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PRE 2010 DOCSVillage of Fridley, Minn. N° 208 BUMMING PERMIT Office of INSPECTOR OF BUILDINGS Owner. '3a""' •_= °` `�`.t, ,� S Architect- Fridley, Minn Builder ` LOCATION OF BUILDING kkNo. Street''- + Part of Lot Block Addition or Sub -Division DESCRIPTION OF BUILDING Front �Depth Height-! " °'- Stories Manner of Construction -% r A To be used as � '�s To be completed= � Estimated Co Permit is hereby granted to—./Yb rx c to Q!A-n'y� the buildinv-- des bed in the above statement. This permit is granted upon the esprea ondition thJ4 the person to whom it is granted, and his agents, employees and workmen, in all the work done in, around and upon said building, or any part thereof, shall conform in all respects to the ordi- nances of Fridley, Minn., regarding, the construction, alteration, maintenance, repair and moving of buildings within the city limits, and this permit may be revoked at any time upon violation of any of the provisions of said ordinances. ,. �11J-1-11,�—o,—Inspector of Buildings. AGREEMEN'i' AND SWORN STATEMENT In consideration of the issue and delivery to me by the Inspector of Buildings of Fridley of the above permit, I hereby agree to do the proposed work in accordance with the description above set forth and according to the provisions of the ordinances of Fridley, and, being first duly sworn, I hereby state and say that the facts stated by me and contained in the above permit are true as therein stated. Subscribed and sworn to before me at Fridley, Minneskta, eii d da o a� ,Dm `, y . 1! - �„ Application for Power Plants and. Hewing. Coding, Ventilation. Refrigeration 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 0.00 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 Hot Water ... 8.00 Each add. 200 sq. ft. EDR Steam ...................... 2.50 Each add. 320 sq. ft. IDR 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 $ -S 1516 GAS FITTING FEES: NO RATE TOTAL 1st 3 Fixtures ...................... x $1.50 $ sem'S- Additional Fixtures ................. x "„ .50 $ S Gas Range to 200,000 BTU ........... x 02.00 $ AIR CONDITIONING $ FAN HEATING SYSTEM See Fee Schedule VENTILATING SYSTEM TT ALTERATIONS & REPAIRS TOTAL FEE ROUGH— OUGH FINAL- FINAL 91"M r Dept. of Bldgs. Phone SU. 4-7470 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 correct. Fridley, Minn- �/a /tet/ 19 Owner Lz&C'dZQs2—1, a E/ Kind of Building�- Used as To be completed about Z �. �` r'!� '7 Estimated Cost, $ OldLNew. Building Permit No. Permit No. DESCRIPTION OF WORK HEATING or POWER PLANTS --Steam, Hot Water, arm ) No ` Trade Name Size No X�U --3 9 Capaci d—N Sq. Ft. EM.R�i43_� BTU H.P, Total Connected Loads Kind of Fue BURNER — Trade Name Size No Capacity Sq. Ft. E.D.R BTU H.P. (REMARKS—OVER) Signed By . 42 TM 7.59 Business Phone No z41 - 2 ��� I' 01 SUBJECT P , • City of Fridley 14603 AT THE TOP OF THE TWINS BUILDING PERMIT i RECEI COMMUNITY DEVELOPMENT DIV. r � � PROTECTIVE INSPECTION SEC. 1 S � CITY HALL FRIDLEY 55432 NUMBER REV. DATE PAGE OF APPROVED BY A r ,'1 612-560-3450 910-F15 3/27/78 10B ADDRESS 870 Mississippi Street N.E. 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 28-30 3 1 Florence Park SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Catherine Wenzel 870 Mississippi Street N.E. 3 CONTRACTOR MAILADDRESS ZIP PHONE LICENSE NO. Professional Roofing 7257 Yucca Lane 425-8233 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 �❑ 8 DESCRIBE WORK Reroof structure 9 CHANGE OF USE FROM TO STIPULATIONS Roof can be the second but not the third roof. Install ridged galvanized valleys. TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, Asphalt 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 TMS TYPE OF WORK WILL BE COMPLIED. WITH WHETHER SPECIFIED HEREIN OR .NOT. THE GRANTING OF A PERMIT 673 $.50 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- STRUCTION OR THE PERFO `NCE OF CONSTRUC ION. 50. PLAN CHECK FEE TOTALFEE 6 3-,-.7 - ^7 $8.00 G ATURE OF CONTRACTOR OR AUTHORIZED AGEr/r)DATE) WHEN PROPERLY VALIDATED TIS IS YOUR PERMIT BLDG. )NSP DATE SIGNATURE OF OWNER IIF OWNER BUILDER) IDAYE) 01 CITY OF FRIDLEY APPLICATION FOR RESIDENTIAL BUILDING PE11141TS 'MEW, ALTLRATIoNs, ADDITIONS, OR REPAIRS) 1 OTAMER: _t _,a-f-�e-rivr L I ®IF,P TAUILDER: �•® �-�... Address : ,�s ' a� -CL IIS-_ Address: Tel. No. No.: (S. O Street: SSS /-�,S ( Ppl LOT: QS - 30 BLOC K: 3 ADDITION: F LLnP-E J 1F- � 0 � ' CORNIER LOT: INSIDE LOT: SETBACK: 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: Front: Square Feet: Depth: Height: Cubic Feet: Front: Depth: Height: Square Feet: Cubic Feet: Type of Construction: f Estimated Cost: $Q%s To Be Completed: _� - �� Alt. A Alt. B Proposed Driveway Width If New Opening Is Desired $ $ (SEE REVERSE SIDE OF SHEET) 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. See reverse side for additional information. DATE: -3 -Q % - 72 SIGNATURE: -12y 7 Stipulations: 4�)o 0 %l-6 M67 P -o0 61T -, 0(5 10 (QqLUA �jI z� lie �� C3�1 C ITS w OT `I=ds WELL OR BORING LOCATION MINNESOTA DEPARTMENT OF HEALTH M nnesot Well and Borin WELL AND BORING SEALING RECORD Minnesota Unique Well No. o.H 16 4699 County Name — Minnesota Statutes. Chapter 1031 or W -series No. Anoka (L— Nenk N W k—) J Township NameTownship No. Range No Section No. Fraction Ism. i Ig) Date Sealed Dale Well or Boring Constructed Fridle 30 24 14 '_� 8-1-00 Numerical Street Address or Fire Number and City of Well or Boring Location 870 Mississippi St, F r i d l e y Depth Before Sealing _ 20 --m Original Depth n Show exact location of well or boring Sketch map of well or boring AGUIFER(S) STATIC WATER LEVEL in section gnd with 'X". location, showing properly W Single Aquifer ❑ Multiaquifer lines, roads, and buildings N WELL/BORING Zi] Measured n Estimated Wale, Supply Well I l Monil Well ---------------�__ _ ❑ _— -- Y Env Bore Hole U Other 13 n Lb below El above land surface W --�- -i-- -i-- --i-- E CASING TYPE(S) x -4- ........ i i Steel ❑ Plastic ❑ Tile ❑ Other yandle CASING(S) ti 1-111-1{ Diameter Depth Set in oversize hole? Annular space initially grouted? r mStle—fie 1 J. in. from 5 l0 17 If. ❑Yes No [:1 Yes ❑ No ❑Unknown PROP RTY OWN 'S NAME I in. from to n ❑ Yes ❑ No ❑ Yes ❑ No ❑ Unknown ohn enzel Property owner's mailing address if different than well location address indicated above in. from to ff. ❑ Yes ❑ No ❑ Yes ❑ No ❑ Unknown 14045 Iodine St NW SCREENIOPEN HOLE Ramsey, MN 55303 Screen from 17 to 20 n. Open Bole from to _ n. OBSTRUCTIONS WELL OWNER'S NAME ❑ RodstDrop Pipe ❑ Check Valve(s) ❑ Debris ❑ Fill X[NO Obstruction Well owner's mailing address it different than property owner's address indicated above Type of Obstructions (Describe) Obstructions removed? ❑ Yes ❑ No Describe PUMP Type GEOLOGICAL MATERIAL COLOR HARDNESS OF FROM TO [I Removed [X Not Present [I Other — FORMATION It not known, Indicate estimated formation log from nearby well or boring. METHOD USED TO SEAL ANNULAR SPACE BETWEEN 2 CASINGS, OR CASING AND BORE HOLE: 'jXri Annular Space Exists O Annular space grouted with hernia pipe ❑ Casing Perforation/Removal in, from to _ n. ❑ Perforated ❑ Removed in. from to N. ❑ Perforated ❑ Removed Type Of perforator ❑ Other GROUTING MATERIAL(S) (Olio bag of cement - 94 lbs., one bag of bentonite = 50 tbs.) Grouting Material Nt Cmt .__.— from 5 to 2 0 n. yards 1/2 begs from to n. yards bags from to n. yards begs from to __ n. yards bags REMARKS, SOURCE OF DATA, DIFFICULTIES IN SEALING OTHER WELLS AND BORINGS Other unsealed and unused well or boring on properly? ❑ Yes Rg No How many? LICENSED OR REGISTERED CONTRACTOR CERTIFICATION This well or bodnC was seated in accordance with Minnesota Rules, Chapter 4725. The information contained in this rayon is true to the best of my knowledge. Mrk We lWe11�Q,_�__1_nC 02658 Contractor mess Name License or Registration NO. 8-1-00 Aufhorizedepresenfafive Signature- Dale Ron Danielson____ _ MINN. DEPT. OF HEALTH COPY H 164699 Name of Person Sealing Well or Boring HE -01434-05 ICY 140-0423 4199 R SuBJECT R City of Fridley 31461 AT THE TOP OF THE TWINS BUILDING PERMIT r _NO. � `v ______ COMMUNITY DEVELOPMENT DIV. INSPECTION SEC. _/ _T � r - PROTECTIVE I i , CITY HALL FRIDLEY 55432 �---• A NUMBER REV DATE PAGE OF APPROVED BY ....... J\612-571-3450 910 -FIS 10/10/00 JOB ADDRESS 870 Mississippi Street NE 1 LEGALLOT NO. BLOCK TRACTOR ADDITION SEE ATTACHED DESCR. 28,29,30 I 3 I Florence Park Addn to Fridley SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE John Wenzel 870 Mississippi Street NE 531-1218 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO American Building Contractors 12247 Nicollet Ave S, Burnsville, MN 55337 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 612-328-3451 20169383 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO 6 USE OF BUILDING Residential 7 CLASS OF WORK O NEW ❑ ADDITION ❑ ALTERATION Q REPAIR ❑ MOVE ❑ REMOVE B DESCRIBE WORK Reroof House (15 Sq) 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 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 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT $1,534 $.77 DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PERMIT FEE AC CHARGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- STRUCTION OR THEPERFORMANCE OF CONSTRUCTION $57.05 Fire SC $1.53 PLAMCK FEE TOTAL FEE �A, Le S 5.00 $64.35 NATURE OF CON • ACTOR OR AUTHORIZED AGENT IDATEI H N PERLY VA DATED THIS IS YOUR PERMIT BOG I 7ir f1Aft S.GNATURE OF OW NER .IF OWNER BUILDER, I ATEI NEW[ ] F Effective 5/10/99 ADDN [ ] CITY OF FRIDLEY ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION Construction Address:<�70 1' ` �s/ S�� A0 � S Legal Description: Owner Name & Address: J0k1V eN2el Tel. # Contractor: 1/UC /o?a X7 ,&o,�QZ 14 Ve J MN LICENSE # -?6���3� 3 Address: A 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. r GARAGE AREA: Length Width Height Sq. Ft. DECK AREA: Length Width Hgt/Ground Sq. Ft. _ OTHER: 75 2 U Construction Type: Estimated Cost: $ Driveway Curb Cut Width Needed: Ft. + 6 Ft = __Ft x $ _ $ DATE: O - 0 APPLICANT: Tel. #B 5-:9 CITY USE ONLY Permit Fee $ ��� Fee Schedule on Reverse Side Fire Surcharge $ 1,53 .001 of Permit Valuation (1/10th%) State Surcharge $ .77 $.50/$1,000 Valuation SAC Charge $ , $1050 per SAC Unit License Surcharge $ �` ' $5.00 (State Licensed Residential Contractors) Driveway Escrow $ Alt. "A" or Alt. "B" Above Erosion Control $ $450.00 Conservation Plan Review Park Fee $ Fee Determined by Engineering Sewer Main Charge $ Agreement Necessary [ ] Not Necessary [ ] TOTAL STIPULATIONS: {� /' Il SuB.,Ecr FRERMIT NO. City of Fridley 33246 AT THE TOP OF THE TWINS BUILDING PERMIT ` RECEIPT NO. COMMUNITY DEVELOPMENT DIV. fr _-r--- : � PROTECTIVE INSPECTION SEC. 6d 47'-/r NUMBER REV GATE PAGE OF APPROVED BY CITY HALL FRIDLEY 55432 763-571-3450 910-F15 11/12/02 JOB ADDRESS 870 Mississippi Street NE 1 LEGAL LOT NO. BLOCK TRACTOR ADDITION SEE ATTACHED DESCR. 28,29,30 3 SHEET Florence Park Addition to Fridley 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Jay Christensen 870 Mississippi Street NE 763-502-8279 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO RMA Home Services Inc 3200 Cobb Galleria Pkwy STE 200 Atlanta GA 30339 d ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 763-542-8826 20268257 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO 6 USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW ❑ ADDITION ❑ ALTERATION J7 REPAIR O MOVE O REMOVE B DESCRIBE WORK Replace 9 windows within existing openings 9 CHANGE OF USE FROM TO STIPULATIONS Provide smoke detectors in all seeping rooms and on all levels of the dwelling per Section 310.9.1.2 of the 1997 Uniform Building Code. Caulk and flash all exterior openings. Per it Inspection Cards Will oftellynialled To Homeowner To Post SEPARATE PERMITS ARE REOUIRED 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 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 $9586 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT $4.79 DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PERMIT FEE SACCHARGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- $181.25 Fire STRUCTION OR THE PERFORMANCE OF CONSTRUCTION SC $9.59 PLAN CHECK FEE TOTAL FEE $5.00 $200.63 SIGNATURE OF CON'aACTOR OR AUTHORIZED AGENT iDATE. PERLY VALIDATED THIS IS YOcUR PERMIT `� tt4l;sp S-GNATURE OF OwNER,.v OWNER BUILDER. 'DATE, f1ATE Il NEW[ ] Effective 5/10/99 ADDN [ ] CITY OF FRIDLEY ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUIL DING PERMIT APPLICATION Construction Address: Legal Description: Owner Name & Address: -.FDA cjmskylsle�- Tel. # A%3 •SOA . j ;p j!:2 Contractor:; RMA HOME SERVICES INC. MN LICENSE # Home Depot Installed Sales Address: 3200 Cobb Galleria Pkwy., Ste. #200 Tel. # Atlanta, GA 30339 A 763-542-8826 urvey of the k C-20268257 ,1n4t to scale. DESCRI 3 N OF IMPR0. EnRENT LIVING AREA: Length Width Height Sq. Ft. GARAGE AREA: Length Width Height Sq. Ft. DECK AREA: Length Width Hgt/Ground Sq. Ft. OTHER: '-?,e �� e e C1 l i nnri M. VZ U A•l..ln.w,v A x: SAN)A Cr -.11-[/Y1 f i4 Construction Type: Driveway Curb Cut Width Needed: Ft. + 6 Ft = Estimated Cost: $ 115& Ft x $ e$ DATE: 5 -POW -0a APPLICANT. Tel. # ISO' 3 YS. (CM IL Permit Fee $ R I. S Fire Surcharge $ State Surcharge $ q.3q SAC Charge $ License Surcharge $j. Driveway Escrow $ Erosion Control $ Park Fee $ Sewer Main Charge $ (03 TOTAL STIPULATIONS: CITY USE ONLY Fee Schedule on Reverse Side .001 of Permit Valuation (1/10th%) $.50/$1,000 Valuation $1050 per SAC Unit $5.00 (State Licensed Residential Contractors) Alt. "A" or Alt. "B" Above $450.00 Conservation Plan Review Fee Determined by Engineering Agreement Necessary [ ] Not Necessary [ ] sueJEcr IT NO.33247 City of Fridley AT THE TOP OF THE TWINS BUILDING PERMIT r ` RECEIPT NO. '16L-______ COMMUNITY DEVELOPMENT DIV. r PROTECTIVE INSPECTION SEC. 41 7dy F 1 NUMBER REV DATE PAGE OF APvgpvEO By � �"'1 � CITY HALL FRIDLEY 55I32 A 763-571-3450 910-F15 11/12/02 JOB ADDRESS 870 Mississippi Street NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 28,29,30 3 I Florence Park Addition to Fridley SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Jay Christnson 870 Mississippi Street NE 763-502-8279 J CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO RMA Home Services Inc 3200 Cobb Galleria Pkwy STE 200, Atlanta, GA 30339 / ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 763-542-8826 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO 8 USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW ❑ ADDITION ❑ ALTERATION .0 REPAIR O MOVE O REMOVE 8 DESCRIBE WORK Replace fascia 9 CHANGE OF USE FROM TO STIPULATIONS Permit Inspection Cards WillBe Mailed To Homeowner To Post 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 SO. FT CU FT 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 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 $2,896 $1.45 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 STRUCTION OR THE PERFORMANCE OF CONSTRUCTION Fire SC $2.90 PLAN CHECK FEE TOTAL FEE " cen a SC $5.00 $92.60 SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT IDATEI EN PROPERLY VALIDATED THIS IS YUR PERMIT I ) \ \ b' 8l INSo RATE _ S,GNATURE OF OWNER SIF OWNER BUILDER- --DATE, Effective 5/10/99 ADDN [ ] CITY OF FRIDLEY ALTER [ ] SINGLE FA d1ILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION Construction Address: Legal Description: Owner Name & Address: �q r;s „�„�� Tel. # x(03.50 o7.8a�9 Contractor:; RMA HOME SERVICES INC. MN I:JCENSE # Home Depot Installed Sales Address: 3200 Cobb Galleria Pkwy., Ste. #200 Tel. # Atlanta, GA 30339 A 763-542-8826 urvey.-of the k•C-20268257 ....�.... inn 4t to scale. - r --r---- - DES.CRI ION OF DW ROVEMENT . . LIVING AREA: Length Width Height Sq. Ft. GARAGE AREA: Length Width Height Sq. Ft. DECK AREA: Length Width* Hgt/Grouud Sq. Ft. OTHER: 'Ka e, I cao, Construction Type: Estimated Cost: $ Driveway Curb Cut Width Needed: Ft. + 6 Ft Ft x $ _ $ DATE: 5 *-V\:)W- 02k APPLICANT: Tel. #Lj�2-3y.5•6 Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee Sewer Main Charge TOTAL STIPULATIONS: OTY USE ONLY Fee Schedule on Reverse Side .001 of Permit Valuation (1/10th%) $.50/$1,000 Valuation $1050 per SAC Unit $5.00 (State Licensed Residential Contractors) Alt. "A" or Alt. "B" Above $450.00 Conservation Plan Review Fee Determined by Engineering Agreement Necessary [ ] Not Necessary [ ] CITY OF FRIDLEY 6431 UNIVERSITY AVENUE NE FRIDLEY, MN 55432 572-36U4 VAX: (763) 571-1257 PERMIT NO.: 2004-01812 sq I DATE ISSUED: 10/05/2004 ADDRESS : 870 MISSISSIPPI ST NE PIN : 143024410067 LEGAL DESC : UNAVAILABLE : LOT BLOCK PERMIT TYPE : ELECTRICAL PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ADDITION/ALTERATION VALUATION NOTE: ELECTRICAL PERMIT BECOMES VOID 12 MONTHS AFTER PERMIT ISSUE DATE. INSTALL A SAVERS SWITCH. # INSPECTIONS 1 APPLICANT HUNT ELECTRIC CORPORATION 2300 TERRITORIAL RD ST PAUL, MN 55114 - OWNER WENZEL CATHERINE R 870 MISSISSIPPI ST NE FRIDLEY, MN 55432 ELEC PERMIT FEE - MIN (RESI) 20.00 STATE SURCHARGE, ELEC FLAT 0.50 TOTAL 20.50 PAID WITH CHECK # 118132 AGREEMENT AND SWORN STATEMENT This permit becomes null and void if work or construction authorized is not commenced witin 60 days or if construction or work is suspended or abandoned for a period of 120 days at any time after work is commenced. I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any other state or local law regulating construction or the performance of construction. Applicant Date Bldg Insp Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE.