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UntitledI l II it Village of Fridleyo Mhm. BUILDING PIUMM 82�� Office of INSPEUO$ OF BUMDING4S I ct �, Fridley, Minn.,-`� _+ _ _ _ 19— LOCArMON OF BUILDING .._� Street part of Lor 7 Addition or Sub -Division DESCRIPTION OF BUILDING Front' '� De ;l Height stories Manner of C,onstrac On To be used as `'` To be completed "e �< Estimated Costa ✓� ''-- II P to_ Permit is here ted the buildingdescribed in the above statement. This permit is granted upon the express Cy nditlon that the person to whom it to 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, �I Minn., regarding the construction, alteration, maintenance, repair and moving of buildings within the city 164 and this permit may be revoked at any time upon violation of any of the provisions of said ordinances. �I .:A • = inspector of `Buildings. ►+�� li AGREEMENT AND SWORN STATEMENT In conside tion of the issue and delivery to me by the Inspector of Bufidings of Fridley of the above per I' t, I hereby agree to do the proposed work in accordance with the description above set forth i 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 itated. I I Subscribed d' sworn to before me at Fridley, Minnesota,, day of ` .D. 18 i I I i .I L SUBJECT PERMIT N City of Fridley 19220 AT THE TOP OF THE TWINS BUILDING PERMIT EIPT NO. ' COMMUNTY DEVELOPMENT DIV. r i -____I L PROTECT VE INSPECTION SEC. ' CITY HALL FRIDLEY 55432 ti.__.Jl.' '•� NUMBER REV. DATE PAGE OF APPROVED BY 612-571-3450 910-F15 10/1/87 JOB ADDRESS 4639 - 3rd Street N.E. 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 22,23 9 Plymouth SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Arthur Forest 4639 - 3rd Street N.E. 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. George B. Johnson Contr. 5410 Grand Avenue North, Brooklyn Center 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 566-2351 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO. 6 USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW ❑ ADDITION ❑ ALTERATION l REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Reroof House (11 2/3 Squares) 9 CHANGE OF USE FROM TO STIPULATIONS Roofing can be 2nd laxer but not 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 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 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 $600 $.50 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- $15.00 STRVCTIOP OR THE PERFORMANCE OF CONSTRUCTION. /i AN CHECK FEE TOTALFEE WIDATI $15.50 SIGNATU FCO ACTOR OR AUTHORIZED AGENT WtIEN RROPER Y V I ATED THIS IS YOUR PERMIT BLDG )NSP 0 E SIGNATURE OF OWNER IIF OWNER BUILDER) (DATE) NEW [ ] City of Fridley Effective 4/1/86 ADDN. [ ] R-1 AND R-2 ALTER. [ ] Building Permit Application Construction Address: Zd�' Legal Description: 14 &Owner Name & Address: ��`� A,5Tel. Contractor: Tel. # Address: �Vo4 VJ� 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: aw Corner Lot [ ] Inside Lot [ ] Ft. Yd. Setback Side Yard Setback r Type of Construction: Estimated Cost: Approx. Completion Date: Alt. A Alt B Proposed Driveway Width If New Opening Is Desired: $ $ See Back Page for Explanation DATE:A-/47 APPLICANT:,Z4,02 # CITY USE ONLY Permit Fee Plan Check State Surcharge SAC Charge Park Fee Sewer Main Charge TOTAL STIPULATIONS: Fee Schedule on Reverse Side 25% of Building Permit Fee $.50/$1,000 Valuation $ 525 per SAC Unit Fee Determined by Engineering Agreement Necessary [ ] Not Necessary [ ] CITY OF FRIDLEY INSPECTION DIV. Effective On January 1, 1991 6431 University Ave NE Fridley, MN 55432 APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION, 572-3604 REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES JOB ADDRESS RATE SCHEDULE The undersigned hereby makes application for a permit for the work Residential Rate TOTAL herein specified agreeing to do all work in strict accordance with the Furnace Shell and Duct Work, Burner - city codes and ruling of the Building Division, and hereby declares Also Replacement Furnace $ 20.00 $_2 d® that all the facts and representations stated in this application are true and correct. 1 _97 ,1991 Gas Piping (Needed with new furnace) $ 10.00 $ E 1 u- I I"1 c F'O1'e%-V OWNER Gas Range $10.00 $ W /e�1 i.� �l q BUILDING USED AS Gas Dryer $10.00 $-71 16-0, &® ESTIMATED COST .#/ PERMIT NO. > 'Air Conditioning - All Sizes $ 10.00 $ All Others/Repairs & Alterations (LIST ON BACK) 1 % of Value of Appliance or Work $ Commercial/Industrial 1 % of Value of Appliance or Work $ State Surcharge $ .50_ TOTAL FEE $ 'g0 'so MINIMUM FEE FOR ANY HEATING/COOLINGNENTILATION REFRIGERATION/AIR CONDITIONING PERMIT IS $15.00 PLUS THE $.50 STATE SURCHARGE REINSPECTION FEE $30.00 • Air Conditioners can not be placed in a side yard without written permission from adjoining property owner. DESCRIPTION OF FURNACE AND OR BURNER No. of Heating Units(War�Al _ Circle One (Steam) (Hot Water) Trade Name 594 A 1T' Size No. 3'qSCA BTU Wo,0-6 HP EDR Fuel AIA -" 6A S Total Connected Load 53, "-6 Burner Trade Name Size No. BTU HP EDR HEATING COMPANY Blaine Heating, Air Cond & Elec Inc. 3562 Central Avenue NE Anoka MN 55304 Signed Tel No. 757-6200 Approved Rough -In Date Final Date 3 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 (.,,4) No ( ) 2. Is free from rust or deterioration Yes (h No ( ) 3. Has no foreign objects lodged within Yes (,A) No (') 4. Is securely supported Yes (-/4 No ( ) 5. Meets all current Code requirements for size and total. BTU's connected Yes (Yi No ( ) 6. Has total heating BTU's of 6to,!16-0 All other BTU's i -1O, &6-a TOTAL BTU's /0610n Remarks List Alterations Being Done: HEATING COMPANY Blaine Heating, Air Conditioning & Electric, Inc. .13562 Central ven .N.E.Xa MN 55304 signed By Wr�.4 Date 3/15/95 :CIN OF FRIDLEY INSPECTION DIV. Effective On August 1, 1995 6431 University Ave NE Fridley, MN 55432 APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION, 572-3604 REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES JOB ADDRESS��1 ft/= RATE SCHEDULE The undersigned hereby makes application for a permit for the work herein Residential Rate TOTAL specified agreeing to do all work in strict accordance with the City Codes and Furnace Shell and Duct Work, Burner — rulings of the Building Division, and hereby declares that all the facts and Also Replacement Furnace $ 30.00 $ representations stated in this application are true and correct. i9'7L_ (Side Vent — Fill Out Back) _ Gas Piping (Needed with new furnace) $10.00 $ OWNER Gas Range $10.00 $ 7, BUILDING USED AS Gas Dryer $ 10.00 $ ESTIMATED COST PERMIT NO. �o?� *Air Conditioning — All Sizes $ 25.00 $ �s . DESCRIPTION OF FURNACE AND OR BURNER All Others/Repairs & Alterations (LIST ON BACK) I% of Value of Appliance or Work $ No. of Heating Units Circle One (Steam) (Hot Water) (Warm Air) Trade Name Size No. Commercial/industrial BTU HP EDR 1.25% of Value of Appliance or Work $ Fuel Total Connected Load State Surcharge .50 Burner Trade Name Size No. BTU HP EDR TOTAL FEE�aS 5 t! � STANDARD HEATING WND AIR CDS. NTNG 410 Vt c T LAKE STREET MINNEAPOLIS, MN 55406.29M HEATING COMPANY 612-624-2556 MINIMUM FEE FOR ANY HEATING/COOLINGNENTILATION REFRIGERATION/AIR CONDITIONING PERMIT IS $25.00 Signed Bye Lat:z2�/ Tel No. PLUS THE $.50 STATE SURCHARGE REINSPECTION FEE $42.00/Hr Approved By Rough—in Date Final Date f G *Air Conditioners can not be placed in a side yard without FILL OUT BACK SIDE aR STACK VERIFICATION ON written permission from adjoining property owner. REPLACEMENT FURNACE Remarks: List ALTERATIONS Being Done: HEATING CO: Signed By: Date: 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 ( ) 5. Meets all current Code requirements for size and total BTU's connected Yes () No ( ) 6 Has total heating BTU's of All other BTU's TOTAL BTU's 7. Has a liner been provided for water heater Yes () No ( ) 8. Has combustion air been provided for water heater Yes () No ( ) Remarks: List ALTERATIONS Being Done: HEATING CO: Signed By: Date: SUBJECT City of Fridley 3 3 5 8~3 AT THE TOP OF THE TWINS BUILDING PERMIT 3/�� • ______ COMMUNITY DEVELOPMENT DIV. � PROTECTIVE INSPECTION SEC. NUMBER REV DATE PAGE OF APPROVED BY ` IL��"' �,� CITY HALL FRIDLEY 55432 ---- J` 1 763-571-3450 910415 6/9/03 10B ADDRESS 4639 3 STREET NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 1 22, 23 1 Plymouth Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Judy Hafner 4639 3 Street NE 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO RMA Home Services Inc 3200 Cobb Galleria Pkwy STE 200, Atlanta, GA 30339 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 763-542-8826 20268257 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO 6 USE OF BUILDING Residential 1 7 CLASS OF WORK O NEW O ADDITION O ALTERATION REPAIR O MOVE O REMOVE 8 DESCRIBE WORK Replace 11 windows within existing openings 9 CHANGE OF USE FROM 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. Caulk and flash all exterior openings. POr it Inspection Cards Will Be Mailed To NoMeoWner To Post SEPARATE PERMITS ARE REQUIRED 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 1 STALLS GARAGES AND KNOW THE SAME TO 13E TRUE AND CORRECT. ALL PROVISIONS OF LAWS VALUATION SURTAX AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED $5.24 WITH WHETHER SPECIFIED HEREIN OR NOT THE GRANTING OF A PERMIT $10,482 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 TOTAL FEE icen a SC $5.00 $215.92 SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT IDATE, W EN PROPERLY VALIDATED THIS IS YO R PE MIT q _ S,,GNATURE OF OWNERJF OWNER BUILDERI IDATE, IINSP QATE NEW[ ] Effective 5/10/99 ADDN [ ] CITY OF LEY ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 Construction Address: 9 (Q 59 - ` �E--}, Legal Description: Owner Name & Address: -Stxi ; 4o,,S \N2 Contractor:. RMA HOME SERVICES INC. HomeDepot Installed Sales Address: 3200 Cobb Galleria Pkwy., Ste. #200 Atlanta, GA 30339 Tel. # MN INCENSE # Tel. # A 763-542-8826 urvey. bf the k BC -20268257 in it to scale. r --r---- -_- DES.CRIP�iON OFI�RGVEIVIENT .. LIVING AREA: Length Width Height Sq. Ft. GARAGE AREA: Length Width Height Sq. Ft. DECK AREA: Length Width Hgt/Ground Sq. Ft. �-- OTHER: `Q,.0 Q `i l � (j, ( 1 : JT (\ Construction Type: i Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x DATE: -C)3 APPLICANT: Tel. # CITY USS ONLY Permit Fee $ 19 s , �a Fee Schedule on'Reverse Side Fire Surcharge $ .001 of Permit Valuation (1/10th%) State Surcharge $ o'Z $.501$1,000 Valuation SAC Charge $ $1050 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: 01 SUBJECT City of Fridley 3 3 6 6 5" AT THE TOP OF THE TWINS BUILDING PERMIT ` R • COMMUNITY DEVELOPMENT DIV. _ r � PROTECTIVE INSPECTION SEC. �� E 1 . � NUMBER REV DATE PAGE OF APPROVED By CITY HALL FRIDLEY 55432 763-571-3450 910-F15 7/2/03 JOB ADDRESS 4639 3 Street NE 1 LEGAL LOT NO. TRACTOR ADDITION SEE ATTACHED DESCR. 22, 23 IBLOCK9 Plymouth Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Judi Hafner 4639 3 Street NE 763-572-9344 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Same 6 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 O NEW XD ADDITION C ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Construct an 18' x 12' Deck; install rear door 9 CHANGE OF USE FROM TO STIPULATIONS See notations on plan. WARNING Before digging call for all utility locations 4540002 REQUIRE® BY LAW 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 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 @ $2,900 $1.45 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 TOTAL FEE $87.60 IGN TUBE Of CON-RACTORORAUTmORQEDAGENT IDATEI PERLY VALIDATED THIS IS YOUR PER MI =LHDG S NATURE OT OWNER OWNER BUILOERI (DATE.�®� r�ArE 01 NEW [ ] CITY OF FRIDLEY ADDN 6431 University Ave NE, Fridley, MN 55432 ALTER SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION Construction Address: Effective 1/1/2003 (763) 572-3604 Bldg Insp (763) 571-1287 Fax Legal Description: Owner Name & Address: t72 Tel. # -2&3-S767- 93LA5/ Contractor. D .410L MN LICENSE # 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: L gth ` Width / H!V/G and Sq. Ft. ' c;? 3 OTHER: 0 ��Oc� C Construction Type: CE71 �%'� �12E�1 rEA r Istimated Cost: $,4 d QC6,e 2 O Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ _ $ DATE: -74 /a3 APPLICANT: Tel. # Call (763) 572-3604 for Permit Fees if mailing in application. Fax to 763-571-1287 if using credit card and we will call you for card number. CITY USE ONLY - Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Curb Cut Escrow Erosion Control Park Fee Sewer Main Charge Fee Schedule on Reverse Side .001 of Permit Valuation (1/10th%) $.50/$1,000 Valuation $1275 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 [ ] TOTAL $ STIPULATIONS: ,,L /010oolc4v ,.0)1�7r - 4;;E�rawe �%rf ,