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PRE 2010 DOCSVillage of Fridley, Minn. BUHMING PEBBIT N° '74$ Office of INSPECTOR OF BU LDINGS Owner Architect Fridley, Minn., > Builder LOCAATIO, NOF BUILDING street.J't-�-" Part of Lot Lot A Block ` Addition or sub -Division it v DESCRIPTION OF BUILDING Front Dept M Height stories `� J'- ` Manner of Construotion.^ To be used as +` ` _ To be completed Estimated Cost ii 6 Permit is hereby granted to t d :>a...:. �.. r . ;. W.c : the building described in the above statement. This permit is granted upon the express co, ,tion that the person to whom it is granted, and his agents, employees and workmen, in all the work done in, mound 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 limit's, and this permit may be revoked at any time upon violation of any of the provisions of said ordinances. Y -J 14 Inspector of Buildings. i 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 and, sworn to before me at Fridley, Minneso this „ �... day of A.D. 19�M -----— ii ii �I I City of Fridley, Affi .. BUILDING PERMIT N°5 611 ' Date: Owner: f Builder Address _ _ ___. _ _ Address u. - -- --_--- - - - L TIOf BUILDINC7 No.��,� Part of Lot Lot Block Addition or Sub -Division -; Corner Lot _ _ _ Inside Lot _ Setback r Sideyar -.._ Sewer Elevation _ _ -- Foundation Elevation _ DESCRIPTION OF BUILDING To be Used as: Front _ ' Depth - _ Height _ _ Sq. Ft. Cu. Ft Front Depth eight Sq. Ft. _ Cu. Ft. Type of Construction _ Fst. Cost -- 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 Ordinances of the city of Fridley. In consideration of the payment of a fee of $ - �o __ ._"P , 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 buildings within the city limits and this permit may be revoked at any time upon violation hof any of the provisions of said ordinances. " Building Inspector NOTICE: This permit does not cover the construction, installation for wilt, plumbing, gas heating, sewer or water. Be sure to. we the building Inspector for separate permits for these items. 4 APPLICATION FOR BUILDING PERMIT CITY OF FRIDLEY# MINNESOTA owner's Name T Address Address LOCATION OF BUILDING No. Street Part of Lot Lot Block Addition or Subdivision Corner Lot Inside Lot h`°,wsetbackside-Yard SEWER. ELEVATION FOUNDATION ELEVATION Applicant attach to this form Certificate of Survey of Lot and` proposed building location. To be used as DESCRIPTION OF BUILDING Fron_____Depth Height Sq . Ft • CU. Ft. Front -Depth_ Leight Sq. Ft. Cu. Ft. Type ,of construction s.- E a��s i ISA Estimated Cost To be.Completed —J) ; � 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 ruling of the Department of Build- ings, and hereby declares that all the facts and representations stated in this application.are true and correct DATE%_ 4e4. SIGNATURE (Schedule of Fee costs can be found on the Reverse Side). I Application for Power Plants and Heating, Cooling, Ventilation. Refrigeration and Air Conditioning Systems and Devices PARTIAL RATE SCHEDULE GRAVITY WARM AIR: Furnace Shell & Duct Work .......................... . Replacement of Furnace ............................. Repairs & Alterations—up to $500.00 .................. Repairs & Alterations each add. $500.00 ............... MECH. WARM AIR Furnace Shell & Duct Work to 120,000 BTU ............ each add. 60,000 BTU ....................... Replacement of Furnace ............................. Repairs & Alterations up to $500.00 ................. Repairs & Alterations each add. $500.00 .............. STEAM or HOT WATER SYSTEM Furnace Shell & Lines—to 400 sq. ft. EDR Steam ...... 8.00 $ Furnace Shell & Line—to 640 sq. ft. EDR Hot Water ... 8.00 $ Each add. 200 sq. ft. EDR Steam ...................... 2.50 $ Each add. 320 sq. ft. EDR Hot Water .................. 2.50 $ OIL BURNER—to 3 gal. per hour ................. ...... 5.00 $ over 3 gal. per hour—See Fee Schedule GAS BURNER (up to 400,000 BTU) ...................... 1 5.00 $ GAS FITTING FEES: NO RATE TOTAL Dept. of Bldgs. Phone x $1.50 $ Additional Fixtures .... ........... RATE TOTAL Location 8.00 $ AIR CONDITIONING 5.00 $ City of Fridley: 5.00 The undersigned hereby makes application for a permit for the work herein $ specified, agreeing to do all work in strict accordance with the City Ordinances 2.50 $ and ruling of the Department of Buildings, and hereby declares that all the facts and representations stated in this application are true and correct. 8.00 $ C,Fridley, Minn L 19 L Owner 6 i'Y�,i 2.00 5.00 $ $ Kind of Building 5.00 Used as �Q 1. l � ,f i@ 7_41 e 2.50 $ _�4 17 STEAM or HOT WATER SYSTEM Furnace Shell & Lines—to 400 sq. ft. EDR Steam ...... 8.00 $ Furnace Shell & Line—to 640 sq. ft. EDR Hot Water ... 8.00 $ Each add. 200 sq. ft. EDR Steam ...................... 2.50 $ Each add. 320 sq. ft. EDR Hot Water .................. 2.50 $ OIL BURNER—to 3 gal. per hour ................. ...... 5.00 $ over 3 gal. per hour—See Fee Schedule GAS BURNER (up to 400,000 BTU) ...................... 1 5.00 $ GAS FITTING FEES: NO RATE TOTAL 1st 3 Fixtures ...................... x $1.50 $ Additional Fixtures .... ........... x .50 $ Gas Range to 200,000 BTU ........... x 2.00 $ AIR CONDITIONING $ FAN HEATING SYSTEM See Fee Schedule VENTILATING SYSTEM $ ALTERATIONS & REPAIRS TOTAL FEE $roo ROUGH FINAL To be completed about Estimated Cost, $ 1 LtiJ Old—New. Building Permit No. Permit No. d DESCRIPTION OF WORK HEATING or POWER PLANTS—Steam,' Hot Water, Waj Trade Name % p °` Si Capacity Sq. Ft. E.D.R=ter Total Connected Kind i BURNER — Trade Name Size No Capacity Sq. Ft. E.D.R BTU H.P. (REMARKS -OVER) Signe 49a� By. 4 Z 2M Business Phone No City of Fridley Application for PlumWing and Gas Fitting Pe its e, _ -& Dept of Bldgs. Pho 470 DESCRIPTION OF WORK YA �j Ll ] 0-�.:' Number, Kind and Location of Fixtures Locaison —f PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: NO. RATE TOTAL Number Fixtures ......... :............ x $1.50 $— S Future Fixture Opening ................ New Fixture Old Opening .............. Catch Basin ............................ Water Heater (Up to 200,000 BTL) ...... New Ground Run Old Bldg. ............ GAS FITTING FEES: 1st 3 Fixtures ......................... Additional Fixtures ................... Gas Range to 200,000 BTU .............. REPAIRS & ALTERATIONS—Refer to Code x 1.20 $ x 1.00 $ x 3.25 $ x 2.00 $ x 3.25 $ z o= Old—New. Building Permit No e 0 ? • i WATER HTR. GAS ELEC. z �O F N Base 1st 2nd 4 _ 3rd 4th Future Connection Openings Connected withI Sewer New Fixture, Old Openings Cesspool PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: NO. RATE TOTAL Number Fixtures ......... :............ x $1.50 $— S Future Fixture Opening ................ New Fixture Old Opening .............. Catch Basin ............................ Water Heater (Up to 200,000 BTL) ...... New Ground Run Old Bldg. ............ GAS FITTING FEES: 1st 3 Fixtures ......................... Additional Fixtures ................... Gas Range to 200,000 BTU .............. REPAIRS & ALTERATIONS—Refer to Code x 1.20 $ x 1.00 $ x 3.25 $ x 2.00 $ x 3.25 $ NO. RATE TOTAL x $1.50 $ x .50 $ x 2.00 $ City of Fridley: The undersigned hereby makes application for a permit for the work herein specified, agreeing to do 011 work in strict accordance with the City Ordinance and ruling of the Department of Buildings, and hereby declares that all the faci and representations stated in this application are true and correct. / r .ldley, nn °T"I I. (e 19 / Owner Kind of Building � - Used as To be completed about Estimated Cost, $ " Old—New. Building Permit No Permit No.— o.Signe Sign ROUGH FINAL Description ................................................$ TOTAL FEE $ 4W42 zM Business Phone N City of Fridley SUBJECT PER ®14181 AT THE TOP OF THE TWINS PERMIT r S BUILDING RECEIPT NO. . `L _ ____ COMMUNITY DEVELOPMENT DIV. r PROTECTIVE INSPECTION SEC. 1 . � CITY HALL FRIDLEY 55432 NUMBER REV. DATE PAGE OF APPROVED BY 612-560-3450 910-F15 6/24/77 JOB ADDRESS 4620 - 2nd Street N.E. 1 LEGAL LOT NO. BLOCK TRACTOR ADDITION SEE ATTACHED DESCR. 11,12 12 Plymouth Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE William L. Buster 4620 2nd 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 D NEW T ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Construct a 6' x 16' breezeway and a 24' x 24' Garage 9 CHANGE OF USE FROM TO STIPULATIONS Provide a hard surface driveway., Variance to 3 foot sideyard for garage approved 6/14/77. 1lWARN1NG $ fRir11TS RE,!lR� WIRING, "It diirtg call local utilities �+ PLilOWING AND SIGNS, TELEPHONE - ELECTRIC - GAS Etc. REQUIRED BY LAW SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD 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. $2.13 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT $2 $4262 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. $23.04 PLAN CHECK FEE TOTAL FEE ' $25.17 SI ATURE OF CONTRAC R OR AUTHORIZED AGENT (DATE) YL& WHEN VROPERLY VALIDATED THIS IS OUR PERMIT 4-2 �DG INSP ��DATE, SIGNATURE OF OWNER (IF OWNE ILDER) E) CITY OF FRIDLEY APPLICATION FOR RESIDENTIAL BUILDING PERMITS• (NEW, ALTERATIONS, ADDITIONS, OR REPAIRS) OWIIER:� / //P�rI 3145 /�F/'L BUILDER: -- - Address: �� lLle:�5-, Address : Tel. No. ' -o iso'-)/ No.Street: LOT: BLOCK: % Y ADDITION:�`//1j(��J CORNER LOT: INSIDE LOT:_ SETBACK: SIDEYARDS: 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: Front: Z Depth: Height: % (j I Square Feet: Cubic Feet: o _ Front: Depth: Height: l(� Square Feet: Cubic Feet: co Type of Construction: f Estimated Cost: $ To Be Completed: � n)o"q, Alt. A Alt. B Proposed Driveway Width If New Opening Is Desired $ $ (SE 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 application are true and correct. See reverse side for additional i formation. DATE: SIGNATURE: ' Stipulations: VP2(� W�0 Z� hof, f FORM-AM47 INTERNAL CORRESPONDENCE TO 11 1 OL LU r 11 DATE FROM LWIJ) C 7 L4 S 11 � 1 �-. 14 g y 0 7 t v Pap®s 3$' I o 14 �' 3,6r FRIDLEY BOARD OF APPEALS EXHIBIT No t MEETING DATE ® ---V o%o 5 Pr c, p d'S e!)11- r' � - �i1 i /-/i 19 L/a v ✓� �L (-CF 0 1- � t�' , / �/'U $, a u }`sl Lr, r L; oL F October 4, 1977 643.1 UNIVERSITY AVENUE N.E., FRIDLEY, MINNESOTA 66432 TELEPHONE ( 612)571-3450 d,a Mr. William Buster 4620 -12nd Street N.E. Fridley, Mn. 55421 Re: Final Inspection on Garage Dear Mr. Buster: A final inspection was made on October 3, 1977 of the garage construction at your address and the following items were noted which must be completed before the structure can be f—led outs 1,. Weatherstrip doors. 2. Render rear breezeway door inoperable. 3. Cbmplete exterior molding.. We will expect the above items to be completed by November 3, 1977 a reinspection will be conducted to determine compliance. If you b questions on these items, please feel free to contact me at 571@345 Sincerely, RON HOIDEN Building Inspector RH/mh SUBJECT P City of Fridley 19545 AT THE TOP OF THE TWINS BUILDING PERMIT RECEIPT NO � i ____ COMMUNITY DEVELOPMENT DIV. v PROTECTIVE INSPECTION SEC. r , i, .'"'1 CITY HALL FRIDLEY 55432 ,�� NUMBER __jREV DATE PAGE OF APPROVED BY 612-571-3450 910-F15 6/20/88 JOB ADDRESS 4620 - 2nd Street N.E. 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 11,12 12 Plymouth Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Christopher W. Nutting 4620 - 2nd Street N.E., Fridley 574-0323 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 f7 ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 6 DESCRIBE WORK Construct a 16' x 12' Deck 9 CHANGE OF USE FROM TO STIPULATIONS See notations on plan 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 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 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 $1,350 $.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- STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. $33.00 PLAN CHECK FEE TOTAL FEE $33.68 SIGNATURE OFC 'FACTOR OR AUTHORIZED AGENT (DATE) WHEN PROPERLY V IDATED THIS IS YOUR PERMIT LDG INSP I)AT $i ATURE OF O ER IIF OWNE�ILDI IDA/ EI NEW 1/1 City of Fridley AMN [ l R-1 AND R-2 ALTER [ ] Building Permit Application Oonstruction Address: V62-0 - AIT)S A,1 E. E� Legal Descripticn: G� & ,� /,Z 1Z-ZM0cTi ( SU6'D/V1f101 Effective 5/1/88 Owner Name & Address :N'f1S-0&i,G, W A/c 7T/i✓6 Y6 - 2As o Tel. # Oontractor : SA4167 4s A60 (/� Tel. # Address. 11 I1 I1 Attach to this application, a Certificate of Survey of the lot, with the proposoed construction drawn on it to scale. LLVSNG AREA: Length Width Height Sg. Ft. CURAGE AREA: Length Width Height Sti. Ft. D X AREA: Length 6 Width Hgt/Ground g` Sq. Ft. i I V 1� 1 ~'�- U S 6.41 Corner Lot I I Inside Lot M Ft. Yd Setback Type of ODnstruction: Approx. Completion Date: 7� f — Side Yard Setbacks Estimated Cost: $ t35v Alt. A Alt. B Proposed Driveway Width If New Opening Is Desired: $ $ Width + 6' See Back Page DATE: APDL ICANT : ` Tel. # S �y c73 CITY USE MY Permit Flee $M Flee Schedule on Reverse Side State Surcharge $ $.50/$1,000 Valuation SAC Charge $ $550 per SAC Unit Driveway Escrow $ Alt. OA" or Alt. "B" Above Park Fee $ Fee Determined by Engineering Sewer Main Charge $ Agreement Necessary I I Not Necessary I I TOTAL $ �y*I,:) .i 0 0",'- I��U 1 J.Ov 3� o0 FORM-AM47 INTERNAL CORRESPONDENCE TO FROM _ /dq• d8' iu O pa, C6DATE .FAV 5 ,Pio- (%C o-^-- z> i 11.. rb � a Pei Plus --F.r-sr Y o G v FR�Dl.EY �� BOARD OF APPEALS EXHIBIT NoI8 -- MEETING DATE `�7) 9 56 of W, 4 c� 5 rL's To Fle—ol\J—i ,2xy Z /O tlye Y (JOTOICO. ^�t'l —PP' \ Ot -/ ,Z 510 I ,If Zx�� 'J !09 cJ. .o Cb ®� CP �� 11 Ovil r -?0 2cj IS7 <— .9 xr 9 SUBJECT City of Fridley 3 AT THE TOP OF THE TWINS BUILDING PERMIT r ----RECEIPT. • COMMUNITY DEVELOPMENT DIV. r PROTECTIVE INSPECTION SEC55 "`�� NUMBER REVGATE PAGE OF APPROVED BY ' I O'--11 CITY HALL FRIDLEY 55432 612-571-3450 910-F15 10/7/94 JOB ADDRESS 4620 2 Street NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DEscR. I 11,12 12 Plymouth Addition d SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Christopher Nutting 4620 2 Street NE 572-2369 3 CONTRACTOR MAILADDRESS 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 Q REPAIR X ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Reroof House (20 Squares) Tear-off 9 CHANGE OF USE FROM TO STIPULATIONS Underlayment must comply with the State Building Code. Provide smoke detectors adjacent to all sleeping areas and in basement. TYPE OF CONST. OCCUPANCY GROUP OCCUPANCYLOAD SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, 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 1 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 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT $1,500 .75 DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PERMIT FEE SACCHARGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- STRUCTION OR THE PERFORMANCE OF CONSTRUCTION $35.00 Fire SC $1.50 PLAN CHECK FEE TOTAL FEE $37.25 SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT IDATEIyy gOPER VA �BLOG INSP ATED THIS IS YOUR PERMIT DATE SIGNATURE OF OWNERIIF OWNER BUILDERI IDATEI NEW [ ] Effectiv�el /i /4� ADDN [ ] CITY OF FRIDLEY ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 Building Permit Application ConstructionAddress: Legal Description: Af Owner Name & Address: 4,1/ *6// Sin E Tel. # S% 3b rG Contractor: A11A MN LICENSE # Address: Tei. # 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: %'k'oge 4/1& .c°a(go .2o SOV,41E6S Corner Lot [ ] Inside Lot [ ] Ft. Yd Setback Side Yazd Setbacks Driveway Escrow Type of Construction: Alt. "A" or Alt. "B" Above Estimated Cost: $ $ Approx. Completion Date: (Cost on Back) Driveway Curb Cut Width Needed: Ft. + 6 Ft — Ft x $ — $ DATE: APPLICANT: Tel. # CITY USE ONLY 0 Permit Fee $�� s Fee Schedule on Reverse Side Fire Surcharge $ J, .001 of Permit Valuation ( 1 / 10th %) State Surcharge $ �$.50/$1,000 Valuation SAC Charge $ $800 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 $ Z STIPULATIONS: , , • 0 SUBJECT --- City of Fridleyr? 3 0 7 AT THE TOP OF THE TWINS BUILDING PERMIT RECEIPT NO. COMMUNITY DEVELOPMENT DIV. SEC. r PROTECTIVE INSPECTION 1 CITY HALL FRIDLEY 55432 NUMBER REV DATE PAGE O: APPROVED BY 612-571-3450 910.F15 8/24199 10B ADDRESS 4620 2nd Street k 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 11, 12 12 Plymouth SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Chris & Natalie Nutting 572-2369 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Window Lite Home Improv. 8400 89th Ave. Ste 460 425-2227 20039258 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 99X REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Installation of replacement windows 9 CHANGE OF USE FROM TO STIPULATIONS Install smoke detectors to meet the State Building Code - in each sleeping room and on each levelO of the house. Permit Inspection Cards Will Be (Nailed To Homeowner T® Post 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 SQ. 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 $8500 $4.25 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 $167.25 Fire SC $8.50 PLAN CHECK FEE IOTA EE LicensC 5.00 5.00 SIGNATURE OFCON TRACTOR ORAUTHORIZE OAGENT IDAtEI NOP ALIDA PrTHIS'UR� I !/ i BLO INS OArE SIGNATURE OF OWNER OF OWNER BUILDER( IDATEI v NEW ] Effective 1/1/99 ADDN [ l CITY OF FRIDLEY ALTER [ l SINGLE FAMILY AND DUPLEXES R-1 AND R-2. BUILDING PERMIT APPLICATION 01 ®(r� ConstructionAddress: 4620 2nd Street NE Fridley, NN. 55421 Legal Description: Owner Name & Address: Chris & Natalie Nutting 4620 2nd St. NE Tel. # 572-2369 Contractor: Window 'Lite Home Improvements MN LICENSE# 20039258 Address: R4nn RAtr Avenue—Suite 0 460 Tel. # 425-2227 Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF IIVIPRO.V�T LIVING AREA: Length Width Height Sq. Ft. GARAGE AREA: Length Width Height Sq. Ft. DECK AREA: Length Width Hgt/Ground Sq. Ft. OTHER: * Installation of replacement windows* Construction Type: Estimated Cost: $ 8,500.00 (Fee Schedule on Back) Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ DATE: 8-16-99 APPLICANT: K.Pegg Window -Lite CSR Tel. # 391-8315 CITY USE ONLY Permit Fee l $ �(�%12�S� Fee Schedule on Reverse Side Fire Surcharge $ .001 of Permit Valuation (1/10th%) State Surcharge $ ; S� $.50/$1,000 Valuation SAC Charge $ $1050 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: CITY OF FRIDLEY INSPECTION DIViSION Effective On May 10, 1999 6431_LIniversity Ave NE Fridley, MN 55432 APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION, 572.3604 REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES JOB ADDRESS RATE SCHEDULE OWNER Residential Furnace Shell and Duct Work, Burner Also Replacement Furnace (Side Vent - Fill Out Back) Gas Piping (Needed with new furnace, but not replacement) Gas Range Gas Dryer. *Air Conditioning • All Sizes All Others/Repairs & Alterations (LIST ON BACK:) =1% of Value of Appliance or Work 0;ornmercial/Industrial 1.25%'0 of Value of Appliance or Work Rate TOTAL BUILDING USED AS $ 30.00 $ ESTIMATED COST PERMIT NO_ E. •. $ 10.00 $ 10.00 State Surcharge TOTAL FEE IVi1N11►AIIM FEE FOR ANY H0.TING/COOLING/dENT1LAT1OA1 REFRIGERATION/AIR CONDITIONING P9RMIT IS $25.00 FLUS THE $.50 STATE SURCHARGE REINSPECTION FEE $47.00/Hr *Air Conditioners can not be placed in a side yard without written permission from adjoining property owner. Ha DESCRIPTION OF FURNACE AND OR BURNER No. of Heating Units Circle One (Steam) (Hot Water) Air` � arrn $ Trade Name Size No. BTU HP EDR Fuel Total Connected Load Burner Trade Name Size No. $ BTU HP EDR $ The undersigned hereby makes application for a permit for the work hereii specified agreeing to do all work in strict accordance with the City Codes $ .59 rulings of the Building Division, and hereby declares that all the facts and representations stated in this application are'true and correct. Approved By/t,4! _ Rough -in Date Final Date b Has total heating BTU's ofis, I N-� -0 All other BTU's TOTAL BTU's 7. CHIlANEY ANI! STACK VERWICATION Yes () The undersigned hereby verifies that the existing chimney or stack: Yes () 1. Has been carefully examined Yes (.-If' No ( ) 2. Is free from rust or deterioration Yes (Ij' No ( } 3. Has no foreign objects lodged within Yes(,,') No ( ) 4. Is securely supported Yes {ij" No { ) 5. Meets all current Code. requirements for size and total BTU's connected Yes No ( ) b Has total heating BTU's ofis, I N-� -0 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 ( ) List ALTERATIONSYBeing Done: HEATING CO: Signed By: Date: ,91 �4 u 1_ CIiYOF FRIDLEY FRIDLEY MUNICIPAL CENTER • 6431 UNIVERSITY AVE. N.E. FRIDLEY, MN 55432 • (612) 571-3450 • FAX (612) 571-1287 August 9, 2000 Chris Nutting 4620 2nd St NE Fridley, MN 55421 Re: Final Inspection at 4620 2"d St NE Contractor: Dave's Appliance Heating & Air, Inc. Dear Mr. Nutting: A mechanical permit was issued on May 16, 2000 for the property located at 4620 2nd St NE for a furnace and an air conditioning unit. According to Section 305(a) of the 1991 Uniform Mechanical Code a final inspection shall be performed on the mechanical system. As of this date no inspection has been called for. You will be given thirty (30) days from receipt of this notice to respond. If we do not hear from you, we will expire the permit and any inspections on this installation will require a new permit. Any questions can be addressed to myself at (763) 572-3603. Sincerely, DAVE�QF�IVSEN Buildi Inspector NEW I l Effective 1/1/2000 ADDN [ ] CITY OF FRIDLEY (763) 572-3604 Bldg Insp ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION 3� I Construction Address:.L� Legal Description: /-61+ -t- 2- P1 % �l Gil i/1" XOwner Name & Address: �,fj -15 4 111m:C�(.';(iF�'�' l�, {�{i�'l G� Tel. # %�G'3 - %,�--� 3Cr G 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: $ Driveway Curb Cut Width Needed: Ft. + jFt = Ft x $ = $ DATE: JAI . �/� APPLICANT:-O"6-iglkTel. #x V CITY USE ONLY - Call (763) 572-3604 for Permit Fees if mailing in application Permit Fee $ Fee Schedule on Reverse Side Fire Surcharge $ .001 of Permit Valuation (1/10th%) State Surcharge $ $.50/$1,000 Valuation SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee Sewer Main Charge TOTAL STIPULATIONS: $ $1100 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 [ ] SUBJECT City of Fridley 3 2 9 8 7 AT THE TOP OF THE TWINS BUILDING PERMIT r RECEIPT NO. L'______ COMMUNITY DEVELOPMENT DIV. PROTECTIVE INSPECTION SEC. 46Y9 r CITY HALL FRIDLEY 55032 NUMBER REV DATE PAGE OF APPROVED BY L J ` 763-571-3450 910-F15 8/13/02 JOB ADDRESS 4620 2 STREET NE 1 LEGALLOT NO. BLOCK TRACTOR ADDITION SEE ATTACHED DESCR. 11 12 12 PlymouthSHEET Addition 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Tara Chay 4620 2 Street NE 763-572-0440 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Home Depot/RMA Home Services Inc 3200 Cobb Galleria Pkwy STE 200 Atlanta GA 30339 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 763-542-8826 20268257 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 Replace 7 windows and 2 patio doors 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. Per it Inspection Cards .gpIll h,Nailed ® Homeowner To Post SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, TYPE 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 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 $5,986 $2.99 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- STRUCTION OR THE PERFORMANCE OF CONSTRUCTION PLAN CHECK FEE TOTALFEE 1.icens SC $5.00 $139.23 SIGNATURE OF CON"RACTOR OR AUTHORIZED AGENT IDATE, VYA EN PROPERLY VALIDATED THIS IS YOUR/ PERMIT SIGNATURE OF OwNEROF OWNER BUILDER, IDATEI 80 7(, gsgr paTE NEW[ ] Effective 5/10/99 ADDN j ] CITY OF FRIDLEY ALTER [ ] SINGLE FA 11LY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION Construction Address: - ti LaaQ . a n C'�. ro�i . Legal Description: Owner Name & Address:-Ta Tel. #`�•��• Contractor:; RMA HOME SERVICES C. MN LICENSE # Home Depot Installed Sales Address: 3200 Cobb Galleria Pkwy., Ste. #200 Tel. # Atlanta, GA 30339 A 763-542-8826 urvey:6f the 1cBC-2026825 t- in -it to scale. LIVING AREA: GARAGE AREA: DECK AREA: OTHER: Construction Type: DES.CRHr-- PON OF A0VEA0NT .. Length Width Height Sq. Ft. Length Width Height Sq. Ft. Length Width Hgt/Ground Sq. Ft. °i Estimated cost: $ c., ,qN(� Driveway Curb Cut Width Needed: Ft. + 6 Ft -- _ Ft x $ = $ DATE: ®®a APPLICANT Tel. #35Z. - CITY 5Z.3 Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee Sewer Main Charge TOTAL STIPULATIONS: CITY USE ONLY $ ,las. 015 Fee Schedule on Reverse Side $ S•901 .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 [ ] 011 SUBJECT City of Fridley 32975 AT THE TOP OF THE TWINS BUILDING PERMIT 'r , -RSGEWrIo � • COMMUNITY DEVELOPMENT DIV. PROTECTIVE INSPECTION SEC NUMBER REV DATE PAGE OF APPROVED BV CITY HALL FRIDLEY 55432 763-571-3450 910-F15 8/12/02 JOB ADDRESS 4620 2 Street NE 1 LEGALLOT NO. BLOCK TRACTOR ADDITION SEE ATTACHED DESCR. 11,12 12 I Plymouth Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Tara Chay 4620 2 Street NE 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Sears Home Improvement 5512 Lakeland Ave N Crystal, MN 55422 612-382-5491 a ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO 20090017 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO 6 USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW ❑ ADDITION ❑ ALTERATION � REPAIR ❑ MOVE ❑ REMOVE B DESCRIBE WORK Replace three 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. TYPE OF CONST. OCCUPANCY GROUP OCCUPANCYLOAD SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, 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 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 $5,029 $2.51 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 - $125.25 Fire SC $5.03 STR TION OR THE PERFORMANCE OF CONSTRUCTION PLAN CHECK FEE TOTAL F E Z d License C $5.00 $ 7.79 SIGNATURE OF CON' AC.TOA A AUT...'' ED AGENT IDAT I E PROP ALIDATED IS IS YOUR PERMIT DG 'NSF' 2C Z rIAfE S-GNATURE OF OWNER OF OWNER BUILDER. IDATEI 011 NEW i i Effec;We 11112001 ADON CITY OF FRIDLEV (763) 5724604 Bldg litsp ALTER SINGLE FAMILY AND DUPLEXES R-1 AND R-2 9UILDING PERMIT APPLIC"ON Construction Address. Legal Description: Owner Name & Address: Tel. # CentwactQrO, ��Y1 MN LICENSE # ®0I NO Address:k&2Q L et. # Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF IMPROVEMENT LMNO AREA: Length i� Width _ ^® height - Sq. Ft GARAGEAREA: Length _® Wdth Height_ Sq. Ft DECK AREA: Length Width HOGround Sq. Ft 9: Lgr ��120tg'Estimated Cost: Ddveway Curb Cut Width Needed, a i CrrY USE ONLY.: Call (763) 6724604 for Permit Fees If mailing In application Permit Fee $_ O • �S Fee Schedule on Reverse Side Fire Surcharge $ .001 of Permit Valuation (1/10th%) StateSurcharge $_ 1 $.50/$1,000 Valuation SAC Charge $ $1150 per SAC Unit License Surcharge $_____,S7, t)0 $5,00 (State Licensed Residential Contractors) Driveway Escrow $ It "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 [ j TOTAL 1312. r)g STIPULATIONS: 2O/Told ZOTPL9L Ol eGIG18d d0 kLIO W08J GEST TtOOZ-BE-03C CITY OF FRIDLEY PERMIT NO.: 2004-02177 6431 UNIVERSITY AVENUE NE FRIDLEY, MN 55432 DATE ISSUED: 11/29/2004 (763) 572-3604 FAX: (763) 571-1287 ADDRESS : 4620 2 ST NE PIN : 263024330053 LEGAL DESC : UNAVAILABLE : LOT 11 BLOCK 12 PERMIT TYPE : BUILDING PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : WINDOW/DOOR REPL VALUATION : $ 2,957.00 NOTE: PROVIDE SMOKE DETECTORS IN ALL SLEEPING ROOMS AND ON ALL LEVELS OF THE DWELLING PER R317 OF THE 2000 INTERNATIONAL RESIDENTIAL CODE. CAULK AND FLASH ALL EXTERIOR OPENINGS. APPLICANT BUILDING PERMIT FEE FIRE SURCHARGE 83.25 2.96 AMERICAN SIDING WINDOW SYSTEM INC STATE SURCHARGE, VALUE 1.48 (515) 251-8388 TOTAL 87.69 PAID WITH CHECK # 52352 OWNER TARA CHAY 4620 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 work will be complied with whether specified herein or not. The granting of a permit does not Pres a to give authority to violate or cancel the provisions of y other state or local law regulating construction or the pe ormanc of construction. Applicant Date Bldg Insp ) Dat 4SEPARATE Z-4 PERMITS WQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. NEW [ ] CITY OF FRIULL-Y trrecnve 41 uzuu4 ADDN [ J 6431 University Ave NE, Fridley, MN 55432 (763) 572-3604 Bldg Insp ALTER 1�J SINGLE FAMILY AND DUPLEXES R-1 AND R-2 (763) 571-1287 Fax BUILDING PERMIT APPLICATION r l I'l Construction Address: � MI6 I 'l Z S/• k. C 6 210 Legal Description: Owner Name & Address Contractor. a /^ A ry Tel. #_Lt' ) s72 - D YV61 �IS .G , n gi/�/� A�'�ry , S MN LICENSE # be 'V44r41le V1, �A- Tel. #(S / Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF IMPROVEMENT ` LMNG AREA: Length Width Height Sq. Ft GARAGE AREA: Length Width Height Sq. Ft DECK AREA: Length Width Hgt/Ground Sq. Ft OTHER: uhlr Construction Type: Estimated Cost: $� 7 Driveway Curb Cut Width Needed: Ft + 6 Ft = Ft x $ —=$ DATE: I / ` y APPLICANT: Tel. # Call (763) 572-3604 for Permit Fees if mailing in application. Fax to 763-571-1287 if using credit card and we will call you for card number. CITY USE ONLY - Permit Fee Plan Review Fire Surcharge State Surcharge SAC Charge License Surcharge Curb Cut Escrow Erosion Control Park Fee Sewer Main Charge $ —3 Fee Schedule on Reverse Side 65% of Permit Fee .001 of Permit Valuation (1/10th%) $.50/$1,000 Valuation $1350 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 $ , / e 0 STIPULATIONS: CITY OF FRIDLEY 6431 UNIVERSITY AVENUE NE FRIDLEY, MN 55432 r63) 572-3604 FAX: (763) 571-1287 ADDRESS 4620 2 ST NE PIN 263024330053 LEGAL DESC UNAVAILABLE LOT 11 BLOCK 12 PERMIT TYPE BUILDING PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ROOFING VALUATION : $ 2,000.00 NOTE: UNDERLAYMENT AS PER STATE BUILDING CODE.PH:612-221-7265 APPLICANT CASTLE CONSTRUCTION SERVICES 3639 NICOLLET AVE SO. MINNEAPOLIS, MN 55415 (612) 827-3948 OWNER TARA CHAY 4620 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 wort 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 regulati struction or the performance of construction. Applicant Date , Bldg Insp �r.. _Datek PERMIT NO.: 2005-00025 : 01/06/2005 BUILDING PERMIT FEE 69.25 FIRE SURCHARGE 2.00 STATE SURCHARGE, VALUE 1.00 TOTAL 72.25 PAID WITH CHECK # MASTER EPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. IVCVV ( 1 -1.1 v. ...v...�. �.........� ....___ . ADDN [ ] 6431 University Ave NE, Fridley, MN 55432 (763) 572-3604 Bldg Insp ALTER j ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 (763) 571-1287 Fax BUILDING PERMIT APPLICATION n Construction Address: 4r/6V ds J, A i Legal Description: Owner Name & Address: "raga Tel. #.G Contractor. MN LICENSE #A C-XyC/Iid Address: 36-3:9 Tel. # �L,4 - SE Attach to this application, a Certificate of Survey of the Q� lot, with the proposed construction drawn on it to scale. 4� DESCRIPTION OF IMPROVEMENT LMNG AREA: Length Width Height Sq. Ft. GARAGE AREA: Length Width Height Sq. Ft. DECK AREA: Length Width Hgt/Ground Sq. Ft. OTHER: Construction Type: Kp /,OoF p,'41 do/,,/,) - l a.s4- Estimated Cost: $ Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ _ $ DATE: % �' L - ®- APPLICANT: 0"' Tel. # 15;/2--A21- 7jQ Call (763) 572-3604 for Permit Fees if mailing in application. Fax to 763-571-1287 if using credit card and we will call you for card number. CITY USE ONLY - Permit Fee $ Li9q, �� Fee Schedule on Reverse Side Plan Review - 65% of Permit Fee Fire Surcharge $ �_, .001 of Permit Valuation (1/10th%) State Surcharge $ .��7, $.50/$1,000 Valuation SAC Charge $ $1350 per SAC Unit License Surcharge $ $5.00 (State Licensed Residential Contractors) Curb Cut 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 $ IL - STIPULATIONS: . wo ' s Duro-Last, Inc. ® HVAC UNCr ® ACCESS HATCH ROOF DRAM CONTRACTOR INFOR"710N, 525 Morley Drive Saginaw, MI 48601 Co. Name: �¢§T POCyC' 1- -248-0280 ROOF CURB m PIPE STACK WALL SCUPPER OL Customer III: Contact Name: Phone /: M i Fox /: JOB NAME de ADDRESS Jab Noma: Address: d L t t p _ � Business Type: BUILDING INFORMATION C�° Deck Type: Ni Metol Huta Dir.: Pull Test Avg.: ® Caro Cut Conditions: Wet Dry ® Existing Roof Type: e� Existing Ins.: 61D °' Existing Ina.: 1)0 JOB SPECIFICATIONS Membrane Color. W G T .I I) a Mil Thkknosa: 40 50 60 pr- Bldg. Ht. Each Area (Feet): FM Spec?: Y N Circle below if Yes NC t, 1` 1-60 1-90 1-105 1-150 1-210 `® W 11 New Ins. Type: Thickness: Fastener Type: w' Fastener Length: Tear Off: Yee No Partial Atli P - ® MPARAPET WALLS Width: 0 M North - Heightdth: 4 n M / South - Height: Width: -0 East - Height: Width: O West - Height: Width: Misc.: N W+E S SEE BACK FOR DETAIL OPTIONS � we