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PRE 2010 DOCSE is ty of Fridley, .Mffimu. • BUILDING PERMIT N® 6807 0 /d Date: Owner: BuildPr—.�S�� Address Address ��d�� O I OF BUILDING No. !S7A' ,./Street � ,.1 _ _ Part of Lot Lot ---- __ Block Addition or Sub -Division .__ _ Corner Lot __ Inside Lot _ _ Setback -- Sideyard Sewer Elevation `_—.._ Foundation Elevation DESCRIPTION OF BUILDING X-Zlt? Front aW Depth Height Sq. Ft. Ca Ftv � Front Depth Height Sq. Ft. Cu. Ft. Type of Construction Est. Cost 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 t forth and in compliance with provisions of ordinances of the city of Fridley. "- �-' C' �� - In consideration of the payment of a fee of- % mot— , 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 thereof, shall conform in all respects to the ordinances of Fridley, Minnesota regarding location, construction, part alteration, maintenance, repair and moving of buildings within the city limits and this permit may be revoked at any time upon von of any of the provisions of said ordinances. /� . A 1 Building Inspector NOTICE: This permit doss not corer the construction, h ohMaden for Wirlm phnnhing, gas heath*, sewer or weer. Be sure to see the Building hapoder for aparato permits for thea hens. CITY OF FRIDLEY APPLICATION FOR PLUMBING AND GAS FITTING PERMIT RATE SCHEDULE PLUMBING FIXTURE RATES: NO. RATE TOTAL New Fixtures $ 5.00 $ Future Fixtures $ O $ Water $ 1.50 $ Beer Dispenser $ 4.00 $ Blow Off Basin $ 5.00 $ Catch Basin $ 5.00 $ Rain Water Leader Neater 5.00 $ Hydraulic Valve $ 5.00 $ Sump or Receiving Tank $ 5.00 $ Water Treating Appliance $ 7.00 $ Hot Water Heater $ 5.00 lec Gas Range $ 10.00 $ Gas Dryer $ 10.00 $ m w �a�iag3� c O lot 2nd 3rd 4th (R) a Future Connection Opening Connected with Sewer (*) s New Fixture, Old Opening Water RATE SCHEDULE PLUMBING FIXTURE RATES: NO. RATE TOTAL New Fixtures $ 5.00 $ Future Fixtures $ 3.50 $ Old Opening, New Fixture $ 1.50 $ Beer Dispenser $ 4.00 $ Blow Off Basin $ 5.00 $ Catch Basin $ 5.00 $ Rain Water Leader $ 5.00 $ Hydraulic Valve $ 5.00 $ Sump or Receiving Tank $ 5.00 $ Water Treating Appliance $ 7.00 $ Hot Water Heater $ 5.00 $ Gas Range $ 10.00 $ Gas Dryer $ 10.00 $ ALL OTHERS AND/OR REPAIRS AND ALTERATIONS 1% of Value of Fixture or Appliance Reinspection Fee $ State Surcharge ($15.00) TOTAL FEE Job Address —'s Department of Buildings City of Fridley Tel. 8571-3450 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 Department of Buildings, and hereby declares that all the facts and representations stated in this application are true and correct OWNER /-/CI n r. . RIND OF BUILDING USED AS TO BE COLLETED ABOUT ESTIMATED COST OLD NEW BUILDING PERMIT NO. PERMIT NO. 8C0�� Company Signed By Tel. No. ROUGH INSP. Date FINAL INSP. lG -,2e `8'( Date APPROVAL FOR PERMIT S $ . So `�) S MINIMUM FE ANY PLUMBING PERMIT S $10.00 PLUS THE .50 T7►TE SURCHARGE 01 SUBJECT City of Fridley 6 CR AT THE TOP OF THE TWINS BUILDING PERMIT � • COMMUNITY DEVELOPMENT DIV. r PROTECTIVE INSPECTION SEC. 41 �0 --I CITY HALL FRIDLEY 55432 NUMBER REV. P AGE OF APPROVED BY -- --.j612-571-3450 910-F15 4/25/86 % JOB ADDRESS 5334 - 4th Street N.E. 1 LEGAL LOT N0. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 4,5,6 13 Hamilton's Addn. to Mechanicsville SHEET 2 PROPERTY OWNER MAILADDRES$ ZIP PHONE Gordon Graham Sr. 5334 - 4th Street N.E. 572-9336 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Westling Construction 5536 - 7th Street N.E. Fridley 572-0823 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 a 28' x 261 Garage 9 CHANGE OF USE FROM TO STIPULATIONS Provide a hard surface driveway. DRIVEWAY ESCROW: 18' + 6' = 22' x $13.50 = $324.00 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 ] 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 $8,950 $4.48 DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PERMIT FEE SAC CHARGE PROVISIONA OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- STRUC IO THE PERFORM NCE OF DONSTRUCTIOri. $74.50 AOR PLAN CHECK FEE TOTAL FEE 1 $78.98 + DW SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT IDATEI WHEN PROPERLY LIDATED THIS IS YOUR PERMIT a BLDG INSP � p dJ O�p DATE SiGNATURE OF OWNER IIF OWNER BUILDERI IDATEI 01 NEW [ ] City of Fridley Effective 4/1/86 ADDN. [ ] R-1 AND R-2 ALTER. [ ] Building Permit Application IL— -Ve 1.j A � �.. �..- .._ Construction Address: ice+ 3 — 5�. Legal Description: t-° . Owner Name & Address: ��� � o � w� S f . Tel. #�7 Contractor: VIJ�S'1`�-►,a V e �*% ►�u�I-to "J Tel. # C -7 - Address: Z3 0 ,� Address • qc b , 07 � P. 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 2.19 Width Height �_ Sq. Ft. 7 L DECK AREA: Length Width Hgt/Ground Sq. Ft. OTHER: -?a 8 'r I a Corner Lot [ ] Inside Lot Ft. Yd. Setback 3S Side Yard Setback I Type of Construction: �i�� TKySSC'S Estimated Cost: $ Approx. Completion Date: � A. too OQqI'3.Sv Alt. A Alt B Proposed Driveway Width If New Opening Is Desired: -- 1, f $ 9,-L 4 d%, $ See Back Page for Explanation DATE: '� - (' APPLICANT: Ck Tel. # Permit Fee Plan Check State Surcharge SAC Charge Park Fee Sewer Main Charge .Uj TOTAL CITY USE ONLY t 04IS6 Fee Schedule on Reverse Side $ 1— 25% of Building Permit Fee $ q, $.50/$1,000 Valuation $ $475 per SAC Unit $ — Fee Determined by Engineering Agreement Necessary [ ] Not Necessary [ ] $ a STIPULATIONS: d avcr-- 3q, o Via, o 145� C 'v - - - - _ - � - - ` N V,4 0 o14 � LL : i 11 j o w 7 T 7 t0 f w Q %L . ti V1 :J T - - - - _ - � - - N t-+ UT ' w w M rn� � bd m I-- m w(D rt 4 t=j N Er SUBJECT City of Fridley 28919 1 AT THE TOP OF THE TWINS BUILDING PERMIT r RE E+P9 v -------COMMUNITY DEVELOPMENT DIV. INSPECTION SEC r PROTECTIVE NUMBER REV DATE PAGE OF APPROVED By f, /"'1 CITY HALL FRIDLEY 55432 . �'� 612-571-3450 9t0-Ft5 2/16/99 10B ADDRESS 5334 4 Street NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 4,5,6 13 1 Hamilton's Addn to Mechanicsville SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Tom Zandlo 5334 4 Street NE 574-2372 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Seal Guard Systems Inc 9199 Central Ave NE, Mpls., MN 55434 717-0700 20093688 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 O ALTERATION] REPAIR O MOVE O REMOVE B DESCRIBE WORK Reroof House & Garage (39 Sq) Tear -off 9 CHANGEOFUSEFROM TO I STIPULATIONS with Underlayment must comply xxxxx 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 SO. FT CU FT AUTHORIZED IS NOT COMMENCED WITHIN W 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 RE COMPLIED $1.67 WITH WHETHER SPECIFIED HEREIN OR NOT, THE GRANTING OF A PERMIT $3,342 DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PERMIT FEE SAC CH PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- $87.25 Fire $3.34 STRUCTION OR THE PERFORMANCE OF CONSTRUCTION PLAN CHECK FEE TOTAL E Licens 5. 0,9 26 SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT iDATEP NP P LIDATE IS Y D R PERMIT 1. j4L.*0.NSP T+A�f SIGNATURE OF OWNER.,F OWNER BUILDER, -,DATE- NEW [ ADDN [ ] ALTER [ ] Legal Description: CITY OF FRIDLEY SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION II 11 Effective 111/98 Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF EM PROVEM ENT LIVING AREA: Length Width Height Sq. Ft. GARAGE AREA: Length Width Height Sq. Ft. DECK AREA: Length Width Hgt/Ground Sq. Ft. Construction Type: ��.`c�c I �ec = Estimated Cost: $� �� `b (Fee Schedule on Back) Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ _ $ DATE: 2j2JOR APPLICANT: Tel. ## Permit Fee $ 1' Fire Surcharge $--a, State Surcharge $—�Wpq SAC Charge $_ License Surcharge $ rte' Driveway Escrow $ Erosion Control $ Park Fee $ Sewer Main Charge $ CITY USE ONLY Fee Schedule on Reverse Side .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 [ ]