PRE 2010 DOCSCity of Fridley
SUBJECT
® 18729
AT THE TOP OF THE TWINS
BUILDING PERMIT
r
R E O.
....... COMMUNITY DEVELOPMENT DIV.��
INSPECTION SEC.
r PROTECTIVE
"1 CITY HALL FRIDLEY 55432
NUMBER
REV.
DATE
PAGE OF
APPROVED BY
612-571-3450
910-F15
10/28/86
JOB ADDRESS 7126 Riverwood Drive N.E.
1 LEGAL
LOT NO.
BLOCK
TRACT OR ADDITION SEE ATTACHED
DESCR.
8
2
Riverwood Park SHEET
2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE
Robert Kaufman
3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO.
McMullen/Moselle Inc. 430 Industrial Blvd., Mpls. 55413 378-3981,
ZIP PHONE LICENSE NO.
4 ARCHITECT OR DESIGNER MAIL ADDRESS THE CITY
OF FRIDLEY DOES NOTACCUR I. GUAR ANTP.- 1E
5 ENGINEER MAIL ADDRESS THIS DATA IS FOR IrdFc �,% is AND �E"h �I0ONS
AND PSING 1,4TJON PURP
6 USE OF BUILDINGSJTI si-ja Jtea'W ,
..VERIFY ' IT ON T}�E'F_
Residential
7 CLASS OF WORK
1 NEW 0 ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE
8 DESCRIBE WORK
Construct a 361 x 441 Dwelling and a 241 x 24t. Garage
9 CHANGE OF USE FROM TO
STIPULATIONS Provide a hard surface driveway. Provide sod in the front and side
yards. Provide City with copy of verifying survey before capping. Install silt
fence across back of onstrucstion by October 23, 1986. Area damaged sod must
be replaced prior to inter. Submit energy calculations. Paid Park Fee of $1500.
SEWER LOCATION: "Y" 185' East of M.H. in culdesac. "Y" Elevation: 847.30
MINIMUM ELEVATION: 880.30
WATER LOCATION: in same trench
DRIVEWAY ESCROW: Used amount collected from 141 -71st Way. ,,I
Before digging call local
utilities
SEPARATE PERMITS REQUIRED FOR TELEPHONE - ELECTRIC _ GAS Et®.
WIRING, HEATING, PLUMBING AND SIGNS. REO UIRED By LAS
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
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
$36.30
WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT
$72,600
DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE
PERMIT FEE
SAC CHARGE
ROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON-
S UC ION OR THE PERFORMANCE OF CONSTRUCTION.
$352.00
Credit from School
r®
PLAN CHECK FEE
TOTAL FEE
Y00
$476.30 + Park Fee
SIGNATURE OF CONTRAC110ROR AUTHORIZ AGENT ATE)
WHEN PROPERLY,YIALIDATED THIS IS YOUR PERMIT
f
�®
I DATE
SIGNATURE OF OWNER IIF OWNER BUILDERI IDATEIBLDG
11
NE76;
T - City of Fridley Effective 4/1/6(
AMM. [ ] 1 R-1 An R-2 I
ALTER.- [ ] Building Permit Application
Constructs Address:
Construction AddreI
Legal Description:- • �` Oa-
1� a
Tel. I
Owner Name i Address:
Tel . � '7
_
Contractor:IL
Address: `�i "Ov -}" ���1 �Iy
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. ___II____-
DECK AREA: Length
Width Mgt/Ground Sq. Ft.
OTHER:
Corner Lot [ ]
Inside Lot [ Ft. Yd. Setback. Side Yard Setback.
Type of Construction: Q ��� Estimated Cost: i l
Approx. Completion Date:
Alt. A Alt P
Proposed Driveway Width If New Opening Is Desired:_ 1 ?Al -CO $
See Back Page for Explanation
Cpt�1►F
Fn. &" 9 I % l
Q ray � �.�� Tel. 0 � 7 U ✓ c:�l f�
DATE: J O / J , v APPLICANT:
CITY USE ONL
Permit FeeBM
Plan Check'
State Surcharse
SAC Charge
00
�+
Park Fee
Sewer Main Charge
_
TOTAL
' �� •
STIPULATIONS:
-
Fee Schedule on Reverse Side
25% of Building Permit Fee
$.50/$1,000 Valuation
$:75 per SAC Unit
Fee Determined by Engineering,
Agreement Necessary [ ] Not Necessary [ ;
A'et SIGo w = roam
4JJ#C
laawfimo %44.r F *Caftg 24.4 40 ut
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CERTIFICATE OF
FOR _ K/ -%A) F PA A, VA
1 HEREBY CERTIFY THAT THIS SURVEY, PLAN, OR REPORT WAS PREPAREID
BY ME OR UNDER MY "ECT SUPERVIS1014 AND THAT 1 AM A OYLY
-E6ISTEREO LAND QRR y`IIpE THE S TME STATE OF MINNESOTA.
MINNESOTA REGSISTW& ON NO. j 10113
m
to
Q3
SURVEY
KURTH SURVEYING INC.
4002 JEFFERSON STREET N.E.
COLUMBIA HEIGHTS MINNESOTA 35421
sly-7B8-B7i>1 DATE a® -ES -SSP
SCALE I°-_
OmIRON MONUMENT
_ �.ARttlC�s As�uM�.D
1ST�t..ti'�{
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19
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191 10
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.. I�185''Q,3'r..�Q"y� �
80.QQ
RIVE,W D (160'P, .
pQ
Lot 8, Block 2, Riverwood Park, Anoka Count Minnesota
y�
T
L4-14 7 � 4- . l of . 5 It e-vt (.V
Y
C— /I <elY
CITY OF FRIDLEY
APPLICATION FOR PLUMBING AND GAS FITTING PERMIT
e
NO.
e
TOTAL
M
m
b
U
N
a
K
w
a
°
Water
$
Old Opening, New Fixture
$ 1.50
$
Beer Dispenser
e
$ 4.00
S
slow Off Basin
$ 5.00
$
Heater
S41v
$ 5.00
$
Rain Water Leader
$ 5.00
$
8
Hydraulic Valve
$ 5.00
$
Sump or Receiving Tank
$ 5.00
as
U
water Treating Appliance
$ 7.00
$
Not Water Heater
!
$ 5.00
Gas Range
$ 10.00
$
Gas Dryer
$ 10.00
$
16.6
ALL OTHERS AND/OR REPAIRS AND ALTERATIONS
It of Value of Fixture or
Appliance
$
•
Reinspection Fee $��
State Surcharge
$
.5o
($15.00)
p
FEE
$ 6-(p. Do
lot
I
Jrd
4th
Future connection Opening
L11
Connected with Sever
: New Fixture, Old opening
water
RATE SCHEDULE
PLUMBING FIXTURE RATES:
NO.
RATE
TOTAL
Her Fixtures
S_ 5__00
$
3b,QO
Future Fixture*
$ 3.50
$
Old Opening, New Fixture
$ 1.50
$
Beer Dispenser
$ 4.00
S
slow Off Basin
$ 5.00
$
Catch Basin
$ 5.00
$
Rain Water Leader
$ 5.00
$
Hydraulic Valve
$ 5.00
$
Sump or Receiving Tank
$ 5.00
$
water Treating Appliance
$ 7.00
$
Not Water Heater
!
$ 5.00
Gas Range
$ 10.00
$
Gas Dryer
$ 10.00
$
16.6
ALL OTHERS AND/OR REPAIRS AND ALTERATIONS
It of Value of Fixture or
Appliance
$
•
Reinspection Fee $��
State Surcharge
$
.5o
($15.00)
TOTAL
FEE
$ 6-(p. Do
tttective Aug. 1, 19tfl
Job Address
Department of Buildings
City of Fridley
Tel. 1571-3450
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.O:�1 � , 19ZL
KIND OF BUILDING \
USED AS b U-'/ -Q Vvj) N �-
TO BE COMPLETED ABOUT a- V
ESTINATED COST -� -0
OLD -/%IEW WILDING PEN41T NO. PERMIT NO. `? /
ROUGH INSP.
Date
Company C/t -
Signed By
Tel. No.
FINAL INSP. a - / ? - O
Date
APPROVAL FOR PERMIT -—
MINIMUM FEE FOR ANY PLUMBING PERMIT IS $10.00
PLUS THE $.50 STATE SURCHARGE
e
-
Effective Aug. 1. I'mil
CITY -OF
FRIDLEY
LIGATION FOR POWER PLANTS AND HEATING,
COOLING, VENTILATION, REFRIGERATION AND -
AIR CONDITIONING SYSTEMS AND DEVICES
WE -SCHEDULE
-
USIDERTIAL RATE
TOTAL
.fob Address
Furnace Shell and -Duct Mork,
Burner -(Also replacement furnace) $ 20.00
$ Z
of Buildings, f►pfl University Ave. ILE.e Fridley. N11 S'igI
of
Fr
City of Friedley
City
_
Gas Piping _ $ 10.00
$ /O
_
Tel. •571=3450
(piping needed with nen furnace)
Gas Range $ 10.00 _
$
The undersigned hereby waked application for o pomit 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 declare• that all the
facts and representations stated in this application are true and correct.
• Air Conditioning (all sizes) $ 10.00
$
Fridley. Minn.
All tethers/Repairs and Alterations
omit Z&Z
It of Value of Appliance or. Mork
$
RIND OF BUILDING J),Cat &.4A01 P
COMERCIAL/INDUSTRIAL
USED AS
It of Value of Appliance or Mork
$
TO BE COMPLETED ABOUT
FSTZNWED COST
State Surcharge
$ .50
TO°PAL ilr'E
-C-)OLD
$
- NIXBUYLDYINs PERMIT ND. "MIT ND.®r
Reinspection Fee ($15.00)
$
DESCRIPTION OP rumacusumER
Rough Inap.
HEATING or PATER PUINTS. Steam. Kbt Mater, Mary Air- No.
ate
wase e�zo � slag No.
Final Insp. -042--Trade
Date
capacity Z,S; r2ae2 Sq. Ft. LDR STU NP
-Approval for Perolt
Total Connected load Kind of ftel
MINIMUM FEE FOR ANY HEATING PERMIT IS $10.00
PLUS $.SO STATE SURCHARGE
Attach stack verification form with replacme•nt furnace 1wrmits
•Air Conditioners can tint lx• placed in %ide yard without
written Ise rwission frown Adwawninq nrighl%nr.
BURNER - Trade Name Size MD.
Capacity Sq. Ft. EDR BTU
company ®�g�a ��t�✓% �efrr� h/�i�'G
Signed By
Tel. Na.®—�%��
P
CITYOF
FRIDLEY
CIVIC CENTER • 6431 UNIVERSITY AVE. N.E. FRIDLEY. MINNESOTA 55432 - PHONE (612) 571-3450
February 17, 1987
ti
McMullen/Moselle Inc.
430 Industrial Blvd.
Minneapolis, MN 55413
Re: Final Inspection at 7126 Riverwood Drive N.E., Fridley
Dear Sirs:
A final inspection was conducted on February 17, 1987 of the above address
and the following items were noted which must be completed before the structure
can be finaled:
1. Provide sod in the front and side yards by June 15, 1987.
2. Provide a hard surface driveway by June 15, 1987.
We will expect the above items to be completed by the scheduled date 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.
The dwelling is approved for occupancy prior to completion of these items.
Sincerel
7:
DARREL G. CLARK
Chief Building Official
DGC/mh
CITY OF FRIDLEY INSPECTION DIV.
6431 University Ave NE
Fridley, MN 45432
572-3604
APPLICATION FOR PLUMBING AND GAS FITTING PERMIT
MARK NUMBER OF FIXTI IRF Tr) RF IN.gTAI I Fn nkl FArru m nno
Effective On Jan 1, 2000
PLUMBING FIXTURE RATES:
NO. RATE TOTAL
New Fixtures
$ 7.00
loo
...... Auto.
er HeaterWash
WON- WatGas
Stones
Urinal
Shower
$ 7.00
.
iDrain
.�.Washer:�.:>--:-:.�`:�
�_< Range
e
Basent m
$10.00
Water Heater -Electric
$ 7.00
Water Heater - Gas**
- $10.00
Gas Range**
$10.00
Floor 1
$10.00
Back Flow Preventer Required ( )Yes ()
No
Type
$15.00
Floor 2.....-
Floor 3
}'
Floor4
.........
5 <>
PLUMBING FIXTURE RATES:
NO. RATE TOTAL
New Fixtures
$ 7.00
Old Opening, New Fixture
$ 4.00
Beer Dispenser
$ 5.00
Blow. Off Basin
$ 7.00
Catch Basin
$ 7.00
Rain Water Leader
$ 7.00
Sump/Receiving Tank
$ 7.00
Water Treating Appliance
$10.00
Water Heater -Electric
$ 7.00
Water Heater - Gas**
- $10.00
Gas Range**
$10.00
Gas Dryer**
$10.00
Back Flow Preventer Required ( )Yes ()
No
Type
$15.00
Reinspection Fee $47.00/Hr
ALL OTHERS AND/OR REPAIRS AND ALTERATIONS
1.5% of Value of Fixture or Appliance
State Surcharge $ .50
TOTAL FEE $2a.5-50
JOB ADDRESS, dtt31J BIZ
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 fWilding Division, and hereby declares that all the facts
and representations stated in this application are true and correct.
SWANSON, JOHN
7126 RIVERWOOD DRIVE
FRIDLEY, MN 55432
Owner (763) 571-0456
Building Used As B'Irrv1�CAJ C
Estimated Cost oa t
PERMIT NO. Ccs
. PLUMBING COMPANY
SIGNED B)
Approved 8
COMBUSTION AIR SHALL BE PROVIDED PER UMC SECTION 504(A) AND TABLE 6-A.
20®3
COMMON VENT INFO ON BACK SIDE
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.,systern 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 n Type
ALTERATIONS: (Describe)
HEATING CO:
Signed By: Date:
CfiYOF
FRIDLEY
FRIDLEY MUNICIPAL CENTER - 6431 UNIVERSITY AVE. N.E. FRIDLEY, MN 55432 - (763) 571-3450 - FAX (763) 571-1287
June 22, 2004
Mr. John Swanson
7126 Riverwood Drive NE
Fridley, MN 55432
Re: Final Inspection at 7126 Riverwood Drive NE
Contractor: Superior Contractors & Norblom Plumbing
Dear Mr. Swanson:
A mechanical permit and a plumbing permit were issued in January & February, 2003 to
install a furnace and a gas water heater at your address. According to the 1991 Uniform
Mechanical Code and State Plumbing Code a final inspection shall be conducted on the
work authorized by these permits. As of this date the inspections have not been
requested.
The permit fee that was paid covers the inspection to make sure the work was completed
according to the Codes. We will keep your permits open for another 30 days and if we
do not hear from you within this time to set up the inspections, we will mark the permit
"no inspection called for by homeowner after notification" and the permits will be
expired.
To set up the inspections or to have any questions answered, please contact the Building
Inspection Division at (763) 572-3604.
DJ/mh
o•
'ITY OF FRIDLEY INSPECTION DIViSION
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
*Air Conditioning - All Sizes $ 25.00 $
All Others/Repairs & Alterations (LIST ON BACK) x
1% of Value'of Appliance or -Work $
Commercial/Industrial
1.25% of Value of Appliance or- Work $
State Surcharge $ .50
TOTAL FEE $
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.
Effective On January 1, 2002
JOB ADDRESS _'7Io� P -I V 15V
OWNER JOH,0
BUILDING USED AS ` T(s�
ESTI MATED'COST PERMIT NO.
DESCRIPTION OF FURNACE AND OR BURNER
No. of Heating Units I Circle One (Stearn) (Hot Wat r) (Warm Ai
Trade Name' 0 v_ - Size No.
BTU HP EDR
Fuel A. Total Connected Load
Burner Trade Name ' Size No.
BTU HP EDR
TMe:undersigned hereby makes application for a permit for the work -herein
specified agreeing to do all work in strict accordance.with the City Codes ar
rulings of the Building Division;.and hereby declares -that alf the facts and
representations stated in this application are true and'correct.
DATE
HEATING t0 de 6a) A -0- S°:. .Y�c
Signed TEL # 96S i
FAX 0
Approved By Rough -In Date Final Da
FILL OUT BACK SIDE FOR STACK VERIFICATION ON REPLACEMENT FURNACE
f
THE BELOW MUST BE FILLED IN WHEN REPLACING FUEL BURNING APPLIANCES OR THE
APPLICATION WILL BE RETURNED
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 -LAMA Category I Central Furnace Venting Tables for fan
assisted and natural draft appliances.
Yesj No( )
The existing comhustion 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 X No
When inc ailing a new ventinaa 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 K 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 (A No
Appliance Tyoe and Sime/Common Vent and Vent Connector Information
Appliance #1 Type fURt-JA eo5- BTU Input?T an Assisted r Nat
Appliance #2 Type /sJ /� BTU Input j?�°0 Fan ssis ed o
Appliance #3 Type BTU Input Fan Assisted or Nat
Total Appliances Total Btu input
Common Vent Type A-6-5 Vent Height Diameter inches
Appliance #1 Vent Connector Height ft Lengthft 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
HEATING CO: AE)k 3 4 5
Signed By: Date: allo --03
r,
City of Fridley
Building Inspections Department
6431 University Avenue NE, Fridley, MN 55432
763-572-3604
FAX: 763-5024977