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PRE 2010 DOCSCity of Fridley, Mm. BURDING PERMIT Date: June 23, 1967 Owners Keith L. 0lson Builder Address _ 112 Riversedge Way Address Same Same N® 9329 LOCATION OF BUILDING No. 112 Street Riversedge Way part of Lot Lot _ 25 _ Block l _ — Addition or Sub -Division .._._..River Edge Addn. Corner Lot ._ Inside Lot Sewer Elevation X Setback _ __ _ Sideyard Foundation Elevation DESCRIPTION OF BUILDING To be Used as: Det. Garage Front 22 t Depth 24' Height .-10 t Sq. Ft. 528 Cu. Ft. 5,280 Front Depth Height Sq. Ft.._ _ Cu. Ft. Type of Construction Frame Fst. Cost _ $1100.00 _ To be Completed In consideration of the issuance to me of a permit to construct the building described above I agree to do the proposed work in accordance with the description above set f rth in com fiance with a& provisions of ordinances of the city of Fridley. a /; In consideration of the payment of a fee of $ 8.00 , permit is hereby granted to Keith L . Olson 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 DuVector NOTICE: 'This permit does not cover the construction, installation for wiring, plumbing, gas heating, sewer or water. Be sure to no the Building Inspector for separate permits for these items. d APPLICATIO1,11FOR BUILDING PERMIT CITY OF FRIDLEfj MINNESOTA I E BUILDER OWNER'S NAME ADDRESS R,§IyLor- ehe i'L—a :z ADDRESS e LOCATION OF BUILDING NO. STM vskT-'Rlv ed�2 e PART OF LOT ,-, , LOT BLOCK ADDITION OR SUBDIVISION' Riw6J-6- CORNER LOT INSIDE LOT 9ETBACKI` SIDE -YARD SEWER ELEVATION FOUNDATION ELEVATION 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 " : *, f . &'?- f e d -Front Depth Height Sq. Ft. Cu. Ft. Front Depth Height Sq. Ft. 'Cu. Ft. Type of Construction Fran Estimated Cost To Be Completed FA 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. DATE IL4&,j `2q , 1q67 (Schedule of Fee Costs can be found on the Reverse Side). C�f. 141 SUBJECT - PE City of Fridley - � 88r AT THE TOP OF THE TWINS BUILDING P E R RECEIPT NO. COMMUNITY DEVELOPMENT DIV. r PROTECTIVE INSPECTION SEC. 1 . � CITY HALL FRIDLEY 55432 NUMBER REV. DATE PAGE OF APPROVED BY .6 612-560-3450 910-F15 2/28174 JOB ADDRESS 112 Riversedge Way N.E. 1 LEGALLOT NO. BLOCK TRACTOR ADDITION SEE ATTACHED DESCR. 25 1 Rivers Edge Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Keith L. Olson 112 Riversedge Way N.E. 3 CONTRACTOR MAILADDRESS ZIP PHONE LICENSE NO. Same 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP -t�:; PHONE LICENSE NO. 5 ENGINEER MAILADDRESS ZIP PHONE LICENSE NO. 6 USE OF BUILDING Residential 7 CLASS OF WORK ❑ ❑ REMOVE ❑ NEW ❑ ADDITION R ALTERATION ❑ REPAIR MOVE 8 DESCRIBE WORK Finish recreation j6 room in basement 9 CHANGE QF USE FROM TO STIPULATIONS SEPERATE PERMITS REQUIRED FOR WIRING, IAEATING, PLUMBING AND SIGNS. TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, VENTILATING OR AIR CONDITIONING. Wood 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 R.1 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 I STALLS GARAGES AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS VALUATION SURTAX AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED. WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT $500.00 .50 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- 5.00 STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. PLAN CHECK FEE TOTALFEE 5.50 SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT (DATE) t W PROPERLY VALIDED IS YOUFj PERMIT Feb. a�jt#711 / BLDG. NSP DATE. SIGNATOR OFOW N ER I IF OWNER BUILDER) )DATE) APPLICATION FOR RLSIDENTIAL, ALTERATION, OR ADDITION BUILDING PERMIT CITY OF 1 1:1 DLL ' , MINNESOTA OWNER'S NAME: (1 @ A7 � G��S�h BUILDER: ADDRESS: I I P' Vee) Page Lia./ ADDRESS: N0,. 11-3 STREET: Ai'vL'1-} dle Ivuz✓ LOT: � `�, BLOCK: % ADDITION: CORNER LOT INSIDE LOT: SETBACK: SIDEYARD: Applicant attach to this form Two Certificates of Survey of Lot and proposed buildirig location drawn on these Certificates. DESCRIPTION OF BUILDING To Be Used As: ¢-c�F11.1fAy' '*rsT�. Front: Depth: Height: Square Feet: Cubic Feet: Front: Depth: Height: Square Feet; Cubic Feet: Type of Construction: aeckdal,'oti gooi,, Estimated Cost: $ 5 Gc To Be Completed: The undersigned hereby makes application for a permit for the work herein specified, agreeing to do all work in stiicL accordance with the City of Fridley Ordinances and rulings of the Department of Buildings, and hereby declares that ill the facts and representations stated in this application are true and correct. DATE. FPA, D� /f7�j SIGNATiJRE: (See Reverse Side For Additional Information.) UU ,moo �i City of Fridley AT THE TOP OF THE TWINS SUBJECT III D I� I G DED A A I BUILDING F" PE a 14430 r COMMUNITY DEVELOPMENT DIV. r PROTECTIVE INSPECTION SEC. 1 � � "t CITY HALL FRIDLEY 55432 612-560-3450 V L I r "0 �/, RECEIPT NO. NUMBER 910-F15 REV. DATE 10/19/77. PAGE OF APPROVED BY JOB ADDRESS 112_Riversedge Way N.E. 1 LEGAL DESCR. LOT NO. 25 BLOCK 1 TRACTOR ADDITION SEE ATTACHED Rivers Edge Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Keith L. Olson 112 Riversedge Way N.E. 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. J. T. Ranger 10823 Hanson Boulevard, Coon Rapids 755-6214 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 X ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Construct a 16' x W Addition to Dwelling 9 CHANGE QF US'E FROM TO STIPULATIONS Install 5/8" type X sheetrock in garage wall adjacent to addition. Builder must apply for license within 10 days. RING6 REQUIRED )RED FOR �� Before digging call is i SEPERACiE PE'Rti�iT� 'ELEPMOINE - ELECTRi(: ^' utilities , EA-fmG„ PLUMBING ,AND SIGNS. REQU1p,' r A 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 AUTHORIZED ISNOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION ZONING SQ. FT_ CU. FT. 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 GARAGES AND KNOW THE,SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED. WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT VALUATION $31266 SURTAX $1.63 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. PERMIT FEE $14.25 SAC CHARGE PLAN CHECK FEE TOTALFEE $15.88 SIGNATURE OF CONTRACTOR OR AUTTI�ORIZEDAGENT - - (DATE)- OPERLY .VALIDATED THIS IS YOUR PERMIT �WHEN - BLDG INSP DATE SIGNfATURE OF OWNER IIF OW ER BUILDER) - IDATE) �j LITY OF FRIDLEY APPLICATION FOR RESIDENTIAL BUILDING PERMITS (NEW, ALTERATIONS, IADDITIONS, OR REPAIRS) OWNER: P i t� L BUILDER: . �• T. Rj a eek Address: I R oyek-s-eG i e L4, a4 Address: l o m,2 rT aoS01i Plast C0G1, Re p') ) Tel. No.:. No.. LOT: _ Street: BLOCK: �_ ADDITI.ON: R i V el_ Eq g e CORNER LOT: INSIDE LOT: )C 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: 0 G / ate4eh 4d jJ'+®ai Front: Depth: 0 Height: D Square Feet: Cubic Faet: Front: Depth: Height: Square Feet: Cubic Feet: Type of Construction: Estimated Cost: $!, To Be Completed: ! dRk t � l q ,7 3i G �• —r- Alt. A Alt. B Proposed Driveway Widtki If New Opening Is•Desired $ $ (SEE REVERSE SIDE OF SHEET) d4he 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 f r additional information. DATE:/0- I ?- -77 _ I SIGNATURE: Stipulations: 9• A— e I E EXTERIOR ENVELOPE AVERAGE "U" COMPUTATION OWNER: 14—L . o 6, , SITE ADDRESS: ��2- Re 0, S, CONTRACTOR: J • T Page 1 of 4 DATE - to -17 - 7- PHONE: (�'6 ® - I r2- C/ Determine working square footage of each 1. Total exposed wall area...... <3 2 sq, ft. x .17 = 6 2. Toal roof/ceiling area sq. ft. x .05 - Total exposed wall area above floor = a. Total wall window area.. b. Total door area ............... C. Total sliding glass door area•• ........................ .D� �y �t d. Total fireplace wall area N° GZ s9 e. Total• wall framing area {average 10�)............ f. Total rim joist area '1 g • wall area above • floorh. .. .............. ...... �� (� ' �'� 3 z / wall area above floor ................. i. wall area above floor.................•.••••�•� 7• wall area above floor.. Total exposed foundation area = k. Total foundation window area.. 1. Total net foundation area above grade ................. Determine "U" value of each wall segment (e.g. window, door, each separate wall se a. X stuff,;; b. X "U" c. �a . z> X -'U.' d. X fluff _ e. X llull _ X fluff 9. X fluff h.. X ..U.. _ 1m 13 i. X fluff _ X "U'• X fluff X flull _ 3. Total =� r h IF F If item #3 is the same as, or less than item #1, you have met the intent of SBC 6006 (c) 2. City ®f Fridley SUBJECT PER 15229 AT THE TOP OF THE TWINS BUILDING PERMIT rp COMMUNITY DEVELOPMENT DIV. r v PROTECTIVE INSPECTION SEC. CITY HALL - FRIDLEY 55432 i J\ 612-571-3450 RECEI O. 95 9'/ NUMBER 910-F15 REV. DATE 6/4/79 PAGE OF APPROVED BY JOB ADDRESS 112 Riversedge Way N.E. 1 LEGAL DESCR. LOT NO. 25. BLOCK 1 1 TRACTOR ADDITION SEE ATTACHED Rivers Edge Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Keith Olson 112 Riversedge Way N.E. 560-1824 3 CONTRACTOR MAILADDRESS ZIP PHONE LICENSE NO. Same 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 X ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE El❑ 8 DESCRIBE WORK Construct a 12' x 14' and 8' x 12' Deck onto House 9 CHANGEOFUSEFROM TO STIPULATIONS WARO gem ftging call t0cm utilities TOMOI*'- ELECTRIC • GAS Etc. REQUIRED BY LAWS 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 AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION ZONING SQ. FT. CU. FT. 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 GARAGES AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT VALUATION $7OO SURTAX $.5O 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$7.50 OR THE PERFORMANCE OF CONSTRUCTION. PLAN CHECK FEE TOTALFEE AjkiR c0 ACTOR OR THORIZED AGENT (DATE) � — q1 ' $8.00' N,WHEN PROPERLY VALIDATED THIS IS YOUR PERMIT 6, _ BLDG WSP 0AIE SIGNATURE OF OWNER OF OWNER BUILDER) IDATEI 11 CITY OF FRIDLEY APPLICATION FOR RESIDENTIAL BUILDING PERMITS (New, Alterations, Additions, or Repairs) OWNER: _l ��L _ �Sc, i -t ADDRESS: , 19- o VC(14C "" TEL NO: 0 BUILDER: 54 q I- r C TEL NO: Construction Location STREET NO: / I STREET: ti, a LOT: BLOCK: ADDITION: r�r` li Lh�- C� efi , C 14 Corner Lot: Inside Lot:_ Setback: Sideyards: Applicant attach to this form two Certificates of Survey of lot and proposed building location drawn on certificates to scale. DESCRIPTION OF CONSTRUCTION �C Front: f Depth: Height: Square.Feet: Cubic Feet: Front: Depth: Height: Square Feet: Cubic Feet: Type of Construction: I f��'� t, E� Estimated Cost: $ 00,00 To Be Completed: I G h T 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. DATE:1 Lr of p % / 14 % ( SIGNATURE: �J ^ r— �- Stipulations: �a Tv Co SUBJECT PERMIT NO. City ®f Fridley 0 AT THE TOP OF THE TWINS BUILDING PERMIT r RECEIP � `L ___ COMMUNITY DEVELOPMENT DIV. r PROTECTIVE INSPECTION SEC. 1 � i I CITY HALL FRIDLEY 55432 ,'J NUMBER REV. DATE PAGE OF APPROVED BY 612-571-3450 910-F15 7/10/89 � JOB ADDRESS 112 River Edge Way N.E. 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 25 1 Rivers Edge Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Keith 'Olson 112 River Edge Way N E. 571-4045 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Same 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 a ❑ NEW ❑ ADDITION x ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Install a Bay Window 9 CHANGE OF USE FROM TO STIPULATIONS Install according to manufacturer's Specifications. 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 SQ. 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 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 $945. $.50 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- $255.00 STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. PLAN CHECK FEE TOTAL FEE $25..50 S ATU R FCONTRACTOR ORAUTHORIZED AGENT (DATE) WHEN PROPERLY V DATED THIS IS YOUR PE MIT .S sI v'V / 1SIGNATURE WNEnR OF OW NER tIF BUILDERI t ATEi I BLDG hATE^ NEW [ ] ADEN [ ] ALTS [ ] R-1 AND R-2 Building Permit Application Effective 5/1,/88 Construction Address: _' �- I'i i V e r e Legal Description: Owner Namae & Address: Ke;'j o&4 - Ili- �; yer Fdye may - Ft/#y, AN Ssy3tTe1. #S7/ - yoy Cantractcr• --- • Address: ` Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. Irr_ &Z I$JM s: .1 asI' IY440,1'/sv1�4�04 LMM AMM: Length Width Height Sq. Ft. GMUM AM: Length Width Height Sq. Ft. DECK AREA: length Width _ Hat/Ground Sq. Ft. 07MM71,_ : 5&-th X G 4 Lid 8a,/ U--,44— - Te -,Dad 6(srr Corner Lot [ ] Inside lot [ ] Ft. Yd Setback Side Yard Setbacks Type of Construction: Estimated Cost: $ qq.5 . G G Approx. Om pletion Date: Proposed Driveway Width If New Opening Is Desired: Width + 6' See Back Page DATE: �I�l�r S� 14 1 APPLICANT: . 71- q v y Permit Fee $ �_ _, State Surcharge $ SAC Charge $ Driveway Escrow $ Park Fee $ Sewer Main Charge $ Torr�w $ �Sso CITY LOBE ONLY Fee Schedule on Reverse Side $.50/$1,000 Valuation $575 per SAC Unit Alt. "A" or Alt. "B" Above Fee Determined by; Agreement Necessary t ] Not Necessary [ ] STI U ATICNS 6 �C 5 +g. ` ., 1 -4. a SuerHtT IT NO. City of Fridley 2 35 AT THE TOP OF THE TWINS BUILDING PERMIT r e DEVELOPMENT DIV. O _�® r PROTECTIVE INSPECTION SEC. 7119 1 i NUMBE.. REV DATE PAGE OF APPROVED BY = 1 CITY HALL FRIDLEY 55432 "'j 612-571-3450 910415 10/22/98 JOB ADDRESS 112 Rivers Ede Wa NE 1 LEGAL LOT NO. BLO CK TRACT OR ADDITION SEE ATTACHED DESCR. 25 1 Rivers Ede Addition $MEET 2 PROPERTY OWNER MAIL ADORES$ ZIP PHONE Keith Olson 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Richard Hastings Contr. 6331' Riverview Ter NE Fridley 55432-4846 574-9966 4051 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 O ADDITION O ALTERATION jk REPAIR O MOVE O REMOVE 8 DESCRIBE WORK Reroof house and garage 25 S Tear -off 9 CHANGE OF USE FROM TO STIPULATIONS Underlayment must comply with the State Building Code. SEPARATE PERMITS ARE REOUIRED 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. DWI G. UNITS OFFSTREET PARKING I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION STALLS GARAGES AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS 'VALUATION SURTAX AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT $2142 1.07 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 $74.75 Fir SC $2.14 PLAN CHECK FEE TOT FEE �.1R.ZE'DAII.T �-z License 5.0 .96 IDAT i ENOPROPIRL#f VALIDTHIS IS YOUR PERMIT 01 Bt G iNSP 07 m OAtE S-GNATURE OF OWNEROF OWNER BUILDER) ,DATES a Y • 4 NEW [ ] Effective 1/1/98 ADDN [ ] CITY OF FRIDLEY ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION ConstructionAddress: 112- Ri u^ ru w A -/ Legal Description: Owner Name & Address: k e I I OL Yo Al Tel. # Contractor: R- ® C rZ � A `1-1 4 C. S MN LICENSE # -10 5 A Address: 3 3 a,- Tel. # ` 7 V 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: 25 Construction Type: -r'�FAa"Z o FF -4- R 6 Rv F Estimated Cost: $ /-JC s F -A- 3 A ;�-' ` '7-7 (Fee Schedule on Back) Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ _ $ DATE: 10 a -z-1 1 Y APPLICANT: Com_ -�. Tel. # CITY USE ONLY Permit Fee $ S Fee Schedule on Reverse Side Fire Surcharge $ / c/ .001 of Permit Valuation (1/10th%) State Surcharge $ /.02 $.50/$1,000 Valuation SAC Charge $ $1000 per SAC Unit License Surcharge $ 00 $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 $ > 9 =- STIPULATIONS: CITY OF FRIDLEY INSPECTION DIV 6431 University Ave NE Fridley, MN 55432 572-3604 Stories Basement Floor 1 Floor 2 Floor 3 Floor 4 PLUMBING FIXTURE RATES: L�o- 0�-/70L APPLICATION FOR PLUMBING AND GAS FITTING PERMIT MARK NUMBER OF FIXTURES TO BE INSTALLED ON EACH FLOOR h t.::: :.......::. q uto. Urinal Tub Shower Sank< Tray Fo atf:: Drain Bashi Washer NO. RATE TOTAL Effective On January 1, 1997 Gas ;!..0'j0' Water Heater RangeFlxt....< Gas Elec JOB ADDRESS_ &A New Fixtures $ 7.00 The undersigned hereby makes application for a permit for the work herein Old Opening, New Fixture $ 4.00 specified agreeing to do all work in strict accordance with the city codes Beer Dispenser $ 5.00 and rulings of the Building Division, and hereby declares that all the facts Blow Off Basin $ 7.00 and representations stated in this application are true and correct. Catch Basin $ 7.00 Rain Water Leader $ 7.00 �— 199`j Sump/Receiving Tank $ 7.00 Water Treating Appliance $10.00 Owner 0!°�.�fl 6 Water Heater –Electric $ 7.00 Water Heater – Gas** $10.00 Building Used As S/ ^4e % %� ` , r✓ Gas Range** $10.00 Gas Dryer** 810.00 Estimated Cost -f3ir 0`0 PERMIT NO. Back Flow Preventer Required ()Yes () No � j Type $15.00 PLUMBING COMPANY �i+OcaL tom- ,� NOW - Reinspection Fee $42.00/Hr SIGNED BY TEL N0. 51-7 ALL OTHERS AND/OR REPAIRS AND ALTERATIONS 1.5% of Value of Fixture or Appliance OLed Approved By Rough–In Date Final Date State Surcharge $ .50 MINIMUM FEE F R ANY PLUMBING GAS PERMIT IS $20.00 TOTAL FEE $ �t PLUS THE $.50 TATE SURCHARGE **COMBUSTION AIR SHALL BE PROVIDED PER UMC SECTION 504(A) AND TABLE 6–A. MINIMUM SIZE 9 SQ INCHES. CITY OF FRIDLEY INSPECTION DIV. 6431 University Ave NE Fridley, MN 55432 APPLICATION FOR PLUMBING AND GAS FITTING PERMIT 572-3604 MARK NUMBER OF FIXTURES TO BE INSTALLED ON EACH FLOOR :.::.::..::::.:.:.:::. :::>:: ::::>:>:::: Wash>:<:> Floor `:.. ::::»::: Auto. Stories 1, PRIM Uri a ni >_'> Showe :sJ�f<...... Tra �''>< Drain ��<;< y 10'..'n ::� ��::: I�i�€>�< Washer I Basement Floor 1 Floor 2 Floor 3 Floor 4 PLUMBING FIXTURE RATES: NO. RATE TOTAL New Fixtures Old Opening, New Fixture Beer Dispenser Blow .Off Basin Catch Basin Rain Water Leader Sump/Receiving Tank Water Treating Appliance Water Heater -Electric Water Heater - Gas** Gas Range** Gas Dryer** Back Flow Preventer Required ( )Yes () No Type $ 7.00 $ 4.00 $ 5.00 $ 7.00 $ 7.00 $ 7.00 $ 7.00 $10.00 $ 7.00 $10.00 $10.00 $10.00 $15.00 CN JOB ADDRESS z Effective On Jan 1, 2000 [� Water Heater Gas Elec 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 Building Used c�),l Estimated Cost PERMIT NO. / , 0 1 PLUMBING COMPANY S1-�7'Cifi 1 C Reinspection Fee $47.00/Hr SIGNED BY ALL OTHERS AND/OR REPAIRS AND ALTERATIONS ? 1.5% of Value of Fixture or Appliance d` 0• d Approved By State Surcharge S .50 MINIMUM TOTAL FEE PLUS THE Rough -In Date TEL COMBUSTION AIR SHALL BE PROVIDED PER UMC SECTION 504(A) AND TABLE 6-A. COMMON VENT INFO ON BACK SIDE �At .20 0z) COMMON VENT, VENT CONNECTOR AND COMBUSTION AIR VERIFICATION When replacing an existing furance, the undersigned hereby verifies that the venting has been examined and is free from rust, deterioration, obstructions, and is securely supported and firestopped where required. Yes () No ( ) The venting system is plastic/PVC and meets all current codes and manufacturer specifications including sizing, length, number of elbows and termination. Yes () No The undersigned also verifies that the replacement unit is a listed assembly and meets the current codes and manufacturer's specifications. This does include AGA-GAMA Category I Central Furnace Venting Tables for fan assisted and natural draft appliances. Yes () No { ) The existing combustion air is sized and installed to meet the current codes and manufacturer's specifications. Yes( No( ) When required to install a new combustion air, it will be sized and installed To meet the current codes and manufacturer's specifications. Yes () No ( ) When installing a new venting system, the undersigned hereby verifies that it is a listed assembly and meets the current codes and manufacturer's specifications. This does include AGA-GAMA Category I Central Furnace Venting Tables for fan assisted and natural draft appliances. Yes () No ( ) Is the common vent and vent connectors sized and installed correctly after an appliance has been removed from the common vent and vented separately as per current codes. Yes( ) No ( ) Appliance Type and Size/Common Vent and Vent Connector Information Appliance #1 Type BTU Input Fan Assisted or Nat Appliance #2 Type BTU Input Fan Assisted or Nat Appliance #3 Type BTU Input Fan Assisted or Nat Total Appliances Total Btu Input Common Vent Type Vent Height Diameter inches Appliance #1 Vent Connector Height ft Length ft Diameter in Type Appliance #2 Vent Connector Height ft Length ft Diameter in Type Appliance #3 Vent Connector Height ft Length ft Diameter in Type ALTERATIONS: (Describe) HEATING CO: Signed By: Date: CITY OF FRIDLEY INSPECTION DIViSION Effective On January 1, 2000 6431 University Ave NE Fridley, MN 55432 APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION, 572-3604 REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES JOB ADDRESSS�� i ®rlef- RATE SCHEDULE OWNER.` l5� Residential Rate TOTAL Furnace Shell and Duct Work, Burner - BUILDING USED AS�s®� Also Replacement Furnace $ 30.00 $ !/ (Side Vent - Fill Out Back) ESTIMATED COST PERMIT NO. Gas Piping (Needed with new furnace, $ 10.00 $ but not replacement) DESCRIPTION OF FURNACE AND OR BURNER Gas Range $ 10.00 $ 6-l4 No. of Heatin Unit Circle One (Steam) (Hot Water) (Warm Air) Gas Dryer $ 10.00 $ Trade Nam '�- Size No. BTU H E D R *Air Conditioning - All Sizes $ 25.00 $ Fuel ,Arm Total Connected Load All Others/Repairs & Alterations (LIST ON BACK) Burner Trade Name Size No. 1% of Value of Appliance or Work $ BTU HP EDR Commercial/Industrial 1.25% of Value of Appliance or Work $ 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 State Surcharge $ .50 rulings of the Building Division, and hereby declares that all the facts and TOTAL FEE $ .�� representations stated in this application are true and correct. DATE 3 / MINIMUM FEE FOR ANY HEATING/COOLING/VENTILATION HEATING CO �d e ®✓� REFRIGERATION/AIR CONDITIONING PERMIT IS $25.00 PLUS THE $.50 STATE SURCHARGE Signed TEL #4�Y/ e,32 REINSPECTION FEE $47.00/Hr *Air Conditioners can not be placed in a side yard without Approved ByI4 Rough -In Date Final Date O/ written permission from adjoining property owner. FILL OUT BACK SIDE F4 STACK VERIFICATION ON REPLACEMENT FURNA( COMMON VENT, VENT CONNECTOR AND COMBUSTION AIR VERIFICATION When replacing an existing furance, the undersigned hereby verifies that the venting has been examined and is free from rust, deterioration, obstructions, and is securely supported and firestopped where required. Yes () No ( ) The venting system is plastic/PVC and meets all current codes and manufacturer specifications including sizing, length, number of elbows and termination. Yes () No ( ) The undersigned also verifies that the replacement unit is a listed assembly and meets the current codes and manufacturer's specifications. This does include AGA-GAMA Category I Central Furnace Venting Tables for fan assisted and natural draft appliances. Yes( ) No( ) The existing combustion air is sized and installed to meet the current codes and manufacturer's specifications. Yes () No ( ) When required to install a new combustion air, it will be sized and installed To meet the current codes and manufacturer's specifications. Yes () No ( ) When installing a new venting system, the undersigned hereby verifies that it is a listed assembly and meets the current codes and manufacturer's specifications. This does include AGA-GAMA Category I Central Furnace Venting Tables for fan assisted and natural draft appliances. Yes () No ( ) Is the common vent and vent connectors sized and installed correctly after an appliance has been removed from the common vent and vented separately as per current codes. Yes( )No( ) Appliance Type and Size/Common Vent and Vent Connector Information Appliance #1 Type BTU Input Fan Assisted or Nat Appliance #2 Type BTU Input Fan Assisted or Nat Appliance #3 Type BTU Input Fan Assisted or Nat Total Appliances Total Btu Input Common Vent Type Vent Height Diameter inches Appliance #1 Vent Connector Height ft Length ft Diameter in Type Appliance #2 Vent Connector Height ft Length ft Diameter in Type Appliance #3 Vent Connector Height ft Length ft Diameter in Type ALTERATIONS: (Describe) HEATING CO: Signed By: Date : BuildingF PI,TTli�Il�TG Permit No. : `0 Inspections IESIDENTTAT � A�'PLICATION Received By: 763-572-3604 CITY OF FRI DLEY Date '' : P �`2 , 763-502-4977 FAX EFFECTIVE 1-1-08 DATE - a a- 1 2- GYOURE-MAILADDRESS K ti jj OI$GGr l� �(f 1yl�d; I f G 1�Y1 SITE ADDRESS I 12, ' V eY e d Q Wax THIS APPLICANT IS: ] OWNER 000NTRACTOR PROPERTY NAME: - L • 0(50-7 ADDRESS: % J R i V �' � CITY �- i C STAT&W ZIP L OWNER/ TENANT PHONE: 7 � -7 I - G L1� CONTRACTOR NAME: STATE LICENSE # EXP DATE SUBMIT A COPY OF YOUR STATE LICENSE, BOND AND STATE BOND # EXP DATE CERTIFICATE OF ADDRESS: CITY STATE ZIP INSURANCE . PHONE FAX PERMIT TYPE 16 SINGLE FAMILY ❑ TWO FAMILY ❑ TOWNHOUSE TYPE OF WORK: 0 NEW REPLACEMENT DETALLED DESCRIPTION OF WORK R e pla ze -fu vM r of IiiCo�er i efieL PER MS 1613.665 the permit fee is a minimum of $15.00 or 5% of the total cost up to $500.00, whichever is greater, for the improvement, installation or replacement of a residential fixture, excluding the fixtures. (This should reflect only the cost of labor ) Labor cost under $300 = $15.00. Labor cost between $300 to $500 = cost of labor x.05 = plus .50 surcharge OR FOR PROJECTS WHERE LABOR EXCEEDS $500, FEES ARE BASED ON $10.00 PER FIXTURE, EXCEPT WHERE NOTED. FIXTURES: (INDICATE TOTAL NUMBER OF EACH BELOW). MINIMUM FEE $15.50. BATH SINK/LAV DRAINS —SHOWER _ WATER PIPING _FLOOR —_BATHTUB _ GAS PIPING (NEED CITY LIC) _ SWIMMING POOL ^ WATER SOFTNER ($35) CLOTHES WASHER KITCHEN SINK _ WATER CLOSET BACKFLOW PREV. ($15) _ _ DISHWASHER LAUNDRY TRAY _WATER HEATER ($35) FOR IRRIGA ON — — OTHER . _ WATER METER PS ,, .,. r Permit Fee $ Number of fixtures @ $10.00 x $10.00 = Surcharge .50 Number of fixtures @ $15.00 x $15.00 = $ TOTAL. DUE $ OR Number of fixtures @ $35.00 x $35.00 = $ State Surcharge = $ .50 (MINIMUM. $15.50) (MINIMUM Total = $ THIS IS AN APPLICATION FOR A PERMIT -NOT VALID UNTIL PROCESSED I hereby apply for a plumbing 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 e o 11 work /wh' h requires review and apprgo�val ofrplans. ►1 C r t4+ L IIS c7/ DATE 56P- % �0 SIGNATURE OF APPLICANT PRINT NAME APPROVED BY DATE City of Fridley Building Inspections Department 6431 University Avenue NE, Fridley, MN 55432 763-572-3604 FAX: 763-502-4977 Building MECHANICAL Permit No.: -60M Inspections RESIDENTIAL APPLICATION Received By: 763-572-3604 Dat 7 ? Ws 20 CITY OF FRIDLEY 763-502-4977 FAX EFFECTIVE 2-19-09 DATE - oZ 3 - o,7 YOUR E-MAIL ADDRESS SITE ADDRESS I P-,' i%, r 'S rl w /f THIS APPLICANT IS: ❑ OWNER WONTRACTOR PROPERTY t NAME: i"-14 8! s0,1 OWNER/ ADDRESS:—// L QJ ✓ V�C', &1,,7 CITY STATE01L)ZIPI-S-40 TENANT PHONE: CONTRACTOR COMPANY NAME: We-hele) W@e h � A /e_ CONTACT PERSON: 1xy f�cevl�, SUBMIT A COPY OF YOUR STATE STATE LICENSE # EXP DATE LICENSE WITH ADDRESS: Altly A-r4- ,/' l�- CITY S_L.� STATE �►dZIP APPLICATION PHONE % - %® -0T ye)e FAX 72 --�- 5 PERMIT TYPE i6SINGLE FAMILY ❑ TWO FAMILY ❑ TOWNHOUSE TYPE OF WORK: ❑ NEW *REPLACEMENT ❑ ALTERATION/REMODEL DETAILED DESCRIPTION OF WORK ' Al c_ FEES ARE BASED ON $10.00 PER FIXTURE, EXCEPT WHERE NOTED. FIXTURES: (INDICATE,T TAL NUMBER OF EACH BELOW) Equipment Installed MFG: aw/ eV MODEL: S 8 eeesS SIZE/BTU 0� OGG) MFG: a? tell Cf ` MODEL: 01 APA-s' 3 SIZEBTU a �-m✓1 MFG: MODEL: SIZE/BTU A/C $25.00 _FIREPLACE (GAS) $15.00 _GAS RANGE/OVEN $10.00 AIR TO AIR EXCHANGEER $15 _FIREPLACE (WOOD) $35.00 NEW GAS GRILL $10.00 BOILER $35.00 _FURNACE $35.00 _GAS UNIT HTR $10.00 _CHIMNEY LINER $10.00 _GAS DRYER $10.00 _POOL HEATER $35.00 —VENTILATOR DUCT WORK $10.00 _GAS PIPING $10.00 $15.00 yx�� 4 �.ku �''k'"i �� _: ',� �f '� a: c t x ��;. t ,� ? �"� �. 3`✓� � i �i ` �"N _ �,r � � �.�� ' � y E N i' 3 � ✓ �� b � a<e� � � Y � � P^ux �+�.... 3 �' � i Y Y� jw � � 34 Z ,..,'�£ic F ,'. "�` �S.'(" ``re ': fn'c �� -)� %�� E y� ��A �` �� _ g, Ma 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 94rmit and wor 's not to start without a permit; that the work will be in accordance with the approved plan in the case of all work uires e + d approval of plans. / Q SIGNATURE OF APPLICA NAME ✓v`� DATE PRINT W\ City of Fridley Building Inspections Department 6431 University Avenue NE, Fridley, MN 55432 763-572-3604 FAX: 763-502-4977. Z