PRE 2010 DOCSI
Village of Fridley, Mum
BHMI[NG PERIIM
�[O>fice
U
of INSPEG"R OF BUIL]DINGS
Owner
Architect
Fridley, Minn.,
_:
Builder
ry
LOCATION OF BUILDING
No.
street Part of Lot
M
Lot_
ii Block Addition or Sub -Division
i 6
DESCRIPTION OF BUILDING
Front y Dep
{ F Height 29 stories '"--" Manner of Construction
To be used as "
To be completed Estimated Cost.
i .
I I
I
l
Permit is hereby g
ted toY- �s�`s ?:z '~ _;,
' described in the above statement. This permit is granted
the building'`
upon the express co2dition
that the person to whom it is granted, and his agents, employees and workmen, in all
the work done in, ,a�ro�u�n��d
and upon said building, or any. part thereof, shall conform in all respects to the ordi-
nances of Fridley,
Onn., regarding the construction, alteration, maintenance, repair and moving of buildings
within the city limns,
and this permit may be revoked at any time upon violation of any of the provisions of said
ordinances.
inspector of Buildings.
-
M1-
AGREEMENT AND SWORN STATEMENT
In considera{
ion of the issue and delivery to me by the Inspector of Buildings of Fridley of
the above perms
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
tate and say that the facts stated by me and contained in the above permit are
true as therein ssttaated.
i'
Subscribed an
i
sworn to before me at Fridley, Minnesota, this 4 TT
day of L`
p .D 39
0
BUILDING PERMIT
Village of Fridley, Minn. No 27.91
Date jib - ...... %5_7 ......................
Owner .. /. lo. .. .... ...........
Address .
�� ... ..
Address la --e ....�- — ,
LOCATION OF BUILDING
No.. 1f �(� ..... Street .';Z 1......fes. ......... Part of Lot .........................
Lot ....'5A...... Block .......19 ...... Addition or Sub -Division ......., . � �. .....t. �. .
a
Corner Lot ............ Inside Lot ............ Setback ............ Sideyard 0` .�r`�'........
DESCRIPTION OF BUILDING
To be Used as:
-_ ..... Front . A4... Depth 1.*Z ... Height 1,6t.... Sq. Cu. Ft. ........
.................... Front ........ Depth ........ Height ......... Sq. Ft......... Cu. Ft.........
Type of Construction! .... Est. Cost ..��5�.�'®......... 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 village of Fridley. l `$ S b - o-ly'.®
,-� ,�, J> A��...'p�� Arima-1.'►�.
In consideration of the payment of a fee of $...4 77 permit is hereby granted to
.. -re .............. to construct the building or ad dition as described above. This ppe� granted upon
t iixpss 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 with-
in the village limits and this permit may be revoked at any time upon violation of any of the provisions of said
ordinances.
: Building Inspector
NOTICE:
This permit does not cover the construction, installation or alteration for wiring, plumbing, gas heating,
sewer or water. Be sure to see the Building Inspector for separate permits for these items.
J
SUBJECT
� MIT NO.
City of Fridley
® 14246
AT THE TOP OF THE TWINS
BUILDING PERMIT
r
RECEIPT NO..
COMMUNITY DEVELOPMENT DIV.
r PROTECTIVE INSPECTION SEC.
CITY HALL FRIDLEY 55432
NUMBER
REV.
DATE
PAGE OF
APPROVED BY
612-560-3450
910-F15
7/27/77
JOB ADDRESS 4656 - 2nd Street N.E.
1 LEGAL
LOT NO.
BLOCK
TRACTOR ADDITION SEE ATTACHED
DESCR.
5,6
12
Plymouth Addition SHEET
2 PROPERTY OWNER MAILADDRESS ZIP PHONE
Rex J. Sackett 4656 2nd Street N.E.
3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO.
Miles Garages 4500 Lyndale Avenue North, Mpls. 588-9750
4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO.
5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO.
6 USE OF BUILDING
Residential
7 CLASS OF WORK
❑ NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE
X
8 DESCRIBE WORK
Construct a 24' x 24' Garage
9 CHANGE OF USE FROM TO
STIPULATIONS Provide a hard surface driveway. Provide W-bracing every 48 inches
On center.
SEMAT- E PERMITS . REQUIRED FOR
WIRING,
HEATING, ,PLUMBING AND SIGNS.
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
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
576
5760
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
$4,262
2.13
DOES NOT PRESUME TO GIVE AUTHORITY TO V OLATE OR CANCEL THE
PERMIT FEE
SAC CHARGE
PROVISIONS OF A Y R STATE O LOC AW REGULATING CON-
STRU N OR E RMANC CON UCTION.
$23.04
PLAN CHECK FEE
TOTAL FEE
$25.17.
SIGNAT RE qWNTRACTOR OR AUTHORIZED AGENT (DATE)
WOEN PRO ERLY VALIDATED THIS IS YOUR PERMIT
- BLDG. INSP DATE f
SIGNATURE OF OWNER IIF OWNER BUILDER) (DATE)
J
MY Y OF I'KIULL-Y
APPLICATION FOR RESIDENTIAL BUILDING PERMITS '1
(NEW, ALTERATIONS, ADDITIONS., OR REPAIRS)
OWLIER: X BUILDER:
Address: i AV�*�✓ �� Gdress . �' 6,C) °�' ® b
Tel. No. /
J
No. 44� � � Street:
LOT: �~ (0 BLOCK: ADDITION: 11
CORNER LOT: INSIDE LOT: SETBACK: SIDEYARDS:
Applicant attach to this form Tao Certificates of Survey of Lot and proposed
building location drawn on these Certificates.
DESCRIPTION OF BUILDING
To BeUsed As:
Front: Depth: -( Height:
Square Feet: ` (e Cubic Feet:
Front: Depth: Height:
Square Feet: Cubic Feet:
• � ca
Type of Construction: Estimated Cost: $
To Be Completed: 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 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 informati .
DATE: / 7� SIGNATURE:
Stipulations:
2,
SLAS LOCATION AND BUILDING PIERIMIT SUP
Name
Address _._ _,L�� j •�J A 4
F-^ re
City or Villc e `f,
r�.
Work Home Horne
Phone Days _ Evenin9s
Salesman�.. Garage Size •����--�l
Cauntour of Lot Gradual Steep
At Garcge Site Flat Slope Slope
Permit to be obtained by: Miles Customer
Permit No. Lot No. Block No.
Addition Lot Size
GC -01,66)7- 1 ),o4 -td Pcv je n a e-, A0
STREET A;'c-"
I
Check here if alley F1 Paved Not Paved
Office Copy 0 Cement Copy
Width
r
io
IJ
to
IN
1
I
.:i:
k,.
SUBJECT
PER V. -
City of Fridley
14470
AT THE TOP OF THE TWINS
BUILDING PERMIT
r
RE&kIPT NO.
COMMUNITY DEVELOPMENT DIV.
r i PROTECTIVE INSPECTION SEC.
CITY HALL FRIDLEY 55432
NUMBER
REV.
DATE
PAGE OF
APPROVED BY
612-560-3450
910-F15
11/14/77.
JOB ADDRESS 4656 - 2nd Street N.E.
1 ,LEGAL
LOT NO.
BLOCK
TRA CT OR ADDITION SEE ATTACHED
DESCR.
5, 6
12
Plymouth Addition SHEET r
2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE
R2 Rex Sackett 4656 - 2nd Street N.E.
3 CONTRACTOR MAILADDRESS ZIP PHONE LICENSE{NO.
Swanson Construction Co. 466 83rd. Avenue N.E., Mpls. 786-5552
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 Cj ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE
8 DESCRIBE WORK
Construct chimney for stove '
9 CHANGE OF USE FROM TO
STIPULATIONS
WARNING
SEPERAITE PERMITS REQUIRED FOR WIRING, Before digging call local utilities
IDEATING, PLI� W 8.11:IG AND SIGNS, TELEPHONE - ELECTRIC - GAS Etc.
R CKIVI AED BY LAS/
TYPE OF CONST.
OCCUPANCY GROUP
OCCUPANCY LOAD
SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING,
Masonry
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
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
$425
$.5O
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-
$7.50
STRUCTION OR THE PERFORMANCE OF CONSTRUCTION.
PLAN CHECK FEE
TOTAL -FEE
$8.00
SIGNATURE OF CONTRACTOR Oj AUTHORIZED AGENT ,. (DATE)
WHEN PRO ERLVALIDATED THIS IS YOUR PERMIT
A1Y
%�
L /L/4-1 7 `- //J�/ ..
BLDG INSP DATE
ATU�OWNER IIF OWNER BUILDER) (DATE)
CITY OF FRIDLEY
APPLICATION FOR RESIDENTIAL BUILDING PERMITS
(NEW, ALTERATIONS, ADDITIONS, OR REPAIRS)
OW14ER: /II.P p�
Q, t G
BUILDER:
Address : � �°
?) �`' �'
Address:
Tel. No.
{� �tl
No. ���
Street: _a -,,d ,
LOT:
BLOCK: % Z,
ADDITION:
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: Depth: Height:
Square Feet: Cubic Feet:
Front: Depth: Height:
Square Feet: Cubic Feet:
cam
Type of Construction: Estimated Cost: $
To Be Completed: 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 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 information.
DATE: SIGNATURE:
Stipulations:
LA
11
suB�Ecr
P IT NO.
City ®f Fridley
AT THE TOP OF THE TWINS
BUILDING PERMIT
.17103
r
RECEIPT NO.
dv _ COMMUNITY DEVELOPMENT DIV.
r i PROTECTIVE INSPECTION SEC.
I CITY HALL FRIDLEY 55432
NUMBER
REV.
DATE
PAGE OF
APPROVED BY
612-571-3450
910-F15
5/2/83
/ /
JOB ADDRESS 4656 - 2nd Street N.E.
1 LEGAL
LOT NO.
BLOCK
TRACT OR ADDITION SEE ATTACHED
DESCR.
5,6
12
Plymouth Addition SHEET
2 PROPERTYOWNER MAILADDRESS ZIP PHONE
Rex Sackett 4656 - 2nd Street N.E. 572-8963
3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO.
Ole Time Construction 411 - 4th Street N.E., Mp1s., MN 623-4850
4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO.
5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO,
6 USEOF BUILDING
Residential
7 CLASS OF WORK
❑ NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE
X
8 DESCRIBE WORK
Remodel Bath, Install 3 new doors, New tile
9 CHANGE OF USE FROM TO
STIPULATIONS
FOR
SEPER ATE PERMITS REQUIRED
HEATiN& pl.UMBING 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
$1,400
$.7O
WITH WHETHER SPECIFIED HEREIN OR NOT THE GRANTING OF A PERMIT
DOES NOT PRESUME TO UTHOR TO VIOLATE OR CANCEL THE
PERMIT FEE
SAC CHARGE
PRQVIS ONS OF ANY O ER ATE LOCAL LAW REGULATING CON-
$23.50
NONE
T UCTIO THE P FIFO ANC F CONSTRUCTION.
PLAN CHECK FEE
TOTALFEE
NONE
$24.20
SIGN ONTR C RORAUTHORIZEDAGENT (DATE)6,
WHEN PROPERLY VALIDATED THIS IS YOUR PERMIT
qA Z
BLDG )NSP DAT
SIGNATURE OF OWNER (IF OWNER BUILDER) (DATE)
11
CITY 0T FRIDLEY Effective Aug. 1, 1981
APPLICATION FOA RESIDENTIAL BUILDING PERMITS
(New, Alterations. Additioni, or Repairs)
MIE R:
ADDRESS: �/�S � � `�`�Sf /V C—
TEL 110: 5<
BUILDER:
ADDRESS:
TEL 110: —��3 41r5(D
/ Construction location
• STR1=T NO: STREET:
IAT: HIACKs ADDITION:
Corner Lot: Insiilc Lot: Setback.: Sideyards:
Applicant attach to this fora two Certificates of Survey of lot and
proposed building location drawn on certificates to scale.
qEV DESCRIPTION OF C01•JSTPUCTIOJi
Front: Depth: Height:
Square Fact: Cubic Feet:
Front: Depth: Height:
Square Feet: Cubic Feet:
Type of Construction:
Estimated Costs $ /qVD'
Tb Be Cbr-pleted:
Alt. A Alt. B
Proposed DrivC%-;ay Width If New Opening Is Desired: S S
SEE REVERSE SIDE OF SHEET
Tile 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 Delxirtment of Buildings, and hereby declares t t all the facts and
representations stated in this appli atio=true ect.
SIGNATV
P1r,r,nr1P1 A I _
rnuru�r��.
Proposal. No.
41l 4Vij --, treet ati. .
Sheet No.
gine eapolls 53413;
Date April Aril 29 , M-3
Proposal Submitted To
Work To Be Performed At
1
Name
Street Sen+
Street 4650 2,c 6tv�ot sy.4.
City State
Date of Plans
City fill � , ;.
State =`s
Architect
Telephone Number"
We hereby propose to furnish the in ter8als and perform the labor necessary for the completion of
l) Install thrfieeutiatA{.fa Joors `of Esme uize and in same lotati » a$ . preS ily) s
usi saw trim pieces and s re otorm- doors. yrs will be"l�#t
_ Z) ¢ 3e- b+atbrooza- -i fts_t ll im-dicine'cabinet* Sheet rock coni.- le f_ *0r - --
—
-
and esl8, l'iret fieii>r,, eittstell A.,lumbj% fixtures.
Raterta s not,: included; TilaiOrcut Toilets Faucets fear- the-- batbroam and all
entArsa=e doors
-- - --
---- --- -- ---- - -- --
�Rr
Ali`'additionol work=wjll be charged tie and materials.
All material. is guaranteed to `be as specified, and the above work to be performed in accordance with the °drawings
and specifications submitted for above work and completed in a substantial workmanlike manner for the sum of
f°# >l RTEM HUWRED AND MAGUM� `** Dollars (4C). ).
with payments to be made as follows: $500 down to start 900 ,on �;t'lUi31 63•,
Any alteration or deviation from above specifications involving Respectfully submitted
extra costs, Will be executed only upon written orders, and
will become an extra charge over and`abovethe estimate, All .
agreements contingent upon strikes,, accidents or delays beyond Per
our control. .Owner to carry fire, tornado and other necessary
insurance upon' above work., Workmen's Compensation and Note -- Phis proposal maybe withdrawn
Public LiabilityInsurance on above work to be taken out by
aro""MTWIICi
by us if not accepted within15 days
ACCEPTANCE OF PROPOSAL
The above prices, specifications :and conditions are satisfactory and are hereby accepted. You are authorized to do the work as
specified. Payment will be made as outlined above.
Signature_ 4
.
�
Date Signature z, v? _
s"
s
TOPS FORM NO. 3750 LITHO IN U.S.A.
W Ae
CITY OF FRIDLEY Effective Date January 1, 1991
APPLICATION FOR POWER PLANTS AND HEATING,
COOLING, VENTILATION, REFRIGERATION AND
AIR CONDITIONING SYSTEMS AND DEVICES
RATE SCHEDULE
RESIDENTIAL
RATE TOTAL
Job Address
Furnace Shell and,.Duct Work,
(Also replacement furnace) $
.(50
20.00 $ � .
Building Inspection Div. 6431 University Ave NE Fridley MN SSd32
Burner
v-
Tel. No. 572-3604
Gas Piping $
10.00 $
(piping needed with now furnace)
$
10.00 $
The undersigned hereby makes application for a permit for the work herein
Gas Range
specified agreeing to do all work in strict accordance with the City Codes
Gas Dryer $
10.00 $
and rulings of the Department of Buildings, and hereby declares that all the
facts and representations stated in this application are true and correct.
• (all $
10.00 $
Air Conditioning sizes)
ItO
All Others/Repairs and Alterations
OWNER
It of Value of Appliance or Work
$
KIND OF BUILDING
COMMERCIAL/INDUSTRIAL
USED AS /� LA
It of Value of Appliance or Work
$
To BE COMPLETED ABOUT
��%
ESTIMATED COST � X ([O
State Surcharge $ .50
�J)
OLD - NEW BUILDING PERMIT NO. PERMIT NO.
TOTAL FEE
'Z!
REINSPECTION FEE $30.00•.
$
DESCRIPTION OF FURNACE/BURNER
Rough Insp.
HEATING or POWER PLANTS, Steam, Hot Water. Warm Air- Wo. AAW
t
Date
Trade Name i� 6� size No.
D• _
Final Insp. �✓
Date%�-7/
�^.
/�//J( pacity Sq. Ft. EDR BTU HP
�'
Approval for Permit
s
/�l `�
Total Connected Load Kind of Fuel_
AM�7BUPVER
- Trade Name ��= a12 Size No.
�111*91 Capacity Sq. Ft. EDR BTU HP
MINIMUM FEE FOR ANY HEATING/COOLING/VENTING PERMIT
IS $15.00 PLUS THE $ .50 STATE SURCHARGE SUBURBAN AIR CO NTNG CO. company
42;?�
8419 CENTER ORPA Signed By
:�� z�-
INNEAPO IS, MINNESOTA 55432 Tel. No. --
*Air Conditioners can not be placed in side yard without
written permission from adjoining neighbor.
- Fill out back side for stack verification on replacement furnaces
•
CHIMNEY AND STACK VERIFICATION
The undersigned hereby verifies that the existing chimney or stack;
1.
Has been carefully examined
Yes (,)
No ( )
2.
Is free from rust or deterioration
Yes ( )
No ( )
3.
Has no foreign objects lodged within
Yes ( )
No ( )
4.
Is securely supported
Yes ( )
No ( )
5.
Meets all current Code requirements for size and
total BTU connected
Yes ( )
No ( )
6.
Has Total heating BTU's of
All other BTU's
TOTAL
Rema rk s
Company _
Signed By
Date
FRIDLEY MUNICIPAL CENTER • 6431 UNIVERSITY AVE. N.E. FRIDLEY, MN 55432 • (612) 571-3450 • FAX (612) 571-1287
May 5, 1991
Mr. Rex Sackett
4656 - 21x1 Street NE
Fridley, NAT 55421
Re: Letter Approving Side Yard Installation of Air Conditioner at
4656 - 2nd Street N.E.
Dear Mr. Sackett
We have not to this date received the letter frau your neighbors approving the
installation of the air conditioner in your side yard.. Section 124.05 of the
Fridley City Code requires that we receive this letter before the installation of
the unit can be approved.
Please have your neighbors sign the form at the bottan of this letter and return
it to aw departmerrt. We will expect this to be completed by Nay 17, 1991.
If you have any questions on this matter, please contact me at 572-3603.
Sincez ely,
CLYDE
Bldg/.Mech Inspector
CK/mil
I, , aaner(s) of 2nd Stmt N.E., have
noabjeckia�s to an air being installed in our adjoining side yawl with
4656 - 2nd Street N.E. by Mr. Rex Sackett.
SUBJECT
NO.
City of Fridley
26635
AT THE TOP OF THE TWINS
BUILDING
PERMIT
r
No
-------- COMMUNITY DEVELOPMENT DIV.
~ PROTECTIVE INSPECTION SEC.
NUMBER
REV
DATE
PAGE OF
APPROVED BY
i CITY HALL FRIDLEY 55432
e,j 612-571-3450
910-F15
7/15/98
JOB ADDRESS 4656 2 St.
1 LEGAL
LOT NO.
BLOCK
TRACT OR ADDITION
SEE ATTACHED
DEscR.
5 &6
112
1 outh
SHEET
2 PROPERTY OWNER MAIL ADDRESS
ZIP PHONE
Dona Sackett 4656 2 St NE
572-8963
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 REPAIR ❑ MOVE ❑ REMOVE
8 DESCRIBE WORK
Reroof house and garage (23 Sq) Tear -off
9 CHANGE OF USE FROM TO
STIPULATIONS
Underlayment must comply with 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
1
1STALLS 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
$.96
WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT
$1918
DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE
PERMIT FEE
SAC CHARGE
PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON-
Fire SC $1.92
STRUCTION OR THE PERFORMANCE OF CONSTRUCTION.
$62.25
PLAN CHECK FEE
TOT EE
$ .13
GGN�ATryURE`OF CONTRACTOR ORAUTHORIZE DAGENT IDATEI
N P OPEALID E HIS IS YOUR P RMIT
8LDO INSP
MATE
SIGNATURE OF OWNER IIF OWNER BUILDERI IDATEI
NEW [i Effective 1/1/98
ADDN [ ] CITY OF FRIDLEY
ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 O
BUILD NG PERMIT APPLICATION
ConstructionAddress:
Legal Description: ��_ 7-7—
Owner
%Owner Name & Address. ���� �%ze,e� d21 Tel. #7
Contractor: 1-4 d:� 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
GARAGE AREA: Length Width Height
DECK AREA: Length Width Hgt/Ground
OTHER: -/4 -P
Construction Type: Estimated Cost: $,
Driveway Curb Cut Width Needed:
Sq. Ft.
Sq. Ft.
Sq. Ft.
191r3
(Fee Schedule on Back)
Ft. + 6 Ft = Ft x $ _ $
DATE: APPLICANT:4�� % Tel. #��
STIPULATIONS:
CITY USE ONLY
Permit Fee
$�
Fee Schedule on Reverse Side
Fire Surcharge
$
.001 of Permit Valuation (1/10th%)
State Surcharge
$ e
$.50/$1,000 Valuation
SAC Charge
$
$1000 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
$ (1-'i, s,/3
STIPULATIONS: