PRE 2010 DOCS3a
City of Fridley, Mim. N° 8497
BUILDING PERMIT
Date:_ SEPTEMBER 29, 1965
Owner: HELEN NIKULAK Builder SAME
Address 129 Rivers Edge Way N. E. Address
Fridley 21, Minnesota
LOCATION OF BUILDING
No. 129 stmt Rivers Edge Way Part of Lot
Lot 9 _ Block 2 Addition or Sub -Division . Rivers Edte IM Additip_4
Corner Lot Inside Lot Setback Sideyard
Sewer Elevation Foundation Elevation
DESCRIPTION OF BUILDING
To be Used as:
D. Garage Front 22 Depth 24 Height 10 Sq. Ft. 528 Cu. pt, 5,280
Front Depth Freight Sq. Ft. Cu. Ft.
Type of Construction Frame Est. Cost_ 1 000.00 __ To be Completed
In consideration of the issuance to me of a permit to construct the building described above, I agree to do
tht proposed work in accordance with the description above set forth and compliance with all provisio of
ordinances of the city of Fridley. A/ >"
In consideration of the payment of a fee of $ 5.00 , permit is hereby granted to HELEN
NIKOLAK 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.
ALLEN G. JENSEN Inspector
NOTICE:
M pembt does not cover the construction, hwtaUdlen for wlrk& phtmhlng, gas. heatln& sewer or water. Be wre to am
the Bonding Inspector for separate permfls for these fteum
APPLICATION FOR BUILDING PERMIT
CITY OF FRIDLEY, MINNESOTA
OWNER'S NAME BUILDER
ADDRESS li(J ADDRESS
LOCATION OF BUILDING
N0. _ a STREET -.=PAROF LOT
LOT" o�.- ADDITION OR SUBDIVISI �"-,t�' , � -,_ '• -
CORNER LOT INSIDE LOT SETBACK
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 as:
Front Depth41 Height
Sq. Ft. ��� C� Cu. Ft._ �
Front Depth Height
Sq. Ft. Cu. Ft.
. Z I
Type of Constructs 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 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 - cP� - 4"' - SIGNATURE
(Schedule of Fee Costs can be found on the Reverse Side).
.0'r -•�*
g7 - -1,16o51 CITY OF FRIDLEY
• APPLICATION FOR PLUMBING AND GAS FITTING hFNtIT
PARTIAL RATE
SCHEDULE
PLUMBING FIXTURE RATES:
NO.
RATE
TOTAL
ttuaber Fixtures
U
.
Future Fixture Opening
In
$2.00
Water
flew Fixture, Old Opening
X
b
a
• F
01
H
C..
m
yy, .
o
m A f+
pa,
w
e�
.$5.00
heater
100,000 BTU to 199,000 BTU
u
•1
$
K
VI
$7.00
C
New Ground Run Old Building
x
$5.00
$
Electric Water -Heater
x
v
$
1
�0
Nqq
n'Ao
8
roh m
N
O
r U
to
Pq
.3
O 4.
V1
W
U fA •i 3
a9
eC
=
29
R
ver
ed a
ay
�d
(R) -.Future Connection opening
Connected with Sewer
(•) New Fixture, old opening
Water
PARTIAL RATE
SCHEDULE
PLUMBING FIXTURE RATES:
NO.
RATE
TOTAL
ttuaber Fixtures
--�- X
$3.00
$
Future Fixture Opening
x
$2.00
$ `
flew 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
$
^AS FITTING FEES:
13t 3 fixtures x' '$3.00 $
Additional Fixtures x $1.00 $
Gas Psnge to 199,000 BTU x $10.00 $
(REPAIRS 6 ALTERATIONS
First $100.00• $5.00 $
each add. $100.00 or fraction $2.00 $
State Surcharge $ .50
TOTAL FEE S 8.00
IMINSPECTION FEE
Job Address 129 inersedge Way'
Department of Buildings
City of Fridley
Tel. N571-3450
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. 3-19-79 , 19
OWNER MIKE ,
KIND OF BUILDING frame
USED AS res.
• r
TO BE COMPLETED ABOUT • 3-26-79
ESTIMATED COST 30.00
OLD - NEW BUILDING PERMIT N0. PERMIT NO. rlq�,
Company
Signed By
Tel. No.
ROUGH INSP. '
Date •
FINAL INSP.
Date ,
APPROVAL FOR PERMIT e
MINIMUM FEE FOR ANY PLUMBING PERMIT IS $7.50 PLUS $.SO STATE SURCiiARG•E
SUBJECT
O.
City of Fridley
3373
AT THE TOP OF THE TWINS
BUILDING PERMIT
RE
�• _ COMMUNITY DEVELOPMENT DIY.
INSPECTION SEC.
r I PROTECTIVE
NUMBER
REV
DATE
PAGE OF
APPROVED BY
i 0,--- tCITY HALL FRIDLEY 55432
---.�;
1 763-571-3450
910-F15
7/24/03
JOB ADDRESS 129 River Edge Way NE
1 LEGAL
LOT NO.
BLOCK
TRACT OR ADDITION
SEE ATTACHED
DESCR.
9
2
1 River Edge Addition SHEET
2 PROPERTY OWNER MAILADDRESS
ZIP PHONE
Aaron Hawkinson, 129 River Edge Way, Fridley, MN 55432 612-919-1429
3 CONTRACTOR MAIL ADDRESS
ZIP PHONE LICENSE NO
Same as above
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
UX NEW ❑ ADDITION ❑ ALTERATION O REPAIR O MOVE 0 REMOVE
B DESCRIBE WORK
Construct garage addition
9 CHANGE OF USE FROM
TO
STIPULATIONS
See notations on plans.
WARNING
Before digging call fov
all utility locations
40002REQ
iE PERNT
EQUIRD Y LAW
UIRED FOR:
UUBR NG HEATIN
PLUMBIWANA 919%8
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 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
ISTALLS GARAGES
AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS
VALUATION
SURTAX
AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED
$5,306.40
$2.65
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-
SXXXX $125.25
Fire SC $5.31
STRUCTION OR THE PERFORMANCE OF CONSTRUCTION
PLAN CHEC FEE
TOTALFEE
$133.21
$I NATURE OF CONTRACTOR OA AUTHORIZED AGENT IDATEI
EN PROPERLY VALIDATED THIS IS YOYR PERMI
4
'"��� / � '•
Com/ • Y ��
LDG INSP IAtE
SIGAT
NURE OF OW NEA OF OwNE R BUILDERI IDATEI
NEW [ ]
ADDN [�}
ALTER [ ]
Construction Address:
CITY OF FRIDLEY ective 1/1/2003
6431 University Ave NE, Fridley, MN 55432 ) 72-3604 Bldg In
SINGLE FAMILY AND DUPLEXES R-1 AND R-2 (763) 71-1287 Fax 3
BUILDING PERMIT APPLICATION /�� D
Z/ Pte' C4 F "
Legal Description:
Owner Name &Address: /z9 '✓ �� i= 4 P Tel. #
Contractor. 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: ength — Width
Z
Height
Sq. Ft.
DECK AREA: 1 e , ,,,L.e j A0 Width
Hgt/Ground
Sq. Ft.
OTHER:
Construction Type: Estimated Cost: $ 51
Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ —=$
DATE: /p� APPLICANT: ^� � ,-, 1r, :, .00" Tel. # �/L
Call (763) 572-3604 for Permit Fees if mailing in application. Fax to 763-571-1287 if using credit card and we will
call you for card number.
Permit Fee
Fire Surcharge
State Surcharge
SAC Charge
License Surcharge
Curb Cut Escrow
Erosion Control
Park Fee
Sewer Main Charge
$ /���• 05
$ 613/
$��
TOTAL $ w�
CITY USE ONLY -
Fee Schedule on Reverse Side
.001 of Permit Valuation (1/10th%)
$.50/$1,000 Valuation
$1275 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 [ ]
Building
MECHANICAL
Permit No.''.4
Inspections
RESIDENTIAL APPLICATION
Received By:
763-572-3604
CITY OF FRIDLEY
mate Recd: (�
763-502-4977 FAX
EFFECTIVE 1-1-2010
DATE I�7 YOUR E-MAIL ADDRESS
SITE ADDRESS , ✓ P - IF Lf 1
THIS APPLICANT IS: ;KOWNER ❑CO TRACTOR
PROPERTY
NAME:
OWNER/
ADDRESS: 177 /=e 1e- �c�� i L^ tt �' CITY ✓ �STATEAfA%GIP SS 5i'
TENANT
PHONE: K /Z )? 0'Y2
CONTRACTOR
COMPANY NAME:
CONTACT PERSON:
SUBMIT A COPY OF
YOUR STATE
STATE LICENSE # EXP DATE
LICENSE WITH
ADDRESS: CITY STATE ZIP
APPLICATION
PHONE FAX
PERMIT TYPE
JGLE FAMILY ❑ TWO FAMILY ❑ TOWNHOUSE
TYPE OF WORK:
❑ REPLACEMENT ❑ ALTERATION/REMODEL
�r
DET D DESCR)PTION OF WORK+tiChi � P T®
FEES ARE BASED ON $10.00 PER FIXTURE, EXCEPT WHERE NOTED. FIXTURES: (INDICATE TOTAL NUMBER OF EACH BELOW)
PROVIDE HEAT LOSS CALC'S PER MANUA 2006 ASHRAE HANDBOOK
V'^ MODEL: z ixopc- 33 SIZEBTU 7 -i
Equipment Installed MFG: eet)tale.
MFG: MODEL: SIZEBTU
MFG: MODEL: SIZEBTU
$25.00 REPLACE (GAS) $15.00 _GAS RANGEIOVEN $10.00
_A/C
TO AIR EXCHANGEER $15 _FIREPLACE (WOOD) $35.00 _NEW GAS GRILL $10.00
_AIR
$35.00 $35.00 _GAS UNIT HTR $10.00
_BOILER _FURNACE
CHIMNEY LINER $10.00 GAS DRYER $10.00 _POOL HEATER $35.00
DUCT WORK $10.00 • dAS PIPING $10.00 VENTILATOR $15.00
"
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L
THIS IS AN APPLICATION FOR A PERMIT-NOT VALID UNTIL PROCESSED
I hereby apply for a building permit and I acknowledge that the information above is complete and accurate; that the work will be in
conformance with the ordinances and codes of the City of Fridley and with the Minnesota Construction Codes; that I understand this is
not a permit but only an application for a permit and ork is not to start without a permit; that the work will be in accordance with the
approved plan in the case of all wor-kVbich requires r view approval of planes.
/ / ) C
l iG� L- G� 1�i j® DATE
SIGNATURE OF APPLICANT PRINT NAME
APPROVAL INSPECTORS SIGNATURE (l' DATE
_„p _..
City of Fridley
BuI ng Inspections Department
6431 University Avenue NE, Fridley, MN 55432
763-572-3604 FAX: 763-502-4977