The URL can be used to link to this page

AF - 46232� � '�"'� Villa.ge of Fridley, Minn. „ ., BUILDING PERM�T �. Date: . . .� �. �! . . . .�. .�.�. . . ��.� �.�.°... . . . Owner....................................... Address...................................... � I�° 1765 .�� Builder . . . . . . . . . . . .` . . . �. . ��i�.��,/,��j, , _n, . . .. . . . . . . . Address . . . :d!�`2: o d . . . �rra h c.. � . . . . . . . . . . . . .. . /�+ � LOCAT[ON OF BU�I'�'DING No. .�.... Street .../.Z.t?.I� � r;�.6?7......��'�./G . Part of I.ot ..................... ... Lot . . . . � . . . . . . . Block . . . . . . . �. . . . . . . . Addition or Sub-Division .�"Q1s.�.!'!.!. T. ��( h o,/!, , / v, , , , , Corner Lot ........... Inside Lot .. ✓.... Setback ..�.� .... Sideyard ... ��.Q .................... DESCRIPTION OF BUILDING To be Used as: ,[d ��: ! ./ !! �. . . . . . . Front . . .�� . Depth . � .f�. . Height . . � `S . . Sq. Ft. � � �� Cu. Ft. . . . . . . . . ..................... Front ........ Depth ........ Height ........ Sq. Ft. ........ Cu. F� ........ ,s a t� Type of Construction . . . . . �':�.�. �: . . . . 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. er�i •� Y�Is.�r� e �,� . / � In consideration of the payment of a fee of $./.�� . �?4 �'�ermit is hereby granted to . . . . . . . . . . . . . .. . . . . . . ......................... to constrnct the building or addition as described above. This permit is granted upon the express condition that the person to whom it is granted and his agents, employees aad worlmien, in all work done in, around and upon said building, or any part thereof, shall conform in all respects to the ordinances of Fridley, Minnesota. regarding location, construction, alteration, maintenance, repair and moving of buildings with- in tne village limits and this permit may be revoked at an�-time upon violation of any of the provisions of said ordinances. �°`-� ..�:.�,. . .................. Building Inspector NOTICE: This permit does not cover the const�uct•ion, installation or alteration for wlring, plumbing, gas heating, sewer or water. Be sure to see the Building Inspector for separate permits for these items. � _ ��•; - Aro.� �¢�� '°�;� 'x�:;�=- . �� 'a� °`; x �, � � ,, � � + . � , /�r�' � � {: °� �c�; i � r ` , i . � , " � � � � a �< z..,�'e"` 4� � �: r� � • 4.�� " � � . .arwt�ir ?i�+e�; �� ,a> ' ,� � LAND.3iJ1R'1t"tYEii! , � ' � �� ![tBcqTR1�R; YNORR LA1M� CR fTA'Et 4!!� MiNt!IRS01f�► �' `" H �,'-,, , . L4GtMtW +►tt` Osob�+�NCS oe prT O/ Mn�ws`ato�.l� : >".� 6.: 53�0 i�1!`A�1� A!/E. f0. fiAtNN$AR041� i. iM1NN.� ` , 4.00i!#T e970 , �. � : K �'It,t�ttt',� ia�tl�t , :, . t:, : . � ;, . � . . `.-o^ " , . .,��' � � 1, •: „ . - �, , �� ¢ 1. = 3 Q ' � � � o,.� ' - .:� � f' O tl 5 . . '�L' \ ,QO ' ' £ . . �41� A.�.. ... � ' �� . .. . , Ii `` .. 'V� � . . { 1 � - . r.-�/ r�i�� - , . . �, / �• . . F %�'� `� � ! ' C�� aq�,' \ _ �. /, ` . • � : / � �`` ' `d� `\� � � '` . _ � :� G � ..� .. _ ,,� ; ; � �-� '�� ; . � a ,�. _ : � �, � _ , ,; . .},�, ., : v . e �g • �� \, �,� � `'c. �� . b �' s� �� tll 6 o t1r�� ; ," f�l 9, �o Q `�4 � � , � � ba . �� . Q, ` � � . � s. t+� , \ �. O O . ` ' }'� F„- :, II . . . . � . a , � � . . . i ��I . .. . . . . . ' _ �. . . . . . � , � �� . i. � . " . . \ .. � � � � ` ' � TSI'i . ... . .,�.. `�I �� ;��, . � � �� o, ,1� , � �� ,� . .,,,, ir�€�. � �i : � �� -� �ro� ' -� �,�, � � � . `I be�eby�ce�rt�fy ti�� the abo�• is a - � ' - , �� t�va a�d �arreat plat of a s�►e�r-� +�: � �� A ` - � k �t' �o (2), �� 'o�' tb). c�i.�ad��: , �\ � , �r -�4Mi � Ml1�+TGR NtJ�� ;�t7iYIT IOI�'. Aac�k e ; �} , �, . nc} ' , i K �: . . �c�t Y • �#;11t�r! 8�r�8, „ �C` � .�a .� �� , t , � :: _: � � �.: �� Jt� s�tr�`i�d bp �ne �his . ].Oti� d�► � � r��7+�j f,� �x yyy , ��'.��"!Q �R�'T.✓ M`. �� i � . . , � . . � � y#x ' '+ � 4'�k��'�. �, _ � � � . . . . � R ' �i i - '�. '�? �w � � �. � �A �� : '�'�, ( • p y T ��. ��a. . �;�:u��KA _ .. �. �,�� t �_.»'✓ it " �.d �� r �,at�i w,i f+.+3. i�+`�•r�.r....�.w�A� ry-; y �� fj�a �� j,� �� ¢ �, � '?� K %n � I .. " . :'ta` "': � x i ,,s'=� �`b:, �`t� . , I . k � F � .��'_,� ' `�.�tf. ..j�.. 1..:SC �tai.� +s.G. r' :. sL `� ".��t P.; S�. II ix� h• r .. ,�� ^ 9 3@e,� � }, $. � ` t�i'�"i /�y � ` � (,j 1�. Yi = � i. !�.i .`4� �a.. �� •• �� .. ��.�. �R�� `� � �. y . �. � � . . , _ �..a�..�n ..t� r hy�,;,"�''`� ��'� '«-s�'� �, X �. 6'� °� ��.�"fl��t't", � �'ir � � � /�', City of Fridley, Minn. BUII.DING PERMIT � . Y �; � • � / � � � �. � ,�. % i�, N° 3387 Builder .....� .................................. Address ............................................. LO�CATI�IV OF BUILDING . No. ,� . . . . .� Sfreet . . . . � . . . . . . . . . . . . . . . . . . Part Lot . . . . . . . . . . . ....... . ..... Lot ..:�...... Btock .....�... ...... Additton or Sub-Dirrlsion . ........ ... ..�'!l�r^rC!1 �� .. . ... . Corner Lat . .. .. .. .. .. . Inside Lot . .. .�. .. ... Setback . . ��'.��Sideyard � •��',�� .�.�.�� DESCRIPTION O� BUILD[NG To Us as: / 4 ey �� . F•ront .! �ir- � a�i'�' � 't �o�� F't.�� .. Cu. FkR-!.��8��0 � ..... .. ... .. .. ........ . a � Depth . . . . . . . a eigh Sti• . . .. . .. . .. .. .. . .. �om ./..�.. . ne�tn . .1. �!�, m x��,t .� �.:� sq. Ft. %. .4�. e�. Fc. . �`�. � � �. of nstructton . .. .. .. .'. . . .. . . . .. . �at Cost. . �.��6 �. . . . To be Completed . . . .. .. . .. .. .. . .. . . ��'rr ! � � � , ,. r , :, 9 �- - / y . � �' . %� _ - . - � � �� , �. j / In consideration of tihe issuance to me o! a permit to construct the building desribed the propaaed work in accordance with the descriptfon above set forth and in compliance ordivances of the dty of Fridley. �� /�-��' "� , ,� �, I agiee to do all prov3sions of � �� In consideration of the payment oP a fee oP $ ............. permit is hereby �ranted to ................... ... .. .. .. .. .. .. ...... .... to construct the building or addit3on ag descrlbed above. Thia permit is granted upon the express condition that the person to whom ft is granted and hia agenta. employees and worlmzen, fn 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 city limits and this permit may be revoked at aay time upon violation of any of the provlsions of said ordinances. s° �� . . . . � �� . �,..�. . . . Bujldin,g Inspector NOTICE: Thls permlt does not covar tha construaRlon, installatlon or alteratton for wl�ing, pl Ing� gas heating, sewer o� watar. Be sure to eee the Bulldi� Inepecto� fo� sapa�ate permit� for th ma � � � � � � �� e� �• N � yA A � x 7i �y �� W x e � � � � � n o r N � d � � � � � � ,,� � Aa p � �o � � � a � � � � � . � � . � o � � � � o `� � � � � b � o � � : � � �°� ��.: � o. eo � s C�, : : a � °a. W . : a . . . oa � : � � : : . � : � � : : : � . . . . . . . � . � . � � . N I I I � I I I I I I I � f0 a! i� M � aC i! k DC il � � � � � � � � � � $ � 8 �8 � 8 � � $ 8 � y fp i/f <ii i/� ds � yy •°a � \" � � � � � \ � . � c� D � 1'� D �"� m � a m C r m � � o z � � g � O � A b � � � �. ° � �' � � � I ;1 � `�. � . •- .. �,y . s �� g , . � � "< . :. .�.1 : ..., � , ; : �� : : �� ..� � ]❑ I � a a � � � » M � � C � � � V I WATF0. � uaw�s s�n� � �� S�� w� rw�Ys oaiNK. FouNr. sMwRS. �� 6RAIN5 GTCM !�►SINS w� � �. GAS 11hNGE GAS OPENINGS .. Z • � � � A �� . a � � � �� ' � � M� O� �i oe�ob� � � �� o� �' � � �e r► ��yo � �) �'' b � �� vy � �� p �m o C7 � � O ��m � a�� a��~ �� Q 8 ~ r� M � � � A �. 3 `� � � �� & �°n � � �� s � w � � � ` : � � � �. � a � ° ,� � �c r�i. � N � � � o � o � �� w n � �i � N ( � i � � � �n N a sus�ecr P N O. c�ty of Fr�aley - � 6 a o AT THE TOP OF THE TWINS g U I L D I N G P E R M I T � r ; � RE O. � • COMMUNITY DEVELOPMENT DIV. � `ti: ------ �� r � � PROTECTIVE INSPECTION SEC. 1 = � � /�"1 � CITY HALL FRIDLE� SS432 NUMBER REV. DATE PAGE OF APPROVED BY �'""""� � ,�� 612-571-3450 910-F15 9/28/81 � � JOB ADDRESS 157 Horizon Ci.rcle N.E. 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 2 � Cdl^�.5011�S SL'LL�ll't MdIlOr NOY'�}1 SHEET 2 PROPERTYOWNER MAILADORESS ZIP PHONE Ca.rl Nyberg 157 Horizan Circle N.E. 572-1008 3 CONTRACTOR MAIIADDRESS Z�P PHONE LICENSENO. Panelcraft of Ati.nn. 2309 Snel,ling Avenue South 721-6628 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAILADDRESS ZIP PHONE LICENSENO. 8 USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW O ADDITION �7 ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE S DESCRIBE WORK Reroof Dwelling & Install in�ulation 9 CHANGE OF USE FROM TO STIPULATIONS Roof can be 2nd but not 3rcl roof. Install ridqed galvan:i.zed valleys. TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD SEPARATE PERMITSARE RE�UIRED FOR ELECTRICAL, PLUMBING, HEATING, VENTILATING OR AIR CONDITIONING. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING S�. FT. CU. FT. AUTHORIZED IS NOT COMMENCED WITHIN 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 HEREBV CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION 1 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 $3�200 �`�..CO WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE pERM1T FEE SAC CHARGE PROVISIONS OF ANY OTHER STATE OR I.00AL LAW REGULATING CON- /�4.50 STRUCTION O THE PERFORMANCE OF CONSTRUCTION. $ PLAN CHECKFEE TOTALFEE $46.10 SiGtvnru OFCON7RACTORORAUTHOR12EDAGENT IDATEI WHEN PfiOPERLY ALIDATEDg THIS IS YOUR PEF;MIT e 7 .� � = �' ��CeyJC1C./�'C/ O+U SIGNATUREOF OWNERIIF OWNER BUILDERI IDATEI BLDG INSP �AT CITY OF FRIDLEY Effective Aug. 1, 1981 APPLIC/1TI0'J fOft RCSTDL"i�TIl1� DU1LQIi�G PEftMITS (tde►�, Alter�tions, Additions, or Repairs) � 01Jt�ER: '�� a : AQDRESS: � 7 ` C�� TEL nSO: � � � — / o �c� �' STIt��T NO : /� � , �!°/% I3UI LDER : ,,� c, � - ,� r,� - S�y AODRESS: �. � �' ' � °�`-�� TEL IdO: �� — � � � � Consi:ruction Location � ��STFtEET: �J � � f� d ,�� i.oT: . � sLOat: , �'_ AoniTioN: '' � .�--�� , �r ` . Corner Lot: Insicie Lot: SetbacY.: Sideyards: Ap�licant atta.ch to this form two Certificates af Survey of lot and proposed building location drawn on certificates to scale. DESCRIPTIOid OF C0�lSTRUCTIOPd � �C�O � Front: Depth: Height: uS� Square. �'eet: Glibic Feet: Front: Depth: Height: Squar.e� Feet: Cubic i'eet: _ � ��`' - . 4ype of Construction: �� Estimated Cost: $�� d� - r �: d D Rb Be Oor,�pleted: Alt. A Alt. B Proposed Drive��ay Width If New Opening Is Desised: $� $ , SE� R�VERSE SIDE OF SHEET . The undersigned hereby ma3;e� application for a permit for the �:vrk� hexein specified, agreeing to cb ,all work ix� strict accordance Y�ith the City of I'ridley Ordinances a�zd rulings of the Departm�nt of Builc3ings, and hereby declares that all the facts and representations stated in this application are true and correct. / �� ^� ' � ,� � �.� ��9 � D:'�T�: �� ' ; �/` SIGNATUF�: � ' . Stipulations: � ��L'' �� ' b ,�5� ��Io �,�� s °�� o,< �o _ �� BUILDI•1�iG PE•RNlIT FEE SCHEDIILE The Inspector of buildings shall, before issuing permits for the erection of any building or structure, or for any addition to any bxisting buildinq or structure, or for any alteration or repairs to any euisting building or structure, upon application therefore, require the payment by the applicant f or such permit of fees to the amount herein below set fortfi and in the manner herein provided to-wit: TOTAL VALUATION $1.00 to $500.00 $501 to $2,000 $2,001 to $25,000 $25,001 to $50,000 $50,001 to $100,000 $100, 001 and up FEES $10.00 Minuaum 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 $443.00 ior the first $100,000 plus $2.50 for each additional $1,000 or fraction thereof PI+AN CHECK: 25 percent of building pezmit fee DRIVII�IAY DEPRESSION ESCR�nT: Concrete C1uub S�reets Only Alternate "A": Removeal and replacement of curb and gutter only Driveway width plus 6 feet x$13.50 Alternate "B": Rmaoval 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.miun of 24 hours from the time of application to allow for proper review of the proposed structure and 4�f 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. I�J 'n` ,� � � _ ::, ,�. � � ; , _,:- ��- �j � /�1 rX. . ,�..;.,....:�. t� � : x' N' 91i�5 `�, �uilrin� .I�b AeMrt A��NESS ---- I� �� wNE11 � �NSPECr�oN� - EC�q� � ,_; �afe � �' . ,.�; a� ;'� ;+Y�''x, a�. .{a: - :::;,�.:� . ,' �' c /�p � � �o ��10 vl� _�' %� 0��/ �OY1 e � n / � ��, l��o V�%� �►�2 ��n� �e� l's -�-�a+ r� s �'d e Qf_ 1Cn� i�ri3o�, Cir. N.�. Fr►d�,1kr� �-iv-� ��rrmi�s�or► T� �'h� ,�Vb-erq Y'�S{c��nce c�� C�� /��l on � i r ��•` 7� �iC Q!'I� T�14 (� 1 � � a r j V2 c.� a� -i�o � c.e �' a� � i n � n9 �r��er� y� �n e> ��?G� � �' I`.ia:'1 �r �. � � � ) [] 1�1 AND R-2 Building P�mit Applicatiaa� Effective 8/16/90 � c�� Aaa�.�: /�7 � r iZa.v Cr, v� ,��'_ Le9a1 De�'iption: �o %� a ��K Li �-�?�'lso�i �Ufnh�i'� /�1�� y��r /i/ov`f�j Owr�x Name & "�' • �: �L� r� � �P�" Zgl . # .� %� ` /O Of ` � Te1 • # Addmaa; , �.�+�'�� . t!� Y� H � 'J3+� . z«• • �,. • Y'lyi' � - . I - • � .:.,Lr Attach to this application, a Certificate of Survey of the lot, with the pro�osed �truCtiaai drawn on it to scale. � r� �+• •� • � i �• •.� � � i:� Width Width Wlfl�l Height Sq. Ft. Iieight Sq. Ft. Ii��GL'titII"IC� SQ. Ft. Corner Iot [) Inside Ipt [] Ft. Yd SetbacJc Side Ya�i Setbacks 'Ij�pe of Construckion: FstiYOated Cost: $ Approx. Co�letion Date: // � Proposed Driveway Width If New Opening Is Desired: ��-3 Ft. $�`�c�,� D $ � n Width + 6' See Back Page D�,'PE: / d - I - °I � APPI.ZC.AN'r: �JC . Te1. # � 7 z - /o o �' c,� or/�.- SS3- 8�7 7 CITY �E �Y � p+?�++; t Fee $ Fire Surrharge $ State S�m.h�lrge $ SAC CriaYge $ Driveway Escraw $ Park Fee $ SeWex M31T1 C�]atrje $ . �� ,. . S , �, ��c, Fee Sch,edule an R�vezse Side .001 x Pexmit valuatioai (1/lotli �) 5.5o/Si,000 valuation $600 pex SAC Unit Alt. "A" or Alt. "B" Above Fee �prm; r� j� �rri r�ri r� � � �qr�r�t Ne��sazY I] xot N�a� I l �� 1 �� , P�� ' i r /lA,�.�cs e T� v �L� � � � � Zhe Qzief Buildi.rig Official shall, before i.�Ct11*?� �m+;ts for the erection of ariy �,; � dug or structure, or for a� addition to any existing building or structur�, or for ar►y alteration or repair to any existirig buildirig or structur�, upon ap�lication therefore, require the payment by the applicant for such �n++; t of fee.s to the aa�ount herein bela,i set forth and in the n�ar�ner herein provided to wit: � Z�OTAL �TALLJE $1 t� $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 ��. $15 (Mini.m�an Fee is $15 plus surc�aYge) $15 for first $500 plus $2 for each additional $100 or fraction thereof, to arld including $2,000 $45 for first $2,000 plus $9 for each additior�al $1,000 or fraction thereof, to and including $25,000 $252 for first $25,000 plus $6.50 for each additional $1,000 or fraction thereof, to and ir�cluding $50,000 $414.50 for first $50,000 plus $4.50 for each additional $1,000 or fraction thereof, to and includirig $100,000 $639.50 for first $100,000 plus $3.50 for each additional $1,000 or fraction thereof, to and including $500,000 $500,001 to $1,000,000 $2039.50 for the fir�t $500,000 plus $3 for each additional $1, 000 or fraction thereof, to arid includirig $1, 000, 000 $1,000,001 and up $3539.50 for the first $1,000,000 plus $2 for each additional $1,000 or fraction thereof DRIVEi�iY DEPRESSIDIJ ESCROW (Concrete Gtirb Streets On1Y) Alternate ��p,�� : Remaval and replaoement of curb and gutter only - Driv�way width plus 6 feet time.s $13.50. Alternate "B" : Remaval arid replacemer►t of curb arid gutter and install a 3 foot wide approach with 6 inch depth - Driveway width plus 6 feet times $15.75. � �__■._�_ �� y� .� . . �� . - .� P�enai.ts for construction will be issued a mi.ninnnn of 24 hours frcen the time of applicatiari to allaw for proper review of the proposed stnicture at�d of the �uction site. � A Certificate of SuYVey of the lot, shawing the location of the f�undation or� it has it has bee.n constructed will be required before proceeding with the framing. 0 D r � m m � � � � w m � � � � a� � � a� ��W�oz � r m w� a� a� w w ��'. A.' o m o, co o r � `C � y � N'" N � � 3 C� � � � � � � � .n � � -• -� -� � 3 O 0 .� 1l < m � �� c° � w c� � m� m v�. c � � _ � � .-► .. �?' �p• -� � A� � m �p m ,� m�� r a', �, �' o a� < � �� m z �ZfD � �mv -I� � � � O (� N �n � �, � � il � � o � � � � c m � o � m � �� Q � a -� � � _� �a � m Z y � r C W Z � � � � m � � � . r ___ �_ 1= I I I 1 I_1 _ _°_ _� �— a . � � a�' � � z� � 0 D v -a < m Q W �G � 0 c cQ � � � v �: m � � v � m � \ � `1^ N � � � Z m v � � m r Z O v r C W Z � n 0 3 -o � Z -< � j,��,�t��rfl y O O O V O V V V V tl� �1 V -� � 00000000000o m 0 0 o a o 0 o a o 0 0 0 �m c � Q- � � m Q. C n y O � Q. � � -o m � � -� Z O � �i O � � � � f � � � Y �. � � c =: � .�� Qa � y � N O � � � m m m �Q � c� o � Q o � � � � A� _ � � o � o '� co � � 'a �N .g � � ��.� � � m � Q o � o � � m � 1 � y� :i � S "'n r► O 3 .. -�a •�'► �D �' � � � � � o � 0 � � a � � y � .7 --I O -� n r � O W � 1� � � � n N p, W � � � � � O < �'I ��'•v �'� r N C � N Z Z m� � m n -i 0 z v < � c� � � O L � � c a� � J J m �O j _ <.7 � c�ty of Fridley ' ` �� .A�� TME TWINS 2 � `v __�� COMMUNITY DEVELOPMENT DIV. r � � PFOTECTIVE INSPECTION SEC. i._-_� ��"' �'� CITY MALL FRIOLE� SS132 t 612-571-34b0 JOB ADDRESS 157 Horizon Circle �U ILDING PERMIT �BHN 11EV DATE nAGE Oc 910-F15 10/22/98 � � t LEGAL LOT NO. BLOCK TRACT Oii ADDITION DESCR. 2 4 Carlson Summit Manor North 2 PROPERTY OWNER MAIL ADDRESS Carl & Betty Nyberg 3 CONTRACTOR MAIL ADDRESS Panelcraft of MN 3118 Snellin 4 ARCHITECT OR DESIGNEA MA1 ApORESS 5 ENGINEER MAII ADDFESS 8 USE OF BUILDING Residential 7 CLASS OF WORK O NEW O ADDITION B DESCRIBE WORK Reroof; Fascia and trim 9 CHANGE OF USE FROM S Mpls MN 55406 721- ZIP 28371 7C�o APpqOvEO Br SEE ATTACHED SNEET PMONE 572-1008 PMONE LICENSE NO 2179 PHONE LICENSE NO PMONE LICENSE NO O ALTERATION �c REPAIR O MOVE O REMOVE STIPULATIONS Underlayment must comply with the State Building Code. SEPARA7E PERMITS ARE REOUIREO FOR ELECTIi1CAL, PWMBING. HEATING, r.rt vr aa VENTILATING OR AIR CONOITIONING THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION IONING AUTHOHIZED IS NOT COMMENCED WITHIN 80 DAVS. OR IF CONSTRUCTION OR WORK IS SUSPENOED Oii ABANOONEO FON A PER100 OF 140 DAYS AT ANY TIME AfTER WORK IS COMMENCED. NO DWLG. I HEREBY CERTIFY THAT I MAVE REAO AND EXAMINEO TMIS APPLICATION AND KNOW TME SAME TO BE TRUE ANO CORRECT. ALL PROVISIONS Of LAWS ypLUAT10N AND ORDINANCES GOVEqNING TNIS TYPE OF WORK WI�� 8E COMP�IED W�TH WHE7HER SPECIFIED NEREIN Oii NOT. TME GRANTING Of A PERMIT g583 DOES NOT pRESUME TO GIVE AUTMOFITY TO VIOLATE OR CANCEL TNE pEqMtT FEE PROVISIONS OF ANY OTNER STATE Ofi LOCAL LAW REGULATING CON- STRUCTION OR THE PERFORMANCE OF CONSTRUCTION Q 7 G 7 7 i S�GNaTUaEOFCON'AACtOpOaAUTHOAiZEDAGENT IOAiE� �GNOTUAE O� OWNEA i�F OWNEp BU�LDEA� IO�iE� i SO. fT S7ALLS OCCUPANCV�OAD CU FT. ET PARKING IGARAGES TpTALFEE � . 1 1.62 �ALIpATEO THIS IS VOUR PEpMIT ��_ ��- �-� _ qatE N�s`1r I I, �,f,p�� L��cuvc �i i��+ nDDN � � � . G��/I � CI'CY O� FRIDL�Y AI�I'L[t � � SIIYGLI: rAM1LY ANll llUI'LCX�S R-1 AND R-2 c'�ys 13uilclin� Pcrmit APplic.tlic�n n� � � �/, � � �� 37� �G .islructicm Aciclress: _� �'% �1� i� � Z� n) �� 2 e L� a-- ---. -- Lcbal Dc;scri�tion: ______ Otvncr Na�nc &/lciclress: l=�-2L t/� E T]' �[ %v �.1 t� r 2 G Tel. �l_ --t-- — Ccmtracic�r: �1 IU EC-�2 A- FT C% � 1M � MN LICI'sNS� �l � -- - -------------- AcJcJress:__ � 11 g �� E C.L > N � �,t� �' � - / "( I��S /ti%� S � �O6 Tel. If _ --� LIVING /tItL11: GARAG� AItCA: UCCK ARrA: OTI-I r R: Attach to this a�plicalion, a Cerliticate of Survey of the lot, witli tlie proPosecl consU�uctic�n drawn on it to scale. Lengtl� Length Length DCSCRIPTION Or IMPItOVLM�N7' w;ac�� Wicllh Widtli I Ieight Heibitt HbdGround � ��— / Oo 3 � / `� y----- 7 �-/ —f�6 a � sy. r�. su. rt: Sq. rt. Corner Lut O Insicle Lot ( � rt. Yd Selback Side Yard Setbacks Ty�e oi' Cc�nslruction: �FC - 1—�S - i �z� ._ Estimatcd Cost: $_��5� 3� r-- � /� /, / ' 1rox. ComPlclion Date: .� �� -/' � ��, y'�/�v) (Cost on I3�ck J I�rivc�vay Curb Cul Wiclth Ncccicd: rt. -I- G rl = 1�l x$ __ _$ _______ llATC: APPLICANI': L;�� Tc'l. 1l � z� -(o �O z� Permit I�ee rire Surchargc �i:Uc .".urcliar�;e S/1C (:i�ara;c Liccnsc Surc)tart,;e Urive�vay �scrc�w rrc�sion Control Park t�ee Scwcr Main Char};c. �l'OTAi� STIPULATIONS: C['I'Y iJS�: Q1�jLY $�� ee Scl�edule on R�verse Sicic � $___� -�� .QO1 of Permit Valuation (1/101hl) �—_ _ � �q �.soi$i,aoo v��lu��t�o�► �__f $$00 per SAC Unit $_.__�_�� $S.OU (Statc Licensed Rcsiclential Contractors) � Alt. °A" or Alt. "I3" Al�ove $ $450.(}0 Conservation Plan Review $_ ____ ___ ___ ree Determinecl l�y Cn�;ineerin� �__.--..---------_--- A�;rccmcnl I�(ccc;tisary I I Nc�� Ncccssaiy I I � ' _.� Building PLUMBING Permit No.: `��- q Inspections RESIDENTIAL APPLICATION Received By: 763-572-3604 CITY OF FRIDLEY � �d'�:18 Oi DATE O% YOUR E-MAIL ADDRESS srrE Annt�c Saw�c a�s D�r,�•� Carl Nyberg THIS APPLICANT IS: ❑ OWNER �CONTRACTOR PROPERTY 157 Horizon Circle Northeast �� F'ridley, li!IN 55421 �W�� a,�D�ss. 7635721008 rE zrn TENANT • PHONE: CONTRACTOR N�: _ NOR�LOIVI PLt�MgIN� �O. SUBMIT A COPY OF STATE LICENSE # SD�DS� /(� � 7�� YOUR STATE ADDRESS: STATE ZIP LICENSE WITH pHONE �� • • APPLICATION � PERMIT TYPE �SINGLE FAMII,Y O TWO FAMILY C] TOWNHOUSE TYPE OF WORK: � �w �REPLACEMENT DETAILED DESCRIPTION OF WORK RiAIo►c.e, GIJ��G✓ /�j �G✓ PER MS 16B.665 the permit fee is a minimum of $15.00 or 5% of the total cost up to $500.00; whichever is greater, for die improvement, installaxion or replacement of a residentia! fixture, excluding the fixt►ues. (Thisshouldreflect only.the cost of labor ) Labor cost under $300 =$15.00. I.abor cost between $300 tq $500 = cost of labor x.OS = >.ROR:�.'ROJECTS WHERE LABOR EXCEEDS•$.i00;FEES ARE BASED ON $10.00 PER FIXTURE, DCCEP'i';W:I�RENQ�1�..:}?I�{T�S: .(II�DIGATE TO�TAL NUMBER OF EACH BELOVi� _ BATH SWK/LAV _FLAOR DRAINS - SHOWER WATER PIPWG BATHTUB _ GAS PIPING pv�oCr�ruc.�xsE) SWIMMING POOL WATER SOFT'NER ($35) _ CLOTHES WASHER _ KITCHEN SINK WATER CLOSET BACKFLOW PREV. ($15) _ DISHWASHER _ LAUNDRY TR�4Y �WATER HEATER ($35) FOR IRRIGATION _ WATER ME'fER OTHER Permit Fee � $ � � � � b Number�of fixtures @ $10:00 x $10,00 = $ Surchar e .50 Number of fix#ures @$15.00 x$15�00 =$ TOTAL DUE - $ -- - Nu�ber of fiziures �a $35.00 � z $35.00 = $ 3S. � � State Surcharge = $ .50 Total = $ . SD THIS IS AN APPLICATION FOR A PERMIT-NOT VALID UNTIL PROCESSED I hereby apply for a buitding permit and I acknowledge that the information above is complete and accurate; that the work will be in conformauce with the ordinances and codes of the City of Fridley and with the Minnesota Construcrion Codes; that I understand this is not a permit but only an ap �c tion for a permit and work is not to start wfthout a permit; that the work will be in accordance with the approved plan in the case 11 ork whic equires review and approval of plans. SIGNATURE OF APPLIC PRINT NAME ��TT O/�j�lOfyl DATE� L/ �%% ., .... _ ' � £ 'iD'" {� . City of Fridley Building Inspections Department 6431 University Avenue NE, Fmdley, MN 55432 763-572-3604 FAX: 763-502-4977