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PRE 2010 DOCSCity of Fridley, Minn. BUILDING PERMIT N© r6_159--)) Date: J Owner: Builder --— — Address Address r1- ^--dNo. 6 Street2—_ BUILDING aL Part o Lot Lot _ _ �� __ Block �Addition or Sub -Di on . Corner Lot _ Inside Lot _ _ '" Smu ck Sideyard Sewer Elevation Fo dation Elevation DESCRIPTION OF BUILDING T Front —if—/Depth Height Sq. FL Cu. FL 4md on Depth Height Sq. FL Cu. FL Type of Construction A~_ _ Est. - 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 set forth and in compliance with 21 provisions of ordinances of the city of Fridley. 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 worlQnen, 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 within the city limits and this permit may be revoked at any time upon violation of any of the Provisions of said ordinances NOTICE: Ibis permit does net cewr the candmedon, inemWon for wkbi& phmtbing, pa hath, sewer or wabr. Be n to no the BolldinB Wpeeter for separate p wmbs for thea items. . — 0 0 ► , _p u Owner's Name Address APPLICATION FOR, BUILDING PERMIT CITY OF FRIDLEY, MINNESOTA / r rmslr-i LOCATION OF BUILDING No. Street' Part of Lot Lot Block Addition or Subdivision Corner Lot Inside Lot Setback 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. To be used as; DESCRIPTION OF BUILDING Sq. Ft. L �, '-I _j1eight Cu. Ft. Front Depth Height Sq, Ft. Cu. Ft. Type of Construction/ Estimated Cost �/ 6 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 q/ lf/ SIGNATURE �ej (Schedule of Fee Costs can be found on the Reverse Side). 0 BLOOk, ADDRE6S VALUATION ADD. ME I � (A 0,9 fe'a Ay /V le /0 OF w " ;r -W lloeX4 0 7- SZA & oe C) N + s APAeGAI ..................................................... ........................ ........... . . .... . ..... . .. . ......... . .... . .................................................................................................... ........... City of Fridley Apprication for N=dAng md G n RMog Pwmk Dept. of Bldgs. Phone M-3490 DESCRIPTION OF WORK Number, Kind and Location of Fixtures j f. I 1 l� 2< Q5Z g I 3 V / N WATER N". GAS ELEG Base 1st -- — 2nd 3rd 4th Connected with - — Ceei ❑ poo ❑ _ ® future Connection Openings * Now Fixture, Old OpeningsI 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 1st 3 Fixtures .... ..... .. 1 x $2.00 $ 2.00 Additional Fixtures x $ .?5 $ Gas Range to 199,000 BTU .............. x $5.00 ¢ install (1) gas grill 3.00 REPAIRS & ALTERATIONS—Refer to Code Description ...........$ TOTAL FEE Location--. NE. 3 St. City of Fridley: 53-84-5915.51 The undersigned hereby makes application for a permit for the work herei speed, 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 fact and representations stated in this application are true and correct. Fridley, m.,_June 17, 1970 y 19_ Owner E-�nJohnson Kind of Building frame Used as residence To be completed about June 22' 1970 Estimated Cost, $ 10.00 Old xNew. Building Permit No. _ _ _Permit No. igned _ By- - BusineVso1N� ROUGH FINAL `i - - Q Application for Power Plants and Healing. Cooling, Ventilation. Refrigeration and Air Conditioning Systems and Devices PARTIAL RATE SCHEDULE GRAVITY WARM AIR: RATE TOTAL Furnace Shell & Duct Work ...............,..........$10.00 $ Replacement of Furnace ............................. 6.00 $ Repairs & Alterations—up to $500.00 .................. 6.00 $ Repairs & Alterations each add. $500.00 ............... 3.00 $ MECIL WARM AIR Furnace Shell & Duct Work to 120,000 BTU ............ $10.00 $ each add. 60,000 BTU ....................... 3.00 $ Replacement of Furnace ............................. 6.00 $ Repairs & Alterations—up to $500.00 ................. 6.00 $ Repairs & Alterations each add. $500.00 .............. 3.00 $ STEAM or HOT WATER SYSTEM Furnace Shell & Lines—to 400 sq. ft. EDR Steam ...... $10.00 $ Furnace Shell & Line—to 640 sq. ft. EDR Hot Water ... 10.00 $ Each add. 200 sq. ft. EDR Steam ...................... 3.00 $ Each add. 320 sq. ft. EDR Hot Water .................. 3.00 $ OIL BURNER—to 3 gal. per hour ........................ 6.00 $ over 3 gal. per hour—See Fee Schedule GAS BURNER (up to 199,000 BTU) ...................... over 199,000 BTU See Fee Schedule GAS FITTING FEES: N 1st 3 Fixtures ..................... Additional Fixtures ................ Gas Range to 199,000 ......... I . AIR CONDITIONING FAN HEATING SYSTEM VENTILATING SYSTEM ALTERATIONS & REPAIRS ROUGH FINAL v1 _a 6 - 71- � 5.00 $ O RATE TOTAL x$ 2.00 $ x .75 $ x$ 5.00 $ $ See Fee Schedule $ TOTAL FEE $ Dept. of Bldge. Phone SM-3450 Location City of Fridley: The undersigned hereby makes application for a permit for the work hereir. specified, agreeing to do all work in strict accordance with the City Ordinances and ruling of the Department of Buildings, and hereby declares that all the facts and representations stated in this application are true and correct. / Fridley, Minn � d 19 �� Owner -/�%��®� Kind of Building �/ 7 Used as To be co Estimated Cost, $ (OLNew. Building Permit No. Permit No. S12�� DESCRIPTION OF WORK HEATING or POWER PLANTS --.Steam, Hot Water, Warm Air—No Trade N Size No Capacity. Sq. Ft. E.D.R BTU H.P. Total Connected Load Kind of Fuel - BURNER — Trade Name Size No Capacity Sq. Ft. E.D.R BTU H.P. gf RAY M WELTER HEATING Co ✓7 �/�L �� Signed 4837 MINI'oEApQ7 AGO AM By , MINNESOT (REMARKS -OVER) 48 Business Phone No SUBJECTo PERM City of Fridley 911 AT THE TOP OF THE TWINS BUILDING PERMIT r RECE COMMUNITY DEVELOPMENT DIV. L q aJ� D a f PROTECTIVE INSPECTION SEC. / 1 ' � i /A ,,� CITY HALL FRIDLEY 55432 NUMBER REV. DATE PAGE OF APPROVED By •__. 1 J` 612-571-3450 910-F15 8/14/87 JOB ADDRESS 4964 - 3rd Street N.E. 1 LEGAL LOT NO. BLOCK TRACTOR ADDITION SEE ATTACHED DEWR. 16 3 Carlson's Summit Manor South- Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Erve Johnson 4964 - 3rd Street N.E. 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Herb Knutson -Construction 11501 -. 13411 Avenue North, Dayton 421-8257 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 CIX REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Reside Dwelling 9 CHANGE OF USE FROM TO STIPULATIONS 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 SQ. 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 1 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 $5,600 $2.80 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT 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 - $56.50 TR CTION OR THE PERFORMANCE OF CONSTRUCTION. PLAN CHECK FEE TOTAL FEE zt— $ 59.3 0 SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT 100E) -W EN PROPERLY V ATED THIS IS YOUR PERMIT INP SIGNATURE OF OWNER IIF OWNER BUILDER) (DATE) BLDG ATE NEW [ ] City of Fridley Effective 4/1/86 ADDN. [ ] R-1 AND R2I ALTER. [ ] Building Permit Application AAA"an-z- !v e 4 71--k _� Mi 5 11 'e % Legal Description:' Owner Name & Address: Zo Tel. # Contractor: '!2�50' k /'- f$o —Tel. # Address: 15-0/ % j 9 -�5- IU� LIVING AREA: GARAGE AREA: DECK AREA: OTHER: 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 [ ] Type of Construction: Approx. Completion Date: Ft. Yd. Setback Side Yard Setback �J Estimated Cost: $ Alt. A Alt B Proposed Driveway Width If New Opening Is Desired: $ $ See Back Page for Explanation DATE: ` APPLICANT: Tel. CITY USE ONLY Permit Fee $ �v�• Plan Check $ State Surcharge $-00 SAC Charge $ Park Fee $ Sewer Main Charge $ TOTAL $ • 3 STIPULATIONS: ------------- 9� 36 Fee Schedule on Reverse Side 25% of Building Permit Fee $.50/$1,000 Valuation $ 525 per SAC Unit Fee Determined by Engineering Agreement Necessary [ ] Not Necessary [ ] April 29, 1998 To Whom It May Concern: Re: Driveway addition at 4964 - 3rd St. N.E. I give permission to Ervin Johnson living at the above address to extend his drive way to my lot line at 4976 - 3rd St. N.E. SignU -> 2c(_ -1 David Eid SUBJECT PERM City of Fridley 6 8 6 0 AT THE TOP OF THE TWINS BUILDING P E R M I T i , RE T NO. L` _��_ COMMUNITY DEVELOPMENT DIV. I fr PROTECTIVE INSPECTION SEC./[/ P� r I , NUMBER REV DATE PAGE OF APPROVED BY CITY HALL FRIDLEY 55432 612-571-3450 910-F15 7/28/98 JOB ADDRESS 4964 3rd St NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 16 3 1 Carlson's Summit Manor. South Add t on SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Ervin Johnson572-8690 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Viking Home Improve572-1820 4772 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 DESCRIBE WORK Reroof house and garage 23 S Tear -off: trim & fascia 9 CHANGE OF USE FROM TO STIPULATIONS Underlayment must comply with State Building Code. 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 1 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 PECIFIED HEREIN R NOT. THE GRANTING OF A PERMIT 231$ 1.16 DOES NOT P SU E TO GIVE T ORITY TO VIOLATE OR CANCEL THE PERMIT FEE SAC CHARGE PROVISIONS ,& ANY OTHER SfAA OR LOCAL LAW REGULATING CON- STRUCTIO OR THE PERF M CE OF CON TRUCTION. $74.75 Fixe SC $2.31 2- PLAN CHECK FEE TOT FEE k19 %Lice 22 N P OPE LID E HIS IS YOUR PERMIT SIGta NTRA O OR AUTHORIZED AGENT ID TEI BLD SF' 1 n, E S,GNATURE OF OWNER OF OWNER BUILDER) MATE, NEW [ ] Effective 1/1/98 ADDN [ ] CITY OF FRIDLEY ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 b o BUILDING PERMIT APPLICATION ConstructionAddress:g Legal Description: Owner Name & Address: �Y' LW h �) h n g� Tel. # 37a �-S(D 40 Contractor: 0 n) el, MN LICENSE # q%-72 Address: Z74(y -3 =r�) xL S� E Tel. # Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF EMPROVEMENT LIVING AREA: Length Width Height Sq. Ft. GARAGE -AREA: Length Width Height Sq. Ft. DECK AREA: Length Width /H Ground Sq. Ft. OTHER: o ep _ � 1-7 14�Q Construction Type: Driveway Curb Cut Width NPPdPd DATE:?/ Ze9r Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control 01 Ft 4- f Ft = Estimated (Fee Schedule on Back) Ft Y It = Ah $ X01 Park Fee $ Sewer Main Charge $ TOTAL STIPULATIONS: CITY USE ONLY Tel. #.s`% ^ 1 �� Fee Schedule on Reverse Side .001 of Permit Valuation (1/10th%) $.50/$1,000 Valuation $1000 per SAC Unit $5.00 (State Licensed Residential Contractors) Alt. "A" or Alt. "B" Above $450.00 Conservation Plan Review Fee Determined by Engineering Agreement Necessary [ ] Not Necessary [ ]