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AF - 38567BUII�DING PERMIT Village of Fridley, Minn. N� 2 5�� Date ,��. ��.".".'...'�.�'.� . .. .... .. .. .. .. .. .. .. . Owner +�. j.-:Y`�..r�C��1ff..�.!�Q� Builder .,�:�'".'�:'�'�:�'#-:� :..................... Address ��.f�xl• . . :�"�'L ��?s. : �. . �K':f�cJ. .�.P�% Address . . . . . . . . . : �:�". .: . . . . . . . . . . . . . . . . . . . . . . . . . . � � LOCATION OF BUILDING w ,�"� ' No. �,,,��.' � • . . . Street �-�. .�Ws��'.r�.: f�'�C.G.� �r�:"�. . . . . . . . Part of Lot . . . . . . . . . . . . . . . . . . . . . . . Lot . . . . . �-.'�.. . .. . Block . . . . . �!. . . . . . . . Addition or Sub-Division �� .sFi. ,�:��,xC .��:�!��'� h , w �, Corner Lot .. . .. .. .. . . . Inside Lot . .+�-°. . . .. . . . Setback �!�'. Sideyard 1%�. .:!'� �'!� .. . . . . . . . . . . . DES�CR[PT[ON OF BUILDING To be Used as: l r . . . �� . . . Front ��. . . Depth . �.� . . fieight �.t.�!. . . Sq. Ft. .�.� � Cu. Ft. . . . . . . . . .................... Front ........ Depth ........ Height ......... Sq. Ft. ........ Cu. Ft. ........ Type of Construction .��':+i��rt.�? . Est Cost�,it�,�', � �? 4� . . . . . . . . . . . . . To be Completed . .�i '.'��"�.� . In consideratidn of the issuance to me of a permit to construct the building described above, I agree to do the proposed work in accordance with the description above set forth and in compliance with all provisions of ordinances of the village of �'ridley. ................................................... �con ideration of the payment of a fee of $. .,�:'.Zr, ., permit is hereby granted to ��:-:�i�. .�� .... . ,,,.�b7construct the building or addition as described above. This permit is grantetl upon the express condition that the person to whom it is granted and his agents, employees and worlunen, in all work done in, around and upon said builcling, or any part thereof, shall conform in all respect5 to the ordinances of �'ridley, Minnesot�. regarding location, construction, alteration, maintenance, repair and moving of buildings with- in the village limfts and th4s �ermit may be revoked at any time�u,pon yiolat� f any of the provisions of said ordinances. ,�/ i � N , �;1��,,�. �. .�. .4!r'�-��/ . Building Inspector NOTICE: This permit does nbt cover the construc4ion, installation or alteration for wiring, plumbing, gas heating, sewer or water. Be sure to see the Building Inspeotor for separate permits for these items. � � �: City of Fridley, Minn- BUILDING PERMIT � Date: "'- � I- owaer: suilaer a �� Atitiresa Addrese I� ,� a�� T° '7225 �� LOCA'�IO�I�F UILDING No. Street �' p af �t Lot _� .._ Block Addition or Sub-Di on � o Coraer Lot _ Inaide Lot ._._. ��' Setback � Sideyard Sewer IIevati�n � .._ F da.tion IIevation DESCRIPTION OF BUILDING To U FYont Depth .�� Height ,�.� S�l• F� �S! s�--� Cu. Ft Fro Depth eight � Sq. FL Cu. F't. 7.j►pe of Conatruct[on � F�t.� �± To be Completed In cansdderatton oP the �tssuaace to me of a permft to construct the buildiug described above I agree to do th� proposed work in accordance with the description above set Porth aad in cbnnpliance with e'11 provls�ttons oP ordinances oP the dty oE Fridley. � ��y�. � d�J �.c--� � In consfderatfon of the payment oP a fee of �_� , permft fs hereby granted to to canstruct the building or addilion as described above. This �ermit is granted nPon the express condition that theperson to whom ft is granted and his agents, employees and worl�en, fa all work done in, around and upon said building, or any thereof, shall o�nform in all respecta to the or8inanc�e of on Fridley, Minnesota regarding location, constru on, altera.tion� maiatenance, repair and moviug of bufldinb's within the dty Ifmits and tbis perrmit may be revoked at any ti�ne upon violal3on oY any of the P�� of said OPt19naII�. /°� � �� 8U11�1� IaBj�C�Or NOTiCEs TI� psnaH doa ao1 eo�rar f6s eemtrueN�, lesfaqadoe �er �riAeg. pbmhtee, eu hadna, awa ee waler. 8� surs to ae� Nn BoiWiug lesp�eter for aparMa p�rmtb fer fh�a hems. r. � . .. � APPI;ICATION FOR BUILDING PERM�T � � . . . � CI'tY,OF FRYDLEY, MINNE�SOTA ' - OWNER' S N _ � � _ �,,��,.�BUILDER . . - . . _, ADD�tESS � �� C��.�_� . �? f � ADDRE59 �-��'� � ` _ '- • : :, ° ,. LOCA1'ION OF`BUILDING No. �` 'Street Part of Lot Lot ��Biock ` ° ` Addition or Subdivisioan,�� ,�, • �'I� ' �. � " . . � Corner Lof��Inside Lot �� Setback � Side Yarcl - SEWER �LEVATION FOtINDATION ELE9ATION Applieant:attach ts�:;tbia fQrm Two Gertificates af Surveq of LQt and proposed build- ing 1o�ation drawn. ari�; theae �Certificet�� : : . • . . , ` � - , � � • . � • , >,. , :�a:: . :�, ,: , : • . � .. ?,. . ... DESCRIPTION OF BUiLDING , _ To be used as: ., , . e �.��. c�+,� �_Front Depth �, .� Height �-�C�� _ - Sq: Ft:��.� � Cu. Ft. �: � _ , . FronC ' °' � Depth - . fleight � ' �- ,. ;.,� . ..: .. ' S�q. .Ft ; ' .. , � _. � . Cu . ' Ft:.� - ° . � � .� ,;. . � . , Type of Con�Cruction ��,,,� , ' � � Estim�ted ;-.Gbst `� , � �� To be Completed - , , . - „� . �_ � , - . . .' . . .. � .. . , .. .. _.J . . � . . ' f . � , . . � �. � � � � _ .f. � . '' � � ... � . ,. • • . •_ , ' . - " .. . . .,... .{°"-. . . The undersigned hereby makes application for�a'�permit for the work herein apecified, agreeing to do all work in strict accor�anca with the C#�ty �o�. Fridley� Or-dinane'es. and rulings ef rhe Department of Buildinga, and hereby declarea that all�ehe facts' aad representations stated in this applicatioa ase true and correct. ,, .� ✓1:�.� �(Schedule of Fee Costs can be found oa the Reverse Side). �6 - �...� v , . � n :,� �' a • a B�D� PER�'iT FEE SCHEDULE Sectiou 2. The Inspector�of Buildings shall, before iesuiag aay pereiit for the e�on �� aay building or atructure, or for any addi�ion to any exist- ing �u��,ding or structure,.or for any alterations or repaixa to auy esisting building or etructure, upoa application therefor, require the payment by the 8PP13�ant for such permit of feea tv the amount hereia below set forth and ia the �n�su�es herein pravided Co-wiC: Z_ 1• �Qg aay such permit for the erection of anq fire-proof building, other than` a �a��e, �arehouse, facto aay fireaproof addition,. for sim lar oc�upa�y 8tor8ny existing building of ehall be at ehe rate of $�.40 for each one thousand cubic feet, or fraction thereof, $a such cubical contenta.. 2_2_ For any such permit for the erectioa of aay fire-proof gerage� warehous factory. or grain elevator, or for the erection of any fire-pr,�of addit,ion, � � for eimilar accupancy, to any exi8tiag buildi for each one thousand cubic feet, classified a�,s Sf�reprooft byeSection 502�oiE the Mintieapoli�.Buildiag Code. HO---U3ES ,_�.3. For �ny,such permit for the erection of any aon-fireprcof buildiug other .thaa a.garage, warehouse, factory or grain elevaCor, or aay aon-firegroof addition, for similar occupancy, to an exiat3a buildin eacb one thousand cubic feet. y � �" pe�t +�1•� for GARAGES �. 2•4• For any such perm�it for the erectioa o€ aay non_fireprvof gara e warehouse, factory or grain elevator, or for Che erection of any non-fir�roaf B�iO�'-��B�milBr oc�uP�cy, to any existing building or for each such -�--='�ui1d�ia8 or addition - niaetq cents ($0.90) for each one thou�and cubic feet or fraetion thereo€, in the cubical contents thereof with a minimum of $4.0p.. For the purpose of camputiag fees for buildin of any building or additioa to a uaiform hei htpthrrou8houtebc�� coate�sts ground area covered from a � � y p�y►ing the poinC si� (6) iaches below the floor line of the basemeat or cellar to the average height of the upper aurface or to the average height of the r�of surface of the mai�i�gable of a p�,tched roof. 2� ?_ For repairs or aj,ter$t3oas to aa exi�tiag structu�re, the fee shall be at the rate of $3.00 per each Five Huadred Do11a�8 �$SOa.@0) or fractioa thereof in the cost of all propoeed work. 2•6. In no case shall the fe�_.c}iarg�:,�r-.�yp �� Bet for -��on 2 be 1ess.th a a $ 4. 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V � Jz � � � � z � � � o` � � w � b O � � � � �i w � A �' �a � � � � z � d � � � 8, 8 8 8 �«�'�' � ��_: : _� � : : � � : �:� � : � M �+ � � � �M �V� W V� �� x �� '�' � � � o 0 N � � � � z�� G� f� 8 :� :� :w . � � � � � � �m � M � � �� O � � � � � � a N H 8 0 8 � �s N � :. � � " �� • W . . • � � ; . a � : � ��' s a � � � o, 0 � M � � � �. � � � � v 8� � � � w -,...� ` � ��g �� c�� V � � � � � � � � � , �� O �G �� \ 1 � � � _� City of Fridley, ��nn- 6431 Univereity Ave. N, E., Minneapolis, Minn. 55432 BUILDING PERMIT �� September 5, 1972 �: Kenneth G. Wilkerson B�d� Same �_ 50$4 Clearview St. Address Same G Z ��/ 1164 LOCATIOiV OF BUILDING No �� Street - Clea7cview Part of Lot Lot 22 Slock - 6 Addition or Sub-Division Carlson�s Su�n.i.t South Corner Lot Inside Lot Setback Sideyard .._. �� '�� ' Foundation IIevatiott DESCRIPTION OF BUILDING To be vsed as: . R�.S id3.ga�_ Front Depth Height _._._ Sq. Ft ` Cu. Ft Front Depth Heip,ht Sq. F't. Cu. Ft. � Type of Camstruction Steel �, ��_ �1, 000. To be Completed 1-1-73 Ia consideration oP the 3ssuance to me o# a perrnit to construct the building des bed above, I agree to do �1se proPosed work in accordance with the descsiption above ��forfih aad � c�mpli�ce with all proviaions oE Ordinances of the cYty of Fridley. // n • In cunsiderat3on of the payment of a fee of � 6. e0 � permit 3s hereby granied to Renneth G_ Wil.kerson to construct the buildfng or addition as described above. This permit is granted the express condition that the person to whom it is granted and his agents, employees and workmen, in a11 wo�rk $One in, around and upon said building, or any part thereoi, shall conform in all respects •to the ordinances pF Fr3dley, Minnesota. regarding location, construction, siteration, maintenance, repair and moving of buildiIIg� �� dty ]imits and this permit may be revoked at any time upon violatioa of any of th� provisions oE saitd CLARENCE BELISLE �� \� NOTICE: 'fhis pennit does po� eover fhe eonstruction, installation fo� w'ving, plum6ins, gas heafieg� aewe� or water, Be mn to sas t6s Bufldfng 1aspacta� for aeparate permih for theae hems. , AP.P�ICATIO� FOR RESIDENTIAL, A�T��ATION, OR Allll��IO� BUILD�NG P��NjIT CITY OF FRIALEY, MINN�SOTA ow� � s � _ �N�✓�rN � � �,��✓se�BDILDIIt : �� .�- - .� .�.� ADDR�SS s J~Q d� �.`L �Ar@�/E /� ADDRESS • �VO : STREET : �� %� v� � � � : � BLOCK : f� ADDITION s < iY%�PL .�ON � r J�-u-u�-�l CORNER LOT: INSIDE LOT: SETBACR: SIDEX�Ag ��.� �pplicaat attach to this form �o Certificates of Survev of Lot and pro��ad building location drawa an theae Certificatea. HESCRIPTION OF BUILDING To �e Uaed As; �s/i� � � Front: Depth: Height: Square Feet: Cubic Feet• ' Front: Depth: Height: Square Feet; Cubic Feet: '�►pe of Conatruction: ��''� c L— Eatimated Coet: $�� \ � ae+ene�swaa To ae Campleted: �l�/✓ �, f''/ % � � The undersigaed hereby makes applicativn for a pes�nit for ti�e .wc�7ck '�e�+��1 $pec��i,ed, agreeing to do all work in attict accordance with the Ci� p� F��,d1ey► Osdinauces and ruliugs of the Depar4ment of Buildiags, and '�e#�eb� de�l��es that all the facts and representatioas etated in this app��,g��,� a�re tsve and correct. /J e A�:a.+4i � / r/ ►7iVl�fiu,•�.: �1/• ' """ "� � (Se� �ieveree Side For AdditioaaY Info ion.) �, ��' �- *� 1 ' �:'_� Y� 0 : r� .__ .. _ . . , �> - ,, �°1 � - �� _ +. `�-, �� d ' A , � " ��_1 �� _'�' ...;. $UILD�NG PERMIT FEE SCHEDi1LE SECT�ON 2. The Inspector of Buildings shall, before issuing permit� fox the exection of any building or structure, or for any addition �o any existi.n� bui�.ding or structure, or for any alteration or repairs ta any ex�.sti.ng building ox str�cture, upon application therefore, require the payme�� b,y �h� appl�.caat for such permit of fees to the amount herein below aet fo�t� aRd i.tR the manner herein prwided to-wit: ANIFORM BUILDING CODE: Type 1, 2� 4-$2.15 for each one thousaad cub�,c £eet, or fraction thereof, ia auch cubical contents. 1j►pe 3� 5-$�.�5 �4r each one thousand cubic feet. ADDITIONAL INFORMATION t - For the purpoae of computing fees for buildiag permits, the cubical contents of any buildi�g or additioa, ie determined by �ltiplyiag the ground area -- povered fsom a point aix (6) inches below the floor line of the baseatient `°� or the cellar to the avesa�e heights of the upper surface or to the average� height of the roof surface of the main gable of a pitched.roof. �'or repaire or alterations to an exieting structure, the fee shall be at the rate of $3.00 per each five huadred dollars ($500.00) or fraction thereof in the cost of all propoeed work. Is� ao case shall the fee charged for any permit ae set forth in Sec�iatt 2 be� ---_ _- lase thaa $S.OQ. VFRIFICATION OF FOUNDATION �TpT�; Permits for eonatruction will be iseued a mini�um of 24 houxs fxaqn th� �it�e of application, to allow for psoper review of the proposed structu�ce at1d o� the conatruction aite. �y A Ce�ctified Survey of the lot, ehawing the location of the fouadat�,o��, q��e+ i� ha, been canstsvcted, will be required befo�e proceeding with the f�amia�. CERTIFICATE OF OCCUPANCY Application for a Certificate.of Occupaacy ehall be made ten (10) daps px�.A� tc� the use or occupancy of any structure for which a building permit k�a� b�� iseued; and said etructure ehall not be used or occup�ed until a Certific�t� o� Occupancy has been issued. , . � � `` 1 .,�, � . ' •u r 'G 1 U i• w ' F �� W , ►r y ^ r ; , x�.� . . a a ; h . L •• A . MUrr a. d �i !: - u �c: M✓"E . . , " �C "� � � V j v oi �O II • . � • � V � � t t9 �. �„� ( � • , � � � i -Fj C u '[t q v� a n b p ' . � � � u ':1 @D � •G � ti • '�P � a ,�3 �y Fi � a � � q •� A Q . c�� ii�i x p N d v `4 0 o r r�i . � � �= � . 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X f� �� 10 i i � Sy'7 I � . � � � ^ � � o � . • ' ��q ►� I7NYD � � x • '� � � • � �"� � ! . . } � w �' � w ; 0 . . 1 o a ��.:��, � � t, - : r-1 tt� O � r-I � � � � � tMn • i j otr.v rl g • • • � • • • • • • G 1,/� • • • I • ,s •, • • � ' � -� TNISY9 (� � • � s �o • • + • • • i• �i ° . I1 • � � . �' ^ M�lY1 � � • • • • • • • • : • � � • s '� •. '� • • •� i � � SM�YbO �a' ' . s • • • • • • o • O • _ � 'P� ^� • • • • � • • • ! � • sOql� O • o v . . . . 00 . . . . . ., �� .r,nv,z Q-° . . . . •. . . . • a . � , . . g Lo . . • � '' • �-. a..J . � . 90 8 "� . . . �. • n� � •L.noa � . c . � . • . . ° . • � •� �i . . � � • 1 � � •�ra�bJ �� N � y , C a . T1 • • • • � 41 � iww� i� ta . � w � '� b � O � ' a � . �� MYM A � a •� 'Q � , C � : � � � , � � � � � s�,us p_ � .. S. H • � � � ta a :: � ; �, a w N yN� o .� '. � s++itv+ � Q ' � X ; „ A � � `,0�1j � Mi a W o ' � te� ;� F' '� K � � o y w ie a � a :� . wv� � r� � � g d Y. q .. U.4 V � a ,� ��. i � 3 M � � � f �'+ � �y :i ��tin t� i p � v n " �, Y " " '� � �Y O � H <'i � r U � � {� H "'� '� (7 � ��rrarr� � p . p �• ..S � r�.`iw � � � . �s� � � 1 � � � � ' � q�.tol $, ,,, S: i� i i%� � v� 1 e 9 � � !'1 ' D� . I � �� ' SUBJECT PER . City of Fridley �' 15 2 4 6 AT THE TOP OF THE TWINS g U I L D I N G P E R M I T � � � � REC � • COMMUNITY DEVELOPMENT DIV. i ; V ��.�� r � � PROTECTIVE INSPECTION SEC. Q� g'�� i , / i � /"'1 � CITY HALL FRIDLEY SS432 NUMBER REV. DATE PAGE OF APPROVED BV �'"""� � �� 612-571-3450 910-F15 6/8/79 � � JOB ADDRESS � 5084 Clearviehr Lane N. Ee 1 LEGAL LOT NO. BIOCK TRACT OR ADDITION SEE ATTACHED DESCR. 22 6 Carlson's S�munit Manor 5011'�1 SHEET 2 PROPERTY OWNER MAIL ADORESS ZIP PHONE Ri.c Ziesmer 5084 Clearview Lane N.E. 566-0379 3 CONTRACTOR MAILADDRESS Z�P PHONE LICENSENO. Hil1 Masonry 911 West 47th 824-0015 4 ARCHITECT OR DESIGNER MAIL ADDRESS 21P PHONE LICENSE NO. 5 ENGINEER MAILADDRESS ZIP PHONE LICENSENO. 8 USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW ❑ ADDITION X ALTERATION O REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Construct f ire lace (Maspnr Z 9 CHANGE QF USE FROM TO STIPULATIONS ^ Ca.11 for footi.ng, damper, and final inspections sEPERArE PERMrTS R�Q�I�EO FoR �� HEATING, PLWMStNG AIYD S�G�S. ��G, TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD SEPARATE PERMITS AHE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, VENTILATING OR AIR CONDITIONING. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING SO. FT. CU. FT. AUTHORI2ED IS NOT COMMENCED WITHIN 80 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 ]. STALLS GARAGES AND KNOW THE SAME TO BE TRUE AND CORRECT. 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 �`�. SOO $.%S DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE pERMIT FEE SAC CHARGE PROVISI NS OF NY OTHER STATE OR LOCAL LAW REGULATING CON- STRUCT N OR E PERFORMA� CE OF CONSTRUCTION. �� 9.00 9 PLAN CHECKFEE TOTALFEE 9.75 GNATUREOFCO RACTORORAUTHOR12EDAGENT �oniE� WHEN PROPE LY VALIDATED THIS IS YOUR PERMIT e�� " � � SIGNATUREOFOWNERIIFOWNERBUILDERI IDATEI BLDG INSP �A E � 0 CITY OF FRIOLEY APPLICATION FOR RESIDENTIAL.BUILDING PERMITS (New, Alterations, Additio�s, or Repairs) , �.r OWNER: � C �/ � S/ %�v° BUILDER: �T� �� M� Sow,�y . ADDRESS: ��' �(/ CL f�r vy C'—cv ADDRESS: %// �/ E's% � 7�h TEL �VO : �-� 6° C? 3 7% TEL id0: �3' � e/ �� o� Construction Location STF2�T NO: JD S�7 STREET: l� L�dl- (�r C�v �Q' /1/� LOT: � � BLOCK: � ADDITION : �4i��S��v3 S v�i no � �%� �0 [� �� Corner Lot: Inside Lot: �— Setback: 5ideyards: Applicant attach to this form two Certificates of S�rvey of lot and proposed building location drawn on certificates to scale. DESCRIPTIO�J OF CONSTRUCTION . �� A�.� . f � Front: �pth: Height: Squ�e Feet: • (�.ibic Feet: Front: Depth: Height: Square Feet: Cubic Feet: 6b Type of Construction: lSDh�T � Estimated Cost: $�.5�� 7.b se Cbmpleted: � �/� �� Proposed Driveway Width If New Opening Is Aesired: Alt. A $ Alt. B $ SEE REVERSE SIDE OF SHEET , 'Tlie undersigned hereby makes application for a permit for the work herein specified, agreeing to do al.l work in strict accordance with the City of Fridley Ordinances and rulings of the Deparlsnerlt of Buildings, and hereby declares that all the facts and representations stated in this applicati are true an d correct. DATE: -b U ��_ SIGNATUl� : �,� Stipul.ations : � �. �� -��: w � , r i � � .�� BUILDI(�G PERt�1IT FEE SCNEDULE SECTION 2. The Inspector of �3uildings �hall, before issuing permiL-s for the erection of any building or structure, or for any addition to any existing building or structure, or for any alteration or repairs to�any existing building or structure, upon application therefore, require the payment by the applicant for such permit of fees to the amount herein below set forth and in the manner herein provided to-wit: N�W CONSTRUCTION: Single I'amily Homes and Garages: $4.00/1,000 cubic feet. PLAN CHECK: 25 percent of building permit fee. . DRIVEWAY D�PIt�SSION: (Concrete Curb Streets Only) • Alternate A: Removal and replacement of concrete curb and gutter only; Driveway width plus 6 feet x�'�,5.75 . Alternate B: Removal and replacement of concrete curb and . � gutter and install a 3 foot wide approach with �� ' � 6 inch depth; Driveway width �plus 6 feet x$17.85 ; 1 / _ 1 ► :-.- -1 - � :- : � 1� For the purpose of computing fees for building permits, the cubical contents of any building or addition, is determined by multiplyi.ng the ground area covered from a point six (6) inches below thc: floor line of the basement or th� cellar to the average heights of the upper surface or to the average height of the roof surface of the main gable of a pitched roof . For repairs or alterations to an existing structure, the fee shall be at the rate of $3.00 P�r each five hundred dollars��($500.00) or fraction thereof in the cost of all proposed work. In�no case shall the fee charged for any permit as set forth in Section 2 be less than $7.50 plus $.50 state surcharge. � � � � � � . ►�:f�i� NOTE: Permits for construction will be issued a minimiun o� 24 hours from the time of application to allow for proper review of the proposed structure and of the construction site. A Certificate of Survey of the lot, showinq the location of the foundation once it has been constructed will be required before proceeding with the framing. � : � � ''► Application for a Certificate of Occupancy shall be made ten (10) days prior to the use or occupancy of any structure for which a building ,pexmit has been issued;�and said structure shall not be used or occupied until a Certificate of Occupancy has been issued. � �tiA �. SUBJECT . City of Fridley � 16 4 4 9 AT THE TOP OF THE TWINS g U I L D I N G P E R M I T � r � � RECEIPT NO. � • COMMUNITY DEVELOPMENT DIV. � �ti: ------� � r j � PROTECTIVE INSPECTION SEC. �% � / ' i ' � ��'1 � CITY HALL FRIDLEY 55432 NUMBER flEV. DATE PAGE OF APPROVED BV �"'""� � ,�� 612-571-3450 910-F15 10/29/81 � / JOB ADDRESS SOS� C�.E:a.LVlEW N.E. LOT NO. BLOCK TRACT OR ADDITION 1 LEGAL SEE ATTACHED DESCR. 22 6 Carlson's Sunmmit Manor 5011't$ SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Rick Ziesmer 5084 Clearview N.E. 572-8232 3 CONTRACTOR MAILADDRESS ZIP PHONE LICENSENO. Viking Home Lnprovement Co. 4832 - 2� Street N.E. 572-1820 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO, 5 ENGINEER MAILADDRESS 21P pHONE LICENSENO. 8 USEOF BUILDING Residential 7 CLASS OF WORK ❑ NEW O ADDITION Q ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Remove kitchen windowt aud insta.11 hay urir�w 9 CHANGE OF USE FROM TO STIPULATIONS TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD SEPARATE PERMITS ARE RE�UIRED FOR ELECTRICAL, PLUMBING, HEATING, VENTILATING OR AIR CONDITIONING. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING SQ. FT. CU. FT. AUTHORIZED IS NOT COMMENCED WITHIN 80 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 OFFSTFEET PARKING I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION �- STALLS GARAGES AND KNOW THE SAME TO BE TRUE AND CORRECT. A�L 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 $�-i3OO y�`.65 DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE pERM1T FEE SAC CHARGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- STFUCTION R THE PERFORM NCE OF ONSTRUCTION. $22.50 PLAN CHECK FEE TOTAL FEE $23.15 SIGNATURE FCONTHACTORORAUTMORIZEDAGENT �DnTE� �, ,aNHEN PROPERLY VALIDATED THIS IS YOUR PERMIT P / � � SIGNATUREOFOWNERIIFOWNERBUILDERI IDATEI BLDG iNSP f1AT CITY OF FRIDLCY Effective Aug. 1, 1981 APPLIC/I7I�'�I FO�; RESIDE(�TI/li_ [iU1LQIi1G PEFL`�iITS (tre�•r, Alter.�tions, Additions, or Repairs) ONJNER: � f c/C Z I Je S}N1 2-t2 ADDRESS :_ J`�v �� /yl�. l�l e Lt� /U�� TEL N0: _ Cj % 2 ��,32 I3UI LOER : _ �1 �/�(o�i�, ��J,�K � ,�l! � aUp� v7��. !►DDRCSS: ��Z— 2-�z 5�� — TEL td0: � 2—� Z D Construction Location • STItI�T NO : �O � STI2EET: � � P �1� �// Q f.t% ,/vO � , I,OT: � '� BLOQC: `� ADAITION: � „J" i��✓ Corner Lot: Insiiie Lot: SetbacY.: Sideyards: Ap�licant attach to this form two Certificates of St�zvey of lot and proposed building location drawn on certificates to scale. DESCRIPTIOf� OF COhJSTP,UCTIOPa Front: Depth : Height: Square.Feet: 4ibic Feet: _ Front: Depth: Height: Squar.e� Feet: Cubic I'eet: /� ,L�s�4v� /�' 7`[ �e •a/ Grs/�rlW �-- � e �/� Type of Cor.struction :��Pl,rss i,�y/%� B l,J W(•C��d � Estimated Cost: $�� O�� Zb Be Cbr.�pleted: / � — �, - � Alt. A Alt. B Proposed Drive��ay Width If New Opening Is Desired: $� $ . . SE� R�VERSE SIDE OF SIiEET T'iie undersigned hereb�► ma3;e� applicativn for a penuit for the t.�ork� herein specified, agreeing to co,all work ir� strict accordance with the City of I'ridley Ordinances �nd rulings of tlle Departm�t of Duilc3ings, and hereby declares that all the facts and representatiens stated in this application are true and cerrract_ D.3TE: �� y�� SIGNATUFtE: Stipulations: � � `'�� o� a G�S'-5 � �� r / S� R —. a. SUILDING PE�RNlIT FEE SCHEDULE The Inspector of buildings shall, before issuing permits for the erection of any building or structure, or for any addition to any bxisting building or structure, or for any alteration or`repairs to any existing buildinq or structure, upon application therefore, require the payment by the applicant f or such permit of fees to the amount herein below set forth and in the manner herein provided to-wit: TOTAL VALUATION $1.00 tc $500.00 $501 to $2,000 $2,001 to $25,000 $25,001 to $50,000 $50,001 to $100,000 FEES $10.00 Minimum Fee $15.00 plus surcharge $10.00 for the first $500 plus $1.50 for each additional $100 or fraction thereof, to and including $2,000 $32.50 for the first $2,000 plus $6.00 for each additional $�,000 or fraction thereof, to and including $25,000 $170.50 for the first $25,000 plus $4.50 for each additional $1,000 or fraction thereof, to and including $50,000 $283. 00 for the first $50, 000 plus $3. 00 for each additional $1,000 or fraction thereof, to and including $100,000 $100,001 an+d up $443.00 far the first $100,000 plus $2.50 for each additional $1,000 or fraction thereof PLAN Ci�ECIC: 25 percent of building permit fee DRIVF�IAY DEPRESSION ESQtOW: Concrete G1irb Streets Only Alternate "A": Removeal and replacement of curb and gutter only Driveway width plus 6 feet x$13.50 Alternate "B°: Reaoval and replacement of curb and gutter and install a 3 foot wide approach with 6 inch depth Driveway width plus 6 feet x$15.75 VERIFICATION OF FOUNDATI�ON Permits for construction will be issued a mini.mum of 24 hours from the time of application to allow for proper review of the proposed structure and Af the construction site. A Certificate of Suzvey of the lot, showing the location of the foundation once it has been constructed will be required before proceeding with.the framing. . _�.�. rl . a� a � � � w ro � e r� ►� d �J G d > .., .+ u � w W i�7 61.i J A a ti.. 6L O � � � 0 � a z � a Z O ` Q � W �� ac ` \ � v � Z �� "` � SW � > m > A M .A � Z Q Q J vl h O � V H N � } N e�l Q N � � � �O � M w 'y � � � � �.4 tll M � i .., a .� � � �O i O L.' oQ �o 0. i' N n N 1f1 O� � 2 �� a�0 H B Y �S G � 4 � ,y � , � xa.u$ .. iu��o l r• � a � �1 V M O o�� :; i M � � M ��q �ML� •� M O C +� O �e 4 �+ o � � q C+�++�� M M C W � �0 0 '0 M u .� +' 3 O� � m A � N ,7 M � � 0) 0 e A 'O Q O LsgA a e�6`1m � M i� W � w�'ow 4 q N M 7 � � A � � Y � �q M � � � � F w 0 Z � h M � � � �� M �� m 7 C� {y � W ' � A � � Z . � � � M �� Z Vi (c C, �A (' Vi i � �i ,�.i ! � 4.t� Cf a � �y� M = Q � . � ` � � _M . C+ r ` '"� � Q N�fA V/ N Vi.. y 2 N p � a c.� � o 0 0 0 0 w o 0 0 0 0 � Q � o 0 0 0 0• a. N �-i rl � ►�1 W Y1 N b H flf �� i a � � � Z � ,� � a N 3� � � � �w w � � �� a g� f M �m 4 a ni� e�� ►� E V la �.ai „�i � � 6� � e °' .a, o .+° a� �aqm ro N OY W V C9 �7 � . x !�3 '; � � N ! � Q MI ; � i0 m � �+�1 � p4 �► � o o 'a� � `w� e��o O, � � w ,� .� � `` 4 � � � � � m � O}� ;` $ V -+ � -�r � 'g� p �+ o Z D q 2 4 N � � 3 O ,�r� �N ri � � e �m `�'` u � s� � � � � � Z Y �. p--_ _ _ —jr _ - � � � w c u p � N � � z a � m � ` � p Q � � ,.�; � � � � 1 aTJ � q ��p wp � ��p � � � U F m V 1" � Q � • N �� i� H Vl b b i ae N 3 m � .., .� a '� e a o M '� � > a o w � + .� C) � 0� .�: w � N m � � � � tA �. j , � �a o - �� , N `�' � oNo e W � m w flte a M iL "�Q� W (u • M M b z a a a � �° w 4 �� {, , E M � a Z ZW Z� i�u a� 8 �' \ � � E+ E� �o z� y �• W � �c H °w °' Wa wo O � y �,' M �� N � Y u � .. � � � MI �'� �{ � ,� '' m` � C +�i M 61 q g .+ o �� s � �� O �° .°� � M GI � o. a cg; u ��: � '� � i CHIMtJEY AN�J STACK VERIFICATION 4. y� The undersigned G�ereby verifies that the existing ch;imney or stack; !��1. Has been �areful �y exami ned . � � Yes ,(� , i2. Is free from rust or deteri�oration � q Yes ;(� �. ' 3. Has no foreign objects lodged within 4. Is securely supported � 5. Meets all current Code r�quirements for size ar�d __�q�aJ_.. BIU: connected No ( ) No ( ) Ye s (� No ( ) Ye s � No ( ) Yes f� No ( ) 6. Ha s To ta 1 hea ti ng BTU' s of ��l% � All other BTU's �- �- ' ` TOTAL (T�D � '' r� ,,. . i; Rema rk s � s; Y i �� Bt 1��i$ {�IJB; GOLD�N YALLEY HTG. & AfR . Company " �-- _ . � . Signed By ` : Da te 7��/-- ; ,i i �, �':, ,� � � . �� , ,. I �' -� t .. . i� ��. � � � ' � SuB�ECT . � P City of Fridley 3 i� 7 4 AT TME TOP Of THE TIMINS g� J i L D I N� P E R M I T � ` . RECEI T NO. � `y __��w COMMUNITY QEVELOPMENT DIV. �� r � � PFiOTECTIVE INSPECTION SEC. � _ �"'1 � CITY MALL FFiIOLE� 55�32 NuMBER 11EV O�Tfi v�GE OF APCROVEO BY �""� � �'� 612-571-3450 910-F15 6/4/O1 � � JOB ADDRESS 5084 Clearview Street NE ' 1 LEGAL LOT NO. BLOCK TfiACT Oii ADDITION SEE ATTACHED DESCR. 22 6 Carlson's Summit Manor South Addition s"EET 2 PROPERTY OWNER MAIL AODRES$ Z�P PMONE Deb Wesson 5084 Clearview Drive NE 3 CONTRACTOR MAII ADDRESS ZIP PHONE LICENSE NO Cedar Valle Exteriors 9920 Zilla St Coon Ra ids 55 76 -7 5-2221 d AfiCMITECT ON DESIGNER MAIL ADORESS ZIP PHONE LICENSE NO. 20177285 5 ENGINEER MIAIL ADDRESS , tIP PHONE LICENSE NO , 8 USE OF BUILDING Residential 7 CLASS OF WOFiK O NEW O ADDITION � ALTERATION � REPAIR ❑ MOVE O REMOVE 8 DESCRIBE WORK Reside House 9 CHANOE OF USE FHOM TO STIPULATIONS Per Section 1402, 1997 Uniform Building Code, requires that a weather resistive barrier be placed over exterior sheathing to protect the interior wall covering. Exceptions for this provision would be if sheathing is an approved weatherproof panel or when the siding is an approved weather barrier. Vinyl siding is not a weatherproof covering unless the manufacturer states this in their application gu�delines. Call for inspection of wrap before covering. " tYP� FCbN5T. OCCUPANCYGROUP OCCUPANCYIOAD SEPARATE PERMITS ARE REOUIRED FOR ELECTRICAL. PLUMBING, HEATING, VENTILATING OR AIR CONDITIONING THIS PERMIT BECOMES NULL AND VOIO IF WORK OR CONSTRUCTION ZONING SO. fT CU. FT. AUTMORIZEO IS NOT COMMENCED Y�IITHIN 80 DAYS. OR IF CONStRUCTION � OR WOiiK IS SUSPENOED OR ABANQONEO fOR A PEFIIOD Of 12Q DAYS A7 ANY TIME AFTER WORK IS COMMENCED ` NO DWLG. UNITS OfFSTREET PARKING I NEREBY CERTIFY TNAT I MAVE REAO AND EXAMIN�D THIS APPLICA710N 1 STALLS GARAGES AND KNOW TME SAME TO BE TRUE ANO CORRECT. ALL PROVISIQNS OF LAW$ yALUATION SURTA% AND ORDINANCES GOVERNING THIS TYPE OF WQRK WILI: B� COMP�IED �6,644 y+3.32 WITH WHE7HER SPECIFIE� MEREIN OFi NOT. TME GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTMORITV TO VIOIATE OR CAMCEL TNE pERMIT FEE SAC CMARGE PROVISIONS OF ANV OTNER STATE OR LOCAI LAW REGUTATING coN• ��39.25 Fire SCi �6.6�F STRUCTION OR TME PERFOfiMANCE OF CONSTFUCTION - P�AN CMECK F TOTAL EE � ��f-�� Lice e S $5.0 $ 4.21 S�GN4TUpE OF CON"AACTOp Op 0 MpRIjEO AGENT IDATE� NEN R P R lUATEO MIS IS UFi P IT e - - S�GNnTUpE O� OWHEA�� OWNEpBURDEp� IO�T�i g� D� � ��Tk N� I l Effective 1/1/2001 ADDN [) , CITY OF FRIDLEY (763) 572�604 Bldg Insp ALTER [] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION �: �j � �� Construction Address: �� 1 � � Legal Description: Owner Name 8 Address: �� --�►�. Tel. #�%ip 3� s%� -�(� S� Contractor: �1 �..A�(, .Q� MN LICENSE #�4 �% °7� � S� Address: Tel. #_`'J(� 3= %�"��-% 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 r��•� Height Hgt/Ground Sq. Ft. Sq. Ft. ` ��.�� Construction Type: _ - � Estimated Cost: Driveway Curb Cut Width Needed: Ft + 6 Ft = Ft x$ _$, DATE: U APPLICANT: Tel. # CITY USE ONLY - Call (763) 572-3604 for Permit Fees if mailing in application Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee Sewer Main Charge TOTAL STIPULATIONS: $�� . � Fee Schedule on Reverse Side $ .001 of Permit Valuation (1/10th%) $ �, 3�- $.50/$1,000 Valuation $ $1150 per SAC Unit $ .,� C� $5.00 (State Licensed Residential Contractors) $ Alt. "A" or Alt. "6" Above $ $450.00 Conservation Plan Review $ Fee Determined by Engineering $ Agreement Necessary [ ] Not Necessary [ ] � �Nj�°�° BUII.DING 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 alteration or repair to any existing building or structure, upon application therefore, require the payment by the applicant for such permit of fees to the amount herein below set forth and in the manner herein provided to-wit: TOTAL VALUE $1 to $500 $501 to $2,000 $2,001 to $25,000 $25,001 to $50,000 $50,001 to $100,000 $100,001 to $500,000 $500,001 to $1,000,0� $1,Q00,001 and 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 $1,000 or fraction thereof, to and including $50,000 $643.75 for first $50,000 plus $7.00 for each additional $1,Q00 or fraction thereof, to and including $100,0� $993.75 for first $100,000 plus $5.60 for each additional $1,000 or fraction thereof, to and including $5(}0,(�0 $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 $1,000 or fraction thereof DRIVEW�iY DEPRESSION ESCROW (Concrete Curb Streets Only) Alternate "A": Removal and replacement of curb and gutter only - Driveway width plus 6 feet times $15.50. Altemate "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 $23.25. VERIFICATION OF FOUNDATION Permits for construction will be issued a minimum of 24 hours from the tune of application to allow for proper review of the proposed siructure and of the construction site. A Certificate of Survey of the lot, showing the location of the foundation once it has it has been constructed will be required before praceeding with the framing. New Houses Onlv -�--�- .�_ sue�ec'r ' � ER City of Fridley 3 i� 7 5 AT TM E T OP OF TM E 7 WIN S �� L D I�� P E R M I T r � � C O M M U N I T Y p E V E L Q P N i E N T D I V. � RECEIPT NO. r � y •� PROTECTIVE INSPECTION SEC. ��°�3�0 ��`� i i� � _ � CJ � � �'�'1 � CITY MALL fRIOLEV SS�32 NUMBER REV DATfi PAGE OF APPROVEO BY �'""�� '� 612-571-3450 910-F15 6/4/Ol � � J08 ADDRESS 5U84 Clearview j��tNE �� 1 LEGAL ��T NO. BLOCK TRACT OR ADDITION SEE ATTACMED oesca. 22 6 Carlson's Summit Manor South Addition SHEET 2 PROPERTY OWNER MAIL ADOR�S$ ZIP PHONE Deb Wesson 5084 Clearview ��b� St NE 763-572-2055 3 CONTRACTOR MAIL ADORESS ZIP PMONE LICENSE NO Cedar Valley Exteriors Inc 9920 Zilla St, Coon Rapids, MN 55433 763-755-2221 a AqCMITECT Oti DESIGNER MAIL AODRESS ZIP PHONE UCENSE NO. 20177285 5 ENGINEER MAII ADDRESS ZIP PHONE LICENSE NO 8 USE OF BUILDING � Residential 7 CLASS OF WORK ❑ NEW O ADOITION O ALTERATION �7 REPAIR O MOVE ❑ REMOVE 8 DESCRIBE WORK Reroof House & Garage (38 Sq) Tear-off 9 CHANOE OF USE FROM TO STIPULATIONS Underlayment must comply with the State Building Code. SEPARA7E PERMITS ARE REOUIRED FOR ELECTRICAL, PLUMBING, HEATING, tYP� OF CONST. OCCUPANCY GROUP OCCUPANCV �OAD VENTILATING OR AIR CONDITIONING. THIS PEFMIT BECOMES NULL AND VOID IF WORK OR COHSTRUCTION 20NING SQ. fT CU FT AUTHORIZEO IS NOT COMMENCEO V�1ITNIN 60 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANpONEO fOR A PERIOD OF 1�Q OAYS AT " ANY TIME AFTER WORK IS COMMENCED. ' NO DWIG. UNI7S OFFSTREET PARKING 1 MEREBY CEFTIFV THAT I HAVE AEAD ANQ EXAMINED THIS APPI,ICA710N 1 STALlS GARAGES AND KNOW THE SAME TO BE TF1UE AND CORRECi. ALL PROWSIQN$ OF LAW$ VALUATION SURTAX ANO ORDINANCES GOVERNING THIS TYPE OF WORK WILI 8E C�MP�IEO WITH WHE7MER SPECIFIED HEREIN Ofl NOT. THE GRANTING OF A PERMIT �3s886 �1.9�F DOES NOT PRESUME TO G�VE AUTMORITY TO VIOLATE OF CANCEL THF pERMIT FEE SAC CMAqGE PROVISIONS Of ANY OTMER STATE OR LOCAL LAW qEGUlA71NG CON- STRUCTION OR T F CONSTRUCTION �97.25 ire .5�.' �3.89 -� - P4AN CNECK f TOTAL FEE ' �- —� Lice e $5.0 $1 .08 S�GN4TUpEOFCQN�AACTOpOAOUTMOA�ZEDOGENT �D�iE� � MEN FOPE IDATED HIS ISJ/OUp IL.li �� $�GN4TUAE O� OWNEA�� OWNEp BWLOEp� iOATE� � BlD �NSP ' - f�L}( � .._ 'e JUN-c4-1498 �DDN ( J ALTER (�� onstructionAddress: li�a8 FROI� CITY OF FRiDLEY TO �� 8959962 P.01�04 � uaaw��... .. ....r �( �� CIT'Y QF F�tIDLEX � SINGLE FAMIiX AND DUPLEXES R-1 AND R-�liY OF FRIDIEY � BUILDING PERMTT APPLICA'I'ION 6439 UNIVERSITY AVE. N.E. FRlDLEY, MN 55432-4384 �� , � � �� , ;.egal Description: �wner Name & Address: � �,� -��'�� Tel. ll � � �� 5 ��-° � :�� oncractor: P �� MN LICENSE �! �j i�� 8920 Zill� Str�et _ ��-� �„� Address:_� ., Qe �� , «,,�� _ Tel. ft � � Attach to this applicadon, a Certificate of Survey of the loc, with the progosed construction drawn on it to scaIe. LIYING AREA: GARAGE AREA: DECK AREA: DESCRIPI'YON OF IMFRO'VE11�NT Lengch Width Hcight Length Width Height Length � Width � HgUGround Sq. Ft. Sq. Ft. Sq. Ft. OTHER: � - - - � �9 � ,�°� •� _ � � "l � :onsnvction Type: �°��A=� ' ated Cost• � � � � --- - .ao (Fee Schedule on Back) �� )riveway G�rb C�c Width Neede : Ft. + 6 Ft � Ft x$ _$ )ATE: l�% APPLICANT: Tel. �Y � CITY USE ONLX � , 'ermit Fee �ire Surcharge �tate Surcharge �AC Charge ,icense Surcharge )riveway Escrow ;rosion Control 'ark Fee ►ewer Main Charge TOTAL �"I�ULATIONS: $�� $ $ l, � $ $ S � $ $ $ � $ 1� �. v� Fee Schedule oa Itcverse Side .001 of Pennit Valuation (1/10th°b) $.SO/$1',000 Valuation $1000 per SAC Unit $5.00 (State Licensed Residential Contractors) Alt. "Au or Alt. "B" Above $450.Q0 Conservation Plan Revicw Fee Determincd by Englneering Agreement Necessary ( J Not Necessary (]