PRE 2010 DOCSCity of Fridley, Minn.
BUILDING PERMIT N® 3629
Date: .Jm2 ..................................
Owner ....................................... Builder ........ ..... ... ......111 ......
Address ...................................... Address .� r;.. .............
LOCATION OF BUILDING
No. ..... Street .. ... ... ................. Part o Lot ................. .............
Lot . ,K ...... B1ock ...... ......... Addition or Sub-Division�Sldeiil
.. .
Corner Lot ............ Inside Lot .. ....... Setback .. . •� :.. .................. .
DESCRIPTION OF BUILDING
To be Used as:
d
..... Front Depth Heightif "!Z " Sq. FtIO 4� Cu. Ft. ®
......... Front ........Depth .... ... Height ........ Sq. Ft. ........ Cm Ft ........
Type of Construction ................. •Nit. .,f `. �. � .. To be Completed ....................
In consideration of the issuance to me of a permit to construct the building desribed above, I agree, to do
the proposed work in accordance with the description above set forth and in compliance with all provisions of
ordinances of the city of Fridley.
.{ J :.�. ..... .
In consideration of the payment of a fee of ........ permit is hereby granted to ...................
......................... 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 with-
in the city limits and this permit may be revoked at any time upon violation of any of the provisions of said
ordinances.
g Inspector
NOTICE:
This permit does not cover the construction, Installation or alteration for w g, plumbing, gas heating,
sewer or water. Be sure to see the Building Inspector for separate permits or these Items.
APPLICATION FOR BUILDING PERMIT
CITY OF FRIDLEY, MINNESOTA
Owners Name Builder
Address Address
LOCATION OF BUILDING
�
NO. 11.3_,. Street _4 V P€irt of Lot_...._
Lot ml..Block .____Addition or Sub. Div.
Corner Lot inside Lot Set Back
Applicant attach to this form. Certificate of Survey of Lot and proposed
building location.
DESCRIPTION -OF BUILDING
To be used as 1
Front Depth Height
I
Sq
. Ft; `� _. Cu. Ft.
Front .... Depth weight -
Sq. Ft. Cu. Ft. _._. ..�
Type of Construction. V Estimated Cost
To be completed
The undersigned.hereby makes application for a permit for the work,
herein specified,_ agreeing to do all work-in strict accordarice.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. „
Date ��Lot .� Signature
6ILL
(A.Schedule of Fee Costs can be found on the Reverse -Side)
4
Date:
Owner:
Addres,
City of Fridley, Minn.
BUILDING PERMIT
a
........ . ................. .. ...... ... .. . ... .... .. .........
LOCA OF BUILDING
No—M-7.............. Street .... :._ _... 2 -Division
..._..... Part,t ....._..--•-----•---
,A dation or S -
Lot ......... .......... Block ....._............ _ °':.....:..
Corner Lot ._......
.........._- ...._... Inside Lot .... Lack . Sideyard ......
r
SewerElevation ...... ............................ ............... ...................... .............................. Fo dation Elevation _ ................................. _............. _.............. _....
DESCRIPTION OF BUILDING
To 3 Us as
_..... ' Front J-41. Depth - - . --.. Height . Sq. Ft. -: _ Cu. Ft. ..... I
...................._ ._......._......:.... Ferro Depth ....._..� , He gr Sq. Ft...--•- ..._.. Cu. Ft. ..... ..................
Type of Construction .._ ',:..._ °.::...:_ Est st_ ......�.:...: o 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 forth and in compliance with all provisions of
ordinances of the city of Fridley. 5 -
In consideration of the payment of a fee of $...: _.........._., permit is hereby granted to. .......... ....... ._.......................
_.__._.._._....... _....... _._.._.._...._.:._. 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 lordinances. _ _ y, wwri d
limits and this permit may be revoked at any time upon olation, any of the provisions of said
Building Inspector
OV I
NOTICE:
This permit does not cover the construction, installation for wiring;" plu, mbing,' gas ,heating, sewer or water. Be sure to see
the Building Inspector for separate permits for these items. CAUMN
4 THIS Pr -°IIT DOES NOT AUTHORIZE WLAT-
ION O� - -.4Y PRIVATE LAND COVENANTS -AND
BUILDING RESTRICTIONS,
APPLICATION FOR BUIWING PERMIT
CITY OF FRIDLEY, MINNESOTA
Address /,/,,�l rd,�&cC � _ � �� v Address
LOCATION OF BUILDING
No. // % „Street _�®o®�, i� P; Part of Lot ~'
Lot �f Block ....... 22..., Addition or Sub -Div.
Corner Lot Inside Lot__j� „Set Back Side -Yard
SEWER ELEVATION FOUNDATION ELEVATION_,
Applicant attach to this form Certificate of Survey of Lot and proposed building
location.
DESCRIPTION OF BU31DING
To be us de ass® d r
Front �2 DePth....
Sq. Ft. Cu. Ft. ' �C
Front Depth Height
Sq. Ft. Cu. Ft.
Type of Construction r '� Estimated Cost
To be
The undersigned hereby makes application for a permit for the work herein 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 represents-._,--
tions stated in.this application are true and correct. .l~'�
DATE, �/ /� 16 C) SIGNATURE �� L7, J
(A Schedule of Fee costs can be found on the Reverse Side.)
Y s �
City of Fridley
SUBJECT
PERMIT
® 13081
AT THE TOP OF THE TWINS
BUILDING PERMIT
r
COMMUNITY DEVELOPMENT DIV.
r � � PROTECTIVE INSPECTION SEC.
RECEIPT NO.
/
1 "1 CITY HALL FRIDLEY 55432
612-560-3450
NUMBER
910-F15
REV.
DATE
7-8-75
PAGE OF
APPROVED BY
JOB ADDRESS 117 RIVERSEDGE WAY N.E., FRIDLEY, MINNESOTA
1 LEGAL
LOT NO.
BLOCK
TRACT OR ADDITION SEE ATTACHED
DESCR.
12
2
RIVERS EDGE SHEET
2 PROPERTY OWNER MAILADDRESS ZIP PHONE
ANITA M. HALVERSON 117 RIVERSEDGE WAY N.E.
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.
6 USE OF BUILDING
RESIDENCE
7 CLASS OF WORK
❑ NEW ❑ ADDITION ❑ ALTERATION REPAIR ❑ MOVE E REMOVE
8 DESCRIBE WORK
REPAIRS - ALUMINUM SIDING
9 CHANGE OF USE FROM TO
STIPULATIONS
SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING,
TYPE OF CONST.
OCCUPANCY GROUP
OCCUPANCY'LOAD
VENTILATING OR AIR CONDITION111G.ATIUMTNTIM
THIS PERMIT BECOMES NULL A D 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
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 HERE114 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-
STRUCTION OR THE PERFORMANCE OF CONSTRUCTION.
4411 nn
PLAN CHECK FEE
TOTALFEE
SIGNATUREOF CONTRACTOR OR AUTHORIZEDAGENT (DATE)
HEN PROPERLY -ALI DATED T IS IS YOUR PERMIT
BLDG. INSP, DA E
SIGNATURE OF OWNER I IFOWNER UILD R) (DATE)
•APPLIC TION FOR RESI'DENTIAL., ALTERATION,
OR ADDITION -BUILDING PERMIT
CITY OF FRIDLEY, MINNESOTA
OWNER'S NAME : f4c I oe' -Soon BUILDER: W �-
ADDRESS: T;oe,,Se.�&; zi ADDRESS:
No:. // 7 STREET: S e d 5 a y
LOT: !2 BLOCK: ADDITION: Z;ue-y-seadej
CORNER LOT: INSIDE LOT: SETBACK: SIDE -YARD:
Applicant attach .t.c this form Two Certificates.. -If Survey.of Lot and.proposed
o
building location drawn n these Certificates.
DESCRIPTION OF BUILDING
To Be Used As:
o
vq
Front • Depth:- Height
quare Feet: Cubic.Feet:
xont:Depth: height:
gquare Feet; Cubic Feet:
Type of'ConstYucti n: Estimated Cost:
To -Be Completed: AM����,
The undersigned he eby makes application fora permit for the work herein
specified, agreein to do all work in stiict 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: 7S- SIGNATURE: �-�• 7t • �G ; o
(See Reverse Side For onal Information.)'
J 1
�Y U
SUBJECT
PERMIT
City of]Fridley
AT THE TOP OF
THE TWINS
BUILDING PERMIT
r
RECEIPT NO.
• _____ COMMUNITY
� �L -
DEVELOPMENT DIV.
r PROTECTIVE
INSPECTION SEC.
CITY HALL
FRIDLEY 55432
NUMBER
REV.
DATE
PAGE OF
APPROVED BY
612-571-3450
910-F15
6/13/80
JOB ADDRESS
117 River
ed a Way
1 LEGAL
LOT NO.
BLOCK
TRACT OR ADDITION SEE ATTACHED
DESCR.
12
2
1 Ri versed a SHEET
2 PROPERTY OWNER
MAIL ADDRESS ZIP PHONE
T.E. Tierney,
117 Riversed a Way S71-4657
3 CONTRACTOR
MAIL ADDRESS ZIP PHONE LICENSE NO.
4 ARCHITECT OR DESIGNER
MAIL ADDRESS ZIP PHONE LICENSE NO.
5 ENGINEER
MAILADDRESS ZIP PHONE LICENSE NO.
6 USE OF BUILDING
Residential
7 CLASS OF WORK
❑ N
Ew ❑ ADDITION ❑ ALTERATION [9 REPAIR ❑ MOVE D REMOVE
8 DESCRIBE WORK
Re -roof
9 CHANGE OF USE FROM
TO
STIPULATIONS
Roof can be second but not third
TYPE OF CONST.
OCCUPANCY GROUP
OCCUPANCY LOAD
SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING,
VENTILATING OR AIR CONDITIONING.
Asphalt
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
RI
ANY TIME AFTER WORK IS COMMENCED.
NO. DWLG. UNITS
OFFSTREET PARKING
I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION
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
1,000.00
WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT
•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-
7.50
STRUCTION OR THE PERFORMANC OF CONSTRUCTION.
PLAN CHECK FEE
TOTAL FEE
r
$8.00
SIGNATURE OF CONT ACT ORAUTHORIZED NT/ (DATE)
WHEN PROPERLY VALIDATED THIS IS YOUR PERMIT
BLDG INSP DATE
SIGNATURE OF OWNER (IF OWNER BUILDER) (DATE)
CITY OF FRIDLEY -
APPLICATION FOR RESIDENTIAL BUILDING PERMITS
(Now, Alterations, Additions, or Repairs)
ADDRESS:�/ / I��YS �. d�
TEL NO:
BUILDER:
ADDRESS:
TEL NO:
Construction Location
STHLET NO: STREET: IeE
t
LOT.: / BLOcy, ADDITION :-
Corner Lot: Insic?e. 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
_ Front: Depth:
Square. reet: Cubic Feet:
Front:
Square -Feet:
Height:
Depth: Height:
Cubic Feet:
Type of Construction: SS
To Be Completed: -- a---=-cy l�
Proposed Driveway Width If New opening Is Desired:
Estimated Cost: C
Alt. A Alt. B
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 accord=,ce with the City of Fridley Ordinances and
rulings of the Department- of Buildings, a411'ereby declares that all the facts and
representations stated in this application are trxkp and `correct
DATE: � /✓ 3 � e)SIGNATURE:
s'
p
Stipulations:
SUBJECT
E
City of Fridley
AT THE TOP OF THE TWINS
BUILDING PERMIT
r
1
o
COMMUNITY DEVELOPMENT DIV.
r 1 PROTECTIVE INSPECTION SEC.
1 �
1
NUMBER
REV
DATE
PAGE OF
APPROVED BY
1 CITY HALL FRIDLEY 55432
�""-A-If �'�
612-571-3450
910-F15
3/18/93
JOB ADDRESS 117 River Edge Way NE
1 LEGAL
LOT NO.
BLOCK
TRACT OR ADDITION SEE ATTACHED
DESCR.
12
2
Rivers Edge Addition SHEET
2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE
Don/Mary Sihell 117 River Edge Way NE 571-6050
3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO.
Professional Garage Services Inc.. PO Box 163, Champlin 55316 427-4565 2460
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 [j REPAIR ❑ MOVE ❑ REMOVE
8 DESCRIBE WORK
Repair to garage after fire damage
9 CHANGE OF USE FROM TO
STIPULATIONS
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
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
$6920.
$3.46
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 0" LOCAL LAW REGULATING CON-
$9000
Fire SC $6.92
CONSTRUCTION.
STRUCTION Pj THE PERF AN7�'
PLAN CHECK FEE
TOTAL FEE
ow'ow o
License.SC $5.00
$105.38
OF CONTRACTOR O�UTHORIZED AGENT ( ATE)
HEN RO EPLY V I TED THIS IS YOUR PERMIT
1,16ATUFW
lo
SIGNATURE OF OWNER 'IF OWNER BUILDER) IDATEI
BLDG INjl 0ATE
Nl✓W C ]
ADDN [ ] CITY OF FRIDLEY
ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2
Building Permit Application
Construction Address: _ P :z 4C'L%
Legal Description:
Effective 1/1/93
Owner Name & Address: Q . /,OLO "A, Tel. # S 7/ 4e�
Contractor: MN LICENSE # F�®, .
Address:Tel. # '!Z)
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 Z c Height Sq. Ft.
DECK. AREA: Length Width Hgt/Ground Sq. Ft.
OTHER:
Comer Lot [ ] Inside Logit [ ] Ft. Yd Setback _
Type of Construction:
Approx. Completion Date: ZAZ AJ
Driveway Curb Cut Width Needed: Ft. + 6 Ft =
Side Yard Setbacks
Estimated Cost: $ -
(Cost on Back)
Ft x $ = $
i
DATE: -S/1-Z APPLICANT: - Tel. # ;�� ,� G/ i ,
Permit Fee
$
��" o0
Fire Surcharge
$
L a,p 2—
State
State Surcharge
$
SAC Charge
$
License Surcharge
$
Driveway Escrow
$
Park Fee
$
Sewer Main Charge $ ._
TOTAL
STIPULATIONS:
8�-
CITY USE ONLY
Fee Schedule on Reverse Side
.001 of Permit Valuation (1/10th%)
$.50/$1,000 Valuation
$750 per SAC Unit
$5.00 (State Licensed Residential Contractors)
Alt. "A" or Alt. "B" Above
Fee Determined by Engineering
Agreement Necessary [ ] Not Necessary [ ]
Scale- I Inch --feet.
iy*
6- S. e., -
a Deno�es- boll M,�17UM917�
CERTIFICATE OF LOCATION. OF BUILDING
I hereby certify that 19 --
of the building on the above
CERTIFICATE OF SURVEY
t hereby certify that on-d*6etw_hBt- 4ir
I surveyed the property described above and that the above
n of said survey.
correct repr
JP,Ial !"�C,", MW5*
SUBJECT
PERM
City ®f Fridley
AT THE TOP OF THE TWINS
BUILDING
PERMIT
2 815 3
r
RE
`
• _ COMMUNITY DEVELOPMENT DIV.
INSPECTION SEC.
�
r � PROTECTIVE
NUMBER
REV
DATE
PAGE OF
APPROVED BY
/'- I CITY HALL FRIDLEY 55432
612-571-3450
910-F15
10/8/98
JOB ADDRESS 117 River Ede Wa
1 LEGAL
LOT NO.
BLOCK
TRACT OR ADDITION
SEE ATTACHED
DESCR.
12
2 1
Rivers Ede Addition
SHEET
2 PROPERTY OWNER MAIL ADDRESS
ZIP PHONE
Don Sibell
5
3 CONTRACTOR MAIL ADDRESS
ZIP PHONE LICENSE NO
American Bldg. Contr. Inc. 12233 Nicolle707-6959
20141490
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
O NEW O ADDITION O ALTERATION Rk REPAIR O MOVE O REMOVE
8 DESCRIBE WORK
Reroof house and garage (25 Sq) Tear-off
9 CHANGEOFUSEFROM TO
STIPULATIONS
Underlayment must comply with the State Building Code.
SEPARATE PERMITS ARE REOUIRED FOR ELECTRICAL. PLUMBING. HEATING.
TYPE` dF 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
I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION
STALLS IGARAGES
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
Fre SC 2 1
PLAN CHECK FEE
TOTAL FE
SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT IDATEI
N Pro P
IDATED T IS YOUR PER T
9� INSP -
( DAtE
SIGNATURE OF OW NER SIF OW NER BWtDERI ,DATE,
RUC -25-1998 09:16 FROM .CITY OF FRIDLEY TO
..�.. t J
ADDN [ ] CI'T'Y OF FRIDLEY
ALTER C 1 SINGLE FAMILY AND DUPLEXES R-1 AND R-2
BUILDING PERbUT APPLICATION
ConstructionAddress:
Legal Description:
7079925 P.01%02
hrrective 111198
Owner Name & Address: I, Un '�:)Jhp,j I Tel. #_501
Contractor: mck A14I MN LICENSE
Address:
Tel. #
LIVING AREA:
GARAGE AREA:
DECK AREA:
OTHER:
Attach to this application, a Certificate of Survey of the
lot, with the proposed construction drawn on it to scale.
DESCRIPTION OF IMPROVEMENT
Length Width Height Sq. Ft.
Length Width Height Sq. Ft.
Length Width Hgt/Ground Sq. Ft.
Construction Type: — oo Estimated Cost: $_.,►'1`5
(Fee Schedule on Back) j
Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ _ $
- ,
HATE: APPLICANT: Pc�&)(l 49AP6. Tel. #
TOTAL $ Voq
STIPULATIONS:
CITY USE ONLY
Permit Fee
$ 17q. '75-
Fee Schedule on Reverse Side
Fire Surcharge
$ T!
.001 of Permit Valuation (1/10th%)
State Surcharge
$ 1 0
$.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 [ J
TOTAL $ Voq
STIPULATIONS:
SUBJECT
City of Fridley
33100
AT THE TOP OF THE TWINS
BUILDING PERMIT
r
COMMUNITY DEVELOPMENT DIV.
r PROTECTIVE INSPECTION SEC.
'78
NUMBER
REV
GATE
PAGE OF
APPROVED BY
CITY HALL FRIDLEY 55432
763-571-3450
11aF1s
I ]
9/18/02
JOB ADDRESS 117 River Edge Way NE
1 LEGAL
LOT NO.
BLOCK
TRACT OR ADDITION SEE ATTACHED
DEscR.
12
2
Rivers Edge Addition SHEET
2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE
Marcella Sibell 117 River Edge Way NE 763-571-6050
3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO
Home Depot/RMA Home Services Inc 3200 Cobb Galleria Pkwy STE 200, Atlanta GA 30339
4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO.
763-542-8826 20268257
5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO
8 USE OF BUILDING
Residential
7 CLASS OF WORK ❑
O NEW 0 ADDITION 0 ALTERATION X REPAIR O MOVE O REMOVE
8 DESCRIBE WORK
Replace three windows within existing openings
9 CHANGE OF USE FROM TO
STIPULATIONS
Provide smoke detectors in all sleeping rooms and on all levels of the dwelling
per Section 310.9.1.2 of the 1997 Uniform Building Code.
Permit Inspection Cards
III Be Mailed
To HomeownerT Post
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
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
VALUATION
SURTAX
AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED
$4,435
$2.22
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-
STRUCTION OR THE PERFORMANCE OF CONSTRUCTION
PLAN CHECK FEE
L FEE
Licen C $5 0
7122.91
SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT IDATEI
HE PROVALI ATYD THIS IS Y PERMIT
OfF
g .NSP OAtE
S-GNATURE OF OWNERoF OWNER BUILDER. IDATEI
NEW[ ] Effective 5/10/99
ADDN j ] CITY OF FRIDLEY
ALTER [ l SINGLE FAMILY AND DUPLEXES R-1 AND R-2
BUILDING PERMIT APPLICATION
Construction Address: - 111 -
Legal Description:
Owner Name & Address: 'i1ckc11 Tel. #lAo
Contractor:. RMA HOME SERVICES INC. MN LICENSE #
' Home Depot Installed Sales
Address: 3200 Cobb Galleria Pkwy., Ste. #200 Tel. #
Atlanta, GA 30339
A 763-542-8826 urvey. of the
lcBC-2026825 7__r__!_ in -it to scale.
DESCiRION OF R!bilEMENT
LIVING AREA:
GARAGE AREA:
DECK AREA:
OTHER:
Construction Type:
Length Width
Length Width
Length Width
Height Sq. Ft.
Height Sq. Ft.
Hgt/Ground Sq. Ft.
.A(
(
Estimated Cost:
Driveway Curb Cut Width Needed: Ft. + 6 Ft = _ Ft x $ _ $
DATE: r - 4• Ij APPLICANT: Tel. # 9 9 1v(f,5'
Permit Fee
Fire Surcharge
State Surcharge
SAC Charge
License Surcharge
Driveway Escrow
Erosion Control
Park Fee $
Sewer Main Charge
TOTAL
STIPULATIONS:
CITY USE ONLY
Fee Schedule on Reverse Side
.001 of Permit Valuation (1/10th%)
$.50/$1,000 Valuation
$1050 per SAC Unit
$5.00 (State Licensed Residential Contractors)
Alt. "A" or Alt. "B" Above
$450.00 Conservation Plan Review
Fee Determined by Engineering
Agreement Necessary [ ] Not Necessary [ ]
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