PRE 2010 DOCSe 1%
BUILDING PERMIT
Village of Fridley, Minn. N? 2768
Date 10.7.A �.. .....................
Builder .................... .
Owner �AL1f ...
Address A.... °�. Address .........................................
�+
LOCATION OF BUILDING
No. .. Av y .... Street ....... Part of Lot ........................
Lot ....97 ...... Block .... ........... Addition or Sub -Division .�u� ... il� ......
Corner Lot ............ Inside Lot ... ..... Setback. -2.%$. ;�Ve4- Sideyard /O.. ,!W-€! ............. .
DESCRIPTION OF BUILDING
To be Used as:
�j
it ...... Front Depth 4i,Height
Sq. Ft. Cu. Ft. ........
.................... Front ........ Depth ........ Height ......... Sq. Ft......... Cu. Ft.........
Type of Construction. _Aow... Est. Cosi -.� ®............. To be Completed 'V./ ";�� .
In consideration of the issuance to me of a permit to construct the building es ' Zabove, agree to do
the proposed work in accordance with the description above set forth and in compliance with all provisions of
Ordinances of the village of Fridley.,
consideration of the payment of a fee of permit is hereby granted to
• . .... to construct the building r addition as described above. This p ►rnu't is gra upon
t 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 with-
in the village limits and this permit may be revoked at any time upon violation of any of the provisions of said
ordinances. _7 / ,moi
.. ...(�.. ...0416W -Vii. dMilding Inspector
NOTICE:
This permit does not cover the construction, installation or alterationjor wiring, plumbing, gas heating,
sewer or water. Be sure to see the Building Inspector for separate permits for these Items.
SUBJECT
NO.
City of Fridley
4944
r
AT THE TOP OF THE TWINS
BUILDING PERMIT
-i
S
R .
COMMUNITY DEVELOPMENT DIV.
ti.
INSPECTION
PROTECTIVE SEC.
CITY HALL FRIDLEY 55432
NUMBER
REV.
DATE
PAGE OF
APPROVED BY
612-560-3450
910-F15
I
10/4/78
I
JOB ADDRESS 104 Rivers Edge Way N.E.
1 LEGAL
LOT NO.
BLOCK
TRACT OR ADDITION SEE ATTACHED
DESCR.
27
1
Rivers Edge SHEET
2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE
Robertson 104 Rivers.. Edge Way N.E.
3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO.
Richard Hastings 6331 Riverview Terrace 560-2610
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 ❑X ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE
Q.
8 DESCRIBE WORK
Reroof structure
9 CHANGE OF USE FROM TO
STIPULATIONS Install ridged galvanized valleys where applicable. Roof can be
second but not third roof.
SEPERATE PERMITS REQUIRED FOR
WIRING,
HEATING, PLUMBING AND SIGNS.
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
ORK OR CONSTRUCTION
ZONING
SQ. FT.
CU. FT.
AUTHORIZED IS NOT COMMENCED WITHIN 60 DA
S, OR IF CONSTRUCTION
OR WORK IS SUSPENDED OR ABANDONED FOR
PERIOD OF 120 DAYS AT
ANY TIME AFTER WORK IS COMMENCED.
NO. DWLG, UNITS
OFFSTREET PARKING
I HEREBY CERTIFY THAT I HAVE READ AND EXA
INED THIS APPLICATION
STALLS GARAGES
AND KNOW THE SAME TO BE TRUE AND CORRECT.
ALL PROVISIONS OF LAWS
VALUATION
SURTAX
AND ORDINANCES GOVERNING THIS TYPE OFWORK
WILL BE COMPLIED,
$900
$'50
WITH WHETHER SPECIFIED HEREIN OR NOT. TH
GRANTING OF A PERMIT
DOES NOT PRESUME TO GIVE AUTHORITY TO
IOLATE OR CANCEL THE
PERMIT FEE
SAC CHARGE
PROVISIONS ANY OTHER STATE OR
ON REGULATING CON—
S $7.50
STRUC ION ORFTHE PERFORMANCE OF CO STL
UC IT
,
IDATEI -
PLAN CHECK FEE
TOTAL FEE
$8.00
SIGNATURE OF CONTRACTOR OR AUTH (ZED AGENT
W N PROPERLY VPeLIDATED THIS IS YOUR PERMIT
BLDG INSP - DATE
SIGNATURE OF OWNER (IF OWNER BUILDER)
(DATE)
' J
CITY OF FRIDLEY
APPLICATION FOR RESI ENTIAL BUILDING PEIMITS
NEW, ALTERAT I ONS, ADDI T I ONS, OR REPAIRS)
OWNER:� �' C 6(BUILDER: 1? 41
Address: = Pee Fcl!y Address: .i r �ic'
Tel. No. S'6 V "2-6��
No.; Street:
LOT: BLOCK: ADDITION:
COYM R LOT: INSIDE FAT: SETBACK: SIDEYARDS:
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: Depth: • '
Square Feet: Cubic Feet:
Height:
'Front: Depth: Height:
Square Feet: Cubic Feet:
Type of Construction: jzt (20 17 — Estimated Cost:
To Be Completed:/—'-.5zz Y Alt. A Alt. B
Proposed Driveway Width If New Opening Is Desired $ $
(SEE REVERSE SIDE OF SHEET)
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 rulings of the Department of Buildings, and hereby
declares that all the facts and representations stated in this application
are true and correct. See reverse side for additional information.
DATE: r.1 % SIGNATURE:
Stipulations: rj
T
C
VQ- jSti/y
CITY OF FRIDLEY
APPLICATION FOR POWER PUNTS AND HEATING, COOLIMG, VENTILATION, REFRIGERATION AND
AIR CONDITIONING SYSTEMS AND DEVICES
RATE SCHEDULE
RESIDENTIAL
Furnace Shell and Duct Work,
Burner (Also replacement furnace)
Gas Piping
(piping needed with now furnace)
Gas Range
Gas Dryer
e Air Conditioning tall sizes)
RATE TO'm
S 20.00 S -i®
$ 10.00 $
$ 10.00 S
$ 10.90 S _
All Others/Repairs and Alterations
It of Value of Appliance or Werk
COMMERCIAL/INDUSTRIAL
11 of Value of Appliance or Work
$ 10.00 $
State Surcharge
TOTAL M
Reinspection Fee (515.00)
Rough Insp.
Date
Final Insp. Q-�Z:Z
Date
Approval for Permit
MINIMUM FEE FOR ANY HEATING PERMIT IS $10.00
PLUS $.50 STATE SURCHARGE
S
3
S
Attach stack verification fors with replactsent furnace permits
*Air Cnndittoners can not two• placed in %id.• yard without
written in•rmission tram admininq neighbor.
Effective Aug. 1. 1981
Job Address
Department of Buildings, 6471 University Ave. N.L.. Fridley. MN 55432
City of Fridley
Tel. 1571-3450
The undersiqned hereby makes application for a permit for the work herein
sf*cified agreeinq 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 representations stated in this application are true and correct.
Fridley. Kinn. ./® 14P • 19-&
ONVER a&Aetea A4",195;223
KTwv OF sutwtNG
USED AS 'egg
Tta BE COMPLETED ABOUT ®®-01D s®�
ESTIMATED COST
OLA - NEW BUILDING PERMIT NO. PERMIT No. % '�4ZL
DESCRIPTION OF FURNACE/BURNER
HEATING or POWER PLANTS, Steam, Not Nater, rm Air No.
Trade Name ®� site No.
Capacity Sq. Ft. CDR BTU ��o ®_ HP
Total Connected Load o ��� Kind of Pool
BURNER - Trade Name Size No. -
Capacity Sq. Ft. EDR BTU ��®®-o RP
Company
Signed By
Tel. Ww.,, ._.
f, _ v
CITY OF FRIDLEY
APPLICATION FOR -HEATING REPLACEMENT
CHIMNEY AND STACK VERIFICATION
THIS FORM MUST ACCOMPANY STANDARD APPLICATION FOR HEATING PERMIT FORM.
LOCATION
DATE 6 /G
OWNER
ADDRESS J 0
The undersigned hereby verifies that the existing chimney or stack:
1. Has been carefully examined
2. Is free from rust or deterioration
3. No foreign objects are lodged within
4. That it is securely supported
5. That it meets all current Code requirements
for size and total BTU connected
6. Total Heating BTU
All Other BTU 3 s. �
TOTAL
REMARKS
HEATING PERMIT #
We- twit( ®lij 6 f°/
111
�a C_rJ Js r J `e
SIGNED
Licensee
by
Address
Telephone
Fridley City License
- -
SUBJECT
P
City of Fridley
3 2 05 2
AT THE TOP OF THE TWINS
B U
I L D I N G P E R M I T
P
RECEIPT NO.
`L ______ COMMUNITY DEVELOPMENT DIV.
572-3604
r PROTECTIVE INSPECTION SEC.
t
NUMBER
REV
DATE
PAGE OF
APPROVED BY
CITY HALL FRIDLEY 55432
612-571-3450
910.F15
8/2/01
JOB ADDRESS 104 River Edge Way
1 LEGAL
LOT NO.
BLOCK
TRACT OR ADDITION
SEE ATTACHED
DESCR.
27
1
River Edge
SHEET
2 PROPERTY OWNER MAIL ADDRESS
ZIP PHONE
Kevin Johanson, 104 River Edge Way, Fridley, MN 55432 763-586-0490
3 CONTRACTOR MAIL ADDRESS
ZIP PHONE LICENSE NO
Kevin Johanson
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
C NEW O ADDITION O ALTERATION ❑ REPAIR ❑ MOVE - O REMOVE
8 DESCRIBE WORK
Deck
9 CHANGE OF USE FROM
TO
STIPULATIONS
See notations on plans.
"
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 80 DAYS. OR IF CONSTRUCTION
OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 12Q DAYS AT
ANY TIME AFTER WORK IS COMMENCED.
NO. DWLG. UNITS
OFFSTREET PARKING
I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION
ISTALLS
GARAGES
AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS
'VALUATION
SURTAX
AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL 9E COMPLIED
$ ],581.00
$.79
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 SIA4 OR LOCAL LAW REGULATING CON-
XX $57.05
Fire SC $1.58
STRUCTION OR THE PERFO N OF CONSTRUCTION
PLAN CHECK FEE
OTAL FE
$59.1149
SGNATUpE OF CO 'aAC R OR IDATE�
ENP POL ATED $ IS
AU�THORIZED�AGENT
-:. I�-a
D
SLOG NSP GATE
S.GNATURE O� OWNEA WNER BU4 DERi 'DATE,
V
eblo
NEW [ l Effective 1/112001
ADDN [ J CITY OF FRIDLEY (763) 572-3604 Bldg Insp
.ALTER [) SINGLE FAMILY AND DUPLEXES R-1 AND R-2
BUILDING PERMIT APPLICATIONPAVVY
-�-- w(
Construction Address: _ /04 Rruerz- t'7GE k4" r -,e, ® L�i- o4 . -v .Sy,( 3 ?- c5/ - ru
Legal Description: &A -u- C4a-4- 40- 1C73 t
Owner Name & Address: Kic-ViPJ 16ifAW40A ' Tel. # 763 - 556 -6Y? 0
Contractor: 5t4 A 'll MN LICENSE #
Address: Tel. #
Attach to this application, a Certificate of Survey of the
lot, with the proposed construction drawn on it to scale.
DESCRIPTION OF IMPROVEMENT
LIVING AREA: Length Width Height Sq. Ft.
GARAGE AREA: Length Width Height Sq. Ft.
DECK AREA: Length 12_" Width I ;L� Hgt/Ground 'Y' Ft. {
OTHER:
Construction Type: CFS Estimated Cost: $°�'-s
Driveway Curb Cut Wdth Needed: Ft. + 6 Ft = Ft x $ -
DATE: APPLICANT:
CITY USE ONLY - Call (763) 572-3604 for Permit Fees if mailing in application
Permit Fee $ o Fee Schedule on Reverse Side
Tel. #
Fire Surcharge $ / rj .001 of Permit Valuation (1/10th%)
State Surcharge $ a -7q $.50/$1,000 Valuation
SAC Charge $ $1150 per SAC Unit
License Surcharge $ $5.00 (State Licensed Residential Contractors)
Driveway Escrow $ Alt. "A" or Alt. "B" Above
Erosion Control $ $450.00 Conservation Plan Review
Park Fee $ Fee Determined by Engineering
Sewer Main Charge $ Agreement Necessary [ ] Not Necessary [ ]
TOTAL $ s
STIPULATIONS:
M
Keith P. Caswell, Jr.
Registered Professional Engineer and land Surveyor
5722 Wayzata Blvd. Minneapolis 16, Minn.
'PLAT Os' SURVR;y,
Jas fo�o,�vs: •L o f 2 T B/o c k J, Ri 'ver -
,.
..._.._feet. Job No._ Z.:.U:Z Book-- Poge_---
6 1 S7- /I/�9 Y
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