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PRE 2010 DOCS6 � 3 dpa y City ®f Fridley, BUILDING PERMT N? 6965 1wier: ::Builder Address Address% LOCATION F BUILDING No. StreetLot ;"22 Lot _ . _ __ Block Additior Sub-Divisi �T Corner Lot ._ Inside Lot Setback ® _ Sideyard _ Sewer Elevation _ _ Foundation Elevation DESCRIPTION OF BUILDING T Used ®� / Ad Front Depth 4Height Sq. Ft. / Cu. Ft.� " Fro Depth t � elght Sq. Ft. �� - Cu. Ft. Type of ction Est. Cost s �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 abo set forth and in compliance with all provisions ordinro 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. 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 reg location, construction, alteration, maintenance, repair and moving of buildings within the city limits an permit may be revoked at any time -upon vig tion of any of the provisions of said ordinancea. — A Z 1 NOTICE: 'fids permh does not corer the eonshroeNan, hmNeft ion for WhIng, plumblaM gas healing, mvnr or water. Be sure to see the Building hapeator for separate permits for theca iton:L 11 APPLICATION -FOR BUILDING,PERMIT CITY OF FRIDLEY,.MINNESOTA OWNER'S NAIL P H ' BUILDER_�\ � ADDRESS ` . ADDRESS, LOCATION OF BUILDINd Street \V w ,14 Z\ �C.. 1?art of, Lot Lot (0 Block Addit9.on or .Subdivision r Corner LotTo side iot_Setback � Side -Yard ��� a SEWER ELEVATION FOUNDATION ELEVATION Applicant attach to this ,form Two Certificates of ,Survey of Lot and proposed build- ing location drawn on theta Certificates. DESCRIPTION OF BUILDING To be used as; ®FronC�t Depth Height Sq.. Ft. Cu. Ft. Front Depth_Height .Sq. Ft,. Cu. Ft. j Type of Construction v z • EatimaCed •Cost . • To be Completed \ y' 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,Bui,ldings, and hereby declares that all the facts and representations stated in this application are true And correct. -V, (Schedule of Fee Costs can be found on the Reverse Side. SUBJECT PERMIT N City of Fridley 18519 AT THE TOP OF THE TWINS BUILDING PERMIT ' ' R -------- COMMUNITY DEVELOPMENT DIV. PROTECTIVE r L PROTECTIVE INSPECTION SEC. // 1 i NUMBER REV. DATE PAGE OF APPROVED BY = CITY HALL FRIDLEY 55432 612-571-3450 910-F15 6/25/86 JOB ADDRESS 172 Ri-versddge Way N.E. 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 6 2 1 Riversed a Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Larry Sornsen 172 Riversed a Way N.E. 571-4777 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Same 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAILADDRESS ZIP PHONE LICENSE NO. 6 USE OF BUILDING i, Residential 7 CLASS OF WORK ❑ NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE X B DESCRIBE WORK Construct a 32' x 141 Deck and remove window and install attc, door 9 CHANGE QF USE FROM TO STIPULATIONS Wa1W3 PERMITS REQUIRED F®R• Before Zing,SEPARATE ii local util,fits rElQ VV���NG, HEATING, PLUMBING AND SIGNS. ELECTRIC. GAS Etc, �2EQCARED By LA 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 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT1.33 DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PERMIT F2EE SAC CHARGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. PLAN CHECK FEE TOTALFEE ORAHORIZED AGENT IDATEI OPERLY A ID TED T S IS.96 PE MITLi PIGNATURF-OF.CIONTRACTOR BLDG INSP SATE A TURE OFfNERtI OWNER BUILDER] IDATEI NEW [ ] City of Fridley ADDN. L R-1 AND R-2 ALTER. [ ] Building Permit Application Construction Address: Z 7 ?, /Ci ?- 5 e— &- ca ('-f a -e-/ Effective 4/1/86 s Legal Description: r✓ +/ �� �� �� r� ,�- a�%cam Owner Name & Ad es/''�"` y d-�� �7 /r7 s� ! c�� �S_A Tel. ' Contractor: d�� Tel. # Address: 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: fs v f�✓o �� C.a o 4 �2%^ �e� -. .� G� r Sj vi Corner Lot [ ] Inside Lot [ ] Ft. Yd. Setback Side Yard Setback Type of Construction: ��� `'� �� Estimated Cost: Approx. Completion Date: Alt. A Alt B Proposed Driveway Width If New Opening Is Desired: $ $ See Back Page for Explanation DATE: APPLICANT: # ` L� 6- 7 7 CITY USE ONLY Permit Fee Plan Check State Surcharge SAC Charge Park Fee Sewer Main Charge 10,1041M Fee Schedule on Reverse Side 25% of Building Permit Fee $•50/$1,000 Valuation $475 per SAC Unit Fee Determined by Engineering Agreement Necessary [ ] Not Necessary [ ] STIPULATIONS: � IN , r h t Ir,. Keith P. CasvreU, Jr. Registered Professional Engineer and Land Surveyor 57" waylerm wVd. Mkmoqmdk U, MIML PLAT OF SURVEY kf,a,qk- z P-.IVE-S Scale- . I hwh 3 G feet. Job No. Page - 3-5:10- • a,9101C-S Ile,,, IIIOnam V7f CIMTOWATI OF LOCATION OF BURRING - I hereby owlify that or, ---- 1 wxmW a saw" of the location of the building on the above des0 prop" and that the location of said buildirg is ewm:#Y Shawn on the above plot. 0 J-5 /7? e17 O# awn I surveyed the property described above and OM #4 01664 plot is a correct r tion of said at" 0 CITY OF FRWLEY PERMCNO.-2004-01138 6431 UNIVERSITY AVENUE NE ---� FRIDLEY, MN 55432 DATE ISSUED: 07/19/2004 572-3604 FAX: (763) 571-1287 -- ADDRESS : 172 RIVERS EDGE WAY NE PIN : 153024430076 LEGAL DESC : RIVER EDGE ADD GAS DRYER FEE : LOT 6 BLOCK 2 PERMIT TYPE : HEATING PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ADDITION/ALTERATION VALUATION NOTE: AIR CONDITIONERS CAN NOT BE PLACED IN A SIDE YARD WITHOUT WRITTEN PERMISSION FROM ADJOINING PROPERTY OWNER. COMBUSTION AIR SHALL BE PROVIDED PER UMC SECTION 504(A) AND TABLE 6-A. INSTALL A FURNACE (WARM AIR, RUUD, 60,000 BTUS) AND AN AIR CONDITIONER. # A/C UNITS 1 # FURNACES 1 # GAS DRYERS 0 # GAS RANGES 0 VALUE (FOR MINIMUM CALC) APPLICANT CENTERPOINT ENERGY/MINNEGASCO 13562 CENTRAL AVE NE ANOKA, MN 55304 - OWNER STOMMES RONALD J 172 RIVERS EDGE WAY NE FRIDLEY, MN 55432 6300 AGREEMENT AND SWORN STATEMENT This permit becomes null and void if work or construction authorized is not commenced witin 60 days or if construction or work is suspended or abandoned for a period of 120 days at any time after work is commenced. I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this type of wort will be complied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any other state or local law regulating cons ction or the performance of cons"hon. ADeli� Date ! I /' HEATING PERMIT MINIMUM FEE 0.00 FURNACE SHELL/DUCT WORK 35.00 GAS RANGE FEE 0.00 GAS DRYER FEE 0.00 AIR CONDITIONING FEE 25.00 STATE SURCHARGE, MECH FLAT 0.50 TOTAL 60.50 PAID WITH CHECK # 5851 SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. 122ITY OF FRIDLEY BUILDING INSPECTION Effective 4/1/2004 9 34..31 University Ave NE APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION 9 =ddley, MN 55432 L REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES 763-5723604 FAX 763-571-1287 a, 9 10B ADDRESS r D RATE SCHEDULE Fee Tota Residential Furnace Shell and Duct Work, Burner & Building Used As -�Ng e +�� also Replacement Furnace $35.00 Alf wo"w 130 1200 - - Gas Piping (New Furnace, Fireplace, Insert) $10.00 $ ESTIMATED COST PERMIT Gas Range $10.00 $ DESCRIPTION OF FURNACE AND BURNER Gas Dryer $10.00 $ N of Heating Units t Circle One (Steam) (Hot Water) (Warm Air Size No. Trade Name e; U,� *Air Conditioning -All Sizes $25.00 $� BTU 1e0, C ® o HP EDR �SUV �+ ` \,)A� \��i � ©a� Fuel s • �' a Total Connected Load All Other Repairs or Alterations (List on Back) Size No. r 1% of value of Appliance or Work $ Burner Trade Name a Minimum Fee $15.00 for Residential or 5% of cost of BTU HP EDR Y Improvement whichever is greater on work less than $300.00 . The undersigned hereby makes application for a permit for the work herein 5 Commercial/industrial/Institutional specified agreeing to do all work in strict accordance with the City Codes } 1.25% of Value of Appliance or Work (List on Back) $ and rulings of the Building Division, and hereby declares that all the facts Minimum Fee $35.00 for Commercial/TndustriaVinstitutionai and representations stated in this application are true and correct. CENTERPOINT ENERGY MINNEGASCO Y State Surcharge_ HEATING CO 13562 CENTRAL AVE NE BLAINE, MN 55304 1763-757-6202 TOTAL FEE $ (o®�o Signed Tel # v -0 7 REINSPECTION FEE $50.00/HOUR FAX # 763-757-6701 Date - m *Air Conditioners can not be placed in side yard without written approval CD i+ from adjoining property owner - copy to City c� N • FILL OUT BACK SIDE FOR STACK VERIFICATION ON REPLACEMENT FURNACE> 7by IL CE -J Rough4n Date Final Date Approved E0, d ld101 FILL IN COMPLETELY FOR REPLACEMENT FUEL BURNING APPLIANCE PERMITS COMMON VENT, VENT CONNECTOR AND COMBUSTION AIR VERIFICATION When replacing an existing furnace, the undersigned hereby verifies that the venting has been examined and is free from rust, deterioration, obstructions, and is securely supported and firestopped where required. Yes ( No( } The venting system is plastic/PVC and meets all current codes and manufacturer specifications including sizing, length, number of elbows and termination. Yes (y) No( ) The undersigned also verifies that the replacement unit is a listed assembly and meets the current codes and manufacturer's specifications. This does include AGA-GAMA Category I Central Furnace Venting Tables for fan assisted and natural draft appliances. Yes No ( ) The existing combustion air is sized and installed to meet the current codes and manufacturer's specifications. Yes (i1 No( ) When required to install a new combustion air, it will be sized and installed to meet the current codes and manufacturer's specifications. Yes No( ) When installing a new venting system, the undersigned hereby verifies that it is a listed assembly and meets the current codes and manufacturer's specifications. This does include AGA-GAMA Category I Central Furnace Venting Tables for fan assisted and natural draft appliances. Yes No( ) Is the common vent and vent connectors sized and installed correctly after an appliance has been removed from the common vent and vented separately as per current codes. Yes No( ) Appliance Type and Size/Common Vent and Vent Connector Information Appliance #1 Type %1%u.�- BTU Input G 5,044? tiss�isted r Nat g�� Appliance #2 Type -lt� � BTU Input 3$Q Od1� or Nat A47— Appliance #3 Type BTU Input Fan Assisted or Nat Total Appliances _ Total Btu Input iso Common Vent Type Vent Height JV Diameter inches Appliance 91 Vent Connector Height ft Length , �_ft Diameter n Type C/___� Appliance #2 Vent Connector Height ft Length ft Diameterin Type Appliance #3 Vent Connector Height ft Length ft Diameter in Type ALTERATIONS: (Describe) CENTERPOINT ENERGY MINNEGASCO HEATING CO: 13562 CENTRAL AVE NE BLAINE, MN 55304 Signed By: ,�=QL ° Date: ;7G)/;7s 1 A TPIJAJ.SL 01 A9701 Nd --40 A110 WnN-1 ( : T T 000E -L? -8c8- P' CITY OF FRIDLEY PERMIT NO.: 2004-01139 �3q 6431 UNIVERSITY AVENUE NE FRIDLEY, MN 55432 DATE ISSUED: 07/19/2004 572-36U4 N'AX: (763) 571-1287 ADDRESS : 172 RIVERS EDGE WAY NE PIN : 153024430076 LEGAL DESC : RIVER EDGE ADD : LOT 6 BLOCK 2 PERMIT TYPE : ELECTRICAL PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ADDITION/ALTERATION VALUATION NOTE: ELECTRICAL PERMIT BECOMES VOID 12 MONTHS AFTER PERMIT ISSUE DATE. INSTALL A FURNACE AND AIR CONDITIONER. # INSPECTIONS 1 APPLICANT CENTERPOINT ENERGY/NIINNEGASCO 13562 CENTRAL AVE NE ANOKA, MN 55304 - OWNER STOMMES RONALD J 172 RIVERS EDGE WAY NE FRIDLEY, MN 55432 ELEC PERMIT FEE - MIN (RESI) 20.00 STATE SURCHARGE, ELEC FLAT 0.50 TOTAL 20.50 PAID WITH CHECK # 5851 AGREEMENT AND SWORN STATEMENT This permit becomes null and void if work or construction authorized is not commenced witin 60 days or if construction or work is suspended or abandoned for a period of 120 days at any time after work is commenced. I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this type of worl will be complied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any other state or local law regulating construction or the performance of construction. Applicant Date Bldg Insp. Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE.