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PRE 2010 DOCS01 SUBJECTPERMIT NO. City of Fridley ® 19462 AT THE TOP OF THE TWINS BUILDING PERMIT � CEIPT N • COMMUNITY DEVELOPMENT DIV. -_ �------ r PROTECTIVE INSPECTION SEC. -7 LI = � CITY HALL FRIDLEY 55432 1 NUMBER REV. DATE PAGE OF APPROVED BY ----� ,� 612-571-3450 910-F15 5/11/88 JOB ADDRESS 7102 Ri-verwood Drive N.E. 1 LEGAL LOT NO. BLOCK TRACTOR ADDITION SEE ATTACHED DESCR. 14 2 Riverwood Park SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Brandon Construction 311 Sunrise Lane, Champlin, MN 867-1845 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 ❑ X NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Construct a 60' x 28' Dwelling; z 32' x 24' Garage; z 10' x 18' & 4' x 8' Deck SEP TE PERMIT!; REOUrRM FOR 9 CHANGE OF USE FROM l b .sa TING, PLUMBING -AN® SIGNS, STIPULATIONS provide a hard surface driveway. Provide sod in the front and side.yards. Provide City with copy of verifying survey before capping. Pay $1,500.00 Park Fee. Variance release signed for adjacent lot (Lot 15) for side yard setback. SEWER LOCATION: "Y" 144' North of Manhole "Y" ELEV: 844.24 MINIMUM TOP OF FOOTING: 847.24 WATER LOCATION: In same trench as sewer DRIVEWAY ESCROW: 30` + 6' = 36" x $13.50 = $486.00 MINUS UNUSED ESCROW FROM 131 -71st Way ($351.00) _ $135.00��+�RNING THE CITY OF FRIDLEY DOES NOT GUARANTEE THE Before diggin.g call local utilities ACCURACY OF UTILITY LOCATIONS AND ELEVATIONS. TELEPHONE.--ELECTRIC-GAS Etc. THIS DATA IS FOR INFORIIIII1TION PURPOSES ONLY, RE QU1RED BY !AW AND PERSONS USING TM.':- INFGI-?MATION SHOULD VERIFY IT ON THE MI F 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 1 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 $114,750 $557.38 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- $692.00 CREDIT FROM SCHOOL S OR THE PERFORMANCE OF CONSTRUCTION. ,yION ,/� PLAN CHECK FEE TOTAL FEE N/A $749.38 + DW & PF SIGNATURE OF CON C1ORAUTHORIZEDAGE (DATE) l WHEN PROPER VALIDATED THIS IS YOUR PERMIT P BLDG INS, 9FATE SIGNATURE OFMNER IIF. -" N BU DER) IDATEI 01 �7� y i' .;I Page 1 cd! 2 • May , 1988 This instrument drafted by: City of Fridley 6431 University Avenue Fridley, m 55432 Be: Lot 151 Block 2, Riverwood Park I. Leroy S. Anderson, agree to waive the variances which are attached hereto. (VAR #8613; Appeals Comission Meeting, June 24, 1986; City Council Meeting July 21. 1986), Approved variances with stipulations. MTACS: 1 LMOY S. AROMcrr Riverwood Associates STATE OF MINNESOTA ) County of Anoka ) On this 00 day of 1% . 1988, before me, a Notary Public within and r the County of«"d the State of Minnesota, personally appeared i S.� 1Le4L.S%-j , to me known to be the same person described in and who executed the foregoing instrument, and acknowledged that they executed the same as their free act and deed. Notary Public aMy :1011 f en h NOTARY PUDpC ©MINNESWWI HNEPh1y eeOUTY mmission expires Auer t 21,199© My Commission Expires: frT Page 2 of 2 s i CIlYCOF FRIDLEY ' . CIVIC CENTER • 6431 UNIVERSITY AVE. N.E. FRIDLEY. MINNESOTA 55432 • PHONE (612) 571-345() LeRoy Anderson Riverwood Associates 430 Oak Grove Loring Park Office Building Suite 404 Minneapolis, MPJ 55403 July 22, 1986 CITY COUNCIL ACTION TAKEN NOTICE On July 21, 1986 , the Fridley City Council officially approved your request for a variance, VAR #86-13, to reduce the front yard setback (easterly side of lotl from 35 feet to 17.5 feet; to reduce the rear yard setback (westerly side of lot) from 30 feet to 17.5 feet on Lot 15 Block 2 Riverwood Park with the following stipulations: 1. The house on the adjoining lot (Lot 14) owned by the present owner be 20 feet from the south lot line. 2. If the work has not commenced within 1 (one) year after granting this variance then the variance shall become null and void. If you have any questions regarding the above action, please call the Planning Department at 571-3450. Sincerely, aures L. Robinson Planning Coordinator 3LR/dm Please review the noted stipulations, sign the statement below and return one copy to the City of Fridley Planning Department, by August 5, 1986. AEC E IVED JUL 25 1986 Concur with action taken o " NEW �] City of Fridley Effective 5/1/88 ADDN [ I R-1 AND R-2 ALTER [ I Building Permit Application Construction Address: 19/6't a A'— 02;"% Legal Description: Z/ zv 11�16-z _-*7 Owner Name & Address: Tel. # �6�6f3,f sai- 563 Yvic+P���� Contractor: Tel. # Address: Attach to this application, a Certificate of Survey of the lot, with the proposoed construction drawn on it to scale. LIVING AREA: Length ('O Width d Height Sg. Ft. GARAGE AREA: Length 3 e Width 2 cl Height Sg. Ft. DECK AREA: Length /D Width fL� Hgt/Ground Sq. Ft. DO e/ Corner Lot [ I Inside Lot PQ Ft. Yd Setback Side Yard Setbacks Type of Construction: �tA-)Esta = w st: $ - Approx. Completion Date: ��,s - l� ;����������•?�ON 60 A t. A Alt. B Proposed Driveway Width If New Opening Is Desired:" $ $ Width + 6' See Back Page ': TPULATICOS • �O Sip 4 6P 0 ApOT ca%��I•s® DATE: APPLICS: o-"� Tel. # df6f G13df" CITY USE ONLY M Permit Flee $ � •®® Fee Schedule on Reverse Side jGV/?.Sd t W State Surcharge $ %. $.50/$1,000 Valuation koz �°`' `3P . SAC Charge '! Driveway Escrow I �" $ $550 per SAC Unit "Iwo Alt. "A" Alt. "B" °3S 1.p0 or Above �,EMEMEM 00 Park Fee $ A Ca[�. U Fee Determined by Engineering ' Sewer Main Charge $ Agreement Necessary I I Not Necessary [ I TAT. $ 9 s ': TPULATICOS • �O Sip 4 6P 0 ApOT ca%��I•s® Proposed.. -House Loc8tion --Por Brandon Construction O s Pr i 1• �d• L f y ra.,�• 1 v � f 41 ���. 4 � �o• i W 1 _• - 1 p L A, V, No• N 1 1 r �o a 0 Att'Zorsg,�3„ ., Iro � o CDO. _ sa• rr Y - . Lot 14. Block 2. Riverwood Park. Anoka County.' Minnesota. 859. S /�/'opds?Gr •�e Sl ~*f ler HOUSE LOCATION ONLY — NO FIELD WORK CONDUCTED I hereby certify that this survey, plan plat. preliminary plat or report was prepared by me or wider my direct supervision and that I am a duly Registered Land Surveyor under the laws of the State of Minnesota. /sit Reg. No. Date Job No. Book No. �v* 14,11 Ito k -(4 &/-, /vl - l-' , ? 41 ;- /� r-CcT 1 f►(G l �,( u, . r q l� - // 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 RESIDENTIAL Furnace Shell and Duct Work, Burner (Also replacement furnace) Gas Piping (piping needed with new furnace) Gas Range Gas Dryer RATE TOTAL Job Address —2 ( C 2 e, V ¢_ �r r&'0e- C� �4- , $ 20.00 $ $ 10.00 $ $ 10.00 $ $ 10.00 $ * Air Conditioning (all sizes) $ 10.00 $ All Others/Repairs and Alterations 1% of Value of Appliance or Work $ COMMERCIAL/INDUSTRIAL 18 of Value of Appliance or Work $ State Surcharge $ .50 TOTAL FEE $ Reinspection Fee ($15.00) $ �J^�4^o Rough Insp. Date Final Insp. ' ;U, Date Approval for Permit t MINIMUM FEE FOR ANY HEATING PRMIT IS $15.00 PLUS $.50 STATE SURCHARGE *Air Conditioners can not be placed in side yard without written permission from adjoining neighbor. 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. % — L— , 19 OWNER KIND OF BUILDING USED AS Ta BE COMPLETED ABOUT ESTIMATED COST OLD NEW ILDING PERMIT NO. PERMIT N0. X DESCRIPTION OF FURNACE/BURNER HEATING or POWER PLANTS, Steam, Hot Water, Wa Air- No. �r l Trade Name /r--�c P 3 4 �— ���� Size No. Capacity Sq. Ft. EDR BTU HP Total Connected Load BURNER - Trade Name Capacity Kind of Fuel Size No. Sq. Ft. EDR BTU HP Company , 441n -7--. e . Signed By e Tel. No. � -7 Z j Fill out back side for stack verification on replacement furnaces CHIMNEY AND STACK VERIFICATION The undersigned hereby verifies that the existing chimney or stack; 1. Has been carefully examined Yes ( ) No ( ) Z. 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 Date FITYOF RIDLEY CIVIC CENTER • 6431 UNIVERSITY AVE. N.E. FRIDLEY, MINNESOTA 55432 • PHONE (612) 571-3450 July 29, 1988 Jerry Tollefson Construction 311 Sunrise Lane Champlin, MN 55316 Re: Final Inspection at 7102 Riverwood Drive N.E., Fridley Dear Sirs: A final inspection was conducted on July 29, 1988 of the above address and the following items were noted which must be completed before the structure can be f inaled: 1. Provide City with copy of verifying survey. 2. Secure sump basket cover. 3. Adjust self-closing hinge on door between house and garage. 4. Secure electric wire so it does not touch -Class H vent. We will expect the above items to be campleted by August 15, 1988 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, D G. CIAIRk Chief Building Official DG C/mh CC: 7102 Riverwood Drive N.E. 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 �f Job Address RESIDENTIAL RATE TOTAL Furnace Shell and Duct Work, �- Burner (Also replacement furnace) $ 20.00 $ c Department of Buildings, 6431 University Ave. N.E., Fridley, MN 55432 �, City of Fridley Gas Piping $ 10.00 $ Tel. #571-3450 (piping needed with new furnace) Gas Range $ 10.00 $ 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 Gas Dryer $ 10.00 $ and rulings of the Department of Buildings, and hereby declares that all the facts and representations stated in this application are true and correct. * Air Conditioning (all sizes) $ 10.00 $ Fridley, Minn. 19 All Others/Repairs and Alterations OWNER % 0,LZ �S®/z— 1% of Value of Appliance or Work $ _ KIND OF BUILDING COMMERCIAL/INDUSTRIAL USED AS 1% of Value of Appliance or Work $ TO BE COMPLETED ABOUT p�yGS' J l ESTIMATED COST State Surcharge $ .50 �/� OLD-jNEW/BUILDING PERMIT NO. PERMIT NO. TOTAL FEE $ ��� Reinspection Fee ($15.00) $ , DESCRIPTION OF FURNACE/BURNER Rough Insp. Date Warm Air HEATING or POWER PLANTS, Steam, Hot Water, No. ce, Final Insp. `'�" , Trade Name %/�(d24ey®/�✓�/f�%�✓'�ize No. Date Capacity Sq. Ft. EDR BTU HP Approval for Permit c Total Connected Load Kind of Fuel /V 3 BURNER - Trade Name Size No. Capacity Sq. Ft. EDR BTU HP MINIMUM FEE FOR ANY HEATING PERMIT IS $15.00 Company��®��'���� //YC PLUS $.50 STATE SURCHARGE _ Signed By Tel. No. *Air Conditioners can not be placed in side yard without written permission from adjoining neighbor. Fill out back side for stack verification on replacement furnaces 1 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 connected Yes ( ) No ( ) 6. Has Total heating BTU's of All other BTU's TOTAL Rema rk s Company Signed By Date CITY OF FRIDLEY APPLICATION FOR PWMBING AND GAS FITTING PERMIT RATE SCHEDULE PLUMBING FIXTURE RATES: NO. 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 I ALL OTHERS AND/OR REPAIRS AND ALTERATIONS IS of Value of Fixture or Appliance 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 $ 10.00 Reinspection Fee $ State Surcharge ($15.00) TOTAL FEE TOTAL $ $ .50 Effective Aug. 1, 1981 Job Address "1 i OZ P,)' 'if 1z-'j0Oj Q h' 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, Mo. 16 , 19 B'5 OWNER 1 0 KIND OF BUILDING f 16-1 J E4-I�A L USED AS AYE TO BE COMPLETED ABOUT d wl �.► �l ESTIMATED COST O- NEW HU DING PERMIT NO. PERMIT NO. ROUGH INSP. Date Company l --40�j 4- iii p -JE Signed By l Tel. No. FINAL INSP. Date APPROVAL FOR PERMIT MINIMUM FEE FOR ANY PLUMBING PERMIT IS $10.00 PLUS THE $.50 STATE SURCHARGE m >. 0 0 % 0 Water 0 71 ild W tr r. 4 m G7 y 14W J H 0044 W Heater b N ,+.G J 3 $4 Iii N m a� »9 m x R .W g u •.0i °� m .o+ 4 ro o x m m m m U D t� W 3 09 m w U M, .t 3 u o as lec JR I / 1st 2nd -2_ 3rd 4th (R) = Future Connection Opening Connected with Sewer (•) = New Fixture, Old Opening Water RATE SCHEDULE PLUMBING FIXTURE RATES: NO. 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 I ALL OTHERS AND/OR REPAIRS AND ALTERATIONS IS of Value of Fixture or Appliance 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 $ 10.00 Reinspection Fee $ State Surcharge ($15.00) TOTAL FEE TOTAL $ $ .50 Effective Aug. 1, 1981 Job Address "1 i OZ P,)' 'if 1z-'j0Oj Q h' 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, Mo. 16 , 19 B'5 OWNER 1 0 KIND OF BUILDING f 16-1 J E4-I�A L USED AS AYE TO BE COMPLETED ABOUT d wl �.► �l ESTIMATED COST O- NEW HU DING PERMIT NO. PERMIT NO. ROUGH INSP. Date Company l --40�j 4- iii p -JE Signed By l Tel. No. FINAL INSP. Date APPROVAL FOR PERMIT MINIMUM FEE FOR ANY PLUMBING PERMIT IS $10.00 PLUS THE $.50 STATE SURCHARGE CIZYOF FRIDLEY CIVIC CENTER - 6431 UNIVERSITY AVE. N.E. FRIDLEY, MINNESOTA 55432 - PHONE (612) 571-3450 August 16, 1988 Mr. Jerry Toll of son Jerry Tollefson Construction 311 Sunrise lane Champlin, MN 55316 Re: Final Inspection at 7102 Riverwood Drive N.E., Fridley (SECOND NOTICE) Dear Mr. Tollefson: A reinspection was conducted on August 15, 1988 of the above address but I was unable to gain entrance to the structure to determine compliance with the following items: 1. Provide City with copy of verifying survey. 2. Secure sump basket cover. 3. Adjust hinge on door to garage from house. 4. Secure electrical wire to not touch vent. 5. Fill cap block on garage by front step (talked to cement contractor). These items need to be completed and approved before the structure can be finaled. Please contact me to set up a date and time when I can gain entrance to reinspect these items. We also need the verifying surveys for the homes constructed by your company at 7590 Lakeside Drive N.E.; 7151 Riverwood Drive N.E.; and 6500 Lucia Lane N.E. Please contact me if you have any questions on these items. Sincerely, AAA D CLARK Chief Building Official DGC/mh SUBJECT PE City of Fridley 31 107 AT THE TOP OF THE TWINS I I I L D I N G P E Q j T BUILDING � ® V �\1 RE T NO. COMMUNITY DEVELOPMENT DIV. PROTECTIVE INSPECTION SEC. r 1 1 � NUMBER REv DATE PAGE OF APPROVED BY = 1 I--.% CITY HALL FRIDLEY '55432 � %.j 612-571-3450 910415 6/28/00 JOB ADDRESS 7102 Riverwood Drive 1 LEGALLOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 14 2 Riverwood Park SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Greg Carlson 70102 Riverwood Dr. Fridley, Mn 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Renewal By Andersen 350 - 73rd Ave NE, Fridley, MN 55432 612/502-4777 20130983 a ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO B USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW ❑ ADDITION ❑ ALTERATION C REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Replace Windows 9 CHANGE OF USE FROM TO STIPULATIONS Provide Smoke Detectors in all sleeping rooms and on all levels of the dwelling per Section 310.9.1.2 of the 1997 Uniform 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 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 r WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT $7,572.00 $3.79 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- $153.25 Fire SC $7.57 STRUCTION OR THE PERFORMANCE OF CONSTRUCTION 1 PLAN CHECK FEE TOTAL FEE L C. se C $5.00 $169.61 SIGNATURE OFCON TRACTOR ORAUTHORIZED AGENT ,DATE, ROPERLY VALIDATED THIS IS,Y UR ERMIT /vi/JL S,GNATURE OF OWNER „F OWNER BUILDER, ,DATE, $HP. riATE NEW[ J Effective 5/10/99 ADDN [ ] CITY OF FRIDLEY ALTER [ ] SINGLE FANMY AND DUPLEXES R-1 AND R-2 BUILDING PERAM APPLICATION Construction Address: Legal Description: Owner Name & Address. Contractor; RENEWAL BY ANDERSEN Address: 350 -73RD AVE. NE — FRIDLEY, MN 55432 (612) 502-4777 LICENSE #20130983 Tel. # MN LICENSE # - ;ertif cate of Survey. of the fiction drawn on it to scale. r . e... a►:. ,�, a n e A, - Tel. # LIVING AREA: Length Width Height Sq. Ft. GARAGE AREA: Length Width Height Sq. Ft. DECK AREA: Length Width Hgt/Ground Sq. Ft. OTHER: Construction Type:_ �i��l�aci©C� Estimated Cost: $ ��� • Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ DATE: IDATE: 0Q APPLICANT: l Tel. #I f I r ^O� CITY USE ONLY Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee Sewer Main Charge Fee Schedule on Reverse Side .001 of Permit Valuation (1/10th%) $.50/$1,000 Valuation $1050 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 [ J TOTAL $ lbq4EL STIPULATIONS: �-.�,�- ;��,��� - �:�., ;�'o��� �- ✓997 ��'� • su9JEtT PERMIT NO. City of Fridley AT 2 ®8 9 THE TOP Of THE TWINS g u I L D 1 N G PER M I T r RECEIP __ ___ COMMUNITY DEVELOPMENT DIV. L INSPECTION SEC. ®� `�j �Y J v r PROTECTIVE 1 . � NUMBER REV DATE PAGE OF APPROVED BY CITY HALL FRIDLEY 55432 612-571-34b0 910-F15 8/20/01 F/ JOB ADDRESS 7102 Riverwood Drive 1 LEGAL LOT NO. BLOCK TRACTOR ADDITION SEE ATTACHED DESCR. 14 2 I Riverwood Park SHEET 2 PROPERTY OWNER MAIL ADDRE,S�$ ZIP PHONE Greg Carlson, 7102 Riverwood Dr, Fridley, MN 55432 763-572-1628 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Top Gun Inc., 13325 Commerce'Blvd Suite 2, Rogers, MN 55376 763-428-4559 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. BC 20155030 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO B USE OF BUILDING Residential 7 CLASS OF WORK 0 NEW 0 ADDITION 0 ALTERATION C REPAIR 0 MOVE 0 REMOVE 8 DESCRIBE WORK Reroof (tear-off) - 28 squares 9 CHANGEOFUSEFROM TO STIPULATIONS Underlayment must comply with State Building Code. 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 SO. FT CU FT AUTHORIZED IS NOT COMMENCED WITHIN 80 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 1 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. SO WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT $3,009-00 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- $97.25 Fire 8C $3.00 STRUCTION OR THE PERFORMANCE OF CONSTRUCTION PLAN CHECK FEE TOTAL FEE Li ense SC $5.00 1 $106.75 T RAUHORiZ iDATEi S.E O� LONc CTOR Oi N RLY VALIDATED THIS IS YOU,PEWIOER' d r— —SGNATUREOFOW / M ER,-FO ERBU1L0M iDATEi OATE NEW M Effective 1/1/2000 ADDN CITY OF FRIDLEY (763) 572-3604 Bldg Insp ALTER ❑ SINGLE FAMILYAND DUPLEXES R-1 AND R-2 BUILDING PERMITAPPLICATION Construction Address: 7102 RIVERWOOD DR NE Legal Description: Owner Name: GREG CARLSON Tel. # 7635721628 Address: 7102 RIVERWOOD DR NE FRIDLEY MN 55432 Contractor: Top Gun Inc. MN LICENSE # BC -20155030 Address: 13325 Commerce Blvd Suite 2 Rogers MN 55376 Tel. # 7634284559 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. DECKAREA: Length Width HgtlGround Sq. Ft. OTHER: RE-ROOF/TEAR-OFF Number of Squares: 28 Construction Type: RE-ROOF/TEAR-OFF Estimated Cost: $ 5600.00 T Permit Fee $ a :7,2Fee Schedule on Reverse Side Fire Surcharge $ �3 � CC) .001 of Permit Valuation (1/10th %) State Surcharge $ 1.5 c7 $.50/$1,000 Valuation SAC Charge $ $1100 per SAC Unit License Surcharge $ 15,00 $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❑ Not Necessary❑ TOTAL $ ' STIPULATIONS: x37_/15 To: Fridley Building 6431 University Ave NE Fridley MN 55432 Top Gun Inc. 13325 Commerce Blvd Suite 2 Rogers MN NeWlerk ID# 96098 7635723604 7635711287 Tel.• 7634284559 Fax: 7634288826 55376 Email.• topguninc@uscorp.net Carrier. Berkley Risk Admin. Number: WC -22-04-101204-00 Exp.: 08/25/2001 Number. BC -20155030 Class/type: Residential Builder Exp.: 03/31/2002 Homeowner name: GREG CARLSON Project address: 7102 RIVERWOOD DR NE FRIDLEY MN 55432 Job Description: RE-ROOF/TEAR-OFF Payment Type: Check Card holder name: Homeowner tel: 7635721628 Valuation: 5600.00 Credit card number. Expiration date. l 720 Dubuque Ave., - South San Francisco, CA 94080 - Government Services: 888-330-1777 - Fax: 877-846-5888 CITY OF FRIDLEY 6431 UNIVERSITY AVENUE NE FRIDLEY, MN 55432 ►63) 572-3604 FAX: (763) 571-1287 ADDRESS : 7102 RIVERWOOD DR NE PIN : 103024420071 LEGAL DESC : RIVERWOOD PARK : LOT 14 BLOCK 2 PERMIT TYPE : BUILDING PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : WINDOW/DOOR REPL PERMIT O.: 2004-01099 DATE ISSUED: 07/13/2004 VALUATION : $ 6,000.00 NOTE: PROVIDE SMOKE DETECTORS IN ALL SLEEPING ROOMS AND ON ALL LEVELS OF THE DWELLING PER R317 OF THE 2000 INTERNATIONAL RESIDENTIAL CODE. CAULK AND FLASH ALL EXTERIOR OPENINGS. REPLACE 6 WINDOWS WITHIN EXISTING OPENINGS. STATE LICENSED CONTRACTOR 1 APPLICANT RENEWAL BY ANDERSEN (20130983) 1920 W CO RD C ROSEVILLE, MN 55113- (763) 5024777 OWNER CARLSON GREGORY C & BERG J M 7102 RIVERWOOD DR NE FRIDLEY, MN 55432 AGREEMENT AND SWORN STATEMENT This permit becomes null and voild_if_Kcor uromistruetion 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 regulati4g construction or the performance of construction. BUILDING PERMIT FEE FIRE SURCHARGE STATE SURCHARGE, VALUE LICENSE SURCHARGE TOTAL PAID WITH CHECK # 36161 SEPARATE PERMITS REO°UIRED FOR WORK OTHER THAN DESCRIBED ABOVE. 125.25 6.00 3.00 5.00 139.25 04/02/2004 FRI 13:21 FAX ELDER JONES 38®1 U001/001 NEW I ] CITY OF FRIDLEY Effective 4/112004 ADDN [ J 6431 University Ave NE, Fridley, MN 55432 (763) 572-3604 Bldg Insp ALTER [ j SINGLE FAMILY AND DUPLEXES R-1 AND R-2 (763) 571-1287 Fax BUILDING PERMIT APPLICATION Construction Address; 7� I C® 6"► Legal Description: Owner Name & Address:70���W-Q,��C_ Tel.* l� 3• - `® Contractor. MN LICENSE #; W9S 3 //--tL -1 Address: RENEWAL BY ANDERSEN Tel. # lC �' 1920 COUNTY ROAD "C" WEST ROSEVILLE, NIN 55113 Icate of survey of the ,i drawn on it to, sc�: DESCRIPTION OF IMPROVEMENT LIVING AREA: GARAGE AREA: DECK AREA: OTHER: Length Width Height ljq. F " Length Width Height Width Hgt/Ground Construction Type: Estimated Cost: $ <, o , COD— Driveway Curb Cut Width Needed; Ft, + 6 Ft = Ft x $ .=$ DATE: o APPLICANT:Tel. #& 4La Call (763) 672-3604 for Permit Fees if mailing in application. Fax to 763 -57.1 - if using credit card and we will call you for card number. s Permit Fee Plan Review Fire Surcharge State Surcharge SAC Charge License Surcharge Curb Cut Escrow Erosion Control Park Fee Sewer Main Charge TOTAL CITY USE ONLY,- Permit NLY- $ I Fee Schedule on Reverse Side $ 65% of Permit Fee $ ® .001 of Permit Valuation (1/10th%) $ �3 ,0 0 $.501$1,000 Valuation $ $1350 per SAC Unit $ . QQ $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 [ $ STIPULATIONS: Building Inspections 763-572-3604 763-502-4977 FAX DATE LU -M SITE ADDRESS THIS APPLICANT IS: PROPERTY OWNER/ TENANT PLUMBING Permit No.: L�� RESIDENTIAL APPLICATION Received By• CITY OF FRIDLEY Dat EFFECTIVE 2-19-09 Y_ .OjiJt E-MAIL ADDRESS ❑ OWNER'dCONTRACTnRIT(�R/ACTnR CONTRACTOR NAME -?_—LICA SUBNHT A COPY OF YOUR STATE STATE LICENSE # I LICENSE, BOND AND STATE BOND # CERTIFICATE OF ADDRFSS•� INSURANCE PHONE ( PP<�1 _CITY_ __ FAX PERMIT TYPE I - SINGLE FAMILY 11 TWO FAMILY ❑ TOWNHOUSE TYPE OF WORK: I El NEW DETAILED DESCRIPTION OF WORK EXP DATE EXP DATE TA FEES ARE BASED ON $10.00 PER FIXTURE, EXCEPT WHERE NOTED. FIXTURES: (INDICATE TOTAL NUMBER OF EACH BELOW). MINIMUM FEE $35.50. _ BATH SINKILAV _FLOOR DRAINS SHOWER WATER PIPING BATHTUB _ GAS PIPING (NEED CITY LIC) _ _ SWIMMING POOL WATER SOFTNER ($35) $35) _ CLOTHES WASHER _ KITCHEN SINK _WATER CLOSET BACKFLOW PREV. _DISHWASHER _LAUNDRY TRAY _WATER HEATER ($35) _ FOR IRRIGATION _ WATER METER OTHER THIS IS AN APPLICATION FOR A PERMIT -NOT VALID UNTIL PROCESSED I hereby apply for a plumbin it and I acknowledge that the information above is complete and accurate; that the work will be in conformance with the or ' ces an codes of the City of Fridley and with the Minnesota Construction Codes; that I understand this is not a permit but only ap lI ation f pe it an ork is not to start without a permit on site; that the work will be in accordance with the approved pla in th e a wo wh' quires review and app al of pl s. SIGNATURE OF APPLICA T PRINT NAME I / 1 City of Fridley Building Inspections Department 6431 University Avenue NE, Fridley, MN 55432 763-572-3604 FAX: 763-502-4977 Building MECHANICAL Inspections RESIDENTIAL APPLICATION 763-572-3604 CITY OF FRIDLEY 763-502-4977 FAX EFFECTIVE2-19-09 DATE UR E-MAIL ADDRESS 8 V` SITE ADDRESS THIS APPLICANT IS: ❑ OWNER ONTRACTOR PROPERTY NAME: V� ADDRESS: CITY OWNER/ TENANT PHONE:yme CONTRACTOR COMPANY NAME: . -4 1' Permit No.: Received By SUBMIT A COPY OF CONTACT PERSON: YOUR STATE STATE LICENSE # EXP QATE LICENSE WITH ADDRESS: CITY STAT aZIP, `ll (, APPLICATION PH?NE ' FAX PERMIT TYPE TYPE OF WORK: I ❑ NEW FAMILY ❑ TWO FAMILY ❑ TOWNHOUSE DETAILED DESCREPTION OF WORK ❑ ALTERATION/REMODEL FEES ARE BASED ON $10.00 PER FIXTURE, CEPT VKNOTED. FIXTURES: TO NUMBER OF EACH BELO Equipment Installed MFG: MODEL: SIZE/BTU MFG: MODEL: SIZEIBTU _11_A/C $25.00 AIR TO AIR EXCHANGEER $15 _BOILER $35.00 _CHIMNEY LINER $10.00 DUCT WORK $10.00 MFG: MODEL: _FIREPLACE (GAS) $15.00 _FIREPLACE (WOOD) $35.00 FURNACE $35.00 _GAS DRYER $10.00 GAS PIPING $10.00 SIZE/BTU _GAS RANGE/OVEN $10.00 NEW GAS GRILL $10.00 _GAS UNIT HTR $10.00 _POOL HEATER $35.00 VENTILATOR $15.00 THIS IS AN APPLICATION FOR A PERMIT -NOT VALID UNTIL PROCESSED I hereby apply for a building permit and I acknowledge that the information above is complete and accurate; that the work will be in conformance with the ordin es codes of the City of Fridley and with the Minnesota Construction Codes; that I understand this is not a permit but only an ap 'on fo \7a permit and work is not to start without a permit; that the work will be in cordance with the approved plan in the case f all k w ' requires -review and approval of pl D,,, �j1 / SIGNATURE OF APPLICANT _ q091D PRINT NAME City of Fridley Building Inspections Department 6431 University Avenue NE, Fridley, MN 55432 763-572-3604 FAX: 763-502-4977