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PRE 2010 DOCSCity of Fridley, Minn. BUILDING PERMIT Date: _ _..._---� - ... ...^^....W __..._.._._._... .......... Owner: ..... ................................... ....................... ....... ....... _..... _............ ..................... Builder Address....._.............__....._..__......_...._..._.._....Address No 782 -LOCATION F —WILDING No..: 71 Street _... •- 4,4_:_part o Lot ...._....� _......_.... � ...._ . Lot ....... Block .. ...... ................. Addition or Sub -Division +�... �.:. ..._..� Corner Lot .................................... Inside Lot ........ .... Setback - .: ..._........ Sideyard ........"�.. _:....., Sewer Elevation .................... ........ _.... -............. ........ _.... _............. _....................... Foundation Elevation DESCRIPTION OF BUILDING To tqn, Used as: .L .... .- s Front Depth ..,.__ Height ..:. • .: Sq. Ft. Cu Ft.. _.. ,+ x.. � ,r '�_ ..... Front ....1_04 . Depth ....- Height + `.0 Sq. Ft. .,� .: Cu. Ft - " + " Type Construction... Esta Co +°.:--•--: To be Completed ..... . .......... ..._.................._.._. _-._. _,t...d, .. ....... � (�T AUTHORIZE W1®LAS - ` is PERMIQ\JEN T I?:.'E.. =N--�t CA 4 ANS IONJa I , 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. In consideration of the payment of a fee of $.a:-' W ....... .... ......... ., 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 tine upon violation o�f any of the provisions of said ordinances. i`--.. �',���4 ._, g m 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. 4 APPLICATION FOR BUILDING PERMIT CITY OF FRIDLEY, MINNESOTA Owners Name Builder Address Address '40W ._._ _...r LOCATION OF BUILDING No. Street Part of Lot Lot Block „1 Addition or Sub,.Div. ; Q .. Corner Lot Inside Lot _Y.Set Back Side -Yard SEWER ELEVATION FOUNDATION ELEVATION Applicant attach to this form Certificate of Survey of Lot and propose4 building location. DESCRIPTION OF BUILDING To be used as: e Fr ontDepth L'� Height t? ....._ Sq. Ft. Cu. Ft. Front Depth ,73 Height f � Sq. Ft. Cu. Ft Type of Construction Estimated Cost 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 Ordinances and ruling of the Department of Buildings, and hereby declares that all the facts and representa- tions stated in this application are true and correct. DATE SIGNATURE . . e (A Schedule of Fee costs can be found on the Reverse Side.) 97-8),4.16051 CITY OF FRIDLEY • APPLICATION FOR PLUMBING AND GAS FITTING hNIT Job Address 871- Rice Creek Terrace• Department of Buildings .City of Fridley Tel. #571-3450 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 Department of Buildings, .and hereby declares that all the facts and representations stated in this application are true and correct Fridley, Mn. 12-26-78 , 19 OWNER MEVORTER KIND OF BUILDING frame USED AS res" TO BE COMPLETED ABOUT PARTIAL RATE SCHEDULE b� tM ESTIMATED COST 30.00 v PLUMBING FIXTURE RATES: NO. a TOTAL Water QQ PERMIT NO.- ?timber Fixtures X $3.00 $ } �• � �� _ Future Fixture Opening a $2.00 $ Company &� • New Fixture,.Old opening w $2.00 $ Heatez MINNEC,`cr-� Signed By H F3 + x $5.00 C � Water Heater - to 99,000 BTU` x •$5.00 $ Tel. No. 100,000 BTU to 199,000 BTU x $10.00 $ x 1 $ y New Ground Run Old Suilding di $5.00 $ ROUGH INSP. ' ' x $5.00 '� $ Date 8Bg� CAS FITTINC FEES: ou :2 w v FINAL INSP. QW Ist 3 fixtures uwar $ Date 1 Additional Fixtures x as lec Gas Range to 199,000 BTU x $10.00 $ APPROVAL FOR PERMIT e� REPAIRS $ ALTERATIONS , First $100.00 $5.00 $ each add. $100.00 or fraction $2.00 $ MINIMUM FEE FOR ANY PLUMBING PERMIT IS $7.50 pLUB $.50 STATE kURCHA= State Surcharge $ .50 _ • TOTAL FEE $ 8.00 '. ;anc e 2nd 3rd � (R) - Future Connection Opening Connected with Sewer (6) a New Fixture, Old Opening Water Job Address 871- Rice Creek Terrace• Department of Buildings .City of Fridley Tel. #571-3450 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 Department of Buildings, .and hereby declares that all the facts and representations stated in this application are true and correct Fridley, Mn. 12-26-78 , 19 OWNER MEVORTER KIND OF BUILDING frame USED AS res" TO BE COMPLETED ABOUT PARTIAL RATE SCHEDULE ESTIMATED COST 30.00 PLUMBING FIXTURE RATES: NO. RATE TOTAL OLD - NEW BUILDING PERMIT.NO. QQ PERMIT NO.- ?timber Fixtures X $3.00 $ } �• � �� _ Future Fixture Opening x $2.00 $ Company &� • New Fixture,.Old opening x $2.00 $ MINNEC,`cr-� Signed By Catch Basin x $5.00 $ Water Heater - to 99,000 BTU` x •$5.00 $ Tel. No. 100,000 BTU to 199,000 BTU x $10.00 $ ' Water Softener x $7.00 $ ' New Ground Run Old Suilding x $5.00 $ ROUGH INSP. ' Electric Water Heater x $5.00 '� $ Date CAS FITTINC FEES: FINAL INSP. Ist 3 fixtures x" '$3.00 $ Date 1 Additional Fixtures x $1.00 $ Gas Range to 199,000 BTU x $10.00 $ APPROVAL FOR PERMIT e� REPAIRS $ ALTERATIONS , First $100.00 $5.00 $ each add. $100.00 or fraction $2.00 $ MINIMUM FEE FOR ANY PLUMBING PERMIT IS $7.50 pLUB $.50 STATE kURCHA= State Surcharge $ .50 _ • TOTAL FEE $ 8.00 '. REINSPECTION FFR SUBJECT City of Fridley 18315 AT THE TOP OF THE TWINS BUILDING PERMIT REC 11 `y COMMUNITY DEVELOPMENT DIV. INSPECTION r PROTECTIVE SEC. 1 . � i 1`� CITY HALL FRIDLEY 55432 NUMBER REV. DATE PAGE OF APPROVED BY 612-571-3450 910-F15 .1/22/86 JOB ADDRESS 871 Rice Creek Terrace N.E. 1 LEGALLOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 2 ] Brookview Terrace 3rd SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Fredrick Mewhorter 871 Rice Creek Terrace N.E. 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Du-A11 Service 636 - 39th Avenue N.E. 788-9411 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 RM=:K1mx Fire Damage Repair 9 CHANGE OF USE FROM TO STIPULATIONS o f PERMITS S REQUIRED FOR ,vii°; Ale AND SIGNS. "��il'4�a—, ? �� ® HIE � ���II�� 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 Q. 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 THIS TYPE OF WORK WILL BE COMPLIED $1,00.0 $.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- $17.50 T CTION OR THE PERFORMANCE OF CONSTRUCTION. PLAN CHECK FEE FEE TO$18.00 U11141AT/E. ONTRA RORAUTHORI2EDAGENT (DATEIWHEN .PROPERLY ALIDATED THIS IS YOUR PERMIT T BLDG )NSP E SIGNATURE OF OWNER IIF OWNER BUILDER) (DATE) NEW [ ] City of Fridley Effective 4/1/84 ADDN.[ ] R-1 AND R-2 ALTER. [f Building Permit Application Construction Address: �;/ Legal Description: Owner Name & Address: y �" 3= �a�c� Ct Yi C.� � � e4l X C."P y Tel. 0 Contractor: def G L �'�OY ez Tel. # Address: Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. LIVING AREA: Length GARAGE AREA: DECK AREA: OTHER: DESCRIPTION OF IMPROVEMENT Width Height Sq. Ft. Length Width Height Sq. Ft. Length Width Hgt/Ground Sq. Ft. Corner Lot [ ] Inside Lot Ft. Yd. Setback Type of Construction: i;- P P/I �-w 4 P - Approx. Completion Date: Proposed Driveway Width If New Opening Is Desired: Side Yard Setback Estimated Cost: $ Alt. A Alt B $ $ See Back Page for Explanation DATE: / ---4' APPLICANT: /r�c-�.e1� Tel. # Permit Fee Plan Check State Surcharge SAC Charge Park Fee Sewer Main Chs �t�-M STIPULATIONS: CITY USE ONLY Fee Schedule on Reverse Side 25% of Building Permit Fee $•50/$1,000 Valuation $425 per SAC Unit Fee Determined by Engineering Agreement Necessary [ ] Not Necessary [ ] CITY OF FRIDLEY APPLICATION FOR HEATING REPLACEMENT CHIMNEY AND STACK VERIFICATION THIS FORM MUST ACCOMPANY STANDARD APPLICATION FOR HEATING PERMIT FORM. LOCATION A, �\__�L boot in -n DATE OWNER`��, ADDRESS�� The undersigned hereby verifies that the existing chimney :or stack: 1. Has been carefully examined 2. Is `Tree from rust or deterioration 3: No foreign objects are lodged within 4.. That it is securely supported 5. That it meets all current Code requirements for size and total BTU connected 6. Total Heating BTU All Other BTU TOTAL REMARKS SIGNED Ica X Licensee by Address TelephoneA16 HEATING PERMIT # Fridley City License • .. SUBJECT City of Fridley AT THE TOP OF THE TWINS BUILDING PERMIT f("--27997./ RE • COMMUNITY DEVELOPMENT DIV. _ r - PROTECTIVE INSPECTION SEC. 46 li✓ NUMBER REV DATE PAGE OF APPROVED BY 1 = ""'1 CITY HALL FRIDLEY 554$2 I'' 612-571-3450 910-F15 92998 JOB ADDRESS 871 Rice Creek Terrace NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 2 1 Brookview Terrace 3rd SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Lorraine Mewhorter 571-4607 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Seal Guard Systems Inc. 9199 Central Ave EBlaine 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO, 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO B USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW 4 ADDITION ❑ ALTERATION :Ek REPAIR ❑ MOVE - ❑ REMOVE 8 DESCRIBE WORK Reroof house and garage (23 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 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 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 1971 .98 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 $62.25 Fira SC $1.97 PLAN CHECK FEE TOT FEE Lic ns 5. 20 SIGNATURE OF CONTRACTOR OR AUTHORIZED AGE N T (DATES EN ROPE ALID THISI$ UR PERMIT BL I 4SP or 6 ATE $,GNATURE OF OWNEROF OWNER BUILOERi tDATE) ` a .r L J r.�ecave 1[If_ ADDN [ ] _ CITE;OF FRIDLEY ALTER [ ] SINGLE FAMMY AND DimLEM R-1 AND R-2 � BUILDING PERMIT APPLICATION ConstructionAddress: I �16 cQQ �� �� Legal Description: Owner Name & Address: L- V-a:k Contractor: Address: -gyral AD 1 OftY hr WON t ) Tel. # 9,5-71-Ll(p® 7 5 m S mNq LICENSE # :280 3& F BI a -i nom, 15514 3`7 Tel. # 91 r7 - 0 r%w 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: Construction T v- ype: �%� � Estimated Cost: $ (Fee Schedule on Back) Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ _ $ DATE: qjZ�) C APPLICANT: iLLE��— Tel. # 01 Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee Sewer Main Charge TOTAL STIPULATIONS: $ 6,.6'D a CITY USE ONLY Fee Schedule on Reverse Side .001 of Permit Valuation (1/10th%) $.50/$1,000 Valuation $1000 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 [ ]