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PRE 2010 DOCS0 Village of Fridley, Minn. BUILDING PERMIT No 817 Office of INSPEMOR OF BUILDINGS Owner Architect Fridley, Minn.,`''' 19 Builder LOCATIPN OF BUILDING NO Street Part of Lot Lot F Block a Addition or Sub -Division DESCRIPTION OF BUILDING Front Depth ! Height Stories Manner of Construction To be used as " ; To be completed � Estimated Cost »� Permit is hereby granted to -� ` to the building k`_v °`°"`'"" described in the above statement. This permit is granted upon the express condition that the person to whom it is granted, and his agents, employees and workmen, in all the work done in, around and upon said building, or any part thereof, shall conform in all respects to the ordi- nances of Fridley, Minn., regarding the 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. Inspector of Buildings. AGREEMENT AND SWORN STATEMENT In consideration of the issue and delivery to me by the Inspector of Buildings of Fridley of the above permit, I hereby agree to do the proposed work in accordance with the description above set forth and according to the provisions of the ordinances of Fridley, and, being first duly sworn, I hereby state and say that the facts stated by me and contained in the above permit are true as therein stated. Subscribed and sworn to before me at Fridley, day of ' �� c A.D. 19-7,---": C� Minnesota, this—�, 401 0 Date Ad Village of Fridley, Minn. ................... s ......... 4 Address BUILDING PERMIT O°."............ N° 2437 Builder ... 1 .. ... ................ . Address ... ....1,• - •. ............ LOCATION OF BUILDING ilk Np.. !' � � ... ;`. � .Street . �:ov. �............... . .. Part l�,of Lot ......... ........... . Lot . f� r ...... r Sub -Division "., �...« Block ... Addition o ,... ...:......_ ..... ... Corner Lot .......:.... Inside Lot ....... Setback ....... , Sideyard ,.11 ..., .:......... . DESCRIPTION OF BUILDING To be Used as: fv Depth I Sq.IlFi.D. Cu. Ft. ........ 4 ... 147F Front- ..... Depth .....Ieight ... Sq.;! Pt......... Cu. Ft . ........ Type -.of Consia•uctiop Est: Cof.0 �. .0,0 .... To be !Completed ►t . • �I�I j. • j� li • 1� In consideration of the issuance to me of a permit to construct the building the proposed work In accordance with the description above set forth and in c ordinances of the village of Fridley. described above, I agree to do mpliance with all ;provisions of WWVjn yofAe payment of a fee of $A.?. . permit is hereby grant r WA,F.- ^."..'; g.;• r�.�.r :to construct the building or addition as described abov, the express condition , t the person to whom it is granted and his agents, emph done in, around and upon said building, or any part thereof, shall, conform In all Fridley, Minnesota regarding location, construction, alteration, maintenance, repai in the village limits And this permit may be revoked at any time n la c ordinances. �• NOTICE: Thi®: permit does not cover the construction, Installation or alteration for v sewer or water. Be sure to see the Building Inspector for separate permits for Ito . This permit .is granted upon gees and workmen, in all work espects to the ordinances of and moving of buildings with - any -of the provisions of said A , Building Inspector plumbing, gas heating, I Items. City of Fridley SUBJECTPERMIT ®� 18 AT THE TOP OF THE TWINS BUILDING PERMIT r L. R CEIPT N `y COMMUNITY DEVELOPMENT DIV. r PROTECTIVE INSPECTION SEC. 1 =� ---I% CITY HALL FRIDLEY 55432 �.---� • %.j NUMBER REV. DATE PAGE OF APPROVED BY 612-560-3450 910—F15 9/9/75 JOB ADDRESS 4603 3rd Street N.E. 1 LEGAL LOT NO. BLOCK TRACTOR ADDITION SEE ATTACHED DESCR. 16, 17 9 Plymouth Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Loren Smerud 4603 3rd Street N.E. 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Nede aard Construction 111 45th Avenue N.E. 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. SAME 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO. 6 USE OF BUILDING residential 7 CLASS OF WORK e ❑ NEW [X ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK 24 x 24 addition 9 CHANGE OF USE FROM TO STIPULATIONS REQUIRED FOR WIRING, SEpERA TE PERMITS SIGNS. HEATING, PLUMBING AND � � O VA SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, TYPE OF CONST. wood frame 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 576 11,520X 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 15,900 7.95 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 PR 151qNS OF ANY OTHER STATE OR LOC LAW REGULATING CON- $58.35 ST UCTIO OR THE PER RM NCE OF CON UCTION. w PLAN CHECK FEE TOTAL FEE 66.30 SIGNATURE OF CON RACTORORA HORIZEDAG NT (DATE) EliNN PROPERLY VV IDATED T/F/SIS IS YOUR PERMIT BLDG INSP DATE SIGNATURE OF OWNER IIF OWNER BUILDERI (DATE) 010 M APPLICATION FOR RESIDENTIAL, ALTERATION, OR ADDITION BUILDING PERMIT CITY OF FRIDLEY, MINNESOTA OWNER'S, NAME :ICOR N cM,9k vkO BUILDER : JIGDE Gf9N�'® ADDRESS :—,-/6 0 3 3 R_A Sr, IVf ADDRESS: NO • •. STREET: LOT: 6 BLOCK: ADDITION : C-1 �qm o v 7N CORNER LOT: INSIDE LOT: SETBACK: SIDEYARD: 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: AP -Q6,4 f vs g Front: 2 y Depth : Height: Square Feet: Cubic •Feet : f SZ -d Front: Depth: Square Feet; Cubic Feet: Height: Type of Construction: AD b hi Estimated Cost: $ /o"oov , e0 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. DATE: /— ?- SIGNATURE: (See Reverse Side For Additional Information.) /. ar d I.3 SSS 3� 'gs, ©d Zso.oc+ 446 (00 9S4. 0 01 s�s.3� CITY OF FRIDLEY APPLICATION FOR POWER PUNTS AND HEATING, COOLING, VENTI.LATION, REFRIGERATION AND $ .AIR CONDITIONING SYSTEMS AND DEVICES PARTIAL RATE SCHEDULE 7.00 $ k7,, r Ilk 6 3xl J�- N GRAVITY WARM AIR: RATE TOTAL Job Address Furnace Shell & Duct Work $12.00 7.00 $ $ Replacement of Furnace 7.00 $ Department of Buildings Repairs & Alterations -up to $500.00 4.00 $ City of Fridley Repairs & Alterations each add. $500.00 each addn. 50,000 BTU 6.00 Tel. #571-3450 MECHANICAL WARM AIR: Furnace Shell & Duct Work to 100,000 BTU $12.00 $ ' each add. 50,000 BTU 4.00 $ Replacement of Furnace 7.00 $ k7,, r Repairs & Alterations -up to $500.00 7.00 $^ Repairs & Alterations each add. $500.00 4.00 $ STEAD! OR HOT WATER SYSTEM: Boiler & Lines up to 100,000 BTU $12.00 $ each addn. 50,000 BTU 4.00 $ Boiler only up to 100,000 BTU 7.00 $ each addn. 50,000 BTU 6.00 $ OIL BURNER- to 3 gal. per hour $10.00 $ each add. 3 gal. per hour 10.00 $ GAS BURNER- from 100,000 BTU to 199,999 BTU $10.00 $ 16,61 (over 199,999 BTU see Fee Schedule) $ •2 GAS FITTING FEES: lst 3 Fixtures x $ 3.00 Additional Fixtures x $ 1.00 $ Gas Range to 199,000 BTU x $10.00• $ AIR CONDITIONING $ FAN HEATING SYSTEMS See Fee Schedule $ VENTILATING SYSTEMS $ ALTERATIONS $ REPAIRS $ State Surcharge $ .50 TOTAL FEE $ ROUGH INSP. Date FINAL INSP. Date APPROVAL FOR PERMIT /k-kl REINSPECTION FEE ($10.00) MINIMUM FEE FOR ANY HEATING PERMIT IS $7.50 PLUS $.50 STATE SURCHARGE The undersigned hereby makes application for a permit for the work herein specified agreeing to do all work in strict accordance with the City Codes and rulings of the Department of Buildings, and hereby declares that all the facts and representations stated in this application are true and correct. Fridley, Minn. ��% ` / '19-22 OWNER KIND OF BUILDING USED AS"r TO BE COMPLETED ABOUT �» 7 ESTIMATED COST O OLD - NEW BUILDING PERMIT NO. PERMIT NO. DESCRIPTION OF FURNACE/BURNER HEATING or POWER PLANTS, Steam, Hot Water, Warm Air- No. Trade Namey/ .0 -"� Size No. i Capacity Sq. Ft. EDR BTU A0 HP Total Connected Load Kind of Fuel _ BURNER - Trade Name Size No. Capacity Sq. Ft. EDR BTU HP Company //� Signed By �/,�7f 3h -i Tel. No. SUBJECT P City of Fridley AT THE TOP OF THE TWINS BUILDING PERMIT- 22840 ,- r RE-EtPI NO. • _ COMMUNITY DEVELOPMENT DIV ~ __RF zt // 3J 6,& r PROTECTIVE INSPECTION SEC NUMBER REV DATE PAGE OF APPROVED BY /'--S CITY HALL FRIDLEY 55432 612-571-3450 910415 8/31/94 JOB ADDRESS 4603 3 Street NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 16-17 9 Plymouth SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Loren Smerud 4603 3 Street NE 572-8868 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Exterior Design Service 6391 Monroe St NE, Fridley 55432 571-3220 3237 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 0 ALTERATION II REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Reroof House & Shed (20 Squares) Tear -off; aluminum xxx soffit & fascia 9 CHANGEOFUSEFROM 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. 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 I 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 $1,500 $.75 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- $35.00 Fire SC $1.50 STR CTION OR TH RMANCE OF CONSTRUCTION. PLAN CHECK FEE TOTAL FEE XRF License SC $5.00 $42.25 SIGNATURE/FdDN.R CTOR ORAUTHORIZED AGENT IDATEI PROP RLYXALIDATED BLDG INSP THIS IS YQ4R PERMIT MATE SIGNATURE OF OWNE IIF OWNER BUILDER] IDATEI NEW [ ] Effective 1/ 1 /94 ADDN [ J CITY OF FRIDLEY ALTER O SINGLE FAMILY AND DUPLEXES R -I AND R-2 Building Permit Application' a Construction Address: Lr2�,�//, Legal Description: Owner Name &TAMress: Tel. #r� 72— Contracto : c �✓�`'-�� MN LICENSE # 33 Address:Tel. 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/G ound Sq. Ft. OTHER:�� Corner Lot [ ] Inside Lot [ l Type of Construction: Approx. Completion Date: _ J >�:� Ft. Yd Setbac Side Yard Setbacks Estimated Cost: $ D (Cost on Back)_ Driveway Curb Cut Width Needed: Ft. , 6 Ft= Ft x $ DATE: APPLICANT:o ,��. Tel. #�S 7/ —3 CITY USE ONLY Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee Sewer Main Charge TOTAL STIPULATIONS: $ .on S Fee Schedule on Reverse Side .001 of Permit Valuation (1110th%) $.50/$1,000 Valuation $800 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 [ ] SUBJECT PE City of Fridley 29782 AT THE TOP OF THE TWINS BUILDING PERMIT COMMUNITY DEVELOPMENT DIV. y7 r PROTECTIVE INSPECTION SEC CITY HALL FRIDLEY 55432 NUMBER REV DATE PAGE OF APPROVED BY 612-571-3450 910-F15 6 28 99 JOB ADDRESS 4603 3rd Street NE 1 LEGALLOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 16,17 9 1 Plymouth SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Loren Smerud 572-8868 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO American Building Contr. 12247 Nicollet Ave S Burnsville 55337 707-6959 291109292 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO 20169383 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO 8 USE OF BUILDING Residential 7 CLASS OF WORK O NEW O ADDITION O ALTERATION 1 REPAIR O MOVE O REMOVE 8 DESCRIBE WORK Reroof house and garage (26 Sq) Tear-off 9 CHANGE OF USE FROM TO STIPULATIONS Underlayment must comply with the State Buildng Code 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 1 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 $2272 $1.14 DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PERMIT FEE SAC CHARGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING COW STRUCTIONORT PERFORMANCE OF CONSTRUCTION $83.25 Fir C 2.27 � PLAN CHECK FEE TOT FEE -112-4 '10� Li c C 5 1.66 S0NATUAE OF CONTRACTOR OR AUTHORIZED AGENT tOATEi HEN P O IS IUR� IT BLD INSP �Mlfi DATk S-GNATUaE OF OWNEp,iF OWNER BU0.0EF1I iDATEi nuu-GJ-177t3 <a+., L J ADDN [ ALTER [ ConstructionAddress: uy:lb rKull k-:1 I Y UI- FRIDLEY lu 7079925 P.01/02 hrrectrve 111198 CITY OF FRIDLEY SINGLE FAMILY AND DUPLEXES R-1 AND It 2,� BUILDING PERMIT APPLICATION 0S 3rd c Legal Description: ' Owner Name &Address: Zoren Tel. # 41 Z- - -S72 - Contractor: 4twe `Cy,7 %r„< & *roe ,� ss MN LICENSE #, ZV � Address: j -z2 e%% yVj`Co 11,4 Ade ZWOSW A Ai Tel. # 6/z 70 -7 -6 -FS --j 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: Construction Type: 42e jlo F Estimated Cost: $ . (Fee Schedule on Back) Driveway Curb Cut Width Needed:_ t. Ft = Ftp $ = $ Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee Sewer Main Charge TOTAL . STIPULATIONS: $ :6010 Tel. # CITY USE ONLY Fee Schedule on Reverse Side .001 of Permit Valuation (1/10th%) $.501$1,000 Valuation $1000 per SAC Unit $5.00 (State Licensed Residential Contractors) Alt. "A" or Alt. "B" Above $450.00 Conservation Plan Review Fee Determined by Engineering Agreement Necessary [ J Not Necessary [ ) 107 SUBJECTP MIT NO. City of Fridley 3 0971 AT THE TOP OF THE TWINS BUILDING PERMIT REC O. ►v ----- COMMUNITY DEVELOPMENT DIV. r PROTECTIVE INSPECTION SEC g�®� CITY HALL FRIDLEY 55432 NUMBER pEV DATE PAGE OF APPROVED BY ,•� L 612-571-3450 910415 5/23/00 JOB ADDRESS 4603 3 Street NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 16,17 9 1 Plymouth Addition SHEET 2 PROPERTY OWNER MAIL ADORES$ ZIP PHONE Lauren/Maryann Smerud 4603 3 Street NE 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Capital Siding 9673 Wynstone Dr, Woodbury, MN 55125 578-9205 20053636 a 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 Reside House & Garage 9 CHANGE OF USE FROM 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. 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 OWLG. 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 $7,820 $3.91 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- $153.25 Fire$7.82 STRUCTION OR THE PERFORMANCE OF CONSTRUCTION /8C PLAN CHECK FEE TOTA EE _ Licens $5.00 $169.98/L) NA URE CO! "R, a AurM(� NT iDATEi N P OPE LIDA IS YOUR �PrHIS �IT�A/ NA OFO NEA4 OWNER BUILDER. iDATE- .BLD .NSA 0ATI, 107 NEW [] ADDN [] ALTER [ ] Construction Address: CITY OF FRIDLEY SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION Effective 1/1/2000 (763) 572-3604 Bldg Insp �0 0 Legal Description: Owner Name & Address: �--,cr cAV Ch -1 mG r ti ,Sm z V 4-1( Tel. # Contractor. Ca ,o i �i �r e MN LICENSE # Z CSD S U 3C Address %673 Gjyns7�e�►� (�c �JOWL414 ma k) /2STel.#,,SI)S��-�°,�OS 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: �W09- Construction Type: Si Estimated Cost: $ 017 6, ` Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ =$ DATE: S APPLICANT: Tel. # 6 S/ Si $� 7;-0 S CITY USE ONLY - Call (763) 572-3604 for Permit Fees if mailing in application Permit Fee $ 1 25Fee Schedule on Reverse Side Fire Surcharge $ 16 .001 of Permit Valuation (1/10th%) State Surcharge $ tG ( $.50/$1,000 Valuation SAC Charge $_$1 100 per SAC Unit License Surcharge $ 5 OD$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: SUBJECT City of Fridley 31291 AT THE TOP OF THE TWINS BUILDING PERMIT • _____ COMMUNITY DEVELOPMENT DIV. � LV r PROTECTIVE INSPECTION SEC 1 . r CITY HALL FRIDLEV 55432 NUMBER REV DATE PAGE OF APPROVED BY 612-571-3450 91Q-F15 8/9/00 JOB ADDRESS 4603 3 Street NE 1 LEGALLOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 16,17 9 Plymouth Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Loren Smerud 4603 3 Street NE 763-572-8868 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Minnesota Rusco Inc 5558 Smetana Dr, Minnetonka MN 55343 952-935-9669 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 B DESCRIBE WORK Replace windows within existing openings 9 CHANGEOFUSEFROM 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. 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 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 $7,029 $3.51 DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PERMIT FEE SACCHARGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- $153.25 Fi4 SC $7.02 STRUCTION OR THE PERFORMANCE OF CONSTRUCTION PLAN CHECK E TO AL FEE Lice e C $540 168.78 SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT (DATE, E PRO VALI TED THIS I,UR PQM L� �7♦rUJI S,GNATURE Of OWNERJi OWNER BUILDER, [DATE, Bl INSo BATE NEW [ ] Effective 1/1/2000 ADDN [ ] CITY OF FRIDLEY 612-572.3604 Bldg Insp ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION Construction Address: #600 Ijad �f • W. t�" l� Legal Description: Y1 Owner Name & Address: 0 Tel. # 113 MA 486 Contractor: MINNESO RUSCO, INC. MN LICENSE # /2-3 Address: 14innn N 66344 Tel. #,� 9J5-766? 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: Construction Type.: 0- Estimated Cost: $ Driveway Curb Cut Width Needed: Ft + 6 Ft = Ft x $ _ $ DATE: is --n) APPLICANT: Tel. # (?Q I36- CITY USE ONLY - Call (6112) 5724604 for Permit Fees if mailing in application Permit Fee $ Sr 16-3, -ZS — Fee Schedule on Reverse Side Fire Surcharge $ '701 .001®f Permit Valuation (1/10th%) State Surcharge $.50/$1,000 Valuation SAC Charge $$1100 per SAC Unit License Surcharge $ 6--60 $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/70 TOTAL $ �68- /0 STIPULATIONS: ADDRESS PIN LEGAL DESC PERMIT TYPE PROPERTY TYPE CONSTRUCTION TYPE CITY OF FRIDLEY 6431 UNIVERSITY AVENUE NE FRIDLEY, MN 55432 572-36U4 YAX: (763) 571-1287 : 4603 3 ST NE : 263024330009 : UNAVAILABLE : LOT BLOCK : PLUMBING : RESIDENTIAL : ADDITION/ALTERATION PE N0.:2004-0187 DATE ISSUED: 10/18/2004 VALUATION : $ 0.00 NOTE: COMBUSTION AIR SHALL BE PROVIDED PER UMC CHAPTER 6 AND TABLE 6-A. INSTALL A GAS WATER HEATER. # ELEC WATER HEATERS 0 VALUE OF FIXTURE/APPLIANCE 0 # NEW FIXTURES (EXIST OPENINGS) # GAS DRYERS # OF NEW FIXTURES # WATER TRMT APPLIANCES APPLICANT NORBLOM PLUMBING CO 2905 GARFIELD AVE S MINNEAPOLIS, MN 55408-2173 (612)827-4033 OWNER SMERUD LOREN D & MARY A 4603 3RD ST NE FRIDLEY, MN 55421 0 # GAS WATER HEATERS 1 0 # GAS RANGES 0 0 VALUE (FOR MINIMUM CALC) 400 0 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 reguO�'constructfl or the performance of construction. Ann icant ., / I Date , \ Bldg Insp PLBG PERMIT MINIMUM FEE 0.00 PLBG FIXTURES (NEW OPENINGS) 0.00 PLBG FIXTURES (EXIST OPENINGS) 0.00 WATER TREATMENT APPLIANCE 0.00 WATER HEATER - ELEC 0.00 WATER HEATER - GAS 35.00 GAS RANGE FEE 0.00 GAS DRYER FEE 0.00 PLBG REPAIR/ALTERATIONS 0.00 STATE SURCHARGE, PLBG FLAT 0.50 TOTAL 35.50 PAID WITH CHECK # 29282 SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. CITY OF FRIDLEY INSPECTION DIV. 6431 Uhiversity Ave NE Effective April 1, 2004 Fridley, MN 55432 APPLICATION FOR PLUMBING AND GAS FITTING PERMIT�� (763) 572-3604, FAX (763) 571-1287 WIAMN NUMUCK ur 1-IAI UKI=S IU 131: INSIALLED ON EACH FLOOR ..::.. Urinal ..}.::T.•::titi:i:::::• ...........::: :.�:.::..::.::..::.:: . . ... Shower Wash Tray Floor Drain .�...::.: Auto. �;:-•:;::;;;::.;<::::.: .:�':��i>?:> G S Gas Ran e ::.:: �;;;s; Water Heater G1.asElec Basemen and rulings of the Building Division, and hereby declares that all the facts Blow Off Basin $10.00 and repres and correcL Catch Basin $10.00 SMERUD, LOREN Rain Water Leader Floor 4603 3RD STREET NORTHEAST 101 20 H , FRIDLEY, MN 55421 Sump/Receiving Tank $10.00 , (763) 572-8868 Water Treating Appliance $35.00 OWNER_ Water Heater -Electric Floor 2 Water Heater - Gas" �_ $35.00 11 BUILDING USED AS St d e v1c Gas Range** Gas Dryer*' $10.00 $10.00 ESTIMATED COST q6 O oto PERMIT NO. Back Flow Preventer Required ( )Yes () No Floor 3 Type $15.00 PLUMBING COMPANY NO (- \k OVA tailNl IFjC s� Floor PLUMBING FIXTURE RATES: NO. RATE - TOTAL JOB ADDRESS_ &W ruff New Fixtures $10.00 The undersigned hereby makes application for a permit for the work herein Old Opening, New Fixture $10.00 specified agreeing to do all work in strict accordance with the city codes Beer Dispenser $10.00 and rulings of the Building Division, and hereby declares that all the facts Blow Off Basin $10.00 and repres and correcL Catch Basin $10.00 SMERUD, LOREN Rain Water Leader $10.00 4603 3RD STREET NORTHEAST 101 20 H , FRIDLEY, MN 55421 Sump/Receiving Tank $10.00 , (763) 572-8868 Water Treating Appliance $35.00 OWNER_ Water Heater -Electric $35.00 Water Heater - Gas" �_ $35.00 11 BUILDING USED AS St d e v1c Gas Range** Gas Dryer*' $10.00 $10.00 ESTIMATED COST q6 O oto PERMIT NO. Back Flow Preventer Required ( )Yes () No Type $15.00 PLUMBING COMPANY NO (- \k OVA tailNl IFjC s� Reinspection Fee $50.00/Hr ALL OTHERS AND/OR REPAIRS AND ALTERATIONS 1.25% of Value of Fixture or Appliance State Surcharge TOTAL FEE SIGNED BTEL N\jq��AP12) $Z%-5!033 Approved By Rough -In Date Final Date MINIMUM FEE FOR ANY PLUMBING/GAS PERMIT IS $15.00 or 5% OF COST $ -3S SD OF THE IMPROVEMENT WHICHEVER IS GREATER PLUS THE SURCHARGE COMBUSTION AIR SHALL BE PROVIDED PER UMC SECTION 504(A) AND TABLE 6-A. "PROVIDE COMMON VENT INFO ON BACK SIDE FILL IN COMPLETELY -FOR REPLACEMENT FUEL BURNING APPLIANCE PERMITS COMMON VENT VENT CONNECTOR AND COMBUSTION AIR VERIFICATION When replacina an existing furnace, 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 termination. Yes ( ) No ( ) The undersigned also verifies that the replacement unit is a listed assembly and meets the current codes and manufacturer's specifications. This does include AGA-GAMA Category I Central Furnace Venting Tables for fan assisted and natural draft appliances. Yes ( ) No( ) The existing combustion air is sized and installed to r-reet the- cu»-enr c odes and manufacturer's specifications. Yes ( ) No (. ) When required to Install a new combustion air, it will be sized and installed to meet the current codes and manufacturer's specifications. Yes ( ) No( ) When Installing a new venting system, the undersigned hereby verifies that it is a listed assembly and meets the current codes and manufacturer's specifications. This does include AGA-GAMA Category I Central Furnace Venting Tables for fan assisted and natural draft appliances. Yes ( ) No ( ) Is the common vent and vent connectors sized and installed correctly after an appliance has been removed from the common vent and vented separately as per current codes. Yes ( ) No( ) Appliance Type and Size/Common Vent and Vent Connector Information Appliance #1 Type BTU Input Fan Assisted or Nat Appliance #2 Type BTU Input Fan Assisted or Nat Appliance #3 Type BTU Input Fan Assisted or Nat Total Appliances Total Btu Input Common Vent Type Vent Height Diameter inches Appliance #1 Vent Connector Height ft 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 ALTERATIONS: (Describe) HEATING CO: Signed By: Date : Building ', -P A 006 BUILDING 2006,'' Permit No.: " See Back Page for Fee Schedule Plan Review $ n RESIDENTIAL APPLICATION Received By: 763-572-3604CITY OF FRIDLEY Date Rec'd: Ci / DATE ' 11z - O u YOUR E - MA -JI. APDRE§S 1 m n n•eS0+0 - r U. s C v c m sITE ADDRESS S Z/ THIS APPLICANT IS: O OWNER CONTRACTOR $ PROPERTY OWNER/ NAME: SAC Charge TENANT ADDRESS: fai CITY STATE—ZIP Curb Cut Escrow p PHONE: 703'5%i • CONTRACTOR NAME. $ SUBMIT A COPY OF STATE LICENSE # A173 EXP DATE -9/ 0 mW &L YOUR STATE LICENSE ADDRESS: 5558 Vv- CITY `lfY1ft-4•- STATE ZIP55313 WITH APPLICATION PHONE '?SZ • 935 • -7 00 9 FAX a5Z ' q•35. 9$1/4/ $ PROPERTY TYPE O SINGLE FAMILY/NEW CONSTRUCTION SIZE Total Due $ O TWO FAMILY/NEW CONSTRUCTION STORIES Make checks payable to: City of Fridley Attach PERMIT TYPE Q ADDITION O GARAGEISHED DOWS O BASEMENT FINISH O ROOF O DRAIN TILE O DECK O SIDING O OTHER O SWIMMING POOL TYPE OF WORK: O NEW O ADDITION ;BCMAINTENANCE/REPAIR O REMODELING DESCRIBE WORK BEING DONE: 1 1 S v SIZE OF IMPROVEMENT IV LENGTH WIDTH HEIGHT Sq -Ft. ROOFING O HOUSE ONLY NUMBER OF SQUARES O HOUSE & GARAGE BASEMENT REMODELING SUBMIT: GARAGES O ATTACHED GARAGE 1. 2. Existing Floor Plan Proposed floor plan PROPOSED SIZE: O DETACHED GARAGE 3. List of structural members to be used PROPOSED HEIGHT: SIDING FOR NEW CONSTRUCTION INCLUDING DECKS, O Vinyl OSoffit ADDITIONS. & PORCHES SUBMIT: O Aluminum O Trim 1. Site Plan/Survey showing the existing strucUm O Other O Fascia and proposed project. WIIVDOWS 2. Two sets of construction plans IN EXISTING OPENINGS I(Yes ONo LOCATION OF WINDOWS 3. Energy Calculations OR FOR NEW OPENINGS -DESCRIBE SIZE OF OPENING CHANGES & � TYPE OF WINDOW TO BE INSTALLED t►Jii NUMBER OF WINDOWS ALL FEES ARE BASED ON VALUATION, INCLUDING THE COST OF LABOR AND MATERIALS: (USING THE 1,997 U.B.0 FEE SCHEDULE) TOTAL JOB VALUATION $ 15 3(a • D 0 OCCUPANCY TYPE Permit Fee $ 5? 3 ds- See Back Page for Fee Schedule Plan Review $ 65% of Building Permit Fee Fire Surcharge $ .001 times the total job valuation Surcharge $ (, 9,1 .0005 x Permit Valuation Minimum $.50 License Surcharge $ S JDO $5.00 (State Licensed Residential Contractors) SAC Charge $ $1550 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 $ 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 ermit 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 a uire4 rea anMp alof plans. T �/ �j SIGNATURE OF APPLICANT PRINT NAME J V d DATE I J ! Building BUILDING Permit No.: 0 w Inspections RESIDENTIAL APPLICATION Received By: 763-572-3604 CITY OF FRIDLEY Dat MAY 2009 5' 5'0 1YOUR i C� m r U s e v C v m DATE - L DRESS c r n n�e.SO+a- SITE ADDRESS c 3 fry S Z 1 THIS APPLICANT IS: ❑ OWNER CONTRA TOR PROPERTY OWNER/ NAME: TENANT ADDRES . Ci'I Y STATE_ZIP 22 s�1 PHONE: —7 3 5 / a1 - M U K CONTRACTOR NAME A . SUBMIT A COPY OF STATE LICENSE # A173 EXP DATE 3/91' mW �j Z4:V � 55313 YOUR STATE LICENSE ADDRESS: 5558 CITY �.�Ylt,� STATE ZIP WITH APPLICATION PHONE 9S7- - 935 • ? tP4, 9 FAX 462 • 935 . qs'ly PROPERTY TYPE ❑ SINGLE FAMILY/NEW CONSTRUCTION SIZE ❑ TWO FAMILY/NEW CONSTRUCTION STORIES PERMIT TYPE Q ADDITION ❑ GARAGEISHEDWINDOWS In ❑ BASEMENT FINISH [3ROOF DRAIN TILE ❑ DECK ❑ SIDING ❑ OTHER ❑ SWAIMIIJG POOL TYPE OF WORK: ❑ �' 13 ADDITION MAnJTENANCE/REPAIR ❑ REMODELING DESCRIBE WORK BEING DONE: S l A440S 1il+b A42ia O SIZE OF IMPROVEMENT LENGTH WIDTH HEIGHT Ft. ROOFING ❑ HOUSE ONLY NUMBER OF SQUARES ❑ HOUSE & GARAGE BASEMENT REMODELING SUBMIT: GARAGES ❑ ATTACHED GARAGE 1. 2. Existing Floor Plan 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 ADDITIONS. & PORCHES SUBMIT: ❑ Ahuninum ❑ Trim 1. Site Plan/Survey showing the existing structures ❑ Other ❑ Fascia and proposed project WINDOWS 2. Two sets of construction plans IN EXISTING OPENINGS /es I7No LOCATION ^r ur rrv-u'e 3. Energy Calculations OR FOR NEW OPENINGS -DESCRIBE SIZE OF OPENING CHANGES & ' S TYPE OF WINDOW TO BE INSTALLED _ MBER 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 $ J/LOai '00 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 $ I(� $ 5 $ 7 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) $1550 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 savable to: City of Fridlev Attac 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 perrOt 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 reqVs reLi a d a1;pJqya1„of plans. . / - T I , , I.-- SIGNATURE OF APPLICANT