PRE 2010 DOCSSUBJECT
PERMIT NO.
City of Fridley
18593
AT THE TOP OF THE TWINS
BUILDING PERMIT
_
r
E lPT NO:
' COMMUNITY DEVELOPMENT DIV.
O
r PROTECTIVE INSPECTION SEC.
O
ICITY HALL FRIDLEY 55432
NUMBER
REV.
DATE
PAGE OF
APPROVED BY
L 612-571-3450
910-F15
8/12/86
%
JOB ADDRESS 7145 Riverwood Drive N.E.
1 LEGAL
LOT NO.
BLOCK
TRACTOR ADDITION SEE ATTACHED
DESCR.
4
1
Riverwood Park SHEET
2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE
Fred/Barbara Severni 7145 Riverwood Drive N.E. 224-3653
3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO.
Mark Shaw Construction 1351 - 66th Avenue N.E., Fridley 571-3814
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
G� NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE
8 DESCRIBE WORK
Construct a, 52' x 26' Dwelling; a 34' x 22' Garage; and a 14' x 14' Deck,
9 CHANGE QF USE FROM TO
STIPULATIONS id a hard surface driveway. Provide sod in the front and side yards.
Provide Y
ProvideCity with copy of verifying survey before capping. Paid Park Fee of $1500.0
Paid Driveway Escrow of 22' x 13.50 = $297.00
SEWER LOCATION: "Y" 15' South of Manhole "Y" Elevation: 848.31
TOP OF FOOTING: Minimum elevation 851.31
WATER LOCATION: in same trench as sewer
Before diggin
TELEPHONE, g call Ioc1 I#%
ELECTRIC. GAS
SEPARATE PERMITS REQUIRED FOR REQUIRE®
BY
-WIRING, HEATING, PLUMBING ,AND SIGNS, LA
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
ISTALLS GARAGES
AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS
VALUATION
SURTAX
AND ORDIANCES GOVERNINGTYPE F WORK WILL BE
$124,300
$62.15
WITH WHETHER SPECIFIED HEREINIOR NOTOTHE GRANTING OF AOMPLIED 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-
$495.00
Credit from School
STRU TION OR THE PERFORMANCE OF CONSTRUCTION.
PLAN CHECK FEE
TOTAL FEE
5C
$123.88
$681_.03 + PF & DW
SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT. (DATE) r
`_y WHEN PROPERL" LIDATED THIS IS YOUR PERMIT
BLDG INSR f r)AT
SiGNATURE OF OWNER IIF OWNER BUILDER) (DATEI
NEVI City of Fridley Effective 4/1/86
ADDN. ] R-1 AND R-2
ALTER. I ] Building Permit Application
Construction Address:0 I ` 0 F'v°' L'23' a o'er
Legal Description: W� Ala cL
Owner Name & Address: P. onrn —Tel. #
A�n ✓I� �In�e oA i ��i (.� Dirt Tel. #J-1-
Contractor: rum �-- �� wi.vv
Address
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 -f4— Height Sq. Ft.
GARAGE AREA: Length Width k9' - Height q Sq. Ft.
DECK AREA( At*O)Length . Width Hgt/Ground Sq. Ft.
OTHER:
Corner Lot [ ] Inside
Lot D4 Ft.
Yd. Setback
Side Yard Setback
Type of Construction:
1V O&
Estimated Cost: $ r
b
` 0,1\ '-' �
Approx. Completion Date:
::
Alt. A Alt B
Is De
$ yj $ --
Proposed Driveway Width
If New Op ni
See Back Page for Explanation
DATE: APPLICANT: Tel.
Permit Fee
Plan Check
State Surcharge
SAC Charge
Park Fee
Sewer Main Charge
TOTAL
D 6- c
STIPULATIONS:
CITY USE ONLY
$ -f& 03 Fee Schedule on Reverse Side
$ 25% of Building Permit Fee
$ . .50/$1,000 Valuation
$ 75 per SAC Unit
f5-( (3, (0 O. Fee Determined by Engineering
$
1
L'021
r)d 00.
� . DU
---------------------
Agreement Necessary [ ] Not Necessary [ ]
L(et,)S �-
1
UYUROAN �i �Ma of �Yi F,7
IiQINARI!!NOINC
T-,Lxny .I.�+ri .yu=xsii>{k � 1.9nd ('l.:rrtA9 f� I i t fr W
Certificate of Survey for '� S-::� c �-���1t'i2V C eAJl
,
r�
00
A?
0
6
QQ
/ 9
Lit131ciock
Sub act to a4sQrnQn-Es
, p Basi 9s shown ara. nssuntiQd
Ano>e Coun� y RIVEPWOOPPARK
oavNotas ;�n ,�I,nn,��i.a�t
----- 1)arotas &0:1nasa and Utility aasamant
I hereby certify that this is a true and correct representation of o survey of the boundaries of she above
doserlbod land, and of the location of all builds , ♦Aoreen, and all vl i le 00- eachmentsr it any, from or on
said land. As surveyed by me this day •f
SU:URRAN IN
nnp`leiietius . v ,isMt"veyers
Scala Inch 30 faaty.�
Not Published .All Righv5 Rewved
a`
L) T An, N,
- Cl 1, Jr- r caT I A16 4111N, 6&4!61, q 5-63/
,TLI2 1/1(
CITY OF FRIDLEY
APPLICATION FOR PLIJMBING AND GAS FITTING PERMIT
RATE SCHEDULE
PLUMBING FIXTURE RATES:
NO.
RATE
TOTAL
New Fixtures
z
am.
m
Future Fixtures
a
$ 3.50
U
Old opening, New Fixture
x
w
$
Water
d19
$ 4.00
$
Blow off Basin
$ 5.00
O
a f
m
;
$
A
a
4.
C.
Hydraulic Valve
Heater
$ 5.00
$
Sump or Receiving Tank
m
$
Water Treating Appliance
$ 7.00
$
m
w
$ 5.00
$ 5.6)v
Gas Range
$ 10.00
$
Gas Dryer
r�
$
ALL OTHERS AND/OR REPAIRS AND ALTERATIONS
o
8
B ''
8o
�3
'r
u
($15.00)
TOTAL
u
o
u
l
N
v
O
s
ecW
lat
2
Ird
(R) Future Connection Opening
Connected with Sewer
(') New Fixture, Old Opening
Water
RATE SCHEDULE
PLUMBING FIXTURE RATES:
NO.
RATE
TOTAL
New Fixtures
z
$ 5.00
$ 4 "-, X
Future Fixtures
'
$ 3.50
$ Zo,4z
Old opening, New Fixture
$ 1.50
$
Beer Dispenser
$ 4.00
$
Blow off Basin
$ 5.00
$
Catch Basin
$ 5.00
$
Rain Water Leader
$ 5.00
$
Hydraulic Valve
$ 5.00
$
Sump or Receiving Tank
$ 5.00
$
Water Treating Appliance
$ 7.00
$
Hot Water Heater
_-L
$ 5.00
$ 5.6)v
Gas Range
$ 10.00
$
Gas Dryer
$ 10.00
$
ALL OTHERS AND/OR REPAIRS AND ALTERATIONS
It of Value of Fixture or
Appliance
$
•
Reinspection Fes $
State Surcharge
$ .50
($15.00)
TOTAL
FEE
$ -j/ 06
Etfective Aug. 1, l9bl
--;7 ) vs 'D
Job Address 44Z
Department of Buildings
City of Fridley
Tel. #571-3450
The undersigned hereby makes application for a permit for the work herein
specified agreeing to do all work in strict accordance With the City Codes
and rulings of the Department of Buildings, and hereby declares that all
the facts and representations stated in this application are true and correct
Fridley, Mn. f Z Z , 19 d
OWNER
KIND OF BUILDING
USED AS
TO BE COMPLETED ABOUT _ /z
ESTIMATED COST 0 ��
OLD - NEW BUILDING PERMIT NO. PERMIT NO.
Oompan
Signed By
Tel. No. > d
ROUGH INSP.
Date
FINAL INSP.
: Date
APPROVAL FOR PERMIT
MINIMUR FEE FOR ANY P
PLUS THE $.50 STATE S
$10.00
/ /MMI , N. ,
SUBJECTP
0.
City of Fridley
19156
AT THE TOP OF THE TWINS
BUILDING
PERMIT
RECEIPT NO.
Ir
• COMMUNITY DEVELOPMENT DIV.
r PROTECTIVE INSPECTION SEC.
1 i �
CITY HALL FRIDLEY 55432
NUMBER
REV.
DATE
PAGE OF
APPROVED BY
L 612-571-3450
910-F15
9/8/87
JOB ADDRESS 122 - 64th Way N.E.
1 LEGAL
LOT NO.
BLOCK
TRACT OR ADDITION
SEE ATTACHED
DESCR.
6, 7, pt 8
15
Fridley Park
SHEET
2 PROPERTY OWNER MAIL ADDRESS
ZIP PHONE
Robert McCready 122 - 64th Way N.E.
574-9805
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 Cj REPAIR ❑ MOVE ❑ REMOVE
8 DESCRIBE WORK
Reroof Dwelling (29 Squarest
9 CHANGE OF USE FROM TO
STIPULATIONS
Roof can be 2nd layer but not the 3rd. Install ridged galvanized valley
SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING,
TYPE OF CONST.
OCCUPANCY GROUP
OCCUPANCY LOAD
VENTILATING OR AIR CONDITIONING.
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION
ZONING
SQ. FT.
CU. FT.
AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION
OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT
ANY TIME AFTER WORK IS COMMENCED.
NO. DWLG. UNITS
OFFSTREET PARKING
I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION
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
$1450.00
$.73
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.
$25.00
^ALAN CHECK FEE
TOTAL FEE
$2 5.73
IGNATURE OF CONTRACTOR OR AUTHORIZED AGENT IDATEI
� WEN PROPERLY
V DATED THIS IS YOUR IT
�yy
Si A URE OF N IIF OWNERS DERI V IDATEI
BLDG INSP
ATE
/ /MMI , N. ,
NEW [ ] City of Fridley Effective 14/1/86
ADDN. [ ] R-1 AND R-2
ALTER. [C] Building Permit Application
Construction Address: /2-2— 6 �°-EF,--(,a ~�
Legal Description:`%,����
Owner Name & Address : Z LAZA- rnC C "j. /2-Z- 6/`i s / �- Tel. #
Contractor • A- 4=: ,1 -P-- ____Tel.
Address:
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
GARAGE AREA: Length
DECK AREA: Length
OTHER: R, '��
IV
Corner Lot [ ] Inside Lot [ ]
Width Height Sq. Ft.
Width Height Sq. Ft.
Width
Ft. Yd. Setback
Type of Construction: Re, R-0115-/
Approx. Completion Date:�e 7
Hgt/Ground.-- Sq. Ft.
I /j
Side Yard Setback
Estimated Cost: $ lV
Alt. A Alt B
Proposed Driveway Width If New Opening Is Desired: $ $
See Back Page for Explanation
DATE: g _2_ APPLICANT: i`w 6 C -99A If r-4Tel.
CITY USE ONLLY�
Permit Fee $ Fee Schedule on Reverse Side
Plan Check $ 25% of Building Permit Fee
State Surcharge $ 93 $.50/$1,000 Valuation
SAC Charge $ $ 525 per SAC Unit
Park Fee $ Fee Determined by Engineering
Sewer Main Charge $
Agreement Necessary [ ] Not Necessary [ ]
TOTAL $ '7- �
STIPULATIONS:
A
AVfe�.
CIVIC CENTER i- 6431 UNIVERSITY AVE. N.E. FRIDLEY, MINNESOTA 55432 • PHONE (612) 571-3450
September 8, 1987
Mark Shaw Construction
1351 - 66th Avenue N.E.
Fridley, MN 55432
Re: Final Reinspection on Code Violations at 7145 Ri.verwood Drive N.E.
(FINAL NOTICE)
Dear Sirs:
A reinspection was conducted on September 3, 19B7 to determine compliance with.
our letter to you dated August 14, 1987, wherein we informed you of Code
violations at the above address. It was noted during this reinspection that
the correction work, has not been started nor has the verifying survey been
submitted to this office.
We will expect the correction work, outlined in our letter of August 14, 1987,
to be completed by September 21, 1887.
A reinspection will again be conducted on September 21, 1987 to note compliance
with our letters. Failure to correct these violations.may result in this
matter being turned over to the City Prosecutor for his legal consideration.
Please contact me at 571-3450 if you have any questions on this matter.
Sincerely,
DARREL G. CLARK
Chief Building Official
DGC/mh
ENC: 1
CC: Mr. & Mrs. Severni
4
I
CIVIC CENTER • 6431 UNIVERSITY AVE. N.E. FRIDLEY, MINNESOTA 55432 • PHONE (612) 571-3450
August 14, 1987
Mark Shaw Construction
1351 - 66th Avenue N. E.
Fridley, M 55432
Re: Final Inspection at 7145 Riverwood Drive N.E., Fridley
Dear Sirs:
The owners of 7145 Riverwood Drive N.E. called our office complaining about
a leaky roof. In reviewing our file on this property, we determined that
you had not requested a final inspection and therefore on August 14, 1987
we conducted our final inspection.
It is very evident that there is a leak in the roof system; it appears to
be where the roof saddle meets the valley on the back of the garage. Some
flashing is missing allowing water to get into the wall cavity and once it
is in the wall it penetrates the ceiling of the downstairs bathroom causing
some sheetrock damage. The owner has attempted a temporary fix with
roofing tar.
You must make a repair by extending the flashing on the roof and repairing
the bathroom ceiling. This work must be completed by September 1, 1987.
We also need a verifying survey on this property which was a stipulation
on the building permit. Please submit this survey to our office by
September 1st also.
We would appreciate your prompt attention to these matters and if you have
any questions, please feel free to contact me at 571-3450.
Sincerely,
DARREL G. CLARK
Chief Building Official
DGC/mh
CC: Mr. & Mrs. Severni
EL
CITYOF
FRIDLEY
CIVIC CENTER • 6431 UNIVERSITY AVE. N.E. FRIDLEY, MINNESOTA 55432 •, PHONE (612) 571-3450
i
October 28, 1987
Mr. Carl Newqui st
6401 University Avenue N.E.
Fridley, MN 55432
Re: Citation #543-063, 7145 Riverwood Drive N.E., Fridley: Mark Shaw
Construction
Dear Mr. Nesaquist:
Please be advised that Mr. Mark Shaw, Mark Shaw Construction, has
satisfied one of the three cited violations on Citation #543-063. The
violation completed was to submit the verifying survey to the City.
Thank you for your assistance and if any questions or problems arise,
please contact me at 571-3450.
Sincerely,
DARREL G. CLARK
Chief Building Official
DGC/mh
ENC: Copy of Citation 543-063
CC: Anoka County Clerk of Court
STATE OF MINNESOTA COMPLAINT AND SUMMONS DISTRICT COURT
COUNTY OF ANOKA CIVIL CRIMINAL DIVISION No. 5 4 3
City/Township i4
1Township of CZ t d �. t '
The undersigned, being duly sworn, states as follows: On the_day pf (-'r 19" at N O'J M,
at (Location) r k4 I O Q-%
NameLV1PQ.Id ACJ / l'11A�lrt v(t4l�,j 9);S*1 of (Address)
SIS' I Birth Date did then and there commit the foliojIng offense:
t�vn2� {.► iu M +t !+Jll11`�r1 ti% F `r lljC auR VQ,'I'
_ P, 'i Pw,ra VIPuNtv. '(3!,G �t-r"�1N1 s�i 'F i�rLur�:
V ;k, Lc IJa L
J,:�"u.ctuw% oc.'.rj.,p 17 nr,r, L�w�
In violation of Local Ord. No. C� +r) r ti U State Statute No.
In such case made and provided.
I promise to contact the Violations Bureau before (if I have The undersigned further states that he has Just and reasonable grounds to
any questions), or appear at the time and place shown believe, and does believe, that the person named above committed the
below: and I understand if i fail to do so a warrant for my offense herein set forth, contrary to law.
arrest may be Issued. a
SIGNATURE
V�Loaddress:
Bureau addr ss: rr^
l ` �-t r A .1.P 6 r,► J r-1 ) ���...11l������----...���vvvV '
Phone: 421-4760, Ext. 1384 Signature of Complainant
Court Date CS«. d°/l�^_CourtTime:_ t r Iei1(
Badge No. and Department Date
c.
F71
MEND Z0: Carl Newquist, Prosecuting Attorney
MEND FROM: Darrel Clark, Chief Building Official
NEW DATE: December 8, 1987
SUBJECT: Tag Number 543-063; 7145 Riverwood Drive N.E. , Fridley
Def endent Mark Shaw
Please be advised that Mr. Shaw, Mark Shaw Construction, did submit a
verifying survey to the City in October, however the homeowner did his
own roof repair by hiring a separate roofer mun Rite Roofing) . Repair
of the roof flashing was at a cost of $230.00 and Mr. Severni did his
own bathrocm oiling and wall repair at a cost of $30.50 for suplies
only.
Copies of these expenses are enclosed. 9he homeowner, Mr. Severni, has
verbally stated that they do not want to take Mr. Shaw to court for
their reimbursement.
DGC/mh
ATTACH: 2
0
,"-') I q,-*)" puu� Drlj
1. ® s-987
r DunRITE ROOFING
HARVEY KUIKEN, OWNER 3 (� / �'
500A - 3RD ST., SE.
* OSSEO, MN 55369
6j
C e . .v "
Y?
INVOICE
Date /Q ._ai S 7
141
NEMD Z0:
Carl Newquist,
Prosecuting Attorney
NEMD FROM:
Darrel Clarki,
Chief Building Official
MEND DATE:
December 8, 1987
SUBJE(-: Tag Number 543-063; 7145 Riverwood Drive N.E. , Fridley,
Def endent Mark Shaw
Please be advised that Mr. Shaw, Mark Shaw Construction, did submit a
verifying survey to the City in October, however the homeowner did his
own roof repair by hiring a separate roofer Mun Rite Roofing) . Repair
of the roof flashing was at a cost of $230.00 and Mr. Severni did his
own bathroom ceiling and wall repair at a cost of $30.50 for suplies
only.
Copies of these expenses are enclosed. 'The homeowner, Mr. Severni, has
verbally stated that they do not want to take Mr. Shaw to court for
their reimbursement.
DGC/mh
,ATTACH: 2
r DunRITE ROOFING
HARVEY KUIKEN, OWNER
500A - 3RD ST., SE.
i
OSSEO, MN 55369
Ck C, C V" 's v '
F I': ; d 14 7"i iv 5-13-y 3 2
PA s'-? z- Z335
INVOICE
Date
Quantity
IDescription
Unit price
jAmount
Inc/;
/
L FJ
~
C)"k4 .7
'LL u,c.V
SUBTOTAL
SHIPPING CHARGES
TOTAL
:130
� I V5 pt6u-o-� Dti
/2. . *).-gf7
ago •
CITYOF
FRIDLEY
CIVIC CENTER • 6431 UNIVERSITY AVE. N.E. FRIDLEY, MINNESOTA 55432 • PHONE (612) 571-3450
January 29, 1988
Mr. Carl Newquist
6401 Lhiversity Avenue N. L
Fridley, Mn 55432
Re: Court Case 4543-063, 7.145 Riverwood Drive N. L , Mr. & Mrs. Severn
Dear Mr. Newquist :
Please be advised that all the violations at 7145 Riverwood Drive N. L have
been satisfied. The builder, Mark Shaw Construction, has submitted the
verifying survey and the haneowner Completed the other repairs.
I spoke with Mr. Severni yesterday afternoon and he stated that neither he or
his wife wished to appear at the Court hearing on this matter scheduled for
jury trial for February 16, 1988. I told him that without their testimony
the City may have to drop the case and he stated that it would be agreeable
with then if that happened.
Please contact me if you have any questions on this matter.
Sincerely,
AA i UNA k!WL1111� - 5 1! P,
so
DGC/mh
CC: Mr. & Mrs. Severni
29
TO: Mr. Darrell Clark
City Of Fridley
6431 University.Avenue
Fridley, MN 55432
NOTICE OF JURY TRIAL DATE
RE: ANOKA PROBATE - COUNTY COURT
City of Fridley vs. Mark Shaw Const.
#543-063; Failure to submit required verifying survey/Failure to repair proper roof
flashings/Failure.---,to repair damaged Gypsum(Sheet Rock)in lower level bathroom, from roof
You are hereby notified that the above entitled action has been set for jury trial Leak.
on February 16, 1988 at 9:00 a.m., at the Anoka County Courthouse; 325 East Main
Street, Anoka, Minnesota. You will be expected to appear at that time for trial.
You should arrange for the following necessary witnesses to be present:
Homeowner of 7145 Riverwood Drive
Mr. & Mrs. Fred & Barbara Severni
You should arrange to have the following necessary evidence:
Evidence
DATE: 1-21-88 CARL J. NEWQUIST
tas PROSECUTOR
CITY OF FRIDLEY
SUBJECT
PERMIT NO.-�.
City of Fridley
24646
AT THE TOP OF THE TWINS
BUILDING PERMIT
F?
RECEIPT NO.
�
• COMMUNITY DEVELOPMENT DIV.
w
r � PROTECTIVE INSPECTION SEC.
��
' 1 HALL FRIDLEY 55432
CITY
NUMBER
REV
DATE
PAGE OF
APPROVED, BY
�'j 612-571-3450
910-F15
10/10/96
JOB ADDRESS
7145 RiverwoodNE
1 LEGAL
LOT NO.
BLOCK
TRACT OR ADDITION
SEE ATTACHED
DESCR.
4
1 1 1
Riverwood Manor Addition
SHEET
2 PROPERTY OWNER MAIL ADDRESS ZIP
PHONE
Fred Swerni 7145 Riverwood Terrace NE
572-2339
3 CONTRACTOR MAIL ADDRESS ZIP
PHONE LICENSE NO.
Minnesota Exteriors Inc 8600 Jefferson Hwy, Osseo, MN 55369 391-5514 2877
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 C- ALTERATION ❑ REPAIR
11��
❑ MOVE ❑ REMOVE
8 DESCRIBE WORK
Install siding, soffit & fascia
9 CHANGE OF USE FROM TO
STIPULATIONS
Ventilation to meet the State Building Code.
TYPE OF CONST.
OCCUPANCY GROUP
OCCUPANCYLOAD
SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING,
VENTILATING OR AIR CONDITIONING.
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION
ZONING
SQ, FT.
CU. FT.
AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION
OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT
ANY TIME AFTER WORK IS COMMENCED.
NO. DWLG. UNITS
OFFSTREET PARKING
I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION
1
STALLS
I 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
$13,945
$6.97
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-
Fire SC $13.95
STRUCTION OR THE PERFORMANCE OF CONSTRUCTION
$212.25
PLAN CHECK FEE
TOTAL FEE
License SC $5.00
$238.17
SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT (DATE)
WHEN P�R9OPERLY IDATE THIS IS YOUR PERM[
81.011/iNSP
k� 6
GATE
SIGNATURE OF OWNER OF OWNER BUILDERI IDATEI
NEW [ ]
ADDN H. ] CITY OF FRIDLEY
ALTER SINGLE FAMILY AND DUPLEXES R-1 AND R-2
Building Permit Application
Construction Address:
Legal Description:
Effective 8/l/95
Owner Name & Address: J�=' Tel. #
Contractor:'`�//� �� _ MN LICENSE #
Address:-,sr,4� .�s��5'l�l ` Tel. #/
! 4141 %'V 6V "l .3 ({'/t./W. 6J- v wy - --
lot, with the proposed construction drawn on it to scale.
LIVING AREA: Length
GARAGE AREA: Length
DECK AREA: Length
OTHER:
DESCRIPTION OF IMPROVEMENT
Width Height Sq. Ft.
Width Height Sq. Ft.
Width Hgt/Ground Sq. Ft.
Comer Lot [ ] Inside Lot [ ] Ft. Yd Setback Side Yard Setbacks
Type of Construction: Estimated Cost: $ S. G:;a _
Approx. Completion Date:
(Cost on Back)
Driveway CprbCut Width Needed: Ft. + 6 t = Ft x $ _ $
DATE: *10G _ APPLICANT: Tel. #
STIPULATIONS:
CITY USE ONLY
Permit Fee
$ ®?/"
Fee Schedule on Reverse Side
Fire Surcharge
$ ��-��
.001 of Permit Valuation (1/10th%)
State Surcharge
$
$.50/$1,000 Valuation
SAC Charge
$
$850 per SAC Unit
License Surcharge
$
$5.00 (State Licensed Residential Contractors)
Driveway Escrow
$
Alt. "A" or Alt. "B" Above
Erosion Control
$
$450.00 Conservation Pian Review
Park Fee
$
Fee Determined by Engineering
1
Sewer Main Charge
$
Agreement Necessary [ ] Not Necessary [ ]
J3,�7
TOTAL
STIPULATIONS:
•_.=5i.+r..k.p•-_.MerrllSflPF,
yc ,_P°M.-'S .� _ -_ ..
... .....f_.�_.yf.....�...
HOUSE H_ EATING. TEST RECORD
ADDRESS 114 r°
_
-APT. FLOOR
_
CITY.a�L�G�B
SUBtJRp�IER
�r-
OCCUPANT .dr� ! i P -4e � r
...�.....�.,..�...
HEAT LOSS DATE HTO: INST.
SOLD BY
INSTALLED! BY
Electrical Work By
Gas Line By
TYPE OF HEAT GA FA_'a�HW STEAM
SPACE HTR. UNIT HTIt. OTHER'
�-
OAS DESIGNModel
'I
DQNXER I N
MAKE �
MAKE OF BURNER
Model
Social
Max. BTU, Rating
_.. .
INPUT ���/ ��
MAKE OF FURNACE
Model
CON fSt®��
THERMOSTAT All A ROIwo
Volvo
Vent Size
-
Limit
KIND OF LINER
SIZE NONE_.___
Limit Setting
Draft Hood
.
Rogularor
Filters Sizes,
Number
Fan Setting
Pilot Type
Chimney Location loaf
Outside
Chimney Construction
Pilot Maks
_.
Pilot Model _
Smoke Bomb
Wiring
Pilot Timing
Draft'
Test Tog
L.W. Cut Off —'
Pressure Percent CO J:�
Door Pressure
-Lighting last.
Input CFH -P®,9219 Percent 02-_, 4-
Dato Testei•d
Compony Testing r 4--A,
^
Stack Temp. arm Percent CO i�
Nome
of Test
Fane 215
CITY QF.FRIDJ_EY INSPECTION DIV,
Effective On January 1, 1997
6431 University Ave NE
Fridley, MN 55432 APPLICATION FOR POWER PLANTS
AND HEATING, COOLING, VENTILATION,
572-3604 REFRIGERATION AND AIR
CONDITIONING
SYSTEMS AND DEVICES
JOB ADDRESS���
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 $ 30.00
$ a
representations stated in this application are true and correct.
(Side Vent — Fill Out Back)
Gas Piping (Needed with new furnace) $ 10.00
$
_'1997
OWNER
Gas Range $ 10,00
$
BUILDING USED AS k;w Z!:,
Gas Dryer $ 10.00
$
ESTIMATED COST PERMIT NO.
*Air Conditioning — All Sizes $ 25.00
$ - iF, pap
_
DESCRIPTION OF FURNACE 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 arm Air)
Trade Name %� y�� Size No,
Commercial/Industrial
BTU HP EDR
1.25% of Value of Appliance or Work
$
Fuel t _ Total Connected Load
State Surcharge
$ .50
Burner Trade Name Size No.
TOTAL FEE
P
BTU HP EDR
HEATING COMPANYA22�_2�_�1�7
MINIMUM FEE FOR ANY HEATING/COOLI�ENTILATION
REFRIGERATION/AIR CONDITIONING PERMIT IS $25.00
Signed By 44Tel No.
PLUS THE $.50 STATE SURCHARGE
REINSPECTION FEE $42.00/Hr
Approved By Rough—in Date Final Date
*Air Conditioners
can not be placed in a side yard without
FILL OUT BACK SIDE OR STACK VERIFICATION ON
written permission from adjoining property owner,
REPLACEMENT FUR CE _
C>3<mVINEY AND STACK VERIFICATION
The undersigned hereby verifies that the existing chimney or stack:
1. . Has been carefully examined Yes (p No ( )
2. Is free from rust or deterioration Yes (No ( )
,3. Has no foreign objects lodged within Yes (kKNo ( )
4. Is securely supported Yes (WNo ( )
5. Meets all current Code requirements for size
and total BTU's connected Yes ( tf 'No ( )
6 Has total heating BTU's of r ��
All other BTU's
TOTAL BTU's ���✓ G'�'
7. Has a liner been provided for water heater Yes (i✓No ( )
8. Has combustion air been provided for water heater Yes (," No ( )
Remarks:
HEATING CO:
Signed By:
Date:
i
` -
SUBJEOT -
P \
City of Fridley
28269
AT THE TOP OF THE TWINS
BUILDING PERMIT
`4WIDETIST
NO.
COMMUNITY DEVELOPMENT DIV.
a:------
PROTECTIVE INSPECTION SEC.
NUMBER
REV
PAGE OF
APPROVED Br
CITY HALL FRIOLEY 55432
612-571-3450
9tp415
=ATE
8
JOB ADDRESS
7145 fiverwood Drive NE
1 LEGAL
LOT NO.
BLOCK
TRACT OR ADDITION
SEE ATTACHED
DESCR.
4
1
lRiverwood Park
SHEET
2 PROPERTY OWNER MAIL ADDRESS ZIP
PHONE
Fred Severni
572-2339
3 CONTRACTOR MAIL ADDRESS ZIP
PHONE LICENSE NO
Tom Walek Const. 3621 Roosevelt St NE M 1s 55418 789-9388
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
O NEW O ADDITION O ALTERATION J REPAIR
❑ MOVE O REMOVE
B DESCRIBE WORK
Reroof house and garage (32 Sq) Tear -off
9 CHANGE OF USE FROM TO
STIPULATIONS
Underlayment must comply with the State Building Code.
TYP OOF 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
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
2742
$1.37
DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE
PERMIT FEE
SACCHARGE
PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON-
STR CT ION OR THE PERFORMANCE OF CONSTRUCT N
xH $74.75
Fire 2.74
PLAN CHECK FEE
TOTAL EE
.86
SIGNATURE OF CO CRA ROR AUTHORIZED AGENT IDATEI
N1S
OPMALA
E IS YQUR PERMIT
NSR
r�A TE
S-GNATURE OF OWNER OF OWNER BUILDERI IDATEI
• '.r
NEW [ ] Effective 1/1/98
ADDN [ ] CITY OF FRIDLEY
ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 (0�
BUILDING PERMIT APPLICATION
ConstructionAddress: -7ll T Jl �`� ►�`��
Legal Description: t
Owner Name & Address: �V- C S5e j " v- Tel. # ._S %2-
Contractor: \-'3 �Pvl -e-f— czy"A S-1 V-" J i MN LICENSE #
Address: ?j 2/ - Kg -b S -t )-e L -t-- SL - r] _Tel. #
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
GARAGE AREA:
Length
Width
Height
DECK AREA:
Length
Width
Hgt/Glround
OTHER:
7� ct. r- - 0
- v' -e t-03
s4- a'
Construction Type:
Driveway Curb Cut Width Needed: Ft. + 6 Ft =
Sq. Ft.
Sq. Ft.
Sq. Ft.
c-ff
Estimated Cost: $
(Fee Schedule on Back)
Ft x $ = $
DATE: 0� -/�� ' �" APPLICANT: Tel. #--7k � 7
Permit Fee
Fire Surcharge
State Surcharge
SAC Charge
License Surcharge g'
Driveway Escrow
Erosion Control $
Park Fee $
Sewer Main Charge $
TOTAL
STIPULATIONS:
CITY USE ONLY
Fee Schedule on Reverse Side
.001 of Permit Valuation (1/10th%)
$.50/$1,000 Valuation
$1000 per SAC Unit
$5.00 (State Licensed Residential Contractors)
Alt. "A" or Alt. "B" Above
$450.00 Conservation Plan Review
Fee Determined by Engineering
Agreement Necessary [ ] Not Necessary [ ]
SUBJECT`
MIT NO.
City of Fridley
2 9 9
AT THE TOP OF THE TWINS
BUILDING
PERMIT
r
RECEIPT NO.
COMMUNITY DEVELOPMENT DIV.
PROTECTIVE INSPECTION SEC.
Lf
CITY HALL FRIDLEY 55432
NUMBER
REV
DATE
PAGE OF
APPROVED BY
,�
L J` 612-571-3450
910415
7/19/99
JOB ADDRESS 7145 Ri verwVood Drive NE
1 LEGAL
LOT NO.
BLOCK
TRACTOR ADDITION
SEE ATTACHED
DESCR.
4
1
Ri verwood Park
SHEET
2 PROPERTY OWNER MAIL ADORES$
ZIP PHONE
Fred & Barb Severni
572-2339
3 CONTRACTOR MAIL ADDRESS
ZIP PHONE LICENSE NO
Cornerstone Const. 1588Middleton
- -
4 ARCHITECT OR DESIGNER MAIL ADDRESS
ZIP PHONE LICENSE N0,
5 ENGINEER MAIL ADDRESS
ZIP PHONE LICENSE NO
6 USE OF BUILDING
Residential
7 CLASS OF WORK
❑ NEW ®x ADDITION O ALTERATION
❑ REPAIR ❑ MOVE ❑ REMOVE
8 :DESCRIBE WORK
Construct a 161 x 161 Deck
9 CHANGE OF USE FROM TO
STIPULATIONS
See stipulations on plan
Before togging calf for
eft utility locadonf
• 454 -ice
�r
. I . .
REQUIRED 8Y LAID
WIRING, H7ATIN(l, Of umalr��
SEPARATE PERMITS ARE REOUIREO 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
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
$2,594
$1.29
DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE
PERMIT FEE
SAC CH GE
PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON-
T UCTION OR THE PERFORMANCE OF CONSTRUCTION
83425
ir $2.59.
PLAN CHECK F
TOT L F E
1
$� AruREOfCON 7RACTORORAUTHORIZED AGENT 10ATEi
_
EN FOP V LID��S Ic/y/nUR P IT
L P
BLO NSP f�A1E
S-GNATURE OF OWNEROF OWNER BU40ER1 iOATE,
NEW C J Effective 5/10/99
ADDN [ ] CITY OF FRIDLEY
ALTER [ J SINGLE FAMILY AND DUPLEXES R-1 AND R-2 �a
BUILDING PERMIT APPLICATION \�
Construction Address: % / / Rtuele cucc al
Legal Description:
Owner Name & Address: tnQ O/ E' IgQhh (jeel l % Tel. # �0,Q
Contractor: p r 5 o"e o m1 S / MN LICENSE # SL Z S 7
Address: 3 tA wtoo, iquc si J�AjTel.#Co 67 ~ J.,),?" 79 �y�D
Attach to this application, a Certificate of Survey of the
lot, with the proposed construction drawn on it to scale.
DESCRIPTION OF IMPROVEMENT
LIVING AREA: Length Width Height Sq. Ft.
GARAGE AREA: Length Width Height Sq. Ft.
DECK AREA: Length Width ko Hgt/Ground Sq. Ft. '07&
OTHER:
Construction Type: %�C. Estimated Cost: $�y d
Driveway Curb Cut Width Needed:
Ft. + 6 Ft = Ft x $
M
DATE: :%Z4
% g APPLICANT: �Q /'Vf°' /1 Tel.
Permit Fee
Fire Surcharge
State Surcharge
SAC Charge
License Surcharge
Driveway Escrow
Erosion Control
Park Fee
Sewer Main Charge
TOTAL
STIPULATIONS:
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 [ ]
Main Office,:571086
ROAN° �� 3r t 6875 mighty No 8514.6
�� 1[fiRINO Mmneapollil Minneaoteib.5434
�a 1 �IIC SouthOffice fi8Q851O
y ! ren/ & tifu+ueipq! $nRu+rrrurg • SW/ Testing •Land Sr.r�rymg •Land Planning i 101 Cliff Roatl :•`
Burns•rlle,'`Mmnesota 55337
��gage Loan ISurvey i for AAK
5 A
,5
w. -
.1i,
3.0
4
^' ac1kz Tr
60 K
f7 S . .
��rasan w a aJ Jv lt� rt .
alums 6� b�
�7 f
,.rn ♦i W
123•
A���
_Q 01 1�'.,. r f { _ •'S'.= r
IN—
Mk
C
oeasernensAnoKo. C ore nry t ,
rogt,rapriwsenfotion of q survey'of„the; boundaries of ;the iond`�above described;w+d of.1
if, any�'thereon�:and olCvisibla'encroachments� if any, from or'an`said land.%:Thisaurvy
with ,a ;mortgage loan."now 'i,being placed on'tho,' property -and no (lability is .assumed4
such'mo►fgage'or any other interest acquired by aeon of,'sueh mertgage.�� Itis
FnMn►onuroh ve been Igeed f
or the purpose of stablishin t lines or boundary
day of A. D. 17,7
SUBUR AN '.E N itl - INC.'
Engin ens,' �` urveyors,.:
r k..
From: City of Fridley Tex 7637542906 Page: 414 Date: 4/16/2009 11:00:10 AM
Building
inspections
76_x-572-360
763-50.2-497 7 FAX
DATE / ®�
SITE ADDRESS
HIS APPLICANT IS:
PLUMBING
RESIDENTLA, s APPLICATION
CITY OF FRMLEY
EFFECTIVE =-1 y.0u
YOUP E-MAIL ADDRESS
D OWNER MCONTRACTOR
Permit Nc.:� ��
Received By:
rfiIVIE
NAME: Y' Jr- Yt
OWNER/ DDRESS: It -I5 V "IP CITY WIAJSTAT ' LIP
TENANT iPHONE:—
� I
CONTRACTOR NAME: j V4_ C414 IP(rt9w b 'M �L�•
SUBMIT A COPY OF
YOUR STATE STATE LICENSE il EXPDATE
LICENSE, BOND AND STATE BOND V EXP DATE
CERTIFICATE OF ADDRESS: W / J w5 5;1 CITY STATEJLIP SS ?�
INSURANCE PHONE �'i�' �5�1' Z( `dna FAX —
PERMIT TYPE iPINGLE FAMILY El TWO FAMILY ❑ TOWNHOUSE
TYPE OF WORK: 0 NEW 91,REPLACEMENT
DETAILED DESCRIPTION OF WORK �C/1�iI�OI,L�,dL//�- 00MV VU4f&, 14WfA1-
FEES ARE BASED ON $10.00 PER FIXTURE, EXCEPT WHERE NOTED. FIXTURES: (INDICATE TOTAL NUMBER
OF EACH BELOW). MINIMUM FEE
$35.50.
SINK/LAV
DRAINS
_WATER PIPING
_BATH
_FLOOR
PIPING (NEED CITY LIC)
_SHOWER
POOL
—WATER SOFTNER($35)
_BATHTUB
WASHER
—GAS
KITCHEN SINK
_SWIMMING
WATER CLOSET
BACKFLOW PREV. ($15)
_CLOTHES
DISHWASHER
_
LAUNDRY TRAY
_WATER HEATER ($35)
_
FOR IRRIGATION
_
_
WATER METER
OTHER
THIS IS AN APPLICATION FORA PERMIT -NOT VALID UNTIL PROCESSED
I hereby apply for a plumbing permit and I acknowledge that the information above i5 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 Codd; that I understand this i5
not a permit but only an application for a permit and work is not to start without a permit on site, that the work will be in accordance
with the approved plan in the case of all work which requires review and approval of plans.
SIGNATURE OF APPLICANT &x ��/ PRINT NAME )jlz*_ 6_� DATE r
City of Fridley
Building Inspections Department
6431 University Avenue NE, Fridley, IMN 55432
763-572-3604
FAX: 763-302-4977