PRE 2010 DOCSCity of Fridley
SUBJECT
.
®187C3 0
AT THE TOP OF THE TWINS
BUILDING PERMIT
r
R .
COMMUNITY DEVELOPMENT DIV.
r PROTECTIVE INSPECTION SEC.
CITY HALL FRIDLEY 55432
NUMBER
REV.
DATE
PAGE OF
APPROVED BY
L 612-571-3450
910-F15
10/28/86
JOB ADDRESS 181 - 71st Way N.E.
1 LEGAL
LOT NO.
BLOCK
TRACTOR ADDITION SEE ATTACHED
DESCR.
15
2
Riverwood Park SHEET
2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE
Dennis Lanz
3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO.
McMullen/Moselle, Inc. 430 Industrial Blvd., Mpls. 55413 378-3981
4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO.
5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO,
6 USE OF BUILDING
BFB$ Residential
7 CLASS OF WORK
NEW ❑ ADDITIO ' ❑ ALTERATIONJ ❑ REPAIR ❑ MOVE ❑ REMOVE
8 DESCRIBE WORK
Construct a 54" x 3411.: elling d 2 t x,: 0' GM!!! e
t
9 CHANGE OF USE FROM TO
STIPULATIONS Var- ce ppro d b Council July 21, 1986 (front & rear yards)
Provide a and s fa `way. Provide sod in the front and side yards.'
Provide C ty with verifying survey before capping. Paid $1500 Park Fee..
House on t 14 0 eet from the south lot line.
SEWER & WA TIO
g 11-4
TOP- OF Eimv.
s am .F.,... em t.
Dri wa b Cut Needed: D/W Width + 6" _ " x $13.50 =
SEPARATE PERMITS RE CIrR
Q Eft FOR
6etote 41gong fall local .utilities WIRING, HEATING, PLUMBING AND SIGNS,
TELEPHONE - ELECTRIC - GAS Lt&
REQUIREP) BY LAW
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
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
$101,700
$50.85
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-
ION OR THE PERFORMANCE OF CONSTRUCTION.
$438.00
Credit from School
`�"19,6
PLAN CHECK FEE
7X$N $109.50
TOTAL FEE
$598.35 + Park Fee
SIGNATURE OF CON TRACTOROR AUTHORIZED AGE,y ATE)
WHEN PROPERLY VALIDATED THIS IS YOUR PERMIT
�A�BLDG INSP ATE
SIGNATURE OF OWNER IIF OWNER BUILDER) IDATEi
NEW (�]
ADDN. ( ]
ALTER. ( ]
Construction Address
Legal Description:_
City of Fridley
�R-1 AND R-2
Building Permit Application
1 '?D1- -715
75
�lWOb6
Effective 4/1/86
Owner Name & Address: �� Tel. #
Contractor: "" - L Tel. #
'A .
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.
/o
GARAGE AREA:
Length
Width __
Height
Sq.
Ft.
�� _
DECK AREA:
Length
Width
Hgt/Ground
Sq.
Ft.
OTHER:
VIJ elks
Corner Lot I
Inside Lot [
] Ft. Yd. Setback
Side Yard
Setback
!vim-
��^ �� ``
Estimated
Cost: $
Type of Construction:
►ter,
Io ,
Approx. Completion
Date:
�c�-�.
1. l ��
JO/'
9W
Alt. A
Alt B
Proposed Driveway Width If New Opening Is Desired: $ $
See Back Page for Explanation
APPLICANT : Q Tel.
DATE:
CITY USE ONLY
Permit Fee
Plan Check
State Surcharge
SAC Charge
Park Fee
Sewer Main Charge
TOTAL
STIPULATIONS:
Fee Schedule on Reverse Side
25% of Building Permit Fee
$.50/$1,000 Valuation
$475 per SAC Unit
Fee Determined by Engineering
Agreement Necessary [ ] Not Necessary [ ]
irs
CITY OF
FRIDLI✓Y
CIVIC CENTER • 6431 UNIVERSITY AVE. N. E. FRIDLEY. MINNESOTA 55432 • PHONE (6 12) 571-3450
July 24, 1987
Mr. Hapry Moselle
McMullen/Moselle & Associates Inc.
430 Industrial Blvd.
Minneapolis, MAT 55413
Re: Completion and/or Corrective Construction on Homes in Riverwood Addition
Dear Mr. Moselle:
There are several items of concern to me that we have on various occasions
brought to your attention, either verbally or by letter, that still have not
been completed. I have recently placed several calls to your office and you
either have not gotten the message or you have choosen not to call back.
This letter is our final notice on these matters and if you fail to complete
any of the following items, I have no alternative but to refer this matter to
our City Attorney for his legal consideration.
(1) 141 - 71st Way N.E. , Foundation Wall Correction:
This matter was first brought to your attention on October 3, 1986 when
we asked that you engage the services of a structural engineer to certify
the previous attempted correction. It you until May of 1987 to get
the report, dated 5/20/87, by Horgan Enneering. The report indicates
that additional reinforcement is required. I have discussed this
correction issue with you on several occasions; the last recorded time
was July 1, 1987 when you stated you would complete the correction as per
the engineering report and have the engineer recertify the correction on
or before the end of July, 1987.
The end of July is only a few days away. Therefore if you can not
complete this work by July 31, 1987 we are willing to give you until
August 14, 1987 to do so.
(2) 7130 Riverwood Drive N.E., New House Construction:
(a) Add a register in the warm air plenum.
(b) Retuck the block in the rear basement wall where a hole was left
after pouring the basement floor.
(c) The future fireplace pit has been filled, however the webs were left
open. They must be grouted to keep water out.
(d) The owner recently pointed out that the blocks along the south wall
of the garage have open joints: these must be cemented shut.
These items must also be completed by August 14, 1987.
McMullen/Moselle & Associates Inc.
Re: Canpletion/Corrections on Home Construction
July 24, 1987 Page 2
(3) 181 - 71st Way N. E. , New House Construction:
As you know, construction was abandoned after a basement was constructed
at this location and the lot has weeds and other debris on it. The
basement is not capped and poses a danger to bodily injury if someone was
to fall into it. This too was brought . to your attention on various
occasions; the last time was July 1, 1987 when you stated you would clean
it up and either cap the basement or fence it by the end of July.
This work must also be completed by August 14, 1987.
(4) 7104 Riverwood Drive N.E. , NLa House Construction:
This hone is now in the stag of being framed. We do need a verifying
survey for it. We will not conduct the final inspection on it until we
have received the required survey.
We hope that this letter is all that is necessary to obtain compliance on
these matters. Your prompt attention to resolving these matters will be
greatly appreciated. If you have any questions on any of these items, please
contact me at 571-3450.
Sincerely,
DARRE[, G. CLARK
Chief Building Official
DGC/mh
SUBJECT
NO.
City of Fridley
CWIT
20242
AT THE TOP OF THE TWINS
BUILDING PERMIT
r
RECEIPT NO.
COMMUNITY DEVELOPMENT DIV.
r PROTECTIVE INSPECTION SEC.
J � �
CITY HALL FRIDLEY 55432
j
NUMBER
REV.
DATE
PAGE OF
APPROVED BY
612-571-3450
910-F15
2/13/90
JOB ADDRESS ��g�// ��� 7100 Riverwood Drive N. E.
1 LEGALLOT
NO.
BLOCK
TRACT OR ADDITION SEE ATTACHED
DESCR.
15
2
Riverwood Park SHEET
2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE
Jerry Tollefson Construction 311 Sunrise Lane, Champlin, MN 55316 427-7745
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
l NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE
8 DESCRIBE WORK
Construct a 420 x 26.1 Dwelling and a 24' x 26F Garage
SEPARATE PERMITS RE0111RED FOR
9 CHANGE OF USE FROM WIRIV , HEATING, PLUM-RING AND SIGNS.
STIPULATIONS See notations on plan. Provide sod in the.f:ront and side yards. Provide
a hard surface driveway. Provide City with.veri:fying survey before capping. Rear
yard setback variance granted 10/2/'89.
SEWER LOCATION: 68' N. of H.H. @ 71st Way (_Inv. 842,221
WYE ELEV: 843.18 Top of Footing: 846.18 Minimum
WATER LOCATION: 2' - 10" North of Sewer Service
DRIVEWAY DEPRESSION: Surmountable Curb. Further depression not required but
recommended. 161 + 6' = 221 x $13,50 = $297.00 AVINV
THE CITY OF FRIDLEY D ES NOT GUARANTEE THE Before digging calf for
ACCURACY OF UTILITY OCATIONS AND ELEVATIONS. all utility locations
THIS DATA IS FOR INFORMATION PURPOSES ONLY, 454-0002
ANP PERSONS USING, THIS INFORMATION SHOULD REQUIRED BY LAIC
VERIM 11 ON IE
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
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
$92,676.00
$46.35
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-
$608.00
Credit from School
STRUCTION OR THE PERFORMANCE OF CONSTRUCTION.
PtAN CHECK FEE
TOTAL FEE
/A
$654.35 + DW'
SIGJWATUREOFCONTRACTOI ORIZEDAGENT IDATEI
EN PROPERLY VALI E THIS IS YOUR PERMIT
i
TUBE OF O IIF OW DE IDATEI
BLDG INSP aTE
NEWT- Effective 1/1/go
AD [ ] R-1 AND R-2
ALTER [ ] Building Permit Application
Construction Address:
i � v
Legal Description: ZeT .,2Q.�,,��
Owner Name & Address: �rry ��rroFcr�» l r� r7` Tel. #
Contractor: �,,,�,� Tel. #
Address: �/� cu /2/f,� fir, ���i��J�i2 /«'zs S-X-15/,lgr
Attach to this application, a Certificate of Survey of the
lot, with the proposed construction drawn on it to scale.
DESCRIPPION OF nUWVEMMU
/3 46
LIM G AREA: Length e/ a Width 04 Height Sq. Ft.
GARAGE AREA: length j y Width 96 Height Sq. Ft.
DECK AREA: Length Width Hgt/Ground Sq. Ft.
OTHER:
Corner Int Vq Inside lot [ ]
Ft. Yd Setback
Side Yard Setcks
Type of Construction: woozy
Estimated Cost:
$
Approx. Completion Date: IPA
Y /X' P
Park Fee
z `• 4s t�
Sewer Main Charge
$
Proposed Driveway Width If New Opening Is Desired:
Z6 Ft.
$n 4L $
+ 6'
See Back Page
DATE: fe APPLICANT:
6
Tel. # 6�3y' Y6eL fie
9s+/ ,`663
Permit Fee
(409, m
State Surcharge
$
SAC Marge*404w
Driveway
$
Park Fee
$
Sewer Main Charge
$
TOTAL $ Wil, 3�
STIPULATIONS:
CITY USE ONLY yo'ee f�ovse�
Fee Schedule on Reverse Side
$.50/$1,000 Valuation
$600 per SAC Unit
Alt. "All or Alt. "B" Above
Fee Determined by Engineering
Agreement Necessary [ ] Not Necessary [ ]
PROPOSED HOUSE LOCATION FOR
,'em /e
live. .4 = yo A
TOLLEFSON CONSTRUCTIOW
V
v.
a°
b
Z
PO
A, .�O 00
0
K a 3
3d
•,'d `rte •
�o oO
.:,
: N1N6
Before digging call fO'
all utility locatiorm
454.0002
REQUIRED BY LAIN,
Lot 15, Block 2, Riverwood Park, Anoka County, Minnesota.
THE CITY OF FRiDL EY DOES NOT GLARANTI E- THIE
ACCURACY OF UTILITY LOCATIONS AND ELEVA T IONS.
THIS DATA IS FGR Ih FOR'v ATIGN PUP -POSES UNL1f,
AND PERSONS USING THIS RIFORMATION SHOLAW
VERIFY IT ON THE S;TE.
-HOUSE LOCATION ONLY — NO FIELD SURVEY PERFORMED
I hereby certify that this survey, plan Out. preliminary plat or report was prepared by me or under
my direct supervision and that I am a duly Registered Land Surveyor under the laws of the State
oQvIinnesota.
/a a3 Z.
Reg. No. Date Job No. Book No.
t
CITY OF FRIDLEY
Effective Date May 1, 1988
APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION, REFRIGERATION AND
AIR CONDITIONING SYSTEMS AND DEVICES
RATE SCHEDULE
4RCTn7-1VTT1kT.
XFurnace Shell and Duct Work,
Burner (Also replacement furnace)
�( Gas Piping
(piping needed with new furnace)
Gas Range
Gas Dryer
X* Air Conditioning (all sizes)
All Others/Repairs and Alterations
li of Value of Appliance or Work
COMMERCIAL/INDUSTRIAL
l% of Value of Appliance or Work
RATE
TOTAL
$ 20.00
$
$ 10.00
$ 10.00
$
$ 10.00
$
$ 10.00
$
16_6e)
$
State Surcharge
TOTAL FEE
Reinspection Fee ($15.00)
Rough Insp.
Date
G�
Final Insp. l —2n
Date
Approval for Permit
MINIMUM FEE FOR ANY HEATING PERMIT IS $15.00-
PLUS
15.00PLUS $.50 STATE SURCHARGE
*Air Conditioners can not be placed in side yard without
written permission from adjoining neighbor.
$ .50
Job Address / / 0 6' ' ' / vim,-' c-,� e �r d Al ,,�,e
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.
Fridley, Minn.
19��
OWNER /6 = ;?,"7 �/ cf r*l do
KIND OF BUILDING
USED AS
TO BE COMPLETED ABOUT
ESTIMATED COST
OLD - NEW BUILDING PERMIT NO. PERMIT NO. /v
DESCRIPTION OF FURNACE/BURNER
HEATING or POWER PIANTS, Steam, Hot Water, Warm Aiif- No.
Trade Name 9,2 e,1.4— -t VJ,4 - 634 -6t0 Size No.
C,pasity Z6 Sq. Ft. EDR BTU ®d HP
Total Connected Load Kind of Fuel M�004-0'G
BURNER - Trade Name
Size No.
Capacity Sq. Ft. EDR BTU HP
Company N
el
Signed By
Tel. No.
Fill out back side for stack verification on replacement furnaces
CHIM14EY 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 connected
Yes ( )
No ( )
6.
Has Total heating BTU's of
All other BTU's
TOTAL
Rema rk s
Company
Signed By
Oa to
HEAT LOSS CALCULATIONS
DEPARTMENT OF BUILDINGS
WEATHERSTRIPS
A*S•H.V L
Guide
Reference
19
TYPE OF CONSTRUCTION
INSULATION
WindowsI
Doors
Yes — No
Out, Won
Iot. We"
Ceiling
Roef
Roor
Kind Ceiling I Wall
Yes — No
I
I
I
A. I Room Length Width Height
FL I Room I Length Width Height
WINDOWS
and
DOORS — CRACKAGE and AREA
Height No. o Lineal t. Area
of ane lights of pack sq. ft.
WINDOWS and DOORS — CRACKAGE and AREA
Width Haight No. of Lineal ft. Area
No. of pane of pane lights of crack sq. ft.
No.
Width
of pane
Ceaf. Btu.
Coef. Btu.
R17 IQ 2
Infiltration Indo"aInfiltration
DoorsDoo.
Windows
Esp. Wan
Esp. Well,
Glass
Glass
Not Esp. Wall
Not Exp, Wall
Int. Weil
Int. Wall
Ceiling or Floor
Coiling or Floor
Total Btu.
Total Bfw
Reyaired sq. ft. E. D. R. ors . ins. W. A. Leader area
Required sq. ft. E. D. R. or sq. ins. W.A. Leader area
FL I Room Length Width Height
FL I Room I Length Width Height
WINDOWS
and DOORS — CRACKAGE and AREA
Width Haight No. o} nee Area
of pane of ane lights of peek $4. ff.
1
2�
WINDOWS and DOORS — CRACKAGE and AREA
No.
Width Haight No. of Lineal ft.
No. of pane of pane ; Ir tghfs of crack
Area
sq. ft.
. .
Coof. Bte.
Coef. Btu.
Infiltration DD000rtows
laws
Infiltration p Doors
Esp. Wall
Exp, Will
_
Glass
.Glass
Net Esp. Walt
Not Exp. Wail
Int. -Wall
let. Wall
Ceiling or Floor
Coiling or Floor
Total Btu.
Total Btu.
Required sq. ft. E. D. R. or sq. ins. W. A. Leader area
Required sq. ft. E. D. R. or sq. Ins. W. A. Leader area
FI. I
Room I Length Width Height
FL I Room I Length Width Height
WINDOWS
and DOORS— CRACKAGE and AREA
Width Height No. of Lineal ft. Area
of pane of pane lights of crack . ft.
[-or
WINDOWS and DOORS — CRACKAGE and AREA
Width Height No. of Lineal ft. Area
No. of pane of pane lights of pack sq. ft.
No.
Coef.
Btu.
Coef. Btu.
dow
Infiltration nn
Infiltration DWindows
Exp. Wall
figi, Wall
Glass . er , 0-4 �`
f
Glass
Not Exp, Wall
Not Exp, Wall
Int. Weil
Int. Weil
Coiling or Floor °1
7
Calling or Floor
Total Btu.
Total Btu.
Required sq. ft. E. 0. R. or sq. ins. W. A. Leader area
Required sq. ft. E. D. R. ors . ins. W. A. Leader area
Contractors Signature
GRAND TOTAL
CITY OF FRIDLEY
APPLICATION FOR PLUMBING AND GAS FITTING PERMIT
RATE SCHEDULE
PLUMBING FIXTURE RATES:
New Fixtures
Future Fixtures
Old Opening, New Fixture
Beer Dispenser
Blow Off Basin
Catch Basin
Rain Water Leader
Hydraulic Valve
Sump or Receiving Tank
Water Treating Appliance
Hot Water Heater
Gas Range
Gas Dryer
Back Flow Preventer Required. Yes ( )
Type
RATE
$ 5.00
$ 3.50
$ 1.50
$ 4.00
$ 5.00
$ 5.00
$ 5.00
$ 5.00
$ 5.00
$ 7.00
$ 5.00
$ 10.00
S 10.00
TOTAL
$ `�•Od
$
S
No ( 16
$ 5.00 $
ALL OTHERS AND/OR REPAIRS AND ALTERATIONS
1% of Value of Fixture or Appliance
Reinspection Fee $ State Surcharge
($15.00) TOTAL FEE
Effective Date May 1, 1988
Job Address
Department of Buildings
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. ✓ , 19 G'
OWNER &1. /7. ;" —1,4-
KIND
1,4 'KIND OF BUILDING
USED ASS%/.r F�>
TO BE COMPLETED ABOUT
G
ESTIMATED COST AF
(- NEW B
OLDUILDING PERMIT NO. PERMIT NO. ! C9
Company/4-
�C�
Signed By
Tel. No. . 01 _�= e-.1'
ROUGH INSP. � `rb 6-0701 D -C e
Date
FINAL INSP. �7 ( 7_
Date
a
APPROVAL FOR PERMIT
MINIMUM FEE FOR ANY PLUMBING PERMIT IS $15.00
PLUS THE $.50 STATE SURCHARGE
to
>.
N
ro
o
K
w
Water
H
C
N
p,
W
b•
Heater
-1
m
$4
N v ro
W
�m
ai
3
v .ci
xM
u
v
o
S
�
YA
to
u a
aq
to
3
roc,
N
u
�C 3
c�
o
as
lec
1st
I
I
I
r
f
f
2nd
3rd
4th
(R) - Future Connection Opening
Connected with Sewer
(*) - New Fixture, Old Opening
Water
RATE SCHEDULE
PLUMBING FIXTURE RATES:
New Fixtures
Future Fixtures
Old Opening, New Fixture
Beer Dispenser
Blow Off Basin
Catch Basin
Rain Water Leader
Hydraulic Valve
Sump or Receiving Tank
Water Treating Appliance
Hot Water Heater
Gas Range
Gas Dryer
Back Flow Preventer Required. Yes ( )
Type
RATE
$ 5.00
$ 3.50
$ 1.50
$ 4.00
$ 5.00
$ 5.00
$ 5.00
$ 5.00
$ 5.00
$ 7.00
$ 5.00
$ 10.00
S 10.00
TOTAL
$ `�•Od
$
S
No ( 16
$ 5.00 $
ALL OTHERS AND/OR REPAIRS AND ALTERATIONS
1% of Value of Fixture or Appliance
Reinspection Fee $ State Surcharge
($15.00) TOTAL FEE
Effective Date May 1, 1988
Job Address
Department of Buildings
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. ✓ , 19 G'
OWNER &1. /7. ;" —1,4-
KIND
1,4 'KIND OF BUILDING
USED ASS%/.r F�>
TO BE COMPLETED ABOUT
G
ESTIMATED COST AF
(- NEW B
OLDUILDING PERMIT NO. PERMIT NO. ! C9
Company/4-
�C�
Signed By
Tel. No. . 01 _�= e-.1'
ROUGH INSP. � `rb 6-0701 D -C e
Date
FINAL INSP. �7 ( 7_
Date
a
APPROVAL FOR PERMIT
MINIMUM FEE FOR ANY PLUMBING PERMIT IS $15.00
PLUS THE $.50 STATE SURCHARGE
rJAM
CIiYOF
FRIDLEY
FRIDLEY MUNICIPAL CENTER • 6431 UNIVERSITY AVE. N.E. FRIDLEY, MN 55432 • (612) 571-3450 • FAX (612) 571-1287
November 14, 1990
Mr. Octave Zachmann
7100 Riverwood Drive N.E.
Fridley, MN 55432
Re: Final Inspection at 7100 Riverwood Drive N.E., Fridley
Dear Mr. Zachmann:
A final inspection was conducted on September 28, 1990 of the above
address and the construction was approved as completed.
If you have any questions on this matter, please feel free to
contact me at 571-3450.
Sincerely,
DARREL G. CLARK
Chief Building Official
DGC/mh