PRE 2010 DOCS•
Village of Fridley, Minn.
BUILDING PEBX[T
C
N° 791 Office of INSPECTOR OF BUILDINGS
Architect Fridley, Minn.,
Builder
LOCATION OF BUILDING
No. -#7196 D Street --K 0''o I tJt 1 Part of Lot
Lot" Block , Addition or Sub -Division j� °
DESCRIPTION OF BUILDING
Front .�-- Depth 2 ` Height Stories Manner of Construction_
To be used as bit -'e.. CIL �'To be completed ° ' �" Estimated Cost
Permit is hereby granted to �`? ,i,• r. �' �' :., i r=� e . - fn �, a.a_,.:
the building "' ` 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.
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 « , . ._, c Z.
A.D. 19
Minnesota, this
9
d .
e
0 •
City of Fridley, Minn. N° 8 517
•
BUILDING PERMIT
Date: OCTOBER 7Y 7, 1965
Owner: HENRY C. MARSHALL Builder SAME
Address 4780 - 3rd St. N. E. Address
Fridley 21, Minnesota
LOCATION OF BUILDING
No. 4780 Street 3rd St. N. E. part of Lot
Lot __._ 1 2_ Block 7 Addition or Sub -Division . Plymouth
Corner Lot — X Inside Lot Setback Sideyard
Sewer Elevation Foundation Elevation
DESCRIPTION OF BUILDING
To be Used as:
D. Garage Front 24 Depth 24 Height 10 Sq. Ft. 576 Cu. Ft 5,760
Front Depth height Sq. Ft. Cu.. Ft.
Type of Construction Frame Est Cost ^ 1 728_ _ To be Completed
r1
U
•
In consideration of the issuance to me of a permit to construct the building described above I agree to do
the proposed work in accordance with the description above set forth and in compliance with ail provisions of
ordinances of the city of Fridley.
In consideration of the payment of a fee of $ 6.00 , permit is hereby granted to HENRY C.
MARSHALL 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 location, construction, alteration, maintenance, repair and moving of buildinm
a � city limita� permit may be revoked at any flans upon violation of any of the provisions of ssaatid
ordinan
ALLEN G. JENSEN
Building Inspector
NOTICE:
ale poneh doe not ogee ria construction, duhQMlon for Yrlrtns, plumbing, gas heating, sewer or water. Bo an to we
the Building hopeetor for aparalo permlte for thea Nen&.
APPLICATION FOR BUILDING PERMIT
CITY OF FRIDLEY, MINNESOTA
OWNER'S" BUILDER
ADDRESS or z �_ ADDRESS
r LOCATION 0 BUILDING
N0. 7 0 STREET 1 )9'_ OF LOT
LOT �_ a -BL CKADDITION OR SUBDIVISIOk__
CORNER LOT INSIDE OT SETBACK SIDELYARD
SEWER ELEVATION FOUNDATION ELEVATION
Applicant attach to this form Two Certificates of Survey of Lot and proposed
building location drawn on these Certificates.
DESCRIPTION OF BUILDING
To be used as;
Front Depth±�—
Height / 6
Sq. Ft. Z( Cu. Ft.` C)
Front Depth Height
Sq, Ft. Cu. Ft.
Type of Constru o Estimated Cost
To be completed
The undersigned hereby makes application for a permit for the work herein
specified, agreeing to do all work in strict accordance with the City of
Fridley Ordinances and rulings of the Department of Buildings, and hereby
declares that all the facts and representations stated in this application
are true and correct.
DATE d SIGNATURE
(Schedule of ee Costs can be found on the Reverse Side).
SUBJECT
PERMIT NO.
City of Fridley
28556
T THE TWINS
PERMIT
r? %64
`��
BUILDING
RECEIPT NO.
.572-3
� COMMUNITY DEVELOPMENT DIV.
INSPECTION SEC.
r PROTECTIVE
r�63
E I CITY HALL FRIDLEY 55432
�'�
NUMBER
REV
DATE
PAGE OF
APPROVED BY
612-571-3450
910415
11 110/98
JOB ADDRESS 4780 3rd Street NE
1 LEGAL
LOT N0.
BLOCK
TRACT OR ADDITION
SEE ATTACHED
DESCR.
1 & 2
7
Plymouth
SHEET
2 PROPERTY OWNER MAIL ADDRESS
ZIP PHONE
Daniel Magnuson
572-8517
3 CONTRACTOR MAIL ADDRESS
ZIP PHONE LICENSE NO
Owner
4 ARCHITECT OR DESIGNER MAIL ADDRESS
ZIP PHONE LICENSE NO
5 ENGINEER MAIL ADDRESS
ZIP PHONE LICENSE NO
8 USE OF BUILDING
Residential
7 CLASS OF WORK
O NEW O ADDITION ❑ ALTERATION Ox REPAIR O MOVE O REMOVE
8 DESCRIBE WORK
Reside garage
9 CHANGE OF USE FROM TO
STIPULATIONS
Call for building wrap inspection before covering.
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
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
350
.50
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
$21.00
1
Fire .35
PLAN CHECK FEE
FETOTA
215
GNATUREOR AUTHORIZED AGENT IDATE,
`
17A�-lop
ENP OP
LIDATED YO/UR �RMUIT
UREOFOWNS , FOW RB ERi VATE.
BLDG 4 SP
)ATE
NEW [] Effective 1/1/98
ADDN [ ] CITY OF FRIDLEY
ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2
BUILDING PERMIT APPLICATION
ConstructionAddress: $ — gA10 eLsi k%E
Legal Description:
Owner Name & Address:,SdXJ Tel. # 5702 IS) 7
Contractor: MN LICENSE #
Address:
LIVING AREA:
GARAGE AREA:
DECK AREA:
OTHER:
Construction Type:
Attach to this application, a Certificate of Survey of the
lot, with the proposed construction drawn on it to scale.
DESCRIPTION OF IMPROVEMENT
Length Width Height
Length Width Height
Length Width Hgt/Ground
Driveway Curb Cut Width Needed:
DATE: - Cl 1011
Ft. + 6 Ft =
Tel. #
Sq. Ft.
Sq. Ft.
Sq. Ft.
Estimated Cost: $
(Fee Schedule on Back)
Ft x $ = $
APPLICANT Tel. # S
CITY USE O Y
Permit Fee
$
t2( C1 O Fee Schedule on Reverse Side
Fire Surcharge
$
3s— .001 of Permit Valuation (1/10th%)
State Surcharge
$
5:D $.50/$1,000 Valuation
SAC Charge
$
$1000 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 $ o;? (' U�-
STIPULATIONS:
CITY OF
FRI DLLY
FRIDLEY MUNICIPAL CENTER • 6431 UNIVERSITY AVE. N.E. FRIDLEY, MN 55432 • (612) 571-3450 • FAX (612) 571-12217
June 7, 1994
Michael Kubal
4780 - 3rd Street N.E.
Fridley, MN 55421
RE: Final Notice of Noncompliance of the Fridley City Code at
4780 - 3rd Street N.E.
Dear Mr. Kubal:
On June 6, 1994, a second inspection of the property at 4780 - 3rd
Street confirmed that the following items still do not comply with
City Code:
1. Fridley City Code requires that all vehicles must be currently
licensed and street operable if they are stored outside. I
observed two vehicles (including 534-BKF).
A final inspection to determine compliance will be conducted on or
about June 20, 1994. You should arrange to complete an approved
plan for compliance before that date. Should this inspection
confirm that this deficiency still exists, legal action will be
approved. If corrective action cannot be completed by this time,
contact me to coordinate a schedule to complete this requirement.
If you have any questions regarding this matter, please contact me
at the Fridley Municipal Center, 572-3595.
Sincerely,
Steven Barg
Code Enforcement Officer
SB:ls
CE -94-291
IN
sueJEtr
R IT NO.
City of Fridley
307 14
AT THE TOP OF THE TWINS
BUILDING
PERMIT
r
RECEIPT NO./
COMMUNITY DEVELOPMENT DIV.
r PROTECTIVE INSPECTION SEC-
/&�
CITY MALL FRIOLEY 55432
NUMBER
REV
DATE
PAGE OF
APPROVED BV
l 612-571-3450
910 -FIS
3/8/00
10B ADDRESS 4780 3 Street NE
1 LEGAL
LOT NO.
BLOCK
TRACT OR ADDITION
SEE ATTACHED
DESCR.
1,2
7
Plymouth
SHEET
2 PROPERTY OWNER MAIL ADDRESS
ZIP PHONE
Magnuson 4780 3 Street NE
572-8517
3 CONTRACTOR MAIL ADDRESS
ZIP PHONE LICENSE NO
Citywide Home Improvement 1005 West Broadway, Mpls., MN 55411 529-2489 3013
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
❑ NEW ❑ ADDITION ❑ ALTERATION C2 REPAIR ❑ MOVE ❑ REMOVE
8 DESCRIBE WORK
Replace two windows
9 CHANGEOFUSEFROM
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.
Permit inspection Cards
will Be Mailed
To Homeowner 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 BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS
VALUATION SURTAX
AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED
$.89
WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT
$1,784
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-
$63.15 Fre SC $1.78
STRUCTION OR THE PERFORMANCE OF CONSTRUCTION
PLAN CHECK FEE T TAL FEE
Liqer
j4 SC 45AO $70.82
SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT DATE,
WH PR E Y VALI .THIS LOUR PERMIT
I
ez
S-GNATURE OF OWNER „F OWNER BUILDER, IDArE,kKEKOG
,NSP TIATE
IN
NEW [ ] Effective 1/1/98
ADDN [ ] CITY OF FRIDLEY
ALTER [ ] SINGLE FAMILY AND 'DUPLExES R-1 AND R-2
BUILDING PERMIT APPLICATION
Legal Description:
Owner Name & Address: Tel. #
J
Contractor: MN LICENSE #
Address: W, -Z'c/�( 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:�, timated Cost: $
(Fee Schedule on Back)
Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ _ $
DATE: — —co
APPLICANT: 9 Tel. #
TOTAL $
STIPULATION
e5z
/,ILL
S� 3/a- � /,1-, � 997 � � � • " y
CITY USE ONLY
Permit Fee
$
63- IY-
Fee Schedule on Reverse Side
Fire Surcharge
$
X79—
.001 of Permit Valuation (1/10th%)
State Surcharge
$
•®S'
$.50/$1,000 Valuation
SAC Charge
$
-- 45>—
$1000 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 $
STIPULATION
e5z
/,ILL
S� 3/a- � /,1-, � 997 � � � • " y
'.ITY OF FRIDLEY INSPECTION D1ViSION
Effective On .January 1. 2000
3431 University Ave NE
-ridley, L4N 55432 APPLICATION FOR A01AffR PLANTS AND HEATING, COOLING, VENTILATION,
763) 572-3504 REFRIGERATION
AND AIR CONDITIONING SYSTEMS AND DEVICES
J08 ADDRESS
RATE SCH _ LE
OWNER
tesidential Rate
TOTAL
►-�
Furnace Shelf and Duct Work, Burner -
BUILDING USED
Also Replacement Furnace $ 30.00
$
ESTIMATED COST PERMIT NO�
(Side Vent - Fig Out Back)
_
Gas Piping (Needed with new furnace, $10.00
$
DEt01P1i0N OF FURNACE AMD OR URNER
but not replacement)
Gas Range $ 10.00
No. of Heating Units Circle One (Steam) (Hot Water) MOM Air)
Gas Dryer $10.00
$
Trade game - ._ Size No. _
BTU HP — EDR
°'Air Conditioning Atl Sites $ 25.00
$
Fuel _ ___ Total Connected Load_
..
All Others/Ropairs & Alterations (LIST ON SAM
Sumer Trade Name _, Size No.
�
I % of Value of Appliance or Work
$
BTU ___. HP _ EDR,
Amrnercial/Industrial
1.25% of Value of Appliance or Work
$
The undersigned hereby :Hakes application for a permit for the work herein
specified agreeing to do all work in strict accordance with the City Codes an
State Surcharge
s____+
rulings of the Building Division, and hereby declares that alf the facts and
_
representations stated in this application are true and correct,
o
TOTAL FEE
DATE
skit liil FE3iO-ANDY 'LETTING/COOLIN-GiVEWI-I-LATli-Ai
"I
H1;AATiN ' A-
��fif~pATION/A1R:9QNW flNING PIERM111 IS S25,019
Sign TEL!! q
TH
'W E TATE SAA SSURCHARGE
:EINSPECTION 'FEE $47.00/Hr�
Final Dave
Air Conditioners can not be placed in a side yard without
Approved ByRough-fn Date _ _
mitten permission from adjoining property owner.
F i.
UT BACKSIDE A K VERIETCATfON ON BEPLACEMIENTN"
v
m
M
N
Z9 ' d -W-01
COMMON -N_ NT•. VieNi C• ONNEScTOR AND COiVIB,�JBTIQ Al ERj�ICAT1OM
When re lacing an existing furance, the undersigned hereby verifies that the
venting has been examined and is free from rust, deterioration, obstructions, Yes No( )
and is securely supported and firestopped where required.
"Cho venting system is plastic/PVC and meets all current codes and manufacturer
specifications Including sizing, length, number of elbows and termination. Yes( ) NO( }
The undersigned also verifies mat the replacement unit is a listed assembly
and meets the current codes and manufacturer's specifications. This does
include AGA -LAMA Category I Central Furnace Venting Tables for fan yes( ) No( )
assisted and natural draft appliances.
The lxIsling combustion air is sized and installed to meet the current codes Yes( ) No( )
and manufacturer's specifications.
When required to Instal i a new combustion alr,iit will be sized and installed
To meet the current codes and manufacturers specifications. Yes () No( )
When Installing a n venting system, the undersigned hereby verifies that
it is a listed assembly and meets the current codes and manufacturer's
specifications. This does include AGA-GAMA Category I Central Furnace Yes( ) No( )
Venting Tables for fan assisted and natural draft appliances.
Is the common vent and vent connectors sized and installed correctly after
an appliance has beers removed from the =rnmon vent and vented Yes( ) NO ( ?
separately as per current codes.
Appliance Type and Sixe/CortiInfonnaRion
Appliance #1 Type Oba BTU Input Fan Assisted or Nat
AppUance #2 Type _ . _ STU input Fan Assisted or Nat _
Appliance #3 Type __ BTU Input _ Fan Assisted or Nat _
Total Appliances Total Btu input
Common Vent Type Vent height �_., Diameter _____Jnches
Appliance #1 Vent Connector Height A Length ft Diameter �Jn Type --
Appliance #2 Vent Connector Height it Length Diameter jn Type_,,.,
Appliance #3 Vent Connector Height ft Length it Diameter - — _ in Type
ALTe" IONS: Mescribe)
HEATING CO:Signed I1�►/ �; w .� 1
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