PRE 2010 DOCSCity ofFridley, Minn. � �� 1 8 .r
6431 University Ave. N. E., Minneapolis, Minn. 55432
BUIMING PERMIT
'Date: Se tc m- ber,-1,.-7 39.71--�
ppm:. William ,Si ger Builder Qarles E Johanson Inc.
,Address 226 Rice Creek Boulevard Address 580 69th Ave. N. E.
LOCATION OF BUILDING
No 226 Street Rice Creek Blvd. . Part of Lot
Lot 14 Block 4 Addition or Sub -Division _Rice Creek Plasa-North Add.
Corner Lot Inside Lot x Setback Sideyard 201
e
Sewer Elevation
To be Used as:
Foundation Elevation
Res Front 36 Dept 26 Height 26 Sq. Ft, 1186 CU. � ... 836
Garage Front 241 1 Depth 221811 Height 10 sq. Ft. 540 Cu. Ft. 5,400
Type of Construction Frame Est Cost ,50,000.To be Completed -:'`°9/'17,/72
49,829. � ,-77-" `
Provide verifying survey & hard surface drive
In consideration of the issuance to me of a permit to construct building descri above, I agree to do
the proposed work in accordance with the description above set ,found *n compli ce with all provisions of
ordinances of the city of Fridley. / �/ f
G4.y1 State surcharge
In consideration of the payment of a fee of $ 67 .00,permit is hereb granted
to construct the building or addition as described above. This permit is granted upon,
the express condition that the 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
T'rldley, Minnesota regarding location, construction, alteration, maintenance, repair and moving of buildings
11thin � city limits and this permit may be revoked at any time upon violation of any of the provisions of said
dbian
r
'1MIF4�,.•
NOTICE:
Me permit does not cover the construction, installation for wiring, plumbing, gas heating, sewer or water. Be sure to see
the Building Inspector for separate permits for these items.
r
s
t
APLICATION FOR RESIDENTIAL, ALTERATION.,
OR ADDITION BUILDING PERMIT
CITY OF FRIDLEY, MINNESOTA
OWNER'S NAME: W Nit, (9, le R -BUILDER: CHARLES E. JOHMSoN mc.
0OU bVth Avenue N. E.
ADDRESS: ADDRESS:— Fridley, Minnesota 55432
NO: . � �- 4 STREET:_ g " C 1-:: CO f? 9 r ?, b i, VL),
LOT: —BLOCK: ADDITION:&- & eRFgX eJig5A-t18gJ-k_
CORNER LOT: INSIDE LOT: X -SETBACK:- SIDEYARD:
Applicant attach to this form Two Certificates of Survey of Lot and proposed
building location drawn on these Certificates.
DESCRIPTION OF BUILDING
To Be Used As:
—Front: 36 Depth Height:
/ 7r !�
Square Feet: 3V_ Cubic Feet: z= y of
D� il
Front: 'x
4 Depth Height:
Square Feet;
Cubic Feet:--,,
Type of Construction:
Estimated Cost: _$
To Be Completed:
The undersigned hereby makes application for a permit for the work herein
specified, agreeing to do all work in sttict 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 application
are true and correct.
DATE:' SIGNATURE , Z1_
(See Reverse Side For Additional Information.)-,.
AL,
4
d. Ay`d
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=`f'� r!Jr L,^T'1. lA it'.:j fr'.',7` J.'. 0 � :°.�. G I C.�F'r Lj�' r/'i�j"'."C^:�^°4 � P° i ., 1' �%����•+s +tr...`:�. �~�::': Ct:•q
rear....°,°_.," , e r.. •.
I
171
Cify of Fridley
Appkafhm for Pkwh&g and
Dept. of Bldgs. Phone W0-3
DESCRIPTION OF WORK
Number. Kind and Location of Fixtures
PARTIAL RATE SCHEDULE
PLUMBING FIXTURE RATES:
NO. RATE TOTAL
Number Fixtures ................
f 3 x $2.00
$ ��y0
Future Fixture Opening ...........
v•
I WATER W".
N GAS ELK.
New Fixture Old Opening ..........
x $1.50
i
iF
x $3.25
V
<3
x $3.00
Base
New Ground Run Old Bldg.........
x $3.25
$
Electric Water Heater ..............
x $2.00
$
GAS FITTING FEES:
1st
1st 3 Fixtures .......... • • • • • .
x $200
$--2--&0
Additional Fixtures ..................
x $ .75
$
Gas Range to 199.000 BTU ...... , .........
2nd-
%
3rd
4th
• future Connection Openings
Connected with
+ New Fixture. Old Openings
Sewer
Cesspool ❑
PARTIAL RATE SCHEDULE
PLUMBING FIXTURE RATES:
NO. RATE TOTAL
Number Fixtures ................
f 3 x $2.00
$ ��y0
Future Fixture Opening ...........
_ 3 x $1.50
L
New Fixture Old Opening ..........
x $1.50
$ __
Catch Basin ....................
x $3.25
$
Water Heater :Up to 99,000 BTU) ....
x $3.00
New Ground Run Old Bldg.........
x $3.25
$
Electric Water Heater ..............
x $2.00
$
GAS FITTING FEES:
NO. RATE TOTAL
1st 3 Fixtures .......... • • • • • .
x $200
$--2--&0
Additional Fixtures ..................
x $ .75
$
Gas Range to 199.000 BTU ...... , .........
x $5.00
$
REPAIRS &c ALTERATIONS—Refer to Code
Description...............................................—� 0
i
TOTAL FEE $�
(SURCHARGE $_.50)°
City of Fridley:
The .undersigned hereby makes application for a permit for the work herei
specified, agreeing to do all work in strict accordance with the City Ordinance
and ruling of the Department of Buildings, and hereby declares that alk the fact
and representations stated in this application are true and correct
Owner
Kind of
Used as
To be completed about
Estimated Cost, $
Old—New. Building Permit No. permit
ROUGH -,
�
FINAL g� -� '
Signed.
By
Business
Application for Power PhuMs and Heelft Cooling, Ventilation. Re -1 igerafioe and
Ah Conditioning Systems and Devices
PARTIAL RATE SCHEDULE
GRAVITY WARM AIR:
11ATZG TOTAL
Furnace Shell & Duct Work .............
.. $10.00 $
Replacement of Furnace .... .. ..... ........
6.00 $
Repairs & Alterations—up to $500.00
6.00 $
Repairs & Alterations each add. $500.00
3.00 $--__
MECIL WARM AIB
Furnace Shell & Duct Work to 120,000 BTU ........
..$10.00
each add. 60,000 BTU ....................
. 3.00
Replacement of Furnace .. .......
..... 6.00
Repairs & Alterations --up to $500.00
6.00
Repairs & Alterations each add. $500.00 .......
.... 3.00 ;
STEAM or HOT WATER SYSTEM
Furnace Shell & Lines—to 400 sq. ft. EDR Steam $10.00 $.
Furnace Shell & Line—to 640 sq. ft. IDR Hot Water 10.00
Each add. 200 sq. ft. EDR Steam 3.011
Each add. 320 sq. ft. EDR Hot Water 3.00 _
OIL BURNER—to 3 gal. per hour 6,00 $
over 3 gal. per hour -wee Fee Schedule
GAS BURNER (up to 1,000 BTUI ....$
..... 800
over 199,000 BTU See Fee Schedule
GAS FITTING FEES:
NO RATE TOTAL
1st 3 Fixtures
x$ 200 $
Additional Fixtures
x .7 $
Gas Range to 199,006
x$ 5 pp $
(SURCHARGE ;0501
AIR coxDITloNnfa
FAN HEATING SYSTEM
See Fes Seim"
VENTILATMG SYSTEM
ALTERATIONS & REPAIRS
TOTAL FEB
ROUaII
FINAL a 4 -
Dept. of Bldgs. Phone WD -M
I.eedfen �� S -
City of Fridley:
The undersigned hereby makes application for a permit for the work :hereir
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.
Fridley, Minn_ / P' 2, 7' 18
Owner
Kind of Building
P
Used as
To be completed about _— '/" /v IY--
Estimated Cost,
OI New Building Permit No. Permit No.
DESOBIP1 *X OF WORK
BEATING or POWER PLANTS-Stea n, Hot Water, Warm Air—No
Trade Name _ef� Size Na
Capacity Sq. Ft E.D-R- BTU
H.P.-
Total Connected Iead Kind of Fne
BURNER — Trade Name—ezSize ft %yy
Capacity Sq. It E.D.R BTU Np
MNARKI -OVKR)
SUBJECT
PERM NO.
City of Fridley
® 990
AT THE TOP OF THE TWINS
BUILDING
PERMIT
RECEIPT
`L _____ COMMUNITY DEVELOPMENT DIV.
r PROTECTIVE INSPECTION SEC.
1 �
= CITY HALL FRIDLEY 55432
,
NUMBER
REV.
DATE
PAGE OF
APPROVED BY
L
612-571-3450
910-F15
5/19/89
JOB ADDRESS
226 Rice Creek.Blvd N.E.
1 LEGAL
LOT NO.
BLOCK
TRACT OR ADDITION
SEE ATTACHED
DESCR.
14
4
1 Rice Creek Plaza North Addition SHEET
2 PROPERTY OWNER MAIL ADDRESS
ZIP PHONE
Bill Geiger 226 Rice Creek Blvd N.E.
571-9425
3 CONTRACTOR MAIL ADDRESS
ZIP PHONE LICENSE NO.
Todd Johnson Construction 7549 Imperial Drive Brooklyn Park, MN 55443 561-5344
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 191 x 201 Living Area Addition and a 191 x
121 Deck
9 CHANGE OF USE FROM TO
STIPULATIONS
See notations on plan
Before digging Cali IOCai utilities
SEPARATE PERMITS REQUIRED. FOR
ALEOIONE-ELECTRIC-GAS Eta.
WIRING, HEATING, PLUMBING ANIS SIGNS.
REQUIRED BY LAW
SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING,
TYPE OF CONST.
OCCUPANCY GROUP
OCCUPANCY LOAD
VENTILATING OR AIR CONDITIONING.
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION
ZONING
SO. FT.
CU. FT.
AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION
OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT
ANY TIME AFTER WORK IS COMMENCED.
NO. DWLG. UNITS
OFFSTREET PARKING
I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION
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
$5,000
$2"50
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-
$72.00
STRUCTION OR THE PERFORMANCE OF CONSTRUCTION.
PLAN CHECK FEE
TOTALFEE
$74.50
SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT (DATEI
c' ^ HEN PROP
W$P
LY AL THIS IS YOUR PERMI
DATE
SIGNATURE OF OWNER IIF OWNER BUILDER) IDATEILDG
NEW [ ] Effective 5/1/88 rr/
ADDN [ ) R-1 AND R-2 IJ7
ALTER [ ] Building Permit Application
Construction Address: to QT70-r-(,EF.ee__ I��, •
Legal Description:
Owner Name
Contractor:
Tel. # 7/-iO-r
Tel.#niS3/y
Attach to this application, a Certificate of Survey of the
lot, with the proposed construction drawn on it to scale.
EESCRIPTION oF II wVHMENT
LTM G AREA:' Length Width - Height Sq. Ft. Q
GARAGE AREA: Length Width Height Sq. Ft. j
DECK AREA: length Width Hgt/Ground Sq. Ft.
07HER:
Corner Lot [ ] Insid ] d Side Yard Setbacks
Ar
Type of Construction: �• Estimated Cost: $-:5 (U(J
Approx. Completion Date:
Proposed Driveway Width If New Opening Is Desired: Ft. $ $
Width + 6' See Back Page
DATE: / o Ji APPLICANT:J/ 0/(/Cz 6",-` Tel. # S-6 1,53- 4/2/
Permit Fee
State Surcharge
SAC Charge
$
Driveway Escrow
$
Park Fee
$
Sewer Main Charge $
TOM $ 14-!O
CITY USE ONLY
Fee Schedule on Reverse Side
$.50/$1,000 Valuation
$575 per SAC Unit -
Alt. "An or Alt. "B" Above
Fee Determined by Engineering
Agreement Necessary [ ] Not Necessary [ ]
STIPULATIONS: 3 S7- 00 ° �S FI
l 09 sO
CITY OF FRIDLEY INSPECTION DIV. Effective On January 1, 1991
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
Furnace Shell and Duct Work, Burner -
Also Replacement Furnace
Gas Piping (Needed with new furnace)
Gas Range
Gas Dryer
Rate TOTAL
$ 20.00 $
d
$ 10.00 $
$ 10.00 $
$ 10.00 $
*Air Conditioning - All Sizes $ 10.00 $
All Others/Repairs & Alterations (LIST ON BACK
1 % of Value of Appliance or Work $
Commercial/industrial
1 % of Value of Appliance or Work $
State Surcharge .50
TOTAL FEE $
MINIMUM FEE FOR ANY HEATING/COOLINGNENTILATION
REFRIGERATION/AIR CONDITIONING PERMIT IS $15.00
PLUS THE $.50 STATE SURCHARGE
REINSPECTION FEE $30.00
*Air Conditioners can not be placed in a side yard without
written permission from adjoining property owner.
JOB ADDRESS
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 ruling of the Building Division, and hereby declares
that all the facts and representations stated in this VicaLion qe
true and correct. 1199.
2
OWNER - r ��'�� yZ_
BUILDING USED
ESTIMATED COST `2 d q 0�. PERMIT NO. 111q'S
DESCRIPTION OF FURNACE AND OR BURNER
No. of Heating Units d Circle One (Steam)Hot W er arm Air)
Trade Name i F_ Size No. r
BTU-- HP EDR
Fuel iv,+T& Total Connected Load 7 9,
Y
Burner Trade Name Size No.
BTU HP EDR
HEATING COMPANY_ C
Signed B _1___t Tel No. d �>
Approved ByagE_ Rough -In Date Final Date 4
FILL OUT BACK SIDE FOR STACK VERIFICATION ON
REPLACEMENT FURNACE
CHIMNEY AND STACK VERIFICATION
The undersigned hereby verifies that the existing chimney or stack:
1. Has been carefully examined
Yes (-I
No
( j
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's connected Yes (,j' No ( )
6. Has total heating BTU's of 000
All other BTU's �J �l ® 0 kD
TOTAL BTU's U0 d rf? C 0
Remarks
List Alterations Being Done:
HEATING COMPANY
Signed By
Date
j Zia,, -. (/vim! . /, /-4,4 % f�d�r / ri�+� to /. r
l2-3-�;z
CITY OF FRIDLEY INSPECTION DIV.
6431 University Ave NE
Fridley, MN 55432
572-3604
APPLICATION FOR PLUMBING AND GAS FITTING PERMIT
MARK NUMBER OF FIXTURES TO BE INSTALLED ON EACH FLOOR
Effective On January 1, 1997
PLUMBING FIXTURE RATES:
New Fixtures
Old Opening, New Fixture
Beer Dispenser
Blow Off Basin
Catch Basin
Rain Water Leader
Sump/Receiving Tank
Water Treating Appliance
Water Heater –Electric
Water Heater – Gas**
NO. RATE TOTAL
I
Gas Range**
Gas Dryer**
Back Flow Preventer Required ( )Yes () No
Type
S7.00
S4.00
$ 5.00
$ 7.00
$ 7.00
$ 7.00
$ 7.00
$10.00
$ 7.00
$10.00
$10.00
$10.00
$15.00
Reinspection Fee $42.00/Hr
ALL OTHERS AND/OR REPAIRS AND ALTERATIONS
1.5% of Value of Fixture or Appliance ,
State Surcharge $ .50
TOTAL FEE $.�P�
JOB ADDRESS°'/C'�EEiC
,
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 Building Division, and hereby declares that all the fads
and representations stated in this application are true and correct.
`_/_ A® .1998
Owner 6F16ER Ali/L. FIeC6 3r?P - A L// L 5
Building Used As
Estimated Cost0-p– PERMIT NO.
PLUMBING COMPAN-YMR. ROOTER OF ANOKA COUN
6250 Industry Ave. N. #114
SIGNED BY Ramsey. IVIN 55303 TEL N0._
21-6140
21 -6198 -FAX
Approved By Rough–In Date Final Date �—
MINIMUM FEE F R ANY PLUMBING/GAS PERMIT IS $20.00
PLUS THE $.50 STATE SURCHARGE
**COMBUSTION AIR SHALL BE PROVIDED PER UMC SECTION 504(A) AND TABLE 6–A. MINIMUM SIZE 9 SQ INCHES.
SUBJECT
MIT R
City ®f Fridley
27423
AT THE TOP OF THE TWINS
BUILDING
PERMIT
P ' ,
1
RECEIPT
L
COMMUNITY DEVELOPMENT DIV.
a.
r PROTECTIVE INSPECTION SEC.
NUMBER
REV
DATE
PAGE OF
APPROVED BY
CITY HALL FRIDLEY 55432
612-571-3450
910-F15
JOB ADDRESS
230 rrepk Blvd N
1 LEGAL
LOT NO. BLOCK
TRACT OR ADDITION
SEE ATTACHED
DESCR.
13
SHEET
2 PROPERTY OWNER MAIL ADDRESS
Hansen
ZIP PHONE
573-9431
3 45RACTOR MAIL ADDRESS
ZIP PHONE LICENSE NO.
Walker Roofinp, 2701 36th Ave S. Mph-, MN 55406
4229
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
Reroof house and garage Tear-off
9 CHANGE OF USE FROM TO
STIPULATIONS
Underlayment must comply with the State Building Code.
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
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
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
$4753
S2.37
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.
$99.75
rp
PLAN CHECK FEE
TO FEE
SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT IDATEI
T T----- 6
r nf/
i, _197
EN ROP
BL INSP
VALID THIS IS =UR FERMI
t
ryA E
SIGNATURE OF OWNER IF OWNER BUILDERI IDATEI
TOTAL
STIPULATIONS:
Effective 1/1/98
•
CITY OF FRIDLEY
vIILY AND DUPLEXES R-1 AND R-2
DING PERMIT APPLICATION
LEM 1q-1) Tel. #
)CW nC>) MN LICENSE # 4a pc�
Tel. ''# -
plication, a Certificate of Survey of the
Cityy of FICIEy
)osed construction drawn on it to scale.
CUSTOiaER
RECEIPT
NPER: COLE OC
RITE: 8/26/98 00
DRAWER: 1
RECEIPT: OOM7
:IPTION OF IMPROVEMENT
DESCRIPTION
PEMI4IT5-EUILDING
QTY Mow TP TN
1 $99.7M AP CK
_
Width Height Sq. Ft.
FIRE SURCHARGE F
1 84.75 F5 CK
o
SURTAX
LICENSE SURCHARG
1 82.37 SU CK
1 85.00 H2 CK
Width Height S Ft.
— g q'
PERNITs-BUILDING
FIRE SURCHARGE F
1 $74.75 BP CK
1 $2.50 FS CK
Width H t/Ground S Ft.
— g q
SURTAX
LICENSE SURCHARG
1 81.25 SU CK
1 85.00 HB CK
PcRNITs-BUILDING
FIRE SURCHARGE F
1 874.75 BP CK
1 82.25 Fs CK
A QU
a
SURTAX
LICENSE SURCHARG
1 81.12 SU CK
1 85.00 H2 CK
Estimated Cost: $
PERNITS-BUILDING
FIRE SURCHARGE F
1 $74.75 BP CK
1 82.83 FS CK
(Fee Schedule on Back)
SURTAX
LICENSE SURCHARG
1 81.41 SU CK
1 85.00 H2 CK
+ 6 Ft = Ft x $ = $
E4AL S ROOFING
X27423,27484
27425,27426
Tel. #
23' RC BLVD 7330 ABLE ST
7354 ABLE sof, 6266 ERR
TINE: 15:59:11
CITY USE ONLY
TOTAL CHECK
8362.48
Schedule on Reverse Side
vire Surcharge
$ z4,-7
.001 of Permit Valuation (1/10th%)
State Surcharge
$
$.50/$1,000 Valuation
SAC Charge
$
$1000 per SAC Unit
License Surcharge
$ . 00
$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
STIPULATIONS:
rJAW
UTl'OF
FRIDLEY
FRIDLEY MUNICIPAL CENTER • 6431 UNIVERSITY AVE. N.E. FRIDLEY, MN 55432 • (612) 571-3450 • FAX (612) 571-1287
December 30, 1998
Steven Breitenfeldt
226 Rice Creek Blvd NE
Fridley, MN 55432
Re: Construction Without Obtaining a Building Permit
(Reroof at 226 Rice Creek Blvd NE)
Dear Mr. Breitenfeldt:
According to Section 106.1 of the 1994 Uniform Building Code as
adopted by the City of Fridley, no building or structure regulated
by this Code shall be erected, constructed, enlarged, altered,
repaired, moved, improved, removed, converted, or demolished unless
a separate permit for each building or structure has first been
obtained from the Building Official.
You have been notified of your need to obtain a building permit and
have failed to comply as of today's date. As a result, a special
investigation fee will now be added to the permit, equal to the
permit fee. The City of Fridley will give you 30 days in which to
comply before turning this matter over to the City Attorney for his
legal consideration.
Please contact me at 572-3603 if you have any questions on this
matter.
Sincerely,
�.� GUS Camey'"
BARRY MIESCH
Building Inspector
SUBJECT
City of Fridiey
8 81AT
THE TOP OF THE TWINS
BX ILDING
PERMITEIPCOMMUNITY
5RE
DEVELOPMENT DIV.
INSPECTION SEC.
®0�
r PROTECTIVE
1 a
NUMBER=MEVDATE
PAGE OF
APPROVED Br
=
I 1 CITY HALL FRIDLEY 55432
�612-571-3450
9104
1/4/99
JOB ADDRESS
226 Rice Cr e
1 LEGAL
LOT NO.
BLOCK
TRACTOR ADDITION
SEE ATTACHED
OESCR.
14
4
Rice Crepk Plazn Nnrtb Additinn
SHEET
2 PROPERTY OWNER MAIL ADDRESS
ZIP PHONE
Steve Breitenfeldt573-7471
3 CONTRACTOR MAIL ADDRESS
ZIP PHONE LICENSE NO
Owner
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 O ADDITION ❑ ALTERATION I REPAIR ❑ MOVE ❑ REMOVE
8 DESCRIBE WORK
Reroof above the front oTpar-off
9 CHANGEOFUSEFROM TO
STIPULATIONS
Underlayment must comply with the State Building Code.
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
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
685
.50
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
$26.50
Fire SC .68
PLAN CHECK FEE
TOTALFEE
2 68
$IG NATURE OF CON' CTO R AU rIORIZEO AGENT [DATE,
WHEN PROPERLY IDATED THIS IS YOUR PERMIT
IGN URE OF OVWNERIIF OWNER IWILDERI IDATEI -
BLOZ INSA
1l �r)At
NEW- _ [ ] Effective 1/1/99
ADDN [ ] CITY OF FRIDLEY
ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2
BUILDING PERMIT APPLICATION.
ConstructionAddress: � C. (c) �(Cp C( 7gK L
Legal Description:
Owner Name & Address: S-ku--Q i t Tel.
Contractor: /Vu A,4e-- MN LICENSE #
Address:
Attach to this application, a Certificate of Survey of the
lot, with the proposed construction drawn on it to scale.
Tel. #
STIPULATIONS:
DESCRIPTION OF IMPROVEMENT
LIVING AREA:
Length
Width Height
Sq. Ft.
GARAGE AREA:
Length
Width Height
Sq. Ft.
DECK AREA:
Length
Width Hgt/Ground
Sq. Ft.
OTHER:
ee--CZoa�r 'ate
X40404 na g°;P—
{(oS
Construction Type:
c MI
Estimated Cost: $
(Fee Schedule on Back)
Driveway Curb Cut
Width Needed:
Ft. + 6 Ft = Ft x $ = $
DATE: I - APPLICANT:
Tel. # y 7
CITY USE ONLY
Permit Fee
$�
Fee Schedule on Reverse Side
Fire Surcharge
$ �(p
.001 of Permit Valuation (1/10th%)
State Surcharge
$ _ .
$.50/$1,000 Valuation
SAC Charge
$
$1050 per SAC Unit
License Surcharge
$
$5.00 (State Licensed Residential Contractors)
Driveway Escrow
$
Alt. "A" or Alt. "B" Above
Erosion Control
$
$450.00 Conservation Plan Review
Park Fee
$
Fee Determined by Engineering
Sewer Main Charge'
$
Agreement Necessary [ ] Not Necessary [ ]
TOTAL
$
STIPULATIONS:
Building
$
BUILDING
Plan Review
Permit No.:
Inspections
Fire Surcharge
RESIDENTIAL APPLICATION
Received By:
763-572-3604
$
CITY OF FRIDLEY
Da
763-502-4977 FAX
$5.00 (State Licensed Residential Contractors)
SAC Charge
$
$1825 per SAC Unit (Plans to MWCC for determination)
Curb Cut Escrow
$
EFFECTIVE 1-1-08
Erosion Control
$
$450 Conservation Plan Review
Park Fee
$
DATE E-14-06
YOUR E-MAIL ADDRESS
$
SITE ADDRESS 216
R1 cz_ C f �edl` 130 0
$ o
Make checks payable to: City of Fridley Attach Stipulations
THIS APPLICANT IS: (OWNER ❑CONTRACTOR
PROPERTY OWNER/
NAME: U e M ,
ADDRESS: 2ZG IZ1Q- C-f-etr-
CITY&'ILIE4 STATE�ZIP-
TENANT
PHONE: -763- 5?1> '71'7)
NAME:
ADDRESS:
CITY STATE ZIP
CONTRACTOR
SUBMIT A COPY OF
PHONE
FAX
YOUR STATE LICENSE
STATE LICENSE #
EXP DATE
PROPERTY TYPE
19S GLE FAMIL EW CONSTRUCTION
SIZE
❑ TWO FAMILY/NEW CONSTRUCTION
STORIES
PERMIT TYPE
❑
❑ ADDITIONGEISHED
❑ WINDOWS
❑ BASEMENT FINISH
❑ DRAIN TILE
❑ DECK ❑ SIDING
❑ OTHER
❑ SWIMMING POOL
TYPE OF WORK:
❑ NEW HOME CONSTRUCTION ❑ ADDITION
'jW MAINTENANCE/REPAIR ❑ REMODELING
DESCRIBE WORK BEING DONE: 9e pL i Ctj G S e-CV�-, GS'F'
SIZE OF IMPROVEMENT
LENGTH WIDTH HEIGHT S FT
ROOFINGqq XHOUSE ONLY
BASEMENT REMODELING SUBMIT:
NUMBER OF SQUARES /
❑ HOUSE & GARAGE
I . Existing Floor Plan
GARAGES
❑ ATTACHED GARAGE
2. Proposed floor plan
PROPOSED SIZE:
❑ DETACHED GARAGE
3. List of structural members to be used,
PROPOSED HEIGHT:
FOR NEW CONSTRUCTION INCLUDING DECKS,
SIDING
ADDITIONS, & PORCHES SUBMIT:
❑ Vinyl
❑Soffit
1. Site Plan/Survey showing the existing structures
❑ Aluminum
❑ Trim
and proposed project.
❑ Other
11 Fascia
2. Two sets of construction plans
WINDOWS
3. Energy Calculations
IN EXISTING OPENINGS ❑Yes ❑No LOCATION OF WINDOWS
OR FOR NEW OPENINGS -DESCRIBE SIZE OF
OPENING CHANGES &
TYPE OF WINDOW TO BE INSTALLED NUMBER OF WINDOWS
ALL FEES ARE BASED ON VALUATION, INCLUDING THE COST OF LABOR AND MATERIALS:
SING THE 1997 UBC FEE SCHEDULE)
TOTAL JOB VALUATION $ 15r7 1 _ 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
$
$1825 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
$ o
Make checks payable to: City of Fridley 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 on site; that the work will be in accord with t pproved plan in the case of all work which requires review and approval of lans.
SIGNATURE OF APPLI PRINT NAME S i �dh DATE%_ y