PRE 2010 DOCSCity of Fridley, Minn.
BUILDING PERMIT No 6923
Date:
Owner: '� Ir!'� 3� Builder
Address Address
LOFATION, F B ILDING
No. Street .13
Part o
Lot __,; _ Block Addition or Sub-Divisiondo 47--
.
Corner Lot Inside Lot _ _ Setback _ 16. __.____._ Sideyard
Sewer Elevation ZJA _�_ — Elevation S
DESCRIPTION
T U P
` Front Depth Height Sq. Ft. /� Cu. Ft. I. f
t➢ Depth"C:ost' FTeigh j � �Sq. Ft. Cu. Ft
Type of Constructio Fast. /4 _ _ To be Completed
In consideration of the issuance to me of a permit to crset
t a building �de!criabove, I agree to do
theproposed work m accordance with the description above and inth all ons of
ordinances oY the city of Fridley. -- u
In consideration of the payment of a fee of $ M � , 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 W1,41—
within
uildi
w�n� city limits and this permit may be revoked at any time upon violation of any of the provisions of said
Building Inspector
NOTICE:
Ibis pereth does not cover the construction, hatel6Mion for w1ring, phnnbing, gas hosting, Sewer or water. Bo sun to See
the Building Inspector for Separate permits for thea Mena.
APPLICATION FOR BUILDING PERMIT
CITY OF FRIDLEY, MINNESOTA
OWNER'S NAr�n " d.1 rL t— -)o- X -3—b Y– BUILDER � '� d_ I& f- J t-, X I P.1r
ADDRESS A lo 0® f y 4& f j='Z NV ADDRESS S (o ® 0 '1" 1(d -v% 4L�
Is -a /"®/r �-
LOCATION OF BUILDING
No. Street Part of Lot
Lot Block Addition or Subdivision
1
Corner Lot Inside Lot--X—Setback 36 Side Yard
SEWER ELEVATION FOUNDATION ELEVATION
Applicant attach to this form Two Certificates of Survey of.Lot and proposed build-
ing location drawn on these Certificates.
DESCRIPTION OF BUILDING
To be used as:
T Depth THeight to
Sq. Ft. C®0 Cu. Ft.
Front Depth Height
Sq. Ft . Cu. Ft.
Type of Construction a -V--'_0_ , Estimated Cost
.In le , r
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 all the facts and
representations stated in this application are true and correct.
DATE SIGNATURE CUM—,
r
(schedule of Fee Costs can be found on the Reverse Side).
a A, -7--3
City of Fridley, Minn.
BUILDING PERMIT N® 7104
Date: '+
B
Owner: wilder
Address Address
LO�ATI !WDING
No. Street � -e__ _ Part
Lot Block 41 Addition or Sub -Di oft'-.
Corner Lot M Inside Lot ____ d� Setback _ Si and
Sewer Elevation
Foundation Elevation
DESCRIPTION OF BUILDING
To as:
I Front Depth _�� Height ZAQ Sq. Ft Cu. F A:e/�
— •®, t Depth Height _ _ Sq. Ft. Cu. Ft.
Type of COnstrUCtio d� Est v _ 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
ordinaaoes of the city of Fridley.
In consideration of the payment of a fee of permit is hereby granted to...._
to construct the building or addition as described above. This permit is granted upon
the express condition that the n to whom it is granted and his agents, employees and workmen, in all work
done in, around and upon sai 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 time upon violation of any of the provisions of said
ordinances.
NOTICE:
This permit don not cam the wnsftwon, hrstaWen for *Wng, phm&ing, gas heating, sewer or water. Be sure to sse
dw BWldh* laspenor for separate permhs for these harm.
OWNER'S NAMEJ ®j✓
APPLICATION FOR BUILDING PERMIT
fK
CITY OF FRIDLEY, MINNESOTA
ADDRESS �� 3 ALlie 511 /YZ ADDRESS) = U& J [�
LOCATION OF BUILDING
No.. -� /%jQl1n, Street, A14/At /Y z Part of Lot
Lot :Block. 7 Addition or Subdivision PlY t -,t C, A-
Corner Lot Inside Lot '5C Setback Side -Yard, oyP
SEWER ELEVATION FOUNDATION ELEVATION
Applicant, attach to this form Two Certificates of Survey of.Lot.and proposed build-
ing location drawn on these Certificates.
DESCRIPTION OF BUILDING
To be used as;
�e¢,�.c- -..z. �
a' '' A- f F Front Depth 2`® Height 7 9Is
Sq. Ft. 3> ® Cu. Ft.. ,�—e 0
Front Depth Height
,Sq. Ft. Cu, Ft.
Type of Construction 4,4 rr� a Estimated Cost /®S�
To be Completed 07V ly 6-1
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 all the facts and
representations stated in this application are true d c r ect:
DATE_ GAP / 9 — T SIGNATURE '-
Schedule of Fee Costs can be found on the Reverse Side).
.. 0
v1
suedEcr
PERM12255
City of Fridley
AT THE TOP OF THE TWINS
BUILDING PERMIT
RECEIPT NO.
I L
COMMUNITY DEVELOPMENT DIV.
r PROTECTIVE INSPECTION SEC.
1 . �
' /"'1 CITY HALL FRIDLEY 55432
'i
NUMBER
REV.
DATE
PAGE OF
APPROVED BY
---- A �•' 612-560-3450
910-F15
17/25/73
JOB ADDRESS 4543 Main Street N.E.
1 LEGAL
LOT NO.
BLOCK
TRACT OR ADDITION SEE ATTACHED
DESCR.
NZ 23,24
13
Plymouth Addition SHEET
2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE
James McCoy 4543 Main Street N.E.
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
$1 NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE
8 DESCRIBEWORK Construct 8' x 4' Addition to Garage after moving garage on property
9 CHANGE OF USE FROM TO
STIPULATIONS Maintain 4' sideyard setback and keep garage even with adjoining garage
SEPERATE PERMITS REQUIRED FOR WIRING,
HEATING, PLLUMBIN.G. AND SIGNS.
TYPE OF CONST.
OCCUPANCY GROUP
OCCUPANCY LOAD
SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING,
Wood Frame
VENTILATING OR AIR CONDITIONING.
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
R-1
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
$700 A�
0*
WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT
.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-
$12.00
STRUCTION OR THE PERFORMANCE OF CONSTRUCTION.
PLAN CHECK FEE
TOTAL FEE
�-
$12.98
S ATUR FCONTRACTOR ORA H RI ED AGENT (DATE)
WHEN PROPERLY LI TED THIS IS YOUR PERMIT
A
s.
BLDG )NSP Z6E
SIGNATURE OF OWNER IIF OWNER BUILDER) (DATE)
APPLICATION FOR RESIDENTIAL, ALTERATION,
OR ADDITION BUILDING PERMIT
CITY OF FRIDLEY, MINNESOTA
N0:. j STREET:-
LOT:
TREET:-LOT: BLOCK: /3 ADDITION
CORNER LOT: INSIDE LOT: ®SETBACK: SIDEYARD:
Applicant attach to this form Two Certificates of Survey of Lot and proposed
building location drawn on these Certificates.
DESCRIPTION OF BUILDING
To Be Used As: k7
Front: " Depth: Height:
Square Feet: Cubic Feet:
Front: —Depth: Height:
Square Feet; Cubic Feet:
t_177 i
Type of Construction: j Estimated Cost:
To Be Completed:
The undersigned hereby makes application for a permit for the work herein
specified, agreeing to do all work in sttict 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.
DATE: _ /� 3 SIGNATURE: l
(See Reverse Side For Additional Informat n.)
�.
16
tlhtrurppr's Lrrtifiratr
L4 �j 3
STATE SURVEYING
COMPANY
$; WEST 53RD STREET
MINNEAPOLIS 19, MINNESOTA
' i
O
• 1t; .
I
h ti�
Zy.I'
TELEPHONE 9233
BZ.O
N I
1'70'&:;711 J �
I hereby certify that this is a true and correct representation of a
survey of the bc:undaries of: �. ll of Lot 24, toy:ether with the `%orth
one-half of Lot 23, dock 13, PLY^!CTJTH, Anoka •;e:T t� , •,'it:ne2cta, and c,;
the location of all buildinCs thereon and all visicl; encroac�.rrcntc,
if any, from or on said lyric. Fubject to restrictions, reservaticr:s,
and easements of recor: if ani
As surveyed by me this 29th day of %''ay, lX3.
7f- i., t -Pa t
.00-V$ ueg4 seely aq Z usT3089
�..� TTVt14 Pogo. Qu UT l 7
p
:f•0
H
i
W
BZ.O
N I
1'70'&:;711 J �
I hereby certify that this is a true and correct representation of a
survey of the bc:undaries of: �. ll of Lot 24, toy:ether with the `%orth
one-half of Lot 23, dock 13, PLY^!CTJTH, Anoka •;e:T t� , •,'it:ne2cta, and c,;
the location of all buildinCs thereon and all visicl; encroac�.rrcntc,
if any, from or on said lyric. Fubject to restrictions, reservaticr:s,
and easements of recor: if ani
As surveyed by me this 29th day of %''ay, lX3.
7f- i., t -Pa t
.00-V$ ueg4 seely aq Z usT3089
�..� TTVt14 Pogo. Qu UT l 7
e
I, owner of the property located
at '7�J 3 ��5 , //► have no objection to the City
allowing the
/the construction of a o be located at
'7`.�`T �Gl�s�1) �rg-without' the required certificate of
survey that the City ordinarily requires for all new construction.
r Signed
�J
Address
/9 t73
Date
z.
itnes'
4
CITY OF FRIDLEY
APPLICATION FOR PWMBING AND GAS FITTING PERMIT
RATE SCHEDULE
PLUMBING FIXTURE RATES:,
NO.
RATE
TOTAL
New Fixtures
a.
w
5.00
au
Future Fixtures
$
K
e
Old Opening, New Fixture
Water
A
s
1.50
$
Beer Dispenser
$
4.00
+a4 b
w
►a
$
-3 14
w
w
b•
$
Neater
$
Rain Mater Leader
$
5.00
:
Hydraulic Valve
$
Q
u
-(A,n
p8
�
$
5.00
$
Mater Treating Appliance
_L
$
w
:
v
$
5.00
=,
�'
8
u
u n
Ga■ Dryer
in
w
rr,en�
ALL OTHERS AND/OR REPAIRS AND ALTERATIONS
t�
ai
1% of Value of Fixture or
Appliance
a
w
w
v�
.°i
($15.00)
TOTAL FEE
ti
5
s
lec
lot
2nd
3rd
4th
'pU - Future Connection Opening
connected with Sewer
V) - Now Fixture, Old Opening
Mater
i
RATE SCHEDULE
PLUMBING FIXTURE RATES:,
NO.
RATE
TOTAL
New Fixtures
$
5.00
F
Future Fixtures
$
3.50
$
Old Opening, New Fixture
$
1.50
$
Beer Dispenser
$
4.00
$
Blow off Basin
$
5.00
$
Catch Basin
$
5.00
$
Rain Mater Leader
$
5.00
:
Hydraulic Valve
$
5.00
;
Sump or Receiving Tank
$
5.00
$
Mater Treating Appliance
_L
$
7.00
:
Hot Mater Heater
$
5.00
=,
Gas Range
$
10.00
$
Ga■ Dryer
$ 10.00
$
ALL OTHERS AND/OR REPAIRS AND ALTERATIONS
1% of Value of Fixture or
Appliance
$
Reinspection Rae $
State Surcharge
$'
,
($15.00)
TOTAL FEE
$
Job Address
Department of Buildings
City of Fridley
Tel. /571-3150
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 Bu-ldings, and hereby declares that all
the facts and representations stated in this application are true and correct
Fridley, Nn.
OWNER
OLD - NEN BUILDING PERM? NO.
W
PERMIT NO. %v %
i
signed e
Obi. No.
ROUGH INSP. I
Date 1111
FINAL INSP.
Date
APPROVAL FOR PERKITaj J4
PrA
MINIMUM FEE FOR ANY PLUMBING PERMIT IS $10.00
PLUS THE $.50 STATE SURCHARGE-
rAW
CIiYOF
FRIDLEY
FRIDLEY MUNICIPAL CENTER • 6431 UNIVERSITY AVE. N.E. FRIDLEY, MN 55432 • (612) 571-3450 • FAX (612) 571-1287
August 10, 1993
Karen Philipps
686 - 87th Lane N.E.
Blaine, MN 55434
Subject: 4543 Main Street N.E., Fridley, MN
Dear Ms. Philipps:
The above -referenced property is zoned R-1, Single Family Dwelling.
See attached zoning code section.
The property is located in Zone C of the flood plain, which is
considered to be areas of minimal flooding. The community panel
number is 270013 0004 B, dated March 2, 1981.
If you have any further questions or concerns regarding this
property, please contact me at 572-3593.
Sincerely,
Michele McPherson, BLA
Planning Assistant
MM/dn
C-93-189
.v
3uilding
BUILDING
Permit No.:/, -005
Inspections
RESIDENTIAL APPLICATION
Received By:
763-572-3604
CITY OF FRIDLEY
Date Rec'd:
)ATE % rGa s
YOUR E-MAIL ADDRESS u 6v"a COaSTP'-i.ZTYJa/
/� �f'qy* ( 6^4
.ITE ADDRESS 4j�y '3
A
1 logru zi'i � �;�Lc � �n•' j � `� 3 z
'HIS APPLICANT IS:
[3 OWNER CONTRACTOR
PROPERTY OWNER/
NAME: ,s v ",4a
TENANT
ADDRESS: S `% 3 / /iw =moi = CITY /'�=JL4 7
STATI, % ]P Sill?2
PHONE: 7&'2, 531 7�72CONTRACTOR
NAME:C-c L'6A.'s7Vv't7--r <,�
STATE LICENSE # _761175-03 EXP DATE
SUBMIT A COPY OF
YOUR STATE LICENSE
ADDRESS: 172 -9 tc/r4r- ui ';7-. CITY STATFi'!�NZIP 5-5113
WITH APPLICATION
PHONE "t7= G FAX L — 13 6 - Z
SINGLE FAMMY/NEW CONSTRUCTION SIZE
PROPERTY TYPE
0 TWO FAMILY/NEW CONSTRUCTION STORIES
PERMIT TYPE
0 ADDITION 0 GARAGE/SHED 0 WINDOWS
0 BASEMENT FINISH ;;ROOF 0 DRAIN TILE
0 DECK 0 SIDING 0 OTHER
0 SV4MIV LNG POOL
TYPE OF WORK:
I 0 ADDITION
TENANCE/REPAIR 0 REMODELING
DESCRIBE WORK BEING DONE:_7—
312E OF IMPROVEMENT LENGTH WIDTH
HEIGHT Sq. Ft.
GOOFING 0 HOUSE ONLY
CUMBER OF SQUARES 7- 0 HOUSE & GARAGE
BASEMENT
REMODELING SUBMIT:
_Z
3ARAGES
?ROPOSED SIZE:
_ _ _ 0 ATTACHED GARAGE
DETACHED GARAGE
1. Floor Plan
2, Proposed floor plan
3. List of structural members to be used
"ROPOSED HEIGHT:
3IDING
`� �/�
/ OSoffit
FOR NEW CONSTRUCTION INCLUDING DECKS,
ADDITIONS. & PORCHES SUBMIT:
:3 Vinyl
D Aluminum
0 Trim
1. Site
Plan/Survey showing the existing structures
D Other
0 Fascia
and proposed project
2. Two sets of construction plans
WT-IDOWS
3. Energy Calculations
N EXISTING OPENINGS OYes ONO LOCATION OF WINDOWS
OR FOR NEW OPENINGS -DESCRIBE SIZE OF
OPENING CHANGES &
TYPE OF WINDOW TO BE INSTALLED NUMBER OF WINDOWS
ALL FEES ARE BASED ON VALUATION, INCLUDING THE COST OF LABOR AND MATERIALS:
(USING THE 1997 U.B.0 FEE SCHEDULE)
TOTAL JOB VALUATION $ OCCUPANCY TYPE
Permit Fee
Plan Review
Surcharge
Fire Surcharge
License Surcharge
SAC Charge
Curb Cut Escrow
Erosion Control
Park Fee
Sewer Main Charge
Total Due
See Back Page for Fee Schedule
65% of Building Permit Fee
(.0005) times the total job valuation — Minimum $.50
.001 x Permit Valuation (1/10%)
$5.00 (State Licensed Residential Contractors)
$1450 per SAC Unit (Plans to MWCC for determination)
ft+6ft= ftx$20=$
$450 Conservation Plan Review
Fee Determined by Engineering
Agreement necessary ( ) Non Necessary ( )
Make checks payable to: City of Fridley Attach
THIS IS AN APPLICATION FOR A PERMIT NOT VALID UNTIL PROCESSED
I hereby apply for a building permit and I acknowledge that the information above is complete and accurate; that the work will be in
conformance with the ordinances and codes of the City of Fridley and with the Minnesota Construction Codes; that I understand this is not a
permit but only an application for a permit and work is not to start without a permit; that the work will be in accordance with the approved
plan in the case of all work which irrees revieproval of plans.
SIGNATURE OF APPLICANT PRINT NAME 5 t1.A'.AiW4A4n - DATE
u�5i� 68 NlelS2h
Building
Z-5
BUILDING
Plan Review
Permit No.: 261 3 1
Inspections
Fire Surcharge
RESIDENTIAL APPLICATION
Received By:
763-572-3604
$_� !'
CITY OF FRIDLEY
License Surcharge
Dad'
763-502-4977 FAX
SAC Charge
$
$1825 per SAC Unit (Plans to MWCC for determination)
Curb Cut Escrow
$
EFFECTIVE 1-1-08
Erosion Control
$
DATE iA
YOUR E-MAIL ADDRESS
$
SITE ADDRESS
3
$
THIS APPLICANT IS:
OWNER ❑CONTRACTOR
$ i
PROPERTY OWNER/
NAME: S W n Stn
TENANT
ADDRESS: fII �1 6iln avid I CITY
STATE�[JzlP Z
PHONE: �S l —
NAME: T 0i' h OO
CONTRACTOR
ADDRESS -1351y' (LC --Wo A lolvl _ *190
CITYMQPle 6rW STATEMNzIP553k09
SUBMIT A COPY OF
PHONE 'KO3 1 9'Q — Z®U O FAX
YOUR STATE LICENSE
STATE LICENSE # 2 _� Z 2 _ ®�Z EXP DATE
PROPERTY TYPE
❑ SINGLE FAMILY/NEW CONSTRUCTION SIZE
❑ TWO FAMILY/NEW CONSTRUCTION STORIES
PERMIT TYPE
❑ ADDITION ❑ GARAGE/SHEDWS
❑ BASEMENT FINISH ❑ ROOF ❑ DRAIN TILE
❑ DECK ❑ SIDING ❑ OTHER
❑ SWIMMING POOL
TYPE OF WORK:
❑ NEW HOME CONSTRUCTION ❑ ADDITION
ANCE/REPAIR ❑ REMODELING
DESCRIBE WORK BEING DONE
SIZE OF IMPROVEMENT
LENGTH WIDTH
HEIGHT SQ FT
ROOFING
❑ HOUSE ONLY
BASEMENT REMODELING SUBMIT:
NUMBER OF SQUARES
❑ HOUSE & GARAGE
1. Existing Floor Plan
GARAGES
❑ ATTACHED GARAGE
2. Proposed floor plan
PROPOSED SIZE:
❑ DETACHED GARAGE
3. List of structural members to be used
PROPOSED HEIGHT:
SIDING
FOR NEW CONSTRUCTION INCLUDING DECKS,
13Vinyl
❑Soffit
ADDITIONS. & PORCHES SUBMIT:
❑ Aluminum
❑ Trim
I. Site Plan/Survey showing the existing structures
❑ Other
❑ Fascia
and proposed project.
2. Two sets of constriction plans
WINDOWS
3. Energy Calculations
IN EXISTING OPENINGS es
❑No LOCATION OF)Y�INDOWS
OR FOR NEW OPENINGS -DESCRIBE SIZE OF Lj V ,g.(1 Q V"nm
OPENING CHANGES &
TYPE OF WINDOW TO BE INSTALLED RPRESOR2249UNUMBER OF WINDOWS
ALL FEES ARE BASED ON VALUATION, INCLUDING THE COST OF LABOR AND MATERIALS:
TOTAL JOB VALUATION $ 14 , (USING(i THE 1997 UBC FEE SCHEDOCCUPANCY TYPE
Permit Fee
Z-5
See Back Page for Fee Schedule
Plan Review
$
65% of Building Permit Fee
Fire Surcharge
$
.001 times the total job valuation
Surcharge
$_� !'
.0005 x Permit Valuation Minimum $.50
License Surcharge
$
$5.00 (State Licensed Residential Contractors)
SAC Charge
$
$1825 per SAC Unit (Plans to MWCC for determination)
Curb Cut Escrow
$
ft + 6 ft = ft x $21= $
Erosion Control
$
$450 Conservation Plan Review
Park Fee
$
Fee Determined by Engineering
Sewer Main Charge
$
Agreement necessary ( ) Non Necessary ( )
Total Due
$ i
Make checks vavable to: Citv of Fridley Attach Stipulations
THIS IS AN APPLICATION FOR A PERMIT -NOT VALID UNTIL PROCESSED
I hereby apply for a building permit and I acknowledge that the information above is complete and accurate; that the work will be in conformance with the ordinances and codes
of the City of Fridley and with the Minnesota Construction Codes; that I understand this is not a permit but only an application for a permit and work is not to start without a
permit on site; that the work will be in accordance with the approved plan in the case of all work which requires review and approval of plans. 7��
SIGNATURE OF APPLICA CPRINT NAME DATEJ�''
APPROVED BY DATE