PRE 2010 DOCS� LOCAT NOF BUILDING
No.0,P f Lot
Lot ._ __ Block ddition or ub-Division !
Corner Lot _ inside Lot � Setback :3 J,___ Sideyard
Sewer Elevation �—_ _5f %210sambeden Elevations �
DESCRIPTION OF BUILDING
obeU : "
Front 7 Depth �� Height Sq. Ft. Cu. Ft.
nt Deptheight Sq. Ft. Cu. Ft.
Type of Constructio �Q __ ____ Est. �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 conWkhmce with all provisions of
ordinance of the city of Fridley. 1-4
In consideration of the payment of a fee of , permit is hd4by granted to
to construct the building or addition as described above. This rmit Isgranted upon
the express oondition that the person to wham it is granted and his agents, employees an�workmen, in all work.
done in, around and upon said building, or any thereo% shall conform in all respects to the ordinances of
Fridley, Minnesota reg location, construction, alteration, maintenance, repair and moving of buildings
we dty ]units an� permit may be revoked at any upon viton of any of the provisions of said
NOTICE:
lhhs pentiit does not Borer the sonsfrnetion, installation for wiring, phbing, gas 6sathig, sewer or water. Be sereto see
the Beliding Inspector for separate permits for these boom
.r
O�Jib' est' S NAME %\rAv\4=,
APPLICATION FOR BUMT)ING PERMIT
CITY OF.FRIDLEY, MNNESOTA
ADD?.ZSS a 5- -1 V'` `I-4, jog . eADDP.ESS S's2
.,.
LOCATION OF BInLDING
No. Streetvv %%p A Part of Lot
Block Addition or. Subdivision \vet. ���a��;,�e�o���
Lot i
Corner Lot Inside Setback,. Side -Yard
Lot
SEWER ELEVATION FOUNDATION ELEVATION
Applicant attach to this form Two Certificates of Survey off ot.and proposed build-
ing location drawn on: these Certificates.
DESCRIPTION OF BUILDING
To be used as:
Front Depth Height
Sq. Ft. ° :- Cu. Ft.
Front Depth Height
Sq. Ft.. Cu Ft.
Type of Construction %:r EstImated Cost N4k X00
To be Completed _\G18
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 FridleyOrdinances and
rulings of the Department of Buildings, and hereby declares that all the facts .and
representations stilted in this application are true and correct.
DATE_ \N_ l# SIGNATURE
(Schedule of Fee Costs can be found on the Reverse Side).
City of Fridley
Application for Plumbing and Gas Fitting Pam*
Dept. of Bldgs. Phone SU 4-7470
DESCRIPTION OF WORK ��� �S 5!;>,6
Number,
Number, Kind and Location of Fixtures Location
PARTIAL RATE SCHEDULE
PLUMBING FIXTURE RATES: NO. RATE TOTAL
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 $ �C
New Ground Run Old Bldg . ............ x 3.25 $
GAS FITTING FEES: NO. RATE TOTAL
1st 3 Fixtures .......................... / x $1.50 $ /• ��
Additional Fixtures .................... x .50 $
Gas Range to 200,000 BTU .............. x 2.00 $
REPAIRS & ALTERATIONS—Refer to Code
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 `'� S'
Used as S"4�
To be completed about _A0 / --C 0/
Estimated Cost, $ /e7Z7-Vo d�
Old ew. uilding Permit No—�CG� `� Permit No
Signe
By
Business Phone No-
ROUGH
o
ROUGH
FINAL
Description.................................................$
TOTAL FEE QW42 2M1 7-59
Z
K
Qp� Z
Z_
0 W
5
..(
�°'.
0
�Z
Z
�d
•
r
WATER HTR.
ELEG
10�LSO
y
�qc�a
Z
�Sy-.Q
04�
<
R
N
GAS
Base
1st
2nd
_
3rd
4th
• Future Connection Openings
Connected with
Sewer E]
New Fixture, Old Openings l
1
Cesspool
PARTIAL RATE SCHEDULE
PLUMBING FIXTURE RATES: NO. RATE TOTAL
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 $ �C
New Ground Run Old Bldg . ............ x 3.25 $
GAS FITTING FEES: NO. RATE TOTAL
1st 3 Fixtures .......................... / x $1.50 $ /• ��
Additional Fixtures .................... x .50 $
Gas Range to 200,000 BTU .............. x 2.00 $
REPAIRS & ALTERATIONS—Refer to Code
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 `'� S'
Used as S"4�
To be completed about _A0 / --C 0/
Estimated Cost, $ /e7Z7-Vo d�
Old ew. uilding Permit No—�CG� `� Permit No
Signe
By
Business Phone No-
ROUGH
o
ROUGH
FINAL
Description.................................................$
TOTAL FEE QW42 2M1 7-59
PU
Application for Power Plants and Heating, Cooling, Ventilation, Refrigeration and
j,
Air Conditioning Systems and Devices
PARTIAL RATE SCHEDULE Dept. of Bldgs. Phone SU 4-7470
'119, n i -
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 $
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 $
Additional Fixtures ................. x .50 $
Gas Range to 200,000 BTU ........... x 2.00 $
AIR CONDITIONING $
FAN DATING SYSTEM See Fee Schedule
VENTILATING SYSTEM
1 ALTERATIONS & REPAIRS TOTAL FEE $
REMARKS:
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, Winn JAS! 8 1964 195—
Owner
Kind of Building
195—
195—
WIAN 0 1964
To be completed about
_ �O
Estimated Cost, $ �®'v '-
New. uildina Permit No.
DESCRIPTION OF WORK
BEATING , Warm Air—No-
Trade Name ,��-� Size No'E4,V —es,
Capacity Sq. �Ft. E.D..Rf � BTU H.P.
Total Connected Load Kind of Fuel -±- F
BURNER — Trade Name Size No
Capacity Sq. Ft. E.D. g�"'�B H.P.
yl=O HEATING & AnGOND.
i��121�7✓F�®L35 26, 1OU4,
Sign
By
-01�11 POST IM -12-58 Business Phone o
8.00
$
2.00
$
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 $
Additional Fixtures ................. x .50 $
Gas Range to 200,000 BTU ........... x 2.00 $
AIR CONDITIONING $
FAN DATING SYSTEM See Fee Schedule
VENTILATING SYSTEM
1 ALTERATIONS & REPAIRS TOTAL FEE $
REMARKS:
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, Winn JAS! 8 1964 195—
Owner
Kind of Building
195—
195—
WIAN 0 1964
To be completed about
_ �O
Estimated Cost, $ �®'v '-
New. uildina Permit No.
DESCRIPTION OF WORK
BEATING , Warm Air—No-
Trade Name ,��-� Size No'E4,V —es,
Capacity Sq. �Ft. E.D..Rf � BTU H.P.
Total Connected Load Kind of Fuel -±- F
BURNER — Trade Name Size No
Capacity Sq. Ft. E.D. g�"'�B H.P.
yl=O HEATING & AnGOND.
i��121�7✓F�®L35 26, 1OU4,
Sign
By
-01�11 POST IM -12-58 Business Phone o
J),56 s
44
HEP�ANEOOLIS.
AT LOSS CALCULATIONS DEPARTMENT OF BUILDINGS ✓ MINN.
Weatherstrips A.S.H.V.E, Construction No. Insulation
Guide
WindowsI Doors Reference Out. Wall Int. Wall Ceiling Roof Floor Kind How. Applied
Yes—No Yes—No 19—
/ Fl. o v. u id Room I Length 7 _,q Width 2- A Height 0 �"�"/ Room ILength / / Width / /a Height �
Windo
Doors—Crackage and Area
Width Height No. of Lineal ft.
No. of pane ofpanelights of crack
Area
sq.. ft.
Width Height No. of Lineal f . Area
No. of pane of pane lights of crack sq, ft.
® 0
Coef. Btu
Infiltration
2.4
1 z 4t_.
Btu
Coef.
Btu
Infiltration
/3
137—
Glass'TO
Glass
cc C
Glass
® 0 0
Exp. wall
cl �
e
Exp. wall
Exp. wall
Net exp. wall
Int. wall
f
'Sze
Ceiling
Net exp. wall
Int. wall
Net exp. wall
Floor
Floor
Int. wall
e
Floor _ _
Ceiling
1
6'0
Floo
A 0
-LL
73 bp
Total Btu.
Required sq. ft. E.D.R. or sq. ins. W.A. Leader area
I F1.1 ,-9'--d Room I Length �'i Width je Heiaht
Windows and Doors—Crackage nd Area
Width Height No. of Lineal ft.
No. of pane ofpanelights of crack
Area
sq.. ft.
G. ® 1 46
® za 16 6
Coef. Btu
Infiltration
Coef.1
Btu
Infiltration
Coef. Btu
Infiltration
/3
Qj0
Glass'TO
Glass
Glass
6
® 0 0
Exp. wall
®
e
Exp. wall
Net exp. wall
Int. wall
Net exp. wall
Int. wall
f
Ceiling
Net exp. wall
Int. wall
Ceiling
Floor
Floor
Total Btu.
Required sq. ft. E.D.R. or sq. ins. W.A. Leader area 1 A
1 F1.1 'F".'3 Room I Length I J Width / o HeiahtI-,*'
Windows and Doors—Crackage anJ 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.03 pane of pane lights of crack sq. ft.
G. ® 1 46
® za 16 6
Coef. Btu
Infiltration
Coef.1
Btu
Infiltration
Infiltration
Net exp. wall
ael
Qj0
Glass'TO
Ceiling
Glass
Floor
Aae
Exp. wall
®
e
Exp. wall
Net exp. wall
Int. wall
f
Net exp. wall
Int. wall
Ceiling
Floor
e
Total Btu.
Required sq. ft. E.D.R. or sq. ins. W.A. Leader area
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 eq. ft.
® z® 4®
Coef. Btu
Infiltration
Glass
Coef.
Btu
Infiltration
Net exp. wall
Int. wall
Ceiling
Glass
Floor
Z
®
e
Exp. wall
f
Net exp. wall
Int. wall
Ceiling
Floor _ _
k ' .
1
6'0
Total Btu.
Required sq. ft. E.D.R. or sq. ins. W.A. Leader area
Fl.l Room I Length ti Width
I
Windows and Doors—Crackage and Area
Width Height No. Of Lineal ft. Area
No. of pane of pane ltghts of crack aq. ft.
Infiltration ®04K 3 9 10
Glass CIO a 60
Exp. wall[Be—
Net
exp. wall
Int. wall
Ceiling
Floor
Total Btu. 2 24A
Required sq. ft. E.D.R. or sq. ins. W.A. Leader area t I
F1.1 Room I Lenath 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
Coity of Fridley, Nt.hm.
BUILDING PERMIT
Date: MAY 29, 1967
N9 9281
Omer: ALLAN BAUMGARTNER Builder —ALL SERVICE BLACKTOPPING,�INC.
Address 189 Riversedge Way N. E. Address 313 - 97th Avenue N. W.
Fridley, Minnesota 55421 Coon Rapids, Minnesota
No. 189 Street
Lot _ _ 2—__ Block
LOCATION OF BUILDING
RIVERSEDGE WAY N. E. Part of Lot
1
Addition or Sub -Division RIVER EDGE ADDITION
Corner Lot __ Inside Lot _ _ Setback
Sideyard
Sewer Elevation __ Foundation Elevation
To be Used as:
DRIVEWAY
Type of Construction
DESCRIPTION OF BUILDING
Front _ __ Depth Height _ Sq. Ft.
Front Depth Height Sq. Ft.
ASPHALTEst. Cost _ $13 0.00 _ To be Completed
Cu. Ft
Cu. Ft.
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 21 provisions of
ordinances of the city of Fridley.
In consideration of the payment of a fee of $ 5.00 , permit is hereby granted to ALL SERVICE
BLACKTOPPING� INC. 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.
CLARENCE BELISLE 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 then hems,
APPLICATION FOR BUILDING PERMIT
CITY OF-FRIMEY,.MINNESOTA
OWNER'S NAME Allan Baumgartz.erBUILDER
All
Service Bla
c'.,, -bopping, Inc.
ADDRESS 189 Riv6rbedge Way.N.' E.
ADDRESS
313
.. 97th Ave.
Ii. Wo'
LOCATION OF BUILDING
NO STREET
LOT BLOCK ADDITION OR.SUBDIVIS
CORNER LOT INSIDE LOT SETBACK SIDE
OF LOT
is " erg
o r
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 Dept Height
Sq. Ft._ Cu. Ft.
Type of ConstructionBla cktop Driveway Etitimated Cost $ 130.00
To be 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.
DO MIAN,�
(Schedule of Fee Costs can be found on the Reverse Side)..
City of Fridley, Minn..
BUILDING PERMIT
Date: July 1, 1970
owner: g MX. Allen Baumgartner Builder Same
Address _____ 1.89 Riversedge Way N.E. Address Same
LOCATION OF BUILDING
No. 189 ____ Street Riversedge Way N.E. Part of Lot
Lot 2 _ Block 1 Addition or Sub -Division . River Edge Addition
Corner Lot —_ Inside Lot Setback r._ Sideyard
Sewer Elevation
To be Used as:
Foundation Elevation
DBCRIPTION OF BUILDING
Garage Front 36' Depth 24' Height 10' Sq. Ft. 864' Cu. Ft. 8640'
Front Depth Leight Sq. Ft. Cu. Ft.
Type of Construction MUM Block Est. Cost _14.000,00 __ To be Completed Sept. . 19 7 0
Frost Footings Required.
Provide Hardsurfaced Driveway
In consideration of the issuance to me of a permit to construct
the proposed work in accordance with the description above set f
ordinances of the city of Fridley.
In consideration of the payment of a fee of
I agree
in
permit is hereby granted to Nx, BmMart er
to construct the building r 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, u1 all work
done in, around and upon said building, or any thereof, shall conform in all respects to the ordinances of
F
dley,Minnesota regarding locationchin thinances. o
Building Inspector
NOTICE:
This poradt dont not cover the construction, tnstaliafion for whbg, Plumbing, nae heating, tower or water. Be sere to as
the MIA* Inspector for separate permits for these items.
APLICATION FOR RESIDENTIAL, ALTERATION,
OR ADDITION BUILDING PERMIT
CITY OF FRIDLEY, MINNESOTA
OWNER'S NAME : A'5'." �U/91G's9s�TiV C� BUILDER : S 15& j=
ADDRESS: A�!? ADDRESS:
NO:.- STREET:
LOT:- BLOCK: ADDITION: r / is/=/Z
CORNER LOT: INSIDE LOT:— SETBACK: SIDEYARD:
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
Square Feet: c56,Sl Cubic Feet:
Front: Depth: Height:
Square Feet; Cubic Feet:
Type of Construction: g-lae 1z° Estimated Cost:
To Be Completed: '9 — / P? U
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 /thnisalication
are true and correct.
DATE: � 7 —1 _ 7 ® S IGNATURE : _2
(See Reverpe-S-ide For Additional Info tion.)
ria f d
ROY C. CARLSON, PRIES. CERTIFICATE OF SURVEY WILLIAM A. CARLSON, V.P.
10!506SHERIDAN AVE. SO. 2324 W. 110TH ST.
881-4870 888-2084
55431A- 55431,
'a ARLSON INC.
ARLSON
Survey fort
Allen Baumgartner
I LAND SURVEYORS
Licensed, Insured & Bonded
I —�Oc
I
of
1 ,r
164,
crop J
RIVERSEDGE VM
Te-scriptionj Lot 2,,Blook 1, River Edge Addition.
We hereby certify that This is a true and correct representation of a survey of the
boundaries of the land above described and of the location of all buildings, if any,
thereon, and all visible enaroactmats, if any, from or an said lande
surveyed by us this 27th day of June, 1970. 4 phi
/41,
'Minn. Rego No. 5648
2 7
ROY C. CARLSON, PRES.
10600SHERIDAN AVE. SO.
881-4870
55431
Survey fors
Allen Baumgartner°
CERTIFICATE OF SURVEY
p 0�
g aR�SON � V
ARLSON-
LAND SURVEYORS
Licensed, Insured & Bonded
WILLIAM A CARLSON, V.P.
2324 w 110TH ST.
8 <i B-2084
5431
Z�
tA
4
to-,--- - - .
20,
lesoription; Lot
2, Block 1, River Edge Addition.
We hereby certify
that
This is a true and correct
representation of a survey of the
boundaries of the
land
above described and of the
location of all buildings„ if any,
thereon, and all
visible encroachments, if any, from or on said land.
As surveyed by us
this
27th day of June, 1970.
Minn. Reg. No. 564''
U
i
SUBJECT
City of Fridley
'33795
AT THE TOP OF THE TWINS
BUILDING
PERMIT
} • COMMUNITY DEVELOPMENT DIV.
_
r � PROTECTIVE INSPECTION SEC.
�
NUMBER
REV
DATE
PAGE OF
APPROVED BY
l A ; �"",'� CITY HALL FRIDLEY 55432
---•
L J\ 763-571-3450
910-F15
8/12/03
JOB ADDRESS 189 River Edge Way NE
1 LEGAL
LOT NO.
BLOCK TRACT OR ADDITION
SEE ATTACHED
DESCR.
2
1 1 1 River Ede Addition
SHEET
2 PROPERTY OWNER MAIL ADDRESS
ZIP
PHONE
James Wronski 189 River Ede Way NE
763-571-4093
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 X REPAIR
❑ MOVE ❑ REMOVE
8 DESCRIBE WORK
Reroof House (17 Sq) 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
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
1 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
$1,968
$.98
DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE
PERMIT FEE
SACCHARGE
PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING COW
Fire SC $1.97
STRUCTION OR THE PERFORMANCE OF CONSTRUCTION
$69.25
PLAN CHECK FEE
TOTALFEE
$72.20
IGN A TUAE OF CON. RACTOR OR AUTHORIZED AGENT IDATEI
H PROPERLY VALIDATED THIS IS YOUR PERM T
BLft& INSP
rIAfE
NATURE OF OWNER,IF OWNER BUILDER, IDA EI
U
i
NEW [ ] CITY OF FRIDLEY Effective 1/1/2003
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
Construction Address: 11)GL- L2A �2iULf % leV SSY3�
Legal Description:
Owner Name & Address: /vjc: JA -P26,5 s k [ _ _ Tel. # 763 .(� 7/ -
Contractor: SAIY-if • MN LICENSE #
Address: Tel. #
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: ZC llvv F //0V3'C l .7
Construction Type: Estimated Cost: $ % U
Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x
DATE: 3 APPLICANT:
Call (763) 572-3604 for Permit Fees if rrf ling in application. 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
Curb Cut Escrow
Erosion Control
Park Fee
Sewer Main Charge
CITY USE ONLY -
TOTAL $ 2-2. c2b
Fee Schedule on Reverse Side
.001 of Permit Valuation (1/10th%)
$.50/$1,000 Valuation
$1275 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 [ ]
a
01
SuB.,ECT
ERM1T NO.
City of Fridley3
®5
AT THE TOP OF THE TWINS
BUILDING
PERMIT
r
F ,
R
______ COMMUNITY DEVELOPMENT DIV.
tM
r -I PROTECTIVE INSPECTION SEC.
1 • •
1'� CITY HALL FRIDLEY 55432
NUMBER
FIEV
DATE
PAGE OF
APPR VED Br
1 „ 763-571-3450
910-F15
8/15/03
JOB ADDRESS 189 River Edge Way NE
1 LEGAL
LOT NO.
BLOCK
TRACT OR ADDITION
SEE ATTACHED
DESCR.
2
1
River Edge Addition
SHEET
2 PROPERTY OWNER MAIL ADDRESS
ZIP PHONE
James Wronski 189 River Edge Way NE
763-571-4093
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
O NEW 0 ADDITION 0 ALTERATION 1 REPAIR 0 MOVE 0 REMOVE
8 DESCRIBE WORK
Reside House
9 CHANGE OF USE FROM TO
STIPULATIONS
Per Section 1402, 1997 Uniform Building Code, requires
that a weather resistive
barrier be placed over exterior sheathing to protect the
interior wall covering.
Exceptions for this provision would be if sheathing is
an approved weatherproof
panel or when the siding is an approved weather barrier.
Vinyl siding is not
a weatherproof covering unless the manufacturer states
this in their application
guidelines. Call for inspection of wrap before covering or take pictures. Caulk
and flash all exterior openings.
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
$3,005
$1.50
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-
$83.25
Fire SC $3.00
OR THE PERFORMANCE OF CONSTRUCTION
PLAN CHECK FEE
TOTAL FEE
SUCTION
$87.75
SIGNATURE OF CONTRACTOR OR AUT N RIZED AGENT (DATEEi
HEN PROPERLY VALIDATED THIS IS Y UR PEMIT
-/S' / a 3
1
LOG IN
+L1
OGNATURE OF OWNEROrt OWNER BUILDERI iOATEi
a
01
NEW [ ] CITY OF FRIDLEY Effective 1/1/2003
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
Construction Address: /07 Atvelge, ELL LzMt
Legal Description:
Owner Name & Address: SAME 6 lr�s2b,vsr<i — SitMC_ Tel. #�� 3 S 71- 'YO Z-3
Contractor. MN LICENSE #
Address: Tel. #
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 �_j Width _3 D Height /0 Sq. Ft.
GARAGE AREA: Length Width Height Sq. Ft.
DECK AREA: Length Wid Hgt/Ground Sq. Ft.
OTHER: '� S
Construction Type:- Estimated Cost: $
Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ = $
DATE: &Jt -/(,S APPLICANT: 3_Ae'�S Ld&w.Seei^ Tel.#
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
Fire Surcharge
State Surcharge
SAC Charge
License Surcharge
Curb Cut Escrow
Erosion Control
Park Fee
Sewer Main Charge
TOTAL
$
$ 3.3o
S: -b
$
$ a i. ?S®'
Fee Schedule on Reverse Side
.001 of Permit Valuation (1/10th%)
$.50/$1,000 Valuation
$1275 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 [ ]
SUBJECTMI
City of Fridley
3 5 4 5
AT THE TOP OF THE TWINS
BUIL ®I N G
P E R
M I T
`
RECEIPT NO.
` ______ COMMUNITY DEVELOPMENT DIV.
v
Al �V
1 PROTECTIVE INSPECTION SEC.
r
/
NUMBER
REV
DATE
PAGE OF
APPROVED BY
..."li CITY HALL FRIDLEY 55432
'*.' 763-571-3450
910-F15
9/2/03
JOB ADDRESS 189 River Edge Way NE
1 LEGAL
LOT NO.
BLOCK
TRACT OR ADDITION
SEE ATTACHED
DESCR.
2
1
River Edge Addition
SHEET
2 PROPERTY OWNER MAIL ADDRESS
ZIP
PHONE
James Wronski 189 River Edge Way NE
3 CONTRACTOR MAIL ADDRESS
ZIP
PHONE LICENSE NO
All Systems Roofing 2340 Charles Ave S, St Paul, MN 55114
651-646-3533
4 ARCHITECT OR DESIGNER MAIL ADDRESS
ZIP
PHONE LICENSE NO.
8963
5 ENGINEER MAIL ADDRESS
ZIP
PHONE LICENSE NO
6 USE OF BUILDING
Residential
T CLASS OF WORK
NEW O ADDITION O ALTERATION REPAIR
0 MOVE O REMOVE
8 DESCRIBE WORK
Reroof Flat Room; EPDM 45 Mil Rubberized System
9 CHANGEOFUSEFROM TO
STIPULATIONS
Install per manufacturer's specifications.
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
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
$5,138
$2.57
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 ST TE R LOCAL LAW R GULATING CON.
$12
Fire SC $2.57
ST CTION HE1W FORM E F CONSTR TI
.2S
PLAN HECK FEE
TOTALFEE
LiCil se SC $5.00
$137.96
SIGN URE OF CON'RAC OR OR AUTHORIZED AGENT iDATE,
WHEN PROPERLY VALIDATED THIS IS YOUR PER IT
, BLD oNW
..,
N I w --
S,GNATURE OF OWNER � F OWNER BUiLDERP tDATE,
NEW [ ] CITY OF FRIDLEY Effective 1/1/2003
ADDN [ j 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
Construction Address:
Legal Description:
^� 2 v /J 1 Tel. #
Owner Name & Address:
Contractor. D ,.% t- /NN LICENSE #,��
Address: Tel. #
y
Attach to th s 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 a Sq. Ft.
GARAGE AREA: Length Width Height Sq. Ft.
DECK AREA:
OTHER:
Construction
Estimated Cost:
,1`
Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ _ $
C� � J
DATE: f 3 APPLICANT: Tel. #-- , ,O.)
Call (763) 572-3604 for Permit Fees if mailing in application. Fax to 7634W-1287 if using creit card and we will
call you for card number.
CITY USE ONLY -
Permit Fee
Fire Surcharge
State Surcharge
SAC Charge
License Surcharge
Curb Cut Escrow
Erosion Control
Park Fee
Sewer Main Charge
TOTAL
$
2�) Fee Schedule on Reverse Side
$ l .001 of Permit Valuation (1/10th%)
$ $.50/$1,000 Valuation
$ $1275 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 [ ]
$ STIPULATIONS*
SUBJECT_E
"3
City of Fridley
;
3 9 7 0"
AT THE TOP OF THE TWINS
BUILDING
PERMIT
r
RECEIPT NO.
COMMUNITY DEVELOPMENT DIV.
i PROTECTIVE INSPECTION SEC.
1 � r
NUMBER
NEV
DATE
PAGE O:
APPROVED BY
CITY HALL FRIDLEY 55432
L 763-571-3450
s�aFis
10/14/03
�
JOB ADDRESS 189 River Edge Way NE
1 LEGAL
LOT NO.
BLOCK
TRACTOR ADDITION
SEE ATTACHED
DESCR.
2 2
1
River Edge Addition SHEET
2 PROPERTY OWNER MAIL ADDRESS
ZIP PHONE
Jim & Sarah Wronski 189 River Edge Way NE 763-571-4093
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 D
❑ NEW X ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE
X
8 DESCRIBE WORK
Construct a 30' x 24' Deck over garage
9 CHANGEOFUSEFROM
TO
STIPULATIONS
See notations on plan.
WARNING
Before digging call for
all utility locations
45"002
18"I"'UIRED MY LAW
REV
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
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
$4,000
$2'50
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-
STRUCTION OR THE PERFORMANCE OF CONSTRUCTION
PLAN CHECK FEE
TOTALFEE
$118.75
TUAE OF CON"RAC TOR R AUTHORIZE AGENT IDATEI
N PROPERLY VALIDATED THIS IS YOUR PERMIT
4SIGNA
W
EDATURE
B G INS DATE
O0 OWNERO; OWNER BUILDER. IDA TE,
NEW [ ] CITY OF FRIDLEY Effective 1/1/2003
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
Construction Address: Z
Legal Description:
Owner Name & A_dW
dress:. �_/�If t �, 4' X4A,/ � X1'15 Tel. # ,63� /�
Contractor: f ,l MN LICENSE #
Address:
LIVING AREA:
GARAGE AREA:
DECK AREA:
OTHER:
Construction Tyl
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
Length���
Width
Width '�C
Height Sq. Ft.
Hgt/Ground_,,Sq. Ft.
Estimated Cost: $
Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ _ $
DATE: APPLICANT: �� Tel. #���/'D%
Call (763) 572-3604 for Permit Fees if fling in application. Fax to 763-571-1287 if using credit card and we will
call you for card number.
Permit Fee
$ ti
Fee Schedule on Reverse Side
Fire Surcharge
$ S d0 ®
.001 of Permit Valuation (1/10th%)
State Surcharge
$ZL . Q
$.50/$1,000 Valuation
SAC Charge
$
$1275 per SAC Unit
License Surcharge
$
$5.00 (State Licensed Residential Contractors)
Curb Cut 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:
issued; and said structure shall not be used or occupied until a Certificate
of Occupancy has been issued.
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