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PRE 2010 DOCSSUBJECTr2- NO.City of Fridley 9 9 3 4 AT THE TOP OF THE TWINS BUILDING PERMIT `- COMMUNITY DEVELOPMENT DIV. r PROTECTIVE INSPECTION SEC. I �.- � I•� CITY HALL FRIDLEY 55432 L NUMBER REV. DATE PAGE OF APPROVED BY •--.� 612-571-3450 910-F15 6/6/89 JOB ADDRESS 7133 Riverwood Drive N.E. 1 LEGAL LOT NO. 1 BLOCK 3 TRACTOR ADDITION SEE ATTACHED Riverwood Park DESCR. SHEET 2 PROPERTY OWNER MAILADDRESS ZIP p ONE Jerry Tollefson Construction 311 Sunrise Lane, Champlin, MN 5531 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 [A NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Construct a 50' x 26' Dwelling and a 22' x 22' Garage SEPARATE PERMITS PEOUMb • • '• 9 CHANGE OF USE FROM W11R1NG1,0 HEATING, PL.UME31NO ./� Nb �� I "S. FYI 9V�7 /1113 STIPULATIONS Provide a hard surface driveway. Provide sod in the front and side yards Provide City With copy of verifying survey before capping. Paid $1,500 Park Fee. SEWER LOCATION: "WYE" 10' N.E. of Manhole "Y" ELEV: 847.92 MINIMUM TOP OF FOOTING: 850.92 WATER LOCATION: Water in Same trench as sewer. DRIVEWAY ESCROW: 16' + 6' - 22' x $13.50 = $297.00 THE WY OFIDLEY DOItS NOT OUAMNttE NIS . WARNINU ACCURACY OP LJTII!` Y LOCATIONS ANb tLtVA-hdN§, THIS DATA IS P014 INPORMAMN VUk06kt 6NAAO Before digging call local. utilitiesAND PERSONS USING ` HIS INPORMAtjOt4 SwOU' TELEPHONE * ELECTS;,. GAS Ek VERIFY IT ON THE 81M REQUIRED BY LA SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, TYPE OF CONST. Wood Frame 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 R 1 OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS OFFSTREET PARKING I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION 1 STALLS GARAGES AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS VALUATION SURTAX AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT $ 107,050 $53.53 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., $667.50 Credit From Sch000 [� �r � p PLAN CHECK FEE TOTAL FEE $721.03 + PF & DW SIGNATURE OF CONTRACTOR OR AU o A T (DATE) tN//A WEEN PROPERLY ALI DATED THIS IS YOUR PERMIT 6�� BLDG INSP TE SFGNAT OWNER IIF OWN ILDERI IDATEI IM NEW [ e100000, Effective 5/1/88 ADDN [ ] R-1 AND R-2 � 3 ALTS [ ] Building Permit Application l Construction Address: . ,c: • - _ u- •..... Contractor: Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. D�'.SQtIPTIC K OF IIMPROVENER IaVIW AREA: length Width o26 Height Sq. Ft. 1040 GAMM AREA: nth -10- Width Q -1 Height Sq. Ft. _ DECK AREA: length Width Hgt/Ground Sq. Ft. OTIER• Corner lot [ ] Inside lot ] Ft. Yd Setback -55f / Side Yard Sucks Type of Construction: �/ , Estimated fit: $ Approx. Completion Date: S,T do e7 2Z Proposed Driveway Width If New Opening Is Desired: ,71�r,y 76/ 6wi + 6See Back Page DATE: S 31-dr;P APPUCANT: 7Tel. # y0,4 -C CITY USE CNLY Permit Fee $--un-190 Fee Schedule on Reverse Side State Surcharge $ $.50/$1,000 Valuation SAC Charge $ �+�,'► T. $575 per SAC Unit Driveway Escrow $,C� Alt. "A" or Alt. "B" Above Park Fee $ 1500 ®a Fee Determined by Engineering Sewer Main Charge $ ® Agreement Necessary [ ] Not Necessary [ ] $ STIPUTATIOM : 41 1;44nVQR4a Ana FAVO ANCS PROPOSED HOUSE LOCATION FOR TOLLEFSON CONSTRUCTION rm►'d C Riverwood Drive �� --- ooZ o4 n ° 6' Drainage & Utility: Easement i 0 \ 49.0 2z. 4,7 1� Prv�o s 14 �sv /SQSa��a e� /o/•a /o%a as .�LL 0 ISCALE: 1.inch - 40 feet Lot 1. Block 3-. Riverwood Park, Anoka County. Minnesota. elevations shown are assumed. 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. Reg. No. Date Job No. Book No. /2- y 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 Bump or Receivinq Tank Water Treating Appliance Not Water Heater Gas Range Gas Dryer NO. 7 3 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 TOTAL $_ "70, �® S Back Flow Preventer Required. . . Yes ( ) No ( )- Type $ 5.00 S ALL OTHAS AND/OR REPAIRS AND ALTERATIONS 1t of Value of Fixture or Appliance $ Rainspection Pie $ State Surcharge S .50 (S15.00) TOTAL FEE Effective Date May 1, 1988 Job Address -71 3 3 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. OWNER IrY'� T / e-- os- ,t KIND OF BUILDING s 4 USED ASWo Si �a •t e Ta BE COMPLETED ABOUTq . ESTIMA T 07 NEW ILDING PERMIT NO. PERMIT NO. Company �, /&?- Signed By ROUGH INSP. Date FINAL INSP. ! —cp Date APPROVAL FOR PERMIT - 0 HINIHUM FEE FOR ANY PLUMBING PERMIT IS $15.00 PLUS THE $.50 STATE SURCHARGE a a a m� water A -4 a q M 4 w Heater 14 B let 1 1 2nd 7- 2- 3 3rd 4th , (R) 0 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 Bump or Receivinq Tank Water Treating Appliance Not Water Heater Gas Range Gas Dryer NO. 7 3 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 TOTAL $_ "70, �® S Back Flow Preventer Required. . . Yes ( ) No ( )- Type $ 5.00 S ALL OTHAS AND/OR REPAIRS AND ALTERATIONS 1t of Value of Fixture or Appliance $ Rainspection Pie $ State Surcharge S .50 (S15.00) TOTAL FEE Effective Date May 1, 1988 Job Address -71 3 3 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. OWNER IrY'� T / e-- os- ,t KIND OF BUILDING s 4 USED ASWo Si �a •t e Ta BE COMPLETED ABOUTq . ESTIMA T 07 NEW ILDING PERMIT NO. PERMIT NO. Company �, /&?- Signed By ROUGH INSP. Date FINAL INSP. ! —cp Date APPROVAL FOR PERMIT - 0 HINIHUM FEE FOR ANY PLUMBING PERMIT IS $15.00 PLUS THE $.50 STATE SURCHARGE 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 Job Address \ Q� UJ 0r o RESIDENTIAL ` RATE TO'PAL Furnace Shell and Duct Work, n Department of Buildings, 6431 University Ave. N.E., Fridley, NN 55432 Burner (Also replacement furnace) $ 20.00 $ ® Q City of Fridley Gas Piping $ 10.00 $ j a� 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. - , 1981 All Others/Repairs and Alterations OWNER 1% of Value of Appliance or Work $ KIND OF BUILDING�� COMMERCIALf INDUSTRIAL USED AS li of Value of Appliance or Work $ TO BE COMPLETED ABOUT o ESTIMATED COST 1 Lam' State Surcharge $ .50 J OLD NEW BUILDIN ERMIT NO. PERMIT NO. TOTAL FLEE $ Reinspection Fee ($15.00) $ 0•� DESCRIPTION OF FURNACE/BURNER Rough Insp. Date HEATING or POWER Steam, Hot Wate Warm A1r�- 1 gPLANTS, 9No. Trade Name i—t�i� Size No. UV��!"� (�� Final Insp. Date ( capacity p � sq. Ft. EDR STU HP Approval for Permit Total Connected Load G % ® Kind of Fuel a BURNER - Trade Name Size No. Capacity Sq. Ft. EDR BTU HP MINIMUM FEE FOR ANY HEATING PERMIT IS $15.00 Company AFA"aA6ed PLUS $.50 STATE SUffCfiARGE Signed By 7��-(— /� �"` 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 CHIMNEY AND STACK VERIFICATION The undersigned hereby verifies that the existing chimney or stack; 1. 'Has .been. careful ly. . exami ned. Yes (,) -No 2. Is free f rom.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 fropeant Page No. 1 of 1 Pages HOMES,DAILEY INC. 5510 Central Avenue N. E. MINNEAPOLIS, MINN. 55434 Phone 7544-3910 PROPOSAL SUBMITTED TO City of Fridley PHONE 571-3450 DATE August 23,1989 STREET JOB NAME 6431 University Ave. N.E. 7133 Riverwood Drive -Tap watermain CITY, STATE AND ZIP CODE JOB LOCATION Fridley, MN 55432 Fridley, MN NAMKK DATE OF PLANS JOB PHONE Attn: Mark Winson We hereby submit specifications and estimates for: We propose to provide labor and material to tap 6" watermain with 1" line and run to property line and we propose to tap 8" sewer main with 4" line and run to property line. No permits,no dewatering, no tar and curb replacement included in price. BASE PRICE: $2,200.00 NOTE: Our new address is: 11000 Central Ave. N.E. Suite #106 Blaine, MN 55434 Phone: 754-2644 Ur 11raV00e hereby to furnish material and labor — complete in accordance with above specifications, for the sum of: T ent -t o hundred dollars and no e ------------ dollars ($ 2,20Q.00 ). Payment to be made as follows: All material is guaranteed to be as specified. All work to be completed in a workmanlike manner according to standard practiges. Any alteration or deviation from above specifics- Authorized ai „ tions involving extra costs will be executed only upon written orders, and will become an Signature extra charge over and above the estimate. All agreements contingent upon strikes, accidents or delays beyond our control. Owner to carry fire, tornado and other necessary insurance. Note: This proposal may be 10 Our workers are fully covered by Workmen's Compensation Insurance. withdrawn by us if not accepted within days. INXrqu t of roplua! —The above prices, specifications and conditions are satisfactory and are hereby accepted. You are authorized Signature to do the work as specified. Payment will be made as outlined above. Date of Acceptance: Signature 0_a5-- e�i Olson's Plumbing Plumbing and Heating Contractors GIs r//'50' zal aoe-.-� 931 - 44th Avenue N.E. • Minneapolis, Minnesota 55421 (612) 788-5635 DAI LEY HOMES, INC. 11000 CENTRAL AVENUE N.E. - BLAINE, MN 55434 TELEPHONE 784-3910 Customer's Order No. Date September 19 i9 89 Sold To City of Fridley Address 6431 University Ave N.E. V7 Z -- city Fridley, MN 55432 state zip Attention: Mark Winson SOLD BY CASH C O. D. 1 CHARGEON XXX ACCT. MDSE. RETD. PAID OUT QUANTITY DESCRIPTION PRICE AMOUNT RE: 7133 Riverwood Drive -Fridley MN Ta sewer and water main and bring into property line. 550 00 Thank you for your valued business TAX THANK TOU In case of error or exchange, please return this bill. N2 14249 Received by CIVIC CENTER • 6431 UNIVERSITY AVE. N.E. FRIDLEY, MINNESOTA 55432 o PHONE (612) 571-3450 September 20, 19.89 Tollefson Construction 311 Sunrise Lane Champlin, MN 55316 Re: Final Inspection at 7133 Riverwood Drive N.E,, Fridley Dear Sirs: A final inspection was conducted on September 20, 1989 of the above address and there were no items found that needed to be completed. The structure is approved for occupancy. Sincerely, DARREL G. CLARK Chief Building Official DGC/mh Ann RAVM ARE Ic To 1b Existing Foundation Location for Tollefson Construction /-)/3,3 �la Rive_-erw°_od Drive i - -- op Z o R ^� o Z�,3G 95ooy Drainage & Utility. Easement 0 U01" /177 sz. 3 Z7. i o /0 2 • o Ag14 r„71 t /6/.6 /o% a ,I — ._,__(�� ti �yb S B7 53 Zo'�' ; • ISCALE : I inch = LO feet Lot 1. Block 3, Riverwood Park. Anoka County, Minnesota. elevations shown are assumed. • Denotes Iron Monument Found I hereby certify that this sur•,�ey, pl_,.n out.preliminary pl- report \vas prepared -by me or under my direct supervision and that i am a auly Registered Land Surveyor under the laws of the State of Minnesota. Reg. No. Date Job No. Book No. .... ._ .::. '� ,�, ®:.. x •.•. _ •: � � � � . , •. � : sial ..,. <diii is �:?. r, •..' .,t - __ �..' t _ , CITY OF FRIDLEY P,_37 Effective Date May 1, 1988 APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION, REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES RATE SCHEDULE RESIDENTIAL RATE TOTAL 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 18 of Value of Appliance or Work COMMERCIAL/INDUSTRIAL 18 of Value of Appliance or Work $ 20.00 $ $ 10.00 $ $ 10.00 $ $ 10.00 $ $ 10.00 $t®.®o S State Surcharge TOTAL FEE Reinspection Fee ($15.00) Rough Insp. Date G� Final Insp. Date Approval for Permit MINIMUM FEE FOR ANY HEATING PERMIT IS $15.00- PLUS 15.00PLUS $.50 STATE SURCHARGE *Air Conditioners can not be placed in side yard without written permission from adjoining neighbor. $ .50 $ Job Address -7/-43 R V64ido b4fI'm 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. p a) �^ Fridley, Minn. s '1990 OWNER b/�Y ® ��//��1y D i 6 KIND OF BUILDING /'I 5f USED AS A"S &V C Le TO BE COMPLETED ABOUT J ESTIMATED COST OLD - NEW BUILDING PERMIT NO. PERMIT NO. /Ly292 DESCRIPTION OF FURNACE/BURNER HEATING or POWER PLANTS, Steam, Hot Water, Warm Air- No. L A ( Trade Name e,4 0 V Yaa-311_ Size No. Capacity 30000 EPTQ Sq. Ft. EDR BTU HP Total Connected Load Kind of Fuel BURNER - Trade Name Size No. Capacity Sq. Ft. EDR BTU HP Company MARsK H6AT:rA &0 AO Signed By 0/1 /' Tel. No. nt m ob6 7 Fill out back side for stack verification on replacement furnaces CHIM14EY AND STACK VERIFICATION The undersigned hereby verifies that the existing chimney or stack; 1. Has been carefully examined Yes (,) No 2. Is free from rust or deterioration Yes ( ) No 3. Has no foreign objects lodged within Yes ( ) No 4. Is securely supported Yes ( ) No 5. Meets all current Code requirements for size and total BTU connected Yes ( ) No 6. Has Total heating BTU's of All other BTU's TOTAL Rema rk s Company Signed By Date CIiYOF FRIDLEY CIVIC CENTER • 6431 UNIVERSITY AVE. N.E. FRIDLEY, MINNESO'T'A 55432 • PHONE (612) 571-3450 June 20, 1990 Mr. David Tuenge 7133 Ri_venmod Drive N.E. Fridley, MLJ 55432 Re: Letter Approving Side Yard Installation of Air Conditioner at 7133 Riverwood Drive N.E. Dear Mr. Tuenge: We have not to this date received the letter from your neighbors approving the installation of the air conditioner in your side yard. Section 124.05 of the Fridley City Code requires that we receive this letter before the installation of the unit can be approved. Please have your neighbors sign the form at the bottc$m of this letter and return it to our department. We will expect this to be c:cupleted by July 6, 1990. If you have any questions on this matter, please contact me at 572-3603. Sincerely, Bldg/Medh Inspector GW/mh I/we, �� tS �z'ko� ct , owner (s) of �? l _ Rivenmod Drive N. E. , have no objections to an air cohditioner being installed in our adjoining side yard with 7133 Rivemood Drive 1I.E. by Mr. David Tuenge. CITY OF FRIDLEY INSPECTION DIViSION �1 .�6.1- D Effective On January 1, 2000 6431 University Ave NE Fridley, MN 55432 APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION, 572.3604 REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES RATE SCHEDULE Residential Rate Furnace Shell and Duct Work, Burner - Also Replacement Furnace $ 30.00 (Side Vent - Fill Out Back) Gas Piping (Needed with new furnace, $ 10.00 but not replaceme t) Gas Range' ��'tY'�� $ 10.00 Gas Dryer $ 10.00 *Air Conditioning - All Sizes $ 25.00 All Others/Repairs & Alterations (LIST ON BACK) 1% of Value of Appliance or Work Commercial/Industrial 1.25% of Value of Appliance or Work State Surcharge 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. • I I OWNER TOTAL BUILDING USED AS ESTIMATED COST PERMIT NO.�J DESCRIPTION OF FURNACE AND OR BURNER No. of Heating Units Circle One (Steam) (Hot Water) (Warm Air) $ Trade Name Size No. BTU HP EDR $ Fuel Total Connected Load $ .50 Burner Trade Name Size No. BTU HP EDR 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 an rulings of the Building Division, and hereby declares that all the facts and representations stated in this application are true and correct. ,�/-o7 0 _ DATE 62 COMMON VENT, VENT CONNECTOR AND COMBUSTION AIR VERIFICATION When replacing an existina 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-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 in Type ALTERATIONS: (Describe) HEATING CO: Signed By: Date : kA 1 'i Ut- rRiOLCY 1Nzkr''i::._ i iUr,4 Lai v. 6431 University Ave NE Fridley, MN 55432 (763)572-3604 APPLICATION FOR PLUMBING AND GAS FITTING PERMIT MARK NUMBER OF FIXTURES TO BE INSTALLED ON EACH FLOOR Eftective L)n Jai) "I , sUU1 PLUMBING 'VCoe- yr, FIXTURE RATES: NO. RATE TOTAL JOB ADDRESS / l l Gtr) New Fixtures $ 7.00 1.00 The undersigned hereby makes application for a permit for the work herein Old Opening, New Fixture $ 4.00 specified agreeing to do all work in strict accordance with the city codes Beer Dispenser $ 5.00 and rulings of the Building Division, and hereby declares that all the facts Blow Off Basin $ 7.00 and representations stated in this application are true and correct. Catch Basin Rain Water Leader $ 7.00 $ 7.00 — o , 20 Sump/Receiving Tank $ 7.00 Qr. Water Treating Appliance $10.00 Owner �` Water Heater -Electric $ 7.00 Water Heater - Gas"" $10.00 Building Used As C- J' 14� . Gas Range" $10.00 f Gas Dryer** $10.00 Estimated Cost QC) PERMIT NO. Back Flow Preventer Required ( )Yes () No Type $15.00 PLUMBING COMPANY i S Reinspection Fee $47.00/Hr SIGNED BY TEL N0.-5��.5'�%/ ALL OTHERS AND/OR REPAIRS AND ALTERATIONS FAX # 1.5% of Value of Fixture or Appliance Approved By Rough -In Date Final Date � d 4;/0 State Surcharge .50 4 / MINIMUM FEE OR ANY PLUMBING/GAS PERMIT IS $20.00 TOTAL FEE $ `1 f. �� PLUS THE $.50 STATE SURCHARGE COMBUSTION AIR SHALL BE PROVIDED PER UMC SECTION 504(A) AND TABLE 6-A. COMMON VENT INFO ON BACK SIDE THE BELOW MUST BE FILLED IN WHEN REPLACING FUEL BURNING APPLIANCES OR THE APPLICATION WILL BE RETURNED nOMMON VFNT0 VFNT nQNNFrTQR AND rnMRt ISTInN AIR VFRIFICATIM When raI� a _ing an eYistina furaam, 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 plastiGPVC 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 spec cations. This does include AGA-GAMA Category I Central Furnace Venting Tables for fan assisted and natural draft appliances. Yes( ) No( ) The ta-wastong rnmhnstinn air is sized and installed to meet the current codes and manufacturer's specifications. Yes( ) No( ) When required to install a naw nnmh istinn air. it will be sized and installed to meet the current codes and manufacturer's specifications. Yes( ) No( ) When installina 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 #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 in Type M HEATING CO: Signed By: Date: SUBJECT.` City of Fridley 33107 ') AT THE TOP OF THE TWINS BUILDING PERMIT ` RECEIPT NO. COMMUNITY DEVELOPMENT DIV. PROTECTIVE INSPECTION SEC./ r 1 � NUMBER REV DATE PAGE OF APPROVED BY i CITY HALL FRIDLEY 55432 763-571-3450 910-F15 9/23/02 JOB ADDRESS 7133 Riverwood Drive NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 1 3 1 Riverwood Park SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE David/Kathy Tuenge 7133 Riverwood Drive NE 763-571-8451 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Handi-Craft Construction Inc 3820 Edgerton St Vadnais Heijzhts, MN 55127 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 651-270-0456 20290398 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 Basement finish 9 CHANGEOFUSEFROM TO STIPULATIONS See notations on plan. 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 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 WO WILL BE COMPLIED $20,485 $10.24 WITH WHET SPECIFIED HEREIN OR NOT. THE RANTING OF A PERMIT DOES NOT E UME TO IVE THORIT TO OL TE OR CANCEL THE PERMIT FEE SAC CHARGE PROVISION OF NY ER ATE OC L REGULATING CON- $335.25 FireAC $20.49 T CTIO ORT E P OR ANCE F ON TR C ON PLAN CHEne TO TA EE _--- Vice C $5. 70.98 SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENTy (DATE. E PRO Y VALID TE THIS IS Y UR P RMIT TIA TE S-GN4TURE OF OW NER „F OWNER BUILDER. IDATEIA01-<81LJFc--N�;P NEW [ J CITY OF FRIDLEY Effective 1/1/2002 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 BUILDING PERMIT APPLICATION Construction Address: ad t� Legal Description: Owner Name & Address: or 'K,-th .=C t e�g _ Tel. # --?61>- 5i 1- Y4 51 Contractor. 04VI r1 , — C'.h C." '-t -:T�l c.. MN LICENSE # PLO &19 ® 39 �r Address: `69�d J5� 2&-tnn fit® "cA nr� ,95, '14,u' kts, r V1-. S�oz-)Tel. # GSI - X7o--C)e-156 LIVING AREA: GARAGE AREA: DECK AREA: OTHER: Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF IMPROVEMENT 1111111111110. Length Width Height_ Sq. Ft WX Length Width Height Sq. Ft Length Width Hgt/Ground Sq. Ft Construction Type: estimated Cost: $ 4 LA Q S 90, 1 .9 6 aA Driveway Curb Cut Width Needed: Ft + 6 Ft = Ft x $ -=$ DATE: —1110 1 ®a APPLICANT: -Z�c\.e, Z�:AConst. Tel. # 651-900 -®L( (� Call (763) 572.3604 for Permit Fees if mailing in application or Fax to 763-571-1287 if using credit card and we will call you for card number. Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee Sewer Main Charge TOTAL CITY USE ONLY - kK $ �JFee Schedule on Reverse Side $ Q8 , —"'/Q/ 1 .001 of Permit Valuation (1/10th%) $ 10 , Q4/ $.50/$1,000 Valuation $ $1200 per SAC Unit $ ;; 00 $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: CITY OF FRIDLEY INSPECTION DI'ViSI€?N 6431 University Ave NE m Fridley, MN 55432 APPLICATION FOR POWIER PLANTS AND HEATING, COOLIM, VENTILATION 763-572.3604 REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES r o. Effective On January 1, 20 LO RATE SCH ULE JOB ADDRESS w nResidentil Rate TOTAL OWNER N Furnace Shell and Duct Work, "burner - Also Replacement Furnace $ 3{}.(}(1 $� BUILDING USED AS (Side Vent - Fill Out Bank) Gas Piping (Needed with new furnace, $ 10.00 $ ESTIMATED COST%-Zec-ec:�� PERMIT NO. ZI but not replacement) Gas Range$ 10.00 $_a�SCRIF"FIOI+if {1F FURN CE AkD OR BURNER _- =_ -Gas Dryer-- --- ------ ____-- —X10,----- --- --- - - — gtfr� is - __ l�ir_cle_ CT�re �St�earri� �Hot'�'�'ater� (Warm Air - Tra€1e Name ) Conditioning - AIR Sizes $ 25.00 BTU � Sipe No.*Air HP EDR Fuel Tatal Connected Lead All €]'thers/Repairs &.Alterations (LIST ON BACK) 1% of Value of Appliance or Work� � � er Trade Name Size No. ACommercial/Industrial STC HP EDR 1.25% of Value of Appliance or Work $ The undersigned hereby makes application for a permit for the work O State Surcharge .50 Specified agreeing agreeing to do all work in strict accordance with the City Codes an rulings of the Building Division, hereby TOTAL FEES and declares that all the facts and representations statedin this application are true and correct. o DATE U_ MINIMUM FEE FOR ANY HEATING/C4r7LING/VENTILA.TION REFRIGERATION/AIR CONDITIONING PERMIT IS $25.00 HEATING CO FLUS THE $.50 STATE SURCHARGE m Signed TEL ® REINSPECTION FEE $47.00/Hr # m Air Conditioners can not be placed in a side yard without 14 written permission from adjoining property owner. � Approved B pp Rough -In Date Final Date ti 8ACl{ SIDE MU7 BE FILLED IN ON VENT SIZE, VENT CONNECTORS AND COMBU UN AIR VERIFICATION Inspections 763-572-3604 DATE srm D s 7i3 C THIS APPLICANT Is: PR,OPUTY OWNER TENANT CONTRACTOR SUBMITA COPY OF YOUR STATE LICENSE WITH APPLICATION PROPERTY TYPE PER34T TYPE TYPE OF WORK: From: 9528941011 Page: 214 Date: 9/712006 4:13:01 PM BUILDING RESIDENTIAL APPLICATION CITE' OF FRIDLEY ❑ OWM NAME UJ E r STATE LICENSE ❑ BASER' k'INI,S`TA O DBCK L111 DBBCRME WORK BEING NIWRFR OF SQUARES SWO DARAGES PROPOSED SIZE: PROPOSED HEIGHT:MRLG _ i7 Vinyl Q Aluminum ❑ 0dxr MMMM 1N EXISTING OPENINGS Eyes [NO OR FOR NEA+ 0PE*UNGS-DE9=z SEM OF OPENING CHANGES & e Permit Fee Plan Review Fire Surcharge Snraharge Lim" Suroharse SAC Charge Cwrb Girt Escrow Erosion Control Park Foe Sower Maur Charge _Nut: );,MAIL ADDIi1;S5 WCONTRACToR K =;a N clTst : !E F. its/ 3177 Vb M DATH CrLop , e,,,, Ale cixx � FAX ��li • l?�� /O/f W COMM CnON SEE CONSTRUCTION STORtE ❑ GARAMSM0 JW WS BMW Q DRAIN TILE d SIDINfG ❑ OTIM 17 SW04MIG POOL ❑ ADDITION AIR WREMODELING tIIi t esw ReA2 wee �Nta7` PHOUSE & gAIa.AGE NkTTACII,tiD GARAGE ❑ DETACHED GARAGE. CISO t ❑ Trim O ]Fascia LOCATION OF WRMOWS ABI': BASED ON VAI,iT1MTION, Permit N Received By Date R.ec'd: STATE 11 X041 otp?- SJ.?P - AAMMgNT Cctsl4iUDRr,,,NG SCIF3MIT- 1. Fsxlsting Floor Plea 2. Proposed tlo"Plan I List of ftciural members to bo used FOR NEW CONSTRUCTION nIGLLUDTN'cs T)EM, AM (IONS. & PORCHES SUBMIT: I. Site Platvsurvey showing the esistiag structure® end proposed project. 2. Taro sets of C0AWaction plane I Emeru Calculatious ROOM_ f'a dG THE COST O)F LABOR PEE SCREI,IULE) � �� See Back Page £or Fee Schedule 65% of Builditg Permit Fee 0- 001 times the total job valuaticm $ (% .0 .00PS X Permit Valuation Minimum $,50 _5 $S.00t(State Licensed Residential Contractors) $ 1 $1550 per SAC Unit (Plaits to MWCC for determination) $ i)+6it= _8x$21 =$ $ $450 Conservation. Plan Review $ Fee Determined by Engineering $ Agreement necessary ( ) Non Necessary ( ) $-:370-073— •Make checks navable to: City of Fridiam TWO 10 AN APFLICA,TION FOR A PMMIT-NOT VALID UNM PROCESSED I hereby apply for a building permit and I aokaovrledge that the information above is cmplete and accurate; that the work will be in 00Vtomanee with the ordinawas and codes of the City of Fridley and with tho Mimreeota Constmction 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 worts will be in a000rdance with the approved plan in the case of all wo& w ' requires rcaiew and approval of plans. M04ATURB OF APPLICANT ! ILI PRINT NAME , a etc , DATE 7 N ilding AND MATERIALS: BUILDING Permit No.: Inspections See Back Page for Fee Schedule RESIDENTIAL APPLICATION Received By. 763-5572-3604 Fire Surcharge EY CITY OF FRID3-66 Date Rec'd: DATE / D rrL YOUR E-MAIL ADDRESS 4 q h C otad- A an S t IY. Gosh J SITE A I MIR S 7/33 IPrverw,Ioed De NE THIS APPLICANT IS: ❑ OWNER q(CONTRACTOR PROPERTY OWNER/ Nom; J e * 9&4 TENANT C ADDRESS: wcd N CITY Gjj I C 4/ STATEI*LIP J s a 3a Curb Cut Escrow PHONE: 763- S7/ — 81/SI CONTRACTOR NAME; MiSon u amp SUBMIT A COPY OF STATE LICENSE # oZO�)P'irb EXP DATE 311110 7 YOUR STATE LICENSE ADDRESS: 14 4 0S Creek %how Ave. CITYSawa C STATOWZIP Ss 17r WITH APPLICATION PHONE =- 8f'Y- 3033 FAX �-r - S4V- /O ff� PROPERTY TYPE O SINGLE FAMILY/NEW CONSTRUCTION SIZE Ji ! Qss� y Total Due E3 TWO FAMILY/NEW CONSTRUCTION STO PERMIT TYPE ❑ ADDITION ❑ GARAGE/SHED ,� WIlVDOWS ❑ BASEMENT FINISH IRROOF ❑ DRAIN TILE ❑ DECK ❑ SIDING ❑ OTHER ❑ SWIMMING POOL TYPE OF WORK: ❑ NEW ❑ ADDITION ❑MAINTENANCFIREPAIR XREMODELING DESCRIBE WORK BEING DONE: Eeao -F "aw Rep ace men -}- SIZE OF IMPROVEMENT LENGTH WIDTH HEIGHT Sq. Ft. Rpt OFING 17 HOUSE ONLY NUMBER OF SQUARES GARAGESi PCHOUSE & GARAGE bAATTACHID GARAGE BASEMENT REMODELING SUBMIT: I. Existing Floor Plan 2. Proposed floor plan PROPOSED SIZE: ❑ DETACHED GARAGE PROPOSED HEIGHT: 3. List of structural members to be used SIDING A FOR NEW CONSTRUCTION INCLUDING DECKS, ❑ Vinyl ❑Soffit ADDITIONS. & PORCHES SUBMIT: ❑ Aluminum ✓ ❑ Trim 1. Site Plan/Survey showing the existing structures ❑ Other ❑ Fascia and proposed project. WINDOWS 2. Two sets of construction plans IN EXISTING OPENINGS Wes LlNo LOCATION OF WINDOWS 3. Energy Calculations OR FOR NEW OPENINGS -DESCRIBE SIZE OF OPENING CHANGES & / TYPE OF WINDOW TO BE INSTALLED IIII-Ar NUMBER OF WINDOWS ALL FEES ARE BASED ON VALUATION, INCLUDING THE COST OF LABOR AND MATERIALS: (USING THE 19997aU.B.0 FEE SCHEDULE) TOTAL JOB VALUATI4 OCCUPANCY TYPE Permit Fee $ See Back Page for Fee Schedule Plan Review $ 65% of Building Permit Fee Fire Surcharge $ .001 times the total job valuation Surcharge $ 0005 x Permit Valuation Minimum $.50 License Surcharge $ $5.00 (State Licensed Residential Contractors) SAC Charge $ $1550 per SAC Unit (Plans to MWCC for determination) Curb Cut Escrow $ ft + 6 ft = ft x $21 =$ Erosion Control $ $450 Conservation Plan Review Park Fee $ Fee Determined by Engineering Sewer Main Charge $ Agreement necessary ( ) Non Necessary ( ) Total Due $ Make checks payable to: City of Frldlev Attach Stipulations 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 of all work w requires review and approval of plans. ( �- r SIGNATURE OF APPLICANT f 414 PRINT NAME �feNw t . SCS DATE �® ° � ��' eo+�s4c c S° �res5