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PRE 2010 DOCSA !f v.r.; Tr.a-_ ??wca..y 6-7; 61cC_:d1 Rr7, Cwr:17..,':,,p YC'-"I;— ��sJ �a•��•.r'f�.•alvor. � W�"'�'J i'+at4.,i es:i:wr �sla p�a'a..i� GRA VII T WARIM AIM: F_ 2cr Shell & rrji t Work Reptscr-ne-t of 'e`tirnarre Repair- & Attcrat.cns-- up to t-100.00 Repairs ti Alterations each add. 5500.00 MMOL Yi Aitbl AM 7'6rracvt Shcll & Dict Work to 120.000 BTU etch :dd. e0.000 BTU ReV..&eernen: of Fs.-nace Re -pairs & Alteratior-s—tip to $500.00 Rr�ni s & Alterations each add. $W-00 STEAM -ax HOT WATER SYS =1-4 VAS a Z TOTAL $10.00 S ..6-06 • 690 S 3W S Purrace Shell & Lines --to 4?0 sq. ft F.DR Stetiri $:0.00 Furnace Shell St Line• --•to 640 sq ft. EDR Not Water I000 S. Each add 200 sq.. ft EDR Steam 300 $ i Each add. 320 sp.'ft EDR Hot Water 3.00 S OIL BURN-"P—to 3 gal. per hour 6.00 $ over 3 gal. per hour—See Pee Schedule G1tS BURFER (up to M.000 BTU) 6.00 overIS`3.000 BTU Sea• Fee Sekedule . GAZ FITTING T .i'..5: no • RATZ TOTAL Is% 3 Fixtures .�_ x$ 200 S Additional F9ztures _. x .75 S_—• -- C33 Range to m.000 as 5.00 $ AIR f:CND.M0X1 Gr ?>r'.Lre :''L..1:T.�.•G .'i i 3TC IJ G SYIVO:-m3 AL%i'JM, %—.r%3 & r%ZPi.Iit$ ROUGH State Surcharge .50 A Sao Foo SCL&L-0a TOTAL r= =d M DOPT.. of B1.. y1. P hOno =—I. :0 . City of Fridley: The undersl7ned hereby makes application for a permit for the work herd specified agr�•c•trg to do all work in strict accordance with the City Ord:u: cev and riling of the Depai irnent of nuildin„ s, and hereby declares "tan the fila and representations stated in this appbcauon are true and correct. Fridley. N[inn ✓ Z,1 ¢100 Owner %Ldte7" Kind of Building�� Used wt � e'L.,f e A.,,,� . To be completed about Estimated Cost; S T" 1600 01 New. Building Permit No. ._ Psrait Pio. D "r.."ri�1i02i Or WOE HEATING or POWER Pi.ANTIS.r--Steti.•n„ F.ct F , Wj= AirI No Trade Name /I A.1 X0'1 Size Ha �Pd e Capacity_._.. —Sq. 2rL F-D.R � 'e BTU HP Total Connected Lwzd � Kind cf rml BURNER — TrudeName ;�C��l✓S®�Size No Cay+acity S1. Pt E.D (� F d0, 6-0-V BTU l=4AAa:cs.-ora32 ra 4,;06 1.14 Z�01 zoo��/ 3?v 6.00 v ' 3.00 S Purrace Shell & Lines --to 4?0 sq. ft F.DR Stetiri $:0.00 Furnace Shell St Line• --•to 640 sq ft. EDR Not Water I000 S. Each add 200 sq.. ft EDR Steam 300 $ i Each add. 320 sp.'ft EDR Hot Water 3.00 S OIL BURN-"P—to 3 gal. per hour 6.00 $ over 3 gal. per hour—See Pee Schedule G1tS BURFER (up to M.000 BTU) 6.00 overIS`3.000 BTU Sea• Fee Sekedule . GAZ FITTING T .i'..5: no • RATZ TOTAL Is% 3 Fixtures .�_ x$ 200 S Additional F9ztures _. x .75 S_—• -- C33 Range to m.000 as 5.00 $ AIR f:CND.M0X1 Gr ?>r'.Lre :''L..1:T.�.•G .'i i 3TC IJ G SYIVO:-m3 AL%i'JM, %—.r%3 & r%ZPi.Iit$ ROUGH State Surcharge .50 A Sao Foo SCL&L-0a TOTAL r= =d M DOPT.. of B1.. y1. P hOno =—I. :0 . City of Fridley: The undersl7ned hereby makes application for a permit for the work herd specified agr�•c•trg to do all work in strict accordance with the City Ord:u: cev and riling of the Depai irnent of nuildin„ s, and hereby declares "tan the fila and representations stated in this appbcauon are true and correct. Fridley. N[inn ✓ Z,1 ¢100 Owner %Ldte7" Kind of Building�� Used wt � e'L.,f e A.,,,� . To be completed about Estimated Cost; S T" 1600 01 New. Building Permit No. ._ Psrait Pio. D "r.."ri�1i02i Or WOE HEATING or POWER Pi.ANTIS.r--Steti.•n„ F.ct F , Wj= AirI No Trade Name /I A.1 X0'1 Size Ha �Pd e Capacity_._.. —Sq. 2rL F-D.R � 'e BTU HP Total Connected Lwzd � Kind cf rml BURNER — TrudeName ;�C��l✓S®�Size No Cay+acity S1. Pt E.D (� F d0, 6-0-V BTU l=4AAa:cs.-ora32 ra 4,;06 1.14 Z�01 zoo��/ 3?v r 1w HEAT LOSS CALCULATIOr Weatherstrips Gui Windows I Doors Refer Y6—"No Y o 11 19 Irl I ie /7 o_.._ t —... ,%�`7 A��ti�s �� DEPARTMENT OF INSPECTION Construction No. Out. Wall Int. Wall Ceiling Roof Floor Kind ,[+Ineal f Area crack sq. tt. C4)Cf.j Btu ft O� %r 17, 0 Btu Width Height II Fl.I Room I Length Windows and Doors—Crac and Area Width Height No. of Lineal ftAroa No. of pane of pane Ilgktc of crack eq. tL Width HeightNo. of No. of panes of tune lightsof ,[+Ineal f Area crack sq. tt. C4)Cf.j Btu ft O� %r 17, 0 Btu Infiltration Glass p _;,e Coef. Btu Infiltration Exp.. wall Q Y - Floor Glass Net exp: wall Exp. wall Int. wall Net exp. wall Ceiling ' /.2 Int. wall door ' f AY 17 1 Ceding Floor Total Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area F7_I Room I Lenp_th Width Height Windows and Doors--Crackage and Area Width Height No. of Lineal ftAroa No. of pane of pane Ilgktc of crack eq. tL Width Height No. of Lineal ft.. Area No. of pane of pane lights of crack W: It. —0 / .3 e) C4)Cf.j Btu Infiltration Coef.1 Btu Infiltration Glass a ,'3 / Exp.. wall Q Y - Floor Net exp: wall / C' Int. wall Ceiling ' /.2 .3,6 door ' f AY 17 1 J-0 Total Btu. 1 –1 A 15- Required sq. ft. E.D.R. or sq. ins. WA. IAader. area RLI Ream I [.math Width Height Windows and Doors—Crackage and Area Width Height No. of Lineal ftAroa No. of pane of pane Ilgktc of crack eq. tL C4)Cf.j Btu Infiltration Glass Exp. wall Net exp. wall Int. wall Ceiling Floor Total Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area MINNEAPOLIS. MILAN. Insulation How Applied Width Height Windows and Doors—Crackage and Area Width Height No. of Lineal ft. Area No. of pane of pane lights of crack sq. ft. Coef. Btu Infiltration Glass Exp. wall Net exp. wall Int. wall Ceiling Floor Total Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area Fl.l Room I Length Width Height Windows and Doors—Crackage -ind Area Width Height- No. of Lineal ft. Area No. of pane of pane lights of crack eq. ft. Coef. Btu Infiltration Glass Exp. wall Net exp. wall Int—wall Ceiling Floor Total Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area Fl. Room I Le Windows and Doors—Crackage and Area Width Height No. of Lineal ft. Area No. of pane of pane lights of crack eq. tt. Coef. Btu .Infiltration Glass Esp. wall Net exp. wall Int. wall Ceiling Floor TOW t3ta. Required sq. ft. E.D.R. or sq. ins.. WA Leader area SUBJECT of Fridley CE.City 9 AT THE TOP OF THE TWINS BUILDING P E R M I T. V .......COMMUNITY DEVELOPMENT DIV. INSPECTION SEC. r PROTECTIVE 1 � t/ / 7 y 1 . � CITY HALL FRIDLEY 55432 NUMBER REV. DATE PAGE OF APPROVED BY 612-571-3450 910-F15 8/20/79 / JOB ADDRESS 4769 Main Street N.E. 1 LEGALLOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 29,30 5 Plymouth Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Daniel Stout 4769 Main Street N.E. 566-7355 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 j7 ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Reside house 9 CHANGE OF USE FROM TO STIPULATIONS SEPERATE PERMITS REQUIRED FOR WIRING, 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 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 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 $3OO $.5O 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- $7.50 STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. PLAN CHECK FEE TOTALFEE $8.00 SIG TURE OFCONTRACTOR ORAUTHORIZED AGENT (DATE) a WHEN PROPERLY ALIDATED THIS IS YOUR PERMIT n V V SIGNATURE OF OWNER IIF OWNER BUILDER) IDATEI BLDG INSP I DAT CITY OF FRIDLEY APPLICATION FOR RESIDENTIAL BUILDING PERMITS (New, Alterations, Additions, or Repairs) OWNER: o '. / ... -K . '5 ADDRESS: Ll -2 TEL N0: BUILDER: ADDRESS: TEL NO: Construction Location STREET NO: STREET: . s LOT: BLOCK: } �� ADDITION: T t fad! l �1G dl 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: Squane Feet_ Front: Square - Feet: Depth: H eight : Cubic Feet: Depth: Height: Cubic Feet: Type of Construction: L 4stimated Cost: $ To Be Oompleted: 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:. a� �� SIGNATURE [a0�� Stipulations: a SUBJECT PE City of Fridley WRECKING 0 15632 AT THE TOP OF THE TWINS P E R M I T rp xk&x RECEIPT 16 COMMUNITY DEVELOPMENT DIV. '79112-- r PROTECTIVE INSPECTION SEC. "1 CITY HALL FRIDLEY 55432 NUMBER REV. DATE PAGE OF APPROVED BY 612-571-3450 910-F15 3/28/80 JOB ADDRESS 4769 Main Street N.E. 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 29,30 5 Plymouth. SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Dan Stout 4769 Main Street N.E. 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. J & P Design 3956 Winnetka Avenue, New Hope 544-0306 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO. 6 USE OF BUILDING Garage 7 CLASS OF WORK ❑ NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE Ej REMOVE 8 DESCRIBE WORK Wreck Garage (20' x 22) 9 CHANGE OF USE FROM TO STIPULATIONS TYPE OF CONST. OCCUPANCY GROUP OCCUPANrY 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 $350 NONE WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PERMITFEE SACCHARGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- $10.00 STRU TION OR THE PERFO MAN OF CONSTRUCTION. PLAN CHECK FEE TOTAL FEE $10.00 SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT ATE) WHEN PROPERLY V IDATED THIS IS YOUR PERMIT \ BLDG INSP DATE SIGNATURE OF OWNER OF OWNER BUILDER) IDATE7 City of F ridley oLadEGT permit No. 1 WRECKING PERMIT APPLICATION Receipt No. 11.-------- COM MVNITY DEVELO"4ENT DIV. I i PROTECTtV13 rASPVCTION MPT, �---� i CITY NAU- PRIDL9V � 2 �.....�a.� .d eta-a04-34zA RAM 1910-F-20 WAV. QATE 7PASEE-OF 1 APPROVED BY Jgoo Job „address 9 1nnr* i oJ SOT . Legal Lot No. Block No. act or Addition Desc. Z 4- J *--VV & -rW , PrOO Property Owner S Address Phone Contractor SICrn S., e• (XSIIC •K Address Phone Description Front 1Z0 De nth Height Sq, t. -T C Ft. qq of Bldg. Z. (� C� d w No. of Dwelling Units Taxes Paid Tax Receipt No. Estimated Cost of Wrecking /�-o To Be Completed Utilities Notified: State whether notified and date . Minneapolis Gas Company Engineering Department 372-4850 Northern States Power Company Customer Business Office 330-5540 Northwestern Bell Telephone Co. Business Office 332-4112 Approved By Water & Sewer Department: All Bills Are Paid Services Are Disconnected The undersigned hereby makes application for a permit to wreck the building described above, agreeing to do all work in strict accordance with the City Ordinances and rulings of the Department of Buildings, and hereby declares that ,all facts and representations stated in this application are true and correct. Contractor Date w SUBJECT PER O. City of Fridley 15. 33 AT THE TOP OF THE TWINS BUILDING P E R M I T _ r RECEIPT NO. • ______ COMMUNITY DEVELOPMENT DIV. ~ r PROTECTIVE INSPECTION SEC. CITY HALL FRIDLEY 55432 APPROVED BY NUMBER REV. DATE PAGE OF 612-571-3450 910-F15 3/28/80 JOB ADDRESS 4769 Main Street N.E. 1 LEGAL LOT NO. BLOCK TR ACT OR ADDITION SEE ATTACHED DESCR. 29, 30 5 Plymouth SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Daniel Stout 4769 Main Street N.E. 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. J & P Design, Inc. 3956 Winnetka Avenue, !New Hope 544-0306 4 ARCHITECT OR DESIGNER MAIL ADDRESS 1 ZIP PHONE LICENSE NO. 5 ENGINEER MAILADDRESS ZIP PHONE LICENSE 0. 6 USE OF BUILDING Residential 7 CLASS OF WORK ❑S NEW ❑ ADDITION ElALTERATION 1:1REPAIR 11MOVE ElREMOVE 8 DESCRIBE WORK Construct a 24' x 26' Garage i 9 CHANGE OF USE FROM TO STIPULATIONS SEPERATE PERMITS REQUIRED FOR WIPet4 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 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 1 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 $5,497 $2.61 DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PERMIT FEE SACCHARGE PROVISIONS OF ANY OTHER STATE O OCAL LAW REGULATING CON- STRUCTION OR THE PERFORM CE O C NST ION. $24.96 ",a PLAN CHECK FEE TOTAL FEE 27.57 IG ATURE OF CONTRACTOR OR AUTHORIZED AGE N T TEI WHEN PROPERLY VA DATED THIS IS YOUR PERMIT A t a BLDG INSP nATE SIGNATURE OF OWNER IIF OWNER BUILDERI IDATEI CITY 017 I RIDLEY APPLICATION tort Rf: SI))ENTIAL BUILllING. PERMITS • (NEW,I TI.rzATIU(ds, �UllI?IONS, 0(2 REPAIRS) OWNER: L f MILDER: Address: Tel. No.: No. 4-7tol Street: )"Az 67, LOT: BLOCK: ADDITION: COMER LOT: K -- IIISI.DE LOT: SETBACK: SIDEYARDS: Applicant attach 'to this form I%•;o Certificates of Survey of Lot and proposed building location drawn on these Certificates. DESCRIPTION OF BUILDING To Be Used As: C�1a ,*^4dyCP- ' i 2 /� Front: - Depth: ' Height: / Z Square Feet: �_ Cubic Feet: 07-40 Front: Depth: Height: Square Feet: Cubic Feet: Type of Construction: FVAW.-Esti.inated Cost: $ ®Z , To Be Completed: Alt. A Alt. B Proposed Driveway Width If Nein Opening Is Desired $ $ (SEE RrvERSE 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 staged in this application are true and correct. See reverse side for additional info kation. DATE: 26 S1GNATUP.E: Stipulations: SUBJECT PERMIT NO. City of Fridley ff AT THE TOP OF THE TWINS BUILDING PERMIT N�Er CEIP -------- COMMUNITY DEVELOPMENT DIV. r PROTECTIVE INSPECTION SEC. l/ 1 i �----i CITY HALL FRIDLEY 55432 NUMBER REV. DATE PAGE OF APPROVED BY L J` 612-571-3450 910-F15 7/14/83 JOB ADDRESS 4769 Main Street N.E. 1 LEGAL LOT NO. BLOCK TRACTOR ADDITION SEE ATTACHED DESCR. 29,30 5 Plymouth Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Dave Stout 4769 Main Street N.E. 572-8954 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Century Roofing 2494 Clarence Road, Maplewood, 55109 483-8846 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 X 8 DESCRIBE WORK Reroof Dwelling. 9 CHANGE OF USE FROM TO STIPULATIONS -Roof can be 2nd layer but not 3rd. Install ridged galvanized valleys. 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 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 I 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 $800 DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PERMIT FEE SACCHARGE PROVISIONS OF ANY OTHER STATE OR LOCAs LAW REGULATING CON- $15.00 R CTION OR THE PERFORMANC OF CONSTRUCTION. PLAN CHECK FEE TOTAL FEE _6jjV--.2D'$15.50 SIGNATURE OF CONTRACTOR ORAUTHORIZED AGE (DATE) WHEN YALIDATED T IS IS YOUR PERMIT, ♦`PROPERLY BLDG )NSP DAT SIGNATURE OF OWNER 0F OWNER BUILDER) IDATEI CITY OF FRIDLCY 'Effective Aug. 1, 1981 APPLICATIM FOR RESIDENTIAL BUILDING PEW41TS (New, Alterations, Additions, or Repairs) 01111ER: D Qr A/ ADDRESS: �-7 ! li Ac TEL n0:�`— . BUILDER: ADDRESS: TEL N0: IfP)�- pimp Construction Location STRICT NO: STREET: (Aye 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. _ �- Front: DESCRIPTION OF CONSTRUCTION Depth: Height: Square Feet: Cubic Feet: Front: Depth: Height: Square Fent: Cubic Feet: iAr � Type of Construction: ,� S Estimated Cost: A 4b Be Completed: Alt. A Alt. B Proposed Driveway width If New Opening Is Desired: $ $ SEE ?EVER -GE SIDE OF SHEET Slie undersigned hereby makes application for a permit for the tvrk herein specified, agreeing to do.all work in strict accordance with the City of Fridley Ordinances and rulings of the Dejkzrtment of Buildings, and hereby declares that all the facts and representations stated in this application are true and correct. DATE: l - 1 If - x SIGNATU%G : Stipulations: WELL OR BORING LOCATION MINNESOTA -DEPARTMENT OF.HEALTH Minnesota nes to Well and Boring S H 114474 County Name WELL AND BORING SEALING -RECORD `/� F �} Minnesota Unique No. Minnesota Statutes, Chapter 1031 or W -series No. Anoka (Leave blank ff rot known) Township Name Township No. Range No. Section No. Fraction (sm. -> Ig.) Date Sealed q Date Well or Boring Constructed 4_21-97 Numerical Street Address or Fire Number and City of Well or Boring Location Depth Before Sealing 51 n original Depth n 4 6 Fridley Show exact location of well or boring Sketch map of well or boring AQUIFER(S) STATIC WATER LEVEL In section god with W. location, showing property 5P Single Aquifer ❑ Multlaquffer lines, roads, and buildings. N WELLBORING ®Measured [I Estimated W -T- -T- 4- ' I -4 1 -Y- 4- _ ; 1' - -_ --'I 1 -J4- ❑ Yes ❑ No ❑ Unknown 1 1 --i-- -r+4--j- -i-1- AhL ® Water Supply Well ❑ Montt Well El Env. Bore Hole ❑ Other �� n [lbelow ❑ above land surface E CASING TYPES) @( Meal ❑ Plastic ❑ Tile ❑ Other Ya ml(a �3'4i 1 CASING Diameter Depth Set in oversize hole? Annualar space Initially grouted? lS I life— r mlha �i 2 in. from 6 .to .n El Yes [X No E] Yes ❑ No ❑Unknown I in. from to n ❑ Yes ❑ No ❑ Yes ❑ No ❑ Unknown PROPERTY OWNER'S NAME Pro ee maltingrens ff different than well location address indicated above. In. from to ft. ❑ Yes ❑ No ❑ Yes ❑ No ❑ Unknown SCREEWOPEN HOLE Saire C Screen from 47 to ` l ft. Open Hole from to ft. OBSTRUCTIONIDEBRISIFILL E,Obstructlon ❑ Debris ❑ FIII ❑ No Obstruction WELL OWNER'S NAME i Type of Obstruction/Debris/Fill 3611" d • P • `"` f� • k r jet et Well owner's mailing address ff different than property owner's address Indicated above. Obstruction/Debris/Fln removed? ❑XYes ❑ No PUMP rr��r�,tp Type DW jet Removed El NotPresent ❑Other GEOLOGICAL MATERIAL I COLOR HARDNESS OF FORMATION FROM TO If not known, indicate estimated formation tog from nearby well or boring. METHOD USED TO SEAL ANNULAR SPACE BETWEEN 2 CASINGS, OR CASING ® No Annular Space Exits AND BORE HOLE: ❑ Annular space grouted with tremle pipe ❑ Casing Perforation/Removai In. from to It. In. from to n Type of perforator ❑ Other ❑ Perforated ❑ Removed ❑ Perforated ❑ Removed GROUTING MATERWL(S) P Nt lut from 6 to 51 Grouting Material c ft. yards 11 bags from to from to from to It. yards bags n yards bags n yards bags REMARKS, SOURCE OF DATA, DIFFICULTIES IN SEALING UNSEALED WELLS AND BORINGS Other unsealed well or boringon property? ❑ Yes ` k No LICENSED OR REGISTERED CONTRACTOR CERTIFICATION This well or boring was sealed In accordance with Minnesota Rules, Chapter 4725. The Information contained in this report Is true to the best of my knowledge. fl Con r License or Reglsfraton No. d —`1-97 Authorizedpreserrladve Signature Date Rory Danielson LOCAL COPY H 114474 Name of Person Seeing Well or Boring HE -01434-02 10/95R suB�ECr PE City of Fridley 2 5 31 AT THE TOP OF THE TWINS BUILDING P E R r T NO. 1 COMMUNITY DEVELOPMENT DIV. INSPECTION SEC. r PROTECTIVE NUMBERREv DATE PAGE OF APPROVED BY CITY HALL FRIDLEY 55432 ' 612-571-3450 910-F15 10/24/97 JOB ADDRESS 4769 Main Street NE 1 LEGAL LOT NO. BLOCK TRACTOR ADDITION SEE ATTACHED DESCR. 29,30 5 Plymouth SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Betsy Reitan/Marcia Aaby 4769 Main Street NE 571-5712 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Mon -Ray Inc 8224 Olson Memorial Hwy, Golden Valley, MN 55427 546-8625 5111 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 ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Install bay window in kitchen and replacement windows through -out house 9 CHANGE OF USE FROM TO STIPULATIONS Verify window header for new bay window. Install smoke detectors in all sleeping rooms and on each level of the dwelling. SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, TYPE OF CONST. OCCUPANCY GROUP OCCUPANCYLOAD 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 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 $5,685 $2.84 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- $112.25 Fire SC $5.68 STRUCTION OR THE PERFORMANCE OF CONSTRUCTION PLAN CHECK FEE TOTAL FEE License SC $5.00 $125.77 SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT (DATEI EN PROPERLY V — - LDG 'NV ATED THIS IS YOUR PERMIT &:• �. OATE SIGNATURE OF OWNER, IF OWNER BUILDER) IDATEI NEW [ ] Effective 1/ 1/97 ADDN _ [ ] CITY OF FRIDLEY 5� ALTER I ] SINGLE FAMILY AND DUPLEXES R-1 AND R -Z 41 BUILDING PERMIT APPLICATION li 49 ConstructionAddress: 4769 MAIN STREET N.E. Legal Description: Owner Name & Address: BETSY RE ITAN & MARC IA AABY 4769 Main St NE Tel. # 571-5712 Contractor: MON-RAY INC MN LICENSE# 0005111 Address: 8224 Olson Memorial Hwy Golden Valley, MN 55427 —Tel .# 546-8625 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: /�A` Construction Type: / Residential Estimated Cost: $ 5,685.00 •duT (Fee Schedule on Back) Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ _ $ DATE: Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee Sewer Main Charge TOTAL APPLICANT: 6,Tel. # 546-8625 $ 112.25 CITY USE ONLY Fee Schedule on Reverse Side .001 of Permit Valuation (1/101 $.50/$1,000 Valuation $950 per SAC Unit $5.00 (State Licensed Residentia J Alt. "A" or Alt. "B" Above $450.00 Conservation Plan ReviL .. Fee Determined by Engineering Agreement Necessary [ ] Not Necessary [ ] STIPULATI NS: v"' Al 60 D l� / J4161_Zlowe 6, 8 suejEcrI NO:`�" City of Fridley 3 3 3 9 AT THE TOP OF THE TWINS BUILDING PERMIT � RECEIPT NO. • COMMUNITY DEVELOPMENT DIV. r PROTECTIVE INSPECTION SEC. a ✓� I NUMBER REV DATE PAGE OF APPROVED BY I �"'1 � CITY HALL FRIDLEY 55432 IL....A, 763-571-3450 910-F15 1/29/03 JOB ADDRESS 4769 Main Street NE I LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED OESCR. 29,30 5 P1 outh Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE REITAN/AABY 4769 Main Street NE 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Egress Window Systems 5932 53 Avenue S 58104 701-280-7038 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 20311514 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO 6 USE OF BUILDING .Residential 7 CLASS OF WORK ❑ NEW ❑ ADDITION Cj ALTERATION O REPAIR O MOVE O REMOVE 8 DESCRIBE WORK Install egress window 9 CHANGE OF USE FROM TO STIPULATIONS Provide smoke detectors in all sleeping rooms and on all levels of the dwelling per Section 310.9.1.2 of the 1997 Uniform Building Code. Caulk and flash all exterior openings. 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 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 @ $6 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT ,000 $3.00 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- $125.25 STRUC ION OR TH PERFORMANCE OF CONSTRUCTION Fire SC $6.00 PLAN CHECK FEE TOTALFEE i Licen e SC $5.00 $139.25 S�GNAruRE OF CONTRACTOR OR AUTHORIZED AGENT DATE. V#EN PROPERLY VALIDATED THIS IS YOUR PERMIT SIGNATURE OF OWNER OF OWNER BUIL DE Ri iDAiEi ZG 'NS -b-'9 OAit 8 NEW [ ] CITY OF FRIDLEY Effective 1/1/2003 ADDN [ J 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: V14 f Ar'w S4 -K f 41h~ Legal Description: Owner Name & Address: 4446,1 4i�,V 06 Tel. # Contractor: Address: LIVING AREA: GARAGE AREA: DECK AREA: OTHER: MN LICENSE # ?O 31IT LY Tel. # 7-0/ ap'O %3-4" 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: ► r .. Yov/k//Estimated Cost: $ 411040 do Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ _ $ DATE: Q APPLICANT:dyt. l Tel. # AW 341 411% 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. CITY USE ONLY - Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Curb Cut Escrow Erosion Control Park Fee Sewer Main Charge TOTAL $ /eS0' SFee Schedule on Reverse Side $ G , oo .001 of Permit Valuation (1/10th%) $ o & $.50/$1,000 Valuation $ $1275 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 [ ] $ /3 2. as' SUBJECT P City of Fridley 3 3 3 4 4 AT THE TOP OF THE TWINS BUILDING PERMIT f RECEIPT NO. 1 COMMUNITY DEVELOPMENT DIV. PROTECTIVE INSPECTION SEC. r CITY HALL FRIOLEY 55132 L NUMBER ---TnEv DATE PAGE OF APPROVED 8r 763-571-3450 910415 Z / 20 /03 JOB ADDRESS 4769 Main Street NE I LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 29,30 5 1 Plymouth Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Betsy Reitan 4769 Main Street NE 763-571-5712 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Twin Cities Siding Professionals 855 3 St SW STE 1, New Brighton MN 55112 / ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 651-255-2844 20311108 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO 8 USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW ❑ ADDITION ❑ ALTERATION REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Reside House & Garage 9 CHANGEOFUSEFROM TO STIPULATIONS Per Section 1402, 1997 Uniform Building 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. Caulk and flash all exterior openings. Per it Inspection Ards Will ailed o Homeowner To Post 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 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 @ $5.62 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT $11,250 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- 209.25 Fire SC $11.25 STRUCTION OR THE PERFORMANCE OF CONSTRUCTION PLAN CHECK FEE TOTAL FEE Fire SC 5.00 31.12 SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT iOATE. HE PR LY VALIDA ED THIS IS YOUR RMIT BL -NSP riAlk S,GNATURE OF OWNERi1F OWNER BUILDERI IDATE, 02/20/2003 11:06 6516344129 KRISTEN STAMMAN 651b� r PAGEJ 06 1=Eg-2o-2003 09--14 FROM CITY OF FRIDLEY TO NEW ] CITY OF FRIDLEY Effective 1/1/2003 ADDN J 6431 University Ave NE. Fridley, MN 65432 (783) ST2.340�t Bldg Inap ALTER (l 91NOLE FAMILY AND DUPLEXES R4 AND R-2 (783) 571 12117 Fax BUILDING PERMIT APPLICATION Construction Address: 4-1 lo� M 0 � 9 Legal Descrlpllon: L-otS - o� e 30 131oCk 5 Owner Name & Address: ei I" (D'91�1ain 'fit NE Tel. rf�dtv3- 5i l 5'71 a Contractor: 7"'o I ° Al N4 els MN LICENSE S, a03 1 I IOC Addnae: 3"01 5t 5o Ski k r N i m-a5i o• Tei. tl _fosi-655 - 2gL4 Attach to this application, a Cartlticate of Survey of the lot, with the proposed construction drawn on It to scale. DESCRIPTION OF IMPROVEMENT LIVING AIREA: Length Width Height ��_ 54• Ft. OAMOV AREA: Length Width moo.._ Height �� Sq. Ft. DECK AREA: Length �� WWI HWGround _ Sq. Ft. OTHER: Constnxtion Type- L a1 Glfi Estlrnated Cost: g Driveway Curb Cut Width Needed: ___M. + e Ft . Ft x ,,S11 n - y = � DATE: 3 APPLICANT: 1 W l (I clf►eS SIQiIVGf '( ��^4QAQIs . Tel. N Codi (70.118724604 for Permit Fees if Meiling in application. Fax to 74WI4287 if using credit card and we will can you for card number. CITY USE ONLY - Permit Fee $ � � Fee Schedule on Reverse Side Fire Surchwge $ •001 of Permit Valuation (1110th%) State Surcharge $ 5-,__L2 $.50!$1,000 Valuation SAC Charge $ 1 $1275 per SAC Unit License Surcharge $ 5-'00 $6.00 (State Licensed RmWential Contractors) Curb Cut Escrow $ Alt. ' W or Alt, "B" Above Erasion Control $ $450.00 Conservation Plan Review Park Fee $ Fee Determined by Engineering Sewer Main Charge $ Agreement Necessary[ ] Not Necessary [ ] TOTAL $ -�,3 /. /,� Y Ctf��i I'G rJAW GNOF FRIDLEY FRIDLEY MUNICIPAL CENTER • 6431 UNIVERSITY AVE. N.E. FRIDLEY, MN 55432 • (612) 571-3450 • FAX (612) 571-1287 June 29, 1993 Joyce Sivertson 4769 Main Street N.E. Fridley, MN 55432 RE: Home Occupations Dear Ms. Sivertson: In the zoning district where you live, home occupations are permitted as an accessory use, provided that certain criteria are met. I have enclosed a copy of this City Code section for your review. Recently we received information suggesting that you may be operating a business (ongoing garage sale) out of your residence which is not in conformance with the restrictions. If this is correct, please comply with the City Code by discontinuing this activity immediately. Feel free to call me at 572-3595 if you have questions or wish to discuss this further. Thanks for your cooperation! Sincerely, Steven Barg Planning Assistant SB:ls CE -93-304