PRE 2010 DOCSVillage of Fridley, Minn.
BUILDING PFADM
N°
7 47
Office of INSPECTOR OF BUHMINGS
Owner
Architects T Fridley, Minn., b way 19 -
Builderrtzr
LOCATION OF BUILDING
No. "off- Street Part of Lot
Lot w Block Addition or Sub -Division w, "
is
DESCRIPTION OF BUILDING
Front . Dept: Height M1? Stories �. Manner of construction'
*_+
To be used as., Tn " To be completed__.`_ _.- Estimated Cost
�I
Permit is hereby granted r dam' „ °' 'T to t the building`' described in the above statement. This permit is granted
upon the express co dation that the person to whom it is granted, and his agents, employees and workmen, in all
the work done in, round and upon said building, or any part thereof, shall conform in all respects to the ordi-
nances of Fridley, 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. j
I x
_ , �inspector of Buildings.
ii
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 a, d 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 an� sworn to before me -at Fridley, Minnesota,
day of x ', A.D. 19g-
1
Date: --�— �/ & -
Owner: 4 Buil
Address Address
LO TI OF B , LDING
No. trent Part of Lot
4
Lot
Corner Lot
Sewer Elevation
Block Addition or Sub -Division _
Inside Lot Setback �� L5 _ _ _ _ Sideyard
Foundation Elevation
DESCRIPTION OF BUILDING
N? '72:09
T be ss:
Front Depth Height 1---I) Sq. Ft. Cu. Ft. zkw
Fr -put Depth �pHei te1P, Sq. Ft. Cu. Ft.
Ax,Type of Construction �4(___ Fst.g[ _ ''O0_ 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 pfrQ and in complia e with ah provisions of
ordinances of the city of Fridley.
�a c�
In consideration of the payment of a fee of It "�, permit is hereby granted to
the
to construct the building or addition as described above. This permit is granted upon
express condition that the pens n 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, Mizmesota reg location, construction, alteration, maintenance, repair and moving of buildings
wi
o�cees. city limits and�a permit may be revoked at any tithe upon�violati any of the Provisions of said
yd
NOTICE:
Ibis permit does not cover the construction, installation for wi ing, Plumbing, gas heating, aver or water. Be sure to we
the Building Inspector for separate permits for these hems.
1
Application for Pourer Plants and Heating, Cooling® Ventilation, ReMgeration and
Air Conditioning Systems and Devices
PARTIAL RATE SCHEDULE
GRAVITY WARM AIR: RATE TOTAL
Furnace Shell & Duct Work .......................... 8.00 $
Replacement of Furnace ............................. 5.00 $
Repairs & Alterations—up to $500.00 .................. 5.00 $
Repairs & Alterations each add. $500.00 ............... 2.50 $
MECH. WARM AIR
Furnace Shell & Duct Work to 120,000 BTU ............ 8.00 $
each add. 60,000 BTU ......... . ............. 2.00 $
Replacement of Furnace ............................. 5.00 $
Repairs & Alterations—up to $500.00 ................. 5.00 $
Repairs & Alterations each add. $500.00 .............. 2.50 $
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) 5.00 $ 61 Q
GAS FITTING FEES: NO RATE TOTAL
1st 3 Fixtures / x $1.50 $ • �D
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
ROUGH
FINAL
Dept. of Bldgs. Phone 560-3450
1
City of Fridley:
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
and ruling of the Department of Buildings, and hereby declares that all the facts
and representations stated in this application a true and correct.
/Fridley, Mian 190
Owner aA r'
Kind of Building
Used as
To be completed about
Estimated Cost,
. Building Permit No.
Permit No. '-" C)
DESCRIPTION OF WORK
HEATING or POWER PLANTS—Steam, Hot Water, Warm Air—No
Trade Name Size No
Capacity Sq. Ft. E.D.R I BTU H.P.
Total Connected Load `/� D- Kind of Fue �-�
BURNER — Trade Namei��l�di, Size No
Capacity��4Sq. Ft. E.D.R. BTU H.P.
(REMARKS—OVER)
Business 1 1 1/
City ®f Fridley,
ING PERMIT
Date: May 3,,� 1971
Owner: Seyexn Zawislk Builder Lander ('nmpanT
Adder 4632 -2nd Street N.E. Address 2909 Nicollet Avenue
LOCATION OF BUILDING
No. 4632Street 2nd Street N.H. Part of I.ot
Lot 9 & 10 _ Block 12 Addition or Sub -Division _ Plymouth Addition
Corner Lot Imide Lot — Setback —_ Sideyard
Sewer Elevation — Foundation Elevation
N° 10995
To be Used as:
Repairs .Aftpr Fire Front Depth Height Sq. Ft. Cu. Ft
Type of Construction
Front Depth Height Sq. Ft. Cu. Ft.
Est. Cost _.__$500-00 – To be Completed 30 duTs
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 com fiance with all provisions of
ordinances of the city of Fridley.
In consideration of the payment of a fee of $ 5.00 , permit is hereby granted to T.nndwr Cnm=any
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 thus permit may be revoked at any time upon violation of any of the provisions of said
ordinances.
CLARENCE BELISLE
NOTICE:
This pormit does not cover the construction, installation for wiring, plumbing, gas heating, sewer or water. Be core to see
the Building Inspector for separate perms for them hems.
APLICATION FOR RESIDENTIAL, ALTERATION,
OR ADDITION BUILDING PERMIT
CITY OF FRIDLEY, MINNESOTA
OWNER'S NAME :-S�/, j0/ lag' ��1 BUILDER : C �)/�®L� `1� �GG� r
J ----•
ADORES S : Y 2 �-�✓ . sT o ADDRESS •
NO:. STREET:
LOT: I / C BLOCK : % -.a ADDITION:
CORNER LOT: INSIDE LOT: SETBACK: SIDEYARD:
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: l
Front: Depth: Height:
Square Feet: Cubic Feet:
Front: Depth: Height:
Square Feet; Cubic Feet:
Type of Construction:
To Be Completed:
Estimated Cost:_ $ o•
The undersigned hereby makes application for a permit for the work herein
specified, agreeing to do all work in sttict 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:' a . / SIGNATURE • f
(See Reverse Side For Additional Information.)
f„ r,> G-0,
QUANTITY
MATERIAL
PRICE
/v ". U wu
Gia 0 DZ ®2, R11 COMPMV �
PLUMBING & HEATING * CONSTRUCTION REMODELING WORK ❑ w'
2909 NICOLLET AVENUE - MINNEAPOLIS, MINN. 55408 SERVICE WORK ❑ ,
Phone 827-3693 NEW WORK ❑
Date
Job at �� l% F_ L
/0. �.
'SZ O
Instructions
W00,0 e_.®Lc fn A)
I hereby authorize the above repair work to
be done with the necessary materials & we
are the fee owners of this property.
X
TERMS: All accounts due net upon
completion. Service charge of $1.00 or
1/]% per month on past due accounts.
Reasonable legal costs will be charg-
ed if the account becomes a collection
item.
Sold to
C.O.D. ❑ CASH ❑ CHECK I]
CHARGE ❑ `
wr/A
1I/ rplAi ;;y s
SUBJECT
PERMIT NO.
City of Fridley
` ® 12103
AT THE TOP OF THE TWINS
BUILDING PERMIT
r
RECEIPT -N-(5-.
COMMUNITY DEVELOPMENT DIV.
~
r , PROTECTIVE INSPECTION SEC.
�����
�4 �"•'1 CITY HALL FRIDLEY 55432
NUMBER
REV.
DATE
PAGE OF
APPROVED BY
`•••"�'� ,�� 612-560-3450
910-F15
4/20173
JOB ADDRESS
4632 2nd Street N.E.
1 LEGAL
LOT N0.
BLOCK
TRACT OR ADDITION SEE ATTACHED
DESCR.
9,10
12
Plymouth Addition SHEET
2 PROPERTYOWNER MAIL ADDRESS ZIP PHONE
Severn Zawishak 4632 2nd Street N.E.
3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO.
4 ARCHITECT OR DESIGNER MAIL ADDRESS ' ZIP PHONE LICENSE NO.
5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO.
6 USE OF BUILDING
7 CLASS OF WORK
❑ NEW CX ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE
8 DESCRIBE WORK
Add a jU0E1X=porch to an existing structure
9 CHANGE OF USE FROM TO
STIPULATIONS
TYPE OF CONST.
OCCUPANCY GROUP
OCCUPANCY LOAD
SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING,
good
& Scree
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.
$700��0
WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT
.50
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-
$6.00
STRUCTION OR THE PERFORMANCE OF CONSTRUCTION.
PLAN CH KFEE
TOTALFEE
$6.50
SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT (DATE(
WHEN PR E (DATED T ISI OUR PERMIT
4/20/73
4/20/73
SIGNATURE OF OWNER (IF OWNER BUILDER) (D-
DATE
wr/A
1I/ rplAi ;;y s
APPLICATION FOR RESIDENTIAL, ALTERATION,
OR ADDITION BUILDING PERMIT
CITY OF FRIDLEYs MINNESOTA
D4 ' S NM;, ��/y -Li� �A 7 /m= 3 S Al
7'�/��j//�/ +/�/• (gyp//f 0s/'ll//1/� R■ I A(T•� wwww��ee //j/•- //!A/'✓/ 117!!T^� f I # e f RI ■ 1 !!
ADIDW S / f V `� i( �! 1 AD
8
e IST!
C*R= LOT: XMIM LOT; l�: a SETBACKt SIDEYARD:
Antilnant attach to dtU fo=_Vo Certificates of Survey of Lot and proppepd
Udldftg i,;catio= dram 4m these Certificates,
DESCRIPTION OF BUILDING
To 59 Us" As
y9va" Depth Height
Sq-v=e Feet;.,3�L .., Cub% reett -3 ! `7✓
k'rcaa t t Depth ; Height
square yeet; // Cubic Feet:.
Tyia of Conetructilmt iasti�ated Cost: $ �, ® l% , �%
un Vigned hereby tea appluation for. a pemit for the work herein
spaalf#.ed,, agreeing to do all work in stttet accordance with the Oilty of
l lvW Or0masces aad xttftp of Oe D"rtmeni; of Bujl dtn%o, vmA hereby
+filar" $*at all the facts and representations stated ta this application
axe true =4 correct` /?
veep I■• 1 !.m■ ■ w l..Isy .+.e m S1�,7
(Of RavWva S de For A1dd# 4an4 Infort4atisn. )
owner of the property located at
have no objection to the City
allowing the construction of a to be located at
463 2,
`T without the required certificate of survey
that.the City ordinarily requires for all new construction.
Signed
Address -
WLtness g
Date
a
22
SUBJECT
PE O.
City of Fridley
� 13819
AT THE TOP OF THE TWINS
PERMIT
r
BUILDING
RE
COMMUNITY DEVELOPMENT DIV.
--�
r PROTECTIVE INSPECTION SEC.
!
1 . �
NUMBER
REV.
DATE
PAGE OF
APPROVED BY
CITY HALL FRIDLEY 55432
612-580-3450
910-F15
10/8/76
JOB ADDRESS 4632 - 2nd Street N.E.
1 LEGAL
LOT NO.BLOCK
TRACT OR ADDITION SEE ATTACHED
DESCR.
9110
12
Plymouth Addition SHEET
2 PROPERTY OWNER MAILADDRESS ZIP PHONE
Joseph Kummrow 4632 - 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
❑
X NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR El MOVE ❑ REMOVE
X
8 DESCRIBE WORK
fes^"
a� I WA n o A ',ULU� q-la _7?
Construct a W x aW Garage
%PSM PERMITS REQUIRE ,
9 CHANGE OF USE FROM
STIPULATIONS provide a hard surface driveway.
TYPE OF CONST.
OCCUPANCY GROUP
OCCUPANCY LOAD
SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING,
VENTILATING OR AIR CONDITIONING.
wood Frame
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.
$5,328
$2.66
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-
$28.80
STRUCTION OR THE PERFORMANCE OF CONSTRUCTION.
PLAN CHECK FEE
TOTALFEE
$31.46
SI NATURE CONTRACTOR OR AUTHORIZED AGENT (DATE)
jj
WHEN FROPERLY VALIDATED THIS IS YOUR PERMIT A.
� l ,,%� ,, � ,Q-17 ,0
BLDG. INSP DATE
IGNATUR OF OWN R ,IF OWNER BUILDER! (DATE) I
22
1.1 i Y ur rKIULtY
APPLICATION FOR RESIDENTIAL ALTERATION,
ADDITION, OR REPAIR BUILDING PERMIT
OWNER.'S. NAME: J® S �/7 L�/j'1/Y/�o� BUILDER: DWIVOI
ADDRESS: % 63c-,)—cZ2a1 ADDRESS :
NO:. STREET: a dl
LOT:0BLOCK: Z v \— ADDITION: P/f l;f6�j�/T
CORNER LOT: INSIDE LOT:X�SETBACK: SIDEXARD.:
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: Depth: Height.:
Square Feet:® Cubic Feet: -7,2( ®®
Front:
Depth: Height:
Square Feet; Cubic Feet:
Type of Construction: / F, Estimated Cost: $ 166
To Be Completed: 451410 Deja
The undersigned hereby makes application for a permit for the work herein
specified, agreeing.to do all work in sttict 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: 67 _ ;q (` 7 ( SIGNATURE:
(See Reverse Side For Additional Informan.)
y
n
CITY OF FRIDLEY
APPLICATION FOR RESIDENTIAL BUILDING PERMITS
(NEW, ALTERATIONS, ADDITIONS, OR REPAIRS)
. �7
OWNER:' � /�v/r%A'®� BUILDER: ,
Address: eZ5- Address: .
Tel. No.: 51, 6 7 7<.'d"
�,
No.: Street:
LOT: BLOCK: ADDITION:
CO22NER LOT: INSIDE IAT: SETBACK: SIDEYARDS:
Applicant attach *to this form Two Certificates of Survey of Lot and propos
building location drawn on these Certificates.
DESCRIPTION OF BUILDING
To Be Used As:
Front: Depth: Height:
Square Feet: Cubic Feet:
'Front: Depth: Height:
Square Feet: Cubic Feet:
Type of Construction: Estimated Cost: $
To Be Completed: l/ Alt. A Alt. B
Pr6posed 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 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 add�tional%i.nformation.
DATE: �`� Jam' 7L SIGNATURE:
Stipulations:
&"Pass'l o�)
11
r
I'll, /-S y - li 0
City of Fridley
SUBJECT 16 0 7 7
AT THE TOP OF THE TWINS
BUILDING PERMIT
r
RECEIPT NO.
LL ------- COMMUNITY DEVELOPMENT DIV.
r PROTECTIVE INSPECTION SEC.��
CITY HALL FRIDLEY 55432
NUMBER
REV.
DATEPAGE
OF APPROVED BY
612-571-3450
910-F15
3/27/81
JOB ADDRESS 4632 - 2nd Street N.E.
1 LEGAL
LOT NO.
BLOCK
TRACT OR ADDITION SEE ATTACHED
DESCR.
.
Plymouth. SHEET
2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE
Joe Kummrow 4632 - 2nd Street N.E. 566-9788
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 ❑X ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE
8 DESCRIBE WORK
Remove flat roof from dwelling addition and install peaked roof
9 CHANGEQFUSEFROM TO
STIPULATIONS
SEPERATE PERMITS REQUIRED
FOR FIRING,
HEATING, PLUMBING AND
SIGNS,
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
$2,500
$1.25
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-
$15.00
STRUCTION OR THE PERFORMANCE OF CONSTRUCTION.
PLAN CHECK FEE
TOTAL FEE
$16.25
SI ATURE 01 C NTRACTORORAUTHORIZEDAGENT (DATE)
WHEN PROPERLY LIDATED THIS IS YOU PERMIT
r,
oOva
BLDG INSP DATE
j&GNATUREJ&gmER BUILDER) (DATE)
u
0 -7
CITY OF FRIDLEY
APPLICAna-4 FOR RE;SIE)EE1TIAL .BUILDIEIG PEMIITS
(New, Alterations, Additions„ or Repairs)
OWNER: .J ®� �� /n InDBUILDER:
ADDRESS: X422-24al � 4U� P ADDRESS:
TEL NO: 9_7 TEL NO:
Construction Location
STREET NO: �1�3 z STREET: �nal S /
LOT: 1-2- BLOC�C: �_ ADDITION:
Corner Lot: inside Lot: G VX/3 _�r— Setback: Sideyards:
Applicant attach to this form two Certificates of. Survey of lot and
proposed building .location drawn on certificates to scale.
DESCRIPTIO14 OF CONSTRUCTION
�- ®vF b Aj. Front: Depth: Height:
Square.Feet:^ Cubic Feet:
Front: Depth: Height:
Square- Feet: Cubic Feet:
u
Type of Construction: &0 D15 L, Estimated Cost: $
To Be Coripleted:
A].t. A Alt. B
Proposed Driveway Width If New Opening Is Desired: $ $
SEE REVERSE SIDE OF SHEET ,
Vne undersigned hereby makes application for a permit for the %:nrk' 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 declare that all the facts and
representations stated in this application are, true, and cc -sect.
DATE: j ' � � D / SIGNATURE: /
Stipulations
SUBJECT
NO
City of Fridley
9 4 8
AT THE TOP OF THE TWINS
BUILDING
PERMIT,
PT NO.
Ir?
_ COMMUNITY DEVELOPMENT DIV.
v
00r
PROTECTIVE INSPECTION SEC
NUMBER
REV
DATE
PAGE OF
APPROVED BY
CITY HALL FRIDLEY 55432
612-571-3450
910-F15
1/10/97
JOB ADDRESS 4632 2 Street NE
1 LEGAL
LOT NO.
BLOCK
TRACTOR ADDITION
SEE ATTACHED
DESCR.
9 f 10
12
Plymouth Addition
SHEET
2 PROPERTY OWNER MAIL ADDRESS
ZIP
PHONE
Joseph Kummrow 4632 2 Street NE
572-9788
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 �
ElNEW ❑ ADDITION CJ ALTERATION ❑ REPAIR El MOVE El REMOVE
X
8 DESCRIBE WORK
Finish upstairs area and convert breezeway to living
area
9 CHANGE OF USE FROM TO
STIPULATIONS
See notations on plan. Upstairs area can not be
used as a bedroom
untill egress window is installed that meet the State Egress
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
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
$12,000
$6.00
DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE
PERMIT FEE
SAC CHARGE
PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON-
STRUCTION OR THE PERFORMANCE OF CONSTRUCTION
$187.25
Fire SC $12.00
PLAN CHECK FEE
TOTALFEE
$205.25
IGNATUREO ON TRACTOR OR AUTHORIZED AGE T IDATEI
WHEN PROPERL VWDATED THIS IS YOUR PERMIT
'
&/,
BLP@ INSP
BATE
I.GNATUREdFOWNER,IFOWNER BUILDERI IDATEI
NEW [ ]
Effective 3/1/96
ADDN [ ]
CITY OF FRIDLEY
ALTER
SINGLE FAMILY AND DUPLEXES R-1 AND R-2
DATE: APPLICANT:
Building Permit Application
ConstructionAddress:
n �� J T,
Legal Description.-
escription:Owner
Permit Fee
OwnerName & Address:
--Cog - P,4 %trt 6v1 i"1? !2 ®� Tel. #
Contractor: S`, J<—
MN LICENSE #
Address: Tel. #
State Surcharge
Attach to this application, a Certificate of Survey of the
$.50/$1,000 Valuation
lot, with the proposed construction drawn on it to scale.
DESCRIPTION OF IMPROVEMENT
LIVING AREA: Length Width a 5� Height Sq. Ft.
GARAGE AREA: Length Width Height Sq. Ft.
DECK AREA: Length Width Hgt/Ground Sq. Ft.
TP I
oA) d ,� t ,(3 ��2 GU4 Y 7-0 G + D
Corner Lot [ ] Inside Lot [ ] Ft. Yd Setback Side Yard Setbacks
Type of Construction: Estimated Cost: $f �� 60 0
Approx. Completion Date:
TOTAL $ � �'25"
STIPULATIONS:
(Cost on Back)
Driveway Curb Cut
Width Needed:
Ft. + 6 Ft = Ft x $ _ $
DATE: APPLICANT:
-To F K u m r4pa W Tel. # _5-7a
CITY USE ONLY
Permit Fee
$ %
Fee Schedule on Reverse Side
Fire Surcharge
$
.001 of Permit Valuation (1/10th%)
State Surcharge
$ CO
$.50/$1,000 Valuation
SAC Charge
$
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 $ � �'25"
STIPULATIONS:
�i1
cam, �� ./
CITY OF FRIDLEY INSPECTION DIV, Effective On January 1;1993
6431 University Ave NE
Fridley, MN 35432 APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION,
572-3604 REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES - 5-1
Residential
Furnace Shell and Duct Work, Burner —
Also Replacement Furnace
Gas Piping (Needed with new furnace)
Gas Range
Gas Dryer
*Air Conditioning — AR Sizes
All Others/Repairs & Alterations (LIST ON BACK)
1% of Value of Appliance or Work
Commercial/industrial
1% of Value of Appliance or Work
JOB ADDRESS
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
s cr rulings of the Building Division, and hereby declares that all the facts and
representations stated In this application are true and correct,
$10.00 $
$10,00 $ '
State Surcharge
TOTAL FEE
M14
MINIMUM FEE FOR ANY HEATING/COOLINGNENTIL.ATION
REFRIGERATION/AIR CONDITIONING PERMIT IS 115.00
FLUS THE $.54 STATE SURCHARGE
REINSPECTION FEE $30.00
*Air Conditioners can not be placed in a side yard without
written permission from adjoining property owner,wJ
OWNER � 9cQ a
BUILDING USED AS A'A A
ob
ESTIMATED.COS PERMIT NO,
No, of Heating Units„_,_„ Circle One (Steam) (Hot Water) (Warm Air)
Trade Name AeA ' Size No. , ,06
BTU HP EDR
FuelTfokmil Total Connected Load,d
7
Burner Trade Name .5126 No. �.' )"7)
BTU ')S Xff� HP EDR
i'
HEATING COMPANY C
Signed By Tel No.
Approved By Rough—In Date Final Date
FILL OUT BACK SIDE FOR STACK VERIFICATION ON
REPLACEMENT FURNACE
CHIMNEY AND BTACR VERIFICATION
The undersigned hereby verifies that the existing chimney or stack:
1.
Has been carefully examined
Yes
(
)
No
(
j
2.
Is free from rust or -deterioration
Yes
(
)
No
(
)
3.
Has no foreign: objects lodged within
Yes
(
)
No
{
)
4.
Is securely supported
Yes
(-)
No
(
)
S.
Meets all current Code requirements for
size and total BTU's connected
Yes
(
)
No
(
)
6.
Has total heating BTU's of
i
All other BTU's
TOTAL BTU's r�
List Alterations Being Done:
HEATING COMPANY
Signed By .y
Date
J
SUBJECT
PERMI
City of Fridley
3238
AT THE TOP OF THE TWINS
BUILDING
PERMI
r
NO
' COMMUNITY DEVELOPMENT DIV.
_____
16U -
r PROTECTIVE INSPECTION SEC.
I ,
NUMBER
REv
DATE
vAGE OF
APPROVED BY
I i"'1 CITY HALL FRIDLEY 53432
IL
----A, 612-571-3450
910-F15
1/10/02
/ /
JOB ADDRESS 4632 2nd Street NE
I LEGAL
LOT NO.
BLOCK
TRACT OR ADDITION
SEE ATTACHED
DESCR.
9-10
12
Plymouth Addition
SHEET
2 PROPERTY OWNER MAIL ADDRESS
ZIP PHONE
Joe Kummrow, 4632 2nd St NE, Fridley, MN 55421
763-572-9788
3 CONTRACTOR MAIL ADDRESS
ZIP PHONE LICENSE NO
Pro -Tec Exterior Solutions, 2101 105th Ave NE Blaine
MN 55449 763-792-6704
4 ARCHITECT OR DESIGNER MAIL ADDRESS
ZIP PHONE No
20263065E
5 ENGINEER MAIL ADDRESS
ZIP PHONE LICENSE NO
B USE OF BUILDING
Dwelling
7 CLASS OF WORK Ck NEW ❑ ADDITION ❑ ALTERATION "jl� REPAIR ❑ MOVE : ❑ REMOVE
8 DESCRIBE WORK
Re -roof (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 12Q 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
VALATION
SURTAX
AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED
2,573.00
$1.29
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 STAT R LOCAL LAW REGULATING CON-
$83.25
$2.57 Fire SC
STRUCTION OR THE PERFO 120F CONSTRUCTION
- p
PLAN CHECK FEE
TOTAL FEE
$5.00 kicense
1 $92.11
SIGNATURE OF CONTRACTOAOA AUTHORIZED AGENT tOATE,
WH PROPERLY VALIDATED THIS IS YOUR PE MIT
I
BL SNC .,
FAt
SIGNATURE OF OWNER IIF OWNER SUROERi (DATE,
J
JAN -08-2002 'L-1'25 FRG4 C I TY OF FR i DLEY 10 7926604 P.01/02
NEW l j Effective 11112001
ADDN 3 CrrY OF FRIDLEY (763) 5724604 Bldg Insp
ALTER [) SINGLE FAMILY AND DUPLEXES R-1 AND R-2
BUILDING P'ERMFTAPPL.ICATION
Construction Address: -1 U ij d Sfi
Legal Description:
Owner Nang & Address: '�6 c� ani ►�^8� �Tci, #7
'77 �
Contractor: Pry--Ftc MNLICENSE#�
Address: )10 V 10 S -i -k 140C NL� d i A C- Tet. * 77 D j
Attach to this application, a Certificate of Survey of the
lot, with the proposed construcHon drawn on it to scale.
DEECFi1WTION OF IMPROVEMENT
LIVING AREA: Length Width Fright Sq. Ft.
GARAGE AREA: LengthWidth Height � $q, Ft.
DECK AREA: Length Width , Hgt/Ground Sq. Ft.
OTHER: 92 H 0 Is
Construction Type: iT"AV,6 r fi - Estimated Cost, S , =`5 3
Driveway Curb Cert Width Needed: Ft. + 6 Ft = Ft x s = 3
DATE: _ i9= APPLICANT: �'(1�Q� � . !��" � 11eti�lss/� Tei.
#'��j�
CITY USE ONLY - Call (783) 572-3604 for Permit Fees if mailing in applicati®n
Permit Fee ��r �® Fee Schedule ort Reverse Side
Fire Surcharge $ �°� .001 of Permit Valuation (111 9th%)
State Surcharge �e $,54d$1,000 Valriation
SAC Charge $ $1150 per SAC Unit
License Surcharge $ s c $5.00 (State Licensed Residential Contractors)
Driveway Escrow Alt. °A" or Alt. ' ' Above
Erosion Control $_$450.00 _ ____$450.00 t onserva;ion Pian Review
Park Fee $ Fee Determined by Engineering
Sewer Main Charge $ Agreement Necessary j l Not Necessery [ 1
TOTAL $—L
STIPULAMONS:
n