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PRE 2010 DOCS.1 4TH '// City, of Fridley, Minn. 6431 University Ave. N. E., Minneapolis, Minn. 55432 BUILDING PERMIT Mate; December 29, 1972 Owner: --john X. Metcalf e Builder S ame Addrm 6418 Riverview Terrace N.E. Address Same No 6420 Street Riverview Terrace N.E. Parti of Lot Lot Pt. 16 Block Addition or . Sub -Division Aud . Sub. #23 Revised Corner Lot Inside Lot X Setback 35' Sideyard _ 23' & 57' Sewer Elevation Foundation Elevation DESCRIPTION OF BUILDING To be Used as: Foundation For l wellingFront 56' Depth 28' Height ._.._..81 Sq. Ft. 1512' Cu. Ft. 122096' Front Depth Height Sq. Ft. __ Cu. Ft. Type of Construction Block Est Cost 8s 188.24 To be Completed 6 months Stipulations: Provide a hard surface driveway. Provide a verifying survey before capping. �s ff-+&M �R tia �� , T 0/,a ow 1, % w4',%•1 O� � .� S, C0 In consideration of the issuance to me of a permit to constrjOt the building described above, I agree to do $he proposed work in accordance with the descriptionhove setMand in compliance with all provisions of ordinances of the city of Fridley. Lm 2.09 S e Vurcharge In consideration of the payment of a fee of $ 22.38 ,P rmit is hereby granted to—John Metc, la fa to construct the building or ad on described above. This permit is granted upon the express condition that the person to whom it is granted d I is agents, employees and workmen, in all work done in, around and upon said building, or any part thereof, 11 conform in all respects -to the ordinances of Fridley, Minnesota regarding location, construction, alteration, maintenance, repair and moving of buildings VIthin the city limits and this permit may be revoked ata upon vio on of any of the provisions of sold Building Inspector DARREL CLARK NOTICE: This permit does not cover the construction, installation for wiring, plumbing, gas heating, sewer or water, go seam to am the Building Inspector for separate permits for these items. e sI 560-3450 C.,c't o 7, i A, 9, ANOKA COUNTY 6431 UNIVERSITY AVENUE NE December a -i 1972 FRIDLEY, MINNESOTA 55421 TO WHOM IT MAY CONCERN: Whereas the City of idley has issued a building permit to construct a structure at 61-0O a vee „ i�wra�_ Whereas the permit is dated prior to January 1, 1973 and the City of Fridley did not collect or receive any "Service Availability Charge". Therefore if for any reason the Metropolitan Council and or the Metropolitan Sewer Board assess or bill the City of Fridley a Service Availability Charge For this structure or sewer hook up, we the undersigned agree to and will pay.the City of Fridley for said charges. Signature' G`I ►g Company 1:�AIL Title 0 - Witness APPLICATION FOR RESIDENTIAL, ALTERATION# OR ADDITION BUILDINQ PERMIT CITY OF FRIDLEYe MINKSOTA OnMI'S LN EAy°i ^ lZ l l® -i 17 a',":%u{:4,65 1`"P�+'�'t... �. i ►Y'a �8'�2� P + 6✓1 Vea' aU ADDRESS: ^ i �� S q� o li'p, T � � 4��91� B d'3A8� Ia..:�-.�.ew,.m.,�.-.+nw�.n.°a �� U WT;lP �G $zoCK:----zTz�� 0�� C'RR LOT J== LOT e ^ X SETBACM _;9' SIDEYARD : 33 S Antiv,Mt attach to thU fMm o Certificates of Su. nLe_ of Dat and proposed h"14 location d on these Certificates, To Be Ueed As: DESCRIPTION OF BUILDING Squa:ce Feet; Cubic B'eeti._, Frant'. Depth; Height: Square deet; Cubic Feet: Tyke, of ConistruGctions Estimated Cosh: $ ,qr To ft IOteda IM uXtoarvftned hereby mak" application for. a permit for the work 'herein spealfie0 agreeing -to do all work in sttict accordance with the City of TV"j,Qy UrdUsMces aced julftp �pf oe Department of But, 4iags., md 'hereby dalav" dWX all the facts and representations stated Ja this application sxe true aid, correct., DAs; 1� lag 19- STGNATUEE: Reywoo We For A4d#4ona1 Info%Vat1.aa\ Prawt, r ricor Wva.39 City of ]Fridley, JAL mef15 6431 University Ave. N. E., Minneapolis, Minn. 55432 MOVING �E T. Date: December 29, 1972 Mover owner: —John M`Metcalfe Address- 6418 Riverview Terrace N.E. Address LOCATION OF BUILDING No. - 6420._._... Slxeet Riverview Terrace N+ F, Part of. Lot Lot ___. _ _ Block _ _ _ Addition or Sub -Division Corner Lot _____—_..— Inside Lot Setback Sideyard Sewer Elevation _ �_ _ �_ _ _ Foundation Elevation _... DESCRIPTION OF BUILDING To be Used as: Front _ _ Depth Height Sq. FL Cu. Ft. Front _ Depth Height Sq. Ft. Cu. Ft. Type of Cozatruction Fst. Cost To be Completed Move dwelling from Edina into Fridley. Route: University to Mississippi to East River Road to 642 Way to Riverview Terrace to Lot 16, Auditor's Sub. #23 Revised. In consideration of the issuance to me of a permit tocons the building described above, I agree tQ do the proposed work in accordance with the description a ve set and in compliance with all provisions of ordinances of the city of Fridley. , h A a In consideration of the payment of a fee of S 65.00pe 't is hereby granted to John Metcalfe to construct the building or addition at 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 ordin4nees of Fridley, Minnesota regarding location, construction, alteration, maintenance, repair and moving of buildings within the city limits and this permit may be revoke ' an a up vi lation of anyof the provisions of said ordinances. Building Inspector RUL CLARK NOTICE: This permit does not cover the construction, installation for wiring, plumbing, gas heating, sewer or water. Be sure to we the Building Inspector for separate permits for these items. r" r 4 • • "17511151,11 IT I. Fridley, Minn. 19— Inspector of Buildings, 6431 Univ. Ave. N.E. The undersigned hereby makes application for permit to move building as herein specified, agreeing to do all work in strict accordance with the City Ordinances and rulings of the Department of Buildings, and hereby de- clares that all the facts and representations stated in this application are true and correct. Lot Block Addition Present Location: To be moved to: Routing: Distance moved ft.To be completed about 3 19:a2 Taxes paid? Estimated cost Foundation and alteration permit numbers Certification as to cost: I hereby certify that the above designated building is worth at least sixty (60) per cent of the cost of a simi- lar new building. Approved by: Utilities Notified: Signed Owner or Agent Water & Sewer Department (Title) Minneapolis Gas Co. (date (Title) Northern States Power Co. (date) Northwestern Bell Telephone Co. (date) (Title) Engineer �` Signed Licensed Mover ' (See reverse side for instructions) In the event that the moving permit is to be applied for by the owner or by any other person that; the licensed Mover, the following letter must be completed and signed by said mover: Inspector of Buildings, 6431 University ,Ave. N.E. Fridley, Minnesota Please issue the bearer of this application, Mr a permit to move building from: Dates 19— to: to which I hereby authorize him to sign my name. Signed - Licensed Mover GENERAL INSTRUCTIONS The following must be secured before moving permit will be issued: 1. A building permit for new location of building to be moved. To obtain this building permit, the following is required: (a) The building to be moved must be inspected for structural soundness by the building inspector. Phone this office for inspection. SUnset 4-7470. (b) A survey of lot to which building is to be moved. This survey must be made by a licensed surveyor. (c) The building and moving permit must be obtained at the same time. 2. Tax receipt showing that all real estate taxes due have been paid. Duplicate receipts may be obtained at Anoka County Auditor. 3. Approval from the Fridley Water and Sewer Department showing that bills chargeable against the property to be moved have been paid and water connections have been discontinued at the curb line or at the main. (See reverse side of form.) 4. Approval from Fridley Director of Public Works office approving routing. 5. Notification to, and signature of utility companies. (See reverse side of form.) (a) Minneapolis Gas Co., 739 Marquette Ave., Engineering Department, Fourth Floor. (b) Northern States Power Co., 15 South 5th Street, Application and Extension Department. (t) Northwestern Bell Telephone Co., 224 South 5th Street, Business Office, First Floor. 11 ' 250-8-58 HEAD OFFICE, PHILADELPHIA, PENNSYLVANIA LICENSE OR PERMIT BOND KNOW ALL MEN BY THESE PRESENTS: That we, JOHN Me METCALFE as Principal, and RELIANCE INSURANCE COMPANY, a corporation organized under the laws of the State of Pennsylvania having its principal office in the city of Philadelphia, Pennsylvania, and authorized to transact the business of Surety in the State of Pennsylvania _,as Surety, are held and firmly bound unto CITY OF FRIDLEYIIMINNESOTA, , as Obligee, in penal sum of FIVETHOUSAND AND N0/100 -----------------------------($ 5,000,00 Dollars, lawful money of the United States, for which payment, well and truly to be made, we bind ourselves, our heirs, 'executors, administrators, successors and assigns, jointly and severally, firmly, by these presents. WHEREAS, the said Principal has applied to said Obligee for a license or permit to complete construction on house located at 6420 Riverview Terraces Fridley$ Minnesota (Describe nature oflicense or permit) NOW, THEREFORE, THE CONDITION OF THIS OBLIGATION IS SUCH, That if the said Principal shall in - damnify said Obligee against all loss to it caused by said Principal's breach of any ordinance, rule s,r regulation relating thereto, then the above obligation shall be void, otherwise to be and remain in full force and effect. PROVIDED, THE LIABILITY OF THE SURETY upon this bond shall be and remain in full force and effect for thefull period of the certificate, license, or permit issued to the Principal above named but not beyord December 20th 19 73 or ten days after receipt bythe Obligee of awritten r,:Mice signed by such Surety,or its authorized agent, stating that the liability of such Surety is thereby terminated and canceled. Provided further, that nothing herein shall affect any rights or liabilities which shall have accrued uriderthis bond prior to the date of such termination. This bond may be extended for a further term by the Issuance of a Continuation Certificate signed by the Surety, Dated DECEMBER 20th —,19 72 JOHN Me METCALFE PRINCIPAL RELIANCE INSURAN E CQMPANY G ``� By: �-�- BDR-7301 ED. 7-71 Earl Re Larson ATT iRNEY-IN-FACT R�LIANCM I1TST- ,ANCE COMPANY HEAD OFFICE, PHILADELPHIA, PENNSYLVANIA POWER OF ATTORNEY KNOW ALL MEN BY THESE PRESENTS, That the RELIANCE INSURANCE COMPANY, a corporation duly organized under the laws of the State of Pennsylvania, does hereby make, constitute and appoint Earl R. Larson, Margaret L. Coleman and Helen F. Wheeler, individually, of Minneapolis, Minnesota, its true and lawful Attorney-in-fact, to make execute, seal and deliver for and on its behalf, and as its act and deed any aTl{ ,all bonds 82�C1;. undertakings of Suretyship, 911c"17to bind the RELIANCE INSURANCE COMPANY thereby as fully and to the same extent as if such bonds and undertakings and other writings obligatory in the nature thereof were signed by an Executive Officer of the RELIANCE INSURANCE COMPANY and sealed and attested by one other of such officers, and hereby ratifies and confirms all that its said Attorneys) -in -fact may do in pursuance hereof. This Power of Attorney is granted under and by authority of Article VI I of the By -Laws of RELIANCE INSURANCE COMPANY which became effective May 11, 1962, which provisions are now in full force and effect, reading as follows: ARTICLE VII — Execution of Bonds and Undertakings SECTION 1. The Board of Directors, the President, or any Vice -President or Assistant Vice -President shall have power and authority to: (a) appoint Attorneys -in -fact and to authorize them to execute on behalf of the Company, bonds and undertakings, recognizances, contracts of indemnity and other writings obligatory in the nature thereof, and (b) to remove any such Attorney-in-fact at any time and revoke the power and authority given to him. SECTI ON 2. Attorneys -in -fact shall have power and authority, subject to the terms and limitations of the power of attorney issued to them, to execute and deliver on behalf of the Company, bonds and undertakings, recognizances, contracts of indemnity and other writings obligatory in the nature thereof. The corporate seal is not necessary for the validity of any bonds and undertakings, recognizances, contracts of indemnity and other writings obligatory in the nature thereof. This power of attorney is signed and sealed by facsimile under and by authority of the following Resolution adopted by the Board of Directors of RELIANCE INSURANCE COMPANY at a meeting held on the 8th day of May, 1959, at which a quorum was present, and said Resolution has not been amended or repealed: "Resolved, that the signatures of such directors and officers and the seal of the Company may be affixed to any such power of attorney or any certificate relating thereto by facsimile, and any such power of attorney or certificate bearing such facsimile signatures or facsimile seal shall be valid and binding upon the Company and any such power so executed and certified by facsimile signatures and facsimile seal shall be valid and binding upon the Company in the future with respect to any bond or undertaking to which it is attached." IN WITNESS WHEREOF, the RELIANCE INSURANCE COMPANY hascaused these presents to be signed by its Vice -President, and its corporate seal to be hereto affixed, this- 27th day of STATE OF Pennsylvania ss. COUNTY OFPhiladelphia June _19i2 On this 27th day of June 1972 personally appeared RELIANCE INSURANCE COMPANY r� Y resident J. H. McDermott , to me known to be the Vice -President of the RELIANCE INSURANCE COMPANY, and acknowledged that he executed and attested the foregoing instrument and affixed the seal of said corporation thereto, and that Article VI I Section 1 and 2 of the By -Laws of said Company, set forth therein, is still in full force. My Commission Expires: a p10TARy y January 26 , 19_L4 PUB0c Notary Public in and for State of Pennsy?Valnig Philadelphia Residing at ' l E. Clyde Wilber Assistant Secretary of the RELIANCE INSURANCE COMPANY, do hereby certify that the above and foregoing Is a true and correct copy of a Power of Attorney executed by said RELIANCE INSURANCE COMPANY, which Is still In full force and effect. IN WITNESS WHEREOF, I have hereunto set my hand and affixed the seal of said Company this day of 19of2 4 Ws� EBDR-1431 ED. 7-71�'I sistant Secretar � �o MINNES TA Cointy of ANOKA as: On December 20th, 1972 , before- me, a Notary Public in and for sold County and State; residing ` therein, duly commissioned and sworn, personally appeared Earl R. Larson known tome to be Attorney -in -Fact of RELIANCE INSURANCE COMPANY the corporation described in ani that executed the within and foregoing instrument, and known to me to be the porton who executed the said instrument In behalf of the said corporation, and he duly acknowledged to me that such corporation executed the some. IN WITNESS WHEREOF�,Ii�Qs�gt i ed my oifldal seat, iho day and y©ar stated int is certificate above. dZ.n1Pn >. �'�ri,^-, 1?�I�ESOTA My__Conmission Expired. ' �UyTY __w . City of Fridley r 4T THE TOP OR TME TWINE r'L-------- COMMUNITY DEVELOPMENT OIV, t PROTECTIVE 0009CY ON W", i .•-- OM HALL FRIOL4V 0602 61� SUOdECT PLUMBING, PERMIT APPLICATION C&/"� x.79 Job AdQress 6 ® 'W. r 2te4- eJY'2c_ ner l + Ad ress e Phone B Y► i� �e �ca I — o - 3a C ontractor N�1v�I I O w C aoo�� �O u I saaaoasl I I I I � i q '1N Na I U UNI aa •a W � fiAtlall � I I 8>iNIBI I I I I iNlt9tl®I ®ant I euvs InvNIAM otaso-� aasver► 4 I UUU Gas Fitting Fees: lst 3 Fixtures x $2.00 I - Additional Fixtures x $ .75 t Gas Range -199,000 BTU x $5.00 Repairs &Alterations See Description: Code State Surcharge .50 ! TOTAL FEE !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 rulinj of the Department of Buildings, and hereby declare that all'th facts and representations stated in this appli tion are true and correct. Si attire Date Address Phone Kind of Build in Use Comp etion Date Estimated cost Plumbing Fixture Rates: NO. RATE TOTAL Number Fixtures x $2.00 (�� Future Fixtures x $1.50 , I ' New Fixture -Old Open. GV0 I x $1.50 ,ddtl Catch Basin x $3.25 ova I , ` Water Heater -99,000 BTU x $3.00 XU j I � I I •„;Iw I � + II Ground Run Old Bldg. x $3.25 i gaa� I •enNtva� I I Elec. Water Heater x$2.00 N�1v�I I O w C aoo�� �O u I saaaoasl I I I I � i q '1N Na I U UNI aa •a W � fiAtlall � I I 8>iNIBI I I I I iNlt9tl®I ®ant I euvs InvNIAM otaso-� aasver► 4 I UUU Gas Fitting Fees: lst 3 Fixtures x $2.00 I - Additional Fixtures x $ .75 t Gas Range -199,000 BTU x $5.00 Repairs &Alterations See Description: Code State Surcharge .50 ! TOTAL FEE !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 rulinj of the Department of Buildings, and hereby declare that all'th facts and representations stated in this appli tion are true and correct. Si attire Date City of ridley Permir No. AT THE TOP OF TWE TWINS 1 6` HEATING PERMIT APPLICATION __'__ d �'� COEawV?TIV' OEV'LO ErlT PT. 9 t i PRG7'kGYtV� �=a`"`¢GYt4�t C%t„f. o rr tea_^i i C TY HALL RPiDLFY Or.-= RM p�7� PAAE O'ac APPROVED BY 910-F17A 0 2/15/73 1 1 800 ,Job Address Uw-_ net Address Phone Contractor Address Phone Ind of Building Useq Completion Date Estimated Cost GRAVITY WARII AIR: nATZ TOTAL Heating Power Plants Pummmace Shell & Duct Work ...... ....... ..$10.00 Steam�t Water. Replacement of Furnace 6.00 � Warm Air T xade Name Repairs, & alterations—up to $500.00 6,6.00 Repairs & Alterations each add. $500.00 3.00 �---___- ,-1 Size No. �•s... u;>v Zf� C& WM AM Capacity Sq. Ft Furnace Shell & I)uct Work to 120,000 BTU ...... . ..$10.00 $r EDR BTU Ton. each add' 60,000 BTU ............... .... .. 3.00 Total Connected Load Replacement of furnace . .. ..... 6.00 A. — Repairs &Alterations—up to $500.00 6,00 Kind of fuel Repairs & Alterations each add. $500.00 3.00 $ Burner STEAM or NOT WATER SYEITE24 Trade Name Furnace Shell & Lanes—to 400 sq. ft. F.DR Steam @10.00 Furnace Shell & Line to 640Size sq. ft. EDR Hot Water 20.00 �_ — No . t Each add. 200 sq. ft. EDR Steam 3,00 $__. _._ Capacity Sq.Ft� Each add. 320 sq. ft. EDR Hot 'dater 3'00 $ EDR BTU Ton. OIL BUIRNER—to 3 gal. per hour, 6.00 $ over 3 gal. per hour ---See Fee Schedule OAS DURYTER (tip to IS3,0W BTLJ) ... 5.00 g over IS9,000 BTU See Foe Schedule GAS FITTING FEES: NO RATE TOTAL lst 3 Fixtures x$ ZCO $. Additional Fixtures x .75 S Gas Range to I99,0 AIR C® 1TI( NTNG VENT ILATI.nC- SYSTMM ALTERATIONS €s REPAIRS ROUGH riNrI, to -I-1-9X X6 5.00 .50 State Surcharge S 1« Sehlnk% 60 -- TOT" r � SUBJECT PERMIT . City of Fridley ! - 16425 AT THE TOP OF THE TWINS BUILDING PERMIT r RECEIPT NO. • a: — _____ COMMUNITY DEVELOPMENT DIV. INSPECTION SEC. r � � PROTECTIVE CITY HALL FRIDLEY 55432 NUMBER REV. DATE PAGE OF APPROVED BY 612-571-3450 910-F15 10/8/81 JOB ADDRESS 6420 Riverview Terrace N.E. 1 LEGALLOT NO. BLOCK TRACTOR ADDITION SEE ATTACHED DESCR. pt. 16 pud. Sub. #23 Revised SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Klingensmith 6420 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. 6 USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW ❑ ADDITION C-k ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Reroof Dwelling 9 CHANGE OF USE FROM TO STIPULATIONS Roof can he 2nd but not 3rd roof. Install ridged galvanized valleys. TYPE OF CONST. OCCUPANCY GROUP OCC' IPANCY 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 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 $1,200. $.60 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- $20.50 STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. PLAN CHECK FEE TOTALFEE $21.10 o f / SIGNATURE OF CONTRACTORUTHORIZED AGENT (DATE) WHEN PROPERLY VALIDATED THIS IS YOUR PERMIT BLDG INSP O TE SIGNATURE OF OWNER (IF OWNER BUILDER) (DATE) CITY OF FRIDLEY Effective Aug. 1, 1981 APPLICATIM FOR RESIDENTIAL BUILDING PEFU41TS (New, Alterations, Additions, or Repairs) 01114ER: ,, ' : Atl�j `�'rV 54(( to ADDRESS: TEL NO: BUILDER: IWO /�/J5 7,',,Vcs ADDRESS: iz u .,s t-6 TEL NO: 5'?Y-yf9119 Construction Location • STREET NO: STREET: LOT: `tom % to BLOCK: ADDITION: �Q - �Q . Wok 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: Square.Feet: Depth: Height: Cubic Feet: Front: Depth: Height: Square -Feet: Cubic Feet: Type of Construction: L �? o /' Estimated Cost: $ o 7b Be Completed: Alt. A Alt. B Proposed Driveway Width If New Opening Is Desired: $ $ SEE REVERSE SIDE OF SHEET . Mie undersigned hereby makes application for a permit for the mork•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: SIGNATUM : Stipulations: o 0 SUBJECT P� City of Fridley 19.58 AT THE TOP OF THE TWINS BUILDING PERMIT _ ' ' RE U. _ COMMUNITY DEVELOPMENT DIV.®� r PROTECTIVE INSPECTION SEC. 1 . � -"': CITY HALL FRIDLEY 55432 NUMBER REV. DATE PAGE OF APPROVED BY 612-571-3450 910415 9/8/87 JOB ADDRESS 6420• Riverview Terrace N.K. 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. Pt. 16 Aud. Sub. #23 SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Dan Klingensmith. 6420 Riverview Terrace N.E. 571-2898 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 �f7 ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Construct a 15' x 101 Storage Addition 9 CHANGE OF USE FROM TO STIPULATIONS See notations on plan WARNING Before diggiAg Cali imi ufllila"s TELEPHONE` ELECTRIC -GAS E r- SEPARATE PERMITS REQUIRED FOR. Wfff ING, HEATING, PLUMBING AND SIGNS. REQUIRED BY LAW SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, TYPE OF CON T. 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 (NITS ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. OFFSTREET PARKING I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION Z 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 $1,0 0 $,5O 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 THE PERFORMANCE OF CONSTRUCTION. $17� 50 PLAN CHECK F EE TOTALFEE $18.00 JSIGN U<CONT TOR OR AUTHORIZED AGENT IDATEI �WHENROPERLY AL ED THIS IS YOUR PERMIT �)A E SIGNATURE OF OWNERI OWNER BUILDERI IDATEI NEN [ ] City of Fridley Effective 4/1/86 ADDN. [ ] R-1 AND R-2 ALTER. [ ] Building Permit Application Construction Address: Rlagg 4� y^2i� �° ��%' 15rsVA-P- Legal Description: owner Name & Address: l )fiA) iC` LA) GSA ra/Y%/i�/� Tel . # Contractor: Tel. # Address: 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 i Sq. Ft. Length Width Height Sq. Ft. Length Width Hgt/Ground Sq. Ft. Soo A -z&" e912C-A 1 sX lD ' X S' J e^ sem. �r'• Corner Lot [ ] Inside Lot Ft. Yd. Setback Type of Construction: e IfB.Ui��doclC Approx. Completion Date: DGT *4 1�g7 Proposed Driveway Width If New Opening Is Desired: Side Yard Setback Estimated Cost: $ Z/ .L2 * C�10 Alt. A Alt B See Back Page for Explanation DATE: '�'�� APPLICANT: -. Tel. CITY USE ONLY Permit Fee Plan Check State Surcharge SAC Charge Park Fee Sewer Main Charge TOTAL STIPULATIONS: Fee Schedule on Reverse Side 25$ of Building Permit Fee $.50/$1,000 Valuation $ 525 per SAC Unit Fee Determined by Engineering Agreement Necessary [ ] Not Necessary [ ] 14)0®.00 6®0.00- ev i.�i° CITY OF FRIDLEY INSPECTION DIV. 6431 University Ave NE Fridley, MN 55432 572-3604 Residential APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION, REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES Furnace Shell and Duct Work, Burner - Also Replacement Furnace Gas Piping (Needed with new furnace) Gas Range Gas Dryer *Air Conditioning - Ali Sizes All Others/Repairs & Alterations (LIST ON BACK) 1% of Value of Appliance or Work Commercial/Industrial 1 % of Value of Appliance or Work Effective On January 1, 1993 The undersigned hereby makes application for a permit for the work herein Rate TOTAL specified agreeing to do all work in strict accordance with the City Codes and rulings of the Building Division, and hereby declares that all the facts and $ 20.00 $ representations stated in this application are true and correct. ,199 $ 10.00 $ OWNER �M �l �9AQ hM_ llrnA $ 10.00 $ , BUILDING USED AS AA rrve-Q $ 10.00 $ ESTIMATED COST PERMIT NO. $ 10.00 $ Ab, DESCRIPTION OF FURNACE AND OR BURNER $ No, of Heating Units Circle One (Steam) (Hot Water) (Warm Air) Trade Name Size No. BTU HP EDR $ Fuel Total Connected Load State Surcharge $ .50 TOTAL FEE i 15,50 MINIMUM FEE FOR ANY HEAT] NG/COOLINGNENTILATI ON REFRIGERATION/AIR CONDITIONING PERMIT IS 115.00 PLUS THE $.50 STATE SURCHARGE REINSPECTION FEE $30.00 *Air Conditioners can not be placed in a side yard without written permission from adjoining property owner. Burner Trade Name Size No. BTU HP EOR DRENDAME INDOOR AIR QUALITY. INC HEATING COMPANY 2619 COON RAPID$ BOUL VARD COON RAPIDS. KIN. 555--1 ,j ::..:: ; Signed By� Q CLTel No. :-- 5n Le, Approved By Rough -in Date Final Date L� FILL OUT BACK SIDE FOR STACK VERIFICATION ON REPLACEMENT FURNACE 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's connected Yes ( ) No ( ) 6. Has total heating BTU's of All other BTU's TOTAL BTU's Remarks -FIA r�i-C9. �, In / �� ,� �� k n l fAAA \' -H List Alterations Beinq Done: UpguABEE INDOOR 1Q-1QUA1-1 I T, INC. 2619 GOON RAPi6,. , i3,,iU1-�---,/ARD }� HEATING COMPANY Signed By ►�, Date SUBJECT P IT N City of Fridley 299 AT THE TOP OF THE TWINS BUILDING PERMIT r R `y _____ COMMUNITY DEVELOPMENT DIV. - SEC. r � PROTECTIVE INSPECTION 1 � � CITY HALL FRIDLEY 55432 NUMBER REV DATE PAGE OF APPROVED By L J` 612-571-3450 910 415 7/21/99 !OB ADDRESS 6420 Riverview Terrace NE 1 LEGAL LST NO. B BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. ` rt of 16 'd SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Dan Klingensmith 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Richard Hastings Contr. 6331 Riverview Ter NE Fridley 99492 974-c)966 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 0 NEW 0 ADDITION 0 ALTERATION )0 REPAIR 0 MOVE 0 REMOVE 8 DESCRIBE WORK Reroof (20 S) 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 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 1748 $.87 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 $63.15 Fire SCA 1. 75 PLAN CHECK FEE TOTAL F Zi 7 i ice SIGNATURE OF CONTRACTOR OR HORIZED AGENT a ATE+ EN RO I ATE S 09 U T S,GNATURE OF OWNEROF OWNER BUILOER1 IRATE, BL +NSP r+AtE NEW ` [ ] Effective 1/1/98 ADDN [ ] CITY OF FRIDLEY ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION ConstructionAddress: e -'f20 ��rJC`eVac✓' Legal Description: Owner Name & Address: DA v k -L ,`ntq .ext -m 1'7-4 Tel. # Contractor: R c A tz D /41-s j 'e' M&5 5 MN LICENSE # Address: 3,i K: u tE- r- 0 . e Ti= cZ Tel. # 5 .:, IK 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: 2. Construction Type: X9,4 2 c Fr= + KE lzo C, � Estimated Cost: $ � 9 `7 (Fee Schedule on Back) Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ _ $ DATE: 7.�- i q APPLICANT: X c c 4 A R t�, i 5 t aev-<-5 Tel. # 2� CITY USE ONLY Permit Fee $ 14031S- Fee Schedule on Reverse Side Fire Surcharge $ .001 of Permit Valuation (1/10th%) State Surcharge $ ���f $.50/$1,000 Valuation SAC Charge $ $1000 per SAC Unit License Surcharge _ $ 00 $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 $ ?0, STIPULATIONS: ..�NTY OF FRIDLEY INSPECTION DIViSION 641 University•Ave-NE Fridley, MN 55432 APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION, (763) 572-3604 REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES RATE SCHEDULE Residential , Furnace Shell and Duct Work, Burner - Also Replacement Furnace (Side Vent - Fill' Out Back) Gas Piping (Needed.with new furnacq-, but not replacement) Gas Range Gas Dryer Effective On January 1, 200( JOB ADDRESS �0��o OWNERRate TOTAL TOTAL ��S $ 30.00 $ 10.00 $ 10.00 $ 10.00 *Air Conditioning - All- Sizes $ 25.00 All Others/Repairs & Alterations (LIST ON BACK) 1% of Value of Appliance or Work Commercial/Industrial 1.25% of Value of Appliance or Work State Surcharge TOTAL FEE MINIMUM FEE FOR ANY HEATING/COOLING/VENTILATION 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. BUILDING USED AS �l� ESTIMATED COST S , PERMIT NO. DESCRIPTION OF FURNACE AND OR BURNER No. of Heating Units_. Circle One (Steam) of Water (Warm Air) $ Trade Name &°N�i��! Size BTU HP EDR $ Fuel h° Total Connected Load ,2 gq $ .50 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 ar rulings of the Building Division, and hereby declares that all the facts and representations stated in this application are true and correct. DATE l- / HEATING CO E/ Aelamileofl__ � Signed =/ TEL # Approved By Rough -In Date Final Date /�fUi COMMON VENT, VENT CONNECTOR AND COMBUSTION AIR VERIFICATION When replacing a an existing Ju 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 (W 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 (4 No ( ) The existing combustion air is sized and installed to meet the current codes and manufacturer's specifications. Yes k) No( ) When required to install a new combustion air, it will be sized and installed To meet the current codes and manufacturer's specifications. Yes W No( ) When installing a new venting system, 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 (A 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 N No( ) Appliance Type and Size/Common Vent and Vent Connector Information Appliance #1 Type F) BTU Input 16 Fan Assisted or Nat Appliance #2 Type W l BTU Input -Vo, Fan Assisted or Nat Appliance #3 Type BTU Input Fan Assisted or Nat Total Appliances Total Btu Input /3 (-, Common Vent Type e 14-s s C Vent Height 3®� 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 ALTERATIONS: (Describe) HEATING CO: Signed By: Date: - I- ® I . &AAX-Tit Ai 10'1.1.=A 91/1-trr I. aim Printout certified by ACCP& to meet all mquirements of Manual 7 Form TOTAL F.04 wwr.vs_".•..w ev.. evv.ee-e. i. �.ati---� w.�li.V(O 1 Name Of ROM entire house whole house 2 Ruattlttg lit. Jxpotsd Wail 140.0 A, 140.0 Ft, Ft. Ft It, 3 ROOM Ditncnsiots. FL 0.0 t. 26.0 x 44.c Ft. x Ft. x Ft. 4 Collage„ Ft Coedit, Option 6.0 d 8.0 hest/eeel TYPE OF CS1 HT1M1 Ates Btuh Arca Btuh Arca BOA Area Btuh JUNPOSURE NO. Htg Cig L=O Htg CIS Length Hig Cig Length Htg Cig Length Htg Cl8 5 Gnm a 12C e.3 2.4 1120 fee• •e•e 1120 w0. 0900 v.s4 rsr10 0000 •s.s EXP050d b 14A 46.9 9.8 140 •••• *4•lo 140 •R0• vs.• .•s• 4060 •,ss •a* wails and c 15A 11.5 0.0 990 ••°• floe* Seo •,•. .•°• ..•• a»• •••. s... Partitions d 14D 13.2 2.9 0 0666 °eve 0 •.»+ .••. .... .s.. •.ss toss f 0.0 0.0 0 ..so most 0 •s.. .•.. 0..s •0•. 0000 .,s. 6 WindOWS 04 a 2A 43.7 •° 230 10051 *.*4 230 10051 004• s»ss foo* Grass Dost b 0.0 ei 0 0 ss•0 0 0 •00. s4•• ••.• Heattng c 0.0 " 0 0 •o$* 0 o °•9• 0.Oo •••• d 0.0 •• 0 0 0000 0 0 •000 e 0.0 •, 0 0 X4.4 0 0 °4•, •s,0 •so. t 0.0 •• 0 p 0000 0 0 ».•. ..., 0000 7 Windows and Nat 39.0 31 0000 1769 S1 0000 1769 ••i0 04104 Glass Doors NVAM 0.0 0 9.0• 0 0 •00* 0 *flof .sa. Cooling E/W 93.0 100 9009 13950 150 0000 13950 •000 •0•► SFJSW 0.0 0 M400 ..0 0 000. 0 0•40 ••,v South 52.0 30 »... 1534 30 •••• 1534 s0,. •000, Holz 0.0 0 0090 0 0 0.00 0 sen. s040 8 Other doors 8 lot° 29.4 8.5 42 1236 358 42 1236 358 b 0.0 0.0 0 0 0 0 0 0 9 Net a 12C 6.3 2.4 148 7021 2030 848 1021 2030 EXPiXW b 14A 46.9 9.8 140 6569 1378 140 6569 1378 WWI$and C 15a 11.5 0.0 990 11210 0 990 11270 0 Partitions d 148 13.2 2.8 0 0 0 0 0 a 0 t 158 6.6 0.0 0 0 0 0 0 0 f 0.0 0.0 0 0 0 0 0 0 f0 ,Coping; d 16C 9.1 3.9 1144 9262 4463 1144 9262 4463 b 0.0 0.0 0 0 0 0 0 0 c 0.0 0.0 0 ® 0 c 0 0 11 Floor; a 21A 2.2 0.0 1144 25260 1144 2521S 0 b 0.0 0.0 0 0 0 0 0 0 0.0 0.0 0 0 0 0 0 0 12 influatke a 32.0 4.0 272 9700 1089 272 6700 1088 13 6ubtotlHuhl,csa 8..t1It12 41040 3663 0.00 0900 56636 •••• •e•0 **so 0000 •••• 14 DuatBstbtm ;0° 9664 04.4 1 6654 •..• .••° o .••• 1S TOW Btub Loss = 13+14 '1440 62299 fee• sOs• 62299 •.s• .0.. 0006 0..• sloe• 16 In Gains: People 0 300 4 e4t° 1200 4 0000 120 ••°• ...s App;. 4 1200 1 060• 120 1 •000 1200 .0,• s090 17 SubtotRSHGaLta7+8 +12+16. 0.6• 000° 28967 4•06 •..A 28967 .•s• ,s.• 09s0 •.•• nil Duct l3buh Gann 0 °.s• 0ss. 0 •°.• O .••. 19 TOW RSH Gainm(17+18)0PLF 1.00 •••• 26967 1.00 *'so 29967 •»•+ •••e 20 CFM Air Required 00.0 159 '154 tee• 1549 184 .•.0 00.0 Printout certified by ACCP& to meet all mquirements of Manual 7 Form TOTAL F.04 Building PLUMBING Permit No.: V') Inspections RESIDENTIAL APPLICATION Received By: 20 7 763-572-3604C CITY OF FRIDLEY DatB'L�°d: DATE YOUR E-MAIL ADDRESS SITE ADDRESS r THIS APPLICANT IS: ❑ OWNER 06ONTRACTOR PROPERTY NAME; ZWAM2W K ADDRESS: / a'y .4,0 4AF j f jj , CITY C,r,�s�: 1Z STATEM�/ ZIP OWNER/ TENANT � ai PHONE:�%ji'}A CONTRACTOR NAME: L L STATE LICENSE # I) 6 3p 71, F214 XP DATE SUBMIT A COPY OF ^ — CITY 2c".�� STATEA#A�ZIP YOUR STATE ADDRESS: ,;' LICENSE WITH PHONE FAX 1e � � APPLICATION PERMIT TYPE GL FAMILY 13TWO FAMILY ❑ TOWNHOUSE 21 PLACEMENT TYPE OF WORK: ❑ NEW DETAILED DESCRIPTION OF WORK "1, t.., i4s, £ PER MS 16B.665 the permit fee is a minimum of $15.00 or 5% of the total cost up to $500.00, whichever is greater, for the improvement, installation or replacement of a residential fixture, excluding the fixtures. (This should reflect only the cost of labor ) Labor cost under $300 = $15.00. Labor cost between $300 to $500 = cost of labor X.05 = FOR PROJECTS WHERE LABOR EXCEEDS $500, FEES ARE BASED ON $10.00 PER FIXTURE, EXCEPT WHERE NOTED. FIXTURES: (INDICATE TOTAL NUMBER OF EACH BELOW) BATH SINK/LAV DRAINS _WATER PIPING _ _FLOOR —SHOWER GAS PIPING a&w myucFvsE) SWIMMING POOL _ WATER SOFTNER ($35) —BATHTUB _ _ WASHER_ KITCHEN SINK R CLOSET _ BACKFLOW PREY. ($15) _CLOTHES DISHWASHER LAUNDRY TRAY _ ATER HEATER ($35) FOR IRRIGATION _ WATER METER —OTHER ..� Permit Fee $ Number of fixtures @$10.00 x $10.00= $ Surcharge .50 Number of fixtures @ $15.00 x $15.00 = $ Number of fixtures @ $35.00 x $35.00 = $ TOTAL DUE $ State Surcharge = $ .50 Total = $ 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 thCor' ces and codes of the City of Fridley and with the Minnesota Construction Codes; that I understand this is not a permit but onlcation a permit and work is not to start without a permit; that the work will be in accordance with the approved plan in thel work w ch requires review and approval of plans.JJ� ,,SIGNATURE OF APPLPRINT NAM ••L1� �%�'N DATE/�/� City of Fridley Building Inspections Department 6431 University Avenue NE, Fridley, MN 55432 763-572-3604 FAX: 763-502-4977 Building; $ BUILDING Permit No:: � , d " $ 65% of Building Permit Fee Fire Surcharge $ , ,/ Inspections Surcharge SIDED TIAL APPLICATION Received By: 763-572-3604 $ CI'T'Y OF FRIDLEY Date Rec'd:.� � : 763-502-4977 FAX $1825 per SAC Unit (Plans to MWCC for determination) Curb Cut Escrow $ ft + 6 ft = ft x $21 = Erosion Control EFFECTIVE 1-1-08 $450 Conservation Plan Review DATE YOUR E-MAIL ADDRESS Fee Determined by Engineering SITE ADDRESS �oVqQ �7e__ f,Y , /0&— /; cMew /A/u Agreement necessary ( ) Non Necessary ( ) THIS APPLICANT IS:WNER ❑CONTRA/CTOR� Make checks payable to: City of Fridley Attach PROPERTY OWNER/ NAME:__ TENANT ADDRESS: re,-,,' 1-k ITY STATFAl-POZIP PHONE: �, ��- �� 26 7 (� NAME: ADDRESS: CITY STATE ZIP CONTRACTOR SUBMIT A COPY OF PHONE FAX YOUR STATE LICENSE STATE LICENSE # EXP DATE PROPERTY TYPE WiNGLE FAMILY/NEW CONSTRUCTION SIZE ❑ TWO FAMILY/NEW CONSTRUCTION STORIES PERMIT TYPE ❑ ADDITION ❑ GARAGE/SHED ❑ WINDOWS ❑ BASEMENT FINISH ❑ ROOF ❑ DRAIN TILE DECK 0 SIDING ❑ OTHER 0 SWIMMING POOL TYPE OF WORK: 0 NEW HOME CONSTRUCTION ErADDITION 0 MAINTENANCE/REPAIR 0 REMODELING K'2, WORK BEING DONE: d ` A16 S ° IM SIZE OF IMPROVEMENT LENGTH WIDTH HEIGHT SQ FT ROOFING 0 HOUSE ONLY BASEMENT REMODELING SUBMIT: NUMBER OF SQUARES ❑ HOUSE & GARAGE I. 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, SIDING ADDITIONS & PORCHES SUBMIT: ❑ Vinyl ❑Soffit 1. Site Plan/Survey showing the existing structures ❑ Aluminum ❑ Trim and proposed project. ❑ Other ❑ Fascia 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 OF WINDOW TO BE INSTALLED NUMBER OF WINDOWS ALL FEES ARE BASED ON VALUATION, INCLUDING THE COST OF LABOR AND MATERIALS: (USING THE 19P UBC,,)+°EE�FIEDULE) TOTAL JOB VALUATION OCCUPANCY Permit Fee $ See Back Page for Fee Schedule Plan Review $ 65% of Building Permit Fee Fire Surcharge $ , ,/ .001 times the total job valuation Surcharge $ e .0005 x Permit Valuation Minimum $.50 License Surcharge $ $5.00 (State Licensed Residential Contractors) SAC Charge $ $1825 per SAC Unit (Plans to MWCC for determination) Curb Cut Escrow $ ft + 6 ft = ft x $21 = Erosion Control $ $450 Conservation Plan Review Park Fee $ Fee Determined by Engineering Sewer Main Charge $ Agreement necessary ( ) Non Necessary ( ) Total Due $ 731/77 Make checks payable to: City of Fridley Attach THIS 1S 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 Construiction 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 accord w' the approved Ian i the case of all work which requi;Z71'r, .and approval of plans. SIGNATURE OF APPLICANT PRINT NAMEs�J, f —DATE 1 �J APPROVED BY DATE tbti� Jnbenture. made this..............a(................. ...... day of: ... ;�1.,�-r.....r��.c�............,1s... /Zr between ......... .H......GLENN... KLINGENSMITH,...hu°sband......... ............ V.ER&... KGINGENS UTH....wife............................................ of the County of ............ .Anoka ........................................................ and State of. .......... Minneaota........................................................ part............ of the first part, and ........G�w... Q1..FR1???R.................................... murricipa-1...................................................................................................................................................i.............................................................................. %corporation under the laws of the State of...............Minnesota....................................... party of the second part, itne%�e(, That ty.� said rt.ies o the first part, in consideration of _the sum of One and No 100 ($.00) and other v�ues rec ived-------------y----------- .........................................................................p..........�..................................�.............................�...�........................ DOLL S, to ......... P.arties..- ...........................in hand aid the said partyo the second rt the receipt whereof is hereby acknowledged, do............ hereby Grant, Bargain, Quitclaim, and Convey unto the said party of the second part,- its successors and assigns, Forever, all the tract...... or parcel...... of land lying and being in the County of ............... Aoka...................................................... and State of Minnesota, described as follows, to -wit: A forty foot (40') easement for the purpose -of construction and maintenance of street surfacing and public utilities described as follows: A strip of land 40 feet wide whose centerline is described as follows: beginning at the intersection of*the North line of Eva Erickson River Manor and the centerline of Riverview Terrace according to the recorded plat thereof; thence Northwesterly along the extension of said centerline a distance of -28.57 feet; thence Northeasterly on a tangential curve to the right with a radius of 127.08 feet (delta angle of 390) a distance of 86.50 feet; thence Northeasterly on a tangent to last said curve a distance of 11.15 feet; thence Northerly on a tangential curve to the left with a radius of 97.77 feet (delta angle of 440301) a distance of 75.94 feet to a point on the North line of Lot 16, Auditor's Subdivision No. 23, Revised, Anoka County, said point being 185 feet West of the Northeast corner of said Lot 16, thence Northeasterly on a tangential curve to the right with a radius of 108.56 feet (delta angle of 30053'40") a distance of 58.54 feet; thence Northeasterly on a tangent to last said curve a distance of 134.64 feet; thence Northerly on a curve to the left with a radius of 108.48 feet (delta angle 24055'53") a distance of 47.20 feet;. thence Northerly on a tangent to last said curve a distance of 2.09 feet to a point on the.South line of Lot 14, of said Auditor''s Subdivision'No. 23, Revised, said point being 130.11 feet West of the Southeast corner of said Lot 14; thence Northerly along last said tangent of last said curve, extended Northerly, a distance of 204.77 feet to a point on the North line of Lot 13 of said Auditor's Subdivision No. 23, Revised, said point being 84.08 feet West of the Northeast corner of said Lot 13, thence continuing along said tangent Northerly to the South line of Riverview Terrace, according to the recorded plat of Johnson's River Lane Addition thereof, and there terminating; except easements as recorded, lying within the tract of the parcel described as follows: Lot 16, except the Easterly 165 feet thereof, Auditor's'Subdivision #23, Revised, lying in the Southeast Quarter (SEk) of Section 15, County of Anoka, State of Minnesota, T-30, R-24. �........... ti6a _ No State Deed Tax Required y ys may,,. .. `i. ",�i �i'ir `.{Qi"di`9j� yt3'diL`e.► �, I<y�eTs• (low I- nVinit4 TO lbabe allb to 9botb tije Oatne, Together with all the hereditaments andJrQ*r6nances there unto belonging or in anywise appertaining, to the said party of the second part, its-a-Wee.ssors and assigns, Forever. In Matirnonp Wbemf, The said part.1es.. of the first part hate....... hereunto'set..... ..tbP;,�............. hand..s.. the day and year first above written. `'j In presence of "l.l �........!%.9..... th; .�... ............... I................. .................. .. U& 14) /z. - a f -7J. Z.uC_ i I Otate of juf nnoota, Collmt7 O ................................................. SS. On 1711,9 ................°L _. z..alayof re, a ': ...................... . ..... ............ 1................................. 19...7�be � ' �..............................with•in and for said County, personally appeared to me known to be the person......................................described in, and who executed the foregoinf instrument, :.:..............................................................a...................................... ..........................and acknoWedJetl that..s<he f!. executed the (See Note) sameas .....(, uJ..............free act and deed ........................................................................................... (See Note) ............. ...............:......: ✓Wotary Public ........................................... r :........County, Alinn. ONDA L MARTIN lr illy............ 19............. My Commbom DtpIM March 3. I9?3 Note: The blank lines marked "See Note" are for use when the instrument is executed by an attorney in faet:,.. k Q .a tH _t:3 *'ba 0 N Pt lz 1••1 07 : ►fir ; O ' D7 q Aa 0 CO te. eela A Cq a� o Cq u4 V �L d to w 0° a�'i •u G 10 to 14 14 •A w�� a O '„7 N ��w CITY OF FRIDLII'` BUILDING STANDARDS -DESIGN CONTROL SUBZOMMITTEE MEETING OF DECEMBER 7, 1972 �q The meeting was called to order by Chairman Zeglen at 8:30 P.M. .� MEMBERS PRESENT. Zeglen, Tonco, White, Simoneau MEMBERS ABSENT; Lindblad OTHERS PRESENT: Jerrold Boardman, Planning Assistant MOTION by White to approve the minutes of the November 21, 1972 meeting as written. Seconded by Simoneau. Upon a voice vote, all voting aye, the motion carried unanimously. 1. CONSIDERATION OF A REQUEST TO MOVE A HOUSE FROM 6125'NORMANDALE ROAD EDINA MINNESOTA -TO PARCEL 2340, AUDITOR'S SUBDIVISION 0, 23, REVISED, THE SAME BEING 6420 RIVERVIEW TERRACE N.E., FRIDLEY, MINNESOTA. (REQUEST BY MRS, JOHN M. METCALFE, 6418 RIVERVIEW TERRACE N.E., FRIDLEY, MINNESOTA 55':32.) Mr. John Metcalfe was present to present the request. Mr. Metcalfe said the surveyor was in the process of drawing up the survey with the location of the proposed house. He said the lot the house tv.ss being moved too was a walk -out lot and the elevation of the lot will raise Ene house four feet. Mr. Tonco asked if the grade will be left as is and the back - excavated for drainage. Mr. Metcalfe said that was his intention. Mr. Metcalfe said the garage will have a higher elevation on the new site. He felt this was an excellent house and was between ten and fifteen years old. Mr. Zeglen said this house will fit into the Riverview area. Mr. Metcalfe said the house is brick on the first floor level, but not -so much of the front will be showing at the new location. Mr. Tonco asked if the house met the Fridley Codes. Mr. Boardman said it did. Mr. Tonco noted Mr. Metcalfe had not presented a landscaping plan. He said he knew this would be difficult to draw up until the house was in-place on the lot. Mr. Boardman said we should have the elevation of the house 'and the lot. . Mr. Tonco brought up the subject of a performance bond. After discussion the Subcommittee decided a $5,000 performance bond should be posed to finish the house and the landscaping. Mr. Metcalfe said he had to post a bond with the State of Minnesota to move the house from its present location by January 17, 1973. The Subcommittee gave Mr. Metcalfe until August 1, 1973 to complete all the work covered by the performance bond. MOTION by Tonco to recommend to the City Council approval of the request to move a house into Fridley with the following stipulations. 1. $5,000 performance bond be posted for the completion of the house and landscaping. (Landscape plan to be submitted to the Inspection Dept.) 2. Elevations be presented to the Engineering Department. Seconded by Siu.oneau. Upon a voice vote, 411 voting aye, the motion carried unanimously. REGULAR COUNCIL MEETING OF DECEMBER 18, 1972 I PAGE 14 PLANNING C&HISSIQN MINUTES (CONTINUED) FRIDLEY COMPREHENSIVE PLAN; - The City Engineer said the Planning Commission suggested that its present members remain in office until after the Public Hearings on the comprehensive plan are completed, MOTION by Councilman Mittelstadt to concur with the Planning Commission and permit the present Planning Commission members to remain in office until the completion of the Public Hearing meetings on the comprehensive plan with no date set. Seconded by Councilman Utter, Upon a voice vote, all voting aye, Mayor Liebl declared the motion carried unanimously. MOTION by Councilman Mittelstadt to receive the Planning Commission Minutes of the meeting of December 6, 1972, Seconded by Councilman Utter. Upon a voice vote, all voting aye, Mayor Liebl declared the motion carried unanimously. — DESIGN CONTROL MEE 1 CONSIDERATION OF _A EEQUEST TO MOVE A HOUSE FROM 6125 NORMANDALE ROAD, EDINA, MINNESOTA TO PARCEL 2340 AUDITOR'S SUBDIVISION NO. 23, REVISED THE SAME BEING 6420 RIVERVIEW TERRACE N E , FRIDLEY, MINNESOTA. (REQUEST BY MRS JOHN M, METCALFE, 6418 RIVERVIEW TERRACE N.E., FRIDLEY, MINNESOTA 55432 The City Engineer said the Building Standards -Design Control Subcommittee had suggested the approval of moving this house with two stipulations. MOTION by Councilman Mittelatadt to approve and concur with the Building Standards Committee requiring a $5,000 bond for completion and performance, a plan of the landscape must be submitted to the Inspection Department and elevations presented to the Engineering Department with a time allowance of six months. Seconded by Councilman utter. Upon a voice vote, all voting aye, Mayor Liebl declared the motion carried unanimously, CONSIDERATION OF A REQUEST TO CONSTRUCT A 108 UNIT APARTMENT COMPLEX AND A 59 UNIT TOWNHOUSE COMPLEX TO BE LOCATED ON PARCELS 4800 AND 5200, SECTION 14, (FORMER REIDEL PROPERTY), GENERALLY LOCATED BETWEEN 5TH STREET N,E, AND 7TH STREET K.E., ON THE SOUTH SIDE OF MISSISSIPPI STUE' IN FRIDLEY,MINNESOTA, (REQUEST BY THE WALL CORPORATION, 8030 CEDAR AVENUE SOUTH, BLOOMINPTON, MINNESOTA, 55420)_ The City Engineer placed the proposed plans submitted by the Wall Corporation on the easel and called on,lir, Richard Schwarz, architect for the Wall Corporation to present the request, Mr. Schwarz pointed out the revised site plan bounded by Mississippi Street, 63rd Avenue, 5th and 7th Street@, and said the plans were primarily as indicated with the exception of the elimination of town houses in the area which r. -,ay be acquired for a library from the Wall Corporation, He said there are two basic revisions, one in the ognetruction of the townhpuses making them two separate buildings, a plan which enables Wall Corporation tv add garages, In order to make space for garages, he added, it was necessary to change building sites.