PRE 2010 DOCSN° '7035
Date:
Owner: �,_�- � � Builder a�
Address Address
LOCATIOF B 1 DING
1114
No. ° I Stree96A LaJ Part _ f Lot v
Lot _Block Addition or Sub-Divisio�
Corner Lot _ Inside Lot _ _ Setback _ _ Sideyard C-1
Sewer Elevation
Foundation Elevation
DESCRIPTION OF BUILDING
lUhsoed P-
AleFront '� Depth Height � Sq. ` Cu.Fro ��Depth Height Sq. Ft. Cu.
Type of Est, Cost _ To be Completed
In consideration of the issuance to me of a permit to construct the
the proposed work in accordance with the description above set,71h a
ordinances of the city of Fridley.
In consideration of the payment of a fee of
I above I agree to do
with a'll provisions 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
�city limits and thus permit may be revoked at any ti yn 'on of any of the provisions of said
Building Inspector
NOTICE:
This pgnadt doss not cover the condruction, hutalistion for wiring, Plumbing, gee beating, serer or vaster. Be sure to we
the Building lespeder for separate permhs for these hems,
APPLICATION FOR BUILDING -;PERMIT
CITY OF. FRIDLEY, MINNESOTA
s
OAR'S NAM-.�i�. /��`' %&� �� BUILDER
ADDRESS ,ADDRESS
_ -
LOCATION OF BUILDING 1
No. r _ Streets ��r: :,� l�' y his �^.,� r Part ,of Lot
f fi
a
Lot _Block_ •Add.it ion ;or Subdivis ions ��J2, �,3� I'Mj-r�
Corner 'Lot .Inside Lot � Setback � r� Side•Yard � � ,� �'
i.. .
SEWER ELEVATION FOUNDATION ELEVATION
Applicant attach.to this form.Two.Certificates of. Survey of Lot and .proposed build-
ing location•.drawn on these.Certificates.
DESCRIPTION OF BUILDING
To be used
as
P F w Al Front Death� Heirrht
sq. rn
Front
Depth A41,15 Height
-Sq.. Ft. Cu.:;Ft,
.
Type of Coastruct3oa /�,r i Estimated' Cost..
Tobe
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 correc,t,;
DATE'��i SIGNATURE
_(Schedule of Fee Costs can be found on the Reverse Side).
City of Fridley
Application for Plumbing and Gas F*Hng Permit
DESCRIPTION OF WORK
Dept. of Bldgs. Phone SII 4�.7
ti
Number. Kind and Location of Fixtures Lace on ��—® ( ;0
67
I A
TOTAL
III
Number Fixtures ......................
Y
Future Fixture Opening ................
Z
O W
0°d
W
�Sa
Z
00
•
F
•
N
WATER HTR.
GAS
ELEC.
Base
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
$
1st
2nd
3rd
4th
• Future Connection Openings
New Fixture, Old Openings
I
Connected with
Sewer
Cesspool
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
$ 2stw—
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
Description ................................................
TOTAL FEE
City of Fridley:
The undersigned hereby makes application for a permit for the work herel
specified, agreeing to do all work in strict accordance with the City Ordinance
and ruling of the Department of Buildings, and hereby declares that all the fact
and representations stated in this application are true and correct.
Owner
Kind of
Fridley, Whm 19_
Used as � 4
To be completed about
Estimated Cost, $
Oldew. uilding Permit
6 C)
ROUGH
FINAL
By
Business Phone
CITY OF,FRIMLEY
6431 UNIVERSITY AVENUE N.E., FRIDLEY, MINNESOTA 55432
November. 4, 1916
Mei. Ed mAd T. Witmea
'vexview Terrace Northeast
Firs ey, hlinneaota 55432
Dean Mx. WUmea
TELEPHONE ( 612)571-3450
It has been btought to my attention that ju3t %ecent,Zy you in6tatted
a wood post weatenn aty.Ze Bence a.Zong the curb tine .in 6nont o6 your
home. Thi -6 wit Z pnobab.Zy cawse the City Pubt i.e Wo,%ks Maintenance De-
pantment aome pAobtems.
Fiut, it eoutd be damaged by the .6nowptows; either by the pZom push-
ing snow -against the Bence, on the pZows them6e.Zves getting too ctose
and peAkap,S teaA ing .c t• down. It could be damaged when we wing back
bnowd►r i.6t6. It eouZd get eoveAed, whereby we eouZd not see it. Second-
,Zy, .i6 we were to damage your fence, it might iAxttate you and you
might think we were being eaneZess.
The City has a g ijty foot .6tneet right -o6 -way, which gives u3 ten feet
o f boutevaxd ahea to pZaee bnow. Atzo, it d.6 at th is point that your
fence .6houZd be placed.
I S you do not wash to move your hence and you jee.Z you can .give with
the pnobtems I have stated, you may .leave it where it is; however, the
City wiV- not accept any ne�spons.ib i,P.i ty bon damage to your hence.
Pteaze see the enctoaed copy o6 our City dndinance.
S,i.nceAe2y,
RALPH VOLKMAN
Supetu.ntendent o6 PubtZi.e Woks
RV :.ik
Enc: l
205.154.• Structures In Yards and Courts .
Eery part of a required yard or court shall be open and unobstructed by any building or stru�;are• front its
lowest point upward, except as follows:
1. Accessory Buildings: Accessory buildings are permitted in a rear or side yard only and shall be not clossr
than3 feet to any lot line. when not more than 15 feet in height. with one additional toot of distance required for
each -3 feet of additional height to a height limit of 24 feet. Accessory buildings may contains one dwelling unit
for servants or one for private guests or one of each, but no dwelling unit for any other purpose is permitted in a
rear yard. Accessory buildings shall, in the aggregate, occupy not more than 35 per cent of the area of a r,:quired
rear yard.
2. Eaves. Etc.: Sills, belt courses, cornices, -buttresses and eaves may project not more than 3 feet Into any
required yard,
3. Border Devetoprrtent: Walks, steps on ground slopes, retaining walls, hedges and natural growth, fences,
paved terraces and paved areas., structures used ornamentally or for gardening or for private recreation
purposes. and structures for essential services, when accessory to and .customarily incidental to the principal
use. are permitted in yards and courts, provided that a side yard strip 1.1/: feet In width adjoining ,the side line of
the lot shall be unobstructed by any structure or feature, except a fence. that Is higher than 2 feet above the +
ground level. No fence or closely grown hedge bordering 101 lines shall be more than seven feet In freight to any
rear or side yard.
A terse orwall not exceeding four t4) fee: in height is permitted within the iirn;ts of front yards. On a corner lot
In a vision safety control zone, nothing seal be erected, placed, planted or allowed to grow in such a manner as
to impede vision betwean a height of ttis a -d one halt (2V2) and ten (10) feet above the level of the curb nearest it
Con the absence of a curb, the centerline ;-a=e of the intersecting street shalt be used in lieu of curb level), above
the Vision safety control zone describe: as follows: That area bounded by the street right of way lines of a
corner lot and a s: •a'raht line joining pc ••s _e said right of way lines twenty five (25) fest Irbm the intersection of
said right of way -as. Anything press.-:. erected, placed. planted or allowed to grow In such a manner as to
Impede vision in a vision safety zone s -a - be considered non -conforming until June 1. 1971, but shall be
corrected by transplanting or removed '-:-n the vision safety zone before such date.
4. Porches and Steps: Uncovered porctle3 and steps to building entrances may extend not more than 16 feet
Into any required front yard or rear yarc and not more than 3 feet into any required side yard.
S. Fire Escapes: Openwork fire balconies and fire escapes may extend not more than 1-1Z feet Intrt a required
yard.
6. Chimneys-. Chimneys and flues may extend not, more than 2 feet into a required yard.
205.155. Boulevards
I. M-Tootenance:, The ground area between the street surfacing or curb and the City right of way line, is
oesogna:ed as the boulevard, and shall be property maintained by the adjacent property owners. Proper
*nasnteorance shall include proper grading and seeding or sodding.
2 Access: Access across the boulevard is restricted to driveways and sidewalks.
B.;w= �•a/s s1 i! be t.�rm}ttnd. but restr::ted in size to be equal to pie trill;h of the driv2sa niR.
i t Ciel. Y ois 9 a;upro ad by
j
0'i1 be p£rmlued at a vtid!h no greater than five. s) loot.
3 ts: U;:3 EXT;; JJ -1d: q typo surfacing u- a;:j 0:0•-.e:p Qr t.ic izi:: les
t f tilt mcztinRc;:! is not p_:rni,t : int ;a
w
ZOS.t55
Structures In
Yards And
Courts
. 205.62
City of Fridley16
SUBJECT
PERM
NO 7 916
AT THE TOP OF THE TWINS
BUILDING PERMIT
r
• __ COMMUNITY DEVELOPMENT DIV.
r PROTECTIVE INSPECTION SEC.
CITY HALL FRIDLEY 55432
L J `► 612-571-3450
ECEIPT NO.
NUMBER
910-F15
REV.
DATE
10/1/82
PAGE OF
APPROVED BY
JOB ADDRESS 6350 Riverview Terrace N.E.
1 LEGAL
LOT NO.
BLOCK
TRACTOR ADDITION SEE ATTACHED
DESCR.
1
4
Eva Erickson River Manor SHEET
2. PROPERTY OWNER MAILADDRESS ZIP PHONE
Alvin Flanders 6350 Riverview Terrace N.E. 571-2933
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
X
8 DESCRIBE WORK
Reroof Dwelling
9 CHANGE OF USE FROM TO
STIPULATIONS
Roof can be 2nd layer but not 3rd. Install ridged galvanized valleys.
SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING,
VENTILATING OR AIR CONDITIONING.
TYPE OF CONST.
Asphalt
OCCUPANCY GROUP
OCCUPANCY LOAD
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
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
$1,000
$.50
DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE
PERMIT FEE
SACCHARGE
PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON-
STRUCTION OR THE PERFORMANCE OF CONSTRUCTION.
PLAN CHECK FEE
TOTALFEE
$18.00
CONTRACTOR OR AUTHOR DAGENT (DATE)
WHEN PROPE Y VALIDAT D THIS IS YOUR PERMIT
)61g�
BLDG INSP D TE
-SIGNATURE OF OWNER(IFOWNER ILDERI iDATEI
CITY OF FRIDLEY Effective Aug. 1, 1981
APPLICATIM FOR RESIDENTIAL BUILDING PEP14ITS
(New, Alterations, Additions, or Repairs)
OWNER: 4a LDER:
ADDRESS: D ,-�. _�e�-� ADDRESS:
TEL NO: C'2 % - 2- ftj 3 TEL 110:
rr Construction Location
STRICT NO: lO s'® STREET:
LOT: 1 BLOCK: L._.... ADDITION :
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.
DESCRIPTION OF CONSTRUCTION
�- Front: Depth: Height:
Square Feet: Cubic Feet:
Front: Depth: Height:
Square Feet: Cubic Teet:
Type of Construction: Q L ( Estimated Costs
�.4(
lb Be Cbrapleted:
Alt. A Al t. B
Proposed Driveway Width If New Opening Is Desired: $ $
SEE MVERSE SIDE, OF SHEET
Tine 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 Delkartment of Buildings, and hereby declares that all the facts and
representations stated in this application are true and correct.
Stipulations:
'7-��
�;b
01
SUBJECT
IT NO
City of Fridley
® 18950
AT THE TOP OF THE TWINS
BUILDING
PERMIT
r
ECEIPT NO
• COMMUNITY DEVELOPMENT DIV.
r PROTECTIVE INSPECTION SEC.
CITY HALL FRIDLEY 55432
%j
NUMBER
REV.
DATE
PAGE OF
APPROVED BY
612-571-3450
910-F15
5/13/87
JOB ADDRESS 6350 Riverview Terrace N.E,
1 LEGAL
LOT NO.
BLOCK
TRACT OR ADDITION
SEE ATTACHED
DESCR.
]
4
Eva Erickson River Manor SHEET
2 PROPERTY OWNER MAIL ADDRESS
ZIP PHONE
Alvin Flanders 6250 Riverview Terrace N.E. 571-2933
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 an 8' x 141 Deck
9 CHANGE OF USE FROM
TO
STIPULATIONS
"s tit
1 - fay, (A
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
$80Q
$•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-
$15.00
STRUCTION OR THE PERFORMANCE OF CONSTRUCTION.
PLAN CHECK FEE
TOTAL FEE
$ 3,75
$19;,25
SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT (DATE)
WHEN PROPERLY LIDATED THIS IS YOUR PERMIT
BLDG INSP fAII
SIGNATURE OF OWNER OF OWNER BUILDER) IDATEI
01
NEW
City of Fridley Effective 4/1/86
ADDN. [ ] R-1 AND R-2
ALTER. [ ] Building Permit Application
Construction Address.
Legal Description:
_ --
Owner Name & Address: 91A All .. Tel • #
Contractor: ---J �- L /' Tel.
Address:
LIVING AREA:
GARAGE_ AREA:
DECK AREA:
OTHER:
Corner Lot [ ]
Attach to this application, a Certificate of Survey of the
lot, with the proposed construction drawn on it to scale.
DESCRIPTION OF IMPROVEMENT
Length
Length
Length
Width
Width
Width_
Height
Height
Hgt/Ground
Sq. Ft.
Sq. Ft.
Sq. Ft. t
Inside Lot [ ] Ft. Yd. Setback Side Yard Setback
Type of Construction:�-
Approx. Completion Date:
Estimated Cost: $
0� at)
Alt. A Alt B
Proposed Driveway Width If New Opening Is Desired: $ - $
See Back Page for Explanation
DATE: !!�- 17-Y) APPLICANT:
Permit Fee
Plan Check
State Surcharge
SAC Charge
Park Fee
Sewer Main Charge
STIPULATIONS:
CITY USE ONLY
$ Fee Schedule on Reverse Side
$ 25% of Building Permit Fee
$ .� $.50/$1,000 Valuation
$ $525 per SAC Unit
$ Fee Determined by Engineering
$
.� Agreement Necessary [ ] Not Necessary [ ]
$
, '. .
Land Planning
Land surveying
Soils Tesfiny
cfv// b. Municipal
Engineering
A
Eny,neers
PrIM"M 17
6A-l�
GINEERING-, INC. minlvsola
Si//,Vl If -9066
W.,
Sup veyors
vir,
Cq
A Q)
o irk
ep
/hereby cerhAy tbai &s os a Prue and en -red represenfallon 60 survey 4r,*e bwdop;es of Ae aho re duc Ad land, ard
#W 1664017 'Off tQdl�Y3 , hf evn , Md 0// risible mawchmeds , i��, fmn or on said land. As -s ur ve
�ed by me .
Al -.4.0,9
SUBURBAN ENC71NEERIN6, INC.
e7�7 inq;17ers jr- c. --
4seat-aq -
Z u011oos
A u
vlq:t -
IJ
sue iEtr
City of Fridley
0 7 7 6
AT THE TOP OF THE TWINS
BUILDING PERMIT
r
R
__ - __ COMMUNITY DEVELOPMENT DIV.
tea:
r � � PROTECTIVE INSPECTION SEC.
1 . �
NUMBER
REV
DATE
PAGE OF
APPROVED 9Y
CITY HALL FRIDLEY 55432
j 612-571-3450
910 -FIS
3/30/00
10B ADDRESS 6350 Riverview Terrace NE
1 LEGALLOT
NO.
BLOCK
TRACT OR ADDITION SEE ATTACHED
DESCR.
1
4
Eva Erickson River Manor Addition SHEET
2 PROPERTY OWNER MAIL ADORES$ ZIP PHONE
Al Flanders 6350 Riverview Terrace NE
3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO
Richard Hastings Contractor 6331 Riverview Ter NE, Fridley, MN 55432
4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO
574-9966 4051
5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO
8 USE OF BUILDING
Residential
7 CLASS OF WORK
❑ NEW ❑ ADDITION O ALTERATION I REPAIR O MOVE ❑ REMOVE
8 DESCRIBE WORK
Reroof House & Garage (25 Sq) 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 REOUIREO 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 VVITHIN 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
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
$2,185
$1.09
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.
$83 25
Fir SC $2.19
STRUCTION OR THE PERFORMANCE OF CONSTRUCTION
PLAN CHECK FEE
TOT L FEE
- 4 - --. ®
•s
Licens S $5.
$91.53
SIGNATURE OF CONTRACTOR O AUTHORIZED AGENT ID TEI
EN O VALIDIFTEOF THIS ISfOWERMIT
I
6L INSp oa�E
S-GNATURE OF OWNERJF OWNER BUILDERI IDATEI
IJ
NEW I ] Effective 1/1/2000
ADDN [ ] CITY OF FRIDLEY (763) 572-3604 Bldg Insp
ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2
BUILDING PERMIT APPLICATION
VE �
Construction Address: p S� ¢ a I��
Legal Description:
Owner Name & Address: AL F Lg v A <Z 5 Tel. #
Contractor: d GA ��� ¢� 7`A' tiS MN LICENSE # qV 5
Address: � 3 3 a K,' L) C g- i),- C- L T"c= /Z Tel. # 5;7 Y`
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: >_,T Su
Construction Type:?-�', F- 4 K� z �� F Estimated Cost: $ %c;
Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ = $
DATE: 0 o o APPLICANT: L4 Tel. #
CITY USE ONLY -
Call (763) 572-3604 for Permit Fees if mailing in application
Permit Fee
$�
Fee Schedule on Reverse Side
Fire Surcharge
$ `% .001 of Permit Valuation (1/10th%)
State Surcharge
$
1,09 $.50/$1,000 Valuation
SAC Charge
$
$1100 per SAC Unit
License Surcharge
$
0 Cj $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:
$ 91, -c
I1':' OF FRIDLEY INSPECTION DIVISION�?
>Effective On January 1, 2002
of 431 University Ave NE
y
�, ridley, MN 55432 APPLICATION FOR POWER
PLANTS AND HEATING, COOLING, VENTILATION,
763) 572-3604 REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES
&3fO
JOB ADDRESS
G RATE SCHEDULE
---
�/,, ,
AL-tIn i���lX u-s
r-
OWNER
[- .esideritial Rate
TOTAL
At�117q
Furnace Shell and Duct Work, Burner •
/�
��
BUILDING USED AS
Also Replacement Furnace $ 30.00
$ °
(, PER IT N0.
M
(Side Vent - Fill Out Back)
ESTIMATES CAST L
Gas Piping (Needed with new furnace, $ 10.00
$
but not replacement)
DE.._SCftIPTl0N OF FURNACE AND OR BURNER
Gas Range $ 10.00
$
0
No. of Heating U ' s_ Circle One (Steam) (Hot Watgr arm A%
(�(
Gas Dryer $ 10.00
$
Trade Na a Size No.
/��
BTU O HP EDR
"Air Conditioning - All Sizes $ 25.00
$yu
Fuel Total Connected Load
All Others/Repairs & Alterations (LIST ON BACK)
Burner Trade Name Size No.
1% of Value of Appliance or Work
$
BTU HP EDR
W
A :ommercial/Industrial
af 1.25% of Value of Appliance or Work
$
The undersigned hereby makes application for a permit for the work herein
specified agreeing to do all work in strict accordance with the City Codes an
LL
0 State Surcharge
$ .50
rulings of the Building Division, and hereby declares that all the facts and
representations stated in this application are true and correct.
U TOTAL FEE
,50
$
2
o
q ?_
'BLAINE FITC. A/C ELECT 4�TU.
u
93562 CENTRAL AVE. ME.
UNIMUM FEE FOR ANY HEATING/COOLING/VENTILATION
HEKFING CO ANOKA, MN 55304
tEFRIGERATION/AIR CONDITIONING PERMIT IS $25.00
/„�
'LUS THE $.50 STATE SURCHARGE
1-,�Q�'7s�
Signed ` "� TEL # (lV / �JL
m
/
FAX # 7Q.3- l -l7
N !EINSPECTION FEE $47.00/Hr
m
V
Air Conditioners can not be placed in a side yard without
Approved II Rough-In Date Final Date
iritten permission from adjoining property owner.
EILLOUTBACKIDE'FOZO
CK VERIFICATION ON REPLACEMENT FURNACE
JAN -16-2002 08:3722 FROM CITY OF FRIDLEY
TO
7575701 8.02/02
THE BELOW MUST BE FILLED IN WHEN REPLACING FUEL BURNING APPLIANCES OR The
APPLICATION WILL BE RETURNED
C MMQN VENT_ VENT CONNECTOR AND COMBUSTION AIR VERIFICATION
When rrn la „kiting fu ranc e, the undersigned hereby verifies that the
venting has been examined and is free from rust, deterioration, obstructions,
and is securely supported and firestopped where required. Yes No ( j
The venting system is plasticIPVC and meets all current codes and manufacturer
specifications including sizing, length, number of elbows and termination. Yes,(/ No( }
The undersigned also verifies that the replacement unit is a listed assembly �� 11
and meets the current codes and manufacturer's specifications. This does
include AGA-GAIMA Category I Central Furnace Venting Tables for fan.
assisted and natural draft appliances. Yes K
No
Theme islir,� comb�®�tion aiis sized and installed to meet the current codes
and manufacturer's specifications. Yes ( No( )
When required to install -a opw combustion air, it will be sized and installed \\
to meet the current codes and manufacturer's specifications. Yes ( No( )
When " . g w v _ming stern, the undersigned hereby verifies that
it is a listed aszernbly and mees the current codes and manufacturer's
specircations. This does include AGA-GANIA Category I Central Furnace
Venting Tables for fan assisted and natural draft appliances. Yes No( )
Is the common vent and vent connectors sized and installed correctly after
an appliance has been removed from the common vent and vented
separately as per current codes. Yes (ro ( )
Appliance I= and 1Zi arCommon VPnt,and Vont C`an nectar Inforrnaty:=
Appliance #1 Type Ra AOJ/ BTU Input Fan Assisted or Nat Al, 6 ,
Appliance #2 Type BTU Input Fan Assisted or Nat
Appliance #3 Type BTU Input Fan Assisted or Nat
Total Appliances Total Stu Input
Common Vent Type Vent Height Diameter inches
Appliance #1 Vent Connector Height ft Length ft Diameter in Type
Appliance #2 Vent Connector Height ft Length ft Diameter in Type
Appliance #3 Vent Connector Height ft Length ft Diameter in Type
ELAINE U.
HEATING CO: 13562 CENTRAL AVE. N.E.
—ANQK&. MN 65304
Signed By: con Date: �" Z- Z-'
TOTAL P. 02
a
CITY OF FRIDLEY INSPECTION DIViSION
6431 University Ave NE
Fridley, MN 55432 APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION,
(763) 572.3604 REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES
RATE SCHEDULE
Residential
Furnace Shell and Duct Work, Burner -
Also Replacement Furnace
(Side Vent - Fill Out Back)
Gas Piping (Needed with new furnace,
but not replacement)
Gas Range
Gas Dryer
*Air Conditioning - All Sizes
All Others/Repairs & Alterations (LIST ON BACK)
1% of Value of Appliance or Work
Commercial/Industrial
1.25% of Value of Appliance or Work
Effective On January 1, 2002
JOB ADDRESS L,--? c
OWNER��®��
Rate TOTAL
BUILDING USED AS
$ 30.00 $
ESTIMATED COST / PERMIT NO.
$ 10.00 $
DESCRIPTION OF FURNACE AND OR BURNER
$ 10.00 $
No. of Heating Units,— Circle One (Steam) (Hot Water) (Warm Air)
$ 10.00 $ Trade Name `/ /—T -3 Size No.
BTU HP EDR
$ 25.00 $ Fuel A-1Total Connected Load
State Surcharge
TOTAL FEE
MINIMUM FEE FOR ANY HEATING/COOLING/VENTILATION
REFRIGERATION/AIR CONDITIONING PERMIT IS $25.00
PLUS THE $.50 STATE SURCHARGE
REINSPECTION FEE $47.00/Hr
Burner Trade Name Size No.
$ BTU HP EDR
$ The undersigned hereby makes application for a permit for the work herein
specified agreeing to do all work in strict accordance with the City Codes an
$ .50 rulings of the Building Division, and hereby declares that all the facts and
representations stated in this application are true and correct.
DATE
HEATING CO
Signed TEL # �� "� ✓�
FAX # 71
*Air Conditioners can not be placed in a side yard without
written permission from adjoining property owner., _
v F
Approved By Rough -In Date Final Date
THE BELOW MUST BE FILLED IN WHEN REPLACING FUEL BURNING APPLIANCES OR THE
APPLICATION WILL BE RETURNED
j`Q MIMON VFNT- VENT r-nNNFCTnR ANn MMMIRTInN AIR VERIFIr`ATInN
When ra In arming an Axkfinn furanng, the undersigned hereby verifies that the
venting has been examined and is free from rust, deterioration, obstructions,
and is securely supported and firestopped where required. Yes () No ( )
The venting system is plastictPVC and meets all current codes and manufacturer
specifications including sizing, length, number of elbows and termination. Yes( ) No( )
The undersigned also verifies that the replacement unit is a listed assembly
and meets the current codes and manufacturer's specifications. This does
include AGA-GAMA Category I Central Furnace Venting Tables for fan
assisted and natural draft appliances. Yes( ) No( )
The pY.�g cnmhti_stinn air is sized and installed to meet the current codes
and manufacturer's specifications. Yes( ) No( )
When required to 1petall a new cnmhiistinn air it will be sized and installed
to meet the current codes and manufacturer's specifications. Yes() No ( )
When inst'allina a now venting cyst m, the undersigned hereby verifies that
it is a listed assembly and meets the current codes and manufacturer's
specifications. This does include AGA-GAMA Category I Central Furnace
Venting Tables for fan assisted and natural draft appliances. Yes( ) No( )
Is the common vent and vent connectors sized and installed correctly after
an appliance has been removed from the common vent and vented
separately as per current codes. Yes( )No(
)
Appliance T= and Sim /Cnmmnn Vent and Vent Cnnnecter Infermatinn
Appliance #1 Type
Appliance #2 Type
Appliance #3 Type
Total Appliances
_ BTU Input
_ BTU Input
_ BTU Input
Total Btu Input
Fan Assisted or Nat
Fan Assisted or Nat
Fan Assisted or Nat
Common Vent Type Vent Height Diameter inches
Appliance #1 Vent Connector Height ft Length ft Diameter in Type
Appliance #2 Vent Connector Height ft Length ft Diameter in Type
Appliance #3 Vent Connector Height ft Length ft Diameter in Type
HEATING CO:
Signed By: Date :
i
10]
suejECTRMIT
NO.
City of Fridley
33612
AT THE TOP OF THE TWINS
B U I L ®I N G
P E R M I T
r
RECEIPT NO.
COMMUNITY DEVELOPMENT DIV.
tr __�___
r : � PROTECTIVE INSPECTION SEC.
33/
1 . �
NUMBER
REV
DATE
PAGE OF
APPROVED BY
i I CITY HALL FRIDLE`1 55432
,.'
763-571-3450
910-F15
6/16/03
JOB ADDRESS 6350 Riverview Terrace NE
1 LEGAL
LOT NO.
BLOCK
TRACT OR ADDITION
SEE ATTACHED
DESCR.
1
4
Eva Erickson River Manor Addition SHEET
2 PROPERTY OWNER MAIL ADDRESS
ZIP PHONE
Alvin Flanders 6350 Riverview Terrace NE
763-571-2933.
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
B DESCRIBE WORK
Replace 8 windows .within existing openings
9 CHANGE OF USE FROM TO
STIPULATIONS
Provide smoke detectors in all sleeping rooms and on all
levels of the dwelling
per Section 310.9.1.2 of the 1997 Uniform Building Code.
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
@
$8,000
$4.00
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-
$153.25
Fire SC $8.00
STRUCTION OR THE PERFORMANCE OF CONSTRUCTION
PLAN CHECK FEE
TOTAL FEE
$1 .25
SIGNATURE OF CON-RACTOR OR AUTHORIZED AGENT (DATE,
PR
ER LIDATED T IS IS YOUR PE IT
'BLDG 14SP
HATE
S-GNATURE OF OwNER,IF OVAER BUILDER, [DATE, I
i
10]
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:
Legal Description:
Owner Name ,&�Address: L�(JC�► �w u - _ Tet. #� L9 l d'
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 Width Height Sq. Ft.
0.
GARAGE AREA: Length Width Height Sq. Ft.
DECK AREA: Length o Width Hgt/Ground Sq. Ft.
OTHER: 11V AAAd A-�
Construction Type: Estimated Cost: $ q 10 ()`
CD
-33
Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ _ $
DATE: —1 APPLICANT:�e ®aL�_� h/'� Tel. # S 771-42 �.3
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.
Permit Fee
Fire Surcharge
State Surcharge
SAC Charge
License Surcharge
Curb Cut Escrow
Erosion Control
Park Fee
Sewer Main Charge
CITY USE ONLY -
$ IS33 ,!Z Fee Schedule on Reverse Side
$.001 of Permit Valuation (1/10th%)
$ A $.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 [ ]
TOTAL $ �'
RTIPUI ATIONIS*
CITY OF FRIDLEY
6431 UNIVERSITY AVENUE NE
FRIDLEY, MN 55432
572-36U4 VAA: (763)
ADDRESS : 6350 RIVERVIEW TERRACE NE
PIN : 153024420058
LEGAL DESC : EVA ERICKSON RIVER MANOR
: LOT 1 BLOCK 4
PERMIT TYPE : BUILDING
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : WINDOW/DOOR REPL
PE �NO004-00921
DATE ISSUED: 06/16/2004
VALUATION : $ 2,000.00
NOTE: PROVIDE SMOKE DETECTORS IN ALL SLEEPING ROOMS AND ON ALL LEVELS OF THE DWELLING PER R317
OF THE 2000 INTERNATIONAL RESIDENTIAL CODE. CAULK AND FLASH ALL EXTERIOR OPENINGS.
REPLACE 3 WINDOWS WITHIN EXISTING OPENINGS.
APPLICANT
FLANDERS ALVIN E & NELLIE J
6350 RIVERVIEW TER NE
FRIDLEY, MN 55432
OWNER
FLANDERS ALVIN E & NELLIE J
6350 RIVERVIEW TER 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 work
will be complied with whether specified herein or not. The
granting of a permit does not presume to give authority to
violate or cancel the provisions of any other state or local law
regal �nstru or the pe ormance of construction.
ApplicDated
Bldg Insp.
BUILDING PERMIT FEE
FIRE SURCHARGE
STATE SURCHARGE, VALUE
TOTAL
SEPARATE PERMITS REQUIRED FOR WORD OTHER THAN DESCRIBED ABOVE.
69.25
2.00
1.00
72.25
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 ob
c�
Construction Address: ®
Legal Description:
Owner Name & Address: A L V e' it Tel. # ?4 3 "STS 2 � 3�
Contractor. 27 IQ MN LICENSE #
Address: C 3 3-0 PL Joi2 V 1 //P_ le `° Tel. #
LIVING AREA:
GARAGE AREA:
DECK AREA:
OTHER:
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 Height Sq. Ft
Width Hgt/Ground Sq. Ft
? "'; C ' ,F &) 1 P I®
Construction Type:l%,-1c"}' /-,A -'Miipv-S_ Estimated Cost: $
Driveway Curb Cut Width Needed: Ft + 6 Ft = Ft x $ (o
'
DATE: b F' - ® V APPLICANT: �"' �® ?. .r...� 1® Tel.# 763 -6-%/.2 ,993
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.
Permit Fee
Plan Review
Fire Surcharge
State Surcharge
SAC Charge
License Surcharge
Curb Cut Escrow
Erosion Control
Park Fee
Sewer Main Charge
CITY USE ONLY -
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 [
TOTAL $ d STIPULATIONS:
Building
MECHANICAL
Permit No.:
Inspections
RESIDENTIAL APPLICATION
Received By:
763-572-3604
CITY OF FRIDLEY
763-502-4977 FAX
EFFECTIVE2-19-09
DATE /0 7 to YOUR E-MAIL ADDRESS
SITE ADDRESS (Q So 9 i' ✓e.' v; e w ! e r r
THIS APPLICANT IS: 0 OWNER CONTRACTOR
PROPERTY
NAME: l F/andCt
ADDRESS: & 3 _,ro ePi JC r ✓i e w B/," CITY / t %,,11d;e STATEM&IP 5�4�3
OWNER/
TENANT
PHONE: �f'03 .57 / 0?
CONTRACTOR
COMPANY NAME: Hearthdba &�O� a wCtl, Home
SUBMIT A COPY OF
CONTACT PERSON: License 20512060
70
YOUR STATE
STATE LICENSE # EXP DATE g®vi16 tAN 55113
LICENSE WITH
ADDRESS: CITY 651 /633-2561 STATE -,ZIP
APPLICATION
PHONE FAX
PERMIT TYPE
SINGLE FAMILY 0 TWO FAMILY 0 TOWNHOUSE
TYPE OF WORK:
i�1 NEW 0 REPLACEMENT 0 ALTERATION/REMODEL
DETAILED DESCRIPTI/O�N OF WORK l n S � a k< b&S f,�r<,01 h c e i, , e r � 6.J //A $ /o% 1 e
FEES ARE BASED ON $10.00 PER FIXTURE, EXCEPT WHERE NOTED. FIXTURES: (INDICATE TOTAL NUMBER OF EACH BELOW)
Equipment Installed MFG: i9m a A !A F• Ce MODEL:4 des s SIZE/BTU
MFG: MODEL: SIZE/BTU
MFG: MODEL: SIZEBTU
A/C $25.00 FIREPLACE (GAS) $15.00 GAS RANGE/OVEN $10.00
AIR TO AIR EXCHANGEER $IS FIREPLACE (WOOD) $35.00 NEW GAS GRILL $10.00
BOILER $35.00 FURNACE $35.00 —GAS UNIT HTR $10.00
CHIMNEY LINER $10.00 GAS DRYER $10.00 POOL HEATER $35.00
_
DUCT WORK $10.00 GAS PIPING $10.00 VENTILATOR $15.00
Number of fixtures @ $10.00 x $10.00 = $
Number of fixtures Gg $15.00 x $15.00
Number of fixtures @ $25.00 x $25.00 = $'
Number of fixtures @ $35.00 x $35.00 = $
State Surcharge
MPaMUM FEE $35.50 Total = $ VO. &V
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; that the work will be in accordance with the
approved plan in the case of all work which requires review and approval of plans.
SIGNATURE OF APPLICANT �C. PRINT NAMEy1/, n �Pr�s h� 1 t' DATE 1 O
PLEASE NOTE: SEPARATE PERMITS ARE REQUIRED FOR BUILDING, ELECTRICAL AND MECHANICAL WORK
City of Fridley
Building Inspections Department
6431 University Avenue NE, Fridley, MN 55432
763-572-3604 FAX: 763-5024977