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PRE 2010 DOCS..r City of Fridley, Minn. WELDING PERMIT Date: AUGUST 16, 1965 N°3364 f _. Owner: SMITH & ANDERSON Builder RUSSELL THORP HOMES Address 912 - 40th Avenue N E Address 4639 Washington St . N.. E. Minneapolis 21, Minnesota Minneapolis 21, Minnesota LOCATION OF BUILDING No. 4110 Street MAIN STREET N E part of Lot _ Lot _ Block Addition or Sub -Division Corner Lot _ Inside Lot. Setback Sideyard Sewer Elevation Foundation Elevation To be Used as: House DESCRIPTION OF BUILDING Front 44 Depth 26 Height 20 Sq. Ft. 1,144 26 26 10 676 Garage Front Depth Height Sq. Ft. Type of Construction Frame Est. Cost $17_s500-00 To be Completed _ CU. Ft 22,880 Cu. Ft. 6,760 LEGAL DESCRIPTION: All of the East 185 feet, front and rear, of Lot 3, Auditor's Subdivision No. 39, Anoka County, Minnesota, lying South of the North 100 feet, front and rear, thereof and lying north of the South 85 feet, front and rear, thereof. In consideration of the issuance to me of a permit to construct the building described above I agree to do the proposed work in accordance with the description above set forth and in compliance with Z provisions of ordinances of the city of Fridley. In consideration of the payment of a fee ofz$ 3 0 e 00 , permit is hereby granted to RUSSELL TFUBP HOMES 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. ALLEN G. JENSEN Builder Inspector NOTICE: 1Lb pem* don 00 eerar the eondmcffi e, h►stalbtion for wkb& phnn6tea, eu hoa&& sewer or water. Be son to sss the Mffl B bqwdw for npan to pwmifs for than Noes. APPLICATION FOR BUILDING PER _CITY OF FRIDLEY, MINNESOTA OWNER'S NAME ' ADDRESS �� e�� ADDRESS 7��,/�� LOCATION OF BUILDING No. f'�F ,� Streets , Part of Lot Lot Block Addition or Subdivision Corner Lot Inside Lot etback Side -Yard /,!p � V e .5 7, SEWER ELEVATION FOUNDATION ELEVATION Applicant attach to this form Too Certificates of Survey of Lot and proposed build- ing location drawn on these Certificates. DESCRIPTION OF BUILDING To be u as; Front h Height Cl/ . Sq. Ft. /�"� Cu. Ft. �g .` Front s Depth J- Height Sq. Ft. cu. Ft. Z Type of Construction �� TYP G� Estimated Co IIS 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 the Department of Buildings, and hereby declares that all the facts and representations stated in this application are true.and correct. C0 Schedule of Fee Costs can be found on the Reverse Side). SUBJECT P City of Fridley 16 327 AT THE TOP OF THE TWINS B U I L D I N G P E R M I T r ECEIPT COMMUNITY DEVELOPMENT DIV. PROTECTIVE INSPECTION SEC. tr t i CITY HALL FRIDLEY 55432 NUMBER REV. DATE PAGE OF APPROVED BY 612-571-3450 910-F15 8/5/81 10B ADDRESS 4110 Main Street N.E. 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. pt. 3 Cel 560 Auditor's Subdivision #39 SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Boike 4110 Main Street N.E. 55432 788-5553 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. D & D Home Innprovennt 1670 Camelot Lane 55432 574-1398 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 residing - vinyl siding, alum. soffit and facia 9 CHANGE QF 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 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 $4,450 $2.23 ' 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- STRU TI R THE PERFORMANCE OF CONSTRUCTION. 50.50 r PLAN CHECK FEE TOTAL FEE 52.73 SIGNATURE OF CONTRACTOR O A THORIZEDAGENT IDATEI WHEN PROPERLY YALIDATED THIS IS YOUR PERMIT BLDG INSP I Oa E SiGNATURE OF OWNER IIF OWNER BUILDER) (DATE) _r CITY OF FRIDLEY Effective Aug. 1, 1981 APPLICATIV-4 FOR RESIDENTIAL BUILDING PER41TS (New, Alterations, Additions, or Repairs) 01111ER: i ADDRESS: �Wo TEL NO: ZME BUILDER: T ADDRESS: / /q TEL NO: 5�ZV� Construction Location STREET NO: STREET: �l�%/`i �S leek/ . LOT: . BLOCK: 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: Height: Square.Feet: Cubic Feet: Front: Depth: Height: Square - Feet: Cubic Feet: _ 00"7y t t `J dJ Type of Construction:Estimated Srd CUM 11%ij Estimated Cost: $ swf To Be Cbrapleted: 4 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 %:.,ork'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,4re true and correct. DATE: 5 Z/`91 SIGNATUM: Stipulations: 01 SUBJECT City of Fridley 30156 AT THE TOP OF THE TWINS BUILDING PERMIT RECEIPT NO. � ` COMMUNITY DEVELOPMENT DIV. ______ PROTECTIVE INSPECTION SEC. r !v 1 . � l A ; ��;'� CITY HALL FRIDLEY 55432 NUMBER REV DATE PAGE OF APPROVED BY __-• L J` 612-571-3450 910-F15 9/1/99 JOB ADDRESS 4110 Main Street NE 1 LEGAL LOT NOPt 3, BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. Auditor's Subdivision #39 SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Paul Blake 788-5366 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Owner 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO 8 USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW ®.x ADDITION ❑ ALTERATION ❑ REPAIR O MOVE O REMOVE 8 DESCRIBE WORK Construct a 20' x 20' 3 -season porch 9 CHANGE OF USE FROM TO STIPULATIONS Variance required for side yard setback from 10' to 93". Permit Fees will be refunded if variance is denied. See stipulations on plan WARN114 Bef m digging ,cr fl for an utinty locations 654-=2 REQUIRED 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 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 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 $10,964 $5.48 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 $195.25 It FirA SC $10.96 PLAN CHECK FTO FEE Lice,4'S2 5. 16.69 SIGNATURE OF CO/WRACTTOR OR AUTHORIZED AGENT IDATE- END L D THIS I O R P MI 7A SIGNATURE OWNER,IF OWNER BUILDERI IDATEI BLQCINSP. dc DAft 01 NEW[ ] Effective 5/10/99 A,DDN [ ] CITY OF FRIDLEY 0 ALTER [ J SINGLE FAMILY AND DUPLEXES R-1 AND R-2 (� 1 BUILDING PERMIT APPLICATION G64, J Construction Address: Legal Description: Owner Name & Address: 23/14.1 #110 IM , S 17 Contractor: P,_ J a L k� MN LICENSE # Address: 5�/.jo � ,.,� ,¢ Tel. # ) �- x -5:-3 6 C Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. LIVING AREA: Length GARAGE AREA: DECK AREA: DESCRIPTION OF 11WROVEMENT Width Height Length Width Height Length Width O Hgt/Ground Sq. Ft. Sq. Ft. Sq. Ft. 900 OTHER: Construction Type: t10 c. M 3 1 e --us 04 Aa r -h Estimated Cost: $ —�- -I Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x. $ MIJ DATE: 1,- 3 0- elq APPLICANT: /J, - f R i ti Tel. # 7�- 1' -:f 3 G C, CITY USE ONLY Permit Fee $ l 96",, a Fee Schedule on Reverse Side Fire Surcharge $ .001 of Permit Valuation (1/10th%) State Surcharge $ S.418 $.50/$1,000 Valuation SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee Sewer Main Charge TOTAL STIPULATIONS: $ $1050 per SAC Unit $5.00 (State Licensed Residential Contractors) Alt. "A" or Alt. "B" Above $ $450.00 Conservation Plan Review $ �;? /6 , 01 Fee Determined by Engineering Agreement Necessary [ ] Not Necessary [ ] Building AND MATERIALS: BUILDING (USING THE 1997 Permit No.rP* Inspections VALUATION $ 4130 RESIDENTIAL APPLICATION Permit Fee Received B763-572-3604 See Back Page for Fee Schedule Plan Review $ 65% of Building Permit Fee Dat ''d00 $ / .001 times the total job valuation CITY OF FRIDLEY $()(p .0005 x Permit Valuation Minimum $.50 DATE 04/02/07 —YOUR E-MAIL ADDRESS estherd@probuiltam.com SITEADDRESS 4100 Main St $5.00 (State Licensed Residential Contractors) THIS APPLICANT IS: ❑ OWNER ❑CONTRACTOR $1675 per SAC Unit (Plans to MWCC for determination) PROPERTY OWNER/ NAME: Adnel Dau ft + 6 ft = ft x $21 = $ TENANT ADDRESS: same as site CITY STATE_ZIP Park Fee PHONE: 763) 788-0772 Fee Determined by Engineering CONTRACTOR NAME:ProBuilt America Agreement necessary ( ) Non Necessary ( ) STATE LICENSE # BC -20356847 EXP DATE U -3/U8 $ 1 I-) ad, SUBMIT A COPY OF YOUR STATE LICENSE ADDRESS: 2211 11tH Ave 1J CITY North Stfl STATE_ZIP b b 116 WITH APPLICATION PHONE 651-770-5570 FAX 651-770-0495 PROPERTY TYPE ❑ SINGLE FAMILY/NEW CONSTRUCTION SIZE ❑ TWO FAMILY/NEW CONSTRUCTION STORIES PERMIT TYPE ❑ ADDITION ❑ GARAGE/SHED UWINDOWS ❑ BASEMENT FINISH ❑ ROOF ❑ DRAIN TILE ❑ DECK ❑ SIDING ❑ OTHER ❑ SWIMMING POOL TYPE OF WORK: ❑ NEW ❑ ADDITION ❑ MAINTENANCE/REPAIR ❑ REMODELING DESCRIBE WORK BEING DONE: Replacinq 11 window, not changincl sizes SIZE OF IMPROVEMENT LENGTH WIDTH HEIGHT Sq. Ft. ROOFING ❑ HOUSE ONLY NUMBER OF SQUARES ❑ HOUSE & GARAGE BASEMENT REMODELING SUBMIT: GARAGES ❑ ATTACHED GARAGE I. Existing Floor Plan PROPOSED SIZE: ❑ DETACHED GARAGE 2. Proposed floor plan PROPOSED HEIGHT: 3. List of structural members to be used SIDING FOR NEW CONSTRUCTION INCLUDING DECKS, ❑ Vinyl ❑Soffit ADDITIONS. & PORCHES SUBMIT: ❑ Aluminum ❑ Trim I. Site Plan/Survey showing the existing structures ❑ Other ❑ Fascia and proposed project. WINDOWS 2. Two sets ofconstruction plans IN EXISTING OPENINGS ❑Yes ❑No LOCATION OF WINDOWS 3. Energy Calculations OR FOR NEW OPENINGS -DESCRIBE SIZE OF OPENING CHANGES & 11 TYPE OF WINDOW TO BE INSTALLED NUMBER OF WINDOWS ALL FEES ARE BASED ON VALUATION, INCLUDING THE COST OF LABOR AND MATERIALS: (USING THE 1997 U.B.0 FEE SCHEDULE) TOTAL JOB VALUATION $ 4130 OCCUPANCY TYPE Permit Fee $ �" See Back Page for Fee Schedule Plan Review $ 65% of Building Permit Fee Fire Surcharge $ / .001 times the total job valuation Surcharge $()(p .0005 x Permit Valuation Minimum $.50 License Surcharge $ vj $5.00 (State Licensed Residential Contractors) SAC Charge $ $1675 per SAC Unit (Plans to MWCC for determination) Curb Cut Escrow $ ft + 6 ft = ft x $21 = $ Erosion Control $ $450 Conservation Plan Review Park Fee $ Fee Determined by Engineering Sewer Main Charge $ Agreement necessary ( ) Non Necessary ( ) Total Due $ 1 I-) ad, Make checks payable to: City of Fridley Attach 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 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; that the work will be in accordance with the approved plan in the case of all work which requires review and approval of plans. SIGNATURE OF APPLICANT eo� _ ,% PRIKNAMIR Esther Dahl DATE 4/02/07