AF - 46346�
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City of �'ridley, inn
BUILDING PERMIT
NOVED�ER 5, 1965
Dat�:
�: DALE S. JO�SOla'
B�� SIISSII. COMPAIQY
3 i�� �
N° 8589
�,d� 5325 Horizon Drivn Ad� ].850 Como Avenue
Fridley 21, Mina.�sota St. Pau�,, Minnesota
LOCATION OF BUILDING
N�, . 5325 S�t Hoarizoto. Drive ��. ._.�.. Part of Lot
Lot 3 .__ Block 6 Ad�ti3on or 8ub-Div�fsion Cax oz�'s S++nmii- M noT�, Nor h Addn.
Coraer Lot — Inaide Lot r. x Setback � Sideyard
Sewer IIevation — Foundation IIevation
DESCRIPTION OF BUILDING
To be vsed as:
DETACHID GARAGE �t 24 Depth 22 Height x0 gq. �, 528 �, � 5,a280
Front Depth FTefght Sc1. Ft. Ca. F'�
Type of Construction �� Fst. Cost — � 45 0 To be Completed
In consideratlon oP the issueace to me of a permit to construct the bufldfng described above I agree to do
tha ProPosed work 9n accordance with the d�scrlpt�on above set forth and ffi compliance wlth afl provisfons oP
ordinancea oY the dty of Fridley.
�_ - D �� _ f� _, � _ ���.,�.,.�
In co�aid�ation of the payment of a fee of � 5•00 , Permft fa hereby granted to SIISSEL COMPANY
to construct the building or additfon as described above. T'hfs �ermft is grante� upon
the express c�ndition thst thepe�on to whom it fs graated and his agents, employees and worl�en� fn all work
done fn, arovnd and upon said building� or anypar�t theneoP, shall conform fn all reapects tfl the ordinaace� of
Fr1d1eY� M9anesota regar�ilng la�t4on, conatruction, alteration, maiatenance. repafr ead moving of bu9ldinga
�� dty I9mfts and thfs perm4t may be revoked at any time upon violatfon oP aay oY the Provisions oY sa�d
AT,LEN G. JENSEN g�g �r
aonce�
'lhis p�rmh doa ee� eowr tia cee�lroati�, Ie�alHflon tor �, Ptumbie6► aa 6atlea, snru or waf�r. B� wn to a�
tla &rtldi� Imp�lor tor aparat� p��mlM fo� f6a� (fum.
_ � �
AP1�L�CATION FOR BUIt.D?NG PERi�IT
CiTY OF FRIDLEY, MIi�1NESOTA
OW1�R' S NAME � � �� �- ��d � vt � �1�.. BifiILDER �� s S' � � �
.� _.�..`.
ADDRESS �� � � �rr r s@,� ��. � � ADDRESS_ /��ca �% o m-c� �
LOCATION OF BUiLDING
-�� _ Srreet Part of Lot
L�T �� K � ADDITION OR SUBDIVISION �' ° ��° � < ���-"°�-'
Corner Lot`_Inside LaT Setback Side-�Yard
SE[eIER ELEVATION . FOUNDATION ELEVATIt1I� � _��
Applicant attach Co t�iis form Two Certificates of Survey vf LoC and proposed
building location drawn on these Certificates.
DESCRIP�IOA1 OF BOII,DAITG
To be used as;
��- �� � Front_ �y� II�epti� � `3° I�eight �' �
�
Sq. Ft. ��v� � Cu. Ft. �� � ,0� ._-r
�Frant Dept ��_Height
Sq. Ft. Cu. Ft.
�q�pe oi Construction /�"�.� Estimated Cost f�so °�
To be compleCed_
Qha timdersigned herebq makes application fo� a permit for the work herein apecified,
agreeing to do all work in str3ct accordanca with the City of Fridley O�inances
and zulings af the Department of Buildings, and hereby declares that all the facta
and repres�ntaeione stated in ehis application are true and correct.
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(9chedule of Fee Coats can be famd on the Reverse Side).
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SECT_ IOAi 2. The Inspector of Buildings sha1.1. before iesuin� aay �rmit for the
erection of eny building or atructure, or for any additioa to anq egisting build-
ing or etructure, or for anq alterations or repairs to anq existiag building or
atructure,-upoa application therefore, require the payment by the applicant for
auch perinit o£ fees to the amount herein below set forth and.in the..maaner hareia__
pravided to-wit:
2= For anq such permit for the erection of any fire-�proof building,
other than a garage, warehouse, factory or graia elevator, or for the erection
of any fire-proof addition, fos simi.lar occupancy, to any existin� building,
ehall be at the rate of $1.40 for each one thousaad cubic feeC, or fraction
the�eof, in euch cubical contents.
2�.2. For any euch permit for the erectian of any fire-proof gar�ge,
warehouse, factory or grain elevator, or for the erection of anq fire-prooi
addition, for similar occupancq., to any existing buildiag shall be at the rate
of $1.25 for each one thousand cub3c ieet, classified as "f3reproof" by
Sectian 502 of the Minneapolis Building Code.
HOOSES . . _ y
2_;3. For any such permit for the erection of any non•fireproof buildiag,
other than a garage, warehouse, factory or grain elevator, or aay non-fireproof
addition, for similar occupancy, to any existing building • germit $1,00 for each
one thousand cubic feet.
GARAGES
�_
2.4. For any auch permit for the erection of anq non-fireproof garage,
warehouse, factorp or grain elevator, or for the erection of any non-fireproof
addition, for si.mi.lar occupaacy, to any exieting buiiding or for each such
buildia� or addition - ninety cents ($0.90) for each one thousand cubic feet
or fractien thereof, in the cubfaal conteats t�ereof with the minimum of $4.00.
For the purpose of computing fees for buildin� permits, the�cubical eontents
of anq building or addition to a uniform height throughout bq multiplyia� the
ground area covered from a poiat six (6) inches below the floor line of the
basemeat or cellar to the averege heighe of the upper surface or to the average
height of the roof su,rface.of the ma3n gable of a pftched roof.
2.5. For rega�ra.or alterations to an exieting structure, the fee ahall
be a the rate of $3.00 per each Five Hundred Dollars ($500.00) or frect3on
thereof in the c�et of all proposed work.
2.6. In no case shall the fee char�ed for anq permit as set for,th in
Secti n 2 be less ehan $4.00; �
__ . _ �"1 _ ' . _ �"�
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LOT
BLOCK
ADD'N.
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NAME
ADDRESS
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AREA
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VALUE
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c�ty of Fridley 2 � o s 9
AT THE TOP OF THE TWINS g � I L D I N G P E R M I T
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; � RECEIPT NO.
� `L � COMMUNITY DEVELOPMENT DIV. ����
r � � � PROTECTIVE INSPECTtON SEC.
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� /"'1 � CITV HALL FRIDLE� 55432 NUMBER AEV . DATE PAGE OF APPROVED BY
�----� � �•' 612-571-34b0 910-F15 8/10/98 � �
JOB ADDRESS
5325 Horizon Dr
t LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED
DESCR. 3 6 Carlosn's Summit Ma.nor North Addi io SHEET .
2 PROPERTY OWNEFi MAIL ADDFiESS 2�P PNONE
Elsie Johnson
3 CONTRACTOR MAIL ADORESS ZIP PMONE LICENSE NO.
R&B Construction 1814 2 4 - 0
4 ARCHITECT OR DESIGNER MAII ADDRESS ZIP PMONE LICENSE NO.
5 ENGINEER MAILADDRESS ZIP PMONE LICENSENO.
8 USE OF BUILDING
Residential
7 CLASS OF WORK
O NEW ❑ ADDITION O ALTERATION � REPAIR ❑ MOVE O FiEMOVE
B DESCRIBE WORK
Reroof house and gara e(23.5 S) Tear-off
9 CHAN�E OF USE FROM TO
STIPULATIONS
Underlayment must comply with State Building Code.
SEPARATE PEHMITS ARE FiEQUIRED FOR ELECTRICAL, PLUMBIN(3, HEATINO, �PE OF CONST. OCCUPANCY GROUP OCCUPANCV LOAD
VENTILATING OR Alq CONDITIONING.
THIS PEfiM1T BECOMES NULL AND VOID IF WORK OR CONSTRUCTiON ZONING SQ. FT. CU. PT.
AUTHORIZED IS NOT COMMENCED WITHIN 80 DAYS, OR IF CONSTpUCTION
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 TNAT I HAVE pEAD AND EXAMINED THIS APPLICATION STALLS GARAGES
ANO KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS VAIUATION SURTAX
AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED
WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT 2001 �, . O
DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE pERM1T FEE SAC CHARGE
PROVISIO S OF ANY OTHER STA OR LOCAL LAW REGULATING CON-
STRUCTI OR THE PERF R OF ONST CTI ]/{. S Fire SC L.00
�./ �AN CNECK FEE TOTAL FEE
d °'/o �9 e
SI A1URE OF CONTRACTOR OR TN F12ED AGENT IDATEI
�1 P OPER LIDAT �+ IS yf�R�R IT
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SiGNATURE OF pWNER�iF OWNER BUILDEiii iDATE� BLO �NS� q�iE
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1�TEVV
ADDN
ALTER
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ConstructionAddress:
CITY OF FRIDLEY
SINGLE FAMII.Y AND DUPLEXES R-1 AND R-2
BUII.DING PERNIIT APPLICATION
�3� 2.� I�o�J zn n/
Effective 1/1/98
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Legal Description:
Owner Name & Address: _� L� j E„ �J�r ,.,r,dS oti Tel. # S� �— el ��o
Contractor: %Z � L� ��vs 1�2t.c c 1 r o.c� ..T�vc �.�.1 L, � ie, c MN LICENSE #�Zoo'7 �, �� 3
Address:_ l f�/ i( o?l ��- �ve /�%�. l�.�ie2. /��J/ ..S,�d i/ Tel. #'�r%3 `�—J Z a 6
LIVING AREA:
GARAGE AREA:
DECB AREA:
OTHER:
Attach to this application, a Certificate of Survey of the
lot, with the proposed construction drawn on it to scale.
DESCRIPTION OF IlVIPROVEMENT
Length Width Height Sq. Ft.
Length Width Height Sq. Ft.
Length Width � Hgt/Ground Sq. Ft.
� Csl� i,vy�s � �G? / .
Construction T o o � " � �c,r� �.tJ /� �'
Ype:_ !� � Estimated Cost: $ _ J
' � �(Fee Schedule on Back)
Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x$ _$ �
DATE: , u �Jff APPLICANT: � Tel. #�3Y � I ZD.�
Permit Fee
Fire Surcharge
State Surcharge
SAC Charge
License Surcharge
Driveway Escrow
Erosion Control
Park Fee
Sewer Main Charge
TOTAL
STIPULATIONS:
$ . �-�
$ -C�O
$ 1.G�
$ -
� �-o�
$
$
$
$
$ c`�- i�
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 �
$450.00 Conservation Plan Review
Fee Determined by Engineering
Agreement Necessary [ J Not Necessary []
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BUII.DING PERMIT FEE SCHEDULE
The Chief Building O�cial shall, before issuing g�rmits for the erection of any building or structure, or for
any addirion to any existing building or structure, or for any alteration or repair.to any existing building or
structure, upon application therefore, require. the payu�ent.bX the.applicant for such permit of fees to the amount
herein below set forth and in the manner herein provided to-wit:
. ,� ,; `TOTAI: VALUE
$1 ' fo $500`
$501 to $2,000
$2,001 to $25,000
$25,001 to $50,000 .
$50, 001 to $100, 000
$100,001 to $500,000
$5�,001 to $1,000,000
$1,000,001 and up
F�ES. . : �.. , . ' . � . �
$21 (11!Iinimum Fee is $21 plus surcharge) �
$21 for first $500 plus $2.75 for each additional $100 or
fraction thereof, to and including $2,000 �
$62.25 for first $2,000 plus $12.50 for each additional $1,000
or fraction thereof, to and including $25,Q(l0
�
$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• in�luding $1�,000
$887.25 for first $100,0U0 plus $5.00 for each additional
$1,000 or fraction thereof, to and including $5�,000
$2887.25 for the fust $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,(�0,000 plus $2.75 for each additional
$1,000 or fraction thereof
DRIVEWAY DEPRESSION ESCROW
(Concrete Curb Streets Only)
Altemate "A": Removal and replacement of curb and gutter only - Driveway width plus 6 feet times $13.50.
Alternate "B": Removal and replacement of curb and gutter and install a 3 foot wide
approach with 6 inch depth - Driveway width plus 6 feet times $15.75.
VERIFICATION OF FOUNDATION
Permits for construction will be issued a 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.
_ _ � ,�
Building
Inspections
763-572-3604
763-502-4977 FAX
From: unknown Page: 1/1 Date: 12l8l2009 9:41:45 AM
1VI.ECHANICAL Permit
RESIDENTIAL APPLICATION
CITY OF FRIDLEY
pA,�.� �p 30.Q9 YOUR E-MAIL ADDRESS deVe�deveSheaUr►gandeir.COm
SITS ADDRFSS � HORIZON QRIVE
TI�IIS APPLICANT lS: O OWNER OCONTRACTOR
OWNER/
TElYANT
SUBMIT A COPY OF
YOUR STA'TE
LiCRNSB WI7'FC
APPLICA770N
PGltMIT TYPE
�
Nn►wE: e�.s� aoruusoro MN ssas2
���g: b325 HORIZON DRNE CITY �RIDLEY STATB Z1P
PHdNE: $12-226-1480
COMPANY NAME: flA��s HEATING, AIR & ELECTRIC
CONTACT PERSON: �Y ��G
STAT� LICEN3E 8 �' pAT�
ppp�;gs:1801 37TM AVE NE CI'fY COLUMBIA HEIC3H'f3 y�A� �i� 7,IP `'�2�
PHONE 7$3-7$1-8901 ppX 783-789-8$05
FAMILY O TWO FAMSLY
TYPE OF WURK: l O N�W �t.nCemmerrr
a Towr�NOUSE
❑ ALTERATION/RAMODEL
DETAiI.BD DESCitiPTiON OF WORK �� �e aao a�rwu. �ua wn'H t�+►wox Fursrace r,neasaurtia�a aae �nwx ceNrRai. aR c�e+3aca�a
FCi ES AAE BA3ED ON S10.Qa PER FIXTURE, EXCEP'f' WHERE NOTED. FIXTURES: {IND[CAT� TOTAL NUMBGRS �� BEL4��
���t ��,� MFG: MODEL:
MFG: MODEL: _________ SIZFlB'fU
MFO� MODEL: _________� 3fZFJB1V
�C $2.5.00 _._.�PI.ACB ((3AS) $1 S.� (}AS RANOFJAVEIV S10.Q0
�-!A[R 1'0 A1R EXCHATIOEPJt $IS IREPLACF (WOOD) S35A0 „�,NEW GAS QR[LL $1Od10
1iA OAS UNCi' H7'R$10.00
9dA.ER $35.Q6 ACE $35.00 PQOL NEATER 535.00
CHfMNEYLRdBR$l0.00 � ASDRYER$t0.00 r'VEId'fII.ATOR$15.00
DUCI' WORK S1Q.� (iAS PIPING $iD 00 —
Number oifixtures @ $10:00 � $10.Q0 = �_Y__._,,,�.,
Number qFfixtures (�a, $iS.OQ � x $15.Op A $_^___„___
Number of 8xnues.� $25.00 �____ x $Z5.00 = $ ��•�' .
Number of fixtures (a; S35.Od 1 X$35.b0 =$ 36.00
Siate Suroharge � S� .. •SQ
cm.�rMV�r �� s�s��Tor�t # �60 � 0 '
TH1S IS AN APPL[CA7'101�1 FORA PERMIT NOT VAUD LTNTIi. PROCESSED
T hereby appty for a is g parmit and l acknowledgo that the information above is comptete and aecurata; that the wark wil! be is
coaformance with the rdin c� and cades of the City of Fridley and with tha Minnesota Construction Codes; that J undcrstand this is
not e permit but only ap lieation far a permit and work is not to stert without a permi� that the work wpl be in �cordance with the
approved plan in tlre t�qr�C whic}Ar�ires rerr�e� and approva{ oPpla�s.. _ �. S, n n�
sraNnTUar. oF
" City of F�idley
Building Inspections Department
6431 University Avenue NE, Fridley, MN 55432
763-572-3604 FAX: 763-502-4977