PRE 2010 DOCSCity of Fridley, Minn.
BUILDING PERMIT ° 4477
Date: _.:._. _z?`..... /___4 .. . ..............
Owner:... � ••: ............... Builder --- .......................... ..... --__......................... ......... -.......
Address._.._......... ... ............ —............ --._ ._.._. .. ....__ -- Address�44®--••------ ................_.._..._.......
// ��yy
LOCATION OF BUILDINGNo....1......1...._l... .._.... Street _L.e s °-1._.... ..........
.............. Part of Loi ..............
Lot ................ Block ..... Addition or Sub -Division itd/ .... �/� C:..i..__...
Corner Lot .._ ........................_.._.. Iaanside Lot ..... .._.l.. ....... Setback ... `.-=�... .............. Sideyard .... .....---- .................- -
Sewer Elevation ......._ . i _L -------------- ...................-----......._.... Foundation Elevation .... .:�...�_s..:? ... ....................._....... --
DESCRIPTION OF BUILDING
To be Used as: -
- Front ?' Depth ....., .. Height ...... .91..... Sq. Ft/ 4.sl....0 Cu. Ft. -2 -0j3 -e'
ont .....1. -... Depth ....... .. Height ...._ ... Sq. Ft. -.. Cu. Ft. _3.�X 6
��
Type Constru on ..................... ....... .... Est. Cost �.,I -z . .....---------- To be Completed ..................... -.......................
UlLL I N G FES
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 compliance with all provisions of
ordinances of the city of Fridley. - t, (\ (\ K %l�._��
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 regarding location, construction, alteration, maintenance, repair and moving of buildings
within the city limits and this permit may be revoked at any time upon vi on of any of the provisions of said
ordinances.
Building Inspector
NOTICE:
This permit does not cover the construction, installation for wiring, plumbing, gas heating, sewer or water. Be sure to see
the Building Inspector for separate permits for these items.
City of Fridley
Application #or Plumbing and Gas Fitting Permit
Dept. of Bldgs. Phone SU 4-7470
DESCRIPTION OF WORK
Number, Kind and Location of Fixtures Location`
PARTIAL RATE SCHEDULE
PLUMBING FIXTURE RATES: NO. RATE
Number Fixtures ...................... x $1.50
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
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.
Owner
Kind of
Used as
To be completed about
Estimated Cost, $ _
Old p&ding Permit
TOTAL
$ 00 Signe
-
$ ® By—gi&
$ Business Phone No
$ 0 ROUGH MAY 3 1960
FINAL
GAS FITTING FEES: NO. RATE TOTAL
®fid
1st 3 Fixtures .......................... x $1.50 $
Additional Fixtures x .50 $
Gas Range to 200,000 BTU .............. x 2.00 $
REPAIRS & ALTERATIONS—Refer to Code
Description...........................................
TOTAL FEE $j® 42 2M 7-59
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WATER NTR.
GAS
ELEG
'�
3 U
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V<
3
nd
4a
O
Base
1st
2nd
_
3rd
_
4th
' Future Connection Openings
I
Connected whit
Sewer
New .Fixture, Old Openings
Cesspool El
PARTIAL RATE SCHEDULE
PLUMBING FIXTURE RATES: NO. RATE
Number Fixtures ...................... x $1.50
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
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.
Owner
Kind of
Used as
To be completed about
Estimated Cost, $ _
Old p&ding Permit
TOTAL
$ 00 Signe
-
$ ® By—gi&
$ Business Phone No
$ 0 ROUGH MAY 3 1960
FINAL
GAS FITTING FEES: NO. RATE TOTAL
®fid
1st 3 Fixtures .......................... x $1.50 $
Additional Fixtures x .50 $
Gas Range to 200,000 BTU .............. x 2.00 $
REPAIRS & ALTERATIONS—Refer to Code
Description...........................................
TOTAL FEE $j® 42 2M 7-59
CITY OF FRIDLEY
Effective Date January 1, 1991 w ?A
APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION, REFRIGERATION AND
AIR CONDITIONING SYSTEMS AND DEVICES
RATE SCHEDULE
RATE TOTAL
Furnace Shell and Duct Work,
Burner (Also replacement furnace) $ 20.00 $
Gas Piping $ 10.00 $
(piping needed with now furnace)
Gas Range $ 10.00 $ d ��
Gas Dryer $ 10.00 $
* Air Conditioning (all sizes) $ 10.00 $
All Others/Repairs and Alterations
1% of Value of Appliance or Work $
COMMERCIAL/INDUSTRIAL
1% of Value of Appliance or Work $
State Surcharge
TOTAL FEE
REINSPECTION FEE $30.00.
Rough Insp.
Date
Final Insp.
Datel1 Ci
Approval for Permit
$ .50
MINIMUM FEE FOR ANY HEATING/COOLING/VENTING PERMIT
IS $15.00 PLUS THE $.50 STAT!: SURCHARGE
*Air Conditioners can not be placed in side yard without
written permission from adjoining neighbor.
Job Address / 7— RLsU-W 2 C� S
Building Inspection Div. 6431 University Ave NE Fridley MN 55432
Tel. No. 572-3604
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.
1 / / _ a °` // o . 19L2
OWNER 4+ C' . j
KIND OF BUILDING
USED AS /-( if S i d e-
70
TO BE COMPLETEDAB0 / 0
ESTIMATED COST
//1 �l% ® o
OLD - NEW BUILDING PERMIT NO. PERMIT NO.
DESCRIPTION OF FURNACE/BURNER
HEATING or POWER PLANTS, Steam, Hot Water, Warm Air- No.
Trade Name Size M3.
Capacity
Total Connected Load
Sq. Ft. EDR BTU HP
Kind of Fuel
BURNER - Trade Name Size No.
Capacity Sq. Ft. EDR BTU HP
Company P Y
Signed By
Tel. No. �jO�C �/ 2 t�0.�jL, ie ✓ °U S^�3/ 7
Fill out back side for stack verification on replacement furnaces
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 ( )
No ( )
4.
Is securely supported
Yes ( )
No ( )
5.
Meets all current Code requirements for size and
total BTU connected
Yes ( )
No ( )
6.
Has Total heating BTU's of
All other BTU's
TOTAL
Rema rk s
Company _
Signed By
Da to
CITY OF FRIDLEY INSPECTION DIV, Effective On January 1, 1997
6431 University Ave NE
Fridley, MN 55432 APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION,
572-3604 REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES
JOB ADDRESS /77
RATE SCHEDULE
The undersigned hereby makes application for a permit for the work herein
Residential Rate
TOTAL specified agreeing to do all work in. strict accordance with the City Codes and
Furnace Shell and Duct Work, Burner -
rulings of the Building Division, and hereby declares that all the facts and
Also Replacement Furnace $ 30.00
$
33 representations stated in this application are true and correct.
(Side Vent - Fill Out Back)
c.J, 1997
Gas Piping (Needed with new furnace) $ 10.00
$
_
OWNER
Gas Range $10.00
$
BUILDING USED AS Alie ti.y G,
Gas Dryer $ 10.00
$
ESTIMATED COST ,2-9,qo �f PERMIT N0.
*Air Conditioning - All Sizes $ 25.00
$
DESCRIPTION OF FURNACE AND OR BURNER
All Others/Repairs & Alterations (LIST ON BACK)
1% of Value of Appliance or Work
$
No. of Heating Units Circle One (Steam) (Hot Water(Warm Air
Trade Name / & n2 , Size No, 2J,
Commercial/Industrial
BTU- �' HP EDR
1.25% of Value of Appliance or Work
$
-?,I/-
_ Fuel Total Connected Load
State Surcharge
$
.50 Burner Trade Name Size No.
TOTAL FEE
$
ss` BTU HP EDR
HEATING COMPANY L 4a 2 IJ
MINIMUM FEE FOR ANY HEATING/COOLING/VENTILATION
-
REFRIGERATION/AIR CONDITIONING PERMIT IS $25.00
^
Signe Tel No, So._?
PLUS THE $.50 STATE SURCHARGE
REINSPECTION FEE $42.00/Hr
Approved By Rough -In Date Final Date ��ry
*Air Conditioners can not be placed in a side yard without
FILL OUT BACK SIDE F R STACK VERIFICATION ON
written permission from adjoining property owner.
I
REPLACEMENT FURN CE
Remarks: .
List ALTERATIONS Being Done:
HEATING CO:
Signed By:
Date:
CHIMNEY AND STACK VERIFICATION
The
undersigned hereby verifies that the -existing chimney or stack:
1.
Has been carefully examined
Yes (W 'No
( )
2.
Is free from rust or deterioration
Yes( No
( )
3.
Has no foreign objects lodged within
Yes (&,)"*N'o
( )
4.
Is securely supported
Yes ( L) ---No
( )
5.
Meets all current Code requirements for size
and total BTU's connected
Yes (41No
( )
6
Has total heating BTU's of
All other BTU's 34) JL) J
TOTAL BTU's JLJJ
7.
Has a liner been provided for water heater
Yes ( ) No
( )
8.
Has combustion air been provided for water heater
Yes ( ) No
( )
Remarks: .
List ALTERATIONS Being Done:
HEATING CO:
Signed By:
Date:
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-
-SUBJECT
P
City of Fridley
AT THE TOP OF THE TWINS
BUILDING
PERMIT
28169,
P
� • ____ COMMUNITY DEVELOPMENT DIV.
PROTECTIVE INSPECTION SEC.
1 . ♦
1 1 LL FRIOLEY 55132
�
s
I
NUMBER
REV
DATE
PAGE OF
APPROVED BY
�""'■ �"6012-571-3450
910-F15
10/9/98
JOB ADDRESS
177 River Ede Wav NE
1 LEGAL
DESCR.
LOT N0.
5
BLOCK
1
TRACT OR ADDITION
River Ede Addition
SEE ATTACHED
SHEET
2 PROPERTY OWNER MAIL ADDRESS
ZIP
PHONE
Kathleen Bradley
571-5764
3 CONTRACTOR MAIL ADDRESS
ZIP
PHONE LICENSE NO
Owner
/ ARCHITECT OR DESIGNER MAIL ADDRESS
ZIP
PHONE LICENSE NO
5 ENGINEER MAIL ADDRESS
ZIP
PHONE LICENSE NO
8 USE OF BUILDING
Residential
I CLASS of WORK )a REPAIR
O NEW O ADDITION O ALTERATION
0 MOVE 0 REMOVE
8 DESCRIBE WORK
Reroof house and garage 22 S Tear -off
9 CHANGE OF USE FROM TO
STIPULATIONS
Underlayment must comply with the State Building Code.
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
AUTHORIZED IS NOT COMMENCED WITHIN 80 DAYS. OR IF CONSTRUCTION
ZONING
SO. FT
CU FT.
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
STALLS
GARAGES
AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS
AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED
VALUATION
SURTAX
WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT
1885
.94
DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE
PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON.
PERMIT FEE
SAC CHARGE
STRUCTION OR THE PERFORMANCE OF CONSTRUCTION
$59.50
Fire VC $1.88
PLAN CHECK FEE
TOTAL F E
6 32
SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT IDATEI
EN P OPE L
A IS.IS YOUR PER
�®s w
GNATUREO OWNERgF OWILDIERi IDATEI
9L INSP
rIAtE
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-
NEW [ ] Effective 1/1/98
ADDN [ ] CITY OF FRMLEY
ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2
BUILDING PERMIT APPLICATIONS ` 4 r C -i
ConstructionAddress: /12�-�`,� S' o &-L �J p�V & 14,
Legal Description:
Owner Name & Address: K&M4�A-) 12 qk- J) LgTel. #
Contractor: ;� e _ MN LICENSE #
Address; r�'"5 !I�sc� �l aizz-Tel.
Attach to this application, a Certificate of Survey of the
lot, with the proposed construction drawn on it to scale.
LIVING AREA:
GARAGE AREA:
DECK AREA:
OTHER:
Construction TV=
DESCRIPTION OF IMPROVEMENT
Length Width Height Sq. Ft.
Length Width Height Sq. Ft.
Length Width Hgt/Ground Sq. Ft.
Driveway Curb u i t Needed: Ft. + 6 Ft =
Estimated ea ea Cost:.S
(Fee Schedule on Back)
Ft x $ = $
DATE: h9 APPLICANT: Tel.
TOTAL $
STIPULATIONS:
CITY USE ONLY
Permit Fee
$
5 9 S.—O Fee Schedule on Reverse Side
Fire Surcharge
$/93
.001 of Permit Valuation (1/10th%)
State Surcharge
®
$ 7 $.50/$1,000 Valuation
SAC Charge
$
$1000 per SAC Unit
License Surcharge
$
$5.00 (State Licensed Residential Contractors)
Driveway Escrow
$
Alt. "A" or Alt. "B" Above
Erosion Control
$
$450.00 Conservation Plan Review
Park Fee
$
Fee Determined by Engineering
Sewer Main Charge
$
Agreement Necessary [ ] Not Necessary [ ]
TOTAL $
STIPULATIONS:
CITY OF FRIDLEY INSPECTION DIV.
6431 University Ave NE
Fridley, MN 55432
572-3604
RATE SCHEDULE
APPLICATION FOR -POWER PLANTS AND HEATING, COOLING, VENTILATION,
REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES
Residential Rate TOTAL
Furnace Shell and Duct Work, Burner —
Also Replacement Furnace $ 30.00. $
(Side Vent — Fill Out Back)
Gas Piping (Needed with new furnace) $10.00•. $
Gas Range $10,06. • . $
Gas Dryer
*Air Conditioning — All Sizes $ 25.00
All Others/Repairs & Alterations (LIST ON BACK)
11% of Value of Appliance or Work
Commercial/Industrial
1.25% of Value of Appliance or Work
State Surcharge • X50
TOTAL FEE $S�
MINIMUM FEE FOR ANY HEATINGICOOI ING/VENTILATION
REFRIGERATIONIAIR 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.
Effective On August 1, 1995
JOB ADDRESS_ R �_
The undersigned hereby makes application for a permit for ork 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.
,19a
BUILDING USED AS
ESTIMATED COST PERMIT NO. 83
DESCRIP IT ON OF FURNACE AND Ofj BURNER
No. •of.Heating Units Circle One (Steam) (Hot Water) (Warm Air)
Trade -Name Size No.
BTU HP EDR
Fuel Total Connected Load
Burner Trade Name Size No.
BTU-* HP EDR
HEATING COMPANY C, 9.Q4nn, �p
Signed By. Tel No. V 1 \ \R
. o�
1 0
r
Approved By Rough—In Date Final Date Imp
�_1, 0
-
FILL OUTBACK SIDE FO STACK VERIFICATION ON
REPLACEMENT FURNACE
Remarks:
List ALTERATIONS Being Done:
]HEATING CO:
Signed By:
Date:
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
No
4.
Is securely supported
Yes
No
5.
Meets :1111 carrent Code requirements for.size
and total BTU's connected
Yes
No
6
Has total heating BTU's of
All other BTUs
TOTAL BTU's
7.
Has a liner been provided for water heater
Yes
No
8.
Has combustion air been provided for water heater
Yes
No
Remarks:
List ALTERATIONS Being Done:
]HEATING CO:
Signed By:
Date:
TO WHOM IT MAY CONCERN:
We, the undersigned owners of the property at
/� f River Edge Way, Fridley, MN 55432,
agree to allow Kathleen Bradley, owner of the property at
177 River Edge Way, Fridley, MN 55432, to build a fence
which would connect -to the existing southwest -corner post
of our backyard fence. Kathleen's fence would run south
in a straight line from the aforementioned corner post for
approximately 30 feet, then turn at a 900 angle and
connect to the northeast (rear) corner of her house. We
are aware that her portion of the fence may infringe on
our property by a few inches, but we are in agreement with
her building it anyway.
/� 6"/ e
Ow,ne ignatu e
Print"name
Witness signature
INs
I J� t) A- ( j
Print name
Owner sigma
:/-.
Print nam" .
®ate
TO WHOM IT MAY CONCERN:
I (we), the undersigned owner (owners) of the property at
/3 0 --4;v8d Wj Fridley, MN 55432,
agree to allow Kathleen Bradley, owner of the property at
177 River Edge Way, Fridley, MN 55432, to build a fence
which would connect to the westernmost -corner post of
my (our) existing chain-link fence which borders the rear
of her property. Just in case connecting her fence to
my (our) corner post would constitute an infringement on
our property, I (we) give our permission for her to do so.
owner signatur!
I A /it
Print name
owner
signature
Print
name
Witness signature
Print
name
owner signatur!
I A /it
Print name
TO, WHOM IT MAY CONCERN:
I (we), the undersigned owner (owners) of the property at
17 3 River Edge Way, Fridley, MN 55432,
agree to allow Kathleen Bradley, owner of the property at
177 River Edge Way, Fridley, MN 55432, to build a fence
which would connect to the westernmost -corner post of the
existing chain-link fence that borders the rear of her
property and run the fence in a straight line as far south
as the northwest (rear) corner of her house. I (we)
am (are) aware that it is possible that her fence will
infringe on my (our) property by a few inches, but I (we)
are in agreement with her building it anyway.
Owner} signature Owner signature
Print name Print name
Witness signature Date
Print name