PRE 2010 DOCSCity of Fridley, Nnn. c( / f, -, 5-
BUHDING
PERMIT N® '7303
Date: �
Owner: _ _ _. Builder --
Address - Address
/, -,I Lor TION nF BUILDING
No.Street Part
Lot _ ___ Block ;, Addition or Sub-Divisio
Corner Lot _ Inside Lot _ _ Setback
M. H. Sewer Elevation
1'O1 0(� f5°4,rreA I r,
Sideyard
+n 5'-3 ?o f
DESCRIPTION OF BUILDING
Tja
o Used .
/4 #, , .,'0
Front j 1:7 Depth Height a — Sq. Ft. Cu.
Front DepthLeight Sq. Ft. Cu. Ft.
Type of Construction ___ ,�,--- EstTo 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 compliance with ail provisions of
ordinances of the city of Fridley. a
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 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 thereo% shall conform in all respects to the ordinances of
Fridley, Minnesota location, construction, alteration, maintenance, repair and moving of buildings
within the dty ]imits� permit may be revoked at any upon viola f any of the provisions of said
ordinances.
NOTICE:
This pennh does not cover the construction, Installation for wiring, plumbing, gas heating, sewer or water. Be sure to we
the Buildh* Inspector for separate permhs for these hems.
AppIcaflan for Power Plaft and Healhi& Cod;ngj Veoffaftne R @nd
Air ComMoning Srftm -and Devicn
GRAVITY WARM AIR:
RATE TOTAL
Furnace Shell & Duct Work ...........................
$10.00
Replacement of Furnace ...............................
6.00 $
Repairs & Alterations—up, to $500.00 * .................
6.00 $_
Repairs & Alterations each add. $500.00 ...............
3.00 $
Furnace Shell & Duct Work to 120,000 BTU ............ $10.00 $
each add. 60,000 BTU ....................... 3.00
Replacement of Furnace ........................ ..... 6.00 .$_
Repairs & Alterations --up to $500.00 ................. 6.00 $
Repairs & Alterations each add. $500.00 .............. 3.00 $
STEAM or HOT WATER SYSTEM
Furnace Shell & Lines—to 400 sq. ft. EDR Steam .$10.00 $
Furnace Shell & Line—to 640 sq. ft. EDR Hot Water 10.00 $
Each add. 200 sq. ft. EDR Steam ..... ......... : ...... 3.00
Each add. 320 sq. ft. EDR Hot Water ... . ........... 3.00 $
OIL BURNER—to 3 gal. per hour ..... ..... 6.00 $
over 3 gal. per hour ---See Fee Schedule
GAS BURNER (up to 199,000 BTU) .......
................. 5.00
over 199,000 BTU See Fee Schedule
GAS FITTING FEES:
NO RATE TOTAL
Ist 3 Fixtures ......................
x$ 100
$
Additional Fixtures ..................
x .75
$
Gas Range to 199.000 ......
x$15.J*
AER CONDITIONING
Q "5 Lj
FAN HEATING SYSTEM
See Fee Schedule
VENTILATING SYSTEM
ALTERATIONS & REPAIRS
TOTAL.
ROUGH
FMAX.. _f_ / 9- __;? %/
Dept. of Bldoo. Phone OW -UM
Loma= v
City of Fridley:
The undersigned hereby makes application for a permit for the work hereft
specified, agreeing to do all work in strict accordance with the City Ordinances
and ruling of the Department of Buildings, and hereby declares that an the facts
and representations stated in this application are true and correct.
Fridley. Affinn l%ZA_
Ownergf!6,10
v
Kind of Building
Used as
To be completed about
Estimated Cost, $ .f—v
(0��INew. Building Permit No. Permit No.
e"PESCRIPTION OF WORK
Hot Water, Warm "—No—
Trade Name Size No tr/ oX 5-- 2
Capacity. Sq. FL E.D.R BTU __!4:�'!�J H.P.
Total Connected Load Kind of Fuel42
BURNER — Trade Name Size No
Capacity Sq. Ft. EM.R BTU— Hill
JREMARKS—OVER)
SUBJECT
PfRMI O.
City of Fridley
® 135 71
AT THE TOP OF THE TWINS
PERMIT
i �
BUILDING
BUILDING
COMMUNITY DEVELOPMENT DIV.
r PROTECTIVE INSPECTION SEC.
1 = i
CITY HALL FRIDLEY 55432
NUMBER
REV.
DATE
PAGE OF
APPROVED BY
612-560-3450
910-F15
16/4/76
JOB ADDRESS 4528 - 2nd Street N.E.
1 LEGAL
LOT NO.
BLOCK
TRACT OR ADDITION SEE ATTACHED
DESCR.
8
13
1 Plymouth Addition SHEET
2 PROPERTY OWNER MAILADDRESS ZIP PHONE
Ruth Evens 4528 - 2nd Street N.E.
3 CONTRACTOR MAILADDRESS ZIP PHONE LICENSE NO.
Gorco Construction 3384 Brownlow Avenue, St. Louis Park, 55426 929-7868
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 11 ADDITION ❑ ALTERATION 1:1 REPAIR El MOVE ❑ REMOVE
X
8 DESCRIBE WORK
.Construct a 16' x 22' Garage
9 CHANGE OF USE FROM TO PM& .
STIPULATIONS DIVISION REGARDING CURB
Provide a hard surface driveway.
REMOVAL AND REPLACEMENT
AT DRIVEWAY OPENINGS.
SEPERATE 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.
Wood Frame
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 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
$2,604.80
$1.30
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-
6.50
STRU,CTI OR THE PERFORMANCE OF CONSTRUCTION.
PLAN CHECK FEE
TOTALFEE
--'-� /$7.80 Pr
SI ATUREOFCONTRACTORORAUTHORIZEDAGENT IDATEI I
WH��E�N S�PROPERLYV�ALIIDAT�EDTHTS4�; YOUR PERMIT-
)NSP DATE
SIGNATJJRE OF OWNER IIF OWNER BUILDER) (DATE) -IIBLDG.
APPLICATION FOR RE'SIDE'NTIAL, ALTERATION,
OR ADDITION BUILDING PERMIT
CITY OF. FRIDI,EY, MINNr.SOTA
OWNER ` S NAME : BUILDER:
ADDRESS: �%�� anCtSit D 0 � ADDRESS: 138/1 aocun J -o (LLk�
NO • .���
STREET:
LOT: BLOCK: k3 ADDITION: AjjnjLGQ
CORNER LOT: INSIDE LOT: I/ 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:
rl�4 Front:_ /� Depth: as / Height: /J
Square Feet: Cubic Feet:��
Front: Depth:
Square Feet; Cubic Feet
Height:
Type of Construction: ('000d '9f) f7u--- Estimated Cost: $
To Be Completed:
The undersigned hereby makes application for a permit for the work herein
specified, agreeing to do all work in stHet 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:
(See Reverse Side For Additional Information.)
p,
(�
4-0
� d
�ONDED r
I�INSURE
` "Twin Citbs Leading
GORCO CONI
the followin
NAME:
ADDRESS:—
CITY:
Attached
Nidth x Length)
LDG. SIZE X
N
MINNEAPOLI W a���;PRCO C®I\ISEDIT
TRUCTION CO.- ST. PAUL F INFORMATION
FR ®�` '� 3384'BROWIYt:OW AVE. ..,929-7868 a Concrete Carpentry
I' �' ST. LOUIS PARK. MINN.5426
U
3 s
Date ��� 19 E
after calls ONTRACTOR is directed to make ' ..,
t
ADDITIONAL SPECIFICATIONS:
40We 40C.00
t InUCHT4Arty Of.
BUS.:
9740-70
RAFTERS Z X
HOME:
GABLE EAVE O/H
�7 %
t/
ESf
'L.
ZONE:
OC
GABLE END
st STATE:
R
—
APPROACH FILL
240 # SELF Match Close
WALL SHEATHING J,
GEN 11RAL SPECIFICATION 11 Frame Only Add -On
V 7°''
ROOF STYLE
l > rq, �
STUD. WALL X X
OC
SIDE EAVE O/H
RAFTERS Z X
P
OrC
GABLE EAVE O/H
�7 %
t/
'L.
WALL TIES X J� X
OC
GABLE END
M
APPROACH FILL
240 # SELF Match Close
WALL SHEATHING J,
I-
ROOFING
As Possible
Lot
EXTERIOR COVERING
REINFORCEMENT
GLADWOODSIDING (
) INSULITESJDING
( ) CLADWOOD SHAKES
I VERT. CEDAR SIDING (N MASONITE SIDING
( ) PRIME SHAKES
1 HCIRZ.CEDARSIDING (
)ALUMINUMSIDING
( )WOODSHINGI,6S
REDWOOD -SIDING (
)STUCCOSIDEWALL
( )
WIDTH:
THICKNESS:
EXPOSURE:
NATION
DRIVE-IN DOOR
Ga emoval
FLUSH — PLAIN — GLAZED ( ) 9x66 (
) 9 x 7 ( ) 9x8
0 PANEL — PLAIN — GLAZED (() 10x66 (
) 10x7 ( ! 10x8
rJFIBER GLASS
( )16x66 (
) 16x7 ( )16x68
Brush/Tres RemoHIG
( ) 18x66 (
) 18x7 ( ) 18x68
_I
1 INpOWS
I— SERVICE DOOR
--HARDWARE
TORSION
`)
—I
( TYLE ES 2= x 68— ( NO
GL GLZ.
(STRETCH (`
( ) CONVENTIONAL
34 x 60 — ( )
*unless specified garages are unpainted
Included
Included
Included
Not Included
Not Included
Not Included
any _
r6 P -
q:5I.1PNt
A Vj (Ai DOW
CtsNOt1
vfi
f --
f ALA&K
0
FOR THE SUM OF
TE RMS:
CASH UPON RECEIPT OF STATEMENT
( ) FHA TITLE #1 MONTH PLAN.
( ) CONVENTIONAL MONTH PLAN.
( ) PROMISSORY NOTE $
Cash On Completion
®T"
�08Y
s"r
—
2�e� /OrTI LARS
PURCHASE PRICE $ 00•
s
DOWN PAYMENT $
wt� ® x
ALANCE DUE $
Relents
Gorco Owner
ACCEPTED AS SPECIFIED ABOVE;
orco Owner
Xs ZG%
Go Owner� URCHASER:
Gorco caner X 1 LU
SALESMAN:
ISEE REVER E SIDE OF CONTRACT FOR CONDITIONS HEREOF)
BULLDING PMIT $
orca. Owner, -
r'
"You the buyer, may cancel this purchase at any time
prior to midnight of the, third business day after the date
of this purchase. See attached notice of cancellation
form for an explanation of this right."
CONCRETE SPECIFICATIONS
I
I d Not I nc.
SLAB &APRON
Driveway
Ground
APPROACH FILL
Preparation
Lot
REINFORCEMENT
Survey
Conduit
PATIO SLAB
Hole
LAWN WALK
NATION
Ga emoval
BLOCKSOVSlab
Remove
JNE
BLOCKS U R
Brush/Tres RemoHIG
ORM
Waterpr g
ROST FTGS.
c filling
*unless specified garages are unpainted
Included
Included
Included
Not Included
Not Included
Not Included
any _
r6 P -
q:5I.1PNt
A Vj (Ai DOW
CtsNOt1
vfi
f --
f ALA&K
0
FOR THE SUM OF
TE RMS:
CASH UPON RECEIPT OF STATEMENT
( ) FHA TITLE #1 MONTH PLAN.
( ) CONVENTIONAL MONTH PLAN.
( ) PROMISSORY NOTE $
Cash On Completion
®T"
�08Y
s"r
—
2�e� /OrTI LARS
PURCHASE PRICE $ 00•
s
DOWN PAYMENT $
wt� ® x
ALANCE DUE $
Relents
Gorco Owner
ACCEPTED AS SPECIFIED ABOVE;
orco Owner
Xs ZG%
Go Owner� URCHASER:
Gorco caner X 1 LU
SALESMAN:
ISEE REVER E SIDE OF CONTRACT FOR CONDITIONS HEREOF)
BULLDING PMIT $
orca. Owner, -
r'
"You the buyer, may cancel this purchase at any time
prior to midnight of the, third business day after the date
of this purchase. See attached notice of cancellation
form for an explanation of this right."
Please find survey attached for job
we previously submitted for permit along
with our check in the amount of $ 7.80.
Please call when job is approved and we
will have our cement stop in to pick up
the permit. Thanks.
Co.
Ae
SO'U.
*0
/\
4.
t BONDED CONTRACT
11
INSUR,F,E) MINNEAPOLIS , ?URC® CONS'T'RUL®
I WN C. ST. PAUL
929-7868 l -1,` n 929-7868
PARK, 3384 B AVE.
"Twin Cities Leading Garage Builders" k � ' -�-
ST. LOUIS PARK, MINN. 55426
GORCO CONSTRUCT}ON CO., hereinafter called CONTRACTOR is die
the followin Y.
irr�ro e Jto the Ari`perty of: 1 BUSS; ted to make
NAMI `/'' ii.4`a'!'L•'�1 HOME: `� Cd"'�Q ^"y'7
ADDRESS: _
Y5 o ; 'r��j� ZONE:
CITY: -?- STATE: /6
1111ached 11 oka.hed - GEN RAL SPECIFICATION Frame (ly Add On
,dth x Length)
OG. SIZE X �. ' Z'` ROOF STYLE r
STUD. WALL X 7 X Z- OC SIDE EAVE O/H
•;RAFTERS �+_. _X 'OC GABLE EAVE O/H'
.WALL TI ES X )�- X % OC GABLE END M 'L.
r
WALL SHEATHING �l�t
240 # SELF Match Close
G � ROOFING {(
As Possible
EXTERIOR COVERING
CLADWOOD SIDING ( ) INSULITE SIDING ( ) CLA�OOD SHAKES
VERT. CEDAR SIDING (>q MASONITE SIDING ( )PR 'NSHAKES
) HORZ. CEDAR SIDING ( ) ALUMINUMSIDING ( )WOdSHINGLES
REDWOOD SIDING ( ) STUCCO SIDEWALL ( )
WIDTH: THICKNESS: EXP' ,
URE.
DRIVE-IN DOOR
FLUSH - PLAIN - GLAZED ( ) 9x66 ( ) 9 x 7 ( ) 9x8
(PANEL - PLAIN - GLAZED 010x66 ( ) 10x7 ( )10x8
) FIBERGLASS ( ) 16x66 ( ) 16x7 ( ) 16x68
- ) 18x66 ( ) 18x7 ( ) 18x68
HARDWARE �QOWS -�-- ---
-- -I I• L VICE DOOR -I
)RSION (`�„t 8 LE ES 2- x XF-N0--j
tRETCH ( ) ( ) CONVENTIONAL C 30-)0
CONCRETE SPECIFICATIONS
Incl d Not Inc.
11
A13 &APRON
PPROACH FILL
-INFORCEMENT
'TIO SLAB
AWN WALK
N E
R'6AVATION W S
'_OCKS U
IG ORM
N E
N E
W S
Ground
Preparation
Lot
Survey
Conduit
Not Included
B Not Included
Not lnGuded
Date �- --1 19
N
, CC A;,)j !+
fi
Iy
S%
/7
IN
CONTRACT
o NUMBER
F CREDIT
1 INFORMATION •.
C
F Concrete Carpentry
U
E OPERATION
COMPLETED
ADDITIONAL SPECIFICATIONS:
/76
6
r L r 6 "• '✓
f
IT1 `
corco Owner
ACCEPTED As a--
porco owner
Xc ZC6�
"o Owner
(�! RCHASER:
7 prior to n.
`'-^ AA _ of this num
4
Please check to see if this is enough
information with the survey you have on file
to be able to get a permit. .1 would appreciate
a call from you after you have checked it.
Thank you.
Cr7�� .�' C(D.
3384 Brownlow Av—
'St Louis Park, Min:lesota 55426
_:. 6 9• 6111 Vr FR1UL.G1
9—L-$79>?Ol APPLICATION FOR PLUMBING AND GAS FITTING PERMIT
'PARTIAL RATE
SCHEDULE
PLUMBING FIXTURE RATES:
NO,
RATE
Nu--ber Fixtures
x
53.00
Future Fixture Opening •
4
Mp,
x
$2,00
Catch Basin
water
f
a
a
$5.00
100;000 BTU to 199,000 BTU
x
w
T oC
a
Q
New Ground -Run Old Building
�_ x
' $5.00
W
x
$5.00
Heater
a
3as
lee
c
' o
,�!
a
19H
a
w
o
g
�
�
m
a
U
a
M
H
3
Q
H
w
tiR
t�
0
r=
lst
co
ne
t r
n
2nd
3rd
4 th
.
(R) - Future Connection Opening
Connected with Sewer
(•) - New Fixture, Old Opening
water
'PARTIAL RATE
SCHEDULE
PLUMBING FIXTURE RATES:
NO,
RATE
Nu--ber Fixtures
x
53.00
Future Fixture Opening •
$3.00
New Fixture, Old opening
x
$2,00
Catch Basin
_ x
$5.00
`water Heater - to 99,000 BTU,
x
$5.00
100;000 BTU to 199,000 BTU
x
$10.00
Water Softener
x
' $7.90
New Ground -Run Old Building
�_ x
' $5.00
.Electric water Heater `
x
$5.00
GAS FITTING FEES;,
lst 3 fixtures
Additional Fixtures•
.Gas Range to 199,000 BTU
REPAIRS 4 ALTERATIONS
First $100.00
each add. $100.00 or fraction
x $3.00
x $1.00
x $10.00
State Surcharge
TOTAL FEE
REINSPECTION FEE
(530.00)
$5.•00
Sa.00
TOTAL
$
Job Address -4528 2 STREET ATF
Department of Buildings
City of Fridley i
Tel. #571-3850
The undersigned hereby makes application for a permit for the work herei
specified agreeing -to do all work in strict accordance with the City Code
and rulings of the Department of Buildings, and hereby declares that all
the facts and representations stated in this application are true and corp
Fridley, Mn. 310-77 , 19
;Z5
KIND OF BUILDING fraMe
USED AS res.
TO BE COMPLETED ABOUT -17 -7 7
ESTIMATED COST 10.00
OLD - NEW BUILDING PERMIT NO. PERMIT N0. 91
CompLP�y/�
Signed By MINNEGARC^ `
Tel. No.
ROUGH INSP.
Date
FIN4L INSP.
Date
APPROVAL FOR PERMIT
MINIMUM FEE FOR ANY PLUMBING PERMIT IS $7.50
SUBJECT
P T N
City of Fridley
16 512
AT THE TOP OF THE TWINS
BUILDING PERM l T:
r
R CEIPT NO.
•COMMUNITY DEVELOPMENT DIV.
may_______
PROTECTI
1 � � VE INSPECTION SEC.
O
CITY HALL FRIDLEY 55432
NUMBER
REV.
DATE
PAGE OF
APPROVED BY
612-571-3450
910-F15
4/6/82
JOB ADDRESS 4528 - 2nd Street N.E.
1 LEGAL
LOT NO.
BLOCK
TRACTOR ADDITION SEE ATTACHED
DESCR.
$
13
Plymouth Addition SHEET
2 PROPERTY OWNER EvanS MAILADDRESS ZIP PHONE
Ruta 4528 - 2nd Street N.E. 572-1707
3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO.
Lloyd's Home Improvement Inc. 1012 - 42h Aveneu N.E. 788-5602
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
Reside Dwelling
9 CHANGE OF USE FROM TO
STIPULATIONS
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
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 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
$2,700
$1,35
WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT
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-
$38.50
STRUCTION OR THE PERFOR ANCE OF CONSTRUCTION.
PLAN CHECK FEE
TOTALFEE
$39.85
SIGNATUR, OF CONTRACTOR ORAUTH RI DAGENT (DATE)
WHEN PROPERLY VALIDATED THIS IS YOUR PERMIT
Ap
X a A
SIGNATURE OF OWNER 0F OWNER BUILDER) (DATE)
BLDG INSP DATE
CITY OF FRIDLEY Effective Aug. 1, 1981
APPLICATIM FOR RESIDENTIAL BUILDING PERMITS
(New. Alterations, Additions, or Repairs)
01114ER:
s
ADDRESS:
TEL NO: `-2 �Z % O
BUILDER:
ADDRESS:
TEL NO:
Construction Location
STRICT NO: L,/s` STREET:���
IAT: BLOCK: ,�� ADDITION:
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 CONSTP,UCTION
Front: Depth: Height:
Square.Feet: Cubic Feet:
Front: Depth: Height:
Square -Feet: Cubic Feet:
Type of Construction: ° Estimated Cost: $ G rxe
Rb Be Cbmpleted:
Alt. A Alt. B
Proposed Driveway width If New Opening Is Desired: $ $
SEE REVERSE SIDE OF SHEET
Tile 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.
D.7TE:
SIGNATURE:
Stipulations:
01
SUBJECT
PERMI
City of Fridley
19580
AT THE TOP OF THE TWINS
BUILDING PERMIT
r
�
RE
• _ __ COMMUNITY DEVELOPMENT DIV.
r •� PROTECTIVE INSPECTION SEC.
®9
1
`,
-"-'1 CITY HALL FRIDLEY 55432
�.j
NUMBER
REV.
DATE
PAGE OF
APPROVED BY
612-571-3450
910-F15
7/6/88
JOB ADDRESS 4528 - 2nd Street N.E.
1 LEGAL
LOT NO.
BLOCK
TRACT OR ADDITION SEE ATTACHED
DESCR.
8
13
Plymouth Addition SHEET
2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE
Ruth Evans 4528 - 2nd Street N.E. 572-1707
3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO.
Lloyd's Home. Improvement Inc. 1012 - 421-A Avenue N.E., Columbia Heights, PIN 55421
4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO.
788-5602
5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO,
6 USE OF BUILDING
Residential
7 CLASS OF WORK
❑ NEW ❑ ADDITION ❑ ALTERATION lj REPAIR ❑ MOVE ❑ REMOVE
8 DESCRIBE WORK
Reroof Dwelling (15 Squares)
9 CHANGE QF USE FROM TO
STIPULATIONS Roof can be 2nd layer but not 3rd, install ridged --galvanized valleys.
On all new toofs or tear -offs and replacement roofs,
State Code feglilre$ that 2 layers of 15 lb. felt,
mopped together, be installed to a point 24 inches
up from exterior wall line, or the use of other
approved underlayment membrane.
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
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
I
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
$750
$' S0
WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT
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-
$21.00
STRUCTION OR THE PERFORMAN OF CONSTRUCTION.
LAN CHECK FEE
TOTAL FEE
$21.50
,1 /�
�
Si ATUREOFCONTRACTORORAUTHORIZ (DATE)
a WHEN PROPERLY AL�TEIS YOUR PE IT
BLDG iNSP ATE
SIGNATURE OF OWNER I IF OWNER BUILDER) IDATEi
01
MR I I City of Fridley Effective 5/1/88
ADDN I I R-1 AND R-2
AMER I I Building Permit Application
Construction Address
legal --
Owner Name
•. Mli ,� r� 1.>_t .ire it -
Address: -Va
Attach to this application, a Certificate of Survey of the
lot, with the proposoed construction drawn on it to scale.
Width
Widt-':
Width
Height
Height
Bgt/Ground
Sq.
Ft.
Sg.
Ft. '
Sq.
Ft.
turner Lot I I Inside Lot I I ,Ft.. Yd Setback Side Yard Setbacks
Type of Construction: ��;ff.)Estimated Cost:
.._ ` 5 s
Approx. Completion Date:
Alt. A Alt. B
Proposed Driveway Width If New Opening Is Desired: $ $
Width + 6' See Back Page
10-1
DATE: 6'cl APPLIC!W: Tel.
CITY USE OILY
Permit Flee s- 0 0
State Surcharge S ��
SAC Charge $
Driveway Escrow s
FBrk Flee $
Sewer Main Charge s
TOTAL 5- �/• .� d
SFIFU MIM:
Fee Schedule on Reverse Side
$.50/$1,000 Valuation
$550 per SAC Unit
Alt. "A" or Alt. "B" Above
Flee Determined by Engineering
Agreement Necessary I I Not Necessary I I
CITY OF FRIDLEY INSPECTION DIV.
6431 University Ave NE
Fridley, MN 55432
572-3604
wAPPLICATION FOR PLUMBING AND GAS FITTING PERMIT
RAADW K11 I&AMCD r1r7 MYTI 101=4Z Tn MP IK14ZTAI I P:n r)M I=Ar-W 1=1 (*)Ir)P
Effective On Jan 1, 2000
PLUMBING FIXTURE RATES: NO.
RATE
New. Fixtures
$7.00
Old Opening, New Fixture =
$4.00
Beer Dispenser
$5.00
Blow Off Basin
$7.00
arm
$7.00
Rain Water Leader
$7.00
Sump/Receiving Tank
$7.00
Water Treating Appliance
$10.00
Water Heater -Electric
$7.00
Water Heater - Gas**
$10.00
Gas Range**
$10.00
Gas Dryer**
$10.00
Back Flow Preventer Required )Yes No
Type_
$15.00
Reinspection Fee $47.00/Hr
ALL OTHERS AND/OR REPAIRS AND ALTERATIONS
1.5% of Value of Fixture or Appliance
PLUMBING FIXTURE RATES: NO.
RATE
New. Fixtures
$7.00
Old Opening, New Fixture =
$4.00
Beer Dispenser
$5.00
Blow Off Basin
$7.00
Catch Basin
$7.00
Rain Water Leader
$7.00
Sump/Receiving Tank
$7.00
Water Treating Appliance
$10.00
Water Heater -Electric
$7.00
Water Heater - Gas**
$10.00
Gas Range**
$10.00
Gas Dryer**
$10.00
Back Flow Preventer Required )Yes No
Type_
$15.00
Reinspection Fee $47.00/Hr
ALL OTHERS AND/OR REPAIRS AND ALTERATIONS
1.5% of Value of Fixture or Appliance
State Surcharge
TOTAL FEE
TOTAL
JOB ADDRESS 45 2-ff - 2 -n -g S.L NO - - +
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 Building Division, and hereby declares that all the facts
. I
.and representations stated in this application are true and correct
-7 Ok I
Owner—, 21 Qal' V
Building Used As jk6kpcm cz
Estimated Cost PERMIT NO. 2160
PLUMBING COMPANY t�ISQOM
SIGNED BY
Approved By
d9LM?7
Rough -In Date Final Date
I
COMBUSTION AIR SHALL BE PROVIDED PER UMC SECTION 504(A) AND TABLE 6-,k COMMON VENT INFO ON BACK SIDE
2Q b)
Aim
elA00"—
CIlYOE
FRIDLEY
FRIDLEY MUNICIPAL CENTER - 6431 UNIVERSITY AVE. N.E. FRIDLEY, MN 55432 - (763) 571-3450 - FAX (763) 571-1287
March 29, 2002
V. Zablocki
4528 2 Street NE
Fridley, MN 55421
Re: Final Inspection at 4528 2 Street NE
Contractor: Norblom Plumbing Co.
Dear V. Zablocki:
A plumbing permit was issued on April 6, 2001 to install a water heater at your address.
According to Section 4715.2800 of the State Plumbing Code, a final inspection shall be
conducted on the work authorized by this permit. As of this date the inspection has not
been requested.
The permit fee that was paid covers the inspection to make sure the work was completed
according to the Codes. We will keep your permit open for another 30 days and if we do
not hear from you within this time to set up the inspection, we will mark the permit "no
inspection called for by homeowner after notification" and take no further action.
To set up the inspection or to have any questions answered, please contact the Building
Inspection Division at (763) 572-3604.
DJ/mh