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AF - 46328City of Fridley, Mirm.. B�JILDING PE�.MIT Date: ._.�� _..� � � � °� _. �•w, � a�° , Owner: _,�..�,�`.�'�_------��°: .---...--------� Adclress ---� �..,�...�.'°�-�•••-�- � .�.. , N°;:��515 � 4 � �� t � Builder ¢�� ,�..._. . _ �..._.._�_--�--�°�... ... Addre� _�� •��__. ��.�:�.�,c_�.s_�,.,.��.s!-. : L�CATIO�OF BUILDING �. ;�.. , No.�..��..�.,�.,�...... Street _-� ° ---: ,:._._...'�....� .,,,�.��?..._ ...:..:........_t..........._.......':_.............. P of Lot .--------------�-------- - ----_..----------._... _ .. � ... ,�� ,� . . . . , �_ �` ---......._ Block ---._.._ .... ............_..........._--.., Addilaon or Sub-Thvision ...::��::°�:�t..-z7_--'-'--��Ja- ..---_��:�-� Lot ._.._.. .....�-` �-� / CornerLot .....-- -._..._.__ ............. Inside Lot ....-- ✓ ....�.... ....... Setback ....._...........---....._................ i eyard ---- ------._...--�------� - �� Sewer Elevation Foundation Elevation DESCRIPTION OF BUILDING To be Used as: ..�� +_.--------. Front/-...�------.. Depth �-�. -- Height ...,e!�.. :j'..... � R � /' ,�p �J� � �';� . �'ont �-�........ Depth .� ..�` Heig t ,,r .. �..... '( •• - o � Construction .. ..��._....... . . .. Est. Cost....� �_. .. ...��.. .__---......... � � �..... �.. � � Sq. F� :�-�_.._--- Cu. F�:��....� G� Sq. Ft. �.�_�..`P'... Cu. Ft.�:�_�!..�� To be Completed ,`- � , �,. _,. - , _ ,_ , - - - _. _ , -. � i _�'�-�., � � �,.�� - � , ,_ _ .�" ,, _., __ �-�_ � , .._ _ , � _, � - � __ . , _ _ 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 descxiption above set forth and in compliance with all provisions of ordinances of the city of Fridley. e, ,�; L� In consideration of the payment oP a Pee of $.�....:^°°'.'."_'-._.._., permit is fiereby granted to.------...----•---...._ ..............------------- _.�_._�—_._..�:—__..__.�:..._..._.. to construct the building or addition as described above. Thia �rmit is granted upon the express condition that the person to whom it is granted and his agents, employees and workmen, in g11 work done in, around and upon said building, or any part thereof, shall conform in alI respects to the ordinances of Fridley, Minnesota regarding lceation, construction, alteration, maintenance, repair and moving of buildings within the dty limit� and this permit may be revoked at' aiiy time upon violation of any of the provisions of said ordinances. �+ ./� .� ? c NOTICE: Inspector Thls permit does nof eove� the conatrueHon, insfallaHon fo� wiring, piumbing, ga� heaFing, sewe� or wa�er. Be sure to aee th� Building Inspeeto� for separate permits for these items. �'� 4 ^ _ _ t �. , _ � �` APPLICATION FOR BUILDIIdG PERMIT CITY OF FR.IDLEY, �OTA Owners Name �g✓��r� f�� (� � Bu3lder, Addreas �� ' � / ��'�.� � Address ��A LOCATION OF BiJILDING �- S �� % ��5� it`� No. �� .�� Street �� / � C/�� /ll� Part of Lot _�o��_ I,ot Block Add3tion or Sub.Div. __.,_,,,,._...,. Corner Lot_�,Inside Lot, 8et �.ck Side-Yard SEWEg, g,EVgTIOA] F'OONDATION ELEVA�IOA1 ��,�, �...,. 1pp13cant attach location. To be used ae: to th3s form Certificate of Surveq of Lot and proposed build�.ng DE5CRIPTION OF BUILDING /� %��/ C ii�' � �i�'�ront �� Depth_ � = i�ht /t� - � � ___._....�.._... . Sq. Ft. � � � � Cu. Ft. � �� la.� -��' v�� _� Front f � � � � Depth � � � � � kieight �� b Sq. Ft. � � � Cu. Ft.__"�� [�� Type of Construction Estimated Cost To be completed . �.. The t�nderei�ned hereby makes applica,tion for e. permit for the work Y�erein apecifled, agreei.ng to do all work in strict accordance with the City Ord3nances and ruling of the Depertment of Build3ngs, and hereby declares tha.t all the facts and representa- � tions af,ated 3n this appl3catian are true and corre t. ��° DATE �° ' � SYGNATURE �� e .-�--, • (A Schedule of Fee costs can be found on the Reverse Side.) � ' � �.,,� � _ . � , � �A + : 1 � 1 1 ' �i' '1 ' � ��I�i1 1� Section 2. The Inspeator of Buildinga shall, hefore issuing any�permit for the erec�ion of any building or structure, or for any addition to any e�dstin� build3.ng or atru�ture, or f`or an�rr alterationa or repairs to any existing building or structure, upon appl3cation therefcr, require the pa.yment b�r the applicant for such permit of fees to the amount herein below set forth and in the m�nner herein provided to-wit� 2.1. �'or any ,s�.ch per�ni.t,. for the erecti�on of any fire-proof bwtlding� other than a garage, warehouse, faator�r or grain elevator, or for the erection of: any fireproof add3.tion, for simi�er occupancy, to ar�r �isting bui7.d�tn� ' shall be at the rate of $1.1�0 for each one thousand cubic feet� or f'k�action thereof, in suoh cu.bical contents� 2.2. For any such permit for the erection of any iireproof garage� w�.re- hous�, factory or grain elevator,�or for the erection of any firepraof addition, for similax occupency� to any existing build3ng shall be at the � rate�of �1.25 for each one thousand cubic feet, classified as "Pireproof" . by Section 502 of the Minneapolis Building Code. OUSES 2.5. For a.ny such permit for the erection of any non-fireproof building other than a garage, warehouse, factory or grain elevator, or any noa- fireproof addition, for simi].,ar occupaq�r, to any existing building� Permit �]..QO for each one thouse.tzid cubic feet. GARAGES .. - 2.4. For anv such permit for the erection of a.ng non-fireproof garage, werehouse, faetory or grain eleeator, or for the erection of any non- fireproof addit3on, for simil�r occupanc3r� to any existing building for each such building or addition. Ni.nety Genta for each one tho�d cubic feet or fraction thereof, in the aubical contents thereof with a minimum of �/�..00. � For the ptu�pose of computing fees for building permits the cubical contents of an� building or add3tion to a uniform height throughout by multiplying the ground area covered from a point six.(6) inches below the floor line of the basement or cellar to the average height o� the upper surface or to the average height of the roof surface of the main gable of a pitehed roof. 2.5. For repairs or alterations to an existing structure, the fee shall be at the rate af �3,00 for each Five Hund�ed Dolla� (�500�00), or fraction thereof 3n th,e cost of all proposed work. 2.6. In no case shall the fee charged for any permit as set forth in Section 2 be less than ��..00. - - .� � �,.� i � �� .� � � Date: � dune 9, 1965 lu . ..�r � 4, . �, City of Fridley, Mirm.. BUILI)ING PER�VIIT B,�a� ��c�a�. �a e�.P� N° '7�01 � �� Adar� �37 Hoz�.zon Drive bT. E. A� 161$ TrJJ. Lake S�reet N. E. LOCATION OP BUILDING No. � str�et HCP12oY1 DP'iVe N. E. Part of Lot Lot 1+ _ Block g Addition or Sub-Divisian C��n�� S�Yt I�IOT� SO. Add• Corner Lot Inaide Lot Setback Sideyard Sewer IIeval3on Foundation IIevation DESCRIPTION OF BUILDING To be Used as: b`ront Depth Height Sq. Fk CC:�uu. F't Front Depth FTeight Sq. F't. C�. FL �►pe of Construct[on F�t. Cost �.� To be Completed Stos°m damage rep�eir In condderatton oP the issuance to me of a permit to construct the building described above I agree to do o�rtiina�aoes� the dtq P Fri�ce with the d�scrlption above set forth and �liauce with a'll provlsions of �• �� In conaideration of the paqment of a fee of �10..QII , permft is hereby granted to McC�].l and Go. Do21 DoT18hu8 to �o�ah�ct the building or addil3on as descrYbed above. Thispe rmit fs granted upon the exgre� conditian that theperson to whom ft fa granted and hfs agents, employees and worl�en, 9n all work done iq asound and upon safd building, or anypart thereo� shall conPorm in all respecta to the ordinances of FridleY� Minnesota la:ation, constructTon, alteratlon, mafntenance, repair and moving of bufldia�s wio�� dty ]irnfts aad permit may be revoked at a�► time upon violation of aay of the provisions of sa�d �Llen Jenaea �� NOTIC� 11ds pemJ1 deu eot eevu t6s eonsl�ucHen, testaQtlioa for trhieg, pMm6tee, pa 6adee, sswu ee wafsr. B� swa �o se� fln Bnlldio8 In�p�ror ter �araM pumNs Por ih� huns. . v • � ' n � �� . APPLICATION FOS �ERMIT - . � � � CITY OF F`R�'�iy .�Ni�9DTA �. .� , �� p f. OWI�R' 3 NAME MARi�N TH�JR HUILDER �%y� �� - �a . . ,�...� ° ,ADDRESS 5237'Hori�on Dx�i:ve AbDR£SS ,� ,, 4� ��% ��-�a :� r ,,.., ... s .��-s.�.�—...._ � . �, LOC��ON OF $�D�1� No.. Str"�et Pes't of Lot�;,�_ Lot��, � Biack Additioar or Subdil�i�i�n l�.��,�� `__��5�''�'�� Q _ - � _. � Gf�r Corctcr I,ot Inside Lot __,}�e��sk Side Yard - ---_ � S�WER E'�E�ATIQN � FOU1�T'i0N EL.�A°.CT��,,.,..,,,�..�.. Applicant atta�h to th�i� form, Two Certificatee a% Survey of %o� aacl prv�sed'b�d�°-�' ing locatton d��.wn ot� these �ei�tificates . DESCRIPTIOAi OF B�TILDING TYr be used �s; _ �'ro�aC Uept$ H°,-.��h s-. �_.,.��.. � � ` 9q. Ft. Cu. Ft. , „_,��`ront Dmpth �leigh� � �� at�. Ft. � Cu. Ft. F . ljipe af Construction�, „_ ____ _ Estimated Cost $ 1500.00 r. �, The undersi�ned hereby m�akes application for a permit for the work herein specified, agreeing �o �o all t�or.k ai� atri.ct accord,aace with the City of Friciley Or+dis��css arid rulix�gs. i� e�e Depart:��r �of Buildiags, and hereby declarees that al1 the f�cts and reps�eses�#atioa,s stated ia this applicatioa are true and correct. �le.of Fee Gosis caa be fouad on the Reverse Side). Painting. Gla�s. Roof work. � s_ , . � . . . Yt` V�eq�•A `F�� r' �nLK ¢;. � � �, t��jR' ,. y4 y�'�� , •y • ' . � . ;t. ` i.�/IL `� BpII.DING PERMIT FEE SCH�y� ' � � � .. � � Seetion 2. The Inspector of''�u3'l�i'iB�s�`�s�si�;' ��ote � is�u,�g aay permit for , th� erectioa of any building or atruGt_ure., �r'for any ad$�Lti� ts any euiat- , iag building or structure, or �oi. �i►y_ ��,ti�rat��.�r'.r'epsi� t� eay esiseing � huildi�g or structure, upoa applicat�'fut. �er:e�or, ��ire the pa�ret by �1�a . applicant for such permit of feae �b �he amount �her�ip��beLow a��t 'foztl�._�d : � in the ma�ea herein provided to-�r�,�;� �� . t:. .. .. ----- �:1. Ft±r any �uch permit �or the �a�&�ion-c�� any fire�°p�� bu#r.l,d�.�g, a�her '�, ...�.,�-t��a, a$ar�ge� waxehouse,. factory oz•�'g��o: e"�evat��, ..� f�r. the e�ti,pn of �"� ' r� �� ► ��-,p?�of addi��.oa, f4�� a3m�,�;ar��cr�P�Y� �b: a�y �uis�Ci�lg bu�.i� . ' �:;. • �:��.� � �ahall be at' the rate �f �Z.4Q for eash;,� thous�nd ,�et�bid feet, or�fr� , J.�- .. . �hereof, ita such cubical c�oat�a�s�: � � � ' � ' .s\ r . � _ . . . , � : . . .. � 2� .�'or any such permit f��., Y P 8�r�ae•-•�d'�""-. , ��e . erectipa a� an firer r.co� �,, , ary �r graia elevator, or f��the� e,�ection �' ��a� �� $ k . fer aimilar occupancy., to _aay_:eiciet��:ng �µ;tldi�g shaYi�::he at `e . ,. . , ..,:•,.:ga�'"�aeli vae .thousand cubic .fee�t• � c�,taesi�i�ed� ' � . the..�iiaa�apol�.i.,.-su:E � -,, ' ., c� �s, ,'firepra►c��" .by� .Sj �� .,.,,�k+.�.,� ' � . - . ,,� �� . .,. . . • �, 2.3:: Far any su�h �ermi� fo= t1�e er�ction of aa �non-Hre .. .... �'' than a�az�ge, �warehouse. facto Y P�f �'uildimg additi�tti' for simi�,�� ocCup� �to 8rain elevator,� dr any aon-fi�pf=�{�+�; each �one thou�e�1 .c�bi� fe�t.. Y, ,emy e�istinf,g .buildin,� - Pexmi.t ��:� far .. .. . GARAGES - � . . . . • � . , . _ : • . .. . . . . � i_ For any such e _ � ; � . _.. ... . . . . .. _ s . ___ --: ... warehouse, factory or ��,af elevator eoi��pr�the�ern�-fireproof $arage,., . �aimila�' occu � " � ��s �f -ai7 �cm•firegtroa�' -�...� �� P�4�Y, eo ar►g euiating build3ng br for esc�x such -� ng or additioD - ninety cenCs ($0..90j for eac�► on�� thous�d �fc �feet .� oz fiaEt�� ereof, in the cubical� coateats thereof wftli a miaimum �of �44.pQ,,•.. . Fo'� the purpose of cc�pnt3�g fees for .hui�.di . . ' of any bufldi °g P$�its, th�. cnb3cal cQ�tteBfi�-`'. .� ag or additfoa to a unifcrm height throug`hottt •'� �i,�y,p�n� t�_-• gro�xnd atea eoyered from a point six (6) iach�r8 be2�v the �loer line t�f�hs- . ' basemeat or ceilar to the average: 6eight..o#' �h� .0 pper su�`fece or to the �,>"';�-. average height dg thg rQof s�irface of the maia gable of a,�itched roof. . � .._ . . _� '� � ..:.• . -.� , �. . ; . , �_•5. •. For repairs or alteratiaas �to an eacist. . . , � at the rate of $3. (?p � 8 ��3 �� gee s1�l►1 A� �'�' °�:: . per each Five I�nadred Do118r.a .($50�'s=0�}.os� �rsc;iasa'.. . ;. therebf iu �he cost 'of •�11_ pra�csed work, � � . . .._ .: . . • .�• . _�. �eaes e . - � Secti � ao hali ,�I�e � . . . . • . . . , . . .. : ' . ^ . , ''` ea..2 �be ..�. . . , set 'f�z'th itt , � . �� . � . . • . . - . . .. . . .�, �. .. . / \ _ .._.. ... ��'n � d ' � � �� a .h•• , � .P t ' '�6'�rr h , � � � r FJ � o� APPLICA2"tON F48 BUiLDING PERI�IIT CITY OF FRIDLEY, �SOTA .��'�`f�� . �� . OWNER'S NAME ��-�� ---�-,�-�<�- BUILDER � � �* �'ju '�`r� � �� s � � ' a ��=�` � . ADDRE SS A � A � �� -�-� �'z�. a p"A ��x� m ADDRESS �� e 1��-,.= ,_ G r LOCATION OF BU�LDING No. � Street� Part of Lot� LOT B�O�K ' ADDITTON OR SUBDI'�TSION Corner Lot�Ins�de LpT; etback � Side-Yard SEWER ELEVATION " FOURDATION EtiEVAT'ION Applicant attach to thia form Two Certificates of Survey of Lot and proposed bu�ildin� location drawn on these Certif�eaCes. . To be �used as; DESCRiPTTON�OF BII�DING� Frout � Dept `�� fleight Sq. FC. • Cu. Ft: Frcar�t Depth ' . Height Sq. Et.- �-- -- - Cu. Ft, . . . �� Ty.pe. �f Caastruction Estimated Coat ,�, s°�a�'� To be completed � ' The undersigned hereby makes appl.ication for a permit for the work herein specified, agreeing Co do all work ia.strict accordance wiCh the,City of Fridleq Ordinances aad rulinge.of:the Department of Buildingg, and hereby declare� that .all the facts and representatione sCated ia this application are true`sitd correcC. , � � DATE � ��'� . SIGN�TURE - � -, ' ��, �,, i��,-z � P `°� � . (Schedule of F8e Coets can be found�on the Rever�e Side).� - � . �"�,�' � �e,�.�,n a� �, r z �P � _'F � r ° .,A�,.��t -1' �.+� P,�.—t�=� e �,�,,..�r E r �`` � � . ,-. Y. .� i� . � , � ° ,:�, •, r�. , (� � ,.��;;.ip._,r� ; �:"° � .,fd � .�, . . . , �o . . , / l. +4, d r w � � � ��7�� / , -� �� BDILDING PERMIT FEE SCHEDULE SEC�iON 2. Ths Iaspector of Buildings�shall, before isauing any pes�mit for the erection of anq"6uild�ng or structure, or for any addition to any�esisting build- ing or structure, or �or anq alterations or repaira to any exieting building or strucCure, upon application Cherefore, require the �ayment bq the applicant for such permit of fees to the amount herein below set forth and in the mannes herein provided to-wit; 2.1. For any such permit for the erection of any fire-praof building, 9 other than a garage, warehouae, factory or grain elevator, or for the erection � of any fire-proof addition, for aimilar occupancy, to any exiating bu3lding, shall 6e at the rate of $1.40 for each one thousand cubic feet, or fraction . thereof, in euch cubical coatents. 2.2. For anq such permit for,the erection of any £ire-proaf garage, Werehouse, factory or grain elevator, or for the erection of anq fire-proof addition, for similar occupancy, to any existing building shall be at the rate of $1.25 £or each one Chou�aad cabic feet, classified as "fireproof" by Section 502 of the Minneapolis Building Code. EOUSES 2.3. For any such permit for the erecCion of any non-fireproof buildin�, other than a garage, warehouee, factory or graia elevator, or aay non-fireproof addition, for similax occupancy, Co any exiating building - permit $1.Q0 for eac& one thousand cubic feeC. GARAGES .,.,._..— 2.4. For any �uch�permit for the ereceion of any non-fireproof garage, warehou�e, factorq or grain elevator, or for the erection o€ aay non-fireproof addition, far simiiar occupancy, to auy euieting building or for each such bu3lding or addition - nineCy cents ($0.90) for each one thousand cubic feet or fraction thereof, in the cubical contents thereof wiCh the minimum of $4.00. Fos the purpose of camputing fees for buildiag permita, the cubical conCeats of any buildiag or addiCion to a uniform height throughout bq multiplying the ground area covered fram a point six (6) inches below the £loor liae of the basement or cellar to the average he3ght of the upper surface or to the average height of the roof surface of the main gable of a pitched roo£. 2.5. For repaira or alterations to an existing atructure, the fee eha11 be a he rate of $3.00 per each Five Hundred Dollare ($500.00) or fractiau thereof in the.cost of all propoeed work. 2.6. In no case aha11 the fee charged for any perm3t as aet forth in Sect3o 2 be less than $4.00. � s . � .,,, � sue�ecT PER City of Fridley 3�2933 AT THE TOP OF THE TW�NS g � I L D I N G P E R M I T r � � RECEIPT NO. � • COMMUNITY OEVELOPMENT DIV. �� V PROTECTIVE INSPECTION SEC , .�" r � �; � . , � _ �"'1 � CITY MALL FRIDLEY 35�32 NuMBER 11EV O�TE P�GE Oi �vvaOVEO Br �'"'"� � �'' 763-571-3450 910-F 15 7/ 25 / 0 2 / / JOB ADDRESS 5237 Horizon Drive NE t IEGAL �OT NO. BLOCK Ti1ACT OR ADDITION SEE ATTACMED oesca. 4 8 Car�son's Summit Manor South Addition SHEET 2 PROPEiiTY OWNER MAIL ADORESS ZIP PMONE Niarvin Thour Jr 5237 Horizon Drive NE 763-542-1033 3 CONTFACTOR MAIL ADDRESS 21P PHONE LICENSE NO Minnesota Rusco Inc 5558 Smetana Dr, Minnetonka., MN 55343 952-935-9669 2173 4 ARCHITECT OR OESIGNER MAIL ADORESS ZIP PMONE LICENSE N0. 5 ENGINEER MAIL ADORESS ZIP PMONE LICENSE NO B USE OF BUILDING Residential 7 CIASS OF WOHK O NEW O ADDITION ❑ ALTERATION C� REPAIR O MOVE O REMOVE 8 DESCRIBE WORK Replace one entry door; fascia 9 CHANGE OF USE FROM T� STIPULATIONS �ermit Inspection Cards Wilt �e Mailed To Homeowncr To Post TYPEOFCONST OCCUPANCVGROUP OCCUPANCVLOAD SEPARATE PERMITS ARE REOUIfiED FOR ELECTRICAL, PIUMBING, HEATING, VENTILATING OR AIR CONOITIONING TMIS PERMIT BECOMES NULL AND VOID If WORK OF CONSTRUCTION ZpNING SO. FT CU FT AUTHOR12ED IS NOT COMMENCED WITHIN BO DAYS. OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED fOR A PERIOD OF 120 DAVS AT ANY TIME AF7ER WOFK IS COMMENCED. NO DWLG. UNITS OfFSTFEET PARKING I HEREBY CERTIFY THAT I HAVE READ AND EXAMINEO TMIS APPLICATION 1 STA��S GARAGES AND KNOW THE SAME TO BE TRUE AND COFiRECT. ALL PROVISIONS OF LAWS VALUATION SURTAX ANO ORDINANCES GOVERNING TMIS TYPE OF WORK WILL BE COMPLIED !� WITM WHETMER SPECIFIEO HEREIN Oii NOT. TME GRANTING OF A PERMIT �21925 T�' .46 DOES NOT PRESUME TO GIVE AUTMORITY TO VIOLATE OFi CANCEL THE pEqMIT fEE SAC CHARGE PROVISIONS OF ANV OTMER STATE OR LOCAI lAW REGULATING GON- @83�25 Fire SC �p2.93 STRUCTION OR TME PERFORMANCE OF CONSTpUCTION •P PLANCNECKfEE TOTA FEE Licens $5. 0 2.64 S�GNATUAE O� CON'AACTOp Op oUTMOpIzEO OGENT iO�TE� EN OP ALIDA E THIS IS VOUR PERMIT �� 'f./� S�GN4iUAE O� OWNEQ�� OWNER BUI�DEA� IDATE� 8lO �N � noTE �+l _, �� [ � ADDN [] ALTER [ ] Construction Address: Legal Description: 3 PAI� �(��. � � �8� CITY OF FRIDLEY SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION Effective 1/1/2001 (763) 572-3604 Bldg Insp �'S�1z� Owner Name & Address: � � 51.-f2.�� Tel. #%�3' S%Z '/�� Contractor: MN LICENSE# �/� Address: �� Te�. # 95Z' 9v�5' g��(d % LNING AREA: GARAGE AREA: DECK AREA: OTHER: Attach to this application, a Certficate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF IMPROVEMENT Length Width Height Sq. Ft Length Width Height Sq. Ft. Length Width Hgt/Ground Sq. Ft. Construction Type:�, �� OCC� �Estimated Cost: $ o�, 9�J� �� 4�5�l.cL U�D l�l� D�U . Dri eway Curb Cut Width Nee ed: Ft. + 6 Ft = Ft x$ _$ . DATE: � F OC� APPLICANT: _ ' uL,�J Tel. # SZ' �� CITY USE ONLY - Permit Fee Fire Surcharge Sta#e 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�• Z"J� Fee Schedule on Reverse Side $ .001 of Permit Valuation (1/10th%) $ , �.50J$'�,(�00 V�Is�ation - - - -- $ $1150 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 [ ] ;. � , � �L BUII.DING PERMIT FEE SCHEDULE The Chief Building Official shall, l�efore 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 stntcture, 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: . $1 $501 TOTAL VALUE FEES to $500 $23.50 z��.��1�"'��iF�� to $2,0� $23.50 for firsti�50� ��g�."�bi` each additional $100 or fraction thereof, to and including $2,(m0 $2,001 to $25,0� $25,001 to $50,000 $50,001 to $100,000 $100,001 to $500,000 $SOO,OU1 to $1,000,000 $1,000,001 and up $69.25 for first $2,000 plus $14.00 for each additional $1,000 or fraction ther�af, to and_inch�siing �25,G00 $391.25 for first $25,000 plus $10.10 for each additional $1,000 or fraction thereof, to and including $50,0� $643.75 for first $50,000 plus $7.00 for each additional $1,000 or fraction thereof, to and including $100,(KlU J $993.75 for first $100,000 plus $5.60 for each additional $1,000 or fraction thereof, to and including $SQO,(}a0 $3,233.75 for the first $500,00(7 plus $4.75 for each additionai $1,000 or fraction thereof, to and including $1,0{�,000 $5,608.75 for the first $1,000,000 plus $3.15 for each additional $1,000 or fraction thereof DRIVEWAY DEPRESSION ESCROW _ (Go�cr�te Curb Streets Only) Altemate "A": Removal and replacement of curb and gutter only - Driveway width plus 6 feet times $15.50. Altemate "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 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. New Houses Onlv sue�ecr � -PEEFiMIT N0. City of Fridley � AT THE TOP OF THE TWINS g U I L D I N G P E R M I T �� r � ! �` .____ COMMUNITY DEVELOPMENT DIV R IPT NO. r � ~ � PFiOTECTIVE INSPECTION SEC. i �� ; � � � � /"'1 � CITY HA�L FRIDLE� 55032 NUMBER i1EV DATE PAGE OF APPROVEO B� �""� � �'� 612-571-3450 9t0-Ft5 8/15/96 / / J08 ADDRESS 5237 Horizon Drive NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. (} 8 Carlson's Summit Ma.nor South Addn SHEET 2 PROPEf;TV OWNER MAIL ADDRESS Z�P PHONE Marvin Thour 5237 Horizon Drive NE 3 CONTHACTOR MAIL ADDRESS Z�P PHONE LICENSE NO North Central Builders Inc 7401 42 Ave N, New So e MN 55427 533-6168 3763 0 ARCHITECTORDESIGNER MAILADDHESS ZIP PHONE LICENSENO 5 ENGINEER MAIL ADDiiESS 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 & Garage (18 Sq) TearOff & Soffit & Fascia 9 CHANGE OF USE FROM TO STIPULATIONS Underlayment must meet the State Building Code. TYPE OF CONST. OCCUPANCY GROUP OCCUPANCV LOAD SEPARATE PERMITS ARE REOUIRED FOR ELECTRICAL. PLUMBING, HEATING, VENTILATING OR AIR CONDITIONING. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION 20NING SQ. FT. CU. FT. AUTHORIZED IS NOT COMMENCED WITHIN 80 DAYS, OR IF CONSTRUCTION OR WOHK 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 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 @ WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT 'Y3f 785 �1.89 DOES NOT PRESUME TO GIVE AUTHORITV TO VIOLATE OR CANCEL THE pEpMIT FEE SAC CHARGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- @ STRUCTION OR THE PERFORMAN OF CONSTRUCTION. y 87. ZS Fire SC �3. %8 PLAN CHECK FEE OTAL FEE ,�, `�' License C .00 $97.92 SiGNATUfiE OF CON'RACTOR R UTNORI2ED GENT IDATE� W Pj� �Y LI TED THIS IS VOUR PERMIT � � ��• �.J S�GNaTUAE OF pWNEA�iF OWNER BUILOERi �DATEi �N ��TE NEW ADDN ALTER i] [l [l ConstructionAddress: Legal Description: CITY OF FRIDLEY SINGLE FAMII,Y AND DUPLEXES R-1 AND R-2 Building Permit Application 5 2 37 I—� �� Z� ��2 aU Effective 3/1/96 �� Owner Name & Address: %"� ,� f�/t � 1�}-pu ,,�. Tel. # Contractor: � J 1,2�r-� �,E�Us �R � l.- � � d � .�-� C MN LICENSE # �j7 (o �j Address: 7� f 4-Z N� f�1/E 1U , �(,Ci.cJ ��L3 Tel. # J`' 3 3-%/�(� Attach to tUis application, a Certificate of Survey of the lot, with the proposed construction dra.wn on it to scale. LIVING AREA: GARAGE AREA: DECB AREA: OTHER: DESCRIPTION OF IlVIPROVEMENT Length Width Height Length Width Height �eng Width Hgt/Ground � � . /f�' s� -� l��t -��'� - � Corner Lot [] Inside Lot (] Ft: Yd Setback Type of Construction:�-g�.�-�>-�s-��r - ---��:{�,�, Approx. Completion Date: Driveway Curb C�it Width Needed: DATE: -� �,�1",6 APPLICA Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee Sewer Main Charge TOTAL STIPULATIONS: � c��. �� •��'G $ $ � L�c� $ $ $ $ � �'i� a� Sq. Ft. 5q. Ft. _ Scq. Ft. . � t�- Side Yard Setbacks - ' Estimated Cost: $' 90 �' o? �c�� F � - t��.� �a� ____ _ , - (Cost on Back) j %� � Ft. + 6 Ft = � Ft x$ CITY USE ONLY Fee Schedule on Reverse Side _$ Tel. # �33-�1� .001 of Permit Valuation (1/lOth%) $.50/$1,1�0 Valuation $9� 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 [ ] BUII.DING PERMI'r 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 a.ny 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 $2,0� $2,001 to $25,000 $25,001 to $50,000 $50,001 to $100,000 $100,001 to $5�,000 $500,001 to $1,000,0� � $1,000,�1 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,(�0 $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 fust $25,OQ0 plus $9.00 for each additional $1,000 or fraction thereof, to and including $50,000 $574.75 for first $50,� plus $6.25 for each additional $1,0(10 or fraction thereof, to and including $100,�0 $887.25 for first $1QO,ODO plus $5.00 for each additional $1,1�0 or &action thereof, .to and including $500;000 $2887.25 for the first $5�,� plus $4.25 for each additional $1,000 or fraction thereof, to and including $1,000,0(� $5012.25 for the first $1,0�O,OQO plus $2,75 foi each additional $1,000 or fraction thereof DRIVEWAY DEPRESSION ESCROW (Concrete Curb Stre�ts Only) Alternate "A": Removal and replacement of curb and gutter only - Driveway width plus 6 feet times $13.50. Alterna.te "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 construcrion 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 construcrion site. E1 Certificate of Survey of the �ot, showing the location of the foundation oace it has it has been constructed will be required before proceeding with the framing, Building Inspections 763-572-3604 763-502-4977 FAX DATE� SITE ADDRESS � THIS APPLICANT IS: PROPERTY 0�1'NER/ TENANT CONTRACTOR SUBMIT A COPY OF YOUR STATE LICENSE, BOND AND CERTIFICATE OF INSURANCE PERMTT TYPE TYPE OF WORK: DETAII.E '� DESCR PLUlVIBING RESID]EI�TTIAL� APPLICATIOl�T CITY OF FRIDLE� � YOUR E- ADDRESS r� ❑ OWNER CTOR NAME: ADDRESS:�� /`�i��,.�. PHONE: NAME: � �� / STA1'E LICENSE # STATE BOND # ADDRESS: '�� G� `Afs CITY • PHONE _�/ 2 C"io/ � _ FAX FAMILY � NEW OF WORK ❑ TWO FAMILY ■ . -'.,. - ❑ TOWNHOUSE Permit No.: Received By: �� Date i��B: A P R 2� 21 _ ��_ EXP DATE EXP DATE A'fE��IP�� ATE�ZIP � 3� PER MS 16B.665 the permit fee is a�nimum of $15.00 or 5% of the total cost up to �500.00, whichever is greater, for the improvement, insta.11ation or replacement of a residential fixture, excluding the fixtures. (This should reflect only the cost of labor ) La.bor cost under $300 =$15.00. La.bor cost between $300 to $500 = cost of labor x.OS = plus .50 surcharge OR FOR PROJECTS WFiERE 1-ABOR EXCEEDS $500, FEES ARE BASED ON $10.00 PER FIXTURE, EXCEPT WHERE NOTED. FIXTURES: (MDICATE TOTAL NUMBER OF EACH BELOV�. MINiMUM FEL $15.50. BATH SINK/LAV _FLOOR DRAINS SHOWER � WATER PIPING —gp�TUg GAS PIPING (NEED CITY LIC)' SWIMMIAIG POOL � WATER SOFTNER ($35) CLOTHES WASHER KITCHEN SINK WATER CLOSET _ BACKFLOW PREV. ($IS) DISHWASHER _ LAUNDRY TRAY �WATER HEATER (535) FOR IRRIGATION — WATER METER _ OTHER Permit Fee TOTAL DUE $1 � Number of fixtures @ $10.00 x $10.00 = $ Number of fixtures @ $15.00 x $15.00 = $ OR Number of fixtures @$35.00 x$�5.00 =$ State Su�charge = $ .50 (MIAiIMLJM $15.50) Tota1= $ THIS IS AN APPLICA'fION FOR A PERMIT-NOT VAL1D UNTIL PROCESSED I hereby apply for a plumbing permit and I acknowledge that the information above is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Fridley and with the Minnesota Construction Codes; that I understand this is not a permit but an application for a permit and work is not to start without a perrr►it on site; that the work will be in accordance with the approved pl in the case f rk which requires review and approval of plans. SIGNATURE OF APPLiC T PRiNT NAME��i TE � APPROVED BY , DAT� � .- City of Fridley Building �Inspections Department 6431 University Avenue NE, Fzidley, MN 55432 763-572-3604 � FAX: 763-502-4977 T fll (�`.� FV U. Q i-+ � Y ' j . �, i�- �i ^] j3 tl Q r!7 i' : �+ � ct ' � •i :r � n �. m �. - ti r �–. ay � �"' F�. � � v •+j N• y '�.. 7 J r+ -. N " :� ;;� ,r � ��A��- . . .. ??. . * � ^ .� � a a � .-. ... '� } ` i w y T ' Y, ,0�� .`s, ` f � � .` , F� � � ' i=i .C. : ' a" e. �' ,� r �: M1 i. .-. { ? � j � o �. : � , :r m �{�` �,�- .� �� ; {' • � o i , � ... i` 1 1 � ' � � � ,� � �= �` � . � ' . � �' �� _ � �: . �. �. � � � � . i 53 r d �l�E. �. E. +, � i , b c i oo -- � 1 � ;� �, _ :.., : i. �4 � is.i . ; i a. ° 20� s /� o p tJi W oo � ( � 2S 9 � � � �--- �so , i N P 125 � —��w v --- — _, � — --- — — . — -- -+. _ �i ± za ' ' �N ' \ -J � tn �` C)t v ^� � N �� `n �` ^J l I t � W v 1 _ 9 _ 30.5 L1y� g'--►. 1�- '� r. 125 �I 2 � V1 \ \ � � ^� "' r. � J i.. '` �I O _ss� ��y • ' � .s s. 125 . v 3 , � o � --iss'- , ,T m A � V � -� ^ N �Q -.� cn �� ; � ;n, � I` \ �. �.� 4V. 2c � 125 , w �0 � X � aa � N �r "..�` � �' ^ � � n W .� • � � � --""--�, ,.: � - °' �25 a a .. af.t �� ` —' n ' i. N . $ c�ii i+ �N i �. �_ `. V :a 125 W� �l u • J � U nN �. : �V "' r, e �` W .. � � �� :' 125 i I -., � � -, � �� . � , �ts � + i � ;� a ;� `,� � •�