PRE 2010 DOCSCity of Fridley,
BUILDING PERMIT
N°571
Builder _ ... ..._�
Address
LOCATIO BUILDING
No."' Stree _ Part of Lot
Lot _ ' _ _ __ Block _ ddition or Sub -Division -,
Corner Lot Inside Lot ___ Setback W _ Sideyard _ _—
Sewer Elevation
Foundation Elevation
DESCRIPTION :OF BUILDING
To Used ,f
Front; Depthivo, Height Sq. Ft., Cu. Ft.
t Depth Height Sq. Ft. Cu. Ft.
Type of CtnstructionEst. Coi _ '' 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
t e 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
>t'ridley, Minnesota regarding location, construction, alteration, maintenance, repair and moving of buildings
within the city limits and this permit may be revoked at any time uponolation any of the provisions of said
ordinances. d
Building Inspector
NOTICE:
This permit does not cover the construction, installation for wiring, plumbing, gas heating, sewer or water. Be sure to see
the Building inspector.for separate permits for these items.
4
owner Is
APPLICATION FOR BUILDING PERMIT
CITY OF FRIDLEY,. XXMSOTA
1AAL
LOCATION OF BUILDING
No. —Streetikad,1r„ �� "art ofLot
Lot Block Addition S v s o
Corner Lot Inside Lot 6,,'oo� Setbacks ide-Yard . 9 /7-f
SE%dEEt ELEVATION. FOUNDATION ELEVATION ��-�----.
w� r. r.r rrrwri..n rrir.rr.gn.rwr
Applicant attach to this form Certificate of Survey of Lot and
proposed building location.
DESCRIPTION OF BUILDING
To be used as:
Front _4LL_Depth_42LZ 0igh 4
Sq. Ft .,/ 9 cu. Ft • rW.S+.!j��� w'S.r.�
L)-Iff'(AL Front"r,Depthheight
Sq. Ft .....r... rr.r ....._. .
Type of Construction� Estimated Cost- 'Z 0-0-0
To be
.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 ruling of the Department of Build
Ings, and hereby declares that all the facts and representations
stated in this application.are true and correct.
DATE Sit�iTATURE
(Schedule of Fee Costs"can be found on the Reverse Side).
Y . '1W f
City of Fridley
,. Apptic ion for Plumbing and Gas Fitting Peunit
Dept. of Bldgs. Phone SU 4-7470
DESCRIPTION OF WORK O m
Number, Kind and Location of Fixtures I'�o
PARTIAL RATE SCHEDULE
PLUMBING FIXTURE RATES:
d'
RATE
��TOTAL
��
$Z��
UI
]6
$1.50
8� Z
N
eC
�W
1.20
W
Z
•
R
•
N
WATER M.
GAS
ELM
3.25
3
g
x
2.00
$-
New Ground Run Old Bldg . ............
x
3.25
$
GAS FITTING FEES:
NO.
RATE TOTAL
1st 3 Fixtures ..........................
-1_ x
$1.50
Additional Fixtures ....................
x
.50
$
Gas Range to 200,000 BTU ..............
x
2.00
$
Base
-
lst
2nd
_
3rd
—
4th
• Future Connection Openings
I
Connected with
Sewer
New .Fixture. Old Openings
--, Cesspool- E]
PARTIAL RATE SCHEDULE
PLUMBING FIXTURE RATES:
NO.
RATE
��TOTAL
��
$Z��
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 ..........................
-1_ x
$1.50
Additional Fixtures ....................
x
.50
$
Gas Range to 200,000 BTU ..............
x
2.00
$
REPAIRS & ALTERATIONS—Refer to Code
Description................................................$
TOTAL FEE $
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,
Owner
Kind of Building L.2�
Used as
To be completed about`—�®�
Estimated Cost, $ j,01�2'
Old—New. Building Permit
ROUGH---"/"—,� f—
FINAL
d z 2M 7-59
SUBJECT
PER IT NO
City of Fridley
® -'5255.
AT THE TOP OF THE TWINS
BUILDING PERMIT
f
RE IPT NO
• _ COMMUNITY DEVELOPMENT DIV.
r PROTECTIVE INSPECTION SEC.
t
t ,
NUMBER
REV.
DATE
PAGE OF
APPROVED BY
= CITY HALL FRIDLEY 55432
612-571-3450
910-F15
6/12/79
JOB ADDRESS 6300 Riverview Terrace N.E.
1 LEGAL
LOT NO.
BLOCK
TRACTOR ADDITION SEE ATTACHED
DESCR.
4
4
1 Eva Erickson River Marr SHEET
2 PROPERTY OWNER MAILADDRESS ZIP PHONE
John Carroll 6300 Riverview Terrace N.E. 560-7356
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 O REMOVE
X
8 DESCRIBE WORK
Aeroof structure
9 CHANGE OF USE FROM TO
STLPULATIONS
Roof can be second but not third roof.
SEPERATE PERMITS REQUIRED FOR WIRM
HEATING, PLUMBING AND SIGNS,
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
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
]
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
$.50
WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT
$500
DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE
PERMITFEE
SAC CHARGE
PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON-
$7.50
STRUCTION OR THE PERFORMANCE OF CONSTRUCTION.
PLAN CHECK FEE
TOTALFEE
. • .,
$8.00
SIGN Tu DFCD /TORR O'R AUTHORIZED AGENT (DATE)
� �" L � �
•(r WHEN PROPER Y VALIDATED THIS IS YOUR PERMIT
J (JceC. J
�` SIGNATURE OF OWNER (IF OWNER BUILDER) ID E)
BLDG INSP DAIIE
y
CITY OF FRIDLEY
APPLICATION FOR RESIDENTIAL•BUILDING PERMITS
(New, Alterations, Additions, or Repairs)
BUILDER:
ADDRESS:
TEL NO:
Construction Location
STREET NO: STREET: P C�-
LOT: BLOCK: ADDITION:
Corner Lot: Inside Lot: Setback: Sideyards:
Applicant attach to this form two Certificates of Survey of lot and
proposed building location drawn on certificates to scale.
DESCRIPTION OF CONSTRUCTION
Front:
Squane.Feet:
Depth
Cubic Feet:
Height:
Front: Depth: Height:
Square Feet: Cubic Feet:
Type of Construction: Estimated Cost: $
To Be Oumpleted:
Alt. A Alt. B
Proposed Driveway Width If New Opening Is Desired: $ $
SEE REVERSE SIDE OF SHEET
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.
Stipulations:
SUBJEtT
PERMIT NO.
City of Fridley
2 5445
T THE TWINS
BUILDING
PERMIT
7 m
RECEIPT NO.
`
COMMUNITY DEVELOPMENT DIV.
SEC.
PROTECTIVE INSPECTION
�
l1 =
A ; ���,'� CITY HALL FRIDLEY 53432
NUMBERRFV
DATE
PAGE OF
APPROVED BY
•---
L J` 612-571-3450
910-F15
10/28/98
JOB ADDRESS 6300 Riverview Terrace
1 LEGAL
LOT NO.
BLOCK
TRACT OR ADDITION
Eva Erickson River Manor SEE ATTACHED
DESCR.
4
4
B)ffi)S��
SHEET
2 PROPERTY OWNER MAIL ADDRESS
'Bill Smythe
ZIP PHONE
502-5399
3 CONTRACTOR MAIL ADDRESS
Town & Country Roofing 2th Ave 9 RlOCkMingkon
ZIP PHONE LICENSE NO
5S42S S45-4211 20091292
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
0 NEW 0 ADDITION O ALTERATION Mx REPAIR 0 MOVE 0 REMOVE
8 DESCRIBE WORK
Reroof house and garage (21 Sq) 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
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
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
1799
$.90
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
$56.75
Fire sC. $1.80
PLAN CHECK FEE
TOTAL FEE
00
License SC $5.00
1$64.45
S-GNAT F dCATRACTOR OR AUTHORIZED AGENT iOATEi
WHEN PPRROPS VALI TED THIS IS YOUR PERMIT
Bl NSP TTATE
S-'GNATURE OF OWNER.IF OWNER BUILDERi ]DATE)
AUG -13-1998 08:42 FROM CITY OF FRIDLEY TO
. .LJ I• L
ADDN [ ] CITY OF FRIDLEY
ALTER [ j SINGLE FAMILY AND DUPLEXES R-1 AND R-2
BUILDING PERMT APPLICATION
ConsttuctionAddress:
Legal Description:
Owner Name & A
Contractor: In, -,)r
Address:
LIVING AREA:
GARAGE AREA:
DECK AREA:
OTHER:
M
®® �'✓p t� 1/i
8589320 P.01/02
VAUXUvc iiIIV6
rv,'-P d # SUS- 5<3947
MN LICENSE #&091a 5a
2> ZS Tel. #..5-q S-:-
Attach to this application, a Certificate of Survey of the
lot, with the proposed construction drawn on it to scale.
Length
Length
Length
DESCRIPTION OF DdPROVEMENT
Width Height Sq. Ft.
Width Height Sq. Ft.
Width Hgt/Ground Sq. Ft.
r�
Construction Type. —Estimated Cost:
$
(Fee Schedule on Back)
Driveway Curb Cut Width Needed: Ft. + 6 Ft Ft x $ =$
DATE: �� /off- �'! APPLICANT: Tel. # `J L1 ,S • L/� 33
Permit Fee
Fire Surcharge
State Surcharge
SAC Charge -
License Surcharge
Driveway Escrow
Erosion Control
Park Fee
Sewer Main Charge
TOTAL
STIPULATIONS:
$ Fee Schedule on Reverse Side
$ .001 of Permit Valuation (1/10th%)
$ , %o $.501$1,000 Valuation
$ $1000 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 [
g " �i� -- -
m CITY OF FRIDLEY INSPECTION DIVISION
Llf"ccive January L. ,'2003
a 6431 University Ave NE
Fridley, MN 55432 APPLICATION FOR 96VER PLANTS AND HIEATING# COOLING, VENTILATION,
(763) 5723604 REFRIGERATION AND AIR CONDITIO
m FAR (763) 571-•1287 KING SYSTEMS AND DEVICES
a.
ATE CHE ULE JOB ADDRESS f"�+��A00�
M
Residential OWNER L-/TH Q�/,(;
Furnace Shell and Duct Work, Burner • Rate TOTAL
Also Replacement Furnace $ 30.00 $d.(K� BUILDING USED A
(Side Vent - FII Out Back)
Gas Piping (Needed with new furnace, ESTIMATED COST , p� PERMIT NO.-
but not replacement) Gas Range $ 1p.00 $ RESCRIPINCIN QF FUgNAgZ ND O
o Gas Dryer No. of $10,00.$ T rade Name! Units Circle One (Steam) (Hot Water) Warm A'
"Air Conditioning •All Sizes BTU�0, o o_HPSize No. 7C v a
$ 25.00 $ �,00 Fuel 6AS EDR
All Others/Repairs & Alterations (LIST ON BACK) 7 Total Connected Load
1% of Value of Appliance or work Burner Trade Name Size No.
Commercial/InHPdustrial EDR
A 1.25/, of Value of Appliance or Work
$--- The undersigned hereby makes application for a permit for the work herein
C3 State Surcharge 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
TOTAL FEE ;SZI representations stated in this applirati„n are true and correct.
�a. 00 DATE 0 —
HI I U FO Y 'RATING/ to/VENTI I N s. ��
�EFRIGERATIaN/AIR CONDITIONIIyG,I�'ERMlT IS 428,00 �� HEATING CO il.l�.�c ,Jr ` ` �1V�,Q G
�LV.7 t. •w 50 s..._
SURC ARG
01
Sign TEL
to 1EINSPECTION FEE $47.00/Hr FAX # S' -
r-�
c3 Ni mAir Conditioners can not be placed in a side yard without
Britten permission from adjoining property owner_ Approved By—�� Rough -In Date Final Date
m
o i
on z' F1i.L OUT BA .►t DE FdR STACK VFRIFICA 0 R PLA FMENT FURNA E
.,
a
0
z
Nov -19 09 09:15a
NOV-17-2003 1357 FROM CITY OF FRIDLEY
TO 7635759431 P.03iO3
THE BELOW MUST BE RLL D IN WHEN REPLACING FUEL BURNING APPLIANCES OR THE
APPLICATION WILL BE RETURNED
When Mplasjng'an nY Sftoo ti..qnf.%%, the undersigned hereby verifies that the
venting has been examined and is free from rust, deterioratlon, obstructions,
and Is securely supported and frrestopped where required. Yes >( No ( )
The venting system is pluWPVC and meets all current codes and manufacturer
specifications including sizing, length, number of elbows and terinination. ' YesWj No ( )
The undersigned also verifies that the repkmment unit is a listed assembly
and meets the cument codes and manufacturees specifications_ This does
include AGA-GAMA Category I Central Furnace Venting Tables for fan
assistsd*and natural draft appliances.
The IStio- - hi.efiftn Wr is sizedand nd installed to meet the cA wrent codes
and manufacturer's speciffcations.
When,nequired to�_. WhIJ2901t ek-it will be sized and installed
to meet Ute cwrrent codes and rnanufactumes specifications.
Wham k abliinnas now SWMAL the undersigned hereby verifies that
it is a fisted assembly and meets the gent codes and manufacturees
spedfications. This does include AGA43AMA Category I Central Furnace
Venting Tables for fan assisted and natural draft appliances.
Is the common vent and vent connectors sized and installed correctly after
an appliance has been removed from the common vent and vented
separaaely as per cummnt codes.
Yes) l No ( )
Yes ( ) No K
Yes() No ( )
Yes' No ( )
Yes( ) No�4
Appliance #1 Type WA i Erz f464t'Er? BTU Input Fan Assisted or:Nat 1U A:r
Applla n6e #2 Type _ BTU Input Faro Assisted or Nat
Appliance #3 Type BTU Input Fan Assisted or Not
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..®
Appbnce#3 Vent Connector Height ft Length ft Diameter_in Type
HEATING CO; 6P1.1. I &A y, (.F U,A Z rj L
SOW 83r, Date: o
p.2
HblAe awiverl- To
F rr r-rA Ir l~
� 01,A,5oWJJ6P TIP
4 LuC Lt�l�l'L-
TOTAL P.03
CITY OF FRIDLEY INSPECTION DIV.
6431 University Ave NE
Fridley, MN ,55432
(763),572-3604, FAX (763) 571-1287
APPLICATION FOR PLUMBING AND GAS FITTING PERMIT
MARK NUMBER OF FIXTURES TO BE INSTALLED ON EACH FLOOR
Effective On Jan 1, 2003, CC -
PLUMBING FIXTURE RATES: NO.
RATE TOTAL
JOB ADDRESS 01kOfK�J� ✓ �� TC(rOce
New Fixtures
$ 7.00
The undersigned hereby makes application for a permit for the work herein
Old Opening, New Fixture
$ 4.00
specified agreeing to do all work in strict accordance with the city codes
Beer Dispenser
$ 5.00
and rulings of the Building Division, and hereby declares that all the facts
Blow Off Basin
$ 7.00
and representations stated in this application are true and correct.
Catch Basin
$ 7.00
/b O
Rain Water Leader
$ 7.00
_,2003
Sump/Receiving Tank
$ 7.00
Water Treating Appliance
$10.00
I J
Owner Ke if k bo Vr,!5 l'nA
Water Heater -Electric
$ 7.00
Water Heater - Gas"
$10.00
Building Used As PC oe-�ee,
Gas Range"
$10.00
0
��r
Gas Dryer'"
$10.00
Estimated Cost PERMIT NO. / 30
Back Flow Preventer Required ( )Yes () No
Type
$15.00
i
PLUMBING COMPANY ®G*�
Reinspection Fee $47.00/Hr
SIGNED BY �oj TEL N0.
ALL OTHERS AND/OR REPAIRS AND ALTERATIONS
1.5% of Value of Fixture or Appliance
f
Approved By Rough -In Date Final Dat
1
State Surcharge
$ .50
MINIMUM FEE FOR ANY PLUMBING/GAS PERMIT IS $20.00
TOTAL FEE
$ 6 a S' ®
PLUS THE $.50 STATE SURCHARGE
COMBUSTION AIR SHALL BE PROVIDED PER UMC SECTION 504(A) AND TABLE 6-A. COMMON VENT INFO ON BACK SIDE
THE BELOW MUST BE FILLED IN WHEN REPLACING FUEL BURNING APPLIANCES OR THE
APPLICATION WILL BE RETURNED
4
COIL MQN VENT- VENT CONN CTOR AND COMBI ISTION AIR VERIFICATION
When repla _ina an exestinn furance, the undersigned hereby verifies that the
venting has been examined and is free from rust, deterioration, obstructions,
and is securely supported and flrestopped where required. Yes () No ( )
The venting system is plastic/PVC 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 PA -c -ling cnmhiictinn air is sized and installed to meet the current codes
and manufacturer's specifications. Yes () No ( )
When required to install a now rnmhusfinn air�it will be sized and installed
to meet the current codes and manufacturer's specifications. Yes () No ( )
When *nrtfallenn a new ventingy, 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
,eft Length
ft Diameter 71 in Type
HEATING CO: z n
Signed By:
Date
I�
CINOF
FRIDLEY
FRIDLEY MUNICIPAL CENTER • 6431 UNIVERSITY AVE. N.E. FRIDLEY, MN 55432 • (763) 571-3450 • FAX (763) 571-1287
June 22, 2004
Mr. Keith Lovegren
6300 Riverview Terrace NE
Fridley, MN 55432
Re: Final Inspection at 6300 Riverview Terrace NE, Fridley
Contractor: Homeowner
Dear Mr. Lovegren:
A plumbing permit was issued on November 20, 2003 to install a water heater at your
address. According to Section 4715.2800 of the State Plumbing Code, a final inspection
shall be conducted on the work authorized by this permit. As of this date the inspection
has not been requested.
The permit fee that was paid covers the inspection to make sure the work was completed
according to the Code. We will keep your permit open for another 30 days and if we do
not hear from you within this time to set up the inspection, we will mark the permit "no
inspection called for by homeowner after notification" and take no further action.
To set up the inspection or to have any questions answered, please contact the Building
Inspection Division at (763) 572-3604.
Sincerely,
DJ/mh
(,��:q3 g
CITY OF FRIDLEY PERMIT No�2004-00799
6431 UNIVERSITY AVENUE NE
FRIDLEY, MN 55432 DATE ISSUED: 05/28/2004
x631572-3604 FAX: (763)571-1287
ADDRESS : 6300 RIVERVIEW TERRACE NE
PIN : 153024420061
LEGAL DESC : EVA ERICKSON RIVER MANOR
: LOT 4 BLOCK 4
PERMIT TYPE : BUILDING
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : SHED (GREATER THAN 120 SQ FT)
VALUATION : S 5,306.00
NOTE: SEE NOTATIONS ON PLAN.
CALL GOPHER STATE ONE AT 651-454-0002 FOR UTILITY LOCATIONS.
CONSTRUCT A 12'X 20' STORAGE SHED.
APPLICANT
KEITH LOVEGREN
6300 RIVERVIEW TERR NE
FRIDLEY, MN 55432
KEITH LOVEGREN
6300 RIVERVIEW TERR NE
FRIDLEY, MN 55432
AGREEMENT AND SWORN STATEMENT
This permit becomes null and void if work or construction
authorized is not commenced witin 60 days or if construction
or work is suspended or abandoned for a period of 120 days
at any time after work is commenced.
I hereby certify that I have read and examined this
application and know the same to be true and correct. All
provisions of laws and ordinances governing this type of wort
will be complied with whether specified herein or not. The
granting of a permit does not presume to give authority to
violate or cancel the provisions of any other state or local law
regulating con
ction or the performance of construction.
BUILDING PERMIT FEE 125.25
PLAN CHECK FEE 81.41
FIRE SURCHARGE 5.31
STATE SURCHARGE, VALUE 2.65
TOTAL 214.62
Bldg Insp Date L U 10 n I `
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE.
NEW [ ] CITY OF FRIDLEY Effective 4/1/2004
ADDN [ ] 6431 University Ave NE, Fridley, MN 55432 (763) 572-3604 Bldg Insp
ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 (763) 571-1287 Fax
BUILDING PERMIT APPLICATION
Ac')&I-no�e?9
Construction Address:
Legal Description: 13111-R &,L4112
Owner Name & Address:�z �� La �L rcre Tel. #
-g
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
LIVINGAREA:
Length
Width
Height
Sq. Ft
GARAGE AREA:
Length
Width
Height
Sq. Ft
DECK AREA:
Length
Width
Hgt/Ground
Sq. Ft
T
OTHER:
S }prate
SA r d
12 ,r4 - 20,C4-
L'Q' o -f
Construction Type: Estimated Cost: $� �� I
Driveway Curb Cut Width Needed: __,F�+ 6 Ft = Ft x $ —=$
DATE: lLia d P. �00q APPLICANT: Ke i , 0sLv <-,I Tel. # -7
Call (763) 572-3604 for Permit Fees if mailing in application. Fax to 763-571-1287 if using credit card and we will call
you for card number.
CITY USE ONLY -
Permit Fee
Plan Review
Fire Surcharge
State Surcharge
SAC Charge
License Surcharge
Curb Cut Escrow
Erosion Control
Park Fee
Sewer Main Charge
Fee Schedule on Reverse Side
65% of Permit Fee
.001 of Permit Valuation (1/10th%)
$.501$1,000 Valuation
$1350 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:
FRIDLEY MUNICIPAL CENTER • 6431 UNIVERSITY AVE. N.E. FRIDLEY, MN 55432 • (763) 571-3450 • FAX (763) 571-1287
January 6, 2005
Mr. Keith Lovegren
6300 Riverview Terrace
Fridley MN 55432
Subject: Grading Without a Permit: 6300 Riverview Terrace
Dear Mr. Lovegren:
PW03-003
The DNR contacted me regarding the grading work taking place behind your house. The DNR
is concerned that you have graded within the natural river bank area. Your permit for the building
does not include the regrading of the rear yard. A 'Land Alteration Permit' is required when:
(1) 50 cubic yards of material is hauled in, hauled out or moved about, or
(2) When motorized excavation equipment is used (mini -excavator, skid loader, etc.).
Please send me a grading plan that shows your finished design. Include river information such as
normal water elevation, high water elevations, etc. A Land Alteration Permit' will be issued when
we get an acceptable grading plan worked out
Please contact me at 763-572-3551 to discuss this matter.
Sincerely,
Layne Otteson, PE
Assistant Public Works Director
LO:cz
NEW [ ] CITY OF FRIDLEY
ADDN [ ] 6431 University Ave NE, Fridley, MN 55432 (763) 572-3604 Bldg Insp
ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 (763) 571-1287 Fax
BUILDING PERMIT APPLICATION
Construction Address: ?�' h v e d "C e-,- Tc,, r ., ece
Legal Description:
Owner Name &Address: C
Tel. # 7l� ti 7,a - / 7'J Z
Contractor: Ilej,/? r 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 /,I' `/ Width Ay ` Hgt/Ground' P Sq. Ft d )
OTHER:
�Z -7 4
Construction Type: Zt%. & 7 2e <- Ie- Estimated Cost: $ ��-27-5-. &--�
Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ —=$
DATE: I A fX ® '�'- APPLICANT: ri e i'A L o u� ?n Tel. # `72 -17 r �
Call (763) 572-3604 for Permit Fees if mailing in application. Fax to 763-571-1287 if using credit card and we will call
you for card number.
CITY USE ONLY -
Permit Fee
Plan Review
Fire Surcharge
State Surcharge
SAC Charge
License Surcharge
Curb Cut Escrow
Erosion Control
Park Fee
Sewer Main Charge
Fee Schedule on Reverse Side
65% of Permit Fee
.001 of Permit Valuation (1/10th%)
$.50/$1,000 Valuation
$1450 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:
Building
BUILDING
Permit No.:�CO
Inspections
RESIDENTIAL APPLICATION
Received B
763-57.2-3604
CITY OF FRIDLEY
D 'AUG 0.6 2009
753-502-4977 FAX
EFFECTIVE 1-1-09
DATE �5
YOUR E-MAIL ADDRESS
SITE ADDRESS
/ c- l—,- ` e c.
THIS APPLICANT IS:
VOWNER ❑CONTRACTOR
PROPERTY OWNER/
NAME: 9 G i LA 1- O y'� Mq
TENANT
ADDRESS:�w ®{% �% ��i Lx d' J T10' CITY G� /�
STATE//A, r/ ZIP
PHONE: 7,63'_ a 12 - 1-7 Jr Z
CONTRACTOR
NAME:
SUBMIT A COPY OF
YOUR STATE LICENSE
STATE LICENSE # EXP DATE
AND CERTIFICATE OF
ADDRESS: CITY
STATE—ZIP–
TATEZIPINSURANCE
INSURANCE
PHONE FAX
PROPERTY TYPE
❑ SINGLE FAMILY/NEW CONSTRUCTION SIZE
❑ TWO FAMILY/NEW CONSTRUCTION STORIES
PERMIT TYPE
❑ ADDITION ❑ GARAGE/SHED ❑ WINDOWS
❑ BASEMENT FINISH ❑ ROOF ❑ DRAIN TILE
❑ DECK IRISIDING AMTHER
IC,
❑ SWIMMING POOL
TYPE OF WORK:
❑ NEW HOME CONSTRUCTION 39ADDITION
_
❑ MAINTENANCE/REPAIR ❑
(REMODELING
®�/a
DESCRIBE WORK BEING DONE: ddA u' . .7 y w(cCJ
SIZE OF IMPROVEMENT
V t/,
LENGTH WIDTH HEIGHT
SQ FT
ROOFING
❑ HOUSE ONLY
BASEMENT REMODELING SUBMIT:
NUMBER OF SQUARES
11 HOUSE & GARAGE
1.
Existing Floor Plan
GARAGES
❑ ATTACHED GARAGE
2.
Proposed floor plan
PROPOSED SIZE:
❑ DETACHED GARAGE
3.
List of structural members to be used
PROPOSED HEIGHT:
SIDING
FOR NEW CONSTRUCTION INCLUDING DECKS,
❑ Vinyl
❑Soffit
ADDITIONS. & PORCHES SUBMIT:
❑ Aluminum
❑ Trim
1.
Site Plan/Survey showing the existing structures
❑ Other
❑ Fascia
and proposed project.
2.
Two sets of construction plans
WINDOWS
3.
Energy Calculations
IN EXISTING OPENINGS ❑Yes ❑No LOCATION OF WINDOWS
OR FOR NEW OPENINGS -DESCRIBE SIZE OF
OPENING CHANGES &
TYPE ORWINDOW TO BE INSTALLED NUMBER OF WINDOWS
ALL FEES ARE BASED ON VALUATION, INCLUDING THE COST OF LABOR AND MATERIALS:
(USING THE 1997 U.B.0 FEE SCHEDULE)
TOTAL JOB VALUATION $ /000,00 OCCUPANCY TYPE _
Permit Fee $ a 15?9,5 See Back Page for Fee Schedule
Plan Review $ 61511,11 65% of Building Permit Fee
Fire Surcharge $ 1 0 0 .001 times the total job valuation
Surcharge $ 50 .0005 x Permit Valuation Minimum $.50
License Surcharge $ 1 $5.00 (State Licensed Residential Contractors)
SAC Charge $ $2000 per SAC Unit (Plans to MWCC for determination)
Curb Cut Escrow $ ft + 6 ft = ft x $22 = $
Erosion Control $ $450 Conservation Plan Review
Park Fee $ Fee Determined by Engineering
Sewer Main Charge $ Agreement necessary ( ) Non Necessary ( )
Total Due $$ Make checks payable to: City of Fridley Attach Stipulations
THIS IS AN APPLICATION FOR A PERMIT -NOT VALID UNTIL PROCESSED
I hereby apply for a building permit and I acknowledge that the information above is complete and accurate; that the work will be in
conformance with the ordinances and codes of the City of Fridley and with the Minnesota Construction Codes; that I understand this is not a
permit but only an application for a permit and work is not to start without a permit on site; that the work will be in accordance with the
approved plan in the case of all work which requires review and approval of plans.
SIGNATURE OF APPLICANT �� � PRINT NAME kc 1` -'A L -d �G i rcel DATE
Building
PLUMBING
Permit No.J6 U I
Inspections
RESIDENTIAL APPLICATION
Received By:
763-572-3604
D
CITY OF FRIDLEY
01
Date Rec'd:ol, 1�
763-502-4977 FAX
EFFECTIVE 1-I-2010
1
DATE o? /alb / 10 YOUR E-MAIL ADDRESS ke, - '4, 10 t, e,@ r4g, 0,
SITE ADDRESS d3 (?O k; 0�,f y CA�V 7-�iroiC'�
THIS APPLICANT IS: XOWNER ❑CONTRACTOR
PROPERTY
NAME: We, i+ A Lova a ren
ADDRESS: i 3®1 i t1Cru `G/is %`�r< CITY A-" d Pyr, STATEldA V ZIP S-
OWNER/
TENANT
PHONE: 7,! �' Jt 7.2 — 17 Set
CONTRACTOR
NAME:
SUBMIT A COPY OF
YOUR STATE
STATE LICENSE # EXP DATE
LICENSE, BOND AND
STATE BOND # EXP DATE
CERTIFICATE OF
ADDRESS: CITY STATE ZIP
INSURANCE
PHONE FAX
PERMIT TYPE
XSINGLE FAMILY ❑ TWO FAMILY ❑ TOWNHOUSE
TYPE OF WORK:
❑ NEW ❑ REPLACEMENT
DETAILED DESCRIPTION OF WORK pV "in e We r�C✓ ya�a rev ¢s�� a��fe � �m¢¢� ���� ,2P4
FEES ARE BASED ON $10.00 PER FIXTURE, EXCEPT WHERE NOTED. FIXTURES: (INDICATE TOTAL NUMBER OF EACH BELOW). MINIMUM FEE
$35.50.
BATH SINK/LAV DRAINS SHOWER _ WATER PIPING
_ _FLOOR _
PIPING (NEED CITY LIC) POOL _ WATER SOFTNER ($35)
—BATHTUB —GAS —SWIMMING
WASHER KITCHEN SINK WATER CLOSET _ BACKFLOW PREV. ($15)
—CLOTHES _ _
DISHWASHER LAUNDRY TRAY HEATER ($35) FOR IRRIGATION
_ _ _WATER
WATER METER OTHER
t� � �ai^.1 +K r :'I bil ��lll�'�: I � �11`.;. il� i'i � �� E i�:il"C .I ' i 4 n ". ::: ' I;I; � �� Ih r� moo;',: hl [� r�-7' �"'t"i J ' ✓Y�' �} i
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THIS IS AN APPLICATION FOR A PERMIT -NOT VALID UNTIL PROCESSED
I hereby apply for a plumbing permit and I acknowledge that the information above is complete and accurate; that the work will be in
conformance with the ordinances and codes of the City of Fridley and with the Minnesota Construction Codes; that I understand this is
not a permit but only an application for a permit and work is not to start without a permit on site; that the work will be in accordance
with the approved plan in the case of all work which requires review and approval ofplans.
SIGNATURE OF APPLICANT PRINT NAME DATE C-2 2.11 D
I' Er
City of Fridley
Building Inspections Department
6431 University Avenue NE, Fridley, MN 55432
763-572-3604
FAX: 763-502-4977
Building
AND MATERIALS:
BUILDING
Permit No.:; Imi &'8
Inspections
TOTAL JOB VALUATION $
RESIDENTIAL APPLICATION
Received By:
763-572-3604
$
CITY OF FRIDLEY
I
Date Rec'd:
763-502-4977 FAX
$
65% of Building Permit Fee
Fire Surcharge
EFFECTIVE 1-1-2010
DATE 02a7,2 Z),o
YOUR E-MAIL ADDRESS
SITE ADDRESS 63,96
!�Y'ef&
THIS APPLICANT IS:
OWNER ❑CONTRACTOR
PROPERTY OWNER/
NAME: ke_ r X061-- TG4
TENANT
ADDRESS: 4 ? 00 (� ; WC I -f CITY =/',`� I t °� STATE1y1.4/ ZIP 'T W Y Z-
. e ��� /�e/1`GC �
$
PHONE: "7 d 3 — '1� 7Z "— P 7 1�- Z
CONTRACTOR
NAME:
$
SUBMIT A COPY OF
YOUR STATE LICENSE
STATE LICENSE # EXP DATE
AND CERTIFICATE OF
ADDRESS: CITY STATE ZIP
INSURANCE
PHONE FAX
PROPERTY TYPE
❑ SINGLE FAMILY/NEW CONSTRUCTION SIZE
Fee Determined by Engineering
❑ TWO FAMILY/NEW CONSTRUCTION STORIES
PERMIT TYPE
❑ ADDITION ❑ GARAGEISHED ❑ WINDOWS
Agreement necessary ( ) Non Necessary ( )
ASEMENT FINISH ❑ ROOF ❑ DRAIN TILE
$
DECK ❑ SIDING ❑ OTHER
Make checks payable to: City of Fridley Attacl
❑ SWIMMING POOL
TYPE OF WORK:
❑ NEW HOME CONSTRUCTION ❑ ADDITION
❑ MAINTENANCE/REPAIR XREMODELING
DESCRIBE WORK BEING DONE: )S;? i fA roo-n !a j6 5e-,"✓�n t
SIZE OF IMPROVEMENT
i-' "til LENGTH WIDTH HEIGHT SQ FT G
ROOFING
❑ HOUSE ONLY
BASEMENT REMODELING SUBMIT:
NUMBER OF SQUARES
11HOUSE & GARAGE
1. Existing Floor Plan
GARAGES
❑ ATTACHED GARAGE
2. Proposed floor plan
PROPOSED SIZE:
❑ DETACHED GARAGE
3. List of structural members to be used
PROPOSED HEIGHT:
FOR NEW CONSTRUCTION INCLUDING DECKS,
IDING
ADDITIONS. &PORCHES SUBMIT:
❑ Vinyl
❑Soffit
1. Site Plan/Survey showing the existing structures
❑ Aluminum
13 Trim
t.
and proposed project
❑ Other
11 Fascia
2. Two sets of construction plans
WINDOWS
3. Energy Calculations
IN EXISTING OPENINGS ❑Yes ❑No LOCATION OF WINDOWS
FOR WINDOWS — PROVIDE U -VALUE AND
OR FOR NEW OPENINGS -DESCRIBE SIZE OF
MANUFACTURE STICKER ON WINDOW.
OPENING CHANGES &
TYPE OF WINDOW TO BE INSTALLED NUMBER OF WINDOWS
ALL FEES ARE BASED ON VALUATION, INCLUDING THE COST OF LABOR
AND MATERIALS:
(USING THE 1997 U.B.0 FEE SCHEDULE)
TOTAL JOB VALUATION $
2_CKXCD
OCCUPANCY TYPE
Permit Fee
$
4� 9111 5—
See Back Page for Fee Schedule
Plan Review
$
65% of Building Permit Fee
Fire Surcharge
$
.001 times the total job valuation
Surcharge
$
1100
.0005 x Permit Valuation Minimum $.50
License Surcharge
$
$5.00 (State Licensed Residential Contractors)
SAC Charge
$
-
$2100 per SAC Unit (Plans to MWCC for determination)
Curb Cut Escrow
$
Q_
ft + 6 ft = ft x $22 = $
Erosion Control
$
$450 Conservation Plan Review
Park Fee
$
--®
Fee Determined by Engineering
Sewer Main Charge
$
Agreement necessary ( ) Non Necessary ( )
Total Due
$
i/ 7_2 L_.'
Make checks payable to: City of Fridley Attacl
THIS IS AN APPLICATION FOR A PERMIT -NOT VALID UNTIL PROCESSED
I hereby apply for a building permit and I acknowledge that the information above is complete and accurate; that the work will be in
conformance with the ordinances and codes of the City of Fridley and with the Minnesota Construction Codes; that I understand this is not a
permit but only an application for a permit and work is not to start without a permit on site; that the work will be in accordance with the
approved plan in the case of all work which requires review and approval of plans.
SIGNATURE OF APPLICANT j i✓ /��®��.����� PRINT NAME li G; �� � � � �4 �0'I DATE %� /j �
n
City of Fridley
Building Inspections Department
6431 University Avenue NE, Fridley, MN 55432
763-572-3604 FAX: 763-502-4977
Permit No., a U
Building
MECHANICAL
Inspections
RESIDENTIAL APPLICATION
Received By: ti9
763-572-3604CITY
OF FRIDLEY
Date "All
763-502- FAX
EFFECTIVE 1-1-2010
14977
DATE �/ 1'� YOUR E-MAIL ADDRESS
SITE ADDRESS 6300 R , r04 r v fc- r
THIS APPLICANT IS: OWNER ❑CONTRACTOR
PROPERTY
NAME:e, a t4
OWNER/
A�e3
ADDRESS: �e3®� j�I�C�'t�Csns !L`�:^�icC CITY�roG STATEfVZIP90M
TENANT
PHONE: T� 3 - 1�- 7z 7 5 Z
CONTRACTOR
COMPANY NAME:
SUBMIT A COPY OF
CONTACT PERSON:
YOUR STATE
STATE LICENSE # EXP DATE
LICENSE WITH
ADDRESS: CITY STATE ZIP
APPLICATION
FAX
PHONE
SINGLE FAMILY ❑ TWO FAMILY ❑ TOWNHOUSE
PERMIT TYPE
NEW ❑ REPLACEMENT ❑ ALTERATION/REMODEL
TYPE OF WORK:
DETAILED DESCRIPTION OF WORK Add 3 Sgai r k,
FEES ARE BASED ON $10.00 PER FiXTURE, EXCEPT WHERE NOTED. FIXTURES: (INDICATE TOTAL NUMBER OF EACH BELOW)
PROVIDE HEAT LOSS CALC'S PER MANUAL J 2006 ASHRAE HANDBOOK
Equipment installed MFG: MODEL: SIZE/BTU
MFG: MODEL: SIZE/BTU
MFG: MODEL: SIZE/BTU
$25.00 (GAS) $15.00 _GAS RANGEIOVEN $10.00
_A/C _FIREPLACE
TO AIR EXCHANGEER $15 (WOOD) $35.00 NEW GAS GRILL $10.00
_FIREPLACE
—BOILER $35.00 $35.00 _GAS UNIT HTR $10.00
_BOILER _FURNACE
CHIMNEY LINER $10.00 DRYER $10.00 _POOL HEATER $35.00
_GAS
DUCT WORK $10.00 PIPING $10.00 VENTILATOR $15.00
_GAS
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THIS IS AN APPLICATION FOR A PERMIT -NOT VALID UNTIL PROCESSED
I hereby apply for a building permit and I acknowledge that the information above is complete and accurate; that the work will be in
conformance with the ordinances and codes of the City of Fridley and with the Minnesota Construction Codes; that I understand this is
not a permit but only an application for a permit and work is not to start without a permit; that the work will be in accordance with the
approved plan in the case of all work which requires review and approval of plans.
L/
SIGNATURE OF APPLICANT /7 PRINT NAMEJ`; %yiLo V � DATE
01
APPROVAL INSPECTORS SIGNATURDATE
Ex -
LI I'13 J, C
City of Fridley
Building Inspections Department
6431 University Avenue NE, Fridley, MN 55432
763-572-3604 FAX: 763-502-4977