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PRE 2010 DOCSSUBJECT PERMIT NO,_.-"---- City of Fridley q 121'79 AT THE TOP OF THE TWINS BUILDING PERMIT _ r RE ANO. ►v _ ____ COMMUNITY DEVELOPMENT DIV. r PROTECTIVE INSPECTION SEC. 66& 74 1 i = 1 "1 CITY HALL FRIDLEY 55432 NUMBER REV. DATE PAGE OF APPROVED BY 612-560-3450 910-F15 6/14/73 JOB ADDRESS 4700 - 3rd Street N.E. 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. Pt. 14, 1 7 Plymouth Addition SHEET -i—PROPERTY OWNER MAIL ADDRESS ZIP PHONE Donald Hodgman 4700 - 3rd Street N.E. 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Same 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 Construct Swimming Pool 16' x 32'(4' Out of Ground) 9 CHANGE OF USE FROM -TO STIPULATIONS See Health Inspector's Memo Dated June 13, 1973 PERMITS REQUIRED FOR WIRT1112i SEPERATE HEATINGI PLUMBING AND SIGNS. TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, VENTILATING OR AIR CONDITIONING. Steel/Vinyl THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING SQ. FT. CU. FT. AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION R-1- 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, 1,100 .55 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- $6.60 STR TION OR THE RFORMAN E OF CONSTRUCTION. PLAN CHECK FEE TOTALFEE $7.15 SIGNATURE OF CONTRAC ORA THORIZ MATE) WHENYOUR PERMIT P�R�O,yP�ERLY V TE�JD Jy �THIIS�IS ' SIGNATURE OF OWNER IIF MER BUILDERI (DATE) BLDG INSP �� DATE APPLICATION FOR RESIDENTIAL, ALTERATION, OR ADDITION BUILDING PERMIT CITY OF FRIDLEY, MINNESOTA OWNERS NAME:,& .,x„/ _ � txi a?� BUILDER: _5& >77 e ADDRESS: �f � ADDRESS: S. M, NO:. STREET: LOT BLOCK- ADDITION:_ 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: Front: / Depth: 2 Height- O/U Ja - Square Feet: Cubic Feet: Front- Depth: Height: Square Feet; Cubic Feet: Type of Construction: Estimated Cost: $ % lod4e)d To Be Completed: The undersigned hereby makes application for a permit for the work herein specified, agreeing to do all work in stfict 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 Informs PfcaAA SS�S�a� OND A 69Ruo COT.LOT SURVEYS COMPANY 6917 (IDAHO AVEC. N. CH 300 BRUNSWICK AVE. S. AVE. GOLDEN VALLEY, MINN. LAND SURVEYORS BROOKLYN PARK. MINN. R"IsTBBBD uNDEB LAWS OF sTATB OF XMNEBOTA LICENSED BY ORDINANCE OF CITY OF WNNEAPOLIS 6917 Idaho Ave. N. 533.9922 • Minneapolis 27, Minnesota INDUSTRIAL - JUDICML COMBINING MORE THAN 30 YEARS OF COMMERCIAL - TOPOGRAPHICAL burbeporz Certif nate MELAND TROPOLITANAREAURVEYING EXPERIENCE IN THE CITY LOTS -PLATTING Mrs. Robert Christianson Iuv: X1410 a'g' 'a �� Gc. i/D IS / / o v ge d{� k ' o ./ '-'- P� s%6 "V - �a MIS • m� I hereby certify that this is a true and correct representation of a survey ofs The South 22 feet of Lot 14 and all of Lot 15, Block 7, Plymouth, Anoka County, j.jjnresota As surveyed by me this 12th day of May, 1962. signe6 IAT SURVEYS COMPANY 11 Plan Review Of Private Pool For 4700 w 3rd Strees N.F. The following items need eonsiderationj 1. Provide a 4 foot fines with self-closing and self-latshing gates. 2- Pool Shell hive one in -wall skimpier with one inlet on top (12" below surface of water) and one inlet on bottom (12" from bottom). 3. No overhead electrical wires (at least 10 - 13 feet from edge of pool) 4. Pump, filter, and skimmer shall be N.S.F. approved. I see no evidence that the equipment is N.S.F. approved. Check this. S. A backflow preventer shall be provided inside house on water line to outside spigot used to fill pool. b. Blectrical shall be approved by the Electrical Inspector. Approved subject to above comments June 13, 1973 VARVEY J. MCPIME RMTS INSPECTOR Complete Pool Packages P Containing everything for complete, easy backyard swim �- ming, these 4 popular size pool packages feature the best 4,M combination of pool, filter and ladder. CORONA PACKAGE CATALINA PACKAGE PKC 1236 PKC 1542 12'x36" Corona Pool 15'x42" Catalina Pool STL 36" Ladder STL 42" Ladder 80213510 Filter 80213110 Filter DEL MAR PACKAGE CATALINA PACKAGE PKC 1015 PKC 1848 10'x 15' Oval Pool 18'x48" Catalina Pool STL 42" Ladder STL 48" Ladder 802B110 Filter 802B210 Filter ®EL MAR Economy oval pool • Family size swimming • Sturdy side buttresses • 3 sizes: 15' x 10' x 42" — 18'x 12'x 48" — 24' x 12'x 48". 0 F 7�1 Im Trend Setting CHA7EAJ All aluminum Wide 6" seat 20 gauge liner 2 sizes: 18' x 48" 24' x 48" HAMPTON The Style Leader Candy stripe wall • Wide 6" seat • Bridge type construc- tion • 3 sizes: 15'x 48" — 18'x 48" — 24'x 48". BOATS AND MATTRESSES AC 671— Two man boat QLq:P;0 AC651— Child size boat I rz�� AC 659 — Adult size boat J AC 621 — Deluxe air mattress a AC 620 Aqua -Lounge Great pool "Funshine" with HPE /Muskin's inflatables. Roomy rafts with underwater viewing windows and boats in three comfortable sizes of heavy gauge vinyl bring AC622— Jumbo air hours of pleasure foryears to come. mattress Printed in U.S.A. I • INS 1 Ul 1 1 OPERATOR: CITY OF FRIDLEY HEALTH AND SAFETY INSPECTION TEL. # ADDRESS: 'y 7e. 6 ga& Ng TYPE OF EUS . : On this date, the health authority made The deficiencies noted at this time and given below. If you have any questions to call on us at our offices (City Hall, Telephone No. 560-3450, Ex. 41. B an investigation of the subject facility. the necessary corrective measures are concerning this matter, plea se feel free 6431 University Avenue N.E., Fridley) y '� 9 Received by; Health Authority s � ..� Y 4 Application for power plants and Heating, Cooling. Ventilation. Refrigeration an Air Conditioning Systems and Devices PARTIAL RATE SCHEDULE GRAVITY WARM AIR: RATE TOTAL Furnace Shell & Duct Work ...........................$10.00 $ Replacement of Furnace ............................. 6.00 $ Repairs & Alterations—up to $500.00 .................. 6.00 $ Repairs & Alterations each add. $500.00 ............... 3.00 $ MECH. WARM AIR Furnace Shell & Duct Work to 120,000 BTU ............ $10.00 $ lam✓- n A each add. 60,000 BTU ....................... 3.00 $ Replacement of Furnace ............................. 6.00 $ Repairs & Alterations—up to $500.00 ................. 6.00 $ Repairs & Alterations each add. $500.00 .............. 3.00 $ STEAM or HOT WATER SYSTEM Furnace Shell & Lines—to 400 sq. ft. EDR Steam ...... $10.00 $ Furnace Shell & Line—to 640 sq. ft. EDR Hot Water ... 10.00 $ Each add. 200 sq. ft. EDR Steam ...................... 3.00 $ Each add. 320 sq. ft. EDR Hot Water ...... ..... . . . ... 3.00 $ OIL BURNER—to 3 gal. per hour 6.00 $ over 3 gal. per hour—See Fee Schedule GAS BURNER (up to 199,000 BTU) ....................... 5.00 $ over 199,000 BTU See Fee Schedule GAS FITTING FEES: NO RATE TOTAL 1st 3 Fixtures ...................... x$ 2.00 $ Additional Fixtures x .75 $ Gas Range to 199,000 ........... x$ 5.00 $ AIR CONDITIONING FAN DATING SYSTEM VENTILATING SYSTEM ALTERATIONS & REPAIRS ROUGH FINAL�aj ` %� See Fee Schedule $/0 TOTAL FEE Dept. of Bldgs. Phone SM -3450 Location VZOO — 3 g J 577- Aj_ City of Fridley: The undersigned hereby makes application for a permit for the work hereir. specified, agreeing to do all work in strict accordance with the City Ordinances and ruling of the Department of Buildings, and hereby declares that all the facts and representations stated in this application are true and correct. Fridley, Minn- - ®/7 - -7 4 19 Owner Kind of Building 61 , Used as i To be completed about �� a® Estimated Cost, $ Z7 Building Permit No. Permit No. DESCRIPTION OF WORK HEATING or POWER PLANTS --Steam, Hot Water, Warm Air—No Trade Name `rA A& F— Size No.& L -? O oL- Capacity c2 ! ®pJ Sq. Ft. E.D.111 4 ®®10 BTaftiffiNgn 2 H.P, Total Connected Load Kind of Fuel-"!r- BURNER uel "! - BURNER — Trade Name /—/ '#9/UJE Size No-- lam c2 00 - Capacit- Don Sq. Ft. E.D.R BTU H.P. (REMARKS—OVER) Signetj 2L Nl�� 1 . 4�6a By 04113�0 .a Business Phone No.? - J 77Z3 Application for Power Plants and Healing. Cooling. Ventilation. Refrigeration and Air Conditioning Systems and Devices PARTIAL RATE SCHEDULE GRAVITY WARM AIR: RATE TOTAL Furnace Shell & Duct Work .......................... $10.00 $ Replacement of Furnace ............................. 6.00 $ Repairs & Alterations -up to $500.00 .................. 6.00 $ Repairs & Alterations each add. $500.00 ............... 3.00 $ MECH. WARM AIR Furnace Shell & Duct Work to 120,000 BTU ............ $10.00 $ each add. 60,000 BTU ....................... 3.00 $ Replacement of Furnace ............................. 6.00 $ Repairs & Alterations—up to $500.00 ................. 6.00 $ Repairs & Alterations each add. $500.00 .............. 3.00 $ STEAM or HOT WATER SYSTEM Furnace Shell & Lines—to 400 sq. ft. EDR Steam ...... $10.00 $ Furnace Shell & Line—to 640 sq. ft. EDR Hot Water ... 10.00 $ Each add. 200 sq. ft. EDR Steam ...................... 3.00 $ Each add. 320 sq. ft. EDR Hot Water .................. 3.00 $ OIL BURNER—to 3 gal. per hour ........................ 6.00 $ over 3 gal. per hour—See Fee Schedule GAS BURNER (up to 199,000 BTU) ....................... 5.00 $ 5.00 over 199,000 BTU See Fee Schedule GAS FITTING FEES: NO RATE TOTAL 1st 3 Fixtures .......... Aep18;Zement x$ loo $ Additional Fixtures x .75 $ Gas Range to 199,000 ........... x$ 5.00 $ AIR CONDITIONING FAN HEATING SYSTEM VENTILATING SYSTEM ALTERATIONS & REPAIRS ROUGH FINAL --f -1 -74 See Fee Schedule TOTAL FEE $ Dept. of Bldgs. Phone 560-3450 Location 4700 — 3rd St. N. E. City of Fridley: The undersigned hereby makes application for a permit for the work herein. specified, agreeing to do all work in strict accordance with the City Ordinances and ruling of the Department of Buildings, and hereby declares that all the facts and representations stated in this application are true and correct. Fridley, Minn 10/14/74 19 Owner Donald J. Hodgmen Kind of Building Frme Used as Dwelling To be completed about 10/30/7L4 Estimated Cost, $ 65.00 Old—New. Building Permit No. Permit No. 26 / DESCRIPTION OF WORK HEATING or POWER PLANTS—,Steam, Hot Water, Warm Air—No Trade Name 2zzRK Size No Capacity Sq. Ft. E.D.R BTU H.P. Total Connected Load Kind of Fuel Nat.gas BURNER — Trade Name Tyane Size No GU A10 Capacity 100M Sq. Ft. E.D.B BTU H.P. (REMARKS -OVER) Signed Nielsen Gas Heat By COEW42 Business Phone No- 722-1961 MEMO TO: PUBLIC WORKS DIRECTOR FROM: ADMINISTRATIVE ASSISTANT DATE: OCTOBER 11, 1974 RE: CITIZENS' COMPLAINTS I accompanied the Mayor today on a short visit to a couple of neighborhoods where they are concerned with a couple of specific problems. They are as follows: 1. The residents at 4700 - 3rd Street N. E., the family of Donald J. Hodgeman, are having some settling problems. Please review with the resident the problems they are having with their home, and check the boulevard areas to see that whatever construction in the area the City initiated has been properly completed. Please use your discretion in this area,. and if you are unable to show that this is the responsibility of the City, please, if possible, make recommendations to the citizen on steps she can take in improving their problem. The Hodgeman residence phone number is 560-6858. 2. A traffic problem has been brought to the Mayor's attention at the inter- section of 45th and 2nd Street in the City of Fridley. One of the residents of the area, Mr. Frank Kozlak, 4512 -2nd Street, phone number 560-6637, has passed this information on to the Mayor. The suggestion I received concerning its solution is to place a stop sign at the intersection where the City of Fridley has jurisdiction. These would be the northeast and northwest corners. This suggestion is that these be placed for six months in order to see if the problem can be taken care of in this manner. Please review the material and again make your recommendations. Thank you for your assistance. PJH/ms CC: Nasim Qureshi Marvin Brunsell r i' -`%DO - -32E1 S7VI-,E 7— MEM MEM M : Jock Robertson, Community Development Administrator I.EM FSM: Darrel Clark, Chief Building Official MEND DATE: August 4, 1988 R93Am=: Foundation Problems in Carlson's Stmmi.t Manor North Addn. Please be advised that since July 21, 1988, I have received calls from six homeowners who own banes in the vacinity of the 5300 block of Horizon Drive, requesting that I inspect their house foundations because of apparent differencial settlements. Prior to these calls we had inspected 5 other foundations during 1987 arra 1976 that were in this general area. There appears to be a pattern of things that probably have caused these - settlements to occur or are present at each location: 1. They have all occured during long dry spells (1976, 1987 & 1988) . 2. All have had mature trees growing in the general vacinity of the failure. 3. Yard and street settlement has also occured in front of those homes that had mature trees in the front yard near the failure. 4. All those that have had soil tests done have had a layer of moisture receptive or active soil at or below the footing elevation. 5. All homeowners have been advised to contact a soils engineer to test arra report their findings and to suggest the method of correction. 6. All of the hones were built in the mid 1950's. The cost of repair will depend upon the extent of the failures. We estimate the cost of such repair to range between a minimum of $500.0 to a maximum of $20,000.00 or possibly higher. One home repaired in June, 1987 paid an estimated $3,000.00 to a contractor to replace the back wall (32 feet) of their basement. That repair consisted of the following: temporarily supporting the structure on post arra timbers; removing the back foundation wall and footing; digging down through approximately six feet of clay or silt to granular gravel at three locations (each hole was about 4' x 2') ; pouring each hole full of concrete; pouring a reinforced concrete grade beam over the top of the new pads to form a new footing; laying up a new block wall; and setting the house back down. A ccniposit map is beim maintained that shows the reported dates and addresses of all reported problems. If anyone wants more information on this subject, please contact our department and we will be happy to review our files. We do have individual records on each reported problem. Its possible that there could be more failures that have not been called in for our review. DGC/mh ATTACH: Map Cc: Mr. John Flora, Public Works Director P. I •*)3 Im Z'lt 1 -1 -id 43S, 10- K tf R ti P A'i2 O � dig �ot v J.0 A uo roR' u 9 Si�Tfl Tet, I nt6a_w NO IOQ M f'C 7 TO• CL ' � I.88 134► h:�ct f� �.1 ca+ . :a co Hon i� owC� . LG ,zn• �p—il•G� 1 �J3�i�e iiOfiitu ` �i��(,,_; �•� S. -6?l 164 tAuru-z fjcb H IZ-w•Sl 1�� CctOwa RCi•,7 L� �t I-12-�� I cel 530 �- � _�z:•1� I I'1 S 3^� .ori .�� — 1�- Iv'QCe tp, FL AARs P. I •*)3 Im Z'lt 1 -1 -id 43S, 10- K tf R ti P A'i2 O � dig �ot v J.0 A uo roR' u 9 Si�Tfl Tet, I nt6a_w NO IOQ M f'C 7 TO• D SOLIDIFICATION, INC, TV INSPECTION REPORT 620 Cottonwood Lane Minneapolis, MN 55441 DATE: May 31, 1978 PAGE NO. 2 PH: (612 FOR: Fridley AT: Fridley ON: 47th d FROM: 3rd TO: 2 Ft. Fr. M.R. REMARKS Film Ft Photo No. 229 Broken pipe & offset ioint 3 238 loffset 1/2", top V 241 Hairline crack 10:00 280 Offset 1/2" on to 289 Offset top right 3/4" 295 ILight roots 3:00 & 9:00 295-316 Low pipe . up to .1 ' at 306 306 1-1 k" low 321 Broken joint & u side down with camera i e'also cracked 4 to MH 325 MH at 2 - Pipe looks good except Sta. 229 -- had to pull upstream because of broken pipe at Sta. 321 0 L] Olt #C'�,0 SOLIDIFICATION, INC. TV INSPECTION REPORT °..` 620 Cottonwood Lane DATE; May 31, 1978 PAGE NO. 1 y s Minneapolis, MN 55441 FOR: Fridley PH: (612) 535-1065 AT: Fridley ON: 47th FROM: 3rd T0: Z LINE: SIZE: 8 Inches (dia.) _ 325 Ft. (length) DEPTH: 9 Ft. PIPE LENGTH+ Ft. AGE: New X Old TYPE: X Clay PVC Cast Iron Ductile Transite Other CONDITION: X Good Fair ROAD. SURFACE: Gravel Concrete Other MANHOLE CONDITION: X Good Fair TYPE OF AREA: Industrial X Residential Undeveloped Otiier CAMERA DIRECTION: XX Upstream Downstream X SANITARY STORM Years —� Concrete Truss Poor X Asphalt Poor Commerical Ft. Fr. M. H. REMARKS TAPE #1; 00-293 Film Ft. Photo No. 00 MH at 3rd 03 Tee - outside drop 03-07 Pipe'down IV' 10 Chipped at 1:00 13 Offset joint right side 34 Low joint 3/4" 43 Offset joint top 1/2" OK 55 Offset joint 1/2" 61 Offset joint top & bottom possible broken bell 1 76 Offset joint top & bottom possible broken bell 2 79 Hairline crack 12:00 97 Offset joint right 148 Offset top & bottom 192 Service L wye OK 202 Offset 1/2" top -f$ . INSPECTION REPORT I tF, SOUDIF'VAT'®N IJilie. y 2 MPL&, MINN. Page 4 of 4 Report No.FridleX . 5/32/78 Picture No. 3 Remarks: Broken pipe & offset joint Picture No. 4 Remarks: Broken joint and upside down with camera, pipe also cracked to MH INSPECTION REPORT S®L/®IfICATIO/ ,��C Cy`O F IC y a MPL&, MINN. Page 3 of 4 Report No. Fridley 5/31/78 Picture No. 1 0 Remarks: Offset joint top & bottom possible broken bell Picture No. 2 Remarks: Offset joint top & bottom possible broken bell SUBJECT PER City of Fridley 15 3 4 4 AT THE TOP OF THE TWINS BUILDING PERMIT t RECE `L ____ COMMUNITY DEVELOPMENT DIV. r PROTECTIVE INSPECTION SEC. (/® 1 ; � CITY HALL FRIDLEY 55432 NUMBER TREv DATE PAGE OF APPROVED BY s 612-571-3450 910-F15 7/18/79 JOB ADDRESS 4700 - 3rd Street N.E. 1 LEGAL LOT NO.BLOCK TRACTOR ADDITION SEE ATTACHED DESCR. Ptl4, 15 7 Plymouth SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Donald Hodgman 4700 - 3rd Street N.E. 560-6858 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Same 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAILADDRESS ZIP PHONE LICENSE NO. 6 USE OF BUILDING Residential 7 CLASS OF WORK a X NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE B DESCRIBE WORK Construct a 12' x 16' Storage Shed 9 CHANGE OF USE FROM TO STIPULATIONS TO be located off the rear easement and more than 17.5' from south property line. SEpERATE PERMITS REQUIRED FOR WIRMs HEATING, PLUMBING AND SIGNS. 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 SQ. 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 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 $1,607 $.80 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. $7.68 PLAN CHECK FEE TOTAL FEE $8.48 /SI TUREOFCON (DATE) WHEN PROPE%X VALIDATED THIS IS YOUR PERMIT jRjACTORRIZEDAGENT BLDG INSP DA SiGfM UREOFOWNE NER ILDERi ID ) OWNER: ADDRESS I CITY OF FRIDLEY APPLICATION FOR RESIDENTIAL BUILDING PERMITS (New, Alterations, Additions, or Repairs) BUILDER: ADDRESS: TEL NO: Construction Location STREET NO: (�(i _ STREET: t`a0 S� -2-,V d.- ^ ^ LOT: 14r AAj. OF BLOCK:^ ADDITION: _ 1��►Y wIO�/'j'�� /?O� Corner Lot: ^ Inside Lot: Setback: Sideyards: Applicant attach to this form two Certificates of Survey of lot and proposed building location drawn on certificates to scale. DESCRIPTION OF CONSTRUCTION SMMAGAL S14rtWront: 12— Depth: Ab Height: Squane Feet: Cubic Feet: d Front: Depth: Height: Square• Feet: Cubic Feet: Type of Construction: �Q'!M,� Estimated Cost: $ W /•O To Be Completed: Alt. A Alt. B Proposed Driveway Width If New Opening Is Desired: $ $ SEE REVERSE SIDE OF SHEET 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: Stipulations: mo n -n- P rww► So 1,m: SUBJECT City of Fridley AT THE TOP OF THE TWINS BUILDING PERMIT r f;tl `L _ ____ COMMUNITY DEVELOPMENT DIV. r PROTECTIVE INSPECTION SEC. --"D CITY HALL FRIDLEY 55432 NUMBER REV. DATE PAGE OF APPROVED BY 612-571-3450 910-F15 8/7/86 JOB ADDRESS 4700 - 3rd Street N.E. 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. $xi 14,15 7 Plymouth_ SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Donald Hodgman 4700 - 3rd Street N.E. 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Lindstrom's Cleaning & Const. 9621 - 10th Avenue North, Plymouth 55441 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 544-8761 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO. 6 USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW ❑ ADDITION ❑ ALTERATION Q REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Repair water damage 9 CHANGE OF USE FROM TO STIPULATIONS After tear out, sly call for an inspection to determine any covered s damaged construction. rr � SEPARATE I' I•tl', Y ` ,I �L-QJJJRED FOR WIRING, HEATINGr O'ELI31 SING AND SIGNS. 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 ], 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 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT $5,265 $2.63 DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PERMIT FEE SAC CHARGE PROVISIO S OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- STRUCT ' OR THE PERFORMANCE OF CONSTRUCTION. $56.50 PLAN CHECK FEE TOTAL FEE s 'In— $59.13 SIGNATURE OF NTRACTOR OR AUTHORIZED AGENT iD rE) WHEN PROPERLY MIDATED THIS IS YOUR PERMIT BLDG )NSP r)TE SIGNATURE OF OWNER IIF OWNER BUILDER) IDATEI NEW [ ] ADDN. [ ] ALTER. I ] Construction Addre Legal Description: Owner Name &Address : ��2'�" No ��N I y%d - 3R cl NN Pr d tel . Contractor: -,/ IA.,0OS71`•O/y) 's C�WN�ti� GoNS�ruc�iar� Tel. Address: 945a / - /O,4Ile Aio City of Fridley Effective 4/1/86 FR -1 AND R-2 Building Permit Application 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: Corner Lot [ ] Inside Lot [ ] Ft. Yd. Setback Side Yard Setback Type of Construction: /� �a�e �e�A� Estimated Cost: $ Approx. Completion Date: Alt. A Alt B Proposed Driveway Width If New Opening Is Desired: See Back Page for Explanation DATE: APPLICANT:A.Tel. ��/y-�7b1 CITY USE ONLY Permit Fee $ Plan Check $ State Surcharge $ 63 SAC Charge $ Park Fee $ Sewer Main Charge $ TOTAL $ 5 9. 1-3 STIPULATIONS: Fee Schedule on Reverse Side 25% of Building Permit Fee $.50/$1,000 Valuation $475 per SAC Unit Fee Determined by Engineering Agreement Necessary [ ] Not Necessary [ ] Vis= Engineering Sewer Water Parks Streets Maintenance TO: William W. Burns, City Manager PW94-373 FROM: John G. FloraRublic Works Director DATE: November 3, 1994 SUBJECT: Settlement Complaint: 4700 3rd Street I have talked to Mr. Hodgman at 4700 3rd Street a number of times this past year. He is in the process of purchasing the home from his parents and is claiming that the house has settled over the years as a result of the City's sanitary sewer system. He makes his claim from information received from the address file which indicated there was a broken sanitary pipe and as a result, he claims the soil is under -mined and the house is settling. In 1972, the Hodgman's made a complaint regarding settlement of their boulevard along 47th Street. This was checked and was determined to be a result of frost heave and poor construction of the retaining wall on the property. In 1974, a complaint was made that the house was settling. An inspection was made, boring samples were taken along the boulevard and no problems were found. In 1978, the sanitary sewer line was TV'd and a broken pipe was found along 47th. This broken section was 69 feet west of the Hodgman's property and had no material affect on their residence. This pipe has been repaired. In 1986, there was considerable water damage to the structure and a permit was drawn and repair work initiated. In 1988, this residence was reviewed in conjunction with the settlement of the homes in the 53rd and Horizon Drive area. It was identified at that time that most of these problems were associated with homes built in the early '50's that had large mature trees that apparently were drawing moisture from the soil in the drought period, resulting in soil consolidation and house settlement. Mr. Hodgman continues to claim that the home has settled as a result of the City sewer system. We have no information to substantiate his claim as the system is in tact and functioning. JGF:cz COMPLAINT FORM COMPLAINT No. 7-? City of Fridisy, Minnesota Alleged Violator Address Res. y Bus• Property=orBus Address. p Res. J6D ; Compla t Address m Res. -,e!/ H Bus. mature or Co plaint: ve �7 �.� . 0 A.M. =3 Referred To: ® Bldg. Insp. Dept. Comments. ❑ Health Department ❑ Fire Department Referred B Yi ❑ police Department Report of Action Taken and Date: V�� . `� .� pct-�c,C•�- . ►ata 4& 1.1 5/71 (Date: Final Disposition Checked By: BLDG. IMEP. DEPT t97 r a , MEMO TO: Peter Herlofsky, Administrative Assistant MEMO FROM: Richard N. Sobiech, Public Works Director DATE: October 18, 1974 SUBJECT: Citizen's Complaints In response to the referenced problems, please note the folio wing comments: 1) Reviewed the settlement complaint area in the field with the sewer department personnel. It.gave no indication of storm sewer settlement and all the piping and structures are in good condition. Minor maintenance to the structures is required (has nothing to do with the settlement problem). The roadway is tight and sound and there is no indication of subsurface damage due to settlement. We performed auger soil borings in the boulevard adjacent to the referenced property and again, there was no evidence of settlement (that is, no voids discovered in the boring procedure). We could find no reason for further City involvement. The property owner was contacted and we related all the information to her and in- formed her of the necessary procedure to follow if further action was desired on her part. That procedure would be -to file a claim against the City which would entail the property owner acquiring soil borings of her own private property. She indicated she would think about it and determine what she would want to do. 2) In order to determine if stop signs were warranted at the intersection of 45th Avenue adn 2nd Street, the Engineering Division made traffic counts. The traffic counts indicated no high volume of traffic in either director. A review of the records in the Public Safety Department indicated no accidents occurred in this area with- in the past two years. Therefore, with the record of no traffic accidents and a low volume of•traffic (approximately 225 average daily vehicles on 2nd Street and approximately 200 average daily vehicles on 45th Avenue) no stop sign installation is ;:arranted. RNS/jm CC: N. Qureshi, City Manager F. Liebl, Mayor SOLIDIFICATION, INC. y.>°lt ic' 620 Cottonwood Lane Minneapolis, MN 55441 -�- - -- PH: ( 612 TV INSPECTION REPOR r DATE: May 31, 1978 PAGE NC; 2 FOR: Fridley AT: Fridley ON: 47th FROM: 3rd TO: 24 Ft. Fr. M. H. REMARKS Film Ft:� Photo No. 229. Broken pipe & offset joint 3 238 Offset 112". .to 241 Hairline crack 10:00 280 Offset 1/2" on to 289 Offset top right 3/4" 295 Light roots 3:00 & 9:00 295-316 Low pipe . up to.l ' at 306 306 1-1k" low 321 Broken joint & u side down with camera ioe also cracked 4 to MH 325 MH at 2z / C Pipe looks good except Sta. 229 -- had to pull upstream because of broken pipe at Sta. 321 � NEW •[ ] City of Fridley Effective 4/1/86 ADDN. ( ] R-1 AND R-2 j ALTER. ( ] Building Permit Application Construction Address: 1 Legal Description: 3R c- # Owner Name & Address: --// Gc3NS7iv Tel. Contractor: / in/P"S�`'aM ' ��ti/ti' � .Address: /O�Ue iLo 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: Corner Lot [ ] Inside Lot [ ] Ft. Yd. Setback Side Yard etback > Type of Construction: Estimated Cost: $ � �C-, S Cjo i ��'� �� '��" F Approx. Completion Date: is Alt. A Alt B Proposed Driveway Width If New Opening Is Desired: $ $ See Back Page for Explanation DATE:44�4 APPLICANT: Izan� Tel. # S-qq -, 761 Permit Fee $ Plan Check $ State Surcharge $ SAC Charge $ Park Fee $ Sewer Main Charge $ TOTAL STIPULATIONS: $ CITY USE ONLY Fee Schedule on Reverse Side 25% of Building Permit Fee $.50/$1,000 Valuation $475 per SM'- Unit Fee Determined by -ngineering Agreement Necessary [ ] Not Necessary [ ] MIIdJ 'IO: Jock Robertson, Coamunity Development M .. inistrator MvD FRDM: Darrel Clark, Chief Building Official MErD DATZ:' August 4, 1988 R93ARDIW.,: Foundation Problems in Carlson's Summit Manor North Addn. Flease be advised that since July 21, 1988, I have received calls from six homeowners who own hares in the vacinity of the 5300 block of Horizon Drive, requesting that I inspect their house foundations because of apparent differencial settlements. Prior to these calls we had inspected 5 other foundations during 1987 and 1976 that were in this general area. There appears to be a pattern of things that probably have caused these settlements to occur or are present at each location: 1. They have all occured during long dry spells (1976, 1987 & 1988). 2. All have had mature trees growing in the general vacinity of the failure. 3. Yard and street settlement has also occured in front of those homes that had mature trees in the front yard near the failure. 4. All those that have had soil tests done have had a layer of moisture receptive or active soil at or below the footing elevation. 5. All homeaAmers have been advised to contact a soils engineer to test and report their findings and to suggest the method of correction. 6. All of the homes were built in the mid 1950's. The cost of repair will depend upon the extent of the failures. We estimate the cost of such repair to range between a minimum of $500.00 to a maximum of $20,000.00 or possibly higher. One home repaired in June, 1987 paid an estimated $3,000.00 to a contractor to replace the back wall (32 feet) of their basement. That repair consisted of the following: temporarily supporting the structure on post and timbers; removing the back foundation wall and footing; digging davn through approximately six feet of clay or silt to granular gravel at three locations (each hole was about 4'x 2') ; pouring each hole full of concrete; pouring a reinforced concrete grade beam over the top of the new pads to form a new footing; laying up a new block wall; and setting the house back dog, n. A cccposit map is being maintained that shows the reported nates and addresses of all reported problems. If anyone wants more information on this subject, Fuse cor_ttact our department and we will be happy to review our files. We do have iniividual records on each reported problem. Its possible that there could be more failures that have not been called in for our review. DGC/mh ATTACH: Map CC: Mr. John Fl ora , Public Works D i rector N MEMO TO: Peter Herlofsky, Administrative Assistant MEMO FROM: Richard N. Sobiech, Public Works Director DATE: October 18, 1974 SUBJECT: Citizen's Complaints In response to the referenced problems, please note the follo wirg comments: 1) Reviewed the settlement complaint area in the field with the sewer department personnel. It.gave no indication of storm sewer settlement and all the piping and structures are in good condition. Minor maintenance to the structures is required (has nothing to do with the settlement problem). The roadway is tight and sound and there is no indication of subsurface damage due to settlement. We performed auger soil borings in the boulevard adjacent to the - referenced property and again, there was no evidence of settlement. (that is, no voids discovered in -the boring procedure).. We could find no reason for further City involvement. The property owner was contacted and we related all the information to her and in- formed her of the necessary procedure to follow if further action was desired'on her part. That procedure would be to file a claim against the City which would entail the property owner acquiring soil borings of her own private property. She indicated she would think about it and determine what she would want to do. 2) In order to determine if stop signs were warranted at the intersection of 45th Avenue adn 2nd Street, the Engineering Division made traffic counts. The traffic counts indicated no high volume of traffic in either director. A review of the records in the Public Safety Department indicated no accidents occurred in this area with- in the past two years. Therefore, with the record of no traffic accidents and a low volume of -traffic (approximately 225 average daily vehicles'on 2nd Street and approximately 200 average daily vehicles on 45th Avenue) no stop sign installation is warranted. RNS/jm CC: N. Qureshi, City Manager F. Liebl, Mayor SUBJECT M City of Fridley 7'0 33 5 AT THE TOP OF THE TWINS BUILDING PERMIT r RECEIPT COMMUNITY DEVELOPMENT DIV. r PROTECTIVE INSPECTION SEC 1 . � -[ ICITY HALL FRIDLEY 55432 NUMBER pEv GATE PAGE OF APPROVED 6Y L 612-571-3450 910-Fll 10/4/99 1013 ADDRESS 4700 3rd Street NE 1 LEGAL LOT NO.S 1/2 BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 14 1 1 7 IPlymouth SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Joseph R. Hodgman 572-0028 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Mo's Masonry 4808 Quail Ave N MpIs MN 5-1;429 7RR-779-4 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 footing and floors_4-REMOVAL of existing garage 9 CHANGE OF USE FROM TO STIPULATIONS See stipulations on plan. New single car garage must be constructed within 12 months of today's date with approval of separate permit. 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 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 $24,000 $12.00 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 $377.25 FireASC $24.00 PLAN CHECK FEE TOTA E SIGNATURE OF CONTRACTOR OR AUT-O-IZED AGENT IDATE. EN OPE ALIDA IS IS YOU PER T �• - G ::C../// SIGNATURE OF OWNEROF OWNER BWLOERj 45ATEi BLD INSP !"Alt NEW[ ] Effective 5/10/99 ADDN [ ] CITY OF FRIDLEY ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION Construction Address: —9-700 j g Ast g Legal Description: Owner Name & Address: Tel. # 12 5Z- q'7A Contractor. A®°S AAo-g p V\Cy MN LICENSE ## Address: 9po k QU&,,L 14, '/(� 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/Ground Sq. Ft. OTHER: Construction Type: If, Ec, . Estimated Cost: $ Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ _ $ DATE: APPLICANT: Tel. # -,77�� CITY USE ONLY Permit Fee $ Fee Schedule on Reverse Side Fire Surcharge $ .001 of Permit Valuation (1/10th%) State Surcharge $ $.50/$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: IJ SUBJEdT P City of Fridley 30 AT THE TOP OF THE TWINS BUILDING E RECEIPT NO. • COMMUNITY DEVELOPMENT DIV. _ ___ r � - PROTECTIVE INSPECTION SEC. 1 i NUMBER REV DATE PAGE OR APPROVED By i CITY HALL FRIOLEY 55132 612-571-3450 910415 10/11/99 JOB ADDRESS 4700 3rd Street NE i LEGAL LOT NO. BLOCK TRACTOR ADDITION SEE ATTACHED DESCR. S1/2 14,15 7 I Plymouth SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Joe Hodgman 572-0028 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Sela Roofing $ Remod. Inc. 4100 Excelsior Blvd St Louis Pk 55416 823-8046 1050 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 O NEW O ADDITION O ALTERATION 10 REPAIR O MOVE O REMOVE 8 DESCRIBE WORK Reroof Flat Roof House 11 S Te - Jobnsmansmille System 9 CHANGEOFUSEFROM TO STIPULATIONS Install per manufacturer's specifications 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 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 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 8625 $4.31 DOES NOT PRESUM TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PERMIT FEE SAC CHARGE PROVISIONS OF AN O HER A E OR LOCAL LAW REGULATING CON- STRUCTION OR O AN E OF CONSTRUCTION $167.25 Fire SC $8.62 � �PLAN CHECK FEE TOT FEE AV, i e SIG NAij E OF 1RACTOq OR AUTHORIZED AGENT iOATE� // EN ROP VALID T THIS IS YOUR PERMIT Ff la, ii 9 S-GNATURE OF OWNER„F OWNER BUILDER, (DATE, BLD ,NSP OA It IJ NEW[ ] Effective 5/10/99 ADDN [ ] CITY OF FRMLEY ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION Construction Address: 4/7,,96 �� ✓ Legal Description: Owner Name & Address: Tel. ji/a2 S7Z - 00 Contractor: MA ROOFING & REMODELING INC. MN LICENSE 4100 EXCELSIOR BLVD. Address: ~51T. 101 S-FARIT, UN 55416 Tel. # Attach to W90i8ation, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF PUPROVEMENT LIVING AREA: Length Width Height Sq. Ft. GARAGE AREA: Length Width Height Sq. Ft. DECK AREA: Length Width Hgt/Ground Sq. Ft. OTHER: A _ . / _ r construction Type:. � y��fv� Es ' ted Cost: $ , � Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ DATE: APPLICANT: Permit Fee $ A'17 9, U-' Fire Surcharge $ State Surcharge $ SAC Charge $ License Surcharge $ Gl Driveway Escrow $ Erosion Control $ Park Fee $ Sewer Main Charge $ TOTAL $ 13 STIPULATIONS: CITY USE ONLY Fee Schedule on Reverse Side .001 of Permit Valuation (1/10th%) $.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 [ ] CdTY OF FRIDLEY INSPECTION DIVISION 6431 University Ave NE Fridley, MN 55432 APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION, 572.3604 REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES RAIU SCHEDULE Effective On May 10, 1999 JOB ADDRESS 4120 0 /U- R2PL-AC191M 0_1_� OWNER T1S'6M ADCt,&OIJ Residential Furnace Shell and Duct Work, Burner - Also Replacement Furnace (Side Vent Fill Out Back) Gas Piping (Needed with new furnace, but not replacement) Gas Range Gas Dryer *Air Conditioning - All Sizes All Others/Repairs & Alterations (LIST ON BACK) 1% of Value of Appliance or Work Commercial/Industrial 1.25% of Value of Appliance or Work Rate TOTAL $ 30.00 $ - 6D. , $ 10.00 $ 10.00 $ 10.00 $ 25.00 State Surcharge TOTAL FEE MINIMUM FEE FOR ANY HEATING/COOLING/VENTILATION REFRIGERATION/AIR CONDITIONING PERMIT IS $25.00 PLUS THE $.50 STATE SURCHARGE REINSPECTION FEE $47.00/Hr *Air Conditioners can not be placed in a side yard without written permission from adjoining property owner. iI BUILDING USED AS ESTIMATED COST /6-00 PERMIT NO. �G DESCRIPTION OF FURNACE AND OR BURNER $ No. of Heating Units-j—Circle One (Steam) (Hot Water) (Warmit $ Trade Name RU Size No. Cyd' 10,+/Z BTU 10, 4op HP EDR $ _ Fuel /J Ate- Total Connected Load Burner Trade Name Size No. $ BTU HP EDR $ 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 an $ .50 rulings of the Building Division, and hereby declares that all the facts and representations stated in this application are'true and correct. SUPERIOR CONTRACTORS INN 6121 42nd Avenue No. Crystai, Mn 55422 HEATING Signed DATE Approved By, � -41Rough-In Date Final Date 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 one_ HEATING CO: Signed By: Date: CHDJ NEY 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 O 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 tonal B'TU's connected 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 one_ HEATING CO: Signed By: Date: v 10 SUBJEGT - . City of Fridley 14 13 AT THE TOP OF THE TWINS BUILDING PERMIT(�3 RECEIPT NO. 16. COMMUNITY DEVELOPMENT DIV. � VV r PROTECTIVE INSPECTION SEC. ®� 1 � NUMBER REV DATE vAGE OF APPROVED Br = 1 CITY HALL FRIDLEY 55432 "'� 612-571-3450 910-F15 9/00 q/I9/00 JOB ADDRESS 4700 3 Street NE 1 LEGALLOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. Sj 14, 15 7 Plymouth Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Joseph Hodgman 4700 3 Street NE 763-572-0028 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Same 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 Construct a 24' x 18' Garage 9 CHANGE OF USE FROM TO STIPULATIONS See notations on plan. Provide a hard surface driveway. DRIVEWAY CURB CUT: 12' + 6' = 18' x $15.50 = $279.00 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 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@@ � $2.25 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT `Y4,500 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 CHECTO AL FEE 118.00 + DW SSG NATURE OF CON"RACTO R AUT 0 AGENT )® 40ATE, AA., HE R P VALI AT D THIS I�IR T Z OF Ow ER!IF OWWERSul iOATEi 13LPG W5v BATE v 10 NEW I] ADDN (] CITY OF FRIDLEY - ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION Construction Address: Legal Description: H -7M --:� f'b Effective 1/1/2000 (763) 572-3604 Bldg Insp Dl.f7� 1 ' D00- KA Owner Name & Address:.T®S6p11 HDdanoa-VI Tel. # -1 -bo28 Contractor: -S 6 LF MN LICENSE # Address: 4 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 ��"�l Width t r Height Sq. Ft DECK AREA: Length Width Hgt/Ground Sq. Ft OTHER: Construction Type: 60 ro Estimated Cost: $ Driveway Curb Cut Width Needed: 12- Ft. + 6 Ft = Ft x $ /.S 50 DATE: APPLICANT: Tel. # ay.oz -4 lop- o2� CITY USE ONLY - Call (763) 572-3604 for Permit Fees if mailing in application Permit Fee $ �/. Z$� Fee Schedule on Reverse Side Fire Surcharge .001 of Permit Valuation (1/10th%) State Surcharge $ $.50/$1,000 Valuation SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee Sewer Main Charge $ r- $1100 per SAC Unit $ $5.00 (State Licensed Residential Contractors) "A" or Alt. "B" Above $ $450.00 Conservation Plan Review $ Fee Determined by Engineering TOTAL $ STIPULATIONS:�� Agreement Necessary [ ] Not Necessary [ ]