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AF - 46350� � n City of Fridley, inn BUILDING PERMIT natg: June 14� 1965 Owaer: �]mer Olson �� �itidre�a Krutz3g � 5361 Horizon Drive N. E. Address ��i �o. ,3� n*,ive._ � �� � �' N° '7837 LOCATION OF BUILDING No. 5361 S�t HoriZOn Dri9e �1. E. Part of Lot . iat b _ Bl�k 6 Additton or Sub-Division �'�O� S�-� �o�, Nor°th Corner Lot Inside Lot Setback Sideyard Sewer IIevatian --- Foundal3on IIevation To be vsed as: DESCRIPTION OP BUILDING Front Depth Height Sq. Ft Cu. FL Front Deptin ITeight Sq. Ft Cu. Ft Ty►pe of Construct3on F�t. Cost�.�-� _ To be Completed 8ebu�ld Ne�r gara.ge to replace old, d�amaged b�r Storm I� 6, 1965 In �deration oP the issuance to me of a pernait to construct the building tha ProPosed work in acc�ordance with the d�scription above set a�} in ca ordinances of the dty of FricIIey. // In conafderatia� of t]�e payment of a fee oP $10. C30 ,., p�t is hereb3► granted I agree to do �roviaions of to construct the building or addition as descrlbed above. This �ermit is graated u�n the expresa conditiou that the to whom it is grantefl and his agents, emPloy�s and workmen, 9n all work epe�on done fn, aro�md end upan eaid huilding, or anyp� thereof, ahall conform in all respects to the ordinaaceg oP Fridley, Mina�ota regarding locattion� construction� alteration, maintenaace, repair and moving of bufldinge wi�� dty ]ianits and this permit may be revoked at a�► ti¢ne upon violatfon of aay of the Provisions of seid Allen Jensen B�iding tnspector NOTICes 71d� pamh doa eot censr ths coas�rodlee, t�IWioe fo� �rirtn9. P�+�B� ea h�tlteg, awu er water. B� a�e ts sM Na BoUdiaB f�oe to► aparat� p�emNs far thta h�t. E- �. - �,,� OWi�R � S NAME� ADDRESS � '� � APP'LICATION FOR BUII.DING PERMIT c CITY OF FRIDLEY, MINNESOTA � LOCATION dF �U�DING �� .� .� No. � StreeC Fart of Lo � LOT BLOCiC��ADDITION OR SUBD�iS�ON �e �• p�'1����2��S•c�� Corner Lot Inside LaT Setback Side-�Yard � .�.._ __._. SEWER ELEVATIOPT FOUNDATION II.EV�CT'ION Applicant attach to this form Two Certificates of Survey of Lot and proposed ui d ng lacatian drawn on these Certificates. � ,�� ��r n scRZ�or� o� �s rNS� To be used ° � �`�' � : / � `� �� �/ � F ont Dept � Height I Sq. Ft. Cu. Ft. Front Deptln � Height Sq. Ft. Cu. Ft. Type of Con�truction Estimated Cost To be completed � The undersigned hereby makes application for a permit for the work herein apecified, agreeing to do all work in strict accordance with the City of Fridley Ordi�ncea and rulings of the DeparCmemt�of Buildinga, and herebq declares that all the facta and repses�ntati3ona stated in Chis application_are true and correct. � DATE � �� " � -� SIGNATORE � (Sch le of Fee Coats can be found on the Reverse Side). n �_.«�. ,�� ��� � BLFII.DING PERI�itT F'EE SC�,B " SEGT_, ION 2. Th� Inapecto;.of Buildings shall, before isauiag any germit for the erection of any building or atructure, or for any addition to $ny egisting build• ing or structure, or for any alterations or repairs to any esistiag building or structure, �gon agplication therefore, require the paymeat by the applicart� for auch permit of fees to the amount herein lielow set £ortti and.in the m+anuer hareia_ provided to�-wit : 2.1. For any auch permit for the erection of any fire �proof building, other than a garage, warehouse, factory or grain elevator, or for the erection of aay fire-proof 8dditiou, for sim�ilar occupancy, to any existing building, �hall be aC the rate of $1.40 for each one thousand cubic feet, or fraction thereofa in auch cubical conteat�. 2.2. Fo� any such permit for the erectian of any fire-proof garage, Warehause, factorp or graia elevator, or �or the erection•of any fire-proof addition,"" for similar occupancy, to any► existing building shall be at the rate , of $1.25 for each oae thousand cub.ic feet� classified as "fireproof" bq Section 502 of Che Minneapolia Building Code. HOUSBS 2.3. For any such permft for the erection of any non•fireproof building, other than a garage, warehause, factory or grain elevator, or any non-firepraof addition, for similar occupancy, to any existing building - permit $1,Q0 for each one thousaad cubic feet. GARA.GES _r..__ 2.4. For any such permit for the erection of any non-ffreproof garage, wareho ae, factory or grein elevator, or for the erection of any non�fireproof addition, for s�tmilar occupancq, to any exieting building or for each such buildin� or additioa - ainety cents ($0.90� for each one thousand cubic feet or fraction eheaeo�, in the cubfcal contenta thereof w3th the minimum of $4.00. For tbe purpose of camputing fees for buildiag permits, the cubical contents of any building or addition to a uniform height throughout bq.multiplying the ground area covered from a poirit six (6) inches below the floor line of the basement or cellar to Che averag� height of the upper eurface or to the average height of th� roof sur€ace,of the �eaia� gable of a pitched roof. 2:5. For repairs or alterations to an existiag �tructure, the fee sball be a he�rate of $3.00 per each Five Hundred Dollara ($500.00) os fractioa thereof in the cost of all proposed work. 2.6. In no case shall the fee charged for any permit as aet forCh in �Sect�on 2 be less than $4.00. ' � .'•' . y R. _.'J o -.� � City of Fridley ;`������T��F TME TW�NS g � i L D I N G P E R M I T � • COMMUNITY DEVELOPMENT OIV. � ; V � ��� r � � PROTECTIVE INSPECTION SEC. 1 � � l.'_-�' �"' �. J CIfY NAII FRIOLEV SSIJ2 NUMBHA L 612-571-3450 9t0-F15 109 ADDRESS 5361 Horizon Drive 1 LEGAL ��T NO. BLOCK TiiACT OR ADOITION FEV DESCfi. 6 6 Carlson' s Summit 2 PROPERTY OWNER French Gureber J CONTRACTOR Am. Roofing & Co� 4 ARCHITECT OR DESIGNER 5 ENGINEER 8 USE OF BUILOING Residential MAIL MAIL MAIL A�ORESS 1 21P PAGE OF / / 28554 �1f� t APPROVED 6V SEE ATTACHED SHEET PMONE 755-7451 PMONE LICENSE NO �53-�C7451 201093! PMONE LICENSE NO. PMONE IICENSE NO 7 CLASS OF WORK � NEW O ADDITION O ALTERATION � FIEPAIR O MOVE O REMOVE B DESCRIBE WOFiK Reroof house and t�arage (22 Sq) Tear-off; Reside house and garage 9 CHANOE OF USE FROM STIPULATIONS TO Underlayment must comply with the State Building Code. Call for building wrap inspection before covering. SEPARATE PERMITS ARE REOUIRED FOfi EIECTFi1CAL, PLUMBING, HEATING, VENTILATING OR AIR CONOITIONING- TMIS PEi;MIT BECOMES NULL ANO VOIO If WOFiK OR CONSTRUCTION 20NING AUTHORIZED IS NOT COMMENCED WITHIN 80 OAYS, OR IF CONSTpUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF /20 DAYS AT ANY TIME AFTER WORK IS COMMENCED. NO- DWLG. I HEREBY CEfiTIfY 7MAT 1 HAVE REAO AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORREC7. ALL PROVISIONS Of LAWS yALUATION AND ORDINANCES GOVERN IS TVPE OF RK WILL 8E COMPLIED WITH WHETMER SPECIF HER N OR NO .�RANTING OF A PERMIT 6885 DOES NOT PRESUM O GIV AUTMO � O VIOLATE OR CANCEI THE pEpMIT FEE PROVISIONS OF A OTH STAT LOCAL LAW REOULATING CON- STRUCTION OR T E PE ORMAN F CONSTRUCT ].Z�F. % P�AN CMEC Lic ns � GNATUpE O� CON'AACTOp Op oUT110A�2ED AGENT IDATEi w�y - cr.�untucc ns nwato��s nwtiEA Bw�OEN� �DATE� BLO s OCCUPANCY STAILS 0 CU FT OFFSTREET PARKING IGARAGES SUIiTAX $3.44 SAC CNARGE Fire SC $6.88 TOTALFEE $140.07 :D TMIS IS VOUR PEF�MI �L� � LOAp �r�w p ADDN ALTER [� l [] �� CITY OF FRIDLEY SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION Effective 1/1/98 � ��� � � � ConstructionAddress: .S -� � f �i � � Z: �-� ;� f� Legal Description: _�� � C �,o; Z��.' ti�,r �,� Owner Name & Address: , �,.�- � � � �.t- � �, �� Tel. # `? S°" � � 7 � .� % Contractor: :-� '< «, r v� � �. � L�-� c , �1 � : MN LICENSE # Z �' � � �� 7.� "- Address: � �3 � 2 `-( S -�ia.�. i � � � j � ( ,.,, � , Tel. # �5�� � � � �' � LIVING AREA: GARAGE AREA: DECK AREA: OTHER: Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. Length Length Length DESCRIPTION OF IMPROVEMENT �� i �f . Width Height Width Height Width Hgt/Ground Sq. Ft. Sq. Ft. Sq. Ft. � �� ��� " ` ��-��,.� � � � . c� ' Estimated Cost: �� � cJ � � � ��' Construction Type: � � �- � ;; (Fee Schedule on Back) Driveway Curb Cut Width Needed: Ft. + 6 Ft = lx $ —$ / >>-' DATE: �,q; � ( �. � � APPLICANT: Tel. t� `�� � ��� CITY USE ONLY Permit Fee $ /�` •��� Fee Schedule on Reverse Side Fire Surcharge $ � u� .001 of Permit Valuation (1 / lOth %) State Surcharge $ � `i�--/ $.SO/$1,000 Valuation SAC Charge $ $1000 per SAC Unit License Surcharge $ .� - G� �� $5.00 (State Licensed Residential Contractors) Driveway Escrow Erosion Control Park Fee Sewer Main Charge TOTAL STIPULATIONS: $ $ $ $ $ 1 �, c� % Alt. "A" or Alt. "B" Above $450.00 Conservation Plan Review Fee Determined by Engineering Agreement Necessary [ ] Not Necessary [ ] �- - •�uiw�.�� a� �cnn �uipaa�o�d a.zo�aq pa.zmbaa aq iicnn pa��n.��suo� uaaq s�u �i s� �i a�uo uoi��puno� a� �o uot���oj at� �utnnoqs `�oi a� �o �an.zns �o a����i�a� �► •a�is uoi��ni�suo� au� 3o pue a.�n��n.��s pasodo�d a� �o nnatna� .zadoad .zo� nnoiie o� uoi���Tldd� 3o auip a� uxo1� sanoq �Z �o umunuiui � pansst aq Iiinn uoi��n.usuo� ao� s�tuuad I�iOI,L�'Ql�if103 30 l�IOI.L�'�I3I?I�A ' SL' S i$ sacui� �aa� 9 snid �pTnn ,��nnant�Q - q�dap q�ut 9�tnn q��o.�dd� apinn �003 £� ii��t pu� sa��n� pu� q.�n� �o �uauza��idai pu� i�notuag :„g„ a��tua�id 'OS'£I$ sauii� �aa� 9 snid �pinn ��nnaniaQ -,�iuo .�a��n� pu� q.�n� �o auaiva��ida.� pu� I�nou�ag :,,d„ a�t�ua�id (�Ciup s�aa.zaS q.�n� a�a��uo�) AAO?I�S� l�iOISS�d�Q AdAA�AI?IQ �oasa� uoi���i� ao 000`i$ i�uoi�ipp� q��a .�o� SL'Z$ Snid 000`000`I$ �sj� a� io3 SZ'ZiOS$ 000`000`I$ ��Pni�ui pu� o� `�oa.�a� uoi���.�� .zo pp0`i$ I�uoi�ipp� u��a .�03 SZ'ti$ Snld 000`OOS$ ls.�g ac� .�03 SZ'L88Z$ 000`OOS$ $uipni�u► pu� o� `3oaaaq� uoi����� .�0 000`i$ i��opipp� q��a io� 00'S$ Snid 000`OOI$ lsa� .�o� SZ'L88$ 000`OOI$ $uiPni�ui pu� o� `�oa�ac� uor���i� ao pp0`I$ i�uoi�ipp� u��a io3 SZ'9$ Snid 000`OS$ �s.�� .�o� SL'tiLS$ 000`OS$ �uipni�ui pue o� `3oa�aq� uoi���.�� .�o 000`I$ I�uot�ipp� u�ea io3 00'6$ Snld 000`SZ$ �sj� io3 SL'6�£$ 000`SZ$ $uipni�ui pu� o� `�oa�aq� uop��.�3 .�o 000` I$ I�uoi�ipp� t���a io� OS'Zi$ Snid 000`Z$ �s�� �o� SZ'Z9$ 000`Z$ $utpni�ut pu� o� `�oaaau� uot���i3 io OOI$ I�uoTlipp� u��a �03 SL'Z$ Snid OOS$ ls.�� �03 IZ$ (a�.�eq�zns snid IZ$ si aa3 wnwtuiy�) IZ$ 5��3 dn pu� I00`000` i$ 000`000`i$ o� i00`OOS$ 000`OOS$ o� I00`OOI$ OQO`OOi$ o� i00`OS$ 000`OS$ oi I00`SZ$ 000`SZ$ o� I00`Z$ 000`Z$ oa IOS$ OOS$ o� I $ i �11'I�A 'Id.LOZ :1inn-o� papTnoid uiaiau �auu�ui a� ui pu� �o� �as nnoiaq utaiau �unou� au� o� saa3 30 �TUUad u�ns io� �u��TJdd� a� �Cq �uau���d au� azmbaa `a.�o3a.�a� uoi���tidd� uodn `a.�n��n.�s .to �uipitnq �ut�stxa �iu� o� at�da.� �o uoi��.�a�i� �Cue .zo� .zo `a.�n��n��s .�o �uTpimq �upsixa �u� o� uot�Tpp� r�u� .�03 .zo `aan��n��s �o �uipimq �u� 3o uoT1�a.�a au� .zo� s�iuuad �umssT aao3aq `Ii�s I�i�,�p �uipimg �atu� atJ,I, �'If1Q�H�S �� J.IL�i2i�d �11IIQ'IIflg �,.,. .. ..,,,,� �..,..�,,,, From: unknown Page: 2/2 Date: 7/9/200711:28:01 .,.. Buildin� �EC��GA� ON j�.SpeC�i0I1S �SID��� �'P`LXCAiX '�63^57�-3G04 CX'�Y Q�' �RIDL�X s� Ai�A'�ss � �7iI5 ,4PPiTCANT IS: PROPERTY OWNE�tI TENANT SiJ�MT� A COF'Y 0�' YOCJ� STATE �LTCENS� ��TTH pP'PLIGATYON �'$It'�iI'T'I'��P� TYPE OF'OVORK: Yf�UR E- , ADDRES3 i C] OWNER �ONTRACPOR Co1vII'ANY N.4t�:_ CONTAGT PEEtSON: STA'i� 31ICIId� 0_ �lNaLE FAn�ID..Y d Two FAJv4(LY � 1� �`PLAG�iI" � F•'3� DA'rE�C�� �--�— FAX �� D TOVJI�IEFOU5$ D Al.FERAT[oN/REMOUII, �«� Pezm�t Na.:� Received �y: J, DETAII..ED D�SCR�TION OF "GJOR'LCC � . PER M5 16B.665 the permit f�e is a�nt of r�siderr„�al fs�ue,� ex�iudu�g ��'es� (Th1s��h d refle�t nly th� flst of l.abor ) impmvemont, instaliaii�n or rePiacem Labor costi emder S'3U0 =$15.Q0. �abor cost batween $304 to $S� � cost of labor ��„ �•OS j TCA'['� TOrnL FOR PR�3EC1'S WF�i.BIe��R �JCCF.'ED5 $SDO, F�E'S AR� BASE�U ON 510.40 PER F[7�TURE, �3CCEPT W1�RE NOTBD. F!X'1�)R�3' N� NUMS� OF EACfi SFsLOW� I,gd:��j�I�Ar�. MODEL. b�Cr� 51ZF1B'nJ �r �quipment Tns�Ilcd . . �, . � MbDII:. _ � . ' SIZFJaTCJ ' �A/C S25.Op _�[R TO AIIt �7CCHA1`�GEIIt $15 BOYI.ER Tr35_00 � �.� �� II.E WORK $10.00 Surciiarge TOTAI. DUE MFG: ��� MODEL: GAS RANC�FIOVEN 510.0� HitEPLJICB (GAS) 315.�. . I1EN' OA9 GTt�.L 510.00 � FIIZEpL.ACE f WOpD) 535.D0 QAS TJNi1' I�t`R ffi20.DD . �Ft1RNACE S35.Q0 � • .. ' . � ' POOI. HF.4'fER 535.00 . �GAS DRYER SJ.d.00 y�'pp pTOR $lS.OD . . QAS YEPiNQ $10.00 ' ' '• " ' ' �; $ �� � �. Numb�of�o�ucs �$io.o4��X�io.aa=.� . ._. _ _ . � �� .SO Number of�xtures @ �I5.00 x $15.00 � $�� $ � Nuraber p€�1ct�u'es (a� $2S•00 1 x $25A0 ° $,.�5' �"� Number oi$xtu�res (o; �35.OQ x $35.00 II $,�_ 5tate Surchaxge ° $���d . Tot�l � $,� T}j�5 t$ pN ApPLiGATIQN Ff)R A P���T N07 VAT.ID UNTIi, pRDG�SSID ' ' . . Y hereby apply fot a bnflding pe�r and Y aclrn.owtedge that the m�foema�3o�. abbve is comp�ete ead, accut�; � the work will be in ca�nforms�ace �rith the ord�ances �d codes�rheand we k�is o�ta staii wltho�utMa pera► t ihatth wor wIll bc in accordance with �e noC a pertisit but o�,ly an epplic.e+�ion for a p � s review and roval of � s. aPProved plan in the case of �ork hi .$PP p �; �� . ' PitTN7' NAAME DA'fg � SiGNA'1'[JRS OF APPLT - � . City oi �ridiey . SniYding �nspections Depa�'tment . �� 6431 UniversittY Awenue NE, Fridley, M�T 55432 : . ; 7�3-57Z�3�0� .