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PRE 2010 DOCSp W SUBJECT P City of Fridley 19265 AT THE TOP OF THE TWINS BUILDING PERMIT _ r ECEIPT • __ COMMUNITY DEVELOPMENT DIV. P �� Ivnl r i PROTECTIVE INSPECTION SEC. 1 = � CITY HALL FRIDLEY 55432 L NUMBER REV. DATE PAGE OF APPROVED BY 612-571-3450 910-F15 11/3/87 JOB ADDRESS 6470 Riverview Terrace N.E. 1 LEGALLOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. Pt. 13 Auditor l -a Sub. #23 SHEET 2 PROPERTY OWNER MAILADDRESS ZIP PHONE Connie Bundy 6470 Riverview Terrace N.E. 574-1976 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Art Theyson Construction 4232 'Zane Avenue N., Crystal, MN 55428 535-4650 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 fel ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Construct a 201' x 21' Living Area Addition and a 20' x 9' Deck 9 CHANGE OF USE FROM TO STIPULATIONS See notations on plan . ffil �•�N e=digging call local Wh'm- TERHaJifiE W CTR1C -GAS Be,, SEPARATE PERMITS REQUIRE® FOR WIRING, HEATING, PLUMBING AIV® SIGNS. jgED- BY ,LAW @�� 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 ISS -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 $34 850 $17.43 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT F DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PERMIT FEE SACCHARGE PROVISIONS OF ANY OTHER R LOCAL LAW REGULATING CON- $215.50 N/A S RUCTION OR THE PERFOR ANCE OF TRUCTION. PLAN CHECK FEE $ 53.88 TOTAL FEE $286.81 SIGNATURE OF CONTRACTOR OR AUTHORI ED AGENT IDATEI WHEN PROPERLY - I ATED THIS IS YOUR P RMIT r � SIGNATURE OF OWNER IIF OWNER BUILDERI IDATEI BLDG INSP DAT p W NEW [ ] ADDN. [ ] ALTER. [ ] Construction Addri Legal Description Owner Name & Address: C=dId_P d- Tel. # �%y /9-7 1 6 Contractor: 'A/p 7— �J Tel. # ✓�3�y � Address. City of Fridley Effective 4/1/86 R-1 AND R-2 Building Permit Application 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 1 t Length 9- 0 - - Width Length Length --ZO Corner Lot [ ] Inside Lot r Width Width r --- Ft. Yd. Setback Type of Construction: I - Approx. Completion Date: tol /V� Proposed Driveway Width If New Opening Is Desired: Height 2 S q. Ft.,- Height Sq. Ft. 4 Hgt/Ground Sq. Ft. Side Yard Setback Estimated Cost: $ Q c) i Alt. A Alt B $ $ See Back Page for Explanation DATE: /� -F 7 APPLICANT: Tel. Permit Fee Plan Check State Surcharge SAC Charge Park Fee Sewer Main Charge TOTAL STIPULATIONS• CITY USE ONLY Fee Schedule on Reverse Side 25% of Building Permit Fee $.50/$1,000 Valuation $ 525 per SAC Unit Fee Deterfmined by Engineering Agreement Necessary [ ] Not Necessary[_]._ 42O)c /®a0 d �/L 40 V. Acs zi7-10 ��➢ 72 6 $ yn&&o.00 14 BUB,IEf:T P City of Fridley 2 7 919 AT THE TOP OF THE TWINS BUILDING PERMIT r O COMMUNITY DEVELOPMENT DIV. PROTECTIVE INSPECTION SEC. 1 � NUMBER REV DATE PAGE OF APPROVED BY = CITY HALL FRIDLEY 55432 612-571-3450 910-F15 9/22/98 JOB ADDRESS 6470 Riverview Terrace NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. Pt 13 Parcel 2100 Auditor's Subdivision 423 SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Connie Bundy 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Monti's Building & Remodeling 1000 113th Ave NE Minneapolis 55434 740-5111 ",8825 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO B USE OF BUILDING Residential 7 CLASS OF WORK O NEW O ADDITION O ALTERATION C REPAIR O MOVE O REMOVE 8 DESCRIBE WORK Reroof house & garage (20SQ) 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 AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED VALUATION $1,714.00 SURTAX $.86 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 IR LOCAL LAW REGULATING CON- $56.75 Fire SC $1.71 T UCTION O PERF - CE F STRUCTION CHECK FEE TOTAL FE 'AffPLAN Licen SC $ $64.32 VATURE OF COkAACTORORAUTNQRiZEOAGENT 10A7E1 NOPE LIDATE T ' IS �R 11T INSP gAtE SIGNATURE OF OWNER SSF OWNER BUILDERS !DATE! NEW [ ] Effective 1/1/98 ADDN [ ] CITY OF FRIDLEY ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION ConstructionAddress: (,q70 �10ek-ot � IV� r act Legal Description: Owner Name & Address: C� y�, t p ,jOg,`�i Tel. # Contractor: tqp to i 's 7Pg o L d k cmkog. MN LICENSE # �� Address: `Y\.e sS �1 3 y Tel. # 7c)® - 5 t l I Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF EMPROVEMENT LIVING AREA: Length Width Height Sq. Ft. GARAGE AREA: Length Width Height Sq. Ft. DECK AREA: Length �7 Width Hgt/Ground Sq. Ft. OTHER: tel) (® Construction Type: Re -IM-&/ -��e UA- Estimated Cost: $ (Fee Schedule on Back) Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ _ $ DATE: Q Z - -! APPLICANT: a 4 16 Tel. # Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge 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 [ ] SUBJECT P City ®f Fridley 308 1 8 AT THE TOP OF THE TWINS BUILDING PERMIIT ` RECEIPT NO. e • COMMUNITY DEVELOPMENT DIV. `L _____ PROTECTIVE INSPECTION SEC- d � , NUMPEA REI DATE PAGE OF APPROVED By _ �'�'1 CITY HALL FRIDLEY 55432 IL '•� L___.�% 612-571-3450 910-F15 4/11/00 JOB ADDRESS 6470 Riverview Terrace NE 1 LEGAL LOT NO. BLOCK TRACTOR ADDITION SEE ATTACHED DESCR. I Pt 13 I Auditor's Subdivision #23 SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Connie Bundy 6470 Riverview Terrace NE 531-0843 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Bob Holm.lund Construction 3949 Idaho Ave N, Crystal, MN 55427 386-6393 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 8454 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO 6 USE OF BUILDING Residential 7 CLASS OF WORK O NEW O ADDITION O ALTERATION? REPAIR O MOVE ❑ REMOVE 8 DESCRIBE WORK Remove sheetrock, install wonderboard, shower, ceramic tile; Install new bathroom window 9 CHANGE OF USE FROM TO STIPULATIONS See notations on plan. Provide smoke detectors in all sleeping rooms and on all levels of the dwelling per Section 310.9.1.2 of the 1997 Uniform Building Code. S KARATE PER �m REQUIRED FOR. AM �G, 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 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 @ WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT $9,500 $4.75 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. Fire SC $9.50 STRUCTION OR THE PERFORMANCE OF CONSTRUCTION $181.25 q`'C1FjQ PLAN CHECK FEE Lieceqse S $5.00 TOTAL FEE $200.50 S/�_\f`up 'QA a�O uTHOpIIEO AGENt iO4TE, /7. HE PROPERLY VALIDATED THI$ IS YQU� RMIATUO%OW ��-�-NRE r _ G NSP �1 TE NEA,%OWNER BWLDERj IDAfEi NEW Effective 1/1/2000 ADDN [ ] CITY OF FRIDLEY (763) 572-3604 Bldg Insp ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICAMON �`� I Construction Address: `'(� �`, V QA V ;eco `�y�,ez�� ✓" Legal Description: Owner Name & Address: - C.Q vQ xa � *Z 4% u v Tel. # v 4-3, o .?4 3 Contractor: Address: LIVING AREA: GARAGE AREA: DECK AREA: OTHER: k fay A ii r a. rwr. C -v k>`ST MN LICENSE # v` V'g CaS1i4 L Tel. # 31'G c 3')3 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 Length Width Height ath Width Hgt/Ground . Sq. Ft Sq. FL Oi �� Sq. Ft nId, Construction Type: K Q' -t Estimated Cost: $ u U® r' Driveway Curb Cut Width Needed: Ft + 6 Ft = Ft x $ DATE: Lf "- It --efG APPLICANT Qac Tel. # 3 Yr. 6 '3k CITY USE ONLY - Call (763) 572-3604 for Permit Fees if mailing in application Permit Fee $ /6/.,& Fee Schedule on Reverse Side Fire Surcharge $ 9, CO— .001 of Permit Valuation (1/10th%) State Surcharge $ '2S_ $.50/$1,000 Valuation SAC Charge $ _ $1100 per SAC Unit License Surcharge $°®d $5.00 (State Licensed Residential Contractors) Driveway Escrow $ Alt. "A" or Alt. "B" Above Erosion Control $ $450.00 Conservation Plan Review Park Fee $ Fee Determined by Engineering Sewer Main Charge $ Agreement Necessary [ ] Not Necessary [ ] TOTAL $ STIPULATIONS: Ln P,% Bob Holmlund Construction 3949 Idaho Avenue North crystal, Minnesota 55427 Minneapolis License No. 04854 voice Pager: 649 -SM State License No. 0008454 Home Phone: 531-0843 co"w.-(- (041 o Z=' CL -&-k 0. S'l•+a:b Rrj�.Z- COOV ` *WQ, r.: SS,-&, fP- (L:vsn skl- WU.-. n J n 13 TO kaA 10 (40,e jo (10 z � E c ZTl r Light Commercial and Resift -Vial Remodeling • mew Construction F CINOF FRIDLEY FRIDLEY MUNICIPAL CENTER • 6431 UNIVERSITY AVE. N.E. FRIDLEY, MN 55432 • (612) 571-3450 • FAX (612) 571-1287 Constance Bundy October 19, 2000 6470 Riverview Terrace Fridley, MN 55432 Dear Ms. Bundy: Recent changes in State Rules and Met Council requirements required that all individual sewage treatment systems (ISTS) in the City of Fridley be inspected, properly maintained, and meet the State criteria for conforming treatment systems. As a result of these mandates, the City of Fridley amended Chapter 402 of the City Code regarding Water and Sewer Administration to reflect these requirements. Public hearings on these changes were held by the City Council on August 28, 2000 and again on September 11, 2000 prior to approval. The changes in Chapter 402, as pointed out in the City's letter dated August 15, 2000, require that you have your sewage treatment system inspected by November 1, 2000 and then biennially after this initial inspection. To date, we have not received an official inspection form for your system. If you have not had your system inspected, please have a licensed inspector do so prior to November 1, 2000. If you are uncertain as to the effectiveness of the treatment of your existing system or conformance to the current system requirement and would rather forego this inspection and connect to the City sewer system, please sign the attached "Intent To Connect To City Sewer" document and return it to the City by November 1, 2000. If you have any questions or concerns please call me at 572-3593. Sincerely, 11/9--f Paul Bolin, Planner INTENT TO CONNECT TO CITY OF FRIDLEY SEWER SYSTEM I, , property owner(s) at , request (please fill In your name(s)) (your address) that the City of Fridley waive the requirement of an inspection of my Individual Sewage Treatment System. I request this waiver as I will connect to the City Sewer system by August 1, 2001. If I fail to connect by this time, the City may proceed with all actions allowed for in City Code to make said connection to City Sewer system. Signed this day of , 2000, by (date) ( month) (Property Owner(s) signature(s)) ,TY OF FRIDLEY INSPECTION DIV. 6431 University Ave NE Fridley, MN 55432 572-3604 APPLICATION FOR PILUMBINGAND.GAS FITTING PERMIT MARK NUMBER OF FIXTURES TO BE INSTALLED ON EACH FLOOR Effective On Jan 1. 2000 PLUMBING FIXTURE RATES: NO - . -m -.;Water TOTAL, '.'JOB ADDRESS /a 70 1 e -r- vle- &0 h Wash Floor Auto. IN I I I . .......... * Gas Heater $7.00 The undersigned hereby makes application for a permit for the work herein Old Opening, New Fixture Tray Drain Washer specified agreeing to do all work in strict accordance with the city codes Ran $.5.00 Urinal and rulings of the Building Division,- and hereby'declares that all the facts Shower $7.00 - V.0 Catch Basin . e Rain Water Leader $7.00 /0—/0 20LO SumpReceiving Tank $7.00 7 Basement $10.00 owner 4 Ajft 4;u-,Aj D Water Heater -Electric . . . . . . . . W $10.00 Building Used As Gas Range** $10.00. Gas Dryer** Floor I /0 . . . . ....... Back Flow Preventer Required )Yes Wo i PJ V—' C> 4 - Type $15.00 PLUMBING COMPANY Reinspection Fee $47.0011 -Ir Floor -2 SIGNED BY TEL NW17t3_ ALL OTHERS AND/OR REPAIRS AND ALTERATIONS 1.5% of Value of Fixture or Appliance . . . . . . . . . . . Approved By Rough -in Date Final Date State Surcharge Floo� 3 TOTAL FEE ................ ................... . . . . . . . . . . . . . . . . .... . .. COMBUSTION AIR SHALL BE PROVIDED PER UMC '52. SECTION 504(A) AND TABLE 6-A. COMMON VENT INFO ON BACK SIDE .............. . Floor 4 . ...... . • ... ...... .... PLUMBING FIXTURE RATES: NO - . RATE, TOTAL, '.'JOB ADDRESS /a 70 1 e -r- vle- &0 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 're entatiom stated in this and rep s Op !Ica p tion are true and correct. Catch Basin . $7.00 Rain Water Leader $7.00 /0—/0 20LO SumpReceiving Tank $7.00 7 Water Treating Appliance $10.00 owner 4 Ajft 4;u-,Aj D Water Heater -Electric $7.00 Water Heater - Gas** $10.00 Building Used As Gas Range** $10.00. Gas Dryer** $10.00 /0 Estimated Cost PERMIT NO. Back Flow Preventer Required )Yes Wo i PJ V—' C> 4 - Type $15.00 PLUMBING COMPANY Reinspection Fee $47.0011 -Ir SIGNED BY TEL NW17t3_ ALL OTHERS AND/OR REPAIRS AND ALTERATIONS 1.5% of Value of Fixture or Appliance Approved By Rough -in Date Final Date State Surcharge $ .50 TOTAL FEE vz.5� ...................... :� MINIMUM FEE R ANY PLUMBINGIGAS PERMIT IS S PLUS THE S.50 STATE SURCHARGE COMBUSTION AIR SHALL BE PROVIDED PER UMC '52. SECTION 504(A) AND TABLE 6-A. COMMON VENT INFO ON BACK SIDE CIlYOF FRIDLEY FRIDLEY MUNICIPAL CENTER • 6431 UNIVERSITY AVE. N.E. FRIDLEY, MN 55432 • (763) 571-3450 • FAX (763) 571-1287 February 21, 2003 Ms. Constance Bundy 6470 Riverview Terrace NE Fridley, MN 55432 Re: Final Inspection at 6470 Riverview Terrace NE Contractor: Weld & Sons Plbg, Holmlund Construction, Central Plumbing Co Dear Ms. Bundy: A Building Permit was issued on October 15, 2001, a sewer permit on October 15, 2001, and a plumbing permit was issued on October 10, 2001 to install a basement bathroom at your address. According to the 1991 Uniform Mechanical Code and the Uniform Building Code a final inspection shall be conducted on the work authorized by these permits. As of this date these inspections have not been requested. The permit fees that were paid cover the inspections to make sure the work was completed according to the Codes. Please contact us within the next 30 days to set up the inspection to final these permits. To set up the inspection or to have any questions answered, please contact the Building Inspection Division at (763) 572-3604. DJ/mh SUBJEdT " PERMIT City of Fridley` 3 2 21 AT THE TOP OF THE TWINS BUILDING PERMIT Ir �-n-CV-PT COMMUNITY DEVELOPMENT DIV. 572-3r)04 NO. ------- �Y+ � r e I PROTECTIVE INSPECTION SEC. 1 NUMBER REV DATE r;GE OF APPROVED BY ` CITY HALL FRIDLEY 55432 j L 612-571-3450 910 -Fl 10/15/01 / JOB ADDRESS 6470 Riverview Terrace NE I LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. Pt 13 Auditor's Subdivision #23 SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Connie Bundy 6470 Riverview Ter NE 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Bob Holmlund Construction 3949 Idaho Ave N, Crystal, MN 55427 612-386-6393 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO 8 USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW ❑ ADDITION ❑ ALTERATION REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK M Frame walls for bathroom on the lower level 9 CHANGE OF USE FROM TO STIPULATIONS See notations on plan. TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD SEPARATE PERMITS ARE REOUIRED 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 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 $ 6O 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 PROVISI NS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON• $47.90 Fire SC $1.20 STFILIrION OR THE PERFORMANCE OF CONSTRUCTION �" G PLAN CHECK FEE TOT FEE �`• ` <S`^CJ Licens $5. 4.70 SIGNATURE OF CON: RACTOR OR AUTHORIZED AGENT ,DATE, E PRO Y VALI T HIS IS/YOUR PERMIT BL G INSP GATE SIGNATURE OF OWNER,,F OWNER BUILDER, IOATE, NEW [ ] Effective 1/1/2001 ADDN [ ] CITY OF FRIDLEY .(763) 572-3604 Bldg Insp ALTER [ J SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION Construction Address: �Q 42n I C- U QA "'Ql A Legal Description: Owner Name & Address: IU.' -e— ns6n - Tel. # Contractor: 11 o -(*�, 4A�,A Co, MN LICENSE # i c I S Y Address: 101LAO, -:S-7z —, Z� X�b Tel. # & (2 3" ce� S 1 Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DATE: 1A APPLICANT: Q c t - eA sk VA (v 6 fuS,( Tel. # 6 (2 3 E4 CITY USE ONLY - Call (763) 572-3604 for Permit Fees if mailing in application Permit Fee $ O Fee Schedule on Reverse Side Fire Surcharge $ /.- Z- D .001 of Permit Valuation (1/10th%) State Surcharge $ .G,d $.50/$1,000 Valuation SAC Charge $ $1150 per SAC Unit License Surcharge $ 5700 $5.00 (State Licensed Residential Contractors) Driveway Escrow $ Alt. "A" or Alt. "B" Above Erosion Control $ $450.00 Conservation Plan Review Park Fee $ Fee Determined by Engineering Sewer Main Charge $ Agreement Necessary [ ] Not Necessary [ ] TOTAL STIPULATIONS: 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: kg- w4 t-cs "Qoo&-� t ck TTIA V-4 6 Ju I Construction Type: i Estimated Cost: $ 11130 Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ _ DATE: 1A APPLICANT: Q c t - eA sk VA (v 6 fuS,( Tel. # 6 (2 3 E4 CITY USE ONLY - Call (763) 572-3604 for Permit Fees if mailing in application Permit Fee $ O Fee Schedule on Reverse Side Fire Surcharge $ /.- Z- D .001 of Permit Valuation (1/10th%) State Surcharge $ .G,d $.50/$1,000 Valuation SAC Charge $ $1150 per SAC Unit License Surcharge $ 5700 $5.00 (State Licensed Residential Contractors) Driveway Escrow $ Alt. "A" or Alt. "B" Above Erosion Control $ $450.00 Conservation Plan Review Park Fee $ Fee Determined by Engineering Sewer Main Charge $ Agreement Necessary [ ] Not Necessary [ ] TOTAL STIPULATIONS: CITY OF FRIDLEY INSPECTION DIV. 6431 University Ave NE Fridley, MN 55432 572-3604 APPLICATION FOR PLUMBING AND GAS FITTING PERMIT MARK NIJMBFR OF FDM IRFG Tn RF INCTOI I Fn nA1 Genu CI nnQ Effective On Jan 1, 2000 PLUMBING FIXTURE RATES: NO. RATE TOTAL JOB ADDRESS 54NIF tS 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 Puilding 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 BUNDY, CONSTANCE / Rain Water Leader $ 7.00 6470 RIVERVIEW TERRACE NORTHEA d 20_ Sump/Receiving Tank $ 7.00 FRIDLEY, MN 55432 Water Treating Appliance $10.00 Owner_ (763) 572-9723 Water Heater -Electric $ 7.00 Water Heater - Gas** _ $10.00 Building Used As !'E61'D l Cz Gas Range'" $10.00 Gas Dryer** $10.00 00 Estimated Cost PERMIT NO. Back Flow Preventer Required ( )Yes () No Type $15.00 PLUMBING COMPANYor 2..(1/� AJ� Reinspection Fee $47.00/Hr SIGNED BY - TEL NO. ALL OTHERS AND/OR REPAIRS AND ALTERATIONS - 1.5% of Value of Fixture or Appliance V ,Approved By Rough -In Date Final Date -D 63 State Surcharge S .50 TOTAL FEE $ - -MINIMUM FEEE= OR ANY PLUMBINGIGAS PERMIIT IS S2100 PLUS M".50 STATE SURCHARGE COMBUSTION AIR SHALL BE PROVIDED PER UMC SECTION 504(A) AND TABLE 6-A COMMON VENT INFO ON BACK SIDE COMMON VENT, VENT CONNECTOR AND COMBUSTION AIR VERIFICATION When replacing an existing_furance, the undersigned hereby verifies that the venting has been examined and is free from rust, deterioration, obstructions, and is securely supported, and firestopped where required. Yes () No ( ) The venting",system. is. plastic/PVC and meets all current codes and manufacturer specifications .including sizing, length, number of elbows and termination. Yes O 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 existing combustion air is sized and installed to meet the current codes and manufacturer's specifications. Yes ( ) 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 ( ) No ( ) When installing a new ventinggystem, 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 O No ( ) Appliance Type and Size/Common Vent and Vent Connector Information Appliance #1 Type BTU Input Fan Assisted or Nat'® Appliance#2 Type BTU Input Fan Assisted or Nat Appliance #3 Type BTU Input Fan Assisted or Nat Total Appliances Total Btu Input Common Vent Type Vent Height Diameter inches Appliance #1 Vent Connector Height ft Length ft Diameter in Type Appliance #2 Vent Connector Height ft Length ft Diameter in Type Appliance #3 Vent Connector Height ft Length ft Diameter n Type ALTERATIONS: (Describe) HEATING CO. Signed By: Date: r CITY OF FRIDLEY PERMIT o.: 2004-0200 6431 UNIVERSITY AVENUE NE FRIDLEY, MN 55432 DATE ISSUED: 10/27/2004 r63) 572-3604 FAX: (763) 571-1287 ADDRESS : 6470 RIVERVIEW TERRACE NE PIN : 153024420008 LEGAL DESC : UNAVAILABLE : LOT BLOCK PERMIT TYPE : BUILDING PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : WINDOW/DOOR REPL VALUATION : $ 1,386.00 NOTE: PROVIDE SMOKE DETECTORS IN ALL SLEEPING ROOMS AND ON ALL LEVELS OF THE DWELLING PER R317 OF THE 2000 INTERNATIONAL RESIDENTIAL CODE. CAULK AND FLASH ALL EXTERIOR OPENINGS. REPLACE BASEMENT WINDOWS WITH GLASS BLOCK WINDOWS WITH VENT. STATE LICENSED CONTRACTOR 1 APPLICANT LAUER MECH MAINT INC 4052 9309 LYNDALE AVE S BLOOMINGTON, MN 55420 - OWNER BUNDY CONSTANCE G 6470 RIVERVIEW TER 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 vio or cancel the provisions of any other state or local law regulatinons tion or the performance of construction Applicant Date_ _ I_ BUILDING PERMIT FEE 50.95 FIRE SURCHARGE 1.39 STATE SURCHARGE, VALUE 0.69 LICENSE SURCHARGE 5.00 TOTAL 58.03 Bldg InsoL Datd .2 C> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. 10/27/2004 08:44 9528849146 LAUER CONSTRUCTION QCT -21-20A4 11:09 CITY OF FRIDLEY NEW [) CITY OF FRIDLEY ADON [ j 6431 University Ave NE, Fridtiby, MN 65432 ALTER () SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION ConstruV ion Address: -6 VW At ; t,,S' - " Legal Dercdption: PAGE 03 r' r EfFeCtive4/1/2004 O (793) 672.3604 Bldg Insp O (763) 571-1287 Fax Owner Mime & Addmss: L b-0- k t?jZ kV.70 0. 7&.3 -S 7A-97,3 Cor>tractCt; v rc� �' ✓ MN LICENSE # Sl��-- Address:_—?31J9•Cy•��,�-�� d�g rel# Attach to this application, a Certificate of Survey of tha bt, with the proposed construction drawn on it to scale, DESCRIPTION OF IMPROVEMENT LANG AAft- Length 1Nldth, Height_ Sq. Ft GARAGE 14MA: Lenpth Width Height _ _ _ Sq. FL DECK AREA: Length Width HOGround Sq. Ft. OTHER: RE�yli� 5= $As,+�..i,y`' Gyii+��✓s uJ�T1�i�► cs/ ,w/oAlf- - Construction Type: W—,4*01Ad " A1z Estirrnated Cost: $ I15-6 � Drivoway Curb Cut Width Needed: Ft: + 6 Ft = Ft x $ = $ DATE: APPLICANT: f , Tet. 0 95-27 -JOd /V3i�77 Call (763) 572.3604 for Permit Fees if mailing in applica Von. Fax to 763.5714287 N casing credit card and wo w0l call you for card number. Com"' CJUSE ONLY - Permit Fee., '$ Fee Schedule on Reverse Side Plan Review $_ _ 6M/a of Permit Fee Fine Surcharge State Suir�iarge SAC Chane Ucense Surcharge Curb Cut Escrow Erosion Control Park Fee Sewer Maki Charge $ Ii -00 $ ;001 of Permit Valuation (1/1®th'. ) $.50/$1,000 Valuation $1350 per SAC Unit $5.00 (State Licensed Residential Contractors) Alt. "A" or Aft. "B" Above $450.00 Conservation Plan Reviews Fee Determined by Engineering Agreement Necessary [ ) Not Necessary [ TOTAL _. STIPULAIMNS- Building Permit Fee BUILDING See Back Page for Fee Schedule Permit No.:.---�)J l L®'' Inspections 65% of Building Permit Fee RESIDENTIAL APPLICATION $ Received By: 1 763-572-3604 $ .0005 x Permit Valuation Minimum $.50 License Surcharge $ 763-502-4977 FAX CITY OF FRIDLEY $ DIEM `t a 19 W K, Curb Cut Escrow $ I EFFECTIVE 1-1-2010 Erosion Control W ln� .. DATE YOUR E-MAIL ADDRESS $ SITE ADDRESS Sewer Main Charge $ THIS APPLICANT IS: ❑ OWNER ❑CONTRACTOR $ PROPERTY OWNER/ NAME:d TENANT ADDRESS: ! IE'JWi - CITY STATE ZIP PHONE: 7— ^7-75- 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 ❑ TWO FAMILY/NEW CONSTRUCTION STORIES PERMIT TYPE ❑ ADDITION ❑ GARAGE/SHED ❑ WINDOWS ❑ BASEMENT FINISH ❑ ROOF ❑ DRAIN TILE ❑ DECK ❑ SIDING ❑ OTHER ❑ SWIMMING POOL TYPE OF WORK: ❑ NEW HOME CONSTRUCTION ❑ ADDITION ❑ MAINTENANCE/REPAIR ❑ REMODELING DESCRIBE WORK BEING DONE: SIZE OF IMPROVEMENT LENGTH WIDTH HEIGHT SQ FT ROOFING ❑ HOUSE ONLY NUMBER OF SQUARES ❑ HOUSE & GARAGE BASEMENT REMODELING SUBMIT: l . 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, p 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 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 $ OCCUPANCY TYPE Permit Fee $ See Back Page for Fee Schedule Plan Review $ 65% of Building Permit Fee Fire Surcharge $ .001 times the total job valuation Surcharge $ .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 $ ��ft + 6 ft = ft x $24 = $ Erosion Control $ $450 Conservation Plan Review Park Fee $ Fee Determined by Engineering Sewer Main Charge $ Agreement necessary ( ) Non Necessary ( ) Total Due $ 101-5!21 Make checks vavable to: Citv of Fridlev 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 god approval of plans., _ ,, I SIGNATURE OF APPLICANT (VI _ PRINT NAMEI Y li (JAL' LL IdA & \q'—NDATE 10* 2-A- `)