PRE 2010 DOCSIL
SUBJECT
O.
City of Fridley
16 0
AT THE TOP OF THE TWINS
BUILDING PERMIT
_
r
RE O.
• __ __ COMMUNITY DEVELOPMENT DIV.
INSPECTION SEC.
r
r � � PROTECTIVE
�$
CITY HALL FRIDLEY 55432
NUMBER
REV.
DATE
PAGE OF
APPROVED BY
;,,
L 612-571-3450
910-F15
12/5/80
JOB ADDRESS 4579 - 2nd Street N.E.
1 LEGAL
LOT NO.
BLOCK
TRACT OR ADDITION SEE ATTACHED
DESCR.
15
2 1
Rearr. of Blocks 13,14,15, Plymouth SHEET
2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE
Fern Dennis. 4579— 2nd Street N.E. 560-6537
3 CONTRACTOR I MAIL ADDRESS ZIP PHONE LICENSE NO.
Anoka County Comm. Action 7150 East River Road N.E. 572-0060
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
Reroof Dwelling
9 CHANGE OF USE FROM TO
STIPULATIONS
Use two layers. of 15# felt mopped to 2 feet inside the outside wall - or
3 feet wide, 50# or 90# starter roll
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 I 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
$2,000
$1.00
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,
$12.00
PLAN CHECK FEE
TOTAL FEE
$13.00
SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT (DATE)
WHEN PROPERLY VALIDATED THIS IS YOUR PERMIT
SIGNATURE OF OWNER IIF OWNER BUILDER) (DATE) P
BLDG INSP DATE
CITY OF I RIDLEY
`\ob�
ijrrLl(;/1'C IU'd FOR RESIDL"i1TIAt. BUILDING i't WfiITS
Wevi, Alterations, Additions', or Repairs)
OWNER:
ADDRESS: Y• %—
TEL h0: -5 6 0 "
BUILDER:%�t�
ADDRESS: e.t
TEL WO: _ 0 (Q D
Construction Location
STREET ,T NO: j� / STREET: � '!�
LOQ`: i� BLOCK: ADDITION: e �. Q-d,�
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 CONSTRUCTION -
FrM t: Depth : Height:
Squaw. Feet: Cubic Feet:
Front: Depth: _,__. Height:
Square -Feet: Cubic Feet:
Type of Construction: a
To Be Completed:
Proposed Driveuay Width If New Opening Is Desired:
Estimated Cost: $ va
Alt. A Al t. B
SEE REVERSE SIDE OF SHEET
Zie undersigned hereby makes application for a permit for the uork' herein specified,
agreeing to do ,all work in strict accordance with the City of rridley 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: X1017--'rlm � SIGNATURE:
Stipulations:
r
AW
CINOF
FRIDLEY
FRIDLEY MUNICIPAL CENTER • 6431 UNIVERSITY AVE. N.E. FRIDLEY. MN 55432 • (612) 571-3450 • FAX (612) 571-1287
August 7, 1992
Fern Dennis
4579 - 2nd Street N.E.
Fridley, MN 55421
RE: Property at 4579 - 2nd Street N.E.
Dear Ms. Dennis:
Recently I received information suggesting that one or more parties
is living in a trailer located along the north side of your house.
While trailers may be stored in the side yard, the Fridley City
Code does not allow them to be used as dwelling units.
If this information is correct,
situation as soon as possible.
if you have questions or wish to
your cooperation!
Sincerely,
Steven Barg
Planning Assistant
SB:sb
CE -92-385
please take action to correct this
Feel free to call me at 572-3595
discuss this further. Thanks for
CITY OF FRIDLEY PERMIT NO.: 2004-01499
6431 UNIVERSITY AVENUE NE
FRIDLEY, MN 55432 DATE ISSUED: 09/01/2004
572-36U4 kAX: (763) 571-1257
ADDRESS : 4579 2 ST NE
PIN : 263024330115
LEGAL DESC : REAR BL 13,14 & 15 PLYMOUTH
: LOT 15 BLOCK 2
PERMIT TYPE : ELECTRICAL
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : ADDITION/ALTERATION
VALUATION
NOTE: ELECTRICAL PERMIT BECOMES VOID 12 MONTHS AFTER PERMIT ISSUE DATE. INSTALL SAVERS SWITCH.
# INSPECTIONS 1
APPLICANT
HUNT ELECTRIC CORPORATION
2300 TERRITORIAL RD
ST PAUL, MN 55114 -
OWNER
DENNIS JAMES E
4579 2ND ST NE
FRIDLEY, MN 55421
AGREEMENT AND SWORN STATEMENT
This permit becomes null and void if work or construction
authorized is not commenced witin 60 days or if construction
or work is suspended or abandoned for a period of 120 days
at any time after work is commenced.
I hereby certify that I have read and examined this
application and know the same to be true and correct. All
provisions of laws and ordinances governing this type of worl
will be complied with whether specified herein or not. The
granting of a permit does not presume to give authority to
violate or cancel the provisions of any other state or local law
regulating construction or the performance of construction.
Applicant Date
Bldg Insp Date.
ELEC PERMIT FEE - MIN (RESI) 20.00
STATE SURCHARGE, ELEC FLAT 0.50
TOTAL 20.50
PAID WITH CHECK # 117431
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE.
Building BUILDING
Permit No.: ,qAj 0
Inspections RESIDENTIAL APPLICATION Received By: ` i 1
763-572-3604
CITY OF FRIDLEY
763-502-4977 FAX
I` A0
EFFECTIVE 1-1-2010
/n
DATEd
UR EG -MAIL ADDRESS
0Y
SITE ADDRESS % /t/
THIS APPLICANT IS: X" OWNER []CONTRACTOR
PROPERTY OWNER/
NAME:is., -A /U/jp
TENANT
ADDRESS: —5,4 e CITY
STATE ZIP
PHONE:
CONTRACTOR
NAME:
SUBMIT A COPY OF
YOUR STATE LICENSE
STATE LICENSE # EXP DATE
AND CERTIFICATE OF
ADDRESS:
CITY STATE ZIP
INSURANCE
PHONE FAX
PROPERTY TYPE
XSINGLE FAMILY/NEW CONSTRUCTION SIZE
❑ TWO FAMILYINEW CONSTRUCTION STORIES
PERMIT TYPE
❑ ADDITION 07 9ARAGE/SHED ❑ WINDOWS
❑ BASEMENT FINISHROOF ❑ DRAIN TILE
❑ DECK SIDING ❑ OTHER
❑ SWIMMING POOL
TYPE OF WORK:
❑ NEW HOME CONSTRUCTION D�°/ ❑ ADDITION
❑ MAINTENANCE/REPAIR 6C-❑ REMODELING
DESCRIBE WORK BEING DONE:
SIZE OF IMPROVEMENT LENGTH WIDTH
HEIGHT SQ FT
ROOFING ❑ HOUSE ONLY
NUMBER OF SQUARES ❑ HOUSE & GARAGE
BASEMENT REMODELING SUBMIT:
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,
❑ Vinyl ❑Soffit
ADDITIONS. & PORCHES SUBMIT:
❑ Aluminum ❑ Trim
1. Site Plan/Survey showing the existing structures
❑ Other ❑ Fascia
and proposed project.
2. Two sets of construction plans
WINDOWS
3. Energy Calculations
IN EXISTING OPENINGS ❑Yes ❑No LOCATION OF WINDOWS
FOR WINDOWS — PROVIDE U -VALUE AND
OR FOR NEW OPENINGS -DESCRIBE SIZE OF
MANUFACTURE STICKER ON WINDOW.
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 $ 201 OCCUPANCY TYPE
Permit Fee as 2' S See Back Page for Fee Schedule
Plan Review $ 65% of Building Permit Fee
Fire Surcharge $ .001 times the total job valuation
Surcharge $ 0 `j, .0005 x Permit Valuation Minimum $.50
License Surcharge $ $5.00 (State Licensed Residential Contractors)
SAC Charge $ $2100 per SAC Unit (Plans to MWCC for determination)
Curb Cut Escrow $ ft + 6 ft = ft x $24 = $
Erosion Control $ $450 Conservation Plan Review
Park Fee $ Fee Determined by Engineering
Sewer Main Charge $ Agreement necessary ( ) Non Necessary ( )
Total Due $ A Make checks savable to: Citv of Fridlev Attach Stipulations
THIS 1S 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 applicat' 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 al ork w(h"ic uires review and approval of plans �� ��
SIGNATURE OF APPLICA (� PRINT NAME ��� '— • O�Jr"►�DATE /Z)
uilding BUILDING Permit
inspections RESIDENTIAL APPLICATION Receiv
1763-572 3604 CITY OF FRIDLEY Date IR
..
17A,TI'_-,�l�� .-�-��q � Y't:)UAR7E-MAIL ADD�RES-SI
81'rl. AllClI{1;55 ��. -t < � .. .S"1y ... Iv E
THIS APPLICANT IS: ❑ OWNRR XCCINTRAC 1`t)R
P_Fk0PEIVJr_Y OWNER/ 'NAME:��a wl e 5 Aeh h f s _
TENANT ADDRFSs:. L15..Z�i a 5+- Nttry F�rdl e
PROW
cONTla; cToR NAMI�- W a ad,� C o nc a p+s
5st11 MII A COPY C}W STATE LTCElgsl.. # .1: -�.. .. EXP DNI -8, 6
YOUR STAT LICENSI? aui�RESS�: ` 0 Lo.�0gr 9c sd S_t� '• // Y CITY,. ��
WIlii APPL:IC:ATItON PIIONF 0 61 '70 5 01067 FAX Q67,206'. /7y6"
PROPERTY TYPE �❑ SlNtil:I: CAMILYlN .W CONSTRUCTION . Sl'l.E,. _ —
p'1'WO FAMII.YINEW C OE ,ISTRt1C:IION ST'ORIFN _
TYPE U AD111I 1UN LI IJAffaTUrdinGL Rr. aaa,v rr ••
❑ DXSFMENT F NISH 13 ROOF ❑ DRAIN TILE
0 DECK ❑ SIDING 0 O'11 -181k
'I YPE OF,N4'ORK: u Ntiw LJ tW1J&,,.JL.
'9MAINTENANCTJ1MAIR Q REM01,31- ING
I)ESCRIBE WORK BEING DONE, re.,�e_ p n -e-w i ado Irl 4EX
SIZE OF IMP, ROVI MENT _LENGTH W [DTH
MUMSEP, OF SQUARES
ARh
PROPCISED SIZS:,_
YRQPOSL'p I IETCiH'1: ,_
❑ Vi1ryT
0 Alurnittwu
Q Otiler_ .
WINDOW
Q HOUSE & 0AWW9
❑ NITACHED GARAGE
G IDETACMD GARAGE:
CLSQMt
❑ Tg6m
1� Kaseia
IN 10aSTINO t'?PLNINO% XYcs ❑Nu LOC'AII N (IF WINDOWS O m
UK FOR NDN Pk3NINGS-DFSCRIBr; SIZE c) j a) -h. V r -
OPEMNG CliI 'NGES & 3 :
ALL
1, Existing 1
2, Proposed
3. List of st►
FOR NEW
I. Sitc Plan
and pmp,
2. Two :lets
3. Energy C'
STALLED sd e�MESLTt WINDgWS
BASED ON VALUATION, INCLUDING THE COST OF LABOR AND MATT
AL JOH V.
Pdrmit Fee
Plan Review
Fire Surcharge
surcharge,
License Surcharge
SAC Charge;
Curb Cut Escrow -
Erosion Control
Park Fee
Sevrer Main,Charge
(USING
E IM U.B,C FEE SCHEDULE)
DATION $
L/. 0 0 OCCUPANCY TYPE
$
See Back Page for Fee Schedule
$
G5 -/o of Btdld ng Permit Fee
$ 001 times the total job valuation
S
.0005 x Permit Valuatiotl Minimum.S.50
$
$5.00 (State Licomsed Residential Contractors)
S
$1675 per SAC Unit (Plans to MWCC for dctenT
_
_ft +G tt- __-ftx$21
$150 Conservation Plan Review
$
Fee Determined by Engineering
$
Agreement necessary () Nan Necessary ( )
_
..L,, 1- .,.a.,4hh- M- vity of Fridlev
ITiIS M AN APPLICj, T%)N Ft)K A PFRMIT-NOT vALiD UNTIL PikMESSED
I hereby up ly for a building pertnit and i acknowledge that the informat 011 above is complete and Recur
conformance with the ordinances and codes of the City of Fridley and with the Minnesota Construction Codes;
permit but only an application for a permit and work is not to start without a permit; that thL work will be in i
plc t in the case of all work w 'ch raga+res*vl,,,d' ppr �vttl of plans.
SIONNI't.►RE OF APPLICANT' pRny'I'NAML ^��^
W 1Ulm-'I rI
'TA/ZIP 1.5-15L/.2/
STATE z1�' 561o�r
O ...Sy. Ft, '
,INN SU MlTi
Plan
.plot,
ml inembm to',be used
no,Nt INCLUDING DFdW,
!I?S Sl�JI1MIT:
ry showips tits "mitt# Itru mfix
project.
►I jmctlon plats
that the work +j'iM be in
i understand this !s not a
rdance with the approved
. iAf
Id wd90:b0 LOOZ €Z -100 Lt3�Z�ZS€9L: 'Ohl XUJ F,aIpiad ,J0: FqT:): W0,�lj