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PRE 2010 DOCS�27 City of Fridley ?' Application for Plumbing and Gas Fitting Pe=rmit Dept of Bldgs. Phone SU 4-7470 DESCRIPTION OF WORTS Number, Kind and Location of Fixtures Locatio Sd ffi x 1.20 $ `�_ x 1.00 Y F Catch Basin ............................ Z 3.25 $ Water Heater (Up to 200,000 BTU) ...... W z z * R N WATER HTR. GAS ELEC GAS FITTING FEES: NO. RATE TOTAL 1st 3 Fixtures .......................... x $1.50 $. , '�S— Additional Fixtures .................... x .50 $ Gas Range to 200,000 BTU .............. x �O $ Base t r 1st 2nd 3rd 4th • Future Connection Openings Connected wfth New Fixture, Old Openings I Sewer Cesspool ❑ PLUMBING FIXTURE RATES: NO. RATE TOTAL Number Fixtures ...................... x $1.50 $ ii_5 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) ...... 1 x 2.00 $ 0 0 New Ground Run Old Bldg. ... ........ x 3.25 $ GAS FITTING FEES: NO. RATE TOTAL 1st 3 Fixtures .......................... x $1.50 $. , '�S— Additional Fixtures .................... x .50 $ Gas Range to 200,000 BTU .............. x 2.00 $ REPAIRS & ALTERATIONS --Refer to Code Description ................................................; TOTAL $ 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 9 19_ Owner 19— Kind of Building ���-� ���_ , 19— Used as To be completed about Estimated Cost, $ Old -9 Building Permit N ,QW11 POST iM-12-58 Ax ! l e�2, n � , IL\ City ®f Fridley, Minn. BUHDING PERMIT NO. (6:1 Date: J Owner: ..Ned4otder Address J'OcAI B WING No. P 2 r Ell Lot Block 7-3: Addition or Sub -Di vistO "back Comer Lot Inside Lot Sewer Mevat ion Fourdation mevation DESCRIPTION OF BUILDING To as: Front Depth Height Sq. FLitu Cu. Ft. Fro i$ DepthHeight Sq. Ft. — cu. Ft. Type of Construction dec" Est.To beCompleted CON7 In consideration of the Issuance to me of a permit to construct the building described above, X agree to do the proposed 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 $_, 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, Mlnnesqta(;',;regardin; location, construction, alteration, maintenance, repair and moving of buildings within the city,AWt6' and this permit may be revoked at anyoF$009 violatiou of any of the provisions of said ordinances. -AfAA Building Inspector NOTICE: TW permit 4*n not eover the construction, installation for vArk& phmblng, gas h*dhi& sewer or water. Be sum to see the Building hupeder for sopen" pwndft for thus bmw APPLICATION FOR BUILDING PERMIT CITY OF FRIDLEY, MINNESOTA Owner's Name4 uilder Address Address r— LOCATION OY BUILDING No. s Street A!/4,WA MJ Part of;Lot /%,o z fz Lot _____Block Addition or Subdivision ) �,� �/,e11f17A'211 R:5 fe1A Corner Lot Inside LotSetback Side -Yard SEWER ELEVATION FOUNDATION ELEVATION Applicant attach to this form Two Certificates of Survey of Lot and proposed building location drawn on these Certificates. To be used as: DESCRIPTION OF BUILDING Front Depth_ ,.Height Sq. Ft. iCU. Ft. Front Depth Height Sq. Ft . Cu. Ft . Type of Construction s Estimated Cost _ a zi 0, 6 a Tobe Completed The undersigned hereby makes application fora 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 �d d (Schedule of Fee Costs can be found on the Reverse Side). a itj,99IM'I M Date: Eli re 5777� -0 1 A. 9-R! ON 9O3-57 N® 6521 No. ���r StreetZT art of Lot _ . _ _ ___ Block — — Addition or Sub-Division" Corner Lot _ Inside Lot _ _ Setback 4?A � �JL! ___ Sideyard Sewer Elevation Foundation Elevation DESCRIPTION OF BUILDING T 19t &1J ® ea' Front Depth Height Sq. Ft. WCu. Ft. Depth t _ Sq. F't. Cu. Ft. Type of Construction __ Est. _ �`� To 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. p If In consideration of the payment of a fee of $ __�`� , permit is hereby granted to construct the building or addition as described above. This permit is granted upon to— the express condition that the person to whom it is granted and his agents, employees and workmen, in all work done 3n, around and upon said building, or any part thereof, shall conform in all respects to the ordinances of Fridley, Minnesota reg location, construction, alteration, maintenati ,repair and moving of buildings within the city ]imits ands permit may be revoked at any aay of the provisions of said ordinances. (NOTICE: This permit doss not cover the construction, hotalHtien for wiring, plumbing, gas heating, sowar or water. Be sure to we the Building Inspector for separate permits for these Nems. SUBJECT - PERMIT NO City of Fridley AT THE TOP OF THE TWINS BUILDING P PERMIT RECEIP:LNd: J • ______ COMMUNITY DEVELOPMENT DIV. L 1 PROTECTIVE INSPECTION SEC. I p � , CITY HALL FRIDLEY 55432 NUMBERREV. ATE PAGE OF APPROVED BY 612-571-3450 910-F15 JOB ADDRESS 150 Rickard Road N.E. 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR, 1 2 Elwell's Riverside Heights SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Larry Addison 150 Rickard Road N.E. 571-9470 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Lloyd's Home Improvement Inc. 1012 - 421i Avenue N.E. 788-5602 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 x 8 DESCRIBE WORK Construct an 18' x 14' Addition to Dwelling 9 CHANGE OF USE FROM TO STIPULATIONS WON digging call loll utiiithes P TELEPHONE - ELECTRIC - GAS Etc. � G, 411�� REQUIRED BY LAW SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD VENTILATING OR AIR CONDITIONING. Wood Frame 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 252 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 $4.58 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT $9,150 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- NONE STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. $80.50 PLAN CHECK FEE TOTALFEE $20.13 $105.21 SIGNATURE OF CONTRACTOR RAUTHORIZE A NT 1' DA HEN PROPERLY VALIDATED THIS ISIS UR ERMIT /7� SIGNATURE OF OWNER IIF OWNER BUILDER) (DATE) BLDG INSP. GATE CITY OF FRIDLEY Effective Aug. 1, 1981 APPLICATIM F014 RESIDENTIAL BUILDING PEW41TS (New, Alterations, Additions, or Repairs) 4 ' Pw/ V— w• OWNER: BUILDERze l r ADDRESS: ADDRESS:Je TEL N0: _ �) �/ % U TEL NO: _ �j l - �'� o Construction Location - STRMT NO: STREET: LOT: ,� BLOCK: ADDITION: Corner -Lot: Inside Lot: Setback: Sideyards: Applicant attach to this form two Certificates of Survey of lot and proposed building location drawn on certificates to scale. DESCRIPTION OF CONSTRUCTION �Q F� Front: Depth: Height: Square. Feet: 'Z.S�'� Cubic Feet: Front: Depth: Height: Square - Feet: Cubic Feet: _ Type of Construction: Estimated Cost: 7b Be C3brapleted: �J s Alt. A Alt. B Proposed Driveway Width If New Opening Is Desired: $ $ SEE REVERSE SIDE OF SHEET Mie 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. DAM: SIGNATUME: Stipulations: r (Flit P. SuB.,ECT City of Fridley ('PE4*m `3 509 AT THE TOP OF THE TWINS BUILDING PERMIT r RECEIPT NO. • ______ COMMUNITY DEVELOPMENT DIV r PROTECTIVE INSPECTION SEC �i i s NUMBER REV DATE PAGE OF APPROVED BY CITY HALL FRIDLEY 55432 812-571-3450 910415 7/5/95 JOB ADDRESS 150 Rickard Road NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 1-2 2 Ellwell's Revised Heights Plat 2 SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Larry Addison 150 Rickard Road NE 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. RKNPUM Richard Hastings Co. 6331 Riverview Ter NE, Fridley, MN 55432 574-9966 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO 6 USE OF BUILDING Reroof House & Garage (27 Sq) Tear-off 7 CLASS OF WORK ❑ NEW ❑ ADDITION ❑ ALTERATION E-K REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK See above 9 CHANGE OF USE FROM TO STIPULATIONS Underlayment must comply with the State Building Code. 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 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 3pp��pp�� inn $2,025 1.01 DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PERMIT FEE SACCHARGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- STRUCTION OR THE PERFORMANCE OF CONSTRUCTION $54.00 Fire SC $2.03 PLAN CHECK FEE TOTAL FEE "✓� 7` ���`�License SC $5.00 1 $62.04 SIGNATURE OF CONTRACTOR OR UTHORIZED AGENT IDATEI HEN PROPERP VALIDATED THIS IS YOUR PERMIT BLD '/ ;gyp A QA fE SIGNATURE OF OWNER IIF OWNER BUILDERI IDATEI NEW [ ] Effective 1/ 1/95 ADDN [ ] CITY OF FRIDLEY ALTER [ J SINGLE FAMILY AND DUPLEXES R-1 AND R-2 Building Permit Application Construction Address: /5' `&AAD k Legal Description: Owner Name & Address: _Ll+,Z x1 Tel. # Contractor: X , c4A2/2 4,4 S NA/cS Co. MN LICENSE # `f oS/ Address: /.33j 1'��`v�,� �,`� tc t� Tel. # 51 ' X 96 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: Length7 Width Hgt/Ground Sq. Ft. OTHER: / Comer Lot [ ] Inside Lot [ ] Ft. Yd Setback Type of Construction: '7; A P- v FF 4- iz® o F Approx. Completion Date: Side Yard Setbacks Estimated Cost: (Cost on Back) Driveway Curb Cut Width Needed: Ft. + b Ft = Ft x $ _ $ DATE: i S APPLICANT: L- Zi /� Tel. # J-/ Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee Sewer Main Charge TOTAL STIPULATIONS: CITY USE ONLY Fee Schedule on Reverse Side .001 of Permit Valuation (1/10th%) $.50/$1,00 Valuation $850 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 [ ]