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AF - 46372� ^ � � � City of Fridley, Minn. BUILDING PERMIT na�: @-- _�__�___� .� Ovvaer: - r � � Builder � Addnss �._ Addrese l� 7 �� NA 6437 �� ,,� PLOCATIO��F �U�LnD�NG No. street l..�l�� P E Lot Lot ____�_� Block __ � Addilion or Sub-Divisi� e - � "'� [ Corner Lot � � Inaide Lot Setback .��'�_� Sideyard � � ! Sewer IIevation ._.._ � Foundation IIevation DESCRIPTION OF BUILDING To � Front �.. Depth .��`y`__ Height LL�— Sci. Ft "� Cu. F't Depth �C��/'�_ t� ��. Ft. Cu. F'� 1�►pe of Conatruction �—� Fast /�C-�---_ To be Completed In cansideratton of the isausnce to me of a germft to construct the building described above I agree to do the proposed work in ac�rdance with the descripl3on above set forth and in compliance with a'11 prov3aions of orriinances oP the dty oP Fridley. � �� ,�� . . 2-��`' In coasfderatton of, the payment of a fee of $�� ., permit fs hereby granted to � to canatruct the buflding or addition as described above. This �ermit is granted uPon the express condition that the person to whom ft is granted and his agettt�, employees and workmen, in all work doae in, ar�ound end u�n eaid building, or anypart thereof, shall conforrn in all respecta to the ordinaac� of Fridley� Minnesota g location, conatruction, alteration, maintensnce, repair and moving of buildings or�� dty ]imits�an�tbia permft may be revoked a t any ti�pe � p� viol�sa,Of aay of the provisiona oP said /l / 1 Buildfns Inapector NOflC� 16b peemh doa no1 wver t6s eonsfroettoe, IestallMiea M� wL�n9. P�+�e. 6a hsadne, �ws� o� water. 8� wre to �s fM Boilding I�Mr hr aparai� p�rmMs �or f6a� �ms. .� _ APPLICATION FOR BUILDING PERMIT CITY OF FRIDLEY, 1�NNESOTA � r �� _ �; .� � i�.� � � /f -�i ll�' ��F � . �i..�� 1 1 ' i � LOCATYON OF BUILDING No. �.�., c � �� Stre�t art of Lot Lot Block �_Addition or Sub vision � o — r Cornes Lot_ � Inside Lot Setback Side Yard �� s SEWER ELEVATION �'OUNDATION �1.EVATION Appiicant attach to thia £orm Two CertificaCes bf Survey of Lot and proposed build- ing location drawn on these Certificates. DESCRIPTION bF BUILDING To b use as : Froat DepCh Heighe j � Sq. Ft. Cu. Ft. � � � � %� FronC Depth Height Sq. Ft. Cu. Ft. �' r' �J��' �ypa of Construction EstimaCed Co �"""�� -� To be Completed The undersigned hereby makes application for a permit for the work herein specified, a�reeing to do all work in strict accordance with the City of Fridley Ordinances and rulings of the Department of Buildiags, and hereby declares that aLl the faces and representations atated in this appl3cation are true and correct. DA�' "" •�--� S IGNATLtRE �l,�� l��%� (Schedule of Fee Costa can be found oa the Reverae Side). - _ •- � _ _ � �`.' ^ APPLICATION FOR BVtLDING PERMIT CITY OF FRIDLL'Y, MINNESOTA OWNER' S NAME � �'' � � � o B�DER �U' � .� �- � ADDRESS 1 � 2 � � ea �t✓ 1* y � �} �Q �ic� ADDRESS I � 2 ? �c�t.v �,/ �� r ' LOCATION OF BUILDIATG N0. S S�� STREET I�'�`�'1.,ie�v �/i�t�?-�. PART OF LOT LOT � BLOCR � ADDI�.'ION OR SIIBDIPISION , S �'�'�`°"' �� CORNER LOT�_INSIDE LO't SETBACR �" SIDE YARD � SEWER ELEVATIOfif FOUNDATIQN ELEVATIOR Applicant attach to this form Two CeYtificates of Survey of Lot and proposed building location drawn on these Certi£icates. DESCRIPTIOA OF BUILDING To sed as; � Front�Depth � 8eight � Sq. F't . � Cu. Ft . �/ � Front� � � Depth�Height /Q Sq. Ft. Cu. Ft.— ,�_T � /�l,� Type of Construction �� a� __Estimated Co��/�f �� To be completed �� d �- /� � �� c� � � The undersigned hereby makea application for a permit for the work herein specified, agreeing to do al1 work in strict accordance with the City of Fridley Ordinances and ruliags of the Department of Buildings, and hereby declares that all the facta and representations stated in this application are true and correct. DATE � I�- � ` S SIGNATURE � / (Schedule of Fee Costs can be found on the Reverse Sid . � . �� ^ �' _ � � � —R °an�.r v.. � ±__ BIIILDING PEI�TT FEE SCHEDOLB SECTIOP 2. The Inspactor of Buildings shall, before isauing any permit for the erection of any building or atructure�,`or for any addition to any existing building or structura, or for any alterations or repairs to any existing build3ng or structure, upon application therefore, require the payment by the applicant for.auch germit of fees to the.amount herein below set forth and in the manner herein provided to-wit; 2.1. For anq such permit for the erection of any fire-proof building, othei tha a garage, warehouse, factory or grain elevator, or for the erection of any fire-proof addition, for aimilar occupancy, to any esisting building, ahall.be at the rate of $1.40 for each one thousand cubic feet, or fractioa. thereof, in such cubical contenta. 2.2 For any such permit for the erection of any fire-proof garage, warehouse, factory or grain elevator, or for the erection of anq fire�proof addition, for similar occupancy, to any esisting building shall be at the raee of $1.25 for each one thousand cubic feet; classified as "fireproof" bq Section 502 of the Minaeapolis Building Code. HOIISES � 2.3. For any auch permit tor.the erection-of aay non-fireproof building other than a garage, warehouso, factoty or �rain elevator, or any noa-fireproof addieion, for simi,lar occupancy, to any esisting building.r perm9.t $1.00 for each one thousand cubic feet. GARAGES 2.4. For any such permit for ths erection of anq non-fireproof garage, warehouss ,factory or grain elevator, or for the erection of aay non-fire-proof additiou, for eimilar occupancy, to any esisting buiidiag or for �ach such - buildiag or addition - nineey cents ($0.90) for each one thous.and cubic feet o�r fraction thereof, in the cubical contenta� thereof with the minimuon o£ $4,00. For the purpose of aomputing fees for building permits, the cubical contents of any build3ag or addition'to a�uniform height throughout by multiplying tha ground area cavered from a point s3x (6) inches below the floor line of ttse baseffient or cellar to the average he�ght of the upper surface or to the average height of the roof aurface of the main,gable of�a pitched roof., 2.5. For repaira or alterations to an eaisting atruc��.�re, the fee ahall be at the rate of $3.00 per each Five Hundred Dollars ($5;��7;GJ� or fraction thereof in the coat of aI1 proposed work. " 2.6. In no case eha11 the fee charged for any permit as aet forth in Section 2 be less_than $4�00. ' STORM REPAIR DAMAGE FEFS; Residential; Eati:n^*�d Cost of v�ork up to 55�0.00 -.$5e�0 Es�ir,�;�.ted Cost of work o�*ar ;;_��,�H�J '• $�.��,�0 Co�ercial; E�t�?n�ted�st of: wo�k up .�v 'a�,��.�t��J, -$10�,�`Q Estimr�.ted _,,st of woric over $5C't�.00 - $ZQ. . _e,.., . � "�7�(j��j�� + �-► � N l.1 n% S �3 �.� - �v '7'`� �':c-u Z �� ,.�.r t=. r�-r O 0 Q' ` T �.� �\ w�S O R' �(? u� iD v 1�' "''`U� -� tD _7 �+ ��sv '°_.. � ..cv a3 �� `�?=.t � L . � t'D + � ��n.o� cn � :i7 =_. � � p q o c i ii� cp ,t �-+' � cp vu �. { ,� Z 'U,�n v�' r.. _, �, - o , � ;, c v�� co � � .n -�. � �� c� � c, { 1 t � u� � ' '17 C, � _� �}�l � ��' �j V cV N � �' a '� �, � � � f � z � r !� � � n � � � � � o � •� � � N � �w � � � � � . 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SUBJECT �T City of Fridley '� 14388 AT THE TOP OF THE TWINS g U I L D I N G P E R M I T t � � RECEIPT NO. � ' COMMUNITY DEVELOPMENT DIV. � �y-------� r � � PROTECTIVE INSPECTION SEC. l' i ' .-_. A �/'�� '� CITY HALL FRIDLEY 55432 NUMBER REV. DATE PAGE OF APPHOVED 8Y L �� 812-880-3450 9/26/77 � � 910-F15 JOB ADDRESS 5500 Horizon Drive N. E. 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. $ 5 Carlson's Su�it Marior North Addn. SHEET 2 PROPERTYOWNER MAILADDRESS ZIP PHONE Carl J. Hoe1�y 5500 Hori�on Drive N.E. 566-6996 3 CONTRAC70R MAIL ADDRESS ZIP PHONE LICENSE NO. Same 4 ARCHITECTORDESIGNER MAILADDRESS 21P PHONE LICENSENO. 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO. 8 USE OF BUILDING �.1V7.21CJ Gonstruct, a 36' x 24' Garage and convert existing garage to � area 7 CLASS OF WORK ❑ NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE x x 8 DESCRIBE WORK See above 9 CHAN(iE OF USE FROM TO "STIPULATIONS Driveway Depression Cost: 24' + 6' x$11.75 = 352.50 'Y�A�iMiNG Before diggin� cati locat util�ies SEPERI�"�� iliT�� TREQ�l�RED.: ��0� �WiRffvG, TELEPHOiVE - clter��c • c�s �t�. NEATiNG, Pf.U1�81NC"J�ND StGNS. � REQUE�� ' Lr4�li� SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD VENTILATING OR AIR CONDITIONING. WOOCZ FidID@ 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 ABANDONED FOR A PERIOO OF 120 DAYS AT R�. ANY TIME AFTER WORK IS COMMENCED. NO. OWLG. UNITS OFFSTREET'PARKING I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION I. STALLS GARAGES AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS VALUATION SUATAX AND ORDINANCES GOVERNIN(3 THIS TYPE OF WORK W�LL BE COMPLIED, WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT $9.750 Total yS`4. SS DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CAIVCEL THE pERMIT FEE SAC CHARGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- STRUCTION OR THE PERFORMANCE OF CONSTRUCTION, � SS.SG NONE PLAN CHECK FEE TOTAL FEE $60.44 Si TuaEOFC NTRl+ roaoR ' THOai,'�e 6ENT (DnTEt WHEN PROPERLY VALIDATED THIS IS YOUR PERMIT �s�i�11� � � Jt � � �� —� ` " �_____,_:�.-. � �'.�� SIGNATUREOFOWNE IFOWN RBUILDERI IDATEI BLOG.INSP �qTE - • �� i � ur rr�l��xr . � ' �' -�T-�kPPLICATION fOR--RES��DENTIA-L '-$UI`LDING PERt�IITS {NEW, ALTERATIONS, ADDITIONS, OR �REPAIRS) , �., , . ORNSR: �`t� �: � ° �1 � c�� rti� � f �� I /� �0 �BUILDER: �,; ��-A �� f°` , /-� � : . �Address : � � �'' (� . ��! r�' � � �:��l „�.�,a� Address : �, r{-aa�� . Tel . No .: a� � F= �� `� `� r� . . �10. : � � � a� S#xeet : �-,� �a �� i � C� �1/ a� �� [ / ' � � '` . I,OT: (� BI�CY.: S ADDITION: �� L�IJ� ,�,� :� �V t CORN�R LOT: � ZNSIDE LOT: S^TBAQC: SIDEYARDS: Applicant attach "to this form Two Certificates of Survey of Lot and proposed building location drawn on these Certificates. DESCRIPTION OF BUILDING To Be Used As: � I �,- �+- �tiv � m ;�_ Front: _ i C, � Depth : �=z'. ` ( r : Height : �r ' Square Feet: j �. �( Cnbic Feet: � ��d � � � i�--��` r; i � iV�� Front: Depths Height: - f�..f�i�� 7'.:. F`-ri-r>I � L � d:' �"C f�3 � � � Square Feet: Cubic Feet: G � , 9' ` ` 1_' fi � � �' � � ES't]1Qat� OSt.: � � Type of Construction: {\�f°�_r�� ;r�-y; i�- , � _ $ , � � �N• ItaA 3Soo.a Zb Be Completed: `lc. -�a,��_- � Alt. -A Alt. B Praposed Driveway Width If New Opening Is Desired '�� 0 $ (SEE REVERSE SIDE OF SHEET) The undersigned hereby makes application for a periait for the work he�ein specified, agreeing to do all work in strict accordance with the City of Fridley Ordi.nances and rulings of the Department of Buildings, and hereby declares that all the facts and representations stated in this application are true and correct. See reverse side for addit.ional infozznation. DATE: SIGNATURE: Stipulations : �'�`� � � � f \ f�n.�.�. GAa�c Vr, � , I�I�N„�.ti Qa.. P+�� -L �;do � �� S . � �. � ��C' 4- $�C � � � � �a� �� .. 1 , :.Y�.��a_ BUILDIWG :PER��IIT FEr SCi��DULE _SECTION 2. The Inspector of Bui.lriings .shal�, before i.ssuing permits for the erection of any building or structure, or for any.addition-to any �xisting building or structure, �or for any alteration or repairs to any �xi.sting i�uilding or structure, upon application therefore, require the payment by the applicant for such pe2mit of fees to the amaunt herein below set forth and in the manricr herein provided to-wit: NEW CONSTRUCTION: Single Family Homes and Garages: $4.00J1.,000 cubic feet. -PZ.AN CHECK: 25 percent of building permit fee. DRIVEWAY DEPRESSION: (Concrete Curb Streets Only) Alternate A: Removal and replacement of concrete curb and ��i gutter vnly; Driveway width plus 6 feet x$11.T5 v Alternate B: Removal and replacement of conerete curb and � �utter and install a 3 foot wide approach with 6 inch depth; Driveway width plus 6 feet x$15.�0 �►DDI T IONAL� I NFOR�IAT I ON For the purpose of computing fees for building permits, the cubi:cal contents of am building or addition, is determi.ned by multiplying the ground area covered from a point six (6) inches below the floor line of the basement or th� cellar to the average heights of the upper surface or to the average height of t.he roof surface of the main gable of a pitched roof. ,. For repairs or alterations to an existing structure, the fee shall be at the rate of $3.00 per each five hundred dollars ($500.00) or fraction thereof in the cost of all proposed work. � • In�no case shall the fee charged for any permit as set forth in Section 2 be less than $7.50 plus $.50 state surcharge. VERIFICATIOy OF FOUNDATION NOTE: Permits �or construction will be issued a minimtun 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 Surve�• of the lot, showing the location of the foundation once it has been constructed will be required before proceedir,g with the framing. CcRTIFICATE OF �CCUPANCY Application for a Certificate of Occupancy shall be made ten (10) days prior to the use or occupancy of any structure for which a building permit has been issued; and said structure shall not be used or occupied until a Certificate of Occupancy has been issued � / . t� �� . �Ci /� � - � . �.� . 3� � �