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PRE 2010 DOCSi Village of Fridley, Minn. BUILDING PEB " No 811 Office of INSPECTOR OF BUILDINGS owner Architect Builder. Fridley, Minn., LOCATIONp,-OF BUILDING No. 4 street `" * "'i d Part of Lot Lots+ r Block a Addition or sub -Division crw DESCRIPTION OF BUILDING _. �t.e�'J "d Front - Depth Height Stories_Y ry Manner of Construction - "- r r To be used as ' �4 w To be completed 3 °' 9 r' ro = + -Estimated Cost Permit is hereby granted 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 of Buildings. 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. Subscribe94 and sworn to before me at Fridley, s A.D. 19 :. day of �x < ..;�- ., Minnesota, this C� • City of Fridley, Minn. BUILDING PERMIT Date: _. SEPTEMBER 22, 1966 C3 9024 owner: _OLIVER J DALOS Bider STRAND CONSTRUCTION COCA Address 4815 - 3rd Street It. E, Address 8125 ENSIGN ROAD Fridley, Minnesota 55421 HOPKINS, MINNESOTA No. 4815 Street Lot 18 & 19 Block LOCATION OF BUILDING 3rd Street N. E. _— _ Part of Lot 3 Addition or Sub -Division _._._.P.l outh Corner Lot Inside Lot — X Setback --- Sideyard Sewer Elevation Foundation Elevation DESCRIPTION OF BUILDING To be Used as: DET. :GARAGE Front 20 Depth 22 Height 10 Sq. Ft. 440 Ca Ft. 4,400 Front _ _ Depth -- Height ._ Sq. Ft. _ __ Cu. Ft. Type of Construction FRAME Est. Cost 1:500___—_ ___ To be Completed 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 ' fo and in compliance with aft provisions of ordinanoea of the city of Fridley. In consideration of the payment of a fee of $ 4.00 1 permit is hereby granted to— STRAND GONSTRUGTI NCCO. 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 worlunen, 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, constructtTon, alteration, maintenance, repair and moviag of buildings within the dty limits and this permit may be revoked at any time upon violation of gay of the provisions of eafd ordinances. CLARENCE BELISLE Building Inspector NOTICE: 'lids permit don not cover the consimcdon, Taft tion for wiring, plumbing, gas hooting, sewer or water. Be sure to as the Building Inspector for separate permits for thea Rona. APPLICATION FOR BUILDING PERMIT CITY OF FRIDLEY, MINNESOTA OWNER'S NAME. i' , �^ a r�� �5 BUILDER. _r- ADDRESS ��'/�' .3 —4-J ADDRESS LOCATION OF BUILDING N0. STREET. PART OF LOT LOT BLOCK ADDITION OR SUBDIVISION %1 j-. �1-M1 U CORNER LOT INSIDE LOT VSETBACR SIDE YARD 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 )-,6 Depth s 7,, Height Sq. Ft. Cu. Ft. . Front Depth Height Sq. Ft. Cu. Ft. Type of Construction 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_ SIGNATURE__�z:,. , �d (Schedule of Fee Costs can be found on the Reverse Side). Titte 3uourance Com planp of lHinne-Zota ftfinneapolio, 01inneoota Rtber To be attached to and become a part of Policy No. a,? -3- o yy3 of Title Insurance Company of Minnesota. -- -/26.9--- C_Zl; "The plat above shown indicates correctly the size and location of the improve- ments on premises herein insured; also the buildings now located on premises in question are entirely within the lot lines and the buildings on adjoining prem- ises do not encroach on the premises herein insured." Nothing herein contained shall be construed as extending or changing the effective date of said policy; unless otherwise expressly stated. This Rider shall not be valid or binding until countersigned by either an Assistant Vice President, Assistant Secretary, Title Officer or Validating Officer. Signed and sealed this i s t 1 day of X Countersigned: y 19itie JnOurance 4'Companp of Anneilota By President Attest: '4A4_'&_�Sec�retary - 01 SUBJECT Paley ! ! 7 City of Fr 21304r.. AT THE TOP OF THE TWINS BUILDING PERMIT r REC 0. 1 COMMUNITY DEVELOPMENT DIV. ------- r PROTECTIVE INSPECTION SEC. NUMBER REV. DATE PAGE Of APPROVED BY CITY HALL FRIDLEY 55432 �j 612-571-3450 910-F15 4/27/92 JOB ADDRESS 4815 3rd Street NE 1 LEGALLOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 18,19 3 Plymouth Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Dalos 4815 -- 3rd Street NE 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Shaw Chamberlin Corp. 999 East 4th.St, St Paul, MN 55106 774-8496 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO. B USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW ❑ ADDITION ❑ ALTERATION Ej REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Reroo;� Dwelling (12 Squares.) Tear-o:�f 9 CHANGEOFUSEFROM TO STIPULATIONS Underlayment must coiuply with.- S:tAte. 13w lding Code. TYPE OF CONST. OCCUPANCY GROUP OCCUPANCYLOAD SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, VENTILATING OR AIR CONDITIONING. ZONING SQ. FT. CU. FT. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 80 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT NO. DWLG. UNITS OFFSTREET PARKING ANY TIME AFTER WORK IS COMMENCED. I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION 1 STALLS GARAGES VALUATION SURTAX AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED $636. Q0 $.50 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT PERMIT FEE SAC CHARGE DOES NOT PRESUME TO UTHORITY TO VIOLATE OR CANCEL THE IRT PROVISIONS OF ANY O OR LOCAL LAW REGULATING CON- $19:00 Fire SC $.64 STRUCTION O HE FO ANCE OF CONSTRUCTION. PLAN CHECK FEE TOTALFEE s'7G $20,14 SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT IDATEI HENR RLY V D ED THIS IS YOUR PERMIT BLDG .NSP DATE SIGNATURE OF OWNER OF OWNER BUILDERI IDATEI 01 NEW [ ] Effective 3/1/92 ADDN [) CITY OF FRIDLEY ALTER [ ] SINGLE FAMILY AND DUPLEXES R -I AND R-2 Building Permit Application Construction Address: 4/�'/5- 3 R I �5k , ,!J Legal Description: Owner Name & Address: �,� �R� 64 10� Tel. # Contractor: _ S�9uo Cl.���% MN LICENSE #, Address: '<"v-115- S�'Q , MA is -5-1a, Tel. # day FYf Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. LIVING AREA: GARAGE AREA: DECK AREA: OTHER: DESCRIPTION OF IMPROV JAENT Len i el - Length Width Height Sq. Ft. Le gn"k Width Hgt/Ground Sq. Ft. /1 S !F2 s Corner Lot [ ] Inside Lot [ ] Ft. Yd Setback _ Type of Construction: Kg -s.- Approx. Completion Date: _ Side Yard Setbacks Estimated Cost: $ C�aC' =� (Cost on Back) - Driveway Curb Cut Width Needed: Ft. + b Ft = x $ = $ DATE:I 42 ?tLp4 KPPLICANT: Permit Fee $190--) Fire Surcharge $ State Surcharge $ SAC Charge $ License Surcharge $ Driveway Escrow $ Park Fee $ Sewer Main Charge $ TOTAL $ "IC) - /V STIPULATIONS: Tel. # ,1,2 96 6 Fee Schedule on Reverse Side .001 of Permit Valuation (1/10th%) $.50/$1,000 Valuation $700 per SAC Unit $5.00 (State Licensed Residential Contractors) Alt. "A" or Alt. "B" Above Fee Determined by Engineering Agreement Necessary [ ] Not Necessary [ CITY OF FRIDLEY INSPECTION DIV. Effective On January 1, 1991 6431 University Ave NE Fridley, MN 55432 APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION, 572-3604 REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES RATE SCHEDULE Residential Furnace Shell and Duct Work, Burner - Also Replacement Furnace Gas Piping (Needed with new furnace) Gas Range Gas Dryer "Air Conditioning - All Sizes Rate TOTAL $ 20.00 $ ? $ 10.00 $ $ 10.00 $ $ 10.00 $ $ 10.00 $M M. �� All Others/Repairs & Alterations (LIST ON BACK) 1 % of Value of Appliance or Work $ Commercial/Industrial 1 % of Value of Appliance or Work $ State Surchargo $ .50_ TOTAL FEE$�- MINIMUM FEE FOR ANY HEATING/COOLINGNENTILATION REFRIGERATION/AIR CONDITIONING PERMIT IS $15.00 PLUS THE $.50 STATE SURCHARGE REINSPECTION FEE $30.00 "Air Conditioners can not be placed in a side yard without written permission from adjoining property owner. JOB ADDRESS 16- - J '4 `' Ja- /!fir,i - 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 ruling of the Building Division, and hereby declares that all the facts and representations stated in this application are true and correct. &22, ,1 OWNER BUILDING USED AS ESTIMATED COST 36 f,&--'' ;r PERMIT NO. DESCRIPTION OF FURNACE AND OR BURNER No. of Heating Units Qrcle One (Steam) (Hot Water) arm Air Trade Namef�ve"Z egr e Z�E Size BTU /-7:r, HP EDR Fuel Total Connected Load__2i Burner Trade Name Size No. BTU HP EDR c-4e®l"I 6-`0�- HOME ENERGY CENTER HEATING COMPANY 14SE _ MM' AVE. NO. PLl(M 3M MN 554x7 Signed By ��� Tel No. 7-1 Z Approved By Rough -In Date Final Date f0 FILL OUT BACK SIDE FOR STACK VERIFICATION ON REPLACEMENT FURNACE CHIMNEY AND STACK VERIFICATION The undersigned hereby verifies that the existing chimney or stack: 1. Has been carefully examined Yes (r✓/ No ( ) 2. Is free from rust or deterioration Yes No 3. Has no foreign objects lodged within Yes (✓f No 4. Is securely supported Yes ( No ( ) 5. Meets all current Code requirements for size and total BTU's connected Yes (J� No ( ) 6. Has notal heating BTU's of �D omo All other BTU's 14o veo TOTAL BTU's Remarks List Alterations Being Done: HOME ENERGY CENTER PLYMOUTH, MN 55447 HEATING COMPANY Signed By 4 I4 /yam « .%ia/!��.� T®iri •�' _� ; Date i,m —z c, -Z Building BUILDING Permit No.: -00 7k Inspections RESIDENTIAL APPLICATION Received By: 763-572-3604 CITY OF FRIDLEY Date Rec'd: DATE -5— 2 so6 YOUR E-MAIL ADDRESS SITE ADDRESS THIS APPLICANT IS: (OWNER ❑CONTRACTOR PROPERTY OWNER/ NAME: TENANT ADDRESS: er ��i— 3 -VT ITY__,g2,Zt�STATWA—fZIPZ, PHONE:(%691L 3 CONTRACTOR NAME: See Back Page for Fee Schedule Plan Review SUBMIT A COPY OF STATE LICENSE # A%y�z EXP DATE Fire Surcharge YOUR STATE LICENSE ADDRESS: CITY STATE—ZIP WITH APPLICATION PHONE FAX $ $5.00 (State Licensed Residential Contractors) PROPERTY TYPE SINGLE FAMILY/NEW CONSTRUCTION SIZE Curb Cut Escrow $ ❑ TWO FAMILY/NEW CONSTRUCTION STORIES $ PERMIT TYPE ❑ ADDITION ❑ GARAGEISHED ❑ WINDOWS Fee Determined by Engineering Sewer Main Charge ❑ BASEMENT FINISH VROOF ❑ DRAIN TILE Total Due $ ,' j _� ❑ DECK ❑ SIDING ❑ OTHER ❑ SWIMMING POOL TYPE OF WORK: ❑ NEW ❑ ADDITION ❑ MAINTENANCE/REPAIR XREMODELING DESCRIBE WORK BEING DONE: SIZE OF IMPRO LENGTH WIDTH HEIGHT Sq. Ft. ROOFING ❑HOUSE ❑HOUSE GARAG BASEMENT REMODELING SUBMIT: NUMBER OFSQU 1. Existing Floor Plan GARAGES ❑ ATTACHED GARAGE 2. Proposed floor plan PROPOSED SIZE: ❑ DETACHED GARAGE 3. 3. List of structural members to be used PROPOSED HEI SIDING FOR NEW CONSTRUCTION INCLUDING DECKS, ❑ Vinyl ❑Soffit ADDITIONS, & PORCHES SUBMIT: ❑ Alum num I�(Jl El Trim 1. Site Plan/Survey showing the existing structures ❑ Other ❑ Fascia and proposed project. 2. Two sets of construction plans WINDO 3. Energy Calculations IN EXISTING OPENINGS ❑Yes ❑No LOCATION OF WINDOWS OR FOR NEW OPENINGS -DESCRIBE SIZE OF OPENING CHANGES & TYPE OF WINDOW TO BE INSTALLED NUMBER OF WINDOWS ALL FEES ARE BASED ON VALUATION, INCLUDING THt CUS'.0 OF LABOR AND MAJLz uai.a: (USING Tr E , 1997 U.B.0 FEE SCHEDULE) TOTAL JOB VALUATION $ / _' ! . bo OCCUPANCY TYPE Permit Fee $ See Back Page for Fee Schedule Plan Review $ 65% of Building Permit Fee Fire Surcharge $ 21 .001 times the total job valuation Surcharge $ , .0005 x Permit Valuation Minimum $.50 License Surcharge $ $5.00 (State Licensed Residential Contractors) SAC Charge $ $1550 per SAC Unit (Plans to MWCC for determination) Curb Cut Escrow $ ft + 6 ft = ft x $20 = $ Erosion Control $ $450 Conservation Plan Review Park Fee $ Fee Determined by Engineering Sewer Main Charge $ Agreement necessary ( ) Non Necessary ( ) Total Due $ ,' j _� 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; that the work will be in accordance with the approved plan in the case of all work which requires review and approval of plans. / SIGNATURE OF APPLICANT � �1d7 PRINT NAME A -IA lil f '�� DATE Cr_" pGq ©- j Building BUILDING Permit No.: do Oz) Inspections RESIDENTIAL APPLICATION Received By: 763-572-3604 CITY OF FRIDLEY D'� 763-502-4977 FAX EFFECTIVE 1-1-08 DATE C) 2 JOS YOUR E-MAIL ADDRESS SITE ADDRESS 1 n/ 1. / a ,�rc' 14N 55442 THIS APPLICANT IS: ❑ OWNER CONTRACTOR PROPERTY OWNER/ NAME: i.'9r� n / ADDRESS: / `�"dvv CITY i �G STATE t��ill _ZIP 5'592 TENANT PHONE: 76; — ,S/70 NAME: ADDRESS: 40 l �, r en 40` CITY j rro _STATE/1't(UZIP CONTRACTOR SUBMIT A COPY OF< PHONE %6 3 - c 2 � �cXI 5 � FAX :&- 3 —32. ' �6I YOUR STATE LICENSE STATE LICENSE # Z052 9 71 EXP DATE- l O " PROPERTY TYPE X SINGLE FAMILYNEW CONSTRUCTION SIZE ❑ TWO FAMILYNEW CONSTRUCTION STORIES PERMIT TYPE ❑ ADDITION ❑ GARAGE/SHED ❑ WINDOWS ❑ BASEMENT FINISH XROOF ❑ DRAM TILE ❑ DECK SIDING ❑ OTHER ❑ SWIMMING POOL TYPE OF WORK:❑ NEW HOME CONSTRUCTION 13ADDITION MAINTENANCE/REPAIR ❑ REMODELING DESCRIBE WORK BEING DONE: SIZE OF IMPROVEMENT LENGTH WIDTH HEIGHT SQ FT ROOFING "HOUSE ONLY ( BASEMENT REMODELING SUBMIT: NUMBER OF SQUARES ❑ 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: FOR NEW CONSTRUCTION INCLUDING DECKS, SEDIN ADDITIONS_ & PORCHES SUBMIT• Vinyl ❑Soffit 1. Site Plan/Survey showing the existing structures ❑ Aluminum ❑Trim t. and proposed project ❑ Other ❑ Fascia 2. Two sets of construction plans WINDOWS 3. Energy Calculations M EXISTING OPENINGS ❑Yes ❑No LOCATION OF WINDOWS OR FOR NEW OPENINGS -DESCRIBE SIZE OF 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 UBC FEE SCHEDULE) TOTAL JOB VALUATION $ OCCUPANCY rYrr: 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 $ $5.00 (State Licensed Residential Contractors) SAC Charge $ $1825 per SAC Unit (Plans to MWCC for determination) Curb Cut Escrow $ ft + 6 ft = ft x $21 = $ Erosion Control $ $450 Conservation Plan Review Park Fee $ Fee Determined by Engineering Sewer Main Charge $ Agreement necessary ( ) Non Necessary ( ) Total Due $ IniM Make checks payable to: City of Fridley Attach Sti ulations 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 acco7with the proved plan in the case of all work which requires eview and approval of plans. SIGNATURE OF APPLICANT (_Z,— PRINT NAME / 1 �1� w ( ra , !? DATE Z d APPROVED BY DATE