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PRE 2010 DOCSCity of Fridley, 31inn. BUILDING PERMIT N® 4 411 Date: - ---�?�e._._1..... . _.._. 4� . ®... -................. ... Owner: ..... ................ .... .............. .................... .........__.__......_....... -.................. Builder Address....._ ...................... ............ ......... ... _..._..._.._........ Address ............ ........ ................................................ 'jf� LOCATION OF BUILDING No. e71 ..1..._......... Street .....- - - --- ._.._._raZ.._.._... E�w L...-_.......Lot _.._._. ...-._........ Block .... ......................_........ Addition or Sub -Division .....--.-...-------....------•---- •--. _ i Corner Lot ................... ........ ........ Inside Lot ._..............._...............-- Setback s......- ._........ Sideyard ._.. ......................................... SewerElevation ..... . ......................................... ............... ..................... -.................. Foundation Elevation .............................._............._..........----------------------------.. DESCRIPTION OF BUILDING To be Used as: .... - -- ..._.............. Front . ........... � Depth �<.4F �� Height ........................ Sq. Ft. 1.-. Cu. Ft.02 19 ( y > d ...................... Front �........:...� Depth �.�'O Height ._..4r_...`_.� Sq. Ft. ..��'..1...4_- Cu. Ft..;�.... .�....� Type of Construction ........................... ..................... .......... Est. Co /�.�J- �-14�w be Completed................ --............................... 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 forth and in compliance with all provisions of ordinances of the city of Fridley. cis In consideration of the payment of a fee of $ 1 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 any part thereof, shall conform in all respects to the ordinances of Fridley, Minnesota regarding location, 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. Building Inspector NOTICE: This permit does not cover the construction, installation for wiring, plumbing, gas heating, sewer or water. Be sure to see the Building Inspector for separate permits for these items. o City of Fridley Application for Plumbing and Gas Fitting Pemdt Dept. of Bldgs. Phone SU 4-7470 DESCRIPTION OF WORKa � " Number, Kind and Location of Fixtures Locatio PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: NO. RATE TOTAL Z /3 x} Yz- $ Future Fixture Opening `- x 1.20 $ New Fixture Old Opening .............. x 1.00 Z �UOrn F N WATER HTR. GAS ELEG $ 2 New Ground Run Old Bldg . ............ x 3.25 $ GAS FITTING FEES: NO. RATE TOTAL ist 3 Fixtures .......................... —� x $1.50 A , $ Additional Fixtures .................... x .50 $ Gas Range to 200,000 BTU .............. x 2.00 $ Base 1st 2nd _ 3rd — 4th • Future Connection Openings Connected with Sewer � New .Fixture, Old Openings Cesspool PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: NO. RATE TOTAL /3 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 $ 2 New Ground Run Old Bldg . ............ x 3.25 $ GAS FITTING FEES: NO. RATE TOTAL ist 3 Fixtures .......................... —� x $1.50 A , $ Additional Fixtures .................... x .50 $ Gas Range to 200,000 BTU .............. x 2.00 $ REPAIRS & ALTERATIONS -Refer to Code Description ................................................ �i TOTAL FEE $ �1 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. - " -- 18 J` Owner Kind of Building. Used as a , e To be completed about Estimated Cost, $ ``x Old-/,/NBuilding Permit No Permit No. s- a Signed f By 6 Business Phone No 1 FEQ -7, P:ar") I ROUGH t, .01110.4? 2M 7-59 Oij SUBJECT P City ®f Fridley 26337 AT THE TOP OF THE TWINS y g p[ BU I L ®I PERMIT BUILDING f ` RECEIPT NO. • COMMUNITY DEVELOPMENT DIV. PROTECTIVE INSPECTION SEC.5617 s NUMBER REV DATE PAGE OF APPROVED BY 6---1 CITY HALL FRIDLEY 55432 612-571-3450 910415 6/24/98 10B ADDRESS 270 Rice Creek Terrace NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 8 3 Rice Creek Plaza South Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Bruce'Brotten 270 Rice Creek Terrace NE 571-0785 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 8 USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW ❑ ADDITION ❑ ALTERATION ( REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Reroof House & Garage (27 Sq) Tear-off 9 CHANGE OF USE FROM 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 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 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 $2,251 $1.12 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- $74.75 Fire SC $2.25 STRUCTION OR THE PERFORMANCE OF CONSTRUCTION PLAN CHECK FEE TO L FEE 8.12 SI URE OF CONTRACTOR OR AUTHORIZED AGENT TE EN ROP L VALIDA HIS IS YOUR PERMIT zl 134 INIP 0/.TE ATURE OF OWNER 0F OWNER BUILDERi IDATEI NEW [ ] Effective 1/1/98 ADDN [ ] CITY OF FRIDLEY ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION 3 3 ConstructionAddress: 2 -Z D %Z L« Od'e:e—k 1�4-rAc- Legal Description: tis -e Owner Name & Address: C u ce- Zc a tit 34r© 1e Tel. # -2 / o `z 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 EWPROVEMENT LIVING AREA: Length Width Height Sq. Ft. GARAGE AREA: Length Width Height Sq. Ft. DECK AREA: Length Width Hgt/Ground Sq. Ft. OTHER:,/ Construction Type: Estimated Cost: $� (Fee Schedule on Back) Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ _ $ DATE: lP' U APPLICANT: Tel. # CITY USE ONLY Permit Fee $ ' 7, c) Fee Schedule on Reverse Side Fire Surcharge $ 4S .001 of Permit Valuation (1/10th%) State Surcharge $ / , ! $.50/$1,000 Valuation SAC Charge '' $ $1000 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: - + r