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PRE 2010 DOCS- s • City of Fridley, Minn. BUR DING PERMIT N® 3469 Date: ........... ��-�-- Owner ....................................... Builder .. .../J.. Address....................................... Address ............................................. LOCATION OF BUILDING No. .u✓..�4.� Street ..... .... Part ttpof Lot ...........................%. . Lot ...Y ...... Block .....C9 .......... Addition or Sub -Division �✓J �!Cr..� ...r �. ^"' Corner Lot ............ Inside Lot ... x....... Setback ::3t..:.) .. Sideyard ..."/. ' . ................. DESCRIPTION OF BUILDING o be s as: Froin . ?-'Q'Depth : �.� Height ..' �� "sq. Ft%�,�`� Cu. Ft. ... S/ ......... ....... ..Hca® �fili`l �onrt ..1.7... Depth Height �'.® Sq. F't .✓ Gam. Ft. Type of Construction .. ]stet. Co,%,7 �.1 •d ..��`...... To be Completed J... ................... 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. Q� In consideration of the payment of a fee $ ....... 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 uyybn violation of any of the provisions of said ordinances. .t.. Building Inspector NOTICE: This permit does not cover the construction, Installation or alteration for wiring, plumbing, gas heating, sewer or water. Be sure to see the Building Inspector for separate permits for these Items. SUBJECT PE of Fridley Z51 6 5 AT THE TOP OF THE TWINS BUILDINGPERMIT rCity RIQQET NO • COMMUNITY DEVELOPMENT DIV. r PROTECTIVE INSPECTION SEC. 1 � NUMBER REV. DATE PAGE OF APPROVED BY i CITY HALL FRIDLEY 55432 IL---- 1.� �� 612-571-3450 910-F15 6 15 79 JOB ADDRESS 6740 - 4th. Street N.E. 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 4 2 Rice Creek Terrace Plat 3 SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Jim Larson 6740 - 4th Street N.E. 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Milton L. Johnson Co. 2513 Central Avenue N.E. 781-9548 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 6 DESCRIBE WORK Install aluminum siding and trim and reroof 9 CHANGEOFUSEFROM TO STIPULATIONS Roof can be second but not third roof. Install ridged galvanized valleys. TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD SEPARATE PERMITS ARE REOUIRED 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 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 $6�OQO $3.00 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- $36.00 STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. PLAN CHECK FEE TOTALFEE $39.00 SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT (DATE) WHEN PROPERLY VALIDATED THIS IS YOU,Rc PERMIT BLDG INSP FfATE SIGNATURE OF OWNER (IF OWNER BUILDER) (DATE) API'LI1011 FOR IAL dUJI—DING PEr:tf•;ITS (INL►'d, I'MIA T I ONS, OR f(E PAI RS ) RUILDEI,: A c_.`i'wj h -.�®/AIS rie.AJ css:. � S%`. /�� ;�c�ci�t�'s: S/ 3 _C e N ��2a 1 �- /L( e7 Tel. No. % �/ - �/' L/ r C-7 7_Street: � J/ r ;f,' T: 13LOC:Yi ADDITION: C'OPM-'R LOT: 111SIDE MT: SETBACK: SIDEYARDS: Applicai;t. Ui.tach ,,.o this form 7`:2o Certificates of Survey of Lot and propose; building location dray.n on these Certificates. DESCRIPTION' OF BUILDING To De Used As: Front : Depth : lieicuh t Square Feet: Cubic Feet: Front. Depth: Height. Square Feet: _ Cubic Feet: Mum Si01", rF Tgr61 _ 4d 9 / Type of Construction: _ e -/L L -0-p. / Estimated Cost: $ 61 600. To Be Completed: Alt. A Alt. B Pr6posed Driveway Widih If New Opening Is Desired $ _ $ (SEL' REVERSE SIDE OF SHEET) The undersigned hereby makes application for a permit for the work herein specified, agreeing to do al.1 work in strict accordance with the City of Fridley Ordinanccs and rulings of the Department of Buildings, and hereby declares that all the fact; and t-eprescntations stated in this application parr-: true and correct. See reverse side for additional is ormat.ion. DATE: 7 [ SIGNATUM"': Stipulations: �.C) .- SUBJECT R of Fridley . - MN AT THE TOP OF THE TWINS BUILDING PERMIT _ rpCity RECEIPT N • _____ COMMUNITY DEVELOPMENT DIV. PROTECTIVE INSPECTION SEC. ®�� r 1 1 � t CITY HALL FRIDLEY 55432 NUMBER REV. DATE PAGE OF APPROVED BY 612-571-3450 910-F15 6/18j79 JOB ADDRESS 6740 - 4th Street N.E. 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 4 2 Rice Creek Terrace Plat 3 SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE James Larson 6740 - 4th Street N.E. 571-7850 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Inter Cit Builders 250 - 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 ❑ REPAIR ❑ MOVE ❑ REMOVE x 8 DESCRIBE WORK Construct a 26' x 24' Garage 9 CHANGE OF USE FROM TO STIPULATIONS Special Use Permit approved pproved for second garage 6/4/79. SEPERATE PERMITS REQUIRED FOR WIRING. HEATING, PLUMBING AND .SIGNS. WARMING Befog d1gog'call toot uIlWes TELEPHONE - ELECIRIC • CAS Etc► REQUIRED BY LAW TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, VENTILATING OR AIR CONDITIONING. Wood Frame THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING SQ. FT. CU. FT. AUTHORIZED IS NOT COMMENCED WITHIN 80 DAYS, OR IF CONSTRUCTION 624 6240 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 $5,223 $2.61 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- $24.96 STRUCTI N OR T E PERFORMANCE OF CONSTRUCTION. PLAN CHECK FEE TOTALFEE $27.57 I TU FCONTRA TOR OR AUTHORIZED AGENT (DATE) WHEN PROPERLY V ^ IDATTE�D THISIS YOUR PERRMIT BLDG INSP r)AT SIGNATURE OF OWNER OF OWNER BUILDER) (DATE) CITY OF FRIDLEY APPLICATION FOR RESIDENTIAL BUILDING PERMITS (New, Alterations, Additions, or Repairs) OWNER: Jh'Ae� ADDRESS: TEL NO: 71® L P BUILDER: dlzylivzcleyz:� ADDRESS: TEL NO: Construction Location STREET NO e STREET: 7� LOT: BLOCK: �" ADDITION: Corner Lot: Inside Lot: K, 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 gaxoz Front: Depth: / Height: /0 Squane Feet: Cubic Feet: �Y Front: Depth: Height: Square Feet: Cubic Feet: �-�3 Type of Construction: % Estimated Cost: $�� To Be Completed: JI, 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 are true and correct. DATE:SIGNATURE: Stipulations : �� s SUBJECT -PERMIT NO. - City of Fridley 9 5 5 8 0 AT THE TOP OF THE TWINS BUILDING PERMIT P •� _____ COMMUNITY DEVELOPMENT DIV. � L - I r 1 PROTECTIVE INSPECTION SEC. 1 � ; CITY HALL FRIDLEY 55432 NUMBER REV. DATE PAGE OF APPROVED BY j J\ 612-571-3450910-F15 12/12/79 JOB ADDRESS 6740 - 4th Street N.E. 1 LEGAL LOT NO. BLOCK TRACTOR ADDITION SEE ATTACHED DESCR. 4 2 Rice Creek Terrace Plat 3 SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Jim Larson 6740 - 4th Street N.E. 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. R. H. Ravens Construction 1605 Excelsior Avenue 933-4575 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 EE ElNEW 1-1ADDITION El ALTERATION El NAR ❑ MOVE ❑ REMOVE X 8 DESCRIBE WORK Repair fire damage 9 CHANGE OF USE FROM TO STIPULATIONS SEPERATE PERMITS' f ED HEATING, �Op-j PLUMBING AND WdRIN SrGN . 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 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 1 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 $45,000 $22.50 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 PROVISIOWOF Y OTHER STATE OR LOCAL LAW REGULATING CON- $270.00 NONE STRUCTIOERFORMANCE OF CONSTRUCTION. ala L PLAN CHECK FEE TOTALFEE NONE $292.50 SI URE OF CONTRACTOR OR ANTHORIZEDAGENT (DAT9) W NPROPE Y DAT D THIS IS YOUR PERMIT Ll Ir- /9 <LDG INSI DATE SIGNATURE OF OWNER (IF OWNER BUILDER) (DATE) CITY OF FRIDLEY APPLICATION FOR RESIDENTIAL BUILDING PERMITS (New, Alterations, Additions, or Repairs) l TEL NO: BUILDER,: ADDRESS: TEL NO: • Constructocation STREET NO: Q/ STREET: ^� LOT: BLOCK: ADDITION: Corner Lot: Inside Lot: Setback: Sideyards: Applicant attach to this form two Certificates of Survey of lot and proposed building location drawn on certificates to scale. DESCRIPTIO(] OF CONSTRUCTION Front: Square. Feet: Front: Depth: Cubic Feet: Depth: Square- Feet: Cubic Feet: Type of Construction: f To Be Completed: Height: Height: Estimated Cost: $ �'155P 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 declg6res that all the facts and representations stated in this application are tr correct. DATE: SIGNATURE: Stipulations: CITY OF FRIDLEY APPLICATION FOR PLUMBING AND GAS FITTING PERMIT Job Address 0 '"�✓f�c/ k�� Department of Buildings City of Fridley �D Tel. #571-3450 The undersigned hereby makes application for a permit for the apor:c herein specified agreeing to do all work in strict accordance with the City Codes and rulings of the Department of Buildings, d hereby declares that all the facts and roprosontations statod in tis a plication arc true and �corrcct Fridley, Mn. 19 d • • O'dPIER KIND OF BUILDING USED AS e n TO BE COMPLETED ABOUT V a N 25D o ' PARTIAL RATE SCHEDULE ar ESTIMR cD COST j Water m a e A RATE TOTAL u C .14 N a $3.00 u a W tr x Heater Q 17 .� Company m New Fixture, Old Opening E •.� +� 0 uC) u c r u � w A C x +1 $ Iry — 3 p .e $ Tel. No. ! Gc $1.0.00 $ 0 .1 .Lj Water Softener x $ New Ground Fain old* Building x $5.00 $ ROUGE INSP. H "v Date 3°w Q 14 wL V GAS FITTING FEES: 'as 1o is Date 1st 3 fixtures x $3.00 $ Additional Fixtures X $1.00 S 2nd Gas Range.to 199,000 BTU X $x:0.00 $ APPROVAL FOR PERM?T REPAIRS `v ALTERATIONS 0 o First $100.00 .$5.00 $_S. each add. $100.00 or exaction $2.00 $ M%13I2= FEE FOR ANY PL MING PE.3Y11T 3rd State surcharge $ TOTAL ME <th REINSPECTION FEE. ($10.00) (a) mm Future Conna i ng cted with Sewer (•) New F i,cture, ld Opening Water Job Address 0 '"�✓f�c/ k�� Department of Buildings City of Fridley �D Tel. #571-3450 The undersigned hereby makes application for a permit for the apor:c herein specified agreeing to do all work in strict accordance with the City Codes and rulings of the Department of Buildings, d hereby declares that all the facts and roprosontations statod in tis a plication arc true and �corrcct Fridley, Mn. 19 d • • O'dPIER KIND OF BUILDING USED AS e TO BE COMPLETED ABOUT V 25D ' PARTIAL RATE SCHEDULE ESTIMR cD COST j PLUMBING FIXTURE RATES: _ NO. RATE TOTAL OLD NEW sUIq.D2�2IG PERMIT No. PaRylx NO.. '.%'-.ber Fixtures x $3.00 Z 70 A� F&var-e Fixture Cpening x $2.00 S Company [te, New Fixture, Old Opening _— x $2.00 $ Signed 8 Catch Basin x $5.00 $ Iry — ?:ater Rester - to 99,000 B:rU x 15.00 $ Tel. No. 100,000 BTU to 199,000 BTU x $1.0.00 $ Water Softener x $7.00 $ New Ground Fain old* Building x $5.00 $ ROUGE INSP. Date Electric Water Heater x $5.00 $ GAS FITTING FEES: FINAL INSP. Date 1st 3 fixtures x $3.00 $ Additional Fixtures X $1.00 S Gas Range.to 199,000 BTU X $x:0.00 $ APPROVAL FOR PERM?T REPAIRS `v ALTERATIONS 0 o First $100.00 .$5.00 $_S. each add. $100.00 or exaction $2.00 $ M%13I2= FEE FOR ANY PL MING PE.3Y11T IS $7.50 PLUS $.50 STI•.TE su.%=xFa^E . State surcharge $ TOTAL ME /.50 $ REINSPECTION FEE. ($10.00) SUBJECT City of Fridley 2 7;77 AT THE TOP OF THE TWINS BUILDING PERMIT r RECEIPT NO. • COMMUNITY DEVELOPMENT DIV. �/ ______ r 1 v PROTECTIVE INSPECTION SEC. / l NUMBER REV DATE PAGE OF APPROVED BY CITY HALL FRIDLEY 55432 612-571-3450 910-F15 4/9/98 JOB ADDRESS 6740 4 Street NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 4 2 Rice Creek Terrace Plat 3 SHEET 2 PROPERTY OWNER MAIL ADDRES$ ZIP PHONE Jim Larson 6740 4 Street NE 892-5670 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Donner Construction Co 6305 Camden N, Brooklyn Center, MN 55430 566-5377 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 6904 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO. 6 USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR X ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Reroof House 23 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 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 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT $1,918 $.96 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. $62.25 Fire SC $1.92 PLAN CHECK FEE TOTAL FEE License $5.00 $70.13 SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT IDATEI ROPER V IDATED QSG SP T S IS YOU PERMIT • MATE SIGNATURE OF OWNER IIF OWNER BUILDERI IDATEI NEW [ ] Effective 1/1/98 ADDN [ ] CITY OF FRIDLEY ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 ,5q BUILDING PERMIT APPLICATION ConstructionAddress: -- , �f S 7� Legal Description: Owner Name & Address: % A/ / �}—IZ� C!y Tel. # 97Z ��a Contractor: „ ,y 1,7 MN LICENSE # O Address: 3 0 S� �f1�P�C / rC.' l Tel. # LIVING AREA: GARAGE AREA: DECK AREA: OTHER: 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. Length Width Hgt/Ground Sq. Ft. 113 .S - aSkt4 c."t-1 - �• Construction Type: R'D®p f- OOos — v Estimated Cost: $ l 91� r (Fee Schedule on Back) Driveway Curb Cut Width Needed: DATE: APPLICANT: Ft. + 6 Ft = Ft x $ Tel. # STIPULATIONS: CITY USE ONLY Permit Fee $ (pot. o�sf 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 $ -J6) $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 [ J TOTAL $ STIPULATIONS: CITYOF IMLEY WSPEGRON DIV. -6431 lhtiversity Ave NE Fridley, Mit! 65432 . 572-361 RATE SCHEME /0,0 Residential Furnaces Shd and Duct Work, Burner -- Also Replacement Furnace (Side Vera - 198 Out Back) Gays Piping (Needed wAh n wv furnace) t *Air CorWicning- - Ail Sizes All OtNmIRep8h & Alterations (LIST ON BACK) 1% of Value of Appliance or Work Commerciallincwstrial 1.25% of Value of Appliance or Work Rate 'TOTAL $14.00 _ $10.00 $10.00 $ - $ 2500 $ State Surcharge TOTAL. FEE Ll� • `. � 'r_ Effective On January 1, 1997 7t'� r- J-1 s JOBAWRESS 0)q6 l ` .` �--r Ili f- kej:7D1�'T The undersigined hWreby fn*es applIcation for a permit forthe work herein spe6nied agreeing to do all work in strict acccudaatcewith City Codes and rulings of the Bi ng Division, and hereby declares that all the ks and representatieons stated in this appication are true and correct. - 1 bJ aA - ,1997 omER 5�Oi\� S 71 - 719 Sro E;rTEwm cosi Q, `L 9 b • ®° Pr--Rnmr No. DESCRIPIM OF F IHNACE AND OR MMER No. of Heating Un is 1 Circe One (Stearn) (Hot Warr) q arm Aid Trade Narneo rr �¢ She No. BILI Lsz®, p®� IP EDR Fuel Total Connected Load Burner Trade Name Size No. 8TU HP EOR. Tel No. 6-13 ' %0 -3�b00 Approved SyRough-inti bate Final Date — x 4 'Air Conditioners can not be placed in a side yard without FU OUT BACK WE 2OR STACK VERIRCATION ON written permission from adjoining property owner, REPLAMENi FLMACE JUL-10-IVY? 1d:12 L1iv Ur rh:uLty w,c- . + •.— __ The undersigned hereW verities that tbn •ems c hinm9Y or sbdL J. Has been c11y r.Xammoa Yes) No ( ) Z. 1s free from rtrstor deleaiorati�m Yes)- No �? .3. Has uo foreign objccti lodged •_.within Yes ) No ( ) ..4, is securely supported Yeses) No ( ) S. Meds all carrent Code requests for sire and total B'TU's connected Yes N) No ( ) 6 Has total heating RM's of L-0., All other BTU's TOTAL BTU's 7. Has a liner been provided, for water beatec Yes) No 8 Has combustion al{ been. �rnv dee for wateaF Leatex Yes �) No ( ) +'„4;r., �l..e~`•: �i�}ir 'h.+r ;§t. �.�. Y + - ,. .a R,eanalss. I;= A hnii 'IONS Wj*u,l?g a lzk�o CL HEATING CO: Signed By: Date: lll�re s -► �. t TGTHL P.02 • City of Fridley SUBJECT - 7319 18 AT THE TOP OF THE TWINS BUILDING PERMIT r RECEIPT NO. ~ -------COMMUNITY DEVELOPMENT DIV. INSPECTION SEC -3604 r PROTECTIVE 1 ir 1 I CITY HALL FRIDLEY 55432 �'' NUMBER IIEV DATE PAGE Oi "PROVED BV 612-571-3450 910 -F15 6J21J01 JOB ADDRESS 6740 4 Street NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 4 2 Rice Creek Terrace Plat 3 SHEET 2 PROPERTY OWNER MAIL ADORES$ ZIP PHONE James Larson 6740 4 Street NE 671-7850 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Great Plains Restoration 407 2 Street, Hudson, WI 54016 715-381-3676 20155974 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 NEW O ADDITION O ALTERATION REPAIR 0 MOVE O REMOVE 8 DESCRIBE WORK Reside House; Install replacement 4j4dQhjS( bay window 9 CHANGEOFUSEFROM TO STIPULATIONS Per Section 1402, 1997 Uniform Building Code, requires that a weather resistive barrier be placed over exterior sheathing to protect the interior wall covering. Exceptions for this provision would be if sheathing is an approved weatherproof panel or when the siding is an approved weather barrier. Vinyl siding is not a weatherproof covering unless the manufacturer states this in their application. guidelines. Call for inspection of wrap before covering. Provide smoke detectors in all sleeping rooms and on all levels of the dwelling per Section 310.9.1.2 of the 1997 Uniform Building Code. Caulk and flash all exterior openings. 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 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 OWLG. 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 $ lO $ @ 2r, W r) WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT ,,rQo 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• $195.25 Fire SC $10.50 TRUCTION OR THE PERFORMANCE OF CONSTRUCTION �n ( ®/ 6 PLAN CHECK FEE Licens SC $5.0 TOTAL FEE $216.00 SIGN A TUAE OF CONCRACTOR OR AUTHORIZED AGENT iDATE. E PROP VALIDAT HIS IS YOUR PERMIT (1cJ; � ` -D/ SIGNATURE OF OWNER �iF OWNER Bu4 DERi iOATEi OG NSP gArE NEW [ l Effective 1/1/2001 ADDN [) CITY OF FRIDLEY (763) 572-3604 Bldg Insp ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION Construction Address: _ _ � 7-(0 �'/ r H Si- rv� Legal Description: ' Owner Name & Address: -dH-r s L.4/! 5'y -� 6 7 �-w 14th.:jj i+ Tel. # 612 5 7l 7 5"v Contractor:_(-1syr MNLICENSE# gL Address: q07 ?"(5F HkDsu-v t4-1 4;"r O / rj Tel. # 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: Construction Type: -51 oi•vG Estimated Cost: $ / L9 4i dy Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ '=$ DATE: Cz, 6 APPLICANT: 3 Tel. # (6/2/ 6 rb- 074r CITY USE ONLY - Permit Fee - - Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee Sewer Main Charge TOTAL STIPULATIONS: Call (763) 572-3604 for Permit Fees if mailing in application $ APS. Fee Schedule on Reverse Side $ /CD . S .001 of Permit Valuation (1/10th%) $ •��^ $.50/$1,000 Valuation $ $1150 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 [ ] $ 0?i(0,00