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PRE 2010 DOCS3200 FRANCE AVE. S0. 3rd. STREET N.E. 1 ROMAN ROAD I hereby certify that the above to a survey of Late One (1) through Twenty (20). Block Three (g).,CAWQNIS -SWIT MANOR CODTH ADDITION, Anoka County. Minnesota. shoving the location of the houses on said lots. As surveyed by me this 18th day of April 1955 A. D. Signed Minnesota Redatration No. 2484 W Q Z 41� u LL� 75 I is �i a 70 9 .W! 4az� A a Dt N! 49 y •z 'ca � roa' Z4I�' � 40.2 .2 -t-r— /l N 4 l ".9,61 V4 i26' 9 lI I 2s13 .. oc la N IIJ �7 [t[tcd IJyz N ~ 14 L . N — -- 15 16 IT 16 19 U. 2026.2 _I -- . -- -- Z 10 9 8 T 6 5 4 _2 02AgaY " 4877 s z y 4888 v !4t N N ly0 401 / N N 11l / I :2422 '^ $ 4 '� 4817 I t' _ 1^ d r•' � ei 75 r M '75 Or � r 9W r r �, • ' I 70 1 ROMAN ROAD I hereby certify that the above to a survey of Late One (1) through Twenty (20). Block Three (g).,CAWQNIS -SWIT MANOR CODTH ADDITION, Anoka County. Minnesota. shoving the location of the houses on said lots. As surveyed by me this 18th day of April 1955 A. D. Signed Minnesota Redatration No. 2484 W Q Z 41� u LL� Lu sueJEcr City of Fridley NG WRECKING 148'78 AT THE TOP OF THE TWINS I L I N G PERMIT r g U P RECEIPT NO. � � COMMUNITY DEVELOPMENT DIV. L I � PROTECTIVE INSPECTION SEC. / i "1 CITY HALL FRIDLEY 55432 d NUMBER REV. DATE PAGE OF APPROVED BY j 612-560-3450 910-F15 8/28/78 JOB ADDRESS 4989 Inman Road N.E. 1 LEGALLOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. lO 3 Carlson`s S t Manor South... SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE C. A. Cyrus. 49.89, Inman Road N.E. 3 CONTRACTOR MAILADDRESS 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 I ❑ NEW F-1ADDITIONElALTERATIQN ❑ REPAIR ❑ MOVE EX REMOVE 8 DESCRIBE WORK Wreck 14' x 22' Garage 9 CHANGE OF USE FROM TO STIPULATIONS Area to be cleaned and all debris from wrecking removed. 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 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 HIEREBY CERTIFY THAT 1 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, WITH WHETHER SPECIFIED HEREIN OR NOT, THE GRANTING OF A PERMIT $NONE 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. $10.00 PLAN CHECK FEE TOTAL FEE OL $10.00 SI ATURE OF CONTRACT OR AUTHo ZED AGENT (DATE) W E P PE Y VALIDATED THIS IS YOUpR� PERMIT ® �j SI IDATEI BLDqE Lu s 1Chy of Frid ley �s�cr Permit No. r WRECKING PERMIT APPLICATIOiJ Receipt No. L-__'_--� GOMWNITY DEVULL&P'iyENT DIV. FROTECTIVQ C9154VOCTION C3PT, I s CITY H44 -L FRIOLRY D 2 j epa-509-3"D NIY"Sasl3 RRV. DATE PAGE OJ APF�ROV€D ®Y Job Address q,70, 9 � RD Legal Lot No. Block No. Tract or Addition Desc. 110 0oN,1 9d5 Sum, -%I! e 6 I'24,Alog 5. Property Owner Address C- A Cy Phone a CJSS 15roa!o r R4 V Contractor Address Phone CNON Description Front Depth Height Sq. Xt. Cu �t,� of Bldg. � � �j 09R AC. C No. of Dwelling Units Taxes Paid Tax Receipt No. Estimated Cost of Wrecking 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. 0 /1. ,a -0 Contra o r--c9—f-- 7L Date a a 0 , G'7 i � 1 C� SUBJECT City of Fridley ® 1490 AT THE TOP OF THE TWINS PERMIT BUILDING EIPT L •_ ___ COMMUNITY DEVELOPMENT DIV. r PROTECTIVE INSPECTION SEC. i i - CITY HALL FRIDLEY 55432 �'••' o ,`� NUMBER REV. DATE PAGE OF APPROVED BY 612-580-3450 910-F15 9/6/78 T / JOB ADDRESS 4989 Roman Road N. E. 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 10 3 Carlson Is Summit Manor South SHEET 2I PROPERTY OWNER MAILADDRESS ZIP PHONE ;Cyrus Alan Cyrus 4989 Roman Road N.E. 560-2641 3 CONTRACTOR MAILADDRESS ZIP PHONE LICENSE NO. Same 4' ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 51 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO. 6 USE OF BUILDING Residential 7 CLASS OF WORK Ej NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Construct a 28' x 261 Garage tff $ CHANGE OF USE FROM TO -STIPULATIONS provide a hard surface driveway. SEPERATE PERMITS REQUIRED FOR WIRING. HEATING, PLUMBING AND SIGNS. TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY'LOAD ARAT PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, .._SE VENTILATING OR AIR CONDITIONING. Wood Frame 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 R-1 728 7280 )ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS OFFSTREET PARKING I HEREBY CERTIFY THAT 1 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. $511`270 $2.63 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- $29.12 STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. PLAN CHECK FEE TOTALFEE $31.75 SI ATURE OF CON ACTOR OR AUTHORIZED AGENT - (DATE) WH PR ERLY VALIDATED THIS IS YOUp /PERM!T r�: - BLDG. INSP � ATE SIGNATURE OF OWNER OWNER BUILDERI (DATE) � CITY OF FRIDLEY APPLICATION FOR RESIDENTIAL BUILDING PEiIMITS (NEW, ALTL"-RATIONS, ADDITIONS, OR REPAIRS) OWNER: S A /�� C'YR U_S BUILDER: Address: ��i 1`%��l /� P� Address: e Tel. No . V 60 r9 6 No.:. Street: LOT: / Bwdn 3 ADDITION: ` q R X So A/'s SIA IV&,I2 CORNER LOT: INSIDE LOT: SETBACK: SIDEYARDS: 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: GARAC �, Front: Depth: ( Height: Square Feet: WS Cubic Feet: 'Front: Depth: Height: Square Feet: Cubic Feet: Type of Construction: Uj56,0 FR Me Estimated Cost: $ To Be Completed: /Vo 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. See reverse side for additional information. DATE: C?— Co 6F7- SIGNATURE: 00--- 11.AAQ Stipulations: So F BLOCK CARLSON'S SUMMIT MANOR SOUTH ADDITION FRI DLEY 9A OKA COUNTY, MINNESOTA FOR / ARVID E.GARLSON E4, SON INC. 3200 FRANCE AVE. SO. 3rd. STREET •N•E• 75 75 75 75 7y 75 p. d5 g4 i . V. ?• n' 40.2 N• n --7s _ 40.2 .^.�.�#�. 95..^.'� 92.2 / o.z �o.� �o:l� zz .17.0 40.2 �' ^N N. 4916 4928 N 4988 / N 4976 " 4964 //$g v N C 8dN�' N ^� .16.7 w9jw nl y Y N / 262 Cal M M 1 4 15 16 1 p g I e y Utiillias Eas18enf 19— 20 — — 65 — — - -7 — 74 — N i 5 4 0 > i 7 � r 14_9 40.2 :p9 40 2-.a 4 02 N •tiri wI'D ' 440.2 14941 �yi •. 5' 2940.Z 402 NN59 4 9 65 ° 9174wl aq�=• Ne �'/ ' . v. r 242 S w T, 75 75 v 15 69.68 Iw' 70-- � 85 g6 7$ ROMAN ROAD I hereby certifv that the wove 13 a survey of Lots One (1) thr.uzh T.•r:nty (70). Block Three (=). F_u.0 Atl^.'TIC::. 6neks Cmuty, AYnaeacta, showing the location of the hcuses on said lots. 01 SUBJECT T NO. City of Fridley 27839 ' AT THE TOP OF THE TWINS �' I � � D � A f i� PERMIT r v ' V V N%O. `L _ COMMUNITY DEVELOPMENT DIY. _____' PRo SEC. �ll 01 �'� CITYY HALL FRIDLEY 55432 NUMBER REV DATE PAGE OF APPROVED By L 612-571-3450 91aF15 9/17/98 JOB ADDRESS 4989 Roman Rd NE 1 LEGALLOT NO. BLOCK TRACTOR ADDITION SEE ATTACHED DESCR. 10 3 Carlson's Summit Manor South Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Laura Johnson 55421 572-2663 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Owner Same 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 C REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Reroof house & garage (14SQ) Tear-off/house (8SQ) 2nd layer 9 CHANGE OF USE FROM TO STIPULATIONS Underlayment must comply with the State Building Code. Roofing can be the 2nd layer but not the 3rd. 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 BO 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 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 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT $1,714.00 $.86 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 PLAN CHECK FEE TOT L FEE $59.328 SIGNATURE OF CONTRACTOR OR AUTHORIZED ENT IOATEI N P O AID TFW$ I Mly� BLD .NSP -f OATt StGNATUAE 01 W Ep.I WNEA BWLDEpI IDATEI 01 NEW ADDN [ ] CITY OF FRIDLEY ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION ConstructionAddress: (4q 6q VC L Legal Description: � Owner Name & Address: La_jjL)- aIM-an Tel. # Contractor:®l 11 X12- MN LICENSE # Address: Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF IMPROVEMENT Tel. # Effective 1/1/98 5D • aCP�3 LIVING AREA: Length Width Height Sq. Ft. GARAGE AREA: Length Width Height Sq. Ft. DECK AREA: Length Width Hgt/Ground Sq. Ft. OTHER: `" \. I 40U S TCA — 01�-Zr— /M Construction Type: '(P—'` LQ� V1D�5� % �� Estimated Cost: $ (Fee Schedule on Back) Ft x $ = $ Driveway Curb Cut Width Needed: Ft. + 6 Ft = _ f% DATE:o APPLiCANT: D( 3 CITY USE ONLY . STIPULATIONS: Permit Fee $� ?S Fee Schedule on Reverse Side Fire Surcharge $ .001 of Permit Valuation (1/10th%) State Surcharge $ $.50/$1,000 Valuation SAC Charge $ $1000 per SAC Unit License Surcharge $ $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 $ . STIPULATIONS: From: 612 262 4095 Page: 2/8 Date: 7/31/2007 4:26:15 PM 612 262 4095 ALLINA 16:27:02 07-31-2007 Building PLUMBING Permit No.: Inspections%"-0WmuAppLjCATj0N RV"fl 763-572-3604 CITY OF FRIDLEY D h DATE -';m YOUR E-MAIL ADDRESS Lau l J IAC SITE ADDRESS TENANT OWNER/ TENANT SUITE NO. SUBMIT A COPY OF STATE LICENSE it EXP DATE —GAS PIPING YOUR STATE ADDRESS: CITY STATE ZIP LICENSE WITH PHONE FAX LAVATORY APPLICATION PERMIT TYPE a INSTITUTIONAL JiMULTI FAMILY a SWIMMING POOL 17 TOWNHOUSE [3 COMMERCWJINDUSTRIAL a OTHER a NEW )QREPLACEMENT a ALTERATIONAW40DEL TYPE OF WORK: DETAILED DESCRIPTION OF WORK _ _ I _LjA & V- 711 'SPC jeel– Kl i" n — ( en- a CLOTHES WASHER — FLOOR DRAINS _ DISHWASHER —GAS PIPING DRINKING FOUNTAIN GREASE TRAP r*FAUCET _ —KITCHEN SINK _ FLAMMABLE WASTE TANK _ LAUNDRY TRAY LAVATORY Total Job Valuation Permit Fee Surcharge Total Due All fees are RPZ VALVE BACKPLOW PREY. _ ROOF DRAINS —SHOWER _ SLOP SINK _SWIMMING POOL on valuation, including the cost $ 60 (1.25% of Job Valuation / Minimum fee: $35) $ Valuation X.0005 $ Make Checks Payable to: City of Fridley THIS IS AN APPLICATION FOR A PERMIT -NOT VALID UNTIL PROCESSED WATER HEATER WATER METER WLR WATER PIPING _ WATER SOFTENER _ WATER CLOSET and 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. rJ NAME OF APPLICANT DATE -kV JP cl a 7 • SIGNATURE OF APPLIC City of Fridley Building Inspections Department 6431 University Avenue NE, Fridley, MN 55432 763-572-3604 FAX 763-502-4977 0, Building BUILDING Permit No.: Inspections RESIDENTIAL APPLICATION Received By: AM 763-572-3604 CITY OF FRIDLEY Dat" 4-i— - , 2:"9 763-502-4977 FAX EFFECTIVE 1-1-09 DATE �/—b `©% YOUR E-MAIL ADDRESS P/ ,U-0 SITE ADDRESS �/Je A' o %4 1 lnei9, THIS APPLICANT IS: ❑ OWNER ,MCONTRACTOR PROPERTY OWNER/ NAME: Ab z ,,4 ^1 ��_ i,�C''a ADDRESS: e2.69 Ro,"A,,, 12D�� r CITY A` _ d/cSTATEI�ZIP TENANT PHONE: 612- - 6 70 - !7z/Z :z CONTRACTOR NAME: 1'r4'e-ca ew nre_' o ff' STATE LICENSE # 2y5 -937_71I EXP DATE 31-10 SUBNET A COPY OF YOUR STATE LICENSE AND CERTIFICATE OF ADDRESS: 566C- &"4dASrW"AW 1;A;' I W CITY/.vv-.e 11WIAr /� §CATEI IJZIP J INSURANCE PHONE 667 68 FAX .SZZZ PROPERTY TYPE );5 SINGLE FAMILY/NEW CONSTRUCTION SIZE ❑ TWO FAMILY/NEW CONSTRUCTION STORIES PERMIT TYPE ❑ ADDITION ❑ GARAGE/SHED ❑ WINDOWS ❑ BASEMENT FINISH ❑ ROOF ❑ DRAIN TILE ❑ DECK )0 SIDING ❑ OTHER ❑ SWIMMING POOL TYPE OF WORK: ❑ NEW HOME CONSTRUCTION ❑ ADDITION ❑ MAINTENANCE/REPAIR XREMODELING DESCRIBE WORK BEING DONEXe-.*ha,/,;! oMZST..-2 SIZE OF IMPROT LENGTH WIDTH HEIGHT SQ FT ROOFING ❑ HOUSE ONLY BASEMENT REMODELING SUBMIT: NUMBER OF SQUARES ❑ HOUSE & GARAGE 1. Existing Floor Plan GARAGES ❑ ATTACHED GARAGE 2. Proposed floor plan PROPOSED SIZE: ❑ DETACHED GARAGE 3. List of structural members to be used PROPOSED HEIGHT: SIDING FOR NEW CONSTRUCTION INCLUDING DECKS, Vinyl ❑Soffit ADDTITONS_ & PORCHES SUBMIT: ❑ Aluminum ❑ Trim 1. Site Plan/Survey showing the existing structures ❑ Other ❑ Fascia and proposed protect 2. Two sets of construction plans WINDOWS 3. Energy Calculations IN EXISTING OPENINGS ❑Yes ❑No LOCATION OF WINDOWS OR FOR NEW OPENINGS -DESCRIBE SIZE OF OPENING CHANGES & TYPE OF WINDOW TO BE INSTALLED NUMBER OF WINDOWS ALL FEES ARE BASED ON VALUATION, INCLUDING THE COST OF LABOR AND MATERIALS: (US THE 1997 U.B.0 FEE SCHEDULE) TOTAL JOB VALUATION S� 7 �Z7 i OCCUPANCY TYPE Permit Fee Plan Review Fire Surcharge Surcharge License Surcharge SAC Charge Curb Cut Escrow Erosion Control Park Fee Sewer Main Charge Total Due $ $ at�� $e3y See Back Page for Fee Schedule 65% of Building Permit Fee .001 times the total job valuation .0005 x Permit Valuation Minimum $.50 $5.00 (State Licensed Residential Contractors) $2000 per SAC Unit (Plans to MWCC for determination) ft+6ft= ftx$21=$ $450 Conservation Plan Review Fee Determined by Engineering Agreement necessary ( ) Non Necessary ( ) 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 fo a permit and work is not to start without a permit on site; that the work will be in accordance with the approved plan in the case of al k which r uires review and approval of plans. SIGNATURE OF APPLICANT �-J �--PRINT f PLEASE NOTE: SEPARATE PERMITSAREREQUIRED FOR PLUMBING, ELECTRICAL AND MECHANICAL WORD