PRE 2010 DOCSx
City of Fridley, Minn.
WELDING PERMIT N? 3628
Date: ........ :! .^........... ........ .
Owner . .
...................................... Builder0%4Z.. .........
Address ...................................... Address ........................ .....................
LOCATION OF BUILDING
No. ./�......, Street .... �. /... .. ............... Part or�&
... Block ................ on or Sub-Divisionen.. .. ..'
Lot ... ..... ..
Corner Lot ............ Inside Lot A .......... Setback 3$.774Z. Sideyard. �. ...��................. .
DESCRIPTION OF BUILDING
• �
. .... , .... Front ......r Depth 07 P.. ® Height � '� Sq. F't./M.1� Cu.. Ft. .0 . k. �®
.................... Frpnt ........ .
Depth .... .. Height ........ Sq. Ft......... Cu. Ft. .......
Type of Construction ................... list. . To be Completed ..................
In c6nsideration of the issuance to. me of a permit to con#ruct the building desribed above, I agree to do
the propaosed 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 $.. ...... permit is hereby granted to ...................
.................... r.... 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.
NOTICF-:
s
This permit does not cover the construction, installation or alteration for wiring, plumbing, gas heating,
sewer or water. Be sure to see the Building Inspector for separate permits for these items
9�
Application for Pourer Plants and Heating, Cooling., Ventilation, Refrigeration and
Air Conditioning System and Devices
PARTIAL RATE SCHEDULE Dept. of Bldgs. Phone SII 4-7470
GRAVITY WARM AIR: RATE TOTAL
Furnace Shell & Duct Work .......................... 8.00 $
Replacement of Furnace ............................. 5.00 $
Repairs & Alterations—up to $500.00 .................. 5.00 $
Repairs & Alterations each add. $500.00 ............... 2.50 $
MECH. WARM AIR
Furnace Shell & Duct Work to 120,000 BTU ............ 8.00
each add. 60,000 BTU ....................... 2.00 $
Replacement of Furnace ............................. 5.00 $
Repairs & Alterations—up to $500.00 ................. 5.00 $
Repairs & Alterations each add. $500.00' .............. 2.50 $
STEAM or HOT WATER SYSTEM
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. IDR Hot Water ..................
2.50 $
OIL BURNER to 3 gal. per hour ........................ 5.00 $
over 3 gal. per hour --See Fee Schedule
G1 .g BURNER (up to 400,000 BTU) ....................... 5.00 $
TT om® e""a �?.C.A r ��
GAS PIPING p to 3 Fbdures) .......................... 1.50
(Add 50c each over 3)
AIR CONDITIONING
FAN HEATING SYSTEM See Fee Schedule
VENTILATING SYSTEM
ALTERATIONS & REPAIRS TOTAL FEE
REMARKS:
r
iE
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, .. nin
Owner —1955—
Kind of
Used as
To be completed about
�� —co
Estimated cast, $
Old New. uilding Permit No. OZ i
195—
DESCRIPTION OF WOR,K�'
HEATING or PO PLANTS—Steam, Hot Water,(Warm —No
Trade Nam _ Size No � � ®t/
I
Capacity—% eff"—O C Sq. Ft. E.D.R BTU
Total Connected Loan �� Kind of Fue
BURNER — Trade Name Size No
Capacity Sq. Ft. E.D.R BTU H.P.
Sign
By
-QW11 POST 1M-8-58 Busines�se'� HE�ilN�a COMPANY, IN -C.
UKIM AVE;
M{NNI_APOLIS 8 MINNESOTA
AW DOSS CALCULATIONS DEPARTMENT OF BUILDINGS ° MINNEAPOLIS, MINN.',,
Weatherstrips A.S. V.E. Construction No. Insulation
Guide
Windows Doors Reference Out. Wall Jlnt.WalI I Ceiling I Roof Floor Kind How Applied
"Yes—No Y.es—No 11 19_
tRoom I LengthZ.-Width Height Fl.� Room Length Width Height
Windows an
Doors—Crackage and Area
Width Height No. of Lineal ft. Area
No. of panj of p ne lights of crack sq. ft.
Width Height No. of Lineal ft. Area
No. of pane of pane lights of crack sq. ft.
_. J
(o A�
Floor
Coef.
Btu
Infiltration
Require4 sq. ft
'-s
1)
,
Glass
Glass
Width /3
Height
Windows and Doors—Crackage and Area
Width Height No. of Lineal ft. Area
No. of pane of pane lights of crack sq. ft.
i
Exp. wall
Exp. wall
Btu
Infiltration
I 3d
Net exp. wall
) L i.' Z�'
Net exp. wall
Int. wall
Int. wall
Ceiling
Ceiling
Floor
Floor
&
�'
D
I otal Btu.
Required sq. ft. E.D.R. or sq. ins. W.A. !:Sp—,der area
F1.1 bt° q JRoom ( Lengt ' Width / 0
Windows and rs--Crackage and Area
Width Height No: of Llneal ft. Area
No. of pane of pane lights ofc/rack eq. ft*
+�. �e '
Windows and Doors—Crackage and Area
Width Height No. Of Lineai ft. Area
No. of pane of pane lights of crack sq. ft.
J1.
Coef. Btu
Infiltration
Glass `
Exp. wall `je
Net exp. wall j �_
Int. wall
Ceiling
Floor YJ
o Total Btu.
Required sq. .D.R. or sq. ins. W.A. Leader area
3ht Fl.l .mak Room I Length ,� Width 0
Windows and Doors—Crackage and Area
idth Height No. of Lineal ft. Area
No. ofWpane of pane lights of crack sq. ft.
54— 5
Coef. Btu
Infiltration Infiltration
Glass Glass
Exp, wail rr X ef. Exp. wall
Net exp. wall , " � Net exp. wall 16 0 J &
Int. wall
Ceiling
Floor
Total Btu.
Required sq. ft. E.D.R. or sq. ins. W.A. Le r area
M-1 A V__ I t e..—.L .a ITYLUL 4 A v,.:_L,
Windows and Doors—Crackage and Area
Width Height No. of Lineal ft. Area
No. of panj of p ne lights of crack sq. ft.
Ceiling
_. J
Floor
Coef.1
Btu
Infiltration.
Require4 sq. ft
D.R. or sq. iris. W.A.
ader area
„
Glass
Width /3
Height
Windows and Doors—Crackage and Area
Width Height No. of Lineal ft. Area
No. of pane of pane lights of crack sq. ft.
i
Exp. wall
Btu
Infiltration
I 3d
,
) L i.' Z�'
Net exp. wall
Int. wall
Ceiling
Floor
&
�'
Total Btu.
Required sq. ft. E.D.R. or sq. ins. W.A. Leader
Int. wall
Ceiling
Floor
Total Btu.
Require4 sq. ft
D.R. or sq. iris. W.A.
ader area
F1.1
Room I Length
Width /3
Height
Windows and Doors—Crackage and Area
Width Height No. of Lineal ft. Area
No. of pane of pane lights of crack sq. ft.
i
Coef.1
Btu
Infiltration
I 3d
1_
) L i.' Z�'
Exp. wall 2 A. X '
Net exp. wall
Int. wall
11 Ceiling
-p Floor I y 14
Total Btu.
t. -,,Required sq.. ft. E.D.R. or sq. ins. W.A. Leader area
City of Fridley, Minn.
BUILDING PERMIT
Date: .....J.
a
Owner: .....� _.... ..... _.:.:...... :_.. Builder
Address
Address ....._....
N° 60
..::... _ _ .....
LOCATIOF BUILDING
�pP10
No. �J - ._.._.... Street , w' ... `' -..... ...._. art of Lot ...__....... _..._...._..._........_....... �..._............._._.
Lot ....._... Block ...._.._ :::.... ........... Addi nor Sub -Di ion ...... .,..::_.... ...!...
Corner Lot ._ ......................._...--... Inside Lot ...__..: ......... Setback .................... ........::...._........ Sideyard....._............. _........................................... _.........
..
Sewer Elevation ...... _.................................. ...._............._................................._... Foundation Elevation
DESCRIPTION OF BUILDING
To Us d - ... Front .. Depth ... ` ..... yq Height ... .. '. Cu. Ft ...,.
°...: f ems" Sq. Ft..
....----........._...................--........._... Front.
Depth ...._... eight .... Sq. Ft....................... Cu. Ft.......................
Type of Construction -- .a - Est. Cost.... .... '.... _. v -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$:::......:.....-:•_--_--.., 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- any of the provisions of said
ordinances. A
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.
.OW4
APPLICATION FOR BUILDING PERMIT
CITY OF FRIDLEY, MINNESOTA
. • -
LOCATION OF BUILDING
No. /97 StreeuL �.� �� e�� 2—k Part of Lot
Lot _ . , �; Block , L, Addition or Sub.Div,
Corner Lot inside Lot:Set Back Side -Yard
SEWER ELEVATION. FOUNDATION ELEVATION
Applicant attach to this form Certificate of Survey of Lot and proposed building
location.
DESCRIPTION OF BUILDING
To be used as:
Front Depth Height �"
Sq. Ft. .7�g Ca, Ft.
Front Depth Height
Sq. Ft. Cu. Ft.
Type of Construction Estimted Cost
To be completed Cl5g1'�2
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 representa-
tions stated in this application are true and correct.
DATE % SIGNATURE Wo - i'
(A Schedule of Fee costs can be found on the Reverse Side.)
SUBJECT
CITY Oar FRIOt.,lsl r�
IvlINNE50TA �. _...BLIJLDIAIG PERMIT._ .:. _ t..._ ...._._.
REVIEW
Uepertmtnt/UmSitm� w �NumotY 1 ed 493 Appraved by Data
FILE No/ AOOMISS .. FILt3 OATS
COMPLETE REVIEW CHECKLIST %x'90 l&amex zree6c
RETURN TO BUILDING INSPECTION DUAL DATE
COMMENTS
Ej M 19
El
El
T.
0.
m A*—W O -A
s
I
TC$ty of Fridley SUO�EGT _
Permit No.
AT THE
TO` APPLICATIONr�
BUILDING PERMIT APPLICATION
�L-""': C014MUN17Y DEVELOPMENT WY. Receipt No.
i PROTECTIVE INSPECTION DEFT.
I
CITY NA66 fR1D4[Y 55432
612-660-3450 oa"ER REV. DATE PAGE Of APPROVE6 8 `'
910-F14 3 7/8/76 1
Job Address:
Legal
LOC N.O. --jBlock
% a �
{
Tracr Addition See Attached
Des,cr. ,
�-
r 1 t„-' _ / Sheet
Property Owner Address Zip S`� Phone
ontractorCJS A d ss Zip Phone License Na.
att )Ice)
'Architect or Designe dress Zip Phone L erase No.
ngineer Address Zip Phone License No.
U.se of Buil _
CEss of Worw Remove
New Q Addition ❑ Alteration ® Repair_ 8 Move
De�scr. i e Work
7. a
Change c 'se ram
To Signature ,
SPECIAL ASSESSIMNTS:
If lateral assessments have not been placed on this property, an agreement mast be
signed, agreeing to as e such lateral assessments before a permit will be issued
Agree emi t Ne�c ssaryOV,
Agreement Unnecessary: Finance Director
a
OUTSXDE UTILITIES:
Z
Sewer Elevation: Water Elevation:
Stub Location: Stub Location:
w
-
BUILDING INSPECTION
}
F,
Plumbing H.V.A.C. Electrical Fixe Insp.
L)
Signature &
Date Approved
O
u
Registered Engn. Stamp. Legal Description Check'
Exterior Devel. Check Performance Bond Check
Easements, R/W, Special Agreements
• Final Approval Date
Certificate of Occupancy
" Date
SUBJECT�PeIT
NO.
City of Fridley
14610
AT THE TOP OF THE TWINS
BUILDING
PERMIT
RECEIPT NO.
`y -------COMMUNITY DEVELOPMENT DIV,
_
r PROTECTIVE INSPECTION SEC.
�l -- "i CITY HALL FRIDLEY 55432
NUMBER
REV.
DATE
PAGE OF
APPROVED BY
612-560-3450
910-F15
3/29/78
JOB ADDRESS 181, River Edge Way N.E.
1 LEGAL
LOT NO.
BLOCK
TRA CT OR ADDITION
SEE ATTACHED
DESCR,
4
1
Rivers Edge Addition
SHEET
2 PROPERTY OWNER MAILADDRESS
ZIP PHONE
Hugh D. Snee 181 River Edge Way N.E.
560-7837
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
Screened in Porch (12' x 20")
7 CLASS OF WORK
❑ NEW D. ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE
8 DESCRIBE WORK
Add Porch to dwelling (12' x 20")
9 CHANGE OF USE FROM TO
STIPULATIONS
SEVMTE PERMITS REQUIRED FOR WIRING,
HEATING. R!„.t1MSM, AND SIGNS.
ItARHI G
Before digging call local utintia
TELEPHONE - ELECTFG -GAS Etc.
REQUIRED BY LAS'
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
SQ. 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
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.
$8Q0
$,50
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 REGULATING CON.
$7.50
STRUCTION pR THE PERFORMANCE OF CONSTRUCTION.
PLAN CHECK FEE
TOTAL FEE
$8.00
TVREOFCONTRACTOR ORAUT ORIZEDAGENT (DATE)
PROPERLY VALIDATED THIS IS YOUR PERMIT
4WHEN
BLDG. )NSP
D T
SIGNATU OF OWNER (IF OWN BUILDER) (DATEL-
CITY 01= FRIDLEY
APPLICATION FOR RESIDENTIAL BUILDING PERMITS
(NEW, ALTERATIONS, ADDITIONS, OR REPAIRS)
OWNER: �9 !� IJ �/ye BUILDER:
Address: ` � .I/ r eel 2 Address:
Tel. No.:
No. .
Street:
LOT: BLOCK: ADDITION:
CORNER LOT: INSIDE IAT: SETBACK: SIDEYARDS:
Applicant attach 'to this form lWo Certificates of Survey of Lot and proposed
building location drawn on these Certificates.
DESCRIPTION OF BUILDING
To Be Used As:
".2,
SCree,v iA.; 7D1-e.k Front: Depth: Height:
Square Feet: Cubic Feet:
Front: Depth: Height:
Square Feet: Cubic Feet:
Type of Construction: Estimated Cost: $
To Be Completed: y�Alt. A Alt. B.
Proposed Driveway Width If New Opening Is Desired $ $
(SEE REVERSE SIDE OF SHEET)
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. See reverse side for additional information.
DATE: ` SIGNATUR. E
Stipulations:
POE A PA I�
01
SUBJECT
City of Fridley
AT THE TOP OF THE TWINS
BUILDING PERMIT
.17566
EIPT
r
�
• COMMUNITY DEVELOPMENT DIV.
,r ------,
r � � PROTECTIVE INSPECTION. SEC.
5v 9
/
t . ,
i A ---,,� CITY HALL FRIDLEY 55432
NUMBER
REV.
DATE
PAGE OF
APPROVED BY
----
L J \ 612-571-3450
910-F15
6/20/84
JOB ADDRESS lel River Edge Way N.E.
1 LEGAL
LOT NO.
BLOCK
TRACT OR ADDITION SEE ATTACHED
DESCR.
4
1
River Edge Addition SHEET
2 PROPERTY OWNER MAILADDRESS ZIP PHONE
Hugh Snee 181 River Edge Way N.E. 571-3964
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.
8 USE OF BUILDING
Residential
7 CLASS OF WORK
❑ NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE
B
8 DESCRIBE WORK
Construct a masonry fireplace - add brick front on dwelling
9 CHANGE QF USE FROM TO
STIPULATIONS
Footing to be 121 thick. Provide combustion air for fireplace or
existing furnace. Provide smoke detectors on both levels.
TYPE OF CONST.
OCCUPANCY GROUP
OCC! IPANCY LOAD
SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING,
VENTILATING OR AIR CONDITIONING.
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION
ZONING
SQ. FT.
CU. FT.
AUTHORIZED IS NOT COMMENCED WITHIN BO 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
Z
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
c�5,000
YY
$250
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-
STRUCTION, OR THE PERFORMANCE OF CONSTRUCTION.
PLAN CHECK FEE
TOTAL FEE
$53.00
SIGNATURE OF CONTRACTOR OR AU RIZED AGENT (DATE)
WHEN PROPERLY LI DATED THIS IS YOUR PERMIT
sy'
Nz4e - - A�ge__ e—
IGNAREO WN R(IF OWNE UILDERI (DATE)
BLDG WSP DATE
01
NEW [ ]
City of Fridley Effective 4/1/8+
ADDN. [ ] FR -1 AND R-2�
ALTER. [ ] Building Permit Application
Construction Address: 1/\' V ��� ��
Legal Description:
Owner Name & Address: 9 Sly e Tel. #
Contractor: �� 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:
Leng ___
Width Hgt/Ground
Sq.
Ft.
OTHER:
AOJQ
Corner Lot [ ]
Inside Lot [ ]
Ft. Yd. Setback aide Yard
Setback
Type of Construction: CLA
Estimated Cost:
$
' Ono -
A Com 1 -tion Date:
-
Alt. A Alt B
Proposed Driveway Width If New Opening Is Desired: $ $
See Back Page for Explanation
P' APPLICANT. #J /�/ f��
DATE:
CITY USE ONLY
Permit Fee
Plan Check
State Surcharge
SAC Charge
Park Fee
Sewer Main Charge
TOTAL
STIPULATIONS:
Q1 �acr-�i.s c
$ SU s0 Fee Schedule on Reverse Side
$ 'mss 25% of Building Permit Fee
$ $.50/$1,000 Valuation
$ ®' $425 per SAC Unit
$ r-- Fee Determined by Engineering
$ ® Agreement Necessary [ ] Not Necessary [ ]
$ •
Sit 1011, or'wcu—
�uaN ac&
mac.!n.A 0AJ %drk# 4A QCT .
SUBJECT
NO.
City of Fridley
-,.50,56
AT THE TOP OF THE TWINS
BUILDING
PERMIT
r
RECEIPT NO.
�
• _____ COMMUNITY DEVELOPMENT DIV.
I L PROTECTIVE INSPECTION SEC
r
t
NUMBER
REV
DATE
PAGE OF
APPROVED BY
iCITY HALL FRIDLEY 55432
612-571-3450
910415
5/13/97
JOB ADDRESS 181 River Edge Way NE
1 LEGAL
LOT NO.
BLOCK
TRACT OR ADDITION
SEE ATTACHED
DESCR.
4
1
1 River Edge Addition
SHEET
2 PROPERTY OWNER MAIL ADDRESS
ZIP PHONE
Robert Hillyer 181 River Edge Way NE
572-8973
3 CONTRACTOR MAIL ADDRESS
ZIP PHONE LICENSE NO.
Sunrise Remodelers Inc 6609 18 Ave S, Richfield, NN 55423 866-6650
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 REPAIR ❑ MOVE ❑ REMOVE
8 DESCRIBE WORK
Reside House; replace windows & doors
9 CHANGE OF USE FROM TO
STIPULATIONS
Install building wrap and have inspection of same unless manufacturer')
specifications state it is not required.
TYPE OF CONST.
OCCUPANCY GROUP
OCCUPANCYLOAD
SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING,
VENTILATING OR AIR CONDITIONING
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION
ZONING
SQ. 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
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
$24,996
$12.50
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-
$349.75
Fire SC $24.99
ST N OR THE PERFORMANCE OF CONSTRUCTION
PLAN CHECKFEE
TO FEE
Licens C
$5 0
392.24
SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT (DATEI
HEOO
PZOG )NSP
VALID T D THIS IS YOURP MI
DATE
SIGNATURE OF OWNER IIF OWNER BUILDER) (DATE)
NEW [ ] Effective 1/1/97
ADDN [ ] CITY OF FRIDLEY
ALTER [ ) SINGLE FAMILY AND DUPLEXES R-1. AND R-2
BUILDING PERMIT APPLICATION �a
ConstructionAddress: �� / ��° �¢y d,2 e t.J a L Al
Legal Description:
Owner Name & Address: Ra �' 14 y ev- R. ,,.,. E!�e W �� ff, C Tel. # 5- 7.2 - ""f 73
Contractor: S ckY ,- s -e Q e TAC 11 MN LICENSE #
Address: (-(O6 (� f� Ue , Sd , «�n-�� c d lwty .Sylld 3 Tel. # <4w &6 6 -/
Attach to this application, a Certificate of Survey of the
lot, with the proposed construction drawn on it to scale.
DESCRIPTION OF Il"ROVEMENT
LIVING AREA: Length Width Height Sq. Ft.
GARAGE AREA: Length Width Height Sq. Ft.
DECK AREA: Length Width Hgt/Ground Sq. Ft.
OTHER: R es,' ,4 Ala
a
Construction Type:y i uNy l° Estimated Cost: $
(Fee Schedule on Back)
Driveway Curb Cut Width Needed: Ft. + 5 Ft = Ft x $ _ $
DATE: A?, 03 1 ss 7 APPLICANIGc Tel. #
CITY USE ONLY
TOTAL
STIPULATIONS:
r
Permit Fee
$ ?�
Fee Schedule on Reverse Side
Fire Surcharge
$
.001 of Permit Valuation (1/10th%)
State Surcharge
$ i O
$.50/$1,000 Valuation
SAC Charge
$
$950 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:
SUBJECT
City of Fridley
2 9 2 864,
'
AT THE TOP OF THE TWINS
BUILDING
P E D M I T
`
r R
RECEIPT NO.
•
LCOMMUNITY DEVELOPMENT DIV.
I V e____
SEC.
f � PROTECTIVE INSPECTION
I
=
1 I CITY HALL FRIDLEY 55432
"''
NUMBER
REV
DATE
PAGE OF
APPROVED BY
612-571-3450
910415
4/23/99
JOB ADDRESS 181 River Edge Way NE
I LEGAL
LOT N.
BLOCK
TRACT OR ADDITION
SEE ATTACHED
DESCR.
4
1
�M River Edge
Addition SHEET
2 PROPERTY OWNER MAIL ADDRESS
ZIP PHONE
Robert Hillyer 181 River Edge Way NE
572-8973
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
8 USE OF BUILDING
Residential
7 CLASS OF WORK
❑ NEW ❑ ADDITION ❑ ALTERATION CX REPAIR ❑ MOVE O REMOVE
8 DESCRIBE WORK
Reroof House jf (17 Sq) Tear -off
9 CHANGE OF USE FROM TO
STIPULATIONS
Underlayment must comply with the State Building Code.
CONSTRUCTION WORK HOURS: 7:00 am to 9:00 pm, Monday
thru Friday; 9:00 am to
9:00 pm on Saturday; No work on Sunday.
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
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
WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT
$1,456
$.73
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
$48.50
Fir SC $1.46
PLAN CHECK FEE
TOi EE
.69
SIGNATURE OF CON-RACTAR OR AUTHORIZED AGENT IDATEI
MA 3
._. L, o �%� 47-
go EN O
ALIDA THIS I$Q P IT
--
S,GNATURE OF OWNER IIF OWNER BUILDER, IDATEI
FILAINS
OarE
NEW [ ]
ADDN [ ] CITY OF FRIDLEY
ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2
BUILDING PERMIT APPLICATION
ConstructionAddress:
Effective 1/1/99
Legal Description:
Owner Name & Address: J��I��d27 �d . � ��lG�- i �1 �� 22 (,�a�� �� Tel. # 57, - X73
Contractor: MN LICENSE #
Address:
LIVING AREA:
GARAGE AREA:
DECK AREA:
�(OTHER:.
Tel. #
Attach to this application, a Certificate of Survey of the
lot, with the proposed construction drawn on it to scale.
DESCRIPTION OF EMPROVEMENT
Length Width Height Sq. Ft.
Length Width Height Sq. Ft.
Length Width Hgt/Qround, Sq. Ft.
Construction Type: Estimated Cost: $ / 7
(Fee Schedule on Back)
Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ = $
11
DATE: qZ APPLICANT: �� . cG�f5�2 Tel. # 570 -375
Permit Fee
Fire Surcharge
State Surcharge
SAC Charge
License Surcharge
Driveway Escrow
Erosion Control
$ 76 b
$ V6
Park Fee $
Sewer Main Charge $ .
TOTAL
STIPULATIONS:
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
Fee Determined by Engineering
Agreement Necessary [ ] Not Necessary [ ]
v�
CITY OF FRIDLEY INSPECTION DIVISION
Effective On Januaryul, .1999
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 1 �1 \1 V q J -e,
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
$30,o-0
representations stated In this application are true and correct
(Side Vent - Fill Out Back)
� -�—� ;499
Gas Piping (Needed with new furnace, $10.00
$
d
but not replacement)
OWNER i
Gas Range $10.00
$
BUILDING USED AS
Gas Dryer $10.00
$
ESTIMATED COST PERMIT NO. J
*Air Conditioning - All Sizes $ 25.00
U
o
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)arm Air)
Trade Name hgwee;v► �v- Size No.
Commercial/Industrial
BTU(tjo0'0 HP J , ?, EDR
1.25% of Value of Appliance or Work
$
Fuel . 0, OLS Total Connected Load
State Surcharge
$ .50
Burner Trade Name Size No.
TOTAL FEE
$ b�
BTU HP EDR
HEATINtGPAN •(C �(�I B1 44- kr
`
MINIMUM FEE FOR ANY HEATING/COOLING/VENTILATION
REFRIGERATION/AIR CONDITIONING PERMIT IS $25.00
SignedV Tel No.- � '"�
PLUS THE $.50 STATE SURCHARGE
REINSPECTION FEE $42.00/Hr
ApprovRough-In Date Final Date*Air
Conditioners can not be placed in a side yard without
FILL OUT BACKSIDERIFICATION ON REPLACEMENT FURNACE
written permission from adjoining property owner.
Remarks:
List ALTERATIONS Being Done:
4
HEATING CO:
Signed By:
Date:
CHIliZNEY AND STACK VERIFICATION
The
undersigned. hereby verifies that the existing chimney or
stack:
1:
Has been carefully examined
Yes ()
No ( )
M 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
O
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 ( )
8.
Has combustion air been provided for water heater
Yes (
)
No ( )
Remarks:
List ALTERATIONS Being Done:
4
HEATING CO:
Signed By:
Date:
CITY OF FRIDLEY
6431 UNIVERSITY AVENUE NE
FRIDLEY, MN 55432
763) 572-3604 FAX: (763) 571-1287
ADDRESS : 181 RIVERS EDGE WAY NE
PIN : 153024430049
LEGAL DESC : RIVER EDGE ADD
: LOT 4 BLOCK 1
PERMIT TYPE : BUILDING
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : GARAGE, DETACHED
PE NO.: 2004-01956 j
DATE LS r07Z2/ZUU4
VALUATION : $ 31,210.00
NOTE: CALL GOPHER STATE ONE AT 651-454-0002 FOR UTILITY LOCATIONS. PROVIDE HARD SURFACE DRIVEWAY.
SEE NOTATIONS ON PLAN. REMOVE EXISTING GARAGE. CONSTRUCT A 38' X 26' DETACHED GARAGE.
APPLICANT
HILLYER ROBERT -M- (,�;C( j,�
181 RIVERS EDGE WAY NE
FRIDLEY, MN 55432
OWNER
HILLYER GERALD
181 RIVERS EDGE WAY NE
FRIDLEY, MN 55432
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 cancy the provisions of any other state or local law
reeulatina-codstruction oVdi/votforxignce of construction.
Bldg Insp.
BUILDING PERMIT FEE
PLAN CHECK FEE
FIRE SURCHARGE
STATE SURCHARGE, VALUE
TOTAL
PAID WITH CHECK # 3830
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE.
461.95
300.27
31.21
15.61
809.04
NEW CITY OF FRIDLEY Effective 4/1/2004
ADDN [ ] 6431 University Ave NE, Fridley, MN 55432 (763) 572-3604 Bldg Insp
ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 (763) 571-1287 Fax
BUILDING PERMIT APPLICATION 62'2
Construction Address: 1 !� /�t/e�r1 1 ' ����2—
Legal Description:
Owner Name & Address: Cajewb :54
Contractor. Sa MN LICENSE #
Address: Tel. #
Attach to this application, a Certificate of Survey of the
lot, with the proposed construction drawn on it to scale.
01��
DESCRIPTION OF IMPROVEMENT
LIVING AREA:
GARAGE AREA:
DECK AREA:
OTHER:
Length Width Height Sq. Ft..
Length Width 2, 6 Height_ Sq. Ft
Width L Hgt/Ground Sq. Ft
Construction Type: —Atele-> - Estimated Cost: $ " Q 10 (TT
Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ _ $
DATE: /® 3 -6 APPLICANT: Tel. #%7- $1Y'7 3j
Call (763) 572-3604 for Permit Fees if mailing in application. Fax to 763-571-1287 if using credit card and we will call
you for card number.
CITY USE ONLY -
Permit Fee
Plan Review
Fire Surcharge
State Surcharge
SAC Charge
License Surcharge
Curb Cut Escrow
Erosion Control
Park Fee
Sewer Main Charge
Fee Schedule on Reverse Side
65% of Permit Fee
.001 of Permit Valuation (1/10th%)
$.50/$1,000 Valuation
$1350 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 [ J
TOTAL $ 09 O� STIPULATIONS:
City of Fridley
POO
6431 University Ave NE
Fridley MN 55432
(763) 572-3602 or Fax (763) 502-4977
Water and Sewer Permit Application
F] New Connection Elutility Line Repair/RelocatioT
F❑1 Existing ElWater and Sewer Connection
Date:
120
Job Address: Je—
Name of Applicant (Plumber):
Name of Property Owner:
Existing Structure Permit #
Permit Type: Sewer Fee:
Water Fee:
Meter Fee:
Repair Fee:
Relocation:
State Surcharge:
SAC Charge:
Special Assessment Fee:
Total: $
Applicant Signature:
Inspector approval:
Water Meter Repair — Weekend & Holidays
$12
/hour
Water Connections Permit
$50
Sewer Connections Permit
$50
Inspection Fee for Water/Sewer Line Repair
$40
Special Assessments
See Engin
cring I
Cost of Water Meter
See Utilityillin
SAC Char
;1450
State Surcharge
$.50
Water Tap
See (*h#
g. j