PRE 2010 DOCSCity of Fridley, Minn._-�
BURDING PERMIT N® 7 215
Date:
�,.
Owner: Builder
Address
r-
..
T O OF UILDING
No. Street Part of Lot
Lot . __ Block Addition or Sub- on . N
Corner Lot _ Inside Lot _ _ � ^ Setback r _ Sideyard s�
Sewer Elevation Fo dation Elevation
DESCRIPTION OF BUILDING
To U as:
Front LdQ Depth Height Z6 Sq. Ft. =— ' Cu. Ft. `'
Fr t Depth Height Sq. Ft. Cu. Ft.
Type of Construction Est. 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. Y
471
In consideration of the payment of a fee of 2 Z— , 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, main ce, and moving of buildings
within�the city limits and this permit may be revoked at any tin�e� o of any of the provisions of said
NOTICE:
ids permit does not cover tho construction, hat&Won for wlrtag, plumbing, ear headngr sewer or vaster. Be area to see
the Building Inspector for soparah permits for these hems.
I
i
APPLICATION FOR BUILDI14G,PXRMIT
CITY OF FRIDLEY,.NINNESOTA
OWNER'S NAME -/i MILDER
To be used as:
Depth.
eight
Ft.'*
...... Sq F.t, CU
Front Depth Height
Sq. Ft. Cu. Fti.
Type of Construction. Estimated Cost
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 decl4res,that.all.the facts and
representations stated in this application are true and correct.
DATE SWXATURE
.(Sthedule of Fee Costs cAm be found on the Reverse Side).
City of Fridley
SUBJECT
;
4afR M
o 177 00
AT THE TOP OF THE TWINS
BUILDING
P E R
M I T
r
COMMUNITY DEVELOPMENT DIV..
1 PROTECTIVE INSPECTION SEC.
CITY HALL FRIDLEY 55432
612-571-3450
R CEIPT NO -�'
��
NUMBER
910-F15
REV.
DATE
9/6/84
PAGE OF
APPROVED BY
JOB ADDRESS 4639 - 2nd Street N.E.
1 LEGAL
DESCR.
LOT NO
25, 26
I BLOCK
11
1 TRACTOR ADDITION
Plymouth Addition
SEE ATTACHED
SHEET
2 PROPERTY OWNER MAIL ADDRESS
ZIP
PHONE
Walter Tacyshyn 4639 - 2nd Street N.E. 572-8999
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 ❑ ALTERATION ❑ REPAIR
❑ MOVE ❑ REMOVE
B DESCRIBE WORK
Construct a 41 x 61 Vestibule
9 CHANGE QF USE FROM TO
STIPULATIONS
SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING,
TYPE OF CONST.
OCCUPANCY GROUP
OCCUPANCY LOAD
VENTILATING OR AIR CONDITIONING.
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION
ZONING
SO. FT.
CU. FT.
AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION
OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT
ANY TIME AFTER WORK IS COMMENCED.
NO. DWLG. UNITS
OFFSTREET PARKING
I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION
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
$200
$.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-
STRUCTION OR THE PERFORMANCE OF CONSTRUCTION.
$1.5.00
P N CHECK FEE
TOTAL FEE
$15.50
SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT (DATE)
HEN PROPERLY
BLDG WSP
I TED TIh1S IS YOUR PE MIT
0AT
SIGNATURE OF OWNER (IF OW ER BUILDE (DATE)
NEW
ADDN.
[
[
] City of Fridley Effective 4/1/814
] �R-1 AND R-2 ]
ALTER.
[
] Building Permit Application
Construction Address: ` (o ,3q K) Q . IN 5 T -
Legal Description: Lf- Sy z
Owner Name & Address: �� Tpcysl4yA) j&39 NE QAJb ST T Tel. #
Contractor: C� �� P T�+ (� �! S N x AJ- -- Tel. #
Address: 4.03-9 nig c2'S7- L2 I L) sgz /
LIVING AREA:
GARAGE AREA:
DECK AREA:
OTHER:
Corner Lot [ ]
Attach to this application, a Certificate of Survey of the
lot, with the proposed construction drawn on it to scale.
DESCRIPTION OF I14PROVEMENT
Length Width Height Sq. Ft.
Length Width Height Sq. Ft.
Length __ Width Hgt/Ground Sq. Ft.
Inside Lot [ ]
Type of Construction:
Approx. Completion Date:
Ft. Yd. Setback Side Yard Setback
Estimated Cost: $ 260,PQ
Alt. A Alt B
Proposed Driveway Width If New Opening Is Desired: See Back Page for Explanation
DATE: APPLICANT:
Tel. #
CITY USE ONLY
Permit Fee $ %S o d Fee Schedule on Reverse Side
Plan Check $ 25% of Building Permit Fee
State Surcharge $ .�® $.50/$1,000 Valuation
SAC Charge $ $1425 per SAC Unit '
Park Fee $ — Fee Determined by Engineering
Sewer Hain Charge $
Agreement Necessary [ ] Not Necessary [ 7
TOTAL $
STIPULATIONS•
09�
A. '
SUBJECT
PER
City of Fridley
18423
AT THE TOP OF THE TWINS
BUILDING
PERMIT
RECIEWTIT0.
COMMUNITY DEVELOPMENT DIV.
INSPECTION
fuF_
r � � PROTECTIVE SEC.
1 �
= CITY HALL FRIDLEY 55432
NUMBER
REV.
DATE
PAGE OF
APPROVED BY
j 612-571-3450
910-F15
5/9/86
JOB ADDRESS 4639 - 2nd Street N.E.
1 LEGAL
LOT NO.
BLOCK
TRACT OR ADDITION
SEE ATTACHED
DESCR.
25, 26
] ]
Plymouth. Addition
SHEET
2 PROPERTY OWNER MAIL ADDRESS
ZIP PHONE
Walter Tacyshyn 4639 - 2nd Street N.E.
572-8999
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 J ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE
8 DESCRIBE WORK
Construct a 12' x 20' Garage Addition
9 CHANGE OF USE FROM TO
STIPULATIONS
Provide a hard surface driveway,
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
1
ISTALLS 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
$2,944.
$1.47
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-
$38.50
STRUCTION OR THE PERFORMANCE OF CONSTRUCTION.
PLAN CHECK FEE
TOTAL FEE
.
$39.97
SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT IDATEI
WHEN PROPERLY ALIDATED THIS IS YOUR PERMIT
�iANERA
�S SIGNATURE O OWNER OER1 IDATEI
BLDG NSP
TE
NEW [ ] City of Fridley Effective 4/1/86
ADDN. [ ] I R-1 AND R-2 I
ALTER. [ ] Building Permit Application
Construction Addre
Legal Description:
Owner Name &Address: TA% V514VA% Tel. #
Contractor: Tel. #
Address:
Attach to this application, a Certificate of Survey of the
lot, with the proposed construction drawn on it to scale.
DESCRIPTION OF IMPROVEMENT
LIVING AREA: Length Width Height Sq. Ft.
GARAGE AREA: Length %a Width -2(3 Height 16 Sq. Ft. 0
DECK AREA: Length Width Hgt/Ground Sq. Ft.
OTHER:
Corner Lot [ ] Inside Lot [ ] Ft. Yd. Setback Side Yard Setback
Type of Construction: �.( �<'7'�fl � Estimated Cost: $ 91-1-, > 1glo
Approx. Completion Date:
Alt. A Alt B
Proposed Driveway Width If New Opening Is Desired: $ $
See Back Page for Explanation
DATE: APPLICANT: �rw�-y ��A���� Tel. # 15'9-�'891919
CITY USE ONLY
Permit Fee $ �•S O Fee Schedule on Reverse Side
Plan Check $ 25% of Building Permit Fee
State Surcharge $ l��/f% $.50/$1,000 Valuation
SAC Charge $ $475 per SAC Unit
Park Fee $ _ Fee Determined by Engineering
Sewer Main Charge $
Agreement Necessary [ ] Not Necessary [ J
TOTAL $
STIPULATIONS:
;4'f.Fq+s+.
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