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AF - 46215� �, n ,�;�� , Villa.ge oi Fridley, Minn. ' � 11i° 1767 "' BUILDING PERMIT Date: . . . . �p. �?. . �. �. . . . . . .`�.� . . . . . . . . . �, �. r Owner . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Builder . �y�/i . . . . . � � . .��Z v , , ,�J, !a !!I . . . . . Address. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Address . . . . �'?'. �. � . . . �� � . `! � . � . . . . . . . . . . . . . LOCATCON OF BUILD[NG ATo. . . J .°�. .9 . . . Street . . ,/. !.� �. r ..s. ¢? � �s ✓c, �� . . . . . . . . Part of Lot . . . . . . . . . . . . . . . . . . . . . Lot . . . . .�. . . . . . . Block . . . . .� . . . . . . . . . . Addition or Sub-Division `O. �0 �:". �'.! : �° . ��`�?.�� . . /" .�. . . . . . r Corner Lot ........... Inside Lot .. �... Setback ..� a..... Sideyard .... �.o ..................... DESCRIPTION OF BUILDING To be lise as: �d�. � �. ° . ��. . . . . . Front . .�.�. . Depth . � .0 . . Height . . �. . �. . Sq. Ft. .���. Cu. Ft. . . . . . . . . ..................... Front ........ Depth ........ Height ........ Sq. Ft. ........ Cu. Ft. ........ Type of ConstruCtion . �!d �??.'�. . . . . Est. Cost . . �.�° . � ��. . . . . . . To be Completed . . . . . . . . . . . . . . . . . . In consideration of the issuance to me of a permit to construct the building described above, I agree to do the proposed work in accordance with the description above set forth and in compliance with all provisions of ordinances of the village of Fridley. ���n, � �/�. S r� e!� 7F�,� �/� ��,� ..................................................... In consideration of the payment of a fee of $.��. . ��Q !"�'�rmit is hereby granted to . . . . . . . .. . . .. .. . . . . . . ......................... to construct the building or addition as described ahove. This permit is granted upon the express condition that the person to whom it is graated and his agents, employees and worl�nen, in all work done in, around and upon said building, or any part thereof, shall conform in all respects to the ordinances of Fridley, Minnesota. regarding location, construction, alteration, maintenance, repair and moving of buildings with- in the village limits and this permit may be revoked at any time upon violation of any of the provisions of said ordinances. � . .....�. ....................... Building Inspector NOTICE: This permit does nat cover the construction, installation or alteration for wiring, plumbing, gas heating, sewer o� water. Be sure to see the Building Inspector for separate permits for these items. �"' �:. � - ��.� ,�, •.r� �d .�a - _ �;�' .. . `� � . ` ��, `" �'a`"".-„�'�a� `? '" ` �,�yz��#�,'�a„ f *,�'4��� ""�' �. � .� �� .� � � �.. � � � � _ . � .. �" . 4�c � � _ . . . / �:.: . . � � � � - � ._ — . ...� ��E; . C. E. CO l3 LT� R " • .�.n�«. .�..:,,��.,� �',a�,. u►Hn su�vsv�ae L.�a�. .r�w« +�otmwao wrosw uws or sTwrs oF ��w+ESOT�► ,umc�a. , r � Lre[nste n 4sopi�nec or c�n or Mw�Ni�rous ' �"• _ �l00 LY�IDALfy AVE. SO. MINNEArOMi !� M{INN. � LOCUST 0370 . . ' $1t1't�tj�0lt�� i�tl`t� . �C�i¢; 1= 3C� ' . `rc}� . � . , �1'p1'� - SL -_,� Q�/ � � �� --' ��� � . . `r e�� \,,�.�= � �� ' � ,- ,r.,,,� _ — - " o �'�' -� � : , � �, , � � � � w Q . .w� , . , . , . , ,,o . �o � N • ° �r�'n a� Q � � °P �Lr' �� � . � p R�6 \ � , � �� _ �,o , . \ °� �,� �• � i�.rcreb� c� t�fy tha t th e aba e � , ' i1r #► �vs a�d �a�=+ect plett of s , o _ e�trsey "� r , \ ,�, ' � �A� FOi�l` E�� t�� �l+lY' E�� �' � r 4+n . 1�� _- a� ' f �. fiiARi�ai�i �S `� T AS�R N�ATH \ ' 1a � � ��/ � �Ll�'�'I(�* ���. G��Yi M�g11B8Ct8. -" ...- Q � � .• . � .. . . . . . . . I l lu V"O� . . � , `��rve�ed � au► thi� lOth d�r of , NQ�` .7�al�ty �.�6 �� n. � ' ; _ f: I � : � r �+�e� ����� �,� � � , � 6a "' � � � , . -.:; ",'� �'�'�� :� '�, ��-� - � � .;� ,. , Y ... _ �, . s .� • , � � ti . _-, : � _.-� y _ . : - . ; ., . , , . � s: s„ 4 � ,�' � fi � � .� � i � �� , ,� .�' �,. � � � � � �,� ,� �,- �� � � . . . .. . o-�s. v � . 3�r�r �i..k.. _. .. . a>� �. ,. _ F �, .�cf., _. .,". : � , . . . .. F � .-�, � City of Fridley, Minn. BLTILDING PERMIT Ko 417 0 Date: _.._.� .._.� _.�_.._..._ �•�-._.�.�..---_. Owner: r���-%-�1.�'!�� ��--..... � ! _ _ � �.���✓�!��.-��. Builder ....._......---.. ...._. _. ._ . .._._.....�_._._._..r.._.._ Address..___......._...._......._....—••--_.._.._.._---._....�_..._..__.........._.____._._._.. Address ........- ............._.._.._...._.._.._.___.__....._._._......._. _�-------------- LOCATI�JN OF BUILDING No. ..../•.:�..�,F.._........ Street _�,/�. . .. ._.. _.......��..........._ .............. Part of Lot ...__......._...._...._ ..._......._...._......_...._......._....�_ � Lot ............�� ............... Block ....--��-�------------......._........ Addition or Sub-IJivision - ---- �---......---............_...----.........._.._. � �-� �!� ......._._ _.._. � Corner Lot -- --- ...................----..... Inside Lot _�.............................. Setback ----�--�•-----....._.....----...._..----._ Sideyard --��--- Sewer IIevation Founda.tion IIevation DESCRIPTION OF BUILDING ���Sea as: c- Qr s..�1(1 4 M1"' F � �• � --��nt �...��... �� Depth �.��... .._.�. J' Height .��. � Sq. F� ../'�...�_...�.. Cu. Ft �,. ��.. . .......-�--- ....................... Front ...---•--.........._.. Depth .........- .... -. Height ....................... Sq. F� --�--��---........_.. Cu. F� ---•-.............._.. / � Type of Construction ........._ ....................-------..... _. .... Est. Cost..l.>..–� �.�...........' .-".... To be Completed ....._........_..._..•_-------._......._........ In consideration of the issuance to me of a permit to construct the building described above, I agree to do the proposed wo�k in accordance with the description above set rth and in co�liance 'tls all provisions of ordinances of the dty of Fridley. •.,�::. - --�....._._..__.. .._..._..._..._._..._...._._...._.._..._.... � In consideration of the payment of a fee of $.-.--.- --.-...".". ------, Permit is hereby granted to.-------•-.--......- ............._........--.-•-••--_---• _.__..........._._..---.---•--......_......-•-.--•-.--._........ to construc� the building or addition as described above. This �rmit is granted upan the express condition that the person to whom it is granted and his agents, employees and workmen, in all work done in, around and upon said building, or any part thereof, shall conform in all respects to the ordinances of Fridley, Minnesota regarding location, construction, alteration, maintenance, repair and moving of buildings within the dty limits and this permit may be revoked at any time upon violation of any of the provisions of said ordinances. .� _ � � . � Building Inapector NOTICE: Thia permh does not eover 1he conatruetion, installafion for wirfng, plumbtng, gas hea�ing, sewer or water. Bs sure fd css 1he Building Inspeefor for separate permifs for these hems. �'�;',':� ATTENTION OF: -- - _ �_. _-, • l' ;._; , r H�I�M; Y' u:�: SUBJECT �SULTS OF JULY 27TH INSPECTION OF DATE �Y 28a 1965 �129 HORIZON CIRCZE Six 2$ 8's, 12' �,ong, (f].00r joists) had been broken from some heavy object hittiag the deck. This has not damaged the flooring in any respect at this point, and the joista can either be replaced or jacked up and a new joist acabbed to the side of the old one. Two joiats had been dama.ged in the bathroamn and in this area, approximately 8 sq. ft. of flooring ha.d been cracked and broken. This ent3re dama.ge was obviously not from the tornado. SIGNATURE ��� ��� �'��� ��� ALLEN G. JENSEN, Building Ins REPLY: ,J� � �� DATE �° � SIGNATURE �� RE�LIER'S COPY—RETAIN POR YOUR FILES � � �� � City of Fri.dley, Minn. BUILDING PERMIT Date: - September 20� 1965 N° 8472 �� �� �.-3 � Owaer: —___An�drew ?,� �iawe� g��. An,drew P. Gawel ABdrea4 Ad�� _ 2407 Washington Street N.E. LOCATION OF BUILDING No 129 Street Horizon Gircle N'.E. part of Lot Lot 4 Bl�k � Addition or Sub-Divisfon _ Stu�it Manor North Coraer Lot _ In�itde Lot Setback Sideyard seR'er IIevation --- Fo�mdation IIevation DESCRIPTION OF BUILDING To be vsed as: Dwellin� & Det . Fnnnt 4� Depth �_ Height -12� S�Ft –�98— Cu. FL Garage �nt Depth ��t rom ec�• n�g. �� Type oP Construction Fr�@ �, �� 11 000 S 00 To be Completed Storm Daa►age - to be rebuilt from cap up; a1so, build detached garage on presen.t concrete s1ab. In consideral3on of the �tssuance to me of a permit to the building descxibed above I agr+ee to do the proposed work in acc�rdance with the d�scription above ae o and pli with afl proviafons of ordinances of the dtq of Fria�ey. In eonsfderatiol� of the paqment oP a fee oP $�Q.QQ , pet�sit 3s hereby greated to Onr1raT� 7�, [�a��, to construct the buflding or addition as described above. Thi� permit is granted u�n the expresa canditfon that the pereon to whom ft is gra.nted and his agents, employees an�� worlunen, 9n all work done in, around and upon eaid building, or anypar� ther�eof, atxall conform in all respecta tfl the ordinances of FridleY, Minn�ota regarding locatlon, canstruction, alteration, maintenance, irepair aad moving oP bwtldin� within the dty ]imits and this permft may be revoked at aqy 'blme upon violation of any of the P�vi�lona ot said ordinaacxa. ��� rx�� xo : � � - Nonc� Tld� psemh dea eet wrar ths eonatro�, �ee fer vririe9. P�+L+9. 6n 6�g, sswu or vratsa B� wn to res ��n��die8 ��� tor aparah p� Por fkaa (t�ms. APPLICATION 1�OR BIIILDZNG PERMIT CI7R OF FRIDLLY, MINNESQTA OWNER'S NAME ADDRESS , \ ADDRESS� � a<�� � I ,�/' ° � . LOCATION OF BIIILDING � N0, STREET ` � � PART OF LOT LOT BLOCR ADDITION OR SIIBDIVISION ��, .�-�-i 1'h �� a X/t,, j� �p ,� �' � f CORNER LOT INSiDE LOT SETBACR SIDE=YARD SEWER ELEVATION FOUNDATIOR ELEVE'�TIQN+ Applicant attach to this form Two Certificatea af Si�i'vey of Lot and proposed building location drawa on these Certificates. DESCRIP�'ION OF BUII.DING To be used as ; <a ,� ��,����� L� � � ��,.� ���C �� -t�� �� �v� � ��i��� � /� _ i� � Front�Depth�Height � °� �����r�-�� f/ Sq. Ft. �f �' Cu. Ft. Front DepCh Seight Sq. Ft. Cu. Ft. Type of Construction � � `�� Eetimated Cos _�f'�C�� � ` To be completed � The undersigned hereby makea application for a permit for the work herein specified, agreei�g to do a11 work in strict accordance with the City of Fridley Ordinances�and rulings of the Departmeat of Buildings, an,d hereb.y declares that all the facts and representationa stated in this application are true and correct. DATE / SIGNATURE - �' _ �'� (��,`,� - . _�� (Schedu�:e of Fee Costs can be found on Che Reverse Side),. I� -. _ �� � � �� � _� • � . �y � �� / 6 �} BUILDING PERMIT FEE SCSEDULE SECTIOR 2. The Inspector of Buildings ahall, befo�e isauing any permit for the erection of any building or atructure,�or fot�ang addition to any exiating building or s�tructure, or for any alterationa or �repairs,to any existing building or sts�icture, upon application therefore, require the payment hy the applicant_for_euch permit of fees'to the amount herein below �et forth and in the macmer�herein provided to-wit; � 2_,1_. For an� such permit for the erection of any fire-proof building, othe= than a garage, warehouse, factor�i or grain elevator, or for the erection of any fire-proof additioc�, for aimiLar occu�aacyy .to any eaieting building, shall be at the rate of $1.44 for each one thoueand cubic feet, or fraction thereaf, in such cubical contents. 2.2 For any auch permit for the ere�tiou of aay fire-proof garage, .. . warehouse,-factory or grain el�vator, or for tbe erection of any fire»proof addition, for similar occupancy, �o anp.egiating•building akall be at the rate of $1.25 for each. one. thousand cubic feet, claseified as "fireproof" � by Section 502 of�the Minneapolis Buil�ing.Code,. , HOIISES � � 2.3. For any auch permit fox..the erectioa.of aay non-fireproof building, other than a garage, warehouso, factory or grain elevator, or any non-fireproof addition, for etmil.ar occupancy, to any esisting building - permit $1.00 for each one thousand cubic feet. GARAGES �2.4. For any such permit for tho erection of anq non-fireproof garage, warehouae, factory or grain ele�tat�or, ar.for the erection of any noa-fire-proof additian,-for aimilar occupancy, ro any egisting buildiag or for each such building or addition - ninety centa ($0.90) for each one thous.and cubic feet or fraction thereof, in the cubical caateats thereof wfth the minimum of $4.00. For the purpose of computing fees for building permits, the cubical contenta of any buildin���ar addition to a uniform height throughout by multiplying•the ground ares covered from a point six (6) inchea balow the floor line of tI-�e basement or cellaY to the average h��tght of the.t�pper surface or to the average. height of the roof swcface of the main gable of a pitched roof. - 2_5. For repairs or alt2rat�.ons to an exis,ting atr_uc�ure, the fee shall be aC the rate of.$3.00 per each Five Huadred Dolla=s (�5::��:Gi�) or.fraction thereof in the cost of a11 propoaed-�iark. � _. . . • � , 2.6. In no case shall the fee charged for any peranit a�s set forCh in Section 2 be less than $4.00. STORM REPAIR DANIAGE FrFS; Residential ; Eati.�•�*ed Cost of ��ork up to $500. C�0 -$5 e�JO Esi:i�ated Coat of wo�ic over 4a`�+:+F�J -$�Lo00 Commerc�?aI; Eet3�ated�st of wo�k up to Y[!'�s�00 -$10� Estimated �st of work over $5��u.00 -$z0. r ��.�.:. z � L+1 t9 � 0 � � � H � � � H H N � � � 0 � � � � � b H H t� � � o ro ro hd .tro+i_ tJ ( t7 � � W W � ��� � � � ro a o a � ID y. . h1 � � w � �y F � �� � ~ � � � � W � � H N y r ro o � O �y O �..� °z � � N ti � � w � m i'"� n7 � �""� ..n y � cn •� z z� cn cn r �°r �o H c° c c ° � o�roro � m �y r r wwr � oH�"'-' awu�i'-' N� a� a�a� o u�iu�i°wm Z� z H tn w ct z � in �� n o � a+ H � n V� L7 G� Fi H• L7 l0 1 '.Y t .5" 'J '.7 k� Q� N'•3' VI L'� (n C!� � � O''g � t�0 H R+ O W K P+ � H I-� I�-+ � W 1�-• :ctKi�cKi» mwxtMi-i tO� aw aE''�e�m � mmr°n'r t+1H�c� r rt cn w • n H m r�-ic�i�t�i� ° M� .. �co w a o�o� t�i� wN n°u� :n ���' m-° r� o000 �r �� a or�r v' �°rs �°o c�°o °o-°or S N N� O� � 1 om �o ro rs o o �o � wo V�'� oN m m wowo wro yn o mm K.^+' HoH, o cx (If � � n � O N � H[ O N� O m � m� �t � by a� r � � r � � o °o pi � �� 00 O rt u, io 0 0 N � I I I y � � o [ xxx v, v,�v, in m in o r w o 0 o rn �� n�i 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 vr in �n in tn tn tn tn m � . W Q o O 0 � a o � n x rt � ~ w• z z � i � `� � o H � � H N N � z a �' x � s � � a �q � � � � y �U � � f] � � � � ro � ,�+ x z N t� rt M � 'U N C � N � n � bd W F'• � N � � � m w w o � � o r°n � � � • � z � � � r Q o• m � � � � (A N � � N � ID � � ip J �1 �P N 0 0 0 0 0 0 0 0 0 0 �n tn tn tn tn <n tn vr in tn tn in in � � • � O t'h Nd C '�'�. O d H � o �d � � H C] � '��i d � C Ip n H H y � H � � � � � o � H i7 � � y m � � . O • ID F+ �D � tron � H O � � tn � n � ;d C z rororo � K � n�n�o n r �'�'�°fD 9 �b y A N � � � rt rt o � H N aa��' � n � oo�� %� NN n � �-+ i m � � n .�p � i � O ]7 �� m � o � Ui O = g° m d O I'"' m M N N rnran � N � � (D a N w � w m a�w� N N W N ro o n w m �' m � m rt w m � m w R' � ro o r�s NFw'i O '< N � N � � w ra+ �' �r W frt0 O O N � ��'xro `�G p G w f�-� w a N• '",3 'J O+ N P� � N � n � A A7 N n ."3 M ro a a o i8' w � o rt 3 ��� a � o n a m m � a�r n h{ n � fD � � � N F£+• tT � �axr°t fD m �x a N m m wrt�E �'wo � �K�x r m ��t�o ��0_ rt ~ m m � � y �. � � �u, � N ip �l rl N 000o ri 0 0 0 0 v� tn vi in H r H ll t7 N K � K � l�nM9 i r ]t rt �P p. O u� r rn o� � r w N �'� ,�P hj y�� �,��. P`' � 4 b' � M � N N y � � r c� a � O Z �1l O � -o O � m � r -o � D Z C7 -i o tn Z CJ D --I zU' O = z m .� a z --� c� .. z � � -< � N --1 f"� Irl O 3 O � r a z e � t� < m m � � fi m � � :: 0 z � � m '1l � c� m � n -� O Z n Z C� c7 .-. � -< 0 T T � d r m -�G . e City of Fridley AT THE TOP OF THE TNlINS i � � � � ; y _.���_ COMMUNITY DEVELOPMENT DIV. r � � PROTECTIVE INSPECTION SEC. i•--•� ��"" �'� CITY HALL FRIDLE� 55432 i 612-571-3450 SUBJECT BU ILDING PERMIT NUMBER REV. OATE � PAGE OF 910-F15 1/6/87 � � � 18775 RE�NC � •�� APPROVED BY JOB ADDRESS 12g Iiorizon Circle N. E. 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 4 4 Carlson's Summ�it Manor North Addition SHEET 2 PROPERTYOWNER MAILADDRESS 21P PHONE Joe Dzubak 129 Horizon Circle N.E. 572-1013 3 CONTRACTOR MAIL ADDRESS 21P PHONE LICENSE NO. R. B. Constrnction Inc. 6221 Boone Avenue, Hrooklyn Park 55428 780-0931 Mobile 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP . PHONE LICENSE NO. 533-2443 5 ENGINEER MAILADDRESS ZIP PHONE LICENSENO. 8 USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW C� ADDITION ❑ ALTERATION O REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK ConStruct a, 20' x 14' Additio.n to DHrelling 9 CHANOEpFUSEFROM TO STIPULATIONS Install £ire alarm in basement and-in bedroom ha11. �AR��NG Sefore digging cafl local utilities TELEPNONE - ELECiR►C _ GAa Ef e, �'�C�lJ1 ��� �y ��4'r/ SEPARATE PCR91011TS REQ(�IREp F�� !lUIRING, HEATING, PLl1M.l�ING �q�gp �o��s TYPE OF CONST. SEPARATE PERMITS ARE REOUIRED FOR ELECTRICAL, PLUMBING, HEATING, VENTILATING OR AIR CONDITIONING. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONINC3 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 I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION �- AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS VALUATION AND.ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT $12 � 4OO DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE pERMIT FEE PROVISIONS OF ANY OTHEF STATE OR LOCAL LAW REGULATING CON- STRUCT OR THE PERFORMANCE OF CONSTRUCTION. $98. SO �� �' PLAN CHECK FEE $24.63 . SIGNAT� EOFCO A R U H R12EOAGENT IDATEI WHEN PR( i / _ / /��` /, � R. . ..� IIF OWNER BU�LDER1 - • IDATEI SQ. OCCUPANCYLOAD CU OFFSTREET PARKING STAILS GARAGES SURTAX $6.20 SAC CHARGE TOTALFEE $129.33 RLY VALIDATED THIS IS YOUR PER� NEw L l ADDN. EILTER. � Construetion Addr� Legal Deseription Owner Name & ddr Contractor• � � Address: � City of Fridley �R-1 AND R-2 Building Permit Application Effeetive 4/1/86 ess : �� �� � J� �� � l - Tel . � ��02"�0�.� � ,�45� �° o(� R� r� � � � o�; �. N�, •� � Attaeh to this applieation, a Certifieate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTIOH OF IMPxOYEMENT LIVING AREA: Length -�lU r Width .�_ Height �= Sq. Ft. �� GARAGE AREA: DEC� AREA: OTHER: Corner Lot [ ] Length Width Height Sq. Ft. Length Width Hgt/Ground Sq. Ft. ,�,��r� ,�.�'J a,,_� c �.�� � _ �%Q �. �� � 1� � ��3�f�c1 �^ � Inside Lot {�] Ft. Yd. Setback .J� ' Side Yard Setbaek Type of Construction: �'°p0� �f�l��i%- Approx. Completion Date: % o� pr��i �— Proposed DriveWay Width If New Opening Is Desired: DATE: � — � Permit Fee ^ Plan Check ` State Sureharge � SAC Charge Estimated Cost: l2, �1c� Alt. A Alt B $ $ See Back Page for Explanation �r�r�;�.,��._ 7aG _ a �.�� APPLICANT : Tel . � ��3 �'� �f 4c� CITY IISE ONLY $ �.�� Fee Schedule on Reverse Side $ `'�. �� 25� of Building Permit Fee $ � «�i � $.50/$1,000 Valuation $ `� $475 per SAC Unit Park Fee $ � Fee Determined by Engineering Sewer Main Charge $ `� r� o� Agreement Necessary [] Not Necessary [] � ��� ��� � � � � e� �� � � � � �� ��;� STIPULATIONS: � 12, �'�u � � c,�,— �.� ! i � G f�c, �$.� BIIII.DING PERMIT FEE SCHEDULE The Chief Building Official shall, before issuing permits for the erection of any building or strueture, 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 germit of fees to the amount herein below set forth and in the manner herein provided to-wit: Total Valuation $1.00 to $500.00 Fees $10.00 (Minimum Fee is $1�.00) $501.00 to $2,000.00 $10.00 for the first $500 plus $1.50 for eaeh additional $100 or fraetion thereof, to and including $2,000. $2,001.00 to $25,000.00 $32.50 for the first $2,000 plus $6.00 for each additional $1,000 or fraetion thereof, to and including $25,000. $25,001.00 to $50�000.00 $170.50 for the first $25,000 plus $4.50 for each additional $1,000 or fraetion thereof, to and including $50,000. $50,001.00 to $100,000.00 $100,001.00 and up $283.00 for the first $50,000 plus $3.00 for each additional $1,000 or fraetion thereof, to and including $100,000. $433.00 for the first $100,000 plus $2.50 for each additional $1,000 or fraction thereof. DRIVEiIAY DEPRESSION ESCROi1 (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 approaeh 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 onee it bas been constructed will be required before proceeding with the framing. Y � (,,;� i t � i- � i, _ � --+ erei�i � C. E. COU LTER � �81NES8 �iTr �o�e LAND BURVEYOR :ovoqP���ic� •no�NC REGt9TERED UNDER lAWB OR STATE OF MINNESOTA � LIC6NBH0 BY OADIN�NCB OF CITt 01 M7NNe�VOLIe • 3300 LYfVDALE AVE. SO. MIfdNEAPOLi18 8, MINN. LOCUST 0870 �1LYltP�ttt�B �Ftft�t8� �C� i � I � ; �- 3:1 \ �:�� / � r O^ �,�r �� / - " o, / • � �� �1 � � ��O : � � y �, �\�\``/ 1 . V t ' ��.�`� � ,� ___ � ,` i 5 ,' � � �— 1 ` �� . . �,�_ � � s� ,. _ / w w s , _ . �,o . , N �l4iTINB i r�ar �uarara L�K6iNOAi �uoicu� 0 V^ i l,r�� . � � �� � F � �P ��r 2 \ T� n � � \ ` .� �' `�" � ,', 4 ^� � ` I �, i \ � � � °; \ �� � I t�ei•eby cer tify the t th e aba e � � ,� ' I, is a ti-�xe and correct plat of e . 'u . � survey of : � �� - . i , , � � , Lot Fc,ur (4) � Block Four (!�) • 1 r oc�• '"`` '� `, _ , ba �� C1:i-1»3�i��'.; SUl'�1�LL i l�:.�,T,�:h ieGRTH � � ADLITI�.:, tinoka County. Ninr►FSOta. `-� �. -- ,J�;c1a� rJ� ! � -` � N As surveyed by me this lOth d�y of ��� o���� ' J2AUCtT'.✓ 1qKb �i• �• ,�� �� I i � �, .,� �.�:: ��� �igned__�f:�. <_ �G��.. r��c.-+. i�� ; � , ' I N3nnesota Registratic,n Nc. ��84 �-�, I � il � , I � �. ,. �� e • ' I , . ,��',ti� i � ; CAR � �' �'.�;r•1 w.9d�' �. � I _. , � � � � I�� �, ��u�� ��� , �� �� i � � ,� � � � , , _ � � �J 1 � �' I � � � I � �� � I� � I� � I ' � I R\ �jl �r . o - �� � �� , . � � F� � , . � ' ► �� � � �� � � `. � , � �3 y �r n, "I ._.._ .� �, r , . � � .� T � , �� �. � � ; �, �� � � o . �.� o �� � � �� � c ' "= c i ;�.. ;� � _ �, —� — �rn � � � � 1 7 � f i r � � , ^ . � � � � � �� �, . _ ,� � �; .. � � Q 4 � � �i � '1� � (� �4 ✓ -� ` ti � 1 � ' —� -^ �— - � d � L i� �, �� � � �. -� . �� � - � � ,� ' � � , � ,\1 � ` • � 1 �' � � � � -� � � �l� \ — ,�--� � � � . -►� � � -'1 •��'1 .� • ' . �. -- � � �` �� �v� .��1 �c cn , r,� C °Q..� � �i�� �/ �x � .-F � i' 1 � ' \�; N � ������ �� .��� ,�►"�(-� � � - ` ,`� y � � O � � �O A'� �n��'"�'��e�� r r�V1 � �d ^ �� f1 � � l�� �{ �l I . �� � � � �' ,� . r � ,j�� J „. 1 i J��� � '��� �� �� �"°�,"�� � �, � o . i� .�1 'o � ( ? �� � � ^. ����Q� _ � ' �� �, n � � ;�,; � R n � � � �c n �I � . , �� � ' � � � � � •'►��.� �- � � '�l' '� � � ),�--,�-� � �o ,� ;� � s R� .� � � � 0 � \ , � n, � r � � � . � �"r ` �� ' Q'i,�-�. 1 �, � , ; i �� � I � � � � � � � 0 � � � e ��� �� r 0 r � � � � � ;. � � � �;' � n � � � �� �� �.'� �. � � n r -� � �- �i 4� �� , � j� � � -- R� � ; � -,, A, ;� � � �� �� � n� � � 1 � . � Q � ,� �� � L.��' � �y r'- a� � , ,� � , ��' \ - � � �� �� �a�" � � � �� , � � � � � � . n ,cr�i �� � � � � �- � �� �, � �� ,�� � �- , t�� . ' -� !���`� ��E�t'?�!�� 1 C��.if��'�� � �' N�NIJ Z0: Jock Robertson. Cbma►unitY Develo�nent Administrator r�ND F'�M: Darrel Qark, Chief Building Offici.al Dg',ND DATE: August 4, 1988 �Il�: Fourr3ation Problems in Carlson's Suu�rmit Mamr North A�n. please be advised that sir�ce July 21, 1988, I have received calls fr�oan six h�eowners who a�,m Y�xnes in the vacinity of the 5300 block of Horizon Drive, requesting that I inspect their house foundations because of apparent differencial settlgnents. Prior to these calls we had inspected 5 other fourr3ations durir�g 1987 ar�d 1976 that were in this gerieral area. There appears to be a pattern of things that probably have caused these - settlenents to occur or are present at each location: 1. They have all occured durir� long chy spells (1976, 1987 & 1988). 2. All have had mature trees growir�g in the ger�eral vacinity of the failure. 3. Yard arrl street settlement has also occured in fzont of those l�nes tl�at had mature trees in the fivnt yard r�ear the failure. 4. All those that have had soil tests done have had a layer of moisture receptive or active soil at or belav the fqoting elevation. 5. All hameowners have been advised to contact a soils engineer to test arid report their fir�clir�gs arid to suggest the n�eethod of correction. 6. All of the Yxmes were built in the mid 1950's. The cost of repair will depend upon the extent of the failures. We estimate the cost of such repair to range between a minimiun of $500. �0 to a maxi.mum of $20,000.00 or possibly higher. One ho¢ne repaired in June, 1987 paid an estimated $3,000.00 to a contractor to rePlace the Y�ack wall (32 feet) of their basanent. That repair oonsisted of the follaaing: temporarily supporting the structure on post ar�d timbers; ranaving the iiack foundation wall am� footing; digging down tturou� approximately six feet of clay or silt to granular gravel at thre� locations (each hole was about 4'x 2' ); pouring each hole full of concrete; pourir�g a reirrForced voricrete grade beain wer the top of the new pads to fonn a rnw footing; laying up a r�ew block wall ; arzd setting the house back clown. A canposit map is beir,g m�intair�ed that shows the reported dates ar�d addresses of all reported prcabl ens. If anyone wants mpre ir�orn�ation on this subject, please contact aur department arrl we wi11 be happ� to reviaa our files. We do have irrlividual records on �ch reported problan. Its possible that there c�uld be more failures that have mt been called in for our review. DGC/mh ATTACH: Map CC: Mr. John Flora, Public Works Director � •- --' - .� , ` �. r ` � � "� a � . ` J.'� S-I•SS 13lo Finct ti �J c4a„ !'� 8,-.+i - BJ 115 110�: �� e►.► •(n:t.. � ,:::;' 1 � �Z uwC��� 1,4 �1n, : 'eiT:l;�� �'-I-�S ��8 H� � � fi_z�'b 53ea ��,;v,� pa-. '' . � r � (p-I1 •c�1 53'i!e Ei�nn u � j,'�t�+t.' � �'14.• �-5- �� �6�{ Nu���� �Grz�r'-� � H lZ-��•S'l I��t CROwa Rc� L� ,lt � I o 1 53"° � 1-12-�� . r � a� / �_�zn� I I 1 5 3n� '�t` .�� E'" R D��` — �� ��-r.. 19S s� � e.► 7-Z►-� ,. „ � �,,�`'� � �jP��n iL AR 4 er ,�4 � 1 -r' 1� 5�0� r�. \���,� ,� � J �` � . � I g.�.� � 136 ���►�:,.� ..;�, �� pA ��� `�' �-�,, � � ���V�R� t'�.:. '� �-y- VL 14� iV;.wca-rr �'�� `, � � ` �V f � ` $23?8 4?00 �`'�-° `'� '�t C ,�� n 1 �p�.' '� r ^`; l� � �� � �� � c � S- �. �3 �t: �7 �' •? � ^ ��'r , ��r � �-� �`� � 9-►•�3 9SS� z'�� �-1-��I 435� 1��� :� � � j�� P F�i2 �i O '���. ���` U � � i� nla' ✓� J � � y JJ� t; ',�1 �� �.', r� ��i ;✓ �"' .,� ;, V J l� V a,.J t'y `� J . J!'' � � :a uoi �OR' . �,� � , � tv , U J li � J � �. '3 v �J V - - `-��- ,•��� I :� -; :, iY �, h '�m ' jJ 0 , Q ST�iEI 7Rl'V4I MI�M��� MOIOQ ������i;.�: , ✓u""""?:' � iY,L� "'!� i /,�!�%% : d//� — � r```�'" e� � �n}�,� g� . t ��� a � r:�- ��;..� �l �y�F���Y; � .�, ��� . � �� s. o�e � LA., - .. � -� ��A�.w��.;.+! r� �� ■..»�. .:� ��'. C _ _ ��i : ������ �� � I� � v� � � � _ � y - t- � I L � :ti rt �-•� M_`�: rl : � ,. L;NE .��-; �,�,p}� . :�-t;3' . ��'� , __- - b7[�7�Ii + , Y ��2,�- ^'-,�;' Engineering Sewer '�: Water .-��, �' Parks �• � Streetr�. Maintenance MEMORANDUM TO: �sim I'R- 4ureshi. City Marageer FW88-374 FROM: John G. Flora? P�blic Works Director DATE: �9�t � � 1988 SUBJECT: �374, Rsnoval ,� El� tr�ee at 129 Horizon Circle Due to the extrene dYOUght oor�ditions that we have experienced this year, much of the �ar-suzface grour�d water has been depleted thraugh evaporation, perculation, ar�d vegetation use. . There are a nm�ber of har�es in the Carlson S�mit Marnr North Addition which have e�cperier�ced four�dation settlenent due to the loss of grou�d water and eonsolidation of bed material. we have received a letter from Mr. arrl Mrs. Dzubak of 129 Horizon Circle requesting a large e1m boulevard tree be removed. They have experienced large cracks and settlenent . of their basenent wall ar�d f eel a portion of the prnbl� is a rns�alt ctf the elm t,ree absorbing grour,d m�isture. A rnanber of the hane.s in this area have also experienced the same problen. This beirx,� an older, m�re developed portion of the city, there are large trees in the bc�levard, fzont ar�d �ar yaxds, and sideyaxds. If the city did deteanine to renwe a boulevard tree, th� aay be establishing a precedent for the ratioval of aarr� bwlevard tsees in this r�ei��Uori�ood. Whi.le trees can be a contributing factor to soil consolidation, once the material has been aonsolidated it does not mnnally expar�d rnr can it be further eat�ressed. Assuni� events have caused the ground in the area to consolidate to its maximtan, reqnwing a tree will have rn effect on the future. �erefore �onsideration s,hould be given to the past events and to the overall ap�arar�ce o� the r�eigt�borhaod. Request guidance f rosn the City Council on what action we should take in regarc3ss to this request. .�F/g 3/6/2/1� • ��� � _?, � _ ' Fran !h� d�ak ot NASIM QURE$HI CfTY MANAGER'S OFFICE MEMORANDUM JF-374 DATE: August 5, 1988 TO ACT10N UPDATE 8UBJECT: John Flora, Public Works Dir.� 8/19/8 . Letter from Mary & Joe Dzubak, � 129 Horizon Circle Regard.in,r, the Removal of an Elm Tree Please see tiae att��hed lett�r and take the appropriate action. Thank you for your assistance. NMQ/la To: Nasim Qureshi, City Manager Frc�►: John Flora, P.�blic Works Director Date: August 8, 1988 Please see attaclved m�n PW88-374. JGF'/g Attacl�¢nent s City Manager - Fridley Dear Sir: August 4,1988 Today I met with the Fridley Building Inspector to check-out cracks in the wall and floor area of our basement. These cracks have been caused by dry weather conditions, and soil problems in the neighborhood. They have also been enhanced by a large Elm tree on the boulevard. Per recommendations of the City Inspector , and to stop any further damage, I am requesting the City of Fridley to remove the Elm tree as soon as possib��. Thank you for your cooperation in this matter. C-�� .�� -���%G , �� Mary and Jo��Dzubak �,. 129 Horizon Circle ���Q �,L,�,�%� Fridley Mn 55421 � Home 572-1013 Work 330-6199 1 r N�lJ ZO: Jock Robertson. Co[nrnuiitY Deve]-o�nent Ac�ninistrator A�ND F'1�M: Darrel Qark, Ct�ief Building Official r�D DATE: August 4, 1988 RFx',�A�Il�: Fourr]ation Prablems in Carlson's S�mit Mamr North Addn. P1�se be advised that sir�e July 21, 1988, I have received calls from six hameawners who am hanes in the vacinity of the 5300 block of Horizon Drive, requesting that I inspect their house foundations because of apparent differencial settlPSnents. Prior to these calls we had inspected 5 other four�dations durirsg 19a'7 and 19'� that were in this general area. There appears to be a pattern of things that probably have caused these - settlenents to occur or are present at each location: 1. They have all occurEd durir� long diy spells (1976, 1987 & 1988). 2. All h3ve had mature trees growing in the general vacinity of the failure. 3. Yard arrl street settlanent has also occured in fxont of those hames that had mature trees in the front yard r�ear the failure. 4. All those that have had soil tests done have had a layer of moisture receptive or active soil at or belvw the footing elevation. 5. All ha�neowners have been advised to contact a soils engineer to test and report t;heir f ir�di�s ar�d to suggest the method of correction. 6. All of the Y�ccnes were built in the mid 1950's. The cost of repair will depeirl upon the extent of the failures. We �timate the cost of such repair to range between a minimum of $500.00 to a maximum of $20, 000.00 or possibly higher. One home repa i red i n June, 19 87 pa id an estimated $3,000.00 to a contractor to replace the back wall (32 feet) of their basanent. That repair consisted of the follaaing: temporarily supporting the structure an p�st arrl timbers; ra�iavir� the back foundation wall and footing; diggir�g down througli approximately six feet of clay or silt to granular gravel at three locations {each hole was about 4'x 2' ); pouring each hole full of concrete; pouria� a rei�orced cor�ccrete grade beam wer the top of the new pads to form a r�ew footing; laying up a r�ew block wall t and setting the house back clown. A caYiposit �p is being m�ir�t,airnd that shaas the reported dates and addresses of all reported pn�blens. If anyone warits mr�re ir�o.nnation on this subj ect, please contact our departsnent arrl we will be happsr to reviea aur files. We do have ir�ciivicliaal records on each reported problen. Its possible that there c:ould be more failures that have mt been called in for our revi�. DGC/mh ATrAC�i : Map CC: Mr. Jahn Flora, P�blic Works Director d ,. _, i, a �I•S8 !3� I;:�I�;,J c� .8� �-,.q No�:�zeu •y:... g-1-� 9 �4�8 Hon i� c,wCr� t�a,Zn.. �_zab �ea i+�„ti1,�,� c�. , I � ` (�-�1•�7 531le No�nu � � c,_: J $-S �� �6�{ N����-� ,Gcz �.►�� , • � H 1Z-��•4'1 1�9 Cr�owa Qa;� �� ,1 .; I-12•�� Inl 53�° ��. i� �_�tn� I I'1 5 3R� ,�t� ��� — t1- w-Z'-• �9S S���P�r •�,Q, � • 7-Z�-e`� gp;Mti A�ae. ;s� , �. r�•�� 5�e� ��������� g- �.') fi �3 �� v:]r:� :�•. '� (fl • Z 1.� (Z� P q',2SA W%.e.'��a.1z t e: ; �i�y� U� �4� �JLiQOvrl 523�8 4�00 �"� s- r.�3 4: 37 �'� e- �.�3 �ss� -z,l� �_ i. � � 4ss � 1'/�- _ _� __.►[.hry � 3� � �_� �='� � y �.�:� , - - � _� 3 �= g=_�= � .-• L 7L _ _'i �� �-__ e � • 9 [ngineering Sewer Water Parks Streets Maintenance MEMORANDUM TO: William W. Burns, City Manager PW88-356 FROM: John G. Flora, Public Works Director DATE: November 3, 1988 SUBJECT: petition from Joe Dzubak of 129 Horizon Circle Requesting Removal of Boulevard Tree On November 2, 1988, we have received a letter (Petition No. 23- 1988) from Mr. Joe Dzubak, 129 Horizon Circle. Mr. Dzubak is one of the home owners on Horizon Circle that has experienced foundation settlement and basement wall cracking. In his letter, he is requesting the City remove a boulevard tree in the front of his property. As the boulevard tree is an elm tree and is susceptible to Dutch Elm Disease, and as the tree is a probable cause for the removal of water from the soil causes the settlement of his basement foundation, and as removal of this tree is consistent with the purpose of Ordinance No. 510 (Tree Preservation), I would recommend the City Council authorize the Public Works Department to remove the boulevard tree in front of 129 Horizon Circle. JGF/ts Attachment Q CdiYOF F'RIDLFX E S CITY OI' FF,IDLEY P�TZTIO!� CC)'��I:R SHELT Petition ho. 23-1988 Da.e F.e_ei��ed November 3, 1988 Gbject Requesting City to remove the City elm tree on the �ou evard of 12 orizon Drive upon the recommendations by two engineering firms and the City's Building r:c�t�o,� c.�e��:�a ��. Percent Sibnir.g Referred to City Council Disposition Date � • , � .lohn F loy-a D i rec #oi- of F�ub L i c Wor Ns Cify of Fridley Dear: �fr, �lara Date 9i-01-�8 F'er recomrnei�dat i on� made bY the � efic� i neer i ng f i rm�� encl C i ty of Fr i d leys ` bu i ld i i7� i n,�pector, regard i ng �the so i L pi-o� Ler�is i n tl-�e H�r i�on L9r i��e,'G i rc LE Area, I ani rE��,u�st i;ig the � i ty af F"r i d le�y to ren��G�� fhe L. i t� F ln� �tt-ee wh i ch i� �yn r�iy b�u le:�ard e Thanl�: y�ota fo�- yuui- he lp i i� th i s� rn� t ter . _ � Joe Dzubak i��' Hor i za�� C i i c L� Fr i d le;� r��n, 5��a � � _ � FRIDLEY CITY COUNCIL MEETING OF NOVEMBER 7 1988 PAGE 10 Mr. Flora stated this resolution objects to the loan.'repayment a tion and suggests that the affected cities of Minneapolis and St� Paul bear the costs of separating and replacing their combined sewe s, the same as all other cities have done in the pa�t. MOTION �y Councilman Billings to adopt Resolution No. 101-1988. Seconded��y Councilman Schneider. Upon a voice vote, all voting aye, Mayor �8. CEI 2• � declared the motion carried unanimously. � � MOTION by Councilman Schneid`�r to receive Seconded by Councilwoman Jorge� on. Upon a aye, Mayor Nee declared the moti�n carried Mr. Flora, Public Works Director, tated Sears parking lot on the north and e� possible to patch the parking lot as drainage. He stated the property owne� drainaqe problems and they have request steps to prevent water from standing in believed drainage can be provided for catch basins and overlaying the parking Petition No voice vote, unanimously. � . 21-1988. all voting due to revisions in the sides, it would not be Lt and provide adequate as been notified of the �the City take necessary i lot. He stated it is the 1 t by instal l ing . two lot. Mr. Flora stated the contractor called this morni� amount for the irrigation system from $6,500 to $ shown as Item 13 in the change order. He stated been discussed with Mr. Applebaum and he agrees irrigation system is necessary and the total cost will still be within the budget. with a revised 1 ,574 which is th amount has the additional of th project MOTION by Councilman Schneider to authorize Change Order No. 4 in the amount of $47,109.75 with C.S. McCrossan Construction Comp y, Inc. for Street Improvement Project No. St. 1988 - 1& 2 for revised contract amount of $987,770.75. Seconded by Councilwoman Jorgenson. Upon a voice vote, all voting aye, Mayor Nee declared the motion carried unanimously. � 9. CONSIDERATION OF PETITION NO. 23-1988 REOUESTING THE REMOVAL OF A BOULEVARD TREE AT 129 HORI20N CIRCLE: Mr. Flora, Public Works Director, stated Mr. Dzubak, 129 Horizon Circle, has petitioned the City for removal of the boulevard tree FRIDLEY CITY COUNCIL MEET NG OF NOVEMBER 7. 1988 PAGE 11 in front of his property. He stated this is the only 1•arge tree on the property and located directly in front of the home that has experienced foundation settlement in line with the tree. He stated the City's soil consultant has indicated that the tree contributed to the cause of the water loss, clay consolidation, and.footing settlement. He 6tated the tree is an Elm susceptible to�disease and there ar� no other trees on the property. He recommended the City approve the request of the homeowner to remove the tree, with the understanding that no replacement trees will be provided. MOTION by Cou�cilman Fitzpatrick to receive Petition No. 23-1988. Seconded by Councilwoman Jorgenson. Upon a voice vote,'all voting aye, Mayor Nee declared the motion carried unanimously. MOTION by Councilman Fitzpatrick to authorize the City staff to remove this boulevard tree. Seconded by Councilwoman Jorgenson. Upon a voice vote, all voting aye, Mayor Nee declared the motion carried unanimously. 10. CONSIDERATION OF A MOTION TO ALLOW A PORCH TO BE BUILT OVER A SANITARY SEWER EASEMENT LOCATED AT 5505 WEST DANUBE ROAD• . Flora, Public Works Director, stated the property owner at 5505 We t Danube Road would like to build a deck on the northeast side of h home that would encroach four feet into the existing utility easeme running along the north side of the property. He stated staff ha inspected the property and does not feel it would create a problem i the City had to perform maintenance on the storm sewer line. He ated it is recommended the Council approve the encroachment i o the utility easement, with submittal of a hold harmless agreemen that can be recorded at the County. MOTION by Councilman chneider to approve the encroachment into the utility easement at 505 West Danube Road with the stipulation that the petitioner ente into a hold harmless agreement to be recorded at the County. Se nded by Councilman Fitzpatrick. Upon a voice vote, all voting aye, yor Nee declared the motion carried unanimously. vl'l�. CONSIDERATION OF A PROPOSED CAB TELEVISION AGREEMENT BETWEEN ACCW AND THE CITY FOR 1989: This item was deleted from the agenda. 12. Mr. Aldrich, Fire Chief, stated this is a request or additional funds for work on the Opticom system in the south Univ sity Avenue corridor. He stated the contract was awarded based on quotation requested �y the City and the contractor assumed that exi tinct Sue�ect City of Fridley 2 71 15 AT THE TOP OF TNE TWINS g U I L D I N G P E R M I T r ; � RECEIPT NO. � `y __��� COMMUNITY DEVELOPMENT DIV. � � �� r � � PROTECTIVE INSPECTION SEC. i . , � � /"'1 � CITV HALL FRIDLEV $5432 NUMBEH REV OAiE PAGE OF APPROVEO BY �.._.'�'' '•' 612-571-3460 910-F15 8/11/98 � � JOB ADDRESS 129 Horizon Cir t LEGAL �OT NO. BLOCK TRACT OR ADDITION SEE ATTACHEO DESCR. (� 4 Carlson's Summit Manor North SHEET 2 PROPERTY OWNEF MAIL ADORES$ ZIP PNONE Joe Dzubak 2-101 3 CONTRACTOR MAIL AODRESS 21P PHONE UCENSE NO. Su erior Construction 424-9434 7231 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PNONE LICENSE NO. 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO. 8 USE OF BUILDING Residential 7 CLASS OF WORK � NEW ❑ ADDITION ❑ ALTERATION � REPAIR ❑ MOVE O REMOVE 8 DESCRIBE WORK Reroof house and ara e 27.5 S Tear-off 9 CHAN(iE OF USE FROM TO STIPULATIONS Underlayment must comply with State Building Code. SEPARATE PERMITS ARE REQUIRED FOFi ELECTRICAL, PLUMBINO, MEATING, TYPE OF CONST. OCCUPANCV GROUP OCCUPANCV LOAD VENTILATING OR AIR CONDITIONING. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION 20NING Sa. FT. CU. FT. AUTHORI2ED IS NOT COMMENCED WITHIN 80 DAYS, OR IF CONSTqUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 OAVS AT ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS OFFSTHEET PARKING I HEREBY CERTIFY TNAT I MAVE REAO AND EXAMINED TMIS APPLICATION STA��S GARAGES AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS Of LAWS VALUATION SURTAX AND ORDINANCES GOVEfiNING THIS TYPE OF WORK WILL BE COMPLIED WITFi WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING Of A PEHMIT �ZL]() �],. ],3 DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL TNE pEFM1T FEE SAC CHARGE PROVISIONS ANY THER ST TE OR LOCAL LAW ULATING CON- STRUCT ON O THE PE FOR A CE OF CONSTRUC �]LE. ]S Fire SC �2. L% PLAN CHECK FEE TOTA FEE Licen $5.00 3.15 IGNATURE Oi ON7RACTOR OR AUTNOR12ED AGENT IDATE� EN P OPE ALID E THIS IS UR P IT S�GNATURE OF pVyNEFi i�i OWNER BUILDER� �DATEi ' �!/� BL � iNSV qa7E � _ � NEw ADDN ALTER [] [l �l ConstructionAddress : Legal Description: Owner Name & Address: Contract� Address: CITY OF FRIDLEY SINGLE FAMII.Y AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION � Effective 1/1/98 `� � �� � � � Tel. # �' 7a� ^ !D� 3 ENSE # ��3 I Tel. # �.Z� �'�3 �-� LIVING AREA: GARAGE AREA: DECK AREA: Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF IlVIPROVEMENT Length Width Height Length Width Height I.ength Width Hgt/Ground Sq. Ft. Sq. Ft. Sq. Ft. OTHER: T�,�� ��� a- R�R�o� ��'.� .�� Construction Type: Estimated C�st: S .�,� �� . (Fee Schedule on Back) Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x$ —$ DATE: � 1/ � APPLICANT: Tel. �# ������� CITY USE ONLY Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee Sewer Main Charge TOTAL STIPULATIONS: $ �- . �.�� $ _� $ /. �.� $ $ S-G�� $ $ $ $ s $ ���/� Fee Schedule on Reverse Side .QO1 of Permit Valuation (1/lOth%) $.50/$1,000 Valuation $1000 per SAC Unit $5.00 (State Licensed Residential Contractors) Alt. "A" or Alt. "B" Above $450.00 Conservation Plan Review Fee Determined by Engineering Agreement Necessary [ ] Not Necessary [ ] BUII.DING PERMIT FEE 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 $SOQ,001 to. $1,000,000 $1,0(�,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 ��t $50,000 plus $6.25 for each additional $1,0� or fraction thereof, to and including $100,000 $887.25 for first $100,000 plus $5.00 for each additional $1,000 or fraction thereof, to and including $500,000 $2887.25 for the first $500,000 plus $4.25 for each additional $1,000 or fraction thereof, to and including $1,000,000 $5012.25 for the first $1,000,000 plus $2.75 for each additional $1,000 or fraction thereof DRIVEWAY DEPRESSION ESCROW (Concrete Curb Streets Only) Altemate "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. � a �