PRE 2010 DOCSSUBJECT
PERMI
City of Fridley
19819
AT THE TOP OF THE TWINS
BUILDING PERMIT
r
R
I `L _ COMMUNITY DEVELOPMENT DIV.
r PROTECTIVE INSPECTION SEC.
1 ; �
CITY HALL FRIDLEY 55432
L
NUMBER
REV.
DATE
PAGE OF
APPROVED BY
612-571-3450
910-F15
4/6/89
JOB ADDRESS 142 - 7111 Way N.E.
1 LEGALLOT
NO.
BLOCK
TRACT OR ADDITION SEE ATTACHED
DESCR.
3
2
Riverwood Park SHEET
2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE
Tollefson Construction 311 Sunrise Lane, Champlin, MN 55316 427-7745
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
11 H*k.P.�
24' 22' Garage
Construct a 34' x 24' Dwelling and a x ee
Before digging calf local ut1j4�
9 CHANGEOFUSEFROM TO
REQUIRED
STIPULATIONS
Provide sod in the front and side yards. Provide City with copy of
verifying survey before capping. Provide a hard surface driveway. Provide silt
fence along south easement line. Minimum walk-out floor elevation 856.5. Bench mark
top of hydrant 711� Way and Alden Circle 862.41. Paid Park Fee of $1,500.00
SEWER LOCATION: 65' East,of manhole. WYE ELEV: 848.41
WATER LOCATION: In Same trench
DRIVEWAY ESCROW: 16' + 6' = 22' x $13.50 = $297.00nr�GS NOT GUARANTEE TH
CITY OF FRIDLE
THE
OF UTILITY LOCATIONS AND ELEVATION
ACCURACY
IS FOR INFORMATION PURPOSES ONL
THIS DATA
USING INFORMATION SHnUI
SEPARATE PI RMITS
OOPS
REQUIRED FOR VERIFY RT THE S,* TE,IS
WIRING, HEATING,
PLUMStNG AND SIGNI
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 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
$81,550
$40.78
WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT
DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE
PERMIT FEE
SACCHARGE
PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON-
$
Credit School
STRUCTION OR THE PERFORMANCE OF CONSTRUCTION.
PLAN CHECK FEE
TOTALFEE
$N /A
$599.28 + DW & PF
SIGNAT EOF CONTRACTOR OR rUT PRIZED AGENT D�ATTEE)�
t-VHF N PR PA TED THIS IS YOUR PERMIT
LDG INSP nA
SIG ATURE OF OWNE OWNE IDA E1
&`119 - • • - • • • • rem-
- • • •
0
N
0
0
r
�Y'
VK
01
CI 00
N -IC --';
w--" o0
�IrLtj 914
Ia d ��7['
lir �-I-- , (o t
Lot 3. Block 2. Riverwood Park. Anoka County, Minnesota.
House Location Only — No Field Work Conducted
I hereby certify that this survey, plan plat. preliminary plat or report was prepared by me or under
my direct supervision and that I am a duly Registered Land Surveyor under the laws of the State
of Nlinnesota.
10 -?j ._ 7.' 'j-, 2? 5164- Z
Reg. No. Date Job No. Book No.
9E
ADVN
ALTER
Construction Address:
R-1 AND R-2
Building Permit Application
Legal Description: -:5?
Z-7
Effective 5/1/88 V�
Owner Name & Address: Tel.
Contractor:
Address:/.V1 Ale
. j I - -8-
Tel. # 2K)2 -
Attach to this application, a Certificate of Survey of the
lot, with the proposed construction drawn on it to scale.
F ' " MMCN OF IMMY
LIVI10 AREA: Length Width y2f Height Sq. Ft.
GARAGE AREA: Length �P-v Width Height Sq. Ft. -s--zr-
DBCK AREA: length Width Hqt/Ground _ Sq. Ft.
OTHER:
Corner lot Inside lot Ft. Yd Setback Side Yard Se cks
Type of Construction: Estimated Cost: $
Approx. Cmpletion Date: _ /J04, ? I I
Proposed Driveway Width If New Opening Is Desired: --/Z Ft. $ $
Width + 61 See Back Page
DAM: �2sf APPLICANT: Tel.
jo7 ef 7'—'-
gM USE ONLY
Permit Fee $ t) Fee Schedule on Reverse Side
State Surcharge $ $.50/$1,000 Valuation
SAC Charge $ $575 per SAC Unit
Driveway Escrow $ Alt. "All or Alt. "B" Above
Park Fee $ Fee Determined by Engineering
Sewer Main Charge $ = Agreement Necessary Not Necessary
TOTAL
STrIPULA=CNS.
AJ
T6 P
19
i
I:
Total exposed roof/ceiling area
Mo Total skylight area ................ ..........o........
n. Total roof/c ei ling framing are ( average
On Wotal net insulated roof/oeiling area .................— ,. //(� 78
Determine "U" value for each roof/ceiling segment.
m. X11Uir
n. ,?a 2 2 X1rU11 , C) 3 - x.41
o. 1(6 Sr 7 X1rUn a 2 .r
I --
5'
4......•...........,..........•........`lbtal
If total of. #4 is the same or, less than #2• you have met the intent of SEC 6006(o)l.
Alternate Wilding Envelope Design
To utilize the total envelope system method, the values established by the sum
of i tests #3 and #4 shall no t be gree ter than the sum of i terns #1 and' #2•
1. .� plus 2.
•
y�� l 7 4 =
-+ M s •
P1191CRA1,YP itiC OD CASEavtF,!; l'S
'
'
II.
R
" DOUBLE INSULATED
.352
2.84
TRIPLE IIISULA'1'F.0
.327
3.06
UNIT SZ IT.
OF LIGHT AREA
UVIT SQ.
FT. OF LIGHT AREA
12828'
5.o6
12036
4.62
12836
6.56
lZ42
5.41
12842
7.69
12048
6.20
12843
8.81
12o 60
7.78
11628
.2q 81
12072
9.37
11636
3.65
12428
4.31
11642
4.27
12436
5.59
11648
4.90
12442
5.55
11660
6.15
12448
7.51
12028
3. 5 6
12460
9.42
DOUBLEIMIG 11rI'rdDO S
'
U R
Single -glazed :
5 1.18
. Double -glazed .47
2.12
UNIT S6^
OF LIG'II�
U14IT SO.
I FT. OFA LIGH`t' AREA
16x•16
3.55
32x16
7.11
1 Gx2D
4.44
3 2x 2D
8.88
16x24
5.33
3 2x 24
10.66
16xc 4/36
6.66
32x24/36
13.33
20x166
4.44
36x.16
8.00
2Ox 20
•5.55
3 6x 20
10.00
20x24
6.66
36x24
12.00
23x24/36
80-A3
36x24/36
15.00
24x16
5.33
4ox16
8.88
24x20
6.66
40x20
11.11
24.x24
8.00
40x 24
13-33
24x2,1/36
10.00
40.x24/36
16.66
28x16
6.22
48x16
10.66
28x2D
7.77
46x20
13.33
28x24.
9.33
48x216.00
28x24/36
11.66
48x24/36
20.00
. CrUIS14G FRJOE
R
1211 Insulation
R
' 1 -Interior Air Alm
`- 71
1 -Interior. Air Film
91
2-j" %eetrock
.45
- 2411 Sheetrock
.45
3-31;11 Soft Wood & all Insu1.
31.30
3-12" Insulation
38.00
4—Exterior Air IYlm
4.1bcterior Air I�ilm
.61
Total R
32.97
Tota R
397
Total U
.03
Tota U
.o25
2
Pri-Irrie
3 1 -Interior Air Film
2 2-4" Sheetrock
Soft Wood
4-25 32" Fiberbd. Sheathing
5-7116" Med. Donse Edbd,
6-W.terior Air Film
3 Total R
Total U
5
Insulated Wall
l -Interior Air Film
24;" Sheetrook
3-6't Insulc tion
4-2532" Fiberbd. Sheathing,
5iL7/16" Med. Dense Hdbd.
644E cterior Air Film
Total R
Total U
Rim Joist
1 In~ter o Air Film
2-61, Insulation
3-11;" Soft Vood
4-7y16" Med. Dense Hdbd.
5 -Exterior Air film
Total R
Total U
1-A Conc, Block Uninsula.tod
Total R 2.12
Total U -47
' R
.8
.45
6.88
2.06
.67
10.92
.09
R
.6a
45
19.00
2.06
.67
23.03
.043
R
.._. M
19.00
-1.88
.67
.17
22.40
.04.5
1-b Cono. Block Stripping & 3%4" loam Insulation
Total R 7.91 & -�,n Sheetrock.
To�al x .13
CITY OF FRIDLEY
APPLICATION FOR PWMBING AND GAS FITTING PERMIT
Effective Date May 1, 1988
Job Address A)ae
Department of Buildings
City of Fridley
Tel. 8571-3450
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
and rulings of the Department of Buildings, and hereby declares that all
the facts and representations stated in this application are true and correct
Fridley, Mn.
OWNER / / 750Yi �'�e�p., 54�
KIND OF BUILDING eV e e cY -44 ki e
USED AS
TO BE COMPLETED ABOUT
RATE SCHEDULE ESTIMATED COST
PLUMBING FIXTURE RATES: NO. RATE TOTAL OLD - NEW BUILDING PERMIT NO. PERMIT NO. MN &
New Fixtures $ 5.00 0
Future Fixtures 3 $ 3.50 $ ��.,�� Company
Old Opening, New Fixture $ 1.50 $ Signed By
Beer Dispenser $ 4.00 S
Blow off Basin $ 5.00 $
Tal. No. Z 7 - 7 -
Catch
Catch Basin $ 5.00 $
Rain Water Leader $ 5.00 $
ROUGH INSP.
Hydraulic Valve $ 5.00 $ Date
Sump or Receiving Tank $ 5.00 $
Water Treating Appliance $ 7.00 $FINAL INSP.
_
Hot Water Heater �_ $ 5.00 $ `.�-Ob Date
Gas Range $ 10.00 $
Gas Dryer $ 10.00 $ APPROVAL FOR PERMIT e
Back Flow Preventer Required. . . Yea ( ) No ( )-
Type $ 5.00 $
ALL OTH`rRS AND/OR REPAIRS AND ALTERATIONS
It of Value of Fixture or Appliance $ !MINIMUM FEE FOR ANY PLUMBING PERMIT IS $15.00
PLUS THE $.50 STATE SURCHARGE
Reinspection Poe $ State Surcharge S 50
($15.00) TOTAL FEE $ r f D
>,
Uf
id
u
k
e
Water
di
m
w
e .[+
c
u
w
w
Heater
•�
m
�
m
E+
'� N
Mm
W
M
,C C
g d
4
M
,9
d ,c,
'a5
a
o
°e
g
ro ro"
topq�
e
m
d
O
N
U
O
GO
IA
H
$
O W
y
W
U M
3
l7
a3
1@C
114
f
I
-1st,
-2-
2nd 2nd
3rd
4th
(R) a Future Connection Opening
Connected with Sewer
(*) - New Fixture, Old Opening
Water
Effective Date May 1, 1988
Job Address A)ae
Department of Buildings
City of Fridley
Tel. 8571-3450
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
and rulings of the Department of Buildings, and hereby declares that all
the facts and representations stated in this application are true and correct
Fridley, Mn.
OWNER / / 750Yi �'�e�p., 54�
KIND OF BUILDING eV e e cY -44 ki e
USED AS
TO BE COMPLETED ABOUT
RATE SCHEDULE ESTIMATED COST
PLUMBING FIXTURE RATES: NO. RATE TOTAL OLD - NEW BUILDING PERMIT NO. PERMIT NO. MN &
New Fixtures $ 5.00 0
Future Fixtures 3 $ 3.50 $ ��.,�� Company
Old Opening, New Fixture $ 1.50 $ Signed By
Beer Dispenser $ 4.00 S
Blow off Basin $ 5.00 $
Tal. No. Z 7 - 7 -
Catch
Catch Basin $ 5.00 $
Rain Water Leader $ 5.00 $
ROUGH INSP.
Hydraulic Valve $ 5.00 $ Date
Sump or Receiving Tank $ 5.00 $
Water Treating Appliance $ 7.00 $FINAL INSP.
_
Hot Water Heater �_ $ 5.00 $ `.�-Ob Date
Gas Range $ 10.00 $
Gas Dryer $ 10.00 $ APPROVAL FOR PERMIT e
Back Flow Preventer Required. . . Yea ( ) No ( )-
Type $ 5.00 $
ALL OTH`rRS AND/OR REPAIRS AND ALTERATIONS
It of Value of Fixture or Appliance $ !MINIMUM FEE FOR ANY PLUMBING PERMIT IS $15.00
PLUS THE $.50 STATE SURCHARGE
Reinspection Poe $ State Surcharge S 50
($15.00) TOTAL FEE $ r f D
CITY OF
FRIDLEY Effective Date May 1, 1988
APPLICATION FOR POWER PLANTS
AND HEATING,
COOLING, VENTILATION, REFRIGERATION AND 7
AIR CONDITIONING
SYSTEMS AND DEVICES
RATE SCHEDULE
-RESIDENTIAL RATE
TOTAL
Job Address
Furnace Shell and Duct Work,
Burner (Also replacement furnace) $ 20.00
o
$
Department of Buildings, 6431 University Ave. N.E., Fridley, MN 55432
a
City of Fridley
Gas Piping $ 10.00
$ ��
Tel. #571-3450
(piping needed with new furnace)
Gas Range $ 10.00
$
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
Gas Dryer $ 10.00
$
and rulings of the Department of Buildings, and hereby declares that all the
facts and representations stated in this application are true and correct.
19
• Air Conditioning (all sizes) $ 10.00
$
Fridley, Min.
�Q� d ®`�
All Others/Repairs and Alterations
�_
OWNER ( �S®�
11 of Value of Appliance or Work
S
KIND OF BDILDING \ 'C
COMMERCIAL/INDUSTRIAL
USED AS
�-
/
6 e
18 of Value of Appliance or Work
$
TO BE COMPLETED ABOUT
®
tq®®
ESTIMATED COST
State Surcharge
�r�
$ .50
06sO
7$�1 NEW BUILDING PERMIT NO. PERMIT NO.
�—
TOTAL FEE
$
Reinspection Fee ($15.00)
$
DESCRIPTION OF FURNACE/BURNER
Rough Insp.
/
%(,��/
TING or POWER PIA , rm Steam, Hot Water, aA N06 No. 0'? S
Date
ade Name le (
Size No. _S002
Final IIIsp.
Date
�
® BTU HPL
Capacity Sq. Ft. EDR
Approval for Permit
�� ry
Total Connected Load Kind of Fuel Vad 6 -
BURNER - Trade Name Size No.
Capacity Sq. Ft. EDR BTU HP
MINIMUM FEE FOR ANY HEATING PERMIT IS $15.00
CompanyN
PLUS $.50 STATE SURCHARGE
Signed By
el— 49/ 5-1
Tel. No. _43
*Air Conditioners can not be placed in side yard without
written permission from adjoining neighbor.
Fill out back side for stack verification on replacement furnaces
CHIM14EY 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 connected
Yes ( )
No
6.
Has Total heating BTU's of
All other BTU's
TOTAL
Remarks
Company
Signed By
Da to
CIVIC CENTER - 6431 UNIVERSITY AVE. N.E. FRIDLEY, MINNESOTA 55432 - PHONE (612) 571-3450
July 13, 1989
Jerry Tollefson Construction
311 Sunrise Lane
Champlin, MN 55316
Re: Final Inspection at 142 - 7A Way N.E., Fridley
Dear Sirs:
A final inspection was conducted on July 11, 1989 of the above address and
the following items were noted which must be completed before the czonstrwtion
can be finaled:
1. Provide sod in the front and side yards by September 30, 1989.
2. Restrict patio door to 6 inches maximum opening before occupancy, until
deck is constructed.
We will expect the above items to be completed and a reinspection called for
when the sod is installed. Occupancy of the structure is approved.
If you have any questions on these items, please contact me at 572^3602.
Sincerely,
DARREL G. CLARK.
Chief Building Official
DGC/mh
SUBJECT
City of Fridley
AT THE TOP OF THE TWINS
BUILDING PERMITP'21212
i �
ECEIPT NO.
� COMMUNITY DEVELOPMENT DIV.
.:------I
r � � PROTECTIVE INSPECTION SEC.
t/r� 9�
--1 CITY HALL FRIDLEY 55432
NUMBER
REV
DATE
PAGE OF
APPROVED By
612-571-3450
910-F15
2/21/92
JOB ADDRESS 142'- 7111 Way NE
1 LEGAL
LOT NO.
BLOCK
TRACT OR ADDITION SEE ATTACHED
DESCR.
3
2
Riverwood Park SHEET
2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE
Thomas/Susan Kirchner 142 - 7A Way NE 571-4942
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
Finish.basement
9 CHANGE OF USE FROM TO
STIPULATIONS
SEE NOTATIONS ON PLAN.
TYPE OF CONST.
OCCUPANCY GROUP
OCCUPANCYLOAD
SEPARATE PERMITS ARE REOUIRED 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
$2 000
$1.00
WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT
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-
$45.00
Fire SC $2.00
STRUCTION OR THE PERFORMANCE OF CONSTRUCTION.
PLAN CHECK FEE
TOTAL FEE
$48.00
RE OF CON i RAC R OR AUTHORIZED AGENT I(,(D�/ATE)
W EN PR A I TED THIS IS YOUR PERMIT
T14 0 -IVA
GNA R E IIF O NER BUILDER) (DATE)
LOG INSP SATE E
NEW ( ] Effective 1/1/92
ADDN (] CITY OF FRIDLEY
ALTER SINGLE FAMILY AND DUPLEXES R-1 AND R-2
Building Permit Application
I
Construction Address:
Legal Description:
Owner Name & Address: . Z it s cd S.Aso, n i-, L-" N" Tel. #-75') l —L/9q.;k
Contractor:
Address:
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 IMPROVEMENT
LIVING AREA: Length Width Height Sq. Ft.
GARAGE AREA: Length Width Height Sq. Ft.
DECK AREA: Length Width Hgt/Ground Sq. Ft.
OTHER: yi ti tS i l— F}5� w1 �c�.►T
Corner Lot [ ] . Inside Lot ;4 Ft. Yd Setback _
Type of Construction: 1 Y!&
Approx. Completion Date:
Driveway Curb Cut Width Needed: Ft. + 6 Ft =
DATE:
APPLICANT:
Permit Fee
$ 41. 0 0
Fire Surcharge
$ 1.00
State Surcharge
$ 1.00
SAC Charge
$
Driveway Escrow
$
Park Fee
$
Sewer Main Charge $
TOTAL
STIPULATIONS:
Side Yard Setbacks
Estimated Cost: $ Zo op _ c) r,
coos
Ft x $ _ $
Tel. #
Fee Schedule on Reverse Side
.001 of Permit Valuation (1/10th%)
$.50/$1,000 Valuation
$700 per SAC Unit
Alt. "A" or Alt. "B" Above
Fee Determined by Engineering
Agreement Necessary [ ] Not Necessary [ ]
n
z
3
3 �3
4
7
4
-7
0*118 L--�--
i
3 ^'
Z J0 9gp!M 'ww a pue „fit 10 Nklaq •u!w e
qvm eaie WOO jo •4 •bs L'S ueyd ssat
4ou OP!Aoja pegs pue coop ag; anage „"
ump aJo�ou 10 lAlaq i!!s a 411M Mopulm
vo }seay;e 484 !!eys wool 2Uldaajs kqa 3
I
CITY OF FRIDLEY
Effective Date January 1, 1991
APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION, REFRIGERATION AND
AIR CONDITIONING SYSTEMS AND DEVICES
RATE SCHEDULE
RESIDEKTIAL
RATE
TOTAL
Furnace Shell and Duct Work,
Burner (Also replacestent furnace) $
20.00
$
Gas Piping $
10.00
$
(piping needed with nen furnace)
Gas Range $
10.00
$
Gas Dryer $
10.00
$
Air Conditioning (all sizes) $
10.00
S
All Others/Repairs and Alterations
It of Value of Appliance or Work
$leo.157
V4t is e. ii ul °LT w o R K
COMMERCIAL/INDUSTRIAL
l% of Value of Appliance or Work
$
State Surcharge
$ .50
TOTAL TEE
$ 7.
REINSPECTION FEE $30.00.
$
Rough Insp.
Date
Final Insp. ,7
Date
Approval for Permit (�h)
MINIMUM FEE FOR ANY HEATING/COOLING/VENTING PERMIT
IS $15.00 PLUS THE $.50 STATE SURCHARGE
Job Address ' -1' g� — " t QTY N. • G .
Building Inspection Div. 6431 University Ave NE Fridley MN 55432
Tel. No. 572-3604
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
and rulings of the Department of Buildings, and hereby declares that all the
facts and representations stated in this application are true and correct.
OWNER '10M 4< I R C H N e R
KIND OF BUILDINNG eS 1 p Giii TL F? L n- YN t
USED AS Re—:,, f i F /V C C'
TO BE COMPLETED ABOUT 1 v ► 1\ . `1' L
ESTIMATED COST � -7 �. D
OLD - NEW BUILDING PERMIT NO. PERMIT NO.
1
1 'o
DESCRIPTION OF FURNACE/BURNER.
HEATING or POWER PLANTS, Steam, Hot Water, Warm Air- No.
Trade Name
Capacity
Total Connected Load
BURNER - Trade Name
Capacity
Size No.
Sq. Ft. EDR BTU Bp
Kind of Fuel
Size No.
Sq. Ft. EDR BTU HP
*Air Conditioners can not be placed in side yard without
written permission from adjoining neighbor.
Fill out back side for stack verification on replacement furnaces
CHIMNEY 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 connected
Yes ( )
No ( )
6.
Has Total heating BTU's of
All other BTU's
TOTAL
Rema rk s
Company _
Signed By
Da to
Reference No. 602-96-0145 Request For Service Report
City of Fridley
ervice Requested Weld bar across culvert
Department
PW
Location of Service need
Owner or Agent of Property
Name of Citizen
Address
142 - 71-1/2 Way
Date 4-22-96 Time 10.18 a.m.
Division Sewer .
Phone: (H)
K
Details of Request Weld bar across culvert to keep racoons out.
Phone: (H)
Request Taken By: John Flora
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Date ClearedCttize n fledLY
No
Signature of person clearing request=
12x , � .
I
Ml
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Date ClearedCttize n fledLY
No
Signature of person clearing request=
City of Fridley
SUBJECT
P.
2 4_`'1,5_
AT THE TOP OF THE TWINS
BUILDING
PERMIT
f
�
NO.
L ______ COMMUNITY DEVELOPMENT DIV
PROTECTIVE INSPECTION SEC.
r I
1
i CITY HALL FRIDLEY 55432
NUMBER
REV
DATE
PAGE OF
APPROVED BY
612-571-3450
910-F15
4/26/96
JOB ADDRESS 142 71 1/2 Way NE
1 LEGAL
LOT NO.
BLOCK
TRACT OR ADDITION
SEE ATTACHED
DESCR.
3
2
1 Riverwood Park
SHEET
2 PROPERTY OWNER MAIL ADDRESS
ZIP PHONE
Tom/Sue Kirchner 142 71 1/2 Way NE
3 CONTRACTOR MAIL ADDRESS
ZIP PHONE LICENSE NO.
D M Sather Co Inc 7920 Powell Rd Hopkins, MN 55343 938-7989 3778
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 ❑X ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ElREMOVE
8 DESCRIBE WORK
Construct a 16' x 12' 3 Season Porch and a 15'6" x 8'
Deck
9 CHANGE OF USE FROM TO
i
STIPULATIONS
See notations on plan.
WARNING
Before digging caii for
all utility locations
454-01002
REQUIRED BY LAW
SEPARATE PERMITS REQUIRED FOR
WIRING, HEATING, PLUMBING AND SIGNS.
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
$59952
$2'98
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 HE PERFORMANCE OF CONSTRUCTION
PLAN CHECK FEE
TOTAL FEE
License SC $5.00
$126.18
SIGNA URE OFCONTRAC OR ORAUTHORIZEDA ENT IDATEI
WHEN PROPEPOY VALIDATED THIS IS YOUR PERMIT
LDG INSP
GATE
SIGNATURE OF OW NER IIF OWNER BUILDERIIDI►TEi
NEW [ ] ffective 3/1/96
ADDN [ ] CITY OF FRIDLEY
ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 ,
Building Permit Application
ConstructionAddress: 14 Z -7( �z wAy UP- ,
Legal Description: r
Owner Name &,Address: AG
/ / Tel. #
Contractor: MN LICENSE # --7%8
Address: -1 -TRoa®1► (� j 12� 6 Tel. # 38 �
Attach to this application, a Certificate of Survey of the
lot, with the proposed construction drawn on it to scale.
DESCRIPTION OF EVIPROVEMENT
LIVING AREA: Length — Width _ Height Sq. Ft.
GARAGE AREA: Length Width -------- Height Sq. Ft.
DECK AREA: length/� °G Width H Ground ® �g Sq. Ft. /moi
OTHER: 'u
Corner Lot [ ] Inside Lot [ ] Ft. Yd Setback
Type of Construction: Add
Approx. Completion Date:
(Cost on
Side Yard Setbacks
Estimated Cost: $ 9J2,
Back)
Driveway Curb Cut Width Needed:
Ft. Ft = 1 x $ _ $
DATE: �� APPLICANT:
Tel. #
CITY USE ONLY
Permit Fee
$ 2
Fee Schedule on Reverse Side
Fire Surcharge
$ 95"
.001 of Permit Valuation (1/10th%)
State Surcharge
$
$.50/$1,000 Valuation
SAC Charge
$
$900 per SAC Unit
License Surcharge
$ S:
$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:
sueJECT
-PERMIT NO.
City of Fridley
(
27053
AT THE TOP OF THE TWINS
BUILDING
PERMIT
r
�
RECEIPT NO.
COMMUNITY DEVELOPMENT DIV.
r PROTECTIVE INSPECTION SEC.
��®
1
NUMBER
REV
DATE
PAGE OF
APPROVED BY
i CITY HALL FRIDLEY 55432
612-571-3450
910-F15
8/7/98
JOB ADDRESS 142 71 1/2 Way NE
1 LEGAL
LOT NO.
BLOCK
TRACTOR ADDITION
SEE ATTACHED
DESCR.
3
2
Riverwood Park
SHEET
2 PROPERTY OWNER MAIL ADDRESS
ZIP
PHONE
Tom Kirchmer
3 CONTRACTOR MAIL ADDRESS
ZIP
PHONE LICENSE NO
Top Gun Inc 5014 Parrish Ave Roizers 55374 428-4559 20128211
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
O NEW ❑ ADDITION O ALTERATION XX REPAIR
O MOVE O REMOVE
8 DESCRIBE WORK
Reroof and tear off (29 Sq)
9 CHANGE OF USE FROM TO
STIPULATIONS
Underlayment must comply with State Building Code.
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 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
WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT
$2418
XXX $1.21
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.
$74.75
Fire SC $2.42
PLAN CHECK FEE
TOTAL FEE
Lir nse SC5.0
83.38
SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT IDATEI
HEN PROPERLY
BLDG NSP
(DATED
THIS IS JOR PERMIT
�
MATE
SIGNATURE OF OWNER OF OWNER BUILDERI IDATEI
NEW [ ]
ADDN [ ] CITY OF FRIDLEY
ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2
BUILDING PERMIT APPLICATION
ConstructionAddress:
Legal Description:
. "7 / 1/2- Ca j Cc.
Effective 1/ 1/97
Owner Name & Address: y -Z 71 'lz L , A1_�F Tel. #
Contractor: TO P 6 U K) T to C, 5o I LI Rvi,`t is h CLQ 1j L MN LICENSE # ZQ / zJ Z
Address: (2L c�A S , rvX�j S S 31(4 Tel. # q 2-8- 1J5,5
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
GARAGE AREA: Length Width
DECK AREA: Length Width
OTHER: C;16
Height Sq. Ft.
Height Sq. Ft.
Hgt/Ground Sq. Ft.
v
Construction Type: Rt /ZD 6 Tj CA - Estimated Cost: $
(Fee Schedule on Back)
Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ = $
DATE: �'%S / �l'� APPLICANT: 61 �S Tel. # //2 IF— Z/5 15 9
CITY USE ONLY
Permit Fee $ -7 L4. -7-C Fee Schedule on Reverse Side
Fire Surcharge
State Surcharge
SAC Charge
License Surcharge
Driveway Escrow
Erosion Control
Park Fee $
Sewer Main Charge $
TOTAL
STIPULATIONS:
$ 5',7 , 3S
.001 of Permit Valuation (1/10th%)
$.501$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 [ ]
sue;Etr
P IT NO)3'l
City of Fridley
316 3
AT THE TOP OF THE TWINS
BUILDING PERMIT
F ,
NO.
fr ------ COMMUNITY DEVELOPMENT DIV.
i PROTECTIVE INSPECTION SEC.
/
i
I "'1 CITY HALL FRIDLEY 55432
IL"---A,
NUM9ER
REv
DATE
PAGE OF
A6PROVEO BY
j 612-571-3450
910-FIS
1/26/01
JOB ADDRESS 142 71 1/2 Way NE
1 LEGAL
LOT NO.
BLOCK
TRACT OR ADDITION SEE ATTACHED
DESCR.
3
2
Riverwood Park SHEET
2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE
Ryan Melville 142 71 1/2 Way NE 763-502-0703
3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO
David Kaas Construction 6231 Sunrise Dr NE, Fridley, MN 55432 612-221-6398
4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO
City License
5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO
8 USE OF BUILDING
Residential
7 CLASS OF WORK
❑ NEW ❑ ADDITION ❑ ALTERATION C2 REPAIR ❑ MOVE ❑ REMOVE
8 DESCRIBE WORK
Reside front of 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 REQUIRED FOR ELECTRICAL. PLUMBING, HEATING,
TYPE OF CONST.
OCCUPANCY GROUP
OCCUPANCYLOAO
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
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
$1,100 $.55
WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT
DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE
PERMIT FEE SACC RGE
PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON•
$41.80 Fir SC $1.10
R ON OR THE PERFORMANCE OF
-
PLAN CHECK F TOT L.FEE
`Of
City ense $43.45
SIGNATURE OF COWRAC R OR AUTHORIZED AGENT IDATEI
EN P O E , ALIDA THIS IS Y UR PIT
'ER �-tel
9lD FIATE
SIGNATURE OF OWNER,IF OWNER BUILDERI IDATEI
NEW [ ] Effective 1/1/2001
ADDN [ ] CITY OF FRIDLEY (763) 572-3604 Bldg Insp
ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2
BUILDING PERMIT APPLICATION
Construction Address:
Legal Description: I �.j
Owner Name & Address: & c.,, rri 2 ry ����� 1`� a YaTel. # -76-S 56a 6-763
Contractor. ��.v�� ��c•c�I �►^�.� MN LICENSE#
Address: I,•r+`'% IC e Dr\;.r L Yy , S;g32Tel. # 02- 220 (-39V
LIVING AREA:
GARAGE AREA:
DECK AREA:
OTHER:
Attach to this application, a Certificate of Survey of the
lot, with the proposed construction drawn on it to scale.
DESCRIPTION OF IMPROVEMENT
Length Width Height Sq. Ft. �� b
Length Width
Length th
Height Sq. Ft.
Sq. Ft.
Construction Type: � — J� Estimated Cost: $
Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ _ $
t� 2Z1 CD
DATE: (-.9-4,-6\ APPLICANTel. #
CITY USE ONLY -
Permit Fee
Fire Surcharge
State Surcharge
SAC Charge
License Surcharge
Driveway Escrow
Erosion Control
Park Fee
Sewer Main Charge
Call (763) 572-3604 for Permit Fees if mailing in application
$ 4/. 80 Fee Schedule on Reverse Side
$ /'(0 .001 of Permit Valuation (1/10th%)
$S�' $.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 [ ]
TOTAL $
STIPULATIONS: