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PRE 2010 DOCSDate: May 21, 1968 Owner: Alan Mattson City of Fridley, Minix. BUILDING PERMIT P33 S' q 9'749 Builder Brenny Brothers Address 120 Mississippi St. Address 6011 3rd St. N. E. LOCATION OF BUILDING No. 6320 Street Riverview Terrace — Part of Lot -- Lot ._._ 3 _ Block 4 .— Addition or Sub -Division .� _Eva Erickson River Manor Corner Lot _ Inside Lot -- Setback 35' —_ Sideyard Sewer Elevation ____ 825.82 82 _xV 6RWkVXWRVWAx 828.82 _ Top of Footing DESCRIPTION OF BUILDING To be Used as: Dwelling Front ___. 46' Depth 26/28 Height 20 Sq. Ft. 1650 Cu. Ft 33, 000 Garage Front 20 Depth 22' Height 10 1 Sq. Ft. Cu. Ft. Type of Construction _ Frame Est. Cost � $30, 000 ........ To be Completed Sept. 1. 1,968 SEWER LOCATION - 97' South of Manhole WATER LOCATION -108' South 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 accordant with the description above set forth and In compliance with ;h provisions of ordinances of the city of Fridley. ® OJT 5100.00 Sg3ter Connection unarge In consideration of the payment of a fee of $ 49.00 , permit is hereby granted to Brenny Bros. 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 ding Inspector Clarence Belisle NOTICE: This pensdt don not cover the construction, huta&don for whine, plumbing, gas hoofing, sewer or water. Be son to an the Building hupeetor for separate permits for these items. APPLICATION FOR BUILDING PERiaT CITY OF FRIPLE7-, ; . MI S9*.. OWNER'S— a.BUILDER of .��/ •�� � V` ADDRESS _...11DDRiSS( r:- �----- -LOCAT ON..OY B LDIVG NO.STRE I LOT L __.ADDITION xOR SUBDIVISION CORNER LOT INSIDE LOT SETBACK w .r SIDRD: SEWER ELEVATION TOP OF FOOTING Applicant attach. to; Z I, foam .Two Certi£ipatep.tq£. Surye3r of.I;9t. and.;proposed , ,_. building location drawl on these. Cart if DES%.UTION OF AUELDING,; To Be Used As: Front s Depth " s. _„�eight�_ Square feet Cubic Feet_�:g �- , -• �' Depth- �k--. Haight Square feet Cubic Feet Type of Construction Estimated Cos � To Be Completed // The undersigned hereby makes application for a permit for the work herein specified, agreeing to do all work in strict accordance with the City of Fridley Ordinances and rulings of the Department of Buildings, and hereby declares that all the facts and representations stated in this application are true and correct. DATE-- _ .M _ — ,SIGNATURE (Schedule of Fee Costs can be found on the Reverse Side). V,.ICKSON RIVER AN0KA COUNTY, MINNESOTA ox O DENOTES IRON MONUMENT BEARINGS SHOWN ARE ASSUMED Die ll0�5 „�ygg. N JS'03���0` a�eaJa , a� C N. l: Cona..fC% -•/593.6-- S« /S T3022� w� Sou/h /i�� ol.f c /S TSO, f�ZQ� -_ S /iot Gor 1 Lof q - F oioina9a ons Ufi/ify taromynf� vii Ityr✓n tl�ur 6unp 6%iat an 6otfi finis of /of /roar un/ass afha.�ris� slloi✓� f City of Fridley Application for Plumbing and Cas Fa ing Permit Dept. of Bldgs. Phone 560-3450 DESCRIPTION OF WORK Number, Kind and Location of Fixtures Local PARTIAL RATE SCHEDULE PLIIMBING FIXTURE RATES: NO. RATE ,,TOT ®®L Number Fixtures ...................... x $2.00 $ ss�� Future Fixture Opening ................ New Fixture Old Opening .............. Catch Basin ... ........................ Water Heater (Up to 99,000 BTU) ...... New Ground Run Old Bldg. ............ Electric Water Heater GAS FITTING FEES: 1st 3 Fixtures .......................... Additional Fixtures .................... Gas Range to 199,000 BTU .............. REPAIRS & ALTERATIONS—Refer to Code — x $1.50 $ y Z — x $1.50 $ 12 i" Ziz G�end °CZ �Z Q � O � C9 BSc U' i �0 � F • N WATER HTR. GAS ELEG Base TOTAL — x $2.00 $ _x$.75 $ — x $5.00 $ 1st 2-11 2nd 3rd 4th • Future Connection Openings New Fixture, Old Openings Connected with Sewer E3 Cesspool PARTIAL RATE SCHEDULE PLIIMBING FIXTURE RATES: NO. RATE ,,TOT ®®L Number Fixtures ...................... x $2.00 $ ss�� Future Fixture Opening ................ New Fixture Old Opening .............. Catch Basin ... ........................ Water Heater (Up to 99,000 BTU) ...... New Ground Run Old Bldg. ............ Electric Water Heater GAS FITTING FEES: 1st 3 Fixtures .......................... Additional Fixtures .................... Gas Range to 199,000 BTU .............. REPAIRS & ALTERATIONS—Refer to Code — x $1.50 $ — x $1.50 $ — x $3.25 $ — x $3.00 $ x $3.25 $ _ 8 $2.00 $ NO. RATE TOTAL — x $2.00 $ _x$.75 $ — x $5.00 $ City of Fridley: The undersigned hereby .makes application for a permit for the work herei specified, agreeing to do a11 work in strict accordance with the City Ordinance and ruling of the Department of Buildings, and hereby declares that all the fact and representations stated in this application are true and correct. Fridley, Minn i U rnr�J Z-5 19 b Owner 1,31,71C -All y 00 C --S/', T Kind of Building Used as To be completed about Estimated Cost, $� j�rq , I Old—New. Building Permit No- " I 1 Permit No. �'t�o ROUGH FINAL Description ......... .......................................$ ��s� 00 TOTAL FEE $-tom 4 a Signe 7%' - zl-v % mvz- Th`�' r-- S Business Phone ,Ol/ 4-1- Ya / Application for Power Plants and Healing, Cooling, Ventilation, Refrigeration and Air Conditioning Systems and Devices PARTIAL RATE SCHEDULE Dept. of Bldgs. Phone SW -3450 g r o GRAVITY WARM AIR: RATE TOTAL Location `0 mss' Furnace Shell & Duct Work ........................... $10.00 $ Replacement of Furnace ............................. 6.00 $ Repairs & Alterations—up to $500.00 .................. 6.00 $ Repairs & Alterations each add. $500.00 ............... 3.00 $ MECH. WARM AIR Furnace Shell & Duct Work to 120,000 BTU ............ $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 $ or HOT WATER SYSTEM Furnace Shell & Lines—to 400 sq. ft. EDR Steam ...... $10.00 $ Furnace Shell & Line—to 640 sq. ft. EDR Hot Water ... 10.00 $ Each add. 200 sq. ft. EDR Steam ...................... 3.00 $ Each add. 320 sq. ft. EDR Hot Water .................. 3.00 $ OIL BURNER—to 3 gal. per hour ........................ 6.00 $ over 3 gal. per hour—See Fee Schedule GAS BURNER (up to 199,000 BTU) ......... 5.00 ...... /.. $ over 199,000 BTU See Fee Schedule GAS FITTING FEES: NO RATE TOT OAL 1st 3 Fixtures ...................... x$ 200 $ s Additional Fixtures ................. x .75 $ Gas Range to 199,000 ........... x$ 5.00 $ AIR CONDITIONING FAN HEATING SYSTEM VENTILATING SYSTEM ALTERATIONS & REPAIRS ROUGH FINAL See Fee Schedule TOTAL FEE $ Z:2, 0-d 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 ccrrect. Fridley, Minn ,-7-u 19 Owner Kind of Building 54eL.� Used as h� To be completed about Estimated Cost, 4/1 �® Permit No. ! 2 � Permit No. DESCRIPTION OF WORN HEATING or zP�/OWER PLANTS—Steam, Hot Water, Warm Air—No Trade NamP 114A`6- C'4 ® Ute/: Size Nog �� --- Capacity Sq. Ft. E.D.R Total Connected Sind of Fuel/✓c BURNER — Trade Name Size No Capacity Sq. Ft. E.D.R BTU H.P. She By 4111�0.4P Business Phone No -71C C —/JVCI (REMARKS -OVER) City of Fridley, Minn.. N: 10686 BUILDING PERMIT Date: June 4, 1970 Owner: Allen Mattson Builder Custom Pools Address 6320 Riverview Terrace Address 701 E. Excelsior. Eopkina LOCATION OF BUILDING No. 6320____. Street Riverview Terrace Part of Lot Lot 3 _ Block 4 Addition or Sub -Division Eva Erickson River Corner Lot Inside Lot Setback — Sideyard Sewer Elevation _. Foundation Elevation DESCRIPTION OF BUILDING To be Vsed as: Pool Front ___ Depth Height Sq. Ft. Cu. Ft. Front Depth Height Sq. Ft. Cu. Ft. Type of Construction Gal _& Plastic Est. Cost _.V4,Z0-4Q ___ To be Completed 3 week Reviewed and approved by Fridley Board of Health subject to a following notations: 1. Fill spout shall have outlet 6" above the edge of pool, and fill spount should be in a protected location to avoid accidents: 2. Filter, pump, and skimmer must be N.S.F..approved. 3. A deck must be installed around the pool. 4. Owner agrees to install fence per agreement. 5. All electrical equipment must be properly grounded. 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 alll pgvisions f ordinances of the city of Fridley. In consideration of the payment of a fee of $ 30.00 , permit is hereby granted to Custom Pool 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 wok done in, around and upon said building, or any part thereof, shall conform in all respects to the ordinances of Fridley, innesota 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 to provisions of said ordinances. �-�—. -CLARENCE BELISLE - NOTICE: Tide perm does not corer the construction, installation for wiring, plumbing, gas beefing, rower or water. Be core to we the Building inspector for separate permits for them items. If APLICATION FOR RESIDENTIAL, ALTERATION, OR ADDITION BUILDING PERMIT CITY OF FRIDLEY, MINNESOTA OWNER'S NAME:.. zC C, /Y / i z o�-® BUILDER: ADDRESS ADDRESS :��_>'j-/%I!S NO • . STREET: LOT: BLOCK: ADDITION• CORNER LOT: INSIDE LOT: SETBACK: SIDEYARD: Applicant attach to this form Two Certificates of Survey of Lot and proposed building location drawn on these Certificates. DESCRIPTION OF BUILDING To Be Used As:, I U�CM� Front: Depth • Height Square Feet: Cubic Feet: Front: Depth: Height: Square Feet; Cubic Feet: Type of Construction: r Estimated Cost:_ To Be Completed: The undersigned hereby makes application for a permit for the work herein specified, agreeing to do all work in sttict 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. 2 DATE: SIGNATURE: (See Reverse Side For Additional Information.) N® 5134 Original Permit f®r Lir I G S FITTING S-;?- � � % N.B. When work covered by this permit is ready, the Plumbing Ordinance requires that request for Fermat inspection shall be phoned in to the plumbing Inspector, 560-3450 giving number of this permit., Fee $b Number. Hind and Location of Fixtures Stories tm- f m O Q -� 3 U J Z Z m m Q 7 Z Y m Q Z Z Y m Q _Z Z m 0 m 3 O N O Z O¢ LL O U Z qFq m U m 3 yj U Z C ¢ J f W .I O d 0 4 Z 6 6' WATER HTR. OAS ELEC. Basement 1st 2nd � �- 3rd 4th Connected with Sewer -Cesspool Gas Piping for Openings Permission is hereby granted A+—,S) ',`�'1� to do the plumbing and gas fitting in the building described in the statement hereto attached, upon the express condition that the person to whom this permit is granted, and his agents, employees and workmen, in the plumbing or gas fitting of said building shall conform in all respects to ordinances of the City of Fridley, and this permit may be revoked at any time upon the violation of any of the provisions of said ordinances. By Order Of The Inspector Of Buildings Roughing in Inspection Date Inspector. Final Inspection Date Inspector. . 4� ia�_b-69-v w City of Fridley> Owner Locations Kind of Building P Used as To be Completed , 19j%zi Estimated Cost $ /010:D (Old ew. Building Permit No. Inspector of Buildings. PARTIAL RATE SCHEDULE FLUMING FIXRATES: NO. RATE TOTAL Number Fixtures ...... .. .......... x $2.00 $ Future Fixture Opening .... .... ...... x $1.50 $ New Fixture Old Opening .. .... .. x $1.50 $ Catch Basin ... x $3.25 $ Water Heater (Up to 99,000 BTU) .... x $3.00 $ New Ground Run Old Bldg. ..... .... x $3.25 $ Electric Water Heater : $200 $ GAS FITTING FEES: NO. RATE TOTAL lot 3 Fixtures .......................... 3 x $2.00 $ 2.00 Additional Fixtures ..........,....... 1 x $ .75 $ 75' Gas Range to 199,000 BTU .............. x $6.00 RIMAIRS & ALTERATIONS—Rotes to Code Description ................................................$ TOTAL FEE $�_ ,75 City of Fridley: The undersigned hereby snakes application for a permit for the work herei specified, agreeing to do all work in strict accordance with the City Ordinance and ruling of the Department of Buildings, and hereby declares that all the fac9 and representations stated in this application are true and correct. 6-18-70 Fridley, Minn 19_ . Owner Allan Mattson Kind of Building frame Used as res To be completed about 6-23-70 Estimated Cost, $ 10.00 Mld—New. Building Permit No, jf�* -Parmi Oro. By— IvilauquilULJU U ,' `uuivlBusiness Phone No. ROUGH i City of Fridley SUBJECT ® 1417 AT THE TOP OF THE TWINS BUILDING PERM r RECEIPT NO u'----__ COMMUNITY DEVELOPMENT DIV. I3CJ r . PROTECTIVE INSPECTION SEC. i o' n CITY HALL FRIDLEY 55432 NUMBER REV. DATE PAGE OF APPROVED BY �•--- I'J 612-560-3450 910-F15 6/20/77 JOB ADDRESS 6320 Riverview Terrace N.E. 1 LEGAL LOT NO. BLOCK TRACTOR ADDITION SEE ATTACHED DESCR. 3 4 Eva Erickson River Manor SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Allen S. Baumgartner 6320 Riverview Terrace N.E. 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 X 8 DESCRIBE WORK Construct a 24' x 6' Addition to front of house 9 CHANGE OF USE FROM TO STIPULATIONS Front yard setback variance approved to 28 feet,6/14/77 SEP�MTE PERMITS REQUIRED FOR WIRING Before diems gtit 10a! uiilitiea WEATrNC. PLUMBING AND SIGNS. rtLEMNE•ELECfRIC-GAS Etc- REQUIRED bY LAW TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, VENTILATING OR AIR CONDITIONING. Wood Frame 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. $4,000 $2.00 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'- $15.60 STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. PLAN CHECK FEE TOTAL FEE $17.60 S*NAx.UBEOFCOWTRACT AUT OR¢EDAGENT DATE) W NRL30XRLY VALIDATED THIS IS YOUR PERMIT At 6 %> BLDG INSP I DAIFF SIGNATURE OF O E R BUILDE I (DATE) CITY OF FRIDLEY APPLICATION FOR RESIDENTIAL BUILDING PERMITS (NEW, ALTERATIONS, ADDITIONS, OR REPAIRS) Address: �rjd CJ No. LOT: c�- T\�� �a Address: Tel. No. Street:— BLOCK: treet: BLOCK: ADDITION: %,I=-- CORNER LOT: INSIDE LOT: SETBACK: SIDEYARDS: Applicant attach to this form Two Certificates of Survey of Lot and proposed building location drawn on these Certificates. DESCRIPTION OF BUILDING Be Use:11b O meront: Depth: C�?'' ' Height: Square Feet: Cubic Feet: Front: Depth: Height: re Feet: Cubic Feet: Type of Construction Estimated Cost: $ d To Be Completed: 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 application are true and =/Z5��SIIGNATT( t. ;'See reverse_ --- - additi ormation. DATE: Stipulations: F 'arc- ?-,y a e cc "a e�C? susdEcr ERM IT68 City of Fridley 7 AT THE TOP OF THE TWINS BUILDING PERMIT r REC • COMMUNITY DEVELOPMENT DIV. r PROTECTIVE INSPECTION SEC. 1c ----I CITY HALL FRIDLEY 55432 NUMBER REV. DATE PAGE OF APPROVED BY 612-571-3450 910-F15 8/24/84 JOB ADDRESS 6320 Riverview Terrace N.E. 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 3 4 Eva Erickson River Manor SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Dave Jacobson 6320 Riverview Terrace N.E. 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Richard Hastings 6331 Riverview Terrace N.E. 574-9966 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO. 8 USE OF BUILDING Residential 7 CLASS OF WORK 11. NEW ❑ ADDITION E:k ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Reroof Dwelling 9 CHANGE OF USE FROM TO STIPULATIONS TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, VENTILATING OR AIR CONDITIONING. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING SO. FT. CU. FT. AUTHORIZED IS NOT COMMENCED WITHIN 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,x500 $.75 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- $25.00 STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. a PLAN CHECK FEE TOTAL FEE $25.75 SIGNATURE OF CONTRACTOR OR OFTHORIZED AGENT (DATEf WHEN PROPERL VALIDATE THIS IS YOUR PERMIT B�INSP DAT SIGNATURE OF OWNER IIF OWNER BUILDER) IDATE) .se - NEW [ ] City of Fridley Effective 4/1/84 ADDN. [ ] L R'1 AND R-2 I ALTER. [ ] Building Permit Application Construction Address: 43.2-0 S t U E-9 0;E-) � Legal Description: Owner Name a Address: �fl5a4Ga6S 43e0 K` 0h-PU"-P _) Tel. # Contractor: V e c� i� 9 4 As ', nr CS + Tel. # Address: 633 / R t u E Ay rEcJ LE k. Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF IMPROVEMENT LIVING AREA: Length Width Height Sq. Ft. GARAGE AREA: Length Width Height Sq. Ft. DECK AREA: Length ________ Width Hgt/Ground Sq. Ft. OTHER: Corner Lot [ ] Inside Lot [ ] Ft. Yd. Setback Side Yard Setback Type of Construction:F_®o Estimated Cost: $ Approx. Completion Date: Alt. A Alt B Proposed Driveway Width If New Opening Is Desired: $ - $ See Back Page for Explanation DATE: 2` APPLICANT: - Tel. # Y Permit Fee Plan Check State Surcharge SAC Charge Park Fee Sewer Hain Charge TOTAL STIPULATIONS: CITY USE ONLY $ $ � 2 Fee Schedule on Reverse Side 25% of Building Permit Fee $.50/$1,000 Valuation $425 per SAC Unit ' Fee Determined by Engineering Agreement Necessary [ ] Not Necessary [ ] CITY OF FRIDLEY INSPECTION DIV. 6431 University Ave NE Fridley, MN 55432 572-3604 Effective On January 1, 1993 APPLICATION FOR PLUMBING AND GAS FITTING PERMIT MARK NUMBER OF FIXTURES TO BE INSTALLED ON EACH FLOOR PLUMBING FIXTURE RATES: New Fixtures Old Opening, New Fixture Beer Dispenser Blow Off Basin Catch Basin Rain Water Leader Sump/Receiving Tank Water Treating Appliance Water Heater —Electric Water Heater — Gas Gas Range NO. RATE TOTAL Gas Dryer _ Back Flow Preventer Required ( )Yes () No Type $ 7.00 $ 4.00 $ 5.00 $ 7.00 $ 7.00 $ 7.00 $ 7.00 JOB ADDRESS ,. 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 Building Division, and -hereby dactares thatalithe-facts - - and representations stated in this application are true and correct. $10.00 Owner jV $ 7.00 $10.00 Building Used As $10.00 ��� $10.00 — Estimated Cost V(D- PERMIT NO. •$5.00 PLUMBING C0 NY Reinspection Fee $30.00 r� SIGNED BY e ®-ti=�,- TEL NO., - ALL OTHERS AND/OR REPAIRS AND ALTERATIONS 1 % of Value of Fixture or Appliance Approved Rough—In Date Final Date` State Surcharge $ 50 MINIMUM FEE FOR ANY PLUMBING/GAS PERMIT IS $15.00 TOTAL FEE $/fie PLUS THE $.50 STATE SURCHARGE SUBJECT PERMIT NO. City of Fridley 2 9 3 4 2 AT THE TOP OF THE TWINS BUILDING PERMIT r RECEIPT NO. 1 a.'______ COMMUNITY DEVELOPMENT DIV. PROTECTIVE INSPECTION SEC. r � � 1 CITY HALL FRIDLEY 55432 �"� NUMBER REV. DATE PAGE OF APPROVED BY 612-571-3450 910-F15 4/29/99 JOB ADDRESS 6320 Riverview Terrace NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DEscR. 3 4 Eva Erickson River Manor SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Dave Jacobsen 6320 Riverview Terrace NE 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Richard Hastings Co 6331 Riverview Ter NE, Fridley, MN 55432 574-9966 4051 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 Reroof House & Garage (25 Sq) Tear-off 9 CHANGE OF USE FROM TO STIPULATIONS Underlayment must comply with the State Building Code. CONSTRUCTION WORK HOURS: 7:00 am to 9:00 pm, Monday thru Friday; 9:00 am to 9:00 pm on Saturday; No work on Sunday. SEPARATE PERMITS ARE REOUIREO FOR ELECTRICAL, PLUMBING, HEATING, TYPE OF CONST, OCCUPANCY GROUP OCCUPANCY LOAD VENTILATING OR AIR CONDITIONING, THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING SO. FT CU FT AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS. OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS OFFSTREET PARKING I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION 1 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 $1.07 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT $2,142 DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PERMIT FEE SAC CHARG�E+ PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- $ STRUCTION OR THE PERFORMANCE OF CONSTRUCTION ® IAS PLAN CHECK FEE TOTAL FEE �P' f License SC $5.00 $82.96 SIGNATURE OF CONTRACTOROR UTHORIZED AGENT IDATEI WHEN PROPERLY .�{, -• LOG INSP VALIDATED THIS IS YOUR PERMIT PATE S-GNATURE OF OWNERI,F OWNER BUILDER, IDATEI NEW [ ] Effective 1/1/98 ADDN [ ] CITY OF FRIDLEY ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION _ �10 ConstructionAddress: 632 21* t y � iZy o . - � n p— 0\ Legal Description: Owner Name & Address: D.Ia—c 'TAr:o,6 sz,// Tel. # Contractor: iU c --4A P t) VA -5t; /.Ie --S MN LICENSE # 5r/ Address: 63 3 ( R:06�-Z 0"-, 7-,5711 Tel. # .S'l V— 75;V� 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: sy P Construction Type: f �a� �, i�� ��®� Estimated Cost: $! ��- (Fee Schedule on Back) Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ _ $ DATE: APPLICANT: Tel. # Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge $ O Driveway Escrow $ Erosion Control $ Park Fee $ Sewer Main Charge $ TOTAL STIPULATIONS: CITY USE ONLY Fee Schedule on Reverse Side .001 of Permit Valuation (1/10th%) $.50/$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 [ ]