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PRE 2010 DOCS�O ah l 0 Village of Fridley,, Minn. Office of INSPECTOR OF BZ HMING$ Owner? 1_�nl r 11 -err: Architect Fridley, Minn.,18-— Builder I, LOCATION OF BUILDING No. "s' ( Street . tJ Part of Lot Lot Block x Addition or Sub -Division DS:dSCRIP IOltl OF BUILDING G Frontes Dep . � Height Stories Manner of Constr etion S �)g,._,° To be used as .�`.___a�, To be completed?'__ Estimated Cost_ r. i Permit is hereby gi anted the building 4 described in the above statement. This permit is granted 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, b2inn., regarding the 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. inspector of Buildings. ,r 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 d according to the provisions of the ordinances of Fridley, and, being first duly sworn, T hereby itate and say that the facts stated by me and contained in the above permit are true as therein stated. Subscribed ane sworn to before me at Fridley, Minnesota, this. r day of 'rxII _ A.D. 19:101 - - � J7 City of Fridley, Minn. BUILDING PERMIT N® 3946 Date: ...�.�..I� ...�.......... owner....................................... Builder. .. ....... r Address ......:............................... Address ............................................. LOCATI OF BUILDING No.. l..�l .41 Street ... r2 .. �.. ........ r ..... Part of Lot ............................... Lot ............ Block .................. Addition or Sub -Division ........................................ Corner Lot ............ Inside Lot ............ Setback ............ Sideyard ........................... DESCRIPTION OF BUILDING Zk7Froxrt an V ,Dep za.:.`(� Height /.0 t". � Sq. Ft. 3.4 R Cu. Ft. .................... Front ........ Depth ..... Height ... Sq. Ft......... Cu. Ft. ........ Type of Construction ..... . ............. Est. Cost. ,�®.° . ® To be Completed ................... In consideration of the issuance to me of a permit to construct the building desribed 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. rX V2 .)(.. .......................... 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 an 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 with- in the city limits and this permit may be revoked at any time upon violation of any of the provisions of said ordinances. f./.'•�i�./%Building Inspector NOTICE: 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. Date: Owner: Address City of Fridley, Minn. BUILDING PERMIT ° 803 Builder ! . t1. 6-4 . __.. ,Address »_ ....... 2:.:+..r--. str � -- LOCATION QF BUILDING Lot :.`.:......�� .... Block ..... ........ _.....:......_:....,.. Addition or Sub -Division ....._ ......._.. t-- ----._....._....-----.:_. CornerLot ......: ................... »........ Inside Lot ----------------------------- Setback ..... ............ ........... ».............. Sideyard.................... ... _........................ .............. - ...... _... Sewer Elevation .............. ...................... ............. _............. .............. _....... ....:..........: Foundation Elevation DESCRIPTION OF BUILDING -To b�yj by rUsed as { tIJ 1l ' cont _....- Depth .......:::.. -. Height ...-- ... - Ft. _......._...._ Cu. Ft. : P g .................. ........ _....... _.............. Front ...........-....._... Depth ..:.:.... -, Height ..... _.. Sq. Ft . ...................... Cu. Ft. . Type of Construction .:.....:............... :................_............:.. Est. Com �.�,+ .`+ � 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 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 violatibri `pf any of the provisions of said ordinances. ye ;' � ��.� .. !i 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. APPLICATION FOR BUILDING PERMIT CITY OF FRIDLEY, K1NNESOTA LOCATION OF BUILDING Pert of Lot Lot Block. Addition or Sub.Div. Corner Lot__._Inside Lot Set Back Side -Yard a' SEWER ELEVATION FOUNDATION ELEVATION Applicant attach to this form Certificate of Survey of Lot and proposed building location. DESCRIPTION OF BUILDING To be used as: ?401c�&=Zz c Front Depth / '4� Height Sq. Ft. � Cu. Ft Front Depth Height Sq. Ft. Cu. Ft. Type of Construction Estimated 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 Ordinances and ruling of the Department of Buildings, and hereby declares that all the facts and re resenta- tions stated in this application are true and correct. DATE SIGNATURE (A Sche ule of Fee costs can be found ona Reverse Sid W SUBJECTO. City of Fridley AT THE TOP OF THE TWINS BUILDING I L D I N G P E R M I T r I RECEIPT NO. i COMMUNITY DEVELOPMENT DIV. tl PROTECTIVE INSPECTION SEC. �� 7 � ! A CITY HALL FRIDLEY 55432 NUMBER -- REV. DATE PAGE OF APPROVED BY 612-580-3450 910-F15 2/20/79 JOB ADDRESS 4856 231 St. N. E. 1 LEGAL. LOT NO: BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 5 6 3 Plymouth SHEET 2 PROPERTY OWNER! MAIL ADDRESS, ZIP PHONE Bruce A Roberts 4856 2'k St. N.E. 55432 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Rite Wa► WaterProofing 7337 Labe Drive Lino Lakes 55014 786-0550 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) REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Water Proof Basement 9 CHANGE OF USE FROM TO STIPULATIONS c Do Not connect to the sanitary serer.: TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, VENTILATING OR AIR CONDITIONING. Frame 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 R-1 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. $1633.00 $.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 CHARGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- $12.00 STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. PLAN CHECK FEE TOTAL FEE a �® $12.81 SIGNS RE OF CONTRACTOR OR RUTH ED AGENT _OTE) WHEN PR PE A A HIS IS YOUR PERMIT SIGNATURE OF OWNER IIF OWNER BUILDERI - (DATE) P DATE CITY OF FRIDLEY APPLICATION FOR RESIJ '14TIAL BUJLUING PERMITS . GIEW, ALTERATIONS, ADDITIONS, OR REPAIRS) /l T3UiLU}iR: Address:% i Address: Tel. No.: No.Street: Y,OT: BLOCK: ADDITION: COMER LOT: INSIDE LOT: _� SETBACK: SIDLYARDS: . Applicant attach 'to this form W -o Certificates of Survey of Lot and proposed • building location drawn on these Certificates. s • • i DESCRIPTION OF BUILDING . To Be Used As: - Front: Depth: Height: - Square Feet: Cubic Feet: Front: Depth: Height:° Square Feet: Cubic Feet: �' Esi:imated Cost: $ // � Type of Construction: /�/ ,,� Dada �•�r --=. �J To Be Completed: Z la�i9 Alt. A Alt. B prciposed 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 are true and correct. See reverse side for additional information. DATE: �lo� SIGNATURE: Stipulations: 3a / � �JV Igo SUBJECT MIT City of Fridley 15074 AT THE TOP OF THE TWINS I III D I A) %� D[ D� A I T BUILDING r DV L Ivv rCR'v' I RECEIPT NO. COMMUNITY DEVELOPMENT DIV. L /S® YS— r PROTECTIVE INSPECTION SEC. V/0 ' NUMBER REV. DATE PAGE OF APPROVED BY .---n .---n CITY HALL FRIDLEY 55432 612-560-3450 910-F15 12/26/79 JOB ADDRESS 4856 - 2331 Street N.E. 1 LEGALLOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 5,6 3 Plymouth SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Bruce Roberts 4856 - 2ji Street N.E. 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 ❑ ADDITION ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Install fireplace (.Free-standing) 9 CHANGE OF USE FROM TO STIPULATIONS SEPERATE PERMiTS REQUIRED FOR MRIN(,,. HEATING, PLUMBING AND SIG(& 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. $711 $.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- $1.50 STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. PLAN CHECK FEE TOTALFEE $8.00 SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT (DATE) WHEN PROPERLY VALIDATED THIS IS YOUR PERMIT Xa 1 BLDG. INSP I DAIE SIC ATUREOF OWNE OWI R BUILDER) (DATE) Igo CITY Or FIM)LEY • APPLICATJON FOR 1W'SIDIENTIAL BU)LDING Hi MITS (NEW, ALTIMATIONS, ADDITIONS, OR REPAIRS) s . OWNER: � g:JS BUILDDIt: Address: '' S� _/�� Ac7aress Tel. No. No. Street: LOT: Z4 BLOCK: 3 ADDITION: —pi-L-4nn c.`±,L CORNER LOT: INSIDE TAT: SETBACK: SIDL•'YARDS:. Applicant attach 'to this form lVo Certificates of Survey of Lot and proposed building location drawn on these Certificates. DESCRIPTION OF BUILDING To Be Used As: FFront: Depth: Height: Square Feet: Cubic Feet: Front: Depth: Height: Square Feet: Cubic Feet: 11 U Type of Construction:Estimated Cost: 10 To Be Completed: 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 wort: herein' specified, agreeing to do all work. in strict accordance with the City of Fridley Ordinances and pilings of the Department of Fuildings, and hereby declares that all the facts and representations stated in this application are true and correct. See reverse side for additional information. DATE:� /o`���29 SIGNATURE: Stipulations: SUBJECT P . City of Fridley o 1 5.882 AT THE TOP OF THE TWINS BUILDING P E R M I T r ECEIPT •COMMUNITY DEVELOPMENT DIV. Lu: -____ - INSPECTION R /V0 r PROTECTIVE SEC. ---I CITY HALL FRIDLEY 55432 NUMBER- REV. DATE PAGE OF APPROVED BY 612-571-3450 910-F15 8/15/80 JOB ADDRESS 4856-21� St. N.E. 1 LEGALLOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 55,6 3 Plymouth SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Bruce A. Roberts. 4856-A St. N.E. Fridley 55432 560-6261 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Owner 4 ARCHITECT OR DESIGNER MAILADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO. 6 USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW X1 ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK geroof 9 CHANGE OF USE FROM TO STIPULATIONS Roof can second but not third. TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, VENTILATING OR AIR CONDITIONING. Asphalt 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 R-1 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 $600.00 DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PERMIT FEE 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 SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT (DATE)- - WHEN PROPERL LIDATED THIS IS YOUR PERMIT � :F4AT J e, /6-- BLDG INSP DATE S NATURE OF OWNER OWNER U LDE(BI I CITY OF FRIDLEY APPLICATION FOR RESIDENTIAL BUILDING PERMITS (New, Alterations, Additions, or Repairs) OWNER: ,A Of kil%rf_5 BUILDER: ADDRESS:ADDRESS: TEL NO: TEL NO: Construction Location STREET NO: �' STREET: 2 LOT.:BLOCK: ADDITION: Corner Lot: Inside Lot: X_.__ 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: H eight: Square -Feet: Cubic Feet: Aza- Type of Construction: Estimated Cost: $ To Be Completed: ZEW o 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 are true and correct. DATE: /SIGNATUPE : Stipulations: City of Fridley SUBJECT P 1606 AT THE TOP OF THE TWINS BUILDING PERM r RECEIPT N COMMUNITY DEVELOPMENT DIV. r PROTECTIVE INSPECTION SEC. a �CITY HALL FRIDLEY 55432 NUMBER REV. DATE PAGE OF APPROVED BY 612-571-3450 910-F15 3/13/81 JOB ADDRESS 4856 - 232 Street N. E: 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 5�6 3 Plymouth SHEET 2 PROPERTYOWNER MAILADDRESS ZIP PHONE Bruce Roberts 4856 - 2'- Street N.E. 560-6261 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Viking Home Improvement Co. 4832 - 2: Street N.E. 560-3794 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 REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Repair fire damage to bedroom & hallway 9 CHANGE OF USE FROM TO STIPULATIONS WARINING Bete digging call local utilities TELEPHONE a ELECTRIC ' GAS EtcT F;lns REQUIR La�O`�'� :SF I u 1 6-_ ; p '; \ y 7 I - SEPERAl'E PERMITS � c Jl d'E F �.y, HEATING, PLUMBING ANDSIGN,--. 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 1 STALLS I 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 $21000 $1.00 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- $12.00 STRUCTION OR THE PERFORMANCE OF ONSTRUCTION. 3- 3� 1J13.00 PLAN CHECK FEE T0'9 SIGNATUR OF CONTRA OR ORAUTHORIZED AGENT (DATE) WHEN PROPERLY VALIDATED THIS IS YOUR PERMIT BLDG INSP I OAT SIGNATURE OF OWNER IIF OWNER BUILDER) IDATEI CITY OF FRIDLEY APPLICATIM FOR RESIDENTIAL BUILDING PES 141TS • Mew, Alterations, )additions„ or Repairs) 3 ADDRESS:' c7� -2, 1 TEL N0: BUILDER: l f l�l � le� � �v� , j('c�lin,�Q.,.rt C0 ADDRESS: Z d ?- y 9? N. E TEL NO: -� 6 ®— 3 -7 `I Construction Location STREST NO: STREET: LOT: .r =(w BLOCK: ADDITION: � In a Corner Lot: Inside Lot: V' 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 : Square. Feet: C.abic Feet: Front: Depth: Square" Feet: Cubic feet: Type of Construction : To $e Completed: Proposed Driveway Width if New Opening Is Desired: H eight : Height: GJ Estimated Cost: $ Alt. A Alt. B S $ SEE REVERSE SIDE. OF SHEET . 9lie 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 ad represen t,iti.ons stated in this application arse true.W-14 correct. DATE: DATE: _��� � � � SIGNATUPE : Stipulations: 00 • . 4U � 13.06) , , . • I SUBJECT PER City of Fridley 16 3 7 9 AT THE TOP OF THE TWINS BUILDING PERMIT r R ' ' COMMUNITY DEVELOPMENT DIV. PROTECTIVE INSPECTION SEC. 4 1-------';,� CITY HALL FRIDLEY 55432 NUMBER REV. DATE PAGE OF APPROVED BY 612-571-3450 910-F15 9/10/81 % JOB ADDRESS 4856 - 21� Street N.E. 1 LEGALLOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 5,6 3 Plymouth. SHEET 2 PROPERTY OWNER MAILADDRESS ZIP PHONE Bruce lbberts. 4856 - 23i Street N.E. 572-8933 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Viking Home Improvement 4832 - 2�s Street N.E. 560-3794 4 ARCHITECT OR DESIGNER MAILADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO. 6 USE OF BUILDING Residential 7 CLASS OF WORK a NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ElMOVE 1-1REMOVE X 6 DESCRIBE WORK Construct a 24' x 26' Garage 9 CHANGE OF USE FROM TO STIPULATIONS Provide a hard surface driveway. TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, VENTILATING OR AIR CONDITIONING. Wood Frame 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 COMMERCED. 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 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT $5,896 $2.70 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- S CTION OR THE PERFORMANCE OF CONSTRUCTION. $56.50 PLAN CHECK FEE TOTALFEE $59.20 GN TUREOFCON7 TOR UTHO IZEDA�'GE (DATE) WHEN PROPER L ALIDATEQ THIS IS YOUR PERMIT C/.1�IL Una 1 C7 �. BLDG )NSP DAT SIGNATURE OF OWNER OF OWNER BUILDER) (DATE) •' CITY OF FRIDLEY Effective Aug. 1, 1981 APPLICATION FOR RESIDENTIAL BUILDING PER4ITS (New, Alterations, Additions, or Repairs) OWNER: P,� 4 © BUILDER: � W � ADDRESS: �� `I l o �° �, ADDRESS: hlya ►'il a TEL NO: t; TEL NO: Construction Location • STREET NO: STREET: !_/a LOT: �o BLOCK: 3 ADDITION: OcAjil 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 CONSTP.UCTION Front: �� Depth: �� a Height: A) Square. Feet: 1s2 Cubic Feet: (, a Front: Depth: Height: Square - Feet: Cubic Feet: Type of Construction: 'lam- Estimated Cost: $ Q) Cr'X An Zb Be Cbrapleted: 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 are true and correct. DINE: SIGNATUFa: Stipulations: Iff SUBJECT PERMILN.O.- City of Fridley 2 2 P,AT THE TOP OF THE TWINS BUILDING P R T EMI °, 3 IPT NO. Ir � • COMMUNITY DEVELOPMENT DIV. _____ tet. -- r 1 PROTECTIVE INSPECTION SEC. NUMBER REV DATE PAGE OF APPROVED BY CITY HALL FRIDLEY 55432 612-571-3450 910-1715 8/30/94 JOB ADDRESS 4856 2 1/2 Street NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 5,6 3 Plymouth Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE James Bornetun 4856 2 1/2 Street NE 571-8968 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 ❑ ADDITION ❑ ALTERATION p REPAIR ❑ MOVE ❑ REMOVE X 8 DESCRIBE WORK Reside House & Garage; add trim 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 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 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT $2,896 $1.45 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- SC $2.90 STRUCTION OR THE PERFORMANCE OF CONSTRUCTION $54.00 Fire PLAN CHECK FEE TOTAL FEE 58.35 SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT MATE)414IG EN LY V LIDATED THIS IS YOUR PERMIT /-)GNATURE OF WNEROF OWNER BUILDER) ID TE) qA rE Iff NEW ADDN { ] CITY OF FRIDLEY ALTER { ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 Building Permit Application ConstructionAddress: 57'-. XA/ --- _ 1 idle Legal Description: Effective 111/94 Owner Name & Address: Jo-, me-,, &Rne7Lj 445"1�, 2%z 5/. 41, Tel. # nl- tf62 Contractor: .yn,15n Address: MN LICENSE # Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF IMPROVEMENT Tel. # LIVING AREA: Length Width Height Sq. Ft. GARAGE AREA: Length Width Height Sq. Ft. DECK AREA: Length WidthHgt/Ground Sq. Ft. OTHER: L&L)5e d- CAg4e l`j J' e Corner Lot { ] Inside Lot Ft. Yd Setback Side Yazd Setbacks Type of Construction: FF f Estimated Cost: $a 9 L-. �=- Approx. Completion Date: (Cost on Back) Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ = $ DATE: e v _ APPLICANT: Tel. # CIU USE ONLY Permit Fee $ UCS Fee Schedule on Reverse Side Fire Surcharge $ ;)d C .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: SUBJEtY PER City ®f Fridley 3214.. AT THE TOP OF THE TWINS BUILDING PERMIT L F � _aEzS"LT_KO. `y ______ COMMUNITY DEVELOPMENT DIV. r PROTECTIVE INSPECTION SEC. 572-300 Izc?f CITY HALL FRIDLEY 55432 NUMBER REV DATE PAGE OF APPROVED BY L f\ 612-571-3450 910415 9/7/01 JOB ADDRESS 4856 2 1/2 Street NE 1 LEGALLOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 5,6 3 Plymouth Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Jim/Sandy Bornetun 4856 2 1/2 Street NE 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Perfection Preferred Const 998 Lois Ln, Lino Lakes, MN 55014 651-786-7716 a ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5560 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO 8 USE OF BUILDING Residential 7 CLASS OF WORK O NEW ADDITION ❑ ALTERATION ❑ REPAIR O MOVE O REMOVE 8 DESCRIBE WORK Construct a 5' x 10' Deck for front entry; remove existing stoop 9 CHANGEOFUSEFROM TO STIPULATIONS See notations on plat.. SEPARATE PERITS WARNING REQUIRED POR, Before digging call for WIRING HE 77Nq all utility locations PLUI INd AN®454-0002 �� NS 3EQUIRED BY LAW 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 80 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS A7 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 $575 $.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 Uzinse SC $5.00 IR $32.63 I SIGNATURE OF CO • ACTOR OR AUTHORIZED AGENT +DATE+ HEN QqOPERLY VALIDATED THIS IS YOUR PERMIT S,GNATURE OF OWNER„F OWNER BUILDER, IDATE, FfOG INSP - OATE NEW I ] Effective 1/1/2001 ADDN [ ] CITY OF FRIDLEY (763) 572-3604 Bldg Insp ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION Construction Address: Legal Description: Owner NameAc Address: �� <' �� c� �� t.°, f �.,.� Tel. # 5 fR IT ! Contractor:V C2`1ec:Fic��� IeeQeC� J �."�' MN LICENSE # -Sc� �Q Address: ic7g )�,-GiS L -C -*j e L-- --c Tel. # 051 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 5')e i Q Width Hgt1Ground Q 1, Sq. Ft:.31( LAY E�( ec' - OTHER: ere c o 0)a� Construction Type: °+� n °ti�� Estimated Cost: Driveway Curb Cut Width Needed: 2Ft. + 6 Ft = Ft x $ _ $ DATE: /c a ,)!� APPLICANT` Tel. # 65, CITY USE ONLY - Call (763) 572-3604 for Permit Fees if mailing in application Permit Fee $_ �� �e�� Fee Schedule on Reverse Side Fire Surcharge $ , S .001 of Permit Valuation (1/10th%) State Surcharge $ = SS7 $.50/$1,000 Valuation SAC Charge $ $1150 per SAC Unit License Surcharge $ O® $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 ��, 08/31/01 03:31 a Verfection Pretemb Conatruttion UWLoftLori. L4wIeka5Mn156114 PWv WeP718 Fax 7W 711C- Qaro uo IP WW Mr and Mrs.Jim and Sandy Bornetun 4856 2 1/2 St. N.E. Fridley Minnesota lly—+4 / z � — zo � - Ift cmp-- / A.OL /C� P,.ae W)/ �, 0 P.02 1i 310" door 1- ';,..• 23" ade to top of deck •2x8 joists� 0 II s, i 2 riser steps to grade i SUM& Of-WMIT NO. �Q City of Fridley 32342 AT THE TOP OF THE TWINS BUILDING PERMIT t • -------COMMUNITY DEVELOPMENT DIV. INSPECTION SEC. r PROTECTIVE 970 CITY HALL FRIDLEY 55432 NUMB"' REV DATE PAGE OF APPROVED BY J` 612-571-3450 91p_F1S 11/29/01 JOB ADDRESS 4856 2 1/2 Street NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 5, 6 3 Plymouth Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Jim Bornetun, 4856 2 1/2 St NE, Fridley, MN 55421 763-571-8968 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Midwest Roofing, 7385 Mark St., Greenfield, MN 55357 763-416-4804 20010277 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO 6 USE OF BUILDING Dwelling 7 CLASS OF WORK 0 NEW O ADDITION 0 ALTERATION NO REPAIR 0 MOVE - O REMOVE 8 DESCRIBE WORK Reroof house & Garage (20 sq.) (tear -off) 9 CHANGEOFUSEFROM TO STIPULATIONS Underlayment must comply with 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 $2,144.00 $1.07 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 $83.25 Fire SC $2.14 PLAN CHECK FE TOT FEE Licens .00 $91.46 S.G A UREOFCO�ACTORAUTHO�ElNT tDATEt EN00-PRO BL iNSo R VALIDAT THIS IS YOUR PERMIT GATE S-GNATURE OF OWNEROF OWNER BUILDER, iDATEi NEW [ J Effective 1/1/2001 ADDN [ J CITY OF FRIDLEY (763) 572-3604 Bldg Insp ALTER [ J SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION Construction Address: Vl� 5 6 Legal Description: Owner Name & Address: o", 80 Tel. # [,S gri Contractor. MN LICENSE # X010? Z Address: '13'6S / Uc✓k v-e4Na't64 Tel. # 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. Sq. Ft. Construction Type: Plevoof Estimated Cost: Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ = $ DATE: It -)-7 CITY USE ONLY - Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee Sewer Main Charge TOTAL STIPULATIONS: zi APPLICANT: ax"Tel. # Call (763) 572-3604 for Permit Fees if mailing in application $ �J?.� Fee Schedule on Reverse Side $ l 14 .001 of Permit Valuation (1/10th%) $ $.50/$1,000 Valuation $ $1150 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 [ ] $ * �'/' -,16 Building PLUMBING Permit No.:y .C, j InspectionsRESIDENTIALP`LICATION Received By: 763-572-3604 CITY OF FRIDI.1EY Date Reed:- `C DATE YOUR E-MAIL ADDRESS SITE ADDRESS THIS APPLICANT IS: O OWNER CONTRA BURNETUN, SANDY PROPERTY 4856 21/2 STREET NORTHEAST NAME: FRIDLEY, MN 55421 OWNER/ ADDRESS: (763) 571-8968 STATE ZIP TENANT PHONE: CONTRACTOR NAME: NORRI OM 'a CO SUEIN TT A COPY OF STATE LICE f2 - EXP DATE YOUR STATE ADDRESS: CITY STATE—ZIP LICENSE WI TI PHOSIEL" • APPLICATION PERAUT• TYPE XSINGLE FAMILY ❑ TWO FAMILY ❑ TOWNHOUSE TYPE OF WORK: O NEW XREPLACEMENT DETAILED DESCRIPTION OF WORK r� rh? e e�- W -,+Ev f �� PER MS 16B.665 the permit fee is a minimum of $15.00 or 5% of the total cost up to $500.00, whichever is. greater, for the improvement, installation or replacement of a residential fixture, excluding the fixtures. (This should reflect only the cost of labor Labor cost under $300 = $15.00. Labor cost between $300 to $500 = cost of labor x.05 = FOR PROJECTS WHERE LABOR EXCEEDS 5500, FEES ARE BASED ON $10.00 PERfDMJRE, EXCEPT WHERE NOTED. FIXTURES: (IIMICATE TOTAL NUMBER OF EACH BELOW) _ BATH SINK/LAV FLOOR DRAINS —SHOWER _, WATER PIPING BATHTUB —GAS PIPING (mm=LicEhm) _ SWIM)a4e POOL —WATER SOFTNER (S35) CLOTHES WASHER _ KITCHEN SINK WATER CLOSET _BACKFLOW PREY. ($15) DISHWASEM _ LAUNDRY TRAY WATER HEATER ($35) FOR IRRIGATION _ WATER METER _ OTHER Permit Fee $ Number of fixtures Q $10.00 x $I0.00 = $ Surcharie .50 Number of fixtures @r x $15.00 = $ TOTAL DUE $ Number of fixtures @ $35.001 x $35.00 = $ S` State Surcharge = $ .50 Total = $�.SD 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 add 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 fora it and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of all c r view and approval of planss..gr % i SIGNATURE OF APPLICANT PRINT NAME 3� l l• 1 y (i 16 l o u t DATE0. 2 City of Fridley Building Inspections Department 6431 University Avenue NE, Fridley, MN 55432 763-572-3604