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PRE 2010 DOCSSUBJECT City of Fridley FER 13414. AT THE TOP OF THE TWINS BUILDING PERMIT Q 1 ` COMMUNITY DEVELOPMENT DIV. r � PROTECTIVE INSPECTION SEC. 1 1 � � 1 o "n CITY HALL FRIDLEY 55432 NUMBER REV. DATE PAGE OF APPROVED BY ,.j 612-560-3450 910-F15 3/22/76 JOB ADDRESS 5323 - 4th Street N.E. 1 LEGALLOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 22,23 14 1 Hamilton's Addn. to Mech. SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Larry Nelson 5323 - 4th Street N.E. 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Same 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 Ck REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Re-roof house and 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. Asphalt 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 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. $717.00 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT .50 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- $6.00 STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. PLAN CHECK FEE TOTALFEE $6.50 SIGNATURE OF CONTRACTOR OR AUTHORI AGENT (DATE) SIGNATURE,OF WHEN PROPERLY V IDATED THIS IS YOUR PERMIT /ry�j�2 ..yy////'' y BLDG INSP / DATE SIGNATURE WNER IIF OWN BUILDERI (DATE) • • •J�I'1'JrAI./1IAV1Y I'V114 I.LJAIJLA\AAI%J./1ua...... .,.� e OR ADDITION.BUILDING PERMIT •• CITY Or FRIDLL'•Y, MINNESOTA ; ' S ME: IL e v 711- (S o � BUILDER:-- � c� `�'1 •E - OWNER ' ADDRESS: r- /Y - ADDRESS: STREET • 1/ 711 S % 7.oT : �� 3 BLOCK: ADDITION:/�h�� jon'S % (old I'%/ova 1 CORNER LOT: INSIDE LOT: SETBACK: SIDEYAT.D: ' Applicant attach to this fora. Tcao Certificates. -if Surve .of L-ot and.proposed _. 9 •' building location di•.1wn on these Certificates. i DESCRIPTION'OF BUILDING ; To Be Used As: e Nvyr Front: Depth: Height: - NOU-5, 4- 6,l ea y e • / . Squax'e Feet: Cubic .Feet Front:' Depth• Height: Square Feet; Cubic Feet: • C� Type of Construction: �S/c �T Estimated Cost: • To Be Completed: • tc�e �tf'S The undersigned hereby makes applicativn•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: % SICNATURE :e c� . (See reverse Side For Additional Information.) V SUBJECT AD15AMI City of Fridley 31:7::51 AT THE TOP OF THE TWINS BUILDING PERMIT RECEIPT NO. __ ___ COMMUNITY DEVELOPMENT DIV. % ��® f PROTECTIVE INSPECTION SEC. / NUMBER REV DATE PAGE OF APPROVED By CITY HALL FRIDLEY 55432 j L 612-571-3450 910-F15 4/19/01 JOB ADDRESS 5323 4 Street NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 22,23 14 Hamilton's Addn to Mechanicsville SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Larry Nelson 5323 4 Street NE 763-572-8166 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Same 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 C)l REPAIR ❑ MOVE ❑ REMOVE B DESCRIBE WORK Reroof House (14 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 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 1 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 $1,432 $.72 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- STRUCTION OR THE PERFORMANCE OF CONSTRUCTION PLAN CHECK FEE TOT FEE $Y6.15 SIGNA TU_CON'NACT AUTVF11Zq0b AGENT IDATEI EN rROPWX VALID TE THIS IS !OLVf PERMIT -_GN UA N A0F 4NER dUILDER, OATEI - BlO INSP ' flA It V NEW [] ADDN [ ] CITY OF FRIDLEY ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION Construction Address: Legal Description: _ Owner Name & Addre Contractor: Effective 1/1/2001 (763) 572-3604 Bldg Insp MN LICENSE # Address: Tel. # Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF IMPROVEMENT LIVING AREA: Length Width Height Sq. Ft. GARAGE AREA: Length Width Height Sq. Ft. DECK AREA: Length Width 1 Hgt/Ground Sq. Ft. OTHER: �P��1CL1,—�(a�-ISp l ° %t2r d Construction Type: Estimated Cost: $ )/�'2 oe 0 Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ =$ DATE:�I / APPLICANT -77 Tel. #(O� '�%a�"' �p �DF'—� / �7 V CITY USE ONLY - Call (763) 572-3604 for Permit Fees if mailing in application STIPULATIONS: Permit Fee $ d , 60 Fee Schedule on Reverse Side Fire Surcharge $ -3 .001 of Permit Valuation (1/10th%) State Surcharge $ $.50/$1,000 Valuation SAC Charge $ $1150 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 $ STIPULATIONS: CITY OF FRIDLEY 6431 UNIVERSITY AVENUE NE FRIDLEY, MN 55432 572-36U4 FAX: (763) 571-1257 ADDRESS : 5323 4 ST NE PIN : 233024340053 LEGAL DESC : UNAVAILABLE : LOT BLOCK PERMIT TYPE : ELECTRICAL PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ADDITION/ALTERATION PERMIT NO.: 2004-02035 � 5b1�p DATE ISSUED: 11/05/2004 VALUATION NOTE: ELECTRICAL PERMIT BECOMES VOID 12 MONTHS AFTER PERMIT ISSUE DATE. NEW 60 AMP SERVICE AND 8 CIRCUITS. 1;1 # 0-100 AMP CIRCUITS 8 APPLICANT MOBY ELECTRIC 16655 ILLINOIS AVE LAKEVILLE, MN 55044 OWNER NELSON LARRY A & RITA ANN 5323 4TH ST NE FRIDLEY, MN 55421 AGREEMENT AND SWORN STATEMENT This permit becomes null and void if work or construction authorized is not commenced witin 60 days or if construction or work is suspended or abandoned for a period of 120 days at any time after work is commenced. I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this type of worl will be complied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any other state or local law regulating construction or the performance of construction. Applicant Date Bldg Insp Date. ELEC AND SERVICE FEE 30.00 ELEC CIRCUIT FEE (0-100 AMPS) 46.00 STATE SURCHARGE, ELEC FLAT 0.50 TOTAL 76.50 PAID WITH CHECK # 5655 SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. Building BUILDING Permit No.:W :Oaf Inspections RESIDENTIAL APPLICATION Received By: 763-572-3604 CITY OF FRIDLEY n Q DATE " 1W-0 YOUR E-MAIL ADDRESS Surcharge $ SITE ADDRESS 3 , 00 $5.00 (State Licensed Residential Contractors) THIS APPLICANT IS: ❑ OWNER CONTRACTOR Curb Cut Escrow $ PROPERTY OWNER/ NAME: n $450 Conservation Plan Review ADDRESS: '�6- CITY Ff aIC.'l _STATI TENANT Agreement necessary ( ) Non Necessary ( ) PHONE: Make checks pffable to: gly of Kodley Attach Stipulations CONTRACTOR NAME: S I hereby apply for a building permit STATE LICENSE # EXP DATE ADDRESS:I.�fa°�® Jt9it-"N SA- CITY w STATBtI&? ISS 77 SUBMIT A COPY OF YOUR STATE LICENSE WITH APPLICATION PHONE FAX and w is not to start without a permit; that the work will be in accordance with the approved PROPERTY TYPE 0 SINGLE FAMILY/NEW CONSTRUCTION SIZE d approval of plans. ❑ TWO FAMILYINEW CONSTRUCTION STORIES PRINT PERMIT TYPE ❑ ADDITION Ja GARAGE/SHED ❑ WINDOWS ❑ BASEMENT FINISH ❑ ROOF ❑ DRAIN TII,E ❑ DECK ❑ SIDING ❑ OTHER ❑ SWRAMI NG POOL TYPE OF WORK: I >a NEW ❑ ADDITION ❑ MAINTENANCE/REPAIR ❑ REMODELING 11 `` DESCRIBE WORK BEING DONE: Re-M , a3� � 06;,fi / ei "C) �+ X�'�O'�� 1 Q -o"X .3Q ,�O' SIZE OF IMPROVEMENT LENGTH 3.Q =O " WIDTH 9,LA!-®MHEIGHT . Ft )<3AOFING ❑ HOUSE ONLY NUMBER OF SQUARES ❑ HOUSE & GARAGE BASEMENT REMODELING SUBMIT: GARAGESy ElATTACHED GARAGE PROPOSED SIZE: �(®R �I -0no 8 DETACHED GARAGE 1. Existing Floor Plan 2. Proposed floor plan PROPOSED HEIGHT: JQ UE 74 " � V 3 t41, r i XQ ® � -�Sl��y ��ee�tl-�s� 614 rn 04 cor eA 0 ct u CL. 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OS 4s 7B � � 4J 5353 5370 City of Fridley e CivicSight Map 334 534 360 PARCEL INFORMATION: PIN-233024340053 Owner Info: Nam:1 - NELSON LARRY & RITA ANN Name2- Owner Address - 5323 4TH ST NE Own:rCSZ- FRIDLEY, MN 55421 Sfte Address - 5323 4TH ST NE Legal Description: LOTS 22 & 23 BLK 14 HAMILTONS ADD TO MECHANICSVILLE, SUBJ TO EASE OF REC MAP LEGEND: 5339 i ,r CITY LIMITS Q WATER ❑ PARKS ❑ PARCELS 1330 5 r3 2 6 i 33 _r R 4 320 5315 5311 310 Reference Map 10 53 Map Scale: 1 Inch = 61 feet 5305 Map Date: 10/25/2007 Data Date: October 19, 2007 Sources: FRIDLEY GIS d ANOKA COUNTY ASSESSOR'S OFFICE Disclahner. Copyright2008 -. s dge C. CITY OF FRIDLEY MOVING [ DEMO ] PERMIT APPLICATION 6431 University Ave NE Fridley MN 55432 Cj�a� (763)572-3604 FAX (763)571-1287 RECD,�"� � 3 �� . � � �D NOV 13 2007 Job Address.. .Legal Description: Owner & Address: Lo-crij Contractor: 'aL Address: State License # HOUSE: Length Width GARAGE:Length _-2 Z Width OTHER: Length Width Estimated Cost $ 6-4. � G CSL PHER STATE UTILITIES FOR DISCONNECTS Moving Route: DESCRIPTION OF BUILDING Height Sq. Ft. s r Height Sq. Ft. Height Sq. Ft. Approx. Completion Date Tel . # 7 Ica -5 7--2 Tel. # Cu. Ft. Cu. Ft. Cu. Ft. 651-454-0002 FOR UTILITY LOCATIONS. CALL ALL FORE WRECKING MOVING STRUCTURE. APPROVAL(S) REQUIRED PRIOR TO ISSUANCE: Bldg Official Conditions Engineering Conditions Fire Marshal Conditions ❑ Water Bill Paid: Yes[ ] or Collect[$ ]Signature The undersigned hereby makes application for a permit to wreck/move the building described above, agreeing to do all work in strict accordance with the City Ordinances and rulings of the Building Division, and the State Code which requires any water well on the property to be sealed by a State licensed water well driller, and hereby declares that all facts and representations stated in this application are true and correct. ALL DEMOLITON DEBRIS. INCLUDING FOUNDATION & SLAB. SHALL BE REMOVED FROM SITE. >/ / f 3 le7 �- Date Siknature Movie Wrecking Principle building into Fridley .... $300.00 For each 1,000 cubic feet or fraction ...... $1.25 Accessory building into Fridley ... $ 42.00 For structures which would be impractical to Through or within the City ...... $ 20.00 cube, the fee shall be based on the total cost Move a building out of City ...... $ 20.00 of wrecking at the rate of $6.00 for each $500.00 or fraction. 'n PERMIT FEE: 02MINIMUM $20.00 Office Use Only: SAC -D form completed