PRE 2010 DOCSCity of Fridley, Minn..
BUILDING PERMIT N®
Date: .. .....I .............................
322'
owner ....................................... Builder ,..,:...ate ....: ......:...........
Address...................................... Address.....................:�......................
r + LOBATION OF BUILDING
No. .. ... Street .. .-.... .... .. ............... Part oi? Lot ..... ..............
Lot ...,......... Block .......... .. Addition or Sub Division ........ ..._
Corner Lot ............ Inside Lot ... ....... Setback .:.. ®... Sideyard ...`...... .::...........
DESCRIPTION OF BUILDING
To Used as:
y.
.. :.......
Front,Q
;'a'.
Depth .. .. Height ... :...
Sq. Ft .....: Cu Ft ...:... .
....................
Front
........
Depth ........ Height ........
u.
Sq. Ft. ........ CFt. ........
Type of Construction
em
................. •met. Cost./.,.. .........
To be Completed ...................
ALr
Y
®°�
(� Qi Y In consideration of the issuance to me of a permit to construct the b ding . desribed above, I agree to do
the proposed work in accordance with the description above set d compliance with all provisions of
I ordinances of the city of Fridley. _
..... ...... ..
�., permit is hereby granted i'� r f° `T
In consideration of the payment of a fee of $ ..
......................... 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.
�r
... .. Building Inspector
NOTICE:
This permit does not cover the construction, Installation or alteration for wiring, plu ing, gas heating,
sewer or water. Be sure to see the Building Inspector for separate permits for these Items.
City of Fridley, Minn.. N0 10185
BUILDING PERMIT
Date: April 14, 1969
owner: Jerome Krist Builder B. W Bar$ta .o In—
Address 148 Riversed8e Way Address 7101 Hwy 65 N. E-,
LOCATION OF BUILDING
No. 148 Street - Riversedge Way --- Part of Lot
Lot 12 Block 1 Addition or Sub -Division — River e: Addn
Corner Lot Inside Lot — Setback __- Sideyard
Sewer Elevation _ _— _ — Foundation Elevation
DESCRIPTION OF BUILDING
To be Used as: 151611 22' 8'
Garage & Storage Front 15'6" Depth 46' Height 10' Sq. Ft. Cu. Ft. 9858
Alterations Front Depth Height Sq. Ft. Cu. Ft.
Type of Construction Mas gM & FrEst-Cost 5 5 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 t forth nd in cam ante with all provisions of
ordinances of the city of Fridley. UJ.
In consideration of the payment of a fee of $ 18.00 , permit is hereby granted to D • W. Hars tad Co . , Inc .
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 anworkmen, in all work.
,7Ld
thdty limits and cce. ���guilding
�inspector
Clareace Belisle
NOTICE:
This permit doer not cover the Construction, hutanation for wiring, piing, gas heating, sewer or water. Be sur® to we
the Building hnpector for separate permits for these items.
J, -�
APPLICATION FOR BUILDING PERMIT
CITY OF FRIDLEY, MINNESOTA
owNEFt PS NAME Jerome KA"t
BUILDER D. W. Hautad Co., Inc.
ADDRESS 148 Rivefusedge Way ADDRESS 7101 Hwy 65 N.E.
N0, 148 STREET
LOT 12
COR NM LOT
LOCATION OF BUILDING
Rfveuedge Way
BLOCK 1 ADDITION OR SUBDIVISION Ri.veAedge Addition
INSIDE LOT X SETBACK 38' SIDEYARD 5'
SEWER ELEVATION TOP OF FOOTING
Applicant attach to this form Two Certificates of Survey of Lot and
proposed building location drawn on these Certificates.
DESCRIPTION OF BUILDING
To B sed 'Af Re�s.c dni a,2
f Front 15f6" Depth 46' Height
fi
6 Square feet 713' Cubic Feet
r�"or,' cont Depth Height _ 0-e
Square feet
Cubic Feet
Type of ConstructionMadonkq 6 Jtame Estimated Cost $5,000.00
To Be Completed Sept 1, 1969
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
4-14-69
(Schedule of Fee Costs can be
AN.w.
SIGNATURE
found on the Reverse Side.)
GERALD T Coyma
300i3PtJN',J<-- ALS. , LOT SURVEYS COMPANY
LAND �t 10 EN ()R�
REGISTERED u"ER LAPS Or STATE OF KINIMSOTA
IJCtNSED By ORDINANCE OF CITY Or MX"APOLIS
iGAt:IND&S TPtA,-
CITYXITS: pry Certificate
Survey fur;
J --ROME KR IST
r
'T 17
.38
44 1' N
r
C!
aI17.41
Lot 12, Block 1,
RIVER hMGE ADDITION
Wqhe'reby certify that this is a true and correct represents.
tiqlm"011-O'SuiveY Of the boundaries of the above describedehdSigned
-" "e location Of all buildings and visible encroach
'rmiits, if.any, from or an said land. LOT SURVEY.,
JAd
us this ri day of 1961.
ji
'T 17
.38
44 1' N
r
C!
aI17.41
Lot 12, Block 1,
RIVER hMGE ADDITION
Wqhe'reby certify that this is a true and correct represents.
tiqlm"011-O'SuiveY Of the boundaries of the above describedehdSigned
-" "e location Of all buildings and visible encroach
'rmiits, if.any, from or an said land. LOT SURVEY.,
JAd
us this ri day of 1961.
CITY OF FRIDLEY INSPECTION DIV. " Effective On January 1, 1991
6431 University Ave NE
Fridley, MN 55432 APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION,
572-3604 REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES , l'
JOB ADDRESS
RATE SCHEDULE
The undersigned hereby makes application for a permit for the work
Residential Rate TOTAL herein specified agreeing to do all work in strict accordance with the
Furnace Shell and Duct Work, Burner - city codes and ruling of the Building Division, and hereby declares
Also Replacement Furnace $ 20.00 $ ��� that all the facts and representations stated in this appl'�at re
true and correct. 03
Gas Piping (Needed with new furnace) $10.00 $ �� T
OWNER _
Gas Range $ 10.00 $
BUILDING USED AS
Gas Dryer $10.00 $ ®o
ESTIMATED COST �a® PERMIT NO. /% lel
*Air Conditioning - All Sizes $10.00 $
All Others/Repairs & Alterations (LIST ON BACK)
1 % of Value of Appliance or Work $
Commercial/Industrial
1 % of Value of Appliance or Work $
State Surcharge $ .50—
TOTAL FEE $
MINIMUM FEE FOR ANY HEATING/COOLING/VENTILATION
REFRIGERATION/AIR CONDITIONING PERMIT IS $15.00
PLUS THE $.50 STATE SURCHARGE
REINSPECTION FEE $30.00
*Air Conditioners can not be placed in a side yard without
written permission from adjoining property owner.
DESCRIPTION OF FURNACE AND OR BURNER
No. of Heating Units _/ Circle One (Steam) (Hot Water arm Air
Trade Name 4)14-e-141_1 Size No.--"?
BTU —/ZZ7—®c HP EDR
Fuel Total Connected Load
Burner Trade Name Size No.
BTU HP EDR
HEATING COMPANYW�,eP AAX�_
Signed
Approved By �2 Rough -in Date Final Date
FILL OUT BACK SIDE FOR STACK VERIFICATION ON
REPLACEMENT FURNACE
CHIMNEY AND STACK VERIFICATION
The undersigned hereby verifies that the existing chimney or stack:
1.
Has been carefully examined
Yes
(>Q
No ( )
2.
Is free from rust or deterioration
Yes
(
No ( )
3.
Has no foreign objects lodged within
Yes
No ( )
4.
Is securely supported
Yes
(X)
No ( )
5. Meets all current Code requirements for
size and total BTU's connected r Yes No ( )
6. Has total heating BTU's of
All other BTU's
TOTAL BTU's 7.
Remarks
List Alterations Being Done:
Ap'-,ye, E 4 ,- e-
,Z/,p 7 &Z3
HEATING COMPANY��
Signed By
Date �-®�
SUBJECT
PERMIT NO.
City of Fridley
9
AT THE TOP OF THE TWINS
BUILDING
P E R
M I T
r
RECEIPT NO.
' '
COMMUNITY DEVELOPMENT DIV
r L PROTECTIVE INSPECTION SEC
L
NUMBER
REV
DATE
PAGE OF
APPROVED BY
/"'1 CITY HALL FRIDLEY 55432
1"' 612-571-3450
910-F15
11/27/95
JOB ADDRESS 148 River Edge WayNE
1 LEGAL
LOT NO.
BLOCK
TRACT OR ADDITION
SEE ATTACHED
DESCR.
12
1
River Edge Addition
SHEET
2 PROPERTY OWNER MAIL ADDRESS
ZIP
PHONE
Karen Clark 148 River Ede Way
296-8154
3 CONTRACTOR MAIL ADDRESS
ZIP
PHONE LICENSE NO.
Allstar Construction 3315 N Hwy 100 M ls. MN 55422
593-5325 3247
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 r REPAIR
❑ MOVE ❑ REMOVE
8 DESCRIBE WORK
Reroof House 27 S Tear -off
9 CHANGE OF USE FROM TO
STIPULATIONS
Underlayment must comply with the State Building
Code.
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' ISTALLS
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
160
$1.08
WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT
$29
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
TOTALFEE
License SC $5.00
$82.91
SIGNATUREOF CONT RACTOR OR AUTHORIZED AGENT (DATEI
WHEN PROPER VALIDATED THIS IS YOUR PERMIT
,y
S.GNATURE OF OWNERIIF OWNER BUILDER) (DATE)
BL G )NSP
MATE
NEW ( ]
ADDN [ ] CITY OF FRIDLEY
ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2
Building Permit Application
Effective 8/l/95
ConstructionAddress:
Legal Description:
Owner Name &Address: q(W Tel. #
Contractor: �f��1�" _ MN LICENSE #
Address: I5A) h4wM0-�-� ��Z�� Tel. # 5 -53' _
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:
Comer Lot [ ] Inside Lot [ ] Ft. Yd Setback Side Yard Setbacks
Type of Construction:
a
Estimated Cost: $
Approx. Completion Date: 2, / j / G �0
//6,
_
(Cost on Back)
Driveway Curb Cut Width Needed:
Ft. + 6 Ft = Ft x $ _ $
DATE: it /a 7 / 9� 5
_ APPLICANT:
E,- Tel. #, •5
CITY USE ONLY
Permit Fee
$ 2y 7S
Fee Schedule on Reverse Side
Fire Surcharge
$ �. �� �. �' `'
.001 of Permit Valuation (1/10th%)
State Surcharge
$ Pc)
$.50/$1,000 Valuation
SAC Charge
$
$850 per SAC Unit
License Surcharge
$ Sa v
$5.00 (State Licensed Residential Contractors)
Driveway Escrow
$
Alt. "A" or Alt. "B" Above
Erosion Control
$
$450.00 Conservation Pian Review
Park Fee
$
Fee Determined by Engineering
Sewer Main Charge
$
Agreement Necessary [ ] Not Necessary
TOTAL
$Z2"
1AS
STIPULATIONS:
*jCITY OF FRIDLEY INSPECTION DIV. Effective On August 1, 1995
6431 University Ave NE
Fridley, MN 55432 APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION,
572-3604 REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES
RATE SCHEDULE
Residential Rate TOTAL
Furnace Shell and Duct Work, Burner —
Also Replacement Furnace $ 30.00 $ . 00
(Side Vent — Fill'Out Back)
Gas Piping (Needed with new furnace) $10.00 $ L u ; _011a
Gas Range $ 10.00 $
Gas Dryer $ 10.00 $
*Air Conditioning — All Sizes $ 25.00 $
All Others/Repairs & Alterations (LIST ON BACK)
1% of Value of Appliance or Work $
Commercial/Industrial
1.25% of Value of Appliance or Work $
State Surcharge .50
TOTAL FEE $�1,
MINIMUM FEE FOR ANY HEATING/COOLINGNENTILATION
REFRIGERATION/AIR CONDITIONING PERMIT IS $25.00
PLUS THE $.50 STATE SURCHARGE
REINSPECTION FEE $42.00/Hr
*Air Conditioners can not be placed in a side yard without
written permission from adjoining property owner.
JOB ADDRESS
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.
-1) ,1995
OWNER
BUILDING USED AS�
ESTIMATED COST CY-7 Q 00 PERMIT NO. lc2 / j>S
DESCRIPTION OF FURNACE AND OR BURNER
No. of Heating Units_j_ Circle One (Steam) (Hot Water (:arm
Trade Name F�,,„„ Size No. -z
BTU �,,,� HP EDR
Fuel Total Connected Load
Burner Trade Name Size No.
BTU HP EDR
HEATING COMPANY 9ANDARDKONG MID AI'R�CONNDMONINGco'
NNNEAP®LIS, MN 55409.2998
Signed By 612-r74 `Utel No.
Approved By Rough—In Date Final Date
FILL OUT BACK SID OR STACK VERIFICATION ON
REPLACEMENT FURNACE
CHIMNEY AND STACK VERIFICATION
The undersigned hereby verifies that the existing chimney or stack:
1.
Has been carefully examined
Yes {)
No
( )
2.
Is free from rust or deterioration
Yes ()
No
( )
3.
Has no foreign objects lodged within
Yes
O No
( )
4.
Is securely supported
Yes ()
No
( )
5.
Meets all current Code requirements for size
and total BTU's connected
Yes ()
No
( )
6
Has total heating BTU's of
All other BTU's
TOTAL BTU's
7.
Has a liner been provided for water heater
Yes ()
No
( )
S.
Has combustion air been provided for water heater
Yes ()
No
{ )
Remarks:
List ALTERATIONS Being Done:
HEATING CO:
Signed By:
Date:
A'
Building
BUILDING
Permit No.:� J io(0462
Inspections
RESIDENTIAL APPLICATION
iVQ:. -.
763-572-3604
$
ft%J
Surcharge
CITY OF FRIDLEY
Date . ' �
763-502-4977 FAX
$
$5.00 (State Licensed Residential Contractors)
EFFECTIVE 1-1-2010
.
DATE 6 D YOUR E-MAIL ADDRESS
Curb Cut Escrow
SITE ADDRESS
ft + kft = ft x $24 = $
Erosion Control
THIS APPLICANT IS:
❑ OWNER ❑CONTRACTOR
Park Fee
PROPERTY OWNER/
NAME: -)40('Jq h
Sewer Main Charge
TENANT
ADDRESS: i4$IQ�\lyr a jn/cw CITY rl,:d e�g
STATE ZIP
$ Y 4h
PHONE:
CONTRACTOR
NAME: F/:dl-eLL
SUBMIT A COPY OF
UMIk
YOUR STATE LICENSE
STATE LICENSE # 2 h 10— 1 4%,1J EXP DATE
AND CERTIFICATE OF
ADDRESS: CITY
STATE ZIP
INSURANCE
PHONE FAX
PROPERTY TYPE
❑ SINGLE FAMILY/NEW CONSTRUCTION SIZE
❑ TWO FAMILY/NEW CONSTRUCTION STORIES
PERMIT TYPE
❑ ADDITION ❑ GARAGE/SHED ❑ WINDOWS
❑ BASEMENT FINISH ❑ ROOF ❑ DRAIN TILE
❑ DECK ❑ SIDING ❑ OTHER
❑ SWIMMING POOL
TYPE OF WORK:
❑ NEW HOME CONSTRUCTION ❑ ADDITION
❑ MAINTENANCE/REPAIR ❑ REMODELING
DESCRIBE WORK BEING DONE:
SIZE OF IMPROVEMENT
LENGTH WIDTH HEIGHT SQ FT
ROOFING
❑ HOUSE ONLY
NUMBER OF SQUARES
❑ HOUSE & GARAGE
BASEMENT REMODELING SUBMIT:
1.
Existing Floor Plan
GARAGES
❑ ATTACHED GARAGE
2..
Proposed floor plan
PROPOSED SIZE:
❑ DETACHED GARAGE
3.
List of structural members to be used
PROPOSED HEIGHT:
SIDING
FOR NEW CONSTRUCTION INCLUDING DECKS,
❑ Vinyl
❑Soffit
ADDITIONS. & PORCHES SUBMIT:
❑ Aluminum
❑ Trim
l .
Site Plan/Survey showing the existing structures
❑ Other
❑ Fascia
and proposed project.
2.
Two sets of construction plans
WINDOWS
3.
Energy Calculations
IN EXISTING OPENINGS ❑Yes ❑No LOCATION OF WINDOWS
FOR WINDOWS
— PROVIDE U -VALUE AND
OR FOR NEW OPENINGS -DESCRIBE SIZE OF
MANUFACTURE STICKER ON WINDOW.
OPENING CHANGES &
TYPE OF WINDOW TO BE INSTALLED NUMBER OF WINDOWS
ALL FiKES ARE BASED ON VALUATION, INCLUDING THE COST OF LABOR AND MATERIALS:
(USING THE 1997 U.B.0 FEE SCHEDULE)
TOTAL JOB VALUATION $ OCCUPANCY TYPE
Permit Fee
$
See Back Page for Fee Schedule
Plan Review
$
65% of Building Permit Fee
Fire Surcharge
$
.001 times the total job valuation
Surcharge
$
.0005 x Permit Valuation Minimum $.50
License Surcharge
$
$5.00 (State Licensed Residential Contractors)
SAC Charge
$
$2100 per SAC Unit (Plans to MWCC for determination)
Curb Cut Escrow
$ `f D
ft + kft = ft x $24 = $
Erosion Control
$
$450 Conservation Plan Review
Park Fee
$
Fee Determined by Engineering
Sewer Main Charge
$
Agreement necessary ( ) Non Necessary ( )
Total Due
$ Y 4h
Make checks payable to: City of Fridley Attach Stipulations
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 work is not to start without a permit on site; that the work will be in accordance with the
approved plan in the case of all wor which requires eview and a royal of plans.
SIGNATURE OF APPLICANT I—t�pVAME DATE