AF - 46234� �
City of Fridley, Minn.
BUILDING PERMIT
_ �/' �
Date: ---.._......_.._._..�. �...._ _��f —.._.�._..-------
Owner: ---�- �'l�.cle.'-*��I.r...-�_.....�....�._...�.._ ��fol�'..�.--...... Builder
Address.._.._...---•-••-._.---_.__._..........._--•-•-•--.__.__._.__.�.�._.._..__........_ Address
LO,CATI. N OF BUILDING
No. ......I..._YJ'-...�.... Street --- • ...�... . -• -- -- ----.C��s�............_......._..... Part of Lot
L.ot ..---- ................._.__...----. Block .....------.. ------....... ..._.---....----- Addition or Sub-Divisioa --..._.......---..._.._..
Corner Lot .........................._........ Inside Lot
Sewer IIevation
To � u�a �:
�� �`�/�
Type. of Constrttetion
Setback ....._ ............................_........ Sideyard
............ Foundatiott IIevation ..................
DESCRIPTION O� �UILDING
N° 4089
Front /.....�..� �. N Depth �....'� Height �. �.^..�.� Sq. F� �� Cu. F't. el�� �
Front....---..... ---..._.. Depth ...................._.. Height ..........--�--......... 5q. F� ....._.....---...._.. Cu. F�
� �
................_....-�---...------........._........ Est. Cost.... . f�.,,�.....5.�..._.°�... 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 accordan�e with the description above set forth and i�complianse�wi�tr all provisions of
ordinances of the city of Fridley. )��, 0��'��'�%Y'—
. . . • r?��4U�"'v"""`i `ti.._..._,�...C�a.. cl�..tl-.. -Ad�•�1-�-•V.._
In consideration of the payment of a fee of $....__..��...._�......, permit is hereby granted to..-------------_------------------------.............._..
._.__.._...._.------..._..-----------.-------._...._... to construct the building or addition as described above. This permit is granted upon
the express condition that the person to whom it is granted and his agents, employees and workmen, in all work
done in, around and upon said building, or any part thereof, shall conform in all res�ets 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 qf any of the provisions of said
ordinances. � O�
Building Inspector
PIOTICE:
Th(s permit does nof eove� the construetion, installaHon fo� wiring, plumbing, eas heafing, sewer or water. Bs sure fo eee
the Building Inspector for separete permits for these hema.
� ° 4=
� �.. � _ _. . . . .,,�.
I.�Z: .....: ..ee _�. -�-_�..
..............................................._...........
.�. �> „
'; L.',I'ry'��� J/.�?' ..} ; � .;. �+-�r7Tt . � �. •�
l,i�.�NYl�.[3i V � P aJ.d6J PJ ��
�!' �R�i J ,`.�_.' �' �A s' �� , F ��� ,iTi�i U�'il ZCN � � '� �
;�.._,. ,._
� S '
_..�.. .� " 2'YPL ,.���"�,
...................... .................................. .........................._.............. ................................_._......._......___...._....._................._....
Y� o�e�±� t�- I,i�ie
v �
�
��
�
�
a
'� „
Fr. ant
.
Property� L�n.e �����
.
.
;
.
��..._._.___. _. �.�..� ..... . ........ ....... ....... ...................,;;z.. .. � - L
, _
'� �' �' � � ���� � �� �
� °�;_`� �!`�:� ,�� �
� �, �
�, � � � �
� � r"`�
'��1r=_ -
s �.;!'�^.
, m � p
�
1
�
v �
i
�
SUBJECT .
City of Fridley � 16 7 8
AT THE TOP OF THE TWINS g U I L D I N G P E R M I T �
r
; � PT NO.
• COMMUNITY DEVELOPMENT DIV.
� �.: - - `.� (� � S
r � � PROTECTIVE INSPECTION SEC.
i1 i �
_-_.� � ���;,, CITV HALL FRIDLEY 55432 NUMBER REV. DATE PAGE OF APPROVED BY
i 612-571-3450 g� 0-F15
9/27/82 � /
JOB ADDRESS 160 Horizon Ci.rcle N.E.
LOT NO. BLOCK TRACT OR ADDITION
1 LEGAL SEE ATTACHED
DESCR. ],4 3 Carlson's Sununit Manor North Addition SHEET
2 PROPERTYOWNER MAILADDRESS ZIP PHONE
Wallace Ewer 160 Horizon Circle N.E. 572-1020
3 CONTRACTOR MAI�ADDRESS Z�P PHONE LICENSENO.
Mi.lton L. Johnson Co. 2513 Central Avenue N.E. 781-9548
4 ARCHITECTORDESIGNER MAILADDRESS ZIP PHONE �ICENSENO.
5 ENGINEER MAILADDRESS ZIP PHONE LICENSENO.
6 USE OF BUILDIN(3
RESlt3.@ri't.ldl
7 CLASS OF WORK
❑ NEW ❑ ADDITION ❑ ALTERATION � REPAIR ❑ MOVE ❑ REMOVE
%
8 DESCRIBE WORNc
IriS't3�.�. SZCIl & 'tllIIl
9 CHANGE qF USE FROM TO
STIPULATIONS
TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD
SEPARATE PEFiMITS ARE REQUIRED 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 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 $3 � OOO $�.. SO
WITH WHETHEF; 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 LOCAL LAW REGULATING CON- �•38.50
S CTION OR THE PER RM CE OF CONSTRUCTION.
PLAN CHECK FEE TOTAL FEE
� -z7-� �/ $40.00
SIGNATURE FCONTRA T R RAUTMORIZEDAGENT IDATEI WHEN PROPERLY VALIDATED THIS IS VOUR PERMIT
o� �
SIGNATUREOFOWNER�IfOWNERBUILDERI IDATEI rr::�- BLDG WSP TE
� CITY (1F FRIpLCY •
, APPLICII°I'Ia.d FO�t (;L"SIULFITI/li.. QUIL�It�G rCf��iITS '
(tde��r, A1l:er.�i:i�ns, 11ddiLions, or Repairs)
� Ot1tdER: Y V/�- f ��,�,� ����
ADDRESS: � 6� � �'
/d-0� 1� On� C_ i 12.
TCL �f0: _ s ��- / o �a
STRF••ET NO : � �o O �
. � �y
[3UI LDER : . l'% �7a,� ,l _ Jo�/,� sd .v � .
�
nndRCSS: �sr� �� ,� ��,�- �- %� �� ��,
T�L td0: � �/— y'�� �
Construction Location '
STREF.T: /d(-B� �� d'� �i ot C? /�
e.e • , .
LOT: . � BLOCK: ADI�ITION: .
Corne� Lo�: Inside Lat: SetbacY.: Sideyards:
Ap�licant attach to tliis form two Certi£icates of Survey of lot and
. proposed building location drawn on certificates to scale. � .
� DESCRIP7IOtt OF COFJSTRUCTIOPd - �
I�ront: � Depth: Height:
Squane. �'eet: Cubic Feet:
_ Front : Depth : � H eight:
� Square� Feet: � C11bic I'eet:
Type of Construction : �` � � �1-/" � � /�,�i �
� . .T
�
Esi:imated Cost: $ �� �
7b Be Oor,�pleted:
` , . � Alt. A Alt. B
Yroposed Driveway Width If New Opening Is• Desired: $' $
. ., S�E R�VER5E SIDE OF SHEET .
�.qie undexsigned hereb}� makes application �or a permit for the t:�ork� herein specified,
agreeing to c� ,all wor}; in str�ct accordance �•�ith the City of I'ridley Ordinances and
rulings ot ilie Depaitment of Buildings, and hercby declares that all tlie facts and
ze�resentations stated in this applicatian are true an cor ect.
�
n.�Tr: �, �°� sxc�vr�xur�:: .
Sti��ulltions :
�G ��
� , .s� �
�
� �[� °
. ..
• BlilL1)IhlG I'[:f�t11T �E:�: :�C►If:I�Ut_C�'� . .
S):C'',t'x01�� 2. • 7.'1�� 7n�.:��ectc�r. of 13u5.1c?iiu� :::hril.l, }-�cfai:c: S.;r.ui�ic� ��ennits tor t:he crr.cti.on
of :�.»y )�u:i.l.ci:in�J or :�t�•uct:uLC, or. fa�: �u��� .xdQi.t:i��n l:o a�►y cr.i:;L-i.�►� }�uilclincJ nl :stxucLur.c,
, cir i`c>z t�riy ill,tr.�r�►L•i�,n or. r.el���ir.:; �o •any c;:a..l:i.»cJ l�ui.l.di.ri<J or st•�:ucturc, u��c►�i ar����.i.cat•a.o»
't}ier.�tor.c, r.cqu.i.LC iJ�� ��aymcnL l�y tlic aZ�p].i.car�t: for. such y�cr.roS.L• or r��:, to t•l�e arnount
I1CXlSlI1 beJ.c�t•� sr.� �ar.tli and 5.�i tlie manner. heLCin ��roviclacl L•o-a:a.t: - .
)71.1•� COiJS'I7;UC'rIO2�: Sinc�7.e Famil.y ]loir.es and Gar.ac{es: $4.00/),000 cul�xc teat. .
' 1'7.h�1 CiIl:C1;: 2.5 I��xcerit: aL' 2�ui.lcli.»cJ J�e�-�nit fee.
URXVEI:11�' llL•'L'P1:SSIOI•:: (CqncreLc GZirb SLrcets Only) � �'
' Al.i:cri�at.e A; ]tc:moval and re��l��xccment of conezete cur.b and
guttcr only; llriveway �•ridth p].us 6�eet r. $13. �0
1►].tern�te II: }t�moval and replacem�•nt of concrete curb and.
•� gutter and inst�l.l a 3 fooL- ��S.c3e approach t��ith -'
� .• 6 inch c�epth; Driveway �•�idth �plus G feei: x$15., 75
• � .1�1�DIilO��l�L Ih�Of,�'�1lITIO(�
For the purl�se of compuL-i.ng tees for building permits,. L-he cubicaJ. contents of any
bui.I.di.ng or addition, 5.s detcrmi.ned by rnultip.Lying !he ground area covcred iro:�t a
�oi.nt sir. (G) inches belo�,v the floor line oi i:he bas�ment or ths cellar to 'thc
average heiqhts of the •upper surface or to the average heiqht af f:he roof. surface
oi i:he main gable of a pitched rooi. '
For re�aixs or aJ.terations to an existing stYUCture, the fee shall be at f_he xate
of $3.00 �icx each £ive hundred dollars °($500.00) or fracL-a.on iherc:of in the cost
oi all proposed wor.k. .
in� •no aase sha�.l the fe� cliarged fcsr any ppxmit as set iox�h xn 5ectian 2 be less �
than $?.50 plus $.50 state surcharge. • . •
I F I C�TI �� OF F�u�tn11�� I O(d
NOTE: Permits �or constructi.on will be issued a minimum oi 24 hours from tlie ti.Yae
df �pPlicatian to a].low for proper rc�iew of ihe proposed structurc and oi the
constn�ction si�e. -
� �
A Certificate � of 5urvey of the lot, sho�,�ing the location o� the foundation once i.t
has been cons�nicted �a3.11 be required bef.ore pr.ocecdiizg �•�ith the iraminq.
. .�RT I F I CATE F t�C�UPA[��CY ' '
' I►rp�.ication �'or a Cer�ifa,cate oi' Oceupaney shall be madn ien (10) days prior to ttre
use o�^ occugancy oi any stzucture for �ahich a builcling perni.it has bGen issu�d; and
s.-�acl struct_ure siiall. iiot be used ox occupied L;titil a Ccri:i.iicate of Occui�ancy h�s
bcen xssued.
�
. - �.�
�
�
� J�� _
sus�ecr PE .
City of Fridley 16 9 91
AT THE TOP OF THE TWINS ' -
r
; � R TN
� `L __�__ COMMUNITY DEVELOPMENT DIV. � �' �
r � � PROTECTIVE INSPECTION SEC. WRECKING PERMIT
1 � i
� /�"1 � CITY HALL FRIDLE� 55432 NUMBER REV. DgT�26�83 PAGE OF APPROVED BV
�'"""� � ��� 612-571-3450 910-F15 ��� / /
JOB ADDRESS 160 Hori zon Ci rcl e �
1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED
DESCR. �4 1 Carlson's Summit Manor North SHEET
2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE
Wallace Ewer 160 Horizon Circle N.E. 572-1020
3 CONTRACTOR MAIL ADDRESS Z�P PHONE LICENSE NO.
4 ARCHITECTORDESIGNER MAILADDRESS ZIP PHONE LICENSENO.
5 ENGINEER MAILADORESS ZIP PHONE LICENSENO.
8 USE OF BUILDING
ga rage
7 CLASS OF WORK
❑ NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE � REMOVE
8 DESCRIBE WORK
8 CHANGE qF USE PROM 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 NULI AND VOID IF WORK OR CONSTRUCTION ZONING SO. FT. CU. �T��y�
AUTHORIZED IS NOT COMMENCED WITHIN 80 DAYS, OR IF CONSTRUCTION v �(1'
OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT 352 �f O
ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS OFFSTREET PARKING
I HEREBY CERTIFY THAT 1 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
DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE pERM1T FEE SAC CHARGE
PROVISIONS OF ANY OTHER STATE OR LOCA� LAW REGULATING CON-
STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. �'rJ.00
PLAN CHECK FEE TOTAL FEE
15.00
SIG i � RE OF CONTRACTOR OR AUTHORIZED AGENT IDATE) EN PROP LY LI TED THIS IS V ERM��
�> ! /.�%�'Q ii' � -� � � �f � ��i
SIGNATURE Of OWNERIIF OWNER BUILDER� IDATEI BLDG iNSP �pTE
City of Fridley
.T r� Ta a rMc .wwu
.
rv------� COMYNMIT� aY[LO�MiMT OIV.
� � 1MOTLCTIVL N!�[CT101� Opt.
� �'-'` � pTr IYLL 111tOL�r iMa
(t.� .J W' NO' iM0
Effective Aug. 1, 1981
WRECKING PERMIT APPLICATIO��
Job �ddrese �!_� ���,��� el Gl.�
�v
��al Lot Np. Block No. Tra t or Addition
.
Contractor
Description Front
of Bldg.
No, of
3 �, �
`� � w �� Address
' Address
�pZ Z... �e�hs�
�
Dwelling Units Taxes Paid
Estimated Cost of Wrecking �To Be Completed
..�t�,,
J� �
Pe=mit ho.
Receipt No.
Phone
Phone
� �v
I3o.
Otilities to be Notified and c7ate Sezvices Discorn:ected
i�pis. Gas O�. N.S.P. Norti�restsrn Bell R�el. Co.
Bnqr. Dept. Cust. Hus. Ofc. Hus. Ofc.
3 72-4850 33 o- 5540 33 2-4112
Date Date D�ate
�
1Treckisaq Fees: 51.25 for each 1000 cubic feet or fract3,on
For structures vd�►3ch �ould be i.mpractical to cube, the fee
shall be Sased on tbe total cost of wrecking such structure
at the rate of $6.00 !or each $500.00 or fraction.
!lII�TIMLII�! FF.E: $15.00 No State charge on Wrecking Permits.
/-� • 0 �
Approved By Water � Sewer Department:
Al1 Bills Are Paid Services Are Disconnected
The undersigned hereby makes application for a permit to wreck the building
described above, agreeing to do all work in strict accordance with the C ity
Ordinances and rulings of the Department of Buildings, and hereby declares that
all facte and representations etated in this application are txue and correct.
Contractor
Date
sue�ecr R MI
City of Fridley ��- 9 6 9 9 2
AT THE TOP OF THE TWINS g U I L D I N G P E R M I T
r
; � RECEI .
� ; L _____ COMMUNITY DEVELOPMENT DIV. /J
r � � PROTECTIVE INSPECTION SEC. `�/ a� �
I .1 , �
� 1 /'��1 � CITY HALL FRIDLEY 55432 NUMBER REV. DATE PAGE OF APPROVED BV
�""'� � ,�� 612-571-3450 s�o-F�s 4/26/83 / /
JOB ADDRESS '16O HOY��ZOiI Ci rcle N. E.
1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED
DESCR. � 4 3 Carl son' s Summi t Manor North SHEET
2 PROPERTYOWNER MAILADDRESS ZIP PHONE
Wallace C. Ewer 160 Horizon Circle,N.C. 572-1020
3 CONTRACTOR MAILADDRESS ZIP PHONE LICENSENO.
Sussel Garages 1850 Como Avenue
4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO.
5 ENGINEER MAILADDRESS ZIP PHONE LICENSENO.
8 USE OF BUILDING
garage
7 CLASS OF WORK
C�l NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR � MOVE � REMOVE
8 DESCRIBE WORK
construction of a new 30' x 28' detached garage
8 CHANGE OF USE FROM TO
STIPULATIONS
1. Issue Wrecking permit
2. Garage must be town down before 30 days after completion of new garage
TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD
SEPARATE PERMITS ARE RE�UIRED FOR ELECTRICAL, PLUMBING, HEATING, r
VENTILATING OR AIR CONDITIONING. WOOd 1 ralT�
THIS PERMIT BECOMES NULI AND VOID IF WORK OR CONSTRUCTION ZONING SO. FT. CU. FT.
AUTHORI�ED IS NOT COMMENCED WITHIN 80 DAYS, OR IF CONSTRUCTION
OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT 84O S4OO
ANY TIME AFTER WORK IS COMMENCEO. 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 SUHTAX
AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED
WITH WHETHER SPECIFIED HEREIN OR NOT. THE GFANTING OF A PERMIT 8�9�I� .�LO �i. 49
DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE pERMIT FEE SAC CHARGE
PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- p
STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. 7�Fs�O
PLAN CHECKFEE TOTALFEE
78.99
GNATURE FCONTRACTORORAUTHORIZEDAGENT IDATEI WHEN PRbP RLY�IS IS Y��6 �
/ � :� y� � � ° l� _ i � � �� A �
SIGNATUREOFOWNEAIIFOWNEABUIL�EAI IOATEI BLOG �NSP �ATE
CITY Of fRIDLCY Effective �ug. 1, 1981
APPLIC11T1�� FO(i RESIDCNTIfl� BUlLD1i�G PL•RNIITS
(Nc�, A1 terations. Addi Lions, or Rep� irs )
OWNER: II��,,,/�. flAc� C•�••.• �r BUILOER: � t� � s��_ Cr �e�A�es
ADDP.ESS: l�� f1��ez��• �°tr � l,� AODRCSS: l�.�� c'� �',� ��°'�
TEL M0: ' .� 7 �— � � �� " TEL N0:
. szr�r No: l �
Construction Location
6TREET: '�'� �il o�� z v�+ � I P� I�
.
LOTs I�i 8LOL7ta � 11DAITION a �� �a�`�°S" ��,±��t�i i d a ��,►n��' ,{'� .
Corner Lot: ______ Insicle Lot: 6etback: Sideyards:
Appiicant attach tc tl�is iosm bwo Certificates of Slirvey of lot anc]
pzop�sed building location drawn on certificates to scale.
� OESCRIPTIOi� OF COh1STP.UCTIO�� .�,J ,
� � �,
� °�
���;r�2 - .��_+�;��..,Fsont: ��� � Deptha � Feiqht: s'�
Squa�ee Fc3eta � ^,�� Qibic Feet: � �i!Z��
Front: Depth: Neight:
Square Fepta Q�bic reet:
lype of Corstructian a G-� � a G�
Rb Be Cbr.�pleted: /4PPo1e� � � � ' �'�
� ���1/� � ��
Estimated Costa S � � � ��
!►lt. A A1 t. 8
Propesed Drivc��ay i�idth If New Openfng Is Desireda S� S
� , � SE� Rs.VERSE SIDz OF SHEET �
��e un8ersigned hereby mal;e� application for a penait icz the �,ork hereiss specified,
agreeiag to cb .all vork ir, strict accordsnce wfth the City of Frialey Ozclinances t»d
ruli»g� of the Departa+e�t of Duildir�gs, and hereby declares that all tl�e f�cts and
zepreser�tations stated 3� this application are tzue and cozrect.
ar�TEa P"{ ` � � — �,� SIGNATU� : 71 ��.�P� �'
Stipulations:
� ��. !.�
� �
�� ��
� / ��;a
�� �
�-- �n-��`��� ���9�...� •u�
�-�k-Q. � � � l C' �p� °
� .�.E'�'�'� t [� � ���'f�-1 r i
�- i ��F�-r`°�� :°�,�i°� � _ � ,r`� p�Jt. �- �9 a`� �` � �'. -f� �. /��l.e=�.�" r, `�
„�r, ���� �� �� ���1,� ��� �l��� cs�
���-� =�Z �,� � � 1 ���� ���-i���� �
BUILDING PERMIT FEE SCAEDULE
The Iaspectoz oi builainqs shall, before issuinq permits for the
�z�etion of any buildinq os stzuctvze, oz for any addition to any
•xisting buildinq oz structuse, os for any alteration os sepairs
to any •:istinq buildinq or stzuctnze, npon application therefore,
r�quize tbe payment by the appl�cant tor such permit of i'ees to the
•aouat b�seia below set icsth ana in the �annez hezein provided to-vits
'1'OTI�L V7ILUATIQd
=l. 0o to SSOO. o0
SSO1 m �2.000
52,001 to 525,OG0
lEES
i20.00 �linim� Fee S15.00 plus surcharqe
510.00 for the first S500 plus 51.50 for each
•8ditional 5100 oz fraction thereof, Lo and �
incladir�g 52,000
532.50 foz the firrt $2,000 plus S6.00 for each
additional S1.000 or fraction thpseof, tc and
fr�cluding 525.000
525,OG1 to 550,000 5170.50 for the first $25,000 plus S4.50 foz
each additional 51,000 or fraction thPS eof, to
and includiag 550,000
550, 001 t� S100,000 t283.00 toz the iizst 850, 000 plus
each additional s1,000 oz fracticn
and includinq 5100,000
5100, 001 and up 5443.00 for the fizst 5100, 000 plus
each adaitional 51,000 or fraction
PLAN p�tECK: 25 perces�t of building permit fee
53. 00 foz
thezecf, to
S2. 50 for
thereof
DRIVD4AY DEPRESSION ES(StOW: Concrete Q�rb Str eets �ly
111tezna�te •A": Remov�al ar�d replaceloent of curb ar�d gutter only
•-. Driveway width plus 6 feet Y�13.50 �
J1lterr►ate •B": Renoval ar�d zeplace�nent cf cuzb arid qutter and install a 3 foot
wi8e appzoach with 6 inch depth
Drivevay widtti plus 6 feet x$15.75
VERIFICATION OF FOUNDATION
Penn�its foz construction vill be issued a min un�n of 24 hours from the time of
application to allow foz proper review+ of the proposed structure and of the
constru ction s3te.
A Cert3ficate of Snrvey of the lot, shaoing the location of the four�dation once 3t
has been oonstructed �riil be required before procee« d_ ir�r with the frami,r�g.
Y y
aE�,.._,
����
A DIVISION OF THE SUSSEL CO., iNC. NAM
1850 COMO AVE, ST. PAUL
Permit by
Legal Description—
Lot_
Blk
Add'n
Value
Type Const.
SLAB:
❑ By SUSSE L
❑ By Owner Approx.
❑ In
2-STARTING POINTS ONLY
S. P. L.
S.S.P.L.
R.P. L.
Alley
House
F. Street
Other
❑Square With _
❑ Sod Rem. - By
❑ A.B.U.
❑ � Grade Point
❑ Blocks: LIBy Owner LJBy Sussel
❑ Wtr,proof: OBy Own. ❑By, Sus.
❑ Backfill: ❑By Own. ❑By Sussel
❑ Maintain 8' Total Wall Height
Including Blocks OR
❑ Maintain 8' Wall Height on
Top of Blocks
Block Size ITop course)
❑ 8" � 6'" � ��� ------
1Nell Fieight other than 8
❑ Frame with full wall height
sold OR
O Cut studs as required for
OHD clearance
❑ O.H. Dr Offset
❑ S.D. Location
❑ Windows
O Att Gar Roof Tie-in
Drawn on attached pictures
Existing garage: No ❑
❑ Detached ❑ Attached Yes ❑
Size of existing: x
Existing garage will be:
O Left as is
❑ Converted to L.S. - By owner
CJ Removed By: Owner ❑
Sussel ❑
Junk Must Be Removed By Owner
❑ Specify removals by Sussel or
Owner - trees, bushes, etc.
❑ Show approx. dist. garage to
house and all prop. lines
Stakes visible - ❑ Yes ❑ No
Survey available - O Yes ❑ No
❑ Special instructions from
owner:
Slab
ABU
Sod Removal
Sand FiII
WORK ORDER
�
�
JOB ADDRESS � �" � � �'� �'
BLDG CODE AREA ���� �` ���
SALESMAN °�'� �'� CON�
,
HOME PHONE:'�`��° ���'� "�
BUS. PHONE:
a►� � / �'i' ���
ACT DATE �� � �f �SIZE '" � � � �
FOR OFFICE USE ONLY
Blocks
Blks. Delivery
Waterproof
Back Fill
Other
, ���
, ��, . '�... ��fi �, ,,, . .... '�.
� _ _ r....•u....�."..'"�
D.W.
S.W.
Ftg.
Re-bar
TOTAL
�
_ j �+ -
b '
.. O�' . .... � _.
r ` u n '
�
��r , .��- -_ ,
: _', _ . � � '
: _ .'
�
, - , i S w
' '_ �
i __
�_ , ', _�_ : _ ; _ _ . , � _._, � t
— ,--.
a -
, :., _
�
� _ �_
_ �
`�
�
_ __ �
i —
�
� -�. e�
_ , -,
, , . , : !
i
-, _ _ � �
, , _ �_ � I__
_ _ ._ _ . � __
.
; - _�- ;
�� � � , �u
� _ ,
, � ,
�� - �� - � ����
_ = s �,. �. _ m
��.. t„_ ,
_ k
. __ - �;� (,_
_ , . _ i
,
,: � _ _ � _
�� ,_ ' __ _- i
�. , '- - � -
�
d � i
� _ - . +
�, � � �
.e
,
� . - - � �� '-
, fi
_
�
_ -
, � � �. _ � � _.
_ _': ,f
� � ! � k.
_ . — �
� . ��._= _ _ - _--
__� � . . _ � . .
; ��� : `� ' �
- EI Poe�r ' ; , � , ''
_ : r k- = ',
� , i `
h ' '� '
_ .. .,_ _ '
PURCHASER'S INITIALS:
___ _..,�,,
�;� ,
�_
; ,
,; ,
- --��
.._:��
�
_ ; .;._. a , .
_ —,, = -
_� -: - •
,
_� .
� �
�-'-
r- -
, i , � -�--;
' ' _. . ,_ .�
_ � ; , , �
� . , ��
b- -�
w T '� _-.,� r�,-�
, _ � ��
� _ �
_ � "�
_ , �_ . � �.�
_ : . _ ( �,
_ _�, �
I L rrn It�k
- � � �:
,,
, � � � � _.--�
_ '; �, � °" �
�..� � �
_ _ , � _. �.
e . . � . �
_ _ _ f_ � _ �
_ ,, -_
� , ��
• - . � _ . , _.
� �� �
,_-- _
� � � � .
,. , �
��� __ � - .
- �� - - �
_ r. � � �
� -_ . � , - i-�y. r _ '
_..
� , ,w ''�.
, . - � _,�. �
�, _
�'_ . �� ` _ �� l� �
_, � � � .
, -I� pi : � �� �� i
'_�:�_�_� — _ — _. _.
DIRECTION
�5��
A DMSION OF THE SUSSEL CO., INC.
1850 COMO AVE, ST. PAUL
1" x 8" Ridgeboard
�
� 2.,X s, Ra ft�rs
� �
— --�
1" x 6" W-Bracing —
when applicable
per Minn. State Code
NOTE:
ROOF: GABLE ERSE GABL
EAVE OVERHANG:�'
RAKE OVERHANG: _�� t�
SEAL DOWN SHINGLES WITH PLYWOOD OR ASPENITE
ROOF SHEATHIIVG AIVD 15 LB. FELT
Roof Sheathing
Seal Down Shingles
� 2" x 6" 3/8" Plywood
_ Cross Ties Gussets
2" x 4" Double
Top Plate
1) Roof approved by Minn. State Building Dept. as meeting Minn.
State Code Requirements of 30# snow load. Refer to State
Building Code Letfer Number 35.
21
�i
Trusses set 48" O.C. (Gusset - 3/8" Plywood).
Intermediate rafters are 2" x 6" 's braced with 2" x 6" collar ties.
4) On 18' and narrower garages, eliminate the W-bracing and collar
ties.
5) Hip roofs consist of 2" x 6" rafters, 2" x 6" cross ties 48" O.C.,
2" x 8" hip rafters and no plywood gussets are used.
�0��6'-0'` and greater will be constructed with trusses
manufactured by state certified plant No.150.
RAFTERS: Z" x 6" 16" O.C. 24" O.C.
STUDS: 2" x 4 ' 6" 0. 24" O.C.
WALL SHEAT ING: � � • ��.
SIDING: (�(, ✓v� �
OVERHEAD DOOR HEADER: Double 2" x 72" or
Gluelam beam� x �.
Slab on grade construction approved per Minnesota State Code. Refer
to State Building Code Letter Number 11.
SLAB: 4" WITH MESH 6" x 6" # 10 Gauge
_ _ _ �
_\�� 'v
> �
45° � �'
� 4" � � �
HIP
Trim
Fascia
1" x 4'` Sub
Fascia
Soffit
3/4" Cove
2" x 4" Studs
Siding
Yz" x 7" Anchor Bolt
per U.B.C.
2" x 4" Treated Bottom Plate
Grade Line
��. � ���������
�����
�YDIN[i�
em wn
TOrOOMPNIC MA�TINO
T CAR�SON'S SUPin11T MANOR NORiN R,K- 3
. '�. ��� ..1
C. E. COULTER -
LAND �SIdRVEYOR
REGI6TERED UNDER lAW6 OF STATE OF MINNE60TA
. UC[MiED �t ORDINANC[ O� CITY OP MINN[A/OLIi
5300 LYNDALE AVE. SO. MINNEAPOLIS 6. MINN.
TAYLOR 40370
Suntequr'a �'in�titicatr
. �
PLATTINO
lANY �YIIV[rf
LAKtEMOR[
JYDICIAL
`_ .
� �C�
: t � �� _ �/' -
� �� ` Iron
� __�' L�.�. .� � , ��._„'�, , . -� _ _ _ . � ..�..r�_ _.-- - - --- -- - --
<- � � �
, , � ���y �O `/` � \
�\ �- / � �
, ,
�O / , ' �' �� ��e �
� - �� e.
/ , '�ti ��, � .
i „ , �
"� Iron ` ', Q��"��'�o� .o .
. �1' - " ���-�'�'\�P�!' �J'
.' � l� ��'
��
Q �ti ,1 �\ �1
,
�Q,'y ` \
i�' \ �7
� � �,\r
� � y O, � �
./`�� � .�,, , •
O
� t , '�
. Q , �
� ;: , �j 1 � .
y � � � � � lron
�\1�`' � ��l�
,� �': � , / ; .�! \
"J � / � � \
\ �/�r \
i / �6
� �. \� ,- _
,1'011 � i' - — �
f �
' '+
I hereby certify that the above is a true end carrect plet of a eur�ey aS:
Lot ?aurteen (11� ). Block Three ( 3) � CA.�Cd3'S Si�'Q�.IT �',J1NGR NCR�i ADDITI QJ. Anoko
Couaty, �4inneaote.
♦a eur�eyed by me thia 2nd 8ay of April 19�7 A. D.
Signed ' �
� • - � Ndnneeota Registrntion No. 2581�
AR.�'',� � ���_�"�;� �t �:►;` �n�!
..
sus�ecr PER NO.
City of Fridley o� 1 � � g
AT THE TOP OF THE TWINS B U I L D I N G P E R M I T �
t
; � RECEI
• COMMUNITY DEVELOPMENT DIV. � �
� �1: ------�
r j � PROTECTIVE INSPECTION SEC.
�
� ` �
� �'�'1 � CITY HALL FRIDLEY 55432 NUMBER REV. DATE PAGE OF APPROVED BY
�'"'"� � ,�' 612-571-3450 910-F15
6/6/83 � �
10B ADDRESS 160 Iiorizon Circle N. E.
1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED
DESCR. ]_t� 3 C3Y'].SO11�S Summit Manor North Additi.on SHEET
2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE
Wa�.ter Ewer 160 Horizon Circle N.E. 572-1020
3 CONTRACTOR MAIL ADDRESS Z�P PHONE LICENSE NO.
Mi.lton L. Johnson Co. 2513 Central Avenue N.E. 7g1-9548
4 ARCHITECTORDESIGNER MAILADDRESS ZIP PHONE LICENSENO.
5 ENGINEER MAILADDRESS ZIP PHONE LICENSENO.
B USE OF BUILDING
Residential
7 CLASS OF WORK
❑ NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE
X
8 DESCRIBE WORK
Reroof Dwelli
9 CHAN(iE OF USE PROM TO
STI PU LATIONS
Roof can be 2nd layer but not 3rd. Install ridged galvanized valleys.
SEPARATE PERMITS ARE REOUIRED FOR ELECTRICAL, PLUMBING, HEATING, TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD
VENTILATING OR AIR CONDITIONING.
THIS PEFiM1T BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING SQ. FT. CU. FT.
AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION
OR WORK IS SUSPENDED OR ABANDONED FOH A PERIOD OF 120 DAYS AT
ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS OFFSTREET PARKING
I HEfiEBY CERTIFY THAT I HAVE READ AND EXAMINEO THIS APPLICATION ], STALLS GARAGES
AND KNOW THE SAME TO BE TRUE AND CORHECT. ALL PROVISIONS OF LAWS VALUATION SURTAX
AND OROINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED �`]_iOOO �`.SO
WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT
DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE pERMIT FEE SAC CHARGE
PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON-
STRUCTION OR THE P RMA CE OF CONSTRUCTION. $�-7. 5O
PLAN CHECK FEE TOTAL FEE
� . � � S � �18.00
SIGNATUfiEOFCONTR � TORORAUTHOR12EDAGENT 1 ATEI Wk;1EN PROPERLY LIDATED THIS IS YOUR PERMIT
. -., ���
SiGNATUPEOFOWNERIIFOWNERBUILDERi IDATEI BLDG INSP TE
CITY OF FRIDLCY Effective Auq. 1, 19s1
APPLIC11Tl��l FOfi RESIDCNTIfI� BUlLD1i�G PL-RFIITS
(Nc��, A1 terations. Addi tions. or Repa irs )
Owr1�R: V Y A-1.7L ��N/ �' le
ADDf'.ESS: ,� �o D'°�-Oj� i ZGN �f 2C�e'
TEL M0: '� 7 oZ "/ 0 a d �
BUI LOER: �i � `r0�1 � . VD f� n�sd.J (..d .
ADDRCSS: ��/3 G Cm' N 7/LA c�d P./l�E''
� f�o: ���� -ysy d
Construction Location
.
• STRI�T N0: � 6TREET: � d�� Z d� i it C' ��"
.-
LOT t �7 BLOIX a ��IDDITION :�_� A�,�. t� �� i�
Corner Lot: Insic]e Ipt: 6etback: Sideyards:
.-_
Applicant attach to tl�is fcsm bwo Certificates of SLzvey of lot arid
pzcposed building locatian drawn on certificates to scale.
OESCRIPTIOi�t OF C01•�STP.UCTION
$
Front: Depth: Height:
Square Feets Qibic Feet:
Froat: Depti�: Hefght:
Squnre FeeL: Q�bic �eet:
' � d`!.
Rype of Oorstructian: �A a� Estimated Costa $�, �4�0 .
9b Be mr.�plcted: , � � G`�'�7'�+
� � • I►lt. A Alt. 8
pzoposed Dzivc�+�ay hiath If New Opening Zs Desireds S� S
, SE� RF.VER;E SIDz OF SHEET _
Ziie uridessigned hereby ma1;e� application for a pez�nit foz the �aork herein specified,
agreeing to cb ,all Work ir, strict accozda�r�ce Nith the City of Fridley OrBinances tnd
rulings of the Del��rtmes�t of Duildings, and hereby dec2are� that all t]�e facts and
zepreser�tr�tieas stated in this �pplication are true an co- ect.
�,��_
6 G 8s S ��n�� : " �
Stipulatior�: �
!�'�/
�0 J
�
��`
�
BUILDING PERMIT FEE SCHEDIILE
The Inspectos ot Duildings shall, befoze issuing permits for the
•r�ctfon of any building oz structnze, oz fos any addition to any
•xisting buildiaq oz structure, os ior any altezation�os repairs
to any •sistir9 buildinq or structure, npon application therefose,
s�quize the payment by the applicant foz such pezmit o� �'ees to the
•aount e�rein belov set iozth and in the �annez hezeia pzovidea to-vit:
TOTl1L V1►LU11T2CN
i1.00 ta i5oo.o0
SSO1 b� =2,000
52,001 b� ;25,000
525,001 to 550.000
SS0,001 t� S1�0,000
5100,001 and up
lt�S
i10.00 !Ylinimam Fee �15.00 plus ,surcharge
510. 00 for the first S500 plus Sl. SO for each
additional 5100 oz fraction thereof, to anci
ir�cludinq $2,000
532.50 ioz t?�e firtt SZ.000 plus S6.00 for each
additional S1.000 or fraction thpseof, to and
3.acluding 525, 000
5170.50 for the fizst S25,000 plus 54.50 for
each adc7itional 51,000 oz fzaction theseof, tc
ar�d including 550, 000
t?83.00 for thc fizst 550, 000 plus S3. 0� for
each additional 51,000 oz fraction thezeof, to
ar�d includinq 5100, 000
5443.00 for the fizst S100, 000 plus S2. 50 for
each additionel 51,000 or fraction thereof
PI.At�1 C�IEClC: 25 perce�t of building pezmit fee
DRIVfl�AY DEPRESSION ESQtOW: Concrete G1irb Staeets Only
!►lteznate "A": R�nov�al and zeplac�n�t of cuzb arrd gutter only
Driveway vidth plus 6 feet s$13. SO �
111ternate "8"= Renoval aad replace�ner►t of cuzb and quttez and install a 3 foot
� wide �ppzosch with 6 �ach 8epth
Driveway vidth plus 6 feet x 515.�5
VERIFICATION OF FOUNDATION
Permits for constructio� vill be issued a minim�an of 24 hours from the time of
application to allow foz proper zeview+ of the pro,posea structure and of the
const�cvction site.
A Certificate of �nrey of the lot, ehowinq the location of the founda tion once it
has been oonstsvcted rill be required before procee._ dir�r Wfth the framir�g,
-- o
.a� —
�
� �
� n
0
��
�
0
N (�G
� �
o �
3 �
a �'
`o' �
7 'C
� �
��
�:
,.i N �
�
� W
: a
e� �
o '
..�
�
m
z
�
'o
m
�
O
Z
m
�
3
1
�F
S � .g �
A � � �.
� W• � , • Q
� � a �
�
�°
�m
�m �
. �
� c
� �
z
� �
� �
n �
� �
O
Z
Z �
Z
31 \�
� �
v \
�
_
�
�
O
�
Q . �
� �
c
m �
cQ
�
0
�
� n
O
� �
� �
� _
`D a
-�i� C
N
� m
�
�
O
0
�
�n
� �
o �
w �
m ,m��
�, su
� �
� �
A �
� �,
o ?
tA
��
�
Z �
D
3
*
n
0
c��'.
0
�
�
�
t
v_
�
�
N
�
�
�
�
�i:
�
�
�
a
�
cn
c�
T ��p
N p -� ""
-o��� �
�°• Q. -`°a '° a
Z � � � �
� � � �
� � � Q
a?�� �v
gc�m "
� W$ �
� n
�' v W
� �.
� 1
�� I
�
�
n
2
m
v
c
I71
� � � � �
• c^'i► o 0 0 �6' � .
�. .$ .g ° �. ��..� ' � .
� d► tn �
'1
�
m w -n oo'-+ z �
�� 1D �.a� .
� ��
.,
. �� �--� � �m
� � �, 3 �
m
�i3 � �
��
a �
. � -i � c�
� , � �
m
n O
> >
� �
� m �
� a � a�
z � � 3
m� a'oo =
v 7D ' �.
� ^ �
�
�� �'m
�I , �
�� � �
.��i
rn
.� �
.�
v
�
�
�
�'
d
'D
m
�
�
Z
O
�
�
�
�
�
6
.z .
� '
c
m
v
�
0
�
�
m
�.
�
�
\
� O
� �
� ?� �
� �
����
� °� �' °
����
N C
� � � �
a�°�.
� � o .e
g�' =a3i
-�o'�N
� �
S'a���
d: � � �
� � � �
�' '< °' �
� � o 0
� � � �
1 � �
a � �
o A;��
r�?'�°
\,`` ? '° �
� n
°� � � �
� ; � �
� Qs. N �
� �.
a
�
.g
rn
_�i
0
va�'�
�; � c o
� �
� Z W �
�� �
<
N �
z
rnrn
�
z
v
?
� �
m�
� ZO
z �..
, �'O
� v -v
� O
O �
v�
�
Z y
��Z
�v
2
� �
N Z
�
��
: � O
��
<
rn
�
�
Z
�
�
�
�
�
�
O
�
c
�
j
�
�};
--� ,
e
*. _ �L. .\ � � � �
�` -- �. �_
The undersi�ned hereby verifies that the existing chimney or stack:
'. 1• Has been carefully examined
Yes C�) No ( )
2.
K�
Is free &om nist ar deterioration
Has no foreign objects iodged within
4. Is securely suppurteci �,
5. Meets all current Code requirements for size
and total BTU's connected
�6 Has total heating BTU's of
c •
� .:� All other BTU's � � i��' � ' .
TOTAL BTU's � � ���' � .
7.
8:
Has a line�' been provided for water heater
Has combustioa air been provided for water heater
Remarks:
0
Yes (�Q No i )
Yes � ) No ( )
Yes QC )� No ( )
`��t���()
Yes � No ( )
Yes (y� ) No ( )
/
d
. . .., ,
�� - -� c /��_:S/,9Il1! s
�...,� � a
- _ _ � .
y : - y :. ; • ► :_- � � �.� � .
HEATING CO:
Signed By:
Date:
0
> ,
sue�ecr P . _; O..
City of Fridley 2 9 0 2�
AT THE TOP OF TNE TWINS g � I L D i N G P E R M I T
i �
� �`y ____� COMMUNITY DEVELOPMENT DIV. / IPT NO.
! j � PROTECTIVE INSPECTION SEC. � ��
�d
' i '
L_--. `�'��,'� CITY FIALL FRIOLEr SS13Z NUMBEN REV DATE PAGE OF 1GPqOVED BY
i �� 61Z-571-3450 9to-Ft5 3/18/99 / /
J08 ADDRESS 160 Horizon Circle NE
1 LEGAL �OT NO. BLOCK TRACT OR ADDITION SEE ATTACNED
DESCii. 1LF 3 Carlson's Summit Manor North Addition SHEET
2 PFOPERTY OWNER MAIL AODRES$ 21P PHONE
Wallace Ewer 160 Horizon Circle NE 572-1020
3 CONTRACTOR MAIL ADDRESS 21P PHONE LICENSE NO
Milton Johnson Co. 525 Lowr Ave NE, M ls., MN 55418 781-9548 2083
a ARCHITECT OR DESiGNER MAIL ADDRESS ZIP PMONE LICENSE NO.
5 ENGINEER MAII ADDRESS 21P PNONE LICENSE NO
B USE OF BUILDING
Residential
7 CLASS OF WORK
O NEW O ADDITION O ALTERATION C� REPAIR O MOVE O REMOVE
B DESCRIBE WOFiK
Reroof House & Garage (20 Sq) Tear-off; Siding Repair
9 CHANOE OF USE FROM TO '
STIPULATIONS Underlayment must comply with the State Building Code. Call for
building wrap inspection before covering.
CONSTRUCTION WORK liOURS: 7:00 am to 9:00 pm, Monday thru Friday; 9:00 am to
9:00 pm on Saturday; No work on Sunday.
SEPARATE PERMITS ARE REOUIRED FOR ELECTiiICAL, PLUMBING, MEATING, TYPE OF CONST. OCCUPANCY GROUP OCCUPANCV LOAD
VENTILATING OR AIR CONDITIONING.
TNIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION LONING SQ. FT CU FT
AUTHORIIED IS NOT COMMENCED WITHIN 60 DAYS. OR IF CONSTRUCTION
OR WORK IS SUSPENOED OR ABANDONED FOR A PEFiIOD OF 120 DAYS AT
ANY TIME AfTEF WORK IS COMMENCED. N0. DWLG. UNITS OFFSTREET PARKING
I MEREBY CERTIFY 7NAT I MAVE READ AND EXAMINEO TMIS APPLICATION 1 STA��S GAiiAGES
AND KNOW TME SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF �AWS yp�UATION SURTAX
AND ORDINANCES GOVERNING TMIS TYPE OF WORK WILI BE COMPLIED
WITM WMETHER SPECIfIEO MEREIN OR NOT. TME GRANTING OF A PERMIT �4'�214' �2.11
DOES NOT PAESUME TO GIVE AUTNORITV TO VIOIATE OR CANCEL TNE pEfiMIT FEE SAC CMARGE
PROVISIONS OF OTHER STATE OR �OCAL lAW REGULATING CON- @
STRUCTION TN ERFORMANCE OF NSTRUCTION W99.7r3 Fire S�.' ��F.21
PLAN CNECK fEE TOTA� FEE
z—= License SC $5.00 $111.07
Si E OF CON�AA ,TO OR A MOA�ZED AGENT �D4TEi WHEN PROPER VALIDATED THIS IS VOUR PERMIT
— ' � `�/�---9�
S�GN4TUAE O� OWNEaii� OWNEpBU�IDEAi iD�iE� B�p �NSP qarE
N 1:�V
ADDN
ALTL'R
��
[ 1
I. ]
' C[TY OF FRIDLEl'
S[NGLE FAMILy pND DUPLEJ�FS R-1 AND R-2
BUILDING PERMIT APPLICATION
crf��c«�e 1 / 1 /97
� � ��'�
�P �
ConstructionAddress: 16Q Horizon Circ7,e .
Legal Description:
Owner Name & Address: Wa17,ace Ewer (same)
. Tel. � 572-1020
Contractor: Milton Johnson Comapny MN LICENSE # 2� 8 3
Address: 525 Lowry Ave. N.E. Mpls. 55418
Tel. /{ 781-954�
Attach to this application, a Certificate of Survey of the
lot, with the proposed construction drawn on it to scale.
LIVING AREA:
GARAGE AREA:
DECK AREA:
OTHER: .
�
DESCRIPTION OF IMPROVEAZE\�
LenS� � Width _ Height � Sq. Ft.
�ng� Width Hei�ht Sq. Ft.
�ng� Wld� Hgt/Ground Sq. Ft.
^ � fJ�� _��/°���
�.onstruction Type: Roof arld Siding Repair 7 500. 00 �� �ti�s. W
�.S[Im1tCQ COSt: $ � ' �
(Fee Schedule on Back) ��r y��
�riveway C�rb C�t .Width Needed: Ft. + 6 Ft = Ft x $ � -. _ � �
)ATE: � A►PPLICANT: � �
• T�. � 781-954$
'ermit Fee
'ire Surcharge
tate Surcharge
AC Charge
icense Surcharge'
riveway Escrow
rosion Control
irk Fee
:wer Main Chargc
TOTAL
'[I'U(./�'l'[O�lS:
CITY USE ONLY
$ ,'' � Fee Schedule on Reverse Side
$ `��� :001 of Permit Valuation (1/lOth%) .
$ ' � � $.50/$1,000 Valuation �
� $950 �r SAC Unit
$__ � � $5.00 (State Licensed Residential Contractors)
� Alt. "A" or Alt. "B" Above •
$ �$450.00 Conservation Plan Review
� Fee Determined by Engineerins
$ Agreement Necessary [ ] Not Necessary [ ]
�lf��� ..
, , ' . '. �;
au«.ut,vc: r��.�i�irr rr:� sc�tcuc��.��:
'1'li� Cliicf I3uilding Oflicial shdll, lx:fore is,SUing pemiits for the erection c�l' any building c�r c[rucwre, ar tar
any addition to any cxisting building or stcucturc, or for any alteration ar repair to any cxisting building or
st�vc�ure, upon application d�erefore, require the payment by the applicant 1i►r such �ertnit of fees to the amount
herein below set forth and in the, manner herein provided to-wit: ' �
TOTAL VALUE
$1 to $S00
$501 to $2,000
$Z,OU1 to $25,000
$25,001 to $50,000
$50,001 � to $100,000 .
$100,001 to $500,000
$SOO,OOl.to $1,000,0� .
$1,000,001 and�up �
FEES
$21 (Muwnum Fee is $21 plus surcharge)
$21 for fust $500 plus $2.75 for each additional $100 or
fraction thereof, to and including $2,(l00
562.25 for frst 52,000 plus $12.50 for each.additional $1,000
or frac�on thereof, to and including $25,000
$349.75 for first $25,0(� plus $9.00 for each additional �1,000
or fraction thereof, to and inciuding $�0,000
$574.75 for first $50,000 plus $6.25 for each additional
$1,000 or fraction thereof, to and including $1p0,OQ0 •
.$887:25��for SrsK $100,000 plus $5.00. foF each additional
$1,000 or fraction ther�f, . to an+d �includ.ing $500,000
$2887.25 for the first $500,000 pius $4:25 for eacli.additional
$1,000 or fiaction thereof, to and including $1,000,000 '�
$5012.25 for the C�st $1,000,0� plus $2.75 for each additional
$1,000 or fraction thereof
DRIVEWAY �DEPRESSION ESCROVV �. .
(Concrete (�ub Streets Only)
d
�lcernate "A"•: Removal and replacement flf curb and gutter only -�Drive�w�y width plus 6 feet times $13:50.
tternate "B": Removal and replacemeat of curb and gutter and install a 3 foot wide
approach with 6 inch depth - Driveway� width plus 6 Eeet times $15.75.
VERIF[CATION OF FOUNDATION
�
.:rn�its for constniction will be issued a minic�um of 24 hours from the timc of applic.ation to atlo�u for propec
:��ie�v ot' the pr��Posccl structure and of dle constn�ction site.
. t:crtitic;:tte c�f tiurvcy c�f the lot, showin� the location of'tlie foundation �n�ce ii has it ha.nc�en constr-ucicc!
'" i!�-. 1't'l�lll('Uli ��t'1�tT'� �)!'�t�:t:i'C�lil:: ��'ll�l 1�1C fr:lillill^.
�
,. •,