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"+7 p �� A mmma � � � �' �' tr� � � � � � � � � � � tn o 0 0 �i v u4 `� � o �3 o � � � � EA c�l iH f� Ef� tf3 � O A -�w-�� m c a, ° �'t �, � z 3 � m ~ j �� l � N s � � � m � b � � <a 3 � � � -- Q �; n� � m � i��p y b � v � w � �?' � °=i � m � d � � rn � � Z Q �X! � � � C � � � c � � � � � ° �, s`� � � � '• e� tp � ��a »�.�� u� � � � ,�- ' y m�.t�u � � Q Y a�� °c��r � 3 a $' � �v; �3 � ? a � � �, x' H l'j � 3 � � � � ?.' �� o�' ro � m � 1 � W � a v. � � � G. ,.�. (((///JJJ^^^��y� cy � � 3. � O � � M � st � b �.�.� � w � � � � n � 4 g. Q. y � � k � 3 � -� C�7 m � rn 0 � v .� rn i Cv � � � g � N Q (� � � � � � �''� � � � � `` m � � 'Sr � � � � rn � a � v � � � �� O � � C� ?? � � � �� z �� q � �� , 2 �� 0 � � � � Q � � � .... � � ,�-�.. 'a � � iHl_ICi-r'�-1'�'�6 1� .:� � �.=1T'r �1F rk'ii:�LEr r�1,=.' �?1 1c�? F.l'J'�/�2 H i' �RI� iC C TOl°�T The ur�iersigned hereby ve�es that th� �xi�stiug chi�m�tey or scack: � . � Has been caxe;fully �xamiaed Yes ( �} �Io ( ) 2. 3. 4. �. Is fr�e from rust �r 8et�rioratio� Ha�s uo foreig,q, objects lvdged witl�n Is s�cutet�+ supported 11�eets aIl c�nt Code ��quia��ents �or size ► � Ye§�No() Yes (� No ( ) Xes (� Na { ) �nd total ��'iJ s conn�cted Y�s (� N'v {) �-� 6� �ias total heatrng B'Y'L7's af �� Q(� A�1 other BTU's __�� TdTA,�,, BTU's _�� _ 7: TTas a��iner een pXOvi � for water heater Yes No { ) �) 8. Has combustic�n air bcea� �rovi�3eci fc,X water tie�t�x Yes �c) No () Remarlcs: �.,ist A rERA.�`ION'S Bein�.�.g� „ � . _ L ��-1� � � �� Q: S�� By: �a�: TOTAL P.02 SuBJECT City of Fridley AT THE TOP OF THE TWINS g U I L D I N G P E R M I T i � � � � i v_�_�� COMMUNITY DEVELOPMENT DIV. r � � PROTECTIVE INSPECTION SEC. � � �"'� � CITY HALL FRIDLE� SSd32 NuMBER �----� � ,•� 612-571-3460 910-F15 JOB ADDRESS 5134 Horizon Dr 1 LEGAL �OT NO. BLOCK TRACT OR ADOITION oescR. 14 5 Carlson' s 2 PROPERTY OWNER MAIL ADDRES$ Beverly Steeves 3 CONTRACTOR MAIL AODRESS Viking Home Improvement 4832 2 1 e ARCHITECT OR DESIGNER MAIL ADDRESS 5 ENGINEER MAIL ADORESS � REV 8/5/98 21P PAGE OF � � 2699 PT NO. �� APPROVED BY SEE ATTACHED SMEET PHONE LICENSE NO. �-1820 4772 PHONE LICENSE NO. PHONE LICENSE NO. 8 USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW O ADDITION ❑ ALTERATION q REPAIFI O MOVE O REMOVE 8 DESCRIBE WORK Reroof house and 9 CHANOE OF USE FROM STIPULATIONS 24 Sq) Tear—off TO Underlayment must comply with State Building Code. SEPARATE PERMITS ARE RE�UIRED FOR ELECTRICAL, PLUMBING, HEATING, TYPE OF CONST. VENTILATING OR AIR CONDITIONING. TFIIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING AUTHORI2ED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANOONED FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS I HEREBY CERTIFV THAT I HAVE fiEAD AND EXAMINEO THIS APPLICA710N AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS yq�UATION AND ORDINANCES GOVERNING THIS TYPE OF WOFiK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR NOT. 7HE GRANTING OF A pERMIT 2001 DOES NOT PRESUME TO GIVE AUTHORITV TO VIOLATE OR CANCEL THE pERM1T FEE PROVISIONS OF ANY OTHER STATE OR LOCAI LAW REGUTATING CON- STRUCTION R THE PERFORMANCE OF CONSTRUCTION �]/{. ]S ��j PLAN CHECK FEE � � "I Licens 1 NA UR OF TOR OR AUTMORIZED AGENT I ATEI E�� iDATEi T STALLS OCCUPANCV CU. FT. Fire SC $2.00 TO L FEE 5. $82.75 Y VALI THIS I,�c� UR PER /�. � _� S�!'_ �" �' f)6 T rrEw ADDN ALTER [] [l Ll � ConstructionAddress: Legal Description: � Owner Name & Address: � Contractor• � Address: �1�37 LIVING AREA: GARAGE AREA: DECK AREA: � 01'HER: Construction Type: CITY OF FRIDLEY SINGLE FAMII.Y AND DUPLEXES R-1 AND R-2 BUII,DING PERMIT APPLICATION 1 S¢' Effective 1/1/98 �(J �� [� � �i»��el. #��_�ga � +r�.riz MN LICENSE # � `% %�- Tel. # �%� -��".,� Attach to this application, a Certificate of 5urvey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF IlVIPROVEMENT Length Width Height Sq. Ft. I.ength Width Height Sq. Ft. Length Width Hgt/Ground Sq. Ft. Driveway G�rb C�t Width Needed: �DATE: �� APPLICANT: i� Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee Sewer Main Charge TOTAL STIPULATIONS: Ft. + 6 Ft = Estimated Cost: $ � �� `— (Fee Schedule on Back) Ftx $ _$• Tel. # " � � $ �. S Fee Schedule on Reverse Side $ �� C��% .001 of Permit Valuation (1/lUih%) _ $ l -�� $.50/$1,Q00 Valuation $ $1000 per SAC Unit $ �. �� $5.00 (State Licensed Residential Contractors) $ Alt. °A" or Alt. "B" Above $ $450.� Conservation Plan Review $ Fee Determined by Engineering $ Agreement Necessary [ ] Not Necessary [ ] � e �°�. %S- _�: . BUII.DING PERMIT FEE SCHEDULE The Chief Building Official shall, before issuing permits for the erection of any building or ��ac:��, or for any addition to any existing building or structure, or for any alteration or repair to any exis�� b��id�g or structure, ugon �pplic�`ation tl�erefore, require the payment by the applicant for such permit of fee� �o the amount herein below seZ forth and in'the manner herein provided to-wit: TOTAL VALUE $1 to $5(� $501 to $2,000 $2,�1 to $25,000 $25,W1 to $50,000 $50,001 to $100,000 $100,�1 to $SQ0,000 $500,001 to $1,000,000 $1,000,001 and up m $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,� $574.75 for first $50,000 plus $6.25 for each additional $1,000 or fraction thereof, to and including $100,000 $887.25 for first $100,000 plus $5.00 for each addirional $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,(�0,000 $5012.25 for the first $1,000,000 plus $2.75., for ea.ch additional $1,000 or fraction thereof DRIVEWAY DEPRESSION ESCROW . (Concrete Curb Streets Only) Alternate "A" : Removal and replacement of curb and gutter only - Driveway width plus 6 feet times $13.50. Alternate "B" : Removal and replacement of curb and gutter and install a 3 foot wide approach with 6 inch depth - Driveway width plus 6 feet times $15.75. VERIFICATION OF �FOUNDATION Permits for construction will be issued a minunum of 24 hours from the time of applicarion to allow for proper review of the proposed structure and of the construction site. A Certificate of Survey of the lot, showing the location of the foundation once it has it has been constructed will be required before proceeding with the framing. City of Fridley AT THE TOP OF THE TWINS i � � � � `y .____ COMMUNITY OEVELOPMENT D1V. r � � PROTECTIVE INSPECTION SEC. 1 = � � �'�'1 � CITY MALL FRIOLEr SS�32 �""'�� '� 612-571-34b0 �U ILDING PERMIT ��°�� BEP REV OATE PAGE OF 910-F/5 10/16/O1 / � 32256 RECEIPT NO. ��J • � 1vPRpvED Br J08 ADDRESS 5134 Horizon Drive NE 1 IEGAL LOT NO. BLOCK TRACT OR ADOITION SEE ATTACNED oesca. 14 5 Carlson's Summit Manor South Addition SNEET 2 PROPERTV OWNER MAIL ADDRES$ 21P PHONE Beverly Steeves 5134 Horizo� Drive NE 3 CONTRACTOR MAII ADORESS Y�P PMONE LICENSE NO Norsk Concrete Constructio� 1115 Osborne Rd NE, Mpls., MN 55432 763-786-1910 4 ARCHITECT OR DESIGNEii AIL AODRESS ZIP PMONE LICENSE NO. 7333 5 ENGINEER MAII ADDiiESS 21P PMONE IICENSE NO 8 USE OF BUILDING Residential 7 CLASS OF WORK O NEW ❑ AODITION O ALTERATION � REPAIR B DESCRIBE WORK Remove and replace front and rear s 9 CHANOE OF USE FROM of house TO STIPULATIONS Steps must meet the State Building Code. SEPARATE PERMITS ARE RECUIRE� fOR ELECTRICAL, PLUMBING, HEATING, TYPE OF CONST. VENTIt,ATING OR AIR CONDITIONING THIS PERMIT BECOMES NULL AND VOIO IF WORK OR CONS7RUCTION IONING AUTHORI2ED IS NOT COMMENCED NfITMIN 80 DAYS. Op IF CONS7qUCT10N OR WORK IS SUSPENDED OR ABANOONED fOR A PERIOD OF 120 DAYS AT ANV 71ME AFTER WOpK IS COMMENCED. NO. DWLG. UNITS I MEREBY CERTIFV THAT I HAVE READ AND EXAMINEO THIS APP�ICATION 1 AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF �AW$ yA�UATION AND ORDINANCES GOVERNING TMIS TYPE Of WORK WILL BE COMPI,IED WITM WMETMER SPECIFIED HEiiEIN OR NOT. TNE GRANTING OF A pERM1T �1 y SOO DOES N07 PRESUME TO GIVE AUTMORI7Y TO VIOLATE OR CANCEL TME pERMITfEE PROVISIONS OF ANY OTNEFi STATE OR LOCAI LAW REGULATING CON- STR OF TME PERFORMANCE STRUCTION �E)3.15 � PLAN CMECK fEE A�� License ; S�GN4TUpEOFCONCRACTOpOA4U l7iZEDOGENT ,o�rE, �N Q� �o.re� � =� SO. fT STA�LS r ❑ MOVE ❑ REMOVE OCCUPANCY�OAD CU FT ET PARKING IGARAGES $.90 iAC CMARGE Fire SC $1.80 fOiA�,EE $ 0.85 ) IS 1S VOUR PERMIT a�• �� /��i�/ qcrE ' N� I I Effective 1h/2001 ADDN (] , CITY OF FRIDLEY .(763) 572-3604 Bldg Insp ALTER (] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION Construction Address: Legal Description: Owner Name 8 Address: Contractor. Address: / l ��I LIVING AREA: GARAGE AREA: DECK AREA: OTHER: Tel. # 6� �v= .S' 7 � - g % � MN LICENSE # %33� Tei. #' 63- 7g� l �� Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF IMPROVEMENT Length Width Length Width Length ,-• Width Height Sq. FL Height Sq. Ft Hgt/Ground Sq. Ft � �y�,i�°t` �� "�'t''� IIQ� Construction Type: Estimated Cost: $/ F�� Driveway Curb Cut Wdth Needed: Ft. + 6 Ft = Ft x� _� DATE: ��' ^`�o- d I APPLICANT. �rv Tel. #'%6� Z�� YQO CITY USE ONLY - Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee Sewer Main Charge TOTAL STIPULATIONS: Call (763) 572-3604 for Permit Fees if mailing in application � $ .�• j� Fee Schedule on Reverse Side $ l �� .001 of Permit Valuation (1/10th%) $ r �� $.50/$1,000 Valuation $ $1150 per SAC Unit $ �li(� $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 [ ] /� — � �S l��u-� T /%L�� o7�c� �� C:d�� %- v� � y- BUII.DING PERMIT FEE SCHEDULE The Chief Building O�cial shall, before issuing permits for the erection of any building or structure, or for any addition to any existing building or structure, or for any alteration or repair to any existing building or structure, upon application therefore, require the payment by the applicant for such permit of fees to the amount herein below set forth and in the manner herein provided to-wit: TOTAL VALUE $1 to $500 $501 to $2,000 $2,001 to $25,000 $25,001 to $50,000 $50,001 to $100,000 $100,001 to $500,000 $500,001 to $1,000,000 $1,000,001 and up FEES $23. �0 $23 .50 for first $500 plus $3.05 for each additional $100 or fraction thereof, to and including $2,000 $69.25 for first $2,000 plus $14.00 for each additional $1,000 or fraction thereof, to and including $25,000 $391.25 for first $25,000 plus $10.10 for each additional $1,000 or fraction thereof, to and including $50,000 $643.75 for first $50,000. plus $7.00 for each additional $1,000 or fraction thereof, to and including $100,000 $993.75 for first $100,000 plus $5.60 for each additional $1,000 or fraction thereof, to and including $500,000 $3,233.75 for the first $500,000 plus $4.75 for each additional �1,000 or fraction thereof, to and including $1,000,000 $5,608.75 for the first $1,000,000 plus $3.15 for each additional $1,000 or fraction thereof ._ DRIVEWAY DEPRESSION ESCROW (Concrete Curb Streets Only) Alternate "A": Removal and replacement of curb and gutter only - Driveway width plus 6 feet times $15.50. Alternate "B" : Removal and replacement of curb and gutter and install a 3 foot wide approach with 6 inch depth - Driveway width plus 6 feet times $23.25. � VERIFICATION OF FOUNDATION Permits for construction will be issued a minimum of 24 hpurs from the time of application to allow for proper review of the proposed structure and of the construction site. A Certificate of Survey of the lot, showing the location of the foundation once it has it has been constructed will be required before proceeding with the framing. New Houses Onlv ,. . , , � i 191 � � < [�t � �� $ � m � � _,,�v b��l E � U E �N � �. • N -�0 � � � -� � Itl �• � ;�. ::i ,�, �`. � ��