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PRE 2010 DOCS• City of Fridley, Minn. BUILDING PERMIT 9 N® 3144 All - Date:.. . 0. ......... . t' e lee# So � Owner Builder / ....... .... Address ........................ Address .. 3.5 3 . `.. ."� .041 o......... o LOCATION OF BUILDING No. .61Y ®. Street . 4 . .. �j'i4�%:.l. r« a...... Part Lot ... .... . . I`//.J .. .. ....... . .... 1.4 Lot...Z> ... Block .. � . Addition or Sub -Division %�� � .�.... 4.! Corner Lot ............ Inside Lot ........ Setback....... Sideyard ........................... .................... ont ........ Depth ... Height ...... Sq. Ft. ........ Cu. Ft. �s � b.. Type of Construction /� `I,....... Est. Cost. %`5.4. �.®e To be Completed .. s L100 /7 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. In consideration of the payment of a fee of $.Z X.................................................. g . ., permit is hereby granted ......................... to construct the building or addition as described above. This permK 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 upon violation of any of the provisions of said ordinances. n NOTICE: This permit does not cover the construction, Installation or alteration for • n mbing, gas heating, sewer or water. Be sure to see the Bulldleg Inspector for separate per r these items DESCRIPTION OF BUILDING V Pe Used as: TJ.71........ Front !t� o .. Depth !�a ..6 Height ...... Sq. Ft./� Cu l7(? Ft.,? .................... ont ........ Depth ... Height ...... Sq. Ft. ........ Cu. Ft. �s � b.. Type of Construction /� `I,....... Est. Cost. %`5.4. �.®e To be Completed .. s L100 /7 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. In consideration of the payment of a fee of $.Z X.................................................. g . ., permit is hereby granted ......................... to construct the building or addition as described above. This permK 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 upon violation of any of the provisions of said ordinances. n NOTICE: This permit does not cover the construction, Installation or alteration for • n mbing, gas heating, sewer or water. Be sure to see the Bulldleg Inspector for separate per r these items City of Fridley, Minn. N° 7753 BUILDING PERIMT Date: June 7s 1965 owner: W. C. Fenton Builder Dailee Homes, Inc. ,Address, "D 6M Avenin. Be Adm 8510 Central Ave* Ni E. LOCATION OF BUILDING No Wn Street 67th Avetme Ne E. Part of Lot Lot 2 _ Block _ 6 _ Addition or Sub -Division Rice Creek Terrace, Plat 6 Corner Lot _ Inside Lot .— Setback Sideyard Sewer Mevation — _ Foundation Elevation DESCRIPTION OF BUILDING To be Used as: Front Depth Height Sq. Ft Cu. Ft Front Depth Height Sq. Ft Cu. Ft Type of Construction Est. Cost .. 654=09..__ To be Completed • Storm damage repair 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 compliance with ih provisions of ordinances of the city of Fridley. —I"e In consideration of the payment of a fee of $ 10-00 , permit is hereby granted toDaily Homes, Z 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, Minnesotalocation, construction, alteration, maintenance, repair and moving of buildings within the city limits permit may be revoked at any time upon violation of any of the provisions of sJd ordinances. A11en Jensen Building Inspector NOTICE: This pem b don not corer the eensimcthm, histagation for wkb& phanhing, gas heathug, sewer or water. Be aura to ses the BulWhug lesputer far separate permits for these hems. • APPLICATION FOR BU41M PERMIT CITY OF FRIDLEYO tNMSOTA OWNER'S NAME W. C. Fentozl, BUILDER Dailey Homesl:n. c ADDRESS -6-4o-67th Avenue � N. E. ADDRESS .8510 Central Avenue N, E.;.- LOCATION .:_ LOCATION OF BING of Lot . Lot 07, Block_ �? Additionr or Subdivis Corner Lot Inside Lot _ Set.VMk Side Yard SEWER ELEVATION FOUNDATION EL9V&ION Applicant attach to this form, Two Certificates of. Survey of Lot and proposed-build— ing location diAwn on these Certificates. DESCRIPTION OF BOILD ING 1a be used as: Froat Depth Height' 94q. Ft. Cu. Ft. __,,Front Depth Height Sq, Ft. Cu. Ft. a Type of Construction stimated Cost $5100.00 The undersigned hereby makes application for a permit for the work herein specified, agreeing to do all work ift 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. .of Fee Costs can be found on the Reverse Side). 53-84-s-915-51 01 PARTIAL RATE SCHEDULE MUNMING nXTMM RATES: NO. RATE TOTAL Numbef Fixtures ................ x 5200 & ruj ure rtjzF ure opening .. o . o • . • ... x $1.50 $ .. New Fixture Olaf Opening .......... x $1.50 i CateN Basin .................... x $3.25 1< Water Heater (Up to 90.W9 BTU) . • .. M33.00 :- New Ground Run Old Bldg. ....... • x $3.25 S iCleeb4c water Mow ............. s $100 5 GAS FITTING FEES: NO. RATE TOTAL lot ............... :5200 f ,.3,.aFiixtturft Addmsong FixtuM .. . . . . . .... . .. •-z$.75 ! 1 5.00 Oao Range to 199.000 BTU ............ x $5.00 a - State Surcharge $=„ WWADsD ALTERATIONS— Wn it Cade _ 5.50.(� s.a....... ...s.. .... w.... o..... s...w.......� TarAL FM I 5.5o OW"r Weldon C. Fenton Kind of Building Frame Und ars Res. To be completed abet 12-8-72 Fatiemated Cost, 10.00 6 New. Building Pmmit BY MINNEGASCO Businen Phune No „ \J � �y�L CITY OF FRIDLEY APPLICATION FOR PWMBING AND GAS FITTING PERMIT RATE SCHEDULE PLUMBING FIXTURE RATES: NO. New Fixtures Future Fixtures Old Opening, New Fixture Beer Dispenser Blow off Basin Catch Basin Rain water Leader Hydraulic Valve Sump or Receiving Tank Water Treating Appliance Hot Water Heater Gas Range Gas Dryer Back Flow Preventer Required. . . Yes Type RATE $ 5.00 $ 3.50 $ 1.50 $ 4.00 $ 5.00 $ 5.00 S 5.00 S 5.00 $ 5.00 $ 7.00 $ 5.00 $ 10.00 $ 10.00 ( ) No ( ) $ 5.00 ALL OTHAS AND/OR REPAIRS AND ALTERATIONS 1s of Value of Fixture or Appliance Reinspection Fee $ State Surcharge ($15.00) TOTAL FEE TOTAL S S Effective Date May 1, 1988 Job Address U/ U � ' ` V Department of Buildings City of Fridley Tel. #571-3450 The undersigned hereby makes application for a permit for the work herein specified agreeing to do all work in strict accordance with the City Codes and rulings of the Department of Buildings, and hereby declares that all the facts and representations stated in this application are true and correct Fridley, Mn. ! ® , 191�579 OWNER`vYl`TC�� l� KIND OF BUILDING USED AS TO BE COMPLETED ABOUT ESTIMATED COST OLD - NEW BUILDING PERMIT NO. PERMIT NO. C�l 14� Company e 77 �n Signed G?k .fir t*!= AVENUE 3007r - Tel. NOAKL9�p 15 Ate+ W1560rT es 409 ROUGH INSP. Date FINAL INSP. Date APPROVAL FOR PERMIT Z-.� S /U HINIHUM F OR ANY PLUMBING PERMIT IS $15.00 PLUS THE .5 STATE SURCHARGE S .5 u X m Water m E .[i m o o ed$4 W W Ca, Neater b m c a o S Id o u D 00 i8 y S w y .t 3 cJi s lec 1st 2nd 3rd 4th (R) a Future Connection Opening Connected with Sewer (*) - New Fixture, Old Opening Water RATE SCHEDULE PLUMBING FIXTURE RATES: NO. New Fixtures Future Fixtures Old Opening, New Fixture Beer Dispenser Blow off Basin Catch Basin Rain water Leader Hydraulic Valve Sump or Receiving Tank Water Treating Appliance Hot Water Heater Gas Range Gas Dryer Back Flow Preventer Required. . . Yes Type RATE $ 5.00 $ 3.50 $ 1.50 $ 4.00 $ 5.00 $ 5.00 S 5.00 S 5.00 $ 5.00 $ 7.00 $ 5.00 $ 10.00 $ 10.00 ( ) No ( ) $ 5.00 ALL OTHAS AND/OR REPAIRS AND ALTERATIONS 1s of Value of Fixture or Appliance Reinspection Fee $ State Surcharge ($15.00) TOTAL FEE TOTAL S S Effective Date May 1, 1988 Job Address U/ U � ' ` V Department of Buildings City of Fridley Tel. #571-3450 The undersigned hereby makes application for a permit for the work herein specified agreeing to do all work in strict accordance with the City Codes and rulings of the Department of Buildings, and hereby declares that all the facts and representations stated in this application are true and correct Fridley, Mn. ! ® , 191�579 OWNER`vYl`TC�� l� KIND OF BUILDING USED AS TO BE COMPLETED ABOUT ESTIMATED COST OLD - NEW BUILDING PERMIT NO. PERMIT NO. C�l 14� Company e 77 �n Signed G?k .fir t*!= AVENUE 3007r - Tel. NOAKL9�p 15 Ate+ W1560rT es 409 ROUGH INSP. Date FINAL INSP. Date APPROVAL FOR PERMIT Z-.� S /U HINIHUM F OR ANY PLUMBING PERMIT IS $15.00 PLUS THE .5 STATE SURCHARGE S .5 CITY OF FRIDLEY Effective May 1, 1990 APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION, REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES RATE SCHEDULE 640 67th Avenue NE RESIDENTLAL RATE TOTAL Job Address Furnace Shell and Duct Work, (Also replacement furnace) $ 20.00 $ 20 •00 Department of Buildings, 6431 University Ave. N.E., Fridley, MN 55432 Burner City of Fridley Gas Piping $ 10.00 $ Tel.,M571-3450 (piping needed with new furnace) $ 10.00 $ The undersigned hereby makes application for a permit for the work herein Gas Range � specified agreeing to do all work in strict accordance with the City Codes Gas Dryer $ 10..00 $ and rulings of the Department of Buildings, and hereby declares that all the facts and representations stated in this application are true and correct. • Air Conditioning (all si:zes) $ 10.00 $ 10.00 Fridley, Minn. 19_ All Others/Repairs and Alterations OWNER Fenton, Weldon and Eleanore 10 of Value of Appliance or Work $ Frame KIND OF BUILDING COMMERCIAL/INDUSTRIAL USED As Residence 1• of Value of Appliance or Work S Ta BE COMPLETED ABOUT ESTIMATED COST $3,694.73 State Surcharge $ .50 >`� 3 �^ OLD - NEW BUILDING PERMIT N0. PERMIT NO. l C � TOTAL FEE $ 30.50 Reinspection Fee ($15.00) $ DESCRIPTION OF FURNACE/BURNER warm Air Rough Insp. HEATING or POWER PLANTS, Steam, Hot Water, Warm Air- No. Date Trade Name Carrier Size No.' 60,000 BTU Final Insp. 60,000 Date Capacity Sq. Ft. EDR BTU HP Approval for Permit Total Connected Load 44,220 Kind of Fuel Gas BURNER - Trade Name Carri er Size No. Capacity Sq. Ft. EDR BTU 75,000 HP 1/3 Lvnag MIN-IMiUM FEE FOR ANY HEATING PERMIT IS $15.00- Company PLUS _$._50.STATE SURCHARGE----------- — Signed By 612-757-5040 �'1-®`1y� Tel. No. *Air Conditioners can not be placed in side yard without wr►tten permission from adjoining rieryld:ur. Fill out back side for stack verification on replacement furnaces CHIMNEY AND STACK VERIFICATION The undersigned hereby verifies that the existing chimney or stack; 1. Has been carefully examined Yes (�) No ( ) 2. Is free from rust or deterioration Yes ( ) No ( ) 3. Has no foreign objects lodged within Yes ( ) No ( ) 4. Is securely supported Yes ( ) No (, ) 5. Meets all current Code requirements for size and total BTU ccnnected Yes•( ) No ( ) 6. Has Total heating BTUs of All other BTU's TOTAL Rema rk s Company Signed By Date SUBJECT City of Fridley FNO677 6 AT THE TOP OF THE TWINS BUILDING PERMIT CEIPT COMMUNITY DEVELOPMENT DIV. c V _ r PROTECTIVE INSPECTION SEC. ) X 5c NUMBER REV DATE PAGE OF APPROVED BY CITY HALL FRIDLEY 55432 "t---- %.j 612-571-3450 910-F15 11/20/90 JOB ADDRESS 640 - 67th Avenue N.E. 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 2 6 Rice Creek Terrace Plat 6 SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Weldon C. Fenton 640 - 67th Avenue N.E. 571-3348 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 jp ALTERATION O REPAIR O MOVE ❑ REMOVE 8 DESCRIBE WORK Enclose existing porch.into Three Season Porch 9 CHANGE OF USE FROM TO STIPULATIONS gide yard variance from 101' to 61 (VAR 90n27) approved 11/19/90. All glass must be at least 1811 off floor and at least 12" from any door. Use treated bottom plates. SEPARATE PERMITS REQUIRED FOR WIRING, HEATING, PLUMBING AND SIGNS. TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, VENTILATING OR AIR CONDITIONING. ZONING SO. FT. CU. FT. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT COMMENCED WITHIN BO DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT NO. DWLG. UNITS OFFSTREET PARKING ANY TIME AFTER WORK IS COMMENCED. I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION 1 ISTALLS GARAGES VALUATION SURTAX AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED $1200 $.60 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT PERMIT FEE SAC CHARGE DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- $29.00 STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. PLAN CHECK FEE TOTALFEE a 30.80 SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT (DATEI WH PROPE LY I TE HI Is YOUR PERMIT BLDG INSP GATE SIGNATURE OF OWNER I IF OWNER BUILDER) (DATE) '' NEW [ ] ADICN [ ] XRER CGC' nstructi' on Address: R-1 AND R-2 Building Permit Application 6 1/07 - 6 7-�;�4 , iz,-e. Effective 8/16/90 Isgal Description: -Z.4 - � -- Z 6 v 1-0-4, Owner Name & Address: / o/� C�. Tel. Contractor: a// _�sZ Tel. # Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTIC�T OF STP LTVIM AREA: Iexrjth j Width Height Sq. Ft. CMRAGE AREA: Iength Width Height Sq. Ft. DECK AREA: Length Width Hgt/Ground Sq. Ft. Corner Lot [ ] Inside Lat [ ] Ft. Yd Setback Side Yard Setbacks ,,,?pe of Con§truction: Estimated Cost: $ Approx. Cmrpletion Date: 2 Proposed Driveway Width If New Opening Is Desired: Ft. $ $ Width + 6' See Back Page DATE: t / ay APPLICANT: //, " Com. Tel. # 3' 7/- 3 3 Permit Fee $ Qq, rj Fire Surcharge $ / ,�o State Surcharge SAC Marge $ Driveway Escrow $ Park Fee $ Sewer Main Marge $ s'rIPUTATIONS: CITY USE CNLY o Fee Schedule on Reverse Side PZO G - lJ� .001 x Permit Valuation (1/10th Y) $.50/$1,000 Valuation. ? y ` - �Y, $600 per SAC Unit Alt. "A" or Alt. "B" Above Fee Detained by Engineering Agreement Necessary [ ] Not Necessary [ ] C, 0724 "ViO P ICA / ///9/90 A -C, G ass �Ec &T A-) a L ENG! L EERS`' AND SURv4 rolls n� y� _��- •; .. , .•'°ef + ;'4� 'pr.. �t '` • t 4y,.a �`• 3'r.. a wed ,Yci'"*, .�e.�P GOILO TEO'Y►WO rb i`0 ►.ANO R{/AVdY1N0';� °� t ., w. A !� •. � �"'' '" _ ..�•zf► s'. .s, .9+' f*+ C`1l;'�•.' + •Nrde e+�r, �' *7; uw� ar. MNNIc10AL LNsINttRINO`�` `• � ;�"-�{�' •'. ` '^Z?ss� ' ,:• ,.tip 1.N�0 aLAwu�N:e �� ...,� ��;� .. ay . AVENVE" N.• � s+a K, 4l .7 ,+ KE F. S637 •a, a ..+�•Z 1j ', •.. 1Corfi��it�#i�': ,BANS ON 6 7 Avg-.. N. to 4�/O- cO WE HERESY CERTIFY THAT THIS IS A TRUE AND (ARRECT REPRESENTATION OF A SURVEY OF THE BOUNDARIES OF THE LAND ABOVE DESCRIBED AND OF THE LOCATION OF ALL BUILDINGS, IF Wy, THEREON , AND ALL VISIBLE ENCROACHMEAIT, IF ANY, FROM ORON SND LAND. MINDER ENGINEERING CO -,INC. rA GATED TRIS �` p1.YOP '" "Al" Et,1GIMUECL9% AND SU0.vT,YO0.f w SUBJECT City of Fridley 7-3 154 AT THE TOP OF THE TWINS BUILDING P E R M I T Ir?EIPT NO. COMMUNITY DEVELOPMENT DIV. r L PROTECTIVE INSPECTION SEC. , CITY HALL FRIDLEY 55432 NUMBER REV DATE PAGE OF APPROVED BY 612-571-3450 910-F15 1/3/95 JOB ADDRESS 640 67 Avenue 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 2 6 Rice Creek Terrace Plat 6 SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Weldon Fenton 640 67 Avenue NE 571-3348 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. R & M Associates 3482 Auger Ave, White Bear Lake MN 55110 770-9322 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 X ❑ MOVE ❑ REMOVE B DESCRIBE WORK Reside and Reroof House (Tear -off) 16 S 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 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 $10,000 $5.00 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 $117.00 Fire SC $10.00 PLAN CHECK FEE TOTAL FEE License SC $5.00 $137.00 SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT IDATEI WHEN PROPS Y VALIDATED THIS IS YOUR PERMIT . 8 ! G INSP w -r !✓ - or 1`4 TE SIGNATURE OF OWNERIIF OWNER BUILDERI IDATEI NEW [ ] Effective 1/1/94 ADDN [ ] CITY OF FRIDLEY ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 Building Permit Application ConstructionAddress: - 6 1/® �—�,� /¢;o e-. Legal Description: Owner Name & &drL4---' ess: 1 j A �� �', A,'Tel. # Contractor: -1– A4 4 MN LICENSE # Address:_3 el 5�' Y, 14 c, C, g a v �— L---. , % Tel. # % %7 3 e� 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: Corner Lot [) Inside Lot [) Ft. Yd Setback Side Yard Setbacks Type of Construction: 1f- Estimated Cost: $ ---�--�- ,-tea Approx. Completion Date: (Cost on Back) Driveway Curb Cut Width Needed: Ft. + Ft Ft x $` — $ DATE: /- ) " APPLICANT: _ Tel. #7�-- i Permit Fee Fere Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee Sewer Main Charge TOTAL STIPULATIONS: $ 60 Fee Schedule on Reverse Side $ lU, b ® ..001 of Permit Valuation (1/10th%) $ �T-U® $.50/$1,000 Valuation $ $800 per SAC Unit $ �� $5.00 (State Licensed Residential Contractors) $ Alt. "A" or Alt. "B" Above $ $450.00 Conservation Plan Review $ Fee Determined by Engineering $ 2, 0/2 Agreement Necessary [ ) Not Necessary [ ) 01 SUBJECT P NO. City of Fridley 27 9 8 8 AT THE TOP OF THE TWINS BUILDING PERMIT r RE O. r � COMMUNITY DEVELOPMENT DIV. INSPECTION SEC. 63 ez r PROTECTIVE 1 . . NUMBER REV GATE PAGE OF APPROVED BY I = -'—'1 CITY HALL FRIDLEY 55432 612-571-3450 910-F15 9/28/98 JOB ADDRESS 640 67th. Avenue NE I LEGALLOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 2 6 Rice Creek Terrace Plat 6 SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Weldon Fenton 571-3348 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Norway Builders Inc. 450 W. County Rd D New Brijzhton MN 55112 483-5999 d 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 2; REPAIR ❑ MOVE ❑ REMOVE B DESCRIBE WORK Reroof house and garage (23 Sq) Tear -off 9 CHANGE OF USE FROM TO STIPULATIONS Underlayment must comply with the State Building Code. TYPE OF CONST. OCCUPANCY GROUP OCCUPANCYLOAD 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 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 1971 .98 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 F e SC $1.97 � PLAN CHECK FEE TO FEE 4441' A �� Licen 5. .20 SIGNATURE OF CON-RACTOR OR AUTHORIZED AGENT i0FATE, ENROP L�VA THIS I f1R PERM iNSP opr�ArE S-GNATURE OF OWNER OF OWNER BUILOERi iDATE. 01 NEW [ ] Effective 1/1/98 ADDN [ ] CITY OF FRIDLEY ALTER [y] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 44 BUILDING PERMIT APPLICATION ConstructionAddress: 6,qo 67-fA AVE Legal Description: Owner Name & Address: &JE[.4rx] F,�n7an� Tel. # 4;-77/-3351AL_ Contractor: LUoeulAy Quit DE/1s f roc. MN LICENSE #,-100- 1,(, -371 Address: ysa COQ 6'6A;o.O 55iia Tel. # 4183- 5-g99 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: LengthWi th Hgt/Ground Sq. Ft. OTHER: � - �r Construction Type: RE- 4OF Estimated Cost: $ 1991 (Fee Schedule on Back) Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ = $ DATE: APPLICANT: �ss %ll�i�r'E�u//�rt�, /i%iy�y' &Wel• # Y83 589q Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee Sewer Main Charge TOTAL STIPULATIONS: $ D•e2 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 [ ] r00�-0038 NEW [ ] CITY OF FRIDLEY ADDN [ J 6431 University Ave NE, Fridley, MN 55432 (763) 572-3604 Bldg Insp ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 (763) 571-1287 Fax BUILDING PERMIT APPLICATION Construction Address: al Legal Description: Owner Name & Address: (-rg)W Tel. # 04; , '5' ?12 31cW Contractor: 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: Length GARAGE AREA: Length DECK AREA: Length OTHER: DESCRIPTION OF IMPROVEMENT Width Height Sq. Ft. Width Height Sq. Ft. Width Hgt/Ground Sq. Ft Construction Type: Estimated Cost: $ Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ _ $ DATE: ' APPLICANT: 11-1 ija r,� ��cvbcV Tel. # Call (763) 572-3604 for Permit Fees If mailing in application. Fax to 763-571-1287 if using credit card and we will call you for card number. Permit Fee Plan Review Fire Surcharge State Surcharge SAC Charge License Surcharge Curb Cut Escrow Erosion Control Park Fee Sewer Main Charge CITY USE ONLY - $ Fee Schedule on Reverse Side $ 65% of Permit Fee $ /'I CPO .001 of Permit Valuation (1/10th%) $ 1&0 $.50/$1,000 Valuation $ $1450 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 [ ] TOTAL $ ? &� STIPULATIONS: