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PRE 2010 DOCS• Date: 4ugust 22, 1967 U City of Fridley, Minn.. N9 9 412 BUILDING PERMIT Owner: Kenneth or Sandra Gill Builder Kenneth Gill Address 4638 3rd St. N. E. Adams Same LOCATION OF BUILDING No. 4638_ Street ________ 3rd St. N. E. ---- part of Lot Lot -_,_. 6 __ Block 10 Addition or Sub -Division . Plymouth Addn . Corner Lot _ Inside Lot Setback Sewer Elevation Sideyard Foundation Elevation DESCRIPTION OF BUILDING To be Used as: Garage Front 24' Depth 24' Height 10 Sq. Ft. 576 Cu. Ft 5760 Type of Construction Front Depth Height Sq. Ft. Cu. Ft. Frame Est. Cost __. $900.00 __ To be Completed Oct. 1967 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 afl provisions of ordinances of the city of Fridley. /-.I— i In consideration of the payment of a fee of $ 9.00 , permit is hereby granted to Kenneth Gill to construct the building or addition as described above. This permit is granted upon the eFrm4ndition that the person to whom it is granted and his agents, employees and workmen, In all work. done and upon said building, or any part thereof, shall conform in all respects to the ordinances of Fridl, ota regardinng location, construction, alteration, maintenance, repair sad moving of buildings VLthlimits and this permit may be revoked at any time upon violation of any of the P�� of said ordinances. CLARENCE BELISLE Building Inspector NOTICE: This per dt does not cover the construction, hstaMon for wiring, plua*ing, gas heating, sower or water. Be sun to son the Building Inspector for separate pemdis for them Homs. OT''?t�IMLZ.UA FOR MISiDItiG :...',-s_LT Mt Z 0't{ I Ic*;MEY•, MMINIESOTA OWNER'S NAME 11S nl J:t�.l' � `� �� e� 0 W ��' i L � R`; s t •t�RR �L N N F ADDRESS ADDRESS LOCATION OF BUILDING NO. STREET 7G 2 , I'� PART OF LOT LOT 6' BLOCK /I DDITION OR SUBDIVISION L T1 u u i 1 1 o N ya Al 01<19 L o 1vTv CORNER LOT INSIDE LOT SETBACK SIDE -YARD SEWER ELEVATION FOLMDATION ELEVATION 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 Ag: Front DepthHeight G� Sq. Ft. ��, i� Cu. Ft. Front Depth Height _Sq. Ft. Cu. Ft. Type of Construction LRA 4 Estimated Cost 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. ,f DATE O- / ' SIGNATURE (Schedule of Fee Costs can be found on the Reverse Side). 533 7358 CHESTER J. HETLEY Registered Land Surveyor MINNEAPOLIS, MINN. 7780 48th Avenue North Survey For — Kenneth Gill ` 4638 ThirdcStreet N. E. Minneapolis, Minnesota ;—= ` — =.—/30.55'--- j ,,.-�-- z o d, • � ' Z9• as' 1� i• I ' , �. .. ; '^ -x-3.8 � � W I 0 %5 Cb I � !D \, e i :tin _'o ' _o = /,Pa// 1W01V I hereby certify that this is a true and correct representation of a.survey of the boundaries of Lots 5 and 6. Block 10, Plymouth Addition, Anoka County, Minnesota. As surveyed by me this 23rd day of September 1966. BE'TLEY • • - MWR REG. NO. 4742 .. 1, , City of Fridley, Minn. BUILDING PERMIT • Date: August 26, 1968 E Owner: Address Kenneth Gill 4638 3rd St. N. E. Builder Same Address Same _ LOCATION OF BUILDING N® No. —46-3Z-- Street — 3rd et N Fm :— __ _ _ Part of Lot Lot 5 & 6 _ Block 10 Addition or Sub -Division .M_ PlyMouth Addn . Corner Lot ---- Inside Lot _ Setback Sewer Elevation Sideyard Foundation Elevation DESCRIPTION OF BUILDING To be Used as: Addn . Front 24 ' Depth 16' Height 9 Sq. Ft. Cu. Ft. Front _ _ Depth -- Height _ Sq. Ft. Cu. Ft. Type of Construction ___ Frame Est. Coat __L25_90. 00 __._ To be Completed '�'N'06�Z) 9902 In consideration of the issuance to me of a permit to construct the building described above, gree to do the proposed work in accordance with the description above set forth and in li rovisions of ordinances of the city of Fridley. 1-1 24 7.00 Kenneth Gill In consideration of the payment of a fee of $ ,permit is hereby granted to._._... 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 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. e Clarence Belisle • NOTICE: Thi permit does not cover the construction, Installation for wiring, plumbing, gas heating, sewer or water. Be sun to no the Building hnpeetor for separate permits for these hems. APPLICATION FOR BUILDING PERMIT OITY OF FRIDLEY, MINNESOTA 9 c OWNER B S NAME�2 BUILDER ADDRESS �%G�•Y %��_ �� ADDRESS LOCATION OF BUILDING NO._3 STREET 3 L 0 T_ BLOCK ADDITION OR SUBDIVISION 6?,� COR -NM LOT INSIDE LOT �� SETBACY SIDEYARD SEWER ELEITATION TOP OF FOOTING Applicant attach to this forte. Two Oertifi,ates of Survey of Lot and proposed building location dram on thes: Certificates. To Be Used As: DESCRITT i ON OF BUILDING Front 1z Depth - Height 1 'quare feet, -?-VA /(c Cubic Front Depth Feet Height Square feet Cubic Feet Type of Constructionz t,/O l/__ Estimated Cost 4� 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 repreoentations stated in this application are true and correct. _ A /) DATE SIGNATURE / (Schedule of Fee Costs oan be found on the Reverse Side) CHESTER J. BETLEY Registered Land Surveyor MINNEAPS, MINN. A 7780 48thOLIAvenue North Survey For — Kenneth Gill 4638 ThirdcStreet N. E. Minneapolis, Minnesota 533 7358 r 01 ,, - esq� 00, ' Vo O T` i L9 e J1 f rL 0 L'Z.7.. SCALE / zo __O Mod lVallott'rwr N I hereby certify that this is a true and correct representation of y a survey of the boundaries 'of Lots 5 and 69 Block 100 Plymouth Addition, °1 Anoka County, Minnesota. As surveyed by me this 23rd day of September 1966, `S3 Q iEsrl:Ir J. sEIMY MINN. R$G. NO. 4742 SUBJECT PERMIT City of Fridley 18733 AT THE TOP OF THE TWINS BUILDING PERMIT _ i � • --- COMMUNITY DEVELOPMENT DIV. ' 1 L - --I INSPECTION �� PROTECTIVE SEC. �j� i ,.� CITY HALL FRIDLEY 55432 NUMBER REV. DATE PAGE OF APPROVED BY ---- L 612-571-3450 910-F15 10/29/8 JOB ADDRESS 4638 -- 3rd Street N.E. 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 6 10 Plymouth Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Kenneth Gill 4638 - 3rd Street N.E. 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Pilgrim Remodeling 11473 - 199th Avenue N.W. 527-8902 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 8 DESCRIBE WORK Reroof & Reside Dwelling 9 CHANGE OF USE FROM TO STIPULATIONS Rpof can be 2nd layer but not 3rd. Install ridged galvanized valleys. 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 CORREC ALL PROVISIONS OF LAWS VALUATION SURTAX AND,ORDINAN ES GOVERNING THIS TYPE OF W K WILL BE COMPLIED $2.25 WITH WHET SPECIFIE EIN OR NOT. THE GR TING OF A PERMIT $4,500 DOES NO P SUME I AUTHORITY TO VIOLAT OR CANCEL THE PERMIT FEE SA HARGE PROVIS N O T R S TE OR LOCAL LAW EGULATING CON- S RU I FO NCE OF CONSTRUCTI $50.50 PLAN CHECK FEE TOTAL FEE Af $52.75 "/I'SIG TUREOF ONTRACTORORAUTHORIZED AGENT (DATE) WHEN PROPERLY LIDATED THIS IS YOUR PERMIT B DG INSP A ATE SIGNATURE OF OWNER IIF OWNER BUILDERI IDATEI NEW [ ] ADDN. [ ] ALTER. 7111 construction Address: Legal Description Owner Name & Contractor:_ Address LIVING AREA: GARAGE AREA: DECK AREA: OTHER: City of Fridley �R-1 AND R-2 Building Permit Application VA I ME; ;I s: eA)A) e %4r -)l7'1 'a1774ae_/ 4 SMA 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 Length Width LV -4th __ Width Height Height Hgt/Ground Effective 4/1/86 Tel. # 5E7 Sq. Ft. Sq. Ft. Sq. Ft. __ Corner Lot [ ] Inside Lot [ ] Ft//. Yd. Setback Side Yard Setback Type of Construction: �"�oo'oe (+�.3 Estimated Cost: $ "ry s Approx. Completion Date: Alt. A Alt B Proposed Driveway Width If New Opening Is Desired: See Back Page for Explanation DATE: APPLICANT: Tel. # CITY USE ONLY Permit Fee $ Fee Schedule on Reverse Side Plan Check $ 25% of Building Permit Fee State Surcharge $ $.50/$1,000 Valuation SAC Charge $ $475 per SAC Unit Park Fee $ Fee.Determined by Engineering Sewer Main Charge $ Agreement Necessary [ ] Not Necessary [ ] TOTAL STIPULATIONS: FA 01 SUBJECT P City of Fridley 29794' AT THE TOP OF THE TWINS BUILDING PERMIT RECEI COMMUNITY DEVELOPMENT DIV. r � � PROTECTIVE INSPECTION SEC. F � r CITY HALL FRIDLEY 55432 NUMBERREV DATE PAGE OF APPROVED BY 612-571-3450 910415 6/30/99 JOB ADDRESS 4638 3rd Street NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 6 10 1 Plymouth Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Jeff Budnick 574-1953 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Owner 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 0 NEW 0 ADDITION 0 ALTERATION &K REPAIR 0 MOVE 0 REMOVE 8 DESCRIBE WORK Reroof house (12 Square) Tear -off 9 CHANGE OF USE FROM TO STIPULATIONS Underlayment must comply with the State Building Code. SEPARATE PERMITS ARE REOUIRED 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 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 $1049 $.52 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- STRUCTION OR THE PERFORMANCE OF CONSTRUCTION PLAN CHECK FEE TOIAL FEE 3.37 SI RE OF CONTRACTOR OR AUTHORIZED A Ni IDATEI H NP Y VALI T THIS IS R P R ��+ S -GNAT F OWNER.IF OWNER BUILOERI IDATEI DG INS- FA 01 NEW[ ] Effective 5/10/99 ADDN [ ] CITY OF FRIDLEY q� ALTER [ ] SINGLE FAMELY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION Construction Address: Legal Description: Owner Name & Address: v iJN L Tel. # S 714 - l (� 3 Contractor: <'Sc� i= MN LICENSE # Address: -SA al — Tel. # Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF EM PROVEMENT LIVING AREA: Length Width Height Sq. Ft. GARAGE AREA: Length Width Height Sq. Ft. DECK AREA: Length Width �— Hgt/Ground Sq. Ft. OTHER: / Z S , i a1c" Construction Type: F�A'iZF Estimated Cost: $ �� f Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ = $ DATE: Ca -30- APPLICANT: Tel. # Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee Sewer Main Charge TOTAL STIPULATIONS: CITY USE ONLY Fee Schedule on Reverse Side .001 of Permit Valuation (1/100h%) $.50/$1,000 Valuation $1050 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 [ ] CIW OF FRIDLEY INSPECTION DIV. 6431 University Ave NE " Fridley, MN 55432 572-3604 APPLICATION FOR PLUMBING AND GAS FITTING PERMIT MARK NUMBER OF FIXTURES TO BE INSTALLED ON EACH FLOOR 9 -1i -ad Effective On Jan 1, 2000 PLUMBING FIXTURE RATES: New Fixtures Old Opening, New Fixture Beer Dispenser Blow Off Basin Catch Basin Rain Water Leader Sump/Receiving Tank Water Treating Appliance Water Heater -Electric Water Heater - Gas** Gas Range'"* NO. RATE $ 7.00 $ 4.00 $ 5.00 $ 7.00 $ 7.00 $ 7.00 $ 7.00 $10.00 $ 7.00 $10.00 $10.00 TOTAL JOB ADDRESS 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 Building Division, and hereby declares that all the facts and representations stated in this application are true and correct. 20 013 Owner �C�� �U�/�l - Building Used As Gas Dryer** $10.00 Estimated Cost Back Flow Preventer Required ( )Yes () No Type �-ibCO $15.00 PLUMBING COMPANY -A UK--P'Tl oj S�STt3l� Reinspection Fee $47.00/Hr SIGNED B ALL OTHERS AND/OR REPAIRS AND ALTERATIONS 1.5% of Value of Fixture or Appliance Approved By State Surcharge $ .50 PERMIT NO. �y'kve TEL N0. ? - S81INJ Rough -In Date Final Date TOTAL FEE $ lf?i�• 0' PLUS THE S.50 STATE SURCHARGE COMBUSTION AIR SHALL BE PROVIDED PER UMC SECTION 504(A) AND TA 6-A. COMMON VENT INFO ON BACK SIDE COMMON VENT, VENT CONNECTOR AND COMBUSTION AIR VERIFICATION When replacing an existing furance, 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 meet the current codes 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 installina a new venting system, the undersigned hereby verifies that it is a listed assembly and meets the current codes and manufacturers 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 : G7YOF FRIDLEY FRIDLEY MUNICIPAL CENTER - 6431 UNIVERSITY AVE. N.E. FRIDLEY, MN 55432 - (612) 571-3450 - FAX (612) 571-1287 September 18, 2000 Jeff Budnick 4638 3 Street NE Fridley, MN 55421 Re: Final Inspection at 4638 3 Street NE Contractor: Owner Dear Mr. Budnick: A plumbing permit was issued on May 4, 2000, for the above noted address, to install a back flow preventer for an irrigation system. According to section 4715.2800 of the State Plumbing Code, a final inspection shall be conducted on the plumbing authorized by this permit. As of this date no inspection has been called for. You will be given thirty (30) days from receipt of this notice to respond. If we do not hear from you, we will expire the permit and any inspections on this installation will require a new permit. Any questions can be addressed to myself at (763) 572-3603. Sincerely, DAV,CAENSEN BuilMg Inspector