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PRE 2010 DOCSNOT11CB. This `permit oes not cover the construction, installation or'alterAtlon for wiring, plumbing, gas heating,' sewer or water. Be sure to see the Buildilig Inspector for separate permits for: these items. City of Fridley AT THE TOP OF THE TWINS SUBJECT BUILDING PERMIT 26354 r _ COMMUNITY DEVELOPMENT DIV. L PROTECTIVE INSPECTION SEC. CITY HALL FRIDLEY 55432 1'' 612-571-3450 RE T NO. NUMBER __[VE7 910-F15 DATE 6/25/98 PAGE OF APPROVED BY JOB ADDRESS 401 67 Avenue NE 1 LEGAL DESCR. LOT NO. 7 BLOCK 3 TRACT OR ADDITION Rice Creek Terrace Plat 3 SEE ATTACHED SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Dan Majrzak 401 67 Avenue NE 571-5277 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 ❑ ALTERATION [. REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK RESIDE FRONT OF HOUSE - WEST SIDE - STORM DAMAGE 9 CHANGE OF USE FROM TO STIPULATIONS 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 AUTHORIZED IS NOT COMMENCED WITHIN 80 DAYS, OR IF CONSTRUCTION ZONING SO. FT. CU. FT. 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 AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT VALUATION @ $300 SURTAX $.50 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- ST TION PERFOR ANCE OFC NSTRUCTION Fire SC $.30 PLAN CHECK FEE TOTAL FEE 1 a, S "SIGNATURE $21.03 O ACTOR ORA HORIZED AGENT IDATEI WHEN PPR/OPER ALI TED THIS ISZUR PERMIT '4 e BL NSP N GATE S.GNATURE OF OWNER OF OWNER SUILDERI IDATEI A NEW ADDN ALTER [l h4 ConstructionAddress : Legal Description: CITY OF FRIDLEY SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION �L Owner Name & Address: I--.) a Effective 1/1/98 'of G'�/ Tel. # -511- IS77 Contractor: v�� l MN LICENSE # Address:. Tel. # Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. LIVING AREA: GARAGE AREA: DECK AREA: OTHER: Construction Type: DESCRIPTION OF 11%IPROVEMENT Length Width Height Sq. Ft. Length Width Height Sq. Ft. Length Width Hgt/Ground Sq. Ft. Ir o ri d c,, T'TK S P Driveway Curb Cut Width Needed: DATE: a3 o0 Permit Fee $ i Fire Surcharge Ste$ Z State Surcharge . l SAC Charge $ License Surcharge $ Driveway Escrow Erosion Control Park Fee Sewer Main Charge TOTAL . STIPULATIONS: $ 1 O3 Estimated Cost: $ 5 4© -"` (Fee Schedule on Back) Ft. + 6 Ft = Ft x $ _ $ �.. Tel. #-5-7/- Y.;s 7 7 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 [ ] SUBJECTPERM . City of Fridley 7 8 AT THE TOP OF THE TWINS BUILDING PERMIT r COMMUNITY DEVELOPMENT DIV. j /4 r PROTECTIVE INSPECTION SEC. Lei NUMBER REV DATE PAGE OF APPROVED BY CITY HALL FRIDLEY 55432 612-571-3450 910415 9/15/98 JOB ADDRESS 401-67th Ave NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 7 3 1 Rice Creek Terrace Plat 3 SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Mike Shot Same 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Erick Kallerup Construction 7400 1st Ave S Richfield 55423 798-1647 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 8 DESCRIBE WORK Reroof house & garage (25SQ) 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 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 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 $4,250.00 $1.07 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- $74.75 Fire SC $2.14 STRUC ION OR THE PERFORMANCE OF CONSTRUCTION. 1 ) PLAN CHECK FEE TOT L FEE —�— Lice SC $ .00 $82.96 SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT IDATEI ��EN O IDA BLD iN$P THIS IS R PER IT 4 � 1.TE SIGNATURE OF OWNERoF 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: 461 (o 7 Legal Description: Owner Name & Address: j` l� Oep Tel. # Contractor: C 1 G `� f, 7(S MN LICENSE # 2 l Address: ��G® �j �S GCt'v�- 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. Wid H_gt/Ground Sq. Ft. DECK AREA: OTHER: s � O Construction Type: fC-4AC.'Okoo� Estimated Cost: $ (Fee Schedule on Back) Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ _ $ DATE: APPLICANT: ��J«GP Tel. # Za STIPULATIONS: CITY USE ONLY Permit Fee $ , � Fee Schedule on Reverse Side Fire Surcharge $ .001 of Permit Valuation (1/10th%) State Surcharge $ lJ $.50/$1,000 Valuation SAC Charge $ $1000 per SAC Unit License Surcharge $ `j $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: