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PRE 2010 DOCSCity of Fridley, MmL BUR DING PERMIT N? Date: Owner: Builder Address ___ Address LOcr OF BBILDI NG No.� Street d�-� .-- art f Lot Lot Addition or Sub-Divisioo n corner Lot ____ Inside Lot r_ Setback _ Sideyard Sewer Elevation ` Foundation Elevation DESCRIPTION OF BUILDING To Used V 7=4K -_ - — �+ FroIF nt Depth Height Sq. Ft. Cu. Ft Front . DepthHeight Sq. Ft. Cu. Ft. Type of Construction Est.. C� To be Completed lu;g In consideration of the Issuance,tome of a permit to construct the building described above, I agree to do the. proposed work accordance with the description ,above set forth and in compliance with all provisions of ordinances of the dty of Fridley. 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 anypart thereof, shall conform in all respects to the ordinances of Fridley, Mirmesota regarding location, construction, alteration, maintenance, repair and moving of buildings within the city limits and this permit may be revoked at any time upon violatkn of any of the provisions of said ordinances. OA � �r l Building Inspector NOTICE: This penult does not cover the construction,' installation for wiring, plumbing, gas heating, sewer or water. Be sure to we the Building Inspector for separate permits for. these items. 4 F APPLICATION FOR BUILDING PERMIT CITY F FRIDLEY, MINNESOTA a Owner's Nam Builder Address 7900 L ON OF BUILDING zj ` No. Street Part of Lot Lot Block_Addition or Subdivision Corner Lot Inside Lot Setback Side -Yard �! SEWER ELEVATION FOUNDATION ELEVATION 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:, -- `—ff Front Depth 4/[4 Height Sq,, Ft. 4�Cu. Ft. 2� Front Depth Height Sq. Ft. Cu. Ft. Type of Construction �� ,�,�� Estimated Cost• 40440 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 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 Oma/ SIGNATURE .(Schedule of Fee Costs can be found on the Reverse Side). APPROVU SUBJECT TO COITFORMrt , CE �,&.v,DLiEY,;M1N!TXSi0T2k ,am mac+TO APPLICILE-L ' 3�'�.,;'S .BUILDI.CITY O T'k i Application for Power Plants and:. Heating. Cooling. Ventilation..ReMgendion and Air Conditioning Systems and Devices PARTIAL RATE SCHEDULE GRAVITY WARM AIR: RATE TOTAL, Furnace Shell & Duct Work .......................... 8.00 $ Replacement of Furnace ............................. 5.00 $ Repairs & Alterations—up to $500.00 .................. 5.00 $ Repairs & Alterations each add. $500.00 ............... 2.50 $ MECH. WARM AIR Furnace Shell & Duct Work to 120,000 BTU ............ 8.00 $ each add. 60,000 BTU ........................ 2.00 $ Replacement of Furnace ............................. §.00 $ Repairs & Alterations—up to $500.00 ... :............. 5.00 $ Repairs & Alterations each add. $500.00 .............. 2.50 $ STEAM or HOT WATER SYSTEM Furnace Shell & Lines—to 400 sq. ft. EDR Steam, ...... 8.00 $ Furnace Shell & Line—to 640 sq. ft. EDR Bot Water ... 8.00 Each add. 200 sq. ft. EDR Steam ...................... 2.50 $ Each add. 320 sq. ft. EDR Hot Water .................. 2.50 $ OIL BURNER—to 3 gal. per hour 5.00 $ over 3 gal. per hour—See Fee Schedule GAS BURNER (up to 400,000 BTU) ....................... 5.00 $ GAS FITTING FEES: NO RATE TOT 1st 3 Fixtures ...................... x $1.50 $ Z Additional Fixtures ................. x .50 $ Gas Range to 200,000 BTU ........... x 2.00 $ AIR CONDITIONING $ FAN HEATING SYSTEM See Fee Schedule VENTILATING SYSTEM ALTERATIONS & REPAIRS TOTAL FE yE®� ROUGH FINAL Dept. of Bldgs. Phone SU. 4-7470 1-5-7 _,lel -..d e L di '.'o City of Fridley: 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 the facts and representations stated in this application are true and eo t. /1 Fridley, nn - Owner �y 1k Owner Kind of Building Used as To be completed Estimated Cost, $ 7T 0ju Old<N`�. " Building Permit Nod % �� Permit No. DESCRIPTION OF WORK HEATING or POWER PLANTS—Steam, of Wa , Warm Air—No Trade Nam a Size No CapacitySq. Ft. E.D.R BTU H.P. Total Connected Load f®ot> Kind of Fuel - BURNER — Trade Name.—�! '�"—� Size No Capacity Sq. Ft. E.D.R- BTU H.P. olo aiw&90� Signe HWER a STOLPE m PSA AR, BICC, By 42 7M 7 -ss Business Phal l 0 7th ST. - CA. 1-7573 - ST. PAUL 2, a. (REMARKS—OVER) City of Fridley Application for Plumbing and Gas Fitting Permit Dept. of Bldgs. Phone SU 4-7470 DESCRIPTION OF WORK Number, Kind and Location of Fixtures d7 K RATE TOTAL 2= z y y -6Z. Future Fixture Opening .:.............. Q Z 8� Z O 5 �� z ? n • R • N WATER HTR. GAS ELEC. Base �f x 2.00 $— New Ground Run Old Bldg . ............ x 3.25 $ GAS FITTING FEES: NO. RATE TOTAL 1st 3 Fixtures ........................... x $1.50 Additional Fixtures .................... 1st $ 'Gas Range to 200,000 BTU..............N x 2.00 $ 2nd _ 3rd 4th Future Connection Openings New Fixture, Old Openings I Connected with Sewer Cesspool El PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: NO. RATE TOTAL Number Fixtures ...................... �� x $1.50 $Q�e Future Fixture Opening .:.............. x 1.20 $ New Fixture Old Opening .............. x 1.00 $ Catch Basin ............................ x 3.25 $ Water Heater (Up to 200,000 BTU) ...... , x 2.00 $— New Ground Run Old Bldg . ............ x 3.25 $ GAS FITTING FEES: NO. RATE TOTAL 1st 3 Fixtures ........................... x $1.50 Additional Fixtures .................... x .50 $ 'Gas Range to 200,000 BTU..............N x 2.00 $ REPAIRS & ALTERATIONS—Refer to Code Description ................................................$ TOTAL FEE $ 0 d� City of Fridley: The undersigned hereby makes application for a permit for the work herei, specified, agreeing to do allwork 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 S 19 41-e n Owner Kind of Building =X Used as To be completed about �-- Estimated Cost, $ Old New. uilding Permit No? Permit No. -A 3 Signe ^ L By Business Ph on No %199( ROUGH FINAL VINNIMEIM City of Fridley Application for Plumbing and Gas Fitting Perm Dept. of Bldgs. Phone SII 4-7470 DESCRIPTION OF WORE �–� Number. Kind and Location of Fixtures Location --\2- �S QQ 3 y Z Z ha Z 10 Z O J �G WU' �U' 2 �U' • • N WATER HTR. GAS ELEC. tj m 3 o S< 3 °d 4c O F m Base �- lst 2nd 3rd 4th Future Connection Openings Connected with I Sewer � New Fixture, Old Openings Cesspool El PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: NO. RATE TOTAL Number Fixtures ...................... x $1.50 $ Future Fixture Opening ................ x 1.20 $ New Fixture Old Opening .............. x 1.00 $ Catch Basin ............................ x 3.25 $ Water Heater (Up to 200,000 BTU) ...... x 2.00 $ 4� New Ground Run Old Bldg. ............ x 3.25 $ GAS FITTING FEES: NO. RATE TOTAL 1st 3 Fixtures ..........................— -&7 x $1.50 Additional Fixtures .................... x .50 $ AM Gas Range to 200,000 BTU .............. x 2.00 $ 0 REPAIRS & ALTERATIONS—Refer to Code Description ................................................ TOTAL FEE $ City of Fridley: The undersigned hereby .makes application for a permit for the work 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? -- Owner Ck.-Q - Kind of Buildingp�*d ^^Q Used as as ` To be completed about Estimated Cost, $ S Old—New. Building Permit No Permit No. -2,3 Signed Business Phone o L� �� I ROUGH FINAL �q/-�z G« CITY OF FRIDLEY INSPECTION DIV. Effective On January 1, 1991 6431 University Ave NE Fridley, MN 55432 APPLICATION FOR PLUMBING AND GAS FITTING PERMIT 572-3604 MARK NUNARFR OF FIXTURES TO BE INSTALLED ON EACH FLOOR PLUMBING FIXTURE RATES: NO. RATE TOTAL JOB ADDRESS I'3 7 `'" l L' s s( New Fixtures Old Opening, New Fixture Beer Dispenser Blow Off Basin Catch Basin Rain Water Leader Sump/Receiving Tank Water Treating Appliance Water Heater -Electric Water Heater - Gas Gas Range Gas Dryer Back Flow Preventer Required ( )Yes () No Type $ 7.00 $ 4.00 $ 5.00 $ 7.00 $ 7.00 $ 7.00 $ 7.00 $10.00 $ 7.00 $10.00 $10.00 $10.00 $5.00 0 ry Q° 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 Building Division, and hereby declares that all the facts and representations stated in this application are true and correct. Reinspection Fee $30.00 ALL OTHERS AND/OR REPAIRS AND ALTERATIONS 1 % of Value of Fixture or Appliance _ State Surcharge $ .50 TOTAL FEE $ ' 'S. Owner A CCA P 13 ,1992. Building Used As rJ Estimated Cost ;� d D 0 PERMIT NO. PLUMBING COMPANY A r, ^ w B' uy' �I,tig SIGNED BY 2� TEL N0. Approved ByRough- n Date Final Date MINIMUM FEE FOR ANY PLUFABING/GAS PERMIT IS $15.00 PLUS THE $.50 STATE SURCHARGE Water Closet Bath Urinal Tub Shower Wash Sink Tray Drink. Fount. Floor Catch Drain Basin Auto. Gas Washer Ap I. Gas Range Misc. Fixt. Water Heater Stories Gas Elec Basemen a Floor 1 Floor 2 Floor 3 Floor 4 PLUMBING FIXTURE RATES: NO. RATE TOTAL JOB ADDRESS I'3 7 `'" l L' s s( New Fixtures Old Opening, New Fixture Beer Dispenser Blow Off Basin Catch Basin Rain Water Leader Sump/Receiving Tank Water Treating Appliance Water Heater -Electric Water Heater - Gas Gas Range Gas Dryer Back Flow Preventer Required ( )Yes () No Type $ 7.00 $ 4.00 $ 5.00 $ 7.00 $ 7.00 $ 7.00 $ 7.00 $10.00 $ 7.00 $10.00 $10.00 $10.00 $5.00 0 ry Q° 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 Building Division, and hereby declares that all the facts and representations stated in this application are true and correct. Reinspection Fee $30.00 ALL OTHERS AND/OR REPAIRS AND ALTERATIONS 1 % of Value of Fixture or Appliance _ State Surcharge $ .50 TOTAL FEE $ ' 'S. Owner A CCA P 13 ,1992. Building Used As rJ Estimated Cost ;� d D 0 PERMIT NO. PLUMBING COMPANY A r, ^ w B' uy' �I,tig SIGNED BY 2� TEL N0. Approved ByRough- n Date Final Date MINIMUM FEE FOR ANY PLUFABING/GAS PERMIT IS $15.00 PLUS THE $.50 STATE SURCHARGE 1 ISiNQs, L CITY OF FRIDLEY 8431 UNIVERSITY AVENUE N.E., FRIDLEY, MINNESOTA 55432 TELEPHONE ( 612)571-3450 October 24, 1979 Mr. Allan C. Mattson 1625 - 3rd Avenue South Anoka, MN 55303 Re: Approval of the 1979-1980 Multiple Dwelling License for 137 Mississippi Place N.E., Fridley, Minnesota Dear Mr. Mattson: We have received your license application to operate'a.multiple dwelling for the year September 1, 1979 to August 31, 1980. Enclosed please find this department's letters dated July 20, 1979 and September 25, 1979 which brought to your attention Code violations found during on-site inspections " of the above listed property. As of our last inspection on October 22, 1979,' .the following items continue to be in need of corrective action.- EXTERIOR ction: EXTERIOR 1. Provide and maintain a screened enclosure to conceal the refuse container from view. In addition, a hard surface base should be . provided for easier handling by the hauler./y_/I-_-71 .IVii 2. It was observed that the tenants are parking on the grass adjacent to the apartment building. This indicates'a need to provide additional on-site hard surfaced parking sufficient -to handle all vehicles.//- ®S �7�r °� -" f)(0Z} = 3. Provide and maintain striping for the parking lot to designate - individual individual parking stalls (10' x 201). /J -/j s7 of 2?_7-e kala COMMON AREAS The current apartment license must be posted in a conspicuous location. t4,, IL=7-7-4- /j10 Until said items are brought into compliance, we can not recommend approval of your license application to the City Council. Notifying this department that the items have been corrected will result in the final processing of your application. This must be accomplished no later than November 13, 1979. Failure to abate any Code violations will require you to attend an administrative hearing in the City Offices to determine why these deficiencies continue to exist. Any questions or problems can be directed to me at 571-3450, extension 164. Sincerely, b S TEVER J. OLS014 Environmental Officer ENC: 2 SUBJECT E City of Fridley Me- AT THE TOP OF THE TWINS BUILDING PERMIT17 r r COMMUNITY DEVELOPMENT DIV. PROTECTIVE INSPECTION SEC. r NUMBER REV. DATE PAGE OF APPROVED BY i A ��'��;•� CITY HALL FRIDLEY 55432 •_-. L J` 612-571-3450 910-F15 2/6/92 10B ADDRESS 137 Mississippi Place NE I LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 2 1 Johnson's River Lane SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Anoka County Community Action Program 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICEN$9 NO. Artisan Carpentry Inc. 16620 Dolomite. St NUT, Anoka, MN 55303 753--4540 / 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO. 6 USE OF BUILDING Apartment 7 CLASS OF WORK ❑ NEW ❑ ADDITION [R ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Replace doors,; countertops; floor covering 9 CHANGE OF USE FROM TO 'ARATE PERMITS REQUIRED FOR ]� ,ING, HEATING, PLUMBING �' AND SIGNS. 7�� TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD VG, HEATING, V_rwTTLATTMU w" Ain 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 4 P 'x 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 $16,000 $8.00 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 PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- $171.00 Fire SC $16. 0� STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. PLAN CHECK FEE TOTALFEE $195,00 SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT (DATEI HE PRO ER Y LIDATED THIS IS YOUR PERMIT SIGNATURE OF OWNER OF OWNER BUILDER( (DATE( LDG INSP SATE Effective 1/1/92 Construction Address 13') f))f S 51 S S/ ,e P 1 )12 L' Legal Description Lor -, Bt, -Ja t oSo�a Owner &Address /A / % C -V u ti, Ce+ M dh L),, l 7-y- *�7o,J . # -7t-3- - y 739 CO�IZRACM & AMRFSS, tg-n 5v! (,9-��f �'n" `, 1%,.� e-, / t 6-zv 190 Lcow re- ST- J, 7>; - q 1-V Architect & Address / m eg.# /9`11 Engineex & Address sS'v- TYPE OF WCRK [ ] New [ ] Addition Alteration -Describe erA)4ce �,g� PI-CA0 - C®uz U^ !►�l S P- ur o �. u, iii �' S ri-j L--, Applicant Signature # 7 EUUXMG nn�toNs . IMXJ&L LL �''1 �" Height Sq. Ft. # of Stories OFC. AREA.. Length Width Height Sq. Ft. MME AREA: Length Width Height Sq. Ft. MM AREA: Length Width height Sq. Ft. •v VALi m N .�7vTjI/' �%► t' Sq. Ft. x $ Cost/Sq. Ft. = Valuation $ ) Sq. Ft. x $ Cost/Sq. Ft. = Valuation $ ) = $ Sq. Ft. x $ Cost/Sq. Ft. = Valuation $ ) TOME VATBE Mildinq Use Construction Type Occupancy GrOW Air Conditioning []Yes []No Fire Proteatian Provided []Yes []No Performance Bond Amount $ See Reverse for Schedule Received [ ]Yes [ ]No Pwnit Fee eq 0 Plan Check &wdharge ✓ State Surcharge $--(9--LC —LI -111 ChargeSAC Driveway Escrow •v I• .�7vTjI/' �%► t See. Fee Schedule on Reverse Side In Excess of Prepaid Amount - See Reverse Side .001 x Permit Valuation (1/10th o) $.50/$1,000 Valuation (See Sched. for > $1 Million) $700 per SAC Unit Fee Deternined By fir; neer-i rig Agent Necessary [] Not Necessary [] feet x $13.50/foot 1 1 YY • �41' Il Y • t. • 'J' P'..'i' Y11;' f CIiYOF FRIDLEY FRIDLEY MUNICIPAL CENTER • 6431 UNIVERSITY AVE. N.E. FRIDLEY, MN 55432 . (612) 571-3450 • FAX (612) 571-1287 March 12, 1992 Donna Mattson Housing Services Director Anoka County Community Action Program 1201 - 89th Avenue N.E., #345 Blaine, MN 55434 Dear Ms. Mattson: I understand through Darrel Clark that you have requested a letter regarding the occupancy status for 137 Mississippi Place N.E. It is my understanding that the Anoka County Community Action Program is leasing the property from the Department of Housing and Urban Development. I also understand that you intend to rent the units to women and women with children as part of the transitional housing program. Prior to occupancy, a rental license must be approved through the licensing year of August 31, 1992. ACCAP will also need to renew that license prior to August; the Fire Department will send you a new form in July. Please complete the rental license application and submit it and the fees to Sherree Smith as soon as possible. I have also reviewed the file and determined that there are no other outstanding issues regarding this particular property. Should you need further information, please feel free to contact me. Sincerely, Barbara Dacy, AICP Community Development Director BD/dn C-92-81 cc: William Burns Sherree Smith 1 CINOF FRIDLEY FRIDLEY MUNICIPAL CENTER • 6431 UNIVERSITY AVE. N.E. FRIDLEY, MN 55432 • (612) 571-3450 • FAX (612) 571-1287 June 3, 1993 Steve Klein ACCAP Human Service Center 1201 - 89th Avenue, #345 Blaine, MN 55434 Dear Steve: The property located at 137 Mississippi Place N.E. is a double frontage lot and is currently occupied by a four-plex. To the north of the property across the street is the Riverside Auto Wash complex. Because the property is a double frontage lot and because it abuts properties of a different use, a six foot chain link fence along the north lot line is consistent with the City's ordinances. It acts as a district separation fence between residential and commercial property, and acts as a barrier for a safe yard environment for residents and their children. Should you need further information, please feel free to contact me. S' cer ly) Barbara Dacy, AICP Community Development Director BD/dn C-93-128 SUBJECT PER 0. City of Fridley 1951 AT THE TOP OF THE TWINS BUILDING PERMIT r , ' E� i COMMUNITY DEVELOPMENT DIV. v ------ PROTECTIVE INSPECTION SEC. r -I NUMBER REV DATE PAGE OF APPROVED BY �"•1 CITY HALL FRIDLEY 55432 612-571-3450 910-F15 6/30/93 JOB ADDRESS 137 Mississippi Place NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 2 1 Johnson ' s River Lane Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Anoka Co.. Community Action 1201 89th Ave NE, Blaine 783-4744 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Milton L. Johnson Co. 525 Lowry Ave NE, Mpls., MN 55418 781^9548 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO. 8 USE OF BUILDING 4 --flex 7 CLASS OF WORK ❑ NEW ❑ ADDITION ❑ ALTERATION � REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Reroof Structure (20 Squares) Tear -off 9 CHANGE OF USE FROM TO STIPULATIONS Underlayment must comply with the State Building Code. Provide adequate attic ventilation. Provide smoke detectors as per UBC 1210, adjacent to all sleeping areas and in basement. 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 4 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 $1,080 $.54 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- $27.00 Fire SC $1.08 STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. CHECK FEE TOTAL FEE �PLAN A4:e4' a -30 53 $28.62 SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT IDATEI WHEN RLY LIDATED THIS IS YOUR PERMIT f 70 -�® C BLDG INSP OATE SIGNATURE OF OWNER 0F OWNER BUILDER)-- IDATEI.. V92npaid-Plan'Cheok $ Estimated Cost $ Receipt ae 7 Effective 5/26/93 Construction Address i3 % Zoning legal Description .</0 6- o/17/r� • c Tia o G2 f/ owner & Ad+diess ia� _g ,a r�� u r= . BG.� �;� E Tel C M?ntACM & ADDRFg.S 1-n L 7& A) L - Jo /mac/ So,U e--I-I -Tel. `f I Architect & Address J:?eC(. Engineer & Address Reel. � TYpE OF WOW [] New [] Addition [] Alteration -Describe Applicant Signature G Tel 5 /- Date L- Length Width height Sq. Ft. # of Stories OFC. AREM length Width $ Height Sq. Ft. UM AREA: Length Width Spec. Assessments Height Sq. Ft. CIDM AREA: Length Width Height Sq. Ft. MAMMON Sq. Ft. x $ dost/Sq. Ft. = Valuation $ ) G J Sq. Ft. x $ Cost/Sq. Ft. = Valuation O Sq. Ft. x $ Cost/Sq. Ft. = Valuation- $ ) TOTAL VALUE Building Use Construction Type ao0q3M*jGY Group Air Conditioning []Yes []No Fire Protection Provided []Yes []No Performance Bond Amount $ See Reverse for Schedule Received [ ]Yes [ ]No Permit Fee Plan Check $ Fire Surcharge State Surcharge $ SAC (Marge $ Erosion Control $ Park Fee $ Spec. Assessments $ Driveway Escrow $ TO.rAt. See Fee Schedule an Reverse Side In Ex+oess of Prepaid Amount - See Reverse Side .0101 x Permit Valuation (1/10th %) $.50/$1,000 valuation (See Sched. for > $1 Million) $750 per SACC Unit (Plans to NP= for detertninatian) $450.00 Conservation Plan Review Fee Determined By ming Agreement Necessary [ ] Not Necessary [ ] feet x $13.50/foot 7 sue.iEbr PERM City of Fridley 0710 AT THE TOP OF THE TWINS BUILDING PERMIT f RE I T-140 16 � COMMUNITY DEVELOPMENT DIV. ; a: ------- r PROTECTIVE INSPECTION SEC. I NUMBER REV DATE PAGE OF APPROVED BY i "' `'; CITY HALL FRIDLEY 55432 -__•�; 1 612-571-3450 910-F15 3/7/00 JOB ADDRESS 137 Mississippi Place NE 1 LEGALLOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 2 1 Johnsons s River Lane Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE ACCAP 783-4747 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Ovall Roofing & Const 6730 213 Ave NW, Elk River, MN 55330 753-2959 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO, 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO 6 USE OF BUILDING 4 Plex 7 CLASS OF WORK ❑ NEW ❑ ADDITION ❑ ALTERATION REPAIR ❑ MOVE ❑ REMOVE B DESCRIBE WORK Reroof 4 Plex (22 Squares) Tear -off 9 CHANGEOFUSEFROM 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 4 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 $1923 $.96 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 PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON• $69.25 Fire SC $1.92 STRUCTI E PERFOR E OF CONSTRUCTION PLAN CHECK F FEE AVO 7AL 72.13 SIGNATURE OF TRA(;TOR OR AU MORIZEDA ENT (DATE) H PR SCOG ,NSP LY VA4DAED THISI5_XOU�ERMIT� GATE S,GNATURE O/ OWNER „F OWNER BUILDER, ,DATE, 7 Prepaid Plan Check $ Estimated Cost $ Receipt # Construction Address ! 7 /— Legal Owner & Address CONTRACTOR & ADDRESS CITY OF FRIDLEY R-3, COMMERCIAL & INDUSTRIAL BUILDING PERMIT APPLICATION C( Ics ( a'0 P� Effective 1/1/2000 (612) 572 -3604 Zoning Tel# (LA) 2&,� - 7 y y% Tel# 4) 753 - �r 37V-72 Architect TYPE OF WORK [] New Reg.# Engineer BUILDING CONSTRUCTION [] Addition H Alteration -Describe PV aLJ4 U Reg.# T 1 OFC. AREA: Length Width Height Sq. Ft. WHSE AREA: Length Width Height Sq. Ft. OTHER AREA: Length Width Height Sq. Ft. PLI Tel # �� `�/ Date 6 -3 - a?^ Od VALUATION Sq. Ft. x $ Cost/Sq. Ft. = Valuation $ ) 00 Sq. Ft. x $ Cost/Sq. Ft. = Valuation $ Sq. Ft. x $ Cost/Sq. Ft. = Valuation $ ) TOTAL VALUE Building Use Construction Type Occupancy Group Air Conditioning [] Yes [] No Fire Protection Provided [] Yes [] No Performance Bond Amount $ See Reverse for Schedule Received []Yes []No Permit Fee Plan Check $ Fire Surcharge $ State Surcharge $ SAC Charge $ Erosion Control $ Park Fee $ Spec. Assessments $ Driveway Escrow $ TOTAL $ PERMIT FEES See Fee Schedule on Reverse Side In Excess of Prepaid Amount - See Reverse Side .001 x Permit Valuation (1/10th %) $.50/$1,000 Valuation (See Sched. for > $1 Million) $1100 per SAC Unit (Plans to MWCC for determination) $450.00 Conservation Plan Review Fee Determined By Engineering Agreement Necessary [] Not Necessary [] feet x $15.50/foot • .4 ATTACH STIPULATIONS