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PRE 2010 DOCSCity of Fridley, Blinn. BUILDING PERMIT Date: Oct. 2, 1968 Owner: Charles E.Johanson Builder Same Address 580 69th Ave. N. E. address Dame 4q9 V3'- .9962 39962 LOCATION OF BUILDING No. _ _ Street Rice Creek Blvd. ____ part of Lot Lot 5 Block 2 Addition or Sub -Division . Holiday Hills 2nd Addn. Corner Lot _ Inside Lot _.._ x Setback 35' Sideyard 11' 5' Sewer Elevation 847.04 850.04 Top of Footing DESCRIPTION OF BUILDING To be Used as: Dwelling Front 42' Depth 261 Height 20; Sq. Ft. 1092 CtL Ft 21,84 Garage Front 20' Depth 24' Height 10' Sq Ft 480 Cu. Ft 4800 Type of Construction _ Frame Est Cost _. $22,000 __ To be Completed SEWER EOCATION - 32.5' North of Manhole WATER LOCATION - 10' North of Sewer In consideration of the issuance to me of a permit to construct the building described above, I agree to do the proposed work in accordance with the description above set fo th�and in compjIJ with all provisions of ordinances of the city of Fridley. ,// // /J „ / / iJ In consideration of the payment of a fee of $__!43 - 00Charles Johanson , permit is hereby granted to to construct the building or addition as described above. This permit is granted upon jressthces. A NOTICE: This permit does not cover the construction, Installation for wiring, plumbing, gas heating, sewer or water. Be sure to no the Building Inspector for separate permits for these !toms. APPLICATION FOR BUILDING PERMIT CITY OF FRIDLEY, MINNESOTA OWNEFc IS NAME CHARLES E. JOHANSC)N NG. BTJILDER CHARLES E. JOHAi -. -;;,„ livulluti 114. E. 08T -69th Avenue N. E. ADDRESS Fridley, Minnesota 5543. ADDRESS Fridley, Minnesota 5543. LOCATION OF BUILDI.ZTG NOo STREW LOT 6— BLOCK �L- ADDITION OR SUBDIVISIONS COR -TER LOT INSIDE LOT SETBACK 3 g SIDE`YARD__Z{— SEWER ELYTATION TOP OF TOOTING Applicant attach to this form Two Certificates of Survey of Lot and proposed building location drawn on thes=e Certificates. To Be Used As: DESCRIP'T'ION OF BUILDING Front I Depth Z ( Height a a - Square feet Cubic Feet Front 2.0 Depth -�- y Height 16, Square feet Cubic Feet Type of Construction. Estimated Cost 1 e9 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 SIGNATURE'' (Schedule of Fee Costs can be found on the Reverse Si eo) r �� City of Fridley Appyfor Pbmdftg aid Gw Fk1bq Permit DowL of Mdon Phone 860-3480 DESCRIPTION OF WORK 4 Number, Kind and Location of 7Ww" c PARTIAL RATE SCHEDULE D�', 7X-) a ;I r, i The undersigned hereby makes application for a permit for the work herej weeffled, agreeing to do aU work in strict accordanm with the City Ordinance wd ruling ori the.Department of Buildings, and hereby declares that all the fact and 1P 1,fl0Xftff=w stated In this applicatijan an true and correct. Chnier Lz:jd,-C7-,e Kind of Building ewww 13 Used as 11 To be completed about PLUMUM MXTM RATES: NQ BATE TOTAL Number ]Fixtures ...... .. ........... x Wo Future Fixture Opening ................ x51.60 New Fixture Old Opening ......... .... x $LSD $ Catch Basin x $3.M $ Water Heater (Up to 99,000 BTU) ...... X $&09 $ New Ground Run Old Bldg. . ..... .... X $&a $ EWftio Water Heater z wo $— GAS FITTING F=5: NO; RATE TOTAL�) 1st a Fixtures .......................... z f Additional Fixtures .................... z $ .75 $ Gas Range to 199,000 BTU .............. x SM $ PAM & ALTERATIOM—Reft to co" Description ................................................ TMAL FEB 4a, 4 Estimated Cook $ 0 Old—New. Building Permit No 9 Signe& Y/V-- - Zu Business Phone No ROUGH_ rnm--Lt - -L- 5-% 0 482' original PermitPLUMBING 0 ?- E( N.B. When work covered by this permit is ready, the Plumbing Ordinance requires that request for I F� d� Permit inspection shall be phoned in to the plumbing Inspector, 560-3450 giving number of this permit., DFSCREMON OF WORK Number. Rind and Location of Fixtures ,�tOrle3 N a W F O U to 4 Z 7 . ,:v^ri3 F m m F Z a m to Y W = W } 3 I- y. F z O a 0 ❑ LL N O S M R to O¢ A a LL❑ i G 1-- w ¢¢ U M Z 0 �❑ .1 m $ 4. 0 4 Q M O Q O M Z Q Q t9 K WATER HTR. GAS ELEC. Basement 1st 2nd 3rd 4th Connected with Sewer -Cesspool Gas Piping for Openings Permission is hereby granted %— to do the plumbing and gas fitting in the building described in the svtement her o attached, upon the express condition that the person to whom this permit is granted, and his agents, employees and workmen, in the plumbing or gas fitting of said building shall conform in all respects to ordinances of the City of Fridley, and this permit may be revoked at any time upon the violation of any of the provisions of said ordinances. By Order Of The Inspector Of Buildings Roughing in Inspection Date Inspector. Final Inspection Date Inspector. -QSP42 9M -6-68-V City of Fridk.y ���� /Z ,19 Owner Location Kind of BuildinQ,. a Eked as To be Completed —'194 Estimated Cost $ Old -New. Building Permit No.. ?94.1 - Date Inspector of Buildings. Application for rower !Tants and Healing. Cooling. Ventilation. Refrigeration and Air Conditioning Systems and Devices PARTIAL RATE SCHEDULE Dept. of Bldgs. Phone 560-3450 GRAVITY WARM AIR: RATE TOTAL Location!Z49 ` G &�7 Furnace Shell & Duct Work ...........................$10.00 Replacement of Furnace ............................. 6.00 Repairs & Alterations—up to $500.00 .................. 6,00 Repairs & Alterations each add. $500.00 ............... 3.00 MECH. WARM AIR Furnace Shell & Duct Work to 120,000 BTU ............ $10.00 each add. 60,000 BTU ....................... 3.00 Replacement of Furnace ............................. 6.00 Repairs & Alterations—up to $500.00 ................. 6.00 Repairs & Alterations each add. $500.00 .............. 3.00 STEAM or HOT WATER SYSTEM $ $ 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, 1VLinn C/` � 7 y 19 $ Owner. 01®✓ �� $ Kind of Buildings Used as ZZ all To be completed about /'(_�. ty Furnace Shell & Lines—to 400 sq. ft. EDR Steam ...... $10.00 $ Furnace Shell & Line—to 640 sq. ft. EDR Hot Water ... 10.00 $ Each add. 200 sq. ft. EDR Steam ...................... 3.00 $ Each add. 320 sq. ft. EDR Hot Water .................. 3.00 $ OIL BURNER—to 3 gal. per hour ........................ 6.00 $ over 3 gal. per hour—See Fee Schedule GAS BURNER (up to 199,000 BTU) ....................... 5.00 Z9 $ over 199,000 BTU See Fee Schedule GAS FITTING FEES: NO RATE TOTAL 1st 3 Fixtures ...................... x$ 2.00 $ oleo Additional Fixtures ................. x .75 $ Gas Range to 199,000 .......... x$ 5.00 $ AIR CONDITIONING $ FAN HEATING SYSTEM See Fee Schedule VENTILATING SYSTEM A ALTERATIONS & REPAIRS TOTAL FEE $® ROUGH FINAL .� Estimated Cast, New. Building Permit No. �o Permit No. 4%0a DESCRIPTION OF WO PX II -� HEATING or POWER PLANTS Q_a ff-` wa46- Warm Air—No Trade Nam Size No / Capacity Sq, EKD .R 1-fiTU H.P. Total Connected Loam Kind of Fue BURNER — Trade Nam Size No. / 00 Capacity Sq. Ft. E.D.R BTU H.P. (REMARKS -OVER) Signed 11� / ►, > 1, CQR�.42 Business Phone No - Original PERMIT for Power ants and Heating, Cool- ing, Ventilation. Refrigeration and Air Conditioning Systems and Devices DESCRIPTION OF WORK No. of 1 Heating Plants to b installed ltered—repaired Make Size R6 Oil fired ; Coal fred ; Gas fired _�; Gas Authorization No. Remarks Approved Final Inspection Date , 19_ Inspector q Permit N° 4600 Fee $ Office of the Inspector of Buildings City of Fridley City of Fridley, Minn. , 19� Owner Location Kind of Building How Occupied Work to be Commenced—, 19— To be Completed ,19_ Estimated Cost, $ 1'S`70 ° &-J Old -New, Building Permit No. Qq 6 7 - Permission is hereby granted to - / 0 --J—/Z 4Z- / to install—erect—use the material and devices described in the s statement. This permit is granted upon the express condition that the person to whom it is granted, and his agents, employees and workmen, in all the work and materials used under this permit, and in the operation of the devices herein mentioned shall conform in all respects to the ordinances of the City of Fridley ng to or governing the work to be done and the operation of the devices herein named, and to the specifications set forth in the approved application for this it on file in the office of the Inspector of Buildings. � ,�f fl /�• I ,,Inspector of Buildings 2M 11-67 V SUBJECT NO. IT City of Fridley ®122IF. AT THE TOP OF THE TWINS BUILDING P E R r RECEIPT NO. rq • COMMUNITY DEVELOPMENT DIV. �,.-------, r � � PROTECTIVE INSPECTION SEC. 7 1 . � CITY HALL FRIDLEY 55432 NUMBER REV. DATE PAGE OF APPROVED BY - "-- J 612-660-3450 910-F15 8I13I73 .JOB ADDRESS 424 Rice Creek Boulevard N.E. 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 52 Holiday Hills 2nd Addition SHEET 2 PROPERTY OWNER MAILADDRESS ZIP PHONE Paul Lubratt 424 Rice Creek Boulevard 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Minnesota Package Products 3191 Viking Drive, North St. Paul 770-1313 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 Xl NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBEWORK Construct 3'6" x 8' Below Ground Pool 9 CHANGE OF USE FROM TO STIPULATIONS See attached memo from Health Inspector. TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, VENTILATING OR AIR CONDITIONING. Cement 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 PERIOD OF 120 DAYS AT R-1 ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS OFFSTREET PARKING I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION 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 $5,000.00 2.50 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- 30.00 STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. PLAN CHECK FEE TOTALFEE 1041111� -,A 1 1 $32.50 -SIGNATUOF CONTRACTO R AUTHORIZED AGENT (DATE) &YVAIDATED THIS IS YOUR PERMIT BLDG INSP DATE SIGNATURE OF OWNER (IF OWNER BUILDER) (DATE) APPLICATION FOR RESIDENTIAL, ALTERATION, OR ADDITION BUILDING PERMIT CITY OF FRIDLEY, MINNESOTA ' HCA LA I L l�1 L i�-0 � � BUILDER:�6 1-12 a % ®G� OWNER'S NAME ADDRESS:' 1 e ai ! ADDRESS: ne NO:. -STREET: C �% L`�� / \ lJ V LOT BLOCK • ADDITION:_ CORNER LOT: INSIDE LOT: SETBACK: SIDEYARD: Applicant attach to this form Two Certificates of Survey of Lot and proposed building location drawn on these Certificates. DESCRIPTION OF BUILDING ToBe �„ Used As: ,66LOIJtJ' CoeUc, AObb j o TC) oL Front: Depth: Height: Square Feet: Cubic Feet: Front: Depth: Height: Square Feet; Cubic Feet: Type of Construction: . , �/��in �� Estimated Cost._$ J® Owe9 To Be Completed:� The undersigned hereby makes application for a permit for the work herein specified, agreeing to do all work in sttict 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 • (See Reverse Side For Additional Information.) _ 7 d . S- 1 '7 - L I os IJ It 9 HEALTH AND SAFETY INSPECTION On this date, the health authority made an investigation of the subject facility. The deficiencies noted at this time and the necessary corrective measures are given below, If you have any questions concerning this matter, please feel free to call on us at our offices (City Hall, 6431 University Avenue N.E., Fridley) Telephone No. 560-3450, Ex. 41. Received by; - Health Authority L _ Pool Size Gallons Filter Pump Motor Chlorinator Inlets' Skimmers Main Drain Vacuum Fillings Ladder Diving Board Vacuum Kit Test 'Kit Safety Rope Heater Maintenance Steps Handrails 6 Hr rate turn over MINNESOTA PACKAGE PROD. 3191 Viking Drive No. St. Paul. Minnesota Q Hayward Perflex Hayward & h•P Alodin 3 Hayward N.S.F. 2 Hayward N.S.F. '1 Hayward N.S.F. Furnished 1 Hayward 3 step 6' Bull Frog Yes Yes Yes Yes 3 .yes Yes Model EC -60 Model SP 140OX Model SP 1407-1 Model 160-85 Model SP 1048AV (Model HJ -6' Model DIV I NG BOARD INSTALLED HE: RE -► T L - u 7 are I u --'�.-4W! 14' 1 LOc^TE FINISH GRADE OF POOL APPROXIbA4T¢LY 1FT• ABOVE SURROUNDING LAND ELEVATION, SURFICE DRAINAGE SHALL BE AWAY FROM POOL, SEXCAVATION SHALL Bk 2 FT LARGER THAN ACTUAL POOL. FILL ANY VOIDS UNDER BASE OF pANELS (TAMP WELL. 3 BACK FILL AROU14 WALLS AS POOL IS BEING FILLED WITH VV TER. THE HEIGHT OF TAMPED BACKFILL 51.IOULD NOT EXCEED WATER HEIGHT BY MORE THAN 12- INCHES. I WATER LEVEL SHOULD NOT EXCE6V TNF HEIGHT OF THE TAIAPED BACKFILL BY MORE. THAN 121NC4Es. ORCKFILL514ALLBE OF EXCAVATEDMATORIAL, T 6� +16 ya ]Z BRACKET FOR LINER. % GALVANIZED BOLTS, NUTS $ WASHERS. as 9., PANEL pNe` FLpM16E5 le 10, eI ^PA BTRIW tJOI reflR STRIP . � WASHRR �' wA51iHf 0 opNeLs I TYPICAL SECT/ON THROUGH POOL WALL (HOPPER END - u 7 are I u --'�.-4W! 14' 1 LOc^TE FINISH GRADE OF POOL APPROXIbA4T¢LY 1FT• ABOVE SURROUNDING LAND ELEVATION, SURFICE DRAINAGE SHALL BE AWAY FROM POOL, SEXCAVATION SHALL Bk 2 FT LARGER THAN ACTUAL POOL. FILL ANY VOIDS UNDER BASE OF pANELS (TAMP WELL. 3 BACK FILL AROU14 WALLS AS POOL IS BEING FILLED WITH VV TER. THE HEIGHT OF TAMPED BACKFILL 51.IOULD NOT EXCEED WATER HEIGHT BY MORE THAN 12- INCHES. I WATER LEVEL SHOULD NOT EXCE6V TNF HEIGHT OF THE TAIAPED BACKFILL BY MORE. THAN 121NC4Es. ORCKFILL514ALLBE OF EXCAVATEDMATORIAL, T 6� 77 BRACKET FOR LINER. % GALVANIZED BOLTS, NUTS $ WASHERS. O LINER PANEL pNe` FLpM16E5 le 10, eI ^PA BTRIW tJOI reflR STRIP . � WASHRR �' wA51iHf 0 opNeLs I TYPICAL SECT/ON THROUGH POOL WALL (HOPPER END n —VINYL LINER 61 UNUISTU0. 3ED '"\ SAND I" MINIMUM (TAP rmowi:4 DIVING BOARDS: PERMANENTLY MOUNTED DIVING BOARDS SHALL OVERHANG POOL 2' AND NOT W HIGHER THAN IIA ASOVE WATER THIS POOL MUST NOT BE ORAINED WITHOUT PROPER BRACING. �S�QRpFEB. SS(D� � d z h I S OAC c � o rrr � - ?•. 3910v `�FrHE 51a%"/ MEMO NO. DC -39_ OFFICE OF THE CITY MANAGER CITY OF FRIDLEY MEMORANDUM TO: COMMUNITY -DEVELOPMENT ADMINISTRATOR FROM: CITY MANAGER . DATE: AUGUST 19, 1974 SUBJECT: COMPLAINT OF NO BACKYARD PRIVACY BY MR. LUBRATT, 424 RICE CREEK BLVD. TELEPHONE - Office, 636-3890, Home, 786-3694 Mr. Lubratt complained that Woodcrest Baptist Church is putting up an addition to their church and have provided for windows on the east side of the building which leaves Mr. Lubratt no privacy for his Home in his backyard where he has put up a.expensive swimming pool. He indicated that you had requested that the contractor eliminate these windows and.put them on.the west side, but now he says that windows have been provided on the.east side. Mr. Lubratt wants to know what the City can do to protect his. privacy. Please review this and take the appropriate action. Please advise me of the action taken. Thank you for your help. NMQ/ms CC: Public Works Director �1 r 91-8b-'879001 %,I I I ur i I%L M66 1 APPLICATION FOR PLUMBING AND GAS FITTING PERMIT ✓ PLUMBING FIXTURE RATES: NO. RATE °'.� a x e w Future Fixture Opening •�_ X 5 $ Water Hooter v $2.00 $ Catch Basin ,.,_� x x $ C x $5.00 $ 4 x u bI ►� x $7.90 $ p J p 'M y 9. C N S N GAS FITTING FEES: URI ,f, 9 1st 3 fixtures ___ !g� $3.00 O a9 1@C L4 $ .Gas Range to 199,000 STU x $&0.00 $ REPAIRS 4 ALTERATIONS Q W First $100.00 $5.00 $ each add. $100.00 or fraction $2.00 $ `_• �4 $ _ 50 TOTAL FEE $ 8.o0 1st ihns bal gill tad 3rd 4th (R) - Future Connection Opening Connected with Sewer (•) - New Fixture, Old Opening Water •PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: NO. RATE TOTAL w-mber Fixtures x $3.00 $ Future Fixture Opening •�_ X $2.00 $ Now Fixture, Old opening x $2.00 $ Catch Basin ,.,_� x $5.00 $ Water Heater to 99,000 BTU x $5.00 $ _ 100;000 BTU to 199,000 BTU x $10.00 $ Water Softener __ x $7.90 $ New GroundRun Old Building x $5.00 $ Electric Wafer Heater �_ x $5.00 GAS FITTING FEES: 1st 3 fixtures ___ x $3.00 $ A3ditional Fixtures x $1.00 $ .Gas Range to 199,000 STU x $&0.00 $ REPAIRS 4 ALTERATIONS First $100.00 $5.00 $ each add. $100.00 or fraction $2.00 $ `_• State Surcharge $ _ 50 TOTAL FEE $ 8.o0 REINSPECTION FEE 010.00) Job Address 4i4 - ZL-LU;Unmrin 13 Department of Buildings City of Fridley I Tel. 9571-3450 The undersigned hereby makes application fora permit for the work here specified agreeing -to do all work in strict accordance with the City Cod,' and rulings of the Department of Buildings, and hereby declares that all the facts and representations stated in this application are true and cor Fridley, Mn. 4-29-77 , 19 OWNER CHARLES JO - NSON - KIND OF BUILDING frame USED AS TO 8E COMPLETED A80UT )r6-77--- - ESTIMATED COST OLD - NEW BUILDING PERMIT NO. PS"IT NO. Company MINNEGASCO Signed By MINNECASm Tel. No. ROUGH INSP. Date FINAL INSP. Date APPROVAL FOR PERMIT . MINIMUM FEE FOR ANY PLUMBING PERMIT IS $7.50 " - SUBJECT P City ®f Fridley 22131 AT THE TOP OF THE TWINS BUILDING PE MIT RECEIPT NO. COMMUNITY DEVELOPMENT DIV. Tr a r 1 PROTECTIVE INSPECTION SEC. 1 � 1 NUMBER REV. GATE PAGE OF APPROVED BY CITY HALL FRIDLEY 55432 "'J 612-571-3450 910-F15 J 9/23/93 JOB ADDRESS 424 Rice Creek Blvd NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 5 2 Holiday Hills 2nd Addition SHEET 2 PROPERTY OWNER MAILADDRES$ ZIP PHONE Charles Johanson 424 Rice Creek Blvd NE 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. George Johnson Contr. 5410 Girard Ave N, Brooklyn Center 55430 566-2351 1016 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 House (23 Squares) 2nd Layer 9 CHANGE OF USE FROM TO STIPULATIONS Roofing can be the 2nd layer but not the 3rd. Install adequate attic ventilation, Provide smoke detectors as per UBC 1210 adjacent to all sleeping areas and in the basement! TYPE OF CONST. OCCUPANCY GROUP OCCUPANCYLOAD SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, VENTILATING OR AIR CONDITIONING. ZONING S0. FT. CU. FT. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT NO. DWLG. UNITS OFFSTREET PARKING ANY TIME AFTER WORK IS COMMENCED. I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION 1 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 $1f350 $e68 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- $33.00 Fire SC $1.35, ST UCTI OR THE PERFORMANC OF CONSTRUCTION. PLAN CHECK FEE TOTALFEE License SC $5.00 $40c03 SIGNATUREO CO ' ACTOR OR AUTHORIZED AGENT (DATEI .W RO Y VALIDATED THIS IS YOUR PERMIT y� SIGNATURE OF OWN E R OF OWNER BUILDERI IDATEI NEW 11 ADDN f ] CITY OF FRIDLEY ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 Building Permit Application Construction Address: Legal Description: Owner Name & Address: Contractor: Address:' LIVING AREA: Length GARAGE AREA: Length DECK AREA: Length OTHER: KC Z S' Effective 5/26/93 I Tei. # 7 � y 011 MN LICENSE #.-��� Tel. # �I Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF IMPROVEMENT Width Height Sq. Ft. Width Height Sq. Ft. Width Hgtt/Ground Sq. Ft. Corner Lot f ; Inside Lot f* ] Ft. Yd Setback Side Yard Setbacks Type of Construction: Estimated Cost: $ 13, Approx. Completion Date: (Cast on Back) Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ _ $ DATE: J �� APPLICANT: / Tel. # � �-�3 �-/ CITY USE ONLY Permit Fee $ -33. CSCE Fee Schedule on Reverse Side Fire Surcharge $ /, �,�: .001 of Permit Valuation (1/10th%) State Surcharge $ $.50/$1,000 Valuation SAC Charge $ $750 per SAC Unit License Surcharge $ 45-00 $5.00 (State Licensed Residential Contractors) Driveway Escrow $ Alt. "A" or Alt. "B" Above Erosion Control $ Conservation Plan Review $450.00 Park Fee $ Fee Determined by Engineering Sewer Main Charge $ Agreement Necessary [ ] Not Necessary f ] TOTAL $ O ' �� STIPULATIONS: i L. . CITY OF FRIDLEY INSPECTION DIV. 6431 University Ave NE Fridley, MN 55432 572-3604 APPLICATION FOR PLUMBING AND GAS FITTING PERMIT MARK NUMBER OF FIXTURES TO BE INSTALLED ON EACH FLOOR Effective On January 1, 1997 PLUMBING FIXTURE RATES: New Fixtures Old Opening, New Fixture Beer Dispenser Blow Off Basin Catch Basin Rain Water Leader Sump/Receiving Tarik- Water Treating Appliance Water Heater —Electric Water Heater — Gas** Gas Range** NO, RATE TOTAL JOB ADDRESS (��F -� 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 $15.00 Reinspection Fee $42.00/Hr ALL OTHERS AND/OR REPAIRS AND ALTERATIONS 1.5% of Value of Fixture or Appliance The undersigned hereby makes application for a perm it 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. Owner / 1� .1997 W Building Used As � 1® J Estimated Cost PERMIT NO. � n PLUMBING COMPANY Signed TEL N0. Approved By ff[ & _ Rough—in Date State Surcharge $ .50 MINIMUM FEE L ANY PLUMBING) TOTAL FEE $C/, J PLUS THE $.50 STATE SURCHARGE Final Date ERMIT IS 520.00 **COMBUSTION AIR SHALL BE PROVIDED PER UMC SECTION 504(A) AND TABLE 6—A. MINIMUM SIZE 9 SQ INCHES.