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AF - 46369� � ,''� City of Fridley, Minn.. BUILDING PERIVYIT � �� vo sos� nate: dvae 30, 19b5 p�; Garp _Ba.jvla B�d�, Glad & Miller Constr. Co. Adar��a 5�80 Fiorizog Dr3ve N. E. A� 398l� �labama g�re. So. , LOCATION OF BUILDING No. 80 g�t HOI'3.ZOII Dl'7.�e N. E. Part of Lot Lot Coraer Lot � 3ewer IIevat4on Block Inaide Lot Addition or Sub-Div�si� Setback Sideyard Foundation IIevation DESCRIPTION OP BUILDING To be vsed as: Fmnt Depth Height �. F't Cu. Ft Frant Depth $ei�ht Sq. F't. Cu. Fk Zj►pe of Construc6ton Fast. Cost ��S��•Q0 To be Completed Sto�►n dama.ge �epair: Rebuild In con�aleratfon oP the fssuancae to me of a permit to caa�atruct the building described above I agree to do the proposed work ffi accorriance with the dresc�iption above set forth aad in compliance with a�l proviafona of ordineaoes oP the dty oP Fridley. _,�<1 �� In cam�deratton of the �yment of a fee of �_ 10• .� , peronit ia herelry �aated to Gla.d & i7i11eP -�A�.—Cr1. to conatruct the bufl8ing or addition as described above. This permit is grant.c� upon tne eapreas oondidam that the person to whom it is granted and his agente, employ� s an�� worl�en, fn ail wor$ daae fn, around end upon safd building, or any thereo� shall conPorm in all respects to the or8inanc� of wit�.hin the d�limits�� , c�nairuct� alteration, maintenance, r+epair and maving of bufl8ings o�� t3► permft may be revoked at anq time upon violation oP any of the provia�tona of aeid _ AJ1en Jensen ��g �� NOTICEa 1Ys p�em(! doa �t aewr t6s eoe�ducd�, �oe hr �leiny. Rtumele9. Qo 6�. avrae ee w�er. B� a» te s» �+ BaildteY �r for apualr p�emHs �or � Nnn�. � � APPLICATIOR FOB $UILDING PERMIT CITY OF FRIDLEY, MINNESOTA � OW1�R * 5 NA'EfL � BUILDER � ��'i� �� ° . . ADDRESS __�DDRLSS .� g ��f�- �f � • _�, _ „ � Z %1�� Z�� LOCATION OF BUILDING � s e � �o� �""y � 0 - Streat��.c✓Z�w' ��.�,ParC of Lot_„+,,,�„"„ ��s..._ ,.L� R ADDITION OR SIIBDIVISION Cornes Lot Ii�side LaT Setback Side-+Ya�d _...�_ _._...� . . . . �SE�siLR F,LEVATION FOUNDATIOR ELE'V�'!`'IOi1i __,,,,,,` Applicant attach to this form Two Certificates of Survey of LoC and proposed building location drawn on these Certificates. � To be used as•: DESCRiPTION �F BUII.DING Front Deptb � Hei�ht Sq. Ft. Cu. Ft. Frant Depth � �leight � Sq. FC. Cu. Ft. Type of Canstruction_�.Oi.�,� Estimated Cos�%�,�� •� To be completed _ _ (�J_ _ ( S � � � � The Lmdersigned hereby makes applicatian for a permit for the work herein specified, agreeiag to do all work in strict accordaace with the City of Fridleq Or�iaences and rulinge af the Department of Buildings, and hereby declare� that all the facts aad repres�ntationa stated ia Chis application are true and conect. DA ,� � � — � �� j� SIGNATU1tE %�� !'r. , T� (Schedule of Fee Coats can be found on the Reeerse Side). � -- y- �_ � r� � Q C� � - .,. � _ , SOILDI�iG PERMIT F�;E . S�E � SE� CTIOPi 2. The .Inspectar of Buildinge sha}.l. .before issuing ang pes°mit foz, the erection of any building or structure, or for any additioa to anq egisting build- ing or structure, or for any aiterations or repa�.ra to anq existiag building or structure,,ugon.�appl3ca�i.on therefore, require the payment bq the`applicaat for auch permit of fees to the amount herein below set foYtii and $n tha..imaaner hereiCa_.. provided to-wit; , 2.1. For any such peraait for the erection of aay fire�proof buildiug, other than a garage, warehouse, factory or grein elevator, or for the erection of any fire•prooi add3tion, for aim3lar occupancy, to any existing building, ehall be at the rate_of $1.40 for each one thousand cubic feet, or fraction- thareof, in �uch cubical contents: � '� 2.2. For anq such permit for the erection of �ny fire-proof garage, Werehouse, factory or grain elevator, ar for the erection of any �ire-proof addition, far similer occupancq, to any existing building shall be at the rate of $1.25 for each one thousand cubic feet, claesifiecY as "fireproof" by Section 502 of ehe Mianeapoiie Buildiing Cade. HO.USES 2_ 3. For any such permit for the erection of any non•fireproof bu3lding, other than a garage, warehouse, factory or grain elevator, or any aon-fireproof addition, for aimilar occupancy, to anq eacisting buil�ding -,permit $1.00 for each one thousand cubic feet. � GARAGES �_ 2.4. For any such permit for the erection of any aon-fireproof garage, wareho�use� factory or grain elevator, or for the erection of anq non-fireproof addition, for s�1.a.milar occupancy, to any exieting building or �or each such buildia� or addiCion - ninety cents ($0.90� for each one thousand cubic feet or fraction thereof, in the cubical contents thereof with the minimum of $4.00. For the purpose of computing fees for building permits, the cubical contents of any buildiag or addition to a uniform height throughout by mulCiplying the graund area covered from a`point aix (6).inches below the floor line of the basement or cellar to the average he3ght of the upper eurface or ta the average heighC of the roof au,rface of the m�in gable'of a pitched roof. . 2.5. For regairs or alterationa to.an ex3eting structure, the fee shall be a the rate of $3.00.per each Five Huadred Doilars ($500.00) or fraction thereof in the c�at of all propased�work. � 6_ `In nb case.shall the fee aY�rged for any permit as set forth i� Sectian 2 be less than $4.00. '� ' �"� . _ ,� ,� �� \ ��1 City of Fridley, inn N° 8910 BUILDING PERMIT Date: - JUNE 29, 1966 �: GARY BAJULA �� SAME �e,d� 5480 HORIZON DRTVE N'.E. A� FRIDLEY, MINNESOTA 55421 LOCATION OF BUILDING No. 5480 S�t flORIZON DRIVE N.E. Part of Lot Lot 6 _ Block 5 Addition or Sub-Divisian �SON' S SiTNIMIT MANOR, NORTH ADDN. Corner Lot — 7n�ide Lot x Setback Sideyard Sewer Elevatian — _ Foundation IIevation DESCRIPTION OF BUILDING To be Used ea: GARAGE & PATIO �t 22 �� 34 g��t 10 �. �-t, 748 �, � 7,480 Front Depth fTeight Sq. Ft Cu. F't Type of Construction Frame F.st. Cost _ 2 000 To be Completed Ia consideratlon oP the iesuaac� to me of a permtt to construct the bu9ldin� descril�d a�ve I agree to do tha proposed work ffi accordauce with the d�scription above set forth aad in pliaac�e afl prwisfone of orr]inances o! the oity oP Fiidley. ...�� %�G;��7, ,�i�6 _ , t,%�� Ia ca�ideratlon of the paymeat oP a Pee oP $ 7• 00 ��t � b��, �� ° GARY BA.TiILA to cflnatruct the building or addition as deacribed above. This permit is graated up� the expr�ss conditlon that theperson to whom it ie granted aad hfs ageuts, employees and worlmnen� in all work done fn, around and upon eaid build9ng� or anypart ffiereof, shall conform in all respecta tfl the o�ainsaces oP Fridley� Minnesota �g lacatlon, conatructton, alteration, mafatenaace, repair and moving of bufldin�s within the dty limits�e�t�fa permft may be revoked at aTMY tlme upon violation of aay of the P�vla�tons og Ssid ��diaance� CLAREN'CE BELISLE 8��8 � NOTIC6a 16b p�nni� doa nof eow► tiw wn�ruaHoe, Iethl�Hoe fer �►o, plum6teg, ea 6uNn9, arra� or wab�. B� sun to a� W� Botldiey Ie�eEor hr pparal� � lor 16a� N�ms. �� r APPLICATION FOR Bt1ILDING PERI�IIT ' CITY OF FRIDLEY, MINNESOTA OWNER' S NAME . � BUZLDER 1%-1� �— �/�� annx�ss �� ' � . : —o�snn�ss � LOCATIOAT OF BIIILDING N0. �7 �C� STREET /l7 � Yi�. 2�1 ilo� f/1� ✓�� PART OF LOT � �+ LOT Cp BLOCR ��— ADDI1".[ON OR SIIBDIViSION �-_ �° �a � �,:�.��- CORNER LOT iNSIDE LOT �SETBALK� SIDE-YARD � SEWER ELEVATION FODNDATION ELEVATiQft Applicant attach to this form Two Ce�tificates of Survey of Lot and propoaed building location drawn on these Certificates. DESCRIPTION OF BUiLDI19G To be u�ed as; �` � ' � Front � �� Depth�� ° - Height � � � �; � ��° -Sq. Ft._ �' ' Cu. Ft. � � - Froat Depth _ Height � ' Sq. F� Cu. Ft. ° j � � Type of Construction ,%�� , Estimated Coat_ °�� To be comgleted The undersigned hereby makes application for a permit for the work herein specified, agreeing to do a11 work in strict accordance with the Citq of Fridley Ord3nancea and rulings of the Department of Buildinga, and l�ereby declares that a11 the facte and repreaeintations stated ia this application are true and correct. DATE_ ��' i� O � � SIGNATIIRE __� (Schedule of Fee Costs can be found on the Reverse Side). � �; � � � "-✓ . �°� � �, . , ` ' , � �- � � � . , r. _ . . \ , BIIILDING PERMIT FEE SGiIEDUI.E SEC7.ZOP 2. The Inspector of Buildinga shall, before issuing aay permit for Che erection of any building or `structure, or for any�`addition to any esisting building or structure, or for any alterations or repairs to any existing building or structure, upon application therefore, require the paymeat by the applicant for such:permit_of fees to the amount�lierein below �et forth.and in the manner herein provided to-wit; ' 2 1_ For any such permit for the .erection of any fire•proof building, othei than a garage, warehouse, faatory or grain elevator, or fo�r the erection of any fire-proof addition, for similaz occupancy, to any eximting buiiding, shall be at the rate of $1•40 for each_one thousand cub�� feet, or.:fraction . thereof� in such cubical contenta. � � 2.2 For anq such pexmit for the erection of any fire-proof garage, warehouse, factory or grain elevetor, or for the erection of anq fire•provf addition, for similar� occupancy, to anq esiaCing build�ng aha11 be at th� rate of $1.�5 for each one thousand cuiiic feet, classified ae "fireproof" by Section 502 of the MianeapoZis.Building Code. flOIISES 2.3. For any auch permit for the erecti.on of�any aon-fireproof building, other than a garage, warehouso, factory or grain elevator, or any noa-fireproof addition, for similar occupancy, to any esisting bui�.ding - permit $1.00 for each one thousand cubic feet. GARAGES - � 2.4. For any such permit for tho erection of any non-fireproof garage, warehouse, factorp or grain elevator, or for the erection of any non-fire•proof addition, for aimilar occupancy, to any egisting building �or for esch auch � buildin� or addieion - ninety cents ($0.90) for_each one thousand cubic feet or fracrion t�ereof, in the cubical contents thereof with the minimum of $4.00. For the purpose ot computing�fees for building permita, the�cubical contents of any building or addi!tion to a uniform height throughout by multiplying the ground area covered fram a point six (6} inches below the floor line of the basement or cellar to the average height of ehe upper eurface or to the average height of the roof surface of the �ain gable of a pitched roof. 2.5. For repaire or alterations to an existing atructure, the fee.s?�all be at the rate of $3.00 per each Five Aundred Dollars ($SOO.UO) or fracti�.n thereof in ehe cost of aiT proposed work. 2.6. ..In no case sha11 the:fee charged for any permi� a� aet forth in Section 2 be less than $4.00. �_ m STORM REPAIR DAMAGE FEES: . Residenti�l; Estimated Cost of��work up to $5�'!?,!!� �- �:5.^� Estimated Cost.of work over ^'.��:;::..°':� '� " �� :.�A... _� .. _ Commercial; Estima.tedr""`ost ot wo*?: ��,. '.�� .."a°. . L��) ��'.r�� Estimated „ost of wur'� o1�ar ;�.St,i:,.iia! - $�.i;.�,J ,. _ ,. - �s � .� � � c \ � � � , : tJ'�� l �1 e _ v � � � e '�� D�1i� 1 i- _ _t .. � _ . � / � �� 1 �} ,� � �� [� i�R�i E"L�� C7 G�f�EE �ibu�� ..,.. _; - _ - ` _ _ CI"[YOF FR[DL�.Y CIVIC CENTER • 6431 UNIVERSITY AVE. N.E. FRIDLEY, MINNESOTA 55432 • PHONE (612) 571-3450 April 17, 1987 Lindahl & Carlson 5480 Horizon Drive Fridley, NN 55432 Gentt enen: Fi�187-80 We would like to take this opportunity to thank you for sutmitt3ng your bid to the City of Fridley for our Misoellaneous Concrete C�ub & Gutter. Attached, for your ir�formation, is a a�py of the bid tab sheet showing the results of the bid opening held on April 15th, 1987 at 11:00 a.m. Also enclosed, please find your a�py of the 5� Bid Bond that accompanieal your bid proposal. �hank you for your interest in our Municipal impravements projects. Sinoerely, '�-- �t Jon �anpson Engineering Department City of Fridley JT/mk Enclosures 3/6/$/11 0 sue�ecr N O. c�ty of Fridley 2 617 3 AT THE TOP OF THE TWINS g U I L D I N G P E R M I T � i � R O. � ` _��_ COMMUNITY DEVELOPMENT DIV. �/� / r � v � PROTECTIVE INSPECTION SEC. i �. i `---. w�'��,., CITY HALI FRIDIE� SSI3Z NUMBER REV DATE PAGE OF APPROVEO BY L J� 612-571-34b0 910-F15 6/9/98 / / J08 ADDRESS 5480 Horizon Drive NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. C) 5 Carlson's Summit Manor North SNEET 2 PROPERTY OWNER MAIL AODRES$ 21P PMONE Leroy Johnson 5480 Horizon Drive NE 572-9604 3 CONTRACTOR MAIL ADORESS ZIP PMONE LICENSE NO. R& B Construction 1814 214 Ave NE, Cedar, MN 55011 434-1206 20072653 < ARCHITECT OR OESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAIL ADDRESS ZIP PNONE IICENSE NO. 8 USE OF BUILDING Residential 7 CLASS OF INORK O NEW O ADOITION ❑ ALTERATION �7 REPAIR O MOVE O REMOVE B DESCRIBE WOIiK Reroof House & Garage (27 Sq) Tear-off 9 CHANOE OF USE FROM TO STIPULATIONS Underlayment must comply with the State Building Code. TYPE OF CONST. OCCUPANCV OROUP OCCUPANCV LOAO SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATINCi. 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, Ol± IF CONSTRUCTION OR WORK IS SUSPENDEO OR ABANDONED FOR A PERIOD OF 120 DAYS AT ANY TIME AFTEF WORK IS COMMENCED. NO. DWLG. UNITS OFFSTFEET PARKING I HEREBY CERTIFY TNAT I HAVE READ AND EXAMINED THIS APPLICATION 1 STALLS GARAGES AND KNOW THE SAME TO BE TRUE AND CORREC7. ALL PROVISIONS OF LAWS yAIUATION SUFiTAX AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIEO WITM WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT �Z�ZS1 �1. I.2 DOES NOT PRESUME TO GIVE AUTHORITV TO VIOLATE OR CANCEL TME pEfiM1T FEE SAC CHARGE PHOVISIONS OF ANY OTHER STATE OR IOCAL LAW REGULATING CON- @ STRUCTION OF THE PERFORMANCE OF CONSTRUCTION. �%�F. %S Fire SC �pL. LS PLAN CMECKFEE TOTALFEE ��-u�'�'-� License SC $5.00 $83.12 1GNATUREOFCONTRACTOiiORAUTMOpIZEDAGENT IDATE� WNEN PROPER VALIDATED THIS IS YOUR PERMIT �e �— g� SiGNATUFEOFOWNEf7UiOWNERBUILOER� IDATE� "- L G�NSO OOTE NEw ADDN ALTER [] [l [l CITY OF FRIDLEY SINGLE FAMII,Y AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION ConstructionAddress: �'�J �'fG � � o � � ..S o +� n 6L �' �! _D L� Legal Description: Effective 1/1/98 co(�� o� �j Owner Name & Address: L. EfZ � y ��_z„ ��,,, Tel. # S 7 Z-�I �� / Contractor: _� �C �j C�,^ S+ �, �L + fc,� MN LICENSE # Z..bo � Z�, S3 Address:_�/ i� Z 1�i �`� /� I/r st/'/'C� C�L�- �,.� ,�, Tel. #��3Y— I Z e�(� Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. LIVING AREA: GARAGE AREA: DESCRIPTION OF IMPROVEMENT Length Width Height Sq. Ft. Length Width Height Sq. Ft. DECK AREA: Length Width Hgt/Ground Sq. Ft. OTHER: _R (= r�o-F I�r�►� ��- ��oR�� , 2-7 5`b , 2eG.r� c�,-�-� Construction Type: Driveway Curb Cut Width Needed: Ft. + 6 Ft = Estunated Cost: $ ��S / � (Fee Schedule on Back) Ft x $ _ $ q DATE: `� `�� APPLICANT: i�.2,�,� /��',�� Tel. # y,3 �� - I 7� (-; Permit Fee Fire Surcharge State Surcha.rge SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee Sewer Main Charge TOTAL STIPULATIONS: CITY USE ONLY $ �`"i �/ S' Fee Schedule on Reverse Side $ o° o S� .001 of Permit Valuation (1 / l Oth %) $ �, /� $.50/$1,000 Valuation $ $1000 per SAC Unit $ �-0� $5.00 (Sta.te Licensed Residential Contractors) $ Alt. "A" or Alt. "B" Above $ $450.00 Conservation Plan Review $ Fee Determined by Engineering $ Agreement Necessary [ ] Not Necessary [ ] � �� l� BUII..DING PERNIIT 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: TOTAL VALUE $1 to $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 $1,000,000 $1,000,001 and up FEES $21 (Minimum Fee is $21 plus surcharge) $21 for first $500 plus $2.75 for each addirional $100 or fraction thereof, to and including $2,000 $62.25 for first $2,000 plus $12.50 for each additiona.l $1,000 or fraction thereof, to and including $25,000 $349.75 for first $25,000 plus $9.00 for each additional $1,000 or fraction thereof, to and including $50,000 $574.75 for first $50,000 plus $6.25 for each additional $1,000 or fraction thereof, to and including $100,000 $887.25 for first $100,000 plus $5.00 for each additional $1,000 or fraction thereof, to and including $500,000 $2887.25 for the first $500,000 plus $4.25 for each additional $1,000 or fraction thereof, to and including $1,000,000 $5012.25 for the first $1,000,000 plus $2.75 for each additional $1,000 or fraction thereof DRIVEWAY DEPRESSION ESCROW (Concrete Curb Streets Only) Altemate "A" : Removal and replacement of curb and gutter only - Driveway width plus 6 feet times $13.50. Alternate "B": Removal and replacement of curb and gutter and install a 3 foot wide approach with 6 inch depth - Driveway width plus 6 feet times $15.75. VERIFICATION OF FOUNDATION Pemuts for construction will be issued a minimum of 24 hours from the time of application to allow for proper review of the proposed structure and of the construction site. A Certificate of Survey of the lot, showing the location of the foundation once it has it has been constructed will be required before proceeding with the framing. �= - � ... � _ C�TYOF FRtDLEY FRIDLEY MIJNICIPAL CENTER • 6431 UNNERSITY AVE. N.E. FRIDLEY, MN 55432 •(612) 571-3450 • FAX (612) 571-1287 December 30, 1998 Leroy Johnson 5480 Horizon Drive NE Fridley, NIl�T 55421 Re: Construction Without Obtaining a Building Permit (Windows at 5480 Horizon Drive NE) Dear Mr. Johnson: According to Section 106.1 of the 1994 Uniform Building Code as adopted by the City of Fridley, no building or structure regulated by this Code shall be erected, constructed, enlarged, altered, repaired, moved, improved, removed, converted, or demolished unless a separate permit for each building or structure has first been obtained from the Building Official. You have been notified of your need to obtain a building permit and have failed to comply as of today's date. As a result, a special investigation fee will now be added to the permit, equal to the permit fee. The City of Fridley will give you 30 days in which to comply before turning thia matter over to the City Attorney for his legal conaideration. Please contact me at 572-3603 if you have any questions on this matter. Sincerely, 0 �.'�/V " �. B Y ES Building Inspector BR/bk sue�ecr PE�M1.T . c�ty of Fr�a�ey QQ Q� AT TME TOP OF THE TWINS �` q� V V� O , � �UILDING PERMIT 1 1 1 L • � • COMMUNITY DE�ELOPMENT OIV. � j V _'��', . r � � PROTECTIVE INSPECTION SEC. � �� 1 � � � /'��1 � CITY HALL FRIOLE� SS��2 NUMBEP REV DAT6 PAGE OF APGROVED BY �"'"�" �'� 612-571-34b0 910-F15 1/26/99 / / JOB ADDRESS 5480 Tiorizon Drive NE 1 LEGAL �OT NO. BIOCK TRACT OR AODITION SEE ATTACMEO DESCR. 6 5 Carlson's Summit Manor North Addition SHEET 2 PiiOPERTY OWNER MAIL ADpR�S$ ZIP PNONE LeRo /Reiko Johnson 5480 Horizon Drive NE 572-9604 3 CONTRACTOR MAIL ADDRESS ZIP PHONE IICENSE NO Wellin ton Window & Door Co 3938 Meadowbrook Rd St Louis Park, NIN 55426 4 ARCHITECT OR OESIGNER MAIL AOORESS ZIP PHONE LICENSE NO. 933-6300 5 ENGINEER MAIL AODRESS 21P PMONE LICENSE NO 8 USE OF BUILDING Residential 7 CLASS OF WORK O NEW O ADDITION ❑ ALTERATION � REPAIR ❑ MOVE O REMOVE 8 DESCRIBE WORK Re lace windows 8 CHANGE OF USE FROM TO STIPULATIONS Install smoke detectors to meet the State Building Code - in each sleeping room and on each level of the dwelling. SEPARATE PERMI7S ARE REOUIRED FOR ELECTRICAL, PLUMBING, MEATING, TYPE OF CONST. OCCUPANC� GROUP OCCUPANCV LOAD VENTILATING OR AIR CONDITIONING, TMIS PERMIT BECOMES NULL AND VOID IF WORK Oii CONSTRUCTION 20NING SC. FT CU FT. AUTHORIZED IS NOT COMMENCED V�IITHIN 80 OAYS. OR IF CONSTRUCTION OR WOFK IS SUSPENDED OR ABANDONEO FOfi A PERIOD OF 120 OAYS A7 ANV TIME AFTER WORK IS COMMENCED. NO DWLG. UNI7S OFFSTREET PARKING I HEREBY CERTIFY THAT I MAVE READ AND EXAIr�1N�0 THIS APPLICATION 1 STALLS GARAGES ANO KNOW TME SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS yp�UATION SURTAX AND ORDINANCES GOVEANING TMIS TYPE OF WQRK WILL QE COMPUEO @ WITM WHETHEii SPECIFIED MEREIN OR NOT. TME GRANTING OF A PERMIT W8sOOO $5 OOIF ' �j4.00 DOES NOT PiiESUME TO GIVE AUTMORITY TO VIOLATE OR CANCEL THE pEqMl7 fEE SAC CMARGE PROVISIONS OF ANY OTHER STATE OR LOCAI LAW REGULAIING CON- STqUCTION OR TME PERfORMANCE Of CONSTRUCTION �137.25 Fi e SC �H.00 PLAN CMECK FEE T L FEE 154.25 S�GN4TUAEOFCON'AACTOpOAAUTMOp�ZEDAGENT iOniEr E PRO Y VALID TE TMIS IS VOUR PERMIT � W� �/_'�� S�GNATUAEO�OWNEp��FOWNEpBU�IDEN� �OATE� +gL �;,,y§% qp�E NLW I 1 AUUN [ ] ALTI:R [ ] ConstructionAddress: Lega( Description: Owner Name & Contractor: Cl'1'Y vi+ kRll)LI:Y SINGLE rAMILY AND DUI'IJ�,XI�,S R-t ANll R-2 BUILU[NG I'L:IZIVII"I' /�l'PLI('A'1'ION S�UQ Fl(c��i�n �. ' �` � LIVING AR�A: GARAGE AREA: DECK AREA: OTHER: l�.ttach to this application, a Certificate of Survey of the lut, with the proposed construction drawn on it to scale. Length Length Length DESCRIPTION OF IMYIZOV�MENT W idth Height Width Height Width _ Hgt/Ground ..,. Effective 1/ l�/97 .: .. :.. , Q �� 0�. }� .. � � "Id � � Tel. # S%�" :ENSE # 7Te1. # �,%�_q�� 4b� Sq. Ff. Sq. Ft. Sq. Ft. � . � 1 )n�, � Construction Type: 1�? �1' D!� f�:Q /!� Estimatc�l Cost: $ e �� (Fee Schedu.Ie on Back) � Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft�x � _$ .. � � . DATE: APPLICANT: Tel. � �133 - �3 � o Permit Fee Fire Surcharge State Surcharge _ 5AC Charge License Surcharge Driveway Escrow Erosion Control Park Pee Sewer Main Charge 'CO'I'At. S"1'IP�Jt,r�'I'IONS: CITY USE ONLY $ �S� Fee Schedule on Reverse Side $ _�O .001 of Permit Valuation (1/lOth%) $ r, _�_50/$1,000 Valuation . $ $950 per SAC Unit $ �. d� $5.00 (State Licensed Kesidential Contractors) $ Alt. "A" or Alt. "B" AUovc $ �$450.00 Conservation Pla�� Review $ (�ee lleterininecl by Lngincering $ Agreement Necessary [ ) Not Necessary [� ] � �d� �; �� - � �l J� �� `'�� . � ,. a�� , �. /� ��t� ,��; , ' � Bu�iding Inspections 763-572-3604 DATE � 3 p _ STTE ADDRESS .�� THIS APPLICANT IS: PROPERTY OWNER/ TENANT CONTRACTOR SUBMIT A COPY OF YOUR STATE LICENSE WITH APPLICATION PROPERTY TYPE PERMTT TYPE �PE oF woRx: ` BU LI�ING RESID L APPLICATION CITY OF FRIDLEY i YOUR E-MAIL ADDRESS d'G�O�/ [L�OWNE ❑CONTRACTOR ' �: � G� o y �h`�(S o �� Dtt�ss: � `� g'D 6 �l ?� 6 cc� ��' � r �. fnNF.• �� _� S�7nC. 7� � � Pernut No.: Received By: Date Rec'd: 'aTSt�rn S�S��J NAME: STATE LICENSE # EXP DATE ADDRESS: CITY STATE ZIl' PHONE FAX ❑ TWO FAMILY/NEW CONSTRUCTION ❑ BASEMENT FINISH ❑ ROOF ❑ DECK � SIDING ❑ SR'IMM � MAII�TTENANCFJREPAIlt ❑ REMODELWG DE3CRIBE WORK BEING SIZE OF NUMBER OF SQUARES _ GARAGES PROPOSED SIZE: ZE PROPOSED HEIGHT: SIDING ❑ Vinyl ❑ Aluminum � Other � ❑ HOUSE ONLY ❑ HOUSE 8c GARAGE ❑ ATTACI�D GAR.AGE O DETACHED GARAGE ❑ DRAIN TILE ❑ OTHER WIDTH - HEIGHT BASEMENT REMODELING SUBMIT: 1. Existing Floor Plan 2. Proposed floor plan 3. List of shvchual members to be used Ft. FOR NEW CONSTRUCTION INCLUDING DECKS, �Soffit ADDITIONS. & PORCHES SUBNIIT: ❑ Trim 1. Site Plan/Survey showing the existing str�ctures - � Fascia and proposed project 2 VNIPVDOWS . Two sets of construction plans IN EXISTING OPENINGS OYes ONo IACATION OF WINDOWS 3. Energy Calculations OR FOR NEW OPENINGS-DESCRIBE SIZE OF OPENING CHANGES & TYPE OF WII�IDOW TO BE INSTALLED NUMBER OF WINDOWS ALL FEES ARE BASED ON VALUATION, INCLUDING THE COST OF LABOR AND MATERIALS: (USING 1997 T�.0 FEE SCI�DULE) TOTAL JOB VALUATION $ �� OCCUPANCY TYPE Pemut Fee Plan Review Surcharge Fire Surcharge License Surcharge SAC Chazge Curb Cut Escrow Erosion Control Park Fee Sewer Main Chazge Total Due_ $ $ $ $ $ $ $ Q $ See Back Page for Fee Schedule 65% of Building Permit Fee (.0005) times the total job valuation — Minimum $.50 .001 x Permit Valuation (1/10%) $5.00 (State Licensed Residential Contractors) $1450 per SAC Unit (Plans to MWCC for determination) $+6ft= ftx$20=$ $450 Conservation Plan Review Fee Determined by Engineering Agreement necessary ( ) Non Necessary ( ) Make checks payable to: Citv of Fridlev Attach THIS IS AN APPLICATION 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 pemut and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of all work w'�ch requires revie d approval of plans. , SIGNATURE OF APPLIC � � � y�" " ��.PRINT NAME � L' �B Y � ° ,�D F��TE FJ � �� ✓ �1.�� Page 2- Building Residential Application BUILDING PERMIT FEE SCHEDULE The Chief Building O�cial shall, before issui.ng 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 Department 6431 University Avenue NE Fridley, MN 55432 763-572-3604 Fax: 763-502-4977 u � �� 4 � p V �'.. .. �` `� ..�. r' M a, _.�_ O �� S .� ` � � 0 � � � � � � � � i � � �� ' --°a � � ? -�-b 3 � . _._s . r � �� 1 m � V � � ` � � + � Building MECHANICAL Permit No.: �� l�p�1 Inspections RESIDENTIAL APPLICATION Received By: 763-572-3604 CITY OF FRIDLEY ��e�� 2 9 763-502-4977 FAX EFFECTIVE2-19-09 DATE � D-��- � y YOUR E-MAIL ADDRESS SITE ADDRESS � H� � �.i� � 1 Z9+� �� N� THIS APPLICANT IS: ❑ OWNER �CONTRACTOR PROPERTY �WNE.R/ TENANT CK�)�M 4.7:T�I C�J,� SUBMIT A COPY OF YOUR STATE LICENSE WITH APPLICATION PERMIT TYPE �rE oF woxx: rIAME:—L�L 1� d'-r - d 4��► .^ •� u e"�, ADDRESS:��9 L�d /�l Zo.�. i�v N� CITY �/� r� I�STATE N11�ZIP s54� J PHONE: 7 r�°+ ��,i, -► � C U l'I COMPANY NAME: CONTACT PERSON: STATE LICENSE # EXP DATE ADDRESS: �� 0� a �.�. y� 0.�' CITY FY�. I.A� � STATE �° ��"� ZIP S� � 3�- PHONE '? b.3 •�7 S l4 e� i g� F.47c E9 SINGLE FAMILY ❑ TWO FAMILY ❑ NEW �d REPLACEMENT ❑ TOWNHOUSE ❑ ALTERAI'ION/REMODEL DETAILED DESCRIPTTON OF WORK ��,�, �� i2, e.�I '@... €.+ +c�-r � vik� �' l� 9,2 v�.� o�., FEES ARE BASED ON S10.00 PIIi FIJCT[JRE, EXCEPT R'HERE NOTED. FIICT[TRES: (INDICATE TOTAL NUMBER OF EACH BELOR� EquipmentInstalled MFG: � v v� MODEL: UGIDG� D'1 6Ar�EIf= SIZE/BTU 0, n U V MFG: MODEL: MFG: MODEL: A/C $25.00 FIREPLACE (GAS) $15.00 AIR TO AIIt EXCHANGEER $15 _FIItEPLACE (WOOD) $35.00 BOII,ER $35.00 � FURNACE $35.00 _CHININEY LINER $10.00 _GAS DRYER $10.00 DUCT WORK $10.00 GAS PIPING $10.00 SIZF/BTU SIZEBTU _GAS RANGEJOVEN $10.00 NEW GAS GRILL $]0.00 _GAS UNIT HTR $10.00 POOL HEATER $35.00 _VENTILATOR $15.00 THIS IS AN APPLICATION FOR A PERNIIT-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; that the work will be in accordance with the approved plan in the case of all work wtrich requires review and approval of plans. SIGNATURE OF APPLICANT C�--n-�.� �. �� PRINT NAMES L� fi' ��1 �� DATE I 8^� r' �� City of Fridley Building Inspections Department 6431 University Avenue NE, Fridley, MN 55432 763-572-3604 FAX: 763-502-4977