PRE 2010 DOCSDate: ..Ez". ............
Address °?.''°.....
City of Fridley, Minn..
BUILDING PERMIT N9 3 216
.............
1 ... Builder
11 ........... Address .............................................
LOCATION OF BUILDING
,
No. A:jj�� A .L ... Street ... ` "�A � °�� .... Part of Lot ... .. .
� � . �..... ..... � .:........ ��
Lot .... ... Block ............. ,-Addition or Sub -Division . ..�..... ..� ..� .. .. .
Corner Lot ............ Inside Lot ... ...... Setback ............ Sideyard .:...... ." ............... �tttole
`
Tc� be. Used as: .... ........ ........ .. ... ........
Front Depth Height . t . .. Sq. Ft. Y1..� Cu. Ft.
.................... Front ........ Depth ..... Height ........ Sq. Ft. ........ Cu. Ft. ........
Type of Construction .° P `.... Est. Cost./ �� .......... To be Completed ...................
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In consideration of the issuance to me of a permit to construct the building desribed above, I agree to do
Y Y the proposed work in accordance with the description above set forth and in complian with all provisions of
dinances of the city of Fridley:
d3 .;... ... .......
A
l In consideration of the payment of a fee of �e permit is hereby /�' P Ym $.......®:.., P Y granted to `s.Vy:'t`j�:-...�" �'f'`::
Imo- 4s.......... to construct the building or addition as described above. This permit is grantupon
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.
-.` Building Inspector
NOTICE:
This permit does not cover the construction, Installation or alteration for wiring, plumbing, gas heating,
sewer or water. Be sure to see the Building Inspector for separate permits for these Items.
e
SUBJEdT
City of Fridley
2 7878
AT THE TOP OF THE TWINS
P E R
BUILDING
A A'v, I T
1
COMMUNITY DEVELOPMENT DIV.
r � � PROTEC PE 1 E
1 , i®L1
5
CITY HA
NUMBER
REV
DATE
PAGE OF
APPROVED BY
L 612-571-3450
910-F15
9/21/98
JOB ADDRESS 4555 2nd St NE
1 LEGAL
LOT NO.
BLOCK
TRACT OR ADDITION
SEE ATTACHED
DESCR.
13
2
Rearrangement Of Plymouth
SHEET
2 PROPERTY OWNER MAIL ADDRESS ZIP
PHONE
Tial & Lorraine Glasen
572-1591
3 CONTRACTOR MAIL ADDRESS ZIP
PHONE LICENSE NO
Progressive Building Systems 23120 Garrison Rd Corcoran 55340 498-7241 20104340
d 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 ❑ ALTERATION O REPAIR
❑ MOVE ❑ REMOVE
8 DESCRIBE WORK
Reroof house & garage (17SQ) Tear-off
9 CHANGE OF USE FROM TO
STIPULATIONS
Underlayment must comply with the State Building Code.
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
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
$1,456.00
$.73
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-
$48.50
Fire SC $1.46
STRUCTI WtR THE PERFORMANCE OF CONSTRUCTION
PLAN CHECK FEE
T7 FEE
)r�,ATURE
License $5.0
$55.69
OFCON-RACTORORAUTMORIZEOAGENT IOATEIENROP
VALIDATE HIS IS Y UR PERM
G "
T1A iE
SIGNATURE OF OWNEROF OWNER BUILDERI IDATEI
e
NEW [ ] Effective 1/1/98
ADDN [ ] CITY OF FRIDLEY
ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2
BUILDING PERMIT APPLICATION
ConstructionAddress:
4
Legal Description:
Owner Name & Address: Tel. #
Contractor: MN LICENSE # .9 ®Oe- I/
Address:/ � Tel. # el 9 �-
Attach to this application, a Certificate of Survey of the
lot, with the proposed construction drawn on it to scale.
DESCRIPTION OF E%lPROVEMENT
LIVING AREA: Length Width Height Sq. Ft.
GARAGE AREA: Length Width Height Sq. Ft.
DECK AREA: Length Width Hgt/Ground Sq. Ft.
OTHER: f r) ) P A. I — l EAt `ll
v
Construction Type: Estimated Cost: $ �7,> W
(Fee Schedule on Back)
Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ = $
DATE: 2
Permit Fee
Fire Surcharge
State Surcharge
SAC Charge
License Surcharge
Driveway Escrow
Erosion Control
Park Fee
Sewer Main Charge
TOTAL
STIPULATIONS:
$ S, Oo
Tel. # 34
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 [ ]