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PRE 2010 DOCS* • VMage of Fridley, "Minn. BUELDING PEBMIT N? 793 Office of INSPECTOR OF BUILDINGS Owner Architect 6 Fridley, Minn. , 19 140 7k Builder LOCATION OF BUIILDING No. street Part of Lot Lot $ " (Block Addition or sub -Division DESCRIPTION OF BUILDING Front }4 a- DHeight Stories,« Manner of Construction To be used as '' 'z" c "� ��'� � To be completed- " s� / W'1 'i '"Estimated Cost l Permit is hereby girlanted t ^`' .E. '� .�"' to the building s"P"� "' described in the above statement. This permit is granted upon the express condition that the person to whom it is granted, and his agents, employees and workmen, in all the work done in, mound and upon said building, or any part thereof, shall conform in all respects to the ordi- nances of Fridley, Minn., regarding the construction, alteration, maintenance, repair and moving of buildings within the city limits, and this permit may be revoked at any time upon violation of any of the provisions of said ordinances. inspector of Buildings. AGREEMENT AND SWORN STATEMENT In consideration of the issue and delivery to me by the Inspector of Buildings of Fridley of the above permit, I hereby agree to do the proposed work in accordance with the description above set forth and according to the provisions of the ordinances of Fridley, and, being first duly sworn, I hereby state and say that the facts stated by me and contained in the above permit are true as therein stated. Subscribed and sworn to before me at Fridley, day of�.�, {st,.y..,.. A.D. 19-17"_:.. Minnesota, this 1 `' M • Date: July 3, 1968 • City of Fridley, Minn. BUILDING PERMIT owner: John Partyka Bider Address 4756 3rd St. ma N. E. Address Bennis Const. Co. No 2233 Platwood Road Minnetonka LOCATION OF BUILDING No. —475 6 .— Street _ 3rd St. N. E. Part of Lot Lot 5 & 6 Block 7 Addition or Sub -Division .—Plymouth Addn . Corner Lot Inside Lot Setback Sewer Elevation To be Used as: Sideyard Foundation Elevation DESCRIPTION OF BUILDING Front _ _ Depth _ Height Sq. Ft. Cu. Ft. Front Depth _ _ Height — Sq. Ft. Cu. Ft. Type of Construction es iding H & G Est. Cost _$2233. 00 To be Completed c13 dD 9818 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,44 forth and in compliance with 21 provisions of ordinances of the city of Fridley. a In consideration of the payment of a fee of $ 15.00 permit is hereby granted t, Bennis Const. Co. 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. Official Building NOTICE: Me permit does not cover the construction, Installation for whbg, plumbing, gas heating, ewer or water. Be run to see the Building Inspector for separate permits for these Nems. APPLICATION FOR BUILDING PERMIT CITY OF FRIDLEY, XnMESOTA OMR'S NAME BUILDER &DRESS � rP.� �✓� �� ADDREBs7_1 LOCATIO14 OF BUILDING N0. StUIST LOT �`g� BLOCK - 7 ADDITION Oh: SUS&VISION r ' COlazi LOT ,INSIDE LOT SETBACK S QEYARD SEWER ELEVATION TOP OF FOOTING Applicant attach to this form Two Certificates of Survey of Lot and proposed building location drawn on these Certificates. DESCRI71ON OF BUILDING ` To Be Used As: Front Depth Height .. Square feet Cubic Feet Front DepthHeight Square teet Cubi Feet - Type of Construotf ) i "rimated Cos A ';7 3 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 tr and correct 9 DATE SIGNATURE i- 00-1 (Sch dule of Fee Costs can be found on the Reverse Side. - • 10 es.eTna�:mrr r CITY OF FRIDLEY Effective Date May 1, 1988 APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION, REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES RATE SCHEDULE ` RATE TOTAL Furnace Shell and Duct Work, Burner (Also replacement furnace) Gas Piping (piping needed with new furnace) Gas Range Gas Dryer * Air Conditioning (all sizesl All Others/Repairs and Alterations 18 of Value of Appliance or Flork COMMERCIAL/INDUSTRIAL 18 of Value of Appliance or Work $ 20.00 $ $ 10.00 $ $ 10.00 $ $ 10.00 $ $ 10.00 $p State Surcharge TOTAL M, Reinspection Fee ($15.00) Rough Insp. Date Final Insp. Date h� Approval for PermitV"�' MINIMUM FEE FOR ANY H TING PERMIT IS $15.00- PLUS 15.00PLUS $.50 STATE SURCHARGE *Air Conditioners can not be placed in side yard without written permission from adjoining neighbor. $ .50 Job Address _"1%$(, 3A.( S4 NE Department of Buildings, 6431 University Ave. N.E., Fridley, MN 55432 City of Fridley Tel. #571-3450 The undersigned hereby makes application for a permit for the work herein specified agreeing to do all work in strict accordance with the City Codes and rulings of the Department of Buildings, and hereby declares that all the facts and representations stated in this application re true and correct. p Fridley, Minn. OWNER kwo zzL KIND OF BUI�LDINGT USED AS TO BE COMPLETED ABOUT C �� O G ESTIMATED COST OLD NEW BUILDING PERMIT NO. PERMIT N0. DESCRIPTION OF FURNACE/BURNER HEATING or POWER PLANTS, Steam, Hot Water, Warm Air- No. Trade Name Size No. Capacity Sq. Ft. EDR BTU Total Connected Load Kind of Fuel BURNER - Trade Name Size No. Capacity Sq. Ft. EDR HP BTU HP i Signed By � V Fill out back side for stack verification on replacement furnaces suerecT(,PER—M�ITN City of Fridley 26598 AT THE TOP OF THE TWINS BUILDING P E R M I T r O DEVELOPMENT DIV. _COMMUNITY tr PROTECTIVE INSPECTION SEC.o4 / //� 1 . , NUMBER REV DATE PAGE OF APPROVED BY I 1 CITY HALL FRIDLEY 55432 612-571-3450 910-F15 17/14/98 10B ADDRESS 4756 3rd St. NE 1 LEGALLOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 5,6 7 1 Plymouth SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Eric F ksen 571-4851 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Ace Construction 6230 218 Ave NE, Elk River, MN 55303 323-3019 20001884 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 M REPAIR ❑ MOVE ❑ REMOVE B DESCRIBE WORK Reroof (13 Sq) Tear-off 9 CHANGE OF USE FROM TO STIPULATIONS Underlayment must comply with State Building Code. SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL. PLUMBING, HEATING, TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD VENTILATING OR AIR CONDITIONING. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING SO. FT. CU. FT. AUTHORIZED IS NOT COMMENCED WITHIN 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 $1084 $.54 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 PE F0 MANCE OF CONSTRUCTION, $37.50 Fire SC $1.08 PLAN CHECK FEE TOTAL FEE License $5.00 1 $44.12 ATURE OF CONTRACTOR fR AUTHORIZED AGENT (DATEI WHEN PROPE VAL ATED THIS IS YOUR PERMIT INSP 4f )ATE SIGNATURE OF OWNER OF OWNER BUILDERI (DATEI NEW [ ] Effective 1/1/98 ADDN [ ] CITY, OF FRIDLEY SINGLE FAMILY V. AND DUPLEXES 12-1 AND R-2 ALTER [ ] BUILDING PERMIT APPLICATION q �C ConstructionAddress: 211 i ► �I C 4 Legal Description: Owner Name & Address: F-7 P- I C F Y k<, (= A I Tel. # Contractor: Address:. LIVING AREA: 30 at g MN LICENSE # 20bCO yLT_Tel. # Attach to this application, a Certificate of Sthley` d the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF IlAPROVEMENT Length Width Height Sq. Ft. GARAGE AREA: Length Width Height Sq. Ft. DECK AREA: Length Width Hgt/Ground Sq. Ft. XOTHER: Tc Y=C� a �7 r I s 4 Construction Type: Estimated Cost: $ (Fee Schedule, on Back) Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ = $ DATE: - 'APPLICANT: V �C C �j Tel. # �o �a L � S S STIPULATIONS: 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 $ $1000 per SAC Unit License Surcharge $ �✓ C� $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: ADDRESS PIN LEGAL DESC PERMIT TYPE PROPERTY TYPE CONSTRUCTION TYPE CITY OF FRIDLEY 6431 UNIVERSITY AVENUE NE FRIDLEY, MN 55432 57L -36U4 FALX: (763):571-1257 : 4756 3RD ST NE : 263024320094 : UNAVAILABLE : LOT BLOCK : BUILDING : RESIDENTIAL : WINDOW/DOOR REPL PERM I NO.: 2004-00604 DATE ISSUED: 04/28/2004 VALUATION : $ 175.00 NOTE: PROVIDE SMOKE DETECTORS IN ALL SLEEPING ROOMS AND ON ALL LEVELS OF THE DWELLING PER R317 OF THE 2000 INTERNATIONAL RESIDENTIAL CODE. CAULK AND FLASH ALL EXTERIOR OPENINGS. EGRESS WINDOW TO MEET IRC REQUIREMENTS. INSTALL BASEMENT EGRESS WINDOW APPLICANT BEYER DONALD T & RACHEL M 4756 3RD ST NE FRIDLEY, MN 55421 5 DO 9 BEYER DONALD T & RACHEL M 4756 3RD ST NE FRIDLEY, MN 55421 AGREEMENT AND SWORN STATEMENT This permit becomes null and void if work or construction authorized is not commenced witin 60 days or if construction or work is suspended or abandoned for a period of 120 days at any time after work is commenced. I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this type of wort will be complied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any other state or local law regulating cons tion9-- a performance of construction. ADDlicant Date Y -1,r -e:19 Bldg Insp BUILDING PERMIT FEE 23.50 FIRE SURCHARGE 0.18 STATE SURCHARGE, VALUE 0.50 TOTAL 24.18 PAID WITH CHECK # 3300 SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. � L L L ui46e-,(— WILL J3E T66f7oE4 1 uj/ voow s 17 E 2 9 /Z � - �',1 rF Tn a � r pe 1 OWED COpEE LIANCE L -4* �q(iufiG oP�N�ti� Tn a � r pe 1 OWED COpEE LIANCE L -4* �q(iufiG oP�N�ti� NEW [] CITY OF FRIDLEY P -a3&7 Effective 4/1/2004 ADDN [ ] 6431 University Ave NE, Fridley, MN 55432 (763) 572-3604 Bldg Insp ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 (763) 571-1287 Fax BUILDING PERMIT APPLICATION �U® (- oo W� Construction Address: y,757 s i F4L /z/ 5 ry z / Legal Description: Owner Name & Address: -/-,-)o N 15 e< y'C -'t- Tel. # 7Y? -5 -7/ -0 -/?Z Contractor. 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: Length Width Hgt/Ground Sq. Ft OTHER: Construction Type: ; a4ir SS w�ao°�^' Estimated Cost: $___L-7 Driveway Curb Cut Width Needed: Ft + 6 Ft = Ft x $ —=$ DATE: Y -29 -OL APPLICANT: L2, g, & - e /� � Tel. # A0- J7/ -O 7.7 -Z- 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 Plan Review Fire Surcharge State Surcharge SAC Charge License Surcharge Curb Cut Escrow Erosion Control Park Fee Sewer Main Charge $ R3. S® Fee Schedule on Reverse Side 65% of Permit Fee .001 of Permit Valuation (1/10th%) $.50/$1,000 Valuation $1350 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 $ /, lg STIPULATIONS: Building BUILDING (USING THE 1997 U.B.0 FE SCHEDULE) Permit No.: 2-6 to I Inspections 96- = -7/6 OCCUPANCY TYPE RESIDENTIAL APPLICATION Received By: ' 763-572-3604 CITY OF FRIDLEY" $ Dat d- ' - 763-502-4977 FAX $ .001 times the total job valuation Surcharge I� "3 ;° .0005 x Permit Valuation Minimum $.50 License Surcharge EFFECTIVE 1-1-2010 $5.00 (State Licensed Residential Contractors) SAC Charge DATE Z�� - r3 & Z) YOUR E-MAILADDRESS $2100 per SAC Unit (Plans to MWCC for determination) SITE ADDRESS a ^ -ei- A/ �•p $ THIS APPLICANT IS: _ OWNER ❑CONTRACTOR $ PROPERTY OWNER/ NAME: 6&f r $ ADDRESS. �~ 3 CITY / _ STATEyi/t ZIP TENANT Agreement necessary ( ) Non Necessary ( ) PHONE: X63 $ CONTRACTOR NAME: SUBMIT A COPY OF YOUR STATE LICENSE STATE LICENSE # EXP DATE AND CERTIFICATE OF ADDRESS: CITY STATE ZIP INSURANCE PHONE FAX PROPERTY TYPE ❑ SINGLE FAMILY/NEW CONSTRUCTION SIZE ❑ TWO FAMILY/NEW CONSTRUCTION STORIES PERMIT TYPE ADDITION ❑ GARAGEISHED ❑ WINDOWS ❑ BASEMENT FINISH ❑ ROOF ❑ DRAIN TILE ❑ DECK ❑ SIDING ❑ OTHER ❑ SWIMMING POOL TYPE OF WORK: ❑ NEW HOME CONSTRUCTIONDDITION 13MAINTENANCE/REPAIR ❑ REMODELING DESCRIBE WORK BEING DONE:�d'dlc-t rz /"'oD n SIZE OF IMPROVEMENT LENGTH Fv WIDTH ir[ r HEIGHT f S FT ROOFING (3 HOUSE ONLY BASEMENT REMODELING SUBMIT: NUMBER OF SQUARES yJxQ _ \ ❑ HOUSE & GARAGE 1. Existing Floor Plan GARAGES ❑ ATTACHED GARAGE 2. Proposed floor plan PROPOSED SIZE: ❑ DETACHED GARAGE 3. List of structural members to be used PROPOSED HEIGHT: ft IF SIDING vil Z� FOR NEW CONSTRUCTION INCLUDING DECKS, ADDITIONS_ & PORCHES SUBMIT: i yl ❑Soffit X J 1. - Site Plan/Survey showing the existing structures ❑ Aluminum ❑Trim ❑ Other ❑ Fascia{` I / and proposed project. 2. Two sets of construction plans // TI (p - 3.. Energy Calculations WINDOWS IN EXISTING OPENINGS ❑Yes ❑No LOCATION OF WINDOWS FOR WINDOWS - PROVIDE U -VALUE AND OR FOR NEW OPENINGS -DESCRIBE SIZE OF MANUFACTURE STICKER ON WINDOW. OPENING CHANGES & TYPE OF WINDOW TO BE INSTALLED NUMBER OF WINDOWS ALL FEES ARE BASED ON VALUATION, INCLUDING THE COST OF LABOR AND MATERIALS: (USING THE 1997 U.B.0 FE SCHEDULE) TOTAL JOB VALUATION $ 96- = -7/6 OCCUPANCY TYPE Permit Fee $ w4 z See Back Page for Fee Schedule Plan Review $ 2' 65% of Building Permit Fee Fire Surcharge $ .001 times the total job valuation Surcharge $ "3 ;° .0005 x Permit Valuation Minimum $.50 License Surcharge $ $5.00 (State Licensed Residential Contractors) SAC Charge $ $2100 per SAC Unit (Plans to MWCC for determination) Curb Cut Escrow $ ft + 6 ft = ft x $24 = $ Erosion Control $ $450 Conservation Plan Review Park Fee $ Fee Determined by Engineering Sewer Main Charge $ Agreement necessary ( ) Non Necessary ( ) Total Due $ Make checks payable to: City of Fridley Attach Stipulations THIS IS AN APPLICATION FOR A PERMIT -NOT VALID UNTIL PROCESSED I hereby apply for a building permit and I acknowledge that the information above is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Fridley and with the Minnesota Construction Codes; that I understand this is not a permit but only an application for a permit and work is not to start without a permit on site; that the work will be in accordance with the approved plan in the case of I work which req .res review and approval of plans. ? SIGNATURE OF APPLICANT PRINT NAME ` a t o l A . 9_ P t� ATE ,•' C� r /J -,5Z 0 le 0 CJ) w PA 0 ft > F c- 0> 0 OD > X1-0 M M.;o C, C- 7zo r 1` Mrd 0 ji�d,v zvzay z Ct r 0