PRE 2010 DOCSDate:
Owner:
Address
City ®f Fridley, XkuL
BUILDING PERMIT
May 10, 1967
Ronald Johnson Builder
6760 Madison St. N. E. Address
Same
N°
01g6 LOCATION OF BUILDING
No. — Street .._..Rice Creek Blvd. Part of Lot
Lot — 10__ Block 1 ...._..... Addition or Sub -Division _ __ Holiday Hills
Corner Lot . Inside Lot ._._.._..X Setback 37' Sideyard -- 20'
Sewer Elevation _xY9ftz 824.66 837.5
Top of Footing
DESCRIPTION OF BUILDING
9230
To be Used as:
Dwelling Front 50'6" Depth 28'3".3 elght _ 20' 1540 30,800
Garage Front 24 Depth 24 freight 10 sq. Ft. 576 Cu. Ft. 576 0
Type of Construction Frame Est. $34, 000 __ To be Completed Sept. 1, 1967
SEWER LOCATION 55' South of Manhole
WATER LOCATION 19' North of Manhole
In consideration of the issuance to me of a permit to construct theb ' g described above, I agree to do
the proposed work in accordance with the description above set forth in co liance with all provisions of
ordinances of the city of Fridley.
$100.00 .
Johns ocoonsideration of the payment of a fee of $ 36.00 , permit is hereby granted to Ronald
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 violation of any of the provisions of said
ordinances.
CLARENCE BELISLE
Building Inspector
NOTICE:
This permit does not cover the construction, Indallatloe for wiring, plumbing, hos heating, sever or water. Be arra to see
the Building Inspector for separate permits for thea! items.
APPLICATION FOR BUILDING PERMIT
CITY OF FRIDLEY, MINNESOTA
OWNER'S NAME d MAto Ja fJ ,FLS ®N BUILDER
ADDRESS bM /- liyis®,-, a AAE, ADDRESS
LOCATION OF BUILDING
N0. 114q,9 STREET �CE 15u'® PART OF LOT
LOT /0 BLOCK ADDITION OR SUBDIVISION / 4.00-P X45
CORNER LOT INSIDE LOT SETBACK 3r /Hjg/t±v! SIDE -YARD
SEWER ELEVATION `;/ TOP OF FOOTING" �.
pplicant attach to �tis�form two certificates of survey of lot and proposed
bu lding location drawn on these two certificates.
DESCIPTION OF BUILDING
To be Used as:
Dizi /NG- - Front 5o /6 Depth o2F'3 3�P� Height
i
Sq. Ft. 1'.540 Cu. Ft. -3
611-eA-6 - Front a L Depth �% Height 10
Type of Construction
Sq. Ft. 57 � Cu. Ft. �-7g)
RINKS
To Be Completed
• a�
Estimated Cost �yobo
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 ruling of the Department of Buildings, and hereby declares that all the facts
and representations stated in this application are true and correct.
DATE D SIGNATURE
(Schedule of Fee Costs can be found on the Reverse Si e).
W K
r �_
City of Fridley
Application for Pimn ing and Gas Fitting Permit
Dept. of Bldgs. Phone 560-3
DESCRIPTION OF WORK
Number, Kind and Location of Fixtures
+�
o4
3
$
is lee
x $3.25
w
Electric Water Heater
y
O�
u�
y Z
u.�
Z
t�
�i
6
d
w
C�9 a'S
z
z
�O
•
F
•
N
WATER HTR.
GAS
ELEC.
Base
1st
.
2nd
3rd
4th
• Future Connection Openings
e New Fixture, Old Openings
I
Connected with
Sewer
Cesspool
PARTIAL RATE SCHEDULE
PLUMBING FIXTURE RATES: NO. RATE TOTAL
Number Fixtures x $2.00 $
Future Fixture Opening x $1.50 $
New Fixture Old Opening .............
Catch Basin ...... ....................
x $1.50 $
x $3.25 $
Water Heater (Up to 99,000 BTU) ......
x $3.00
$
New Ground Run Old Bldg . ............
x $3.25
$
Electric Water Heater
a $2.00
$
GAS FITTING FEES:
NO. RATE TOTAL
1st 3 Fixtures ..........................
x $2.00
$
Additional Fixtures ....................
x $ .75
$
Gas Range to 199,000 BTU ..............
x $5.00
$
REPAIRS & ALTERATIONS --Refer to Code
Description ................................................$
TOTAL FEE
0
City of Fridley:
The undersigned hereby makes application for a permit for the work herei
specified, agreeing to do all work in strict accordance with the City Ordinance
and ruling of the Department of Buildings, and hereby declares that all the fact
and representations stated in this application are true and correct.
Fridley, Minn , 10-/
Owner
Lisa A/
Kind of Building Uta! -e B
Used as
To be completed about
Estimated Cost, $
Old—New. Building Permit No
e Permit No.
Signe
By
Business Phone No 7esy 5V 2 -
ROUGH �- 3o a 0"Y f& z z
FINAL
R,
ApplicaNan for Povljor Plarft and klecaIng. Cooling. VonMilation® nofaigomson and
Air Conditioning Systems and Devices
PARTIAL RATE SCHEDULE ]sept. of Bldga. Phone 560-3450
GRAVITY WARD AIR: RATE TOTAL. Location !!!;�%Q
Furnace Shell & Duct Work ................ , .......... M $ .$10.00
Replacement of Furnace �t $ 6,00 City of Fridley:
............. .
Repairs & Alterations—up to $500.00.................. k.ft $ The undersigned hereby makes application for a permit for the work herein
o00 specified, agreeing to.do all work in strict accordance with the City Ordinances
Repairs & Alterations each add. $500.00$ and ruling of the Department of Buildings, and hereby declares that all the facts
Ea 3.00 and representations stated in this application are true and correct.
MECH. WARM AIR
Furnace Shell & Duct Work to 120,000 BTU ............
each add. 60,000 BTU .......................
Replacement of Furnace .............................
Repairs & Alterations—up to $500.00 .................
Repairs & Alterations each add. $500.00 ..............
STEAM or HOT WATER SYSTEM
$-/0- " $10.00
3�c $
3.00
c $
6.00
$
6.00
$
3.00
Furnace Shell & Lines—to 400 sq. ft. EDR Steam ...... f&a $ $10.00
Furnace Shell & Line—to 640 sq. ft. EDR Hot Water ... ftg9tX $ 10.00
Each add. 200 sq. ft. EDR Steam ... JV& $ 3000
Each add. 320 sq. ft. EDR Hot Water .................. ift $ 3.00
OIL BURNER—to 3 gal. per hour ......... ..............
over 3 gal. per hour—eee Fee Schedule }
.1Q9 000
GAS BURNER (uptoBTU) .... 5.00 $ �
.
GAS FITTING ��1 : 1999 000 BTU NO RATE rTO,T,AL
YK{
1st 3. Fixtures ...................... x $ $ cC =�
Additional Fixtures .. `.... , ... x $
Gas Range to " x 2.00 $
AIR CONDITIONING
FAN HEATING SYSTEM
VENTILATING SYSTEM
ALTERATIONS lir REPAIRS
ROUGH
rINAL,.
ee Fee Schedule
TOTAL FElE •
Owner
Bind of Building
Used as
Fridley,
I
0
To be completed about /0
Estimated Cost,
01d ew. uilding Permit No. — Permit No. � G�
DESCRIPTION OF WORK
196-7
6'oo HEATING or POWER PLANTS—Steam, am, Hot Wager,arm Air No
Trade Name est 12 ®K Size
Capacity Sq. Ft. BTU H.P.
$2,,00 Total Connected Load ,,ian Rind of Fuel A -
• 75 BURNER — Trade Name � O� Size No
$5.00
Capacity Sq. Ft. E.D.R BTU H.P.
Signed____j ov. ZWd&0"d_0_
By HEATING AND AIR CONDITIONING INC.
4z Business Phone No 920•$800
(REMARKS=OVER) 1v
Net exp. wall
Int. wall
Ceiling
Floor
Total Btu.
r" Net exp. wan 2d / o ) -�—C)
_ Int. wan
' Ceiling
11 Floor t �I--
�,r' ✓ a `y Total Btu. `� b
Required sq. ft. E.D.R. or sq. ins. W.A. Leader area Required sq. ft. E.D.R. or sq. ins. W.A. Leader area
F1.1 M";' " �," m' Room I Length Width e- r Height • Fl.l d Room ( Length le' Width Height
Windows and Doors—Crackage and Area Windows and Doors—Crackage and Area
Wldi:h Height No. of Lineal tt Area width Height No. of Lineal ft. Area
No. of pane of pane lights of craok sq. ft.
f It hte t rack a ft
Infiltration
Glass
Exp. wall
Net exp. wan
Int. wall
Ceiling
Floor
Total Btu.
_
/
CRONSTROIMS HTG. & AIR COND., INC. Job Nam
L
4410 Excelsior Boulevard, Minneapolis 16, Minn.Al
No.
�e NEAT LOSS CALCULATIONS Job Addres
Coef. Btu
Btu
Weatherstrips
A.S.H.V.E.
Construction No.
Infiltration
I
Insulation �
_
Guide
Exp. wall
Infiltration '`
Glass
1
Exp. wall
Windows
Doors
Reference
Out. Wall Int. Wall Ceiling
Roof Floor
A I
Kind How Applied
Yes—No I
Yes—No
19—
I
Ceiling
Floor
" Fl j,',�, , .sp Room I Length Width Height
"meq
P Flt; +' � , _ " Room I Length Y Width I'a Height
Windows and Doors—Crackage and Area
Windows and Doors—Crackage and Area
Width Height No. of Lineal ft. Area
No. of pane of pane lights of crack sq. ft.
Width Height
No. of pane of pane
No. of Lineal ft. Area
lights of crack eq. !t.
ev, tfG
�f
Coe£. Btu
Coef.1 Btu
Infiltration _ -Y() ' ell,
Infiltration
d es' �a ( -o
Glass '' . a
Glass
Exp. wall 'Y 2..
Exp wall
Net exp. wall
Int. wall
Ceiling
Floor
Total Btu.
r" Net exp. wan 2d / o ) -�—C)
_ Int. wan
' Ceiling
11 Floor t �I--
�,r' ✓ a `y Total Btu. `� b
Required sq. ft. E.D.R. or sq. ins. W.A. Leader area Required sq. ft. E.D.R. or sq. ins. W.A. Leader area
F1.1 M";' " �," m' Room I Length Width e- r Height • Fl.l d Room ( Length le' Width Height
Windows and Doors—Crackage and Area Windows and Doors—Crackage and Area
Wldi:h Height No. of Lineal tt Area width Height No. of Lineal ft. Area
No. of pane of pane lights of craok sq. ft.
f It hte t rack a ft
Infiltration
Glass
Exp. wall
Net exp. wan
Int. wall
Ceiling
Floor
Total Btu.
,r' F1.1 9.:. Room (Length ./r) Width fl' Height t°"
Windows and Doors—Crackage and Area
nauau ! L/I
No. of pane o pane g o c
vi—
Width Height No. of Lineal ft. Area
No. of pane of pane lights of crack sq. ft.
�— 9
No.
Width Height No. of Lineal ft. Area
of pane of -pane lights of crack sq. ft.
Coef. Btu
Btu
Coef. Btu
"v C)
Infiltration
Glass
r✓ r.)
Glass
Exp. wall
Infiltration '`
Glass
Exp. wall
Net exp. wan
Int. wall
Exp. wan
/01/V09
e) 0
Net exp. wall
Int. wan
A I
R
Int. wan
,r' F1.1 9.:. Room (Length ./r) Width fl' Height t°"
Windows and Doors—Crackage and Area
nauau ! L/I
Width Height No. of Lineal ft. Area
No. of pane of pane lights of crack sq. ft.
�— 9
No.
Width Height No. of Lineal ft. Area
of pane of -pane lights of crack sq. ft.
Coef.
Btu
Infiltration
"v C)
;?-/ Z 0
Glass
'23L
1,>
Exp. wall
Infiltration '`
Glass
Net exp. wan
Int. wall
Exp. wan
/01/V09
d
Ceiling
Floor
A I
--L
'-'—
Tbtal Btu. 'V17 A
Required sq. ft. E.D.R. or sq. ins. W.A.. Leader area
Total Btu.
Required sq. ft. E.D.R. or sq. ins. W.A. Leader area
'10A .. ,_ 66
P.00M I a.cngua
nauau ! L/I
aaoalSua 0
Windows aid Doors—Crackage and Area
No.
Width Height No. of Lineal ft. Area
of pane of -pane lights of crack sq. ft.
Coef.
Btu
Infiltration '`
Glass
c 6
Ee g
Exp. wan
Net exp. wan
Int. wan
Ceiling
Floor
C)
"meq
;
Total Btu.
sq. ft. E.D.R. or sq. ins. W.A. Leader area
CRONSTROMS HTG. & AIR COND., INC. Job Dame
D i6 4410 Excelsior Boulevard, Minneapolis 16, Minn.
NEAT LOSS CALCULATIONS Job Addr&
WeatherstripsA.S.H.V.E. Construction No.
Guide
Windows I Doors Reference Out. Wall Int. Wall Ceiling Roof
Yes—No Yes—No 19—.
F1.1 F ; x -) &i Room I Lenath Width /I Heistht
Windows and Doors—Crackage and Area
°''�/
/�`�
.-P
Width Height No. of Lineal ft. Area
No. of Dane of pane lights of crack sq. ft.
Width Height No. of Lineal ft. Area
No. of pane of pane lights of crack sq. ft.
Coef. Btu
Coef. Btu
Infiltration
Btu
Infiltration
Glass
/_0
Net exp.'wau
Exp. wall
Int. wall
Int. wall
Net exp. wall
Int. wall
`�' -.
Floor
Ceiling
r` ! ' ` :
Net exp. wall
Floor
e_
"
Total Btu.�-
Required sq. ft. E.D.R. or sq. ins. W.A. Leader area
J F1.1 17 _7 'r v6a Room I Length r°� Width � Heiaht -':''
Windows and Doors—Crackage and Area
Windows and Doors—Crackage and Area
Width Height No. of Lineal ft. Area
No. of pane of pane lights of crack Area
ft.
Width Height No. of Lineal ft. Area
No. of pane of pane lights of crack sq. ft.
Coef. Btu
Infiltration
Coef.
Btu
Infiltration
Exp. wall
Exp. wall
Net exp.'wau
Glass
Int. wall
Int. wall
Ceiling
Exp. wall
Floor
Floor
Net exp. wall
�'
e_
' - ` 7 61
Int. wall
Width Height No. of Lineal tt. Area
No. of pane of pane lights of crack sq. ft.
Ceiling
Floor
1f+ ,�
m'
�'
Total Btu. I -4 0 y �'„6Y
Required sq. ft. E.D.R. or sq. ins. W.A. Leader area
F1.1 Room I Leni:th Width Heiaht
Windows and Doors—Crackage and Area
Windows and Doors—Crackage and Area
Width Height No. of Lineal ft. Area
No. of pane of pane lights of crack Area
ft.
Width Height No. of Lineal ft. Area
No. of pane of pane lights of crack sq. ft.
Coef. Btu
Infiltration
Infiltration
Glass
Glass
Exp. wall
Exp. wall
Net exp.'wau
Net exp. wall
Int. wall
Int. wall
Ceiling
Ceiling
Floor
Floor
Tbtal Btu.
Required sq. ft. E.D.R. or sq. ins. W.A. Leader area
i Insulation
Floor II Kind How Applied
'9 d_/
Fl.1 Room I Length Width Height
Windows and Doors—Crackage and Area
Width Height No. of Lineal ft. Area
No. of pane of pane lights of crack sq. ft.
Coef. Btu
Infiltration
Glass
Exp. wall
Net exp. wall
Int. wall
Ceiling
Floor
Total Btu.
Required sq. ft. E.D.R. or sq. ins. W.A. Leader area
FI.I Room I Length Width Height
Windows and Doors—Crackage and Area
Width Height No. of Lineal tt. Area
No. of pane of pane lights of crack sq. ft.
Coef. Btu
Infiltration
Glass
Exp. wall
Net exp. wall
Int. wall
e' g
Floor
Total Btu.
Required sq. ft. E.D.R. or sq. ins. W.A. Leader area
F1.1 Room I Length Width Height
Windows and Doors—Crackage and Area
Width Height No. of Lineal ft. Area
No. of pane of -pane Ilghts of crack sq. ft.
Coef. Btu
Infiltration
Glass
Exp. wall
Net exp. wall
Int. wall
Ceiling
Floor
Total Btu.
Required sq. ft. E.D.R. or sq. ins. W.A. Leader area
Robert H. Schroer
490 Rice Creek Blvd.
Fridley, lalinn. 55432
Imay 19, 1972
City of Fridley
6431 Univ. Ave. NE
Fridley, iriinn. 55432
To whom it may concern, I, Robert Hhroer, 490 Rice Creek
Blvd., Fridley, will install a fence/around the proposed pool
at my resident. The fence will be erected to the specifications
of The City Ordinance. Also, I will provide the 4 foot deck
around the pool as per city ordinance.
S�mcerely , „
Robert �roer ___
(612) 432-1130 or (612) 432-1131
Mr. Robert Schroer
490 Rice Creek Blvd.
Fridley, Minnesota
Phone 784-9231
2 inlets
skimmer
the filter is a Cascade high rate sand filter #5056 NSF
the pump is 2 horse Marlow
37 gallons per minute on pump and filter�-
1 bottom drain
18.000 gallons in pool
no diving board on pool
enclosed is the detailed wall structure and the cross sections of
slopes and contours of pool
V,
MEM0aER
� V "U
BUSTER
CRABBE SWIMMING POOLS - CHEMICALS - AQUA DOME - ACCESSORIES NATIONAL
POOLS SWIMMING POOL
INSTITUTE
e
." l'-RITIS SWIMMING POOL CO. , INC -432-1130 or 432-1131
Name of owner
-Address-of owner /
Telephone number of ourner-
Address of ',installation
A date sold 1x_1;7_ ZZ A date requested for installation
List accessori __s to be install sd i
4.'��
6e s7—
80
Type of construction
Model and/ size
Type of surrounding terrain
Type of soil
Are there any known obstacles underground or aboveground at pool
site? (Phone, electrical or water lines, sewers, filter, or leech
beds, septic tan1ts, high water table, rock, shale, or quicksand,
branches, fences, sh-;u bery, or oll-her) YES NO
If -yes, has an allowance been added to contract to compensate for
same? List and amounts
List any other work ws are'to perform(install fences, patiop etc.)s
City of Fridley, Minn.. 1145
6431 University Ave. N. E., Minneapolis, Minn. 5543
BUIDING PERMIT
Date: May 22, 1972
owner; obert H. Schroer Builder. A +laxiils Swiu=in�Pa®1W_-G-Q
Address _ 490 Rice Creek Boulevard _ Address 16900 Cedar Avenue South
LOCATION OF BUILDING
No. R 490 street Rice Creek Boulevard N.E. Part of Lot
Lot 1iL.._._ Block _ _ 1 _ __.._..._...._ Addition or Sub -Division .—Holiday RIi!3 s Addisi gn
Corner Lot _____. _ _ Inside Lot R Setback Sideyard
Sewer Elevation _ _ _ _.� _ Foundation Elevation
To be Used as:
Pool Front 12.1 _ Depth __ 16 __ Height _ 81 _._ Sq. Ft. Cu. Ft.
Front . _ Depth Height Sq. Ft. Cu. Ft
Type of Construction od... & Lined _ Est. Cost —$4,, $4,, 000 U,g____.__ Tobe Completed 6 month
Stipulations: Provide a minimum of a three foot deck around pool. Provide an
electrical circuit interrupter as required by Electrical Inspector. Provide a Watts #9
or equal on water line in house if garden hose used to fill pool or add water. Also
approved subject to notations on plans by Health Inspector.
In consideration of the issuance to me of a permit to co ct building described above, I agree t9 do
the proposed work in accordance with the description abov setfo and in c pllance with all provisions of
ordinances of the city of Fridley. A X
In consideration of the payment of a fee of $-24. 4, permit is hereby granted to Aquarius Swim.. Pool Co.
to construct the building or addition as described above. This permit is granted upom
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 violation of any of the provisions of Said
ordinances.
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.
0
l A
APPLICATION FOR RESIDENTIAL, ALTERATION,
OR ADDITION BUILDING PERMIT
CITY OF FRIDLEY, MINNESOTA
OWNER'S NAME ' t BUILDER: U A06 u„S 5W t M '
ADDRESS :_ 9® Rik �Rer_K f� 6.1/ ® ADDRESS : ®o
® se Ngo ��4°C' ` f'�j Q. �►
NO • . 5�D STREET: 16�� &�
LOT: _BLOCK:
I
ADDITION:
tl
CORNER LOT: INSIDE LOT: &� SETBACK: SIDEYARD:
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:
Front: 3 Y Depth: / Height:
Square Feet: Cubic Feet:
Front:
Depth: Height:
Square Feet; Cubic Feet:
Type of Construction: %�U7�-�—� Estimated Cost: Iry
To Be Completed:
The undersigned hereby makes application for a permit for the work herein
specified, agreeing to do all work in stfict 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: I7 SIGNATURE
(See Reverse Side For Additional Information.)
s
y.
(!I
4
53-84-S-915.51
PLVKBING iz X )lA T ESo
NO. RATE TOTAL
Number Fixtures ................
x 82M
Ss
Future Fixture Opening .... ® ..... •
x $1.50
$ ..
New Tixture Old Opening ..........
x $1.50
t
Catch Basin ....................
x $3.25
Water Heater 'Up to 89,000 BTU) e ...
x $3.00
�
New Ground Run Old Bldg... ®®....
x $3.25
S
Electric Water Heater ............. •
a $2.00
$
GAS FITTING FEEM
NO. BATE TOTAL
lot 3 tures . . . e . . . . . . • . . o . • •
x $2,00
a
Additional Fixtum ............ . e ..
x S .75
a
ties Ranae to .189.000 BTU ............
x $5-W
$
stage Surcharge
$ .50
REPAnM & Al. TIO oe to Cede
_
Gas Light & Grill
8.00
Dwaiption ...... .....
• .........A
TOTAL FM a 8.50
Qtass "Ar"' Asn 90 5.yo
City of Mdley:
The undersigned hereby snakes application for a permit for the work herei,
specified, agreeing to do all work in strict accordance with the City Ordinance
and ruling of the Department of Buildings. and hereby declares that all the fact`
and representations stated is this application are true and correct
Fridley, Man
Owner Robert Schroeder
Kind of Building Frame
Used as
Res.
To be completed about 4-25-73
Estimated Cost, $ 10.00
®id uilding Permit No. Permit No.
-5-9119
Signed
..
,9
By i#Ni11iNE31ASM
Business Phune No
ROUGH
44
Application for Power Plants and Healing, Cooling. Ventilation. Refrigeration and
Air Conditioning Systems and Devices
PARTIAL RATE SCHEDULE
GRAVITY WARM AIR: RATE . TOTAL
Furnace Shell & Duct Work ..........................$10.00 $
Replacement of Furnace ............................. 6.00 $
Repairs & Alterations—up to $500.00 .................. 6.00 $
Repairs & Alterations each add. $500.00 ............... 3.00 $
MECH. WARM AIR
Furnace Shell & Duct Work to 120,000 BTU ............ $10.00 $
each add. 60,000 BTU ....................... 3.00 $
Replacement of Furnace ............................. 6.00 $
Repairs & Alterations—up to $500.00 ................. 600 $
Repairs & Alterations each add. $500.00 .............. 3.00 $
STEAM or HOT WATER SYSTEM
Furnace Shell & Lines—to 400 sq. ft. EDR Steam ...... $10.00 $
Furnace Shell & Line—to 640 sq. ft. EDR Hot Water ... 10.00 $
Each add. 200 sq. ft. EDR Steam ...................... 3.00 $
Each add. 320 sq. ft. EDR Hot Water . ................ 3.00 $
OIL BURNER—to 3 gal. per hour ........................ 6.00 $
over 3 gal. per hour—See Fee Schedule
GAS BURNER (up to 199,000 BTU) ....................... 5.00 $
over 199,000 BTU See Fee Schedule
GAS FITTING FEES: NO RATE TOTAL
1st 3 Fixtures ...................... x$ 2.00 $
Additional Fixtures ................. x .75 $
Gas Range to 199,000 ........... x$ 5.00 $
AIR CONDITIONING $®•
FAN HEATING SYSTEM See Fee Schedule
VENTILATING SYSTEM $
ALTERATIONS & REPAIRS TOTAL FEE $ �®
ROUGH
f
'i-INAL S --A q - %.7
Dept. of Bldgs. Phone 560-3450
City of Fridley:
l"N
The undersigned hereby makes application for a permit for the work hereir
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 representations stated in this application are true and correct.
Owner
Kind o�
Fridley, Minn 19 2J
usea as
To be completed about
Estimated Cost, $
Old—New. Building Permit No. Permit No. 6_91-3
DESCRIPTION OF WORK
HEATING or POWER PLANTS—Steam, Hot Water, Warm Air—No
Trade Name Size No
Capacity Sq. Ft. E.D.R BTU �'—
Total Connected Loa e Kind of Fuc
BURNER — Trade Name Size No -�
Capacity.
(REMARKS -OVER)
Sq. Ft. E.D.R BTU H.P.
Signe
City ®f Fridley
SUBJECT
- P MIT
15 9
AT THE TOP OF THE TWINS
III ®I � I %� D [ D A A I T
BUILDING
r
D V L I V v �" L R'v t
CEIPT NO
a:------- COMMUNITY DEVELOPMENT DIV.
r 1 PROTECTIVE INSPECTION SEC.
1 �
� CITY HALL FRIDLEY 55432
NUMBERTREV.
DATE
PAGE OF
APPROVED BY
612-571-3450
910-F15
.9/4.80
JOB ADDRESS 490 Rice Creek Blvd.
1 LEGAL
LOT NO.
BLOCK
TR ACT OR ADDITION SEE ATTACHED
DESCR.
10
1
Holiday Hills SHEET
2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE
Bob Schroer 490 Rice Creek Blvd.
3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO.
Brickner Builders Inc. 6249 Ben More Drive N.E. 574-9871
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
X
8 DESCRIBE WORK
Construct a 26' x 24' Addition to Dwellin
9 CHANGE OF USE FROM TO
STIPULATIONS
SEPERATE PERMITS REQUIRED FOR WiffING,
HEATING, PLUMBING AND SIGNS. WARMNG
Regie digging call local utifties
TELEMONE . ELECTRIC - GAS Etc.
REQUIRED, BY LAW
SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING,
TYPE OF CONST.
OCCUPANCY GROUP
OCCUPANCY LOAD
VENTILATING OR AIR CONDITIONING.
Wood. Frame
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
1
STALLS I 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
$18,700
$9.35
DOES NOT PRESUME TO GIVE AU RITY TO VIOLATE OR CANCEL THE
PERMIT FEE
SACCHARGE
PROVISIONS NY OTHER S TE R LOCAL LAW REGULATING CON-
S RUCTI R HE PERFOR ANCE F CONS UCTIONtf(DATV
$114.00
NONE
PLAN CHECK FEE TOTALFEE
L'
�WHEN
$ 28.50 151.85
SIGNATURE OF CONTRACTOR UTHORIZED AGENT
PROPERLY VALIDATED THIS IS YOUR PERMIT
BLDG W SP TE
SIGNATURE OF OWNER IIF OWNER BUILDER)
a! -
;. Y
�-.e4+,t.,.a:;:•ass.eai-.S4S..er..sssvrJ lmmb,.r.�rt':..sa,:v'C-�i.�:-.wh ..:-`•1 A4nsbw`:i ur_x.,.,-_. „.a:.;. .:-. ...... :'....-c,_�.s....ea.w.a...asa.., �'.;.:d.e.. •... .... ...,. .. r. -ss _+-.. UU G.�z� ,.t ....,. n.t4S#i. ���+llisx}�3ds er-:.
b.. '�Y .� .
' CITY OF FRIDLEY
' APPLICATION FOR RESIDEUTIAL BUILDING PEN141Ts
t
- (NEW, ALTERATIONS, ADDITIONS, -° OR: RLPA-I•RS)
�
OWNER: �� � ���o! �-'�
� BUILDER
.. Address*: � a lc, dress :
Tel. No. ._I:
No.: Street:
_gig
LOT: BLOCK:. ADDITION:
-_ r
COi2NEF'IAT•s: - '3NSIDE -i10T SE`T'BACK - =�_ SIDEYI.IRDS:
Applicant attach to this form Two Certi ieates of-Suryey-of Lot and proposed
building location drawn on..these Certificates.
DESCRIPTION OF BUILDING
3'o Be • Used As
Front: `el- •Depth: Height
-Square Feet: Cubic Feet:
Front: Depth: Height:
q - ..
- S uare Feet: Cubic Feet:
• !
Type of Constructions Estimated'Cost: $ r
To Be Completed: /V �� v
AltAlt. B
., '.A
�
Proposed Driveway Width If New Opening Is Desired $
(SEE REVERSE SIDE OF SHE ET)-
•
_
- .. The undersigned hereby -makes•. zkppl.icat1on:.for a -.permit for the. work _herein
'specified, agreeing to do all work in strict accordance with. the City- of
Fridley Ordinances acid rulings cif the bepaztynent of i�ui3dings, and. hereby : -
declares that all the, facts -ahcl representations stated in this application
are true and correot.. See reverse side foi oiial infoat-' n. =
Y p
g
_ DA2r.: SIGNATURE:-. �_"//t
Stipulations: Y 319,x!t /Wo71`.cA
i
a;
Yb co
Me
63-84416051 CITY OF FRIDLEY
APPLICATION FOR PLUMBING AND GAS FITTING PERMIT
1
M
PLU.NSING FIXTURE RATES: NO.
RATE
T
Cr
x $3.00
$
c at`ire Fixture Cpening
v
$
x
0
$
Water
x $5.00
$
:later Heater - to 99,000 BTU
x $5.00
$
(a
o+ C
a •.+
y
a
x $7.00
++
rd i4
c.
w
0%
j
Electric Water Heater
Heater
$
GAS FITTING FEES:
1st 3 fixtures
E
.a r
N
H.
O
m
—1 0
U -4
d Til
6 .0
a
P
U
REPAIRS & ALTERATIOM
H
TJ
First $100.00
$5.00
$
each add. $100.00 or fraction
$2.00
$
State Surcharge
$ .50
TOTAL FIE
$8.00
«+ � ^.
►.
�
-,
ro
r+ o
.c
�
ro ro
oro
ro
q
as
leo
is t
gr
11
2 :d
rd
4 ti
(R) -nature Connection Opening
Connected with Sewer
(*) = New Fixture, Old Opening
Water
PARTIAL RATE SCHEDULE
PLU.NSING FIXTURE RATES: NO.
RATE
TOTAL
h`.:�.ber Fixtures
x $3.00
$
c at`ire Fixture Cpening
x $2.00
$
New Fixture, Old Opening
x $2.00
$
Catch Basin
x $5.00
$
:later Heater - to 99,000 BTU
x $5.00
$
1,^,0,000 B:J to 199,000 BTU
X $10.00
$
Hater Softener
x $7.00
$
New Ground -in Old Building
x $5.00
$
Electric Water Heater
X $5.00
$
GAS FITTING FEES:
1st 3 fixtures
x $3.00
$
Additional Fixtures
x $1.00
$
Cas Ra:.ge to 199,000 BTU
x $10.00
$
REPAIRS & ALTERATIOM
First $100.00
$5.00
$
each add. $100.00 or fraction
$2.00
$
State Surcharge
$ .50
TOTAL FIE
$8.00
REINSPECTION FEE
010.00)
I
Job Address 190 Rice Creek Blvd. RTE
Department of Buildings
City of Fridley
Tel. #571-3450
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 Department of Buildings, and hereby declares that all
the facts and reprosentations stated in this application are true and correct
4-15-81 -
Fridley, Mn. , 19
OWNER . SCHROEDER
KIND OF BUILDING frame
USED AS
TO BE COMPLETED ABOUT u-22-81
ESTIMATED COST 5Q-00
OLD - NEW BUILDING PERMIT NO. PERMIT NO. � /a
w
Company
Signed By
"MOASCO '
Tel. No.
ROUGH INSP.
Date
FINAL INSP.
Date
APPROVAL FOR PERMIT
MINIMUM FEE FOR ANY PLUMBING PERMIT IS $7.50 PLUS $.50 STATE SURGiARGB
G7YOF
FRIDLEY
CIVIC CE NT!_R • 6431 UNIVERSITY AVE. N.E. FRIDLEY. MINNESOTA 553?'- • PHONE: (612)571-34*;()
-June 18, 1985
Robert Schroer
490 Rice Creek Boulevard
Fridley, MN 55432
BE: Proposed University Avenue Corridor Beautification Study
Dear Mr. Schroer:
Based upon the outcome of the joint City Council/ HRA Conference on April 29,
1985 we are proceeding with efforts to initiate a preliminary study of the
University Avenue corridor. The intent of the study will be to generate a
conceptual plan, along with cost estimates for the beautification and
functional improvement of the highway corridor and intersections.
As per agreement the City will provide up to $5,000 to retain and to assist
in the cost of this effort. Any additional costs would be paid for by the
University Avenue Businessmen's Group.
To facilitate this effort Staff has prepared a Request For Proposal (R. F. P.)
which will be sent to a select list of qualified consulting firms. Please
look over the enclosed R.F.P. and list of consultants. If you have other
firms which you would recommend please forward these names to me.
After final selection of a consultant, it would be appropriate to have a
session where all parties, including local businessmen, could meet to discuss
the parameters of the study.
We look forward to working with you on this endeavor.
Please feel free to call me or James Robinson, Planning Coordinator, at
5T1 -3450 -
Sincerely,
Nasim M. Qureshi
City Manager
N!Q/ dm
sueJECT
PER NO.2
07422
City of Fridley
AT THE TOP OF THE TWINS
BUILDING PERMIT
RECEIPT
- -------COMMUNITY DEVELOPMENT DIV.
PROTECTIVE INSPECTION SEC.
t—
J %L1 0 d
r e
1
NUMBER
REY.
DATE
PAGE OF
APPROVED BY
= CITY HALL FRIDLEY 55432
612-571-3450
910-F15
4/1/91
JOB ADDRESS 490 Rice Creek Blvd NE
I LEGAL
LOT NO.
BLOCK
TRACT OR ADDITION SEE ATTACHED
DESCR.
10
1
Holiday Hills SHEET
2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE
Robert Schroer 490 Rice Creek Blvd NE
3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO.
Richard Hastings Contr, 6331 Riverview Terrace NE Fridley 55432574-9966
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 ❑ ADDITION ❑ ALTERATION [� REPAIR ❑ MOVE ❑ REMOVE
8 DESCRIBE WORK
Reroof Dwelling - 2nd layer.
9 CHANGE OF USE FROM TO
STIPULATIONS
Roofing can be. 2nd layer but not 3rd,
TYPE OF CONST.
OCCUPANCY GROUP
OCCUPANCYLOAD
SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING,
VENTILATING OR AIR CONDITIONING.
ZONING
SQ. FT.
CU. FT.
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION
AUTHORIZED IS NOT COMMENCED WITHIN 80 DAYS, OR IF CONSTRUCTION
OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT
NO. OWLG. UNITS
OFFSTREET PARKING
ANY TIME AFTER WORK IS COMMENCED.
I HEREBY CERTIFY THAT 1 HAVE READ AND EXAMINED THIS APPLICATION
STALLS GARAGES
VALUATION
SURTAX
AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS
AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED
$1 56G
$,78
WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT
/
PERMIT FEE
SAC CHARGE
DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE
PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON-
STRUCTION OR THE PERFORMANCE OF CONSTRUCTION.
$37.00
Fire SC $1.56
PLAN CHECK FEE
TOTAL FEE
39 34
SIGNATURE OF CONTRACTOR OR AUT RIZED AGENT MATE)
HEN PRME' ID THIS IS YOUR PERMIT
4/41
BLDG MSP DATE
SiGNATURE OF OWNER OF OWNER BUILDER) (DATE)
p NE [ ]
ADS [ ]
AL's [ ]
R-1 AND R-2
Building Permit Application
Construction Address: C- REE 13 L 0 a'
Legal Description:
Effective 1/1/91
Owner Name & Address:
&o.E PC , 2/K L
Tel.
#
Contractor: 'P, E c -A A R j)
AA -5- ` . A(6 5
Tel.
#
Address: (-33i ' l i L
Attach to this application, a Certificate of Survey of the
lot, with the proposed construction drawn on it to scale.
DESCit 71TM OF Il �T
LIMM AREA: length Width Height Sq. Ft.
GARAGE AMM: Length Width height Sq. Ft.
= AREA: Length Width Hgt/Grouuxl sq. Ft.
07MM•
Corner Lot [ ] Inside Lot [ ] Ft. Yd setback side Yard setbacks
Type of Construction: REK o® tom' 0 (-iti �ILEpt;meted Cost:
Approx. Ccupletion Date: S/> ry/
Proposed Driveway Width If New Opening Is Desired: Ft. $ $
Width + 6' See Back Page
DATE: l APPLIMM Tel. # S ?L/ -
Permit Fee $ 37,00
Fire surcharge $ 1 S�n
State Surcharge $ 2A
SAC Charge $
Driveway Escrow $
Park Fee $
Sewer Main Charge $
TOTAL
STIPULATIONS:
CITY USEY
Fee Schedule on Reverse Side
.001 x Permit valuation (1/10th �)
$.50/$1,000 Valuation
$650 per SAC Unit
Alt. "A" or Alt. "B" Above
Fee Determined by Engineering
Agreement Necessary [ ] Not Necessary [ ]
t
Engineering
Sewer
Water
Parks
Streets
Maintenance
MEMORANDUM
TO: John G. Flora, Public Works Director PW92-046
Mark A. Winson, Asst Public Works Director
FROM: Jon Thompson, Estimator and Construction Inspector
DATE: - February 19, 1992
SUBJECT:. Additional Informatiorf Concerning Problems with the 1992 Spring Thaw
MISSISSIPPI RIVER
The elevation of the top of the flood control dike on the Mississippi River West of
Riverview. Terrace near 79th Way is 824 feet above sea level. The top of the_ road where
the 60" CMP culvert goes under 79th Way between Broad and Riverview Terrace has
an elevation of ± 818. Therefore the culvert will have to be sandbagged and.pumped,
and the road built up 6 feet'to keep water from flooding the homes in the surrounding
area.
In order to build a dike across 79th Way, 675 C.Y. of fill would be necessary. The dike
would be 100 feet long, 6 feet high and 40 feet wide at the bottom and 20 feet wide at
the top. It would protect the 67 homes listed on page 2.
RICE CREEK
f
The homes at 470, 480, 490, 567 and 573.Rice Creek Blvd, 6801 Channel Rd, and the
home at 580 69th Ave NE seem to be built higher than the 100 year storm line, but their
lots will have extensive flooding from the high water. See attached summation sheet
and map.
52ND AVE NE
The spring thaw could also affect the homes at 1280, 1298 and 1300 52nd Ave NE.
These properties flood from extensive storm runoff and are potential candidates again
this spring.
February 19, 1992
Page 2
RIVERVIEW TERRACE
8053 Riverview Terrace
8041 Riverview Terrace
8031 Riverview Terrace
8021 Riverview Terrace
8001 Riverview Terrace
7995 Riverview Terrace
7965 Riverview Terrace
7941 Riverview Terrace
7921 Riverview Terrace
7901 Riverview Terrace
BUFFALO STREET
581 Buffalo Street
611 Buffalo Street
621 Buffalo Street
631 Buffalo Street
639 Buffalo Street
FAIRMONT
645 Fairmont
689 Fairmont
ELY STREET
600 Ely Street
630 Ely Street
640 Ely Street
650 Ely Street
680 Ely Street
684 Ely Street
DOVER STREET
625 Dover Street
631 Dover Street
641 Dover. Street
665 Dover Street
681 Dover Street
670 Dover Street
CHERYL STREET -
609 Cheryl Street
615 Cheryl Street
657 Cheryl Street
641 Cheryl Street
BROAD STREET
7899 Broad Street
7895 Broad Street
8215 Riverview Terrace
8241 Riverview Terrace
8151 Riverview Terrace
8181 Riverview Terrace
8191 Riverview Terrace
8141 Riverview Terrace
8125 Riverview Terrace
8121 Riverview Terrace
8065 Riverview Terrace
8095 Riverview Terrace
641 Buffalo Street
600 Buffalo Street
630 Buffalo Street
541 Buffalo Street
560 Buffalo Street
675 Fairmont -
695 Fairmont
625 Ely Street
635 Ely Street
651 Ely Street
655 Ely Street
681 Ely Street
610 Dover Street
620 Dover Street
680 Dover Street
640 Dover Street
680 Dover Street
661 Cheryl Street
600 Cheryl Street
630 Cheryl Street
640 Cheryl Street
February 20, 1992
Page 3
HOMES THREATENED ' BY RICE CREEK IN FRIDLEY
470 RICE CREEK BLVD 824.74 823.00, _
480 RICE CREEK BLVD 824.74 823.00
490 RICE CREEK BLVD
837.50
829.00
580 69TH AVE
UNKNOWN
831.00
567 RICE CREEK TERR
830.47
830.30
573 RICE CREEK TERR
831.27
830.27
6801 CHANNEL ROAD
852.70
852.50
21
N//4 CORNER..
sf,vy. S,:G
69THN.E. _ ; .E
Iren.. o o j n'��4H� o /.�R r au '�o R;r� a R�
- p ��Vl 50 o'H� �t�`, p w �I� ' ,<,� So •�~� (1) 3,-2n�a s na �R •�4'
1 sj/ t
541
I� � 2 J � 2 •� C t�� � � ° � o � 4 7�i � �k�l
• la co 2 S♦ • I �{� I
I Ia QIP �� ° 3�a1°e sea � � �� � �• .� I �. �� �v�)
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I m ���� V__ .J s d� V �►r= �1
� te1
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S7JeJ/Z~.:.'• A � L 4 h fib. • �°
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g I • `' / g '+:�_ ,s. +qua r� . °I � � bbg°D �
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y9In
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y • I h 1 3�ow J .1� �,,� �lO� 21f• I � GEIS'._ `� ^ CJs. �,r • ky •1° 3
I ^ 3• (S°. W i i `'�e o ti ��!` r 8 q 0 yJ1� M LI S,8� (� a T Parke
47� Via) ev I 8 is >b ryry 1
4(51)", Z .%` ,� �� (�) g. ' ` a ,h 6735 6
04 Nie o 4Yo r9°, t;�2 +. l�)
7 / � � ° ,� � •-�' G�uf/of /
tf)o tis). ,° ,� , •��fs 434 �,ryS {,��./G.7I °
I 6 ,59. b j ro Jk
qoo r o+ i� r,.• aim n ;73� / n ° 4 \ C, a/• f
Z - A
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Bo Bo'••. Bo 90 :i r
a` 4 rp�l Ll 11 4 7 ti 6
+ 2 - 1
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Uo1 ���o 1445 461 y311 1461 y91 °1 509 5t7 $
r .I •�.:' •':,� r�. ..! -1 lI ��t o ti ice' 6^ 4V O fo '
10
e
SUBJECT
-PET�IVIi-T-N
City of Fridley
(
2 4 4 2
AT THE TOP OF THE TWINS
BUILDING
PERMIT
RECEIPT NO.
-------COMMUNITY DEVELOPMENT DIV.
v PROTECTIVE INSPECTION SEC.
m
r
��
� . 1
NUMBER
REV
DATE
PAGE OF
APPROVED BY
CITY HALL FRIDLEY 55432
I''
612-571-3450
910-F15
8/16/96
JOB ADDRESS 490 Rice Creek Boulevard NE
1 LEGAL
LOT NO.
BLOCK
TRACT OR ADDITION
SEE ATTACHED
DESCR.
10
1
Holiday Hills
SHEET
2 PROPERTY OWNER MAIL ADDRESS
ZIP PHONE
Robert Schroer 490 Rice Creek Blvd NE
574-9591
3 CONTRACTOR MAIL ADDRESS
ZIP PHONE LICENSE NO.
Robert F Norberg Constructon 325 Evans Ave NW, Elk River MN 55330 4121
4 ARCHITECT OR DESIGNER MAIL ADDRESS
ZIP PHONE LICENSE NO.
241-1573
5 ENGINEER MAIL ADDRESS
ZIP PHONE LICENSE NO.
6 USE OF BUILDING
Residential
7 CLASS OF WORK
❑ NEW ❑ ADDITION [j ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE
8 DESCRIBE WORK
Remove two existing decks and rebuild (8'6" x 30' &
6' x 22')
9 CHANGE OF USE FROM TO
STIPULATIONS
See notations on plan.
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
1
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
$3,433
$1.72
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.
$87.25
ire SC $3.43
STRUCTION OR THE PERFORMANCE OF CONSTRUCTION
PLAN CHECK FEE
FEE
Licens C
LZ
/yOTAL
.00
$97.40
SIGNATU14E OF CONTRACTOR ORA MORIZED AG (DAIE,
P
RLY AL TED THIS IS YOUR PERMIT
I P
t
DATI
SIGNATURE OF OWNER 0F OWNER BUILDERi IDATEI
10
e
NEW [ ] Effective 3/1/
ADDN [ ] CITY OF FRIDLEY /
ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2
Building Permit Application
el
ConstructionAddress:
Legal Description:
Owner Name & Address: Tel. #
Contractor: p� MN LICENSE #
Address:�rf�Ave Tel. #
Attach to this application, a Certificate of Survey of the
lot, with the proposed construction drawn on it to scale.
DESCRIPTION OF EMPROVEMENT
LIVING AREA: Length Width _ Height Sq. Ft.
ANUUMM: kel'x- Length 3 ' Width Height Sq. Ft. 255
DECK AREA: Length j=�' Width ,� ,�� Hgt/Ground Sq. Ft. /3 Z-
OTHER: ��� �c,�7°�� � s AV,!> RM&Lua> A4���
Comer Lot [ ] Inside Lot [ ] Ft. Yd Setback Side Yard Setbacks
Type of Construction: Al gAdgeif Estimated Cost: $ ��-
Approx. Completion Date: _ P_:t-l 9 J �q� 3 -307,g -O x'87 3113.3_ 6o
(Cost on Back)
Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ _
DATE: APPLICANT:
Tel. # o-21( — /5 73
TOTAL $
STIPULATIONS:
CITY USE ONLY
Permit Fee
$ 8795-
Fee Schedule on Reverse Side
Fire Surcharge
$ 3. 3
.001 of Permit Valuation (1/10th%)
State Surcharge
$ /, 7,,1, --
$.50/$1,000 Valuation
SAC Charge
$
$900 per SAC Unit
License Surcharge
$ 5-,60
$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
� � � �6
24556
AT THE TOP OF THE TWINS
BUILDING
PERMIT
r
RECEIPT NO.
�
COMMUNITY DEVELOPMENT DIV
v
1 PROTECTIVE INSPECTION SEC
r
� ,
NUMBER
REV
DATEPAGE
OF
APPROVED BY
CITY HALL FRIDLEY 55432
612-571-3450
910-F15
9/12/96
JOB ADDRESS 490 Rice Creek Blvd NE
1 LEGAL
LOT NO.
BLOCK
TRACT OR ADDITION
SEE ATTACHED
DESCR.
10
1 1
1 Holiday Hills
SHEET
2 PROPERTY OWNER MAIL ADDRESS
ZIP PHONE
Bob Schroer 490 Rice Creek Blvd NE
574-9591
3 CONTRACTOR MAIL ADDRESS
ZIP PHONE LICENSE NO.
Robert F Norberg Construction 325 Evans Ave NW, Elk River MN 55330 241-1573
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
X
8 DESCRIBE WORK
Remove existing 16' x 26' Deck; Construct 12' x 26'
Rear Deck
9 CHANGE OF USE FROM TO
STIPULATIONS
See notations on plan.
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
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
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
$1.29
WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT
$2,589
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-
$74.75
Fire SC $2.59
STRUCTION OR THE PERFORMANCE OF CONSTRUCTION
PLAN CHECK FEE
TOTALFEE
Licensd SC
5.00
$83.63
SIGNATURE OF CONTRACTOR OR AUTHOR DAGENT IDATEINPR
RLY VAL TED THIS IS YOUR PERMIT
LOG INS
�JA7E
SIGNATURE OF OWNER IIF OWNER BUILDER) (DA E)
NEW [ ] Effective 3/1/96
ADDN [ ] CITY OF FRIDLEY
ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2
Building Permit Application -q,
ConstructionAddress:
Legal Description:
Owner Name & Address: Bf5�p� Tel. # J74-
Contracto
MN LICENSE #
r: ��f-� �� �- }— �,��� ���7-
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
GARAGE AREA: Length
DECK AREA: Length
OTHER: 0
Corner Lot [ ] Inside Lot [ ] Ft. Yd Setback
Type of Construction:
Width
Width
Width
Height
Height
Hgt/Ground
c
Sq. Ft. r
Sq. Ft.
Sq. Ft..
-K-74-
0-211 Wfyr Jr..V-7
Side Yard Setbacks
Estimated Cost: $
1
Approx. Completion Date:
(Cost on Back)
Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ _ $
DATE: �� APPLICANT: Tel. #
CITY USE ONLY
Permit Fee
$
Fee Schedule on Reverse Side
Fire Surcharge
$��,o
.001 of Permit Valuation (1/10th%)
State Surcharge
$ ,;!"
$.50/$1,000 Valuation
SAC Charge
$
$900 per SAC Unit
License Surcharge
$ �"�, 0*�)
$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 [ j
TOTAL
$ .
STIPULATIONS:
i
SUBJECT"'
�,.O•
City of Fridley
2 6101
AT THE TOP OF THE TWINS
�
U I L ®IPERMIT
BUILDING
r
' ,
Ld
NO.
_ COMMUNITY DEVELOPMENT DIV.
v PROTECTIVE INSPECTION SEC.
�J�(
NUMBER
REV
DATE
PAGE OF
APPROVED BY
/---1 CITY HALL FRIDLEY 55432
612-571-3450
910-F15
5/29/98
JOB ADDRESS 490 Rice Creek Blvd NE
1 LEGAL
LOT NO.
BLOCK TRACT OR ADDITION
SEE ATTACHED
DESCR.
10
1 Holiday Hills
SHEET
2 PROPERTY OWNER MAIL ADDRESS
ZIP
PHONE
Bob Schroer 490 Rice Creek Blvd NE
3 CONTRACTOR MAIL ADDRESS
ZIP
PHONE LICENSE NO.
Aldrich Construction 2011 243 Ave, St Francis, MN
55070
753-2457 EXEMPT
4 ARCHITECT OR DESIGNER MAIL ADDRESS
ZIP
PHONE LICENSE NO.
5 ENGINEER MAIL ADDRESS
ZIP
PHONE LICENSE NO,
B USE OF BUILDING
Residential
7 CLASS OF WORK
❑ NEW O ADDITION O ALTERATION] REPAIR
❑ MOVE ❑ REMOVE
8 DESCRIBE WORK
Reside House & Garage
9 CHANGE OF USE FROM TO
STIPULATIONS
Install building wrap and have inspection of
same.
TYPE OF CONST.
OCCUPANCY GROUP
OCCUPANCYLOAD
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 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
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
@@
$6.00
WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT
$12,000
DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE
PERMIT FEE
SAC CHARGE
PR VISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON -
Fire SC $12.00
TR ION OR THE PERFORMANCE OF CONSTRUCTION.
$187.25
PLAN CHECK FEE
TOTAL FEE
$205.25
oFCONR R]ZED AGeNT (DATEiHEN
PROP ALID TED THIS IS YOUR PERMIT
--5
--57
9
BLO iNSP
w��
t '-*
/ATE
SIGNATURE OF OOWNER BUILDER] IDATEi
i
IZMETA
ADDN [ ] CITY OF FRIDLEY
ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2
BUILDING PERMIT APPLICATION
ConstructionAddress: o 12s G r--- ��,� ,
Legal Description:
Owner Name & Address: 80�� �� � Tel. #
Contractor: &Dt—� � �;,� v; �� O l� MN LICENSE #
Address: Zv / / ` �` ,� �� ►'°"s�.b'. sc-� Tel. # 1
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: f 7"o" ej � A 6:'7 -0-14 � fs
Construction Type: %�c—' i ,�)L Estimated Cost: $1�
(Fee Schedule on Back)
Driveway Curb Cut Width Needed:
Ft. + 6 Ft = Ft x $ _ $
DATE: 5" d 9-1 v
APPLICANT:
Tel. #
CITY USE ONLY
Permit Fee
$ /0—
Fee Schedule on Reverse Side
Fire Surcharge
$
.001 of Permit Valuation (1/10th%)
State Surcharge
$
$.50/$1,000 Valuation
SAC Charge
$
$1000 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:
1/1/98
G7YOF
FRIDLEY
FRIDLEY MUNICIPAL CENTER - 6431 UNIVERSITY AVE. N.E. FRIDLEY, MN 55432 - (612) 571-3450 - FAX (612) 571-1287
LICENSE AGREEMENT
The undersigned Robert Schroer and Katherine Schroer
being the fee owners of certain property located in Fridley, Minnesota, at _
490 Rice Creek Blvd Fridley MN 55432 , and legally described as:
14-30-24-21-0010
hereby grant to the City of Fridley, Minnesota, and that the City's employees, a license for the
purpose of gaining access across the above-described property to a retaining wall and other structures
adjacent to Rice Creek.
This license is only for the purpose of allowing the aforementioned persons access for maintenance
purposes. This license is intended to last ten (10) years from the date of its execution, and is not
transferable or useable by any persons other than those designated herein. By accepting and using
this license, licensee hereby agrees to repair any and all damage caused by the City or its employees
while using this license on the above-described parcel.
Signed:
Robert Schroer
Katherine Schroer
Subscribed and sworn to before me this _-�6`` day of
Notary Public
:)F.Q,Jt�a h '1999
MMA�r
LINDA LEE LARSON
•'� WAV NIWC • WNW3WA
• MY COMMISSION EXPIRES
`•,•••-� JANUARY 31, 2=
CITY OF FRIDLEY INSPECTION DIViSION
6431 University Ave NE
Fridley, MN 55432 APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION,
572.3604 REFRIGERATION AND AIR CANDIT1nNING SYSTFMS ANn nFvir_FS
RATE SCHEDULE
Residential
Furnace Shell and Duct Work, Burner -
Also Replacement Furnace
(Side Vent - Fill Out Back)
Gas Piping (Needed with new furnace,
but not replacement)
Gas Range
Gas Dryer
*Air Conditioning - All Sizes
All Others/Repairs & Alterations (LIST ON BACK)
1% of Value of Appliance or Work
Commercial/Industrial
1.25% of Value of Appliance or Work
JOB
OWN
Rate TOTAL
$ 30.00
$ 10.00
$ 10.00
Effective On May 10, 1999
BUILDING USED AS
ESTIMATED COST SDPERMIT NO. ) 39 y
DESCRIPTION OF FURNACE AND OR BURNER
No. of Heating Units Circle One (Steam) (Hot Water) (Warm Air)
$ 10.00 $ Trade Na
$ 25.00
State Surcharge
TOTAL FEE
MINIMUM FEE FOR ANY HEATING/COOLING/VENTILATION
REFRIGERATION/AIR CONDITIONING PERMIT IS $25.00
PLUS THE $.50 STATE SURCHARGE
REINSPECTION FEE $47.00/Hr
Size No.
HP EDR
$ Fuel Total Connected Load
Burner Trade Name Size No.
$ BTU HP EDR
$ 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 an
$ .50 rulings of the Building Division, and hereby declares that all the facts'and
$ 07 0 representations stated in this application are'true and correct.
.a
HEATING CO
Signed 4 DATE -? f
*Air Conditioners can not be placed in a side yard without Approved By
Rough-In Date
written permission from adjoining property owner.
j o FILL OUT BACK SIDE F STAC1K VVERIFICAT
Final Da
List ALTERATIONS Being Done:
HEATING CO:
Signed By:
Date:
CHPANEY 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
O 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
All other BTU'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
I
City of Fridley
31 101
AT THE TOP OF THE TWINS
BUILDING
PERMsT
RECEIPT NO.
COMMUNITY DEVELOPMENT DIV.
r PROTECTIVE INSPECTION SEC.
-7
��
1 . �
1 = -"'1 CITY HALL FRIDLEY 55432
"'j
NUMBERDATE
REV
PAGE OF
APPROVED BY
612-571-3450
910-F15
6/26/00
JOB ADDRESS 490 RICE CREEK BLVD.
1 LEGAL
LOT NO.
BLOCK
TRACT OR ADDITION
SEE ATTACHED
DEscR.
10
1
Holiday Hills
SHEET
2 PROPERTY OWNER MAIL ADDRESS
ZIP PHONE
Bob Schroer 490 Rice Creek Blvd.
3 CONTRACTOR MAIL ADDRESS
ZIP PHONE LICENSE NO
Richard Hastings 6331 Riverview Terrace, Fridley, MN 55432 574-9966 4051
a 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
❑ ADDITION
❑ NEW ❑ ALTERATION
REPAIR ❑ MOVE ❑ REMOVE
8 DESCRIBE WORK
Tear Off and Reroof 32 squares
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 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
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
WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT
@
$2,797.00
@
X $1.40
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
$83.25
Fir SC $2.80
PLAN CHECK7,E
TO AL FEE
'�r�6 U ®D
Lice e
$5.
$92.45
SIGNATURE OF CON'RACTOR OR AU LZED AGENt 16ATE.
H PROP
BLDG NSP
R VAL AT D THIS IS UR P�T
/IAiE
S,GNATURE OF OWNEROF OWNER BUILDERI iDATEi
R
NEW [ ] Effective 1/1/2000
ADDN [ ] CITY OF FRIDLEY (763) 572-3604 Bldg Insp
ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2
BUILDING PERMIT APPLICATION ((o I
Construction Address: 6�,
Legal Description:
Owner Name & Address: _C3 o -d c Tel. #
Contractor: MN LICENSE # �Z®S /
P
Address: G' 3 l Tel. # 74' 4 -
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: -3 �e_ S-< a
G �L
Construction Type 'zlcf Estimated Cost: $ (�®�zz
Driveway Curb Cut Width Needed: Ft. + 6 Ft= Ft x $ = $
DATE: f�t� APPLICANT: Tel. # ST 7 y
CITY USE ONLY - Call (763) 572-3604 for Permit Fees if mailing in application
Permit Fee Fee Schedule on Reverse Side
Fire Surcharge $ SO .001 of Permit Valuation (1/10th%)
State Surcharge $ , I� $.50/$1,000 Valuation
SAC Charge $ $1100 per SAC Unit
License Surcharge $__L- 4L> $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:
t
Building
vo t 415
BUILDING
Permit No.:
.Inspections
65% of Building Permit Fee
RESIDENTIAL APPLICATION
Received B :�k
763-572-3604
$
5-Z
.y w_15 72
$
CITY OF FRIDLEY
Date R
763-502-4977 FAX
$2100 per SAC Unit (Plans to MWCC for determination)
$
ft+6ft= ftx$24=$
EFFECTIVE 1-1-2010
DATE
/O YOUR E-MAIL ADDRESS /.t'�' *cCA atT 1!P,4
ivy aLd 47e-PP7
SITE ADDRESS
$
THIS APPLICANT IS:
❑ OWNER PCONTRACTOR
PROPERTY OWNER/
NAME:/ sLr��'
TENANT
ADDRESS: 11T� i� GSC Ae%_� CITY STATE�IP
PHONE: � %� - ��
CONTRACTOR
NAME: C°
SUBMIT A COPY OF
YOUR STATE LICENSE
STATE LICENSE # r�r`%fF EXP DATE
-
A/2
AND CERTIFICATE OF
ADDRESS:3(R44 51 i aeAe is e ,i"_ CITY��
s a� STAT &P
INSURANCE
PHONE FAX
PROPERTY TYPE
WSINGLE FAMILY/NEW CONSTRUCTION SIZE
❑ TWO FAMILY/NEW CONSTRUCTION STORIES
PERMIT TYPE
❑ ADDITION ❑ GARAGE/SHED WINDOWS
❑ BASEMENT FINISH ❑ ROOF ❑ DRAIN TILE
D DECK ❑ SIDING ❑ OTHER
❑ SWIMMING POOL
TYPE OF WORK:
❑ NEW HOME CONSTRUCTION ❑ ADDITION
TENANCE/REPAIR ❑ REMODELING
DESCRIBE WORK BEING DONE: E
ENT O!/� �� LENGTH WIDTH HEIGHT SQ FT
ROOFING
Q 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,
SIDING
❑ Vinyl
❑Soffit
ADDITIONS.
& PORCHES SUBMIT:
❑ Aluminum
❑ Trim
1. Site Plan/Survey showing the existing structures
❑ Other
❑ Fascia
and proposed project.
2. Two sets of construction plans
WINDOWS
3. Energy Calculations
IN EXISTING OPENINGS JVYes ❑No LOCATION OF WINDOWS
FOR WINDOWS — PROVIDE U -VALUE AND
OR FOR NEW OPENINGS -DESCRIBE SIZE OF F7r jiyy� 71'
MANUFACTURE STICKER ON WINDOW.
OPENING CHANGES &
TYPE OF WINDOW TO BE INSTALLED V/ 6 NUMBER OF WINDOWS
ALL FEES ARE BASED ON VALUATION, INCLUDING THE COST OF LABOR AND MATERIALS:
(USING THE 1997 U.B.0 FEE SCHEDULE)
TOTAL JOB VALL
Permit Fee
Plan Review
Fire Surcharge
Surcharge
License Surcharge
SAC Charge
Curb Cut Escrow
Erosion Control
Park Fee
Sewer Main Charge
Total Due
$
vo t 415
See Back Page for Fee Schedule
$
65% of Building Permit Fee
$
14 60
.001 times the total job valuation
$
5-Z
.0005 x Permit Valuation Minimum $.50
$
$5.00 (State Licensed Residential Contractors)
$
$2100 per SAC Unit (Plans to MWCC for determination)
$
ft+6ft= ftx$24=$
$
$450 Conservation Plan Review
$
Fee Determined by Engineering
$
Agreement necessary ( ) Non Necessary ( )
$
Make checks payable to: City 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 wo ich equires review and approval of plans.
SIGNATURE OF APPLICAW = PRINT NAME, ATE