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PRE 2010 DOCSi SUBJECT PERMIT City of Fridley 506 THE TOP OF THE TWINS BUILDING PERMIT `AT r RE ITN . ° • COMMUNITY DEVELOPMENT DIV. 17 r PROTECTIVE INSPECTION SEC. CITY HALL FRIDLEY 55432 NUMBER REV. DATE PAGE OF APPROVED BY 612-560-3450 910-F15 1/29/79 JOB ADDRESS .6 , ftiy -ew-I EI r-Ct ,- 6496-98 Riverview Terrace N.E. 1 LEGAL LOT NO. BLOCK TRACT R ADDITION SEE ATTACHED DESCR. 1 1 alt Harrier 1St SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Walt Harrier - 6490 Riverview Terrace N.E. 560-6894 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 Construct a 25' x 42' x 20' duplex and 3-car, garage 30' x 22' x 10° 7 CLASS OF WORK X NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Construct duplex and garage 9 CHANGE QF USE FROM TO STIPULATIONS, Provide a hard surface driveway. Provide a verifying survey before capping. Provide sod in the front and side yards. Owner to provide own utilities. SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD VENTILATING OR AIR CONDITIONING. frame THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING SQ. FT. 1082 CU. FT. 12,984 AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT 670 6,700 ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS OFFSTREET PARKING I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION `Z ISTALLS GARAGES 3 car 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 $39,450 19.75 DOES NOT P U TO GI AUTHORITY TO VIOLATE OR CANCEL THE PERMIT FEE SAC CHARGE P50KISIONS N OTH STATE OR LOCAL LAW REGULATING CON- TRU TION T E PER MANCE OF CONSTRUCTION.1112.48$850.00 Q° PLAN CHECK FEE TOTAL FEE SIGNAT RE NTRACTOROR THORTZEDAGENTWHEN PRO ERLY V LID TED S I OUR PERMIT Asa t SIGNATURE OF OWNER (IF OWNER BUILDERI (DATE) 1.1&_ P - DAT i • CITY OF FRIDLEY APPLICATION FOR RESIDI NTIAL BUILDING PE11141TS (NEW, ALTERATIONS, ADDITIONS, OR REPAIRS) � "A it OWtiER: � � (��°�' Q. t.0 cc BUILDER: .,• Address: G14el® 0:010"A Address: Tel. No. No.Street: , LOT: BLOdK: ADDITION: kJ A " Mfteie j. CORNER LOT: L_,-- INSIDE IAT: SETBACK: SIDEYARDS: Applicant attach 'to this form 7Wo, Certificates of Survey of Lot and proposed building location drawn on these'Certificates. DESCRIPTION OF BUILDING To Be Used 'As: r)U IPLf, Front: Depth: Height: Square Feet: LCNS;�Z— Cubic Feet: TC 'Front: ' Depth: c2=;2' Height: Square Feet:_ Cubic Feet: Type of Construction: r R Iq 0A & Estimated Cost: $ •� � WD Be Completed: Alt. A Alt. B Pr6posed Driveway Width If New Opening Is Desired $ $ (SEE REVERSE SIDE OF SHEET) The undersigned hereby makes application for a permit for the work herein specified, agreeing to do all work in strict accordance with the City of Fridley Ordinances and rulings of the Department of Buildings, and hereby declares that all the facts and representations stated in this application are true and correct. See reverse side for additional information. DATE: SIGNATURE: Stipulations: U rv1l"T, -T 't Dan. 9-000 sTsrr& CITY OF FRIDLEY APPLICATION FOR PLUMBING AND GAS FITTING PERMIT PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: NO. RATE y, m x ro $ Aw, 00 Future Fixture Opening x 1 e b' New Fixture, Old Opening Water a� +� Catch Basin x m $ Eu+ tl -H �I ro q _ $ �, m ►+ p, a w Water Softener x Heater $ New Ground Ran Old Building ��++ y+ $ Electric Water Heater x ,SCS: $ u a 0 N 1st 3 fixtures x u $_� Additional Fixtures x $1.00 O 4 x W 1 N -1 O O 4 N 43 $5.00 N N $2.00 $ State Surcharge $ .50 W a w W w cin c� o as lec cU M c� ca`�a /3 lst 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 $ Aw, 00 Future Fixture Opening x $2.00 $ New Fixture, Old Opening x $2.00 $ Catch Basin x $5.00 $ Water Heater - to 99,000 BTU x $5.00 _ $ 100,000 BTU to 199,000 BTU x $10.00 $ Water Softener x $7.00 $ New Ground Ran Old Building x $5.00 $ Electric Water Heater x $5.00 $ GAS FITTING FEES: 1st 3 fixtures x '$3.00 $_� Additional Fixtures x $1.00 $ Gas Range to 199,000 13TU x $10.00 $ REPAIRS & ALTERATIONS First $100.00 $5.00 $ each add. $100.00 or fraction $2.00 $ State Surcharge $ .50 TOTAL FEE $ REINSPECTION FEE ($10.00) �/ -- Job Address 9 ��e �� , '/ 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 representations stated in this application are true and correct OWNER Fridley, Mn.� USED AS A.y/O6 TO BE COMPLETED ABOUT ESTIMATED COST OLD - NEW BUILDING PERMIT NO. PERMIT NO. �1O0'� ROUGH INSP. Date Company 6 SignedBy Zz _ Tel. No. 7+'7 I FINAL INSP. 3 3 d - Date APPROVAL FOR PERMIT Aa... MINIMUM FEE FOR ANY PLUMBING PERMIT IS $7.50 PLUS $.50 STATE SURCHARGE �,i i l Ui' ri,, iijt_Lk` APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION, REFRIGERATION AND .AIR CONDITIONING SYSTEMS AND DEvICES PARTIAL RATE SCHEDULE GRAVITY WARIM AIR: Furnace Shell & Duct Work Replacement of Furnace Repairs & Alterations -up to $500.00 Repairs & Alterations each add. $500.00 kIECHANICAL WARM AIR: Furnace Shell & Duct Work to 100,000 BTU each add. 50,000 BTU Replacement of Furnace Repairs & Alterations -up to $500.00 Repairs & Alterations each add. $500.00 SMV OR HOT WATER SYSTEM: Boiler & Lines up to 100,000 BTU each addn. 50,000 BTU Boiler only up to 100,000 BTU each addn. 50,000 BTU OIL BURNER- to 3 gal. per hour each add. 3 gal. per hour GAS BURNER- from 100,000 BTU to 199,999 BTU (over 199,999 BTU see Fee Schedule) GAS FITTING FEES: 6 RATE TOTAL Job Address _ b / �4^ y / CF- (/ ��L�'Pl, ,Q �✓u! $12.00 $ 7.00 $ 7.00 $ Department of Buildings 4.00 $ City of Fridley Tel. #571-3450 The undersigned hereby makes application for a permit for the work herein $12.00 $ 19 7 ® ® specified agreeing to do all work in strict accordance with the City Codes 4.00 $ and rulings of the Department of Buildings, and hereby declares that all the 7.00 $ facts and representations stated in this application are true and correct. 7.00 $ 4.00 $ Fridley, Minn. 14� OWNER evi n �/% LZ✓�Lat Q /� $12.00 $ 4.00 $ 7.00 $ 6.00 $ $10.00- 10.00 $10.00 1st 3 Fixtures X $ 3.00 Additional Fixtures X $ 1.00 Gas Range to 199,000 BTU X $10.00 AIR CONDITIONING FAN HEATING SYSTEMS See Fee Schedule VENTILATING SYSTEMS ALTERATIONS & REPAIRS State Surcharge TOTAL FEE ROUGH INSP. REINSPECTION FEE Date ($10.00) FINAL INSP. Date APBROM FOR PERMIT gl � $ A 6 R MINIMUM FEE FOR ANY HEATING PERMIT IS $7.50 PLUS $.SO STATE SURCHARGE KIND OF USED AS TO BE COMPLETED ABOUT / ESTIMATED COST OLD NEWUILDING PERMIT NO. PERMIT NO. DESCRIPTION OF FURNACE/BURNER V. 7�- & 0 HEATING or POWER PLANTS, Steam,. Hot Water, Warm Air- No. ✓& `s-_ cV-c) Trade Name 41221,Z,77 . ey Size Novi—� Capacity' Sq. Ft. EDR BTU HP Total Connected Load C Y &11,_� Kind of Fuel BURNER - Trade Name j dniu"_ Size No. 04 — Capacity L T _R(j0 tY) Sq. Ft. EDR BTU HP D Company .G� -{'_— Signed By Tel. No. p 7 ✓ �� PiR, 1971 6431 UNIVERSITY AVENUE N.E., FRIDLEY, MINNESOTA 55432 TELEPHONE ( 612)571-3450 Mr. Walt Harrier 6490 Riverview Terrace N.E. Fridley, MN 55432 Re: Final Inspection at 6496-98 Riverview Terrace N.E. Dear Mr. Harrier: A final inspection was made on May 10, 1979 of the above .address and the.following items were noted which must be completed.before the structure can be finaled out: 1. Provide City with copy of verifying survey by May 31, 1979. 2. Install handrails. on stairs by May -31, 1979. 3: Provide permanent frost footings for deck posts by May 31, 1979. 4. Install a closer'on door between foyer and garage by May 31, 1979. 5. Complete garage floor by May 31, 1979. 6. Provide sod in the front and side yards by June 15, 1979. 7. Provide a hard surface.driveway by June 15, 1979. 8. Post house numbers on structure by May 31, 1979. We will expect the above items to be completed by the scheduled dates when reinspections will be made to determine compliance. If you have any questions on these items, please contact me at 571-3450. Sincerely, DARREL G. CLARK Chief Building Official DGC/mh OWNER: ADDRESS: TEL NO: CITY OF FRIDLEY PD. APPLICATION FOR RESIDENTIAL BUILDING PERMITS (New, Alterations, Additions, or Repairs) Lj, !ej BUILDER• ADDRESS: L�D �/I11!t% !zdo TEL NO: '^ ,f 7 Construction Locatio STREET NO.; (0L4 9 I STREET: -�l LOT: % BLOCK: , ADDITION: Wkq 1 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 w . Front: Depth: Height: Squane.Feet: Cubic Feet: 'Front: Depth: Height: Square Feet: Cubic Feet: Type of Construction: Estimated Cost: $ 7b Be Oampleted: Alt. A / Alt. B Proposed Driveway. Width If New Opening Is Desired: $ $ SEE REVERSE SIDE OF SHEET The undersigned hereby makes application for a permit for.the work herein specified, agreeing to do all work in strict accordance with the City of Fridley Ordinances and rulings of the Department of Buildings, and her y eclares that all the facts and representations stated in this applicativ * and�Correct. DATE: SIGNATURE: Stipulations: JdAX Is - %M- f 0, / o A -L, _ CITY OF FRIDLEY APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION, REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES PARTIAL RATE SCHEDULE GRAVITY WARA! AIR: RATE TOTAL Job Address � �/ y Furnace Shell & Duct Work $12.00 $ Replacement of Furnace 7.00 $ Repairs & Alterations -up to $500.00 7.00 $ Department of Buildings repairs & Alterationa each add. $500.00 4.00 $ City of rridlny Tol. 11571-3450 MECHANICAL WA101 AIR: Tho undersigned hereby makes application for a permit for the work herein Furnace Shell & Duct Work to'100,000 BTU $12.00 $ specified agreeing to do all work in strict accordance with the City Codes each add. 50,000 BTU 4.00 $ and rulings of the Department of Buildings, and hereby declares that all the Replacement of Furnace 7.00 $ facts and representations stated in this application are true and correct. Repairs & Alterations -up to $500.00 Repairs 7.00 4.00 $ $ Fridley, Minn. 7 & Alterations each add. $500.00 STEAM OR HOT WATER SYSTEM: OWNER Boiler & Lines up to 100,000 BTU $12.00 $ KIND OF BUILDING --_ each addn. 50,000 BTU 4.00 $ , Boiler only up to 100,000 BTU 7.00 $ d USED AS each addn. 50,000 BTU 6.00 $ TO BE COMPLETED ABOUT OIL BURNER- to 3 gal. per hour $10.00 $ 'COST each add. 3 gal. per hour 10.00 $ ESTIMATED y GAS BURNER- from 100,000 BTU to 199,999 BTU $10.00 $ 0 - NEW BUILDING PERM, N0. PERMIT N0. /tD (over 199,999 BTU see Fee Schedule) $ GAS FITTING FEES: 2<° 1st 3 Fixtures x $ 3.00 $ DESCRIPTION OF FURNACE/BURNER Additional Fixtures x $ 1.00 $ Gas Range to 199,000 BTU x $10.00 • $ HEATING or POWER PLANTS, Steam, Hot Water, Warm Air- No. AIR CONDITIONINGTz",GLI-I't- ®,ail ®eTrade FAN HEATING SYSTEMSSee $ Name Size No. Fee Schedule VENTILATING SYSTEMS ALTERATIONS & REPAIRS $ Capacity Sq. Ft. EDR BTU HP State Surcharge $ .50 Total Connected Load Kind of Fuel TOTAL FEE Ney BURNER - Trade Name Size No. ROUGH INSP. REINSPECTION FEE Capacity Sq. Ft. EDR BTU HP Date ($10.00) FINAL INSP. -A 40 Company Date Signed By � `_ APPROVAL FOR PERMIT ® Tel. No. e MINIMUM FEE FOR ANY HEATING PERMIT IS $7.50 PLUS $.50 STATE SURCHARGE ' _IJ 717 a V 1, 4 If you have any questions concerning this matter, please feel free to call on us at 571-3450, extension 170. Insp. By STEVEN J.OLSON R. S''. Environmental Of�Icer Community Development Division CITY OF FRIDLEY 6431 University Avenue Northeast NOTICE OF NON-COMPLIANCE Name daZ J31- Date Address 1J.- Time of Inspection An inspection by this Department has indicated that you are in non-compliance with the following checked (x) sections of Chapter 113, Refuse Disposal, of the City Code. You are hereby no fied to take whatever action is necessary to correct any violations on or before /A�erZ_ . Failure to comply with this notice may result in legal. action by the City Prosecutor. 113.02 Provide sufficient containers ,for the storage .of all refuse (including garbage) accumulated on the premises between collections. 113.02 All refuse containers shall be water tight, have a==tj, tight fitting, lid and absorption of ,, be impervious to insects, rodents, vermin, moisture, be fireproof, and not exceed 30 gallons in size (unless otherwise specifically authorized). 113.02 All refuse shall be stored in approved containers, with the cover in place. 113.08 Containers shall not be placed or maintained as to interfere with the use of adjoining property. For the purposes of collection only, the containers may be placed a maximum of 3 feet in front of the dwelling unit. O 113.0 The contents of storage containers shall be collected at least once every week, or more frequently if necessary. 113.09 Containers without covers, in poor repair, corroded, or otherwise defective shall be repaired or replaced. Other '�oz ' _IJ 717 a V 1, 4 If you have any questions concerning this matter, please feel free to call on us at 571-3450, extension 170. Insp. By STEVEN J.OLSON R. S''. Environmental Of�Icer Community Development Division WYMAN SMITH LEONARD T. JUSTER HENRY H. FEIKEMA ALVIN S. MALMON RONALD L. HASKVITZ CARL J. NEWOUIST MARK E. HAGGERTY JOHN M. GIBLIN ASSOCIATES J.CHRISTOPHER CUNEO B. WILLIAM EKSTRUM STACEY A. DeKALB JAMES W. HOESCHLER LAW OFFICES SMITH, JUSTE$, FEIHEMA, MAT xoN & HASHVITZ CHARTERED Clerk of Court Anoka County Court House Anoka, Minnesota 55303 Attention: Mrs. Marilyn Boe July 29, 1982 RE: City of Fridley vs. Kasimir Kushmider Ticket No. 524-898 - Failure to Remove Junked Vehicle Court Date - August 19, 1982 - Columbia Heights Dear Marilyn: SUITE 1260 BUILDERS EXCHANGE BUILDING MINNEAPOLIS, MINNESOTA SS402 TELEPHONE C612) 339-1481 FRIDLEY OFFICE 6441 UNIVERSITY AVENUE, N.E. FRIDLEY MINNESOTA 5S432 TELEPHONE (612) 871-6870 Per the attached letter please be advised.that the above -noted matter has been taken care of. The City of Fridley respectfully requests that this matter be dismissed. Thank you. Very truly yours, J. Newquist Fridley Prosecutor CJN:pap enclosu e cc: r. Steven J. Olson Fridley City Hall 6431 University Avenue N. E. Fridley, Minnesota 55432 Mr. Kasimir Kushmider 6498 Riverview Terrace idley, Minnesota 55 32 June 28, 1982 CITY OF FRIDLEY 6431 UNIVERSITY AVENUE N.E., FRIDLEY, MINNESOTA 55432 TELEPHONE ( 512)571.3450 Mr. Carl Newquist 6441 University Avenue N.E. Fridley, MN 55432 Re: Tag #524,898 Issued To Kasimir Kusmider Dear Carl: This matter has been set for a court trial on August 19, 1982. On this date, Mrs. S. Kusmider called on behalf of her husband. She indicated that the violation has been corrected and wondered if the citation could be dismissed. An on-site inspection on July 28, 1982 has determined that the violation no longer exists. Therefore, it would be appreciated if this matter could be dismissed to save the court's and the City's time and money. If there are any questions, please feel free to call on me at 571-3450. Sincerely, STEVEN J. OLSON, R.S. Environmental Officer SJO/mh r CIiYOF FRIDLEY FRIDLEY MUNICIPAL CENTER • 6431 UNIVERSITY AVE. N.E. FRIDLEY, MN 55432 • (612) 571-3450 • FAX (612) 571-1287 September 7, 1993 Ms. Corrine Jesperson 6496 Riverview Terrace Fridley MN 55432 Subject: Retaining Wall on Private Drive Dear Ms. Jesperson: PW93-194 It has been brought to my attention that a timber retaining wall located on the south side of your private driveway is deteriorated and in need of repair. We would appreciate your immediate response to this issue and make the necessary repairs. If you have any questions, you can call me at 572-3551. Sincerely yours, Scott Erickson Assistant Public Works Director SE:cz 4 Ns Building Job Report ADDRESS OWNER ��✓ET e' BUILDERG DATE G DESCRIPTION PE51MIT NO, INSPECTION RECORD DATE G REPORT 1116834) OWNER - PSP --VECTOR SUBJECT PE-RMLLNO. City of Fridley ,� 4 4 2 AT THE TOP OF THE TWINS BUILDING PERMIT � Ir? RfG€JP---T • COMMUNITY DEVELOPMENT DIV. ------ PROTECTIVE INSPECTION SEC r CITY HALL FRIDLEY 55432 I`' NUMBER REV DATEPAGE OF APPROVED BV 612-571-3450 910-F15 5/6/96 / / JOB ADDRESS 6496-6498 Riverview Terrace NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DEscR. 1 1 Walt Harrier 1st Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Carinne Jes ersen Janet Palmer 6496-6498 Riverview Terrace NE 572-2487 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Same 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO, 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO. 6 USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE X 8 DESCRIBE WORK Construct a 14' x 12' Deck with 10' x 13.5' Screen Porch Under Deck 9 CHANGE OF USE FROM TO STIPULATIONS VAR #96-06 approved to reduce the rear yard setback from 27 feet to ' 15 feet and VAR #96-02 approved to increase the encroachment of a deck into the rear yard from 10 feet to 12 feet. Variances approved subject to stipulations. See notations on plan. Corrections to be completed as per inspection notations of 1/2/96 (attached) 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 2 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 $3,680 $1'84 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- $87.25 Fire SC $3.68 STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. PLAN CHECK FEE TOTAL FEE $92.77 SIGNATURE OF CONT OR OR AUTHORIZED AGENT IDATEI WHssEQQN PROPS�VATED THIS IS YOUR PERMITTR " LcJ INSP r)ATE StGNA RE F OWN IF OWN- BU ERI IDATEI NEW [ ] ADDN [ ] CITY OF FRIDLEY ALTER [) SINGLE FAMILY AND DUPLEXES R-1 AND R-2 Building Permit Application Construction Address: Legal Description: Owner Name & A Contractor: Address: LIVING AREA: GARAGE AREA: DECK AREA: OTHER: Effective 8/1/95 Tel. # MN LICENSE # Tel. #��_ Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF IMPROVEMENT h Length Length Lengthy/ A Comer Lot [ ] Inside Lot [ ] Type of Construction: Approx. Completion Date: Width Height Width Height Widthr'� Hgt/Ground Ft. Yd Setback Side Yard Setbacks Estimated Cost: $ (Cost on Back) Sq. Ft. Sq. Ft. ejo Driveway Curb Cut Width Needed: Ft + 6 Ft =, Ft x $ _ $ DATE:APPLICANT: �' C`z CITY USE ONLYw� r Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee Sewer Main Charge TOTAL `TIPULATIONS: $ Fee Schedule on Reverse Side $ 3 .001 of Permit Valuation (1/10th%) $ $.50/$1,000 Valuation $ $850 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. Effective On January 1, 1997 6431 University Ave NE Fridley, MN 55432 APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION, 572-3604 REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES I JOB ADDRESS 6q9� I�1�.�rrle�•i �a,� RATE SCHEDULE 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 Fumace Shell and Duct Work, Burner - rulings of the Building Division, and hereby declares that all the facts and Also Replacement Furnace $ 30.00 $ _,DD representations stated in this application are true and correct. (Side Vent - Fill Out Back) Gur�t 47ft' ,1997 Gas Piping (Needed with new furnace) $10.00 $ OWNER. :JQ 0J Pal -P-,Y 6-7,7- - Ir Gas Range $10.00 $ Gas Dryer $10.00 $ *Air Conditioning - All Sizes $ 2500 $ 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 $ .50 $'0. MINIMUM FEE FOR ANY HEATING/COOLING/VENTILATION REFRIGERATION/AIR CONDITIONING PERMIT IS $25.00 PLUS THE $.50 STATE SURCHARGE REINSPECTION FEE $42.00/Hr *Air Conditioners can not be placed in a side yard without written permission from adjoining property owner. BUILDING USED AS 4txNA, ESTIMATED COST b D 0 PERMIT Mb NO. DESCRIPTION OF FURNACE AND OR BURNER No. of Heating Units Circle One (Steam)AE r) Trade Name ,�5�� Size BTU HP EDR Fuel Total Connected Load Burner Trade Name Size No. BTU HP EDR HEATING COMPANY LVr Signed B Tel No. Approved By Rough -In Date FILL OUT BACK SIDE FO STACK VERIFICATION ON REPLACEMENT FURNA E Final Date CHn%My AND STACK VERIFICATION The undersigned hereby verifies that the existing chimney or stack: 1. Has been carefiilly 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 ,/,O,OC�C7 All other BTU's 'kq OWC-) TOTAL BTU's ,72 10 o 0,-0 7. Has a liner been provided for water heater Yes No ( ) 8. Has combustion air been provided for water heater Yes No ( ) Remarks: List ALTERATIONS Being Done: HEATING CO: Signed By: Date: I", SUBJECT City of Fridley =2- AT THE TOP OF THE TWINS BUILDING PER 10 r 1 ArcuprffO. rCOMMUNITY DEVELOPMENT DIV. .L _ _ INSPECTION SEC. � PROTECTIVE 1 CITY HALL FRIDLEY 55132 wUMBER REV DATE PAGE Of APPROVED BY 612-571-3450 910415 2/23/99 10B ADDRESS 6496-6498 Riverview Terrace NE 1 LEGALLOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 1 1 Walt Harrier lst Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Jespersen/Palmer 6498 Riverview Terrace NE 572-8435 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 B USE OF BUILDING Duplex 7 CLASS OF WORK ❑ NEW ❑ ADDITION ❑ ALTERATION {�] REPAIR ❑ MOVE ❑ REMOVE B DESCRIBE WORK Reroof Duplex & Garage (29 Sq) Tear -off 9 CHANGEOFUSEFROM TO STIPULATIONS Underlayment must comply with the State Building Code. SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD VENTILATING OR AIR CONDITIONING. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING SO. FT CU. FT AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS OFFSTREET PARKING I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION 2 ISTALLS GARAGES AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS VALUATION SURTAX AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED $1.24 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT $2,485 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 PER CE OF CONSTRUCTION PLAN CHECK FEE TOTALFEE $78.47 SIGN AUTHORIZED AGENT tOATE, ' WHEN PROPERLY LIDATED THIS IS YOUR PERMIT s �1.0' S - NATURE OF OWNER,IF OWNER BUILDER, 1DATE, BLDG tN R DATE I", NEW [ ] Effective 1/1/99 ADDN [ ] CITY OF FRIDLEY ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION ConstructionAddress: (,,�Cj" I f-f-a-AC."E: Legal Description: Owner Name &Address: T ,& Q= Tel. # (,, %Z- Contractor: MN LICENSE # Address: Tel. # Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. LIVING AREA: GARAGE AREA: DECK AREA: OTHER: Construction Type: DESCRIPTION OF IMPROVEMENT Length Width Height Sq. Ft. Length Width Height Sq. Ft. Length Width Hgt/Grond� Sq. Ft. Driveway Curb Cut Width Needed: DATE: 6� /'_�z M v Estimated Cost: $ (Fee Schedule on Back) Ft. + 6 Ft = Ft x $ = $ urry U51+L' UNLY Tel. # STIPULATIONS: G 17-S� Permit Fee $ Fee Schedule on Reverse Side Fire Surcharge $ 2, .001 of Permit Valuation (1/10th%) State Surcharge $ $.50/$1,000 Valuation SAC Charge $ $1050 per SAC Unit License Surcharge $ $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: G