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PRE 2010 DOCS.1r,�)s ,2,Z City of Fridley, NUnn. N9 9766 BUILDING PERMIT Date: May 28, 1968 Owner: James Sprungman Builder Sussel Co. Address 5073 Topper Lane Address 1850 Como Ave. LOCATION OF BUILDING No. 5073 Street Topper Lane _ �—_ _ Part of Lot Lot 22 _ Blocks Addition or Sub -Division _ _Carlson's Summit Manor Corner Lot _.__ Inside Lot Sewer Elevation Setback ____ Sideyard Foundation Elevation DESCRIPTION OF BUILDING To be Used as: Garage Front 24' Depth 22' Height 13' Sq. Ft, 528 (u, Ft. 5280 Front Depth Height -- Sq. Ft. Cu. Ft. Type of Construction Frame Est. Cost _ _—.. ��` 2., QQQ—.._ To be Completed In consideration of the issuance to me of a permit to cons ct the the proposed work in accordance with the description above set forth a ordinanoes of the city of Fridley. nl. I agree to do provisions of In consideration of the payment of a fee of $ 8100 , permit is hereby granted to Ausse to construct the building or addition as described above. This permit is granted upon the express condition that the person to whom it is granted and his agents, employees and workmen, in all work done in, around and upon said building, or any part thereof, shall conform in all respects to the ordinances of Fridley, Minnesota regarding location, construction, alteration, maintenance, repair and moving of buildingm within the city limits and this permit may be revoked at any time upon violation of of the provisions of said ordinances. „ R Clarence Belisle — NOTICE. This permit doer not cover the construction, installation for wiring, plumbing, gas heating, sewer or water. Be sure to me the Building Inspector for separate permits for then items. qv , 1 4 x T, r' PnICATION FOR BUILDw- pgRi= CITY OF FRIMLY.Y, MURMSOTA OWNER'S NAME �° BUILDERA, r j r �. ADIiU�' LOCATION OF BUILDING NO. STREET LOT_` BLOCK ;� l?iTT ; SUBDIVISI©ftt , G'1��11 CORM- LOTS "ANSIDE LO'r $ET1 A K SID SEWER' ELEVATION TOP OF FOOTING Applicant attach to this +ixa %`w i; Certi€i cafe 9,o Survey ,.of Lot !'arid proposed builctinig 'Location drawn : on Adse' Certificated . DESCRIPTION OF BUILDING To Be "used As.: -r Fronts, ; Digth Height— Square feet^ Cubic Feet Front Depth I Height Square feet Type of Construction To Be Completed Cubic Feet timated Cost The undersigned hereby makes appliVation for a permit for the work herein specified, agreeing to do all work in strict accordance with the City of Fridley Ordinances and rulings of the Department of Buildings, and hereby declares that all the facts and represe tions stated in this application are true and correct. f DATE —SIGNATURE f ` �_ /.= (Schedule of Fee Costs can be found on the Reverse Side). BUILDING PERMIT FEE SCHEDULE: SECTION 2+ The Inspector of Buildings shall, before issuing permit$ for the erectiogyof any building or structure; or for any addition,to.any., existing structure or building, or fer any alteration or -repairs to"any existing building or structure,.upon application therefore, requi.m .the the payment by the applicant for such permit of fees to -the amount"herein below set forth and'in the manner herin provided to -wit: Uniform Building.Codet Type 1, 2P.& 4-$1..7.S..fdi'' ouch one thousana Cubic feet, or -fraction thereof, in such cubital contents.* Type 3 5- $1.50 for each one thousanEd cubic feet. M For the puxoae of ctimputinp fees for building permits,. -the 'cubical contents of any building or addition to a uniform height throughout -by multiplying,the ground.,area covered fram'a _point 'six -(6) inches below the flog: line of the' basement or the.cellaar•.1to the.- average " het.j;ht' t the upper' surface or to the average height of the roof surface of the main gable of a pitched roof. TM Per repairs or alterations to an existing • structure, the fee, shail.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 $5.90. NSS.SD Connection Charges'based bh"location--'Area 1 or 2. 53-8b-3-915.51 City of Fridley plic emn ftr Pho- d&j and Ow Raluag Dept. of Bldg*. Phone M3490 DESCRIPTION OF WORK Number, Kind and Locations of Fixtures PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: NO. RATE TOTAL Number Fixtures ................. x $2.00 $ Future Fixture Opening ....... •.... x $1.50 $-- New _New Fixture Old Opening .....:.... x $1.50 $ . Catch Basin .................... x $3.25 $ Water Heater ;Up to 99,000 BTU).... x $3.00 $ New Ground Run Old Bldg...... x $3.25 $ Electric Water Heater............ a $2.00 $ :.AS FITTING FEES: NO. RATE TOTAL Ist 3 Fixtures . • .... • ..... • x $2.00 $ Additional Fixtures .................. x $ .75 $ Gas Range to 199,000 BTU............. x $5.00 $ Location -5073 N. E. Toppen Lane City of Fridley: The .undersigned hereby snakes application for a permit for the ®cork herei specified, agreeing to do all work in strict accordance with the City Ordinance and ruling of the Department of Buildings, and hereby declares that all the fact and representations stated in this application are true and correct Fridley, Minn 7-10-74 19 Owner Sheldon Stephansen - Kind of Building Frame Used as Res. To be completed about 7-17-74 Estimated Cost, $ 10.00 Old—4W. Building Permit No. Permit o. Signed _�' By MINNEGA;SO - Business Phone No ROUGH REPAIRS Jl; ALTERATIONS--RQfer to Code .50 State Surcharge Description 5,00 TOTAL FEE ; 5.50 E;_la5g o,e ;Surcharge ,50yt 00 �• g�7 Z a Q Z `� _ a O � • `� gW • s W WATER HTR. GAS FISC. at 6gJ, 0*7li ti p Base 1st Tn. tp in qG 2nd 3rd 4th , • Fuxuro Connocaou Openings Connected wish f3ewor (� + Now Fixture. Old OBoninve Cesspool PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: NO. RATE TOTAL Number Fixtures ................. x $2.00 $ Future Fixture Opening ....... •.... x $1.50 $-- New _New Fixture Old Opening .....:.... x $1.50 $ . Catch Basin .................... x $3.25 $ Water Heater ;Up to 99,000 BTU).... x $3.00 $ New Ground Run Old Bldg...... x $3.25 $ Electric Water Heater............ a $2.00 $ :.AS FITTING FEES: NO. RATE TOTAL Ist 3 Fixtures . • .... • ..... • x $2.00 $ Additional Fixtures .................. x $ .75 $ Gas Range to 199,000 BTU............. x $5.00 $ Location -5073 N. E. Toppen Lane City of Fridley: The .undersigned hereby snakes application for a permit for the ®cork herei specified, agreeing to do all work in strict accordance with the City Ordinance and ruling of the Department of Buildings, and hereby declares that all the fact and representations stated in this application are true and correct Fridley, Minn 7-10-74 19 Owner Sheldon Stephansen - Kind of Building Frame Used as Res. To be completed about 7-17-74 Estimated Cost, $ 10.00 Old—4W. Building Permit No. Permit o. Signed _�' By MINNEGA;SO - Business Phone No ROUGH REPAIRS Jl; ALTERATIONS--RQfer to Code .50 State Surcharge Description 5,00 TOTAL FEE ; 5.50 E;_la5g o,e ;Surcharge ,50yt lj���� plDF'�X'.d�soV fGf F 'st' StM 2 .Y FJ -16. f u c<wnw� ww, lot,..+It LPNGIrJt� . I t � I � / f pry�:�:rtgc � ,a: ,�• ��F, 0 v� FT -- ------_------------ ---- � -- fir, a' ov aaaC� Gr c ;, � --- ----- ------ - t lj���� plDF'�X'.d�soV fGf F 'st' StM 2 .Y FJ -16. f u c<wnw� ww, lot,..+It LPNGIrJt� . I t � I � / f pry�:�:rtgc � ,a: ,�• ��F, 0 0 (AHt2lr4c- ei,4,4, lo8.41t V.bv- fl -o' V41no, MIDJOA 21XI-1,61. ci-10, CL,E,%/ 105,-0o P,X 1�1p. PLr,. i I I Z44,v. t MR ewt+,lT I Y., o Tr -4.-7 OL x Ilz P,X 1�1p. PLr,. i I I Z44,v. t MR CITY OF FRIDLEY APPLICATION FOR PLJJMBING AND GAS FITTING PERMIT PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: NO. RATE TOTAL Number Fixtures ✓ x $3.00 $ �Dd Future Fixture Opening x $2.00 $ New Fixture, Old Opening x $2.00 0 Catch Basin Water m water Heater - to 99,000 BTU a $ y x $10.00 + "� m a e A w w x $5.00 $ Heater k 0 0 0 0ro CA -11 .0 t+�� p m I �°y' ,x1 rA V 5 M tC y 3 Q W N W U M �C 3 0 (7 O s lec 1st 2nd 3rd 4th (R) = Future Connection Opening Connected with Sewer (*) = New Fixture, Old Opening Water PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: NO. RATE TOTAL Number Fixtures ✓ x $3.00 $ �Dd Future Fixture Opening x $2.00 $ New Fixture, Old Opening x $2.00 $ Catch Basin x $5.00 $ water Heater - to 99,000 BTU x $5.00 $ 100,000 BTU to 199,000 BTU x $10.00 $ Water Softener x $7.00 $ New Ground Run Old Building x $5.00 $ Electric Water Heater x $5.00 $ GAS FITTING FEES: 1st 3 fixtures x '$3.00 $ Additional Fixtures x $1.00 $ Gas Range to 199,000 BTU x W.00 $ REPAIRS $ ALTERATIONS First $100.00 $5.00 $ each add. $100.00 or fraction $2.OD $ State Surcharge $ .50 TOTAL FEE $ 9-S 6 REINSPECTION FEE (510.00 Job Address .5-® s ;'O"e J2 Department of Buildings City of Fridley Tel. #571-3450 The undersigned hereby makes application for a permit for the work herein specified agreeing to°do all work in strict accordance with the City Codes and rulings of the Department of Buildings, and hereby declares that all the facts and representations stated in this ap ation are true and correct Fridley, Mn. <9 , 19 OWNER c��P�/O®%d- �S� �O���� A—) KIND OF BUILDIN S ti USED AS S - TO BE COMPLETED ABOUT ESTIMATED COST OLD - NEW BUILDING PERMIT NO. PERMIT NO. Company Signed By Tel. No.C� "s ROUGH INSP. Date FINAL INSP. Date APPROVAL FOR PERMIT MINIMUM FEE FOR ANY PLUMBING PERMIT I3 $7.50 PLUS $.50 STATE SUS Ll iY ;;F rR"Ai)LF_t APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION, REFRIGERATION AND .AIR CONDITIONING SYSTEMS AND DEVICES PARTIAL RATE SCHEDULE GRAVITY WARM AIR: RATE TOTAL Furnace Shell & Duct Work $12.00 $ Replacement of Furnace 7.00 $ Repairs & Alterations -up to $500.00 7.00 $ Repairs & Alterations each add. $500.00 4.00 $ MECHANICAL 1tiAIM AIR: Furnace Shell & Duct Work to 100,000 BTU $12.00 $ each add. 50,000 BTU 4.00 $ ace�.ent o rn c 7.00 $_ ".epai s & Alterations -up to S5�0.00 7.00 $ pairs & Alterations each add. $500.00 4.00 $ STEAM OR HOT WATER SYSTEM: Boiler & Lines up to 100,000 BTU $12.00 $ each addn. 50,000 BTU 4.00 $ Boiler only up to 100,000 BTU 7.00 $ each addn. 50,000 BTU 6.00 $ OIL BURNER- to 3 gal. per hour $10.00 $ each add. 3 gal. per hour 10.00 $ GAS BURNER- from 100,000 BTU to 1990999 BTU $10.00 ! $ !® (JO (over 199,999 BTU see Fee Schedule) $ GAS FITTING FEES: 1st 3 Fixtures x $ 3.00 $ -CSC Additional Fixtures X $ 1.00 $ Gas Range to 199,000 BTU x $10.00• $ AIR CONDITIONING -i $ FAN HEATING SYSTEMS 1 See Fee Schedule $ VENTILATING SYSTEMS $ ALTERATIONS $ REPAIRS $ State Surcharge $ .50 TOTAL FEE $ 02 POUCH INSP. Data FINAL INSP. Date APPROVAL FOR PERMIT ! REINSPECTION FEE ($10.00) MINIMUM FEE FOR ANY HEATING PERMIT IS $7.50 PLUS $.50 STATE SURCHARGE 4 Job Address S® l' 3 Department of Buildings City of Fridley Tel. #571-3450 The undersigned hereby makes application for a permit for the work herein specified agreeing to do all work in strict accordance with the City Codes and rulings of the Department of Buildings, and hereby declares that all the facts and representations stated in this applic on are true and correct. Fridley, Minn. 19?" OWNER KIND OF BUILDING USED AS TO BE COMPLETED ABOUT ESTIMATED COST LD - NEW BUILDING PERMIT NO. PERMIT NO. _(, 3�• DESCRIPTION OF FURNACE/BURNER HEATING or POWER PLANTS, Steam, Hot Water, W rM Air- Trade Name Size No. Capacity Sq. Ft. EDR BTU HP Total Connected Load Il® Kind of Fuel /i,r.(� /� yu C SURLIER - Trade Name' Size, -r Capacity Sq. Ft. EDR 8 / ®�. ® - H r company Signed B Tel. No. Y.% /"' -4� 4!5, 3 SUBJECT P RMO. City of Fridley 1 0820 AT THE TOP OF THE TWINS BUILDING PERMIT RECE O. • COMMUNITY DEVELOPMENT DIV. L ------- 'q r t � PROTECTIVE INSPECTION SEC. t t YJ NUMBER REV. DATE PAGE OF APPROVED BY t i ---t CITY HALL FRIDLEY 55432 612-571-3450 910-F15 11/27/84 JOB ADDRESS 5073 Topper Lane N.E. 1 LEGAL LOT NO. BLOCK TRACTOR ADDITION SEE ATTACHED DESCR. 22 5 Carlson's Summit Manor South Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Gregory Semanko. Same 7898545 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Same 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO. 6 USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW ljt ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Construct a 22' x 14' Garage Addition 9 CHANGE OF USE FROM TO STIPULATIONS Provide a hard surface driveway. TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD SEPARATE PERMITS ARE REQUIRED 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 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 1 ISTALLS 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 $3,452 $1.73 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PERMIT FEE SACCHARGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- $44.50,0 STRUCTION OR THE PERF RMANCE OF CONSTRUCTION. � PLAN CHECK FEE TOTAL FEE $46.23 /I JAT RE CONTRACTOR OR AUTHORIZED AGENT (DATIE) WHON PROP R VALJb ED THIS IS YOUR PERMIT BLDG WSP DATE SIGNATURE OF OWNER IIF OWNER BUILDER) (DATE) ADDN. ALTER. [ ] Construction Address Legal Description Owner Name & Address: City of Fridley R-1 AND R-2 Building Permit Application r Loin Effective 4/1/84 �elyr fit 'I ! T- /Af-A a ® �' Tel., Contractor: S d IF- I Tel. # Address: S eyw-, Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF IMPROVEMENT LIVING AREA: Length Width Height Sq. Ft. GARAGE AREA: Length Width Height Sq. Ft. DECK AREA: Length Width Hgt/Ground Sq. Ft- OTHER: t.OTHER: A, Pl . J A 6 /y/ - Corner Lot [ ] Inside Lot [ ] Ft. Yd. Setback Side Yard Setback Type of Construction: VV 0s '" " , `-- Estimated Cost: $ 56 Approx. Completion Date: ozc 4 �. AltAltv -�, Cc) Alt. A Alt B Proposed Driveway Width If New Opening Is Desired: $ - $ See Back Page for Explanation •�.� ������ DATE: vd 9? M P APPLICANT: Tel. t4YUSE ONLY Permit Fee $ Fee Schedule on Reverse Side Plan Check $ 25$ of Building Permit Fee State Surcharge $ �• $.50/$1,000 Valuation SAC Charge $ $425 per SAC Unit Park Fee $ Fee Determined by Engineering Sewer Main Charge $ Agreement Necessary [ ] Not Necessary [ ] TOTAL $ (i!:1 ® STIPULATIONS: BUILDING PERMIT FEE SCHEDULE The Chief Building Official shall, before issuing permits for the erection of any building or structure, or for any addition to any existing building or structure, or for any alteration or repair to any existing building or structure, upon application therefore, require the payment by the applicant for such permit of fees to the amount herein below set forth and in the manner herein provided to -wit: Total Valuation Fees $1.00 to $500.00 $10.00 (Minimum Fee is $15.00) $501.00 to $2,000.00 $10.00 for the first $500 plus $1.50 for each additional $100 or fraction thereof, to and including $2,000. $2,001.00 to $25,000.00 $32.50 for the first $2,000 plus $6.00 for each additional $1,000 or fraction thereof, to and including $25,000. $25,001.00 to $50,000.00 $170.50 for the first $25,000 plus $4.50 for each additional $1,000 or fraction thereof, to and including $50,000. $50,001.00 to $100,000.00 $283.00 for the first $50,000 plus $3.00 for each additional $1,000 or fraction thereof, to and including $100,000. $100,001.00 and up $433.00 for the first $100,000 plus $2.50 for each additional $1,000 or fraction thereof. DRIVEWAY DEPRESSION ESCROW (Concrete Curb Streets Only) Alternate "A": Removal and replacement of curb and gutter only - Driveway width plus 6 feet times $13.50 Alternate "B": Removal and replacement of curb and gutter and install a 3 foot wide approach with 6 inch depth - Driveway width plus 6 feet times $15.75 VERIFICATION OF FOUNDATION Permits for construction will be issued a minimum of 24 hours from the time of application to allow for proper review of the proposed structure and of the construction site. A Certificate of Survey of the lot, showing the location of the foundation once it has been constructed will be required before proceeding with the framing. )k r9 c2 ey Tlore Iva x.11 -a - L 7' / .4.01 LOT NAME SIZE vaBr %A A( 00 \A1fw u BLOCK ADDRESS VALUE 6'073 2 ADD'N. �'1�1Z.ZSCitiF'y �¢JI�P�t l T AREA TYPE /6 iZ �A 2 Ptt ®p�R-Tti loin r PlE \\x L1 NE N NI ISS i� tV N E w ce�,me. A LL �' 3 0 a E IaT 1,41 %A A( 00 \A1fw u w 5 7 e^ e /6 I APmom v DOLTS r e QLL �j �e W a N E w ce�,me. A LL �' 3 0 ♦ i 9 tA %A A( 00 \A1fw u w 5 7 e^ e UL r e �d /7 - -;Pp.-,4' LOT NAME 1-' :S SPOUN6MAW SIZE BLOCK ADDRESS VALUE 87o-,-,3 -7-oppate- -2 ADD'N. AREA TYPE CAMLSOWS S(.2MMI-r MA M e5rl- 'Socp -1-A A y m 10 r P, SUBJECT PE City Of Fr 2 0 732 AT THE TOP OF THE TWINS BUILDING PERMIT r COMMUNITY DEVELOPMENT DIV. L PROTECTIVE INSPECTION SEC. r � , CITY HALL FRIOLEY 55432 NUMBER REV, DATE PAGE OF APPROVED BY 612-571-3450 910-F15 3/15/91 JOB ADDRESS 5073 Topper Lane NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 22 5 Carlson's Sw=j t Manor South Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Gregory Semanko 5073 Topper Lane NE 571-5214 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Same 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO. 8 USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW Ek ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Construct:an 11W x 26k' 2nd Story Addition 9 CHANGE OF USE FROM TO STIPULATIONS Saenotations: on plan, Before digging call for all Utility- IOCatiOnS 454-0002 R EQUIRED BYLAW SEPARATE PERMITS QU19RED FOR HEATING, P L�P�i�� AND SIGNS. WIRING, TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, VENTILATING OR AIR CONDITIONING. ZONING SQ. FT, CU. FT. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 80 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS OFFSTREET PARKING I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION STALLS GARAGES VALUATION SURTAX AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED $15;050 $7.53 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT PERMIT FEE SAC CHARGE DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- $171.00 Fire SC $15.05 STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. PLAN CHECK FEE TOTAL FEE $193.58 SIGN, RE C RACTO ORAUT RIZEDAGENT IDATEI W EN PROPS Y T THIS IS YOUR PERMIT ' r BLDG INSP MTE SIGN RE OF OW ER U OWNER BUILDERI IDATEI NEW [ ] ADEN [� AME [ ] R-1 AND R-2 Building Permit Application '? l aolve"'i ZICN'01- Effective 1/1/91 Legal Description: Owner Name & Address: � re a -)L yelw a &S, -27 3 Tel. Contractor: ��Tel. Address: 3 %^vli�G✓° �c'- �! c� lS� /'�� Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. LIVIM AM: Length Width GMUM AMM: Length Width DBM ARES: Length Width -- — 07HR: 210- Crr7 A --6,N rC7 L1. 1 Corner Lot [ ] Inside Lot [ ] Ft. Yd Setback Type of Constructim: Approx. Cmnpletion Date: Height Height Hgt/Grou d Sq. Ft. Sq. Ft. Sq. Ft. Side Yard Setbacks Estimated Cost:$ P l SI oS6 Proposed Driveway Width If New Opening Is Desired: Ft. $ $ Width + 6' See Back Page DATE: APPLICANT: Tel. # Permit Fee $ 0o Fire Surcharge $ State Surcharge .53 SAC Charge $ Driveway Esc r w $ Park Fee $ Sewer Main Charge $ $ S 15- aPb CIW USE CHLY Fee Schedule on Reverse. Side .001 x Permit Valuaticn;j1/10th �) $.50/$1,000 Valuation $650 per SAC Unit Alt. "A" or Alt. "B" Above Fee Determined by **� Agreement Necessary [ ] Not Necessary [ ] is, 60 a 1��05 �a�►%o The Chief Building Official shall, before issuing permits for the erection of arty 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: $1 to $500 $15 (Minimtmm Fee is $15 plus surcharge) $501 to $2,000 $15 for first $500 plus $2 for each additional $100 or fraction thereof, to and including $2,000 $2,001 to $25,000 $45 for first $2,000 plus $9 for each additional $1,000 or fraction thereof, to and including $25,000 $25,001 to $50,000 $252 for first $25,000 plus $6.50 for each additional $1,000 or fraction thereof, to and including $50,000 $50,001 to $100,000 $414.50 for first $50,000 plus $4.50 for each additional $1,000 or fraction thereof, to and including $100,000 $100,001 to $500,000 $639.50 for first $100,000 plus $3.50 for each additional $1,000 or fraction thereof, to and including $500,000 $500,001 to $1,000,000 $2039.50 for the first $500,000 plus $3 for each additional $1,000 or fraction thereof, to and including $1,000,000 $1,000,001 and up $3539.50 for the first $1,000,000 plus $2 for each additional $1,000 or fractions thereof UMVEMAY DEPRESSION ESC HM (Concrete Curb Streets Only) Alternate "A": Removal and replaceanent of curb and gutter only - Driveway width plus 6 feet times $13.50. Alternate "B": Removal and replacement of curb arra gutter and install a 3 foot wide approach with 6 inch depth - Driveway width plus 6 feet times $15.75. Permits for construction will be issued a minJumn of 24 hours frM 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 cow will be required before proceeding with the framing. CITY OF FRIDLEY INSPECTION DIV. Effective On January 1, 1991 6431 University Ave NE Fridley, MN 55432 APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION, 572-3604 REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES JOB ADDRESS RATE SCHEDULE The undersigned hereby makes application for a permit for the work Residential Rate TOTAL herein specified agreeing to do all work in strict accordance with the Furnace Shell and Duct Work, Burner - city codes and ruling of the Building Division, and hereby declares Also Replacement Furnace $ 20.00 $ that all the facts and representations stated in this application are true and correct. ,1991 Gas Piping (Needed with new furnace) $ 10.00 $ OWNER ZG6o� Gas Range $ 10.00 $ BUILDING USED AS �- Gas Dryer $ 10.00 $ ESTIMATED COST �0 �- PERMIT NO. /0')/ 1� "Air Conditioning - All Sizes $ 10.00 $ DESCRIPTION OF FURNACE AND OR BURNER All Others/Repairs & Alterations (LIST ON BACK 1 % of Value of Appliance or Work $ No. of Heating Units Circle One (Steam) (Hot Water) (Warm Air) Trade Name Size No. Commercial/Industrial BTU HP EDR 1 % of Value of Appliance or Work $ Fuel Total Connected Load State Surcharge $ .50_ Burner Trade Name Size No. BTU HP EDR TOTAL FEE $ -1�.;�'ci HEATING COMPANY MINIMUM FEE FOR ANY HEATING/COOLING/VENTILATION �'�� 57 REFRIGERATION/AIR CONDITIONING PERMIT IS $15.00 Signed By ��l--'Nod PLUS THE $.50 STATE SURCHARGE _ REINSPECTION FEE $30.00 Approved By Rough -In Date Final Date "Air Conditioners can not be placed in a side yard without written permission from adjoining property owner. FILL OUT BACK SIDE FOR STACK VERIFICATION ON REPLACEMENT FURNACE CHIMNEY AND STACK VERIFICATION The undersigned hereby verifies that the existing chimney or stack: 1. Has been carefully examined Yes ( ) No ( ) 2. Is free from rust or deterioration Yes ( ) No ( ) 3. Has no foreign objects lodged within Yes ( ) No ( ) 4. Is securely supported Yes ( ) No ( ) 5. Meets all current Code requirements for size and total BTU's connected Yes ( ) No ( ) 6. Has total heating BTU's of All other BTU's TOTAL BTU's List Alterations Being Done: HEATING COMPANY -- Signed By - Date CITY OF FRIDLEY INSPECTION DIV. 6431 University Ave NE Effective On January 1, 1991 Fridley, MN 55432 APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION, 572-3604 REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES JOB ADDRESS �� l o/��� RATE SCHEDULE 1 The undersigned hereby makes application for a permit for the work Residential Rete TOTAL herein specified agreeing to do all work in strict accordance with the Furnace Shell and Duct Work, Burner - city codes and ruling of the Building Division, and hereby declares Also Replacement Furnace $ 20.{0 $ that all the facts and representations stated in this application are true and correct. ,1991 Gas Piping (Niseded with new furnace) $ 10.00 $./0-0" 1 OWNER Gas Range $10.00 $ BUILDING USED AS 1�lv � e. Gas Dryer $ 10.00 $. ESTIMATED COSTSY-7 `� PERMIT NO. 0916 "Air Conditioning - All Sizes $ 10.00 $ All Others/Repairs & Alterations (LIST ON BACK) 10/7 of Value of � ppliance or Work $ CommerciaUlndustrial I % of Value of Appliance or Work $ State Surcharge $ .50— TOTAL FEE $ 4_3 q MINIMUM FEE FOR ANY HEATING/COOLINGNENTILATION REFRIGERATION/AIR CONDITIONING PERMIT IS $15.00 PLUS THE $.50 STATE SURCHARGE REINSPECTION FEE $30.00 DESCRIPTION OF FURNACE AND OR BURNER No. of Heating Units Circle One (Steam) (Hot Water) (Warm Air) Trade Name Size No. BTU HP EDR Fuel Total Connected Load (�rit� �ea e✓' Burner Trade Name Size No. BTU U o o HP EDR HEATING COMPANY. Signed By. Approved tel No. .271- S2' l Rough -In Date Final Date/L_ _� "Air Conditioners can not be placed in a side yard without written permission from adjoining property owner. FILL OUT BACK SIDE FOR STACK VERIFICATION ON REPLACEMENT FURNACE CHIMNEY AND STACK VERIFICATION 5. Meets all current Code requirements for size and total BTU's connected Yes ( ) No ( ) 6. Has total heating BTU's of All other BTU's TOTAL BTU's Remarks List Alterations Being Done: HEATING COMPANY Signed By Date The undersigned hereby verifies that the existing chimney or stack: 1. Has been carefully examined Yes ( ) No ( ) 2. Is free from rust or deterioration Yes ( ) No ( ) 3. Has no foreign objects lodged within Yes ( ) No ( ) 4. Is securely supported Yes ( ) No ( ) 5. Meets all current Code requirements for size and total BTU's connected Yes ( ) No ( ) 6. Has total heating BTU's of All other BTU's TOTAL BTU's Remarks List Alterations Being Done: HEATING COMPANY Signed By Date r SUBJECT City ®f Fridley f3l 325" AT THE TOP OF THE TWINS BUILDING PERMIT i? ' • _ COMMUNITY DEVELOPMENT DIV. t � � PROTECTIVE INSPECTION SEC. CITY HALL FRIDLEY 55432 '-j NUMBER REV DATE PAGE OF AiPROVED BY 612-571-3450 910-Fll 8/18/00 ,OB ADDRESS 5073 Topper Lane NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 22 5 Carlson's Summit Manor South Add'n SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE , Greg Semanko 5073 Topper Lane NE 789--8545 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Tom Walek Const., 3621 Roosevelt St NE, St. Anthony, h1N 55418 (612)789-9388 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO 6 USE OF BUILDING Residential 7 CLASS OF WORK O NEW O ADDITION O ALTERATION C REPAIR ❑ MOVE O REMOVE 8 DESCRIBE WORK Reroof house and garage 30 sq Tear -Off 9 CHANGE OF USE FROM TO STIPULATIONS Underlayment must comply with the State Building Code. SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD VENTILATING OR AIR CONDITIONING 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. NO DWLG. UNITS OFFSTREET PARKING I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION 1 1STALLS 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 $1.31 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT $2,622.00 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 - $83.25 Fire $2.62 TR CTI OR THE PERFORMANCE OF CONSTRUCTION AC PLAN CHECK FEEIOTA FEE Lic s SC $5 0 $92.18 SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT iDATE,PROPS VALIDrTEYTHIS IS UR P MIT S-GNATURE OF OWNEROF OWNER BUILDER) tDATEi GATE r NEW [ ] Effective 1/1/2000 ADDN (] CITY OF FRIDLEY (763) 572-3604 Bldg Insp ALTER [ ] SINGLE FAMILYAND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION (bj� M Construction Address: � 6 73 T02per, �\ Legal Description: Owner Name &Address: �,! 1 Tel. # -2 � �- c9s"I' S' Contractor. 04 �� &9 � MN LICENSE # Address a I �� D S C iJ C .5�� �� Tel. # Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF IMPROVEMENT LIVING AREA: Length Width Height Sq. Ft. GARAGE AREA: Length Width Height Sq. Ft. DECK AREA: Length Width Hgt/Ground Sq. Ft. OTHER: Construction Type: 'Le ar - 6 ft/4 r C- n a O �Estimated Cost: $ Driveway Curb Cut Width Needed: Ft. + 6 Ft= Ft x $ —=$ DATE: ' I I - ® Z) APPLICANT: JA Tel. # Ci l.2 - 7 V' -?3 8 P CITY USE ONLY - Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Call (763) 572-3604 for Permit Fees if mailing in application Fee Schedule on Reverse Side $ o? G1' .001 of Permit Valuation (1/10th%) $ �:.�� _ $.50/$1,000 Valuation $ �� $1100 per SAC Unit $5.00 (State Licensed Residential Contractors) $ Alt. "A" or Alt. "B" Above $450.00 Conservation Plan Review Park Fee $ Fee Determined by Engineering Sewer Main Charge $ Agreement Necessary [ ] Not Necessary [ ] TOTAL STIPULATIONS: $ dpro BUILDING PERMIT FEE SCHEDULE The Chief Building Official shall, before issuing permits for the erection of any building or structure, or for any addition to any existing building or structure, or for any alteration or repair to any existing building or structure, upon application therefore, require the payment by the applicant for such permit of fees to the amount herein below set forth and in the manner herein provided to -wit: 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 $23.50 $23.50 for first $500 plus $3.05 for each additional $100 or fraction thereof, to and including $2,000 $69.25 for first $2,000 plus $14.00 for each additional $1,000 or fraction thereof, to and including $25,000 $391.25 for first $25,000 plus $10.10 for each additional $1,000 or fraction thereof, to and including $50,000 $643.75 for first $50,000 plus $7.00 for each additional } - $1,000 or fraction thereof, to and including $100,000 $993.75 for first $100,000 plus $5.60 for each additional $1,000 or fraction thereof, to and including $500,000 $3,233.75 for the first $500,000 plus $4.75 for each additional $1,000 or fraction thereof, to and including $1,000,000 $5,608.75 for the first $1,000,000 plus $3.15 for each additional $1,000 or fraction thereof DRIVEWAY DEPRESSION ESCROW (Concrete Curb Streets Only) Alternate "A": Removal and replacement of curb and gutter only - Driveway width plus 6 feet times $15.50. 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 $23.25. VERIFICATION OF FOUNDATION Permits for construction will be issued a minimum of 24 hours from the time of application to allow for proper review of the proposed structure and of the construction site. A Certificate of Survey of the lot, showing the location of the foundation once it has, it has been constructed will be required before proceeding with the framing. New Houses Only Building pLUMOBMG Permit No.: Inspections RESIDENTIAL APPLICATION R Byj 763-572-3604 CITY OF FRIDLEY na a d: o 763-502--4977 FAX . F,FFBCT E 2-1M9 DATE iG% Ci 44 YOUR E -MAI J�DI3RFa$ SITE ADDRESS C� THIS APPLICANT IS: 13 OWNER ONTRACTOR OWNER! TENANT CONTRACTOR NAME: ido, YOUR STATE WSTAT* SUBMIT A COPY OF STATE LICENSE 4+ // P &) EXPDAT'ELICENSE, BOND AND STATE BOND # EXPDATECERTIFICATE OF ADDRESS 6 } CITY INSURANCE PHONE FAX PERMIT TYPE SINGLE FAMILY EI TWO FAMILY O TOWNHOUSE TYPE OF WORK: o NEW )(REPLACEMENT DUALUD DESCRU ION OF WORK 094.4" 40 0Ae, •0� JWW_ _ zw tA i ...'11 .*. FEES ARE BASED ON $10.00 PER FIXTURE, EXCEPT WHERE NOTED. FIXTURES: (INDICATE TOTAL NUMBER OF EACH BELOW). MINIMUM FEE $35.50. BATH SINK/LAV FLOOR DRAINS SHOWER —BATHTUB— PIPING (NEE? CITY LIC) " SWIMMING POOL CLOTHES WASHER KITCHEN SINK _ WATER CLOSET DISHWASHER _ LAUNDRY TRAY WATER HEATER ($35) X WATER METER THIS IS AN APPLICATION FOR A PERMIT NOT VALID UNTIL PROCESSED WATER PIPING WATER SOFTNER ($35) BACKFLOW PREY, ($15) FOR IRRIGATION OTHER I hereby apply for a plumbing permit and I acknowledge that the information above is complete and awUrate; that the work will be in conformance with the ordinances and codes of the City of Fridley and with the Minnesota Construction Codes; that I understand this is not a permit but only an application for a permit and work is not to start without a permit on site; that the work will be in accordance with the approved plan in the case of wor whi requires review and approval of X440&M SIGNATURE OF APPLICAN PRINT NAME!�i DATE d City of Fridley Building Inspections Department 64.31 University Avenue NE, Fridley, MN 55432 763-572-3604 FAX: 763-502-4977 Wd 1?11:8£:ZI. 60OZ/9 1,/9 :alea bl4 a6�d LbZLSLZOZ£ wwd