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' �
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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
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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
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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