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PRE 2010 DOCS
City of Fridley, Minn. BUILDING PERMIT N® 4260 Date:....._..._.._..._.:....._...:_....__:_029* _l.".J _._..___..._..._......_...._.. Owner: Builder Z•- A=- .Ct ',W Address................... _....... _---------------------------------- ------------ Address g@M :_ :.-F'._®....._......._...__ XiWftpoli o 211 K=811110ta - ' LOCATION- OF BUILDING No............ ........... Street .....__®IIZA._ ±...May.._&-st- ....................... Part of- Lot -....------------- ------- ....... *............................. _. Lot .............. 7 ........... ........ Block ........... ........ _.... 2 .... _................. Addition or Sub -Division ....._. •Y ._ ......_.._._....._..... CornerLot .................................... Inside Lot .......... Z ...................... . Setback ............ 3V.................... Sideyard....._.....__�1......................... _............. _...... Sewer Elevation Foundation Elevation DESCRIPTION OF BUILDING Tobe -Used as: .........----------------- Front AV.--.. Depth ....25.160 Height . ],9�...... Sq. Ft .....1..#.0W Cu. Ft. 2Dy'�_'Y� _M4 ®............ Front`:.:: t ...... Depth .._ �.....__ Height _ t._...... Sq. Ft- ................ -0 Cu. Ft. 3s Type of Construction ............ ....... ................ Est. Cost ...U.4033.1 ................. ... 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 fo and compliance with all provisions of ordinances of the city of Fridley. `�� L In consideration of the payment of a fee of $.....25..0 ............. 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 limits and this permit may be revoked at any time upon violation of any of the provisions of said ordinances. Ij �a Building Inspector NOTICE: This permit does not cover the construction, installation for wiring, plumbing, gas heating, sewer or water. Be sure to we the Building Inspector for separate permits for these items. 4 Application for Power Plants and Heating. Cooling. Ventilation. Re%geration 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 �? -aG See Fee Schedule TOTAL FEE $��-�� 4E r1 fi:s t 4 (REMARKS -OVER) Dept. of Bldgs. Phone 560-3450 G 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 — Owners Kind of Building Used as \ 1 To be completed about 7 Estimated Cost, $�� C_94V-New. Building Permit No. Permit No. 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 Load Kind of Fuel IL/ `- b 0-3 BURNER — Trade Name Size No. -- Capacity Sq. Ft. E.D.R BTU 0 H -P. Signe Cr -I �.V Cs - Business Phone No CITY OF FRIDLEY Effective Date May 1, 1988 I APPLICATION FOR P ER PLANTS AND HEATING, COOLING, VENTILATION, REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES RATE SCHEDULE RESIDENTIAL RATE TOTAL Job Address Furnace Shell and Duct Work, Burner (Also replacement furnace) $ 20.00 $ Department of Buildings, 6431 University Ave. N.E., Fridley, MN 55432 City of Fridley Gas Piping $ 10.00 $ Tel. #571-3450 (piping needed with new furnace) Gas Range $.'10.00 $ The undersigned hereby makes application for a permit for the work herein Gas Dryer rY $ 10.00 $ 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. * Air Conditioning (all sizes) $ 10.00 $ /5' Fridley, Minn. All Others/Repairs and Alterations OWNER 24U T_ 1% of Value of Appliance or Work $ KIND OF BUILDING COMMERCIAL/INDUSTRIAL USED AS 1% of Value of Appliance or Work $ a� p TO BE COMPLETED ABOUT ESTIMATED_COST S-0 l State Surcharge $ .50 TOTAL FEE OLD - NEW BUILDING PERMIT N0. PERMIT NO. s/6-0- Reinspection Fee ($15.00) $ DESCRIPTION OF FURNACE/BURNER Rough Insp. Date rm 'HEATING or POWER PLANTS, Steam, Hot Water, We= Air- No. Final Insp. Trade Name Size No. Date Capacity Sq. Ft. EDR BTU HP Approval for Permit Total Connected Load Kind of Fuel BURNER - Trade Name Size No. Capacity Sq. Ft. EDR BTU HP MINIMUM FEE FOR ANY HEATING PERMIT IS $15.00,Company PLUS $.50 STATE SURCHARGE ,Heating & A/C /i "1 Signed By �/ Attach stack verification form with replacement furnace permits *Air Conditioners can not be placed in side yard without Tel. No. 824-2656 written permission from adjoining neighbor. sueJEcr RMI City of Fridley 20355_ AT THE TOP OF THE TWINS BUILDING PERMIT P t 7 COMMUNITY DEVELOPMENT DIV. L PROTECTIVE INSPECTION SEC. r i 1 CITY HALL FRIDLEY 55432 NUMBER REV. DATE PAGE OF APPROVED BY j 612-571-3450 910-F15 5/15/90 JOB ADDRESS 168 Riveredge play N.E. 1 LEGAL LOT NO, BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 7 2 River Edge MR Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Gerald Nugent 168 River Edge Way N.E. 571-4779 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 ❑ ALTERATION Ek REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Reside Dwelling 9 CHANGE OF USE FROM TO STIPULATIONS 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 NO. DWLG. UNITS OFFSTREET PARKING ANY TIME AFTER WORK IS COMMENCED. 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 $5,500 $2.75 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- $81.00 STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. PLAN CHECK FEE TOTAL FEE SIGN URE OF Cf� TRACT R OR AUTM RIZED AGE T (DATE) yl{EN'` ROPERL VAI AlH IS YOUR PERMIT 9 a �—ts'96 P )ATE SIGNATURE OF OW NER II OWNER WILDE 1 ATEI NEW [ ] Effective 1/1/90 ADON [ ] R-1 AND R-2 ALTER [ ] Building Permit Application Construction Address: Legal Description: Owner Name & Address: 9&2ALO ! vL4G CN -r W kl'0-91�rOs6� 04'7 Tel. # 7 79 Contractor: _ ��,� Tel. # Address: Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. C-� LTVIM AREA: Length Width Height Sq. Ft. GARAGE AREA: Length Width Height Sq. Ft. DECK AREA: Length q/ Width Hgt/Grog t -d Sq. Ft. 07HM: pts-, 06 Corner Lot [ ] Inside Lot [ ] Ft. Yd Setback Side Ya Setbacks Type of Construction: C L Estimated Cost: $ ZrSV Approx. Cmnpletion Date: Proposed Driveway Width If New Opening Is Desired: Ft. $ Wi + 6' See Back Page DATE: r 5 d APPLICANT: _ Tel. # -S-7/ . CITY USE ONLY Permit Fee $ O C) State Surcharge ,L7L SAC Charge $ Driveway Escrow $ Park Fee $ Sewer Main Charge $ STIPULATIONS: Fee Schedule on Reverse Side $.50/$1,000 Valuation $600 per SAC Unit Alt. "A" or Alt. "B" Above Fee Determined by Engineering Agreement Necessary [ ] Not Necessary [ ] a SUBJECT PEI,�II City of Fridley(��2�9908 AT THE TOP OF THE TWINS BUILDING PERMIT NO COMMUNITY DEVELOPMENT DIV. L %. 44 r PROTECTIVE INSPECTION SEC. / i /"','i CITY HALL FRIDLEY SS432 NUMBER REV DATE PAGE OF APPROVED 8v --_•�; L 612-571-3450 910-F15 7�20�.99 % JOB ADDRESS 168 River Ede Way 1 LEGALLOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 7 2 1 River Edge Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Gerald Nugent-1;71-4779 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Owner 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO B USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW ❑ ADDITION ❑ ALTERATION xQ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Reroof house and garage (28.S Tear-off; Construct a 31-1/21 x 81 Gara e 9 CHANGE OF USE FROM TO STIPULATIONS Underlayment must comply with the State Building Code. See stipulations on plan MI %P di�Q�� all dor ft,;VARATE R Q ►NITS REQI�iR,EQ �, RANG, HEATING PLUMBING° A S' 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 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 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT $7323 r $3.66 DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PERMIT FEE SAC CHARG PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- STRUCTION OR THE PERFORMANCE OF CONSTRUCTION $153.25 Fire $7.32 PLAN CHECK FE TOTAL F i .23 SIGNATURE OF CONTRACTOR OR AUTHORIZf4 AGENT IDAiEr EN ROP ALIDATE 1$ IS YO R P IT N- BLUR m� r OATf OF O NERi2.0j�I�RIOIR iOAT NEW[ ] ADDN ALTER Effective 5/10/99 [ ] CITY OF FRIDLEY [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION Construction Address: 1 Legal Description: Z, v i ri 1 YA- e -"m 6 61 `(6'0 o r 81, Owner Name & Address: Q� f kv c,6 —j /G GieA6per �� Tel. # -S-21Z27 �- 9 Contractor: Ow��MN LICENSE # Address: LIVING AREA: GARAGE AREA: DECK AREA: OTHER: Construction Type: Tel. # 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 Q Height Sq. Ft. Length ©cir Driveway Curb�Cut Width Needed: DATE: APPLICANT: Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Width Hgt/Ground Sq. Ft. Estimated Cost: $ 00 d rz ,)e 49 3rs- Ft. + 6 Ft = Ft x $ Tel. # S- 7 / - Y % 7 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 Park Fee $ Sewer Main Charge $ TOTAL STIPULATIONS: Fee Determined by Engineering Agreement Necessary [ ] Not Necessary [ J ��.ur''a" w�! �dA''''�t`tiy�q �``'� : �' a � xPa + r• � `, L.. :. � e r, r .}r, r jy, may., .l+ �-1 #r 4!ya jary vat7 77 yhd Y ,'X s�4 Vie,it a r' t V 1 4., t I i.Yfr, ♦ '{ + � Ca+ � t. �. 1♦nt 7_ lot iM1 c 1,+ rMo.."r { 1 } �5. BuildingBUILDING Permit No.:. � 6 Inspections RESIDENTIAL APPLICATION Received By ' 763-572-3604 CITY OF FRIDLEY e ' :�" DATE_Se 0+ YOUR E-MAIL ADDRESS LA,-15aV °L .[ C . rte_ � SITE ADDRESS �Ip � 1' 2 11, lA-�'r 4M THIS APPLICANT IS: ❑OWNER ❑CONTRACTOR PROPERTY OWNER/ NAME:_' e.444 TENANT ADDRESS: ^ CITY STATE_ZIP PHONE: 10 3.571-41"�rf NAME: Renewal By Andersen CONTRACTOR SUBMIT A COPY OF STATE LICENSE # 1920 County Road "C West YOUR STATE LICENSE ADDRESS: Roseville, MN 55113 t STATE ZIP WITH APPLICATION PHONE License #20130983 PROPERTY TYPE ❑ SINGLE FAMILY/NE1 ❑ TWO FAMILY/NEW G 651-264-4777 ❑ ADDITION ❑ GARAGE/SHED ❑ WINDOWS PERMIT TYPE ❑ BASEMENT FINISH ❑ ROOF ❑ DRAIN TILE ❑ DECK ❑ SIDING ❑ OTHER ❑ SWIMMING POOL TYPE OF WORK: NEW ❑ ADDITION ❑ MAINTENANCF/REPAIR ❑ REMODELING DESCRIBE WORK BEING DONE: RW LCA. CQ IQ (A ij baCA. 5 w);&--) ; $ L$ nn A QO '1A u/a i SIZE OF IMPROVEMENT LENGTH WIDTH HEIGHT So. Ft. ROOFING ❑ HOUSE ONLY NUMBER OF SQUARES ❑ HOUSE & GARAGE BASEMENT REMODELING SUBMIT: GARAGES ❑ ATTACHED GARAGE 1. Existing Floor Plan PROPOSED SIZE: ❑ DETACHED GARAGE 2. Proposed floor plan PROPOSED HEIGHT: 3. List of structural members to be used SIDING ❑Soffit FOR NEW CONSTRUCTION INCLUDING DECKS, ❑ Aluminum ❑ Other ❑ Trim ADDITIONS 1. & PORCHES SUBMIT: Site Plan/Survey showing the existing structure ❑ Fascia and proposed project. WINDOWS 2. Two sets of construction plans IN EXISTING OPENINGS ❑Yes ❑No LOCATION OF WINDOWS 3. Energy Calculations OR FOR NEW OPENINGS -DESCRIBE SIZE OF OPENING CHANGES & TYPE OF WINDOW TO BE INSTALLED NUMBER OF WINDOWS ♦ 1 ? TT -- ALL t GL' 3 Alsz nAZV," V1N JOB Permit Fee Plan Review Fire Surcharge Surcharge License Surcharge SAC Charge Curb Cut Escrow Erosion Control Park Fee Sewer Main Charge VALUATION, INCLUDING THE COST OF LABOR AND MATERIALS: (USING THE 1997 U.B.0 FEE SCHEDULE) UATION $ 41-11115 y OCCUPANCY TYPE $ CV51. d 5 See Back Page for Fee Schedule $ 65% of Building Permit Fee $ 1q. 7a .001 times the total job valuation $ 7 - A1.0 .0005 x Permit Valuation Minimum $.50 $ S. OU $5.00 (State Licensed Residential Contractors) $ $1550 per SAC Unit (Plans to MWCC for determination) $ ft+6ft= 41x$21=$ $ $450 Conservation Plan Review $ Fee Determined by Engineering $ Agreement necessary ( ) Non Necessary ( ) $ Make checks payable to: City of Fridlev Attach 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 i conformance with the ordinances and codes of the City of Fridley and with the Minnesota Construction Codes; that I understand this is not permit but only an application for a permit and work is not to start without a permit; that the work will be in accordance with the approve plan in the case of all work whic)4quires/rqview and approval of plans. SIGNATURE OF APPLICANT PRINT NAME Qfa DATE Building PLUMBING Permit No.: Inspections RESIDENTIAL APPLICATION Received By: 763-572-3604 CITY OF FRIDLEYFtN 763-502-4977 FAX EFFECTIVE 1-1-2010 DATE , OL YOUR &MAIL ADDRESS SrrE ADDRESS THIS APPLICANT IS: OWNER ❑CONTRACTOR PROPERTY NAME: �� L ADDRESS: CITY STATE ZIP OWNER/ TENANT fir- 3 Dov PHONE: CONTRACTOR NAME: STATE LICENSE # EXP DATE SUBMIT A COPY OF YOUR STATE LICENSE, BOND AND STATE BOND # EXP DATE CERTIFICATE OF ADDRESS: CITY STATE ZIP INSURANCE PHONE FAX PERmrr TYPE "SINGLE FAMI1 X_ T ❑ TWO FAMILY ❑ TOWNHOUSE TYPE OF WORK: ❑ NEW ❑ REPLACEMENT DETAILED DESCRIPTION OF WORK l iJld Ti-& 714,,clf 0 et FEES ARE BASED ON $10.00 PER FIXTURE, EXCEPT WHERE NOTED. FIXTURES: (INDICATE TOTAL NUMBER OF EACH BELOW). MINIMUM FEE $35.50. BATH SINK/LAV FLOOR DRAINS SHOWER _ WATER PIPING _ _ GAS PIPING (NEED CITY LIC) SWIMMING POOL _ WATER SOFTNER ($35) —BATHTUB _ _ WASHER KITCHEN SINK WATER CLOSET _ BACKFLOW PREV. ($15) _CLOTHES _ DISHWASHER LAUNDRY TRAY WATER HEATER ($35) FOR IRRIGATION _ WATER METER —OTHER �'. �' z7� A z �t � � t z+ t �kY ° £�. �` ��• � �,,.z `3a a r f�9'z k�t � x' xN� � v 3�°� �:. THIS IS AN APPLICATION FOR A PERMIT -NOT VALID UNTIL PROCESSED I hereby apply for a plumbing 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 requuuiixes review and approval of plans. VI 64GC "'i SIGNATURE OF APPLICANT A/°1.e'�/ PRINT NAME DATE .m I 3i City of Fridley Building Inspections Department 6431 University Avenue NE, Fridley, MN 55432 763-572-3604 FAX: 763-502-4977