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AF - 46354City of Fridley, Minn. i � � � � ,; � ♦ ,, _ .. r� , r � '�" f ,� . � �.r�':... � ..II :. "/ .:s'/.,, i Qr.iic .✓.�...-i!r ... �/i...�.�� • � � �. ,� � LOCATI O BUILDING <- No: Street _ _ Part ! Lot I.ot ._._ ___ Block � ddition or Sub- an . -� Corner Lot _ Inside Lot r.�� 'back � Side Sewer IIevatian IIevatlaa �� DESCRIPTION OP BUILDING T . .,/-.— Front .��. Depth ,�� Height � Sq. FL �� Cu. Ft �� Depth ght � Sq. Ft Cu. F� Type of Constructio Es��:+�`�."'.�"" To be Completed J� � � � � ,��. �`�� „_� ,. a.,_--��_�. � � -�� r �..:'' � , ; � _ � i Ea consideration oP the issuance to me of a permit to construct the building described above, I agree to do the proposed work in accordance with the drescription above set forth and in compliance with all provisions of ordinances of the dty of Frldley. � �� In consfderation of the payment of a fee of $� , permit is hereby graated to to construct the buflding or addition as described above. This permit ia granted u�n the express condition that the person to whom it is � granted and his agents, employees and worlunen, in all work done in, around and upon said building, or any part thereof, shall conform in all respects to the ordinance� oF Fridley, Minnesota regarding lacat3on, construction, alteration, maintenaace, repair aad moving of builc]ings wlthin the dty limita and this peraiit may be revoked at anyt�m�,,�pon viola�o any of the provisions of said ordinancea .+° � � �r � � Building' inapector NoncE: 'I'6k psemh doa nof eover ths eoesfraeHoe, tmtallatloe te. ��, �wmb[�a �n �a mw� oe vrahr. B� wre �o su th� Buildie8 le�p�eto� fe� pparat� parmhs Por f6�a if�ee�. �� . ,-��.... �"� �` -- - � � �e ..--. �, Ow�aer's Neme � Addrea� � �� APPLICATION FOR BUILDING PERMIT CITY Ol� FRI�LE�i, MIi+1NESOTA ��l,a�� LOGAT ON OF BU a � � � �� - � No. J -.� Street ° i-�, � Part Lot Block Addition i Subdivision Corner Lot Ineide Lot_�_�tback a �,`�`' Si iEWBR ELEVATION '��li�ii'i! of Lot � � t ,� Applicasnt attach to this form Two Certificates of Survey of Lot aad proposed building location drawn on these Certificatea. � DESCRIPTION OF BUILDTNG To be used as: �L`� Front � � Depth � � flei:ght / � Sq. Ft. // Cu. F�.� �� Froat Depth Height . Sq. �t. Cu. Ft. Type of Construction � Eatimated Cost /�� s � � To be Completed � The undermigned hereby makea applicatian for a permit for the work herein specified, agreeiug to do all work ia strict accordance with the City of Fridley Ordinances and rulings of the Department of Buildings, aad hereby declares that all the facts and representations stated in this application are true a�ad correct . DA� 9 - � � - � � �z�� (Schedule of �'ee Caate can be fouad on • - - �1 /'�.°� :�.�� _ a BULLDING PERI�T FEE SCHEDUf,E Section 2. The Inspector of Buildin�s shall, before isauing any permit for the e�ecC3on qf any building or structure, or £or any addition to aay exist- ing bu�lding or structure, or for any alteratioas or repairs to any esisting ..build3a�. or structure, upon appl3cation therefor, require the payment by the applicant for such permit of feea to the amount herein below set forth and in �he manner herein provided to-wit: �� 2.1. For aay such permit for the erection of any fire-proof building, other than a garage�, warehouse, factory or grain elevator, or for the erection of any fire-proof addition, for similar occupan,cy, to any existing building ehall be at the rate of $�,.40 fox� each one thousand cubic feet, or fraction �hereof, in such cubical contenta. 2.2. For any such permit for the erec�ion of.any fire-proof garage, warehouse, fac*ory or grain elevator, or for the erectfoa of any fire-proof addition, for sim3lar occupancy, to aay existing buildin� sh�ll be at the r�te o€ $1.25 for each one thousand cubic feet, ciassified as °1fireproof1t by Section 502. of the Minneapolia Building Code. . .. NOlJSES 2,3. For any auch permit for the erection of any non-fireproof building other than a garage, warehouse, factorq or grain elevator, or any non-fireproof ac�ditioa, for similar occupancy, to any existing building - permit $1.00 for each one thousaad cub3c feet. GARAGES 2.4. For any such permit for the erection o£ any noa-fireproof garage, warehouse, factory or grain elevator, o� for the erec�ion of any aon-f3.regraof addition, for similar occupancy, to aay existing building or for each auch building or addition - ninety cents ($0.90) for each one �housand cubic feet or f�cacCion thereof, in �he cubical contents thereo€ with a miaim� of $4.00. For the purpose of computting fees for building permits, the cubical contents of aro.y building or additiomm to a uniform height througliout by multiplying the ground area covered fram a point six (b),inches below the floor line of the basemeat or cellar to the average.heighC of the.upper surface or to the aeerage height of the roof surface of the main gable of a pftched rooiE. 2.5. For repairs or alterations to an exis�ing structure, the fee sha11 be at the rate of $3.00 per each Fiv� Hundred Dollara ($500.00) or fraction th�reof fn the cost of all proposetl work, 2.6. In no case ahall the fee charged for any permit as set forth in Section 2 be leas th�n $4.OU. �� , �� R_ � r_ �. .� �. ,' `�r�s � C�ra��y' ;' S��ag Qi�v�� ' ��pax�g t��a�� ' . a :� �% i �,. ✓ �� 9if � M��r�h 3'�„ i97� �: �a'�ffij��Yl� tf� �,`t3t18��'41��Ai1 �� a�� ii�'�"�D �,�.'�'� '�Q4�'t;. � ��' � , iaT� ��t,�s� � �t3�pl��a� c� �a ��$� �t� �r�z �p�[�y' C�+�C��t� �� o�r� ��±��,�,. '�i� �s„ �� 8�� ds� i��a��l � �i�� 1�� t� ��!�►��+� �'� �'�'�a� �� c'�x��,� �3�a� �� uuac ��►i' � �� c� �� t�, �� p�t �t� �r �.9?ti�� 1i,�� s�z� � �ta� Z� �,9►��, �nd ��"��eia� �� e� t�t� �+� �� . � �►�uz �c��g ^��I�� ta ��► i.� ��c►e�,��. ��±� i�.�� ,+��y� �� a��t��+�� .ai �+� �► ��.��, � �i�� s� �►� �►�� ra �� ►n� � �►a � �� ,��i t�, w� wc��:� �p��i�t� ��ng, �� g�o b�► �isch ��„ 3.�?t3� �� S�ii+��5►a� +�� L�B� �u�lc�� '��►� , �1 ,1 ` s `., � � � l .� �� ,� .. � ,< . 4�. �� City of Fridley, Minn. 6431 University Ave. N. E., Minn�a�lis, Minn. 55432 BUILDING PERMIT Date: October 24, 1972 pwner; _ Steve Szegda B��r _ Saame Addresa 2385�j,orizon Drive ]�T.F. Addreg$ GamP � �1759 � LOCATION OF BUILDING No. 5385 S�t �Horizon Drive N.E. . part of Lot Lot .._.. $ Block Addition or Sub-Divisian ._CB.rl,son�s Sttmmi Manor Nnvth Addition Corner Lot ..� .____ Tnside Lot Setback Sideyard Sewer IIevation _ .� Foundation IIevation �.__ DESCRIPTION OF BUILDING To � v�a �: Res i_de. Hot? s e ._ Front Depth Height Sq. Fi. Cu. Fi. ._... Front _ Depth Height Sq. Ft Cu. Ft. Type of Construction Aluminum ��, �� 1500 . 00 To be Completed 2 weeka Stipulation: Caulk butt ends of siding. Install drip caps over dooxs and windows. In consideration of the issuance to me of a permit to construct the building described above I agree to do the proposed work in accordance with the description above set forth and 3n compliance with a�ll proviafona oE 4rdinances oE the city of Fridley. i"7 , /� _ 1.00�tate In cansideration of the payment of a fee of $�� 0 , germit is hereby granted to �• Szegd& to construct the building or addition as described above. This permit 3s granted upoII the express condition that the person to whom it is granted and his agents, employees and workmen, 3a a11 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 bwlldiag8 �� city limits and this permit ma.y be revoked at any time upon viola.tion oi any of the pmvisions of 8aid � NOTICE: ffiis permit does dot eover the eonatruetion, inafallatioe fo� wfrfns, plum6ing, 8aa heating, sevver or wafar. Be su�s to sas t6e Building Inspeefor for aeparate permifs for theae items. � �P.P��TI�� R ��IUEN�i��, �,T�R,�TI��, Q� A�A�T�aN ��ILDTNG P�RNiTT C�T� QF ��T��s MINN��OT� � �� .��- _,.� �� :� �i_� ��' ��_ � � � �' � .�� :.� �;• - ?A�:� w� I �iS� �': $IACK i , �c' v RAA�T$OAT � � �, :� LUi': °�;��' T�OT,'s�s' +�7.'BAGK� � '�4'IDEY�iRD:� ��i�� t�c� ��+�t� Certi�icates of Sul'�T@Y o� �,�x at�d propee��d �,��a�$ �,aeati,ox� d� Qa t�ese Cextif�.catesa ��SCRIPTIQN OF �UILi1ING �a � i��s� ,� : � �-� D�th' $�i�t' Sc�us�e �'��; Cabi� �e�3 �'rc�� t Dep�h ; Hei�ht s �qua�� '�et; Cubic �eets �!� o� �o�sr,ruc�i.�; �,rr��s � �sti.�ated cos� s s e�.�(..�".,..� �� Q.C� �� '" -' ff- ae+qin� ° �a w nF's�if�i �fF 1' � w ��'a�d hereby �+e� ap�l�c�t.iv�t #or, $ pe�t €e►� tlt� w��k b�rei�ii �P��,�� a$�ee� t� da a��, i�t� ia stt�ct accordance witl� the G�t� p£ �tdi.�' ��,�C�s �d lCtt�,�s �Pg �e De�►ar�atea� Af Bu��di��, �i t�te=eby �� al� � �ACts � ��resenta�i.o�s stated � tbie ap�l�,catiara �a � aa�d �+rrec�., . ��4 ��eF�f�rriF-�+�Gi- 17 �blJLYli� i �� #�t� �o� A�d�(��aa�i In�a�atirja, j �'`"d S � ,� C f � � �� -'� � Q. . � � a .�, �` � , -au��N� ��xMZT F�� H�nu�E SF�T'�QN �w Th� TAepecto� pf $u�ldings s�a11, befax� �asuiag germit� for �he ��on o� a.ny building ax �tructure, ox for any addition to any �xist��g ��d� ox S�xitG�ure' o� fo� auy alteratio� o� �epairs to any exi�ti�g ��ai� ox stx�tcCuxe, upon �pp��ation the�ef�re, require the paanaent by �he �.�p�.i��t fQx' �uch p@r�it o� #�es �o the a�tonnt herein below set fAr�h �,�d ir� �� m��ar h�x�i� p�c�vided � to*wi� s U'�7CFQIZM �U�.LDTNG CODE� 7.j'Pe �s 2&�-$2•g5 �or each v�ae zhousa�rtd cubic �e��, p� f�action th�7ceu�. i,n au� cubical coatents. 1`ype 3& 5=$�e85 fo� e+�,c�i'a ons It,�ousand �xbi.c feet, • A�D i T�flI�tAL � NF1)�T I ON Fp� �t� pu�po�e af raaapu��.�� ees for building per�nits, the cubical contents oi �ay buildin� or additian, i$ det�xmined by �ltiply�.n� �he $rou�d area �aye��d, �'pm a� poia� +�� (�ij in�es below the flcavr line o� the basement � t�.►e C+��.�a� �o �I�e average lneights of the uppez surface or to the avera�� ,�� e �ov� �t�face a� Che uiaiA gab�e pf� a pi�ched xoo�, ��rres�air� o�r a1��rat�oms � an existin� srn�tia�ce, �e f�e shal� be �� he �a�� n� $3,� #+ex e�t�a. ��.ve hW�dred dollars ($�OQ.04) � �t�.an �he�r�of �.x� i�� a+�� +�� a7.3. prca�aed wox1�* ��+ca�e ss�a�l 1�� fee c�aq�d fo� �r pe�it as set fo� �.n Se�t�an 2 ba i� -�8u $5.�. w V�R.��dq,TiQN 0� ��UNAATION I�'�� $e�+t3.ts �Q� ��st�u��.om wil�. be l.��ued a �iu�tum a� �4 �c;urs ��a�t �he � o� �,p�2icatiar�, �c a��aw �ox Prage� review oi �he p�oposad a��uglaa�re �d �� e �struction aite. ' ��s��i� �i�y p� �h� 1.�►� ��$ t%� iocat�t of th� �aundati�� o�ac� 1� }t� ��s�t.�da wii1, �►a �equired before Aroceeding w��h �1� fr�3�, A Y ` C�1�T'Z�I�.A'�� t�F a��P�.N�Y A�li�t��a �cs� a G��i�3.�tt�ee o� Oaeupaacy ahall bs �nade► t�u i14) d�3r� p��,ox �o �,� �tse c�7r c�c�up��r o� ��ict�are �a►x which a bu�.ldin�q pesa�iC haa bsen issu8+�; �uc{ ��3.d �t�� h�l� �ot b� u�e8 a� occup�ed uat�.l a C��t�.f�.cate of t'1��upa��y har� beext ��auesg. �. h ^ '2 � � � � � z � o ro � � t%1 � �y � '.� y � � � � � � � H fA � � � 0 r N � � 0 H � � � G� � \ '. ` , � � � \ ,r � � ` r =� � :� � w 4 , ;� ,_ a . � � z � ro � �� r ro o �O o �..� °z � r��"� �' �' ° ►� z�z ay cn cn e �� x c� � o w od 00 a'�'z° y e� c � � $' ►-� H H t7 � � r '"3 � � m � �t �t zzzy m�rtz �� c°�i� �oo�+ C/� C� G] 1--I �ro, W G� �0 I �' 1 �' ��' 'c+�' ,.cn� ,.cn� M � � ,� � � r" � � a. 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N � , 0 z � m � � � m D --1 M O Z a z t7 c� � 0 T T � d r � May 1, 1985 TO WHOM IT MAY CONCERN: This is to inform you that we, Thomas K. Forsythe (Husband) and Mary Forsythe (Wife), the owners and residents of 5397 Horizon Drive NE, Fridley, MN in Anoka County, agree to the request of Stephen Szegda (Husband) and Grace W. Szegda (Wife), the owners and residents of 5385 Horizon Drive NE, Fridley, MN in Anoka County, that they be allowed to construct a driveway apron on the North side of their property. We understand and agree that said driveway apron will be approximately three (3) inches South of the South property line of 5397 Horizon Drive NE (which is three (3) inches South of the North property line of 5385 Horizon Drive NE). Thomas K. Forsythe Husba d) 5397 Horizon Drive NE Fridley, MN 55421 Mar Fo sythe (Wife 5397 H rizon Drive NE Fridley, MN 55421 a SUBJECT NE . _ c�ty of Fridley 18 4 3 6 AT THE TOP OF THE TWINS g U I L D I N G P E R M I T r � � ECEIPT NO. � `L _�__� COMMUNITY DEVELOPMENT DIV. r � �� PROTECTIVE INSPECTION SEC. � � i � l_-•-� � ��,'J CITY HALL FRIDLE� SS4$2 NUMBER REV. DATE PAGE OF APPROVED BY L 612-571-3450 910-Ft 5 5/21/86 � � J08 ADDRESS 5385 Horizon Drive N.E. 1 LEGAL ��T NO. BLOCK TRACT OR ADDITION SEEATTACHED DESCR. $ 6 Carlson's Simunit Manor North Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS 2tP PHONE 5teven Szeg.da 5385 Horizon Drive N.E. 572-9591 3 CONTRACTOR MAIL ADDRESS 21P PHONE LICENSE NO. Milton L. 3ohnson Co. 2513 Central Avenue N.E., Mpls. 55418 781-9548 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER 8 USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW 8 DESCRIBE WORK Reroo� Dwelling 9 CHANGE OF USE FROM STI PU LATION S MAII ❑ ADDITION � ALTERATION TO Z�P PHONE LICENSE NO. ❑ REPAIR ❑ MOVE ❑ REMOVE Roof can be 2nd layer but not 3rd. Install ridged galvanized valleys. SEPARATE PEflMITS ARE RE�UIRED FOR ELECTRICAL, PLUMBING, HEATING, ''`` v' vv�•�•. VENTILATING OR AIR CONDITIONING. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTqUCTION ZONING AUTHOFi12ED IS NOT COMMENCED WITHIN 80 DAYS, OR IF CONSTRUCTION OR WOHK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT ANY TIME AFTEFi WORK IS COMMENCED. NO. DWLG. UNITS I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION �. AND KNOW THE SAME TO BE TRUE AND CORRECT. A�L PqOVISIONS OF LAWS VALUATION AND.ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT S2�OOO DOES NOT PRESUME TO GIVE AUTHOIiITY TO VIOLATE OR CANCEL THE pERMIT FEE PROVISIONS Of ANY OTHER STATE OR LOCAL LAW R GULATING CON- STRUCTION OR THE P MANCE OF CONSTRUCTIO . $32. r'JO y � PLAN CHECK FEE i �, IGNATUF OF CO TRAC OR OR AUTHORIZED AGENT �DATEI WHEN PRI _ SIGNATUFE OF OWNER�IF OWNEP BUILDERi IDATE� o� n� �..ce STALLS NCYGROUP �OCCUPANCYLOAD CU. FT. 'REET PARKING GARAGES 4X $�.,. �� HARGE / � M � / � I \ / rOTALFEE $33.50 Y�ALIDATED THIS IS YOUR '^-'1 i // �r�;w I l �'� ADDN. [ � /' pLTER. I � i Construction Address City of Fridley Effective 4/1/84 R-1 AND R-2 . Building Permit Application ~ � � G ,� 3 � s - � ; ZB �, �2 . Legal Description: Property OWne /Address: �� % `� � � � ��r T � Tel. # ��°� �s �� c � � � Contractor: � �- � -`%��f�-fd ni /?Z,��+i � � Tel. � % d � �`�� Address: °�� LI9ING AREA: GARAGE AREA: DECK AREA: OTHER: Attaeh to this application, a Certifieate of Survey of the lot, with the proposed construction drawn on it to scale. Length Length Length DESCRIPTION OF II�iPR09EMENT Width Height Sq. Ft. Width Height Sq. Ft. Width Hgt/Ground Sq. Ft. � Corner Lot [] Inside Lot [] Ft. Yd. Setback Side Yard Setbaek � Type of Construction: � � � � �� Estimated Cost: $ �� • Approx. Completion Date: �' � Alt. A Alt B Proposed Driveway Width If New Opening Is Desired: $ $ See Back Page for Explanation DATE: � � G Permit Fee Plan Check State Surcharge SAC Charge Park Fee SeWer Main Charge TOTAL STIPULATIONS: APPLICANT• Tel. � � �� `� b CITY IISE ONL � �a- �� Fee Schedule on Reverse Side � 25� of Building Permit Fee $ � 6 U $.50/$1,000 Valuation $ $425 per SAC Unit $ Fee Determined by Engineering $ �3 S� Agreement Necessary [] Not Necessary [] � � t .� / 1� �/ � , \ , 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 structure, or for any alteration or repair to any existing building or structure, upon application therefore, require the payment by the applicant for sueh permit of fees to the amount herein beloW set forth and in the manner herein provided to-Wit: Total 9aluation �1.00 to �500.00 $501.00 to $2,000.00 Feea $10.00 (Minimum Fee is a15.00) $10.00 for the first $500 plus $1.50 for each additional �100 or fraction 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 fraetion thereof, to and including $25,000. $25,001.00 to $50,000.00 $170.50 for the first $25,000 plus $4.50 for each additional $1,000 or fraction thereof, to and including $50,000. $50,001.00 to $100,000.00 $283.00 for the first $50,000 plus $3.00 for each additional $1,000 or fraetion thereof, to and ineluding $100,000. $100,001.00 and up $433.00 for the first $100,000 plus $2.50 for each additional $1�000 or fraction thereof. DRIVEIiAY DEPRESSION ESCROY (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 approaeh With 6 ineh 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 strueture and of the construetion site. A CertiPicate of Survey of the lot, showing the location of the foundation onee it has been constructed will be required before proceeding with the framing. ,1 - : ..-� SUBJECT PE City of Fridley 2 214 9 AT THE TOP OF THE TWINS g U I L D I N G P E R M I T t i � ��` _��__ COMMUNITY OEVELOPMENT DIV. �r ( A� 1 • � r � L � PROTEC7IVE INSPECTION SEC. � � _ � � /"'1 � CITY HALL FHIOLEV 55432 NUMBER pEV. DATE PAGE OF APPROVED BV �'""'� � ,'� 612-571-3450 810-F15 9/30/93 � � J08 ADORESS 5385 Horizon Drive NE t LEGAL LOT NO. BLOCK TRACT OF ADDITION SEE ATTACHED DESCR. $ 6 Carlson�s Summit Manor North SHEET 2 PROPERTY OWNER MAIL ADDRESS 21P PHONE Stephen/Grace Szegda 5385 Horizon Drive NE 572-9591 3 CONTRACTOR MAIL ADDRESS ZIP PHONE UCENSE NO. Patio Enclosures Tnc. 5120 Cedar Lake Rd, St Louis Pa�k 55416 525-1494 1676 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAtLADDHESS ZIP PHONE LICENSENO. 8 USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW � ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE O REMOVE 8 DESCRIBE WORK Construct a 12'� x 14� Three Season k�orch_ Addition 9 CHANGEOPUSEFROM TO STIPULATIONS �e notations on plan. � �� YL �efiore di�gin� r.all far all utility lacations 454-0002 REQUIRED BY LAW TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD SEPARATE PERMITS ARE REOUIRED FOR ELECTRICAL, PLUMBING, HEATING, VENTILATING OR AIR CONDITIONING. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING SQ. FT. CU. FT. AUTHORI2ED 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 OFFSTREET PARKING I HEREBY CERTIFY THAT I HAVE READ ANO 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 WIIL BE COMPLIEO �•1Q �83 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT � $S. 49 DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE pERMITFEE SACCHARGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW FEGULATING CON- STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. 5126.00 Fire SC y�lO.9S ! PLAN CHECKFEE TOTA�FEE �_G�°�iL��'�� . I'� L�,cense SC $5.Q0 $147.47 SIGNATURE OF CONTR CTOR OR AUTMORIZED AGENT IDATEi � WHEN P PER ALIDATED THIS IS VOUR PERMIT r�� 1� SiGNATUREOFOWNER��fOWNERBUILDERi �DATE�! g� i p qpTE �,, .� 0 NEW � � . Effective 1/1/92 � ADDN ( � CITY OF FRIDLEY , ��,� ,�r, P AL.TER (] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 (� �,� _�� Building Peamit Applicadon ��3� `� -�t , , �� V �p��p� ��; 5385 Horizon Drive Legal Description: Owmer Name & Address: Stephen and Grace 9zegda (SAME A5 ABOVE) Tel. # 572-9591 Cpntractor; PATIO IIVC[ASURES INC MN LICENSE � 001676 Address: 5T20 Cedar Lake Road, St: Louis Park, 1�T 55416 Te1. �/ 525-1494 �o �cl-� GARAGE AytEA: DECK AREA: OTHER: Attach to t6is application, a C�rtificat� of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF IMPROVEMENT Length 12 Width 14 Height Length Width Height Length Width Hgt/Cnound Corner I.ot [] Inside Lot [] Ft. Yd Setback Type flf Construction: PATIO IIVQASURE Approx. Completion DSte; 10/30/93 nriY��ay c� cut w , �� : 8/25/93 , � �� . __ . �� sq. Ft. /6 8' Sq. Ft. Sq. Ft. 0 _ Side Yard Setbacks � �� Ca�; $ 10, 983. 00 Ne�ded: Ft. + 6 Ft = Ft x$ 'PLICANT: � Q1'Y USE ONLY Permit Fee $ �� . Uf2 Fire Surcharge $ /b - 9f� State Surcharge $ �. ��9 �Cf��1�� • C�l� Driveway Esctow $ Park Fee $ Sewer Main Charge $ TOTAL STiPULATIONS: $ l�'7, �`7 (Cat m B�rt) _$ Tel. g 525-1494 Fee �hedaile � 8everse 3i�e .001 of Permit Valuation (1/lOth�b) $.50/$1,000 Valuation $700 per SAC Unit Alt. "A ° or Alt. "B" Above Fee Deter�mined by Eagineering Agreement Na�essary [ ] Not Necessary [ ] . BUII.DING PERMIT FEE SCHEDULE The Chief Building Official shall, before issuing permit� for the e�ection of any building or structure, or for anry addition to any existing bnilding or structure, or for any alteration or repair t4 any exisGing building or structure, upon application therefore, require die 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 �"1,000 $2,001 to $25,000 $25,001 to $50,000 $50,001 to $100,000 $100,001 to $500,000 $500,001 to $1,0�,000 $1,OOU,001 and up Alternate "A" : �� pB�: FEES $15 (Minimum Fee is $15 plus surcharge) $15 for first $500 plus $2 for each additioaal_ $100 or fraction thereof, to and including 52,000 �45 for first $2,000 plus $9 for each additional $1,000 �r �ira�tian t�ereof, � dnd inclr�d'ang S25,OOD $252 for first $25,000 plus $6.50 for each additional $1,000 or fraction thereof, to and including $50,000 $414.50 for first $50,000 plus 54.50 for each additional $1,000 or fraction thereof, to and including $100,000 $639.50 for 5rst $100,000 plus $3.50 fo� each additional $1,000 or fiaction thereof, to and including $500,000 $2039.50 for the first $500,000 plus $3 for each addi6onal $1,000 or fraction ther�f, to and including $1,000,000 $3539.50 for the first $1,000,000 plus $2 for �ch additional $1,000 or fiaction thereof DRIVEWAY DEPRESSION ESCROW (Concrete Curfi� Streets Only) Removal and replacement of curb and gutter only - Driveway width plus 6 feet times �.}�- / �/ U � 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 const�uction will 1� issued a nninimum of 24 hours from the time of application to allow for proper review of the propos�d 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 consavcted will be required before proceeding with the framiwg. . � � 0 � , NO2i20►I 02. �`,�A'.p��1�Y 7L�Y�6� Ip�4{/ N � � sz��oc► . 5385 NO2lZ0�1 02. B t SUBJECT P Q City of Fridley ,� AT THE TOP OP THE TWINS g U I L D I N G P E R M I T P�� r �� RECEIPT NO. � ; y _..___ COMMUNITY DEVELOPMENT OIV r � � PROTECTIVE INSPECTION SEC. I�� i � i ' � /'��1 � CITY HALL FRIDIE� 55432 NUMBER REV DA�E PAGE OF APPRpVED BY �"""'� � �'' 612-571-3450 910-F15 4/22/96 / / JOB ADDRESS 5385 Horizon Drive NE t LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED oesca. g 6 Carlson's Summit Manor North Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Michael Cloutier PO 20362, Bloomin ton MN 55420 280-0946 3 CONTRACTOR MAIL ADDRESS Z�P PHONE LICENSE NO. Same 4 ARCHITECT OR DESIGNER MAIL ADORESS ZIP PHONE LICENSE NO. 5 ENGINEER MAIL ADDRESS ZIP pHONE LICENSE NO. 6 USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW ❑ ADDI710N 17 ALTERATION ❑ REPAIR O MOVE O REMOVE % 8 DESCRIBE WORK Interior alterations• add o en stairwa to basement; tear off paneling and reinsulate walls and new sheetrock 9 CHANGE OF USE FROM TO STIPULATIONS See notations on plan. SEPARATE PERMITS ARE REQUIRED FOR ELECTHICAL, PLUMBING, HEATING, TYPE OF CONST. OCCUPANCV GROUP OCCUPANCV LOAD VENTILATING OR AIF CONDITIONING. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING S�. FT CU. FT. AUTHORIZED IS NOT COMMENCED WITHIN BO 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 CERTIFV THAT I HAVE READ AND EXAMINED THIS APPLICATION 1 STALLS GARAGES AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS yALUATION SURTAX AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL 8E COMPLIED $3�000 �I.SO WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOIATE OR CANCEL THE pEHM1T FEE SAC CHARGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. �74.75 Fire SC $3.00 PLAN CHECK FEE L FEE $79.25 A7UAE CO � Oa A HOFi nGErvr IDATEi pR �Y VA D THIS IS VOU PEFMIT c / � . L 2 (� � " �, . .. GNATURE F pW iiF O IL ERi 1 ATEi G�NS bFTE r�w ADDN ALTER [] [] [l ConstructionAddress: CITY OF FRIDLEY SINGLE FAMILY AND DUPLEXES R 1 AND R-2 Building Permit Application �� r l��I�/ 2 �� Legal Description: G- � 7' � � l- fC � `� � i Effective�/ 1196 . �� ' �'� g� � . D �, �,�� . � �� ' �! �' /J� o N � Gt �'l /t i' ?(M �=I-w o �- �v � V'� A- �i � . Owner Name & Address: /�/��t Q� � V ` �L � /'i(�, � t° �- Tel. # �O � ^�� 6 Contractor: � � bl/� � MN LICENSE # Address: LIVING AREA: GARAGE AREA: DECK AREA: Tel. # 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 IltRPROVEMENT Width Height Sq. Ft. Width Height Sq. Ft. Width HgtlGround Sq. Ft. OTHER: -y�-�p-trl- __� --- ��'�` e�P �d' �1° �-ft�----- /� ��1 ` �a= ,/��.`� ('.r�G Z�,�f�� t� r� �C' .f� �° /,e.J� c�- C ��-�7e�-�C .e,`.� i?� G e� u-��-�-5 � Corner Lot {] Inside Lot � Ft. Yd Setback Side Yard Setbacks Type of Construction: �e ,v� o p � � Estimated Cost: $ �3 0 � � ° � Approx. Completion Date: � - / �' — �T � (Cost on Back) k° $ _ $ Driveway Curb Cut Width Needed: ' Ft. + 6 � DATE: 2� % APPLICANT: � Tel. # 2�0 - B 9' y 6 Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee Sewer Main Charge TOTAL � �� s� � �. c�o $ /, ��' $ $ $ $ $ $ � i �, � CITY USE ONLY Fee Schedule on Reverse Side .001 of Permit Valuation (1/lOth%) $.50/$1,0� Valuation $9� 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: � BLJILDING PERMIT FEE SCHEDULE The Chief Building Official shall, before issuing permits for the ere�tion 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 gayment 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 $25,000 $25,001 to $50,000 $50,001 to $100,000 $140,001 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 $5� plus $2.75 for each additional $100 or fraction thereof, to and including $2,(�0 $62.25 for first $2,000 plus $12.50 for each additional$1,000 or fraction thereof, to aad including $25,0� $349.75 for first $25,000 plus $9.00 for each additional $1,000 or fraction thereof, to and including $50,0� $574.75 for first $50,0{� plus $6.25 for each additional $1,000 or fraction thereof, to and including $100,000 $887.25 for first. $1�,000 plus $5.� for each additional $1,D00 or fraetion thereof, to and including $500,000 $2887.25 for the first $500,� plus $4.25 for each additional $1,OQ0 or fraction thereof, to and including $1,000,000 '' $5012.25 for the first $1,Q00,�0 plus $2.�5 for each addirional $1,000 or fraction thereof DRIVEWAY DEPRESSION ESCROW (Concrete Cbrb Streets Only) Alternate "A": Removal and replacement of curb and gutter only - Driveway width plus 6 feet times $13.50. Altemate "B °: Removal and replacement of curb and gutter aad install a 3 foot wide _ approach with 6 inch depth - Driveway width plus 6 fe�t times $15.75. � VERIFICATION OF FOUNDATION Permits for consiruction will be issued a minimum of 24 hours from the 'Ume of application to allow for proper review of the proposed structure and of the construction site. A Certificate of Survey of the lot, showing the location of the foundation once it has it has been constructed will be required before proceeding with the framing. :.� � � � 0 N Q \ � � M � � � � ! � � �� s � � � � �,/ �..e. �. �,y�°' r" _ � r` ��1 � � � � _._. _. � � �3 � L r � s � o Z � L �� .r •� d` � C � D . �� ` �� O _` � � J� � � �• � p, � �e � � � � �1�� ` .��- � �� _ � �� , � o .� �� .`� (aj � f �� - r� �� . � v , � � � > 'J` Z 4 � �s � � � � � A � v �, J � � o� QC � . V � � ¢ � _L � M I � sS , v � a � o �°. 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A1 �. � � � c _ m m m' Q � m � � � 0 0 D (n v 'a � C � Z m v 0° n- � z : � .� D n O � � � -�G � 0 G cn s 1 � v � m � S m v � m �. _ � v -� m r Z 0 � G.� � ti ��, � �, � �� a� � v c � � z. � � � � m � � °Illi�llllll��° � � � � � � � � � � � � � O O O y O V V V V Ul A V � 0 0 0 0 0 0 0 0 0 0 0 0' m 0 0 0 0 0 0 0 0 0 0 0 0 (� O � '`e m � 3 m m a Q O � '. � Q c � a I 'v -o m � � � z O � � �� a 5 � c � m a � 0 � 0 � 3 � � q � � \ � � � � � � � � � � > > � O a a m m � O _� � _ � D m ' a m °v • m �' m � . m .�i �. m � iA � 3 � � tn o m � �- � � �»° ? U` � o m m °' °- v� W .. � o .� Q m a► �_v�� 3 y � � � � o � pt ID ? � 'o � � � � � o a �, � Q'• � m o � o m o � � � m a -. � � °.O � m a � �, � � m � v c o c� � �� m �, m n► m � � � �- � � o � s � 1 � � � m s � � p m � � � � � - 0 ��m ��, m � ,,�,;� � D � � z C � � m � 0 � � x � � n � � � � n Z n � D n � � � n � � C n ) ) D City of Fridley AT TNE TOP Of THE TWINS i � � � � ; � __��_ COMMUNITY OE�ELOPMENT DIV. r � � PROTECTIVE INSPECTION SEC. i = . � �"'� � CITY HALI FRIOLEY SS132 N� �""� � �'� 612-571-3450 108 ADDRESS 5385 Horizon Drive NE t LEGAL L07 NO. 9LOCK TFiACT OF DESCR. 8 6 Carl 2 PROPERTY OWNER MAIL ADOR�S$ Michael Cloutier 5385 florizo 3 CONTqACTOR MAIL ADDRESS Town & Country Roofin� 7910 12 a ARCHITECT OR DESIGNER MAIL ADORESS 5 ENGINEER MAILADDRESS 8 USE OF BUILOING Residen 7 CLASS OF WORK 8 DESCRIBE WOFiK Reroof 9 CHAN(3E OF USE FiiOM STIPULATIONS I.ICG! BU ILDING PERMIT iBEii NEV DATfi PAGE OF 9iaF�s 3/25/99 / / .� . .. Br ""^ SEE ATTACMED �s Summit Manor North Addition SNEET 21P PHONE rive NE 618-1122 2�P PFIONE LICENSE NO S. Bloomin�ton, MN 55425 854-9365 ZIP PMONE LICENSE NO. 20091282 ZIP PMONE LICENSE NO ❑ NEW ❑ ADDITION � ALTERATION � REPAIR O MOVE ❑ FiEMOVE rs (6 TO Underlayment must comply with the State Building Code. CONSTRUCTION WORK HOURS: 7:00 am to 9:00 pm, Monday thru Friday; 9:00 am to 9:00 pm on Saturday; No work on Sunday. TYPE OF CONST. SEPAqATE PERMI7S ARE REOUIREO fOR ELECTRICAL, PLUMBING, FIEATINCa, VENTILATING OR AIR CONOITIONING THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION 20NING AUTHORIZED IS NOT COMMENCED V�IITHIN 80 DAYS, OR IF CONSTqUCTION OR WORK IS SUSPENDED OR ABANDONED fOR A PERIOD OF 120 DAYS AT � ANY TIME Af7ER WOqK IS COMMENCED. NO- DWLG. UNITS I HEREBY CERTIFV TNAT I HAYE REAO AND EXAMIN�O THIS APP�ICATION 1 ANO KNOW THE SAME TO BE TAUE AND CORRECT. ALl PROVISIONS OF �AW$ VALUATION AND OFOINANCES GOVERNING TMIS TYPE OF WORK WILL BE COMPLIEO WITM WHETMER SPECIFIED MEREIN Oii NOT. TME GRANTING Of A PERMIT $514 DOES NOT PRESUME TO GIVE AUTMORITY TO VIOLATE OFi CAMCEL THE pERMIT FEE PROVISIONS OF ANY OTMER STATE OR IOGAL LAW REGULA7ING CON• STRUCTION OR TME P RfOR OF ONSTNUC ON �23.75 ' � PLAN CMECK FEE � �`,S Lice S�GNATUpEOFCON ACTOpOR4UTMppIjEOOGENt . �O� � EN R( S�GNnTUAE O� OWNEA�� OWNEA BU�LOEp� �O�iE� . �pgp ; FT STA�LS C $5. P OCCUPANCVIOAD CU FT. STflEET PARKING IGnRAGES $.50 �C CMARGE ir SC $.51 iT L EE $29.76 ,MIS I�OUR D,�F1�` -.�L Mar-19-99 11s22A P.03 N� [ l �ffective 1/1/98 ADDN [ ] CITX OF FRIDLEY ALTER [] SINGLE FAMII,Y AND DUPLEXES R-1 AND R-2 BUiLD�NG PERMIT � APPL1CaTioN ��9 '� p� ..� ,f�,��/� f h � �� CO[1SLIliCtlO�id�SS; �� O � / / V 1 1 !�J I�i 1JU ! (� 'J � Legal Description: �-t,� � Q�� (4� � d`� U� — 19 f'1'1 � Owner Name & Address: i O �,c.� � C�Y' Tel. �., /�" /��, Concractor�c> c� � O�'`i MN LICENSE � 02 O�) �j /p2. 8�02� Address: � � / 4 � �,S : � > >r-, � Te�. � �.5�— 93�5"r Attach to this application, a CeRificatc of Su vey of the lot, with the proposed construction drawn on it to scale. LIVING AREA: GAI2AGE AREA: DECK AREA: OTHER: DESCRIPTION OF IMPROVEMENT Length Width Height , Sq. Ft. Leng�h Width Height Sq. Ft. Length Width Hg[/Ground Sq. Ft. � � Conswction Type: ��`�; �� Estimated Cos[: $ �/ � (Fee Schedul on Back) Driveway Gtirb G�t Width Needed: Ft. + 6 Ft = Ft x$ —$ � C —� �: DATE: �'� APPLICANT: �, , . � _ � . .. �,. _. Tel. � .� �S' �.._� �nS Permit Fee Fire Sut�charge Stace Sur+charge SAC Charge Lic�nse Surcharge Driveway Fscrow Erosion Control Park Fee Sewer Main Charge TOTAL STIPULATIONS: $ .7� $ �.� $ ., sv $ $ ��D $ $ 3 $ � - ?G CITY iJSE ONLY Fee Schedule on Reverse Side .001 of Permit Valuation (1/lOth%) $.SO/$1,000 Valuation $1000 ger SAC Unit $5.00 (State Licensed Residential Concraccors) Alt. "A" or Alt. "B" Above $450.00 Conservation Plan Review Fee Determined by Engineering Agreement Necessary [� Not Necessary [ j ��_ � � D m � � � O �i m � � o � a� o � � -a � � -� a -°a � m Q' a� � � � m Q 0 � � . � m Z v n O z m � 3 � � -� C m fl � c � i c � b I � f i � � � C N 3 � �� O A � � � �D a o � � �. �� - id 0 0 � z � O � � � � C r c 3 � m � m m � D o Q o � C � c�D � o � D� v f� �� o =~ -, o o `� � � � Z a 3 �F n 0 � Q 7 � i D � � �A V � A�i •N D, = N � � � � � a v �o v � �o � m � � �Q,, � � � � � � W � � � . L�'� � � � � � � � � o a � ?. a �a?!�v �O � A � " 3 � �i° `D ° co � o �' � �� m -• I � � � � j J j � 8 V � V � � � � � � � � � � � � - � �° . � � Q m � � _ � v_� m 0 v � ��,o m � — �o .� N � m � C N , .� � f� m � � o � � � � � a c� �° o � � Z Q. � � � ,� � �� - � as �• � � � � v 0 �--I � � 0 � m � � � Z � �^v �\•�- . V � 6 � c m � � � � � O � � � � � �'. :�: ':� ' � � 2 rn c � ��.�� N � � � O' � O � � �+: ? (� N � � m N _' � fl. �, n:� � Q (fl � m • v o � r. z m � �; in — ayi ? o m� --°a_�'�:a�i �.a5v -o o � � � � m �. a � 0 `D °- o 0 � � � � � i � �' � � � m � � � � � n ¢Sj �. �' O.+ ? ,..�, �� T n m � � o , ��'� Q. V! m � _ � i.1� 0 � g � m � � �1 � , tP' 'll � (7 V' �. � � N: Q � :c ° C O �Z�•� � �� < N � zZ rn N m ,� � vZ v S � � z � � � C "a m 7� O Z � �. Z � Z � v" �� z� v �o z� z -� �Z �g � � N C z � � v t� �� m� � O z A � �..z *'^:r �� 0 � � � w Z ,_ -► W CHIlVINEY AND STACK VERIFICATION The undersigned hereby verifies that the e�cisting chimney or stack: , 1. Has been carefully examined � Yes (� No () 2. Is free from rust or deterioration Yes (� No () 3. Has no foreign ob,�ects. lodged within Yes (�No () 4. Is securely supported Yes (`� No (. ) 5. Meets all current Code require�nents for size and total BTU's connected 6 Has total heating B�'iJ's of [��, G� L� Ail other BTU's � � DUD TOTAL BTU's � , �� 7. Has a liner been provided for water heater � 8. Has combustion air been provided for water heater Remarks: _ Yes ('"� No ( ) Yes ( ) No (� Yes' ( ) No ('�' , ... " . . { � � List ALTERATIONS Bein� Done• HEATING CO: Signed By: Date: � �� — / �i %� _ _ . . _ ; _ � _ . �� .—_.,� �,- _ _.. _�,. _— _ ti,. - . _ _ . � - HOUSE HEATING TEST RECORD , � � ^ .�- � .. c ' AY.n .��`°�'�� `� � �,� �` � . ADDRES� � e--s �� . -�+� ,p � ��=�''t `'<�A .,� �i�" �..!� APT. FLOOR .CITY SUBURB �r" .= OCCUPANT � OWNER °��'� �� a �S ,p �� t�ds�,,� . �'" �_ �_"v�^, t ,�°'�`'� HEAT. LOSS � ry DI�ZE NT,C I)WST ��' r°" � ,`�'!�,Ii✓'t)N'��d9b'`� a.o�Q�f�:.1��s%�ITrT � �6�*i�] .�-6-- .;� SOLD BY dj INSTALLED Bl� ��' =- . Elschical Work By '``��' �� Gaa Lins By — - ..,-.. i , TYPE OF HEAT GA FA r'=._HW STEAM SPACE HTR. UNIT HTR. OTHER �--- � � GAS DESiGN CONVERSION MAKE °`>�`2C-'� �``�� MAKE OF BURNER ModeF ��s G`� /I`=' �f� �" t��! ° Model 6 P� N°�6 �" ` m��"`� r� Serial � ��'�-�' � ��? �-- ��`'� �°� Max. BTU Roting 'INPUT • �'-��'�,��`F?�'�� - �'� MAKE OF FURNACE �.,r� Model /�� . CONTROLS � ( ` ,,,- 1 THERJrIOST�AT ' ' �.�� Heat Plug Vsnt Size '� � �g ��°' Valra ��'�'°'=-°-'— KIND OF LINER �'� ��' �' SIZE�_NONE Limit � ,d � ��' � Droh Hood �p �!�-�;-�� °' ,��' Reyularo► —d ��'�" Limit S�ttin ��" � Fi Iters S�se f`'r �✓` �`�T�'� pdumbsr � 9 �_ r��L� a� ., �--' Fort Setting r � �, Chimney Loeation Insids � Outside PilofT + �� .-� ��'� y �_ �`` a', �, o ype Chimne Construetion Pilot Make �'--�'`�=`�'�°`t�.. � '(� Pilot Model r'af� "�-' Smoke Bomb �°" Wiring �'� `�' Pilot Timing �^-�--�� - Draft "� Test Tap �- L:W. Cut Off �`� `�-"� Door Prossuro �' Lightiny Inst. �-°° d' � .�' f Y�F�- �� .;�� a��-tl ' ,,,. Prossure �°"' Percent COZ �' Rate Tested �- � Input CFH rti,�. ^.'�'�=� Percent 02 Company Testing � '� +;�-��'�_,+-�-��'°y :'' . ''� , 5tack Temp. � &'� %.�%—Percent CO '�� Nome of Tsate► �4'�• %, �- :�� , .•-�- , 0 � Form 235 �'� �. �,;x�; ,�.. � � CITYOF FRIDLEY � FRIDLEY MUNICIPAL CENTER • 6431 UNIVERSITY AVE. N.E. FRIDLEY, MN 55432 •(763) 571-3450 • FAX (763) 571-1287 March 16, 2001 Richard Greenwald 5385 Horizon Drive NE Fridley, MN 55421 Re: Final Inspection at 5385 Horizon Drive NE Contractor: Anderson Heating & Air Cond. Dear Mr. Greenwald: A mechanical permit was issued on December 20, 1999 for the installation of a furnace and air conditioner at your address. According to Section 305(a) of the 1991 Uniform Mechanical Code, a final inspection shall be perFormed on the mechanical permit. As of this date no inspection has been called for. The permit fee that was paid covers the inspector's time to check to make sure the appliances were installed correctly. We also need to check for the installation of combustion air, vent and connector sizing. If you would like the installation inspected, please contact us within 30 days to arrange the inspection. If we do not hear from you we will expire the permit and note that no inspection were called for. Any questions can be addressed to myself at (763) 572-3603. Sincerely, DAVE ENSEN Buildi Inspector DJ/mh < � ADDRESS PIN LEGAL DESC PERNIIT TYPE PROPERTY TYPE CONSTRUCTION TYPE CITY OF FRIDLEY 6431 UNIVERSITY AVENUE NE FRIDLEY, MN 55432 ►63) 572-3604 FAX: (7631571-1287 : 5385 HORIZON DR NE : 233024330060 : CARLSONS SUMNIIT MAN NO ADD : LOT 8 BLOCK 6 : BUII.,DING : RESIDENTIAL : ROOFING �2� �3 - - � -�,rr PERMTIYNO.: 2004-00568 � � �''��___ _ _ _ --��` DATE ISSUED: 04/22/2004 VALUATION : $ 1,043.00 NOTE: UNDERLAYMENT AS PER STATE BUII..DING CODE. REROOF HOUSE (12 SQS) 2ND LAYER APPLICANT GREENWALDT RICHARD A & ANNETTE 5385 HORIZON DR NE FRIDLEY, MN 55421 OWNER GREENWALDT RICHARD A & ANNETTE 5385 HOR�ZON DR NE FRIDLEY, MN 55421 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 after 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 wor� will be complied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any other state or local law regulating�onstructitQn Qr the perf�mance of construcrion. Bldg Insp BUII..DING PERNIIT FEE FIItE SURCHARGE STATE SURCHARGE, VALUE TOTAL PAID WITH CHECK # 8623 SEPARATE PERMITS REQUIl�ED FOI� WORK OTI�R THAN DESCRIBED ABOVE. 41.80 1.04 0.52 43.36 NEW [] CITY OF FRIDLEY Effective 4/1/2004 ADDN [] 6431 University Ave NE, Fridley, MN 55432 (763) 572-3604 Bidg Insp ALTER [] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 (763) 571-1287 Fax BUILDING PERMIT APPLICATION ��D�f -�� Construction Address: � 3� 5 �� i t�C� i� (,� ('' l� E, � ��,� `�� Legal Description: Owner Name � Address: �iG �r� G Y�e.n,��' �3�5 Efa�� Ot'. +�� e.� Contractor. MN LICENSE # Address: Tel. # LMNG AREA: GARAGE AREA: DECK AREA: OTHER: Attach to this application, a Certificate of Survey of the lot, with the proposed c�nstruction drawn on it to scale. DESCRIPTION OF IMPROVEMENT Length Width Height Sq. Ft Length Width Height Sq. Ft Ft Construction Type: �' ��-��p -f I`�( � Estimated Cost: $_T S/ 3 t�� Driveway Curb Cut Width Needed: Ft. + 6 Ft =� Ft x$ _$ DATE: — �, - APPLICANT: - „ ` r Tel. # °�/� '� 1 � � '�j� Call (763) 572�604 for Permit Fees ff 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 Sevver Main Charge � ' .�� $ $ . p�/ � .sa $ $ $ $ $ $ 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 [ ] TOTAL $ _ " I J , � � STIPULATIONS: BUII.DING PERMIT FEE SCHEDULE 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 applica.tion 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 $25,0� $25,001 to $50,� $50,�1 to $100,000 $100,001 to $500,000 $500,�1 to $1,�0,000 $1,�,001 and up �� $23.50 $23 .50 for first $500 plus $3 .OS for each additional$100 or fraction thereof, to and including $2,0� $69.25 for first $2,0� plus $14.00 for each additional$1,000 or fraction thereof, to and includi.ng $25,000 $391.25 for first $25,000 plus $10.10 for ea.ch additional $1,000 or fraction thereof, to and including $50,000 $643.75 for first $50,000 plus $7.00 for each additional $1,(�0 or fraction thereof, to and including $100,000 $993.75 for first $100,0� 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�,000 $5,608.75 for the first $1,(�0,(�0 plus $3.15 for each addirional $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 minimum of 24 hours from the time of applica.tion 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 proceeding with the framing. New Houses Onlv NEW [] ADDN [] ALTER [ ] Construction Address: Legal Description: CITY OF FRIDLEY 6431 Universityr Ave NE, Fridley, MN 55432 SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION �� n I d ��-�� ' (763) 572-3604 Bidg Insp (763) 571-1287 Fax Owner Name &Address: ��hu2� G� r��n.w��.l.nl.i� 53�5 l�ae-r�� r,N�"Tel. #'7� 3-3So ��T�°6� Contractor: �/� MN LICENSE # Address: 73�'S �Or'�2c,ti f.�V ; uJ � . �a�i�Li.�, , N� .�54� Tel. # LMNG AREA: GARAGE AREA: DECK AREA: OTHER: Attach to this application, a Cert�cate of Survey of the lot, with the proposed construction drawn on it to scale. Length Length Length DESCRIPTION OF IMPROVEMENT Width Width Width Height Sq. Ft Height Sq. Ft. Hgt/Ground Sq. Ft Construction Type: Estimated Cost: $,�.�� Driveway Curb Cut Width Needed: Ft + 6 Ft = Ft x$ _$ DATE: � l�� S APPLICANT: _„��X.�J p �5�� Tel. #%��°3f�' ~Z� S� 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 � �`� $ $ �� ! e $ $ $ � $ $ � �� CITY USE ONLY - Fee Schedule on Reverse Side 65% of Permit Fee .001 of Permit Valuation (1/10th%) $.50/$1,000 Valuation $1450 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: � � i � BUILDING PERMIT FEE SCHEDULE The Chief Building Official shall, before issuing permits for the erection of any building or slructure, 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 $2,001 to $25,000 $25,001 to $50,0� $50,001 to $100,000 $100,001 to $5�,000 $500,001 to $1,000,000 FEES $23.50 $23.50 for first $500 plus $3.05 for ea.ch additional$100 or fraction thereof, to and including $2,Q� $69.25 for first $2,000 plus $14.� for ea.ch 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, 0� 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 $1,000,001 and up $5,608.75 for the first $1,000,�0 plus $3.15 for each additional $1,Q00 or fraction thereof DRIVEWAY DEPRESSION ESCROW (Concrete C�rb Streets Only) Removal and replacement of curb and gutter only - Driveway width plus 6 feet times $17.00. 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 S�,trvey of the lot, showing the location of the foundation once it has it has been constructed will be required before proceeding with the framing. New Houses Onlv ' Building II1SpeCtlOriS 763-572-3604 763-502-4977 FAX DATE lS � I �fi ' ] (� SITE ADDRESS � � THIS APPLICANT IS: PROPERTY OWNER/ TENANT CONTRACTOR SUBMIT A COPY OF YOUR STATE LICENSE AND CERTIFICATE OF INSURANCE PROPERTY TYPE PERMIT TYPE BUILDING RESIDENTIAL APPLICATION CITY OF FRIDLEY _ EFFECTIVE 1-1-2010 OWNER .-- Permit No.: Received By: YOUR E-MAIL ADDRESS _ 1�� ii/ C ��;'(t�. 1'U � 4�' -��-'"��a � C�=1� � ADDRESS: 5� :l�.c_ � � CI7'Y PHONE: �b'� °SC7 Z � 70 � �N � TATE ZIP, STATE LICENSE # Za � Y� Z 1�- EXP DA�T+E ��( i� ADDRESS: fI l�� Z�os'. 1Cc✓� � CITY `�14Y1(��tr� STATE ZI�J�I {o PHONE �1�. 3 7 u G��b o Fa,x l°'n �� v,�. r�k� � �iSINGLE FAMII.Y/NEW CONSTRUCTION 0 TWO FAMILYRVEW CONSTRUCTION ❑ BASEMENT FINTISH `@-I20pF ❑ DRAIN TILE � D� 0 SIDING ❑ OTHER ❑ SWIMMING POOL TYPE OF WORK: ❑ NEW HOME CONSTRUCTION ❑ ADDITION � MAINTENANCE/REpAIIi ❑ REMODII.ING DESCRIBE WORK BEING DONE: „ C E� r e C�' � � SIZE OF IMPROVEMIIVT LENGTH W[D'TH ROOFING � � la HOUSE ONLY NUMBER OF SQUARES ❑ HOUSE & GARAGE GARAGES ❑ ATTACHED GARAGE PROPOSED SIZE: � DETACHED GARAGE PRO�SED HEIGHT: F"f BASEMENT REMODELING SUBMIT• 1. Existing Floor Plan 2. Proposed floar plan 3. List of structu►aI memt�rs to be used IDING FOR NEW CONSTRUCTION INCLUDING DECKS, � V�nY� ❑Soffit ADDITIONS_ & PORCHES SUBMIT• ❑ Al�uninum ❑ Trim 1. Site Plan/Survey showing the existing struct�ues O Other ❑ Fascia ar►d proposed project 2. Two sets of construction plans WIIYDOWS 3. Energy Calculations IN EXISTING OPENINGS OYes ONo L�ATION OF WINDOWS FOR WINDOWS - PROVIDE U-VALUE AND OR FOR NEW OPEMNGS-DESCRIBE SIZE OF MANUFACTURE STICKER ON WINDOW. OPENING CHANGES 8c TYPE OF WINDOW TO BE INSTALLED NUMBER OF WINDOWS ALL FEES ARE BASED ON VALUATION, INCLUDING THE COST OF LABOR AND MATERIALS: ING THE 1997 U.B.0 FEE SCHEDULE) 'OTAL JOB VALUATION $ � �Q OCCUPANCY TYpF Permit Fee Plan Review Fire Surcharge Surcharge License Surcharge SAC Charge Curb Cut Escrow Erosion Control Pazk Fee Sewer Main Charge � "�`LS See Back Page for Fee Schedule $ 65% of Building Permit Fee $ � .001 times the total job valuation $ (. .0005 x Permit Valuation Minimum $.50 $ � � $5.00 (State Licensed Residential Contractors) $ $2100 per SAC Unit (Plans to MWCC for determination) $ ft+6ft= ftx$24=$ $ $450 Conservation Plan Review $ Fee Determined by Engineering $ Agreement necessary ( ) Non Necessary ( ) $ ��`�' Make checks pa able to: Citv of Fridley Attach THIS IS AN APPLICA110N FOR A PERMIT-NOT VALID UNTIL PROCESSED I hereby apply for a building permit 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 Construction 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 on site; that the work will be in accordance with the approved plan in the case of a11 w � which requires review and approval of plans. SIGNATURE OF APPLICANT�� —+ pg�TNpME �N 1 K�F' L uN �1/1��N l�+DATE �� I� � i D � Page 2- Building Residential Application BUILDING PERMIT FEE SCHEDULE 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: 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 proposed structure and of the construction site. A Certificate of Survey of the lot, showing the location of the existing foundation will be required before proceeding with the framing. New Houses Onlv _._.�..... .�_ � ...... .._.: .=_ r � %� _._.e_..,._, � _ . _.____� 1 �' City of Fridley Building Inspections Department 6431 University Avenue NE Fridley, MN 55432 763-572-3604 Fax: 763-502-4977 Building Inspections 763-572-3604 763-502-4977 FAX DATE ( ,' ° � � �- \ � SITE ADDRESS 5 � � THIS APPLICANT IS: PROPERTY OWNER/ TENANT CONTRACTOR SUBMIT A COPY OF YOUR STATE LICENSE AND CERTIFICATE OF INSURANCE PROPERTY TYPE PERMIT TYPE TYPE OF WORK: DESCRIBE WORK BIING OOFING NUMBER OF SQUARES _ G.ARAGES PROPOSED SIZE: PROPOSED HEIGHT: ❑ Al�m►inum ❑ Other BUILDING RESIDENTIAL APPLICATION CITY OF FRIDLEY EFFEC7'IVE 1-1-2010 YOUR E-MAIL > T r` e ?ls Jl � !` O OWNER �CONTRACTOR �� V� � � �p Ess: � u�.� E• �'c� � .- � �.� �L STATE LICENSE # Z�''� Y S' �- SIlVGLE FAMILY TWO FAMILYlNEW CONSTRUC170N ❑ ADDITION ❑ GARAG ❑ BASEMENT FIIVISH ❑ ROOF ❑ DECK � SIDING ❑ SWIMM ❑ NEW HOME CONSTRUCTION Permit No.: � l_(� "� � �i, Received By: , � Dat��d �Cl, u � c;[rY STATE ZIP r � -i.�..� %--�� f� EXP DATE � �� C� CITY CI`Aa'rt (�( a�� STA `L ZIP� -- Fa,x ir � � �� 6 SIZE STORIES JSHED ❑ WINDOWS ❑ DRAIN TILE ❑ OTHER NG POOL ❑ ADDTfION ❑ REMODELING , C�. �._ �[. C G_ -- i 7 CS � ' � � WIDTH _ _ HEIGHT cn �r C7 HOUSE ONLY ❑ HOUSE & GARAGE ❑ ATTACHED GARAGE ❑ DETACHED GARAGE BASEMENT REMODELING SUBMIT• i . Existing Floor Plan 2. Proposed floor plan 3. List of structural members to be used FOR NEW CONSTRUCTION INCLUDING DECKS, OSoffit ADDI7TONS_ & PORCHES SUBMIT• O Trim l. Site Plan/Survey showing the existing strucWres �Fascia and proposed project 2 T ts f wo se o construcnon plans �QWS 3. Energy Calculazions IN EXISTING OPININGS OYes ONo LOCATION OF WINDOWS FOR WINDOWS - PROVIDE U-VALUE AND OR FOR NEW OPENINGS-DESCRIBE SIZE OF MANUFACTURE S77CKER ON WINDOW. OPENING CHANGES & TYPE OF WINDOW TO BE INSTALLED NUMBER OF WINDOWS ALL FEES ARE BAS�D ON VALUATION, INCLUDING THE COST OF LABOR AND MATERIALS: (USING THE 1997 U.B.0 FEE SCHEDULE) TOTAL JOB VALUATION $��G�� OCCUPANCY TYPF Permit Fee Plan Review Fire Surcharge Surcharge License Surcharge SAC Charge Curb Cut Escmw Erosion Control Park Fee Sewer Main Charge Total Due � /� 1 Gi See Back Page for Fee Schedule $ 65% of Building Permit Fee $ / O� .001 times the total job valuation $ ��= .0005 x Permit Valuation Minimum $.50 $ � � /� $5.00 (State Licensed Residential Contractors) $ $2100 per SAC Unit (Plans to MWCC for determination) $ ft+6ft= ftx$24=$ $ $450 Conservation Plan Review $ Fee Determined by Engineering $ Agreement necessary ( ) Non Necessary ( ) $ -� -L� Make checks payable to: Citv of Fridlev Att�c THIS IS AN APPLICATION FOR A PERMIT-NOT VALID UNTIL PROCESSED I hereby apply for a building permit and I acknowledge 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 Construction 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 on site; that the work will be in accordance with the approved plan in the case of all work which requires review and approval of plans. SIGNATUREOFAPPLICANT,� �-� PRINTNAME��' C-�{1� �i�la�.L,�-bA�_ � �� (� Page 2- Building Residential Application BUILDING PERMIT FEE SCHEDULE 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: 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 proposed structure and of the construction site. A Certificate of Survey of the lot, showing the location of the existing foundation will be required before proceeding with the framing. New Houses Onlv City of Fridley Building Inspections Deparanent 6431 University Avenue NE Fridley, MN 55432 763-572-3604 Fax: 763-502-4977