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PRE 2010 DOCSContractor Description Front Depth of Bldg, 40 /B ` No. of Dwelling Units Estimated Cost of Wrecking Address Height axes Pai Utilities Notifiedi State whether notified and date Minneapolis Gas Company Engineering Department 372-4850 Northern States Power Company Customer Business Office 330-5540 Northwestern Bell Telephone Co. Business Office 332-4112 Approved By Water & Sewer Department; Phone . Ft. Cu. Pt. —3(007�OD Tax Receipt No. All Bills Are Paid Services Are Disconnected The undersigned hereby makes application for a permit to wreck the.building described above, agreeing to do all work in strict accordance with the City Ordinances and rulings of the Department of Buildings, and hereby declares that all facts and representations stated in this application are true and correct. Contractor Date City of Fridley it0�4CT Permit No. r AT THE TOP OP TNB TWINS WRECKING PERMIT APPLICATION Receipt No. --------- COMMYNITY OSv[LOPWNT DIY, i � � PIlOTBETIVR IMf�iCT1AN pt/T, CITY NA4'L PRIOLRY NAA NUR OATS P"r or N eY Job ,address 81a? �►tIF�lll�ce� % ��2/Z/�C� Legal Lot No. Block No, Tract or Addition Desc. U9 &J,I)d/6uj A/ 7-S Property Owner Address Phone Contractor Description Front Depth of Bldg, 40 /B ` No. of Dwelling Units Estimated Cost of Wrecking Address Height axes Pai Utilities Notifiedi State whether notified and date Minneapolis Gas Company Engineering Department 372-4850 Northern States Power Company Customer Business Office 330-5540 Northwestern Bell Telephone Co. Business Office 332-4112 Approved By Water & Sewer Department; Phone . Ft. Cu. Pt. —3(007�OD Tax Receipt No. All Bills Are Paid Services Are Disconnected The undersigned hereby makes application for a permit to wreck the.building described above, agreeing to do all work in strict accordance with the City Ordinances and rulings of the Department of Buildings, and hereby declares that all facts and representations stated in this application are true and correct. Contractor Date I City of Fridley SUBJECT PERMIT NO. X?i2082 AT THE TOP OF THE TWINS B U I I N G PERMIT i. RECEIPT NO. •COMMUNITY DEVELOPMENT DIV. u. r PROTECTIVE INSPECTION SEC. 1 � = CITY HALL FRIDLEY 55432 NUMBER REV. DATE PAG OF APPROVED BY 612-580-3450. 910-F15 3/29/73 JOB ADDRESS 8125 Riverview Terrace N.E. 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 27,28 S I Riv ` iew Heights Ad 'tion SHEET 2 PROPERTYOWNER MAIL ADDRESS ZIP PHON DeGardner Construction 7950 East iver Road N.EAridley 55432 3 CONTRACTOR MAIL ADDRESSZIP PHO E LICENSE NO. Same 4 ARCHITECT OR DESIGNER MAIL ADDRESS Z P ONE LICENSE NO. 5 ENGINEER MAIL ADDRESS ZIP YPHONE LICENSE NO. 6 USE OF BUILDING Dwe11" 7 CLASS OF WORK Ek NE ❑ ADDITION ❑ ALTERATION. ❑ R PAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Cons ruct Dwelling 25 x 38' 9 CHANGE OF USE F M TO STIPULATIONS Pro ide a and surface drivew Provide a verifying survey befo e--capp"ng `Tontractor t inform buyer in writing on flood area. j Grade t fou ation 8�L5'. C e fill;and rod to footing every 8' around lock f ndation. P ovide waterproofing, 2 mason cement, as `" r �,peic atta hed she on ba went walls with black poly.' MR Provide gate valy on sewer ou et. SOCATION: 109' N. Manhole Wye E1ev: 811.64 Top of Footing: 814.64 Minimum WATER LO ION: 10' North f Sewer Service 14 e uj 7 tiler SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD VENTILATING OR AIR CONDITIONING. #Wood Frame 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-1 950 19,000 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 $16,197 $8.09 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- / 3� STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. $275.00' PLAN CHECK FEE TOTALFEE $319.09 SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT (DATE) WHEN PROPERLY VALIDATED THIS IS YOUR PERMIT Y BLDG. )NSP DATE �GNATURE OF OWNER IIF OWNER BUILDER) (DATE) APPLICATION FOR RESIDENTIAL, ALTERATION, OR ADDITION BUILDING PERMIT CITY Of FRIDLEYe NTNN9SOTA 0 b�d NW I: if V- - ADDRESS: Qr _PMSS.- WO;. LOT 7— B y LOC A ck, AMMON, CORM LOT: Imim LOT SETBACK; SIDEYARD: Afftf,rAmA at"cj% to ChU fv=_fto Certificates of Surv9Z of Lot and proposed UdIdixtS location dr wn on the" Certificates, DESCRIPTION OF BUILDING To Be Up" As.. Pew, Lq_� -:5 , -Depth -. 11 squoxe Feet; Cubire Vvetj. Frant Depth Height Square Fee t v, Cubic Feet: Tyfa of Constructions astimAte4 Cost: $ To So "144ted; IM underpftnad hereby m*" applicatirm for. a Permit for the work herein spepittocl, agreeing Hca do all work in stftct accordance with the My of FW14W Or4iPances 1=4 xutftp of Oa Department Qf Bu:44ings, uVA hereby 4001arev dwt allhapplication a titd facts and representations stated in t'T a exe true 404, cvrrttw - '1 '17 DATAI .7 D For AMUjanal lufor;qatim,) ;tJ L) ■f .�; c. 4,�, t -.. I i 1 .. ., r _.... . ,., '� � _ c . ■f .�; c. 4,�, t -.. City of Fridley SUBJECT PERMIT NO. 1202 ' AT THE TOP OF THE TWINS I N ' r i� BUIL G PERMIT RECEIPT NO. COMMUNITY DEVELOPMENT DIV. 1 PROTECTIVE INSPECTION SEC. CITY HALL FRIDLEY 55432 NUMBER REV. DATE PAG OF APPROVED BY 612-560-3450 910-F15 3/29/73 JOB ADDRESS 8125 Riverview Terrace N.E. 1 LEGAL1. LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 27 28 S I Riv iew Heights d 'tion SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHON DeGardner Construction 7950 East iver Road N.EAridley 55432 3 CONTRACTOR MAIL ADDRESS ZIP PIE LICENSE NO, Same 4 ARCHITECT OR DESIGNER MAIL ADDRESSZ P ONE LICENSE NO. 5 ENGINEER MAILADDRESS ZIP PHONE LICENSE NO. 6 USE OF BUILDING Dwell' 7 CLASS OF WORK Qt NE ❑ ADDITION ❑ ALTERATION ❑ R PAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Coni Iruct Dwelling 25' X 38' 9 CHANGE OF USE F M TO STIPULATIONS pro ide a and surface drivew y. Provide a verifying survey befo a capping. Contractor t inform buyer in writing on flood area. Grade t fou ation 825'. C e fill .and rod to footing every 8' around XXX R lock f ndation. P Ovide waterproofing, k mason cement, as per•atta hed she on ba ment walls with black poly.' NX Provide gate valv on sewer ou et. S OCATION: 109' N. Manhole Wye Elev: 811.64 Top of Footing: 814.64 Minimum WATER L ION: 10' North f Sewer Service 97- sl7`-�NGQ E it r✓ter V r.-i %rr. SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD VENTILATING OR AIR CONDITIONING. YPWood Frame 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 R-1 950 19,000 ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS OFFSTREET PARKING I HEREBY CERTIFY THAT 1 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 BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT $16,197 $8.09 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. $ _3�+,('(' $275.00• PLAN CHECK FEE TOTAL FEE $319.09 SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT (DATE) WHEN PROPERLY VALIDATED THIS IS YOUR PERMIT BLDG INS✓' GATE yGNATURE OF OWNER OF OWNER BUILDERI (DATE) M UEMITY OF FRIDLEY 6439 UNIVERSITY AVENUE N.E., FRIDLEY, I',�INNESOTA 55432 TELEPHONE ( 692)579.3450 July 18, 1978 AV ,. Ms. Viola Teig Route #1 Isanti, MDT 55040 Re: 8125 Riverview Terrace N.E., Fridley, MN Dear Ms. Teig: We were recently asked to check the structure on your land located at 8125 Riverview Terrace (Lots 27 & 28, Block S, Riverview Heights Addition). On July 18, 1978 we inspected the premises and found the building in a vexy bad state. Most of the windows and doors are gave, there are huge holes in the walls, and the building appears to be ready to collapse. The yard also needs to be cut. It is with concern for you and your neighbors that we must order you to remove the building from the premises. If you can not do this, and want us to remove it, we would be happy to do so. If you elect to have the City remove,it, we will need a release signed by you. Please let us hear from you as soon as possible; certainly not later than August 1, 1978. 1 can usually be reached between 8:00 A.M. and 10:00 A.M., Monday through Friday, at 571-3450. Sincerely, DARREL G. CLARK Community Development Adm. DGC/mh WILLIAM A. CARLSON, PRES. CERTIFICATE OF SURVEY 2324 WEST 110th STREET 888-2084 55431 na�so� SURVEY FOR; DEGARDNER REALTY LAND SURVEYORS Licensed, Insured & Bonded lY /" " „ D 1s J �. Y r N irate <_s w Ig 66 �ra� DESCRIPTION; LOTS 27 AND 281 BLOCK S,.RIVERVIEW HEIGHT -S9 EXCEPT THAT PART TAKEN FOR STREET, WE HEREBY CERTIFY THAT THIS IS A TRUE AND CORRECT REPRESENTATION OF A SURVEY OF THE BOUNDARIES OF THE LAND ABOVE.DESCRIBED AND OF . THE LOCATION OF ALL BUILDINGS, IF ANY9 THEREON, AND ALL VISIBLE ENCROACHMENTS9 IF ANY' FROM OR ON SAID LAN.D9 AS SURVEYED BY US - 27TH DAY OF DECEMBER, 1972. ,'AINN. REG. N -o. 5648 •ra'YtAEL"Caqca"...Noai C <_s w Ig 66 �ra� DESCRIPTION; LOTS 27 AND 281 BLOCK S,.RIVERVIEW HEIGHT -S9 EXCEPT THAT PART TAKEN FOR STREET, WE HEREBY CERTIFY THAT THIS IS A TRUE AND CORRECT REPRESENTATION OF A SURVEY OF THE BOUNDARIES OF THE LAND ABOVE.DESCRIBED AND OF . THE LOCATION OF ALL BUILDINGS, IF ANY9 THEREON, AND ALL VISIBLE ENCROACHMENTS9 IF ANY' FROM OR ON SAID LAN.D9 AS SURVEYED BY US - 27TH DAY OF DECEMBER, 1972. ,'AINN. REG. N -o. 5648 •ra'YtAEL"Caqca"...Noai July 27, 1978 Ms. Viola Teig .Route #1 Isanti, MN 55040 CITY OF FRIDLEY 6431 UNIVERSITY AVENUE N.E., FRIDLEY, MINNESOTA 55432 TELEPHONE ( 612)571-3450 Re: 8125 Riverview Terrace N.E., Fridley, Minnesota Dear Ms. Teig: Enclosed please find the agreement for the demolition of the structure at the above address by the City, which is to be signed by yourself and returned to us. We have also enclosed a copy for your records. If you have any questions on this, please contact me at 571-3450. sincerely, DARREL G. CLARK Community Development Adm. DGC/mh STATE OF MINNESOTA ) ss. COUNTY OF ANOKA ) AGREEMENT AND WAIVER VIOLA TEIG, being first duly sworn upon oath deposes and says: That she is the fee owner of Lots 27 and 28, Block S, Riverview Heights, located in the City of Fridley, Anoka County, Minnesota. THAT she is a widowed and unremarried person. _)THAT there are no mortgages, outstanding contracts, or other encumbrances on the above described property�--� THAT contained on said property is a house which is in a dilapitated condition, having deteriorated to a point where it is uneconomical to repair said house. THAT the City of Fridley has advised your affiant that said house constitutes a hazardous building and that the City will, of necessity, have to commence a hazardous building action unless the owner of the property agrees to allow the City to raise and remove said building. THEREFORE, your affiant hereby agrees to allow the City to enter upon the property for purposes of demolishing said building and removing the debris following the demolition. Your affiant further agrees to allow the City to assess the cost of such demolition against the real estate and to permit said charge to become a lien against the above described real estate. Your affiant hereby waives further notice of assessment and releases the City from any claim for damages caused by the removal of said building. Representatives of the City of Fridley have advised your affiant that they will take bids for the demolition of said building and will award the job to the lowest responsible bidder. They have further advised your affiant that the City will not assess any additional administrative costs for said project. Consideration for the above waiver is the mutual promises made by your affiant and the City of Fridley. Viola Teig Route #1 Isanti, Minnesota Subscribed and sworn to before me this day of TL?L ' , 1978.+�e!V+N�rFt�ri+es ►��sartsw.uetZ ;t\ CLYDE V. MORAV�TZ UI�`� NOTARY Pl,t3LIC — MINNESOTA /ER, TALLE & HER RICK ANOKA COUNTY `" � ATTORNEYS AT LAW % S " rAy Cofimission Expires Dec n, it9so 6'.. ,.?L�✓'.^u.,�ai:v c,t,'w4 av 6:�'cri?5: c53!w v ... .ti, D UNIVERSITY AVENUE. N. E. ,LEY. MINNESOTA 55432 SUBJECT PERMIT City of Fridley WRECKING. AT THE TOP OF THE TWINS D D A A [ r x r C R'v1 I R • ______ COMMUNITY DEVELOPMENT DIV. y PROTECTIVE INSPECTION 7 r SEC. 1 � = CITY HALL FRIDLEY 55432 NUMBER REV. DATE PAGE OF APPROVED BY ,.j 612-560-3450 910-F15 9/12/78 JOB ADDRESS 8125 Riverview Terrace N.E. 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEEATTACHED DESCR. 27, 28 S Riverview Heights SHEET 2 PROPERTYOWNER MAIL ADDRESS ZIP PHONE Viola Teig, Route #1, Isanti, MN 55040 612,742-4808 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE N9. Jerry's Excavating 2542 Silver Lake Road, Mpls. 784-4076 rj �0, d rr -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 r REMOVE 8 DESCRIBE WORK Wreck 2.0' x 18' Dwelling 9 CHANGE OF USE FROM TO STIPULATIONS TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD SEPARATE PERMITS ARE REQUIRED 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 I 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 DOES OT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PERMIT FEE SAC CHARGE IONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- $10 00 ION OR THE RFORMANCE OF CONSTRUCTION. PLAN CHECK FEE TOTAL FEE 5u" $10.00 7U OF CONTRACTOR OR AUTHORIZED AGENT (DATE) WHEN PROPERLY VA :WIS IS YOUR PERMIT P ^ W SP DATE SIGNATURE OF OWNER IIF OWNER BUILDER) (DATE) City of Fridley s��cT Permit No. AT THE TOP QP THF TWIN$ WRECKING PERMIT APPLICATION Receipt No. t,-------COQ MVNITV DEVIELOPWENT DIV, I i PROTECTIV9 06iCTIQN DEPT, CITY HALL FMIDIXY 99 2 "i OIZ-000-3400 gin PAGE 4F 0Y Job Address o Legal Lot No. Block No. act or.Addition Desc. �l 2 S iC)EeviEco 6- Prop Prope ty Owner Address Phone lULlq % �l� c ��;04/ /SAAJ r M AJ WQ- Contractor Addressy�0��<�d'1�/ ��''4F NIP,— �- Descripti n Front Dept Height Sq. Ft. tu. Ft. of Bldg. -�?Q 1 /(3 No. of Dwelling Units Taxes Paid Tax Receipt No. Estimated Cost of Wrecking/�S p v To Be Completed A 7 7 Utilities Notified: State whether notified and date . Minneapolis Gas Company Engineering Department 372-4850 Northern States Power Company Customer Business Office \ U) 46&AJS 330-5540 Northwestern Bell Telephone Co. Business Office All 332-4112 Approved By Water & Sewer Department: 11 Bills Are Paid Services Are Disconnected The undersigned hereby makes application for a permit to wreck the building described above, agreeing to do all work in strict accordance with the City Ordinances and rulings of the Department of Buildings, and hereby declares that 'all facts and representations stated in this application are true and correct. i --��— I ntrac l/.dl Date r 'T6 X125 � ,Fs -11/ CM CW FRIUM 1 ` ssrr r u A 1. APPLICMP: _1 A, N taf.1K :L -b Mme Address 4zi-C-)o,210 Wephone Ntanber Z. PROPERTY OWNER(S): �M�Ts'S ISG, Nme '' 11 ic) z&- l umy 4ve N )C . Street Address 1~3 �� ►�E 2S'��4-33 City, State Zip We Office Phone Bane Phone mm FEE i Street Address <� city, State Zip Code Office Phone Game Phone 3. MUM PT ® OF PROPERTY ZO BE ALTERED: 3-30- n L*ts 27 2U 2 30 Block Tract h IV E -a Y t ETS 3-3®-Z --Zai- © tell— OfSL3 city State Zip Code 4. DESCRIPTION OF LAND ALTERATION OPERATION Acv G� IFT L -j— 1a Pp-s-*.. D� \[At<nS KAEi s -CIA L- 5, 5. PURPOSE OF IAND ALTERATION: To --1;2A 1% E - OT �• � �% �- �- ��" f S. VALDE OF WQRR 7D BE PERF: 0 c T t7t R-� � � �., 1%V�I� Liz 7• SOURCE AMID OOMP06ITT�1 OF FILL: Lib �.�.� l S A .. . 10 n I is f A-4 X13-►�Si� B. PROPOSED STA dMG DATE:. ) z - w 8 Z- mMPLE"P= mm. Lz! 3 0 - 8Z 9. ATnTHM 3 M Qlnformation Needed to Properly. Evaluate Application) : The following plans, draurings, calculations, bonds and/or statements will be required by the Public Works Department. ✓ _ Half section map or sketch of property showing all adjacent property indicating the exisiting buildings and/or structures. f� ':Grading plan showing exisiting and proposed finished contours and evaluations. _ Drainage plan showing exisiting and proposed drainage structures, stabilization walls, retaining walls, cribbing, dams, or other protective items. .� _ Calculations for and approximate quantities of excavation and/or f ill required. Y _ Signed statement from the property owner accepting responsibilty for the operation and granting permission for land alteration/mining operation. _ Statement to be attached to deed advising of potential need for soil tests prior to any construction on lots where additional fill material has been placed. _ Rice Creek Watershed District Approval (If Applicable) _ Soil Borings (if required) _ Other 10. STIPULATIONS - READ BEK)RE SIGNING APPLICATION: a. A surety bond or ceritified check in the amount of $ (58 of value of work to be oompleted) must be submitted after approval of application and prior to any work commencing. This bond or check is to ensure satisfactory performance and compliance with the below stated stipulations. The surety bond or check shall be kept active until the completion of work and/or expiration of permit and can only be released by written notification of the City after a satisfactory final inspection has been performed by City forces. b. All access and street frontage of the land alteration site must be controlled by a fence, a minimum of four (4) feet in height. A11 entrances must have gates that are capable of being locked. c. Only rock, sand, gravel, dirt, or similar natural earth fill is permitted. No concrete, asphalt, or demolition wastes will be permitted as fill unless a demolition landfill permit is first obtained from Anoka County. d. Operations shall be limited to daylight hours and shall not interfere with the health and safety of surrounding residents and the premises shall be maintained at all times so as not to create a nuisance. e. Any explosives used must be done so in accordance with Chapter 212.3, paragraphs d, e, f, g, of the Fridley City Code and any other applicable standard e.g. Federal, State, Industrial, etc, f. At the end of each season's operations and no later than the last day of December each year, the site is to be left in a neat and orderly condition, with maximum slopes of 2:l with no overhang or vertical banks and with a level bottam. g. On the Friday of each work week, or when required by the City, material from this operation that is found to exist on City streets shall be cleaned to the City's satisfaction by the applicant. h. Upon ompletion of land alteration operations, the land must be left according to the plans and contours submitted with this application and planted with suitable vegetation to prevent erosion. I. Upon completion of land alteration operations or expiration of is permit, an inspection by the City will be made of the premises and adjoining streets. Any damage found to have been caused by these operations will be corrected by the applicant upon notification by the City. Applicant's Si tur ,�L..�R�. Z- 3 Z- �! � Seta: Property Owner's Signat6re ~� Jit e:6a,-` Dater - - i Recanrended For Approval By: Dater el - APPROVED BY: f�,c� Date: Z r PERMIT EXPDWMN DATE: _L4, _ I . A 50 Cubic yards or less . . . . . . . . . . . . . . . . . . . . . . No Fere 51 to 100 cubic yards....................... $10.00 101 to 1000 cubic yards ..................... .00 1001 to 101,000 cubic yards .................... 20.00 10,001 to 100,000 cubic yards - $20.00 for the first 10,000 cubic yards plus $10.00 for each additional 10,000 cubic yards or fraction thereof. 100,001 to 200,000 cubic yards - $110.00 for the first 100,000 cubic yards plus $6.00 for each additional 10,000 cubic yards or fraction thereof. 200,001 cubic yards or more - $170.00 for the first 200,000 cubic yards plus $3.00 for each additional 10,000 cubic yards or fraction thereof. i• �•0 • e+& • • z• , 50 Cubic yards or less . . . . . . . . . . . 0 0 0 0 . . . . . . . 810.00 51 to 100 cubic yards ...................... 0 $15.00 -101 to 1000 cubic yards - 815.00 for the first 100 cubic yards plus $7.00 f� r ch additional 100 cubic yards or fraction thereof. 1001 to 10,000 cubic yards - 878.00 for the first 1,000 cubic yards plus $6.00 for each additional 1,000 cubic yards or fraction thereof. 10,001 to 100,000 cubic yards - $132.00 for the first 10,000 cubic yards plus 827.00 for each additional 10,000 cubic yards or fraction thereof. 100,001 cubic yards or more - $375.00 for the first 100,000 cubic yards plus 815.00 for each additional 10,000 cubic yards or fraction thereof. 5/1/4/3 I r 1 9. A7TWHKWZ (Information Needed to Properly evaluate Application): The follow ._ __'•�_ e*Je}�rts will be require RECEIPT _ Aalf se keto j ac_er. Indicating. C. p _ Gradin t ou 0/'alle/,� evaluatici O Drainai 6431 University Ave. N.E. stabilize` Fridley, Minnesota 55432 Tel. 571-3450 Item. = Calcul RECEIVED OF v required. $ -' Signet the oper operatict ADDRESS State — tests pr. FOR . has been _ Rice — Soil FUND CODE AMOUNT —Mei oo9 Ur 3 0. - -- c 10. STIP" a. A s (51 apF bor coo or ani not hal b. Al' be Al jr"/vlC r n or / � l a — / 3 19 �� No. 8172 C. Or. PLAT►AKIT ® NOOKtt .Y/INK./ POKN.. INC.. N A/gfWN/>f obtained from Anoka County. -- - = --- d. Operations shall be limited to daylight hours and shall not interfere with the health and safety of surrounding residents and the premises shall be maintained at all times so as not to create a nuisance. City ®f Frial y SUBJECT _- 1704 AT THE TOP OF THE TWINS BUILDING PERMIT P REC O. COMMUNITY DEVELOPMENT DIV. r PROTECTIVE INSPECTION SEC. CITY HALL FRIDLEY 55432 NUMBER REV. DATE PAGE OF APPROVED BY 612-571-3450 910-F15 7/14/83 JOB ADDRESS 8125 Riverview Terrace N.E. 1 LEGAL LOT NO. BLOCK TRACTOR ADDITION SEE ATTACHED DESCR. 27,28,29,3 S Riverview Heights Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Jeffrey C. Nelson 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. D. W. Construction Inc. 8804 -Lexington Avenue, New Brighton 55112 784-0938 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO. 6 USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE B DESCRIBE WORK Construct a 40.1 x 26' Dwelling and a 24' x 26' Garage 9 CHANGE OF USE FROM TO STIPULATIONS Special Use Permit to build in flood plain approved by Council 7/11/83. Provide a hard surface driveway. Provide sod in the front and side yards. Provide City with copy of verifying survey. Grading must be done according to the approved grading plan attached. SEWER LOCATION: (Approx. 9' Deep In Street) 109' N. of M.H. at Glencoe (Inv. 811.31) WYE ELEV: 811.64 TOP OF FOOTING: 814.64 Minimum WATER LOCATION: 101 N. of Sewer Service. DRIVEWAY DEPRESSION COST: N/A Minimum floor elevation of Garage: 824.71 Minimum fill elevation 15' out: 823.7' TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, VENTILATING OR AIR CONDITIONING. Wood Frame 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 BE COMPLIED $29.95 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT $59,800 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 $425.00 STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. $313.00 PLAN CHECK FEE TOTAL FEE $78.25 $846.20 SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT (DATE) WHEN PROPERLY VALIDATED THIS IS YOUR PERMIT BYA, INSP GATE SIGNATURE OF OWNER IIF OWNER BUILDER) IDATEI I 4 K''a Ls .,io AI R'7 9 me y~ � Ls ViA tt Ct ti h. 3� o L% lk kb AL L4- -A 4v W iq N do CITY OF FRIDLEY APPLICATIM FOR RESIDENTIAL BUILDING PEFL'fITS (New, Alterations, Additions, or Repairs) OWNER: BUILDER: ADDRES . ADDRESS: TEL NO: TEL NO: - - Construction Location STRIMT NO r TREET: LOT: BLOCK: ADDITION: Effective Aug. 1, 1981 Corner Lot: Inside Lot: j-- Setback: Sideyards: JQ- IS' Applicant attach to this form two Certificates of Survey of lot and proposed building location drawn on certificates to scale. DESCRIPTION OF CONSTRUCTION Front: t Depth: Height:ci� Square Feet_:_ Cubic Feet: cw&� Front: ��{ ( Depth: Height: l® Square- Feet: Cubic Feet: Type of Construction: To Be ODrapleted: Estimated Cost: $ Alt. A Alt. B Proposed Driyeway Width If New Opening Is Desired: $ $ '4 SEE FZVFRSE SIDE OF SHEET Mie undersigned hereby makes application for a permit for the %:,ork herein specified, agreeing to do.all work in strict accordance with the City of Fridley Ordinances and rulings of the De1xirtment of Buildings, and hereby declares that all the facts and representations stated in this application are true and correct. DATE: VI-s'101SIGNATUF.F.: Stipulations: lop sac tea, oe� fy) Ad M FICL fri'ct /vd& - 7� CITY OF FPIDLSYOl SUBJECT MINN&SDTA I r COMPLETE REVIEW CHECKLIST RETURN TO BUILDING INSPECTION BILL � 0HNG. [� DARREL MARK LEON [A POLICE FIRE [� KENT 13UILDING PERMIT REV JEW f7L• MO/ AOON/as ME OST4 h W > Own CAT■ L CDNIRIAE 8_ �\ Y,3� use Ile) (,L4b v ❑P�� -�t Effective Aug. 10 1981 CITY OF FRIDLEY APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION, REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES w RATE SCHEDULE ,lob Address -� TO'PAL AESI� Department of Buildings, 6431 University Ave. N.E.r Fridley. MN 55472 Furroce Shell and Duct Work, 20.00 Ste_- City of Fridley (Also replacement furnace) $ �� - 6 Tel. N571-7450 Burner $ 10-00 $%' makes applicatlan for a permit for the work herein Gas Piping The underslgnad hereby to do ail work in stri ccordance with the City es needed with nw furnace) $ •� • reby declares that all the (piping 10_00 $�- specified agreeing artsent o[ Building and rulings of the DeP ted in this 'Pplicat ar>>s true and correct- (Pi Range 10.00 $ �- facts and representations sta - / / 19 - 1:rldTey. iaan. All Others/Repairs and Alterations OWNER � ws� 1t of Value of Appliance or Work $ KIND OF BUILDING COMMERCIAVINDUSTRIAL USED AS It of Value of Appliance or Work $ Ta BE CONPLETED ABOUT ESTIMATED COST State Surcharge $ .SO OLD NEM ILDING PERMIT NO. PERMIT NO. o TOTAL M $ Reinspection Fee ($15.00) $Z� DESCRIPTION OF FURNACE/BURNER Rough inep. HEATING or POWER PLANTS, Stem, Not Water, Warm Air- No. Date Final inep. - A/-5/' ' f Trade Name size No. Date Capacity Sq. Ft. EDR BTU NP Approval for Permit _ Total Connected Load Kind of Fuel BURNER - Trade Name Size No. Capacity Sq. Ft. EDR BTU NP MINIMUM FEE FOR ANY HEATING PERMIT IS $10.00 CompanyZ1L�w�/1��%��� PLUS $.50 STATE SURCHARGE a Signed By- Attach stack verification form with replacement furnace permits Tel. No. *Air Conditioners can not be placed in side yard without written permission fra- adjoining neighbor. Fla 2-0158-2507-4 121283 2A27 g �o�s�*�, INFORMATION REQUESTED 00391 1340126250N10 R7-4 E31 RN THIS COPY TO NFIP .............................. REQUEST FOR POLICY PROCESSING AGENT I.D.: 47nao77sc a" AND RENEWAL INFORMATION POLICY TERM: i2I:02ia,4 TO 19i09Ia4 PLEASE REVIEW AND MAKE CORRECITONS Nom: ON PAGE 2 FOR YOUR REGDRD AND ON PAGE 4 FOR NFIP POLICY NUMBER �sent_s_b4aF�nn_�>:naess RICHARD CALLANDER 3570 N LEXINGTON STE 107 a ST PAUL MN 55112 (6121 484-2025 VALID ELEVATION CERTIFICATION IS REQUIRED. PLEASE REFER TO THE ELEVATION CERTIFICATE CHAPTER OF THE FLOOD INSURANCE MANUAL FOR THE RECOMMENDED FORM AND NFIP—APPROVED LANGUAGE. A VALID ELEVATION CERTIFICATION MUST STATE THE GLOWEST FLOORI ELEVATION. INEXACT LANGUAGE REGARDING THE LOWEST FLOOR ELEVATION CANNOT BE ACCEPTED BY THE NFIP. A PREMIUM UNDERPAYMENT HAS EVIDENTLY OCCURRED. PLEASE REVIEW THE RATES AND THE RATING ELEMENTS ON THE FACING PAGE. IF THE PREMIUM UNDERPAYMENT IS SUBSTANTIATED# THE ADDITIONAL PREMIUM SHOWN BELOW SHOULD BE SUBMITTED TO THE NFIP WITH PAGES 3 AND 4 OF THIS DOCUMENT. RETAIN PAGES 1 AND 2 FOR YOUR RECORDS. PLEASE KOTEt THE MAXIMUM COVERAGE AVAILABLE IN THE EVENT OF A LOSS IS THAT AMOUNT OF COVERAGE WHICH CAN BE PURCHASED FOR THE PREMIUM RECEIVED BY THE NFIP. m 2-0158-2507-4 121283 00 1340126250N10 R7-4 E31 RN THIS COPY TO NFIP .............................. ................................................... DO NOT DETACH AGENT I.D.: 47nao77sc APPLICATION NUMBER: 9_01 99-9507-4 POLICY TERM: i2I:02ia,4 TO 19i09Ia4 r Nom: PREMIUM S>. M DUE r ORIGINAL PREMIUM SUBMITTED: t65 00 POLICY NUMBER pF AFPLICABLE) 9—Ot 59-9507_4 11 000000 2015825074 2015825074 C00002600 000000000 s PAGE 4 RECORD ADDITIONAL INFORMATION 0CURRENT POLICY NUMBER mw IRECT BILL INSTRUCTIONS M O POLICY TERM IS FROM /T To m N. / / ONE YEAR POLICY ❑1 THREE YEAR POLICY M �A. i ADDRESS PROPERTY OR CASUALTY INSURANCE IN S NAME AND MAILING ADDRESS OF INSURED �0� AGENT KER 9 AGENTS TAX ID ❑T OR SON M S COVERAGE REOURED FOR DISASTER ASSISTANCE? IF YES, CHECK (,/) GOVERNMENT AGENCY AND ENTER CASE FILE B YES © MO O NUMBER OR INSUREDS SOCIAL SECURITY NUMBER SEA ❑1 FEW M FHA M HEY/ 0 I OTHER. PLEASE SPECIFY M ADD ❑ DELETE ❑ CORRECT ❑ O ADD ❑ DELETE ❑ CORRECT ❑ NAME AND ADDRESS OF FOW MORTGAGEE IF SECOND MORTMGEE LOSE PAYEE OR OTHER S TO BE BaJ.EO B BE COMPLETED. INCLUDWfl THE MME IW ADDRESS no MORTGAGEE 1❑ LOOS PAYEE ❑E DISASTER AGENCY M IF OTHER PLEASE SPECIFY ❑/ IS IU6URED PROPER7V LOCATION SAME AR INSURED MAILWG ADDRESS? YES ❑Y NO ❑N IF NO, ENTER PROPERTY ADDRESS IF REAL PROPERTY LOCUmON B NAME OF COUNTY/PAREH? LTATED OI AO TRO ARA OF THE OUHTY4 YES MNO O COMMUNITY NUMBER AND SUFFIX FOR LOCATION OF PROPERTY INSURED COMMUNITY PROGRAM TYPE S: REGULAR ❑R EMERGENCY © S BUILDING IN SPECIAL FLOODHAZARDLpAREA? YES E❑NO ❑N FLOOD INSURANCE RATE MAP ZONE W ONS pgplllTY EDCOFF�I ULLm 1B D O OTHER ❑4 (A) BUILDING OCCUPANCY (8) SUSDIXR TYPE (C) BASEMFM 18 (E) IS PROPERTY A (G) IS THIS BUILDING IN lOBmEITTAL O � "KNE ❑S COImOMNR1M7 THE GUIDE OF D BMOIE FAIRLY1❑ ONE FLOOR1❑ mom1❑ CONSTRUCTION? fM FAYXY M TAO PLOrnB © IXRPMLL51® Q YES Q NO ❑N (BUILDERS RUM O11Eii R�IDFMIAL M MORE ODB ® YFB ❑ NO ❑ NDN#BmDmAL ❑1 BRW LEII®. ❑1 (D) INSURED GUALIFIES (F) IS BUILDING OATED (H) m BUILDING INSUREDS ABN IHl1O¢P NOyE dF ® AS A SMALL BUSINESS RISK? BY STATE GOVERNMENT? PRINCIPAL RESIDENCE? YEs o ma© � o MO o YEB o ND 0 S BUILDING MULTIPLE OCCUPANCY? YES Y NON S PERSONAL PROPERTY HOUSEHOLD CONTINT57 YE81]NO ❑N IF YES, INSURED OCCUPIES (CHECK ONE BLOCK BELOW) IF NO. PLEASE DESCRIBE BELOW T BASEMENT ONLY 1❑ FIRST FLOOR ONLY ❑8 BASEMENT AND ABOVE ® FIRST FLOOR AND ABOVE ONLY ❑1 SMM FLOOR AND ABOVE ONLY M S BUILDWG POST FIRM WNeTRUCTION OR sLmwANnAL IMPROVEMENT? YES ❑Y NO ❑N G BUILDING PERMIT DATE dl DATE owaTRUCTION STARTED / / IAD I1Aa 7YR� IF POST FIRM CONSTRUCTION IN ZONES AI-AXL AN. V14M. OR IF PE FIRM CONSTRUCTION IS ELEVATION RATED. COMPLETE ELEVATION DATA BELOW: LOWEST FLOOR ELEVATION (-) SASE FLOOD ELEVATION (-) DIFFERENCE TO NEAREST FOOT(+ OR-) Y NpON N F1LpONOIYPRFOLOFED?pppp �1qp pIpTEB pmTTpBUDNROQRryO pm gyp AMp�L 6 PPEV101%LQTf3uWiirED�i�NCATEFPOi.t T TO CFi CERTIPiCAT Oi N WAACNED.K FL BASIC LIMITSADDITIONAL LIMITS BASIC AND ADDITIONAL (REGULAR PROGRAM ONLY) TOTAL MOUNT PREMIUM AMOUNT COVERAGEINSURANCEN10E RATE PREMIUM DANCE RATe PREM INSURANCE EOUESTED R BUILDING m m m CONTENTS m m m ANNUAL SUBTOTAL Dp ONE YEAR POLICY ❑1 (FOR COMPUTATION OF A TW3E YEAR POLICY IANtiINt X > m MULTIPLY THE ANNUAL SUBTOTAL BY THREE AND THREE YEAR POLICY M THEN ADD THE EXPENSE CONSTANT) FISPSE CONSTANT m TOTAL PREPAID PREMUM Op ' -PUNISHABLE �B- FINE OA IMPRIBONM6NT UNDEii 16 U.B. TCODE BEC. 1001.• �•-.. •._ -.. •. DATE OF APPLICATION SIO�JATUJ:E �F IJSR�NAF �e �G�O �B�R_oR . .............................................. ... DO NOT DETACH Make corrections on this form. Return to: National Flood Insurance Program P.O. Bos 459 Hanham, MD 20706 (800) 638-6620 cr F., 19 -A o w !l d14 Lj 3S-176 . 6 FEDERAL EMERGENCY MANAGEMENT AGENCY NATIONAL FLOOD INSURANCE FRO(iWIM. POST CONSTRUCTION ELEVATION CERTIFICATEIFLOODPROOFING CERTIFICATE 1 -7,9013,3 coMMUNm NUMBER INSTRUCTIONS The registered professional engineer, architect, surveyor or community permit official completes Section I below. Section H may be completed by any of the professionals listed at the beginning of Section U, or by a similarly qualified local permit official. Print or type the information on this form. This form Is to be used for new (POST -FIRM) constriction and for substantial Improvements to existing structures In Zones Al-A3O, AH and V1-V3O and existing (PRE -FIRM) buildings to be rated under POST -FIRM rules and rates. SECTION I (TO BE COMPLETED BY COMMUNITY PERMIT OFFICIAL) PROPERTY ADDRESS (or Wt and block number; N address Is wevaliable) 8125 Riverview Terrace N.E. Fridley, MN 55432 RA MAP PANEL ON WHICH PROPERTY IS LOCATED FIA MAP ZONE IN WHICH PROPERTY IS LOCATED 270013 0003 B (3 of 4) Al2 FIA MAP EFFECTIVE DATE BASE FLOOD ELEVATION AT THE PROPOSED SITE March 2, 1981 823.4 START OF CONSTRUCTION DATE Name end Title PHONE (wait Area Code) 7/14/83 Darrel Clark Chief Building Official (612) 571-3450 ADDRESS ��i '�AAWA'J Now. 26, 1984 twgnmrs)Date SECTION U INSTRUCTIONS Complete only the Elevation Certification unless the building has been floodproofed at least to the base flood elevation. If floodproofing is used, complete only the Floodproofing Certification. The Elevation Certification may be completed by a registered professional engineer, architect, or surveyor. The Floodprooflng Certification may only be completed by a registered professional engineer or architect. ELEVATION CERTIFICATION I certify that the building at the property location described above has the lowest floor at an elevation of 824.97 feet, NGVD (mean sea level). FLOODPROOFING CERTIFICATION 1 certify to the best of my knowledge, information, and belief, that the structure is designed so that the structure Is watertight to an elevation of feet NGVD (mean sea level), with walls substantially Impermeable to the passage of water and structural components having the capability of resisting hydrostatic and hydrodynamic loads and effects of buoyancy that would be caused by the flood depths, pressures, velocities, Impact and uplift forces associated with the base flood. In the event of flooding, will this degree of floodproofing be achieved with human Intervention?* Will the structure be occupied as a residence? It the answer to both questions is Yesthe floodproofing cannot be credited for rating purposes and the elevation cerWkxWm must be completed Instead. •Floodproofed with human Intervention means that water will enter the structure when floods up to the base flood level occur, unless measures are taken prior to the food to prevent entry of water (e.g. boiling metal shields over doors and windows). CEHTIFws NAME AFFIX SEAL OR WRITE PROFESSIONAL Mark Burch LICENSE NO. BELOW. TITLE Asst. Public Works Director Minnesota P.E. 16186 ADDRESS City of Fridley Engineering Dept. 6431 University Avenue N.E. Fridley, MN 55432 / ��Z Nov. 26, 1984 (Slgnawne) (Date) The Insumce agent aeecim the second copy of ft complewd form to the flood insurance policy applraflon for new (POST -FIRM) ca sbuction or subslantial improvements. Be an that itre second copy is cerwied. INSURANCE AGENTS MAY ORDER THIS FORM 593-11. 9 • D� e� Om liUfiiitN I INFURMA I IUN Po, �'- 158-2507-4 taw lO gam,© 4ain POLICY 12/02/83To 12/02/84 ONE YEAR POLICY [a THREE YEAR POLICY © --AF-PL I C Ai I O M OR SNIMSED PROPERN OR CASUALTY INSURANCE NAYS AND MAILING ADDRESS OF B JEFFREY C NELSON RICHARD CALL ANDER Jo 3570 N LEXINGTON 8125 RIVERVIEW TERR STE 107 FRIDLEY MN ST PAUL MN 55112 A�+TBT^K0 ® -BSN M 47007750 — 57 IS COVERAGE REOUIR® FOR OISAS�TT.E77R ASSISTANCE? IF YES. CHECK (./) GOVERNMENT AGENCY AND ENTER CASE FILE ° TES I7 NO VMN RAISER OR 04SLMWS SOCIAL SECURITY NUIDER ESA 07 FEMA ® FNA 03 HEW IF OTHER PLEASE SPECIFY NAME AND ADDRESS OF FIRST MORTGAGEE O IF SIM MOR7CMGEE LOSS PAYEE OR OTHER B TO SE BILLED M. W A 0 W 8E CpAPLETED. INCLUDING THE ° NO R W E S T M T G INC END MORTGAGEE O LOSS PAYEE2Q DISASTER AGENCY 30 POB 780 TA F IF OTHER PLEASE SPECIFY IS IN8URED PROPERTY LOCATION SAME AS INSURED —I— AD YES ©NO S IF NO. ENTER PROPERTY ADDRESS IF RURAL, DESCRIBE PROPERTY LOCATION B 8125 RIVERVIEW TERR FRIDLEY MN INi NAME OF COTYIPAFISM A N U K A UOAT®N AA ==WMM ARA CFTHE LqNTYI . YES ®NO S ° COMMUNITY NUMBER AND SUFFIX FOR LOCATION OF PROPERTY ENSURED 27-6013— —B COMMUNITY PROGRAM TYPE IS: REGULAR ® EMERGENCY M BUIILpIINDG� IN SPECIAL FLOODj HAZARD YES R)NO NR ppypTIS LpAREA? FLOOD INSURANCE RATE MAP ZONE * * Al2 * * INFMON► FAC,pO MApO OTHER O I I� NF (A) BUILDING OCCUPANCY (B) TYPE (CI BASEA 84T IS (E7 B PROPERTY A IG) IS THIS BUILDING IN RE810BITIAL �BpUN¢ILDING I "Arm NONE QO CONDOMINIUM? THE COURSE OF 10 BNmB FI110Lr ® O"6 FLDDR1� FI6WIED 10 CONSTRUCTION? w FAPm r 0 TNo FlDIR9 UAI>•FN® n YES QY NO PAY (BUILDERS RISK) ORBI "Iacre 03 YES 0 NO W N IA.Ip SPU" lEYF1 © (0) QUALIFIES (F) °�D (" ION NOTFL1gmRT=amuINcImIi ON© IN A SMALL BUSINESS RISK? BAY UILDDING STATE GOVERNMENT? PRINCIPAL RESIDENCE? YES EY NO [W YESE) NOR YES M NOR IS BLIRDIAKN MuinPLE OCCUPANCY? YFS QY No S IS PERSONAL PROPERTY HOUSEHOLD CONTENTS? YES ®NO S IF YES, INSURED OCCUPIES (CHECK ONE BLOCK EELOW) W NO. PLEASE DESCRIBE BELOW n EASEMENT ONLY mw FLOOR ONLY 03 BABEe,rT AND ABOVE ® FEST FLOOR AND ABOVE ONLY 0 S(O010 8.0011 = ABOVE SKY OST B BUILDING PFIG" CONSTRUCTION OR SUBSTANTIAL IMPROVEMENT? YES 0 NO S Suumm PEWIT DATE OR DATE CONSTRUCTION STARTED C 7 / C 1 / 8 3 IF POST FIRM CONSTRUCTION IN ZONES A14-30. AN. V1430, OR IF PRE FIRM CONSTRUCf[ON B ELEVATION RATED. COMPLETE OoWFATION FFL" DATA *e24.7(–) BASE FLOOD ELEVAnc*9 23.4(_) DIFFERENCE To NEAREsT FooT +1 (+ OR –1 1paTTpBICIIHLOEILNEOy PTILpONODp�pRFO�OFM" r NpON yO�q ppF�NprEs �Cp ff PREVIOUSLY Bl1EI1Tmilm1('.ArE POLI NI.ABEii TO 1�{Y ICSH �1 W 8 ATTAffIFM FL LIMITS BASIC AND ADDITIONAL BASIC UNITS PROGRAM (REGULAR PROGRAM ONL1) COVERAGE TOTAL RATE RATE UAL F 01IRA QUID PREMIUM 1 PREA INSURANCE P INSURRAANCE auLLOING m. m 7G. 000 5600 CONTENTS Op mm ANNUAL SUBTOTAL m ONE YEAR POLICY �7 (PDR COMPUTATION OF A THREE YEAR POLICY ,u W T m THREE YEAR POLICY ® MULTIPLY THE ANNUAL SUBTOTAL BY THREE AND E%PQBE CONSTANT THEN ADD THE EXPENSE CONSTANT) m TOTAL PREPAID PREMIUM 91M DATE OF RECEIPT 12/06/8? DATE OF APPLICATION 11/27163 MAKE CORRECTION ABOVE AND RETAIN FOR YOUR RECORDS SEE PAGE i FOR INSTRUCTIONS ON REPLYING TO THE REQUEST FOR POLICY PROCESSING AND RRNTTzwAT- TaRORMATTON wa-am a3D PAGE I INSTRUCTIONS REQUEST FOR POLICY PROCESSING AND RENEWAL INFORMATION Instructions for completing this four (4) page form are given below. � I P L E A S E R E A D C A R E F U L L Y If you have further questions call the NFIP toll-free number Continental U. S. except Maryland (6110) 6218-6620 Maryland (800) 492-8805 Hispanic (800) 638-6831 PAGE 2—CURRENT INFORMATION I The Information contained on this page Is recorded at the NFIP for the policy number/application control number listed. This page follows the same format as the Application Form, If you have questions concerning a specific section please consult your agent's manual. Review this page for completeness and accuracy and make any corrections on this page and retain for YOUR records. PAGES—INFORMATION REQUESTED The messages on this page indicate what additional information is needed or what areas are Incorrect. Please review these messages and make the corrections on your copy, page 2 After all corrections and changes are complete detach page 2 from page 3. DO NOT DETACH THE BOTTOM OF PAGE 3 F R O M T H E T 0 P Turn to page 4 and record only the correction or changes on this page and return to NFIP. PAGE4—RECORD ADDITIONAL INFORMATION This is the page that will be returned to NFIP for processing. All changes and corrections Indicated on this page should match the changes on page 2. Complete only the Rams that need correction or changes and return to NFIP. RETURN BOTH THE TOP AND BOTTOM OF THIS PAGE. CIVIC CENTER • 6431 UNIVERSITY AVE N.E FRIDLEY. MINNESOTA 55432 • PHONE (612) 571-3450 October 9, 1984 -Mr. Donald Wehlast D.W. Construction Inc. 8804 Lexington Avenue New Brighton, MN 55112 Re: Final Inspection at 8125 Riverview Terrace N.E., Fridley, MN Dear Mr. Wehlast: A final inspection was conducted on October 3, 1984 of the above address and the following items were noted which must be completed before the structure can be finaled out: 1. Provide City with a copy of the verifying survey. 2. Provide a hand rail on the low stair to the lower level. 3. Nail bridging in the floor joist system. We will expect the above items to be completed by November 1, 1984 when a reinspection will be conducted to determine compliance. If you have any questions on these items, please feel free to contact me at 571-3450. Sincerely, DARREL G. CLARK Chief Building Official DGC/mh CC: Mr. Jeffrey C. Nelson 8125 Riverview Terrace N.E. CIVIC CENTER • 6431 UNIVERSITY AVE. N.E.. FRIDLEY, MINNESOTA 55432 • PHONE (612) 571-3450 November 2, 19B4 Mr. Donald Wehlast D. W. Construction Inc. 8804 Lexington Avenue New Brighton, MPJ 55112 Re: Final Inspection at 8125 Riverview Terrace N.E., Fridley (SECOND NOTICE) Dear Mr. Wehlast: A reinspection was conducted on November 1, 1984 of the above noted address to deteizaine compliance with our letter to you dated October 9, 1984. The inspection noted all items were completed with the exception of your submitting a copy of the verifying survey to the City. We will expect the verifying survey to be submitted to our office by November 19, 1984. If you can not supply the survey by this date, please contact me with an alternative date as to when this will be completed. Failure to abate this violation may result in this matter being turned over to the City Prosecutor for his legal consideration. Sincerely, DARREL G. CLARK Chief Building Official DGC/mh CC: Mr. Jeffrey C. Nelson 8125 Riverview Terrace N.E. tl G' 1" rf Fe SUBJECT PERMIT City of Fridley ' 18686" AT THE TOP OF THE TWINS BUILDING PERMIT RE COMMUNITY DEVELOPMENT DIV. L f i PROTECTIVE INSPECTION SEC. i ---'1 CITY HALL FRIDLEY 55432 '.j NUMBER REV. DATE PAGE OF APPROVED BY 612-571-3450 910-F15 10/8/86 JOB ADDRESS 8125 Riverview Terrace N. E. 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 27,28,29,30 S Riverview Heights SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE J. C. Nelson 8125 Riverview Terrace N.E. 784-5823 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 8 DESCRIBE WORK Install masonry fireplace 9 CHANGEOFUSEFROM TO STIPULATIONS Maintain minimum3gof two inches clearance to combustibles between masonry and wood. Install fire alarms in basement and hall nearest the bedrooms. Provide outside combustion air to fireplace or existing furnace. 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 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 $1,700 $.85 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- $28.00 STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. PLAN CHECK FEE TOTAL FEE $28.85 ANT tDATEI S.' ATU - CONTRAO OUTHO�� ED AGE _ WH N PROP RL V LI D THIS IS YOUR PERMIT ®� RE OF NER IR IF OWNER BUILDER) IDATEI''� DG )NSP DATE tl G' 1" rf Fe NEN [ ] City of Fridley Effective 4/1/8( ADDN . [ ] �R-1 AND R-2 ALTER. [ 7 Building Permit Application Construction Address: Legal Description: Owner Name b Address: [ ��►� eat�V le Tel. # Contractor: `�Tel. # Address• 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: las "- P r�r - Corner Lot [ ] Inside Lot [V]- Ft. Yd. Setback Side Yard Setback M q Ssonr �/ Estimated Cost: $ Type of Construction: l'� (� ��iC / Approx. Completion Date: No Alt. A Alt B Proposed Driveway Width If New Opening Is Desired: See Back Page for Explanation DATE: I D APPLICANT: 4Tel . # Y E ONLY Permit Fee $ Fee Schedule on Reverse Side Plan Check $ 25% of Building Permit Fee State Surcharge $ $.50/$1,000 Valuation SAC Charge $ $475 per SAC Unit Park Fee $ Fee Determined by Engineering Sewer Main Charge $ Agreement Necessary [ ] Not Necessary [ J TOTAL ow, Aug 15 01 08:39a Perry Laden MNcheck COMPLIANCE REPORT Minnesota Energy Code MNcheck Software Version 3.0 COUNTY: Anoka STATE: Minnesota ZONE. 2 CONSTRUCTION TYPE: Single Family DATE: 8-15-2001 DATE OF PLANS: 8-2-01 TITLE: C01257 PROJECT INFORMATION: Kaytla and Omar Lopez 8125 Riverview Terrace Fridley MN 55434 COMPLIANCE: PASSES Required UA = 121 Your Home = 118 2.5% Better Than Code (763) 786-5850 p.2 I I I I I Permit # I I 1 I I I Checked by/Date I I I Area or Cavity Cont. Glazing/Door Perimeter R Value R -Value U Value UA ------------------------------------------------------------------------------- CEILINGS 559 44.0 0.0 15 WALLS: Wood Frame, 16" O.C. 662 19.0 2.0 37 GLAZING: Windows or Doors, Above Grade 138 0.350 48 FLOORS: Over Unconditioned Space 559 30.0 0.0 18 ------------------------------------------------------------------------------- COMPLIANCE STATEMENT: The proposed building design described here is consistent with the building plans, specifications, and other calculations submitted with the permit application, The proposed building has been designed to meet the requirements of the Minnesota Energy Code. Builder/Designer t''� --- Date i 3 Rug 15 01 08:39a Perry Laden Home Planning Associates, Inc. 11476 Martin Street N.W. Coon Rapids. Minnesota 55433 (763) 786-5850 P.1 '(CJS. Tr 2l DL U fjucc.ajw& rar..4 ('. S) r - at' -7 tK:L,-� cowO F o(L i,v,p�Z, pZ Sj rmC.L �t LS R1vtn wL%j -r4ft 4LZ, fir:'. . I t k /_ sus iEdt ERMIT City of Fridley 32069 AT THE TOP OF THE TWINS BUILDING PERMIT ' , RECE U. ------ COMMUNITY DEVELOPMENT DIV. L ® � y/` „q� d PROTECTIVE INSPECTION SEC. ,CPL(/Y��;Jf' 1 NUMBER REV DATE PAGE Of APPROVED By 1 ��"1 CITY HALL FRIDLEY 55432 IL' --"A' 612-571-3450 910415 8/9/01 1013 ADDRESS 8125 Riverview Terrace I LEGAL LOT N0. BLOCK TRACTOR ADDITION SEE ATTACHED DESCR. 27-30 S Riverview Heights SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Kayla Lopez, 8125 Riverview Terrace, Fridley, MN 55432 763-786-9391 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Kayla Lopez 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAILADDRESS ZIP PHONE LICENSE NO 8 USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW 0 ADDITION L ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Convert existing deck over garage to 1/2 screen porch & 1/2 living area 9 CHANGE OF USE FROM TO STIPULATIONS See notations on plans. SEPARATE PERMITS REQUIRED FOR® PLUMBIINd AN SIG S SEPARATE PERMITS ARE REOUIRED 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 $30,000 $15.00 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- $441.75 Fire SC $30.00 STRUCTION OR THE PERFORMANCE OF CONSTRUCTION 1 PLAN CHECK FEE TOTAL FEE $4fi6.75 . "G iATURE OF CONTRACTOR OR AUTHORIZED AGENT "DATEi 4LGNAQ1 PR PER VWDATEQ,,VHIS IS YOUR PERMIT - r,ArE O1 OWNER av OWNER BUILDER. . I t k /_ NEW [ l 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: S� Z� R � VCv Legal Description: t Z1, -2- V1 +� lav l mAc- Cp 12.. y -e -v U�ut c Gln Owner Name & Address: 12N I & cft 1�z R 4ki(xl u.c., k=joL_ Tel. # -1 to -1 -1 ,e 2 1 / Contractor: ® W b7 -e— 1/ MN LICENSE # Address: r( -,7.s R.i v-e-V'V L; -L'> irAnze r Tel. # -1 U 3 - -7 if, -518 t 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. R GARAGE AREA: Length Width Height Sq. Ft. DECK AREA: Length Width Hgt/Ground Sq. FL xOTHER:,Roc� . V tnw4A a kilibn &a --6 t cp Pknaai s a (.,- ;�Z4><iz n , xt Construction Type:mdd A L4 pyle- Estimated Cost: $ # -3c), Cry - Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ =$ DATE: N APPLICANT: Tel. # 7dt �J !' CuW\ u9k . lt5 I L�33 C" CITY USE ONLY - Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee Sewer Main Charge TOTAL STIPULATIONS: Call (763) 572-3604 for Permit Fees if mailing in application $ - ? Fee Schedule on Reverse Side -- - $ �3. QC� .001 of Permit Valuation (1/10th%) $ ,S:.0o $.50/$1,000 Valuation $ $1150 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 [ ] $ ;�' 7S `� CITY OF FRIDLEY INSPECTION DIViSION Effective On January 1, 2001 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 n _ JOB ADDRESS_ 7�� I����-� U L� l�(�(% ► �Is 6 RATE SCHEDULE OWNER i -E�-�1 I pl � pe -7— Residential Rate TOTAL Furnace Shell and Duct Work, Burner - BUILDING USED AS Lo c�%L Also Replacement Furnace $ 30.00 $ v� (Side Vent - Fill Out Back) ESTIMATED COST Z PERMIT NO. Gas Piping (Needed with new furnace, $ 10.00 $ but not replacement) DESCRIPTION OF FURNACE AND OR BURNER Gas Range $ 10.00 $ No. of Heating Units Circle One (Steam) (Hot Water) (Warm Air) Gas Dryer $ 10.00 $ Trade Name Size No. BTU HP EDR *Air Conditioning - All Sizes $ 25.00 $ Fuel Total Connected Load All Others/Repairs & Alterations (LIST ON BACK) 1% or �-f Value of Appliance or Worlc,ti` fve lace %� Commercial/Industrial 1.25% of Value of Appliance or Work State Surcharge �� j,2JlJ►-QC TOTAL FEE in,Arl°l"°-/ 10' 1 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. Burner Trade Name Size No._ BTU HP ED $ 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 $ Z�� representations stated in this application are true and correct. DATE 9' HEATING C04,1_i-t4 01- 1 OD& 7 Signed TEL Approved BY46 Rough -In Date Final Date BACK SIDE MLJ6T BE FILLED IN ON VENT SIZE, VENT CONNECTORS AND COMBUSTION AIR VERIFICATION COMMON VENT, VENT CONNECTOR AND COMBUSTION AIR VERIFICATION When replacing an 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 manufacturer's specifications. This does include AGA-GAMA Category I Central Furnace Venting Tables for fan assisted and natural draft appliances. Yes () No ( ) The existing combustion air is sized and installed to meet the current codes and manufacturer's specifications. Yes () No ( ) When required to install a new combustion air, it will be sized and installed to meet the current codes and manufacturer's specifications. Yes () No ( ) When installing a new venting_ system, the undersigned hereby verifies that it is a listed assembly and meets the current codes and manufacturer's specifications. This does include AGA-GAMA Category I Central Furnace Venting Tables for fan assisted and natural draft appliances. 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 Type and Size/Common Vent and Vent 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