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SUBJECT . City of Fridley F11;93 21 AT THE TOP OF THE TWINS BUILDING PERMIT r RE O. COMMUNITY DEVELOPMENT DIV. r PROTECTIVE INSPECTION SEC. 7a 1 CITY HALL FRIDLEY 55432 NUMBER REV. DATE PAGE OF APPROVED BY L 612-571-3450 910-F15 2/9/88 10B ADDRESS 7127 Riverwood Drive N.E. 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 2 3 Riverwood Park SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Brandon Construction Inc. 311 Sunrise Lane, Champlin 55316 753^5632 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 Construct a 35' x 43' Dwelling and a 30' x 241 Garage SEPARATE PERMITS REQUIR17D FOR 9 CHANGE OF USE FROM O WIRING, HEATING, PLUMBING AND SIGNS. STIPULATIONS provide sod in the front and side yards. Provide a hard surface driveway. Provide City with copy of verifying survey before capping, See plans for additional stipulations.. Paid Park Fee of $1,500.00 and Driveway Curb Cut of 16' + 6' = 22' x $13.50$297.00. SEWER LOCATION: 62' W. of M.H.. (Inv. 846.37) WYE EI": 845.51 TOP OF FOOTING: 848.75 Minimum WATER LOCATION: East of and in same trench.with.sewer service or within 101 of. THE CITY OF FRIDLEY DOES NOT GUAf,'ANTEE THE A N%,,,, •'. ACCURACY QF bTJLIT.'Y L0CATIO`NS AND ELEVATIONS. efts t ljt cl�ll Porgy ,.ath-10N THIS DATA IS I+OR tN ORMATION PURPOSES ONLY t' ® ELECTRIC ® G> E(t AND PERSONS U'SIN:G THIS INFORMATION SHOULD VERI=FY lf ON THE SITE. R��RgD 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 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 $86,100 $43.05 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- $394.00 Credit from School STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. PLAN CHECK FEE TOTAL FEE $ 98.50 $535.55 + PF & DW SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT (DATE) i DATED THIS IS YOUR PERMIT WHE�¢N. �PROPERLY dL�I% � BLDG I _ �O BLDG NSP -��' Id TE SIGNATURE OF OWNER 0F OWNER BUILDERI IDATEI ,11 1� I �3 !"ROP. LOCATION FOR BRANDOI SCALE : 1 INCH = 40 FEET ... Ld � C) f iJ P: 0 ti w `r w Q Q CL C O 002 1 UV j C) L Lq F -- L.-0 0 Z O ,�� O Uda_�i FGZLJ 1Z�'Q� R L: c RIVERW00D DRIVE U S 8503'50° E 78.75 ® ainage and Utility —l-_ ---_ Y Ea ement AO ai • 1 p9LU,. 44 w k e /0.0 acs N Ln 1 S 8753°20' E 83.i0 Lot 2. Block 3. Riverwood Park. Anoka County. Minnesota. A ZA HOUSE LOCATION ONLY — NO FIELD SURVEY PERFORMED I hereby certify that this survey, plan pkat, prelimirrary pialor report evas prepared by me or under my direct supervision and that I am a duly Registered Land Surveyor under the laws of the State ofinnesota. Age 10C3 Reg. No. Date Job No. Book No. AovZC- �� �/ - ����� 6 1 C--o� ma -/li� c,- 7� Sq , 711�J Pzpee5--5,1,5W L57- 1p WMI&M P/4) NEW City of Fridley Effective 4/1/86 ADDN. [ ] �R-1 AND R-2 1 ALTER. [ ] Building Permit Application A 11 r + Construction Address: Y bms� Legal Description: eo V ete 0ja a C/ Owner Name &Address: �S�i� r'to/�� . Tel. # Contractor: -AM — _ Tei. # Address: // .SUM 1'; .S e 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. J aI GARAGE AREA: Length ,0 Width `� ® Height Sq. Ft. DECK AREA: Length Width Hgt/Ground Sq. Ft. OTHER: Corner Lot [ ] Inside Lot Et] Ft. Yd. Setback. Side Yard Setback �d Type of Construction: 60,0012 r Estimated Cost: $ 4r.0 Approx. Completion Date: V G��l9t� Alt. A Alt B Proposed Driveway Width If New Opening Is Desired: A $NP)AC$ See Back Page for Explanation DATE: �-� aAPPLICANT: Tel. # � CITY USE ONLY Permit Fee Plan Check State Surcharge SAC Charge Park Fee Sewer Main Charge TOTAL V L' WA"A STIPULATIONS: Fee Schedule on Reverse Side 25% of Building Permit.Fee $.50/$1,000 Valuation $° per SAC Unit Fee Determined by Engineering Agreement Necessary [ ] Not Necessary [ ] SCALE : 1 INCH = 40 FEET %lam?% i�RukzJ �Qid� EXISTING FOUNDATION LOCATION FOR BRANDON CONSTRUCTION a RIVERWOOD DRIVE sh S 85'03'5()n E 78.75 D q ptih a D�airtage and Utiiit I Y Ea ement of a) Nil rn .. C co L i � �a Io oti h \0 LU toQ oay�' �..,�yo .o o • Q i G o -r ° io C3 %08 (, 6r v LO ai Z o Z vl �i I I S 87.53'20" E 83.10 Lot 2. Block 3. Riverwood Park. Anoka County. Minnesota. • Dfoo T les /roh .oWOn4Jo0Veo? 1 f ouhW I HOUSE LOCATION ONLY — NO FIELD SURVEY PERFORMED I hereby certify that this survey, plan plat, 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 of Minnesota. l�83L , U,Lgb18 7 9F Reg. No. Date Job No. Book No. CITY OF FRIDLEY APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION, REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES RATE SCHEDULE noernc.w-m rwr Furnace Shell and Duct Work, Burner (Also replacement furnace) Gas Piping (piping needed with new furnace) Gas Range Gas Dryer * Air Conditioning (all sizes) All Others/Repairs and Alterations 1% of Value of Appliance or Work COMMERCIAL/INDUSTRIAL 1% of Value of Appliance or Work RATE $ 20.00 $ 10.00 $ 10.00 $ 10.00 $ 10.00 State Surcharge TOTAL FEE Reinspection Fee ($15.00) Rough Insp. Date Final Insp. I� Date Approval for Permit MINIMUM FEE FOR ANY HEATING PERMIT IS $10.00 PLUS $.50 STATE SURCHARGE "L t ective Aug. 1, 1981 TOTAL Job Address -7 ) Z-7 ()1, $ 20_— Department of Buildings, 6431 University Ave. N.E., Fridley, MN 55432 City of Fridley $ to.— 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. t✓lArz��, i. �8 $ Fridley, , 19_ jMinn. / OWNER �N�: AIJy-J C? J Co hISi". R L KIND OF BUILDING USED AS P $ M is P 1 [ t'B TO BE COMPLETED ABOUT ESTIMATED COST 2 $ .50 /} OLD - NEW BUILDING PERMIT NO. PERMIT NO. / $ ©.�� DESCRIPTION OF FURNACE/BURNER HEATING or POWER PLANTS, Steam, Hot Water,(War�Ail No. Trade Name lJ " IR 1 iDy oL_ Size No. CapacitySq. Ft. EDR BTU HP Total Connected Load rr b5 UC70 Kind of Fuel tjAl- CSA-. BURNER - Trade Name Size No. Capacity Sq. Ft. EDR BTU HP Attach stack verification form with replacement furnace permits *Air Conditioners can not be placed in side yard without written permission from adjoining neighbor. Company R O'J E /�� Signed By ' �iwr� � !_ Tel. No. Z7 - 2--25 21 CITY OF FRIDLEY APPLICATION FOR PLUMBING AND GAS FITTING PERMIT PLUMBING FIXTURE RATES: NO. RATE TOTAL New Fixtures 9 $ 5.00 $-OD Future Fixtures S 3.50 $ Old Opening, New Fixture $ d $ Water N m N Blow Off Basin $ 5.00 E-4 11 b ym� t] m b H W� W $ Hydraulic Valve Heater 5.00' $ Sump or Receiving Tank $ R N Water Treating Appliance $ 7.00 $ Hot Water Heater l $ 5.00 Gas Range $ 10.00 $ /C:) ,— Gas Dryer $ 10.00 $ ALL OTHERS AND/OR REPAIRS AND ALTERATIONS N le of Value of Fixture or Appliance $ State Surcharge $ .50 Reinspection Fee $ 0 O 4 TOTAL y R '4 O O N 10 N N N 49 W rou D M y 3 aW vii w uado a3 t o as lec 1st ' ] 2nd 3rd 4th (R) = Future Connection Opening Connected with Sewer (*) a New Fixture, Old Opening Water PLUMBING FIXTURE RATES: NO. RATE TOTAL New Fixtures 9 $ 5.00 $-OD Future Fixtures S 3.50 $ Old Opening, New Fixture $ 1.50 $ Beer Dispenser $ 4.00 S Blow Off Basin $ 5.00 $ Catch Basin $ 5.00 $ Rain Water Leader $ 5.00 $ Hydraulic Valve $ 5.00' $ Sump or Receiving Tank $ 5.00 S Water Treating Appliance $ 7.00 $ Hot Water Heater l $ 5.00 Gas Range $ 10.00 $ /C:) ,— Gas Dryer $ 10.00 $ ALL OTHERS AND/OR REPAIRS AND ALTERATIONS le of Value of Fixture or Appliance $ State Surcharge $ .50 Reinspection Fee $ // ($15.00) TOTAL FEE $ 0.�� Effective Aug. 1, 1981 Job Address 1 12--7 R;,1r rZl., oo f p—_ 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 �P o 0 / Fridley, Mn. �h , 19 cJc� OWNER Ia}�1aiJJ oi��/ Cp,JC_k_ KIND OF BUILDING f-,Ij r J �A I USED AS S,AI' 1 TO BE COMPLETED ABOUT M A t=j IG, I Ci (M7 `j RATE SCHEDULEId I ESTIMATED COST OLD NEW B ILDING PERMIT NO. Company 11-j C _ Signed By Tel. No. PERMIT NO. ROUGH INSP. Date /ems FINAL INSP. Date APPROVAL FOR PERMIT MINIMUM FEE FOR ANY PLUMBING PERMIT IS $10.00 PLUS THE $.50 STATE SURCHARGE April 11, 1988 Fridley City Offices 6431 University Avenue NE Fridley, Minnesota 55432 To Whom it May Concern: Michael and Jo Anne Korluka (7127 Riverwood Drive) have our permission to locate their central air-conditioning unit between their house and our house (7121 Riverwood Drive). Sin erely, Gary r B v Larson }�'� �. CITYOF FRIDLEY CIVIC CENTER • 6431 UNIVERSITY AVE. N.E. FRIDLEY, MINNESOTA 55432 • PHONE (612) 571-3450 April 27, 1988 Brandon Construction 311 Sunrise Lane Champlin, MN 55316 Re: Final Inspection at 7127 Riverwood Drive N.E., Fridley Dear Sirs: A final inspection was conducted on April 27, 1988 of the above address and the following items were noted which must be completed before the structure can be finaled out: 1. Provide sod in the front and side yards by June 15, 1988. 2. Provide a hard surface driveway by June 15, 1988. We will expect the above items to be completed by the scheduled date when a reinspection will be made to determine compliance. If you have any questions on these items, please feel free to contact me at 571-3450. Sincerely, CC7 a4al DARREL G. CLARK Chief Building Official DG C/mh CITY OF FRIDLEY INSPECTION DIV. Effective On January 1, 1993 6431 University Ave NE Fridley, MN 55432 APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION, 572-3604 REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES Lt� JOB ADDRESS 2 2 RATE SCHEDULE�� The undersigned hereby makes application for a permit for the work herein Residential Rate TOTAL specified agreeing to do all work in strict accordance with the City Codes and Furnace Shell and Duct Work, Burner -- rulings of the Building Division, and hereby declares that all the facts and Also Replacement Furnace $ 20.00 $ representations stated in this application are true and correct Gas Piping (Needed with new furnace) $10.00 $ �n- OWNER TG0– Gas Range $10.00 $ y BUILDING USED AS Gas Dryer $10.00 $—� ESTIMATED COST % S^U PERMIT NO. *Air Conditioning – Ail Sizes $10,00 $ • DESCRIPTIQN QF FURNAQE AND OR BURNER All Others/Repairs & Alterations (LIST ON BACK) 1% of Value of Appliance or Work $ No, of Heating Units Circle One (Steam) (Hot Water) (Warm Air) Trade Name Size No. Commercial/industrial BTU HP EDR 1% of Value of Appliance or Work $ Fuel Total Connected Load State Surcharge $ .50 Burner Trade Size No. BT DR TOTAL FEE Ilk - H MINIMUM FEE FOR ANY HEATING/COOLINGNENTILATION C ATI REFRIGERON/AIR CONDITIONING PERMIT IS $15.00 Signed By� e Tel No. PLUS THE $.50 STATE SURCHARGE -- / REINSPECTION FEE $30.00 Approved By Hough–In Date Final Date *Air Conditioners can not be placed In a side yard without , i written permission from adjoining property owner. FILL OUT BACK SIDE FOR STACK VERIFICATION ON REPLACEMENT FURNACE CHIMNEY AND STACK VERIFICATION The undersigned hereby verifies that the existing chimney or stack: 1. Has been carefully examined Yes ( ) No ( ) 2.. Is free from rust or deterioration Yes ( ) No { ) 3. Has no foreign objects lodged within Yes ( ) No ( ) 4. Is securely supported Yes ( ) No { ) S. Meets all current Code requirements for size and total BTU's connected Yes ( ) No ( ) 6. Has total heating BTU's of All other BTU's TOTAL BTU's Remarks List Alterations Being Done: HEATING COMPANY Signed By Date SUBJECT PERMIT NO. City of Fridley 2975 7 AT THE TOP OF THE TWINS BUILDING PERMIT r IPT NO. _ _ COMMUNITY DEVELOPMENT DIV.��� r E PROTECTIVE INSPECTION SEC. 1 � i NUMBER REV DATE PAGE OF APPROVED BY �•"1 CITY HALL FRIDLEY 554$2 , 612-571-3450 910-Fl5 6/23/99 JOB ADDRESS 7127 Riverwood Drive NE 1 LEGAL LOT NO. BLOCKTRACT OR ADDITION SEE ATTACHED DESCR. 2 3 Riverwood Park SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Mike Korluka 571-9750 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Leger Roofing & Constr. 12033 Louisiana Ave N. Cham lin 55316 422-1611 20022818 4 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 ®x REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Reroof house and garage (30 Sq) Tear -off 9 CHANGE OF USE FROM TO STIPULATIONS „ Underlayment must comply with the State 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 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 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 $2622 $1.31 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- SC $2.62 CTIOAt�` THE PERFORM NCE OF CONSTRUCTION $83.25 Fire PLAN CHECK FEE Liaense SC $5.(10 1 TOTAL FEE $92.18 SIGNATURE OF^CON'RAOp OR AUTHORIZED AGENT ID EI WHEN PROPER ALIDATED THIS ISPERMIT� LZIM. ,NSP OAiE SIGNATURE OF OWNER,IF OWNER BUILDER, [DATE, NEW[ ] Effective 5/10/99 n ADDN [ ] CITY OF FRIDLEY ` ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION Construction Address: l V& - /o ®� � Legal Description: Owner Name &Address: Ai e /c'2- o r �d o? Tel. # Contractor: Address: CU5 f a d, a AV, Cha mp kn Tel. # Attach to this application, a Certificate of Survey of the SS 3 /L 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 HgdGround Sq. Ft. OTHER: F rlx 14., 6' Je fir. /" 6 . Construction Type: e v' - �rod Estimated Cost: $� Driveway Curb Cut Width Needed: DATE: 3 Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee Sewer Main Charge TOTAL STIPULATIONS: Ft. + 6 Ft = Ft x $ IN9 APPLICANT -;4 `�/rel. # l'/-12 CITY USE ONLY $ Fee Schedule on Reverse Side $ .001 of Permit Valuation (1/10th%) $ , 3 $.50/$1,000 Valuation $ $1050 per SAC Unit $ n6 $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 [ ] SUBJECT P, City ®f F>ridley, 32502^ AT THE TOP OF THE TWINS B u I L D I N Q PERMIT i e COMMUNITY DEVELOPMENT DIV. V _9'7 PROTECTIVE INSPECTION SEC. 1 � NUMBER REV GATE PAGE OF APPROVED BY /•�'0 CITY HALL FRIDLEV SS192 �.__.11.' '•� 612-571-34&0 910-Ft5 4/11/02 JOB ADDRESS 7127 RIVERWOOD ' DRIVE NE I LEGAL LOT NO. BLOCK TRACTOR ADDITION SEE ATTACHED DESCR. 2 3 Riverwood Park SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Mike Kostuka 7127 Riverwood Drive NE 763-571-9750 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Renewal By Andersen 1920 Co Rd C W, Roseville, MN 55113 651-264-4777 20130983 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 f] REPAIR ❑ MOVE ❑ REMOVE B DESCRIBE WORK Replace two windows within existing openings 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. Permit lnseiln dards Willa ailed o omen-ner To Post 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 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 $4,000 $2.00 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- STRUCTION OR THE PERFORMANCE OF CONSTRUCTION PLAN CHECK FEE TOTAL F Licens $5.00 $1 .25 SIGNATURE OF CONTRAC TOA OR AUTHORIZE 0 AGENT (DATE. HEN P OPE LIDATED IS IS YOUR PERMIT S-GNATURE OF OWNE A, if OWNER SURDE R) IDATEj OL99 INSP QAiE NEW[ l ADDN [ ] Effective 5/10/99 ALTER CITY OF FRIDLEY [ l SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION Construction Address: �-1��--•.., ®,r• ..,....a �a Legal Description: Owner Name & Address: Tel. #� •53'1-9 5b Contractor:; uJa\ �i u At�A•e xcfi� � MN LICENSE #_ 001°309 � ?, Address: C, We.S�•�' .u�lit� Y1�1t� S� ll� Tel. # (651.2(64.4•-• Attach to. this application, a- Cerid icate; of Survey. of- the lot, with the :proposed construction drawn on -it to scale. $ ® TOTAL $ a� STIPULATIONS: ��� _Z' DE$CRIIItN OF MTROVEMENT 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: Estimated Cost: $ Driveway Curb Cut Width Needed: Ft. + 6 Ft = _ Ft is $ _ $ DATE: APPLICANT: Tel. # 95a •345•(o0y- CITY USE ONLY Permit Fee $ 94 a � Fee Schedule on Reverse Side Fire Surcharge $ t{ c— .001 of Permit Valuation (1/10th%) State Surcharge $-®®- $.50/$1,000 Valuation SAC Charge $ $1050 per SAC Unit License Surcharge $ °®® $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 $ a� STIPULATIONS: ��� _Z' SUBJECT P City of Fraley 33458 AT THE TOP OF THE TWINS BUILDING PERMIT r RECEIPT NO. COMMUNITY DEVELOPMENT DIV. PROTECTIVE INSPECTION SEC. 9 r e NUMBER REV DATE PAGE OF APPROVED BY 1 /-"1 CITY HALL FRIDLEV 55432 ��� ""'� 763-571-3450 910-F15 4/21/03 JOB ADDRESS 7127 Riverwood Drive NE 1 LEGALLOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 2 3 Riverwood Park SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Mike Korluka 7127 Riverwood Drive NE 763-571-9750 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Renewal By Andersen 1920 Co Rd C West, Roseville, MN 55113 651-264-4777 d ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 20130983 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO B USE OF BUILDING Residential 7 CLASS OF WORK O NEW 0 ADDITION O ALTERATION � REPAIR O MOVE O REMOVE 8 DESCRIBE WORK Replace 11 windows within existing openings 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. Caulk and flash all exterior openings. W It InSPOCHOn 1'1Be Mailed To HOMBOWner To Post 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 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT $16,877 $8.44 DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PERMIT FEE SACCHARGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- $279.25 Fire STRUCTION OR THE PERFORMANCE OF CONSTRUCTION SC $16.88 PLAN CHECK FEE TOTAL FEE Licens SC $5/0 y $309.57 SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT (DATE, H PRO L"VALIDA D THIS IS YOU PERMIT 8 OG Ih5 nATE SIGNATURE OF OWNERoF OWNER SUILDERI IDATEI NEW[ ] Effective 5/10/99 ADDN [ ] CITY OF FRIDLEY ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION Construction Address: Legal Description: Owner Name & Address: `tY Lvt� Y,.O < iQyQp, , Tel # 7�(o3• J Contractor:; wee\ lima M&tx�-f_ MN LICENSE # CI013b9B3 Address: 19 a0 Cpt �,ao d C. w�,S�; e6 cIk nn�-� 55 Ili Tel. # lobi •2(04.y-++-+ Attach. tothis application, a.*Cerdficate of Survey. of -the lot, with therogosed constrdction drawn on, it to scale. LIVING AREA: GARAGE AREA: DECK AREA: Construction Type: DES.CRI 1.ON'QF "Ite )VEMENT.. . Length Width Height Sq. Ft. Length Width Height Sq. Ft. Length Width Hgt/Ground Sq. Ft. V Estimated Cost: $ )(D.'0++ Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ =,$. DATE: 1(0� i 41- APPLICANT: <� Tel. #_ 95 a •34S • (00q Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control $a--9. -as$. W- TA $ $ :5.00 Park Fee $ Sewer Main Charge TOTAL STIPULATIONS: $3og- CITY USE ONLY 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 [ ]