PRE 2010 DOCSSUBJECT
P
of Fridley
2 4 5 1 2
AT THE TOP OF THE TWINS
BUILDING PERMIT
Ir?City
RECEIPT NO.
� • COMMUNITY DEVELOPMENT DIV
PROTECTIVE INSPECTION SEC.
r � �
1 ; �
NUMBER
REV
DATE
PAGE OF
APPROVED BY
CITY HALL FRIDLEY 55432
612-571-3450
910-F15
8/29/9
JOB ADDRESS 6840 7 Street NE
1 LEGAL
LOT NO.
BLOCK
TRACTOR ADDITION
SEE ATTACHED
DESCR.
2
3
Rice Creek Terrace Plat 4
SHEET
2 PROPERTY OWNER MAIL ADDRESS ZIP
PHONE
Elmer Johnson 6840 7 Street NE
3 CONTRACTOR MAIL ADDRESS ZIP
PHONE LICENSE NO.
Richard Hastings Contr 6331 Riverview Ter NE, Fridley
55432 574-9966 4051
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
X
❑ MOVE ❑ REMOVE
8 DESCRIBE WORK
Reroof House & Garage (21 Sq) 2nd Layer
9 CHANGE OF USE FROM TO
STIPULATIONS
Roofing can be the 2nd layer but not the 3rd.
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 1 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
$.65
WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT
$1,302
DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE
PERMIT FEE
SACCHARGE
PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON-
$45.75
Fire SC $1.30
STRUCTION OR THE PERFORMANCE OF CONSTRUCTION
PLAN CHECK FEE
License SC $5.00
TOTAL FEE
1 $52.70
J 1 d'� C4�
SIGNATURE OF CONTRACTOR OR THORIZED AGENT (DATEI
WHEN PROPERL ALI
TED THIS IS YOUR PERMIT
BLD INSP
4ATE
SIGNATURE OF OWNER I IF OWNER BUILDER) (DATE)
NEW [ ] Effective 3/1/96
ADDN [ ] CITY OF FRIDLEY
ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2
Building Permit Application®00
ConstructionAddress: 6950 77`/, 7L
Legal Description:
Owner Name & Address: CME 7Z -500-150'y Tel. #
Contractor: R t GA A R 0 /-� H s c MN LICENSE # Vp S 1
o -
Address: G 3 3 ( j� TLE Ll Tel. #
Attach to this application, a Certificate of Survey of the
lot, with the proposed construction drawn on it to scale.
DESCRIPTION OF MI PROVEMENT
LIVING AREA: Length Width Height Sq. Ft.
GARAGE AREA: Length Width Height Sq. Ft.
DECK AREA: Length Width Hgt/Ground Sq. Ft. J
OTHER: �. X20® f�ous� �F-��it��C �1 Sy. _-zooL4�
Comer Lot [ ] Inside Lot [ ] Ft. Yd Setback
Type of Construction: /;�E7 1200 F=
Approx. Completion Date:
Side Yazd Setbacks
Estimated Cost: $ L,
STIPULATIONS:
(Cost on Back)
Driveway Curb Cut Width Needed:
Ft. + 6 Ft = Ft x $ _ $
DATE: �' z g APPLICANT:-
� _,� Tel. # 5
CITY USE ONLY ..
Permit Fee
$ �%� �%�
Fee Schedule on Reverse Side
Fire Surcharge
$
.001 of Permit Valuation (1/10th%)
State Surcharge
$ ��5�
$.50/$1,000 Valuation
SAC Charge
$
$900 per SAC Unit
License Surcharge
$ Cj
$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 [ ]
All,
TOTAL
$�U
STIPULATIONS:
SUBJECT
City of Fridley
CO2
4 9 8 2
AT THE TOP OF THE TWINS
BUILDING
PERM I
NO.
� �?-ReCrWIPT
. COMMUNITY DEVELOPMENT DIV.
i L ------
r � PROTECTIVE INSPECTION SEC.
' /--'I CITY HALL FRIDLEY 55432
NUMBER
REV
DATE
P AGE OF
APPROVED 8`/
•'' 612-571-3450
970-F15
4/22/9
JOB ADDRESS 6840 7 Street NE
1 LEGAL
LOT NO
BLOCK
TRACT OR ADDITION
SEE ATTACHED
DESCR.
2
3
I
Rice Creek Terrace Plat 4 SHEET
2 PROPERTY OWNER MAIL ADDRESS
ZIP PHONE
Elmer Johnson 6840 7 Street NE
571-2725
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 O REPAIR ❑ MOVE ❑ REMOVE
8 DESCRIBE WORK
Construct a 12' x 14' Deck
9 CHANGEOFUSEFROM
TO
STIPULATIONS
See notations on plan.
Ulm
"jqR ING
Before digging call for
all utility locations
02
REoUIRED BY LAW
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
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
$1,490
$.75
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-
$48.50
Fire SC $1.49
STRUCTION OR THE PERFORMANCE OF CONSTRUCTION
PLAN CHECK FEE
TOTAL FEE
$50.74
SIGNATUR OF CONTRACTOR OR AUTHOR' ED AGENT IDATEIHd']
RLY AL ATED THIS IS Y PERMLI
l /
f�Rf�
• �• -K
pBATE
41AWOP
SIGNATURE OF OVyNER uF O R BUIL DE RI -� IDATEI T
NEW [ ]
ADDN [ ]
ALTER [ ]
CITY OF FRIDLEY
SINGLE FAMILY AND DUPLEXES R-1 AND R-2
BUILDING PERMIT APPLICATION
Effective 1/1/97
ConstructionAddress:<f D -5�
Legal Description:
Owner. Name & Address: Tel. # J- %/
Contractor: /V1 e— MN LICENSE #
Address: S4fil,o Tel. #
Attach to this application, a Certificate of Survey of the
lot, with the proposed construction drawn on it to scale.
CITY USE ONLY
Permit Fee
DESCRIPTION OF IMPROVEMENT
Fee Schedule on Reverse Side
LIVING AREA:
Length Via'
Width Height
Sq. Ft. _2
GARAGE AREA:
Length
Width Height
Sq. Ft.
DECK AREA:
Length j 2 `
Width Hgt/Ground Zj!�f
Sq. Ft.
Driveway Escrow
$
-
Erosion Control
OTHER:
$450.00 Conservation Plan Review
Park Fee
$
Fee Determined by Engineering
Sewer Main Charge
$
%4'/
Construction Type:
,n—
Estimated Cost: $
(Fee Schedule 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
$
$.50/$1,000 Valuation
SAC Charge
$
$950 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:
17s f
71/
1L7
11 r 11 11.
11
1L7
47