PRE 2010 DOCSCity of Fridley, Minn.
BUILDING PERMIT
N° 5896
Address
' L ANTI N F BUILDING
NO.. � .�---- Street ___. Dart gfpLot . ! -
Lot ._.__ Block `- A on or Sub-
'
Divio
Corner Lot Inside Lot',' Setback -- — Sideyard 4_-___ -
Sewer Elevation _ Foundation Elevation
DESCRIPTION OF BUILDING
T e 'Used .r'At Agt�j
Front Depth Height Sq. Ft. Ft.
VFront Depth _ Hei"g'ht Sq. Ft. - Cu. Ft.
Type of Instruction Est Cost' 8*%.j "_' 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
ordinances 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 bis 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.
Building Inspector
NOTICE:
This permit does not cover the construction, installation for wiring, plumbing, gas heating, tower or water. Be sun to sae
the Building Inspector for separate permits for these Items.
APPLICATION FOR BUILDING PMUaT
CITY OF FRIDLEY, IOTA
Owner's Name Builder
Address Address
LOCATION OF BUILDING
No. Street �7 rl Part of Lot
Lot Block Addition or Subdivision=
Corner Lot „Inside Lot Setback .2 / Side -Yard �®
SEWER ELEVATION FOUNDATION ELEVATION
Applicant attach to this form Certificate of Survey of Lot and proposed building
location.
To be used as:
DESCRIPTION OF BUILDING
44z/
V Sq. Ft. Cu. Ft.
/ Front / Depth 2/ Height e c
Sq. Ft. Cu. Ft.
Type of Construction :� 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 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. -Y 1!1--� DATE /r `114 �/ SIGNATURE � - ----- - - - -
(A Schedule of Fee Costs can be found on the Reverse Side.)
!J
Application for Power Plants and Healing. Coding, Ventilation, Refrigeration and
Air Conditioning Systems and Devices
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 $ 8.00
each add. 60,000 BTU ....................... 2.00 $
Replacement of Furnace ............................. 5.00 $
Repairs & Alterations—up to $500.00 ................. 5.00 $
Repairs & Alterations each add. $500.00 ....... :...... 2.50 $
STEAM or HOT WATER SYSTEM .
NO RATE TOTAL
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 $ 5.00
GAS FITTING FEES:
NO RATE TOTAL
1.50
1st 3 Fixtures ......................
x $1.50
$
Additional Fixtures .................
x .50
$
Gas Range to 200,000 BTU ...........
x 2.00
$
AIR CONDITIONING
$
FAN HEATING SYSTEM
See Fee Schedule
VENTILATING SYSTEM
$
ALTERATIONS & REPAIRS
TOTAL FEE
$ 14.50
BOUGH R-1 Plan on Pile
FINAL
Dept. of Bldgs. Phone SII 4-7470
Locating 183 - 63rd Way N. E.
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.
Fridley, Minn_ 6-11 1962
Owner Paul Sebwa.rtys, Construction Co.
Kind of Building —
Used as Ree.
To be completed about 7-11-62
Estimated Cost, $ 450.00
Old—New. Building Permit No.Permit No. C
DESCRIPTION OF WORK
HEATING or POWER PLANTS—Steam, Hot Water, Warm Air—No
Trade Name Westinghouse Size No GUE-100
Capacity Sq. Ft. E.D.R BTU 100 M H.P.
Total 'Connected Load 459631 Kind of Fuel Gas
BURNER — Trade Name Size No
Capacity Sq. Ft. E.D.R BTU H.F.
(REMARKS -OVER)
Signet FRED VOGT & Co.
By HEATING A AIR CONDITIONING
6.530 West Lake St. . WE. 9-6767
4Z zM -59 Business Phon$l.11duls Park, ........ - a
52-84-9915.51
City of Fridley
Application for Plumbing and Gas Fitting Permit
Dept. of Bldgs. Phone 560-3450
DESCRIPTION OF WORK 183 N E 63rd Way
Number, Kind and Location of Fixtures Location
40
C_
�^
Zrz
Q N
jai 88Z
w
Ox
J
W
U'
a
z
•
F
S
N
WATER HTR.
GAS
ELEC.
<aZ
�p
cs
Base
Install
Ga
ye
1st
2nd
3rd
4th
• Future Connection Openings
Connected wfth
I
Sewer �
New Fixture, Old Openings
Cesspool El
PARTIAL RATE SCHEDULE
PLUMBING FIXTURE RATES:
Number Fixtures ......................
Future Fixture Opening ................
New Fixture Old Opening ..............
Catch Basin ... . .....................
Water Heater (Up to 200,000 BTT) ......
New Ground Run Old Bldg . ............
NO. RATE TOTAL
x $1.50 $
x 1.20 $
— x 1.00 $
— x 3.25 $
— x 2.00 $
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 $
Gas Dryer 1
REPAIRS & ALTERATIONS—Refer to Code
Description .......................................... ......$�.—
TOTAL FEE $
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 8-16-67 19—
Owner Wm Metza
Kind of Building frame
Used as
To be completed about
Estimated Cost,
Old—New. Build
ROUGH
FINAL
8-21-6
nusiness rnune
suB.lEcr
PER_
City of Fridley
WRECKING
® i4
AT THE TOP OF THE TWINS
PERMIT
RECEIPT NO.
�
`L COMMUNITY DEVELOPMENT DIV.
r PROTECTIVE INSPECTION SEC.
/
1 = ,
CITY HALL FRIDLEY 55432
NUMBER
REV.
DATE
PAGE OF
APPROVED BY
612-560-3450
910-F15
6/9/78
JOB ADDRESS 183 - 63rd Way N. E.
1 LEGAL
LOT NO.
BLOCK
TRACT OR ADDITION SEE ATTACHED
DESCR.
12
2 1
Eva Erickson River Manor SHEET
2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE
William Metza 183 - 63rd Way N.E. 560-6035
3 CONTRACTOR MAILADDRESS ZIP PHONE LICENSE NO.
Same
4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO.
5 ENGINEER MAILADDRESS ZIP PHONE LICENSE NO.
6 USE OF BUILDING
Garage
7 CLASS OF WORK
❑ NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE CX REMOVE
6 DESCRIBE WORK
Wreck 14' x 20' Garage
9 CHANGE OF USE FROM TO
STIPULATIONS
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
1
1 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
NONE
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-
$10.00
STRUCTION OR THE PERFORMANCE OF CONSTRUCTION.
PLAN CHECK FEE
TOTAL FEE
$10.00
SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT (DATE)
RO
WREN PERLY VALIDATED THIS IS YOUR PERMIT
6-9-7F
ar► I -9 -Ica
BLDG. INSP DATE
SIGNATURE OF OWNER IIF OWNER BU DERI (DATE)
City of Fridley
8uOdEcr
Permit No.
AT THE TOP Of? THE TWING
r a
WRECKING PERMIT APPLICATION
Receipt No.
------- COMMUNITY DEVELOPMENT 01Y,
r
FROTECTIVE MkCTION Q%FT,
CITY HALL FRIMY DG4Z,; Z
0I5 -f30 -344`3®
MI Et
REV.
J
PATE
211517-3
IPAGE1Al
1
FZOVEC BY
Job ,address / 0 p3 _ 2D , 1Q r
63 (�f%
Legal
LotNo.
Block No.
Tract or Addition
Desc.
l �
,,
Property Own e - -
Addre s Phone
r� �.
GSC,
3 -&3 /U �100-603S
Contractor
Address Phone
Description
FroA
Depth
Height
Sq. Ft.
Cu. Ft.
of Bldg.
/ 5z
-12-0
1
/d
No. of Dwelling Units
Taxes Paid
Tax Receipt No.
Estimated Cost of Wrecking
]KoBe
Completed
Utilities Notified: State whether notified and date .
Minneapolis Gas Company
/J`
Engineering Department
! "
372-4850
Northern States Power Company
Customer Business Office
330-5540
Northwestern Bell Telephone Co.
j Q
Business Office
332-4112
Approved By Water & Sewer Department:
All Bills Are Paid
Services Are Disconnected
The undersigned hereby makes application for a permit to wreck the building
described above, agreeing to do all work in strict accordance with the City
Ordinances and rulings of the Department of Buildings, and hereby declares that
;all facts and representations stated
in this application are true and correct.
` 1 00
No P
Contractor
G- - ZZ"
Date
SUBJECT
P NUT NO.
City of Fridley
147
THE TOP OF THE TWINS
PERMIT
`AT
i �
BUILDING
REC
• COMMUNITY DEVELOPMENTDIV.
r � PROTECTIVE INSPECTION SEC.
yy��
�
/V
1 = �
CITY HALL FRIDLEY 55432
,•J
NUMBER
REV.
DATE
PAGE OF
APPROVED BY
"'�' 612-660-3450
910-F15
6/26/78
JOB ADDRESS 183 - 63rd Way N.E.
1 LEGAL
LOT NO.
BLOCK
TRACT OR ADDITION SEE ATTACHED
DESCR.
12
2
Eva Erickson River Manor SHEET
2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE
Metza William
3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO.
Lumber King 5145 Oliver Avenue South 926-2656
4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO.
5 ENGINEER MAILADDRESS ZIP PHONE LICENSE NO.
6 USE OF BUILDING
Residential
7 CLASS OF WORK
Cj NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE
8 DESCRIBE WORK
Construct a 30' x 24' Garage
9 CHANGE OF USE FROM TO
STIPULATIONS
Provide a hard surface jWiYAIjf driveway. Provide garage section
through before issuing.
REQUIRED FOR y�iRR�. ,.. •�
PERM ITS �
SEP SIGNS. WARNING
�181NG AND
.0Before di81i0 c0f ij{."•.ii afififiel
HEA
.
TELEPHONE:* "ci ` 'i. - GAS'Etc.
REQUIRED BY LAW
SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING,
TYPE OF CONST.
OCCUPANCY GROUP
OCCUPANCY LOAD
VENTILATING OR AIR CONDITIONING.
Wood Frane
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
720
7200
OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT
R-1
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
2.60
WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT
$5,212
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-
NONE
STRUC, NOR THE OF CO STRUCTION.
$28.80
PE�RFE
PLAN CHECK FEE
TOTALFEE
A 4"7
$31.40
SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT (DATE)
HEN PROPE LY VALIDATE THIS IS YOUR PERMIT
9
-
BLDG -IN SP DATE
SIGNATURE OF OWNER IIF OWNER BUILDER) (DATE)
Z;ddUR:
APPI_ICAT I(A FO,' (,E-SAII)[:NT IAL - nL!3I_ )al:G PLIiIy1I T")
l�I-'AT I ON, l m -r I GId;> OR RtiE- FA I ISS )
s'
_.. _._
Address: 5I UlI tri r lzlv e 10
Tel. No .
Street:` ( 3
• LOT: _ BLOCK: � _ J1DD1`t'ION : 4CVel _ EP)� Rdve r � ldsi o fr
COMER LOT IIISIDE LOT: SIM"PXK: SIL}BY41tDS:
Appl.icaht attach to this f0 m,, `lVo Cc-tificate` of Survey_ of Lot and pror.,Jsed
building location drawn on these Gcrtificat.c:s. Y
DESCRIPTION OF BUILDING
To Be Used As:
3 ® Front: 7 Dopth: 8
Square Feet: %oL® Cubic Feet.
front: Depth.: _._ Height:
Square Feet: o Cubic Feet:
Type of Construction: & d vK e Estimated Cost: $
To Be Completed: ,jam ✓keI %e SJ2/L . 86
Alt. A Alt. B
Fr6posed Driveway Wida, If New Opening Is Desired $ $
(SEE YEVERSE SIDE OF SHEET)
The undersigned liereby ma;; -es application for a permit for the work herein
specified, agreeing to do all worx in strict accordance with the City of
Fridley Ordinances and rulings•o£ the Dcoartment of Euildings, and hereby
declares that all the facts and representations stated in this application
are true and correct. See reverse s ide,,J�or additional iij�nation.
DATE: �- ' i SIGNATURE': P 0
Stipulations:
r �
j (�
•^'�'�j( lJ✓
. � 000� 4.-
a8.8o
r. ��'3
:3 urv-e7
iriai es
FRA.I'C-K AVE Sou"
pa" Co. M 1 N 4 E 0. P O 1. 1 4 2 O. miumaso A
2100
HARRY S. JOHNSON
ROBERT 2. MERED'TH
iRl?
LO
'4 /v
A 5'r MEN
a tAmp- Cu2CJ co4., c� a so.ue.4f o� tJte-
() /) F q ) k, Aota
q q
r"; 9 c N.
6
b14 IrIF lth-4'4� da� o� Xi:: -
q
/ 'No
Vo
SUBJECT
PERMIT NO.
City of Fridley
25081
AT THE TOP OF THE TWINS
BUILDING PERMIT
r
RECEIPT NO.
1 • COMMUNITY DEVELOPMENT DIV.
r PROTECTIVE INSPECTION SEC.
i � 1
NUMBER
REV
DATE
PAGE OF
APPROVED By
CITY HALL FRIDLEY 55432
612-571-3450
910-F15
5/21/97
JOB ADDRESS 183 63 Way NE
1 LEGAL
LOT NO.
BLOCK
TRACTOR ADDITION
SEE ATTACHED
DESCR.
12
2
Eva Erickson River IUEM Manor SHEET
I
2 PROPERTY OWNER MAIL ADDRESS
ZIP PHONE
Robert Polka 183 63 Way NE
586-9776
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
�J NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE
8 DESCRIBE WORK
Construct a 26' x 12' Deck
9 CHANGE OF USE FROM
TO
STIPULATIONS
See notations on plan.
WARNING
88M digging Call for
all utility locations
454-0002
REQUIRED BY LAW
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
1
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
$1.02
WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT
$2,048
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$74.75 OR THE PERFORMANCE OF CONSTRUCTION
PLAN CHECK FEE TAL FEE
_.�j 1--'_2
7$77.82
SIGN OF CO A OR AUTHORIZED AGENT (DATEI
CNM11O D THIS I$ R PERMIT
(-�
BLD INSP DATE
Ij ArLJRV0S."k'I5F OWNER,IF OWNER BUILDER) IDATEI
NEW ( ]
ADDN CITY OF FRIDLEY
ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2
BUILDING PERMIT APPLICATION
ConstructionAddress: /7 -3
Legal Description:
Owner Name & Address:
, Contractor: A,6,ijo /-;"
Address:
LIVING AREA:
GARAGE AREA:
DECK AREA:
OTHER:
.f
Effective 1/l/97
Tel. #.59,6 –!Z7,7
MN LICENSE #
Tel. #
Attach to'this application!a Certificate of Survey of the
lot, with the proposed construction drawn on it to scale.
DESCRIPTION OF Il"ROVE LENT
Length Width Height Sq. Ft.
Length Width Height Sq. Ft.
Length Width Q Hgt/Ground Z Sq. Ft.
x
Construction Type: .y. Ae- Estimated Cost: $
(Fee Schedule on Back)
Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ _ $ r
DATE: 5� �7 APPLICANT: � Tel. #
Permit Fee
Fire Surcharge
State Surcharge
SAC Charge
License Surcharge
Driveway Escrow
Erosion Control
Park Fee
Sewer Main Charge
TOTAL
STIPULATIONS:
$ �--�
$ 2 Oi-
CITY USE ONLY
Fee Schedule on Reverse Side
.001 of Permit Valuation (1/10th%)
$.50/$1,000 Valuation
$950 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 [ ]
(AeA�E
a4
-� -z�et' --i
VeOc
JFr 4
3 6r
����1/j� /"n. ssv3z
The Home Depot #2802, 5650 MAIN ST., N.E.,
Mon bray 19 22:28:36 i:;97
FRIDLEY, MN 55432, (
�l\
i
s
u
SUBJECT
PIT NO.
City of Fridley
29630
AT THE TOP OF THE TWINS
BUILDING PERMIT
r
NO.
�
• _ COMMUNITY DEVELOPMENT DIV.
SEC.
r PROTECTIVE INSPECTION
13433
11,
6 A ; 'P --- CITY HALL FRIDLEY 55432
A
NUMBER
DATE
PAGE Of
APPROVED BY
L --_.
612-571-3450
910415
7716/7/99
JOB ADDRESS 183 63rd Way NE
1 LEGAL
LOT NO.
BLOCK
TRACT OR ADDITION
SEE ATTACHED
DESCR.
12
2
1 Eva Erickson River Manor
SHEET
2 PROPERTY OWNER MAIL ADDRESS ZIP
PHONE
Rob Polka
3 CONTRACTOR MAIL ADDRESS ZIP
PHONE LICENSE NO
Affordable Family Homes Inc. 12301 Central Ave NE Blaine 55434 754-2202 1690
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 8x REPAIR
❑ MOVE ❑ REMOVE
B DESCRIBE WORK
Reroof house and garage ( SO Tear -off
9 CHANGE OF USE FROM / TO
STIPULATIONS
Underlayment must comply with the State Building Code.
SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING,
TYPE OF CONST.
OCCUPANCY GROUP
OCCUPANCYLOAD
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
1 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
1748
.87
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-
STRUCTIO OR THE P FORMANCE OF CONSTRUCTION
$63.15
1 .75
PLAN CHECK FEE
TOTA EE
fo 7- j g
-77
SSG A uR OF N' RORAUTHORiZE GENT ]DATE,
ENP OP VA IDA D HIS IS Y UR PER
BLO SNS.
i
DAtE
SIGNATURE OF OWNE R, IF OWNER BUILOERi iDATE,
NEW[ ] Effective 5/10/99
ADDN [ ] CITY OF FRIDLEY
ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2
BUILDING PERMIT APPLICATION
t.:
Construction Address:—M 6 ) P U
Legal Description:
Owner Name & Address: Yot. Tel. #
Contractor: ��(z� � Q� yYIQ S ine, MN LICENSE #_I 629 (a, r
Address: t a 3 v C QuP -n & -7 Sq -3y Tel. # 434- J�`t % 5
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: V -Q -w-
Construction Type: & ko6D F Estimated Cost: $ / 9718
Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $.
DATE: - - 9 % APPLICANT: Tel. # 384) -01q"T
Permit Fee $�,3, IS -
Fire Surcharge
$ S
State Surcharge
$
SAC Charge
$
License Surcharge
_
$ _ O�
Driveway Escrow
$
Erosion Control
$
Park Fee
$
Sewer Main Charge $
TOTAL $ qO• =
STIPULATIONS:
CITY USE ONLY
Fee Schedule on Reverse Side
.001 of Permit Valuation (1/10th%)
$.50/$1,000 Valuation
$1050 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 [ ]
'ate
CITY OF FRIDLEY INSPECTION DIVISION
6431 University Ave NE
Fridley, MN 55432
572-3604
RATE SCHEDULE
Residential
APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION,
REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES
Furnace Shell and Duct Work, Bumer —
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
Rate
$ 30.00
$10.00
$10.00
$10.00
$ 25.00
State Surcharge
TOTAL FEE
Effective On January 1, 1999
JOB ADDRESS a 2
The undersigned hereby makes application for a permit for the work herein
TOTAL specified agreeing to do all work in strict accordance with the City Codes and
rulings of the Building Division, and hereby declares that all the facts and
$ representations stated in this applicatio ar rue and Forrect.
d ,199q
$ .50
MINIMUM FEE FOR ANY HEATING/COOUNGNENTILATIONhC-) . Z�
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.
BUILDING USED AS
ESTIMATED COST PERMIT NO. 13 '
DESCRIPTION OF FURNACE AND OR BURNER
No. of Heating Units Circle One (Steam) (Hot Water) �Alr)
Trade Name 11131C0_)r__ Size No.
BTU e3 HP EDR
Fuel Total Connected Load
Bumer Trade Name Size No.
BTU HP EDR
KRAEMER HEATING INC
HEATING COMPANY 7441 DALLAS COURT
MAPLE GROVE, x'311
Signed el No. (612) 420-5871 ,
Approved BA Rough—In Date Final Date Z
CS o A
1CK SIDE FOR ST CK VERIFICATION ON REPLACEMENT FURNACE
CEM INEY 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 () No ( )
3. Has no foreign objects lodged within Yes () No ( )
4. Is securely supported Yes () No ( )
5. Meets all current Code requirements for size
and total BTU's connected Yes () No ( )
6 Has total heating BTU's of
All other BTU's
TOTAL BTU's 7�
7. Has a liner been provided for water heater Yes () No ( )
8. Has combustion air been provided for water heater YeSK) No ( )
Remarks: P,ap —
LlsiH��L\//1�//��JKA 11V1V nem Lone:
15 —:�) �� T7,�L,
ms`s cA- Aq2J r �1;��
HEATING CO:
Signed By:
Date:
KRAEMER HEATING INC.
7441 DALLAS COURT
MAPLE GROVE SAN 55311
371
SUBJECT
PE
City of Fridley
3e 26
AT THE TOP OF THE TWINS
BUILDING PERMIT
RECEIPT NO.
COMMUNITY DEVELOPMENT DIY.
{��
r PROTECTIVE INSPECTION SEC.'4(1
d!/ .(/�
�
......I CITY HALL FRIDLEY 55432
NUMBER
REV
DATE
PAGE OF
APPROVED BY
L 612-571-3450
910-F15
7/31/00
JOB ADDRESS 183 63rd Way NE
1 LEGAL
L07 NO.
BLOCK
TRACT OR ADDITION
SEE ATTACHED
DESCR.
12
2 1
Eva Erickson River 1%1anor
SHEET
2 PROPERTY OWNER MAIL ADDRESS ZIP
PHONE
Robert Polka 183 63rd Way NE
586-9776
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
8 USE OF BUILDING
Residential
7 CLASS OF WORK
❑ NEW ❑ ADDITION ❑ ALTERATION )7 REPAIR
❑ MOVE ❑ REMOVE
8 DESCRIBE WORK
Window Replacement .
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.
SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING,
TYPE OF CONST
OCCUPANCY GROUP
OCCUPANCYLOAD
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
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
$1 20000
$•6O
WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT
W
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-
$44.85
Fire SC $1.20
STRUCTION OR THE PERFORMANCE C STRUCTION
PLAN CHECK FEE
TOTAL EE
$ 6.65
S,GNAT E O UTHORiZEDAGENT tDATE,
EN ROPE V AL1DA
D HIS IS YOUR PERMIT
URE 0 F OWNER BUILDERS iDATEi
BLD IN
�IAtE
NEW
ADDN
ALTER
Construction
CITY OF FRIDLEY
SINGLE FAMILY AND DUPLEXES R-1 AND R-2
BUILDING PERMIT APPLICATION
Effective 1/1/2000
(763) 572-3604 Bldg Insp
a'
V�
Legal Description: 4ZLe
Owner Name & Address: �%� d S �s Tel. # S;'96
Contractor. 'S�e—/�^ 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 %D 4/ Height 5 5 Sq. Ft
GARAGE AREA: Length Width Height Sq. Ft
DECK AREA: Length Width Hgt/Ground Sq. Ft
OTHER:
Construction Type: � 6► Cc1 �'��� Estimated Cost:I /a oO • CD CD
Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ _ $
DATE: �6 APPLICANT: z2/�' 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 $ $.50/$1,000 Valuation
SAC Charge $ $1100 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:
su9�EtT
P NO.
City of Fridley
31913
AT THE TOP OF THE TWINS
BUILDING PERMIT
r? �
RECEIPT NO.
• COMMUNITY DEVELOPMENT DIV.
>r------
572-36
r\
`�I�
r PROTECTIVE INSPECTION SEC.
NUMBER
REv
DATE
PAGE OF
APPROVED BY
CITY HALL FRIDLEY 55432
L 612-571-3450
910-Fl
6/19/01
JOB ADDRESS 183 63 Way NE
1 LEGAL
LOT NO.
BLOCK
TRACT OR ADDITION SEE ATTACHED
DESCR.
12
2
Eva Erickson River Manor SHEET
2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE
Bob Polka 183 63 Way NE 586-9776
3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO
Same
a 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 0 ALTERATION REPAIR 0 MOVE O REMOVE
B DESCRIBE WORK
Replace 6 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
@
75
WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT
$1,500
$ •
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-
$54.00
Fire SC $1.50
STRUCTION OR THE PERFORMANCE O CONSTRUCTION
PLAN CHECK FEE
TOTAL F
$ .25
SIGMA Oc C OR AUTHORIZED AGENT IDATEI
ENP PERL IDATED IS IS YOUR PERMIT
e
s •
FF.L
TURR,,FbWNER BUILDER, IDATE-
DG ASP MATE
NEW []
ADDN []
ALTER
Construction Address:
Effective 1/1/2001
CITY OF FRIDLEY (763) 572-3604 Bldg Insp
SINGLE FAMILY AND DUPLEXES R-1 AND R-2
BUILDING PERMIT APPLICATION
Legal Description: `
Owner Name & Address: �,� �� �fl� �5.� As Awo,Tel. #
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
GARAGE AREA: Length Width Height Sq. Ft.
DECK AREA: Lengths Width Hgt/Ground Sq. Ft.
OTHER: &);), trl &64��
Construction Type: 1/1hJi&1 J � GGJ Estimated Cost: $ /50-69.ff
6c9
Driveway Curb Cut Width Needed: Ft. + 6 Ft = $ _ $
DATE: O APPLICANT: Tel. #
CITY USE ONLY -
Permit Fee
Fire Surcharge
State Surcharge
SAC Charge
License Surcharge
Driveway Escrow
Erosion Control
Park Fee
Sewer Main Charge
TOTAL
STIPULATIONS:
Call (763) 572-3604 for Permit Fees if mailing in application
$�/(>C� Fee Schedule on Reverse Side
$ / S6 .001 of Permit Valuation (1/10th%)
$ 7S' $.50/$1,000 Valuation
$ $1150 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 [ ]
$ f 6, ®2S`
SUBJECT
PE
City of Fraley6_f'996
AT THE TOP OF THE TWINS
B U I L D I N G P E R M I T
V --- ___ COMMUNITY DEVELOPMENT DIV.
-3604-0
RECEIPT NO.
r � PROTECTIVE INSPECTION SEC.
�
1 � �
NUMBER
REV
DATE
PAGE Of
APPROVED BY
CITY HALL FRIDLEY 55432
612-571-3450
910-F15
7/16/01
JOB ADDRESS 183 63 Way NE
1 LEGAL
LOT NO.
BLOCK
TRACT OR ADDITION SEE ATTACHED
DESCR.
12
2
Eva Erickson River Manor SHEET
2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE
Bob Polka 183 63 Way NE 763-586-9776
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
O NEW ❑ ADDITION O ALTERATION [j REPAIR O MOVE O REMOVE
B DESCRIBE WORK
Reside House
9 CHANGE OF USE FROM TO
STIPULATIONS
Per Section 1402, 1997 Uniform Building Code, requires that a weather
resistive barrier be placed over exterior sheathing to protect the interior
wall covering. Exceptions for this provision would be if sheathing is an
approved weatherproof panel or when the siding is an approved weather
barrier. Vinyl siding is not a weatherproof covering unless the manufacturer
states this in their application guidelines. Call for inspection of wrap
before covering.
SEPARATE PERMITS ARE REOUIRED 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
$1,000
WITH WHETHER SPECIFIED HEREIN OR NOT, THE GRANTING OF A PERMIT
.50
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-
$38.75
Fire SC $1.00
STRUCTION OR THE PERFORMANCE OF CONSTRUCTION
PLAN CHECK FEE
TOTALFEE
40.25
CTOR OR AUTNOR4EO AGENT iDnrEt
VALIDAT D THIS I URPERMIT
�U.QEI
e4HENPROP
SP -DAZE
F OWNER BUILDERI iDATEi
NEW [ l Effective 1/1/2001
ADDN [ ] CITY OF FRIDLEY (763) 572-3604 Bldg Insp
ALTER J4_ _ SINGLE FAMILY AND DUPLEXES R-1 AND R-2
BUILDING PERMIT APPLICATION
Construction Address:
Legal Description: /
Owner Name & Address: (mak- FIs ,44o��% Tel. # %6z-S�gG
Contractor: �S�/%� 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.
GARAGE AREA: Length Width Height Sq. Ft
DECK AREA: Length Width Hgt/Ground Sq. Ft.
OTHER:
Construction Type: A std Estimated Cost: $Od 8 •��
Driveway Curb Cut Width Needed: Ft + 6 Ft = Ft x $ -=$
DATE: q6-4 �F� APPLICANT: ®`O� Tel. # li .3
CITY USE ONLY - Call (763) 572-3604 for Permit Fees if mailing in application
Permit Fee
Fire Surcharge
State Surcharge
SAC Charge
License Surcharge
Driveway Escrow
Erosion Control
Park Fee
Sewer Main Charge
TOTAL
STIPULATIONS:
$� %A Fee Schedule on Reverse Side
$ /,00 .001 of Permit Valuation (1/10th%)
$ b?, _ $.50/$1,000 Valuation
$ $1150 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 [ ]