AF - 41944SUBJECT
c�ty of Fridley �� ����
AT THE TOP OF THE TWINS g U I L D I N G P E R M I T
r
� •
� �
� • COMMUNITY DEVELOPMENT DIV.
r �..-------. ���
� � PROTECTIVE INSPECTION SEC.
i �
i .
' � ����� � CITY H ALL FRIDLE� 55432 NUMBER AEV OATE PAGE UF � APPRO�EO 8�
�----�•� ,'' 612-571-3450 9t0-F15 7/24/96 � �
J08 ADDRESS 8�'1 EB.St River Road NE
1 IEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED
DESCR. 1� 1 Spring Brook Park 2nd Addition SHEET
2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE
Fred West
3 CONTRACTOR MAIL ADDRESS ZIP PHONE UCENSE NO
Uptown Construction 14280 Jodi Dr, Rogers MN 55375 428-4044 6493
4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO.
5 ENGINEER MAIL ADDRESS ZIP PHONE IICENSE NO.
6 USE OF BUILDING
Residential
7 CLASS Of WORK
❑ NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR O MOVE ❑ REMOVE
X
8 DESCRIBE WORK
Construct a 44' x 30' Dwelling and a 24' x 32' Garage
9 CHANGE OF USE FROM TO
STIPULATIONS
See easement & driveway maintenance agreement. Provide a hard
surface drive�aay. Provide sod in the front and side yards. Provide a verifying
survey before capping to the City. See notations on plan.
Contact City Engineering Dept for Sewer & Water Locations.
W ARNi1�G
9efore digging catl fa
SEPARATE PERMtT� REQUiRED FQR a1t utiHty �oc�tions
WIRING, NEATING� Pi.UMBENG a(�D StGN'S, 45a-0002
REQUIRED BY LAW
TYPEOFCONST. OCCUPANCY GROUP OCCUPANCVLOAD
SEPARATE PERMITS ARE REOUIRED FOR ELECTRICAL, PLUMBING, HEATING,
VENTILATING OR AIFi CONDITIONING.
THIS PERMIT BECOMES NULL AND VOID IF WOiiK OR CONSTRUCTION ZpNING SO. FT. CU. FT.
AUTHORIZED IS NOT COMMENCED WITHIN 60 OAYS, OR IF CONSTRUCTION
OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT
ANV TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS OFFSTREET PARKING
I HEREBY CERTIFV THAT I HAVE FEAD AND EXAMINED THIS APPL�CATION 1 STALLS GAFAGES
AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS VAIUATION SURTAX Fire SC
AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED @
WITH WHETHER SPECIFIED HEREIN OA NOT. THE GRANTING OF A PERMIT �98sOOO y��F9.OU 98,00
DOES NOT PFiESUME TO GIVE AUTHORITY TO VIO�ATE OR CANCEL THE pERM1T FEE SAC CHARGE
PROVISIONS OF ANY OTHER STATE OR LOCAI LAW REGULATING CON- $87(�.75 $900.00
STRUCT N OR THE PERfORMANC OF CONSTRUCTION.
�� PLAN CHECK FEE TOTAL FEE
Licen SC $5. �1:���7.�5
5 NATUREOFCON'RAC70RORP.UTHORIZEDAGENT IDATEI PRO R VALIDAT THIS IS YOUR PERMIT
� ���J- -�,�
SiGNATUREOFOWNER�IFpWNERBUILDERi IDATEI LDG �NSP � r'FTE
NEW
ADDN
ALTER
t ] �3 3D �z5���1-d��F
( l CITY OF FRIDLEY
[] 5INGLE FAMII,Y AND DUPLEXES R-1 AND R-2
Building Permit Application
�� (
ConstructionAddress: ���`' �-.�
Legal Description: 'c .� t� ( ;
Owne a e Address: ��<?
Cont c r. �� .���1 r�): s l:/1 /
Address: l �( Z, �' �:�
LIVING AREA:
GARAGE AREA:
DECK AREA:
OTHER:
r'�- �?S � �'�,
�.. , �
'1�� % 5�:�
fr� ��rr �
�
- �-=--
.�,� �.C.k=<'�
A! � � '
�^ �%� �� ��l.1ii f7/� Gf rlJG..
r'i` i.' . ✓ -�
Effective 3/1/96
I, ,�, �� � 1,?��
� � � �� l
;� `�� � ,
_ � �.__._--
Tel. # � �'/�'
��N LICENSE #
�" �i� Tel. # �''/v�� � �1�� Y �
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 ��G� Height
Length '� Width,� z� Height
Length Width Hgt/Ground
�2, ��„/� ���.��/Y�j
a���t�-r /�7a �
�s`r��`�°�-- �/'a �
q. t.
Sq. Ft. 2�_
Sq. Ft.
Corner Lot [] Inside Lot [] Ft. Yd Setback Side Yard Setbacks �)
Type of Construction: C.�>� c�.,1 �' 4.�.'��� Estimated Cost: $�' , G'C �,=-.. `�� ov
Approx. Completion Date: _;�,-� .�� % � ' �b,4s�i�ts�vr �( �ox/Z .� = /�; �•�
( �r FZ.m�- ��7oXS9. 5a = % c}�3.ao
- (Cost on Back) �
Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x$ _��r ��X/83� `��OJo,
DATE: � . ,,;�� �7 � APPLICANT: f�f �' '� � � �� Tel. # �'� Zi�O Y
����.�_.�..-_� � �-G�� �-� - � �
Permit Fee
Fire Surcharge
State Surcharge
SAC Charge
License Surcharge
Driveway Escrow
Erosion Control
Park Fee
Sewer Main Charge
$ � . 7�
$ .GYi
$ � DU
� .G�
� S. oU
$
$
$�� ,
$ _
CITY USE ONLY
Fee Schedule on Reverse Side
.001 of Permit Valuation (1/lOth%)
$.501$1,000 Valuation
$900 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 'j�2 p
TOTAL $_ � . - "
��/�'�%,. I�� /
STIPULATIONS: � E�� ��^'�T r ��+r� �Ay
/
��/�7''�i[�� ��j����
i4
0
�ohn Bro�dley -
�_
. o►rchitecturoJ consultants
i00S i� ST. f. E. OSSEO� YN. 6636! MI. (il2i-4l4-f77! u_.
inc.
Plan �'°`_.�_
Owner�
' Controctor••�
Site Address:
, i)TOTAL EXPOSED WALL AREA �. 4� '—sQ. fw ��U��i�.L LL��
2)TOTAL EXPOSED ROOF/�EILING AREA � �� sq. ft. x'U�i�� ��
WALL aREA CALCULATIONS� .
TOTAL WINDOW AREA
G�AZED
70TAL DOOR AREA
70TAL GLASS UOOR AREA
_. GLAZED
TOTAL fIREPLACE WALL AREA
70TAL WALL FRAMING AREA
NET INSULATED WALL AREA .
TOTAL RIM JOIST AREA
TOTAL FOUNDATION AREA (EXPOSED)
118 sa.ft.x'u"��z — �O
_ ��I- sq.fr.z'u"LV2= 3,F�
' Q y sq.tf. x �U����—=.�.C�
�— sq.ftz�U�� �° '"'--
� �'Z sq.ft.z�U�� , 09 _t1�.z—
u� � sq.ft.z �U�� � = SS,C.o
_7. � sq.ft.z`U"� °4� __ �, � -
�C7 sq.ft.z�U�� ' 4 �" — S� C� .
TOTAL FOUNDATlON WiNDOW AREA sq.ft.x�U�� "—= �
3� T07AL �.�J
_ !f item 3 is fhe same as,or Jess than Item 1, rou hove met ihe lntent of �
2 MCAR 1.16008 A an d O. _
�
ROOF/CEILINO CALCULATIONS�
�OTAL SKYLIGHT AREA
TOTAL ROOF��'.EILING FRAMING AREA
NET INSULQTED ROOF CEILING AREA
0
, �q.tLz'u" —
I iS �q,n,X'�".�uo- 3, O
_ I �� � sq.ft.x'u" aoZz �i
��4i TOTAL . Z s, � �
- If item 4!s the some os,or less thon ltem 2, you hove met 1he intent of
2 MCAR l.I6008 A ond 0.
ALTERNATE BUILDING ENVELOPE DESIQN .
.• To utifize the totoi envelope system method, the sum of ttems 1 ond 2 sholl ►
� be Qreoter than the sum of items 3 and 4. � ;-
_ 1) +2) _
- . 3) +4) — �
1 hereby Certlfy thot the bulldlnD here described meets or exc eds�t6e Stote of Minntsa!o
EnerQy Conservatlon Act.
. �
(si�n
�
.'
.�
.
r
-
.,
..
s ��• •
.•_
.. :
---�
, f
.
. -•
�� �
_ ' r . '
� � �•
..
i.
�• .
. . •
. �. . � .
. •
.• � •
�
� � �• .
.� . �•'
• ' •.
. •
.: •
. .
: ,
0
• .. � . . _ .
, . _
. . . • . �M'ALL fRAM1NG iECT101d ' = . '
' ---�( ftrl ir �iUn _. ' � " �Eg
- , t . 2 � 1'� t�� - �K ' � �
3 n s 1 ot1 o d • 8 -.•� �
. . , �i t �,.�x�u ' • Z,o(� � • . .
' � ' .�v1. ' .
• 6 Y�e►ior Tr /ilm - • 0.11 ' • •
- • . . • , •
' - ' • . TOTaL it / • � � ' •
. . .
• .: . ' � �i � �%R� s �
-, • • .
. •
� . .. • .
.. • M'�4LL EECTIDN tIHSULA7E�) � � • ' '�,
. � n}t�1or 1r 11m • ' ' �
2 `-' � � . I
. . � 3 � � R�+T*', Iq.O .
� 4 � •
�3L g�ta ;Z.�- �� .
' _ ' _ � .,:,.�$ �t.ni�.t, ' . Z . . .
6 �c1lri0r �ir /ilm p,�) •
, . - 8 .
• ' ' ' ' . � , �07AL 1i..�� ' �
.
. , . .
— • . . � . . . .. . .. L1 � .1/R << ,., . � '
—... :._ . • - •
.. _3t1M i�1ST•6ECilON : . • ' , .
.. ' ) lnteri�r pir tllm � O 66
• � � • r , � � ' .
. 3 �.1d� 1r�OO� • ' 9 ' ' ' . .
� .;
,� t�i Z b.s���tt� � 2 �, ' .
. , 5���� .
_ `� ' .tn2 � . �
6 �rterior oir tilm ' 0 {� • • - � .
. � � ' . toT� ��i • :
M . • �
- �� � L s t/R •v . ' _ . .
. � . .. • ! . � • .
. - • _
� FWNDA7IDN EECTION . _' � . ' � .
. _ ._ . � :. � .�
� �n�erloreTr/ilm � � • ��g '
Y •� �
p 3 . ��r1 . � . . ,
• 3 s�'� Co�.�� ' • 1,2�, ' '
. q 1TrerTor oi, tiim• • � ' ..
.� � -
; . . . 15 -- , � . . . 0 n .
_ �i : .
� � • -- � - : . . . . � -10TIlL �L� • __ _ '
�iFiAI1L -. � � . �! t i%R1Q �� .. � � • � ' .
.' . .� , • � �' - �' - '. •
, '. � . , . . .
. . � .. •
. . . . . .
. • - -.
• , •� • . - . .� �
. . . . . . .• *
. . � . ' . � � i
� • . . � . • .
. , , . � � .
•
�� � � �� � • •` .. .
. � � •
❑
0
, � � �
. • . •
� • .
.�
_
�
f
0
�
i
i
�
�
�
�
i
�
; �
' I
i
• • . • • , _ . ' " + f �
. . . , • - .
� � � • � • �bNSTRUCT10h1 • . �' �
. • •. ; �
� ,� . . . . • . , ; .
. ' tEIUNG SECTION tINSULATEO) � � � ; ,
• ' �� �M •ior i�r /i1m � 0.61 � � '
_' �2�C/.� E,acs�ger_1:. �5►e �
.rfs. : I +
' :� � , � 3 w�1 ..rt�.- _ � : �' ' ' ,
3 •!+ f��trior oi� film (st�11 � 0.51 � .
_. � . � . TOTAL ii .'� :�3$
� , �. . ' U s _i/R��? � _ ;
� ,
� • .
. CEtLING fRAMlNG SECTION .
.- j � jn�erior o1r film ' 0.61
� �2�+'PS t�t�t-•c,x� � ,Slr
1/ENTED . , (3 _� ,.n�:..: ��,�.,�_ •�
' . - �4 inftrior oir lilm � D.6t
� � � � A - a� cof' wpod ��
:� -�- •.
, :. ,
- i.' ..,..,
(� �nc e� -
' TOTAL R • 5• � } .
, � . L! s- I/R�DZto
tEILIN6 �ECT�ON t1NSULATEDi.
, � � � tntericr oTr film � 06t
' _.. .: .. t2
�..r.. �3 _ �
. . �q ezterior otr tilm (stil!) 0.61
• • • TOTAI. R
. . . -
. � s . . . U = 1/R
. CEILiNG fRAM1NG SEC�ION • .
.� �tnitrior oir tilm _ • 0.61.
' _ {Q .
_�3 �
� �4 inicrior oirtilm 0.61
� �;5 lnches of tof( wcoQ
• . - - .TOTa� � .
. - �1 r 1 /R �
0
VENTED
. . � .
0
EXPOSEO 6EAM CEILING SECTION O�' :
�� 1 r' �t film
�2 � -
, �3 •
�� � 0 n
�� kf rior ir � '
:
TOTAL ti___
: • y s 11R ___:_. �
_ � �
� `.
.i
i �
I
,.
; � I�
� � � .
, I
�
. �
�
� -
. ; �
� I
;
� �
_ c
+
�
. !
1
.i
;
. �
�
. ,�
�
1
,
CITY OF FRIDLEY INSPECTION DIV.
6431 University Ave NE
Fridley, MN 55432
572— 3604
Stories
Basement
Floar 1
Floor 2
Floor 3
Floor 4
PLUMBING FIXTURE RATES
New Fixtures
Old Opening, New Fixture
Beer Dispenser
Biow Off Basin
Catch Basin
Rain Water Leader
Sump/Receiving Tank
Water Treating Appliance
Water Heater —Electric
APPLICATION FOR PLUMBING AND GAS FITTING PERMIT
MARK NUMBER OF FIXTURES TO BE INSTALLED ON EACH FLOOR
��. `:'<::;:<
th ...
>: ::::: :<:;;>:: ;.:::.:<, <:: � �.;:;.»;;:<.: > .:> <;>�:::>:<::«
Wash f�:Cln;k>:::;:::;:::' Floor ;�:����;>;; Auto.
,. .
Urinal TUb: ,:: Shower S�nk :: Tray '�a1�lit .� Drain g�€fi; ;' Washer
NO.
�
��
Water Heater — Gas** )
Gas Range**
Gas Dryer**
Back Flow Preventer Required ()Yes () No
Type
RATE TOT
, ��� t�i
$ 7,00 <
$ 4,00
$ 5,00
$ 7.00
$ 7.00
$ 7.00
$ 7.00
$10.00
$ 7,00
$10.00 �6 , n Ci
$10.00
$10.00
$15,00
Reinspection Fee $42,00/Hr •�
ALL OTMERS AND/OR REPAIRS AND ALTERATIONS
1.5% of Value of Fixture or Appliance �
State Surcharge
$ .50
Effective On March 1, 1996
Gas � (�ig�, : Wate� Heater
Range �ixt ... :: Gas Elec
JOB ADDRESS �o (.g ,1 �' �° V P' n g�
The undersigned hereby makes application for a permit for the work herein
specified agreeing to do all work in strict accordance with the city codes
and rulings of the Building Division, and hereby declares that all the facts
and representations stated in this application are true and correct,
Owner /'� /'� C�D
�i S�
✓ � � ,1996
Bullding Used As ��v� �
Estimated C —���� � PERMIT NO. ����(G�C �
� .� �- .�'�/G
PLUMBING COMPA Y G ; � /��
SIGNED BY �v���" ` TEL N0. i 31'%�% ��
Approved
Rough—In Date Final Date ���� 7�
�-������••..�.� � ��c rvn n��t r�umtsirvta/tiAS h'tHti
TOTAL FEE . PLUS THE $.50 STATE SURCHARGE
S�
**COMBUS110N AIR SHALL BE PROVIDED PER UMC SECTiON 504(A) AND TABLE 6—A. MiNiMUM SIZE 9 S� INCHES.
CITY QF FRIDLEY INSPEC710N DIV,
6431 University Ave NE
Fridley, MN 55432
572-3604 ,
RAT_E SCHE�UtE
Residentiat
Effective On August 1, 1995
APPLICATIOI� FOH PdWER PLANTS AND HEATINC, COOLING, YENTILATiON, °
REFRIGERATION AND AIR CONDiTIOMNG SYSiEIVIS AND DEVICES
Furnace Sheil and Duct Work, Burner —
Also Replacement Furnace
(Side Vent — Fill Out Back)
Gas Piping {Needed with new furnace}
Gas Range
Gas Dryer
*Air Conditioning — Ali Sizes
All Others/Repairs & Alterations (LfS7 ON BACI�
19'0 of Value of Appliance or Work
Commercial/I nd ustrial
1259'0 of Vatue of Appiiance or Work
Rate T07AL
$ �o.00 � � .c�
$ �o,00 � I �• C�
$ 10.00
$ 10,00
$ 25.00
State Surcharge
70TAL FEE
JOB ADDRESS �G�/;� �,r�,�- �� .
The undersigned hereby makes application for a permit for the work herein
specified agreeing to do all w�ark in strict accordance with the City Codes and
rulings af the Building Division, and hereby declares that alt the facts and
representation� stated in this applicatian are true and correct,
,1995
$ �°
BUILDING USED AS
� � ���
ESTIMATED COS7 F �O -�O PERMI N0.
$
$
$
.50
� 5�
MiNIMUM FEE FOR ANY HEATING/COOLIINGNEN71LAT10N
REFRIGERATION/AIR CONDITIONING PERM171S $25.00
PLUS THE $.50 S7ATE SURCHAHGE
REINSPECTION FEE $42.00/Hr
*Air Conditioners can not be placed in a side yard without
written permission from adjoining property owner.
D,�'SCRIPTION OF FURNACE AND OR BURNER
No. af Heating Units� t�ircle One (Steam) (Hot Water) arm '
Trade Name � Size No, � S
BTU �c�oc'� _ Ht� �DR
Fuel �� (,-��.. v� Total Connected Load
Surner Trade Name Size Na.
BTU HP EDR
HEATING COMPANY
Tel No. �� �" 7� �
V.
Approved By . Rough—In Date Final Date 1'�%''�-�i�
FILL OUT BACK SIDE R STACK VERIFICATION ON �'}�
REPLACEMENT FURNACE
�
RIGCAR HEATING & AIR
2387 136th AVE. NW
` ANDOVER, MN 55304
� 7544000,
FURNACE SIZE CALCULAT N Y10RKSHEET �•
SITE ADDRE$S � C�tI � l��'�'�= DAT � � •
HEATING CONTRACTO PNONE�°�
GENERAL CONTRACTOR OR OYINER � __ PHONF
CALCULATIONS PREPARED BY PHONF
The basic information balow, must bo ascc rtained from tho plans for tho structure.to be
built.
1. Sq. feet Qf exposed wall area above g rada ,� �o� x"U"
n � x 30 degrees. �
�
2. Sq. feet�of exposed window area �•� � x."U" '; x
90 degrees.
3. Sq. feet of exposed door area I� J x"U". �� x'
90 degrees. � . ,
�. Sq. feet of cei 1 inc� area, !`�-�' -�L x"U" �' v` x 90.
l5�% Sq. feet of basement filoor area `�� �.c 2 BTU/sq. ft.
6. Sq. feet of basement xall.area below grade _'3 �� x
3 BTU/sq. ft. , �
7.• Lin. ft, of infi7tration for windows ��� x(.5)
. x (1.085) x 90 degrees.
,
8. •Lin. ft. of infiltration,for doors 3� x(1.25)
x i1.085) x 90 degrees.
9. Li�. ft. of i�filtratia� fo�.sliding glass doors �� x
t.75) x(1.085) x 90 degrees. .
10. Allowanco for kitchen and bath fans:
,P` kitchen fans @ 60U BTU ea.
,� � bath fans � 200. BTU oa.
�--
11. Allowance for fireplaces: ,� � 1,300 B'R1 ea.
IV 12. Total BTU loss for all above items -��� � g U .
13. Add for combustion air (SBC 7722) �(.001) x net loss above,
x t12.5) x(.075) x 90 degrees.
14. Add line 12 and line 13.
1S. Maximum increasQ alloxablo by SBC 6007 is line 14 x llSx.
Output siza of fur.naca shall fall betweon lino,l4 and line 15.
. ,
Applicant Signature
d/ �.�5� -
-- � S�� � -
/ / r
.
� �
► � �
9 ��..
�� ��
�l � �O d
l� 8 %
i �
�/' /
.--.
,S1S'7 9�
. � �S
S�"t� % S"
�:3 3 �� .�
SuBJEGT IT NO.
City of Fridley 3008
AT THE TOP OF THE TWINS g U I L D I N G P E R M I T
�
; � NO.
COMMUNITY OEVEIOPMENT DIV.
r � y � PFOTEC7IVE INSPECTION SEC. �5�
1 � �
l..-• �,�����;'� CITY MALL FRIDLE� SSI�Z NUMBEii REV OATE PAGE OF APPROVED 8Y
t 1� 612-571-3450 9�0-Ft5 8/19/99 � �
JOB AODRESS
8061 East River Road NE
1 LEGAL �OT NO. BIOCK TRACT OF AODITION SEE ATTACHEO
DESCR. 13 j S rin Brook Park 2nd Addn. SMEET
2 PFOPERTY OWNER MAIL ADDFESS 21P PMONE
Fred West 786-8135
J CONTRACTOR MAIL ADDRESS ZIP PMONE IICENSE NO
Boxwell Builders 10650 Mississi i Blvd
l ARCHITECT OR OESIGNER MAIL ADOFESS ZIP PNONE UCENSE NO.
5 ENGINEER MAIL AODRESS ZIP PHONE LICENSE NO
6 USE Of BUILDING
Residential
� c�nss oF woaK
O NEW � ADDITION O ALTERATION O REPAIR O MOVE O FiEMOVE
8 OESCRIBE WORK
Construct an 8' x 8' Deck and a 12' x 12' additional deck
9 CHANGEOFUSEFqOM TO
STIPU�ATIONS
See stipulations on plan �������
Before digging c�il fOr
all utility loc�tiona
45�•�2
���U�REd �Y LAV1�
7YPE OF CONST. OCCUPANCY GROUP OCCUPANCV 1,0A0
SEPARATE PEFiMITS ARE REOUIREO FOF EIECTRICAI, PLUMBING, NEATING,
VENTILATING OR AIR CONOITIONING
THIS PERMIT BECOMQS NUIL ANO VOID IF WORK OR CONSTRUCTION ZONiNG SO. fT CU FT.
AUTMORIZEO IS NOT COMMENCED WITMIN 60 OAYS, Ofi IF CONSTRUCTION
OF WORK IS SUSPENOED OR ABANDONED POfi A PERIOD OF 120 DAYS AT
ANY TIME AfTER WORK IS COMMENCED. NO DWLG. UN17S OffSTREET PARKING
1 HEREBY CERTIfV THAT I HAVE READ AND EXAMINEO THI$ APPLICATION STALLS GARAGES
ANO KNOW THE SAME Tp BE TRUE ANO CQRRECT. A�l PROVISIONS OF IAWS yq�UqTION SURTAX
ANO ORDINANCES GOVEFiNING THIS TVPE OF WORK WILI BE COMPLIED
WITM WMETHEF SPECIFIEO MEREIN OR N07. TNE GRANTING OF A PERMIT �Q�ZOO 2. IO
OOES NOT PRESUME TO GIVE AUTFiORITY TO VIOIATE OR CANCEL THE pEqMIT fEE SAC CNARGE
PiiOVISIONS F ANY OTHEfi STATE OR LOCAI lAW REGULATING CON-
CTION F TM PER ORM NCE Of CONSTFUCTION 97, 2,rj Fire SC 4. 2�
. PLAN CHECK fEE TpTAL FE �
' Licens 5.00 10 .55
S�GNATU%�EOFCON•FA(;TOpOQ UTNOA�ZEO�GENT iOATE� N P OPERLV OATED IS V R PE{iMl �
7 ! /
S�GN4TUQE O� OWNEp��� OWNEA Bu��DEA� iDAiE� 8L0 �NS� ���TE
NEW [ �
ADDN [ l
ALTER [ ]
Construction Address:
Legal Description: _
...___ , .. 2
l
Effective 5/10/99 %'
CITY OF FRIDLEY r� �
SINGLE FAMII.Y AND DUPLEXES R-1 AND R-2 qO r� � ( i�'
BUII.,DING PERMIT APPLICATION (�p � �
V I �' �
�o � � � '�° '�
G [ �s r � v �--
Owner Name & Address: �(L c-�] 1� � j'� /��� �. Tel. # 7 g�o `— g I��
Contractor: � dX �� Lt� ~�,� �. p� fZ.sr MN LICENSE # �� 3 S
Address: _l�(p�� ���SS 1 SS � P p � �.,.v � � + K-- � Tel. # q �(� � ��I �
Attach to this application, a Certificate of Survey of the
lot, with the proposed construction drawn on it to scale.
DESCRIPTIOI�T OF LVIPRO�ElyIENT
LIVING AREA: Length Width Height Sq. Ft.
—�-
C=ARAGE AREA: Length Width Height Sq. Ft.
DECK AREA: Length ��., Width � a' Hgt/Ground � Sq. Ft. i��
OTHER:� �' g / �r � � r � '� �i -
�
�
Construction Type �C� p w^� ��;�c �� Estimated Cost: $ ���� ,
Driveway Curb Cut Width Nceded: _Ft. + 6 Ft =__ Ft x$
_$
DATE: � � � APPLICANT: � Tel. # ��(o /� /�
Permit Fee
Fire Surcharge
State Surcharge
SAC Charge
Lxcense Surcharge
Driveway Escrow
Erosion Control
Park Fee
Sewer Main Charge
TOTAL
STIPULA'I'IONS:
CITY USE ONLY
$��;�� Fee Schedule on Reverse Side
$ 'L/ . � � .001 of Permit Valuation (1/lOth%)
$ � , l (7 $.50/$1,000 Valuation
$ $1050 per SAC Unit
$ �� 6� $5.00 (State Licensed �tesiden±ial Coatractors)
$ Alt. "A" or Alt. "B" Above
$ $450.00 Conservation Plan Review
$ Fee Determined by Engineering
$ Agreement Necessary [ ] Not Necessary [ ]
� �d - ��
O
b
� W
t � �
� (�
_� _ �
� �
c
� �� �
� � �n
� � �
�
� s°�c�t
I� � � � � �
i
c '�- d
� � �
� i�
� �
�
. �
9 �
Q- ..�
1 d yi
� �
� �
� ��
Q� �
. .. � j
� � N
� ,n
s �' �
.�
���
��
���
�o�
g � �
�,
�
e
�
�
s,
(+.
�
.�
,
j �
I
' q� 1.1:
� W �
� � � :
1 ,n ti� 7.. 4
p �i `� i
` � _x
� � � �, �
� � r �.,(
�C (� � . � • -
� � i
� '�Q �'[w �
rY '� �' �
; � � �. •,
► .: � `� " �
.� .. �
�� 4
. � �
, _� �
�, I � ��
;�
, '..s
��
� ='� �
�
n ��
c�° �
�' �1..
_�X��J.
+ �
���
r
�
�
�
�
�.
�
�
�
�
q
�� .
��
va �
a �
ts- �
�� -
;� �
�
�
1'�
:.ab.
ii�yt
V
�,
_.�. I
�
:;'� `
`
� •
��
.
� Q
��r'
�
� �
✓! �
Q
� �
� �
� �
J z
.� J
��
�.
�
, �
� �
� ' f
; ja-
� � a ;�'
� � � �I
- � ,� �
� 9 � 'I
_•- `� M
i � � �
i ,� �
I � �
�
�
J �
J !
v `�
� �
� �, .
���
___._.___ a , �
;
-- � �J�
� �
�
1 v
` V
� �1 �
"v
�----
� ,(�
�
f J
-�i
�. .�
V
1
} ��
E
i
,
�
L�I
��
�
�
�
Z
.�
� y7
�
�
� � � -���
�
�svu�rraq �- PU� s�u, �.o�. �►o
J�.,o�1� �q tsni�u fsc� 'd33�
,. �� s�a �� e aq tS��u 5���.�°� }-
�
�
s�J'1�
s.�.s o� „ � „�
v1� J J`-1�� 1
Jp
�
I aau:►o? }, �5.;1_ �; � y�� _ �jZ+�''+�c� _ ' ' '
p��eyr ov ' �1,�u•s ' `" �;
Z° ,� '��i / s! ��'�.'�S'� /I
��i �A��A�/�C � ��� Qq �' �� ��
q r , �Ld
/0�'`��c� 7'�SnW S� 1 �'Jr�^'�`� . S
�, h r�"1 ss�—� ���� G���
' -:� -
�
--�--��+ N� �+�7 v�'v�' -�-� r-
,,.
_�
• �lsov ��� � Qg�� .. �� - ��-
aa Sn � Sl ��.�/�w'�'�' " ���1 •� °�
f
� r�a� �� a� fs�u� S� ���ue�� `,.�
. � . •
V
�
�
��'
t�
�i
W
�
� � E� � �
I� ;� ;� �
�� ;o
.� _ �n � ��
� �� �
� ���
; ��
� .
'C-� . �-� �
�x'Ic_�'�'
� ���' �
_ �� �. , _
�����
��
�: �
; � �� �
� � ,�
� � .
t �
,, �r
� k � �,'--,�, ?'1,,,� l�y}���!
�
�
�k
�
i QQ�
:
��
X:
__
0
___._.__. __ _� ._
, ► _� r I -•---'
�► x 4��� r..� -_-_�
__ __.�___.. .._.__ _.. i
� �
x�
;
�
�
� �` r� �
� .. V"
� _ s
�
� � ��
�. ,
� �
� i �
-
_
C� 1 1 OF
FRtDLEY
FRIDLEY :�1lINJCIP.aL CENTER • 6431 UNIVERS[TY AVE. N.E. FR[DLEY, MN 5543? •(612) 571-34>0 • FAX (61?) 571-12K7
0
October 21, 1996
Uptown Construction
14280 Jodi Dr
Rogers, MN 55375
Re: Final Reinspection at 8061 East River Road NE, Fridley
Dear Sirs:
A final reinspection was conducted on October 21, 1996 of the above
address and the structure was approved as constructed.
Occupancy of the structure is approved.
If you have any questions on this matter, please feel free to
contact me at 571-3450.
Sincerely,
i , , /!�
/ i:", ;j _ .�
BARRY W. RIESCH
Building Inspector
BWR/mh
CITY OF FRIDLEY
, 6431 UNIVERSITY AVENUE NE
� � FRIDLEY, MN 55432
(7631572-3604 FAX: (7631571-1287
ADDRESS
PIN
LEGAL DESC
PERMIT TYPE
PROPERTY TYPE
CONSTRUCTION TYPE
: 8061 E RIVER RD NE
: 033024310119
: SPRING BROOK PARK 2ND ADD
: LOT 13 BLOCK 1
: SEWER/WATER REPAIR
: RESIDENTIAL
: SEWER LINE REPAIR
-.
PERMIT NO.: 2004 0036� (J�`•� �
9�-
DATE ISSUED: 03/19/2004
VALUATION .
NOTE: CALL FOR INSPECTION AFTER UNCOVERING THE LINE, BEFORE ANY REPAIRS ARE MADE, AND AGAIN
WHEN THE REPAIR IS MADE BUT BEFORE RECOVERING THE LINE.
REPAIR SEWER LINE
APPLICANT
AQUA CITY PLUMBING
5428 NICOLLET AVE S
MINNEAPOLIS, MN 55419-
OWNER
WEST FREDGER A
8061 E RIVER RD NE
FRIDLEY, MN 55432
SEWER LINE REPAIR/RELOCATION
TOTAL
PAID WITH CHECK # 30002
AGREEMENT AND SWORN STATEMENT
This permit becomes null and void if work or construction
authorized is not commenced witin 60 days or if consriuction
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. AII
provisions of laws and ordinances governing this type of wark
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 c tructio • the performance of constru tion.
Applicant Date���
Bldg Insp Date
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE.
40.00
40.00
� ���3�`z
�� `� ��-136�z.
. ��
CITY OF FRIDLEY
UTILITY LINE REPAIR/RELOCATION INSPECTION REGIUEST
Job Address: ���� �� �)"�/� �`u Date: �
Owner: �C! �7T'
� Lot No. Blxk ition
Description �,.� � A,l�
Plumbing Co.: � . Master Lic. #��9G /�y1
I agree to call for inspections a ter uncovering the damaged line, before any repairs
are made, and again when the re ir is made but before recovering the line.
Signature:
INSPECTIO FEE
Water Line ❑ Sewer Line Cfi ~ Repair � Relocation �
Fee: Fee: �� Per Chapter 206, Fridley City Code
Total: Receipt #
INSPEG"TION RESULT
Approved ❑ Denied O Comments
Inspector: Date:
White Copy—Inspection Dept. • Yellow Copy—Plumbing Co. • Hard Copy Water Dept.
Building
Inspections
763-572-3604
DATE ���" ��^!�i
SITE ADDRESS �Y i
T'HIS APPLICANT IS:
PROPERTY OWNER/
TENANT
CONTRACTOR
SUBMIT A COPY OF
YOUR STATE LICENSE
WITH APPLICATION
PROPERTY TYPE
PERMIT TYPE
TYPE OF WORK:
BUILDING
RESIDENTIAL APPLICATION
CITY OF FRIDLEY
YOUR E-MAIL ADDRESS
�L�WNER ❑CONTRACTOR
Permit No.:
Received By:
Date Rec'd:
ADDRESS: �� �� IZ(I�GYL- � CITY �1��-/ STA'
PHONE: ���"'C��D' �13c�
NAME: L� G�Z%-'
STATE LICENSE # �XP DATE
ADDRESS: CITY
PHONE FAX
B�'sINGLE FAMILY/NEW CONSTRUCTION
❑ TWO FAMILY/NEW CONSTRUCTION
❑ ADDTTION ❑ GAR.AGE/SHED
❑ BASEMENT FINISH �OOF
❑ DECK ❑ SIDING
❑ SWA�AZING POOL
❑ NEW
O MAINTENANCE/REPAIR
DESCRIBE WORK BEING
SIZE OF IMPROVEMENT c�
ROOFING
NUMBER OF SQUARES �
GARAGES
PROPOSED SIZE:
PROPOSED HEIGHT:
SIDING
❑ Vinyl
❑ Aluminum
❑ Other
�� � L%�'� 42,0��'
� C� LENGTH
OUSE ONLY
�IOUSE & GARAGE
❑ ATTACHED GARAGE
O DETACHED GAR.AGE
❑Soffit
❑ Trim
❑ Fascia
WINDOWS
IN EXISTING OPENINGS ❑Yes ❑No
OR FOR NEW OPENiNGS-DESCRIBE SIZE OF
OPENING CHANGES &
TYPE OF WINDOW TO BE INSTALLED
IACATION OF WINDOWS
NUMBER OF
❑ DRAIN TILE
❑ OTF�R
WIDTH HEIGHT
TE ZIP
BASEMENT REMODELING SUBMIT:
1. Existing Floor Plan
2. Proposed floor plan
3. List of structural members to be used
Ft.
FOR NEW CONSTRUCTION INCLUDING DECKS,
ADDI7'IONS. & PORCHES SUBMIT:
1. Site Plan/Survey showing the existing structures
and proposed project.
2. Two sets of construction plans
3. Energy Calculations
ALL FEES ARE BASED ON VALUATION, INCLUDING THE COST OF LABOR AND MATERIALS:
(USING THE 19 7 U B.0 FEE SCHEDULE)
TOTAL JOB VALUATION $ ��� OCCUPANCY TYPE
Permit Fee
Plan Review
Surcharge
Fire Surcharge
License Surcharge
SAC Charge
Curb Cut Escrow
Erosion Control
Park Fee
Sewer Main Charge
Total Due
$ �� �7,-T�_
$
$
$
$
$
$
$
$
$ _ _ ,
See Back Page for Fee Schedule
65% of Building Permit Fee
(.0005) times the total job valuation — Minimum $.50
.001 x Permit Valuarion (1/10%)
$5.00 (State Licensed Residential Contractors)
$1450 per SAC Unit (Plans to MWCC for determination)
ft+6ft= ftx$20=$
$450 Conservation Plan Review
Fee Determined by Engineering
Agreement necessary ( ) Non Necessary ( )
Make checks �avable to: Citv of Fridlev Attach
THIS IS AN APPLICATION FOR A PERMIT-NOT VALID UNTIL PROCESSED
I hereby apply for a building permit and I aclrnowledge 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 applicatio r a permit and work is not to start without a permit; that the work will be in accordance with the approved
plan in the case of all � ork ' r and approval of plans. /Q ^ 3�^��
SIGNATURE OF LICANT PRINT NAME ��� �� DATE