PRE 2010 DOCSCity of Fridley, Minn. 115, 3
6431 University Ave. N. E., Minneapolis, Minn. 55432
BUILDING PERMIT
Date:July 26 _1972
Owner: _... Ciown Realty Builder C. J. Corporation
Address _-42.19._Central Avenue N E Address - 701 Columbia Rn,1ev rd N,F
781-179C)
LOCATION OF BUILDING
No. _`1327__,_,., Street _ 715th Avenue Part of Lot
Lot __12 Block 3 _._ Addition or Sub -Division _ _ Don's 5th Addition
Corner Lot Inside Lot X Setback 35' Sideyard 10' & 12'
Sf'h Elevation 88.4.26 -_..1' +m
Wye Top of Footing
DESCRIPTION OF BUILDING
To be Used as:
11wP1 ingFront __4QL
Depth __2V Height -12'
Sq. Ft. 20'
Cu. Ft. 20.240
Garage Front .—.?.DL
Depth 23! _ Height 10'
Sq, Ft, 460' _
Cu, pL 4600'
Type of Construction Wood Frame
Est. Cost $19x419
TobeCompleted
Nov. 1972
Stipulations: Provide a verifying survey before capping. Provide a hard surface
driveway. Framing rough in will not be approved until storm s>M drain is installed
and approved by City Engineer.
WATER LOCATION: 12.5' N. of Sewer Service
SEWER LOCATION: 175' N. of Manhole (75th)
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 ail provisions of
Ordinances of the city of Fridley. - . , n
0 State
In consideration of the payment of a fee of $ 46.00 , permit is hereby granted to C - J - Cor or ion
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 buildffi��
pyithin the city limits and this permit may be revoked at any time upon violation of any of the provisions of said
ordinances.
CLARENCE BELISLE
NOTICE:
This permit does not cover the construction, installation for whing, plumbing, gas heating, sewer or water. Be sure to we
the Building Inspector for separate permits for these items.
APPLICATION FOR RESIDENTIAL, ALTERATION,
OR ADDITION BUILDING PERMIT
CITY OF FRIDLEY, MINNESOTA
Crown Realty
OWNER'S NAME:Norman Iverson BUILDER: C.J.Corporation
ADDRESS: 4.219 Central Ave -NE. ADDRESS: 701 Columbia B1yd.NE.
NO • . �s2 Z STREET • a 16E
LOT: 12 BLOCK: 3 ADDITION: Don's 5th. Add.
CORNER LOT: INSIDE LOT: X SETBACK: 35' SIDEYARD : 10' &12'
Applicant attach to this form Two Certificates of Survey of Lot and proposed
building location drawn on these Certificates.
DESCRIPTION OF BUILDING
To Be Used As:
Dwellia Front: 4.0' Depth: 25' Height: ar- /'�2-
/0,;20
Square Feet: Cubic Feet:
Garage Fronts 20 Depth: 23 Height: '°l z"` �1
Square Feet; 4.60 Cubic Feet: 1-/ ('
Type of Construction: Frame Estimated Cost: '$ 24, X00. 00 + land.
s �.
To Be Completed: Nov. 1. 22 191 y / 9, el 0
The undersigned hereby makes application for a permit for the work herein
specified, agreeing to do all work in attict 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.
C.J.Cor oratio
DATE: 7/24/72 SIGNA"n: by
(See Revorse Side For Additional Information.'
Land Plmwr ny
is dSW14yhy
Sails &sty
awl 6- Ail #Wpal
hiff
On -Mymy ACS AT
Mum�rpn/s72.
ENGINEERING, INC.
Stdurf4606b
— En yineers Surveyors --
certificate of onzwe few*
-
NORTH
-------- DRAINAGE AND UTILITY E ASEMEtiff
LOT I/2 E LG C V, J DON'S V" ADDITION
-- ANOKA C6UNTY
a bw and mmd A7w$wffdhw ore swwy q'flle kw&iivs 4efiv dwiv &mr.;iw /odd', *v
o0k / w/607 erre# batda�s , lh�tan , o►d d/ rr.5jj& oviaboenfs , if ma . f w ar or land As swreryed ly IM t*--Z—
ALLG.57 a"D" ..
SUBUWAN EN6INEERIM6. INC.
SCALE, 1 =40
s ar .fu!�'� •
� F
rc^C
//a 1 5
e J
Li �6CAtTIPW 7D -7
7
175' C25 75
"')y f-4,3T,,N6 0
l�2 / �,BvVE 11161-1
Ve7-9,C L®c-�, y
O F Ytl,,J e- r- `SZ -'e r�iC
to
AfO
j,
:4
x
o
y1 d
O CA
�j
C.3 io
`40,
0
to
np is
44
i
V
j,
:4
x
o
y1 d
O CA
�j
C.3 io
`40,
0
IA
np is
44
i
V
j,
o
y1 d
0
IA
T
Rl� 4 i
A
Z
i�
_
4
�
� v11 'o. C,
r
i
X7
44
i
V
j,
0
T
Rl� 4 i
A
Z
i�
_
4
�
� v11 'o. C,
r
i
X7
V-
cvl)
20
0,
-Z' T
SUBJECT
City of Fridley
2 6 95 9
AT THE TOP OF THE TWINS
BUILDING PERMIT
`
RECEIPT NO.
COMMUNITY DEVELOPMENT DIV.
r E v PROTECTIVE INSPECTION SEC.
1 � �
NUMBER
REV
DATE
PAGE OF
APPROVED BY
CITY HALL FRIDLEY 55432
�.j
612-571-3450
910-F15
8/3/98
JOB ADDRESS 1327 75 Ave
1 LEGAL
LOT NO.
BLOCK
TRACT OR ADDITION
SEE ATTACHED
DESCR.
12
3
Don's 5th Addition
SHEET
2 PROPERTY OWNER MAIL ADDRESS
ZIP PHONE
Norman Iverson
786-3274
3 CONTRACTOR MAIL ADDRESS
ZIP PHONE LICENSE NO.
Stifter Bros Const Inc 3445 219 Lane NW
Anoka 55303 79i-i4iq20064402
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 O MOVE O REMOVE
8 DESCRIBE WORK
Reroof house and garage (22 Sq) Tear -off
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 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
WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT
3400
.92
DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE
PERMIT FEE
SAC CHARGE
PROVISIONS AN OTHER S ATE OR LOCAL LAW REGULATING CON-
STRUCTION TH P F NCE OF TRUCTION.
$59.80
Fire SC $1.83
PLAN CHECK FEE
TOT FEE
Lice 5.
6 .25
SIG U E OF CO C7 R OR AUTHOR)ZEO AGENT )DATE)
ENP OPE VALIDA THIS IS Y R P RMI
BLD )NSP PATE
SIGNATURE OF OWNER OF OWNER BUILDER) (DATE)
NEW [ ] Effective 1/1/98
ADDN [ ] CITY OF FRIDLEY d
ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2
BUILDING PERMIT APPLICATION
ConstructionAddress: 3p-7 -7s fh A v e
Legal Description:
Owner Name & Address: Mo r t 4r\, Toe r s0 Tel. # 7 96-
Contractor:
6-Contractor: _ j b a4.f- e c -as C10115/- MN LICENSE # 960 6 G/V,9�;t-
Address:ay�zS l °t Vno SSS 3 Tel. # 753
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 Hgt/Ground Sq. Ft.
OTHER:
Q ' 74 (J
Construction Type: Re l\ o®-� P U, Estimated Cost:
(Fee Schedule on Back)
Driveway Curb Cut Width Needed: Ft. + 6th Ft x $ _ $
DATE: q -3 - 0 APPLICANT:
Tel. # 75 3-5�{I }
STIPULATIONS:
' CITY USE ONLY
Permit Fee
$ 59d 0
Fee Schedule on Reverse Side
Fire Surcharge
$ %v
.001 of Permit Valuation (1/10th%)
State Surcharge
$
$.50/$1,000 Valuation
SAC Charge
$
$1000 per SAC Unit
License Surcharge
$`j y�
$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:
SUBJECT
City of Fridley
29773
AT THE TOP OF THE TWINS
BUILDING
PERMIT
r
`
RECEIPT N
• ------COMMUNITY DEVELOPMENT DIV.
r PROTECTIVE INSPECTION SEC.
1 i
I /"'1 CITY HALL FRIDLEV 55432
"''
NUMBER
REV
DATE
PAGE OF
APPROVED BY
612-571-3450
910 -FIS
6 25 99
108 ADDRESS
1327 75 Avenue
1 LEGAL
LOT NO.
BLOCK
TRACT OR ADDITION
SEE ATTACHED
DESCR.
12
3
SHEET
2 PROPERTY OWNER MAIL ADDRESS
ZIP PHONE
Norman D. Ivemon
786-3274
3 CONTRACTOR MAIL ADDRESS
Owner
ZIP PHONE LICENSE NO
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 U ADDITION ❑ ALTERATION O REPAIR ❑ MOVE ❑ REMOVE
8 DESCRIBE WORK
Construct a 16' x 12° Porch
9 CHANGE OF USE FROM
TO
STIPULATIONS
See stipulations on plan.
WARNING
45th
fax EwUIRE0 8 Y LAW
' E P MrrS REQUIRED
NG, FOR
RING, I-IE�iINC, PLUMBING
AND SiG
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
r
WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT
5262.72
$2.63
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-
S RUCTION OR THE PERFORMANCE OF CONSTRUCTION
125.25
Fi re SIC 5.26
PLAN CHECK FEE
TOTAL FEE
SIGNATURE OF CON 7bFACTdR OR AUTHORIZED AGENT JOATE,
WHEN PROPERLY ALIDATEO THIS IS YOUR PERMIT
BLD iNSF' F1AIt
S-GNATURE OF OWNER,1F OWNER BUILDERI IDATE.
T
NEW[ ] Effective 5/10/99
ADDN [ ] CITY OF FRIDLEY
ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2
BUILDING PERMIT APPLICATION A113
Construction Address: j ? 7S 7 ' / L
Legal Description:
Owner Name & Address:elf �r/y� �,� Q ���� Tel. # (9/2 g 6 -
Contractor: MN LICENSE #
Address: 1 3 2 *-7 Z�, 7/7 40-0/e, 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. a4 7 .6/
GARAGE ARE Length Width Height Sq. Ft.
A: Length Width 2 H Ground Sq. Ft. '
OTHER: , 2 Z„ -72-
Construction
ZConstruction Type: Estimated Cost: $
Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ _ $
DATE: &
2-JC79 APPLICANT: NO r7'JO61L) /J e J Tel. # / 2 - 79( - 7,.2;�
Permit Fee $ V>5- 2
Fire Surcharge $
State Surcharge $ 1
SAC Charge
$
License Surcharge
$
Driveway Escrow
$
Erosion Control
$
Park Fee
$
Sewer Main Charge $
TOTAL $ S /
STIPULATIONS:
CITY USE ONLY
Fee Schedule on Reverse Side
.001 of Permit Valuation (1/10th%)
$.50/$1,000 Valuation
$1050 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 [ ]
land Pionnlxq 6M Highway No. 65 N. I.
load Surveying t • • Minneapolis,
Snits testing Mine. 53432
Civil tnghteering C/ Telephone 794-6406
Mmtkipol lngineering Engineers & Surveyors Area code 632
Mortgage Loan Survey for U. CoppOp.,ATIOVA
C�),/� Feb_
I � 1
111.4 6
tii.03 36.2 t �� 72
iS 0 0 :o
O i Q
_ F 0 Q p%�
rD W%
15 f—
(� s f
4-4
f 8fl91 I �i
I �
l '
Scale, Imtk40feet
t��T 1�.O"'VN3
DON S ��- A��hiiON 5
A11®� CQLLVI+y
'. This is o true and correct representation of a survey of the boundaries of the land above �described and of fha - location o1 all buildings, if any, thereon, and all visible encroachments, N aey, from or on said Fuad. this survey is
made only in connection with a mortgage loan now being, pfaced an the property and no lioWlity Is osiumed
e�tcepf to tM holder of such atorigage at any other interest acquired by the reason of such .ihartgagl. It is
nnderstoed owl ogr menu is he a been /L,osed for the lwi►.pose at establishing lot duos: sr blasts %ty
f ease". Doted this 't' - dole of A.9. lt:4
li aU,ltiRAM INC#lN6iIRI140r ltiC.
b.
� `�a �` fi>9i+saar Sarttpar
00 4 g e, 1%
��g /VO/X/
2W,.G,lc/ �o4j2r*
;at,ut�')
J
3 �7 s 4-4}1�-�, Alt
QI
=� � +A�
0
�.h •
�.�
r
+`�,�
_`
W $�
�_
� d
s
CITY OF FRIDLEY PERMIT NO.: 2004-02238
6431 UNIVERSITY AVENUE NE
FRIDLEY, MN 55432 DATE ISSUED: 12/13/2004
(763) 572-36U4 JFAX: (763) 571-1237
ADDRESS : 1327 75 AVE NE 8 6 4 6 9
PIN : 123024120021
LEGAL DESC : DONS 5TH ADD
: LOT 12 BLOCK 3
PERMIT TYPE : HEATING
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : ADDITION/ALTERATION
VALUATION
NOTE: AIR CONDITIONERS CAN NOT BE PLACED IN A SIDE YARD WITHOUT WRITTEN PERMISSION FROM
ADJOINING PROPERTY OWNER. COMBUSTION AIR SHALL BE PROVIDED PER UMC SECTION 504(A) AND TABLE 6-A.
# A/C UNITS 0 VALUE OF APPL OR WORK 0
# FURNACES 1 # GAS DRYERS 0
# GAS RANGES 0 VALUE (FOR MINIMUM CALC) 2000
APPLICANT
ANDERSON HEATING & AIR COND
4347 CENTRAL AVE NE
COLUMBIA HEIGHTS, MN 55421
OWNER
IVERSON NORMAN D & CYNTHIA
1327 75TH AVE NE
FRIDLEY, MN 55432
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 wort
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
regula ing con ruction or the performance of construction.
Atm -ani Date i
Bldg
HEATING PERMIT MINIMUM FEE 0.00
FURNACE SHELL/DUCT WORK 35.00
GAS RANGE FEE 0.00
GAS DRYER FEE 0.00
AIR CONDITIONING FEE 0.00
HEATING REPAIRS/ALTERATIONS 0.00
STATE SURCHARGE, MECH FLAT 0.50
TOTAL 35.50
PAID WITH CHECK # 24567
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE.
CITY OF FRIDLEY BUILDING INSPECTION
6431 University Ave NE
Fridley, MN 55432
763-572-3604 FAX 763-571-1287
RATE SCHEDULE
Residential
Furnace Shell and Duct Work, Burner &
also Replacement Furnace
Gas Piping (New Furnace, Fireplace, Insert)
, gW,ed perm;4 5m-� A/z3 2JA-
wrerlg rr�flt
Effective 4/1/2004
APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION
REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES
JOB ADDRESS I3-9-7' 755' 4L°. /Je
Fee Total
$35.00 $ %5:5.100
$10.00 $
Owner / (.fir me -17 l�
Building Used As A49792z
ESTIMATED COSTa01160D PERMIT NO
Gas Range $10.00
$
DESCRIPTION OF FURNACE AND BURNER
Gas Dryer $10.00
$
# of Heating Units Circle One (Steam) (Hot Water) (Warm Air
Trade Name �Ia4 Size No rnS 16 3l�i✓p
*Air Conditioning -All Sizes $25.00
$
BTU ��j60� HP EDR
Fuel 2f / Total Connected Load1a'�
All Other Repairs or Alterations (List on Back)
1% of Value of Appliance or Work
$
Burner Trade Name Size No.
Minimum Fee $15.00 for Residential or 5% of cost of
BTU HP EDR
Improvement whichever is greater on work less than $500.00
The undersigned hereby makes application for a permit for the work herein
Commercial/Industrial/Institutional
specified agreeing to do all work in strict accordance with the City Codes
1.25% of Value of Appliance or Work (List on Back)
$
and rulings of the Building Division, and hereby declares that all the facts
Minimum Fee $35.00 for Commercial/Industrial/Institutional
and representab ns stated in this application are true and correct.
L�
State Surcharge
$ .50
HEATING CO
TOTAL FEE
$ `
SignedGf /1�1��fL(X/1 9bD Tel #3'���
REINSPECTION FEE $50.00/HOUR °
FAX # e-� / �% Date g d —
*Air Conditioners can not be placed in side yard without written approval
from adjoining property owner - copy to City
FILL OUT BACK SIDE FOR STACK VERIFICATION ON REPLACEMENT FURNACE
Approved by Rough -in Date Final Date
FILL IN COMPLETELY FOR REPLACEMENT FUEL BURNING APPLIANCE PERMITS
COMMON VENT, VENT CONNECTOR AND COMBUSTION AIR VERIFICATION
S
When replacing an existing furnace, the undersigned hereby verifies that the
venting has been examined and is free from rust, deterioration, obstructions,
and is securely supported and firestopped where required. Yes { No( )
The venting system is plastic/PVC and meets all current codes and manufacturer
specifications including sizing, length, number of elbows and termination.
Yes () NoZ04
The undersigned also verifies that the replacement unit is a listed assembly
and meets the current codes and manufacturer's specifications. This does
include AGA-GAMA Category I Central Furnace Venting Tables for fan
assisted and natural draft appliances.
Yes No ( )
The existing combustion air is sized and installed to meet the current codes
and manufacturer's specifications.
Yes () NoK
When required to install a new combustion air, it will be sized and installed
to meet the current codes and manufacturer's specifications.
Yes No( )
When installing a new venting system, the undersigned hereby verifies that
it is a listed assembly and meets the current codes and manufacturer's
specifications. This does include AGA-GAMA Category I Central Furnace
Venting Tables for fan assisted and natural draft appliances.
Yes K No ( )
/
Is the common vent and vent connectors sized and installed correctly after
an appliance has been removed from the common vent and vented
separately as per current codes.
Yes No( )
Appliance Type and Size/Common Vent and Vent Connector Inform/a`t!on
Appliance #1 Type BTU Input lVi 406 Fan Assisted or Nat -;ko
Appliance #2 Typ BTU InpuJ62WAO Fan Assisted or Nat ��
Appliance #3 Type BTU Input Fan Assisted or Nat
Total Appliances _ Total Btu Input /1040 10,014
Common Vent Type 0Ag,,2 - ,6 Vent Height_ Diameter inches
Appliance #1 Vent Connector Height�_ft Length 3 ft Diameter 7" in Type
Appliance #2 Vent Connector Height fes" ft Length _e? ft Diameterin Type _�
Appliance #3 Vent Connector Height ft Length ft Diameter in Type
ALTERATIONS: (Describe) h /
Signed By:
Date