PRE 2010 DOCSVMage of Fridley, 311nn.
BUILDING PERMIT749
Office of INSPECTOR OF BUIMINGS
Pwneif.
Fridley, Minn,, 19-Z
LOCATION OF BUILDING
No. Street, p —Part of Lot
Lot 1- Block Addition or Sub -Division LJZ I -'L-1 21
DESCRIPTION OF BUILDING
Front ,2 Depth g Height---},—" Stories Manner of Construction,
To be used as To be completed Estimated Cost
Permit Is hereby granted to —
the building— described in the above statement. This permit Is granted
upon the express condition that the person to whom It is granted, and his agents, employees and workmen, in all
the work done in, around and,upon said building, or any part thereof, shall conform In all respects to the ordi-
nances of Fridley,(!Minn., regarding the 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.
inspector of Buildings.
AGREEMENT AND SWORN STATEMENT
In consideration of the issue and delivery to me by the Inspector of Buildings of Fridley of
the above permit, I hereby agree to do the proposed work in accordance with the description
above set forth and according to the provisions of the ordinances of Fridley, and, being first duly
sworn, I hereby'state and say that the facts stated by me and contained in the above permit are
true as therein stated.
Subscribed
day of. -LL
sworn to before me at Fridley, Minnesota, this
(j
A.D.
S- 4 cl�t-
City of Fridley, Minn. 9086
BUILDING PERMIT
Date: NOVEMBER 10, 1966
Owner: HARVEY ROLSTAD Builder __ SANE
Address 4608 - 2nd. Street N. E. Address
Fridley, Minnesota 55421
LOCATION OF BUILDING
No. 4608 Street — 2nd. S t . N. E. ---- Part of Lot
Lot 13,14,15 _ Block 12 Addition or Sub -Division _ _ _ _ PLYMOUTH ADDITION
Corner Lot — Inside Lot Setback
Sewer Elevation
Sideyard
Foundation Elevation
DESCRIPTION OF BUILDING
To be Used as:
DETACHED GARAGE Front 22 Depth 3 0 Height 10 Sq. Ft. _ _ 66.0 Cu. Ft. _ 6- 600
Front Depth Height Sq. Ft. — Cu. Ft.
Type of Construction FRAME Est. Cost — _$2 185 __ To be Completed
SURVEY ATTACHED
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 a'll provisions of
ordinances of the city of Fridley.
In consideration of the payment of a fee of $ 6.00 , permit is hereby granted to --HARM
ROIATAD 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 buildings
within the city limits and this permit may be revoked at any time upon violation of any of the provisions of said
ordinances.
CLAREENCE BELISLE Biding Inspector
NOTICE:
This permit does not corer the construction, inskiletion for wiring, plumbing, gas heating, sewer or water. Be sure to as
the Building Inspector for Separate permhs for these Items.
APPLICATION FOR BUILDING PERMIT
ITY OF FRIDLEY, MINNESOTA
OWNER'S NAMEGi BUILDER 0/�,�
ADDRESS � `%� '� �' ADDRESS
LOCATION OF BUILDING
NO.iL G 10 �! STREET
OF LOT
LOT , /�% BLOCK ADDITION OR SUBDIVISION r La
CORNER LOT INSIDE LOT SETBACK SIDE YARD
SEWER ELEVATION FOUNDATION ELEVATION.
Applicant attach to this form Two Certificates of Survey of Lot and proposed
building location drawn on these Certificates.
To be used as;
DESCRIPTION OF BUILDING
Front 2 ;� Depth_j.!�__Height ``0
Sq. Ft. ® Cu. Ft. (�
Front Depth Height
Sq. Ft. Cu. Ft.
Type of Construction Estimated Cost
To be completed_ q®
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 `& 6 SIGNATURE I
(Schedule of Fee Costs can be found on the Reverse Side).
City ®f Fridley
SUBJECT
PERMIT
05
AT THE TOP OF THE TWINS
BUILDING PERMIT
ECE IP T NO.
COMMUNITY DEVELORME�4T I'
PROTECTIVE INSPECTION SEC.
CI)`' -HALL` FRrDLEY'
NUMBER
7[REV. ,.•
DATE
PAGE OF
APPROVED BY
612-571-3450
b1d-F15
7/2/79
j6B ADDRESS 4608 - 2nd Street N.E.
1 LEGAL
LOT NO.
BLOCK
TRACT OR ADDITION SEE ATTACHED
DESCR.
13,pt 14
12
1 Plymouth Addition. SHEET
2 PROPERTY OWNER MAILADDRESS I' 1 11 .! .1. 1 ZIP, PHONE,,--.,
William Lepsch- 4608 - 2nd Street:N.E.
3 CONTRACTOR MAILADDRESS ZIP PHONE LICENSE NO.
Sussel Company 1850 Como Avenue, St. Paul 645-0331
4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE -LICENSE NO.
5 ENGINEER MAILADDRESS ZIP PHONE LICENSE NO.
6 USE OF BUILDING
Residential
7 CLASS OF WORK
0 NEW 11 ADDITION 0 ALTERATION 0 REPAIR 0 MOVE El REMOVE
X
8 DESCRIBE WORK
Construct a 141 x 241 Garage
—
9 CHANGE OF USE FROM TO
STIPULATIONS
Variance approved Oct. 10, 1979. Provide a hard surface driveway.
W
SEPERATLr
HEA TING' PLU'WSING FORRp
.)% r-, qV
AND SIGIV Mj
Ij A.Y
SE46A PERMi�S ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING,
TYPE OF CONST.
OCCUPANCY GROUP
OCCU0ANCYLbAD,
VENTILATING OR AIR CONDITIONING.
Wood Frame
TH4S-PERMIT- BECOMES NULL -AND VOID JF 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
OFFS1-REET 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
_WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT
$2812
$1.41.
DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE
T—ERMTT FEE --
SAC CHARGE
PRO)JISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON -
CTION OR THE PERFORMA CE OFCOSTRUCTION.
$13.44
7 -7.
PLAN CHECK FEE
TOTAL FEE
11
$14,85
SICS4-ATUP,&OFC9,Nl9ACT(IRORAUTHORI.ZED.AGENT (DATE)
WHEN PROPERLY Y_,�LIDATED THIS IS YOUR PERMIT
Al
BLDG INSP DAT
I SIGNATURE OF OWNER 0F OWNER BUILDER) fDATE)
CITY OF FRIDLEY
APPLICATION FOR RESIDENTIAL BUILDING PERMITS
(New, Alterations, Additions, or Repairs)
OWNER: �!
ADDRESS: 6 �•
TEL 110: d-(00--(0 �
BUILDER: -
ADDRESS:�
TEL NO: (a cK`-, m
Construction Location
STREET NO: STREET:
LOT: �'No'�.yE, Z BLOCK: l V 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
CONSTRUCTION
Front:
Depth: �- Height:
Squane. Feet_
Cubic Feet:
Front:
Depth: Height:
Square Feet:
Cubic Feet:
Type of Construction:
Estimated Cost: $
o
To Be Completed:
Alt. A
Alt. B
Proposed Driveway
Width If New Opening Is
Desired: $
$
1
SEE REVERSE SIDE
OF SHEET .
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 applicatio are true and correct.
DATE: �' 1 ` SIGNATURE :
Stipulations:
M's' -.9;
suB�Ecr
PERMI
City of Fridley
® 18 9 6
AT THE TOP OF THE TWINS
BUILDING
PERMIT
r
RECEIPT NO.
COMMUNITY DEVELOPMENT DIV.
r PROTECTIVE INSPECTION SEC.
L1 i �
A , CITY HALL FRIDLEY 55432
j J \
NUMBER
REV.
DATE
PAGE OF
APPROVED BY
••--
612-571-3450
910-F15
5/27/87
JOB ADDRESS 4608 ^ 2nd Street N.E.
1 LEGAL
LOT NO.
BLOCK
TRACTOR ADDITION
SEE ATTACHED
DESCR.
13, Pt.
4 12
PlymouthAddition
SHEET
2 PROPERTY OWNER MAIL ADDRESS
ZIP PHONE
William Paul Lepsch 4608 - 2nd Street N. E,
572--1709
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
❑ NEW ❑ ADDITION ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE ,
8 DESCRIBE WORK
Construct a 161 x 12t.Deck addition
9 CHANGE OF USE FROM TO
STIPULATIONS
��RATE P IS FOR,
Befgr : +►teetl loyal p�t�
- GIS Eta
TEf, CTRTC
WRING, H45 PL(Alft S NS.
R � BY LAW
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
1pk EREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION
1
STALLS GARAGES
VALUATION
SURTAX
AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS
AND,ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED
WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT
$1050
$.68
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-
$23.50
STRUCTION OR THE PERFORMANCE OF CONSTRUCTION.
PLAN CHECK FEE
TOTALFEE
$ 5,88
$30,06
. SIGNATURE OF CONTRACTOR ORAUTHORIZF0AGENT IDATEI
WHEN PROPERLY V DATED THIS IS YOUR PERMIT
BLDG WSP
BATE
SIGNATURE OF OWNERiF OWNER BUILDER IDATEI¢
NEW [ ]
City of Fridley Effective 4/1/86
ADDN. [ 7 R-1 AND R-2
ALTER. [ 7 Building Permit Application
JA A 6 to t r-�,
Construction Address:
Legal Description:
�� Tel. � 7� J�Q�
Owner Name & Address:
® .
Tel . # .f' -- 7 OT
Contractor:
Address:
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 ! Width 1 °� Hgt/Ground Sq. Ft. k�
OTHER: _
qhs -� 1 Side Yard Setback
Corner Lot [ ] Inside Lot [] Ft. Yd. Setback
Type of Construction: ��� ® ael Estimated Cost: $
T A II
Approx. Completion Date: ZJ ' t'
Alt. A Alt B
Proposed Driveway Width If New Opening Is Desired: See Back Page for Explanation
DATE: APPLICANT:
Tel. 0
CITY USE ONLY
Permit Fee $ Fee Schedule on Reverse ,.Side
Plan Check $ �� 25% of Building Permit Fee
State Surcharge $ eA $.50/$1,000 Valuation
SAC Charge $ $ 525 per SAC Unit
Park Fee $ Fee Determined by Engineering
Sewer Main Charge $ -
Agreement Necessary [ ] Not Necessary [ 7
TOTAL
STIPULATIONS:
5 ..._ ...__ I
— HAR.RY S. JOHNSON COMPANIES. INC.
401 WEST 4 797}1 STREET .X BLOOMINGTON MINNESOTA $5420
PHONE 16/2- 884.5341
1. CERTIFICATE OF SURVEY ;
-
It?aggve 104W4 -- O
•
C4.1
t'; � 4.r•l•1' iv'1.1 .r.
•� ��`` a _-- -
0
N
•r a.
'H G /.!• 30'
tj
ANc
00"
FRIDLEY
_BOARD 0: k
t_`� t1Ct1��lT / y�
1 iler'aty certify that this is a true and correct representation of a surrey of the boundailies of:
PARCEL A MEETING D" -
Lot 13 and that part of Lot 14, lying north of the South 16 feet, all in Block 12, PLYMOUTH,
according to the recorded plat thereof, Anoka County, Minnesota.
PARCEL B
Lot 15 and the South 16 feet of Lot 14, all in Block 12, PLYMOUTH, according to the recorded
plat thereof, Anoka County, Minnesota.
ka of the loc12tion all buildings the, 'eon, ard all uisiole encroacic:ents, if airy, on or from said
la^d. As s lg,_a oy me cr wider my direct evision thi� h of AF�y , 1978.
starry /S?J-
COUNTY
No. 5065
OF ANOKA - )
4'4,�
qsl I " ro, I �
`-- '01, 't
CITY OF FRIDLEY INSPECTION DIV. Effective On January 1, 1991
6431', -,University Ave NE
Fridley, MN 55432 APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION,
572-3604 REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES
RATE SCHEDULE
Residential
Furnace Shell and Duct Work, Burner -
Also Replacement Furnace
Gas Piping (Needed with new furnace)
Gas Range
Rate TOTAL
$ 20.00 $
$ 10.00 $
$ 10.00 $
Gas Dryer $ 10.00 $
"Air Conditioning - All Sizes $ 10.00
All Others/RepaiFs & Alterations (LIST ON BACK)
1 % of Value of Appliance or Work $
Commercial/Industrial
1 % of Value of Appliance or Work $
JOB ADDRESS 41606 - .-::;2A-'-O S�W-F Z' k)<-)
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 ruling of the Building Division, and hereby declares
that all the facts and representations stated in this application are
true and correct. 9'0- ,1991
OWN
L Lr /q -m / �- J S
BUILDING USED AS ��� L iLi�
ESTIMATED COST PERMIT NO. �� 5
DESCRIPTION OF FURNACE AND OR BURNER
No. of Heating Units Circle One (Steam) (Hot Water) (Warm Air)
Trade Name Size No.
BTU HP EDR
Fuel Total Connected Load
State Surcharge $ .50_ Burner Trade Name Size No.
BTU HP EDR
TOTAL FEE $
MINIMUM FEE FOR ANY HEATING/COOLINGNENTILATION
REFRIGERATION/AIR CONDITIONING PERMIT IS $15.00
PLUS THE $.50 STATE SURCHARGE
REINSPECTION FEE $30.00
'Air Conditioners can not be placed in a side yard without
written permission from adjoining property owner.
HEATING COMPANY L�111JLcL %el(?
Signed By �CA) 0-J4QU i i,) k j Tel No.
Approved By Rough -In Date Final Date 7-3- 5V
FILL OUT BACK SIDE FOR STACK VERIFICATION ON
REPLACEMENT FURNACE
CHIMNEY AND STACK VERIFICATION
The undersigned hereby verifies that the existing chimney or stack:
1.
Has been carefully examined
Yes ( )
No ( )
2.
Is free from rust or deterioration
Yes ( )
No ( )
3.
Has no foreign objects lodged within
Yes ( )
No ( )
4.
Is securely supported
Yes ( )
No ( )
5. Meets all current Code requirements for
size and total BTU's connected Yes ( ) No ( )
6. Has total heating BTU's of'
All other BTU's
TOTAL BTU's
Remarks
List Alterations Being Done:
HEATING COMPANY
Signed By
Date
�.I 1 Y UI- 1-HIULEi' INbPtU IIUN UIv.
6431 University Ave NE
Fridley, MN 55432
572-3604
-Ile1,UVd vll 0WIWAly 1, iJy,�
APPLICATION FOR PLUMBING AND GAS FITTING PERMIT
MARK NUMBER
OF FIXTURES TO BE INSTALLED ON
EACH FLOOR
$ 4:00
.Urinal
$ 5.00
Blow Off Basin
w
_ Catch Basin
$ 7.00
.�:
Floor
Drain
`.o.
Aut
�a `•'�"`>Gas
.5........
....'`.`.'.
RNasher an9eSton'es
=• '
��•'�`�i
..................
Water Heater
rWash
$10.00
Gass
Ele
cSh
Basement
ent m
$10.00
Back Flow Preventer Required ( )Yes () No
Type
•$5.00
Reinspection Fee $30.00
ALL OTHERS AND/OR REPAIRS AND ALTERATIONS
1 % of Value of Fixture or Appliance
.P
State Surcharge
TOTAL FEE
Floor 1
oor 2
FIM.
0 3
Flo r
FI oor 4
PLUMBING FIXTURE RATES: NO. RATE TOTAL JOB ADDRESS
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
I Water Heater —Electric
$ 7.00
Water Heater — Gas rF
$10.00
Gas Range
$10.00
Gas Dryer
$10.00
Back Flow Preventer Required ( )Yes () No
Type
•$5.00
Reinspection Fee $30.00
ALL OTHERS AND/OR REPAIRS AND ALTERATIONS
1 % of Value of Fixture or Appliance
.P
State Surcharge
TOTAL FEE
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
and representations stated in this application are true and correct.
.1993
Owner
Building Used As
Estimated Cost _�kPERMIT NO.
PLUMBING COMPANY
��. SIGNED BY TEL N0.
Approved B Rough—In Date Final Date
$ .50
$ ib.' PLUS, THE $.50 STATE SURCHARGE
CITY OF FRIDLEY INSPECTION DIV. Effective On March 1, 1996
6431 University Ave NE
Fridley, MN 55432 APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION,
572-3604 REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES
RATE SCHEDULE
Residential
Furnace Shell and Duct Work, Burner —
Also Replacement Furnace
(Side Vent — Fill Out Back)
Gas Piping (Needed with new furnace)
Gas Range
Gas Dryer
*Air Conditioning — All Sizes
Ail Others/Repairs & Alterations (UST ON BACK
1% of Value of Appliance or Work
Commercial/Industrial
1.25% of Value of Appliance or Work
JOB ADDRESS 4400 a r) d S+ • IV C_
The undersigned hereby makes application for a permit for the work herein
Rate TOTAL specified agreeing to do all work In strict accordance with the City Codes and
ruiings�of the Building Division, and hereby declares that all the facts and
$30.00- $ representations stated In this application are true and correct.
$10.00
OWNER ! I
$10.00 $ h
BUILDING USED AS
$10.00 $ cz (YO
ESTIMATED COST a PERMIT NO.,__._L�
$ 25.00 $
DgSCRIPTION OF FURNACE AND OR BURNER
$ No. of Heating Units Circle One (Steam) (Hot Water) (Warm Air)
Trade Name Size No,
BTU HP EDR
$ Fuel Total Connected Load
State Surcharge
TOTAL FEE
MINIMUM FEE FOR ANY HEATINGICOOLINGNENTILATION
REFRIGERATION/AIR CONDITIONING PERMIT IS $25.00
PLUS THE $.50 STATE SURCHARGE
REINSPECTION FEE $42.00/Hr
*Air Conditioners can not be placed in a side yard without
written permission from adjoining property owner.
Burner Trade Name
BTU HP
Size No.
EDR
BLAINE HTG. A/C & ELECT. INC
HEATI G COM NY 13562 CENTRAL AVE. N.E.
ANOKA, MW 55304
Sig01A I A AM. I )
Tei No.
Approved ByAdk Rough—In Date Final Date
FILL OUT BACK SIDE F091 STACK VERIFICATION ON
REPLACEMENT FURNACE
y
CHEMMY AND STACK VERIFICATION
The undersigned hereby verifies that the existing chimney or stack:
1. Has been _carefully examined Yes () No ( )
2. Is free from gust or deterioration Yes () No ( )
3. Has no foreign objects lodged within Yes {) No ( )
4. Is securely supported Yes () No ( )
5. Meets all current Code requirements for size
and total BTU's connected Yes () No ( )
6 Has total heating BTU's of
All other BTU's
TOTAL BTU's
7. Has a liner been provided for water heater Yes () No ( )
8. Has combustion air been provided for water heater Yes ( ) No ( )
Remarks:
List ALTERATIONS &in Done:
REMOVE EXISTING 5" B -VENT FROM BASEMENT TO ROOF. INSTALL A NEW 4" B -VENT
COMPLETE WITH ROOF JACK, STORM COLLAR, AND B -VENT CAP. B -VENT 90'S IN
BASEMENT AND RUN B -VENT ACROSS SUSPENDED CEILING TO BRYANT FURNACE.
VENT FURNACE AND WATER HEATER.
HEATING CO:
Signed By:
Date:
SUBJECT
RMITNO.
City ®f Fridley
25 72 0
AT THE TOP OF THE TWINS
g U I L D I N G
P E R M I T
Ir
RECEIPT NO.
iCOMMUNITY DEVELOPMENT DIV.
v
PROTECTIVE INSPECTION SEC.
i �
3r
1 i
= CITY HALL FRIDLEY 55432
1',
NUMBER
REV
DATE
12/8/97
PAGE OF
APPROVED BY
612-571-3450
910-F15
JOB ADDRESS 4608 2nd Street
1 LEGAL
LOT NO.
BLOCK
TRACT OR ADDITION
SEE ATTACHED
DESCR.
13-15
12
IPlymouth Addition
SHEET
2 PROPERTY OWNER MAIL ADDRESS
ZIP PHONE
Bill Le sch, 4608 2nd St Fridley, MN 55432
3 CONTRACTOR MAIL ADDRESS
ZIP PHONE LICENSE NO.
Roof Design Partners LLC79()-6966
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
715
❑ NEW ❑ ADDITION ❑ ALTERATION REPAIR ❑ MOVE ❑ • REMOVE
8 DESCRIBE WORK
Reroof-(tear-off)
9 CHANGE OF USE FROM TO
STIPULATIONS
Underlayment must comply with 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
$1,417.80
$
WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT
.71
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 $1.42
STRUCTION OR THE PERFORMANCE OF CONSTRUCTION.
�-�
PLAN CHECK FEE
TOTAL FEE
License SC $5.00
$55.63
SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT IDATEI
WHEN V LIDATED THIS IS YOUR PERMIT
�P�RO/FERC
gbp �pgp
OATS
SIGNATURE OF OWNER OF OWNER BUILDERi IDATEI
NEW [ ] Effective 1/1/97
ADDN [ ] CITY OF FRIDLEY
ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2
BUILDING PERMIT APPLICATION
ConstructionAddress:
Legal Description:
Owner Name & Address �`� \t Tel. #
Contractor: p0��Cry MN LICENSE#c�(�O( I i
Address: -4'�)aLO t4-io.� V -nn Tel. #
LIVING AREA:
GARAGE AREA:
DECK AREA:
OTHER:
Construction Type:
Attach to this application, a Certificate of Survey of the
lot, with the proposed construction drawn on it to scale.
DESCRIPTION OF EMPROVEMENT
Length Width Height Sq. Ft.
Length Width Height Sq. Ft.
Length Width Hgt/Ground Sq. Ft.
(V 1C- N Ana Qe - 2c _`[1c���e d
Estimated Cost: $ ®®
(Fee Schedule on Back)
Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ = $
DATE: APPLICANT:
Tel. #
STIPULATIONS:
CITY USE ONLY
Permit Fee
$
Fee Schedule on Reverse Side
Fire Surcharge
$ A
001 of Permit Valuation (1/ 10th %)
State Surcharge
$
$.50/$1,000 Valuation
SAC Charge
$
$950 per SAC Unit
License Surcharge
$ -
$5.00 (State Licensed Residential Contractors)
Driveway Escrow
$
Alt. "A" or Alt. "B" Above
Erosion Control
$
$450.00 Conservation Plan Review
Park Fee
$
Fee Determined by Engineering
Sewer Main Charge
$
Agreement Necessary [ ] Not Necessary [ ]
TOTAL
$
STIPULATIONS:
SUBJECT -
R
City of Fridley
30438
AT THE TOP OF THE TWINS
BUILDING P E R M I T
r
RECEIPT NO.
COMMUNITY DEVELOPMENT DIV.
V �����_
r PROTECTIVE INSPECTION SEC
��
1
1 �
NUMBER
REV
DATE
PAGE OF
APPROVED BY
= CITY HALL FRIDLEY 55432
612-571-3450
910-F15
10/25/99
JOB ADDRESS 4608 2nd Street NE
1 LEGAL
LOT NO.
I
BLOCK
TRACTOR ADDITION SEE ATTACHED
DESCR.
I 13,14,15
12
Plymouth Addition SHEET
2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE
William & Diane Lepsch 572-1709
3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO
Renewal by Andersen 350 73rd Ave NE Fridley 55432 502-4777 20130983
4 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 ®x REPAIR ❑ MOVE ❑ REMOVE
8 DESCRIBE WORK
Replace 2 window inserts in home within existing openings
9 CHANGE OF USE FROM TO
STIPULATIONS
Provide smoke detectors in all sleeping rooms and on all levels of the house.
Permit Inspect®n Cams
Will Be Walled
To Homeowner To Post
SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING,TYPE
HEATING,
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 80 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
WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT
$1449
$.72
DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE
PERMITFEE
SACCHARGE
PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON-
STRUCTION OR THE PERFORMANCE OF CONSTRUCTION
$54.00 A
FirejSC $1.45
PLAN CHECK f
70TA EE
Lic e 5.0
$ .17
SIGN A TORE OF CON TRACTOR OR AUTHORIZE D AGENT IDATE,
E PR L ALIDA THIS IS YOUR ERMIT
a
B G NSP OAi
S,GNATURE OF OWNEROF OWNER SUiLOERi (DATE)
-
NEW [ ] Effective 5/10/99
ADDN [ ] CITY OF FRIDLEY
ALTER [�, SINGLE FANMY AND DUPLEXES R-1 AND R-2
BUILDING PERMIT APPLICATION R�
Construction Address:
Legal Description:
Owner Name & Address:
Contractor: RENEWAL BY ANDERSEN
350 -73RD AVE. NE
Address: FRIDLEY, MN 55432
j (612) 502-4777
LICENSE #20130983
1�.-7 •--- --- r- -r - - --- - --- --
Tel. # (aJ2 •1570.17-0 %
MN LICENSE #
Survey ofthe
on it to scale.
DESCRIPTION OF IMPROVEMENT
Tel. #
LIVING AREA: Length Width Height Sq. Ft.
GARAGE AREA: Length Width Height Sq. Ft.
DECK AREA: Length Width Hgt/Ground Sq. Ft.
OTHER:
t' 00
Construction Type: r Estimated Cost: $ i�� ✓
Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ _ $
DATE: r APPLICANT:d0, Tel. #� (off- $� o�SSI
CITY USE ONLYf�
Permit Fee
Fire Surcharge
State Surcharge
SAC Charge
License Surcharge
Driveway Escrow
Erosion Control
Park Fee
Sewer Main Charge
TOTAL
$
V 10,0
$ Iq
Fee Schedule on Reverse Side
.001 of Permit Valuation (1/10th%)
$.50/$1,000 Valuation
$1050 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 [ ]
S ULATIONS:
�l� Pkv
NEW (J CITY OF FRIDLEY Effective 1/1/2002
ADDN [ ] 6431 University Ave NE, Fridley, MN 55432 (763) 572-3604 Bldg Insp
ALTER [ J SINGLE FAMILY AND DUPLEXES R-1 AND R-2
BUILDING PERMIT APPLICATION
Construction Address: 2 Al 10
Legal Description:
Owner Name & Address: 42 Tel. # .2,013 704
Contractor. 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 Width Hgt/Ground Sq. Ft
OTHER:
Construction Type: Estimated Cost: $ Z3- f
Driveway Curb Cut Width Needed: Ft + 6 Ft = 4� Ft x
DATE: APPLICANT: (�Jr.�- �
Tel. # % 61.7' ,% - 70g
Call (763) 572-3604 for Permit Fees if mailing in application or Fax to 763-571-1287 if using credit card and we will
call you for card number.
Permit Fee
Fire Surcharge
State Surcharge
SAC Charge
License Surcharge
Driveway Escrow
Erosion Control
Park Fee
Sewer Main Charge
CITY USE ONLY -
$ Fee Schedule on Reverse Side
$ .001 of Permit Valuation (1/10th%)
$ $.50/$1,000 Valuation
$ $1200 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 [ ]
TOTAL $ STIPULATIONS:
W
SUBJECT
PER. _ __
City of Fridley3
4 019 \
AT THE TOP OF THE TWINS
BUILDING
PERMIT
�
r
R
r`
1 fr _.____ COMMUNITY DEVELOPMENT DIV.
PROTECTIVE INSPECTION SEC.
1
NUMBER
REV
DATEPAGE
OF
APPROVED BY
CITY HALL FRIDLEY 55432
763-571-3450
910-F15
11 / 10/03
JOB ADDRESS 4608 2 Street NE
1 LEGAL
LOT NO.
BLOCK
TRACT OR ADDITION
SEE ATTACHED
DESCR.
13,14,15
12
Plymouth Addition
SHEET
2 PROPERTY OWNER MAIL ADDRESS
ZIP PHONE
William Lepsch 4608 2Street NE
763-572-1709
3 CONTRACTOR MAIL ADDRESS
ZIP PHONE LICENSE NO
Renewal By Andersen 1920 Co Rd C W, Roseville, MN 55113 651-264-4777 20130983
4 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 j7 REPAIR ❑ MOVE ❑ REMOVE
8 DESCRIBE WORK
Replace seven windows within existing openings
9 CHANGE OF USE FROM TO
STIPULATIONS
Provide smoke detectors in all sleeping rooms and on all levels of the dwelling
per Section 310.9.1.2 of the 1997 Uniform Building Code.
Caulk and flash all
exterior openings.
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 80 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
1 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
@
$2.81
WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT
$5,625
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.
Fire SC $5.63
STRUCTION OR THE PERFORMANCE OF CONSTRUCTION
$125.25
PLAN CHECK FEE
TOTAL FEE
cense SC $5.00
$138.69
II' NATURE OF CONTRACTOR OR AUTHORIZED AGENT IDATEI
WHEN PROPERLY VALIDATED THIS IS YOL4R PE IT
BLDG INSo
qAT
TURE OF 0"NItFI.IF OWNER BUILDER. IDA It—
TEI
NEW[ ] Effective 5/10/99
ADDN [ ] CITY OF FRIDLEY
ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2
BUILDING PERMIT APPLICATION 1-7
Construction Address: - d .l -R-11
Legal Description:
Owner Name & Address:
i1L�Qm
-LeC Tel. #]o
1109
Contractor:; MN LICENSE #610 k 3Cij
8 3
Address: isao �,pv�n�y'�t pc�c� �, t S�, �*•u�lk C1�c1t� SSII� Tel. Attach, to- to- thin application, a-Cerdhcatc of Survey of -the
lot, with the *proposed -construction drawA snit to scale.
DESCRHT-71OF I ROVEMENT _
LIVING AREA: Length Width Height Sq. Ft.
GARAGE AREA: Length Width Height Sq. Ft.
DECK AREA: Length Width Hgt/Ground Sq. Ft.
OTHER:
V\4 l V1
Construction Type: 1 + l nl C . Estimated Cost: $
\J t j -- —
Driveway Curb Cut Width Needed: Ft. + b Ft = _ Ft x $_ _ $
DATE: Tel. # qej a •3L15 • (tom
-
Permit Fee
Fire Surcharge
State Surcharge
SAC Charge
License Surcharge
Driveway Escrow
Erosion Control
Park Fee
Sewer Main Charge
TOTAL
STIPULATIONS:
$ .0 0
I
CITY USE ONLY r
Fee Schedule on Reverse Side
.001 of Permit Valuation (1/10th%)
$.50/$1,000 Valuation
$1050 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 [ ]
p
PLUMBDiG
P°rrait 1 �-��
rallJ'1Ci111'
Ins—ons
l SIDE I �FIPLI�m IO
iI .
Received Bj
2-160
,i.
CITYOF F=LZY
—V-
276�-57
Daze
763-502-49 F?
EFFECVI-17fl ,
p�
DATE–t %,-o I I��(. YOUR L--MAIL:IDDRESS
SITE ADDRESS
THIS APPLICANT IS. Cl OWNER ONTR�ACpTOR
PROPERTY
S
ADDRESS: �}Ep�y� Ji �� �E CIT'I _ 5TATL�ZIP�
TOWNAME:
{
PHONE:
CON RI ACTOR
NAME: PQV% GL+V VII'{blA�l
SUBMIT A COPY OF
YOUR STATE
STATE LICENSE # E:0 DATE -•I
LICENSE. BOND AND
STATE BOND # EX? DATE
CERTIFICATE OF
/1 y- ` �A,
ADDRESS: 9,%lo B���� S d rVC �I CITY d STATEd�d�M ZIP
INSURANCE
PHONE
ASINGLE FAMILY ❑ TWO FAMILY 0 TOWNHOUSE
TYPE OF WORM
D NEW REPLACEMENT
DETAILED DESCRIPTION OF WORK G `M SGC
PER MS 168.665 the permit fee is a minim -urn of $15.00 or 5% of the total cost np to $500.00, whichever is greater, for the
improvement„insttalMon or replacement of a residential fxture, excluding the Ex ores. (This should reflect only the cost of labor)
Labor cost under $300 =$15.00. Labor cost between S300 to $500 =cost of labor X.05 = 'plus SO surcharge
OR
FOR PROJECTS WHERE LABOREXCEEDS $500, FEES ARE BASED ON $10.00 PERFDMMF, EXCEPT WHERE NOTED. FIXTURES: (INDICATE TOTAL
NUMBER OFF EACH BELOW NlINDAUM FEE $1550.
BATH SINKILAV FLOOR DRAINS _ SHOWER _ WATERPIPING
_
—BATHTUB GAS PIPING (NEED CITY LIC) _ SWEMMING POOL _ WATER SOFTNER (835)
_ CLOTHES WASHER _ KITCHEN SINKWATER CLOSE!' _BACKFLOW PREY. ($15)
_
DISHWASHER LAUNDRY TRAY _WATER HEATER (535) FOR IRRIGATION
— —
—WATER METER _ OTHER
-
Permit Fee $
Number of fixtures Cel $10.00 x $10.00 = S
Surcharge .50
Number of fixtures @ S 15.00 x $15.00 = S
OR Number of fixtures @. S35.00 d x $35.00 = $
TOTAL DUE $
State Surcharge = S 50
(MINIMUM $15.50)
(MINIMUM 515.50) Total -3-7,0
THIS IS AN APPLICATION FOR A PERMIT -NOT VALID UNTIL PROCESSED
1 hereby apply for a plumbing permit and 1 acknowledge that the information above is complete and accurate; that the work will be in l
conformance h the ordinances and codes of the City of Fridley and with the Minnesota Construction Codes: that 1 understand this is
nota permit but o ly an ap lieation For a permit and work is not to start without a permit on site: that the work *11 be in accordance
with the :approved p int e case of all work which requires review and approval of plans.
&II dla�
:IGidATIJRE OF :1PP�IC (rte" . F.II�(T i IAA+IE � DATE
i
.%PPROVED BY �
DATE a
?E: I�ttIT RIr'R'Eui)lRLD FOR 3.1JTLDJNQ.._L =lC:`%L. �vIEC fAHICAL, -,V ARK.
'�:i'r 'DA .�•:fd�.B�r
11=i niverSit�r venue JE. ridle, ':ail :---_