PRE 2010 DOCSi,
li
Village of Fridley, Minn.
AT BUILDING PERMIT
Office of INSPECTOR OF BUILDINGS
Ill Blocky Addition or Sub -Division
Of Lot
Arm,;
t �' 2-. Manner of Construction
Front �_t Dept Height Stories �
To be used as To be completed r�"'F Estimated Com F j
it y
It �
i'
V
Permit is hereby 1
the building
upon the express c
the work done in,
nances of Fridley,
within the city lia
ordinances.
ated td9
described in the above statement. This permit is granted
dtion that the person to whom it is gra4ted, and his agents, employees and workmen, in all
)und and upon said building, or any part thereof, shall conform in all respects to the ordt-
inn., regarding the construction, alteration, maintenance, repair and moving of buildings
and this permit may be revoked at any time upon violation of any of the provisions of said
h+ Inspector of Buildings.
ji 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.
I;
P
i
Subscribed an&sworn to before me at Fridley, Minnesota,, this T.
I
day of , A.D. 19 ' ."C Q _, ..
;-
Village ®£ Fridley, Minn. N? 2085
Date ..... .31. ysa .........
Owner :. `. Builder ............................
Address , ' ,, , � y ..... Address ..........................................
LOCATION OF BUILDING
No. . �.4, .,f .... Street .. :....... ............. Part of Lot .......................
Lot .............. Block ................. Addition or Sub -Division ���
A4'
29 .......
Corner Lot .. Inside Lot .. SetbackZrd
�w.
DESCRIPTION OF BUILDING
To be Used as:
°tw• .Front .... 1 ,¢Depth . ;Teight Sq. Ft......... Cu. Ft.
............... a! Front ........ Depth ........ Height ......... Sq. Ft......... Cu. Ft. ........
Type of Construction' Est. Cost 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.
In cons! .ration of the a
p yment of a fee of permit is hereby gral`fted to �,,,� ......
y. .. to construct the buildin or addition as described above. This bir nit is -granted upon
e: ion''that the person to whom it is granted and his agents, employees and workmen; n,"all work
,.'done inkaround and �1pon 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.
�'°'wilding Inspector
NOTICE:,,?"`
This permit dd'es 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.
City ®f Fridley, NUnn..
BUILDING PERMIT N° 55=58)
Date: _'a
Owner: Builder
Address Address — ----
,,,,
2�itION OP BUILDING
No. �treet __. _ .__— Part o t
Lot_ Block — Addition or Sub_ ; 'visionAIX
OF
Corner Lot _ _, _ Inside Lot _.. Ji'"'" �tback ' Sideyard
Sewer Elevation __ _ _ _ F undation IIevation ...........
DESCRIPTION OF, BUILDING
To as:!
Front Depth Height ' Sq. ]a`t. Cu. Ft.
_ qgt—
Front Depth eig t _ Sq. FtCu. Ft.
Type of Construction _........ Est` st 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.
In Consideration of the payment of a fee of $ ' ^ , 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
hone 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 permit does not cover the construction, installation for wiring, plumbing; gas hennas, sewer or water. Be sure to see
the Building inspector for separate permits for these Items.
4
APPLICATION FOR BUILDING PERMIT
CITY OF FRIDLEY, MINNESOTA
Owner's Name '
Address(11�...r:�j...��:_... Address G/��
LOCATION OF BUILDING
No. -
street �: Part of Lot z.
Lots % )3lockAddition or Subdivision
v.
Corner Lot Inside Lot-jY Setback Side -Yard
SMMR ELEVATION FOUNDATION ELEVATION
Applicant attach to this form Certificate of Survey of Lot and
proposed building location.
DESCRIPTION OF BUILDING
To be used as:
D®r tl
sq. Ft . F� a .,.,....... CU. Ft .
Front __DeP a___. _ ieight
Sq. Ft. Cu. Ft.
Type of Construction Z-��,,,� - Estimated Cost
To be Completed-,/a-,/-
The
ompleted___,/p-/-
The undersigned hereby makes application for a permit for the work
herein specified, agreeing to do all work in strict accordance.,dith
the City of Fridley Ordinances and ruling of the Department of Build-
ings, and hereby declares that all the facts and representations
stated in this application are true and correct.
DATE Z.,L- ? - , --- SIGNATURE
{schedule of Fee Costs can be found on the R®verse Sidej.
V
• .r�:' i 'MEW
K'
N? 6763
1;24V
Builder
. T-
L O DING
No. Street __ _ Part of
Lot Block Addition or Sub-Divisi
Corner Lot _ Inside Lot ` Setback __ _ Sideyard
Sewer Elevation ____ _. Foundation Elevation
SCRIPTI®N OF BUILDING
TO
Depth Height _ �. j Sq. Ft. Cu. Ft.
Front Depth eight sq. Ft. � Cu. Ft.
Type of Construction - Est. Cost 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 provisions of
ordinances of the city of Fridley.
d
Z -
in consideration of the payment of a fee of 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 anytime u vio n of any of the Aeons of said
ordinances.
Building Inspector
NOTICE:
This peradt does not coerer the construction, installation for wiring, phmthing, gas heating, sewer or water. Be sore to we
the Building Inspector for separate permits for these items.
APPLICATION FOR BUILDING PERMIT
CITY OF FRIDLEY, MINNESOTA
OWNER ° S NAME oS i f1 A64,E y A f,^ --! y BUILDER
ADDRESS 8 �; % - 0 �g ST o N- & . ADDRESS,
LOCATION OF BUILDING
No. % Street Part of Lot
Lot--,)- 4--d-„5 Block Addition or Subdivision
Corner Lot Inside Lot Y� Setback Side -Yard
SEWER ELEVATION
FOUNDATION ELEVATION
Applicant attach to this form Two Certificates of Survey of Lot and proposed build-
ing location drawn on these Certificates.
DESCRIPTION OF BUILDING
To be used as:
G
v - Front
% 7-X / Depth Height
JC
Sq. Ft � Cu. Ft.
Front Depth Height
Sq. Ft. Cu. Ft.
Type of Construction_ �,� �.-4-s Estimated Cost 1/' Lo
To be Completed 3 J--)-7 b .
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—_Z,-1 f--G.--,3_SIGNATI1IiE
(Scbedule of Fee Costs can be found on the Reverse Side).
City ®f Fridley
SUBJECTPE
7-J6 9 5
AT THE TOP OF THE TWINS
BUILDING PERMIT
r
RE .
COMMUNITY DEVELOPMENT DIV.
r PROTECTIVE INSPECTION SEC.
CITY HALL FRIDLEY 55432
NUMBER
REV.
DATE
PAGE OF
APPROVED BY
612-571-3450
910-F15
5/20/81
JOB ADDRESS 4851 - 2nd Street N.E.
1 LEGALLOT
NO.
BLOCK
TRACT OR ADDITION SEE ATTACHED
DESCR.
24,25
3
Plymouth Addition SHEET
2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE
Joe Naacini 4851 - 2nd Street N.E. 561-7444
3 CONTRACTOR MAILADDRESS ZIP PHONE LICENSE NO.
Sussel Company 1850 Como Avenue 645-0331
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 221.x 24' Detached Garage
9 CHANGE OF USE FROM TO
STIPULATIONS
Provide a hard surface, driveway.
lot
Mljit
C� s1,.SEPERATE PERMITS RE '*ED f �. a
"`
HEATING, PLUMBING AND SOM
TYPE OF CONST.
OCCUPANCY GROUP
OCCUPANCY LOAD
SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING,
Wood Frame
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
528
5280
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
INANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED
$2'49
ETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT
$'4,989.60
T PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE
PERMIT FEE
SACCHARGE
YDOEt
NS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON-
$21.12
NONE
N OR THE PERFORMANCE OF CONSTRUCTION.
PLAN CHECK FEE
TOTAL FEE
NONE
$23.61
S XNATUREOFCONTRA ORAUTHORIZEDAGENT IDATEI
WHEN PROPERLY VALIDATED THIS IS YOUR PERMIT
NO
BLDG 1ATE
SIGNATURE OF OWNER IIF OWNER BUILDERI tDATEI
Ll-
CITY OF FRIDLEY
APPLICATION FOR RESIDENTIAL BUILDING PERMITS
(New, Alterations, Additions, or Repors)
v
OWNER: BUILDER:
ADDR S: ��"/- ° _ ' 6_�` ADDRESS:
TEL NO: TEL NO:
STREET NO:yf �
LOT:_ `Y — Ls—
Construction Location
L
STREET: ` _ /
BLOCK.:
Corner Lot: Inside Lot:
V'r— e''.f
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 �✓
1/ Height:
Front: �o` i� Depth: g
Squane. Feet: '?r Cubic Feet:
Type of Construct
To Be Cbmpleted:
Front:
Square - Feet:
Depth: Height:
Cubic Feet:
(!75q. �®
$..:!�®
Estimated Cost:
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 thatall th facts and
representations stated in this applicat are true and corr#t.
DATE: / �` / SIGNATURE:,A11,:1'±±
Stipulations:
� Aq
'
t
�mm
i�smiu
RISSELGARAGES
A. DIVISION OF THE SUSSEL CO., INC.
9860 COMO AVE, ST. PAUL
Permit by !°
L.eijal Description_.
Lot_
ElIk._
Add n_
Tyrie Const.
SLA13:
1E3y SUSSEL
Cl 8.1, Owner Approx.
Cl In
2 STARTING PPINTS ONLY
S P.L.
S S.P.L.
R.P-L-.
Alley
Hous=
F Street _
Other
�?."Sq aare With d�GQ�
L&Sod Rern�^�y (—
13. U. �_.
_ 0 Grade Point
EA cksrEBBy Owner ❑By Sussel
Wt%pronf: ❑By Own. ❑By sus.
❑ Bar:kfilL-0By Own. OBy Sussel
IJ Itylaintajo 8' Total Wall Height
Including Blocks OR
ID -Maintain 8' Wall Height on
Too of Blocks
Block Size (Top course)
Wall Height other than 8
= Frame with full wall height
sold OR
j Cu: studj3s required for
-O-RU clearance
Ii,O.H. Dr Offset
A S G. Location
_.i Windows /-4L,
All Gar Roof Tie-in
Drawn on attached pictures
E)x isting garage: No ❑
Qw ached ❑ Attached Yes lE�
Sre cf existing:x-ar�
[_xistong garage will be:
Left as is
1 Converted to L.S. - By owner
J Removed By: Owner ❑
Sussel 4Z
:lu.nk iWust Be Removed Rv noun.'
I Specify removals by Sussel or
Owner - trees, bushes, etc.
I Show approx. dist. garage to
house and all prop. lines
Stakes visible - ❑ Yes ❑ No
surrey available - ❑ Yes ❑ No
1 Special instructions from
owner:
HOME PHONE: / :%Pk�
NAME � - ✓ ��
BUS. PHONE: 4�```���`"1
i
JOB ADDRESS L�l ye •Ga &/.zAa.
BLDG CODE ARE
SALESMAN -,4 �- CONTRACT DATE SIZE "
0/f®® e2
FOR OFFICE USE ONLY
Slab
Blocks
D.W.
ABU
Blks. Delivery
S.W.
Sod Removal
Waterproof
Ftg,
Sand Fill
Back Fill
,Re -bar
Other
TOTAL
9
PURCHASER `+ITIALS: DIRECTION
NAME
ADDRESS
CITY R P� _
y t..
LEGAL DESCRIPTION
LOT: 0 -
BLOCK: -
BLOCK:
J
ADDITION:
LOT SIZE:
X
HOUSE SIZE:
L �
SQ. FT.
CROSS STREET$:
AND
DIRECTION
A.
r
1" x 8" Ridgeboard
o� _ Rafters
ROOF: CGAREVERSE GABLE
EAVE OVERHANG:
RAKE OVERHANG: -®
SEAL DOWN SHINGLES WITH PLYWOOD OR ASPENITE
ROOF SHEATHING AND 15 LB. FELT
Roof Sheathing
Seal Down Shingles
j
a -- — — 2" x 6" 3/8" Plywood
Cross Ties Gussets -
1 "
ussets1" x 6" W -Bracing 2" x 4" Double
when applicable Top Plate
per Minn. State Code
NOTE:
1) Roof approved by Minn. State Building Dept. as meeting Minn.
State Code Requirements of 30# snow load. Refer to State
Building Code Letter Number 35.
2) Trusses set 48" O.C. (Gusset - 3/8" Plywood).
3) Intermediate rafters are 2" x 6" 's braced with 2" x 6" collar ties.
4) On 18' and narrower garages, eliminate the W -bracing and collar
ties.
5) Hip roofs consist of 2" x 6" rafters, 2" x 6" cross ties 48" O.C.,
2" x 8" hip rafters and no plywood gussets are used.
6) Spans of 26'-0" and greater wi II be constructed with trusses
manufactured by state certified plant No. 150.
RAFTERS: � 16" O.C. (973?
STUDS: 2" x 4" 16" 24" O.C.
WALL SHEATHING:
SIDING:
OVERHEAD DOOR HEADER �Double�32"x2" o_r
Gluelam beam x
Slab on grade construction approved per Minnesota State Code. Refer
to State Building Code Letter Number 11.
SLAB: 4" WITH MESH 6" x 6" #10 Gauge
45°
. r
14"
HIP
Trim
Fascia
1" x 4" Sub
Fascia
Soffit
3/4" Cove I. °
2" x 4" Studs
Siding
'/2" x 7" Anchor Bolt
per U.B.C.
2" x 4" Treated Bottom Plate
Grade Line
%� � �/7/7///,
SUBJECT
City of Fridley
18855
AT THE TOP OF THE TWINS
BUILDING
PERMIT
r
CEIPT NO.
�
• ___ COMMUNITY DEVELOPMENT DIV.
r PROTECTIVE INSPECTION SEC.
1 �
i
1 I CITY HALL FRIDLEY 55432
NUMBER
REV.
DATE
PAGE OF
APPROVED BY
612-571-3450
910-F15
4/3/87
JOB ADDRESS 4 851 - 2nd Street N.E.
1 LEGAL
LOT NO.
BLOCK
TRACTOR ADDITION
SEE ATTACHED
DESCR.
241 25
3
Plymouth. Addition
SHEET
2 PROPERTY OWNER MAIL ADDRESS
ZIP
PHONE
Dawn Marconi same
3 CONTRACTOR MAIL ADDRESS
ZIP
PHONE LICENSE NO.
Michnowski Construction 4423 Reservoir Boulevard 788-4726
4 ARCHITECT OR DESIGNER MAIL ADDRESS
ZIP
PHONE LICENSE NO.
5 ENGINEER MAIL ADDRESS
ZIP
PHONE LICENSE NO.
6 USE OF BUILDING
R-1
7 CLASS OF WORK
❑ NEW ❑ ADDITION CX ALTERATION ❑ REPAIR
❑ MOVE ❑ REMOVE
8 DESCRIBE WORK
Reroof dwelling and front and rear RKHMN step replacement.
9 CHANGE OF 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
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
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
WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT
x3 E[ $1,500
$.75'
DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE
PERMIT FEE
SACCHARGE
PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON-
STRUCTION OR THE PERFORMANCE OF NSTRUCTION.
$25.00
PLAN CHECK FEE
TOTALFEE
e7
$25.75
SIGNATURE OF OONTRACTOR OR AUTHORIZED AGENT (DATE)
r WH PROPE L V L
T' THIS IS YOUR PERMIT
JU
BLD INSP
SATE
SIGNATURE OF OWNER OF OWNER BUILDER) IDATEI
NEW
[
] City of Fridley Effective 4/1/86
ADDN.
[
] R-1 AND R-2
ALTER.
[
] Building Permit Application
Construction Address:
Legal Description: c`e PC
Owner Name & Address: CSA Lvry MSA A C 0 A'' Tel. #
Contractor: �� i G 1 dv S �< a C" 'ry' s % Tel . # �- A�
Address: '/ iO 3 ae5, e- Py U v�
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 AREA: Length Width Hgt/Ground Sq. Ft.
<
OTHER: ASVI '*_
Corner Lot [ ] Inside Lot [ ]
Type of Construction:
Approx. Completion Date: �C)
Ft. Yd. Setback Side Yard Setback
Estimated Cost: $ I Se P.
Alt. A Alt B
Proposed Driveway Width If New Opening Is Desired: 0 $ $
See Back Page for Explanation
DATE: / 3..�� APPLICANT: Tel. 94L Li7EAj'
CITY USE ONLY
Permit Fee
Plan Check
State Surcharge
SAC Charge
Park Fee
Sewer Main Charge
TOTAL
pp
STIPULATIONS: jll9 C'
$ a s,oc) Fee Schedule on Reverse Side
$ 25% of Building Permit Fee
$ a� $.50/$1,000 Valuation
$ $ 525 per SAC Unit
$ Fee Determined by Engineering
Agreement Necessary [ ] Not Necessary [ ]
$ _a -5,
ou
lC)ll'
d C)(i
SUBJECT
PER
City ®f Fraley.
-
27!O76
AT THE TOP OF THE TWINS
BUILDING PERMIT
REC
_ COMMUNITY DEVELOPMENT DIV.
�' PROTECTIVE INSPECTION SEC.
-;
3
r ;
CITY HALL FRIDLEY 55432
NUMBER
REV.
DATE
PAGE OF
APPROVED BY
612-571-3450
910-F15
4/19/91
JOB ADDRESS 4851 2nd Street NE
1 tEGALLOT
NO.
BLOCK
TRACT OR ADDITION SEE ATTACHED
DESCR.
24.25
3
Plymouth. Addition SHEET
2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE
Dawn Marconie 4851 - 2nd Street N.E. 572-0347
3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO.
Viking Home Improvement Inc. 4832 2� Street NE 572-1820
4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO.
5 ENGINEER MAIL ADDRESS YIP PHONE LICENSE NO.
8 USE OF BUILDING
Residential
7 CLASS OF WORK
�7 NEW 5j ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE
8 DESCRIBE WORK
Construct a 24' x 2V Garage; a, 141 x 1V Dgck; and interior fire damage repairs
9 CHANGE OF USE FROM TO
STIPULATIONS
See notations on plan. Smoke alarms are to he installed on all levels
of existing house,
SEPARATE PERMITS REQUIRED FOR
WIRING, HEATING, PLUMBING AND SIGNS,
digging Call for
Before
100atWn�
all utility
454-0002
�Y l.A1N
REQ1 IRLU
TYPE OF CONST.
OCCUPANCY GROUP
OCCUPANCY LOAD
SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING,
VENTILATING OR AIR CONDITIONING.
ZONING
SQ. FT.
CU. FT.
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION
AUTHORIZED IS NOT COMMENCED WITHIN 80 DAYS, OR IF CONSTRUCTION
OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT
NO. DWLG. UNITS
OFFSTREET PARKING
ANY TIME AFTER WORK IS COMMENCED.
1 HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION
1
STALLS GARAGES
VALUATION
SURTAX
AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS
AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED
$14p 700
$7.35
WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT
PERMIT FEE
SAC CHARGE
DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE
PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON-
$162.00
Fire SC $14.70
STRUCTIO OR THE PERF RMANCE OF CONSTRUCTION.
PLAN CHECK FEE TOTAL FEE
_
$184,05
IGNATU'iE OF CONTRACTOR R AUTHORIZED NT IDATEI
W PROP R AT THIS IS <.O PE IT
(/
DG INSP r�ATE
SiGNATURE OF OWNERIiF OWNER BUILDERI IDATEI
ADCN ( ]
ALTER [ ]
W-7- ... -
Legal Descripti0Q1:
R-1 AND R-2
Building Permit Application
TS I M E a /vcO ��`2� �, �
Effective 1/1/91
Owner Name & Address: t A. w AJ 1Le0 NzV1 Tel. # �"•7Z _a 3 N
Contractor: 11(I,�syo�.� YJtto �� d Tel. #
S' 7 2 • 1pZa
Address:
41- 3 Al C z 4, S�
Attach to this application, a Certificate of Survey of the
lot, with the proposed constructicn drawn cn it to scale.
iamr. AREA: length Width Height Sq. Ft. U S e t- vi s 1f,-,
GARAGE AREA: length Width 2-2– Height Sq. Ft. S a S (A 6
DECK AREA: Length Width e _1�— Het/Grid Sq. Ft.
07HER: R -k 0 IA -C -pe F11z"O 0 A M- Ag 7 O'p; J -f --OTA
ad 7
Corner Lot (] Inside Lot Ki Ft. Yd Setback Side Yard Set�cks
Type of Construction: (a® 4 F IZ Am --- Estimated Cost: $ OX'
Approx. Completion Date:
Proposed Driveway Width If New Opening Is Desired: Ft. $' $
Width + 6' See Back Page
DATE: i V APPLI40 CA1 : Tel.. # S'? 2. -- l �' LO
Permit Fee $ ?11
Fire Surcharge An
State Surcharge $
SAC Charge $
Driveway Escrow $
Park Fee $
Sewer Main Change $
CITY USE Oi�II�Y
Fee Schedule on Reverse Side
.001 x Permit Valuation (1/10th �)
$.50/$1,000 Valuation
$650 per SAC Unit
Alt. "A" or Alt. 'B" Above
Fee Determined by EzVi rmring
Agreement Necessary [ ] Not Necessary [ ]
F.Cz i XJ Y �-
I . . V
J
14 51.6-L-
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CITY OF FRIDLEY INSPECTION DIV. Effective On January 1, 1991
6431 University Ave NE
Fridley, MN 55432 APPLICATION FOR PLUMBING AND GAS FITTING PERMIT
572-3604
Floor 1
Floor 2
Floor 3
FLoor-4
PLUMBING FIXTURE RATES: NO. RATE TOTAL JOB ADDRESS7` ee
New Fixtures
$ 7.00
Old Opening, New Fixture
$ 4.00
Beer Dispenser
$ 5.00
Blow Off Basin
$ 7.00
Catch Basin
$ 7.00
Rain Water Leader
$ 7.00
Sump/Receiving Tank
$ 7.00
Water Treating Appliance
$10.00
Water Heater -Electric
$ 7.00
Water Heater - Gas
$10.00
Gas Range
$10.00
Gas Dryer
$10.00
Back Flow Preventer Required ( )Yes
() No
Type
$5.00
Reinspection Fee $30.00
ALL OTH AND R REPAIRS AND ALTERATIONS
1 % o alue of Fixt re or Appliance 15,690
"
The undersigned hereby makes application for a permit for the work herein
specified agreeing to do all work in strict accordance with the city codes
and rulings of the Building Division, and hereby declares that all the facts
and representations stated in this application are true and correct.
Owner
S__1 — _ 1991
Building Used As
Estimated Cost - 66 " PERMIT NO.
PLUMBING COMPANY
SIGNED BY
Approved By Rough -In
TEL N0.
Final Date
State Surcharge .50
MINIMUM FEE FOR ANY PLUMBING/GAS PERMIT IS $15.00
TOTAL FEE $ ,' PLUS THE $.50 STATE SURCHARGE
0
SUBJECT
PERMIT NO.
City of Fridley
32610
AT THE TOP OF THE TWINS
BUILDING
PERMIT
RECEIPT NO.
------ COMMUNITY DEVELOPMENT DIV.
r :♦V
PROTECTIVE INSPECTION SEC.
�'"U CITY HALL FRIDLEY 55432
NUMBER
REV
DATE
PAGE OF
APPROVED BY
ti" --A" 612-571-3450
9t0 -F15
5/20/02
/ �
JOB ADDRESS 4851 2 Street NE
I LEGAL
LOT NO.
BLOCK
TRACT OR ADDITION
SEE ATTACHED
DESCR.
24,25
3
Plymouth Addition
SHEET
2 PROPERTY OWNER MAIL ADDRESS
ZIP PHONE
Scott Jeska 4851 2 Street NE
651-784-7424
3 CONTRACTOR MAIL ADDRESS
ZIP PHONE LICENSE NO
Al -Ko Home Improvement 8090 4 Ave, Lino Lakes, MN 55014 651-784-7424 1927
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
O NEW O ADDITION O ALTERATION? REPAIR O MOVE O REMOVE
B DESCRIBE WORK
Reside House & Garage
9 CHANGEOFUSEFROM TO
STIPULATIONS
Per Section 1402, 1997 Uniform Building Code, requires
that a weather resistive
barrier be placed over exterior sheathing to protect the interior wall covering.
Exceptions for this provision would be if sheathing is
an approved weatherproof
panel or when the siding is an approved weather barrier. Vinyl siding is not a
weatherproof covering unless the manufacturer states this in their application
guidelines. Call for inspection of wrap before covering. Caulk and flash all
exterior openings.
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
1 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
$8,830
$4.42
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 ST OR LOCAL LAW REGULATING CON.
$167.25
Fire SC$8.83
ST CTION OR PAE PERFORM CE OF CONSTRUCTION
PLAN CHECK FEE
TOTAL FEE
Licen SC
$5.
A85.50
-SIGN ATU C d*�AAC'TOA,^ THORIZEDAGENT IDAT
HE1'4'
Y VALI D THIS PERMIT
e G SBATE
'ISYOUR
S.GNATURE OF OWNER,IF OWNER BUILDER, [DA TE.
NEW [ J CITY OF FRIDLEY Effective 1/1/2002
ADDN (J 6431 University Ave NE, Fridley, MN 55432 (763) 572-3604 Bldg Insp
ALTER [ J SINGLE FAMILY AND DUPLEXES R-1 AND R-2
BUILDING PERMIT APPLICATION
Construction Address:
Legal Description:
Owner Name & Address: Tel.
Contractor 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 Sq. Ft.
GARAGE AREA: Length Width Height Sq. Ft.
DECK AREA: Length Width Hgt/Ground Sq. Ft
OTHER:
Construction .-r -. . l/V
Driveway Curb Cut Width Needed: Ft + 6 Ft = Ft x $ _ $
4
DATE: __� APPLICANT: Tel v�
Call (763) 5 2-3604 for Permit Fees if mailing in application or Fa to 763-571-1287 if using credit card and we will
call you for card number.
Permit Fee
Fire Surcharge
State Surcharge
SAC Charge
License Surcharge
Driveway Escrow
Erosion Control
Park Fee
Sewer Main Charge
CITY USE ONLY -
$ /L7 as-
Fee Schedule on Reverse Side
.001 of Permit Valuation (1/10th%)
$.50/$1,000 Valuation
$1200 per SAC Unit
$5.00 (State Licensed Residential Contractors)
Alt. "A" or Alt. "B" Above
$450.00 Conservation Plan Review
Fee Determined by'Engineenng
Agreement Necessary [ ] Not Necessary [
TOTAL $S ,S� STIPULATIONS: