PRE 2010 DOCSCity of Fridley
Application for Plumbing and Gas Fitting Permit
Dept. of Bldgs. Phone SII 4-7470
DESCRIPTION OF WORK
Number, Kind and Location of Fixtures
PARTIAL RATE SCHEDULE
PLUMBING FIXTURE RATES: NO. RATE TOTAL
Number Fixtures ......................
W
$
Future Fixture Opening ................
x
1.20
$
New Fixture Old Opening ..............
UN'
1.00
$
WATER HTR.
cAs
ELEG
y
3ci
m'I-�g
12
�I
a3
�a
3.25
�p
F
N
Base
1st
2nd
OV
3rd
4th
• Future Connection Openings
Connected with
New Fixture, Old Openings
Sewer
Cesspool �
PARTIAL RATE SCHEDULE
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
$
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
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_ 919—
Owner
19Owner 19—
Kind
9Kind of Building���'�. 19—
Used as
To be completed about !f % S
Estimated Cost,
Old—New. Building Permit
Signedff 6��>.N �l� ��'� C'
By
Business Phone No
Connection Permit No . .......................................................
Description................................................$
TOTAL FM ii $ / t ®� 11 IM -8-58
Water
Sewer
Meter Deposit
City of Fridley, Minn.
BUILDING PERMIT
•
Date: JUNE 6 1966
•
n
U
Owner: WALTER LUCKOW
Address 6460 East River Road N.E.
Fridley, Minnesota 55421
Builder SAM
Address
LOCATION OF BUILDING
N? 8872
No. 6460 Street East River Road part of Lot 12
Lot __ Block Addition or Sub -Division Rev. Aud . Sub. #23
Corner Lot _ Inside Lot —X_ Setback of hour. Sideyard R
Sewer Elevation ____ Foundation Elevation
DESCRIPTION OF BUILDING
To be Used as:
DET. GARAGE Front 20 Depth 22 Height 10 Sq. p, 440 Cu., Ft. 4,.400
Front Depth Height Sq. Ft. Cu. Ft.
Type of Construction Frame Est. Cost __ $900.00 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 com ce with ail provisions of
ordinancxs of the city of Fridley.
In consideration of the payment of a fee of 4.00 , permit is hereby granted to WALTER LUCROW
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 location, construction, alteration, maintenance, repair and moving of buildings
within the city limits permit may be revoked at any time upon violation of any of the provisions of said
ordinances.
WILLIAM H. SANDIN Building motor
NOTICES
fhb pormb don sot Qowr the condrustioe, Mdagadou /or wMh& phnabino, on heatino, awar or Mratar. Be ars to on
the BuIM(ng I I air for aposto poraft for than hams.
APPLICATION FOR BUILDING PERMIT
CITY OF FRIDLEY, MINNESOTA
of `
OWNER'S NAM" _ , k / BUILDER
ADDRESS_(_'�' L I I� _ ( ADDRESS T�
LOC ION OF BUILPING
N0, Ci C� STREET ��A?RTSOF LOT 1 1
LOT BLOCK ADDITION OR SUBDIVISION
CORNER LOT INSIDE LOT SETBACKV� w ., SIDE -YARD `l
SEWER ELEVATION FOUNDATION ELEVATION
Applicant attach to this form Two Certificates of Survey of Lot and proposed
building location drawn on these Certificates,
To be used as;
DESCRIPTION OF BUILDING
Front Depth Height
Sq. Ft. �� Cu. Ft. U
Front Depth Height
Sq. Ft. Cu. Ft.
Type of Construction P. Estimated Cost / f
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 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 correct.
DATE �/ �� �- �� SIGNATURE
(Schedule of Fee Costs can be found on the Reverse Side)..
City of Fridley
SUBJECT
?R r6169
AT THE TOP OF THE TWINS
BUILDING PERMIT
r
COMMUNITY DEVELOPMENT DIV.
r L PROTECTIVE INSPECTION SEC.
1 = �
CITY HALL FRIDLEY 55432
,'j 612-560-3450
RECEIPT NO.
NUMBER
910-F15
REV,
DATE
PAGE OF
APPROVED BY
10B ADDRESS
ifill A416 Way W-r-
1 LEGAL
LOT NO.
BLOCK
TRACTOR ADDITION SEE ATTACHED
DESCR.
UD. S 23 SHEET
2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE
WALTER LUCKOW 161 - 64k WAY
3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO.
SAM
4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO.
5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO.
6 USE OF BUILDING
7 CLASS OF WORK
❑ NEW gk ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE
S DESCRIBE WORK
ROOM ADDITION 20 x 24
9 CHANGE OF USE FROM TO .
STIPULATIONS
U►RED FOR ������' WARNING
SEpERpiE p�RMOT� R No SIGNS. Before digging call local utilities
N�AT�N� pLjjMj3jNG A TELEPHONE - ELECTRIC - GAS Etc.
REQUIRED BY LAW
SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING,
TYPE OF CONST.
OCCUPANCY GROUP
OCCUPANCY LOAD
VENTILATING OR AIR CONDITIONING.
FIMM
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION
AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION
ZONING
SQ. FT.
CU. FT.
OR WORK IS SUSPENDED OR ABANDONED FORA PERIOD OF 120 DAYS AT
240
2, ARQ
ANY TIME AFTER WORK IS COMMENCED.
NO. DWLG. UNITS
OFFSTREET PARKING
I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION
STALLS GARAGES
AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS
AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED,
VALUATION
SURTAX
WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT
$5,400
$2.70
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.
$18.93
PLAN CHECK FEE
TOTAL FEE
SIGNATURE OOFFCONTRACTOR O/1RAUTHORIZED AGENT (DATE)
WHEN PROPERLY,,MLI DATED HIS IS YOUR PERMIT
ki �-cms' s^-c��-�a� F -�Z7 '-,7 J""
.+vrA 5-27-75
BLDG. INSP DATE
SIGNATURE OF OWNER IIF OWNER BUILDER) IDATEI
J
:APPLICATION FOR. RI:SI'DL'NTIAL., •ALT.'I tA1'ION,
OR ADDITION.BUILDING PEMIT
CITY OF FRIDLEY, MINNESOTA
OWNER ' S NAriE : -_� ) BUILDER. a
ADDRESS: , I _ �k 4 ADDRESS:
STREET: NO • f �•
LOT: BLOCK: ADDITION:
CORNER'LOT: INSIDE LOT:. SETBACK: SIDEYAB D:
Applicant attach to this fora'T(ao Certificates -if Surve ..of Lot and.proposed
building location (:.awn on these Certificates.
.DESCRIPTION OF.BUILDING
To Be Used As:
cY the oli�Front • Q C) Depth • Height
• Square Feet: SIO Cubic . Feet :
Front: Depth: Height:
Square Feet; Cubic Feet:
Type of Construction: (17 Estimated Cost: —�- ag®d
To Be Completed: Mo,
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 correct.
DATE: - SIGNATURE:_
(See Reverse Side For Additional Information.) '
� r
Ci�� lr'
Application for Plumbing and G= Nff;tag Petwat :. ..... .
Dept, of 131d;%. Phone 5=.450
' �l9CRIFTl0A3 AF �O •Lot.:�L'ota.�� (Gay �'��•�� � o .
16ab►U"' KiDA ana l.6--aMeat ®g
• F'r'fS..�e �iOL:6:'r:: 07C:1.:.�1 1 sewag.El,
Old 0pva:r-*::!r
PARTIAL KATE SCHEDULE.
BLOMBING lY7GTfiRE K1►'iES:
NO. RATE
p
TOTAL .
WATt� wTR.
�•;sq:Q � .. � vl����=i �
O�.in
�
•�
o<
$
2
6
0
' Fvtu-e Fixture Opening . • • • • • • • • •.•
5 3
New Fixtu-e Old Operirg..........
--= x S1.50
S
Catch Basin ....................
--x53.25
Vr atcr iiever 'Up to 993.000 BTU) • - - - ---+—
x 5x.00
S
n Old Bldg.. ...:_._---
- .;e.+ Ground Ru : .
x $3.�_S
L*Ctelz &t&r Eisele:........... •
�� 7' $2•w^^
pS
S
GAS V%TTWC FRSs
NO. RATE
TOTAL
Ist3Fixtures ......•••••••"'•'
xS2.00
.
_
x S .75
3
-
.Adt:t:onal Fixtures. ... .......... ..
Gas P...--Ze to 159.053 BTU ........... -----
x $5.00
-S
zr' i
3:d' 1
• F'r'fS..�e �iOL:6:'r:: 07C:1.:.�1 1 sewag.El,
Old 0pva:r-*::!r
PARTIAL KATE SCHEDULE.
BLOMBING lY7GTfiRE K1►'iES:
NO. RATE
TOTAL .
y
x $zoo
$
Number Fixtures ................. _
' Fvtu-e Fixture Opening . • • • • • • • • •.•
New Fixtu-e Old Operirg..........
--= x S1.50
S
Catch Basin ....................
--x53.25
Vr atcr iiever 'Up to 993.000 BTU) • - - - ---+—
x 5x.00
S
n Old Bldg.. ...:_._---
- .;e.+ Ground Ru : .
x $3.�_S
L*Ctelz &t&r Eisele:........... •
�� 7' $2•w^^
pS
S
GAS V%TTWC FRSs
NO. RATE
TOTAL
Ist3Fixtures ......•••••••"'•'
xS2.00
.
_
x S .75
3
-
.Adt:t:onal Fixtures. ... .......... ..
Gas P...--Ze to 159.053 BTU ........... -----
x $5.00
-S
City of Fzidlcy:
The undersi,-ned hereby rr-,Ices application for a perm t for t.�se• -e:k h
specified, a:jreelrrg to do all %cc -k in st::ct accordarce with the C:5 C~•'::.:'
and Ailing of the Depa:.ment cf Eu' d.'n ,and hereby declares L'zt alI L':e.f:
and representations stated L-1 this zp;.1:ca,:= are true zad correct
Fridley, Dian ' 19..
Owner
Kind of Building
Used as r J
To be completed about
Estimatsd Cost, S
C_�''ew. Building Permit Igo.P.:aii
Signed
By
B."Inc= Ph une 10
ROUGH
REpJ►=RS a �L•'!'ieltA:!®Ns— •R�o
.50 State•Surcharge
C"&
........... - ,
��� From The Desk Of MEMORANDUM RV 93
0 RICHARD N. SOBIECH
PUBLIC WORKS DIRECTOR
DATE: 4/11/78 TO REPLY DUE
SUBJECT: Ralph4 /.L8 / 7 8 '
Blockage of Storm Sewer at
161 642 Wa • Mr. Luckow
Bob Barnette indicated he received a call from Mr. Luckow who said that
the storm sewer adjacent to our in the rear yard of this residence wasn't
functioning. Please review 8 solve the problem. Thanks for.your
help.
DS/j
April 12, 1978
I have reviewed the situation, and it looks as if the storm drain is clear.
I assume that when the person talked with Mr. Barnette, possibly the storm
drain had ice in it, causing the blockage. It is OK now.
We will keep a check on the situation.
RV: ik
,l
w�
SUBJECT
PERM e
City of Fridley
" y 18537
AT THE TOP OF THE TWINS
BUILDING
PERMIT
r
RECEIPT NO.
qv COMMUNITY DEVELOPMENT DIV.
y�
r i PROTECTIVE INSPECTION SEC.
1 �
i CITY HALL FRIDLEY 55432
NUMBER
REV.
DATE
PAGE OF
APPROVED BY
L 612-571-3450
910-F15
7/15/86
JOB ADDRESS 161 - Ws Way N.E.
1 LEGAL
LOT NO. BLOCK
TRACTOR ADDITION
SEE ATTACHED
DESCR.
Parcel 20 O
Aud. Sub. #23 Revised
SHEET
2 PROPERTY OWNER MAIL ADDRESS
ZIP PHONE
Walt Luckow 161 - 64xi Way N.E.
3 CONTRACTOR MAIL ADDRESS
ZIP PHONE LICENSE NO.
Richard Hastings Contr. 6331 Riverview Terrace N.E.
574-9966
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 IR ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE
8 DESCRIBE WORK
Reroof Dwelling
9 CHANGEOFUSEFROM TO
STIPULATIONS
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
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
$.50
WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT
$1,000
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.
$17.50
/��
PLAN CHECK FEE
TOTALFEE
V94z /°'z 741S 1,P6
$18.00
SIGNATURE OF CONTRACTOR OR AU604ORIZED AGENT IOATEI
WHEN PROPERLY
ALIDATED THIS IS YOUR PERMIT
BLDG INSP
AT/ -4
SIGNATURE OF OWNER OF OWNER BUILDERI IDATEI
NEW
ADDN.
[ ]
[ ]
City of Fridley Effective 4/1/86
�R-1 AND R-2
ALTER.
[ ]
Building Permit Application
Construction Address: �� `'�
Legal Description: 'NxcisL
Owner Name & Address: _a=y A Tel . #
�b t4A Tel. #
5 2 S "2�
Contractor: • t A
0
Address: '533% --
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:
Corner Lot [ ] Inside
[ ] Ft. Yd. Setback
__
Side Yard
Setback
Type of Construction:
Approx. Completion Date:
,!Lot
1� G f oo F
Estimated
Cost: $
/Ooo ' o
% 30
Alt. A Alt B
Proposed Driveway Width If New Opening Is Desired: See Back Page for Explanation
DATE: �� d APPLICANT: (� ,v - Tel.
Permit Fee
Plan Check
State Surcharge
SAC Charge
Park Fee
Sewer Main Charge
TOTAL
STIPULATIONS:
CITY USE ONLY
FeeSchedule on Reverse Side
25$ of Building Permit Fee
$.50/$1,000 Valuation
$475 per SAC Unit
Fee Determined by Engineering
Agreement Necessary [ ] Not Necessary [ ]
SUBJECT
City of Fridley
2 7 66 65
AT THE TOP OF THE TWINS
?
BUILDING
PERMIT
Ir
RE O.
t
COMMUNITY DEVELOPMENT DIV.
_
v PROTECTIVE INSPECTION SEC.
1 ,
NUMBER
REV
DATE
PAGE OF
APPROVED BY
CITY HALL FRIDLEY 55432
612-571-3450
910415
9/10/98
JOB ADDRESS 161 64$ Way
1 LEGAL
LOT NO.
BLOCK
TRACT OR ADDITION
SEE ATTACHED
DESCR.
arce12040
Aud. Sub. x{'23 Rev.
SHEET
2 PROPERTY OWNER MAIL ADDRESS
ZIP
PHONE
Walter &Mary Ellen Luckow Same
571-2782
3 CONTRACTOR MAIL ADDRESS
ZIP
PHONE LICENSE NO
Iain City Exteriors Co 9060 Zachary Ln N #108 MaRle
G425-4737
2595
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
LJ REPAIR
❑ MOVE ❑ REMOVE
8 DESCRIBE WORK
Reside
9 CHANGE OF USE FROM TO
STIPULATIONS
fixiixx
Call for building wrap inspection before covering.
TYPE OF CONST.
OCCUPANCY GROUP
OCCUPANCYLOAD
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 80 DAYS, OR IF CONSTRUCTION
OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT
ANY TIME AFTER WORK IS COMMENCED.
NO. DWLG. UNITS
OFFSTREET PARKING
I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION
STALLS
GARAGES
AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS
VALUATION
SURTAX
AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED
$7,000.00
$3 �,rQ
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-
$124.75
Fre SC $7.00
STRUCTION OR THE PERFORMANCE OF CONSTRUCTION.
PLAN CHECK FEE
TE
OTA F
Lic s
C $5.
$140.25
SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT (DATEI
EN OPEY A
IS!F P RMIT
BLD9F1NSP
WDATIS
DATE
SIGNATURE OF OWNER IF OWNER BUILDER) IDATEI
NEW [
ADDN [ ) CITY OF FRIDLEY
ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2
BUILDING PERMIT APPLICATION
ConstructionAddress:
Legal Description:
Effective 1/1/97
Owner Name & Address: MILT 1C'E,� 6,4ep Tel. # '7l -Q'78Z:>
Contractor: /L)GAJ 177y i j -X die IDleS
Address: gZ0 6a A #/^ Qy% ,e 5- 3l�`! Tel. # /-/,0 5(73%
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: /��, �� Estimated Cost: $ `%
(Fee Schedule on Back)
Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ _ $
DATE: - - APPLICANT: Tel. # 173 7
Permit Fee
Fire Surcharge
State Surcharge
SAC Charge
License Surcharge
Driveway Escrow
Erosion Control
Park Fee
Sewer Main Charge
TOTAL
STIPULATIONS:
$
$_ f7,
$_q ?j $.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 [ ]
CITY USE ONLY
Fee Schedule on Reverse Side
.001 of Permit Valuation (1/10th%)