PRE 2010 DOCS0
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City of Fridley, Minn.
BUILDING PERMIT
Date: j
P
Owner: Builder _
Address
N° 7056
ON qF BUILDING
�Zf /ATI
No. 919 Street _. y ", _ Partof Lot
Lot 4/624469 -
_Block ___a , _ _ _ _Addition or Sub -Division .
Corner Lot — Inside Lot �J� Setback —_ Sideyard
Sewer Elevation F on Elevation 41 • 5
DESCRIPTION OF BUILDING
Front Depthg_K� Height Sq. Ft.� Cu. P%33 -,&7j-0
Font DepthHeight Sq. Ft. Cu. Ft.
Type of Constructio __' _. Fit t To be Completed
In consideration of the issuance to me of a permit to coMquet the wild
the proposed work in accordance with the descripti v t Orth in
ordinances of the city of Fridley.
I agree to do
provisions of
In consideration of the payment of a fee of 0 permit is hereby granted to
to constructthe 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
within the city limits and this permit may be revoked at any of any of the provisions of said
ordinances.
Building Inspector
NOTICE:
ihb permR doss not cover the conmuctton, instaibtien for wiring, phwhin9, gas hseting, sewer or water. Be sure to see
the Betiding ingm*or for soperats perenhs for these Rena.
ADDRESS ADDRESS
LOCATION OF BUILDING .,
No. Street fart. of Lot
Lot Block: Addition or Subdivision
Corner Lot Inside Lot Setback Side Yard-,
SEWER ELEVATION FOUNDATION ELEVATION
Applicant attach to this ,foam Two, Certificates of. Survey, of Lot and .proposed build-
ing location drawn on -these Certificates,.
DESCRIPTION OF BUILDING
To be used as:
Front. �., Depth Height •
Sq. Ft., _Cu. Ft.
Front Depth Height
Sq.. Ft . CUA Ft.:,
Type of Construction. .. Estimated'Cost
To be Completed
The undersigned hereby makes 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 all7the facts and
representations stated in this application are true and correct.
_(Schedule of Fee Costs can be found on„the , Peverse Side).
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City of Fridley
Application for Plumbing and Gas fitting Permit
Dept. of Bldgs. Phone SII 4-7470
DESCRIPTION OF WORK G
Number, Kind and Location of Fixtures Location_ O
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WATER HTR.
GAS
ELEG
Base
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2nd
3rd
4th
• Future Connection Openings
New Fixture, Old Openings
Connected with
Sewer
Cesspool O
PARTIAL RATE SCHEDULE
PLUMBING FIXTURE RATES: NO. RATE TOTAL
Number Fixtures ...................... x $1.50 $ �• O
Future Fixture Opening ................ x 1.20 $
New Fixture Old Opening .............. x 1.00 $
Catch Basin .... x 3.25 $
Water Heater (Up to 200,000 BTU) ...... x 2.00 $
New Ground Run Old Bldg. x 3.25 $
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, AImn 19Ae ,}
.4W:1-- "
Kind of
Used as
m�
To be completed about
Estimated ost, $
Ol New, uilding Permit No-� Permit No. OZ
Signe
By
B�Sess Phone No®®® v
ROUGH
GAS FITTING FEES: NO. RATE TOTAL FINAL
1st 3 Fixtures .......................... x $1.50 $ Z'�
Additional Fixtures .................... x .50 $
Gas Range to 200,000 BTU .............. x 2.00 $
REPAIRS & ALTERATIONS—Refer to Code
Description ................................................$
TOTAL FEE $ -20 dz °
SUBJECT
City of Fridley3
i 7� 1
AT THE TOP OF THE TWINS
BUILDING PERMIT
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R�CEf1sT NO.
COMMUNITY DEVELOPMENT DIV.
572,-360 �}
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(-SIJ
r � � PROTECTIVE INSPECTION SEC.
1 ;
I 1 1 CITY HALL FRIDLEY 55432
NUMBER
REV
DATE
PAGE OF
APPROVED By
612-571-3450
910415
4/16/01
JOB ADDRESS 380-382 74 Avenue NE
1 LEGAL
LOT NO.
BLOCK
TRACT OR ADDITION SEE ATTACHED
DESCR.
4
5
Melody Manor SHEET
2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE
Steve Papineau 380 74 Avenue NE 763-785-8977
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
Duplex
7 CLASS OF WORK
O NEW ❑ ADDITION ❑ ALTERATION IR REPAIR O MOVE ❑ REMOVE
8 DESCRIBE WORK
Reside BlgM Duplex
9 CHANGE OF USE FROM TO
STIPULATIONS
r
Per Section 1402, 1997 Uniform Building Code, requires that a weather
resistive barrier be placed over exterior sheathing to protect the interior
wall covering. Exceptions for this provision would be if sheathing is an
approved weatherproof panel or when the siding is an approved weather
barrier. Vinyl siding is not a weatherproof covering unless the manufacturer
states this in their application guidelines. Call for inspection of wrap
before covering.
SEPARATE PERMITS ARE REOUIREO FOR ELECTRICAL, PLUMBING, HEATING.
TYPE OF CONST.
OCCUPANCY GROUP
OCCUPANCYLOAD
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 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
@
$1
WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT
$2,000
•00
DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE
PERMIT FEE
SAC CHARGE
PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON-
STRUCTION OR THE PERFORMANCE OF CONSTRUCTION
PLAN CHECK FEE
TOTAL FEE
,--7 - A
2.25
e-9—IGNAJURE OF CO Af OA OR UTHORIZED AGENT IDATE.
EW ROPE ALIO THIS I$ Y P
9l P q E
-GNATUREOFOWN RdF WNERBWLDERi IOATEi
NEW [ ] 3(E.4c1/1/2001
ADDN [ ] CITY OF FRIDLEY (763) 572-3604 Bldg Insp
ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2
BUILDING PERMIT APPLICATION
Construction Address: S 6?0 -/-- :3 g-? 7y� 4& AIE
Legal Description:
Owner Name
d&1 Address Tel. #
Contractor l/ l>o�� T MN LICENSE #
Address: 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.
DECK AREA: Length 7j,91-F
th Hgt/Ground Sq. Ft.
OTHER: �C S / V,
VIA-4L
v
Construction Type: Estimated Cost: $ 4q, 00 v
Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ _ $
DATE: ®/ APPLICANT:Tel. #, 77
CITY USE ONLY -
Permit Fee
Fire Surcharge
State Surcharge
SAC Charge
License Surcharge
Driveway Escrow
Erosion Control
Park Fee
Sewer Main Charge
TOTAL
STIPULATIONS:
Call (763) 572-3604 for Permit Fees if mailing in application
Fee Schedule on Reverse Side
$ Ob .001 of Permit Valuation (1/10th%)
$ /. O U $.50/$1,000 Valuation
$ $1150 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 [ ]