PRE 2010 DOCSCity of Fridley
AT THE TOP OF THE TWINS
SUBJECT
BUILDING PERMIT
PERMIT ,NO-.--�
13259
r
COMMUNITY DEVELOPMENT DIV.
r PROTECTIVE INSPECTION SEC.
1 . i
RECE-LE NO.
-73
CITY HALL FRIDLEY 55432
612-560-3450
NUMBER
910-F15
REV.
DATE
10-14-75
PAGE OF
APPROVED BY
JOB ADDRESS
1 LEGAL
DESCR.
LOT NO.
BLOCK o
S
TRACT OR ADDITION SEE ATTACHED
SHEET
2 PROPERTY OWNER MAILADDRESS ZIP PHONE
3 CONTRACTOR MAILADDRESS ZIP PHONE LICENSE NO.
4 AR TOR 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 Ek REPAIR ❑ MOVE ❑ REMOVE
8 DESCRIBE WORK
re -roof
9 CHANGE OF USE FROM TO
STIPULATIONS
SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING,
VENTILATING OR AIR CONDITIONING.
TYPE OF CONST.
shingle
OCCUPANCY GROUP
OCCUPANCY LOAD
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION
ZONING
SO. FT.
CU. FT.
AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION
OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT
ANY TIME AFTER WORK IS COMMENCED.
NO. DWLG. UNITS
OFFSTREET PARKING
I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION
STALLS GARAGES
AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS
VALUATION
SURTAX
AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED.
WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT
$495.00
.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.
5.00
PLAN CHECK FEE
TOTALFEE
5.50
SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT / (DATE)
r�cyr� ® �
N PROPERLY VA DATED THIS IS YOUR PER IT
BLDG. WSP ATE
r S
NATURE OWNER IIF d NER BUILDERI (DATE)
APPLICATION FOR RESIDENTIAL,. ALTERATION,
OR ADDITION BUILDING PERMIT
CITY OF FRIDLEY, MINNESOTA
OWNER'S NAME: _ � Vl�m�lrUILDER: L'u"._,Eh.
ADDRESS : V 7_! 1-6 ADDRESS: 4 -
NO,..-
NO• 1-17STREET • Q//� �� o/ G
LOT: BLOCK: 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 :
Front: Depth: Height:
Square Feet: Cubic Feet:
Front: "Depth: Height:
Square Feet; Cubic Feet:
Type of Construction: �-2 , Estimated Cost: $ ZZ, Oa
To Be Completed: 9-31 5
The undersigned hereby makes appli.catinn for a permit for the work herein
specified, agreeing to do all work in stxict 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: SIGNATURE:,���
(See Reverse Side For Additional Information.)
SUBJECT
PE
of Fridley
19897'
AT THE TOP OF THE TWINS
BUILDING
P E R M I T
_
rpCity
RECEIPT NO.
COMMUNITY DEVELOPMENT DIV.
S
r � � PROTECTIVE INSPECTION SEC.
I �
`
"1 CITY HALL FRIDLEY 55432
NUMBER
REV.
DATE
PAGE OF
APPROVED BY
612-571-3450
910-F15
5/15/89
JOB ADDRESS 4756 - 2nd Street N.E.
1 LEGAL
LOT NO.
1,2
BLOCK
5
TRACTOR ADDITION
Plymouth Addition
SEE ATTACHED
DESCR.
SHEET
2 PROPERTY OWNER MAIL ADDRESS
ZIP PHONE
Tim L. Kaczrowski 4756 - 2nd Street N.E.
571-8773
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 C2 ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE
8 DESCRIBE WORK
Construct a 121 x 201 Attached. Deck
9 CHANGE OF USE FROM TO
STIPULATIONS
See notations an plan
SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING,
TYPE OF CONST.
OCCUPANCY GROUP
OCCUPANCY LOAD
VENTILATING OR AIR CONDITIONING.
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION
ZONING
SO. FT.
CU. FT.
AUTHORIZED IS NOT COMMENCED WITHIN 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
$.85
WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT
$1,700
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.
$39.00
PLAN CHECK FEE
TOTALFEE
$39.85
SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT (DATE)
WHEN PROPERLY V LIDATED THIS IS YOUR PERMIT
BLDG W$P
OAT
SIGNATURE OF OWNER IIF OWNER BUILDER) IDATEI
NEW [ ] Effective 5/1/88
ADDN [ ] R-1 AND R-2 i
ALTER [ ] Building Permit Application
Construction Address: eon
Legal Description:
Owner Name & Address: Tel. # d ®��
Contractor: Tel.. #
Address:
Attach to this application, a Certificate of Survey of the
lot, with the proposed construction drawn on it to scale.
DESC RMION OF MEMM
LIVIM AREA: Length Width Height Sq. Ft.
GUUM AREA: Length Width Height Sq. Ft.
DECK AREA: length � Width Hgt/Grind Sq. Ft.
07HER:
No A �'1 ori i t -Ld
Corner Lot [I/� Inside Lot [ Ft. Yd Setback Side Yard Setbacks
Type of Construction: Estimated Cost: $ r) V1
Approx. Completion Date:
Proposed Driveway Width If New7IsZs* Ft. $ $
, Width + 6' See Back Page
DATE: APPLICANT: Tpl. #
CITY USE ONLY
Permit Fee $ a d
State Surcharge $
SAC Charge $
Driveway Escrow $
Park Fee $
Sewer Main Charge $'
S
STIPU ONS:
Fee Schedule on Reverse Side
$.50/$1,000 Valuation
$575 per SAC Unit
Alt. "A" or Alt. "B" Above
Fee Determined by Engineering
Agreement Necessary [ ] Not Necessary ]
FRIDLEY MUNICIPAL CENTER • 6431 UNIVERSITY AVE. N.E. FRIDLEY. MN 55432 • (612) 571-3450 • FAX (612) 571-1287
January 6, 1995
Chris Swanson
4756 - 2nd Street NE
Fridley, MN 55421
RE: Property at 4756 - 2nd Street NE
Dear Mr. Swanson:
This letter is to confirm the information which we discussed in our recent telephone conversation.
At that time, I agreed to grant you an extension until February 6, 1995 to comply with the terms
of my previous letters. By that time, I expect that you will have improved to currently
licensed/street operable status, or removed from view, two vehicles ( 698GZM and 011GBM),
located on your driveway.
I will. reinspect on or shortly after February 6, 1995, at which time full compliance is expected.
Should this violation remain at that time, legal action will be approved.
Feel free to call me at 572-3595 if you have questions, or wish to discuss this further. Thanks for
your cooperation in this matter.
Sincerely,
Steven Barg
Code Enforcement OfFicer
SB:da
CE -95-04
Building
BUILDING
Permit NO.:-
Inspections
RESIDENTIAL APPLICATION Received By:
763-572-3604
CITY OF FRIDLEY
Date .
763-502-497//,7 FAX
Fire Surcharge
$ d
EFFECTIVE 8-19-09
Surcharge
$ '
�— .0005 x Permit Valuation Minimum $.50
License Surcharge
DATE I lP/Vq
YOUR E- 1 ADDRESS
SAC Charge
SITE ADDRESS (5�
1 I`"
V C, (t
Curb Cut Escrow
THIS APPLICANT IS:
❑ OWNER ❑CONTRACTOR
Erosion Control
PROPERTY OWNER/
NAME: 1—At Thplffj'�
Park Fee
TENANT
Fee Determined by Engineering
Sewer Main Charge
$
ADDRESS:_'�✓l1(, CITY
STATE ZIP
$ !fes I
PHONE:
CONTRACTOR
NAME:) � (j
SUBMIT A COPY OF
YOUR STATE LICENSE
STATE LICENSE #
DATE
AND CERTIFICATE OF
ADDRESS:
CITY STATE ZIP
INSURANCEPHONE
F FAX
PROPERTY TYPE
SINGLE FAMILY/NEW CONSTRUCTION SIZE
❑ TWO FAMILY/NEW CONSTRUCTION STORIES
PERMIT TYPE
❑ ADDITION ❑ GARAGE/SHED ❑ WINDOWS
❑ BASEMENT FINISH ❑ ROOF ❑ DRAIN
TILE
❑ DECK ❑ SIDING A<OTHER
❑ SWIMMING POOL
TYPE OF WORK:
❑ NEW HOME CONSTRUCTION ❑ ADDITION
❑ MAINTENANCE/REPAIR ❑ REMODELING
DESCRIBE WORK BEING DONE: ' V14 i iZE Tl
SIZE OF IMPROVEMENT
LENGTH WIDTH
HEIGHT SQ FT
ROOFING
SQUARES.
NUMBER OF S Q
❑ HOUSE ONLY
11 HOUSE & GARAGE
BASEMENT REMODELING SUBMIT:
-
1. Existing Floor Plan
GARAGES
❑ ATTACHED GARAGE
2. Proposed floor plan
PROPOSED SIZE:
❑ DETACHED GARAGE
3. List of structural members to be used
PROPOSED HEIGHT:
1
( "
SIDING
g
FOR NEW CONSTRUCTION INCLUDING DECKS,
❑ Vinyl
ADDITIONS- & PORCHES SUBMIT:
❑ Aluminum
10Soffit
❑ Trim
I. Site Plan/Survey showing the existing structures
❑ Other
❑ Fascia
and proposed project.
+4"—
2 Two sets of construction plans
WINDOWS
3. Energy Calculations
IN EXISTING OPENINGS ❑Yes ❑No LOCATION OF WINDOWS
FOR WINDOWS — PROVIDE U -VALUE AND
OR FOR NEW OPENINGS -DESCRIBE SIZE OF
MANUFACTURE STICKER ON WINDOW.
OPENING CHANGES &
TYPE OF WINDOW TO BE INSTALLED NUMBER OF WINDOWS
ALL FEES ARE BASED ON VALUATION, INCLUDING THE COST OF LABOR AND MATERIALS:
BUSING THE 1997 U.B.0 FEE SCHEDULE)
TOTAL JOB VALUATION $
OCCUPANCY TYPE
Permit Fee
$
See Back Page for Fee Schedule
Plan Review
$
65% of Building Permit Fee
Fire Surcharge
$ d
.001 times the total job valuation
Surcharge
$ '
�— .0005 x Permit Valuation Minimum $.50
License Surcharge
$
$5.00 (State Licensed Residential Contractors)
SAC Charge
$
$2000 per SAC Unit (Plans to MWCC for determination)
Curb Cut Escrow
$
ft + 6 ft = ft x $22 = $
Erosion Control
$
$450 Conservation Plan Review
Park Fee
$
Fee Determined by Engineering
Sewer Main Charge
$
Agreement necessary ( ) Non Necessary ( )
Total Due
$ !fes I
Make checks pavable to: Citv of Fridlev Attach Stipulations
THIS IS AN APPLICATION FOR A PERMIT -NOT VALID UNTIL PROCESSED
I hereby apply for a building permit and I acknowledge that the information above is complete and accurate; that the work will be in
conformance with the ordinances and codes of the City of Fridley and with the Minnesota Construction Codes; that I understand this is not a
permit but only an application for a permit and work is not to start without a permit on site; that the work will be in accordance with the
approved plan in the case of all work-oich reg -mow and approval of plans. �, r
SIGNATURE OF APPLICANT �' — PRINT NAME l " C r1 P/ (B DATE
I
Building
Permit Fee
BUILDING
Permit No. ^0 _2
Inspections
$
RESIDENTIAL APPLICATION
Received By -
763 -572-3604
QQ .001 times the total job valuation
Surcharge
$
0 .0005 x Permit Valuation Minimum $.50
License Surcharge
CITY OF FRIDLEY
Datppe�� a 9d-
763-502-4977 FAX
$
1.
Curb Cut Escrow
$
EFFECTIVE I-1-2010
per
n
DATE—3 _) Z —//Z o) d YOUR E-MAIL ADDRESS 9 �6 �fSfiry' gr may'
MF- S , Cv
SITE ADDRESS " -7 S'b 2"J0 97 --9 .0 x' 12 F 0 (, fir m /r., ,v Sy C! z
1.
$
THIS APPLICANT IS:
❑ OWNER ❑CONTRACTOR
$
PROPERTY OWNER/
NAME:
$
TENANT
ADDRESS: L( 7'5 Co 2-°40 r?' 9 CITY /'ten r a � 5
STATEZL'!f_ZIP.5q Z I
PHONE:
CONTRACTOR
NAME: 5/4—
SUBMIT A COPY OF
YOUR STATE LICENSE
STATE LICENSE # EXP DATE
AND CERTIFICATE OF
ADDRESS: CITY
STATE ZIP
INSURANCE
PHONE FAX
PROPERTY TYPE
❑ SINGLE FAMILY/NEW dONSTRUCTION SIZE
❑ TWO FAMILY/NEW CONSTRUCTION STORIES
PERMIT TYPE
❑ ADDITION ❑ GARAGEISHED WINDOWS
❑ BASEMENT FINISH ROOF ❑ DRAIN TILE
❑ DECK `I116IDING ❑ OTHER.
❑ SWIMMING POOL
TYPE OF WORK:
❑ NEW HOME CONSTRUCTION ❑ ADDITION
MAINTENANCE/REPAIR ❑ REMODELING
DESCRIBE WORK BEING DONE: l n. i Ag an "J "e'r, C'8
SIZE OF IMPROVEMENT
LENGTH WIDTH HEIGHT SQ FT
ROOFING ❑ HOUSE ONLY
NUMBER OF SQUARES ❑ HOUSE & GARAGE
BASEMENT REMODELING SUBMIT:
�v
/
1. Existing
Floor Plan
GARAGES �`
J ❑ ATTACHED GARAGE
2. Proposed
floor plan
PROPOSED SIZE:
❑ DETACHED GARAGE
3. List of structural members to be used
PROPOSED HEIGHT:
SIDING
FOR NEW CONSTRUCTION INCLUDING DECKS,
Vinyl
[]Soffit
ADDITIONS. & PORCHES SUBMIT:
❑ Aluminum
❑ Trim
l . Site Plan/Survey showing the existing structures
❑ Other
❑ Fascia
and proposed project.
2. Two sets of construction plans
WINDOWS
3. Energy Calculations
IN EXISTING OPENINGS gYes ❑No LOCATION OF WINDOWS
FOR WINDOWS - PROVIDE U -VALUE AND
OR FOR NEW OPENINGS -DESCRIBE SIZE OF
MANUFACTURE STICKER ON WINDOW.
OPENING CHANGES &
TYPE OF WINDOW TO BE INSTALLED NUMBER OF WINDOWS
ALL FEES ARE BASED ON VALUATION, INCLUDING THE COST OF LABOR AND MATERIALS:
(U G THE 1997 U.B.0 FEE SCHEDULE)
TOTAL JOB VALUATION $ �% M. 0 - OCCUPANCY TYPE
Permit Fee
_�'
� See Back Page for Fee Schedule
Plan Review
$
/ 65% of Building Permit Fee
Fire Surcharge
$
QQ .001 times the total job valuation
Surcharge
$
0 .0005 x Permit Valuation Minimum $.50
License Surcharge
$
$5.00 (State Licensed Residential Contractors)
SAC Charge
$
$2100 per SAC Unit (Plans to MWCC for determination)
Curb Cut Escrow
$
ft + 6 ft = ft x $22 = $
Erosion Control
$
$450 Conservation Plan Review
Park Fee
$
Fee Determined by Engineering
Sewer Main Charge
$
Agreement necessary ( ) Non Necessary ( )
Total Due
$
ICIA. Make checks Davable to: Citv of Fridlev Attach Stiaulations
THIS IS AN APPLICATION FOR A PERMIT -NOT VALID UNTIL PROCESSED
I hereby apply for a building permit and I acknowledge that the information above is complete and accurate; that the work will be in
conformance with the ordinances and codes of the City of Fridley and with the Minnesota Construction Codes; that I understand this is not a
permit but only an application for a permit and work is not to start without a permit on site; that the work will be in accordance with the
approved plan in the case of all work which requires review and approval of planes'.,, Zola
SIGNATURE OF APPLICANT �(��� PRINT NAME6PA 1!1 �� DATE 3 ' 2 d