PRE 2010 DOCSO CCS
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Village of Fridley, lid mm
8 �I'2
BUILDING_ PER 12
Office of INSPECTOR OF BRINGS
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5
Owner's
Archite
i.
Fridley, Minn.,'
Builder
LOCATION OF BUILDING
No.
street " Q Part of Lot
Lot
131ock ~ _ Addition or sub -Division w 6 -
u
/ DESCRIPTION OF BUILDING
Front Dept
2 Height stories i Manner of Cons"oction
To be used as `''
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J
= To be completed Estimated Cost� f!'
ill
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Permit is hereby granted
to to
II
�sr" described in the above statement. This permit is granted
the building—
upon the express co
dition 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,
Unn., regarding the construction, alteration, maintenance, repair and moving of buildings
within the city limit
, and this permit may be revoked at any time upon violation of any of the provisions of said
ordinances.
- Inspector of Buildings.
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
ad according to the provisions of the ordinances of Frcidley, 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.
II
Subscribed and
his
sworn to before me at Fridley, Minnesota,, this-
day of , b -.Ir
day
d ; A.D. 19-L.
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O CCS
BUILDING PERMIT
Village of Fridley, Minn. N? 2757
Date ...... .. ...1� .. �.�
Owner........................................... Builder ... !..
Address .... V , — 77...2.—, +Fe .. !/ Address s .xy ..
LOCATION OF BUILDING;
No. ..... fe.. c??. 2 Street ..... ./sem... .. 10. ....... Part of Lot .......................
Lot ..��i �. 4 ).... Block .... Q......... Addition or Sub -Division ..Q: ..aw.......
dd
Corner Lot .... Inside Lot ............ Setback ............ Sideyard ...... .
ff.
DESCRIPTION OF BUILDING
To
be Used as:
Front / Depth . %-PPP. Sleight ......... Sq. Ft. &P?F40 Cu. Ft, ........
Front ........ Depth ........ Height ......... Sq. Ft......... Cu. Ft. ....... .
440
Type of Construction .rL ® Est. Cost .. 70e... :!-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 and in compliance with all provisions of
ordinances of the village of Fridley.
R, '101-AmtWOWNW–'��
. consideration of the payment of a fee of $. ..... , p t is hereby granted to .. ...
�d to construct the building or addition as described above. This permit is granted upon
the ex�recoind7iitiat the person to whom it is granted and his agents, employees and workmen, in all work
done in, arounn 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.
... Building Inspector
NOTICE: a,
This permit does 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.
SUBJECT
City of Fridley914
r2l'17
AT THE TOP OF THE TWINS
BUILDING PERMIT
i
�
COMMUNITY DEVELOPMENT DIV.
r PROTECTIVE INSPECTION SEC.
1 �
`
CITY HALL FRIDLEY 55432
NUMBER
REV.
DATE
PAGE OF
APPROVED BY
612-571-3450
910-F15
4/18/85
JOB ADDRESS 4827 - 2: Street N.E.
1 LEGAL
LOT NO.
BLOCK
TRACT OR ADDITION
SEE ATTACHED
DESCR.
20,21
2
Plymouth. Addition
SHEET
2 PROPERTY OWNER MAIL ADDRESS ZIP
PHONE
Robert Vlieger 4827 - 2111 Street N.E. 572-8827
3 CONTRACTOR MAIL ADDRESS 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
D NEW ❑ ADDITION? ALTERATION ❑ REPAIR
❑ MOVE ❑ REMOVE
B DESCRIBE WORK
Reside Dwelling
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.
Vinyl
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
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
$1,275.
$.64
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-
$22.00
STRUCTION OR THE PERFORMANCE OF CONSTRUCTION.
LAN CHECK FEE
TOTAL FEE
7
$22.64
SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT (DATE)
WHEN PROPERLY V IDATED THIS IS YOUR PER IT
BLDG INSP
nATE
SiGNATUREOFOWNERIIFOWN BUILDERI ( ATEI
NEW [ ] City of Fridley Effective 4/1/84
ADDN. L R-1 AND R-2
ALTER. [ ] Building Permit Application
Construction Address:
Legal Description:.
Owner Name S Address: � '�� �cp� Tel. #L -5_7-'-"Z_1
Contractor: :L Tel. #
Address:
Attach to this application, a Certificate of Survey of the
lot, With the proposed construction drawn on it to scale.
DESCRIPTION OF IMPR0VEMENT
LIVING AREA: Length Width Height Sq. Ft.
GARAGE AREA: Length Width Height Sq. Ft.
DECK AREA: Length Width Hgt/Ground Sq. Ft.
OTHER: ----
Corner Lot [ ] Inside Lot [ ] Ft. Yd. Setback Side Yard Setback
Type of Construction: p Estimated Cost: $
Approx. Completion Date:
Alt. A Alt B
Proposed Driveway Width If New Opening Is Desired: $ $
See Back Page for Explanation
DATE:�� �� APPLICANT: y���/ —.!%� o-���J Tel . #
CITY USE ONLY
Permit Fee $ =? Fee Schedule on Reverse Side
Plan Check $ 25% of Building Permit Fee
State Surcharge $ .-' L $•50/;11,000 Valuation
SAC Charge $ $425 per SAC Unit
Park Fee $ Fee Determined by Engineering
Sewer !lain Charge $
Agreement Necessary [ ] Not Necessary
TOTAL [ ]
- r
STIPULATIONS:
t/
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SUBJECT
I N
City of Fridley
29311
AT THE TOP OF THE TWINS
BUILDING
PERMIT
`� COMMUNITY DEVELOPMENT DIV.
INSPECTION SEC
o�
a 3✓
r PROTECTIVE
1 �
=
1 ----I CITY HALL FRIDLEY 55432
NUMBER
REV
DATE
PAGE OF
APPROVED By
�'' 612-571-3450
910-F15
4/27/99
JOB ADDRESS 4827 2 1/2 Street NE
1 LEGALLOT
NO.
BLOCK
TRACT OR ADDITION
SEE ATTACHED
DESCR.
20,21
2
1 Plymouth Addithn
SHEET
2 PROPERTY OWNER MAIL ADDRESS
ZIP PHONE
Robert Vlieger 4827 2 1/2 Street NE
572-8827
3 CONTRACTOR MAIL ADDRESS
ZIP PHONE LICENSE NO
Northern Crest Inc 8245 Polk St NE, Spring Lake Park, MN 55432 792-9364
4 ARCHITECT OR DESIGNER MAIL ADDRESS
ZIP PHONE LICENSE NO
20098415
5 ENGINEER MAIL ADDRESS
ZIP PHONE LICENSE NO
6 USE OF BUILDING
Residential
7 CLASS OF WORK
❑ NEW ❑ ADDITION ❑ ALTERATION �p REPAIR ❑ MOVE ❑ REMOVE
B DESCRIBE WORK
Reroof House & Garage (19 Sq) Tear-off
9 CHANGEOFUSEFROM TO
STIPULATIONS
Underlayment must comply with the State Building Code.
CONSTRUCTION WORK HOURS: 7:00 am to 9:00 pm, Monday thru Friday; 9:00 am to
9:00 pm on Saturday; No work on Sunday.
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. OWLG. UNITS
OFFSTREET PARKING
I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION
1 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
$1,628
$.81
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 ARGE
PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CO
WSC
$54.00
F $1.63
STRUCTION OR THE PERFORMANCE OF CONSTRUCTION
PLAN CHECK FEET
T L FEE
Lic SC
$ .00
$61.44
SIGNATURE OF CON'RACTOR OR AUTHORIZED AGENT IDA TE,
H
ED„THIS I$ Y PERMIT
7
LDG IN P
�° �-
f)Ai
S,GNATURE OF OWNER SIF OWNER BUILDERI IDATEI
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NEW [ ] Effective 1/1/99
ADDN [ ] CITY OF FRIDLEY
ALTER (] SINGLE FAMILY AND DUPLEXES R-1 AND R-2
BUILDING PERM APPLICATION
COilstrudtiOnAddres S: 4827— 2 1/2 St NE ' �-
'TJtal Description: _
Owner Name & Address: Robert V l i eg e r Tel. # 572-8.827
Contractor: Northern Crest, Inc. MNLICENSE# 20098415
Address: 8245 Polk St. NE Spring Lake Park, MN 55432 Tel. # 79.2-9364
Attach to this application, a Certificate of Survey of the
lot, with the proposed construction drawn on it to scale.
Permit Fee
.Fire Surcharge
State Surcharge
SAC Charge
License Surcharge 44
Dfiveway Escrow
Erosion Control
Park Fee
Sewer Main Charge
TOTAL
STIPULATIONS:
oe
s,
CITY USE ONf.Y
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 ( ]
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i
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:
tear
off and re -shingle house and garage
19 square
Construction Type:
Estimated Cost: $
(�
(Fee Schedule on
Back)
Driveway Curb Cut Width Needed:
Ft. + 6 Ft = Ft x $ _ $
m
DATE: 4-27-99
APPLICANT:
11'
Tel. # 792-9364
H
Permit Fee
.Fire Surcharge
State Surcharge
SAC Charge
License Surcharge 44
Dfiveway Escrow
Erosion Control
Park Fee
Sewer Main Charge
TOTAL
STIPULATIONS:
oe
s,
CITY USE ONf.Y
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 ( ]
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