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PRE 2010 DOCS0 City of Fridley, Minn. BUILDING PERMIT Date: ..... ... a... .......... owner....................................... Address ...................................... • N® 3949 Address ............................................. /► LOCATION OF BUILDING No. . �. LJ. Q?/ Street ... ).r .................. Part of t .......... ... .. ............ . Lot .... &? ..... Block ......a ........ Addition or Sub -Division .. . ......... ...... . Corner Lot ............ Inside Lot . X ........ Setback .. .Il v Side ..14-10. .............. DESCRIPTION OF BUILDING � T/OJbe U6 eSw / .o "�� I(;! .... Front e Depth iK:. Height .�1 '� Sq. Ft. .Fr�.� Cu. Ep. ......... Front ......... •Depth ..... .. Height ........ Sq. Ft. ........ Cm Ft. ........... tt��►►pp•. ........ Type of Construction ................ Est. CoZ l76r"- .. 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. . a(r4 - ........... In consideration of the payment of a fee of $. �l........, 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 with- in the city limits and this permit may be revoked at any time upon violation of any of the provisions of said ordinances. 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. City of Fridley, Minn. N° 8450 BUILDING PERMIT • Date: September 14, 1965 Owner: Raymond Tetierski Builder Lumber KinR COMRASAY Address 6021 - 4th Street N -F. Address 4047 V3neent Avenue Snuth • • LOCATION OF BUILDING No 6091 Street 4th Street N.E. Part of Lot Lot 8 Block 3 Addition or Sub -Division _ 'Ronny Addition Corner Lot Inside Lot Setback of house Sideyard 31 Sewer Elevation Foundation Elevation DESCRIPTION OF BUILDING To be Used as: Dara g -p Front _2.4. Depth _ 241 Height 1 0 S Sq. Ft _5 76 Cu. Ft. 5_, 760 Front Depth Height Sq. Ft. Cu. Ft. Type of Construction Frame Est, Cost X1,5 00, 00 __ To be Completed Oct. 1965 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 �grth and in com_ plianceth pr%►ions of ordinances oP the city of Fridley. In consideration of the payment of a fee of $�5 , permit is hereby granted to Lumber Ring Co, 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, ffi all work done in, arocmd and upon said building, or any paw thereof, shall conform in all respects to the ordinances of Fridley, Minnesota regardinng location, construction, alteration, maintenance, repair and movhsg of buildings within the dty ]units and this permit may be revoked at any time upon violation of any of the provia�tons of said ordinances. NOTICES TM9 ponnit den not neva the snshaastioe, hasuMen for wkin& plumbing, gas hsathM sewer or wda. Bra sun to ss the Bupdiog hopofty for spade permhs for thus bmw OWNER'S NAME 1W), APPLICATION FOR BUILDING PERMIT CITY OF FRIDLEY, MINNESOTA le r-3. ADDRESS_ � 4 ZI %� ADDRESS // 0 LOCATION OF BUILDING r - =Ma, _ _ (9 0 1 / Street !!� Part of Lot LOT__2 OC8 J ADDITION OR 96DIVISION Corner Lot Inside LOT Setback Side -yard_ SEXIER ELEVATION FOUNDATION ELEVATIOk 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: -a- Frontes Dept Height i Sq. Ft.----a.�-- Cu. Ft.- -Front- t. Type of Construction To be completed Front _ Depth Height Sq. Ft. Cu. Ft. Estimated Cost A5`0.0 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 applicpt*oa are true and corm . DAT]q_+ �, �/ �� ..SIGNATURE J (Schedule of Fee Costs can be found/6n Reverse Side). AT° 4830 original Permit f®r U I G ,� ®GAS F0 9NG � N.B. When work covered by this permit is ready, the Plumbing Ordinance requires that request for Permit inspection shall be phoned in to the plumbing Inspector, 560-3450 giving number of this permit., Fee $ � • 8-� DESCRIPTION OF WORK II Number, Kind and Location of Fixtures Stories C WW tW- p ¢ Z H m Z G1 x S q G¢ Y Z Z W o O Z O¢ N = Z m 3 Z rc W Z WATER HTR. GAS ELEC. U O O m I- m Q Z m ¢ K O ¢ O a LL I N -1 T, 0 1U- Q¢ U m O J x f IL m M 6 0. O Q N Q Q (9 K Basement 1st 2nd 3rd 4th Connected with Sewer Cesspool Gas Piping for Openings Permission is hereby granted V` to do the plumbing and gas fitting in the building described in the stidement hereto attached, upon the express condition that the person to whom this permit is granted, and his agents, employees and workmen, in the plumbing or gas fitting of said building shall conform in all respects to ordinances of the City of Fridley, and this permit may be revoked at any time upon the violation of any of the provisions of said ordinances. By Order Of The Inspector Of Buildings Roughing in Inspection Date Inspector. Final Inspection Date Inspector. 4 2 1 M—&45 -V City of Fridley' ,19� Owner Location 7 2 - Kind Kind of Building --J Used as To be Completed '19— Estimated 19_ Estimated Cost Old -New. Building Permit No. Inspector of Buildings. 01 SUBJECT R City of Fridley ® 13668 AT THE TOP OF THE TWINS PERMIT r BUILDING � RECEIPT NO. `L •_____ COMMUNITY DEVELOPMENT DIV. r PROTECTIVE INSPECTION SEC. p� O 1 . NUMBER REV. DATE PAGE OF APPROVED BY �` ` r -••S CITY HALL FRIDLEY 55432 ,'� `•--• 612-560-3450 910-F15 7/28/76 JOB ADDRESS 6021 - 4th Street N.E. 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION S49 ATTACHED DESCR. 8 3 Bonny Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE R. W. Jezierski 6021 - 4th 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 Cj REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Reroof Dwelling 9 CHANGE OF USE FROM TO STIPULATIONS TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, Asphalt 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 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. $450.00 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT .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. $7.50 PLAN CHECK FEE TOTAL FEE $8.00 SIGNATURE OF CONTRACTOR R AUTHORIZED AGENT (DATE) WHEN PROPERLY VALIDATED THIS IS YOUR PERMIT r ! � �' BIDG INSP DATE *SIGNATURE OF OWNER iIFjpWN6R BUI (DATE) 01 CITY OF FRIDLEY APPLICATION FOR RESIDENTIAL ALTERATION, ADDITION, OR REPAIR BUILDING PERMIT OWNER'S NAME: BUILDER: Cde� ADDRESS: 2� - �/. (o • ADDRESS NO:. A/ STREET • LOT: 8 BLOCK: -3 ADDITION: CORNER LOT: INSIDE LOT: X_SETBACK:' SIDEYARD: '5ayg-6 Applicant attach to this form Two Certificates of Survey of Lot and proposed building location drawn on these Certificates. r DESCRIPTION OF BUILDING To Be Used As: Front: Depth: Square Feet: Cubic Feet: Front: Depth: Height: Height: Square Feet; Cubic Feet: Type of Construction: coo-- Estimated Cost: $� To Be Completed: 15 ') The undersigned hereby makes application for a permit for the work herein specified, agreeing to do all work in strict accordance with the City of Fridley Ordinances and rulings of the Department of Buildings, and hereby declares that all the facts and representations stated in this application are true and correct. DATE: SIGNATURE: - - (See Reverse Side For Additional Information.) .�_ SUBJECT P City of Fridley 2 6 99 4 AT THE TOP OF THE TWINS P, BUILDING PERMIT r : T NO. COMMUNITY DEVELOPMENT DIV. __ _ � PROTECTIVE INSPECTION SEC. 41fq r 1 . I NUMBER REV DATE PAGE OF APPROVED BY CITY HALL FRIDLEY 55432 612-571-3450 910415 8/5/98 JOB ADDRESS 6021 4 St 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 8 3 Bonney Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Ray Jezowki 571-5483 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. American Roofin and Const Inc 23624 St Frane-IR Blvd, St Frannig 95070 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 753-7451 20109795 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO. B USE OF BUILDING Residential 7 CLASS OF WORK O NEW ❑ ADDITION ❑ ALTERATION X$ REPAIR ❑ MOVE ❑ REMOVE B DESCRIBE WORK Reroof house and garage (27 S) Tear -off 9 CHANGE OF USE FROM TO STIPULATIONS Underlayment must comply with State Building Code. 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 ISTALLS GARAGES AND KNOW THE SAME TO BE TRUE AND COR OVISIONS OF LAWS VALUATION SURTAX AND ORDINANCES GOVERNING THIS OF WO WILL BE COMPLIED WITH WHETHER SPECIFIED HER OR NOT. TN RANTING OF A PERMIT 22rj1 1.13 DOES NOT PRESUME TO GIV AUTHORITY OR CEL THE PERMIT FEE SAC CHARGE PROVISION OF ANY OT STATE O L LA TING CON- STRUCTI ORT PE ORMANC ONS T ]L} 75 Fire SC 2.25 PLAN CHECK FEE TOTAL FEE icens .0 83.13 SIGNA RE OF CONT TOR OR AUTHORIZED AGENT (DATEI P OP INSP ALID T THIS I$ UR PERM r GATE SIGNATURE OF OWNER IIF OWNER BUILDER) IDATEI NEW [ ] Effective 1/1/98 ADDN [ ] CITY OF FRIDLEY ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION 'P&�R ConstructionAddress: Sit Legal Description: �, pZ ( �� T '�' (`-ti 4o'y Owner Name & Address: - tZ X4 t Tel. # ,Si 1 -S -Y r—f Contractor. 'C' MN LICENSE Address: L Le S )6 L'. Tel. # 2�,3 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: 'S e Construction Type: U b Estimated Cost: $� S (Fee e u e on Back) Driveway Curb Cut Width Needed: Ft. + 6 Ft = x $ _ $ DATE: N (2 CL APPLICANT: Tel. # USE ONLY /CTTY Permit Fee $ 91—Fee Schedule on Reverse Side Fire Surcharge $ ��� .001 of Permit Valuation (1/10th%) State Surcharge $ 1,13 $.501$1,000 Valuation SAC Charge $ $1000 per SAC Unit License Surcharge $ S, 6 $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 $ 3 , STIPULATIONS: