PRE 2010 DOCSSUBJECT
-PERMIT NO._
City of Fridley
"- 21'864'
AT THE TOP OF THE TWINS
BUILDING PERMIT
r
RE .
�• COMMUNITY DEVELOPMENT DIV.
PROTECTIVE INSPECTION SEC.
r
NUMBER
REV.
DATE
PAGE OF
APPROVED BY
i CITY HALL FRIDLEY 55432
612-571-3450
9t0 -F15
5/20/93
JOB ADDRESS 4600 3rd Street NE
1 LEGAL
LOT NO.
BLOCK
TRACT OR ADDITION SEE ATTACHED
DESCR.
14,15
10
Plymouth. Addition SHEET
2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE
Trulson 4600 - 3rd Street NE 572-1535
3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO.
D & D Home Improvement Inc. 7401 Central Ave NE, Fridley 55432 784-7543 4840
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
Reroof House & Garage (22 S(�uares) Tear -off; Add roof over open area (51 x 71) on
entry
9 CHANGE OF USE FROM TO
STIPULATIONS
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
SO. 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
$2 833
$1.42
WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT
PERMIT FEE
SAC CHARGE
DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE
PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON-
$54.00
Fire SC $2.83
UCTION OR THE PERFORMANCE OF CONSTRUCTION.
PLAN CHECK FEE
TOTAL FEE
\//T`
License SC $5,00
$63.2.5
H P ERL V LIED ED THIS IS YOUR PERMIT
SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT IDATEI
X 26 ^ 'e'"- —7
SLOG INS$ GATE
SIGNATURE OF OWNER))F OWNER BUILDER) IDATEI
NEW [ ] Effective 3/1/92
ADDN [ ] CITY OF FRIDLEY
ALTER{ SINGLE FAMILY AND DUPLEXES R-1 AND R-2����
Building Permit Application
Construction Address: 4400 R��. :5+- Ng
Legal Description:
Owner Name & Address: �� �. �� Tel. #
Contractor: D A D Home Improvement, Inc. MN LICENSE # 4840
Address. Central Avenue N.E., Fridley, MN 55432 Tel. # 784-7543
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: F'94me lh AM-
&PEA Ates
49N6twewl hWSQ
Fwd !dAaAe YVO-F50 `%y'04
Corner Lot [ ] Inside Lot [ ] Ft. Yd
Setback
Side Yard Setbacks
Estimated Cost: $-,/6 y5- Ila --
Type of Construction:
Approx. Completion Date:
/eRa0Q
(Cost
on Back)��
Driveway Curb Cut Width Needed: Ft.
+ b Ft =
Ft x $
= $
DATE: 67— d0- 43
APPLICANT:A Tel. #��
Permit Fee $
Fire Surcharge $(
State Surcharge $
SAC Charge $
License Surcharge $ C
Driveway Escrow $
Park Fee $
Sewer Main Charge $
TOTAL
STIPULATIONS:
CITY USE ONLY
Fee Schedule on Reverse Side
.001 of Permit Valuation (1/10th%)
$.50/$1,000 Valuation
$700 per SAC Unit
$5.00 (State Licensed Residential Contractors)
Alt. "A" or Alt. "B" Above
Fee Determined by Engineering
Agreement Necessary [ ] Not Necessary [ ]
CITY OF FRIDLEY INSPECTION DIV,
6431 University Ave NE
Fridley, MN 55432
512-3604
Effective On January 1, 1993
APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION,
REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES
Residential
Furnace Shelf and Duct Work, Burner -
Also Replacement Furnace
Gas Piping (Needed with new furnace)
Gas Range
Gas Dryer
*Air Conditioning - All Sizes
All Others/Repairs & Alterations (LIST ON BACK)
1% of Value of Appliance or Work
Commercial/Industrial
I% of Value of Appliance or Work
Rate
$ 20.00
$ 10.00
$ 10.00
$ 10.00
$10.00
State Surcharge
TOTAL FEE
JOB ADDRESS
The undersigned hereby makes application for a permit for the work herein
TOTAL specified agreeing to do all work in strict accordance with the City Codes and
rulings of the Building Division, and hereby declares that all the facts and
$ representations stated in this application are true and correct,
-- �9 ,1993
MINIMUM FEE FOR ANY HEATING/COOLINGNENTILATION
REFRIGERATION/AIR CONDITIONING PERMIT IS $15.00
PLUS THE 5.50 STATE SURCHARGE
REINSPECTION FEE $30.00
*Air Conditioners can not be placed in a side yard without
written permission from adjoining property owner.
OWNERS <t4✓? /�-'� �?'�.�
BUILDING USED AS
ESTIMATED COST �� ®� PERMIT NO. /OAR
R
Pi • • 11 ULAr;RIJRX-91X71-iTE5 -0
No, of Heating Units Circle One (Steam) (Hot No. Water a A )
Trade Name.r '� iIze k�_)
BTU HP EDR
Fuel � Total Connected Load
Burner Trade Name
BTU HP
Size No.
EDR
HEATING COMPANY���
Signed By�t�—'
Approved By( Hough -In Date Final Date
FILL OUT BACK SIDE FOR STACK VERIFICATION ON
REPLACEMENT FURNACE
CHIMNEY AND STACK VERIFICATION
The undersigned hereby verifies that the existing chimney or stack:
1.
Has been carefully examined
Yes
(
)
No
( )
2.
Is free from rust or deterioration
Yes
(
)
No
( )
3.
Has no foreign objects lodged within
Yes
(
)
No
( )
4.
Is securely supported
Yes
(
)
No
( )
S. Meets all current Code requirements for
size and total BTU's connected Yes ( ) No ( )
6. Has total heating BTU's off/
All other BTU's
TOTAL BTU's�y �
Remarks
List Alterations Being Done:
HEATING COMPANY -�
Signed By r ��
Date