PRE 2010 DOCS•
City of Fridley, Minn. 9622
BUILDING PERMIT
Date: Feb. 28, 1968
Owner: Henning Nelson Const. Co. Builder Same
Address 4216 Shorelind Driye _ Address Sae
A LOCATION OF BUILDING
No. —_— Street — 71st Waw _ part of Lot
Lot , _ Block 2 _-- Addition or Sub -Division .___ iverw Ma>�cr
Corner Lot ____ Inside Lot — X Setback 35 —_ Sideyard t' 32.51
Sewer Elevation —XigmagNPRAWM ° i 4
Top of Footing
DESCRIPTION OF BUILDING
To be Used as: 281811
Dwelling Front 30 Depth = Height x.._28bq. Ft. 861 Cu. Ft 24, 08
Garage Front 20 Depth 25' Height 10' Sq. Ft. _ 500 Cu. Ft 5000
Type of Construction Frame Est Cost _L2.5.,.000 To be Completed
SEWER LOCATION - 11' east of Manhole
WATER LOCATION - 21.5' east of Manhole
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.
00.00 Sewer Confection
In consideration of the payment of a fee of $ 44.00 , permit is hereby granted tor.. Henning Nel son
Const. Co. 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. _
• NOTICE:
This permit does not cover the construction, hatallMon for wiring, plumbing, gas heating, sewer or water. Be sure to ase
the Building Inspector for apwab permits for then hems.
APPLICATION FOR BUILDING PERMIT
CITY OF FRIDLEY, MINNESOTA
OWNER'S . NAMB�,s�
ADDRESS 4/ - f _ - , _,TDRESS
UCATION OF BUILDING
N0. I STREET `�adi,,./ '71.a t
LA_40-- - BLOCK ADDITION .OR SUBDIVISION•
CORf3ER 'LOT INSIDE LOT XSETBACK SIDEYARD ' ,3.7
SEWER ELEVATION TOP OF FOOTING
Applicant attach.to this.for.-Two Certificates of Survey�of.Lot and proposed
building locatiO4 yawn on..these Certificates.
DESCRIPTION OF :DUMING
To Be Used Ass
Front ;:.. ® Depth .2 i?* Height -�W-73.
Square feet Cubic Feet;Jwc a
,.,_Front Depth Zf,'- -Height :1
�.
" Square feet ���'�= � Cubic Feet c/ �
Type of Construction amu. Estimated Cost��°C
To Be Completedd..-L.e�
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.
1—
DATE—_ Z — 2- q k SIGNATURE
(Schedule of Fee Costs can be found on the Reverse Side).
4
i
Applica- an fty f owor Pimats and He a4mag, z9!rjo, v,����oga� 1 a LZoMr an ��d
Air Candbilaning Systems cand Devices
PARTIAL RATE SCHEDULE
GRAVITY WARM AIR: RATE TOTAL
Furnace Shell & Duct Work .......................... $ X10.00
Replacement of Furnace ............................. kft $ 6000
Repairs & Alterations—up to $500.00 .................. k.ft $ 6000
Repairs & Alterations each add. $500.00 ...............C $
'7 3.00
MECH. WARM AIR
Furnace Shell & Duct Work to 120,000 BTU ............
$—Z-0 ate, $10.00
each add. 60,000 BTU .......................
$ 3.00
Replacement of Furnace .............................
$ 6.00
Repairs & Alterations—up to $500.00 .................
$ 6.00
Repairs & Alterations each add. $500.00 ..............
$ 3.00
STEAM or HOT WATER SYSTEM
Furnace Shell & Lines—to 400 sq. ft. EDR Steam ...... f&a $ $10.00
Furnace Shell & Line—to 640 sq. ft. EDR Hot Water ... $ 10.00
Each add. 200 sq. ft. EDR Steam ...................... ; $ 3000
Each add. 320 sq. ft. EDR Hot Water .................. iha $ 3.00
OIL BURNER—to 3 gal. per hour ....... kd&$ 600
over 3 gal. per hour—eee Fee Schedule
199 000
GAS BURNER (up toBTU)
i4ff5.00 $ LQ
GAS FITTING �ffi: 199, 000 BTU NO RATE TOTAL
1st 3 Fixtures x$ a G� $2.00
Additional Fixtures...... .. x $1 00 75
Gas Range to x 2.00 $ $5o00
AIR CONDITIONING
FAN HEATING SYSTEM
VENTILATING SYSTEM
ALTERATIONS & REPAIRS
ROUGH
FINAL •
$
See Fee Schedule
$
TOTAL FEE $' /
Dept. of Bldge. Phona 860-3450
Loca3ioa
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, 19 4E±
Owner
Kind of Building
Used as
To be completed about/ � _� u
L17 I
Estimated Cost, $ O
Old ew. uilding Permit No. Permit No.
DESCRIPTION OF WORK
HEATING or POWER. PLANTS --Steam, Hot Water, o._
Trade Nam -62
e—ee?—�--� Size No- � f0 Z —// Q
Capacity —_ Sq. Ft. E.D.R_ 0 oa BTU H.P.
Total Connected Load �'- ' 9 / C/ Kind of Fuel
BURNER —Trade Name Size No
Capacity Sq. Ft. E.D.R BTU H.P.
OVER)
& OF!
"0;,
Signed
CONDITIONING INa
ByAftmog BLVD, MINNEAPOLIS 1%
920-3800
�y�w•�•z Business Phone No-
--(REMARKS:--
I; CCRONSTROMS pHTG. St AIR ,CON D., INC. Job Nome
D46 "10 Excelsior Boulevard, Minneapolis 16, Minn.
,1;11 HEAT LOSS �.CYLw IOMS (:ZD Job Addressse
" 4 , � -V
Coef.
�l(eatherstrips
A'SideL.
Gu
Reference
I9—
Construction No.
Coef.1
I Insulation
Windo
Door
I Y&—O' No
Out. Wall Int. Wall Ceiling Roof Floor
I Kind How Applied
- Y No
`;�
F7.1 r t�rr' ar Room I Length Width / L Height
Fl.i
7 s,
Room Length �.., Width
S— Height '
Windows andDoors—Crackage and Area
Windows
and Doors--Crackage and Area
Exp. wall 3 N 'i( ;X?
Width Helght No. of ineal ft. Area
No. of Dane of Dane lights Ot cr ck eq. ft.
Width Height No. of Lineal ft. Area
No. of pane of Pane lights of crack Q. ft.
Width / o
Exp, wall
_Infiltration
Coef.1
Coef.
Btu
001
Coef.1
Btu
Infiltratinn
Exp. wall k
140
/ 2 b
Infiltration
`;�
7 6
Glass/9
Ceiling
c
Glass
4{t
=
Exp. wall 3 N 'i( ;X?
' a �•
FI. j
, pi r4 Room I Length 7-
Width / o
Exp, wall
Windows and Doors--Crackage and Area
Requieed sq. Vit: ED.R. or aq. iris:-W.A:T.`e`ader area
`,
Net exp. wall — .S � '
%• 3
4 a
:�r,
� •.
Net cap. wall
Int: wall
width Helght No. of Lineal tt. Area
No.of pane of pass Ilghte of crack
Int. wall - --
Ceiling
Ceiling
Floor tf ?( ! y
/
/ S / �''
Floor �'
U
Total Btu.
rr �'
Total Btu.
t '
Required sq. ft. E.D.R. or sq. ins. VA. Leader area
Required sq. ft. E.D.R. or sq. ins. W.A. Leader area
F1.1 ., 7_,,-j Room Length
Width
Height e-
�, ': ` T=.� , .b s Room I Length
Width °°
Height
Windows and Doors--Crackage •and Area
Width Height No. of I.taeal ft. Area
No. of pane 1,of pane lights of crack sq. tt.
Windows and Doors--Crackage and Area
Width Height No. of Lineal lt. Area.
No. �of panne' of pane Italica of crack eq. ft.
_Infiltration
Coef.1
Btu
Infiltration
001
Glass
Exp. wall
Exp. wall k
Net exp. wall
L:
Int. wall
Int. wall
Ceiling
Ceiling
Floor
4{t
=
Total Btu.
q - q W.A. Leader area
Required sq. ft. E.D.R. or . ins.
' a �•
FI. j
, pi r4 Room I Length 7-
Width / o
Height +�
Windows and Doors--Crackage and Area
Requieed sq. Vit: ED.R. or aq. iris:-W.A:T.`e`ader area
Width Helght No. of �:Ltaeal tt. Area
No. of Dane of Dane Iighb rot crack .q. ft.
d Sy.
_Infiltration
',2 7 .
41`'
Itt, G
Glass
Exp. wall
Net exp. wall
/)
/ i U u
Int. wall
Ceiling
Floor
Total Btu.
Requieed sq. Vit: ED.R. or aq. iris:-W.A:T.`e`ader area
Room I Length // Width:
Height '
Windows and Doors—Crackage and Area
width Helght No. of Lineal tt. Area
No.of pane of pass Ilghte of crack
f. Btu . Coef. Btu
Infiltration S _Ly 10 Infiltration 1 o 1%u 1i J'
Glans 0,14-t
Glass Exp. wall` F� 1 Exp. wallNet exp. wall / d r Net exp. wall F y (� l ( u
Int. wall int. wall
Ceiling Ceiling
Floor l Z. / 0 ► {� Floor
Total Btu. i F. Total Btu.
Required sq. ft. E.D.R. or sq. ins. W.A. Leader area Required sq. h. E.D.R. or sq. ins. W.A. Leader area
0001 r"6014
n CRONSTROMS w Qe St AIR. GOND., INC. Job Nam A' ,# A -If �'� S 0 � c..�t x�r� F tJ a
D-56 . 4110 Ixesistelr sm$/trerd, NllsawpeHs 16, Minn. • �y I
:e %I AT Le" aJob Addr � ' 'O 7/j- 7,4V4 dlf •_:
IV7,zz N.
west rstrips Construction No. I !Insulation
Wind s Reference Out. Wall Int. Wall Ceiling Roof Floor IGind How Applied
—No o 19 '
1 19 -� I I I - - i
.1 Room I.Length / 3 Width Height .l ff A Room I Length Width 7 Height
Windows a d Doors--Crackage and Area
�,waaaou.,u
Coef.
Width HeNo. of Lineal It. Area
No. of pane of Dane lights at crack sq. ft.
36
Area
I
v
/ 4,e ° 6
Glass
Coef.1
Btu
Infiltration 31
Exp. wall ;t - s 7 V
0-/�
Glass
z1. 6
SO
(, ® u
Exp. wall'' x = l Z
Int. wall
- Net exp. wall.
Ceiling k / j
Ej+
Int. wall
Ceiling !
/ `/ 3
Room � Length
// -Vd
Floor
Windows and Doors—Craika a and Area
Total Btu.
Required sq. fL E.D.R. or sq. ins. W.A. Leader area
,�,.j Room I Length Width Height
Windows and Doors--Crackage and Area
Width Height No. of Lineal ft. Area
No. of Dane of pane lights of crack sq. ft.
Infiltration
Glass -f SO
Exp. wall
Net exp. wall
Int. wall
Ceiling 7X 3
J '
Floor
Total Btu.
Required sq. ft. E.D.R. or sq. ins. W.A. Leader area
Btu
Windows and Door&—Crackage and Area
�,waaaou.,u
Coef.
Btu
Infiltration 3 f
Area
I
v
/ 4,e ° 6
Glass
1 S_ G
S"0
/300
Exp. wall ;t - s 7 V
Floor
Net exp. wall
Required sq. ft. E.D.R. or sq. ins. WA. Leader area
Int. wall
Ceiling k / j
Ej+
/Sg 0
Floor
Total Btu. _
Required sq. ft. E.D.R. or sq. ins. W.A. Leader area .
7r
Room � Length
Width
Height
Windows and Doors—Craika a and Area
Width I Helght No. of Lineal tt. Area
No. of pane of Dane Itch of crack sq. tt.
�/ t% '�✓ i% 7 1
Infiltration
Glass -f SO
Exp. wall
Net exp. wall
Int. wall
Ceiling 7X 3
J '
Floor
Total Btu.
Required sq. ft. E.D.R. or sq. ins. W.A. Leader area
Btu
Windows and Door&—Crackage and Area
�,waaaou.,u
Width Height
No. of
Linea ft.
Area
I
3 U
No. of Dane of pane
lights
of crack
sq. ft'
Ceiling
Floor
Total Btu.
1 Coef. Btu
Infiltration / C 740
Glass 12,J
Exp. wall 14 ') i
Net. exp. wall
Int. wan
Ceiling 3 o
Floor
Total Btu.
sired sq. ft. E.D.R. or sq. ins. W.A. leader area
I K Room I Length / Width
'indows and Doors—Crackage andArea
Width Ke Ig No. of Lineal tt. Area
of Dane of pane lit t. of crack
--A
3 f Se
Coef. Btu
Infiltration 3S ®
Glass fir• s ® / 3 1
Exp. wall 2. 3 k
Net exp. wall - ( / '(70
Int. wall
Ceiling 0
Floor
Total Btu,
Required sq. ft. E.D.R. or sq. itis. W.A. Leader area
F1.1 Room I Length Width Height
Windows and Doors--Crackage and Area `
Width Height No. of Lineal ft. Area
No. of Dane of pans tights of crack sq. tt.
Coef. Btu
�,waaaou.,u
Claus
Exp. wan
3 U
Net exp. wall
Int. wall
k "la
Ceiling
Floor
Total Btu.
Required sq. ft. E.D.R. or sq. ins. WA. Leader area
J City of Fridley
Application for Plumbing and Gay RMng Permit
A,414a DepL of Bldgs. Phone SII 4-7470
DESCRIPTION OF WORE
Number, mind and Location of Fixtures I'�o '
PARTIAL RATE SCHEDULE
PLUMING FIXTURE RATES: NO. RATE TOTAL
Number Fixtures . .............. . ...... x $1.50 $
Future Fixture Opening ................ x 1.20 $
New F4xture Old Opening .............. x 1.00 $
Catch Basin ............................ x 3.25 $
Water Heater (Up to 200,000 BTU) ...... x W $
New Ground Run Old Bldg . ............ x 3.25 $
GAS FITTING FEES:
1st 3 Fixtures ..........................
Additional Fixtures ....................
Gas Range to 200,000 BTU ..............
REPAIRS & ALTERATIONS—Refer to Code
NO. RATA TAOTA�L�
$—
— x .50 $
x 2.00 $
City of Fridley:
The undersigned hereby .makes application for a permit for the work here!
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 truef and correct.
Fridley, Minn_ ` 1
Owner
Kind of Building /
//,,
Used as 47!/� -
To be completed abouts
Estimated Cost, $
Ol ew Building Permit No
ROUGH 41-1;7- 4 9/
FINAL
Description ................................................$
TOTAL FEE $�• d2 2M
Business Phone
}Zig
QpZiZ
O
O� J O z •
•
WATER HTR.
�
3ii33 �
m
N
31-
OLL
n.D
<3 Od O OO
Base
1st
2nd
_
3rd
4th
• Future Connection Openings
Connected with
New Mxture. Old Openings�wer�,
Cesspool El
PARTIAL RATE SCHEDULE
PLUMING FIXTURE RATES: NO. RATE TOTAL
Number Fixtures . .............. . ...... x $1.50 $
Future Fixture Opening ................ x 1.20 $
New F4xture Old Opening .............. x 1.00 $
Catch Basin ............................ x 3.25 $
Water Heater (Up to 200,000 BTU) ...... x W $
New Ground Run Old Bldg . ............ x 3.25 $
GAS FITTING FEES:
1st 3 Fixtures ..........................
Additional Fixtures ....................
Gas Range to 200,000 BTU ..............
REPAIRS & ALTERATIONS—Refer to Code
NO. RATA TAOTA�L�
$—
— x .50 $
x 2.00 $
City of Fridley:
The undersigned hereby .makes application for a permit for the work here!
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 truef and correct.
Fridley, Minn_ ` 1
Owner
Kind of Building /
//,,
Used as 47!/� -
To be completed abouts
Estimated Cost, $
Ol ew Building Permit No
ROUGH 41-1;7- 4 9/
FINAL
Description ................................................$
TOTAL FEE $�• d2 2M
Business Phone
CITY OF FRIDLEY INSPECTION
6431 University Ave NE
Fridley, MN 55432
(763) 572-3604
FAX (763) 571-1287
RATE SCHEDULE
DIViSION
APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION,
REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES
Residential
Furnace Shell and Duct Work, Burner -
Also Replacement Furnace
(Side Vent - Fill Out Back)
Gas Piping (Needed with new furnace,
but n eplac ent)
Gas Range -0k k It E
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
REFRIGERATION/AIR CONDITIONING PERMIT IS $25.00
PLUS THE $.50 STATE SURCHARGE
REINSPECTION FEE $47.00/Hr
*Air Conditioners can not be placed in a side yard without
written permission from adjoining property owner.
Effective January 1, 2003
JOB ADDRESS r %/ �f ;alley Me?. SS�%3,
OWNER_ FL�RC+/-e-
TOTAL
BUILDING USED AS Res, eAc_e,
ESTIMATED COST 42&dn0 PERMIT N0. S-9
$ 10.00
DESCRIPTION OF FURNACE AND OR BURNER
No. of Heating Units Circle One (Steam) (Hot Water)(Warm Air
$ Trade Name Ov.&Jec. F; Size No.
BTU 30VtXD HP EDR
$ Fuel bfb Total Connected Load
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 2 /0 3
HEATING CO AMWo
cW Fkewe Hearth a Nana
Signed ` AZEL #
FAX # PAwdbl MN
,ss„s
Approved By Rough -In Date' Final Date
FILL OUT BACK SIDE FOR STACK VERIFICATION ON REPLACEMENT FURNACE
THE BELOW MUST BE FILLED IN WHEN REPLACING FUEL BURNING APPLIANCES OR THE
APPLICATION WILL BE RETURNED
When rapine -Ann sin tayic+inn Mranna, 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 pYhetrnQcnmhustien air is sized and installed to meet the current codes
and manufacturer's specifications. Yes( ) No( )
When required to install a new cemhneiinn airs it will be sized and installed
to meet the current codes and manufacturer's specifications. Yes( ) No( )
When iostafta a new venting evetem, 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 #1 Type
BTU Input Fan Assisted or Nat
Appliance #2 Type
BTU Input Fan Assisted or Nat
Appliance #3 Type
BTU Input Fan Assisted or Nat
Total Appliances
Total Btu 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
HEATING CO:
Signed By. Date
1 5 ENGINEER
MAIL ADDRESS
PHONE LICENSE NO.
6 USE OF BUILDING
Residential
7 CLASS OF WORK
❑ NEW Ck ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE
8 DESCRIBE WORK
Construct a 141 x 201 Porch Addition
1 9 CHANGE OF USE FROM
STIPULATIONS
See notations on plan.
11IGNS
TO
Betore aigb'o `. c?`I Yor
all uWW1 locato��
4 E�
Rr-%4 I LAW
On all new roofs or tear-oifs and replacement roofs,
State Code requires that 2 layers of 15 Ib. felt,
mopped together, be installed to a point 24 inches
up from exterior wall line, or the use of other
approved underla ment membrane.
TYPE OF CONST. I OCCUPANCY GROUP I OCCUPANCY LOAD
SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING,
SUBJECT
P
City
of Fridley
NO. DWLG. UNI
C 2018 8
AT THE
TOP OF THE TWINS
BUILDING
PERMIT
_
r
'PERMIT FEE
PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON-
TRUCTION OR THE PERFORMANCE OF CONSTRUCTION.
$81.00
RECEIPT NO.
•
COMMUNITY DEVELOPMENT DIV.
P
r
PROTECTIVE INSPECTION SEC.
1 ; ,
L /� �� �' I.�
CITY HALL FRIDLEY 55432
NUMBER
REV.
DATE
PAGE OF
APPROVED BY
L •_-.
612-571-3450
910-F15
11/1/89
JOB ADDRESS 168
- 71st Way N.E.
1 LEGALLOT
NO.
BLOCK
TRACT OR ADDITION
SEE ATTACHED
DESCR.
10
2
Riverwood Manor
SHEET
2 PROPERTY OWNER
MAIL ADDRESS
ZIP PHONE
Bruce Nelson
168 - 71st Way N.E.
571-4806
3 CONTRACTOR
MAIL ADDRESS
ZIP PHONE
LICENSE NO,
R. Miller Construction 953 Mississippi Street N,E.,
Fridley 571-3514
4 ARCHITECT OR DESIGNER MAIL ADDRESS
ZIP PHONE
LICENSE NO.
1 5 ENGINEER
MAIL ADDRESS
PHONE LICENSE NO.
6 USE OF BUILDING
Residential
7 CLASS OF WORK
❑ NEW Ck ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE
8 DESCRIBE WORK
Construct a 141 x 201 Porch Addition
1 9 CHANGE OF USE FROM
STIPULATIONS
See notations on plan.
11IGNS
TO
Betore aigb'o `. c?`I Yor
all uWW1 locato��
4 E�
Rr-%4 I LAW
On all new roofs or tear-oifs and replacement roofs,
State Code requires that 2 layers of 15 Ib. felt,
mopped together, be installed to a point 24 inches
up from exterior wall line, or the use of other
approved underla ment membrane.
TYPE OF CONST. I OCCUPANCY GROUP I OCCUPANCY LOAD
SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING,
VENTILATING OR AIR CONDITIONING.
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION
AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION
ZONING
OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT
ANY TIME AFTER WORK IS COMMENCED.
NO. DWLG. UNI
I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION
1
AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS
VALUATION
AND .ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED
WITH WHETHER• SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT
$6 C OQQ
DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE
'PERMIT FEE
PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON-
TRUCTION OR THE PERFORMANCE OF CONSTRUCTION.
$81.00
Xf-X1-1
PLAN CHECK FE
;�
SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT (DATE)
P
IDATEI
SQ. FT. CU. FT.
OFFSTREET PARKING
STALLS GARAGES
SURTAX
$3.00
SAC CHARGE
TOTALFEE
$84.00
R Y I AT THIS IS YOUR PERMIT
C Y i / A7 w icT
NEW [ ]
ADDN [ ]
ALTER [ ]
R-1 AND R-2
Building Pienait Application
Construction Address:
Legal Description:
Effective 5/1/88
Owner name & s: -a -" -' C t` Ale I&D q
Contractor:. /I/(, ��P_ i'' iia Tel.
e
Address: '9,5-,
Attach to this application, a Certificate of Survey of the
lot, with the proposed construction drawn on it to scale.
Z M -Mmm
LIVING AREA: Length Width Height Sq. Ft.
GARAGE ARBA: Length Width Height Sq. Ft.
DEM AREA: Length Width Hgt/Ground Sq. Ft.
oft• `2 i.�—k`-1 2 n - cq2y—
Corner Lot [ ] Inside Lot [ ] Ft. Yd Setback Side Yard Setbacks
Type of Construction: L F- ( OM1%� Estimated Cost: $
Approx. Cmpletion Date: ) _ -91 `®od
Proposed Driveway Width If New Opening Is Desired: Ft. $ $
,.
DATE: Width + 6' See Back Page
�- - C
APPLICANT• ) �!%f_-��L�� Tel. # —'5- 7/- . S
Permit Fee $Al. 00
State Surcharge $ DG
SAC Marge $
Driveway Escrow $
Park Fee $
Seww Main Charge $
$
STIAJIATIONS:
CITY USE ONLY
Fee Schedule on Reverse Side
$.50/$1,000 Valuation
$575 per SAC Unit
Alt. "A" or Alt. "B" Above
Fee Determined by ESngineerinq
Necessary [ ] Not Necessary [ ]
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CONfTRUCTION fURVETS
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ROBERT A. BUSCH
-cand FCW
REGISTERED UNDER LAMS OF STATE OF MINNESOTA
ISO"1
W3 ICE ST. PHONE 824'8439
MINNEAPOLIS, MINN. 55409
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TOPOGRAPHICAL
PLATTING
I hereby certrfy that his is a rue an correc recie�enTa ion oche boundaric
of Lot 10)Block 2, RIVERIUOOD MANOR, Anok? County, ffinr. accoroinc to the record—
ed Flet thereof . It is understood and aoreeo th-t no field survey has oeen
conducted at this date to determine if Lot corner monuments are in place or if
there are any buildings or encroachments from or on said Lot Certificate
shoals the location of a proposed dwelling.
As drawn by me this 26th day of February 1968 ASIGNED—
.'.
401/ZIN COT;L REGI—RATION NO 7089
SUBJECT
P IT NO.
City of Fridley
'
0419
4NO.
AT THE TOP OF THE TWINS
BUILDING PERMIT
r
CE
COMMUNITY DEVELOPMENT DIV.
_
I --
~ PROTECTIVE INSPECTION SEC.
%
= I
/---5 CITY HALL FRIDLEY 55432
NUMBER
REV
DATE
PAGE OF
APPROVED BY
612-571-3450
910-F15
6/8/90
JOB ADDRESS 168 - 71st Way N.E.
1 LEGAL
LOT NO.
BLOCK
TRACT OR ADDITION SEE ATTACHED
DESCR.
10
2
Riverwood Manor SHEET
2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE
Bruce Nelson 168 - 71st Way N.E. 571-4806
3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO.
Same
4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO.
5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO.
8 USE OF BUILDING
Residential
7 CLASS OF WORK
❑ NEW ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE
8 DESCRIBE WORK
Construct a 530 Sq. Et. Deck Addition
9 CHANGE OF USE FROM TO
STIPULATIONS
Seenotations on plan.
WARNING
BetomdIu►ft 'Co
ml �litj tial:$
454 -MU
BY iAW
TYPE OF CONST.
OCCUPANCY GROUP
OCCUPANCY LOAD
SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING,
VENTILATING OR AIR CONDITIONING.
ZONING
SQ. FT.
CU. FT.
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION
AUTHORIZED IS NOT COMMENCED WITHIN 80 DAYS, OR IF CONSTRUCTION
OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT
NO. DWLG. UNITS
OFFSTREET PARKING
ANY TIME AFTER WORK IS COMMENCED.
I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION
1
STALLS GARAGES
VALUATION
SURTAX
AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS
AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED
$3 850
$1.93
WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT
f
PERMIT FEE
SAC CHARGE
DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE
PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON-
$63 00
STRUCTION OR THE PERFORMANCE OF CONSTRUCTION.
•
PLAN CHECK FEE
TOTAL FEE
$64.93
SIGNATURE OF CONTRACTOR ORA THORI ED AGENT
HEN PRO E A ID D HIS IS YOUR PE MIT
I
xfIOATEI
BLDG INSP I 04TE
SIGNATURE OF OW ER OF G NERB LDERI I ATEI
NEW [ ] Effective 1/1/90
ADE)N .-[�}� R-1 AND R-2
AL's [ ] Building Permit Application
Construction Address: 1/ 71�� �q//4-C/
Legal Description: ® ]L rOc6C ,, rtt el-Aee d %&,�J Gg�
r
Owner Name & Address:Z.PuK-L-f- -1`- A'0-ZJ-;0A1 /6k 7/s�`G�� Tel. # �7/� �/�G� 0
Contractor: Tel. # �(ee
Address: el/ 'e
Attach to this application, a Certificate of Survey of the
lot, with the proposed construction drawn on it to scale.
DESCRIPTION OF nOROVEMM
LIVING AREA: Length Width Height Sq. Ft.
GARAGE AMM; Length Width Height Sq. Ft.
DBCR AREA: Length Width Hgt/Ground6:JP Sq. Ft. s 3a
OTHER:
Corner Lot [ ] Inside Lot [ ] Ft. Yd Setback Side Yawl Setbacks
Type of Construction: Estimated Cost: $ -19 CU
Approx. Completion Date:
Proposed Driveway Width If New opening Is Desired: Ft. $ $
DATE:
&laC%
Width + 6' See Back Page,,p�.�
APPLICANT: „ Tel. #
Permit Fee $ o4od
State Surcharge $ I� 3
SAC Charge $
Driveway Escrow $
Park Fee $
Sewer Main Charge $
$G1.i3
STIPULATIONS:
CITY USE ONLY
Fee Schedule on Reverse Side
$.50/$1,000 Valuation
$600 per SAC Unit
Alt. "A" or Alt. "B" Above
Fee Determined by Engineering
Agreement Necessary [ ] Not Necessary [ ]
2&x l (i �
2
Q.,
ag o
100
s�v
The Chief Building Official shall, before issuing permits for the erection of any
building or structure, or for any addition to any existing building or structure, or
for any alteration or repair to any existing building or structure, upon application
therefore, require the payment by the applicant for such permit of fees to the amount
herein below set forth and in the manner herein provided to -wit:
$1 to $500 $15 (Minim= Fee is $15 plus surcharge)
$501 to $2,000 $15 for first $500 plus $2 for each additional $100 or
fraction thereof, to and including $2,000
$2,001 to $25,000 $45 for first $2,000 plus $9 for each additional $1,000
or fraction thereof, to and including $25,000
$25,001 to $50,000 $252 for first $25,000 plus $6.50 for each additional $1,000
or fraction thereof, to and including $50,000
$50,001 to $100,000 $414.50 for first $50,000 plus $4.50 for each additional
$1,000 or fraction thereof, to and including $100,000
$100,001 to $500,000 $639.50 for first $100,000 plus $3.50 for each additional
$1,000 or fraction thereof, to and including $500,000
$500,001 to $1,000,000 $2039.50 for the first $500,000 plus $3 for each additional
$1,000 or fraction thereof, to and including $1,000,000
$1,000,001 and up $3539.50 for the first $1,000,000 plus $2 for each additional
$1,000 or fraction thereof
DRIVEEkY DEPRESSION ESCR W
(Concrete Curb Streets Only)
Alternate "A": Removal and replacement of curb and gutter only - Driveway width plus
6 feet times $13.50.
Alternate "B": Removal and replacement of curb and gutter and install a 3 foot wide
approach with 6 inch depth - Driveway width plus 6 feet times $15.75.
`'/�•jj M� {/ •)+ • �• 111•: Y •i.l
Permits for construction will be issued a minim m of 24 hours from the time of
application to allow for proper review of the proposed structure and of the
construction site.
A Certificate of Survey of the lot, showing the location of the foundation once it has
it has been constructed will be required before proceeding with the framing.
Ar
l i
CID
AN
GIN - ¢- °
w
REFERENCE NUMBER CUSTOMER ORDER Nupn9F.R�- 'r! M L I NDBL(X-*l
j
REM NO.
✓
DESS"RIPTInN
- - -
`2X8 P1.tIL S4S
UNITS ,
41:1.33
PRICE/UNIT
470.000/MBFT
EXTENSION
154.2
R
072810
31
6
31
�,Fl
10' .40 TREATED
2X8 14' .40 TREA1'1:ll PINE 64S
112.00 i
470.000/MBFT
52.64
072814
3
3
2X8 16' .40 7'itrA1`i:i1 I'itd1� S4S
14.00
4'�0 000/M13FT
30.08
072816
072812
9
$
4�'l .zr44-'1ltk.rll U.nHIs�ITs--S4�.•..__
-S
144.00 j
475.000/1WFT
525.000/MHFT
68.40
36.75
0721014
3
qZ
2X10 14' :40 'T12EATED PiIJE 4S
PINE 6413
70.00
26.67 i
5'25.000/h1l3i'T
14.00
07`21016
1
"A
1
1
'1X10 16' .40 TRL-',A.'rl.l)
2X10 12 40 TREA,r1 D PTNE S4S
20.00
535.0001MAFT
10.70
0721012"
042600
1200
1200
LNF'r 2X6 #2 do H,rR S4S CEDAR
1200.00
13.33 !
615.000/NBF`!'
515.000/MAF'('
738.00
6.86
042410'
2
'l
2X4-10' #2 & BTH S48 CFDAR
2X4-12 #2 & IiTR 64S CEDAR
1400 I
515.000/MBFT
12.36
042412
3
1
3
1
2X4-8' #2 do BTR S46 CEDAR
5..33 I
515.000/Mt3PT
2.74
042408
042610
2
2
2X6-10' #2 & BTF. 64S CEDAR
20.00
36.00
510.000/mBFT
615.000/MAPT
11.20
X122-.1
22.'l 4
042612
°°� 3
3
2X6-12' #2 do 871* S4S CEDAR
S46 CEDAR
8.00
615.000/h113FT
4.82
j
44'2608
1
1
2X6-8' #2 & BTR
,
2X2 4' #2 & BTR S4S CEDAR
CS/50
110.00 I
50.00
850/EAC}I
.450�TA�,�;26,75
93.50
042204
` 110
110
8838SJ
1
1
15
#JRS 2X8-10-12 SOL JST HQR
#JRS 2XA-10-12 SOL JST HANGER/EA
15.00
�
8908SJ
i5
14
14,
1? 2-82 46 . -SOL . LEFT - 6G-H(1R-.,t E&-
14.00
( 3.80 U / r Al'H
53.20
23."66
4
8 9 4 5 LS
071412
3
3
4X4 12 40 TREATEDPINE S4S
48.00
485.0001MT3Fr
14.000/PC
14.00
07461'%
1
1
4X6 12' .60 '1'TD PINE S4S
1.00
i
within tare Igl der or �
SUB -TOTAL
T,
TAX AMOUNT
TOTAL
Matas stnr+� or
dernap
from deDvery
ehmid be reported
.00
1650
92.06
1508.33
be .anWcWad as hrAM
oacued
on the lab aft
and no adpmtment
wYi be meds.
1416.27
71248
RECD. BY UAW
8:I d U 7-'7iS7-
hila-
2
0
Y
U" AND FARM SURWYO
ee«UTSIucTION OUNWRYS
I
ROBERT A. BUSCH
.c'affla jJ"JI11or
f KQ1I1T[RCD VMD[• L.w! OF S -ATE Or .Y.Mw EiO'A
/S01 w71+s ST- PHONE 821-0439
MINNEAPOLIS, MINN. 55400
S ,4
eeSU#C4&
/Q$ i'
V4W4MAAPNICAL
RATTING
Lr -.)T 10
M,
,5•C' fi/ity 6 G ra,'— => t.
--- -�----675 - - .-r- -- -�---
I hereby certrTy thaT his is a true and correc recfp=enTation or -:he, bour,cari
of Lot 1D)Block ?, RIVFRIJ000 tANDR, Anoka County, ffinr. accorginc to the recorc
ad Flet thereof . It is understood and agreed th.t no field survey has seen
conducted at this date to determine if Lot corner monuments are in place or if
there are any buildings or encroachments from or on said Lot Certificate
shows the location of a proposed dwellino.
._ .._.,..... ►... ♦�.;q 76th day of Fetruary 1968,,A.y.-�
• 1
V
SUBJECT
P
City of Fridley
22761'
AT THE TOP OF THE TWINS
BUILDING PERMIT
r
RE NO.
� • COMMUNITY DEVELOPMENT DIV.
PROTECTIVE INSPECTION SEC.
r
1
N=910-F15
REV
DATE
PAGE OF
APPROVED BY
`
CITY HALL FRIDLEY 55432
612-571-3450
8/2/94
JOB ADDRESS 168 71 Way NE
I LEGAL
LOT NO.
BLOCK
TRACT OR ADDITION SEE ATTACHED
DESCR.
lO
2
Riverwood Manor SHEET
2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE
Bruce Nelson 168 71 Way NE
3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO.
D & D Home Improvement 7401 Central Ave NE 784-7543 4840
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
Reside Dwelling; Reroof Dwelling; Replace windows
9 CHANGE OF USE FROM TO
STIPULATIONS Underlayment on roofing must meet the State Building Code. Replacement
bedroom windows must meet the State Egress requirements, copy attached.
TYPE OF CONST.
OCCUPANCY GROUP
OCCUPANCY LOAD
SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING,
VENTILATING OR AIR CONDITIONING.
ZONING
SO. FT.
CU. FT.
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION
AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION
OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT
NO. DWLG. UNITS
OFFSTREET PARKING
ANY TIME AFTER WORK IS COMMENCED.
I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION
1
STALLS GARAGES
VALUATION
SURTAX
AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS
AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED
$7.00
WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT
$14,000
PERMIT FEE
SAC CHARGE
DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE
PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON-
$153.00
Fire SC 14.00
STRUC N R THE PERFORMANCE OF CONSTRUCTION.
PLAN CHECK FEE
TOTALFEE
1213M$5. LIC SC
179.00
SIGNATURE OF CONTRACTOR OR AUTHO RIZED AGE NT DATE(
ERMMIIT,
WH OPERLY VALIDATED THIS IS YOUR PERMIT
c3z
BLDG (NSP DATE
SIGNATURE OF OWNER OF OWNER BUILDER( (DATEI
V
NEW [ ] Effective 5/26/93
ADDN [ ) CITY OF FRIDLEY
ALTER [ ) SINGLE FAMILY AND DUPLEXES R -I AND R-2
Building Permit Application
Construction Address:
Legal Description:
Owner Name & Address: A vee /454-5®x) Tel.
Contractor: D & D Home Improvement Inc MN LICENSE # 4840
Address: 7401 Central Avenue N.E., Fridley, MN 55432 Tel. # 784-7543
Attach to this application, a Certificate of Survey of the
lot, with the proposed construction drawn on it to scale.
LIVING AREA: Length
GARAGE AREA: Length
DECK AREA:
OTHER:
DESCRIPTION OF IMPROVEMENT
Width Height
Width Height
Length Width Hgt/Ground
Sq. Ft.
Sq. Ft.
Sq. Ft.
Corner Lot [ ] Inside Lot [ ] Ft. Yd Setback Side Yard Setbacks
Type of Construction: O 111 ��ala gal Estimated Cost: $
Approx. Completion Date:��
(Cost on Back)
Driveway Curb Cut Width Needed: Ft. + 617t = Ft x $ = $
DATE: j5 t APPLICANT: Tel. # Z
Permit Fee
Fire Surcharge
State Surcharge
SAC Charge
License Surcharge
Driveway Escrow
Erosion Control
Park Fee
Sewer Main Charge
TOTAL
$ C )(1) Fee Schedule on Reverse Side
$ %` 0 C' .001 of Permit Valuation (1 / 10th %)
$ '7. C �, $.50/$1,000 Valuation
$ $750 per SAC Unit
r
$ c C> . $5.00 (State Licensed Residential Contractors)
$ Alt. "A" or Alt. "B" Above
H
Conservation Plan Review $450.00
Fee Determined by Engineering
Agreement Necessary [ ] Not Necessary [ )
STIPULATIONS:
10