PRE 2010 DOCS"
City of Fridley
AT THE TOP OF THE TWINS
SUBJECTNO.
BUILDING P E R M I T
1210
r
COMMUNITY DEVELOPMENT DIV.
r PROTECTIVE INSPECTION SEC.
I �
I . r
CITY HALL FRIDLEY 55432
1`j 612-560-3450
RECEIPT NO.
®' �(
�.-V�
v 9
NUMBER
910-F15
REV.
DATE
4/27/73
PAGE OF
APPROVED BY
JOB ADDRESS 6331 Riverview Terrace N.E.
1 LEGAL
LOT NO.
BLOCK
TRACT OR ADDITION SEE ATTACHED
DESCR.
9
2
1 Eva Erickson River Manor SHEET
2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE
Richard Hastings 630 Ironton Street N.E.
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 ❑ REPAIR ❑ MOVE ❑ REMOVE
8 DESCRIBE WORK
Construct 46' x 26' ]welling and 34' x 26' Garage
9 CHANGE OF USE FROM TO
STIPULATIONS
Provide a hard surface driveway. Provide a verifying survey before
framing. $275.00 SAC charge paid.
SEWER LOAATION: 91' East of Manhole .
WATER LOCATION: 10.2' MMM West of Sewer Service
SEPERAT E PER��ITS REVIRED FOR VIrRING,
HEATING,, PLUMBING AND SIGNS.
SEPARATE P RMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING,.
TYPE OF CONST.
OCCUPANCY GROUP
OCCUPANCY LOAD
VENTILATING OR AIR CONDITIONING.
Wood Frame
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION
AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION
OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT
ZONING
R-1
SQ. FT.
1830
CU. FT.
ANY TIME AFTER WORK IS COMMENCED.
NO. DWLG. UNITS
OFFSTREET PARKING
I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION
1
ISTALLS GARAGES
AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS
VALUATION
SURTAX
AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED.
WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT
$33,444
16.72
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.
$70.00
$27S.00
PLAN CHECK FEE
TOTALFEE
1 $361.72
SIGNATURE OF CONTRACTOR OR AUT ORIZED AGENT (DATE)
WHEN PROPERLY(DATED THIS IS YOUR PERMIT
BLDG. (NSP MATE
SIGNATURE OF OWNER (IF OWNER BUILDER). (DATE(
4
APPLICATION FOR RWI)ENTIAL, ALTERATIONS
OR ADDITION BUILDINC PEWIT
CITY Of FRIDLBY, MINNESOTA
OWMIS NME: -BUILDER@.,
ADDRESS: 6,3v
110;. STRW;
COM= LOT., K IMUR LOT; SETBACK4 JS SIMARD: 2_7
Antica"i attach to this fo=b Certificates , of Survu of Lot and proposed
bullding Wcation dr wn 4m I*eiw, Certificates.
IYESCRIPTION OF BUILDING
'To Be U*" AP:
Depth
/V
Square Feet; Cubic pet;
pth 9
_.Pe —Height
ware Feet
Cubic Feet t
Tyfe of Construct-ioul Estimte,4 cost: $ 4-0-0
TM u,44arpigned hereby mkoo application for. a permit for the work herein
opealft", agreeing ZP do all work to stttet accordance with the rwity of
Mdtay Ordtviances and xuUags 4Pf the Department qf Bui,dtngs, and hereby
doolarev dwX all the facts and representations stated fad this application
axe true M4 Correct.
DAM z 5,z 73 SIGNATM:
(000 RWWOO Me For AddWonal
Information,)
Application for Power Plants and Heaft Cooling. Ventilation. ration and
Air Con0loning Systems and Devices
PARTIAL RATE SCHEDULE
GRll.41TY WARM AIA:
RATE TOTAL
Furnace Shell & Duct Work ..........
..... .. $10.00 $
Replacement of Furnace .. . ..... . .....
. 6.00 $
Repairs & Alterations—up to $500.00
6.00 $
Repairs & Alterations each add. $500.00
3.00 $--_ _.
MECH. WARM AIR
Furnace Shell & Duct Work to 130,000 BTU ... .... ..$10.00 $
each add. 60,000 BTU .................... . 3.00 s
Replacement of Furnace .. .. .... 6.00
Repairs & Alterations—up to $500.00 6.00 $
Repairs & Alterations each add. $5W.00 .... .. 3.00 $
STEAM or HOT WATER SYSTEM
Furnace Shell & Lines—to 400 sq. ft. EDR Steam $10.00 $.
Furnace Shell & Line—to 640 sq. ft. EDR Hot Water 10.00 $_
Each add. 200 sq. ft. EDR Steam 3.00
Each add. 320 sq. ft. EDR Hot Water 3.00 $
OIL BURNER—to 3 gal. per hour 6,00 $ _
over 3 gal. per hour—See Fee Schedule
GAS B (up to 119,000 BTU) &00 $ �
over 189,000 BTU See Fee
GAS FIITTING
NO RATE TOTAL
1st 3 Fixtures
x$ zoo
Additional Fixtures
x .75 $
Gas Range to 119,
x$ 5.00$
AIR CONDITIONING
6
TAN HEATING SY9TIM See Fee Schedule
AT8130 SYSTI
!a 0
ALTERATIONS & REPAIRS
TOTAL MM 4ZLO—
ROUgH
(SURCHARGE $..50)
MAL_
City of Fridley:
The undersigned hereby makes application for a permit for the work :hereir
specified, agreeing to do all work in strict accordance with the City Ordihances
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 -7 j
Kind of Building..
Used as
i�
To be completed! about
Estimated Cost, $_q�2-
Permit No. Permit No. 12
HEATING or PO tram, Hot Water,
Trade Name- Size H®_6'V_Q 3 -- L `�
Capacity -/3z Sq. Ft. E.D.R BTU H.P`
Total Connected Load of Fue
BURNER — Trade Name Size No
(REMARKS -OVER)
CRONSTROMS HTG. & AIR COND., INC. Job Name
D46 4410 Excelsior Boulevard, Minneapolis 16, Minn. ® ?
BEAT LOSS CALCYLALIMONS Job HVEAddress-
Weatherstrips,
....
Weatherstrips A.SConstruction No, I Insulation.
_ Guide t
Windows Doors Reference Out. Wall Int. Wall Ceiling Roof Floor Kind How Applied
Yes -No I Yes—No 19_ I
.� Room I Length l Width ?O Height Room I Length 2 L -Width -3 Height
Windows and Doors—Crackage and Area
Doors—Craekage and Area
Width Height No. of Lineal ft. Area
No. of pans of pane lights of crack sq. ft.
2,v 40SE I 2L L2
No. of
I.Ineal tt. Area
No. IWidth
of pane
Coef. Btu
Infiltration
Coef. Btu
Infiltration
60
Exp. wall
1 7�
Glass
Int. wall
Exp. wall
0-b
Floor
Net exp. wall
24 ELLA.
Ceiling
Int. wall
d
Floor
Ceiling
Floor
Total Btu. 3
Required sq. ft. E.D.R. or sq. ins. W.A. Leader area
1—F1.1 Room I Length j Width / , Height
Windows and Doors=-Crackage and Area
Doors—Craekage and Area
Width Height No. of Lineal ft. Area
No. of pane of Dane lights of crack sq. ft.
2,v 40SE I 2L L2
No. of
I.Ineal tt. Area
No. IWidth
of pane
Coef. Btu
Infiltration
460 216
Glass
60
Exp. wall
1 7�
Net exp. wall =--
Int. wall
Ceiling 12,2
0-b
Floor
indows anS
Doors—Craekage and Area
Required sq. ft. E.D.R. or sq. ins. W.A. Leader area
Height
No. of
I.Ineal tt. Area
No. IWidth
of pane
of pane
I lights
of Crack sQ. ft.
Width Height No. o! Lineal ft. Area
No. of pans o[ pane Ilshta of crack sq.
60
1 l
1 7�
Coef.
Infiltration
Glass
Exp. wall
Net exp. I
Inc. wall
Ceiling
Floor
Tot Bt
Required sq. ft. E.D.R. or sq. insrWA. Leader area
54
i 10
F1.1 Room I Length / 0 Width -) Height
Windows and Doors—Crackage and Area
Width Height No. o! Lineal ft. Area
No. of pane of pane Iishts of crack SQ. ft.
-7 6,' /CvC
Infiltration
II class
Exp. wall
Net exp. wall t Vi
11 Int. wall
Ceiling //,' / 3 / e
Floor
Total Btu.
Total Btu.
Required sq. ft. E.D.R. or sq. ins. W.A. Leader area
Required sq. ft. E.D.R. or sq. ins. W.A. Leader area
` ¢ oom 1 Length Width Height
F1.1
m I Length Width /
Windows and Doors—Crackage and Area
Windows an
Doors—Crackage and Area
Width Height No. o! Lineal ft. Area
No. of pans o[ pane Ilshta of crack sq.
width
No. of cane
Height No. of Lineal ft. Area
oremn. lishto of crack sQ. ft
Tbtal Btu.
Required sq. ft. E.D.R. or sq. ins. W.A. Leader area
Coef.1 Btu
Infiltration I 3,r 44al S ?,-t
Glass ts. '!;U
Exp. wall
Net exp. wall .2-q =/. RL' .&;iS��- /0 1l �- "
Int. wall I I '
Ceiling
Floor
Total Btu.
Required°sq. ft. E.D.R. or sq. ins. W.A. Leader area
!t.
Coef.
Btu
Infiltration
�a
Glass
9"o
Exp. wall
Net exp. wall IqMz-faQ
Int. wall
Ceiling
d
Floor
Tbtal Btu.
Required sq. ft. E.D.R. or sq. ins. W.A. Leader area
Coef.1 Btu
Infiltration I 3,r 44al S ?,-t
Glass ts. '!;U
Exp. wall
Net exp. wall .2-q =/. RL' .&;iS��- /0 1l �- "
Int. wall I I '
Ceiling
Floor
Total Btu.
Required°sq. ft. E.D.R. or sq. ins. W.A. Leader area
.
City of Fridley
AT THE, TOP OF THE TWIN$
?�.
rt;------COMIWNlYY oEVEI.OPM¢NY MV,
PROTECTIVE INS09CTI" 9M,
CM HAIL FRIM9V 11908
cess -
OW41C.T
PLUMBING PERMIT APPLICATION
s
Tactor ® Address Phone
�Xlndof Building Use
Comp etion Date Estimated Cost
TOTAL FEE $ Z-®
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 Tulin;
of the Department of Buildings, and hereby declare that
all'the facts and representations stated in this
application are true and correct.
?,3
SDate
r
Plumbing Fixture Rates:
NO-
RATE
TOTAL
Number Fixtures
x
$2.00/$
�.D D
Future Fixtures
x
$1.50
New Fixture -Old Open.
x
$1.50
Catch Basin
x
$3.25
_
Water Heater -99,000 BTU _� x
$3.00
0 O
Ground Run Old Bldg.
x
$3.25
Elec. Water Heater
x
$2.00
Gas Fitting Fees:
1st 3 Fixtures
� x
$2.00
c:� .00
r
Additional Fixtures
x
$ .75
Gas Range -199,000 BTU
x
$5.00
Repairs & Alterations
See
Description:
Code
State Surcharge
.50
TOTAL FEE $ Z-®
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 Tulin;
of the Department of Buildings, and hereby declare that
all'the facts and representations stated in this
application are true and correct.
?,3
SDate
r
5
SUBJECT 4TITMIT NO.
City of Fridley
® - 296
AT THE TOP OF THE TWINS
BUILDING P E R NI I T
r
RECEIPT
6______ COMMUNITY DEVELOPMENT DIV.
r -I PROTECTIVE INSPECTION SEC.
-"1 CITY HALL FRIDLEY 55432
NUMBER
REV.
DATE
PAGE OF APPROVED BY
612-571-3450
910-F15
10/19/83
/
JOB ADDRESS 6331 Riverview Terrace
�. E.
1 LEGAL
LOT NO.
BLOCK
TRACT OR
DDITION SEE ATTACHED
DESCR.
9
2
Eva
Erickson River Manor SHEET
2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE
Richard Hastings 6331 Rive i.ew Terrace N.E. 574-9966
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 5j ADDITION
❑ ALTERATION ❑ REPAIR ❑ MOVE REMOVE
8 DESCRIBE WORK
Construct a 14' x 12' Porch. 'dditian
9 CHANGE OF USE FROM TO
STIPULATIONS
SSPE ATE PEPN4!-re PPOMRED FOR WIRINIZ
HEAT NG. PLU MB I NU ANU SIGRS,�
A141146
WA
local utilities
Before digging Cali
TELEPHONE - ELECTRIC - GAS Etc-
REQUIPILL BY LA
SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING,
TYPE OF CONST.
OCCUPANCY GROUP
OCCUPANCY LOAD
VENTILATING OR AIR CONDITIONING.
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION
ZONING
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
$2/850
$1.43
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-
$44.50
STRUCTION OR THE PERFORMANCE OF CONSTRUCTION.
PLAN CHECK FEE
TOTAL FEE
$11.13
$57.06
SIGN TURE OF CONTRACTOR O AUTHORIZEDAGENT (DATE)
WHEN PROPERLY VA ATED THIS IS YOUR PER IT
0
BLDG WSP ATE
SIG N ATURE OF OWNE I IF OWNER BUILDER (DATE)
5
CITY OF FRIDLEY
. Effective Aug. 1, 1981
APPLICATIM FOR RESIDERTI& BUILD11I PERMITS
(Rew, Alterations, Additions, or Repairs)
OWMER:`CAiArp
ADDRESS: X33/ R`o V c 9 L;/' ., -rO z,
'BUILDER : S--4mp—
ADDIESS:
TEL k0: S'7It - 171F a TEL 110:
Construction Location
Q
STREET NO: trr33f STREET: /��y19Ei✓ I tz v -f -rz
LOT: BLOCK: ADDITION: --VA- E'k"c k5c+,V � � �€� 4AM04
Corner Lot: Inside Lot: _ Setback: Sideyards:
Applicant attach to this form two Certificates of Survey of lot and
proposed building location drawn on certificates to scale.
DESCIRIPTIOR OF CO�•,STRUCTION
t'6 Cry96410— Front: 14 Depth: I Height:
Square Feet: Cubic Feet:
Front: Depth: Height:
Square Feet: Cubic Feet:
Type of Construction: Iw A` ye'.Estimated Cost:
'lb Be Mr.pleted:
Alt. A Alt. B
Proposed Driveway Width If New Opening Is Desired: $ $
SEE pEVFRSI-; SIDr. OF SHEET
9iie undersigned hereby makes application for a permit for the %.nrk herein specified,
agreeing to co.all work in strict accordance with the City of rridley Ordinances and
rulings of the Deikirtment. of Buildings, and hereby declares that all the facts and
representations stated in this application are true and correct.
MTE: /0.0.I -F.0 SIGNATUTS:
M2- as
Stipulations•
.. q q,
f
06
CITY OF FRIDLEY INSPECTION DIV. Effective On January 1, 1997
6431 University Ave NE
Fridley, MN 55432. APPLICATION FOR POWER PLANTS AND HEATING, COOUNG, VENTILATION,
572-3604 REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES
JOBADDRESS
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
Fumace Shell and Duct Work, Burner — rulings of the Building Division, and hereby declares that all the facts and
Also Replacement Fumace $ 30.00 $ representations stated in this application are true Torrect.
(Side Vent — Fill Out Back) IS— 1997
Gas Piping (Needed with new furnace) $10.00 $ OWNER
Gas Range $10.00 $ ,
BUILDING USED AS
Gas Dryer $10.00 $
/,j5 �G � 99-2
*Air Conditioning —Ail Sizes $ 25.00 $ 9,5.00 ESTIMATED COST PERMIT NO,
DESCRIPTION OF FURNACE AND OR BURNER
All Others/Repairs & Alterations (UST ON BACK)
1 % of Value of Appliance or Work $ No. of Heating Units Circle One (Steam) (Hot Water) (Warm Air)
Trade Name Size No.
Commercial/I ndustrial BTU HP EDR
1.25% of Value of Appliance or Work $ Fuel Total Connected Load
State Surcharge $ .50 Burner Trade Name Size No.
TOTAL FEE $
BTU HP EDR
25,S0
MINIMUM FEE FOR ANY HEATING/COO LING/VENTILATION
REFRIGERATION/AIR 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.
SUBURBAN AIR
HEATING COMPANY 8419 CENTER DRIVE
SignedBy Tel No. 7N- 6/(w
Approved By Rough -In Date Final Date jdo
9
FILL OUT BACK SIDE F R STACK VERIFICATION ON �J
REPLACEMENT FURNACE �.
CHIlV MY 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 O
No { )
3. Has no foreign objects lodged within
Yes ()
No ( )
4. Is securely supported
5. Meets all current Code requirements for size
and total BTU's connected
6 Has total heating BTU's of
All other BTU's
TOTAL BTU's
7. Has a liner been provided for water heater
8. Has combustion air been provided for water heater
Remarks: .
List ALTERATIONS Being Done:
Yes ()No()
Yes ( ) No ( )
Yes
No
Yes ()
No
( )
HEATING CO:
Signed By:
Date:
SUBJECT
-P ^R O.
City of Fridley
30255
AT THE TOP OF THE TWINS
BUILDING�
CRvI
PERMIT
RECEIPT NO.
� ; COMMUNITY DEVELOPMENT DIV.
r PROTECTIVE INSPECTION SEC.
I S CITY HALL FRIDLEY 55432
NUMBER
REV
DATE
PAGE OF
APPROVED BY
612-571-3450
910-F15
9/21/99
JOB ADDRESS 6331 Riverview Terrace NE
1 LEGAL
LOT NO.
BLOCK
TRACT OR ADDITION
SEE ATTACHED
DESCR.
9
2
Eva Erickson River Manor
SHEET
2 PROPERTY OWNER MAIL ADDRESS
ZIP PHONE
Richard Hastings
574-9966
3 CONTRACTOR MAIL ADDRESS
ZIP PHONE LICENSE NO
Owner
4051
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 XX REPAIR ❑ MOVE ❑ REMOVE
8 DESCRIBE WORK
Reroof house and garage 30 S Tear -off
9 CHANGE OF USE FROM TO
STIPULATIONS
Underlayment must comply with the State Building Code.
SEPARATE PERMITS ARE REOUIREO 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
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
$2622
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-
$83.25
Fire
STRUCTION OR THE PERFORMANCE OF CONSTRUCTION
SC $2.62
`
PLAN CHECK FEE
TOTAL FVA
$87 e,4
S-GN4TUAE OF CO TAACTOA OR AUTM RIZEO AGENT IDATE,
EN
IS PERMIT
1
WOALIDAT �rS I
SiGNATU RE OF OWNEAtIF OWNER BURDERi (DATE,
BL --NSP
pAiE
NEW ["]
Effective 5/10/99
ADDN [ ]
CITY OF FRIDLEY
ALTER [ ]
SINGLE FAMILY AND DUPLEXES R-1 AND R-2
BUILDING PERMIT APPLICATION
Construction Address: 3 3
Legal Description:
Owner Name & Address: Z b Gly P, e D)�A 5cY Tel. #
Contractor: ✓ '° -AAP-D -S li ffc -5 MN LICENSE # S/
Address: .5AA. Tel. #
Attach to this application, a Certificate of Survey of the
lot, with the proposed construction drawn on it to scale.
DESCRIPTION OF EMPROVEMENT
LIVING AREA:
Length Width Height Sq. Ft.
GARAGE AREA:
Length Width Height Sq. Ft.
DECK AREA:
Length Width Hgt/Ground Sq. Ft.
OTHER:
Construction Type: 1,FAk
ark" 'f k&7 C Estimated Cost: $ d �!
Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ _ $
DATE: AiZzzAPPLICANT: � Tel. #
CITY USE ONLY
Permit Fee
$ p Fee Schedule on Reverse Side
Fire Surcharge
$ .001 of Permit Valuation (1/10th%)
State Surcharge
$ $.50/$1,000 Valuation
SAC Charge
$ $1050 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 [ J
TOTAL
STIPULATIONS:
0 -1
SUBJECT
NO.
City of Fridley
(
05 35
AT THE TOP OF THE TWINS
BUILDING
PERMIT
i
` COMMUNITY DEVELOPMENT DIV.
v------
r PROTECTIVE INSPECTION SEC.
CITY HALL FRIDLEY 55432
NUMBER
REV
DATEPAGE
OF
APPROVED By
L 612-571-3450
910-F15
11/22/99
/ /
JOB ADDRESS 6331 Riverview Terrace NE
I LEGAL
LOT NO.
BLOCK
TRACT OR ADDITION
SEE ATTACHED
DESCR.
9
2
1 Eva Erickson River Manor
SHEET
2 PROPERTY OWNER MAIL ADDRESS
ZIP PHONE
Richard Hastings
574-9966
3 CONTRACTOR MAIL ADDRESS
ZIP PHONE LICENSE NO
Owner
4 ARCHITECT OR DESIGNER MAIL ADDRESS
ZIP PHONE LICENSE NO.
5 ENGINEER MAIL ADDRESS
ZIP PHONE LICENSE NO
B USE OF BUILDING
Residential
7 CLASS OF WORK
❑ NEW ❑ ADDITION ❑ ALTERATION Rk REPAIR O MOVE O REMOVE
8 DESCRIBE WORK
Reside house and garage - Aluminum
8 CHANGEOFUSEFROM TO
STIPULATIONS
Call for building wrap inspection before covering.
SEPARATE PERMITS ARE REOUIREO 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
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
$2000
$1.00
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
$69.25
ire S $2.00
x 2
PLAN CHECK FEETOTAL
F
/l
SIGNATURE OF CONTRACTOR OR AUT 1 RIjED AGENT IOAT
EN RO E59Y ALI ATE $ IS Y UR PERMIT
�+ V
S,GNATURE OF OWNER.IF OWNER SUILDERI IDATEI
BLD
0 -1
NEW[ ] Effective 5/10/99
ADDN [ ] CITY OF FRIDLEY /
ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2
BUILDING PERMIT APPLICATION �� 1
Construction Address: C53 I i� d ii ► is ��
Legal Description:
Owner Name & Address: R►cL, AtZ i] 141�!S-t-l` Al C S Tel. #
Contractor: A P- i�) 4S d K MN LICENSE # �/j , S %
Address: 6 3 3 B 0 L e 0,'G -T-c—: cc Tel. # 5 1 a --5� 7 C(
Attach to this application, a Certificate of Survey of the
lot, with the proposed construction drawn on it to scale.
DESCRIPTION OF EMPROVEMENT
LIVING AREA: Length Width Height Sq. Ft.
GARAGE AREA: Length Width Height Sq. Ft.
DECK AREA: Length Width Hgt/Ground Sq. Ft.
.OTHER:
Construction Type: A LW AA , 5 tee, Estimated Cost: $
Driveway Curb Cut Width Needed: Ft. + 6 Ft =
Ft x $
2-10 o a
DATE: d 1 Z Z APPLICANT:. Tel. #
STIPULATIONS:
CITY USE ONLY
Permit Fee
$
�%_ ��
Fee Schedule on Reverse Side
Fire Surcharge
$
07. ® 0
.001 of Permit Valuation (1/10th%)
State Surcharge
$
4-00
$.50/$1,000 Valuation
SAC Charge
$
$1050 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:
Engineering
WATER AND SEWER
Permit No.: '
763-57,2-3552
PERMIT APPLICATION
Received By:
763-571-1287 fax
CITY OF FRIDLEY
Date :4 b
EFFECTIVE 7/1/2010
APPLICATION DATE: �/� ®�" YOUR E-MAIL/FAX: _
THIS APPLICANT ' : OWNER f�CONTRACTOR
�
JOB ADDRESS: It IC o, i v �' , -e r
NEW CONSTRUCTION PERMIT# (IF APPLICABLE):
PROPERTY
NAME: % /C"/
OWNE
ADDRESS: & O CC�J L, a' v^ 6' ; ,� ✓ / �` CITYr d I STATE ZIP
TENANT
PHONE:'76 3- S y i,, C
CONTRACTOR
NAME:
SUBMIT A COPY OF
DRESS: -7S^ ' I� 7 i 7 �Y CITY Vr�'IM STATE/' ZIP SSS �6 c
YOUR STATE
LICENSE WITH
PHONE -7G% If 7 - I 0 .Z CELL PHONE: 42 1 1 - 2 S CW - 42'? S j�
APPLICATION
STATE LIC # STATE BOND: EXP DATE:
1. Narrativetwrittep description: i
rFvn
C _e G(� o J e r .fit 1_0 l C �'- -- C del' i d JLI >- lr_
2. Please attach sketch showing curb line, utility line, building, etc. with distances on back page.
3. Stipulations:
6
Z
/ -.57Z_-355 JB f'� � J q�, C�.ri.� • IIS W
C-4) 76
PERMIT TYPE
❑ SEWER CONNECTION PERMIT $50
❑ WATER CONNECTION PERMIT $50
*WATER LINE REPAIR $40
❑ SEWER LINE REPAIR $40
❑ ADD STATE SURCHARGE $5.00
❑ SAC CHARGE @ $2100 =
TOTAL $
OTHER CHARGES (]IF APPLICABLE) PAY TO UTILITY BILLING
NEW WATER METER COST — SEE UTILITY BILLING
SPECIAL ASSESSMENTS — SEE FINANCE
WATER TAP — SEE ENGINEERING
NOTE: WATER -METER REPAIR, INSP OR SHUT-OFF / EVENINGS, WEEKENDS & HOLIDAYS $125/HOUR-BILLED
THIS IS AN APPLICATION FOR A PERMIT NOT VALID UNTIL PROCESSED
I hereby apply for a water or sewer (new connection or repair) 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. I understand this is not a permit but
only an application for a permit an4vork is np start without a permit.
W4 `%7�
SIGNATURE OF APPLICANT . PRINT NAME: Y V DATE:
APPROVED BY: DATE: %L
COPY G ❑ UTILITY BILLING (only if new meter) ❑ PUBLIC WORKS ❑ ENGINEERING
City of Fridley
Engineering Department
6431 University Avenue NE, Fridley, MN 55432
763-572-3552
FAX: 763-571-1287
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