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PRE 2010 DOCSLA N, susdEcr PERMT52 City of Fridley r 6 4 AT THE TOP OF THE TWINS BUILDING PERMI T r RECEIPT NO. L-____ COMMUNITY DEVELOPMENT DIV. �� 0 r PROTECTIVE INSPECTION SEC. d 1 CITY HALL FRIDLEY 55432 NUMBER REV. DATE PAGE OF APPROVED BY � L 612-571-3450 910-F15 6-14-79 JOB ADDRESS 6492 Riverview Terrace 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 2 1 1 Walt Harrier 1st. SHEET 2 PROPERTYOWNER MAIL ADDRESS ZIP PHONE Harrier Const. Inc. 6490 Riverview Ter. Fridley 55432 560-6894 —walt 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 fel NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Construct a 261 X 421 house and.2V X24.3' Garage. 9 CHANGE OF USE FROM TO STIPULATIONS Provide a hak.d surface. driveway. Provide a verifying survey before capping. Provide sod in the front and side yards. Utilities to be put in by property owner. 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 r-1 1092' . 22,2721 . ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS OFFSTREET PARKING I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION STALLS I 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 $41,200.00 .$20.60 DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PERMIT FEE SAC CHARGE PROVISION ANY OTHER STATE OR LOCAL LAW REGULATING CON- S TIO O HE RFORMANCE OF CONSTRUCTION. $113.37 $425.00 PLAN CHECK FEE TOTAL FEE °� 587.31 SIGN UR OF CONTRACTOR OR AUTHORIZED AGENT (DATE) WH&PROPEUYILFTE $ IS Y,�OUR PERMI In BLDG INSP DATE SIGNATURE OF OWNER IIF OWNER BUILDER) I DATTA46 LA N, CITY OF FRIDLEY APPLICATION FOR RESIDENTIAL BUILDING PERMITS (New, Alterations, Additions, or Repairs) OWNER: _ s IA&�BUILD . ER: A s ADDRESS: a ADDRESS: TEL NO: S 0 TEL NO: STREET NO:- Z 2//5'.2 STREET: LOT: ,,2- BLOCK: Construction Location Corner Lot: Inside Lot: Setback: Sideyards: (f !® 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_: % Front: ] Square Feet: L29 Type of Construction: A e' /1Q.2ij�Oj JQ Depth: !ya Height: '-?y Cubic Feet: epth: Height: Cubic Feet: l0 /I- L Estimated Cost: $ 4) ZOO To Be CJDmpleted: Alt, A Alt. B Proposed I2riveway Width If New Opening Is Desired: I A $ $ 28 -34 .,1� V �(tC��O 9,.31 '�" SEE REVERSE SIDE OF SHEET r28 37 'eao. to yCs,,�eckla7 ,OU '&(G e un ersigned 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 a t -,Cue Vd correct. �?- % 5 DATE: SIGNATURE: �e Stipulations: '�{`� ►na�� L� , �'� � S �. C �L C V �"� � S va L v'U ra 3 00 V . � � � �� . F� 'L� �•-�k � �- �� i� � l= VPo- � �.. � � t®G �� iP^ '�!' 4 lei �T VwiroaC V�e S \-\N \r U -,f3` -Z U. _ o A V ' V0 Elio) % 1 0 1 "M M '11 we MY M j ' 01 1�9 Nq I own"? V, !WWI not"; 1 -tftmist ,Inv w VIP., w. A."MV, -01w PAN to 14' V4 -;4 finumpon OEM M bu a Vy" MUM—,," . . . . . . . . . . . . . . . . Q t�;N �W� CITY OF FRIDLEY APPLICATION FOR PLUMBING AND GAS FITTING PERMIT PARTIAL RATE SCHEDULE m PLUMBING FIXTURE RATES: NO. rn RATE TOTAL o ( x 0 Water OF m m $ New Fixture, Old Opening N� H •.c+ a! A i ai c, W tp $•ix� Heater .tl+ o Cd $5.00 $ '57 cyC=i 100,000 BTU to 199,000 BTU 1H( u x $� C C ato Water Softener _ x is $ New Ground Run Old Building QO O M $ Electric Water Heater N x O S N 4j N M 0 N a q o i� W u w 3 ff�� ._._ 0 � a .C.' o as lec coU Gas Range to 199,000 BTU x $10.00 t"in G�. b[i Cal First $100.00 $5.00 $ each add. $100.00 or fraction $2.00 $ State Surcharge $ gt $ ,,50 �t �o .ssb 1st 2nd 3rd 4th (R) - Future Connection Opening Connected with Sewer (*) = New Fixture, Old Opening Water PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: NO. RATE TOTAL Number Fixtures ( x $3.00 Future Fixture Opening x $2.00 $ New Fixture, Old Opening x $2.00 $ Catch Basin x $5.00 $•ix� Water Heater - to 99,000 BTU ( x $5.00 $ '57 cyC=i 100,000 BTU to 199,000 BTU x $10.00 $ Water Softener _ x $7.00 $ New Ground Run Old Building x $5.00 $ Electric Water Heater x $5.00 $ GAS FITTING FEES: lst 3 fixtures i� x $3.00 $ ff�� ._._ 0 Additional Fixtures x $1.00 $ Gas Range to 199,000 BTU x $10.00 $ REPAIRS & ALTERATIONS First $100.00 $5.00 $ each add. $100.00 or fraction $2.00 $ State Surcharge $ TOTAL FEE $ ,,50 �t �o .ssb REINSPECTION FEE ($10.00) Job Address Department of Buildings City of Fridley Tel. #571-3450 The undersigned hereby makes application for a permit for the work herein specified agreeing to do all work in strict accordance with the City Codes and rulings of the Department of Buildings, and hereby declares that all the facts and roprosentations stated in this application are true and correct Fridley, Mn. " I -_-__G , 19� A'1 -OWNER �'+ ,�r , ® -1" KIND OF BUILDING USED AS TO BE CC ESTIMATED COST OLD - NEW BUILDING PERMIT NO. PERMIT NO. ROUGH INSP. Date FINAL INSP. Date APPROVAL FOR PERMIT MINIMUM FEE FOR ANY PLUMBING PERMIT IS $7.50 PLUS $.50 STATE SURCHARGE CITY OF FRIDLEY APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION, REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES PARTIAL RATE SCHEDULE GRAVITY WAR}f AIR: RATE TOTAL Furnace shell a Duct Worm $12.00 � * ?-eplace-ant of Furnace 7100 repairs & :*.iterations -up to $5Q0.00 7.00 $ Repairs & Alterations each add. $500;00 4.00 $ iFECHANICAL WtiAR.M AIR: Furnace Shell & Duct Work to 100,000 BTU $12.00 $ �® � each add. 50,000 BTU 4.00 $� *R.piacement of Furnace 7.00 $ Repair✓ a Alterations -up to $500.00 7.00 $ Repairs a Alterations each add. $500,00 4,00 $ SIM -;M OR HOT i :ITER SYSTE•1: ?oiler & Lines, up to 100,000 BTU. each add.:. 50,000 BTU Boiler Orly up to 100,000 BTU each ad?z. 50,000 BT*J OIL to 3 gal. per hour each add. 3 gal. per hour GAS BURNER- from 100,000 BTU to 1j9,SSS ATA (over 199,999. BTU see Fee Sche1.2.ulN GAS FITTIN"o FEES: $12.00 4.00 $ ?.pq $ �•aq S f. 4! qA s ?R: A4 s S 1st 3 Fixtures x S A.qq Additional Fiytures S ;:AA Gas Range to 199, QQQ BTU AIR CONDITIONING FAN 'r'E :TING SYSTE., S See Fee Schedule VENTILATING SYSTEMS ALTERATIONS 4 REPAIRS State Surcharge TOTAL FEE MUS -91 INSP. Date FZZAL INS?. Date : AP?ROV?.L FOR PER.`::T REINSPECTION FEE [$10.00} a g. sz F7 -%Ln ;M FEZ FOR A:.7 =TING PER=T IS $7.50 PLUS -$.50 STATE SURCHARGE *;: .aci Qd stack verification form • /J b ,lob Address _ V/ 7 �521 Jal-f f'► ° Department of B14t1angs City of Fridley Tel. #571-3450 The undersigned hereby makes application for a permit for txe work herein specified agreeing to do all work in strict accordance with the City Ccdes - and rulings of the Department of Buildings, and 'hereby declares that all the facts and representations stated in this application are true and correct. ,ry Fridley, Minn. ®®_� � , 19 PND OF BUILDING 1 PPEP AS TA B / -y �QNPLETEO ADo.11T / 2 PSTTw' 1 F_R CART P.F'q ' puTgwG PwITT NQ. PSPUMTT NO. PFSCRTPTIPI OF FPr%NACE/BURNER 9:PAT;2jG Ar FQWP?, PLAYT§f 4t PZ;1#Sot Y? tern waw Air- too. I Trade lq=,,e CS Size No. /O, L,s = /01;0,P C 3 Capacity Sq. Ft. EDR BiJ FFP Total Connected Load Kind of Fuel BURNER - Trade Name Size No. Capacity Sq. Ft. EDR BTU FFP Company Signed By✓%i,�dtZ�[� Tel. No. May 5, 1980 s � 6431 UNIVERSITY AVENUE N.E., FRIDLEY, MINNESOTA 55432 TELEPHONE ( 612)571-3450 Mr. Walt Harrier Walt Harrier Construction Inc. 6490 Riverview Terrace N.E. Fridley, MPI 55432 Re: Final Inspection at 6492 Riverview Terrace'N.E. Dear Mr. Harrier: A final inspection was made on May 1, 1980 and a reinspection made on May 5, 1980 of the above address and it was noted that the construction has been completed according to the, approved plans. If you have any questions on this item, please contact me at 571-3450. Sincerely, DARREL G. CLARK Chief Building Official DGC/mh CITY OF FRIDLEY INSPECTION DIV. Effective On January 1, 1991 6431 University Ave NE Fridley, MN 55432 APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION, 572-3604 REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES RATE SCHEDULE Residential Furnace Shell and Duct Work, Burner — Also Rep acement Furnace Gas Piping (Needed with new furnace) Gas Range Rate TOTAL $ 20.00 $ $ 10.00 $ $ 10.00 $ Gas Dryer $ 10.00 =ConditioningAll Sizes $10.00 .G�1i'� f+SZ2 Z.6/ All Others/Repairs & Alterations (LIST ON BACK) 1 % of Value of Appliance or Work Commercial/Industrial 1% of Value of Appliance or Work State Surcharge TOTAL FEE s/0,00 $ $ .50_ MINIMUM FEE FOR ANY HEATING/COOLINGNENTILATION REFRIGERATION/AIR CONDITIONING PERMIT IS $15.00 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. JOB ADDRESSV�iI�� I ��rr 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 ruling of the Building Division, and hereby declares that all the facts and representations stated in this applicion are true and correct. ,1991 OWNER BUILDING USED AS -Al — ESTIMATED COST -»� PERMIT NO. ' �3 DESCRIPTION OF FURNACE AND OR BURNER No. of Heating Units I Circle One (Steam) Not Water (Warm Air Trade NameSize No. BTU 7` 5; HP EDR Fuel �if� a Total Connected Load Burner Trade Name Size No. BTU HP EDR Richmond & Sons Elm. Inc. dba. Golden Valley Nig. & Air Cd HEATING COMPANY 51iQ7111P.0 Rr aft", R..�JU�CrysiaJ 155n2n +'lrt Signed By F1' ' TO No. Approved By '_ f Rough -In Date Final Date y 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 k'j No ( ) 2. Is free from rust or deterioration Yes No ( ) 3. Has no foreign objects lodged within Yes No ( ) 4. Is securely supported Yes (1.4 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 �� Cod Remarks List Alterations Being Done: HEATING COMPANY ors J`s:: int d ;; ;Iden Vrdlpy Htg. R. Air i;r Signed By Date APR 5 1994 SUBJECT PER City of Fridley 2 x.191 AT THE TOP OF THE TWINS BUILDING PERMIT r RE _ COMMUNITY DEVELOPMENT DIV. L PROTECTIVE INSPECTION SEC. y� NUMBER REV DATE PAGE OF APPROVED BY CITY HALL FRIDLEY 55432 612-571-3450 910-F15 1/31/92 JOB ADDRESS 6492 Riverview Terrace NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 2 l Walt Harrier lst SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Ethel Arnold 6492 Riv'erview.Terrace NE 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Sawhorse Builders 4740 42nd Ave N, Robbinsdale 55422 533-0352 2382 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 P ADDITION R ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Construct a. 101 x 14 r. Deck; a 14r x 10$ Porch.; remodel and install new windows 9CHANGE OF USE FROM TO STIPULATIONS Variance setbackto riverof 87.,5t' approved by Council 1/6/92. See notations on plan, 9/. WJAM � .. 1N6 Imo Before digging call for °SEPARATE PERMITS all utility locations RE '/VIRING, HEATING, a�� RFU ��NG AND �® SIGNS, REQUIREDaaoz BY LAW TYPE OF CONST, OCCUPANCY GROUP OCCUPANCY LOAD SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, VENTILATING OR AIR CONDITIONING. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING SQ. FT. CU. FT. AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS OFFSTREET PARKING I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION 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 $59,000 $29.50 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 S ATE R LOCAL LAW REGULATING CON- $455.00 Fire SC $59.00 O THE P FORM C NSTRUCTION. PLAN CHECK FEE X7'N TOTAL FEE $543.50 QIBjtlAr O O uTM RI ENr (DATEI WH N PRO E L VI&XLIDAT THIS IS YOUR PERMI SIGNATURE OF OWNER OF OWNER BUILDER) IDATEI M DCrINSP DATE NEW j ] v Effective 1/1/92. ADDN [ ] CITY OF FRIDLEY ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 Building Permit Application Legal Description: Owner Name &Address: Mta_ Aa&42 Tel Contractor: 600�(�6P5 MN LICENSE # 7951 7 Address: 1-7I'Zk)P AM U V05' Tel. # ��J —03-� 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. AREA: Length` Width —!— Hgt/Ground _` Sq. Ft. OTHER: 2 Corner Lot [ ] Inside Lot [ ] Ft. Yd Setback Side Yard Setbacks Type of Construction: MIME Estimated Cost: $ 59, C Approx. Completion Date: ccs Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ DATE: — Z7 — APPLICANT: f 710 Tel. # Permit Fee $ G SSS, 00 Fire Surcharge $, 00 State Surcharge $ a SU SAC Charge $ Driveway Escrow $ Park Fee $ Sewer Main Charge $ 4i TOTAL $ 2-1 STIPULATIONS: Fee Schedule on Reverse Side .001 of Permit Valuation (1/10th%) $.50/$1,000 Valuation $700 per SAC Unit Alt. "A" or Alt. "B" Above Fee Determined by Engineering Agreement Necessary [ ] Not Necessary [ ] 6�,oesv 66,00 U SU q 'lc q.:S o x-/0.50 C/SS' 6 G CITY OF FRIDLEY Effective Date January 1, 1991 .APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION, REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES RATE SCHEDULE RESIDENTIAL RATE: TOTAL Furnace Shell and Duct Work, Burner (Also replacement furnace) $ 20.00 $ Gas Piping $ 10.00 $ (piping needed with new furnace) Gas Range $ 10.00 $ Gas Dryer $ 10.00 $ Air Conditioning (all sizes) S 10.00 $ All Others/Repairs and Alterations It of Value of Appliance or Work S j CLQ Job Address -- l0 ue f euo Tef acic Building Inspection Div. 6431 University Ave NE Fridley 5 5432 Tel. No. 572-3604 The undersigned hereby makes application for a permit for the work herein specified agreeing to do all work in strict accordance with the City Codes and rulings of the Department of Buildings, and hereby declares that all the facts and representations stated in this application are true and correct. KIND C 5 . 19q.�G? COMMERCIAL/INDUSTRIAL USED AS Q.QZ �av'(\ga 1% of Value of Appliance or Work $ TO BE COMPLETED ABOUT _ J ,� ESTIMATED COST ?a (n, . State Surcharge $ .50 OLD - NEW BUILDING PERMIT NO. PERMIT NO. 6 TOTAL FEE REINSPECTION FEE $30.00 Rough Insp. Final Insp. Approval for W . 8 Duc-�- -,,+ / py-a s 4 &3 t4' MINIMUM FEE FOR ANY HEATING/COOLING/VENTING PERMIT IS $15.00 PLUS THE $.50 STATE SURCHARGE *Air Conditioners can not be placed in side yard without written permission from adjoining neighbor. DESCRIPTION OF FURNACE/BURNER HEATING or POWER PLANTS, Steam, Not Water, Warm Air- No. Trade Name Capacity Sq. Ft. EDR Total Connected Load Size No. BTU NP Kind of Fuel BURNER - Trade Name Size No. Capacity Sq. Ft. EDR BTU HP VOGT MM& Am CONDMolla Company Signed By �LOWSpMM 5 6E69294011 Tel. No. Fill out back side for stack verification on replacement furnaces CHIMNEY ANO STACK VERIFICAT°ION The undersigned hereby verifies that the existing chimney or stack; 1. Has been carefully examined Yes (,r) No ( ) 2. Is free from rust or deterioration Yes (i) No ( ) 3. Has no foreign objects lodged within Yes (i) No ( ), 4. Is securely supported Yes (;) No ( ) 5. Meets all current Code requirements for size and total BTU' connected Yes ( ) No.( ) 6. '`� Has Total heating BTU's of I All other BTU's TOTAL Remarks or Company Signed By Date CITY OF FRIDLEY APPLICATION FOR PLUMBING AND GAS FITTING PEMIT IAfective Date January 1, 1991 Building Inspection Div. 6431.University Ave NE Tel. No. 572-3604 Fridley MN 55432 The undersigned hereby makes application for a permit for the work herein specified agreeing to do all work in strict accordance with the City Codea and rulings of the Department of Buildings, and hereby declares that all the facts and representation, stated in this application ®re true and eorre,t, OWNER KIND C USED A To BE RATE SCHEDULE ut .ESTIMATED COST— ut iA q TOTAL e '-� 4, $ 63dter S ;?/ 60 Company Old Opening, Now Fixture $ 4.00 . beer Dispenser 5 t.. r- Signed 57 Heater e a rg, tr S OQ�� Tel. No. F Catch Basin S ur n N O. (lain Water Leader $ 7.00 @ $ ti L C y ROUGH INSP. U -�+ L a U 10.00 - 41 Date 14 p ' C 7.00 - $ r� �f w.� Coater Heater - Gas O S u uqt ✓ vt m,ye ul & W1 U 17 qq m 60 O h & U oD $ L7 qw EL ) O 8 �le lat Type e S 5.00 - S / n (R) Future Connection Opening Connected with Sewer (0) ® New Fixture, Old opening Mater IAfective Date January 1, 1991 Building Inspection Div. 6431.University Ave NE Tel. No. 572-3604 Fridley MN 55432 The undersigned hereby makes application for a permit for the work herein specified agreeing to do all work in strict accordance with the City Codea and rulings of the Department of Buildings, and hereby declares that all the facts and representation, stated in this application ®re true and eorre,t, OWNER KIND C USED A To BE RATE SCHEDULE .ESTIMATED COST— PLU14IiING FIXTURE RATES: NO. RATE TOTAL OLD - NEW BUILDING PERMIT NO, PERMIT NO. New Fixtures - $ 7.00 ® S ;?/ 60 Company Old Opening, Now Fixture $ 4.00 . beer Dispenser 5 5.00 - S Signed 57 Blow Off Basin $ 7.00 - S OQ�� Tel. No. Catch Basin S 7.00 - $ (lain Water Leader $ 7.00 @ $ Sump/Raceiving Tank 5 7.00 s S ROUGH INSP. Water Treating Appliance $ 10.00 - $ Date Nater Heater - Electric $ 7.00 - $ r� �f Coater Heater - Gas S 10.00 - $ rI:,:.i. I:gsP. Gas PaadmW $ 10.00 - S /Q, OD Gatu Gas Dryer $ 10.00 - $ Back Flow Preventer Required ( ) yes ( ) No APiROVAL IOR PEN.1I'r Type e S 5.00 - S ALL OTHERS AND/OR REPAIRS AND ALTERATIONS It of value of Fixture or A liance � � MINIMUM FEE FOR kNY PLUM!il%C',/GAS PERMIT IS $15.00 PP PLUS THE $.50 STATE SURCIIAI<+;£ State Surcharge $ .50 ;tE INSPECTION FEE $30.00 TOTAL F' is l: _Ls✓c./ CITY OF FRIDLEY INSPECTION DN. Effective On January 1, 1993 6431 University Ave NE Fridley, MN 55432 APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION, 572-3604 REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES SCHEDULE JOB ADDRESS 6492 Riverview Terrace RATE The undersigned hereby makes application for a permit for the work herein Residential Rate TOTAL specified agreeing to do all work in strict accordance with the City Codes and Furnace Shell and Duct Work, Burner -- rulings of the Building Division, and hereby declares that all the facts and Also Replacement Furnace $ 20.00 $ representations stated in this application are true and correct. 5-18-94 ,1993 Gas Piping (Needed with new furnace) $10.00 $ OWNER Ethel Arnold Gas Range $10.00 $ BUILDING USED AS dwelling Gas Dryer $10.00 $ $1900.00 ESTIMATED COST PERMIT NO. � *Air Condltioning - All Sizes $10.00 $ DESCRIPTION OF FURNACE AND OR BURNER Ail Othere/Repairs & Alterations (LIST ON BACK) 1% of Value of Appliance or Work $-L9. 00 No. of Heating Units Circle One (Steam) (Hot Water) (Warm Air) Trade Name Size No. Comrnwelaillndustrial BTU HP EDR 1 % of Value of Appliance or Work $ Fuel Total Connected Load 6ttate Surcharge $ .50 Burner Trade Name Size No. BTU HP EDR TOTAL FEE1$ 9.50 MINIMUM FEE FOR ANY HEATING/COOWNGNENTIL.A 1ION REFRIGERATION/AIR CONDITIONING PERMIT IS 115.00 PLUS THE $.SO STATE SURCHARGE REINSPECTION FEE $30.00 *Air Conditioners can not be placed in a side yard withouto p� A written permission from adjoining property owner. 'P � 1° HEATING COMPANY Blaine Heating, Air Cond & Electr 13562 C trave NE ka MN 55304 Signed By Tel No. 757-6200 Approved By Rough -In Date Final Date f FILL OUT BACK SIDE FOR STACK VERIFICATION ON REPLACEMENT FURNACE 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 ( i No ( ) 4. Is securely supported Yes ( ) No ( ) 5. Meets ill 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 g s Remarks List Alterations Beina Done: Heat -N -Glow Direct Vent Fireplace and Piping HEATING COMPANY Blaine Heating, A/C & Electric Inc. Signed By C$44L4441 Date 5-18-94 SUBJECT P City of Fridley 25 877 AT THE TOP OF THE TWINS BUILDING PERMIT r I , R COMMUNITY DEVELOPMENT DIV. PROTECTIVE INSPECTION SEC. r NUMBER REV DATE PAGE OF APPROVED BY CITY HALL FRIDLEY 55432 It---- 612-571-3450 910-F15 3/30/98 JOB ADDRESS 6492 Riverview Terrace NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 2 1 Walt Harrier lst SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Ethel Arnold 6492 Riverview Terrace NE 781-7507 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Donnelly Windows Inc 2519 E 25 St, Mpls., MN 55406 -722-4200 20092971 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 Cj REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Reside House; Soffit & Fascia; Brick Molding 9 CHANGE OF USE FROM TO STIPULATIONS Install building wrap and have inspection of same. 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 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 $7.48 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT $14,960 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 $14.96 STRUCTION OR THE PERFORMANCE OF CONSTjk1UCZION. $224.75 PLAN CHECK FEE TOTA F E X2C T --.OV-% L c�eWM SC $5,/0 52.19 SIGNATURE OF CONT A OR AUTHORIZED AGENT IDATE) HE PROP L VALIDATE IS IS YOUR PERMIT - G INSP MATE SIGNATURE OF OWNER IIF OWNER BUIL IDATEI NEW [ ] ADDN [ ] ALTER [ ] ,i(CCL ConstructionAddress: Legal Description: Effective 1/1/97 CITY OF FRIDLEY �� ash 7,?SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION Owner Name & Address: Tel. # I 766% Contractor: C J 5 =r) C-, MN LICENSE # C0Ila q'-71 Address: � �-a54 hi Tel. # ®q t�0 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 Width Hgt/Ground Sq. Ft. OTHER: Construction Type: S; dino 1,54F'1j3t-iCK Estimated Cost: $ �l (Fee Schedule on Back) Driveway Curb Cut Width Needed: Ft. + 5 Ft = Ft x $ = $ DATE: /qg APPLICANTTel.�� CITY USE ONLY Permit Fee $ Fee Schedule on Reverse Side Fire Surcharge $ .001 of Permit Valuation (1/10th%) State Surcharge $ -714- $.50/$1,000 Valuation SAC Charge $ $950 per SAC Unit License Surcharge $ 5 $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 r Sewer Main Charge $ Agreement Necessary [ ] Not Necessary [ ] TOTAL $ 3/ STIPULATIONS: AN IJ SUBJECT City of Fridley 25937 AT THE TOP OF THE TWINS PERMIT `BUILDING RECEIPT NO. COMMUNITY DEVELOPMENT DIV. v e / r PROTECTIVE INSPECTION SEC. /11� a NUMBER REV PAGE OF APPROVED BY CITY HALL FRIDLEY 55432 612-571-3450 910-F15 EDATE 4/16/98 JOB ADDRESS 6492 Riverview Terrace NE 1 LEGAL LOT NO. BLOCK TRACTOR ADDITION SEE ATTACHED DESCR. 2 1 Walt Harrier 1St SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Ethel Arnold 3205 Hilldale Ave NE, Minneapolis, MN 55418 781-7507 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Tom Walek Construction 3621 Roosevelt St St Anthony,MN 55418 789-9388 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO. 8 USE OF BUILDING Residential 7 CLASS OF WORK o ❑ NEW ❑ ADDITION ❑ ALTERATION X REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Reroof House 23 S 2nd Layer 9 CHANGEOFUSEFROM TO STIPULATIONS Roofing can be 2nd layer but not 3rd. 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 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 $1,441 $.72 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- Fire SC $1.44 TRUCTION JR THE PERFORMANCE OF CONSTRUCTION. $48.50 % 1 PLAN CHECK FEE TO L FEE z��— �✓s46'4 50.66 SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT IDATEI E PRO - DG .NSP VALID T THIS IS UR PPEMIT�Aft, „► r fy MATE SIGNATURE OF OWNER IF OWNER BUILDERI IDATEI IJ NEW [ ] Effective 1/1/98 ADDN [ ] CITY OF FRIDLEY G(�� ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION O� ConstructionAddress: ( � q a � � C�" iv Legal Description: Owner Name & Address: Contractor: / 0 302 D5 /:2 Tel. # ` 2V -7SO MN LICENSE # Address: ( �s�l� ^ Tel. # Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF IMPROVEMENT LIVING AREA: Length / Width �' Height 1 S Sq. Ft. a✓2 GARAGE AREA: Length Width Height Sq. Ft. DECK AREA: Length Width Hgt/Ground Sq. Ft: OTHER: Construction Type: Driveway Curb Cut Width Needed: DATE: ql & ` GI ' APPLICANT: Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge $ Driveway Escrow $ Erosion Control $ Park Fee $ Sewer Main Charge $ TOTAL STIPULATIONS: Ft. + 6 Ft = g-("' w Estimated Cost: $ (Fee Schedule on Back) Ft x $ = $ CITY USE ONLY Tel. # ?CP �P` 1? 3'fr 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 [ ] CITY OF FRIDLEY INSPECTION DIV. a4M�--U0C1,7�ctive April 1, 2004 6431 University Ave NE Fridley, MN 55432 APPLICATION FOR PLUMBING AND GAS FITTING PERMIT (763) 572-3604, FAX (763) 571-1287 MARK NUMBER OF FIXTURES TO BE INSTALLED ONEACH FLOOR Wash :II::::>>_:::: Floor +::<:<::::: Auto.F Gas :;.a Water Urinal Floor 1 Floor 2 Floor 3 Floor 4 Drain Elec PLUMBING FIXTURE RATES: NO. RATE TOTAL JOB ADDRESSI�`e New Fixtures $10.00 The undersigned hereby makes application for a permit for the work herein Old Opening, New Fixture $10.00 specified agreeing to do all work in strict accordance with the city codes Beer Dispenser $10.00 and rulings of the Building Division, and hereby declares that all the facts Blow Off Basin $10.00 and representations stated in this application are true and correct. Catch Basin $10.00 7 Rain Water Leader $10.00 DATE: C,'� 2 Sump/Receiving Tank $10.00 5ff -�- — - �o'I Water Treating Appliance $35.00 �`2� OWNER T�� S �- —F-JIS Water Heater -Electric $35.00 4?' Water Heater - Gas** $35.00 BUILDING USED AS -7 Gas Range** $10.00 Gas Dryer** $10.00 ESTIMATED COST-� PERMIT NO. Back Flow Preventer Required ( )Yes () No Type $15.00 PLUMBING COMPANYa'�a �� ' Reinspection Fee $50.00/Hr SIGNED BY TEL N0.�� ALL OTHERS AND/OR REPAIRS AND ALTERATIONS 1.25% of Value of Fixture or Appliance Approved By, ' Rough -In Date Final Date State Surcharge $ .50 MINIMUM FEE F R ANY PLUMBING/GAS PERMIT IS 15.00 or 5% OF COST TOTAL FEE $ OF THE IMPROVEMENT WHICHEVER IS GREATER ON WORK LESS THAN 300 COMBUSTION AIR SHALL BE PROVIDED PER UMC SECTION 504(A) AND TABLE 6-A. **PROVIDE COMMON VENT INFO ON BACK SIDE i FILL IN COMPLETELY FOR REPLACEMENT FUEL BUFNING APPLIANCE PERMITS COMMON VENT, VENT CONNECTOR AND COMBUSTION AIR VERIFICATION When replacing an existing furnace, 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. i Yes () No( ) r The venting system is plastic/PVC and meets all current codes and manufacturer Appliance #2 Type specifications including sizing, length, number of elbows and terminati8n. Yes () No ( ) The undersigned also verifies that the replacement unit is a listed assembly BTU Input and meets the current codes and manufacturer's specifications. This does Total Appliances 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 Appliance #1 Vent Connector Height and manufacturer's specifications. Yes () No( ) When required to install a new combustion air, it will be sized and installed ft Length to meet the current codes and manufacturer's specifications. Yes () No( ) When installing a new venting system, the undersigned hereby verifies that ft Diameter in Type it is a listed assembly and meets the current codes and manufacturer's; specifications. This does include AGA-GAMA Category I Central Fumice Venting Tables for fan assisted and natural draft appliances. Yes () No ( ) 19 the common vent and vent connectors sized and installed correctly after an appliance has been removed from the common vent and vented separately as per current codes. Yes () No( ) Appliance 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 in Type ALTERATIONS: (Describe) HEATING CO: Signed By: Date :