PRE 2010 DOCSApplication for Power Plants and Heating, Cooling, Ventilation, Refrigeration and
Air Conditioning Systems and Devic'
PARTIAL RATE SCHEDULE
GRAVITY WARM AIR: RATE TOTAL
Furnace Shell & Duct Work .......................... 8.00 $
Replacement of Furnace ............................. 5.00 $
Repairs & Alterations—up to $500.00 .................. 5.00 $
Repairs & Alterations each add. $500.00 ............... 2.50 $
MECH. WARM AIR
Furnace Shell & Duct Work to 120,000 BTU ............
8.00
$
each add. 60,000 BTU ........................
2.00
$
Replacement of Furnace .............................
5.00
$
Repairs & Alterations—fip to $500.00 .................
5.00
$
Repairs & Alterations each add. $500.00 ..............
2.50
$
STEAM or HOT WATER SYSTEM
Furnace Shell & Lines—to 400 sq. ft. EDR Steam ......
8.00
$
Furnace Shell & Line --to 640 sq. ft. EDR Hot Water
... 8.00
$
Each add. 200 sq. ft. EDR Steam ......................
2.50
$
Each add. 320 sq. ft. 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
$ 6-00
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 HEATING SYSTEM
VENTILATING SYSTEM
ALTERATIONS & REPAIRS
r-
l
$
See Fee Schedule
TOTAL FEE $
Dept. of Bldgs. Phone SII 4-7470
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.
owner
Kind of Building
Used as
To be completed about
1'�Alated Cost, �
. Building Permit No.
DESCRIPTION OF WORE:
HEATING or POWER steam, Hot Water, Warm Air—No
195-
195—
Trade Name rey Size N
Capacity Sq. Ft. E.D.R BTU H.P.
Total Connected Load 2 ®® 0 Kind of Fuel
BURNER — Trade Nam Size No. or -P
Capacity Sq. d. Rn R. 13TUAA5116 H.P.
SUBJECT
City of Fridley
2 4 3
AT THE TOP OF THE TWINS
BUILDING
PERMIT
Ir
RECEIPT NO..
� • _____ COMMUNITY DEVELOPMENT DIV
I PROTECTIVE INSPECTION SEC
L4 L437
NUMBER
REV
DATE
PAGE OF
APPROVED BY
CITY HALL FRIDLEY 55432
' 612-571-3450
910 -Fl 5
9/18/96
/ /
JOB ADDRESS 7901 Riverview Terrace NE
1 LEGAL
LOT NO.
BLOCK
TRACT OR ADDITION
SEE ATTACHED
DESCR.
6,7 & 8
y
Riverview Heights
SHEET
2 PROPERTY OWNER MAIL ADDRESS
ZIP PHONE
Frank Shimek 7901 Riverview Terrace NE
786-3358
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 (16' x 18') Screen Porch
9 CHANGE OF USE FROM TO
STIPULATIONS
TYPE OF CONST.
OCCUPANCY GROUP
OCCUPANCYLOAD
SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING,
VENTILATING OR AIR CONDITIONING -
THIS PERMIT BECOMES NCELL 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
$.50
WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT
$247
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-
$21.00
Fire SC $.25
STRUCTION OR THE PERFORMANCE OF CONSTRUCTION
PLAN CHECK FEE
TOTAL FEE
$21.75
SIGNATURE OF CONTRACTOROR AUTHORIZED AAEr ` IDA I
WHEN PROPER VALID TED THIS IS YOUR PERMIT
BLQ6 INSP
GATE
.a�iGNATU OF OWNER 0F OWNER BUILDE 1� IDATEI
NEW [ ] Effective 3/1/96
ADDN [ ] CITY OF FRIDLEY
ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2
Building Permit Application
ConstructionAddress: 7 c? / R
Legal Description: �, f,�( ` %< QIP a$ e 07 -
Owner Name & Address:
0
Tel. # 7 ��
Contractor:'] �� MN LICENSE #
Address:
Attach to this application, a Certificate of Survey of the
lot, with the proposed construction drawn on it to scale.
DESCRIPTION OF EMPROVEMENT
Tel. #
LIVING AREA: Length Width Height Sq. Ft.
GARAGE AREA: Length Width Height Sq. Ft.
DECK AREA: Len Wi th Hgt/Ground Sq. Ft.
OTHER: � ,0 0
Corner Lot [ ] Inside Lot [ ] Ft. Yd Setback Side Yard Setbacks
Type of Construction: de R e e IF ® 0Ao- ff Po st c j Estimated Cost:
Approx. Completion Date:
(Cost on Back)
Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ _ $
DATE: _ / APPLICANT: Tel. #
Permit Fee
Fire Surcharge
State Surcharge
SAC Charge
License Surcharge
Driveway Escrow
Erosion Control
Park Fee $
Sewer Main Charge $
CITY USE ONLY
Fee Schedule on Reverse Side
.001 of Permit Valuation (1/10th%)
$.50/$1,000 Valuation
$900 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 }
STIPULATIONS:
—Mgm, gme. irls lm.m
7C -TSN
1P
-AM
vc,
Zoo
<ac,
7�51
6" PA.
Do
P17Z
c
7 Z-
7.41
3,-7 -7
R
71)
3, g7
825.44
Ob
—Mgm, gme. irls lm.m
7C -TSN
1P
-AM
vc,
Zoo
<ac,
7�51
6" PA.
Do
P17Z
c
SUBJECT
N•
City of Fridley
26371
AT THE TOP OF THE TWINS
BUILDING
PERMIT
RECEIPT NO.
COMMUNITY DEVELOPMENT DIV.
�/
______
r v PROTECTIVE INSPECTION SEC.
��'i►/
NUMBER
REV
DATE
PAGE OF
APPROVED BY
IICITY HALL FRIDLEY 55432
,.4 612-571-3450
910-F15
6/29/98
JOB ADDRESS 7901 Riverview Terrace NE
1 LEGAL
LOT NO.
BLOCK
TRACT OR ADDITION
SEE ATTACHED
DESCR.
6-11
Y
Riverview Heights
SHEET
2 PROPERTY OWNER MAIL ADDRESS
ZIP PHONE
Frank Shimek 7901 Riverview Terrace NE
786-3358
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 Cj REPAIR ❑ MOVE ❑ REMOVE
8 DESCRIBE WORK
Reroof House (11 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 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
$917
$.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 COW
@
$34.75
Fire SC $.92
STRUCTION OR THE PERFORMANCE OF CONSTRUCTION.
PLAN CHECK FEE
T AL FEE
36.17
SIGNATURE OF CONTRACTOR OR AU TH IZEDAGENT IDATEI
HE PR
LY VALI ED THIS IS YOUR PERMIT
`Y' I
f,/�
NATURE OF OW VE OF OWNER BUILDERi IDATEI
�L G -�NSp
�� E
NEW ( 1 Effective 1/1/98
ADDN [ ] CITY OF FRIDLEY
ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2
BUILDING PERMIT APPLICATION
ConstructionAddress: 79'd>1 /F1 V I K- I?
Legal Description:
Owner Name & Address:
Contractor:
rv Tel. # .
MN LICENSE #
Address:. Tel. #
Attach to this application, a Certificate of Survey of the
lot, with the proposed construction drawn on it to scale.
LIVING AREA:
GARAGE AREA:
DECK AREA:
OTHER:
Construction Tyre:
DESCRIPTION OF IMPROVEMENT
Length Width Height Sq. Ft.
Length Width Height Sq. Ft.
Length Width Hgt/Ground Sq. Ft.
d C$
Driveway Curb Cut Width Needed: Ft. + 6 Ft =
Estunate oat.
(Fee Schedule on Back)
Ft x $ = $
DATE: APPLICANT: a
k Tel.
. STIPULATIONS:
CITY USE ONLY
Permit Fee
$
Fee Schedule on Reverse Side
Fire Surcharge
$
t1.?-
.001 of Permit Valuation (1/10th%)
State Surcharge
$
. SO
$.50/$1,000 Valuation
SAC Charge
$
$1000 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 [ ]
6. / 9
TOTAL
$
. STIPULATIONS:
FRIDLEY MUNICIPAL CENTER • 6431 UNIVERSITY AVE. N.E. FRIDLEY, MN 55432 • (612) 571-3450 • FAX (612) 571-1287
December 15, 1998 PW98-214
Frank & Marcy Shimek
7901 RIverview Terrace NE
Fridley MN 55432
Subject: Notice of Intent to Acquire
Right of Entry Request
Dear Mr. & Mrs. Shlmek:
The City of Fridley is Interested In acquiring your property to undertake the Riverview Heights Flood Control
Project. A description of the property to be acquired Is as follows:
Lots 6, 7, 8, 9, 10, 11, Block Y PID # RO3 30 24 32 0143
Riverview Heights
In order to begin the acquisition process, an appraisal will be made of your property and you will be given the
opportunity to accompany the appraiser when your property Is inspected The City has retained the appraisal
services of Lake States Realty Services. The appraiser Julie Jeffrey Schwartz will be contacting you soon to set
up an appointment to view your property. She can be reached at (651) 659-0920 If you would like to Initiate
the contact.
You also have certain rights under federal law and a copy of the HUD brochure "When a Public Agency Acquires
Your Property" Is being enclosed to explain your rights. If you occupy the property, you will also receive relocation
assistance to help you find a comparable replacement dwelling and the move of the personal property.
This is not a notice to vacate your property and It does not establish eligibility for relocation payment or other
relocation assistance under federal regulations. You will receive a notice of relocation eligibility when the City
makes an offer to purchase your property. The City has retained the services of Wilson Development Services
to assist you with the relocation process. Dan Wilson or Michele Kaltved will be contacting you shortly to explain
your relocation rights and benefits, they can be reached at (612) 448-4630 with any questions.
Also enclosed Is a Right -of -Entry form for your review. The City needs to complete a survey on your property.
We are seeking your cooperation to permit our surveyor to enter your property to prepare a survey. The survey
will not disrupt your property. In the event that there is damage, the City will be responsible for the repair or
replacement of the damaged Item. Please return the form In the enclosed envelope. If you have questions, please
call Dan Wilson or Michele Kaltved at (612) 448-4630.
Sincerely,
John G. Flora
Director of Public Works
JGF:cz
SUBJECT
RMIT
City Of Fridley
W R
E C K I N G
29814
AT THE TOP OF THE TWINS
A A IT
PEL"'v
r
1D
R_ECVPrNCF_
• _____ COMMUNITY DEVELOPMENT DIV.
� LV
r PROTECTIVE INSPECTION SEC.
1 � �
, CITY HALL FRIDLEY 55432
NUMBER
pEv
DATE
PAGE OF
APPROVED BY
L J` 612-571-3450
9t 0415
7/6/99
JOB ADDRESS 7901 Riverview Terrace NE
1 LEGAL
LOT NO. 67 &
BLOCK
TRACT DR ADDITION
SEE ATTACHED
DESCR.
05' of'8
Riverview Heights
SHEET
2 PROPERTY OWNER MAIL ADDRESS
ZIP PHONE
City of Fridley
3 CONTRACTOR MAIL ADDRESS
ZIP PHONE LICENSE NO
Kevitt Excavating 3335 Pennsylvania Ave N
Crystal 55427 545-3557
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 O ADDITION ❑ ALTERATION ❑ REPAIR 0 MOVE ❑ REMOVE
8 DESCRIBE WORK porch
Wreck 22' x 28' house and 16' x 81 paxtil
9 CHANGE OF USE FROM
TO
STIPULATIONS
Clean site of all demolition debris and disconnect sewer and water at
property line and call for inspection of same.
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
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
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
Fee waived
PLAN CHECK FEE
TOTAL FEE
�r C
0
1 TORE OF CONTRACT THORIZED AGENT IDATEI
W IN OPERLY - LIDATED 7H S IS YOUR PERMIT
'
S*GNATURE OF OWNERJF OWNER BUILDERI 10ATE1
BLDG 1N", garE
Effective 5/10/99
CITY OF FRIDLEY MOVING [ ] WRECKING PERMIT APPLICATION
6431 University Ave NE ,
Fridley MN 55432
572-.3604
Job Address:-
ddress:Legal
LegalDescription:
Owner & Address:
Tel.
#
Contractor:&,Vlrr-
,�'y�,�y�>-rf/G
Tel.
#
Address:
State
License
#
DESCRIPTION OF
BUILDING
HOUSE: Length ;2:X
Width .2F Height
Sq.
Ft.
Cu.
Ft.
GARAGE:Length
Width Height
Sq.
Ft.
Cu.
Ft.
pff—ength
Width Height
Sq.
Ft.
Cu.
Ft.
stimated Cost $
Approx. Completion
Date
UTILITIES City Water/Sewer Minnegasco
NOTIFIED: 572-3529 [ ] 372-472,0[
Water Bill Paid: Yes [ ] or Collect [$ U
Moving Route:
N S P U S West
] 330-5500[ ] 663-6000 [ ]
] Signature
The undersigned hereby makes application for a permit to wreck/move the building described above, agreeing to
do all work in strict accordance with the City Ordinances and rulings of the Building Division, and the State
Code which requires any water well on the property to be sealed by a State licensed water well driller, and
hereby declares that all facts and representations stated in this application are true and correct. ALL
Moving: Principle Building into Fridley .... $300.00
Accessory Building into Fridley .... $ 42.00 Minimum Fee: $20.00
Through or within the City ...... $ 20.00
Move a building out of City ...... $ 20.00
Wreddng: For each 1,000 cubic feet or fraction .. $ 1.25
For structures which would be impractical
to cube the fee shall be based on the
total cost of wrecking at the rate of
$6.00 for each $500.00 or fraction.
PERMIT FEE: STIPULATIONS:
Minimum Fee: $20.00
CITY OF FRIDLEY INSP. DIV:
6431 University Avenue NE
Fridley, MN 55432
(612) 572-3604
HYDRANT RENTAL AGREEMENT
(Effective May 1, 1999)
JOB SITE: mo/ /elV0.-
7e'e/ez / /E/�.��'✓G� F
-�
Applicant:Tel. #: �aa �i��'✓��7
Address: 1140 A 5��S>Ae 53/a 7
RENTAL CHARGES
Service Charge: $35.00
Water: Minimum $10.00, $1.00/1000 gal. with meter
L-ISe �Ct >c-(; p�cSC1 r ��s r� TOTAL CHARGES -
���J Receipt # --
EQUIPMENT USED & DEPOSITS HELD
Meter Deposit: $200.00 Meter #
$
Meter Reading: Start End
TOTAL GALLONS x $1,.00 = $
Equipment Deposit: (wrenches) $150.00 $
TOTAL DEPOSIT CHECK $
List Equipment Borrowed:
Above Equipment Returned to:
�. Signature Date
I/We agree to make the above deposits and pay the water and service
charges for the use of hydrant connections and equipment borrowed. In
the event that the above meter or equipment is damaged, the cost of
repair or replacement shall be made by the applicant stated in this
agreement before the deposit is refunded.
Date 7-6 -�F,9
Signature
Deposit Check #
Deposit Amount Returned By
Date
See other side for instructions on picking up and returning equipment
borrowed.