PRE 2010 DOCSCity of Fridley, Min..
BUH DING PERMIT
Date: Sept. 4, 1968
Owner: L. V. Moen Builder
Address — Address
No. 7154 _ Street
Lot 3 _ Block
Gunder R. Anderson
10515 40th Avenue North
LOCATION OF BUILDING
Riverview Terrace _ part of Lot
3 Addition or Sub -Division . Riverwood Manor
Corner Lot — Inside Lot — X Setback --- Sideyard
Sewer Elevation ___ 839.97(a Main,
9918
DESCRIPTION OF BUILDING
To be Used as:
Dwelling 34, 000
Front 50' Dept 34' Height 20' Sq. 1700 Cu. Ft.
Garage Front 22' Depth 24' Height 10t Sq Ft. 518 Cu. Ft. 5280
Type of Construction _ Frame Est.Cost_ $30, 000 _ To be Completed
SEWER LOCATION - 3' North of Manhohe
WATER LOCATION - 13' North of Manhole
In consideration of the issuance to me of a permit to cons the building described algove I agree to do
the proposed work in accordance with the description above set' and in comp ' ce, all provisions of
ordinances of the city of Fridley.'
$100.00 Sewer Connection Charge
In consideration of the payment of a fee of $ 59.00 , permit is hereby granted to Gunder R.
Anderson 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 anypart 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 atime upon violation of any of the Pm t of said
ordinances. r"� a,
Official
Building NXXONK
NOTICE.
This permit doss not cover the construction, installation for whing, plumbing, gO heating, Ower or water. Be sire to we
the Building Inspector for separate permhs for then hems.
C . . a
APPLICATION FOR BUILDING PERMIT
CITY OF FRIDLEY, MINNESOTA
OWNER Is NAME_K, JL� � li..BUILDER
ADDRESS ADDRESS
LOCATION OF B1JITDIYG-
NO.'7 14-4 it- ��
LOT -? -BLOCK m2 ADDITION OR SUBDI71SION ga�,IF_v�Vo p In,4,v '-
00R_Xffi LOT
,INSIDE LOT I— SETBACY S I DIEYARD.
SEWER EL97ATION TOP OF FOOTING
Applicant attach to this form Tao Cartifioates of Survey of Lot ar-d
proposed, building location, dra=. on these Certificates.
DESCR
,IPTION OF BUILDING
To Be Used As: 41 1 /'y
Front -5_b Depth Height
Square feet.
0=5
Cubic Feet, __P4
Front Depth -2-,(- Height / 0
Square feet s' -'If Cubic Feet,
Elm
Type of Construction Cfe�,,-x,Estimated Cost
4_9 ®o o -,—
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 Department of Buildings,
and hereby declares that all the facts and reppeaentations stated in
this application are true and correct. ZZ
DATE
(Schedule of Fee Costs can be found on the Reverse Side.)
K_ _%
( 7i-- At c -s _s
'A , , .
�101Q / F r L
Phone: GReentvocd 3-8352
ARLEIGH C. SMI'T'H
Registered Professional Engineer and Land Surveyor
2030 East Wayzata Boulevard Wayzata, Minnesota.
PLAY OF
OF PROPERTY OF f ~
described as follows: `` f F . �) 6 4. _ 1,• E' # �. `: �, `�
fq
Scale: 1 inch-4-C-2--feet.
Vii.. ♦ � I � � f +3 p,�',•
�'7 . c
i
CERTIFICATE OF LOCATION OF BUILDING CERTIFICATE OF SURVEY
I hereby certify that on 19— I I hereby certify that on
made a survey of the proposed location of the building surveyed the property described above and that the
on the above described property and that the location above plat is a correct representation of said survey.
of said building is correctly shown on the above plat,
J1 /a)C , rpyjyyrggg _�.a
re �
CITY OF FRIDLEY INSPECTION 0
6431 University Ave NE
Fridley, MN 55432
572-3604
Effective On August 1, 1995
APPLICATION FOR PLUMBING AND GAS FITTING PERMIT
MARK NUMBER OF FIXTURES TO BE INSTALLED ON EACH FLOOR
PLUMBING FIXTURE RATES; NO, RATE TOTAL
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
$ 7.00
$10:00 Is. 00
$10.04
$10.00
$15.00
Reinspection Fee $42.00/Hr
ALL OTHERS AND/OR REPAIRS AND ALTERATIONS
1.5% of Value of Fixture or Appliance
State Surcharge
50
TOTAL FEE S�
**COMBUSTION AIR SHALL BE PROVIDED PER UMC SECTION 504(A) AND TABLE 6—A. MINIMUM SIZE 9 SO INCHES.
JOB ADDRESS `1154 9i,4en1j-ew "Terrace NG
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.
g as ,19.95
Owner AefD. Awn n 7 Y .3
Building Used As R esO e n h,_4
Estimated Cost 00 PERMIT NO. ��`V-2
PLUMBING COMPANY G vat i�b P d w m b c C yo e
SIGNED BY --Awe TEL N0, S'Z I 0 S It
Approved By Rough—In Date Final Date
ti
Ly
OMNI
I�Wk
+ '
i q qii �i�ii�!
1.4G y,
PLUMBING FIXTURE RATES; NO, RATE TOTAL
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
$ 7.00
$10:00 Is. 00
$10.04
$10.00
$15.00
Reinspection Fee $42.00/Hr
ALL OTHERS AND/OR REPAIRS AND ALTERATIONS
1.5% of Value of Fixture or Appliance
State Surcharge
50
TOTAL FEE S�
**COMBUSTION AIR SHALL BE PROVIDED PER UMC SECTION 504(A) AND TABLE 6—A. MINIMUM SIZE 9 SO INCHES.
JOB ADDRESS `1154 9i,4en1j-ew "Terrace NG
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.
g as ,19.95
Owner AefD. Awn n 7 Y .3
Building Used As R esO e n h,_4
Estimated Cost 00 PERMIT NO. ��`V-2
PLUMBING COMPANY G vat i�b P d w m b c C yo e
SIGNED BY --Awe TEL N0, S'Z I 0 S It
Approved By Rough—In Date Final Date
ti
Apploc®ts®n ftr Power Plants card Hseullng. Cocling, VensAlati®n, n rigo an cmd
Air Candid aping Systems and Devices
PARTIAL RATE SCHEDULE Dept. of Bldga. Phone 660-3450
GRAVITY WARM AIR: RATE TOTAL LocaSioa
Furnace Shell & Duct Work .......................... E& $ 410,00
Replacement of Furnace ............................. kft$ 6,0o
Repairs & Alterations—up to $500.00 .................. $ 6,00
Repairs & Alterations each add. $500.00 ............... 2
ta$ 3-00
MECH. WARM AIR
Furnace Shell & Duct Work to 120,000 BTU ..:.........
ka
$�
$10.00
each add. 60,000 BTU .......................
M
$--:5, D O
3.00
Replacement of Furnace .............................
$
6000
Repairs & Alterations—up to $500.00 .................
$
6000
Repairs & Alterations each add. $500.00 ..............
$
3000
STEAM or HOT WATER SYSTEM
Furnace Shell & Lines—to 400 sq. ft. EDR Steam ...... !,ft $ $10.00
Furnace Shell & Line—to 640 sq. ft. EDR Hot Water ... $ 10000
Each add. 200 sq. ft. EDR Steam ...................... R.ft $ 3000
Each add. 320 sq. ft. EDR Hot Water .................. $ 3,00
OIL BURNER—to 3 gal. per hour $ _ 6000
over 3 gal. per hour—fee Fee Schedule
199 000
GAS BURNER (up to - BTU) 5.00 $o
GAS FITTING HE: 199,9 000 BTU NO RATE TOTAL
1st 3 Fixtures ...................... x $3 .$ 0 0 $2000
Additional Fixtures �.:... , x $ .75
Gas Range to x 2.00 $ 5000
AIR CONDITIONING
FAN HEATING SYSTEM See Fee Schedule
VENTILATING SYSTEM $�/.
ALTERATIONS & REPAIRS TOTAL FEE $ !
ROUGH
FINAL
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_ �C/1 J 11 19
Owner
Kind of Building * -
Used as — 0. - 1.%_P X A1C PM4
To be completed about
oz,
Estimated Cost, $ %I�_b
Old New Building Permit No. Permit No.
DESCRIPTION OF WORK
HEATING or PO PT.ANTS--Steam, Hot Water, Warm Air—No--/--
-
Trade Nam Size No _Z3
Capacity. U Q Sq. Ft. E.D.R- BTU H.P.
Total Connected Load emt �i� _ Kind of Fue �✓
BURNER — Trade Name Size No
Capacity Sq. Ft. E.D.R. BTU ` H.P.
4 2 Business Phone No q'�d -
s
(REMARKS -OVER)
vulme Connection n Openings I w��s� VVIM
* New Fixture, Old Openings Sewer r/
ceesp00l n
PARTIAL RATE SCHEDULE
PLUMBING FIXTURE RATES:
NO.
RATE
TOTAL
Number Fixtures
x $200
$
�o
Future Fixture Opening
L-
x $1.50
$
New Fixture Old Opening
WATER HTR.
GAS
ELEC.
Base
1st
1zJ
x $3.355
$
Water Heater (Up to 99,000 BTU)
f
x$3.00
$
�o+v
-�
New Ground Run Old Bldg.
x $3.25
$
Electric Water Heater
2nd
S.
GAS FITTING FEES:
NO.
RATE
TOTAL
1st 3 Fixtures ..... .... ........
-�
s $200
�b
$_ 2
Additional Fixtures .... ..............
x $ .75
$
Gas Range to 199,000 BTU ..............
3rd
x $5.00
$
-
4th
vulme Connection n Openings I w��s� VVIM
* New Fixture, Old Openings Sewer r/
ceesp00l n
PARTIAL RATE SCHEDULE
PLUMBING FIXTURE RATES:
NO.
RATE
TOTAL
Number Fixtures
x $200
$
�o
Future Fixture Opening
L-
x $1.50
$
New Fixture Old Opening
x $1.50
$
Catch Basin ...
x $3.355
$
Water Heater (Up to 99,000 BTU)
f
x$3.00
$
�o+v
-�
New Ground Run Old Bldg.
x $3.25
$
Electric Water Heater
: $2.00
S.
GAS FITTING FEES:
NO.
RATE
TOTAL
1st 3 Fixtures ..... .... ........
-�
s $200
�b
$_ 2
Additional Fixtures .... ..............
x $ .75
$
Gas Range to 199,000 BTU ..............
x $5.00
$
REPAIRS 9r ALTERATIONS—Refer to Cods
Description .................................. .............$
TOTAL FEE $
I v r W CWOCI)?
City of Fridley:
The undersigned hereby makes application for a permit for the work herei
speed, 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.
Fridley, Minn- ll / I'/ a f/ + Z_1 1919
Owner6'Vj3 -C —h`lld cdYS'Q77
Kind of Building / -4,17?
Used as 12 s° // /`
To be completed about ,b / 9
®6
Estimated Cost, $. 15�SJT'®
Old—New. Building Permit No.-- - _. _—Permit No.
Signed
By- - -
Business Phone No —
Rouof
FINAL
0
IT-NO`�
City ®f Fridley
SUBJECT
3
2 2 7 5 8
AT THE TOP OF THE TWINS
BUILDING PERMIT
----�
r?
RECEIPT NO.
_ COMMUNITY DEVELOPMENT DIV.
PROTECTIVE INSPECTION SEC.
1
NUMBER
REV.
DATE
PAGE Of
APPROVED BY
i CITY HALL FRIDLEY 55432
612-571-3450
910-F15
7/28/94
JOB ADDRESS 7154 Riverview Terrace NE
1 LEGAL
LOT NO.
BLOCK
TRACT OR ADDITION SEE ATTACHED
DESCR.
3
2
SHEET
Riverwood Manor
2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE
Vern Moen 7154 Riverview Terrace NE 571-6743
3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO.
Woods Construction Co 7728 Rnollwood Dr. Mounds 786-2321
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
8 DESCRIBE WORK
Reroof House & Garage (2nd Layer) 31 Squares
9 CHANGE OF USE FROM TO
STIPULATIONS
Roofing can be the 2nd layer but not the 3rd.
TYPE OF CONST.
OCCUPANCY GROUP
OCCUPANCY LOAD
SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING,
VENTILATING OR AIR CONDITIONING.
ZONING
SQ. FT.
CU. FT.
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION
AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION
OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT
NO. DWLG. UNITS
OFFSTREET PARKING
ANY TIME AFTER WORK IS COMMENCED.
I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION
I
I STALLS GARAGES
VALUATION
SURTAX
AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS
AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED
$.85
WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT
PERMIT FEE
SAC CHARGE
DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE
PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON-
$41.00
Fire SC $1.71
ST UCTION OR THE PERFORMANCE OF CONSTRUCTION.
PLAN CHECK FEE
TOTALFEE
j
License Sc $5.00
48.56
SIGNATURE OF CONTRA R OR AUTHORIZED AGENT e (OAT
W *-P`W0-PEFjLY VAUDATED THIS IS YOUR PERMIT
2�, �C'
8 Z )NSP DATE
SIGNATURE OF OWNER(IF OWNER BUILDER) (DATE) -9
0
NEW (] Effective 1/1/94
ADDN [ ] CITY OF FRID -LEY
ALTER (] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 o3
Building Permit Application
CoAsiructiodAddress:
Legal Description:
Owner Name & Address: VP All Tel. # �✓71 co � .
Contractor: ( MN' LICENSE #
Address: :7 l ye � �i � V, ..Tel. #—21�/- XY U
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: Lengtk _With Hgt/Ground Sq. Ft.
OTHER: 5' J f n �'e e - .;)A/D, (-'�
Corner Lot [ ] Inside Lot [ ] Ft. Yd Setback Side Yard Setbacks
Type of Construction:Estimated Cost: $ p� ,
Approx. Completion Date:
(Cost on Back)
Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ = $
DATE: APPLICANT: �`� i) / ,�/ Tel. #
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
$$00 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 [ ]
Building
AND MATERIALS:
BUILDING
Permit
Inspections
RESIDENTIAL APPLICATION
Received By:4
763-572-3604CITY
$ See Back Page for Fee Schedule
OF FRIDLEY
$
n°�°��T 0 2010
763-502-4977 FAX
$
C .001 times the total job valuation
Surcharge
$
� L' .0005 x Permit Valuation Minimum $.50
EFFECTIVE 1-1-2010
$
$5.00 (State Licensed Residential Contractors)
DATE 16 - 1- I Q
YOUR E-MAIL ADDRESS
$2100 per SAC Unit (Plans to MWCC for determination)
SITE ADDRESS -7 f
� vP / f e'A) i tP'-(" f
ft + 6 ft = ft x $24 = $
THIS APPLICANT IS:
❑ OWNER EXONTRACTOR
$450 Conservation Plan Review
PROPERTY OWNER/
NAME: 71Cn v\ � kr WN rcvn. S
Fee Determined by Engineering
TENANT
ADDRESS: 77 15'q k�uPir V j &tiT[f_✓-ir.Ml e CITY
\ G, eel STATEMkZIP SY43Z
Total Due
PHONE: co i z '-' %S !�2 - 1,57-5
Make checks savable to: Citv of Fridlev Attach Stipulations
CONTRACTOR
NAME: S I'rin Cre) C�9nSfi�i.�ra tone
SUBMIT A COPY OF
STATE LICENSE # % 0 3 -7 S W y
EXP DATE D -31-
12YOUR
STATE LICENSE
(o
AND CERTIFICATE OF
ADDRESS: 16S_70
CITYiJf1Pji"+/il�P STATEZIP5'3,9)
INSURANCE
PHONE 761-2_Z& - G!` FAX
' 63 32
PROPERTY TYPE
PSINGLE FAMILY/NEW CONSTRUCTION SIZE
❑ TWO FAMILY/NEW CONSTRUCTION STORIES
PERMIT TYPE
❑ ADDITION ❑ GARAGEISHED ❑ WINDOWS
❑ BASEMENT FINISH JaROOF ❑ DRAIN TILE
❑ DECK ❑ SIDING ❑ OTHER
❑ SWIMMING POOL
TYPE OF WORK:
❑ NEW HOME CONSTRUCTION ❑ ADDITION
❑ MAINTENANCE/REPAIR &REMODELING
DESCRIBE WORK BEING DONE: - b.. --
SIZE OF IMPROVEMENT
LENGTH WIDTH
HEIGHT SQ FT
ROOFING Q HOUSE ONLY
NUMBER OF SQUARES �3t) ❑ HOUSE & GARAGE
BASEMENT REMODELING SUBMIT:
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:
SIDING
FOR NEW CONSTRUCTION INCLUDING DECKS,
❑ Vinyl
❑Soffit
ADDITIONS. & PORCHES SUBMIT:
❑ Aluminum
❑ Trim
1. Site Plan/Survey showing the existing structures
❑ Other
❑ Fascia
and proposed project.
2. Two sets of construction plans
WINDOWS
3. Energy Calculations
IN EXISTING OPENINGS ❑Yes ❑No LOCATION OF WINDOWS
FOR WINDOWS - PROVIDE U -VALUE AND
OR FOR NEW OPENINGS -DESCRIBE SIZE OF
MANUFACTURE STICKER ON WINDOW.
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 THE 1997 U.B.0 FEE SCHEDULE)
TOTAL JOB VALUATION $
OCCUPANCY TYPE
Permit Fee
$ See Back Page for Fee Schedule
Plan Review
$
65% of Building Permit Fee
Fire Surcharge
$
C .001 times the total job valuation
Surcharge
$
� L' .0005 x Permit Valuation Minimum $.50
License Surcharge
$
$5.00 (State Licensed Residential Contractors)
SAC Charge
$
$2100 per SAC Unit (Plans to MWCC for determination)
Curb Cut Escrow
$
ft + 6 ft = ft x $24 = $
Erosion Control
$
$450 Conservation Plan Review
Park Fee
$
Fee Determined by Engineering
Sewer Main Charge
$
Agreement necessary ( ) Non Necessary ( )
Total Due
$
Make checks savable to: Citv of Fridlev 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 f r 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 o whic requires review and approval of plans.
SIGNATURE OF APPLICANT PRINT NAME I'pL � S t ✓✓I L 0 DATE Iii - 1- ( b