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PRE 2010 DOCSBUILDING PERMIT N® 6794 Date: Owner: Address Address __ __ !�rl BUILDING No. Street Part of Lot Lot _ Block Addition or Sub -Division Corner Lot , Inside Lot _ Setback -��-._._ Sideyard Sewer Elevation _ _ ...... Foundation Elevation DESCRIPTION OF BUILDING To p as: Front1 / Depth Height O Sq. Ft. Cu. F't. L� " Depth ___1/'Height .._.. Sq. Ft. Cu. Ft. Type of Construction Est. Co�_ �-To be Completed _...._ In consideration of the issuance to me of a permit to construct the building described above, I agree to do thea proposed work in accordance with the description above set forth and in compliance with all provisions of ordinaaces of the city of Fridley. 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 thereof, shall conform in all respects to the ordinances of Fridley, Minnesota regarding location, construction, alteration, maintenance, pair and moving of buildings within the city limits and this permit may be revoked at any time upon viola- of any of the provisions of said ordinances. i'ti . Building Inspector NOTICE: M permh does not cover the const. Won, hwtaliation for wiring, phmibing, gas hosting, ewer or water. Be sure go we *9 aoildh* Igor for separate pormhs for these hems, Cio]HER e S NAME APPLICATION FSA. BL`?'!':'17NG PERMIT CITY OF FP.IDLE7, 2•D TTNESOTA ADDRESS ADDE.ESS LOCATION OF TiTt'",i,DIVG No.� 7 Street.r � r Part of Lot Lot Block Addition or Subdivision Corner Lot Inside" Lot Setback Side Yard. 1�1 SEWER ELEVATION FIUNDATION ELEVATION Applicant attach to this form Two Certificates of Survey of Lot and proposed build- ing location drawn on these Certificates. DESCRIPTION OF BUILDING T"o be ed as Front Depth �� Height Sq. Ft. _Cu. Ft . (� Front Depth Height Sq. Ft. Cu. Ft. 62e Type of Construct Estimated Co, � ' To be Completed 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. (Schedule of Fee Costs can be found on the Reverse Side). .. I 01 SUBJECT PERMIT NO. City of Fridley 120'77 AT THE TOP OF THE TWINS PERMIT r BUILDING R COMMUNITY DEVELOPMENT DIV. r � � PROTECTIVE INSPECTION SEC. 1 � ; �4 1 CITY HALL FRIDLEY 55432 NUMBER REV. DATE PAGE OF APPROVED BY "•"' �.J 612-560-34509 '1 0-F15 3/27/73 JOB ADDRESS 4623 2nd Street N.E; 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 21,22 11 Plymouth Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Euizene Wicklund 4623 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 dwelling 7 CLASS OF WORK El NEW X ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Addition to a dwelling 18' x 24' 9 CHANGE OF USE FROM TO STIPULATIONS TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, wood frame 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 432 8,640 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, 3.08 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PERM) FEE SAC CHARGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- 16.00 STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. PLAN CHECK FEE TOTAL FEE 19.08__ SIGNATURE OFCONTRACTOR OARUTHORIZEDAGENT (DATE) HEN PROPERLY VALIDAT IS YOUR PERMIT vV3/27/73I LZ 1 SIGNA REO WNER (IF OWNER BUILDER) (DATE) DATE 01 APPLICATION FOR RESIDENTIAL, ALTERATION, OR ADDITION BUILDINQ PERMIT CITY Of FRIDLEY, MINNESOTA OWM 1 S NAME: E W f a&- n gL BUILDW t ADDRESS: "A q DL •ADMES S I's 140; 44 a 2 WT; 014-13uxy, 1 ZOMM LOT:YNSIDE LOT; 1/1 SETBACK: SIDEYARD: I ................... ;-- A"11,vgot- At"cit -to ftU f4m=_Vo Certificates of Surv2X of Lot and proposed 1w*1dftg 14mation dr wa 4= tbeft Certificates. DESCRIPTION OF BUILDING To Be us" As -- Depth .20., square Feet; Cubic Feet, prctx Depth; Heizht: Square deet; Cubic Feet: . - We of CoU1;trvct-tM4 Estimated Cost: $ To so "10ed; Me undarpioned hereby mak*s application for. a permit for the w(),Fk harein #pavjfj*4,, a&-reeing to do all work I= atttet accordance with the OftY of VvUl4w 0v4Uu=ev 4u4 zutlo4s of the Department Pf Bu:44ings, *MA 'hereby 4palareq at all the facts and representations stated In this application axe true m4 correct, PATE; , &Z-7 7 Z 7& SIGNATURE! Yf�?z-- (Oft lav wue We For AddWonal Tuformation.) w Is 17 owner of the property located at s`y have no objection to the City allowing the construction of � a d d.►t � ® r. to be located at C # Lr� --- i �j fi without the required certificate of survey that the City ordinarily requires for all new construction. . ..iar Signed Address R4 -&-L 221 'OrIt U tress Date . t • 25 SUBJECT PERI1 . City of Fridley .14256 AT THE TOP OF THE TWINS PERMIT r i BUILDING ECEIPT NO. COMMUNITY DEVELOPMENT DIV. t � PROTECTIVEINSPECTION SEC. t � � t 1 CITY HALL FRIDLEY 55432 v NUMBER REV. DATE PAGE OF APPROVED BY 612-560-3450 910-F15 8/3/77 JOB ADDRESS 4623 - 2nd Street N.E. 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 21,22 11 Plymouth Addition SHEET 2 PROPERTY OWNER MAILADDRESS ZIP PHONE Eugene D. Wicklund 4623 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 1 NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Construct a 24' x 32' Garage 9 CHANGE OF USE FROM TO STIPULATIONS Signed release form from neighbor to South must be submitted before calling for footing inspection. Provide � inch anchor bolt 6 feet on center. Provide a hard surface driveway. WARNING SEPERATE PERMITS REQUAW FOR WIRMG, Before digging call focal utill TELEPHONE - ELECTi11iC - GAS NE/±TI( Pli�hiBfN AND SIGNS, REQUIRED BY LA 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. $5,683.20 $2.54 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- $ STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. PLAN CHECK FEE TOTALFEE $33.56 k4iGNATURE OF CONTRACTOR OR AUTHORIZED :GEE) WH�A PROPERLY VALIDATEDIS IS YOUR P=RMIT BLDG iNSP DA E SIGNATU EOF WNER IfF OWNER BUILDERIATEI 25 Li ! Y UI V RI11LL-Y APPLICATION FOR RESIDENTIAL BUILDING PEMITS (NEW, ALTERATIONS, ADDITIONS, OR REPAIRS) C 4, OWtII R:{f ; i f Jam, ��: Address: BUILDER: Address: Tel. No.: No.: 'C` 6"2 Street:r'U=, �j f Pl 7 - LOT: �f BLOCK: i( ADDITION: V/,{'] 0 6L../ 7 G 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: f�n Front: Depth:_ Height: /6 Square Feet: � Cubic Feet: ")&Crjo Front: Depth: Height: Square Feet: Cubic Feet: Type of Construction: a�— Estimated Cost: $ z Q ® ® To Be Completed: '7 Alt. A Alt. B Proposed Driveway Width If New Opening Is Desired $ $ (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 rul.iiigs of the Department of Buildings, and hereby declares that all the facts and representations stated in this application are true and correct. See reverse Sid for additional informati®n. DATE:' �- �SIGNATURE: Stipulations: j_ `4 dr I/ SUBJECT P A--o -- City o Fridley g WRECKING 142 AT THE TO OF THE TWINS D D A A IT RMIT r D TAJECEIPT NO. • may______, COMMUNITY DEVELOPMENT DIV. � _ r PROTECTIVE INSPECTION SEC. t . , CITY HALL FRIDLEY 55432 NUMBER REV. DATE PAGE OF APPROVED BY �'•'• �'� ,'� 612-560-3450 910-F15 8/3/77 JOB ADDRESS 4623 - 2nd Street N.E. 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 21 22 11 Plymouth Addition SHEET 2 PROPERTY OWNER Wickland MAILADDRESS ZIP PHONE Eucrene A&AW 4623 - 2nd Street N.E. 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Same 4 ARCHITECT OR DESIGNER MAILADDRESS 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 g7 REMOVE 8 DESCRIBE WORK Wreck detached garage 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 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. $25 $.50 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- $7.50 STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. PLAN CHECK FEE TOTALFEE $8.00 WHE PROP R�LYjV%QALIDATED THIS IS YOUR PERMIT S A FCONTRACTORORAUTHO ZED ENT " D TE) BLDG INSP DATE UREOFO R F LDERI IDAI I/ City of Frid-fley 0I.13dEcr Permit No. AT THE TOP OF TK TWIN$ r, �, WRECKING PERMIT APPLICATION Receipt No. -------- COMMVP41TYDEVELOFNENTDIV. 1 PROTECTIVE WSAWCTION MPT, CITY PALL PR-101ZY 09 2 nEV. DATE PAZE OF By �_��^�A j C!3 Job Address 16"-22/fie` Legal Lot No. Block No. ddition Tractn(, Desc. �/ --o2� f J)10.CT>L/ h%t QlJ Property Qraner Add esPhone !! l,L �/� ) l���lC L(1L/(✓� 1 Contractor Address Phone Description Front Depth Height Sq. Ft. of Bldg. /�' �C►' /ci � No. of Dwelling Units Taxes Paid Tax Receipt No. Estimated Cost of Wrecking To Be Completed d22- �U -Utilities Notified: State whether notified and date . Minneapolis Gas Company Engineering Department 372-4850 Northern States Power Company Customer Business Office 330-5540 Northwestern Bell Telephone Co. � 0 Business Office A 332-4112 Approved By Water & Sewer Department; All Bills Are Services Are Disconnected %%Paid The undersigned hereby makes application for a permit to wreck the building described above, agreeing to do all work in strict accordance with the City Ordinances and rulings of the Department of Buildings, and hereby declares that ;all facts and representations stated in this application are true and correct. J Contractor 4%t Date July 22, 1983 CITY OF FRIDLEY 6431 UNIVERSITY AVENUE N.E., FRIDLEY, MINNESOTA 55432 Mr. Eugene D. Wieklund 4623 - 2nd Street N.E. Fridley, MN 55421 Re: Storage in Alley Right of Way Dear Mr. Wicklund: TELEPHONE ( 612)571.3450 It was brought to the City's attention and confirmed by an on-site inspection on July 21, 1983 that the unimproved alley right of way in the 4600 block, between 2nd Street and 2-1/2 Street, was being used as a depository for the adjoining property owner's vehicles, trailers, tree and yard waste and other personal property. Although this is an unimproved right of way, each property owner, the City and any utility company has the right of access to this area. The storage and disposal of materials on the right of way does interfere with this access and can hinder necessary utility work, e.g. Northern States Power electrical repairs after a storm. Therefore, the City must require that the adjoining property owners clean their portion of the right of way and maintain this area free of any material that might limit access. We are confident in your cooperation on this matter and if any questions or problems result from this letter, please feel free to call on me at 571-3450. Sincerely, STEVEN J. OLSON, R.S. Environmental Officer SJO/mh SUBJECT P City of Fridley 21930 AT THE TOP OF THE TWINS BUILDING PERMIT i , �P7 O. COMMUNITY DEVELOPMENT DIV. I L PROTECTIVE INSPECTION SEC. r � , NUMBER REV. DATE PAGE OF APPROVED BY CITY HALL FRIDLEY 55432 612-571-3450 910-F15 6/25/93 JOB ADDRESS 4623 2nd Street NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 21,22 11 Plymouth Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Keith Eliason 4623 2nd Street NE AXX 571---4194 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 CR ADDITION ❑ ALTERATION ' ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Construct a 614'1,x 61 Front Entry Addition 9 CHANGE OF USE FROM TO STIPULATIONS MMMKKUMN See.notations on plan; Front yard setback approved by Planning. Tnsta.11 smoke detectors as per URC 1210 - adjacent to all sleeping areas and in basement, 11�ARNING Before digging call for all utility locations 454.0002 REQUIRED BY LAW TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD SEPARATE PERMITS ARE REOUIRED FOR ELECTRICAL, PLUMBING, HEATING, VENTILATING OR AIR CONDITIONING. ZONING SO. FT. CU. FT. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT NO. DWLG. UNITS OFFSTREET PARKING ANY TIME AFTER WORK IS COMMENCED. 1 HEREBY 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 .$1.04 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT $2,085 PERMIT FEE SAC CHARGE DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- $54.00 Fire SC $2.09 STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. PLAN CHECK FEE TOTAL FEE 57.13 SIGNATU E OF CATRACTQRORAUTHORIZEDAGENT IDATEI WHE ERL LIDATED THIS IS YOUR PERMIT AT E OW ERIF NERBUILDERI IDATEI BDINSP gaTESiG NEW [ ] Effective 5126193 ADDN [ 1 CITY OF FRIDLEY ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 Building Permit Application Construction Address: 17�d- 3 a Si-, Ai Legal Description: Z- is a- a jS)'0 C'k I P I \j m o v 4-t, fq4of, Owner Name & Address: e _ EY, r 4G d--3 a S+, N F 7 Tel. # 5 Contractor: d w n -e MN LICENSE # LIVING AREA: Length GARAGE AREA: Length DECK AREA: length OTHER: jF Is i-rf'd" /e u( Attach to this application, a Certificate of Survey of the 9®l lot, with the proposed construction drawn on it to scale. Zwe 0s,/ DESCRIPTION OF IMPROVEMENT Width (o Height Sq. Ft. Width Height Sq. Ft. Width Hgt/Gramd Sq. Ft. Corner Lot [ I Inside Lot. [ I Ft_ Yd Setback Side Yard Setbacks Type of Construction: tie n a d Estimated Cost: $ �S :.S-0 Approx. Completion Date: tel hr o, tti's (Cost on Back) Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ DATE: !o ' ! 5 —% APPLICANT: Tel. # S 71- �9,& Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway .Escrow Erosion Control Park Fee Sewer Main Charge TOTAL / $ 5 ®0 C1TY USE ONLY Fee Schedule on Reverse Side .001 of Permit Valuation (1/10th%) $ �, D $.50/$1,000 Valuation $ $750 per SAC Unit $ $5.00 (State Licensed Residential Contractors) $ , Alt. "A" or Alt. "B" Above $ Conservation Plan Review $450.00 $ Fee Determined by Engineering $ Agreement Necessary [ I Not Necessary [ I $ �/ STIPULATIONS: -1 recvj�- �pgo L/,(- A IFIA Els STOK M AN APPROVED MANNER Il Sy,e r ALL, REFUSE EK Y xc p --l-c- /lwt T TO COXFO 1 1 AP 'K© D SUBJEC CE AP I IC ABLE CODES AND ORDINANCES !< i ee, �BUILDIN INSPECTOR FRIDLXY.� MjXMSO-TA Sic e. 'CITY OF (10 c'e r \j JAW CITY OF FRIDLEY FRIDLEY MUNICIPAL CENTER - 643LUNIVERSITY AVE. N.E. FRIDLEY. MN 55432 - (612) 571-3450 - FAX (612) 571-1287 August 27, 1993 Mr. Keith Eliason 4623 2nd Street Fridley, MN 55432 Dear Mr. Eliason: PW93-185 Per our telephone conversation, the City will allow a maximum 4 ton per axle vehicle load to access your property at 4623 2nd Street for the week ending September 3, 1993. If you have any questions, please contact me at 572-3551. Sincerely yours, Scott Erickson Assistant Public Works Director SE:cz sue,7ECT MIT NO. City �f Fridley 27519__ AT THE TOP OF THE TWINS BUILDING PERMIT P L COMMUNITY DEVELOPMENT DIV. PROTECTIVE INSPECTION SEC. �� r I 1 . I NUMBER REV DATE PAGE OF APPROVED BY CITY HALL FRIDLEY 55432 612-571-3450 910-F15 9/1/98 JOB ADDRESS 4623 2nd Street NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 21, 22 11 IPlymouth Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Reith Eliason 571-4194 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Owner 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 jk REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Reroof house and garage 26 SO Tear -off 9 CHANGE OF USE FROM TO STIPULATIONS Underlayment must comply with the State Building Code. 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 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 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT $2228 1.11 DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PERMIT FEE SAC CHARGE PROVISIONS OF ANY O ER TE OR LOCAL LAW REGULATING CON- STRUCTION O THE P F CE OF ONSTRUCTION. $74.75 Fire SC $2.23 PLAN CHECK FEE TOTAL FEE 78.09 14- NATURE OF CO ACTOR OR AUTHORIZED AGENT IDATEI WHEN PROPER ALIDATED THIS IS YOUR PERMIT I BLQG INSP DATE SIGNATURE OF OWNERIIF OWNER BUILDER) IDATEI NEW - [ ]. Effective 1/1/98 ADDN [ ] CITY OF FRIDLEY ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION ConstructionAddress:6 a S� Legal Description: Owner Name & Address: ACS S o�� a S Tel. # Contractor: w► e 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: r 2. Construction Type: ®-�"F �C Estimated Cost: $ o� q (Fee Schedule on Back) Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ _ $ DATE:. % - l _ APPLICANT: �, c% Tel. # 7/' Permit Fee $ -7 -7 Fire Surcharge $ State Surcharge $ SAC Charge $ License Surcharge $ Driveway Escrow $ Erosion Control $ Park Fee $ Sewer Main Charge $ TOTAL $ 2 o - 0 1 STIPULATIONS: 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 [ ] SUBJECT PCWIT NO. City of Fridley 29914 AT THE TOP OF THE TWINS BUILDING PERMIT r RECEIPT NO. _____ COMMUNITY DEVELOPMENT DIV. INSPECTION SEC. PROTECTIVE 1 � � CITY HALL FRIDLEY 55432 NUMBER REV DATE PAGE OF APPROVED BY 612-571-3450 910415 7/21/99 JOB ADDRESS 4623 2nd Street NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 21 22 11 IPI=o-uth Addi1 SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Keith Eliason 571-4194 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO The Fireplace Center545-9797 -4119 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 XX ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE B DESCRIBE WORK Install woodburning fireplace 9 CHANGE OF USE FROM TO STIPULATIONS 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 1 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 1000 $.50 DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PERMIT FEE SAC CHA E PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON - 0 ,TME ERFORMANCE OF CONSTRUCTION 38.75 Fire 1.00 PLAN CHECK FEE TOTA E 71k I T* 5 ACTOR OR AUTHORi2E0 AGENT 104TE) p pE I TE I$ IS UR�PERMIS-GNATURE BLO NSP OF OWNERsIF OWNER BUILDERi iOATE, w. NEW[ ] Effective 5/10/99 ADDN [ ] CITY OF FRIDLEY ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 �\ BUILDING PERMIT APPLICATION Construction Address: q(P�3 a = t*V-ee+ ,J_C Legal Description: Owner Name & Address: [,rah t-�(,�3 �-'"� W4-, N -E. Tel. # 51- Contractor:�,��e_(�„�� MN LICENSE # '31(I Address: Ioq�® j ��A F A 15100 M FKAk Tel. # Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF BIPROVEMENT 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: W h rru n� �n[�� _ Estimated Cost: $—) OCC ' Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ DATE: "2 i Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control APPLICANT: P6& Tel. # CITY USE ONLY Fee Schedule on Reverse Side $ .001 of Permit Valuation (1/10th%) $ $.50/$1,000 Valuation $ $1050 per SAC Unit $ vD D $5.00 (State Licensed Residential Contractors) $ Alt. "A" or Alt. "B" Above $ $450.00 Conservation Plan Review Park Fee. $ Sewer Main Charge TOTAL STIPULATIONS: Fee Determined by Engineering Agreement Necessary [ ] Not Necessary [ ] H5'-3`9•'1 u SUBJECT P City of Fridley 33092 AT THE TOP OF THE TWINS BUILDING PERMIT RECEIPT NO. • COMMUNITY DEVELOPMENT DIV. _ PROTECTIVE INSPECTION SEC. r NUMBER REV DATE PAGE OF APPROVED By CITY HALL FRIDLE`1 55432 L J\ 763-571-3450 910-Fll 9/16/02 JOB ADDRESS 4623 2 Street NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 21,22 11 Plymouth Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Keith Eliason 4623 2 Street NE 763-571-4194 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 8 USE OF BUILDING Residential 7 CLASS OF WORK Cj NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Construct a 12' x 20' Shed 9 CHANGEOFUSEFROM TO STIPULATIONS See stipulations 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 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 OWLG, 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 $2.45 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT $4,912 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- $111.25 Fire SC $4.91 STRUCTION OR THE PERFORMANCE OF CONSTRUCTION PLAN CHECK FEE TOTALFEE .$/8.61 SiGNATU OF CO AACT RO AUTHO EN1 IDATE, E PFO Y VALID TE THIS I$ YOUR PERMIT �-r � --0 &r� /.' F -a.� 'S URE OFOWNER NERB ERi iDATEi BL G INS --n OA TE u NEW [ J ADDN (J ALTER (J Construction Address: CITY OF FRIDLEY Efiec izaoz 6431 University Ave NE, Fridley, MN 55432 (763) 57Z4604 BI insp SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION j 0 �ao� e�l tP�.23 e2S. 9E. Legal Description: S In Owner Name & Address: k2, 11 r Tel. # Contractor. V�"e/ a 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: � %� �� �� iC° 0?0 Construction Type: 'Estimated Cost: $ -1 . C Driveway Curb Cut Width Needed: Ft + 6 Ft = Ft x $ —=$ DATE: < ' l 02- APPLICANT: T Tel. #g 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 $ 0I 6, (0 \ STIPULATIONS: /-�5-��4z- -1ST% 1/6i,?� ^/L5 -elz PUS E pb o 4ddox� agb/ J `j- f�tjS t��17 � -orv-) 0. 0 —4- P4 4— Building $ BUILDING Permit No.: ' A5 Inspections 65% of Building Permit Fee RESIDENTIAL APPLICATION Received By: 763-572-3604 Surcharge CITY OF FRIDLEY Date M - 0C DATE YOUR E-MAIL ADDRESS $5.00 (State Licensed Residential Contractors) SITE ADDRESS �� AIS $1550 per SAC Unit (Plans to MWCC for determination) Curb Cut Escrow $ ft + 6 ft = ft x $20 = $ THIS APPLICANT IS: IIOWNER ❑CONTRACTOR $450 Conservation Plan Review PROPERTY OWNER/ NAME:Ae i4� Fee Determined by Engineering TENANT ADDRESS: °� CITY , STAT&I ZIP Y-1— Total Due PHONE: Make checks�ayable to: City of Fridley Attach Stipulations CONTRACTOR NAME: STATE LICENSE # EXP DATE SUBMIT A COPY OF YOUR STATE LICENSE ADDRESS: CITY STATE ZIP WITH APPLICATION PHONE FAX ❑ SINGLE FAMILY/NEW CONSTRUCTION SIZE PROPERTY TYPE ❑ TWO FAMILYINEW CONSTRUCTION STORIES PERMIT TYPE ❑ ADDITION ❑ GARAGE/SHED ❑ WINDOWS ❑ BASEMENT FINISH ❑ ROOF ❑ DRAIN TILE ❑ DECK ❑ SIDING ❑ OTHER SWIMMING POOL TYPE OF WORK: -NEW ❑ ADDITION ❑ MAINTENANCEIREPAIR ❑ REMODELING DESCRIBE WORK BEING DONE: 14��° � � 0 & ✓- ���" �� 17 SIZE OF IMPROVEMENT r LENGTH / & WIDTH HEIGHT Sq. Ft. ROOFING NUMBER OF SQUARES GARAGES PROPOSED SIZE:_ PROPOSED HEIGHT: SIDING ❑ vinyl ❑ Aluminum ❑ Other WINDOWS IN EXISTING OPENINGS ❑Yes ❑No OR FOR NEW OPENINGS -DESCRIBE SIZE OF OPENING CHANGES & TYPE OF WINDOW TO BE INSTALLED ❑ HOUSE ONLY ❑ HOUSE & GARAGE ❑ ATTACHED GARAGE ❑ DETACHED GARAGE ❑Soffit ❑ Trim ❑ Fascia LOCATION OF WINDOWS NUMBER OF BASEMENT REMODELING SUBMIT: 1. Existing Floor Plan 2. Proposed floor plan 3. List of structural members to be used FOR NEW CONSTRUCTION INCLUDING DECKS, ADDITIONS & PORCHES SUBMIT: 1. Site Plan/Survey showing the existing structures and proposed project. 2. Two sets of construction plans 3. Energy Calculations ALL FEES ARE BASED ON VALUATION, INCLUDING THE COST OF LABOR AND MATERIALS: (USING THE 1997 U.B.0 FEE SCHEDULE) TOTAL JOB VALUATION $ �% 'M, On OCCUPANCY TYPE Permit Fee $ L9- See Back Page for Fee Schedule Plan Review $ &2,1 65% of Building Permit Fee Fire Surcharge $ 3� > ` Q .001 times the total job valuation Surcharge $ 2 , 8 .0005 x Permit Valuation Minimum $.50 License Surcharge $ $5.00 (State Licensed Residential Contractors) SAC Charge $ $1550 per SAC Unit (Plans to MWCC for determination) Curb Cut Escrow $ ft + 6 ft = ft x $20 = $ Erosion Control $ $450 Conservation Plan Review Park Fee $ Fee Determined by Engineering Sewer Main Charge $ Agreement necessary ( ) Non Necessary ( ) Total Due $ 1(060, Make checks�ayable to: City of Fridley Attach Stipulations THIS IS 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 application for a permit and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of all work which re li.ires revie and Wroval of plans. DATE SIGNATURE OF APPLICANT �� , PRINT NAME lVd �u