PRE 2010 DOCSof FridleyMinn.®��
Village y, _
BUILDING PERMIT
.�'�
Date: ........
hp
Owner.. Builder:................'7 . ..... .......
Address ...Address .... . .
'L.00ATIO OF45�t
G
No. ..... Street .. .rt of Lot ......................
Lot .....�.......... Block .................. Addition or Sub-Divisi ..1 .. ... r
Corner Lot ........... Inside Lot ... Setback ._;....... Sideyard ��} �. 3
DESCRIPTION OF BUILDING
To be Used as:Ax, -
. Front 4�e®. Depth . ®l.(c. � eight^?s Sq. Ft10-�Ft. ........
..................../ront ........ Depth ..... Height ... Sq. Ft. ........ Cu. Ft. ...
Type of Constructio !'.......... Est. Cost ..� 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 forth and in compliance with all provisions of
ordinances of the village of Fridley.
.�.......
In consideration of the payment of a fee of $. /.. /®., permit is h,4 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 village limits and this permit may be revoked at any time upon violation of any of the provisions of said
ordinances.
PR
`r 0101,121,42
r
NOTICE:
This permit does not cover the construction, installation or alteration for wiri�umbing,heating,
sewer or water. Be sure to see the Building Inspector for sepanta p0rrrnits for these items.
City of Fridley, Minn.
BUILDING PERMIT
Date: Sn.�l.....-Y
's ..............
Owner 5r;A' .. " . �.....X,4_ . . .
Address ..:a ../d.r....
N® 33!l9
LOCATION OF BUILDING
C�
No. /..�. ..... Street .. .... .. ......... .... Part f t ... ..... .. ..
Lot ... �.. ��.... Block .................. Addition or S -Division ....... .. .. . .
.. ...
0
Corner Lot ............ Inside Lot ............ Setback ...... ...,,, Si'deyard .......`�................
a14.4.4
DESCRIPTION OF
be Used as:
....... Used ..... Front
Depth
.... Height .... ..
B �
Sq. Ft. �
Cu, Ft. � IA
.................... ont ........ Depth .......
Type of Construction ... .... .BitCost..
Height ........
`r�.®.9.�".....
Sq. Ft. ........ gL Ft. ........
To be Completed ..... .. ...
In consideration of the issuanceto a 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 ycoom�plliance with all provisions of
ordinances of the city of Fridley.
�....a,...... 17
..............
In consideration of the payment of a fee of $.:"1..., 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.
..', Building Inspector
NOTICE:
This permit does not cover the construction, Installation or alteration for Vr g, plumbing, gas heating,
sewer or water. Be sure to see the Building Inspector for separate permits for these Items.
City of Fridley, Blinn.
BUILDING PERMIT No 5 4�O
Date:
'' ' Builder
Owner: .�=;�-�--=a�����
Address _ _ __ _ _ ___ Address
LOC4.Tj2N PF BUILDING
No. -� - Street
art, Lot
t
Lot __ _ ._ Block___.___.. Addm or Sub -D ion�'`'_��,-
�_ _
Corner Lot _ __ Inside Lot _ . _.. Setback - - Sideyard ,.- ••� _ _ _ _ _
Sewer Elevation Foundation Elevation
DESCRIPTION .OF BUILDING
To be ]sed as: ,
r
Front Depth Height. _ Sq. Ft. Cu. FtC`
Front _ Depth _..._...� Height Sq. Ft. — _ Cu. Ft.
Type of Constructio Est. Cdst '� 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 forth and in compliance with all provisions of
ordinances of the city of Fridley..
In consideration of the payment of a fee of $ ' , , permit is hereby granted to—
to construct the building or addition as described above. Thispermit 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 d moving of buildings
within the city limits and this permit may be revoked at any time upon violation oof the provisions of said
ordinances. *�
Inspector
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.
Owner' a
Address
No.
APPLICATION FOR BUILUIlJG PERMIT
CITY OF FRIDLEY, MINNESOTA
LOCATION OF BUILDING
Lot 'a�,3 Block
Corner Lot Inside Lot 1-� Setback Side -Yard ZL2�
SEWER ELEVATION, FOIINDATION ELEVATION
Applicant attach to this form Certificate of Survey of Lot and proposed building
location.
DESCRIPTION OF BUILDING
Sq. Ft. V 4� 4 Cu. Ft. / g�- / t F
Front Depth Height
Sq. Ft. Cu. Ft.
Type of Construction _.�2 - �,4 Estimated Cost l �'�,,,
To be Completed
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 representations
stated in this applicati,pn are true and correct.
DATE��-
SIGNATi1RE
(A Schedule of Fee Costs can be found on the Reverse Side.)
M/1
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 .................
6.00
$
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
VENTILATING SYSTEM
ALTERATIONS & REPAIRS
ROUGH
FINAL
$
See Fee Schedule
$
TOTAL FEE
Dept. of Bldgs. Phone 560-3450
City of Fridley:
The undersigned hereby makes application for a permit for the work hereit
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./
Fridley, Minn- / ® 9 , 19
Owner && A L1*4y
Kind of Building
Used as
To be completed about U�/��
Estimated Cost, $ 'no® ,, `/
OLNew. Building Permit No. Permit No. 0g. !!
DESCRIPTION OF WORK
HEATING or POWER PLANTS --Steam, Hot Water, Warm Air—No
Trade Name Size No
Capacity Sq. Ft. E.D.R BTU H.P.
Total Connected Loa--heoKind of Fu
BURNER — Trade Nam Size No
Capacity Sq. Ft. E.D.R 000 BTU H.P.
(REMARKS—OVER$
CQJJJO�142 Business Phone
Application for Pow ing. VenAdflons o
Air Co coning Sydems and Devices
PARTIAL RATE SCHEDULE
GRAVITY WARM AIR- RATS TOTAL
Furnace Shell & Duct Work ...... .................. $10.00 $
Replacement of Furnace ........................ 1.... 6.00 $
Repairs & Alterations—up to $500.00 '................. 6.00 ' $
Repairs & Alterations each add. $500.00 ............... 3.00 $
r
Furnace Shell & Duct Work to 120,000 BTU ............ $10.00 $
each add. 60,000 BTU ....................... 3.00 $
Replacement of Furnace ............................. &00 $
Repairs & Alterations—up to $500.00 ................. 6.00 $
Repairs & Alterations each add. $500:00 .............. 3.00 $
STEAM or HOT WATER SYSTEM
Furnace Shell & cines—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 ............. ... I ..... 6.00 $
over 3 gal. per hour --See Fee Schedule
GAS BURNER (up to 199,000 BTU) ............... I.......' .. 000 $
over 189,000 BTU See. Fee Schedule ;
GAS FITTING FEES: NO RATE TOTAL
1st 3 Fixtures x$ 2.000
Additional Fixtures a .76 $
Gas Range to 199.000 ....... x$.600 $
AIR COPDI'P[ONIUG s� `—�,
FAN HEATING STSTEM See Fee schedule
TING SYSTEM
ALTERATIONS & REPAIRS TOTAL FEE �®
ROUGH
Dept. of BIdea. Phone 880-3480
L.f6iliGdBN� ✓ G .� p � - . �. FtA' -
City of Fridley:
The undersigned hereby makes application .for a permit for the work. hereir
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 facts
and representations stated in this application are true and correct.
Fridley, Minn- 1022
6
Kind of Building
Used as
To be completed about ;;e, -/4'.- 71
Estimated Cost, $ J-®'
61—New. Building Permit No. Permit No.
DEBCSIPTION OF WORK
HEATING or POWER Hot water, Warm Air—No- A
Trade Name 04i -k �ir ��.���,L`�a��v>Size No ��•� � �e
Capacity. ®��8' Sq. Ft. E.D.R BTU . '� e Q X.P.
Total Connected Load Bind of
BURNER — Trade NaatP Size No
Capacity Sq. Fi. E.D R BTV H.P.
(RU"RKS—OVER)
Signed J1,%ve 0/46" 4;-z'
By
Buslness
GRAVIMT WAY= AM. iii A`Z TOTAL
Furnace nen & Duct Work ... ... . $10.00 $-
-Replacement$--
Replacement of Furnace 6.00
'Repairs & Alterations --up to x.00 6.00 -
Repairs & Alterations each add. MW.00 3 00
I y N
Furnace Shen & Duct Work to 120,000 BTU
..$10.00
T—
eaeh add. 80,000 VM . .. ......
3.410
Repbwement of Furnace
6.00
to
Repairs 6e Alterationar-up to .00
6.00
$L -
Repairs Alteradow each add. $600.00
3.00
*— _
} Y 4iy -LD1 'y r its I
Furnace Shell & Lines -to 400 sq. ft. FMR Steam
$10.00
Furnace Shell & Line -to 640 sq. ft. EDR Hot Water
10.00
Each add. 200 sq. ft. EDR Steam
3.00Each
add. 320 sq. ft. EDR Hot Water
3.00
;— — _-- -
OIL BURNER -to 3 gal. per hour
6.00—
over 3 gal. per hour -wee Fee Schedule
GAS 111 (up to BTW
600
0
$
0M 199 FM Be& Foo 5chodule
VAS FYTi NG
NO RATE TOTAL.
Ist 3 Fixtures
x9$ 200
E-A o 0
Additional Fixtures
n .76
$- _
Gas Range to 1919
a$ 5.00,
$
AIR
>VIZA2MM STSTM 600 Fee
F"Ans TOTAL FM
so
F: J
1:
Dept. o4 MdqL Phons M -M
City of Fridley:
The undersigned hereby makes application for a permit for the work
specified, agreeing to do all work in strict accordance with the City
and ruling of the Department of Buildings, and hereby declam that all the
and representations stated in this application are true and correcL
Fridley, Main-
Kind
ain
Kind of Building
Used as b(
To be completed about
t
Estimated Cost,
Old -New. Building Permit No. __ pormit No. S59
ONorWORK
HEATING or POWER Not Water artn No -
Trade Names i � .� ��� No.&� / ®C1 13
Capacity--__ — q, 161t, E.D.R i6'1°1p
Total Connected Load of �a�r
BURNER - TradeNam Sias xo
53-8L-879 01 CITY OF FRIDLEY
APPLICATION FOR PLUMBING AND GAS FITTING PERMIT
PARTIAL RATE SCHEDULE
PLUMBING FIXTURE RATES: NO. RATE TOTAL
N=ber Fixtures
x
$3.00
q
x
$2.00
New Fixture, Old Opening
y
$2.00
Catch Basin
x
o
Water Heater - to 99,000 BTU
K
a
100,000 BTU to 199,000 BTU
water
$10.00
Water Softener
x
q
New Ground Run Old Building
x
$5.00
[ t
ya
$5.00
41
p,r
Heater
i�.�
r•1
N
E
.i 4S
W
N
Rf $4
p.
�W•i
—1
O
M
C
0
4J
kC
0
3
H
4 •C�
U
8 d
04
A'
U
N
$4
y
c
.0
C
•�
� o
O0
N
N
.0
m
U
a
N
3
w
cin
w
U q
3
c�7
o
as
lec
1st
c
nn
ct
dryer
2nd
3rd
4th
(R) = Future Connection Opening
Connected with Sewer
(*) = New Fixture, Old Opening
Water
PARTIAL RATE SCHEDULE
PLUMBING FIXTURE RATES: NO. RATE TOTAL
N=ber Fixtures
x
$3.00
Future Fixture Opening
x
$2.00
New Fixture, Old Opening
x
$2.00
Catch Basin
x
$5.00
Water Heater - to 99,000 BTU
x
$5.00
100,000 BTU to 199,000 BTU
x
$10.00
Water Softener
x
$7.00
New Ground Run Old Building
x
$5.00
Electric Water Heater
x
$5.00
GAS FITTING FEES:
lst 3 fixtures
Additional Fixtures
Gas Range to 199,000 BTU
REPAIRS $ ALTERATIONS
First $100.00
each add. $100.00 or fraction
x $3.00
X $1.00
x $10.00
State Surcharge
TOTAL FEE
REINSPECTION FEE
($30.00)
$5.00
$2.00
S
C
Job Address
120 RIVE WAY NE
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 representations stated in this application are true and correct
9-28-76
Fridley, Mn. , 19
OWNER C H MIK LAK
KIND OF BUILDING frame
USED AS res.
TO BE COMPLETED ABOUT 9-27-76
ESTIMATED COST 10.00 Q
OLD - NEW BUILDING PERMIT NO. PERMIT NO. l0/
Company
Signed By 1
Tel. No. MIN NEGASCO
ROUGH INSP.
Date
FINAL INSP. - '•'7-
Date
APPROVAL FOR PERMIT d
MINIMUM FEE FOR ANY PLUMBING PERMIT IS $7.50
'
PLWL91HG• FIXTURE RATES, NO.
a",
RITE
TOTAL
v
x
U
S
Nture !'!.•dura Opening _
u
$2.00
Nator
1:cv FLxture, Old Opening
x
•li•
_
S �_
Catch 9isin •
x
$5,00
w
I.Wator Hosyer - to 99,000 BTU '''-^
x
A
$
x
310,00
1104tor
J
.r+�
, C
11.00
M
M
h
•� A
c
e
8
h
.�
b .A
$
J'
lac 1 fixtures _
x
O
S
)Jdlticaal TLxturss -•`�
!N
51,00
N
a
x
510.00
1A
4J A
'
1A
14
1.100
r u
a
a
tn
p
w
�9
° '.uc
3
as
7r7—
(R) - Future Comactlon Opening
Connacted with SuuQC
(•) - flow -JrLg Jcej Old Opening
We. tat
-PARTIAL RATE SCHEDULE
PLWL91HG• FIXTURE RATES, NO.
RITE
TOTAL
14a:. LZ FLxtutss •
x
5].00
S
Nture !'!.•dura Opening _
�(
$2.00
S
1:cv FLxture, Old Opening
x
$2,00
_
S �_
Catch 9isin •
x
$5,00
I.Wator Hosyer - to 99,000 BTU '''-^
x
$5.600
$
100;C00 ITU to 1990000 BTU
x
310,00
9
Natac Saf caner �-
x
11.00
' Ncv Ground' loan Gid Building ,•,�_
x
15100
$
tlacrrlc Nater Neater _
x
$5,00
$
GAS FITTING FEES)
lac 1 fixtures _
x
51,00
S
)Jdlticaal TLxturss -•`�
x
51,00
_
:Gas 3ian90 to 199,000 BTU
x
510.00
5
RFA,t1 RS
'
» 4 ALTERATIONS
rirat 5100,00
each sed. $100.00 or fraction
S.t.ate Succhargo
TOTAL FEC
55,00 $
$2,00 5 ....�._„
$ .50
• 5
97 Aire rade '120 Riversedge Way
i ..r r..r.��...
Dgpartment of Wildinge '
City of Fridley 1
Tal,, 1571-3450 \
i
,I ho undarsignod hereby makes application for •a permit for the w
ap fled agruoilg•to do all work in strict accordance with the f
ali rulings of the Oopartnont of Buildings, and hereby doclaros I
the facto and roprgauntations 4tatod in this application aro trui
I Fridley, m, • 5-1-78
OIJ�IOR MICULAK '
11110 OF BUILDItIG FRAME`
USED AS XRES
TO BE C014PLETED ABOUT ' 5.-8-78
FS,TIMATVD COST
OLD NGN BUILDING PERMIT NO, PE IT ILO.
Com�a�
Signed By' MINNEGAMEGASCO
Tol. No,
ROUGII INSP. '
Dato ,
FINIEL INSP.
Dato '
APPROVXL FOR PERMIT � e
HIIIIHUH PEE FOR AIRY PLUMBING PERMIT IS 57.50 '
97 8L,-879001
CITY OF FRIDLEY
APPLICATION FOR PLUMBING AND GAS FITTING PERMIT
PARTIAL RATE SCHEDULE
PLUMBING FIXTURE RATES: NO.
RATE
M
Number Fixtures
x
$3.00
v
•
Aj0
$2.00
$
Water
x
$2.00
$
Catch Basin
x
r7
m
b
x
w
$
100,000 BTU to 199,000 BTU
Heater
$10.00
$
Water Softener
x
$7.00
$
flew Ground Run Old Building
x
$5.00
$
.a a
Cgj
$5.00
$
GAS FITTING FEES:
kec
g
O
$
Additional Fixtures
x
R
111
•.i
o
fat
O
pu
O
N
:, N
First $100.00
fa
r V
$
m
ta
3
w°
to
w
U w
.%
i3
s g.00
o
as
1st
2nd
ra
ge
3rd
4th
(R) - Future Connection Opening
Connected with Sewer
M s New Fixture, Old Opening
Water
PARTIAL RATE SCHEDULE
PLUMBING FIXTURE RATES: NO.
RATE
TOTAL
Number Fixtures
x
$3.00
$
Future Fixture Opening
x
$2.00
$
New Fixture, Old Opening
x
$2.00
$
Catch Basin
x
$5.00
$
Water Heater - to 99,000 BTU
x
$5.00
$
100,000 BTU to 199,000 BTU
x
$10.00
$
Water Softener
x
$7.00
$
flew Ground Run Old Building
x
$5.00
$
Electric Water Heater
x
$5.00
$
GAS FITTING FEES:
Ist 3 fixtures
x
'$3.00
$
Additional Fixtures
x
$1.00
$
Gas Range to 199,000 STD
x
$10.00
$
REPAIRS $ ALTERATIONS
First $100.00
$5.00
$
each add. $100.00 or fraction
$2.00
$
State Surcharge
$ .50
TOTAL FEE
s g.00
REINSPECTION FEE
(S10.00)
Job Address 120 Rivers Edge Way' N9
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 representations stated in this application are true and correct
Fridley, Mn. 8-9-78 , 19
OWNER MVULAK
KIND OF BUILDING frame
USED AS res
TO BE COMPLETED ABOUT 8-16-78
ESTIMATED COST 20®00 {
OLD - NEW BUILDING PERMIT NO.
Company D41N N rG ASCQ
Signed By
Tel. No.
ROUGH INSP.
Date
FINAL INSP. ®/ " 3e
j Date
APPROVAL FOR PERMIT
MINIMUM FEE FOR ANY PLUMBING PERMIT IS $7.50 PLUS $.SO STATE SURCHARGE
SUBJECT
PE
City of Fridley
15101,.
AT THE TOP OF THE TWINS
BUILDING PERM I T
r.
�
R CEIPT NO
• COMMUNITY DEVELOPMENT DIV.
-------
PROTECTIVE INSPECTION
r � SEC.71
{-"1 CITY HALL FRIDLEY 55432
NUMBER
REV.
DATE
PAGE OF
APPROVED BY
612-560-3450
910-F15
4/4/79
I
JOB ADDRESS 120 Rivers Edge Way N.E.
1 LEGAL
LOT NO.
BLOCK
TRACTOR ADDITION SEE ATTACHED
DESCR.
23
1
Rivers Edge Addition SHEET
2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE
C. H. Mikulak 120 Rivers Edge Way N.E.
3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO.
Milton L. Johnson Co. 2513 Central Avenue N.E.
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
Reroof house and garage
9 CHANGE OF USE FROM TO
STIPULATIONS
WARNIRIV
Before digging call local utiWsa
TELEPHONE - ELECTRIC - GSI E-tc.
REQUIRED BY LAW
SEPERATE PERMITS REQUIRED FOR WIRIN(-.
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 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
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.
$2, 00Q
$1.00
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-
.
$12.00
STRUCTION OR THEIFMANCE OF CONSTRUCTION.
_
PLAN CHECK FEE
TOTALFEE
'�tt -7
$13.00
SIGNATURE OFC TR CTOR OR AUTHORIZED AGENT 1 ATE)
.WHEN PROPERLY V IDATEDATHHIS \J.IS YOUR PERM T%
BLDG. INSP OA VE
SIGNATURE OF OWNER IIF OWNER BUILDER) (DATE)
CITY, OF FRIDLEY
APPLICATION FOR RESIDENTIAL ALTERATION,
ADDITION, OR REPAIR BUILDING PERMIT
OWNER'S NAME :(� �d I K L( t` K BUILDER: , c-1-0 ,J
ADDRESS : J �� ` ` 'S ffJQ Or kkc ADDRESS : d S 3 l.- e
NO:. 0-0 STREET:
LOT: -�3 BLOCK: / ADDITION:
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.
To Re , TJsed As:
DESCRIPTION OF BUILDING
Front: Depth:
Square Feet: Cubic Feet:
Front':
Height:
Depth: Height:
Squa a Feet; Cubic Feet: l
Type of Construction: E -P -o. P A6 tx--S cF a Estimated Cost: 02 0`�
To Be Completed: J
The undersigned hereby makes application for a permit for the work herein
specified, agreeing to do all work in st-kict 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. A
DATE: F SIGNATURE: FJ h.A
(See Reverse Side For Additional Information.)
1.
City of Fridley47M8367'
AT THE TOP OF THE TWINS
SUBJECT
BUILDING
PERMIT
Ir
• COMMUNITY DEVELOPMENT DIV.
PROTECTIVE INSPECTION SEC.
1 i � CITY HALL FRIDLEY 55432
L J\ 612-571-3450
R EIPT 49N
All
P
NUMBER
910-F15
REV.
DATE
4/8/86
PAGE OF
f
APPROVED BY
JOB ADDRESS 120 Rivers Edge Way
1 LEGAL
DESCR.
LOT NO.
23
BLOCK
1
TRACT OR ADDITION
11 Rivers Edge Addition
SEE ATTACHED
SHEET
2 PROPERTY OWNER MAIL ADDRESS
ZIP PHONE
Catherine Mikulak 120 Rivers Edge Way N.E.
571-3953
3 CONTRACTOR MAIL ADDRESS
ZIP PHONE LICENSE NO.
Milton L. Johnson Company 2513 Central Avenue N.E., Mpls. 55418 781-9548
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
8 DESCRIBE WORK
Alter kitchen and install concrete walk in front
yard
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 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
I
ISTALLS 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
$1,000
SURTAX
$.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-
STRUCTION OR THE PERFORMANCE OF CONSTRUCTION.
$17.50
PLAN CHECK FEE
TOTAL FEE
$18.00
SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT (DATE)
WHEN PROPERIA VALIDATED THIS IS YOUR PERMIT
' y
BLDG INSP
/o c� 9�
ATE
SiGNATURE OF OWNER IIF OWNER BUILDER) IDATEI
r
NEW [ ]
/ ADDN. [ ]
ALTER. [ ]
Construction Address:
Legal Description
City of Fridley
FR -1 AND R-2
Building Permit Application
Property Owner/Address:
Contractor: `
Address:
LIVING AREA:
GARAGE AREA:
DECK AREA:
OTHER:
AJ N
Attach to this application, a Certificate of Survey of the
lot, with the proposed construction drawn on it to scale.
DESCRIPTION OF IMPROVEMENT
Effective 4/1/84
Tel. ,#
Tel. #
Length
Width
Height
Sq.
Ft.
Length
Width
Height
Sq.
Ft.
Length
Width _
Hgt/Ground
Sq.
Ft.
Corner Lot [ ] Inside Lot [ ] Ft. Yd. Setback Side Yard Setback
/
Type of ConstructYo' Estimated Cost: $ '
n: �=�/�
Approx. Completion Date:
Proposed Driveway Width If New Opening Is Desired:
Alt. A Alt B
See Back Page for Explanation
DATE: T ' APPLICANT: 1A Tel.
CITY USE ONL
Permit Fee
Plan Check
State Surcharge
SAC Charge
Park Fee
Sewer Main Charge
TOTAL
STIPULATIONS:
Fee Schedule on Reverse Side
25% of Building Permit Fee
$.50/$1,000 Valuation
$425 per SAC Unit
Fee Determined by Engineering
Agreement Necessary [ ] Not Necessary [ ]
e
SUBJECT
PERMIT NO.
City of Fridley,
1
AT THE TOP OF THE TWINS
BUILDING
PERMIT
RE
Ir
• COMMUNITY DEVELOPMENT DIV
� may_------,
r I PROTECTIVE INSPECTION SEC
3c?7
NUMBER
REV
DATE
PAGE OF
APPROVED BY
/--->< CITY HALL FRIDLEY 55432
612-571-3450
910415
8/24/94
JOB ADDRESS 120 River Edge Way NE
1 LEGAL
LOT NO.
BLOCK
TRACT OR ADDITION
SEE ATTACHED
DESCR.
23
1
Rivers Edge Addition
SHEET
2 PROPERTY OWNER MAIL ADDRESS
ZIP PHONE
Peter/Linda Borman 120 River Edge Way NE
571-4479
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
Residential
7 CLASS OF WORK
OX NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE REMOVE
X
8 DESCRIBE WORK
COnstruct a 28' x 26' Detached Garage; Remove existing
detached garage
9 CHANGE OF USE FROM TO
STIPULATIONS
Provide a hard surface driveway 3' from side property line. See
notations on plan. Provide smoke detectorsasper UBC 1210 adjacent to all sleeping
areas and in basement.
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 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
$12,274
$6.14
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
$144.00
Fire SC 12.27
PLAN CHECK FEE
TOTAL FEE
EN PRO
162.41
RLY V (DATED THIS IS OUR PERMI
L UAE OF CONT T OR AUTHORIZED AGEN DATEi
®r
e-�/DATEi
A��w
r --- -
BLDG �N SP f
S, ATURE OF DU NE F OWNER BUILDER) 1DI ,
e
NEW Effective 1/l/94
AEON CITY OF FRIDLEY
ALTER SINGLE FAMILY AND DUPLEXES R-1 AND R-2 7Z
Building Permit Application
Construction Address: k "
e a,�
Legal Description:
Owner Name & Address: Tel. # J7�/—, �*Xg
Contractor: MN LICENSE #
Address:
Attach to this application, a Certificate of Survey of the
lot, with the proposed construction drawn on it to scale.
DESCRIPTION OF IMPROVEMENT
Tel. #
LIVING AREA: Length Width Height Sq. Ft.
GARAGE AREA: Length Width Height Sq. Ft
DECK AREA: Length Width Hgt/Ground _ Sq. Ft.
OTHER:
Comer Lot [ ] Inside Lot LA Ft. Yd Setback Side Yard Setbacks
Type of Construction: Alea-,- Estimated Cost: $ 000,
Approx. Completion Date: 402- 1
(Cost on Back)
Driveway Curb Cut Width Needed: Ft. + )qtj= _,Ft x $ = $
DATE: APPLICANT: WLZ&, Tel. #
Permit Fee
Fire Surcharge
State Surcharge
SAC Charge
License Surcharge
Driveway Escrow
Erosion Control
Park Fee
Sewer Main Charge
TOTAL
$ lqq,, oo
$
$
$1.6Lq
Fee Schedule on Reverse Side
-.001 of Permit Valuation (1/10th%)
$.50/$1,000 Valuation
$800 per SAC Unit
$5.00 (State Licensed Residential Contractors)
Alt. "A" or Alt. "B" Above
$450.00 Conservation Plan Review
Fee Determined by Engineering
Agreement Necessary [ ] Not Necessary
STIPULATIONS- C
rWq'ne oR. 5-5631
Keith R' Caswell, Jr.'
Registered Professional Engineer and Land Surveyor
5722 Wayzata Blvd. Minneapolis 16, Minn.
! vAT O S
OF PROPERTY QF • - /�%1 `�'K �. QN�'S _ -�-- - - ._.... .. _ . Gk -
descrtbed as follows:
O %1. �1r7 J, 9/1/6/-,E�jc"
Back--., —Page—
Scale:
ag e
-—
Scole: 1, Inch
e i•
Ar
,; ��,�;,.=fir � •� t
Pre.
1 11 A Vy .--• ,
s r { ^I ;
-.:
t�
a a
EWE
i' N�2
>"'�3
�.. ..,f � r y2•'roi.(.' —`�' �.�� itYx�t ..F.�`'S$ _�' F.� 7'c — u'./ -i7
n.,p� V
'%
SUBJECT
PERMIT NO.�-
City of Fridley
26100
AT THE TOP OF THE TWINS
BUILDING PERM,
l
o
COMMUNITY DEVELOPMENT DIV.
~
r PROTECTIVE INSPECTION SEC.
NUMBER
REV
DATE
PAGE OF
APPROVED BY
CITY HALL FRIDLEY 55432
612-571-3450
910-F15
5/28/98
JOB ADDRESS 120 River Edge Way NE
1 LEGAL
LOT NO. BLOCK
TRACTOR ADDITION
SEE ATTACHED
DESCR.
23 1
Rivers Edge Addition
SHEET
2 PROPERTY OWNER MAIL ADDRESS ZIP
PHONE
Pete Borman 120 River Edge Way NE
571-4479
3 CONTRACTOR MAIL ADDRESS ZIP
PHONE LICENSE NO
Craftsmen Exteriors 13570 Grove Dr X6116, Maple Grove, MN 55311 689-0195
4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP
PHONE LICENSE NO.
20093753
5 ENGINEER MAIL ADDRESS ZIP
PHONE LICENSE NO.
6 USE OF BUILDING
Residential
7 CLASS OF WORK
❑ NEW ❑ ADDITION 0 ALTERATION C:k REPAIR
CI MOVE ❑ REMOVE
8 DESCRIBE WORK
rxigxxxx e ace
Residing, Reroofing, window
9 CHANGE OF USE FROM TO
STIPULATIONS
Underlayment must comply with the State Building
Code. Install building
wrap and have inspection of same. Install smoke detectors to meet the State Building
Code - in each sleeping room and on all levels of house.
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
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
$9,000
$4.50
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
PR VISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON-
$149.75
Fire SC $9.00
STR TION OR THE�PERFOR CE OF CONSTRUCTION.
\
PLAN CHECK FEE
TOTAL FEE
za5/�
License SC $5.00
$168.25
IG ATUREOFCO TRACT ORA N RIZEDAGENT IDATEI
WHEN PROPS VALIDATED THIS IS YOUR PERMIT
G INSP
0-
T -0--A
GATE
S,GNATURE
S,GNATURE OF OWNER pF OWNER BUILDERI IDATEI
'%
NEW [ ] Effective 1/1/98
ADDN [ ] CITY OF FRIDLEY
ALTER V4 SINGLE FAMILY AND DUPLEXES R-1 AND R-2
BUILDING PERMIT APPLICATION
ConstructionAddress: 00 k" 'V'104 AC -D66- 110h Y
Legal Description:
Owner Name & Address: P6 -1f- (>Oiiri 4AI Tel. # S 7/ -Y!;�'79
Contractor: 0
aL,9-ice m45N �'i�c-i a�, S MN LICENSE # 26093175 3
Address: 135 -20 VP- mhra 6".,,4 ma 2311 Tel. #
Attach to this application, a Certificate of Survey of the
lot, with the proposed construction drawn on it to scale.
LIVING AREA:
GARAGE AREA:
DECK AREA:
OTHER:
DESCRIPTION OF IMPROVEMENT
Length Width Height
Length Width Height
Length Width Hgt/Ground
Sq. Ft.
Sq. Ft.
Sq. Ft.
Construction Type: 5; D r AA, , �4 , &)N,,a Estimated Cost: $ 060,
(Fee Schedule on Back)
Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ _ $
- eY0#DATE: APPLICANT:
TOTAL $ s�
STIPULATIONS:
CITY USE ONLY
Permit Fee
$ "7 �%�
Fee Schedule on Reverse Side
r ire Surcharge
$ 06
.001 of Permit Valuation (1 / 10th %)
State Surcharge
$ ,57
$.50/$1,000 Valuation
SAC Charge
$
$1000 per SAC Unit
License Surcharge
$ S-,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 $ s�
STIPULATIONS: