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PRE 2010 DOCSVillage of Fridley, Minn. BUILDING PEMW N? 803 Ofce of INSPECTOR OF BUILDINGS Architect Fridley, Minn., w=A 19 Builder / LOCATION OF BUILDING No. "� �% s� street Part of Lot Lot r Block` Addition or sub -Division ,c DESCRIPTION OF BUILDING Front L Depth Height stories~ Dtanner of Construction 43,: �% To be used as '1r ° �� To be completes . J d" -}' `' ° Estimated CoCost, tna— Permit is hereby granted to �? '``'� " * '. °:=�1�,•.a., �,�to �� x =<a,. 1""`"". the building L�' 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, around 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. 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. Subse'bed and sworn to before me at Fridley, r � !. day of e f C : A.D. 19L - Minnesota, . this- 0 his 0 10 City of Fridley, Minn. BUILDING PERMIT N° 3486 Date: . �... . � . � ......... . Owner ....................................... Builder Address...................................... Address ..........•.................................... ' ...5.. �� ILDING No. .. ....... Street ... ......... ......... Part of Lot ..................... Lot ............ Block .................. Addition or Sub -Division ....................................... Corner Lot ............ Inside Lot ..X........ Setback ............ Sideyard ........................... DESCRIPTION OF BUILDING To be Used as: � ..... Front R®: o Depth�.?X'. Height ��.—�� jSq. Ft. /.. r®. Cu. WOO .................... Front ........ Depth ... .... Height ........ Sq. Ft......... Cu. Ft. ........ Type of Construction ................... Met. C �.©�... To be Completed ................... In consideration of the issuance to me of a permit to construct the building desribed above, I agree to do the proposed work in accordance with the description above set forth and in compliance with all provisions of ordinances of the city of Fridley. %C .................................................... 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 with- in the city limits and this permit may be revoked at any time upon violation of any of the provisions of said ordinances. s .. ``.. If . ........ Building Inspector NOTICE: This permit does not cover the construotlon, installation or alteration for wiring, plumbing, gas heating, sewer or water. Be sure to see the Building Inspector for separate permits for these Items. ADD ­ P........I ......... ... I........ s � • s .�_ ..-. IvAM ADDRLS'S i % 25- ? JU b= 4 yliLIIATSCN 1 TYPE r ME ........................».................................................................... .................................... r, Property Line Front Property Line O Date: City of Fridley, Minn.. 6431 University Ave. N. E., Minneapolis, Minn. 55432 BUILDING PERMIT September 29, 1971 Owner: Stanley Thorsen .Address 775 3rd St. N.E. Builder Exterior Design Service Address 6391 Monroe N. E. LOCATION OF BUILDING No 4775 Street 3rd Street N.E. part of Lot Lot 28,29 X Block 8 Addition or Sub -Division Plymouth Corner Lot inside Lot Setback _ _ Sideyard Sewer Elevation Foundation Elevation DESCRIPTION OF BUILDING To be Used as: Siding Front Depth Height . _ Sq. Ft. _ _ Cu. Ft. Front Depth Height M Sq. Ft. Cu. Ft. Type of Construction Steel Siding Est. Cost 1,960.00 _ To be Completed 11/1/71 In consideration of the issuance to me of a permit to construct the building described above, I agree to do the proposed work in accordanwith the description above set orth and � om) ante with all provisions of ordinances of the city of Fridley. In consideration of the payment of a fee of $ 12.00 _ ZJ M1104 Q6.s'i6A0 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 city limits and this permit may be revoked at any time upon violation of any of the provisions of said _ Building Inspector C arence Be s et'' NOTICE: This permit does not cover the construction, installation for wiring, plumbing, gas heating, sewer or water. Be sure to we the Building inspector for separate permits for these items. APPLICATION FOR RESIDENTIAL, ALTERATION, OR ADDITION BUILDING PERMIT CITY OF FRIDLEY, MINNESOTA ADDRESS: NO:. `- 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: u Front: Depth: Height: Square Feet: Cubic Feet: Fronts Depth: Height: Square Feet; Cubic Feet: Type of Construction: Estimated Cost:f 9� O To Be Completed: 2 ✓ • 6 /,f 71 The undersigned hereby makes application for a permit for the work herein specified, agreeing to do all work in sttict 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 Information.) • 53-81-9915c51 cil V A�,F11Cclon for plu4fi:.a:: tr 1a�;;, �'t.' : •ts ... . . ,....... .,_,_,_.._ Dopt. of Bldg-4. Phone S:~J-3iS0 DSSC?IPTIOli 0: MY0r,T: � on d snd Lecrlicn of Fixtures City of Fridley: l 8 �< K " s Mir W*'" MTa. cis r«� The undersigned hereby rrakes application for a rermit for the work her Cit;t Ord:r.:: �. i 3 e u u ` t u specified, a� eeing to do all wcrk in st�ct acco:Caace with tre N in is i1 c _ �� and ruling of the Department of Buily.'nz% and hereby declares that a:I Lhe 1. E3:r I • , and representations stated '_n _':is application are true sr+d correct' I I '-17-76 19. I:t .. -Fridley. Minn i istill --r 11 2nd —+ Owner Stanlo or - ' 3rd fr r Kind of Building ith -• -- Co r•ts:rd • Fu:.::o Coz:a:ua OT.cir.. wits u=Maar ❑ r s, Used as c }{•a Fiunizo. Old C7rari•".Ss Cc-..:pool 0 To be completed about • PARTIAL RATE SCHEDULE Estirnat.ed Cost. $ © 0 Old--113ut'.ding Permit No- LUMBING FI:CTWE RATES: NO. RATE TOTAL � SiZr:cd , N.=.ber Fixtures ................ w x $2.00. S - Future fixture Opening • • • • • • • • • • • ---- x $1.50 $,- By Busin= T'hjrc NO few Fixture Old Opening..•. • • • • • • • Catch Bain .................... _— x $3.25 $ — Water Ifeater 'L•p to 93.060 BTU) • • • • .---- x IM 00 ROUGH . New Cround Run Old Bldg....:.... _---._---. x :7.25 S - E:•ctew {flats. H&atar, .. • .:..... • ...�� = t.2.0 FINAL /D d it 6 - 7 ZAS FITTING TEES: HO. R:+ TOTAL - S . 1st3Fixtures ....•••••••••••••• ---'---x$2.00 kdd'U,;nal Fixtures ............... ---- x- C:s to 193.000 BTU ............--.---•- x S5.co b-.---- , .50 State Surcha ge ALTERATIONS--RA-06T 10 Cods ' TOTAL rrzz $ �— City of Fridley SUBJECT PER o 15273 AT THE TOP OF THE TWINS BUILDING PERMIT rp RE PT NO. • COMMUNITY DEVELOPMENT DIV. r PROTECTIVE INSPECTION SEC. n ��� 47 CITY HALL FRIDLEY 55432 j NUMBER REV. DATE PAGE OF APPROVED BY 612-571-3450 910-F15 6/19/79 JOB ADDRESS 4775 - 3rd Street N.E. 1 LEGALLOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 28,29 8 Plymouth Addition SHEET 2 PROPERTY OWNER MAILADDRESS ZIP PHONE Stan Thorson 4775 - 3rd Street N.E. 560-1574 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 ❑ NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE X 8 DESCRIBE WORK Construct a 14' x 12' Addition to House 9 CHANGE OF USE FROM TO STIPULATIONS almos in$ 0211110 Eta• •� 8��� ARE-E1.���R1C sEPERArE PERAlIr 'R��U WEATft` FpR WIPl1VG� PLUMBING AMD Argo ��� TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, VENTILATING OR AIR CONDITIONING. Wood Frame 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 168 3360 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 $5,100 $2.55 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. $33.00 NONE PLAN CHECK FEE TOTAL FEE 8.25 $43.80 SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT IDATEI WHEN PROPERLY VALIDATED THIS IS YOUR r. PERMIT BLDG I I O T S GNATURE OF O R IIF OWNER BUILDERI IDATEI- CITY OF FRIDLEY APPLICATION FOR RI'SIDENTIAL BUILDING PEIVAITF) • (NEW, ALTERATIOIJS, AD)ITIONS, OR REPAIRS) OWIIBR:, Y, / In✓'s�' `J Address:i`� - �c� S•ie��Z"" No. LOT: Street: BLOCK.:_ CORNER LOT: INSIDE LOT: BUILDER: Address: Tel. Mo.: ADDITION: SETBACK: — SIDLYARDS: Applicant attach 'to this form 1Vo Certificates of Survey of Lot and proposed • building location drawn on these Certificates. DESCRIPTION OF BUILDING To Be Used As: Event: / . Depth: �' + Height: MW - Square Feet: /� �`�/ Cubic Feet: 33 Front: Depth: Height: Square Feet: Cubic Feet: 5,' O Type of Construction: >zlO O Estimated Cost: $ To Be Completed: ,p - &-r Alt. A Alt. 33 Proposed Drivmaay Width If Neva Opening Is Desired $ $ (SEr REVERSE SIDS: 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 Ire true and correct. See reverse side for additional information. DATE: SIGNATURE. Stipulations: ik 6PAE w490� /6y)/ S.oG gSb. 6% jut Fwob, /61s' d3. s S y; 4� Sl 1 C• 40 oil . S16 d 994 -ow r 6:s Y f = 33.0d , 3:NERGY CONSERVATION SUPPLEMENT.TO BUILDING PERMIT APPLICATION PLANNING AND INSPECTION DEPARTMENT CITY OF FRIDLEY, MINNESOTA This supplement is provided to assist the applicant•in computing EXTERIOR ENVELOPE AVERAGE "U" TACTOR INrORMATION. This information is required so the BUILDING OFFICIAL can determine that submitted plans comply with the ENERGY CONSERVATION DESIGN CRITERIA of the STATE BUILDING CODE (Section 6000). It is the APPLICANT'S responsibility to accurately compute the data; reflect the proper DESIGN CRITERIA in the plans; submit product specifications, if needed to support the "R" and "U" factors used; and to assure construction is per �Japproved �plans. /� JOB LOCATION: OWNER/CONTRACTOR: ///zell6, "' ADDRESS : PHONE: 1,5-- 741 A. Determine the Total Exposed Wall Area as follows: 1. Total wall window area Rea 2. Total door area -� 3. Total sliding glass door area 3500 4. Total fireplace wall area I.L �- 5. Total wall framing area (average'.1g9e.) 3$ 6. Total net wall area above floor (average 9K0) 7. Total rim joist area Subtotal: Total exposed wall area above. floor 8. Total foundation window area20 9. Total net foundation area above grade 20,55 Subtotal. Total exposed foundation area GRAND 'TOTAL EXPOSED WALL AREA 31 2,D . •' B. Multiply the GRAND TOTAL EXPOSED WALL AREA X �312,b�j)= Item I C. Determine the Total Exposed Roof/Ceiling Area as follows: 10. Total skylight area 11. Total roof/ceiling framing area (100) .� 12. Total net insulated roof/ceiling area GRAND TOTAL EXPOSED ROOF/CEILING AREA S .� D. Multiply the GRAND TOTAL EXPOSED ROOF/CEILING AREA X Item II Ot B. Determine the "U" value of each segment (1-9) and multiply by the area as follows: x ,lull ' o il _ -H------ 12. x "U" 0,6rz. .0,6r2 - H. 2. Item x null — _ 3. State x "u" 4. Add x "U" Item II • S. J. x "U" 3 = s. 2!5c) x „u,l , 55 = • 13 9. 20, 55 x ,lull ADD 1-9 FOR TOTAL WALL SEGMENTS - ITEM III (04"86 F. Determine the "U"value of each segment (10-12) and multiply -by the area as follows: 10. ADD x "U" _ 11. x ,lull ' o il _ -H------ 12. x "U" 0,6rz. .0,6r2 - ADD 10-12 FOR TOTAL ROOF/CEILING SEGMENTS = ITEM IV G. If Item III is the same as, or less than Item I, you have met the intent of State Building Code 6006 (c) 2. H. If Item IV is the same as, or less than Item II, you have met the intent of State Building Code 6006 (c) 1. I. Add Item I + Item II _ J. Add Item III (�� + Item IV K. If the sum of Items III and IV are less than Items'I and II, you have met the intent of the Code for total envelope system. The undersigned, as applicant for a building permit, hereby affirms the above information has been prepared and submitted by himself or under his direction, hereby acknowledges the information to be correct and accurate; and hereby presents the information with required plans in support of the building permit application. By: DATE CITY OF FRIDLEY APPLICATION FOR PLUMBING AND GAS FITTING PERMIT PARTIAL RATE SCHEDULE m NO. RATE TOTAL Number Fixtures x $3.00 $ Future Fixture Opening x $2.00 0 New Fixture, Old opening Water m $ Bei x A $ ' .ci ro $4 $ m k a w r� x Heater $ New Ground Run Old Building x $5.00 . m x -3 $ 14U @m 1st 3 fixtures x $3.00 $ w N C x Gas Range to 199,000 BTU x x C 3 .0 First $100.00 $5.00 $ each add. $100.00 or fraction $2.00 $ State Surcharge $ .50 TOTAL FEE u U p we W S o w w U ma a 3 IOU chi o as lec A 1st 2nd 3rd 4th (R) a Future Connection Opening Connected with Sewer (*) - New Fixture, Old Opening Water PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: NO. RATE TOTAL Number Fixtures x $3.00 $ Future Fixture Opening x $2.00 $ New Fixture, Old opening x $2.00 $ Catch Basin x $5.00 $ Water Heater - to 99,000 BTO x $5.00 $ 100,000 BTU to 199,000 BTU x $10.00 $ Water Softener x $7.00 $ New Ground Run Old Building x $5.00 $ Electric Water Heater x $5.00 $ GAS FITTING FEES: 1st 3 fixtures x $3.00 $ Additional Fixtures x $1.00 $ Gas Range to 199,000 BTU x $10.00 $ REPAIRS $ ALTERATIONS First $100.00 $5.00 $ each add. $100.00 or fraction $2.00 $ State Surcharge $ .50 TOTAL FEE $ a REINSPECTION FEE ($10.00) Job Address Department of Buildings 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 hereb declares that all the facts and roprosentations stated in this applica conn are true and correct . Fridley, Mn. 1 U 19-11L, OWNER KIND OF BUILDING USED AS TO BE COMPLETED ABOUT ESTIMATED COST OLD - NEW BUILDING PERMIT NO. Compan Signed Tel. N ROUGH INSP. Date FINAL INSP. S - 3 - - 2ro Date APPROVAL FOR PERMIT 6 MINIMUM FEE FOR ANY PLUMBING PERMIT IS $7.50 PLUS $.50 STATE SURCHARGE Building Permit Fee BUILDING See Back Page for Fee Schedule Permit No.:�Ul�' Inspections 65% of Building Permit Fee RESIDENTIAL APPLICATION Received By: Ak'' 763-572-3604 763-502-4977 FAX CITY OF FRIDLEY $ Date E License Surcharge $ �O'J $5.00 (State Licensed Residential Contractors) SAC Charge $ $2000 per SAC Unit (Plans to MWCC for determination) Curb Cut Escrow EFFECTIVE 8-19-09 ft + 6 ft = ft x $22 = $ Erosion Control DATE H — 0 -LG1 YOUR E-MAIL ADDRESS Park Fee SITE ADDRESS q:z �"• %•F• Sewer Main Charge THIS APPLICANT IS: ❑ OWNER WONTRACTOR Total Due PROPERTY OWNER/ NAME: TGtYi. TENANT ADDRESS:.4"7-Jr $ - N.('. CITY���t STATEA&LZIP59-Mi PHONE.26'5-9971— `TOGI CONTRACTOR NAME: J dhr1 gm I$I♦ - SUBMIT A COPY OF YOUR STATE LICENSE STATE LICENSE # ZO 126 88 U EXP DATE 3 3(- 2dl O AND CERTIFICATE OF ADDRESS: —(��( W. . Z� Sb . 4kll7�E CITY?L • L.m'�STATEM&) ZIP INSURANCE PHONE '75Z FAX PROPERTY TYPE RSINGLE FAMILY/NEW CONSTRUCTION SIZE ❑ TWO FAMILY/NEW CONSTRUCTION STORIES PERMIT TYPE ❑ ADDITION ❑ GARAGE/SHED ❑ WINDOWS ❑ BASEMENT FINISH 1% ROOF ❑ DRAIN TILE ❑ DECK ❑ SIDING ❑ OTHER ❑ SWIMMING POOL TYPE OF WORK: ❑ NEW HOME CONSTRUCTION ❑ ADDITION ❑ MAINTENANCE/R"EPAIR ❑ REMODELING DESCRIBE WORK BEING DONE: ?tc8r - Cof{ GlcnMCQ& INVA� SIZE OF IMPROVEMENT LENGTH WIDTH HEIGHT SQ FT ROOFING ❑HOUSE ONLY NUMBER OF SQUARES L6 11HOUSE & GARAGE BASEMENT REMODELING SUBMIT: 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: SIDING FOR NEW CONSTRUCTION INCLUDING DECKS, ❑ Vinyl ❑Soffit ADDITIONS_ & PORCHES SUBMIT: ❑ Aluminum ❑ Trim 1. Site Plan/Survey showing the existing structures ❑ Other ❑ Fascia and proposed project. 2. Two sets of construction plans WINDOWS 3. Energy Calculations 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: 3)NG THE 1997 U.B.0 FEE SCHEDULE) TOTAL JOB VALUATION $ OCCUPANCY TYPE Permit Fee $ See Back Page for Fee Schedule Plan Review $ 65% of Building Permit Fee Fire Surcharge $ .001 times the total job valuation Surcharge $ .0005 x Permit Valuation Minimum $.50 License Surcharge $ �O'J $5.00 (State Licensed Residential Contractors) SAC Charge $ $2000 per SAC Unit (Plans to MWCC for determination) Curb Cut Escrow $ ft + 6 ft = ft x $22 = $ Erosion Control $ $450 Conservation Plan Review Park Fee $ Fee Determined by Engineering Sewer Main Charge $ Agreement necessary ( ) Non Necessary ( ) Total Due $ Make checks Davable to: Citv of Fridlev Attach Stiaulations 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 all work whi eg1x*s review and approval of plans. SIGNATURE OF APPLICANT/ ,) ( � PRINT NAME 0`` 4W Yom( DATE