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AF - 46362� � City of Fridley, inn BUILDING PERMIT aat�: �.196g � �� N° 7480 �r: In�,r 8. Berg s„�� G3.er�sen Co. aaaresa 51it�l� No,�_2.�n �r�ve Ad�� 3501 Zendwood Ave LOCATION OF BUILDING No. �.� Street Aorizon Drive Part of Lot I,ot ._.__l�{._—__ Block � Addition or Sub-Division .�^..�- ��*`t� Corner Lot _ Ineide Lot 3ewer IIevat4on To be vse�3 as: Setback � Sideyard �, Fo�mdation IIevation DESCRIPTION OF BUILDING Front Depth I%ight Sq. FL Cu. F'� P'ront Depth I�eight Sq. Ft. Cu. F't 1�►pe oP Constructi[on FF�t. Cost —l.s..� _ To be Completed St,orm damage In canaideratlon of the issuance to me of a germft to construct the building described a�ve, I agr�e to do the prnposed work fn acc�rdance wlth the d�scrlption above set forth and in c�mpliance wlth all proviaions of ordiaances of the dty oP Fridley. _� _ �� In camafderal3on of the paymeat oP a fee of $�� t �s hereby grantea to �ertsen Co. to construct the buflding or addition as d�acribed above. Th�tape rmit fs granted u�n the express condition that the person to whom it is gra.nted and his agenta, employees and worlmien, in all work done in, around and upon said building, or anypar� thereo� shall oonform in all reapects to the ordinance� of Fridiey� Minnesota reg location, construction, alteration, maiatenanc�, r+epair and moving of builafnga within the dty ]imiffi and�s permit may be revoked at any time upon violation of any of the Provisiona of said ordinanc:�. Bufldin�' Inspector --.� ao�ce� 71ds p�ne8 doas rw1 eonm t6s eom�dioe, mstalhHen }er �ie9. P��B. 6n huNeg, ssvr�r or wtlsr. B� wns to ss� tin Bnildiu8 In:p�eter ter aaral� p��hs fer t6as k�. � '— , � � � ' - - ,. , . . APPLICATION FQR Bi��ING PERMI� - <� . . CITY OF FRIDLEii f. NId�SOTA � � l � � �� L��L ,I� ,�,�_�A.:, � � /��. _' _ r . , � , i ' ' ' isi� .� - ' . :-�1 "' °�i � � � � I �.r�c %/- ..�ir�_ _ � � . � � �* � i . No. ° St��et Part of Lot . Lot � f Block� _ Addit.io�e or Subd�vi�ian ��, �� Corn�r Lot Inside iot _,;..$eti�a�k Side-Yard SBWER E�,EVATIQN FOUNDATION II.�V'1�5.'ION Applieant ateach to tl�i� form,Two Certificatee of,Survey of Lot and proposed�huild- ing location d��wa ofi these (;�t�tificates . DESCRIPTION OF BtTII,DING To be used �.s : , � . , �'roaC Depth Iieight 9q. Ft. Cu. Ft. . � Front Dmpth Height Sq. Ft . Cu . Ft . �, . ljrpe af Construction Esti,meted Coat�,, �� _..�o-be Co�pleted � The undersigned hereby �akes application for a pex�nit for the work herein specified, agreeing �c� cfo abl work ii� atrict accordanca with the City of Fridley Ordinances and rulings o� t�e Department" of Buildiags, and hereby declares that all Che f�cts and repres.entations atated in this application are true and correct. �Scizedule of Fee Costs can be found on the Reverse Sidej. � _ �.. �. ^ - � � . ,. i1 �'.-��.;,�,: ��.: �� • �.'��;' MI�6!?�p: • ., .V . . . :°. � �.y ;+, BtJILDIN� PERMIT FEE Sc��1LE ` ,, � ^ � . Seetion 2. The Inapector of -8uildings �shal�:, �be�pf� isau.,i� aaq perm3t for , tlu erectioa of any building or seru��,,ure, �tuc for atiy add,tti� ts any exist- , ing building or structure, o� for. aay a�Cerati4xis�"�x�::�c�pat�� t� aay exisCing .. a., huildi�g or s�ructure, upon applicatiorai �}er:efor, �cQ�aire Che pa�meQt by �he applicant for such permit of feee •�b �he amount ��►erein�•below set �forth..a�d �in the manne= hereia provided to-w�.t: �`� . � . ._ . _ �. ��•.. -- �2.1. F�r any �uch permit �or the t�as�,tion �@fe` any � firewp�� bu�ldipg, oCher � •• :, . � a �a.r�ge� war•ehous�, f8ctory ox• g��s¢in' ��ev�:f�r�, ,� .fmr. the e��tipa of . . �y f3re-��of 8ddi�ioas fQ7C 8��;8r°°CiG�ytp�ltt�yt �,b: 8�,q �ttfs�C.��1g'bu4.ld� ' ��:,' '�. �h�I.l fi�e at the rate �# $], .4a for easb., pac� t�ious�d ¢t�bi.e fe�� or � fre�i,on .,r .. :thereof, im such cubical coat�n�s.� . • ��: . . , . � ' � . . � �, . �'�. 2.�2. For aaq auch 'perm�it fc�ar-.:�e erection o� any firerpraoi gg.rae�.. �-Q�-W y.., a � �ory �r gra�,n elevator, or fq� � the eac�ctioa �,f ��n ��ooi ' •.� • fer. Bimilar occupancpr to an eiciet� '�' y �: .�a�Idi�g sha);,1� •be at .t�e • .•-�..'fo�"'�a�h qtia .Chb�ts�nd cubic .geet;�,.c�lae�i�ied ae.!�firep.roa�" 'b�y S� the M�taneap�►Lie ; 8�s�3stin�° Coe'�Qt,+ , h�w,;�. ' � ' . �'�: .HOUSES . ,. _ . .. � �_ 2_ �� Ft�r aaiy s�sch permi� tog t�ie er-�ction, of any noa-Hre��ro�r;E b'uildiag � 'than a gargge, warehouse, factorq or. grain elevator. Or any boa-fitepr�f -_ r��'`••. edditian, for simf�,dr ocC�tpa�cyf to an�► e�istti�g �buildin,� - pe�it $b.�00 for each �one thou�a�n� �c�bi�_ feee.. . � GARAGES e �� 2_,,;4 _ For any such per�it f�r the erectioa of any noa-firepro�f gasage,, . warehouea,.factary�•or<grain elevator,-o= for the erection of aay noa-firep;�f" ' �diti�, -€or--similar occupaacy, eo �x exietia� building br for �ec�Z such ' ._._��,�--�ilding or addition - ainety �cents �$0.90� for each oae thousand cvbic ieet or fs'a�.tion thereof. in the cubical contents thereof wfth a minimum of $4.OQ.- , ,• For the purpoae of cam�pu.tiag fees for , building permits, tit� cubicai caritear.� �� of any buflding or adrli'tion to a uniform hei ht throu holtt �'l3 � ground area covered.%nom a�poiae sis (6) �nch�� bel�wffithe �loar l��iae �f�.t.he basement or. cellar to the average height of the ugper surface or to tbe `�l average height of the rpof surface of the maia gable of a.�itched roof. .�� 2_5. •. For repairs or aXterations to aa existirig sCsuct�:t .�g gee ebabl be•:-�""; . � at Che rate of $3.00 per each Fi�re �undred Do11ar.,s ,(�gp�;0�� ac irac�i� , � .� there6f in t�he co�t 'of� �11 z pro�ased work a . ' � � ' , � • ' . . ' . • . . . . . , . , �,i' . '' - •. � • .:r.i : 2.6.` In no case shali � the �,:for_-aay�- p�rmi� .�a'_ sei f��th. in � ��` � ._._.r_ ' � Sectian �2 be leas�_.,�haa-S�-.00: . ~ , . ' . , �� •:, z: � .� : �_ s �, .� ._-. n � � r. ,�.• � ,� � City of Fridley, inn BUILDING PERMIT DB�; MAY 16, 1966 p�r: EIRAR R. BERG g�� SAME �� 544/+ Horizon Drive N. E. A� Fridley, Minnesota 55421 LOCATION OF �UILDING `��% N° 8828 No. SG'4'�' Street HORIZON DRIVE Part oP Lot Lot 1� 81oCk 4 Addition or Sub-Divisfon a a� Q S�mn+i M n n _ Rorth Coraer Lot — x Inside Lot Setback � Sideyard Sewer IIevation _ Foundatioa IIevation DESCRIPTION OF BUILDING To be Used as: Det e Garage �t 22 Depth Z4 Height 10 �. � 528 �� 5, 280 Front Depth fTeight Sq. Ft Ca. Ft Type op �� Frame �, �_ 1 5 00 00 To be Completed In con�deration oP the i�uance to me of a perinit to conatruct the building d�It�d above I agree to do th� proposed work in ac:cordance with the d�ecription above set forth and 3n compliance with afl provlafona of ordiaanoes oE the dty of Frldley. , In co�deratton of the payment of a fee oP $ 5• �� , P�rmft fa hereby granted to EINAR R. BERG to constr�uct the building or additfon as descrlbed above. Thispe rmit ia granted upon the express condition that thepe�o n to whom it ia graated and his agents, employees and worlmaen, in all work doae fn, around aad upon eaid building, or anypart thereof, ahall conPorm fn all reapecta to the ordinsac� oE Frldley� Minnesota g locatton, conatructCon, altera�ton, maiatenaace, repafr ead moving oP bufldings witbin the dty l9mits�aaa�thfa peranit msy be revoked at a�► time upo� vlolation of aay oE the Prov9s�lons oE sefd ordinances. WILL?AM H. SANDIIV Suilaia8 Ins�cEor NOTICEa '�s p�rmtt dea � eew f6s coestroaH�, InttatH�lon fer vrWeo� plumbtne, oa 6�Mteo, arra or w�Mr. B� son h a� 11n &dldio0 le�or tar apaealr p�emib fo� tha� Itsm�. i APP�i?CATION FOR BUTLDING PERMIT CIxY:OF FRIDLEY, MINNESOTA OWNER � S NAME a�. /�'l d.. f.� �� J� �5-- BQILDER ��1� S" e.� , f( O,r,� 1'I e%) ADDRESS ��% �� /�,� �i . /��, ee�_ ADDRESS � �� -.+�a q D� i,�.e , LOCATION OF BUILDING., y� I NO ��/�� oy ��n .��STREET /il�a v� z �tii �� h� ve � PART OF LOT .� G� �'` � j- yry �+� ( ,/a� �� ! L� BLOCR ADDITION OR SUBDIVISIUN��21- � SF, �o CORNER LOT�_INSIDE LOT SETBACK SIDE YARD �� SEWER ELEVATION FODNDATIDN ELEVATION Applicant attach to this form Two Certificatea of Survey of Lot and proposed building 1ocaCion drawn on these Certificates. DESCRIPTIOIQ OF BVII,DAQG To be used as; � r '""`�`' ont � � � Depth�Height �� " Sq. Ft. ,�.—�2 ,�f'' Cu. FC. ,�� i Front DepCh Height Sq. Ft. � Cu. Ft. Type of Construction �,�� Estimated Cost� ��,� �a � To be completed_ The undersigned herebp makea application for a permiC frrr the work herein specified, agreeing to do all work iu striet accordance with the City of Fridley Ordinances and ruliags of the Departmeat of Buildings, and hereby declares that all the iacts aad represeatations stated in this application are true snd correct. DA'TE�i��l ��. /�� SIGNATIIRE • (Schedule of Fee Costs can be found on the Reverse Side). � , � (�' � P ti � J 1 �`� . 'a � �'- �� . � �ti ` SIIII��DING PERMIT FEE SCHEDUI,S 3ECTIOP 2. The Inspector o£ Buildings sha11, before issuing aay permit for the erectibn of any building or structu�ref os�fcr any addition to any exiating building or �tructure, or for any alterations or repairs to aay existing buildiag or�structure� upon application t�erefore, require the payment by the appli�ant for such p�rmit of,fees to �he,amount herein.below set forth and in the manner herein provided to-�irit; `�` �� 2.1.� For any auch permit for�the erection of any fire•proof building, othe`r than a garage, warehouse, factory or grain elevator, or for the erecCion of any fire-proof addition, for similar oeeupancy, to�auy esistiag building, shall be at the rate of $1.40 for eac�i one thousand cubia feet, or.-fraction thereof, in such cubical conteats. �� 2.2 ,�For any such permi�t for the �rectian of'any fire-proo€ garage,., warehouse, factory or grain eievator, or for the erection of any fire»proof addition, for similar occupancy, to any exiatiag:building $hall be a�t the raee of $1.25 for each one tTiousand cubic feet, classified as "fireproof" by Sectioa 502 of the Minneapolis Building Code. HOUSES 2.3. For any auch permit for the erection of any non-fireproof building, other than a gerage, warehouse, factory or grain elevator, or any non-fireproof addition, for similar occupancy, to�any existing buildiag - permit $1.00 for each one thousand.cubic feet. GARAGES 2,4. i�or any such permit�for the erection of any non-fireproof garage, warehouse factory or graia elevator, or for the erection of any non-fire-proof add3t3on, for.aimilar occupancy; to any-e�isting builc�ing or for each auch bui3ding or addition - ninety cente �($0�.90) for each'one thous.and cub3c feet or fr�ction thereof, in the cubical contents thereof with the minimum o£ $4.00. For the purpose of computing fees for building permita, the cubical contents of any buildiag or addition to a uniform.,height.throughout by multip�.ying the ground area covered £rom a point six�(6j:inches below Che floor line of the basement or cellar to the average h��ght of the upper aurface or to the average height of the roof surface of the mai.n..gable of a pitched �oof. 2.5. For repairs or alterations to an existing structure, the fee shall be at the rate o£ $3.00 per each Five Huadred Dollars ($500.00) or fraction thereof in the cost of all proposed work. 2.6. In no case shall�the fee charged for aay permit as aet-forth in Sectio 2n be �,ess than $4.00. STORM REPAIR DANlAGE FEES: , Residential: Eatimated Cost of work up t� SSCOe(!� -$5.�?0 Estimated Cost of wor"t� e�� Y_j ��t_�;J -$�L,s_:p Co�rc�,al; Est�tmat�Coq� of c�-,�16 ur �� :,`!"-,:: i;�!� -$y"�� Estiir,�teti Cost of wu�k oe,er $_�G(�.�UU - $�...G� � ' - -� SUBJECT PE City of Fridley 16 0 5 2 � AT THE TOP OF THE TWINS g U I L D I N G P E R M I � i � ECEIPT NO. � `L __�_�_ COMMUNITY DEVELOPMENT DIV. � r � � PROTECTIVE INSPECTION SEC. 1 . � � � ��"1 � CITY HALL FRIDLEY 55432 NUMBER REV. DATE PAGE OF APPROVED BY �"'""� � �� 612-571-3450 910-F15 1/28/81 / / JOB ADDRESS 5444 Horizon Drive N.E. t LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 1]_ 4 Carlson`s S'�u�tit Manor North Addn. SHEET 2 PROPERTYOWNER MAILADDRESS ZIP PHONE E:i.nar Berg 5444 Horizon Drive N.E. 560-1434 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Sam@ 4 ARCHITECT OR DESIGNER MAIL ADDRESS 21P PHONE LICENSE NO. 5 ENGINEER MAILADDRESS ZIP PHONE LICENSENO. 6 USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW � ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE % 8 DESCRIBE WOFK Insta.11 wood burnin stove chimne 9 CHANGE QF USE FROM TO STI PU LATION S SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD VENTILATING OR AIR CONDITIO►dING. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING SO. 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. N0. DWLG. UNITS OFFSTREET PARKING I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION j. STALLS GARAGES AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS VALUATION SURTAX AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT $�-�OOO S•5O 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 PERFORMANCE OF CONSTRUCTION. �7. 5O PLAN CHECK FEE TOTAL FEE $8.�� SIGNAT REOFCONTRACTORORAUTNOR12EDAGENT IDATEi __ �yHEN PROPERLY VALIDATED THIS IS YOUR PERMIT ' �� 1CJZ.u.X_ LJ�.t JOJ I � SI EOFOWNERIIFOWN RBUILD ID EI BLDG iNSP �AT CITY Of �RIDLCY - APPLICl1'fIO:J FOft (tL"SIUf:i�lTI/�i_ [3U1LDIt1G PERt�iTTS (tJe►•�, A1 Lcr�xtions, Addii:ions, or Rcpairs) � 04JtdER: �f��r �� 'PirG ADDRESS : �.�� f3�o �l— /T—a h , _, f-- TEL n�0 : � � _ � — / �� / 0 � � �,�---�.--=--=—t --��._�i�i:r,�a��.. ADDRCSS: � , 7EL i�d0: • Consi;ruction Location - ' STRI:GT NO : � � _ STREET: ��o h / a V! %- , r_ LOT: ��/ BLOCK: � ADDITION: Corner Lot: �� Insicie LoL-: SetbacY.: Sideyards: Ap�licant at�tach to t2iis form tcao Certificates of Survey of lot and . proposed.builcling location drawn on certificates to scale. DESCRIPTIOid OF COtdSTP,UCTIOPJ - -Front: � Depth: Height: Square. k'eet: C�ibic Fce�: � , �'rontc D�pth: Height: Square• Feet: - Cubic Teet: Type of Construction : EstimaL-ed Cost: ._$�� 2b Be Ot�r.�pleted: . � • - Alt. A Al.t. B Proposed Drivei�a�r Width If New Opening Is Desired: $' $ .._.__.. . . . .. SE� Ri^�VERSE SIDE OF SiIEET �iie undersigned liereby ma}.es applic�ttion for a permit for the �aork� herein specified, agreeing to w,all work in strict accordance �•�ith the City of I'ridley Ordinances and rulings of i11e Department of Bui].dings, and lzereby declares that all tlie i'acts and represent.ztions statecl ;n ihis agplicatian are true and correc�. D.':T�: I Y��' SIGNATUI'� � StipulzLions: ��, '< _ .- �, , � , � ,:- • . :. � �- - . . . ..� . . . , �1�I • �3UJL1)11�1G I'ERM1T ('E:�� SCi(f:1)Ul_E� `` . 5)rC:'Px01�� 2. 7.'1�L 7n�.:��ect;c�r. of riui.lc?i��j :::hri).�, }�cfor:c: i.:s .ui.�uJ L�e»niL•� f.or �hc crccL•i.on vf �uiX l�u�.J.�l.in�� c,r :�i.ruct:uLC, or. fc»: �uiy adcli.L•S��n +.:� z��y cr.i;;Li.iicl l�uilclinq o1 :;txucLur.e, . ci�' l:c.»� r��iy �iJ.t:c.�r..iLi�,n or. r.cl,air.:� Lo •�-�ny c;:a.::t:i»ct hui.l.di.�►<J or. : t�:ucturc, u��n ar��.i.c:at.i.on �i}ic1:�f.or.c:, r.c:qua.r.e. t�J�� p�,yme��t: 1�y. Uie apZ�].i.�ar�t: f•o�- such J�er.mi.l• of.' fee, ta tl�c arnaunt }��•z�ij� }��l.o�� sal: t�r.th �u1c1 i.n tlic rianric�_ hc�:cin p�:ovic]c�cl io-�:•:i.t: • l7).•:1•7 COIJS'I7tUC`SIOIJ: Sing7.c 1'amil.y Iloiaes and Ga1-�ZC{es: ;4.00/].,0�0 cuL-ic �ect:. • 1?7.I:t� C1fl:C1;: 25 l�erce»t: aL• bui.l.cliny j�er.mit iee. UIt1V1:[�;11Y llEl'P.c:SSI01•I: (Cancretq CZixb utrceCs Only) �' , • A].L-crnit:e n: Itc�noval and re��lacement of concrete curb and qui�L•er only; l�riveway c�idtli plus 6 ieet x 1:3.;;��5 %3.t�ernaL•e 13: Removal and re��.acem�•nt of concrete curb and . ' guttcr and inst�ll a 3 iooL- e�i.de approach �.�ith �' ' , . . 6 �nch depth; Driveway �•�i.c:ih �plus G teet Y $7�7.85 � • . „j�J,l13I T I O�AL I��lFOR►�!!1T I or� �'or f.he purl�se oi com�uting fees for building permits, the cubical. contents of any bui3.d�.ng ar, addition, is dctcr.mi.ned by rnultiptyir�g i-he ground area covcrecl iro:� a poi.nt sa.�: (G) inches belo�,�� thc floor line oi i:lie basement or tha cellar to thc average iicights oi the up�cr sur.face or to i.he average heiyht of the roof surface of the :aain gabl.e of a pitched roof. �. kox reFai.rs or a].terations to an existing stnicture, the fee shall� be at the xate . of $3.00 �icr. cac2i five hundred dollars '� ($500.00) or fraction 211ereaf in the co�.t of all proposed wor.k. _ . ' Ii: _nn case sha�.l t}zn f�'G charged fc�r any penni.t as set- iorth i�n Sectian �;:,c .'��ss - - t2�n $7.50 plus $.50 sta�e surcharge. � ' � _ V�RTFIC�lTIOV OF FC�Ur�(nl1l�I0ld � NOTE: Permits �or construc�ion c�ill be issued a minim� ai 24 hours from Uie time vi appli.cation to a].low for proper review of ihe pro�osed structure and oi' the . cons�.t.`uction si�e. T� Certificate of Survey of the lo�, showa.ng the location oi the foundation once it has been cons�nic�ed <<�ill be requi:red bef.are proceeding �•rith the iraming. .�rRTIFIG�TE OF ��.t'� PAt�CY � ' 1►rp�i.cation for a Certificate oi Oceupancy shall be mad�� ten (10) d�ys prior to the u�:e or occur�ncy oi an�► stiucture for �ahich a I;iuilcli_nq perrtit l.as bcen issuec�; and s�iicl structure slial]. iiot be used oz- occupied t,iitil a CcrL-S.ticate or Occui�ancy has bcen xssucd. � 0 ' -•- - .-_� ,• • N sue�ecr pE p. City of Fridley � 17 714 AT THE TOP OF THE TWINS g U I L D I N G P E R M I T r � � ECEIPT NO. � • COMMUNITY �EVELOPMENT DIV. � tV �� / � r � � PROTECTIVE INSPECTION SEC. � � � i i-_-- � ��'�� `,, CITY HALL FRIDLEV 55432� UMBER REV. DATE PAGE OF APPqOVED BY z �� 612-571-3450 910-F15 9/12/84 / / JOB ADDRESS 5444 Horiwn Drive N. E. 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. ].l 4 Carlson's Summi.t Ma.nor North SHEET 2 PFOPERTYOWNER MAILADDRESS ZIP PHONE Einax Berg 5444 Hor.izon Drive N.E. 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Woodcrest Construction Inc. 10072 OLive Street N.W., Coon Ra.pids 755-6532 4 ARCHITECTORDESIGNER MAILADDRESS 21P PHONE UCENSENO. 5 ENGINEER MAILADDRESS ZIP PHONE LICENSENO. 6 USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW �O ADDITION O ALTERATION � REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WOflK Construct a 12' x 13' Addition �to Dr�v�elling 9 CHANGE OF USE FROM TO STIPULATIONS SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, �PE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD VENTILATING OR AIR CONDITIONING. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZpNING 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 $6,300 �`3.1�j DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE pERMIT FEE SAC CHARGE PR VISIONS OF ANY OTHE TE OR LO AL LAW REGULATING CON- ST CTION OR T E PER RMAN E OF CO TRUCTION. �62 . rJO N'one PLAN CHECK FEE TOTAL FEE ` 15.63 $81.28 SiGrva REOFCON� C AUTHORI2 AGENT �DATEI WHEN PROPERLY V IDATED THIS IS YOUR PERMIT , . � ,� �`'.�� - w SIGNATURE OF OWN �IF OWNER BUILDER� I�ATEI BLDG �NSP nqT Prepaid Plan Check � Estimated Cost � R. �� Receipt � Citq Of Fridleq OTHER THAN R-1 AND R-2 Building Permit Applieation Effective 4/1/84 Construction Address: � �i `-I `�I I-�o�� -o ov 11ra � � � � rz� DLC= � �, Legal Description: L_o'�c� 1 � '� �.� � �-� � +��o �'s �. aa� ��-t- /►�11 �.�rz fUa��tN Property Owner/Address: Tel.# Contractor/Addresa: 1 ��7 ��, I ►� � �-r 1�� , iZ� �+ r� c Tel . #�5.�' C� � 3 Z Arehiteet/Addres s : `� � � 2 � �, � c-t- [° �, ► , _ }�-r s . Reg. #� ��'� � 2 � Engineer/Address: Reg.# Type of Work [ ]New [�' Addition [ ] Alteration OSE OF BUILDING :� r�� !4-o s� �°r_-y o s� APPLICANT SIGNATURE: Size of Strueture . # 7�.s-�� z Date:�.�aT��— BIIILDING DIMENSIOAS Length f 2 Width , 3 Height � Sq. Ft. �_ # of Stories �_ OFC. AREA: Length Width Height Sq. Ft. WHSE. AREA: Length Width Height, OTHER AREA: Length Width Height , �� `�C �� a � � L � �03 .�G VALIIATION Sq. Ft. %$ Cost/Sq. Ft. = Valuation Sq. Ft. %$ Cost/Sq. Ft. = Valuation Sq. Ft. %$ Cost/Sq. Ft. = Valuation Sq. Ft. Sq. Ft. � � �3� � $ ) = $ � $ ) Total Type of Building Construetion Oeeupaney Group Class. Air Conditioned [ ]Yes [ ]No Fire Protection System [ ]Yes [ Zoning �S• ]No. Permit Fee $ �� See Fee Schedule on Reverse Side Plan Check $ l�•%� In excess of Prepaid Plan Check -See Back Pg. State Surcharge � �QI� $.50/$1,000 Valuation (See Sched. for >$1 mil) SAC Charge $ $425 per SAC Unit Park Fee $ `� Fee Determined by Engineeriag Se�rer Main Charge $ Agreement Necessary [] Not Necessary L 7 TOTAL $ � STIPULATIONS: _..— . s, � /,2� , � � , � � ,Z�? �� Total Yaluation $1.00 to $500.00 $501.00 to �2,000.00 $2,001.00 to $25,000.00 $25,001.00 to $50,000.00 �50,001.00 to $100,000.00 $100,001.00 and up $1.00 to $2,000.00 $2,001.00 to $25,000.00 $25,001.00 to $50,000.00 �50,001.00 to $100,000.00 $100,001.00 to $542,000.00 Over $5�2,000.00 �� BUILDING PERMIT FEE SCSEDIILS ��.�'� �� ,5� Fees $10.00 (Minimum Fee is �15.00 plus surcharge) $10.00 for the first $500 plus �1.50 for eaeh additional $100 or fraction thereof, to and ineluding �2,000. $32•50 for the first $2,000 plus $6.00 for eaeh additional $1,000 or fraction thereof, to and ineluding $25,000. $170.50 for the first $25,000 plus $4.50 for each additional �1,000 or fraetion thereof, to and including $50,000 $283.00 for the first $50,000 plus $3.00 for eaeh additional $1,000 or fraetion thereof, t.o a nd including $100,000 $�33.00 for the first $100,000 plus $2.50 for each additional $1,000 or fraction thereof. PREPAID PLAN CHECR FEE SCHEDIILE $21.13 $21.13 for the first $2�000 plus $3.90 for each additional $1,000 or fraction thereof, to and ineluding $25,000. $110.83 for the first $25,000 plus $2.925 for each additional $1,000 or fraetion thereof, to and including $50,000. $183•95 for the first $50,000 plus $1.95 for eaeh additional �1,000 or fraetion thereof, to and including �100,000. $281•45 fo� the first $100,000 plus $1.625 for each additional �1,000 or fraction thereof, to and iaeluding $542,000. $1,000.00 (Balanee due With issuanee of building permit. �._� .a�� , \ I `` � i � 1 ; i I :�� - . � � f` i r � � � �� b. � i - 1 ; Z ti . .� ; � .; : � :� � . � , -. �1 � 1 I � . i � _ _. 4 � � . �'+� ,��1� �_ ,, � ; � � . ,1 v ' �� ! � _ ..—.. I - -- Ti _ _�� 7 � � (; t� r� - � .... :, --L _� ' s� l 9 � � . �. -^�:.p� - � z-- � .'�� --� j� oP.�'N T _ . fioR:��oN 2J0 S�:R�t 30� a�� 1po �,� . � . � n-w:--.. ' � $q� � i I � , 9 � �� . a Y �� -��w_ '.�. `^' � rf�_, S {'��,,5 N}1LL WbQFC ' �%' �.� RNA4R.,J!' DN I+�R L�►ss Q'�� 1 I% (�jp W ANp�S? t.l li Z��S �a ia7RSl�� bQ `�W3N6SN% 'DOO�Z TQS- PRN4. 6 WSS 0 '.1�xb < NI�.. I I � �4a� �z R rouass ! �. 'DeoR � tASS :Z 1xb laatl. � �I" vr,s. F,.�o e. �EC�c rf�. ZxID F�mR-�n�c.sf _ �1'2eat�b) �--- -. -- - ---- i3' _ � F { ,.,= :� �:k.�:. ►4 Wa+.t- �� ND2�Yt� �NIALL �RKi �i,r ' :N� IJt-RL�ttx�-- 2x/�WALL ��cN�' ��, L�� FiA82 �4ACC f�J&iT5 �.tn �¢wn� z� �/2." 2e�K. 2" Fmm�84� Aeou�m `� �sv ��: ,� , _. �� L_ F � �w,rs �i �aPO28RRRSti� -G �oLa eiPf2 WAtis — nln2tN -�-�4 iu/ 5.� �i` C4�.o*e,� _ Sor,�M - R- u,r 1 S.�J 3�/ Cswn'ix _ taI'!St' - I�iew�w�A�. p r y= : � �� yyy rer�o,�► �e , . d _ _ �� sue�ecr PERMIT NO. City of Fridley 10 2 AT THE TOP OF THE TWINS g � I L D I N G P E R M I T � � � RECEIPT NO. COMMUNITY OEVELOPMENT DIV. y PROTECTIVE INSPECTION SEC. �� 'f' S' � _ , 1 —_�_—� r , ; � . ,. � � /�"1 � CITY HALL FRIDLE� 55432 NUAABER REV. DATE PAGE OF APPROVEO BV �'"""�"� �'' 612-571-3450 9t0-F15 10/7/91 / / J08 ADDRESS 5444 Horizon Drive NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. �.1. 4 Carlsons SUIIUpl't M3ri0� North Addn. SHEET 2 PROPERTY OWNER MAIL ADDRESS 21P PHONE Einar Berg 5444 Horizon Drive NE 572-1434 3 CONTRACTOR MAIL ADDRESS Z�P PHONE LICENSE NO. 5ame 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO. 8 USE OF BUILDING Res ident i,a,l 7 CLASS OF WORK ❑ NEW ❑ ADDITION ❑ ALTERATION � AEPAIR O MOVE ❑ REMOVE 8 DESCRIBE WORK Reside House & Gaxa,ge 9 CHANGEOFUSEFROM TO STIPULATIONS TYPE OP CONST. OCCUPANCY GROUP OCCUPANCY LOAD SEPARATE PERMITS ARE REOUIREO FOR ELECTRICAL, PLUMBING, HEATING, VENTILATING OR AIR CONDITIONING. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING SQ. FT. CU. FT. AUTHORIZED IS NOT COMMENCED WITHIN 80 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANOONED FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS OFFSTREET PARKING I HEREBY CERTIFY THAT I HAVE FEAD AND EXAMINED THIS APPLICATION �' STAILS GARAGES AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS VALUATION SURTAX AND ORDINANCES GOVERNING THIS TYPE OF WOfiK WILL BE COMPLIED $,� � 5QO WITH WHETHER SPECIFIED HEREIN OR NOT. THE GfiANTING OF A PERMIT $2a2S DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE pERMIT FEE SAC CHARGE PfiOVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- �� "72 � OO Fire SC tiS`4. SO STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. ` PLAN CHECK FEE TOTAL FEE $7 . 75 Si ATUREOFCONTHACTORO UTHO DaGENr �DATEi WHEN ROPERIY VA T D THS S YOUR PERMIT � • � � ' � 11� iGNATUREOFOWNERiIFOWNER 1 ERI �DATE� ! BL�G �NSP naTE � [ ) �DN I l LTER [ ] Conslruction Address Legal Descr�iption: �i Effective 1/1/91 CTfY OF FRIDLEY SINGLE FAMILY AND DUPLEXBS R-1 AND R-2 Building Permit Applicatioa Owner Name � Aa��: _.�i� �.� �/3�r� -- sa�� a5 �.��ve Tel. ��,z? i�� Contractor: �i �/ � �Y Tel. � �'% --/ 5�� , Address: °— , Attach to this application, a Cerdficate of Survey of the lot, with the proposed cons�truction drawn on it to scale. DESCRIPTION OF IMPROVEMENT I.IVING AREA: Length Width Height Sq. Ft. GARAGE AREA: Length Width Height Sq. Ft. DECK AREA: � Length Width Hgt/Crround Sq. Ft. OTHER: �,s �' � ou S � c�? �c �ZH �z.l � Corner Lot � Inside Lot [) Ft. Yd Setback Side Yard Setbacks Type of Construction: ,�L ��/� u�°r Estimated Cost: $ �� o a , , Approx. Completion Date: _�%� � � t� . a.�t� Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x$ _$ DATE: o - y APPLICANT: Tel. �i �^%y� /�� Permit Fe� $ %�. �` �" Fire Surcharge $ �'�. �� State Surcharge $ � � � S SAC Charge $ Driveway Escrow $ Park Fee $ Sewer Main Charge $ TOTAL STIPULATIONS: � `?�-��.� �� Fe� Schedule on Reverse Side .001 of Permit Yaluation (1/lOth�b) $.50/$1,000 Valuation �650 per SAC Unit Alt. "A" or Alt. "B" Above Fee Determined by Engine�ring Agreement Ne�essary [ ] Not Necessary [ ] _ ,� _ „ _ BUII.DING PERMIT FEE SCHEDULE �_c �`', P The Chief Building Official shall, before issving permits for the erection of any building or struy or for any addidon to any existing building or struct�re, or for azty alteration or repair to any exisi� building or strucdire, upon application ffierefore, require the payment by the applicant for such p�rmi� of fees tn the amount herein below set forth and in the manner herein provided to-wit: TOTAL VALUE $l m �500 $501 to $2,000 $2,001 to $25,000 �25,001 to $50,000 $50,001 to $100,000 $100,001 to $500,000 �500,001 to 51,000,000 $1,000,001 and up �� S15 (Minimum Fee is $15 plus surcharge) $15 for first 5500 plus $2 for each additional $100 or fraction thereof, to and including $2,000 $45 for first $2,000 plus $9 for each additional $1,000 or fraction ther�f, to and includi.ng $25,000 $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 first $100,000 plus $3.50 for each additional $1,000 or fraction ther�f, to and including $500,000 $2039.50 for the first $500,000 plus $3 for each additional $1,000 or fraction thereof, to and including $1,000,000 $3539.50 for the first $1,000,000 plus $2 for each additional $1,000 or fraction thereof DRIVEWAY DEPRESSION ESCROW (Concrete Ctirb Streets Only) Alternate "A" : Removal and replacemem of curb and gutter only - Driveway width plus b feet times $13.50. Alt�rnate "B" : Removal and replacement of curb and gutter and in.ctall a 3 foot wide approach with 6 inch depth - Driveway width plus 6 feet times $15 .75 . VERIFICATION OF FOUNDATION Permits for cons�ruction will be issued a minimum of 24 hours from the time of �plication 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 conshucteti will be required before proceeding with ffie framing. bR. q � r , L - sue�HCr c�ty of Fridley AT THE TOP OF TNE TWINS g U I L D I N G P E R M I T i� � � COMMUNITY DEVELOPMENT OIV. r j� � PROTECTIVE INSPECTION SEC L__--� ��"' �'� CITY MALL FRIDLE� SS132 NUMBEii L 612-571-34b0 s�aF�S 10B AODRESS 5444 Horizon D i t LEGAI �OT N0. BIOCK TRACT OR ADDITION DESCR. 11 4 C ° 2 PROPERTY OWNER MAIL ADORESS Ambrose Perkins 3 CONTRACTOR MAIL ADORESS Craftsmen Exteriors 13570 �rnvp nr 71ti d AfiCHITECT OR DESIGNER MAIL ADORESS S ENGINEER MAIL ADDRESS B USE OF BUILDING 7 CLASS OF WORK O NEW 8 DESCRIBE WOi;K Reroof house and qara 9 CHANGE OF USE FROM STIPULATIONS NFV OATE PI 6/3/99 � 29621 ��/� Oi AVpqOVED B� / SEE ATTACNED SHEET PMONE IICENSE NO A3753 LICENSE NO LICENSE NO ❑ AODITION O ALTERATION � REPAIR O MOVE O REMOVE 26 S TO Underlayment must comply with the State Building Code. SEPARATE PERMITS ARE REOUIRED FOR EIECTRICAL, PLUMBING, HEATING, ��t �F GUNST. VENTILATING OR AIR CONDITIONING. TNIS PERMIT BECOMES NULL ANO VOIO IF WORK OR CONSTRUCTION zONING AUTHORIZED IS NOT COMMENCED WITHIN 80 OAYS, OR IF CONS7RUCTION OR WORK IS SUSPENDED OF ABANDONEO FOR A PER100 OF 120 OAYS AT ANY TIME AFTER WORK IS COMMENCED. NO DWIG. UNITS I MEREBY CEHTIFV 7MAT I MAVE READ AND EXAMINEO THIS APPLICA710N AND KNOW TFIE SAME TO BE TRUE AN� COFiRECT. ALL PROVISIONS OF LAWS VALUATION AND ORDINANCES GOVERNING TMIS TYPE OF WORK WILL 8E COMP�IED WITM WMETMEF SPECIf1ED HEFEIN OR NOT. THE GRANTING OF A pERM1T �ZZ�IZ DOES NOT PRESUME TO GIVE AUTMORITY TO VIOIATE Op CANCEL THE pEFM17 FEE PROVISIONS Of ANY OTHER STATE OR LOCAL LAW REGULATING CON• STRUCTION Of1 TME PERFORMANCE OF CONSTRUC710N �83. Zrj PLAN CMECK f EE L'I S � S�GNATUaE OF CONCaACTQR OA aUTHOpi2ED aGENT IOaiE� N RC S�GNnTUNE O� OWNEA i�F OWNEi1 BU40ERi iDATE� e� n_ ...�e OGCUPANCYGROUP SO.FT OffSTRE S7ALLS SUi;TAX $1.14 OCCUPANCYLOAD CU FT f PARKING GARAGES i f�% .► . a�JP�l-03-1999 �� ALTER [ ) 11 � 51 FR17M G 1 T''�' �F FR 1 ALEY consdruction Address: Legal Descriptao�a: Owner 1Vame & Address: ContracWr: TO �c2l�1e�94 P.Ia3r'0 F�CCt1VC J��1�� Cra�x oF FR�nt�x SINGiE FAM�.X AND n�X.E7 + S R 1 AND it z BUIY.DZ1�'G PERMI�C APP3,ICATION 0 � �� 3� fi� �'el. # S�/ - �?GG MN I,ICENSE ��oa4 $ ?� '� �4dd�ess• ?15 ?O �r�e Dr � lI(� lylR� C�ic�� '��311 Te1.1� �-�7�-0 �5�.. Actach to this application. a Cercificate of Survey of the lo[, with tbe pcaposed cpz�sbvction drawn on it to scale. GIV�tC A,REA: GARAG►E AR�A: DECK AitLA: �T�iER DESCRIpTIQN OF nVIPROVEIV�,NT �� i.eAgttt �� „�'� VVidth Height �� _,,,,,,,,,� Height !'Vidth HgdGmow�d , Sq. Ft. Sq, l�t. Sq. Ft. , Cons�cta0a Type: �C.�a� Estimated Cost: $ �1 „ „�� %'��2. —�. — Driveway Qub Cut Widch Nealed: Ft, + 6 Ft = Ft x$ _$ . oA�: Gl3 ��z�,3 � �r�rca,rrr: A�/ g u ��.uunJ r�. ,� td� .�s,o _ �er�ti �ae �°go Sauc�aar�e s�� s�ct,�� SAC ��e �.icen� Sutcharge I}t�►vew8y Escrow �$'os�on Cor�tro� �ark �oe Sewer Main C�6arge "H'OTA�. sTIPiJLl��'I0111S: � �� .�. � s �� $ $ ��b $ $ � $ $ �� TY U� o� Fee Scbedule on Reverse Side .001 af �ermit'Valuation (1/lOth;b) �. 50/$1, 000 Valuaaon �1050 per SAC Unit $5.00 (St�te Licensed Residentiai contcactors) Alt. "A" ns Alt. "B" Above �450.00 C:on�rvation Plan Review Fee Determi7ned by Engineering A�xeement Necessary ( ) Not Necessary [ ] E0 3J�7d S�IOI2131X3 N3WS1.��J� 6900689ZZ9 ��- � � -��.� (.�' �-�:- '-' � :'� � %%� L�� L� �,� "�: ( � bS�ZO 966Z/SZ/t0