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PRE 2010 DOCSSUBJECT PEF� NO. City of Fridley ®i 12'744 AT THE TOP OF THE TWINS BUILDING PERMIT c REC NO • _____ COMMUNITY DEVELOPMENT DIV.7 �u - �{q V r PROTECTIVE INSPECTION SEC. -Z341-7 I 1 . � CITY HALL FRIDLEY 55432 NUMBER REV.D ATE PAGE OF APPROVED BY 612-660-3450 910-F15 ; JOB ADDRESS 100 Satellite Lane N-R- 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. SHEET 2 PROPERTY OWNER MAILADDRESS ZIP PHONE 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. 4 ARCHITECT OR DESIGNERrlrp 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 2516" x 44' House with attached 22 x 22 garage 9 CHANGE OF USE FROM TO STIPULATIONS 1. Provide a verification survey 2. Provide a hard surface drive Sewer Location: 88 ' East of M.H. (Inv. 837.02) Wye Elev.XRX 836.66 XRIM Top of Footing 839.66 ( Minimum) Wat Location: 16 feet East of Sewer Service SEPERAT E PERIMTS REQUIRED FOR WIRING9 HEATING, PLUMBING AND SIGH TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, wood frame 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 R 1 1 822 31, 600 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. $32,085.20 16.04 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 ROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- $59.00 $300.00 TRUCTWN OR THE PERFOR ANCE OF CONS RUCTION. PLAN CHECK FEE TOTAL FEE $375.04 • SIGNATURE 0 CON ACTOR OR AUTHORIZEDAGENT (DATE) EN PROPERLY VALIDATED THIS IS YOUR PERMIT 0�7,1 BLDG INSP I zn DATE SIGNATURE OF OWNER IIF OWNER BUILDER) (DATE) APPLICATION FOR RESIDENTIAL, ALTERATION, OR ADDITION BUILDING PERMIT CITY OF FRIDLEY, MINNESOTA OWNER'S NAME: �� �lo`%C� �i ccT6/C- BUILDER: ADDRESS: 16 ©/�-% e=�L o ®� Nc= ADDRESS: Al NO • . /&0 STREET:9✓ LOT: BLOCK: / ADDITION: '6' yL k�f Aj CORNER LOT: INSIDE LOT: SETBACK: 3 6 SIDEYARD: Applicant attach to this form Two.Certificates of Survey of Lot and proposed building location drawn on these Certificates. DESCRIPTION OF BUILDING To Be Used As: d w,5� L— Front: 26-1-b" Depth : ¢� l D , Height: Square Feet: Cubic Feet: fi Front: Depth: Height: Square Feet; ;T'" Cubic Feet:` - 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 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. , s' DATE: �' �� SIGNATURE: (See Reverse Side'For Additional Information.) r� ' trwavo G0nopeninpI —.. W," Now PIZInMa Old Omer Cesspool PLUMBING FIXTURE RATES: NO. RATE TOTAL Number Fixtures 10 x $2.00 Future Fixture Opening x $1.50 $ New Fixture Old Opening x $1,50 $ Catch Basin .. w $ Water Heater (Up to 99,000 BTU) x $3,0Q $ Y Z = w F Z O` Z $2.00 w m ® R1 WATER HTR. GAS ELEC. $ 2, d0a Additional Fixtures ..... .............. —x$.75 $ Gas lunge to 198,000 BTU .............. x $5.00 $— Base f - ist- 2nd 3rd - -- - 4th - - -- ' trwavo G0nopeninpI —.. W," Now PIZInMa Old Omer Cesspool PLUMBING FIXTURE RATES: NO. RATE TOTAL Number Fixtures 10 x $2.00 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 $3,0Q $ New Ground Run Old Bldg. x $3.26 $— Electric Water Iggater Z $2.00 $ GAB FITTING FEES: NO. RATE TOTAI. 1st 3 Fixtures .... .. . .... ......... �_ x $2A0 $ 2, d0a Additional Fixtures ..... .............. —x$.75 $ Gas lunge to 198,000 BTU .............. x $5.00 $— REPAIRS & ALTERATIONS -Refer to Code Description .................................. ...........$ TOTAL FIM$ 57, OM 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. Fridley, Minn-- ®� � -P � Owner��s Kind of Building Used as /� P v To be completed about �,7 -_5 Estimated Cost, $ A Old e . uilding Permit No.— . . _ _._Permit leo. V��7 Signed 59 By-. Business Phone No_ FINAYr3 -2 ,..e��o�r mi�gi'-:.NL': 9tcsr� � u+S.L� tl ti..:._�C�.i �;:bra3 ��s�<zr ,•`'� Egs!��Hpy De -Ates i'�.��G�k:lp w�:yJu .. �:.>r�:;.{d �c•+svC:FJ � �Z ' Ally ssw PA PITIAL RATE SCHEDULE a Iq AV r r, Y W A1Mf AM.- 1,72 TOT= lr°m-nsce Shell & Duct Wort $10.00 $ Replacement of lAwnace 6.00 aL-- Repairs iz Alterations—up to $1500.00 6.00 $, Repairs & #,Iterations each add. 6500.00 300 $ Wh m AM ftrnacge Shell & Duct Work to 1:80,000 BTU each add. 60,I`rt10 BTU . ......... 3.00 l RePlacement of FNnmace 6.00 $ Repairga & Rlteratiot&--up to $500M 6.00 $ Re -p L s & Alterationz each add. $500.00 3.00 WMADI or HO'T' VT.LTM BYSTEM P`urrace Shell & Lines --to 400 sq. ft. P'.DR Stearn $10.00 $ Furnace Shell & Line—to 640 sq- ft. EDR Hot Water 10.00 5, %®• ®�% Each add 200 sq. ft. EDR Steam 3.QM) $ Each add. 320 sq. ft. EDR blot Water 3.00 $;— _ OIL EURNEFR—to 3 gaL per hour 6.00 over 3 gal, per hour—See Fee Schedule Lo= /0 'a B Q� 0 j �-t �llYlS� GAS BUnN R (up to MJM BTU) 3.00 'over 199. �a� � �a $ck odule GAS 77'i NG Flam: ISO RATE TOTAL Ist 3 Fixtures r _ x$ 200 g%Q lJa AdditfonaI Zixtures x .75` - Gas Range to Yom,= MS &CO $ AM MMMOMM.10 FZPAIRS State Surcharge .50 Elea Fee izdmb TOTAL Y=/�•S® D pt. Of su— . phlt a 410_:M, Lo= /0 'a B Q� 0 j �-t �llYlS� N 11 �. City of Pridley: The undersigned hereby makes application for a permit for the work deer specified. agreeing to do all work in strict accordance with the City et= and ruling of the Department of Buildings, and hereby d c ar zz that an Mei f and representations stated in this application are tree and wrrect. Fridley, R0xtet- OCTO 6 Ue- 21n_'19 011 Owner 2 A L p A,q je rn. e-71 12- Kind 2Kind of Building . wy< - cp Used as �yUiN-�� To be completed about, Estimated Cost:, $ 01ci New. Building Permit No. _ _ __ 1'®rrxait No.� COs a DI-M-CMUMGM OF wova HEA71NG or POWER PLAk TS--.st:.azN Icot , WAirhlo— Trade Name��20 I fii� t2 /> 1 Ei= NGKo" Capacity--- --_ Sq. 7L E.13.R BTU Total Connected L &d xjd alit a DURNM — Trade Rome Size: No yMORL-I'MOM ✓ -? PCS . S�o?� 0 560.3450 ANOKA COUNTY 6431 UNIVERSITY AVENUE NE FRIDLEY, MINNESOTA 55421 ' e August 6, 1975 Re: Verifying Survey for Gentlemen: y Please be advised that of this date, we have not received a verifying survey for the above captioned house. We would appreciate it very much if you would get this survey into our office no later than September 1,.1975. Thank you for your cooperation in this matter. Yours very truly, DARREL CLARK Community Development Administrator DC/cs