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PRE 2010 DOCSCity of Fridley, Minn. N9 9961 BUILDING PERMIT Date: — Oct. 2, 1968 Owner: Charles E. Johanson BuilderSame Address _580 69th Ave. N. E. Address Same LOCATION OF BUILDING NO. — 418 Street Rice Creek Blvd. _ part of Lot Lot _.__..4 _ _ Block 2 Addition or Sub -Division ___ Holiday Hills 2nd Adda . Corner Lot Inside Lot __ x Setback 35' Sideyard — 6'-11' Sewer Mevation ___ 847.84 850.47 Top of Footing DESCRIPTION OF BUILDING To be Used as: Dwellingg Front _._. 391 Depth 24' %34 Height 20' Sq. Ft. I 000Cu. Ft 20,000 L.R. & Gar. Front 381 Depth 26' Height 10' Sq. Ft. 988 Cu, Ft, 9880 Type of Construction Frame Est. Cost _ 27 000 _ To be Completed SEWER LOCATION - 105.5' North of Manhole WATER LOCATION - 10' North of Sewer In consideration of the issuance to me of a permit to construct a building d -.ribed above I agree to do the proposed work in accordance with the description above set o and com ance with 21 provisions of ordinances of the city of Fridley. $100.00 Sewer Connection Char In consideration of the payment of a fee of $ 45.. 09 , permit is hereby granted to Charles Johanson 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 aad his agents, employees and workmen, fn all work. done in, around and upon said building, or any Bart thereof, shall conform in all respects to the ordinances of Fridley, B2innesota regarding location, construction, alteration, maintenance, repair and moving of buil�n$� within the dty limits and this permit may be revoked at any time upon violation of any of the Provisions of saii� ordinances. I ,1 mor Clarence Belisle J��S NOTICE: This pennk does not cover the construction, installation for whine, plumbing, gas heating, sawer or water. Be sure to as the Building Inspector for separate permits for these hems. APPLICATION FOR BUILDING PERMIT CITY OF FRIDLEY, MINNESOTA OWN.EEi sS NAME ��aRLEB BUILDER 580 69th Avenue N. L. CHARLES E. J®Htiiv. ADDRESS Fr'irllr�w Minnrcr)+n rr,43 ADDRESS 580 69th ridley, Minnesota 5543. LOCATION OF BUILDING NO. ° STREE°I' LOT 41 BLOCK A..DDITION OR SUBDIVISIONe PA ,j ,Chs COR -NM LOT INSIDE LOT SEWER ELEVATION d SETBACK 3��— SIDEYARD d 4 i/ TOP OF FOOTING Applicant attach to this form Two Certificates of Survey of Lot and proposed building location drayan on these Certificates To Be Used As: DESCR.IFT i ON OF BUILDING Front Depths 2 `��{ 3 `/ Height 7 70 a' Square feet ' Cubic Feet Q Front Depth -P, lc Height) Square feet f` Cubic Feet K, o Type of Construction Estimated Cost x -7 n® -0 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 representation stated in this application are true and. correct. _ , /� DATE / 1,9419 SIGNATURES (Schedule of Fee Costs can be found on the Reverse Side.) City ®f Widley Appg=fifm for P14mbing and &n Rpftg Pam* Dept. of Bldgs. Phone 960-3450 DESCRIPTION OF WORK ` (� Number, Kind and Location of FhI.aealf� dures I C� PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: NO. RATE TOTAL Number Fixtures yg� ®C� $ Future Fixture Opening s�, Z New Fixture Old Opening ss $ 5O x $3,25 w Water Heater (Up to 99,000 BTU) • t WATER MTR. GAS ELEC. Electric Water Heater = $200 S. GAS PITTING FEES: NO. RATE TOTAL 1st 3 Fixtures ......... . ...... .. x $2.00 © CJ Additional Fixtures ..... .............. x $ .75 $ Gas Range to 199,000 BTU .............. x $5.00 $ gW Base ist 2nd _ 3rd - — — - _ -- 4th _ ° Future Connection Openinp Connected with — '� Noir Fialum, OldOpeninpI ❑ CeBowel poo ❑ PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: NO. RATE TOTAL Number Fixtures �- � x $2,00 ®C� $ Future Fixture Opening x $1.50 $ 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 $3,26 $ Electric Water Heater = $200 S. GAS PITTING FEES: NO. RATE TOTAL 1st 3 Fixtures ......... . ...... .. x $2.00 © CJ Additional Fixtures ..... .............. x $ .75 $ Gas Range to 199,000 BTU .............. x $5.00 $ REPAIRS & ALTERATIONS—Refer to Code Descriptiong_ ..... ............. 0 UP TOTAL FEE 3 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: Owner Kind of Building Used as To be completed about Estimated Cost, $ P Old—New. Building Permit No.— _ -Pe zm t No. 0 Signed. t ! By__�[ Business Phone No ROUGH FINAL SUBJECT -R-M-I�-N- City of Fridley 5 9 2 AT THE TOP OF THE TWINS BUILDING PERMIT( r RECEIPT NO. • COMMUNITY DEVELOPMENT DIV. I � PROTECTIVE INSPECTION SEC. r CITY HALL FRIDLEY 55432 NUMBER REV DATE PAGE OF APPROVED BY 612-571-3450 1 910-F15 8/1/95 JOB ADDRESS 418 Rice Creek Blvd NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 4 2 Holiday Hills 2nd Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Al Seefeld 418 Rice Creek Blvd NE 572-2380 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 O REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Install 21 1/2" x 70 7/8" Skylight 9 CHANGE OF USE FROM TO STIPULATIONS Must be installed per manufacturer's specifications and spec's to be on site during inspections. 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 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 1 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 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT $300 $•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 PERFORMANCE OF CONSTRUCTION $21.00 Fire SC .30 PLAN CHECK FEE TOTAL FEE 21.80 SIGNATURE OF CONT RACTOR OR AUTHORIZED AGENT (DATE) c WHEN P '8L G )NSP E / �ATED THIS IS YOUR RMIT ) E SIGNATURE OF OWNERIIF OWNER BUILDER) )DATE) NEW [ l ADDN [ ALTER [] Construction Address: Legal Description: Owner Name & Address: Contractor: Address: LIVING AREA: GARAGE AREA: DECK AREA: OTHER: CITY OF FRIDLEY 57J— 3 t -I SINGLE FAMILY AND DUPLEXES R-1 AND R-2 Building Permit Application 19 fe 6,,c, v Effective 8/1/95 rhm m Tel. # 7x - Z MN LICENSE # Tel. # Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF IMPROVEMENT Length Width Height Sq. Ft. Length Width Height Sq. Ft. Length Width Hgt/Ground Sq. Ft. Comer Lot [ ] Inside Lot [ ] Type of Construction: Approx. Completion Date: _ Ft. Yd Setback Side Yard Setbacks Estimated Cost: $ 0 -_ (Cost on Back) Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x = $ DATE: Q �APPLICANT: ; ` Tel # S Permit Fee $ Fire Surcharge $ k3 00 State Surcharge $ SAC Charge $ License Surcharge $ Driveway Escrow $ Erosion Control $ Park Fee $ Sewer Main Charge $ TOTAL $ i STIPULATIONS: CITY USE ONLY Fee Schedule on Reverse Side .001 of Permit Valuation (1/10th%) $.50/$1,000 Valuation $$50 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 ( ] °- ` �' 0A' S/7 " P s Mil e_" - Old %`) IEW [ ] CITY OF FRIDLEY ,DDN [ ] 6431 University Ave NE, Fridley, MN 55432 (763) 572-3604 Bldg Insp ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 (763) 571-1287 Fax BUILDING PERMIT APPLICATION Construction Address: %Ge G,o`ec/l �/r/V x/' A ;1/-1 Legal Description: Owner Name & Address: 4/vim AF Tel. # i L 5-��' z �8 Contractor. MN LICENSE # Address: 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. �o t� /, Sc-A'� e 36 Construction Type: Estimated Cost: $ '0� Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ $ DATE: APPLICANT: Tel. # Call (763) 572-3604 for Permit Fees if mailing In application. Fax to 763-571-1287 If using credit card and we will call you for card number. 4��30 USE ONLY - Permit Fee �}CITY $ % Z:_ Fee Schedule on Reverse Side Plan Review $ 65% of Permit Fee Fire Surcharge $ .001 of Permit Valuation (1/10th%) State Surcharge $ /, c $.50/$1,000 Valuation SAC Charge $ 1 $1450 per SAC Unit License Surcharge $ $5.00 (State Licensed Residential Contractors) Curb Cut 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 [ J TOTAL $ /Og, STIPULATIONS: 4��30 Building PLUMBING Permit No.: 0&J�.l r Inspections RESIDENTIAL APPLICATION Recejyg,,y: U 763-572-3604 UN I CITY OF FRIDLEY Date' ec 763-502-4977 FAX EFFECTIVE 1-1-2010 U__ ( DATE YOUR E-MAIL ADDDPLESS l �' Com''" SITE ADDRESS THIS APPLICANT IS: ROWNER ❑CONTRACTOR PROPERTY NAME: A l-. c,. r\ e OWNER/ TENANT ADDRESS: 411F ? " e'_ e ece e Blue\ ,Ne CITYSTATE�NLIP a PHONE: 667( o?7I GG.23 CONTRACTOR NAME: SUBMIT A COPY OF YOUR STATE STATE LICENSE # EXP DATE LICENSE, BOND AND STATE BOND # EXP DATE CERTIFICATE OF ADDRESS: CITY STATE ZIP INSURANCE PHONE FAX PERMIT TYPE ❑ SINGLE FAMILY ❑ TWO FAMILY ❑ TOWNHOUSE TYPE OF WORK: ❑ NEW ❑ REPLACEMENT DETAILED DESCRIPTION OF WORK FEES ARE BASED ON $10.00 PER FIXTURE, EXCEPT WHERE NOTED. FIXTURES: (INDICATE TOTAL NUMBER OF EACH BELOW). 'MINIMUM FEE $35.50. BATH SINKILAV DRAINS SHOWER WATER PIPING _ _FLOOR _ _ —BATHTUB _ GAS PIPING (NEED CITY LIC) —SWIMMING POOL _ WATER SOFTNER ($35) _ CLOTHES WASHER _ KITCHEN SINK WATER CLOSET _ BACKFLOW PREY. ($15) LAUNDRY TRAY HEATER ($35)FOR IRRIGATION —DISHWASHER _ —WATER WATER METER OTHER iV e - X '"f,'.TKi2 `F` f�'i^ i" ,�,:!.'u' * ''m.c. fi >,y, i / cr:.T h`�$ i v THIS IS AN APPLICATION FOR A PERMIT -NOT VALID UNTIL PROCESSED I hereby apply for a plumbing permit and I acknowledge that the information above is complete and accurate; 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 case of all work which requires review and approval of plans.. y SIGNATURE OF APPLICANT LLriew� �. Kiel PRINT NAME lk-O Ne I.I el V\ —DATE��' City of Fridley Building Inspections Department 6431 University Avenue NE, Fridley, MN 55432 763-572-3604 FAX: 763-502-4977 SO