PRE 2010 DOCSCity of Fridley, Minn.
BUILDING PERMIT N(:46:8 s
Date:
C .
Owner: _ _ �.. ...._. '_......__ ..... __._..
,+ der_.................._._.._.._.._._..._._.._..._.......__.._.._.._.._._.._....._......_.
AddessAddress :.. _ ....._... ........
C,TIO OF BUILDING _
No.'y ...... , : Street ...._ : ... ; _.,...c a... ��� ........................... Part of d. ..., ... ............._..._
„r
Lot ................. dock ....._... :...................... Addition or Sub -Division ... .. �.. . a �------------------
Corner Lot _._.................._......... Inside Lot.................... Setback _....---...... Si eyard ....._.��'......_.........--..........
Sewer Elevation ............... ......................................................................... ......... Foundation Elevation ..............................
Front ...... Depth .....__ Height.. Sq. Ft ..... _..........._.... Cu. Ft
._._.....e of Construction �
Type �.�_...:--�.._...... Est. Cost,%* -...,i. , ...... . ... To be Completed .........................
` ;,JT1_ N
THIS RERIA(T i' (` T AU-I-NORIZE VIOLAT-
ION OF Ah"Y - NO 'OVENANTS, ANDBUILD''fdU iwES1 d,' fi�JfJ , '
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. 4-
$ ¢_r t=
In consideration of the payment of a 'fee of ...:..._............._...:. permit is hereby �, � Pe Y 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 maybe revoked at any time upon violation Q#,any of the provisions of said
ordinances.
z ���' ll i
Inspector
NOTICE:
This permit does not cover the construction, installation for wiring, plumbing, gas heating, sewer or wafer. Be sure to see
the Building Inspector, for separate permits for these items.
4
DESCRIPTION
OF BUILDING
To e Used �
JV '�aL ..:...
' ?' ... Depth ._+ ' ..
Height
Sq. Ft/t,7/4,1Front Cu. Ft 44Y. 0"
Front ...... Depth .....__ Height.. Sq. Ft ..... _..........._.... Cu. Ft
._._.....e of Construction �
Type �.�_...:--�.._...... Est. Cost,%* -...,i. , ...... . ... To be Completed .........................
` ;,JT1_ N
THIS RERIA(T i' (` T AU-I-NORIZE VIOLAT-
ION OF Ah"Y - NO 'OVENANTS, ANDBUILD''fdU iwES1 d,' fi�JfJ , '
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. 4-
$ ¢_r t=
In consideration of the payment of a 'fee of ...:..._............._...:. permit is hereby �, � Pe Y 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 maybe revoked at any time upon violation Q#,any of the provisions of said
ordinances.
z ���' ll i
Inspector
NOTICE:
This permit does not cover the construction, installation for wiring, plumbing, gas heating, sewer or wafer. Be sure to see
the Building Inspector, for separate permits for these items.
4
APPLICATION FOR BUILDING PERMIT'
CITY OF FRIDLEY, MINNESOTA
Owners Name Builder
Address 3 Address'
, LOCATION OF BUILDING
No. Street Part of Lot, �; 7..,�
Lot Block .,L� Addition, or Sub.Div.
OF
Corner Lot_Inside Lot Set Back �' Side-YardZ-D .
SEWER ELEVATION `� FOUNDATION ELEVATION �' Z.
Applicant attach to this form Certificate of Survey of Lot and proposed building
location.
DESCRIPTION OF BUILDING
To be used as:
G
Front Depth___—_3.—
...�.,r..,... .
Sq. Ft. d ' 1-16 Cu. Ft. ' 7e/
Front Depth Height
Sq. Ft. Cu. Ft.
Type of Construction Estimated Gost
To be complete
The undersigned hereby mares application for a permit for the work'herrei.n 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:representa-
tions stated in this application are true and correct.
DATE d SIGNATURE jUZZL 4y--
6/Schedule of Fee costs can be found on the Reverse Side.)
City of Fridley
Appiication %r Plumbing and Gas Fitting Permit
Dept. of Bldgs. Phone SII 4-7470
DESCRIPTION OF WORK
Number, Kind and Location of Fixtures Locati°"
10
NO. RATE TOTAL
Number Fixtures ......................
x $1.50
$
Future Fixture Opening ................
x 1.20
$
New Fixture Old Opening ..............
x 1.00
$
Catch Basin ............................
x 3.25
$
(9
z
•
•
WATER HTR.
x 3.25
ELEG
GAS FITTING FEES:
NO. RATE TOTAL
1st 3 Fixtures ..........................
x $1.50
$ /SV
Additional Fixtures ....................
x .50
$
Gas Range to 200,000 BTU ..............
x 2.00
$
REPAIRS & ALTERATIONS—Refer to Code
O
F
N
GAS
D
TOTAL FEE $ _`'g!& `s
Base
I
1st
2nd
_
3rd
_
4th
• Future Connection Openings
Connected with
Sewer
New Fixture, Old Openings
Cesspool
PARTIAL RATE SCHEDULE
PLUMBING FIXTURE RATES:
NO. RATE TOTAL
Number Fixtures ......................
x $1.50
$
Future Fixture Opening ................
x 1.20
$
New Fixture Old Opening ..............
x 1.00
$
Catch Basin ............................
x 3.25
$
Water Heater (Up to 200,000 BTU) ......
x 2.00
$ , ® 0
New Ground Run Old Bldg. ............
x 3.25
$
GAS FITTING FEES:
NO. RATE TOTAL
1st 3 Fixtures ..........................
x $1.50
$ /SV
Additional Fixtures ....................
x .50
$
Gas Range to 200,000 BTU ..............
x 2.00
$
REPAIRS & ALTERATIONS—Refer to Code
Description .............................................
D
TOTAL FEE $ _`'g!& `s
City of Fridley:
i
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 applicatiop are true and correct.
Kind of Building
Used as
To be completed about —
Estimated Cost, $
Old ew. uilding Permit
ROUGH '7—/2— 6
FINAL
t z 2M 7-59
/N-15
19—�
SUBJECT PER
City of Fridley
®1328
4
AT THE TOP OF THE TWINS
I III D ING D[ D A A I T
BUILDING PERMIT
DV L Iv I
COMMUNITY DEVELOPMENT DIV.
r � � PROTECTIVE INSPECTION SEC.
1 �
= CITY HALL FRIDLEY 55432
NUMBER
REV.
DATE
PAGE OF APPROVED BY
612-560-3450
910-F15
110/27/75
JOB ADDRESS 5935 - 2nd Street N.E.
1 LEGAL
LOT NO.
TRACTOR ADDITION SEE ATTACHED
DESCR.
Pt25, 26, P
JBLOCK
27 10
Hyde Park SHEET
2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE
Kenneth Glynn 5935 - 2nd Street N.E.
3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO.
Lumber King Co. 5145 Oliver Avenue South
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
qX NEW El ADDITION El ALTERATION ❑ REPAIR El MOVE 11 REMOVE
%
8 DESCRIBE WORK
Construct a 20' x 22' Garage
9 CHANGE OF USE FROM TO
STIPULATIONS
Provide a xka hard surface driveway.
NOTIFY THE FRIDLEY ENGR.
DIVISION REGARDING CURB
SEP'ERATREMOVAL
��A����, ��R i � R A ®DRIVEWAYOPENINGS. NT
R
L��81� QI+JIREl)
Ai Fah'
>D 'Slrms, 0?"VoV
TYPE OF CONST.
OCCUPANCY GROUP
OCCUPANCY LOAD
SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING,
Frame
VENTILATING OR AIR CONDITIONING.
Wood
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
44 25r,
DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE
pERMI FEE
SAC CHARGE
PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON-
STRUCT NOR THE PERFORM E OF CONSTRUCTION.
PLAN CHECK FEE
TOTAL FEE
�%\^
/0-27-
/SIGNATURE OF CONTRACT OR AUTHORIZED AGENT (DATE)
WHENPROPERLY VALIDATED THIS IS YOUR PERMIT
s�
BLDG. INSP DAT
SiGNATURE OF OWNER (IF OWNER BUILDER) (DATE)
-APPLICATION FOR RESIDENTIAL, ALTERATION,
OR ADDITION.BUILDING PERMIT
CITY OF FRIDLEY,-NIINNESOTA
OWNER'S NAME: ✓1 BUILDER: +,/ N lie r-
• ADDRESS : .� /35 a1 n d J ! ADDRES S : ��% ys
.n -k
NO:. '5_7 STREET:
MAO, df
1.x'1 /►Jf 2Gi hog 'Ar d � 1�, 3 y i,wg .s o t^i al Ir/ 8 lo, -k
LOT: BLOCK: ADDITION: &4&p
CORNER LOT: INSIDE LOT: SETBACK: SIDEYARD:
to this form T�vo Certificates. �f Survey. of Lot and.proposed
Applicant attach
building location drawn on these Certificates.
DESCRIPTION OF BUILDING
a .
•
TO Be Used As: 0'�v-
ont:
ont: Depth : Height:
• Square Feet: L/1�®'- Cubic.Feet:
• Front:' Depth: Height:
Square Feet; Cubic Feet':
Type of Construction: �Y'"I hi e Estimated Cost:_ $
TO -Be Completed:)76
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
Ridley 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 Info t n.)'
l\ "
1�,1
AGREEMENT
I,®� �' owner of the property located
at—SIq4 `—
��� M have no objection to the City allowing
the construction of a to be located at
—without the required certificate of survey that the
City ordinarily requires for all new.construction.
S gn ture
L4 <,
Address
Date
°
Witness
Surveqtan5
y
Certitificateof surve
j
0 v
J
'4j
,
T'6,� r,,,,�
4 J 1p)ll
A
I,, e pa
helrby cediry thei N.5 ts a h-ue and arrecirepre-senfaf kf7 cresirvet, e& bmnd*,:ies o�'Ihe ,hope Asc-W land, wd
lo"Av Ibef eon xxt oll risible awwchmenI5 , jravy, fnnn or on smid hand. As surveyed by me thi-Il-1- dory
A.D. SU6Uqe)W LENC711VEERING, INC.
CITY OF FRIDLEY INSPECTION DIV.
6431 University Ave NE
Fridley, MN 55432
572-3604.
APPLICATION FOR PLUMBING AND GAS FITTING PERMIT
Effective On May 10, 1999
MARK NUMBER OF
FIXTURES
TO BE INSTALLED
ON EACH FLOOR
Urinal
�.
� Shower �:..:...
S
Tray
�
���tif<�r:.>:
Drain rain
::.�>.<.:. ......:...::::
•.•.}v.•.•}.•
ft::::::>::::: Washer #��:�� .::::::::.:
s
Range
r?:� Water Heater
J...
,::::�<:::
�::::.::..:.:. Gas Elec
Stories
�.....
Basement
Floor
Floor 2
Floor 3
::::::f::i`•:i:::::: 3:::
r
Floo 4
PLUMBING FIXTURE RATES:
New Fixtures
Old Opening, New Fixture
Beer Dispenser
Blow Off Basin
Catch Basin
Rain Water Leader
NO. RATE
Sump/Receiving Tank
Water Treating Appliance
Water Heater -Electric
Water Heater - Gas** —�--
Gas Range**
Gas Dryer**
Back Flow Preventer Required ( )Yes () No
$ 7.00
$ 4.00
$ 5.00
$ 7.00
$ 7.00
$ 7.00
$ 7.00
$10.00
$ 7.00
$10.00
$10.00
$10.00
Type $15.00
TOTAL JOB ADDRESS 106
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.
'1999
GLYNN, RUTH
5935 2ND STREET NORTHEAST
Owner_ FRIDLEY, MN 55432
(612)571-5306
Building
c4D�
Estimated Cost PERMIT NO.
PLUMBING COMPANY KIe) PI I&VvL6 e nd;� L'�>
c L�
Reinspection Fee $47.00/Hr SIGNED BY TEL N0. 'TS - t"
ALL OTHERS AND/OR REPAIRS AND ALTERATIONS
1.5% of Value of Fixture or Appliance
Approved By Z Rough -In Date Final Date all OR)—
State Surcharge $ .50
MINI UM FEE_ /QR ANY PLUMBING/GAS PERMIT IS $20.00
TOTAL FEE $ PLUS THE $.50 STATE SURCHARGE
"COMBUSTION AIR SHALL BE PROVIDED PER UMC SECTION 504(A) AND TABLE 6-A. MINIMUM SIZE 9 SQ INCHES.
SUBJECT
W.T-1 1a:---_'
city ®f Fridley7
613-
FRECEIPT
AT THE TOP OF THE TWINS
BUIL®INC PERMIT
NO.
COMMUNITY DEVELOPMENT DIV.
_
L PROTECTIVE INSPECTION SEC.049
NUMBER
REV
DATE
PAGE OF
APPROVED BY
CITY HALL FRIDLEY 55432
612-571-3450
910-F15
9/8/98
JOB ADDRESS 5935 2nd Street NE
1 LEGAL
LOT NO.
BLOCK
TRACTOR ADDITION
SEE ATTACHED
DESCR.
26
10
Hyde Park Addition
SHEET
2 PROPERTY OWNER MAIL ADDRESS ZIP
PHONE
Ruth Glynn 5935 2nd St NE 55432
571-5306
3 CONTRACTOR MAIL ADDRESS ZIP
PHONE LICENSE NO.
New Haven Construction 4208 83rd Ave N Brooklyn Park 55443
566-5225 20077950
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 Q REPAIR
❑ MOVE ❑ REMOVE
8 DESCRIBE WORK
Reroof
9 CHANGE OF USE FROM TO
STIPULATIONS
Underlayment must comply with the 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 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 1 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
$.87
WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT
$1,751.00
DOES NOT PRESUME TO GIVE AUTHORITY TO VI LATE OR CANCEL THE
PERMIT FEE
SAC CHARGE
PROW ONS OF ANY OTHER STATE OR LOCAL '11W REGULATING CON-
STR ION OR THE PERFORMANCE OF NS CTION.
$56.75
Fire C $1.75
CHECK FE
TOTA E
�PLAN
A/&
Lic e C $5.0
$64.37
SIGN URE FCONTRACTOR OR AUTHORIZED AGENT (DATEIEN
ROP IDA HIS IFF, P ISIGNATURE
INSP4aTE
OF OWNER OF OWNER BUILDER) IDATEIBL
Rug 26 99 06:52a Kerri 566-7163 p.2
NEW [ ] Effective 1/1/98
ADDN t 1 CITY OF FREDLEY
ALTER t ] SINGLE FAMILY AND DUPLEXES R-1 AND R -Z
BUILDING PERMIT APPLICATION
ConstructionAddress:�i�
Legal Description: //--
Owner Name & Address: t� �h Tel. #
Contractors 'i C MN LICENSE # 706 7 7 CO-
Address:.Srj�,!�— Tel. # 10
Attach to this application, a Certificate of Survey of the
lot,' with the proposed construction drawn on it to scale.
LIVING AREA: Length Width Height Sq. Ft.
GARAGE AREA: Length Width height Sq. Ft.
DECK AREA: Length Width Hgt/Ground Sq. Ft.
OTHER:
Construction Type;%®6�1iee"G{y7- Estimated Cost:$
(Fee Schedule on Back)
Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ — $
DATE; 2 1APPLICANT: Tel.
TOTAL $-6-LL-.-3 %
STIPULATIONS.
I
-- 0
CITY USE ONLY
Permit Fee
$�,
Fee Schedule on Reverse Side
Fire Surcharge
$ Z, %
.001 of Permit Valuation (1/10th%)
State Surcharge
$
$.50/$1,000 Valuation
SAC Charge
$
$1000 per SAC Unit
License Surcharge
$ !te�, 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 [ ] Not Necessary [ ]
TOTAL $-6-LL-.-3 %
STIPULATIONS.
I
-- 0
SUBJECT
-
PE
City of Fridley
32632
AT THE TOP OF THE TWINS
BUILDING PERMIT
r
`
RECEIPT NO.
COMMUNITY DEVELOPMENT DIV.
PROTECTIVE INSPECTION SEC.
�y�s
a (p
r
1 . �
NUMBER
REV
DATE
PAGE OF
APPROVED BY
I i 0 -"'1 CITY HALL FRIOLEY SSIa2
612-571-3450
910-F15
5/24/02
JOB ADDRESS 5935 2 STREET NE
I LEGAL
LOT NO.
BLOCK
TRACT OR ADDITION
SEE ATTACHED
DESCR.
25,26,27
10
1 HYDE PARK ADDITION
SHEET
2 PROPERTY OWNER MAIL ADORES$ ZIP
PHONE
Ruth Glynn 5935 2 Street NE
763-571-5306
3 CONTRACTOR MAIL ADDRESS ZIP
PHONE LICENSE NO
RMA Home Services Inc 3200 Cobb Galleria Pkwy STE 200 Atlanta GA 30339
a ARCHITECT OR DESIGNER MAIL ADDRESS ZIP
PHONE LICENSE NO
763-542-8826 20268257
5 ENGINEER MAIL ADDRESS ZIP
PHONE LICENSE NO
8 USE OF BUILDING
Residential
7 CLASS OF WORK
❑ NEW ❑ ADDITION ❑ ALTERATION REPAIR
❑ MOVE ❑ REMOVE
8 DESCRIBE WORK
Replace 10 windows within existing openings
9 CHANGE OF USE FROM TO
STIPULATIONS
Provide smoke detectors in all sleeping rooms and on all levels of the dwelling
per Section 310.9.1.2 of the 1997 Uniform Building Code.
Permit Inspection Cards
Will Be Mailed
To Homeowner To Post
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 80 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
$6,996
$3.50
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-
$139.25
Fire SC $7.00
STRUCTION OR THE PERFORMANCE OF CONSTRUCTION
PLAN CHECK FEE
TOTAL FEE
License $5.0
$)64.75
SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT IOATEI
EN OPE ALIDA
XzINSP
THIS IS V R P RS T®�
r
OAIE
S,GNATURE OF OVYNERtIF OWNER SUILOERI IOATEI
NEW[ ] Effective 5/10/99
ADDN [ ] CITY OF FRIDLEY
ALTER [ ] SINGLE FAMILY AND DUPIMM R-1 AND R-2
BUILDING PERMIT APPLICATION
Construction Address:
Legal Description:
Owner Name & Address:"NoQA ir) Tel. # -j7g'?).S+1• 530 Co
Contractor:. RMA HOME SERVICES INC. MN LICENSE #
Home Depot Installed Sales
Address: 3200 Cobb Galleria Pkwy., Ste. #200 Tel. #
Atlanta, GA 30339
A 763-542-8826 urvey.-6f the
1(BC-2026825 =--r____ )n,.it to scale.
DES.CLtI ON OF MORO NT
LIVING AREA:
Length Width
Height
Sq. Ft.
GARAGE AREA:
Length Width
Height
Sq. Ft.
DECK AREA:
Length Width
Hgt/Ground
Sq. Ft.
OTHER:
'Zo n1 6-e ® &f,\ c . & ^
, . - -U . —
R ry • e 1---
Construction Type:
Estimated Cost: $ Lr R / (00'1�9
Driveway Curb Cut Width Needed: Ft. + 6 Ft = _ Ft x $_ — $
DATE: APPLICANT: Tel. # --s
Permit Fee
$ ) cj , a !s
Fire Surcharge
$ . ()b
State Surcharge
$ .
SAC Charge
$
License Surcharge
$
Driveway Escrow
$
Erosion Control
$
Park Fee
$
Sewer Main Charge $
TOTAL $ ) '
STIPULATIONS:
CITY USE ONLY
Fee Schedule on Reverse Side
.001 of Permit Valuation (1/10th%)
$.50/$1,000 Valuation
$1050 per SAC Unit
$5.00 (State Licensed Residential .Contractors)
Alt. "A" or Alt. "B" Above
$450.00 Conservation Plan Review
Fee Determined by Engineering
Agreement Necessary [ ] Not Necessary [ ]
CITY OF FRIDLEY
6431 UNIVERSITY AVENUE NE
FRIDLEY, MN 55432
572-3604 FAX:
ADDRESS
: 5935 2 ST NE
PIN
: 233024220098
LEGAL DESC
: UNAVAILABLE
: LOT BLOCK
PERMIT TYPE
: BUILDING
PROPERTY TYPE
: RESIDENTIAL
CONSTRUCTION TYPE
: ALTERATION
VALUATION
: $ 9,995.00
NOTE: INSTALL NEW SIDING; SOFFIT & FASCIA FOR GARAGE; TRIM
STATE LICENSED CONTRACTOR 1
APPLICANT
NEW IMAGE REMODELING (20204899)
3013 82ND IN NE
BLAINE, MN 55449-
(763)784-9797
BC20204899
OWNER
GLYNN RUTH J
5935 2ND ST NE
FRIDLEY, MN 55432
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 worl
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
571-1287
PERMIT NO.: 2005-02498
DATE ISSUED: 10/19/2005
BUILDING PERMIT FEE 181.25
FIRE SURCHARGE 9.99
STATE SURCHARGE, VALUE 5.01
LICENSE SURCHARGE 5.00
TOTAL 201.25
PAID WITH CHECK # 201.25
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE.
CITY OF FRIDLEY PERMIT NO.: 2005-02498
6431 UNIVERSITY AVENUE NE
FRIDLEY, MN 55432 DATE ISSUED: 10/19/2005
(763) 572-3604 FAX: (763) 571-1287
ADDRESS 5935 2 ST NE PERMIT APPLICANT:
PIN 233024220098 NEW IMAGE REMODELING (20204899)
LEGAL DESC UNAVAILABLE 3013 82ND LN NE
BLAINE, MN 55449 -
PERMIT TYPE BUILDING
PROPERTY TYPE RESIDENTIAL
CONSTRUCTION TYPE : ALTERATION
CONSTRUCTION IN THE CITY IS UNLAWFUL EXCEPT BETWEEN THE HOURS OF 7:00 AM AND 9:00 PM, MONDAY
THROUGH FRIDAY AND BETWEEN THE HOURS OF 9:00 AM AND 9:00 PM ON SATURDAYS. NO WORK IS ALLOWED
ON SUNDAYS OR ANY LEGAL HOLIDAY UNLESS AN ALTERNATE WORK HOUR PERMIT HAS FIRST BEEN ISSUED.
BUILDING INSPECTION RECORD
24 HOUR NOTICE REQUIRED FOR ALL INSPECTIONS.
CALL FOR INSPECTIONS WEEKDAYS: 8 AM TO 5 PM
INSPECTION TYPE DATE INSPECTOR INSPECTION TYPE
I FRAMING
I FINAL
SMOKE DETECTORS
INSPECTION COMMENTS:
DATE INSPECTOR
IN ACCORDANCE WITH CITY ORDINANCE, NEW OR SUBSTANTIALLY REMODELED BUILDINGS SHALL NOT BE OCCUPIED UNTIL ALL
WORK HAS BEEN APPROVED, AND A CERTIFICATE OF OCCUPANCY HAS BEEN ISSUED BY THE BUILDING DEPARTMENT.
THIS CARD MUST BE POSTED AND VISIBLE AT ALL TIMES UNTIL WORK IS COMPLETE.