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PRE 2010 DOCSCity of Fridley, Minn. BUILDING PERMIT Date: May 15, 1968 Owner: Charles Johanson Builder Address 160 Hardoman Circle Address No. 7131 5 Same Same LOCATION OF BUILDING Street verview Terrace _ part of Lot Lot--- Block 1 — Addition or Sub -Division __ Riverwood Manor Corner Lot Inside Lot __.. X Setback 35 —_ Sideyard 10-15 Sewer Elevation 877.05 _ 8880.005 Ton of Footing �� .9735 To be Used as: Dwelling Front 34 r Depth 30' Height 26' Sq. Ft. 1020 CU. Ft. Garage Front 26' Depth 24' Height 10' Sq. Ft, 624 Cu. Ft. 6240 Type of Construction Frame Est. Cost _ $25, 000 __ To be Completed SEWER LOCATION - 36.25' N. E. of Manhole WATER LOCATION - 46.25' N. E. of Manhole In consideration of the issuance to me of a permit to construct the building des above, I agree to do the proposed work in accordance with the description above se fo in comp c witli all provisions of ordinances of the city of Fridley. .41 $100.00 Sewer Connection Warge In consideration of the payment of a fee of $--A7 . 00 , permit is hereby granted to Charles Johanson to construct the building or addition as described above. This permit is granted upon the express condition that the person to whom it is granted and his agents, employees and workmen, in all work. done in, around and upon said building, or any part thereof, shall conform in all respects to the ordinances of Fridley, Minnesota regarding location, construction, alteration, maintenance, repair and moving of buildings within the city limits and this permit may be revoked at any time upon violation of any of the provisions of said ordinances. f CLARENCE BEL NOTICE: This perm** does not cover the construction, Installation for wiring, plumbing, gas heating, sower or wafer. Be sure to no the Building Inspector for separate permits for these hoop. AMICATIUN FOR BUILDINIG -PER1,11T C1'rZ OF FRIDLEY, MINNESOTA 01MR'S NAHE BUILDER Charlpq F ADDRESS — 160 Hartman Circle ADDRESS 160 Hartman Circle __ Fridley-, Minfl. 55432 � 444 HWift1r—t502-- LOCATION OF BUILDIM STREET PART OF LOT mm� _P LOT S_ BLOCK ADDITION OR SUBDIVISION 40.00A oj� CORNER LOT It§`IDE LOT X SETBACK as SIDE-YARD_Ze — X.5— SEV7ER ELEVATi6N: FOUNDATION ELEVATION Applicant attach to this form Two Certificates of Survey of Lot and proposed building location drawn on these Certificates. DESCRIPTION OF BUILDING To Be Used Ad: Lz� . Front J t,/ —Depth 3 dHeight Sq. Ft. ,,x Cu. Ft. Front Depth Sq Ft. cu. Ft. Type of Construction Estimated Cost To Be Completed 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 Depar-tment of Buildings, and hereby declares that all the facts Buildings, and representations stated in this application are true and cor ect. DATE (Schedule of Fee Costs can be found on the Reverse Side). City of Fridley Application for Plumbing and Gas Fitting Permit Dept. of Bldgs. Phone 560-3450 DESCRIPTION OF WORK /i�% Number, Kind and Location of Fixtures Location 7�— �-� ' PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: 3 Number Fixtures ............... ...... �� VL 3 Z in 3i Y Z cLL Future Fixture Opening ................ C Z 2 Z U 8o S ,Sw� fj 1, <3 (7 °d w z t9aS ? `a a (70 • F • N WATER HTR. GAS ELEG Base Water Heater (Up to 99,000 BTU) ...... x $3.00 $ New Ground Run Old Bldg. ............ x $3.25 $ Electric Water Heater z $2.00 $ GAS FITTING FEES: NO. RATE TOTAL 1st 3 Fixtures .......................... x $2.00 It V'00 Additional Fixtures .................... l $ Ist 1 $ 2nd 3rd 4th • Future Connection Openings e New .Fixture, Old Openings Connected with I Sewer E] Cesspool ❑ PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: NO. RATE TO L Number Fixtures ............... ...... x $2.00 $ Future Fixture Opening ................ x $1.50 $ New Fixture Old Opening .............. x $1.50 $ Catch Basin ... ........................ x $3.25 $ Water Heater (Up to 99,000 BTU) ...... x $3.00 $ New Ground Run Old Bldg. ............ x $3.25 $ Electric Water Heater z $2.00 $ GAS FITTING FEES: NO. RATE TOTAL 1st 3 Fixtures .......................... x $2.00 It V'00 Additional Fixtures .................... x $ 35 $ Gas Range to 199,000 BTU .............. x $5.00 $ REPAIRS & ALTERATIONS—Refer to Code Description ................. ............................ $ TOTAL FEE $ City of Fridley: The undersigned hereby .makes application for a permit for the work herei specified, agreeing to do all work in strict accordance with the City Ordinance and ruling of the Department of Buildings, and hereby declares that all the fact and representations stated in this application are true and correct. Owner Kind of Used as To be completed about Estimated Cost, $ Old—New. Building Permit No 173 Pe it No. Signe By C Cir��fi Business Phone No ROUGH Application for Pourer Plants and Heating, Cooling, Ventilation, Refrigeration and Air Conditioning Systems and Devices PARTIAL RATE SCHEDULE GRAVITY WARM AIR: RATE TOTAL Furnace Shell & Duct Work ...........................$10.00 $ Replacement of Furnace ............................. 6.00 $ Repairs & Alterations—up to $500.00 .................. 6.00 $ Repairs & Alterations each add. $500.00 ............... 3.00 $ MECH. WARM AIR Furnace Shell & Duct Work to 120,000 BTU ............ $10.00 $ / each add. 60,000 BTU ....................... 3.00 $ Replacement of Furnace ............................. 6.00 $ Repairs & Alterations—up to $500.00 ................. 6.00 $ Repairs & Alterations each add. $500.00 .............. 3.00 $ STEAM or HOT WATER SYSTEM Furnace Shell & Lines—to 400 sq. ft. EDR Steam ...... $10.00 $ Furnace Shell & Lane—to 640 sq. ft. EDR Hot Water ... 10.00 $ Each add. 200 sq. ft. EDR Steam ...................... 3.00 $ Each add. 320 sq. ft. EDR Hot Water ............... .. 3.00 $ OIL BURNER—to 3 gal. per hour .............. ......... 6.00 $ over 3 gal. per hour—See Fee Schedule GAS BURNER (up to 199,000 BTU) ....................... 5.00 $ over 199,000 BTU See Fee Schedule GAS FITTING FEES: NO RATE TOTAL 1st 3 Fixtures ...................... x$ 2.00 $ � ® a Additional Fixtures ................. x .75 $ Gas Range to 199,000 ........... x$ 5.00 $ AIR CONDITIONING $ FAN HEATING SYSTEM See Fee Schedule VENTILATING SYSTEM $ ALTERATIONS & REPAIRS TOTAL FEE $ ROUGH FINAL 7 -1,1-71 Dept. of Bldgs. Phone 560-3450 N Location_T` d2 - City of Fridley: 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 of the Department of Buildings, and hereby declares that all the facts and representations stated in this application are true and correct. Fridley, Minn !2 ';2- 1 19 Owner 61 Kind of Building/ �n e Used as To be completed about Estimated Cost, $ —New. Building Permit No. ? 3�5 Permit No. g DESCRIPTION OF WORK HEATING or POWER PLANTS -Steam, Hot Water, Warm Air—No Trade Name 94ol� Size NoAs t A-2 0 Capacity. Sq. Fitt.. /E.D.R BTU H.P. Total Connected Load 1 !r oKind of Fue ° + BURNER — Trade Name -' _ Size No Capacity. Sq. Ft. E.D.R BTU H.P. (REMARKS—OVER' oe Phone041D.42 Business PERMIT for Power Plants and Heating. Cool. ing. Ventilation. Refrigeration and Air Conditioning Systems and Devices DESCRIPTION OF WORK No. of_ ® H_eating Plants to be 'nstalle ltered—repaired Make , Size— Oil iae Oil fired—, Coal fired ; Gas fired � ; Gas Authorization No. Remarks Approved by Final Inspection Date , 19_ Inspector Permit q y! OL� Fee N9 _ 4595 OfRce of the Inspector of Buildings City of Fridley City of Fridley, Minn. Owner Location �%f 3_ '® '� �• Kind of Building How Occupied -&� Work to be Commenced—,19— To ommenced ,19_ To be Completed ,19_ Estimated Cost, $ // 0-e) ° --� Old -New, Building Permit No. 9 Permission is hereby granted to A-4 ® V -A -e-' -to install—erect—use the material and devices described in the above statement. This permit is granted upon the express condition that the person to whom it is granted, and his agents, employees and workmen, in all the work done and materials used under this permit, and in the operation of the devices herein mentioned shall conform in all respects to the ordinances of the City of Fridley relating to or governing the work to be done and the operation of the devices herein named, and to the specificatiorp set 4orth in the approved application for this permit on file in the office of the Inspector of Buildings. J , Inspector of Buildings 42 2M11.67V City of Fridley, Minn. 111050, 6431 University Ave. N. E., Minneapolis, Minn. 55432 BUILDING PERMIT ate: _ June 17. .1971 No - 7131 Street _Riverview Terrace _— Part of Lot Lot 5 Block 1 Addition or Sub-Divislon ____ Riyerwood Manor Corner Lot Inside Lot Setback Sideyard Sewer Elevation Foundation Elevation DESCRIPTION OF BUILDING To be Used as: ..–Pool Front Depth Height .Y Sq. Fi. _ Cu. Ft. _ Type of Construction Front Depth Height Sq. Ft. Cu. Ft. Cost „ $4,000.00 To be Completed July, 1971 Stipulations per Heatbh Inspector: 1. Provide deck around pool. 2. No sewer lines near pool. 3. No electric lines over pool. In consideration of the issuance to me of a permit to construct the building d cribed above, I agree to do the proposed work in accordance with the description above set fo and in comph ce with all provisions of Ordinances of the city of Fridley. S� In consideration of the payment of a fee of s 2400 —, permit is hereby granted to Aaualand Pool Co. to construct the building or addition as described above. This permit is granted upon the express condition that the person to whom it is granted and his agents, employees and workmen, in all work clone in, around and upon said building, or any part thereof, shall conform in all respects -to the ordinances of Fridley, Minnesota regarding location, construction, alteration, maintenance, repair and moving of buildings Wcit tin � city limits and this permit may be revoked at any time upon violation of any of the provisions of said Building Inspector HANK MUHICH NOTICE: This permit does not cover the construction, installation for wiring, plumbing, gas heating, sewer or water. ife sure to we the Building inspector for separate permits for these items. rr APLICATION FOR RESIDENTIAL, ALTERATION, OR ADDITION BUILDING PERMIT CITY OF FRIDLEY, MINNESOTA OWNER'S NAME: ® 0 �� BUILDER:aa ADDRESS : C� kut_cL UjVI ADDRESS: NO:. STREET: (cam 9 LOT: BLOCK: , ADDITION: CORNER LOT: INSIDE LOT: SETBACK: SIDEYARD: Applicant attach to this form Two Certificates of Survey of Lot and proposed building location drawn on these Certificates. DESCRIPTION OF BUILDING ToNike Used As: ® Front: Depth: Height: Square Feet: Cubic Feet: Front: Depth: Height: Square Feet; Cubic Feet: Type of Construction: �'p Estimated Cost. 4v__C �— To Be Completed: '1�1 — w® !yz The undersigned hereby makes application for a permit for the work herein specified, agreeing to do all work in stfict accordance with the City of Fridley Ordinances and rulings of the Department of Buildings, and hereby declares that all the facts and representations stated in this application are true and correct. DATE : ' SIGNATURE: (See Reverse Side For Additional Information.) v o — ®� 0 CITY OF FRIDLEY Effective Date May 1, 1988 APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION, REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES RATE SCHEDULE RESIDENTIAL Furnace Shell and Duct Work, Burner (Also replacement furnace) Gas Piping (piping needed with new furnace) Gas Range Gas Dryer * Air Conditioning (all sizes) All Others/Repairs and Alterations 1% of Value of Appliance or Work COMMERCIAL/INDUSTRIAL 1% of Value of Appliance or Work RATE TOTAL $ 20.00 $ $ 10.00 $ $ 10.00 $ $ 10.00 $ $ 10.00 $ 10.00 State Surcharge TOTAL FEE Reinspection Fee ($15.00) Rough Insp. Date Final Insp. Date Approval for Permit -� MINIMUM FEE FOR ANY HEATING PERMIT IS $15.00, PLUS $.50 STATE SURCHARGE C, $ .50 $ Attach stack ver ica ion form with.replacement furnace permits *Air Conditioners can not be placed in side yard without written permission from adjoining neighbor. Job Address 7131 Riverview Department of Buildings, 6431 University Ave. N.E., Fridley, MN 55432 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. Fridley, Minn. 7-12-88 , 19 OWNER Donavan G. Emery KIND OF BUILDING Residence USED AS TO BE COMPLETED ABOUT 7-16-88 ESTIMATED COST 2,000.00 OLD - NEW BUILDING PERMIT NO. PERMIT NO. _22Q3 DESCRIPTION OF FURNACE/BURNER HEATING or POWER PLANTS, Steam, Hot Water, Warm Air- No. Trade Name Size No. Capacity Total Connected Load BURNER - Trade Name Capacity Sq. Ft. EDR Sq. Ft. EDR BTU HP Kind of Fuel Size No. BTU HP Company , De endable H )tin & A/c, Inc. Signed By, Tel. No. 757-5040 I PURCHASE ORDER I DATE BY u.& . �jf01�-4! 7InO F321.22 THIS NUMBER MUST APPEAR ON ALL CORRESPONDENCE SENT TO US THIS DOCUMENT GOOD FOR PURCHASES UNDER $1,000.00 ONLY SUPPLIER 0/7 �'Li�QD� ADDRESS` U x) Z 1 CITY OF I r 1 %� I �s % L C FRIDLEY �_--�D. `� 8431 UNIV. AVE. N.E. R FRIDLEY, MN 55432-4384 CONTACT �0 1c;2 - .2iu 11 SF / `-d E 612-571-3450 PRIA7EDONRECYCLED PAPER PAYMENT VOUCHER BY SIGNING THIS DOCUMENT BELOW I HEREDO AUTHORIZE PAYMENT AND THAT THE GOODS AND SERVICES HAVE BEEN RECEIVED OR RENDERED AND ALL CITY GUIDELINES HAVE BEEN FOLLOWED IN THE PROCUREMENT OF THE BELOW STATED IT D E RECE D PA"NT AUTHORIZED BY ACCOUNT OTY. UNIT PLEASE ENTER OUR ORDER FOR THE FOLLOWING UNIT PRICE AMOUNT G+ GI O 00 O . ,"' _Palb* QD rl / TOTAL THIS AGENCY HAS AGREED NOT TO DISCRIMINATE IN HIRING PRACTICES ON THE BASIS OF RACE, SEX, COLOR, CREED, MARITAL STATUS, RELIGION, OR NATIONAL ORIGIN AND HAS AGREED TO TAKE AFFIRMATIVE ACTION TO RECRUIT MINORITIES AND WOMEN INTO EMPLOYMENT. IT ENCOURAGES FIRMS AND OTHER AGENCIES WITH WHOM IT PURCHASES PRODUCTS OR SERVICES TO DO LIKEWISE. EXEMPT FROM SALES TAX AS A POLITICAL SUBDIVISION OF THE STATE OF MINNESOTA CITY OF FRIDLEY NO. 8030301 WHITE, VENDOR — YELLOW, PURCHASING — PINK, ACCOUNTING — GOLDEN ROD, DEPT. HD. b 10O� X1 13 / e -g -� cam, C�UnIA-6-1 �; ( J- I � a D�,4 (\) iT NEW [ ] Effective 5/26/93 ADDN [ ] CITY OF FRIDLEYL a �c ALTAR [ ] SINGLE FAMILY AND DUPLEXES R -I AND R-2 Building Permit Application Construction Address: Legal Description: Owner Name& Address: s Contractor: / Ry ) A v Address: '�/o / I-- -a6 - 7'13.1 Tei. # -5-ZZ-CV- MN LICENSE # s 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/Grmmd Sq. Ft. OTHER: Corner Lot [ j Inside Lot [ ] Ft. Yd Setback Type of Construction: Approx. Completion Date: Side Yard Setbacks Estimated Cost: $ (Cost on Back) eway Curb Cut Width Needed: l Ft. + 6 Ft = 2 %$ Ft x $ � = DATE: APPLICANT: Tel. # Permit Fee $ Fee Schedule on Reverse Side Fire Surcharge $ .001 of Permit Valuation (1/10th%) State Surcharge $ $.50/$1,000 Valuation SAC Charge $ $750 per SAC Unit License Surcharge $ $5.00 (State Licensed Residential Contractors) Driveway Escrow $ Alt. "A" or Alt. "B" Above Erosion Control $ Conservation Plan Review $450.00 Park Fee $ Fee Determined by Engineering Sewer Main Charge $ Agreement Necessary [ j Not Necessary [ ] TOTAL $ STIPULATIONS: SUBJEci PERMIT City of Fridley AT THE TOP OF THE TWINS BUILDING PERMIT r = NITY DEVELOPMENT DIV. RECEIPT NO. PROTECTIVE INSPECTION SEC, i a e NUMBER REV DATE PAGE OF APPROVED By l i 1 CITY HALL FRIDLEY 55432 612-571-3450 910415 11/4/98 JOB ADDRESS 7131 Riverview Terrace NE ' 1 LEGAL LOT NO. BLOCK ACT OR ADDITION SEE ATTACHED DESCR. 5 1 [RiverwoodManor SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Tom Gliadon 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Exterior Design Service 6391 Monroe St971-1220 12'17 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 D ADDITION ❑ ALTERATION jj REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Reroof house and garage (32 S Tear -off; Reside house and garage 9 CHANGE OF USE FROM TO STIPULATIONS Underlayment must comply with the State Building Code. Call for building wrap inspection before covering. SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING. HEATING. TYPE OF CONST. OCCUPANCY GROUP OCCUPANCYLOAD 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 I 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 $6742 $3.37 DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PERMIT FEE SAC CHARGE ER STATE OR LOCAL LAW REGULATING CON- PWF SRMANCE OF CONSTRUCTION $124.75 FireAC $6.74 PLAN CHECK FEE TOT F E Lice 5.0 1 9.86 ORORAUTHORIZEDAGENT IDA Er 1 S EN ROP R VALIDA D HIS IS YOYP 96 S,G ATUREOF WNER�.FOWNERBU1L0ER1 [DATE, BL NSP - r I �iAtE NEW - [ ] Effective 1/1/98 ADDN [ ] CITY OF FRIDLEY ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 c l BUILDING PERMIT APPLICATION ConstructionAddress: '� /63 I AIV `'v & r v ®e cd re t J- Legal Description: Owner Name & Address: % 1,991 Tel. #" Contractor: YL-" xl�e r 1® 0, X) en:d C A MN LICENSE # Address: LIVING AREA: GARAGE AREA: DECK AREA: OTHER: Construction Type:_ /440 OL- o y tee' ,� c Tel. # -,J%/— 3 2 r 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 Lente Width Hgt/Ground >` Estimated Cost: $ Sq. Ft. Sq. Ft. Sq. Ft. J v (Fee Schedule on Back) Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ _ $ DATE: APPLICANT: Tel. # k6r--7,) -3 CITY USE ONLY , 9 Permit Fee $ Fire Surcharge L$ State Surcharge 3� $ SAC Charge $ License Surcharge $ ,dt) Driveway Escrow $ Erosion Control $ Park Fee $ Sewer Main Charge $ TOTAL $ STIPULATIONS: 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 [ ] 40 AM FRIIXOEY FRIDLEY MUNICIPAL CENTER - 6431 UNIVERSITY AVE. N.E. FRIDLEY, MN 55432 - (612) 571-3450 - FAX (612) 571-1287 May 19, 1999 Tom Glaidon 7131 Riverview Terrace NE Fridley, MN 55432 Re: Final plumbing inspection at 7131 Riverview Terrace NE Contractor: Anoka Culligan Dear Mr. Glaidon: A plumbing permit was issued on May 12, 1998 for the property located at 7131 Riverview Terrace NE for a new water softener. According to Section 30.5(a) of the 1991 Uniform Plumbing Code a final inspection shall be performed on plumbing systems. As of this date no inspection has been called for. You will be given thirty (30) days from receipt of this notice to respond. If we do not hear from you, we will expire the permit and any inspections on this installation will require a new permit. Any questions can be addressed to myself at (612) 572-3603. Sincerely, Barry Riesch Building Inspector CITY OF FRIDLEY INSPECTION DIV. 6431 University Ave NE Fridley, MN $5432 572-3604 APPLICATION FOR PLUMBING AND GAS FITTING PERMIT MARK Nl IMRGCi A1C CIYTI Ieee •rn o� iwit�Tw� � �.... Effective On March 1, 1996 I's ZAIA S t ones Basement nt� �,t.. ii7Rtt8'i'i Urinal I :.......... Sho wer Wash h .....:..:...... Tray . Flo F�llt�'�. Drain :;��)i#::::::> Au to �. Washer :�: �Rp:>:: a Range t. ,.. ��)4t�:' w a to rea H ter Gas Elec Floor Floor 2 Floor 3 Floor 4 PLUMBING FIXTURE RATES: NO. RATE TOTAL JOB ADDRESS 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 Weser Leader $ 7,00 Sump/Receiving Tank $ 7.00 �� Water Treating Appliance -,�_ .O O Owner , 0 PV -9 Water Heater -Electric: $ 7.00 Water Heater - Gas** $10.00 Building Used As 1? ,VA-r7 Y Gas Range** $10;00 / 2 Gas Dryer** $10.00 Estimated Cost PERMIT NO. Back Flow Preventer Required ( )Yes () No Type $15.00 PLUMBING COMPANY__A,8 Reinspection Fee $42.00/Hr SIGNED B TEL N0.__%/ ALL OTHERS AND/OR REPAIRS AND ALTERATIONS 1.5% of Value of Fixture or Appliance ;0.00 State Surcharge Approved By Rough -in Date Final Date .50 TOTAL FEE $ 2,o,!50 **COMBUSTION AIR SHALL BE PROVIDED PER UMC SECTION 504(A) AND TABLE 6-A. MINIMUM SIZE 9 SQ INCHES. C' SUBJECT P City of Fridley 33791 7 91 AT THE TOP OF THE TWINS BUILDING PERMIT r _ _ __ v - COMMUNITY DEVELOPMENT DIV. ECf R�%/® r � � PROTECTIVE INSPECTION SEC. 1 NUMBER REV DATE PAGE OF APPROVED BY CITY HALL FRIDLEY 55432 763-571-3450 91 0-F1 s 8/12/03 JOB ADDRESS 7131 Riverview Terrace NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 5 1 iRiverwood Manor SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Tom Gliadon 7131 Riverview Terrace NE 763-572-0253 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 B DESCRIBE WORK install bay 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 dweT_ling per Section 310.9.1.2 of the 1997 Uniform Building Code. Caulk and flash all exterior openings. 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 1 HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION 1 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 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT $1,000 $ •50 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 $1.00 STRUCTION OR THE PERFORMANCE OF CONSTRUCTION $38.75 PLAN CHECK FEE TOTALFEE $40.25 ,51GNATUR FCONTRACTO R R+ZEDAGENT ATEA H N PROPERLY VALIDATED THIS IS YO R PER IT L� B �psp gATE NATURE OF OWN R 14 OWNER BUILDER I iDATE� C' NEW [ ] CITY OF FRIDLEY ADDN j ] 6431 University Ave NE, Fridley, MN 55432 ALTER [] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION Construction Address: Legal Description: 44 Owner Name & Addres Effective 1/1/2003 571-1287 Fax Tel. # iG3,T72--,0 2 s3 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. 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: Z Construction Type: Estimated Cost: $ / 0 00 Driveway Curb Cut Width Needed: -F-t. + 6 Ft = Ft x $ = $ DATE: 09/08/OS APPLICANT: �.t' r.�a da e+o� Tel. # Z 6S r 72. 00S3 Call (763) 572-3604 for Permit Fees if mailing in application. Fax to 763-571-1287 if using credit card and we will call you for card number. Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Curb Cut Escrow Erosion Control Park Fee Sewer Main Charge CITY USE ONLY - Fee Schedule on Reverse Side .001 of Permit Valuation (1/10th%) $.50/$1,000 Valuation $1275 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 [ ] . THE JOHN J. RYAN .CO �� teat YmaY "04M ST. PAUL 50194 Ile' SCALE: t INCH FEET PLAT OF SURVEY OF PROPERTY— OF 7/ 3/ LOCATION ,I DRSCRISED AS FOLLOWS _,_44.6 _ 130.0 lyz R� I- EN 7• N &VR— N N N 133.11 TCLKPHOHlb e4e-SPb9 , '= mr ' r ' ... ,9i,.. ... 3 S , It CERTIFICATE OF LOCATION OF BUILDING CERTIFICATE OF BZIRVEY I hereby certify that on_ ____5.� 2�= 19__— I hereby certify thnt I made a survey of the location of the building(s) on the I surveyed the property described above and that the above alcove described pro+wsrty and that the iOCAtiOn of said olat is a ct�rrert re reap+ntaii••n of said curve I 1•nitdiug(a) is �nrre.:•.ly shown on the above pint. r y. I. JOHN J. RYAN. RrGISTERED SURVEYOR. No. 4489 ' .._. PAUL J. CRANM. REGM.-I E'RSID St►rZWEYOR_N — - - �. _. mr It CERTIFICATE OF LOCATION OF BUILDING CERTIFICATE OF BZIRVEY I hereby certify that on_ ____5.� 2�= 19__— I hereby certify thnt I made a survey of the location of the building(s) on the I surveyed the property described above and that the above alcove described pro+wsrty and that the iOCAtiOn of said olat is a ct�rrert re reap+ntaii••n of said curve I 1•nitdiug(a) is �nrre.:•.ly shown on the above pint. r y. I. JOHN J. RYAN. RrGISTERED SURVEYOR. No. 4489 ' .._. PAUL J. CRANM. REGM.-I E'RSID St►rZWEYOR_N — - - �. _. CITY OF FRIDLEY BUILDING INSPECTION 6431 University Ave NE Fridley, MN 55432 763-572-3604 FAX 763-571-1287 RATE SCHEDULE Residential Furnace Shell and Duct Work, Burner & also Replacement Furnace Gas Piping (New Furnace, Fireplace, Insert) Gas Range Gas Dryer *Air Conditioning - All Sizes Effective 4/1/2004 APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES Fee Total $35.00 $ .J✓• $10.00 $ $10.00 $ $10.00 $25.00 All Other Repairs or Alterations (List on Back) 1% of Value of Appliance or Work Minimum Fee $15.00 for Residential or 5% of cost of Improvement whichever is greateron work less than $500.00 Commercial/Industrial/Institutional 1.25% of Value of Appliance or Work (List on Back) Minimum Fee $35.00 for Commercial/IndustriaVinstitutional State Surcharge TOTAL FEE REINSPECTION FEE $50.00/HOUR JOB ADDRESS /)3i !\ c V cY V 1 e Own Building Used As ESTIMATED COST 44& PERMIT NO DESCRIPTION OF FURNACE AND BURNER $ # of Heating Units_ Circle One (Steam) (Hot Water) Warm Air) Trade NameC�CcY'i,C.r Size No. 0 $or- P6 BTU HP EDR Fuel ' � Total Connected Load $ Burner Trade Name Size No. BTU aO/ HP EDR The undersigned hereby makes application for a permit for the work herein specified agreeing to do all work in strict accordance with the City Codes $ and rulings of the Building Division, and hereby declares that all the facts and representations stated in this �application are true and correct. $ .50 HEATING CO ®� fi7C�� 1 Y1� � A- $ ��[� Signed �' l Tel # FAX # 71�J^NO' M2 Date *Air Conditioners can not be placed in side yard without written approval from adjoining property owner - copy to City FILL OUT BACK SIDE FOR STACK VERIFICATION ON REPLACEMENT FURNACE Approved by Rough -in Date Final Date FILL IN COMPLETELY FOR REPLACEMENT FUEL BURNING APPLIANCE PERMITS COMMON VENT, VENT CONNECTOR AND COMBUSTION AIR VERIFICATION a 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. Ye� No( ) The venting system is plastic/PVC and meets all current codes and manufacturer specifications including sizing, length, number of elbows and termination. Yes;k/ 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 venting system, the undersigned hereby verifies that it is a listed assembly and meets the current codes and manufacturer's specifications. This does include AGA-GAMA Category I Central Furnace Venting Tables for fan assisted and natural draft appliances. YeSX 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. YesX No( ) Appliance Type and Size/Common Vent and Vent Connector Information Appliance #1 Type C,,t--JYjc!�j , BTU InputL44LQ— Fan Assisted or Nat e, I U Appliance #2 Type Fwh c r° c BTU Input ®e ebFan 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 be W [a HEATING CO: 14 k%-- Signed By: Date Building $ BUILDING Plan Review Permit No.: Inspections Surcharge RESIDENTIATI APPLICATION G (.0005) times the total job valuation — Minimum $.50 Received By: 763-572-�6�4 ep, 95 .001 x Permit Valuation (1/10%) CITY OF FRIDLEY $ Date Rec'd: DATE ! YOUR E-MAIL ADDRESS $1450 per SAC Unit (Plans to MWCC for determination) SITE ADDRESS t� / P s ft + 6 ft = ft x $20 = $ THIS APPLICANT IS: ❑ OWNER NTRACTOR $450 Conservation Plan Review PROPERTY OWNER/ NAME: r Fee Determined by Engineering TENANT ADDRESS: / ,�� B Lol�cy�Lz1 '%TCITY STATE ZIP Agreement necessary ( ) Non Necessary ( ) PHONE: $ CONTRACTOR NAME:� SUBMIT A COPY OF STATE LICENSE # 2e Q'�' ` 41 EXP DATE YOUR STATE LICENSE ADDRESS: a ✓L' ' ITY �� S STAT'T6IP�� WITH APPLICATION PHONE FAX .� PROPERTY TYPE --E IKGLEFAMILY W CONSTRUCTION SIZE ❑ Y W CONSTRUCTION STORIES PERMIT TYPE ❑ ADDITION ❑ GARAGE/SHED ❑ WINDOWS ❑ BASEMENT FINISH ❑ROOF ❑ DRAIN TILE ❑ DECK ;?SIDING ❑ OTHER ❑ SWIMMING POOL TYPE OF WORK: ❑ NEW ❑ PDITION ❑ MAINTENANCE/REPAIR ODELING DESCRIBE WORK BEING DONE:° ' (�� ` r , �� SIZE OF IMPROVEMENT LENGTH WIDTH HEIGHT Sq. Ft. ROOFING ❑ HOUSE ONLY NUMBER OF SQUARES ❑ HOUSE & GARAGE BASEMENT REMODELING SUBMIT: GARAGES ❑ ATTACHED GARAGE 1. 2• Existing Floor Plan Proposed floor plan PROPOSED SIZE: ❑ DETACHED GARAGE 3. List of structural members to be used PROPOSED HEIGHT: SID�IVG FOR NEW CONSTRUCTION INCLUDING DECKS, iny1 ❑Soffit ADDITIONS. & PORCHES SUBMIT: ❑ Aluminum ❑ Trim 1. Site Plan/Survey showing the existing structures ❑ Other ❑ Fascia and proposed project. WINDOWS 2. Two sets of construction plans IN EXISTING OPENINGS ❑Yes ❑No LOCATION OF WINDOWS 3. Energy Calculations OR FOR NEW OPENINGS -DESCRIBE SIZE OF OPENING CHANGES & TYPE OF WINDOW TO BE INSTALLED NUMBER OF WINDOWS ALL FEES ARE BASED ON VALUATION, INCLUDING THE COST OF LABOR AND MATERIALS: (USING XHF, 1997 U.B.0 FEE SCHEDULE) TOTAL JOB VALUATION.$ OCCUPANCY TYPE Permit Fee $ 60a See Back Page for Fee Schedule Plan Review $ 65% of Building Permit Fee Surcharge $ G (.0005) times the total job valuation — Minimum $.50 Fire Surcharge $ ep, 95 .001 x Permit Valuation (1/10%) License Surcharge $ 37.()�5 $5.00 (State Licensed Residential Contractors) SAC Charge $ $1450 per SAC Unit (Plans to MWCC for determination) Curb Cut Escrow $ ft + 6 ft = ft x $20 = $ Erosion Control $ $450 Conservation Plan Review Park Fee $ Fee Determined by Engineering Sewer Main Charge $ Agreement necessary ( ) Non Necessary ( ) Total Due $ I —to LtMake checks payable to: City of Fridley 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; that the work will be in accordance with the approved plan in the case of all work whichy *ires review `and approval of plans. j J SIGNATURE OF �,u,�I t% dada c eac� S