PRE 2010 DOCSCity of Fridley, Minn.
BUILDING PERMIT
Date:
Owner:'
Address
N° L5438,)
Address
rro street f Y LOCATIO FBUILDING
L6 `
Lot _ __ Block Addition or S - i on ,
Corner Lot Inside Lot aback _ Sideyard
Sewer Elevation _ __ _ _ — F dation Elevation
DESCRIPTION OF BUILDING
T l�e �, � ,
�€ �' ° . Front Depth Height Sq. Ft. Cu. Ft. om
Fro _ _ Depth Height _ Sq. Ft. _ _ Cu. Ft.
opt
Type of ConstructionEst. � _ To be Completed
In consideration of the issuance to me of a permit to construct the building' described above, I agree to do
o erdivanc of
work
dIn of Fridley with the description above set forth and in • compliance with all provisions of
In consideration of the payment of a fee of $ , permit is hereby, granted to
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 buildings
within the city limits and this permit may be revoked at any po violationany of the provisions of said
ordinances. d
Building Inspector
NOTICE:
This permit does not cover the construction, installation for wiring, plumbing, gas heating, sewer or water. Be sure to see
the Building Inspector for separate permits for these hems.
Owner's
Address
No.
Lot
Cor
APPLICATION FOR BUILDING PST
CITY OF FRIDIEY, MINNESOTA
a - ,�
1
a
,16
TCATION OF BUILDING
SEM ELEVATION FOUNDATION ELEVATION
Applicant attach to this form Certificate of Survey of Lot and proposed building
location.
To ben used as:
DESCRIPTION OF BUILDING
M
Sq. Ft. U Cu. Ft. '�'d J ---5
Front___„__„__ Depth Height
Sq. Ft. Cu. Ft.
Type of Construction LLA v _Estimated Cost
To be Completed
The undersigned hereby makes application for a permit for the work herein specified,
agreeing to do all work in strict accordance with the City Ordinances and ruling of
the Department of Buildings, and hereby declares that all th facts and representations
stated in this /application are true and correct.
DATE SIGNATURE
(A Schedule of Fee Costs can be found on the Reverse Side.
BUILDING PERMIT FEE SCHEDULE
Section 2. The Inspector of Buildings shall, before issuing any permit.for the
erection of any building or structure, or for any addition to any existing build-
ing or structure, or for any alterations or repairs to any existing building or
structure, upon application therefor, require the payment by the applicant for
such permit of fees to the amount herein below set -forth and in the miner herein
provided to -wit:
2.1. For any such permit for the erection of any fire -proof building, other than
a garage, warehouse, factory or grain elevator, or for the erection of any,'fire-
proof addition, for similar occupancy, to any existing building shall be at the
rate of $1.40 for each one thousand cubic feet, or fraction thereof, in such
cubical contents.
2.2. For any such permit for the erection of any fireproof garage, warehouse,
factory or grain elevator, or for the erection of any fireproof addition, for.
similar occupancy, to any existing building shall be at the rate of S1.25,for
each one thousand cubic feet, classified as "fireproof" by Section 562 of the
Minneapolis Building Code.
LOU—as
2.3. For any such permit for the erection of any non -fireproof building other
than a garage, warehouse, factory or grain elevator, or any non -fireproof
addition, for similar occupancy, to any existing building. Permit $1.00 for
each one thousand cubic feet.
LARAGES
2.4. For any such permit 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 existing building or for each such building or addition.
Ninety Cents for each one thousand cubic feet or fraction thereof, in the cubical
contents thereof with a minimum of $4.00.
For the purpose of computing fees for building permits the cubical contents, of any
building or addition to a uniform height throughout by multiplying the ground area
covered 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 height of the roof
surface of the main gable of a pitched roof.
2.5. For repairs or alterations to an existing structure, the fee shall be at the
rate of $3.00 for each Five Hundred Dollars ($500.00), or fraction thereof in the
cost of all proposed work.
2.6. In no case shall the fee charged for any permit as set forth in Section 2'be
less than $4.00.
3200 FRANCE AVE. SO.
3rd.
N.E.
/7
5
CLEARVIEW STREET
{'-
SUBJECT
City of Fridley
CRt5Q2LN: 7303_
AT THE TOP OF THE TWINS
BUILDING PERMIT
r
• COMMUNITY DEVELOPMENT DIV.
r PROTECTIVE INSPECTION SEC.
CITY HALL FRIDLEY 55432
NUMBER
REV.
DATE
PAGE OF
APPROVED BY
612-571-3450
910-F15
10/24/83
JOB ADDRESS 5096 Topper Lane N.E.
1 LEGAL
LOT NO.
BLOCK
TRACT OR ADDITION SEE ATTACHED
DESCR.
17
5
Carlson's Summit Manor South Addition SHEET
2 PROPERTY OWNER MAILADDRESS ZIP PHONE
Leslie Vasseur 5096 Topper Lane N.E. 572-8699
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 ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE
X
8 DESCRIBE WORK
Construct a 161 x 10' Wood Stied
9 CHANGE QF USE FROM TO
STIPULATIONS
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
1 STALLS GARAGES
AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS
VALUATION
SURTAX
AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED
WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT
$ 600.
$.50
DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE
PERMITFEE
SACCHARGE
PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON-
STRUCTION OR THE PERFORMANCE OF CONSTRUCTION.
$15.00
LAN CHECK FEE
TOTAL FEE
$15.50
SIGN RE OFCONTRAC ORO ;�UTH ED GENT tOATEt
WHEN PROPERLY (DATED THIS IS YOUR PERMIT
le2
BLDG WSP ATE
SIGNATUREOF OWNER t IF OWNER BUILDER( DATE(
CITY OF FRIDLEY Effective Aug. 1, 1981
APPLICATI(Y-J FOR RESIDENTIAL BUILDING PERMITS
(New, Alterations, AddiVons, or Repairs)
OTHER: `L= L BUILDER:°
ADDRESS: V O Z�L 1,1 Af ADDRESS:
TEL N0: -5-7,24 - Ef TEL NO:
Constriction Location
• ST1t1TT NO: 4-0 9,6-e_ STREET: a ��� /1 C, A -
LOT: / BMC K:
Corner LwLz Inside Lot: _ � Setback.- � • Sideyards:
Applicant attach to this form two Certificates of Survey of lot and
proposed building location drawn osa certificates to scale.
DESCRIPTION OF CONSTRUCTJON
Front: D:1� :*s: jO _ Height:
Square *'eet: Clibic .Feet: OS O
F.-ont: Depth: •_ Height:
Square- Feet: Cubic feet:
Type of Construction: Estimated Cost: $
To Be cbripleted:
Alt. A Alt. B
Proposed Driveway Width If New Opening Is Desired: $ ' $
SEE REVERSE SIDE OF SHEET .
Tile undersigned hereby makes application for a permit for the %.pork' herein specified,
agreeing to coo •all work in str ct accordance with the City of Fridley Ordinances and
rulings of the Department of Buildings, and hereby declares that all the facts and
representations stated in this application are true and correct.
DATE: SIGNATURE:
Stipulations:
BUILDING PERMIT FEE SCHEDULE
The Inspector -of buildings sha'11, before issuing permits for the
erection of any building or structure, or for any addition to any
bxisting building or strzctur::, or For any alteration or"repairs
to any existing building of structu<<., upon application therefore,
require the payment by the applicant for such permit of fees tr the
amo"nt herein below set forth and in the manner herein provided to -wit:
TOTAL VALUATIaN
FEES
$1.00 to $500.00
9110.00 s:inimum Fee $15.00 plus surcharge
$501 to $2,000
$10.00 for the first $500 plus $1.50 for each
additional $100 or fraction thereof, to and
incl-ading $2,000
$2,001 to $25,000
$32.50 for the first $2,000 plus $6.00 for each
additional $1,000 or fraction thereof, to and
includ..ng $25,000
$25,001 tl $50,000
$1.70„50 for the first $25,000 plus $4.50 for
each wditional $1,000 or fraction thereof, to
.end including $50,000
$50,001 to $100,000
$283.00 for tha first $50,000 plus $3.00 for
each additional $1,000 or fraction thereof, to
and including $100,000
$100,001 and up
$443.00 fc r the first $100,000 plus $2.50 for
each additional $1,000 or fraction thereof
PYRAN CHECK: 25 percent
of b1ui l ding permit fee
DRIVEWAY DEPRESSION ESCROW: Concrete Curb Streets Only
Alternate "A"% Removea'. and replacement of curb and 4%itter only
Driveway width plus 6 feet x $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 x $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 !+Pen cons t:::ct:- will be 2-equircKi before -:.rcceed.in� with th.v frwuing.
LMM
SUBJECT
P IT NO.
City of Fridley
® 19212
AT THE TOP OF THE TWINS
BUILDING
PERMIT
r
R-rCE115T N0.
COMMUNITY DEVELOPMENT DIV.
INSPECTION SEC.
r i PROTECTIVE
CITY HALL FRIDLEY 55432
NUMBER
REV.
DATE
OF
APPROVED BY
j
612-571-3450
910-F15
9/30/87
FPAGE
/
JOB ADDRESS 5096 Topper Lane N.E.
1 LEGAL
LOT NO.
BLOCK
TRACTOR ADDITION
SEE ATTACHED
DESCR.
17
5
Carlson's
Summit Manor South Addition SHEET
2 PROPERTY OWNER MAIL ADDRESS
ZIP PHONE
Leslie Vasseur 5096 Topper Lane N.E.
572-8699
3 CONTRACTOR MAIL ADDRESS
ZIP PHONE LICENSE NO.
American Remodeling 3700 Annapolis Lane,
Plymouth 553-0020
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 ❑ ADDITION [I ALTERATION REPAIR ❑ MOVE ❑ REMOVE
8 DESCRIBE WORK
Reside Dwelling
9 CHANGE OF USE FROM
TO
STIPULATIONS
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
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
STALLS GARAGES
AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS
VALUATION
SURTAX
AND,ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED
$7,350
$3.68
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 CHARGE
PROVISIO F ANY OTHER STATE OR LOCAL LAW REGULATING CON-
$68.50
RUCON OR THE RFO E OF CO TR ON.
LAN CHECK FEE
TOTAL FEE
2-' 01
-'?
$72.18
ATURE OF CO TRACTOR OR oR12ED AGENT (DATE(
+ HEN PROPERLY ALI ATED THIS IS YOUR PERMIT
u
V
SIGNATURE OF OWNER IIF OWNER BUILDER) IDATEi
BLDG )NSP ATE
NEW E ]
ADDN. E ]
ALTER. [ ]
Construction Address
Legal Description: L-61 /
City of Fridley
�R-1 AND R -2I
Building Permit Application
Effective 4/1/86
`S /0'[/rZrr iy/L a' A")w
Owner Name & Address: -'� Tel . # RV
Contractor:/C�sr� �`i�i''�✓y Tel. #
Address: '7 Ga i1®s��of.�cs�os �/L. �/���9�i� /*09)
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:
Corner Lot [ ] Inside Lot [ ] Ft. Yd. Setback Side Yard Setback
Type of Construction: zle-s"'z __ Estimated Cost: $
Approx. Completion Date:
Alt. A Alt B
Proposed Driveway Width If New Opening Is Desired: $ $
See Back Page for Explanation
)ATE:
Tel . #
APPLICANT: �/
CITY USE ONLY
Permit Fee $ Fee Schedule on Reverse Side
Plan Check $ 25% of Building Permit Fee
State Surcharge $ $•50/$1,000 Valuation
SAC Charge $ $525 per SAC Unit
Park Fee $ Fee Determined by Engineering
Sewer Main Charge $
®J�"' Agreement Necessary [ ] Not Necessary [ ]
TOTAL $ �®2"
STIPULATIONS: