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PRE 2010 DOCSCity of Fridley.r2`1.32. SUBJECT P,AT THE TOP OF THE TWINS BUILDING PERMIT r I ECEIPT NO. • COMMUNITY DEVELOPMENT DIV. INSPECTION r PROTECTIVE SEC. i i � l � ��'•-•,,� CITY HALL FRIDLEY 55432 L NUMBER REV. DATE TPAGE OF APPROVED BY .... 612-571-3450 910-F15 2/23/88 JOB ADDRESS 7180 Riverview Terrace N.E. 1 LEGAL LOT NO. BLOCK TRACTOR ADDITION SEE ATTACHED DESCR. 1 2 Mississippi View SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Richard/Eleanor Ferber 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Brickner Builders Inc. 6230 Highway #65 N.E., #104, Fridley 574-9871 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 Ek NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Construct a 701 x 241 Dwelling and a 24' x 24'" Garage SEPARATE PERMITS REQUIRED FOR 9 CHANGE OF USE FROM MWING, HFA I ING, PIUMBING AND SIGNS, STIPULATIONS Provide a.hard .surface driveway. Provide sod in the front and sidee yards yards Provide City, with copy of verifying survey before framing. SEWER. LOCATION: r 32"North of Manhole, "Y" Elevation: 845.26 TOP OF FOOTING: Minimum elevation 848.26 WATER LOCATION: 13" South of sewer ' - ore .digging 4W`tW THE CITY OF FRIDLEY DOES NOT GUARANTEE THE-EPNORE-R W- jf�-, ACCURACY OF UTILITY LOCATIONS AND .ELEVATIONS - THIS DATA IS FOR INFORMATION PURPOSES ONLY, Rq.'p AND PERSONS USING THIS INFORMATION SHOULD VLRIFY IT ON THE SITE, 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 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 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 $136 200 $68.10 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 OVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- $525.50 $550.00 S UCTION OR THE PERFORMANCE OF CONSTRUCTION. PLAN CHECK FEE TOTALFEE $131.38 $1,274.98 SIGNATUREOFCONTRACTOR OR AUTHORIZED AGENT (DATE) R 9 WHEN PROPERLY A )DATED THIS IS YOURWOMIT SIGNATURE OF OWNER IF OWNER BUILDER) IDATEI - BLDG INSP E NEW [ ] ADDN. [ ] ALTER. [ ] Construction Address: G -r City of Fridley R-1 AND R-2 Building Permit Application .. Legal Description: i 6u Owner Name & Address: X!c/ r9®°0 V /&Jot Tel. # Contractor: l�rG/�f1li��- %3tJ'��C--�4 Tel. #��Y~�i/ Address. --'�'� �° �J� ' �' S [� i %,z Effective 4/1/86 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: s Corner Lot [ ] Inside Lot] Ft. Yd. Setback Side Yard Setback 0�� Type of Construction: ,rdun " <' r� ��'� Estimated Cost: $ Approx. Completion Date: e tic ►-&cd Alt. A Alt B Proposed Driveway Width If New Opening Is Desired: f See Back Page for Explanation � Tel. �� `/ '>�� DATE: ' Ll APPLICANT: CITY USE ONLY Permit Fee $ '- `'` Fee Schedule on Reverse Side Plan Check $ 0�% 1, ? 25% of Building Permit Fee State Surcharge $ &-y a $•50/$1,000 Valuation SAC Charge $ GSD. 06 $ 559 per SAC Unit Park Fee $ Fee Determined by Engineering Sewer Main Charge $ ,+ f Agreement Necessary [ ] Not Necessary [ ] TOTAL STIPULATIONS: i N t / - Y W-0 -ENERGY CONSERVATION SUPPLEMENT TO BUILDING PERMIT APPLICATION PLANNING AND INSPECTION DEPARTMENT CITY OF FRIDLEY, MINNESOTA This supplement is provided to assist the applicant in computing EXTERIOR ENVELOPE AVERAGE "U" FACTOR INFORMATION. This information is required so the BUILDING OFFICIAL can determine that submitted plans comply with the ENERGY CONSERVATION DESIGN CRITERIA of the STATE BUILDING CODE (Section G000). It is the APPLICANT'S responsibility to accurately compute the data; reflect the proper DESIGN CRITERIA in the plans; submit product specifications, if needed to support the "R" and "U" factors used; and to assure construction is per approved plans. JOB LOCATION: -71 O I l I U - U I G l 1 Q V V Ca C C, OWNER/CONTRACTOR: _ \CY)_e,.- Q)VeL\& P- w ,� I 1, _ ADDRESS: "-50 HWV 4� /OV PHONE: 5111 -- 9 V7 / A. Determine the Total Exposed Wall Area as follows: 1. Total wall window area 2. Total door area 3. Total sliding glass door area 4. Total fireplace wall area 5. Total wall framing area(average 10%) 6. Total net wall area above floor(avexage 90%) 7. Total rim joist area Subtotal: metal exposed wall. area above floor 8. Total foundation window area 9. Total net foundation area above grade Subtotal: Total exposed foundation area GRAND TOTAL EXPOSED WALL AREA 1u11MO). -LI - -0 B. Multiply the GRAND TOTAL EXPOSED WALL AF:Eh X .17 - Item I C. Determine the Total Exposed Poof/Ceiling Area as follows: 10. Total skylight area 11. Total roof/ceiling framing area (10%) 12. Total net insulated roof/ceiling area GRAND TOTAL EXPOSED ROOF/CEIL'ING ARE: ) D. Multiply the GRAND TOTAL EXPOSED ROOF/CEILING AREA X .05 = Item II �� ,s� CY i \ E. Determine the "U" value of each segment (1-9) and multiply by the area as follows: x "U" i2. 1y/o x 1. 1 x fluff 2 . Y. .. U.. Ly 3. x I- full _ 4. x Mull _ .�.. s. x 'lull 02 = IS• �S 6. 17(0. / x "U" , o y - %o L/�. 7. _ A7 -5, Ff / x "U" 0 C/ 8. 1(� , � x ��U�� 0 3 -_2 , `fie 9• x fluff ADD 1-9 FOR TOTAL PALL SEG14ENTS -- ITEM III :3C) L .� F. Determine tkie "U" value of each segment (10-12) and multiply by the area as follows: 10. x Vlutl 11. x "U" i2. 1y/o x „U" —D1__�O 2-0— ADD 10-12 FOR TOTAL ROOF/CEILING SEGMENTS - ITEM IV 1� (a I fM G. If Item III is the same as, or less than Item I, you have met the intent of State Building Code 6006 (e) 2. H. If Item IV is the same as, or less than Item II, you have met the intent of State Building Code 6006 (c) 1. 1. Add Item I y %/.r -JD(/ + • Item II %d,- = 5Y R, s. Add Item TII _ y,�/S + Item IV _�� _ 33A Q/s K. If the sum of Items III. and IV are less than Items I and II, you have met the intent of the Code for total envelope system. The undersigned, as applicant for a building permit, hereby affirms the above information has been prepared and submitted by himself or under his direction, hereby acknowledges the .information to be correct and accurate; and hereby presents .the information with required plans in support of the building permit application. By: L 3A,c L, _ DATE: ZZ 7 .�f CITY OF FRIDLEY APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION, REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES RATE SCHEDULE QESIDE1�iTIAL RATE TOTAL Furnace Shell and Duct Work, Burner (Also replacement furnace) $ 20.00 $ 0 , Gas Piping $ 10.00 $ (piping needed with new furnace) Gas Range $ 10.00 $ Gas Dryer $ 10.00 $ * Air Conditioning (all sizes) $ 10.00 $ All Others/Repairs and Alterations 1% of Value of Appliance or Work $ COMMERCIAL/INDUSTRIAL 1% of Value of Appliance or Work State Surcharge TOTAL FEE Reinspection Fee ($15.00) Rough Insp. Date Final Insp. l� Date Approval for Permit MINIMUM FEE FOR ANY HEATING PERMIT IS $10.00 PLUS $.50 STATE SURCHARGE Job Address Rttective Aug. 1, 1981 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. OWNER 0 5 KIND OF BUILDING USED AS $ TO BE COMPLETED ABOUT ESTIMATED COST�� $ .50 OLD - NEW BUILDING PERMIT NO. PERMIT NO. $ $ a DESCRIPTION OF FURNACE/BURNER HEATING or POWER PLANTS, Steam, Hot Water, Warm Air- No. Trade Name �K — Size No. ,a U Capacity /00, OC'" Sq. Ft. EDR BTU HP Total Connected Load Kind of Fuel BURNER - Trade Name Size No. Attach stack verification form with replacement furnace permits *Air Conditioners can not be placed in side yard without written permission from adjoining neighbor. Capacity Sq. Ft. EDR BTU `HPC Company le Signed By Tel. No. / �� CITY OF FRIDLEY APPLICATION FOR PLUMBING AND GAS FITTING PERMIT RATE SCHEDULE PLUMBING FIXTURE RATES: NO. RATE m New* Fixtures $ 5.00 m Future Fixtures b $ 3.50 U Old Opening, New Fixture k v $ Water 00/ 1� .M1 Blow Off Basin N $ 5.00 y>��, Hr. b .44 N C1 g rd N W w $ Hydraulic Valve Heater $ 5.00 $ Sump or Receiving Tank $ 5.00 $ Water Treating Appliance $ 7.00 spy Hot water Heater f $ 5.00 Gas Range $ 10.00 N N CroC y� $ ALL OTHERS AND/OR REPAIRS AND ALTERATIONS N� 1% of Value of Fixture or Appliance $ Reinspection Fee $ State Surcharge $ .50 ($15.00) TOTAL FEE O .1 N C. O O N 1� N N N ro o o V1 u D ai y 3 W to w U M, a 3 c7 c� s lec lst 2nd I I I 3rd 4th (R) - Future Connection Opening Connected with Sewer (*) = New Fixture, Old Opening Water RATE SCHEDULE PLUMBING FIXTURE RATES: NO. RATE TOTAL New* Fixtures $ 5.00 $ •�� Future Fixtures $ 3.50 $ /6) Old Opening, New Fixture $ 1.50 $ Beer Dispenser $ 4.00 $ Blow Off Basin $ 5.00 $ Catch Basin $ 5.00 $ Rain Water Leader $ 5.00 $ Hydraulic Valve $ 5.00 $ Sump or Receiving Tank $ 5.00 $ Water Treating Appliance $ 7.00 $ Hot water Heater f $ 5.00 Gas Range $ 10.00 $ Gas Dryer $ 10.00 $ ALL OTHERS AND/OR REPAIRS AND ALTERATIONS 1% of Value of Fixture or Appliance $ Reinspection Fee $ State Surcharge $ .50 ($15.00) TOTAL FEE $ /, ®U Effective Aug. 1, 1981 10 Job Address -7 ( ) \X -p- \/ 1 r-- Department of Bulf1dings 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, Mn. i , 19 86 OWNER G, P, a G k - d -Ji--' 9, KIND OF BUILDING 47� L USED AS¢� TO BE COMPLETED ABOUT til 8 ESTIMATED COST OLD - NEW BUILDING PERMIT NO. PERMIT NO. I v Company 1-+"Au'j /*- bt � I ls� C - Signed By Tel. No. Z-5,-7 ROUGH INSP. Date FINAL INSP. Date APPROVAL FOR PERMIT d® \ MINIMUM FEE FOR ANY PLUMBING PERMIT IS $10.00 PLUS THE $.50 STATE SURCHARGE Ott r, CI YOF FRIDLEY CIVIC CENTER • 6431 UNIVERSITY AVE. N.E. FRIDLEY, MINNESOTA 55432 • PHONE (612) 571-3450 May 23, 1988 Brickner Builders Inc. 6230 Highway #65 N.E., #104 Fridley, MN 55432 Re: Final Inspection at 7180 Riverview Terrace N.E., Fridley Dear Sirs: A final inspection was conducted on May 23, 1988 at the above address and the following items were noted which must be completed before the structure can be finaled: 1. Provide City with copy of verifying survey by June 20, 1988. 2. Provide sod in the front and side yards by June 20, 1988. We will expect the.above items to be. completed by the scheduled date when a reinspection will be conducted to determine c appliance. If you have any questions on these items, please feel free to contact me at 571-3450. Sincerely, D CLARK "L Chief Building Official DG C/mh City of Fridley 3 0394 AT THE TOP OF THE TWINS BUILDING PERMIT _____ COMMUNITY DEVELOPMENT DIV. PROTECTIVE INSPECTION SEC. ��7� j NUMBER REV DATE PAGE OF APPROVED BY CITY HALL FRIDLEY 55432 612-571-3450 910-F15 10/13/99 / 108 ADDRESS 7180 Riverview Terrace NE 1 LEGAL LOT NO. BLOCK TRACTOR ADDITION SEE ATTACHED DESCR. 1 2 Mississippi View SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Richard Ferber 571-4424 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Sela Roofing & Rem Inc 4100 Excelsior Blvd St Louis Pk 55416 823-8046 050 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 O ALTERATION ) REPAIR O MOVE ❑ REMOVE 8 DESCRIBE WORK Reroof house and &arage 33 S Tear -off 9 CHANGEOFUSEFROM TO STIPULATIONS Underlayment must comply with the State Building Code. SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD VENTILATING OR AIR CONDITIONING, THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING SO. FT CU FT, AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COMMENCED. NO DWLG. UNITS OFFSTREET PARKING I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION 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 $2884 $1.44 DOES NOT PRIES ME TO GIV A - RITY TO VIOLATE OR CANCEL THE PERMIT FEE SAC CHARGE PROVISIONS OF A Y OTH T T R LOCAL LAW REGULATING CON- STRUCTIO R TH F R OF CONSTRUCTION $83.25 F* a SC $2.88 E PLAN CHMIC T AL FEE Licen $92.57 SIGN TUAE OF ONTRACTOR OR AUTHORIZED AGENT IDATE, EPRO Y VALI D THIS IS, YOUR P T B INi GG fAtE SIGNATURE OF OVVNERIIF OWNER BUILOERI IDATEI NEW[ J Effective 5/10/99 ADDN [ J CITY OF FRIDLEY ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 O` BUILDING PERMIT APPLICATION Construction Address: �l d (% t) / j?'4,/c-e_— Legal Description: Owner Name & Address: c G 6 w 6'e� Tel. # Cil ,7-�� Contractor: SELA ROOMG & REMOI)ELUM, INC. MN LICENSE Address: 4100 EXCELSIOR BLVD. Tel. # Co Slay. 101 1N 564M Attach OMOAWfication, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF IMPROVEMENT LIVING AREA: Length Width Height GARAGE AREA: Length Width Height DECK AREA: Length Width Hgt/Ground OTHER: Construction Type: �s t Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ DATE:/C APPLICANT: &/, CITY USE ONLY Sq. Ft. Sq. Ft. Sq. Ft. i�w Tel. # Permit Fee $ 23 , 2� Fee Schedule on Reverse Side Fire Surcharge $ 2 .001 of Permit Valuation (1/10th%) State Surcharge $ ` LtLt $.50/$1,000 Valuation SAC Charge $ $1050 per SAC Unit License Surcharge $ $5.00 (State Licensed Residential Contractors) Driveway Escrow $ Alt. "A" or Alt. "B" Above Erosion Control $ $450.00 Conservation Plan Review Park Fee $ Fee Determined by Engineering Sewer Main Charge $ Agreement Necessary [ J Not Necessary [ ] TOTAL $ STIPULATIONS: I / SUBJECT City of Fridley 2703 AT THE TOP OF THE TWINS BUILDING PERMIT r RECEIPT NO. 16U• __ COMMUNITY DEVELOPMENT DIV. INSPECTION SEC. r � � PROTECTIVE 1 . , CITY HALL FRIDLEY 55432 NUMBER REV DATE PAGE OF APPROVED By 612-571-3450 910415 6/19/02 / / JOB ADDRESS 7180 Riverview Terrace NE. 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED OESCR. 1 2 Mississippi View SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Richard Ferber 7180 Riverview Terrace NE 571-4424 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 8 USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW [2 ADDITION O ALTERATION ❑ REPAIR ❑ MOVE : ❑ REMOVE 8 DESCRIBE WORK Construct a 16' x 12' Addition (Porch) 9 CHANGE OF USE FROM TO STIPULATIONS See notations on plan. WARNING Before digging call for SEPARATE PERMITS Will all Will locations REQUIRED FOR: WIRING A140 SIGs CY, 6 i' �A P 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 $3.08 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT $6,158 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 _.,-I Al $148.49 5 NAT FCONTRACTOR OUT RIZEDAGENT IOATEI ENWROPLVALIpTE THIS IS�URMIT -GNATURE OF OWNERSIF O NER B ILO.ERI IDATEi QatE I / NEW ( ] CITY OF FRIDLEY Effective 1/1/2002 ADDN P4 6431 University Ave NE, Fridley, MN 55432 (763) 572-3604 Bldg Insp ALTER (] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION Construction Address: ��%i�t�l �c?.�'�`• Legal Description: Owner Name & Address: r ^ 5 Tel. # 6- 71— 051 z—`% Contractor. MN LICENSE # Address: Tel. # Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF IMPROVEMENT LMNG AREA: Length �� P Width 2 Height /cf Sq. Ft f �z GARAGE AREA: Length Width Height Sq. Ft DECK AREA: Length Width J Hgt/Ground Sq. Ft OTHER: aS'C�PoP,� �� ✓'�1 Construction Type: Estimated Cost: $ Driveway Curb Cut Width Needed: Ft + 6 Ft = Ft x $ =$ DATE: 13 -0 Y --APPLICANT: ek-- Tel. # L Call (763) 572-3604 for Permit Fees If mailing in application or Fax to 763-571-1287 if using credit card and we will call you for card number. TOTAL $ STIPULATIONS: CITY USE ONLY - d Jr Permit Fee $ / Fee Schedule on Reverse Side Fire Surcharge $' ®. .001 of Permit Valuation (1/10th%) State Surcharge $ 1,1t S. $.50/$1,000 Valuation SAC Charge $ $1200 per SAC Unit License Surcharge $ $5.00 (State Licensed Resideritial Contractors) Driveway Escrow $ Alt. "A" or Alt. 'B" Above Erosion Control $ $450.00 Conservation Plan Review Paris Fee $ . Fee Determined by Engineering Sewer Main Charge $ Agreement Necessary [ ] Not Necessary [ ] TOTAL $ STIPULATIONS: SUBJECT P City of Fridley 33663 AT THE TOP OF THE TWINS BUILDING PERMIT 1 No. �. COMMUNITY DEVELOPMENT DIV. I 1 � PROTECTIVE INSPECTION SEC. 3&lj 1 � NUMBER REV OATS PAGE OF APPROVED BY � CITY HALL FRIDLEY 55432 763-571-3450 910-F15 7 / 1/03 JOB ADDRESS 7180 Riverview Terrace NE I LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 1 2 1 Mississippi View SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Richard & Margaret Ferbe 7180 Riverview Terrace NE 763-571-4424 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Talon Woodworking Inc 3421 143 Ave NE Ham Lake MN 55304 763-862-5696 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 20153480 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO �w 6 USE OF BUILDING Residential 7 CLASS OF WORK ❑ ❑ NEW X ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE h 8 DESCRIBE WORK Construct an 81 x 61 and a 101 x 81 Deck 9 CHANGE OF USE FROM TO STIPULATIONS See notations on plan. WARNING Before digging call foT all utility locations 454^0002 REOUIRED BY 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 $1:664 $.83 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- $6O.lO Fire SC $1.67 STRUCTION OR THE P FORM NCE OF CONSTRUCTION PLAN CHE K FEE TOTAL FEE cer, a SC $5.00 $67.60 'X�� SIGNATURE OFC 'RA TOOOR AUTMOA1ZEO AGENT 40ATEl EN PROPERLY VALIDATED THIS IS YOU PE MIT A EfidG INSP IL —pA TV S,GNATURE OF OWNER,1F OWNER BLPLOER, JDATE, NEW [ ] CITY OF FRIDLEY ADDN [ ] 6431 University Ave NE, Fridley, MN 55432 ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION Construction Address: Legal Description: Owner Name & Address: Contractor: 6 A-? ren% 11l ez<-11� Effective 1/1/2003 (763) 572-3604 Bldg Insp (763) 571-1287 Fax Tel. # `Z 3- S71 r (NZ -V MN LICENSE # 6 -0-a0 / 15'3 VF U Tel. # 2634(0 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: �t Length 1 Width Hgt/Ground If Sq. Ft. OTHER. � _ -I A -L41 -t -/J �` Cine- eu 9 Construction Type: Estimated Cost: $ 000 Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ _ $ DATE: 6 - - APPLICANT: Tel. #W3 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. CITY USE ONLY - Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Curb Cut Escrow Erosion Control Park Fee Sewer Main Charge TOTAL $ I a 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 [ ] RONALD F. MEYER LAND SURVEYOR L^H0 auRVt1I1N0 15UNGIVIBION OKSION . Ta trNONs 771.4966 0155 JtAtIR 15T. 15T. PAUL.. MINN. 60101 I hereby certify that this survey was prepared by me and that I am a duly Registered Land Surveyor under the laws of the State of Minnesota. Reg. No. 9051 Date: June li, 1988 ' T cam,fi11 Scales 1 inch = 40 feet Boundary survey by others. This survey was for the purpose of locating the building only. Lot 1, Block 2, MISSISSIPPI VIEW, Anoka County, Minnesota, subject to easement. ADDRESS PIN LEGAL DESC PERMIT TYPE PROPERTY TYPE CONSTRUCTION TYPE CITY OF FRIDLEY 6431 UNIVERSITY AVENUE NE FRIDLEY, MN 55432 ( 763) 57L -36U4 -AX: (763) 571-1287 : 7180 RIVERVIEW TERRACE NE : 103024420019 : UNAVAILABLE : LOT BLOCK PLUMBING RESIDENTIAL ADDITION/ALTERATION PERMIT NO.: 2004-00283R l0 DATE ISSUED: 03/02/2004 VALUATION NOTE: COMBUSTION AIR SHALL BE PROVIDED PER UMC SECTION 504(A) AND TABLE 6-A INSTALL GAS WATER HEATER # ELEC WATER HEATERS # NEW FIXTURES (EXIST OPENINGS) # GAS DRYERS # OF NEW FIXTURES # WATER TRMT APPLIANCES APPLICANT NORBLOM PLUMBING CO 2905 GARFIELD AVE S NIINNEAPOLIS, MN 55408-2173 (612)827-4033 OWNER FERBER RICHARD H & MARGARET C 7180 RIVERVIEW TER NE FRIDLEY, MN 55432 0 VALUE OF FIXTURE/APPLIANCE 0 0 # GAS WATER HEATERS 1 0 # GAS RANGES 0 0 ENTER VALUATION 400 0 PLBG PERMIT MINIMUM FEE 20.00 PLBG FIXTURES (NEW OPENINGS) 0.00 PLBG FIXTURES (EXIST OPENINGS) 0.00 WATER TREATMENT APPLIANCE 0.00 WATER HEATER - ELEC 0.00 WATER HEATER - GAS 0.00 GAS RANGE FEE 0.00 GAS DRYER FEE 0.00 PLBG REPAIR/ALTERATIONS 0.00 STATE SURCHARGE, PLBG FLAT 0.50 TOTAL 20.50 PAID WITH CHECK # 27842 AGREEMENT AND SWORN STATEMENT This permit becomes null and void if work or construction authorized is not commenced witin 60 days or if construction or work is suspended or abandoned for a period of 120 days at any time after work is commenced. I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this type of wort will be complied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any other state or local law regulating construction or the performance of construction. IN CITY OF FRIDLEY INSPECTION DIV. 6431 University Ave NE Fridlby, MN 55432 572-3604 APPLICATION FOR PLUMBING AND GAS FITTING PERMIT MARK NUMBER OF FIXTURES TO RF INSTAI 1 Fn ON FArH P OOP Effective On Jan 1, 2000 R' .'- tR 7m �R �-• z SQo� JOB ADDRESSfMIYIE7 te, at401E�12_ Wim[ -Ji ` R® Old Opening, New Fixture $4.00 specified agreeing to do all work in strict accoi dance with the city codes Beer Dispenser $ 5.00 and rulings of the I.uilding Division, and hereby declares that all the facts Blow Off Basin MA= and representations stated in this application are true and correct. Catch Basin $ 7.00 Rain Water Leader $ 7.00 RERBER, RICHARD 7180 RIVERVIEW TERRACE NE 2-/23 Sump/Receiving Tank $ 7.00 FRIDLEY, MN 55432 Water Treating Appliance $10.00 Owner _ (763) 571-4424 Water Heater --Electric $ 7.00 Water Heater Gz.s — 4$10.00 _ Building Used As S61jX1:_Q Gas Range" _ res Dryer"' $10.00 $10.00 V Estimated Cost PERMIT NO. �l�l_ `I er c Back Flow Preventer Required ( )Yes () No Type :$15.00 PLUMBING COMPANY � Z„()/J(, �} Reinspection Fee $47.00/Hr SIGNED BY TEL N0. ALL OTHERS AND/OR REPAIRS AND ALTERATIONS PLUMBING FIXTURE RATES: NO. RATE TOTAL JOB ADDRESSfMIYIE7 te, at401E�12_ flew 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 accoi dance with the city codes Beer Dispenser $ 5.00 and rulings of the I.uilding 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 RERBER, RICHARD 7180 RIVERVIEW TERRACE NE 2-/23 Sump/Receiving Tank $ 7.00 FRIDLEY, MN 55432 Water Treating Appliance $10.00 Owner _ (763) 571-4424 Water Heater --Electric $ 7.00 Water Heater Gz.s — 4$10.00 _ Building Used As S61jX1:_Q Gas Range" _ res Dryer"' $10.00 $10.00 V Estimated Cost PERMIT NO. �l�l_ `I er c Back Flow Preventer Required ( )Yes () No Type :$15.00 PLUMBING COMPANY � Z„()/J(, �} Reinspection Fee $47.00/Hr SIGNED BY TEL N0. ALL OTHERS AND/OR REPAIRS AND ALTERATIONS 1.5% of Value of Fixture or Appliance Approved By Rough -In Date Final Date State Surcharge $ .50 TOTAL FEE $��) MINIMUM FEE FOR ANY PLUMBING/GAS PERMIT IS $2000 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 COMMON VENT, VENT CONNECTOR AND COMBUSTION AIR VERIFICATIMM When replacing an existing furance, the undersigned hereby verifies that the venting has been examined and is free from rust, deterioration, obs�ructions, and is securely supported and firestopped where required. Yes () No( ) The venting system is. plastic/PVC and meets all current codes and mariufacturer specifications.including sizing, length, number of elbows and termination. Yes () No (. ) The undersigned also verifies that the replacement unit is a listed assw*nbly 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 () 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 -LAMA Category I Central Purnace Venting Tables for fan assisted and natural draft appliances. Yes () No ( ) Is the common vent and vent connecwors sized and installed corn),cily after an appliance, has been -removed from the common vent and vented separately asper current codes. Yes( )No( ) Appliance Type and Size/Common Vent and Vaut: Connector Information 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 ALTERATIONS: (Describe HEATING CO: Signed By: Date 3tlilding BUILDING Perniit No.• n$pections C, RESIDENTIAL APPLICATION Received By: 70-572-3604 CITY OF FRIDLEY Date Recd: G )ATE--?—/ ` V YOUR E-MAIL ADDRESS ;M ADDRESS IHIS APPLICANT IS: POWNER ❑CONTRACTOR PROPERTY OWNER/ NAME: l ADDRESS: `7180 P=1 Jay[&,)'RL CITY _STATE ZIP TENANT PHONE: CONTRACTOR NAME:� STATE LICENSE EXP DATE SiJBMIT A COPY OF YOUR STATE LICENSE ADDRESS: CITY STATE ZIP WITH APPLICATION PHONE FAX PROPERTY TYPE ❑ SINGLE FAMILYNEW CONSTRUCTION SIZE ❑ TWO FAMILYNEW CONSTRUCTION STORIES PES TYPE ❑ ADDITION ❑ GARAGE/SHED o ❑ WINDOWS ❑ BASEMENT FINISH ❑ ROOF ❑ QRAIN TILE ❑ DECK ❑ SIDING R ❑ SWIMMING POOL TYPE OF WORK: ❑ NEW ❑ ADDITION ❑ MA714TENANCE/REPAIR ❑ REMODELING DESCRIBE WORK BEING DONE: SIZE OF IMPROVEMENT LENGTH WIDTH HEIGHT Sq. Ft. O F ❑ HOUSE ONLY ER OF SQUARES ❑ HOUSE & GARAGE BASEMENT REMODELING SUBMIT: GARAGES ❑ ATTACHED GARAGE 1. Existing Floor Plan 2. Proposed floor plan PR� SIZE: ❑ DETACHED GARAGE 3. List of structural members to be used PROPOSED HEIGHT: SH9NG FOR NEW CONSTRUCTION INCLUDING DECKS, ❑ mT' yl ❑Soffit ADDITIONS. & PORCHES SUBMIT: ❑ uminum ❑ Trim 1. Site Plan/Survey showing the existing structures ❑ er 13 Fascia and proposed project. 2. Two sets of construction plans OWS 3. Energy Calculations IN TING OPENINGS ❑Yes ❑No LOCATION OF WINDOWS OR FOR NEW OPENINGS -DESCRIBE SIZE OF OPENING CHANGES & TYPE OF WINDOW TO BE INSTALLED NUMBER OF WINDOWS ALL FEES ARE BASED ON VALUATION, INCLUDINGTHE CO T OF LABOR AND MATERIALS: (USING THE 1997 U.B.0 FEES ULE) TOTAL JOB VALUATION $ OC ANCY TYPE Permit Fee Plan Review Fire Surcharge Surcharge License Surcharge SAC Charge Curb Cut Escrow Erosion Control Park Fee Sewer Main Charge Due $ See Back Page Or Fee Schedule $ 65% of Buil' g Permit Fee $ 001 times th total job valuation $ 3,®0 .0005 x Pe t Valuation Minimum $.50 $5.00 (State icensed Residential Contractors) $1550 per AC Unit (Plans to MWCC for determination) ft 6ft= ftx$21=$ �" (_°gee bj,,i $450 Con ervation Plan Review Fee Dete ined by Engineering Agreeme t necessary ( ) Non Necessary ( ) Make ch ks 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 ackno ledge"t iaf tFiefonnation above is complete and accurate; that the work will be in conformance with the ordinances and codes o e City of Fridley anwith the Minnesota Construction Codes; that I understand this is not a permit but only an application for a perm' 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 which requir s review and approval of plans. SIGNATURE OF APPLICANT Pji IJNA' DATE