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PRE 2010 DOCSCity of Fridley, Mims BUILDING PERMIT 1v° 2 4 Y, Date: 4/me IC Owner: Builder Address _ _ Address -- LOCA ZY No.. ............ Street .� Lot ....._ ...�...__ Black � .._......_..._ Corner Lot ___.�___" Inside Lot Sewer Elevation OF BUILDING 4t mon or bun-vivistonl+ri�aL4y% —W of Setback T_ -- _ Sideyard Foundation Elevation DESCRIPTION OF BUILDING To Used _ Front Depth Height .�� Sq. Ft. Cu. Ft. 4 Front Depth—+F" eight Sq. Ft. && Cu. Ft. - '" 4 Type Anstruction Est. Cost 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 SL° _ ,permit is hereby granted to to construct the building or addition as described above. ,This permit is grantedupon the express condition that the person to whom it is granted and his agents, employees and workmen, in all work k9one in, around and upon said building, or any part thereof, shall conform in ail respects to the ordinances of dley, 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. ^,I ) �` .''.✓: �` Building Inspector NOTICE: This permit does not cover the construction, installation for whin®, plumbing, gas heating, sewer or water. Be sure to we the Building Inspector for separate permits for these hems. 4 APPLICATION FOR BUILDING PERMIT CITY OF FRIDLEY, MINNESOTA Owner's Name�� c `� , sc\s S c� Builder ,�'2� \Z ea �•r s C� Address Address 1 ��vtvit��fle �•/ r--- �OCATIOBUILDING No. Stree art of t Lot <1 Block Additio or Subdivision �"k"� c. �y �,���' Corner Lot .,,,_____inside Lot Setback_____ Side -Yard SEM ELEVATION FOUNDATION ELEVATION Applicant attach to this form Certificate of Survey of Lot and proposed building location. DESCRIPTION OF BUILDING To be used as: Nc V5 C- Front �'�`Depth Height Sq. Ft. l�� Cu. Ft. '2 Front /3 Depth (�► Sq. Ft. Cu. Ft. Type of Construction ` \.--a Estimated Cost To be Completed 0 e -N \ q101 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 application are true and correct. n FA DATE �� 1 � 1. T SIGNATURE______ V 1 (A Schedule of Fee Costs can be found on the Reverse Side.) W a a — City of Fridley Apprication for Plumbing and Gas Fitting Permit Dept. of Bldgs. Phone SII 4-7470 DESCRIPTION OF WORK A� Number, Kind and Location of Fixtures Location 47 •qc� s 12Y Z `� ~ a N O , Z • F • N WATER HTR. GAS ELEC. m� O Base / 1st 2nd _ 3rd 4th • Future Connection Openings wi CO��th Sewer � New Fixture, Old Openings Cesspool ❑ PARTIAL RATE SCHEDULE PLIIMBING FIXTURE RATES:0. . . . .......... I x $1 0�$ TOTAL Number Fixtures ....... Future Fixture Opening ................ x 1.20 $ New Fixture Old Opening .............. x 1.00 $ Catch Basin ...... ..................... x 3.25 $ Water Heater (Up to 200,000 BTU) ....... x 2.00 $ New Ground Run Old Bldg. x 3.25 $ GAS FITTING FEES: NO. RATE TOTAL 1st 3 Fixtures .......................... x $1.50 $ /":1'6 Additional Fixtures x .50 $ Gas Range to 200,000 BTU .............. x 2.00 $ REPAIRS & ALTERATIONS—Refer to Code Description... TOTAL FEE $� City of Fridley: 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 application are true and correct. Fridley, Minn 19 �/ Owner Kind of Building Used as To be completed about Estimated Cost, $ i Old—New. Building Permit No v� Permit No. �S Signe ' By Business Phone No . '6-�_ ROUGH 1-1- &' L? . i FINAL .@1110.42 2M 7-59 I Application foi Power Plants and Heating, Coaling, Ventilation, Refrigeration and Air Conditioning Systems and Devices PARTIAL RATE SCHEDULE Dept. of Bldgs. Phone SII 4-7470 GRAVITY WARM AIR: Furnace Shell & Duct Work .......................... Replacement of Furnace ............................. Repairs & Alterations—up to $500.00 .................. Repairs & Alterations each add. $500.00 ............... MECH. WARM AIR Furnace Shell & Duct Work to 120,000 BTU ............ each add. 60,000 BTU ....................... Replacement of Furnace ............................. Repairs & Alterations—up to $500.00 ................. Repairs & Alterations each add. $500.00 .............. STEAM or HOT WATER SYSTEM RATE TOTAL 8.00 $ 5.00 $ 5.00 $ 2.50 $ 8.00 $ GO 8.00 * 5.00 $ 5.00 $ 2.50 $ Furnace Shell & Lines—to 400 sq. ft. EDR Steam ...... 8.00 $ Furnace Shell & Line—to 640 sq. ft. EDR Hot Water ... 8.00 $ Each add. 200 sq. ft. EDR Steam ...................... 2.50 $ Each add. 320 sq. ft. EDR Hot Water .................. 2.50 $ OIL BURNER—to 3 gal. per hour ........................ 5.00 $ over 3 gal. per hour—See Fee Schedule GAS BURNER (up to 400,000 BTU) ....................... 5.00 $ GAS FITTING FEES: NO RATE TOTAL 1st 3 Fixtures ...................... x $1.50 $ 140 Additional Fixtures ................. x .50 $ Gas Range to 200,000 BTU ........... x 2.00 $ AIR CONDITIONING $ FAN HEATING SYSTEM See Fee Schedule VENTILATING SYSTEM $ ALTERATIONS & REPAIRS TOTAL FEE 14050 REMARKS: Location 164 Rivers Edge Way City of Fridley: 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 application are true and correct. Fridley, mina June 27 • 1961 195— Owner Mark Jones 195— Kind of Building Frame 195— Used as Dwelling To be completed about -- &ugus t ,-961 Estimated Cost, $ 20.00 Old p Building Permit No. S.?11r'9a -14'30 DESCRIPTION OF WORK HEATING or POWER PLANTS—Steam, Hot Water,{Warm Ai�--No Trade Name De lc O Size NODtrH100B2 Capacity Sq. Ft. E.D.R toom BTU H.P. Total Connected Load 43 9105 Kind of Fuel Gas BURNER — Trade Name Size No Capacity Sq. Ft. E.D.R BTU H.P. Sign B /— PERFECTION HATING CO i t POST IM -12-58 Business 1V(9&F TM AYE. SO. a TA. 34287 MINNEAPOLIS 8 MINNESOTA D-56 -6SW-X9 HEAT L(3S& CALCULATIONS DEPARTMENT OF BUILDINGS Weatherstrips A.S. .V.E. Construction No. Insulation Guide Windows I Doors Reference Out. Wall Int. Wall Ceiling Roof Floor Kind How. Applied Yes—No Yes—No 19— R.,..— I T nnnth / WA /� T4,.iol,t -'ri II — I s Rnnm I T Pnoth Width / B Height Windows an Doors—Crackage and Area 1 Zo Weatherstrips A.S. .V.E. Construction No. Insulation Guide Windows I Doors Reference Out. Wall Int. Wall Ceiling Roof Floor Kind How. Applied Yes—No Yes—No 19— R.,..— I T nnnth / WA /� T4,.iol,t -'ri II — I s Rnnm I T Pnoth Width / B Height Windows an Doors—Crackage and Area Width Height No. of Lineal f . Area No. of pane of pane lights of crack sq. ft. Zo 3 �- l 3® l Coef. Btu Infiltration Infiltration 2,6 00 Glass >✓ e S� Exp. wall / � Z Net exp. wall jma6 -0 Int. wall Net exp. wall I U Ceiling o -� Int. wall Floor Total Btu. 1 )//2-0 Required sq. ft. E.D.R. or sq. ins. W.A. Leader area F1.1 ty, f Room I Length Width N Height Windows a Doors—Crackage and Area Width Height No. of Liaeal ft. Area No. of pane of pane lights of crack eq. ft. JCoef.j Btu Infiltration 0 Glass Exp. wall L Net exp. wall Int. wall Ceiling Floor O Total Btu. p Required sq. ft. E.D.R. or sq.' ins. W.A. Le der area Windows and Doors—Crackage and Area Width Height No. of Lineal ft. Area No. of pane of pane lights of crack sq. ft. Z � — 3 �- l I Coef. Btu Infiltration Btu Infiltration >✓ e Glass 4 49 / � Z Exp. wall 3 -0 L, Net exp. wall I U S' o -� Int. wall Int. wall Ceiling D Ceiling Zo Floor Total Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area �I Windows and Doors—Crackage and Area Width Height No. of Lineal ft. Area No. of pane of pane lights of crack sq. ft. 3 �- l Width Height No. of Lineal ft. Area No. of pane of pane lights of crack sq. ft. Coef. Btu Infiltration 0 (� 4 49 / � Glass Exp. wall 3 -0 L, Exp. wall Net exp. wall I U (e Int. wall D D Ceiling Floor Total Btu. 2 S -z' 0 Required sq. ft. E.D.R. or sq. ins. W.A. Leader area FI_I Rnnm I LenQ ;/—V- 'g Width /O Height Windows and Doors--Crackage and Area Width Height No. of Lineal ft. Area No. of pane of pane lights of crack sq. ft. Width Height No. of Lineal ft. Area No. of pane of pane lights of crack sq. ft. Coef. Btu Infiltration 0 (� 4 49 / � Glass Exp. wall 3 -0 L, Exp. wall I U Int. wall Net exp. wall D D Int. wall Ceiling Floor / o Z/ -7S Total Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Le r area m R I L th Width / 2 --Height oom eng D Windows and Doors—Crackage and Area Width Height No. of Lineal ft. Area No. of pane of pane lights of crack sq. ft. Coef. Btu Infiltration 0 (� Glass Exp. wall Net exp. wall I U Int. wall Ceiling Floor /4 11-17's Total Btu. L % / % Required sq. ft. E.D.R. or sq. ins. W.A. Leader area D46 Ni s, HEAT LOSS, CALCULATIONS DEPARTMENT OF BUILDINGS Weatherstrips A.e SH.V.E, Construction No. Guid Windows I Doors Reference Out. Wall Int. Wall Ceiling Roof Floor Yes—No es—No 19— Fl.l Room I Lens 6 E Width Height II Fl.l Windows and Doors—Crackage and Area Width Height No. of Lineal ft. Area No. of pane of pane lights of crack sq. ft. Width Height No. of Lineal f . Area. No. of pane of pan lights of crack sq. ft. �Z Coef. Btu Infiltration Coef. Btu Infiltration Exp. wall TV Glass Int. wall Ceiling Exp. wall Net exp. wall (p / re Int. wall Ceiling Floor e3 I / /2-7-37 Total Btu. 1 3 G Required sq. ft. E.D.R. or sq. ins. W.A. Leader area 171.1 Room I Length Width Height Windows and Doors—Crackage and Area Width Height No. of Lineal ft. Area No. of pane of pane lights of crack sq. ft. Coef. Btu Infiltration Glass Exp. wall Net exp. wall Int. wall Ceiling Floor Total Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area FIA Room I Length Width Height Windows and Doors—Crackage and Area Width Height No. Of Lineal ft. Area No. of pane of pane lights of crack eq. ft. Coef. Btu Infiltration Glass Exp. wall Net exp. wall Int. wall Ceiling Floor Total Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area MINNEAPOLIS. MILAN. Insulation Kind How Applied Rnnm I Length Width Height Windows and Doors—Crackage and Area Width Height No. of Lineal ft. Area No. of pane of pane lights of crack sq. ft. Coef. Btu Infiltration Glass Exp. wall Net exp. wall Int. wall Ceiling Floor Total Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area F1.1 Room ( Length Width Height Windows and Doors—Crackage and Area Width Height No. of Lineal ft. Area No. of pane of pane lights of crack eq. ft. Coef. Btu Infiltration Glass Exp. wall Net exp. wall Int. wall Ceiling Floor Total Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area &I I Rnnm I I .Pnoth Width Height Windows and Doors—Crackage and Area Width Height No. of Lineal ft. Area No. of pane of pane lights of crack sq. ft. Coef. Btu Infiltration Glass Exp. wall Net exp. wall Int. wall Ceiling Floor Total Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area City of Fridley, W® BUILDING PERMIT Date: SEPTEMBER 20. 1966 9021 Owner: ROBERT ERICKSON Builder _ _ AM _,SEIVIC,E, RT.AGKTnPPXM,—M Address 164 RIVER EDQE WAY Address - -N..... W�.,-�- FRIDLEYa MINNESOTA 55421 ConnRapids' MI -nu e—f LOCATION OF BUILDING No. 164 Street RIVER EDGE WAY N E Part of Lot Lot _ 8 __ Block 2 Addition or Sub -Division . RIVER EDGE AMTTION Corner Lot , Inside Lot — Setback _ - Sideyard — Sewer Elevation __ _ — _.._ Foundation Elevation DESCRIPTION OF BUILDING To be Used as: ASPHALT DRIVEWAY Front Depth Height Sq. Ft. Cu. Ft Front Depth _ _ Height Sq. Ft. _ _ Cu. Ft. Type of Construction Est. Cost --$162. 16 Q_.____..__ 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 $ 4.00 , permit is hereby granted to BLACKTOPPING INCE 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 Bgart thereof, shall conform in all respects to the ordinances of Fridley, Minnesota regarding location, construcl3on, 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 BuildingInspector NOTICE: " permit does not cover the construction, InstaWon for wiring, plumbing, gas heating, mover or water. Be sure to we the Building Inspector for separate permits for them Item. APPLICATION FOR BUILDING PERMIT CITY OF FRIDLEY, MINNESOTA OWNER'S NAME Robert Erickson BUILDER All Service Blacktop] Sing, Inc. ADDRESS 164 River Edge ADDRESS 313 - 97th. Ave.` N. Wo - LOCATION OF BUILDING NO STREET River Edge PAW3OF LOT LOT BLOCK ADDITION OR SUBDIVISION ,1 CORNER LOT INSIDE LOT SETBACK 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. To be used as; DESCRIPTION OF BUILDING Front Depth Height Sq. Ft. Cu. Ft. Front Depth Height Sq.- Ft. Cu. Ft. Type of Cons tructionBlacktop Driveway Estimated Cost 3 1,62.00 To be completed Job 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- 9/14/66 (Schedule of Fee Costs can be found on the Reverse Side). �t� ,, L/ SUBJECT P E 9M . City of Fridley ®_ 19 514" AT THE TOP OF THE TWINS BUILDING PERMIT f RECE . COMMUNITY DEVELOPMENT DIV. f PROTECTIVE INSPECTION SEC. 1 NUMBER REV. DATE PAGE OF APPROVED BY "1 CITY HALL FRIDLEY 55432 612-571-3450 910-F15 6/7/88 JOB ADDRESS 164 River Edge Way N.E. 1 LEGAL LOT NO. 8 BLOCK 2 TRACT OR ADDITION River Edge Addition SEE ATTACHED DESCR. SHEET 2 PROPERTY OWNER MAILADDRESS ZIP PH911 Jerry/Sandra Byzewski 164 River Edge Way N.E. -4772 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 ❑ NEW 7 ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE B DESCRIBE WORK Construct a 16' x 14' Three Season Porch Addition; a 121 x 14' Deck Addition 9 CHANGE QF USE FROM TO STIPULATIONS See notations on plan WAR141kirt SEpA RA 1`E ,BefOre digging call ,10cal utilities TELEPHONE SER WIRING, REQUIRED . ELEC�i�J� � GAS Etc. NEA7'IN��rp LUMFp REQUIRES 81NG R VN A N® SIGNS. 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 APPLICA TION 1 STALLS GARAGES AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF L WS VALUATION SURTAX AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMP IED $55X800 $2.90 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PERMIT FEE SACCHARGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATINGON- $81.00 STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. PLAN CHECK FEE TOTALFEE $83.9,0 IGNATURE OF CON' ACTOR OR AUTHORIZED AGENT (DATE) WHEN PROPE ALIDATE THIS JS YOUR-PERM�tT BLDG W$P DATE JiGNATURVZ2FOWNERtl __OWNER BUILDERI A E3 L/ MW I I City of idley Effective 5/1/88 ADDN rAA R-1 AND R-2 ALTER I I Building Permit Application Construction Address: /t' elI/C-,e, - ::I Legal Description:_ t C !3/v 6ka' Owner Nacre & Address: �a Contractor : Address: 16 ci , C"' Attach to this application, lot, with the proposoed con, DESC MTION 3� Length 1 Width GARAGE AREA: Length Width DECK AREA: Length Width __,/_ rM Corner Lot Lr/V Inside Lot I I Ft. Yd Setbc Type of Construction:0 mq/ / �e�� Approx. Completion Date:�� Proposed Driveway Width If New Opening Is DATE: e' g g APPLICANT: Permit Fee State Surcharge SAC Charge Driveway Escrow Park Fee Sewer Main Charge TOTAL Sl'IPULATIONS: Tel. # Tel. # 172/`, . 9a i Certificate of Survey of the uction drawn on it to scale. Height Sq. Ftt — Height Sg. Ft. Hgt/Ground Sg. Ft. IO Side Yard Setbacks Estimated Cost: $ Alt. A Alt. B 5 $ Width + 6See Back Page Tel. # Fee Schedule on Reverse Side $.50 51,000 Valuation $550 per SAC Unit Alt. "A" or Alt. "B" Above Fee Determined by Engineering Agrement Necessary I I Not Necessary [ S -W 000 A60C 1o®o u SUBJECT P City ®f Fridley 21952 AT THE TOP OF THE TWINS BUILDING PERMIT i RE UrT NO. i tm -------COMMUNITY DEVELOPMENT DIV. PROTECTIVE INSPECTION SEC. �l r CITY HALL FRIDLEY 55432 NUMBER REV. DATE PAGE OF APPROVED By 612-571-3450 910-F15 7/1/93 JOB ADDRESS 164 River Edge Way NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 8 6 Riveredge Addition SHEET 2 PROPERTY OWNER MAILADDRESS ZIP PHONE Jerry Byzewski 164 River Edge Way NE 571-4772 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 ❑ NEW ❑ ADDITION O ALTERATION � REPAIR O MOVE ❑ REMOVE 6 DESCRIBE WORK Reside Dwelling 9 CHANGE OF USE FROM TO STIPULATIONS Provide s34oke detectors as per UBC 1210-, adjacent to all sleeping areas and basement. TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, VENTILATING OR AIR CONDITIONING. ZONING SQ. FT. CU. FT. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION 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 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 $2,500 $1.25 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 OR LOCAL LAW REGULATING CON- $54.00 Fire SC $2..50 STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. PLAN CHECK FEE TOTAL FEE /J $57.75 SIGNATURE OFC VTRACTOR OR AUTHORIZED AGENT (DATE) WH PE VALIDATED THIS IS YOUR PERMIT 7^l-�3 P.WN4E,11F o f-�� BLDG INSP DATE SiGNATU E OWNER BUILDERI IDATEI A u NEW [ ] Effective 5126/93 ADDN [ ] CITY OF FRIDLEY ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2� t Building Permit Application Construction Address: ---a Legal Description: Owner Name & Address: Contractor: Address: Tel. #-� 7 z a MN LICENSE # 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. DECD AREA: Length Width Hgt/Ground Sq. Ft. OTHER: Corner Len - Inside Lot [ ] Ft. Yd Setback Side Yard Setbacks Type of Estimated Cost: $ Approx. Completion Date: (Cost on Back) Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ _ $ DATE: 7 ZI APPLICANT:J�:,Tel. # 3:- 7( - (M USE ONLY Permit Fee $ Fee Schedule on Reverse Side Fire Surcharge $ .001 of Permit Valuation (1/10th%) State Surcharge $ $.50/$1,000 Valuation SAC Charge $ $750 per SAC Unit License Surcharge $ $5.00 (State Licensed Residential Contractors) Driveway Escrow $ Alt. "A" or Alt. "B" Above Erosion Control $ Conservation Plan Review $450.00 Park Fee $ Fee Determined by Engineering Sewer Main Charge $ Agreement Necessary [ ] Not Necessary [ ] TOTAL $ �' �� STIPULATIONS: /11 SUBJECT PER City of Fridley "1 32620 AT THE TOP OF THE TWINS BUILDING PERBVIIT i 6 ...... COMMUNITY DEVELOPMENT DIV. INSPECTION SEC. PROTECTIVE 1 . . NUMBER REV DATE AGE of avvgOVEO BY IL �;'� CITY HALL FRIDLEY 55432 __-- 612-571-3450 910415 5/21/02 JOB ADDRESS 164 River Edge. Way NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 8 2 River Edge Addition SHEET 2 PROPERTY OWNER MAIL AODRES$ ZIP PHONE Jerry Byzewski 164 River Edge Way NE 763-571-4772 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Mastercraft Ext 5976 Hobe Ln 651-481-8120 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO (Contractor not registered with City) 20172626 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO 8 USE OF BUILDING Residential 7 CLASS OF WORK O NEW Q. ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Construct a 15' x 24' Garage Addition 8 CHANGEOFUSEFROM TO STIPULATIONS See notations on plan. WARNING Before digging can for ,3II utility locations 45"00Z MIT LAW SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, TYPE OF CONST. OCCUPANCY GROUP OCCUPANCYLOAD 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 $7,369 $3.68 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- $153.25 Fire SC $7.36 STRUCTION OR THE PERFORMANCE OF CONSTRUCTION PLAN CHECK FEE TOTAL F License $5.00 $16/.29 SiGNATUREOFCONTOAOpAUTHORiZEOAG T . , HEN ROP T Y ALIDATED IS IS YOURPERMIT iOATE, Bl NSF' T)AtE S�GNATU OF OWNEp,�F N RBU�LDER�ATEt /11 NEW [ J CITY OF FRIDLEY Effective 1/1/2002 ADDN [ ] 6431 University Ave NE, Fridley, MN 55432 (763) 572-3604 Bldg Insp ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION Construction Address: e kiep- --", �'- W411 Legal Description: Owner Name & Address: Tel. # 7t 3 m 5-7f Contractor. M-As��%PEUMN LICENSE # X01 7 1, 2t Address: 6-97& fl pb f LAI Tel. # W y'! x/16 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 I Width �� , Height _ 7 Sq. Ft DECK AREA: Length Width Hgt/Ground Sq. Ft OTHER: r Construction Type. �� ®� ?-� eve Xd" Estimated Cost $ % <�q, Driveway Curb Cut Width Needed: Ft + 6 Ft = Ft x $ _ $ DATE: r3 ®� APPLICANT: 50 Call (763) 572-3604 for Permit Fees if mailing in application or 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 Driveway Escrow Erosion Control Park Fee Sewer Main Charge CITY USE ONLY - Fee Schedule on Reverse Side .001 of Permit Valuation (1/10th%) $.50/$1,000 Valuation $1200 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 [ ] TOTAL $A4 STIPULATIONS: ` -M' er Fbmw OR. 11.5"1 -Keith P. Caswell, Jr. Registered Professional Engineer and Land Surveyor JIM Weyzale Mvd. hunneap"s %, Mbm PLAT OF SURVEY of "Wei" Of MA Q,< Z. ,h mrs d mamd as 16%ws: L of 80 3/e ck 2, XPi ver.. 4'jyl e- _ �4naKo_ Ccun � JWjnnfSOf4 Scale: 1 Inch. ''�o__ --_let. Job NIo.Z.• -4:L look--- Page - 6, I W lir NORTH440*41p- • Dena te.r Iron Mon��enf CERTIFICATE OF LOCATION OF W LDMO CERTIFICATE OF SYRM I beteby mMy that a-- _ 19- 1 hereby certify that on tBmLt et _ 2 s 19.'•i- 1epode o mvey of the fetation of the b NAW on the above .1 s w eyed the property deed above m—taso lbed a" py SOW " cm G&I dw&vk an the *40 Of said building it ,plot is a Qorret��_y�r.�' �.. _ A%