AF - 46318Date
Owner
Addres
BUILDING PERMIT
Village oi Fridley, Mi.nn. �� 2�? 1
.....i'�,✓..�. �.. �.�. �.��,�.�' ..
• �i��.�li�. . . . �,, . . . .�. . . . . . . . .
S ....�.�.. � c?.�.........�P��'"'�e�•��.
Builder ........���....��i�..........
Address.........................................
LOCATION OF BUILDWG
No. .....'�: �:.�.� ... 5treet ......... .�� � . .... �..�. ...... Part of Lot .......................
�����.
Lot ................ Block ................ Addition or Sub-Division .......................................
Corner Lot . .. .. .. .. . . . fi �
Inside Lot .....�.�, Setback .:��,.,, Sideyard ....,�,,,,,,,,,,,,,,,,,,
To k�e Used as:
�� ..... ....
���"�
....................
Type of
DES�CR[PTION 4F BUILDING
Front . . � .� . Depth . . .,� .�,:,„Height . . .�`. . . . . Sq. Ft. . . . . . . . . Cu. Ft, . . . . . . . .
g Front ........ Depth .. . Height .........
.
_ . :5�!'".�'."�t'�:'. . . Es� Cost • • ��. . �• �•� t7�1. . .
Sq. Ft. . .... ... Cu. Ft. ... .. ...
To be Completed ...................
� � � � � E�'�/''Ati.. % � r/ � 1`✓ ":' �
�� •��
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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.
�,_ .
� r �r Mr,/� ,� .
p •������• ��i.�� ..............
-t consideration of the payment of a fee of $.,�r.1�, permit is hereby granted to
... to construct the building or ad dition as described above. This ��ermi� ��,s .� ���p ��
.:�'� ........... P granted u on
the express condition that the person to whom it is gran ted 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.
�
Inspector
NOTICE:
This permit does not cover the construction, instaliation or alteration for wiring, plumbing, gas heat(ng,
sewe� or water. Be sure to see the Building Inspe�tor for separate permits for these items.
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SUBJECT - RMI .
City of Fridley _ 18 5 6 8
AT THE TOP OF THE TWINS g U I L D I N G P E R M I T
r
� � R .
� `y _____ COMMUNITY DEVELOPMENT DIV. /
r � � PROTECTIVE INSPECTION SEC. ��S� Ea
� _ �
� /"'1 � CITY HALL FRIDLEY 55432 NUMBER REV. DATE PAGE Of APPROVED BY
�'"""� � ��� 612-571-3450 9�0-F15 7/30/86 / /
JOB ADDRESS 5201 Horizon Drive N. E.
1 LEGAL LOT NO. BLOCK TRACT OR ADDITION
DESCR. �- 8 Stunmit Manor North Addition SEEATTACHEO
SHEET
2 PROPERTYOWNER MAILADDRESS ZIP PH NE
Robert Christen 5201 Hori�n Drive N.E. 57�-4310
3 CONTRACTOR MAIL ADDRESS 21P PH NE LICENSE NO.
Milton L. Johnson Co. 2513 Central Avenue N.E., Mpls. 55418 78�-9548
4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO.
5 ENGINEER MAILADDRESS ZIP PHONE LICENSENO.
8 USE OF BUILDING
Residentia,l
7 CLASS OF WORK
❑ NEW O ADDITION �7 ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE
8 DESCRIBE WORK
Install aluminum siding, .soffit & fascia; tri.m & gutters; Reroof house & garage
8 CHANGE OF USE FROM TO
STIPULATIONS �£ can be 2nd layer but not 3rd. Install ridged galvaniz� valleys.
SEPARATE PERMITS ARE REOUIRED FOR ELECTRICAL, PLUMBING. HEATING, TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY �OAD
VENTILATING OR AIR CONDITIONING.
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING SQ. FT. CU. FT.
AUTHORIZEO IS NOT COMMENCED WITHIN 60 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 CERTIFV THAT I HAVE READ AND EXAMINED THIS APPLICATION ]. STALLS GARAGES
AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS VALUATION SURTAX
AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED
WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT �B�OOO $4.00
DOES NOT PRESUME TO GIVE AUTHOFITY TO VIOLATE OR CANCEL THE pERM1T FEE SAC CHARGE
PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON-
STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. y�`(B.SO
PLAN CHECKFEE TOTALFEE
$72.50
SIGNATUREOFCONTRACTORORAUTHORIZEDAGENT IDATEI WHEN PROPERLY V LIDATED Tf/HIS IS YOUR PERM�T
SiGNATURE OF OWNERIIF OWNER BUILDERi iDATE�~ F� ��� �� ��� �r 1/�( J /
BIOG �NSP �a7E
N� �] City of Fridley Effective 4/1/86
ADDN. [ ] �R-1 AND R-2
pLTER. [ l Building Permit Applieation
Construction Address: 5201 Horizon Dr. N.E.
Legal Descr3ption: ..
Owner Name & Address: �obert Christen Tei. � 571-4.�10
Contraetor: r�rtil to� L J�hns n Gr��nx�an� _ Tel. � 781-9548
Address: 2513 Central A,ve N.E. Mpls, Mn. �3541a _
LIVING AREA:
GARAGE AREA:
DECg AREA:
OTHER:
Corner Lot [ ]
Attaeh to this application, a Certificate of Survey of the
lot, with the proposed eonstruction drawn on it to scale.
Length
DESCRIPTION OF IMPHOYEMENT
Width Height Sq. Ft.
Length Width Height Sq. Ft.
Length Width Hgt/Ground Sq. Ft.
Inside Lot [] Ft. Yd. Setback Side Yard Setbaek
Type of Construction: AluID siciin�, soffi� &f2tsciaEstimated Cost: $ 8 000.00
trim & gu�ters� reroo house & garage
Approx. Completion Date: 4
Alt. A Alt B
Proposed Driveway Width If New Opening Is Desired: $ $
See Back Page for Explanation
DATE: ��' "� APPLICANT: r� - �`- � '� Tel. � ���°��� �
CITY IISE ONLY
Permit Fee
Plan Check
State Surehar�e
SAC Charge
Park Fee
Sewer Main Charge
TOTAI.
STIPULATIONS:
� �8-sZ�
$
g �S! d d
$
$
$
$ %o? . 5�
��
/�� .��J
�'ee �chedule on Reverse Side
25� of Building Permit Fee
�.50/$1,000 Yaluation
$�75 per SAC Unit
Fee Determined by Engineering
Agreement Necessary [ ] Not Necessary [ ]
BIIII.DIAG PERMIT FEE SCHEDIILE
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 applieant� for such permit of fees to the amount
herein belo� set forth and in the manner herein provided to-wit:
Total`�Valuation
Fees
$1.00 to �500.00 $10.00 (Minimum Fee is $15.00) -
�501.00 to $2,000.00 $10.00 for the first $500 plus $1.50 for eaeh
additional $100 or fraction thereof, to and including
$2,000.
$2,001.00 to $25,000.00
$25,001.00 to $50,000.00
$50,001.00 to $100,000.00
f"
$100,001.00 and up
$32•50 for the first $2�000 plus $6.00 for eaeh
additional $1,000 or fraction thereof, to and
ineluding $25,000.
$170.50 for the first
additional $1,000 or
ineluding $50,000.
$283.00 for the first
additional $1 , 000 or
ineluding $100,000.
$25,000 plus $4.50 for each
fraetion thereof, to and
$50,000 plus $3.00 for each
fraction thereof, to and
$433.00 for the firs� $100,000 plus $2.50 for each
additional $1,000 or fraction thereof.
DRIVEiIAY DEPRESSION ESCRO�i
(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 - DriveKay width plus 6 feet times $15.75
VERIFIC�TION OF FOIINDATION
Permits for construction Will be issued a minimum of 24 hours from the time of
application to allow for proper review of the proposed structure and of the
construction site.
A Certificate of Survey of the lote s�owing the location of the foundation once it
has been constructed �a3a]. be r°equ�.redl beFa�e p��eeedirag with the framing.
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CHIM�JEY AN� STACK VERIFICATION
The undersigned hereby verifies that the existing chimney or stack;
1. Has been carefully examined Yes (�
.
2. Is free from rust or deterioration Yes (t�}'
3. Has no foreign objects lodged within Yes (PJj
4. Is securely supported Yes (�
No ( )
No ( )
No ( )
No ( )
5. Meets all cu�rent Cac�e requirements for s��e and
total BTU connected Yes () No ()
6. Has Total hea ti ng BTU' s of
All other BTU's
TOTAL
Rema rk s
lSD � � �
�,� � o�o
---�
Com pa ny
Signed B
Da te
0
sue�ecr RMIT NO.
City of Fridley 2 6 �$
AT THE TOP OF TNE TWINS g U I L D I N G P E R M I T
f
� � RECEIPT NO.
� `v __���_ COMMUNITY DEVELOPMENT DIV.
f � � PROTECTIVE INSPECTION SEC. ����
1 � �
i._•. A��"','� CITY HALL FRIDLEV $5432 NuMBER REV DnTE PAGE OF AvaROVED Br
L •�� 612-571-3450 910-Ft5 7 23 � �
JOB ADDRESS
5201 Horizon Dr NE
1 LEGAL LOT NO. BLOCK TRACT Ofi AODITION SEE ATTACMED
DESCR. 1 g Summit , Manor - North SHEET
2 PROPERTY OWNER MAIL ADORESS ZIP PNONE
Robert Christen 1- 310
3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO.
Milton Johnson Com an 52 L
4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PMONE IICENSE NO.
5 ENGINEER MAILADDRESS 21P PHONE LICENSENO.
6 USE OF BUILDING
Residential
7 CLASS OF WORK
O NEW ❑ ADDITION O ALTERATION l� REPAIR O MOVE ❑ REMOVE
8 DESCRIBE WORK
Reroof (15 S) Tear-off• trim re air• sidin re air
9 CHANGE OF USE FROM TO
STIPULATIONS
Underlayment must comply with State Building Code.
Call for building wrap inspection before covering.
SEPARATE PERMITS ARE REOUIRED FOR ELECTRICAL, PLUMBING, HEATIN(3, �PE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD
VENTILATING OF; AIR CONDITIONING.
TFIIS PERMIT BECOMES NULL AND VOID IF WORK Ofi CONSTRUCTION 20NING SG. FT. CU. FT.
AUTHORI2ED IS NOT COMMENCED WITHIN 80 DAYS, OR IF CONSTRUCTION
OR WORK IS SUSPENOED OR ABANDONED F01i A PERIOD OF /20 DAVS AT
ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS OFFSTFEET PARKING
I HEHEBY CERTIFV THAT I HAVE READ AND EXAMINED THIS APPLICATION ], STALLS GARAGES
ANO KNOW THE SAME TO BE TRUE AND CORREC7. ALL PROVISIONS OF LAWS VALUATION SURTAX
AND ORDINANCES GOVERNING THIS TYPE OF WOfiK WILL BE COMPLIED
WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING Of A PERMIT $1251 �.63
DOES NOT PRESUME TO GIVE AUTHORITV TO VIOLATE OR CANCEL TNE pERM1T FEE SAC CHARGE
PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON-
STRUCTION OR T!#E PERFORMAN OF CONSTRUCTION 43. OO Fire SC � 1. ZS
� PIAN CNECK FEE TOTAL FEE
� ��"� `�� License SC 5.00 49. 88
SIGNATUf7EOFCON�R CTORORAUTMORIZEDAGENT �DATE� WHEN PqOPEF1lV IDATED THIS IS VOUR PERMIT
— ��e ���—��—
SiGNATUFE OF OWNER Ui OWNER BWIDER� � �DATEi BL �NSP ryqTE
tvL�v
ADDN
ALTLIZ
(1
[I
I1
ConstructionAddress:
Legal Description:
Owner Name & Address:
' CITY OF FRIDLEI'
S[NGLE FAMILy A,ND DUPLEXES R-1 AND R-2
BU[LDING PERMIT APPLICi�TION
52Q1 Hor�zon Dr�;�re �'.E.
Robert Chr�sten (sameZ
cffective 1 / 1 /97
,���
�,c� l�
��
Tel.1/ 571-4310
Contractor: Milton ,�ohnson Com anv MN LICENSE� 2083
Address: 525 Lowry �ve. N.E. Mpls 55418 Tel. /� 781-9548
LIVING AREA:
GARAGE AREA:
DECK AREA:
OTHER:
Attach to this applica6on, a Certificate of Survey of the
iot, with the proposed constniction drawn on it to scale.
DESCRIPTION OF IMPROVEA'IE\'T
�n� � Width Height �
I.ength Width Height
�II� _ Wid� Hgt/Ground
Sq. Ft.
Sq. Ft.
Sq. Ft.
alum.. 'm re air
Construction Type Tear,�o f f, re-roo� ' ��at� Cost: $ �o�� f
ouse ga a .
Siding repair (house & garacf�'�='e Schedule on Back)
Driveway G�rb G�t Width Ne�ed: Ft. + 6 Ft = Ft x$ �- -$ �
DATE: �.3. -sd A,pPLICANT: c - ' Z. � 7 81- 9 5 4 8
el. #
Permit Fee
�ire Surcharge
State Surcharge
SAC Charge
License Surcharge
�riveway Escrow
drosion Control
E�ark Fee
�ewer Main Charge
To�rA�
;�rti>ur.n�rlovs:
$ .3 D�
$ �..�5
$ t �
�A
� .�D U
$
$
�
$
� �/9-G��
C1TY USE ONLY
Fee Schedule on Reverse Side
.001 of Permit Valuation (1/lOth%)
$.50/$1,000 Valuation �
$950 per SAC Unit
$5.00 (State Licensed Residentiai Contractors)
Alt. "A" or Alt. "B" Above •
�$450.00 Conservation Plan Review
Fee Determined by Engineering
Agreement 1Vecessary [ ] Not Necessary [ ]
.
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