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PRE 2010 DOCSCity of Fridley, Minn.. 1811 6431 University Ave. N. E., Minneapolis, Minn. 55432 BUILDING PEST Date: Novembgr 21, 1972 owner: Heidi S. Licht Builder Dagen Builders Comnanv, Inc Address _249 99th Avenue N.E., Blaine Address 17960 Ermine Boulevard N.W., Anoka LOCATION OF BUILDING No. ____.7.121 _ Street _ R � Iry i ew Ti'rra s e N.R. Part of Lot. Lot _ _. 6 —_ Block _�_ 1_ __.. _ Addition or Sub -Division Riverwood Manor Addition Corner. Lot ___._._...._.__ inside Lot _.. X Setback 3-51 Sideyard 1 (V £v 11 A6*0 Elevation _..___833...55 R 36. 5 5_ Mi n i m„m -Wye Top of Eco ting To be Used as: 540 + Dwelling ing _ Front _ _70_ Depth 251, Height _-2D-!_ Sq. Ft. 1040 _ Cu. Ft. _2A 0 0 Garage _ _ Front _ 241 Depth 241 Height _ 10' Sq. Ft _ 5761 Cm Ft. 5, 7h0 Type of Construction Wood._Frame Est. Cost2_6 06.08 _ To be Completed _ . MaXiCh,__1973.. Stipulations: Provide a verifying survey before framing. Provide a hard surface driveway. WATER LOCATION: 11 feet North of Sewer Service SEWER LOCATION: 40 feet North of Manhole (N. Inv. 832.57) SATE PERMITS RFn!'IRED FOR WIRM1 ATTNuildmPMoa68 �6e In consideration of the issuance to me of a permit to construct the g described above I agree to do the proposed work in accordance with the description above d in compliance with I provisions of Ordinances of the city of Fridley. In consideration of the payment of a fee of $_48 - 00 , permit is hereby granted to Hagen Builders Co., In to construct the building or addition as described above. This permit is granted up= 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 ordinilnees of Fridley, Minnesota regarding location, construction,alteration, maintenance, repair and moving of buildings }yithin the city limits and this permit may be revoked at any time upon violation of any of the provisions of 8g3d ordinances. g u ori CLARK {NOTICE: This permit does not cover the construction, installation for wiring, plumbing, gas heating, sewer or water. Be sure to seo 'the Building Igspector for separate permits for these items. I* APPLICATION FOR RESIDENTIAL, ALTBRATIONN OR ADDITION BUILDING PERMIT CITY Of FRIDLEYe MINKSOTA BUILDER t Ha,,,,_ en J�Ujjdprs GQ jj�rw OWMIS NM,,,- Heidi S. Licht ADDRESS: 212-_29 Ave. N. E. Blaine ADESS; 17960- Ermine Blvd. N. W. Anoka NO;% -e I -e EM; 6 LOCK.; 1 ADDITIM Riverwood Manor ZORNER LOT: UOM LOT; Yes SETBACK¢ 35, siDEYARD -0 lb *Wti*mt attach to ChU fo=_Uo Certificates of Survey of Lot and proposed UdWftS 1*catian drw*,% on these Certificates, DESCRIPTION OF DUILDING "To Be Umvd As:1-Family Residential pson" 701 Depth-. 251 116-1 sqwme Feet:: Cubic Feet,_-Zam 01 7 Depth; pth, HeiSht* L Squares seet-,_. Cubic Feet t Typo of Construction s . 4o,24 frame Estimated cost: $ :Tq Se "Jqted; March 15 1973 Ue aaftra toned hereby m4w4 application for, a permit for the work herein ap"Ifte4j, agreeing to do all work in stftct accordance with the City of TWAI,ay Ov4$*ances and zuttW -Pf Ow Department of BuUdinge, sW hereby Alar" t all the facts and representations stated In this application mrs true sP4 correct., VATg; Nov. 16 t 1972 $j(r0,1;XATU=RE /,/7/E//eZ We Itavene Stdo For Addttjowa Infouption.)ti T ETI OF UV 2¢ , 2• S -F Wo. 7/3 J s tp; � R x19.9 26 • t5 35 4 7/ Iw /y Go �o - r _.. /z1- 74 _.._ o .fie not es 11-,01/ /7 ell / f' 0en0fes Exis/ii�9 GAK71iari sekveY .c4f/ oPp osife skty corner o Lo E/eY.. joo.op Y hereby certify.that this is a true and correct representation of a survey of the boundaries of: Lot 6, Block 1, Riverwood Manor, Anoka County, Minnesota And of the location of all buildings, thereon, and all v Bible encroach- ments, if any, from or. on said land. s surveyed by me/thins 17th /,5ay of November, 1972. ° Land urve • r, Minn. R -,-,,)g. No. 9066 � ��. SCALE f 1 ;,... .: ..-^^_,-,,�;;�•r - _ BOOK PAGE i i McCOMSS-KNUTS.ON ASSOCIATES, INC. 57 39 CONSULTING ENGINEERS © LANG SURVEYORS 0 SITE PLANNERS I FILE NO. t MINNEAPOLIS. HUTCHINSON Md MARSHALL. MINNESOTA f /7 / 9i f jEwr,-e- Z.Oclnriollcf I -l0 ' /�� (_9r IW' //. (A), 3. zo GA4 7-/ ovcl C�GcJ Z.e e'&2-, S- ;7 ) ,:�ievJc(:�-- City of Fridley rf", AT TME TOP OF THE TWINS r tU ------CONNIVNITY DEVELOPMENT DIV. MOTECTIVC IN$ftCT*N 9M, CITY NAIL FRIDL9Y 11645$. Job Address Owner Co actor_ n , D' PLUMBING PERMIT APPLICATION s E- s 6 fuse A w A -577:2 V V.7 L rr' ` Plumbing Fixture Rates: NO. RATE TOTAL Ij Number Fixtures x $2.00$ ad I I Future Fixtures x $1.50 New Fixture -Old Open. x $1.50 O Catch Basin x $3.25 Water Heater -99,000 BTU x $3.00 3,v� + Ground Run Old Bldg, x $3.25 Elec. Water Heater x $2.00 o w Gas Fitting Fees: I f c I ist 3 Fixtures �+ x $2.00 �2. ac> Additional Fixtures x $ .75 IGas Range -199,000 BTU x $5.00 _ Repairs & Alterations See y I I { II U Description: Code State Surcharge .50 TOTAL FEE $ `I I The undersigned hereby makes application for a permit ! ; for the work herein specified, agreeing to do all work in strict accordance with the City Ordinances and ruling i of the Department of Buildings, and hereby declare that all the facts and representations stated in this Iapplication are true and correct. "Sam gnature Date D CI Y®F FRIDL EY CIVIC CENTER • 6431 UNIVERSITY AVE. N.E. FRIDLEY, MINNESOTA 55432 • PHONE (612) 571-3450 December 3, 1987 Mr. Happy Moselle McMullen/Moselle & Assoc. Inc. 430 Industrial Boulevard Minneapolis, MN 55413 Re: Construction Corrections at 7121 Riverwood Drive N.E., Fridley Dear Mr. Moselle: here appears to be a problem with the way your roofer installed the shingles at the Gary Larson residence at 7121 Riverwood Drive N.E. It seems that the nails or staples were not properly driven causing the shingles to improperly lay dawn. 7nis problem was brought to your attention several months ago; f irst by Mr. Larson and then by aryself in September. You gave us the name ,and phone number of your roofer, however we have been unable to get the roofer to make the corrections or even to come out to the site to review the problem. Zhe roofer does not return calls and everytime we call them they give us a different person to contact and that person never calls back. 9hey have continuously stated they will call and make arrangements the following week and nothing happens. Now that it is December, it may be impractical to make the necessary repairs until Spring. I need a written response from you by December 15, 1987 assuring us that you will resolve this problem by May 1, 1988. If you have any questions on this matter, please feel free to contact me at 571-3450. r' TO 4 CLO M IF DGC/nb CC: Mr. Gary Larson CITY V FRIDLEY INSPECTION DIV, Effective On January 1, 1993 '5431 University Ave NE 30� `3633 r c Fridley, MN 55432 APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION, 572-3604 REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES RATE SCHEDULE Residential Fumace Shell and Duct Work, Burner — Also Replacement Furnace Gas Piping (Needed with new furnace) Gas Range Gas Dryer *Air Conditioning — AD Sizes All Others/Repairs.& Alterations (LIST ON BACK) I% of Value of Appliance or Work Commercial/Industrial 11% of Value of Appliance or Work Rate TOTAL $ 20.00 $ $ 10.00 $ $ 10.00 $ $ 10.00 $ $10,00 $ State Surcharge TOTAL FEE I JOB ADD- 2 Lt The undersigned hereby makes application for a permit for the work herein specified agreeing to do all work in strict accordance with the City Codes and rulings of the Building Division, and hereby declares that all the facts and representations stated in this application are true and cot rre/ ,1993 BUILDING USED AS sir ESTIMATED COST.- PERMIT NO. DESCRIPTION OF FURNACE ANQ OR BURNED $ No, of Heating Units Circle One (Steam) (Hot Water) (Warm Air) Trade Name Size No. BTU HP EDR $ Fuel Total Connected Load .50 Burner Trade Name Size No. BTU EDR DEPEND IND R AIR QUALITY, INC. HEATING COj�,HP PRIQ r±nnta :ar :r,r_• „r,,, MINIMUM FEE FOR ANY HEATING/COOLING/VENTILATION REFRIGERATIONIAIR 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, � ���� � s .L•4' i1 . f .■ CiDDi11 . I41fb Signed By�,_ No. ''1�,� _ �,/�u n Approved By 610F Date Final Date � _ Z-- �� FILL OUT BACK SIDE FOR STACK VERIFICATION ON REPLACEMENT FURNACE CHIMNEY AND STACK VERIFICATION The undersigned hereby verifies that the existing chimney or stack: I. 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 ( ) S. Meets all current Code requirements for size and total BTU's connected Yes No 6. Has total heating BTU's of j® 0 All other BTU's TOTAL BTU's o. Remarks List Alterations Being Done-' 2619 COON RAPIDS BOULEVARD ° HEATING COMPANYCOON S?r Signed By, r 'f Date CITY OF FRIDLEY INSPECTION DIV. 6431 University Ave NE Fridley, MN 55432 a, 572-3604 �i 3 C Effective On January 1, 1993 APPLICATION FOR PLUMBING AND GAS FITTING PERMIT MARK NUMBER OF FIXTURES TO BE INSTALLED ON EACH FLOOR PLUMBING FIXTURE RATES: NO. RATE TOTAL JOB ADDRESS '112-f /L'vE2v'19w I P-r21z11c,6 New Fixtures Old Opening, New Fixture Beer Dispenser Blow Off Basin Catch Basin Rain Water Leader Sump/Receiving Tank Water Treating Appliance Water Heater —Electric Water Heater — Gas Gas Range Gas Dryer / Back Flow Preventer Required ( )Yes () No Type $ 7.00 $ 4.00 $ 5.00 $ 7.00 $ 7.00 $ 7.00 $ 7.00 $10.00 $7.0 0 $10.00 $10.00 $10.00 ?� C $5.00 Reinspection Fee $30.00 ALL OTHERS AND/OR REPAIRS AND ALTERATIONS 1 % of Value of Fixture or Appliance State Surcharge $ .50 TOTAL FEE $ 16'4-0 The undersigned hereby makes application for a permit for the work herein specified agreeing to do all work in strict accordance with the city codes and rulings of the Building Division, and hereby declares that all the facts and representations stated in this application are true and correct. f / a 3 , 1993 Owner ))aR-aTNy S'6L,4FF Building Used As Estimated Cost !/ d, PERMIT NO. 12 62 2 PLUMBING COMPANY SIGNED BY TEL N0. Approved By�%�Rough—in Date Final Date -i� MINIMUM FEE FOR ANY PLUMBING/GAS PERMIT IS $15.00 PLUS THE $.50 STATE SURCHARGE Urinal Shower Tray Ioor Drain .Wash Auto er Gas RanStories e Water Heater ...Gas E ec Basement m nt Floor 1 Floor 2 Floor 3 F oor 4 I X. PLUMBING FIXTURE RATES: NO. RATE TOTAL JOB ADDRESS '112-f /L'vE2v'19w I P-r21z11c,6 New Fixtures Old Opening, New Fixture Beer Dispenser Blow Off Basin Catch Basin Rain Water Leader Sump/Receiving Tank Water Treating Appliance Water Heater —Electric Water Heater — Gas Gas Range Gas Dryer / Back Flow Preventer Required ( )Yes () No Type $ 7.00 $ 4.00 $ 5.00 $ 7.00 $ 7.00 $ 7.00 $ 7.00 $10.00 $7.0 0 $10.00 $10.00 $10.00 ?� C $5.00 Reinspection Fee $30.00 ALL OTHERS AND/OR REPAIRS AND ALTERATIONS 1 % of Value of Fixture or Appliance State Surcharge $ .50 TOTAL FEE $ 16'4-0 The undersigned hereby makes application for a permit for the work herein specified agreeing to do all work in strict accordance with the city codes and rulings of the Building Division, and hereby declares that all the facts and representations stated in this application are true and correct. f / a 3 , 1993 Owner ))aR-aTNy S'6L,4FF Building Used As Estimated Cost !/ d, PERMIT NO. 12 62 2 PLUMBING COMPANY SIGNED BY TEL N0. Approved By�%�Rough—in Date Final Date -i� MINIMUM FEE FOR ANY PLUMBING/GAS PERMIT IS $15.00 PLUS THE $.50 STATE SURCHARGE Effective Date May 1, 1988 CITY OF FRIDLEY APPLICATION FOR PLUMBING AND GAS FITTING PERMIT RATE SCHEWLE PLUMBING FIXTURE RATES: NO. New Fixtures Future Fixtures Old Opening, New Fixture Beer Dispenser Blow Off Basin Catch Basin Rain Water Leader Hydraulic Valve Sump or Receiving Tank Water Treating Appliance Hot water Heater Gas Range Gas Dryer Back Flow Preventer Required. Type RATE S 5.00 $ 3.50 $ 1.50 $ 4.00 $ 5.00 $ 5.00 $ 5.00 S 5.00 $ 5.00 $ 7.00 $ 5.00 $ 10.00 $ 10.00 Yes ( ) No ( ) $ 5.00 TOTAL S S Job Address 71,ve %^ Uf` Department of Buildings City of Fridley Tel. 4571-3450 The undersigned hereby makes application fur a permit for the work herein specified agreeing to du 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 Fri ley, Mn.19e-., -% OWNER I KIND OF BUILDING USED AS A ---f t1✓ TO BE COMPLETED ABOUT pp-yy f �� ESTIMATED COST 6c) ,OD i OLD - NEW BUILDING PERMIT NO. PERMIT NO. j O� 9, 5- Company %/C- �J� y�( Signed By -1-0 .R�yi�t Tel. No. _75,5' -Wb r3 ROUGH INSP. Date FINAL INSP. .2 -6 3 Date APPROVAL FOR PERMIT 6'gr ALL OTHERS AND/OR REPAIRS AND ALTERATIONS MINIMUM FEE FOR ANY PLUMBING PERMIT IS $15.00 It of Value of Fixture or Appliance $ /5,00 MINIMUM THE $.50 STATE SURCHARGE Reinspection Fee State Surcharge $ .50 $ n ($15.00) TOTAL FEE $ u x w Water o w b+ m H ct (dm m ro w pa, Heater .ai w a) ro m ,p M U E a W M W •.1 .0 G S3 g •.�i O .�C um in �Iec to u D m rq to0 3 O w aai rk u me 4 3 0 o as 1st 2nd 3rd 4th (R) Q Future Connection Opening Conner.ted with Sewer (*) New Fixture, Old Opening Water RATE SCHEWLE PLUMBING FIXTURE RATES: NO. New Fixtures Future Fixtures Old Opening, New Fixture Beer Dispenser Blow Off Basin Catch Basin Rain Water Leader Hydraulic Valve Sump or Receiving Tank Water Treating Appliance Hot water Heater Gas Range Gas Dryer Back Flow Preventer Required. Type RATE S 5.00 $ 3.50 $ 1.50 $ 4.00 $ 5.00 $ 5.00 $ 5.00 S 5.00 $ 5.00 $ 7.00 $ 5.00 $ 10.00 $ 10.00 Yes ( ) No ( ) $ 5.00 TOTAL S S Job Address 71,ve %^ Uf` Department of Buildings City of Fridley Tel. 4571-3450 The undersigned hereby makes application fur a permit for the work herein specified agreeing to du 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 Fri ley, Mn.19e-., -% OWNER I KIND OF BUILDING USED AS A ---f t1✓ TO BE COMPLETED ABOUT pp-yy f �� ESTIMATED COST 6c) ,OD i OLD - NEW BUILDING PERMIT NO. PERMIT NO. j O� 9, 5- Company %/C- �J� y�( Signed By -1-0 .R�yi�t Tel. No. _75,5' -Wb r3 ROUGH INSP. Date FINAL INSP. .2 -6 3 Date APPROVAL FOR PERMIT 6'gr ALL OTHERS AND/OR REPAIRS AND ALTERATIONS MINIMUM FEE FOR ANY PLUMBING PERMIT IS $15.00 It of Value of Fixture or Appliance $ /5,00 MINIMUM THE $.50 STATE SURCHARGE Reinspection Fee State Surcharge $ .50 $ n ($15.00) TOTAL FEE $ M E M O RA N TO: John Flora, Director Public Works FROM: Paul Lawrence, Superintendent Public W DATE: October 10, 1995 SUBJECT: Riverwood Pump Station D U M I met with Brad Sieloll; 7121 Riverview Terrace, to discu s the installation of the Riverwood Pump Station. I described w at would take place and the Ci 's desire to make the work as pleasant as possible for those affected. It was decided that a keystone retaining wall was the moo desirable and that Brad would be shown different texture samples to select from We also decided to wait until the retaining wall was installed before selecting shrubs to complete the landscaping sot at the wall and shrubs would compliment each other. I also advised Brad that the delivery of the station has bee delayed and the work may not take place until next spring. M 01 Sum& ADtAMIT NO. City of Fridley 30800 AT THE TOP OF THE TWINS BUILDING PERMIT COMMUNITY DEVELOPMENT DIV. �J VP f PROTECTIVE INSPECTION SEC. CITY HALL FRIDLEY 55432 ti.__.R: '•� NUMBER REV DATE PAGE OF AVPROVEO 8V 612-571-3450 910-F15 4/7/00 JOB ADDRESS 7121 Riverwood Drive NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 3 3 Riverwood Park SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Gary Larson 7121 Riverwood Drive NE 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Wayne Barkley Construction 21240 Gypsy Valley Rd, Anoka, MN 55303 4043 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 763-753-6409 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO 8 USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW ❑ ADDITION ❑ ALTERATION j7 REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Reside House & Garage 9 CHANGE OF USE FROM TO STIPULATIONS Call for building wrap inspection before covering. 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. d 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 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT $6,000 $3.00 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- TRUCTION OR THE PERFORMANCE OF CONSTRUCTION $.125.25 Fire SC $6.00 PLAN CHECK FEE TOTAL FEE X'S L ense C $5.00 $139.25 CO TRACTOR OR auTN � AGENT .DATES E PROPERLY VALIDATED THIS IS V UR/PERM 9.NSP (T��I. G �/V qAT M 01 NEW [ l Effective 1/1/2000 ADDN [ ] CITY OF FRIDLEY (763) 572-3604 Bldg Insp ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 d� BUILDING PERMIT APPLICATION � , o� Construction Address: Legal Description: Owner Name & Address:��� Tet. # Contractor: y� �_���,' ��2�{ MN LICENSE# CD3* Address: # ,%��'- �S��9 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: Len Width Hgt(Ground Sq. Ft. OTHER: Construction Type: Estimated Cost: $ �6�G Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ --=$ DATE: APPLICANT: _ Tel. # �.5�3 P ' CITY USE ONLY - Call (763) 572-3604 for Permit Fees if mailing in application Permit Fee $ � Fee Schedule on Reverse Side Fire Surcharge .001 of Permit Valuation (1/10th%) State Surcharge $.50/$1,000 Valuation SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee $1100 per SAC Unit $ - D C $5.00 (State Licensed Residential Contractors) $ Alt. "A" or Alt. "B" Above $450.00 Conservation Plan Review Fee Determined by Engineering Sewer Main Charge $ Agreement Necessary [ ] Not Necessary [ ] TOTAL $ �S STIPULATIONS: PLUMBING FIXTURE RATES: NO. RATE TOTAL JOB ADDRESS 2_a2�14 C A 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 and representations stated in this application are true and correct. Catch Basin $ 7.00 Rain Water Leader $ 7.00 /---.2002--- oU pirlecei Tank $ 7.00 �6�r - - Water Treating Appliance $10.00 Owner Water Heater -Electric $ 7.00 Water Heater Gas** $10.00 Building Used As Gas Range** $10.00 Gas Dryer** $10.00 Estimated Cost Back Flow Preventer Required ( )Yes () No Type $15.00 PLUMBING COMPANY Reinspection Fee $47.00/Hr SIGNED BY ALL OTHERS AND/OR REPAIRS AND ALTERATIONS FAX # 1.5% of Value of Fixture or Appliance Approved By .t I State Surcharge .50 MININ TOTAL FEE PLUS COMBUSTION AIR SHALL BE PROVIDED PER UMC SECTION 504(A) AND TABLE 6-A. PERMIT NO. Rough -In Date COMMON VENT INFO ON BACK SIDE THE BELOW MUST BE FILLED IN WHEN REPLACING FUEL BURNING APPLIANCES OR THE APPLICATION WILL BE RETURNED CO MIMC)N VFNT VENT QNN .Ti7R AND COMMIS110N AIR VFRIFICATIQN When renlaaing an existing furanep, 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 plastictPVC 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 (} No ( ) The pxicting rnmhitsfinn air is sized and installed to meet the current codes and manufacturer's specifications. Yes () No ( ) When required to install a new cnmhustinn air.,it will be sized and installed to meet the current codes and manufacturer's specifications. Yes( ) No( ) When installing new venting nye_tem, the undersigned hereby verifies that R 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( )No( ) 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 r HEATING CO: Signed By: Date: SUBJECT I N City of Fridley 33740 AT THE TOP OF THE TWINS BUILDING PERMIT r F , R COMMUNITY DEVELOPMENT DIV. PROTECTIVE INSPECTION SEC. J� 1 . � NUMBER i1EV DATE PAGE OF APPROVED BY i "'�•� CITY HALL FRIDLEY 55432 --_-�� L 763-571-3450 910-F15 7/28/03 / / JOB ADDRESS 7121 Riverview Terrace NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 6 1 Riverwood Manor Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Bradley Sielaff, 7121 Riverview Terrace NE Fridley, MN 55432 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Richard Hastings, 6331 Riverview Terrace NE Fridley, MN 55432 763-574-9966 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 4051 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO 8 USE OF BUILDING Residential 7 CLASS OF WORK ❑A NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Re -roof (tear -off) H & G - 22 sq. 9 CHANGE OF USE FROM TO STIPULATIONS Underlayment must comply with State Building Code. 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 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 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 $2,547.00 $1.27 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- $83.25 Fire SC $2.55 STRUCTION OR THE PERFORMANCE OF CONSTRUCTION PLAN CHECK fEETOTAL FEE $5.ce 0 $92.07 ` SIGNATURE OF CON TRACTOR OR Au R4E0 AGENT I CIIA,TE, M ly pQLY V ID TED THIS JS•,YO F��F,f�AIT �� S,GNATURE OF OWNER -IF OWNER BUILDER, IDATEI NEW [ ] CITY OF FRIDLEY Effective 1/1/2003 ADDN [ ] 6431 University Ave NE, Fridley, MN 55432 (763) 572-3604 Bldg Insp ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 (763) 5714287 Fax BUILDING PERMIT APPLICATION Construction Address: 71 L l IR' t19-:7 le va E -) %ria Legal Description: Owner Name & Address: STELA Tel. # Contractor. R `c A A R C S 7� ► tf�5 MN LICENSE # :ZQ 51 Address: c 12 'TE •2 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 Sq. Ft. GARAGE AREA: Length Width Height Sq. Ft. DECK AREA: Length Width Hgt/Ground Sq. Ft. OTHER: 5 -) 5 Construction Type: TEA r2. ' of + K i� [ZD- Estimated Cost: $ C=e Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ _ $ DATE: e o APPLICANT: �* -R Tel. # Call (763) 572-3604 for Permit Fees if mailing in application. Fax to 763-5714287 if using credit card and we will call you for card number. CITY USE ONLY - Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Curb Cut Escrow Erosion Control Park Fee Sewer Main Charge TOTAL $ OPS. c Fee Schedule on Reverse Side $ g?j 975 .001 of Permit Valuation (1/10th%) $.50/$1,000 Valuation $ $1275 per SAC Unit $ . ® d $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 [ ] APR -7-2006 12:3eP FROM: T .3-" TO:7635711287 P:2/2 :r3I WET =21 1 a 9002 -fit -83' -Permit NO.,, .. NUEC �.ANIC.4X. $uilding R.etrcived sy=�-- Inspectipns RESIDENTIAL APPLICATION l�ateRcc°a:.� _..- 7�3-s�2-3+�a Cj Y OIF i+IUDLEY StTE ADDUSS ❑ owe+ ;C',NITRACTOR .~ ��__--- •~ TNUs APPLICANT IS; — — tOPEXtTY $TA F..... -7 -Ir OWNEPJ .�-- TWANT -- CONTKACTOK COMPANY NAME - Kline Corp. stems - -- l- - QBA: Practical O 51!$MtY A DOPY OF CONTACT PER50Ns _,,. Read ��.�..-. 434213 Shady STA') E�,_Z1P�_ •- YOUR STATE STA TE L]CEA SE �. r . Hopkins, MN 55343 — LICs,NSE WITH .waR�:_ � X52-93 1868 APPLICATION PHONE -- - "- NG £L FAMILY n I -Wo PAN41LY Ci Ta�vwl tt�vsl: PBRl'►f[T TYYXd Jam' �r.--•.-^-- •— �- ._ �.- -... ..�nr�t�rn,Eraonl~I. tO0 New AVLAGEMTh'T ,;rj ALlb TYPE OF-- OF, rMLED DESCRIPTION OF WORN �$ .T minimum &f S15.DU or 5% Of the total Cost up to $5D (W Ic ':v,' is; greslter, for the it faf. is a the cost Of labor 1 Pte. rAs 16�.�s �,t �.�, 13 should reflect only exctcldin_c, tlla fiLRetes. � 1mprov6mctlt. inSM11uL19A Or replacement Of a residenTW 1 SXl11rt:, 1 V(1 to S5 CO&1 of iabut �� X.05 1AW cast under $300 � Sl 5.00. LUbor cast bctwtren 53 ICA.) POJECTS W19" LABOR E7t VERS 5500, FEES ArtE 15�SF.17 OT+ T18 OCI PEK FiXtURI;. �t< � NC)T�� Fab L �.. _—. FQIi F MODEL: � - � TTCIIJ1BF.it OF EACH BELOW) P6FG: :•tUt�l:L' .�..�-- 51�STi7 Funret inslp,isd ow MODEL: 5fZFJBTV �� GAS 1tANGWVZN St9.00 FIp,EFLAC� (GA5) 51S•40 =�W GAS GRiJ.L StU.00 a,,AIC32S•90 tIFEPLA:=E (W f]OO) $35.00 GAS t))4JTHTR Sita -W —AIR TO AIR EKCHA.�IGEER SIS _ SACS $3S10 _POOL 9P.ATE)t $35.0 �DO{�w�13L,00 $10.A0 GAS DRYER. S) 0.00 VENTILATOR 50.00 � —p► WflRi�Sltt00 iC1Ay PIPTNG SIO.t14 '- • .:-0.:.�t• �x $10.00 S� - Number Of fixtures (c 510.00 x $15.00r S _- Permit Fre S —�— Number of ftxtlLte5 $1S.t?0 . Surellarge S l =hsr of fsxtures @ $25.04 --. X $Z5.00 S ..... •- TOTAL DUE S -. - Number of fixtures @ $35,00 � x $35.00 6'S� Stag gurehargG - S_�� Total = ...._..___._ NOT VA! ID UNTIL PROCESSED j}t25 L5 AN }.FPLI4AY)taN fDit A PERMIT 1 hereby apply for a building permit and f at'knowledge that the infcIrniation above is 00mplete and accurate; that the work will be in of the City 0f Fridley and with the M,�esO%'Comtruc lon Codes; that I understand t4:i5 tis Conforoginee with tilt ordina�s s �� without a ersllit; tJiat Lhe work will be in accordance with the: net a penllit but only an spplica3ti0n fee a permit and work is not to ghn not a p0 i plea N the ca3 =17.mzw_.7_� irm rcviow anti approval of =•jpjSIONXTURt.OF : :t;i`s'1ttYC'''-� Of Fridley Building Inspections Department 6431 University Avenue NE. Fridley, MN 55432 7151-572-36(14 FAX: 763-502-497'1 Td 0,46T:T1 '100 tN.' .%lyd TT::i' "; • [III ':)ij P:.iPt..tj in f.z, : l•:C'aa Building $ - BUILDING $ Permit Inspections p $ RESIDENTIAL APPLICATION Received By: 763-572-3604 CITY OF FRIDLEY $ DEM40G1 �l' 763-502--4977 FAX® $ Curb Cut Escrow $ EFFECTIVE 1-1-09 $ 14— ®/ $ Sewer Main Charge DATE ;9 – YOUR E-MAIL ADDRESS Total Due $ SITE ADDRESS '%! olf f Ve r V i e w –ReaY Ma c e— THIS APPLICANT IS: P(OWNER ❑CONTRACTOR PROPERTY OWNER/ NAME: j)ogR16�y9- l? j� .5 6 j_ TENANT ADDRESS: I Je� I 9i l 1' 06d C° I T f' �. CITY / ` STATE ZIP 7'&C9' PHONE: 70-3 –a74- ®ti % 6 CONTRACTOR NAME: SUBMIT A COPY OF YOUR STATE LICENSE STATE LICENSE # EXP DATE AND CERTIFICATE OF ADDRESS: CITY STATE ZI INSURANCE PHONE FAX PROPERTY TYPE 06 INGLE FAMILVNEW CONSTRUCTION SIZE ❑ TWO FAMILYNEW 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// 19REMODELING DESCRIBE WORK BEING DONE: #ew dee-K reElkjoq old. SIZE OF IMPROVEMENT LENGTH WIDTH HEIGHT SQ FT �oZ ROOFING ❑ HOUSE ONLY BASEMENT REMODELING SUBMIT: NUMBER OF SQUARES ❑ HOUSE & GARAGE 1. Existing Floor Plan GARAGES ❑ ATTACHED GARAGE 2. Proposed floor plan PROPOSED SIZE: ❑ DETACHED GARAGE 3. List of structural members to be used PROPOSED HEIGHT: I _" FOR NEW CONSTRUCTION INCLUDIN DECKS, ❑Vinyl []SoffitDI IONS & PORCHES SUBMIT: 1 Site Plan/Survey showing the existing structures ❑ Aluminum ❑Trim and proposed project. ❑ Other ❑ Fascia Two sets of construction plans WINDOWS 3. Energy Calculations IN EXISTING OPENINGS ❑Yes ONo LOCATION OF WINDOWS OR FOR NEW OPENINGS -DESCRIBE SIZE OF OPENING CHANGES & TYPE ORWINDOW TO BE INSTALLED NUMBER OF WINDOWS ALL FEES ARE BASED ON VALUATION, INCLUDING THE COST OF LABOR AND MATERIALS: /� r (USING THE 1997 U.B.0 FEE SCHEDULE) T T L JO AL ATION $ 334fdI6 OCCUPANCY TYPE Permit Fee $ Plan Review $ Fire Surcharge $ --3.,S7(, Surcharge $ License Surcharge $ SAC Charge $ Curb Cut Escrow $ Erosion Control $ Park Fee $ Sewer Main Charge $ Total Due $ �' a See Back Page for Fee Schedule 65% of Building Permit Fee .001 times the total job valuation .0005 x Permit Valuation Minimum $.50 $5.00 (State Licensed Residential Contractors) $2000 per SAC Unit (Plans to MWCC for determination) -ft +6 ft= ftx$22=$ $450 Conservation Plan Review Fee Determined by Engineering Agreement necessary ( ) Non Necessary ( ) Make checks payable to: City of Fridley Attach 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 1 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 reap=IV*d approval of plans. SIGNATURE OF APPLICANT PRINT NAME o DATE ie Building Inspections 763-572-3604 763-502-4977 FAX DATE SITE ADDRESS _ THIS APPLICANT IS PROPERTY OWNER/ TENANT PLUMBING RESIDENTIAL APPLICATION CITY OF FRIDLEY EFFECTIVE 7-1-2010 0 OWNER �M"_ YOUR E-MAIL ADDRESS &I & Permit N Rec'd: � CONTRACTOR NAME: { SUBMIT A COPY OF YOUR STATE STATE LICENSE # EXP DATE LICENSE, BOND AND STATE BOND D # a - p EXP DATE CERTIFICATE OF ADDRESS: D ZqD Mal YTf IVC IFR CITY 61 _STATE�ZIP_RV INSURANCE PHONE ,(qq �— FAX —4-u ,_a PERNUT TYPE SINGLE FAMILY 0 TWO FAMILY 0 TOWNHOUSE TYPE OF WORK: 0 NEW M7-3-01AZI7A10 Yy t71YLi}��i}ai`.+li} *EPLACEMWNT FEES ARE BASED ON $10.00 PER FIXTURE, EXCEPT WHERE NOTED. FIXTURES: (INDICATE TOTAL NUMBER OF EACH BELOW). MINIMUM FEE $35.50. BATH SINK/LAV DRAINS SHOWER _ WATER PIPING _ _FLOOR GAS PIPING (NEED CITY LIC) _ SWIMMING POOL _ WATER SOFTNER ($35) —BATHTUB CLOTHES WASHER _ KITCHEN SINK _ _ WATER CLOSET _ BACKFLOW PREY. ($15) _ DISHWASHER _ LAUNDRY TRAY WATER HEATER ($35) FOR IRRIGATION _ _ WATER METER OTHER THIS IS AN APPLICATION FOR A PERMIT -NOT VALID UNTIL PROCESSED I hereby apply for a plumbing 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 start ithout a permit on site; that the work will be in accordance with the approved plan in the c f or h equine re ' an pprovaI o`f��, lan SIGNATURE OF APPLICANT P AME Ah DATE APPROVAL INSPECTORS SIGNATURE City of Fridley Building Inspections Department 6431 University Avenue NE, Fridley, MN 55432 763-572-3604 FAX: 763-502-4977