' �6k� &� � � ,/ �� `�` . a n .( � � ` ,� ,. - �a � 4 4 � � � �� F �' � 6 f a _�', &� � �o� � + �-'u � � ^` �' t:;' �. ., � . . . a / � �b' � F�+ A �" F �. � %� ' �' � d` �"D •a '.* � �t ` S � r _1 ,�j � � � d� '�' �r� ° � `�' "`' � �y � ,� t.' /// � jI y r��! F � � � � ` �� _,f'� r, �� _ �°; �i "j��'9� '�. . / ' ' _ " �� . � (Y g ,� , � �- O _-� .E- � .� � 17 Sf. , � �� F � f) !'�-. ,t,/ -� F 'I �� . �—� �..� � F, t �. � ;.��-�� 1 �-. � , � _ �. / 6 c� � -� - `� � � � �� _ �^ �`� ! � ° F ' � .s g,�� r�'�f� �..� _./° �r l — -- . ��„/` l � .l a%� a _. _. �oi F ;� �� , ,� � - G , � � -.L. / .""',�---"_. � � BIIILD]�TG PERMIT FEE SCHEDUt,E ' '` , � � 3EG°rl0ft 2. The Inapector of Buildings shall, before isauing any�permit for the erection of any buildiag or':structure;�qr.for.:any addit3on to auy existing building or structure, or for any alterations or repairs to aay existing building or stsucture, upon application therefore, require the payanent by the applicant..for.such p2rmit of fe�s=to.the amount herein hQlow.set forth.and in the manner herein provided to-wit; �� - . �: 2.1. For anq such germit for the erection of any fire-proof building, othei tha a garage, warehouse, factor�r,:o�r grain eleyator, or for the erection of any fire-proof addition, for similar occupattcy, to any esisting building, shall be at the rate of $1.40 £or each one thausand cubia feet, or fraction thereof, in such cubical contents. �� 2.2 For any. such permit for the erection of any f�re-proof garage, warehouse, faetory or grain elevator, or_�or the erection of any fire•proo� addition, for similar occu�anc�, to any.exiating building ahall be at the raee of $1.25 .for.each one thousand cubi�.feet, clasaified as "fireproof" by Sect�on 502 0€ the, Minneapplia Building.Code. HOIISES � . - - ° 2:3. For any such permit for.the erection of any noa-fireproof building, other than a gara�e, wafeh�bugo,=fa�tory or �rain elevator, or any non-fireproof addition, for similar occupancy, to aay esiating building - permit $1.00 for each one thousand cubic £eet. GARAGES ,.__ 2.4. Far any such permit.for_the erection of any non-fireproof garage, warehouae, factory or �rain elevator, or for the erectiaa of any non-fire-proof additioa, for aimf:lar occupancy, to.any...egisting buildiag or for each auch � buildin� or addition - ninety centa ($0.90) for each one thous.and cubic feet or fraction thereof, in the cubical contents �hereof with the minimum of $4.00. For the purpose of computing feea 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 sis (6) inchea.bel.ow the floor line of t'�e basement or cellar to the average hr��€ght of the upper �urface or to the average height of the roof surface of the main gable of a p�.tched roof. , �,, 2.5. For rc:pair� or �lterations to'an existingrstructure, t'he fee shall be at the rate of $3.00 per.e�Ch Fige Hu�idred Dollars ($Sa0,0a� or fract�on thereof in the cost�of a11 proposed work: � 2.6. In no case ahall Che fee charged for any permit as aet forth in Section 2 be less than $4.00. o . .. .. . . .. :.: �_ _ . STORM REPAIR DAMAGE FEES: Residential; Eetimated Cost of �ork up ta �5C�.00 -$5,00 Est3mAtEt1 Cost of wo�it otiPe�' y�1• j4� � t;� .. �3 L�, �'30 �a Co�ercial; Estj�±�.�ec1'"`ost o£ wa:�% u� �� Yrlii)_ �`�J -$1G'"��0 Estimfite� _„ost of wurk over �5f.��+.U� .. $�i,,�J <<. � � C` c � - SuBJECT �� c�ty of Fridley PERMIT ��h1E TwINS g U I L D 1 N� r � . i �• COMMUNITV DEVELOPMENT DIV. r � �' � PqOTECTIVE INSPECTION SEC. � ,_ �"'1 � CIfY NALI FRIDLE� SS132 NuMBEa pE� �'-"�' �'� 612-571-345Q 910-F15 JOB ADDRESS 5244 Ca itol Street NE t LEGAL LOT N0. 9LOCK TRACT OF AODITION OESCR. 19 7 Carlson Summit Ma 2 PROPERTY OWNER MAIL ADQR�S$ Reinken 3 CONTRACTOR MAIL ADDRESS Vikin Home Im rov. Co. 4832 2 1 2 St NE M 1 a ARCHITECTORDESIGNEFi MAILAODRESS 5 ENGINEER MAIL 8 USE OF BUILDING Residential 7 CLASS OF WOHK p NEy1/ � ADDITION B OESCRIBE WORK Reroof house and �arage (25 Sq)_Tear-off DATH PAGE 0: 10/9/98 / � '281�9 RE EIPT NO. � �� ! APPROVEO 8� SEE ATTACHED SHEET ZIP PMONE 571-3194 ZIP PHONE LICENSE NO 5��-�R�n 4772 21P vPMONE LICENSE NO. 21P PHONE LICENSE NO 0 ALTERATIQN � REPAIR O MOVE O REMOVE 9 CHANGE Of USE FROM STIPULATIONS TO house and �ara�e - Underlayment must comply with the State �uilding Code. Call for building wrap inspection before covering. SEPARATE PERMITS ARE RE�UIRED FOR ELECTRICAL, PLUMBING. HEATING, VENTILATING OR AIR CONOITIONING. THIS PERMIT BECOMES NULL AND VOID IF WORK OFi C(JNSTiiUCTION 20NING AUTHORIZED IS NOT COMMENCED V�!ITHIN 80 OAYS, OR If CONSTRUCTION OR WORK IS SUSPENDEO OR ABANqONEO fOfi A PERIOD OF 120 DAYS A7 � ANV TIME AFTER WORK IS COMMENCED. ' NO. OWLG. UNITS I HEREBY CERTIFY THAT I HAYE REAO AND EXAMIN�O THIS APPGICA710N AND KNOW THE SAME TO BE TqUE AND CO�iRECF. AI.L PROVISIONS OF LAW$ yALUATION AND ORDINANCES GOVERNING THIS TYPE OF WQRK WILL QE COMPUEO WITH WHETMEFi SPECIFIEO MEREIN OR NOT. THE GRANTING OF A PERMIT ]1L�.2, DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE Ofi CAMCEL THE pE{�MIT FEE PROVISIONS Of ANY OTNER STATE OR LOCAL LAW REGULAT�NG CON- STRUCTION OR THE PER ORM CE OF CONSTRUCTION 13] . 2S ��°/G°p�. PLAN CHECK FEE ense S�GNAT REOFCON•AACTOp pauTNOA�ZEDSGE T IOATE� //�) WMEN PRi /iY � _ � e OWNEA��O�NNEpBU4DEp� iDAiEi � DCCUPANCVGROUP OCCUPANCVLOAD SO.FT CU FT OFfSTREET PARKING STA�LS GARAGES SURTA7( 3.57 SAC CMARGE Fire SC 7.14 TOTA�FEE � 1 Z. 6 R ALIDATED TNIS IS VOUR PERMIT !/��/ !/ V q�TE - , NEW [ ] ADDN [ ] ALTER [ ] CITY OF FRIDLEY SINGLE FANIILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION ConstructionAddress: � y Legal Description: Owner N Contract� Address: � �� L �� Effective 1/1/98 � � �� .� iu� Tel. # � ��' ��Y� MN LICENSE # � % 7 � Tel. # � g� � Z � � Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. LNING AREA: Length DESCRIPTION OF IlVIPROVEMENT Width Height Sq. Ft. GARAGE AREA: Length Width Height Sq. Ft. DECK AREA: Length Width HgdGround 5q. Ft. -t � Iz y�- �� J . � OTHER: I/luv � S� �( �v d d H'�a�'e� C� r/f- � l/�i �, — ��' Construction Type: /C�/f�`' � ° � � Estimated Cost: $ � � `{ Z % / � � Z (Fee Schedule on Back) Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x$ _$ Tel. # � 2 "�a � DATE: Q � APPLICANT: �� CITY USE 4NLY Permit Fee $ % 3 7 l5 Fee Schedule on Reverse Side Fire Surcharge $ , l .001 of Permit Valuation (1/lOth%) State Surcharge $ 3. s% $.50/$1,000 Valuation SAC Charge $ $1� per SAC Unit License Surcharge Driveway Escrow Erosion Control $ s', o a $ $ $5.00 (State Licensed Residential Contractors) Alt. "A" or Alt. "B" Above $450.00 Conservation Plan Review Park Fee $ Fee Determined by Engineering Sewer Main Chazge $ AgreemenY Necessary [] Not Necessary [] TOTAL $ � S Z- 9� STIPULATIONS: BUII.DING PERMIT FEE SCHEDULE The Chief Building O�cial 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 $1�,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 fust $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 $15.75. VERIFICATION OF FOUNDATION Permits for construction will be issued a minimum of 24 hours from the time of application to allow for proper review of the proposed structure and of the construction site. - A Certificate of Survey of the lot, showing the location of the foundation once it has it has been constructed will be required before proceeding with the framing. — . - 5U6JCG7 � ---- . . . _ City of Fridley 3 0 6 6 9 AT THE TOP OF THE TW�NS � � I L D i N� P E R M I T � o. i �` ��_ COMMUNITY DEVELOPMENT D1V. � � V � PROTECTIVE INSPECTION SEC. j i � � _ �""1 � CITY NALL FRIDLE� SS432 NUM9EP REV O�TE PAGE O� �pvrtOVEO Br �""�' �'' 612-571-3450 910-F15 2/18/00 / / �oe nooaess 5244 Capitol Street NE 1 LEGAL �OT NO. BLOCK Ti±ACT OR AODITION SEE ATTACMED DESCR. ].9 7 Carlson` s Summit Manor South Addn SHEET 2 PROPERTY OWNER MAIL AODR�S$ ZIP PHONE Lisa Reinken 5244 Capitol Street NE 571-3194 3 CONTRACTOR MAIL ADDRESS 21P PHONE UCENSE NO Osborne Enterprises 5869 Hackmann Ave NE, Fridley, MN 55432 502-6765 4 ARCNITECT OR DESIGNER MAIL ADDRESS ZIP PHONE IICENSE NO 20169386 5 ENGINEER MAII ADDFESS 21P PMONE UCENSE NO B USE OF BUILDING Residential 7 CLASS OF WORK O NEW 6 DESCRIBE WORK Remove 9 CHANGE OF USE FROM ❑ ADDITION O ALTERATION �] FiEPAIR ❑ MOVE O REMOVE and replace with vapor barrier and drywall on basement wall TO STIPULATIONS Provide smoke detectors in all sleeping xooms and on all levels of the dwelling per Section 310.9.1.2 of the 1997 Uniform Building Code. TYPE OF CONST. SEPARATE PERMITS ANE REOUIRED FOR ELECTFICAL, PLUMBING, HEATING. VENTILATING OR AIR CONOITIONING. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING AUTMORIZED IS NOT COMMENCED V�1ITHIN 80 DAYS. OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONEO POR A PER100 OP 120 DAYS AT ANY TIME AFTEA WOi;K IS COMMENCEO NO. DWLG. UNITS I HEREBY CERTIFV THAT I MAVE REAO ANO EXAMINED THIS APPLICA710N 1 AND KNOW THE SAME TO 8E TRUE ANO CORRECT. ALL PROVISIONS OF LAWS VALUATION ANO ORDINANCES GOVERNING TMIS TYPE OF WpRK WI�� BE COMPLIED WITM WHETHER SPECIFIED HEREIN OR NOT. TNE GRANTING OF A PERMIT �1 fSOO DOES N07 PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE pEqMIT FEE ROVISIONS OF ANY OTMER STATE OR LOCAL LAW REGULATING CON• CTION OR Tf'� PERfOfiMANCE OF C STRUCTION �S�F.00 `� � PLAN CHECK fEE p� � Licens S S�GN4TUpE OF CON'RACTOA OA AUTMOpIjED AGENT IOATEi NEN RI S�GNaiUAE O� OWNEAi�% pWNEp BWLDERi iOAfEi � OCCUPA SO. FT STALLS $5.09' ;Y GROUP OCCUPANCV LOAD CU fT. OPFSTREET PARKING GARAGES SURTAX $.75 SAC CNAFGE Fir �SG $1.50 TOTA FEE 61.25 j a o is i�v'� a� G f�6TF �� N� � � Effective 1/1/2000 ADDN � CITY OF FRIDLEY (763) 572-3604 Bldg Insp ALTER SINGLE FAMILY AND DUPLEXES R-1 AND R-Z BUILDING PERMIT APPLICATION Construction Address: �� a � r��' � ��c a `° �� l Legal Description: Owner Name & Address: < r S �c r C'_ � � � e �c �� r C� Tel. # � � �-� � /�� 9 � Contractor. �✓S S��' � e �� `� �� <" P� e� MN UCENSE # a i� � 6�i�� 6 Address: , �'g6 � �Q c � ��r � � �J e �� Tel. # Q % �t � �%� �` c� r � ,�C� 02 �- 6 � �'S p�'-F'P e -P Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF IMPROVEMENT LNING AREA: Length Width Height Sq. Ft GARAGE AREA: Length Width _ DECK AREA: Length Width _ OTHER: ,l%i�� w�� f_ ��r,o o- 1��`Yr o•_ � � � Height Sq. Ft HgUGround Sq. Ft � : +: e � l�� fr� �r�; H'f �iCf-P 1�re� /l � . . . ` . ' • o0 Construction Type: Estimated Cost: $ � lSUO � Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x$ _$ DATE: � � � � �� APPLICANT: � L� 1/R (..� Tel. # � ��" �� `' �%O � CITY USE ONLY - Call (763) 572-3604 for Permit Fees if mailing tn application Permit Fee $ �'7'- 4d Fee Schedule on Reverse Side Fire Surcharge $ % S� .001 of Permit Valuation (1/10th%) State Surcharge $ • %S� $.50/$1,000 Valuation SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee $ $1100 per SAC Unit � $ S F C� $5.00 (State Licensed Residential Contractors) $, $ $. Alt. "A" or Alt. "B" Above $450.00 Conservation Plan Review Fee Determined by Engineering Sewer Main Charge $ Agreement Necessary [] Not Necessary [] TOTAL STIPULATIONS: �� 1� �S" BUILDING PERMIT FEE SCHEDULE 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 aiteration or repair to any existing building or structure, upon application therefore, require the payment by the applicant for such below set forth and in the manner herein provided to-wit: ��t of fees to the amount herein TOTAL VALUE $1 to $500 $501 to S2,OQ0 $2,001 to $25,Q� $25,001 to $50,000 $50,001 to $100,000 $100,001 to $500,000 $5(�,0(?1 to $1,000,000 $1,000,001 and up FEES $23.50 $23 .50 for first $500 plus $3 .OS for each additional $1 � or fraction thereof, to and including $2,000 $69.25 for first $2,000 plus $14.00 for each additional $1,000 or fraction thereof, to and including $25,000 $391.25 for first $25,Q00 plus $10.10 for each additional $1,000 or fraction thereof, to and including $50,000 $643.75 for first $50,000 plus $7.00 for each additional $1,� or fraction thereof, to and including $100,000 $993.75 for first $100,000 plus $5.60 for each additional $1,�0 or fraction thereof, to and including $500,000 $3,233.75 for the first $500,000 plus $4.75 for each additional $1,000 or fraction thereof, to and including $1,000,000 $5,608.75 for the first $1,000,000 plus $3.15 for each additional $1,� 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 $23.25. VERIFICATION OF FOUNDATION Permits for construction will be issued a minimum of 24 hours from the time of application to allow for proper review of the proposed structure and of the construction site. A Certificate of Survey of the lot, showing the location of the foundation once it has it has been constructed will be required before proceeding with the framing. New Houses Onlv , sue�etr . MIT NO. ° City of Fridle� 3 2 6 9 9 AT THE TOP OF THE TW�NS � u� L D I N G P E R M I T � � IPT NO. i �• COMMUNITY DEYELOPIIMENT OIV. � v PROTECTIVE INSPECTION SEC. � , _"_ r � c j � i RBV - DATfi PAGE OF AVPROVEO BY _ �"'1 � CI?Y NALL FRIDLEY SS�32 NuMeEP �""�' �'' 612-571-3460 910-F15 6/14/02 / / JOB ADDRESS 5244 Capitol Street NE • t LEGAL �OT NO. BLOCK TfiACT OR ADDITION SEE ATTACHED oescR. 10 7 Carlson's Summit Manor South Addn SMEET 2 PROPERTY OWNER MAIL ADOR�S$ Z�P PHONE Lisa Reinken 5244 Capitol Street NE 763-571-3194 3 CONTRACTOR MAILADDRESS 21P PHONE LICENSENO Osborne Enterprises 5869 Hackmann Ave NE, Fridley, MN 55432 763-502-6765 a AfiCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 20169386 5 ENGINEER MIAII ADDRESS ZIP PMONE LICENSE NO 8 USE OF BUILDING Residential 7 CLASS OF WORK � NEW �] ADDITION ❑ ALTERATION O HEPAIR ❑ MOVE � O REMOVE 8 OESCRIBE WOfiK Construct a 10' x 12' Deck; Remove ex�sting deck 9 CHANQE OF USE FROM STIPULATIONS See notations on plan. SEP�� "� �� REaUIRED �ORo WIRING, HEATING �LUM9�I�G �� . TO ARiVINC; ��for� digging cali for all utility locati�n� 454D002 �E�� LAVI�' SEPARATE PERMITS ARE RE�UIREO FOR ELECTRICAL, PLUMBING. HEATIN(i, �'r� v� vv•�. VENTILATING OR AIR CONDITIONING. TMIS PEiiMIT BECOMES NULL AND VOIO IF WORK Oq CONSTRUCTION ZONING AUTHORIZEO IS NOT COMMENCED Y�(ITMIN 60 OAYS, OR IF CON�TRUCTION OR WORK IS SUSPENOED OR ABANqONEO FOR A PERIO,O OF 120 DAYS A7 � ANY TIME AFTER WORK IS COMMENCED. ' NO. DWLG. UN I HEREBY CERTIFV THAT I MAYE READ ANO EXAMIN�D THIS APPLICATION 1 AND KNOW TME SAME TO BE TqUE AND CORR�Ci. ALL PROVISION$ Cf LAW$ yALUATION AND ORDINANCES GOVERNING THIS TYPE OF WQRK WILL 6E COMPLIEp 1 38O WITH WMETMER SPECIFIED MEREIN Oii NOT. TNE GRANTING OF A PERMIT � a DOES NOT PRESUME TO GIVE AUTMORITY TO VIOLATE OR CANCEL THE pEqMITfEE PROVISIONS OP ANY OTHER STATE OR LOCAL LAW REGULATING CON- STRUCTION OR HE PERFOFiMANC OF CONSTRUCTION �SO.9S �` �j PLAN CHECK FE � b°°l �[ °'Q� Licens SIGNATUpEO�CON'AACTOpOAAUTMOR�ZEDAGENT IDeTEi N �� S�GN4TUAE O� OWNEA�� OWNEA BU�IOEA� ib�iE� , BL �N �, a PANCV GROUP OCCUPANCV LOAD f CU. FT. S7ALLS $5. OFFSTflEET PARKING IGARAGES ' $.69 SAC CMARGE Fire SG $1.38 TOTALFEE $5 .02 )AT D IS IS V R PERMIT , -,��.GZ NEW ADDN ALT'ER CITY OF FRIOLEY Effective 1/1/2002 �] 6431 Universiiy Ave NE, Fridley, MN 55432 (763) 572�604 Bldg Insp [] SINGLE FAM11.Y AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION Construction Address: -�� Legal Description: Owner Name 8� Address: � ` e I S�� /l/C re�. # h�3°-3"?1-�l q �/ MN ucErvsE# aC� � 6��8�� Te�. # i�3 :��" � 76',S Attach to this application, a Certficate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF IMPROVEMENT LNING AREA: Length Width Height Sq. Ft GARAGE AREA: Length Width Height Sq. Ft OECK AREA: Length �_ Width f�/ HgUGround � Sq. Ft 0� OTHER: Constnaction T e: �(e�+o v� �� IG�� e e� Estimated Cost: $ ��°�� Y� Driveway Curb Cut Width Needed: Ft + 6 Ft = Ft x$ _$ DATE: °� I�°' �� APPLICANT: �� Tel. # 6��''o?�" C�J� y% Call (763) 572-3604 fo� Permit Fees if mailing in application or Fa�c to 763-571-128'7 if using credit card and we will call you for card number. CITY USE ONLY - PeRnit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee Sewer Main Charge TOTAL $ $ , $ $ $ �'� � - $ $ $ $ :��. fi �`� 111��1171%� ,�� e �' �/' ► , Fee Schedule on Reverse Side .001 of Permit Valuation (1/10th%) $.50/$1.000 Valuation $1200 per SAC Unit $5.00 (State Licensed Residentiai Contractors) Alt. "A" or Alt. "B" Above $450.00 Conservation Plan Review Fee Determined by �Engineering Agreement Necessary [ ] Not Necessary [ ] . � STIPULATIONS: BUII..DING PERMIT FEE SCAEDULE 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 a.ny 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 $5(� $501 to $2,000 $2,001 to $25,000 $25,(�l to $50,0� $50,001 to $100,Q00 $1�,001 to $500,000 $500,�1 to $1,000,0� $1,000,001 ancl up FEES $23.50 $23.50 for first $500 plus $3.05 for each additional $100 or fraction thereof, to and including $2,000 $69.25 for first $2,000 plus $14.00 for each additional $1,000 or fraction thereof, to and including $25,000 $391.25 for first $25,000 plus $10.10 for each additional $1,0� or fraction thereof, to and including $50,000 $643.75 for first $50,000 plus $7.00 for each additional $1, 000 or fraction thereof, to and including $100,000 $993.75 for first $1�,000 plus $5.60 for each additional $1,(100 or fraction thereof, to and including $SQ0,000 $3,233.75 for the first $5�,000 plus $4.75 for each additional $1,000 or fraction thereof, to and including $1,000,000 $5,608.75 for the iust $1,000,000 plus $3.15 for each additional $1, 000 or fraction thereof DRIVEWAY DEPRESSION ESCROW (Concrete Curb Streets Only) Removal and replacement of curb and gutter only - Driveway width plus 6 feet"times $17.00. VERIFICATION OF FOUNDATION Permits for construction will be issued a minimum of 24 hours from the time of applica.tion to allow for proper review of the proposed structure and of the construction site. A Certificate of Survey of the lot, showing the loca.tion of the foundation once it has it has been constructed will be required before proceeding with the framing. New Houses Onlv n , SuB�ECT City of Fridley PERMIT 33412 AT THE TOP OF TME TW�NS g U I L D I N G r • � �` .�� COMMUNITY DEVELOPMENT OIV. � { `� � V � PFOTECTIVE INSPECTION SEC. �f�� r , , � 1 �'�'1 � CITY HALI FRIOLEr SS�32 NUTABER REV DATE PAGE OF APPROVED BY �----� � �'' 763-571-3450 9t0-Ft5 4�8�03 � / JOB ADDRESS 5244 Capitol Street NE t tEGAL �OT N0. BLOCK TRACT OR ADDITION SEE ATTACNED oescR. 19 7 Carlson's Summit Manor South Addition SFIEET 2 PROPERTY OWNER MAIL AODRESS 21P PHONE Lisa Reinken 5244 Capitol Street NE 763-571-3194 3 CONTRACTOH MAILADDRESS ZIP PHONE LICENSENO Custom Remodelers Inc 474 Apol�.o Drive, Lino Lakes, MN 55014 651-784-2646 4 ARCHITECT OR OESIGNER MAIL ADORESS ZIP PHONE LICENSE NO 1748 ENGINEER MAIL AODRESS 8 USE OF BUIIDING Residential 7 CLASS OF WORK ❑ NEW O ADDITION � ALTERATION _❑ REPAIR X 8 DESCRIBE WORK Revlace two windows within exis�ting openings and trim 9 CHANOE OF USE FROM TO PHONE LICENSE NO O MOVE � REMOVE STIPULATIONS Provide smoke detectors in all sleeping rooms and on all leve�s of the dwelling per Section 310.9.1.2 of the 1997 Uniform Building Code. Caulk and flash all exterior openings. �;�s 2 , � � .. ,. � � � � , tl; 'i;: �" I ';.� , . �„ .: s , . � fi .� � � ; I :� � c�� , � , xr � rt �� ;� TYPE OF CONST. SEPARATE PERMITS ARE RE�UIRED FOR ELECTRICAL. PLUMBING, HEATING, VENT�LATING OR AIR CONOITIONING THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION 20NING AUTHORIZED IS NOT COMMENCED WITHIN 80 DAYS, OH IF CONSTf1UCTION OR WORK IS SUSPENDED OR ABANOONEO FOR A PERIOD OF 120 DAVS AT ANY TIME AFTER WORK IS COMMENCED NO DWLG. UNITS I MEREBY CERTIFY THAT I MAVE iiEAD AND EXAMINEO THIS APPLICATION 1 AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS VALUATION ANO ORDINANCES GOVERNING THIS TVPE OF WOFK WIIL BE COMPLIE� WITH WHE7HER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT �2�372 DOES NOT PRESUME TO GIVE AUTMORITY TO VIOLATE OR CANCEL TME pEqMIT.FEE PROVISIONS Of ANY OTNER STATE OR LOCAL LAW REGUTATING CON• �8,3 � 25 STRUCTION OR THE PERfORMANCE Of CONSTfiUCTION PLAN CNEC�K FE1..E Lice�se aC S�GNATUAE OF CON'AACTOA Op vUTHOAlIEO AGEN1 iOATE� iDATE� S�. STAI,LS $5 OCCUPANCVLOAO CU ' PARKING GARAGES �1.1$ SAC CNARGE Fire SC $2.37 T TAL FEE $91.80 D TMIS IS YQ R PEFMIT ryt NEW ADDN ALTER Ll [l [l ConstructionAddress: g Lega1 Description: Owner Name & Address: Contractor• Address: CITY OF FRIDLEY SINGLE FAMII.Y AND DUPLEXES R-1 AND R 2 BUILDING PERMIT APPLICATION a, ,;� _ �.1►°I �.�� ' �l��" ' , � . ��+ .= �.. �.1'�i� Effective 1/1/99 Tel. # '%��J°'�� c� � � �� MN LICENSE # � % �"E' �" �9 ,- I /�'1_'�.h [� I Tel. # j� ��C°`7 �� d�'�e� • � Attach to this application, a Certificate of Survey of tlie , lot, with the proposed construction drawn on it to scale. DESCRIPTION OF IlVIPROVEMENT LIVING AREA: Length Width Height Sq. Ft. GARAGE AREA: Length Width Height Sq. Ft. DECK AREA• Length Width Hgt/Ground Sq. Ft. . - `...-8,�...:.-�•.,..e,, . .. . .. � • ,.. .. _. 01 ilLR: _ V; . __. _ °. � � tJ ld' Construction Type� �.��a� Cost: $ � . ,- . � . - (Fee Schedule on Back) , . .. Drive�vay Curb Cut Width Needed: ' � Ft. + 6 Ft = - Ft � x , $ � ' � _ $ * � � J �, �� .� �� APPLICANT: . Tel. # �j �� 7 `� � DATE• � 0 Permit Fee Fire Surcharge State Surcharge SAC Charge . License Surcharge Driveway Escrow Erosion Control Park Fee W �!� o�� $ o '� 7 $ a � $ _ ___ $ b� 0� $ $ $ Sewer Main Chazge $ - T-0��4I. - STIPULATIONS: �� • i CITY USE ONLY Fee Schedule on Reverse Side .001 of Permit 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 Necessazy [ ] Not Necessary [ ] R o �