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AF - 46371�-. � � y� ao City of Fridley, Mi.nn. N° 8236 BUILDING PERMIT ��: du1� 20� 1965 owaer: �ti�IN A. DAV:C� �� PEMTC�L, INC. Ad� _5490 T3orizon Drive A� 2716 8iver Hills Drive Fridleys M3annc3sota Burnsvi7.].e, Minnesota LOCATION OF BUILDING No. �� Stceet H�Z�� Part oP Lot r.ot _� _ siock ,.,� Addition or Sub-Division ��'�on' a Summit Manor North 8d.d.n. corner Lot _ Insdae Lot sstback siaeyard �W� g�� _ Foimda.tion IIeval3on DESCRIPTION OF BUILDING To be vsed as: Front Depth Height Sq. Ft Cu. FL Front Depth I�eight Sq. F't Cu. Ft Type of Construct3on F�st. Cost ��.s�•00 To be Completed REBU27,D Dt7E TO S TOi�M ]?�IL1GE Ea consdderation oP the 9esuance to me of a pertnft to construct the bwtlding described above I agree to do th� proposed work in accordance with the drescription forth and ia compliance th a�l proviaions oP ordinanoes oP the dtq oP Fridley, : ,�;� In cansfderation of the payment oP a fee oP $ 10.00 ��t qe hereby �aated to ED�iIN �, D1�VIS to c�matruct the buflding or addition as described above. Thfsp�r� t is granteci up� tl�e exPress condition that theperson to whom ft is granted and hfs agents, employees an� worl�en, in ali wa�k done in, around end upan eaid building, or anypart thereof, shall conform in all reapects to the ordinance� oP FridleY, Minneaflta regar�iiag lacatfon, conatructton, alteration, mafntenance� Te�fr and moviag of bufldings ordinance�a• dt3► limits and tbis permit may be revoked at at�y tiaue upon violsl3on oY a�► of the provi�tons of said �EN G. JENSEN ��s � � NOTIC& � p�trmk doa eot eersr ths eowlruaHoe, InttallMioe �er �Irte6. P��B. 6+� 6�9, �vu er wah�. B� wes to a� f!a Bulldte8 le�ee fer ap�rah p�rmNs hr 1k�a kems. ' = a . � �� ` � ^ Oi�iNER' S NAI� � AnDRrss � �4 � ' ` � �:.� . APP'LICATiO�Q �FOR' $U�DIIQG PERMIT .. , , . . . . ` : . _ . CITY OF FRIDLEY, MTNNESOTA _''�� , • � ..... ' - ,, ) �.► � G 1�i `� i � P� �i � � BUII;DLK�� i "� � . �-� + � �. � T��1��_fR��. �1�. _ A�DRESS i�c r.�.,a.� �. .� � � �`�� ; �"�- < � :� t�, ` i�''� � . . _ � - _ .� � . � �� ' ' LOCATI0�1 OF BU�DING � ' . , . . No . � � � � � • , , S treet � ��_��. � � a�t' , � �� . P ��f Lot ; T . . � , : � . . �:`K.�fJi�'�:R� ��`"�'� �"� � Q� ` � (� .LOT / . BLQCR� � ADDI�'ION OR SUBDIVISIOA ��T�1 �►p�` � ,. . . , r. ,, °, _ .�_ Coraer Lot'� $rts ide LQT� . Setback - �Side-YBrti � ' � ' � SEWER ELE�ATION�� . `, . . FOUNDATION ELEVATION �,° _ - , . . �,, . • � Appli.cant attach Co this form .TWo Certificates of Surveq� of Lot .and proposed build3ng locatiou drawn on these Ceztific�tes. .----�. , - ' 1,:. � . � . . DESiCRIPTION OF BUIiDING To be used ae : � � � � � � � ' � - • . � Front Dept "Seight , Sq. Ft. Cu. Ft. . ` Fran�' ' �`DepCh . . Height ` � . �� : ,. , , ._ ,_,.�. � : � . " Sq. �'t. . , Cu. FC: = � � . . Type of Caa�truction t6'�1�:�. � , ��,�, �� • ; Estimated Cost � `.� �, '�, _ --� ,,�.....^ -,� �. To beLcompleted � �� Q, • ° . , - . . . , . , . _ . , . ,- , . The undersig�ed.'h�ere�q makes application'�or a permit-`for Che'work herein.specified, agreeing,to do al�. work ia strict accordance with the Ctty of Fridley Ordinances and ruliags�o��'�he.D�paYtment of Buildings, aact herebq decla'rea that a1l�the facta and representg�f ons stated ia this appl3c$tion -are �true �and co=rect .' , . . , �. f DATE � I �' �- ' � � �� SIGNATURL �'V�� . � , ,'�'��, (Schedule of F'ee Costs can be faund on the Reverae Side).� /", � � .. r A � T �' • . ku � BOILDING PERI�T F'EE SCHEDDLF SB_ 2. The �,nspector of $uildings shall. before isauiag any pes�mit for the erection of any building or etructure, or for any addition to any esi�ting build- ing or structure, or for any alterations or repairs to anq exiet3ag building or structure, upon applicatian therefore, require the paymeat by the applicant,for � s�ch permit of fees to the amount herein below set foreh and in the manner herein provided.to-wit; 2.1. For any such permit for the erection of any fixe-proof buildiag, other than a garagey raarehouse, factory or graia elevator, or for the erection of any fire•proof addit4on, for eimilar occupancy, to any existiag building, ehall be at the r,�te �of $1.40 for each one thousand cubic feet, or fraction thereof, in such cubical contenCs. � 2,2. For any such permit i'or the erection of any fire-proof garage, Warehouse, factory or grain elevator, or for the erection of any fire-proof �-- addition, for simil�r occupaacy, to aay existing building shall be at the rate of $1.25 for each one Chousaad cubic fe�t, claasified as "fireproof" by Section 542 of the Mianeapolis Building Eode. HOIISES 2�3. For aay such permit for the erection of any non-fireproof building, other than a garage, warehouee, factory or grain elevaCor, or any nun-fireproof addition, for aimilar occupancy, to any exieting building - permit.$1.00 for each one thousand cubic feet. � GARAGES �__ 2_.4. Far any such per�it for the erection of any non-fireproof garage, warehouse, factory or grain�elevator, or for the erection of any non-fireproof addition, for similar occupancy, to any esisting building or for each such� buildiag or addition - ninetq cents ($0.90) £or each one thousand cubic feet or fsactian �heaeof, 3n the cubicaY contents thereof with the minimum of $4.00. For the purpose of computing fees for building permita, the cubical. contents of any building or additioa to a uni€orm height throughout.by multiplying the ground area covered from a po�.nt six (6) inchea below`the floor line of the basement or cellar to the average height of the upper surface or to the average height of the rvof surface of the maia gable of a pitched roof. 2.5. For repair� or alterations to aa exiatiag structure, the fee shall be at the rate of $3.00 per each Fine Hundred Dollars ($SOO.QO) or fractioa thereof in the cost of all proposed work. 2�6. In ao case ahall the fee charged for any permit as set forth 1n Section 2 be less than $4.00. �, . � ,� /� � ,^, _ _,, «4. .� � /� City of Fridley, Minn. BUILDING PERMIT Da�. 1QOVEP'1BER 22, 1965 Oveaer: EDWIft A. DAVIS ��, SUSSEL CDMPANY �� _5490 Horizon Drive A� 1850 Como Avenue Fridleq, Minnasota 55421 St. paul, Minnesota LOCATION OF BUILDING No. 5490 g�t gorizon Drive part oE Lot I.ot _ Block Addition or Sub-Divlaion Corner Lot _ Inside Lot Setback Sideyard 3� 3ewer IIevation _ Foundation IIevation � 3 ��i N° 8613 DESCRIPTION OP BUILDING To be Used as: Det . Garage �t 20 �� 22 Height 10 Sq. Ft �'� �, �, 4, 400 Front Depth ITeight Sq. FL Cu. Ft Type of Construction - Fr�.e F�t. Cost _�1�3�Q_ To be Completed In consfderation of the 9ssuaace to me of a permit to conatruct the building described above I agree to do �o��ProPos� �� o � with the drescrlption above aet rth and in compliance wlth a�l provisfons oP �o - � In consfderatton oP the P$3��t oP a Pee oP ��_�� Permit fa hereb3' granted to SIISSEL LUMBER CONIl'ANY to construct the buflding or addition as d�cribed above. This�� t fs granted upon the express condition that the pezson to whom it is graated and hYs agents, emPloyees an� workmen, in all work. done 9n, around and upon eaid building, or anY part thereoP, shell conform fn all respects to the ordinance� of FridleY. Minnesota la:ation, conatruct[on, alteration� mainteneace� rePair and moving of buYlaings within the dty ]imfta� P�t may be revoked at any tirne upon violation of suS► of the P�visiona of sa�a ortliaances. ATT.F.1Q G. JENSEN �� NOflC� 1bb p�rmN doa eet �owr t6s ceea„vaHoe, fmnaaHen �e� �rl�ina, p[am6teo, oa 6udna, arr�� o� wat�r. B� an to a� Na ��din9 fe�O� �ee ap�afa p�rmh� Ioi t6�a Ih�. � � 1 APPL�GATI019 F08 $UILDING PEI2I�IIT CITY OF FRZIILEY, MINNESOTA OWNLR' S NAI� � ��o •` �� s BTrILDER � �° � �� C' •` � ADDRESS �.`��0 /��r�z��+. �wr�-Y ADL`RESS _ %��.5�� dYn�a /�:� �� — .. LOCATION OF BUILDING -�O-� - ___,_____ Street Part o� Lot �.;...... L�T _______�-�'-R ADDITION OR SUBDSVISION - ---..__...�._..._.r. Corner Lot`_Ittaide LOT Setb�ck . Side�Yard�__� � SE�+IER ELEVATION FOUNDATIOR II',EVATION�'_ „___ r, Applicaat attach to this for•m Two Certificates of Survey of Lot and proposed building locatioa drawn on these Certificates. DESCItIPTION OF BUILDING To be used as; �e��d'`� Front ;� �; Dept4 .,�,_Z Height Sq. Ft. l l�� Cu. Ft. � �y� / - Fr°nt DePt �_Height Sq. FC . Cu.� Ft . � �.._.` :ype o� COilBtruCt3oA f'r� � Estimated Coat � � ��-�� To be compleeed_ ej'm �e,�s . .. �'he undereigaed hereby makes application for a permit for the work herein specified, agr�eing Co do all work 3n strict accordance with the City of Fridley Oa'din�nces and rulings af the Department of Buildings, and hereby deeiares that ail the facts and repres�ntations sCated in this�application are true and correct. HA��° °� ��' SIGNAT[TRE � � * (9chedule af Fee Costs can be found oa the Reverse Side). U � � � , , � � � � �� BDII�DI� PERffiT � F�E _.SGHED�R,B - SE�. The Inspector qf Buildings�shall. before issuiag any �rmit fos the ereceion of any building or atrucCure, or for any additiaa to any egisting build- 3ng or etructure, or for any alCerations or repaira to any esieting building or structure, upon application thetefore, require the�payment by �he.applicaat for such per�tt of fees� �o the amount herein below set forth and ia the.maaner hereia_.. provided to-wit; � . 2.1. For any such permit for the erection of any fire-�proof buildin�, other than a garage, warehouae; f�actory or grain elevator, or for the erection of �ny fire-proof addition, for aim�llar occupancy, to any existing building, shall be at the•zate of $1.40 for each one thousand cubic feet, or fraetion tbereof, 2n such cubicai Conte�nes. � 2.2. For aay each permit for the erection of any fire-proof garage, Warehouse� factory or grain elevator, or fvr.the erectioa of anq-fire-proof addition, for aimilar occupancy, to anq existing building shall be at the rate of $1.25 for each one thousand cubic feet, classified as "fireproof" by . . Section�5Q2 of the Minneapolis Building Code. " IiOIISES 2.3. For any sucb permit for the erection of any non-fireproof buildin�, other than a garage, warehouse, factory or grain elevator, or any non-fireproof additioa, for aimilar occupancy, to any exiating buildiag - permit $1.00 fos eacb one thousand cubic feet. GARAGES 2` For any euch perm�tt for the erection of any aon-fireproof garage, warehouse, factory or grain elevator, or for the erection of any non-fireproof addiCion, for similar occupaacy, to any existing building or for each such buildiag or addition - ninetq cents ($0.90) for each one thousand cubic feet or fraction thereof, in the cubical contents t�ereof with the minfmum of $4.00. For the parpose of computing fees for building permits, th� cubical eonteate of any buildin� or addition to a uniform hei�ht throughout by multiplyiag the graund area covared from a point six (6) inches below the floor line of the basement or cellar to the average height of the upper surface or to the average beight of the roof su.rfaee of the main gable of a pitched roo£� 2.5. P'or regairs or alCeratioas to aa exieting struatures the fee shall be at the rate of $3.00 per each Five Hundred Dollars ($500.00) or �ractioa . thereof in the c�at of all propoaed work. 2.6. In no case eha11 the fee charge�d for aay germie as aet iorth in Section 2 be less than $4.00. �_ . . _� � n - �"'� -�, -� + f i � 3� �,o M��H �� . ouoV �r_...i'' • O � ,, 1b' Door�.. , �`' 2' A Pczc�U � g�. �8.. � �o�rs �vru 2E I�s�a1 � Lr ��2tUE uvay C� �'.�' c�v ti, tt E t�e�rrt-1 N o ca s C 0 ��i-t E Couov�r ;;, � .,,_„ .,.' ` �� ',� '` .:� `�r � � � � �- - a,`s �2o t�tT � __ s � � � � s � � � � m � � w a p � � 0 c�i x r�� H `�' �,' A �r�� y � o x � � � � � o �� _�' �n � � o � � � m � 0 � m ro � m ;� � � � � b � � W W � � �- H y a : � w �d � o W � g 'a�d � � � �n:� � � � �� o k � y� � Ir y � � : �� : �� : : y Q . . m : : � � : : : � : . . . � . . � . � ' i i i- m � � � � x . � ,e � o : 5��, � v� r» rfl � � e y • ey p r � o � � i � � � � a N � � z � o � r � ` � � � � 0 0 r � � pd � ` I �o w oa " °.: m, � � M � ]- ti o � y O V� y �: A � • �� : � � M � � � O � � � � � � O � � � � � � x° M 0 � m w w � �� m w � � � ��`° � x � � o N o � � y oo� c c R° R° y � � � � � � � �� o � o o � r' o '�' � � � � a� M � M : � � : . � � � x � . . o � : � � � : � : � wwoo S � o S sn tss �s rfl O � � � z � � � o� g � � � � � o , m � z 0 0 � �. 0 � � � � g � � � �° � � �' � �' ; � R° R° � � �� S � � o � � � �w w �' pA', R� 0 0 � � �� n � ro � � � a, � � � o o, � : G F• o : � � p 0 ; : O O O o . . . m .° : : : � . . . . � w��wo °o � o °o `� rn tA a► � � 8 y O "l � bd 5 �¢ � � � � � S �, w � � �� m � � � � y � � a�.�� y °�c�� 0 0 ?� '� �I�� , 'C � o � a � � � � . . � . . �•°: : O 0 . . Cp . . O . . . � � W��a� 0 0 0 0 0 0 0 0 � O t" aa� � �� o b�� .� � �' � j �� oApr" �4 �d°�� + ��a � w� e „� p � ��-'�C 0 � �roy � �"�i J b��,� � �� #y w . p� ��i �� .�p �ma,o ,� '+ m�� b I �.� �.� � o�� \ �yf�DM s►�� M e+ �. r+ � � Cr m � � � � � �• � D � � 1'D" � "♦ m y 2 m C m � � co � x � m � � � �. � � � O � � a� n� 0 d � O� D = �. � � �� H 0 � 0.� A � e� � � �, Oi � 7s � {0 � � � � d �� sue�ecr PERMI . City of Fridley =�� 1 ' , AT THE TOP OF THE TWINS g U I L D I N G P E R M I T E��... r � � COMMUNITY OEVELOPMENT DIV. �� ,: ------ � � � r � � PROTECTIVE INSPECTION SEC. 1 ` � � /'��1 � CITY HALI FRIOLEV 55432 NUMBER REV DATE PAGE OF APPROVED B� �"""� � ,�� 612-571-3450 910-F15 10/6/93 / / JOB ADDRESS 5490 Horizon Drive NE t LEGAL LOT N0. BLOCK TRACT OR ADOITION SEE ATTACHED DESCR. % 5 Caxlson's Suuuait Manor North Addn. SHEET 2 PROPERTY OWNER MAIL ADDRESS 21P PHONE Lon� 5490 Horizon Drive NE 571-7869 3 CONTRACTOR MAILADDRESS ZIP PHONE LICENSENO. Phalen Siding & Trim Inc. 1528 Lincoln St St Paul MN 731- 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAIL ADORESS ZIP PHONE LICENSE NO. 8 USE OF BUILDING Residential 7 CLASS OF WORK O NEW ❑ ADDtTION O ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE % B DESCRIBE WORK Resicle Iiouse & Garage 9 CHANGE OF USE FROM TO STIPULATIONS �rovide s�oke detectolcs as pex UBC 1210 adjacent to all sleeping areas and in basentent, TYPE OF CONST. OCCUPANCY dROUP OCCUPANCY LOAD SEPARATE PERMITS ARE REOUTAED 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 60 DAYS, OR IF CONSTRUCTION 019 WORK IS SUSPENDED Of; ABANDONEO 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 �. STALLS GARAGES AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS VAlUAT10N SURTAX AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED $3 �500 $�.. %S WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE pERMIT FEE SAC CHAFGE PROVISIONS OF ANV OTHER STATE OR LOCAL LAW REGULATING coiv- $63. OO Fire SC yS3. SO STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. P�AN CHECKFEE TOTALFEE License SC $5,00 $73,25 SiGNATUREOFCONiRACTORORAUTNORI2EDAGENT IDATEI �Iy�E OPER � ALIDATED THIS IS YOUR PERMIT . , ,��" /�� _ SiGNATUREOFOWNERtIFOWNERBUILDERi IDATEI BLOG � P �aT , NEW [ l ADDN [ ] ALTER [J Co�ction Address: CITY OF FRIDLEY SINGLE FAMILY �l1�TD DUPLEXES R-1 AND R-2 Building Permit Application �� a� / c' ,�°s � /�..� ��'" Effe�tive 5126/93 Lega1 Description: Qwner Name 8c Address: �� ti �, ��5 Q ��`` "' °' � ` ; �"`'• Tel. ��l 7�°% Co�ractor: �`°�'�-e- 2° d J >° � -� �`r ,.-„_, -�� ;� �� r �. MN IdCEI�ISE # Address: ��,�� / e/�G G �-� S-�`- ��-�---% /�'1� Tel. # �.�r .2 � � L Attach to this application, a Ce�tificate of Survey of the 1�, with die proposed coastiv�tion drawn on it to scale. LIVING AREA: Length GARAGE AREA: Length DECK AREA: Leneth o�x: s� DfiSCRIPTIUN OF Il1�IPROVEMENT Width Height Width Height Width H„gt/Gi �� Sq. F� �. Ft. S�. Ft. Corner Lot [] Iaside Lot {� Ft. Yd Seiback Side Y�rd �cks Type of Construction• �� ° � ��—� Estimated Cost: � �c�� O. Approx. Completion Date: - - � Dtiveway Curb Cttt V�iidth Need�: DATE: �� 7� ` �-�.a►PPLICANT: Permit Fee Fire Surcharge State Surcharge 5AC Charge License Surcharge Driveway Escrow Erosion Control Park Fee Sawer Main Cha.rge TOTAL {Cost on Back) 6 Ft = Ft x $ , K. ._l�. ' t � $ �� F� Schedule on Reverse Side $_ �, 5 �.001 of Permit Yaluation (1/ lOth %) � , I . -7 � $.50/$1,OOU Valuation � $750 per SAC Unit $ �, D o$5.00 (State Licensed Residetttial Contractors) $ Ait. °A" or Alt. "B° Above $ Conservation Plan Review $450.� $ Fee Determined by Engin�ring $ Agreement N�ry I l Not Ne�essary I l � 7 �, �"� STIPUI.ATIONS: _� # BUII.DING PERMIT FEE �SCHEDULE The Chief Building Official shall, before issuing permits for the er�tion of any building or structure, or for any addition to any existing bnilding or structure, or for azty alte�raation or repair to any existing building or structure, upon application therefore, require the payme� 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 $1W,� $100,001 to $5�,000 $500,001 to $1,000,0�0 . $1,000,001 and up FEFS $15 (Minimum Fee is $15 plus surcharge) $15 for first $500 plus $Z for each additional $100 or fraction thereof, to and including $2,000 $45 for first $2,000 plus $9 for �ch additional $i;000 or fraction thereof, to and including $25,Q00 $252 for fir� $25,000 plws $6.50 for each additional $1,OOU or fi�tion thereof, to and including $50,000 $414.50 for first $50,0� plus $4.5Q for each additional $1,000 or fraction thereof, to aad including $100,i300 $639.50 for first $1�,000 plus $3.50 for each additional $1,OOQ or fraction th�eof, to and including $500,000 $2039.50 for the first $500,000 plus $3 for each additional $1,U00 or fraction ther�f, to and including $1,000,000 $3539.SU for the first $1,000,000 plus $2 for each additional $1,000 or fraction �thereof t DRIVEWAY DEPRESSION ESCROW (Concrete Curb Streets Only) Altemate "A" : Removal aad repla.cemem of curb and gutter only - Driveway width plus 6 feet times $13.50. Alternate "B" : Removal and replacement of curb aad gutter aad install a 3 foot wide approach with 6 inch depth - Driveway width plus 6 feet times $15.75. VERIFICATION OF FOUNDATION Permits for constructioa 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 conshuction site. A Certificate of Survey of the lot, showing the location of the foundation once it has it has been constcucted will be required before proceeding with the framing. -� '�. A SUBJECT , c�ty of Fridley 26510 l AT THE TOP OF THE TWINS g U I L D i N G P E R M I T � � � RE IPT NO. � ; y __.__ COMMUNITY DEVELOPMENT DIV. • �� r � � PROTECTIVE INSPECTION SEC. 1 = � � �"'1 � CITV HALL fRIDLEV $$432 NUMBER REV DATE VAGE OF APPROVED 8Y �----� • •,� 612-571-34b0 9t0-F15 7-7-98 � � JOB ADORESS 5490 HORIZON DRIVE NE 1 LEGAL LOT NO. BLOCK TRACT Oq ADOITION SEE ATTACMEO oESCR. 7 5 Carlson's Summit Manor North Addition SNEET 2 PROPERTY OWNER MAIL ADORES$ 21P PNONE Scott Long 5490 Horizon Drive NE 571-7869 3 CONTRACTOF MAIL ADDRESS IIP PHON ICEN$� (�I�. Twin City Exteriors, 9060 Zachary Lane N��108, Ma le Grove 55369 L j < ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAIL ADDRESS ZIP PMONE LICENSE NO. 8 USE OF BUILDING Residential 7 CIASS OF WORK O NEW � ADDITION O ALTERATION �7 REPAIR O MOVE O REMOVE 8 DES,CR4BE WORK Residing 9 CHANGE OF USE FROM TO STIPULATIONS Call for inspection of building wrap before covering. SEPARATE PERMITS ARE REOUIRED FOR ELECTRICAL. PIUMBING, MEATING, TYPE Of CONST. OCCUPANCV GROUP OCCUPANCV LOAD VENTILATING OR AIR CONOITIONING. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING SQ. FT. CU. FT. AUTHORIZED IS NOT COMMENCED WITHIN 60 OAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOFi A PERIOD OF /20 DAVS AT ANV TIME AF7ER WORK IS COMMENCED. NO. Di LG. UNITS OFFSTREET PARKING I HEREBY CERTIFV THAT I HAVE READ AND EXAMINED THIS APPLICATION STALLS GARAGES ANO KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS Of LAWS VALUATION SURTAX AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED $`8�000 $4.00 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING Of A pERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL TNE pEfiMIT FEE SAC CHARGE PROVISIONS OF ANY OTHER STATE OR LOCAL I.AW REGULATING CON- STRUCTION OR THE PER ORMANCE OF CONSTRU TION. $ I37.25 Fire SC $H.00 < P�icenseF�C $5.0 T ��EE25 -_ NATUREOF ON7RACTORO A ORIZED ENT IOATEI N RO V VALID T TNIS IS Y��MI r S�GNATURE OF OWNER�IF OWNER BUILOERi �DATEi iNSP ppTE 1 _ • NEW ADDN ALTER [� [l [l ConstructionAddress: Legal Description: CITY OF �ZtIDLEY SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUTLDING PERMIT APPLICATION Effective 1/1/97 � g� �I� �� . Owner Name & Address: �Gp�" � �� Tel. # `�%– r]g� � Contractor: �� 7� O MN LICENSE # aJ��s— Address: tii'�o el. # �r�?� �7�7 Attach to this application, a Certificate of Survey of the sS�� 9`�� lot, with the proposed construction drawn on it to scale. LIVING AREA: GARAGE AREA: DECK AREA: OTHER: DESCRIPTION OF IlVIPROVEMENT �II� Width Height �n� width Height �n� Width Hgt/Ground Sq. Ft. Sq. Ft. Sq. Ft. �a Construction Type: Estimated Cost: $� ��— (Fee Schedule on Back) Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x$ —$ DATE: A,PPLICANT: Tel. � ,S - % CITY USE ONLY Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee Sewer Main Charge TOTAL STIPULATIONS: a� � f��= Fee Schedule on Reverse Side � � 00 001 of Permit Valuation (1/lOth%) $ 'rjl °—° $.50/$1,Q00 Valuadon $ $950 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 Necsssary [ ] Not Necessary [ ] a�' $ � BUILDiNG PERMIT FEE SCHEDU6�E 1'he 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 $S00 $�O1 to $2,000 �2,001 to $25,000 �25,001 to $50,000 ��0,001 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 additional $100 or fraction thereof, to and including $2,000 $62.25 for first $2,000 plus $12.50 for each additional $1,0� or fraction thercof, to and including $25,000 $349.75 for first $25,000 plus $9.00 for each additional $1,(�0 or fraction thereof, to and including $50,0(}0 $574.75 for first $50,000 plus $6.25 for each additional $1,000 or fraction thereof, to and including $1p0;000 $887.25 for first $100,000 plus $5.00 for each additional $1,�O�or fraction thereof,.to and including $500,000 $2887.25 for the first $500,000 plus $4.25 for each addidonal $1,000 or fraction thereof, to and including $1,000,000 $5012.25 for the first $1,0OO,OQO plus $2.75 for each additional $1,000 or fraction thereof DRIVEWAY DEPRESSION ESCROW (Concrete C�rb 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 approach with 6 inch depth - Driveway width plus 6 feet times $15.75. VERIFICATION OF FOUNDATION Pecmits for construction will be issued a minimum of 24 hours from the time of application to allow for proper re��iew of the proposed structure and of the construction site. A Certificare of Survey of the lot, showing the location of the foundation c�nce it has it has been construct�d «�i;i hc required beforc �roceeding with the framin�. � � _w * � n O � C � � O Z D � � S D r r W m � � O < 0 m O 'D m � c � n � m c� -� 0 z � 0 .� D a Z � D � r m rn I a � z � C � � IV m � � � Z n 2 � O �r � m m m � � c 0 3- m cn � � e � � o � 0 < a � � i � 0 c � s I � v °: m � 3 � 0 � � � D 70 � r m r � � O �o � O = n < � � � 7 fD � � o � m � 0 A �, � N c � m o o � 2 D D v � a � � Z c�D Q D � m � O Z G: � � Z m 0 "� � � � � � � � w w °—° °�° 0 z —I o � � m � � o � � � � '� o � m m m � � � � 0 � o ''� � _ _ � � w � � � m � � � tQ � � N � �p � "Q 7 C � ' � � � � � � � °u,' 3 cQ � z �p . pl � � � � � a 3 � Z m � m � � � � f -+ �' � - � 'rl » � * ci � � � n ° � c � m m a � . m � I � I I � I I I � I � I I I '�r j► �� tt, 1, vs � 4n 4» c�s �sa vi U7 O O O v O V V�V V Ul A�V o° °o o° o° o° °o °o °o o° o° o° °o °o �,''.� ^� v C N � � � m Z Q � n o O � � v D Z � � v � � � -=r � Z � O � V � � � � � t � W g ' > > -8 � Q � a a m m cp � � 2. c 7 � (D C �: 7 � I y � m � (D y (Q � � o � � � °: '" co. m �} N � � Z 7 � � � Iv ? cn ° _ � y c° o � �J '�'��n N n: o � u+ �ZOO Q� �, 3 v ��,Z� � o � � �1 S� v -�► <. o m �� 3: �. � � y O , p� % � su ? 5 v z -o m y. v_ �o � � 0 -� � Q- � ?'. _ � � w o D � m c�i .'�, � � � O O m � m m c c�i c'�i $m �D m � 3 m m g � — -- — a � 3 0 Q 3 ,..� � r O � m � -�. � � � � � � � �O � _ N� Q S _ � y � � 7 � Oi0 - v r c � W Z � � X � C � m � m � z O � � m � O � � � O � v � � � d - � � • � .� � ;::: � �D � � Z C � ::� ::.m ::: � ::O 'T � x -� c � m � :o w m Z � a r r m v O Z � _ � r � O � � SUBJECT c�ty of Fridley AT THE TOP OF THE TWINS g U I L D i N G P E R M I T � i l � 1 L�_�� COMMUNITY DEVELOPMENT DIV. f � � PROTECTIVE INSPECTION SEC. 1 � i � � �"'1 � CITY HALL FRIDLE� SS<32 NUMBER �----� • •'� 612-571-3460 910-F15 JOB ADDRESS 5490 Horizon Dr NE 1 LEGAL LOT NO. BLOCK TFACT OFi ADDITION DESCR. � 5 Carlson's 2 PROPERTV OWNER MAIL ADDRES$ Scott& Sandv Lon� 3 CONTRACTOR MAILADDRESS Wellin�ton Window & Door Co 3938 Meadowb� 4 ARCHITECT OR DESIGNER MAIL ADDRESS 5 ENGINEER MAII ADORESS 8 USE OF BUILDING Residential 7 CLASS OF WORK HEv 8/3/98 21P 21P PAGE OF � � �P'ERMIT NO. ' 26�69 �� APPROVED BV SEE ATTACNED �n SMEET PMONE 571-7869 PHONE LICENSE NO. 55426 933-630i PHONE LICENSE NO. PHONE LICENSE NO. ❑ NEW ❑ ADDITION O ALTERATION [g REPAIR O MOVE ❑ REMOVE 8 DESCRIBE WORK Renlacement of windows 9 CHAN(iE OF USE FROM TO STIPULATIONS Install smoke detectors to meet the State Building Code - in each sleeping room and on each level of house. SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATIN(i, TYPE OF CON VENTILATING OR AIR CONDITIONING. ' THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING AUTHORIZED IS NOT COMMENCED WITHIN 80 DAVS. OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONEO fOR A PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COMMENCED. NO. OWLG. I I HEREBY CERTIFV THAT I HAVE FEAD AND EXAMINEO TNIS APPLICATION AND KNOW THE SAME TO BE TRUE ANO CORRECT. ALL PROVISIONS OF LAWS yq�UATION AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A pERMIT �rj92 DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE pEFiMIT FEE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- STRUCTION OR THE PERFORMANCE OF CONSTRUCTION P 1 R7 �� SO. STALIS GROUP OCCUPANCV�OAD CU. FT. GCLL " V I J • SIGNATURE OF CONTPACTOR OR AUTNORIZED AGENT IDATEI N qpp ALIDATE NIS IS • � �GNOTURE OF OWNERUF OWNER BUILOERi IDATEi ��., ��g �ti�p i NEW ADDN ALTER L1 �) � ConstructionAddress: CITY OF FRIDLEY SINGLE FAMILY AND DUPLEXES R-1 A.ND R-2 BUILDING PERMIT APPLICATION �. . � �! Q� Effective 1/1/97 a'�� a Legal Description: �-��Q��.� p f � y�/��S v Owner Name & Address: _c��14/ � c�� !'.,()y� Tel. # �/ -� � (o� Contractor: 'yV�� U��L %1�ir�w ��y. C� MN LICENSE #��.A Address: c393� �CtO(D1v�-t�61� {2d (�}-./.�L.l� �/Lk. ,!/lA� _ Tel. # g3.3—(�.3007 Lr:VING AREA: GARAGE AREA: DECK AREA: OTAER: Attach to this application, a Certificate of Survey of t-'"he lot, with the proposed construction drawn on it to scale. DESCRIPTION OF IlVIPROVEMENT �n� �id� Height Sq. Ft. �n� Width Height Sq. Ft. �n� Width Hgt/Ground Sq. Ft. Construction Type: � � 1��'�'�''�-� d� L�L' Y�jULS�.stimated Cost: $ �j �2 (�'ee Schedule on Back) Driveway C�rb Cut Width Needed: Ft. + 6 Ft = Ft:�x $ —$ DATE: ��2�I� � � . � APPLICANT: � `� �.�4 �,,� ' Tel. # 9,3,3`-�o30a CITY USE ONLY Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee Sewer Main Charge 1'O'I'A L ST[PULi��I'IONS: $ . Z,s Fee Schedule on Reverse Side $ �• 5 9 .001 of Permit Valuation (1/lOth%) $_ 3. �cj $.50/$1,000 Valuation � $950 per SAC Unit � � 60 $5.00 (State Licensed Residential Contractors) � Alt. "A" or Alt. "B" Above � �$450.OQ Conservation Plan Review $ Fee Determined by Engineering $ Agreement Necessary [ ] Not Necessary [ ] � �'S3. !�3 .._� � [3U[LDiNG PERMIT FEE SCE[EDI,`L!: 1'(ie Chief Bui(ding Ofrcial siia(I, before issuing permits for the erectioil o€ any building•or structure, or fc�c• any addition to any existing buildin�. or structure, or for any alteration or repair to ar►y existing buildinv or stiucture, upon application therefore,.require the payment by the applicant f�r such pennit of fees to the amount herein below set fo.rth °and dn the manner herein provid�d to-wit: . . T.OTAL VALUE $1 to $500� $501 to $2,000 $2,001 to $25,000 $25,001 to $50,000 FEES . : `, $21 (Minimum Fee is $21 plus surcha�rge) . o • � � . $�1 for first $500 plus $2.75 for each additional $100 or fraction thereof, to and including $2,000 $62.25 for first $2,Q00 plus $12.50 for each additional $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 $50,001 to $100,000 $574.7� for first $SO,OUO plus $6:25 for each additional $1,000 or fraction thereof, to and including $1�,000 ' r, . , - .. $100,Q01 to $500,000 $500,001 to $1,000,000 $1,000,001 and up $887.25 for first $1�,000 plus $5.00 for each additional $1,�O�or fraction thereo��.to and including $5(�,�0 $2887.25 for the first $500,000 plus $4.25 for each additional $1,0(}0 or fraction thereof, to and including $1,�;000 $5012.25 for the first $1,(�00,0� plus $2.75 for. each additional $1,0� or fraction thereof , DRIVEWAY DEPRESSION ESCROW `' (Concrete Curb Streets Only) Alternate "A": Removal and replacement of curb and gutter oniy - Driveway width plus 6 feet times $13_�0. 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 i'erniits for construction wi(I be issued a minimum of 24 hours from the time of application to allow for pro�:;r �-eview of the proposed structure and of the construction site. A Certificate of Survey of the lot, showing the location of the foundation �>nce it has it has txen cc�nstru�-_•.'. ,i�i`? t�� rcyuiri:d hcfc�re ��r��c�cdin� �t�ith thc framin«. �