PRE 2010 DOCSA M v
Village of Fridley, Minn.
0
BUILDING PERMIT 1738
•
Owner 14"
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Builder..............................................
Address.............................................
LOCATION OF BUILDING
No. ............. Street ..........A3'................... Part of Lot ... ..... ...............
Lot ..... f • ...... Block ...... l.......... Addition or Sub-Divisiorg ..
Corner Lot ... L/..... Inside Lot ........... Setback ... Sideyard .....? ..............
DESCRIPTION OF BUILDING
e Used as:
Front Depth Height Sq. Ft. ........ Cu. Ft. ........
.............. Fro Depth ........ Height ... .. Sq. Ft. ........ Cu. Ft. ........
Type of Construction .. Est. Cost . �.. S a�. 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.
f
In consideration of the payment of a fee of $�v� permit is hereby granted to�r'1 .......
.. ............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, construct w,,' alteration, maintenance, repair and moving of buildings with-
in the village limits and this permit may be yoked at any time upon violation of any of the provisions of said
ordinances.
.......... ..... 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.
APPLICATION FOR RESIDENTIAL, ALTERATION,
OR ADDITION.BUILDING PERMIT
CITY OF FRIDLEY, MINNESOTA
OWNERS NAME: c BUILDER: 57c F
ADDRESS: r,/,jO� , j "(S7 Alr ADDRESS:
NO:. STREET: ,
LOT: % BLOCK: ADDITION :/C,Ge,gr ,' a �3, �`• �j
CORNER LOT: _x—INSIDE LOT: SETBACK: SIDEYARD:
Applicant attach.to this form Two Certificate. of Survey of Lot and proposed
building location drawn on these Certificates.
To Be Used As:
DESCRIPTION OF BUILDING
Depth. Height:
Square Feet: Cubic Feet:
Front:
Depth: Height:
Square Feet; Cubic Feet:
Type of Construction: Estimated Cost:
To Be Completed: &,-ctz-� '
The undersigned hereby makes application for a permit for the work herein
specified, agreeing to do all work in stzict 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: �.r e� ' 7 S SIGNATURE •
(See Reverse Side For Additional Information.)
CITY OF FRIDLEY CERNII O.: ?004-01357
6431 UNIVERSITY AVENUE NE
FRIDLEY, MN 55432 DATE ISSUED: 08/17/2004
763) 572-3604 FAX: (763) 571-1287
ADDRESS
4506 3 ST NE
PIN
263024330092
LEGAL DESC
REAR BL 13,14 & 15 PLYMOUTH
LOT 7 BLOCK 1
PERMIT TYPE
BUILDING
PROPERTY TYPE
: RESIDENTIAL
CONSTRUCTION TYPE
: RESIDING
VALUATION : $ 9,000.00
NOTE: PER R703,2000 INTERNATIONAL RESIDENTIAL CODE, REQUIRES THAT A WEATHER RESISTIVE BARRIER BE
PLACED OVER EXTERIOR SHEATHING TO PROTECT THE INTERIOR WALL COVERING. EXCEPTIONS FOR THIS
PROVISION WOULD BE IF SHEATHING IS AN APPROVED WEATHERPROOF PANEL OR WHEN THE SIDING IS AN
APPROVED WEATHER BARRIER. VINYL SIDING IS NOT A WEATHERPROOF COVERING UNLESS THE
MANUFACTURER STATES THIS IN THEIR APPLICATION GUIDELINES. CALL FOR INSPECTION OF WRAP BEFORE
COVERING OR TAKE PICTURES. RESIDE HOUSE & GARAGE; TRIM
STATE LICENSED CONTRACTOR 1
APPLICANT
NORTHSTAR HOME IMPROVEMENT INC (533
4972 LINCOLN DR
EDINA, MN 55436-1071
(952) 929-1888
OWNER
PARKOS PETER J & LAURA W
4506 3RD ST NE
FRIDLEY, MN 55421
AGREEMENT AND SWORN STATEMENT
This permit becomes null and void if work or construction
authorized is not commenced witin 60 days or if construction
or work is suspended or abandoned for a period of 120 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 worl
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 provisionVof any other state or local law
regulatin nstructio r e erfo ance of cons ction.«
'Applicant Date'%`
BUILDING PERMIT FEE 167.25
FIRE SURCHARGE 9.00
STATE SURCHARGE, VALUE 4.50
LICENSE SURCHARGE 5.00
TOTAL 185.75
SEPARATE PERMITSAEOUYRiED FOR WORK OTHER THAN DESCRIBED ABOVE.
08/17/2004 15:48 9529208992 NORTHSTAR HOME IMPRO PAGE 01
NEW 11 CITY OF FRIDLEY Effective 1/1/2003
ADDN (] 6431 University Ave NE, Fridley, MN 55432 (763) 572-3604 Bldg Insp
ALTER (] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 (763) 571-1287 Fax
BUILDING PERMIT APPLICATION
Construction Address:O� iv _
Legal Description:
Owner Name Address: 14-UeA- Tel. #1%• �7x /� 4 y
Contractor.2 r. ,�'&ga,. x- 44- MN LICENSE #
r
Address: // 7Z - A,1 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.
Length Width
Hgt/Ground Sq. Ft.
Construction Type: -7;z"-7 Estimated Cost:
Driveway Curb Cut Width
/ Needed: Ft. + 6 Ft = Ft x $ = $
DATE: l� / APPLICANT: Tel. #
Call (763) 572-3604 for Permit Fees if mailing in application. Fax to 763.571-1287 if using credit card and we will
call you for card number.
Permit Fee
Fire Surcharge: .
State Surcharge
SAC Charge
License Surcharge
Curb Cut Escrow
Erosion Control
Park Fee
Sewer Main Charge
CITY USE ONLY -
Fee Schedule on Reverse Side
.001 of Permit Valuation (1/10th%)
$.50/$1,000 Valuation
$1275 per SAC Unit
$5.00 (State Licensed Residential Contractors)
Alt. "A" or Alt. "B" Above
$450.00 Conservation Plan R: view
Fee Determined by Engineering
Agreement Necessary [ ] Not Necessary [ ]
TOTAL S /Y�- -10 STIPLILATION^,;.