PRE 2010 DOCSBUILDING PERMIT
Village of Fridley, Minn. N? 217
Date• •••••••
Owner . ...may°..�............ Builder ...........................................
Address.............. ............................ Address .........................................
LOCATION OF BUILDING
No....:�i . �T' : Street .. . ,�'r +;f!�e! +... ,� . ..................... Part of Lot .......................
Lot ...... 0i ..... Block .... `:....... Addition or Sub -Division ! • • ........0.
O
i,
Corner Lot ............ Inside Lot . +"':..... Setback .. V:.... Sideyard +�. ....... �V.......
DESCRIPTION OF BUILDING
To be Used as:
.:.. '.. Front ...: d. "Depth .9!': 9. Height . � . Sq. Ft......... Cu. Ft........ .
K
....................... Front ........ Depth .....::. Height ......... Sq. Ft......... Cu. Ft........ .
Type of Construction 41.1n Est. Cost . /4 .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.
In consideration of the payment of a fee of Of ..... , permit is hereby granted to ........ .i............. .
....................... to construct the building or addition as described above. This permits
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 village limits and this permit may be revoked at any time upon violation of any of the provisions of said
ordinances.
111V11(W-
... ... 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.
'j
City of Fridley, Minn. N° 10192
BUILDING PERMIT
Date: April 17, 1969
Owner: Ronald Stromberg Builder same
Address 4523 Main St N E. Address Same
LOCATION OF BUILDING
No. 4523 Street Main St. N. E. Part of Lot
Lot 5 ---Block 3 Addition or Sub.Division .____ Plymouth Addition
Corner Lot . Inside Lot __ _ Setback __ Sideyard
Sewer Elevation
Foundation Elevation
DESCRIPTION OF BUILDING
To be Used as:
Garage Front _ _ ' Depth 24' Height 10' _ Sq. Ft. 66 cu. Ft. 5760
Front Depth Height Sq. Ft. Cu. Ft.
Type of Construction Frame Est. Cost —_�2, 009 To be Completed
In consideration of the issuance to me of a permit to construct the building described above, Ido 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. �) _ p.*
In consideration of the payment of a fee of $ 9.00 , permit is hereby granted to Ronald Stromberg
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 andmoving 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.
Official
G1._ Building
R Hence F. Muhich
NOTICE:
Me peault does not corer the construction, Installation for whing, plumbing, gSe hosting, Sewer or water. Be sure to sse
the Building Inspector for Separate permits for these Items.
APPLICATION FOR BUILDING PERMIT
CITY OF FRIDLEY, MINNESOTA
OWNER ►5 1. NAMEi1�i11 `•%' ` sr -,B A? j%" i BUILDER
ADDRESS ADDRESS
LOCATION -OF BUILDING
NO ,6g-? STREET Z�G'
LOT BLOCK 3 ADDITION OR SUBDIVISION o v�
CORNER LOT INSIDE LOT SETBACK SIDEYARD �.
SEWER ELEVATION TOP OF FOOTING
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:.
Gr a Front 2—'( Depth 2 V Height /0
Square feet �- % 4 Cubic Feet ►j % 0
Front Depth Height
Square feet Cubic Feet
Type of Construction �y'� `�^' P Estimated Cost 000
To Be Completed ,� v V 5 /
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 auulication are true and nnrrent_
k6cheaule of Fee Costs can be found on the Reverse Side.)
2-
SUBJECT
RMIT
City of Fridley
1.4 8
5.4.
AT THE TOP OF THE TWINS
BUILDING PERMIT
r
RECEIPT NO.
`L _ COMMUNITY DEVELOPMENT DIV.
r PROTECTIVE INSPECTION SEC.
O
1 �
= CITY HALL FRIDLEY 55432
NUMBER
REV.
DATE
PAGE OF
APPROVED BY
L J\ 612-571-3450
910-F15
9/12/79
/
JOB ADDRESS 4523 Main Street N.E.
1 LEGAL
LOT NO.
BLOCK
TRACTOR ADDITION k&AekA4 "&Ll 1-5 0i= SEE ATTACHED
DESCR.
5
3
1 Plymouth &UCyS 13 1 SHEET'
2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE
Ron Stomberg 4523 Main Street N.E. 560-1884
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.
B USE OF BUILDING
Residential
7 CLASS OF WORK
C
❑ NEW ❑ ADDITION 7t7 ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE
8 DESCRIBE WORK
Construct chimney
9 CHANGE OF USE FROM TO
STIPULATIONS
SEPERATE PERMITS REQUIRED FOR VARING,
HEATING, PLUMBING AND SIGNS.
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 80 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
$150
$.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
SACCHARGE
PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON-
STRUCTION OR THE PERFORMANCE OF CONSTRUCTION.
$7.50
PLAN CHECK FEE
TOTALFEE
$8.00
TORO R U HORIZEOAGENT (DATE)
WHEN PROPERLY VALIDATED THIS IS YOUR PERMIT
ZSIIG�TTU�REOFCONTR
'ER
BLDG WSP DATE
SIGNATUR FO N_ EWIMIFMNE 0 BUILDI ID EI
CITY OF FRIDL•EY
APPLICATION FOR RESIDENTIAL BUILDING PERMITS
(New, Alterations, Additions, or Repairs) ,
OWNER: ry f BUILDER:)
ADDRESS: ��� ,�'� %� ADDRESS:�i�,�
TEL NO: TEL NO:
Construction Location
—
STREET
i�;T NO : �a�<..'�� STREET:
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:
a
Square.Feet: Cubic Feet:
Front:
Square - Feet:
Type of Construction:
To Be Completed: L-1. / ,�-p%
Depth: Height:
Cubic Feet:.
/g
Estimated Cost: r ��
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: c jg�/ //`/9�g SIGNATURE:
Stipulations:
SUBJECT
PERMIT NO.
City of Fridley
AT THE TOP OF THE TWINS
BUILDING PERMIT
EC_EIPT N.Q.--~`
r
`
• COMMUNITY DEVELOPMENT DIV.
r PROTECTIVE INSPECTION SEC.
� �
NUMBER
REV
DATE
PAGE OF
APPROVED BY
CITY HALL FRIDLEY 55432
612-571-3450
910-F15
5/17/94
JOB ADDRESS
4523 in Street NE
1 LEGALLOT
NO.
BLOCK
TRACT OR ADDITION SEE ATTACHED
DESCR.
5
3
Rearrangement of Plymouth SHEET
2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE
Ronald Arlene Stromberg 4523 Ma572-1704
3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO.
Viking Home Improvement Co 4832 21 Street NE Fridley 55421572-1820 4772
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 ❑ ADDITION ❑ ALTERATION ❑R REPAIR ❑ MOVE ❑ REMOVE
8 DESCRIBE WORK
Reroof Garage (7 Sq) 2nd Layer; Reroof House 12 S Tear-off
9 CHANGE OF USE FROM TO
STIPULATIONS
Roofing can be the 2nd layer but not the 3rd. Underlayment must comply
with the State Building Code.
TYPE OF CONST.
OCCUPANCY GROUP
OCCUPANCY LOAD
SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING,
VENTILATING OR AIR CONDITIONING.
ZONING
SQ. FT.
CU. FT.
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION
AUTHORIZED IS NOT COMMENCED WITHIN 80 DAYS, OR IF CONSTRUCTION
OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT
NO. DWLG. UNITS
OFFSTREET PARKING
ANY TIME AFTER WORK IS COMMENCED.
I HEREBY CERTIFY THAT i HAVE READ AND EXAMINED THIS APPLICATION
1
STALLS GARAGES
VALUATION
SURTAX
AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS
AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED
$1,285
$.64
WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT
PERMIT FEE
SACCHARGE
DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE
PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON-
$31.00
Fire SC $1.29
STRU�N OR THE PERFORMA qE OFC NSTRUCTION.
PLAN CHECK FEE
TOTAL FEE
License SC $5.00
$37.93
SIGN TUBEO CON i RACTOR OR AUTHORIZED AGENT IDATEI
E O LYD THIS IS YOUR P MIT .
BLDG 'NSP r1ATE
SiGNATURE OF OWNER OF OWNER BUILDERI IDATEI
NEW
ADDN [ ] CITY OF FRIDLEY
ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2
Building Permit Application
i
Construction Address: 4' --3 1714, V S 7—Al
Legal Description:
Owner Name & Address:
Contractor: t) l d l titi
Address: WK -� 2
Effective 1/1/94
-411-/k zz
Tel. #,--,)-72 —176V
MN LICENSE # L17 7-
-Tel. # % Z— If- 20
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:
Corner Lot [ ] Inside Lot [) Ft. Yd Setback Side Yard Setbacks
Type of Construction: R eV V ' � `L,, Estimated Cost: $
Approx. Completion Date:
(Cost on Back)
Driveway Curb Cut Width Needed: Ft. +. 6 Ft = Ft x $ _ $
DATE: - f 7 APPLICANT: �l�.1�F.Lr,C _ Tel. # L -/ESO
STIPULATIONS:
CITY USE ONLY
Permit Fee
$
Fee Schedule on Reverse Side
Fire Surcharge
$
/ �}
.001 of Permit Valuation (1/ 10th%)
State Surcharge
$ d
$.501$1,000 Valuation
SAC Charge
$
$800 per SAC Unit
License Surcharge
$
_
C
$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
$-37,9-3
STIPULATIONS:
CITY OF FRIDLEY
6431 UNIVERSITY AVENUE NE
FRIDLEY, MN 55432
(763) 572-36U4 YAX: (763) 571-1287
PERMIT NO.: 2004-01379 j
, \,�I o
DATE ISSUED: 08/19/2004 �
ADDRESS : 4523 MAIN ST NE
PIN : 263024330121
LEGAL DESC : REAR BL 13,14 & 15 PLYMOUTH
: LOT 5 BLOCK 3
PERMIT TYPE : ELECTRICAL
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : ADDITION/ALTERATION
VALUATION
NOTE: ELECTRICAL PERMIT BECOMES VOID 12 MONTHS AFTER PERMIT ISSUE DATE. INSTALL FURNACE.
# INSPECTIONS 1
APPLICANT
RTS ELECTRIC
8720 257 AVE NW
ZIMMERMAN, MN 55398
(763)856-6010
OWNER
STROMBERG RONALD J & A C
4523 MAIN 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 wort
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 provisions of any other state or local law
regulating construction or the performance of construction.
Applicant Date
Bldg Insp Date.
ELEC PERMIT FEE - MIN (RESI) 20.00
STATE SURCHARGE, ELEC FLAT 0.50
TOTAL 20.50
PAIDWITH CHECK # 11508
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE.
CITY OF FRIDLEY
6431 UNIVERSITY AVENUE NE
FRIDLEY, MN 55432
763) 572-3604 FAX: (763) 571-1287
ADDRESS : 4523 MAIN ST NE
PIN : 263024330121
LEGAL DESC : REAR BL 13,14 & 15 PLYMOUTH
: LOT 5 BLOCK 3
PERMIT TYPE : HEATING
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : ADDITION/ALTERATION
PERMIT O.: 2004-01356
DATE ISSUED: 08/18/2004
VALUATION
NOTE: AIR CONDITIONERS CAN NOT BE PLACED IN A SIDE YARD WITHOUT WRITTEN PERMISSION FROM
ADJOINING PROPERTY OWNER. COMBUSTION AIR SHALL BE PROVIDED PER UMC SECTION 504(A) AND TABLE 6-A.
INSTALL A FURNACE (WARM AIR, JANITROL, 60,000 BTUS)
# A/C UNITS 0 VALUE OF APPL OR WORK 0
# FURNACES 1 # GAS DRYERS
# GAS RANGES 0 VALUE (FOR MINIMUM CALL)
APPLICANT
SILVERNAIL ENTERPRISES LTD
6603 36 AVE N
CRYSTAL, MN 55427 -
OWNER
STROMBERG RONALD J & A C
4523 MAIN 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 provisions of any other state or local law
regk4adxw,, cons
tnCtion or the performance of construction.
re
pplicant / Datej
Bldg
HEATING PERMIT MINIMUM FEE
FURNACE SHELL/DUCT WORK
GAS RANGE FEE
GAS DRYER FEE
AIR CONDITIONING FEE
HEATING REPAIRS/ALTERATIONS
STATE SURCHARGE, MECH FLAT
TOTAL
PAID WITH CHECK # 15354
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE.
0
2300
0.00
35.00
0.00
0.00
0.00
0.00
0.50
35.50
Al
iu
J
u
0
CITY OF FRIDLEY BUILDING INSPECTION
5431 University Ave NE
Fridley. MN 55432
763-572-360 FAX 763-571-1287
RATESCHEDULE
Rasiderttial
Furnace Shell and Duct Work, Burner &
a o Replacement Furnace
Gas Pq*g (New Face, f=ireplace, insert}
Gas Range
CQs Dryer
Effective 4/1/2004
APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION
REFRIGERATIDN ARID AIR CONDITIONING TMS AND DEVICIM
JOBAWRIESS
Fee Tbtai
$3500 $ ��
$10.00 $
$10,60 $
$10.00 $ __
'Ar Ccinditiorfaig All Sizes $25.00
Ah Other Repairs or Ateratkxts (I ist on Back)
1% of Value of ApphancQ or Work
l ifturrr Fee $15.00 for Pesidential or 5% of cost &
Innprovemmt winch .r is greater en work lass than 5500.004
ti�m@�iial Int +�tra�l,��.n�sit��ti
1.25 of Value of Ap fel^ansa or i+e'- �U54' on Back) $_
101nilmin bac $35.00 Tor
Skat+� SUMIN 81rgr: $
TOTAi FEE
REINSPECTION ME $50.00/HWR
*Air Conditioners ran not b+4_ placed In side yard without written approval
from adjoining properly owner - copy to City
Building Used As _ /-_ jt�
ESTmATEO couT—,02300 PERMIT wo �� S
-M of Heating Urdi s ' circle One (Stem) (Hot WAX" Ivma Alr)
Trade Name :Tbagn1 .Size No.
Ni' .. EDR
1ael - - ---(\A _ _ _— Total Connected Load
Warner Trade+ Marne
RTI! --
HR
Size No.
,_ �, EDR
The undprsigned ti reby makes application for a permit for the work herein
specif cl agreeing to ilk) all Work in strict mora w- w with the CittyCkides
wd rulings of the ldidlng DMskn and 1weby decbres 9het all tfie facts
and rdpre: eraations staid m this appftatiori are true and currea
FAY.
FILL OM BACK SIDE FDIC STACK VERIFICATK)N ON REPLACEMENT FURNACE
Appr by Rassgt}in Bate Final t7rdt
AUG -11-2004 13:51 CIT`!' OF FR IDLEY
P. 02/02
FILL IN COMPLETELY FOR REPLACEMENT FUEL BURNING APPLIANCE PERMITS
C2AillYION N6NT. PENT CiDNNECiOR AND COW ISTION AIR VERIFICATION
When replacing an a xisting%mace, the undersigned hereby verifies that the
venting has been examined and is free from rust, deterioration, obstructions,
and is securely supported and firestopped where required,
Yes (� No( )
The venting system Is plastic/PVC and meets all current codes and manufacturer
specifications including sizing, length, number of elbows and terrnination.
Yes {;a No( )
The undersigned also vermes that the replacement unit is a listed assembly
and meets the current codes and manufacturers specifications, This does
include AGA LAMA Category I Central Furnace Venting Tables for fan
assisted and natural drag appliances.
Yes {`� No ( )
The Watina combustion air is sized and installed tc meet the current costes
and manufacturer's specifications.
Yes { No { )
When required to 11MIall a now combustion airit will be sized and installed
to meet the current codes and manufacturer's specifications_
Yesp No ( )
When instaillinat a neve ver ina ffifg rt, the undersigned hereby verifies that
R is a listed assembly and meets the current codes and manufacturer's
specH90ations. This does Include AGA LAMA Category i Central Furnace
Venting Tables for fan assisted and natural draft appliances.
Yes (� No( )
Is the common vertt and vent connWors seed and installed wrrectly after
an appliance has beer, removed ftm the common vent and vonted
separately as per current codes.
L-A No( }
Yes TT
liana Tyaa and OIze/Conmo-n— nt-a-nci.Vent Con for n-krynation
Appliance #1 Type _41AAWAce BTU input �oC�� 000 an Assisted1r Nat
Appliance #2 Type BTL! Input � an Assisted or Nat
Appliance #3 Type _ BTU input _ f=an Assisted or Nat
Total Appliances Total Btu input
1111
Common Vent Type Merit Height Diameter inches
Appliance #1 Vent Connector Height #i Length ft Diameter _ in Type
Appliance #2 Vent Connector Height ft Length ft Diameter In Type
Appliance #3 Vent Connector Height ft Length ft Diameter in Type
HEATING CO;
Signed By:
Date:
TOTAL P.02