AF - 45258City of Fridley
AT THE TOP OF THE TWINS
r
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� • COMMUNITY pEVEIOPMENT DIV.
r ��� �+ � PROTECTIVE INSPECTION SEC.
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�•--: �'�"" �'� CITY HALI FFIOLE� 55432
i' 1� 612-571-3450
SUBJECT
BUILDING PERMIT
NUMBER REV. � DATE PAGE OP
9t0-F15 9/23/86 / /
_18661
a�- 3 sy
APPROVED BV
jos nooaess 5560 Fi.11�xe Street N. E.
t LEGAL �OT NO. BLOCK TRACT OR ADDITION SEE ATTACHED
DESCR. 3 1, IWP.Il Terrace SHEET
2 PROPERTY OWNEFi MAIL AODRESS ZIP PHONE
ICenco Oonstruation Inc. 10666 University Ave., 5uite 105, Coon Ra.pids, 55433
3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO.
Same 757-4052
4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE UCENSE NO.
5 ENGINEER
6 USE OF BUItDING
Residential
7 CLASS OF WORK
� NEW
MAIL ADDRESS
PHONE LICENSE NO.
O ADDITION ❑ ALTERATION O REPAIR O MOVE ❑ REMOVE
8 DESCRIBE WORK
Construct a 34' x 24� Dwelling; a 20� x 18' Garage
9 CHANGE OF USE fROM oew�e uiggmg can wcai utmnes TO
IECEP44##N� - ��.fGTRI� • C�AS �tc.
STIPULATIONS Pr QCnI i1DC1'1 B�P��S��, & water services. Provide a hard
surface d�iv�way, Provide sod in the �ront and side yards. Provide City with
copy of verifying �urvey before cappinq.
WATER AND SEWER SERVICES NOT AVAILABLE: Sewer 8" VCP Centerline of Fillmore
Street. Water 6° CIP 10' [niest of and parallel with sewer main at centerline.
DRIVEWAY AEPRESST�T: T6� + 6' = 22' x$13.50 =$283,50
THf C LLOF FRIDLEY DOES NOT GUARANTEE THE
ACCUR X OF UTILITY LOCATIONS AND �LEV�7�ONS. ��� � �-
TNIS A'fA tS FOR tNFORiVIATION PURPOSES Of�LY„ SEPARATE P��'«��T� ��Q���ED FO
AND RSONS US1NG THIS 11tlFQRMATJON Sfi011LL1 W{RING, H�Ai�iW�� E'L�lt�g��� AND SIGNS.
17 O�t THE ,SfTE
TYPE OF CONST.
SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, H�ATING,
VENTILATING OR AIR CONDITIONING.
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTFiUCTION ZpNINO
AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION
OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT
ANY TIME AFTER WORK IS COMMENCED. N0. DWLG. UNI7
1 HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPL�CATION �.
AND KNOW THE SAME TO BE TRUE AND CORRECT. ALl PROVI$IONS OF LAWS VALUATION
AND ORDINANCES GOVERNING THIS TYPE OF WOfiK WILL BE COMPLIED
WITH WHETHEF SPECIFIEO HEREIN OR NOT. THE GRANTtNG OF A PERMIT $49,600
OES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE pERM1T FEE
ISIONS O�F/� NY OTHER STATE OR LOCAL LAW REGULATING CON-
S CTfONJ�KTHE PERFOF]►4ANCE OF CONSTRUCTION. $ZH3;,OO
SIGNATURE OF CONiRACTOR OR AUTHORIZED AGENT
iDATE�
OGCUPANCY GROUP OCCUPANCY �OAD
SQ. FT. CU. FT.
OFFS7REET PARKING
STALLS GARAGES
SURTAX
$24.80
SAC CHARGE
$475.00
TOTALFEE
$853.55 + PF & DW
;R U A THIS IS YOUR PERMIT
�`I��
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pLTER. ( �
City of Fridley
�R-1 A!N A-2 j
Building Permit Appliaation
Effective u!t/8c
Construction Address._�� � � ��''m'eE 5`��'£"�'T ---
Lega� Description: L -4- � � �-��� l �w'�"^ �e221}�- �/�
Ownez Name s Address: �-rc� �°*�Srt TY` Tel. ��S_7`y��Z'
Contractor:, � c� (� Q c� -�`���a-S�'c`� ��— Tel. # _
Address: C� � ��'`z I � S C oo►.s [L� ��05 r�n �..� • SS `�33 - -
LI9ING AAEA:
GARACE AREA:
DECR AREA:
OTHER:
Attach Lo this application, a Certificate of Survey of the
lot� with Lhe proposed construction draxn on it to scale.
DESCRIPTIOp OF IHPROYEMENT
Length -� � Width o� � Height �"3 ._
Length � z° Width �_ Height ;
Length .�2� Width HgtlGround
Sq. Ft. 32--
Sq. Ft. _
Sq. Ft.
�/
Corner Lot [] Inside Lot �(� Ft. Yd. Setbaek .�;_
Side Yard Setback ��°�
�. ,
Type of Construction: ���'
/-�o,-,-, � �2�►r�-�£ Estimated Cost: � _�_� �n S'''�
Approx. Completion Date:
�'r.a,�-� / � S S 7 �(' laOU
Alt. A Alt B
Proposed Drive�ay Width If Nex Opening Is Desired: ��O'See Ba k Page for Explanation
DATE: � �
� Te1. � 7S7 �'4�bSZ
APPLICAKT:
CITY �SE ONLY
Permit Fee � 0��3•� Fee Schedule on Reverse Side
�
Plan Check � ��� � • 25: of Building Permit Fee
State Surcharge � � «�•$� �•SQ���+000 Valuation
SAC Charge �: �?� �U C-% ��3 75 Qer SA C U ni t
Park Fee � �%�•0 O Fee Determined by Engineering
Se�er Main Charg� � � ---
p ement Necessary [] Not Neeessary [ �
TOTIIL � �. �
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CITYOF
FRtDLEY
FRIDLEY MUNICIPAL CENTER • 6431 UNIVERSITY AVE. N.E. FRIDLEY, MN 55432 •(763) 571-3450 • FAX (763) 571-1287
January 25, 2002
Mr. Muhammad Aziz
5560 Fillmore Street NE
Fridley, MN 55432
Re: Final Inspection at 5560 Fillmore Street NE
Contractor: Shiloah Water Company
Dear Mr. Aziz:
A plumbing permit was issued on November 1, 2000 to install a water softener at
your address. According to Section 4715.2800 of the State Plumbing Code, a final
inspection shall be conducted on the work authorized by this permit. As of this date,
no final inspection has been called for.
The pemut fee that was paid covers the inspection to make sure the work was
completed according to the Code. We will keep your permit open for another 30
days and if we do not hear from you within this time to set up the inspection, we will
mark the permit "no inspection called for" and take no further action.
To set up the inspecrion or to have any questions answered, please contact the
Building Inspection Division at (763) 572-3604.
Sincerely,
JENSEN
; Inspector
DJ/mh