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PRE 2010 DOCS0 Village of Fridley, Minn. .. -� N° 1827 BUILDING PERMIT Date: .......... Builder .. .. .. Owner ....................................... B u er ... Address ...................................... Address .....�. 2 �..�....... ... �/.. LOCATION OF BUILDING No. �(..... Street ..... �..................... Part of Lot .....%....... ............ . Lot ......... Block ............... Addition or Sub -Division .. ........ .......... Corner Lot ........... Inside Lot Setback .` ... Sideyard .�................ DESCRIPTION OF BUILDING To be Used as: qq�� ....... Front .'Ar .. Depth ?7 /..... Height/ .S... Sq. Ft. ........ Cu. Ft. ........ Front .� �'—.. Depth Height . t� : J Sq. Ft. ........ Cu. Ft. ........ ��r e Type of Construction � ...... Est. Cost . 00, 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 set forth and in compliance with all provisions of ordinances of the village of Fridley. In consideration of the payment of a fee of $ /.� t'� ..... , 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 village limits and this permit may be revoked at any time upon violation of any of the provisions of said ordinances. y ........................... Building Inspector NOTICE: This permit does not cover �tjhe constrioninstallation or alteration for wiring, plumbing, gas heating, sewer or water. Be sure to see e B . ding Inspector for separate hermits for these items. SUBJECT City of Fridley 6582: CREC AT THE TOP OF THE TWINS BUILDING P E R M I T r COMMUNITY DEVELOPMENT DIV. r PROTECTIVE INSPECTION SEC. �� I CITY HALL FRIDLEY 55432 NUMBER REV. DATE PAGE OF APPROVED BY 612-571-3450910-F15 15/14/82".j JOB ADDRESS 517 - 67th Avenue N. E. 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 6 6 1 Rice Creek Terrace Plat 4 SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE James D. Gilbert 517 - 67th.Avenue N.E. 574-0002 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 ❑ REPAIR ❑ MOVE ❑ REMOVE X 8 DESCRIBE WORK Construct a 19.5' x 12' Deck 9 CHANGE OF USE FROM TO STIPULATIONS PERMITS REQUIRED FOR "G. RATE sEPE ��G p�.UMBINf ANCA SIGNS. HEATING. local CoOre diggin G�;lies TELEPHONE ELECT WC Ett• REOUIRED BY LAW SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD VENTILATING OR AIR CONDITIONING. Redwood/Treated Wood 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 I 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 $1,300 $.65 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PERMIT FEE SACCHARGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- $22.00 NONE STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. PLAN CHECK FEE TOTAL FEE $ 5.50 $28.15 SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT (DATE) WHEN PROPERq VALIDATED THIS IS YOUR PERMIT BLDG INSP OA E GNATUR OF OWNER IIF OWNER BUIL RI (DATE) CITY OF FRIDLCY Effective Aug. 1, 1981 APPLICATIO:J FOR RESIDENTIAL BUILDING PER4ITS (New, Alterations, Additions. or Repairs) OWNER: BUILDER: S� 0 � ADDRE _5-1-7 ADDRESS: TEL NO: _LZ 000--r— TEL NO: . STRIET NO: 5-17 IAT: . 09 Construction Location STREET: 4� ? BLOCK: 4 ADDITION:�e_ 'a - 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. DESCRIPTION OF CONSTRUCTION �-� Front: Square Feet. Depth: f Height: Cubic Feet: Front: Depth: Height: Square -Feet: Cubic Feet: Type of Construction: �%��A� Estimated Cost: $ �� To Be Cbmpleted: Alt. A Alt. B Proposed Driveway Width If New Opening Is Desired: $ ' $ SEE REVERSE SIDE OF SHEET . The undersigned hereby mazes 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. h DATE: ZLl SIGNATURE Stipulations: 22� Ud b 3 ct t� T 41,� LA City of Fridley AT THE TOP OF THE TWINS SUBJECT BUILDING PERMIT (:f u 10 8 r `� ______ COMMUNITY DEVELOPMENT DIV. r � � PROTECTIVE INSPECTION SEC. CITY HALL FRIDLEY 55432 612-571-3450 RECEIPT �� NUMBER 910-F15 REV DATE 4/25/96 F�E OF / APPROVED By JOB ADDRESS 517 67 Avenue NE 1 LEGAL DESCR. LOT NO. 6 BLOCK 6 TRACT OR ADDITION 1 Rice Creek Terrace 4 Addn SEE ATTACHED SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE David Gilbert 517 67 Avenue NE 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Peak Roofing 11506 S Oakvale Rd Mntka MN 55305 938-8150 20045301 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 O REPAIR % O MOVE ❑ REMOVE 8 DESCRIBE WORK Reroof House (23 S) 2nd Layer 9 CHANGE OF USE FROM TO STIPULATIONS Roofing can be the 2nd layer but not the 3rd. 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 60 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 VALUATION SURTAX AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT $1 380 $.69 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 UCTIO OR THE PERFORMANCE OF CONSTRUCTION $ 45.75 Fire SC $1.38 J ) / I/ / PLAN CHECK FEE Licen SC 5.00 TOTAL FEE $52.82 SIG ATUREOFCONTRACTORORAUTHORIZEDAGENT IDATEI EN PR BLDG IN ERLY VA D TED THIS IS Y UR PERMIT GATE SIGNATURE OF OWNER IIF OWNER BUILDERI IDATEI l:A NEW [ ] Effective 3/1/96 ADDN [ ] CITY OF FRIDLEY ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 Building Permit Application ConstructionAddress: Legal Description: 1 Owner Name & Address: i Tel. # n Contractor: p' e 21 o o of MN LICENSE # Z O®'L( 5$ o j Address: \ASO,6 Sb (Tk, Tel.# 93�- S7S6 Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to kale. DESCRIPTION OF Il"ROVEMENT LIVING AREA: Length Width Height Sq. Ft. GARAGE AREA: Length Width Height Sq. Ft. DECK AREA: Lehr, Wii th �- Hgt/Ground Sq. Ft. OTHER: Comer Lot [ ] Inside Lot [ ] Ft. Yd Setback Type of Construction: Approx. Completion Date: Side Yard Setbacks Estimated Cost: $ (Cost on Back) Driveway Curb Cut Width Needed: Ft.. + 6 Ft = Ft x $ _ $ DATE: ' -ZS- rkt APPLICANT: , M A�Q ,-- Tel. # S t{ 5 -12 23 Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee Sewer Main Charge TOTAL STIPULATIONS: CITY USE ONLY $ Fee Schedule on Reverse Side $ /.30 .001 of Permit Valuation (1/10th%) $ $.50/$1,000 Valuation $ $900 per SAC Unit $ -C,. 00 $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