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PRE 2010 DOCSSUBJECT PER City of Fridley 18 8 4 AT THE TOP OF THE TWINS BUILDING PERMIT r � EIP • COMMUNITY DEVELOPMENT DIV. L I V ""..".� INSPECTION SEC. r � � PROTECTIVE 1 ; � CITY HALL FRIDLEY 55432 NUMBER REV. DATE PAGE OF APPROVED BY 612-571-3450 910-F15 3/31/87 JOB ADDRESS 7130 Riverwood Drive N.E. 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 7 2 Riverwood Park SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Tom Kupp 6615 Anoka Street N.E., Fridley 571-8227 3 CONTRACTOR MAIL ADDRESS ZIP PHONE Ljg4ISE)q McMullen/Moselle & Associates Inc. 430 Industrial Blvd, s. iii rS 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAIL ADDRESSEPARATE ZIP PHONE LICENSE NO. 6 USE OF BRes dential UIWIRING, HEATING, PLl1MBING AND 7 CLASS OF WORK j7 NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Construct a 32' x 36' Dwelling and a 26' x 24' Garage 9 CHANGEOFUSEFROM TO STIPULATIONS Provide a hard surface driveway. Provide sod in the front and side yards. Provide City with copy of verifying survey before capping. Garage door can not face east because it would not meet the setback requirement of 25 feet. SEWER LOCATION: "Y" 35' West of Manhole "Y" Elev: 847.69 TOP OF FOOTING: Minimum elevation: 850.69 WATER LOCATION: In same trench as sewer WARNOW THE CITY OF FRIDLEY DOES NOT GUAR"P'T?F _;.; _ �; ACCURACY Before dlgg'wg ic-j'j�j 4 'I OF UTILITY LOCATIONS AND r Ii lbs TEIf�PNOI�E� FI THIS DATA IS FOR INFORMIAT,10N E TRC-PAy, %. �� AND PERSONS USING TyIS R �m`�, I ;� INF - VERIFY THE SITE. elvrs�.,Iv1J�,;:UN �.�� L Y I 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 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 13O 5OO $65.25 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- $510.50 Credit RUCTION OR THE PERFORMANCE OF CONSTRUCTION. PLAN CHECK FEE TOTAL FEE :� 61Z(97 $127.63 $703.38 + PF SIGNATURE OF CONTRA TOR OR AUTHORIZE GENT ATE) WHEN PROPER VALIDATED THIS IS YOUR PERMIT BLDG IN SP OAT SIGNATURE OF OWNER IIF OWNER BUILDER) (DATE) y City of Fridley Effective 4/1/6(• NEW ADDN. [ ] �R-1 AND R-2 ALTER. _ [ ; ] building. Permit Application Construction Address:, Legal Description: Owner Name s Address: .. � �e.-ine �� ' �� Anoka S1 Tel # `52/ -baa? Contractor: f//er��er%7%se`�e d-ssoeiQ�es �. Tel. �%8-��8/ Address:T�® �/a c�ni I A -yd +- � 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 soap® Sq. Ft. 12�_ GARAGE AREA • ; 4ec}gth Width. Height ____,_ Sq. Ft. DECD A; Length _: Width. Hgt/Ground Sq. Ft. OTHER: Ccrnerf'Lot [X]' Inside y Lot, [ ] Ft. Yd,, Setback Side Yard Setback Type of Construction:Estimated Cost: $ 0o Approx. Completion Date:, Alt. A Alt B Proposed Driveway Width If New Opening Is Desired: _ lCo $ Q -o $ See Back Page for Explanation DATE: L11JV7 APPLICANT: c ,s�/ /�a se Tel. _ CITY USE ONLY Permit Fee $ �� Fee Schedule on Reverse Side Plan Check (02� 25$ of Building Permit Fee State Surcharge $ . �� $.50/$1,000 Valuation SAC Charge $ $475 per SAC Unit Park Fee 5-(30•®O Fee Determined by Engineering Sewer Main Charge, ;$ TOTAL $ Agreement Necessary [ ] Not Necessary [ ] STIPULATIONS:CORI- _ lira ��'� �t��,, g �s��- fir_ e fl 7 e. n • t �" �4�7 � � �•_ l�upP CERTIFICATE OF SURVEY FORKamm• csz KURTH SURVEYING INC. IHEREBY CERTIFY THAT THIS SURVEY, PLAN, OR REPORT WAS PREPARED 4002 JEFFERSON STREET N.E. BY ME OR UNDER MY DIRECT SYPERVISIOW A!(D THAT I A DULY COLUMBIA HEIGHTS MINNESOTA 53421 I EOISTERED LAND 8 QR UNO R E CA1M E T OF MINNESOTA. 612-780-9768 1��\ gMUSED Y�1�s mop CuR$ 9 DATE � 1.1.E.COR1,lER OP •SurBJ•EL"T IST SACSmASiLoEl0 1Mdi " - NO. 0- IRON .b MONUMENTMINNESOTA REGI$ v�1A sC- T -T. L• =T P C.URTd JA E 41T1``Y MLTs � 50.0; 10 _ CJ �►k6�- /ID•� ��48 �: - 28.33 _ F.1�`I'� .19 R0p0sEto ® E. O �� CA rn i 0 AC Z :t► !, o 00 .RI _ v V V oO-D Rev EA W OOD �ATiZtC,. kKOKti Q0 Etrective Aug, 1, 19t1i 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 NO. RATE S 5.00 $ 3.50 $ 1.50 S 4.00 $ 5.00 5 5.00 S 5.00 $ 5.00 $ 5.00 g 7.00 S 5.00 5 10.00 $ 10.00 ALL OTHERS AND/OR REPAIRS AND ALTERATIONS 1• of Value of Fixture or Appliance Reinspection Fee $ State Surcharge (515.00) TOTAL FEE TOTAL $ ,6o S S S 50 Job Address I it R 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 applicatiqn are true and correct n n Fridley, Mn_ I J 19a OWNER C KIND OF BUILDING ' USED AS 4 ) 1�y a o/ TO BE COMPLETEDABOUT �)J� 1 ✓�� ESTIMA ` COST 3 ") LJ O - NEW B ILDING PERMIT NO. PERMIT NO. ROUGH INSP. Date Company k Signed By� Tel. No. FINAL INSP. & - e'? 7 Date APPROVAL FOR PERMIT HINIHUM FEE FOR ANY PLUMBING PERMIT IS $10.00 PLUS THE $.50 STATE SURCHARGE W U x d Water d19 P .-1 m u, Heater -.� d .ei b m C M'C 1+ Xc 3 ~ moo, e C u .Ci 6 X g v a oo N 3 O w u as 4 3 o as 1 ec vsi uGi ci c� lot 2nd 2 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 NO. RATE S 5.00 $ 3.50 $ 1.50 S 4.00 $ 5.00 5 5.00 S 5.00 $ 5.00 $ 5.00 g 7.00 S 5.00 5 10.00 $ 10.00 ALL OTHERS AND/OR REPAIRS AND ALTERATIONS 1• of Value of Fixture or Appliance Reinspection Fee $ State Surcharge (515.00) TOTAL FEE TOTAL $ ,6o S S S 50 Job Address I it R 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 applicatiqn are true and correct n n Fridley, Mn_ I J 19a OWNER C KIND OF BUILDING ' USED AS 4 ) 1�y a o/ TO BE COMPLETEDABOUT �)J� 1 ✓�� ESTIMA ` COST 3 ") LJ O - NEW B ILDING PERMIT NO. PERMIT NO. ROUGH INSP. Date Company k Signed By� Tel. No. FINAL INSP. & - e'? 7 Date APPROVAL FOR PERMIT HINIHUM FEE FOR ANY PLUMBING PERMIT IS $10.00 PLUS THE $.50 STATE SURCHARGE W Effective Aug. 1. 1781 CITY OF FRIDLEY APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION, REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES RATE SCHEDULE ' y� 7,1—se USIDENiTIAL RATE TOTAL Job Address Furnace Shell and Duct Mork, Burner (Also replacement furnace) $ 20.00 S Department of su/)dings, 6131 university A.•. N.E.. Fridley. MN 55172 City of Fridley Gas Piping $ 10.00 S. Tel. 1571-3150 (piping needed with new furnace) Gas Range $ 10.00 $ The undersigned hereby nuked application for a permit for the work herein specified agreeinq to do all work in strict accordance with the City Code• Gas Dryer $ 10.00 $ and rulings of the Department of Buildings, and hereby declares that all the facts and representations stated in this application ora true and correct. • Air Conditioning (all sizes) $ 10.00 $ Fridley. Minn. ' . 19� All Others/Repairs and Alterations OWNER WC�� /Ila"e It of Value of Appliance or Mork $ RIND OF BUILDING - 4 �As/'6' COM�IERCIAL/INDUSTRIAL USED AS it of value of Appliance or Mork $ To BE COMPLETED ABOUT a /7,00 State Surcharge $ .50 ESTIMATED COST 1nLE $-4(z) OLD -NEN BUILDING PERMIT ND. PERMIT NO. TOTAL Reinspection Fee ($1S.00) $ DESCRIPTION or FURNACt/BURNER Rough Inep. Date �i Final Insp. 6 `57 — a ate Approval for Permit MINIMUM FEE FOR ANY HEATING PERMIT IS $10.00 PLUS $.50 STATE SURCILARGE Attach stack verification fors with replacement furnace permits *Air Conditioners can not In• placed in :ids- yard without written pi -mission from adjoining netgldx.r. HEATING or POWER'MNTS. Stam, Not Nater. Nara Air- No. Trade Neve 61s• No.5/I�7. Capacity sq. Fc. EOR BTU HP Total Connected Load t90 0 Kind of Fuel ,fit//& 1 BURNER - Trade Name Size No. Capacity Sq. Ft. EOR BTU ILP Company t/ Siqned By TeI I. No.,� NEW [ ] ADDN. [ ] ALTER. [ ] Construction Add City of Fridley Effective 4/1/86 R-1 AND R-22 Building Permit Application Legal.Desoription: f Owner Name & Address: Tel. # Contractor: Address: LIVING AREA: GARAGE AREA: DECK AREA: OTHER: Corner Lot [ ] Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF IMPROVEMENT Length Width _ __ Height Sq. Ft. _ Length Width _ Height Sq. Ft. Length Width _ Hgt/Ground Sq. Ft. Inside Lot [ ] Type of Construction: Ft. Yd. Setback Side Yard Setback Estimated Cost: $ Approx. Completion Date: Alt. A Alt B Proposed Driveway Width If New Opening Is Desired: C2Q $ $ See Back Page for Explanation DATE: -4oho � Permit Fee Plan Check State Surcharge SAC Charge Park Fee Sewer Main Charge TOTAL STIPULATIONS: APPLICANT: I L� uz ✓ Tel. CITY USE ONLY $ Fee Schedule on Reverse Side 25% of Building Permit Fee $.50/$1,000 Valuation $ 525 per SAC Unit Fee Determined by Engineering Agreement Necessary [ j Not Necessary [ ] t h1� J �T CITYOF FRIDLEY CIVIC CENTER - 6431 UNIVERSITY AVE. N.E. FRIDLEY. MINNESOTA 55432 - PHONE (612) 571-3450 June 5, 1987 McMullen/Mos.elle & Associates Inc. 430 Industrial Blvd. Minneapolis, 11N 55413 Re: Final Inspection at 7130 Riverwood Drive N.E., Fridley Dear Sirs: A final building inspection was conducted on June 5, 1987 of the above address and the following items were noted which must be completed before the structure can be finaled: 1. Provide House numbers on structure. 2. Provide City with copy of verifying survey of the lot. 3. Provide step out of the screen porch. 4. Install basement windows on back of dwelling. 5. Provide trim under front door. 6. Add access door to bathtub on second floor. 7. Add combustion air to furnace and add register in plenum. We will expect the above items to be completed by June 22, 1987 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 before these items are completed. Sincerely, DARREL G. CLARY. Chief Building Official DGC/mh F.S. Subject to Electrical Final to be made next week by Clarence Joriman A ' GNOF ERIDLEY CIVIC CENTER • 6431 UNIVERSITY AVE. N.E June 24, 1987 McMullen/Moselle & Associates Inc. 430 Industrial Blvd. Minneapolis, MN 55413 FRIDLEY-MINNESOTA 554.12 • PHONE (612) 571-3450 Re: Final Inspection at 7130 Riverwood Drive N.E., Fridley nl�al�9 )I's/ , Dear Sirs: A final reinspection was conducted on June 23, 1987 to determine compliance with our letter of June 5, 1987- The following items were noted which still I- om leted before the structure can be finaled: must e c p - Wt 1. Add a register in the air plenum by July 10, basement N'� in rear basement wall by July 10► 1987. oa 2. Retuck mortar in blocked -up opening ure that 3. Cover future fireplace foundation with adequat material i no one can fall into it by July 10, 1987. �+°w We will expect the above items to be s completed by determine July 10, 1987 ccsnpliance. when a If you have reinspection will again be conducted r to feel free to contact me at 571-3450. t' on these items, please any quesion l ,7e DARREL G. CLARK Chief Building Official DGC/mh CC: Mr. Tom KnPP .9t `Y K k Ifi fi CIIYOF FRIDLEY CIVIC CENTER • 6431 UNIVERSITY AVE. N.E. FRIDLEY, MINNESOTA 55432 •- PHONE (612) .571-3450 July 24, 1987 Mr. Happy Moselle McMullen/Moselle & Associates Inc. 430 Industrial Blvd. Minneapolis, MN 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 offic� 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 took you until May of 1987 to get the report, dated 5/20/87, by Horgan Engineering. 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. I& ' McMullen/Moselle & Associates Inc. Re: Completion/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. lis work must also be completed by August 14, 1987. (4) 7104 Riverwood Drive N.E., New House Construction: This home is now in the stage of being f ramed. 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, 2 DGC/mh ?b C),e-t I j u� CI"IYOF FRIDLEY CIVIC CENTER • 6431 UNIVERSITY AVE. N.E. FRIDLEY, MINNESOTA 55432 • PHONE (612) 571-3450 I/ October 28, 1987 Mr. Carl Newquist 6401 University Avenue N.E. Fridley, MST 55432 Re: Citation #543-062, 7130 Riverwood Drive N.E. , Fridley: McMullen/Moselle & Associates Inc. Dear Mr. Newquist: Please be advised that Mr. Happy Moselle, "ullen/Moselle & Associates Inc., has satisfied three of the four cited violations on Citation #543-062. The violation not completed is for repair of the front sidewalk. Because the front sidewalk is resting on the backfill of the basement, it would be better to wait until Spring to make the repair; therefore a oontinuance of the trial or payment of fines until June 1, 1988 may be appropriate. Thank you for your assistance and if any questions or pr obl ens arise, please oontact me at 571-3450. Sincerely, DARREL, G. CLARK Chief Building Official DGC/mh ENC: Copy of Citation #543-062 CC: Anoka County Clerk of Court GlYOF FRIDLEY CIVIC CENTER • 6431 UNIVERSITY AVE. N.E. FRIDLEY, MINNESOTA 55432 • PHONE (612) 571-3450 June 7, 1988 Mr. Carl Newquist 6401 University Avenue N.E. Fridley, MN 55432 Re: Citation #543-062, 7130 Riverwood Drive N.E., Fridley (McMullen/Moselle & Associates Inc.) Dear Mr. Newquist: Please be advised that a reinspection conducted the morning of June 7, 1988 revealed that the sidewalk repair cited on Citation #543-062 has not been corrected. It is my understanding that the defendant pled guilty last fall and it was agreed that the case would be continued until June 1, 1988 with the stipulation that the repair would be completed by June 1, 1988. If you have any questions on this matter, please feel free to contact me at 571-3450. Sincerely, DARAEL G. CLARK Chief Building Official DGC/mh CC: Anoka County Clerk of Court , /s n, / /(�, F X -z NE a FINAL PURCHASE AGREEMENT made on this date: uanuary r 5 T t yzsi between the Buyer(s): and the Builder/Seller: Thomas D. and Katherine -H. Kupp, husband and wife McMullen/Mosselle & Riverwood Assoc. Receipt is hereby acknowledged of the amount of: $ 2,000.00 ( Two Thousand and 00/100----------------------------------------------------------- j as earnest money payment toward the purchase of home model: Custom Built located at the address: 7130 Riverwood Drive legally described as: Lot 7, Block 2, Riverwood Park situated in the following DEVELOPME CITY: COUNTY: — STATE: . — Riverwood Park it ev The Builder agrees to construct on the above property the above listed home for the sum of: $ 144,900.00 i One Hundred Forty-four Thousand Nine.Hundred and 00/100 ----------------------------- ) BUYER INTENDS TO PAY IN THE FOLLOWING MANNER: Preknir ry Earnest Money pail: Additional Earnest Money to be paid upon signing this Final Purchase Agreement/orcompletion selection: Balance of down payment to be paid at closing: . Balance of purchase price to be paid by obtaining a Mortgage provided by: Amortized the following number of years: 30 Yrs. With the following interest rate per annum: Buyers Choice % v in $ 2,000.00 $ 38,000.00 $104,900.00 In the total amount of:144 , 900.00 l One Hundred Forty-four Thousand Nine Hundred -and 00/100 -------$-------------------) Builder agrees to construct the new home on said property according to the plans and specifications for the Custom Bu 1 t Model on file in Builder's office. A copy of the General Specifications for said model will be attached hereto. All extra items or devia- tions from the plans and specifications, the costs of which are included In the purchase price, are described on the special Provi- sions Sheet, signed by Buyer and attached hereto and hereby made a part of this Purchase. Agreement.' Such special provisions as appear,shall become a part of the plans and specifications for the construction of the new home: ,Any changes or al lraWm to the, plans and specifications for the construction of the new house made subsequent to the date of this Purchase Agreement shall be invalid unless approved by Builder In writing Additional expense and charges for approved pe or alto ndio shah be deter-, mined by Builder and paid for by Buyer. � I � " ' �� ii �� There 11 a $75.00 processing fee charged to buyer. for every change order made rafter selection sheat Is completed.. All plans furnished to Buyers remain the property of the Bulldsr.44Ths plans we. for continued documentation purposes only and are not to be shared with .any other parties 'or i reprgducpd, duplicated*,or copied in any way.��.�. Builder and Buyer anticipate that the new home will be constructed and ready for occupancy on or about June 1 , 1987 which shall be the date of closing; subject, however, to delays In the progress of construction due to strikes , lockouts, fire, unusual delay in transportation, unavoidable casualties, inclement weather, delay in ponstruction financing,. securing clear this for purposss4 of recording 'mortgages, or any cause beyond builder's control. In the event of any such delay, the time of completion and closing, shall be extended for such reasonable time as may be needed to complete the construction of the home. it is understood that Builder has no liability to Buyer for any delay in the completion of the new home. The closing date may also be changed according to the terms and conditions found on Page 5, paragraph 4 of this Agreement if the purchase is contingent upon the resale of the buyer's home. 1. N { -W HOME FINAL PURCHASE AGREEMENT Page Three ,.. ft is understood and a6reed that this sale Is made subject to the approval by the owner of said premises In writing and that the undersigned agent is in no manner liable or responsible on account of this agreement, except to return or account for the earnest rioney paid under this contract. ()cher ,jpt4,:01 Conditions: 4 SALES, REPRESENTATIVE: BUYER: A vl-, BUILDER- h1CMULLEN/MOSELLE ASSOCIATES, INC. BY T I I- i e a A LILPJI.� r AND ASSOCIATES stipulates that their sales representative represents th p Buildar in this transaction. RIVERWOOD PARK f •� T rl ,fi �t kY:� ON7INGENT�0,PROVISIONS -AND CONDITIONS SHEET NEW HOME FINAL"�IPURCHASE AGREEMENT. Pane Six ry ThisPurchass Agreement subordination shall in no way modify, limit, or amend the Purchase Agreement or•the Builder's i title to the premises free rind clear of all liens and mortgages, including any obligation thereunder to deliver to the Buyer i mortgage given to Construction Lender. This Purchase Agreement subordination shall terminate and be of no further force or affect upon payment by the Builder of his loans from the Construction Lender and the recording of a satisfaction releasing all mortgages the Construction Len de may place against the premises. Buyers agreement with Construction Lender under this Purchase Agreement subordination shall be binding upon Buyer, their lego representatives, successors .and assigns and shall inure to the benefit of the Construction Lender and its suc- cessors and assigns. Buyers Initials: ` e ' I a Other Special Conditions oi-. SALES REPRESENTATIVE: BUYER: i BUILDER: MCMULLENIMOSELLE ASSOCIATES, INC. BUYE TITLE: - ` DEVELOPER: RIVERWOOD ASSOCIATES BT: TITLE• ;=.�- Of ANDERSON & J�NISCH ENTERPRISES, INC. • . �.�. i ITS: MANAGING PARTNER A fine development 3y: RIVE RWOOD ASSOCIATES ANDERSON & � JANISCH ENTERPRISES,IANC. a � I. I .: : fRIVERWC�OD PARK SPECIAL PROVISION SHEET Page Scwon /1' TO NEW HOME FINAL PURCHASE AGREEMENT DATE: anuar-y ` BUYERS NAM • Thomas D. and Katherine H. Kupp-- NEW HOME ADDRE,cS• 7130 Riverwood Drive 116,400.00 BASE PRICE OF: 116,400.00 MODEL $ $ 28,500.00 LOT PREMIUM: ADDITIONS: SEE ATTACHED SUPPLEMENT WITH ADDITIONS-. ' Total. Additions: $ Deletions: $ Total Deletions: $ Total Purchase Price:$ 144,900.00 Other Special Provisions: XXXX Any design/structural changes buyer wishes to make subsequent to date of this Purchase Agreement must be made within days. If you wish to make design/structural changes at a later date, this will result in a Service Charge of $ XX XXX each. Some design/structural changes cannot be made after construction has started. All changes. are subject to the builders descretion and must be approved by the sellevin writing and paid for by the buyer. It is understood that the Builder WILL NOT uncrate or install any appliances other than the Dishwasher, Range Hood, or Disposal, if °any, UNLESS otherwise stated. . 11 The garage shall be on the. End side of the house when facing the house from the street. SALES REPRESENTATIVE• Z� BUILDER: MC UL ENIMOSE E DEVELOPER: RIVERWOOD ASSOCIATES: BY: �" F r e- // �^'C.C�^G��-{ rr TITLE • e /r J . BY: � TITLE:Pof ANDERSON & JANISH ENTERPRISES BUYER: v ITS: MANAGING PARTNER BUYE ' ASSOCIAT 11 r f ?#S' fid!"l '4 k , i A fine development by: RIVERWOOD ASSOCIATES & ANDERSON & JANISCH ENTERPRISES, INC.r' � I��,° i ?1i7a��r�r i .t RAMING AND DECKING: Y Factory engineered,roof,trusses where shown on plan, 7/16" roof sheathing. ',d z Decking,to have clips installed. All necessary conventional framed areas w. to meet code.,requirements. i i ROOF FINISHING: Soffit vents -and R-61 roof vents. per UBC. Tin valley, shingle tins and rain diverters as necessary. Felts,, wood soffits and facia. Asphalt shingles., Soffits will be 3/8" fir plywood. GOOF ATTIC NSULATIONI R142 blown fiberglass in ceiling with truss system. R-38 min. in areas.; with vaults. Under floors in loft area shall be minimum R-30. Loft bedroom with slop vaults to have minimum R-25. 'Air shutes will be installed in all slopped walls where required amount of insulation is in contact with roof sheathing. iARAGE DOOR: Style of garage door to be determined by house design whether overhead door will be a flush with textured finish or, cl dwood r ised panel or redwood raised panel. Style of door _�-4, 'ATIO: )ECK:. ;XTERIOR DOORS: Exterior front door shall be Door from arouse to garage to have self cl osI ng hinges, keyed knobor ever. Front entry door to be antique brass with single cylinder deadbolt. 7j WINDOWS iWindows 'shall be A with insulated glass (Archit c_ura design ictates casements vs ouble.hungs). ki lights)per; lan. INTERIOR DOORS"AND MLLW9K• { All interior doors (hinged or closet) 'shall: be antique brass knob finish to be standard. Bi-fo door k and of antique'brass. Interior trim shall be Yrim. Allwood railin.'gs to be oak. Stairs, treads particle board. Shelving to be particle board core. inished areas,to have oak veneer shirt boards. 4th 'I i Iii + Approved na ri All level wi th ODs to be foetal o k sers shallhbe finished and optional stairs tojbe painted. f r: NETS Cabinet frames shall,::;b o k ven r m erial and of ood qualit Doors. e shall be solid oak Vanities will match the kitchen cabinets. Linen osets c and/or hal closets will have face frames to match cabinets doors. Buyer has choice of 2 styles of hardware or finger pulls. Lower level vanity(s) doors} will be the same as door style in kitchen. a. COUNTER TOPS & VANITY TOPS: i Kitchen cabinet counter tops will be plastic laminate with back splash and 0, installed on site. Vanity top to be cultured marble or plastic laminate. Counter top base material 3/4" high density cabinet grade particle board. Counter top sub -contractor to be responsible for sink cut outs. FLOOR COVERINGS: } i� b tarda_ d,40, Ction. Bath floor to be vo kitchen floor to be Vinyl floor to have su oor installed by vinyl contrac or.rot entrance floor to be CARPET ALLOWANCE: TOTAL VINYL ALLOWANCE: � TOTAL CERAMIC ALLOWANCE: a zf TOTAL APPLIANCE ALLOWANCE TOTAL iC60,0 LIGHTING ALLOWANCE: " �j j L�20 TOTAL „ 00 n 1 for dryer. Kitchen range to be Dryer to be Tci"ricia GLASS 609UCTS : , pl ej 91a$5, mirror i36�' high, 3", �I ss�.'in ,width�,than vanity) FI REPLCE� AND ,BRI��0P IONS: s f` �All fireplaces,'whether masonry or I'D" Clearance, shall be done to meetlall�codes and'speclfications of; the ;City.. Standard facing shall be 6 feet wide with buyers ! choice of Cedar or,Oak Mantle —2 � All fireplaces shall have fresh air,' intake,foh,compustion. Raised ;hearth is stand4rd on masonry,and '"0" Clear�nce:'firep! aces. ' 4 Approved. by: ..N�.. i -- .,TRICAL WORK: Electrical contractor to provide all necessary labor and material, and perform all the electrical work of every nature that is required to be completed to meet state and local codes. 100 amp service panel flushmount. Underground service. Provide 1 range recepticle if electric range is so specified by buyer. One dishwasher wired. One garbage disposal wired. One non -vented range hood. Furnace, bath fan, one doorbell button and chime. 3 telephone outlets roughed in. Ceiling lights are standard (1 each) in all bedrooms. Homeowner may opt for 2 switched outlets in bedrooms in lieu of ceiling light at no additional charge. ELECTRICAL CONTRACTOR TO VERIFY WHICH, IF NOT DESIGNATED ON PLAN. Wiring for 1 garage door opener. Electrical fixtures to be hung by electrical contractor. ANDSCAPING: RIVEWAY: 2" of top soil, sod entire lot and install 1 (one),1-1/2"°•trO "°' °per City requirements. Must maintain good drainage away from house with a 6" drop in first 10'. M i 2" mat of asphalt and minimum 4" base to by-pass mat by 6" on each side of asphalt, on all asphalt drives. Asphalt mix to be #2341, 5.2% oil. JNCRETE DRIVE: )DITIONAL ITEMS: Approved by, 7/6/88 We bought e. new -home from McMullen/Moselle & Riverwood Assoc. on June 5, 19817. There were many things unfinished when we moved in not only that we were concerned about getting done but also the City of Fridley had a list of concerns too. To begin with our sod was put in a week before we moved in and was never watered. Of course the strips of sod shran!',1 and most of our sod is ruined. What parts did come back have so many weeds from the shrinage everything is very poor. Our allowance for landscaping was forgotten and Mr. Moselle decided for us what we wanted and had whatever put int. In the middle of June we had a walk through to tell Mr. Moselle and his helper Chris what we ''knew at that time what had to be done. They did not bring with them any forms or even paper to write down our concerns so we just walked around and talked about what had to be done. July 6, 1987 I notified Mr. Ifoselle that we had water in the basement right under the front entry. One week later I talk to Chris and asked if they would please come and look att,the sidewalk in front because it was moving. Another week went by and the sidewalk was cracked and the steps started to move away from the house. By the end of July we got Mr. Moselle to come out and look at Vle steps and sidewalk. His only comment was "Talk to God". We then went to the City of Fridley Building Inspection for help. The inspector told us the water In the basement was caused from the ground giving way under-k.the step and also warrened us to take the insulation off the walls in the basement so the blocks and wood could dry out. He also discovered that the footing under one side of the steps was missing. It took him a month and a half to get Mr. Moselle to come out and put a footing under the stemp. Last winter the steps moved so much we could not at times open the front door. Aug. Chris came out to do some repair work. A handle on the window'in the family room needed replacement so he fi:.ed that but cracked the frame. He fixed a hole in the screen on the porch but forgot to nail the board back down so the screen popped out over the winter. Heydropped off the grids for the living -room windows and as'_ed me to "slop some statin on" and he would be back to install them. He installed some wood wor% in the upstairs bathroom but didmtt cover the nail holes -- other wood work in the house hasnft any nails marks that show. Sept. both Pair. Moselle and Chris came to talk about what needed to be done. Mr. Moselle said he didn't have any money. Chris said he would do some repairs that day but both got in their trucks and left -- without doing anything. This same month a roofer came by at the request of Mr. Moselle to repair our roof and the roof on the house across the street from us. He stopped to talk to my husband about our roof and said, "this is not a repair job - it is too masgive to be a repair job." He left to tall: to Mr. Moselle. In Jan. 1988, when talking with Mr. Moselle about the roof he told me he was not going to repair it because it did not leek. Oct. came and we turned the furnace on - from the first night I heard a noise li'.e a leeky faucet. I reported this to Mr, Moselle and personally tall, to Chris, who was wor'wing just a half a block away from our home, on two different occasions and asked him to came down and see what was wrong. He did not respond. Nov. 1$, I,00ntected the heating sub -contractor to come out and see if they could find out whet was wrong. The noise in the furnace kept getting worse, the coder it got outside the more the furnace went on, the more we heard the noises in the walls. They came out but couldn't find anything wrong but thought it was the pipe that ran down the full length of the house -- he would get back to us. Dec. I called the heating company again to find out what they were going to do and their decided to come out and replace the pipe we had talked about. The noise then_ got torsed I contined to call them on a daily basis - trying to get them to get the problem solved. The first part of Jan. IIr. Aioselle called. because the heating contractor wanted rye to stop calling them. I asfYed him to please come out to see form him::elf - 111 otl - then could Chris come out & meet with the heating people -v:hen they were coml.ng out - "No" - I talked to Chris myself and rsked hire to please stay on top of this problem because the noise was so terrible. I have never talked to him again about this problem andhe has not contacted me to see if this ever got fi,.ed. He did r_Othing. I also called in Jan. to report t,:at our kitchen cabinets were moving apart. This is when I learned of the McMullen/iioselle partnership break-up. The new name would be St. Charles Homes, Happy Moselle, President and new location of Egan. There was never any notification f,,f this to us. Feb. I contacted the Sheet Metal Union for some help with the heating sub -contractor. A.me6ting was arranged between the I,11anager of the heating company, myself and the pipe manufacture at our house. It was determined at this meeting that the pipe had a defect -- it was replaced in the triddle of Fob. Chris set-up a time in Jan. when he would be out to picl.-up a list of thingb_'.th.at-endeded tb�done in our home. He missed that date but showed up 3.weel,�s later unannounced and at that moment in time my husband could not find the List. He did not come prepared to fi<. anything that we had tali -ed about over the last 7 months. March I called to complain about nothing getting done Chris told me it was my fault becauCe I had not supplied him with a list of things to be done. Also. I co-,.-.ldnft even "slop on the stain on the grids" after all he was Going me a favor by givingme those grids. (gridsfr7.r our living -room windows) Those grids ere in our contract - I have already paid for them and the labor to put them in - stained. He then said. tl.2t I•:r. Posel.le wo ld send me a form to fill out that must be sent bath by May 51 1,88 and that all wor?: would be done by Jure 5, 1968. Mr. Moselle has been aware of all the things wrong with our new home for over a year and has n.,t made any major attempts to do anthing. I am enclosing the letter I'!r. 'Fosell_e sent to me in Iiarch and our reply. The City of Fridley hao filen a complaint against Mr. Moselle for replacement of our sicLewalk which was to be fix.ed by June of 1988. I have nov- contacted the Plumbers Union for help with our plumbing problems. Mr. I.iosell.e has not, on our behalf contacted any sub -contractor to get anything done. It too'- us 1. year anti 4 weeks just to get o,.,.r cabinets adjusted by the sub-cc;ntract -- something they tolde me Mr. Moselle was responsible for. Some of the oti-ier sub have told me the reason they are unwilling to come out is because they have not been paid by Er. Moselle. June ld, 1986 Chris called to as?:_ if he could come out to our house on June 17. He said he Cres coming out and would stay until everythin on the list was completed. He was suppose to arrive about 8130 am or 0:00 am. He arrived at 10:30 am and left at 12:30 pm. He replaced the vrindo-v frame in the family room but didn't varnish it --- he replaced some of the molding in our front entry -,stained some of it tLe wrong color and didn't stain other at strips at all but nailed it in anyway. Chris left without saying anythin or ever selling to say whet would hamppen neat. We are now gathering estimbtes for the grass, steps, and sidewalk to be replaced as soon as possible. Also three other familes in our area besides ourselves with similiar problems have contacted the law firm of O'Connor and Hannan in reference to a possible law-suit against Mr. 1oselle. I would appreciate any help you can give us in making rlr. Moselle live up to his responsibilities. cc: Attorney General's Office BB City of Fridley, Building Inspector 10 GiYOF FRIDLEY CIVIC CENTER • 6431 UNIVERSITY AVE. N.E. FRIDLEY, MINNESOTA 55432 • PHONE (612) 571-3450 February 2, 1989 Mr. Bill Ekstrum 6401 University Avenue N.E. Fridley, MN 55432 Re: Citation #543-062 Regarding Violations at 7130 Riverwood Drive N.E., Fridley - McMullen/Moselle & Associates Inc. Dear Mr. Ekstrum: Please be advised that all violations listed on the above noted citation have been completed. Thank you for your assistance and if any questions or problems arise, please contact me at 571-3450. Sing D CLARK Chief Building Official DGC/mh ENC: Copy of Citation J A. STATE OF MINNESOTA COMPLAINT AND SUMMONS COUNTY OF ANOKA CIVDISTRICT COURT IL CRIMINAL DIVISION No. 4 3 - A City/Township of t.1 �J ��0 2 The undersigned, being duly sworn, states as follows: On theday of180 at • x+ M. at (Location) '71 Q 1 U �i n v X>t,,p f't 1 cfn rA kJ Name AI LU1, mt�a'►.t1e� ��c � t.. of (Address) �1*HAPPY r110>4LUL& "4 (�(� (7 (i n Birth Date' T _ ` /��[ did then and there commit the following o ensu 3 �tAt, u11� 'TJ m Y `��L iw. \ Iit1, f ��.�IGiN ! CJ , Y �{l eti Ct +J� j7t t u, -jnA.j rl/. aA In violation of Local Ord. No. d ()(O In such case made and provided. I promise to contact the Violations Bureau before (if I have any questions), or appear at the time and place shown below: and I understand if I fail to do so a warrant for my arrest may be issued. SIGNATURE VIMIons Bureau address: (*,% ( ,'A iA ;� t L� K Phone: 421-4 Ext. 13 4 Court Date 1 Court Time: JW p.m. _ State Statute No. The undersigned further states that he has Just and reasonable grounds to believe, and does believe, that the person named above committed the offense herein set forth, contrary to law. Signature of Complainant Badge No. and Department Date Z, r v. CITY OF FRIDLEY 6431 UNIVERSITY AVENUE NE FRIDLEY, MN 55432 572-3604 FAX: (763) 571-1287 ADDRESS : 7130 RIVERWOOD DR NE PIN : 103024420064 LEGAL DESC : RIVERWOOD PARK : LOT 7 BLOCK 2 PERMIT TYPE : ELECTRICAL PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ADDITION/ALTERATION PERMIT NO.: 2004-01201 DATE ISSUED: 07/28/2004 VALUATION NOTE: ELECTRICAL PERMIT BECOMES VOID 12 MONTHS AFTER PERMIT ISSUE DATE. INSTALL AIR CONDITIONER. # INSPECTIONS 1 APPLICANT CENTERPOINT ENERGY/M[INNEGASCO 13562 CENTRAL AVE NE ANOKA, MN 55304- ROGERS SUZETTE G 7130 RIVERWOOD DR FRIDLEY, MN 55432 ELEC PERMIT FEE - MIN (RESI) 20.00 STATE SURCHARGE, ELEC FLAT 0.50 TOTAL 20.50 PAID WITH CHECK # 5879 AGREEMENT AND SWORN STATEMENT This permit becomes null and void if work or construction 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 worl 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 regulating construction or the performance of construction. Applicant Date Bldg Insp. Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. c CITY OF FRIDLEY BUILDING INSPECTION M Effective 4/1/2004 9 3431 University Ave NE 9=ridley, MN 55432 APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION L 763-5723604 FAX 763-5.71-1287 REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES 9 10BADORESS .O n RATE SCHEDULE FOR to Residentlal Owner �z awe r5 Furnace Shell and Duct Work, Burner & also Replacement Furnace $35.00 $ Building Used As Gas Piping (New Furnace, Fireplace, Insert) $10.00 $ ESTIMATED COST v2l OC! • O O PERMIT NO 00L QN00 Gas Range $10.00 $ DESCRIPTION OF FURNACE AND BURNER Gas Dryer $10.00 $ # of Heating Units Circle One (Steam) (Hot Water) (Warm Air) Trade Name Size No. *Air Conditioning- All Sizes $25.00 $ ES.®O BTU HP EDR (�W 8 U14rV-xC ti30 a`�a�vv.s Fuel Total Connected Load All Other Repairs or Alterations (List on Back) �- 1% of Value of Appliance or Work $ Burner Trade Name Size No. a Minimum Fee $15.00 for Residential or 6% of cost of BTU HP EDR i . Improvement whichever is greater on work less than $300.00 L The undersigned hereby makes application for a permit for the work herein j Commerciyindustrial/Institutional specified agreeing to do all work in strict accordance with the City Codes t 1.25% of Value of Appliance or Work (List on Back) $ and rulings of the Building Division, and hereby declares that all the facts Minimum Fee $35.00 for Commercia(/industrial/instituUonai and representations stated in this application are true and correct. CENTERPOINT ENERGY MINNEGASCO Y State Surcharge $___;50 HEATING CU 13562 CENTRAL AVE NE BLAINE, MN 55304 1 TOTAL FEE $ a�s .SCS Signed q k, Tel #763-757-6202 v FAX #163-757-6701 Date REINSPECTION FEE $50.00/HOUR m*Air Conditioners can not be placed in side yard without written approval P+ from adjoining property owner - copy to City LL N FILL OUT BACK SIDE FOR STACK VERIFICATION ON REPLACEMENT FURNACE. IL CC Approved by Rough -in Date Final Date Z0 ' d -Idlol FILL IN COMPLETELY FOR REPLACEMENT FUEL BURNING APPLIANCE PERMITS COMMON VENT VENT CONNECTOR AND COMBUSTION AIR VERIFICATION When replacing an existing furnace, 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 (X) No( ) The venting system is plastic/PVC and meets all current codes and manufacturer specifications including sizing, length, number of elbows and termination. Yes (30 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 (1 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 A is a listed assembly and meets the current codes and manufacturer's specifications. This does include AGA -LAMA Category 1 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 91 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) CENTERPOINT ENERGY MINNEGASCO HEATING CO: 13562 CENTRAL AVE NE BLAINE, MN 55304 Signed By: Date: '? - 3 - ®y F0/pA' A TWIG .Ail Ol A37C 18A dD AI 1 O WON -4 S? : Z t b00F-LZ-8848 0 CITY OF FRIDLEY PERMIT :o 6431 UNIVERSITY AVENUE NE, FRIDLEY, MN 55432 DATE ISSUED: 07/28/2004 572-3604 FAX: (763)571-1287 ADDRESS 7130 RIVERWOOD DR NE PIN 103024420064 LEGAL DESC RIVERWOOD PARK LOT 7 BLOCK 2 PERMIT TYPE HEATING PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ADDITION/ALTERATION VALUATION NOTE: AIR CONDITIONERS CAN NOT BE PLACED IN A SIDE YARD WITHOUT WRITTEN PERMISSION FROM ADJOINING PROPERTY OWNER. COMBUSTION AIR SHALL BE PROVIDED PER UMC SECTION 504(A) AND TABLE 6-A. INSTALL AN AIR CONDITIONER. # A/C UNITS 0 VALUE OF APPL OR WORK 0 # FURNACES 0 # GAS DRYERS 0 # GAS RANGES 0 VALUE (FOR MINIMUM CALC) 2100 APPLICANT CENTERPOINT ENERGY/NIINNEGASCO 13562 CENTRAL AVE NE ANOKA, MN 55304- ROGERS SUZETTE G 7130 RIVERWOOD DR FRIDLEY, MN 55432 AGREEMENT AND SWORN STATEMENT This permit becomes null and void if work or construction 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 regulating consfiuction or the performance of construction. HEATING PERMIT MINIMUM FEE 25.00 FURNACE SHELL/DUCT WORK 0.00 GAS RANGE FEE 0.00 GAS DRYER FEE 0.00 AIR CONDITIONING FEE 0.00 HEATING REPAIRS/ALTERATIONS 0.00 STATE SURCHARGE, MECH FLAT 0.50 TOTAL 25.50 PAID WITH CHECK # 5879 SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. rw� Building MECHANICAL Permit No.: Inspections RESIDENTIAL APPLICATION Received By: 763-572-3604CITY OF FRIDLEY Date Rec'd: A I DATE & YOUR E-MAIL ADDRESS SITE ADDRESS 713o � J er w -cci1 mac,y e- AI E THIS APPLICANT IS: ❑ OWNER CONTRACTOR PROPERTY NAME: Bcrl)&V Cv m v ADDRESS: -713 U � � J � f' e� Jul • CITY �r; �} � re � STATJDn.ZIP � S/� OWNER/ TENANT � PHONE: (tJc�I - %ay� - its 75 -(L¢3v/Cr eg d �✓✓%7rt� CONTRACTOR `� COMPANY NAME: p/ (QS*Fl QS ,44 t-+ S CONTACT PERSON: Ga ♦7 6'e rZ,`C.h,-/ 1,< SUBMIT A COPY OF YOUR STATE STATE LICENSE # EXP DATE LICENSE WITH J ADDRESSp�p�4� �enn,- ,er Lcir1e: CITY,0o,-M :5+ -Pc,,,( STATEirIrXZIP.5 S/Gct APPLICATION PH0NE(D,S/-7#,?«7 FAX L;T/- 7A--,S��7k PERMIT TYPE 't INGLE FAMILY ❑ TWO FAMILY ❑ TOWNHOUSE TYPE OF WORK: )6EW 0 REPLACEMENT ❑ ALTERATION/REMODEL DETAILED DESCRIPTION OF WORK ik // Cnec..S PER MS 16B.665 the permit fee is a minimum of $15.00 or 5% of the total cost up to $500.00, whichever is greater, for the improvement, installation or replacement of a residential fixture, excluding the fixtures. (This should reflect only the cost of labor ) Labor cost under $300 = $15.00. Labor cost between $300 to $500 = cost of labor X.05 = FOR PROJECTS WHERE LABOR EXCEEDS $500, FEES ARE BASED ON $10.00 PER FIXTURE, EXCEPT WHERE NOTED. FIXTURES: (INDICATE TOTAL NUMBER OF EACH BELOW) , /Pg ' / Equipment Installed MFG -KA - l� -s nei i MODEL: {7tp z��✓i0al T SIZE/BTU MFG: ✓ MODEL: SIZElBTU MFG: MODEL: SIZEIBTU _A/C $25.00 FIREPLACE (GAS) $15.00 GAS RANGE/OVEN $10.00 _AIR TO AIR EXCHANGEER $ 15 _FIREPLACE (WOOD) $35.00 NEW GAS GRILL $10.00 $35.00 _FURNACE $35.00 _GAS UNIT HTR $10.00 _BOILER LINER $10.00 _GAS DRYER $10.00 _POOL HEATER $35.00 _CHIMNEY DUCT WORK $10.00 _GAS PIPING $10.00 VENTILATOR $15.00 Permit Fee $ Number of fixtures @ $1.0.00 —x$10.00=$ Surcharge $ .50 Number of fixtures @ $15.00 d x $15.00 = $ 1-57 C.6 TOTAL DUE $ Number of fixtures @ $25.00 x $25.00 = $ Number of fixtures @ $35.00 x $35.00 = $ State Surcharge = $ .50 Total = $5, CU 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 ordinances and codes of the City of Fridley and with the Minnesota Construction Codes; that I understand this is not a permit but only an application for a permit and work is not to start without a permit; that the work will be in accordance with the approved plan in the case o all work which requires review and approval of plans. SIGNATURE OF APPLICA �< C/� PRINT NAME DATE �J�dk LAS" r1i moi =,. City of Fridley Building Inspections Department 6431 University Avenue NE, Fridley, MN 55432 763-572-3604 FAX: 763-502-4977