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PRE 2010 DOCSBUILDING PERMIT Village of Fridley, Minn. N° 2345 Date". ............................... Owner Address....... .................................. Builder........................................... Address......................................... LOCATIO BUILDING No. +Ft. . /.... Street ......... "{ ............... PartofLot .. .. ............. . Lot .. A. Block ..... r41 ....... Addition or Sub -Division ....... . Corner Lot ....... �I.... Inside Lot Setback .S&I W. Sideyard / 19 � ............... II DESCRIPTION OF BUILDING To be Used as: Front Depth .`� . Height Sq. Ft......... Cu. Ft......... �1N Front ... Depth ..... Height Sq. Ft......... Cu. Ft........ . go Type of Construction .............. Est. Cost!:!.. ...... To be Completed .................. II I I Ii In consideration pf the issuance to we of a permit to construct the building described above, I agree to do the proposed work i", accordance with the description above set forth and in compliance with all provisions of ordinances of the vil� ge of Fridley. � 1 13 "t s: ........... c i eration f the payment of a fee of $._/V ,-pe 1t` is herebp granted to ... : ........ . . ............. .: to construct the building or addition as described above. This permi is grate upon the express condition that the person to whom it is granted and his age ts, employees and workmen, in all work done in, around and pon said building, or, any part thereof, shall donfohn in all'respects to the ordinances of Fridley, Minnesota r aiding location, construction, alteration, maintenance, repair ,and moving of buildings with- in the village limits #d this permit may be r0*6ked at any time upon viol4t4V of any of the provisions of said ordinances. p �I f Building Inspector NOTICE: This permit does not cover the construction, Installation or, alteration for wiring, plumbing, gas heating, sewer or water. B sure to see the Building Inspector for separate permits for these items. 1� I Date: --Ku 271, 1965 owner: St4m Berg Builder Re H. Romans N? '7575 Address bl Caston Sts N. E. Address 33061est lith Street LOCATION OF BUILDING No. 6361 Street Washington St. N. Be Pari of Lot Lot - 17 Block Addition or sub -Division Christie Addition Corner Lot - Inside Lot Setback — Sideyard Sewer Mevation _... Foundation Mevation • To be Used as: Front Depth height Sq. Ft. Cu. Ft. Front Depth Leight Sq. Ft. Cu. Ft. Type of Construction Fst. Cost 3 . QCD.00 To be Completed Storm Damage Repair In consideration of the issuance to me of a permit to e the proposed work in accordance with the description above ordinances of the city of Fridley. to do In consideration of the payment of a fee of $ 10.00 , permit is hereby granted toR' H S Buildsx' 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 NOTICES Ub permk does not sorer the oennstrostbe, kidaMen for whb& phmbing, gas boating, sewor or water. Be sere to we the Bediding hupW*r for separaM pon db for these items. APPLICATION FOR BUILDING PERMIT CITY OF FRIDLEY$ MINNESOTA OWNER' S NAME BUILDER ADDRESS RESS,�� LOCATION OF BUILDING �dy No. streets/l, Part of Lot_____r_ LOT BLOCX ADDITION OR SUBDIVISION Corner Lot Inside LOTS etback-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. Cu. Ft. Front Depth Height Sq, Ft. Cu. Ft.. Type of C•aastruction P Estimated Cost.-� To be completed_, The undersigned hereby makes application forla permit for the work.herein specified, agreeing to do all work an 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. (Schedule of Fee Costs can be found on the Reverse Side). 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, 1998 PLUMBING FIXTURE RATES: New Fixtures Old Opening, New Fixture Beer Dispenser Blow Off Basin Catch Basin Rain Water Leader NO. RATE TOTAL JOB ADDRESS 6� i W4,59INGPDAI —5,-7-N 6, Sump/Receiving Tank q ater Treating Appliance_ ater Heater –Electric Water Heater – Gas** Gas Range** 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 D o State Surcharge $ .50 TOTAL FEE $ )o. 56 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 Building Division, and hereby declares that all the facts and representations stated in this application are true and correct. % — 'Q_ , 1998 Building Used As _ 1(z_5, 0 Estimated Cost® PERMIT NO. J, -1/7"1 PLUMBING COMPANY MR. ROOTER OF ANOKA COUNTY 6250 Industry Ave. N. #114 SIGNED BY �2,- " ®' Ramsey, MNT55M3 421-6140 421 -6196 -FAX Approved By Rough–In Date Final Date MINIMUM FEE F R ANY PLUMBING/GAS PERMIT IS $20.00 PLUS THE $.50 STATE SURCHARGE **COMBUSTION AIR SHALL BE PROVIDED PER UMC SECTION 504(A) AND TABLE 6–A. MINIMUM SIZE 9 SO INCHES. SUBJECT City ®f Fridley 2 7 AT THE TOP OF THE TWINS BUILDING PERMIT RECEIPT NO. • COMMUNITY DEVELOPMENT DIV. CITY HALL FRIDLEY 55432 NUMBER REV DATE PAGE OF APPROVED BY j 612-571-3450 910-F15 9/16/98 JOB ADDRESS 6361 Washington St NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 17 4 Christie Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Molly Alverez 586-0065 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Skilcraft Inc 1601 N Innsbrook Dr #126 Fridley 55432 572-0913 8107 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 O NEW O ADDITION ❑ ALTERATION REPAIR O MOVE O REMOVE 8 DESCRIBE WORK Repair siding/storm damage 8 CHANGEOFUSEFROM TO STIPULATIONS Call for building wrap inspection before covering. 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 ISTALLS GARAGES AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS VALUATION SURTAX NO DINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED $SOO.00 $.5O 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 PR VISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- @ $21.00 Fire SC $.50 ST UCTION OR THE P RFORMANCE OF CONSTRUCTION ° PLAN CHECK FEE TOT L FEE L4$5. $27.00 GNATU OFCON-pAC OR ORAUTrIORijEDAGENT IOATE- HEN RO V LIOA -NSPGATE THIS ISF...R P� IT /G NEW [ ] Effective 1/1/98 ADDN [ ] CITY OF FRIDLEY ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 © BUILDING PERMIT APPLICATION J 0 Ink ConstructionAddress: 6 3&/ %�,RSl�rvor— Iwo S--. 4 C. Legal Description: Owner Name & Address: /�%zc y ,�G �i Tel. # Contractor: r— MN LICENSE Address: /Est ,�. %�r��c� c-gf �.�. 2G �l tg�-eg, eKl ges(l Tel. # .S'"i 2 —o,9 /3 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: `) i� C) � . r a) 'A 1) "-4C, � - / 5�-" 'J/� �_ -,j_ - jJ Construction Type: %2E/�iae /Js�� �,�, ted Cost: $ / 6 �e Schedule on Back) Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ _ $ TOTAL STIPULATIONS: DATE: is 8' APPLICANT: Tel. # :%-72- a p f a OCC- S'9®� 2�?c/ CITY USE ONLY Permit Fee $/.' Fee Schedule on Reverse Side Fire Surcharge $ .001 of Permit Valuation (1/10th%) State Surcharge $ $.50/$1,000 Valuation SAC Charge $ $1000 per SAC Unit License Surcharge $ S7,00 $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: NEW [J ADDN [] ALTER [ ] Construction Address: Legal Description: Owner Name & Address: Contractor. 0 (4 JO CITY OF FRIDLEY 6431 University Ave NE, Fridley, MN 55432 SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION k 01-10 J (763) 572-3604 Bldg Insp (763) 571-1287 Fax 06SMNTel.# 1 263 S S6 006S- MN LICENSE# ABG Tel. # 76 3� 2S6 6Z S Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to 'scale. DESCRIPTION OF IMPROVEMENT 11 ll ®1) LIVING AREA: Length � Width Height — Sq. Ft GARAGE AREA: Length Width Height Sq. Ft DECK AREA: Length Width Hgt/Ground Sq. Ft OTHER: Construction Tvpe: e4�_'9;4� (et/e - U l Estimated Cost: $ U d � Driveway Curb Cut Width Needed: Ft DATE: 7` APPLICANT: Tel. # �60 Call (763) 572-3604 for Permit Fees if mall/g in app cation. Fax to 763-571-1287 if using credit card and we will call you for card number. CITY USE ONLY - Permit Fee $ { Fee Schedule on Reverse Side Plan Review $ 65% of Permit Fee Fire Surcharge $ D0 .001 of Permit Valuation (1/10th%) State Surcharge $ $.50/$1,000 Valuation SAC Charge $ $1450 per SAC Unit License Surcharge $ $5.00 (State Licensed Residential Contractors) Curb Cut 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: 0 if LO m 4M 4. l q Lt,l LJLJ O' a L3.tU=� J � LU O O V � J s if LO m 4M 4. l q