The URL can be used to link to this page

PRE 2010 DOCSCity of Fridley, Minn. BUILDING PERMIT N9 582 Date: Owner: BuilderAddress Address _ ____ Address LOCA„YI NVIF BUILDING No. Sixeet -�'" dr .I Part - Lot� 1; dek _ _ _ Addition or Sub-Divis on -- Corner Lot _ Inside Lot Setback, Side and Sewer Elevation Foundation Elevation DESCRIPTION OF BUILDING To U !as: tio Front .-Z Depth Height _'e sq.'' q. Ft. Cu. Ft. 3-424f— ,r Front 74 Depth Height Sq. Ft. Cu. M OOF Type on Est. To be Completed In consideration of the issuance to me of a permit to constrict the building described above, I agree to do the promised 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 $A9 permit 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 of any of the provisions of said ordinances Building Inspector NOTICE: This porn* does not cover the construction, installation for wiring, ,plumbing, gas heating, sewer or water. Be sure to see the Building Inspector for separate permits for these items. OQW4 APPLICATION FOR BUILDING PERMIT CITY OF FRIDLEY, MINNESOTA ..Owner - o ii ^ " / ,'. ..moi/ .. ;..i►. : . -r 46 2(��-� .. .. !_'~ LOCATION OF BUILDING No. �{� �: ��''�reet Part of Lot Lot Block Addition or Subdivisionf_ � -11,Corner Lot Inside Lot 10 Setback j �5 Side -Yard SEWER ELEVATION FOUNDATION ELEVATION 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 ZZC Depth Height Sq. Ft. Cu. Ft. Front/a _Depth Height r Sq. Ft. Cu. Ft. Type of Construction �►,�� Estimated Cost `D 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: DATE "A,Y r ® SIGNATURE s (Schedule of Fee Costs can be found on the Reverse Side). i i 1 Application for rower Plants and. Hemming, Cooling, Ventilation, Rehigeration 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 .............................. .§.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 $ GAS FITTING FEES: NO RATE TOTAL 1st 3 Fixtures ...................... x $1.50 $ % .S O 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 $ ROUGH FINAL Dept: of Bldgs. Phone SII. 4-7470 Location 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 are true and correct. Fridley, Minn 19 — Owner A;h Kind of Building Used as To be completed aboo e5L' Estimated Cost, $ 647, Old— No. - 40 y Permit No. C:-2— Cj �1-21� DESCRIPTION OF WORN HEATING or POWER PLANTS --Steam, Hot Water, Warm Air No Trade Name CZL4 Size No'7®1-*1 " lea Capacity,®d•y Sq. Ft. E.D.R BTU H.P. Total Connected Load Bind of Fuel ^+ BURNER — Trade Name � � Size No–/ 4. d 00 Capacity Sq. Ft. E.D.R BTU H.P. (REMARKS—OVER) Signed/k4rt.t-C "4& I )7� By. 4 ----�� -'RP..42 TM 7-59 Business Phone No. 102— Application for Power Plants and, Heating. Cooling. Ventilation. ,Rotion 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 $ MECIL WARM AIR Furnace Shell & Duct Work to 120,000 BTU ............ each add. 60,000 BTU ... a .................. 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, . Furnace Shell & Line—to 640 sq. ft. EDR Hot Water ... Each add. 200 sq. ft. EDR Steam .................... Each add. 320 sq. ft. EDR Hot Water .................. 8.00 $ 2.00 $ P.00 $ 5.00 $ 2.50 $ 8.00 $ 8.00 $ 2.50 $ 2.50 $ OIL BURNER—to 3 gal. per hour ........................ 5.00 $ over 3 gal. per hour—See Fee Schedule Dept. of Bldgs. Phone SII, 4-7470 Location `/ ;? '-?, — o? ALU 3;;-, /1/. 6- City 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 are true and correct. % Fridley, Mnn_ 19 — Owner C O Kind of Building Used as ID To be completed about Estimated Cost, $ /00 �a 1 Old New. Building Permit No. Permit No. DESCRIPTION OF WORK HEATING or POWER PLANTS --Steam, Hot Water, Warm Air—No c 04 _ s �.az 1M 7-59 FINAL aJ S r� c L w�. � 1-r r 7 v 1 ®3 m, /3 1-), � (REMARKS—OVER) Size Sq. Ft. E.D.R BTU H.P. Kind of Fuel Size No Sq. Ft. E.D.R BTU H.P. Signed k '` ByHEATIPIG AND AIR 11INMFne US 6, MINK. WX 0-6 Business Phone No Trade Name GAS BURNER (up to 400,000 BTU) ....................... 5.00 $ Capacity GAS FITTING FEES: NO RATE TOTAL 1st 3 Fixtures ...................... x $1.50 $ Total Connected Lo Additional Fixtures ................. x .50 $ BURNER —Trade Gas Range to 200,000 BTU ........... x 2.00 $ Capacity AIR CONDITIONING $ FAN HEATING SYSTEM See Fee Schedule VENTILATING SYSTEM $ ALTERATION REPAIRS TOTAL FFE $ ov 'ROUGH c 04 _ s �.az 1M 7-59 FINAL aJ S r� c L w�. � 1-r r 7 v 1 ®3 m, /3 1-), � (REMARKS—OVER) Size Sq. Ft. E.D.R BTU H.P. Kind of Fuel Size No Sq. Ft. E.D.R BTU H.P. Signed k '` ByHEATIPIG AND AIR 11INMFne US 6, MINK. WX 0-6 Business Phone No ROMS HTG. & AIR CONMIANC.. '"Job Name s7. 7,7,, 41 D-576 4410 Excelsior Boulevard, Minneapolis 16, Minn. HEAT LOSS CALCULATIONS Job Address Weatherstrips -------- 11. A.S.M.E. eatherstrips, Guide Construction No. Insulation WindowsDoors Reference Out. Wall Int. Wall Ceding Roof Floor Kind How. Applied -Yes—No I Yes—No 19— 1 R.1 7, —Room I Length Width e - Height 11 R-1 Room I Length Width Height Windows anX5Doors--Crackage and Area Width Height No. of Lineal ft. Area No. of pane of pane lights of crack sq. ft. Width Height No. of Lineal ft. Area No. of pane of pane lights of crack sq. ft. j Coef. Btu Infiltration Glass Coef. Btu Infiltration Net exp. wall Int. wall Ceding Glass Floor Exp. wall Net exp. wall.., J Int. wall Ceiling a. 777777,7 Floor Total Btu.d� -,�` V Required sq. ft. E.D.R. or sq. ins. W.A. Leader area F11 Room I Length Width Heig] Windows and Doors—Crackage and Area Width Height NO of Lineal ft. Area No. of pane of pane lights of crack. sq. ft. Coef.1 Btu Infiltration Glass Exp. wall Net exp. wall': Int. wall Ceiling Floor Toial Btu. Required sq. ft. EAR. or sq. -n S. W.A. Leader area - F1.1 Room lLength Width Height ----------- L.. Windows and Doors—Crackage and Area Width Height No. of Lineal ft. Area No. of pane of pane lights of crack sq. ft. Coef. Btu Infiltration Glass Exp. wall Net exp. wall Int. wall Ceding Floor 19- 11 T -§..l 04'.. Windows and Doors—Crackage and Area Width Height No. of Lineal ft. Area .No. of pane of pane lights of crack eq. ft. Coef. 1 Btu Infiltration Glass Exp. wall Net exp. wall Int. wall Ceiling Floor Required sq. ft. E.D.R. or sq. ins. W.A. Leader area Fig Room I Length Width Height Windows andDoors—Crackage and Area Width Height No. of Lineal ft. Area No. of pane of pane lights of crack sq. ft. Coef. Btu Jnfiltration Glass Exp. wall Net exp. wall Int. wall Ceiling Floor Total Btu. Required sq. ft. E.D.R. or sq. his. W.A. Leader area F1.1 Room I Length Width Height Windows and Doors—Crackage and Area Width Height No. of Lineal ft. Area No. of pane of.pans lights of crack sq. ft. Coe,f. Btu Infiltration Glass Exp. wall Net exp. wall Int. wall Ceiling Floor Tbtal Btu. Total Btu Required sq. ft. ED.R.Pr sq. ins. W.A. Leader area I Required sq. ft. E.D.R. or sq. ins. VA. Leader- area City of Fridley SUBJECT o 15196 AT THE TOP OF THE TWINS BUILDING PERMIT r RECEIPT NO. COMMUNITY DEVELOPMENT DIV. r PROTECTIVE INSPECTION SEC. ry 1 � = CITY HALL FRIDLEY 55432 NUMBER REV. DATE PAGE OF APPROVED BY 1.j 612-571-3450 910-F15 5/17/79 JOB ADDRESS 4725 - 2nd Street N.E. 1 LEGAL LOT NO. BLOCK TRACTOR ADDITION SEE ATTACHED DESCR. 21,23 6 PlymuthAddition SHEET 2 PROPERTY OWNER MAILADDRESS ZIP PHONE Marie Juelich 4725 - 2nd Street N.E. 566-7163 3 CONTRACTOR MAIL ADDRESS Same ZIP PHONE LICENSE NO. 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAILADDRESS ZIP PHONE LICENSE NO. 6 USE OF BUILDING 7 CLASS OF WORK ❑ NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK 9 CHANGE OF USE FROM TO STIPULATIONS Roof can be second but not third roof. Install ridged galvanized valleys. SEPERATE PERMITS REQUIRE? FOR WIRM HEATING, PLUMBING AND St", TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD SEPARATE PERMITS ARE REOUIRED 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 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 $1,000 $.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. $7.50 PLAN CHECK FEE TOTAL FEE /I - /� 4 1 1 $8.00 NATU EO O 70RORAU DA E IDA �1 ' I WHEN PROPERLY VALIDATED THIS IS YOUR PERMIT BLDG INSP It 2A T1 SIGNATURE OF OWNER IIF OWNER BUILDER) I (DATE) I CITY 01= FRIDLEY APPLICATION FOR RI:S1I)f_:N1'IAI_ UUJLDING PEIMITS (NEW, ALTERATI OWs, ADDITIONS, OR REPAIRS) owIaicR: MILDER Address: �� °• Address: 6 1 No. • 4 �7`�5 LOT.: Tel. No.:.5�7�G�"' Street: $LACY.: ADDITION:ia, CORNER LOT: INSIDE LOT: SETBACK.: � SIDEYARDS: Applicant attach 'to this form Zhao Certificates of Survey of Lot and proposed building location drawn on these Certificates. DESCRIPTION OF BUILDING To Be Used As: I--). Front: . �ar Sop�Nb Depth: Height: Square Feet: Cubic Feet: 'Front: Depth: Height: Square Feet.'Cubic Feet: Type of Construction: Estimated Cost: $ 1,600.0o ®o 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 applicati n are true and correct. See reverse side fc d(b icpal \ nfox DATE: SIGNATURE': Stipulations: 9", VK �r �+PLICiT10N FOR PLIVIDING AND GAS FIT'rlhiG (1 1 d b •• U a j;aI:3 s Fit a� c 941 r�c.:taon Gl,%nir, � �� Cm :t,eetsd ea1F;i� Se,VIL °) Iecd t "tutee, Old Ol:anlr.j Water W.1cer 11ea trr 1 a PART Ir1L Ri, d d'ri'CL �C j'l.11?1111 N6 1.1 XI UIt'L kATE5 ta0. RATE TOTAL. r Il�la'e: l:a I i s6eeE6s 53.00 1\dtute (:,,cure Gl.brin.3 x $2.00 $ . Gee I'IAt,lte, Old Gper,fr,� $2,00 I C.11`h 1,2b9n W -A La 1 Ila ager m Lo 99, 000 bM Iu0,000 b"i to is 000 bT0 Watllr S"kenar Ila;ce Glunnd R.ln old buildir®7 ®� 05.00 $ � 9:iectei,; a:tee ►8e®Le6 35.00 g AS FI I rit,,G FEES; '1st I BI°ature9 as 53.00 $ R.I,lItlun%I FiaLurd@ rs 51.00 g L! to 159,006 6IU ra $10.00 $ �� I. PA I R) 4 AI.TEk.T10N5 1'9:mt SII�O.oO 91'..11 9.9.1. SIJO;UO or lracuon $5.00 $.2.00' g $ 5LALa Surcharge 5 50 TOFLL iLL 3 6.00 Job Addrese 4725 ITE 2 Street Deparunr:nt cP Uai' 1,i1rJa^ �`~^ City Of Prldlcy Tel. 11571-3.150 Thu'undrrelLan d I;,ircLy rr;:kea appll;stl; %r a ° apeacified t19""i'19 t: dz' a1l work in strict scacrJairc®c�+iLl tt1r. City Gcdt u and rulings Of 1110 nei:artmcnt of Baildings, rid 'ecst� ,ic la0.41t all kho foct.il nod r,:prus„etatlOtto stated i°! ttlae.,:catac,t aao t - An And cu,a x i k'r:.11aa}', •:r,• 3-28-80 01•INER -- GTiF PPF{'TC KIND OF OUILDll;u frame USED AS TO -BE COI.IPLETLD I,LC;Ut —3-80 -1 a ESTIMTGD COS•r 110.00 OLD - IIEVI 11UILGItNQ P1-ht•1%T Ila. Caml.a11y $i)ne.i By Tel, Ila. I't111SFL'C11G1 ROUGII 1115P. Da to Fllml, TIISP. . Data hVI'll,UVAL 1.OR PLIal1•r MIIIIMUII I'L'L I t h I<IY I'LUICu11lu FEIe;IT IS 37.50 FLUS 3.59 STI.T� 6UFt01111t0(t SUBJECT PER City of Fridley AT THE TOP OF THE TWINS BUILDING PERMIT r RECEIPT m COMMUNITY DEVELOPMENT DIV. r PROTECTIVE INSPECTION SEC. CITY HALL FRIDLEY 55432 NUMBER REV. DATE PAGE OF APPROVED BY 612-571-3450 910-F15 7/25/80 JOB ADDRESS 4725 - 2nd Street N.E. 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 21-23 6 1 Plymouth SHEET 2 PROPERTY OWNER MAILADDRESS ZIP PHONE Mike Sheppeck 4725 - 2nd Street N.E. 561-9231 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Hogar Construction 1061 - 109th Street N.E. 755-6600 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 20' x 20' Detached Garage 9 CHANGE OF USE FROM TO STIPULATIONS Provide a hard surface driveway. Owner to take out Wrecking Permit for old garage. WNN6 we digging call local utilities SEPERATE PERMITS REQUIRED FOR8d TELEPHONE - ELECTRIC - GAS Eh HEATING, PLUMBING AND, SIGNS . REQUIRED BY LAIN/ 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 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT $3,524 $1.76 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- STRU,CTION OR THE PERFORMANCE OF CONSTRUCTION. $16.00 \'(°/ -- - - PLAN CHECK FEE TOTAL FEE �. OIC � Z -1) -� '.. 11�1 I(' 1 $17.76 SIGNATURE OF CONTRACTOR OR AUT AGENT (DATE) JHEN PROPERLY` VALIDATED THIS IS YOUR PERMIT --p SIGNATURE OF OWNER OF OWNER BUILDERI IDATEI BLDG WSP DATE CITY OF FRIDLEY APPLICATION FOR RESIDENTIAL BUILDING PERMITS (New, Alterations, Additions, or Repairs) OWNER: BU LDER: - d ��9a" Cc S% ADDRESS: •- ZI;7r;2� �7: ✓�/.c ADDRESS: ,11 /C� may' Ste` f2� G TEL NO: 5 CP% — a 3 TEL NO: Construction Location STREET NO: e STREET: ✓y t� �p � LOT:/ " BLOCK: ADDITION: 6n Corner Lot: Inside, Lot: Setback: Sideyards: Applicant attach to this form two Certificates of Survey of lot and proposed building location drawn on certificates to.scale. DESCRIPTION OF CONSTRUCTION Front: 2e_-) Depth:.!_® Height: �D Square. Feet: .4,1C)C Cubic Feet: Front: Depth: Height: Square - Feet: Cubic Feet: Type of. Construction: y!/ ® ®j Estimated Cost: $ Zb 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. DA'Z'E: v� ��" 96? SIGNATURE: Stipulations: Q N Wi2� El 4 4 Nt , tt OGA n CONSTRUCTION, INC. 1061 109th Ave., N. I - MINNEAPOLIS MN 55 OEMENT WORK ORDER 434 755-6600 Date 7-17-80 City FRIDLEY Garage Side2 0 X 20' :-X Apron Address 472521ND-.STREETITE ff] "Detached 04ttachid iRods, Conduit P1' Name MIKE SHEPPECK: Wlremesh,� Cj,,1121 TeIephone5_61-9231:_,'-V.'. ,Office ",-Overhead Door Size 16X7.t 'b=rryrt 47 Dle:"TOWARD' RIGHT I Permit Obtained By HOGAR:-,�P Service Door Location t. Permit Number bid Garage Removal ByeR 'K Date Promised,— S A.'P -.,-/.-Old Cement Removal By ## ED RR0MBLEy";.-Y,,'-, Salesman ay Size Cement Man 1p Blox'Size and Location Cement Supplier CHEA P) Waterproof Backfill Fill SupplierExcavation By Gradual Steep ...Grade FIat.�11� PLOT, -PLAN DETAIL SET FORMS: -AND CALL FOR :INSP"q BOD REMOVEL. . . r. 2. THREE NEW STEPS: -ADDED. ON TO 'ALREADY THERE.'_.� STEPS REAR. '007- 3 S101 A '.DISCP ON IPTI 50& LOT 21 -EXCEPT, THE SOUTHLEY 2 5 `�AND.SOUTH-20.�-FT'OF LOT BLOC- 6 S n', EE a W ONS5 A Slope. SUBJECT PERMIT City ®f Fridley _ AT THE TOP OF THE TWINS9�G P E R M 16 RECEIPT NO. COMMUNITY DEVELOPMENT DIV. r PROTECTIVE INSPECTION SEC. / , CITY HALL FRIDLEY 55432 NUMBERREV. DATE PAGE OF APPROVED BY L 612-571-3450 910-F15 11/7/80 JOB ADDRESS 4725 - 2nd Street N.E. 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 21 6 Plymouth SHEET, 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Michael/Susan Sheppeck 4725 - 2nd Street N.E. 561-9231 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Hogar Construction Inc. 1061 - 109th -Avenue N.E. 55434 755-6600 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 Ej REMOVE 8 DESCRIBE WORK Wreck 141.x 20.1 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 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- $10.00 STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. �- 11-6-80$10.00 PLAN CHECK FEE TOTAL FEE SIGNATURE OF CO lIACTOR OR AUTFjp4ZEDAGENT (DATE) NWHEN PROPERL VALIDATED THIS IS YOUR VERMIT BLDG INSP nA E SIGNATURE OF OWNER IIF OWNER BUILDER) (DATE) :i o sidle 8d8CT Permit No. r AT T� TOP OF THE TWINS 6 WRECKING PERMIT APPLICATION Receipt No. i d {-L-------, coMMuMITv DEUVL63Ps4EMT DIV. 1 MOTEGTIVB pa 9eTIOM 09PT, CITY HAt L FRIDLEY 80102 ..1 %Ia-509-3400 Numom Pgv. DATE Pe46E C PPAOV D 9Y — (i'0 0 211917 Boo Job address Legal Lot No. Block No. ct or Addition Des c . a (0 022CSc1�J Property Owner Address Phone sus'ATAskaolpe-c-- G retractor `� _� I hone 6 A� s s� * K) E S �S Desc iption Front Depth Height Sq. Ft. Cu. Ft. of Bldg. ao 4. /® c�aakge No. of Duelling Units Taxes Paid Tax Receipt No. A Estimated,.Cost of Wrecking KO Lp-5-rIR80— To Be Completed J Utilities Notified: State whether notified and date . Minneapolis Gas Company Engineering Department tA 372-4850 Northern States Power Company N A Customer Business Office 330-5540 Northwestern Bell Telephone Co. Business Office 332-4112 Approved By Water & Sewer Department: All Bills Are Paid Services Are Disconnected NA PYA 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. Contractor �1 3Q. i2E' O Date SUBJECT City of Fridley .,ERM) Io 17226' AT THE TOP OF THE TWINS B U I L D I N G P E R M IT° r ECEIPT NO. COMMUNITY DEVELOPMENT DIV. l✓ PROTECTIVE INSPECTION SEC. 1 . i CITY HALL FRIDLEY 55432 NUMBER REV. DATE PAGE OF APPROVED BY L 612-571-3450 910-F15 9/6/83 / JOB ADDRESS 4725 2nd STREET N.E. 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 21,23 6 Plymouth Addition SHEET 2 PROPERTY OWNER MAILADDRESS ZIP PHONE Michael A. Sheppeck 4725 - 2nd Street N.E. 572-9.231 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 ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE X 6 DESCRIBE WORK Construct a 18' Round Swimming Pool 9 CHANGE QF USE FROM TO STIPULATIONS Pool being moved from 4709 Main Street N.E. See stipulations on letter dated August 29, 1983,'from Environmental Officer. 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 VALUAT N SURTAX AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED $.50 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT $500 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 $15.50 SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT (DATE) W IEN PROPERLY VALIDATED THIS IS YOUR PERMIT BLDG INSP DATE SIGNATURE OF OWN IF OWNER BUILDER)- (DATE) CITY OF FttIDLCY Effective Aug. 1, 1981 ' APPLICATIM FOR RESIDENTINL BUILDING PER141TS (Ne►r, Alterations, Additions, or Repairs) OWNER: nj&.q-eLA. 5hepl?ec-K ADDRESS: 41as See-oNo St. III,& TEL NO: 6 7a -9x31 BUILDER: E;?'n L-, ADDRESS: TEL 110: Construction Location STMT NO: STREET: SAf= n,l Q 3- '. AJE- LOT: , ��, BLOCK: ADDITION: PL L/ n)CyC-k-d o'i Corner Lot: Inside Lot: Setback.: Sideyards: Applicant attach to this form two Certificates of Survey of lot and proposed building location drawn on certificates to scale. DESCRIPTIOR OF C01-41STRUCTION n r ids L Front: j?oUtjo Depth: Height: Square Feet: Cubic Feet: Front: Depth: Height: Square Feet: Cubic Feet: Type of Construction: Estimated Cost: $%�00 Zb Be Completed: _ -21 1.,1eeK5 Alt. A Al t. B Proposed Driveway Width If New Opening Is Desired: $ $ SEE MVERSEE SIDE OF SiIEET . Mie. undersigned hereby makes application for a permit for the ::vrk 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. UWE: 0-wo SIGNATUIE: Stipulations: Fj:J"c e a G? u I'n&o �. c CITY OF FRI®LEY 6431 UNIVERSITY AVENUE N.E., FRIDLEY, MINNESOTA 55432 FAF® August 29, 1983 TELEPHONE ( 812)571-3450 Mr. Michael A. Sheppeck 4725 - 2nd Street N.E. Fridley, MN 55421 Re: Swimming Pool Construction at 4725 - 2nd Street N.E. Dear Mr. Sheppeck: This letter is to make clear this department's requirements for the swimming pool construction at the above address. 1. As indicated, one (1) skimmer approved by the National Sanitation Foundation will be provided. 2. As indicated, one (1) inlet of approved design for fresh and/or repurified water will be provided. 3. The filter and pump shall be approved by the N.S.F. and be of sufficient capacity to provide a minimum turnover of at least two (2) times in 24 hours. This department recommends a turnover rate of 6 - 8 hours. 4. A deck of at least three (3) feet wide, measured from the pool waters edge, shall be provided which extends completely around all private residential pools. Above ground private residential pools may be provided with decking of a minimum size of 4 feet by 4 feet at pool entry points and provided that such decking has the approval of the City. 5. Fencing or other effective means including but not limited to walls or buildings, acceptable to the City, shall be provided to positively control all access to public and private residential swimming pools. Fencing shall meet the following criteria: (a) The fencing shall prevent the entrance of children and be without hand or foot holds that would enable a person to climb over it. (b) The fencing shall be at least 6 feet high and entrances shall be equipped with self-closing and self -latching gates capable of being locked. (c) Self-closing and self -latching devices shall be placed at the top of the gate or otherwise inaccessible to small children. (d) The opening between the bottom of the fence and the ground or other surface shall be not more than four inches. Mr. Michael A. Sheppeek August 29, 1983 Re: 4725 - 2nd Street N.E. 6. An automatic chlorinator should be provided with a suitable test kit. 7. All electrical and plumbing installations shall be inspected and approved by the City Inspection Department. 8. 1All overhead electrical lines must be a minimum of 10 feet horizontally from the pool surface, and 18 feet straight line distance from the waters edge. An alternative is to bury said lines. 9. The pool fill spout must be protected by a vacuum breaker or air -gapped. 10. Suitable safety equipment to include but not limited to a ring buoy and rope that is 1-1/2 times the pool diameter and shepherds crook pole must be provided and maintained with the pool at all times. Furthermore, these and any other requirements must meet the provisions of the Fridley City Code, Section 115, Swimming Pools. The building permit is approved contingent on final inspections and approval of the City. If any questions or problems arise from this letter, please feel free to contact me at 571-3450. Sincerely, S EVEN J. OLS N .S. Environmental ffieer SJO/mh Page 2 FIRE DEPARTMENT MEMO __ T0:(B�U:IL:D71N�GINS�PECTI�QN� ASSESSING SUBJECT: FIRE DAMAGED STRUCTURE DATE: - Jan. 15, 1985 FIRE HAS OCCURRED AT 4725 - 2nd St. NE ADDRESS Jan. 14, 1985 GATE OF FIRE FD- 7 SUBJECT RMIT NO. City of Fridley 17848 AT THE TOP OF THE TWINS BUILDING PERMIT i � COMMUNITY DEVELOPMENT DIV. r PROTECTIVE INSPECTION SEC. /�� /"'1 CITY HALL FRIDLEY 55432 �� NUMBER DATE PAGE OF APPROVED BY 612-571-3450 910-F15 JREV. 1/29/85 JOB ADDRESS 4725 - 2nd Street N.E. 1 LEGAL LOT NO. BLOCK TRACTOR ADDITION SEE ATTACHED DESCR. I pt. 21,22' 23 6 Plymouth. Addition SHEET I 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Michael & Sue Sheppeck 4725 = 2nd Street N.E. 572--9231 3 CONTRACTOR MAILADDRESS ZIP PHONE LICENSE NO Nedegaard Const. Co., Inc. 1814 Northdale Blvd., Coon Rapids 757-2926 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 g 8 DESCRIBE WORK Repairs after Fire 9 CHANGE OF USE FROM TO STIPULATIONS SEPARATE PERMITS RE L"RED EOR. WIRING, I-tL: A_Fg"P .; "•'" �' ��I Pkv, ,�t ��; 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 $5,300 $2.65 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 PRbTSit9R} OF ANY OTHER STATE OR LOC L LAW REGULATING CON- $56.50 STRUCTION THE PERFO ANCE OF CO RUCTION. PLAN CHECK FEE TOTAL FEE f r- $59.15 SIGNATURE OF CONTRACTOR ORTHORIZED AGENT IDATEI JI EN PROPERLY A (DATED THIS IS YOU%R PERMIT I a 9 DG1NS DAT ;T.L SIGNATURE OF OWNER OF OWNER BUILDER( (DATE) NEW [ ] City of Fridley Effective 4/1/84 ADDN. [ ] R-1 AND R-2 ALTER. [ ] Building Permit Application Construction Address: Legal Description: �} Owner Name a Address: �u E Tel. # Contractor: IV�o� � � �a k( s�- • -�- 4e�- Tel. # Address: IPIZ( #0P-TH0446- �i00 �o� �R� s 112fffa 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 12 Width Height Sq. Ft. GARAGE AREA: Length Width Height Sq. Ft. DECK AREA: Length Width Hgt/Ground Sq. Ft. OTHER: Corner Lot [ ] Inside Lot [ Ft. Yd. Setback Side Yard Setback Type of Construction: PE RA 19 �f F -IL d 0 Estimated Cost: $ 5-3oo . OO Approx. Completion Date: 01 he Alt. A Alt B Proposed Driveway Width If New Opening Is Desired: $ $ See Back Page for Explanation DATE: /•z % 9%'� APPLICANT: EL A. Tel. # 75 7 0 �z Permit Fee Plan Check State Surcharge SAC Charge Park Fee Sewer Main Charge TOTAL STIPULATIONS: CITY USE ONLY Fee Schedule on Reverse Side 25% of Building Permit Fee $•50/$1,000 Valuation $425 per SAC Unit Fee Determined by Engineering Agreement Necessary [ ] Not Necessary [ ] SUBjECi City of Fridley 24043 AT THE TOP OF THE TWINS BUILDING PERMIT r RECEIPT NO. • COMMUNITY DEVELOPMENT DIV. �v ------- r � PROTECTIVE INSPECTION SEC. i NUMBER REVDATE PAGE OF APPROVED BY �--->< CITY HALL FRIDLEY 55432 612-571-3450 910-F15 4/2/96 JOB ADDRESS 4725 2 Street NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 21-23 6 Pl outh Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Sean Schimmelman 4725 2 Street NE 571-9495 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Panelcraft of MN 3118 Snelling Ave Ss M MN 721-6628 2179 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 R 8 DESCRIBE WORK Reside: soffit & fascia 9 CHANGE OF USE FROM TO STIPULATIONS Verify soffit ventilation meets 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 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 $11,775 $5.89 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 TOTAL FEE License SC $5.00 1 $209.92 SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT IDATEI WHEN PROP XVA (DATED THIS IS YOUR PERMIT I RLZGINSPm C _ DATE SIGNATURE OF OWNER I iF OWNER BUILDERI IDATEI NEW I I Effective 1/1/94 ADDN (( CITY OF FRIDLEY ALTER (( SINGLE FAMILY AND DUPLEXES R-1 AND R-2 +43S - Building; Permit Application Construction Address: 14-7 ' I V 6 re- - Legal Description: Owner Name & Address: ��' l m Mgp I ry n — Tel. #_5.11_90 Contractor:7?� �� "�" j) F I jjn �_<<,0 '0. MN LICENSE # 000a %q— Address: i7f7 I I i nP 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 t.DECK AREA: Length Width Hgt/Ground Sq. Ft. OTHER: Comer Lot (l Inside Lot Ft. Yd Setback — Side Yard Setbacks Type of Construction: S►d nA . 50FFI , a, GQ Estimated Cost: $ ! 1 , 77J'5, 00 Approx. Completion Date: (Cost on Back) Driveway Curb Cut Width Needed: Ft. +'6 Ft = Ft x $ _ $ DATE: APPLICANT:Tel. # 7 1� 1 - 6p OZ.S' CITY USE ONLY P a6 Permit Fee $_1 S � • Fee Schedule on Reverse Side Fire Surcharge $ .-I F' .001 of Permit Valuation (1/10th%) State Surcharge $ �j . 89 $.50/$1,000 Valuation SAC Charge $ $800 per SAC Unit l�MY%`� License Surcharge $--15.00 $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 ( I Not Necessary TOTAL $ o(O t q STIPULATIONS: CITY OF FRIDLEY PERMIT NO.: 2004-02080 6431 UNIVERSITY AVENUE NE FRIDLEY, MN 55432 DATE ISSUED: 11/17/2004 572-36U4 r'AX: (763) 571-1287 REPRINTED ON 11/17/2004 ADDRESS : 4725 2 ST NE PIN : 263024320087 LEGAL DESC : UNAVAILABLE : LOT 21 BLOCK 6 PERMIT TYPE : ELECTRICAL PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ADDITION/ALTERATION VALUATION NOTE: ELECTRICAL PERMIT BECOMES VOID 12 MONTHS AFTER PERMIT ISSUE DATE. # INSPECTIONS I APPLICANT STATE SURCHARGE, ELEC FLAT 0.50 JAMES MOORE ELEC PERMIT FEE - MIN (RESI) 20.00 4725 2ND ST NE TOTAL 20.50 FRIDLEY, MN 55421 PAID WITH CHECK # 28926 OWNER JAMES MOORE 4725 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 presume to give authority to violate or cancel the provisions of any other state or local law regulating construction or the performance of construction. Applicant Date Bldg Insp Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. 6 5 - NEW [ ] CITY OF FRIDLEY ADDN [ ] 6431 University Ave NE, Fridley, MN 55432 (763) 572-3604 Bldg Insp ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 (763) 571-1287 Fax BUILDING PERMIT APPLICATION Construction Address: Legal Description: Owner Name & Address: 3ol.c -er✓' Tel. # Contractor. !^i- I ,-L-0 C-0 —MN LICENSE #�d Address:('01-71 I�al �---h �1 , Tel. # 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: Construction Type: Estimated Cost: Driveway Curb Cut Width Needed: Ft + 6 Ft = Ft x $ -=$ DATE: S�- -� l - O 'S�- APPLICANT: - / Tel. # Li 0 I - fla 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 Fee Schedule on Reverse Side 65% of Permit Fee .001 of Permit Valuation (1/10th%) $.50/$1,000 Valuation $1450 per SAC Unit $5.00 (State Licensed Residential Contractors) Alta "A" or Alt. "B" Above $450.00 Conservation Plan Review Fee Determined by Engineering Agreement Necessary [ ] Not Necessary [ ] TOTAL $ to STIPULATIONS: PLUMBING RESIDENTIAL APPLICATION City of Fridley Date Received NOTE: IF PROPERTY IS NOT OWNER/OCCUPIED- A LICENSED CONTRACTOR MUST OBTAIN THE PERMIT. `I' DATE p. bS YOUR E-MAIL ADDRESS SITE ADDRESS U1 a1 S " Q06 'dr THE APPLICANT IS: (CIRCLE ONE) OWNER ICONTRACTOR NAME PROPERTY OWNER/ ADDRESS TENANT CITY V� STATE WL�N ZIP 95q PHONE # q( ' S~'I i S 9 l NAME LICENSE # ADDRESS CONTRACTOR CITY STATE ZIP PHONE # FAX# PERMIT TYPE X SINGLE FAMILY TWO FAMILY TOWNHOUSE TYPE OF WORK ® NEW REPLACEMENT DETAILED DESCRIPTION OF WORKlO -V��-xgx-, Mei c\ VQQU� . FEES ARE BASED ON $10.00 PER FIXTURE, EXCEPT WHERE NOTED FIXTURES: (INDICATE TOTAL NUMBER OF EACH) BATH SINKILAV FLOOR DRAINS SHOWER WATER PIPING BATHTUB GAS PIPING (Need City License) SWIMMING POOL WATER SOFTENER ($35) CLOTHES WASHER KITCHEN SINK WATER CLOSET BACKFLOW PREY. ($15) DISHWASHER LAUNDRY TRAY WATER HTR ($35) FOR IRRIGATION WATER METER OTHER vc� I Permit Fee $ MINIMUM: $15.00 or 5% of cost of the improvement -whichever is Plan Review $ greater on work less than $300 Surcharge $ .50 TOTAL DUE $ �T Make checks payable to: City of Fridley THIS IS AN APPLICATION FOR A PERMIT — NOT VALID UNTIL PROCESSED I hereby apply for a plumbing 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 requires review and approval of plans. ��i'�Q� NAME OF APPLICANT DATE Please typ rint SIGNATURE OF APPLICANT �s �'ilK"I' �` �� v�l� >'a"��'�" F.�zFtr�.,,i �:�AG ts,;r�!`:;,' `�, �MM:v m�s;;� rg�.a,:::'..fi�� j&., ��^Zy`''�,�i';j ��a#''}.y�}c`n'�, 3`]?' ✓°.�j�.:Y`ny�c#t&�" ft's+ r'"' CITY OF FRIDLEY COMMUNITY DEVELOPMENT DEPARTMENT 6431 UNIVESITY AVENUE NE, FRIDLEY, MN 55432 (763)572-3604 JAN -31-20016 04:13 PM STANDARD WATER CONTROL 763 537 1882 P.01 ALTER 1 J SINGLE FAMILY AND DUPLEXES R-1 AND R-2 (763} 67'1-t28 . ax ..._� BUILDING PERMIT APPLICATION . p I(t-�1�3 i Qf_� Construction Address: 7 /e f -P ' Legal Description: — Tel.# 743-L5,11-lZZAA MN LICENSE # /. Tel. it Z 9ni! 7- !9W ■e Attach to this application, a Cartifcate of Survey of the lot, with the proposed construction drawn on it to scale. DISCRIPTION OF IMPROVEMENT LIVING AREA: Length Width Height „ Sq. Ft. GARAGE AREA: Length Width Height Sq. Ft. DECK AREA: Length Width HgUGmund Sq. Ft. OTHER: - - --- qA Construction Type: r` fAl l;stimated Cost: 2�/.r/�iLl Driveway Curb Cut Width Needed: —Ft. * 6 Ft a DATE.- Call ATE: Call (763) 572.3604 for Permit Paas if mailing In call you for card number, Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Curb Cut Escrow Erosion Control Park Fee Sewer Main Charge TOTAL $ /® -7' 65 Tel. # A r_MW Fax to 763-571-1227 N using credit card and we will USE ONLY- Permit NLY- Fee Schedule on Reverse Side .001 of Permit Valuation. (1/10th%) $.50/$1,004 Valuation $1275 per SAC Unit $5.00 (State Licensed Residential Contractors) Alt. "A" or Alt. "B" Above $450.00 Conservation Pian Review Fee Determined by Engineering Agreement Necessary t ] Not Necessary ( ]