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PRE 2010 DOCSCity of Fridley, Mim. BURDING PERMIT N° QUV Date:7q# Owner:" _ �`"•4 Builder Address _____ Address LO� TI X 11. G No. �'� _Sheet ,d str"` �' _�..— .. —. 3 f Lot _ _ Block _a __._ Addition or Sub -Division - ,r' Corner Lot _ _ _. _ Inside Lot . _.._._.... Setback -1, Sideyard � � �— Sewer Elevation — Foundation Elevation DESCRIPTION OF BUILDING To Usedmf 9`'n FrontDepth Height�Sq. Ft. Front � � _" Depth Leight �+tr Sq. Ft.' -- cu. Ft. w. .. , ,, r ,• a e';-^ Type .of nstruction _ - '" 1:2 Est. Cosi' be Completed In consideration of the issuance to me of a permit to construct the building described above, I agree to do the proposed work in accordance with the description above set forth and in compliance with all provisions of grdinances of the city of Fridley. In consideration of the, payment of a fee of 1--,4-r -- ___ permit is hereby granted to....._.. to construct the building or addition as described above. This permit is granted upon the express conditionthatthe person to whom it is granted and his agents, employees and workmen, in all work done in, around and upon said building, or any part thereof, shall conform in all respects to the ordinances of Fridley, Minnesota regarding location, construction, alteration, maintenance, repair and moving of buildings within the city limits and this permit may be revoked at any time upon violatioirf any of the provisions of said ordinances. ..� �1 Building Inspector NOTICE: This permit does not cover the construction, installation for wiring, plumbing, gas heating, sewer or water. Be sure to as the Building Inspector for separate permits for these items. 4 APPLICATION FOR BUILDING PERMIT CITY OF FRIDLEY, MINNESOTA Owner's Name G h 4/ Builder �® �l /j A9 P,4im Address `7 — lt°'.4'5 e -�`�Address 211 .7 �-�� `�� ■ J LOCATION OF BUILDING No. ®� Streetea" Part of Lot Lot Block _�Addition or Subdivision Corner Lot Inside -Lot Setback jj Side -Yard,_,,( SEWER ELEVATION FOUNDATION ELIVATION Applicant attach to this form Certificate of Survey of Lot and proposed building location. DESCRIPTION OF BUILDING To b used as: ,�IlkCe- Front Depth �-� Height Sq. Ft. f aZ f� Cu. Ft. Front Y Depth �Height %® Sq. Ft. 1//0 Cu. Ft._,_ Type of To be Completed 91 ted Cost The undersigned hereby maes Wplica.tion for a permit for the work herein specified, agreeing to do all work in strict accordance with the City Ordinances and ruling of the Department of Buildings, and hereby declares t*t all the facts and representations stated in this application are true and correct. DATE SIGNATURE® (A Schedule f Fee Costs can be found on the Reversede.) Applicaf m for Power Plants and: Heaping, Cooling, Ventilation, .Refrigeration and Air Conditioning Systems and Devices PARTIAL RATE SCHEDULE GRAVITY WARM AIR: RATE TOTAL, Furnace Shell & Duct Work .......................... 8.00 $ Replacement of Furnace 5.00 $ Repairs & Alterations—up to $500.00 .................. 5.00 $ Repairs & Alterations each add. $500.00 ............... 2.50 $ MECH. WARM AIR - Furnace Shell & Duct Work to 120,000 BTU ............ 8.00 $ .each add. 80,000 BTU ... — .................. 2.00 $ _ Replacement of Furnace ............................. #.00 $ Repairs & Alterations—up to $500.00 ................. 5.00 $ Repairs & Alterations each add. $500.00 .............. 2.50 $ STEAM or HOT WATER SYSTEM Furnace Shell & Lines—to 400 sq. ft. EDR Steam ...... 8.00 $ Furnace Shell & Line—to 640 sq. ft. EDR Hot Water ... 8.00 $ Each add. 200 sq. ft. EDR Steam ...................... 2.50 $ Each add. 320 sq. ft. EDR Hot Water .................. 2.50 $ OIL BURNER—to 3 gal. per hour ........................ 5.00 $ over 3 gal. per hour—See Fee Schedule GAS BURNER (up to 400,000 BTI) ....................... 5.00 $ GAS FITTING FEES: NO RATE TOTAL 1st 3 Fixtures ...................... x $1.50 $ Additional Fixtures ................. x .50 $ Gas Range to 200,000 BTU ........... x 2.00 $ AIR CONDITIONING $ FAN HEATING SYSTEM See Fes Schedule VENTILATING SYSTEM $ ALTERATIONS & REPAIRS TOTAL FEE ;— T 7 ROUGH— OUGH FINAL— FINAL Dept. of Bldgs. Phone SU. 4-7470 ®� /f LocatiM+ City of Fridley: The undersigned hereby makes application for a permit for the work herein specified, agreeing to do all work in strict accordance with the City Ordinances and ruling of the Department of Buildings, and hereby declares that all the facts and representations stated in this application are true and correct. Fr' ,Minn � 7 i y 19 4-1 Owner Kind of Bt6I dmg Used as To To be completed about Estimated Cost, $ OldA CNe�wuilding Permit No. �'`�� Permit No. DESCRIPTION OF WORK HEATING or PO RPLANTS—Steam, Hot Wa , War�Air No Trade Name Size No Z(Q'- 6--e Capacity Sq. Ft. E.D.R. &-" BTU H.P. ' Total Connected Load Tri 6 �� Kind of Fuel BURNER — Trade Nn Size No Capacity Sq. It. E.D.R BTU H.P. (REMARKS -OVER) sign RAY N W E L --TER HEATING C1 By 4637 CHICAGO AVE. MINNEAPOLIS , MINNEBMT 42 2M 7-59 Business Phone No-� /- V- J�' zT City of Fridley Appiicarion for Plumbing and Gas F'ating Perndt Dept. of Bldgs. Phone SU 91,-.7 DESCRIPTION OF WORK e� 'ot 4, Number, Kind and Location of Fixtures ryN i} 3� ZZ cZ LL' �aZ SO G�Z 5 O W Q ,� �U' G �a4 0 Z �O i F w N WATER HTR. GAS ELEC. Base % 1st 2nd 3rd 4th Future Connection Openings New Fixture, Old Openings onnected Cwith Sewer Cesspool E] PARTIAL RATE SCHEDULE City of Fridley: The undersigned hereby makes application for a permit for the work here specified, agreeing to do all work in strict accordance with the City Ordinance and ruling of the Department of Buildings, and hereby declares that all the fact and representations stated in this application are true and correct. Own( Kind Used as rG To be completed about Estimated Cost, Old—New. Build PLUM13ING FIXTURE RATES: NO. RATE TOTAL Number Fixtures ...................... x $1.50 $6 Future Fixture Opening ................ x 1.20 $ New Fixture Old Opening .............. x 1.00 $ Catch Basin ............................ x 3.25 $ Water Heater (Up to 200,000 BTU) ...... x 2.00 $ �' U New Ground Run Old Bldg . ............ x 3.25 $ GAS FITTING FEES: NO. RATE TOTAL 1st 3 Fixtures .......................... x $1.50 $ U Additional Fixtures .................... x .50 $ Gas Range to 200,000 BTU .............. x 2.00 $ REPAIRS & ALTERATIONS—Refer to Code Description ...... • • $ TOTAL FEE $-1 R i ROUGH & &/ FINAL 42 2M. City ®f Fridley SUBJECT P T N o " 16 6 75 AT THE TOP OF THE TWINS g U I L D I N G P E R M IT r � • COMMUNITY DEVELOPMENT DIV. �� ------ r � � PROTECTIVE INSPECTION SEC. ----5 CITY HALL FRIDLEY 55432 "--" ".4 612-571-3450 R NUMBER 910-F15 REV. DATE 7/13/82 PAGE OF APPROVED BY JOB ADDRESS 205 Rice Creek Boulevard N.E. 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 7 2 Rice Creek Plaza North Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Curtis Dahlberg 205 Rice Creek Boulevard N.E. 574-9.537 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Same 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO. 6 USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE X 8 DESCRIBE WORK Construct a 16' x 10' Shed 9 CHANGE OF USE FROM TO STIPULATIONS SPERMPERNIM5 REQUIRED FOff'WIRIM IIi�GHEATING. KUNSiNG, AND .51 „ fat: dl,�int CIU I®cat utilities r�l.!'N6N6 - ELECTRIC - SAS btu, RE HIRED AYAA SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD VENTILATING OR AIR CONDITIONING. Wood Frame THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION ZONING SQ. FT. CU. FT. OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT 160 ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS OFFSTREET PARKING I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION ] STALLS GARAGES AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT VALUATION $800 SURTAX $.50 DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PERMITFEE SACCHARGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. $15.00 PLAN CHECK FEE TOTAL FEE $15.50 GNAT] O CONTRACTOROR _ THOR DA NT (DATE)LDWHEN PROPERLY VALIDATETHIS 1S YOUR PERMIT �1111, DPT SIGNATURE OF OWNER (IF OWNLER B tDA EI U CITY OF FRIDLEY Effective Aug. 1, 1981 APPLICATIM FOR RESIDENTIAL BUlLDI1IG PERMITS (Nero, Alterations, Additions, or Repairs) M TEL go: • STREST NO: STREET: BUI LDER : ADDRESS: TEL NO: Construction Location LOT: BLOCK: ADDITION: Corner Lot: Inside Lot: Setback.: Sideyards: Applicant attach to this form two Certificates of Survey of lot and proposed building location drawn on certificates to scale. DESCRIPTION OF CONSTRUCTION Front: Depth: /6/ Height: Square. Feet: Cubic Feet: % U Front: Depth: Height: Square -Feet: Cubic Feet: Type of Construction: Estimated Cost: $ .�� Zb Be Completed: Alt. A Alt. B Proposed Driveway Width If New Opening Is Desired: $ $ SEE REVERSE SIDE OF SHEET Mie undersigned hereby make: application for a permit for the uork' herein specified, agreeing to do,all work in strict accordance with the City of Fridley Ordinances and rulings of the Department of Buildings, and hereby declares that all the facts and representations stated in this applica DATE: 1/1/ � SIGNATURE: Stipulations: .0G 7 fes• SUBJECT PER a City of Fridley 91 2 AT THE TOP OF THE TWINS BUILDING PERMIT ` RECEIPT NO. � • _ COMMUNITY DEVELOPMENT DIV. /� PROTECTIVE INSPECTION SEC. � NUMBER REv DAiE PAGE OF APPROVED BY CITY HALL FRIDLEY 55432 1 612-571-3450 910-F15 JOB ADDRESS 205 Rice Creek Blvd NE 1 LEGALLOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 7 2 Rice Creek Plaza North Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Curt Dahlberg 205 Rice Creek Blvd NE 574-9537 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO B & B Roofing 6760 Madison Street NE Fridley, MN 55432 571-0248 9042 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO 8 USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW 0 ADDITION ❑ ALTERATION REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Reroof House & Garage (25 Sq) Tear -off 9 CHANGE OF USE FROM TO STIPULATIONS Underlayment must comply with the State Building Code. CONSTRUCTION WORK HOURS: 7:00 am to 9:00 pm, Monday thru Friday; 9:00 am to 9:00 pm on Saturday; No work on Sunday. 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 80 DAYS. OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COMMENCED. NO DWLG. UNITS OFFSTREET PARKING I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION 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 2,142 $1'07 SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT PRESUME TO GI E AUTHORITY TO VIOLATE OR CANCEL THE PERMITFEE SAC CHARGE S OF ANY OTH STATE O LOC LAW REGULATING CON- $74.75 Fire SC $2.14 OR THE PE ORMA C RUCTION %ITHTHER PLAN CHECK FEE TOTALFEE License SC $5.00 $82.96 T ;OFCON'RACTORORAUTHORIZEDAGENT iDATEj WHEN PROPER VALIDATED THIS IS YOUR PERMIT B OG IN OA Ili S,GNATURE OF OWNER OF OWNER BUILDERl tDATE) - NEW [ ] ADDN [ ] CITY OF FRIDLEY ALT [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION Effective 1/1/99 ConstructionAddress:f Legal Description: "'~J7 Psi- Owner Name & Address: a Z.J4 Tel. # -5 7 Contractor: MN LICENSE # �® �a- Address:. !� 7L2 Tel. # - Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF IlVIPROVEMENT LIVING AREA: Length Width Height Sq. Ft. GARAGE `AREA: ` Length Width Height Sq. Ft. DECK AREA: Length Width Hgt/Ground Sq. Ft. OTHER: Construction Type: Estimated Cost: $ ;. (Fee Schedule on Back) Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ _ $ DATE: APPLICANT: Tel. # CITY USE ONLY Permit Fee $ `�i 7� Fee Schedule on Reverse Side Fire Surcharge $ . /`� .001 of Permit Valuation (1/10th%) State Surcharge $.50/$1,000 Valuation SAC -Chargee; _; $ $1050 per SAC Unit License Surcharge . $ �' $5.00 (State Licensed Residential Contractors) 4 Driveway Escrow $ Alt. "A" or Alt. "B" Above Erosion Control $ $450.00 Conservation Plan Review Park Fee $ Fee Determined by Engineering Sewer' Main 1,Charge $ Agreement Necessary [ ] Not Necessary [ ] TOTAL. _ $ STIPULATIONS: SUBJEtT P City of Fridley 32269 AT THE TOP OF THE TWINS BUILDING PERMIT RE IPT NO. COMMUNITY DEVELOPMENT DIV. PROTECTIVE INSPECTION SEC. mow, 672® �9�� j 1 . i CITY HALL FRIOLEY 55432 NUMBER REV DATE PAGE OF APPROVED BY 612-571-3450 1910-F/5 10/22/01 JOB ADDRESS 205 Rice Creek Blvd NE I LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 7 2 Rice Creek Plaza North Addition SHEET 2 PROPERTYOWNER MAIL ADDRESS ZIP PHONE Curt/Joyce Dahlberg 205 Rice Creek Blvd NE 763-574-9537 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Custom Remodelers Inc 474 Apollo Drive, Lino Lakes, MN 55014 651-784-2646 1748 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO 6 USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW ❑ ADDITION ❑ ALTERATION REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK RNPIM Replace 4 squares of siding; soffit & fascia 9 CHANGEOFUSEFROM TO STIPULATIONS Per Section 1402, 1997 Uniform. Building Code, requires that a weather resistive barrier be placed over exterior sheathing to protect the interior wall covering. Exceptions for this provision would be if sheathing is an approved weatherproof panel or when the siding is an approved weather barrier. Vinyl siding is not a weatherproof covering unless the manufacturer states this in their application guidelines. Call for inspection of wrap before covering. Install soffit ventilation to meet the State Building Code. Permit Inspection cards will Be mailed To Homeowner Ta Post TYPE OFC NST. 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 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 VALUAt10N SURTAX AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT $2,350 $1.17 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- $83.25 Fre SC $2.35 STRUCTION OR THE PERFORMANCE OF CONSTRUCTION PLAN CHECK FEE T T L FEE Licens S $5 $ 1.77 SIGNATURE OF CONTRACTOR OR AUTHOR4E0 AGENT rDATEi HEN R P VALI AT D THIS IS YOUR PERMIT sr- •,BLD INS gAfE _ SIGNATUREOFOWNERaFOWNERBUILDERr iDATEr p NEW [ ] Effective 1/1/99 ADDN [ ] CITY OF FRIDLEY ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION ConstructionAddress: n 0 5 k2 D-) Legal Description: Owner 1� Contract Address: Tel. #765-5 M-q�17 MN LICENSE # I ? rr ff Tel.# Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF BIPROVEMENT LIVING AREA: Length Width Height Sq. Ft. GARAGE AREA: Length Width Height Sq. Ft. DECK AREA: Length Width Hgt/Ground Sq. Ft. OTHER: 3 .fid Constructionype: ��d Estimated Cost: $ (Fee Schedule on Back) Driveway Curb Cut Width Needed: ' ' ' Ft. + 6 Ft Ft x - $ _ $ DATE: 10 g d APPLICANT: Tel. #I J, I Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control $ 5,00 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 $450.00 Conservation Plan Review Fee Determined by Engineering Agreement Necessary [ ] Not Necessary [ ] 1 11 suB�ECT PERMIT NO. City of Fridley 32533 AT THE TOP OF THE TWINS BUILDING PERMIT RECEI COMMUNITY DEVELOPMENT DIV. SEC.: r PROTECTIVE INSPECTION 1 � ` CITY HALL FRIDLEY 55432 NUMBER REV DATE PAGE OF APPROVED BY 612-571-3450 910-F15 4/25/02 { JOB ADDRESS 205 Rice Creek Blvd NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 7 2 Rice Creek Plaza North Addition SHEET 2 PROPERTY OWNER MAIL ADORES$ ZIP PHONE Curt Dahlberg 205 Rice Creek Blvd NE 763-574-9537 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO RMA Home Services Inc 3200 Cobb Galleria Pkwy STE 200, Atlanta GA 30339 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 763-542-8826 20268257 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO 6 USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW ❑ ADDITION ❑ ALTERATION Cj REPAIR ❑ MOVE : ❑ REMOVE B DESCRIBE WORK Replace six windows within existing openings 9 CHANGE OF USE FROM TO STIPULATIONS Provide smoke detectors in all sleeping rooms and on all levels of the dwelling per Section 310.9.1.2 of the 1997 Uniform Building Code. i Ins eci.ion Cards Will Be Mailed To Homeowner T P00009 SEPARATE PERMITS ARE REOUIRED FOR ELECTRICAL, PLUMBING, HEATING, TYPEOFCONST OCCUPANCY GROUP OCCUPANCYLOAD VENTILATING OR AIR CONDITIONING THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING SO. FT CU FT AUTHORIZED IS NOT COMMENCED WITHIN BO DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT ¢ ANY TIME AFTER WORK IS COMMENCED. ' NO. DWLG. UNITS OFFSTREET PARKING I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION 1 STALLS GARAGES AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS VALUATION SURTAX AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED $3 826 $1.91 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- $97.25 Fire SC $3.83 STRUCTION OR THE PERFORMANCE OF CONSTRUCTION PLAN CHECK FEE TOTAL FEE Lice C $5 0 107.99 SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT IDATEI HE P PVALID D THIS IS O P RMIT BL G I&SPOIr TRATE SIGNATURE OF OWNEROF OWNER BUILDER, ,DATE, NEW[ l Effective 5/10/99 ADDN [ ] CITY OF FRIDLEY ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION Construction Address: Legal Description: Owner Nance & Address: L,( )c 21 Tel. #_ has,i•q • 0153+ Contractor:; RMA HOME SERVICES INC. MN LICENSE # Home Depot Installed Sales Address: 3200 Cobb Galleria Pkwy., Ste. #200 Tel. # Atlanta, GA 30339 A 763-542-8826 urvey- of the kBC-20268257 _�___�.,.� ...,..... -it to scale. DES .CR .— MN OF IMP bVEMENT _ . LIVING AREA: GARAGE AREA: DECK AREA: OTHER: Construction Type: Length Width Height Sq. Ft. Length Width Height Sq. Ft. Length Width' Hgt/Ground Sq. Ft. tK®.n 4 fir -6 t a e L r,A1,L!m -.LK'a to ta r�i r-ofn Driveway Curb Cut Width Needed: Estimated Cost: $_3 �qT Ft. + 6 Ft = Ft k $ DATE: 1oi*Qd�1•0'� APPLICANT:AW4��Tel. (n(rij. Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee Sewer Main Charge TOTAL STIPULATIONS: CITY USE ONLY $ 9 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 [ ] sue.,ECT PNO City of Fridley 33501 AT THE TOP OF THE TWINS BUILDING PERMIT r O ;COMMUNITY DEVELOPMENT DIV. >r __--�. r � � PROTECTIVE INSPECTION SEC.CQ NUMBER REV DATE PAGE OF APPROVED BY CITY HALL FRIDLEY 55432 L J` 763-571-3450 910-F15 5/8/03 10B ADDRESS 205 Rice Creek Blvd NE I LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 7 2 Rice Creek Plaza North Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Curt Dahlberg 205 Rice Creek Blvd NE 763-574-9537 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO RMA Home Services Inc 3200 Cobb Galleria Pkwy STE 200, Atlanta GA 30339 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 763-542-8826 20268257/ 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO 6 USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW ❑ ADDITION ❑ ALTERATION Cj REPAIR O MOVE ❑ REMOVE 6 DESCRIBE WORK Replace four windows within existing openings 9 CHANGE OF USE FROM TO STIPULATIONS Provide smoke detectors in all sleeping rooms and on all levels of the dwelling per Section 310.9.1.2 of the 1997 Uniform Building Code. Caulk and flash all exterior openings. Permit Inspection Cards Will Be malled ToMe Homeowner To Post 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 WORK WILL BE COMPLIED @ $1.76 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT $3,518 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- $97.25 Fire SC $3.52 STRUCTION OR THE PERFORMANCE OF CONSTRUCTION PLAN CHECK FEE TOTALFEE License SC $5.00 $107.53 SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT iDATEi WHEN PROPERLY VALIDATED THIS IS YUR P RMIT \A103 _ B OG NSo rya E S-GNATURE OF OWNER,iF OWNER BU4DERi iDATE, NEW[ ] Effective 5/10/99 ADDN [ ] CITY OF #RMLEY ALTER [ ] SINGLE FAMELY AND DUPLEXES R-1 AND R-2 BUILDING PERM4T APPLICATION Construction Address: a R; CJ, CAs e e.L YA Legal Description: Owner Name & Address:tt_ Ce,l3(��'iL�O2�CG1 Tel. # bio 3 •S��-%�� Contractor:, RMA HOME SERVICES INC. j %ICENSE # Home Depot Installed Sales Address: 3200 Cobb Galleria Pkwy., Ste. #200 Tel. # Atlanta, GA 30339 1A 763-542-8826 urvey: of the 1c BC -20268257 in -it to scale. DESCRIP-ION OPA0VEMENT... . LIVING AREA: Length Width_ Height Sq. Ft. GARAGE AREA: Length Width Height Sq. Ft. AREA: DEC�K� Length Width Hgt/Ground Sq. Ft. OTHER: /� —1 A til n r A 1 ens A -% 1 -A —e • de -1 r� — Construction Type:Estimated Cost: $ 3, �J $ 00 Driveway Curb Cut Width Needed: Ft. + 6 Ft = _ Ft x DATE:_ -d Tel. #96a• 3`l5• UCY7- CITY USt ONLY Permit Fee $ I �' . 0�5 Fee Schedule on Reverse Side Fire Surcharge $ .001 of Permit !,Valuation (1/10th%) State Surcharge $ .'�(.p $.50/$1,000 Valuation SAC Charge $ $1050 per SAC Unit License Surcharge $ $5.00 (State Licensed Residential Contractors) Driveway Escrow $ Alt. "A" or Alt. '"B" Above Erosion Control $ $450.00 Conservation Plan Review Park Fee $ Fee Determined. by Engineering Sewer Main Charge $ Agreement Necessary [ ] Not Necessary [ ] TOTAL $ ® Z STIPULATIONS: Elder -Jones Building Permit Service, Inc. Building; Department: I=atri�'equesting "a refund -for building permit f#33541;`issued 05J08/03. The permit was for replacing windows at the residence of: ,, ,. i � Curt,Dahlberg 205 Rice Creek Blvd. NE Fridley, NW 55432 Enclosed is the original permit. Please make the check payable to Elder -Jones Building Permit Service, Inc. If you have any questions or need more information, please call me at 952-345-6047. Elder -Jones Building Permit Service, Inc. 1120 East 80th Street • Bloomington, Minnesota 55420-1498 952-854-2854 0 FAX: 952-854-4909 City of Fridley SUBJECT 33947 AT THE TOP OF THE TWINS BUILDING PERMIT �4 RECEIPT NO. COMMUNITY DEVELOPMENT DIV. a. PROTECTIVE INSPECTION SEC. NUMBER REV DATE PAGE OF APPROVED BY I = "I CITY HALL FRIDLEY 55432 763-571-3450 910-FIS 10/6/03 JOB ADDRESS 205 Rice Creek Blvd NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 7 2 Rice Creek Plaza North Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Curt & Joyce Dahlberg 205 Rice Creek Blvd NE 763-574-9537 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Rum River Lumber Co 10141 Woodcrest Drive, Coon Rapids, MN 55433 763-862-7300 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 20036086 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 Replace 4 windows within existing openings 9 CHANGE OF USE FROM TO STIPULATIONS Provide smoke detectors in all sleeping rooms and on all levels of the dwelling per Section 310.9.1.2 of the 1997 Uniform Building Code. Caulk and flash all exterior openings. SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, TYPE OF CONST. OCCUPANCY GROUP OCCUPANCYLOAD VENTILATING OR AIR CONDITIONING. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING SO. FT CU FT AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS OFFSTREET PARKING I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION 1 ISTALLS GARAGES AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS VALUATION SURTAX AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT $2,729 $1.36 DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PERMIT FEE SACCHARGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- STRUCTION OR THE PERFORMANCE OF CONSTRUCTION $83.25 Fire SC $2.73 PLAN CHECK FEE TOTAL FEE / e se SC $5.00 $92.34 SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT IDATEI HEN PROPERLY VALIDATED THIS IS YOYR PfERMIT LOG ,NSP 16ATE S-GNATURE OF OWNER SIF OWNER BUILDER, IDATEI 19 . NEW` [ j CITY OF FRIDLEY Effective 1/1/2002 ADDN [ ] 6431 University Ave NE, Fridley, MN 65432 (763) 572-3604 Bldg Insp ALTER SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION Construction Address: o105 Rice U 2 K Cil r (-I e.. Legal Description: Owner Name & Address: CkLy t t 30Ce- 00 -hi beo Tel. # Contractor. R .,e.r MN LICENSE #2U 3 Address: 1b V�Cx Cie S D6 \Je Tel. # -703- &Iy a - -7 3 vU -- 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. DESCRIP11ON OF IMPROVEMENT Length Width Height Sq. Ft Length Width Height Sq. Ft Length Width Hgt/Ground — Sq. Ft Construction Type: rY�S1 Cl l 4 lQendOWSIEWI' Estimated Cost: $. 01,1 Driveway Curb Cut Width Needed: �Ft + 6 Ft = Ft x $—=$ — DATE: G -o'1 (0' 0)) APPLICANT: L Tel. # 03 -SIOA - 2 YO Call (763) 572-3604 for Permit Fees if mailing in application or Fax to 76371-1287 if using credit card and we will call you for card number. CITY USE ONLY - Permit Fee Fire Surcharge $, i 3 State Surcharge $ I . SAC Charge $ License Surcharge $ Driveway Escrow $ Erosion Control $ Park Fee $ . Sewer Main Charge $ TOTAL $ q � , Fee Schedule on Reverse Side .001 of permit Valuation (1110th%) $.501$1,000 Valuation $1200 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 j ] STIPUI A -PONS: b0/T0'd SZ09Z9e Ol AT1QIN-1 .d0 AID WOdd 6S:0S ZOOZ-Zti-Ndti