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PRE 2010 DOCSBUILDING PERMIT i Village of Fridley, Minn. Date ...... .. ,•, . Owner ...... - of -4. Address , , , ,�. , .. .. . Builder .. %< F Address 1�To 2583 p T d LOCATION OF BUILDING ................. ....................... No. ..... Street... Part of Lot Lot ............ Block ................ Addition or Sub -Division ....... „............ Corner Lot .. ......... Inside Lot .. .... Setback ............ Sideyard ...... , DESCRIPTION OF BUILDING To be Used as: r" w. Front . , Depth .. . fl'eight ......... Sq. Ft. Cu. Ft........ . .. Front . Depth ........ Height ....... Sq. Ft......... Cu. Ft, ........ Type of Construction ... Est Cost F:' ,... , . , ... To be Completed' In considerate n 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 Yellage of Fridley. 4z= con done in, around Fridley, Minns in the village lv ordinances. NOTICE: ............: ....:far ... . 10 the payment of a fee of $....'?permit is hereby granted to .... ,.e.. to construct the building or addition as described above. This permit Is granted upon in that the person to whom it is granted and his agents, employees and workmen, in all work I upon said building, or any part thereof, shall conform in all respects to the ordinances of regarding location, construction, alteration, maintenance, repair and moving of buildings with - and this permit may be revoked at any time upon violation ''of any of the provisions of said Inspector This permlt'lldoes not cover the construction, installation or alteration for wiring, plumbing, gas heating, sewer or water. I Be sure to see the Building Inspector for separate permits foil these items. SUBJECT P City of Fridley 15.5.0 6 AT THE TOP OF THE TWINS BUILDING PERMIT � t • COMMUNITY DEVELOPMENT DIV. 6 rr ______ w r I � PROTECTIVE INSPECTION SEC. /� 1 ( NUMBER REV. DATE PAGE OF APPROVED BY i CITY HALL FRIDLEY 55432 612-571-3450 910-F15 10/5/79 JOB ADDRESS 4641 - 2�i Street N.E. 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 25,26 10 Plymouth SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Vincent Karpowicz 4641 - 21� Street N.E. 560-4461 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 X S DESCRIBE WORK Reroof house 9 CHANGE OF USE FROM TO STIPULATIONS Roof can be second but not third roof. Install ridged galvanized valleys. 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 $•'50 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT $700 DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PERMITFEE SACCHARGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. $7.50 - PLAN CHECK FEE TOTAL FEE $8.00 SI N `UREOF CONT CTOR THORIZED AGENT (DATE) WHEN PROPERLY VALIDATED THIS IS. YOUR PERMIT SI NATURE OF OWNER() O ER ILDERI (DATE) BLDG )NSP ATE CITY OF FRIDLEY APPLICATION FOR RESIDLNTIAL BUILDING PERMITS v (New, Alterations, Additions; or Repairs) OWNER: � ������ CaG� CC BUILDER: S'(f ADDRESS: 21 ADDRESS: TEL NO:- � TEL NO. . • Construction Location . STREET NO: :ZL0 7L_ STREET: 0 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 CONSTRUCTION Front: Depth:. Height: Squane.Feet. Cubic Feet: Front: Depth: Height: Square -Feet: Cubic Feet: Type of Construction: Estimated Cost: $ Rb Be Oompleted: 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 .re true and correct. DATE:. SIGNATURE: Stipulations: SUBJECT - City of FridleyQ27546 AT THE TOP OF THE TWINS BUILDING PERMIT i? RECEIPT NO. COMMUNITY DEVELOPMENT DIV. -7 _ r PROTECTIVE INSPECTION SEC. CITY HALL FRIDLEY $$432 NUMBER REV DATE PAGE OF APPROVED BY 612-571-3450 910415 19/2/98 JOB ADDRESS 4641 2 1/2 Street NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 25, 26 10 lPlvmouth SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Vincent A. Kar owicz572-8964 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Owner 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 faC NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Construct a 10' x 16' utility -shed 9 CHANGE OF USE FROM TO STIPULATIONS See notations on plan. 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. OWLG. 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 499 • 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. $21.00 Fire SC PLAN CHECK FEE TOTAL FEE SIGNATURE OF CONTR CT R OR AUTHORIZED AGENT IDATEI WHEN PROPER VALIDATED THIS IS YOUR PERMIT SIGNAT RE OF OWN IIF NER BUILDERI IDATEI BL -G INSP GATE NEW - 4 ] Effective 1/1/98 ADDN [ ] CITY OF FRIDLEY ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION ConstructionAddress: l ®2, Legal Description: Owner Name & Address: GlI A&« A✓7Z!g!, 4,0® 4Z -'/C Tel. Contractor: MN LICENSE # Address: �� f`— 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: �ii�i `� 1/ C5 -x r-( '%® % x 16, Construction Type: b6�-' 0 c Estimated Cost: (Fee Schedule on Back) Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ = $ DATE: " �?�'APPLICANT: r Tel. # Permit Fee Fire Surcharge 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 $1000 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 [ ] SUBJECT City of Fraley 30015 AT THE TOP OF THE TWINS BUILDING PER 1T9 r 1 s RECEIPT NO. COMMUNITY DEVELOPMENT DIV. SEC. r � � PROTECTIVE INSPECTION 1 � = CITY HALL FRIDLEY 55432 NUMBERDATE 178/6/99 PAGE OF APPROVED BY 612-571-3450 910415 JOB ADDRESS 4641 2 1/2 Street NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 25, Z6 10 lPlymouth SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Vincent Kar owicz 572-8964 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Owner 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 O ADDITION ❑ ALTERATION REPAIR ❑ MOVE O REMOVE 8 DESCRIBE WORK Reroof house and garage (22 Sq) Tear -off 9 CHANGE OF USE FROM TO STIPULATIONS Underlayment must comply with the State Building Code. 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 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 1923 S.96 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 F TOT FEE 7 If 2.13 S� NATUREOFCON•RA T ORAUTNORiZEOAGENT IDATE� EN R VALID THIS Y R IT ® � ` s ✓ j/iiDDATEi Bl0 NSP AOAtE S-GNATURE OF Ow RnF NER BWIDER NEW [ ] Effective 5/10/99 ADDN [ ] CITY OF FRIDLEY ALTER [ ] SINGLE FA J9LY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION Construction Address: f z5— , Legal Description: Owner Name & Address: P IL 7, Tel. Contractor: A5-&—_ G, MN LICENSE # Address: y/ S x �!� ,�` 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: /Z' /lam® - i ns CY ,6 Construction Type:/'� ® p r Estimated Cost: $ 7�3 Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ =R� DATE:APPLICANT: c Tel. Permit Fee $ L, C2S Fire Surcharge $1,9-1 State Surcharge $ �o SAC Charge $ License Surcharge $ Driveway Escrow Erosion Control Park Fee Sewer Main Charge TOTAL $ o� 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 7071UNIVERSITY AVENUE NE FRIDLEY, MN55432- // ISSUED:10012008 (763)572-3604FAX: (763)502-4977 Permit #2008-01639 4641 2 1/2 ST NE ADDRESS: PIN:263024330030 LEGAL DESC:UNAVAILABLE :LOT BLOCK PERMIT TYPE:SEWER & WATER PROPERTY TYPE:RESIDENTIAL CONSTRUCTION TYPE:SEWER REPAIR NOTE: CALL 763-572-3552 FOR INSPECTION AFTER UNCOVERING THE LINE, BEFORE ANY REPAIRS ARE MADE, AND AGAIN WHEN THE REPAIR IS MADE BUT BEFORE RECOVERING THE LINE. SEWER LINE REPAIR/RELOCATION40.00 APPLICANT STATE SURCHARGE, OTHER SEWER0.50 T & J CONCRETE TOTAL 40.50 17720 HWY 65 Payment(s) HAM LAKE, MN 55304- CHECK2610940.50 OWNER KARPOWICZ VINCENT A & K 4641 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________ Bldg Insp____________________________Date ________ SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. CITY OF FRIDLEY 7071UNIVERSITY AVENUE NE ISSUED:10/01/2008 FRIDLEY, MN55432- (763)572-3604FAX: (763)502-4977 Permit #2008-01639 4641 2 1/2 ST NE : ADDRESSPERMIT APPLICANT: PIN:263024330030T & J CONCRETE LEGAL DESC:UNAVAILABLE17720 HWY 65 :HAM LAKE, MN 55304- PERMIT TYPE:SEWER & WATER PROPERTY TYPE:RESIDENTIAL CONSTRUCTION TYPE:SEWER REPAIR BUILDING INSPECTION RECORD 24 HOUR NOTICE REQUIRED FOR ALL INSPECTIONS. CALL FOR INSPECTIONS WEEKDAYS: 8 AM TO 4:30 PM INSPECTION TYPEDATEINSPECTORCOMMENTS SEE ENGINEERING DEPARTMENT FOR INSPECTION RECORD. SEWER INSPECTION01/05/09POTHR 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 WATER OR SEWER Permit No.• j Inspections PERMIT APPLICATION Re 'B 763-572-3604 CITY OF FRIDLEY De �o 763-502-4977 fax ate EFFECTIVE I -I-08 APPLICATION DATE: to I U YOURE-MAIL ADDRESS: 1 C. THIS APPLICANT IS: CONTRACTOR ❑OWNER C� JOB ADDRESS: 4-1 �z 4I,2,, c `e -d wS NEW CONSTRUCTION PERMIT # (IF APPLICABLE): PROPERTY NAME OWNER/ ADDRESS: CITY: STATE: ZIP: TENANT PHONE: CONTRACTOR NAME: "-" SUBMIT A COPY OF ADDRESS: 1-1-17-1-D,H �5 CITY: o 1 ` STATE: ZIl': YOUR STATE LICENSE PHONE: 2 U Oc 6, CELL HONE: 2 Ki,;z5 � bj AND BOND STATE LIC: STATE BOND: EXP: PERMIT TYPE ❑ SEWER CONNECTION PERMIT $50 ❑ WATER CONNECTION PERMIT $50 ❑ WATEWER L REPAIR PERMIT $40 ADD STATE SURCHARGE $.50 , ❑ SAC CHARGE @ $1825 TOTAL OTHER CHARGES (IF APPLICABLE) PAY TO UTILITY BILLING NEW WATER METER COST SEE UTILITY BILLING SPECIAL ASSESSMENTS SEE FINANCE WATER TAP SEE ENGINEERING NOTE: WATER METER REPAIR, INSP OR SHUT-OFF / WEEKENDS & HOLIDAYS $125 / HOUR -BILLED THIS IS AN APPLICATION FOR A PERNUT--NOT VALID UNTIL PROCESSED I hereby apply for a water or sewer (new connection or repair) 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. I understand this is not a permit but only an application for a permit work is not to start without a permit. SIGNATURE OF APPLICANT: , PRINT NAMEs 61(� VI �° n DATE C l� 6 t� i APPROVED BY: DATE COPY GIVEN TO: ❑ UTILITY BILLING City of Fridley Building Inspections Department 6431 University Avenue NE, Fridley, MN 55432 763-572-3604 FAX: 763-502-4977 EFFECTIVE: January 1, 2007 City of Fridley 6431 University Avenue N.E. Fridley, MN 55432 (763) 572-3604 WATER AND SEWER LINE INSTALLATION REQUIREMENTS WATER SERVICE LINES: TYPE K COPPER PLASTIC PIPE WITH TRACER WIRE 6D Polyethylene D2239, D2737 6E Acrylonitrile D2282 6F Polyvinyl D2241, D1785 6G Polybutylene D2662,.D2666 1. Flare fitting in yard area or silver (brazed) fittings underground, within building or yard area 2. Approved AWWA compression fittings permitted on existing lines. 3. Valves at meter to be gate or other full -way valve 4: Curb stop with rod must be used. 5. 7 foot minimum bury (only dense foam insulation allowed if needed). 6. 1 foot minimum separation of sewer and water. SEWER SERVICE LINES: Cast iron with matching fittings Plastic ABS Schedule 40, D2661 Foam Core, F628 Thin Wall, D2751 Plastic PVC Schedule 40, D2665 Foam Core, F789 Thin Wall, SDR -35, D3033, D3034 All PVC requires a two step process of joining; first a colored primer; second the solvent cement.