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PRE 2010 DOCS0 • 0 i City of Fridley, Minn. BUILDING PERMIT Date: 2 — s-- � 6 ,a Owner:. Builder Address Address -- CA N UILDING No. Street'` e r ...._ —_ Part s Lot ____ '_ Block Addition or Sub -Division Corner Lot — Inside Lot Setback j -' . _ Side d — Sewer Elevation Foundation Elevation N° 6361 DESCRIPTION OF BUILDING To Used Front Depth Height Sq. Ft. Cu. FtZ kOr Front Depth Sq. Ft _ _ Cu. Ft. Type of Construction Est To be Completed In consideration of the issuance to me of a permit to conWQt the building described above, I agree to do the proposed work in accordance with the description above t fr and compli ce wi ordinances of the city of Fridley. /� In consideration of the payment of a fee of $ , permit is hereby granted to— to oto 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 'ridle within thy, Minnesota regardiig location, construction, alteration, maintenance, repair and moving of buildings e dty ]imits and this permit may be revoked at any i upon vie of any of the provisions of said ordinances. Building Inspector NOTICE: M psrmb don no corer the construction, hntaiiadon for whiny, phnnhing, gn boding, sewer or water. Be sure to on the Buihiing hup etor for apw aft permits for those Nems. Owner's Address APPLICATION FOR BUILDING PERMIT CITY OF FRIDLEY, MINNESOTA No. / � Street Lot Block�Addition or Subdivision Corner Lot Inside Lot Setback e--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 s Height Sq. Ft. ® ® Cu. Ft., Front Depth Height Sq. Ft. Cu. Ft. Type of Construction Estimated Cost.:!® C2 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. DATE �. (Schedule of Fee Costs can be found on the Reverse Side). Application for Power Plants and Healing. Cooling. Ventilation. Refrigeration and Air Conditioning Systems and Devices PARTIAL RATE SCHEDULE GRAVITY WARM AIR: RATE TOTAL Furnace Shell & Duct Work .......................... 8.00 $ Replacement of Furnace ............................. 5.00 $ Repairs & Alterations—up to $500.00 .................. 5.00 $ Repairs & Alterations each add. $500.00 ............... 2.50 $ NECK. WARM AIR / Furnace Shell & Duct Work to 120,000 BTU ............ 8.00 $ ✓ each add. 60,000 BTU ....................... 2.00 $ Replacement of Furnace ............................. .5.00 $ Repairs & Alterations—up to $500.00 ................. 5.00 $ Repairs & Alterations each add. $500.00 .............. 2.50 $ STEAM or HOT WATER SYSTEM t Furnace Shell & Lines—to 400 sq. ft. EDR Steam ..... 8.00 $ Furnace Shell & Line—to 640 sq. ft. EDR Hot Water ... 8.00 $ A Each add. 200 sq. ft. EDR Steam ...................... 2.50 $ Each add. 320 sq. ft. EDR Hot Water .................. 2.50 $ OIL BURNER—to 3 gal. per hour . ...................... 5.00 $ over 3 gal. per hour—See Fee Schedule GAS BURNER (up to 400,000 BTU) ....................... 5.00 $ GAS FITTING FEES: NO RATE TOTAL 1st 3 Fixtures x $1.50 $ Additional Fixtures x .50 $ Gas Range to 200,000 BTU ........... x 2.00 $ AIR CONDITIONING $ FAN HEATING SYSTEM See Fee Schedule VENTILATING SYSTEM $ ALTERATIONS & REPAIRS TOTAL FEE $-Ly4_ ROUGH FINAL Dept. of Bldgs. Phone SII 4-7470 - 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. �idley,Minn- d� � a � , 19 Owner A Kind of Building S:�m� "'_ Used as 4pr Y_ -C --f L -V ,[/. To be completed about C/ Estimated Cost, $ OldNe. Building Permit No. 5 Permit No. --� DESCRIPTION OF WORK / HEATING or ROWER , PLANTS --Steam, Hot Wa Warm Air o Trade Na v2�'/L Size No Capacity Sq. Ft. E.D.R`� BTU H.P. Total Connected Load , Kind of FuelG BURNER — Trade Name Size No Capacity Sq. Ft. E.D.R BTU H.P. (REMARKS—OVER) RAY N. WELTER HEATING C©. Signed *837 By MINNEAPOLIS 7. MINNESOTA uIQa a zM Business Phone No- �A 6 HEAT LOSS CALCULATIONS . 2172 DEPARTAERT OF BUILDINGS. J% -RLE, MINN. Weatherstrips A. S. H. V. E. Guide Reference 19_ Construction No. Insulation Windows Doors Out. Wall Int. Wall Ceiling Roof Floor Kind How Applied Ye ;o I Yes—No I I I`Fl:�.i�: .s}"``• ';" /F1.1 Room I Length?' Width '?'4 -'Height Fl. OV,, � 7 Room I Length// -4 Width jok eight " Windows and Doors—Crackage and Area Windows and Doors—Crackage and Area No, Width of pane Height of pane No. of lights Lineal ft. of crack Area sq, ft. No. Width of pane Height of pane No. of lights Lineal ft. of crack Area sq. ft. Coef Btu Coef Btu Infiltration Infiltration Glass - Exp. wall+f Net exp. wall ^ _ Int. wall ;�" �� �+„�,� , ; '' Glass Exp. wall , Net exp. wall Int. wall < + , Ceiling ,;� , # y ° ' �` Ceiling 2 oe Floor; J. s+'` �'';' Floor �,. Total Btu.' "'' Total Btu. Required eq. ft. E.D.R. ora , ins. W.A. Leader area Required sq. ft. E.D.R. or sq. ins. W.A. Leader area ,. Fl. xoom I Length / Width , ° Height ,` ' ' Fl. -1 Room Length �*Widthe Height Windows, and Doors—Crackage and Area indows and Doors—Crackage and Area No. Width of pane Height of pane No. of lights Lineal ft. of crack Area sq. ft. No. Width of pane Height of pane No. of lights Lineal ft. of crack Area sq. ft. 10 � ark Coef Btu Coef Btu Infiltration F, Infiltration «~� Glass",:; Glassy Exp. wall„ Exp. wall Net exp. wall Net exp. wall Ile-, 00**e':.1 Int. wall Int. wall Ceiling Wa Floor �",�jd:;"" �"' Ceiling' • ry Floor _ Y r f`. Total Btu.` Total Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area Required sq. ft. E.D.R. ors . ins. W.A. Leader area Fl. YyL, ,,H,Room Length Width "Height Coef Btu F1.1 &ro Room I Length %° Widths? Height Windows and Doors--Crackage and Area Width Haight No: of Lineal ft. Area No. of pane of pane lights of crack sq. ft. Coef Btu Windows and Doors—Crackage and Area No. Width of pane Height of pane No. of lights Lineal ft. of crack Area sq ft. �,_., ., Infiltration�' Infiltration )` ; Glass,m Exp. wall"�. ' �,, Glass E xp. wall v -A?car Net exp. wally. Net exp. wallix—l" Int. wall Int. wall Ceiling ti`' Ceiling 65�ke zrip '";p In Floor q Total Btu. Floor Total Btu." Required sq. ft. E.D.R. or sq. ins. W.A. Leader area Required sq. ft. E.D.R. or"eq. ins. W.A. Leader area &3,V?,,P® City of Fridley, Minn. N° 8778 • BUILDING PERMIT • • Date: - April 19, 1966 fir; Gerald Harwell guilder Franklin Vnngi-r»,�ri on .: t Address 4710 R. E- 3rd Rt- Address 2611 _F,agt V ankl in, LOCATION OF BUILDING No. 4710 Street Third St:. N', E. Part of Lot Lot Corner Lot Block Inside Lot Addition or Sub -Division Setback — Sideyard Sewer Elevation Foundation Elevation REPAIRS AFTER FIRE DESCRIPTION OF BUILDING To be Used as: Front – - Depth Height Sq. Ft. Cu. Ft Front Depth Height Sq. Ft. Cu. Ft. Type of Construction Est. Cost $3s 000•00--- – To be Completed 6.119.166 In consideration of the issuance to me of a permit to the building described above I;= to do =the proposed work in accordance with the description ab o a forth and in ce with ail provisions of =PM=f the city of Fridley. � - L In consideration of the payment of a fee of $ 1 s - 90 _–, permit is hereby granted to F =kl in Can _ structi on .n_ to construct the building or addition as described above. This permit is granted upon the express condition that theZbull done in, aroundE d uponsaiFridley,Minnesregardia_ gn, ala t any ntimem upon violationaal► of theo provisions of�said wiordi�na 0 9. city ts sad this NOTICE 'fhb po" don not offer Ao eonsww0m, Instatia m ter wbh & phmibing, ger hating, aww or water. Be aro to ao tho Binding hopator for apmft pwmNs to thin hams. APPLICATION FOR BUILDING PERMIT CITY OF FRIDLEY, MINNESOTA OWNER'S NAME 4�-r� le,4,4 Z% %- BUILDER /v le L 1,0V �ySf CO. ADDRESS -,<7X,0 4. ? 5-7' ADDRESS o6-. oc 2 a Alel- //J LOCATION OF BUILDING NO. STREET /� C 3 S 7"' PART OF LOT LOT BLOCK ADDITION OR SUBDIVISION CORNER LOT INSIDE LOT SETBACK SIDE4ARD 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; Type of Construction To be completed DESCRIPTION OF BUILDING Front Depth Height Sq. Ft. Cu. Ft. Front Dept h Height Sq. Ft. Cu. Ft. Cost oG©©b 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. DATE r �9 _SIGNATURE C!�� (Schedule of Fee Costs can be found on the Revere%ide).' SUBJECT PERMIT NO. City of Fridley --3 _ 5 2_ 7 1 AT THE TOP OF THE TWINS BUILDING PERMIT r _ RECEIPT NO. � ______ COMMUNITY DEVELOPMENT DIV L r 1 PROTECTIVE INSPECTION SEC iCITY HALL FRIDLEY 55432 NUMBER REV DATE PAGE OF APPROVED BY 612-571-3450 910-F15 7/24/95 JOB ADDRESS 4710 3 Street NE 1 LEGAL LOT NO -BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 13, Pt 1 7 Plymouth Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Adel/Vickie Abdelrahman 4710 3 Street NE 571-6052 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Custom Remodelers 8729 Central Ave NE, Blaine MN 55434 784-2646 1748 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO 6 USE OF BUILDING K91= House 7 CLASS OF WORK ❑ NEW ❑ ADDITION O ALTERATION a_ REPAIR X ❑ MOVE ❑ REMOVE B DESCRIBE WORK Reside House 9 CHANGE OF USE FROM TO STIPULATIONS 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 I HAVE READ AND EXAMINED THIS APPLICATION I I 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 $8,474 $4.23 DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PERMIT FEE SAC CHARGE PROVISIONS OF ANY OTHER STATE OR j.0AL LAW REGULATING CON- STRUCTION OR TH PE RMA CE O C STRUCTION $108.00 Fire SC 8.47 PLAN CHECK FEE TOTAL FEE % cam'475i License SC $5.00 $125.70 SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT IDATEI WHEN PROPERLYVALID TED THIS IS YOUR PERMIT BLD I� ` riATE-F S,GNATURE OF OWNEROF OWNER BUILDER) (DATE) NEW it NEWI I CITY OF FRIDLEY ADDN ALTER I I SINGLE FAMILY AND DUPLEXES R-1 AND R-2 Building Permit Application Construction Address: 1 Effective 8/1/95 Legal Description: Owner Name &Address: A e� e 1 � � � 1 C'� �► Hca ti! Tel. # Contractor: ca,�� ave nd c MN LICENSE # ` — � Address:� P ve Imo: Tel. # T34' aG- 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: Corner Lot [ ] Inside Lot [ ] Type of Construction: Approx. Completion Date: Ft. Yd Setback Side Yard Setbacks Estimated Cost: $ el _`L — (Cost on Back) Driveway Curb Cut Width Needed: Ft. + 6 Ft — Ft — $ DATE: APPLICANT: c������rr►®��`zel. # tlT z(� TOTAL s4 2�70 STIPULATIONS: A CITY USE ONLY Permit Fee $ ' o 00 Fee Schedule on Reverse Side Fire Surcharge 41-7 .001 of Permit Valuation (1/10th%) State Surcharge $ 2 L— $.50/$1,000 Valuation SAC Charge $ $850 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 s4 2�70 STIPULATIONS: A CITY OF FRIDLEY INSPECTION DIVISION Effective On January 1, 1998 6431 University Ave NE Fridley, MN 55432 - APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION, 572-3604 REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES JOB ADDRESS 41 7/D RATE SCHEDULE The undersigned hereby makes application for a permit for the work herein Residential Rate TOTAL specified agreeing to do all work in strict accordance with the City Codes and Furnace Shell and Duct Work, Burner - rulings of the Building Division, and hereby declares that all the facts and Also Replacement Fumace $ 30.00 $ 3o av representations stated in this application are true and correct. (Side Vent -Fill Out..Back) 3 _ 1998 Gas Piping (Needed with new furnace) $10.00 $ OWNER_ Gas Range $10.00 $ BUILDING USED AS l�o ryt. Gas Dryer . -: $10.00 $ ESTIMATED COST a PERMIT NO. 1 /6) C-, *Air Conditioning = All Sizes $ 25.00. $ 5. eo DESCRIPTION OF FURNACE AND OR BURNER All Others/Repairs $ Alterations (LIST ON BACK) 1 % of Value of Appliance or Work $ No. of Heating Units / Circle One (Steam) (Hot Wat (Warm Ai Trade Name-'%yY1 ANS Size No. rte D Commercial/Industnal BTU d D400 HP EDR 1.25% of Value of Appliance or Work $ _ Fuel 7` Total Connected Load 7G, ftp State Surcharge 50 Burner Trade Name Size No. BTU HP EDR TOTAL FEE � $y�.55d ' HEATING COMPANY St -f 9-lc.,eX4_ MINIMUM FEE FOR ANY HEATING/COOLINGNENTILATION REFRIGERATION/AIR CONDITIONING PERMIT IS $25.00 Signed By X/_ Tel No. 78`ee- PLUS THE $.50 STATE SURCHARGE REINSPECTION FEE $42.00/Hr Approved By Rough -In Date Final Date *Air Conditioners can not be placed in a side yard without FILLOUT BACKSIDE FORST IC VERIFICATION ON written permission from adjoining property owner. REPLACEMENT FURNACE C Remarks: List ALTERATIONS Being _Done: _ A HEATING CO: Signed By: Date: CHIMNEY AND STACK VERIFICATION The undersigned hereby verifies that the. existing chimney or stack: 1. Has been carefully examined Yes J�e No ( ) 2. Is free from rust or deterioration Yes �c) No ( ) 3. Has no foreign objects lodged within Yes kJ No ( ) 4. Is securely supported Yes No ( ) 5. Meets all current Code requirements for size and total BTU's connected Yes j No ( ) 6 Has total heating BTU's of All other BTU's TOTAL BTU's 7. Has a liner been provided for water heater Yes O No 8. Has combustion air been provided.for water heater Yes %(j No ( ) C Remarks: List ALTERATIONS Being _Done: _ A HEATING CO: Signed By: Date: 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: NO. RATE TOTAL New Fixtures oc� $ 7.00 Old Opening, New Fixture $ 4.00 Beer Dispenser $ 5.00 Blow Off Basin $ 7.00 Catch Basin $ 7.00 Rain Water Leader $ 7.00 Sump/Receiving Tank $ 7.00 Water Treating Appliance $10.00 Water Heater —Electric $ 7.00 Water Heater — Gas** �_ $10.00 1O" Gas Range** $10.00 Gas Dryer** $10.00 Back Flow Preventer Required ( )Yes () No Type $15.00 Reinspection Fee $42.00/Hr ALL OTHERS AND/OR REPAIRS AND ALTERATIONS 1.5% of Value of Fixture or Appliance State Surcharge $ .50 JOB ADDRESS 4-110 cJ y -j ST J E F(d 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. Owner Building Used As__} Ofre_ Estimated Cost f (a,a 11 , 1998 PERMIT NO. Approved By4�_ 6p"(� Rough—In Date Final Date MINIMUM ANY PLUMBING/GAS PERK TOTAL FEE$ff� PLUS THE $.50 STATE SURCHARGE 3�. j **COMBUSTION AIR SHALL BE PROVIDED PER UMC SECTION 504(A) AND TABLE 6—A. MINIMUM SIZE 9 SQ INCHES. 6g-, 'O F 1 SUBJECT IT NO. City of Fridley 25870 AT THE TOP OF THE TWINS BUILDING PERMIT RECEIPT NO. • COMMUNITY DEVELOPMENT DIV. PROTECTIVE INSPECTION SEC. ���� Ir I 1 . � NUMBER REV DATE PAGE OF APPROVED BY CITY HALL FRIDLEY 55432 612-571-3450 910415 3/26/98 JOB ADDRESS 4710 3 Street NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 13,14 7 Plymouth Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Vickie Abdelrahman 4710 3 Street NE 571-3204 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, 8 USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW ❑ ADDITION j7 ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Basement finish 9 CHANGE OF USE FROM TO STIPULATIONS See notations on plan. 9EPAUTE PERMITS REQUIRED FOR MARING, HEATING, PLUMBING AND SIGNS. 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 BO 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 $2.50 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT $5,000 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- $99.75 $99.75IF Fire SC $5.00 STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. PLAN CHECK FEE T L FEE $207.00 OF ONTRq T RO AUTHORIZED AGENT DAP i LY VALI A p THIS IS YOURPE%MITOWNER r13Nq�TURE P 4;PR OF OWNER BUILDER) I ATE) F 1 NEW [ ] ADDN [ ] ALTER [ ] CITY OF FRIDLEY SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION ConstructionAddress: �4 1� D 3 r d S` 1 `i Effective 1/1/98 Legal Description: koi t34 14- -t-j Lor,- 2-1 1 , ? )`P axxo Ad J I , OYI Owner Name & Address: J/IGktc-: L AW rb-hnaa4 3 57- E Tel. # Contractor: MN LICENSE # Address: Tel. # of Permit Valuation (1/10th%) Attach to this application, a Certificate of Survey of the $ :2,50 lot, with the proposed construction drawn on it to scale. SAC Charge 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: , { (l\� Se(i'�e 1i- Construction Type: o� Estimated Cost: $ Park Fee (Fee Schedule on Back) Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ _ $ DATE: a Q APPLICANT1A S, 2 Tel. # $ Agreement Necessary [ ] Not Necessary [ ] STIPULATIONS: 99 2,5,,-11- CITY USE ONLY Permit Fee $ q Fee Schedule on Reverse Side Fire Surcharge $ L.001 of Permit Valuation (1/10th%) State Surcharge $ :2,50 $.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 $ 0 -7, c' STIPULATIONS: � ` w -41 °~,� ` , , Lo 8 . `.� . | | � ��� 01 SuBjECT PE City of Fridley 28006 AT THE TOP OF THE TWINS BUILDING PERMIT r RE IPT NO �� COMMUNITY DEVELOPMENT DIV. r � � PROTECTIVE INSPECTION SEC. IL��"' �'� CITY HALL FRIDLEY 55432 A. NUMBER REV DATE vAGE of APPROVED 8• ---- L 612-571-3450 s�aF�s 9/28/98 JOB ADDRESS 4710 3rd Street NE 1 LEGAL LOT NO. BLOCK TRACTOR ADDITION SEE ATTACHED DESCR. 13,Pt. 4 7 Plymouth SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Vickey Rahman 71-3204 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Aztec Roofing 11583 Ru Rd Burnsville a 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 3a REPAIR O MOVE O REMOVE 8 DESCRIBE WORK Reroof house and garage 16.66 S Tear -off 8 CHANGE OF USE FROM TO STIPULATIONS Underlayment must comply with the State Building Code. SEPARATE PERMITS ARE REOUIRED 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 S0. 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 $1456 3 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 PLAN CHECK FEE TOTAL EE SIGNATURE OFC *CTOR OR AUTHORIZED AGENT iDAiEs ENOP VALIDATE VWS IS Y P A. nr.0qNSP I T S.GNATURE OF OWNEROF OWNERBUILDERI iOATE, 01 W JUN 724-1998 11:419 FROM CITY OF FR I DLEY TO %�Q/ �"f %„ 8959962 P.01/04 ADDN [ J CITY OF FRIDLEY T F®d i" &.LTER SINGLE FAMILY AND DUPLEXES R-1 AND R -M o6RIDLEY BUILDING PERMIT APPLICATION 6431 UNIVERSITY AVE. N.E. FRIDLEY, MN 55432-4384 :onstructionAddress: � �� � ' Legal Description: Dwner Name :ontract, Address: Tel. #!L- % — 5 2D e-4 MN LICENSE II 3!2 Tel. # ®�® Attach to this application. a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCREMON OF IMPROVEMENT LIVING AREA: Length _ Width Height Sq. Ft. rARAGE AREA: Length Width Height Sq. Ft. DECK AREA: Length Width Hgt/Ground Sq. Ft. DTHER: Lr P _� '� A 4P :onstruction Type: Estimated Cost: $ �'��LAZ (Fee Schedule on Back) )riveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ _ $ )ATE: �-'� , �-� d APPLICANT: Tel. 119e��� 'ermit Fee 'ire Surcharge tate Surcharge 'AC Charge .icense Surcharge )riveway Escrow 3rosion Control CITY USE ONLY Fee Schedule on Reverse Side .001 of Permit Valuation (1/10th%) $.501$1,000 Valuation $1000 per SAC Unit $5.00 (State Licensed Residential Contractors) Alt. "A" or Alt. "B" Above $450.00 Conservation Plan Review 'ark Fee $ Fee Determined by Engineering ;ewer Main Charge $ Agreement Necessary [ ] Not Necessary [ TOTAL ;TIPULATIONS: