PRE 2010 DOCS0
Date:
City ®f Fridley, Mmm Bio 8570
BUILDING PERMIT
OCTOBER 28, 1965
Owner: RICHARD H. HARRIS Builder HARRIS CONSTRUCTION COMPANY
Address 5520 Queen Avenue South Address 6210 Riverview Terrace
Minneapolis, Minnesota Fridley 21, Minnesota
LOCATION OF BUILDING
No. 6200 Street Riverview Terrace part of Lot
Lot — 2Block 3 Addition or Sub -Division JUL1-AWADDITION
Corner Lot . Inside Lot _ _ X Setback — Sideyard
Sewer Elevation ____ — Foundation Elevation
DESCRIPTION OF BUILDING
To be Used as:
HOUSE Front 54 Depth 33 Height 18 Sq. Ft. 1, 782 Cu. Ft._12.,076
GARAGE Front 23 Depth 33 Height 10 Sq. Ft. 759 Cu. Ft. 7,590
Type of Construction Frame F
,st Cost _ 25 000 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 21 provisions of
ordinances of the city of Fridley.
In consideration of the payment of a Pee oft 41, 00q permit is hereby granted to HARRIS CONSTRUCTION
COMPANY 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 an workmen, in all work.
done in, around and upon said building, or any part thereof, shall conform in all respects to the ordinanece of
Fridley, Minnesota reg location, construction, alteration, maintenance, repair and moving of buildings
within the city ts and�tss permit may be revoked at any tinge upon violation of any of the Provisions oP said
ordinances.
ALLEN G. JENSEN I Building Inspector
NOTIC&
Tido porm(t don not count the censtructlon, Installation for wiring, Plumbing, gas heeling, sewer or water. Be sure to no
#6 Buliding h"Vecter for separate permhs for thea hems.
APPLICATION FOR BUILDING PERMIT
CITY OF FRIDLEY, MINNESOTA
D
OWNER'S NAME If.4. ; I __✓ ;7/"
7r
ADDRESS
IM
LOCATION OF BUILDING
.LOT YpLQCR ADDITION OR SUBDIVIS:
Corner Lot Inside
of Lot
..SEWER RLEVATIM FOUNDATION ELEVATION. � r
Applicant attach to this form Two Certificates of Survey of Lot and proposed
building location drawn on these Certificates.
DESCRIPTION OF BUILDING
To be used as;
Dept Height
t. r % °Cu. Ft.76
/ Depth C.Height �-- x d
Sq. Ft. Cu. Ft.
Type of Estimated Estimated Cost
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.
(Schedule of Fee Costs can be found on the Reverse Side).
O
41(, Cz�"
SUBJECT
PE;
City of Fridley
2964
AT THE TOP OF THE TWINS
BUILDING PERMIT
r
REC
6• _ COMMUNITY DEVELOPMENT DIV.
it PROTECTIVE INSPECTION SEC � �;
r
I ,
NUMBER
REV
DATE
PAGE OF
APPROVED BY
CITY HALL FRIDLEY 55432
'J 612-571-3450
910-F15
10/3/94
JOB ADDRESS 6200 Riverview Terrace NE
1 LEGAL
LOT NO.
BLOCK
TRACT OR ADDITION
SEE ATTACHED
DESCR.
2
3
Juli-Ann Addition
SHEET
2 PROPERTY OWNER MAIL ADDRESS ZIP
PHONE
Dick Harris 6200 Riverview Terrace NE
3 CONTRACTOR MAIL ADDRESS ZIP
PHONE LICENSE NO.
Richard Hastings Contr. 6331 Riverview Terrace NE Fridley,
-
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 ❑ ADDITION p ALTERATION ❑x REPAIR
❑ MOVE ElREMOVE
8 DESCRIBE WORK
Reroof House & Garage (32 Square) Tear -off
9 CHANGE OF USE FROM TO
STIPULATIONS
Underlayment must comply with the State Building Code.
TYPE OF CONST.
OCCUPANCY GROUP
OCCUPANCY LOAD
SEPARATE PERMITS ARE REOUIRED 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
VALUATION
SURTAX
AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS
AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED
WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT
$2,400
$1.20
DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE
PERMIT FEE
SACCHARGE
PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON -
$54.00
Fire SC $2.40
RUCTION OR THE PERFORMANCE OF CONSTRUCTION.
PLAN CHECK FEE
TOTALFEE
/®
License SC $5.00
$62.60
SIGNATURE OF CONTRACTOR OR AU ORIZEDAGENT IDAIDA I
HEN PROPERLY LIDATED THIS IS YOUR PERMIT
BLDG INfP
/G- 3y
DATE
SIGNATURE OF OWNERIIF OWNER BUILDER) (DATE)
NEW [ ] Effective 1 / 1 /94
ADDN [ ] CITY OF FRIDLEY
ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2
Building Permit Application
Construction Address:
Legal Description:
Owner Name & Address: c_fi 14A rz rZ e S' Tel. #
Contractor: . 'F,, , c / /-j p Y,4 S7; °;<« s MN LICENSE # ya s
Address: 6331 (Z 4 u R u r gy p, Tei. # 5-1 K-47F-E�
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: _o FF - K iF R o o F /044 se� 4- --i A 2 3a s
Corner Lot [ ] Inside Lot [ ] Ft. Yd Setback Side Yard Setbacks
Type of Construction: a4,� ® F V- Kc' � F Estimated Cost: $ f�iL">t�� `-z,
Approx. Completion Date: 11415/2
(Cost on Back)
Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ — $
DATE: /o APPLICANT:. Tel. #
Permit Fee
Fire Surcharge
State Surcharge
SAC Charge
License Surcharge
Driveway Escrow
Erosion Control
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
$800 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 [ ]
FROM :CITY OF FRIi]LEY FAX NO. :7635711287 Mar. 26 2008 01:20PM P2
City of Fridley e wilding Inspections Dept. Ph: 763-672-3604 FAX: 763.571-12$7
6431 University AVe NE tl � d am
Fridley MN 554 2 Mechanical Permit _
Commercial Application
City of Fridley
Crate
Site Address: i -' 7� AM& t'641
Thea ica
it is: cirice tate Owner Contractor Archt/En ineer
Property ov
nen R it R i-nif r - . .
Address;
2-00
City: -'!Fr;A
I _ state: Mt,) Zip
Phone:Cite., 1- - q tA-7j Cell: Fax:
Contractor Mformation f,
Company Name: P tie
Contactll�
C1I
Address:
Ase, -,-
City'
Starer ..- Zip:^ 55-3
Phone: l
t -310 D Cell: ... Fax 2(0)0(3 9
Email i
_...
iZ- VW 4- G-5 . N MN Blind# & Exp Date
Permit T
(circle one). Multi-€amityCommerOal Institutional Condo building
Industrial building Swimming pool tltlter:
T of Wo
circle one): Now a larpeme ttt Afteration/Remodei
Detailed []G
criptlt7n of work: .�
EquipmentInstalled: MFG: Model:�� SizeISTU:- &!C,� P ,
MFG: __— Model: �, ..... Size/STU:
MFG:- Model:. _-� Size/BTU.-
P
Please Oh �
k all that apply: -Duct Werk _Roof Top Unit (Rl'
OQ �
_Furnace —Refrigeration
_A/C
Boiler
Dryer _Steam/Hot Water
eatC,
,-,.,_.Class I I
400d Gas Piping .—Swimming Pool
_Glass Il Hood .Cas Unit Heater _Temporary Heat
_Coni
of Kitchen Pool Heater thher
All fees are based on valuation, including the cast of labor and matr*reals
Taal Job Valuation: $ G1, 42 .
Permit Fee
(1.25% of Job Valuation 1 Minimum fee $35,00)
Surcharge
$—. Valuation X.0005
Total Que
$ Make check p2jable to City,of Fridley
i nis is an appimation tar a permit- nor vaiio urvui procesmm
I hereby aWy for a machanical parrrft and I acla►owledge that t9* information above Is complete and
accurate: that the vAuk will be in tmnttirmance with dm ordinances and codes of the City of Fridley and
with the idinnewta Construction : dot i understand this is not a permit but orgy an appucadon
for a permit and work is = to ut a psw t: that U* work will be In accort#ance with rho
an in ali work which requires rev�r and appravat of plans.
Signature �pector
Applican Data 5 Ct
Approval I Signature: Date: IF
Ptease Note: Separate permits are required for Building, Plumbing, and Electrical work
Revised 6/1412005
2
Building
Permit Fee
BUILDING
See Back Page for Fee Schedule
Permit No.' �-;b lca-)
Inspections
65% of Building Permit Fee
RESIDENTIAL APPLICATION
Received By:��
763-572-3604
Surcharge
$ 5-
.0005 x Permit Valuation Minimum $.50
License Surcharge
$ 40t"
CITY OF FRIDLEY
D c'd: y,,
763-502-4977 FAX
$2100 per SAC Unit (Plans to MWCC for determination)
Curb Cut Escrow
$
ft + 6 ft = ft x $24 = $
Erosion Control
$
EFFECTIVE 1-1-2010
Park Fee
$
DATE z
z� YOUR E-MAIL ADDRESS d
n
Gr.t 4ict f �A ,0 n7 xk �'no-G\^q C Off
SITE ADDRESS O
r 1'r Te r ,-Q C e
$ 117 1' , 1
THIS APPLICANT IS:
❑ OWNER OCONTRACTOR
PROPERTY OWNER/
NAME: &e K4-rr ►` S
TENANT
z00 1`d� ✓
ADDRESS: (10700/'1 ?1 K W �'r rr
/�
CITY rr'41'14 STATE WA, ZIP
PHONE:
CONTRACTOR
NAME:
SUBMIT A COPY OF
YOUR STATE LICENSE
STATE LICENSE # 84 — �0 3 $g 15-'7 °z
EXP DATE �b
AND CERTIFICATE OF
ADDRESS: _77 V Vsi , 5-f /VE
(�
CITY STATE ^4-zip9�3Z
INSURANCE
PHONE 7[o3 - 7 O _ 3 S --(o !
FAX 7Co3 -7
PROPERTY TYPE
❑ SINGLE FAMILY/NEW CONSTRUCTION
SIZE
❑ TWO FAMILY/NEW CONSTRUCTION
STORIES
PERMIT TYPE
❑ ADDITION ❑ GARAGE/SHED
❑ WINDOWS
❑ BASEMENT FINISH RROOF
❑ DRAIN TILE
❑ DECK ❑ SIDING
❑ OTHER
❑ SWIMMING POOL
TYPE OF WORK:
❑ NEW HOME CONSTRUCTION ❑ ADDITION
O MAINTENANCE/REPAIR ❑ REMODELING
DESCRIBE WORK BEING DONE: S -o
SIZE OF IMPROVEMENT
LENGTH WIDTH HEIGHT SQ FT
ROOFING p HOUSE ONLY
BASEMENT REMODELING SUBMIT:
NUMBER OF SQUARES
❑ HOUSE & GARAGE
1. Existing Floor Plan
GARAGES
❑ ATTACHED GARAGE
2. Proposed floor plan
PROPOSED SIZE:
❑ DETACHED GARAGE
3. List of structural members to be used
PROPOSED HEIGHT:
SIDING
FOR NEW CONSTRUCTION INCLUDING DECKS,
❑ Vinyl
❑Soffit
ADDITIONS. & PORCHES SUBMIT:
❑ Aluminum
❑ Trim
1. Site Plan/Survey showing the existing structures
❑ Other
❑ Fascia
and proposed project.
2. Two sets of construction plans
WINDOWS
3. Energy Calculations
IN EXISTING OPENINGS ❑Yes ONo LOCATION OF WINDOWS
FOR WINDOWS - PROVIDE U -VALUE AND
OR FOR NEW OPENINGS -DESCRIBE
SIZE OF
MANUFACTURE STICKER ON WINDOW.
OPENING CHANGES &
TYPE OF WINDOW TO BE INSTALLED NUMBER OF WINDOWS
ALL FEES ARE BASED ON VALUATION, INCLUDING THE COST OF LABOR AND MATERIALS:
(USING THE 1997 U.B.0 FEE SCHEDULE)
TOTAL JOB VALUATION $ OCCUPANCY TYPE
Permit Fee
$ Z -S_ Z-5
See Back Page for Fee Schedule
Plan Review
$
65% of Building Permit Fee
Fire Surcharge
$
.001 times the total job valuation
Surcharge
$ 5-
.0005 x Permit Valuation Minimum $.50
License Surcharge
$ 40t"
$5.00 (State Licensed Residential Contractors)
SAC Charge
$
$2100 per SAC Unit (Plans to MWCC for determination)
Curb Cut Escrow
$
ft + 6 ft = ft x $24 = $
Erosion Control
$
$450 Conservation Plan Review
Park Fee
$
Fee Determined by Engineering
Sewer Main Charge
$
Agreement necessary ( ) Non Necessary ( )
Total Due
$ 117 1' , 1
Make checks oavable to: Citv of Fridlev Attach Stipulations
THIS IS AN APPLICATION FOR A PERMIT -NOT VALID UNTIL PROCESSED
I hereby apply for a building permit and I acknowledge that the information above is complete and accurate; that the work will be in
conformance with the ordinances and codes of the City of Fridley and with the Minnesota Construction Codes; that I understand this is not a
permit but only an application for a permit and work is not to start without a permit on site; that the work will be in accordance with the
approved plan in the case of all work ch requires tew and approval of plans.
SIGNATURE OF APPLICANT //l.��� PRINT NAME ��iL.an s �r S DATE �`� �� ZD l O