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AF - 46349�� City of Fridley, Minn. BUILDING PERIVIIT �� N° 3778 �te: . .. .:y�:. ./.� -..�- �. .. .. ..... Owner �.' P,�.��i�.��t�A ............. Builder ... .. ..................... ............... Addr� ...................................... Address ............................................. LO�ATION OF BUILDING !� �/ P `%� No. .� . sd. !. . �. Street . . . . . . . . . �� /!�,��. ./�, ,G . . . . Part of Lot _,._ ....... ...........J .. ......... Lot . ��' . . . . . . . . Biock . . . . . . . . . . . . . . . . Addition or Sub-Dfvision,��2��s�r�' ��:'!. .I.�� "�"� Corner Lot ............ L�side Lot .�......... Setback ............ Sideyard ... ........................... DESCRIRTION O� BUILDING �U das: � � � �� . . . � Frout �o�` � DeP� o�� 0.Height .! � .� �S9• P't.�� Cu. ��4.� P .................... Front ........ Depth ........ Height ........ Sq. Ft. ........ Ctt Ft. Zj►pe of Constructton . . . . . . . . . . . . . . . . . . . Est. Cost. l�U. e.�. . . .� . . To be . . . . . . . . . . . . . . . . . . . Completed In consideration of 1�e iss�uance to me of a permit to construct the building desribed above, I agree to do the prnposed work in accordance with the description above set forth and in compliance witli all provisions of ordinances of the dty oP Fridley. ..... . . ....� ........................... �.{`' � In consideration of the payment of a fee oP $ �° . , . . . . . . . , permit 3s hereby granted to . . . . . . . . . .......... ....... ....:............. to construct the building or addition as described above. Zi�is permit ia granted upon the express condition that the person :to whom it is granted and }�ts agents� employees and worlm�►en, fn sA work done in, around and upon said building, or any part thereof, shall conform in all respects to the ordineac�s of F�idley, Minnesota regarding location, construction, alteration, maintenance, repair and moving of buildin� with- fn the dty limits and this permit ma.y be revoked at any time upon violation of any of the provisfons oP said ordinances. _ .......�: Building Inspector NOTICE: This permit does not covar the construatlon, installatlon or alteration fo� wiring, plumbing, gaa heating, sewer or water. Ba su�e to see tha Bu11dInB In�pecto� fo� eeparate permlta fo� these Itema Ia� Yn!- � M. "� . � �APPLICATION FOR BIIILDING PERMIT . CI'I7E' OF FRIDLEY, MINNESOTR � Owners idame � � � � Builder �, �� ' �-!�' : ,� � Address , � . -�`�ld�i�s's _.� �.�,-� �l�- LOCATION OF BUILDIlJG � a No.��: Street � ��.._.�'�� ~ �art of Lo� , � _ � . Lot �_ Block : �d.dit�:on or. Sub. .:�Div. Corner, Lot _ _._?„side' Lot � Set Back Applicant attach to this form Certifica.te of Survey.of Lot and propoaed build�ng �.ocaiiori. . � . ,; ; . � DES�RIP'FIOAT 0� BIIILDING o be ussd as �o f . . ' � Front � F Depth�Aeight . • �. Ft. � (�: F`t. ' � �on� _._,_..Depth H�ight � ., Sq,. Ft. Cu. Ft. _._..._ . . � , Type of Construct3on � , � e Estima�ed Cost �� To be comple�pd ' ' _ The urideraigned hereby �kes application for a permit for the work . herein speciPied, agreeing to do..all work in strict accordance with the �.. City ardinances and ruling of the Degartment of Bu3ldings, and hereby declaree the.t all the facts�arid representa.tions stated i.n this appl3cation are true and correct. Date Signature (A Sched.ule of �'ee Costs can be found on the Reveras Side) � � � � y _� � BUILDING PERMIT F`EE �CHEDULE Section 2. The Inspector of Buildings aha11, beforie issuing an� permit for the erection of ang building or structure� or for any addition to any existing bui�ding or structure, or for any alterations or re�irs to any existing building or structure� upan application therefor? require the p�yment fiy the applic�.nt £or such pexmit of feea to the amount " herein below set forth and in the manner herein provided to-w�t: 2.1 For an�r such pernit for the erection of any fireproof building, other than a g�rage� warehouae, fac�ory o� grain elevator, or for the erection of any fireproof addition, for simi7.ar occupancy� to anp exiating build3�ng � sha11. be at tlie ra�e of �1 v1�0 for eta.ch one thousand cubic feet� or fra ction thereof, in such cubica3 contents. �� 2,2 For,any auch permit for the erection of any fireproof garage, ware,- house� factory or grain elevator, or for the erection of ar�r fireproof addition, for si.milar occupancy, to any existing building sholl be at the, rate of �1025 for each one thousand cubic feet, classified as."fireproof" by Section 502 of the Nlinneapolis Building Code. HOII5ES 2.3 For any auch pex�it for the erection of any non-fireproof buildin� other than a gaxage, waxenouse;"factory or grain elevator� or any non-fireproof addition, for aimilar occupancy,`to any existing bu3.lding. Permit $1,00 for each one thousand cubic feet. GARAC�ES . .. � . . • 2.L� For any such permit for the erection of any non-fireproof.garage� warehouse, factory or graa.n elevator, or for the erection of any non- fireproof addition, for similar occupancy, to any existing building or.. for each��such�-building or addition. Ninety Cents for each one thousand cubic feet or fraction thereof� in the cubical contents thereof with a minimun of �4.00e For•the purpoae of computing fees for.building peraii.ts the cubical contents of.any building or addition to a uniform height throughout by multiply3ng the ground a.rrea�.�covered from a point six (6) inEhes below the floor•line of the basenent or cellar to the average'height of the . upper surface or tcs °tYie average height of the roof aurface of the �.in gable of a pitched roof� � _ 2.5 For repairs or alterations to an existing structure� the fEe ahall.;. be at the rate of �3e00 for each Five Huridred Dollar s(�500.00), or fraction thereof in the cost of a11 proposed worko • • .� 2.6 In no �ca.se. shall the fee charged for any permit as set for.tk� .in . : Section 2 be less �than �4�OOo , . . �� _ �' �' � �"� � '.. � ;,, _ � . � � � � � ► � 1 � Oa r � � � � � � �� 0 ��o R � � � � O � � � � � � � 4 1 � � � �� 0 � _ � � m .. ��w � ° � � � � ,�b g �ri � o � : �� : �� : : �� : � � �: �.°'�° : ��g�.$ � �\ O� i' � � � � � � � A � � � � � � �' . i � i J� � � � � � � � x o � O �p � � � � � � � 0 O r � � �� W 00 w �� ' � �� : �� : � � � � � � � � s � ° 0 �� . � �a��o w eo ]' t�' y o $ C C � � � � � � x�� °� �': �� : : �� . : �a � : : �� : :_ � � : : �. w�oo gsa$ O � -x w � A � � � � � (� e► " 1 � I �� 0 I � � � � � S � ,� � �d � �� .� �� °' R' � P� � � � � � � �� ,�: �s ��: � ��: � � ��:� . . . . � �.��o gssss � � � � � � n. � � � � w 0 0 r+ � &� � � � ��.� �� ° CS M � � � � � �� : �, ��:: o $ : : -: �:.. � w�.�o� s$ss.� � I � � I �. � �� A �� m� O � M� a � � �� .. d � �b� $�o � d � �� b ��m �� `�� a � �,� � M �� M � � A � ,� � D� � � � � � m °c � � M ! � � 0 � � � � � � � f/� �.� � � 0 � . � � � A d � �. _ � �. _�, 0 t�„ R � � c`�o C A ��A co N (n 3 � O � � � � �o�� '� � �� Q MC ��. ��. �b � �� i, �,� `�r o `ti' ��,y�.,�Fi'i'A bo+�• A � �� o��o � � � R �.� � �. �,. �o �'� � � o ,ti � � � A �, �s� �, o � � -� �: �� `° � �' C A' �' N. � I � � �' y (�0 � �. I �� o �� .�� . o � �� p� c� R O � O �`J �. � O A+��`* H.� Q � A �' � �ti�� .�'�� nb�AA b�� o � b��• �, b�� b �' � � Q n�'�' �, o`�r�� .~' � a. �.. O � (p � ''��' � �., ry a�+. tq �o' � c'�" IO � � O � � � � � � 0 � b � `r O � � C � A. m I � I I� � � � y �, o � � � R. o o b � � ti � 0 0. Y� � � � � � \ � � �' � �' �' � A � . 0 � l0 �� 0. �. � � � ' � o � �' � n � � �. a � � 0 y, S�r' y -°,, � ,� � � n �, � (� � � ;�; � � � .� R. . � �v � � � I I� � � � � Z � O � � � � 'w � � = � � 3 � ' 3 �1 �• � O � � � � o 'o � � � � � � � � � � ' � Q rt H � 3 Q. � � i�. �—� �• � a y � � �• � a � 0 o� � / \ � � � � � � � ; �m c � ; � � � A Q. � `7-� � � �A �� C ' �� w , � � O � � � � �' � M � � City of Fridlep, Minn.. 6431 University Ave. N. E., Minneapolis, Minn. 55432 BUILDING PERM[T ��; August 3],, 1972 ��; Orville Haag B�d� Same Addres,s —.53_49 Hori�on nri3��j„ F �j�j��gg Sama i �/'�-'�� - ` � 1 LOCATION OF BUILDING No. 5349 � S fr�t � Hor iz on Dr ive N. E. p� of Loi Lot - 5 Block - 6 Addi43on or Sub-Division �lson � s S�mmi t Manor N�r h Corner Lot ._ Inside Lot Setback Sideyard Sewer IIevaiaon ._ Foundation IIevation . DESCRIPTION OF BUILDING To be Used as: Alteiation Front Depth Height Sq. Ft Cu. Ft. � Front Depth Height Sq. b't. Cu, Ft, Type of Constructfon Sh�ngles �, �� _ �400.00 To be Completed -��ys . Stipulation: P�ovide drip caps over windows In consideration of the issuance to me of a perxnit to construct the building deseri'bed aimve I agtee to d0 'Et►e proposed work in accordance with the description above set forth and in crompliance with afl provisions o�' Ordinances oE the city of Fridley. \ – .5 a S,�r�H�,rge In consideration of the payment of a fee of $�.Q� , permit is hereby granted to n i 11 uA,g,� to construct the building or addition as described above. Thispe rmit 3s granted uppn the express condition that the person to whom it is granted and his agents, employees and worl�nen, 3a aII WoTk done in, around and upon said building, or any part thereof, shall conform in all respectB •to the ordinanc� OP I�'ridley, Minnesota regarding lacation, construction, alteration, maintenauce, repa3r and moving of builc79IIgB �� citY limits and this permit may be revoked at any time upon violatioa oE any of the prov3sions oE 8euid , S �� - LAR'FN('F R�T$� NOTICE: This permtt does nof eove� the conafrucfion, htsfallaHon for wirie8. P��+8. 8� heatie8, aswer o� v�ra4er. Be mra fio s� t6s Buildfne Inspeetor for separate permits for theae items. AP.p&��ATION FOR RESIDENT�A�, A�T�ItATION, OR AllllITION BUILD�NG p��jlT CI�Y OF FR�ALEY, MINN�SOTA OWNEIZ � S �TAME ��iv�,.�� y� BUILDER : �i�� ,nnR�ss s �3 /?`� /3�G�i,T�JV �.� ,_ �. ..4 � annx�ss . � ___.�_.�,��. N/� �� y S�� ,; �1;�� - � � d1V ia.n�...�,.e .�� A / , / �A1' : ,� BLOCK : � ADDITION t Ci�f �� s0/lJ ��tr1/(�� // CORNEIt LO'r: INSIDE LOT: SETBACR: SIDEX�1tAg � Applicant attach to this fo:m �o Certificates of Survey of Lot aad prop9�e�d buildiag location drawa on these Certificates. BESCRIPTION OF BUILDING To �e Used As: /�,�; T�l /� /� %G1� Front : Depth : Height : Square Feet: Cubic Feet: ' Front: Depth: Height; Square Feet; Cubic Feet: 'dj►pe of Conatruction: � � Estimsted Coet: $ ��O �......., . �.� To Be Completed: � The underaigned hereby makes applicatioa for a peslmit for ti�e .wQ�ck ��i��g �pec�f�,ed, agreeiag to do all work in attict accordance witii the c�� q� F�rid�e� Ordinaaces and rulinge of the DeparCment of Buildings, and 1a��eby ��1a�ee that all the facte aad repreaentations stated ia thia ap�7.�,��,�,� a7re t�rue and correct. �A�: � � � �•�- SIGNATURE:� r ��t� ��=��.�,� (3e� Aeveree Side For Additioaal Information.) � R j �/ /�.� �� Ci � s o v-� l� w�N�•ws �� - - � � � � • t� �. �' 0 � "� � � � "� $ �� G�ert�� S!'a�'-t ^ �UILDING PERMIT FEE SCHEDULE S�CT�ON 2. The Inapector of Buildings shall, before issuiag permit� foz th� exection of aay building or structure, or for any addition �o any existi.ri$ building or structure, or for any alteration or repairs to any e�cieting bui,lding ox structure, upon application therefore, require the paymet�t by t,iz� appl�caut for such permit of fees to the amount herein below set foxt� aAd �.11 1;he manner herein prwided to-wit: TJNIFORM BUILDING CODE: 1j►pe 1, 2& 4-$2.15 for each one thousand cub�,c �e,�t, ox fraction thereof, in auch cubical contents. 1�►pe 3� 5-�1�.85 f�r each one thousand cubic feet. ADDITIONAL INFORMATION For the purpoae of computiag fees for building permita, the cubical contents o£ aay building or addition, is determined by multiplying the ground area covered from a point six (6) inchea below the floor line of the basement o7c the cellar to the average heights of the upper surface or to the average- height of the roof surface of the main gable of a pitched roof. �or repaire or alterations to an exieting atsucture, the fee shall be at tlle rate of $3.00 per each five hundred dollars ($500.00) or fraction thereof in the cost of all proposed work. T.� nc case ahall the fee charged for aay pesmit as set forth ia Sectic��i 2 be lese than $5.00. V�RIFICATION OF FOUNDATION �p�; Permits for eonstructian will be iasued a mini�um of 24 hours fra�pa the� �ime of applicatioa, to allow for proper review of the proposed structuxe aand o�' the construction eite. A Ce7ctified Survey of the lot, shawiag the location of the fouadat�,A�� pAt�� .� ha� beea constructed, will be required befo�e proceediag with the fxamin�, CERTIFICATE OF OCCUPANCY Applicatioa for a Certificate. of Occupaacy ehall be msde tea (10) days pa�1,Ax' Gc� t.he use or occupancy of any structure for which a buildiag permit k�a� bp�1 iseued; and said structure shall not be used or occup�ed until a Certif�.ca�� o� Occupaacy hae been issued. -� _ t. F ,� � ' �. City of Fridley�, inn 6431 Univeraity Ave. N. E., Minneapolis, Minn. 55432 BUILDING PERMIT ��: March 1, 1973 . r . � �;�; ; '�: !', p�; _Orville Hagg B„�� Bauer the Builder pd� 5349 Horizon Ad� _302 S. Ceder Lake Rd M�ls., Mn LOCATIOiV OF BUILDING Ng 5349 ,s�t Horizon Drive N.E. p�of�� Lot 5 Bioc� 6 Addition. or Sub-Divisian Carlson's Summit Manor Corner Lot Insicie Lot X Setback Sideyard — Beover IIevatian Founda.tion IIevation _� DESCRIPYION OF BUILbING To be Used as: _ Add i t i on �ont 16' �P�, 12 ' Height 12 ' sq F.,� 19 2 �� 2 3 0 4 Front Depth Height Sq. Ft Cu. Ft Type of Constructgon ��:�� F�t. Cost .� 4� S O O . To be Completed 3-1- 7 4 In consideral3on of the issuance to me of a pertnit to construct build�n scribed above, I agree to do '�he proposed work in accordanEe with the description above set fo and in com 'ance with all pravisiona � Orr7ina.nceB oE the city of �id1eY. ,� . � ?� �c.�� .� � � 5 (S �r hargg) In consideration of the payment of a fee oP $ 6. O.Q__, permit is hereby granted to to construct the buildfng or addition as desc�ibed above. This permit is granted ugoa the express candition that the person to whom it is graated and his agents, employees and worl�nen, in, a11 wor$ done uy around and upon said building, or any part thereof, shall conform in a]i respecis •to the ordinanees pF Z�ifdley, 1Vlinnesota. regarding location, construction, alteration, maintenance, repair and moving of }iuildfIIgs �� dty lim�its and this permit may be revoked a t any time upon viola.tion of any of the provisions of said � ,�.-.,. NOTICE: ffib permit does nat eover the construction, insfallaHon foe wufng. Plum6in8. 8aa heatin8, se�yar or water. Be suro to sae ths Buildine Wspecta� for aeparate permils for these items, AP.P�IC��I�� Q� RE�iAEN��A�R ��ATI�N, 0� A��TTO� ��LDING ��RNdT� GITX OF �RTA��Ye M�NN�SQT� ` . � OW�1�R,' S N� t� � � /�� BUII.7)IIt :, � `� �� V ; ��ft. c: � :1 �' . �� / ( �� ADDRESS.,�..� �� > l '�°1tC� �� AD�SS: �D ��-•^ S � �t't1�9.�'� 4rR�C� /�� e � � '� r �a ^ S !'7 Q � ( 2 v .L � i2_ � � , � ��n �t� i i i rw�+ .�s+.e �D°i � � BLOCK t � �A��Y� � �'r4 c21.� � � s� � � � �� f T �,� ry +� o � L;�NER LOT: �� LOT:,� r�SETBACR� � SIDEY�IRD:� ��.�C�t� �t.�c# ��+��,i,o Certificates of SuYVeY o� I��t a�ad prop��ed �m�i,�.�3� ��cati.� d�a t� �ese Cextificates, ��SCRI�'T�QN OF BUILDIAiG � � iia� As : ' �. / /� /{J'' � cl r` t o��'T L !_ ,,.�...,,�#�: � �ieight • �_. �r S�,ii�E: �P��Z � � � Ctli��iC �'�C� � � �...�..�..�� . �� ., ,'r .,..--._.� �'rcntt t Depth : Height : �uaxe �'�et; Cubic Feet= �{� of �o�,�t.ruc�i.�� . , �%2 � �� °� Eatim,�ted Cos�;�� °�+ � 4�g��edt � i�s �t�c��gued hereby �� a�1i.a��iv�t iEor, $ pe�t fa� th� wo�ck b�rein �g��i'� a$xeeing �i do a�l t�� i.n; stt�.a� acco�cdance witt� the G�,t3► af �tdl�' Ax��+ances �d �+tli� �f �e Departm�en� qf Bui,�da�$, � �te7reby dle��e� � a�.�. th� �$cts �d ��resetita�io�e s�ated � t�ap�► tiau �� e � ap3:rect, . / �i�''s�'s � ig${�1�TA ' : ��et 1t�v�!oe 43� Fog A�id��una9. Infos�ati�n. �� ; �� '.",``_ �'-.y • L �—t� `� %C �# `"1��„ sJ . �� _ '° F � == -•ti°"v� ' (' � = !" �`o� � °'� c•� � � � � � _.BUT&�TNG P�ItNIIT F�� s�H�nu�E ��3�O�V �. �.'he I�epecto� pf �ui,ldings sk�al�, befo�ce i.asuiag permit� for the ��on o� ariy bu�lding o� �tructure, ox fo� any addition to any �eist�.� ��Ad�� o� stxuC�ure, or fos any alteration or re�airs to a,ay ex�.�tir�g �:��.a�,��.sa� o� stxuc�uxe, upoA �Ppli��ation theref�sea require the payme�� by fiha ��p�.i.��t fp� such pe�t o� f�ees �o the amouat herein below aet for�h �d ir► �� ua�,aex he��e�.� g�a�vided � �o�¢wix z UbTd�ORM �UILDTNG CODEt �pe 1s 2� 4-$2,i5 �or each a9ne thousaad cubic �e��A p9� f�action th�fieaf, in st�cla cubical con�ents. 7.'ype 3& 5-$�.,85 �ox c�ea�+cb or�a ��usand �tabic fe�t,. • A�D�T�O�IAL �Ai�i��iMAT'ION Fo� �$� �u�ga�e of c�npu��.ug �ees for building pe�tnits, the cubical contents of any building or addition, i$ detextai�ed by mul��.plyi.n� the gxound area o��y+e��l �c�m a poi�� s�x (�i) ine�es below the flc�ar line o� the basement +p� t�►e �C��1a� t�o tl�e average heights of the upper surface or to the averag� d �� c�� e �oo� �e�face o� �he main gab�e pf a pi�ched xoo�, ��r�i�s o� al�$ra��o�� aa existin� �tru��rey �a� fee sha�l be �,� t�h� �,�� o� $�,00 �ex $�.� f�ve h�tdsed dollar� {$�OOP00) � f�a�t�.on �hereof in i�� c+aat a� a�.� p,��p��e� wo��C�. I� �+ c� sha�l �b� �ee ��d fox �tyr pezmit as se� fost� �n 5��a�n 2 be �t ��nn $3. i�. 0 11�R��TiON 0� �t�i1NA.ATI�N �= I'�rtaits �vr ��st�ueat�oa� wil� be is�ued a�i�m of �4 haurs ��am the � o# �p�licat#,an, �o a��a� �o� pra�►er review of Khe p�rapo��c+t a�ru&tutre attd p� �e �st�uction aike. ' ��,�i�$ Sua�v�g v� �� ip� �aa�in$ th� �csea�f�t �i� the� fauudatiact, Q�e #.� �� a� �.s�t.ed� will �S �c�ui.r�d befo�e�tsr � w�h r,�s fr�i�S. . C�R��F��1'i£ t3F l3��PAN�Y �i�p�.i�tki.a�a ��z � G��9:�ica�e �t oceupaacy ahal�. bs u�ad� t� (iQ) �y�s px�or �+� �� se �x �c�upaAey oi �rtg �t�c�'e €az which a buildi� perata.� ha� been issued; � ea,id si�ckttxe �ha}.�, �ot be used ax occup�ed uatil a C��t3.ficate af p��upa�cy � beeu �sstesd, � � � � �� e . �` � \ �-�—� _ ��- EQAN, FIELD & NOWAK �-- � SURVEYORS , ' , . - � � � � 1 — -�--- � — � Z8Y9 HARRIET AVE. E � MINNEAPOLiB. MINNE90TA EgTA�. 1�)p N CERTIFICATE OF SVRYEY F,� ORVI LlE HAGG � � � �'. � � � 5ca 1 e: 1�� - 30' � Oe`s�r ip t i on: lot 5, B lock 6, CARLSON � S S�1MN+1 T MANOR WORTH ADD 1 T10N. 0 i We hereby certify thal this is a true and correct representetion of a survey of the boundaries of the land above described and of the location of all building� 7f any, thereon, and ali visible encroachments, if any, from or on said land. pate�l this�,� day of F�bruary � 19�3 � EGAN, F �4 NOwAK �� -- - - --- -- - .. . - - -- - - rv��5_ _ ; ,� x -- File No ��48 800k No 20�0 - 3 by �� - .� ,�'i , ..t.s�-2�t 1 � .�;, a�` _ .!�t.�:� .�, � - SUBJECT PER . City of Fridley. 12321 , ` AT THE TOP OF THE TWINS g U I L D I N G P E R M I T CEIPT NO. r � i L______ COMMUNITY DEVELOPMENT DIV. r � PROTECTIVE INSPECTION SEC. %� �%�� 1 �. i C:/ d �� /"�1 � CITY HALL FRIDLEY 55432 NUMBER REV. DATE PAGE OF APPROVED BY ""� � ,�� 812-560-3450 910-F15 9/18/73 � � JOB ADDRESS 5349 Horizon Drive N.E. i LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 5 6 Carlson's Suumiit Ma,nor Nor�h SHEET 2 PROPERTYOWNER MAILADDRESS ZIP PHONE Orville Haag 5349 13orzzon Drive N.E. 3 CONTRACTOR MAILADDRESS ZIP PHONE LICENSENO. Leslie Tranliy Roofing & Siding 6917 Va11ey Place 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAILADDRESS ZIP PHONE LICENSENO. 6 USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW ❑ ADDITION l� ALTERATION � REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK $ i(1G Addition 9 CHANGE QF USE FROM TO STIPULATIONS ��iERATE PERi�ITS REQIJIRED FOR t�lIRIiVG. 1°�EATl�vG, PLUf�gIRIG AND S(GNS. 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 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 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 �FOO.00 ,SO 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 PEFiFORMANCE OF CONSTRUCTION. S. OO ��p PLAN CHECKFEE TOTALFEE � �%?'1�!�� vGe.�-� D J � �.-. 9 /� /9% $5 . 50 SIGNATUREOFCONTRACTORORAUTHORIZEDAG� T (DATEI WHEN P OP Y V DAT THIS IS Y R P RMIT �: / �l� - SIGNATUREOFOWNERIIFOWNERBUILDERI IUATEI BLDG INSP DATE �--♦ /� � � � -�� o�� ' �� ..J fi i „ r r * �'� �,� r�,, _� , � r' � � � �� f,, . `J - �� , � �,_ - ,,. � � , ��, �,. ? � � � � - , �. , � �► � j � ,� , �. � , � � ,� � � •� " ��, ;, / � � .� � � / ,, / , � ./ �I � " i� � . I , /_ � / � _ � �� / �� - � � �� e � � � �� Subscribed and sworo tp before me This � day of AD 19 %3 A Notary Public ��. x��ti��,N1AOJl,1MMnMPJdV1tiM � WALTER i. MULCAHY � aOTART PUBLIC - MINNE50aa Washington Coanty Comm. Expires Dec. 14, 1978 ■ �,wov�vwwwvw.nvvv�n�w ■ b s. � aPPI,I:;pTION FOR RLSIllENTII�L, ALTERa'I'Ii��V, UR �1llll1"I'I01�' �UII�DING PERMIT CI'1'�' OF 1-l:lUL��', '+1INNESO'f� AWNFA � S NAME : J��r L L��r'� BU IL DER :�E s L r� �,g ns,(� 1J( aF>•��' �J �di�� ADARESS :��y?/ �e � i��/(/�_� ADDRESS :�9/ 7 1�� y /`�.�9C,c NO S. 5��/ �,T S TREET • %7� ? � Z a r�! ,%,f2 s u�' /V', C, LO�: RLOCK; ADDITION: CORNER LOT: INSIDE LOT: SETBACK: SIDEYARD; �pplican� attach to this form �ao Certificates of Survey of Lot a.nd pxoposed build�.ri� location drawn on these Certificates. T To Bs Used As; liESCRIPTIUN OF BUILDING Front• Depth• Heigh�• Square Feet: Cubic Feet: Front: Depth: Height: Square Feet; Cubic Feet: Type o� Construction: �� S� ,y� ��DAI. Estima.ted Cost:�jp � To Be Completed : l�� / 9 7� The undezsigned hexeby ma.ke� applicativn for a permit for the work h�rei.n �pecified, agzeeing to do all work in stiic� accoXdance with the City of Fxidley prdinances and xulings o� thc� llepartment of Buildings, and hereby declaxea that .�11 the facts and xepresentations stated in this application axe true and �urr��ct. BATE: __��_" � SIC;NATURE: (S�e Reverse Side For Additional Informa.tion.) $ � p C� . , r _� , � � . �� ,' BUILDIN� k'�:1L"��I�I' l��:E SC;H}:UUL�: S�CTI4N �. The Lnspect��r .�t B�ii.ldings shall, before issuing p�rmits for the e�eetion of sny buiiding or strurt��rc�, or �o� an�� addition to any exi.sting building ox' structure, or for ..uiy .� 1 terati.on or r�pairs to an� c?:isting buil.ding or sLructure, t�pon appl.ic;ati�n ttierel��rc:, r�c��;ir� ti�e p.�.yment by the $pplicant fox such permit of tees to r.h�� amount herein below set f��th and in the manner here.i.n provided to-a�it: UN�FQRM BUILDING COAE; Type 1, 2& 4-� $2.15 for each onc: thousand cubie feet� ax fraction therc:of, in such cubical contents. T}'pe 3& 5-$1.85 �or �ach ane �housand cubic feet. ��lll)ITIONAI. I�i��RhTATIUN Fox the purpo�e of computing fees f�i- building permits, the cubical contents of a�y buildin� or addition, is determined by multiplying the ground area aov��:�d from a point six (6) inches below the floox line of the basement o7C t.t��i Ce11ar ta tl�� average lieigllts ,�F the upper surface ar to the average - hai�ht o� the roof surface of tlie main gable of a pitched roof. For xepair� ox a].�exations to an existing structure, the fee shall be at �he 7Cate o� $3.00 per eack� five hundxed dollars ($500.00) or fraction thereaf in the �o�� of all proposed work. � Aa �ase shall the fee charged for any permit as set forth in Sect�on 2 be leas than $S.OQ. VERIFICATION OI' FOUNDATION NQi'$g Pt�7rcnit,s 1or conatruction will be issued a minimum of 24 hours from th� tii�: o� app�.ication, to allow for proper xeview of ths proposed structure aztd o$ th� construction site. A Certifiad Survey of the lot, showing the location of the foundation, once it haa been constructed, will be required before proceeding witti the framing. �'GRTIFICATE UF OCCUPANCY Appliaatiun for a CerCiiicate o� Uccupancy shall be made ten (10) days prior to tbe u�e or occupancy of any structure for which a building permit has been �.s�u8d; and s.iid s�ructure shal] not be used or occupied until a Certi�'icate of Qeeupancy hae been isaued. � `- ° ,� .y � �� 0 c rr Q' N n � � a m � 0 z e�t w � � < m � � n a � O _ 0 � z (D � a � � � � c z � a � m � . E� �• i' rt � n � � � � �o N � O � p M � � � a a �r wro �• m `� a w � �, a K � . � � a �• 0 c r� � r 0 ros U� H tn � o �J m� HO �� cz �� x �� ro t� � H H N � � 0 0 O ro � � � ro r- o r C � � o ro fi ro N � G r~r rt � � v a r� m � G w � H � m ro � c � � � �i rt � � � � � M f�D � M m m � z a z � S � ro a � � � � � R tl� � � �A °z rt � °z � ° � �° a c� K �!n M w � N � �D w G\o m, a � o � cyp I o r°n C � [+7 . � �. z � ~ � o I • �x ro � - I z m � tA ro � n 0 .'7 � � � � � � 0 0 � N � rt a rt m � � K 0 xa Fi w m �v► tn tn C� C� I � o n � r � M � w t�+ F�' � H � d M t[A ro � ro � � � � M 0 n x Gi � � � M �O 0 O � � c� rt I� 'atl O m �v N• r°,, K `4 � °f a �a ~ w m w � r• m� m Mrt EO o� n� X i/f � 0 0 0 � � r) � ° �ii � v�i �i � N � a z� � � � 8 � ° � � C O [■1 t+ � y � " � �" � �' (jJ o � � � � H � O�1 .. � . _ M � H O r c� c� c� ao � � � �ro� nn d M �i�w �� ' w � ro m n m �� r � O F�+ �r � � aa � �v � � �rt rn � a� _ v �� , d � � r�n �t/l �!/! in t/l � N r n� � 0 0 o c y 0 0 0 o ts1 0 0 0 0 tn tn t� in y y Q � p ww`° �� + � � � ~ '�C a � � ~ � ''rn� a� �. a r� K�N W M W W� r�'S Mf„D W ON�M m w m � � � � w °'' � oroy a �° `° � H�} o �C � y jp N � � �c' w � r r rt�E t�o � r °'"'zro C `�C � C � w � � �r n � .'7 F't W � � ro � � � c � �w a o n w n � z o�s°'�tl � �m�fD � a�� w f f�D G1 � � FQ'+ w rn �w �ry -� � � �� a ,rta, n � u+ w �++ O tT 'G ��c' N - n C� r y�Op r 4 m I� R ~ faD l„kD! �\ � � P m ' 0 a' w � W W W � y -v v r � a -a 0 z � 0 a � O f m � b � � z c-� --1 O N Z C7 D •• Z —1 q O S z D � � a � � � � N � n I'rl O 3 O N r D z d ►� m m < � ii .. m � � � O z z m 'n � G) m � a --I O Z a z t7 n � � 0 T T � d m � m -+� -b m � �+ < m � N a � � � � CHIM�JEY�AND STACK VERIFICATION The undersigned hereby verifies that the existing chimney o r stack; 1. Has been carefully examined Yes (,,) 2. Is free from rust or deterioration . Yes () 3. Has no foreign objects lodged within Yes () 4. Is securely supported Yes () 5. Meets all current Code requirements for size and total B'Fd� connected 6. Has Total hea ting BTU's of All other BTU's TOTAL Rema rk s No ( ) No ( ) No ( ) No ( ) Yes ( ) No ( ) Com pa ny Signed By Qa te sue��ti � MIT NO. C�ty of Fridle� 3 AT TME TOP OF THE TN/INS g�J � L D i�l � P E R M I T 2 � 5 6 � r ! �`v __��_ COMMUNITY QEVElQPN1ENT DIV. R N O. f � � PFiOTECTIVE INSPECTION SEC � � / i = ; O — i-__.�� '�� '� CITY NALL FRIDLEr 35132 NUMBEi1 REV OATfi P�GE Os AVVROVED B � 612-571-3450 91Q-F15 7/8/02 � / JOB ADDRESS 5349 Horizon Dr NE . t LEGAL �OT NO. BLpCK TRACT OFi ADDITION SEE ATTACMED oescR. 5 6 Carlson's Summit Manor, North Addition SNEET 2 PROPERTY OWNER MAIL ADOR�$$ ;IP PHONE Lenny Small, 5349 Horizon Dr, Fridley, MN 55421 763-574-1791 3 CONTpACTOR MAIL AODRESS 21P PHONE IICENSE NO Lenny Small (same as above) a AFiCHITECT 01i OESIGNER MAIL ADDRESS ' ZIP PMONE LICENSE NO 5 ENGINEER MAII ADORE$S ZIP PMONE LICENSE NO 8 USE OF BUILDING Residential 7 CLASS OF WORK � O NEW O ADDITION O ALTERATION O REPAIR O MOVE �J REMOVE 8 DESCRIBE WORK Demo garage 24' x 22' 9 CHANOE OF USE FROM TO STIPULATIONS ' Call Gopher State One at 651-454-0002 for utility locations. Call all utilities for disconnects before wrecking structure. SEPARATE PERMITS ARE REOUIRED FOR ELECTRICAL, PLUMBING, MEATING, TYP� dF CONST. OCCUPANCY GROUP OCCUPANC� IOAD VENTI�ATING ON AIR CONDITIONING. THIS PERMIT BECOMES NULL AND VOID IF WQRK QF CONSTRUGTIqN ZONING SO. FT CU FT_ AUTHORIZED IS NOT COMMENCED V�IITHIN 80 OAYS. OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANQONQO fOR A PEHIQD OF ��Q DAY$ AT " ANV TIME AF7ER WOqK IS COMMENCED. ' NO QWLG. UNITS OFFSTiiEET PARKING I MEREBY CERTIFV 7HAT I HAVE READ AND EXAM�N�O T,MIS APP�ICA710N STAlLS GAiiAGES AND KNOW THE SAME TO BE TF]UE ANO CORRECT. ALL PAOVISIQNS Of LAW$ yq�UATION SURTAX AND OROINANCES GOVERNING THIS TYPE OF WORK WIL� �� CpMP�IED WITM WMETMER SPECIFIED MEiiEIN OR NOT. TME GRANTING OF A PERMIT �• SO DOES N07 PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL TNE pEFM17 FEE SAC CMARGE PROVISIONS OF ANY OTHEF STATE OR �OCAI LAW REGULATING CON- STRUCTION OR TME PEFfORMANCE Of CONSTRUCTION �ZO. OO Fi.re SC �. SO P�AN CMECK F TOT FEE � .�0 S�GN4TU�7E OF CON'A9f'.TQRQ surHOAi2E0 Ni �DaiE, MEN, VALIDA THIS IS YOUR PERMIT I � - � �� . S�GN41U WNEA�i� OwtiEaBU��DEFi� IDAfff� . ' � � BL �NSo ' � � � qpft i�°�' Effective 1/1/02 CITY OF FRIDLEY MOVING [] WRECI�NG 6431 University Ave NE Fridley MAT 55432 PERMIT APPLICATION (�63) 572-3604 Job Address : ✓�,3�/9 /7�,°zo �, � Legal Description: Owner & Address : (��n.y ,.,s / Tel . # Contractor: � Tel. # Address: HOUSE: Length GARAGE:Length J` OTHER: Length Estimated Cost $ S�tate License #� DESCRIPTION OF BUILDING Width Height Sq. Ft. Width �a Height �,� Sq. Ft. �� Width Height Sq. Ft. Approx. Completion Date Cu. Cu. Cu. Ft. Ft. Ft. CALL GOPHER STATE ONE AT 651-454-0002 FOR UTILITY LOCATIONS CALL ATT UTILITIES FOR DISCONNECTS BEFORE WRECKING/MOVING STRUCTLJRE. Water Bill Paid: Yes [] or Collect [$ Moving Route: ] Signature The undersigned hereby makes application for a permit to wreck/move the building described above, agreeing to do all work in strict accordance with the City Ordinances and rulings of the Building Division, and the State Code which requires any water well on the property to be sealeri by a State licensed water well driller, and hereby declares that all facts and representations stated in this application are true and conect. ALL DEMOLITON 7�-62 Date Mavm Principle building into Fridley . . . . $3�.(� Accessory building into Fridley .... $ 42.Q0 Through or within the City ......$ 20.W Move a building out of City ......$ 20.� PIItNII'r � � MINIMUM $20.00 • � �',,c.9�,c:- �C. , �, S� �� . � � For each 1,000 cubic feet or fraction.. ....$1.25 For structures which would be impractical to cube, the fee shall be based on the total cost of wrecking at the rate of $6.00 for each $500.00 or fraction. _.,�.� � STIPULATIONS: ' SUBJECT r City of Fridl�� AT THE TOP OF THE 7'W�NS g u I L D I N� P E R M I T ;, � � � ; L __�� COMMUNITY DEVELOP�ENT OIV. r � � PFOTECTIVE INSPECTION SEC. i = , � /"'1 � CITY NALL FRIOLE� 65132 NUMBER � REV DAT@ �""'� � �'' 612-57�-3ab0 s�aF�s 7/12/02 JOB ADDRESS 5349 Horizon Dr NE - 1 IEGAL �OT NO. 9LOCK TRACT OR ADDITIONCa,YjSOri � S DESCR. S 6 Summit Manor, North Addition 2 PIiOPERTY OWNER MAIL ADDRES$ 2 Lenny Small, 5349 Horizon Dr NE, Fridley, MN 55421 3 CONTRACTOR MAIL ADDRESS 2 Lenny Small (same address) a ARCHITECT OR DESIGNER MAIL AODRESS ' 2 5 ENG 8 USE OF BUILDING Residential 7 CIASS OF WORK C� N EW 8 DESCRIBE WORK Construct new eara 9 CHANGE OF USE FROM ADDRESS ZIP P�GE Oi / / PERMIT P10:� 3,�278,2 RECEIPT NO. APPqOVED 8Y SEE ATTACMED SHEET 763-574-1791 PMONE LICENSE NO PMONE LICENSE NO PMONE LICENSE NO O AQDITION O ALTERATION ❑ REPAIR p MOVE � O REMOVE TO STIPULATIONS See notations on plans. s R� TE PER6�� WIRING HEATIM . �LUM�ING AND ��G�S �IARIo11NG Before di�ginA call for ail utility locations 4540002 ��R�D �X �A� SEPARATE PEFMI7S ARE REQUIpED FOq ELECTRICAL. PLUMBING, FIEATING, ��c ur �,vna� VENTILATING OR AIR CONDITIONING. 7NIS PERMIT BECOMES NULL AND VOID IF WORK QH CONSTRUGTION IONtNG AUTHORI2ED IS NOT COMMENCED V�IITMIN 80 DAYS, OR IF CONSTRUCTION �, OR WORK IS SUSPENDEO OR ABANQONE� FOR A PERIOO OF 12p OAYS A7 ANV TIME AFTER WORK IS COMMENCED. " N0. DWLG. UNITS I HEFiEBY CERTIFV 7MAT I HAVE READ ANO EXAMINEO THIS APPLICA7tON AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIQN$ OF LAW$ ypLUATION AND ORDINANCES GOVERNING THIS TYPE OF WOqK WIL4 d� COMP�IED WITM WHETHER SPECIFIED MEREIN Ofl NOT. TME GRANTING OF A PERMIT �1.3,755.8�F DOES N07 PFESUME TO GIVE AUTMORITY TO VIOIATE OR CANCEL TME pERMITfEE PROVISIONS OF ANY 07HER STATE OR LOCAL LAW REGUTATING CON- STRUCTION OR 7NE PERFOfiMANCE OF CONSTRUCTION �,23]��S S�GNATUpE O� D 4 IDATEi � !%�'0� . a SQ. FT STA�LS LOAO CU FT. OFFSTpEET PARKING IGAfiAGES $6.88 1C CMARGE Fire SC $13.76 )Ta� FEE , 57.89 THIS IS VOUF PEpMIT — �'�� r��if NEW ADDN ALTER [ J CITY OF FRIDLEY (] 6431 University Ave NE, Fridley, MN 55432 (] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION Cohstruction Address: Legal Description: � Owner Name 8 Address: Contractor. ' � Effective 1/1/2002 (763) 572�604 Bldg Insp . , ,,. (�/" ��#�7�3�.�y �7�0 LICENSE # Address: Tel. # LMNG AREA: GARAGE AREA: DECK AREA: OTHER: Attach to this application, a Cert'�ficate 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 �Q C�YI � d�L� � � � 7 , Construction Type: Estimated Cost $�� %,� 75Jr ,�} � Driveway Curb Cut Width Needed: Ft + 6 Ft = Ft x$ _$ DATE: �� APPLICANT: Tel. # Call (763) 572�604 for Permit Fees if mailing in application or Fax to 763-571-1287 if using cred�t card and we will call you for card number. Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee Sewer Main Charge � �`] / e � �� $ l�� 7C� $ o � $ $ $ $ $. $ CITY USE ONLY - Fee Schedule on Reverse Side .001 of Permit Valuation (1/10th%) $.50/$1 �000 Valuation $1200 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 [ ] TOTAL $ � a STIPULATIONS: BUILDING PERNIIT FEE SCHEDiTi F 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 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 $2,0(� $2,001 to $25,� $25,001 to $50,000 $50,001 to $1(?0,000 $100,001 to $500,000 $500,001 to $1,000,000 FEES $23.50 $23.50 for first $500 plus $3.05 for each additional $100 or fracrion thereof, to and including $2,000 $69.25 for first $2,000 plus $14.00 for each additional $1,000 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 or 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, 000 or fraction thereof, to and including $1,000, 000 $1,0(�,001 and up $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) Removal and replacement of curb and gutter only - Driveway width plus 6 feet times $17.00. 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. . VERIFICATION OF FOUNDATION A Certificate of Survey of the lot, showing the location of the e�cisting foundation will be required before proceeding with the framing. New Houses Onlv �,�;: ,: �� _ ; �� - ,� '� � � � `� �� S � S � v� e�- o .a � --�-- -- a ¢� �„�,�'��` �'r,�'`�: �nt: � �� °�.. ��-� . . ,.� � � � � � .� ��' _ ' - � � � � _ e n '�� t_ R � � �� 5, �� PIAN APPR��rp . Sl1UJE C:T 1�? r!t_L�J I(�a'.,I�y��iiUiV I1 + �In ` 'A ,1 41'l I� �-`1141,� 6 ( /,^• ---- — � - ,�'��: ; ,�e � G � i� i �� — � 3�" � ,�., ; b��i�� , F � �t �� , � �� t z::`: t '� �� . ��'� � � � x "� ` �� $�'�: �,� `�`�.,;� e , � ,�� ,, � �d, � a . '; �,'' �� Li�i : f� P�i � . _. � � i � ��u` ' � � s ; `•.. 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