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r City. of Fridley, Minn.. a 6431 University Ave. N. E., Minneapolis, Minn. 55432 bate.. _ August 9. 1972 Owner: _ Fri. Incorporated --Builder kSame Address 3231 Central Avenue Address Same LOCATION OF BUILDING No 7145 Street Riverview Terrace N.E. Part of Lot $got 4 Block 1 Addition or Sub -Division Riyerwood Xgwor Addition Corner Lot Inside Lot X Setback - 3 5' _ _ Sideyard - 13' tilt 15, $&Hlevation 857.65 tbHJi/J119V, 860.65 Minimum Jve Top of Footing To be Used as: .Bwe11 i ng Front - 47 _ Depth .264"_ Height ......Y2DL Sq. Ft. Cu. Ft. 25.84 Gage Front Depth Height 10' Sq. Ft --A72' Cw Ft. 4.72 Type of Construction - Wan'Frame Fast. Cost $22, 959.32 To be Completed Nov. 1972 Stipulations: Provide a verifying survey before capping. Provide a hard surface driveway. See Plan on File with permit number 11.297 for 6001 Woody Lane. WATER LOCATION: 86.6' South of Manhole SEWER: "Y" 96.6' South of Manhole Inv. of Manhole: 840.00 In consideration of the issuance to me of a permit to cons ding described above, I agree to do the proposed work in accordance with the description above compliance with all provisions of ordinances of the city of Fridley. In consideration of the payment of a fee of $ &..0.0-, permit is hereby granted to 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 DAR -REE CLARK clone in, around and upon said building, or any part thereof, shall conform in all respects •to the ordinances of i+iidley, Minnesota regarding location, construction, alteration, mauatenance, repair and moving of buildings '�i � city limits and this permit may be revoked at a upon vi ation of any of the provisions of said Building Inspector NOTICE: This permit does not cover the construction, installation for wiring, plumbing, gas heating, sewer or water. Be sure to am .the Building inspector for separate permits for these items. If APPLICATION FOR RESIDENTIAL, ALTERATION, OR ADDITION BUILDING P99MIT CITY OF FRIDLEY, MINNESOTA OWURI S NAME: BUILDER: ADDRESS: ADDRESS:-�— NO : ®��� STREET: LOT; • BLOCK: / ADDITION: / 6' c-?eotiU ®-d7 al .neo n.• si ee .. CORNER LOT: INSIDE LOT: SETBACK: SIDEXARDO' 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 As: k4i� - I A1 C— Front: ADepth • 2- 63 Q- Height Square Feet: Cubic Feet: r° Front: Depth: Height; Square Feet; k =Cubic Feet: Type of Construction: Estimated Cost:_ To Be Completed: 1 t The undersigned hereby makes application for a permit for the .w9rk 'heroin specified, agreeing to do all work in sttict 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 appli,oetion are true and correct. _ (See Reverse Side For Additional Information.) / w ; 1•IAkRV Y A. CArIT` FIGHT C=TwRIGRT. t.tdw'�t:R {.t9UNfY McJIC'W9Y9 > �v �f `, �v n paYMa+&6gIN :c)UadvY sa.<►►aEYs Na� S UR 1e ACi YOBS ra+;vwe.¢rc?LIS a;3ctr'rvt3 D&!U PALM S'REFT W VV. 011019PTERRO UNpItR L4W8 OF STATE OF MINNESOTA S+J NAFv 4 78Sn. LICENSQO BY OROINANCE OF CITY Of MINNEAPOLIS OWNKR SO2 UPPER MIDWEST BUILDING -- 339 8727 NrruffirnlaL - Ji;7ICIAL 1-IENNEmPIN 'AT FIFTH -- MINNEAPOLIS. MINN. $3401 RUS44ESS TC1000RAPHIICA4 N�brpt�r'� tcttiiie�te C.:T'f LOTS — F%AT•rl,i4 , i COMBINING THE RECORDS OF J. E. HILL, CIV". ENa1NRUA [STAOL.T860 tif8 . C. r. SANDHOFR CIVIL ENotNEEA ESTABLt8460 Id10S ' JAMES NELSON SURVEYOR ESTADL/BHiD IORR METROPOLITAN LAND SWRVEYOR9, L-TA0LI9>+4Ia 1a71 ,f - i ., } i! �' a ..� V ,. ., � � � ✓ \ � ' ! f � j S l I d 4 a a �".:""ZfP?�► '`�'� �:>tJ'�. �.� `�.�i.�.�i,Sl� ';�A,i �7� �'f��,%h/d9�".blNi bei 69.F;.44tJJ �. .�N:,sf1: Y,,s i,,:Sl, RX: i 1 5 I1ppliCat�0114or Power Phuft and Heaft Cooling. Ventilations Reisigeration and Air Conditioning S"ents and Devices PARTIAL RATE SCHEDULE GRA11*TY WARM AIR: RATE TOTAL Furnace Shell & Duct Work ......... I ..... .. $10.00 $_ Replacement of Furnace ... . ..... . ..... .. 6.00 Repairs & Alterations—up to $500.00 6.00 $ Repairs & Alterations each add. $500.00 3.00 $---.-- MECiL WARM AIR Furnace Shell & Duct Work to 120,000 BTU ........ .. $10.00 $ each add. 60,000 BTU .................... .. 3.00 i 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 & Line—to 640 sq. ft. EDR Hot Water 10.00 $_ Each add. 200 sq. ft. EDR Steam 3,()() Each add. 320 sq. ft. EDR Hot Water 3,00 $ OIL BURNER—to 3 gal. per hour 6.00 $ _ over 3 gal. per hour—;lee Fee Schedule GASB (up to MOW BTU) over 199,000 BTU See Fee Sehedule GAS FITTING FEES: NO RATE TOTAL 1st 3 Fixtures .. . ..... x$ zoo $ Additional Fixtures x .75 $ Gas Range to 199,000 X$ 5.00 $ ROUGH FINAL Dept. of Bldg Phone SWUM e y� 0 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 Ordinance: 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- ZZ) g Kind of Building .— P Used as To be completed about ___— Estimated —Cost, $_.Z - s .,Building Permit No, -- , . . - „, Permit No. U IDEATING or POWER team, Hot Water, Warm Air—No--L— . Trade Name Size N®- � �l Capacity Sq. Ft. E.D.R--2 8TU H.P. Total Connected Load r Kind of Fuel-A�� BURNER — TradeName Size No Capacity Sq. FL E.D.R BTU Fee Sebodule &WRTAN AIR GONQIiIoNING C;C. TOTAL FEE $_ Su By ed—_ SkLi Q �rNl�� evL WNNE POLIS, MINNESOTA 5543@ (SURCHARGE —.5d Business Ph=w ATe- ,� l (REMARKS—OYER) [2113RAt, M, 11MIMIMT 1-14116111P City of fidley: °tae 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 nOng of the Department of Buildings, and hereby declares that all the fact' and presentations stated in this application are true d correct Fridley, M ® 19z) - n Mesad of Building swat Used as Cesspool PLVILlIF3G FIETURE RATES- NO. RATE TOTAL Number Fixtures ........... a .... x 52.E Future Fixture Opening .... a ...... x $1.50 S New Fixture Olaf Opening.......... x $1.50 $ Catch Basin .................... x $3.25 Water Heater (Up to . 99,000 BTU) .... �� x $3.00 S—.a s2L New Ground Meas Old Bldg.... a ... • x $3.25 $ WaterRmtwe . . . . . . o . . .. . . x $1020 S GAS FITTING PEES; NO. RATE TOTAL lot 3 Fixtures • .. • • .... .. • • 0 e • • .�_ z 3100 $ a- ` 0 Additional • .. • • ...o:• • e o .'o. x $ •76 ! • Gas Range to 199,000 BTU ....... ®.... x $5A0 8 State -Surcharge $ .50 A1:PAM S td AL TIO oa to CeftDaswi _ pdon c e . e o . e e o,• a • w s. a ... s m...• .. 6... a eL. T.VaeYwA. F.-Mo. IL . To be completed about Estimated Cost, $ Old—Nese. Building Permit No. _Permit No. .5-9 `'-) Signed By Business Phune No , ROUGH iiNAL / . 7�7 mu c@m4we-am"g �77-MA M" WAM AM RATE TOTAL 70=808 shell a Dud 717cra . .... ..... . 410.co $— Replacement ofFwwc-a U9 Repairs & Alterations—up te 6.00 Repain & Alterations each zdM. $4300.08 3.00 ffftw�x �14-1*v If-WRI, HIMMMMM-7777 U-77. Furnace Shell & Lines --to 400 sq. ft ZDR Steam $10.00 $-- Furnace Shell & Line—to NO sq. It. EDR Hot Water 10.00 Each add. M sq. ft. ZDR Steam 3.00 Each add. 320 sq. ft. ZDR Hot Water 3.00 TOTAL rM .51M I Dvt. @a Mae& now OMMM MY of rfldlay: The undersiowed hereby Ynalnes appHealgion %F a pemit fa? L7,-je worh hmek. specified, agresind to do mll vvar% in strict ,FAEcordaace with M(D Ciy Ordbpan m- amd ruling of the Deoartment of Buildings, afd hereby dsclaT- tihat a-71 Me &&jL� and representations stated in this appUcatton are tma amE canaLAL -P7 Fridley, PJA=-- M( J5 Kind of Building Used as To be completed about Estimated Cost, ®id—New. Buildlift PerrMt No. permit No. sem- m2canmM OF wcw C Trade NaM!1 -Zi � sin /1" capacity--- go. W F-D-R-- ToW Connected Load - Mad of FWL— DURIM — ThWW size XCL-- MMAN195-0VU) "UPURPAN AIR CONDITIONING CW sia.,�ae i19 CF TE MIRNEAPOLI S- JW 14 ly ESINTA 55431 SUBJECT PER NO. City of Fridley 123'7'7 AT THE TOP OF THE TWINS BUILDING PERMIT r R EIPT NO. COMMUNITY DEVELOPMENT DIV. r PROTECTIVE INSPECTION SEC. 1 . � "1 CITY HALL FRIDLEY 55432 NUMBER REV. DATE PAGE OF APPROVED BY 612-560-3450 910-F15 10/30/73 JOB ADDRESS 7145 Riverview Terrace N.E. 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 4 1 Rlverwood Manor SHEET 2 PROPERTYOWNER MAIL ADDRESS ZIP PHONE Trygve Olsen 7145 Riverview Terrace N.E. 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 C NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Construe. a 16' x 16' Tool Shed 9 CHANGE OF USE FROM TO STIPULATIONS No business to be operated from this shed. Any stipulations made by the City Council on October 29, 1973. SEPERATE PERMITS REQUIRED FOR WIRING T HEATING, PLUMBING AND SIGNS. TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, VENTILATING OR AIR CONDITIONING. Wood 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 ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS OFFSTREET PARKING I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION l 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. $400.00 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT .5O 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- $5.00 STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. PLAN CHECK FEE TOTAL FEE 5..50 SIGNATu OF CONTRACTOR OR AUTHORIZED (DATE) WHEN PROPERLY VALIDATED THIS IS YOUR PERMIT 7/ ry r BLDG INSP DATE SIGNATURE O NE IF OWNER BUILDERI (DATEI APPLICATION FOR RL•SIDENTIAL, ALTERATION, OR ODITION BUILDING PERMIT CfTY OF IRI DLLY, MINNESOTA OWNERIS NAME: /sCy, BUILDER: –S,F" C> ADDRESS: - ( q r- 1Pc Kery/ e czl ,fie rra cADDRESS NO .8 — f24 . STREET: r Yt a Ctz e Yrcc e e LOT. BLOCK: / ADDITION: rv�r urr� rC1 /�/ttl7��i'' CORNER LOT: INSIDE LOT: '✓ SETBACK: SIDEYARD: Applicant attach to this form Two Certificates of Surv2X of Lot and proposed buildirig location drawn on these Certificates. DESCRIPTION OF BUILDING To Be Used As: D � _F Pei Front : Depth: /6 Height: l o 6 Square Feet: Cubic Feet: Front: Depth: Height: Square Feet; Cubic Feet: Type of Construction: fet a Cs 4 Estimated Cost: $ g Dd O� To Be Completed: -i &4/ ENJcs 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 -i11 the facts and representations stated in this application are true and c irrvc t . DATE: —/ SIGNATURE: (See Reverse Side For Additional Information.) HARVEY A. CARTWRIGH-r acr� GJ �AidOLi COUPTYOURVLYS Ir$L� ft� COMBINING THE J?aCOtitl3 OF P:Cid?1/:91MCOUNTY SU"EYS, HILL. CIVIL •LAf V D .9 �/ :IY. W g fl i.`✓I, S FBYA13�.IONZO gq� JCJ.3Htt • i'�IeJPJEApOLI3 SURVEYS IJ4t0 PALM STRCET N. V,,. C. F. SAI+JDHoFF SUNRET A-7605 REGISTERED UND.?R LAWS OF STATE OF NINNESO-rA CIVIL EAJGJN T.1 OWNER LICENSED By ORDINANCE OF CITY OF MINNEAPOLIS EOTaDLtD»3p IC03 902 UPPr?,R M113WEST BUILDINGJAVIES sNZ.-LS0p4 INDUaTnl" — JUDICIAL HENNEPIN AT FIFTH -- -N9S-EI�21 Sv tvZY©:l TOPOGRAPHICAL CuINt=�tt FAiAJIVi=AF'OLIS. MINN. 55401 E97A�I,td» D Ian '• !,, y CITY LOTH PLATTING Mr-TROPOLITAN LAND SURVEYORS. i9TA9419N$0 �a31 h R C C 345--75 r 35 1 � � w 883,7 .` ter .;. • �d ti1u... horcby certify timet thiS is ,l tru4a and cora ret plat of a survey of Lot 4, R.',,.oclf 1 , Of Riveruood ail -alar las rads tly lug tizie 15th day of April l 1972. --nd can Au ;-uSt lo 10,72 i � • ' >9PGNELD ✓1B 4`"'�;°�'». [ i~ t-.r.�.y -�r-- �e` /� rr.`•�iJ! l-1 i AND 01-0 J�4 CITY OF FRIDLEY INSPECTION DIV, 6431 University Ave NE Fridley, MN 55432 572-3604 Effective On January 1; 19.95 ' APPLICATION FOR PLUMBING AND GAS FITTING PERMIT' [VIAMn INUIVI MM Ur NA I UHtb I U tit INU ( ALLtU ON EAL;H FLOOR Water NO. RATE TOTAL Bath 'I ; E Wash D n�pu$ii Ku Floor Auto. Gas �' Gas Mise y`` Water Heater Stories Closet Urinal Tub' Shower Fmk : Tray h fount _'=. 4 i� Drain _;. srt . Washer i3 r A L. , + Ran a Mixt ,... Gas FJec Basement $10,00 Water Heater —Electric $ 7.00 Water Heater — Gas $10.00 Gas Range $10.00 Floor 1 $10.00 101 0*11101 Floor 2 ! I' xt+:' Floor 3 Floor 4 PLUMBING FIXTURE RATES: NO. RATE TOTAL New Fixtures $ 7.00 7. cc) Old Opening, New Fixture $ 4,00 Beer Dispenser. $ 5.00 Blow Off Basin, $ 7.00 Catch Basin $ 7,00 Rain Water Leader $ 7.00 Sump/Receiving-Tank $ 7.00 Water Treating Appliance $10,00 Water Heater —Electric $ 7.00 Water Heater — Gas $10.00 Gas Range $10.00 Gas Dryer $10.00 Back Flow Preventer Required ( )Yes {) No Type $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 $/s , � b JOB ADDRESS 71V The undersigned .hereby makes application.f6t a -permit for.the,-.vork'hereiri 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. ��� •.,'t995 . Owner t� !� C Building Used'As de� Estimated Cost ?_G:vQe,®Qj PERMITNO: 44. PLUMBING COMPANY -i LSD Ae SIGNED - TEL:NO. 633 Approved B Rough—In Date Final Date MINIMUM FEE FOR ANY PLUMBING/GAS PPERMIT .118411.5.00. ' PLUS THE $.50 STATE SURCHARGE SUBJECT ._ - -PERMIT NO. City of Fridley 24532 AT THE TOP OF THE TWINS BUILDING PERMIT - - -- RECEIPT NO. 'f' � • COMMUNITY DEVELOPMENT DIV. r PROTECTIVE INSPECTION SEC- l t� NUMBER REV DATE PAGE OF APPROVED BY CITY HALL FRIDLEY 55432 612-571-3450 910-F15 9/4/96 JOB ADDRESS 7145 Riverview Terrace NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 4 1 1 Riverwood Manor SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Margaret/John Berg 7145 Riverview Ter 572-9441 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 A 8 DESCRIBE WORK Reroof House 18 S Tear -off 9 CHANGE OF USE FROM TO STIPULATIONS Underlayment must comply with the State Building Code. TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD SEPARATE PERMITS ARE REOUIRED FOR ELECTRICAL, PLUMBING, HEATING, VENTILATING OR AIR CONDITIONING THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING 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 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT $1,485 $.74 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 PERFORMANCE OF CONSTRUCTION $48.50 A Me SC $1.49 PLAN CHECK FE TO AL EE 50.73 SIGNAT E OF fONTRACTOR OR AUTHORIZED AGENT IDATEI PROVALI ,!%A T THIS IYRFIT S.GN E OF OWNER uF OWNER BUILDERI IDATEI INSP DATE NEW [ ] Effective 3/1/96 ADDN [ ] CITY OF FRIDLEY ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 Building Permit Application t Iq ConstructionAddress: -71415- /? i VE R We 1,V TE RP,,q c a - Legal Description: %c, I Z/ 0�,L p C /e / ? , L,E R CA -10©j Owner Name &Address: 19 614 A ,� � ,� "014, V JZ & Tel. # � 7 -- q 4Y J Contractor: Address: LIVING AREA: GARAGE AREA: DECK AREA: OTHER: 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 EUPROVEMENT Length Width Height Sq. Ft. Length Width Height Sq. Ft. Length Width Hgt/Ground Sq. Ft. Comer Lot [ ] Inside Lot [ ] Ft. Yd Setback Side Yard Setbacks Type of Construction: Estimated Cost: $ Approx. Completion Date: - d (Cost on Back) Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ _ $ DATE: A- lL- c (a APPLICANT: ' o 14 J,✓ J`j .�GZ (� Tel. # CITY USE ONLY Permit Fee $ -41A 0 Fee Schedule on Reverse Side Fire Surcharge $ �- °`� .001 of Permit Valuation (1/10th%) State Surcharge $ °� $.50/$1,000 Valuation SAC Charge $ $900 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 [ ] S-0,173 TOTAL $ STIPULATIONS: NEW [ ] Effective 1/1/99 ADDN [ ] CITY OF FRIDLEY ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 �� BUILDING PERMIT APPLICATION V. ConstructionAddress: -71Y-5- P l y' e ky z w 1 E an -4c E Legal Description: XOwner Name & Address: �® H j3 2 Tel. 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/Ground Sq. Ft. Estimated Cost: $ (Fee Schedule on Back) Driveway Curb Cut Width Needed: -/ Ft. + 6 Ft = OFt x $ DATE: - q9 APPLICANT: Tel. # 6 [2 572- lel CITY USE ONLY Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge 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 $1050 per SAC Unit $5.00 (State Licensed Residential Contractor) Alt. "A" or Alt. "B" Above $450.00 Conservation Plan Review Fee Determined by Engineering Agreement Necessary [ ] Not Necessary [ ] SUBJECT PE �IT City of Fridley 11187 AT THE TOP OF THE TWINS BUILDING PERMIT r E ' No i tr V COMMUNITY DEVELOPMENT DIV. PROTECTIVE INSPECTION SEC. r 1 . � NUMBER REV OATS PAGE OF APPROVED By E _ I CITY HALL FRIDLEY 55432 ' 612-571-3450 910-F15 9/8/99 JOB ADDRESS 7145 Riverview Terrace NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 4 1 1 Riverwood Manor Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE John Berg 572-9441 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Reroof America Corp. 9508 Lyndale Ave S Bloomington 55420 888-8440 20141410 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 (Rx REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Reroof house and garage (25 Sq) Tear-off 9 CHANGEOFUSEFROM TO STIPULATIONS Underlayment must comply with the State Building Code. TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD SEPARATE PERMITS ARE REOUIRED FOR ELECTRICAL, PLUMBING, HEATING. VENTILATING OR AIR CONDITIONING. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING SQ. FT CU FT. AUTHORIZED IS NOT COMMENCED WITHIN 80 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS OFFSTREET PARKING I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION STALLS GARAGES AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS VALUATION SURTAX AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR NOT, THE GRANTING OF A PERMIT 2185 $1.09 DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PERMIT FEE SACCHARGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- STRUCTION OR THE PERFORMANCE OF CONSTRUCTION $83.25 Fire SC $2.19 PLAN CHECK FEE TOTAL FEE Li e C .0 1.53 SIGNATURE OF CON TRACTOR OR AUTHORIZED AGENT IOATE- HE PR VALIDA THIS IS)(4URA!f;R M -NSP aC/2 a GATE S-GNATURE OF OWNERJF OWNER BWLDERI _IDA TEI NEW [ 1 36 C' 3"- Effective 5/10/99P p ADDN [ ] CITY OF FRIDLEY '50IF-7 ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION Construction Address: zM -' / %fj Legal Description: g inn®a-- Owner Name &Address: 7,- t,) TSE #,'Z, g C �e4 Vr 9 � 181Y S-6 Attach to this .application, a Certificate of Survey :of the -cw/® 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: UU Construction Type: �m�—f �� =rte- Estimated Cost: $�Cj Driveway Curb Cut Width Needed: DATE: Ft. + 6 Ft = Ft x $ =$ APPLICANT: 4��®� CITY USE ONLY Permit Fee $ Fee Schedule on Reverse Side Fire Surcharge $ ®? . / 9 .001 of Permit Valuation (1/10th%) State Surcharge $ l ® $.50/$1,000 Valuation SAC Charge $ $1050 per SAC Unit License Surcharge $F .Q d $5.00 (State Licensed:Residential Contractors) Driveway Escrow $ Alt. "A" or Alt. "B" Above Erosion Control $ $450.00 Conservation Plan Review Park Fee $ Fee Determined by Engineering Sewer Main Charge $ Agreement Necessary [ ] Not Necessary [ ] TOTAL $ STIPULATIONS: G�" N. SUBJECT RMIT NO. City of Fridley 3237 AT THE TOP OF THE TWINS BUILDI N G PERMIT tr 1 '7 • COMMUNITY DEVELOPMENT DIV. `y ------I INSPECTION SEC. � � PROTECTIVE NUMBERREv DATE PAGE OF APPROVED BY CITY HALL FRIDLEY 5,I' 432 l 612-571-3450 910-F15 1/11/02 JOB ADDRESS 7145 Riverview Terrace NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 4 1 lRiverwood Manor Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE John Berg, 7145 Riverview Terrace, Fridley, MN 55432 763-572-9441 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Rite -Way Waterproofing, 448 Lilac St, Lino Lakes, MN 55014 651-786-0550 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO 6 USE OF BUILDING Dwelling 7 CLASS OF WORK NEW ❑ ADDITION Iq ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Interior basement drain tile system 9 CHANGE OF USE FROM TO STIPULATIONS Extension cords cannot be used to hook up pump. 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 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 QE COMPLIED WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT $3,000.00 $1.50 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- STRUCTION OR THE PERFORMANCE OF CONSTRUCTION $83.25 $3.00 Fire SC PLAN CHECK FEE TOTAL FEE 87.75 SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT IDATEIHA N PROPERLY VALIDATED THIS IS YOUR PERMIT _ DGINSP /- //- 64 - OATE S-GNATURE OF OWNER,IF OWNER BUILDER, IDATEI G�" N. NEW [ ] Effective 1/1/2001 ADDN [ ] CITY OF FRIDLEY (763) 572-3604 Bldg Insp ALTER SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION Construction Address: ri ] g �- 7R� 1."13� I—eAAQ.c1L. Legal Description:Semen Dw A;^ =61.g Suf.4t n - Owner Name & Address: 76 l ?- p jz Tel. # S7 -.A - q q L11 Contractor: , MN LICENSE # Address: 4/4/f &�eD l .�rp Ltr% 550I ct Tel. # tog./- 7M-0594 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: Leng�1(dth Hgt/Ground Sq. Ft OTHER: 1-5=% r . Construction Type: Estimated Cost: $ CL`,O • pc] Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ —=$ DATE: ` $ --®;k. APPLICANT: Tel. # S 1 - 766 -0550 CITY USE ONLY - Call (763) 572-3604 for Permit Fees if mailing in application Permit Fee $ C3 , a S Fee Schedule on Reverse Side Fire Surcharge $ 3. jb® .001 of Permit Valuation (1/10th%) State Surcharge $ $.50/$1,000 Valuation SAC Charge $ $1150 per SAC Unit License Surcharge $ (5 $98- sed 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 [ ] 7. ?S TOTAL $91019 STIPULATIONS: SUBJECT PE City of Fridley 32635 AT THE TOP OF THE TWINS BUILDING PERMIT P RECEIPT NO. COMMUNITY DEVELOPMENT DIV. f � � PROTECTIVE INSPECTION SEC. A CC�'�ji NUMBER REV OATS PAGE OF APPROVED BY P''•1CITY HALL FRIDLEY 55432 '•� 612-571-3450 910-F15 5/24/02 JOB ADDRESS 7145 Riverview Terrace NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 4 1 Riverwood Manor Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE John/Margaret Berg 7145 Riverview Terrace NE 763-572-9441 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Same 4 ARCHITECT OR DESIGNER MAIL'AODRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO B USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW (Xl ADDITION O ALTERATION ❑ REPAIR O MOVE ❑ REMOVE B DESCRIBE WORK Construct a 15' x 10' and a 12' x 24' Deck 9 CHANGE OF USE FROM TO STIPULATIONS See notations on plan. WA4NINIW Before digging call for all nti4i00�d®ns EjRE N LAW 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 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 $5,037 $2.52 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- STRUCTION OR THE PERFORMANCE OF CONSTRUCTION PLAN CHECK FEE TOTA FEE $132.81 F ONTaR AUT 4Ep AGENT iDATEi SIGNAi R OaCTOR O ENP OP VALID E THIS IS YOUR PERMIT �—_t*7 S-GNATU ic iDATE, SLOG 14SP ' - MATE NEW [ J CITY OF FRIDLEY ADDN [ J 6431 University Ave NE, Fridley, MN 55432 (763) ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION Construction Address: ill �/.� /� 1 v� �v1� w i 1 �[A�c E Legal Description: �J Owner Name & Address: o 14 /V a A /Z G ./1 A t T a k Z Tel. # '7 S7 g - 9,V111 Contractor. ® L-- &-E a MN LICENSE # Address: Tet. # 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 /Y Width /® Hgt/Ground Sq. Ft lz5o OTHER: X Construction Type: Wry G f -..A Estimated Cost: $ Driveway Curb Cut Width Needed: Ft + 6 Ft = Ft x $ _ $ DATE: 9-;Q--09 APPLICANT: Tel. # -7&3 - 1-22 -36 // Call (763) 572-3604 for Permit Fees if mailing in application or Fax to 63-571-1287 if using credit card and we will call you for card number. Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee Sewer Main Charge CITY USE ONLY - Fee Schedule on Reverse Side $ .001 of Permit Valuation (1/10th%) $ 2 Q $.50/$1,000 Valuation $ $1200 per SAC Unit $0 $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 [ ] TOTAL $ STIPULATIONS: CH Y OF FRIULLl IIVSt-tk_ i ION UIV. 6431 University Ave NE Fridley, MN 55432 (763) 572-3604 APPLICATION FOR PLUMBING AND GAS FITTING PERMIT MARK NUMBER OF FIXTURFS Tn RF IN4TAI I Fn nnl FAru Ff nno Lltective Un Jan 1, 2u02 PLUMBING FIXTURE RATES 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 () Nc Type Reinspection Fee $47.00/Hr NO. RATE TOTAL JOB ADDRESS :710SBive-I'V P I ,�i TE 1O $ 7.00 $ 4.00 $ 5.00 $ 7.00 $ 7.00 $ 7.00 $ 7.00 $10.00 $ 7.00 $10.00 $10.00 $10.00 $15.00 ALL OTHERS AND/OR REPAIRS AND ALTERATIONS 1.5% of Value of Fixture or Appliance State Surcharge TOTAL FEE 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. Hal 1- , 20� Owner �(� Y� til Building Used As rec_�-% \ d f- CLS' Estimated Cost `���_ PERMIT NO, PLUMBING COMPANY_Q(� �� SIGNED BY TEL N0. - FAX # — `.�?' 7- L/C/ Approved By Rough -In Date Final Date ` r 50 C--�� MINIMUM FEE FOR ANY PLUMBING/GAS PERMIT IS $20.00 $.� PLUS THE $.50 STATE SURCHARGE COMBUSTION AIR SHALL BE PROVIDED PER UMC SECTION 504(A) AND TABLE 6-A. COMMON VENT INFO ON BACK SIDE r THE BELOW MUST BE FILLED IN WHEN REPLACING FUEL BURNING APPLIANCES OR THE APPLICATION WILL BE RETURNED COMMON FNT_ VENT C`nNNFnTQR ANN MM -RI IQTIM IR • RIFICAW) When ted_ I, acing an Pxisting f Iranro, the undersigned hereby verifies that the venting has been examined and is free from rust, deterioration, obstructions, I and is securely supported and firestopped where required. Yes Y) No( ) The venting system is plastic/PVC and meets all current codes and manufacturer Assisted or Nat Total Btu Input specifications including sizing, length, number of elbows and termination. Yes No( ) The undersigned also verifies that the replacement unit is a listed assembly f and meets the current codes and manufacturers specifications. This does include AGA-GAMA Category I Central Furnace Venting Tables for fan assisted and natural draft appliances. Yes No( ) The existing rnmb ,stinn -a - ir is sized and installed to meet the current codes and manufacturer's specifictions. j Yes No( ) When required to inctan a new camb, istIonair. it will be sized and installed to meet the current codes and manufacturers specifications. Yes (� No( ) When in;tailjnu a newyenting�s Pm, the undersigned hereby verifies that it is a listed assembly and meets the current codes and manufacturers 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 V No ( ) Appliance Tyne and Size/Common Vent and Vent Qnnn rtnr Inform atinn Appliance #1 Type BTU Input Fan Assisted or Nat Appliance #2 Type Appliance #3 Type BTU Input Fan Assisted or Nat BTU Input Fan Total Appliances Assisted or Nat 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 HEATING CO: Signed By: Date : CITY OF FRIDLEY INSPECTION DIViSION 6431 University Ave NE Fridley, MN 55432 APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION, (763) 572-3604 REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES RATE SCHEDULE OWNER Residential Rate Furnace Shell and Ducf.Work, Burner - Also Replacement Furnace $ 30.00 (Side Vent - Fill Out Back) Gas Piping (Needed with new furnace, $ 10.00 but not replacement_) ESTIMATED COST Gas Range $ 10.00 Gas Dryer $ 10.00 *Air Conditioning - AII.Sizes $ 25.00 All Others/Repairs & Alterations (LIST ON BACK) 1% of Value of Appliance or Work Commercial/Industrial (Steam) (Hot Water) arm Air 1.25% of Value of Appliance or Work Trade Name d,-e2z State Surcharge . TOTAL FEE MINIMUM FEE FOR ANY HEATING/COOLING/VENTILATION REFRIGERATION/AIR CONDITIONING PERMIT IS $25.00 PLUS THE $.50 STATE SURCHARGE REINSPECTION FEE $47.00/Hr *Air Conditioners can not be placed in a side yard without written permission from adjoining property owner. JOB ADDRESS ZIV- - 4 -f041 - Effective On January 1, 2002 $ 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 an $ .50 rulings of the Building Division, and hereby declares that all the facts and ®100 representations stated in this application are true and correct. DATE HEATING_% TEL # FAX # Approved By Rough -In Date FILL OUT BACK SIDE FOR STACK VERIFICATION ON REPLACEMENT FURNACE OWNER TOTAL $ BUILDING USED AS ESTIMATED COST PERMIT NO DESCRIPTION OF FURNACE AND OR BURNER No. of Heating Units_ Circle One (Steam) (Hot Water) arm Air $ Trade Name d,-e2z Size No.0__22 V3 7� BTU ZS HP EDR $� Fuel Total Connected Load Burner Trade Name Size No. $ BTU 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 an $ .50 rulings of the Building Division, and hereby declares that all the facts and ®100 representations stated in this application are true and correct. DATE HEATING_% TEL # FAX # Approved By Rough -In Date FILL OUT BACK SIDE FOR STACK VERIFICATION ON REPLACEMENT FURNACE THE BELOW MUST BE FILLED IN WHEN REPLACING FUEL BURNING APPLIANCES OR THE APPLICATION WILL BE RETURNED COMMON VENT. VFNT CONNFCTnR AM CnMRUSTION AIR V RIFT CATION When rre In acing.an Pyintinaf wanca, 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 O� No ( ) The venting system is plastic/PVC and meets all current codes and manufacturer specifications including sizing, length, number of elbows and termination. Yes Od No ( ) The undersigned also verifies that the replacement unit is a listed assembly and meets the current codes and manufacturers specifications. This does include AGA-GAMA Category I Central Furnace Venting Tables for fan assisted and natural draft appliances. Yes (.Xf No ( ) The axietinp combustion air is sized and installed to meet the current codes and manufacturer's specifications. Yes V No ( ) When required to install a new cnmhumtinn airy it will be sized and installed to meet the current codes and manufacturer's specifications. Yes (' No ( ) When installing a naw ventina nye, the undersigned hereby verifies that it is a listed assembly and meets the current codes and manufacturer's specifications. This does include AGA -LAMA Category I Central Furnace Venting Tables for fan assisted and natural draft appliances. Yes eNo ( ) 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 WNo ( ) Appliance Type and Ri p/Common Vpnt and Vent-Cnnnactnr Informs inn Appliance #1 Type F,;v- t01KE BTU Input 7S� 0-00 Fan Assisted or Nat i o -,j Appliance #2 Type W4n-� 144-*TEVBTU Input o-a.v Fan Assisted or Nat N4 -r- Appliance #3 Type BTU Input Fan Assisted or Nat Total Appliances 'L Total Btu Input If 5- 000 Common Vent Type NOn-e, Vent Height Diameter inches L Appliance #1 Vent Connector Height "� ft Length oZ5 ft Diameter -3 in Type VC Appliance #2 Vent Connector Height )5- ft Length A,13 ft Diameter�in Type Cu4-65 Appliance #3 Vent Connector Height ft Length ft Diameter in Type HEATING Signed By, Ff-$I% SUBJECT City of Fridley 34016 AT THE TOP OF THE TWINS ? BUILDING PERMIT r R EIPT NO. : • COMMUNITY DEVELOPMENT DIV. _____ r PROTECTIVE INSPECTION SEC. 1 � NUMBER REV DATEPAGE OF APP VED r i CITY HALL FRIDLEY 55432 763-571-3450 910-F15 11 /7/03 JOB ADDRESS 7145 Riverview Terrace NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 1 4 1 1 1 Riverwood Manor Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Margaret & John Berg 7145 Riverview Terrace NE 763-574-9679 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Jansick Inc 6480 Squire Drive NE, Fridley, MN 55432 763-574-9679 8618 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO 8 USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW ❑ ADDITION ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Remodel kitchen 9 CHANGE OF USE FROM TO STIPULATIONS See notathns on plan. SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD VENTILATING OR AIR CONDITIONING THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING SO. FT CU FT AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS. OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COMMENCED. NO DWLG. UNITS OFFSTREET PARKING I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION 1 STALLS GARAGES AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS VALUATION SURTAX AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT $2,275 $1.14 DOES NOT PRIES ME TO GIVE AUTHORITY TO VIOLATE OR CANCEL TME PERMIT FEE SAC CHARGE PROVISIONS OF NY OTHER STATE_OR LOCAL LAW REGULATING CON- Fire SC $2.28 STRUCTI N OR E PERFORMANCE O CONSTRUCTION $83.25 PLAN CHECK FEE TOTAL FEE l 7 G License SC $5.00 1 $91.67 SI @ T E OF CON'RACTOR OR AUTHORIZED AGENT TE WHEN PROPERLY VALIDATED THIS IS YOUR PERMIT BLDG iNSP OAtE T F OW ER JF OWNER ILDER. 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) 571-1287 Fax BUILDING PERMIT APPLICATION Construction Address: ,` —16-- 1�ely'rae- Legal Description: Owner Name & Address: Tel. # >,/,3-12V ��79 Contractor. �L Shit MN LICENSE # Address: to �'o �GaG/deP /�% Tel. # LIVING AREA: GARAGE AREA: DECK AREA: OTHER: Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF IMPROVEMENT Length Width Height Sq. Ft. Length Width Height Sq. Ft. Length Width Hgt/Ground Sq. Ft. Construction Type: /717CWE�t. ��kr,4L�/ lli /Estimated Cost: $ L 2 7� ; e l) Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ _ $ DATE: //— z1-03 APPLICANT: Tel. # Call (763) 572-3604°for Permit Fees if mailingn 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 [ ] (. (I f OF FRIDLEY INSPECTION DIV. 6431 University Ave NE Fridley, MN 55432 (763) 572-3604, FAX (763) 571-1287 APPLICATION FOR PLUMBING AND GAS FITTING PERMIT MARK NI IMRFR r)F FIXTIIRFS TO BE INSTALLED ON EACH FLOOR L"iiectrvu iai, jan i, '.C)W PLUMBING FIXTURE RATES: NO. RATE TOTAL JOB ADDRESS G ` New Fixtures $ 7.00 lii� 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 20— Sump/Receiving Tank $ 7.00 J o ff m e� 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 PERMIT NO. Z Back Flow Preventer Required ( )Yes () No A� Type $15.00 PLUMBING COMPAN d" Reinspection Fee $47.00/HrSIGNED BY CJS TEL N0. ALL OTHERS AND/OR REPAIRS AND ALTERATIONS 1.5% of Value of Fixture or Appliance Approved By Rough -In Date Final Date //.;2,3 � State Surcharge $ .50 MINIMUM FEE FOR ANY PLUMBING/GAS PERMIT IS $20.00 TOTAL FEE $ PLUS THE $.50 STATE SURCHARGE COMBUSTION AIR SHALL BE PROVIDED PER UMC SECTION 504(A) AND TABLE 6-A. COMMON VENT INFO ON BACK SIDE THE BELOW MUST BE FILLED IN WHEN REPLACING FUEL BURNING APPLIANCES OR THE APPLICATION WILL BE RETURNED MMMON VENTS VENT CONNFCTQR AND com jsnm AIR VFRIFICATION When re In arena n existing furance, the undersigned hereby verifies that the venting has been examined and is free from rust, deterioration, obstructions, and is securely supported and firestopped where required. Yes {) No ( ) The venting system is plastic/PVC and meets all current codes and manufacturer specifications including sizing, length, number of elbows and termination. Yes () No ( ) The undersigned also verifies that the replacement unit is a listed assembly and meets the current codes and manufacturers specifications. This does include AGA-GAMA Category I Central Furnace Venting Tables for fan assisted and nabiral draft appliances. Yes (} No ( ) The pxl..asemeistion air is sized and installed to meet the current codes and manufacturer's specifications. Yes( ) No( ) When required to ins all a new _omb"stion air. it will be sized and installed to meet the current codes and manufacturers specifications. Yes () No ( ) When one alling a new ventina system, the undersigned hereby verges that it is a listed assembly and meets the current codes and manufacturers 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 HEATING CO: Signed By: Date Permit Fee $ Number of fixtures @ $10.00 X$10.00=5 Surcharge $ .50 Number of fixtures @ $15.00 x $15.00 = $ TOTAL DUE $ Number of fixtures @ $25.00 x $25.00 = $ Number of fixtures @ $35.00 x $35.00 = $ State Surcharge = $ .50 Total = $ ED 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 k:;o�rhi�qui�re e d approval of plans. 9 SIGNATURE OF APPLICANT PRINT NAME DATE 41 -07 City ofFridley Building Inspections Department 6431 University Avenue NE, Fridley, MN 55432 763-572-3604 FAX: 763-502-4977 MECHANICAL Permit No -- 0 RESIDENTIAL APPLICATION Received By: %DATE CITY OF FRIDLEY Date Rec'd: YOUREDRESS THIS APPLICANT IS: 0 OWNER CONTRACTOR PROPERTY NAIVIE: ADDRESS: a`� CITY STATE ZIP OWNER/ TENANT PHONE• COMPANY NAME: CONTRACTOR SUBMIT A COPY OF / CONTACT PERSON: Fri f EXP DATE YOUR STATE STATE LICENS # -55,17 ! a LICENSE WITH ADDRESS: A/i' CITY STATE&ZIP APPLICATION PHONE a FAX )(SINGLE FAMILY ❑ TWO FAMILY ❑ TOWNHOUSE PERAM TYPE 0 NEW 0 REPLACEMENT )dALTERATION/REMODEL TYPE OF WORK: DETAILED DESCRIPTION OF WORK r PER MS 16B.665 the permit fee is a minimum of $15.00 or 5% of the total cost up to $500:00; whichever is greater, for the improvement, installation or replacement of a residential fixture, excluding the fixtures. (This should reflect only the cost of labor ) Labor cost under $300 = $15.00. Labor cost between $300 to $500 = cost of labor X.05 = FOR PROJECTS WHERE LABOR EXCEEDS $500, FEES ARE BASED ON $10.00 PER FIXTURE, EXCEPT WHERE NOTED. FIXTURES: (INDICATE TOTAL NUMBER OF EACH BELOW) Equipment Installed MFG: MODEL: SIZE/BTU MFG: MODEL: SIZFJBTU MFG: MODEL: A/C $25.00FIREPLACE (GAS) $15.00 SIZEIBTU GAS RANGE/OVEN $10.00 NEW GAS GRILL $10.00 —_AIR TO AIR EXCHANGEER $IS FIREPLACE (WOOD) $35.00 GAS UNIT HTR $10.00 _BOILER $35.00 _FURNACE $35.00 CHIMNEY LINER $10.00 GAS DRYER $10.00 _POOL HEATER $35.00 _ DUCT WORK $10.00 GAS PIPING $10.00 4. _VENTILATOR $15.00 Permit Fee $ Number of fixtures @ $10.00 X$10.00=5 Surcharge $ .50 Number of fixtures @ $15.00 x $15.00 = $ TOTAL DUE $ Number of fixtures @ $25.00 x $25.00 = $ Number of fixtures @ $35.00 x $35.00 = $ State Surcharge = $ .50 Total = $ ED 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 k:;o�rhi�qui�re e d approval of plans. 9 SIGNATURE OF APPLICANT PRINT NAME DATE 41 -07 City ofFridley Building Inspections Department 6431 University Avenue NE, Fridley, MN 55432 763-572-3604 FAX: 763-502-4977 REQUIRED INFORMATION NEEDED TO PROCESS PERMIT RESIDENTIAL PERMIT. APPLICATION HVAC ❑ NEW HOMES/ADDITIONS EXISTING HOME ❑ MAKE-UP AIR REQUIRED FOR NEWIEXISTING HOMES 1. Combustion Air (See note below) a_ Oil or solid fue11MC Chapter 7 with MN Amendments b. Natural Gas or Propane/IFGC Chapter 3 with MN Amendments 2. Make-up Air (See note below) a_ IMC Chapter 5 with MN Amendments 3. Venting a. Gas appliances IFGC Chapter 5 with MN Amendments b. Fuel other than gas IMC Chapter 8 with MN Amendments REQUIRED FOR NEW HOMES 4. Heat loss & cooling load per room a. Required on new construction IMC 1346.0312 5. Ventilation a_ Per MN Energy Code 7670 or 7672 6. Duct Design Per IMC 1346.0603.2 a. ACCA Manual D NOTE: Centerpoint Energy Mechanical Code Guidelines software may be used for combustion and make up air calculations Building PLUMBING Permit No.: , ?03-W_94 o Inspections RESIDENTIAL APPLICATION Received By: 763-572-3604 DAD&A P R 20 CITY OF FRIDLEY DATE �� YOUR E-MAIL ADDRESS SITE ADDRESS Fes. at THIS APPLICANT IS: ❑ OWNER CONTRACTOR PROPERTY NAME: L1905s; J) OWNER/ TENANT ADDRESS: ~T 1 �� 1 V V l t r l.J-'C'MCITY P>'1 CJi l eq STATE Mr ZIP 'l3 a - PHONE: o`i - $3'� (p - 6 3 CONTRACTOR NAME: C SUBMIT A COPY OF STATE LICENSE # YOUR STATE ADDRESS: t W l CITY STATEMk�ZIP,r3 7y LICENSE WITH PHONE .3- FAX 7c p 3 "V�j APPLICATION pERM[T TYPE SINGLE FAMILY ❑ TWO FAMILY ❑ TOWNHOUSE TYPE OF WORK: ❑ NEW [REPLACEMENT DETAILED DESCRIPTION OF WORK ze S -&-lX PER MS 1613.665 the permit fee is a minimum of $15.00 or 5% of the total cost up to $500.00, whichever is greater, for the improvement, installation or replacement of a residential fixture, excluding the fixtures. ('This should reflect only the cost of labor ) Labor cost under $300 = $15.00. Labor cost between $300 to $500 =cost of labor -x.05 = FOR PROJECTS WHERE LABOR EXCEEDS $500, FEES ARE BASED ON $10.00 PER FIXTURE, EXCEPT WHERE NOTED. FIXTURES: (INDICATE TOTAL NUMBER OF EACH BELOW) BATH SINK/LAV FLOOR DRAINS _ SHOWER _ WATER PR3ING BATHTUB —GAS PIl3ING #vrsmc=Lrcww) _ SWIMMING POOL _ WATER SOFTNER ($35) _ CLOTHES WASHER _ KITCHEN SINK _ WATER CLOSET BACKFLOW PREY. ($15) _ —DISHWASHER _ LAUNDRY TRAY _WATER HEATER ($35) FOR IRRIGATION — WATER METER _ OTHER PERMIT FEE PROJECTS FOR UNDER $500PERMIT FEE FOR PROJECTS OVER $500 Permit Fee $ Number of fixtures @ $10.00 Y x $10.00 = $ %D'00 Surcharge .50 Number of fixtures @ $15.00 x $15.00 = $ TOTAL DUE $ Number of fixtures @ $35.00 x $35.00 = $ State Surcharge = $ .50 Total=$20 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 es of the City of Fridley and with the Minnesota Construction Codes; that I understand this is not a permit but only an application f ape t 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 which es r .ew and approval of SIGNATURE OF APPLIC PRINT NAME ` �Q PLEASE NO SEPARATE PERMITS ARE REQUIRED FOR BUILDING, ELECTRICAL AND MECHANICAL WORK City of Fridley Building Inspections Department 6431 University Avenue NE, Fridley, MN 55432 763-572-3604 FAX: 763-502-4977