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PRE 2010 DOCS1 I{' i! �! Village of Fridley, lMlim. BUILDING PE 3M No s l� Office of INSPECTOR OF BU (ZINGS ,I Owne�3 - Architect— Fridley, Minn., a - I Builder I �I j- LOCATION OF (BUILDING '.`�C No, u'�v° �-� � Street ss<< � _�' �3''�'"�i `A�p Part of Lot LBlocka Addition or Sub-Division DESCRIPTION OF BUILDING Front` Depth Height Stories_4 Manner of Constgotion To be used as To be completed > Estimated Cost u i' Permit is hereby !granted to''.. io" the building--l--.� described in the above statement. This permit is granted upon the express condition that the person to whom it is granted, and his agents, employees and workmen, in all the work done in! around and upon said building, or any part thereof, shall conform in all respects to the ordi- nances of Fridley' Minn., regarding the construction, alteration, maintenance, repair and moving of buildings within the city 11x i ts, and this permit may be revoked at any time upon violation of any of the provisions of said ordinances. k inspector of Buildings. AGREEMENT AND SWORN STATEMENT In consid4latien 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 and 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. Subscribed afad sworn to before me at Fridley, Minnesota, this' day o� �.'i� : - A .D. 19s. w a City of Fridley, Minn. BUILDING PERMIT N? 4314 Date: 1 Owner: - .... ............_..--- ......... .._.. _......-----••------------ Builder .. - ._.-•---...__.......... �...... _..._._.._...... Address....._............._.......___......._..._.._.._...._.. ___. __.............. Address LOCATION OF BUILDING No.Street _..__ .....�.. _.. —-......._._ ®............-.............. Part of Lot Lot ..---- ................................ BIock------------- ....._...-----7 ..... ................. Addition or Sub -Division ..... .............................. Corner Lot .................................... Inside Lot ....._........................ ....... Setback ..... _.................................. .... Sideyard Sewer Elevation ..... . ............................ ........ _.... _..................................................... Foundation Elevation ......_.......... To be Z!, as: . --. Type of Construction DESCRIPTION OF BUILDING Front 1_. .�.L Depth .. .. .7 Height(.._ ....:.a �Sq. Ft. �4 Cu. Ft.l../AQ.f. Front ....._................. Depth .................... _.. Heiig�ht(/._ . _ Sq. Ft. ....................... Cu. Ft. ......................................... Est. Cost.../ ..../..t ....:.......... .. 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 a d in compliance with Il 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 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 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 heating, sewer or water. Be sure to see the Building Inspector for separate permits for these items. '30031 City ®f Fridley, Mimi. N® 6336 MUDING PERAHT Date: Owner: flder Address Address LO- I N OF 5 ILDING No. Street" ),� Part of Lot Lot _ Block Addition or S 6n corner Lot Immo, Lot Setback - Ideyard Sewer. Elevation F . dation Elevation DESTION OF BUILDING To sed as• V, t Depth eight Sq. Ft. Cu. Ft J Depth '9 eight � Sq. Ft Cu. Ft Type of Construction ' Est. =J 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 fo in como?- with 21 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 buildifng 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, re and moving of buildings withiant�:ee. city limits and this permit may be revoked at any ting) ups x ?�l ' of of the provisions of said ordin NOTICE: r b pendh does not ower the contruWan, kddlstion for wbk& plumbing, on hating, sewer or water. Be sure to an the &dhBeg hupea r for sepwds pwnft for these items. APPLICATION FOR BUILDING PERMIT CITY OF FRIDLEY, MINNESOTA OWNER'S UILDER ADDRESSADDRESS LOCATION OF BUILDING N0./ STREET - PART OF LOT LOT BLOCK ADDITION OR SUBDIVISION CORNER LOT INSIDE LO`r Z SETBACK SIDE -YARD.: SEWER ELEVATION FOUNDATION ELEVATION 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 ° Sq. Ft. Cu. 4 Front ,�� y ! DepthHeight-L�� Sq. Ft. Cu. Ft. E Type of Construction �1_ Estimated Cost_®� a To be completed`-� The undersigned hereby makes application for a permit for the work herein specified, agreeing to.do all work-4n.strict accordance with the City of Fridley Ordinances and rulings of the Department of'Buildings, and hereby declares that all the facts and 'repres'entations stated in.this application are true and correct. DATE SIGNATURE. (Schedule of Fee Costs can be found on the Reverse Side). �g,-v77 City of Fridley, X? 8730 BUILDING PERAUT Date: March 222 1966 owner: Chgs Year Peterson Builder Blanske Coc io .G0,. Inc,. Address ____ 4815 - 2; Street N. E. Address 4029 Silver bake Road, St. Anthony Village LOCATION OF BUILDING No. 48�5_ Street 22 Street N. E. Part of Lot Lot 18 Block 2 Addition or Sub -Division Elymouth Corner Lot _ Inside Lot Setback Sideyard Sewer Elevation ___. Foundation Elevation DESCRIPTION OF BUILDING To be Used as: 10t x 141 Redwood deck off Rear of House Addita..an Front Depth Height _ _ Sq. Ft Cu. Ft Front Depth Height Sq. Ft Cu. Ft Type of Construction Est cost — 93 22____ ____ To be completed f 2866 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 21 provisions of ordinances of the city of Fridley. In consideration of the payment of a fee of $ 4.00 , permit is hereby granted to. Blanske Constr. Co. Inc* 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 reg location, construction, alteration, maintenance, repair and moving of buildinn within the city limits and s permit may be revoked at any time upon violation of any of the provisions of esaM ordinanceL ALIEN E#. JENSEN NOTICE rob ponuM don not cover the COMMMOO, tnN MA ton for wiring, phl"Ifte, ®a heathm ewer or WNW. M are to ea the Bui1d6re bnpeNer for aparNe penia for thea Mena. "N AP1I ICA*X0N'-#OR. BUILDING P9RMIT CiTr py tEy"MtNASOTA OWNER'S NAME -, X BUILD9A e4l"f1l ADDRESS ADDRESS LOCATION OF __. LYa-- :rN7 NG STREET NO. , PART OF LOT LOT BLOCK ADDITION OR SUBDIVISION CORNER LOT INSIDE LOT ._SETBACK_ SIDE -YARD SEWER ELEVATION -FOUNDATION ELEVATION Applicant attach to this form Two Certificates of Survey of Lot and proposed building location'dra'w'n'on these Certificates. DESCRIPTION OF BUILDING To be used as: Front Depth Height Sq. Ft. Cu. Ft. Front Depth Height Sq. _Ft. Cu. Ft. Type of Construction M Cost To be completed 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 tho Department of Buildings, and hereby declares that all the facts'an'd-r'representations stated in this application are true and correct. 01—rou PAW"i IBM M (Schedule of Fee Costs can be found on the Reverse Side). suBIECT PERMIT NO City ®f Fridley o - 16 6 0 2 AT THE TOP OF THE TWINS BUILDING PERMIT r � ECEIPT N • COMMUNITY DEVELOPMENT DIV. r PROTECTIVE INSPECTION SEC. C l---- �� —",♦� CITY HALL FRIDLEY 55432 L NUMBER REV. DATE PAGE OF APPROVED BY 612-571-3450 910-F15 5/27/82 JOB ADDRESS 4815 - 21-2 Street N.E. 1 LEGALLOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 18,19 1 2 Plymouth Addition SHEET 2 PROPERTY OWNER MAILADDRESS ZIP PHONE Chester Peterson 4815 - 2h Street N.E. 572-8899 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Viking Home Improvement Co. 4832 - 21i Street N.E. 572-1820 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 O NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE X 8 DESCRIBE WORK Construct a 10' x 10.5' Addition to the Kitchen 9 CHANGE OF USE FROM TO STIPULATIONS wwwAR MING SEPERATE PERMITS REQU-IRED FOR WWONC-. Before digging call local utilities TELEPHONE - ELECTRIC - GAS Etc. WEATI'NG, PLUMBING AND SIGN& REQUIRED BY LAW 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 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$3 $1.90 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT ®800 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- $50.50 NONE STRUCTIO OR THE PERFORMANCE OF CONSTRUCTION. PLAN CHECK FEE TOTAL FEE r 7®yz$12.63 $65.03 SIGNATURE OF CON ACTOR ORA THORIZED AGENT (DATE) WHEN PROPERLY VALIDATED THIS IS YOWp PER IT BLDG WSP DATE SIGNATURE OF OWNER OF OWNER BUILDER) (DATE) OWNER: ADDRESS TEL NO: CITY OF FRIDLEY Effective Aug. 1, 1981 APPLICATIM FOTO RESIDENTIAL BUILDING PER14ITS (New, Alterations, Additions, or Repairs) BUILDER: ADDRESS: �zd--3 L- S /-,C/ TEL NO: % Z- -/ if Z 0 Construction Location • STREET NO:/ STREET: LOT: . BLOM: 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: 7�j Square. Feet: Cubic Feet: Height: f Front: Depth: Height: Square- Feet: Cubic Feet: T® -A- 0lChFP� pe of Construction: Estimated Cost: $ 7b Be Completed: Alt. A Alt. B Proposed Driveway Width If New Opening Is Desired: $ $ SEE REVERSE SIDE OF SHEET . Mie undersigned hereby masses application for a permit for the %:pork' herein specifiedy/ agreeing to co,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: � ' �'T '�� SIGNATURE: Stipulations: L 4 SUBJECT v City of Fridley 2 2 6 3 4 AT THE TOP OF THE TWINS BUILDING PERMIT i RECEIPT NO. � • COMMUNITY DEVELOPMENT DIV. ti: ------� PROTECTIVE INSPECTION SEC. ?? �J 4� r i � i I /-"t CITY HALL FRIDLEY 55432 NUMBER REV. DATE PAGE Of APPROVED BY I'' 612-571-3450 910-F15 JOB ADDRESS 4815 2 1/2 Street NE LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESAL. 18,19 2 Plymouth SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Scroggins 4815 2 1/2 Street NE 571-5976 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Pacesetter Prod Corporation 1110 New Brighton Blvd M ls. 55413 331-9303 2414 a ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO. B USE OF BUILDING Residential 7 CLASS OF WORK O NEW 0 ADDITION 0 ALTERATION � REPAIR O MOVE O REMOVE 8 DESCRIBE WORK Soffit, Fascia & Trim 9 CHANGE OF USE FROM TO STIPULATIONS TYPE OF CONST. OCCUPANCY GROUP OCCUPANCYLOAD 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. I 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 $4,000 $2.00 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- TRUCTIO OR THE PERFORMANCE* CONSTRUCTION. s' -PLAN $63.00 Fire SC $4.00 CHECK FEE TOTAL FEE (, ? License SC $5.00 $74.00 IGNATURE OF CONTRACTOR OR AUTH I DAGENT (DATE WHEN PROPERLY VALIDATED THIS IS YOUR PERMIT - .a I, &—_0ATE BLDG SP SiGNATU RE OF OWNERoF OWNER BUILDERi IDATE� NEW Effective 1/l/94 ADDN CITY OF FRIDLEY ALTER (J SINGLE FAMILY AND DUPLEXES R-1 AND R-2 Building Permit Application Construction Address: ---4gV;�--?V2---S-T Legal Description: --- _ -- — - __ -- — Owner Name & Address: 1 00 L(S IS Z4 h4 ` � Tel. # S 'I i Contractor: MN LICENSE # q/ Address: ` ! G N TO tJ LVO Tel. #9,31-91035 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: f=- 171— 1— A 5C 1 A � �fZ- ( tM Comer Lot j ] Inside Lot j ] Ft. Yd Setback Side Yard Setbacks Type of Construction: Estimated Cost: $ Approx. Completion Date: (Cost on Back) DrivewayCurb Cut Width Needed: Ft. + 6F = Ft x $ =$ DATE:W; �+ APPLICANT: Tel. # , / CITY USE ONLY Permit Fee $ Fee Schedule on Reverse Side Fire Surcharge $ .001 of Permit Valuation (1/10th%) State Surcharge $ $.50/$1,000 Valuation SAC Charge $ $800 per SAC Unit License Surcharge $ $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 $ STIPULATIONS: MA SUBJECT P City of Fridley AT THE TOP OF THE TWINS BUILDING PERMIT Ir? O. • ______ COMMUNITY DEVELOPMENT DIV. L r PROTECTIVE INSPECTION SEC CITY HALL FRIDLEY 55432 NUMBER REV DATE PAGE OF APPROVED BY 612-571-3450 910-F15 8/19/96 JOB ADDRESS 4815 2 1/2 Street NE T LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 18,19 2 Plymouth SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Richard Scroggins 4815 2 1/2 Street NE 571-5976 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 j] ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE B DESCRIBE WORK Construct a 468 Sq Ft Deck 9 CHANGE OF USE FROM TO STIPULATIONS See notations on plan. �70NING BOOM QiWt,% ;dt ;for all utifty tlxit'6Rs 454.M02" EQUIRELI.BY LAW SEPARATE PER' MITS REQUIRED FOR WIRING, HEAVING, PLUMBING AND SIGNS, 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 1 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 $4,151 $2.07 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- $99.75 Fire SC $4.15 STRUCTION OR THE PERFORMANCE OF CONSTRUCTION PLAN CHECK FE T TAL FEE $105.97 SIGNATURE OF CONTRACTOR OR AUTHORIZEAGENT 1 IDATT�EpII+� W P RLYV ID D THIS IS OUR PERMIT SIGNATURE OF OWNER IIF OWNER BLITLURi 6 ATEI G INS OFD MA NEW ADDN CITY OF FRIDLEY ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 Building Permit Application ConstructionAddress: 4 V LC �k V Legal Description: sY ')L 1 Effective 3/l/96 1;4 - 3 7 5- Owner Name & Address: Qo; L Sc S 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. J DESCRIPTION OF IMPROVEMENT LIVING AREA: Length Width Height Sq. Ft. GARAGE AREA: Length /0 Width J®' Height Sq. Ft. DECK AREA: Length Width 1b Hgt/Ground -1 Sq. Ft. OTHER: Corner Lot [ ] Inside Lot [ ] Ft. Yd Setback Side Yard Setbacks Type of Construction: bc,`- Estimated Cost: $ j� Approx. Completion Date: XeW 7 (Cost on Back) Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ DATE: APPLICANT: CITY USE ONLY Permit Fee $ , �j� Fee Schedule on Reverse Side Fire Surcharge $ , /.S .001 of Permit Valuation (1/10th%) State Surcharge $ .2.07 $.501$1,000 Valuation SAC Charge $ $900 per SAC Unit License Surcharge $ $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 STIPULATIONS: a SUBJECT PER City of Fridley 3 i 6 7 AT THE TOP OF THE TWINS BUILDING PERMI T ®� COMMUNITY DEVELOPMENT DIV. INSPECTION SEC. d PROTECTIVE t � � I 1 CITY HALL FRIDLEY 55432 NUMBERREV OATE PAGE OF APPROVED BY 612-571-3450 1;10-F1510/10/00 JOB ADDRESS 4815 2 1/2 Street NE 1 LEGAL LOT N0. BLOCK TRACTOR ADDITION SEE ATTACHED DESCR. 18,19 2 Plymouth Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Richard Scroggins 4815 2 1/2 Street NE 571-5976 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO John Pederson Construction 7790 Main St NE, Fridley, MN 55432 763-586-7800 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO 20100361 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO 8 USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW ❑ ADDITION ❑ ALTERATION ER REPAIR O MOVE O REMOVE 8 DESCRIBE WORK Reroof House & Garage (21 Sq) Tear-off 8 CHANGEOFUSEFROM TO STIPULATIONS Underlayment must comply with the State Building Code. Permit inspec,on Cards Will Be mailed TO 119ner 601'rd P®SR 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 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 $2,147 $1.07 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 bTAL FEE Lice SC $ 0 $91.47 SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT IDATEI W N R Y VA 1).r D ED THIS ODURP/E/p'MIT 11 LDG It OA1E SIGNATURE OF OWNER,IF OWNER BU40ERI IDATEI NEIN[) � Effective 1/1/2000 ADDN [ ] �d I CITY OF FRIDLEY 812-57272-3604 Bldg Inep ALTER [ ] 1 ' SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION Construction Address: �A � 15- 5 ' 1 a - lkl L Legal Description: Owner Name & Address: oLc, cx -Sr— reg CAq ; Y Tel. # 57-71 _ 976 Contractor. \R -P on LQ, n 5.V��C"-\-�Of\ MN LICENSE # cq0 l 0®a(01 Address: -779 0 cL'.vN 5* F i~riar-e,4 �S1/3,2Tel.# '-2&,3 5-Y6 '7,Y0- LIVING AREA: GARAGE AREA: DECK AREA: OTHER: Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF IMPROVEMENT Length Width Height Sq. Ft Length Width Height Sq. Ft Length Width Hgt/Ground Sq. Ft Construction Type: 61( 0 a Y1 d % Estimated Cost: $ - Driveway Curb Cut Width Needed: Ft +6 Ft= Ft x $ =$ DATE: h9- APPLICANT: Tel. # 3 516; 2�(® b CITY USE ONLY - Call (612) 572-3604 for Permit Fees If mailing In application Permit Fee $ 3 Fee Schedule on Reverse Side Fire Surcharge $ j �r .001 of Permit Valuation (1/10th%) State Surcharge $ /,0-7 $.50/$1,000 Valuation SAC Charge $ $1100 per SAC Unit License Surcharge $ 00 y $5.00 (State Licensed Residential Contractors) Driveway Escrow $ Alt. "A" or Alt. "B" Move Erosion Control $ $450.00 Conservation Plan Review Park Fee $ Fee Determined by Engineering Sewer Main Charge $ Agreement Necessary [ ] Not Necessary [ ] TOTAL $ C/ / • 7 STIPULATIONS: l.Jl SUBJECT City of Fridley (. 323 0 (21110 AT THE TOP OF THE TWINS BUILDING PERMIT r � RECEIPT NO. �- _ ____ DIV. • _ COMMUNITY INSPECTION INSPECTION SEC. r � � PROTECTIVE (/gy� NUMBER REV DATE PAGE O: APPROVED BY i CITY HALL FRIDLEY 55432 ,`' 612-571-3450 910-F15 12/14101 JOB ADDRESS 4815 2 1/2 Street NE 1 LEGAL BLOCK TRACTOR ADDITION SEE ATTACHED DESCR. 1LOTNO. 18,19 2 Plymouth Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Rich Scroggins 4815 2 1/2 Street NE 763-571-5776 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Strait Edge Co 894 21 Ave SE, Minneapolis, MN 55414 612-379-9397 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO 20062870 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO 8 USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW ❑ ADDITION (i ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Install 4 windows; 1 in existing opening; 3 new openings 9 CHANGE OF USE FROM TO STIPULATIONS See notations on pian. 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. Caulk and flash all exterior openings. TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD SEPARATE PERMITS ARE REOUIRED 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 1 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 @3,000 $1.50 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT W 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- STRUCTIO OR THE P RF RMANCE df CONSTRUCTION $ .83 25 Frie SC $3.00 PLAN CHECK FEE TOTAL FEE Licen$5 S 92.75 SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT I +OATS+ EN ROP VALIOAX.6 9l INSo - THIS IS YOUR P/EER�Mr,T - gaTE S-GNATURE OF OWNER -"F OWNER BUILDER. IDATEI NEW [ ] Effective 1/1/2001 ADDN [ ] CITY OF FRIDLEY ,(763) 572-3604 Bldg Insp ALTER [ j SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION Construction Address: d 2- AJ Legal Description: Jr�- t��Gc Tim '25 S7 -S&67 Owner Name & Address: Contractor. Address: LIVING AREA: GARAGE AREA: Tel. °7(o 3 5 i % GS27 7 to MN LICENSE# Tel. # �� ' � % �/ � c/ 3L7 Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF IMPROVEMENT Length Width Height Sq. Ft. Length Width Height Sq. Ft. DECK AREA: Length Width Hgt/Ground Sq. Ft. OTHER: r`S 4 W/ W 10 6LUJ VP( -'!V I/'J Construction Type:'h&4Estimated Cost: T 610 Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $-'(C _ $ lt4�Z� DATE: APPLICANT: I Tel. W# JLL bu u— c" 62 CITY USE ONLY - Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee Sewer Main Charge TOTAL 1 612,- 37 9- �3e-f 7 Call (763) 572-3604 for Permit Fees if mailing in application $ Fee Schedule on Reverse Side $ 3. .001 of Permit Valuation (1/10th%) $ Sy $.50/$1,000 Valuation $ $1150 per SAC Unit ra0 $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 [ ] STIPULATIONS: cA-LL foyz- cKrw 1 r— C-/4rzP3 #- 7! 4 Stf-Olt edfjC& COVAPFACHI Nc- �/macaw ..4/✓.4�G 4 ��si%Etil�7f. 894 21st Ave. S.E. Minneapolis, MN 55414 (612) 379-9397 CITY 0P FRIDLEY INSPECTION DIViSION 6431 University Ave NE Fridley, MN 55432 APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION, (763) 572-3604 REFRIGERATION AND AIR CONDITIOMNG�SYSTEMS AND DEVICES RATE SCHEDULE Residential Furnace Shell and Duct Work,- Burner. - Also Replacement Furnace ' (Side Vent : Fill Out Back) Gas Piping (Needed with new furnace, but not replacement) Gas Range Gas Dryer *Air Conditioning.- All Sizes All Others/Repairs & Alteretions (LIST ON BACK) 1% of Value of Appliance or Work Commercial/industrial 1.25% of Value of Appliance or Work Rate $ 30.00 $ 10.00 $ 10.00 $ 10.00 $ 25.00 State Surcharge TOTAL FEE MINIMUM FEE FOR ANY HEATING/COOLING/VENTILATION REFRIGERATION/AIR CONDITIONING PERMIT IS $25.00 .PLUS THE $.50 STATE SURCHARGE. REINSPECTION FEE $47.00/Hr *Air Conditioners can not be' placed in a side yard without written permission from adjoining property owner. TOTAL $ �.A0 $ $ C� $ .50 JOB A OWNE Effective On January 1, 2002 BUILDING USED ESTIMATED COST ( �`%� PERMIT NO. /—D DESCRIPT10tL OF FURNACE AND OR BURNER No. of Heating Units�Circle One (Steam)ot>Wate (Warm Air Trade-NameSize N( BTU 10.0 HP EDR Fuel Total Connected Load Burner Tra a Name Size No. BTU HP EDR 5. 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 an rulings of the Building Division, and hereby declares that all the facts and representations stated in this application are true and correct. HEATING CO Sign FAX # Approved By Rough -In Date DATE ®Z o .17 TEL Fina( Qat&= FILL OUT BACK SIDE FOR STACK VERIFICATION ON REPLACEMENT FURNACE p THE BELOW MUST BE FILLED IN WHEN REPLACING FUEL BURNING APPLIANCES OR THE APPLICATION WILL BE RETURNED COMMON VENTS VEKIT CONNECTOR AND COMBUSTION AIR VERIFICATION When olaci an exict_ina- Iran _ _ the undersigned hereb. verifies that the -- venting has-been e)Oiniinad and- is free from rust, deterioration obstructions, and is securely supported -and firestopped where required."Y-6s () "No C) The venting system is plastic%PVC and meets all current codes and manufacturer specifications including sizing, length, number of elbows and termination. Yes () No ( ) The undersigned also verifies that the replacement unit is a listed assembly and meets the current codes and manufacturer's specifications. This does include AGA-GAMA Category I Central Fumac a Venting Tables for fan assisted and natural draft appliances. Yes( ) No( ) The PxiS ing L-nmh sstion air is sized and installed to meet the current codes and manufacturer's specifications. Yes() No(. j When required to install a n ua caMbuSfian air, it will be sized and installed to meet the current codes and manufacturer's specifications. Yes () No ( } When installing a netirrgsystem, the undersigned hereby verifies that it is a listed assembly and meets the current codes and manufacturer=s specifications. This does include AGA-GAMA Category I Central Fumace Venting Tables for fan assisted and natural draft appliances. Yes () No ( ) fs the common vent and Vent connectors sized and installed correctly :after an appliance has been removed from the common vent and vented separately as per current codes: Yes( )No( Appliance lypa and Appliance #1 Type Rize/Common Vgnt BTU Input and Vent Connec4or Inf®rma ion Fan Assisted or Nat Appliance #2 Type BTU Input Fan Assisted or Nat Appliance #3 Type BTU Input Fan Assisted or Nat Total Appliances Total BW Input Common Vent Type Vent Height Diameter inches Appliance #1 Vent Connector Height ft Length ft Diameter in Type Appliance #2 Vent Connector Height ft Length ft Diameter in Type Appliance #3 Vent Connector Height ft Length ft Diameter in Type HEATING CO: Signed By: Date: d _ JaN 1-- kh Vf2re ftv;s vvnP nv Y V "1 V V-11 1 VUIYIYGV 1 VR AIMU i+UMOUO I IU1Y AIR VCR1r1%OA I IU1V �i When replacing ansi ing furance, the undersigned hereby verifies that the venting has been examined and is free from rust, deterioration, obstructions, and is securely supported and firestdpped where required. Yes o No( ) The venting system is plastic/PVC and meets all current codes and manufacturer specifications including sizing, length, number of elbows and termination. Yes( ) No( /dJ The undersigned also verifies that the replacement unit is a listed assembly and meets the current codes and manufacturer's specifications. This does include AGA-GAMA Category I Central Furnace Venting Tables for fan assisted and natural draft appliances. Yes No ( ) The existina combustion air is sized and installed to meet the current codes and manufacturer's specifications. Yes No( ) When required to install a new combustion air, it will be sized and installed To meet the current codes and manufacturer's specifications. Yes (j No ( ) When installing a new venting system, the undersigned hereby verifies that it is a listed assembly and meets the current codes and manufacturer's specifications. This does include AGA-GAMA Category I Central Furnace Venting Tables for fan assisted and natural draft appliances. Yes() No () f�,A Is the common vent and vent connectors sized and installed correctly after an appliance has been removed from the common vent and vented separately as per current codes. Yes (4 No ( ) Appliance Type and Size/Common Vent and Vent Connector Information Appliance #1 Type �Iacg Na BTU Input 6Cc 0 d Appliance #2 Type �vAt--F- tike_, BTU Input Appliance #3 Type BTU Input Total Appliances Total Btu Input 9.6 , oo Common Vent Type Fan Assisted or Nat Fan Assisted or Nat Fan Assisted or Nat Vent Height �- 5 Diameter inches Appliance #1 Vent Connector Height 3 ft Length ft Diameter in Type Appliance #2 Vent Connector Height ' ft Length I- ft Diameter min Type Appliance #3 Vent Connector Height _ ft Length ,, . ft Diameter in Type ALTERATIONS: (Describe) 77 HEATING CO: Signed By: c i� Date JAN-4=2006 01:10P FROM: TO:7635711287 P:2/2 Building MXCELA ICAL Permit No.. Inspections RLSIODENTIAL APPLICATION Received By: 7.63^572-3604 CITY OF FREDLLY Date Reed: Ili off,. DATE YOUR-1VIAII. ADDRESS &I•CE ADDRM i THIS APPLICANT 1S: O OWNER ONTRACrOR PRO)E'l$RTY OWNERI ADDILESS' STATE ZIP �N�, PHONE: 1' CONTRACTOR COMPANYNAmF:_ Kline Corp. — SVBMIT A COPY OF ONTACI' PERSON: — DBA: Practical Systems YOUR STATE SrATE LICENSE s 4342E Shady Oak Road STATI~.. zII;„r L7CENSS WITH ADDRESS:�� Hopkins, MN 55343 APPLICATION PHONE 952-933-1868 PERMi f TYPE 171'GLZ+FAMILY ❑ TWO FAWLY O TOWNHOUSE WORK,.�,� O NEW 0 REPLACEMENT Ilrk tON�ODEL TYPE OF T C" DETAILED DESCMPr1ON OF WORK J PER MS 168.665 the permit fee is a minimum of $15.00 or S% of the total cost up to SMOG, whichever a greater, for the improvement, installation or replacement of a residential fixture, excluding the fixtures. (This should reflect only the cost of Igor) between $300 to $500 = cost of Mw— x.05 = . ... Labor cost under $300 � $15.00. Labor cost FOR PROJECTS WX= LABOR EXCEEDS $SW. FEES ARE BASED ON 510.00 PER FIX TURF, EXCEPT WHERE NOTED- FD�: (1111 TQTAL NUMBER OF EACH BELOW)` SMMTU MODEL: EgpiPm�t lestalled MFG. SIZ MTU IVJFG: MQDF1.: AIC 525.00 �� S �� ,; MO1DII.: GAS RAI�IGFlOVIt S10.00 X FIREPLACE (GAS) 515.00 NEW OAS GRILL 4 SIO-00 0-00 AIR EXCHANGEER $IS FIREPL�A,CE (WOOD) 535.00 NE UriiJ'I IdT R $10.00 535.00 BODER $35A0 _FURNACE CHIMJNBY LINER 510.00 GAS DRYER $10.00POOL HEATER $35.00 AS PIPING SIO-00 VENTILATOR 513.00 DUCT WORK 51600 i; mji�llmj�{ Permit Fee Y $ Number of &UM t(, $10.00 - x $10.00 = 5 Surcharge .50 Number' of fixtures @ $15.00 x $15.00 ID S� S Number of &tcmcs @ $25.00 --x $25.00 = $� Number of fl dxwe$ @ $35.00 x $35.00 = S state surchargo = $ •50 � Total � $ TAJ51S AN APPLICATJON FOR A PERi4 -W VALID UNTIL PROCnSW I hereby apply for a building peamit and I acknowledge that the information above is complete and accurate; that the work w111 be in conformance with the ordinanees and codes of the City of Fridley and with the Minnesota tOMMIetion Codes; -that I understand this is not a permit but only an application fa a pw mit and work is not to start without a permit; that thte work will be in accordance with the approved plan in the can of all work Jch requires review and appro%ral of p s- .rK'�O. !tom . ._ if ./^..nn.. J+ ��•/��.�i�w SWNATURE OF City of Fridley Building bspections Department 6431 University Avenue NL., Fridley, MN 55432 763-572-3604 FAX: 763-502-4977 Building PLUMBING Permit No.-ab 1 u4 Inspections RESIDENTIAL APPLICATION Received By(nm 763-572-3604 CITY OF FRIDLEY WKjyopy 0 2010 763-502-4977 FAX I EFFECTIVE7-1-2010 DATE-// - Q r /y YOUR E-MAIL ADDRESS c i 1 SITE ADDRESS V8 /S- THIS APPLICANT IS: ❑ OWNER ❑CONTRACTOR PROPERTY NAME: ADDRESS: CITY STATE ZIP OWNER/ TENANT PHONE: CONTRACTOR NAME: 9210 STATE LICENSE # / /®- 4/32 EXP DATE SUBMIT A COPY OF YOUR STATE LICENSE, BOND AND STATE BOND # / EXP DATE CERTIFICATE OF ADDS• /fill/ CITY ®c1 STZIP INSURANCE PHONE(6 15{Cen FAX � 3) >/O --�� PERAM TYPE SINGLE FAMILY ❑ TWO FAMILY ❑ TOWNHOUSE ❑ NEW )(REPLACEMENT TYPE OF WORK: , DETAILED DESCRIPTION OF WORK or rle P 4 r c C..e FEES ARE BASED ON $10.00 PER FIXTURE, EXCEPT WHERE NOTED. FIXTURES: (INDICATE TOTAL NUMBER OF EACH BELOW). MINIMUM FEE $35.50. BATH SINIULAV DRAINS SHOWER SC WATER PIPING _ _FLOOR _ BATHTUB GAS PIPING (NEED CITY LIC) SWIMMING POOL _ WATER SOFTNER ($35) _ _ _ CLOTHES WASHER KITCHEN SINK WATER CLOSET _ BACKFLOW PREV. ($15) _ _ LAUNDRY TRAY ,L WATER HEATER ($35) FOR IRRIGATION —DISHWASHER _ _ WATER METER —OTHER 3.. S .f ' .a,"" : Y6ive { ��,. iy 4 "'• � b _, S O4Q`: t' pi'�y f 3F }$ z. { THIS IS AN APPLICATION FOR A PERMIT NOT VALID UNTIL PROCESSED I hereby apply for a plumbing 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 all 7k whpiph rpc=es review and approv � 11 f plan �J/� SIGNATURE OF APPLICANT NAMESS�ATE APPROVAL INSPECTORS SIGNATURE qg x 4, f 5w .. City of Fridley Building Inspections Department 6431 University Avenue NE, Fridley, MN 55432 763-572-3604 FAX: 763-502-4977