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AF - 46342� ��, City of Fridley, Minn. �UILDING PERMIT No nate: .-----. t�CCTt9Bffi� 9� 1959 T 4290 Owner: 4�A �. Pm'CATBOII •---- Builder � . .......--��--------�--- ................�-�--� •----_..__--••--••----------• - • • - -- ....... .---��--•---.........___.�.._.._..__.._......._.._.._-----._....._.....__....w....__.._____ aaare� ---- 5313. �orison _7?rive . aaa� ..__.____. _ ........_....--�----._.._.....----- _. l�esp�is �.� �itnaesflta . ....---_._.___.._._......_.____._.......___..__.._ - LOCATION OF BUILDING No. ....._.537.3.._........ st�t ---�-----�-i�orisc�n. Drive_�.._�:....._----��------- .............. Part of Lot -•----.....-----_._.__...._..__:�.:�...__...._...._._.�. Lot ....... ...................._........ Block .-�-----........................._................. Addition or Sub-Division ....._..��.-.�BIIOr_.��......._---..__....._._ Corner Lot ....._...._ ............._.------- Inside Lot -.--.----..._Y Sewer Elevation Setback ....._ .............--................._.... Sideyard -.------... Foundation IIevation .................. DESCRIPTION OF BUILDING To be Used as: 1?e'�B@�1e8 ��sge . _ _. -------- -�•---- ......-- -......._ .............. Front .----� �---. Depth .............�� Height ....�Q_;...._.. Sq. Ft. --� ----_. ...................._............ - ......_.............. Front ...:..--�--� � -.. Depth ...._............._.. Height ........................ Sq. F� ....._.............--- Type of Construction ........_� .............................. Est. Cost........�.�3�Q.......................... To be Completed Cu. Ft .....---�%!� Cu. F't. ....._ ................. In consideration of the issuance to me of a permit to construct the building described above, I agree to do the propased work in accordance with the description above set forth and in �ompliance with all provisions of ordinances oP the dty of Fridley. ��.� _�. .._. ..��._.�.�.��.� In consideration of the payment of a fee of $..._......�.1�...�_. , permit is hereb .._..... Y granted to....._ ............._....-------............._.._..._.. .._.___....._._.--_-------_ .............-.-•---._..._........ to construct the building or addition as described above. This permit is granted upblti the express condition that the person to whom it is granted and his agents, employees and workmen, in all wark done in, around attd upon said building, or any part thereof, shall conform in all respects to the ordinanc�s q� Fridley, Minnesota regarding location, construction, alteration, maintenance, repair and moving of buildings within the city limits and this �rmit may be revoked at any time upon violation of any of the provisions o� said ordinances. !��._....-----_._._ ��+�� -----..._ Building L#SP�ctor NOTICE: This permit does eot cover the eonshuNlon, installaHon fo� wirieg, plumbing, gaa heaffng, sewer or waler. de surs to sss the Building Inspedor for separafe permits for fhese hema. 4 % i �" � sus�ecr p . �T , City of Fridley � 120'71 AT THE TOP OF THE TWINS g U I L D I N G P E R M t T • r � � R EIPT NO. COMMUNITY DEVELOPMENT DIV. � �y_- --� � b �/ r � � PROTECTIVE INSPECTION SEC. c� 1 i , J tl /"�'1 � CITY HALL FRIDLEY 55432 NUMBER REV.� DATE PAGE OF APPROVED BY L"'•� � ,'� 812-580-3450 910-F15 3/21/73 / / JOB ADORESS 5313 Horizon Drive N.E. 1 LEGAL �OT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 2 6 Carlson's Su�nit Ma.nor North Addition SHEET 2 PROPERTYOWNER MAILADDRESS ZIP PHONE Vernie Peterson 5313 Horizon Drive N.E. 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Bauer the Buildera 302 South Cedar Lake Road 4 ARCHITECT OR DESIONER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 EN�INEER MAIL ADDHESS ZIP PHONE LICENSE NO. 8 USE OF BUILOING Dwelling 7 CLASS OF WORK 0 NEW O ADDITIOPI L� ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 OESCRIBE WORK Kitchen Remodel 9 CHANGE pF USE FROM TO STIPULATIOIdS � . PERMiTS REQUtRE� ��R WiRING, }�±,�''� ��.��r��"a� �� i€��3s. SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD 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 OFFSTFiEET 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 COMPLIEO. WITH WHETHER SPECIFIE REIN T. THE GRANTING OF A PERMIT 2%OO. OO ], , DOES NOT PRESUME T GIVE AUTHORITY VIOLATE OR CANCEL THE pERMIT FEE SAC CHARGE PROVISIONS OF ANY O HER STATE OR LOCA LAW REGULATING CON- STRUCTION OR THE PER RMANCE OF CONST CTION. � $�.B.00 � PLAN CHECK FEE TOTAL FEE 19.35 "' ��5� AT FCONrRAC76l�i RaU�e,� IZEDAG�+vT �DATE� WHEN PROPER V IDATED THIS IS YOUR PERMIT R �c � /�� 47[2 � / e2 , � � � a i �� SIGNATUREOFOWNERIIFOWNERBUILDERI IDATEI BLDG INSP �p7E � AP��TTQ� �Q� RE�IPEN�T�� ,T�I�AT��, 9� ��T��N ��LDT�G P�RNITT �ITX OF �RI��Ys MINN��OT� �% � � % � �iW�' � 1�E : l/ � °� � e C � ��`�� IIt1ILL�EER s � � l �i � � �t P /C�� !� �� 1 / ADIDRESS s�� s21! � ( D 2 � Z _ %i �p�� 3 . � D �2 – � �� - l�c � .� °" f�MF�FN � °' . _, ' � � �i .�Z � ��,.. , _._., . ,��/ j = �2c��. �r'� �• � if/�''�2 � $LUCt�i ,lO �� °�$OPi3�,.,�`'��'%��L`s��..,._°(�lC.<� /V . . . � . �R LQT. �LN$�AE LO�. - SE7.'H�ACRII SIDEY�RD.�� .��.3,�� r.� �:p ��ia Certificates of Suivex of Lcat a�d propp�ed bat%�a�% �,+�cati.ou d� t� -t#es� Certificates, � � � ti� ,� : ��CRI�'T�QN OF BUILDING � ��' �i�t • S�a'are �'ee�; Cab% �'ee�3 �'raA�: Dep�h: Seight: $t�ua��a �'get; Cubic geett �'!� vi �o�t�trttc�.�� ; �� c� 2e �"r�� ( �stiao,�tt:ed Coa�: ,�_� %DO r � e� . n� T '.�r� � �'l��ed 3 , , � , -�/�� O � ; /� 1_ �a u��iga�d hereby �es s�l�cati� �or, $ pe�atiLt fa� tt'e w��ck b�rei.r� $��,�i�, ag�eei.a� t.� da a$.� �pgk i� stt�ct accordance witt} the ��r �f �,��.+�' tl�cd:l,�a�ces �d �t�,�.�o �f $�e De#►artmen{� qf Bu �k��,—�� '�e�eby d�sala��eaa � al� �h�a �E�cts a�d ��re�enta�ions stat � thie apg catiaa ��a �:s�uae aad c�3: rec C� . �,�; Z < ? � ��, �� ►�� og �ad�� if�. � S- ��-� _ - A,�� 9,-3 � � �3� u- �� -� � ,� � , i�l.� � ,� � �. . �� --BuT��ING PE��T F�� H�nu�E �g,�� . �h.� I�epect�� of �u�ldi.ags s�a11, befoxe iasuiag germit� fo� �ha ��on o� any bu�lding a� �tructure, ox for any addition to any �is��n$ b��d� o� S�R�C�uTe' or fo� any alteration ox repairs to any ex�s�i�g �� ox stxu.c�uxe, upou �ppl��ation theref�xey xequixe �he paymeat by the a��t fp� su�h pertn�.t p� �ees tro the aatount herein below set fAr�h �d �� ;�� ma�ai��a� he�r�ein prc�rided�to�wi�s Ul�dk'Q�"I �U�LIITNG C01iE� �Pe I.s 2& 4-$2.15 far each axae tt►ousa�.d cubic �e��A 6�� fgacGi.on t1��7ceofq i.n �utclt cubical con�ents. Type 3& 5-$�..8� fo�r eacb o�s �ousand �,tb�.c �ee�, , . ��D i T�UI�1Ai � NFO�+T I ON Fo� t�� uxgoee of �a�pui�:i.� fees for building pennits, the cubical contents of a�ay building or additiaa, i� determined by mul�ipl�y�n� �he ��ound area ga�,pC�d #7�pa� � poi�� %x (f � in�es below Khe f lcavr line p� the basemeat �� .1$� �o �I�e average #�eights of the upper surface or to the avera�� ,�� e go�� so�rface o� Che main gabke pf a piCched xoo;E. .� �iae� ox a1��at�o�s � an, existin� $��a�reF �'a� f�e shal], b�e �� t�h�: ��,�c fl� $�.� #�r �+� ��ve h�uadsed dollax� {$�Q(D900) a� f.�tf.on the.�e�of �.n t.i�� ca�t a� all p��ap+�sed wo�ka %�► ca�e �k�a�l 1�� f�s� c��d fo�c aruy pexr�it as set �e�ctb �n Sa��ipn 2�� i�a ��uu $�.�. �,. y��i�,�TiQN QF ��1ND�TION �Q�s Y�3.ts �4� �3cr�s��oA wil�. be i��ued a��.ni�m o� �4 i►c}urs ��am the � ot �pplicaticsa�, �v a��aw �ox Pra�,e�c rev�ew af the pxopos�d s�srug�ture �d �� e t�€t$t��u��ion ai�e. ' � ��i� Sua�v�yy p� fib� ��tt.� �$ � �oca�� p� Ithe �oundat�.�, �t�ce �t �� s�t�d, wii� b� g��►�rgd befog, �e, proceeding, w��h th� fr�ni�. ,�. C�RT'TF��.A'�� QF Q��P�N�Y �P��.�t��a�a �sr� a C��.��'aa c►� Oac�paacy ehal�. b� mada t� (1Q) daX� px�ox �o �h� ��e c��r +�c�upat�y a� �g ��ic�e for whiah a bui.ldin� �es�ik ha� b�ert 3.ast�e�; ,�td sa��d a�j��;tt� Siial� pot be used Q� occup�ed �cnttil a��ifi.cate Qf O�+cupaaacy � b�eu �s�t�. A , � � sue�ecr P E T N c�ty of Fridley o 19172 AT THE TOP OF THE TWINS g U I L D I N G P E R M I T � r � '. R E T . � `L _ COMMUNITY DEVELOPMENT DIV. r � � PROTECTIVE INSPECTION SEC. ��" � 9 1 .1 , l--•.� ��',,� CITY HALL FRIOLEY 55432 NUMBER REV. DATE � PAGE OF APPROVED BY i' 612-571-3450 910-Ft5 9/15/87 � � JOB ADDRESS 5313 Horizon D�ive N. E. t IEGAL �OT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 2 6 Carls.on's. Summit Manor North SHEET 2 PROPERTYOWNER MAILADDRESS ZIP PHONE Vemie/RuthAnn Petexs.on 5313 Iiorizon Dxive N. E. 572-9G23 3 CONTRACTOR MAII ADDRESS Z�P PHONE LICENSE NO. Same 4 AFCHITECT OR DESIGNER MAIL ADDRESS ZIP Ph10NE LICENSE NO. 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO. 8 USE OF BUILDING Reroof Dwelli (20 S ar.es� 7 CLASS OF WORK ❑ NEW � ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK 9 CHANOEOFUSEFROM TO STIPULATIONS RQOf can be 2nd layex but not 3rd, Insta,ll zidged galvanizecl valleys. SEPARATE PERMITS ARE REOUIRED POR ELECTRICAL, PLUMBING, HEATING, �PE OF CONST. OCCUPANCY (3ROUP OCCUPANCV LOAD VENTILATING OR AIR CONDITIONING. THIS PERMIT 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 FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COMMENCED. • NO. DWLG. UNITS OFFSTREET PARKING I HEREBY CEHTIFY THAT 1 HAVE READ AND EXAMINED THIS APPLICATION ], STA�LS GARAGES AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OP IAWS VALUATION SURTAX AND.ORDINANCES GOVERNING THIS TYPE OF WORK WI�L BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT S�- �OQO yi. SO DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE pERMITFEE SACCHARGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- STRUCTION OR THE PERFOfiMANCE OF CONSTRUCTION. $�.%. rJO PLAN CHECK FEE TOTAL FEE $�.8. �� GNATUREOFCO � CTORORAUTNOR12ED EtvT IDATEI WHEN PROPEFLY V IDATED THIS IS YOUR PERMIT .�i,o , �,/f _ o �, _, � � � � , �. Si ATURE OWNER�I OWN RBUIL ERI 1 ATEI BLDG iNSP �/+TE N� [] City of Fridley Effeetive 4/1/86 ADDN. [ ] �R-1 AND R-2 AL,TER. [ ] Building Permit Application Construetion Address: ��%.� O 1� �.�cs,� '�i� l►J .�� Legal Description � � Owner Name & Addresg : �/� �»> ?� +� �� 1"►°n yi 'T � T Y J n 7n Tel .� a�' r aZ3 Contractor : � e. I � Tel . � Address• LIVING AREA: GARAGE AREA: DECK AREA: OTHER: Attaeh to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to seale. Len�th Length Corner Lot [ ] Inside Lot [ ] DESCRIPTION OF IMPROYEMENT Width Height Sq. Ft. Width Height Sq. Ft. Width Hgt/Ground Sq. Ft. Ft. Yd. Setbaek Side Yard Setback Type of Construction: Approx. �3ffi letion Date: � �� Proposed Driveway Width If New Opening Is Desired: DATE: l'� I � � � Permit Fee Plan Check State Surcharge SAC Charge Park Fee Sewer Main Charge TOTAI. STIPULATIONS: Estimated Cost : $ ( v � � � � � Alt. A Alt B $ $ See Back Page for Explanation APPLICANT: — Tel. � CITY USE ONLY �, ��r� � Fee Sehedule on Reverse Side $ 25� of Building Permit Fee $ m $•50/$1,000 Valuation $ $ 525 Per SAC Unit $ Fee Determined by Engineering $ � U Agreement Necessary [] Not Necessary [] � • �� o�� '-� j� � � ,�U '� , J O �� . � �--— f7,�c� BIIII.DING 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 strueture, or for any alteration or repair to any existing building or strueture, upon application therefore, require the payment by the applieant for sueh permit of fees to the amount herein below set forth and in the manner herein provided to-wit: Total Valuation $1.00 to $500.00 Fees $10.00 (Minimum Fee is $15.00) $501.00 to $2,000.00 $10.00 for the first $500 plus $1.50 for each additional $100 or fraetion thereoF, to and including $2,000. $2,001.00 to $25,000.00 $32•50 for the first $2,000 plus $6.00 for eaeh additional $1,000 or fraction thereof, to and ineluding $25,000. $25,001.00 to $50,000.00 $50,001.00 to $100,000.00 $100,001.00 and up $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 $u.50 for each fraction thereof, to and �50,000 plus $3.00 for eaeh fraction thereof� to and $433•00 for the first $100,000 plus $2.50 for each additional $1,000 or fraction thereof. DRIVEfiAY DEPRESSION ESCROW (Conerete Curb Streets Only) Alternate "A": Removal and replacement of curb and gutter only - Drive�aay 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 - Driveway width plus 6 feet times $15.75 VERIFICATION OF FOIINDATION Permits for construetion will be issued a minimum of 24 hours from the time of application to allow for proper review of the proposed strueture and of the construction site. A Certificate of Survey of the lot, showing the location of the foundation onee it has been cottstructed will be required before proceeding with the framing. �, �� / SuBJECT � i�Ci. �-._\ City of Fridley 2 2 2 6 4 AT THE TOP OF THE TWINS g U I L D I N G P E R M I Y r � � , � �� `y _ COMMUNITY DEVELOPMENT DIV. r � � PROTECTIVE INSPECTION SEC. i1 = � -.-_ w �/'��;'J CITY HALI FRIDLEY 55432 NUMBER REV. OATE PAGE OP APPROVED BY ti '�� 612-571-3450 910-F15 11/16/93 / / JOB ADDRESS 5 313. Hori zon Drive NE 1 LEGAL LOT N0. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 2 6 SUIIttRlt M3ri0Y North Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PFIONE Vernie Peterson 5313 Horizon Drive NE 3 CONTRACTOR MAIL ADDRESS Z�P PHONE LICENSE NO. Columbus �xteriors Tnc 2131 111 Ln, Coon Rapic�s MN 55433 868-9195 3509 4 ARCHITECT OR DESIGNER MAIL ADORESS ZIP PHONE LICENSE NO. 5 ENGINEER MAILADDRESS 21P PHONE LICENSE NO. 6 USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE O REMOVE % 8 DESCRIBE WORK Reside Dwelling and retrofit bay �ri.ndow 9 CHANGE OF USE FROM TO STI PU LATION S SEPARATE PERMITS ARE REOUIRED FOR ELECTHICAL, PLUMBING, HEATING, �PE OF CONST. OCCUPANCY (3ROUP OCCUPANCY LOAD VENTILATING OR AIR CONDITIONING. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION 20NIN(3 SO. FT. CU. FT. AUTHORIZED IS NOT COMMENCED WITHIN 80 DAYS, OR IF CONSTRUCTION OF WORK IS SUSPENDED Ofi ABANDONEO FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS OFFSTREET PARKING I HEHEBY CERTIFY 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 WI�L BE COMPLIED $7 OOO $3, SO WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING Of A PEHMIT ' 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- $9O. OO Fire SC y� %, OO STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. C� PLAN CHECK FEE TOTAL FEE - � � " �° /� License SC $S,OQ $105.50 SiG TUREOFCONTRACTORORAUTMORIZEOAGENT IOATE� WHEN PR RLY VALIDATED TNIS IS YOUR PERMIT � l�-IE-93 SiGNATUFiE OF OWNERIIF OWNER BUIl0ER1 IDATEI �'° �BL �G i SP Ql.TE GT" N1EW ADDN �,�x �� LI [l �� CITY OF FRiDLEY SINGLE FAMILY AND �DUPLEXES R-1 AND R-2 Buildiag permit Application Effe�tive 5/26/93 co��a� Aaa��: s.3 /� � s-,'z � N D� Leg81 Description: .�-�, � � %�2 G�%�� ,., �►-. , "f %��c r U r /�o % j`"�- " �72-36z Owner Name 8c Address: _//� � a� i t' �c� �7�'��-S v.'.� Tel. # � Coatractor: ��,�. 5�s C'��r-- ur-s G,.� � MN LICENSE #' S� Address: �/ .� f /f/�`'�L. � � Q �. ��1'.OS. .� � Tel. f� �� /Q� Atxach to this application, a Certificate of Suivey of the lot, with die propased coastntdion drawn on it to scale. LIVING AREA: I.ength GARAGE AREA: Length DECK AREA: T�ength � . , DESCRIPTI4N OF IIIRPROVEMENT Width Height S9- Ft Wi�h Height �. Ft. Width Flgt/Grouad �. Ft. Corner Lot [ j �n�ide Lot [] Ft Yd Seiback Side Yaid Set�cks Type o€ Conshvcdon: �� - A��; uG Esbimated Cost: $ � D� b,�-e� A ...� � � �..s., Approx. Completion Date: `� Driveway Curb (�et Width Needed: DATE: �� - /�� APPLICAN'� Permit Fee $ �L,; �i C_ � Fire Surcharge $ �%, �C� State Surcharge SAC Charge License Snrcharge Driveway Fscrow Erosion Controi Park Fee Sewer Main Charge TUTAL (Cost an Back) Ft. + 6 Ft = Ft x$ _M. ' � .�L Fee Schaiule on Rever�e Side .OD1 of Permit Valuation (1/1(�h9�) $ ,�� • �� $.SU/$1,000 Valuation $ $, $ $ $ � $750 per SAC Unit �. C�C� $5.00 (State Licensed Residecrtial Contractors) 11lt. tlAw �i� L111. �Dp i��RlYei ��C� Conserva6on Plan Review $450.00 Fee Determined by Enguteeriag Agreement Necessary [ l Not Necessary [] STIPULATIONS: _$ Tel. # �� '� � ��,�` �� BUILDING PERMIT FEE SCHEDULE The Cluef Building Official shall, before issuing permits for the erection of any building or structure, or for any addition to any existing buildiag or structare, or for auy► alteration or repair to any existing building or stnicture, upon application therefore, requite the pay�ent by the applicant for such permit of fees to the amount herein below sei forth and in the manaer herein pr�vided to-wit: TOTAL VALUE $1 ` to $S00 $501 to $2,000 $2,001 to $25,OQ0 $25;001 to $50,000 $50,001 to $100,000 $100,001 to $500,000 $500,001 to $1,000,000 $I,OOU,001 and up ��I �L.�•y $15 (Minimum Fee is $15 plus surcharge) $15 for first $S� plus $2 for each additional $100 or fraction thereof, to and including $2,000 .$45 for first $2,000 plus $9 for each additional $1;000 . or fraction thereof, to and including $25,000 $252 for first� $25,000 p1�s, $6.50 far each additional $1,OOQ or fraction thereof, to. and including $50,000 $414.50 for first $50,000 plus $4.50 for each additional $1,000 or fraction th�eof, to aad including $100,000 $639.50 for first �iOD,OQO plus $3.50 for each additional $1,000 or fraction thereof, to and including $500,000 $2039.50 for the first $500,000 plus $3 for each additional $1,000 or fra,ction thereof, to and includiag $1,OD0,000 $3539.SU for the first $1,0OO,ODO plus $2 for each additional $1,000 or fraction �thereof � DRIVEWAY DEPRESSION ESCROW (Concrete C�urb Sireets OnIY) Alterna�e "A" : Removal aad repla.cement of curb and gutter only - Driveway width plus 6 feet times $13.50. Alteraate "B": Removal and replacement of curb and gutter and install a 3 faot wide . approach with 6 inch depth - Driveway width plus 6 feet times $15.75. VERIFICATION OF FOUNDATION Permits for constcuction 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 iocatiion of the foundation once it has it has been constructed will be required l�fore proceed.ing with the framing. � SUBJECT T NO. City of Fridley 2 6 7 4 3 AT THE TOP OF THE TWINS g U I L D I N G P E R M I T � ; � RECEIPT NO. � ; y �_�__ COMMUNITY DEVELOPMENT DIV. r � � PqOTECTIVE INSPECTION SEC. ��o � � � � �"�1 � CITV NALL FRIDLEv $S43P NUMBER REV DATE VAGE OF APPROVED BY �----� • •'' 612-571-34b0 910-F15 7/22/98 � / JOB ADDRESS 5313 Horizon Dr t LEGAL �OT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 2 6 Carlson's SlT��t Ma.nor North SHEET 2 PROPERTY OWNER MAII ADORESS ZIP PFIONE Vernie & Ruth Peterson 572-9623 3 CONTRACTOR MAIL ADDRESS 21P PHONE LICENSE NO R&B Construction 1814 214th Ave NE Cedar MN 55011 434-1206 20072653 4 ARCHITECT OR DESIGNER MAIL ADDRESS 21P PFIONE LICENSE NO. 5 ENGINEER MAILADDI;ESS 21P PMONE LICENSE NO. 8 USE OF BUIl01NG Residential 7 CLASS OF WORK ❑ NEW 0 ADDITION ❑ ALTERATION �p FIEPAIR O MOVE O REMOVE 8 DESCRIBE WORK Reroof house and garage (20 S) Tear-off 9 CHANOE OF USE FROM TO STIPULATIONS Underlayment must comply with State Building Code. SEPARATE PERMITS ARE RE�UIRED FOR EIECTRICAL, PLUMBING, HEATIN(i, �PE OF CONST. OCCUPANCY (iROUP OCCUPANCV �OAD VENTILATING Oii AIR CONDITIONING. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONIN(i SO. FT. CU. FT. AUTHORIZED IS NOT COMMENCED WITHIN 80 OAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COMMENCED. NO. DWLCa. UNITS OFFSTREET PARKING I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION j STALLS GARAGES AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS VALUATION SUFiTAX AND OHDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMiT $1668 �.H3 DOES NOT PRESUME TO GIVE AUTNORITY TO VIOLATE OR CANCEL TNB pERM1T FEE SAC CHAqGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- STRUCTION OR THE PERFORMANCE OF CONSTRUCTION �S4.00 Fire SC �1.6E) � PLAN CNECK FEE TOTAL FEE , �, 0��1.�.� �r'�� -Z-Z - Q License SC $5.00 $61.49 SIGNATUIiEOFCON7RAC RORAUTMO iZEDaGENr tOATEi WHEN PROPERLY LIDATED THIS IS VOUR PERMIT I _ � $iGNATUREOFOWNER�iFOWNERBUILDEHi iDATEi Bl �NSP r�6TE NEW ADDN ALTER �l [l �J CITY OF FRIDLEY SINGLE FAMII�Y AND DUPLEXES R-1 AND R-2 BUII,DING PERNIIT APPLICATION Effective 1/1/98 � c�� ConstructionAddress: S � j�� . ; z�L� � � Legal Description: Owner Name & Address: V� R. �/= S-�R � i h ��Z S a►.� Tel. � S � Z- � G Z 3 Contractor: ��, 6� c� v� s+� vL+ �►� MN LICENSE �`� � Z. � y-� Address: �(��t 2.1�t �-" �l/F �'� �P � c. � u-•,•t s�' �� Tel. #�1 �,`I� IZ� 6 � Attach to this applicadon, a Certificate of Survey of the - lot, with the proposed construction drawn on it to scale. �� DESCRIPTION OF IlVIPROVEMENT LIVING AREA: Length Width Height GAItAGE �AREA: - Length Width Height DECS AREA: I.ength Width Hgt/Ground Sq. Ft. Sq. Ft. Sq. Ft. OTHER: - - _. `-(� � �= � a� r� ►, � � 1 � l--j o ' c r , ��1-i� � r' �QS � � � � :�r./L � 0 F �� s � �� , Construction Type: 1�� l= a�� .�,�, a. � c Estimated Cos :$ �� - � �(Fee Schedule on Back) Driveway Curb Cut Width Ne.eded: Ft. + 6 Ft = Ft x$ _$ j /�,J�, )�r r�,,..,�-. � e�c�-�=�-�./,.,�� Tel. #� ll 3`i -1 �- a6 DATE: � - Z Z- ' �i f APPLICANT: , _ _ � Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee Sewer Main Charge TOTAL ST�ULATIONS: r $ � . C�� $ .�� $ •� $ $ �� $ $ $ $ $ �=�.�- CITY USE ONLY Fee Schedule on Reverse Side .001 of Permit Valuation (1/lOth%) $.50/$1,000 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 [ ] �;�� 0 e BUII..DING PERMIT FE� SCHEDULE The Chief Building Official shall, before issuing permits for the erection of any building or structure, or for a.ny 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 germit 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,OQ0 $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 $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,Q00 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 $50,000 $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 additional $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, 000, 000 $5012.25 for the first $1,OQ0,000 plus $2.75 for each additional $1,000 or fraction thereof DRNEWAY 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 constiuction 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. �_ � . _„