PRE 2010 DOCS0
City of Fridley, Minn.
BUIILDING PERMIT N® 3273
Date:� — V ....`. ............................
Owner ....................................... Builder ...... ......................
Address ...................................... Address .4.. .....1... ... ........ .....
LOCATION OF BUILDING
No. . l$�. Street.......... :......................... Part of .. ... ..... .............
Lot ... Block ... ...... Addition or Sub -Division �` . 9
... .. ..... ... ....................
Corner Lot ............ Inside Lot ............ Setback ............ Sideyard ...........................
DESCRIPTION OF BUILDING
bp Used - B
f / ....
T .:'.. ..... • :'. � !�... Height
`]
Front !51)epth .4 ./�.... Sq. Ft. �. Cu. Ft.
. ........... .....front ........Depth ........ Height .:�,.,� .. Sq. F't. ........ ........
Type of Construction .:. ...• .Wt. To be Completed .....�..: ®.:.. .
'/9r
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.
�
In consideration of the payment of a fee of $.'o. .:'. ... ./��_
., permit Is hereby granted to ...<.rL�.:
......................... 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 uRon violation of any of the provisions of said
ordinances.
Wing Inspector
NOTICE:
This permit does not cover the construction, installation or alteration for wiring, plumbing, gas
sewer or water. Be sure to see the Building Inspector for separate permits for these items.
FIRE DEPARTMENT MEMO
TO: BUILDING INSPECTION'S
ASSESSING
SUBJECT: FIRE DAMAGED STRUCTURE DATE: March 27, 1979
FIRE HAS OCCURRED AT
4913 NE 3rd St.
(ADDRESS)
March 27, 1979 (1:30 a.m.)
(DATE OF FIRE)
FPB -6
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SUBJECT
PER
City of Fridley
16579"
AT THE TOP OF THE TWINS
B U I L D I N G P E R M I T
.
r
ECEIPT N
Ulu --_ COMMUNITY DEVELOPMENT DIV.
1
r 1 i PROTECTIVE INSPECTION SEC.
1
i�""
� l
�,� CITY HALL FRIDLEY 55432
NUMBER
REV.
DATE
PAGE OF
APPROVED BY
L 612-571-3450
910-F15
5/11/82
JOB ADDRESS 4913 3rd Street N.E.
1 LEGAL
LOT NO.
BLOCK
TRACTOR ADDITION SEE ATTACHED
DESCR.
3,4,
4
Carlson's Summit Manor South SHEET
2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE
Arne Elmquist1420 North County Road J Shoreview 784-4861
3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO.
Milton L. Johnson Co. 2513 Central Avenue N.E. 781-9548
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 REPAIR ❑ MOVE ❑ REMOVE
8 DESCRIBkWORK
repairflat roof
9 CHANGE OF USE FROM TO
STIPULATIONS
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
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
15200
WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT
.60
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-
20.50
STRUCTION OR THE P OR ANCE OF 96NSTRUCTION.
PLAN CHECK FEE
TOTALFEE
4- �'I _ r V
21.10
SIGNATURE OF CONT TOR OR AUTHORIZED AGENT (DATE)
HEN PROPERLY VALIDATED THIS IS YOUR PERMIT
BLDG )NSP DATE
SIGNATURE OF OWNER) IF OWNER BUILDER) (DATE)
r°
CITY OF FRIDLEY
APPLICA,rIO;N FOR RESIDLPITIAL BUILDING PEP44ITS
(New, Alterations, Additions, or Repairs)
- 01•111ER: 2 h1 e Fb k f s . BUILDER: L
O.J s f/ w
s �,➢ l c>
ADDRESS: _i `��® -- IU •– L %y �o �-= AbbRESS:
�& nJ
i -k A
Al
TEL NO: _ !J r T — q f TEL 110:
Construction Location
`p 3
STREET NO: STREET:
LOT:� oe � BLOCK: G� ADDITION: �-
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
Front: Depth:
Height:
Square.Feet: Cubic Feet:
Front: Depth:
Height:
Square - Feet: Cubic Feet:
Type of Construction: I�OP4 ` `� Estimated Cost: $
To $e Oorupleted:
Alt. A Alt. B
Proposed Driveway Width If New Opening Is Desired: $ ' $
SEE MVERSE SIDE OF SHEET
The undersigned ]iereby 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 decla-fes that all the facts and
rcpresent.ations stated in this application are true an&-corrrect.
DATE: S- _//_ Y 7— SICNATURE :
Stipulations:
0
,__21.i()
rrum: ,,iry or t-raey To: 6512270808 Page: 2/3 Date: 9/30/20081:16:18 PM
Building ,y `��
Pe
Inspections
763-572-3604 IRESIDENTIA.L, APPLICATI(JN B
Received -:
763-502-4977 FAX CITY OF FRIDLEY Date Rec'd:
EFFECTIVE 1-1-08
DA'
'30 /v,F
SITE ADDRESS
THIS APPLICANT IS:
PROPERTY OWNER/
TENANT
YOUR E-MAIL ADDRESS
O OWNER 16CONTRACTOR
NAME:
PHONE:
/tol
TEAWY 'LIP
CONTRACTOR ADDRESS: —3-5 GtJ lLJ� ST
SUBMITACOPYOF CITY --:ST ��/ STAT1lW ZIP
PHONE 5'S/O
-'� ��7_ 004�,�
YOUR STATE LICENSE ��r FAX (v S/ - �� -7- U4P C) P
STATE LICENSE tf oj� R EXP DATE __
PROPERTY TYPE O SINGLE FAMILY/NEW CONSTRUCTION SIZE
0 TWO FAMILY/NEW CONSTRUCTION STORIES
PERMIT TYPE ADllITION GARAGE/SHED O WINDOWS
0 BASEMENT FINISH Jul ROOF ❑ DRAIN TILE
17 DECK O SIDING ❑ OTHER
TYPE OF WORK: 17 NEW HOMECONSTRUCTION 0 ADDITION
O MAINTENANCE/REPAIR 0 REMODELING
DESCRIBE WORK BEING DONE:t:2�Q UGC /�� C _ ,C�7
SIZE OF IMPROVEMENT LENGTH WIDTH
ROOFING 13HOUSE ONLY
NUMBER OF SQUARES C 125 O HOUSE & GARAGE
GARAGES
PROPOSED SIZE:_
PROPOSED HEIGHT:
D NG
o Vinyl
0 Aluminum
0 Other
1. )
IN EXISTING OPENINGS DYes CINo
OR FOR NEW OPENINGS -DESCRIBE SIZE OF
OPENING CHANGES &
TYPE OF WINDOW TO HEINSTALLF11
17 ATTACHED GARAGE
O DETACHED GARAGE
OSoffit
0 Trim
0 Fascia
LOCATION OF WINDOWS
NUMBEROF WIND
—p v
FT
BASEMENT REMODELING SUBMIT-
I. Existing Floor Plan
2. Proposed floor plan
3_ Lust of structural members to be rased
FOR NEW CONSTRUCTION INCLUDING DECKS,
ADDITIONS & PORCHES SUBMIT:
I. Site PlanlStavey showing the existing stnicttnea
and proposed project.
2. Two see ofconrtruction plans
3. Energy Calculations
lo7
ALL FEES ARE BASED ON VALUATION, INCLUDING THE COST OF LABOR AND MATERIALS:
ING THE 1997 UBC FEE SCHEDULE)
TOTAL JOB VALUATION $ OCCUPANCY TYPE
Pcrnut Foe 3
Review
$1 5 Page for Fee Schedule
Fire charge
$� V �% of Building Permit Fee
� 1 times the total job valuation
Surcharge
License Surcharge
$
$
005 x Permit Valuation Minimum $.50
SAC Charge
$5.00 (State Licensed Residential Contractors)
Curb Cut Escrow
_$
$1825 per SAC Unit (Plans to MWCC for determination)
$
Erosion Control
ft + 6 ft = ft x $21 =$
$450 Conscrvation Plan Review
$
Park Fee
Sewer Main Charge
$
$..raent
Foe Determined by Engineering
Total Due
necessary Non Ne
Agreement Necessary ( )
$
Make cheekspayable to: City of Fridiev Attar
THIS IS AN APPLICATION FOR A PERMIT -NOT VALID UNTIL PROCESSED
I hereby apply fora !wilding pemut and I acknowledge that the information above is complete and accurate; that the work will be in conformance with the otdirmnces and codes
of the City of Fridley and with the Minnesota Corattttction • that 1 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 ved plan in the case of al l work which requires review and ap vaI of plane.
SIGNATURE OF APPLI e PRINT NAME ���/�E 7rJ.S�� DATE
e