PRE 2010 DOCS•
Date: June 21,1965
Ed Johnston
Owner:
City of Fridley, Mian..
BUILDING PERMIT
Builder
Address 4940 3rd St. N.D. Address
No. 4940
Lot
Corner Lot __
Sewer Elevation
Glen Hardacker
6601 So. Newton
LOCATION OF BUILDING
Street St. N Part of Lot
Block
— Inside Lot
Addition or Sub -Division
Setback Sideyard
Foundation Elevation
N° '7920
DESCRIPTION OF BUILDING
To be Used as:
Front Depth Height Sq. Ft. Cu. Ft
Front Depth Height Sq. Ft Cu. Ft
Type of Construction Est Cost _ 1, --To be Completed
Detached Garage jew
In consideration of the issuance to me of a permit to construct the building described above I agree to do
theproposed work in accordance with the description above set forth aid in compliance with a'll provisions of
ordinances of the city of Fridley.
In consideration of the payment of a fee of $---4-00 , permit is hereby granted to
Glen Hardacker to construct the building or addition as described above. This permit is granted upon
the express oandition that theZbull
to whom it is granted and his agents, employees and worlen, in all work
done in, around and upon saiing, or any pert thereof, shall conform in all respects to the ordinances of
with�itn thety
olia its t�'maco cti ala a �tin►e uponlceatai n off any oft proviaionbs o said
ordina Ices.
Allen Jensen
• NOTICE
ihb pgrmh dos not Cover the COMM4600, le Rion for whb& p u nWo, eu 6wine, Sawa or water. Be suns to no
dw auildina leaVOator for Sapan to permhs for &M hems.
M
OWNER'S
4
APPLICATION FOR ING PEItiw
CITY OF FRIDLEYO OTA
W-mool M..
LOCATION OF BINE
No, Street Part of Lot.
Lot Block Additions or Subdivision
Corner Lot Inside Lot ,$etk Side -Yard
SEWER ELEVATIM FOUNDATION ELEVATION
Applicant attach to this form, Two Certificates of Survey of Lot and proposed `bui1A,--•
ing location drAwn on these Certificates.
To be used as:
DESCRIPTION OF BUILDING
goat..�� Depth 117)f Height. ! f
Sq. Ft. Cu. Ft.
Front Depth Height
Sq. Ft. Cu. Ft.
Type of Construct ion
Estimated Cast
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 if the Department' of Buildings, and hereby declares that all the facts and
representations stated in this application are true and correct:
sOchedule of Fee Costs can be found on the Reverse Side).
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_ . 879.01
City of Fridley
Application for Ring Pwmit
Dept. of Bldgm. Phone 560-3430
DESCRIPTION OF WORD 4940 NE. 3 S f;.
Num1mr, Kind and Location of Fixtures Location
PARTIAL RATE SCHEDULE
PLUMBING FIXTURE RATES:
NO. RATE TOTAL
Number Fixtures ...... .. ..........
x $2.00 $
Future Fixture Opening .... .... ......
x $1.50 $
New Fixture Old Opening . ....... ..
x $1.50 $
Catch Basin .. ... .......
x $3.25 $
y?o
O
y
x $3.25 $
_
•
V
•
N
WATER HTR.
GAS
ELEC.
Base
—x$.75 $
Gas Range to 199,000 BTU ..............
x $5.00 $
lot
Re
la
e
2nd
-
3rd
— –
4th
-
--
° Future Connection Openings
* Now Fixture, Old Openings I
Connected with
Sewer ❑
Cesspool ❑
PARTIAL RATE SCHEDULE
PLUMBING FIXTURE RATES:
NO. RATE TOTAL
Number Fixtures ...... .. ..........
x $2.00 $
Future Fixture Opening .... .... ......
x $1.50 $
New Fixture Old Opening . ....... ..
x $1.50 $
Catch Basin .. ... .......
x $3.25 $
Water Heater (Up to 99,000 BTU)
x $3.00 $
New Ground Run Old Bldg. .... ....
x $3.25 $
Electric Water Heater
= $2.00 $
GAS FITTING FEES:
NO. RATE TOTAL
13t 3 Fixtures ...... ...................
x $2.00 $
Additional Fixtures . ..................
—x$.75 $
Gas Range to 199,000 BTU ..............
x $5.00 $
REPAIRS A ALTERATIONS—Refer to Cod*
Description ................................................$
TOTAL FzE 6,3.00
City of Fridley:
The undersigned hereby makes application for a permit for the work herei
specified, agreeing to do all work in strict accordance with the City Ordinance
and ruling of the Department of Buildings, and hereby declares that all the fac9
and representations stated in this application are true and correct
Fridley, Wnn., Nom. 6, 1969 19—
Owner Francis Nowal
Kind of Building f'rsnle
Used as rasi den e
To be completed about Nnv_ 11 -1969
Estimated Cost, $10.00
Oldr6 New. Building Permit No Permit No.
ROUGH Q
FINAL r q
Mir
co
53-8)1-879001 CITY OF FRIDLEY
APPLICATION FOR PLUMBING AND GAS FITTING PERMIT
PARTIAL RATE SCHEDULE
PLUMBING FIXTURE RATES: NO.
RATE
TOTAL
ti%=ber Fixtures
x
$3.00
$
Future Fixture Opening
x
d
$
Water
x
$2.00
$
Catch Basin
x
$5.00
y,
O „�
y
n
$
i
Q
W
01
0
water Softener
Heater
$7.00
d
New Ground Run Old Building
x
k
$
H
X
(D
$4
4 C
G�1
1st 3 fixtures
N
$3.00
$
Additional Fixtures
•.01
Yi
N
$
Gas Range to 199,000 BTU
N
,10
C
N
.0
.11 7
O
O
•N
lEro7
1j N
N
N
N
.0
u
a s
•.G�
State Surcharge
$ .50
'du
o
t
r+
ro ro
vaa
o ro
ro
,,
ro
4Jas
O
lec
y
v
w
w
s
ow
cn
w
1St
co
n e
t c
ry
2nd
3rd
4th
(R) = Future Connection Opening
Connected with Sewer
(*) = New Fixture, Old Opening
Water
PARTIAL RATE SCHEDULE
PLUMBING FIXTURE RATES: NO.
RATE
TOTAL
ti%=ber 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 BTU
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
$ 8.00
REINSPECTIQN FEE
($30.00)
Job Address 4940 NE 3 STREET
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 hereby declares that all
the facts and representations stated in this application are true and correct
Fridley, Ma. 11-3-76 , 19
OWNER NAVAL
KIND OF BUILDING frame
USED AS res.
TO BE COMPLETED ABOUT 11-10-76
ESTIMATED COST 00
OLD - NEW BUILDING PERMIT NO. PERMIT NO.
Company-
�._
Signed By
MINNEGASCO
Tel. No.
ROUGH INSP.
Date
FINAL INSP.
Date
APPROVAL FOR PERMIT /'I - Z -77
MINIMUM FEE FOR ANY PLUMBING PERMIT IS $7.50
S
SUBJECT
PERMIT NO.
City of Fridley
U U 0
AT THE TOP OF THE TWINS
BUILDING
PERMIT
r
RECEIPT NO.
COMMUNITY DEVELOPMENT DIV��
1 PROTECTIVE INSPECTION SEC
r I ,
NUMBER
REV
DATE
PAGE OF
APPROVED By
CITY HALL FRIDLEY 55432
"L
----j" �j 612-571-3450
910-F15
10/12/94
JOB ADDRESS 4940 3 Street NE
1 LEGAL
LOT NO.
BLOCK
TRACT OR ADDITION
SEE ATTACHED
DESCR.
18
3
1 Carlson's Summit Manor South Addn SHEET
2 PROPERTY OWNER MAIL ADDRESS
ZIP PHONE
REtha Beberg 4940 3 Street NE
571-2199
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
6 USE OF BUILDING
Residential
7 CLASS OF WORK
❑ NEW ❑ ADDITION ❑ ALTERATION REPAIR ❑ MOVE ❑ REMOVE
E❑
B DESCRIBE WORK
Reside Garage
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 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
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
$2,500
$1.25
WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTI,4(3 OF A PERMIT
PERMIT FEE
SACCHARGE
DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE
PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON-
$54.00
Fire SC $2.50
STRUCTION OR THE PERFORMANCE OF CONSTRUCTION.
PLAN CHECK FEE
TOTAL FEE
$57.75
OF CONTRACT R OR AUTHORIZED AGENT DATEi
HEN PROPERLY LIDAT D THIS IS YOUR PERMIT
LSITORE
te
lll
BLD INSP
12*
IIATE
Si NATURE OF OWNERLOWNZER BU RI ID TEI
S
NEW [ ] Effective 1/1/94
ADDN [ ] CITY OF FRIDLEY
ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-Z`�� 7 7
Building Permit Application
ConstrucdonAddress:
Legal Description:
Owner Name & Address: �� ���J�� Tel. #
Contractor: l�UytQ `�- MN LICENSE #
Address:
LIVING AREA:
GARAGE AREA:
DECK AREA:
OTHER: -
Tel. # .
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 Sq. Ft.
Length Width Height Sq. Ft.
Length Width Hgt/Ground Sq. Ft.
Corner Lot [ ] Inside Lot [ ] Ft. Yd Setback Side Yard Setbacks
Type of Construction: WEstimated Cost: $
_ Approx. Completion Date:
(Cost on Back)`
Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ _ $
DATE: / U - to -4 APPLICANT: ' R.Lxk C'- Tel. # S'? c;?
Permit Fee
$ &-1
Fee Schedule on Reverse Side
Fire Surcharge
$
..001 of Permit Valuation (1110th%)
State Surcharge
$
l
.$.50/$1,000 Valuation
SAC Charge
$
$800 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
$
5/2, 9s_
STIPULATIONS:
SUBJE&
N O.
City of Fridley
30329
AT THE TOP OF THE TWINS
BUILDING
PERMIT
r
EIPT NO.
rr ______ COMMUNITY DEVELOPMENT DIV.
INSPECTION SEC.
1 PROTECTIVE
� {
I CITY HALL FRIDLEY 55432
NUMBER
REV
DATE
PAGE OF
APPROVED BY
L 612-571-3450
910-F15
10/1/99
JOB ADDRESS 4940 3rd Street NE
I LEGAL
LOT NO.
BLOCK
TRACTOR ADDITION
SEE ATTACHED
DESCR.
18
3
Carlson's Summit Manor SO.
Addn.
SHEET
2 PROPERTY OWNER MAIL ADORES$
ZIP
PHONE
Tom X Abraham
571-2199
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 O ALTERATION Jv9 REPAIR
O MOVE O REMOVE
8 DESCRIBE WORK
Reroof house and garage (17 Sq) Tear-off
9 CHANGE OF USE FROM TO
STIPULATIONS
Underlayment must comply with the 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 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
ISTALLS
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
$1486
$.74
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
$54.00
Fire SC $1.49
PLAN CHECK FEE
TOTAL FE
,G TUBE OF CON' AC ORAU H R,ZED AGENT (DATE,
EN ROPER
ATED H6 IS Y UR IT
I OC1O&A l
=ER
n.
S-GNATURE 9 OWNERdF OWNER BUILDER, ,DATE,
BLD -NSP'
DATE
NEW [ ]' Effective 5/10/99
ADDN [ ] CITY OF FRIDLEY
ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2
BUILDING PERMIT APPLICATION �•a
3
Construction Address: 49Q 390 ST NE FRIDLC V MAI 5542/
Legal Description:
Owner Name & Address: To�.t A6M4 _A Tel. # fo t2 5 7►- 2agy
Contractor: 0 WAIeK MN LICENSE #
Address
Attach to this application, a Certificate of Survey of the
lot, with the proposed construction drawn on it to scale.
DESCRIPTION OF IMPROVEMENT
Tel. #
LIVING AREA:
Length
Width Height
Sq. Ft.
GARAGE AREA:
Length
Width Height
Sq. Ft.
DECK AREA:
Length
Width Hgt/Ground
Sq. Ft.
OTHER:
RF -ROOF W SC IW D 6AM6 6 17 5 Q — TEA
R. Q EE
Construction Type:
Estimated Cost: $
/cg
Driveway Curb Cut Width Needed:
Ft. + 6 Ft = Ft x $ _ $
-
DATE: J oCRjWL TL APPLICANT-
Tel. # G 2 s7/-2/7
CITY USE ONLY
Permit Fee
$ �� a �j
Fee Schedule on Reverse Side
Fire Surcharge
$
.001 of Permit Valuation (1/10th%)
State Surcharge
$
$.50/$1,000 Valuation
SAC Charge
$
$1050 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 [ J
TOTAL
STIPULATIONS: