PRE 2010 DOCSDate: -
r� az Builder
Address Address
N? '7113
LOCATION -1 -OF BUILDING
No. StreetP I:ot
10
Lot _ Block Addition or Sub-�Div`iissieo�n C.°'��%
Corner Lot _ Inside Lot _ _ Setback —--__ _ Sideyard B
Sewer Elevation Elevation
$° V" of F-0 ® i e iV to
DESCRIPTION OF BUILDING
To Used
' Front Depth a Height Sq. Ft.� Cu. Ft
Front Depth Height Sq. Ft. cu. Ft
Type of ct%n 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 compliance with all provisions of
ordinaaca�s of the city of Fridley.
In consideration of the payment of a fee 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
within the city limits and this permit may be revoked at any time upon violation of any of the provisions of said
ordinances. � A .� " 1
Building Inspector
NOTICE:
ids permit does not cover the construction, instsWen for waft, phanblog, gaa heating, waver or water. Be sure to as
the Building hu pester for soporate permits for those Items.
E.
H. BRADLEY
Act,
CIVIL ENGINEER AND SURVEYOR
3828-24TH AVENUE SOUTH
MINNEAPOLIS. MINN.,.
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City of Fridley
Application for Plumbing and Gas Fitting Permit
DESCRIPTION OF WORK
Number, Kind and Location of Fixtures
pp
0.
N
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_
Number Fixtures ......................
_
Zo��(a
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Zi
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WATER HTR.
GAS
ELEC.
x
2.00
$ a
New Ground Run Old Bldg. ............
x
3.25
F
LL
NO.
LL G
y�
(� <
:i 6
0 O
x
$1.50
$
Additional Fixtures ....................
x
.50
$
Gas Range to 200,000 BTU ..............
x
2.00
$
Base
1st
2nd
3rd
4th
• ruluae Connection Openings
Connected with
I
Sewer
e New Fixture, Old Openings
Cesspool
PARTIAL RATE SCHEDULE
PLUMBING FIXTURE RATES:
0.
RATE TOTAL
Number Fixtures ......................
G 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
$ a
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 $
Dept. of Bldgs.. Phone SII 4-7470
Location
City of Fridley:
The undersigned hereby makes application for a permit for the work herei
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.
/ Fridley, Minn 2 9 1964 19_
Owner Z e �D °
Kind of Building
Used as D a/
To be completed about /, G /
Estimated Cost, $ �j j
Ol Ne . uilding Permit No / < 43 Permit No.
Signe W DON PLUMBING GQ._
Business Phone No
ROUGH < `
FINAL
d2 2M
SUBJECT
P N0.
City of Fridley
18520
AT THE TOP OF THE TWINS
BUILDING
PERMIT
' '
RE
• ___ COMMUNITY DEVELOPMENT DIV.
r � PROTECTIVE INSPECTION SEC.
�
o%
1 �
=
1 '•1 CITY HALL FRIDLEY 55432
NUMBER
REV.
DATE
PAGE OF
APPROVED BY
612-571-3450
910415
6/26/86
JOB ADDRESS
8001 Riverview Terrace N.E.
1 LEGAL
LOT NO.
BLOCK
TRACT OR ADDITION
SEE ATTACHED
DESCR.
19,20
V
Riverview Heights
SHEET
2 PROPERTY OWNER MAIL ADDRESS
ZIP PHONE
Ro er Ho ren 8001 Riverview Terrace 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
9 CHANGE OF USE FROM TO
STIPULATIONS
Roo can be the 2nd layer but not the 3rd.
Install
rid ed galvanized valleys.
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
WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT
$500
$• 50
DOES NOT PRESUME TO GIVE AU ORITY TO VIOLATE OR CANCEL THE
PERMIT FEE
SAC CHARGE
PROVISIONS OF ANY OTHER ST E R LOCAL LAW REGULATING CON-
STR TI N OR THE P RFORM C F CONSTRUCTIO
$15.00
PLAN CHECK FEE
TOTALFEE
$15.50
SIG URE OF CONTRACTOR OR AUTHQ9ZED AGENT (DATE)
WHEN PROPERLY V L D TED T SIS YOUR PERM T
WSP
q E
SIGNATURE OF OWNER IIF OWNER BUILDERI IDATEI-BLDG
NEW L ]
City of Fridley Effective 4/1/86
ADDN. [ ] FR -1 AND R-2
ALTER. I ] Building Permit Application
Construction Address:.
Legal Description:_,
Owner Name & Address:
Contractor:
Address:
-- /r/ 64 e Y V r e ev
1//
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. ��p-•
GARAGE AREA: Length Width Height Sq. Ft.
DECK AREA: Length _____ Width Hgt/Ground Sq. Ft.
OTHER:
Corner Lot [ ] Inside Lot [ ] Ft. Yd. Setback Side Yard Setback
Type of Construction: ®O " �i�, � � Estimated Cost: $ �®0-
Approx. Completion Date:
Alt. A Alt B
Proposed Driveway Width If New Opening Is Desired: See Back Page for Explanation
DATE: APPLICANT Tel. # ZP'X-✓/
CITY USE ONLY
Permit Fee $ /� o O Fee Schedule on Reverse Side
Plan Check $ 25% of Building Permit Fee
State Surcharge $ $.50/$1,000 Valuation
SAC Charge $ $475 per SAC Unit
Park Fee $ Fee Determined by Engineering
Sewer Main Charge $
Agreement Necessary [ ] Not Necessary [ ]
TOTAL $ 's - ! o
STIPULATIONS:
Building
BUILDING
Permit No.: ' -7-0 �
Inspections
RESIDENTIAL APPLICATION
Received By:
763-572-3604
Dat Q A2007
CITY OF FRIDLEY
:AAR.
DATE �IIO�
YOUR E-MAIL ADDRESS
SITE ADDRESS 'S 60 y
W\VQIf V few �f
THIS APPLICANT IS:
ORLOWNER ❑CONTRACTOR
PROPERTY OWNER/
NAME: _)1? Q- LV4 1 �G�C�/1SYVl� 1
TENANT
ADDRESS: ZOO, Z�\X" l'eil"J k-iuf CITY 6e�A
STATE-IgIP_`.� 0'1
PHONE:
CONTRACTOR
NAME:
STATE LICENSE # EXP DATE
SUBMrF A COPY OF
YOUR STATE LICENSE
ADDRESS: CITY
STATE ZIP
WITH APPLICATION
PHONE FAX
PROPERTY TYPE
❑ SINGLE FAMILY/NEW CONSTRUCTION SIZE
❑ TWO FAMILY/NEW CONSTRUCTION STORIES
PERMIT TYPE
❑ ADDITION ❑ GARAGE/SHED ❑ WINDOWS
❑ BASEMENT FINISH 69 -ROOF ❑ DRAIN TILE
❑ DECK ❑ SIDING ❑ OTHER
❑ SWIMMING POOL -
TYPE OF WORK:
W ❑ ADDITION
❑ MAINTENANCE/REPAIR ❑ REMODELING
DESCRIBE WORK BEING DONE:
SIZE OF IMPROVEMENT LENGTH WIDTH
HEIGHT Sq. Ft.
ROOFING
❑ HOUSE ONLY
NUMBER OF SQUARES_
6:94IOUSE & GARAGE
BASEMENT REMODELING SUBMIT:
GARAGES
C544TPACHED GARAGE
1.
Existing Floor Plan
PROPOSED SIZE:
❑ DETACHED GARAGE
2•
3.
Proposed floor plan
List of structural members to be used
PROPOSED HEIGHT:
SIDING
FOR NEW CONSTRUCTION INCLUDING DECKS,
❑ Vinyl
❑Soffit
ADDITIONS. & PORCHES SUBMIT:
❑ Aluminum
❑ Trim
I.
Site Plan/Survey showing the existing structures
❑ Other .
❑ Fascia
and proposed project.
WINDOWS
2.
Two sets of construction plans
IN EXISTING OPENINGS ❑Yes ❑No LOCATION OF WINDOWS
3.
Energy Calculations
OR FOR NEW OPENINGS -DESCRIBE SIZE OF
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
Plan Review
Fire Surcharge
Surcharge
License Surcharge
SAC Charge
Curb Cut Escrow
Erosion Control
Park Fee
Sewer Main Charge
Total Due
$ 2-3. A5'
$ p �!
$
See Back Page for Fee Schedule
65% of Building Permit Fee
.001 times the total job valuation
.0005 x Permit Valuation Minimum $.50
$5.00 (State Licensed Residential Contractors)
$1675 per SAC Unit (Plans to MWCC for determination)
ft+6ft= ftx$21=$
$450 Conservation Plan Review
Fee Determined by Engineering
Agreement necessary ( ) Non Necessary ( )
Make checWpayable to: City of Fridley Attach Stipulat
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