PRE 2010 DOCSBUILDING PERMIT
Village of Fridley, Minn.
Date% ...........................
110 2166
Owner ... Builder .......... ............ .
Address . +9:W:° ' .. :"0W.... Address - - - - - - -
�J��OCATION OF BUILDING
No. Street .z ...................... Part of Lot .......................
f
Lot ..�,. �'. � ;...Block ...: �''w .^P ........ Addition or Sub -Division
Corner Lot ...... .... Inside Lot ............ Setback 6 �l .. Sideyard .`"M4...
DESCRIPTION OF BUILDING
To be Used as:
' Front . .. Depth . tl.. Height 1r.1 Sq. Ft......... Cu. Ft........ .
....i. Front ........ Depth ........ Height ........ Sq. Ft......... Cu. Ft. ........
Type of Construction
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 vAlage
of Fridley.
"f•
If
.......... .. . ...... ....... .�.. .
co ideratiozX
y
of the payment of a fee of $.. . , permit is hereby granted to
to -upon
;
the express cgnditia�
.... construct ;the building or addition as described above. This permit is granted
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
in the village limits
iegarding location, construction, alteration, maintenance, repair and moving of buildings with-
and this permit may be revoked at any upon, violation the
ordinances.
,time any of provisions of said
��
1 r,.. . uilding Inspector
I
ii
NOTI011q;;,
This permit
�oes'not cover the construction, installation or alteration for wiring, plumbing, gas heating,
sewer or water.
0e sure to see the Building Inspector for separate permits for these Items.
� l
'1
r —
BUILDING PERMIT
Village of Fridley, Minn. N? 2 R 9 O
Date .... ......11....i.19�' ..............
Owner �•+.�..... �.. Builder .. .. ...
AddressQM. Address .........................................
L//�JC I N OF BUILDING
I r
�� !...... Street .. .. .. ..... Pari of Lot ..� Int
G
Lot ... J. .lQ........ Block .... 1.0........ Addition or Sub -Division .... .................
s
Corner Lot ...... Inside Lot ............ Setback Sideyard
...... .... . �Prts.na.._.........
DESCRIPTION OF BUILDING
To be Used as:
a
Front . P.? ... Depth .Qa.. Height ......... Sq. Ft. .3,9L.. Cu. Ft. ........
Front ........ Depth ........ Height ......... Sq. Ft......... Cu. Ft...... .
Type of Construction Est. Cost .............. To be Completed .3P. Z7`.e'! ......... .
'S 10,10 %4 it & it r_'d -j
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.
c td ion of the payment of a fee of $. M.6. -a, permit is hereby granted to ..1, :..... .
......... to construct the building or addition as described above. This permit iss 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 the all conform m all respects to the ordinances of
Fridley, Minnesota regarding location, construction, alt
ation, aintece oving of buildings with-
in the village limits and this permit may be revoked at n3' tim upo 0 o f of the provisions of said
ordinances.
NOTICE:
This permit does not cover the construction, Installation or alteration for iring, plumb -Ing, gas heating,
sewer or water. Be sure to see the Building Inspector for separate permits for these items.
lM
Original e
PERMIT for Power ants and Heating, Cool -
ing, ventilation. Refrigeration and Air
Conditioning Systems and Devices
DESCRIPTION OF WORK
No. of Beating Plants VU'.'_'4) to be installed--altered—repaired
Make ,Size 1®_36 ;
Oil fired—, Coal
Remarks
Approved
Gas fired K ; Gas Authorization N
Final Inspection Date , 19_
Inspector
Permit N° 4521
Fee ��/-� • o-�
Office of the Inspector of Buildings
City of Fridley
City of Fridley, Minn. % , 19-&-d?
Owner
Locations
Kind of Building
How Occupied
Work to be Commenced
To be Completed • /` �� ,19619
Estimated Cost, $ / • �T%
Old -New, Building Permit No.
Permission is hereby granted to to install—erect—use the material and devices described in the
above statement. This permit is granted upon t express condition that the person to whom it is granted, and his agents, employees and workmen, in all the work
done and materials used under this permit, and in the operation of the devices herein mentioned shall conform in all respects to the ordinances of the City of Fridley
relating to or governing the work to be done and the operation of the devices herein named, andel to the specifications et forth in the approved application for this
permit on file in the office of the Inspector of Buildings. .�
Inspector of Buildings
42 am 11-67 v
0
SUBJECT
E
City of Fridley
n 17292
AT THE TOP OF THE TWINS
BUILDING PERM I T
rp
RECEI
Lu --COMMUNITY DEVELOPMENT DIV.
r PROTECTIVE INSPECTION SEC.
NUMBER
REV.
DATE
PAGE OF
APPROVED BY
---'1 CITY HALL FRIDLEY 55432
612-571-3450
910-F1510/17/83
JOB ADDRESS 4601 - 2i Street N.E.
1 LEGAL
LOT NO.
BLOCK
TR ACT OR ADDITION SEE ATTACHED
DESCR.
16
10
Plymouth Addition SHEET
2 PROPERTY OWNER I MAILADDRESS ZIP PHONE
Adolph Bipes 4601 - 22 Street N.E. 572-1536
3 CONTRACTOR MAILADDRESS ZIP PHONE LICENSE NO.
Same
4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO.
5 ENGINEER MAILADDRESS ZIP PHONE LICENSE NO.
6 USE OF BUILDING
Residential
7 CLASS OF WORK
❑ NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE
8 DESCRIBE WORK
Construct a masonry chimney
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
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
]
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
$5500
$.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-
STRUCTION OR THE PERFORMANCE OF CONSTRUCTION.
PLAN CHECK FEE
TOTAL FEE
$15.50
SIGNATURE OF CONTRACTOR ORAUTHORIZ AGENT (DATE)
WHEN PROPERLY ALI DATED THIS IS YOUR PERMIT
/
' P
BLDG WSP DAT
G A UADEROWNER BUILDERI It (DATE)
0
CITY OF FRIDLEY
. Effective Aug. 1, 1981
APPLICATIM FOR RESIOUITIAL BUILDING PERMITS
(New, Alterations, Additions, or Repairs)
0WHER:
ADDRESS:
TEL K0: ,-.5--:Z 2- I
QUI LDE.R
�z e �(
ADDRESS: Sa, /- �
TEL 110: S a of e --
Construction Location
STRICT NO: STREET: o ® %_�
-01-
LOT: BLOCK: ADDITION:
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 C015TPUCTION
Front: Depth: Height:
Square Feet: Cubic. Feet:
Front:
Square Feet:
Depth :
Cubic Feet:
Height:
Y
Type of Construction: Estimated Cost: S
'!b Be Cbr.ipleted: _
Alt. A Alt. 8
Proposed Driveway Width If New Opening Is Desired: IdJ $ $
SEE pzvFR5T-; SIDE OF SHEET
liie undersigned hereby mal:cs application for a permit for the %:,ork herein specified,
agreeing to do.all work in strict accordance with the City of rridley Ordinances and
rulings of the Department. of Buildings, and hereby declares thzt all the facts and
representations stated in this application are true and correct.
DATE: 6 ® ® SIGNMIS :
6
I Pulations:
9 � l
;
CITY OF FRIDLEY INSPECTION DIViSION
6431 University Ave NE Effective On January 1, 1998
Fridley, MN 55432 APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION,
572-3604 REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES
JOB ADDRESS l9 2 l,- e 1
RATE SCHEDULE
State Surcharge $ .50 Burner Trade Name
TOTAL FEE $ 2 S
MINIMUM FEE FOR ANY HEATING/COOLING/VENTILATION
REFRIGERATION/AIR CONDITIONING PERMIT IS $25.00
PLUS THE $.50 STATE SURCHARGE
REINSPECTION FEE $42.00/Hr
BTU
n'
Size No.
EDR
HEATING COMPANY /� ( �e: - A
SignedBy Tel No.
Approved Rough—In Date Final Dateilovb
*Air Conditioners can not be placed in a side yard without FILL OUT BACK SIDSR STACK VERIFICATION ON
written permission from adjoining property owner. REPLACEMENT FU CE
The undersigned hereby makes application for a permit for the work herein
Residential
Rate
TOTAL
specified agreeing to do all work in strict accordance with the City Codes and
Furnace Shell and Duct Work, Burner —
rulings of the Building Division, and hereby declares that all the facts and
Also Replacement Furnace
$ 30.00
$
representations stated in this application are true and correct.
(Side Vent — Fill Out Back)
23 ,1998
Gas Piping (Needed with new furnace)
r
$10.00
$
-' #r lq� 01, C . 2
22'0
OWNER_
Gas Range CL e e-0 C e
$10.00
$
BUILDING USED AS }'Z
Gas Dryer
$10,00
$
ESTIMATED COST PERMIT NO. 3S
*Air Conditioning — All Sizes
$ 25.00
$
DESCRIPTION OF FURNACE AND OR BURNER
All Others/Repairs & Alterations (LIST ON BACK)
1 % of Value of Appliance or Work
$
No. of Heating Units Circle One (Steam) (Hot Water) (Warm Air)
Trade Name Size No.
Commercial/Industrial
BTU HP EDR
1.25% of Value of Appliance or Work
$
Fuel Total Connected Load
State Surcharge $ .50 Burner Trade Name
TOTAL FEE $ 2 S
MINIMUM FEE FOR ANY HEATING/COOLING/VENTILATION
REFRIGERATION/AIR CONDITIONING PERMIT IS $25.00
PLUS THE $.50 STATE SURCHARGE
REINSPECTION FEE $42.00/Hr
BTU
n'
Size No.
EDR
HEATING COMPANY /� ( �e: - A
SignedBy Tel No.
Approved Rough—In Date Final Dateilovb
*Air Conditioners can not be placed in a side yard without FILL OUT BACK SIDSR STACK VERIFICATION ON
written permission from adjoining property owner. REPLACEMENT FU CE
6 Has total heating BTU's of
All other BTU's
TOTAL BTU's
7. Has a liner been provided for water heater
8. Has combustion air been provided for water heater
Remarks: .
List ALTERATIONS Being Done:
HEATING CO:
Signed By:
Date:
Yes
CHIlV NEY AND STACK yERII��CATION
The undersigned hereby verifies that the existing chimney or stack:
No
1.
Has been carefully examined
Yes O
No ( )
2.
Is free from rust or deterioration
Yes ()
No ( )
3.
Has no foreign objects lodged within
Yes ()
No ( )
4.
Is securely supported .
Yes ()
No ( )
5.
Meets all current Code requirements for size
and total BTU's connected
Yes ()
No ( )
6 Has total heating BTU's of
All other BTU's
TOTAL BTU's
7. Has a liner been provided for water heater
8. Has combustion air been provided for water heater
Remarks: .
List ALTERATIONS Being Done:
HEATING CO:
Signed By:
Date:
Yes
No
Yes
No
CITY OF FRIDLEY
7071UNIVERSITY AVENUE NE
FRIDLEY, MN55432-
//
ISSUED:12122008
(763)572-3604FAX: (763)502-4977
Permit #2008-02069
4601 2 1/2 ST NE
ADDRESS:
PIN:263024330025
LEGAL DESC:UNAVAILABLE
:LOT . BLOCK . PARCEL .
PERMIT TYPE:BUILDING
PROPERTY TYPE:RESIDENTIAL
CONSTRUCTION TYPE:ROOFING/SIDING
VALUATION:$4,700.00
NOTE: NEW SOFFIT AND FASIA ON HOUSE AND GARAGE.
PROVIDE PROPER SOFFIT VENTILATION PER CODE.
BUILDING PERMIT FEE111.25
APPLICANT
FIRE SURCHARGE4.70
ALL PRO WINDOWS AND EXTERIORS INC
STATE SURCHARGE, BLDG VALUE2.35
3634 HADLEY COURT
LICENSE SURCHARGE5.00
OAKDALE, MN 55128-
TOTAL 123.30
(651) 747-8454
Payment(s)
Minnesota State License #: 20626332
CHECK13352123.30
OWNER
BIPES, DIANE M
4601 2 1/2 ST NE
FRIDLEY, MN 55421-
AGREEMENT AND SWORN STATEMENT
This permit becomes null and void if work or construction authorized
is not commenced witin 180 days or if construction or work is
suspended or abandoned for a period of 180 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________
12/12/08
Bldg Insp____________________________Date ________
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE.
CITY OF FRIDLEY
7071UNIVERSITY AVENUE NE
ISSUED:12/12/2008
FRIDLEY, MN55432-
(763)572-3604FAX: (763)502-4977
Permit #2008-02069
4601 2 1/2 ST NE
:
ADDRESSPERMIT APPLICANT:
PIN:263024330025ALL PRO WINDOWS AND EXTERIORS INC
LEGAL DESC:UNAVAILABLE3634 HADLEY COURT
:LOT . BLOCK . PARCEL .OAKDALE, MN 55128-
PERMIT TYPE:BUILDING
PROPERTY TYPE:RESIDENTIAL(651) 747-8454
CONSTRUCTION TYPE:ROOFING/SIDING
:
VALUATION$4,700.00
BUILDING INSPECTION RECORD
24 HOUR NOTICE REQUIRED FOR ALL INSPECTIONS.
CALL FOR INSPECTIONS WEEKDAYS: 8 AM TO 4:30 PM
INSPECTION TYPEDATEINSPECTORCOMMENTS
FINAL01/07/09PDAVE
INSPECTION COMMENTS:
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.
Building
$
BUILDING
See Back Page for Fee Schedule
Plan Review
Permit No.•q
Inspections
Fire Surcharge
RESIDENTIAL APPLICATION
14P 770
.001 times the total job valuation
Received By:
763-572-3604
-?- 31-t
CITY OF FRIDLEY
License Surcharge
$
Date Rec'd:
763-502-4977 FAX
SAC Charge
$
$1825 per SAC Unit (Plans to MWCC for determination)
Curb Cut Escrow
$
EFFECTIVE 1-1-08
ft + 6 ft = ft x $21= $
Erosion Control
$
DATE /2 -I ® — ®Q
Y�OURCE L.-MAIAADDRESS 2 fW f.1 %
63 1n -T,-
I. CkrW
STTEADDRESS A/60 I
Z .S� OO. Go
Sewer Main Charge
$
THIS APPLICANT IS:
❑ OWNER CONTRACTOR
Total Due
$
PROPERTY OWNER/
NAME: ,81
TENANT
lir`,
ADDRESS: 7 ®� Z. Sr /Z 9. CITY TV�n
I b LL
i STATF&6 ZIP.13�2-
PHONE:
NAME:
ADDRESS: 2616q "%7N AL>E G.
rr
CITY/�/N2PiI
Sl, ff'1(j L STATE ZIP
CONTRACTOR
SUBMIT A COPY OF
PHONE &M - 74 7 — S q,5 -AI FAX
6S/ — -7
70 " '0195�
YOUR STATE LICENSE
STATE LICENSE # 20(07-6222
EXP DATE
PROPERTY TYPE
JWJGLE FAMILNIEW CONSTRUCTION SIZE
❑ TWO FAMILY/NEW CONSTRUCTION STORIES
PERMIT TYPE
❑ ADDITION ❑ GARAGE/SHED ❑ WINDOWS
❑ BASEMENT FINISH ❑ ROOF ❑
I}RAIN TILE
❑ DECK [3SIDING
OTHER
❑ SWIN M NG POOL
TYPE OF WORK:
❑ NEW HOME CONSTRUCTION ❑ ADDITION
)ICMAINTENANCE/REPAM ❑ REMODELING
DESCRIBE WORK BEING DONE: FA ftS cmJ aaLSE
E
SIZE OF IMPROVEMENT
LENGTH WIDTH
HEIGHT SQ FT
ROOFING
❑ HOUSE ONLY
BASEMENT
REMODELING SUBMIT:
NUMBER OF SQUARES
❑ HOUSE & GARAGE
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:
SIDING�
FOR NEW CONSTRUCTION INCLUDING DECKS,
❑ Vinyl
�
®Soffit
ADDITIONS_
& PORCHES SUBMIT:
❑ Aluminum
❑ Trim
1.
Site Plan/Survey showing the existing structures
❑ Other
lfascia
and proposed project.
2.
Two sets of construction plans
WINDOWS
3.
Energy Calculations
IN EXISTING OPENINGS ❑Yes ❑No LOCATION OF WINDOWS
OR FOR NEW OPENINGS -DESCRIBE SIZE OF
OPENING CHANGES &
TYPE OF WINDOW TO BE INSTALLED NUMBER OF WINDOWS
ALL FEES ARE BASED ON VALUATION, INCLUDING THE COST OF LABOR AND MATERIALS:
nNING THE 1997 ITRC FEE SCHEDULE)
ALUATION
a c30 OCCUPANCY
Permit Fee
$
/ d Gi�
See Back Page for Fee Schedule
Plan Review
$
65% of Building Permit Fee
Fire Surcharge
$
14P 770
.001 times the total job valuation
Surcharge
$
-?- 31-t
.0005 x Permit Valuation Minimum $.50
License Surcharge
$
S e `"
$5.00 (State Licensed Residential Contractors)
SAC Charge
$
$1825 per SAC Unit (Plans to MWCC for determination)
Curb Cut Escrow
$
ft + 6 ft = ft x $21= $
Erosion Control
$
$450 Conservation Plan Review
Park Fee
$
Fee Determined by Engineering
Sewer Main Charge
$
Agreement necessary ( ) Non Necessary ( )
Total Due
$
/23. '3A
Make checks payable to: City of Fridley 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 v41 be in accordance with the appppved plan inAhe case of all work which requires review and approval of plans.
SIGNATURE OF APPLI NT e a.,a.l' PRINT NAME �j�d illl �% 2/ a f�DATE �2 /e-4
APPROVED BY
DATE