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PRE 2010 DOCSCity of Fridley, Minn.. BUILDING PERMIT N® (4:6:3:7) Date: .,.,1- 'r Builder _ Owner• Address Address LO ' street � NyBUILDING a,r..__.._....,...._... Part o 5 Lot ---•-----------....-... Block _...___...._._.._.....--_..__-. Addition or Sub -Division --- Corner Lot ..._ . ............................ Inside Lot ........... .......... Setback �„d"� .`.' ._..... , S eyard ...:. S .... ........_........................----.._.._.. Sewer Elevation ........... ................... ...... ._................ _.................... .._.. Founiation Elevation ...... _................. DESCRIPTION OF BUILDING To Used W: y -,._. ... ....._ Front .dp.-._.: Depth .: _._ Height'' " ... .fir" ..... ... a c�'' -._. ._.. Sq. Ft. Cu.� �'t..:�-•�r-�'_ _....-.-•---------� Front ..................... Depth ..................... ght .. . _ Sq. Ft. ............_...._.. Cu. Ft. .................... Type of Construction . : - ..!.�*i l Est. Cost..........To be Completed . .... .......... ......................... -........ CA UILo THIS PERMIT t ��' IT DO�_S NOT AUTHOR;ZE VIOLAT- ION OF ANY Ftl{v— I—E LA;.,Ip COVENANTS AND BUILDING RESTRICTIONS. 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 all provisions of ordinances of the city of Fridley. In consideration of the payment of a fee of $....W...._........_._....., 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 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 within the city limits and this permit may be revoked at any time_ upon violatiog of any of the provisions of said ordinances. Building Inspector NOTICE: This permit does not cover the construction, installation for wiring, plumbing, gas heating, sewer or water. Be sure to see the Building Inspector for separate permits for these Items. City of Fridley, Minn. BUILDING PERMIT Date: JUNE 18, 1965 No '7948 Owner: WALLACE GREGERSON Builder H1ARLAN J. HANSON Address 6040 .. 3rd St. N. E. Address 6819 Beard Avenue North Fridley 21, Minnesota Minneapolis, Minnesota LOCATION OF BUILDING No. 6040 Street 3rd Street N E part of Lot Lot 8 _ Block 6 Addition or Sub -Division Hyde park Corner Lot _ Inside Lot Setback Sideyard Sewer Elevation Foundation Elevation DESCRIPTION OF BUILDING To be Used as: Front Depth Height Sq. Ft. Type of Construction Front Depth Height Sq. Ft. Est. Cost _$800.00 To be Completed • REPAIRS DUE TO STORM DAMAGE 0 Cu. Ft. Cu. Ft. 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 ;Jl provisions of ordinaaoes of the city of Fridley. , ✓cam r€� In consideration of the payment of a fee of $-5-- —00 , permit is hereby granted to HARLAN J. HANSON 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 glocation, construction, alteration, maintenance, repair and moving of buildings ordlnaace��. city limita� permit may be revoked at any time upon violation of any of the provisions of said ALLEN G. JENSEN Building Inspector NOTICE: TIS permh dos not eorw tho comet ucdon, InhWen ter wkhgb plumbing, gas hedh% s wa or water. Be an to m tbo sunding mopedw for sepm to ponm6s for those item. APPLICATION FOR BUILDING PERMIT CITY OF FR.IDLEY., MINNESOTA LOCATION OF BUILDING No. _A1)._, Streeter S'l = art of Lot Lot Block_ Addition or Sub�Di . Corner Lot Inside Lot ,Set Back Side -Yard SEWER ELEVATION FOUNDATION ELEVATION Applicant attach to this form Certificate of Survey of Lot and proposed building location. DESCR,IIPjTION OF BUILDING To be used as: �.._..�-.Front ..,� ..Depth Height Sq. Ft. Cu. Ft.. Front Depth Height Sq. Ft. cu. Pt Type of ConstruetioEstimated Cost To be The undersigned hereby makes application for a permit for the work herein 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 representa- tions stated in this application are true and correct. DATE j SIGNATURE (A Schedule of Fee costs can be found on the Reverse Side.) e m APPLICATION FOR BUILDING PERMIT CITY OF FRIDLEY, MINNESOTA OWNER' SNA1►� , f1 - "-6�e.,� d�,,. BUILDER ADDRESS 3,eo ADDRESS LOCATION OF BUILDING Nat Street Part of Lot LOT�--_-_JaLOCK ADDITION OR SUBDIVISION Corner Lot Inside LOT Setback Side -Yard .SEWER ELEVATION FOUNDATION ELEVATION.. r 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 Front Depth Height Sq. Ft. Cu. Ft. Front Depth Height Sq. Ftp Cu. Ft. iL ac' Y/�� u l� ��//f lnr j 01 L Type of Construction .__. � ��,� �CT 4- Estimated Cost keel o 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 (Schedule of Fee Costs can be found on the Reverse Side). SUBJECT PERM City of Fridley 19512 AT THE TOP OF THE TWINS g U I L D I N G. P E R M I T _ r R CEIPT NO. 16 • COMMUNITY DEVELOPMENT DIV. r PROTECTIVE INSPECTION SEC. 1 1 i ` 1 '1 CITY HALL FRIDLEY 55432 NUMBER REV, DATE PAGE OF APPROVED BY .j 612-571-3450 910-F15 6/6/88 JOB ADDRESS 6040 - 3rd Street N.E. I LEGAL LOT NO.BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. Sly 7, 8 6 Hyde Park SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Wallace Gregers.on 6040 - 3rd Street N.E. 571-2823 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Normandale Services Route #1, Isanti, MN 55040 338-1511 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 8 DESCRIBE WORK Install aluminum.soffit & Fascia 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 I HEREBY CERTIFY THAT 1 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 $1,000 $.50 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PERMIT FEE SACCHARGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- $25.00 STRUCTI OR THE PEBFORVANCE OF CONSTRUCTION. �' PLAN CHECK FEE TOTAL FEE ► $25.50 SIGNATURE O F CONT C OR AVORIZED AGENT I TE) WHEN PROPERLY V (DATED THIS IS YOUR ER ,IT r, • BLDG WSP G/ FIATE SIGNATURE OF OWNER I IF OWNER BUILDER) IDATE I NEW [ ] ADDN [ ] City of Fridley R-1 AMID R-2 ALTER (+f Building Permit Application Construction Address: 3 V S/. "V 1 ' Effective 5/1/88 legal Description: ' Owner Name & Address Q if e Tel. # S -7 Oontr actor : a Ir v. i .'rTel. 3 3 9-- / Sr( Address • P�L ( T's" v\, �` , t SE 6 Yb Attach to this application, a Certificate of Survey of the lot, with the proposoed construction drawn on it to scale. 0 LIVING AREA: Length Width Height Sq. Ft. GARAGE AREA: Length Width Height Sg. Ft. ' DECK ARFA: Length Width Hgt/Ground Sq. Ft. tw VI/1 A b �� �' Cbrner Lot [ ] Inside Lot [ ] Ft. Yd Setback Type of Oonstruction: Approx. Completion Date: Side Yard Setbacks mu Estimated Cost: .Zoo 0 '- Alt. A Alt. B Proposed Driveway Width If New Opening Is Desired: 5 5 - Width + 6' See Back Page DATE : APPLIC M: Tel. MY USE OHI. P+etIDit Fee 5 nom, i State Surcharge S SAC Charge 5 Driveway Escrow 5 Park Flee 5 Sewer !lain Charge TOTAL 5 ':YS SPIPUIATIONS: Free Schedule on Reverse Side $.50/51,000 Valuation $550 per SAC Unit Alt. "A' or Alt. 'B" Above Fee Determined by Engineering Agreement Necessary [ ] Not Neoessary [ ] /moo. oo moo® o 'S'4a ndsla(j CITY OF FRIDLEY INSPECTION DIV. 6431 University Ave NE Fridley, MN 55432 5.,2-3604 RATE SCHEDULE Effective On August 1, 1995 APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION, REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES JOB ADDRESS ��— c� ` t v L Residential Furnace Shell and Duct Work, Burner — Also Replacement Furnace (Side Vent — Fill Out Back) Gas Piping (Needed with new furnace) Gas Range Gas Dryer *Air Conditioning — All Sizes All Others/Repairs & Alterations (UST ON BACK) 1 % of Value of Appliance or Work Commercial/Industrial 1.25% of Value of Appliance or Work The undersigned hereby makes application for a permit for the work herein Rate TOTAL specified agreeing to do all work in strict accordance with the City Codes and 10C) representations of the Building Division, and -hereby declares that all the facts and $ 30.00 $ , representations stated in this application are true and ccorreect. ,1995 $ 10.00 OWNER l� $10.00 $ BUILDING USED AS $1000 $ r� ESTIMATED COST 'Co PERMIT NO. 4-e / $ 25.00 $ DESCRIPTION OF FURNACE AND OR BURNER $ No. of Heating Units 1 Circle One (Steam) (Hot Water) arm Air) Trade Name Size No. I'� gTU [dQ��j HP EDR $ Fuel tJ P, i OLD Total Connected Load State Surcharge TOTAL FEE $ .50 Burner Trade Name Size No. � Bim} HP EDR $ I I u ah-),Lp ,� — +N_1_ 1c).00se-er 6i4l�� - HEATING COMPANY RMINIMUM, FEE" FOR EFRIGERATION A ANY HEATING/CO OUNGNENTILATION I IR CONDITIONING PERMIT IS $25.00 Signed By Tel No. PLUS THE $.50 STATE SURCHARGE REINSPECTION FEE $42.Hr Approved By Rough—In Date Final Date . 00 / *Air Conditioners can not be placed in a side yard without FILL OUT BACK SIDE F R STACK VERIFICATION ON written permission from adjoining property owner. REPLACEMENT FURNACE S CHIMNEY AND STACK VERIFICATION The undersigned hereby verifies that the existing chimney or stack: 1. Has been carefully examined Yes ( No ( ) 2. Is free from rust or deterioration Yes No ( ) 3. Has no foreign objects lodged within Yes No ( ) 4. Is securely supported Yes No ) 5. Meets all current Code requirements for size and total BTU's connected Yes No ( ) 6 Has total heating BTU's of 7 , 000 All other BTU's (i✓. l y S�� TOTAL BTU's 7. Has a liner been provided for water heater Yes (� ) No ( ) 8. Has combustion air been provided for water heater Yes ) No ( ) Remarks: List ALTERATIONS Being Done: HEATING CO: Signed By: Date: SUBJECT City of Fridley 2 7 2 2 AT THE TOP OF THE TWINS BUILDING P E R M I T r RECEIPT NO. COMMUNITY DEVELOPMENT DIV. r 1 PROTECTIVE INSPECTION SEC. 3Y i NUMBER REV DATE PAGE OF APPROVED BY CITY HALL FRIDLEY 55432 ''j 612-571-3450 910-F15 18/17/98 JOB ADDRESS 6040 3rd Street NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 8 Sl / 2 7 6 1HYde Park SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Lorraine Gre erson 786-0386 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Four Seasons Roofing & Remodeling L - 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZI PHONE LICENSE NO. 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO, 8 USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW O ADDITION O ALTERATION XX REPAIR O MOVE ❑ REMOVE 8 DESCRIBE WORK Reroof house and garage (21 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 JS 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 '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 1751 .87 DOES NOT PR UME TO GIV T IORITY TO VIOLATE OR CANCEL THE PERMIT FEE SAC CHARGE PROVISIONS ANY OTH A E OR LOCAL LAW REGULATING CON- STRUCTION THE P�F,6!6>& OF CONSTRUCTION.$56.75 Fire SC $1.75 Cj PLAN CHECK FEE TOTAL FEE License $5.00 $64.3 IGNATURE OF CO a RA R OR AUTHORI ED AGENT IDATEI NOPE IDATED 00, B G INSP 1 T IS Y UR P IT 4 DAT SIGNATURE OF OWNER OF OWNER BUILDERI IDATEI Effective 1/1/98 CITY OF FRIDLEY SINGLE FAMILY -AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION _,,'._`LruCtionAddress:, kgQq6 -A I=d St-_ N ,E 5c.5cription: r v—&4 ri a- r-n@,r—rso-" Mame Address: La Tel. # to kle MN LICENSE Tel. #jq5_,F<114o Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF 1A1PROVEMENT k.X 'Ud"'A: Length eng .'Width Height Sq. Ft. :_-'1.63E AkEi Length Width Height Sq. Ft. AREA: Length Width Hgt/Ground Sq. Ft. IILR: IWOm t) \1 .0 -cy- Roev k4e, 'SOI /) Ti�Kns lv!�.s Type:j2 .0 Estimated Cost: $ a)F (Fee Schedule on Back).. Cull Cut Width Needed: Ft. + 6 17t7 $ P.4rz: gf APPLICANT: Tel. #1 Fee Surcharge SAC' Charge Li-,_--ense Surcharge Escrow c),ion Control tvlaiii Charge f0TAL STiPULATIONS: q67�N ,3450.00 Coiiservation Plan Review Fde Determined by Engineering Agre*einent Necessary Not Necessary CITY USE ONLY ,� %; Fee Schedule on Reverse Side of Permit Valuation (1/10th%) $ $ 50/$1,000 Valuation $ per SAC Unit .$1000 (State Licensed Residential Contractors)..,:, .�$5.00 Alt.'"A" or'Alt.'"B" Above ,3450.00 Coiiservation Plan Review Fde Determined by Engineering Agre*einent Necessary Not Necessary Building BUILDING Permit No.:.a Inspections RESIDENTIAL APPLICATION Received By: 763-572-3604 CITY OF FRIDLEY Daj�PW 2009 763-502-4977 FAX EFFECTIVE 1-1-09 DATE r YO E- IL ADDRESS + C Q CQ SITE ADDRESS t7 N i iM JAS THIS APPLICANT IS: OWNER ❑CONTRACTOR PROPERTY OWNER/ NAME: O TENANT ADDRESS: 0V cto C CITY � STATE ZIP S� PHONE: -.I/0­011:1 CONTRACTOR NAME: 150 SUBMIT A COPY OF YOUR STATE LICENSE STATE LICENSE # EXP DATE AND CERTIFICATE OF ADDRESS: CITY STATE ZIP INSURANCE PHONE FAX PROPERTY TYPE ,IXSINGLE FAMILYNEW-CONSTRUCTION SIZE ❑ TWO FAMILY/NEW CONSTRUCTION STORIES_ PERMIT TYPE ❑ ADDITION ❑ GARAGE/SHED lial WINDOWS ❑ BASEMENT FINISH ❑ ROOF ❑ DRAIN TILE ❑ DECK .BRIDING ❑ OTHER ❑ SWIMMING POOL TYPE OF WORK: ❑ NEW HOME CONSTRUCTION ❑ ADDITION 4!1 MAINTENANCE/REPAIR ❑ REMO ELING DESCRIBE WORK BEING DONE: Ini J l'K iY-I1'W SIZE OF IMPROVEMENT LENGT WIDTH A(p HEIGHT S 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, IDING-- -- _ - - - inyl - - --- -- - --- ❑Soffit ADDITIONS. & PORCHES SUBMIT: ❑ Aluminum ❑Trim 1. Site Plan/Survey showing the existing structures 13 Other 13 Fascia and proposed project. 2. Two sets of construction plans WINDOWS ❑Yes OrNo LOCATION OF WINDOWS 3. Energy Calculations IN EXISTING OPENINGS OR FOR NEW OPENINGS-DESCRIBE SIZE OF 3 (e x- q 'k OPENING CHANGES & f TYPE OF. WINDOW TO BE INSTALLED\ NUMBER OF WINDOWS10 ALL FEES ARE BASED bN VALUATION, INCLUDING THE COST OF LABOR AND MATERIALS: (USING THE 1997 U.B.0 FEE SCHEDULE) TOTAL JOB VALUATION $ -:�,OO U Permit Fee Plan Review Fire Surcharge Surcharge License Surcharge SAC Charge Curb Cut Escrow Erosion Control Park Fee Sewer Main Charge Total Due OCCUPANCY '1'YFE See Back Page for Fee Schedule 65% of Building Permit Fee .001 times the total job valuation .0005 x Permit Valuation Minimum $.50 $5.00 (State Licensed Residential Contractors) $2000 per SAC Unit (Plans to MWCC for determination) ft+6ft= ftx$22=$ $450 Conservation Plan Review Fee Determined by Engineering Agreement necessary ( ) Non Necessary ( ) Make checks savable to: Citv of Fridley Attach 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 accordance with the approved plan in the case of all hich requt��view and approval of plan����� � SIGNATURE OF APPLIC _ PRINT NAME %� d DATE