AF - 45060City of Fridley, Minn.
6431 Uni�ersity Ave. N. E., Minneapolis, Minn. 55432
BUILDING PERMIT
Date: ._......Se_ptember_ 22�_1972
(0 3v � o
----,
_ �6
Owner: .._..Thura._.H....�ricksnn_....._..__..._......_..__.._......:_. Builder _..S.azn�_ . __.
Address .._..7.5.15_..A1�le.n....Iei,a.y_-DI..�.._.--_._,_.____. .__..� Address _..S.am�._......
LOCATION OF BUILDING
No. .....-----%.�1,�------... Street --------�Pa.�:�i�]�....bT.�_.N.,.E.,__ ...._.._._ Part of Lot
Lot •_-_..._..._.6__.-----_..__. Block •----..------------...�-----•-------------------- Addition or Sub-Division ----..E.1.T�l.l..�..s.�'vPrsi dP gp; ghYG P1St 2
r � � St
Corner Lot -•--.--.�......._........ Inside Lot .....--•---------------�._.---•--_. Setback ....._.�..___..�_.._._ Sideyard —1Q�
��vZ'�r?Elevation ----------...._.._...-----�----� •- -•- l�'Qu�d�a���1�b�t�qlt�•---- ..----- -
---------�--..._..-----__...___..--�------- -- - -
Wye Top of Footing +
DESCRIPTION OF BUILbING
To t.� v�a �:
_Dwelling----•-----------.... Front __25 �__.._ Depth _ 40 �._. Height _.. 1.�....._. Sq. Fi. �-.�.2.� Cu. Ft
_.�a�2.g.�-.---._..:.:..._-------.----_ Front _25..�___. Depth _.._3$�__ Height --10-�•---• Sq. F't. _.._. Cu. F� ....._.._..__....
Type of Construction ....__W.o.c�.d.�r�.me__.____ Est. Cost .�.�$..4.5*.QQQ_..__..___.._._. To be Completed _._]..�ear -
Stipulation: Provide a verifying survey before capping. Provide a hard suxface
driveway. Permit issued subject to review and notations by Building Inspector.
WATER LOCATION: 99' East of Manhole
SEWER LOCATION: $9' E. of Manhole
�,
;�.���.,�,a, � � '�_�",°�'T� R�QUIP���J t=OR ��'ti�d�;��`�,
`��.i��fi��, i' �;_,>if.,;G Al4D SjG�1�.
In consideration of the issuance to me of a perxnit to construct the building described- above, I agree tq d0
the proposed work in accordance with the description above set forth and in compliance with all provision8 0!
or@inances of the city of Fridley. ����L 7° -�iu�L� ..-+,
, � .�.�...
_ 13.44 State Surchar�e �
In consideration of the payment of a fee of $_65.00,^,4., pe�t is hereby grantec'i�to._...�"l.��e�r�.�-� so�t
..._._•-.--•-.._•._.----.._ ..........:............_......_ to construct the building or addition as described above. This perxnit is granted upori
the express condition that the person to whom it is granted and his agents, employees and worl�nen, in all WoTk
done in, around and upon said building, or any part thereof, shall conform in all respects •to the orclinance8 of
�'ridley, Minnesota regarding location, construction, alteration, maintenance, repair and moving of buildiII$8
vyithin the city limits and this permit may be revoked at anrY_�ime upon vio��aa## aa'on of the provisions oE Said
ardinances. ���
<
____� �- �. -. , � � s,�ilaing �rnspecta�
C`
DARREL CT.ARK
I
' NOTICE:
IThis parmit does nof cover the consfruetion, installation fe� wiring, plumbing, gas hsaKng, sswsr or wafer. B� sur� to sN
' ihs Building Inspeata� for separate permits fo� thase items.
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APP�ICATION �OR �ESIDENTZA�, �LT�RAT�ON,
OR AllDITION BUILD�NG ��ItNIIT
CITY OF FRIALEY, MINN�SOTA
OW�TER � S 1VAME : � r-I v R r %� :� t� t c. K�e ,�S BUILDER : �� M�
ADDRESS t i'Si S AL/JEN w*+ � �V. E. ADDRESS • �7So � f} LDEry Ll.�,� Y N. E.
� � ( tV e,� D � �.?�
NO :. 7.s'�,S- . STREET : /� � �� N l.c.) N y: N c,
�t'%1' e �a ��+�GIC; Z ,�iTi���ION i � L W E L L� �
GQRN�R �.t�: %�E� �N�TAE LQT: ��T�R: 3 � 8IA�XARDt ��� S ,
Appl�,�ar�t �G�aah ta �hia foaem, ro �„artif�.��aa� # Su,_rv,gy of Lot and propo��d
baildiag loostian drawa an Cheae Certificates.
DESCRIPTION OF BUILDING
To Be Used As:
,,
� Front • Z s ' o � � :'�
K�s��r,�<< Depth• ��. HeighC: %°7 ^'�
• �.- � .� �,ttSa I
. i` S c . .i� o !c3 � �
Square Feet. �' Cubic Feet. ' � �a �ao �
�S ,
GA �� G e � Froat : �?-s Depth • 3�� Height : t;
—_.
Square Feet ; 9 S� Cubic Feet : � � � ° ` �!/
i iw�� w w,is �� 7G
���J��
�►pe of Conatruction: C.tJ�,:� r=R�M� Estimatad Coat: $�S�
� . �..,��.� e.,
To t3e Co�pleted: W� T*+ � N � �� ,
�-t.��'"
The undersigned hereby makes application fox a perwit �or ti�a wprk �3E�c��
specifi,ed, agreeitig to do all wozk in ettict accordance with the Gity o�
F7�i,d�,ny Ordinances and sulinga of the Department of Buildings, aad he�ab�►
deala�ces that all the fact• and repreeentations stated in this appliQl���o�,
are true and correct.
, . �—� �/ � � �,
�AT� : �, i� . � �1 / � 7 �- 3IGNATITRE : ,. i u�--� "� °-^-•.,
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(See Rsver+�e Side For Additioaal Informatioa.)
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�.i�ELL' S AYVE�tSrIDk� HEiCH�fi " 'PLA�` T�� � '``a� ' � ;
i. �IiJBE �i. BRIGK�0�1 '��� �
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iUl ALD�N WAY, if . E. _�
[:��IEAPOLIS, ::Ii�tESUTk 554 �2 y , {� p
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AESCRi�T�@N►: Lot 6, Block 2, I:lwe11`s Riverside Heights Plat 2, City of Fridley, : �.
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',I hel�eby certify tiiat this survey was made under my direct supervision and that I am a ;�.
�'dttiy authorized Registered Land Sutveyor under the laws of the Stete of Minnesota. ''� ��
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'�,b' , � . T�" , � � � �� �'�
��`� William 5. Lope, ic.L.S. �` :?
� . Minn. Reg. No. G7$� ))) t'
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" �ted: S�ptember 25, 1972 `'����
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+ ;� �
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�il� Q� E'fid�e� �✓
l�p�i�eion for Pt�bi�tg �d � Rtt�%q Par�t
Drpt. oE Bldqs. Phon� 5�0-3{SO
DESCRIPTION OF WORE �$' J$' f j Z.iD E N � q Y N�•
Iiumb�s. lCind u+d Locaflon eII flxhiY�� ' ' *���
Y
� �3 � �� � � �� �`� �
Basc I — -- � ( — — 1
�rt L — I - —
:�a -
�rd
4th
• Fwtur� Co�oa Op�da�s
• N�w F1xMe�. Old O�doqs
q i
;0 3� �3; �� �� o�
L 1 �- —
� — .. � — t
PARTIAL RA7E SCHEDULE
w��E� �.r�.
• •
� N GAS [tEC.
1 I —'
_ , _
Srw�r
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pLOMBiNG FiXTURE AATES: IIO. AATE TOTAL
xumber F`ixtuees . . . . . . . . . . . . . . . . �_. a i200 = 30, � rJ
PLture Fixture Opcning . . . . . . . . . . . x a1.50 t .
New Fiature Old Opening . . . . . . . . . . . x :1.50 =__
Catch Sasin . . . . . . . . . . . . . . . . . . . . x :3.25 =
Water Heater :Up to 99,000 BTU1. ••• � x 53.00 i �d �
New Ground Run Old Bldg. ........ x t3.25 S
Et�et:ic W.br Hwt�r . . . . . . . . . . . . . '^'� : =2.00 =
C/ls FITTII?G FEEB: NO. R11Y'E TOT11L
]st 3 Fixtures • . . • • • . • • • • . • . . . • • �— : �'1.00 i �' li�J
Additional lrlaturea . . . . . . . ... . . . . . x : 9b i
Gar Raase to 19Y.000 BTU . . ,.. . . . . ... ""' : i6.0� f
State Surcharge $ .50
REPIIIRS �r ALTERATIOtfd--R�i�s !o Cod� --
Deacslptlon ........ ...... .. .. ...... ........ .... ........i
7 / 1'O�PAL tEE � �� �
3� ,�
/O6 3 u
Cit� of hidley:
The undersigned hereby makes apDlication tor a peraut tor the wark htrei�
specified� agreeing to do all worlc in strict accordance with the Cit,7 Qrdinsnce
and ruIing of the Department of Buildings. and hereby declares that a1t thc taM
and re�resentatlons stated fa this appllcation are lrue and correct
Owner
Kind of Building ��`�� —
Used as
To be completed about
Estimated Cost, s �� �4 �
Old—New. Building Permit No. P•rmit No.
Signed /%�V1.�-�� �/"_'�" "„
By O-w+�a.�
Businrss Ptwne No S� �•�� O O
ROUGH
''Fwi�t. � - a a - 7�
�
,�
Appiication � Pow�r Ptants �and H�aNeg. Cooling, Yentilaeion� R�rertion a�d
Air Conditioning S�rst�ms a�d Devic�s
PARTI�►L R�1TE SCHEDULE
GR!!.V*TY WARM AIR: 11J1T� rOTU,
lh�rnace Shell & Ducf Work_ �` . . . . . . . . . . . . . . . . a10.00 i
Replacement ot F�rnace . . .. . . . 6.00 �
Repairs & Alterat;ons--up to =500.00 6.pp a--_- -._—
Repairs dc plterations each add. �500.00 , g_p� _____ ___._
IRECH. WJ1R�I 11IR
Ftirnace Shell d� Duct Work to 190,000 BTU . . . . . . . . . $10.00 ;_
each add. A0,000 BTU ............. ... .... 3.W i
Replacement of FLrnace 6.00 ;
Repairs dc Alterations—up to ;500.00 g,pp =
Repairs & Alterations each add. :500.00 3.pp =
STEAM o: iIOT WATER 8Yl�TEi[
Flirnace She2l & Lines--to 400 sq. ft. F.DR Steam e10.00 $. � __
FLrnace Shell & Line—to 640 aq. ft. EDR Hot Water 20.00 a_.1�
Each add. 200 aq. ft. EDR Steam g,� �.__ _____ _
Each add. 320 sq. ft. EDR Hot Water 3.00 5--
OIL BIIRNER—to 3 gal. per hour g,pp a _
over 3 gal. per hour-�ee Fee Schedule
GAS BUiiNER (up to 199.000 BTU) b.00 j �`^0 �
over 199,000 B'T[J See FN Seiudul�
GA3 FITTING FEEB: li0 RJ1TE TOTAL
lst 3 Fixtures �� -:�_ xE 200 3
Additional Fiatures x .76 ;
Gas Range to 199.000 := 6.0� _ —
AIR COl�DI'RO1fi11G
F]\Ii HEATIIEG 3TS?E1t
v��ia►ru�a s�rsr�
ALTERATIOIfs t AEPI►IAS
xo�aH
�a►�., //- /� - 7J
�-_.__
8M FN sc�dut�
�
TOTJII. FEE ; � ���
'SURCHARGE $_,50)
Dspt. of Bldqs. Pho:u 890.349p
G' �
Cfty of Ftidley:
The undersigned hereby makes application for a permit for the worlc hereir .
specified, agreeing to do all work in strict accordance with the City fh�diaance:
and ruling ot the Department of Buildings, and hereby declares that aIl tbe factr
and representations stated in this application ere true and correct.
i
F�id1eY. Minn �(�-t-J'"' �� � lg%�;
Owner _ - _._— � � �
Kind of Building ___
�Jseci ae ..____.__.._
To be completed about
Estimated Cost, �_
Pertnit No.
P�rmit Na �'� � �
DEaCRIP'PIOIf OF WOAI[
HF.ATING or POWEg�NTg-�g , Hot Water, Warm Air—No �
T7ade Name-� Size Ne- lm Ji .�' �
CapacitY-- Sq. Ft. E.D.R BTU �� 0. (� Q'� � gp,
Total Connected Load Rind oi 1M1ie1-_ AO /�t- �
BURNER — 1�ade Na 3iu No
Capadty g,p,R g•� �
/�/ �O (RfMIYRKS-OYER)
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560•3450
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ANOKA COUNTY '
6431 UNIVERSITY AVENUE NE October 27, 1975 FRtDLEY, MlNIVESO7A 55432
Mr. Thure Erickson
?515 A1den Way PI. T. .
Fridley, Mn. �5432
Re: Heating Permit
Dear Mr: Erickson: '
We have noted that a heating permit is not included in our records for your
house. If this permit was issued by us, would you call and give us the
permit or receipt number so our records can be made complete. If you did
not take out this permit, we would appreciate your applying for one so we
can.final ouc your house.
Thank you,
WILLIAM H. SANPIN
Plumbing & Heating Inspector
WHS/mh
0
sue�ecT PERMIT NO.
c�ty of Fridley 212 7 4
AT THE TOP OF THE TWINS g � I L D I N G P E R M I T
r
� � .
� � COMMUNITY DEVELOPMENT DIV. �/
v PROTECTIVE INSPECTION SEC. �i� �/ D
� _
� � ..__
r ; �;
� ' /'�'1 � CITY HA�L FRIOLE� 55432 NUMBER REV. DATE PAGE OF APPROVED BV
�"°'�' �'' 612-571-3450 910-F15 4/10/92 / /
JOB ADDFESS 7515 A1den way NE
t LEGAL LOT NO. BIOCK TRACT OR ADDITION SEE ATTACHED
DESCR. Ei 2 Elwell'`s Riye�side Heights P1at 2 SHEEt
2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE
Tim Lena�d 7515 Alden WaY NE 572�3875
3 CONTqACTOR MAIL ADDRESS Z�P PHONE LICENSE NO.
George Johnson Roofing 5410 Gira,rd Ave N� Bx'ooklyn Center, MN 566�2351
4 ARCHITECT OR DESIGNER MA1L ADDRESS ZIP PHOIJE IICENSE NO.
5 ENGINEER MAII ADDFiESS ZIP PHONE LICENSE NO.
6 USE OF BUILDING
Residenti_al
7 CIASS OF WORK
C� NEW ❑ ADDITION ❑ ALTERATION [� REPAIR O MOVE ❑ REMOVE
8 DESCRIBE WOFK
Reroof House & Ga,rage (2nd Layer)_ 30 S.�uares
9 CHANGE QF USE FROM TO
STIPUTATIONS
Roofing can b.e 2nd layer but not 3xd.
TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY �OAD
SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING,
YENTILATING OR AtF CONOITtONING.
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 SUSPENOED OFi ABANDONED FOR A PERIOD OF 120 DAYS AT
ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS OFFSTREET PARKING
I HEREBY CERTIFV THAT I HAVE READ ANO EXAMINED TMIS APPLICATION 1^ STALLS GARAGES
AND KNOW THE SAME TO BE TRUE AND CORqECT. ALL PROVISIONS OF LAWS VA�UATION SURTAX
AND ORDINANCES GOVERNING THiS TYPE OF WORK WILL BE COMPLIED
WITH WHETHER SPECIFIED HEREIN OF NOT. THE GRANTING OF A PERMIT $�-I �9Q Se 8�'
DOES NOT PAESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE pERMIT FEE SAC CHARGE
PROVISIONS OF ANY OTHER STATE OR �OCAL LAW REGULATING CON-
STRUC71 OR THE PERFORM NCE OF CONSTRUCTION. S37.OQ. �ire SC $1. S9
PLAN CHECKfEE TOTAIFEE
~�" $39.39
SiGNATUA fCON� 0�70RAUTHOR�ZED�+GENT IDATEI �{ p gR Y ALI TED THIS IS VOUR PERMIT
- ,, �o _ ��
� SiGNATURE OF OWNEA UF ON'NEA BU�L�EA� IDATEi BLDG �NSP ��aTE
NEW [ l
ADDN [ ]
ALTER [ j
Effective 3/1/92
CITY OF FRIDLEY
SINGLE FAMILY AND DUPLEXES R-i AND R-2
Building Permit Applica6on
Constiuction Address: � � �
Legai Description:
Owner Na�
Contractor:
Address:
� ��� ���
MN LICENSE � l U l�O
'�____Tel. # -- � �
Attach to this application, a Certificate of Survey of the
lot, with the proposed construction drawn on it to scale.
DESCRIPTION OF IMPROYEMENT
LIVING AREA: Length Width Height
GARAGE AREA: Length Width Height
DBCK AREA: Length Width Hgt/Ground
OTHER: � 4-1Z'�(I� �t� -- � ��Q�1�6-<:l
Corner L.flt [ J inside Lot �] Ft. Yd �ack _
Type of Construction: �' �� �
Approx. Completion Date: � � � (�
Sq. Ft.
Sq. F�
Sq. Ft. _ )
� ��y
Side Yard S�backs ,
F..stimat,ed Cost: $ / � 9 D
(Cost on BackJ
Driveway Curb Cut Width Nceded: Ft. + 6 Ft = Ft x$ _$
DATE: ��U �� APPLICAN�':-- - � Tel. # (Q `°C � �
Pemut Fee $ � %, � G
Fire Surcharge $ /. .S ��
State Surcharge 5 � ��
SAC Charge $
License Surcharge $
Driveway Escrow $
Park Fee $
Sewer Main Charge $
TOTAL
$ .3 � -3 �
CITY USE ONLY
Fee Schedule on Reverse Side
.001 of Permit Valuation (1/lOth9�)
$.50/$1,000 Valuation
$?00 per SAC Unit
$5.00 (State Licensed Residential Contractors)
Alt. "A" or Alt. "B" Above
Fee Determined by Engineering
Agreement Necessary [ ] Not Necessary [ ]
STIPULATIONS: � i -
CITY OF FRIDLEY INSPEC?ION DlV.
6A31 tlniversity Ave NE
Fridley, M(V 55492
572— 3604
Watet .'
Stories _ Closet Urfnat
Basement �
Fioor 1
Fioor 2
Floor 3
Fioor 4 _, :-' '
PLUMBIJdO FIXTURE R�1TES
Eifective On March 1, 1998
APPLICATION FOR PLUME�INQ AND (3AS FITTING pERMIT
�i0 t � �
MARK NUM6ER OF F'IXTURES TO BE INS7A(.LED ON EACH FLaOFi
bVash pr�t�k F�vor �a�G}i ;: Auto. Ga�: ' Gas M1sc. Water Heater
�` Sho�ver Smk TrAY �at�nt �> Dram $Aaitt ^ Washer �Appl. ; Range F[itf,'. ;<; Gas� Elec
NO, I�A7E 70TAL
New Flxtures
Old Opening, NewFixtu<<e
Be�r Dispanser
Biow Oft 8as�n
Catch 6asin
Rain Water Leader
Sump/Receiving Tank
Water Treat�ng Apptlance�
Water Heater —Electric
Water Heater — Gas�� (
c3as i�ange"�
Gss Dryer"*
8ack Flow Preventer Required ()Yes ( j No
.�ypg .
$ 7.p0
$ 4.00
$ 5,p0 ���
$ 7.00
$ 7.Q0
$ 7,00 _
$ 7.OU _
$1 O,pO
� 7.Q0
$1 o,Op �
$ f 0.00
$�o.00
$15.00
Reinspection Fee $42.00IHr
ALL O1'HERS AND/OR RGPAIRS AND AITERA"fiONS
t.596 of Value of Fixtr�re� or Appliance
State Surchargs
T�TAL FEE
� .50
JD6ADDRESS S�S �� ,�_,� (� ��,
The undersigned hereby makes application !or a permrt for tt�e work herain
spacified agreeing to do al! work in strict accordance with the city codes
ancE rulings of the Building Division, and hereby dectares that all the tacts
and representations scated in this apptication are true and correct,
�Z J' i_ , tB96
`__ �_� i� S 72 � 3�17�' �
O�vner / � ry, ��o,�, �
Buitding Used As `� � � � � Z
Estimated Cost ___ �o S� pERM�7 NO.� ���� S�
PIUM�ING COMPANY �Y�OUTH PLUMBING iNC.
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