PRE 2010 DOCSCITY OF FRIDLEY INSPECTION DIV. Effective On January 1, 1991
6431 University Ave NE
Fridley, MN 55432 APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION,
572-3604 REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES
RATE SCHEDULE
Residential
Furnace Shell and Duct Work, Burner -
Also Replacement Furnace
Gas Piping (Needed with new furnace)
Gas Range
Gas Dryer
*Air Conditioning - All Sizes
Rate
TOTAL
$ 20.00
� • ® C,
$ 10.00
$10.00
$
$10.00
$
$ 10.00
$
%o. U
All Others/Repairs & Alterations (LIST ON BACK
1 % of Value of Appliance or Work
Commercial/Industrial
1 % of Value of Appliance or Work
State Surcharge
TOTAL FEE
JOB ADDRESS `7 f Y5- - --? ✓
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 ruling of the Building Division, and hereby declares
that all the facts and representations stated in this application are
true and correct. 9-31
,1 g
BUILDING USED
ESTIMATED COST Oe®. ®d PERMIT NO.
DESCRIPTION OF FURNACE AND OR BURNER
$ No. of Heating Units__L__ Circle One (Steam) (Hot Water) arm Air
Trade Name &A,:uSize No.
BTU ®, a o o HP EDR
$ Fuel Total Connected Load
$ .50
MINIMUM FEE FOR ANY HEATING/COOLING/VENTILATION
REFRIGERATION/AIR CONDITIONING PERMIT IS $15.00
PLUS THE $.50 STATE SURCHARGE
REINSPECTION FEE $30.00
*Air Conditioners can not be placed in a side yard without
written permission from adjoining property owner.
Burner Trade Name Size No.
BTU HP, EDR
HEATING COMPANY .-y, _'/—
101,
Signed Byz46y=A Tel No. 1F 7,'— P_ 3 4ea
r
Approved ByRough-In Date 7 3/l zFinal Date �� �-
FILL OUT BACK SIDE FOR STACK VERIFICATION ON
REPLACEMENT FURNACE
CHIMNEY AND STACK VERIFICATION
The undersigned hereby verifies that the existing chimney or stack:
1.
Has been carefully examined
Yes
( )
No ( )
2.
Is free from rust or deterioration
Yes
( )
No ( )
3.
Has no foreign objects lodged within
Yes
( )
No ( )
4.
Is securely supported
Yes
( )
No ( )
5. Meets all current Code requirements for
size and total BTU's connected Yes ( ) No ( )
6. Has total heating BTU's of
All other BTU's
TOTAL BTU's
Remarks
List Alterations Being Done:
HEATING COMPANY
Signed By
Date
CITY OF FRIDLEY INSPECTION DIV.
6431 University Ave NE
Fridley, MN 55432
572-3604
Effective On January 1, 1991
APPLICATION FOR PLUMBING AND GAS FITTING PERMIT
MARK NUMBER OF FIXTURES TO BE INSTALLED ON EACH FLOOR
PLUMBING FIXTURE RATES: NO. RATE TOTAL JOB ADDRESS 7 s Iiia G 1,1t %
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
$4.0 0
$ 5.00
$ 7.00
$ 7.00
$ 7.00
$ 7.00
$10.00
$ 7.00
$10.00
$10.00
$10.00
$5.00
_22_,00 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.
Owner SCDW 6l'm 9ien C enxsf--
/� • c� Building Used As New /4v i j
Reinspection Fee $30.00
ALL OTHERS AND/OR REPAIRS AND ALTERATIONS
1 % of Value of Fixture or Appliance
Estimated Cost
PLUMBING COMPANY
SIGNED BY
'I - �)!,199U_
PERMIT NO. 066
TEL N0. 7�3 S�
Approved By� l` F Rough -In Date ^3- 11— Final Date I -� 1-11—
State Surcharge .50
MINIMUM FEE FOR ANY PLUMBING/GAS PERMIT IS $15.00
TOTAL FEE PLUS THE $.50 STATE SURCHARGE
Urinal
b
X.N.
Wash
TraY
...`.
FIo or
Dr inR
..:. .::.Auto.
�Washer
...:::,as
nge
.::.........::::..er
' :
r
Heater te
Stories
Gas EIecer
Beme n
as
Floor loo
Floor 2
Floor 00 3
FI00 r4
PLUMBING FIXTURE RATES: NO. RATE TOTAL JOB ADDRESS 7 s Iiia G 1,1t %
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
$4.0 0
$ 5.00
$ 7.00
$ 7.00
$ 7.00
$ 7.00
$10.00
$ 7.00
$10.00
$10.00
$10.00
$5.00
_22_,00 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.
Owner SCDW 6l'm 9ien C enxsf--
/� • c� Building Used As New /4v i j
Reinspection Fee $30.00
ALL OTHERS AND/OR REPAIRS AND ALTERATIONS
1 % of Value of Fixture or Appliance
Estimated Cost
PLUMBING COMPANY
SIGNED BY
'I - �)!,199U_
PERMIT NO. 066
TEL N0. 7�3 S�
Approved By� l` F Rough -In Date ^3- 11— Final Date I -� 1-11—
State Surcharge .50
MINIMUM FEE FOR ANY PLUMBING/GAS PERMIT IS $15.00
TOTAL FEE PLUS THE $.50 STATE SURCHARGE
-
SUBJECT
PER ,
City of Fridley
914 21
AT THE TOP OF THE TWINS
BUIL ®I P E R M I T
i
RECEIPT NO.
COMMUNITY DEVELOPMENT DIV.
L _
r_
�q_�
PROTECTIVE INSPECTION SEC.
10
� v�••ti � CITY HALL FRIDLEY 55432
NUMBER
REV.
DATE
PAGE OF
APPROVED BY
612-571-3450
910-F15
6/29/92
JOB ADDRESS 7995 Riverview Terrace NE
1 LEGALLOT
NO.
BLOCK
TRACT OR ADDITION SEE ATTACHED
DESCR.
22,23
W-
Riverview Heights SHEET
2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE
Steve/Toni Lipa
3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO.
Scott Olmstead Builders Inc. 1874 132nd In NW-, Coon Rapids MN 55440 755-0300
4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO.
1292
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
Construct a 441 x 32 t Welling and a, 321 x The MIDLEY DOES NOT GUARANTEE THE.
A IUMK_:
THIS .DATA ISI l=OR IYVFORMATION PURPOSES ONIY,
9 CHANGE OF USE FROM ` .9ULD'
VERIFY OW THE SIrTt
.tT
STIPULATIONS Provide a hard surface driveway, Provide sod in the front and side yards.
Provide City with_ copy of verifying survey before capping. Living area elevation
must be certified to meet regulatory flood plain management rules. Garage must be
25 feet from lot line.
SEWER LOCATION: 111 N of M.H. (.Inv. 808.85) Approx. 9' Deep with riser.
TOP OF FOOTING: Expose wye prior to establishing footing elevation.
WAT ER LOCATION: 10' N of Sewer Service
DRIVEWAY CURB CUT: N/A WANING
Before diggihi call for
all utility locations
R
491-002
SEPARATE PERMITS REQUIRED FOR REQUIRED BY LAS
WIRING, HEATING, PLUMBING AND SIM&
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
1 _XX
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
WITHETHE SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT
$98,437
$49.22
PERMIT FEE
$635.00
SAC CHARGE Fire SC
$700.00
8'
DOES T PRE UME TO GIVE AUTHOR TY TO VIOLATE OR CANCEL THE
PROVISI S OF NY OTHER ST E 0 LOCAL LAW REGULATING CON-
ST CTIO OR E PERFORMAN OF ONSTRUCTION.
PLAN CHECK FEE
TOTAL FEE
7:1-- c�
—1
I
License SC $5.00
$1,487.66
SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT IDATEI
1 HE PgRERLY V 1 TED THIS IS YOUR PERMIT
�-
-2
BLDG INSP DATE
SIGNATURE OF OWNER OF OWNER BUILDERI IDATEI
NEW [ ]
ADDN [ ]
ALTER [ ]
Construction Address:
Effective 3/1/92
CITY OF FRIDLEY
SINGLE FAMILY AND DUPLEXES R-1 AND R-2
Building Permit Application
-19 9 (-I.eE.eC'-"( C-,.., -- E(- (- ACC—
Legal Description: L- ¢ —► 5 -a- i + '�- �- 9 t- --- f , r r- e- v ( C _4 e- i c S
Owner Name & Address: dr-., E- + C. A Tel. #
Contractor:mm ��� �� 4 o t3� . o MN LICENSE # ®� ► >- `I �-
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
c
LIVING AREA: Length 1 Width .Z Height
GARAGE AREA: Length 2- Width Height 1
DECK AREA: Length Width Hgt/Ground
OTHER:
Corner Lot [Y) Inside Lot [ ] Ft. Yd Setback
Type of Construction:
Approx. Completion Date:
Sq. Ft.
Sq. Ft.
Sq. Ft.
Side Yard Setbacks-
Estimated
etbacks Estimated Cost: $ �.
(Cost on Back)
Driveway Curb Cut Width Needed: + 6 Ft = Ft x $ _ $
DATE: <-- - t - `� APPLICANT: Tei. # `7
Permit Fee
$ ®b
Fire Surcharge
$ 178 ?q4
State Surcharge
$q 02'
SAC Charge
$ 200,00
License Surcharge
$ 5-'00
Driveway Escrow
$ -0—
0 -Park
Park Fee
$ -0-,
Sewer Main Charge $ -0
-
TOTAL $ N 8 9 ' LO Lo
CITY USE ONLY
Fee Schedule on Reverse Side
-.001 of Permit Valuation (1 / 10th %)
'$.50/$1,006 Valuation
$700 per SAC Unit
$5.00 (State Licensed Residentiat Contractors)
Alt. "A" or Alt. "B" Above
Fee Determined by Engineering
Agreement Necessary j ] Not Necessary [ ]
STIPULATIONS: c6 A
2422 Enterprise Drive
iC Mendota Heights, MN 55120
y* PIONEER LAND SURVEYORS • CIVIL ENGINEERS (612) 681-1914•Fox 68179488
T - _�- �- - LAND PLANNERS • LANDSCAPE ARCHITECTS ----� f--
engineerln 625 ,Highway 10 Northeast
,* g ine, MN 55434
[1310
612) 783-1880.•Fax 783-1883
,Certificate of Survey for: Olmsted Builders.
Inc.
, q
I I I
I I '
`--- - - - - - - - - - - - - - - - - - - - - - ------
I IDOVER �'0
----------------------- -----
I I X19.7 — — —819•
I
I
I
HYDRRMT 'bZn 1. 0. gl9•`i 8t9.to
I I 45.0 .fy T53
I / I `q DRIVEWAY
8D 0'0'
I892 r�Ze.fo — — — — •�
22L 0
I I.s ' Ig19•z
I I I 6.33 N14. 7 $2.3� — EXISTING HOUSE
I - —r--- 0 1 ST FLOOR ELEV. 819.5
MPROP SED HOUSE GARAGE O
� �, co
�I
2.51 1 t9 S
.00 I O 31.67 er tr �i
1 ti2.5
1.13 �� 821. 71.67 X
13 .73 ' '
\ \7OWER
RPOLE FENCE
22 0
x
\ A\ \ X.
\ \ \ EXISTING HOUSE
1ST FLOOR ELEV. 821.8
-.X 900.0 Denotes Existing Elevation PROPOSED HOUSE ELEVATION
x 900. Denotes Proposed Elevation Lowest Floor Elevation: 6/7. 0
- — - Denotes Drainage & Utility Easement' Top of Block Elevation: g,? y.6�
Denotes Drainage Flow Direction
=-b-- Denotes Monument Garage Slab Elevation: ,Zz/.z6
--a Denotes Offset Hub Bearings shown are assumed
LOTS 22&23 BLOCK W RIVER' VIEW HEIGHTS
ANOKA COUNTY. MINNESOTA
I hereby certify that this survey, plan or report wasr�ared by m r under my direct supervision and that 1 am dui Registered Land Surveyor
'r /� e e
under the laws of the State of Minnesota. Dated this day of A.D. 199-L-.
Scale: 11nch=30f r ?"
' ROBE S. SIKICH .S. REG. N . 14891
12027.00 1
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G7YOF
FRIDLEY
FRIDLEY MUNICIPAL CENTER • 6431 UNIVERSITY AVE. N.E. FRIDLEY, MN 55432 • (612) 571-3450 • FAX (612) 571-1287
September 1, 1992
Scott Olmstead Builders Inc.
1874 132nd Ln NGV
Coon Rapids, MN 55440
Re: Final Inspection at 7995 Riverview Terrace NE, Fridley
Dear Sirs:
A final inspection was conducted on August 31, 1992 of the above
address and the structure was approved as constructed. Occupancy
of the structure is approved.
If you have any questions on this matter, please feel free to
contact me at 571-3450.
Sincerely,
CLY E E. WILEY
Building Inspector
CEW/mh