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PRE 2010 DOCSCity of Fridley App icafion for Pimhkg and Gay Kiting Pwndt Dept. of Bldg& Phone SW -3490 DESCRIPTION OF WORK p Number, Kind and Location of Fixtures, Location PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: NO. RATE TOTAL Number Fixtures x $200 $ Future Fixture Opening o $ o 1 x $1.50 W Catch Basin e e N WATER H. GAS EUC Bax x $3,25 $ Electric Water heater x $200 $ GAS FITTING FEES: NO. RATE TOTAL 1st 3 Fixtures ..... .... .. x $200 $ Additional Fixtures ..... .............. x $ .75 $ Gas Range to 199,000 BTU .............. x $5.00 1st -- — 2nd 3rd 4th ° Yuturo Connection Openings Connected with -- — ❑ * Now Fixiurs, Old OpeningsI Cesspool PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: NO. RATE TOTAL Number Fixtures x $200 $ Future Fixture Opening x $1.50 $ New Fixture Old Opening x $1.50 $ Catch Basin x $3.25 $ Water Heater (Up to 99,000 BTU) x $3.00 $ New Ground Run Old Bldg. x $3,25 $ Electric Water heater x $200 $ GAS FITTING FEES: NO. RATE TOTAL 1st 3 Fixtures ..... .... .. x $200 $ Additional Fixtures ..... .............. x $ .75 $ Gas Range to 199,000 BTU .............. x $5.00 $ REPAIRS S ALTERATIONS --Reiss to Code Description .... ........... TOTAL FEE = ° City of Fridley: The undersigned hereby makes application for a permit for the work herei specified, agreeing to do all work in strict accordance with the City Ordinance and ruling of the Department of Buildings, and hereby declares that all the fact and representations stated in this application are true and correct: Fridley, Owner Kind of Building !f - Used as To be completed about Estimated Cost, Old—New. Building Permit No.— _ _. _-_Permit No.% 9 Signed -_ ROUGH FINAL C-�k By- - - Business Phone No 19-4 If SUBJECT PE City of Fridley 27615 AT THE TOP OF THE TWINS BUILDING PERMIT 1 , RECEIP COMMUNITY DEVELOPMENT DIV. _ L PROTECTIVE INSPECTION SEC. �s�/�� NUMBER REV DATE PAGE OF APPROVED BY CITY HALL FRIDLEY 55432 612-571-3450 910-F15 9/8/98 JOB ADDRESS 480 67th Ave NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 14 5 1 Rice Creek Terrace Plat 3 SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Walter'Heberink 480 67th Ave NE 55432 571-3358 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO New Haven Construction 4208 83rd Ave N Brooklyn Park 55443 566-5225 20077950 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 Q REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Reroof x#xM house & garage 23S 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 1 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 $1918.00 $.96 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO V OLATE OR CANCEL THE PERMIT FEE SAC CHARGE PROVI NS OF ANY OTHER STATE OR LOCA LAW REGULATING CON- $ 62.25 Fire SC $1.92 STRU T N OR HE PERFORM NCE OF CO ST CTION. PLAN CHECK FEE TOTALAE Lice a $5.00 $70.13 SIGNATURE O CONTRACT6R OR AUTHORIZED AGENT IDATEI EN P OP AL DAT IYR MIT BLD INS. //.HIS N • /ATE SIGNATURE OF OWNER OF OWNER BUILDERI IDATEI Aug 26 98 06:52a NEW [ ] ADDN [ 1 ALTER [ ] ConstructionAddress: Legal Description: Kerri 566-7183 CITY OF FRIDLEY SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION p.4 Effective 1/1/98 Owner Name & Address: GZ/14�� // e, Tel. c.5,2/— , -3�3v -a Contractor:A t J �n !;-7L MN LICENSE #2_4 d 7 7 9,00 Address: 2 D e jc?'O ` _'4k'0_ /' Tel. # S6 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 AR:EA: Length Width Height Sq. Ft. DECK AREA: Length Width Hgt/Ground Sq. Ft. OTHER: . Construction Type -�Q/ �t /"�/'e+ 0 7 YP Estimated Cost $ �3 �A 0a.-e� (Fee Schedule on Back) Driveway Curb Cut Width Needed: Ft. + 6 Ft s Ft x $ $ s DATE: 9 2-1�:r 'YS APPLICANT: Tel. TOTAL STIPULATIONS: CITY USE ONLY Permit Fee $L— o2r Fee Schedule on Reverse Side Fire Surcharge $ /, oZ .001 of Permit Valuation (1/10th%) State Surcharge $ $.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 STIPULATIONS: CITY OF FRIDLEY 6431 UNIVERSITY AVENUE NE FRIDLEY, MN 55432 571-36U4 FAX: (763) 571-1287 ADDRESS : 480 67TH AVE NE PIN : 143024240089 LEGAL DESC : RICE CREEK TERRACE PLAT 3 : LOT 14 BLOCK 5 PERMIT TYPE : BUILDING PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : WINDOW/DOOR REPL PERMIT NO.: 2004-00315 �� 73 DATE ISSUED: 03/10/2004 VALUATION : $ 8,000.00 NOTE: PROVIDE SMOKE DETECTORS IN ALL SLEEPING ROOMS AND ON ALL LEVELS OF THE DWELLING PER R317 OF THE 2000 INTERNATIONAL RESIDENTIAL CODE. CAULK AND FLASH ALL EXTERIOR OPENINGS. REPLACE 10 WINDOWS AND 1 PATIO DOOR WITHIN EXISTING OPENINGS STATE LICENSED CONTRACTOR 1 APPLICANT RMA HOME SERVICES INC (20268257) 3200 COBB GALLERIA P ATLANTA, GA 30339- (952) 345-6047 1� BARDENPRATT, MIKE 480 67TH AVE NE FRIDLEY, MN 55432 AGREEMENT AND SWORN STATEMENT This permit becomes null and void if work or construction authorized is not commenced witin 60 days or if construction or work is suspended or abandoned for a period of 120 days at any time after work is commenced. I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this type of worl will be complied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or canc I the provisions of any other state or local law gala con ction or the performance of construction. Applicant Date Bldg hvs G� BUILDING PERMIT FEE 153.25 FIRE SURCHARGE 8.00 STATE SURCHARGE, VALUE 4.00 LICENSE SURCHARGE 5.00 TOTAL 170.25 PAID WITH CHECK # 034007 r it inS nGtion Cards X19 Be Mailed Homeowner o Post SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. NEW( l Effective 5/10/99 ADDN I l CITY OF FRIDLEY s ALTS [ l SINGLE FAAMY AND DUPLEXES R-1 AND R-2 ` BUILDING PERMIT APPLICATION Construction Address: W so. ; E , Legal Description: Owner Name & Address: '(�(�, �,� d-Q,�CG�- '�' Tel. # �p o'-% • �(p -�jQ�� Contractor:; RMA HOME SERVICES INC. MN LICENSE # Home Depot Installed Sales Address: 3200 Cobb Galleria Pkwy., Ste. #200 Tel. # Atlanta, GA 30339 A 763-542-8826 urvey. of the lc BC -20268257 ,m it to scale. - -r- -r ---- - DES.CRI.ON LIVING AREA: Length Width Height Sq. Ft. GARAGE AREA: Length Width Height Sq. Ft. DECK AREA: Length Width Hgt/Ground Sq. Ft. OTHER:c, [��b.0 l Li Z; n�S.6 u.� S 8� l CJ O.�►i o�aK c� �n , ; Construction Type: Estimated Cost: $ 53, 000 — Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft k $ _ $ DATE: Cj rig(- 0� APPLICANT: Tel. # 3Y57 - CITY USE ONLY Permit Fee $ 1S3 ,'a c Fee Schedule on Reverse Side Fire Surcharge $ g, Od .001 of Permit Valuation (1/10th%) State Surcharge $ 4 .00 $.50/$1,000 Valuation SAC Charge $ $1050 per SAC Unit License Surcharge $ ,. p Q $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 $j 0 • a s STIPULATIONS: