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PRE 2010 DOCSCity of Fridley, Minn. BUILDING PERMIT N® 3843 Date: ......�........ #7 Owner....................................... Builder ..... ®......... Address ...................................... Address .................. .......................... LOCATION OF BUILDING No. r �a 1. Street ... .. �": Pari _ Lot .......... ......... . Lot ..:. %.. Block .../.......... Addition or Sub -Division 1? . .: [ .. !.'�. �/ Corner Lot ............ Inside Lot ............ Setback ............ Sideyard ........................... DESCRIPTION OF BUILDING T be Us J../' Depth'f. Height �. .: Sq. Ft. .. Cu. Ft.! / ..... Front .... �. .................... Front ........ Depth ........ Height ..... Sq. Ft. ........ CuL Ft. ......... Type of Construction ................... Est. Cost ... l 3, (p.6. ...... To be Completed ................... In consideration of the issuance to me of a permit to construct the building desribed 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 $.� �- 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 with- in the city limits and this permit may be revoked at any time upon violation of any of the provisions of said ordinances. i ... Building Inspector NOTICE: This permit does not cover the construction, InstalC&tion or alteration for wiring, plumbing, gas heating, sewer or water. Be sure to see the Building Insoctor for separate permits for these Items. R.M 0 lei City of Fridley Application for Phrmbing and Gas Pitting Permit Dept. of Bldgs. Phone SII 4-7470 DESCRIPTION OF WORK Number. Kind and Location of Fixtures Location PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES:RATE w a TOTAL 6� Z Z4cas 2 O Y L~ $ p� Z j Z O= Catch Basin ............................ w Z * F * N WATER HTR GAS ELEC $ coo Base 1 1st f 2nd 3rd 4th Future Connection Openings Connected with New Fixture, Old Openings Sewer El Cesspool El PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES:RATE • TOTAL Number Fixtures ...................... s $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) ...... J x 2.00 $ New Ground Run Old Bldg . ............ x 3.25 $ GAS FITTING FEES: NO. RATE TOTAL 1st 3 Fixtures .......................... x $1.50 $—L Additional Fixtures .................... x .50 $ Gas Range to 200,000 BTU .............. x 2.00 $ REPAIRS & ALTERATIONS—Refer to Code Description ................................................ TOTAL FEE $/ 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 applicaAon are true and correct. Ti completedFA I To be about Estimated Cost, Old—New. Build Connection Permit No . ....................................................... JUL 15 1959 Roug Water Sewer 11 IM -8-58 Meter Deposit SUBJECT PERMIT NO City of Fridley O -15.5.21 AT THE TOP OF THE TWINS BUILDING P E R M I T r EIPT NO � L-______ COMMUNITY DEVELOPMENT DIV. r , PROTECTIVE INSPECTION SEC. q7 5 LM9BER REV. DATE PAGE OF APPROVED BY ---5 CITY HALL FRIDLEY 55432 612-571-3450 10-F15 10/16/79 JOB ADDRESS 6757 Washington Street N.E. 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 15 1 1 Rice Creek Terrace Plat 4 SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Barb Houes 6757 Washinciton Street N.E. 571-31,81 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Hocrar Construction799-6900 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAILADDRESS ZIP PHONE LICENSE NO. 6 USE OF BUILDING 7 CLASS OF WORK ❑ NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE X 8 DESCRIBE WORK Construct a 201 x 20' detached garage 9 CHANGE QF USE FROM TO STIPULATIONS Verifying survey must be in our office before form inspection will be made. SEPERATE PERMITS REQUIRED FOR WIRD HEATING, PLUMBING AND SIGNS, WARNING Before digging call local utilities TELEPHONE - ELECTRIC - GAS EtE. REQUIRED BY LAW 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 SO. 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 $3,348 $1.67 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 NY OTHER STATE OR LOCAL LAW REGULATING CON- $16.00 STRUCTION OR E PE FO MANC OF CONSTRUCTION. PLAN CHECK FEE TOTAL FEE [//1JG9 /G I/ $17.67 SIGNATURE OF CONT TORO AUT O IZED AGENT (DATE) WHEN PROPERLY ALI DATED THIS IS YOUR PERMIT .. OA /® BLDG iNSP C24SATE SIGNATURE OF OWNER 0F OWNER BUILDER) (DATE) CITY OF FRIDLEY 4 APPLICATION FOR RESIDENTIAL BUILDING PERMITS (New, Alterations, Additions, or Repairs) , OWPJER•1�'G� �L—� BUILDER: r %%f(�( J--1�i�� ADDRESS: � � i� � C TV/'," �t/4DDRES S : CC) 6 / TEL NO: TEL N0: Construction Location STREET NO: 675 •- STREET: G/ l *' 1511 1 4' e'� . LOT: BLOCK: !� ADDITION: Li� Corner Lot: Inside Lot: _1 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 Front: Depth:' Q� Height: l® Squame. Feet: ��' .' Cubic Feet: Front: Depth: Height: Square - Feet: Cubic Feet: Type of Construction: Estimated Cost: $�-� Tb Be Completed: Alt. A Alt. B Proposed Driveway Width If New Opening Is Desired: $ $ SEE REVERSE SIDE OF SHEET .—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 ar true and correct. DATE: . 10-16 �7'� SICNATURE: Stipulations: CEMENT ,WORK ORDER OGAR CONSTRUCTION, INC. 1061 108th Ave., N. E. MINNEAPOLIS MN 55434 755.660.0' s! Date City`Garage Side. -6 X X Apron Address ` °">''wa� =�` �` Detached ❑ Attached Name � ,�t d a 3' Wiremesh ❑ 11211 Rods ❑° onduit Pipe Telephone "/,� Office a�� Overhead Door Size A. Offset Permit Obtained By _, ° ' � ` Service Door Location 7I s Permit Number Old Garage RemovalBy Date Promised Old Cement Removal By Salesman ! ' �` Dk, v®way Size Cement Man Cement Supplier Blox Size and Location Waterproof �� Backfill Fill Supplier Excavation By Gradual Steep Grade FlatS�pe� " Slope _ - f PLOT PRLAN DETAILG Irl .0 6 W J� I< .0 6 STATE OF MINNESOTA DEPARTMENT OF HUMAN SERVICES 444 LAFAYETTE ROAD ST. PAUL. MINNESOTA 55101 f�-8-86 Date City of Fridley Zoning Authority 6431 University AVe. N.E. Street Address Fridley, MN 55432 City State Zip Code RE: ZONING NOTIFICATION OF APPLICATION FOR LICENSURE D8S-2722 (9-85) P7_n2729_ 2 Subject: �� ®) Type of License: Name of Day Care Home Applicant Family Day Care 1A-GLe�y��rt �. Group Family Day Care Street Address �_ -5 Licensed Capacity (fl City State Zip CodePhone No. This is to inform you that we are in receipt of an application for licensure under Minnesota Rules, parts 9502.0300 to 9502.0445 (formerly Rule 2), Family Day Care and Group Family Day Care Standards. Issuance of this license is subject to compliance with the provisions of Minnesota Statutes, Sections 245.781 to 245.812 and 252.28, subdivision 2, known as the Public Welfare Licensing Act and the rules of the Department of Human Services. You should note that under Minnesota Statutes, Section 245.812, Subvision 3, a licensed day care facility serving 12 or fewer persons shall be considered a permitted single family residential use of property for the purposes of zoning. Subdivision 4 of the same section indicates that a licensed day care facility serving from 13 through 16 persons shall be considered a permitted multi -family residential use of property for purposes of zoning. If we do not hear from you within will consider the above-mentioned your local zoning code. Sincerely, Licensing Wor er Street Address 30 days after receipt of this letter, we day care home to be in compliance with COMMUNITY HEALTH & SOCIAL SERVICES DEPARTMENT COUNTY OF ANOKA COURTHOUSE, FOURTH FLOOR Name o 00 DAINNESOIA 51;403 A ency Organization City State Zip Code AN EQUAL OPPORTUNITY EMPLOYER sueJEcr PER City of Fridley �� � � 3 AT THE TOP OF THE TWINS BUILDING PERMIT f RECEIPT NO. � • ______ COMMUNITY DEVELOPMENT DIV L PROTECTIVE INSPECTION SEC��� r � � t NUMBER REV DATEPAGE OF APPROVED BY CITY HALL FRIDLEY 55432 612-571-3450 910-F15 11/23/94 JOB ADDRESS 6757 Washington Street NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DescR. 15 1 Rice Creek Terrace Plat 4 SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Leonard Peterson 6757 WaIhington St NE 574-9280 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 6 USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW ❑ ADDITION ❑ ALTERATION Ljk REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Reroof House (22 Sq) Tear -off 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 $1,650 $.83 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- $39.00 Fire SC $1.65 STRUCTION OR THE PERFORMANCE OF CONSTRUCTION PLAN CHECK FEE TOTALFEE $41.48 DJATTE�t StA EOFCONTRACTp Trt R1 ttD WHEN PP/AOPER VALIDATED THIS IS/YOUR PERMIT � BL tNSP GATE// S.GNATURE OF OWNER0F OWNER BUiLDERi tDATEt NEW [ ] ADDN [ ] CITY OF FRIDLEY ALTER [ ] SINGLE FAMILY AND DUPLEXES R -I AND R-2 Building Permit Application ConstructionAddress: 1. Legal Description: Owner Name & Address: Contractor: LL.Li A) Address: 0 Effective 1/1/94 Tel. # :�—L7!X->Z,0 MN LICENSE # Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF IMPROVEMENT Tel. #, LIVING AREA: Length Width Height Sq. Ft. GARAGE AREA: Length Width Height Sq. Ft. DECK AREA: Length Width Hgt/Ground Sq. Ft. OTHER: T0,9 $5.00 (State Licensed Residential Contractors) Qh Corner Lot [ ] Inside Lot [ ] Ft. Yd Setback Side Yard Setbacks _ Type of Construction: �,� r.�a %�� ` Estimated Cost: $ <& Approx. Completion Date: (Cost on Back) Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft $ = $ DATE:- 3 APPLICANT: Tel. # T 7- 9-1070 Permit Fee $ 39,00 Fee Schedule on Reverse Side Fire Surcharge $ A bS .001 of Permit Valuation (1/10th%) State Surcharge $ _ $.50/$1;000 Valuation SAC Charge $ $800 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: SUBJECT •-., of Fridley C" _,P-ERM1`T-ft& AT THE TOP OF THE TWINS BUILDING PERMIT a Ir?City RECEIPT NO. • _ COMMUNITY DEVELOPMENT DIV L PROTECTIVE INSPECTION SEC. r NUMBER REV DATE PAGE OF APPROVED BY CITY HALL FRIDLEY 55432 612-571-3450 910-F15 3/19/96 JOB ADDRESS 6757 Washin ton Street nE 1 LEGAL LOT NO. BLOCK TRACTOR ADDITION SEE ATTACHED DESCR. 15 1 Rice Creek Terrace Plat 4 SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE ' Leonard Peterson 6757 Washington Street NE 574-9280 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 6 USE OF BUILDING Interior alterations 7 CLASS OF WORK ❑ NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE A 8 DESCRIBE WORK Install bedroom in family room area 9 CHANGE OF USE FROM TO STIPULATIONS See notations on plan. SEPARATE PERMITS REQUIRED FOR WIRING, HEATING, PLUMBING AND SIGNS. TYPE OF CONST. OCCUPANCY GROUP OCCUPANCYLOAD SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, VENTILATING OR AIR CONDITIONING. 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 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 @ $•50 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT `v500 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$21.00 OR THE PERFORMANCE OF CONSTRUCTION PLAN CHECK FEE TOTALFEE $22.00 SIGNATURE OF CON' AC RO AUTHORIZED AGENT IDATEi WHEN PROPERZY VALIDATED THIS IS YOUR PERMIT //yam j' /oma �`/ � �7� A �f� lJ �'^ � � e • BLD )NSP Pfd/" .✓�v`� DATE S,GNATURE OF OWNERIIF OWNER BUILDER) )DATE) NEW X [I Effective 3/1/96 ADDN [ ] CITY OF FRIDLEY ALTER SINGLE FAMILY AND DUPLEXES R-1 AND R-2 f Building Permit Application ConstructionAddress: "'t!5 749 ( , Legal Description: Owner Name & Address:,,/e,,-/4" ® 6 75 7- 6z,9A3h Tel. # -5- -7-1 Contractor: 5 t-- �"� 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 EMPROVEMENT LIVING AREA: Length Width Height Sq. Ft. GARAGE AREA: Length Width Height Sq. Ft. DECK AREA: Length Width Hgt/Ground Sq. Ft. OTHER: Corner Lot [ ] Inside Lot [ ] Ft. Yd Setback Type of Construction: Approx. Completion Date: Side Yard Setbacks Estimated Cost: $ -5-0 ®' o 0 (Cost on Back) Driveway Curb.Cut Width Needed: Ft. + 6 Ft = Ft x $ _ $ DATE: APPLICANT: ',, Tel. # S 7 CITY USE ONLY Permit Fee $ �� Fee Schedule on Reverse Side Fire Surcharge $ .001 of Permit Valuation (1/10th%) State Surcharge $ , 60 $.50/$1,000 Valuation SAC Charge $ $900 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 $ o STIPULATIONS: SUBJECT City of Fridley C25036 AT THE TOP OF THE TWINS BUILDING PERMIT RECEIPT NO. • COMMUNITY DEVELOPMENT DIV r � � PROTECTIVE INSPECTION SEC. I � CITY HALL FRIDLEY 55432 NUMBER REV DATE PAGE OF APPROVED BY 612-571-3450 910415 5/7/97 JOB ADDRESS 6757 Washington Street NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 15 1 1 Rice Creek Terrace Plat 4 SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Lenny Peterson 6757 Washington St NE574-9280 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. A-line Construction 6171 189 Ln NW. Anoka, MN 95303 422-9944 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO 20032753 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 Reroof House 22 S ear-off 9 CHANGE OF USE FROM TO STIPULATIONS Underlayment must comply with the State Building Code. TYPE OF CONST. OCCUPANCY GROUP OCCUPANCYLOAD SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, VENTILATING OR AIR CONDITIONING 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 OR WORK IS SUSPENDED OR ABANDONED FOR 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 1STALLS 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 $1,815 $.91 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- FATe SC $1.82 STRUCTION OR THE PERFORMANCE OF NSTRUCTION $59.50 PLAN CHECK FEE' L FEE L se $5 0 $67.23 SIGNATURE OF CO TRACTOR ORAUTHORIZED AGENT IDATEI EN qO�PV D THIS IS Y. PERMIT• Y. BLD INSP qa TE SIGNATURE OF OWNER0F OWNER BUILDER) IDATEI NEW ( l ADDN ( ] CITY OF FRIDLEY ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION ConstructionAddress: t Effective 1/1/97 Legal Description: ��7- ma, Owner Name & Address: l,sz k^ V\, --i �•e r�®„� Tel. # Contractor: A - L 'V\ MN LICENSE # oD o us � '753 Address: o 1:1 1 q �' "1� L�. V\,uj , ��/J0ed Tel. # cls- — 9944 Attach to this application, a Certificate of Sui4ey oY vie lot, with the proposed construction drawn on it to scale. DESCRIPTION OF MOROVEMENT LIVING AREA: Length Width Height Sq. Ft. GARAGE AREA: Length Width Height Sq. Ft. DECK AREA: Length —�-�— Widthr Hgt/Ground Sq. Ft. OTHER: � C -e 1C. e, es S L d �-- ©u S�P C� i �-�s L_Q' Vul Construction Type: .�g SCS Estimated Cost: $ `� ��� 'C� (Fee Schedule on Back) Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ _ $ DATE: Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control APPLICANT: Tel. # $ L "'o Park Fee $ Sewer Main Charge $ TOTAL STIPULATIONS: CITY USE ONLY Fee Schedule on Reverse Side .001 of Permit Valuation (1/10th%) $.50/$1,000 Valuation $950 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 [ ] C4 -.'D - Q( cl q SUBJECT IT NO. City of Fridley (_26954AT THE TOP OF THE TWINS BUILDING PERMIT P RE ) PDflT NO. COMMUNITY DEVELOPMENT DIV. ______ I v L®® r PROTECTIVE INSPECTION SEC. / i NUMBER REV GATE PAGE OF APPROVED BY � /"'1 � CITY HALL FRIDLEY 55432 , ".j 612-571-3450 910-F15 8/3/98 JOB ADDRESS 6757 Washinjzton St 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED OESCR. 15 1 Rice Creek Terrace Plat 4 SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Lenny Peterson 574-9280 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. A -Line Const 6171 189 Ln NW ANoka 55303 422-9944 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 eroof house and garage Tear -off 9 CHANGE OF USE FROM TO STIPULATIONS Underlayment must comply with 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 SO. 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 1 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 2001 $1.00 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. $74.75 $2.00 Fire SC PLAN CHECK FEEZ2. L FEE - ®3 Llcens C 5. 75 HEN ROP )NSP VALID THIS IS.AQUR RM 5�� DATE SIGNATURE RAC CON4TOR RAUTMORIZEDAGENT IOATEI SIGNATURE OF OWNER OF OWNER BUILDER) (DATE)�__B NEW [ l ADDN [ ] CITY OF FRIDLEY ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION ConstructionAddress: Legal Description: Owner Name & Address: Contractor: I\— C Address: LIVING AREA: GARAGE AREA: DECK AREA: OTHER: 11 Effective 1/1/98 Tel. # C'a L(— MN LICENSE # Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF IMPROVEMENT Length Width Height Sq. Ft. Length Width Height Sq. Ft. Lengff Width SL Hgt/Ground Sq. Ft. c f" IWA e Construction Type.D. cs'cS'LEstimated Cost: $ (Fee Schedule on Back) Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ 4 = $ DATE: �I Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee Sewer Main Charge TOTAL STIPULATIONS: CITY USE ONLY $ �4' Fee Schedule on Reverse Side $ C 0 .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 [ ] W, 0� -20 NO I E - E SUBJECT PE NO. City ®f Fridley 27155 AT THE TOP OF THE TWINS BUILDING PERMIT f RECEIPT NO. �• _ COMMUNITY DEVELOPMENT DIV. v PROTECTIVE INSPECTION SEC. I , NUMBER REV DATEPAGE OF APPROVED BY = CITY HALL FRIDLEY 55432 •'j 612-571-3450 910-F15 8/12/98 JOB ADDRESS 6757 Washin ton St NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 15 1 1 Rice Creek Terrace Plat 4 SHEET 2 PROPERTYOWNER MAIL ADDRESS ZIP PHONE Len Peterson 574-9280 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. 502-4777 20040630 Renewal 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 Xl1 REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Replace 12 windows in home with completes within existing opening. 9 CHANGE OF USE FROM TO STIPULATIONS Install smoke detectors to meet the State Building Code. - in each sleeping room and on each level of home. 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 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 11471 $5.73 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. $187.25 Fire SC $11.47 PLAN CHECK FEE TOTAL FEE Licgnag 5 1$209.45 SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT IDATEI WHEN PROPERLY BLDG INSP VALIDATED THIS IS YOUR PERMIT DATE SIGNATURE OF OWNER OF 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 ConstructionAddress: r] If -' D,i .(�h �7. al - Legal Description: V Owner Name & Address:, p p 0 hp -7S7 11,4,kelf Tel. # -71-1-9A Contractor: LICENSE # ®2C)D�pC Address:Tel. # �Z-0 L/:'77 Attach to this application, a Certificate of Krvey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF EVIPROVEMENT LIVING AREA: Length Width Height Sq. Ft. GARAGE AREA: Length Width Height Sq. Ft. DECK AREA: Length Width Hgt/Ground Sq. Ft. OTHER: !t" &LZ41bZ71.��...P� ®, / Construction Type: Estimated Cost: $ j j , �`� .. 29 (Fee Schedule on Back) Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ _ $ DATE: L31 APPLICANT: Tel. # CITY USE ONLY Permit Fee $ � -7 Fee Schedule on Reverse Side Fire Surcharge $ LI -7 .001 of Permit Valuation (1110th%) 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 $ q5 STIPULATIONS: CITY OF FRIDLEY INSP. DIV. 6431 University Avenue NE Fridley, MN 55432 (763) 572-3604 JOB SITE: HYDRANT RENTAL AGREEMENT (Effective January 1, 2001) S-1 IA)h I �� St. v Applicant: Tel. #: Sr1 Y —q2 -?Q Address: Sxm& .4s Aha v -c-) RENTAL CHARGES Service Charge: $50.00 $'C7O Water: Minimum $10.00, $1.00/1000 gal. with meter $ TOTAL CHARGES $ �f'® Receipt # EQUIPMENT USED & DEPOSITS HELD Meter Deposit: $200.00 Meter Reading: Start TOTAL GALLONS Equipment Deposit: Meter # $ End x $1..00 = (wrenches) $150.OQ. List Equipment Borrowed: TOTAL DEPOSIT CHECK Above Equipment Returned to: csaA . Signature Y136/6 Date I/We agree to make the. above deposits and pay the water and service charges for the use of ydrant connections and equipment borrowed. In the ,event that the above meter or equipment is damaged, the cost of repair or replacement shall be made by the applicant stated in this agreement before the deposit is refunded. Date �2'7��I th.( Signature Deposit Check,# Deposit Amount Returned By Date See other side for instructions on picking up and returning equipment borrowed. SWIMMING POOL WATER & EQUIPMENT RENTAL Applicationis filled out, deposits are held and charges are paid at City Hall, Building Inspection Division. Application' is then taken to filtration plant. All equipment is picked up at Commons Filtration plant at 601 - 61st Avenue from Water Department personnel. Water Department will list on application what equipment was borrowed and the meter reading on tthe meter if used. is left at filtration plant until equipment is returned and the final meter reading is put on EQUIPMENT MUST BE RETURNED IN GOOD CONDITION (hoses must be rolled and tied as when picked up) TO GET DEPOSIT BACK. Call City Hall before bringing equipment back to insure that someone will be at the filtration plant to receive it. Bring sign d application back to Building Inspection Division, City Hall to get deposit back. CONSTRUCTION WATER & EQUIPMENT RENTAL Same as bove i CITY OF FRIDLEY INSP. DIV. 6431 University Avenue NE Fridley, MN 55432 (763) 572-3604 JOB SITE: �S HYDRANT RENTAL AGREEMENT (Effective January 1, 2001) fit. PE Applicant: -P)�%a-u Tel. #: S%W —gZ�Q Address: S4mz, As RENTAL CHARGES Service Charge: $50.00 $ Water: Minimum $10.00, $1.00/1000 gal. with meter $ TOTAL CHARGES $ Receipt # Q EQUIPMENT USED & DEPOSITS HELD Meter Deposit: $200.00 Meter # Meter Reading: Start End TOTAL GALLONS x $1.00 = I Equipment Deposit: (wrenches) List Equipment Borrowed: Above Equipment Returned to: $150.00 TOTAL DEPOSIT CHECK Signature $ s7D, coo Date I/We agree to make the above deposits and pay the water and service charges for the use of hydrant connections and equipment borrowed. In the ,event that the above. meter or equipment is damaged, the cost of repair or replacement shall be made by the applicant stated in this agreement before the deposit is refunded. Date �t' Z% O 1 Signature Deposit Check # Deposit Amount Returned By Date See other side. ,for instructions on picking up and returning equipment borrowed.