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AF - 463300 r 90 � .-� 7• R' r d � v 9 G �+Fy '7 .'7 L d � µ � � � . � :r '_Y n �. m �e � M r��R �C '^ r+ !� �..� B � �'• ♦. ,. � � .Y w r. -. � � - • r `r . .� � „^r� r� ..- a ^- J _ ^ *e C � � a .-+ .- ~ 1 c.' .. K �' < i� t�. •� ` +. tw ' . y ��y "��`l, O . ,. _ °' � - �, �� ' �t .�,,: • �;; 'S' � � � � i � � � ^h ' � l� n ytt.. ir � V, ^ � ( � ' .- A '�' n J ,- :e `� �,._y � � : � •� � :' I \ m ^ �1 ,�»= m �' �� S3 rd AVE. N. E. 0 i�`M •w � ' �� _ :s.s ,i. i4 • is.i . . . . � N �j �' �, � GOO t �p 00 , 6i 2S 9 � O� . W " " 60 � � ' I a �25 � � — — — - -- �� - --� — — �— — •-�— — +- _. � I4 � N \ � � Ii. N 70 � c�i� r � 1 h W V _ 30.5 . ��iV S'--►. •� v. 125 �ei 0«pp W � � � � � -� 2 { C7� \ \ � '� �� . N � N � '` � `! p _ es � _ ,I1�� y � - s. 125 � � � o O -- isi . .Ti � T � _i ^ N �� _I \ cn I` � i � v�, w �� . \ `. _�� 4ti 16 � 125 , � m � � � � as w U �- � � tn , n N v, � W �� , � � , '_!0�_ �V s a� �2S a a � is.s i� •---_: n � n N �° � �o cn �. N -+ �� . .L_� `� :c 125 --- � 'I �. �• �� n N ° � N `� � : s a �: W � . � �I S� !25 � � _, . � � J � �I 125 � I I ._J � �"� City of Fridley, M.�an.. BUII.DING PERMIT Date: . /. �. . �. . : . . �. ��. . . . . . . . . . . . Own�r /. 4.a �i � : . . . . . . . . . . . Adcirc;ss �°•� . � ,/. . . . . . . . . . � . . . � -1 N° 3496 Builder . : . . . . ��Gi�t'!� :'!�. . . . . . . . . . Address ...... . .... ................................. . LO�CATI�I OF BUILDING No. ��. y� . Street .. .�. . ....��........... Part of I.ot ........... ................... Lot ...�.... Biock ......�....... Addition or Sub-Division .4�-r�G�rrl .�?�!:.�� Corner Lat ............ Inside Lat ............ Setback ............ Sideyard ........................... DESCRIPT[ON OF BUILDING ^�"� sed as: �/ P � r , p� �� . .. .. F`ront/. 7. .: 4� Depth �`�'� �Height .��. .� Sq. Ft. � �. P Cu. Ft � � �f� .. . . .................... Frant ........ Depth ...... . Height Sq. Fk ........ G�. Ft. ........ Type of Construction . ��`?'.� . . . . . . . . �sk Cost� � �•�� . . .•.. To be Completed . . . . . . . . . . . . . . . . . . . In conside�tion of Yhe is5uance to me of a permit to construct the proposed work in accordance with the description above set f� ordinances of the dty of Fridley. � building desriUed above, I agree to do �nd fn com li e with all provlsions of nd :�...... .. .............. �,�(� � � In considerat3on of the payment of a fee of $. ! . . . . . . . . ., permit is hereby granted to . . . . . . . . . . . . . . . . . . . ..... ........ .... ... ..... to construct the building or addition as described above. This pernoit is granted up�n t3ze express condition that the person to whom it is granted and isis agents� employees and worlm►ea, 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 bufldings with- in the dty limits and thfs permit may be revoked at any time upon violation of any of the provisions of said ordinances. _ ��,n. ,�/ „/�. . .N � � . . . . . . . . . . . Building Inapecbor NOTICE: Thls pe�mit doee not cover tha construatlon, inatailatlon o� alteratlon fo� wi�ing, plumbing, gae heating, sewe� o� water. Be su�e to sea the Bullding Inepeoto� fo� Baparate parmits ior thesa Itams M � m � � i � 8 � � � � a p �o `•r �'.� � �0 O � x r�� y�� x x x � � � � O AP � � w W � � � G.� � � � � '�� ' �n � � o � � � m � � � � � � � w a � H '� �' a " � g � s� cs � � � � C4 „�,., k h3 p Mi "� NCO O '"' �, y ' ° m � $ � � �� : : y� . m . � : : � � : . . . � . . . : �. . : : : a � m� x �'��° OI � g � $ � � � � � ` o � r � o n�i � � � � � � � � ° � � �� z � � ;� ;C � � b b � � � � y � ° bd Q x � � o �o I O � � ro G1 � � \ y c. A � m 0 0 r � � r� x < �' :° � w 04 �''� �� o� � o � � � f�D fD • � : �. � �: � �1 � , O � .� 0 � � � � � 0 � � � � � x M � DQ m w m � �� a � ° ° x � � o N o � � ►i 0 0 : � � � R° R° '� ��'� � �� s�� o A o o ''J �'�� ;; � � �. � � y : � ,e� . . � � � � x �d . . o � . . � : : � � . . y . � W W 0 � � � °o g � � � � � � � os � � O � z t. �. ` y O � � � F�p O �. � o � y � � � � w � � � � � �x �mGM�w.� � N• � � � � � � � � � �� o �` �e � y�'�'J �"b � �`i° � O � � � �Q �ro�°� ym a � ' ° a, ��„ : G � o : � � g � � : 4 O , ' ' � � Ca Cf Oi W O °c � °o °o °o � � � a � � twi� O "'� � � � aa � 0 m � � b � � � S N N• � � � � � R� f� � v, y � � � fp f�.p O 'r c« ri' R° ,� O O � �,�, �i�� ° a � � � �,�. . �, . . �•°: : o g . . qO . . P . : . . . � �° W Q� O� O y °o o° g °o t'1 � � O � �� A aa� .� M �! �p � �+, n.. � h�'b ��'� � �"�� ciD �� .. d d°n� �b �� °� pp�`C M ��0� v� ro�,W � d od �� b yro � p � "� Et m � W� p �ma� H y ��w b a� � a �, yyo��► (� y :� H �� o �.. �. � m �� ' �� D � � � � m N 2 m C r- m b �'F �, � � x � m 'v '�� O � � D� � 0 O � � p � d � _ �. � � �� 3 � H 0 � 0.� °� �• �r � 3. 0 � �s i. � � � D 0. \ � � � t� � � � �,� ��pz��x�zx � W n 8 M�� y� n � � o �c� � � � � � °p �' � � �l p� � m m �: k /4 : � � S � � Q' '�' � � � � � . � � � � � fD � � � p ~ � � p 'd °' o y ^ Q �* � H � � S . � p�~, ° '� � � i O�q � ' Od � � °�°. : �jU � � � • N (J� � . � . M . o � : : � : � � . � �: • � : � . � � V'L d I I I~ol I I I I I o W a! OQ N ?Q iC k iC ,k i! ' � � � ,c�v � � � � � � � 8 � 8 �8 � � � � � 8 � 4� h t�► d► 6N �!► +fl W N O I Oy � � ,yy Y t" r D � i D � m �^ l ! m v � fl°I * e :� � I N ..' p� � �a '� p' °' � i� � �� • � �i i O a � ' �� I � � � M 7� � p �pp,, � o � �,t''. � W A c+' � Vi M � �a g o0 S �% p '� G. � A � � a. a �a b �" w � � � � � �"'� r;b ^ A �" a�j �i 1 '.�7 (� �, �y," � � � t�D ��;,� � N y �e �, a � � � ��. � r' � � � � � � � � � � � I j a � � � 0 O � � � � i atlATpl � uaiw�s r►rH � enciNs sirn�s w� riut�g DRINK. FOUM. SFfYYRS. ��R �� GTCFI �SINS AUTO W� c� �. � RANGE GAS OPENIIVpS ,. _ • c� � � D r � � a c��. � �� Q�' O A 0� � eS B. �' ,� 4 � �c r� ��.� b ��b �� m a � � � ��'�o M M O' � •Q a �0 �.�� a�a�� o � � � � M �3 e� w � � � � � � d � � O �x � � � �w � � � � I � �, � � � � � O � �. � � b N � � Q � W � N � d w m �n � � � � � SUBJECT City of Fridley 1617 AT THE TOP OF THE TWINS g U I L D I N G�.P E R M I T � � � � '\ . R . � i L_ COMMUNITY DEVELOPMENT DIV. y r � � PROTECTIVE INSPECTION SEC. � O / 7 i .1 , ' 1 r��1 � CITY HALL FRIDLEY 55432 NUMBER REV. DATE PAGE OF APPROVED BV �'"'"� � ,�� 612-571-3450 910-F15 5/12/81 � � JOB ADDRESS 524� Horizon Drive N. E. 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. rj $ C3Y'].SOI1�3 S�mni.t Manor North Addition SHEET 2 PROPERTYOWNER MAILADORESS � ZIP PHONE Vixgil Koolmo 5249 iiorizon Drive N.E. 560-55�7 3 CONTRACTOR MAILADORESS ZIP PHONE LICENSENO. Joe Nelson Su�cco Co., Inc. 1150 - 9�.8th Lane N.W., Qoon Ra.pids 757-1820 4 ARCHITECTORDESIGNER MAILADDRESS 21P PHONE LICENSENO. 5 ENGINEER MAILADDRESS ZIP PHONE LICENSENO. 6 USE OF BUILDING ReS]._C�P.,il'tl�l 7 CLASS OF WORK ❑ NEW ❑ ADDITION � ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK ` Stucco House 9 CHANGE OF USE FROM TO STIPULATIONS SEPARATE PERMITS ARE RE�UIRED FOR ELECTRICAL, PLUMBING, HEATING, TMPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD• VENTILATING OR AIR CONDITIONING. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZpNING SQ. FT. CU. FT. AUTHORIZED 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 CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION �. STA�LS 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 $3,874 $1..94 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 PERFORMANCE OF CONSTRUCTION. $24.00 PLAN CHECK FEE TOTAL FEE $25.94 � Si� � OF�CONTRACTO�� n NORREDA�� n7Ei WHEN PROPERLY VALIDATED THIS IS YOUR PERMIT i SIGNATUREOFO ERUFOWNERBUILDERi � �DATE�s� !``�� /� �� BIDG INSP DA E � CITY �F f"ItIDLCY • • Af'PLTC/1'(IO;d FOft f?L"StDE(•1TIRi_ QUILDIi�G PCi'�t�IITS ((deti•r, A1 Ler��i;ions, Ildditions, or Re{�airs) � OldfdER: ��' ��j°�� l�v . ADDRESS: _ s� y 9 -� ' �1 ,, � TEL. h0 : 5 � o ,f'�� 0 �UI LQE:R : ` �� tIDDRESS: /�/-�� TEL td0: �S-,Z�/�.�� `�P � Construction Location ' sTr,�� rio : SZ �i q STREI:T: � LCJ7.`: .,� BLOQC: �j > �� r • . I�DnITIOid: �,e.L.��s �/n/I'1 � � ��/�� Corner Lat: Insicle Lot: SetbacY.: /w�� Q� Sideyards: Ap�licant at�ach to this foxm tcti�a Certificates o£ Suxvey of lot and proposed building location drawn on certificates to scale. DESCRIPTIOid OF COPjSTP,�JCTIOPJ - � �`Z.I.C�%c7 C�juSQ L'ront: � Depth: Height: Squa�e. �'eet: Ciibic Feet: � , � 1r'ront: Depth: " Height: � Square• I'e�t:,,�,� �, C�,ibic I'eet: . Type of Coi�icruction : ��" � / �b $e Oor,�pS.eted: a�� EsL-imated Cost: $ .�� 7 y ` . _ � Alt. A Al.t. B Proposed_Drive��ay Width If New Opening Is Desired: $' $ . . S�� R�VERSE SIDr^. OF SFIEET 7.iie undezsianed hereby ma}:es application for a perniit for the �:nrk' herein specified, ac�reei.ng to c.� ,all work in strxct accordance t•�ith tlze City of I'ridley Ordinances and • ruliiigs of L-IZe DeZ�artmei�t of Bttilclings, and hereby dee].ares �hat all tlie iacts and rcgresen t,.�t5.ans stated :.n this applicatian are true and correc�. � A.'�TF: _ �� y�� S7GN11TUF� : , St:i��ulations : ' � ��. o v /_ g� � �.s -�� y�-�-�„�. �,� �,?"° -�� y �_ d 0 . . ,� • r�>>i_nJr�c_��r`R11rI'(' f=L:1_ Sc:�ir-_r.�u�_�:� �, , . Sl:�:'.Cx01•� 2. �'l.'1�L 7n�.J�ectc�r' of' 13ui.xc'.9.luj:: :.hri7..L, bcfc�zc: i.:,::ua.ticJ• pennit:; SUx t:he aracL-iort c>f: ��»y 1�u:i.J.�l.i.ri�� t>r :,i::.�uc:t:urc, or. fc»: tuiy adQi.i_i��n Lo �►uy cr,icl:ii►�J Luilclin�� aL :;tzucL•ur_e, . O)' �:UJ' illiy i1�.1.QL"ill:lhll Ur Y.C��ll.7.'�i i.0 •i.11lj� 4i:.).f:1.111C� ))Ll).1.Ci).11'J OY. :.�:):UCtiIIY'C� UJ)GIl a1];))>�7.Ci1'�:LO11 'thcl:�:f.or.c, �r.cqu.i�:e tJ�� paymci�t: 1�y tl�c .-�r�z��.�.��„t: ro�- :,t��, per.ini.L• oJ' fec.^, L•o L•lic arnaunt- hrr.cin be.l.c�r� sc:� far.Ch �ind �.�i fihe »annez hcre.i_n ��rov�.cic:ci ta-t•:it: - . JJI:I•1 COId�;!'1:UC'.CI�N: Sing].c ].'amil.y 11oir,es and Ga�'�ZC{es;: ;:�1.00/),000 cubxc fet.t:. - l'Lh:d C:I!):C1;: ?.5 i�er.ccril: ot hu�.lcli_n�� }.�c�-mii: fec. U�tIVEI•:T1�' llL•'1'P.�:SS'I.OI•I: (Cqncretc_ C.Urb �L-zcets Unly) ' ' Al.tcr�it�t:e A: ltcinoval and reF�laccment oi cvncze�e cur.b and c�utL•er. o�ily; )7riveway z•;idtli p].us 6 feeL• x$13.�0 111.trrnata B: Rrmoval ana rc��.accmcnt of concretc cuzb and • guL-tex and inst�ll a 3 iooL- �•�a.c�e aPproach ��ith '' � .� 6 �.nch depth; Driveway �•�idth �plus G ieeL• x$1a..75 • � . �►nD1 � 1 or,►n� 1 r�ron��tint.i or I�or the pur��se oi co:npuL-i.ng �ees for. building perrnits, i:iie cubica7. contents of any build�.ng or_ addition, i.s deter..ni.tied by rnu1L-iplyir,g ihe gr�und area coverecl irom a ��int six (G) inches below ihe floor ]_�_ne of L•]ie basemeni: or th� cellar to 't�ie average heiqhL's oi thc •upper sur.face or i.o ihe average li�ight o£ the roof. surf:ace oi i1�e riain gab].e of a pitclied rooL-. ' For. zeFai_r� or aJ.terations to an existang strticture, the fee shall be at the xate o� $3.00 xicr eacli £i.vc hundred dollars '� ($500.00) or fraction '�llereaf in tiie cost oi all proposed wor.k. . • In •no case sha�.l the fee charged fc�r any pennit zs set iorth i.n Sectian 2 be less � ttian $7.50 plus $.50 stai.e surcharge. . � • ' VCRTFICATIO�! o� r-ou,�n��-ior� ' NOTE: Pennits �or constxuct5.on c�ill be issued a minimum af 2� hours irom tlis time �i applicatian to a�.].ow for �roper re�Tieta of the proposed structure and oi ihe construction site. � Ii Certifi.cate � of Su�vey of the lo�, sho�.*ing the location oi i:he foundation once it has been cons�nicted ��a.11 be required L�ef.�re pr.oceediilg t•�ith the. izami.nq. .�f�TIFIC/1TE �F ��UP/1f��C�' ' ' ' I►Ppla.ca�ion f:or a Certificate O� OCCl1pZI1Cy sha11 k�e mad:� ten (10) days prior �o the u::e ar. accur�ncy ai any sti-uc�ture €or ��hich a buil��_ng pexmit l�as been issued; and s.iicl strucfi:u�'e shal.Z no� Z�e used az- o�cu}�ied tuita.J. a Cezt�.iic�ite of Occui>>ncy has bcen i.�su�ci. 0 0 0 � � s+� _.� y .� . • ' • �+ . � � SuB�HCT � � � City of Fridley 3 0 5 8 8 AT THE TOP OF THE TWINS � � i L D I N� P E R M i T r ; � RECEIPT NO. � ; y�_�� COMMUNITY OEVELOPMENT DIV. �� j / f � � PqOTECTIVE INSPECTION SEC. �� . , i.__. A��,-� CITY NALL FRIDLE� SS�3Z NUMBEN NEV DATE VAGE Of APPROVED BY 1 J` 612-571-3450 910-F/5 12/16/99 / / 10B ADORESS 5249 Horizon Drive NE 1 LEGAL LOT NO. BIOCK TRACT OR ADDITION SEE ATTACMED oescR. 5 8 Carlson's Summit Manor North Addition SMEET 2 PROPERTY OWNEii MAIL AODR�S$ 21P PNONE Beth Rising 5249 Horizon Drive NE 586-9636 3 CONTqACTOR MAIL ADORESS 21P PMONE LICENSE NO PTL Contracting 2526 N Ferry St, Anoka, MN 55303 323-7400 5294 a ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PMONE LICENSE NO. S ENGINEER MAIL ADDRESS ZIP PMONE IICENSE NO 8 USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW O ADDITION ❑ ALTERATION C� REPAIR � MOVE O REMOVE 8 DESCRIBE WOFK Reroof House & Garage (23 Sq) Tear-off 9 CHANGE OF USE FROM TO STIPULATIONS � Underlayment must comply with the State Building Code. SEPARATE PERMITS ARE REOUIRED FOR EIECTFICAI. PIUMBING, HEATING. �PE OF CONST OCCUPANCY GROUP OCCUPANCV LOAO VENTI�ATING OR AIR CONOITIONING. THIS PERMIT BECOMES NULL ANO VOID If WORK OR CONSTiiUCT10N 20NING SO. FT CU FT. AUTHORIZEO IS NOT COMMENCEO V�!ITHIN 80 DAYS. OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONEO FOR A PERIOD OF 120 DAYS AT ANY TIME AFTEF WORK IS COMMENCED NO OWLG. UNI7S OfFS?REET PARNING I HEREBY CERTIFV THAT I HAVE READ AND E%AMINEO THIS APPLICATION 1 STA�LS GARAGES AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PqOVISIONS OF LAW9 VALUATION SUR7AX AND OpDINANCES GOVERNING TNIS TY OF WpqK WILL BE COMPLIED �Z�OZO �I..OI. WITM WMETM PECIFIEO MEREIN OR T. TME GRANTING OF A PERMIT DOES NOT RE UME TO GIVE 7M ITY TO VIOIATE OR CANCEL TNE pEf7M�7 FEE SAC CMARGE PROVISIO S ANY OTNEFi AT R �OCAI LAW REGUlA71NG CON• @83.2>r Fir SCi �2.�1 TRUCTI TME ERFOR AN OF CONSTRUCTION '�' PLAN CMECK FEE TOi L FEE Licens $5.0 $ 1.27 SiG nrupEO ON'AACT ppauTNO OAGEhr iO�iEi HE PR VA�IOA D HIS IS VOUp PERM — � /� / d S�GN4TUWE O� OWNEA ��F OWNEA BWLOEA� �DATE� � BL �NS� ' p6tE _ �! ' �[ �w [ ] ADDN ALTER Effective 5/10/99 [ l CITY OF FRIDLEY I l SINGLE FAMILY AND DUPLEXES R 1 AND R-2 BUII,DING PERNIIT APPLICATION Construction Address: Legal Description: _ Owner Name & Addre Contractor: � Address: 7 ��/ � LIVING AREA: GARAGE AREA: DECB AREA: OTHER: �� '7` � D� o� �� ^� Tel. # �� '� MN LICENSE # 5-�---�-� �C �Tel. # �Z3 --� ��` Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCYtYPTI01`d OF I11�R��1V�NT Length Width Length Width Length , Width Height Sq. Ft. Height Sq. Ft. Hgt/Ground Sq. Ft. : ,� v Construction Type U( � .� � Estimated Cost. � �d / C� , , Driveway C�rb C�t Width Needed: Ft. + 6 Ft =��t x$ _$ . � DATE: /f —� -� APPLICANT: � Tel. #_ � �� —i ��' Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee Sewer Main Chazge TOTAL STIPULATIONS: $ � _�S $ ,�Ci $ /! o � � P $ . O $ $ $ $ � 9/. � CI1'Y USE ONLY Fee Schedule on Reverse Side .001 of Permit Valuation (1/lUth.°1) $.50/$1,000 Valuation $1050 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 [ ] � .� e�, �.. BUII.DING PERMIT FEE SCHEDULE The Chief Building Official sha11, 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,�1 to $25,000 $25,(�1 to $50,000 $50,001 to $100,Ot� $100,001 to $500,000 $500,001 to $1,OQ0,000 $1,000,001 and up FEES $23.50 $23.50 for first $500 plus $3.05 for each additional $100 or fraction thereof, to and including $2,(�0 $69.25 for first $2,000 plus $14.OQ for each additional$1,OQ0 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 br 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, �0 or fraction thereof, to and including $1,0(?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 (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 hours from the time of application to allow for proper review of the proposed structure and of the construction site. A Certifica.te 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. � �r 06/24/2002 08:39 651-994-2926 CASE MGMNT PpGE 01/01 Rollin and Michelle Brask 5261 Worizon Drive NE Fri d (ey, MN 55421 June 21, 2002 City of Fridley 6431 University Avenue NE Fridley, MN 55432 �� 3 - S � /- ! 2� 3� Fridley Tnspections DepQrtment: ,� ,�' � Our neighbor, Beth Rising, who resides nt 5249 Horixon Drive NE, has spoken with us about having a new air conditioning compressar instnlled between our houses (to replace the existing compressor). We have given our approvnl for the new unit to be located in th� same place the existing unit is located. Please tall if you have any questions, �� Ro lin Brask Nlichelle Brask �, JAFJ-16-2002 08�31 _ D j�r� r �+ 1 C . 7 O N y � Q m si � T � � y � � � . y � Z pl ' N f/! : � � n' b : � � � o � tf! �I ' � a m a�i ° � � t a Q � C� Q � � � � � � _ _: � � a �� a _ �� v° � � y � � a o CD � � `�° a � . { � I C Ii � a v x < � cD a. � � �c . � V � � 0 i oC S � v � � � � � 0 a� 0 �� .� m r � � � � � �I� FROM CITY OF FRIDLEY � N � : � A � o n t < m � � � � c � 1' (D Q. � � � 1 D � . � r �• d I A . cfl 1 0 : -� � o i ; O � � D � r -n c m � m � � � lD 69 �► � � � � = c�D C � Ti m � � � �• c N y ": � Z fD � � � � O Q � � flf ... C1 y O o � � ou' �� ' c,� a �� N �+ � � � �, a �� Ov� �oo� m-=i � <' d � �� y � + � N O � � z��i � y 7�' C7 � o>> � � Q. � '�v_ ?�m =��. � � � � � �� m � n 7 A p � r. 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Pall�su► pue paz�s aq ll!M l! . . . o� pa�inba� ua� ( ) o�y ( ) sa� � �suoge��pads s,�a.in�ae�nuew pue sapo� lua�rr� ay� �aaw o} pa��e�sui pue paz�s si , _ ., ayl () oN () se� 'sa�uei�dde }�e�p �em�eu pue pa�s�sse ue� �o� sa�qel fiuguan a�ewn� �e�ua� � f�o6a�e� y��y�-y�y apn�u� . saop siyl �suoqe�ypads s�a�n�e�nuew pus sapoa �ua.un� ay� s�aaw pue �C�qwasse palsi� e si �iuh �uawa�e�da� ay� �ey� sa�uan os�e pau6�sJapun ay1, O oN �)'sa� •uogeun,wa� pue snnoq�a �o faqwnu `y�6ua� '6urzis 6u�pn�u� suo�e��nads �a�n�e�nuew pue sapo� 3ua�n� ��e s;aaw pue �nd�t�se�d si wa�s�Cs 6uiauan ayl () oN () sa� •pa�mba� a�aynn paddo}sa�� pue pa�oddns �t�e�mas si pue 'suor}�rv�sqo 'uo��oue�ap '�sru wo�� aa�� si pue pawwexa uaaq sey 6u�}uan at{� �e� seyuan �Cqa�ay pau6is�epun ay� ' .. . U84M 43N2f(1132� �811UV1 NOIltl7llddbr 3H1210 S3�N`dl�ddtf CJNIN2itl813f1� �JNl�trld32� N3HM N) 031�1� 381Sf1W M0138 3H1 CITY OF FRIDLEY 6431 UNIVERSITY AVENUE NE � FRIDLEY, MN 55432 � 57"1-36U4 1+'AX: 1763) 571-1Zif7 PERNIIT NO.: 2004-02088 DATE ISSUED: 11/17/2004 ADDRESS : 5249 HORiZON DR NE PIN : 263024220043 LEGAL DESC : CARLSONS SUNIlVIIT MAN NO ADD : LOT 5 BLOCK 8 PERMIT TYPE : BUII.,DING PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : WINDOVJ/DOOR REPL VALUATION : $ 3,000.00 NOTE: PROVIDE SMOKE DETECTORS IN ALL SLEEPING ROOMS AND ON ALL LEVELS OF TI� DWELLING PER R317 OF THE 2000 INTERNATIONAL RESIDENTIAL CODE. CAULK AND FLASH ALL EXTERIOR OPENII�TGS. STATE LICENSED CONTRACTOR APPLICANT RISING BETH MARGARET 5249 HORiZON DR NE FRIDLEY, MN 55421 OWNER ' RISING BETH MARGARET 5249 HORIZON DR NE ' FRIDLEY, MN 55421 1 AGREEMENT AND SWORN STATEMENT This permit becomes null and void if work or construction authorized is not commenced witin 60 days or if construction or work is suspended or abandoned for a period of 120 days at any time atter work is commenced. I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this type of worl� will be complied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or caacel the provisions of any other state or locallaw regulating construction or the performance of construction. Applicant Date Bldg Insp Date BUII.,DING PERNIIT FEE FIltE SURCHARGE STATE SURCHARGE, VALUE LICENSE SURCHARGE TOTAL PAID WITH CHECK # 7373 ��rAxA i� r�luvu i � x�tl u uc�1� r ux w cJxlt u l tl�x 1 t1A1v U��C;Klt3�ll At3U v�;. 83.25 3.00 1.50 5.00 92.75 � IVCVV ADDN ALTER y l J �.� �� vr n�iv�� [] 6431 University Ave NE, Fridley, MN 55432 [) SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION � � �� Construction Address: ��I q I�-�i �� I�� !U � � ��ic�.urc -ri u�vv� (763) 572-3604 Bidg Insp (763) 571-1287 Fax �� SS4� Legal Description: Owner Name 8 Address: �� v S �s Tei. # 7��-��v�qb �' Contractor. s�O� e�t'�'2- MN LICENSE # Address: Tel. # LMNG AREA: GARAGE AREA: DECK AREA: OTHER: Attach to this application, a Ce�tificate of Survey of the bt, 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 �)�� L(�t/�X C�7 t v��oc�.� i+� I� �-c�- � Construction Type: �`� �tJ � ►'� �� a Estimated Cost: $ �� Driveway Curb Cut Width Needed: Ft + 6 Ft = Ft x$ _$ DATE: II ��/ APPLICANT: (�� `%%%• � i� � Tel. #%�3-5 c�m-�J(�3�0 Call (763) 572-3604 for Permit Fees if mailing in application. Fax to 763-571-1287 if using credit card and we will call you for card number. Permit Fee Plan Review Fire Surcharge State Surcharge SAC Charge License Surcharge Curb Cut Escrow Erosion Control Park Fee Sewer Main Charge TOTAL � ��.1� $ g� W c r(iV � �,�� .� .� , � $ $ $ $ � $ 2. � CITY USE ONLY - Fee Schedule on Reverse Side 65% of Permit Fee .001 of Permit Valuation (1/10th%) $.50/$1,000 Valuation $1350 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 [ STIPULATIONS: BITILDING PERMIT FEE SCHEDULE The Chief Building Official shall, before issuing permits for the erection of any building or structure, or for any addidon to any existing building or structure, or for any alteration or repair to any existing b�ild��g or structure, upon �pplication 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 FEES $23.50 $23.50 for first $500 plus $3.OS for each additional $100 or fraction thereof, to and including $2,000 a $2,001 to $25,0� � 69.25 for first $2,�0 plus $14.00 for each additional $1,000 or fraction thereof, to and including $25,000 $25,001 to $50,000 $50,001 to $100,000 $100,001 to $500,000 �, �� , �� $1,000,001 and up $391.25 for first $25,�0 plus $10.10 for each additional $1,000 or fracdon thereof, to and including $50,000 $643.75 for first $50,0� plus $7.00 for each addidonal $1,000 or fraction thereof, to and including $100,000 $993.75 for first $1�,0� plus $5.60 for each addidonal $1,000 or fraction thereof, to and including $500,000 $3,233.75 for the first $500,�0 plus $4.75 for each additional $1,000 or fracdon thereof, to and including $1,000,�0 $5,608.75 for the first $1,000,�0 plus $3.15 for each additional $1,000 or fraction thereof CURB CUT ESCROW (Concrete Curb Streets Only) Removal and replacement of curb and gutter only - driveway width plus 6 feet, times the annuallY determined rate Permits for construction will be issued a minunum of 24 hours from the time of application to allow for proper review of the proposed structure and of the construction site. VERIFICATION OF FOUNDATION A Certificate of Survey of the lot, showing the location of the existing foundation will be required before proce�ding with the framing. New Houses Onlv � ,,�+ l�' � � �' �� ''�k -.�. ^"n�^ � r � . ' � ; ,. � ; � .: . . . . " . + :.,�,, �'M � / , _ .. w ` .. ; ��q- .��=!`�,- �'�Iv� .. .. .. . .. . � ! , .. s�. � . . . � . . £ . � .. . . . . .. ► �t�' , �� .� . . - ,; �et.. ,. - � , r . ��. ��'� ' �,,��_ � , . � !. '�� 3 - ��fo -'��o . �-- _. - ___ �_.__ __ ____ , � . �_�!'�- � �_ . `�r � �/' � c� � �' � � .� �c�� . ,� _ __ � � �� 3 x � _ : - - __. __ �_______.� - --_--_ __ _-- _ . : _ �C� �� . ��- �W : w �� . .,�. _ _ _ ; � ... r ' f�r� �` .'��'' X �# � �' 3 - � - _ ._� _ .. �� . .. _ ; : � � ____-- _�_ . � _ j�c� -fer.�;�•• � S '"""` "� l�' '�_� � :� ��,,,, : ��"'� # �ae c'�'� � �it (c ,_. .� _� . . .__'___.r, _.ir .. + . �---.—__ s -- ._. S�'t/d,:S 'fy^kY+rr✓►Y`�e/` � � : �-��"`k-- _____ _.. � � : � ��... . - „ - ----� ,... . , � .. . .. "�.f � . . � . '. ' . .�:. . . . . _... :; .. . .f �.-' .. . .�.. , .:._ -. ' . . - '-' . � . �-- .i. Ji.� .� . ..... .:-_ . ' . . . " . . � . : . . . . . . . ' . .. . �. . =A� . . : ;; � � ��e. _�� '� �� -- � - si — ,�� ---� -- �..� �cz - '� � , � 1�v��le. �r�n_-��"t�f' -� � - -----�._. ___. _ � , ,' -•w� � � `�• ` .�ce. ��:�an f �► . �� °`��C.7`'e� : GJ /`� - y �. t� ; _.. : _ , ` �� Z.,.� l �" ��_� _ . �. _ ��: �., I �- � -- � s;11 � l�► � `��e c:� .� �' ;��----- ��. __ �_� '�� ----__ �� I <i -- ----- -a _�_ _ __ - --�II �� — – ___---__- _ ____ _ ___ _ :�i ,.. Building i�g 3 MECHANICAL Pe�t No.��--�-��_�� Inspections � � �SIDENTIAL APPLICATION Received By: 7. 63-572-3604 CITY OF FRIDLEY Date Rec'd: �! �� DATE `� ��- C� YOUR E-MAIL ADDRESS srrE�,nnxESS �a �I �� -�r � z�j � �-, v N 1�1L THIS APPLICANT IS: ❑ OWNER �CONfRACTOR PROPERTY N,�: 1�e� di � �� r� � r OWNER/ ADDRESS: S��I R or :-� c; ��o � e i�� CITY f Y� c� I-�u ___ STATE 'YI NZIP 5 S �I3� TENANT PHONE: �-1 l� "3 ' S$ Cc -� C� -� L� CONTRACTOR COMPANY NAN�: �� R� SUBMIT A COPY OF CONTACT PERSON: JOAN�IT ZIAII�N YOUR STATE STATE LICENSE # E}�' DATE LICENSE WTfH ,y�DxESS: 13562 CEI�ITRAI,. AVE N.E crrY ANORA STATE ffi�zrn 55304 APPLICATION PHO� 763 757-620Z FA3; 763-757-6701 9 PERMIT TYPE /�SINGLE FAMII.Y O TWO FAMILY ❑ TOWNHOUSE TYPE OF WORK: ��W �P�CEMENT � ALTERAT�ON/REMODEL DETAII.ED DESCRIPTION OF WORK cL c� ,C PER MS 16B.665.the permit fee is a miaimum of $15.00 or 5% of the total cost up to $500.00, whichever is greater, for the improvement, installa.tion or replacement of a residential fixture, excluding the fixtures. (This should reflect only the cost of labor ) Labor cost under $300 =$15.00. Labor cost between $300 to $500 = cost of labor x.OS = FOR PROJECTS W1�RE LABOR EXCEEDS $500, FEES ARE BASED ON $10.00 PER FIXTURE, EXCEPT WI�iERE NOTED. FDCfURES: (IIVDICATE TOTAL t�u�� oF E.d,cx B�.ov� 2 �,,,� � �- C� a �-� h Ec{uipment Installed . MFG: MODEL: �� y SIZF/BTU . 1VffG: MODEL: S�ZEB'N MFG: MODII.: StZFJBTU �A/C $25.00 FIREPLACE (GAS) $15.00 GAS RANGE/OVEN $10.00 AIR TO AIR EXCHANGEER $15 _FIItEPLACE (WOOD) $35.00 NEW GAS GRILL $10.00 BOII..ER $35.00 _FURNACE $35.00 GAS iJIJTf HTR $10.00 CHIMIVEY LINER $10.00 GAS DRYER $10.00 POOL HEATER $35.00 DUCT WORK $IO.QO GAS PIPING $10.00 VENTII.ATOR $15.00 --. ..; .., . .�. �.. , ,— _ . ��.. . . : . . d . e . . F�... .s�A , ,.�r . i . ,.�.... .. . - �,; .:�, � . � . ,� � ,. .� ;....: ° . � -..' . _. . .. ., . � . ..: �._ . ;A .' ,. . . , : . _..: . _ . ..,. • ,... Permit Fee $ Number of fixtures @$10.00 x$10.00 —$ Surcharge $ .50 Number of fixtures @ $15.00 x $15.00 = $ TOTAL DUE $ Number of fixtures @$25.00 1 x$25.00 =$ � S• L� Number of fixtures @ $35.OQ x $35.00 = $ State Surcharge = $ .50 Tota1= $ 02 S • Sv 7HIS IS AN APPLICATION FOR A PERIVIIT NOT VALID UNTIL PROCESSED I hereby apply for a building germit and I aclrnowledge 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 �Consiruction Codes; that I understand this is not a permit but only an application for a permit and work is not to start without a permit; that the work will be in accordance with the approv.ed plan in t6e case of all work which requires review and approval of plans. SIGNATURE OF APPLIC Qh, �. a� � PRINT NAME ROGER HUFI�HEIi+i DATE 5 l ZI ��' � . . ... .;. . .. : .. . . - f Q� t �, City of Fridley Building Inspections Department 6431 University Avenue NE, Fridley, MN 55432 763-572-3604 +� a �r_ n�-+ cn� nn•f'f �. REQUIRED INFORMATION NEEDED TO PROCESS PERMIT ' RESIDENTIAL PERMIT APPLICATION HVAC ❑ NEW HOMES/ADDITIONS EXISTING HOME ❑ MAKE-UP AIR � REQUIRED FOR NEW/EXISTING HOMES 1. Combustion Air (See note below) . a,. Qi.l or solid fuel IMC Chapter 7 with MN Amendments b. Natvral Gas or Propane/IFGC Chapter 3 with MN Amendments � 2, Make-up Air (See note below) a, IMC Chapter 5 with MN Am.endments 3. Venting a. Gas applianc�s IFGC Cha.pter 5 with MN Amendments b. Fuel other than gas IMC Chapter 8 with MN Amen.dments REQUIRED FOR NEW HOMES 4. Heat loss & cooli.ng load per room • a. Required on new constivction IMC 1346.0312 5. Ventilation . _ � a., Per MN Energy Cod.e_7670 or 7672 6. Duct Design Per TMC 1346.0603.2 .a. ACCA Manual D NOTE: Centerpoint Energy Mechanical Code Guidelines software may be used for , � � comb:ustion and make up air calculations